error_category,gold_span,predicted_span,gold_text,predicted_text,gold_concept,predicted_concept,note_id,context_sentence False positive,,"(811, 814)",,b/l,,258693003,10043750-DS-6,"ing. Past Medical History: PMH: DJD, sciatica, b/l blepharitis, diverticulosis, vit D deficiency, i" False positive,,"(1132, 1133)",,S,,420952007,10043750-DS-6,"sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tender, non-distende" False positive,,"(1264, 1274)",,induration,,95402002,10043750-DS-6," in place, c/d/i with no erythema, fluctuance or induration Ext: WWP Pertinent Results: ___ 06:38AM BLOOD W" False positive,,"(1697, 1702)",,Ileum,,85774003,10043750-DS-6,"ium-7.8* Phos-1.8* Mg-2.3 PATHOLOGIC DIAGNOSIS: Ileum, colon and appendix, ileocolectomy: 1. Mucinous " False positive,,"(1704, 1709)",,colon,,269533000,10043750-DS-6,"* Phos-1.8* Mg-2.3 PATHOLOGIC DIAGNOSIS: Ileum, colon and appendix, ileocolectomy: 1. Mucinous adenoca" False positive,,"(1714, 1722)",,appendix,,66754008,10043750-DS-6,"* Mg-2.3 PATHOLOGIC DIAGNOSIS: Ileum, colon and appendix, ileocolectomy: 1. Mucinous adenocarcinoma invad" False positive,,"(1724, 1737)",,ileocolectomy,,1220549001,10043750-DS-6,"PATHOLOGIC DIAGNOSIS: Ileum, colon and appendix, ileocolectomy: 1. Mucinous adenocarcinoma invading into the mu" False positive,,"(3170, 3176)",,subcut,,10683351000119102,10043750-DS-6,"onitored daily. Prophylaxis: The patient received subcutaneous heparin and venodyne boots were used durin" False positive,,"(3356, 3364)",,afebrile,,307200007,10043750-DS-6,"he time of discharge, the patient was doing well, afebrile with stable vital signs. The patient was tolera" False positive,,"(6346, 6349)",,Inc,,1172622001,10043750-DS-6," Please follow-up with your surgeon as advised. Incision Care: *Please call your doctor or nurse prac" Wrong span,"(180, 198)","(180, 182)",No Known Allergies,No,609328004,160552003,10043750-DS-6," Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chie" "Correct entity, wrong SNOMED ID","(201, 223)","(201, 223)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,10043750-DS-6,"rvice: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: R colon canc" Boundary error,"(263, 275)","(261, 275)",colon cancer,R colon cancer,363406005,275978004,10043750-DS-6," Reactions Attending: ___. Chief Complaint: R colon cancer Major Surgical or Invasive Procedure: Open righ" "Correct entity, wrong SNOMED ID","(321, 336)","(321, 336)",right colectomy,right colectomy,359571009,174071004,10043750-DS-6,"ncer Major Surgical or Invasive Procedure: Open right colectomy History of Present Illness: The patient presen" Missed entity,"(393, 399)",,clinic,,737492002,,10043750-DS-6,"tory of Present Illness: The patient presented to clinic with a diagnosis of right colon cancer diagnosed" Wrong span,"(426, 439)","(420, 439)","colon cancer","right colon cancer",363406005,1237484006,10043750-DS-6,"ent presented to clinic with a diagnosis of right colon cancer diagnosed after she underwent a colonoscopy. Thi" "Correct entity, wrong SNOMED ID","(472, 483)","(472, 483)",colonoscopy,colonoscopy,73761001,174158000,10043750-DS-6,"ght colon cancer diagnosed after she underwent a colonoscopy. This was a large cecal cancer. Staging investi" "Correct entity, wrong SNOMED ID","(504, 516)","(504, 516)",cecal cancer,cecal cancer,363350007,371977004,10043750-DS-6,"r she underwent a colonoscopy. This was a large cecal cancer. Staging investigations demonstrated no metastat" Missed entity,"(526, 540)",,investigations,,386053000,,10043750-DS-6,"noscopy. This was a large cecal cancer. Staging investigations demonstrated no metastatic disease. She was offe" "Correct entity, wrong SNOMED ID","(558, 576)","(558, 576)",metastatic disease,metastatic disease,128462008,372152003,10043750-DS-6,"l cancer. Staging investigations demonstrated no metastatic disease. She was offered a right colectomy. She opted to" "Correct entity, wrong SNOMED ID","(596, 611)","(596, 611)",right colectomy,right colectomy,359571009,174071004,10043750-DS-6,"strated no metastatic disease. She was offered a right colectomy. She opted to proceed with open right colectomy" "Correct entity, wrong SNOMED ID","(646, 661)","(646, 661)",right colectomy,right colectomy,359571009,174071004,10043750-DS-6,"right colectomy. She opted to proceed with open right colectomy. Risks and benefits of the procedure were expla" "Correct entity, wrong SNOMED ID","(690, 699)","(690, 699)",procedure,procedure,387713003,371767005,10043750-DS-6," open right colectomy. Risks and benefits of the procedure were explained to the patient prior to proceedin" "Correct entity, wrong SNOMED ID","(796, 799)","(796, 799)",DJD,DJD,396275006,698279003,10043750-DS-6,"ding the operating. Past Medical History: PMH: DJD, sciatica, b/l blepharitis, diverticulosis, vit D" "Correct entity, wrong SNOMED ID","(801, 809)","(801, 809)",sciatica,sciatica,23056005,111237004,10043750-DS-6,"the operating. Past Medical History: PMH: DJD, sciatica, b/l blepharitis, diverticulosis, vit D deficien" "Correct entity, wrong SNOMED ID","(815, 826)","(815, 826)",blepharitis,blepharitis,41446000,1236987000,10043750-DS-6," Past Medical History: PMH: DJD, sciatica, b/l blepharitis, diverticulosis, vit D deficiency, insomnia, HTN" "Correct entity, wrong SNOMED ID","(828, 842)","(828, 842)",diverticulosis,diverticulosis,724538004,14011008,10043750-DS-6,"cal History: PMH: DJD, sciatica, b/l blepharitis, diverticulosis, vit D deficiency, insomnia, HTN, HLD, LBBB, CKD" "Correct entity, wrong SNOMED ID","(844, 861)","(844, 861)","vit D deficiency","vit D deficiency",34713006,766817004,10043750-DS-6,": DJD, sciatica, b/l blepharitis, diverticulosis, vit D deficiency, insomnia, HTN, HLD, LBBB, CKD III, vit B12 defi" "Correct entity, wrong SNOMED ID","(863, 871)","(863, 871)",insomnia,insomnia,193462001,162204000,10043750-DS-6,"l blepharitis, diverticulosis, vit D deficiency, insomnia, HTN, HLD, LBBB, CKD III, vit B12 deficiency PS" "Correct entity, wrong SNOMED ID","(873, 876)","(873, 876)",HTN,HTN,38341003,10725009,10043750-DS-6,"tis, diverticulosis, vit D deficiency, insomnia, HTN, HLD, LBBB, CKD III, vit B12 deficiency PSH: L " "Correct entity, wrong SNOMED ID","(878, 881)","(878, 881)",HLD,HLD,55822004,55731008,10043750-DS-6,"diverticulosis, vit D deficiency, insomnia, HTN, HLD, LBBB, CKD III, vit B12 deficiency PSH: L knee " "Correct entity, wrong SNOMED ID","(883, 887)","(883, 887)",LBBB,LBBB,63467002,258693003,10043750-DS-6,"ticulosis, vit D deficiency, insomnia, HTN, HLD, LBBB, CKD III, vit B12 deficiency PSH: L knee arthro" "Correct entity, wrong SNOMED ID","(889, 896)","(889, 896)",CKD III,CKD III,433144002,1148896009,10043750-DS-6,"sis, vit D deficiency, insomnia, HTN, HLD, LBBB, CKD III, vit B12 deficiency PSH: L knee arthroscopy S" "Correct entity, wrong SNOMED ID","(898, 917)","(898, 917)","vit B12 deficiency","vit B12 deficiency",190634004,1186880002,10043750-DS-6,"D deficiency, insomnia, HTN, HLD, LBBB, CKD III, vit B12 deficiency PSH: L knee arthroscopy Social History: Lives " Boundary error,"(926, 942)","(924, 942)",knee arthroscopy,L knee arthroscopy,309431009,1161000087107,10043750-DS-6,", HLD, LBBB, CKD III, vit B12 deficiency PSH: L knee arthroscopy Social History: Lives alone, but has daughter a" Missed entity,"(961, 972)",,Lives alone,,105529008,,10043750-DS-6,"ciency PSH: L knee arthroscopy Social History: Lives alone, but has daughter as support nearby. Physical E" Missed entity,"(994, 1001)",,support,,1148841003,,10043750-DS-6," Social History: Lives alone, but has daughter as support nearby. Physical Exam: Gen: AOx3, NAD, comforta" "Correct entity, wrong SNOMED ID","(1027, 1030)","(1027, 1030)",Gen,Gen,162673000,420208008,10043750-DS-6," has daughter as support nearby. Physical Exam: Gen: AOx3, NAD, comfortable, pleasant HEENT: anicteri" "Correct entity, wrong SNOMED ID","(1032, 1036)","(1032, 1036)",AOx3,AOx3,426224004,124161002,10043750-DS-6,"daughter as support nearby. Physical Exam: Gen: AOx3, NAD, comfortable, pleasant HEENT: anicteric scle" "Correct entity, wrong SNOMED ID","(1038, 1041)","(1038, 1041)",NAD,NAD,281900007,131143000,10043750-DS-6,"er as support nearby. Physical Exam: Gen: AOx3, NAD, comfortable, pleasant HEENT: anicteric sclera, E" "Correct entity, wrong SNOMED ID","(1065, 1070)","(1065, 1070)",HEENT,HEENT,5880005,113665002,10043750-DS-6,"sical Exam: Gen: AOx3, NAD, comfortable, pleasant HEENT: anicteric sclera, EOMI OP clear with MMM Resp: C" "Correct entity, wrong SNOMED ID","(1072, 1088)","(1072, 1088)",anicteric sclera,anicteric sclera,427801009,470731000124100,10043750-DS-6,"xam: Gen: AOx3, NAD, comfortable, pleasant HEENT: anicteric sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 A" "Correct entity, wrong SNOMED ID","(1090, 1094)","(1090, 1094)",EOMI,EOMI,103251002,67099000,10043750-DS-6,"D, comfortable, pleasant HEENT: anicteric sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +B" "Correct entity, wrong SNOMED ID","(1095, 1103)","(1095, 1103)",OP clear,OP clear,300280008,271591004,10043750-DS-6,"mfortable, pleasant HEENT: anicteric sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, " "Correct entity, wrong SNOMED ID","(1109, 1112)","(1109, 1112)",MMM,MMM,276398005,258673006,10043750-DS-6,"asant HEENT: anicteric sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally" "Correct entity, wrong SNOMED ID","(1113, 1117)","(1113, 1117)",Resp,Resp,268925001,20139000,10043750-DS-6,"t HEENT: anicteric sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tend" "Correct entity, wrong SNOMED ID","(1119, 1123)","(1119, 1123)",CTAB,CTAB,48348007,259641008,10043750-DS-6,"T: anicteric sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tender, no" "Correct entity, wrong SNOMED ID","(1124, 1126)","(1124, 1126)",CV,CV,363003006,258773002,10043750-DS-6,"icteric sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tender, non-d" "Correct entity, wrong SNOMED ID","(1128, 1131)","(1128, 1131)",RRR,RRR,76863003,129960002,10043750-DS-6,"ric sclera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tender, non-disten" Missed entity,"(1134, 1136)",,S2,,111974005,,10043750-DS-6,"lera, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tender, non-distended, " "Correct entity, wrong SNOMED ID","(1137, 1140)","(1137, 1140)",Abd,Abd,225162003,60728008,10043750-DS-6,"a, EOMI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tender, non-distended, no m" "Correct entity, wrong SNOMED ID","(1142, 1145)","(1142, 1145)",+BS,+BS,61539000,260347006,10043750-DS-6,"MI OP clear with MMM Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tender, non-distended, no masses" Wrong span,"(1163, 1169)","(1153, 1169)",tender,minimally tender,43478001,300106007,10043750-DS-6,"Resp: CTAB CV: RRR S1S2 Abd: +BS, soft, minimally tender, non-distended, no masses Wound: steristrips in p" "Correct entity, wrong SNOMED ID","(1171, 1184)","(1171, 1184)",non-distended,non-distended,300405003,162069004,10043750-DS-6,"AB CV: RRR S1S2 Abd: +BS, soft, minimally tender, non-distended, no masses Wound: steristrips in place, c/d/i wit" "Correct entity, wrong SNOMED ID","(1189, 1195)","(1189, 1195)",masses,masses,271860004,237557003,10043750-DS-6,"d: +BS, soft, minimally tender, non-distended, no masses Wound: steristrips in place, c/d/i with no erythe" "Correct entity, wrong SNOMED ID","(1196, 1201)","(1196, 1201)",Wound,Wound,225395003,35933005,10043750-DS-6," soft, minimally tender, non-distended, no masses Wound: steristrips in place, c/d/i with no erythema, fl" Wrong span,"(1203, 1223)","(1203, 1214)",steristrips in place,steristrips,225153000,225151003,10043750-DS-6,"minimally tender, non-distended, no masses Wound: steristrips in place, c/d/i with no erythema, fluctuance or induratio" "Correct entity, wrong SNOMED ID","(1239, 1247)","(1239, 1247)",erythema,erythema,247441003,403194002,10043750-DS-6,"masses Wound: steristrips in place, c/d/i with no erythema, fluctuance or induration Ext: WWP Pertinent R" "Correct entity, wrong SNOMED ID","(1249, 1259)","(1249, 1259)",fluctuance,fluctuance,300583006,248216009,10043750-DS-6,"nd: steristrips in place, c/d/i with no erythema, fluctuance or induration Ext: WWP Pertinent Results: ___ " "Correct entity, wrong SNOMED ID","(1275, 1278)","(1275, 1278)",Ext,Ext,302773001,1489008,10043750-DS-6,"c/d/i with no erythema, fluctuance or induration Ext: WWP Pertinent Results: ___ 06:38AM BLOOD WBC-7" "Correct entity, wrong SNOMED ID","(1280, 1283)","(1280, 1283)",WWP,WWP,1137685003,258001008,10043750-DS-6," with no erythema, fluctuance or induration Ext: WWP Pertinent Results: ___ 06:38AM BLOOD WBC-7.9 RB" "Correct entity, wrong SNOMED ID","(1323, 1326)","(1323, 1326)",WBC,WBC,767002,391558003,10043750-DS-6,"n Ext: WWP Pertinent Results: ___ 06:38AM BLOOD WBC-7.9 RBC-3.14* Hgb-9.9* Hct-30.4* MCV-97 MCH-31.5" "Correct entity, wrong SNOMED ID","(1331, 1334)","(1331, 1334)",RBC,RBC,14089001,258759006,10043750-DS-6,"WP Pertinent Results: ___ 06:38AM BLOOD WBC-7.9 RBC-3.14* Hgb-9.9* Hct-30.4* MCV-97 MCH-31.5 MCHC-32" "Correct entity, wrong SNOMED ID","(1341, 1344)","(1341, 1344)",Hgb,Hgb,441689006,104142005,10043750-DS-6,"nent Results: ___ 06:38AM BLOOD WBC-7.9 RBC-3.14* Hgb-9.9* Hct-30.4* MCV-97 MCH-31.5 MCHC-32.5 RDW-12." "Correct entity, wrong SNOMED ID","(1350, 1353)","(1350, 1353)",Hct,Hct,28317006,840276005,10043750-DS-6,"lts: ___ 06:38AM BLOOD WBC-7.9 RBC-3.14* Hgb-9.9* Hct-30.4* MCV-97 MCH-31.5 MCHC-32.5 RDW-12.8 Plt ___" "Correct entity, wrong SNOMED ID","(1368, 1371)","(1368, 1371)",MCH,MCH,54706004,735147002,10043750-DS-6,"LOOD WBC-7.9 RBC-3.14* Hgb-9.9* Hct-30.4* MCV-97 MCH-31.5 MCHC-32.5 RDW-12.8 Plt ___ ___ 06:38AM BLOOD" "Correct entity, wrong SNOMED ID","(1377, 1381)","(1377, 1381)",MCHC,MCHC,37254006,735147002,10043750-DS-6,"7.9 RBC-3.14* Hgb-9.9* Hct-30.4* MCV-97 MCH-31.5 MCHC-32.5 RDW-12.8 Plt ___ ___ 06:38AM BLOOD Glucose-7" "Correct entity, wrong SNOMED ID","(1422, 1429)","(1422, 1429)",Glucose,Glucose,33747003,72191006,10043750-DS-6,"31.5 MCHC-32.5 RDW-12.8 Plt ___ ___ 06:38AM BLOOD Glucose-72 UreaN-17 Creat-1.0 Na-143 K-3.8 Cl-109* HCO3-" "Correct entity, wrong SNOMED ID","(1433, 1438)","(1433, 1438)",UreaN,UreaN,105011006,111108008,10043750-DS-6,"2.5 RDW-12.8 Plt ___ ___ 06:38AM BLOOD Glucose-72 UreaN-17 Creat-1.0 Na-143 K-3.8 Cl-109* HCO3-22 AnGap-" "Correct entity, wrong SNOMED ID","(1442, 1447)","(1442, 1447)",Creat,Creat,70901006,365756002,10043750-DS-6,"2.8 Plt ___ ___ 06:38AM BLOOD Glucose-72 UreaN-17 Creat-1.0 Na-143 K-3.8 Cl-109* HCO3-22 AnGap-16 ___ 06" "Correct entity, wrong SNOMED ID","(1452, 1454)","(1452, 1454)",Na,Na,312469006,257992007,10043750-DS-6,"_ ___ 06:38AM BLOOD Glucose-72 UreaN-17 Creat-1.0 Na-143 K-3.8 Cl-109* HCO3-22 AnGap-16 ___ 06:38AM B" "Correct entity, wrong SNOMED ID","(1466, 1468)","(1466, 1468)",Cl,Cl,104589004,311741002,10043750-DS-6,"BLOOD Glucose-72 UreaN-17 Creat-1.0 Na-143 K-3.8 Cl-109* HCO3-22 AnGap-16 ___ 06:38AM BLOOD Calcium-8" "Correct entity, wrong SNOMED ID","(1474, 1478)","(1474, 1478)",HCO3,HCO3,312471006,88645003,10043750-DS-6,"ucose-72 UreaN-17 Creat-1.0 Na-143 K-3.8 Cl-109* HCO3-22 AnGap-16 ___ 06:38AM BLOOD Calcium-8.1* Phos-3" "Correct entity, wrong SNOMED ID","(1482, 1487)","(1482, 1487)",AnGap,AnGap,25469001,124504004,10043750-DS-6," UreaN-17 Creat-1.0 Na-143 K-3.8 Cl-109* HCO3-22 AnGap-16 ___ 06:38AM BLOOD Calcium-8.1* Phos-3.2 Mg-1.6" "Correct entity, wrong SNOMED ID","(1509, 1516)","(1509, 1516)",Calcium,Calcium,312472004,108601004,10043750-DS-6," K-3.8 Cl-109* HCO3-22 AnGap-16 ___ 06:38AM BLOOD Calcium-8.1* Phos-3.2 Mg-1.6 ___ 07:35AM BLOOD Glucose-9" "Correct entity, wrong SNOMED ID","(1522, 1526)","(1522, 1526)",Phos,Phos,104868000,168075002,10043750-DS-6,"* HCO3-22 AnGap-16 ___ 06:38AM BLOOD Calcium-8.1* Phos-3.2 Mg-1.6 ___ 07:35AM BLOOD Glucose-90 UreaN-15" "Correct entity, wrong SNOMED ID","(1531, 1533)","(1531, 1533)",Mg,Mg,271285000,258684004,10043750-DS-6," AnGap-16 ___ 06:38AM BLOOD Calcium-8.1* Phos-3.2 Mg-1.6 ___ 07:35AM BLOOD Glucose-90 UreaN-15 Creat-" "Correct entity, wrong SNOMED ID","(1557, 1564)","(1557, 1564)",Glucose,Glucose,33747003,72191006,10043750-DS-6,"D Calcium-8.1* Phos-3.2 Mg-1.6 ___ 07:35AM BLOOD Glucose-90 UreaN-15 Creat-1.0 Na-136 K-3.8 Cl-105 HCO3-2" "Correct entity, wrong SNOMED ID","(1568, 1573)","(1568, 1573)",UreaN,UreaN,105011006,111108008,10043750-DS-6,".1* Phos-3.2 Mg-1.6 ___ 07:35AM BLOOD Glucose-90 UreaN-15 Creat-1.0 Na-136 K-3.8 Cl-105 HCO3-25 AnGap-1" "Correct entity, wrong SNOMED ID","(1577, 1582)","(1577, 1582)",Creat,Creat,70901006,365756002,10043750-DS-6,"3.2 Mg-1.6 ___ 07:35AM BLOOD Glucose-90 UreaN-15 Creat-1.0 Na-136 K-3.8 Cl-105 HCO3-25 AnGap-10 ___ 07:" "Correct entity, wrong SNOMED ID","(1587, 1589)","(1587, 1589)",Na,Na,312469006,257992007,10043750-DS-6," ___ 07:35AM BLOOD Glucose-90 UreaN-15 Creat-1.0 Na-136 K-3.8 Cl-105 HCO3-25 AnGap-10 ___ 07:35AM BL" "Correct entity, wrong SNOMED ID","(1601, 1603)","(1601, 1603)",Cl,Cl,104589004,311741002,10043750-DS-6,"BLOOD Glucose-90 UreaN-15 Creat-1.0 Na-136 K-3.8 Cl-105 HCO3-25 AnGap-10 ___ 07:35AM BLOOD Calcium-7." "Correct entity, wrong SNOMED ID","(1608, 1612)","(1608, 1612)",HCO3,HCO3,312471006,88645003,10043750-DS-6,"lucose-90 UreaN-15 Creat-1.0 Na-136 K-3.8 Cl-105 HCO3-25 AnGap-10 ___ 07:35AM BLOOD Calcium-7.8* Phos-1" "Correct entity, wrong SNOMED ID","(1616, 1621)","(1616, 1621)",AnGap,AnGap,25469001,124504004,10043750-DS-6,"0 UreaN-15 Creat-1.0 Na-136 K-3.8 Cl-105 HCO3-25 AnGap-10 ___ 07:35AM BLOOD Calcium-7.8* Phos-1.8* Mg-2." "Correct entity, wrong SNOMED ID","(1643, 1650)","(1643, 1650)",Calcium,Calcium,312472004,108601004,10043750-DS-6," K-3.8 Cl-105 HCO3-25 AnGap-10 ___ 07:35AM BLOOD Calcium-7.8* Phos-1.8* Mg-2.3 PATHOLOGIC DIAGNOSIS: Ile" "Correct entity, wrong SNOMED ID","(1656, 1660)","(1656, 1660)",Phos,Phos,104868000,168075002,10043750-DS-6,"5 HCO3-25 AnGap-10 ___ 07:35AM BLOOD Calcium-7.8* Phos-1.8* Mg-2.3 PATHOLOGIC DIAGNOSIS: Ileum, colon " "Correct entity, wrong SNOMED ID","(1666, 1668)","(1666, 1668)",Mg,Mg,271285000,258684004,10043750-DS-6,"AnGap-10 ___ 07:35AM BLOOD Calcium-7.8* Phos-1.8* Mg-2.3 PATHOLOGIC DIAGNOSIS: Ileum, colon and appe" "Correct entity, wrong SNOMED ID","(1743, 1766)","(1743, 1766)",Mucinous adenocarcinoma,Mucinous adenocarcinoma,72495009,52391000146101,10043750-DS-6,"S: Ileum, colon and appendix, ileocolectomy: 1. Mucinous adenocarcinoma invading into the muscularis propria (pT2, see s" "Correct entity, wrong SNOMED ID","(1785, 1803)","(1785, 1803)",muscularis propria,muscularis propria,86915006,727280007,10043750-DS-6,"my: 1. Mucinous adenocarcinoma invading into the muscularis propria (pT2, see synoptic report); the margins are nega" Missed entity,"(1837, 1844)",,margins,,871811002,,10043750-DS-6,"scularis propria (pT2, see synoptic report); the margins are negative for malignancy. 2. Sixteen lymph no" Missed entity,"(1849, 1857)",,negative,,281900007,,10043750-DS-6,"pria (pT2, see synoptic report); the margins are negative for malignancy. 2. Sixteen lymph nodes with no m" "Correct entity, wrong SNOMED ID","(1863, 1873)","(1863, 1873)",malignancy,malignancy,1240414004,269475001,10043750-DS-6,"e synoptic report); the margins are negative for malignancy. 2. Sixteen lymph nodes with no malignancy identi" "Correct entity, wrong SNOMED ID","(1886, 1897)","(1886, 1897)",lymph nodes,lymph nodes,59441001,67022004,10043750-DS-6," margins are negative for malignancy. 2. Sixteen lymph nodes with no malignancy identified ___, pN0, see syno" Missed entity,"(1906, 1916)",,malignancy,,1240414004,,10043750-DS-6,"e for malignancy. 2. Sixteen lymph nodes with no malignancy identified ___, pN0, see synoptic report). 3. Co" "Correct entity, wrong SNOMED ID","(1964, 1969)","(1964, 1969)",Colon,Colon,71854001,269533000,10043750-DS-6,"cy identified ___, pN0, see synoptic report). 3. Colon with melanosis coli. 4. Unremarkable ileum and ap" "Correct entity, wrong SNOMED ID","(1975, 1989)","(1975, 1989)",melanosis coli,melanosis coli,11256005,15488007,10043750-DS-6,"ed ___, pN0, see synoptic report). 3. Colon with melanosis coli. 4. Unremarkable ileum and appendix. Brief Hosp" Wrong span,"(1994, 2006)","(1994, 2012)",Unremarkable,Unremarkable ileum,281900007,181249005,10043750-DS-6,"ynoptic report). 3. Colon with melanosis coli. 4. Unremarkable ileum and appendix. Brief Hospital Course: The " Wrong span,"(2007, 2012)","(1994, 2012)",ileum,Unremarkable ileum,34516001,181249005,10043750-DS-6,"t). 3. Colon with melanosis coli. 4. Unremarkable ileum and appendix. Brief Hospital Course: The patien" Missed entity,"(2068, 2108)",,admitted to the General Surgical Service,,305408004,,10043750-DS-6,"ppendix. Brief Hospital Course: The patient was admitted to the General Surgical Service on ___ after an open right colectomy for colon c" "Correct entity, wrong SNOMED ID","(2131, 2146)","(2131, 2146)",right colectomy,right colectomy,359571009,174071004,10043750-DS-6,"he General Surgical Service on ___ after an open right colectomy for colon cancer. The procedure went well withou" "Correct entity, wrong SNOMED ID","(2151, 2163)","(2151, 2163)",colon cancer,colon cancer,363406005,363408006,10043750-DS-6,"Service on ___ after an open right colectomy for colon cancer. The procedure went well without complication (r" "Correct entity, wrong SNOMED ID","(2170, 2179)","(2170, 2179)",procedure,procedure,387713003,118672003,10043750-DS-6,"er an open right colectomy for colon cancer. The procedure went well without complication (reader referred t" Missed entity,"(2236, 2245)",,Operative,,387713003,,10043750-DS-6,"ell without complication (reader referred to the Operative Note for details). After a brief, uneventful stay" Missed entity,"(2304, 2308)",,PACU,,386390005,,10043750-DS-6," details). After a brief, uneventful stay in the PACU, the patient arrived on the floor. Neuro: The p" "Correct entity, wrong SNOMED ID","(2346, 2351)","(2346, 2351)",Neuro,Neuro,84728005,284186002,10043750-DS-6,"in the PACU, the patient arrived on the floor. Neuro: The patient had an epidural which was transition" "Correct entity, wrong SNOMED ID","(2372, 2380)","(2372, 2380)",epidural,epidural,18946005,180886007,10043750-DS-6,"arrived on the floor. Neuro: The patient had an epidural which was transitioned to oral pain medications" "Correct entity, wrong SNOMED ID","(2409, 2413)","(2409, 2413)",oral,oral,386359008,129080004,10043750-DS-6,"tient had an epidural which was transitioned to oral pain medications on POD2 with good effect and ade" Missed entity,"(2442, 2455)",,h good effect,,78469002,,10043750-DS-6,"ransitioned to oral pain medications on POD2 with good effect and adequate pain control. Cardiopulmonary: Th" Wrong span,"(2460, 2482)","(2469, 2482)","adequate pain control","pain control",1156446004,410239009,10043750-DS-6,"ral pain medications on POD2 with good effect and adequate pain control. Cardiopulmonary: The patient remained stable f" "Correct entity, wrong SNOMED ID","(2524, 2530)","(2524, 2530)",stable,stable,359746009,301459008,10043750-DS-6," control. Cardiopulmonary: The patient remained stable from a cardiopulmonary standpoint; vital signs w" "Correct entity, wrong SNOMED ID","(2567, 2604)","(2567, 2604)","vital signs were routinely monitored","vital signs were routinely monitored",304495004,432371000124100,10043750-DS-6,"mained stable from a cardiopulmonary standpoint; vital signs were routinely monitored. Good pulmonary toilet, early ambulation and ince" Missed entity,"(2606, 2610)",,Good,,78469002,,10043750-DS-6,"tandpoint; vital signs were routinely monitored. Good pulmonary toilet, early ambulation and incentive " Missed entity,"(2635, 2645)",,ambulation,,359665005,,10043750-DS-6,"outinely monitored. Good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throug" Wrong span,"(2650, 2672)","(2650, 2664)","incentive spirrometry","incentive spi",229301009,701399002,10043750-DS-6,"ored. Good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. GI/GU" Missed entity,"(2728, 2744)",,Post-operatively,,19585003,,10043750-DS-6,"encouraged throughout hospitalization. GI/GU/FEN: Post-operatively, the patient was made NPO with IV fluids. Diet w" "Correct entity, wrong SNOMED ID","(2767, 2770)","(2767, 2770)",NPO,NPO,182923009,47773007,10043750-DS-6,"GI/GU/FEN: Post-operatively, the patient was made NPO with IV fluids. Diet was advanced when appropria" Wrong span,"(2788, 2805)","(2788, 2792)",Diet was advanced,Diet,422972009,1217196000,10043750-DS-6,"tively, the patient was made NPO with IV fluids. Diet was advanced when appropriate, which was well tolerated. Pat" Missed entity,"(2834, 2849)",,"well tolerated",,1144522003,,10043750-DS-6,"ds. Diet was advanced when appropriate, which was well tolerated. Patient's intake and output were closely monito" Wrong span,"(2862, 2879)","(2862, 2868)",intake and output,intake,63061008,365967005,10043750-DS-6,"ppropriate, which was well tolerated. Patient's intake and output were closely monitored, and IV fluid was adjuste" Missed entity,"(2893, 2902)",,monitored,,239516002,,10043750-DS-6,"erated. Patient's intake and output were closely monitored, and IV fluid was adjusted when necessary. Elec" "Correct entity, wrong SNOMED ID","(2909, 2917)","(2909, 2917)",IV fluid,IV fluid,103744005,261512006,10043750-DS-6,"'s intake and output were closely monitored, and IV fluid was adjusted when necessary. Electrolytes were " "Correct entity, wrong SNOMED ID","(2948, 2960)","(2948, 2960)",Electrolytes,Electrolytes,365758001,14830009,10043750-DS-6,"ored, and IV fluid was adjusted when necessary. Electrolytes were routinely followed, and repleted when neces" "Correct entity, wrong SNOMED ID","(3016, 3018)","(3016, 3018)",ID,ID,310054005,84440006,10043750-DS-6," routinely followed, and repleted when necessary. ID: The patient's fever curves were closely watched " "Correct entity, wrong SNOMED ID","(3034, 3039)","(3034, 3039)",fever,fever,386661006,248430002,10043750-DS-6,"d, and repleted when necessary. ID: The patient's fever curves were closely watched for signs of infecti" Wrong span,"(3060, 3091)","(3072, 3091)","watched for signs of infection","signs of infection",370835007,397680002,10043750-DS-6,"sary. ID: The patient's fever curves were closely watched for signs of infection. The wound dressings were monitored daily. Proph" Wrong span,"(3098, 3103)","(3098, 3113)",wound,wound dressings,416462003,466962009,10043750-DS-6,"ere closely watched for signs of infection. The wound dressings were monitored daily. Prophylaxis: The " Missed entity,"(3119, 3128)",,monitored,,239516002,,10043750-DS-6,"or signs of infection. The wound dressings were monitored daily. Prophylaxis: The patient received subcutan" "Correct entity, wrong SNOMED ID","(3136, 3147)","(3136, 3147)",Prophylaxis,Prophylaxis,169443000,182935008,10043750-DS-6,"ction. The wound dressings were monitored daily. Prophylaxis: The patient received subcutaneous heparin and v" Missed entity,"(3183, 3190)",,heparin,,103746007,,10043750-DS-6,"y. Prophylaxis: The patient received subcutaneous heparin and venodyne boots were used during this stay; w" "Correct entity, wrong SNOMED ID","(3269, 3277)","(3269, 3277)",ambulate,ambulate,359665005,722370002,10043750-DS-6,"d during this stay; was encouraged to get up and ambulate as early as possible. At the time of discharge," "Correct entity, wrong SNOMED ID","(3371, 3389)","(3371, 3389)",stable vital signs,stable vital signs,72970002,301459008,10043750-DS-6,"harge, the patient was doing well, afebrile with stable vital signs. The patient was tolerating a regular diet, amb" Wrong span,"(3408, 3418)","(3408, 3410)",tolerating,to,1144522003,24932003,10043750-DS-6,"ebrile with stable vital signs. The patient was tolerating a regular diet, ambulating, voiding without assi" "Correct entity, wrong SNOMED ID","(3421, 3434)","(3421, 3434)","regular diet","regular diet",36823005,11816003,10043750-DS-6,"stable vital signs. The patient was tolerating a regular diet, ambulating, voiding without assistance, and pain" "Correct entity, wrong SNOMED ID","(3436, 3446)","(3436, 3446)",ambulating,ambulating,160680006,722370002,10043750-DS-6,"gns. The patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well c" "Correct entity, wrong SNOMED ID","(3448, 3474)","(3448, 3474)",voiding without assistance,voiding without assistance,129023004,49650001,10043750-DS-6,"tient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. She was evaluated" Wrong span,"(3515, 3544)","(3515, 3524)",evaluated by physical therapy,evaluated,410160006,39609006,10043750-DS-6,"ssistance, and pain was well controlled. She was evaluated by physical therapy and after discussion with the patient, family, a" Missed entity,"(3556, 3566)",,discussion,,223482009,,10043750-DS-6," She was evaluated by physical therapy and after discussion with the patient, family, and ___, she was discha" Missed entity,"(3673, 3681)",,teaching,,311401005,,10043750-DS-6,"ome with home ___. The patient received discharge teaching and follow-up instructions with understanding ve" Missed entity,"(3697, 3709)",,instructions,,311401005,,10043750-DS-6,"atient received discharge teaching and follow-up instructions with understanding verbalized and agreement with" Missed entity,"(3764, 3778)",,discharge plan,,371754007,,10043750-DS-6," understanding verbalized and agreement with the discharge plan. Medications on Admission: The Preadmission Med" Wrong span,"(5260, 5272)","(5255, 5272)",With Service,Home With Service,385783005,710242005,10043750-DS-6,"le taking Ultram. Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Right colo" Wrong span,"(5318, 5330)","(5312, 5330)",colon cancer,Right colon cancer,363406005,1237484006,10043750-DS-6,"vice Facility: ___ Discharge Diagnosis: Right colon cancer Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(5355, 5368)","(5355, 5368)",Mental Status,Mental Status,392257007,419284004,10043750-DS-6,"nosis: Right colon cancer Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(5370, 5375)","(5370, 5375)",Clear,Clear,281900007,281278005,10043750-DS-6,"lon cancer Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(5390, 5412)","(5390, 5412)",Level of Consciousness,Level of Consciousness,444714004,830285008,10043750-DS-6,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(5414, 5419)","(5414, 5419)",Alert,Alert,248234008,409787004,10043750-DS-6,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - re" "Correct entity, wrong SNOMED ID","(5424, 5435)","(5424, 5435)",interactive,interactive,288577006,10301000202103,10043750-DS-6,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistanc" "Correct entity, wrong SNOMED ID","(5437, 5452)","(5437, 5452)",Activity Status,Activity Status,129676008,397622007,10043750-DS-6,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker " "Correct entity, wrong SNOMED ID","(5454, 5493)","(5454, 5493)",Ambulatory - requires assistance or aid,Ambulatory - requires assistance or aid,365112008,165252001,10043750-DS-6,"iousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dea" Missed entity,"(5565, 5596)",,admitted to the general surgery,,305408004,,10043750-DS-6," Discharge Instructions: Dear Ms. ___, You were admitted to the general surgery inpatient service after your surgery. You are no" Wrong span,"(5615, 5634)","(5627, 5634)","after your surgery",surgery,19585003,110473004,10043750-DS-6,"admitted to the general surgery inpatient service after your surgery. You are now stable enough to continue your reco" "Correct entity, wrong SNOMED ID","(5648, 5654)","(5648, 5654)",stable,stable,359746009,301459008,10043750-DS-6,"npatient service after your surgery. You are now stable enough to continue your recovery at home. Plea" Missed entity,"(5707, 5742)",,resume all regular home medications,,182837001,,10043750-DS-6,"ough to continue your recovery at home. Please resume all regular home medications, unless specifically advised not to take a parti" Missed entity,"(5798, 5808)",,medication,,394835006,,10043750-DS-6,"ss specifically advised not to take a particular medication. Also, please take any new medications as presc" Missed entity,"(5817, 5863)",,"please take any new medications as prescribed",,394835006,,10043750-DS-6,"vised not to take a particular medication. Also, please take any new medications as prescribed. Avoid driving or operating heavy machinery whil" Missed entity,"(5865, 5908)",,"Avoid driving or operating heavy machinery",,223434003,,10043750-DS-6,", please take any new medications as prescribed. Avoid driving or operating heavy machinery while taking pain medications. Please get plent" Wrong span,"(5909, 5938)","(5922, 5938)",while taking pain medications,pain medications,394835006,52685006,10043750-DS-6,"ibed. Avoid driving or operating heavy machinery while taking pain medications. Please get plenty of rest, continue to ambulat" "Correct entity, wrong SNOMED ID","(5981, 5989)","(5981, 5989)",ambulate,ambulate,359665005,722370002,10043750-DS-6,"cations. Please get plenty of rest, continue to ambulate several times per day, and drink adequate amount" Missed entity,"(6018, 6050)",,drink adequate amounts of fluids,,313210009,,10043750-DS-6," continue to ambulate several times per day, and drink adequate amounts of fluids. Please continue drinking Ensures while at home " Missed entity,"(6078, 6085)",,Ensures,,709542007,,10043750-DS-6,"uate amounts of fluids. Please continue drinking Ensures while at home to make sure you keep up with your" Missed entity,"(6147, 6168)",,Avoid lifting weights,,304673006,,10043750-DS-6,"me to make sure you keep up with your calories. Avoid lifting weights greater than ___ lbs until you follow-up with yo" Missed entity,"(6271, 6292)",,activity restrictions,,304673006,,10043750-DS-6,"surgeon, who will instruct you further regarding activity restrictions. Please follow-up with your surgeon as advised" Wrong span,"(6421, 6435)","(6431, 6435)",increased pain,pain,1144586002,102570003,10043750-DS-6,"ll your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision" "Correct entity, wrong SNOMED ID","(6437, 6445)","(6437, 6445)",swelling,swelling,442672001,300890009,10043750-DS-6,"r nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *A" "Correct entity, wrong SNOMED ID","(6447, 6454)","(6447, 6454)",redness,redness,822962003,1268301006,10043750-DS-6,"actitioner if you have increased pain, swelling, redness, or drainage from the incision site. *Avoid swim" "Correct entity, wrong SNOMED ID","(6459, 6467)","(6459, 6467)",drainage,drainage,239164002,56783008,10043750-DS-6,"f you have increased pain, swelling, redness, or drainage from the incision site. *Avoid swimming and bath" "Correct entity, wrong SNOMED ID","(6477, 6491)","(6477, 6491)","incision site","incision site",609343002,260847001,10043750-DS-6,"sed pain, swelling, redness, or drainage from the incision site. *Avoid swimming and baths until your follow-up a" Missed entity,"(6494, 6508)",,Avoid swimming,,223434003,,10043750-DS-6,"g, redness, or drainage from the incision site. *Avoid swimming and baths until your follow-up appointment. *You " Missed entity,"(6562, 6568)",,shower,,304673006,,10043750-DS-6," baths until your follow-up appointment. *You may shower, and wash surgical incisions with a mild soap an" Missed entity,"(6574, 6578)",,wash,,225150002,,10043750-DS-6," your follow-up appointment. *You may shower, and wash surgical incisions with a mild soap and warm wat" Wrong span,"(6579, 6597)","(6579, 6587)",surgical incisions,surgical,609343002,274071003,10043750-DS-6," follow-up appointment. *You may shower, and wash surgical incisions with a mild soap and warm water. Gently pat the" Missed entity,"(6671, 6683)",,steri-strips,,225153000,,10043750-DS-6,"arm water. Gently pat the area dry. *If you have steri-strips, they will fall off on their own. Please remove" Wrong span,"(6764, 6777)","(6770, 6777)",after surgery,surgery,19585003,110473004,10043750-DS-6,"wn. Please remove any remaining strips ___ days after surgery. It was a pleasure taking care of you! Followu" False positive,,"(273, 289)",,Motorcycle crash,,426772002,10371195-DS-9,"to Drugs Attending: ___. Chief Complaint: s/p Motorcycle crash Major Surgical or Invasive Procedure: ___ Epidu" False positive,,"(422, 428)",,trauma,,39400004,10371195-DS-9," of Present Illness: Pt is ___ yr-old male adm on trauma service s/p MCC vs SUV. Pt trans by Medflight fro" False positive,,"(441, 444)",,MCC,,259464002,10371195-DS-9,": Pt is ___ yr-old male adm on trauma service s/p MCC vs SUV. Pt trans by Medflight from ___. Was unres" False positive,,"(632, 641)",,bilateral,,268228006,10371195-DS-9,"ght pulmonary contusion, left clavicle fracture, bilateral rib fractures, grade II right renal laceration, g" False positive,,"(830, 841)",,Physical Ex,,363003006,10371195-DS-9,": none Social History: ___ Family History: NC Physical Exam: On discharge VS: T 98.6 Hr 72 BP 106/62 RR 16 " False positive,,"(970, 979)",,palpation,,51558006,10371195-DS-9,"___: RRR no m/r/g Pulm: CTAB Abdomen: Tender with palpation Ext: WWP, R ___ cyst in popliteal fossa. Perti" False positive,,"(2054, 2060)",,Stable,,301459008,10371195-DS-9,"ology including no bowel obstruction or abscess. Stable liver and renal lacerations. Decreased amount of" False positive,,"(2225, 2230)",,Clear,,281278005,10371195-DS-9,"ons and atelectasis. ERCP: Normal major papilla. Clear bile seen. Common bile duct, common hepatic duct" False positive,,"(2231, 2235)",,bile,,48866007,10371195-DS-9,"d atelectasis. ERCP: Normal major papilla. Clear bile seen. Common bile duct, common hepatic duct, R+L" False positive,,"(2500, 2510)",,Clear bile,,12516006,10371195-DS-9,"o filling defects. ___ ERCP:Normal major papilla. Clear bile seen at the major papilla and in the duodenum. T" False positive,,"(2772, 2774)",,no,,160552003,10371195-DS-9,"rse and caliber of the structures are normal with no evidence of extrinsic compression, no ductal abn" False positive,,"(3019, 3025)",,trauma,,39400004,10371195-DS-9," Brief Hospital Course: ___ Pt admitted to the trauma surgical service s/p Motor cycle crash with posi" False positive,,"(3378, 3384)",,stable,,301459008,10371195-DS-9,"ding/fluid around transverse colon. No free air, stable between scans. ___ admitted to the TICU for obs" False positive,,"(3393, 3397)",,scan,,77477000,10371195-DS-9,"nd transverse colon. No free air, stable between scans. ___ admitted to the TICU for observation. __" False positive,,"(3473, 3483)",,Acute pain,,408950005,10371195-DS-9,"ICU for observation. ___: ___ remianed in TICU. Acute pain service consulted for pain managment with bupivi" False positive,,"(3578, 3580)",,IV,,258000009,10371195-DS-9,"upivicaine 0.1 ___ and diluadid pca ___: Epidural IV PCA, MS ___ 15 mg po TID ___: Epidural continue" False positive,,"(3722, 3731)",,follow up,,1354473003,10371195-DS-9,"started. ___: + ambulation w/ ___. CT Abd/pelvis follow up examination performed. ___: capped and flagged e" False positive,,"(6072, 6088)",,Motorcycle crash,,426772002,10371195-DS-9,"arge Disposition: Home Discharge Diagnosis: s/p Motorcycle crash Right pulmonary contusion Left clavicle fracture " False positive,,"(6488, 6493)",,awake,,248218005,10371195-DS-9,"the incentive spirometer every hour that you are awake. DO NOT participate in any contact sports of any" False positive,,"(7088, 7104)",,pain medications,,52685006,10371195-DS-9,"erning to you. It is important that you take the pain medications as prescribed. A stool softener and laxative hav" Wrong span,"(207, 231)","(204, 216)",Known Allergies to Drugs,No Known All,609398007,171111007,10371195-DS-9,"RGERY Allergies: Patient recorded as having No Known Allergies to Drugs Attending: ___. Chief Complaint: s/p Motorcyc" Wrong span,"(334, 342)","(334, 361)",Epidural,Epidural catheter placement,18946005,1373722004,10371195-DS-9,"crash Major Surgical or Invasive Procedure: ___ Epidural catheter placement History of Present Illness:" Wrong span,"(343, 361)","(334, 361)",catheter placement,Epidural catheter placement,45211000,1373722004,10371195-DS-9,"ajor Surgical or Invasive Procedure: ___ Epidural catheter placement History of Present Illness: Pt is ___ yr-old m" "Correct entity, wrong SNOMED ID","(489, 501)","(489, 501)",unresponsive,unresponsive,422768004,77472006,10371195-DS-9,"p MCC vs SUV. Pt trans by Medflight from ___. Was unresponsive at scene, +helmet, +ETOH w/BAL=28. No record of E" Missed entity,"(512, 519)",,+helmet,,425534001,,10371195-DS-9,"by Medflight from ___. Was unresponsive at scene, +helmet, +ETOH w/BAL=28. No record of ETOH level from OSH" "Correct entity, wrong SNOMED ID","(522, 526)","(522, 526)",ETOH,ETOH,25702006,413966000,10371195-DS-9,"ht from ___. Was unresponsive at scene, +helmet, +ETOH w/BAL=28. No record of ETOH level from OSH. Pt w" Missed entity,"(529, 532)",,BAL,,167009006,,10371195-DS-9," ___. Was unresponsive at scene, +helmet, +ETOH w/BAL=28. No record of ETOH level from OSH. Pt with ri" Wrong span,"(550, 560)","(550, 554)",ETOH level,ETOH,167009006,413966000,10371195-DS-9,"e at scene, +helmet, +ETOH w/BAL=28. No record of ETOH level from OSH. Pt with right pulmonary contusion, lef" Wrong span,"(580, 585)","(580, 605)",right,right pulmonary contusion,3341006,11850561000119105,10371195-DS-9,"AL=28. No record of ETOH level from OSH. Pt with right pulmonary contusion, left clavicle fracture, bil" Wrong span,"(586, 605)","(580, 605)",pulmonary contusion,right pulmonary contusion,262784001,11850561000119105,10371195-DS-9," No record of ETOH level from OSH. Pt with right pulmonary contusion, left clavicle fracture, bilateral rib fractures" Wrong span,"(607, 611)","(607, 629)",left,left clavicle fracture,720617006,10819941000119106,10371195-DS-9,"vel from OSH. Pt with right pulmonary contusion, left clavicle fracture, bilateral rib fractures, grad" Wrong span,"(612, 629)","(607, 629)",clavicle fracture,left clavicle fracture,58150001,10819941000119106,10371195-DS-9,"rom OSH. Pt with right pulmonary contusion, left clavicle fracture, bilateral rib fractures, grade II right renal l" "Correct entity, wrong SNOMED ID","(642, 655)","(642, 655)",rib fractures,rib fractures,1261007,429381000124105,10371195-DS-9,"ary contusion, left clavicle fracture, bilateral rib fractures, grade II right renal laceration, grade V liver " "Correct entity, wrong SNOMED ID","(666, 688)","(666, 688)",right renal laceration,right renal laceration,11800851000119104,397243000,10371195-DS-9,"icle fracture, bilateral rib fractures, grade II right renal laceration, grade V liver laceration, left L2 transverse pr" "Correct entity, wrong SNOMED ID","(699, 715)","(699, 715)",liver laceration,liver laceration,262802005,174440001,10371195-DS-9,"ctures, grade II right renal laceration, grade V liver laceration, left L2 transverse process fracture. Past " Wrong span,"(722, 724)","(717, 724)",L2,left L2,89831000,200629001,10371195-DS-9,"renal laceration, grade V liver laceration, left L2 transverse process fracture. Past Medical H" "Correct entity, wrong SNOMED ID","(725, 752)","(725, 752)",transverse process fracture,transverse process fracture,207962009,207900003,10371195-DS-9,"al laceration, grade V liver laceration, left L2 transverse process fracture. Past Medical History: none Social Histor" "Correct entity, wrong SNOMED ID","(858, 860)","(858, 860)",VS,VS,118227000,313611000,10371195-DS-9," Family History: NC Physical Exam: On discharge VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O " Missed entity,"(862, 863)",,T,,105723007,,10371195-DS-9,"ily History: NC Physical Exam: On discharge VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3" "Correct entity, wrong SNOMED ID","(869, 871)","(869, 871)",Hr,Hr,301113001,258702006,10371195-DS-9,"tory: NC Physical Exam: On discharge VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD _" "Correct entity, wrong SNOMED ID","(875, 877)","(875, 877)",BP,BP,392570002,38341003,10371195-DS-9,"NC Physical Exam: On discharge VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RR" "Correct entity, wrong SNOMED ID","(885, 887)","(885, 887)",RR,RR,301283003,229040007,10371195-DS-9,"cal Exam: On discharge VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g" "Correct entity, wrong SNOMED ID","(898, 900)","(898, 900)",Ra,Ra,722742002,463051000124105,10371195-DS-9,"discharge VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB A" "Correct entity, wrong SNOMED ID","(901, 904)","(901, 904)",GEN,GEN,162673000,420208008,10371195-DS-9,"charge VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdom" "Correct entity, wrong SNOMED ID","(906, 907)","(906, 907)",A,A,248234008,420512001,10371195-DS-9,"e VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdomen:" "Correct entity, wrong SNOMED ID","(908, 913)","(908, 913)",O x 3,O x 3,426224004,1222801008,10371195-DS-9,"VS: T 98.6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdomen: Tende" "Correct entity, wrong SNOMED ID","(916, 919)","(916, 919)",NAD,NAD,281900007,131143000,10371195-DS-9,".6 Hr 72 BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdomen: Tender with" "Correct entity, wrong SNOMED ID","(925, 928)","(925, 928)",RRR,RRR,76863003,129960002,10371195-DS-9,"BP 106/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdomen: Tender with palpatio" "Correct entity, wrong SNOMED ID","(929, 937)","(929, 937)",no m/r/g,no m/r/g,301132007,315221003,10371195-DS-9,"06/62 RR 16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdomen: Tender with palpation Ext: WW" "Correct entity, wrong SNOMED ID","(938, 942)","(938, 942)",Pulm,Pulm,268925001,90623003,10371195-DS-9,"16 96% or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdomen: Tender with palpation Ext: WWP, R " "Correct entity, wrong SNOMED ID","(944, 948)","(944, 948)",CTAB,CTAB,48348007,112188007,10371195-DS-9," or Ra GEN: A&O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdomen: Tender with palpation Ext: WWP, R ___ cy" "Correct entity, wrong SNOMED ID","(958, 964)","(958, 964)",Tender,Tender,43478001,278999000,10371195-DS-9,"O x 3 , NAD ___: RRR no m/r/g Pulm: CTAB Abdomen: Tender with palpation Ext: WWP, R ___ cyst in popliteal " "Correct entity, wrong SNOMED ID","(980, 983)","(980, 983)",Ext,Ext,302773001,1489008,10371195-DS-9,"o m/r/g Pulm: CTAB Abdomen: Tender with palpation Ext: WWP, R ___ cyst in popliteal fossa. Pertinent" "Correct entity, wrong SNOMED ID","(985, 988)","(985, 988)",WWP,WWP,1137685003,258001008,10371195-DS-9,"/g Pulm: CTAB Abdomen: Tender with palpation Ext: WWP, R ___ cyst in popliteal fossa. Pertinent Resu" "Correct entity, wrong SNOMED ID","(996, 1000)","(996, 1000)",cyst,cyst,441457006,110410009,10371195-DS-9,"AB Abdomen: Tender with palpation Ext: WWP, R ___ cyst in popliteal fossa. Pertinent Results: ___ 03:" "Correct entity, wrong SNOMED ID","(1004, 1019)","(1004, 1019)",popliteal fossa,popliteal fossa,32361000,725499002,10371195-DS-9,"en: Tender with palpation Ext: WWP, R ___ cyst in popliteal fossa. Pertinent Results: ___ 03:20AM BLOOD WBC-12.4" "Correct entity, wrong SNOMED ID","(1061, 1064)","(1061, 1064)",WBC,WBC,767002,391558003,10371195-DS-9,"al fossa. Pertinent Results: ___ 03:20AM BLOOD WBC-12.4* RBC-4.14* Hgb-12.8* Hct-36.8* MCV-89 MCH-3" "Correct entity, wrong SNOMED ID","(1071, 1074)","(1071, 1074)",RBC,RBC,14089001,258759006,10371195-DS-9," Pertinent Results: ___ 03:20AM BLOOD WBC-12.4* RBC-4.14* Hgb-12.8* Hct-36.8* MCV-89 MCH-30.8 MCHC-3" "Correct entity, wrong SNOMED ID","(1081, 1084)","(1081, 1084)",Hgb,Hgb,441689006,104142005,10371195-DS-9,"nt Results: ___ 03:20AM BLOOD WBC-12.4* RBC-4.14* Hgb-12.8* Hct-36.8* MCV-89 MCH-30.8 MCHC-34.7 RDW-13" "Correct entity, wrong SNOMED ID","(1091, 1094)","(1091, 1094)",Hct,Hct,28317006,282660005,10371195-DS-9,": ___ 03:20AM BLOOD WBC-12.4* RBC-4.14* Hgb-12.8* Hct-36.8* MCV-89 MCH-30.8 MCHC-34.7 RDW-13.7 Plt ___" Missed entity,"(1102, 1105)",,MCV,,104133003,,10371195-DS-9,"AM BLOOD WBC-12.4* RBC-4.14* Hgb-12.8* Hct-36.8* MCV-89 MCH-30.8 MCHC-34.7 RDW-13.7 Plt ___ ___ 03:20A" "Correct entity, wrong SNOMED ID","(1109, 1112)","(1109, 1112)",MCH,MCH,54706004,735147002,10371195-DS-9,"D WBC-12.4* RBC-4.14* Hgb-12.8* Hct-36.8* MCV-89 MCH-30.8 MCHC-34.7 RDW-13.7 Plt ___ ___ 03:20AM BLOOD" "Correct entity, wrong SNOMED ID","(1118, 1122)","(1118, 1122)",MCHC,MCHC,37254006,735147002,10371195-DS-9,"4* RBC-4.14* Hgb-12.8* Hct-36.8* MCV-89 MCH-30.8 MCHC-34.7 RDW-13.7 Plt ___ ___ 03:20AM BLOOD UreaN-13 " Missed entity,"(1137, 1140)",,Plt,,61928009,,10371195-DS-9,".8* Hct-36.8* MCV-89 MCH-30.8 MCHC-34.7 RDW-13.7 Plt ___ ___ 03:20AM BLOOD UreaN-13 Creat-1.2 ___ 05:4" "Correct entity, wrong SNOMED ID","(1163, 1168)","(1163, 1168)",UreaN,UreaN,105011006,111108008,10371195-DS-9,"30.8 MCHC-34.7 RDW-13.7 Plt ___ ___ 03:20AM BLOOD UreaN-13 Creat-1.2 ___ 05:45AM BLOOD ALT-957* AST-909* " "Correct entity, wrong SNOMED ID","(1172, 1177)","(1172, 1177)",Creat,Creat,70901006,413856009,10371195-DS-9,"-34.7 RDW-13.7 Plt ___ ___ 03:20AM BLOOD UreaN-13 Creat-1.2 ___ 05:45AM BLOOD ALT-957* AST-909* AlkPhos-8" "Correct entity, wrong SNOMED ID","(1200, 1203)","(1200, 1203)",ALT,ALT,34608000,56935002,10371195-DS-9,"3:20AM BLOOD UreaN-13 Creat-1.2 ___ 05:45AM BLOOD ALT-957* AST-909* AlkPhos-84 Amylase-149* TotBili-1." "Correct entity, wrong SNOMED ID","(1209, 1212)","(1209, 1212)",AST,AST,45896001,85043005,10371195-DS-9,"OOD UreaN-13 Creat-1.2 ___ 05:45AM BLOOD ALT-957* AST-909* AlkPhos-84 Amylase-149* TotBili-1.8* ___ 05" "Correct entity, wrong SNOMED ID","(1218, 1225)","(1218, 1225)",AlkPhos,AlkPhos,88810008,30703008,10371195-DS-9,"-13 Creat-1.2 ___ 05:45AM BLOOD ALT-957* AST-909* AlkPhos-84 Amylase-149* TotBili-1.8* ___ 05:45AM BLOOD L" "Correct entity, wrong SNOMED ID","(1229, 1236)","(1229, 1236)",Amylase,Amylase,64435009,28378007,10371195-DS-9,".2 ___ 05:45AM BLOOD ALT-957* AST-909* AlkPhos-84 Amylase-149* TotBili-1.8* ___ 05:45AM BLOOD Lipase-226* " "Correct entity, wrong SNOMED ID","(1243, 1250)","(1243, 1250)",TotBili,TotBili,359986008,19754005,10371195-DS-9," BLOOD ALT-957* AST-909* AlkPhos-84 Amylase-149* TotBili-1.8* ___ 05:45AM BLOOD Lipase-226* ___ 05:45AM BL" Missed entity,"(1274, 1280)",,Lipase,,104988000,,10371195-DS-9,"s-84 Amylase-149* TotBili-1.8* ___ 05:45AM BLOOD Lipase-226* ___ 05:45AM BLOOD Albumin-4.2 Calcium-8.2* P" "Correct entity, wrong SNOMED ID","(1304, 1311)","(1304, 1311)",Albumin,Albumin,26758005,102688002,10371195-DS-9,"* ___ 05:45AM BLOOD Lipase-226* ___ 05:45AM BLOOD Albumin-4.2 Calcium-8.2* Phos-4.2 Mg-1.9 ___ 03:20AM BLOO" "Correct entity, wrong SNOMED ID","(1316, 1323)","(1316, 1323)",Calcium,Calcium,312472004,108601004,10371195-DS-9,"M BLOOD Lipase-226* ___ 05:45AM BLOOD Albumin-4.2 Calcium-8.2* Phos-4.2 Mg-1.9 ___ 03:20AM BLOOD ASA-NEG Et" "Correct entity, wrong SNOMED ID","(1329, 1333)","(1329, 1333)",Phos,Phos,104868000,168075002,10371195-DS-9,"e-226* ___ 05:45AM BLOOD Albumin-4.2 Calcium-8.2* Phos-4.2 Mg-1.9 ___ 03:20AM BLOOD ASA-NEG Ethanol-28* " "Correct entity, wrong SNOMED ID","(1338, 1340)","(1338, 1340)",Mg,Mg,271285000,258684004,10371195-DS-9,"_ 05:45AM BLOOD Albumin-4.2 Calcium-8.2* Phos-4.2 Mg-1.9 ___ 03:20AM BLOOD ASA-NEG Ethanol-28* Acetmnp" Missed entity,"(1371, 1378)",,Ethanol,,167009006,,10371195-DS-9,"um-8.2* Phos-4.2 Mg-1.9 ___ 03:20AM BLOOD ASA-NEG Ethanol-28* Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-" Missed entity,"(1383, 1390)",,Acetmnp,,46093004,,10371195-DS-9,"-4.2 Mg-1.9 ___ 03:20AM BLOOD ASA-NEG Ethanol-28* Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 03:3" Missed entity,"(1396, 1403)",,Bnzodzp,,574005,,10371195-DS-9,"__ 03:20AM BLOOD ASA-NEG Ethanol-28* Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 03:31AM BLOOD pH-" Missed entity,"(1408, 1415)",,Barbitr,,105079003,,10371195-DS-9,"LOOD ASA-NEG Ethanol-28* Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 03:31AM BLOOD pH-7.27* Commen" Missed entity,"(1420, 1427)",,Tricycl,,44787002,,10371195-DS-9," Ethanol-28* Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 03:31AM BLOOD pH-7.27* Comment-GREEN TOP " "Correct entity, wrong SNOMED ID","(1450, 1452)","(1450, 1452)",pH,pH,81065003,264912003,10371195-DS-9,"dzp-NEG Barbitr-NEG Tricycl-NEG ___ 03:31AM BLOOD pH-7.27* Comment-GREEN TOP ___ 03:31AM BLOOD Glucose" "Correct entity, wrong SNOMED ID","(1495, 1502)","(1495, 1502)",Glucose,Glucose,33747003,72191006,10371195-DS-9,"LOOD pH-7.27* Comment-GREEN TOP ___ 03:31AM BLOOD Glucose-113* Lactate-2.1* Na-140 K-4.7 Cl-104 calHCO3-21" Missed entity,"(1508, 1515)",,Lactate,,3926003,,10371195-DS-9," Comment-GREEN TOP ___ 03:31AM BLOOD Glucose-113* Lactate-2.1* Na-140 K-4.7 Cl-104 calHCO3-21 ___ 03:31AM " "Correct entity, wrong SNOMED ID","(1521, 1523)","(1521, 1523)",Na,Na,312469006,257992007,10371195-DS-9,"N TOP ___ 03:31AM BLOOD Glucose-113* Lactate-2.1* Na-140 K-4.7 Cl-104 calHCO3-21 ___ 03:31AM BLOOD Hg" Missed entity,"(1528, 1529)",,K,,312468003,,10371195-DS-9,"__ 03:31AM BLOOD Glucose-113* Lactate-2.1* Na-140 K-4.7 Cl-104 calHCO3-21 ___ 03:31AM BLOOD Hgb-14.3" "Correct entity, wrong SNOMED ID","(1535, 1537)","(1535, 1537)",Cl,Cl,104589004,311741002,10371195-DS-9,"1AM BLOOD Glucose-113* Lactate-2.1* Na-140 K-4.7 Cl-104 calHCO3-21 ___ 03:31AM BLOOD Hgb-14.3 calcHCT" "Correct entity, wrong SNOMED ID","(1571, 1574)","(1571, 1574)",Hgb,Hgb,441689006,104142005,10371195-DS-9,"Na-140 K-4.7 Cl-104 calHCO3-21 ___ 03:31AM BLOOD Hgb-14.3 calcHCT-43 O2 Sat-89 COHgb-3 MetHgb-0 ___ 0" "Correct entity, wrong SNOMED ID","(1584, 1587)","(1584, 1587)",HCT,HCT,28317006,282660005,10371195-DS-9," Cl-104 calHCO3-21 ___ 03:31AM BLOOD Hgb-14.3 calcHCT-43 O2 Sat-89 COHgb-3 MetHgb-0 ___ 03:31AM BLOOD " Wrong span,"(1591, 1597)","(1591, 1593)",O2 Sat,O2,104847001,51776002,10371195-DS-9," calHCO3-21 ___ 03:31AM BLOOD Hgb-14.3 calcHCT-43 O2 Sat-89 COHgb-3 MetHgb-0 ___ 03:31AM BLOOD freeCa-1.0" Missed entity,"(1601, 1606)",,COHgb,,19821003,,10371195-DS-9,"1 ___ 03:31AM BLOOD Hgb-14.3 calcHCT-43 O2 Sat-89 COHgb-3 MetHgb-0 ___ 03:31AM BLOOD freeCa-1.09* ___ C" Missed entity,"(1610, 1616)",,MetHgb,,441965001,,10371195-DS-9,"31AM BLOOD Hgb-14.3 calcHCT-43 O2 Sat-89 COHgb-3 MetHgb-0 ___ 03:31AM BLOOD freeCa-1.09* ___ CT Torso: G" "Correct entity, wrong SNOMED ID","(1673, 1682)","(1673, 1682)",liver lac,liver lac,262802005,119383005,10371195-DS-9,"03:31AM BLOOD freeCa-1.09* ___ CT Torso: Grade 5 liver lac extending to IVC, Grade 2 right renal lac at low" "Correct entity, wrong SNOMED ID","(1696, 1699)","(1696, 1699)",IVC,IVC,64131007,232998008,10371195-DS-9,"09* ___ CT Torso: Grade 5 liver lac extending to IVC, Grade 2 right renal lac at lower pole, Bilatera" "Correct entity, wrong SNOMED ID","(1709, 1725)","(1709, 1725)","right renal lac","right renal lac",11800851000119104,275208009,10371195-DS-9,"orso: Grade 5 liver lac extending to IVC, Grade 2 right renal lac at lower pole, Bilateral rib fx, L clavicular fx," "Correct entity, wrong SNOMED ID","(1729, 1739)","(1729, 1739)",lower pole,lower pole,119280006,279374002,10371195-DS-9,"lac extending to IVC, Grade 2 right renal lac at lower pole, Bilateral rib fx, L clavicular fx, R pulm contu" "Correct entity, wrong SNOMED ID","(1751, 1757)","(1751, 1757)",rib fx,rib fx,1261007,249705009,10371195-DS-9,"Grade 2 right renal lac at lower pole, Bilateral rib fx, L clavicular fx, R pulm contusion/aspiration bi" "Correct entity, wrong SNOMED ID","(1759, 1760)","(1759, 1760)",L,L,720617006,420296000,10371195-DS-9,"right renal lac at lower pole, Bilateral rib fx, L clavicular fx, R pulm contusion/aspiration bilat" Wrong span,"(1761, 1774)","(1761, 1771)",clavicular fx,clavicular,58150001,1297264008,10371195-DS-9,"ght renal lac at lower pole, Bilateral rib fx, L clavicular fx, R pulm contusion/aspiration bilaterally, L L2 t" "Correct entity, wrong SNOMED ID","(1776, 1777)","(1776, 1777)",R,R,3341006,420274006,10371195-DS-9,"at lower pole, Bilateral rib fx, L clavicular fx, R pulm contusion/aspiration bilaterally, L L2 tran" "Correct entity, wrong SNOMED ID","(1779, 1793)","(1779, 1793)",pulm contusion,pulm contusion,262784001,11796981000119102,10371195-DS-9,"lower pole, Bilateral rib fx, L clavicular fx, R pulm contusion/aspiration bilaterally, L L2 transverse process " "Correct entity, wrong SNOMED ID","(1820, 1822)","(1820, 1822)",L2,L2,89831000,420296000,10371195-DS-9,"r fx, R pulm contusion/aspiration bilaterally, L L2 transverse process fx Small area of stranding/fl" Wrong span,"(1823, 1845)","(1823, 1841)","transverse process fx",transverse process,207962009,264238006,10371195-DS-9,"x, R pulm contusion/aspiration bilaterally, L L2 transverse process fx Small area of stranding/fluid around transverse c" "Correct entity, wrong SNOMED ID","(1870, 1875)","(1870, 1875)",fluid,fluid,17672001,109192009,10371195-DS-9,"L2 transverse process fx Small area of stranding/fluid around transverse colon. No free air, stable bet" "Correct entity, wrong SNOMED ID","(1883, 1899)","(1883, 1899)",transverse colon,transverse colon,485005,362163004,10371195-DS-9," process fx Small area of stranding/fluid around transverse colon. No free air, stable between scans ___ CT Abd/pe" "Correct entity, wrong SNOMED ID","(1915, 1921)","(1915, 1921)",stable,stable,359746009,301459008,10371195-DS-9,"ding/fluid around transverse colon. No free air, stable between scans ___ CT Abd/pelvis: no new fluid col" "Correct entity, wrong SNOMED ID","(1962, 1978)","(1962, 1978)",fluid collection,fluid collection,17672001,231061006,10371195-DS-9,"r, stable between scans ___ CT Abd/pelvis: no new fluid collection ___ CT abd: No acute pathology including no bowel" "Correct entity, wrong SNOMED ID","(2023, 2040)","(2023, 2040)",bowel obstruction,bowel obstruction,81060008,281255004,10371195-DS-9,"ction ___ CT abd: No acute pathology including no bowel obstruction or abscess. Stable liver and renal lacerations. " "Correct entity, wrong SNOMED ID","(2045, 2052)","(2045, 2052)",abscess,abscess,24557004,196341005,10371195-DS-9,"cute pathology including no bowel obstruction or abscess. Stable liver and renal lacerations. Decreased am" "Correct entity, wrong SNOMED ID","(2061, 2066)","(2061, 2066)",liver,liver,262802005,80515008,10371195-DS-9,"ncluding no bowel obstruction or abscess. Stable liver and renal lacerations. Decreased amount of high-" Wrong span,"(2071, 2088)","(2071, 2076)",renal lacerations,renal,11800851000119104,63893004,10371195-DS-9,"o bowel obstruction or abscess. Stable liver and renal lacerations. Decreased amount of high-density fluid in the p" "Correct entity, wrong SNOMED ID","(2124, 2129)","(2124, 2129)",fluid,fluid,17672001,25670009,10371195-DS-9,"al lacerations. Decreased amount of high-density fluid in the pelvis.Small bilateral pleural effusions " "Correct entity, wrong SNOMED ID","(2137, 2143)","(2137, 2143)",pelvis,pelvis,12921003,25990002,10371195-DS-9,"s. Decreased amount of high-density fluid in the pelvis.Small bilateral pleural effusions and atelectasi" Wrong span,"(2150, 2178)","(2150, 2159)","bilateral pleural effusions",bilateral,425802001,268228006,10371195-DS-9,"amount of high-density fluid in the pelvis.Small bilateral pleural effusions and atelectasis. ERCP: Normal major papilla. Cle" "Correct entity, wrong SNOMED ID","(2197, 2201)","(2197, 2201)",ERCP,ERCP,386718000,449395004,10371195-DS-9,"ll bilateral pleural effusions and atelectasis. ERCP: Normal major papilla. Clear bile seen. Common bi" Missed entity,"(2203, 2209)",,Normal,,386549008,,10371195-DS-9,"ateral pleural effusions and atelectasis. ERCP: Normal major papilla. Clear bile seen. Common bile duct," Wrong span,"(2210, 2223)","(2216, 2223)",major papilla,papilla,33657005,280681004,10371195-DS-9,"pleural effusions and atelectasis. ERCP: Normal major papilla. Clear bile seen. Common bile duct, common hepat" "Correct entity, wrong SNOMED ID","(2242, 2258)","(2242, 2258)",Common bile duct,Common bile duct,79741001,255086002,10371195-DS-9,"is. ERCP: Normal major papilla. Clear bile seen. Common bile duct, common hepatic duct, R+L hepatic ducts, biliary" "Correct entity, wrong SNOMED ID","(2261, 2280)","(2261, 2280)",common hepatic duct,common hepatic duct,725502003,245403006,10371195-DS-9,"ajor papilla. Clear bile seen. Common bile duct, common hepatic duct, R+L hepatic ducts, biliary radicles + cystic du" Boundary error,"(2286, 2299)","(2284, 2299)",hepatic ducts,L hepatic ducts,56732008,245400009,10371195-DS-9,"seen. Common bile duct, common hepatic duct, R+L hepatic ducts, biliary radicles + cystic duct filled with cont" Wrong span,"(2301, 2308)","(2301, 2317)",biliary,biliary radicles,235566000,447881000,10371195-DS-9,"le duct, common hepatic duct, R+L hepatic ducts, biliary radicles + cystic duct filled with contrast, wel" "Correct entity, wrong SNOMED ID","(2321, 2332)","(2321, 2332)",cystic duct,cystic duct,77452001,260564005,10371195-DS-9,"atic duct, R+L hepatic ducts, biliary radicles + cystic duct filled with contrast, well visualized. Normal w/o" Missed entity,"(2372, 2378)",,Normal,,386549008,,10371195-DS-9,"ystic duct filled with contrast, well visualized. Normal w/o evidence of extrinsic compression, no ductal" "Correct entity, wrong SNOMED ID","(2406, 2417)","(2406, 2417)",compression,compression,71173004,234069007,10371195-DS-9,"ell visualized. Normal w/o evidence of extrinsic compression, no ductal abnormalities, and no filling defects" Wrong span,"(2422, 2428)","(2422, 2442)",ductal,ductal abnormalities,34707002,4711003,10371195-DS-9,"Normal w/o evidence of extrinsic compression, no ductal abnormalities, and no filling defects. ___ ERCP:" Wrong span,"(2429, 2442)","(2422, 2442)",abnormalities,ductal abnormalities,281900007,4711003,10371195-DS-9,"w/o evidence of extrinsic compression, no ductal abnormalities, and no filling defects. ___ ERCP:Normal major p" "Correct entity, wrong SNOMED ID","(2452, 2467)","(2452, 2467)",filling defects,filling defects,43468004,274733002,10371195-DS-9,"sic compression, no ductal abnormalities, and no filling defects. ___ ERCP:Normal major papilla. Clear bile seen a" "Correct entity, wrong SNOMED ID","(2473, 2477)","(2473, 2477)",ERCP,ERCP,386718000,449395004,10371195-DS-9,"uctal abnormalities, and no filling defects. ___ ERCP:Normal major papilla. Clear bile seen at the majo" Missed entity,"(2478, 2484)",,Normal,,386549008,,10371195-DS-9," abnormalities, and no filling defects. ___ ERCP:Normal major papilla. Clear bile seen at the major papi" Missed entity,"(2485, 2498)",,major papilla,,33657005,,10371195-DS-9,"alities, and no filling defects. ___ ERCP:Normal major papilla. Clear bile seen at the major papilla and in the" Missed entity,"(2523, 2537)",,"major papilla",,33657005,,10371195-DS-9,"ERCP:Normal major papilla. Clear bile seen at the major papilla and in the duodenum. The common bile duct, common" "Correct entity, wrong SNOMED ID","(2549, 2557)","(2549, 2557)",duodenum,duodenum,38848004,1304072005,10371195-DS-9," Clear bile seen at the major papilla and in the duodenum. The common bile duct, common hepatic duct, righ" "Correct entity, wrong SNOMED ID","(2563, 2579)","(2563, 2579)",common bile duct,common bile duct,79741001,255086002,10371195-DS-9,"en at the major papilla and in the duodenum. The common bile duct, common hepatic duct, right and left hepatic duc" "Correct entity, wrong SNOMED ID","(2581, 2601)","(2581, 2601)","common hepatic duct","common hepatic duct",725502003,307197006,10371195-DS-9,"apilla and in the duodenum. The common bile duct, common hepatic duct, right and left hepatic ducts, biliary radicles a" "Correct entity, wrong SNOMED ID","(2603, 2608)","(2603, 2608)",right,right,78000005,225794002,10371195-DS-9,"enum. The common bile duct, common hepatic duct, right and left hepatic ducts, biliary radicles and cys" "Correct entity, wrong SNOMED ID","(2613, 2631)","(2613, 2631)",left hepatic ducts,left hepatic ducts,64281006,360559005,10371195-DS-9,"common bile duct, common hepatic duct, right and left hepatic ducts, biliary radicles and cystic duct were filled wi" Wrong span,"(2633, 2640)","(2633, 2649)",biliary,biliary radicles,235566000,235918000,10371195-DS-9,"mmon hepatic duct, right and left hepatic ducts, biliary radicles and cystic duct were filled with contra" "Correct entity, wrong SNOMED ID","(2655, 2666)","(2655, 2666)",cystic duct,cystic duct,77452001,260564005,10371195-DS-9,"ght and left hepatic ducts, biliary radicles and cystic duct were filled with contrast and well visualized. T" Missed entity,"(2760, 2766)",,normal,,386549008,,10371195-DS-9,"ed. The course and caliber of the structures are normal with no evidence of extrinsic compression, no du" "Correct entity, wrong SNOMED ID","(2798, 2809)","(2798, 2809)",compression,compression,71173004,234069007,10371195-DS-9,"uctures are normal with no evidence of extrinsic compression, no ductal abnormalities, and no filling defects" Wrong span,"(2814, 2820)","(2814, 2834)",ductal,ductal abnormalities,34707002,4711003,10371195-DS-9,"al with no evidence of extrinsic compression, no ductal abnormalities, and no filling defects. ___ KUB" Missed entity,"(2844, 2859)",,filling defects,,43468004,,10371195-DS-9,"sic compression, no ductal abnormalities, and no filling defects. ___ KUB: No evidence of bowel obstruction or i" "Correct entity, wrong SNOMED ID","(2867, 2870)","(2867, 2870)",KUB,KUB,31911002,427768005,10371195-DS-9,"tal abnormalities, and no filling defects. ___ KUB: No evidence of bowel obstruction or ileus. ___ b" "Correct entity, wrong SNOMED ID","(2872, 2883)","(2872, 2883)",No evidence,No evidence,281900007,41647002,10371195-DS-9,"bnormalities, and no filling defects. ___ KUB: No evidence of bowel obstruction or ileus. ___ b/l ___ US: Ne" "Correct entity, wrong SNOMED ID","(2887, 2904)","(2887, 2904)",bowel obstruction,bowel obstruction,81060008,281255004,10371195-DS-9,"nd no filling defects. ___ KUB: No evidence of bowel obstruction or ileus. ___ b/l ___ US: Negative for DVT. Locu" "Correct entity, wrong SNOMED ID","(2908, 2913)","(2908, 2913)",ileus,ileus,710572000,37976006,10371195-DS-9,"s. ___ KUB: No evidence of bowel obstruction or ileus. ___ b/l ___ US: Negative for DVT. Loculated ___" "Correct entity, wrong SNOMED ID","(2927, 2929)","(2927, 2929)",US,US,16310003,258698007,10371195-DS-9,"idence of bowel obstruction or ileus. ___ b/l ___ US: Negative for DVT. Loculated ___ cyst. Brief " "Correct entity, wrong SNOMED ID","(2944, 2947)","(2944, 2947)",DVT,DVT,128053003,161508001,10371195-DS-9,"bstruction or ileus. ___ b/l ___ US: Negative for DVT. Loculated ___ cyst. Brief Hospital Course: _" "Correct entity, wrong SNOMED ID","(2964, 2968)","(2964, 2968)",cyst,cyst,367643001,110410009,10371195-DS-9," ___ b/l ___ US: Negative for DVT. Loculated ___ cyst. Brief Hospital Course: ___ Pt admitted to the" "Correct entity, wrong SNOMED ID","(3080, 3101)","(3080, 3101)",loss of consciousness,loss of consciousness,419045004,32834005,10371195-DS-9,"ical service s/p Motor cycle crash with positive loss of consciousness. Injuries included Grade 4 liver lac extending t" Missed entity,"(3103, 3111)",,Injuries,,417163006,,10371195-DS-9,"cycle crash with positive loss of consciousness. Injuries included Grade 4 liver lac extending to IVC Gr" "Correct entity, wrong SNOMED ID","(3130, 3139)","(3130, 3139)",liver lac,liver lac,262802005,174439003,10371195-DS-9,"loss of consciousness. Injuries included Grade 4 liver lac extending to IVC Grade 2 right renal lac at low" "Correct entity, wrong SNOMED ID","(3153, 3156)","(3153, 3156)",IVC,IVC,64131007,232998008,10371195-DS-9,"Injuries included Grade 4 liver lac extending to IVC Grade 2 right renal lac at lower pole; Bilatera" "Correct entity, wrong SNOMED ID","(3167, 3182)","(3167, 3182)",right renal lac,right renal lac,11800851000119104,397243000,10371195-DS-9,"ded Grade 4 liver lac extending to IVC Grade 2 right renal lac at lower pole; Bilateral rib fx; L clavicular fx" "Correct entity, wrong SNOMED ID","(3186, 3196)","(3186, 3196)",lower pole,lower pole,119280006,279374002,10371195-DS-9,"lac extending to IVC Grade 2 right renal lac at lower pole; Bilateral rib fx; L clavicular fx ; R pulm con" "Correct entity, wrong SNOMED ID","(3208, 3214)","(3208, 3214)",rib fx,rib fx,1261007,45910007,10371195-DS-9," Grade 2 right renal lac at lower pole; Bilateral rib fx; L clavicular fx ; R pulm contusion/aspiration " "Correct entity, wrong SNOMED ID","(3216, 3217)","(3216, 3217)",L,L,720617006,420296000,10371195-DS-9," right renal lac at lower pole; Bilateral rib fx; L clavicular fx ; R pulm contusion/aspiration bil" "Correct entity, wrong SNOMED ID","(3219, 3232)","(3219, 3232)",clavicular fx,clavicular fx,58150001,431011000,10371195-DS-9,"ght renal lac at lower pole; Bilateral rib fx; L clavicular fx ; R pulm contusion/aspiration bilaterally ; L L2" Missed entity,"(3236, 3237)",,R,,3341006,,10371195-DS-9,"lower pole; Bilateral rib fx; L clavicular fx ; R pulm contusion/aspiration bilaterally ; L L2 tra" "Correct entity, wrong SNOMED ID","(3238, 3252)","(3238, 3252)",pulm contusion,pulm contusion,262784001,11796981000119102,10371195-DS-9,"wer pole; Bilateral rib fx; L clavicular fx ; R pulm contusion/aspiration bilaterally ; L L2 transverse process" "Correct entity, wrong SNOMED ID","(3280, 3282)","(3280, 3282)",L2,L2,89831000,420296000,10371195-DS-9,"fx ; R pulm contusion/aspiration bilaterally ; L L2 transverse process fx ; Small area of stranding" "Correct entity, wrong SNOMED ID","(3284, 3305)","(3284, 3305)",transverse process fx,transverse process fx,207962009,264238006,10371195-DS-9,"; R pulm contusion/aspiration bilaterally ; L L2 transverse process fx ; Small area of stranding/fluid around transver" Missed entity,"(3333, 3338)",,fluid,,17672001,,10371195-DS-9," transverse process fx ; Small area of stranding/fluid around transverse colon. No free air, stable bet" "Correct entity, wrong SNOMED ID","(3347, 3363)","(3347, 3363)",transverse colon,transverse colon,485005,362163004,10371195-DS-9,"ocess fx ; Small area of stranding/fluid around transverse colon. No free air, stable between scans. ___ admitte" "Correct entity, wrong SNOMED ID","(3368, 3376)","(3368, 3376)",free air,free air,17204006,102413006,10371195-DS-9,"a of stranding/fluid around transverse colon. No free air, stable between scans. ___ admitted to the TICU" Wrong span,"(3507, 3521)","(3507, 3511)",pain managment,pain,278414003,102570003,10371195-DS-9,"ianed in TICU. Acute pain service consulted for pain managment with bupivicaine 0.1 ___ and diluadid pca ___: Ep" "Correct entity, wrong SNOMED ID","(3569, 3577)","(3569, 3577)",Epidural,Epidural,18946005,180886007,10371195-DS-9,"nt with bupivicaine 0.1 ___ and diluadid pca ___: Epidural IV PCA, MS ___ 15 mg po TID ___: Epidural conti" "Correct entity, wrong SNOMED ID","(3581, 3584)","(3581, 3584)",PCA,PCA,241716000,1259388006,10371195-DS-9,"vicaine 0.1 ___ and diluadid pca ___: Epidural IV PCA, MS ___ 15 mg po TID ___: Epidural continued; s" "Correct entity, wrong SNOMED ID","(3613, 3621)","(3613, 3621)",Epidural,Epidural,18946005,180886007,10371195-DS-9," ___: Epidural IV PCA, MS ___ 15 mg po TID ___: Epidural continued; stopped PCA; MS ___ and MSIR PO meds" Missed entity,"(3633, 3640)",,stopped,,304540007,,10371195-DS-9,"A, MS ___ 15 mg po TID ___: Epidural continued; stopped PCA; MS ___ and MSIR PO meds started. ___: + am" "Correct entity, wrong SNOMED ID","(3641, 3644)","(3641, 3644)",PCA,PCA,241716000,1259388006,10371195-DS-9,"_ 15 mg po TID ___: Epidural continued; stopped PCA; MS ___ and MSIR PO meds started. ___: + ambula" Missed entity,"(3663, 3671)",,"PO meds",,386359008,,10371195-DS-9,"Epidural continued; stopped PCA; MS ___ and MSIR PO meds started. ___: + ambulation w/ ___. CT Abd/pelvis" "Correct entity, wrong SNOMED ID","(3688, 3698)","(3688, 3698)",ambulation,ambulation,359665005,722370002,10371195-DS-9,"ed PCA; MS ___ and MSIR PO meds started. ___: + ambulation w/ ___. CT Abd/pelvis follow up examination per" Wrong span,"(3708, 3721)","(3708, 3715)",CT Abd/pelvis,CT Abd/,419394006,418023006,10371195-DS-9,"SIR PO meds started. ___: + ambulation w/ ___. CT Abd/pelvis follow up examination performed. ___: capped and" "Correct entity, wrong SNOMED ID","(3780, 3788)","(3780, 3788)",epidural,epidural,18946005,180886007,10371195-DS-9,"p examination performed. ___: capped and flagged epidural; foley removed with positive void. Aggressive bo" Wrong span,"(3790, 3803)","(3790, 3795)",foley removed,foley,43748006,411381006,10371195-DS-9,"ion performed. ___: capped and flagged epidural; foley removed with positive void. Aggressive bowel regimen sta" Missed entity,"(3810, 3823)",,positive void,,102834005,,10371195-DS-9," capped and flagged epidural; foley removed with positive void. Aggressive bowel regimen started. ___: Pt note" "Correct entity, wrong SNOMED ID","(3836, 3849)","(3836, 3849)",bowel regimen,bowel regimen,225361002,710140005,10371195-DS-9,"al; foley removed with positive void. Aggressive bowel regimen started. ___: Pt noted to have increased abdomi" Missed entity,"(3883, 3892)",,increased,,1144586002,,10371195-DS-9,"ve bowel regimen started. ___: Pt noted to have increased abdominal pain in the p.m. KUB demonstrated ileu" "Correct entity, wrong SNOMED ID","(3893, 3907)","(3893, 3907)",abdominal pain,abdominal pain,21522001,54586004,10371195-DS-9,"egimen started. ___: Pt noted to have increased abdominal pain in the p.m. KUB demonstrated ileus. Foley reinse" "Correct entity, wrong SNOMED ID","(3920, 3923)","(3920, 3923)",KUB,KUB,31911002,427768005,10371195-DS-9,"oted to have increased abdominal pain in the p.m. KUB demonstrated ileus. Foley reinserted due to inco" "Correct entity, wrong SNOMED ID","(3938, 3943)","(3938, 3943)",ileus,ileus,710572000,37976006,10371195-DS-9,"ased abdominal pain in the p.m. KUB demonstrated ileus. Foley reinserted due to incomplete voiding and " Wrong span,"(3945, 3961)","(3945, 3950)",Foley reinserted,Foley,410024004,126224002,10371195-DS-9,"dominal pain in the p.m. KUB demonstrated ileus. Foley reinserted due to incomplete voiding and post void residual" "Correct entity, wrong SNOMED ID","(3969, 3987)","(3969, 3987)",incomplete voiding,incomplete voiding,249287002,247335009,10371195-DS-9," KUB demonstrated ileus. Foley reinserted due to incomplete voiding and post void residuals of 388 cc. ___ CT abd pe" "Correct entity, wrong SNOMED ID","(4028, 4034)","(4028, 4034)",CT abd,CT abd,169070004,718013006,10371195-DS-9,"e voiding and post void residuals of 388 cc. ___ CT abd performed for continued abdominal discomfort: No " "Correct entity, wrong SNOMED ID","(4059, 4079)","(4059, 4079)",abdominal discomfort,abdominal discomfort,43364001,1332010007,10371195-DS-9,"als of 388 cc. ___ CT abd performed for continued abdominal discomfort: No acute pathology including no bowel obstructi" "Correct entity, wrong SNOMED ID","(4114, 4131)","(4114, 4131)",bowel obstruction,bowel obstruction,81060008,281255004,10371195-DS-9,"inal discomfort: No acute pathology including no bowel obstruction. ___ Increased LFTs and abdominal pain prompt" Wrong span,"(4141, 4155)","(4151, 4155)",Increased LFTs,LFTs,863927004,365769003,10371195-DS-9,"pathology including no bowel obstruction. ___ Increased LFTs and abdominal pain prompted r/o for biliary inju" "Correct entity, wrong SNOMED ID","(4160, 4174)","(4160, 4174)",abdominal pain,abdominal pain,21522001,54586004,10371195-DS-9," no bowel obstruction. ___ Increased LFTs and abdominal pain prompted r/o for biliary injury with ERCP. ___ " "Correct entity, wrong SNOMED ID","(4192, 4207)","(4192, 4207)","biliary injury","biliary injury",262804006,266474003,10371195-DS-9,"ncreased LFTs and abdominal pain prompted r/o for biliary injury with ERCP. ___ kept NPO for procedure. ___ perf" "Correct entity, wrong SNOMED ID","(4213, 4217)","(4213, 4217)",ERCP,ERCP,386718000,712470002,10371195-DS-9,"ominal pain prompted r/o for biliary injury with ERCP. ___ kept NPO for procedure. ___ performed- nor" "Correct entity, wrong SNOMED ID","(4229, 4232)","(4229, 4232)",NPO,NPO,182923009,112042003,10371195-DS-9,"pted r/o for biliary injury with ERCP. ___ kept NPO for procedure. ___ performed- normal exam. F/u " "Correct entity, wrong SNOMED ID","(4238, 4247)","(4238, 4247)",procedure,procedure,71388002,118672003,10371195-DS-9,"for biliary injury with ERCP. ___ kept NPO for procedure. ___ performed- normal exam. F/u amylase and lip" Wrong span,"(4264, 4270)","(4264, 4275)",normal,normal exam,281900007,1157297002,10371195-DS-9,"RCP. ___ kept NPO for procedure. ___ performed- normal exam. F/u amylase and lipase not acutely elevat" Wrong span,"(4271, 4275)","(4264, 4275)",exam,normal exam,386718000,1157297002,10371195-DS-9,"__ kept NPO for procedure. ___ performed- normal exam. F/u amylase and lipase not acutely elevated, n" "Correct entity, wrong SNOMED ID","(4282, 4289)","(4282, 4289)",amylase,amylase,64435009,302250008,10371195-DS-9," for procedure. ___ performed- normal exam. F/u amylase and lipase not acutely elevated, no evidence of " "Correct entity, wrong SNOMED ID","(4294, 4300)","(4294, 4300)",lipase,lipase,271232007,104988000,10371195-DS-9,"ure. ___ performed- normal exam. F/u amylase and lipase not acutely elevated, no evidence of pancreatiti" Missed entity,"(4301, 4322)",,"not acutely elevated",,281900007,,10371195-DS-9,"_ performed- normal exam. F/u amylase and lipase not acutely elevated, no evidence of pancreatitis. ___ KUB: No evidenc" "Correct entity, wrong SNOMED ID","(4324, 4335)","(4324, 4335)",no evidence,no evidence,281900007,41647002,10371195-DS-9,"m. F/u amylase and lipase not acutely elevated, no evidence of pancreatitis. ___ KUB: No evidence of bowel ob" "Correct entity, wrong SNOMED ID","(4339, 4351)","(4339, 4351)",pancreatitis,pancreatitis,75694006,95563007,10371195-DS-9," and lipase not acutely elevated, no evidence of pancreatitis. ___ KUB: No evidence of bowel obstruction or ile" "Correct entity, wrong SNOMED ID","(4357, 4360)","(4357, 4360)",KUB,KUB,31911002,427768005,10371195-DS-9,"cutely elevated, no evidence of pancreatitis. ___ KUB: No evidence of bowel obstruction or ileus. Pain" "Correct entity, wrong SNOMED ID","(4362, 4373)","(4362, 4373)",No evidence,No evidence,281900007,41647002,10371195-DS-9,"y elevated, no evidence of pancreatitis. ___ KUB: No evidence of bowel obstruction or ileus. Pain in R leg wi" "Correct entity, wrong SNOMED ID","(4377, 4394)","(4377, 4394)",bowel obstruction,bowel obstruction,81060008,281255004,10371195-DS-9,"evidence of pancreatitis. ___ KUB: No evidence of bowel obstruction or ileus. Pain in R leg with area of hardness p" "Correct entity, wrong SNOMED ID","(4398, 4403)","(4398, 4403)",ileus,ileus,710572000,37976006,10371195-DS-9,"tis. ___ KUB: No evidence of bowel obstruction or ileus. Pain in R leg with area of hardness prompted " Wrong span,"(4406, 4420)","(4406, 4410)","Pain in R leg",Pain,287048003,102570003,10371195-DS-9," KUB: No evidence of bowel obstruction or ileus. Pain in R leg with area of hardness prompted b/l ___ US: Negat" "Correct entity, wrong SNOMED ID","(4461, 4463)","(4461, 4463)",US,US,16310003,258698007,10371195-DS-9,"in R leg with area of hardness prompted b/l ___ US: Negative for DVT. Loculated ___ cyst. Pt toler" Missed entity,"(4465, 4473)",,Negative,,23875004,,10371195-DS-9," leg with area of hardness prompted b/l ___ US: Negative for DVT. Loculated ___ cyst. Pt tolerating a re" "Correct entity, wrong SNOMED ID","(4478, 4481)","(4478, 4481)",DVT,DVT,128053003,161508001,10371195-DS-9,"ea of hardness prompted b/l ___ US: Negative for DVT. Loculated ___ cyst. Pt tolerating a regular di" "Correct entity, wrong SNOMED ID","(4499, 4503)","(4499, 4503)",cyst,cyst,367643001,110410009,10371195-DS-9,"ed b/l ___ US: Negative for DVT. Loculated ___ cyst. Pt tolerating a regular diet. Pain well contro" Wrong span,"(4508, 4533)","(4508, 4518)",tolerating a regular diet,tolerating,449894006,424184006,10371195-DS-9,"__ US: Negative for DVT. Loculated ___ cyst. Pt tolerating a regular diet. Pain well controlled with PO pain meds. Pt a" Wrong span,"(4536, 4575)","(4536, 4557)","Pain well controlled with PO pain meds","Pain well controlled",424620000,1156446004,10371195-DS-9,"oculated ___ cyst. Pt tolerating a regular diet. Pain well controlled with PO pain meds. Pt ambulating and cleared by ___. Pt with la" "Correct entity, wrong SNOMED ID","(4582, 4592)","(4582, 4592)",ambulating,ambulating,160680006,722370002,10371195-DS-9,"t. Pain well controlled with PO pain meds. Pt ambulating and cleared by ___. Pt with large BM. Me" Wrong span,"(4618, 4631)","(4623, 4628)",with large BM,large,300375001,258262008,10371195-DS-9,"in meds. Pt ambulating and cleared by ___. Pt with large BM. Medications on Admission: none Discharg" Wrong span,"(6089, 6094)","(6089, 6114)",Right,Right pulmonary contusion,3341006,123594003,10371195-DS-9," Home Discharge Diagnosis: s/p Motorcycle crash Right pulmonary contusion Left clavicle fracture Bilate" Wrong span,"(6095, 6114)","(6089, 6114)",pulmonary contusion,Right pulmonary contusion,262784001,123594003,10371195-DS-9," Discharge Diagnosis: s/p Motorcycle crash Right pulmonary contusion Left clavicle fracture Bilateral rib fractures Gr" Wrong span,"(6115, 6119)","(6115, 6137)",Left,Left clavicle fracture,720617006,10819941000119106,10371195-DS-9,"s: s/p Motorcycle crash Right pulmonary contusion Left clavicle fracture Bilateral rib fractures Grade I" Wrong span,"(6120, 6137)","(6115, 6137)",clavicle fracture,Left clavicle fracture,58150001,10819941000119106,10371195-DS-9,"p Motorcycle crash Right pulmonary contusion Left clavicle fracture Bilateral rib fractures Grade II right renal lace" "Correct entity, wrong SNOMED ID","(6148, 6161)","(6148, 6161)",rib fractures,rib fractures,1261007,429381000124105,10371195-DS-9,"monary contusion Left clavicle fracture Bilateral rib fractures Grade II right renal laceration Grade V liver lac" Wrong span,"(6171, 6193)","(6171, 6182)",right renal laceration,right renal,11800851000119104,1268766000,10371195-DS-9,"lavicle fracture Bilateral rib fractures Grade II right renal laceration Grade V liver laceration Left L2 transverse proce" Wrong span,"(6202, 6218)","(6202, 6207)",liver laceration,liver,262802005,80515008,10371195-DS-9,"fractures Grade II right renal laceration Grade V liver laceration Left L2 transverse process fracture Discharge " Wrong span,"(6224, 6226)","(6219, 6226)",L2,Left L2,89831000,200629001,10371195-DS-9,"ht renal laceration Grade V liver laceration Left L2 transverse process fracture Discharge Conditio" "Correct entity, wrong SNOMED ID","(6227, 6254)","(6227, 6254)",transverse process fracture,transverse process fracture,207962009,207900003,10371195-DS-9,"renal laceration Grade V liver laceration Left L2 transverse process fracture Discharge Condition: Hemodynamically stable, t" Wrong span,"(6303, 6328)","(6303, 6313)",tolerating a regular diet,tolerating,449894006,424184006,10371195-DS-9,"e Discharge Condition: Hemodynamically stable, tolerating a regular diet, pain adequately controlled Discharge Instruc" "Correct entity, wrong SNOMED ID","(6330, 6357)","(6330, 6357)","pain adequately controlled","pain adequately controlled",1156446004,397618002,10371195-DS-9,"emodynamically stable, tolerating a regular diet, pain adequately controlled Discharge Instructions: It is important that y" Wrong span,"(6385, 6429)","(6410, 6415)","It is important that you cough, deep breathe",cough,370791009,28743005,10371195-DS-9," adequately controlled Discharge Instructions: It is important that you cough, deep breathe and use the incentive spirometer every hour that" Missed entity,"(6443, 6463)",,incentive spirometer,,229301009,,10371195-DS-9,"portant that you cough, deep breathe and use the incentive spirometer every hour that you are awake. DO NOT participat" Missed entity,"(6496, 6536)",,DO NOT participate in any contact sports,,304510005,,10371195-DS-9,"entive spirometer every hour that you are awake. DO NOT participate in any contact sports of any kind for the next 8 weeks because of your" "Correct entity, wrong SNOMED ID","(6587, 6599)","(6587, 6599)",liver injury,liver injury,262802005,15151004,10371195-DS-9,"of any kind for the next 8 weeks because of your liver injury. If at any time you feel dizzy, weak and/or ligh" "Correct entity, wrong SNOMED ID","(6626, 6631)","(6626, 6631)",dizzy,dizzy,404640003,1141711004,10371195-DS-9,"se of your liver injury. If at any time you feel dizzy, weak and/or lightheaded, as if you are going to" "Correct entity, wrong SNOMED ID","(6645, 6656)","(6645, 6656)",lightheaded,lightheaded,386705008,1354698007,10371195-DS-9,"jury. If at any time you feel dizzy, weak and/or lightheaded, as if you are going to pass out you will needto" Missed entity,"(6758, 6762)",,sign,,72670004,,10371195-DS-9,"o to the nearest Emergency room as this may be a sign that you may be experiencing internal bleeding f" Wrong span,"(6802, 6826)","(6821, 6826)",bleeding from your liver,liver,16763008,80515008,10371195-DS-9," be a sign that you may be experiencing internal bleeding from your liver. Return to the Emergency room if you develop any " "Correct entity, wrong SNOMED ID","(6876, 6882)","(6876, 6882)",fevers,fevers,386661006,248444008,10371195-DS-9,". Return to the Emergency room if you develop any fevers, chills, increased productive cough, shortness o" "Correct entity, wrong SNOMED ID","(6884, 6890)","(6884, 6890)",chills,chills,43724002,274640006,10371195-DS-9," to the Emergency room if you develop any fevers, chills, increased productive cough, shortness of breath" Wrong span,"(6903, 6919)","(6893, 6919)",productive cough,increased productive cough,28743005,364054002,10371195-DS-9,"oom if you develop any fevers, chills, increased productive cough, shortness of breath, chest pain, abdominal pain" "Correct entity, wrong SNOMED ID","(6921, 6940)","(6921, 6940)",shortness of breath,shortness of breath,267036007,135833008,10371195-DS-9," any fevers, chills, increased productive cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, d" "Correct entity, wrong SNOMED ID","(6942, 6952)","(6942, 6952)",chest pain,chest pain,29857009,102589003,10371195-DS-9," increased productive cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea and/" "Correct entity, wrong SNOMED ID","(6955, 6969)","(6955, 6969)",abdominal pain,abdominal pain,21522001,54586004,10371195-DS-9,"oductive cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea and/or any other sym" "Correct entity, wrong SNOMED ID","(7123, 7137)","(7123, 7137)",stool softener,stool softener,225948006,702118001,10371195-DS-9,"t you take the pain medications as prescribed. A stool softener and laxative have been prescribed for you; it is" Wrong span,"(7218, 7236)","(7227, 7236)",while on narcotics,narcotics,708652009,95914002,10371195-DS-9,"bed for you; it is important that you take these while on narcotics in order to prevent constipation. Followup Ins" Missed entity,"(7250, 7257)",,prevent,,169443000,,10371195-DS-9,"at you take these while on narcotics in order to prevent constipation. Followup Instructions: ___ " "Correct entity, wrong SNOMED ID","(7258, 7270)","(7258, 7270)",constipation,constipation,14760008,236069009,10371195-DS-9,"ake these while on narcotics in order to prevent constipation. Followup Instructions: ___ " False positive,,"(601, 610)",,Insertion,,425362007,10794068-DS-18,"ubcutaneous space. ___: Arterial line placed ___: Insertion left-sided 3-lumen subclavian CVL ___: Percutaneo" False positive,,"(1477, 1491)",,Constitutional,,47708004,10794068-DS-18,"am: HR:75 BP:118/62 Resp:22 O(2)Sat:93 nrb low Constitutional: Moaning, uncomfortable, confused HEENT: Pupils e" False positive,,"(1502, 1515)",,uncomfortable,,250893000,10794068-DS-18,"22 O(2)Sat:93 nrb low Constitutional: Moaning, uncomfortable, confused HEENT: Pupils equal, round and reactive" False positive,,"(1783, 1787)",,FAST,,86651002,10794068-DS-18,"diffuse ttp, R inguinal hernia easily reducible, FAST negative, stable pelvis Extr/Back: c/o diffuse pa" False positive,,"(1827, 1834)",,diffuse,,188676008,10794068-DS-18,"ible, FAST negative, stable pelvis Extr/Back: c/o diffuse pain with vertebral palpation Skin: R lateral thi" False positive,,"(1974, 1988)",,equal strength,,301943000,10794068-DS-18," abrasion Neuro: Confused, follows commands, MAE, equal strength bilaterally, decreased sensation to l.t. in bila" False positive,,"(2453, 2455)",,as,,121606009,10794068-DS-18," atelectasis. Pleural calcifications may reflect asbestos exposure, correlate clinically. ___ CT C" False positive,,"(2887, 2896)",,"CT Torso",,262225004,10794068-DS-18,"ded. Left apical pneumothorax, seen on concurrent CT Torso. Patient is intubated. Nasogastric tube in the es" False positive,,"(2961, 2968)",,CT Head,,303653007,10794068-DS-18,"tubated. Nasogastric tube in the esophagus. ___ CT Head: . No acute intracranial findings. Parenchymal a" False positive,,"(3537, 3543)",,marrow,,14016003,10794068-DS-18,"rmal inclusion cyst or a sebaceous cyst. Minimal marrow edema L2 and L3 and L5-S1 facets and C1-2 lateral" False positive,,"(3787, 3788)",,l,,420296000,10794068-DS-18,"changes as described above. ___ CXR: Asymmetric lucency of the left lung suggests an anterior pneu" False positive,,"(3825, 3833)",,anterior,,261123004,10794068-DS-18," Asymmetric lucency of the left lung suggests an anterior pneumothorax in this supine patient. Right lower " False positive,,"(4602, 4618)",,right lower lobe,,200384002,10794068-DS-18,"in bronchus and should be removed. Stable severe right lower lobe pneumonia, bilateral pleural effusions and left " False positive,,"(5184, 5188)",,Mild,,162468002,10794068-DS-18,". No newly-occurred focal parenchymal opacities. Mild cardiomegaly without pulmonary edema. ___ CXR:" False positive,,"(6275, 6280)",,Intub,,262007003,10794068-DS-18,"10 pO2-116* pCO2-43 pH-7.41 calTCO2-28 Base XS-1 Intubat-INTUBATED Brief Hospital Course: Neuro: The " False positive,,"(6792, 6799)",,pulling,,303372004,10794068-DS-18,"n in restraints intermittently for agitation and pulling at lines. CV: The pt was initally in septic shoc" False positive,,"(7731, 7741)",,trach mask,,706223008,10794068-DS-18,"d, on the day of discharge did have a trial with trach mask. FEN/GI: Pt had dobhoff tube placed x3 for tube " False positive,,"(7748, 7750)",,GI,,1142285003,10794068-DS-18,"discharge did have a trial with trach mask. FEN/GI: Pt had dobhoff tube placed x3 for tube feeds. H" False positive,,"(8119, 8121)",,GU,,77618006,10794068-DS-18,"ourse of Vanc/Zosyn on ___, pressors d/c'ed ___. GU: The pt has been diuresed with Lasix 20mg IV BID." False positive,,"(8231, 8232)",,L,,420296000,10794068-DS-18," Foley catheter. Musculoskeletal: Pt has lateral L rib fractures of ___. He also has old compressi" False positive,,"(11447, 11450)",,IVF,,52637005,10794068-DS-18,"der sliding scale coverage; If appropriate, give IVF with dextrose to prevent hypoglycemia. Disch" False positive,,"(11477, 11489)",,hypoglycemia,,1296523008,10794068-DS-18,"f appropriate, give IVF with dextrose to prevent hypoglycemia. Discharge Disposition: Extended Care Facil" False positive,,"(11877, 11886)",,ambulated,,722370002,10794068-DS-18,"f Bed with assistance to chair or wheelchair has ambulated in ICU with assist Discharge Instructions: Ple" False positive,,"(12587, 12596)",,discharge,,2311000175105,10794068-DS-18,"inate, have blood in your urine, or experience a discharge. *Your pain in not improving within ___ hours or " False positive,,"(13388, 13391)",,Inc,,1172622001,10794068-DS-18,"g heavy machinery while taking pain medications. Incision Care: *Please call your doctor or nurse prac" Wrong span,"(291, 295)","(279, 295)",fall,unwitnessed fall,161898004,249983008,10794068-DS-18,"ding: ___. Chief Complaint: ___ s/p unwitnessed fall, unresponsive, with multiple L rib fractures and" "Correct entity, wrong SNOMED ID","(297, 309)","(297, 309)",unresponsive,unresponsive,422768004,77472006,10794068-DS-18,"___. Chief Complaint: ___ s/p unwitnessed fall, unresponsive, with multiple L rib fractures and pneumothorax " Wrong span,"(316, 341)","(325, 326)","multiple L rib fractures",L,1261007,420296000,10794068-DS-18,"int: ___ s/p unwitnessed fall, unresponsive, with multiple L rib fractures and pneumothorax Major Surgical or Invasive Pro" "Correct entity, wrong SNOMED ID","(346, 358)","(346, 358)",pneumothorax,pneumothorax,36118008,109364007,10794068-DS-18," unresponsive, with multiple L rib fractures and pneumothorax Major Surgical or Invasive Procedure: ___: Intu" "Correct entity, wrong SNOMED ID","(404, 413)","(404, 413)",Intubated,Intubated,112798008,262007003,10794068-DS-18,"orax Major Surgical or Invasive Procedure: ___: Intubated in the ED secondary to agitation and emesis with" "Correct entity, wrong SNOMED ID","(437, 446)","(437, 446)",agitation,agitation,24199005,16997008,10794068-DS-18," Procedure: ___: Intubated in the ED secondary to agitation and emesis with aspiration ___: Placement L ches" "Correct entity, wrong SNOMED ID","(451, 457)","(451, 457)",emesis,emesis,422400008,71419002,10794068-DS-18,"_: Intubated in the ED secondary to agitation and emesis with aspiration ___: Placement L chest tube in E" "Correct entity, wrong SNOMED ID","(464, 474)","(464, 474)",aspiration,aspiration,14766002,68052005,10794068-DS-18,"in the ED secondary to agitation and emesis with aspiration ___: Placement L chest tube in ED, later removed " Wrong span,"(480, 502)","(480, 489)",Placement L chest tube,Placement,264957007,228647003,10794068-DS-18,"ary to agitation and emesis with aspiration ___: Placement L chest tube in ED, later removed as it was found to be in su" Missed entity,"(516, 523)",,removed,,238356005,,10794068-DS-18,"piration ___: Placement L chest tube in ED, later removed as it was found to be in subcutaneous space. ___" Wrong span,"(550, 562)","(550, 568)",subcutaneous,subcutaneous space,58087007,445055004,10794068-DS-18,"be in ED, later removed as it was found to be in subcutaneous space. ___: Arterial line placed ___: Insertion l" Wrong span,"(575, 595)","(575, 588)",Arterial line placed,Arterial line,392247006,398158001,10794068-DS-18,"s it was found to be in subcutaneous space. ___: Arterial line placed ___: Insertion left-sided 3-lumen subclavian CVL " Wrong span,"(611, 621)","(611, 616)",left-sided,left-,734747003,253637002,10794068-DS-18,"s space. ___: Arterial line placed ___: Insertion left-sided 3-lumen subclavian CVL ___: Percutaneous tracheos" Wrong span,"(630, 644)","(630, 640)",subclavian CVL,subclavian,233530004,13369003,10794068-DS-18,"ial line placed ___: Insertion left-sided 3-lumen subclavian CVL ___: Percutaneous tracheostomy at ICU bedside for" Missed entity,"(679, 682)",,ICU,,397821002,,10794068-DS-18," subclavian CVL ___: Percutaneous tracheostomy at ICU bedside for failure to wean from vent History " "Correct entity, wrong SNOMED ID","(777, 795)","(777, 795)",alcohol dependence,alcohol dependence,66590003,713583005,10794068-DS-18,"tory of Present Illness: Pt is a ___ with a hx of alcohol dependence who was found down and unresposive by his wife a" "Correct entity, wrong SNOMED ID","(820, 831)","(820, 831)",unresposive,unresposive,422768004,77472006,10794068-DS-18," hx of alcohol dependence who was found down and unresposive by his wife after apparently ___ down 8 concrete" "Correct entity, wrong SNOMED ID","(911, 919)","(911, 919)",oriented,oriented,247663003,787379002,10794068-DS-18,"___ down 8 concrete steps. The pt was initially oriented x1 with a GCS of 4 on the scene, however his GCS" Missed entity,"(930, 939)",,"GCS of 4",,112110007,,10794068-DS-18,"e steps. The pt was initially oriented x1 with a GCS of 4 on the scene, however his GCS was 15 in the ED. " Missed entity,"(966, 976)",,GCS was 15,,70040003,,10794068-DS-18,"ted x1 with a GCS of 4 on the scene, however his GCS was 15 in the ED. He became agitated in the ED, vomite" "Correct entity, wrong SNOMED ID","(1020, 1027)","(1020, 1027)",vomited,vomited,422400008,271352005,10794068-DS-18,"was 15 in the ED. He became agitated in the ED, vomited, and desaturated and was therefore intubated for" "Correct entity, wrong SNOMED ID","(1064, 1073)","(1064, 1073)",intubated,intubated,112798008,262007003,10794068-DS-18,"e ED, vomited, and desaturated and was therefore intubated for airway protection. CT in the ED showed left " Wrong span,"(1078, 1084)","(1078, 1095)",airway,airway protection,89187006,386518003,10794068-DS-18," and desaturated and was therefore intubated for airway protection. CT in the ED showed left sixth thro" "Correct entity, wrong SNOMED ID","(1098, 1100)","(1098, 1100)",CT,CT,77477000,241541005,10794068-DS-18," was therefore intubated for airway protection. CT in the ED showed left sixth through ninth rib fr" "Correct entity, wrong SNOMED ID","(1118, 1122)","(1118, 1122)",left,left,724223001,264745005,10794068-DS-18,"bated for airway protection. CT in the ED showed left sixth through ninth rib fractures and a small le" Wrong span,"(1123, 1157)","(1138, 1143)","sixth through ninth rib fractures",ninth,51760006,28232001,10794068-DS-18," for airway protection. CT in the ED showed left sixth through ninth rib fractures and a small left-sided pneumothorax. Past Medic" Missed entity,"(1164, 1169)",,small,,162468002,,10794068-DS-18,"wed left sixth through ninth rib fractures and a small left-sided pneumothorax. Past Medical History: " Wrong span,"(1170, 1193)","(1170, 1180)",left-sided pneumothorax,left-sided,109364007,448683002,10794068-DS-18,"ft sixth through ninth rib fractures and a small left-sided pneumothorax. Past Medical History: PMH: CAD, peripheral neu" "Correct entity, wrong SNOMED ID","(1224, 1227)","(1224, 1227)",CAD,CAD,53741008,84270004,10794068-DS-18,"-sided pneumothorax. Past Medical History: PMH: CAD, peripheral neuropathy, depression, gout, EtOH d" "Correct entity, wrong SNOMED ID","(1229, 1250)","(1229, 1250)",peripheral neuropathy,peripheral neuropathy,302226006,129611009,10794068-DS-18,"d pneumothorax. Past Medical History: PMH: CAD, peripheral neuropathy, depression, gout, EtOH dependence, asbestosis/l" "Correct entity, wrong SNOMED ID","(1252, 1262)","(1252, 1262)",depression,depression,35489007,26141007,10794068-DS-18,"Medical History: PMH: CAD, peripheral neuropathy, depression, gout, EtOH dependence, asbestosis/lung scar PSH" "Correct entity, wrong SNOMED ID","(1264, 1268)","(1264, 1268)",gout,gout,90560007,69896004,10794068-DS-18,"ory: PMH: CAD, peripheral neuropathy, depression, gout, EtOH dependence, asbestosis/lung scar PSH: CABG" "Correct entity, wrong SNOMED ID","(1270, 1286)","(1270, 1286)","EtOH dependence","EtOH dependence",66590003,713862009,10794068-DS-18,"MH: CAD, peripheral neuropathy, depression, gout, EtOH dependence, asbestosis/lung scar PSH: CABG, aortic valve (ti" Wrong span,"(1299, 1303)","(1299, 1308)",lung,lung scar,39607008,58633002,10794068-DS-18,"y, depression, gout, EtOH dependence, asbestosis/lung scar PSH: CABG, aortic valve (tissue) replacement" Wrong span,"(1304, 1308)","(1299, 1308)",scar,lung scar,12402003,58633002,10794068-DS-18,"pression, gout, EtOH dependence, asbestosis/lung scar PSH: CABG, aortic valve (tissue) replacement ___ " "Correct entity, wrong SNOMED ID","(1314, 1318)","(1314, 1318)",CABG,CABG,232717009,312692004,10794068-DS-18,"gout, EtOH dependence, asbestosis/lung scar PSH: CABG, aortic valve (tissue) replacement ___ Social " Wrong span,"(1320, 1353)","(1320, 1334)",aortic valve (tissue) replacement,aortic valve (,52247003,181287002,10794068-DS-18,"EtOH dependence, asbestosis/lung scar PSH: CABG, aortic valve (tissue) replacement ___ Social History: ___ Family History: Non-co" "Correct entity, wrong SNOMED ID","(1431, 1433)","(1431, 1433)",HR,HR,301113001,258702006,10794068-DS-18,"Family History: Non-contributory Physical Exam: HR:75 BP:118/62 Resp:22 O(2)Sat:93 nrb low Consti" "Correct entity, wrong SNOMED ID","(1437, 1439)","(1437, 1439)",BP,BP,392570002,38341003,10794068-DS-18," History: Non-contributory Physical Exam: HR:75 BP:118/62 Resp:22 O(2)Sat:93 nrb low Constitution" "Correct entity, wrong SNOMED ID","(1447, 1451)","(1447, 1451)",Resp,Resp,268925001,20139000,10794068-DS-18,"Non-contributory Physical Exam: HR:75 BP:118/62 Resp:22 O(2)Sat:93 nrb low Constitutional: Moaning," Missed entity,"(1455, 1462)",,O(2)Sat,,104847001,,10794068-DS-18,"ributory Physical Exam: HR:75 BP:118/62 Resp:22 O(2)Sat:93 nrb low Constitutional: Moaning, uncomforta" "Correct entity, wrong SNOMED ID","(1493, 1500)","(1493, 1500)",Moaning,Moaning,248575002,304636008,10794068-DS-18,"/62 Resp:22 O(2)Sat:93 nrb low Constitutional: Moaning, uncomfortable, confused HEENT: Pupils equal, rou" "Correct entity, wrong SNOMED ID","(1517, 1525)","(1517, 1525)",confused,confused,40917007,62476001,10794068-DS-18,"rb low Constitutional: Moaning, uncomfortable, confused HEENT: Pupils equal, round and reactive to light," "Correct entity, wrong SNOMED ID","(1526, 1531)","(1526, 1531)",HEENT,HEENT,5880005,113665002,10794068-DS-18," Constitutional: Moaning, uncomfortable, confused HEENT: Pupils equal, round and reactive to light, Extra" Wrong span,"(1533, 1574)","(1533, 1545)","Pupils equal, round and reactive to light",Pupils equal,386666001,418970005,10794068-DS-18,"tutional: Moaning, uncomfortable, confused HEENT: Pupils equal, round and reactive to light, Extraocular muscles intact, C-collar, no crepit" "Correct entity, wrong SNOMED ID","(1576, 1603)","(1576, 1603)","Extraocular muscles intact","Extraocular muscles intact",103251002,1144898001,10794068-DS-18,"HEENT: Pupils equal, round and reactive to light, Extraocular muscles intact, C-collar, no crepitus Chest: Clear to auscultati" Boundary error,"(1607, 1613)","(1605, 1613)",collar,C-collar,49689007,470572006,10794068-DS-18,"reactive to light, Extraocular muscles intact, C-collar, no crepitus Chest: Clear to auscultation, + L ch" "Correct entity, wrong SNOMED ID","(1627, 1632)","(1627, 1632)",Chest,Chest,268925001,177765008,10794068-DS-18,"xtraocular muscles intact, C-collar, no crepitus Chest: Clear to auscultation, + L chest wall ttp Cardio" Wrong span,"(1661, 1675)","(1661, 1671)",chest wall ttp,chest wall,102591006,448488004,10794068-DS-18,"ar, no crepitus Chest: Clear to auscultation, + L chest wall ttp Cardiovascular: Regular Rate and Rhythm Abdominal" "Correct entity, wrong SNOMED ID","(1676, 1690)","(1676, 1690)",Cardiovascular,Cardiovascular,363003006,113257007,10794068-DS-18," Chest: Clear to auscultation, + L chest wall ttp Cardiovascular: Regular Rate and Rhythm Abdominal: Soft, diffuse" "Correct entity, wrong SNOMED ID","(1692, 1715)","(1692, 1715)",Regular Rate and Rhythm,Regular Rate and Rhythm,76863003,428919002,10794068-DS-18," auscultation, + L chest wall ttp Cardiovascular: Regular Rate and Rhythm Abdominal: Soft, diffuse ttp, R inguinal hernia e" Wrong span,"(1716, 1719)","(1716, 1725)",Abd,Abdominal,225162003,422314007,10794068-DS-18," wall ttp Cardiovascular: Regular Rate and Rhythm Abdominal: Soft, diffuse ttp, R inguinal hernia easil" Missed entity,"(1733, 1740)",,diffuse,,2134003,,10794068-DS-18,"ascular: Regular Rate and Rhythm Abdominal: Soft, diffuse ttp, R inguinal hernia easily reducible, FAST ne" "Correct entity, wrong SNOMED ID","(1741, 1744)","(1741, 1744)",ttp,ttp,43478001,438476003,10794068-DS-18," Regular Rate and Rhythm Abdominal: Soft, diffuse ttp, R inguinal hernia easily reducible, FAST negati" Wrong span,"(1746, 1763)","(1746, 1747)",R inguinal hernia,R,236021006,420274006,10794068-DS-18,"lar Rate and Rhythm Abdominal: Soft, diffuse ttp, R inguinal hernia easily reducible, FAST negative, stable pelvis E" Missed entity,"(1788, 1796)",,negative,,281900007,,10794068-DS-18,"se ttp, R inguinal hernia easily reducible, FAST negative, stable pelvis Extr/Back: c/o diffuse pain with v" "Correct entity, wrong SNOMED ID","(1798, 1811)","(1798, 1811)",stable pelvis,stable pelvis,298247002,36313005,10794068-DS-18,"inguinal hernia easily reducible, FAST negative, stable pelvis Extr/Back: c/o diffuse pain with vertebral palpat" "Correct entity, wrong SNOMED ID","(1812, 1816)","(1812, 1816)",Extr,Extr,302773001,710354007,10794068-DS-18,"a easily reducible, FAST negative, stable pelvis Extr/Back: c/o diffuse pain with vertebral palpation S" "Correct entity, wrong SNOMED ID","(1835, 1839)","(1835, 1839)",pain,pain,22253000,102570003,10794068-DS-18,"ST negative, stable pelvis Extr/Back: c/o diffuse pain with vertebral palpation Skin: R lateral thigh ec" Wrong span,"(1845, 1854)","(1845, 1864)",vertebral,vertebral palpation,421060004,1290640000,10794068-DS-18,"e, stable pelvis Extr/Back: c/o diffuse pain with vertebral palpation Skin: R lateral thigh ecchymosis, R kne" Wrong span,"(1855, 1864)","(1845, 1864)",palpation,vertebral palpation,113011001,1290640000,10794068-DS-18,"pelvis Extr/Back: c/o diffuse pain with vertebral palpation Skin: R lateral thigh ecchymosis, R knee lacerati" "Correct entity, wrong SNOMED ID","(1865, 1869)","(1865, 1869)",Skin,Skin,271303006,444884003,10794068-DS-18,"r/Back: c/o diffuse pain with vertebral palpation Skin: R lateral thigh ecchymosis, R knee laceration, L" Boundary error,"(1871, 1886)","(1873, 1886)",R lateral thigh,lateral thigh,765007004,362790001,10794068-DS-18,": c/o diffuse pain with vertebral palpation Skin: R lateral thigh ecchymosis, R knee laceration, L arm abrasion Ne" "Correct entity, wrong SNOMED ID","(1887, 1897)","(1887, 1897)",ecchymosis,ecchymosis,302227002,1156411007,10794068-DS-18,"in with vertebral palpation Skin: R lateral thigh ecchymosis, R knee laceration, L arm abrasion Neuro: Confus" Wrong span,"(1899, 1905)","(1899, 1900)",R knee,R,6757004,420274006,10794068-DS-18,"ebral palpation Skin: R lateral thigh ecchymosis, R knee laceration, L arm abrasion Neuro: Confused, foll" "Correct entity, wrong SNOMED ID","(1906, 1916)","(1906, 1916)",laceration,laceration,35933005,1237440006,10794068-DS-18,"alpation Skin: R lateral thigh ecchymosis, R knee laceration, L arm abrasion Neuro: Confused, follows command" "Correct entity, wrong SNOMED ID","(1918, 1923)","(1918, 1923)",L arm,L arm,80768000,72098002,10794068-DS-18,"n: R lateral thigh ecchymosis, R knee laceration, L arm abrasion Neuro: Confused, follows commands, MAE," "Correct entity, wrong SNOMED ID","(1925, 1933)","(1925, 1933)",abrasion,abrasion,8420001,1162526005,10794068-DS-18,"teral thigh ecchymosis, R knee laceration, L arm abrasion Neuro: Confused, follows commands, MAE, equal str" "Correct entity, wrong SNOMED ID","(1934, 1939)","(1934, 1939)",Neuro,Neuro,84728005,281247006,10794068-DS-18,"gh ecchymosis, R knee laceration, L arm abrasion Neuro: Confused, follows commands, MAE, equal strength " "Correct entity, wrong SNOMED ID","(1941, 1949)","(1941, 1949)",Confused,Confused,40917007,62476001,10794068-DS-18,"ymosis, R knee laceration, L arm abrasion Neuro: Confused, follows commands, MAE, equal strength bilateral" Missed entity,"(1951, 1967)",,follows commands,,298331001,,10794068-DS-18,"knee laceration, L arm abrasion Neuro: Confused, follows commands, MAE, equal strength bilaterally, decreased sens" "Correct entity, wrong SNOMED ID","(1969, 1972)","(1969, 1972)",MAE,MAE,284137004,73775008,10794068-DS-18," arm abrasion Neuro: Confused, follows commands, MAE, equal strength bilaterally, decreased sensation" "Correct entity, wrong SNOMED ID","(2003, 2022)","(2003, 2022)",decreased sensation,decreased sensation,397974008,251379005,10794068-DS-18,"llows commands, MAE, equal strength bilaterally, decreased sensation to l.t. in bilateral feet(which patient states i" "Correct entity, wrong SNOMED ID","(2044, 2048)","(2044, 2048)",feet,feet,56459004,259051005,10794068-DS-18,"terally, decreased sensation to l.t. in bilateral feet(which patient states is old) Pertinent Result" Missed entity,"(2120, 2129)",,displaced,,123735002,,10794068-DS-18," is old) Pertinent Results: ___ CT A/P: Mildly displaced multilevel left-sided rib fractures. At the site" Missed entity,"(2130, 2140)",,multilevel,,1261007,,10794068-DS-18," Pertinent Results: ___ CT A/P: Mildly displaced multilevel left-sided rib fractures. At the site of rib fra" "Correct entity, wrong SNOMED ID","(2141, 2151)","(2141, 2151)",left-sided,left-sided,724223001,448683002,10794068-DS-18," Results: ___ CT A/P: Mildly displaced multilevel left-sided rib fractures. At the site of rib fractures ther" "Correct entity, wrong SNOMED ID","(2152, 2166)","(2152, 2166)","rib fractures","rib fractures",1261007,429381000124105,10794068-DS-18,"__ CT A/P: Mildly displaced multilevel left-sided rib fractures. At the site of rib fractures there is a chest tu" "Correct entity, wrong SNOMED ID","(2208, 2218)","(2208, 2218)",chest tube,chest tube,264957007,55628002,10794068-DS-18,"ractures. At the site of rib fractures there is a chest tube, which does not enter into the thoracic cavity. " "Correct entity, wrong SNOMED ID","(2251, 2266)","(2251, 2266)",thoracic cavity,thoracic cavity,43799004,243949006,10794068-DS-18,"e is a chest tube, which does not enter into the thoracic cavity. There is subcutaneous emphysema with a small am" "Correct entity, wrong SNOMED ID","(2278, 2300)","(2278, 2300)",subcutaneous emphysema,subcutaneous emphysema,3830001,1237075004,10794068-DS-18,"oes not enter into the thoracic cavity. There is subcutaneous emphysema with a small amount of hematoma at this site. S" Missed entity,"(2308, 2313)",,small,,162468002,,10794068-DS-18,"c cavity. There is subcutaneous emphysema with a small amount of hematoma at this site. Small left bas" "Correct entity, wrong SNOMED ID","(2324, 2332)","(2324, 2332)",hematoma,hematoma,35566002,784408000,10794068-DS-18,"is subcutaneous emphysema with a small amount of hematoma at this site. Small left basilar and apical pne" Missed entity,"(2349, 2354)",,Small,,162468002,,10794068-DS-18,"a with a small amount of hematoma at this site. Small left basilar and apical pneumothorax. Bibasilar " "Correct entity, wrong SNOMED ID","(2355, 2367)","(2355, 2367)",left basilar,left basilar,41224006,787061007,10794068-DS-18," a small amount of hematoma at this site. Small left basilar and apical pneumothorax. Bibasilar atelectasis." "Correct entity, wrong SNOMED ID","(2372, 2378)","(2372, 2378)",apical,apical,14559000,711634005,10794068-DS-18,"f hematoma at this site. Small left basilar and apical pneumothorax. Bibasilar atelectasis. Pleural ca" "Correct entity, wrong SNOMED ID","(2379, 2391)","(2379, 2391)",pneumothorax,pneumothorax,36118008,109364007,10794068-DS-18,"oma at this site. Small left basilar and apical pneumothorax. Bibasilar atelectasis. Pleural calcifications " "Correct entity, wrong SNOMED ID","(2394, 2403)","(2394, 2403)",Bibasilar,Bibasilar,10024003,704915001,10794068-DS-18,"te. Small left basilar and apical pneumothorax. Bibasilar atelectasis. Pleural calcifications may reflect " "Correct entity, wrong SNOMED ID","(2405, 2416)","(2405, 2416)",atelectasis,atelectasis,46621007,16537000,10794068-DS-18,"left basilar and apical pneumothorax. Bibasilar atelectasis. Pleural calcifications may reflect asbestos exp" "Correct entity, wrong SNOMED ID","(2418, 2440)","(2418, 2440)",Pleural calcifications,Pleural calcifications,32931001,233659006,10794068-DS-18,"and apical pneumothorax. Bibasilar atelectasis. Pleural calcifications may reflect asbestos exposure, correlate clinica" "Correct entity, wrong SNOMED ID","(2516, 2524)","(2516, 2524)",fracture,fracture,72704001,307186006,10794068-DS-18,"osure, correlate clinically. ___ CT C-Spine: No fracture of the cervical spine. Compression deformity at " "Correct entity, wrong SNOMED ID","(2532, 2546)","(2532, 2546)",cervical spine,cervical spine,122494005,178778006,10794068-DS-18," clinically. ___ CT C-Spine: No fracture of the cervical spine. Compression deformity at T2 age-indeterminate b" Wrong span,"(2548, 2559)","(2548, 2570)",Compression,"Compression deformity",71173004,609445005,10794068-DS-18,"__ CT C-Spine: No fracture of the cervical spine. Compression deformity at T2 age-indeterminate but may relate" Wrong span,"(2561, 2576)","(2548, 2570)",deformity at T2,"Compression deformity",298497001,609445005,10794068-DS-18,": No fracture of the cervical spine. Compression deformity at T2 age-indeterminate but may relate to degenerative " "Correct entity, wrong SNOMED ID","(2613, 2634)","(2613, 2634)","degenerative changes","degenerative changes",762305005,708529002,10794068-DS-18,"formity at T2 age-indeterminate but may relate to degenerative changes. Degenerative changes at C3-4 and C4-5 cause mild" "Correct entity, wrong SNOMED ID","(2636, 2656)","(2636, 2656)",Degenerative changes,Degenerative changes,387800004,708529002,10794068-DS-18,"erminate but may relate to degenerative changes. Degenerative changes at C3-4 and C4-5 cause mild degree of central ca" Boundary error,"(2660, 2664)","(2660, 2662)",C3-4,C3,1179200004,10473000,10794068-DS-18,"to degenerative changes. Degenerative changes at C3-4 and C4-5 cause mild degree of central canal nar" Boundary error,"(2669, 2673)","(2669, 2671)",C4-5,C4,1179207001,103200008,10794068-DS-18,"rative changes. Degenerative changes at C3-4 and C4-5 cause mild degree of central canal narrowing ma" Missed entity,"(2680, 2684)",,mild,,162468002,,10794068-DS-18,"nges. Degenerative changes at C3-4 and C4-5 cause mild degree of central canal narrowing may predispos" "Correct entity, wrong SNOMED ID","(2711, 2720)","(2711, 2720)",narrowing,narrowing,708528005,246406005,10794068-DS-18,"3-4 and C4-5 cause mild degree of central canal narrowing may predispose to cord injury in the setting of " Wrong span,"(2739, 2776)","(2739, 2750)","cord injury in the setting of trauma",cord injury,146251000146109,90584004,10794068-DS-18,"ee of central canal narrowing may predispose to cord injury in the setting of trauma. If there is concern for cord injury, MRI would b" "Correct entity, wrong SNOMED ID","(2802, 2813)","(2802, 2813)",cord injury,cord injury,146251000146109,90584004,10794068-DS-18,"n the setting of trauma. If there is concern for cord injury, MRI would be recommended. Left apical pneumotho" "Correct entity, wrong SNOMED ID","(2815, 2818)","(2815, 2818)",MRI,MRI,113091000,305882007,10794068-DS-18," of trauma. If there is concern for cord injury, MRI would be recommended. Left apical pneumothorax, " Wrong span,"(2842, 2853)","(2842, 2866)",Left apical,Left apical pneumothorax,14559000,24279008,10794068-DS-18,"ncern for cord injury, MRI would be recommended. Left apical pneumothorax, seen on concurrent CT Torso. Patie" Wrong span,"(2854, 2866)","(2842, 2866)",pneumothorax,Left apical pneumothorax,36118008,24279008,10794068-DS-18,"rd injury, MRI would be recommended. Left apical pneumothorax, seen on concurrent CT Torso. Patient is intubat" "Correct entity, wrong SNOMED ID","(2909, 2918)","(2909, 2918)",intubated,intubated,112798008,262007003,10794068-DS-18,"othorax, seen on concurrent CT Torso. Patient is intubated. Nasogastric tube in the esophagus. ___ CT Head" "Correct entity, wrong SNOMED ID","(2920, 2936)","(2920, 2936)",Nasogastric tube,Nasogastric tube,449842009,258185004,10794068-DS-18,"en on concurrent CT Torso. Patient is intubated. Nasogastric tube in the esophagus. ___ CT Head: . No acute intra" "Correct entity, wrong SNOMED ID","(2944, 2953)","(2944, 2953)",esophagus,esophagus,32849002,169005008,10794068-DS-18,"so. Patient is intubated. Nasogastric tube in the esophagus. ___ CT Head: . No acute intracranial findings." Missed entity,"(2972, 2980)",,No acute,,281900007,,10794068-DS-18,"sogastric tube in the esophagus. ___ CT Head: . No acute intracranial findings. Parenchymal atrophy and s" "Correct entity, wrong SNOMED ID","(2981, 2993)","(2981, 2993)",intracranial,intracranial,128319008,731998000,10794068-DS-18," tube in the esophagus. ___ CT Head: . No acute intracranial findings. Parenchymal atrophy and small vessel d" Wrong span,"(3017, 3024)","(3004, 3024)",atrophy,"Parenchymal atrophy",13331008,95686007,10794068-DS-18,"d: . No acute intracranial findings. Parenchymal atrophy and small vessel disease. ___ TLS-Spine MRI: No" Wrong span,"(3042, 3049)","(3029, 3049)",disease,small vessel disease,64572001,443929000,10794068-DS-18,"l findings. Parenchymal atrophy and small vessel disease. ___ TLS-Spine MRI: No evidence of acute fractu" Wrong span,"(3061, 3070)","(3067, 3070)",Spine MRI,MRI,241645008,1144760005,10794068-DS-18,"ymal atrophy and small vessel disease. ___ TLS-Spine MRI: No evidence of acute fractures. Compression fra" Missed entity,"(3072, 3083)",,No evidence,,281900007,,10794068-DS-18,"hy and small vessel disease. ___ TLS-Spine MRI: No evidence of acute fractures. Compression fractures involv" "Correct entity, wrong SNOMED ID","(3093, 3102)","(3093, 3102)",fractures,fractures,72704001,307186006,10794068-DS-18,"isease. ___ TLS-Spine MRI: No evidence of acute fractures. Compression fractures involving T2, T5 and L1 a" Wrong span,"(3104, 3126)","(3104, 3106)","Compression fractures",Co,21947006,422514006,10794068-DS-18,"__ TLS-Spine MRI: No evidence of acute fractures. Compression fractures involving T2, T5 and L1 are likely chronic given " "Correct entity, wrong SNOMED ID","(3137, 3139)","(3137, 3139)",T2,T2,53733008,282384009,10794068-DS-18,"acute fractures. Compression fractures involving T2, T5 and L1 are likely chronic given absence of m" "Correct entity, wrong SNOMED ID","(3141, 3143)","(3141, 3143)",T5,T5,56401006,32088001,10794068-DS-18,"e fractures. Compression fractures involving T2, T5 and L1 are likely chronic given absence of marro" "Correct entity, wrong SNOMED ID","(3148, 3150)","(3148, 3150)",L1,L1,66794005,83696003,10794068-DS-18,"ures. Compression fractures involving T2, T5 and L1 are likely chronic given absence of marrow edema" "Correct entity, wrong SNOMED ID","(3162, 3169)","(3162, 3169)",chronic,chronic,27624003,255212004,10794068-DS-18,"ion fractures involving T2, T5 and L1 are likely chronic given absence of marrow edema. Mild multilevel " Wrong span,"(3195, 3200)","(3188, 3200)",edema,marrow edema,267038008,57978003,10794068-DS-18,"nd L1 are likely chronic given absence of marrow edema. Mild multilevel degenerative changes as descri" "Correct entity, wrong SNOMED ID","(3219, 3239)","(3219, 3239)",degenerative changes,degenerative changes,762305005,708529002,10794068-DS-18," given absence of marrow edema. Mild multilevel degenerative changes as described above with multiple areas of mild " "Correct entity, wrong SNOMED ID","(3301, 3319)","(3301, 3319)",foraminal stenosis,foraminal stenosis,764271000,203715007,10794068-DS-18,"ed above with multiple areas of mild to moderate foraminal stenosis and mild cord indentation at T5-T6 without cord" Wrong span,"(3329, 3333)","(3329, 3346)",cord,"cord indentation",2748008,237305004,10794068-DS-18,"s of mild to moderate foraminal stenosis and mild cord indentation at T5-T6 without cord signal intens" Wrong span,"(3335, 3346)","(3329, 3346)",indentation,"cord indentation",82448003,237305004,10794068-DS-18,"ild to moderate foraminal stenosis and mild cord indentation at T5-T6 without cord signal intensity abnormali" Missed entity,"(3351, 3356)",,T5-T6,,1179322009,,10794068-DS-18,"foraminal stenosis and mild cord indentation at T5-T6 without cord signal intensity abnormality. Well-" Missed entity,"(3387, 3398)",,abnormality,,408574004,,10794068-DS-18,"dentation at T5-T6 without cord signal intensity abnormality. Well-circumscribed 2-cm upper back subcutaneous" Wrong span,"(3425, 3448)","(3425, 3435)",upper back subcutaneous,upper back,81509002,244111001,10794068-DS-18,"l intensity abnormality. Well-circumscribed 2-cm upper back subcutaneous lesion, most consistent with an epidermal inclus" "Correct entity, wrong SNOMED ID","(3449, 3455)","(3449, 3455)",lesion,lesion,52988006,120609008,10794068-DS-18," Well-circumscribed 2-cm upper back subcutaneous lesion, most consistent with an epidermal inclusion cys" Wrong span,"(3482, 3506)","(3482, 3491)",epidermal inclusion cyst,epidermal,418930003,418242004,10794068-DS-18,"ack subcutaneous lesion, most consistent with an epidermal inclusion cyst or a sebaceous cyst. Minimal marrow edema L2 and" "Correct entity, wrong SNOMED ID","(3512, 3526)","(3512, 3526)",sebaceous cyst,sebaceous cyst,417992006,300589005,10794068-DS-18," consistent with an epidermal inclusion cyst or a sebaceous cyst. Minimal marrow edema L2 and L3 and L5-S1 facets" Missed entity,"(3529, 3536)",,Minimal,,162468002,,10794068-DS-18,"an epidermal inclusion cyst or a sebaceous cyst. Minimal marrow edema L2 and L3 and L5-S1 facets and C1-2 " "Correct entity, wrong SNOMED ID","(3544, 3549)","(3544, 3549)",edema,edema,267038008,102576009,10794068-DS-18,"clusion cyst or a sebaceous cyst. Minimal marrow edema L2 and L3 and L5-S1 facets and C1-2 lateral mass" Missed entity,"(3550, 3552)",,L2,,14293000,,10794068-DS-18,"n cyst or a sebaceous cyst. Minimal marrow edema L2 and L3 and L5-S1 facets and C1-2 lateral mass jo" Boundary error,"(3557, 3559)","(3557, 3558)",L3,L,36470004,420296000,10794068-DS-18,"or a sebaceous cyst. Minimal marrow edema L2 and L3 and L5-S1 facets and C1-2 lateral mass joints , " Wrong span,"(3564, 3569)","(3564, 3566)",L5-S1,L5,715056000,728841005,10794068-DS-18,"baceous cyst. Minimal marrow edema L2 and L3 and L5-S1 facets and C1-2 lateral mass joints , pattern mo" Missed entity,"(3570, 3576)",,facets,,70746003,,10794068-DS-18,"s cyst. Minimal marrow edema L2 and L3 and L5-S1 facets and C1-2 lateral mass joints , pattern most comp" Wrong span,"(3581, 3606)","(3595, 3606)","C1-2 lateral mass joints",mass joints,62555009,202155009,10794068-DS-18,"nimal marrow edema L2 and L3 and L5-S1 facets and C1-2 lateral mass joints , pattern most compatible with degenertive change" "Correct entity, wrong SNOMED ID","(3638, 3657)","(3638, 3657)",degenertive changes,degenertive changes,762305005,68401000,10794068-DS-18,"teral mass joints , pattern most compatible with degenertive changes without secondary features to indicate acute tra" "Correct entity, wrong SNOMED ID","(3704, 3710)","(3704, 3710)",trauma,trauma,417746004,39400004,10794068-DS-18,"ges without secondary features to indicate acute trauma. Multilevel degenerative changes as described ab" "Correct entity, wrong SNOMED ID","(3724, 3744)","(3724, 3744)",degenerative changes,degenerative changes,762305005,708529002,10794068-DS-18,"ry features to indicate acute trauma. Multilevel degenerative changes as described above. ___ CXR: Asymmetric lucency" "Correct entity, wrong SNOMED ID","(3802, 3811)","(3802, 3811)",left lung,left lung,44029006,10631000,10794068-DS-18,"ribed above. ___ CXR: Asymmetric lucency of the left lung suggests an anterior pneumothorax in this supine" "Correct entity, wrong SNOMED ID","(3834, 3846)","(3834, 3846)",pneumothorax,pneumothorax,36118008,109364007,10794068-DS-18,"ic lucency of the left lung suggests an anterior pneumothorax in this supine patient. Right lower lobe opacity" "Correct entity, wrong SNOMED ID","(3871, 3887)","(3871, 3887)",Right lower lobe,Right lower lobe,266005,200384002,10794068-DS-18,"an anterior pneumothorax in this supine patient. Right lower lobe opacity likely reflects new right pleural effusi" "Correct entity, wrong SNOMED ID","(3889, 3896)","(3889, 3896)",opacity,opacity,128305008,193570009,10794068-DS-18,"othorax in this supine patient. Right lower lobe opacity likely reflects new right pleural effusion (moder" Wrong span,"(3917, 3922)","(3917, 3939)",right,right pleural effusion,44788007,1366512001,10794068-DS-18,"nt. Right lower lobe opacity likely reflects new right pleural effusion (moderate) and right lower lobe" Wrong span,"(3923, 3939)","(3917, 3939)",pleural effusion,right pleural effusion,60046008,1366512001,10794068-DS-18,"ght lower lobe opacity likely reflects new right pleural effusion (moderate) and right lower lobe consolidation. N" "Correct entity, wrong SNOMED ID","(3956, 3972)","(3956, 3972)",right lower lobe,right lower lobe,266005,200384002,10794068-DS-18,"flects new right pleural effusion (moderate) and right lower lobe consolidation. New moderately severe pulmonary e" "Correct entity, wrong SNOMED ID","(3973, 3986)","(3973, 3986)",consolidation,consolidation,9656002,95436008,10794068-DS-18,"pleural effusion (moderate) and right lower lobe consolidation. New moderately severe pulmonary edema. ___ CT" Wrong span,"(4021, 4026)","(4011, 4026)",edema,pulmonary edema,267038008,40541001,10794068-DS-18,"e consolidation. New moderately severe pulmonary edema. ___ CT Chest: Bilateral moderate-sized simple " "Correct entity, wrong SNOMED ID","(4076, 4093)","(4076, 4093)",pleural effusions,pleural effusions,60046008,425802001,10794068-DS-18,". ___ CT Chest: Bilateral moderate-sized simple pleural effusions and associated compressive atelectasis of the lo" "Correct entity, wrong SNOMED ID","(4141, 4152)","(4141, 4152)",lower lobes,lower lobes,90572001,41224006,10794068-DS-18,"ns and associated compressive atelectasis of the lower lobes, new since the prior study. Multifocal ground-gl" Missed entity,"(4175, 4180)",,study,,386053000,,10794068-DS-18,"lectasis of the lower lobes, new since the prior study. Multifocal ground-glass opacities in the right " "Correct entity, wrong SNOMED ID","(4224, 4234)","(4224, 4234)",right lung,right lung,3341006,1332247001,10794068-DS-18," study. Multifocal ground-glass opacities in the right lung may represent infection or aspiration. Extensive" "Correct entity, wrong SNOMED ID","(4250, 4259)","(4250, 4259)",infection,infection,40733004,260976002,10794068-DS-18,"glass opacities in the right lung may represent infection or aspiration. Extensive subcutaneous emphysema i" "Correct entity, wrong SNOMED ID","(4263, 4273)","(4263, 4273)",aspiration,aspiration,422588002,68052005,10794068-DS-18,"es in the right lung may represent infection or aspiration. Extensive subcutaneous emphysema in the left an" "Correct entity, wrong SNOMED ID","(4285, 4307)","(4285, 4307)",subcutaneous emphysema,subcutaneous emphysema,3830001,1237075004,10794068-DS-18,"may represent infection or aspiration. Extensive subcutaneous emphysema in the left anterior chest wall, has increased s" Wrong span,"(4316, 4320)","(4316, 4340)",left,left anterior chest wall,771318003,1290343009,10794068-DS-18,"iration. Extensive subcutaneous emphysema in the left anterior chest wall, has increased since the prio" Wrong span,"(4321, 4340)","(4316, 4340)",anterior chest wall,left anterior chest wall,63698005,1290343009,10794068-DS-18,"on. Extensive subcutaneous emphysema in the left anterior chest wall, has increased since the prior study. Interval r" Missed entity,"(4346, 4355)",,increased,,271299001,,10794068-DS-18,"s emphysema in the left anterior chest wall, has increased since the prior study. Interval resolution of a " Missed entity,"(4372, 4377)",,study,,386053000,,10794068-DS-18,"nterior chest wall, has increased since the prior study. Interval resolution of a left-sided pneumothora" Missed entity,"(4389, 4399)",,resolution,,413322009,,10794068-DS-18,"l, has increased since the prior study. Interval resolution of a left-sided pneumothorax. Multiple left rece" Wrong span,"(4405, 4415)","(4405, 4428)",left-sided,left-sided pneumothorax,53727004,29731002,10794068-DS-18," since the prior study. Interval resolution of a left-sided pneumothorax. Multiple left recent rib fractures" Wrong span,"(4416, 4428)","(4405, 4428)",pneumothorax,left-sided pneumothorax,36118008,29731002,10794068-DS-18,"prior study. Interval resolution of a left-sided pneumothorax. Multiple left recent rib fractures and non-acut" Wrong span,"(4439, 4443)","(4439, 4451)",left,"left recent",724223001,42176003,10794068-DS-18,"resolution of a left-sided pneumothorax. Multiple left recent rib fractures and non-acute right rib fra" Wrong span,"(4480, 4485)","(4480, 4499)",right,right rib fractures,724221004,11315281000119100,10794068-DS-18,"Multiple left recent rib fractures and non-acute right rib fractures. ___ CXR: The Dobbhoff catheter " Wrong span,"(4486, 4499)","(4480, 4499)",rib fractures,right rib fractures,1261007,11315281000119100,10794068-DS-18,"le left recent rib fractures and non-acute right rib fractures. ___ CXR: The Dobbhoff catheter is in the left" Missed entity,"(4517, 4534)",,Dobbhoff catheter,,449842009,,10794068-DS-18,"nd non-acute right rib fractures. ___ CXR: The Dobbhoff catheter is in the left main bronchus and should be remov" "Correct entity, wrong SNOMED ID","(4545, 4563)","(4545, 4563)",left main bronchus,left main bronchus,75245000,361959008,10794068-DS-18,"ures. ___ CXR: The Dobbhoff catheter is in the left main bronchus and should be removed. Stable severe right lower" Missed entity,"(4588, 4594)",,Stable,,162498009,,10794068-DS-18,"in the left main bronchus and should be removed. Stable severe right lower lobe pneumonia, bilateral ple" "Correct entity, wrong SNOMED ID","(4619, 4628)","(4619, 4628)",pneumonia,pneumonia,233604007,415125002,10794068-DS-18,"should be removed. Stable severe right lower lobe pneumonia, bilateral pleural effusions and left lower lobe" Wrong span,"(4641, 4657)","(4631, 4658)",pleural effusion,bilateral pleural effusions,60046008,425802001,10794068-DS-18,"ble severe right lower lobe pneumonia, bilateral pleural effusions and left lower lobe atelectasis. ___ CXR: The" "Correct entity, wrong SNOMED ID","(4663, 4678)","(4663, 4678)",left lower lobe,left lower lobe,41224006,361989001,10794068-DS-18," lobe pneumonia, bilateral pleural effusions and left lower lobe atelectasis. ___ CXR: The Dobbhoff tube is coi" Missed entity,"(4708, 4721)",,Dobbhoff tube,,449842009,,10794068-DS-18," and left lower lobe atelectasis. ___ CXR: The Dobbhoff tube is coiled in the stomach. The tip projects over " "Correct entity, wrong SNOMED ID","(4739, 4746)","(4739, 4746)",stomach,stomach,69695003,169008005,10794068-DS-18,"s. ___ CXR: The Dobbhoff tube is coiled in the stomach. The tip projects over the middle parts of the s" "Correct entity, wrong SNOMED ID","(4795, 4802)","(4795, 4802)",stomach,stomach,69695003,169008005,10794068-DS-18,"h. The tip projects over the middle parts of the stomach. Normal tracheostomy tube. No evidence of compli" "Correct entity, wrong SNOMED ID","(4812, 4829)","(4812, 4829)",tracheostomy tube,tracheostomy tube,232685002,261476002,10794068-DS-18,"cts over the middle parts of the stomach. Normal tracheostomy tube. No evidence of complications. Unchanged left su" Missed entity,"(4831, 4842)",,No evidence,,281900007,,10794068-DS-18," parts of the stomach. Normal tracheostomy tube. No evidence of complications. Unchanged left subclavian vein" Wrong span,"(4871, 4875)","(4871, 4901)",left,"left subclavian vein catheter",734747003,405430002,10794068-DS-18,"omy tube. No evidence of complications. Unchanged left subclavian vein catheter. Mild retrocardiac atel" Wrong span,"(4877, 4901)","(4871, 4901)",subclavian vein catheter,"left subclavian vein catheter",233530004,405430002,10794068-DS-18,"be. No evidence of complications. Unchanged left subclavian vein catheter. Mild retrocardiac atelectasis. Unchanged size o" "Correct entity, wrong SNOMED ID","(4921, 4932)","(4921, 4932)",atelectasis,atelectasis,46621007,16537000,10794068-DS-18,"left subclavian vein catheter. Mild retrocardiac atelectasis. Unchanged size of the cardiac silhouette. The s" Missed entity,"(4945, 4949)",,size,,53461003,,10794068-DS-18,"theter. Mild retrocardiac atelectasis. Unchanged size of the cardiac silhouette. The study and the rep" Wrong span,"(4957, 4964)","(4957, 4975)",cardiac,cardiac silhouette,80891009,1259956008,10794068-DS-18," retrocardiac atelectasis. Unchanged size of the cardiac silhouette. The study and the report were review" Missed entity,"(4981, 4986)",,study,,386053000,,10794068-DS-18,"s. Unchanged size of the cardiac silhouette. The study and the report were reviewed by the staff radiol" "Correct entity, wrong SNOMED ID","(5054, 5062)","(5054, 5062)",Improved,Improved,268910001,251359002,10794068-DS-18,"ere reviewed by the staff radiologist. ___ CXR: Improved ventilation at both lung bases with small remnan" "Correct entity, wrong SNOMED ID","(5083, 5093)","(5083, 5093)",lung bases,lung bases,10024003,314791004,10794068-DS-18,"iologist. ___ CXR: Improved ventilation at both lung bases with small remnant areas of atelectasis. No newl" "Correct entity, wrong SNOMED ID","(5173, 5182)","(5173, 5182)",opacities,opacities,128305008,422061002,10794068-DS-18,"atelectasis. No newly-occurred focal parenchymal opacities. Mild cardiomegaly without pulmonary edema. __" "Correct entity, wrong SNOMED ID","(5190, 5202)","(5190, 5202)",cardiomegaly,cardiomegaly,8186001,275516004,10794068-DS-18,"ewly-occurred focal parenchymal opacities. Mild cardiomegaly without pulmonary edema. ___ CXR: As compared t" Wrong span,"(5221, 5226)","(5211, 5226)",edema,pulmonary edema,267038008,40541001,10794068-DS-18,"l opacities. Mild cardiomegaly without pulmonary edema. ___ CXR: As compared to the previous radiograp" "Correct entity, wrong SNOMED ID","(5267, 5277)","(5267, 5277)",radiograph,radiograph,399208008,168537006,10794068-DS-18,"ary edema. ___ CXR: As compared to the previous radiograph, the Dobbhoff tube has been advanced. The tip of" Missed entity,"(5283, 5297)",,"Dobbhoff tube",,449842009,,10794068-DS-18," CXR: As compared to the previous radiograph, the Dobbhoff tube has been advanced. The tip of the tube now projec" "Correct entity, wrong SNOMED ID","(5380, 5387)","(5380, 5387)",stomach,stomach,69695003,169008005,10794068-DS-18,"e tube now projects over the middle parts of the stomach. No evidence of complications. Otherwise, the ra" Missed entity,"(5389, 5400)",,No evidence,,281900007,,10794068-DS-18,"w projects over the middle parts of the stomach. No evidence of complications. Otherwise, the radiograph is " "Correct entity, wrong SNOMED ID","(5435, 5445)","(5435, 5445)",radiograph,radiograph,399208008,168537006,10794068-DS-18,"ch. No evidence of complications. Otherwise, the radiograph is unchanged. ___ 09:50PM BLOOD WBC-8.4 RBC-4." "Correct entity, wrong SNOMED ID","(5481, 5484)","(5481, 5484)",WBC,WBC,767002,391558003,10794068-DS-18,"the radiograph is unchanged. ___ 09:50PM BLOOD WBC-8.4 RBC-4.40* Hgb-13.8* Hct-40.1 MCV-91 MCH-31.4" "Correct entity, wrong SNOMED ID","(5489, 5492)","(5489, 5492)",RBC,RBC,14089001,258759006,10794068-DS-18,"ograph is unchanged. ___ 09:50PM BLOOD WBC-8.4 RBC-4.40* Hgb-13.8* Hct-40.1 MCV-91 MCH-31.4 MCHC-34" "Correct entity, wrong SNOMED ID","(5499, 5502)","(5499, 5502)",Hgb,Hgb,441689006,104142005,10794068-DS-18," unchanged. ___ 09:50PM BLOOD WBC-8.4 RBC-4.40* Hgb-13.8* Hct-40.1 MCV-91 MCH-31.4 MCHC-34.4 RDW-16." "Correct entity, wrong SNOMED ID","(5509, 5512)","(5509, 5512)",Hct,Hct,28317006,282660005,10794068-DS-18,". ___ 09:50PM BLOOD WBC-8.4 RBC-4.40* Hgb-13.8* Hct-40.1 MCV-91 MCH-31.4 MCHC-34.4 RDW-16.2* Plt ___" Missed entity,"(5519, 5522)",,MCV,,104133003,,10794068-DS-18,":50PM BLOOD WBC-8.4 RBC-4.40* Hgb-13.8* Hct-40.1 MCV-91 MCH-31.4 MCHC-34.4 RDW-16.2* Plt ___ ___ 09:50" "Correct entity, wrong SNOMED ID","(5535, 5539)","(5535, 5539)",MCHC,MCHC,37254006,735147002,10794068-DS-18,"8.4 RBC-4.40* Hgb-13.8* Hct-40.1 MCV-91 MCH-31.4 MCHC-34.4 RDW-16.2* Plt ___ ___ 09:50PM BLOOD Plt ___ " "Correct entity, wrong SNOMED ID","(5545, 5548)","(5545, 5548)",RDW,RDW,66842004,735149004,10794068-DS-18,"40* Hgb-13.8* Hct-40.1 MCV-91 MCH-31.4 MCHC-34.4 RDW-16.2* Plt ___ ___ 09:50PM BLOOD Plt ___ ___ 09:50" Missed entity,"(5555, 5558)",,Plt,,61928009,,10794068-DS-18,".8* Hct-40.1 MCV-91 MCH-31.4 MCHC-34.4 RDW-16.2* Plt ___ ___ 09:50PM BLOOD Plt ___ ___ 09:50PM BLOOD _" Missed entity,"(5581, 5584)",,Plt,,61928009,,10794068-DS-18,"1.4 MCHC-34.4 RDW-16.2* Plt ___ ___ 09:50PM BLOOD Plt ___ ___ 09:50PM BLOOD ___ 04:32AM BLOOD Glucose-5" "Correct entity, wrong SNOMED ID","(5625, 5632)","(5625, 5632)",Glucose,Glucose,33747003,72191006,10794068-DS-18,"BLOOD Plt ___ ___ 09:50PM BLOOD ___ 04:32AM BLOOD Glucose-53* UreaN-13 Creat-0.8 Na-131* K-4.5 Cl-102 HCO3" "Correct entity, wrong SNOMED ID","(5637, 5642)","(5637, 5642)",UreaN,UreaN,105011006,111108008,10794068-DS-18,"_ ___ 09:50PM BLOOD ___ 04:32AM BLOOD Glucose-53* UreaN-13 Creat-0.8 Na-131* K-4.5 Cl-102 HCO3-19* AnGap" "Correct entity, wrong SNOMED ID","(5646, 5651)","(5646, 5651)",Creat,Creat,70901006,413856009,10794068-DS-18,"50PM BLOOD ___ 04:32AM BLOOD Glucose-53* UreaN-13 Creat-0.8 Na-131* K-4.5 Cl-102 HCO3-19* AnGap-15 ___ 0" "Correct entity, wrong SNOMED ID","(5656, 5658)","(5656, 5658)",Na,Na,312469006,257992007,10794068-DS-18," ___ 04:32AM BLOOD Glucose-53* UreaN-13 Creat-0.8 Na-131* K-4.5 Cl-102 HCO3-19* AnGap-15 ___ 09:50PM " Missed entity,"(5665, 5666)",,K,,312468003,,10794068-DS-18,"2AM BLOOD Glucose-53* UreaN-13 Creat-0.8 Na-131* K-4.5 Cl-102 HCO3-19* AnGap-15 ___ 09:50PM BLOOD CK" "Correct entity, wrong SNOMED ID","(5671, 5673)","(5671, 5673)",Cl,Cl,104589004,311741002,10794068-DS-18,"OOD Glucose-53* UreaN-13 Creat-0.8 Na-131* K-4.5 Cl-102 HCO3-19* AnGap-15 ___ 09:50PM BLOOD CK(CPK)-1" "Correct entity, wrong SNOMED ID","(5678, 5682)","(5678, 5682)",HCO3,HCO3,312471006,88645003,10794068-DS-18,"cose-53* UreaN-13 Creat-0.8 Na-131* K-4.5 Cl-102 HCO3-19* AnGap-15 ___ 09:50PM BLOOD CK(CPK)-109 ___ 04" "Correct entity, wrong SNOMED ID","(5687, 5692)","(5687, 5692)",AnGap,AnGap,25469001,124504004,10794068-DS-18,"UreaN-13 Creat-0.8 Na-131* K-4.5 Cl-102 HCO3-19* AnGap-15 ___ 09:50PM BLOOD CK(CPK)-109 ___ 04:32AM BLOO" Boundary error,"(5714, 5721)","(5714, 5720)",CK(CPK),CK(CPK,397798009,432352001,10794068-DS-18," K-4.5 Cl-102 HCO3-19* AnGap-15 ___ 09:50PM BLOOD CK(CPK)-109 ___ 04:32AM BLOOD ALT-12 AST-27 CK(CPK)-304 A" "Correct entity, wrong SNOMED ID","(5744, 5747)","(5744, 5747)",ALT,ALT,34608000,56935002,10794068-DS-18,"5 ___ 09:50PM BLOOD CK(CPK)-109 ___ 04:32AM BLOOD ALT-12 AST-27 CK(CPK)-304 AlkPhos-76 TotBili-0.3 ___" "Correct entity, wrong SNOMED ID","(5751, 5754)","(5751, 5754)",AST,AST,45896001,85043005,10794068-DS-18,"9:50PM BLOOD CK(CPK)-109 ___ 04:32AM BLOOD ALT-12 AST-27 CK(CPK)-304 AlkPhos-76 TotBili-0.3 ___ 04:32A" Boundary error,"(5758, 5765)","(5758, 5764)",CK(CPK),CK(CPK,397798009,432352001,10794068-DS-18,"BLOOD CK(CPK)-109 ___ 04:32AM BLOOD ALT-12 AST-27 CK(CPK)-304 AlkPhos-76 TotBili-0.3 ___ 04:32AM BLOOD CK-" "Correct entity, wrong SNOMED ID","(5770, 5777)","(5770, 5777)",AlkPhos,AlkPhos,88810008,30703008,10794068-DS-18,")-109 ___ 04:32AM BLOOD ALT-12 AST-27 CK(CPK)-304 AlkPhos-76 TotBili-0.3 ___ 04:32AM BLOOD CK-MB-12* MB In" "Correct entity, wrong SNOMED ID","(5782, 5789)","(5782, 5789)",TotBili,TotBili,359986008,19754005,10794068-DS-18,":32AM BLOOD ALT-12 AST-27 CK(CPK)-304 AlkPhos-76 TotBili-0.3 ___ 04:32AM BLOOD CK-MB-12* MB Indx-3.9 cTrop" "Correct entity, wrong SNOMED ID","(5812, 5817)","(5812, 5817)",CK-MB,CK-MB,104613001,259309009,10794068-DS-18,"PK)-304 AlkPhos-76 TotBili-0.3 ___ 04:32AM BLOOD CK-MB-12* MB Indx-3.9 cTropnT-0.02* ___ 12:54AM BLOOD C" "Correct entity, wrong SNOMED ID","(5834, 5841)","(5834, 5841)",cTropnT,cTropnT,105001004,442255004,10794068-DS-18,"tBili-0.3 ___ 04:32AM BLOOD CK-MB-12* MB Indx-3.9 cTropnT-0.02* ___ 12:54AM BLOOD CK-MB-6 cTropnT-<0.01 ___" "Correct entity, wrong SNOMED ID","(5866, 5871)","(5866, 5871)",CK-MB,CK-MB,104613001,259309009,10794068-DS-18,"B-12* MB Indx-3.9 cTropnT-0.02* ___ 12:54AM BLOOD CK-MB-6 cTropnT-<0.01 ___ 04:32AM BLOOD Albumin-3.2* Ca" "Correct entity, wrong SNOMED ID","(5874, 5881)","(5874, 5881)",cTropnT,cTropnT,105001004,442255004,10794068-DS-18," Indx-3.9 cTropnT-0.02* ___ 12:54AM BLOOD CK-MB-6 cTropnT-<0.01 ___ 04:32AM BLOOD Albumin-3.2* Calcium-7.6*" "Correct entity, wrong SNOMED ID","(5906, 5913)","(5906, 5913)",Albumin,Albumin,26758005,102688002,10794068-DS-18,"4AM BLOOD CK-MB-6 cTropnT-<0.01 ___ 04:32AM BLOOD Albumin-3.2* Calcium-7.6* Phos-3.5 Mg-1.8 ___ 09:50PM BLO" "Correct entity, wrong SNOMED ID","(5919, 5926)","(5919, 5926)",Calcium,Calcium,312472004,108601004,10794068-DS-18,"MB-6 cTropnT-<0.01 ___ 04:32AM BLOOD Albumin-3.2* Calcium-7.6* Phos-3.5 Mg-1.8 ___ 09:50PM BLOOD ASA-NEG __" "Correct entity, wrong SNOMED ID","(5932, 5936)","(5932, 5936)",Phos,Phos,104868000,168075002,10794068-DS-18,"<0.01 ___ 04:32AM BLOOD Albumin-3.2* Calcium-7.6* Phos-3.5 Mg-1.8 ___ 09:50PM BLOOD ASA-NEG ___ Acetmnp-" "Correct entity, wrong SNOMED ID","(5941, 5943)","(5941, 5943)",Mg,Mg,271285000,258684004,10794068-DS-18," 04:32AM BLOOD Albumin-3.2* Calcium-7.6* Phos-3.5 Mg-1.8 ___ 09:50PM BLOOD ASA-NEG ___ Acetmnp-NEG Bn" Missed entity,"(5978, 5985)",,Acetmnp,,46093004,,10794068-DS-18,".6* Phos-3.5 Mg-1.8 ___ 09:50PM BLOOD ASA-NEG ___ Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 11:0" Missed entity,"(5991, 5998)",,Bnzodzp,,574005,,10794068-DS-18,"Mg-1.8 ___ 09:50PM BLOOD ASA-NEG ___ Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 11:09PM BLOOD Typ" Missed entity,"(6003, 6010)",,Barbitr,,105079003,,10794068-DS-18,"9:50PM BLOOD ASA-NEG ___ Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 11:09PM BLOOD Type-ART Tidal " Missed entity,"(6015, 6022)",,Tricycl,,44787002,,10794068-DS-18," ASA-NEG ___ Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 11:09PM BLOOD Type-ART Tidal V-500 PEEP-5" Missed entity,"(6050, 6053)",,ART,,32564009,,10794068-DS-18,"EG Barbitr-NEG Tricycl-NEG ___ 11:09PM BLOOD Type-ART Tidal V-500 PEEP-5 FiO2-100 pO2-501* pCO2-52* pH" Missed entity,"(6083, 6086)",,pO2,,25579001,,10794068-DS-18,":09PM BLOOD Type-ART Tidal V-500 PEEP-5 FiO2-100 pO2-501* pCO2-52* pH-7.20* calTCO2-21 Base XS--7 AADO" Missed entity,"(6092, 6096)",,pCO2,,167028004,,10794068-DS-18,"OD Type-ART Tidal V-500 PEEP-5 FiO2-100 pO2-501* pCO2-52* pH-7.20* calTCO2-21 Base XS--7 AADO2-182 REQ " "Correct entity, wrong SNOMED ID","(6101, 6103)","(6101, 6103)",pH,pH,81065003,264912003,10794068-DS-18,"RT Tidal V-500 PEEP-5 FiO2-100 pO2-501* pCO2-52* pH-7.20* calTCO2-21 Base XS--7 AADO2-182 REQ O2-38 " Missed entity,"(6121, 6128)",,Base XS,,67487000,,10794068-DS-18,"5 FiO2-100 pO2-501* pCO2-52* pH-7.20* calTCO2-21 Base XS--7 AADO2-182 REQ O2-38 -ASSIST/CON Intubat-INTUB" Missed entity,"(6173, 6182)",,INTUBATED,,52765003,,10794068-DS-18,"se XS--7 AADO2-182 REQ O2-38 -ASSIST/CON Intubat-INTUBATED ___ 02:32AM BLOOD Type-ART Temp-38.8 PEEP-10 pO2-" Missed entity,"(6206, 6209)",,ART,,32564009,,10794068-DS-18,"SIST/CON Intubat-INTUBATED ___ 02:32AM BLOOD Type-ART Temp-38.8 PEEP-10 pO2-116* pCO2-43 pH-7.41 calTC" Missed entity,"(6210, 6214)",,Temp,,105723007,,10794068-DS-18,"/CON Intubat-INTUBATED ___ 02:32AM BLOOD Type-ART Temp-38.8 PEEP-10 pO2-116* pCO2-43 pH-7.41 calTCO2-28" Missed entity,"(6228, 6231)",,pO2,,25579001,,10794068-DS-18,"ATED ___ 02:32AM BLOOD Type-ART Temp-38.8 PEEP-10 pO2-116* pCO2-43 pH-7.41 calTCO2-28 Base XS-1 Intuba" Missed entity,"(6238, 6242)",,pCO2,,167028004,,10794068-DS-18,"2:32AM BLOOD Type-ART Temp-38.8 PEEP-10 pO2-116* pCO2-43 pH-7.41 calTCO2-28 Base XS-1 Intubat-INTUBATED" "Correct entity, wrong SNOMED ID","(6246, 6248)","(6246, 6248)",pH,pH,81065003,264912003,10794068-DS-18,"LOOD Type-ART Temp-38.8 PEEP-10 pO2-116* pCO2-43 pH-7.41 calTCO2-28 Base XS-1 Intubat-INTUBATED Bri" Missed entity,"(6265, 6272)",,Base XS,,67487000,,10794068-DS-18,"38.8 PEEP-10 pO2-116* pCO2-43 pH-7.41 calTCO2-28 Base XS-1 Intubat-INTUBATED Brief Hospital Course: Neur" Missed entity,"(6283, 6292)",,INTUBATED,,52765003,,10794068-DS-18,"16* pCO2-43 pH-7.41 calTCO2-28 Base XS-1 Intubat-INTUBATED Brief Hospital Course: Neuro: The patient requ" "Correct entity, wrong SNOMED ID","(6318, 6323)","(6318, 6323)",Neuro,Neuro,717247001,281247006,10794068-DS-18,"e XS-1 Intubat-INTUBATED Brief Hospital Course: Neuro: The patient requires medication for agitation, " Missed entity,"(6347, 6357)",,medication,,18629005,,10794068-DS-18,"ief Hospital Course: Neuro: The patient requires medication for agitation, and should continue oxycodone and" "Correct entity, wrong SNOMED ID","(6362, 6371)","(6362, 6371)",agitation,agitation,24199005,16997008,10794068-DS-18,"urse: Neuro: The patient requires medication for agitation, and should continue oxycodone and Tylenol prn p" Missed entity,"(6408, 6415)",,Tylenol,,52685006,,10794068-DS-18,"for agitation, and should continue oxycodone and Tylenol prn pain, as well as clonidine, seroquel QHS, q1" Missed entity,"(6420, 6424)",,pain,,22253000,,10794068-DS-18,"n, and should continue oxycodone and Tylenol prn pain, as well as clonidine, seroquel QHS, q16:00 and " "Correct entity, wrong SNOMED ID","(6537, 6552)","(6537, 6552)",EtOH dependence,EtOH dependence,66590003,713583005,10794068-DS-18," Zydis was used prn as well. For his history of EtOH dependence and previous episodes of complicated withdrawal " Wrong span,"(6623, 6637)","(6623, 6627)","CIWA protocol",CIWA,386449006,1261000181100,10794068-DS-18,"es of complicated withdrawal he was maintained on CIWA protocol with thiamine, folate & multivitamin for neuropr" Missed entity,"(6748, 6758)",,restraints,,386423001,,10794068-DS-18,"enzodiazepines were stopped ___. He has been in restraints intermittently for agitation and pulling at lines" "Correct entity, wrong SNOMED ID","(6778, 6787)","(6778, 6787)",agitation,agitation,24199005,16997008,10794068-DS-18,"_. He has been in restraints intermittently for agitation and pulling at lines. CV: The pt was initally in" "Correct entity, wrong SNOMED ID","(6811, 6813)","(6811, 6813)",CV,CV,718348005,303680000,10794068-DS-18,"termittently for agitation and pulling at lines. CV: The pt was initally in septic shock from his pne" "Correct entity, wrong SNOMED ID","(6838, 6850)","(6838, 6850)",septic shock,septic shock,76571007,234173007,10794068-DS-18,"and pulling at lines. CV: The pt was initally in septic shock from his pneumonia and required pressors to main" "Correct entity, wrong SNOMED ID","(6860, 6869)","(6860, 6869)",pneumonia,pneumonia,233604007,415125002,10794068-DS-18," CV: The pt was initally in septic shock from his pneumonia and required pressors to mainatin hemodynamic st" "Correct entity, wrong SNOMED ID","(6884, 6892)","(6884, 6892)",pressors,pressors,408497003,50052006,10794068-DS-18," in septic shock from his pneumonia and required pressors to mainatin hemodynamic stability. These were d" "Correct entity, wrong SNOMED ID","(6905, 6916)","(6905, 6916)",hemodynamic,hemodynamic,716777001,128576006,10794068-DS-18," his pneumonia and required pressors to mainatin hemodynamic stability. These were discontinued on ___. The" Missed entity,"(6941, 6953)",,discontinued,,304540007,,10794068-DS-18,"s to mainatin hemodynamic stability. These were discontinued on ___. The pt has been maintained on metoprolol" Missed entity,"(7016, 7020)",,Pulm,,410207002,,10794068-DS-18," pt has been maintained on metoprolol 25 mg BID Pulm: The pt was initially intubated in the Emergency " "Correct entity, wrong SNOMED ID","(7043, 7052)","(7043, 7052)",intubated,intubated,112798008,262007003,10794068-DS-18,"metoprolol 25 mg BID Pulm: The pt was initially intubated in the Emergency Department for agitation, emesi" "Correct entity, wrong SNOMED ID","(7086, 7095)","(7086, 7095)",agitation,agitation,24199005,16997008,10794068-DS-18,"tially intubated in the Emergency Department for agitation, emesis and concern for aspiration. He was found" "Correct entity, wrong SNOMED ID","(7097, 7103)","(7097, 7103)",emesis,emesis,422400008,71419002,10794068-DS-18,"bated in the Emergency Department for agitation, emesis and concern for aspiration. He was found to hav" "Correct entity, wrong SNOMED ID","(7120, 7130)","(7120, 7130)",aspiration,aspiration,14766002,68052005,10794068-DS-18,"Department for agitation, emesis and concern for aspiration. He was found to have a leftsided pneumothorax " Wrong span,"(7157, 7179)","(7157, 7166)",leftsided pneumothorax,leftsided,109364007,184087005,10794068-DS-18," concern for aspiration. He was found to have a leftsided pneumothorax and a chest tube was placed in the ED. This was" Wrong span,"(7186, 7207)","(7186, 7196)",chest tube was placed,chest tube,264957007,55628002,10794068-DS-18,"was found to have a leftsided pneumothorax and a chest tube was placed in the ED. This was found to enter the subcutan" Wrong span,"(7249, 7261)","(7249, 7267)",subcutaneous,subcutaneous space,58087007,445055004,10794068-DS-18,"s placed in the ED. This was found to enter the subcutaneous space and was removed. The pneumothorax did res" "Correct entity, wrong SNOMED ID","(7277, 7284)","(7277, 7284)",removed,removed,238356005,246162000,10794068-DS-18,"as found to enter the subcutaneous space and was removed. The pneumothorax did resolve on serial films. " "Correct entity, wrong SNOMED ID","(7291, 7303)","(7291, 7303)",pneumothorax,pneumothorax,36118008,109364007,10794068-DS-18,"ter the subcutaneous space and was removed. The pneumothorax did resolve on serial films. The pt did develop" "Correct entity, wrong SNOMED ID","(7363, 7383)","(7363, 7383)",aspiration pneumonia,aspiration pneumonia,422588002,276695003,10794068-DS-18,"ve on serial films. The pt did develop a likely aspiration pneumonia and was treated empirically with Vancomycin and " Missed entity,"(7418, 7428)",,Vancomycin,,281789004,,10794068-DS-18,"ation pneumonia and was treated empirically with Vancomycin and Zosyn, and completed a 10-day course on ___." Missed entity,"(7618, 7621)",,ICU,,397821002,,10794068-DS-18,"e percutaneous tracheostomy was performed in the ICU ___ with a #8 Portex. He has been able to wean " Missed entity,"(7744, 7747)",,FEN,,386372009,,10794068-DS-18," of discharge did have a trial with trach mask. FEN/GI: Pt had dobhoff tube placed x3 for tube feeds." "Correct entity, wrong SNOMED ID","(7759, 7778)","(7759, 7778)",dobhoff tube placed,dobhoff tube placed,87750000,232683009,10794068-DS-18,"id have a trial with trach mask. FEN/GI: Pt had dobhoff tube placed x3 for tube feeds. He pulled out the first two " "Correct entity, wrong SNOMED ID","(7994, 7996)","(7994, 7996)",ID,ID,77248004,84440006,10794068-DS-18,"me of discharge, were running at goal (55cc/hr). ID: The pt was initially septic from his pnemonia an" "Correct entity, wrong SNOMED ID","(8019, 8025)","(8019, 8025)",septic,septic,91302008,137701000119106,10794068-DS-18,"ning at goal (55cc/hr). ID: The pt was initially septic from his pnemonia and completed a 10-day course " "Correct entity, wrong SNOMED ID","(8035, 8043)","(8035, 8043)",pnemonia,pnemonia,233604007,22676008,10794068-DS-18,"cc/hr). ID: The pt was initially septic from his pnemonia and completed a 10-day course of Vanc/Zosyn on _" Missed entity,"(8078, 8082)",,Vanc,,281789004,,10794068-DS-18,"om his pnemonia and completed a 10-day course of Vanc/Zosyn on ___, pressors d/c'ed ___. GU: The pt ha" Wrong span,"(8097, 8105)","(8097, 8102)",pressors,press,408497003,85684007,10794068-DS-18," completed a 10-day course of Vanc/Zosyn on ___, pressors d/c'ed ___. GU: The pt has been diuresed with La" "Correct entity, wrong SNOMED ID","(8139, 8147)","(8139, 8147)",diuresed,diuresed,722048006,182736004,10794068-DS-18,"on ___, pressors d/c'ed ___. GU: The pt has been diuresed with Lasix 20mg IV BID. He has a Foley catheter." "Correct entity, wrong SNOMED ID","(8153, 8158)","(8153, 8158)",Lasix,Lasix,722048006,25401000181106,10794068-DS-18,"rs d/c'ed ___. GU: The pt has been diuresed with Lasix 20mg IV BID. He has a Foley catheter. Musculosk" "Correct entity, wrong SNOMED ID","(8182, 8196)","(8182, 8196)",Foley catheter,Foley catheter,439053001,23973005,10794068-DS-18,"s been diuresed with Lasix 20mg IV BID. He has a Foley catheter. Musculoskeletal: Pt has lateral L rib fractures" "Correct entity, wrong SNOMED ID","(8199, 8214)","(8199, 8214)",Musculoskeletal,Musculoskeletal,408872006,241562006,10794068-DS-18,"ith Lasix 20mg IV BID. He has a Foley catheter. Musculoskeletal: Pt has lateral L rib fractures of ___. He also " Wrong span,"(8273, 8284)","(8273, 8296)",compression,compression deformities,71173004,609445005,10794068-DS-18,"lateral L rib fractures of ___. He also has old compression deformities of T2, T5, L1. He came off logroll " "Correct entity, wrong SNOMED ID","(8300, 8302)","(8300, 8302)",T2,T2,53733008,282384009,10794068-DS-18,"___. He also has old compression deformities of T2, T5, L1. He came off logroll precautions and ha" "Correct entity, wrong SNOMED ID","(8304, 8306)","(8304, 8306)",T5,T5,56401006,32088001,10794068-DS-18," He also has old compression deformities of T2, T5, L1. He came off logroll precautions and had hi" "Correct entity, wrong SNOMED ID","(8308, 8310)","(8308, 8310)",L1,L1,66794005,83696003,10794068-DS-18," also has old compression deformities of T2, T5, L1. He came off logroll precautions and had his C-" "Correct entity, wrong SNOMED ID","(8358, 8365)","(8358, 8365)",C-Spine,C-Spine,122494005,122495006,10794068-DS-18,"L1. He came off logroll precautions and had his C-Spine cleared ___. Heme: Heparin SC and venodyne boots" Missed entity,"(8386, 8396)",,Heparin SC,,312613008,,10794068-DS-18,"ecautions and had his C-Spine cleared ___. Heme: Heparin SC and venodyne boots for DVT Prophylaxis, PPI for " Wrong span,"(8420, 8435)","(8420, 8423)",DVT Prophylaxis,DVT,439993001,49956009,10794068-DS-18,"red ___. Heme: Heparin SC and venodyne boots for DVT Prophylaxis, PPI for ulcer prophylaxis Medications on Adm" "Correct entity, wrong SNOMED ID","(8437, 8440)","(8437, 8440)",PPI,PPI,870251000,277125003,10794068-DS-18,"eparin SC and venodyne boots for DVT Prophylaxis, PPI for ulcer prophylaxis Medications on Admissio" Wrong span,"(8446, 8451)","(8446, 8463)",ulcer,ulcer prophylaxis,13200003,1371339006,10794068-DS-18," and venodyne boots for DVT Prophylaxis, PPI for ulcer prophylaxis Medications on Admission: zocor, A" Wrong span,"(8452, 8463)","(8446, 8463)",prophylaxis,ulcer prophylaxis,169443000,1371339006,10794068-DS-18,"enodyne boots for DVT Prophylaxis, PPI for ulcer prophylaxis Medications on Admission: zocor, ASA, omeprazo" "Correct entity, wrong SNOMED ID","(11572, 11581)","(11572, 11581)",Displaced,Displaced,123735002,13206009,10794068-DS-18,"nded Care Facility: ___ Discharge Diagnosis: -Displaced ___ left-sided rib fractures & small pneumothorax" "Correct entity, wrong SNOMED ID","(11586, 11596)","(11586, 11596)",left-sided,left-sided,724223001,448683002,10794068-DS-18,"cility: ___ Discharge Diagnosis: -Displaced ___ left-sided rib fractures & small pneumothorax s/p unwitness" "Correct entity, wrong SNOMED ID","(11597, 11610)","(11597, 11610)",rib fractures,rib fractures,1261007,429381000124105,10794068-DS-18," Discharge Diagnosis: -Displaced ___ left-sided rib fractures & small pneumothorax s/p unwitnessed fall -Alcoh" "Correct entity, wrong SNOMED ID","(11619, 11631)","(11619, 11631)",pneumothorax,pneumothorax,36118008,109364007,10794068-DS-18,": -Displaced ___ left-sided rib fractures & small pneumothorax s/p unwitnessed fall -Alcohol dependence -Aspir" "Correct entity, wrong SNOMED ID","(11649, 11653)","(11649, 11653)",fall,fall,161898004,298344006,10794068-DS-18,"b fractures & small pneumothorax s/p unwitnessed fall -Alcohol dependence -Aspiration Pneumonia Dis" "Correct entity, wrong SNOMED ID","(11655, 11673)","(11655, 11673)",Alcohol dependence,Alcohol dependence,66590003,713583005,10794068-DS-18,"tures & small pneumothorax s/p unwitnessed fall -Alcohol dependence -Aspiration Pneumonia Discharge Condition: Me" "Correct entity, wrong SNOMED ID","(11676, 11696)","(11676, 11696)",Aspiration Pneumonia,Aspiration Pneumonia,422588002,276695003,10794068-DS-18,"horax s/p unwitnessed fall -Alcohol dependence -Aspiration Pneumonia Discharge Condition: Mental Status: Confused -" "Correct entity, wrong SNOMED ID","(11721, 11734)","(11721, 11734)",Mental Status,Mental Status,392257007,419284004,10794068-DS-18,"ce -Aspiration Pneumonia Discharge Condition: Mental Status: Confused - sometimes. Level of Consciousness: Al" "Correct entity, wrong SNOMED ID","(11736, 11744)","(11736, 11744)",Confused,Confused,40917007,225439006,10794068-DS-18," Pneumonia Discharge Condition: Mental Status: Confused - sometimes. Level of Consciousness: Alert and in" "Correct entity, wrong SNOMED ID","(11758, 11780)","(11758, 11780)",Level of Consciousness,Level of Consciousness,444714004,830285008,10794068-DS-18,"e Condition: Mental Status: Confused - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Out of B" "Correct entity, wrong SNOMED ID","(11782, 11787)","(11782, 11787)",Alert,Alert,248234008,409787004,10794068-DS-18,"us: Confused - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with" "Correct entity, wrong SNOMED ID","(11792, 11803)","(11792, 11803)",interactive,interactive,288577006,10301000202103,10794068-DS-18,"ed - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to c" "Correct entity, wrong SNOMED ID","(11805, 11820)","(11805, 11820)",Activity Status,Activity Status,129676008,397622007,10794068-DS-18,"s. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelcha" Wrong span,"(11822, 11848)","(11822, 11837)",Out of Bed with assistance,Out of Bed with,301679006,1071841000000108,10794068-DS-18,"iousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelchair has ambulated in ICU with" "Correct entity, wrong SNOMED ID","(11890, 11893)","(11890, 11893)",ICU,ICU,397821002,419215006,10794068-DS-18,"sistance to chair or wheelchair has ambulated in ICU with assist Discharge Instructions: Please cal" Missed entity,"(11940, 11956)",,call your doctor,,304562007,,10794068-DS-18,"ICU with assist Discharge Instructions: Please call your doctor or nurse practitioner or return to the Emergency" Missed entity,"(11960, 11965)",,nurse,,385775004,,10794068-DS-18,"ischarge Instructions: Please call your doctor or nurse practitioner or return to the Emergency Departme" Missed entity,"(11982, 12006)",,"return to the Emergency",,385867000,,10794068-DS-18," Please call your doctor or nurse practitioner or return to the Emergency Department for any of the following: *You experie" "Correct entity, wrong SNOMED ID","(12064, 12074)","(12064, 12074)",chest pain,chest pain,29857009,444821009,10794068-DS-18,"ent for any of the following: *You experience new chest pain, pressure, squeezing or tightness. *New or worse" "Correct entity, wrong SNOMED ID","(12076, 12084)","(12076, 12084)",pressure,pressure,23924001,1264052006,10794068-DS-18,"of the following: *You experience new chest pain, pressure, squeezing or tightness. *New or worsening cough" "Correct entity, wrong SNOMED ID","(12086, 12095)","(12086, 12095)",squeezing,squeezing,371030007,242002003,10794068-DS-18,"lowing: *You experience new chest pain, pressure, squeezing or tightness. *New or worsening cough, shortness" "Correct entity, wrong SNOMED ID","(12129, 12134)","(12129, 12134)",cough,cough,49727002,28743005,10794068-DS-18,"ssure, squeezing or tightness. *New or worsening cough, shortness of breath, or wheeze. *If you are vomi" "Correct entity, wrong SNOMED ID","(12136, 12155)","(12136, 12155)",shortness of breath,shortness of breath,267036007,135833008,10794068-DS-18,"squeezing or tightness. *New or worsening cough, shortness of breath, or wheeze. *If you are vomiting and cannot keep " "Correct entity, wrong SNOMED ID","(12160, 12166)","(12160, 12166)",wheeze,wheeze,56018004,9763007,10794068-DS-18," *New or worsening cough, shortness of breath, or wheeze. *If you are vomiting and cannot keep down fluids" "Correct entity, wrong SNOMED ID","(12180, 12188)","(12180, 12188)",vomiting,vomiting,422400008,162062008,10794068-DS-18,"ough, shortness of breath, or wheeze. *If you are vomiting and cannot keep down fluids or your medications." Wrong span,"(12193, 12237)","(12193, 12204)","cannot keep down fluids or your medications",cannot keep,16932000,24199005,10794068-DS-18,"ss of breath, or wheeze. *If you are vomiting and cannot keep down fluids or your medications. *You are getting dehydrated due to continued vom" "Correct entity, wrong SNOMED ID","(12256, 12266)","(12256, 12266)",dehydrated,dehydrated,34095006,190894003,10794068-DS-18,"own fluids or your medications. *You are getting dehydrated due to continued vomiting, diarrhea, or other re" "Correct entity, wrong SNOMED ID","(12284, 12292)","(12284, 12292)",vomiting,vomiting,422400008,162062008,10794068-DS-18,"ons. *You are getting dehydrated due to continued vomiting, diarrhea, or other reasons. Signs of dehydratio" "Correct entity, wrong SNOMED ID","(12294, 12302)","(12294, 12302)",diarrhea,diarrhea,62315008,111843007,10794068-DS-18,"are getting dehydrated due to continued vomiting, diarrhea, or other reasons. Signs of dehydration include " Wrong span,"(12323, 12328)","(12323, 12331)",Signs,Signs of,72670004,86631001,10794068-DS-18," continued vomiting, diarrhea, or other reasons. Signs of dehydration include dry mouth, rapid heartbea" "Correct entity, wrong SNOMED ID","(12332, 12343)","(12332, 12343)",dehydration,dehydration,34095006,1611000119108,10794068-DS-18,"d vomiting, diarrhea, or other reasons. Signs of dehydration include dry mouth, rapid heartbeat, or feeling d" "Correct entity, wrong SNOMED ID","(12352, 12361)","(12352, 12361)",dry mouth,dry mouth,87715008,284831000,10794068-DS-18,", or other reasons. Signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when" "Correct entity, wrong SNOMED ID","(12363, 12379)","(12363, 12379)","rapid heartbeat","rapid heartbeat",3424008,361134000,10794068-DS-18," reasons. Signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *You se" "Correct entity, wrong SNOMED ID","(12392, 12397)","(12392, 12397)",dizzy,dizzy,404640003,1141711004,10794068-DS-18,"n include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *You see blood or dark/bl" "Correct entity, wrong SNOMED ID","(12412, 12420)","(12412, 12420)",standing,standing,10904000,249902000,10794068-DS-18," rapid heartbeat, or feeling dizzy or faint when standing. *You see blood or dark/black material when you v" Wrong span,"(12431, 12474)","(12431, 12436)",blood or dark/black material when you vomit,blood,300361008,8765009,10794068-DS-18,"or feeling dizzy or faint when standing. *You see blood or dark/black material when you vomit or have a bowel movement. *You experience burnin" "Correct entity, wrong SNOMED ID","(12486, 12500)","(12486, 12500)",bowel movement,bowel movement,405729008,398032003,10794068-DS-18," or dark/black material when you vomit or have a bowel movement. *You experience burning when you urinate, have b" "Correct entity, wrong SNOMED ID","(12518, 12525)","(12518, 12525)",burning,burning,90673000,213897004,10794068-DS-18," vomit or have a bowel movement. *You experience burning when you urinate, have blood in your urine, or e" "Correct entity, wrong SNOMED ID","(12535, 12542)","(12535, 12542)",urinate,urinate,252041008,249277001,10794068-DS-18," bowel movement. *You experience burning when you urinate, have blood in your urine, or experience a disch" "Correct entity, wrong SNOMED ID","(12549, 12569)","(12549, 12569)","blood in your urine","blood in your urine",34436003,1284890008,10794068-DS-18,"t. *You experience burning when you urinate, have blood in your urine, or experience a discharge. *Your pain in not imp" "Correct entity, wrong SNOMED ID","(12604, 12608)","(12604, 12608)",pain,pain,22253000,102570003,10794068-DS-18," in your urine, or experience a discharge. *Your pain in not improving within ___ hours or is not gone " Missed entity,"(12616, 12625)",,improving,,268910001,,10794068-DS-18,"ine, or experience a discharge. *Your pain in not improving within ___ hours or is not gone within 24 hours." "Correct entity, wrong SNOMED ID","(12711, 12715)","(12711, 12715)",pain,pain,22253000,102570003,10794068-DS-18,"thin 24 hours. Call or return immediately if your pain is getting worse or changes location or moving t" Missed entity,"(12728, 12733)",,worse,,1144586002,,10794068-DS-18,"ll or return immediately if your pain is getting worse or changes location or moving to your chest or b" "Correct entity, wrong SNOMED ID","(12772, 12777)","(12772, 12777)",chest,chest,29857009,177765008,10794068-DS-18,"tting worse or changes location or moving to your chest or back. *You have shaking chills, or fever grea" "Correct entity, wrong SNOMED ID","(12782, 12786)","(12782, 12786)",back,back,161891005,37822005,10794068-DS-18,"e or changes location or moving to your chest or back. *You have shaking chills, or fever greater than " "Correct entity, wrong SNOMED ID","(12798, 12805)","(12798, 12805)",shaking,shaking,26079004,247819009,10794068-DS-18,"ation or moving to your chest or back. *You have shaking chills, or fever greater than 101.5 degrees Fahr" "Correct entity, wrong SNOMED ID","(12806, 12812)","(12806, 12812)",chills,chills,43724002,274640006,10794068-DS-18," moving to your chest or back. *You have shaking chills, or fever greater than 101.5 degrees Fahrenheit " "Correct entity, wrong SNOMED ID","(12817, 12822)","(12817, 12822)",fever,fever,386661006,248430002,10794068-DS-18,"your chest or back. *You have shaking chills, or fever greater than 101.5 degrees Fahrenheit or 38 degr" Wrong span,"(12961, 12996)","(12985, 12996)",resume all regular home medications,medications,182837001,182837001,10794068-DS-18,"ms, or any new symptoms that concern you. Please resume all regular home medications , unless specifically advised not to take a part" Wrong span,"(13020, 13063)","(13053, 13063)",advised not to take a particular medication,medication,394835006,182837001,10794068-DS-18,"l regular home medications , unless specifically advised not to take a particular medication. Also, please take any new medications as prescr" Missed entity,"(13071, 13117)",,"please take any new medications as prescribed",,394835006,,10794068-DS-18,"dvised not to take a particular medication. Also, please take any new medications as prescribed. Please get plenty of rest, continue to ambulate " Wrong span,"(13146, 13166)","(13158, 13166)",continue to ambulate,ambulate,304673006,722370002,10794068-DS-18,"cations as prescribed. Please get plenty of rest, continue to ambulate several times per day, and drink adequate amount" Missed entity,"(13195, 13227)",,drink adequate amounts of fluids,,313210009,,10794068-DS-18," continue to ambulate several times per day, and drink adequate amounts of fluids. Avoid lifting weights greater than ___ lbs unti" Missed entity,"(13229, 13251)",,"Avoid lifting weights",,304673006,,10794068-DS-18,"s per day, and drink adequate amounts of fluids. Avoid lifting weights greater than ___ lbs until you follow-up with you" Missed entity,"(13283, 13292)",,follow-up,,390906007,,10794068-DS-18,"d lifting weights greater than ___ lbs until you follow-up with your surgeon. Avoid driving or operating he" Missed entity,"(13313, 13355)",,Avoid driving or operating heavy machinery,,304509000,,10794068-DS-18,"n ___ lbs until you follow-up with your surgeon. Avoid driving or operating heavy machinery while taking pain medications. Incision Care: *P" Wrong span,"(13356, 13386)","(13369, 13386)","while taking pain medications","pain medications",394835006,52685006,10794068-DS-18,"rgeon. Avoid driving or operating heavy machinery while taking pain medications. Incision Care: *Please call your doctor or nurse" Missed entity,"(13411, 13427)",,call your doctor,,304562007,,10794068-DS-18," taking pain medications. Incision Care: *Please call your doctor or nurse practitioner if you have increased pain" Missed entity,"(13431, 13436)",,nurse,,385775004,,10794068-DS-18,"tions. Incision Care: *Please call your doctor or nurse practitioner if you have increased pain, swellin" "Correct entity, wrong SNOMED ID","(13463, 13477)","(13463, 13477)",increased pain,increased pain,1144586002,35331000087107,10794068-DS-18,"ll your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision" "Correct entity, wrong SNOMED ID","(13479, 13487)","(13479, 13487)",swelling,swelling,442672001,300890009,10794068-DS-18,"r nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *A" "Correct entity, wrong SNOMED ID","(13489, 13496)","(13489, 13496)",redness,redness,822962003,1268301006,10794068-DS-18,"actitioner if you have increased pain, swelling, redness, or drainage from the incision site. *Avoid swim" "Correct entity, wrong SNOMED ID","(13501, 13509)","(13501, 13509)",drainage,drainage,239164002,56783008,10794068-DS-18,"f you have increased pain, swelling, redness, or drainage from the incision site. *Avoid swimming and bath" "Correct entity, wrong SNOMED ID","(13519, 13533)","(13519, 13533)","incision site","incision site",609343002,260847001,10794068-DS-18,"sed pain, swelling, redness, or drainage from the incision site. *Avoid swimming and baths until your follow-up a" Missed entity,"(13536, 13560)",,Avoid swimming and baths,,223434003,,10794068-DS-18,"g, redness, or drainage from the incision site. *Avoid swimming and baths until your follow-up appointment. *You may shower" Missed entity,"(13600, 13610)",,may shower,,15502008,,10794068-DS-18," and baths until your follow-up appointment. *You may shower, and wash surgical incisions with a mild soap an" Wrong span,"(13616, 13639)","(13621, 13629)",wash surgical incisions,surgical,15502008,274071003,10794068-DS-18," your follow-up appointment. *You may shower, and wash surgical incisions with a mild soap and warm water. Gently pat the " Missed entity,"(13681, 13697)",,pat the area dry,,15502008,,10794068-DS-18,"ncisions with a mild soap and warm water. Gently pat the area dry. *If you have staples, they will be removed at yo" Missed entity,"(13712, 13719)",,staples,,50015006,,10794068-DS-18,"warm water. Gently pat the area dry. *If you have staples, they will be removed at your follow-up appointm" Missed entity,"(13734, 13741)",,removed,,35963001,,10794068-DS-18," the area dry. *If you have staples, they will be removed at your follow-up appointment. *If you have ster" Missed entity,"(13787, 13799)",,steri-strips,,225153000,,10794068-DS-18,"oved at your follow-up appointment. *If you have steri-strips, they will fall off on their own. Please remove " Wrong span,"(13879, 13892)","(13885, 13892)",after surgery,surgery,19585003,110473004,10794068-DS-18,"own. Please remove any remaining strips ___ days after surgery. Followup Instructions: ___ " False positive,,"(252, 255)",,Lev,,438189004,10839721-DS-9,"aining / Amitriptyline / Amitiza / ondansetron / Levaquin Attending: ___. Chief Complaint: Colitis" False positive,,"(664, 665)",,f,,257987005,10839721-DS-9,", who presents with diarrhea, abdominal pain and frank hematochezia. She has IBS flares with abdomi" False positive,,"(809, 815)",,crampy,,60043000,10839721-DS-9,"pain is much more severe. She states the pain is crampy, intermittent and primarily in both lower quadra" False positive,,"(853, 860)",,lower q,,255480002,10839721-DS-9,"in is crampy, intermittent and primarily in both lower quadrants. She has Nausea without vomiting. Had co" False positive,,"(916, 919)",,BMs,,258697002,10839721-DS-9,"ts. She has Nausea without vomiting. Had copious BMs since the day prior to admission which were wate" False positive,,"(1104, 1120)",,bright red blood,,167235001,10839721-DS-9," rectal bleeding in which toilet was filled with bright red blood. She has not had rectal bleeding on any of her p" False positive,,"(1244, 1246)",,VS,,313611000,10839721-DS-9,"t lightheaded but no syncope. In the ED initial VS were 97.9, 88, 113/46, 16, 96%RA. On exam, abdom" False positive,,"(1284, 1288)",,exam,,105477005,10839721-DS-9,"D initial VS were 97.9, 88, 113/46, 16, 96%RA. On exam, abdomen diffusely tender without rebound or gua" False positive,,"(1299, 1303)",,diff,,250297009,10839721-DS-9,"re 97.9, 88, 113/46, 16, 96%RA. On exam, abdomen diffusely tender without rebound or guarding. The pain" False positive,,"(1419, 1424)",,blood,,8765009,10839721-DS-9," the suprapubic region. Rectal exam showed frank blood in the vault. No hemorrhoids visible or palpated." False positive,,"(1465, 1472)",,palpate,,1363582004,10839721-DS-9,"nk blood in the vault. No hemorrhoids visible or palpated. EKG showed NSR with normal axis & intervals an" False positive,,"(1496, 1507)",,normal axis,,14419000,10839721-DS-9,"rrhoids visible or palpated. EKG showed NSR with normal axis & intervals and no ischemic changes. Labs notabl" False positive,,"(1563, 1566)",,WBC,,391558003,10839721-DS-9,"ervals and no ischemic changes. Labs notable for WBC 14 (83%PMN), nml HCT, UA with a few bacteria and" False positive,,"(1584, 1587)",,HCT,,282660005,10839721-DS-9,"c changes. Labs notable for WBC 14 (83%PMN), nml HCT, UA with a few bacteria and mod leuk esterase. " False positive,,"(1604, 1612)",,bacteria,,409793007,10839721-DS-9,"able for WBC 14 (83%PMN), nml HCT, UA with a few bacteria and mod leuk esterase. As patient was drinking " False positive,,"(1756, 1764)",,troponin,,102684000,10839721-DS-9,"p substernal CP. Repeat EKG was unchanged and the troponin was negative. Patient given ASA 325mg although s" False positive,,"(1770, 1778)",,negative,,268375009,10839721-DS-9,"P. Repeat EKG was unchanged and the troponin was negative. Patient given ASA 325mg although she was bleedin" False positive,,"(2032, 2041)",,thickened,,309085000,10839721-DS-9,"esolved with 5mg morphine. CT abd/pelvis showed thickened and abnormal stomach, wall thickening in right c" False positive,,"(2201, 2212)",,abnormality,,22325002,10839721-DS-9,"and diverticuli, though not in the region of the abnormality to suggest diverticulitis as a cause. In additio" False positive,,"(2502, 2511)",,decreased,,182879007,10839721-DS-9,"is more comfortable and states that her pain has decreased and is almost at her baseline (has ___ abdominal" False positive,,"(2533, 2541)",,baseline,,129082007,10839721-DS-9," that her pain has decreased and is almost at her baseline (has ___ abdominal pain at baseline). No further" False positive,,"(2570, 2578)",,baseline,,129082007,10839721-DS-9,"lmost at her baseline (has ___ abdominal pain at baseline). No further GI bleeding since coming to the ED." False positive,,"(2839, 2843)",,open,,251722000,10839721-DS-9," Endometriosis Diverticulosis Hemorrhoids PSHx: open cholecystectomy ___ yrs ago, appendectomy, oophe" False positive,,"(3014, 3027)",,PHYSICAL EXAM,,410182004,10839721-DS-9,": h/o colitis in mother Physical ___: ADMISSION PHYSICAL EXAM: VITALS: 98.6, 132/60, 75, 14, 97%RA GENERAL: WDW" False positive,,"(3139, 3145)",,Supple,,116121000,10839721-DS-9,"AD HEENT: PERRL, EOMI, no icterus or pallor NECK: Supple, no carotid bruits, no JVD LUNGS: CTAB HEART: RRR" False positive,,"(3227, 3229)",,S4,,29970001,10839721-DS-9,"S: CTAB HEART: RRR, ___ SEM loudest at USB, no S3/S4 ABDOMEN: Soft, TTP across lower abdomen, no guard" False positive,,"(3360, 3368)",,strength,,251433001,10839721-DS-9,", no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, strength and sensation grossly intact . DISCHARGE PHYSICA" False positive,,"(3426, 3427)",,P,,421542006,10839721-DS-9,"sation grossly intact . DISCHARGE PHYSICAL EXAM: PHYSICAL EXAM: VS: Temp 98.5 F, BP 126/52, HR 72, R" False positive,,"(3445, 3449)",,Temp,,102496004,10839721-DS-9,"act . DISCHARGE PHYSICAL EXAM: PHYSICAL EXAM: VS: Temp 98.5 F, BP 126/52, HR 72, R 18, 99% on cpap GENER" False positive,,"(3458, 3460)",,BP,,38341003,10839721-DS-9,"GE PHYSICAL EXAM: PHYSICAL EXAM: VS: Temp 98.5 F, BP 126/52, HR 72, R 18, 99% on cpap GENERAL - well-a" False positive,,"(3469, 3471)",,HR,,258702006,10839721-DS-9," EXAM: PHYSICAL EXAM: VS: Temp 98.5 F, BP 126/52, HR 72, R 18, 99% on cpap GENERAL - well-appearing mi" False positive,,"(3489, 3493)",,cpap,,47545007,10839721-DS-9,": VS: Temp 98.5 F, BP 126/52, HR 72, R 18, 99% on cpap GENERAL - well-appearing mildly obese woman in NA" False positive,,"(3504, 3518)",,well-appearing,,167827008,10839721-DS-9," F, BP 126/52, HR 72, R 18, 99% on cpap GENERAL - well-appearing mildly obese woman in NAD, comfortable, appropri" False positive,,"(3546, 3557)",,comfortable,,1148784009,10839721-DS-9,"NERAL - well-appearing mildly obese woman in NAD, comfortable, appropriate. HEENT - NC/AT, PERRLA, sclerae ani" False positive,,"(3636, 3642)",,supple,,169743001,10839721-DS-9,", PERRLA, sclerae anicteric, MMM, OP clear NECK - supple, no thyromegaly, no bruits LUNGS - CTA bilat, no " False positive,,"(3663, 3669)",,bruits,,161887000,10839721-DS-9,", MMM, OP clear NECK - supple, no thyromegaly, no bruits LUNGS - CTA bilat, no r/rh/wh, good air movement," False positive,,"(3701, 3705)",,good,,247663003,10839721-DS-9,"omegaly, no bruits LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscl" False positive,,"(3720, 3724)",,resp,,20139000,10839721-DS-9,"LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use HEART - RRR, " False positive,,"(4588, 4593)",,URINE,,78888000,10839721-DS-9,"M BLOOD Calcium-8.5 Phos-2.2* Mg-1.7 ___ 6:45 pm URINE **FINAL REPORT ___ URINE CULTURE (Final ___: MIX" False positive,,"(4701, 4705)",,SKIN,,444884003,10839721-DS-9,"RIAL FLORA ( >= 3 COLONY TYPES), CONSISTENT WITH SKIN AND/OR GENITAL CONTAMINATION. DISCHARGE LABS: " False positive,,"(4713, 4726)",,"GENITAL CONT",,312125005,10839721-DS-9," >= 3 COLONY TYPES), CONSISTENT WITH SKIN AND/OR GENITAL CONTAMINATION. DISCHARGE LABS: ___ 06:00AM BLOOD WB" False positive,,"(5766, 5775)",,Calcified,,249174002,10839721-DS-9,"olonic diverticulosis without diverticulitis. 3. Calcified 1.4 cm right renal arterial aneurysm, unchanged. " False positive,,"(5834, 5835)",,h,,257988000,10839721-DS-9,"ight renal arterial aneurysm, unchanged. 4. 7-mm hyperdense cyst in the lower pole of the left kidne" False positive,,"(5996, 6013)",,right middle lobe,,113250009,10839721-DS-9,"-emergent basis. 5. Unchanged 5-mm nodule in the right middle lobe, for which no further followup is required. Si" False positive,,"(6141, 6162)",,"abnormal vascularity",,246979007,10839721-DS-9," Superficial ulceration, erythema, friability and abnormal vascularity in the splenic flexure compatible with colitis l" False positive,,"(6241, 6254)",,Normal mucosa,,454821000124103,10839721-DS-9,"tible with colitis likely from ischemia (biopsy) Normal mucosa in the sigmoid colon (biopsy) Internal hemorrhoid" False positive,,"(6475, 6495)",,regenerative changes,,715141007,10839721-DS-9,": A. Transverse: Mildly active inflammation with regenerative changes. No chronic colitis seen. B. Splenic flexure: - " False positive,,"(6526, 6541)",,Splenic flexure,,245428003,10839721-DS-9,"egenerative changes. No chronic colitis seen. B. Splenic flexure: - Fragments of colonic mucosa with recent hemorr" False positive,,"(6629, 6636)",,surface,,56671003,10839721-DS-9,"ecent hemorrhage, likely procedural. - Strips of surface epithelium admixed with neutrophils (not present" False positive,,"(6824, 6829)",,drugs,,361055000,10839721-DS-9,"e differential diagnosis includes infection, some drugs, ischemia, etc. Clinical correlation is needed.""" False positive,,"(6927, 6942)",,lower quadrants,,255480002,10839721-DS-9,"."" Brief Hospital Course: 1. Abdominal Pain b/l lower quadrants, Acute Blood Loss Anemia, Ischemic Colitis, Rect" False positive,,"(6970, 6986)",,Ischemic Colitis,,75700000,10839721-DS-9,"in b/l lower quadrants, Acute Blood Loss Anemia, Ischemic Colitis, Rectal Bleeding, gastroenteritis: Pt was were ad" False positive,,"(6988, 7003)",,Rectal Bleeding,,414991007,10839721-DS-9,"ants, Acute Blood Loss Anemia, Ischemic Colitis, Rectal Bleeding, gastroenteritis: Pt was were admitted with abdom" False positive,,"(7005, 7020)",,gastroenteritis,,12463005,10839721-DS-9," Loss Anemia, Ischemic Colitis, Rectal Bleeding, gastroenteritis: Pt was were admitted with abdominal pain and blo" False positive,,"(7263, 7273)",,hematocrit,,409683007,10839721-DS-9,"iverticulitis were also on the differential. Pt's hematocrit remained low but stable. Labs notable for WBC 14" False positive,,"(7292, 7298)",,stable,,301459008,10839721-DS-9,"e differential. Pt's hematocrit remained low but stable. Labs notable for WBC 14 (83%PMN), nml HCT, UA w" False positive,,"(7317, 7320)",,WBC,,391558003,10839721-DS-9,"tocrit remained low but stable. Labs notable for WBC 14 (83%PMN), nml HCT, UA with a few bacteria and" False positive,,"(7339, 7342)",,HCT,,282660005,10839721-DS-9,"ut stable. Labs notable for WBC 14 (83%PMN), nml HCT, UA with a few bacteria and mod leuk esterase. Sh" False positive,,"(7358, 7366)",,bacteria,,409793007,10839721-DS-9,"able for WBC 14 (83%PMN), nml HCT, UA with a few bacteria and mod leuk esterase. She was treated with IV f" False positive,,"(7412, 7421)",,IV fluids,,103744005,10839721-DS-9,"eria and mod leuk esterase. She was treated with IV fluids, and her pain controlled with morphine. A sigmoi" False positive,,"(7684, 7694)",,bloody BMs,,405729008,10839721-DS-9,"5 mg. By day of discharge she was having no more bloody BMs and was able to eat. She was encouraged to take " False positive,,"(7849, 7859)",,Chest Pain,,102589003,10839721-DS-9,"l she follows up with her outpatient doctor. 2. Chest Pain: In the ED as the patient was drinking IV contras" False positive,,"(7899, 7910)",,IV contrast,,113090004,10839721-DS-9,"Chest Pain: In the ED as the patient was drinking IV contrast, she developed substernal chest pain. An EKG was" False positive,,"(8574, 8586)",,normotension,,12763006,10839721-DS-9,"Hypertension. Antihypertensives were held due to normotension likely in setting of bleeding 5. Hyperlipidemia" False positive,,"(8697, 8701)",,CPAP,,47545007,10839721-DS-9,"d crestor 6. Obstructive Sleep Apnea. Continued CPAP on auto settings as inpatient. TRANSITIONAL ISS" False positive,,"(8848, 8856)",,negative,,268375009,10839721-DS-9," biopsy taken which will need to be followed up; negative at discharge, returned at time of this writing. " False positive,,"(10607, 10612)",,Clear,,281278005,10839721-DS-9,"s esophagus Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" False positive,,"(10651, 10656)",,Alert,,409787004,10839721-DS-9,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" False positive,,"(11029, 11040)",,blood level,,365731008,10839721-DS-9," and colitis (ischemic colitis). We checked your blood level and it remained stable and not danerously low. W" False positive,,"(11058, 11064)",,stable,,301459008,10839721-DS-9,"is). We checked your blood level and it remained stable and not danerously low. We performed a sigmoidosc" "Correct entity, wrong SNOMED ID","(184, 208)","(184, 208)",Iodine-Iodine Containing,Iodine-Iodine Containing,294913003,767115003,10839721-DS-9," Sex: F Service: MEDICINE Allergies: Iodine-Iodine Containing / Amitriptyline / Amitiza / ondansetron / Levaqu" "Correct entity, wrong SNOMED ID","(211, 224)","(211, 224)",Amitriptyline,Amitriptyline,293829000,40589005,10839721-DS-9,"MEDICINE Allergies: Iodine-Iodine Containing / Amitriptyline / Amitiza / ondansetron / Levaquin Attending: " "Correct entity, wrong SNOMED ID","(298, 305)","(298, 305)",Colitis,Colitis,64226004,423590009,10839721-DS-9," / Levaquin Attending: ___. Chief Complaint: Colitis, Hematochezia Major Surgical or Invasive Proced" "Correct entity, wrong SNOMED ID","(307, 319)","(307, 319)",Hematochezia,Hematochezia,405729008,206406008,10839721-DS-9,"uin Attending: ___. Chief Complaint: Colitis, Hematochezia Major Surgical or Invasive Procedure: Flexible " "Correct entity, wrong SNOMED ID","(360, 382)","(360, 382)",Flexible sigmoidoscopy,Flexible sigmoidoscopy,44441009,841000119107,10839721-DS-9,"atochezia Major Surgical or Invasive Procedure: Flexible sigmoidoscopy History of Present Illness: Patient seen and ex" "Correct entity, wrong SNOMED ID","(556, 580)","(556, 580)",Irritable Bowel Syndrome,Irritable Bowel Syndrome,10743008,70871000119100,10839721-DS-9,"ions below ___ year old Female with a history of Irritable Bowel Syndrome, diverticulosis, and hemorrhoids, who presents w" "Correct entity, wrong SNOMED ID","(583, 597)","(583, 597)",diverticulosis,diverticulosis,724538004,14011008,10839721-DS-9,"male with a history of Irritable Bowel Syndrome, diverticulosis, and hemorrhoids, who presents with diarrhea, ab" "Correct entity, wrong SNOMED ID","(603, 614)","(603, 614)",hemorrhoids,hemorrhoids,70153002,46276006,10839721-DS-9,"of Irritable Bowel Syndrome, diverticulosis, and hemorrhoids, who presents with diarrhea, abdominal pain and " "Correct entity, wrong SNOMED ID","(634, 642)","(634, 642)",diarrhea,diarrhea,62315008,111843007,10839721-DS-9,"iverticulosis, and hemorrhoids, who presents with diarrhea, abdominal pain and frank hematochezia. She has " "Correct entity, wrong SNOMED ID","(645, 659)","(645, 659)",abdominal pain,abdominal pain,21522001,54586004,10839721-DS-9,"is, and hemorrhoids, who presents with diarrhea, abdominal pain and frank hematochezia. She has IBS flares with " "Correct entity, wrong SNOMED ID","(670, 682)","(670, 682)",hematochezia,hematochezia,405729008,206406008,10839721-DS-9,"presents with diarrhea, abdominal pain and frank hematochezia. She has IBS flares with abdominal pain every 3 " Wrong span,"(692, 695)","(692, 702)",IBS,IBS flares,10743008,277175001,10839721-DS-9,", abdominal pain and frank hematochezia. She has IBS flares with abdominal pain every 3 months but no" "Correct entity, wrong SNOMED ID","(709, 723)","(709, 723)",abdominal pain,abdominal pain,21522001,54586004,10839721-DS-9," and frank hematochezia. She has IBS flares with abdominal pain every 3 months but notes that this pain is much " "Correct entity, wrong SNOMED ID","(759, 763)","(759, 763)",pain,pain,21522001,102570003,10839721-DS-9,"abdominal pain every 3 months but notes that this pain is much more severe. She states the pain is cram" "Correct entity, wrong SNOMED ID","(801, 805)","(801, 805)",pain,pain,21522001,102570003,10839721-DS-9,"at this pain is much more severe. She states the pain is crampy, intermittent and primarily in both lo" Wrong span,"(878, 884)","(878, 902)",Nausea,"Nausea without vomiting",422587007,146291000119108,10839721-DS-9,"t and primarily in both lower quadrants. She has Nausea without vomiting. Had copious BMs since the day " Wrong span,"(894, 902)","(878, 902)",vomiting,"Nausea without vomiting",422400008,146291000119108,10839721-DS-9," in both lower quadrants. She has Nausea without vomiting. Had copious BMs since the day prior to admission" Missed entity,"(965, 971)",,watery,,398212009,,10839721-DS-9," BMs since the day prior to admission which were watery, but in the middle of the night on the day of ad" "Correct entity, wrong SNOMED ID","(1055, 1070)","(1055, 1070)",rectal bleeding,rectal bleeding,12063002,414991007,10839721-DS-9,"n the day of admission she had three episodes of rectal bleeding in which toilet was filled with bright red blood" "Correct entity, wrong SNOMED ID","(1138, 1154)","(1138, 1154)","rectal bleeding","rectal bleeding",12063002,414991007,10839721-DS-9,"was filled with bright red blood. She has not had rectal bleeding on any of her prior IBS flares. She felt lighthea" Wrong span,"(1175, 1178)","(1175, 1185)",IBS,IBS flares,10743008,277175001,10839721-DS-9," has not had rectal bleeding on any of her prior IBS flares. She felt lightheaded but no syncope. In" "Correct entity, wrong SNOMED ID","(1196, 1207)","(1196, 1207)",lightheaded,lightheaded,386705008,1354698007,10839721-DS-9,"bleeding on any of her prior IBS flares. She felt lightheaded but no syncope. In the ED initial VS were 97.9," "Correct entity, wrong SNOMED ID","(1216, 1223)","(1216, 1223)",syncope,syncope,271594007,427461000,10839721-DS-9,"er prior IBS flares. She felt lightheaded but no syncope. In the ED initial VS were 97.9, 88, 113/46, 16," "Correct entity, wrong SNOMED ID","(1277, 1279)","(1277, 1279)",RA,RA,722742002,463051000124105,10839721-DS-9,"n the ED initial VS were 97.9, 88, 113/46, 16, 96%RA. On exam, abdomen diffusely tender without rebou" "Correct entity, wrong SNOMED ID","(1291, 1298)","(1291, 1298)",abdomen,abdomen,818983003,225162003,10839721-DS-9,"al VS were 97.9, 88, 113/46, 16, 96%RA. On exam, abdomen diffusely tender without rebound or guarding. The" "Correct entity, wrong SNOMED ID","(1309, 1315)","(1309, 1315)",tender,tender,43478001,278999000,10839721-DS-9,"8, 113/46, 16, 96%RA. On exam, abdomen diffusely tender without rebound or guarding. The pain was maxima" "Correct entity, wrong SNOMED ID","(1324, 1331)","(1324, 1331)",rebound,rebound,35611005,844584001,10839721-DS-9,"96%RA. On exam, abdomen diffusely tender without rebound or guarding. The pain was maximal in the suprapu" "Correct entity, wrong SNOMED ID","(1349, 1353)","(1349, 1353)",pain,pain,22253000,102570003,10839721-DS-9,"diffusely tender without rebound or guarding. The pain was maximal in the suprapubic region. Rectal exa" "Correct entity, wrong SNOMED ID","(1374, 1391)","(1374, 1391)",suprapubic region,suprapubic region,11708003,367578008,10839721-DS-9,"rebound or guarding. The pain was maximal in the suprapubic region. Rectal exam showed frank blood in the vault. No" "Correct entity, wrong SNOMED ID","(1393, 1404)","(1393, 1404)",Rectal exam,Rectal exam,410007005,410006001,10839721-DS-9,". The pain was maximal in the suprapubic region. Rectal exam showed frank blood in the vault. No hemorrhoids " "Correct entity, wrong SNOMED ID","(1442, 1453)","(1442, 1453)",hemorrhoids,hemorrhoids,70153002,46276006,10839721-DS-9," Rectal exam showed frank blood in the vault. No hemorrhoids visible or palpated. EKG showed NSR with normal " "Correct entity, wrong SNOMED ID","(1475, 1478)","(1475, 1478)",EKG,EKG,29303009,75444003,10839721-DS-9,"in the vault. No hemorrhoids visible or palpated. EKG showed NSR with normal axis & intervals and no i" "Correct entity, wrong SNOMED ID","(1487, 1490)","(1487, 1490)",NSR,NSR,64730000,258699004,10839721-DS-9,". No hemorrhoids visible or palpated. EKG showed NSR with normal axis & intervals and no ischemic chan" Wrong span,"(1524, 1543)","(1527, 1543)",no ischemic changes,ischemic changes,164862008,449735000,10839721-DS-9," EKG showed NSR with normal axis & intervals and no ischemic changes. Labs notable for WBC 14 (83%PMN), nml HCT, UA w" "Correct entity, wrong SNOMED ID","(1589, 1591)","(1589, 1591)",UA,UA,27171005,257999003,10839721-DS-9,"nges. Labs notable for WBC 14 (83%PMN), nml HCT, UA with a few bacteria and mod leuk esterase. As " "Correct entity, wrong SNOMED ID","(1684, 1686)","(1684, 1686)",CT,CT,77477000,241541005,10839721-DS-9,". As patient was drinking oral contrast for the CT she developed sharp substernal CP. Repeat EKG wa" Wrong span,"(1708, 1721)","(1708, 1718)",substernal CP,substernal,4568003,204811001,10839721-DS-9,"ing oral contrast for the CT she developed sharp substernal CP. Repeat EKG was unchanged and the troponin was n" "Correct entity, wrong SNOMED ID","(1730, 1733)","(1730, 1733)",EKG,EKG,29303009,75444003,10839721-DS-9,"the CT she developed sharp substernal CP. Repeat EKG was unchanged and the troponin was negative. Pat" "Correct entity, wrong SNOMED ID","(1821, 1829)","(1821, 1829)",bleeding,bleeding,131148009,74474003,10839721-DS-9,"egative. Patient given ASA 325mg although she was bleeding. Pain resolved with 2.5mg IV morphine but later " "Correct entity, wrong SNOMED ID","(1832, 1845)","(1832, 1845)",Pain resolved,Pain resolved,301379001,816133002,10839721-DS-9,"tient given ASA 325mg although she was bleeding. Pain resolved with 2.5mg IV morphine but later returned. Bedsid" Missed entity,"(1857, 1859)",,IV,,386340006,,10839721-DS-9,"hough she was bleeding. Pain resolved with 2.5mg IV morphine but later returned. Bedside ultrasound " "Correct entity, wrong SNOMED ID","(1898, 1908)","(1898, 1908)",ultrasound,ultrasound,16310003,765172009,10839721-DS-9,"th 2.5mg IV morphine but later returned. Bedside ultrasound was neg for aortic aneurysm/dissection and peric" "Correct entity, wrong SNOMED ID","(1921, 1936)","(1921, 1936)",aortic aneurysm,aortic aneurysm,67362008,306993002,10839721-DS-9,"t later returned. Bedside ultrasound was neg for aortic aneurysm/dissection and pericardial tamponade. Pain resol" Missed entity,"(1937, 1947)",,dissection,,308546005,,10839721-DS-9,". Bedside ultrasound was neg for aortic aneurysm/dissection and pericardial tamponade. Pain resolved with 5m" "Correct entity, wrong SNOMED ID","(1953, 1974)","(1953, 1974)",pericardial tamponade,pericardial tamponade,35304003,175180005,10839721-DS-9,"sound was neg for aortic aneurysm/dissection and pericardial tamponade. Pain resolved with 5mg morphine. CT abd/pelvis" "Correct entity, wrong SNOMED ID","(1976, 1989)","(1976, 1989)",Pain resolved,Pain resolved,301379001,816133002,10839721-DS-9,"c aneurysm/dissection and pericardial tamponade. Pain resolved with 5mg morphine. CT abd/pelvis showed thicken" Wrong span,"(2011, 2024)","(2011, 2017)",CT abd/pelvis,CT abd,419394006,718013006,10839721-DS-9,"ial tamponade. Pain resolved with 5mg morphine. CT abd/pelvis showed thickened and abnormal stomach, wall thic" Wrong span,"(2060, 2068)","(2046, 2062)","ch, wall",abnormal stomach,314729005,60699003,10839721-DS-9," CT abd/pelvis showed thickened and abnormal stomach, wall thickening in right colon with adjacent thickeni" Wrong span,"(2070, 2080)","(2064, 2080)",thickening,"wall thickening",89977008,246892006,10839721-DS-9,"lvis showed thickened and abnormal stomach, wall thickening in right colon with adjacent thickening of the l" "Correct entity, wrong SNOMED ID","(2084, 2095)","(2084, 2095)",right colon,right colon,51342009,362161002,10839721-DS-9,"ickened and abnormal stomach, wall thickening in right colon with adjacent thickening of the lateral conal fa" "Correct entity, wrong SNOMED ID","(2110, 2120)","(2110, 2120)",thickening,thickening,89977008,112674009,10839721-DS-9,"ch, wall thickening in right colon with adjacent thickening of the lateral conal fascia, and diverticuli, th" Wrong span,"(2143, 2149)","(2137, 2149)",fascia,conal fascia,84820005,361908007,10839721-DS-9,"on with adjacent thickening of the lateral conal fascia, and diverticuli, though not in the region of th" "Correct entity, wrong SNOMED ID","(2155, 2166)","(2155, 2166)",diverticuli,diverticuli,31113003,14011008,10839721-DS-9,"cent thickening of the lateral conal fascia, and diverticuli, though not in the region of the abnormality to " "Correct entity, wrong SNOMED ID","(2224, 2238)","(2224, 2238)",diverticulitis,diverticulitis,307496006,2091005,10839721-DS-9," not in the region of the abnormality to suggest diverticulitis as a cause. In addition to ASA and morphine pati" "Correct entity, wrong SNOMED ID","(2327, 2334)","(2327, 2334)",colitis,colitis,64226004,423590009,10839721-DS-9,"rphine patient was also given zosyn for presumed colitis. GI and surgery evaluated the patient and recomm" "Correct entity, wrong SNOMED ID","(2493, 2497)","(2493, 2497)",pain,pain,22253000,102570003,10839721-DS-9," patient is more comfortable and states that her pain has decreased and is almost at her baseline (has" "Correct entity, wrong SNOMED ID","(2552, 2566)","(2552, 2566)",abdominal pain,abdominal pain,21522001,54586004,10839721-DS-9,"decreased and is almost at her baseline (has ___ abdominal pain at baseline). No further GI bleeding since comin" "Correct entity, wrong SNOMED ID","(2592, 2603)","(2592, 2603)",GI bleeding,GI bleeding,74474003,37372002,10839721-DS-9," (has ___ abdominal pain at baseline). No further GI bleeding since coming to the ED. Past Medical History: " "Correct entity, wrong SNOMED ID","(2653, 2677)","(2653, 2677)",Irritable Bowel Syndrome,Irritable Bowel Syndrome,10743008,70871000119100,10839721-DS-9," since coming to the ED. Past Medical History: Irritable Bowel Syndrome Benign Hypertension hypercholesterolemia ___ esop" "Correct entity, wrong SNOMED ID","(2678, 2697)","(2678, 2697)",Benign Hypertension,Benign Hypertension,10725009,194785008,10839721-DS-9," Past Medical History: Irritable Bowel Syndrome Benign Hypertension hypercholesterolemia ___ esophagus Obstructive Sl" "Correct entity, wrong SNOMED ID","(2698, 2718)","(2698, 2718)",hypercholesterolemia,hypercholesterolemia,13644009,238076009,10839721-DS-9,"ory: Irritable Bowel Syndrome Benign Hypertension hypercholesterolemia ___ esophagus Obstructive Sleep Apnea TIA ___ art" "Correct entity, wrong SNOMED ID","(2723, 2732)","(2723, 2732)",esophagus,esophagus,32849002,169005008,10839721-DS-9,"rome Benign Hypertension hypercholesterolemia ___ esophagus Obstructive Sleep Apnea TIA ___ arthritis Brain a" "Correct entity, wrong SNOMED ID","(2733, 2756)","(2733, 2756)",Obstructive Sleep Apnea,Obstructive Sleep Apnea,78275009,217781531000119107,10839721-DS-9,"n Hypertension hypercholesterolemia ___ esophagus Obstructive Sleep Apnea TIA ___ arthritis Brain aneurysm Endometriosis Di" "Correct entity, wrong SNOMED ID","(2765, 2774)","(2765, 2774)",arthritis,arthritis,3723001,1297064001,10839721-DS-9,"mia ___ esophagus Obstructive Sleep Apnea TIA ___ arthritis Brain aneurysm Endometriosis Diverticulosis Hemor" Wrong span,"(2775, 2780)","(2775, 2789)",Brain,Brain aneurysm,12738006,15309003,10839721-DS-9,"ophagus Obstructive Sleep Apnea TIA ___ arthritis Brain aneurysm Endometriosis Diverticulosis Hemorrhoids" Wrong span,"(2781, 2789)","(2775, 2789)",aneurysm,Brain aneurysm,85659009,15309003,10839721-DS-9,"s Obstructive Sleep Apnea TIA ___ arthritis Brain aneurysm Endometriosis Diverticulosis Hemorrhoids PSHx: " "Correct entity, wrong SNOMED ID","(2790, 2803)","(2790, 2803)",Endometriosis,Endometriosis,129103003,53913001,10839721-DS-9,"tive Sleep Apnea TIA ___ arthritis Brain aneurysm Endometriosis Diverticulosis Hemorrhoids PSHx: open cholecyst" "Correct entity, wrong SNOMED ID","(2804, 2818)","(2804, 2818)",Diverticulosis,Diverticulosis,724538004,14011008,10839721-DS-9,"ea TIA ___ arthritis Brain aneurysm Endometriosis Diverticulosis Hemorrhoids PSHx: open cholecystectomy ___ yrs " "Correct entity, wrong SNOMED ID","(2819, 2830)","(2819, 2830)",Hemorrhoids,Hemorrhoids,70153002,46276006,10839721-DS-9,"ritis Brain aneurysm Endometriosis Diverticulosis Hemorrhoids PSHx: open cholecystectomy ___ yrs ago, appende" "Correct entity, wrong SNOMED ID","(2844, 2859)","(2844, 2859)",cholecystectomy,cholecystectomy,38102005,45595009,10839721-DS-9,"metriosis Diverticulosis Hemorrhoids PSHx: open cholecystectomy ___ yrs ago, appendectomy, oopherectomy, removal" "Correct entity, wrong SNOMED ID","(2873, 2885)","(2873, 2885)",appendectomy,appendectomy,80146002,6025007,10839721-DS-9,"rrhoids PSHx: open cholecystectomy ___ yrs ago, appendectomy, oopherectomy, removal of brain aneursym Socia" "Correct entity, wrong SNOMED ID","(2888, 2900)","(2888, 2900)",oopherectomy,oopherectomy,83152002,76876009,10839721-DS-9," open cholecystectomy ___ yrs ago, appendectomy, oopherectomy, removal of brain aneursym Social History: ___ " Wrong span,"(2902, 2909)","(2902, 2912)",removal,removal of,112803004,128303001,10839721-DS-9,"tectomy ___ yrs ago, appendectomy, oopherectomy, removal of brain aneursym Social History: ___ Family Hi" Wrong span,"(2913, 2918)","(2913, 2927)",brain,brain aneursym,12738006,15309003,10839721-DS-9," yrs ago, appendectomy, oopherectomy, removal of brain aneursym Social History: ___ Family History: h/" Wrong span,"(2919, 2927)","(2913, 2927)",aneursym,brain aneursym,85659009,15309003,10839721-DS-9,"go, appendectomy, oopherectomy, removal of brain aneursym Social History: ___ Family History: h/o colitis" "Correct entity, wrong SNOMED ID","(2970, 2977)","(2970, 2977)",colitis,colitis,64226004,423590009,10839721-DS-9,"neursym Social History: ___ Family History: h/o colitis in mother Physical ___: ADMISSION PHYSICAL EXAM" "Correct entity, wrong SNOMED ID","(3029, 3035)","(3029, 3035)",VITALS,VITALS,118227000,260390007,10839721-DS-9,"n mother Physical ___: ADMISSION PHYSICAL EXAM: VITALS: 98.6, 132/60, 75, 14, 97%RA GENERAL: WDWN woman " "Correct entity, wrong SNOMED ID","(3062, 3064)","(3062, 3064)",RA,RA,722742002,463051000124105,10839721-DS-9,"N PHYSICAL EXAM: VITALS: 98.6, 132/60, 75, 14, 97%RA GENERAL: WDWN woman in NAD HEENT: PERRL, EOMI, no" "Correct entity, wrong SNOMED ID","(3065, 3072)","(3065, 3072)",GENERAL,GENERAL,162673000,252398009,10839721-DS-9,"HYSICAL EXAM: VITALS: 98.6, 132/60, 75, 14, 97%RA GENERAL: WDWN woman in NAD HEENT: PERRL, EOMI, no icterus" "Correct entity, wrong SNOMED ID","(3074, 3078)","(3074, 3078)",WDWN,WDWN,248324001,258001008,10839721-DS-9,"XAM: VITALS: 98.6, 132/60, 75, 14, 97%RA GENERAL: WDWN woman in NAD HEENT: PERRL, EOMI, no icterus or pa" "Correct entity, wrong SNOMED ID","(3088, 3091)","(3088, 3091)",NAD,NAD,281900007,131143000,10839721-DS-9,"8.6, 132/60, 75, 14, 97%RA GENERAL: WDWN woman in NAD HEENT: PERRL, EOMI, no icterus or pallor NECK: Su" "Correct entity, wrong SNOMED ID","(3092, 3097)","(3092, 3097)",HEENT,HEENT,5880005,113665002,10839721-DS-9," 132/60, 75, 14, 97%RA GENERAL: WDWN woman in NAD HEENT: PERRL, EOMI, no icterus or pallor NECK: Supple, " "Correct entity, wrong SNOMED ID","(3099, 3104)","(3099, 3104)",PERRL,PERRL,386666001,431291005,10839721-DS-9,", 75, 14, 97%RA GENERAL: WDWN woman in NAD HEENT: PERRL, EOMI, no icterus or pallor NECK: Supple, no caro" "Correct entity, wrong SNOMED ID","(3106, 3110)","(3106, 3110)",EOMI,EOMI,103251002,67099000,10839721-DS-9,"4, 97%RA GENERAL: WDWN woman in NAD HEENT: PERRL, EOMI, no icterus or pallor NECK: Supple, no carotid br" "Correct entity, wrong SNOMED ID","(3115, 3122)","(3115, 3122)",icterus,icterus,18165001,246975001,10839721-DS-9,"GENERAL: WDWN woman in NAD HEENT: PERRL, EOMI, no icterus or pallor NECK: Supple, no carotid bruits, no JVD" "Correct entity, wrong SNOMED ID","(3126, 3132)","(3126, 3132)",pallor,pallor,1209208002,1237486008,10839721-DS-9,"WN woman in NAD HEENT: PERRL, EOMI, no icterus or pallor NECK: Supple, no carotid bruits, no JVD LUNGS: CT" "Correct entity, wrong SNOMED ID","(3133, 3137)","(3133, 3137)",NECK,NECK,5880005,840674001,10839721-DS-9,"n in NAD HEENT: PERRL, EOMI, no icterus or pallor NECK: Supple, no carotid bruits, no JVD LUNGS: CTAB HE" "Correct entity, wrong SNOMED ID","(3150, 3164)","(3150, 3164)",carotid bruits,carotid bruits,419642000,10857000,10839721-DS-9,"ERRL, EOMI, no icterus or pallor NECK: Supple, no carotid bruits, no JVD LUNGS: CTAB HEART: RRR, ___ SEM loudest a" "Correct entity, wrong SNOMED ID","(3169, 3172)","(3169, 3172)",JVD,JVD,271653008,459761000124100,10839721-DS-9,"rus or pallor NECK: Supple, no carotid bruits, no JVD LUNGS: CTAB HEART: RRR, ___ SEM loudest at USB, n" "Correct entity, wrong SNOMED ID","(3173, 3178)","(3173, 3178)",LUNGS,LUNGS,268925001,74101002,10839721-DS-9,"or pallor NECK: Supple, no carotid bruits, no JVD LUNGS: CTAB HEART: RRR, ___ SEM loudest at USB, no S3/S" "Correct entity, wrong SNOMED ID","(3180, 3184)","(3180, 3184)",CTAB,CTAB,48348007,259641008,10839721-DS-9,"or NECK: Supple, no carotid bruits, no JVD LUNGS: CTAB HEART: RRR, ___ SEM loudest at USB, no S3/S4 ABDO" "Correct entity, wrong SNOMED ID","(3185, 3190)","(3185, 3190)",HEART,HEART,363003006,226984005,10839721-DS-9,"CK: Supple, no carotid bruits, no JVD LUNGS: CTAB HEART: RRR, ___ SEM loudest at USB, no S3/S4 ABDOMEN: S" "Correct entity, wrong SNOMED ID","(3192, 3195)","(3192, 3195)",RRR,RRR,76863003,129960002,10839721-DS-9,"ple, no carotid bruits, no JVD LUNGS: CTAB HEART: RRR, ___ SEM loudest at USB, no S3/S4 ABDOMEN: Soft, " "Correct entity, wrong SNOMED ID","(3201, 3204)","(3201, 3204)",SEM,SEM,77197001,433411004,10839721-DS-9,"arotid bruits, no JVD LUNGS: CTAB HEART: RRR, ___ SEM loudest at USB, no S3/S4 ABDOMEN: Soft, TTP acros" Missed entity,"(3216, 3219)",,USB,,117144008,,10839721-DS-9,"no JVD LUNGS: CTAB HEART: RRR, ___ SEM loudest at USB, no S3/S4 ABDOMEN: Soft, TTP across lower abdomen" Wrong span,"(3224, 3226)","(3221, 3226)",S3,no S3,277455002,396360001,10839721-DS-9,"UNGS: CTAB HEART: RRR, ___ SEM loudest at USB, no S3/S4 ABDOMEN: Soft, TTP across lower abdomen, no gu" "Correct entity, wrong SNOMED ID","(3245, 3248)","(3245, 3248)",TTP,TTP,43478001,438476003,10839721-DS-9,", ___ SEM loudest at USB, no S3/S4 ABDOMEN: Soft, TTP across lower abdomen, no guarding or rebound EXTR" "Correct entity, wrong SNOMED ID","(3256, 3269)","(3256, 3269)",lower abdomen,lower abdomen,27033000,362692001,10839721-DS-9,"oudest at USB, no S3/S4 ABDOMEN: Soft, TTP across lower abdomen, no guarding or rebound EXTREMITIES: WWP, no c/c/" "Correct entity, wrong SNOMED ID","(3286, 3293)","(3286, 3293)",rebound,rebound,35611005,844584001,10839721-DS-9,"N: Soft, TTP across lower abdomen, no guarding or rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs" "Correct entity, wrong SNOMED ID","(3294, 3305)","(3294, 3305)",EXTREMITIES,EXTREMITIES,302773001,248416007,10839721-DS-9," TTP across lower abdomen, no guarding or rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly int" "Correct entity, wrong SNOMED ID","(3307, 3310)","(3307, 3310)",WWP,WWP,1137685003,258001008,10839721-DS-9,"ower abdomen, no guarding or rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, " Missed entity,"(3315, 3316)",,c,,3415004,,10839721-DS-9,"omen, no guarding or rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, streng" Missed entity,"(3317, 3318)",,c,,367004,,10839721-DS-9,"en, no guarding or rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, strength" Missed entity,"(3319, 3320)",,e,,267038008,,10839721-DS-9,", no guarding or rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, strength a" "Correct entity, wrong SNOMED ID","(3321, 3331)","(3321, 3331)",NEUROLOGIC,NEUROLOGIC,84728005,386427000,10839721-DS-9,"no guarding or rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, strength and sensatio" Missed entity,"(3333, 3334)",,A,,248234008,,10839721-DS-9,"or rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, strength and sensation " "Correct entity, wrong SNOMED ID","(3335, 3338)","(3335, 3338)",Ox3,Ox3,426224004,396154006,10839721-DS-9," rebound EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, strength and sensation gros" Boundary error,"(3340, 3343)","(3340, 3342)",CNs,CN,25238003,223572005,10839721-DS-9,"und EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, strength and sensation grossly i" "Correct entity, wrong SNOMED ID","(3344, 3358)","(3344, 3358)",grossly intact,grossly intact,18460000,408658000,10839721-DS-9,"EXTREMITIES: WWP, no c/c/e NEUROLOGIC: A&Ox3, CNs grossly intact, strength and sensation grossly intact . DISCHAR" "Correct entity, wrong SNOMED ID","(3373, 3398)","(3373, 3398)","sensation grossly intact","sensation grossly intact",299956006,422015002,10839721-DS-9,"UROLOGIC: A&Ox3, CNs grossly intact, strength and sensation grossly intact . DISCHARGE PHYSICAL EXAM: PHYSICAL EXAM: VS: Tem" "Correct entity, wrong SNOMED ID","(3441, 3443)","(3441, 3443)",VS,VS,118227000,313611000,10839721-DS-9," intact . DISCHARGE PHYSICAL EXAM: PHYSICAL EXAM: VS: Temp 98.5 F, BP 126/52, HR 72, R 18, 99% on cpap" Wrong span,"(3498, 3500)","(3494, 3501)",RA,GENERAL,722742002,252398009,10839721-DS-9,"p 98.5 F, BP 126/52, HR 72, R 18, 99% on cpap GENERAL - well-appearing mildly obese woman in NAD, comf" "Correct entity, wrong SNOMED ID","(3526, 3531)","(3526, 3531)",obese,obese,414915002,415530009,10839721-DS-9,"R 18, 99% on cpap GENERAL - well-appearing mildly obese woman in NAD, comfortable, appropriate. HEENT - " "Correct entity, wrong SNOMED ID","(3541, 3544)","(3541, 3544)",NAD,NAD,281900007,131143000,10839721-DS-9,"ap GENERAL - well-appearing mildly obese woman in NAD, comfortable, appropriate. HEENT - NC/AT, PERRLA" "Correct entity, wrong SNOMED ID","(3573, 3578)","(3573, 3578)",HEENT,HEENT,5880005,113665002,10839721-DS-9,"ly obese woman in NAD, comfortable, appropriate. HEENT - NC/AT, PERRLA, sclerae anicteric, MMM, OP clear" Missed entity,"(3581, 3586)",,NC/AT,,840673007,,10839721-DS-9," woman in NAD, comfortable, appropriate. HEENT - NC/AT, PERRLA, sclerae anicteric, MMM, OP clear NECK - " "Correct entity, wrong SNOMED ID","(3588, 3594)","(3588, 3594)",PERRLA,PERRLA,386667005,68123009,10839721-DS-9,"in NAD, comfortable, appropriate. HEENT - NC/AT, PERRLA, sclerae anicteric, MMM, OP clear NECK - supple, " "Correct entity, wrong SNOMED ID","(3596, 3613)","(3596, 3613)",sclerae anicteric,sclerae anicteric,427801009,704978005,10839721-DS-9,"comfortable, appropriate. HEENT - NC/AT, PERRLA, sclerae anicteric, MMM, OP clear NECK - supple, no thyromegaly, no " "Correct entity, wrong SNOMED ID","(3615, 3618)","(3615, 3618)",MMM,MMM,276398005,258673006,10839721-DS-9,"priate. HEENT - NC/AT, PERRLA, sclerae anicteric, MMM, OP clear NECK - supple, no thyromegaly, no bruit" Wrong span,"(3620, 3622)","(3620, 3628)",OP,OP clear,31389004,271591004,10839721-DS-9,"e. HEENT - NC/AT, PERRLA, sclerae anicteric, MMM, OP clear NECK - supple, no thyromegaly, no bruits LU" "Correct entity, wrong SNOMED ID","(3629, 3633)","(3629, 3633)",NECK,NECK,5880005,840674001,10839721-DS-9,"- NC/AT, PERRLA, sclerae anicteric, MMM, OP clear NECK - supple, no thyromegaly, no bruits LUNGS - CTA b" "Correct entity, wrong SNOMED ID","(3647, 3658)","(3647, 3658)",thyromegaly,thyromegaly,3716002,92978002,10839721-DS-9,"clerae anicteric, MMM, OP clear NECK - supple, no thyromegaly, no bruits LUNGS - CTA bilat, no r/rh/wh, good ai" "Correct entity, wrong SNOMED ID","(3670, 3675)","(3670, 3675)",LUNGS,LUNGS,268925001,74101002,10839721-DS-9,"OP clear NECK - supple, no thyromegaly, no bruits LUNGS - CTA bilat, no r/rh/wh, good air movement, resp " Wrong span,"(3678, 3687)","(3678, 3681)",CTA bilat,CTA,48348007,397005006,10839721-DS-9," NECK - supple, no thyromegaly, no bruits LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, " Wrong span,"(3692, 3693)","(3689, 3699)",r,no r/rh/wh,48409008,164878005,10839721-DS-9,", no thyromegaly, no bruits LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, no acc" Wrong span,"(3694, 3696)","(3689, 3699)",rh,no r/rh/wh,24612001,164878005,10839721-DS-9,"no thyromegaly, no bruits LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, no access" Wrong span,"(3697, 3699)","(3689, 3699)",wh,no r/rh/wh,56018004,164878005,10839721-DS-9,"thyromegaly, no bruits LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, no accessory" "Correct entity, wrong SNOMED ID","(3740, 3760)","(3740, 3760)",accessory muscle use,accessory muscle use,271620003,178276009,10839721-DS-9,"o r/rh/wh, good air movement, resp unlabored, no accessory muscle use HEART - RRR, systolic ejection murmur heard best " "Correct entity, wrong SNOMED ID","(3761, 3766)","(3761, 3766)",HEART,HEART,363003006,226984005,10839721-DS-9,"ovement, resp unlabored, no accessory muscle use HEART - RRR, systolic ejection murmur heard best over L" "Correct entity, wrong SNOMED ID","(3769, 3772)","(3769, 3772)",RRR,RRR,76863003,129960002,10839721-DS-9," resp unlabored, no accessory muscle use HEART - RRR, systolic ejection murmur heard best over LUSB, " Wrong span,"(3783, 3798)","(3792, 3798)",ejection murmur,murmur,77197001,128151003,10839721-DS-9,"ed, no accessory muscle use HEART - RRR, systolic ejection murmur heard best over LUSB, radiating into L carotid A" Missed entity,"(3815, 3819)",,LUSB,,117144008,,10839721-DS-9,"T - RRR, systolic ejection murmur heard best over LUSB, radiating into L carotid ABDOMEN - Soft, mildly" Missed entity,"(3837, 3846)",,L carotid,,721028001,,10839721-DS-9,"tion murmur heard best over LUSB, radiating into L carotid ABDOMEN - Soft, mildly distended, mild tenderness" Wrong span,"(3847, 3861)","(3847, 3854)",ABDOMEN - Soft,ABDOMEN,249543005,75093004,10839721-DS-9,"r heard best over LUSB, radiating into L carotid ABDOMEN - Soft, mildly distended, mild tenderness to palpation " "Correct entity, wrong SNOMED ID","(3870, 3879)","(3870, 3879)",distended,distended,60728008,1204394008,10839721-DS-9," radiating into L carotid ABDOMEN - Soft, mildly distended, mild tenderness to palpation greatest in lower " Wrong span,"(3886, 3896)","(3886, 3899)",tenderness,tenderness to,43478001,43478001,10839721-DS-9," L carotid ABDOMEN - Soft, mildly distended, mild tenderness to palpation greatest in lower quadrants, no reb" "Correct entity, wrong SNOMED ID","(3900, 3909)","(3900, 3909)",palpation,palpation,113011001,51558006,10839721-DS-9,"OMEN - Soft, mildly distended, mild tenderness to palpation greatest in lower quadrants, no rebound/guarding" "Correct entity, wrong SNOMED ID","(3943, 3950)","(3943, 3950)",rebound,rebound,35611005,844584001,10839721-DS-9,"ess to palpation greatest in lower quadrants, no rebound/guarding EXTREMITIES - WWP, no c/c/e NEURO - awak" "Correct entity, wrong SNOMED ID","(3960, 3971)","(3960, 3971)",EXTREMITIES,EXTREMITIES,302773001,248416007,10839721-DS-9," greatest in lower quadrants, no rebound/guarding EXTREMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII " "Correct entity, wrong SNOMED ID","(3974, 3977)","(3974, 3977)",WWP,WWP,1137685003,258001008,10839721-DS-9,"ower quadrants, no rebound/guarding EXTREMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossl" Missed entity,"(3982, 3983)",,c,,3415004,,10839721-DS-9,"drants, no rebound/guarding EXTREMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly inta" Missed entity,"(3984, 3985)",,c,,367004,,10839721-DS-9,"ants, no rebound/guarding EXTREMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly intact" Missed entity,"(3986, 3987)",,e,,267038008,,10839721-DS-9,"ts, no rebound/guarding EXTREMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly intact, " "Correct entity, wrong SNOMED ID","(3988, 3993)","(3988, 3993)",NEURO,NEURO,84728005,281247006,10839721-DS-9,", no rebound/guarding EXTREMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly intact, moving" "Correct entity, wrong SNOMED ID","(4003, 4004)","(4003, 4004)",A,A,248234008,420512001,10839721-DS-9,"arding EXTREMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly intact, moving all extre" "Correct entity, wrong SNOMED ID","(4005, 4008)","(4005, 4008)",Ox3,Ox3,426224004,396154006,10839721-DS-9,"ding EXTREMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly intact, moving all extremiti" Wrong span,"(4014, 4016)","(4010, 4016)",II,CNs II,18234004,730441007,10839721-DS-9,"EMITIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly intact, moving all extremities indep" Missed entity,"(4017, 4020)",,XII,,37899009,,10839721-DS-9,"TIES - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly intact, moving all extremities independe" "Correct entity, wrong SNOMED ID","(4021, 4035)","(4021, 4035)",grossly intact,grossly intact,18460000,408755005,10839721-DS-9," - WWP, no c/c/e NEURO - awake, A&Ox3, CNs II-XII grossly intact, moving all extremities independently, able to s" Wrong span,"(4037, 4060)","(4037, 4074)","moving all extremities","moving all extremities independently",284137004,284137004,10839721-DS-9," NEURO - awake, A&Ox3, CNs II-XII grossly intact, moving all extremities independently, able to stand and walk w/ normal " "Correct entity, wrong SNOMED ID","(4076, 4089)","(4076, 4089)",able to stand,able to stand,282971008,282317005,10839721-DS-9,"ly intact, moving all extremities independently, able to stand and walk w/ normal gait. Pertinent Results: AD" Missed entity,"(4094, 4098)",,walk,,282146009,,10839721-DS-9,"all extremities independently, able to stand and walk w/ normal gait. Pertinent Results: ADMISSION L" "Correct entity, wrong SNOMED ID","(4102, 4114)","(4102, 4114)","normal gait","normal gait",8117002,401210006,10839721-DS-9,"remities independently, able to stand and walk w/ normal gait. Pertinent Results: ADMISSION LABS: ___ 12:30P" "Correct entity, wrong SNOMED ID","(4172, 4175)","(4172, 4175)",WBC,WBC,767002,391558003,10839721-DS-9,"inent Results: ADMISSION LABS: ___ 12:30PM BLOOD WBC-14.0*# RBC-4.07* Hgb-12.7 Hct-37.7 MCV-93 MCH-31" "Correct entity, wrong SNOMED ID","(4183, 4186)","(4183, 4186)",RBC,RBC,14089001,258759006,10839721-DS-9,"ts: ADMISSION LABS: ___ 12:30PM BLOOD WBC-14.0*# RBC-4.07* Hgb-12.7 Hct-37.7 MCV-93 MCH-31.2 MCHC-33." "Correct entity, wrong SNOMED ID","(4193, 4196)","(4193, 4196)",Hgb,Hgb,441689006,104142005,10839721-DS-9,"ION LABS: ___ 12:30PM BLOOD WBC-14.0*# RBC-4.07* Hgb-12.7 Hct-37.7 MCV-93 MCH-31.2 MCHC-33.6 RDW-13.4" "Correct entity, wrong SNOMED ID","(4202, 4205)","(4202, 4205)",Hct,Hct,28317006,282660005,10839721-DS-9," ___ 12:30PM BLOOD WBC-14.0*# RBC-4.07* Hgb-12.7 Hct-37.7 MCV-93 MCH-31.2 MCHC-33.6 RDW-13.4 Plt ___ " "Correct entity, wrong SNOMED ID","(4219, 4222)","(4219, 4222)",MCH,MCH,54706004,735147002,10839721-DS-9,"OD WBC-14.0*# RBC-4.07* Hgb-12.7 Hct-37.7 MCV-93 MCH-31.2 MCHC-33.6 RDW-13.4 Plt ___ ___ 12:30PM BLOOD" "Correct entity, wrong SNOMED ID","(4228, 4232)","(4228, 4232)",MCHC,MCHC,37254006,735147002,10839721-DS-9,".0*# RBC-4.07* Hgb-12.7 Hct-37.7 MCV-93 MCH-31.2 MCHC-33.6 RDW-13.4 Plt ___ ___ 12:30PM BLOOD ___ PTT-3" "Correct entity, wrong SNOMED ID","(4277, 4280)","(4277, 4280)",PTT,PTT,42525009,282119004,10839721-DS-9," MCHC-33.6 RDW-13.4 Plt ___ ___ 12:30PM BLOOD ___ PTT-33.9 ___ ___ 12:30PM BLOOD Glucose-127* UreaN-25*" "Correct entity, wrong SNOMED ID","(4308, 4315)","(4308, 4315)",Glucose,Glucose,33747003,72191006,10839721-DS-9," 12:30PM BLOOD ___ PTT-33.9 ___ ___ 12:30PM BLOOD Glucose-127* UreaN-25* Creat-1.1 Na-139 K-3.4 Cl-100 HCO" "Correct entity, wrong SNOMED ID","(4321, 4326)","(4321, 4326)",UreaN,UreaN,105011006,111108008,10839721-DS-9,"D ___ PTT-33.9 ___ ___ 12:30PM BLOOD Glucose-127* UreaN-25* Creat-1.1 Na-139 K-3.4 Cl-100 HCO3-28 AnGap-" "Correct entity, wrong SNOMED ID","(4331, 4336)","(4331, 4336)",Creat,Creat,70901006,413856009,10839721-DS-9,"33.9 ___ ___ 12:30PM BLOOD Glucose-127* UreaN-25* Creat-1.1 Na-139 K-3.4 Cl-100 HCO3-28 AnGap-14 ___ 12:" "Correct entity, wrong SNOMED ID","(4341, 4343)","(4341, 4343)",Na,Na,312469006,257992007,10839721-DS-9,"__ 12:30PM BLOOD Glucose-127* UreaN-25* Creat-1.1 Na-139 K-3.4 Cl-100 HCO3-28 AnGap-14 ___ 12:30PM BL" "Correct entity, wrong SNOMED ID","(4355, 4357)","(4355, 4357)",Cl,Cl,104589004,311741002,10839721-DS-9,"OD Glucose-127* UreaN-25* Creat-1.1 Na-139 K-3.4 Cl-100 HCO3-28 AnGap-14 ___ 12:30PM BLOOD ALT-17 AST" "Correct entity, wrong SNOMED ID","(4362, 4366)","(4362, 4366)",HCO3,HCO3,312471006,88645003,10839721-DS-9,"ose-127* UreaN-25* Creat-1.1 Na-139 K-3.4 Cl-100 HCO3-28 AnGap-14 ___ 12:30PM BLOOD ALT-17 AST-29 AlkPh" "Correct entity, wrong SNOMED ID","(4370, 4375)","(4370, 4375)",AnGap,AnGap,25469001,124504004,10839721-DS-9," UreaN-25* Creat-1.1 Na-139 K-3.4 Cl-100 HCO3-28 AnGap-14 ___ 12:30PM BLOOD ALT-17 AST-29 AlkPhos-99 Tot" "Correct entity, wrong SNOMED ID","(4397, 4400)","(4397, 4400)",ALT,ALT,34608000,56935002,10839721-DS-9," K-3.4 Cl-100 HCO3-28 AnGap-14 ___ 12:30PM BLOOD ALT-17 AST-29 AlkPhos-99 TotBili-0.6 ___ 10:38PM BLOO" "Correct entity, wrong SNOMED ID","(4404, 4407)","(4404, 4407)",AST,AST,45896001,85043005,10839721-DS-9," Cl-100 HCO3-28 AnGap-14 ___ 12:30PM BLOOD ALT-17 AST-29 AlkPhos-99 TotBili-0.6 ___ 10:38PM BLOOD cTrop" "Correct entity, wrong SNOMED ID","(4411, 4418)","(4411, 4418)",AlkPhos,AlkPhos,88810008,30703008,10839721-DS-9," HCO3-28 AnGap-14 ___ 12:30PM BLOOD ALT-17 AST-29 AlkPhos-99 TotBili-0.6 ___ 10:38PM BLOOD cTropnT-<0.01 __" "Correct entity, wrong SNOMED ID","(4422, 4429)","(4422, 4429)",TotBili,TotBili,359986008,19754005,10839721-DS-9,"Gap-14 ___ 12:30PM BLOOD ALT-17 AST-29 AlkPhos-99 TotBili-0.6 ___ 10:38PM BLOOD cTropnT-<0.01 ___ 12:30PM B" "Correct entity, wrong SNOMED ID","(4452, 4459)","(4452, 4459)",cTropnT,cTropnT,105001004,442255004,10839721-DS-9,"7 AST-29 AlkPhos-99 TotBili-0.6 ___ 10:38PM BLOOD cTropnT-<0.01 ___ 12:30PM BLOOD cTropnT-<0.01 ___ 12:30PM" "Correct entity, wrong SNOMED ID","(4484, 4491)","(4484, 4491)",cTropnT,cTropnT,105001004,442255004,10839721-DS-9,"___ 10:38PM BLOOD cTropnT-<0.01 ___ 12:30PM BLOOD cTropnT-<0.01 ___ 12:30PM BLOOD Albumin-4.6 ___ 09:53AM B" "Correct entity, wrong SNOMED ID","(4516, 4523)","(4516, 4523)",Albumin,Albumin,26758005,102688002,10839721-DS-9,"___ 12:30PM BLOOD cTropnT-<0.01 ___ 12:30PM BLOOD Albumin-4.6 ___ 09:53AM BLOOD Calcium-8.5 Phos-2.2* Mg-1." "Correct entity, wrong SNOMED ID","(4546, 4553)","(4546, 4553)",Calcium,Calcium,312472004,108601004,10839721-DS-9,"1 ___ 12:30PM BLOOD Albumin-4.6 ___ 09:53AM BLOOD Calcium-8.5 Phos-2.2* Mg-1.7 ___ 6:45 pm URINE **FINAL " "Correct entity, wrong SNOMED ID","(4558, 4562)","(4558, 4562)",Phos,Phos,104868000,168075002,10839721-DS-9,"M BLOOD Albumin-4.6 ___ 09:53AM BLOOD Calcium-8.5 Phos-2.2* Mg-1.7 ___ 6:45 pm URINE **FINAL REPORT __" "Correct entity, wrong SNOMED ID","(4568, 4570)","(4568, 4570)",Mg,Mg,271285000,258684004,10839721-DS-9,"bumin-4.6 ___ 09:53AM BLOOD Calcium-8.5 Phos-2.2* Mg-1.7 ___ 6:45 pm URINE **FINAL REPORT ___ URINE " "Correct entity, wrong SNOMED ID","(4774, 4777)","(4774, 4777)",WBC,WBC,767002,391558003,10839721-DS-9,"NTAMINATION. DISCHARGE LABS: ___ 06:00AM BLOOD WBC-12.2* RBC-3.49* Hgb-10.9* Hct-32.2* MCV-92 MCH-3" "Correct entity, wrong SNOMED ID","(4784, 4787)","(4784, 4787)",RBC,RBC,14089001,258759006,10839721-DS-9,"N. DISCHARGE LABS: ___ 06:00AM BLOOD WBC-12.2* RBC-3.49* Hgb-10.9* Hct-32.2* MCV-92 MCH-31.1 MCHC-3" "Correct entity, wrong SNOMED ID","(4794, 4797)","(4794, 4797)",Hgb,Hgb,441689006,104142005,10839721-DS-9,"ARGE LABS: ___ 06:00AM BLOOD WBC-12.2* RBC-3.49* Hgb-10.9* Hct-32.2* MCV-92 MCH-31.1 MCHC-33.7 RDW-12" "Correct entity, wrong SNOMED ID","(4804, 4807)","(4804, 4807)",Hct,Hct,28317006,282660005,10839721-DS-9," ___ 06:00AM BLOOD WBC-12.2* RBC-3.49* Hgb-10.9* Hct-32.2* MCV-92 MCH-31.1 MCHC-33.7 RDW-12.9 Plt ___" "Correct entity, wrong SNOMED ID","(4831, 4835)","(4831, 4835)",MCHC,MCHC,37254006,735147002,10839721-DS-9,"2* RBC-3.49* Hgb-10.9* Hct-32.2* MCV-92 MCH-31.1 MCHC-33.7 RDW-12.9 Plt ___ ___ 06:00AM BLOOD Plt ___ _" "Correct entity, wrong SNOMED ID","(4902, 4909)","(4902, 4909)",Glucose,Glucose,33747003,72191006,10839721-DS-9,"t ___ ___ 06:00AM BLOOD Plt ___ ___ 06:00AM BLOOD Glucose-82 UreaN-11 Creat-0.6 Na-142 K-3.5 Cl-108 HCO3-2" "Correct entity, wrong SNOMED ID","(4913, 4918)","(4913, 4918)",UreaN,UreaN,105011006,111108008,10839721-DS-9,"6:00AM BLOOD Plt ___ ___ 06:00AM BLOOD Glucose-82 UreaN-11 Creat-0.6 Na-142 K-3.5 Cl-108 HCO3-25 AnGap-1" "Correct entity, wrong SNOMED ID","(4922, 4927)","(4922, 4927)",Creat,Creat,70901006,413856009,10839721-DS-9,"OOD Plt ___ ___ 06:00AM BLOOD Glucose-82 UreaN-11 Creat-0.6 Na-142 K-3.5 Cl-108 HCO3-25 AnGap-13 ___ 06:" "Correct entity, wrong SNOMED ID","(4932, 4934)","(4932, 4934)",Na,Na,312469006,257992007,10839721-DS-9,"_ ___ 06:00AM BLOOD Glucose-82 UreaN-11 Creat-0.6 Na-142 K-3.5 Cl-108 HCO3-25 AnGap-13 ___ 06:00AM BL" "Correct entity, wrong SNOMED ID","(4946, 4948)","(4946, 4948)",Cl,Cl,104589004,311741002,10839721-DS-9,"BLOOD Glucose-82 UreaN-11 Creat-0.6 Na-142 K-3.5 Cl-108 HCO3-25 AnGap-13 ___ 06:00AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(4953, 4957)","(4953, 4957)",HCO3,HCO3,312471006,88645003,10839721-DS-9,"lucose-82 UreaN-11 Creat-0.6 Na-142 K-3.5 Cl-108 HCO3-25 AnGap-13 ___ 06:00AM BLOOD Calcium-8.9 Phos-1." "Correct entity, wrong SNOMED ID","(4961, 4966)","(4961, 4966)",AnGap,AnGap,25469001,124504004,10839721-DS-9,"2 UreaN-11 Creat-0.6 Na-142 K-3.5 Cl-108 HCO3-25 AnGap-13 ___ 06:00AM BLOOD Calcium-8.9 Phos-1.7* Mg-1.8" "Correct entity, wrong SNOMED ID","(4988, 4995)","(4988, 4995)",Calcium,Calcium,312472004,108601004,10839721-DS-9," K-3.5 Cl-108 HCO3-25 AnGap-13 ___ 06:00AM BLOOD Calcium-8.9 Phos-1.7* Mg-1.8 ___: C. difficile DNA ampli" "Correct entity, wrong SNOMED ID","(5000, 5004)","(5000, 5004)",Phos,Phos,104868000,168075002,10839721-DS-9,"08 HCO3-25 AnGap-13 ___ 06:00AM BLOOD Calcium-8.9 Phos-1.7* Mg-1.8 ___: C. difficile DNA amplification " "Correct entity, wrong SNOMED ID","(5010, 5012)","(5010, 5012)",Mg,Mg,271285000,258684004,10839721-DS-9," AnGap-13 ___ 06:00AM BLOOD Calcium-8.9 Phos-1.7* Mg-1.8 ___: C. difficile DNA amplification assay (P" Wrong span,"(5271, 5276)","(5271, 5289)",CHEST,CHEST (PORTABLE AP,399208008,169037009,10839721-DS-9,"TURE - R/O E.COLI 0157:H7 (Pending): STUDIES: CHEST (PORTABLE AP) Study Date of ___ 3:39 ___ IMPRESS" "Correct entity, wrong SNOMED ID","(5347, 5354)","(5347, 5354)",opacity,opacity,128305008,193570009,10839721-DS-9,"Date of ___ 3:39 ___ IMPRESSION: Minimal patchy opacity in the right lung base, which is nonspecific, an" "Correct entity, wrong SNOMED ID","(5362, 5377)","(5362, 5377)",right lung base,right lung base,51785002,181416003,10839721-DS-9,"9 ___ IMPRESSION: Minimal patchy opacity in the right lung base, which is nonspecific, and may reflect atelectas" "Correct entity, wrong SNOMED ID","(5432, 5442)","(5432, 5442)",Aspiration,Aspiration,422588002,68052005,10839721-DS-9,"ch is nonspecific, and may reflect atelectasis. Aspiration or early infection is not excluded. CT ABD & " "Correct entity, wrong SNOMED ID","(5453, 5462)","(5453, 5462)",infection,infection,40733004,260976002,10839721-DS-9,"nd may reflect atelectasis. Aspiration or early infection is not excluded. CT ABD & PELVIS W/O CONTRAST " Missed entity,"(5508, 5511)",,AST,,45896001,,10839721-DS-9,"tion is not excluded. CT ABD & PELVIS W/O CONTRAST Study Date of ___ 4:36 ___ IMPRESSION: 1. Coli" "Correct entity, wrong SNOMED ID","(5557, 5564)","(5557, 5564)",Colitis,Colitis,64226004,423590009,10839721-DS-9,"RAST Study Date of ___ 4:36 ___ IMPRESSION: 1. Colitis of the left colon along a 14-cm segment. This ma" "Correct entity, wrong SNOMED ID","(5626, 5642)","(5626, 5642)",ischemic colitis,ischemic colitis,30588004,75700000,10839721-DS-9," colon along a 14-cm segment. This may reflect ischemic colitis, however, infectious or inflammatory etiologies " "Correct entity, wrong SNOMED ID","(5653, 5663)","(5653, 5663)",infectious,infectious,40733004,366971000119100,10839721-DS-9,"t. This may reflect ischemic colitis, however, infectious or inflammatory etiologies are not excluded. 2." "Correct entity, wrong SNOMED ID","(5667, 5679)","(5667, 5679)",inflammatory,inflammatory,128139000,103623002,10839721-DS-9,"reflect ischemic colitis, however, infectious or inflammatory etiologies are not excluded. 2. Colonic divert" "Correct entity, wrong SNOMED ID","(5715, 5737)","(5715, 5737)",Colonic diverticulosis,Colonic diverticulosis,733657002,398050005,10839721-DS-9,"r inflammatory etiologies are not excluded. 2. Colonic diverticulosis without diverticulitis. 3. Calcified 1.4 cm righ" "Correct entity, wrong SNOMED ID","(5746, 5760)","(5746, 5760)",diverticulitis,diverticulitis,307496006,2091005,10839721-DS-9,"not excluded. 2. Colonic diverticulosis without diverticulitis. 3. Calcified 1.4 cm right renal arterial aneury" "Correct entity, wrong SNOMED ID","(5783, 5812)","(5783, 5812)",right renal arterial aneurysm,right renal arterial aneurysm,12237311000119105,16697181000119105,10839721-DS-9,"osis without diverticulitis. 3. Calcified 1.4 cm right renal arterial aneurysm, unchanged. 4. 7-mm hyperdense cyst in the lower" "Correct entity, wrong SNOMED ID","(5845, 5849)","(5845, 5849)",cyst,cyst,367643001,110410009,10839721-DS-9,"arterial aneurysm, unchanged. 4. 7-mm hyperdense cyst in the lower pole of the left kidney, which coul" Wrong span,"(5857, 5886)","(5857, 5870)",lower pole of the left kidney,lower pole of,119274003,279374002,10839721-DS-9,"urysm, unchanged. 4. 7-mm hyperdense cyst in the lower pole of the left kidney, which could be better evaluated with ultrasound" "Correct entity, wrong SNOMED ID","(5926, 5936)","(5926, 5936)",ultrasound,ultrasound,16310003,1172737007,10839721-DS-9,"eft kidney, which could be better evaluated with ultrasound on a non-emergent basis. 5. Unchanged 5-mm nodu" "Correct entity, wrong SNOMED ID","(5982, 5988)","(5982, 5988)",nodule,nodule,27925004,246120007,10839721-DS-9,"ound on a non-emergent basis. 5. Unchanged 5-mm nodule in the right middle lobe, for which no further " Wrong span,"(6092, 6114)","(6104, 6114)",Superficial ulceration,ulceration,15498001,71262003,10839721-DS-9,"owup is required. Sigmoidoscopy ___: Impression: Superficial ulceration, erythema, friability and abnormal vascularity i" "Correct entity, wrong SNOMED ID","(6116, 6124)","(6116, 6124)",erythema,erythema,247441003,403194002,10839721-DS-9,"idoscopy ___: Impression: Superficial ulceration, erythema, friability and abnormal vascularity in the sple" "Correct entity, wrong SNOMED ID","(6126, 6136)","(6126, 6136)",friability,friability,36898009,113039000,10839721-DS-9,"__: Impression: Superficial ulceration, erythema, friability and abnormal vascularity in the splenic flexure " "Correct entity, wrong SNOMED ID","(6202, 6209)","(6202, 6209)",colitis,colitis,64226004,423590009,10839721-DS-9,"ascularity in the splenic flexure compatible with colitis likely from ischemia (biopsy) Normal mucosa in t" "Correct entity, wrong SNOMED ID","(6223, 6231)","(6223, 6231)",ischemia,ischemia,52674009,414795007,10839721-DS-9,"enic flexure compatible with colitis likely from ischemia (biopsy) Normal mucosa in the sigmoid colon (biop" "Correct entity, wrong SNOMED ID","(6233, 6239)","(6233, 6239)",biopsy,biopsy,86273004,48635004,10839721-DS-9,"re compatible with colitis likely from ischemia (biopsy) Normal mucosa in the sigmoid colon (biopsy) Inte" "Correct entity, wrong SNOMED ID","(6262, 6275)","(6262, 6275)",sigmoid colon,sigmoid colon,60184004,362166007,10839721-DS-9,"ikely from ischemia (biopsy) Normal mucosa in the sigmoid colon (biopsy) Internal hemorrhoids Otherwise normal si" "Correct entity, wrong SNOMED ID","(6277, 6283)","(6277, 6283)",biopsy,biopsy,86273004,48635004,10839721-DS-9,"emia (biopsy) Normal mucosa in the sigmoid colon (biopsy) Internal hemorrhoids Otherwise normal sigmoidosc" Wrong span,"(6285, 6305)","(6294, 6305)",Internal hemorrhoids,hemorrhoids,90458007,46276006,10839721-DS-9,"opsy) Normal mucosa in the sigmoid colon (biopsy) Internal hemorrhoids Otherwise normal sigmoidoscopy to transverse colo" "Correct entity, wrong SNOMED ID","(6323, 6336)","(6323, 6336)",sigmoidoscopy,sigmoidoscopy,24420007,235153008,10839721-DS-9,"on (biopsy) Internal hemorrhoids Otherwise normal sigmoidoscopy to transverse colon PATHOLOGY EXAMINATION: ""DIAG" "Correct entity, wrong SNOMED ID","(6340, 6356)","(6340, 6356)",transverse colon,transverse colon,485005,362163004,10839721-DS-9,"nal hemorrhoids Otherwise normal sigmoidoscopy to transverse colon PATHOLOGY EXAMINATION: ""DIAGNOSIS: Colonic muco" Wrong span,"(6394, 6418)","(6394, 6408)","Colonic mucosa, biopsies",Colonic mucosa,76164006,415767003,10839721-DS-9,"sverse colon PATHOLOGY EXAMINATION: ""DIAGNOSIS: Colonic mucosa, biopsies, three: A. Transverse: Mildly active inflammatio" Wrong span,"(6450, 6469)","(6457, 6469)",active inflammation,inflammation,4532008,103622007,10839721-DS-9,"c mucosa, biopsies, three: A. Transverse: Mildly active inflammation with regenerative changes. No chronic colitis se" "Correct entity, wrong SNOMED ID","(6500, 6516)","(6500, 6516)","chronic colitis","chronic colitis",54597004,396336000,10839721-DS-9,"active inflammation with regenerative changes. No chronic colitis seen. B. Splenic flexure: - Fragments of colonic " Wrong span,"(6558, 6565)","(6558, 6572)",colonic,colonic mucosa,71854001,415767003,10839721-DS-9," colitis seen. B. Splenic flexure: - Fragments of colonic mucosa with recent hemorrhage, likely procedural" "Correct entity, wrong SNOMED ID","(6585, 6595)","(6585, 6595)",hemorrhage,hemorrhage,50960005,8573003,10839721-DS-9,"lexure: - Fragments of colonic mucosa with recent hemorrhage, likely procedural. - Strips of surface epitheli" Missed entity,"(6637, 6647)",,epithelium,,31610004,,10839721-DS-9,"morrhage, likely procedural. - Strips of surface epithelium admixed with neutrophils (not present on level 2" Missed entity,"(6735, 6742)",,Sigmoid,,60184004,,10839721-DS-9,"t on level 2 and cannot be further evaluated). C. Sigmoid: Within normal limits. Note: The differential dia" "Correct entity, wrong SNOMED ID","(6808, 6817)","(6808, 6817)",infection,infection,40733004,260976002,10839721-DS-9,"limits. Note: The differential diagnosis includes infection, some drugs, ischemia, etc. Clinical correlation" "Correct entity, wrong SNOMED ID","(6832, 6840)","(6832, 6840)",ischemia,ischemia,52674009,414795007,10839721-DS-9,"ential diagnosis includes infection, some drugs, ischemia, etc. Clinical correlation is needed."" Brief Ho" "Correct entity, wrong SNOMED ID","(6908, 6922)","(6908, 6922)",Abdominal Pain,Abdominal Pain,21522001,54586004,10839721-DS-9,"rrelation is needed."" Brief Hospital Course: 1. Abdominal Pain b/l lower quadrants, Acute Blood Loss Anemia, Is" "Correct entity, wrong SNOMED ID","(7048, 7062)","(7048, 7062)",abdominal pain,abdominal pain,21522001,54586004,10839721-DS-9,"eding, gastroenteritis: Pt was were admitted with abdominal pain and bloody diarrhea. CT scan revealed wall thick" "Correct entity, wrong SNOMED ID","(7067, 7082)","(7067, 7082)",bloody diarrhea,bloody diarrhea,95545007,405729008,10839721-DS-9,"tis: Pt was were admitted with abdominal pain and bloody diarrhea. CT scan revealed wall thickening in the right c" "Correct entity, wrong SNOMED ID","(7084, 7092)","(7084, 7092)","CT scan","CT scan",169070004,116152004,10839721-DS-9,"admitted with abdominal pain and bloody diarrhea. CT scan revealed wall thickening in the right colon in a " "Correct entity, wrong SNOMED ID","(7107, 7117)","(7107, 7117)",thickening,thickening,89977008,112674009,10839721-DS-9," pain and bloody diarrhea. CT scan revealed wall thickening in the right colon in a watershed area pointing " "Correct entity, wrong SNOMED ID","(7125, 7136)","(7125, 7136)",right colon,right colon,51342009,362161002,10839721-DS-9,"iarrhea. CT scan revealed wall thickening in the right colon in a watershed area pointing to ischemic colitis" "Correct entity, wrong SNOMED ID","(7170, 7186)","(7170, 7186)",ischemic colitis,ischemic colitis,30588004,75700000,10839721-DS-9," the right colon in a watershed area pointing to ischemic colitis, although infection and diverticulitis were also" "Correct entity, wrong SNOMED ID","(7197, 7206)","(7197, 7206)",infection,infection,40733004,230595006,10839721-DS-9,"shed area pointing to ischemic colitis, although infection and diverticulitis were also on the differential" "Correct entity, wrong SNOMED ID","(7212, 7226)","(7212, 7226)",diverticulitis,diverticulitis,307496006,2091005,10839721-DS-9,"ting to ischemic colitis, although infection and diverticulitis were also on the differential. Pt's hematocrit r" "Correct entity, wrong SNOMED ID","(7344, 7346)","(7344, 7346)",UA,UA,27171005,257999003,10839721-DS-9,"able. Labs notable for WBC 14 (83%PMN), nml HCT, UA with a few bacteria and mod leuk esterase. She wa" Wrong span,"(7431, 7435)","(7431, 7446)",pain,pain controlled,22253000,704675005,10839721-DS-9,"sterase. She was treated with IV fluids, and her pain controlled with morphine. A sigmoidoscopy was pe" "Correct entity, wrong SNOMED ID","(7465, 7478)","(7465, 7478)",sigmoidoscopy,sigmoidoscopy,24420007,235153008,10839721-DS-9,"fluids, and her pain controlled with morphine. A sigmoidoscopy was performed that also revealed evidence of isc" "Correct entity, wrong SNOMED ID","(7525, 7541)","(7525, 7541)",ischemic colitis,ischemic colitis,30588004,75700000,10839721-DS-9,"opy was performed that also revealed evidence of ischemic colitis. Pt's pain resolved over the course of her stay," "Correct entity, wrong SNOMED ID","(7548, 7561)","(7548, 7561)",pain resolved,pain resolved,301379001,816133002,10839721-DS-9,"also revealed evidence of ischemic colitis. Pt's pain resolved over the course of her stay, and her nausea was " "Correct entity, wrong SNOMED ID","(7600, 7606)","(7600, 7606)",nausea,nausea,422587007,1217125005,10839721-DS-9,"in resolved over the course of her stay, and her nausea was treated with compazine 5 mg. By day of disch" "Correct entity, wrong SNOMED ID","(7703, 7714)","(7703, 7714)",able to eat,able to eat,288884008,364787006,10839721-DS-9,"scharge she was having no more bloody BMs and was able to eat. She was encouraged to take good PO, and to hold" Missed entity,"(7769, 7789)",,"high blood pressure",,38341003,,10839721-DS-9,"e was encouraged to take good PO, and to hold her high blood pressure meds until she follows up with her outpatient doc" "Correct entity, wrong SNOMED ID","(7927, 7948)","(7927, 7948)",substernal chest pain,substernal chest pain,4568003,162039006,10839721-DS-9," patient was drinking IV contrast, she developed substernal chest pain. An EKG was w/o ischemic changes and 3 troponins" "Correct entity, wrong SNOMED ID","(7953, 7956)","(7953, 7956)",EKG,EKG,29303009,75444003,10839721-DS-9,"ontrast, she developed substernal chest pain. An EKG was w/o ischemic changes and 3 troponins returne" "Correct entity, wrong SNOMED ID","(7965, 7981)","(7965, 7981)",ischemic changes,ischemic changes,164861001,449735000,10839721-DS-9," developed substernal chest pain. An EKG was w/o ischemic changes and 3 troponins returned negative. Ultrasound in" "Correct entity, wrong SNOMED ID","(8018, 8028)","(8018, 8028)",Ultrasound,Ultrasound,16310003,765172009,10839721-DS-9,"hemic changes and 3 troponins returned negative. Ultrasound in the ED was neg for aortic aneurysm/dissection" "Correct entity, wrong SNOMED ID","(8052, 8067)","(8052, 8067)",aortic aneurysm,aortic aneurysm,67362008,306993002,10839721-DS-9,"urned negative. Ultrasound in the ED was neg for aortic aneurysm/dissection or pericardial tamponade. Given her h" "Correct entity, wrong SNOMED ID","(8068, 8078)","(8068, 8078)",dissection,dissection,308546005,710864009,10839721-DS-9,"Ultrasound in the ED was neg for aortic aneurysm/dissection or pericardial tamponade. Given her history of _" "Correct entity, wrong SNOMED ID","(8082, 8103)","(8082, 8103)",pericardial tamponade,pericardial tamponade,35304003,175180005,10839721-DS-9,"the ED was neg for aortic aneurysm/dissection or pericardial tamponade. Given her history of ___ esophagus, her chest p" "Correct entity, wrong SNOMED ID","(8131, 8140)","(8131, 8140)",esophagus,esophagus,32849002,169005008,10839721-DS-9," pericardial tamponade. Given her history of ___ esophagus, her chest pain may have been GI related, or in " "Correct entity, wrong SNOMED ID","(8146, 8156)","(8146, 8156)",chest pain,chest pain,29857009,102589003,10839721-DS-9,"mponade. Given her history of ___ esophagus, her chest pain may have been GI related, or in the setting of a" "Correct entity, wrong SNOMED ID","(8171, 8173)","(8171, 8173)",GI,GI,86762007,1142285003,10839721-DS-9,"ry of ___ esophagus, her chest pain may have been GI related, or in the setting of acute bleeding, sh" Missed entity,"(8205, 8219)",,acute bleeding,,8573003,,10839721-DS-9,"n may have been GI related, or in the setting of acute bleeding, she may have been in a demand ischemia setting." "Correct entity, wrong SNOMED ID","(8245, 8260)","(8245, 8260)",demand ischemia,demand ischemia,691471000119109,16837681000119104,10839721-DS-9,"etting of acute bleeding, she may have been in a demand ischemia setting. Her chest pain did no recur in the hosp" "Correct entity, wrong SNOMED ID","(8274, 8284)","(8274, 8284)",chest pain,chest pain,29857009,444821009,10839721-DS-9," may have been in a demand ischemia setting. Her chest pain did no recur in the hospital; she can discuss th" Wrong span,"(8409, 8419)","(8409, 8424)",chest pain,chest pain free,29857009,59021001,10839721-DS-9,"t echo with her cardiologist. She was discharged chest pain free and encouraged to followup with a GI doctor" "Correct entity, wrong SNOMED ID","(8517, 8536)","(8517, 8536)",Benign Hypertension,Benign Hypertension,10725009,194785008,10839721-DS-9,"or. 3. GERD. Continued PPI and H2 blocker. 4. Benign Hypertension. Antihypertensives were held due to normotension" "Correct entity, wrong SNOMED ID","(8609, 8617)","(8609, 8617)",bleeding,bleeding,131148009,74474003,10839721-DS-9,"re held due to normotension likely in setting of bleeding 5. Hyperlipidemia. Continued crestor 6. Obstru" "Correct entity, wrong SNOMED ID","(8622, 8636)","(8622, 8636)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,10839721-DS-9,"o normotension likely in setting of bleeding 5. Hyperlipidemia. Continued crestor 6. Obstructive Sleep Apnea. " "Correct entity, wrong SNOMED ID","(8791, 8805)","(8791, 8805)",colonic biopsy,colonic biopsy,76164006,446745002,10839721-DS-9,"TIONAL ISSUES ==================== -- Patient had colonic biopsy taken which will need to be followed up; negativ" "Correct entity, wrong SNOMED ID","(8923, 8933)","(8923, 8933)",renal cyst,renal cyst,722223000,77945009,10839721-DS-9,"turned at time of this writing. -- Patient had renal cyst seen on CT abdomen which should be followed up w" "Correct entity, wrong SNOMED ID","(8942, 8952)","(8942, 8952)",CT abdomen,CT abdomen,169070004,718013006,10839721-DS-9,"his writing. -- Patient had renal cyst seen on CT abdomen which should be followed up with renal ultrasoun" "Correct entity, wrong SNOMED ID","(8987, 9003)","(8987, 9003)",renal ultrasound,renal ultrasound,306005,15883561000119108,10839721-DS-9,"n on CT abdomen which should be followed up with renal ultrasound to rule out malignanacy Medications on Admissio" "Correct entity, wrong SNOMED ID","(9016, 9027)","(9016, 9027)",malignanacy,malignanacy,1240414004,47709007,10839721-DS-9,"be followed up with renal ultrasound to rule out malignanacy Medications on Admission: - amlodipine 10mg dai" Wrong span,"(10463, 10479)","(10469, 10485)","mary Ischemic C",Ischemic Colitis,30588004,75700000,10839721-DS-9,"harge Disposition: Home Discharge Diagnosis: Primary Ischemic Colitis Secondary Hypertension Diverticuolsis Irri" Missed entity,"(10491, 10503)",,"ndary Hypert",,38341003,,10839721-DS-9,"scharge Diagnosis: Primary Ischemic Colitis Secondary Hypertension Diverticuolsis Irritable bowel syndrome Bar" Wrong span,"(10504, 10518)","(10506, 10509)","nsion Divertic",ion,724538004,104512004,10839721-DS-9,"osis: Primary Ischemic Colitis Secondary Hypertension Diverticuolsis Irritable bowel syndrome Barretts esophagus" Wrong span,"(10519, 10543)","(10510, 10524)","olsis Irritable bowel sy",Diverticuolsis,10743008,14011008,10839721-DS-9,"Ischemic Colitis Secondary Hypertension Diverticuolsis Irritable bowel syndrome Barretts esophagus Discharge Condition: M" Wrong span,"(10544, 10562)","(10525, 10549)","drome Barretts eso",Irritable bowel syndrome,302914006,70871000119100,10839721-DS-9,"ry Hypertension Diverticuolsis Irritable bowel syndrome Barretts esophagus Discharge Condition: Mental Status: Clear" Wrong span,"(10586, 10598)","(10592, 10605)","tion: Mental",Mental Status,392257007,419284004,10839721-DS-9,"owel syndrome Barretts esophagus Discharge Condition: Mental Status: Clear and coherent. Level of Consciousnes" Wrong span,"(10621, 10643)","(10627, 10649)","rent. Level of Conscio",Level of Consciousness,444714004,830285008,10839721-DS-9,"Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Am" Wrong span,"(10645, 10649)","(10627, 10649)",ness,Level of Consciousness,248234008,830285008,10839721-DS-9,"tal Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" Wrong span,"(10668, 10682)","(10661, 10672)","tive. Activity",interactive,129676008,10301000202103,10839721-DS-9,"oherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Ins" Wrong span,"(10685, 10709)","(10674, 10689)",atus: Ambulatory - Indep,Activity Status,165245003,397622007,10839721-DS-9," Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: It was a pleasur" Wrong span,"(10842, 10855)","(10847, 10861)",with abdomina,abdominal pain,21522001,54586004,10839721-DS-9,"ital stay at ___. As you know, you were admitted with abdominal pain and bloody diarrhea. We performed a CT sca" Wrong span,"(10862, 10876)","(10867, 10882)","and bloody di",bloody diarrhea,95545007,405729008,10839721-DS-9,"s you know, you were admitted with abdominal pain and bloody diarrhea. We performed a CT scan which showed findin" Wrong span,"(10893, 10900)","(10899, 10906)",med a C,CT scan,169070004,116152004,10839721-DS-9,"ith abdominal pain and bloody diarrhea. We performed a CT scan which showed findings consistent with decr" Wrong span,"(10941, 10960)","(10946, 10966)",with decreased bloo,decreased blood flow,21762000,5006002,10839721-DS-9,"ormed a CT scan which showed findings consistent with decreased blood flow to the colon and colitis (ischemic colitis" Missed entity,"(10967, 10973)",,to the,,71854001,,10839721-DS-9,"ed findings consistent with decreased blood flow to the colon and colitis (ischemic colitis). We checked" Wrong span,"(10978, 10985)","(10974, 10979)",n and c,colon,64226004,269533000,10839721-DS-9," consistent with decreased blood flow to the colon and colitis (ischemic colitis). We checked your blood " Wrong span,"(10988, 11004)","(10984, 10991)","tis (ischemic c",colitis,30588004,423590009,10839721-DS-9,"nt with decreased blood flow to the colon and colitis (ischemic colitis). We checked your blood level and it remain" Wrong span,"(11098, 11111)","(11104, 11117)",med a sigmoid,sigmoidoscopy,24420007,235153008,10839721-DS-9,"remained stable and not danerously low. We performed a sigmoidoscopy that also revealed evidence of ischemic co" Wrong span,"(11144, 11160)","(11150, 11166)",ce of ischemic c,ischemic colitis,30588004,75700000,10839721-DS-9,"rformed a sigmoidoscopy that also revealed evidence of ischemic colitis. Ischemic colitis will improve with time " Wrong span,"(11164, 11180)","(11150, 11166)","is. Ischemic c",ischemic colitis,30588004,75700000,10839721-DS-9,"opy that also revealed evidence of ischemic colitis. Ischemic colitis will improve with time in the next two week" Missed entity,"(11311, 11329)",,your high blood pr,,38341003,,10839721-DS-9,"that you maintain good hydration and do not take your high blood pressure medication. Please see below for changes t" Missed entity,"(11330, 11340)",,ssure medi,,18629005,,10839721-DS-9,"ood hydration and do not take your high blood pressure medication. Please see below for changes to your medi" False positive,,"(374, 404)",,Dobhoff Feeding Tube Placement,,1354663009,10848570-DS-12,"heal Intubation Central Venous Line Placement ___ Dobhoff Feeding Tube Placement History of Present Illness: Mr. ___ is a ___ ye" False positive,,"(908, 910)",,IV,,258000009,10848570-DS-12,"re with a retroperitoneal hematoma. He was given IV fentanyl and dilaudid for pain and transferred t" False positive,,"(1424, 1428)",,PRBC,,258759006,10848570-DS-12,"neal hematoma. HCt was 28 and he was given 2U of PRBC. He was admitted to the trauma SICU for managemen" False positive,,"(1872, 1879)",,moaning,,304636008,10848570-DS-12," not in acute distress, follows simple commends, moaning when repositioned HEENT: PERRL, oral mucosa dry, " False positive,,"(1885, 1897)",,repositioned,,260745001,10848570-DS-12," distress, follows simple commends, moaning when repositioned HEENT: PERRL, oral mucosa dry, NG in place on tub" False positive,,"(2167, 2172)",,Foley,,126224002,10848570-DS-12,"ding or rebound PULSES: 2+radial B, 2+ ___ B GU: Foley catheter EXT: no edema, no cyanosis, no clubbing " False positive,,"(2268, 2276)",,decubiti,,260451007,10848570-DS-12,"ing SKIN : no rash, no ulceration, no erythema in decubiti NEURO: awake alert to person only, no tremor; no " False positive,,"(2356, 2358)",,CA,,259295006,10848570-DS-12,"only, no tremor; no rigidity, gait= not assessed CAM: A/F: Y Inat: ? Disorg: ? Consc: N total:/4 Atte" False positive,,"(2484, 2494)",,CT c-spine,,718000000,10848570-DS-12,"le to test at this time Pertinent Results: ___ CT c-spine: s/p post c1-c2 fusion. metallic nail through L " False positive,,"(2568, 2584)",,retropharnyngeal,,789564000,10848570-DS-12," metallic nail through L lat C2 extends w/tip in retropharnyngeal/prevertebral jxn soft tissues ant to C1. mild an" False positive,,"(2585, 2597)",,prevertebral,,36813001,10848570-DS-12,"rough L lat C2 extends w/tip in retropharnyngeal/prevertebral jxn soft tissues ant to C1. mild anterolisthesis" False positive,,"(2598, 2601)",,jxn,,257990004,10848570-DS-12,"C2 extends w/tip in retropharnyngeal/prevertebral jxn soft tissues ant to C1. mild anterolisthesis of " False positive,,"(2632, 2647)",,anterolisthesis,,321171000119102,10848570-DS-12,"al/prevertebral jxn soft tissues ant to C1. mild anterolisthesis of C4 over C5. very min retrolisthesis C5 over C" False positive,,"(2651, 2653)",,C4,,84720003,10848570-DS-12," soft tissues ant to C1. mild anterolisthesis of C4 over C5. very min retrolisthesis C5 over C6. mul" False positive,,"(2659, 2661)",,C5,,62699008,10848570-DS-12,"issues ant to C1. mild anterolisthesis of C4 over C5. very min retrolisthesis C5 over C6. mult-level " False positive,,"(2732, 2734)",,fx,,421806008,10848570-DS-12,"hesis C5 over C6. mult-level ___ change. no acute fx seen. pulmonary emphysema. coarse vertebral and " False positive,,"(3254, 3261)",,iliacus,,244956009,10848570-DS-12,"ne, extends superiorly ant to L psoas muscle and iliacus. mild loss of ht of L2 & L3 vert bodies. Grade 1" False positive,,"(3365, 3372)",,CT head,,303654001,10848570-DS-12,"ndylolisthesis L5/S1. bladder diverticula . ___ CT head: No acute ICH. opacification of inf L maxillary s" False positive,,"(3435, 3439)",,loss,,50960005,10848570-DS-12,"H. opacification of inf L maxillary sinus w/focal loss of ant inf L max sinus/ant L alveolar bone, adj " False positive,,"(3522, 3525)",,gas,,111132001,10848570-DS-12,"eolar bone, adj soft tissue swelling and foci of gas. ?infectious process involving L alveolar proces" False positive,,"(3589, 3595)",,dental,,272299003,10848570-DS-12,"process involving L alveolar process of maxilla, dental in nature vs chronic sinusitis vs injury. recomm" False positive,,"(3752, 3765)",,Peribronchial,,199697003,10848570-DS-12," CXR (pm): Increased lung volumes c/w emphysema. Peribronchial cuffing and predominantly R-sided interstitial o" False positive,,"(3800, 3812)",,interstitial,,85293002,10848570-DS-12," Peribronchial cuffing and predominantly R-sided interstitial opacities likely fluid overload. Subtle opacity " False positive,,"(3945, 3948)",,CXR,,399208008,10848570-DS-12,"rnal ventilator apparatus vs. consolidation. ___ CXR: The Dobbhoff tube tip is in the stomach. Cardiom" False positive,,"(4065, 4077)",,interstitial,,85293002,10848570-DS-12,"uette is stable. There is no change in upper lobe interstitial opacities in this patient with hyperinflated lun" False positive,,"(5254, 5260)",,trauma,,25809009,10848570-DS-12,"Pelvic fracture. He was initially admitted to the trauma surgery service. He was seen by orthopedic surg" False positive,,"(5369, 5372)",,leg,,53840002,10848570-DS-12," pin was placed through the distal femur and the leg was placed in traction in anticipation of possib" False positive,,"(5425, 5432)",,surgery,,110473004,10848570-DS-12,"s placed in traction in anticipation of possible surgery. 3d reconstructive CT imaging of the pelvis was" False positive,,"(5550, 5559)",,operative,,430715008,10848570-DS-12,"ately, it was decided to treat this fracture non operatively given his baseline functional status and the s" False positive,,"(5651, 5654)",,pin,,370444003,10848570-DS-12,"nd the severity of his fracture on imaging. The pin was removed. Pain was controlled with IV morphin" False positive,,"(5693, 5695)",,IV,,258000009,10848570-DS-12,"g. The pin was removed. Pain was controlled with IV morphine and PO oxycodone. # Retroperitoneal Bl" False positive,,"(5754, 5756)",,CT,,441284005,10848570-DS-12,"e and PO oxycodone. # Retroperitoneal Bleed. On CT, retroperitoneal and pelvic bleeding was discove" False positive,,"(6358, 6367)",,breathing,,271825005,10848570-DS-12," course was completed with an improvement in his breathing, and a reduction in his oxygen requirement. On " False positive,,"(6749, 6753)",,Card,,315012009,10848570-DS-12," the range of 110-140 early in his SICU course. Cardiology was consulted and recommended up titration" False positive,,"(7006, 7015)",,Nutrition,,2492009,10848570-DS-12,"g PO bid, with rates in the ___ on discharge. # Nutrition - Initial speech and swallow evaluation found tha" False positive,,"(10040, 10043)",,not,,717896003,10848570-DS-12,"mentia Discharge Condition: Baseline dementia, not oriented to place or time. Ambulating with assis" False positive,,"(10361, 10372)",,medications,,182837001,10848570-DS-12,"oped a high heart rate which was controlled with medications. You developed a pneumonia which was treated wi" "Correct entity, wrong SNOMED ID","(271, 275)","(271, 275)",Fall,Fall,161898004,298344006,10848570-DS-12,"ies to Drugs Attending: ___. Chief Complaint: Fall Major Surgical or Invasive Procedure: Endotrach" "Correct entity, wrong SNOMED ID","(316, 339)","(316, 339)",Endotracheal Intubation,Endotracheal Intubation,112798008,232674004,10848570-DS-12,"int: Fall Major Surgical or Invasive Procedure: Endotracheal Intubation Central Venous Line Placement ___ Dobhoff Feeding" "Correct entity, wrong SNOMED ID","(340, 369)","(340, 369)",Central Venous Line Placement,Central Venous Line Placement,1172566008,398176008,10848570-DS-12,"al or Invasive Procedure: Endotracheal Intubation Central Venous Line Placement ___ Dobhoff Feeding Tube Placement History of P" "Correct entity, wrong SNOMED ID","(486, 490)","(486, 490)",COPD,COPD,13645005,48347002,10848570-DS-12,"r. ___ is a ___ year old gentleman with dementia, COPD, HTN, CAD, PVD, seizure d/o, distant EtOH abuse " "Correct entity, wrong SNOMED ID","(493, 496)","(493, 496)",HTN,HTN,38341003,10725009,10848570-DS-12,"is a ___ year old gentleman with dementia, COPD, HTN, CAD, PVD, seizure d/o, distant EtOH abuse admitt" "Correct entity, wrong SNOMED ID","(498, 501)","(498, 501)",CAD,CAD,53741008,84270004,10848570-DS-12,"___ year old gentleman with dementia, COPD, HTN, CAD, PVD, seizure d/o, distant EtOH abuse admitted on" "Correct entity, wrong SNOMED ID","(503, 506)","(503, 506)",PVD,PVD,400047006,68237008,10848570-DS-12,"ear old gentleman with dementia, COPD, HTN, CAD, PVD, seizure d/o, distant EtOH abuse admitted on ___" Wrong span,"(508, 515)","(508, 519)",seizure,seizure d/o,91175000,1290882004,10848570-DS-12,"ld gentleman with dementia, COPD, HTN, CAD, PVD, seizure d/o, distant EtOH abuse admitted on ___ from nur" Missed entity,"(521, 528)",,distant,,58840004,,10848570-DS-12,"with dementia, COPD, HTN, CAD, PVD, seizure d/o, distant EtOH abuse admitted on ___ from nursing home aft" "Correct entity, wrong SNOMED ID","(529, 539)","(529, 539)",EtOH abuse,EtOH abuse,15167005,268645007,10848570-DS-12,"entia, COPD, HTN, CAD, PVD, seizure d/o, distant EtOH abuse admitted on ___ from nursing home after mechanic" "Correct entity, wrong SNOMED ID","(592, 596)","(592, 596)",fall,fall,161898004,298344006,10848570-DS-12,"mitted on ___ from nursing home after mechanical fall from his bed. Per outside hospital records, he" "Correct entity, wrong SNOMED ID","(647, 651)","(647, 651)",fell,fell,161898004,31549006,10848570-DS-12,"from his bed. Per outside hospital records, he fell from bed, approximately 2 feet to the ground. H" Wrong span,"(742, 750)","(742, 755)",left hip,left hip pain,287679003,15674921000119108,10848570-DS-12,"round. He was found on the floor complaining of left hip pain. He presented to the ___ where a CT abdomen" Wrong span,"(751, 755)","(742, 755)",pain,left hip pain,29857009,15674921000119108,10848570-DS-12,"e was found on the floor complaining of left hip pain. He presented to the ___ where a CT abdomen/pelv" Wrong span,"(789, 807)","(789, 800)","CT abdomen/pelvis","CT abdomen",419394006,718013006,10848570-DS-12,"f left hip pain. He presented to the ___ where a CT abdomen/pelvis revealed a left acetabular and iliac crest fract" "Correct entity, wrong SNOMED ID","(819, 834)","(819, 834)",left acetabular,left acetabular,719538003,1287946009,10848570-DS-12," to the ___ where a CT abdomen/pelvis revealed a left acetabular and iliac crest fracture with a retroperitoneal " "Correct entity, wrong SNOMED ID","(839, 860)","(839, 860)","iliac crest fracture","iliac crest fracture",263217005,208195001,10848570-DS-12,"CT abdomen/pelvis revealed a left acetabular and iliac crest fracture with a retroperitoneal hematoma. He was given IV" "Correct entity, wrong SNOMED ID","(868, 892)","(868, 892)",retroperitoneal hematoma,retroperitoneal hematoma,236002003,325657381000119109,10848570-DS-12," left acetabular and iliac crest fracture with a retroperitoneal hematoma. He was given IV fentanyl and dilaudid for pain" Wrong span,"(934, 942)","(938, 942)",for pain,pain,182970005,102570003,10848570-DS-12,"hematoma. He was given IV fentanyl and dilaudid for pain and transferred to ___ for further management. " "Correct entity, wrong SNOMED ID","(1006, 1008)","(1006, 1008)",VS,VS,118227000,313611000,10848570-DS-12,"ed to ___ for further management. In the ED his VS were HR 88 BP 136/73 RR18 SpO2 99. He had a d" "Correct entity, wrong SNOMED ID","(1014, 1016)","(1014, 1016)",HR,HR,301113001,258702006,10848570-DS-12,"_ for further management. In the ED his VS were HR 88 BP 136/73 RR18 SpO2 99. He had a distended" "Correct entity, wrong SNOMED ID","(1020, 1022)","(1020, 1022)",BP,BP,392570002,38341003,10848570-DS-12," further management. In the ED his VS were HR 88 BP 136/73 RR18 SpO2 99. He had a distended abdom" "Correct entity, wrong SNOMED ID","(1031, 1033)","(1031, 1033)",RR,RR,301283003,229040007,10848570-DS-12,"nagement. In the ED his VS were HR 88 BP 136/73 RR18 SpO2 99. He had a distended abdomen and was " "Correct entity, wrong SNOMED ID","(1037, 1041)","(1037, 1041)",SpO2,SpO2,447755005,250551006,10848570-DS-12,"nt. In the ED his VS were HR 88 BP 136/73 RR18 SpO2 99. He had a distended abdomen and was tender t" "Correct entity, wrong SNOMED ID","(1057, 1074)","(1057, 1074)",distended abdomen,distended abdomen,60728008,300402000,10848570-DS-12,"S were HR 88 BP 136/73 RR18 SpO2 99. He had a distended abdomen and was tender to palpation over his right hip. " Wrong span,"(1083, 1102)","(1083, 1092)",tender to palpation,tender to,247348008,298729007,10848570-DS-12,"18 SpO2 99. He had a distended abdomen and was tender to palpation over his right hip. He has one episode of coffe" "Correct entity, wrong SNOMED ID","(1112, 1122)","(1112, 1122)","right hip","right hip",287579007,15724521000119109,10848570-DS-12,"nded abdomen and was tender to palpation over his right hip. He has one episode of coffee ground emesis. A " "Correct entity, wrong SNOMED ID","(1172, 1190)","(1172, 1190)","CT abdoemn pelvis","CT abdoemn pelvis",419394006,432370003,10848570-DS-12,". He has one episode of coffee ground emesis. A CT abdoemn pelvis showeda comminuted, intra-articular left acetabul" Wrong span,"(1199, 1338)","(1199, 1209)","comminuted, intra-articular left acetabular fracture with extension into left superior pubic ramus, ischium, and inferior left iliac bone",comminuted,428512002,13321001,10848570-DS-12,"ffee ground emesis. A CT abdoemn pelvis showeda comminuted, intra-articular left acetabular fracture with extension into left superior pubic ramus, ischium, and inferior left iliac bone with surrounding large retroperitoneal hematoma." "Correct entity, wrong SNOMED ID","(1363, 1387)","(1363, 1387)",retroperitoneal hematoma,retroperitoneal hematoma,236002003,325657381000119109,10848570-DS-12," inferior left iliac bone with surrounding large retroperitoneal hematoma. HCt was 28 and he was given 2U of PRBC. He was " Missed entity,"(1389, 1392)",,HCt,,28317006,,10848570-DS-12,"with surrounding large retroperitoneal hematoma. HCt was 28 and he was given 2U of PRBC. He was admit" "Correct entity, wrong SNOMED ID","(1488, 1503)","(1488, 1503)",pelvic fracture,pelvic fracture,77493009,263222005,10848570-DS-12,"dmitted to the trauma SICU for management of his pelvic fracture and retroperitoneal bleed. Past Medical Histor" "Correct entity, wrong SNOMED ID","(1508, 1529)","(1508, 1529)",retroperitoneal bleed,retroperitoneal bleed,95549001,325657381000119109,10848570-DS-12,"a SICU for management of his pelvic fracture and retroperitoneal bleed. Past Medical History: COPD HTN PVD, s/p fem-f" "Correct entity, wrong SNOMED ID","(1556, 1560)","(1556, 1560)",COPD,COPD,13645005,48347002,10848570-DS-12,"d retroperitoneal bleed. Past Medical History: COPD HTN PVD, s/p fem-fem bypass Seizure Disorder Anem" "Correct entity, wrong SNOMED ID","(1561, 1564)","(1561, 1564)",HTN,HTN,38341003,10725009,10848570-DS-12,"roperitoneal bleed. Past Medical History: COPD HTN PVD, s/p fem-fem bypass Seizure Disorder Anemia D" "Correct entity, wrong SNOMED ID","(1565, 1568)","(1565, 1568)",PVD,PVD,400047006,68237008,10848570-DS-12,"ritoneal bleed. Past Medical History: COPD HTN PVD, s/p fem-fem bypass Seizure Disorder Anemia Dysph" "Correct entity, wrong SNOMED ID","(1574, 1588)","(1574, 1588)",fem-fem bypass,fem-fem bypass,44662004,405482000,10848570-DS-12,"bleed. Past Medical History: COPD HTN PVD, s/p fem-fem bypass Seizure Disorder Anemia Dysphagia s/p c1-c2 fusio" "Correct entity, wrong SNOMED ID","(1589, 1605)","(1589, 1605)",Seizure Disorder,Seizure Disorder,128613002,460731000124105,10848570-DS-12,"Medical History: COPD HTN PVD, s/p fem-fem bypass Seizure Disorder Anemia Dysphagia s/p c1-c2 fusion Social Histor" "Correct entity, wrong SNOMED ID","(1606, 1612)","(1606, 1612)",Anemia,Anemia,271737000,87522002,10848570-DS-12,"COPD HTN PVD, s/p fem-fem bypass Seizure Disorder Anemia Dysphagia s/p c1-c2 fusion Social History: ___ " "Correct entity, wrong SNOMED ID","(1613, 1622)","(1613, 1622)",Dysphagia,Dysphagia,40739000,21101000119105,10848570-DS-12,"N PVD, s/p fem-fem bypass Seizure Disorder Anemia Dysphagia s/p c1-c2 fusion Social History: ___ Family His" Wrong span,"(1627, 1639)","(1633, 1639)",c1-c2 fusion,fusion,178806002,55705006,10848570-DS-12,"-fem bypass Seizure Disorder Anemia Dysphagia s/p c1-c2 fusion Social History: ___ Family History: Unable to o" "Correct entity, wrong SNOMED ID","(1713, 1724)","(1713, 1724)",VITAL SIGNS,VITAL SIGNS,118227000,72970002,10848570-DS-12,"amily History: Unable to obtain Physical Exam: VITAL SIGNS: T= 99.5 BP= 164/77 HR= 114, RR 22, SATS= 98% on " Missed entity,"(1726, 1727)",,T,,105723007,,10848570-DS-12,": Unable to obtain Physical Exam: VITAL SIGNS: T= 99.5 BP= 164/77 HR= 114, RR 22, SATS= 98% on fa" "Correct entity, wrong SNOMED ID","(1734, 1736)","(1734, 1736)",BP,BP,392570002,38341003,10848570-DS-12," to obtain Physical Exam: VITAL SIGNS: T= 99.5 BP= 164/77 HR= 114, RR 22, SATS= 98% on face mask G" "Correct entity, wrong SNOMED ID","(1745, 1747)","(1745, 1747)",HR,HR,301113001,258702006,10848570-DS-12," Physical Exam: VITAL SIGNS: T= 99.5 BP= 164/77 HR= 114, RR 22, SATS= 98% on face mask GEN: frail e" "Correct entity, wrong SNOMED ID","(1754, 1756)","(1754, 1756)",RR,RR,301283003,229040007,10848570-DS-12,"al Exam: VITAL SIGNS: T= 99.5 BP= 164/77 HR= 114, RR 22, SATS= 98% on face mask GEN: frail elderly ma" Boundary error,"(1761, 1765)","(1761, 1764)",SATS,SAT,447755005,170092006,10848570-DS-12,": VITAL SIGNS: T= 99.5 BP= 164/77 HR= 114, RR 22, SATS= 98% on face mask GEN: frail elderly man, lying " "Correct entity, wrong SNOMED ID","(1775, 1784)","(1775, 1784)",face mask,face mask,371908008,1141758007,10848570-DS-12," T= 99.5 BP= 164/77 HR= 114, RR 22, SATS= 98% on face mask GEN: frail elderly man, lying on bed, not in acut" "Correct entity, wrong SNOMED ID","(1785, 1788)","(1785, 1788)",GEN,GEN,162673000,16651008,10848570-DS-12,"P= 164/77 HR= 114, RR 22, SATS= 98% on face mask GEN: frail elderly man, lying on bed, not in acute di" Wrong span,"(1790, 1803)","(1790, 1795)",frail elderly,frail,404904002,1375957009,10848570-DS-12,"4/77 HR= 114, RR 22, SATS= 98% on face mask GEN: frail elderly man, lying on bed, not in acute distress, follow" "Correct entity, wrong SNOMED ID","(1809, 1821)","(1809, 1821)",lying on bed,lying on bed,17535004,301695006,10848570-DS-12,", SATS= 98% on face mask GEN: frail elderly man, lying on bed, not in acute distress, follows simple commends," "Correct entity, wrong SNOMED ID","(1836, 1844)","(1836, 1844)",distress,distress,69328002,271825005,10848570-DS-12,"EN: frail elderly man, lying on bed, not in acute distress, follows simple commends, moaning when repositio" "Correct entity, wrong SNOMED ID","(1898, 1903)","(1898, 1903)",HEENT,HEENT,5880005,113665002,10848570-DS-12,"ollows simple commends, moaning when repositioned HEENT: PERRL, oral mucosa dry, NG in place on tube feed" "Correct entity, wrong SNOMED ID","(1905, 1910)","(1905, 1910)",PERRL,PERRL,386666001,431291005,10848570-DS-12,"simple commends, moaning when repositioned HEENT: PERRL, oral mucosa dry, NG in place on tube feeding NEC" Wrong span,"(1912, 1923)","(1912, 1927)",oral mucosa,oral mucosa dry,113277000,42201002,10848570-DS-12,"commends, moaning when repositioned HEENT: PERRL, oral mucosa dry, NG in place on tube feeding NECK: no LAD, no" Wrong span,"(1929, 1940)","(1929, 1931)",NG in place,NG,449842009,258686002,10848570-DS-12," when repositioned HEENT: PERRL, oral mucosa dry, NG in place on tube feeding NECK: no LAD, no JVD CV: RRR, tac" Missed entity,"(1944, 1956)",,tube feeding,,61420007,,10848570-DS-12,"ned HEENT: PERRL, oral mucosa dry, NG in place on tube feeding NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RE" "Correct entity, wrong SNOMED ID","(1957, 1961)","(1957, 1961)",NECK,NECK,5880005,840674001,10848570-DS-12,"RRL, oral mucosa dry, NG in place on tube feeding NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RESP: p" "Correct entity, wrong SNOMED ID","(1966, 1969)","(1966, 1969)",LAD,LAD,30746006,1010291002,10848570-DS-12," mucosa dry, NG in place on tube feeding NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RESP: poor insp" "Correct entity, wrong SNOMED ID","(1974, 1977)","(1974, 1977)",JVD,JVD,271653008,253395003,10848570-DS-12,"dry, NG in place on tube feeding NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RESP: poor inspirtary e" "Correct entity, wrong SNOMED ID","(1978, 1980)","(1978, 1980)",CV,CV,363003006,258773002,10848570-DS-12," NG in place on tube feeding NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RESP: poor inspirtary effo" "Correct entity, wrong SNOMED ID","(1982, 1985)","(1982, 1985)",RRR,RRR,76863003,129960002,10848570-DS-12,"in place on tube feeding NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RESP: poor inspirtary effort, n" "Correct entity, wrong SNOMED ID","(1987, 1992)","(1987, 1992)",tachy,tachy,3424008,74615001,10848570-DS-12,"ace on tube feeding NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RESP: poor inspirtary effort, no wheez" "Correct entity, wrong SNOMED ID","(1997, 2003)","(1997, 2003)",mumurs,mumurs,88610006,89231008,10848570-DS-12,"e feeding NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RESP: poor inspirtary effort, no wheezes, no crac" "Correct entity, wrong SNOMED ID","(2004, 2008)","(2004, 2008)",RESP,RESP,268925001,20139000,10848570-DS-12,"ng NECK: no LAD, no JVD CV: RRR, tachy, no mumurs RESP: poor inspirtary effort, no wheezes, no crackles " "Correct entity, wrong SNOMED ID","(2037, 2044)","(2037, 2044)",wheezes,wheezes,56018004,9763007,10848570-DS-12,"tachy, no mumurs RESP: poor inspirtary effort, no wheezes, no crackles ABD: + BS, soft, +distended, non-ten" "Correct entity, wrong SNOMED ID","(2058, 2061)","(2058, 2061)",ABD,ABD,225162003,60728008,10848570-DS-12,": poor inspirtary effort, no wheezes, no crackles ABD: + BS, soft, +distended, non-tender, no masses, n" "Correct entity, wrong SNOMED ID","(2076, 2085)","(2076, 2085)",distended,distended,60728008,1204394008,10848570-DS-12,"effort, no wheezes, no crackles ABD: + BS, soft, +distended, non-tender, no masses, no guarding or rebound P" "Correct entity, wrong SNOMED ID","(2087, 2097)","(2087, 2097)",non-tender,non-tender,43478001,298741000,10848570-DS-12,"wheezes, no crackles ABD: + BS, soft, +distended, non-tender, no masses, no guarding or rebound PULSES: 2+rad" "Correct entity, wrong SNOMED ID","(2102, 2108)","(2102, 2108)",masses,masses,271860004,237557003,10848570-DS-12,"ckles ABD: + BS, soft, +distended, non-tender, no masses, no guarding or rebound PULSES: 2+radial B, 2+ _" "Correct entity, wrong SNOMED ID","(2126, 2133)","(2126, 2133)",rebound,rebound,35611005,844584001,10848570-DS-12,"distended, non-tender, no masses, no guarding or rebound PULSES: 2+radial B, 2+ ___ B GU: Foley catheter E" Missed entity,"(2134, 2140)",,PULSES,,366199006,,10848570-DS-12,"d, non-tender, no masses, no guarding or rebound PULSES: 2+radial B, 2+ ___ B GU: Foley catheter EXT: no " Missed entity,"(2142, 2150)",,2+radial,,301155005,,10848570-DS-12,"ender, no masses, no guarding or rebound PULSES: 2+radial B, 2+ ___ B GU: Foley catheter EXT: no edema, no " "Correct entity, wrong SNOMED ID","(2163, 2165)","(2163, 2165)",GU,GU,268945009,77618006,10848570-DS-12,"guarding or rebound PULSES: 2+radial B, 2+ ___ B GU: Foley catheter EXT: no edema, no cyanosis, no cl" "Correct entity, wrong SNOMED ID","(2182, 2185)","(2182, 2185)",EXT,EXT,302773001,1489008,10848570-DS-12,"d PULSES: 2+radial B, 2+ ___ B GU: Foley catheter EXT: no edema, no cyanosis, no clubbing SKIN : no ras" "Correct entity, wrong SNOMED ID","(2190, 2195)","(2190, 2195)",edema,edema,267038008,102576009,10848570-DS-12,": 2+radial B, 2+ ___ B GU: Foley catheter EXT: no edema, no cyanosis, no clubbing SKIN : no rash, no ulce" "Correct entity, wrong SNOMED ID","(2200, 2208)","(2200, 2208)",cyanosis,cyanosis,3415004,57020009,10848570-DS-12," B, 2+ ___ B GU: Foley catheter EXT: no edema, no cyanosis, no clubbing SKIN : no rash, no ulceration, no er" "Correct entity, wrong SNOMED ID","(2213, 2221)","(2213, 2221)",clubbing,clubbing,367004,30760008,10848570-DS-12,"GU: Foley catheter EXT: no edema, no cyanosis, no clubbing SKIN : no rash, no ulceration, no erythema in dec" "Correct entity, wrong SNOMED ID","(2222, 2226)","(2222, 2226)",SKIN,SKIN,271303006,444884003,10848570-DS-12," catheter EXT: no edema, no cyanosis, no clubbing SKIN : no rash, no ulceration, no erythema in decubiti" "Correct entity, wrong SNOMED ID","(2232, 2236)","(2232, 2236)",rash,rash,271807003,247472004,10848570-DS-12,"EXT: no edema, no cyanosis, no clubbing SKIN : no rash, no ulceration, no erythema in decubiti NEURO: aw" "Correct entity, wrong SNOMED ID","(2241, 2251)","(2241, 2251)",ulceration,ulceration,429040005,71262003,10848570-DS-12,"dema, no cyanosis, no clubbing SKIN : no rash, no ulceration, no erythema in decubiti NEURO: awake alert to pe" "Correct entity, wrong SNOMED ID","(2256, 2264)","(2256, 2264)",erythema,erythema,247441003,403194002,10848570-DS-12,"is, no clubbing SKIN : no rash, no ulceration, no erythema in decubiti NEURO: awake alert to person only, no" "Correct entity, wrong SNOMED ID","(2277, 2282)","(2277, 2282)",NEURO,NEURO,84728005,281247006,10848570-DS-12,": no rash, no ulceration, no erythema in decubiti NEURO: awake alert to person only, no tremor; no rigidi" Wrong span,"(2290, 2295)","(2290, 2305)",alert,alert to person,248234008,248234008,10848570-DS-12," ulceration, no erythema in decubiti NEURO: awake alert to person only, no tremor; no rigidity, gait= no" "Correct entity, wrong SNOMED ID","(2315, 2321)","(2315, 2321)",tremor,tremor,26079004,30721006,10848570-DS-12,"in decubiti NEURO: awake alert to person only, no tremor; no rigidity, gait= not assessed CAM: A/F: Y Ina" "Correct entity, wrong SNOMED ID","(2326, 2334)","(2326, 2334)",rigidity,rigidity,16046003,405947006,10848570-DS-12," NEURO: awake alert to person only, no tremor; no rigidity, gait= not assessed CAM: A/F: Y Inat: ? Disorg: " "Correct entity, wrong SNOMED ID","(2336, 2340)","(2336, 2340)",gait,gait,8117002,22325002,10848570-DS-12,"ake alert to person only, no tremor; no rigidity, gait= not assessed CAM: A/F: Y Inat: ? Disorg: ? Cons" Wrong span,"(2404, 2413)","(2404, 2418)",Attention,Attention test,409083006,273314002,10848570-DS-12,"d CAM: A/F: Y Inat: ? Disorg: ? Consc: N total:/4 Attention test: demented, unable to test at this time Pe" Wrong span,"(2505, 2507)","(2505, 2510)",c1,c1-c2,14806007,104341007,10848570-DS-12,"me Pertinent Results: ___ CT c-spine: s/p post c1-c2 fusion. metallic nail through L lat C2 extend" Wrong span,"(2508, 2510)","(2505, 2510)",c2,c1-c2,39976000,104341007,10848570-DS-12," Pertinent Results: ___ CT c-spine: s/p post c1-c2 fusion. metallic nail through L lat C2 extends w" "Correct entity, wrong SNOMED ID","(2511, 2517)","(2511, 2517)",fusion,fusion,81099000,55705006,10848570-DS-12,"Pertinent Results: ___ CT c-spine: s/p post c1-c2 fusion. metallic nail through L lat C2 extends w/tip in" Missed entity,"(2548, 2550)",,C2,,39976000,,10848570-DS-12,"p post c1-c2 fusion. metallic nail through L lat C2 extends w/tip in retropharnyngeal/prevertebral jx" "Correct entity, wrong SNOMED ID","(2602, 2615)","(2602, 2615)","soft tissues","soft tissues",87784001,74336005,10848570-DS-12,"xtends w/tip in retropharnyngeal/prevertebral jxn soft tissues ant to C1. mild anterolisthesis of C4 over C5. ve" Missed entity,"(2623, 2625)",,C1,,14806007,,10848570-DS-12,"pharnyngeal/prevertebral jxn soft tissues ant to C1. mild anterolisthesis of C4 over C5. very min re" "Correct entity, wrong SNOMED ID","(2673, 2687)","(2673, 2687)",retrolisthesis,retrolisthesis,416981004,79244005,10848570-DS-12,"C1. mild anterolisthesis of C4 over C5. very min retrolisthesis C5 over C6. mult-level ___ change. no acute fx s" Missed entity,"(2688, 2690)",,C5,,36978003,,10848570-DS-12,"listhesis of C4 over C5. very min retrolisthesis C5 over C6. mult-level ___ change. no acute fx seen" Missed entity,"(2696, 2698)",,C6,,36054005,,10848570-DS-12,"s of C4 over C5. very min retrolisthesis C5 over C6. mult-level ___ change. no acute fx seen. pulmon" Missed entity,"(2723, 2731)",,no acute,,281900007,,10848570-DS-12,"retrolisthesis C5 over C6. mult-level ___ change. no acute fx seen. pulmonary emphysema. coarse vertebral a" "Correct entity, wrong SNOMED ID","(2742, 2761)","(2742, 2761)",pulmonary emphysema,pulmonary emphysema,87433001,77690003,10848570-DS-12,"ver C6. mult-level ___ change. no acute fx seen. pulmonary emphysema. coarse vertebral and carotid artery calcs. 6mm " "Correct entity, wrong SNOMED ID","(2770, 2779)","(2770, 2779)",vertebral,vertebral,85234005,203709007,10848570-DS-12,"e. no acute fx seen. pulmonary emphysema. coarse vertebral and carotid artery calcs. 6mm R thyroid lobe hyp" "Correct entity, wrong SNOMED ID","(2784, 2798)","(2784, 2798)",carotid artery,carotid artery,69105007,260582008,10848570-DS-12," seen. pulmonary emphysema. coarse vertebral and carotid artery calcs. 6mm R thyroid lobe hypodensity. ___ CT to" "Correct entity, wrong SNOMED ID","(2800, 2805)","(2800, 2805)",calcs,calcs,129749001,258790008,10848570-DS-12,"y emphysema. coarse vertebral and carotid artery calcs. 6mm R thyroid lobe hypodensity. ___ CT torso: 1." Boundary error,"(2811, 2825)","(2813, 2825)",R thyroid lobe,thyroid lobe,29565003,280071004,10848570-DS-12,". coarse vertebral and carotid artery calcs. 6mm R thyroid lobe hypodensity. ___ CT torso: 1.6 x 1.2 cm focal hyp" Wrong span,"(2892, 2903)","(2887, 2903)",mediastinum,"ant mediastinum",72410000,301030002,10848570-DS-12," CT torso: 1.6 x 1.2 cm focal hypodensity in ant mediastinum (S2:im15). ?focal hematoma vs thymic cystic lesio" "Correct entity, wrong SNOMED ID","(2922, 2930)","(2922, 2930)",hematoma,hematoma,35566002,784408000,10848570-DS-12,"hypodensity in ant mediastinum (S2:im15). ?focal hematoma vs thymic cystic lesion. No overlying sternal fx" Wrong span,"(2934, 2947)","(2934, 2940)",thymic cystic,thymic,40478000,17422006,10848570-DS-12,"in ant mediastinum (S2:im15). ?focal hematoma vs thymic cystic lesion. No overlying sternal fx or aortic injury" "Correct entity, wrong SNOMED ID","(2948, 2954)","(2948, 2954)",lesion,lesion,52988006,120609008,10848570-DS-12,"tinum (S2:im15). ?focal hematoma vs thymic cystic lesion. No overlying sternal fx or aortic injury. dense" "Correct entity, wrong SNOMED ID","(2970, 2980)","(2970, 2980)",sternal fx,sternal fx,78516000,263256004,10848570-DS-12,"l hematoma vs thymic cystic lesion. No overlying sternal fx or aortic injury. dense aortic calcs. LLL atelec" Wrong span,"(2984, 2998)","(2984, 2990)",aortic injury.,aortic,444036008,261146002,10848570-DS-12,"thymic cystic lesion. No overlying sternal fx or aortic injury. dense aortic calcs. LLL atelect/scarring. commin" "Correct entity, wrong SNOMED ID","(3005, 3017)","(3005, 3017)",aortic calcs,aortic calcs,250978003,46227000,10848570-DS-12," No overlying sternal fx or aortic injury. dense aortic calcs. LLL atelect/scarring. comminuted, intra-art L a" "Correct entity, wrong SNOMED ID","(3020, 3023)","(3020, 3023)",LLL,LLL,41224006,420296000,10848570-DS-12,"sternal fx or aortic injury. dense aortic calcs. LLL atelect/scarring. comminuted, intra-art L acetabu" "Correct entity, wrong SNOMED ID","(3032, 3040)","(3032, 3040)",scarring,scarring,48677004,301005000,10848570-DS-12,"r aortic injury. dense aortic calcs. LLL atelect/scarring. comminuted, intra-art L acetabular fx involv an" Wrong span,"(3042, 3134)","(3042, 3052)","comminuted, intra-art L acetabular fx involv ant &post columns and ext to L sup pubic ramus",comminuted,428512002,13321001,10848570-DS-12,"njury. dense aortic calcs. LLL atelect/scarring. comminuted, intra-art L acetabular fx involv ant &post columns and ext to L sup pubic ramus. adj mod pelvic hematoma w/out active extrav. he" "Correct entity, wrong SNOMED ID","(3145, 3160)","(3145, 3160)",pelvic hematoma,pelvic hematoma,264558008,199993001,10848570-DS-12,"st columns and ext to L sup pubic ramus. adj mod pelvic hematoma w/out active extrav. hematoma crosses midline, e" "Correct entity, wrong SNOMED ID","(3182, 3190)","(3182, 3190)",hematoma,hematoma,35566002,784408000,10848570-DS-12,"us. adj mod pelvic hematoma w/out active extrav. hematoma crosses midline, extends superiorly ant to L pso" "Correct entity, wrong SNOMED ID","(3237, 3249)","(3237, 3249)",psoas muscle,psoas muscle,36278009,1354757008,10848570-DS-12,"oma crosses midline, extends superiorly ant to L psoas muscle and iliacus. mild loss of ht of L2 & L3 vert bod" "Correct entity, wrong SNOMED ID","(3268, 3272)","(3268, 3272)",loss,loss,19776001,50960005,10848570-DS-12,"uperiorly ant to L psoas muscle and iliacus. mild loss of ht of L2 & L3 vert bodies. Grade 1 spondyloli" "Correct entity, wrong SNOMED ID","(3283, 3285)","(3283, 3285)",L2,L2,53983007,420296000,10848570-DS-12,"o L psoas muscle and iliacus. mild loss of ht of L2 & L3 vert bodies. Grade 1 spondylolisthesis L5/S1" Wrong span,"(3288, 3302)","(3288, 3290)",L3 vert bodies,L3,55492004,263301002,10848570-DS-12,"soas muscle and iliacus. mild loss of ht of L2 & L3 vert bodies. Grade 1 spondylolisthesis L5/S1. bladder divert" Wrong span,"(3304, 3329)","(3312, 3329)",Grade 1 spondylolisthesis,spondylolisthesis,44494000,321171000119102,10848570-DS-12,"iliacus. mild loss of ht of L2 & L3 vert bodies. Grade 1 spondylolisthesis L5/S1. bladder diverticula . ___ CT head: No ac" Wrong span,"(3330, 3335)","(3330, 3332)",L5/S1,L5,715056000,263303004,10848570-DS-12,"of L2 & L3 vert bodies. Grade 1 spondylolisthesis L5/S1. bladder diverticula . ___ CT head: No acute IC" Boundary error,"(3338, 3358)","(3338, 3357)",bladder diverticula ,bladder diverticula,197866008,197867004,10848570-DS-12,"L3 vert bodies. Grade 1 spondylolisthesis L5/S1. bladder diverticula . ___ CT head: No acute ICH. opacification of inf" Missed entity,"(3374, 3382)",,No acute,,281900007,,10848570-DS-12,"hesis L5/S1. bladder diverticula . ___ CT head: No acute ICH. opacification of inf L maxillary sinus w/foc" "Correct entity, wrong SNOMED ID","(3383, 3386)","(3383, 3386)",ICH,ICH,274100004,115033002,10848570-DS-12,"S1. bladder diverticula . ___ CT head: No acute ICH. opacification of inf L maxillary sinus w/focal l" "Correct entity, wrong SNOMED ID","(3388, 3401)","(3388, 3401)",opacification,opacification,128305008,370950002,10848570-DS-12,"bladder diverticula . ___ CT head: No acute ICH. opacification of inf L maxillary sinus w/focal loss of ant inf " "Correct entity, wrong SNOMED ID","(3409, 3426)","(3409, 3426)","L maxillary sinus","L maxillary sinus",2695000,368582008,10848570-DS-12," ___ CT head: No acute ICH. opacification of inf L maxillary sinus w/focal loss of ant inf L max sinus/ant L alveola" "Correct entity, wrong SNOMED ID","(3451, 3462)","(3451, 3462)",L max sinus,L max sinus,2695000,264066009,10848570-DS-12," of inf L maxillary sinus w/focal loss of ant inf L max sinus/ant L alveolar bone, adj soft tissue swelling an" "Correct entity, wrong SNOMED ID","(3467, 3482)","(3467, 3482)",L alveolar bone,L alveolar bone,783396002,783398001,10848570-DS-12,"ary sinus w/focal loss of ant inf L max sinus/ant L alveolar bone, adj soft tissue swelling and foci of gas. ?infe" "Correct entity, wrong SNOMED ID","(3489, 3509)","(3489, 3509)",soft tissue swelling,soft tissue swelling,298349001,298369006,10848570-DS-12," of ant inf L max sinus/ant L alveolar bone, adj soft tissue swelling and foci of gas. ?infectious process involving L" Wrong span,"(3528, 3546)","(3528, 3538)",infectious process,infectious,40733004,366971000119100,10848570-DS-12,"bone, adj soft tissue swelling and foci of gas. ?infectious process involving L alveolar process of maxilla, dental " Missed entity,"(3560, 3587)",,alveolar process of maxilla,,415636008,,10848570-DS-12,"and foci of gas. ?infectious process involving L alveolar process of maxilla, dental in nature vs chronic sinusitis vs injury" Wrong span,"(3610, 3617)","(3610, 3627)",chronic,chronic sinusitis,27624003,427909005,10848570-DS-12,"alveolar process of maxilla, dental in nature vs chronic sinusitis vs injury. recommend direct visualizati" "Correct entity, wrong SNOMED ID","(3631, 3637)","(3631, 3637)",injury,injury,417746004,312608009,10848570-DS-12,"axilla, dental in nature vs chronic sinusitis vs injury. recommend direct visualization. ___ CXR: No con" "Correct entity, wrong SNOMED ID","(3684, 3697)","(3684, 3697)",consolidation,consolidation,9656002,95436008,10848570-DS-12,"ury. recommend direct visualization. ___ CXR: No consolidation ___ CXR (pm): Increased lung volumes c/w emphyse" "Correct entity, wrong SNOMED ID","(3713, 3722)","(3713, 3722)",Increased,Increased,271299001,262286000,10848570-DS-12,"zation. ___ CXR: No consolidation ___ CXR (pm): Increased lung volumes c/w emphysema. Peribronchial cuffin" "Correct entity, wrong SNOMED ID","(3723, 3735)","(3723, 3735)",lung volumes,lung volumes,366148004,366149007,10848570-DS-12,"__ CXR: No consolidation ___ CXR (pm): Increased lung volumes c/w emphysema. Peribronchial cuffing and predomi" "Correct entity, wrong SNOMED ID","(3740, 3749)","(3740, 3749)",emphysema,emphysema,49158009,26680001000004102,10848570-DS-12,"idation ___ CXR (pm): Increased lung volumes c/w emphysema. Peribronchial cuffing and predominantly R-sided" "Correct entity, wrong SNOMED ID","(3792, 3799)","(3792, 3799)",R-sided,R-sided,3341006,420274006,10848570-DS-12,"physema. Peribronchial cuffing and predominantly R-sided interstitial opacities likely fluid overload. Su" "Correct entity, wrong SNOMED ID","(3814, 3823)","(3814, 3823)",opacities,opacities,128305008,422061002,10848570-DS-12,"l cuffing and predominantly R-sided interstitial opacities likely fluid overload. Subtle opacity @R apex ?s" "Correct entity, wrong SNOMED ID","(3831, 3845)","(3831, 3845)",fluid overload,fluid overload,21639008,1148820009,10848570-DS-12,"dominantly R-sided interstitial opacities likely fluid overload. Subtle opacity @R apex ?superimposition of exte" "Correct entity, wrong SNOMED ID","(3854, 3861)","(3854, 3861)",opacity,opacity,128305008,193570009,10848570-DS-12,"rstitial opacities likely fluid overload. Subtle opacity @R apex ?superimposition of external ventilator " "Correct entity, wrong SNOMED ID","(3863, 3869)","(3863, 3869)",R apex,R apex,62884005,264913008,10848570-DS-12," opacities likely fluid overload. Subtle opacity @R apex ?superimposition of external ventilator apparatu" Missed entity,"(3900, 3910)",,ventilator,,409025002,,10848570-DS-12,"tle opacity @R apex ?superimposition of external ventilator apparatus vs. consolidation. ___ CXR: The Dobbho" "Correct entity, wrong SNOMED ID","(3925, 3938)","(3925, 3938)",consolidation,consolidation,9656002,95436008,10848570-DS-12,"erimposition of external ventilator apparatus vs. consolidation. ___ CXR: The Dobbhoff tube tip is in the stomac" Missed entity,"(3954, 3967)",,Dobbhoff tube,,449842009,,10848570-DS-12,"ilator apparatus vs. consolidation. ___ CXR: The Dobbhoff tube tip is in the stomach. Cardiomediastinal silhoue" "Correct entity, wrong SNOMED ID","(3982, 3989)","(3982, 3989)",stomach,stomach,69695003,169008005,10848570-DS-12,"dation. ___ CXR: The Dobbhoff tube tip is in the stomach. Cardiomediastinal silhouette is stable. There i" "Correct entity, wrong SNOMED ID","(3991, 4008)","(3991, 4008)",Cardiomediastinal,Cardiomediastinal,72410000,83099006,10848570-DS-12,"___ CXR: The Dobbhoff tube tip is in the stomach. Cardiomediastinal silhouette is stable. There is no change in uppe" "Correct entity, wrong SNOMED ID","(4024, 4030)","(4024, 4030)",stable,stable,162498009,301459008,10848570-DS-12," in the stomach. Cardiomediastinal silhouette is stable. There is no change in upper lobe interstitial op" "Correct entity, wrong SNOMED ID","(4054, 4064)","(4054, 4064)",upper lobe,upper lobe,45653009,42400003,10848570-DS-12,"inal silhouette is stable. There is no change in upper lobe interstitial opacities in this patient with hype" "Correct entity, wrong SNOMED ID","(4078, 4087)","(4078, 4087)",opacities,opacities,128305008,422061002,10848570-DS-12,"le. There is no change in upper lobe interstitial opacities in this patient with hyperinflated lungs. The lo" Wrong span,"(4110, 4123)","(4110, 4129)",hyperinflated,hyperinflated lungs,249674001,249674001,10848570-DS-12,"lobe interstitial opacities in this patient with hyperinflated lungs. The lower lungs are unremarkable. There i" Wrong span,"(4124, 4129)","(4110, 4129)",lungs,hyperinflated lungs,39607008,249674001,10848570-DS-12,"ial opacities in this patient with hyperinflated lungs. The lower lungs are unremarkable. There is no p" "Correct entity, wrong SNOMED ID","(4135, 4146)","(4135, 4146)",lower lungs,lower lungs,90572001,128272009,10848570-DS-12,"es in this patient with hyperinflated lungs. The lower lungs are unremarkable. There is no pleural effusion. " "Correct entity, wrong SNOMED ID","(4152, 4164)","(4152, 4164)",unremarkable,unremarkable,281900007,268484008,10848570-DS-12,"nt with hyperinflated lungs. The lower lungs are unremarkable. There is no pleural effusion. There is no pneum" "Correct entity, wrong SNOMED ID","(4178, 4194)","(4178, 4194)",pleural effusion,pleural effusion,60046008,1366511008,10848570-DS-12,"s. The lower lungs are unremarkable. There is no pleural effusion. There is no pneumothorax. ___ ECG: Normal sinu" "Correct entity, wrong SNOMED ID","(4209, 4221)","(4209, 4221)",pneumothorax,pneumothorax,36118008,109364007,10848570-DS-12,"kable. There is no pleural effusion. There is no pneumothorax. ___ ECG: Normal sinus rhythm. Q waves in leads " Wrong span,"(4228, 4252)","(4228, 4231)","ECG: Normal sinus rhythm",ECG,426285000,75444003,10848570-DS-12,"pleural effusion. There is no pneumothorax. ___ ECG: Normal sinus rhythm. Q waves in leads V1-V2 consistent with prior an" "Correct entity, wrong SNOMED ID","(4254, 4261)","(4254, 4261)",Q waves,Q waves,365412003,251466002,10848570-DS-12," no pneumothorax. ___ ECG: Normal sinus rhythm. Q waves in leads V1-V2 consistent with prior anterosepta" "Correct entity, wrong SNOMED ID","(4300, 4334)","(4300, 4334)",anteroseptal myocardial infarction,anteroseptal myocardial infarction,164868007,62695002,10848570-DS-12,"hm. Q waves in leads V1-V2 consistent with prior anteroseptal myocardial infarction. Compared to the previous tracing of ___ there h" "Correct entity, wrong SNOMED ID","(4478, 4481)","(4478, 4481)",WBC,WBC,767002,391558003,10848570-DS-12,"rvalsAxes ___ Admission Labs: ___ 06:00PM BLOOD WBC-6.6 RBC-3.25* Hgb-9.7* Hct-28.3* MCV-87 MCH-29.8" "Correct entity, wrong SNOMED ID","(4486, 4489)","(4486, 4489)",RBC,RBC,14089001,258759006,10848570-DS-12,"s ___ Admission Labs: ___ 06:00PM BLOOD WBC-6.6 RBC-3.25* Hgb-9.7* Hct-28.3* MCV-87 MCH-29.8 MCHC-34" "Correct entity, wrong SNOMED ID","(4496, 4499)","(4496, 4499)",Hgb,Hgb,441689006,104142005,10848570-DS-12,"ission Labs: ___ 06:00PM BLOOD WBC-6.6 RBC-3.25* Hgb-9.7* Hct-28.3* MCV-87 MCH-29.8 MCHC-34.3 RDW-15." "Correct entity, wrong SNOMED ID","(4505, 4508)","(4505, 4508)",Hct,Hct,28317006,282660005,10848570-DS-12,"bs: ___ 06:00PM BLOOD WBC-6.6 RBC-3.25* Hgb-9.7* Hct-28.3* MCV-87 MCH-29.8 MCHC-34.3 RDW-15.6* Plt __" Missed entity,"(4516, 4519)",,MCV,,104133003,,10848570-DS-12,":00PM BLOOD WBC-6.6 RBC-3.25* Hgb-9.7* Hct-28.3* MCV-87 MCH-29.8 MCHC-34.3 RDW-15.6* Plt ___ ___ 06:00" "Correct entity, wrong SNOMED ID","(4532, 4536)","(4532, 4536)",MCHC,MCHC,37254006,735147002,10848570-DS-12,"6.6 RBC-3.25* Hgb-9.7* Hct-28.3* MCV-87 MCH-29.8 MCHC-34.3 RDW-15.6* Plt ___ ___ 06:00PM BLOOD Neuts-88" Missed entity,"(4552, 4555)",,Plt,,61928009,,10848570-DS-12,"7* Hct-28.3* MCV-87 MCH-29.8 MCHC-34.3 RDW-15.6* Plt ___ ___ 06:00PM BLOOD Neuts-88.2* Lymphs-6.2* Mon" "Correct entity, wrong SNOMED ID","(4578, 4583)","(4578, 4583)",Neuts,Neuts,30630007,271035003,10848570-DS-12,"9.8 MCHC-34.3 RDW-15.6* Plt ___ ___ 06:00PM BLOOD Neuts-88.2* Lymphs-6.2* Monos-4.9 Eos-0.6 Baso-0.1 ___" "Correct entity, wrong SNOMED ID","(4590, 4596)","(4590, 4596)",Lymphs,Lymphs,74765001,79709007,10848570-DS-12,"3 RDW-15.6* Plt ___ ___ 06:00PM BLOOD Neuts-88.2* Lymphs-6.2* Monos-4.9 Eos-0.6 Baso-0.1 ___ 06:00PM BLOO" "Correct entity, wrong SNOMED ID","(4602, 4607)","(4602, 4607)",Monos,Monos,67776007,462791000124108,10848570-DS-12,"Plt ___ ___ 06:00PM BLOOD Neuts-88.2* Lymphs-6.2* Monos-4.9 Eos-0.6 Baso-0.1 ___ 06:00PM BLOOD ___ PTT-2" "Correct entity, wrong SNOMED ID","(4612, 4615)","(4612, 4615)",Eos,Eos,71960002,67099000,10848570-DS-12,"_ 06:00PM BLOOD Neuts-88.2* Lymphs-6.2* Monos-4.9 Eos-0.6 Baso-0.1 ___ 06:00PM BLOOD ___ PTT-26.9 ___ " "Correct entity, wrong SNOMED ID","(4621, 4625)","(4621, 4625)",Baso,Baso,42351005,700051010000106,10848570-DS-12," BLOOD Neuts-88.2* Lymphs-6.2* Monos-4.9 Eos-0.6 Baso-0.1 ___ 06:00PM BLOOD ___ PTT-26.9 ___ ___ 06:00P" "Correct entity, wrong SNOMED ID","(4652, 4655)","(4652, 4655)",PTT,PTT,42525009,282119004,10848570-DS-12,"Monos-4.9 Eos-0.6 Baso-0.1 ___ 06:00PM BLOOD ___ PTT-26.9 ___ ___ 06:00PM BLOOD Glucose-120* UreaN-18 " Wrong span,"(4677, 4690)","(4683, 4690)",BLOOD Glucose,Glucose,33747003,72191006,10848570-DS-12,".1 ___ 06:00PM BLOOD ___ PTT-26.9 ___ ___ 06:00PM BLOOD Glucose-120* UreaN-18 Creat-0.8 Na-128* K-4.2 Cl-97 HCO3" "Correct entity, wrong SNOMED ID","(4696, 4701)","(4696, 4701)",UreaN,UreaN,105011006,111108008,10848570-DS-12,"D ___ PTT-26.9 ___ ___ 06:00PM BLOOD Glucose-120* UreaN-18 Creat-0.8 Na-128* K-4.2 Cl-97 HCO3-22 AnGap-1" "Correct entity, wrong SNOMED ID","(4705, 4710)","(4705, 4710)",Creat,Creat,70901006,413856009,10848570-DS-12,"-26.9 ___ ___ 06:00PM BLOOD Glucose-120* UreaN-18 Creat-0.8 Na-128* K-4.2 Cl-97 HCO3-22 AnGap-13 ___ 02:" "Correct entity, wrong SNOMED ID","(4715, 4717)","(4715, 4717)",Na,Na,312469006,257992007,10848570-DS-12,"___ 06:00PM BLOOD Glucose-120* UreaN-18 Creat-0.8 Na-128* K-4.2 Cl-97 HCO3-22 AnGap-13 ___ 02:18PM BL" Missed entity,"(4724, 4725)",,K,,312468003,,10848570-DS-12,"PM BLOOD Glucose-120* UreaN-18 Creat-0.8 Na-128* K-4.2 Cl-97 HCO3-22 AnGap-13 ___ 02:18PM BLOOD ALT-" "Correct entity, wrong SNOMED ID","(4730, 4732)","(4730, 4732)",Cl,Cl,104589004,311741002,10848570-DS-12,"OD Glucose-120* UreaN-18 Creat-0.8 Na-128* K-4.2 Cl-97 HCO3-22 AnGap-13 ___ 02:18PM BLOOD ALT-14 AST-" "Correct entity, wrong SNOMED ID","(4736, 4740)","(4736, 4740)",HCO3,HCO3,312471006,88645003,10848570-DS-12,"cose-120* UreaN-18 Creat-0.8 Na-128* K-4.2 Cl-97 HCO3-22 AnGap-13 ___ 02:18PM BLOOD ALT-14 AST-16 CK(CP" "Correct entity, wrong SNOMED ID","(4744, 4749)","(4744, 4749)",AnGap,AnGap,25469001,81660009,10848570-DS-12,"* UreaN-18 Creat-0.8 Na-128* K-4.2 Cl-97 HCO3-22 AnGap-13 ___ 02:18PM BLOOD ALT-14 AST-16 CK(CPK)-50 Alk" "Correct entity, wrong SNOMED ID","(4771, 4774)","(4771, 4774)",ALT,ALT,34608000,56935002,10848570-DS-12,"* K-4.2 Cl-97 HCO3-22 AnGap-13 ___ 02:18PM BLOOD ALT-14 AST-16 CK(CPK)-50 AlkPhos-61 TotBili-0.6 ___ " "Correct entity, wrong SNOMED ID","(4778, 4781)","(4778, 4781)",AST,AST,45896001,85043005,10848570-DS-12,"2 Cl-97 HCO3-22 AnGap-13 ___ 02:18PM BLOOD ALT-14 AST-16 CK(CPK)-50 AlkPhos-61 TotBili-0.6 ___ 09:47PM" Missed entity,"(4785, 4791)",,CK(CPK,,397798009,,10848570-DS-12," HCO3-22 AnGap-13 ___ 02:18PM BLOOD ALT-14 AST-16 CK(CPK)-50 AlkPhos-61 TotBili-0.6 ___ 09:47PM BLOOD Cal" "Correct entity, wrong SNOMED ID","(4796, 4803)","(4796, 4803)",AlkPhos,AlkPhos,88810008,30703008,10848570-DS-12,"Gap-13 ___ 02:18PM BLOOD ALT-14 AST-16 CK(CPK)-50 AlkPhos-61 TotBili-0.6 ___ 09:47PM BLOOD Calcium-8.3* Ph" "Correct entity, wrong SNOMED ID","(4808, 4815)","(4808, 4815)",TotBili,TotBili,359986008,19754005,10848570-DS-12,"2:18PM BLOOD ALT-14 AST-16 CK(CPK)-50 AlkPhos-61 TotBili-0.6 ___ 09:47PM BLOOD Calcium-8.3* Phos-4.9* Mg-1" "Correct entity, wrong SNOMED ID","(4838, 4845)","(4838, 4845)",Calcium,Calcium,312472004,108601004,10848570-DS-12,"CPK)-50 AlkPhos-61 TotBili-0.6 ___ 09:47PM BLOOD Calcium-8.3* Phos-4.9* Mg-1.9 ___ 10:07PM BLOOD TSH-3.8 _" "Correct entity, wrong SNOMED ID","(4851, 4855)","(4851, 4855)",Phos,Phos,104868000,168075002,10848570-DS-12,"os-61 TotBili-0.6 ___ 09:47PM BLOOD Calcium-8.3* Phos-4.9* Mg-1.9 ___ 10:07PM BLOOD TSH-3.8 ___ 07:59PM" "Correct entity, wrong SNOMED ID","(4861, 4863)","(4861, 4863)",Mg,Mg,271285000,258684004,10848570-DS-12,"Bili-0.6 ___ 09:47PM BLOOD Calcium-8.3* Phos-4.9* Mg-1.9 ___ 10:07PM BLOOD TSH-3.8 ___ 07:59PM BLOOD L" "Correct entity, wrong SNOMED ID","(4886, 4889)","(4886, 4889)",TSH,TSH,61167004,412520006,10848570-DS-12,"D Calcium-8.3* Phos-4.9* Mg-1.9 ___ 10:07PM BLOOD TSH-3.8 ___ 07:59PM BLOOD Lactate-0.9 Discharge Labs" Missed entity,"(4912, 4919)",,Lactate,,3926003,,10848570-DS-12,"g-1.9 ___ 10:07PM BLOOD TSH-3.8 ___ 07:59PM BLOOD Lactate-0.9 Discharge Labs: ___ 05:05AM BLOOD WBC-7.8 R" "Correct entity, wrong SNOMED ID","(4960, 4963)","(4960, 4963)",WBC,WBC,767002,391558003,10848570-DS-12,"D Lactate-0.9 Discharge Labs: ___ 05:05AM BLOOD WBC-7.8 RBC-3.15* Hgb-9.3* Hct-28.3* MCV-90 MCH-29.4" "Correct entity, wrong SNOMED ID","(4968, 4971)","(4968, 4971)",RBC,RBC,14089001,258759006,10848570-DS-12,"e-0.9 Discharge Labs: ___ 05:05AM BLOOD WBC-7.8 RBC-3.15* Hgb-9.3* Hct-28.3* MCV-90 MCH-29.4 MCHC-32" "Correct entity, wrong SNOMED ID","(4978, 4981)","(4978, 4981)",Hgb,Hgb,441689006,104142005,10848570-DS-12,"charge Labs: ___ 05:05AM BLOOD WBC-7.8 RBC-3.15* Hgb-9.3* Hct-28.3* MCV-90 MCH-29.4 MCHC-32.7 RDW-14." "Correct entity, wrong SNOMED ID","(4987, 4990)","(4987, 4990)",Hct,Hct,28317006,282660005,10848570-DS-12,"bs: ___ 05:05AM BLOOD WBC-7.8 RBC-3.15* Hgb-9.3* Hct-28.3* MCV-90 MCH-29.4 MCHC-32.7 RDW-14.6 Plt ___" Missed entity,"(4998, 5001)",,MCV,,104133003,,10848570-DS-12,":05AM BLOOD WBC-7.8 RBC-3.15* Hgb-9.3* Hct-28.3* MCV-90 MCH-29.4 MCHC-32.7 RDW-14.6 Plt ___ ___ 05:05A" "Correct entity, wrong SNOMED ID","(5014, 5018)","(5014, 5018)",MCHC,MCHC,37254006,735147002,10848570-DS-12,"7.8 RBC-3.15* Hgb-9.3* Hct-28.3* MCV-90 MCH-29.4 MCHC-32.7 RDW-14.6 Plt ___ ___ 05:05AM BLOOD Glucose-1" Missed entity,"(5033, 5036)",,Plt,,61928009,,10848570-DS-12,".3* Hct-28.3* MCV-90 MCH-29.4 MCHC-32.7 RDW-14.6 Plt ___ ___ 05:05AM BLOOD Glucose-110* UreaN-18 Creat" Wrong span,"(5053, 5066)","(5059, 5066)",BLOOD Glucose,Glucose,33747003,72191006,10848570-DS-12,"0 MCH-29.4 MCHC-32.7 RDW-14.6 Plt ___ ___ 05:05AM BLOOD Glucose-110* UreaN-18 Creat-0.6 Na-139 K-3.2* Cl-105 HCO" "Correct entity, wrong SNOMED ID","(5072, 5077)","(5072, 5077)",UreaN,UreaN,105011006,111108008,10848570-DS-12,"7 RDW-14.6 Plt ___ ___ 05:05AM BLOOD Glucose-110* UreaN-18 Creat-0.6 Na-139 K-3.2* Cl-105 HCO3-22 AnGap-" "Correct entity, wrong SNOMED ID","(5081, 5086)","(5081, 5086)",Creat,Creat,70901006,413856009,10848570-DS-12,"6 Plt ___ ___ 05:05AM BLOOD Glucose-110* UreaN-18 Creat-0.6 Na-139 K-3.2* Cl-105 HCO3-22 AnGap-15 ___ 06" "Correct entity, wrong SNOMED ID","(5091, 5093)","(5091, 5093)",Na,Na,312469006,257992007,10848570-DS-12,"___ 05:05AM BLOOD Glucose-110* UreaN-18 Creat-0.6 Na-139 K-3.2* Cl-105 HCO3-22 AnGap-15 ___ 06:10AM B" Missed entity,"(5099, 5100)",,K,,312468003,,10848570-DS-12,"5AM BLOOD Glucose-110* UreaN-18 Creat-0.6 Na-139 K-3.2* Cl-105 HCO3-22 AnGap-15 ___ 06:10AM BLOOD Ca" "Correct entity, wrong SNOMED ID","(5106, 5108)","(5106, 5108)",Cl,Cl,104589004,311741002,10848570-DS-12,"OD Glucose-110* UreaN-18 Creat-0.6 Na-139 K-3.2* Cl-105 HCO3-22 AnGap-15 ___ 06:10AM BLOOD Calcium-9." "Correct entity, wrong SNOMED ID","(5113, 5117)","(5113, 5117)",HCO3,HCO3,312471006,88645003,10848570-DS-12,"ose-110* UreaN-18 Creat-0.6 Na-139 K-3.2* Cl-105 HCO3-22 AnGap-15 ___ 06:10AM BLOOD Calcium-9.0 Phos-4." "Correct entity, wrong SNOMED ID","(5121, 5126)","(5121, 5126)",AnGap,AnGap,25469001,81660009,10848570-DS-12," UreaN-18 Creat-0.6 Na-139 K-3.2* Cl-105 HCO3-22 AnGap-15 ___ 06:10AM BLOOD Calcium-9.0 Phos-4.5 Mg-2.3 " "Correct entity, wrong SNOMED ID","(5148, 5155)","(5148, 5155)",Calcium,Calcium,312472004,108601004,10848570-DS-12," K-3.2* Cl-105 HCO3-22 AnGap-15 ___ 06:10AM BLOOD Calcium-9.0 Phos-4.5 Mg-2.3 Brief Hospital Course: #. P" "Correct entity, wrong SNOMED ID","(5160, 5164)","(5160, 5164)",Phos,Phos,104868000,168075002,10848570-DS-12,"05 HCO3-22 AnGap-15 ___ 06:10AM BLOOD Calcium-9.0 Phos-4.5 Mg-2.3 Brief Hospital Course: #. Pelvic fra" "Correct entity, wrong SNOMED ID","(5169, 5171)","(5169, 5171)",Mg,Mg,271285000,258684004,10848570-DS-12,"2 AnGap-15 ___ 06:10AM BLOOD Calcium-9.0 Phos-4.5 Mg-2.3 Brief Hospital Course: #. Pelvic fracture. " "Correct entity, wrong SNOMED ID","(5204, 5219)","(5204, 5219)",Pelvic fracture,Pelvic fracture,77493009,263222005,10848570-DS-12,"m-9.0 Phos-4.5 Mg-2.3 Brief Hospital Course: #. Pelvic fracture. He was initially admitted to the trauma surgery" Missed entity,"(5329, 5335)",,placed,,782902008,,10848570-DS-12," He was seen by orthopedic surgery and a pin was placed through the distal femur and the leg was placed i" "Correct entity, wrong SNOMED ID","(5348, 5360)","(5348, 5360)",distal femur,distal femur,310652005,897320004,10848570-DS-12,"hopedic surgery and a pin was placed through the distal femur and the leg was placed in traction in anticipati" Missed entity,"(5377, 5396)",,"placed in traction",,274488002,,10848570-DS-12,"s placed through the distal femur and the leg was placed in traction in anticipation of possible surgery. 3d reconstr" Wrong span,"(5454, 5478)","(5454, 5471)",CT imaging of the pelvis,CT imaging of the,169071000,312251004,10848570-DS-12,"cipation of possible surgery. 3d reconstructive CT imaging of the pelvis was performed. Ultimately, it was decided to tr" "Correct entity, wrong SNOMED ID","(5537, 5545)","(5537, 5545)",fracture,fracture,72704001,307186006,10848570-DS-12,"ormed. Ultimately, it was decided to treat this fracture non operatively given his baseline functional st" Wrong span,"(5573, 5581)","(5573, 5599)",baseline,baseline functional status,128974000,154091000119106,10848570-DS-12,"to treat this fracture non operatively given his baseline functional status and the severity of his fractur" "Correct entity, wrong SNOMED ID","(5624, 5632)","(5624, 5632)",fracture,fracture,72704001,307186006,10848570-DS-12,"aseline functional status and the severity of his fracture on imaging. The pin was removed. Pain was contr" "Correct entity, wrong SNOMED ID","(5637, 5644)","(5637, 5644)",imaging,imaging,363679005,408574004,10848570-DS-12,"ional status and the severity of his fracture on imaging. The pin was removed. Pain was controlled with I" Missed entity,"(5659, 5666)",,removed,,239622001,,10848570-DS-12,"everity of his fracture on imaging. The pin was removed. Pain was controlled with IV morphine and PO oxy" Wrong span,"(5668, 5687)","(5668, 5672)",Pain was controlled,Pain,225782006,102570003,10848570-DS-12,"f his fracture on imaging. The pin was removed. Pain was controlled with IV morphine and PO oxycodone. # Retroperit" Boundary error,"(5727, 5749)","(5727, 5748)",Retroperitoneal Bleed.,Retroperitoneal Bleed,95549001,325657381000119109,10848570-DS-12,"controlled with IV morphine and PO oxycodone. # Retroperitoneal Bleed. On CT, retroperitoneal and pelvic bleeding was " "Correct entity, wrong SNOMED ID","(5758, 5773)","(5758, 5773)",retroperitoneal,retroperitoneal,82849001,69559004,10848570-DS-12,"d PO oxycodone. # Retroperitoneal Bleed. On CT, retroperitoneal and pelvic bleeding was discovered. Intervention" Wrong span,"(5778, 5784)","(5778, 5794)",pelvic,"pelvic bleeding",12921003,1264506008,10848570-DS-12,"etroperitoneal Bleed. On CT, retroperitoneal and pelvic bleeding was discovered. Interventional radiolog" Wrong span,"(5786, 5794)","(5778, 5794)",bleeding,"pelvic bleeding",131148009,1264506008,10848570-DS-12,"toneal Bleed. On CT, retroperitoneal and pelvic bleeding was discovered. Interventional radiology was cons" Missed entity,"(5826, 5835)",,radiology,,363679005,,10848570-DS-12,"d pelvic bleeding was discovered. Interventional radiology was consulted and patient was monitored clinical" Missed entity,"(5867, 5876)",,monitored,,239516002,,10848570-DS-12,"entional radiology was consulted and patient was monitored clinically. He remained hemodynamically stable " Wrong span,"(5934, 5960)","(5934, 5944)",hematocrit remained stable,hematocrit,409683007,409683007,10848570-DS-12,"lly. He remained hemodynamically stable and his hematocrit remained stable and no intervention was necessary. His hematocri" Wrong span,"(6001, 6027)","(6001, 6011)",hematocrit remained stable,hematocrit,409683007,409683007,10848570-DS-12,"ed stable and no intervention was necessary. His hematocrit remained stable for the remainder of his hospitalization. # Hos" Missed entity,"(6074, 6101)",,Hospital Acquired Pneumonia,,425464007,,10848570-DS-12,"ble for the remainder of his hospitalization. # Hospital Acquired Pneumonia - On ___, patient developed a fever, hypoxia and" "Correct entity, wrong SNOMED ID","(6133, 6138)","(6133, 6138)",fever,fever,386661006,248430002,10848570-DS-12,"Acquired Pneumonia - On ___, patient developed a fever, hypoxia and an infiltrate was noted on CXR. He " "Correct entity, wrong SNOMED ID","(6140, 6147)","(6140, 6147)",hypoxia,hypoxia,389086002,275367000,10848570-DS-12,"d Pneumonia - On ___, patient developed a fever, hypoxia and an infiltrate was noted on CXR. He was star" "Correct entity, wrong SNOMED ID","(6155, 6165)","(6155, 6165)",infiltrate,infiltrate,231287002,26246006,10848570-DS-12,"n ___, patient developed a fever, hypoxia and an infiltrate was noted on CXR. He was started on empiric the" Missed entity,"(6193, 6200)",,started,,275942009,,10848570-DS-12,"oxia and an infiltrate was noted on CXR. He was started on empiric therapy for hospital acquired pneumoni" Missed entity,"(6212, 6219)",,therapy,,281789004,,10848570-DS-12,"ate was noted on CXR. He was started on empiric therapy for hospital acquired pneumonia of vancomycin, c" "Correct entity, wrong SNOMED ID","(6256, 6266)","(6256, 6266)",vancomycin,vancomycin,281789004,42082003,10848570-DS-12,"piric therapy for hospital acquired pneumonia of vancomycin, ciprofloxacin, and cefepime IV. A 7 day course " Missed entity,"(6268, 6281)",,ciprofloxacin,,281789004,,10848570-DS-12,"y for hospital acquired pneumonia of vancomycin, ciprofloxacin, and cefepime IV. A 7 day course was completed " "Correct entity, wrong SNOMED ID","(6339, 6350)","(6339, 6350)",improvement,improvement,268910001,142016009,10848570-DS-12,"fepime IV. A 7 day course was completed with an improvement in his breathing, and a reduction in his oxygen " Wrong span,"(6499, 6504)","(6491, 6504)",chest,regular chest,51185008,169038004,10848570-DS-12," albuterol and Atrovent nebs, and was had regular chest ___ with respiratory therapy with a significant " "Correct entity, wrong SNOMED ID","(6515, 6534)","(6515, 6534)",respiratory therapy,respiratory therapy,53950000,1155763009,10848570-DS-12,"trovent nebs, and was had regular chest ___ with respiratory therapy with a significant improvement in function. #" "Correct entity, wrong SNOMED ID","(6554, 6565)","(6554, 6565)",improvement,improvement,268910001,142016009,10848570-DS-12," ___ with respiratory therapy with a significant improvement in function. # Tachycardia - Patient had tach" "Correct entity, wrong SNOMED ID","(6585, 6596)","(6585, 6596)",Tachycardia,Tachycardia,3424008,6456007,10848570-DS-12,"with a significant improvement in function. # Tachycardia - Patient had tachycardia, alternating between s" "Correct entity, wrong SNOMED ID","(6611, 6622)","(6611, 6622)",tachycardia,tachycardia,3424008,6456007,10848570-DS-12,"ment in function. # Tachycardia - Patient had tachycardia, alternating between sinus tachycardia and multi" "Correct entity, wrong SNOMED ID","(6645, 6662)","(6645, 6662)",sinus tachycardia,sinus tachycardia,11092001,425582007,10848570-DS-12,"a - Patient had tachycardia, alternating between sinus tachycardia and multifocal atrial tachycardia in the range o" Wrong span,"(6667, 6696)","(6678, 6696)",multifocal atrial tachycardia,atrial tachycardia,49982000,233892002,10848570-DS-12,"ardia, alternating between sinus tachycardia and multifocal atrial tachycardia in the range of 110-140 early in his SICU course" "Correct entity, wrong SNOMED ID","(6908, 6916)","(6908, 6916)",improved,improved,268910001,251359002,10848570-DS-12,"trated to 200mg PO tid. As his clinical picture improved, this dose was gradually reduced to 50mg PO bid," Wrong span,"(7045, 7055)","(7026, 7055)",evaluation,speech and swallow evaluation,386053000,311834001,10848570-DS-12,"charge. # Nutrition - Initial speech and swallow evaluation found that it was unsafe for him to take anythin" Missed entity,"(7146, 7169)",,feeding tube was placed,,61420007,,10848570-DS-12,"e anything PO due to aspiration risk. A Dobbhoff feeding tube was placed for nutrition and given tube feeds. He pulled t" Missed entity,"(7174, 7183)",,nutrition,,83813007,,10848570-DS-12,"ion risk. A Dobbhoff feeding tube was placed for nutrition and given tube feeds. He pulled the feeding tub" Missed entity,"(7262, 7270)",,replaced,,1156692008,,10848570-DS-12,"ulled the feeding tube once, and it needed to be replaced. Repeat speech/swallow evaluation with video sw" Wrong span,"(7295, 7305)","(7280, 7305)",evaluation,speech/swallow evaluation,386053000,311834001,10848570-DS-12,"it needed to be replaced. Repeat speech/swallow evaluation with video swallow found him to be safe to eat p" "Correct entity, wrong SNOMED ID","(7311, 7325)","(7311, 7325)","video swallow","video swallow",241149003,311570008,10848570-DS-12," replaced. Repeat speech/swallow evaluation with video swallow found him to be safe to eat pureed solids with ne" Missed entity,"(7401, 7425)",,Feeding tube was removed,,81011003,,10848570-DS-12,"at pureed solids with nectar thickened liquids. Feeding tube was removed and he was started on the recommended diet on di" "Correct entity, wrong SNOMED ID","(7465, 7469)","(7465, 7469)",diet,diet,36823005,405106009,10848570-DS-12,"as removed and he was started on the recommended diet on discharge. #. Goals of care - The patient had" Missed entity,"(7520, 7526)",,severe,,162470006,,10848570-DS-12,"on discharge. #. Goals of care - The patient had severe dementia, and had no health care proxy on admiss" Missed entity,"(7724, 7734)",,discussion,,223482009,,10848570-DS-12," ___ (___ has agreed to be Mr. ___ guardian. On discussion with Mr. ___ tube placement was declined and it " Missed entity,"(7753, 7762)",,placement,,782902008,,10848570-DS-12,". ___ guardian. On discussion with Mr. ___ tube placement was declined and it was decided to change Mr. __" "Correct entity, wrong SNOMED ID","(9905, 9920)","(9905, 9920)",Pelvic Fracture,Pelvic Fracture,77493009,263222005,10848570-DS-12,"ended Care Facility: ___ Discharge Diagnosis: Pelvic Fracture Retroperitoneal Bleed Multifocal Atrial Tachycard" "Correct entity, wrong SNOMED ID","(9921, 9942)","(9921, 9942)",Retroperitoneal Bleed,Retroperitoneal Bleed,95549001,325657381000119109,10848570-DS-12,"ility: ___ Discharge Diagnosis: Pelvic Fracture Retroperitoneal Bleed Multifocal Atrial Tachycardia Pneumonia COPD Deme" Wrong span,"(9943, 9972)","(9954, 9972)",Multifocal Atrial Tachycardia,Atrial Tachycardia,49982000,233892002,10848570-DS-12," Diagnosis: Pelvic Fracture Retroperitoneal Bleed Multifocal Atrial Tachycardia Pneumonia COPD Dementia Discharge Condition: B" "Correct entity, wrong SNOMED ID","(9973, 9982)","(9973, 9982)",Pneumonia,Pneumonia,233604007,415125002,10848570-DS-12,"troperitoneal Bleed Multifocal Atrial Tachycardia Pneumonia COPD Dementia Discharge Condition: Baseline de" "Correct entity, wrong SNOMED ID","(9983, 9987)","(9983, 9987)",COPD,COPD,13645005,48347002,10848570-DS-12,"eal Bleed Multifocal Atrial Tachycardia Pneumonia COPD Dementia Discharge Condition: Baseline dementi" "Correct entity, wrong SNOMED ID","(10021, 10029)","(10021, 10029)",Baseline,Baseline,128974000,129082007,10848570-DS-12,"a Pneumonia COPD Dementia Discharge Condition: Baseline dementia, not oriented to place or time. Ambulati" "Correct entity, wrong SNOMED ID","(10044, 10061)","(10044, 10061)",oriented to place,oriented to place,427161009,72440003,10848570-DS-12,"ia Discharge Condition: Baseline dementia, not oriented to place or time. Ambulating with assistance. Discha" Missed entity,"(10065, 10069)",,time,,426794005,,10848570-DS-12,"tion: Baseline dementia, not oriented to place or time. Ambulating with assistance. Discharge Inst" Wrong span,"(10071, 10081)","(10071, 10098)",Ambulating,"Ambulating with assistance",160680006,443430002,10848570-DS-12,"Baseline dementia, not oriented to place or time. Ambulating with assistance. Discharge Instructions: Yo" "Correct entity, wrong SNOMED ID","(10153, 10157)","(10153, 10157)",fall,fall,161898004,298344006,10848570-DS-12," Discharge Instructions: You were admitted for a fall. You were found to have a pelvic fracture, and " "Correct entity, wrong SNOMED ID","(10185, 10201)","(10185, 10201)","pelvic fracture","pelvic fracture",77493009,263222005,10848570-DS-12,"re admitted for a fall. You were found to have a pelvic fracture, and surgery was not needed. You developed a ble" "Correct entity, wrong SNOMED ID","(10207, 10214)","(10207, 10214)",surgery,surgery,387713003,110473004,10848570-DS-12,". You were found to have a pelvic fracture, and surgery was not needed. You developed a bleed into your" "Correct entity, wrong SNOMED ID","(10248, 10253)","(10248, 10253)",bleed,bleed,131148009,74474003,10848570-DS-12,"ure, and surgery was not needed. You developed a bleed into your back and pelvis that resolved. You al" "Correct entity, wrong SNOMED ID","(10265, 10269)","(10265, 10269)",back,back,77568009,37822005,10848570-DS-12,"was not needed. You developed a bleed into your back and pelvis that resolved. You also developed a " "Correct entity, wrong SNOMED ID","(10274, 10280)","(10274, 10280)",pelvis,pelvis,12921003,25990002,10848570-DS-12,"eeded. You developed a bleed into your back and pelvis that resolved. You also developed a high heart " "Correct entity, wrong SNOMED ID","(10319, 10334)","(10319, 10334)",high heart rate,high heart rate,3424008,289438002,10848570-DS-12," and pelvis that resolved. You also developed a high heart rate which was controlled with medications. You deve" "Correct entity, wrong SNOMED ID","(10392, 10401)","(10392, 10401)",pneumonia,pneumonia,233604007,415125002,10848570-DS-12,"as controlled with medications. You developed a pneumonia which was treated with intravenous antibiotics. " "Correct entity, wrong SNOMED ID","(10457, 10476)","(10457, 10476)",pain was controlled,pain was controlled,225782006,370778008,10848570-DS-12," was treated with intravenous antibiotics. Your pain was controlled with oxycodone. Followup Instructions: ___ " False positive,,"(560, 566)",,Landed,,1290034006,10860165-DS-24,"ll was approximately 20 feet off of a ladder. He Landed on his left side. Seen in outside hospital and d" False positive,,"(1080, 1082)",,re,,424690006,10860165-DS-24,"erferon & ribavirin; d/c'd for thrombocytopenia, relapsed -- RUQ ultrasound ___, no lesions stable mi" False positive,,"(1184, 1189)",,cords,,4639008,10860165-DS-24," splenomegaly and tiny gallstones. -- EGD ___ cords superficial grade 2 varices not bleeding, ulcers" False positive,,"(1491, 1505)",,Constitutional,,47708004,10860165-DS-24,"l Exam: On admission: Resp: 18 O(2)Sat: 94 Normal Constitutional: Uncomfortable HEENT: Normocephalic, atraumatic N" False positive,,"(1507, 1520)",,Uncomfortable,,250893000,10860165-DS-24,"sion: Resp: 18 O(2)Sat: 94 Normal Constitutional: Uncomfortable HEENT: Normocephalic, atraumatic No C-spine tende" False positive,,"(1557, 1564)",,C-spine,,122495006,10860165-DS-24,"Uncomfortable HEENT: Normocephalic, atraumatic No C-spine tenderness Chest: No crepitus, left chest wall te" False positive,,"(2050, 2059)",,palpation,,51558006,10860165-DS-24,"Chest: No crepitus, left chest wall tenderness to palpation, bilateral breath sounds, CTAB, decreased air mo" False positive,,"(2524, 2526)",,AS,,121606009,10860165-DS-24,"101* MCH-37.9* MCHC-37.7* RDW-14.1 ___ 09:55PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barb" False positive,,"(3285, 3299)",,paraesophageal,,1087381000119104,10860165-DS-24,"and portal hypertension, including splenomegaly, paraesophageal, and splenic varices. 3. Cholelithiasis withou" False positive,,"(3368, 3371)",,CXR,,399208008,10860165-DS-24,"es. 3. Cholelithiasis without cholecystitis. CXR ___: 1. Multiple left rib fractures and small to" False positive,,"(3500, 3502)",,CT,,702569007,10860165-DS-24," 2. Layering left hemothorax as seen on outside CT. CXR: ___: Left hemopneumothorax is increased c" False positive,,"(3588, 3595)",,tension,,423157004,10860165-DS-24,"is increased compared to ___, causing increase in tension and contralateral mediastinal shift. CXR: ___:" False positive,,"(3725, 3734)",,decreased,,182879007,10860165-DS-24,"laced since 8 hr prior. Left hemopneumothorax is decreased. 2. Left hemidiaphragm is elevated, which could " False positive,,"(4260, 4265)",,chest,,177765008,10860165-DS-24,"on with the earlier study of this date, with the chest tube on water seal there is possibly a tiny left " False positive,,"(6612, 6626)",,paraesophageal,,1087381000119104,10860165-DS-24,"and portal hypertension, including splenomegaly, paraesophageal, and splenic varices. 3. Cholelithiasis without" False positive,,"(8248, 8250)",,CT,,241541005,10860165-DS-24,"increased per APS. The ___ CXR looked worse and CT was put back to suction. The patient was stable " False positive,,"(8640, 8642)",,CT,,241541005,10860165-DS-24," On ___, repeat CXR continued to show a PTX and CT was kept on suction. Over the course of the next" False positive,,"(8971, 8973)",,CT,,241541005,10860165-DS-24," not experience any respiratory distress. On ___ CT output decreased to approximately less than 200cc" False positive,,"(11576, 11585)",,recovered,,177037000,10860165-DS-24,"s lung and a laceration of your spleen. You have recovered and are now ready to be discharged from the hosp" False positive,,"(12855, 12860)",,cough,,28743005,10860165-DS-24,"gs. * You will be more comfortable if you use a cough pillow to hold against your chest and guard your" "Correct entity, wrong SNOMED ID","(196, 218)","(196, 218)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,10860165-DS-24,"rvice: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: trauma evalu" Wrong span,"(256, 262)","(256, 273)",trauma,trauma evaluation,417746004,698505007,10860165-DS-24,"ug Reactions Attending: ___. Chief Complaint: trauma evaluation s/p fall from ladder Major Surgical " Wrong span,"(263, 273)","(256, 273)",evaluation,trauma evaluation,386053000,698505007,10860165-DS-24,"tions Attending: ___. Chief Complaint: trauma evaluation s/p fall from ladder Major Surgical or Invasive" "Correct entity, wrong SNOMED ID","(278, 282)","(278, 282)",fall,fall,161898004,298344006,10860165-DS-24,"ng: ___. Chief Complaint: trauma evaluation s/p fall from ladder Major Surgical or Invasive Procedur" "Correct entity, wrong SNOMED ID","(419, 423)","(419, 423)",FALL,FALL,161898004,298344006,10860165-DS-24,": ___ is a ___ year old male who complains of S/P FALL from ___ FT. He was transferred from outside hos" "Correct entity, wrong SNOMED ID","(508, 512)","(508, 512)",fall,fall,161898004,298344006,10860165-DS-24,"rom outside hospital and presents to ___ ED. His fall was approximately 20 feet off of a ladder. He La" Missed entity,"(531, 538)",,20 feet,,419493001,,10860165-DS-24,"d presents to ___ ED. His fall was approximately 20 feet off of a ladder. He Landed on his left side. See" Wrong span,"(574, 583)","(574, 578)",left side,left,771318003,264745005,10860165-DS-24,"mately 20 feet off of a ladder. He Landed on his left side. Seen in outside hospital and diagnosed with mul" Wrong span,"(630, 652)","(639, 652)",multiple rib fractures,rib fractures,1261007,429381000124105,10860165-DS-24,"ide. Seen in outside hospital and diagnosed with multiple rib fractures on the left with a pneumothorax and splenic lace" "Correct entity, wrong SNOMED ID","(660, 664)","(660, 664)",left,left,724223001,264745005,10860165-DS-24," and diagnosed with multiple rib fractures on the left with a pneumothorax and splenic laceration. CT h" "Correct entity, wrong SNOMED ID","(673, 685)","(673, 685)",pneumothorax,pneumothorax,90070003,109364007,10860165-DS-24,"d with multiple rib fractures on the left with a pneumothorax and splenic laceration. CT head and neck were ne" "Correct entity, wrong SNOMED ID","(690, 708)","(690, 708)",splenic laceration,splenic laceration,262822009,721299006,10860165-DS-24,"ib fractures on the left with a pneumothorax and splenic laceration. CT head and neck were negative. Transferred her" "Correct entity, wrong SNOMED ID","(733, 741)","(733, 741)",negative,negative,23875004,268375009,10860165-DS-24,"ax and splenic laceration. CT head and neck were negative. Transferred here for pain control and trauma sur" "Correct entity, wrong SNOMED ID","(764, 776)","(764, 776)",pain control,pain control,225782006,370778008,10860165-DS-24,"ead and neck were negative. Transferred here for pain control and trauma surgery evaluation. Past Medical H" Wrong span,"(781, 787)","(781, 795)",trauma,trauma surgery,417746004,698505007,10860165-DS-24," negative. Transferred here for pain control and trauma surgery evaluation. Past Medical History: PMH" Wrong span,"(788, 795)","(781, 795)",surgery,trauma surgery,387713003,698505007,10860165-DS-24,"ive. Transferred here for pain control and trauma surgery evaluation. Past Medical History: PMH: Hepa" "Correct entity, wrong SNOMED ID","(797, 807)","(797, 807)",evaluation,evaluation,386053000,39609006,10860165-DS-24,"sferred here for pain control and trauma surgery evaluation. Past Medical History: PMH: Hepatitis C cirr" "Correct entity, wrong SNOMED ID","(841, 862)","(841, 862)",Hepatitis C cirrhosis,Hepatitis C cirrhosis,831000119103,235897005,10860165-DS-24,"gery evaluation. Past Medical History: PMH: Hepatitis C cirrhosis, grade 2 esophageal varices PSH: ankle surgery " "Correct entity, wrong SNOMED ID","(872, 890)","(872, 890)",esophageal varices,esophageal varices,28670008,17709002,10860165-DS-24,"al History: PMH: Hepatitis C cirrhosis, grade 2 esophageal varices PSH: ankle surgery Hepatitis C, genotype 3 wi" Wrong span,"(898, 903)","(898, 911)",ankle,ankle surgery,51636004,16783651000119107,10860165-DS-24,"is C cirrhosis, grade 2 esophageal varices PSH: ankle surgery Hepatitis C, genotype 3 with resultant " Wrong span,"(904, 911)","(898, 911)",surgery,ankle surgery,387713003,16783651000119107,10860165-DS-24,"irrhosis, grade 2 esophageal varices PSH: ankle surgery Hepatitis C, genotype 3 with resultant cirrhosi" Wrong span,"(914, 937)","(914, 925)","Hepatitis C, genotype 3",Hepatitis C,768006009,93871000119101,10860165-DS-24,"grade 2 esophageal varices PSH: ankle surgery Hepatitis C, genotype 3 with resultant cirrhosis -- last VL: HCV VIRAL LO" Missed entity,"(971, 973)",,VL,,395058002,,10860165-DS-24,"is C, genotype 3 with resultant cirrhosis -- last VL: HCV VIRAL LOAD (Final ___: 1,270,000 IU/mL. -- " Wrong span,"(975, 989)","(975, 978)",HCV VIRAL LOAD,HCV,395197008,80129000,10860165-DS-24,", genotype 3 with resultant cirrhosis -- last VL: HCV VIRAL LOAD (Final ___: 1,270,000 IU/mL. -- S/P interferon &" "Correct entity, wrong SNOMED ID","(1061, 1077)","(1061, 1077)",thrombocytopenia,thrombocytopenia,302215000,10752381000119101,10860165-DS-24," IU/mL. -- S/P interferon & ribavirin; d/c'd for thrombocytopenia, relapsed -- RUQ ultrasound ___, no lesions stab" "Correct entity, wrong SNOMED ID","(1092, 1106)","(1092, 1106)",RUQ ultrasound,RUQ ultrasound,426701000119108,770572002,10860165-DS-24,"bavirin; d/c'd for thrombocytopenia, relapsed -- RUQ ultrasound ___, no lesions stable mild splenomegaly and ti" "Correct entity, wrong SNOMED ID","(1115, 1122)","(1115, 1122)",lesions,lesions,52988006,246206008,10860165-DS-24,"mbocytopenia, relapsed -- RUQ ultrasound ___, no lesions stable mild splenomegaly and tiny gallstones. " Missed entity,"(1123, 1129)",,stable,,162498009,,10860165-DS-24,"enia, relapsed -- RUQ ultrasound ___, no lesions stable mild splenomegaly and tiny gallstones. -- EGD" Missed entity,"(1130, 1134)",,mild,,162468002,,10860165-DS-24,"relapsed -- RUQ ultrasound ___, no lesions stable mild splenomegaly and tiny gallstones. -- EGD ___ " "Correct entity, wrong SNOMED ID","(1135, 1147)","(1135, 1147)",splenomegaly,splenomegaly,16294009,19058002,10860165-DS-24,"sed -- RUQ ultrasound ___, no lesions stable mild splenomegaly and tiny gallstones. -- EGD ___ cords superfi" "Correct entity, wrong SNOMED ID","(1159, 1169)","(1159, 1169)",gallstones,gallstones,235919008,390926006,10860165-DS-24,"_, no lesions stable mild splenomegaly and tiny gallstones. -- EGD ___ cords superficial grade 2 varices n" "Correct entity, wrong SNOMED ID","(1210, 1217)","(1210, 1217)",varices,varices,28670008,57052009,10860165-DS-24,"allstones. -- EGD ___ cords superficial grade 2 varices not bleeding, ulcers, biopsies of which were neg" "Correct entity, wrong SNOMED ID","(1222, 1230)","(1222, 1230)",bleeding,bleeding,131148009,74474003,10860165-DS-24," -- EGD ___ cords superficial grade 2 varices not bleeding, ulcers, biopsies of which were negative; on Pri" "Correct entity, wrong SNOMED ID","(1233, 1239)","(1233, 1239)",ulcers,ulcers,429040005,125318001,10860165-DS-24," cords superficial grade 2 varices not bleeding, ulcers, biopsies of which were negative; on Prilosec and" "Correct entity, wrong SNOMED ID","(1241, 1249)","(1241, 1249)",biopsies,biopsies,445982009,7246002,10860165-DS-24,"uperficial grade 2 varices not bleeding, ulcers, biopsies of which were negative; on Prilosec and Nadalol." "Correct entity, wrong SNOMED ID","(1264, 1272)","(1264, 1272)",negative,negative,281900007,268375009,10860165-DS-24,"ces not bleeding, ulcers, biopsies of which were negative; on Prilosec and Nadalol. Social History: ___ " "Correct entity, wrong SNOMED ID","(1345, 1353)","(1345, 1353)",deceased,deceased,419099009,739678005,10860165-DS-24,"lol. Social History: ___ Family History: Mother deceased from breast cancer, father has diabetes. Sibling" "Correct entity, wrong SNOMED ID","(1359, 1372)","(1359, 1372)",breast cancer,breast cancer,254837009,724451007,10860165-DS-24,"History: ___ Family History: Mother deceased from breast cancer, father has diabetes. Siblings and children are " "Correct entity, wrong SNOMED ID","(1385, 1393)","(1385, 1393)",diabetes,diabetes,73211009,9414007,10860165-DS-24,"y: Mother deceased from breast cancer, father has diabetes. Siblings and children are healthy. Physical " "Correct entity, wrong SNOMED ID","(1463, 1467)","(1463, 1467)",Resp,Resp,268925001,20139000,10860165-DS-24,"dren are healthy. Physical Exam: On admission: Resp: 18 O(2)Sat: 94 Normal Constitutional: Uncomforta" Missed entity,"(1472, 1479)",,O(2)Sat,,104847001,,10860165-DS-24,"healthy. Physical Exam: On admission: Resp: 18 O(2)Sat: 94 Normal Constitutional: Uncomfortable HEENT: N" Missed entity,"(1484, 1490)",,Normal,,72970002,,10860165-DS-24,"Physical Exam: On admission: Resp: 18 O(2)Sat: 94 Normal Constitutional: Uncomfortable HEENT: Normocephali" "Correct entity, wrong SNOMED ID","(1521, 1526)","(1521, 1526)",HEENT,HEENT,5880005,113665002,10860165-DS-24," O(2)Sat: 94 Normal Constitutional: Uncomfortable HEENT: Normocephalic, atraumatic No C-spine tenderness " "Correct entity, wrong SNOMED ID","(1528, 1541)","(1528, 1541)",Normocephalic,Normocephalic,840673007,30470009,10860165-DS-24,"t: 94 Normal Constitutional: Uncomfortable HEENT: Normocephalic, atraumatic No C-spine tenderness Chest: No crepi" "Correct entity, wrong SNOMED ID","(1543, 1553)","(1543, 1553)",atraumatic,atraumatic,224964008,294228005,10860165-DS-24,"nstitutional: Uncomfortable HEENT: Normocephalic, atraumatic No C-spine tenderness Chest: No crepitus, left ch" "Correct entity, wrong SNOMED ID","(1565, 1575)","(1565, 1575)",tenderness,tenderness,247348008,43478001,10860165-DS-24,"table HEENT: Normocephalic, atraumatic No C-spine tenderness Chest: No crepitus, left chest wall tenderness to" "Correct entity, wrong SNOMED ID","(1576, 1581)","(1576, 1581)",Chest,Chest,268925001,177765008,10860165-DS-24,": Normocephalic, atraumatic No C-spine tenderness Chest: No crepitus, left chest wall tenderness to palpa" "Correct entity, wrong SNOMED ID","(1596, 1611)","(1596, 1611)",left chest wall,left chest wall,771318003,10850261000119102,10860165-DS-24,"aumatic No C-spine tenderness Chest: No crepitus, left chest wall tenderness to palpation, bilateral breath sounds" "Correct entity, wrong SNOMED ID","(1612, 1622)","(1612, 1622)",tenderness,tenderness,247348008,43478001,10860165-DS-24,"ne tenderness Chest: No crepitus, left chest wall tenderness to palpation, bilateral breath sounds Cardiovasc" "Correct entity, wrong SNOMED ID","(1626, 1635)","(1626, 1635)",palpation,palpation,113011001,51558006,10860165-DS-24,"Chest: No crepitus, left chest wall tenderness to palpation, bilateral breath sounds Cardiovascular: Regular" Wrong span,"(1638, 1647)","(1638, 1661)",bilateral,bilateral breath sounds,74101002,79451004,10860165-DS-24,"epitus, left chest wall tenderness to palpation, bilateral breath sounds Cardiovascular: Regular Rate and Rh" Wrong span,"(1648, 1661)","(1638, 1661)",breath sounds,bilateral breath sounds,366135003,79451004,10860165-DS-24,"ft chest wall tenderness to palpation, bilateral breath sounds Cardiovascular: Regular Rate and Rhythm Abdominal" "Correct entity, wrong SNOMED ID","(1662, 1676)","(1662, 1676)",Cardiovascular,Cardiovascular,363003006,113257007,10860165-DS-24,"tenderness to palpation, bilateral breath sounds Cardiovascular: Regular Rate and Rhythm Abdominal: Tender in the" Wrong span,"(1678, 1701)","(1678, 1694)",Regular Rate and Rhythm,Regular Rate and,76863003,428919002,10860165-DS-24,"lpation, bilateral breath sounds Cardiovascular: Regular Rate and Rhythm Abdominal: Tender in the left abdomen GU/Flank: N" Wrong span,"(1702, 1705)","(1702, 1711)",Abd,Abdominal,225162003,422314007,10860165-DS-24,"th sounds Cardiovascular: Regular Rate and Rhythm Abdominal: Tender in the left abdomen GU/Flank: No co" "Correct entity, wrong SNOMED ID","(1713, 1719)","(1713, 1719)",Tender,Tender,43478001,278999000,10860165-DS-24,"ardiovascular: Regular Rate and Rhythm Abdominal: Tender in the left abdomen GU/Flank: No costovertebral a" "Correct entity, wrong SNOMED ID","(1740, 1742)","(1740, 1742)",GU,GU,268945009,77618006,10860165-DS-24," and Rhythm Abdominal: Tender in the left abdomen GU/Flank: No costovertebral angle tenderness Extr/Ba" Missed entity,"(1743, 1748)",,Flank,,58602004,,10860165-DS-24,"d Rhythm Abdominal: Tender in the left abdomen GU/Flank: No costovertebral angle tenderness Extr/Back: No" "Correct entity, wrong SNOMED ID","(1774, 1784)","(1774, 1784)",tenderness,tenderness,247348008,43478001,10860165-DS-24,"he left abdomen GU/Flank: No costovertebral angle tenderness Extr/Back: No long bone deformities Skin: No rash" "Correct entity, wrong SNOMED ID","(1785, 1789)","(1785, 1789)",Extr,Extr,302773001,710354007,10860165-DS-24,"omen GU/Flank: No costovertebral angle tenderness Extr/Back: No long bone deformities Skin: No rash Neur" "Correct entity, wrong SNOMED ID","(1790, 1794)","(1790, 1794)",Back,Back,5880005,37822005,10860165-DS-24,"GU/Flank: No costovertebral angle tenderness Extr/Back: No long bone deformities Skin: No rash Neuro: GC" Wrong span,"(1799, 1808)","(1799, 1820)",long bone,long bone deformities,113193004,1179018009,10860165-DS-24," No costovertebral angle tenderness Extr/Back: No long bone deformities Skin: No rash Neuro: GCS 15, moving a" Wrong span,"(1809, 1820)","(1799, 1820)",deformities,long bone deformities,6081001,1179018009,10860165-DS-24,"ertebral angle tenderness Extr/Back: No long bone deformities Skin: No rash Neuro: GCS 15, moving all extremiti" "Correct entity, wrong SNOMED ID","(1821, 1825)","(1821, 1825)",Skin,Skin,271303006,444884003,10860165-DS-24,"le tenderness Extr/Back: No long bone deformities Skin: No rash Neuro: GCS 15, moving all extremities we" "Correct entity, wrong SNOMED ID","(1830, 1834)","(1830, 1834)",rash,rash,271807003,247472004,10860165-DS-24,"ness Extr/Back: No long bone deformities Skin: No rash Neuro: GCS 15, moving all extremities well Psych:" "Correct entity, wrong SNOMED ID","(1835, 1840)","(1835, 1840)",Neuro,Neuro,84728005,281247006,10860165-DS-24,"Extr/Back: No long bone deformities Skin: No rash Neuro: GCS 15, moving all extremities well Psych: Norma" Missed entity,"(1842, 1848)",,GCS 15,,70040003,,10860165-DS-24,"ck: No long bone deformities Skin: No rash Neuro: GCS 15, moving all extremities well Psych: Normal mood " Wrong span,"(1857, 1872)","(1850, 1872)",all extremities,moving all extremities,2592007,284138009,10860165-DS-24,"e deformities Skin: No rash Neuro: GCS 15, moving all extremities well Psych: Normal mood On Discharge: VS: 98.4F " "Correct entity, wrong SNOMED ID","(1878, 1883)","(1878, 1883)",Psych,Psych,405783006,17326005,10860165-DS-24,"o rash Neuro: GCS 15, moving all extremities well Psych: Normal mood On Discharge: VS: 98.4F HR 62 99/50" "Correct entity, wrong SNOMED ID","(1912, 1914)","(1912, 1914)",VS,VS,118227000,313611000,10860165-DS-24,"xtremities well Psych: Normal mood On Discharge: VS: 98.4F HR 62 99/50 RR 16 97% HEENT: Normocephalic" "Correct entity, wrong SNOMED ID","(1922, 1924)","(1922, 1924)",HR,HR,301113001,258702006,10860165-DS-24," well Psych: Normal mood On Discharge: VS: 98.4F HR 62 99/50 RR 16 97% HEENT: Normocephalic, atraumat" "Correct entity, wrong SNOMED ID","(1934, 1936)","(1934, 1936)",RR,RR,301283003,229040007,10860165-DS-24," Normal mood On Discharge: VS: 98.4F HR 62 99/50 RR 16 97% HEENT: Normocephalic, atraumatic, no C-spi" "Correct entity, wrong SNOMED ID","(1944, 1949)","(1944, 1949)",HEENT,HEENT,5880005,113665002,10860165-DS-24,"od On Discharge: VS: 98.4F HR 62 99/50 RR 16 97% HEENT: Normocephalic, atraumatic, no C-spine tenderness" "Correct entity, wrong SNOMED ID","(1951, 1964)","(1951, 1964)",Normocephalic,Normocephalic,840673007,30470009,10860165-DS-24,"Discharge: VS: 98.4F HR 62 99/50 RR 16 97% HEENT: Normocephalic, atraumatic, no C-spine tenderness Chest: No crep" "Correct entity, wrong SNOMED ID","(1966, 1976)","(1966, 1976)",atraumatic,atraumatic,224964008,294228005,10860165-DS-24,"98.4F HR 62 99/50 RR 16 97% HEENT: Normocephalic, atraumatic, no C-spine tenderness Chest: No crepitus, left c" Wrong span,"(1981, 1999)","(1981, 1988)",C-spine tenderness,C-spine,298477006,122495006,10860165-DS-24,"50 RR 16 97% HEENT: Normocephalic, atraumatic, no C-spine tenderness Chest: No crepitus, left chest wall tenderness to" "Correct entity, wrong SNOMED ID","(2000, 2005)","(2000, 2005)",Chest,Chest,268925001,177765008,10860165-DS-24," Normocephalic, atraumatic, no C-spine tenderness Chest: No crepitus, left chest wall tenderness to palpa" "Correct entity, wrong SNOMED ID","(2020, 2035)","(2020, 2035)",left chest wall,left chest wall,771318003,10850261000119102,10860165-DS-24,"umatic, no C-spine tenderness Chest: No crepitus, left chest wall tenderness to palpation, bilateral breath sounds" "Correct entity, wrong SNOMED ID","(2036, 2046)","(2036, 2046)",tenderness,tenderness,102591006,43478001,10860165-DS-24,"ne tenderness Chest: No crepitus, left chest wall tenderness to palpation, bilateral breath sounds, CTAB, dec" Wrong span,"(2062, 2071)","(2062, 2085)",bilateral,bilateral breath sounds,74101002,79451004,10860165-DS-24,"epitus, left chest wall tenderness to palpation, bilateral breath sounds, CTAB, decreased air movement R bas" Wrong span,"(2072, 2085)","(2062, 2085)",breath sounds,bilateral breath sounds,366135003,79451004,10860165-DS-24,"ft chest wall tenderness to palpation, bilateral breath sounds, CTAB, decreased air movement R base Cardiovascul" "Correct entity, wrong SNOMED ID","(2087, 2091)","(2087, 2091)",CTAB,CTAB,48348007,112188007,10860165-DS-24,"enderness to palpation, bilateral breath sounds, CTAB, decreased air movement R base Cardiovascular: RR" "Correct entity, wrong SNOMED ID","(2093, 2115)","(2093, 2115)",decreased air movement,decreased air movement,58840004,248588004,10860165-DS-24,"ess to palpation, bilateral breath sounds, CTAB, decreased air movement R base Cardiovascular: RRR no MRG Abdominal: LUQ " Missed entity,"(2116, 2122)",,R base,,51785002,,10860165-DS-24,"teral breath sounds, CTAB, decreased air movement R base Cardiovascular: RRR no MRG Abdominal: LUQ tendern" "Correct entity, wrong SNOMED ID","(2123, 2137)","(2123, 2137)",Cardiovascular,Cardiovascular,363003006,113257007,10860165-DS-24,"reath sounds, CTAB, decreased air movement R base Cardiovascular: RRR no MRG Abdominal: LUQ tenderness along costa" "Correct entity, wrong SNOMED ID","(2139, 2142)","(2139, 2142)",RRR,RRR,76863003,129960002,10860165-DS-24,"AB, decreased air movement R base Cardiovascular: RRR no MRG Abdominal: LUQ tenderness along costal mar" "Correct entity, wrong SNOMED ID","(2143, 2149)","(2143, 2149)",no MRG,no MRG,301132007,787132008,10860165-DS-24,"decreased air movement R base Cardiovascular: RRR no MRG Abdominal: LUQ tenderness along costal margin GU/" "Correct entity, wrong SNOMED ID","(2150, 2159)","(2150, 2159)",Abdominal,Abdominal,225162003,422314007,10860165-DS-24,"ed air movement R base Cardiovascular: RRR no MRG Abdominal: LUQ tenderness along costal margin GU/Flank: No " Wrong span,"(2161, 2175)","(2161, 2164)",LUQ tenderness,LUQ,448660000,816053001,10860165-DS-24,"ment R base Cardiovascular: RRR no MRG Abdominal: LUQ tenderness along costal margin GU/Flank: No costovertebral a" "Correct entity, wrong SNOMED ID","(2182, 2195)","(2182, 2195)",costal margin,costal margin,360945007,769172001,10860165-DS-24,"cular: RRR no MRG Abdominal: LUQ tenderness along costal margin GU/Flank: No costovertebral angle tenderness Neur" "Correct entity, wrong SNOMED ID","(2196, 2198)","(2196, 2198)",GU,GU,268945009,77618006,10860165-DS-24,"MRG Abdominal: LUQ tenderness along costal margin GU/Flank: No costovertebral angle tenderness Neuro: " Missed entity,"(2199, 2204)",,Flank,,58602004,,10860165-DS-24," Abdominal: LUQ tenderness along costal margin GU/Flank: No costovertebral angle tenderness Neuro: GCS 15" Wrong span,"(2209, 2240)","(2209, 2229)",costovertebral angle tenderness,costovertebral angle,102830001,263010001,10860165-DS-24,": LUQ tenderness along costal margin GU/Flank: No costovertebral angle tenderness Neuro: GCS 15, no focal neuro deficits Psych: No" "Correct entity, wrong SNOMED ID","(2241, 2246)","(2241, 2246)",Neuro,Neuro,84728005,281247006,10860165-DS-24,"rgin GU/Flank: No costovertebral angle tenderness Neuro: GCS 15, no focal neuro deficits Psych: Normal m" Missed entity,"(2248, 2254)",,GCS 15,,70040003,,10860165-DS-24,"/Flank: No costovertebral angle tenderness Neuro: GCS 15, no focal neuro deficits Psych: Normal mood, hap" "Correct entity, wrong SNOMED ID","(2265, 2279)","(2265, 2279)",neuro deficits,neuro deficits,264552009,761908002,10860165-DS-24,"ertebral angle tenderness Neuro: GCS 15, no focal neuro deficits Psych: Normal mood, happy about going home Pe" "Correct entity, wrong SNOMED ID","(2281, 2286)","(2281, 2286)",Psych,Psych,405783006,17326005,10860165-DS-24,"enderness Neuro: GCS 15, no focal neuro deficits Psych: Normal mood, happy about going home Pertinent" Missed entity,"(2301, 2306)",,happy,,112080002,,10860165-DS-24," 15, no focal neuro deficits Psych: Normal mood, happy about going home Pertinent Results: ___ 09:55P" Missed entity,"(2374, 2383)",,PLT COUNT,,61928009,,10860165-DS-24," Pertinent Results: ___ 09:55PM ___ 09:55PM PLT COUNT-56* ___ 09:55PM ___ PTT-30.1 ___ ___ 09:55PM " "Correct entity, wrong SNOMED ID","(2406, 2409)","(2406, 2409)",PTT,PTT,42525009,282119004,10860165-DS-24,"M ___ 09:55PM PLT COUNT-56* ___ 09:55PM ___ PTT-30.1 ___ ___ 09:55PM WBC-10.4 RBC-4.02* HGB-15." "Correct entity, wrong SNOMED ID","(2433, 2436)","(2433, 2436)",WBC,WBC,767002,391558003,10860165-DS-24,"-56* ___ 09:55PM ___ PTT-30.1 ___ ___ 09:55PM WBC-10.4 RBC-4.02* HGB-15.2 HCT-40.4 MCV-101* MCH-37" "Correct entity, wrong SNOMED ID","(2442, 2445)","(2442, 2445)",RBC,RBC,14089001,258759006,10860165-DS-24,"09:55PM ___ PTT-30.1 ___ ___ 09:55PM WBC-10.4 RBC-4.02* HGB-15.2 HCT-40.4 MCV-101* MCH-37.9* MCHC-" "Correct entity, wrong SNOMED ID","(2452, 2455)","(2452, 2455)",HGB,HGB,441689006,104142005,10860165-DS-24,"___ PTT-30.1 ___ ___ 09:55PM WBC-10.4 RBC-4.02* HGB-15.2 HCT-40.4 MCV-101* MCH-37.9* MCHC-37.7* RDW-" "Correct entity, wrong SNOMED ID","(2461, 2464)","(2461, 2464)",HCT,HCT,28317006,282660005,10860165-DS-24,"0.1 ___ ___ 09:55PM WBC-10.4 RBC-4.02* HGB-15.2 HCT-40.4 MCV-101* MCH-37.9* MCHC-37.7* RDW-14.1 ___ " "Correct entity, wrong SNOMED ID","(2470, 2473)","(2470, 2473)",MCV,MCV,104133003,735146006,10860165-DS-24,"__ 09:55PM WBC-10.4 RBC-4.02* HGB-15.2 HCT-40.4 MCV-101* MCH-37.9* MCHC-37.7* RDW-14.1 ___ 09:55PM " "Correct entity, wrong SNOMED ID","(2480, 2483)","(2480, 2483)",MCH,MCH,54706004,735147002,10860165-DS-24," WBC-10.4 RBC-4.02* HGB-15.2 HCT-40.4 MCV-101* MCH-37.9* MCHC-37.7* RDW-14.1 ___ 09:55PM ASA-NEG E" "Correct entity, wrong SNOMED ID","(2490, 2494)","(2490, 2494)",MCHC,MCHC,37254006,735147002,10860165-DS-24,"4 RBC-4.02* HGB-15.2 HCT-40.4 MCV-101* MCH-37.9* MCHC-37.7* RDW-14.1 ___ 09:55PM ASA-NEG ETHANOL-NEG " Missed entity,"(2528, 2531)",,NEG,,281900007,,10860165-DS-24," MCH-37.9* MCHC-37.7* RDW-14.1 ___ 09:55PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-" Missed entity,"(2532, 2539)",,ETHANOL,,167009006,,10860165-DS-24,"H-37.9* MCHC-37.7* RDW-14.1 ___ 09:55PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tric" Missed entity,"(2540, 2543)",,NEG,,281900007,,10860165-DS-24,"MCHC-37.7* RDW-14.1 ___ 09:55PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricycli" Missed entity,"(2544, 2553)",,ACETMNPHN,,46093004,,10860165-DS-24,"-37.7* RDW-14.1 ___ 09:55PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ " Missed entity,"(2554, 2557)",,NEG,,281900007,,10860165-DS-24,"-14.1 ___ 09:55PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:5" Missed entity,"(2559, 2567)",,bnzodzpn,,574005,,10860165-DS-24," ___ 09:55PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:55PM LIPA" Missed entity,"(2568, 2571)",,NEG,,281900007,,10860165-DS-24,"5PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:55PM LIPASE-6" Missed entity,"(2572, 2580)",,barbitrt,,105079003,,10860165-DS-24," ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:55PM LIPASE-63* ___ 09" Missed entity,"(2581, 2584)",,NEG,,281900007,,10860165-DS-24," ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:55PM LIPASE-63* ___ 09:55P" Missed entity,"(2585, 2594)",,tricyclic,,44787002,,10860165-DS-24,"ANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:55PM LIPASE-63* ___ 09:55PM estGFR" Missed entity,"(2595, 2598)",,NEG,,281900007,,10860165-DS-24,"CETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:55PM LIPASE-63* ___ 09:55PM estGFR-Usi" Missed entity,"(2670, 2676)",,UREA N,,105011006,,10860165-DS-24,"63* ___ 09:55PM estGFR-Using this ___ 09:55PM UREA N-15 CREAT-0.6 ___ 09:59PM freeCa-1.12 ___ 09:59P" "Correct entity, wrong SNOMED ID","(2680, 2685)","(2680, 2685)",CREAT,CREAT,70901006,365756002,10860165-DS-24,":55PM estGFR-Using this ___ 09:55PM UREA N-15 CREAT-0.6 ___ 09:59PM freeCa-1.12 ___ 09:59PM HGB-1" "Correct entity, wrong SNOMED ID","(2730, 2733)","(2730, 2733)",HGB,HGB,441689006,104142005,10860165-DS-24,"CREAT-0.6 ___ 09:59PM freeCa-1.12 ___ 09:59PM HGB-14.9 calcHCT-45 O2 SAT-76 CARBOXYHB-4 MET HGB-0 " Missed entity,"(2743, 2746)",,HCT,,28317006,,10860165-DS-24," 09:59PM freeCa-1.12 ___ 09:59PM HGB-14.9 calcHCT-45 O2 SAT-76 CARBOXYHB-4 MET HGB-0 ___ 09:59PM " "Correct entity, wrong SNOMED ID","(2750, 2756)","(2750, 2756)",O2 SAT,O2 SAT,104847001,103228002,10860165-DS-24,"M freeCa-1.12 ___ 09:59PM HGB-14.9 calcHCT-45 O2 SAT-76 CARBOXYHB-4 MET HGB-0 ___ 09:59PM ___ PO2-4" Missed entity,"(2760, 2769)",,CARBOXYHB,,19821003,,10860165-DS-24,"-1.12 ___ 09:59PM HGB-14.9 calcHCT-45 O2 SAT-76 CARBOXYHB-4 MET HGB-0 ___ 09:59PM ___ PO2-48* PCO2-47* P" "Correct entity, wrong SNOMED ID","(2777, 2780)","(2777, 2780)",HGB,HGB,441689006,104142005,10860165-DS-24," HGB-14.9 calcHCT-45 O2 SAT-76 CARBOXYHB-4 MET HGB-0 ___ 09:59PM ___ PO2-48* PCO2-47* PH-7.35 TOTA" Boundary error,"(2801, 2804)","(2801, 2802)",PO2,P,250546000,421542006,10860165-DS-24,"2 SAT-76 CARBOXYHB-4 MET HGB-0 ___ 09:59PM ___ PO2-48* PCO2-47* PH-7.35 TOTAL CO2-27 BASE XS-0 INTU" "Correct entity, wrong SNOMED ID","(2809, 2813)","(2809, 2813)",PCO2,PCO2,250564007,167028004,10860165-DS-24," CARBOXYHB-4 MET HGB-0 ___ 09:59PM ___ PO2-48* PCO2-47* PH-7.35 TOTAL CO2-27 BASE XS-0 INTUBATED-NOT" "Correct entity, wrong SNOMED ID","(2818, 2820)","(2818, 2820)",PH,PH,81065003,264912003,10860165-DS-24,"B-4 MET HGB-0 ___ 09:59PM ___ PO2-48* PCO2-47* PH-7.35 TOTAL CO2-27 BASE XS-0 INTUBATED-NOT INTUBA" Missed entity,"(2840, 2847)",,BASE XS,,67487000,,10860165-DS-24,"59PM ___ PO2-48* PCO2-47* PH-7.35 TOTAL CO2-27 BASE XS-0 INTUBATED-NOT INTUBA ___ 11:00PM URINE BLOOD-N" Missed entity,"(2850, 2859)",,INTUBATED,,52765003,,10860165-DS-24," PO2-48* PCO2-47* PH-7.35 TOTAL CO2-27 BASE XS-0 INTUBATED-NOT INTUBA ___ 11:00PM URINE BLOOD-NEG NITRITE-N" Missed entity,"(2896, 2899)",,NEG,,281900007,,10860165-DS-24,"S-0 INTUBATED-NOT INTUBA ___ 11:00PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG B" Missed entity,"(2908, 2911)",,NEG,,281900007,,10860165-DS-24,"D-NOT INTUBA ___ 11:00PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG" "Correct entity, wrong SNOMED ID","(2912, 2919)","(2912, 2919)",PROTEIN,PROTEIN,57378007,764892007,10860165-DS-24,"T INTUBA ___ 11:00PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILN" Missed entity,"(2920, 2923)",,NEG,,281900007,,10860165-DS-24," ___ 11:00PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-N" Wrong span,"(2925, 2932)","(2925, 2927)",GLUCOSE,GL,30994003,258682000,10860165-DS-24,"11:00PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5" "Correct entity, wrong SNOMED ID","(2937, 2943)","(2937, 2943)",KETONE,KETONE,47615003,256048004,10860165-DS-24,"E BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG " "Correct entity, wrong SNOMED ID","(2948, 2957)","(2948, 2957)",BILIRUBIN,BILIRUBIN,359992002,359986008,10860165-DS-24,"G NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM UR" Missed entity,"(2958, 2961)",,NEG,,281900007,,10860165-DS-24,"NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM URINE " Missed entity,"(2962, 2971)",,UROBILNGN,,67410005,,10860165-DS-24,"PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM URINE COLOR-Yel" Missed entity,"(2972, 2975)",,NEG,,281900007,,10860165-DS-24,"G GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM URINE COLOR-Yellow " "Correct entity, wrong SNOMED ID","(2976, 2978)","(2976, 2978)",PH,PH,81065003,264912003,10860165-DS-24,"LUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM URINE COLOR-Yellow APP" Missed entity,"(2984, 2988)",,LEUK,,394711007,,10860165-DS-24,"EG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM URINE COLOR-Yellow APPEAR-Clear " Missed entity,"(2989, 2992)",,NEG,,281900007,,10860165-DS-24,"TONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM URINE COLOR-Yellow APPEAR-Clear SP _" Wrong span,"(3005, 3010)","(3005, 3017)",URINE,URINE COLOR,442564008,46800005,10860165-DS-24,"IN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM URINE COLOR-Yellow APPEAR-Clear SP ___ ___ 11:00PM URI" Wrong span,"(3012, 3037)","(3005, 3017)",COLOR-Yellow APPEAR-Clear,URINE COLOR,167236000,46800005,10860165-DS-24,"UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 11:00PM URINE COLOR-Yellow APPEAR-Clear SP ___ ___ 11:00PM URINE UHOLD-HOLD ___ 11:00PM " "Correct entity, wrong SNOMED ID","(3057, 3062)","(3057, 3062)",URINE,URINE,442564008,386099003,10860165-DS-24,"INE COLOR-Yellow APPEAR-Clear SP ___ ___ 11:00PM URINE UHOLD-HOLD ___ 11:00PM URINE HOURS-RANDOM CT A" Missed entity,"(3087, 3092)",,URINE,,442564008,,10860165-DS-24," SP ___ ___ 11:00PM URINE UHOLD-HOLD ___ 11:00PM URINE HOURS-RANDOM CT Abdomen ___: 1. No suspicious " "Correct entity, wrong SNOMED ID","(3163, 3176)","(3163, 3176)",liver lesions,liver lesions,300331000,174432007,10860165-DS-24,"domen ___: 1. No suspicious arterially-enhancing liver lesions are identified. 2. Unchanged sequela of liver c" "Correct entity, wrong SNOMED ID","(3219, 3234)","(3219, 3234)",liver cirrhosis,liver cirrhosis,19943007,725416005,10860165-DS-24,"lesions are identified. 2. Unchanged sequela of liver cirrhosis and portal hypertension, including splenomegaly," "Correct entity, wrong SNOMED ID","(3239, 3258)","(3239, 3258)",portal hypertension,portal hypertension,34742003,1197664001,10860165-DS-24,"ied. 2. Unchanged sequela of liver cirrhosis and portal hypertension, including splenomegaly, paraesophageal, and spl" "Correct entity, wrong SNOMED ID","(3271, 3283)","(3271, 3283)",splenomegaly,splenomegaly,16294009,19058002,10860165-DS-24,"ver cirrhosis and portal hypertension, including splenomegaly, paraesophageal, and splenic varices. 3. Chole" Wrong span,"(3305, 3312)","(3305, 3320)",splenic,splenic varices,35819009,235900003,10860165-DS-24,"ion, including splenomegaly, paraesophageal, and splenic varices. 3. Cholelithiasis without cholecystit" Wrong span,"(3313, 3320)","(3305, 3320)",varices,splenic varices,28670008,235900003,10860165-DS-24,"cluding splenomegaly, paraesophageal, and splenic varices. 3. Cholelithiasis without cholecystitis. CX" "Correct entity, wrong SNOMED ID","(3328, 3342)","(3328, 3342)",Cholelithiasis,Cholelithiasis,266474003,407637009,10860165-DS-24,"egaly, paraesophageal, and splenic varices. 3. Cholelithiasis without cholecystitis. CXR ___: 1. Multiple le" "Correct entity, wrong SNOMED ID","(3351, 3364)","(3351, 3364)",cholecystitis,cholecystitis,76581006,65275009,10860165-DS-24,"and splenic varices. 3. Cholelithiasis without cholecystitis. CXR ___: 1. Multiple left rib fractures and s" "Correct entity, wrong SNOMED ID","(3390, 3394)","(3390, 3394)",left,left,724223001,264745005,10860165-DS-24,"is without cholecystitis. CXR ___: 1. Multiple left rib fractures and small to moderate left pneumot" Missed entity,"(3413, 3418)",,small,,162468002,,10860165-DS-24,"s. CXR ___: 1. Multiple left rib fractures and small to moderate left pneumothorax. 2. Layering lef" Wrong span,"(3431, 3450)","(3431, 3435)","left pneumothorax.",left,109364007,264745005,10860165-DS-24,"Multiple left rib fractures and small to moderate left pneumothorax. 2. Layering left hemothorax as seen on outside " Wrong span,"(3465, 3469)","(3465, 3480)",left,left hemothorax,53727004,1366511008,10860165-DS-24,"all to moderate left pneumothorax. 2. Layering left hemothorax as seen on outside CT. CXR: ___: Lef" Wrong span,"(3470, 3480)","(3465, 3480)",hemothorax,left hemothorax,31892009,1366511008,10860165-DS-24,"o moderate left pneumothorax. 2. Layering left hemothorax as seen on outside CT. CXR: ___: Left hemopneum" "Correct entity, wrong SNOMED ID","(3516, 3520)","(3516, 3520)",Left,Left,53727004,264745005,10860165-DS-24,"eft hemothorax as seen on outside CT. CXR: ___: Left hemopneumothorax is increased compared to ___, ca" "Correct entity, wrong SNOMED ID","(3521, 3537)","(3521, 3537)",hemopneumothorax,hemopneumothorax,16632002,42434002,10860165-DS-24,"emothorax as seen on outside CT. CXR: ___: Left hemopneumothorax is increased compared to ___, causing increase in" Missed entity,"(3541, 3550)",,increased,,271299001,,10860165-DS-24," outside CT. CXR: ___: Left hemopneumothorax is increased compared to ___, causing increase in tension and " "Correct entity, wrong SNOMED ID","(3614, 3632)","(3614, 3632)","mediastinal shift","mediastinal shift",19616004,462168007,10860165-DS-24,"__, causing increase in tension and contralateral mediastinal shift. CXR: ___: 1.Left chest tube has been placed s" Wrong span,"(3649, 3680)","(3649, 3664)",Left chest tube has been placed,Left chest tube,446847002,55628002,10860165-DS-24," contralateral mediastinal shift. CXR: ___: 1.Left chest tube has been placed since 8 hr prior. Left hemopneumothorax is decre" "Correct entity, wrong SNOMED ID","(3699, 3703)","(3699, 3703)",Left,Left,53727004,264745005,10860165-DS-24,"Left chest tube has been placed since 8 hr prior. Left hemopneumothorax is decreased. 2. Left hemidiap" "Correct entity, wrong SNOMED ID","(3705, 3721)","(3705, 3721)",hemopneumothorax,hemopneumothorax,16632002,42434002,10860165-DS-24,"hest tube has been placed since 8 hr prior. Left hemopneumothorax is decreased. 2. Left hemidiaphragm is elevated," "Correct entity, wrong SNOMED ID","(3740, 3758)","(3740, 3758)",Left hemidiaphragm,Left hemidiaphragm,416912002,416857005,10860165-DS-24,"r prior. Left hemopneumothorax is decreased. 2. Left hemidiaphragm is elevated, which could be due to left lung bas" "Correct entity, wrong SNOMED ID","(3762, 3770)","(3762, 3770)",elevated,elevated,88936002,50177009,10860165-DS-24,"umothorax is decreased. 2. Left hemidiaphragm is elevated, which could be due to left lung base atelectas" "Correct entity, wrong SNOMED ID","(3794, 3809)","(3794, 3809)","left lung base","left lung base",60859004,184611002,10860165-DS-24," hemidiaphragm is elevated, which could be due to left lung base atelectasis or diaphragm injury. 3. Right lung " Wrong span,"(3826, 3842)","(3826, 3835)",diaphragm injury,diaphragm,262787008,88936002,10860165-DS-24,"h could be due to left lung base atelectasis or diaphragm injury. 3. Right lung base opacity could be due to atel" "Correct entity, wrong SNOMED ID","(3848, 3863)","(3848, 3863)",Right lung base,Right lung base,51785002,181416003,10860165-DS-24," lung base atelectasis or diaphragm injury. 3. Right lung base opacity could be due to atelectasis or aspiratio" "Correct entity, wrong SNOMED ID","(3864, 3871)","(3864, 3871)",opacity,opacity,128305008,193570009,10860165-DS-24,"lectasis or diaphragm injury. 3. Right lung base opacity could be due to atelectasis or aspiration. XR " "Correct entity, wrong SNOMED ID","(3904, 3914)","(3904, 3914)",aspiration,aspiration,422588002,68052005,10860165-DS-24,"lung base opacity could be due to atelectasis or aspiration. XR Shoulder ___: Unremarkable appearance of " Wrong span,"(3918, 3929)","(3918, 3920)",XR Shoulder,XR,29592009,363680008,10860165-DS-24,"ity could be due to atelectasis or aspiration. XR Shoulder ___: Unremarkable appearance of the right shoul" "Correct entity, wrong SNOMED ID","(3937, 3949)","(3937, 3949)",Unremarkable,Unremarkable,281900007,167827008,10860165-DS-24," atelectasis or aspiration. XR Shoulder ___: Unremarkable appearance of the right shoulder on these limited" "Correct entity, wrong SNOMED ID","(3968, 3982)","(3968, 3982)",right shoulder,right shoulder,91774008,771102004,10860165-DS-24,"XR Shoulder ___: Unremarkable appearance of the right shoulder on these limited views. CXR: ___: Cardiomedias" "Correct entity, wrong SNOMED ID","(4020, 4037)","(4020, 4037)",Cardiomediastinal,Cardiomediastinal,72410000,83099006,10860165-DS-24,"ght shoulder on these limited views. CXR: ___: Cardiomediastinal silhouette is unchanged. Left chest tube is in p" Wrong span,"(4063, 4067)","(4063, 4079)",Left,"Left chest tube",53727004,55628002,10860165-DS-24,": ___: Cardiomediastinal silhouette is unchanged. Left chest tube is in place. No pneumothorax is seen." Wrong span,"(4068, 4079)","(4063, 4079)","chest tube","Left chest tube",264957007,55628002,10860165-DS-24,": Cardiomediastinal silhouette is unchanged. Left chest tube is in place. No pneumothorax is seen. Overall no " Missed entity,"(4083, 4091)",,in place,,698956007,,10860165-DS-24,"inal silhouette is unchanged. Left chest tube is in place. No pneumothorax is seen. Overall no substantial" "Correct entity, wrong SNOMED ID","(4096, 4108)","(4096, 4108)",pneumothorax,pneumothorax,36118008,109364007,10860165-DS-24,"te is unchanged. Left chest tube is in place. No pneumothorax is seen. Overall no substantial change since the" Missed entity,"(4126, 4148)",,"no substantial change",,162498009,,10860165-DS-24,"ube is in place. No pneumothorax is seen. Overall no substantial change since the previous study demonstrated. CXR: ___" Missed entity,"(4168, 4173)",,study,,386053000,,10860165-DS-24,"Overall no substantial change since the previous study demonstrated. CXR: ___ In comparison with the e" Missed entity,"(4230, 4235)",,study,,386053000,,10860165-DS-24,"trated. CXR: ___ In comparison with the earlier study of this date, with the chest tube on water seal " "Correct entity, wrong SNOMED ID","(4310, 4322)","(4310, 4322)","left apical","left apical",14559000,245522000,10860165-DS-24,"chest tube on water seal there is possibly a tiny left apical pneumothorax. Otherwise, little change in the app" "Correct entity, wrong SNOMED ID","(4388, 4393)","(4388, 4393)",heart,heart,80891009,22298006,10860165-DS-24,"therwise, little change in the appearance of the heart and lungs. CXR ___: 1. Interval increase in si" "Correct entity, wrong SNOMED ID","(4398, 4403)","(4398, 4403)",lungs,lungs,39607008,169115000,10860165-DS-24,"little change in the appearance of the heart and lungs. CXR ___: 1. Interval increase in size of a sm" Missed entity,"(4429, 4445)",,increase in size,,271299001,,10860165-DS-24," of the heart and lungs. CXR ___: 1. Interval increase in size of a small left apical pneumothorax. 2. Increas" Missed entity,"(4451, 4456)",,small,,162468002,,10860165-DS-24,"gs. CXR ___: 1. Interval increase in size of a small left apical pneumothorax. 2. Increased left bas" "Correct entity, wrong SNOMED ID","(4457, 4468)","(4457, 4468)",left apical,left apical,14559000,245522000,10860165-DS-24,"CXR ___: 1. Interval increase in size of a small left apical pneumothorax. 2. Increased left basilar opacifi" Missed entity,"(4488, 4497)",,Increased,,271299001,,10860165-DS-24,"in size of a small left apical pneumothorax. 2. Increased left basilar opacification, likely representing a" "Correct entity, wrong SNOMED ID","(4498, 4510)","(4498, 4510)",left basilar,left basilar,41224006,787061007,10860165-DS-24," a small left apical pneumothorax. 2. Increased left basilar opacification, likely representing a layering p" "Correct entity, wrong SNOMED ID","(4511, 4524)","(4511, 4524)",opacification,opacification,128305008,370950002,10860165-DS-24," apical pneumothorax. 2. Increased left basilar opacification, likely representing a layering pleural effusio" "Correct entity, wrong SNOMED ID","(4559, 4575)","(4559, 4575)",pleural effusion,pleural effusion,60046008,1366511008,10860165-DS-24,"r opacification, likely representing a layering pleural effusion. CXR ___: Left chest tube is in place. Left pne" Wrong span,"(4588, 4598)","(4588, 4603)",Left chest,Left chest tube,771318003,55628002,10860165-DS-24,"senting a layering pleural effusion. CXR ___: Left chest tube is in place. Left pneumothorax appears to be" Missed entity,"(4607, 4615)",,in place,,698956007,,10860165-DS-24," pleural effusion. CXR ___: Left chest tube is in place. Left pneumothorax appears to be similar to pre" Wrong span,"(4617, 4634)","(4617, 4621)",Left pneumothorax,Left,109364007,264745005,10860165-DS-24,"effusion. CXR ___: Left chest tube is in place. Left pneumothorax appears to be similar to previous examination, " Missed entity,"(4650, 4682)",,"similar to previous examination",,162498009,,10860165-DS-24,"ube is in place. Left pneumothorax appears to be similar to previous examination, small. Right lung is well-aerated. Cardiomedias" Missed entity,"(4684, 4689)",,small,,162468002,,10860165-DS-24," appears to be similar to previous examination, small. Right lung is well-aerated. Cardiomediastinal s" "Correct entity, wrong SNOMED ID","(4691, 4701)","(4691, 4701)",Right lung,Right lung,3341006,1332247001,10860165-DS-24,"s to be similar to previous examination, small. Right lung is well-aerated. Cardiomediastinal silhouette is" "Correct entity, wrong SNOMED ID","(4720, 4737)","(4720, 4737)",Cardiomediastinal,Cardiomediastinal,72410000,83099006,10860165-DS-24," examination, small. Right lung is well-aerated. Cardiomediastinal silhouette is stable CXR ___: Left chest tube i" "Correct entity, wrong SNOMED ID","(4752, 4758)","(4752, 4758)",stable,stable,162498009,301459008,10860165-DS-24,"is well-aerated. Cardiomediastinal silhouette is stable CXR ___: Left chest tube is in place. Small lef" Wrong span,"(4770, 4780)","(4770, 4785)",Left chest,Left chest tube,771318003,55628002,10860165-DS-24,"Cardiomediastinal silhouette is stable CXR ___: Left chest tube is in place. Small left apical pneumothorax" Missed entity,"(4789, 4797)",,in place,,698956007,,10860165-DS-24,"ilhouette is stable CXR ___: Left chest tube is in place. Small left apical pneumothorax is unchanged. Lu" Missed entity,"(4799, 4804)",,Small,,162468002,,10860165-DS-24,"is stable CXR ___: Left chest tube is in place. Small left apical pneumothorax is unchanged. Lung volu" "Correct entity, wrong SNOMED ID","(4805, 4816)","(4805, 4816)",left apical,left apical,14559000,245522000,10860165-DS-24,"ble CXR ___: Left chest tube is in place. Small left apical pneumothorax is unchanged. Lung volumes are lowe" "Correct entity, wrong SNOMED ID","(4845, 4857)","(4845, 4857)",Lung volumes,Lung volumes,366148004,366149007,10860165-DS-24,"ce. Small left apical pneumothorax is unchanged. Lung volumes are lower than on the previous study. Elevated r" Missed entity,"(4862, 4867)",,lower,,36317006,,10860165-DS-24,"ical pneumothorax is unchanged. Lung volumes are lower than on the previous study. Elevated right hemid" Missed entity,"(4890, 4895)",,study,,386053000,,10860165-DS-24,"ged. Lung volumes are lower than on the previous study. Elevated right hemidiaphragm is re- demonstrate" "Correct entity, wrong SNOMED ID","(4897, 4905)","(4897, 4905)",Elevated,Elevated,88936002,50177009,10860165-DS-24,"ng volumes are lower than on the previous study. Elevated right hemidiaphragm is re- demonstrated. Cardiom" "Correct entity, wrong SNOMED ID","(4906, 4925)","(4906, 4925)",right hemidiaphragm,right hemidiaphragm,416398005,417458000,10860165-DS-24,"s are lower than on the previous study. Elevated right hemidiaphragm is re- demonstrated. Cardiomediastinal silhouett" "Correct entity, wrong SNOMED ID","(4948, 4965)","(4948, 4965)",Cardiomediastinal,Cardiomediastinal,72410000,83099006,10860165-DS-24,"levated right hemidiaphragm is re- demonstrated. Cardiomediastinal silhouette is stable. Left rib fractures are par" "Correct entity, wrong SNOMED ID","(4980, 4986)","(4980, 4986)",stable,stable,162498009,301459008,10860165-DS-24,"e- demonstrated. Cardiomediastinal silhouette is stable. Left rib fractures are partially imaged CXR _" Wrong span,"(4988, 4992)","(4988, 5007)",Left,"Left rib fractures",724223001,11874341000119106,10860165-DS-24,"nstrated. Cardiomediastinal silhouette is stable. Left rib fractures are partially imaged CXR ___: Le" Wrong span,"(4993, 5007)","(4988, 5007)","rib fractures","Left rib fractures",1261007,11874341000119106,10860165-DS-24,"ted. Cardiomediastinal silhouette is stable. Left rib fractures are partially imaged CXR ___: Left chest tube i" Wrong span,"(5040, 5050)","(5040, 5044)",Left chest,Left,771318003,264745005,10860165-DS-24,"ft rib fractures are partially imaged CXR ___: Left chest tube is in unchanged position. Small left pneum" Missed entity,"(5083, 5088)",,Small,,162468002,,10860165-DS-24,"R ___: Left chest tube is in unchanged position. Small left pneumothorax is unchanged. There is mild bi" Wrong span,"(5089, 5107)","(5089, 5093)","left pneumothorax",left,109364007,264745005,10860165-DS-24," Left chest tube is in unchanged position. Small left pneumothorax is unchanged. There is mild bibasilar atelectasis" Wrong span,"(5136, 5145)","(5136, 5157)",bibasilar,bibasilar atelectasis,10024003,42908004,10860165-DS-24,"ll left pneumothorax is unchanged. There is mild bibasilar atelectasis. Elevation of left hemidiaphragm is " Wrong span,"(5146, 5157)","(5136, 5157)",atelectasis,bibasilar atelectasis,46621007,42908004,10860165-DS-24,"neumothorax is unchanged. There is mild bibasilar atelectasis. Elevation of left hemidiaphragm is similar to p" "Correct entity, wrong SNOMED ID","(5160, 5169)","(5160, 5169)",Elevation,Elevation,88936002,251244006,10860165-DS-24," unchanged. There is mild bibasilar atelectasis. Elevation of left hemidiaphragm is similar to prior. There " "Correct entity, wrong SNOMED ID","(5173, 5191)","(5173, 5191)",left hemidiaphragm,left hemidiaphragm,416912002,416857005,10860165-DS-24,"here is mild bibasilar atelectasis. Elevation of left hemidiaphragm is similar to prior. There is no pleural effusio" "Correct entity, wrong SNOMED ID","(5226, 5242)","(5226, 5242)",pleural effusion,pleural effusion,60046008,1366511008,10860165-DS-24,"t hemidiaphragm is similar to prior. There is no pleural effusion. Cardiomediastinal silhouette is mildly enlarged" "Correct entity, wrong SNOMED ID","(5244, 5261)","(5244, 5261)",Cardiomediastinal,Cardiomediastinal,72410000,83099006,10860165-DS-24," similar to prior. There is no pleural effusion. Cardiomediastinal silhouette is mildly enlarged. Again seen are mu" "Correct entity, wrong SNOMED ID","(5284, 5292)","(5284, 5292)",enlarged,enlarged,442021009,300344005,10860165-DS-24,"effusion. Cardiomediastinal silhouette is mildly enlarged. Again seen are multiple left rib fractures post" Wrong span,"(5318, 5322)","(5318, 5336)",left,left rib fractures,724223001,11874341000119106,10860165-DS-24,"ette is mildly enlarged. Again seen are multiple left rib fractures posteriorly. Small left pneumothor" Wrong span,"(5323, 5336)","(5318, 5336)",rib fractures,left rib fractures,1261007,11874341000119106,10860165-DS-24,"is mildly enlarged. Again seen are multiple left rib fractures posteriorly. Small left pneumothorax is unchange" Missed entity,"(5351, 5356)",,Small,,162468002,,10860165-DS-24,"een are multiple left rib fractures posteriorly. Small left pneumothorax is unchanged since 5 hr prior." Wrong span,"(5357, 5374)","(5357, 5361)",left pneumothorax,left,109364007,264745005,10860165-DS-24,"e multiple left rib fractures posteriorly. Small left pneumothorax is unchanged since 5 hr prior. CXR ___: Small r" Missed entity,"(5417, 5422)",,Small,,162468002,,10860165-DS-24,"othorax is unchanged since 5 hr prior. CXR ___: Small residual left pneumothorax unchanged over 24 hr. " Wrong span,"(5432, 5449)","(5432, 5436)",left pneumothorax,left,109364007,264745005,10860165-DS-24,"anged since 5 hr prior. CXR ___: Small residual left pneumothorax unchanged over 24 hr. Large left juxtahilar pneu" Wrong span,"(5479, 5494)","(5479, 5483)",left juxtahilar,left,1650005,264745005,10860165-DS-24,"al left pneumothorax unchanged over 24 hr. Large left juxtahilar pneumatocele that grew between ___ and ___, subs" Wrong span,"(5495, 5507)","(5484, 5507)",pneumatocele,"juxtahilar pneumatocele",53099003,275503004,10860165-DS-24,"orax unchanged over 24 hr. Large left juxtahilar pneumatocele that grew between ___ and ___, subsequently stab" "Correct entity, wrong SNOMED ID","(5553, 5559)","(5553, 5559)",stable,stable,162498009,301459008,10860165-DS-24,"cele that grew between ___ and ___, subsequently stable. Bibasilar atelectasis is mild. There is no appr" Wrong span,"(5561, 5570)","(5561, 5582)",Bibasilar,Bibasilar atelectasis,10024003,42908004,10860165-DS-24,"t grew between ___ and ___, subsequently stable. Bibasilar atelectasis is mild. There is no appreciable lef" Wrong span,"(5571, 5582)","(5561, 5582)",atelectasis,Bibasilar atelectasis,46621007,42908004,10860165-DS-24,"ween ___ and ___, subsequently stable. Bibasilar atelectasis is mild. There is no appreciable left pleural ef" "Correct entity, wrong SNOMED ID","(5617, 5621)","(5617, 5621)",left,left,53727004,264745005,10860165-DS-24,"lar atelectasis is mild. There is no appreciable left pleural effusion despite multiple left rib fract" "Correct entity, wrong SNOMED ID","(5622, 5638)","(5622, 5638)",pleural effusion,pleural effusion,60046008,1366511008,10860165-DS-24,"telectasis is mild. There is no appreciable left pleural effusion despite multiple left rib fractures. Basal pleur" Wrong span,"(5656, 5660)","(5656, 5675)",left,"left rib fractures",724223001,11874341000119106,10860165-DS-24,"ppreciable left pleural effusion despite multiple left rib fractures. Basal pleural drainage catheter p" Wrong span,"(5661, 5675)","(5656, 5675)","rib fractures","left rib fractures",1261007,11874341000119106,10860165-DS-24,"iable left pleural effusion despite multiple left rib fractures. Basal pleural drainage catheter place. Essential" Missed entity,"(5677, 5682)",,Basal,,60859004,,10860165-DS-24,"al effusion despite multiple left rib fractures. Basal pleural drainage catheter place. Essentially nor" Wrong span,"(5683, 5714)","(5683, 5699)",pleural drainage catheter place,pleural drainage,264957007,177788009,10860165-DS-24,"usion despite multiple left rib fractures. Basal pleural drainage catheter place. Essentially normal cardiomediastinal silhouette" "Correct entity, wrong SNOMED ID","(5729, 5735)","(5729, 5735)",normal,normal,281900007,840673007,10860165-DS-24,"sal pleural drainage catheter place. Essentially normal cardiomediastinal silhouette. CXR PA/LAT ___: L" Wrong span,"(5736, 5753)","(5736, 5740)",cardiomediastinal,card,72410000,315012009,10860165-DS-24,"ural drainage catheter place. Essentially normal cardiomediastinal silhouette. CXR PA/LAT ___: Left small pneumoth" Wrong span,"(5767, 5777)","(5767, 5770)",CXR PA/LAT,CXR,42869005,399208008,10860165-DS-24,"ssentially normal cardiomediastinal silhouette. CXR PA/LAT ___: Left small pneumothorax is unchanged. Ther" "Correct entity, wrong SNOMED ID","(5784, 5788)","(5784, 5788)",Left,Left,53727004,264745005,10860165-DS-24,"l cardiomediastinal silhouette. CXR PA/LAT ___: Left small pneumothorax is unchanged. There is left " Missed entity,"(5789, 5794)",,small,,162468002,,10860165-DS-24,"diomediastinal silhouette. CXR PA/LAT ___: Left small pneumothorax is unchanged. There is left lung v" Wrong span,"(5833, 5837)","(5833, 5854)",left,left lung volume loss,44029006,698009006,10860165-DS-24," Left small pneumothorax is unchanged. There is left lung volume loss and elevation of left hemidiaphr" Wrong span,"(5838, 5854)","(5833, 5854)",lung volume loss,left lung volume loss,36317006,698009006,10860165-DS-24," small pneumothorax is unchanged. There is left lung volume loss and elevation of left hemidiaphragm, similar to p" "Correct entity, wrong SNOMED ID","(5859, 5868)","(5859, 5868)",elevation,elevation,88936002,251244006,10860165-DS-24,"s unchanged. There is left lung volume loss and elevation of left hemidiaphragm, similar to prior. There is" "Correct entity, wrong SNOMED ID","(5872, 5890)","(5872, 5890)",left hemidiaphragm,left hemidiaphragm,416912002,416857005,10860165-DS-24," There is left lung volume loss and elevation of left hemidiaphragm, similar to prior. There is small left pleural e" Missed entity,"(5920, 5925)",,small,,162468002,,10860165-DS-24,"f left hemidiaphragm, similar to prior. There is small left pleural effusion/ hemothorax, similar to pri" "Correct entity, wrong SNOMED ID","(5926, 5930)","(5926, 5930)",left,left,53727004,264745005,10860165-DS-24," hemidiaphragm, similar to prior. There is small left pleural effusion/ hemothorax, similar to prior. " "Correct entity, wrong SNOMED ID","(5931, 5947)","(5931, 5947)",pleural effusion,pleural effusion,60046008,1366511008,10860165-DS-24,"diaphragm, similar to prior. There is small left pleural effusion/ hemothorax, similar to prior. Multiple left pos" "Correct entity, wrong SNOMED ID","(5949, 5959)","(5949, 5959)",hemothorax,hemothorax,31892009,297188009,10860165-DS-24," to prior. There is small left pleural effusion/ hemothorax, similar to prior. Multiple left posterior rib f" Wrong span,"(5989, 5993)","(5989, 6017)",left,left posterior rib fractures,724223001,11315321000119105,10860165-DS-24,"effusion/ hemothorax, similar to prior. Multiple left posterior rib fractures are again noted. No nota" Wrong span,"(6004, 6017)","(5989, 6017)",rib fractures,left posterior rib fractures,1261007,11315321000119105,10860165-DS-24,"horax, similar to prior. Multiple left posterior rib fractures are again noted. No notable interval change sinc" Missed entity,"(6035, 6062)",,"No notable interval change",,162498009,,10860165-DS-24,"ple left posterior rib fractures are again noted. No notable interval change since ___. Stable small left hemopneumothorax an" Missed entity,"(6074, 6080)",,Stable,,162498009,,10860165-DS-24,"ain noted. No notable interval change since ___. Stable small left hemopneumothorax and left lung volume" Missed entity,"(6081, 6086)",,small,,162468002,,10860165-DS-24,"ed. No notable interval change since ___. Stable small left hemopneumothorax and left lung volume loss." "Correct entity, wrong SNOMED ID","(6087, 6091)","(6087, 6091)",left,left,53727004,264745005,10860165-DS-24," notable interval change since ___. Stable small left hemopneumothorax and left lung volume loss. Br" "Correct entity, wrong SNOMED ID","(6093, 6109)","(6093, 6109)",hemopneumothorax,hemopneumothorax,16632002,42434002,10860165-DS-24,"ble interval change since ___. Stable small left hemopneumothorax and left lung volume loss. Brief Hospital Cours" Wrong span,"(6114, 6118)","(6114, 6135)",left,left lung volume loss,44029006,698009006,10860165-DS-24,"ince ___. Stable small left hemopneumothorax and left lung volume loss. Brief Hospital Course: The pa" Wrong span,"(6119, 6135)","(6114, 6135)",lung volume loss,left lung volume loss,36317006,698009006,10860165-DS-24,"___. Stable small left hemopneumothorax and left lung volume loss. Brief Hospital Course: The patient was transfe" Missed entity,"(6197, 6206)",,Emergency,,385868005,,10860165-DS-24,"spital Course: The patient was transferred to ___ Emergency Department on ___ from an outside hospital. Mr. " Missed entity,"(6264, 6273)",,evaluated,,386053000,,10860165-DS-24,"ent on ___ from an outside hospital. Mr. ___ was evaluated by the acure care surgery team. Initial imaging " "Correct entity, wrong SNOMED ID","(6315, 6322)","(6315, 6322)",imaging,imaging,363679005,408574004,10860165-DS-24,"valuated by the acure care surgery team. Initial imaging (CT Abdomen ___ identified multiple rib fracture" "Correct entity, wrong SNOMED ID","(6324, 6334)","(6324, 6334)",CT Abdomen,CT Abdomen,169070004,718013006,10860165-DS-24,"by the acure care surgery team. Initial imaging (CT Abdomen ___ identified multiple rib fractures and small " Wrong span,"(6351, 6373)","(6360, 6373)",multiple rib fractures,rib fractures,1261007,1261007,10860165-DS-24,"team. Initial imaging (CT Abdomen ___ identified multiple rib fractures and small to moderate left pneumothorax and a gr" Missed entity,"(6378, 6383)",,small,,162468002,,10860165-DS-24,"bdomen ___ identified multiple rib fractures and small to moderate left pneumothorax and a grade 2 sple" Missed entity,"(6387, 6395)",,moderate,,162469005,,10860165-DS-24,"_ identified multiple rib fractures and small to moderate left pneumothorax and a grade 2 splenic lacerati" Wrong span,"(6396, 6414)","(6396, 6400)","left pneumothorax",left,109364007,264745005,10860165-DS-24,"fied multiple rib fractures and small to moderate left pneumothorax and a grade 2 splenic laceration. ( 1. No suspic" Wrong span,"(6429, 6447)","(6429, 6436)",splenic laceration,splenic,262822009,23914009,10860165-DS-24,"mall to moderate left pneumothorax and a grade 2 splenic laceration. ( 1. No suspicious arterially-enhancing liver l" "Correct entity, wrong SNOMED ID","(6490, 6503)","(6490, 6503)",liver lesions,liver lesions,300331000,174432007,10860165-DS-24,"eration. ( 1. No suspicious arterially-enhancing liver lesions are identified. 2. Unchanged sequela of liver c" "Correct entity, wrong SNOMED ID","(6546, 6561)","(6546, 6561)",liver cirrhosis,liver cirrhosis,19943007,725416005,10860165-DS-24,"lesions are identified. 2. Unchanged sequela of liver cirrhosis and portal hypertension, including splenomegaly," "Correct entity, wrong SNOMED ID","(6566, 6585)","(6566, 6585)",portal hypertension,portal hypertension,34742003,1197664001,10860165-DS-24,"ed. 2. Unchanged sequela of liver cirrhosis and portal hypertension, including splenomegaly, paraesophageal, and spl" "Correct entity, wrong SNOMED ID","(6598, 6610)","(6598, 6610)",splenomegaly,splenomegaly,16294009,19058002,10860165-DS-24,"ver cirrhosis and portal hypertension, including splenomegaly, paraesophageal, and splenic varices. 3. Cholel" Wrong span,"(6632, 6639)","(6632, 6647)",splenic,splenic varices,35819009,235900003,10860165-DS-24,"ion, including splenomegaly, paraesophageal, and splenic varices. 3. Cholelithiasis without cholecystiti" Wrong span,"(6640, 6647)","(6632, 6647)",varices,splenic varices,28670008,235900003,10860165-DS-24,"cluding splenomegaly, paraesophageal, and splenic varices. 3. Cholelithiasis without cholecystitis.) A s" "Correct entity, wrong SNOMED ID","(6654, 6668)","(6654, 6668)",Cholelithiasis,Cholelithiasis,266474003,407637009,10860165-DS-24,"megaly, paraesophageal, and splenic varices. 3. Cholelithiasis without cholecystitis.) A same day CXR ___ show" "Correct entity, wrong SNOMED ID","(6677, 6690)","(6677, 6690)",cholecystitis,cholecystitis,76581006,65275009,10860165-DS-24," and splenic varices. 3. Cholelithiasis without cholecystitis.) A same day CXR ___ showed again, multiple lef" "Correct entity, wrong SNOMED ID","(6737, 6741)","(6737, 6741)",left,left,724223001,264745005,10860165-DS-24,"tis.) A same day CXR ___ showed again, multiple left rib fractures and small to moderate left pneumot" Missed entity,"(6760, 6765)",,small,,162468002,,10860165-DS-24,"__ showed again, multiple left rib fractures and small to moderate left pneumothorax. and layering left" Missed entity,"(6769, 6777)",,moderate,,162469005,,10860165-DS-24,"d again, multiple left rib fractures and small to moderate left pneumothorax. and layering left hemothorax." "Correct entity, wrong SNOMED ID","(6779, 6796)","(6779, 6796)",left pneumothorax,left pneumothorax,109364007,1366511008,10860165-DS-24,"ultiple left rib fractures and small to moderate left pneumothorax. and layering left hemothorax. CT head and C-spi" "Correct entity, wrong SNOMED ID","(6811, 6815)","(6811, 6815)",left,left,53727004,264745005,10860165-DS-24,"mall to moderate left pneumothorax. and layering left hemothorax. CT head and C-spine were negative. " "Correct entity, wrong SNOMED ID","(6816, 6826)","(6816, 6826)",hemothorax,hemothorax,31892009,297188009,10860165-DS-24,"to moderate left pneumothorax. and layering left hemothorax. CT head and C-spine were negative. Given conc" "Correct entity, wrong SNOMED ID","(6828, 6835)","(6828, 6835)",CT head,CT head,303653007,303654001,10860165-DS-24," left pneumothorax. and layering left hemothorax. CT head and C-spine were negative. Given concern for c" "Correct entity, wrong SNOMED ID","(6841, 6848)","(6841, 6848)",C-spine,C-spine,241578008,122495006,10860165-DS-24,"horax. and layering left hemothorax. CT head and C-spine were negative. Given concern for continued hemo" "Correct entity, wrong SNOMED ID","(6854, 6862)","(6854, 6862)",negative,negative,281900007,268375009,10860165-DS-24,"yering left hemothorax. CT head and C-spine were negative. Given concern for continued hemopneumothorax, " "Correct entity, wrong SNOMED ID","(6914, 6924)","(6914, 6924)",left sided,left sided,53727004,448164008,10860165-DS-24," Given concern for continued hemopneumothorax, a left sided chest tube was placed on ___ and 200cc drained i" Wrong span,"(6925, 6947)","(6925, 6936)","chest tube was placed","chest tube",264957007,55628002,10860165-DS-24,"cern for continued hemopneumothorax, a left sided chest tube was placed on ___ and 200cc drained immediately, with an ad" Missed entity,"(6965, 6972)",,drained,,278296000,,10860165-DS-24,"eft sided chest tube was placed on ___ and 200cc drained immediately, with an additional 800cc afterwards" Wrong span,"(7024, 7049)","(7024, 7033)",Platelets were transfused,Platelets,12719002,6631009,10860165-DS-24,"mmediately, with an additional 800cc afterwards. Platelets were transfused prior to chest tube placement. The patient was r" "Correct entity, wrong SNOMED ID","(7060, 7080)","(7060, 7080)",chest tube placement,chest tube placement,264957007,709113006,10860165-DS-24,"c afterwards. Platelets were transfused prior to chest tube placement. The patient was restarted on his home rifaximin" Boundary error,"(7098, 7107)","(7098, 7105)",restarted,restart,182837001,182837001,10860165-DS-24,"d prior to chest tube placement. The patient was restarted on his home rifaximin and lactulose. Home spiron" Missed entity,"(7166, 7170)",,held,,304540007,,10860165-DS-24,"ome rifaximin and lactulose. Home spironolactone held for hyperkalemia. The Acute Pain Service (APS) w" "Correct entity, wrong SNOMED ID","(7176, 7188)","(7176, 7188)",hyperkalemia,hyperkalemia,14140009,40777006,10860165-DS-24,"imin and lactulose. Home spironolactone held for hyperkalemia. The Acute Pain Service (APS) was consulted for a" Missed entity,"(7200, 7212)",,Pain Service,,305799001,,10860165-DS-24," spironolactone held for hyperkalemia. The Acute Pain Service (APS) was consulted for an epidural, however the" "Correct entity, wrong SNOMED ID","(7241, 7249)","(7241, 7249)",epidural,epidural,18946005,180886007,10860165-DS-24,"he Acute Pain Service (APS) was consulted for an epidural, however the patient was deemed to not be a good " "Correct entity, wrong SNOMED ID","(7320, 7336)","(7320, 7336)",thromboyctopenia,thromboyctopenia,302215000,32942005,10860165-DS-24," was deemed to not be a good candidate given the thromboyctopenia. Serial hematocrits stabilized: 40->35->36.8->35" Wrong span,"(7338, 7356)","(7345, 7356)",Serial hematocrits,hematocrits,409681009,409683007,10860165-DS-24," be a good candidate given the thromboyctopenia. Serial hematocrits stabilized: 40->35->36.8->35.6->33.1->33.1. Adju" Missed entity,"(7358, 7368)",,stabilized,,409683007,,10860165-DS-24,"e given the thromboyctopenia. Serial hematocrits stabilized: 40->35->36.8->35.6->33.1->33.1. Adjuncts were ad" Missed entity,"(7416, 7421)",,added,,275942009,,10860165-DS-24,"ed: 40->35->36.8->35.6->33.1->33.1. Adjuncts were added for pain control: APAP ATC (cleared with hematol" Wrong span,"(7427, 7439)","(7427, 7431)",pain control,pain,225782006,102570003,10860165-DS-24,">36.8->35.6->33.1->33.1. Adjuncts were added for pain control: APAP ATC (cleared with hematology service given" "Correct entity, wrong SNOMED ID","(7505, 7518)","(7505, 7518)",liver disease,liver disease,235856003,270881008,10860165-DS-24,"red with hematology service given the history of liver disease) and additional pain control was achieved with a" "Correct entity, wrong SNOMED ID","(7535, 7547)","(7535, 7547)",pain control,pain control,225782006,370778008,10860165-DS-24,"iven the history of liver disease) and additional pain control was achieved with a dilaudid PCA and lidocaine p" Missed entity,"(7578, 7581)",,PCA,,241716000,,10860165-DS-24,"tional pain control was achieved with a dilaudid PCA and lidocaine patch. The diet was advanced to cl" Wrong span,"(7607, 7625)","(7607, 7611)","diet was advanced",diet,422972009,1217196000,10860165-DS-24,"eved with a dilaudid PCA and lidocaine patch. The diet was advanced to clears and then ADAT regular. The patient was " "Correct entity, wrong SNOMED ID","(7629, 7635)","(7629, 7635)",clears,clears,54500007,271591004,10860165-DS-24,"CA and lidocaine patch. The diet was advanced to clears and then ADAT regular. The patient was placed in" Missed entity,"(7650, 7657)",,regular,,36823005,,10860165-DS-24,"h. The diet was advanced to clears and then ADAT regular. The patient was placed in the trauma surgical i" Missed entity,"(7706, 7725)",,intensive care unit,,397821002,,10860165-DS-24,"r. The patient was placed in the trauma surgical intensive care unit and a tertiary trauma survery was remarkable for" Missed entity,"(7742, 7748)",,trauma,,417746004,,10860165-DS-24,"auma surgical intensive care unit and a tertiary trauma survery was remarkable for shoulder pain. Plain f" "Correct entity, wrong SNOMED ID","(7776, 7789)","(7776, 7789)",shoulder pain,shoulder pain,45326000,1260145003,10860165-DS-24,"and a tertiary trauma survery was remarkable for shoulder pain. Plain films of shoulder were negative. The next" Wrong span,"(7791, 7815)","(7807, 7815)","Plain films of shoulder",shoulder,29592009,249927007,10860165-DS-24," trauma survery was remarkable for shoulder pain. Plain films of shoulder were negative. The next day the patient was tran" Missed entity,"(7821, 7829)",,negative,,23875004,,10860165-DS-24," for shoulder pain. Plain films of shoulder were negative. The next day the patient was transitioned to po" Missed entity,"(7904, 7916)",,discontinued,,304540007,,10860165-DS-24,"t was transitioned to po oxycodone, the dPCA was discontinued. However, the pain was poorly controlled and oth" "Correct entity, wrong SNOMED ID","(7932, 7958)","(7932, 7958)",pain was poorly controlled,pain was poorly controlled,704675005,424482002,10860165-DS-24,"ycodone, the dPCA was discontinued. However, the pain was poorly controlled and other adjuncts were adjusted: gabapentin inc" Missed entity,"(7984, 7992)",,adjusted,,182877009,,10860165-DS-24,"in was poorly controlled and other adjuncts were adjusted: gabapentin increased, clonidine started, dilaudi" Missed entity,"(8005, 8014)",,increased,,182878004,,10860165-DS-24,"led and other adjuncts were adjusted: gabapentin increased, clonidine started, dilaudid PRNs. The chest tub" Missed entity,"(8026, 8033)",,started,,275942009,,10860165-DS-24,"s were adjusted: gabapentin increased, clonidine started, dilaudid PRNs. The chest tubes were placed to w" Wrong span,"(8055, 8078)","(8055, 8060)",chest tubes were placed,chest,264957007,177765008,10860165-DS-24,"increased, clonidine started, dilaudid PRNs. The chest tubes were placed to water seal and home BP medications were resta" Missed entity,"(8106, 8132)",,medications were restarted,,182837001,,10860165-DS-24,"hest tubes were placed to water seal and home BP medications were restarted. On ___, additional pain control was required an" "Correct entity, wrong SNOMED ID","(8153, 8165)","(8153, 8165)",pain control,pain control,225782006,370778008,10860165-DS-24,"P medications were restarted. On ___, additional pain control was required and oxycodone was increased per APS" Missed entity,"(8198, 8207)",,increased,,182878004,,10860165-DS-24,"onal pain control was required and oxycodone was increased per APS. The ___ CXR looked worse and CT was pu" Missed entity,"(8238, 8243)",,worse,,271299001,,10860165-DS-24,"odone was increased per APS. The ___ CXR looked worse and CT was put back to suction. The patient was " Missed entity,"(8267, 8274)",,suction,,712003,,10860165-DS-24," The ___ CXR looked worse and CT was put back to suction. The patient was stable and transfered to the su" "Correct entity, wrong SNOMED ID","(8293, 8299)","(8293, 8299)",stable,stable,359746009,301459008,10860165-DS-24," and CT was put back to suction. The patient was stable and transfered to the surgical care floor. The __" "Correct entity, wrong SNOMED ID","(8380, 8383)","(8380, 8383)",PTX,PTX,36118008,282119004,10860165-DS-24," care floor. The ___ CXR showed a persistence of PTX and thus the chest tube was kept on suction. Pat" Wrong span,"(8397, 8407)","(8397, 8402)",chest tube,chest,264957007,177765008,10860165-DS-24,"___ CXR showed a persistence of PTX and thus the chest tube was kept on suction. Patient was demonstrating g" Missed entity,"(8421, 8428)",,suction,,712003,,10860165-DS-24,"tence of PTX and thus the chest tube was kept on suction. Patient was demonstrating good respiratory excur" Wrong span,"(8456, 8482)","(8456, 8475)",good respiratory excursion,good respiratory ex,366130008,390873004,10860165-DS-24,"e was kept on suction. Patient was demonstrating good respiratory excursion and using IS well. Physical therapy was consulte" Missed entity,"(8494, 8496)",,IS,,229301009,,10860165-DS-24,"monstrating good respiratory excursion and using IS well. Physical therapy was consulted and recomme" Missed entity,"(8503, 8519)",,Physical therapy,,410158009,,10860165-DS-24,"ng good respiratory excursion and using IS well. Physical therapy was consulted and recommended discharge to home " "Correct entity, wrong SNOMED ID","(8632, 8635)","(8632, 8635)",PTX,PTX,36118008,282119004,10860165-DS-24,"y ready. On ___, repeat CXR continued to show a PTX and CT was kept on suction. Over the course of t" Missed entity,"(8656, 8663)",,suction,,712003,,10860165-DS-24,"t CXR continued to show a PTX and CT was kept on suction. Over the course of the next few days CXR imaging" "Correct entity, wrong SNOMED ID","(8706, 8713)","(8706, 8713)",imaging,imaging,363679005,1331947007,10860165-DS-24,"suction. Over the course of the next few days CXR imaging continued to show a persistent left sided apical" Wrong span,"(8746, 8763)","(8746, 8756)",left sided apical,left sided,14559000,125230009,10860165-DS-24," days CXR imaging continued to show a persistent left sided apical PTX with small left costophrenic angle blunting." "Correct entity, wrong SNOMED ID","(8764, 8767)","(8764, 8767)",PTX,PTX,36118008,282119004,10860165-DS-24," continued to show a persistent left sided apical PTX with small left costophrenic angle blunting. How" Missed entity,"(8773, 8778)",,small,,162468002,,10860165-DS-24,"d to show a persistent left sided apical PTX with small left costophrenic angle blunting. However the pa" "Correct entity, wrong SNOMED ID","(8780, 8784)","(8780, 8784)",left,left,40768004,264745005,10860165-DS-24,"ow a persistent left sided apical PTX with small left costophrenic angle blunting. However the patient " "Correct entity, wrong SNOMED ID","(8785, 8803)","(8785, 8803)",costophrenic angle,costophrenic angle,46297007,1297172001,10860165-DS-24,"persistent left sided apical PTX with small left costophrenic angle blunting. However the patient continued to remai" "Correct entity, wrong SNOMED ID","(8855, 8863)","(8855, 8863)",afebrile,afebrile,87273009,307200007,10860165-DS-24,"lunting. However the patient continued to remain afebrile, with increasingly better pain control, and cont" "Correct entity, wrong SNOMED ID","(8890, 8902)","(8890, 8902)",pain control,pain control,225782006,370778008,10860165-DS-24,"ued to remain afebrile, with increasingly better pain control, and continued to not experience any respiratory" "Correct entity, wrong SNOMED ID","(8941, 8961)","(8941, 8961)",respiratory distress,respiratory distress,271825005,1179627006,10860165-DS-24,"ain control, and continued to not experience any respiratory distress. On ___ CT output decreased to approximately les" Wrong span,"(9037, 9064)","(9037, 9039)",CT was placed on water seal,CT,439353005,241541005,10860165-DS-24,"sed to approximately less than 200cc/day and the CT was placed on water seal. On ___ CXR showed an unchanged apical PTX and t" "Correct entity, wrong SNOMED ID","(9098, 9104)","(9098, 9104)",apical,apical,14559000,264843009,10860165-DS-24,"ed on water seal. On ___ CXR showed an unchanged apical PTX and the CT was pulled with stable post-pull C" "Correct entity, wrong SNOMED ID","(9105, 9108)","(9105, 9108)",PTX,PTX,36118008,282119004,10860165-DS-24,"ater seal. On ___ CXR showed an unchanged apical PTX and the CT was pulled with stable post-pull CXR. " Wrong span,"(9117, 9130)","(9117, 9119)",CT was pulled,CT,238356005,241541005,10860165-DS-24,"n ___ CXR showed an unchanged apical PTX and the CT was pulled with stable post-pull CXR. On ___ CXR again show" "Correct entity, wrong SNOMED ID","(9136, 9142)","(9136, 9142)",stable,stable,162498009,301459008,10860165-DS-24," unchanged apical PTX and the CT was pulled with stable post-pull CXR. On ___ CXR again showed a stable " "Correct entity, wrong SNOMED ID","(9185, 9191)","(9185, 9191)",stable,stable,359746009,301459008,10860165-DS-24," stable post-pull CXR. On ___ CXR again showed a stable PTX and Mr. ___ was prepared for discharge to ho" "Correct entity, wrong SNOMED ID","(9192, 9195)","(9192, 9195)",PTX,PTX,36118008,282119004,10860165-DS-24," post-pull CXR. On ___ CXR again showed a stable PTX and Mr. ___ was prepared for discharge to home w" "Correct entity, wrong SNOMED ID","(9275, 9282)","(9275, 9282)",imaging,imaging,363679005,408574004,10860165-DS-24," discharge to home with close follow up with CXR imaging arranged. The patient received subcutaneous hep" "Correct entity, wrong SNOMED ID","(9418, 9426)","(9418, 9426)",ambulate,ambulate,359665005,722370002,10860165-DS-24,"uring this stay and was encouraged to get up and ambulate as early as possible. At the time of discharge, t" "Correct entity, wrong SNOMED ID","(9504, 9512)","(9504, 9512)",afebrile,afebrile,87273009,307200007,10860165-DS-24,"e time of discharge, the patient was doing well, afebrile and hemodynamically stable. The patient was tol" Wrong span,"(9559, 9576)","(9559, 9571)",tolerating a diet,tolerating a,1144522003,797943003,10860165-DS-24,"ile and hemodynamically stable. The patient was tolerating a diet, ambulating, voiding without assistance, and pai" "Correct entity, wrong SNOMED ID","(9578, 9588)","(9578, 9588)",ambulating,ambulating,160680006,722370002,10860165-DS-24,"ally stable. The patient was tolerating a diet, ambulating, voiding without assistance, and pain was well c" "Correct entity, wrong SNOMED ID","(9590, 9617)","(9590, 9617)","voiding without assistance","voiding without assistance",129023004,49650001,10860165-DS-24," The patient was tolerating a diet, ambulating, voiding without assistance, and pain was well controlled. The patient recei" Missed entity,"(9682, 9690)",,teaching,,311401005,,10860165-DS-24,"well controlled. The patient received discharge teaching and follow-up instructions with understanding ve" Missed entity,"(9695, 9704)",,follow-up,,183616001,,10860165-DS-24,"ed. The patient received discharge teaching and follow-up instructions with understanding verbalized and a" Missed entity,"(9705, 9717)",,instructions,,311401005,,10860165-DS-24,"atient received discharge teaching and follow-up instructions with understanding verbalized and agreement with" Missed entity,"(9772, 9786)",,discharge plan,,371754007,,10860165-DS-24," understanding verbalized and agreement with the discharge plan. Medications on Admission: Famotidine 20', furo" "Correct entity, wrong SNOMED ID","(11158, 11175)","(11158, 11175)",Left Pneumothorax,Left Pneumothorax,109364007,1366511008,10860165-DS-24,"sition: Home Discharge Diagnosis: Rib fractures Left Pneumothorax/Hemopneumothorax Splenic laceration (grade 2) " "Correct entity, wrong SNOMED ID","(11193, 11211)","(11193, 11211)",Splenic laceration,Splenic laceration,262822009,721299006,10860165-DS-24," Rib fractures Left Pneumothorax/Hemopneumothorax Splenic laceration (grade 2) Discharge Condition: Mental Status: " "Correct entity, wrong SNOMED ID","(11246, 11259)","(11246, 11259)",Mental Status,Mental Status,392257007,419284004,10860165-DS-24,"enic laceration (grade 2) Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(11261, 11266)","(11261, 11266)",Clear,Clear,830123008,281278005,10860165-DS-24," (grade 2) Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(11281, 11303)","(11281, 11303)",Level of Consciousness,Level of Consciousness,444714004,830285008,10860165-DS-24,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(11305, 11310)","(11305, 11310)",Alert,Alert,248234008,409787004,10860165-DS-24,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(11315, 11326)","(11315, 11326)",interactive,interactive,288577006,10301000202103,10860165-DS-24,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(11328, 11343)","(11328, 11343)",Activity Status,Activity Status,129676008,397622007,10860165-DS-24,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(11345, 11369)","(11345, 11369)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,10860165-DS-24,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Mr. ___, You were bro" "Correct entity, wrong SNOMED ID","(11457, 11461)","(11457, 11461)",fall,fall,161898004,298344006,10860165-DS-24,"You were brought to the ___ ED after sustaining a fall from a ladder. You were found to have rib fractu" Wrong span,"(11518, 11527)","(11518, 11532)",collapses,collapses lung,46621007,29068008,10860165-DS-24," ladder. You were found to have rib fractures, a collapses lung and a laceration of your spleen. You have r" Wrong span,"(11528, 11532)","(11518, 11532)",lung,collapses lung,39607008,29068008,10860165-DS-24,"You were found to have rib fractures, a collapses lung and a laceration of your spleen. You have recove" Wrong span,"(11540, 11565)","(11540, 11550)",laceration of your spleen,laceration,262822009,1237440006,10860165-DS-24,"nd to have rib fractures, a collapses lung and a laceration of your spleen. You have recovered and are now ready to be disc" Missed entity,"(11683, 11703)",,AVOID contact sports,,304510005,,10860165-DS-24,"spital. Please read the following instructions: *AVOID contact sports and/or any activity that may cause injury to you" Missed entity,"(11715, 11723)",,activity,,223434003,,10860165-DS-24,"ng instructions: *AVOID contact sports and/or any activity that may cause injury to your abdominal area for" "Correct entity, wrong SNOMED ID","(11739, 11745)","(11739, 11745)",injury,injury,417163006,312608009,10860165-DS-24,"contact sports and/or any activity that may cause injury to your abdominal area for the next ___ weeks. " Wrong span,"(11755, 11764)","(11755, 11769)",abdominal,abdominal area,818983003,243960002,10860165-DS-24,"nd/or any activity that may cause injury to your abdominal area for the next ___ weeks. *If you suddenly b" "Correct entity, wrong SNOMED ID","(11820, 11825)","(11820, 11825)",dizzy,dizzy,404640003,1141711004,10860165-DS-24,"for the next ___ weeks. *If you suddenly become dizzy, lightheaded, feeling as if you are going to pas" "Correct entity, wrong SNOMED ID","(11827, 11838)","(11827, 11838)",lightheaded,lightheaded,386705008,1354698007,10860165-DS-24," next ___ weeks. *If you suddenly become dizzy, lightheaded, feeling as if you are going to pass out go to t" Missed entity,"(11840, 11880)",,"feeling as if you are going to pass out",,248223005,,10860165-DS-24,"ks. *If you suddenly become dizzy, lightheaded, feeling as if you are going to pass out go to the nearest Emergency Room as this could b" Missed entity,"(11899, 11908)",,Emergency,,385868005,,10860165-DS-24,"s if you are going to pass out go to the nearest Emergency Room as this could be a sign that you are having" Missed entity,"(11934, 11938)",,sign,,72670004,,10860165-DS-24,"to the nearest Emergency Room as this could be a sign that you are having internal bleeding from your " Wrong span,"(11968, 11993)","(11988, 11993)","bleeding from your liver",liver,16763008,80515008,10860165-DS-24,"his could be a sign that you are having internal bleeding from your liver or spleen injury. *AVOID any blood thinners suc" "Correct entity, wrong SNOMED ID","(11997, 12010)","(11997, 12010)",spleen injury,spleen injury,23589004,210180009,10860165-DS-24," are having internal bleeding from your liver or spleen injury. *AVOID any blood thinners such as Motrin, Napr" Missed entity,"(12015, 12039)",,AVOID any blood thinners,,442284008,,10860165-DS-24,"al bleeding from your liver or spleen injury. *AVOID any blood thinners such as Motrin, Naprosyn, Indocin, Aspirin, Coum" Missed entity,"(12076, 12083)",,Aspirin,,431463004,,10860165-DS-24,"lood thinners such as Motrin, Naprosyn, Indocin, Aspirin, Coumadin or Plavix for at least ___ days unless " Missed entity,"(12085, 12093)",,Coumadin,,182764009,,10860165-DS-24,"ners such as Motrin, Naprosyn, Indocin, Aspirin, Coumadin or Plavix for at least ___ days unless otherwise" Missed entity,"(12097, 12103)",,Plavix,,413081008,,10860165-DS-24," Motrin, Naprosyn, Indocin, Aspirin, Coumadin or Plavix for at least ___ days unless otherwise instructe" "Correct entity, wrong SNOMED ID","(12180, 12186)","(12180, 12186)",injury,injury,417746004,312608009,10860165-DS-24,"ss otherwise instructed by the MD/NP/PA. * Your injury caused multiple rib fractures which can cause se" Wrong span,"(12194, 12216)","(12194, 12202)",multiple rib fractures,multiple,1261007,287023001,10860165-DS-24,"instructed by the MD/NP/PA. * Your injury caused multiple rib fractures which can cause severe pain and subsequently cau" "Correct entity, wrong SNOMED ID","(12234, 12245)","(12234, 12245)",severe pain,severe pain,76948002,699190008,10860165-DS-24,"ry caused multiple rib fractures which can cause severe pain and subsequently cause you to take shallow breath" Missed entity,"(12263, 12296)",,cause you to take shallow breaths,,427625003,,10860165-DS-24,"res which can cause severe pain and subsequently cause you to take shallow breaths because of the pain. * You should take your pa" "Correct entity, wrong SNOMED ID","(12313, 12317)","(12313, 12317)",pain,pain,22253000,102570003,10860165-DS-24,"cause you to take shallow breaths because of the pain. * You should take your pain medication as dire" "Correct entity, wrong SNOMED ID","(12394, 12398)","(12394, 12398)",pain,pain,22253000,102570003,10860165-DS-24,"pain medication as directed to stay ahead of the pain otherwise you won't be able to take deep breaths." Missed entity,"(12513, 12519)",,notify,,304562007,,10860165-DS-24,"edication is too sedating take half the dose and notify your physician. * Pneumonia is a complication o" "Correct entity, wrong SNOMED ID","(12540, 12549)","(12540, 12549)",Pneumonia,Pneumonia,233604007,415125002,10860165-DS-24,"ake half the dose and notify your physician. * Pneumonia is a complication of rib fractures. In order to " "Correct entity, wrong SNOMED ID","(12571, 12584)","(12571, 12584)",rib fractures,rib fractures,1261007,429381000124105,10860165-DS-24,"our physician. * Pneumonia is a complication of rib fractures. In order to decrease your risk you must use yo" Missed entity,"(12600, 12618)",,decrease your risk,,169443000,,10860165-DS-24,"is a complication of rib fractures. In order to decrease your risk you must use your incentive spirometer 4 times e" Wrong span,"(12628, 12657)","(12637, 12657)",use your incentive spirometer,incentive spirometer,229301009,470221003,10860165-DS-24,"ctures. In order to decrease your risk you must use your incentive spirometer 4 times every hour while awake. This will help " "Correct entity, wrong SNOMED ID","(12741, 12746)","(12741, 12746)",lungs,lungs,39607008,169115000,10860165-DS-24," This will help expand the small airways in your lungs and assist in coughing up secretions that pool i" "Correct entity, wrong SNOMED ID","(12761, 12783)","(12761, 12783)",coughing up secretions,coughing up secretions,370791009,301244000,10860165-DS-24,"nd the small airways in your lungs and assist in coughing up secretions that pool in the lungs. * You will be more com" "Correct entity, wrong SNOMED ID","(12802, 12807)","(12802, 12807)",lungs,lungs,39607008,169115000,10860165-DS-24,"ssist in coughing up secretions that pool in the lungs. * You will be more comfortable if you use a co" Missed entity,"(12830, 12841)",,comfortable,,304530009,,10860165-DS-24,"ons that pool in the lungs. * You will be more comfortable if you use a cough pillow to hold against your c" "Correct entity, wrong SNOMED ID","(12890, 12895)","(12890, 12895)",chest,chest,51185008,74160004,10860165-DS-24,"e if you use a cough pillow to hold against your chest and guard your rib cage while coughing and deep " "Correct entity, wrong SNOMED ID","(12911, 12919)","(12911, 12919)",rib cage,rib cage,60413009,113197003,10860165-DS-24,"pillow to hold against your chest and guard your rib cage while coughing and deep breathing. * Symptomat" Missed entity,"(12997, 13009)",,heating pads,,266694003,,10860165-DS-24,"eathing. * Symptomatic relief with ice packs or heating pads for short periods may ease the pain. * Narcoti" "Correct entity, wrong SNOMED ID","(13042, 13046)","(13042, 13046)",pain,pain,22253000,102570003,10860165-DS-24,"s or heating pads for short periods may ease the pain. * Narcotic pain medication can cause constipat" Wrong span,"(13052, 13086)","(13052, 13060)",Narcotic pain medication can cause,Narcotic,708652009,95914002,10860165-DS-24,"ng pads for short periods may ease the pain. * Narcotic pain medication can cause constipation therefore you should take a stool s" "Correct entity, wrong SNOMED ID","(13087, 13099)","(13087, 13099)",constipation,constipation,14760008,236069009,10860165-DS-24," the pain. * Narcotic pain medication can cause constipation therefore you should take a stool softener twice" "Correct entity, wrong SNOMED ID","(13122, 13143)","(13122, 13143)",take a stool softener,take a stool softener,225948006,249526007,10860165-DS-24,"tion can cause constipation therefore you should take a stool softener twice daily and increase your fluid and fiber in" Missed entity,"(13160, 13179)",,increase your fluid,,113148007,,10860165-DS-24,"you should take a stool softener twice daily and increase your fluid and fiber intake if possible. * Do NOT smoke " Missed entity,"(13185, 13197)",,fiber intake,,183059007,,10860165-DS-24,"softener twice daily and increase your fluid and fiber intake if possible. * Do NOT smoke * If your doctor " "Correct entity, wrong SNOMED ID","(13215, 13227)","(13215, 13227)",Do NOT smoke,Do NOT smoke,225323000,394885002,10860165-DS-24,"ase your fluid and fiber intake if possible. * Do NOT smoke * If your doctor allows, non-steroidal ___ drug" Wrong span,"(13302, 13318)","(13314, 13318)",controlling pain,pain,225782006,102570003,10860165-DS-24,"s, non-steroidal ___ drugs are very effective in controlling pain ( ie, Ibuprofen, Motrin, Advil, Aleve, Naprosyn)" Missed entity,"(13400, 13413)",,"side effects",,401207004,,10860165-DS-24,", Aleve, Naprosyn) but they have their own set of side effects so make sure your doctor approves. * Return to " Missed entity,"(13453, 13481)",,Return to the Emergency Room,,385868005,,10860165-DS-24,"e effects so make sure your doctor approves. * Return to the Emergency Room right away for any acute shortness of breath, in" "Correct entity, wrong SNOMED ID","(13508, 13527)","(13508, 13527)",shortness of breath,shortness of breath,267036007,135833008,10860165-DS-24,"n to the Emergency Room right away for any acute shortness of breath, increased pain or crackling sensation around yo" "Correct entity, wrong SNOMED ID","(13529, 13543)","(13529, 13543)",increased pain,increased pain,1144586002,35331000087107,10860165-DS-24,"om right away for any acute shortness of breath, increased pain or crackling sensation around your ribs (crepitu" Wrong span,"(13547, 13556)","(13547, 13566)",crackling,crackling sensation,48409008,63642005,10860165-DS-24,"any acute shortness of breath, increased pain or crackling sensation around your ribs (crepitus). Follow" "Correct entity, wrong SNOMED ID","(13580, 13584)","(13580, 13584)",ribs,ribs,113197003,249704008,10860165-DS-24,"ncreased pain or crackling sensation around your ribs (crepitus). Followup Instructions: ___ " False positive,,"(223, 236)",,levetiracetam,,116076009,10912090-DS-33,"gies: Abacavir Sulfate / Aspirin / fluconazole / levetiracetam / morphine Attending: ___. Chief Complaint: " False positive,,"(483, 488)",,HAART,,416234007,10912090-DS-33,"VL 7900, ___: CD4 nadir 8), poorly compliant with HAART on lamivudine, darunavir-cobicistat, dolutegavir" False positive,,"(1031, 1037)",,travel,,161098003,10912090-DS-33," She also denies history of new foods and recent travel. In the ED, initial vitals: 100.4 | 109 | 116/8" False positive,,"(1147, 1150)",,ALT,,56935002,10912090-DS-33,"00% RA - Labs were significant for: Lactate 1.0 ALT 24 AST 44 AP 116 Tbili 0.3 Alb 3.6 Lipase 130 Na" False positive,,"(1154, 1157)",,AST,,85043005,10912090-DS-33," - Labs were significant for: Lactate 1.0 ALT 24 AST 44 AP 116 Tbili 0.3 Alb 3.6 Lipase 130 Na 138 K " False positive,,"(1589, 1592)",,WBC,,391558003,10912090-DS-33," no microorganisms, Cryptococcal Ag: Negative #4: WBC 1, RBC 1, Poly 0, Lymph ___ Mono 3, Eos 0 Pendin" False positive,,"(1596, 1599)",,RBC,,258759006,10912090-DS-33,"roorganisms, Cryptococcal Ag: Negative #4: WBC 1, RBC 1, Poly 0, Lymph ___ Mono 3, Eos 0 Pending labs:" False positive,,"(1611, 1612)",,L,,420296000,10912090-DS-33,"yptococcal Ag: Negative #4: WBC 1, RBC 1, Poly 0, Lymph ___ Mono 3, Eos 0 Pending labs: CMV VL HSV " False positive,,"(1650, 1653)",,CMV,,893046241000119101,10912090-DS-33,"1, Poly 0, Lymph ___ Mono 3, Eos 0 Pending labs: CMV VL HSV PCR ___ CD3%,Abs-CD3 CD4%,Abs-CD4 CD8%,A" False positive,,"(1658, 1661)",,HSV,,186538004,10912090-DS-33,"0, Lymph ___ Mono 3, Eos 0 Pending labs: CMV VL HSV PCR ___ CD3%,Abs-CD3 CD4%,Abs-CD4 CD8%,Abs-CD8 C" False positive,,"(1731, 1732)",,I,,257989008,10912090-DS-33,"3 CD4%,Abs-CD4 CD8%,Abs-CD8 CD4/CD8 Blood cx - Imaging showed: CXR: Impression: Atelectasis in the" False positive,,"(1783, 1788)",,right,,225794002,10912090-DS-33,"aging showed: CXR: Impression: Atelectasis in the right cardiophrenic region. No definite evidence of pn" False positive,,"(1789, 1809)",,cardiophrenic region,,1366185003,10912090-DS-33,"showed: CXR: Impression: Atelectasis in the right cardiophrenic region. No definite evidence of pneumonia. CT head w/" False positive,,"(2322, 2339)",,changes in vision,,180301000119102,10912090-DS-33,"SYSTEMS: No night sweats or weight changes. No changes in vision or hearing, no changes in balance. No cough, no " False positive,,"(2344, 2351)",,hearing,,15188001,10912090-DS-33,"weats or weight changes. No changes in vision or hearing, no changes in balance. No cough, no shortness of" False positive,,"(2356, 2374)",,changes in balance,,298304004,10912090-DS-33,"ght changes. No changes in vision or hearing, no changes in balance. No cough, no shortness of breath, no dyspnea on" False positive,,"(2555, 2569)",,focal deficits,,297122007,10912090-DS-33,"tochezia, no melena. No numbness or weakness, no focal deficits. Past Medical History: # AIDS (CD4 218, VL 79" False positive,,"(2626, 2635)",,resistant,,260356003,10912090-DS-33,"ast Medical History: # AIDS (CD4 218, VL 7900 ___ resistant disease - followed by ID, Dr. ___ - on doluteg" False positive,,"(2636, 2643)",,disease,,170516003,10912090-DS-33,"l History: # AIDS (CD4 218, VL 7900 ___ resistant disease - followed by ID, Dr. ___ - on dolutegravir, d" False positive,,"(3096, 3103)",,Genital,,890094005,10912090-DS-33,"hiasis # Cervical spondylosis # Migraines # Genital and vaginal condyloma # L CTS # S/p open CCY # " False positive,,"(3535, 3539)",,neck,,840674001,10912090-DS-33,"e anicteric, MMM, oropharynx clear, EOMI, PERRL, neck supple, JVP not elevated, no LAD CV: Regular r" False positive,,"(4034, 4038)",,gait,,22325002,10912090-DS-33,"rossly normal sensation, 2+ reflexes bilaterally, gait deferred. Skin: No rashes. ON DISCHARGE: (___" False positive,,"(4171, 4173)",,S1,,431855005,10912090-DS-33,"cteric sclera, pink conjunctiva, mmm HEART: RRR, S1/S2, no murmurs, gallops, or rubs LUNGS: breath" False positive,,"(4859, 4864)",,LYMPH,,79709007,10912090-DS-33,"N LABS: ================= ___ 08:42AM WBC-4.5 LYMPH-30 ABS LYMPH-1350 CD3-48 ABS CD3-642 CD4-9 ABS C" False positive,,"(4872, 4877)",,LYMPH,,79709007,10912090-DS-33,"============ ___ 08:42AM WBC-4.5 LYMPH-30 ABS LYMPH-1350 CD3-48 ABS CD3-642 CD4-9 ABS CD4-123* CD8-3" False positive,,"(4883, 4886)",,CD3,,44706009,10912090-DS-33,"= ___ 08:42AM WBC-4.5 LYMPH-30 ABS LYMPH-1350 CD3-48 ABS CD3-642 CD4-9 ABS CD4-123* CD8-35 ABS CD8" False positive,,"(4922, 4925)",,CD8,,54237000,10912090-DS-33,"LYMPH-1350 CD3-48 ABS CD3-642 CD4-9 ABS CD4-123* CD8-35 ABS CD8-471 CD4/CD8-0.26* ___ 08:42AM NEUTS-" False positive,,"(5146, 5149)",,MCH,,735147002,10912090-DS-33,"M WBC-4.5 RBC-3.31* HGB-10.0* HCT-31.3* MCV-95 MCH-30.2 MCHC-31.9* RDW-14.6 RDWSD-50.8* ___ 11:31PM " False positive,,"(5453, 5462)",,"TOT BILI",,176271000119108,10912090-DS-33,"8:42AM ALT(SGPT)-24 AST(SGOT)-44* ALK PHOS-116* TOT BILI-0.3 ___ 08:42AM LIPASE-130* ___ 08:42AM ASA-N" False positive,,"(5691, 5692)",,P,,421542006,10912090-DS-33,"__ 10:55AM CEREBROSPINAL FLUID (CSF) TNC-1 RBC-1 POLYS-0 ___ ___ 10:55AM CEREBROSPINAL FLUID (CSF) " False positive,,"(5755, 5762)",,GLUCOSE,,72191006,10912090-DS-33,"__ 10:55AM CEREBROSPINAL FLUID (CSF) PROTEIN-37 GLUCOSE-49 ___ 06:05PM URINE COLOR-Yellow APPEAR-Hazy* S" False positive,,"(5778, 5783)",,URINE,,78888000,10912090-DS-33,"L FLUID (CSF) PROTEIN-37 GLUCOSE-49 ___ 06:05PM URINE COLOR-Yellow APPEAR-Hazy* SP ___ ___ 06:05PM URI" False positive,,"(5830, 5835)",,URINE,,78888000,10912090-DS-33,"INE COLOR-Yellow APPEAR-Hazy* SP ___ ___ 06:05PM URINE BLOOD-MOD* NITRITE-NEG PROTEIN-100* GLUCOSE-NEG" False positive,,"(5954, 5959)",,URINE,,78888000,10912090-DS-33,"IN-NEG UROBILNGN-NEG PH-6.0 LEUK-NEG ___ 06:05PM URINE RBC-34* WBC-4 BACTERIA-FEW* YEAST-NONE EPI-0 __" False positive,,"(6061, 6066)",,URINE,,78888000,10912090-DS-33,"06:05PM URINE GRANULAR-1* HYALINE-5* ___ 06:05PM URINE MUCOUS-RARE* ___ 11:31PM PARST SMR-NEGATIVE __" False positive,,"(6949, 6950)",,I,,257989008,10912090-DS-33,"ew sample is recommended. STRONGYLOIDES ANTIBODY,IGG Test Result " False positive,,"(7436, 7445)",,PNEUMONIA,,415125002,10912090-DS-33," Result Reference Range/Units S. PNEUMONIAE ANTIGENS, Not Detected Not Detected" False positive,,"(7496, 7501)",,URINE,,78888000,10912090-DS-33," ANTIGENS, Not Detected Not Detected URINE Inf" False positive,,"(7548, 7557)",,Influenza,,186788009,10912090-DS-33,"INE Influenza A by PCR NEGATIVE Influenza B by PCR NEGATIVE __" False positive,,"(7567, 7575)",,NEGATIVE,,268375009,10912090-DS-33," Influenza A by PCR NEGATIVE Influenza B by PCR NEGATIVE ___ Blood culture - " False positive,,"(7576, 7585)",,Influenza,,186788009,10912090-DS-33," Influenza A by PCR NEGATIVE Influenza B by PCR NEGATIVE ___ Blood culture - No growth " False positive,,"(7595, 7599)",,NEGA,,247679002,10912090-DS-33," Influenza A by PCR NEGATIVE Influenza B by PCR NEGATIVE ___ Blood culture - No growth (final) ___ Bl" False positive,,"(7609, 7622)",,Blood culture,,8730001000004107,10912090-DS-33," by PCR NEGATIVE Influenza B by PCR NEGATIVE ___ Blood culture - No growth (final) ___ Blood culture - No growth" False positive,,"(7647, 7660)",,Blood culture,,8730001000004107,10912090-DS-33,"GATIVE ___ Blood culture - No growth (final) ___ Blood culture - No growth (final) ___ Urine culture - No growth" False positive,,"(7815, 7819)",,MRSA,,720301008,10912090-DS-33,"e Legionella Urinary Antigen - negative ___ Nasal MRSA screen negative ___ Blood culture fungal/AFB - No" False positive,,"(7903, 7914)",,respiratory,,268925001,10912090-DS-33," fungal/AFB - No growth to date (preliminary) ___ respiratory viral panel negative ___ blood cryptococcal antig" False positive,,"(7940, 7945)",,blood,,8765009,10912090-DS-33,"iminary) ___ respiratory viral panel negative ___ blood cryptococcal antigen negative ___ stool C. diff a" False positive,,"(7980, 7985)",,stool,,258901006,10912090-DS-33,"ative ___ blood cryptococcal antigen negative ___ stool C. diff antigen negative ___ Blood culture - No g" False positive,,"(8617, 8639)",,white blood cell count,,165511009,10912090-DS-33,"ease refer to hematology for a quantitative white blood cell count.. FLUID CULTURE (Final ___: NO GROWTH. " False positive,,"(8747, 8754)",,Anaplas,,444233008,10912090-DS-33,"L CULTURE (Preliminary): NO FUNGUS ISOLATED. Anaplasma pending Lyme pending SIGNIFICANT IMAGING: ====" False positive,,"(9003, 9006)",,HIV,,19030005,10912090-DS-33,"i for the patient's age, likely related with the HIV status and unchanged since the prior study ___ C" False positive,,"(9137, 9141)",,lung,,301232003,10912090-DS-33," with the study of ___, there are slightly lower lung volumes. Cardiomediastinal silhouette is stable." False positive,,"(9152, 9169)",,Cardiomediastinal,,83099006,10912090-DS-33," of ___, there are slightly lower lung volumes. Cardiomediastinal silhouette is stable. No evidence of appreciabl" False positive,,"(9184, 9190)",,stable,,301459008,10912090-DS-33,"er lung volumes. Cardiomediastinal silhouette is stable. No evidence of appreciable vascular congestion" False positive,,"(9929, 9948)",,structurally normal,,840673007,10912090-DS-33,"are normal. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenos" False positive,,"(10163, 10167)",,Mode,,281407001,10912090-DS-33," mass or vegetation is seen on the mitral valve. Moderate to severe (3+) mitral regurgitation is seen " False positive,,"(10256, 10260)",,mild,,162468002,10912090-DS-33,"on is seen ___ 0.3 cm2, RV 35 cc/beat). There is mild pulmonary artery systolic hypertension. No vegeta" False positive,,"(11143, 11150)",,vancomy,,294475007,10912090-DS-33," RR of 36. She was given doses of azithromycin, vancomycin, and zosyn prior to transfer to the MICU on __" False positive,,"(11306, 11324)",,Infectious disease,,34014006,10912090-DS-33,"ived two doses of acyclovir for HSV prophylaxis. Infectious disease was consulted. She had one episode of hypotensio" False positive,,"(11545, 11550)",,blood,,8765009,10912090-DS-33,"ures x2 showed no growth. Her UA had protein and blood, and her urine culture showed no growth. CXR was" False positive,,"(11627, 11644)",,respiratory viral,,276692000,10912090-DS-33,"wed no growth. CXR was clear, she had a negative respiratory viral panel, legionella urinary antigen was negative, " False positive,,"(11879, 11882)",,CSF,,703691002,10912090-DS-33," negative. Cryptococcus was negative in serum and CSF. HSV was negative in CSF. CSF culture negative. " False positive,,"(11884, 11887)",,HSV,,186538004,10912090-DS-33,"tive. Cryptococcus was negative in serum and CSF. HSV was negative in CSF. CSF culture negative. Head " False positive,,"(11905, 11908)",,CSF,,703691002,10912090-DS-33,"s negative in serum and CSF. HSV was negative in CSF. CSF culture negative. Head CT was negative for " False positive,,"(11958, 11960)",,to,,24932003,10912090-DS-33,". CSF culture negative. Head CT was negative for toxoplasma or CNS lymphoma. Serologies were negative" False positive,,"(12028, 12042)",,Parasite smear,,103607002,10912090-DS-33,"mphoma. Serologies were negative for toxoplasma. Parasite smear was negative, anaplasma is pending and Lyme pend" False positive,,"(12083, 12084)",,L,,420296000,10912090-DS-33,"ite smear was negative, anaplasma is pending and Lyme pending. Strongyloides negative. EBV serologie" False positive,,"(12121, 12124)",,EBV,,18045006,10912090-DS-33,"ending and Lyme pending. Strongyloides negative. EBV serologies were detected <200 (reference under 2" False positive,,"(12216, 12224)",,negative,,268375009,10912090-DS-33," under 200). The patient underwent TTE which was negative for vegetations or myocarditis. Diagnostic studi" False positive,,"(12298, 12301)",,EBV,,1143005,10912090-DS-33,"arditis. Diagnostic studies were significant for EBV detection. Given negative work up, infectious di" False positive,,"(13538, 13546)",,worsened,,271299001,10912090-DS-33,"pulmonary HTN, compared to prior studies, MR has worsened - ___ hydralazine, metoprolol and isosorbide mono" False positive,,"(14230, 14236)",,nausea,,1217125005,10912090-DS-33," UNIT PO Q8H 13. Ondansetron ODT 4 mg PO Q8H:PRN nausea/vomiting 14. Prezcobix (darunavir-cobicistat) 80" False positive,,"(15366, 15377)",,interactive,,10301000202103,10912090-DS-33,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" False positive,,"(15932, 15942)",,infectious,,366971000119100,10912090-DS-33," you antibiotics to cover for any infection. The infectious team was consulted. - All your blood tests and s" False positive,,"(15991, 15996)",,scans,,77477000,10912090-DS-33,"s team was consulted. - All your blood tests and scans came back negative and reassuring except a virus" False positive,,"(16058, 16063)",,virus,,122442008,10912090-DS-33,"egative and reassuring except a virus called ___ virus was detected in your blood - Your primary care " False positive,,"(16348, 16353)",,virus,,116635004,10912090-DS-33,"use your body was mounting a response to the ___ virus. This can happen on HIV medications when your im" False positive,,"(16685, 16695)",,body aches,,82991003,10912090-DS-33," have made, listed below - If you develop fever, body aches, shortness of breath, nausea, vomiting please ca" "Correct entity, wrong SNOMED ID","(180, 196)","(180, 196)",Abacavir Sulfate,Abacavir Sulfate,713707006,114931000119103,10912090-DS-33," Sex: F Service: MEDICINE Allergies: Abacavir Sulfate / Aspirin / fluconazole / levetiracetam / morphi" "Correct entity, wrong SNOMED ID","(199, 206)","(199, 206)",Aspirin,Aspirin,293586001,7947003,10912090-DS-33,"ervice: MEDICINE Allergies: Abacavir Sulfate / Aspirin / fluconazole / levetiracetam / morphine Atten" "Correct entity, wrong SNOMED ID","(209, 220)","(209, 220)",fluconazole,fluconazole,294365005,31865003,10912090-DS-33,"DICINE Allergies: Abacavir Sulfate / Aspirin / fluconazole / levetiracetam / morphine Attending: ___. C" "Correct entity, wrong SNOMED ID","(240, 248)","(240, 248)",morphine,morphine,293601001,73572009,10912090-DS-33,"ulfate / Aspirin / fluconazole / levetiracetam / morphine Attending: ___. Chief Complaint: fevers, myal" "Correct entity, wrong SNOMED ID","(286, 292)","(286, 292)",fevers,fevers,386661006,248444008,10912090-DS-33," / morphine Attending: ___. Chief Complaint: fevers, myalgias Major Surgical or Invasive Procedure:" "Correct entity, wrong SNOMED ID","(294, 302)","(294, 302)",myalgias,myalgias,68962001,1141862008,10912090-DS-33,"hine Attending: ___. Chief Complaint: fevers, myalgias Major Surgical or Invasive Procedure: None Hi" "Correct entity, wrong SNOMED ID","(409, 412)","(409, 412)",HIV,HIV,86406008,19030005,10912090-DS-33,"f Present Illness: ___ is a ___ with a history of HIV/AIDS ___: CD4 218, VL 7900, ___: CD4 nadir 8), p" "Correct entity, wrong SNOMED ID","(413, 417)","(413, 417)",AIDS,AIDS,62479008,183135000,10912090-DS-33,"esent Illness: ___ is a ___ with a history of HIV/AIDS ___: CD4 218, VL 7900, ___: CD4 nadir 8), poorly" Missed entity,"(461, 477)",,poorly compliant,,400978007,,10912090-DS-33,"V/AIDS ___: CD4 218, VL 7900, ___: CD4 nadir 8), poorly compliant with HAART on lamivudine, darunavir-cobicistat, " "Correct entity, wrong SNOMED ID","(568, 578)","(568, 578)",infections,infections,40733004,260976002,10912090-DS-33,"icistat, dolutegavir, and multiple opportunistic infections including CMV retinitis/esophagitis and ___ esop" "Correct entity, wrong SNOMED ID","(589, 602)","(589, 602)",CMV retinitis,CMV retinitis,22455005,61517002,10912090-DS-33," and multiple opportunistic infections including CMV retinitis/esophagitis and ___ esophagitis presenting with " "Correct entity, wrong SNOMED ID","(603, 614)","(603, 614)",esophagitis,esophagitis,16761005,13504006,10912090-DS-33," opportunistic infections including CMV retinitis/esophagitis and ___ esophagitis presenting with 1 day of sub" "Correct entity, wrong SNOMED ID","(624, 635)","(624, 635)",esophagitis,esophagitis,16761005,13504006,10912090-DS-33,"ions including CMV retinitis/esophagitis and ___ esophagitis presenting with 1 day of subjective fever and my" "Correct entity, wrong SNOMED ID","(672, 677)","(672, 677)",fever,fever,386661006,416113008,10912090-DS-33,"_ esophagitis presenting with 1 day of subjective fever and myalgias. The patient reports full body ach" "Correct entity, wrong SNOMED ID","(683, 691)","(683, 691)",myalgias,myalgias,68962001,1141862008,10912090-DS-33,"is presenting with 1 day of subjective fever and myalgias. The patient reports full body aches and chills." Wrong span,"(714, 729)","(719, 723)",full body aches,body,82991003,456151000124107,10912090-DS-33,"jective fever and myalgias. The patient reports full body aches and chills. She had one episode of emesis this " "Correct entity, wrong SNOMED ID","(734, 740)","(734, 740)",chills,chills,43724002,274640006,10912090-DS-33,"yalgias. The patient reports full body aches and chills. She had one episode of emesis this AM and has " "Correct entity, wrong SNOMED ID","(767, 773)","(767, 773)",emesis,emesis,422400008,71419002,10912090-DS-33,"l body aches and chills. She had one episode of emesis this AM and has had a poor appetite. The patien" "Correct entity, wrong SNOMED ID","(796, 810)","(796, 810)","poor appetite","poor appetite",64379006,405788002,10912090-DS-33,"e had one episode of emesis this AM and has had a poor appetite. The patient took 3 acetaminophen without pallia" "Correct entity, wrong SNOMED ID","(899, 901)","(899, 901)",HA,HA,25064002,226933009,10912090-DS-33,"hout palliation of symptoms. The patient denies HA, neck pain, pain with swallowing, SOB, CP, abdom" "Correct entity, wrong SNOMED ID","(903, 912)","(903, 912)",neck pain,neck pain,81680005,1121000119107,10912090-DS-33," palliation of symptoms. The patient denies HA, neck pain, pain with swallowing, SOB, CP, abdominal pain, " "Correct entity, wrong SNOMED ID","(937, 940)","(937, 940)",SOB,SOB,267036007,43731003,10912090-DS-33,"ient denies HA, neck pain, pain with swallowing, SOB, CP, abdominal pain, dysuria, diarrhea. She als" "Correct entity, wrong SNOMED ID","(942, 944)","(942, 944)",CP,CP,29857009,282108002,10912090-DS-33,"denies HA, neck pain, pain with swallowing, SOB, CP, abdominal pain, dysuria, diarrhea. She also de" "Correct entity, wrong SNOMED ID","(946, 960)","(946, 960)",abdominal pain,abdominal pain,21522001,54586004,10912090-DS-33,"es HA, neck pain, pain with swallowing, SOB, CP, abdominal pain, dysuria, diarrhea. She also denies history of " "Correct entity, wrong SNOMED ID","(962, 969)","(962, 969)",dysuria,dysuria,49650001,16844001,10912090-DS-33,", pain with swallowing, SOB, CP, abdominal pain, dysuria, diarrhea. She also denies history of new foods" "Correct entity, wrong SNOMED ID","(971, 979)","(971, 979)",diarrhea,diarrhea,62315008,111843007,10912090-DS-33,"th swallowing, SOB, CP, abdominal pain, dysuria, diarrhea. She also denies history of new foods and recen" "Correct entity, wrong SNOMED ID","(1060, 1066)","(1060, 1066)",vitals,vitals,118227000,260390007,10912090-DS-33,"new foods and recent travel. In the ED, initial vitals: 100.4 | 109 | 116/89 | 16 | 100% RA - Labs wer" "Correct entity, wrong SNOMED ID","(1101, 1103)","(1101, 1103)",RA,RA,722742002,463051000124105,10912090-DS-33," initial vitals: 100.4 | 109 | 116/89 | 16 | 100% RA - Labs were significant for: Lactate 1.0 ALT 24" Wrong span,"(1718, 1726)","(1718, 1723)",Blood cx,Blood,30088009,8765009,10912090-DS-33,"_ CD3%,Abs-CD3 CD4%,Abs-CD4 CD8%,Abs-CD8 CD4/CD8 Blood cx - Imaging showed: CXR: Impression: Atelectasis " "Correct entity, wrong SNOMED ID","(1836, 1845)","(1836, 1845)",pneumonia,pneumonia,233604007,415125002,10912090-DS-33,"ht cardiophrenic region. No definite evidence of pneumonia. CT head w/o contrast (prelim): 1. No evidence" Wrong span,"(1849, 1856)","(1849, 1869)",CT head,CT head w/o contrast,303653007,383371000119108,10912090-DS-33,"nic region. No definite evidence of pneumonia. CT head w/o contrast (prelim): 1. No evidence of an acut" "Correct entity, wrong SNOMED ID","(1884, 1895)","(1884, 1895)",No evidence,No evidence,281900007,41647002,10912090-DS-33,"f pneumonia. CT head w/o contrast (prelim): 1. No evidence of an acute intracranial abnormality. 2. Unchange" Wrong span,"(1908, 1920)","(1908, 1932)",intracranial,intracranial abnormality,128319008,93468003,10912090-DS-33,"/o contrast (prelim): 1. No evidence of an acute intracranial abnormality. 2. Unchanged age advanced atrophy. " "Correct entity, wrong SNOMED ID","(1960, 1967)","(1960, 1967)",atrophy,atrophy,13331008,1144432007,10912090-DS-33,"tracranial abnormality. 2. Unchanged age advanced atrophy. - In the ED, she received: Acetaminophen 10" Boundary error,"(2028, 2031)","(2028, 2030)",IVF,IV,103744005,258000009,10912090-DS-33,"the ED, she received: Acetaminophen 1000mg PO NS IVF 50mL/hr - Vitals prior to transfer: 100.4 " "Correct entity, wrong SNOMED ID","(2048, 2054)","(2048, 2054)",Vitals,Vitals,118227000,260390007,10912090-DS-33,": Acetaminophen 1000mg PO NS IVF 50mL/hr - Vitals prior to transfer: 100.4 | 96 | 140/83 | 20 | 10" "Correct entity, wrong SNOMED ID","(2107, 2109)","(2107, 2109)",RA,RA,722742002,463051000124105,10912090-DS-33,"ior to transfer: 100.4 | 96 | 140/83 | 20 | 100% RA Upon arrival to the floor, the patient was in" "Correct entity, wrong SNOMED ID","(2160, 2176)","(2160, 2176)",stable condition,stable condition,359746009,193844000,10912090-DS-33," Upon arrival to the floor, the patient was in stable condition. She was uncomfortable with a low-grade fever, " "Correct entity, wrong SNOMED ID","(2303, 2317)","(2303, 2317)",weight changes,weight changes,365921005,248347000,10912090-DS-33,"w. REVIEW OF SYSTEMS: No night sweats or weight changes. No changes in vision or hearing, no changes in " "Correct entity, wrong SNOMED ID","(2379, 2384)","(2379, 2384)",cough,cough,49727002,28743005,10912090-DS-33," in vision or hearing, no changes in balance. No cough, no shortness of breath, no dyspnea on exertion." "Correct entity, wrong SNOMED ID","(2389, 2409)","(2389, 2409)","shortness of breath","shortness of breath",267036007,135833008,10912090-DS-33," or hearing, no changes in balance. No cough, no shortness of breath, no dyspnea on exertion. No chest pain or palpita" "Correct entity, wrong SNOMED ID","(2438, 2448)","(2438, 2448)",chest pain,chest pain,29857009,102589003,10912090-DS-33," shortness of breath, no dyspnea on exertion. No chest pain or palpitations. No constipation. No hematuria. " "Correct entity, wrong SNOMED ID","(2452, 2464)","(2452, 2464)",palpitations,palpitations,80313002,161966006,10912090-DS-33," breath, no dyspnea on exertion. No chest pain or palpitations. No constipation. No hematuria. No hematochezia," "Correct entity, wrong SNOMED ID","(2470, 2482)","(2470, 2482)",constipation,constipation,14760008,236069009,10912090-DS-33,"a on exertion. No chest pain or palpitations. No constipation. No hematuria. No hematochezia, no melena. No nu" "Correct entity, wrong SNOMED ID","(2487, 2496)","(2487, 2496)",hematuria,hematuria,34436003,197940006,10912090-DS-33," chest pain or palpitations. No constipation. No hematuria. No hematochezia, no melena. No numbness or weak" "Correct entity, wrong SNOMED ID","(2501, 2513)","(2501, 2513)",hematochezia,hematochezia,405729008,206406008,10912090-DS-33," palpitations. No constipation. No hematuria. No hematochezia, no melena. No numbness or weakness, no focal de" "Correct entity, wrong SNOMED ID","(2518, 2524)","(2518, 2524)",melena,melena,2901004,206424005,10912090-DS-33,"o constipation. No hematuria. No hematochezia, no melena. No numbness or weakness, no focal deficits. " "Correct entity, wrong SNOMED ID","(2530, 2538)","(2530, 2538)",numbness,numbness,44077006,102601005,10912090-DS-33,"on. No hematuria. No hematochezia, no melena. No numbness or weakness, no focal deficits. Past Medical " "Correct entity, wrong SNOMED ID","(2599, 2603)","(2599, 2603)",AIDS,AIDS,62479008,183135000,10912090-DS-33,"s, no focal deficits. Past Medical History: # AIDS (CD4 218, VL 7900 ___ resistant disease - followe" "Correct entity, wrong SNOMED ID","(2738, 2760)","(2738, 2760)",esophageal candidiasis,esophageal candidiasis,20639004,240721007,10912090-DS-33,"ir, darunavir-cobi, lamuvidine ___ on Stribild) # esophageal candidiasis, CMV esophagitis and colitis ___ # ___ esopha" "Correct entity, wrong SNOMED ID","(2762, 2777)","(2762, 2777)",CMV esophagitis,CMV esophagitis,713045003,860872005,10912090-DS-33,"vidine ___ on Stribild) # esophageal candidiasis, CMV esophagitis and colitis ___ # ___ esophagitis - ___ - " "Correct entity, wrong SNOMED ID","(2782, 2789)","(2782, 2789)",colitis,colitis,235749000,423590009,10912090-DS-33,"ld) # esophageal candidiasis, CMV esophagitis and colitis ___ # ___ esophagitis - ___ - ___ - ___ s" "Correct entity, wrong SNOMED ID","(2804, 2815)","(2804, 2815)",esophagitis,esophagitis,16761005,13504006,10912090-DS-33,"diasis, CMV esophagitis and colitis ___ # ___ esophagitis - ___ - ___ - ___ s/p fluc/vori (completed __" Wrong span,"(2869, 2872)","(2869, 2875)",CIN,CIN II,285636001,401312001,10912090-DS-33," ___ - ___ - ___ s/p fluc/vori (completed ___ # CIN II-III s/p LEEP procedure # Strongyloidiasis in" "Correct entity, wrong SNOMED ID","(2884, 2888)","(2884, 2888)",LEEP,LEEP,36899001,86945009,10912090-DS-33,"___ s/p fluc/vori (completed ___ # CIN II-III s/p LEEP procedure # Strongyloidiasis infection, treated" "Correct entity, wrong SNOMED ID","(2889, 2898)","(2889, 2898)",procedure,procedure,387713003,118672003,10912090-DS-33,"/p fluc/vori (completed ___ # CIN II-III s/p LEEP procedure # Strongyloidiasis infection, treated # Bacteri" Wrong span,"(2903, 2919)","(2903, 2929)",Strongyloidiasis,Strongyloidiasis infection,1214006,187174008,10912090-DS-33,"completed ___ # CIN II-III s/p LEEP procedure # Strongyloidiasis infection, treated # Bacterial meningitis, treate" Wrong span,"(2920, 2929)","(2903, 2929)",infection,Strongyloidiasis infection,40733004,187174008,10912090-DS-33,"IN II-III s/p LEEP procedure # Strongyloidiasis infection, treated # Bacterial meningitis, treated # Seizu" "Correct entity, wrong SNOMED ID","(2941, 2961)","(2941, 2961)",Bacterial meningitis,Bacterial meningitis,95883001,1078240001,10912090-DS-33,"ocedure # Strongyloidiasis infection, treated # Bacterial meningitis, treated # Seizure # Depression # Gastritis s" "Correct entity, wrong SNOMED ID","(2974, 2981)","(2974, 2981)",Seizure,Seizure,91175000,29753000,10912090-DS-33,"ction, treated # Bacterial meningitis, treated # Seizure # Depression # Gastritis secondary to H. Pylor" "Correct entity, wrong SNOMED ID","(2985, 2995)","(2985, 2995)",Depression,Depression,35489007,26141007,10912090-DS-33,"ted # Bacterial meningitis, treated # Seizure # Depression # Gastritis secondary to H. Pylori # Nephroli" Wrong span,"(3000, 3033)","(3000, 3009)",Gastritis secondary to H. Pylori ,Gastritis,708164002,1086791000119100,10912090-DS-33," meningitis, treated # Seizure # Depression # Gastritis secondary to H. Pylori # Nephrolithiasis # Cervical spondylosis # M" "Correct entity, wrong SNOMED ID","(3037, 3052)","(3037, 3052)",Nephrolithiasis,Nephrolithiasis,95570007,1056501000112102,10912090-DS-33,"pression # Gastritis secondary to H. Pylori # Nephrolithiasis # Cervical spondylosis # Migraines # Genita" "Correct entity, wrong SNOMED ID","(3057, 3077)","(3057, 3077)",Cervical spondylosis,Cervical spondylosis,387800004,1156963006,10912090-DS-33,"is secondary to H. Pylori # Nephrolithiasis # Cervical spondylosis # Migraines # Genital and vaginal condyloma " "Correct entity, wrong SNOMED ID","(3082, 3091)","(3082, 3091)",Migraines,Migraines,37796009,193039006,10912090-DS-33," # Nephrolithiasis # Cervical spondylosis # Migraines # Genital and vaginal condyloma # L CTS # S/p" "Correct entity, wrong SNOMED ID","(3108, 3125)","(3108, 3125)",vaginal condyloma,vaginal condyloma,399599006,1197222007,10912090-DS-33,"ervical spondylosis # Migraines # Genital and vaginal condyloma # L CTS # S/p open CCY # h/o R Bell's palsy #" "Correct entity, wrong SNOMED ID","(3132, 3135)","(3132, 3135)",CTS,CTS,57406009,282108002,10912090-DS-33,"Migraines # Genital and vaginal condyloma # L CTS # S/p open CCY # h/o R Bell's palsy # diverticu" "Correct entity, wrong SNOMED ID","(3147, 3150)","(3147, 3150)",CCY,CCY,38102005,258773002,10912090-DS-33,"enital and vaginal condyloma # L CTS # S/p open CCY # h/o R Bell's palsy # diverticulitis with micr" "Correct entity, wrong SNOMED ID","(3176, 3190)","(3176, 3190)",diverticulitis,diverticulitis,307496006,2091005,10912090-DS-33," # L CTS # S/p open CCY # h/o R Bell's palsy # diverticulitis with microperforation Social History: ___ Fam" "Correct entity, wrong SNOMED ID","(3265, 3273)","(3265, 3273)",seizures,seizures,91175000,1366362005,10912090-DS-33," Social History: ___ Family History: Sister with seizures, father with stroke. Mother with HTN. Physical" "Correct entity, wrong SNOMED ID","(3287, 3293)","(3287, 3293)",stroke,stroke,230690007,422504002,10912090-DS-33,"Family History: Sister with seizures, father with stroke. Mother with HTN. Physical Exam: ADMISSION PH" "Correct entity, wrong SNOMED ID","(3308, 3311)","(3308, 3311)",HTN,HTN,38341003,10725009,10912090-DS-33,"r with seizures, father with stroke. Mother with HTN. Physical Exam: ADMISSION PHYSICAL EXAM: (___)" "Correct entity, wrong SNOMED ID","(3341, 3354)","(3341, 3354)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,10912090-DS-33,"ke. Mother with HTN. Physical Exam: ADMISSION PHYSICAL EXAM: (___) Vital Signs: 100.8 119/66 104 20 100 RA " "Correct entity, wrong SNOMED ID","(3363, 3374)","(3363, 3374)",Vital Signs,Vital Signs,118227000,72970002,10912090-DS-33," Physical Exam: ADMISSION PHYSICAL EXAM: (___) Vital Signs: 100.8 119/66 104 20 100 RA General: Tired, rest" "Correct entity, wrong SNOMED ID","(3400, 3402)","(3400, 3402)",RA,RA,722742002,463051000124105,10912090-DS-33,"EXAM: (___) Vital Signs: 100.8 119/66 104 20 100 RA General: Tired, resting in bed, feeling cold, no" "Correct entity, wrong SNOMED ID","(3404, 3411)","(3404, 3411)",General,General,162673000,252398009,10912090-DS-33,": (___) Vital Signs: 100.8 119/66 104 20 100 RA General: Tired, resting in bed, feeling cold, nondiaphore" Missed entity,"(3413, 3418)",,Tired,,224960004,,10912090-DS-33,"Vital Signs: 100.8 119/66 104 20 100 RA General: Tired, resting in bed, feeling cold, nondiaphoretic, N" Wrong span,"(3420, 3434)","(3420, 3427)",resting in bed,resting,17535004,707708005,10912090-DS-33,"igns: 100.8 119/66 104 20 100 RA General: Tired, resting in bed, feeling cold, nondiaphoretic, NAD HEENT: Scler" Wrong span,"(3436, 3448)","(3444, 3448)",feeling cold,cold,724233009,80585000,10912090-DS-33,"66 104 20 100 RA General: Tired, resting in bed, feeling cold, nondiaphoretic, NAD HEENT: Sclerae anicteric, " Wrong span,"(3453, 3464)","(3450, 3464)",diaphoretic,nondiaphoretic,52613005,441380004,10912090-DS-33," General: Tired, resting in bed, feeling cold, nondiaphoretic, NAD HEENT: Sclerae anicteric, MMM, oropharynx " "Correct entity, wrong SNOMED ID","(3467, 3470)","(3467, 3470)",NAD,NAD,281900007,131143000,10912090-DS-33,"d, resting in bed, feeling cold, nondiaphoretic, NAD HEENT: Sclerae anicteric, MMM, oropharynx clear," "Correct entity, wrong SNOMED ID","(3472, 3477)","(3472, 3477)",HEENT,HEENT,5880005,113665002,10912090-DS-33,"sting in bed, feeling cold, nondiaphoretic, NAD HEENT: Sclerae anicteric, MMM, oropharynx clear, EOMI, " "Correct entity, wrong SNOMED ID","(3479, 3496)","(3479, 3496)",Sclerae anicteric,Sclerae anicteric,427801009,704978005,10912090-DS-33,"n bed, feeling cold, nondiaphoretic, NAD HEENT: Sclerae anicteric, MMM, oropharynx clear, EOMI, PERRL, neck supple" "Correct entity, wrong SNOMED ID","(3498, 3501)","(3498, 3501)",MMM,MMM,276398005,258673006,10912090-DS-33,", nondiaphoretic, NAD HEENT: Sclerae anicteric, MMM, oropharynx clear, EOMI, PERRL, neck supple, JVP" "Correct entity, wrong SNOMED ID","(3503, 3519)","(3503, 3519)",oropharynx clear,oropharynx clear,300280008,426547004,10912090-DS-33,"diaphoretic, NAD HEENT: Sclerae anicteric, MMM, oropharynx clear, EOMI, PERRL, neck supple, JVP not elevated, no " "Correct entity, wrong SNOMED ID","(3521, 3525)","(3521, 3525)",EOMI,EOMI,103251002,67099000,10912090-DS-33," HEENT: Sclerae anicteric, MMM, oropharynx clear, EOMI, PERRL, neck supple, JVP not elevated, no LAD " "Correct entity, wrong SNOMED ID","(3527, 3532)","(3527, 3532)",PERRL,PERRL,386666001,431291005,10912090-DS-33,": Sclerae anicteric, MMM, oropharynx clear, EOMI, PERRL, neck supple, JVP not elevated, no LAD CV: Re" "Correct entity, wrong SNOMED ID","(3540, 3546)","(3540, 3546)",supple,supple,298475003,116121000,10912090-DS-33,"cteric, MMM, oropharynx clear, EOMI, PERRL, neck supple, JVP not elevated, no LAD CV: Regular rate and" "Correct entity, wrong SNOMED ID","(3548, 3564)","(3548, 3564)",JVP not elevated,JVP not elevated,369001,248729008,10912090-DS-33,"MMM, oropharynx clear, EOMI, PERRL, neck supple, JVP not elevated, no LAD CV: Regular rate and rhythm, normal S1" "Correct entity, wrong SNOMED ID","(3569, 3572)","(3569, 3572)",LAD,LAD,30746006,1010291002,10912090-DS-33,", EOMI, PERRL, neck supple, JVP not elevated, no LAD CV: Regular rate and rhythm, normal S1 + S2, n" "Correct entity, wrong SNOMED ID","(3576, 3578)","(3576, 3578)",CV,CV,363003006,258773002,10912090-DS-33," PERRL, neck supple, JVP not elevated, no LAD CV: Regular rate and rhythm, normal S1 + S2, no murm" "Correct entity, wrong SNOMED ID","(3580, 3603)","(3580, 3603)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,10912090-DS-33,"RL, neck supple, JVP not elevated, no LAD CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Lu" "Correct entity, wrong SNOMED ID","(3605, 3614)","(3605, 3614)",normal S1,normal S1,26198000,167242001,10912090-DS-33," elevated, no LAD CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear " "Correct entity, wrong SNOMED ID","(3617, 3619)","(3617, 3619)",S2,S2,111974005,81170007,10912090-DS-33,"o LAD CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to au" "Correct entity, wrong SNOMED ID","(3624, 3631)","(3624, 3631)",murmurs,murmurs,414786004,248699005,10912090-DS-33," CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to auscultation b" "Correct entity, wrong SNOMED ID","(3640, 3647)","(3640, 3647)",gallops,gallops,2170000,4592006,10912090-DS-33,"te and rhythm, normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to auscultation bilaterally, no w" "Correct entity, wrong SNOMED ID","(3651, 3656)","(3651, 3656)",Lungs,Lungs,268925001,74101002,10912090-DS-33,"hm, normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to auscultation bilaterally, no wheezes, r" "Correct entity, wrong SNOMED ID","(3696, 3703)","(3696, 3703)",wheezes,wheezes,56018004,9763007,10912090-DS-33,"s Lungs: Clear to auscultation bilaterally, no wheezes, rales, rhonchi Abdomen: Soft, non-tender, no" "Correct entity, wrong SNOMED ID","(3705, 3710)","(3705, 3710)",rales,rales,48409008,31846006,10912090-DS-33,"s: Clear to auscultation bilaterally, no wheezes, rales, rhonchi Abdomen: Soft, non-tender, non-diste" "Correct entity, wrong SNOMED ID","(3724, 3731)","(3724, 3731)",Abdomen,Abdomen,225162003,41931001,10912090-DS-33,"ation bilaterally, no wheezes, rales, rhonchi Abdomen: Soft, non-tender, non-distended, bowel sounds pr" "Correct entity, wrong SNOMED ID","(3739, 3749)","(3739, 3749)",non-tender,non-tender,43478001,298741000,10912090-DS-33,"ly, no wheezes, rales, rhonchi Abdomen: Soft, non-tender, non-distended, bowel sounds present, no organom" "Correct entity, wrong SNOMED ID","(3751, 3764)","(3751, 3764)",non-distended,non-distended,300405003,162069004,10912090-DS-33,"es, rales, rhonchi Abdomen: Soft, non-tender, non-distended, bowel sounds present, no organomegaly, no rebou" "Correct entity, wrong SNOMED ID","(3766, 3786)","(3766, 3786)",bowel sounds present,bowel sounds present,61539000,444685004,10912090-DS-33,"nchi Abdomen: Soft, non-tender, non-distended, bowel sounds present, no organomegaly, no rebound or guarding GU: " "Correct entity, wrong SNOMED ID","(3809, 3816)","(3809, 3816)",rebound,rebound,35611005,844584001,10912090-DS-33,"ended, bowel sounds present, no organomegaly, no rebound or guarding GU: No foley Ext: Warm, well pe" "Correct entity, wrong SNOMED ID","(3832, 3834)","(3832, 3834)",GU,GU,268945009,77618006,10912090-DS-33,"sent, no organomegaly, no rebound or guarding GU: No foley Ext: Warm, well perfused, 2+ pulses," Missed entity,"(3839, 3844)",,foley,,410024004,,10912090-DS-33,"no organomegaly, no rebound or guarding GU: No foley Ext: Warm, well perfused, 2+ pulses, no clubbi" "Correct entity, wrong SNOMED ID","(3848, 3851)","(3848, 3851)",Ext,Ext,302773001,1489008,10912090-DS-33,"megaly, no rebound or guarding GU: No foley Ext: Warm, well perfused, 2+ pulses, no clubbing, cya" "Correct entity, wrong SNOMED ID","(3853, 3857)","(3853, 3857)",Warm,Warm,102599008,298256005,10912090-DS-33,"y, no rebound or guarding GU: No foley Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis " "Correct entity, wrong SNOMED ID","(3859, 3872)","(3859, 3872)",well perfused,well perfused,1137685003,301121007,10912090-DS-33,"rebound or guarding GU: No foley Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Ne" "Correct entity, wrong SNOMED ID","(3874, 3883)","(3874, 3883)",2+ pulses,2+ pulses,40969002,429784004,10912090-DS-33,"ding GU: No foley Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNII-X" "Correct entity, wrong SNOMED ID","(3888, 3896)","(3888, 3896)",clubbing,clubbing,367004,247519001,10912090-DS-33," foley Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNII-XII intact, __" "Correct entity, wrong SNOMED ID","(3898, 3906)","(3898, 3906)",cyanosis,cyanosis,3415004,95442007,10912090-DS-33,"Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNII-XII intact, ___ strength" "Correct entity, wrong SNOMED ID","(3911, 3916)","(3911, 3916)",edema,edema,267038008,102576009,10912090-DS-33,"ll perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNII-XII intact, ___ strength upper/low" "Correct entity, wrong SNOMED ID","(3920, 3925)","(3920, 3925)",Neuro,Neuro,84728005,281247006,10912090-DS-33,"ed, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNII-XII intact, ___ strength upper/lower extrem" Wrong span,"(3927, 3931)","(3927, 3942)",CNII,CNII-XII intact,18234004,408755005,10912090-DS-33,"pulses, no clubbing, cyanosis or edema Neuro: CNII-XII intact, ___ strength upper/lower extremities," Wrong span,"(3932, 3942)","(3927, 3942)",XII intact,CNII-XII intact,823978007,408755005,10912090-DS-33,"s, no clubbing, cyanosis or edema Neuro: CNII-XII intact, ___ strength upper/lower extremities, grossly n" "Correct entity, wrong SNOMED ID","(3957, 3962)","(3957, 3962)",upper,upper,53120007,102558002,10912090-DS-33,"or edema Neuro: CNII-XII intact, ___ strength upper/lower extremities, grossly normal sensation, 2+ " "Correct entity, wrong SNOMED ID","(3963, 3980)","(3963, 3980)",lower extremities,lower extremities,61685007,58517005,10912090-DS-33,"ema Neuro: CNII-XII intact, ___ strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilateral" "Correct entity, wrong SNOMED ID","(3991, 4007)","(3991, 4007)",normal sensation,normal sensation,299956006,422015002,10912090-DS-33,"t, ___ strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred. Skin:" Wrong span,"(4009, 4020)","(4009, 4030)",2+ reflexes,2+ reflexes bilateral,102981005,1366519005,10912090-DS-33,"per/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred. Skin: No rashes. " "Correct entity, wrong SNOMED ID","(4052, 4056)","(4052, 4056)",Skin,Skin,271303006,444884003,10912090-DS-33,"ation, 2+ reflexes bilaterally, gait deferred. Skin: No rashes. ON DISCHARGE: (___) GENERAL: NAD, w" "Correct entity, wrong SNOMED ID","(4061, 4067)","(4061, 4067)",rashes,rashes,271807003,247472004,10912090-DS-33," reflexes bilaterally, gait deferred. Skin: No rashes. ON DISCHARGE: (___) GENERAL: NAD, warm HEENT:" "Correct entity, wrong SNOMED ID","(4091, 4098)","(4091, 4098)",GENERAL,GENERAL,162673000,252398009,10912090-DS-33,"eferred. Skin: No rashes. ON DISCHARGE: (___) GENERAL: NAD, warm HEENT: anicteric sclera, pink conjunc" "Correct entity, wrong SNOMED ID","(4100, 4103)","(4100, 4103)",NAD,NAD,281900007,131143000,10912090-DS-33," Skin: No rashes. ON DISCHARGE: (___) GENERAL: NAD, warm HEENT: anicteric sclera, pink conjunctiva," "Correct entity, wrong SNOMED ID","(4105, 4109)","(4105, 4109)",warm,warm,102599008,298256005,10912090-DS-33,"n: No rashes. ON DISCHARGE: (___) GENERAL: NAD, warm HEENT: anicteric sclera, pink conjunctiva, mmm " "Correct entity, wrong SNOMED ID","(4111, 4116)","(4111, 4116)",HEENT,HEENT,5880005,113665002,10912090-DS-33,"rashes. ON DISCHARGE: (___) GENERAL: NAD, warm HEENT: anicteric sclera, pink conjunctiva, mmm HEART: " "Correct entity, wrong SNOMED ID","(4118, 4134)","(4118, 4134)",anicteric sclera,anicteric sclera,427801009,470731000124100,10912090-DS-33," ON DISCHARGE: (___) GENERAL: NAD, warm HEENT: anicteric sclera, pink conjunctiva, mmm HEART: RRR, S1/S2, no mur" "Correct entity, wrong SNOMED ID","(4136, 4152)","(4136, 4152)",pink conjunctiva,pink conjunctiva,193894004,111825008,10912090-DS-33,"__) GENERAL: NAD, warm HEENT: anicteric sclera, pink conjunctiva, mmm HEART: RRR, S1/S2, no murmurs, gallops, or " "Correct entity, wrong SNOMED ID","(4154, 4157)","(4154, 4157)",mmm,mmm,276398005,258673006,10912090-DS-33," warm HEENT: anicteric sclera, pink conjunctiva, mmm HEART: RRR, S1/S2, no murmurs, gallops, or rubs " "Correct entity, wrong SNOMED ID","(4159, 4164)","(4159, 4164)",HEART,HEART,363003006,226984005,10912090-DS-33," HEENT: anicteric sclera, pink conjunctiva, mmm HEART: RRR, S1/S2, no murmurs, gallops, or rubs LUNG" "Correct entity, wrong SNOMED ID","(4166, 4169)","(4166, 4169)",RRR,RRR,76863003,129960002,10912090-DS-33,": anicteric sclera, pink conjunctiva, mmm HEART: RRR, S1/S2, no murmurs, gallops, or rubs LUNGS: br" "Correct entity, wrong SNOMED ID","(4174, 4176)","(4174, 4176)",S2,S2,111974005,81170007,10912090-DS-33,"ric sclera, pink conjunctiva, mmm HEART: RRR, S1/S2, no murmurs, gallops, or rubs LUNGS: breathing" "Correct entity, wrong SNOMED ID","(4181, 4188)","(4181, 4188)",murmurs,murmurs,414786004,248699005,10912090-DS-33,"era, pink conjunctiva, mmm HEART: RRR, S1/S2, no murmurs, gallops, or rubs LUNGS: breathing comfortably" "Correct entity, wrong SNOMED ID","(4190, 4197)","(4190, 4197)",gallops,gallops,2170000,4592006,10912090-DS-33," conjunctiva, mmm HEART: RRR, S1/S2, no murmurs, gallops, or rubs LUNGS: breathing comfortably without " "Correct entity, wrong SNOMED ID","(4210, 4215)","(4210, 4215)",LUNGS,LUNGS,268925001,74101002,10912090-DS-33,"EART: RRR, S1/S2, no murmurs, gallops, or rubs LUNGS: breathing comfortably without use of accessory m" "Correct entity, wrong SNOMED ID","(4217, 4238)","(4217, 4238)",breathing comfortably,breathing comfortably,276362002,288842000,10912090-DS-33,"RR, S1/S2, no murmurs, gallops, or rubs LUNGS: breathing comfortably without use of accessory muscles, CTAB, resonant " "Correct entity, wrong SNOMED ID","(4254, 4271)","(4254, 4271)",accessory muscles,accessory muscles,50847000,1264025001,10912090-DS-33,"bs LUNGS: breathing comfortably without use of accessory muscles, CTAB, resonant to percussion ___, no wheezes/ cr" "Correct entity, wrong SNOMED ID","(4273, 4277)","(4273, 4277)",CTAB,CTAB,48348007,112188007,10912090-DS-33,"ing comfortably without use of accessory muscles, CTAB, resonant to percussion ___, no wheezes/ crackles" "Correct entity, wrong SNOMED ID","(4291, 4301)","(4291, 4301)",percussion,percussion,75180006,182618007,10912090-DS-33,"thout use of accessory muscles, CTAB, resonant to percussion ___, no wheezes/ crackles/ rhonchi/ dullness ABD" "Correct entity, wrong SNOMED ID","(4310, 4317)","(4310, 4317)",wheezes,wheezes,56018004,9763007,10912090-DS-33,"ory muscles, CTAB, resonant to percussion ___, no wheezes/ crackles/ rhonchi/ dullness ABDOMEN: nondistend" "Correct entity, wrong SNOMED ID","(4348, 4355)","(4348, 4355)",ABDOMEN,ABDOMEN,225162003,41931001,10912090-DS-33,"ion ___, no wheezes/ crackles/ rhonchi/ dullness ABDOMEN: nondistended, +BS, nontender in all quadrants, n" "Correct entity, wrong SNOMED ID","(4357, 4369)","(4357, 4369)",nondistended,nondistended,300405003,441380004,10912090-DS-33,"no wheezes/ crackles/ rhonchi/ dullness ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guar" "Correct entity, wrong SNOMED ID","(4371, 4374)","(4371, 4374)",+BS,+BS,61539000,260347006,10912090-DS-33,"ackles/ rhonchi/ dullness ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding," "Correct entity, wrong SNOMED ID","(4376, 4385)","(4376, 4385)",nontender,nontender,43478001,413319007,10912090-DS-33,"s/ rhonchi/ dullness ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepatos" "Correct entity, wrong SNOMED ID","(4407, 4414)","(4407, 4414)",rebound,rebound,35611005,844584001,10912090-DS-33,"nondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly, well-healed chol" "Correct entity, wrong SNOMED ID","(4428, 4446)","(4428, 4446)",hepatosplenomegaly,hepatosplenomegaly,36760000,80378000,10912090-DS-33,"ntender in all quadrants, no rebound/guarding, no hepatosplenomegaly, well-healed cholecystectomy scar RUQ EXTREMITIE" "Correct entity, wrong SNOMED ID","(4460, 4475)","(4460, 4475)",cholecystectomy,cholecystectomy,38102005,428882003,10912090-DS-33,"ound/guarding, no hepatosplenomegaly, well-healed cholecystectomy scar RUQ EXTREMITIES: no cyanosis, clubbing or e" Missed entity,"(4476, 4480)",,scar,,12402003,,10912090-DS-33,"o hepatosplenomegaly, well-healed cholecystectomy scar RUQ EXTREMITIES: no cyanosis, clubbing or edema," "Correct entity, wrong SNOMED ID","(4481, 4484)","(4481, 4484)",RUQ,RUQ,50519007,65826004,10912090-DS-33,"atosplenomegaly, well-healed cholecystectomy scar RUQ EXTREMITIES: no cyanosis, clubbing or edema, mov" "Correct entity, wrong SNOMED ID","(4486, 4497)","(4486, 4497)",EXTREMITIES,EXTREMITIES,302773001,248416007,10912090-DS-33,"lenomegaly, well-healed cholecystectomy scar RUQ EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 ext" "Correct entity, wrong SNOMED ID","(4502, 4510)","(4502, 4510)",cyanosis,cyanosis,3415004,95442007,10912090-DS-33,"-healed cholecystectomy scar RUQ EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with" "Correct entity, wrong SNOMED ID","(4512, 4520)","(4512, 4520)",clubbing,clubbing,367004,30760008,10912090-DS-33,"olecystectomy scar RUQ EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose, " "Correct entity, wrong SNOMED ID","(4524, 4529)","(4524, 4529)",edema,edema,267038008,102576009,10912090-DS-33,"y scar RUQ EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose, no pittin" "Correct entity, wrong SNOMED ID","(4531, 4555)","(4531, 4555)","moving all 4 extremities","moving all 4 extremities",284137004,364892002,10912090-DS-33,"RUQ EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose, no pitting edema ___ NEURO: aler" Wrong span,"(4581, 4586)","(4573, 4586)",edema,pitting edema,267038008,445281006,10912090-DS-33,"moving all 4 extremities with purpose, no pitting edema ___ NEURO: alert & oriented, grossly moving al" "Correct entity, wrong SNOMED ID","(4594, 4599)","(4594, 4599)",NEURO,NEURO,84728005,281247006,10912090-DS-33,"extremities with purpose, no pitting edema ___ NEURO: alert & oriented, grossly moving all 4 extremiti" "Correct entity, wrong SNOMED ID","(4601, 4606)","(4601, 4606)",alert,alert,248234008,409787004,10912090-DS-33,"ties with purpose, no pitting edema ___ NEURO: alert & oriented, grossly moving all 4 extremities with" "Correct entity, wrong SNOMED ID","(4609, 4617)","(4609, 4617)",oriented,oriented,247663003,787379002,10912090-DS-33,"h purpose, no pitting edema ___ NEURO: alert & oriented, grossly moving all 4 extremities with purpose, s" "Correct entity, wrong SNOMED ID","(4627, 4651)","(4627, 4651)",moving all 4 extremities,moving all 4 extremities,284137004,364892002,10912090-DS-33,"ing edema ___ NEURO: alert & oriented, grossly moving all 4 extremities with purpose, strength ___ UE/ ___ SKIN: Erythem" Missed entity,"(4679, 4681)",,UE,,53120007,,10912090-DS-33,"ving all 4 extremities with purpose, strength ___ UE/ ___ SKIN: Erythematous flush ___ cheeks- decrea" "Correct entity, wrong SNOMED ID","(4688, 4692)","(4688, 4692)",SKIN,SKIN,271303006,444884003,10912090-DS-33,"4 extremities with purpose, strength ___ UE/ ___ SKIN: Erythematous flush ___ cheeks- decreased, no oth" "Correct entity, wrong SNOMED ID","(4694, 4706)","(4694, 4706)",Erythematous,Erythematous,247441003,723166008,10912090-DS-33,"emities with purpose, strength ___ UE/ ___ SKIN: Erythematous flush ___ cheeks- decreased, no other rashes or s" Missed entity,"(4707, 4712)",,flush,,271811009,,10912090-DS-33,"purpose, strength ___ UE/ ___ SKIN: Erythematous flush ___ cheeks- decreased, no other rashes or skin fi" "Correct entity, wrong SNOMED ID","(4717, 4723)","(4717, 4723)",cheeks,cheeks,60819002,51057008,10912090-DS-33,"trength ___ UE/ ___ SKIN: Erythematous flush ___ cheeks- decreased, no other rashes or skin findings else" "Correct entity, wrong SNOMED ID","(4745, 4751)","(4745, 4751)",rashes,rashes,271807003,247472004,10912090-DS-33,"rythematous flush ___ cheeks- decreased, no other rashes or skin findings elsewhere Pertinent Results: " Wrong span,"(4755, 4768)","(4755, 4759)",skin findings,skin,106076001,444884003,10912090-DS-33,"s flush ___ cheeks- decreased, no other rashes or skin findings elsewhere Pertinent Results: ADMISSION LABS: =" "Correct entity, wrong SNOMED ID","(4850, 4853)","(4850, 4853)",WBC,WBC,767002,391558003,10912090-DS-33," ADMISSION LABS: ================= ___ 08:42AM WBC-4.5 LYMPH-30 ABS LYMPH-1350 CD3-48 ABS CD3-642 " "Correct entity, wrong SNOMED ID","(4969, 4974)","(4969, 4974)",NEUTS,NEUTS,30630007,271035003,10912090-DS-33,"3* CD8-35 ABS CD8-471 CD4/CD8-0.26* ___ 08:42AM NEUTS-52.2 ___ MONOS-13.0 EOS-4.0 BASOS-0.4 IM ___ Abs" "Correct entity, wrong SNOMED ID","(4984, 4989)","(4984, 4989)",MONOS,MONOS,67776007,462791000124108,10912090-DS-33,"D8-471 CD4/CD8-0.26* ___ 08:42AM NEUTS-52.2 ___ MONOS-13.0 EOS-4.0 BASOS-0.4 IM ___ AbsNeut-2.32 AbsLy" "Correct entity, wrong SNOMED ID","(4995, 4998)","(4995, 4998)",EOS,EOS,71960002,67099000,10912090-DS-33,"CD8-0.26* ___ 08:42AM NEUTS-52.2 ___ MONOS-13.0 EOS-4.0 BASOS-0.4 IM ___ AbsNeut-2.32 AbsLymp-1.32 A" "Correct entity, wrong SNOMED ID","(5100, 5103)","(5100, 5103)",WBC,WBC,767002,391558003,10912090-DS-33,"Mono-0.58 AbsEos-0.18 AbsBaso-0.02 ___ 08:42AM WBC-4.5 RBC-3.31* HGB-10.0* HCT-31.3* MCV-95 MCH-30." "Correct entity, wrong SNOMED ID","(5108, 5111)","(5108, 5111)",RBC,RBC,14089001,258759006,10912090-DS-33,"8 AbsEos-0.18 AbsBaso-0.02 ___ 08:42AM WBC-4.5 RBC-3.31* HGB-10.0* HCT-31.3* MCV-95 MCH-30.2 MCHC-3" "Correct entity, wrong SNOMED ID","(5118, 5121)","(5118, 5121)",HGB,HGB,441689006,104142005,10912090-DS-33,"0.18 AbsBaso-0.02 ___ 08:42AM WBC-4.5 RBC-3.31* HGB-10.0* HCT-31.3* MCV-95 MCH-30.2 MCHC-31.9* RDW-1" "Correct entity, wrong SNOMED ID","(5128, 5131)","(5128, 5131)",HCT,HCT,28317006,840276005,10912090-DS-33,"so-0.02 ___ 08:42AM WBC-4.5 RBC-3.31* HGB-10.0* HCT-31.3* MCV-95 MCH-30.2 MCHC-31.9* RDW-14.6 RDWSD-" Missed entity,"(5138, 5141)",,MCV,,104133003,,10912090-DS-33,"_ 08:42AM WBC-4.5 RBC-3.31* HGB-10.0* HCT-31.3* MCV-95 MCH-30.2 MCHC-31.9* RDW-14.6 RDWSD-50.8* ___ " "Correct entity, wrong SNOMED ID","(5155, 5159)","(5155, 5159)",MCHC,MCHC,37254006,735147002,10912090-DS-33,".5 RBC-3.31* HGB-10.0* HCT-31.3* MCV-95 MCH-30.2 MCHC-31.9* RDW-14.6 RDWSD-50.8* ___ 11:31PM ___ PTT-" "Correct entity, wrong SNOMED ID","(5166, 5169)","(5166, 5169)",RDW,RDW,66842004,735149004,10912090-DS-33,"* HGB-10.0* HCT-31.3* MCV-95 MCH-30.2 MCHC-31.9* RDW-14.6 RDWSD-50.8* ___ 11:31PM ___ PTT-26.7 ___ _" "Correct entity, wrong SNOMED ID","(5175, 5180)","(5175, 5180)",RDWSD,RDWSD,66842004,80328002,10912090-DS-33,"0* HCT-31.3* MCV-95 MCH-30.2 MCHC-31.9* RDW-14.6 RDWSD-50.8* ___ 11:31PM ___ PTT-26.7 ___ ___ 08:42AM " "Correct entity, wrong SNOMED ID","(5205, 5208)","(5205, 5208)",PTT,PTT,42525009,282119004,10912090-DS-33,"MCHC-31.9* RDW-14.6 RDWSD-50.8* ___ 11:31PM ___ PTT-26.7 ___ ___ 08:42AM GLUCOSE-92 UREA N-21* CREA" "Correct entity, wrong SNOMED ID","(5232, 5239)","(5232, 5239)",GLUCOSE,GLUCOSE,33747003,72191006,10912090-DS-33,"0.8* ___ 11:31PM ___ PTT-26.7 ___ ___ 08:42AM GLUCOSE-92 UREA N-21* CREAT-1.2* SODIUM-138 POTASSIUM-4." "Correct entity, wrong SNOMED ID","(5254, 5259)","(5254, 5259)",CREAT,CREAT,70901006,365756002,10912090-DS-33," PTT-26.7 ___ ___ 08:42AM GLUCOSE-92 UREA N-21* CREAT-1.2* SODIUM-138 POTASSIUM-4.6 CHLORIDE-103 TOTAL" "Correct entity, wrong SNOMED ID","(5265, 5271)","(5265, 5271)",SODIUM,SODIUM,25197003,104934005,10912090-DS-33,"__ ___ 08:42AM GLUCOSE-92 UREA N-21* CREAT-1.2* SODIUM-138 POTASSIUM-4.6 CHLORIDE-103 TOTAL CO2-20* ANI" "Correct entity, wrong SNOMED ID","(5277, 5286)","(5277, 5286)",POTASSIUM,POTASSIUM,59573005,1149432009,10912090-DS-33,"AM GLUCOSE-92 UREA N-21* CREAT-1.2* SODIUM-138 POTASSIUM-4.6 CHLORIDE-103 TOTAL CO2-20* ANION GAP-15 ___ 0" "Correct entity, wrong SNOMED ID","(5291, 5299)","(5291, 5299)",CHLORIDE,CHLORIDE,104589004,108447000,10912090-DS-33,"2 UREA N-21* CREAT-1.2* SODIUM-138 POTASSIUM-4.6 CHLORIDE-103 TOTAL CO2-20* ANION GAP-15 ___ 08:42AM ALBU" "Correct entity, wrong SNOMED ID","(5318, 5327)","(5318, 5327)",ANION GAP,ANION GAP,25469001,237854004,10912090-DS-33,"IUM-138 POTASSIUM-4.6 CHLORIDE-103 TOTAL CO2-20* ANION GAP-15 ___ 08:42AM ALBUMIN-3.6 CALCIUM-9.1 PHOSPHAT" "Correct entity, wrong SNOMED ID","(5345, 5352)","(5345, 5352)",ALBUMIN,ALBUMIN,26758005,166804009,10912090-DS-33,"RIDE-103 TOTAL CO2-20* ANION GAP-15 ___ 08:42AM ALBUMIN-3.6 CALCIUM-9.1 PHOSPHATE-4.4 MAGNESIUM-1.7 ___ " "Correct entity, wrong SNOMED ID","(5357, 5364)","(5357, 5364)",CALCIUM,CALCIUM,312472004,108601004,10912090-DS-33,"AL CO2-20* ANION GAP-15 ___ 08:42AM ALBUMIN-3.6 CALCIUM-9.1 PHOSPHATE-4.4 MAGNESIUM-1.7 ___ 08:42AM AL" "Correct entity, wrong SNOMED ID","(5412, 5415)","(5412, 5415)",ALT,ALT,34608000,56935002,10912090-DS-33,"UM-9.1 PHOSPHATE-4.4 MAGNESIUM-1.7 ___ 08:42AM ALT(SGPT)-24 AST(SGOT)-44* ALK PHOS-116* TOT BILI-0." "Correct entity, wrong SNOMED ID","(5425, 5428)","(5425, 5428)",AST,AST,45896001,85043005,10912090-DS-33,"ATE-4.4 MAGNESIUM-1.7 ___ 08:42AM ALT(SGPT)-24 AST(SGOT)-44* ALK PHOS-116* TOT BILI-0.3 ___ 08:42AM" "Correct entity, wrong SNOMED ID","(5443, 5447)","(5443, 5447)",PHOS,PHOS,104868000,168075002,10912090-DS-33,"-1.7 ___ 08:42AM ALT(SGPT)-24 AST(SGOT)-44* ALK PHOS-116* TOT BILI-0.3 ___ 08:42AM LIPASE-130* ___ " "Correct entity, wrong SNOMED ID","(5685, 5688)","(5685, 5688)",RBC,RBC,14089001,258759006,10912090-DS-33,"TECT ___ 10:55AM CEREBROSPINAL FLUID (CSF) TNC-1 RBC-1 POLYS-0 ___ ___ 10:55AM CEREBROSPINAL FLUID (C" "Correct entity, wrong SNOMED ID","(5743, 5750)","(5743, 5750)",PROTEIN,PROTEIN,57378007,764892007,10912090-DS-33,"LYS-0 ___ ___ 10:55AM CEREBROSPINAL FLUID (CSF) PROTEIN-37 GLUCOSE-49 ___ 06:05PM URINE COLOR-Yellow AP" "Correct entity, wrong SNOMED ID","(5785, 5790)","(5785, 5790)",COLOR,COLOR,107650008,1004164008,10912090-DS-33," (CSF) PROTEIN-37 GLUCOSE-49 ___ 06:05PM URINE COLOR-Yellow APPEAR-Hazy* SP ___ ___ 06:05PM URINE BLO" "Correct entity, wrong SNOMED ID","(5860, 5867)","(5860, 5867)",PROTEIN,PROTEIN,57378007,764892007,10912090-DS-33," SP ___ ___ 06:05PM URINE BLOOD-MOD* NITRITE-NEG PROTEIN-100* GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBIL" "Correct entity, wrong SNOMED ID","(5886, 5892)","(5886, 5892)",KETONE,KETONE,47615003,256048004,10912090-DS-33," BLOOD-MOD* NITRITE-NEG PROTEIN-100* GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 LEUK-NEG " "Correct entity, wrong SNOMED ID","(5897, 5906)","(5897, 5906)",BILIRUBIN,BILIRUBIN,359992002,359986008,10912090-DS-33," NITRITE-NEG PROTEIN-100* GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 LEUK-NEG ___ 06:05PM UR" "Correct entity, wrong SNOMED ID","(5925, 5927)","(5925, 5927)",PH,PH,81065003,264912003,10912090-DS-33,"LUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 LEUK-NEG ___ 06:05PM URINE RBC-34* WBC-4 BA" "Correct entity, wrong SNOMED ID","(5961, 5964)","(5961, 5964)",RBC,RBC,14089001,258759006,10912090-DS-33,"UROBILNGN-NEG PH-6.0 LEUK-NEG ___ 06:05PM URINE RBC-34* WBC-4 BACTERIA-FEW* YEAST-NONE EPI-0 ___ 06:" "Correct entity, wrong SNOMED ID","(5969, 5972)","(5969, 5972)",WBC,WBC,767002,391558003,10912090-DS-33,"N-NEG PH-6.0 LEUK-NEG ___ 06:05PM URINE RBC-34* WBC-4 BACTERIA-FEW* YEAST-NONE EPI-0 ___ 06:05PM URI" Missed entity,"(5991, 5994)",,AST,,45896001,,10912090-DS-33," ___ 06:05PM URINE RBC-34* WBC-4 BACTERIA-FEW* YEAST-NONE EPI-0 ___ 06:05PM URINE GRANULAR-1* HYALIN" Wrong span,"(7685, 7710)","(7685, 7698)",Urine culture - No growth,Urine culture,167568007,117010004,10912090-DS-33,"(final) ___ Blood culture - No growth (final) ___ Urine culture - No growth (final) ___ Toxoplasma IgG and IgM - negative ___" "Correct entity, wrong SNOMED ID","(7840, 7853)","(7840, 7853)",Blood culture,Blood culture,30088009,8730001000004107,10912090-DS-33,"gen - negative ___ Nasal MRSA screen negative ___ Blood culture fungal/AFB - No growth to date (preliminary) ___ " "Correct entity, wrong SNOMED ID","(8015, 8028)","(8015, 8028)",Blood culture,Blood culture,30088009,8730001000004107,10912090-DS-33,"n negative ___ stool C. diff antigen negative ___ Blood culture - No growth to date (preliminary) ___ Stool cultu" "Correct entity, wrong SNOMED ID","(8404, 8414)","(8404, 8414)",GRAM STAIN,GRAM STAIN,62777006,104200004,10912090-DS-33,"SF;SPINAL FLUID Source: LP CSF TUBE #3. GRAM STAIN (Final ___: NO POLYMORPHONUCLEAR LEUKOCYTE" Wrong span,"(8699, 8706)","(8692, 8706)",CULTURE,FUNGAL CULTURE,61594008,121239002,10912090-DS-33,"UID CULTURE (Final ___: NO GROWTH. FUNGAL CULTURE (Preliminary): NO FUNGUS ISOLATED. Anaplasma" Missed entity,"(8728, 8743)",,FUNGUS ISOLATED,,168216004,,10912090-DS-33," GROWTH. FUNGAL CULTURE (Preliminary): NO FUNGUS ISOLATED. Anaplasma pending Lyme pending SIGNIFICANT IM" Wrong span,"(8822, 8846)","(8822, 8829)",Head CT without Contrast,Head CT,383371000119108,303653007,10912090-DS-33,"nding SIGNIFICANT IMAGING: ================= ___ Head CT without Contrast IMPRESSION: 1. No evidence of an acute intracrani" "Correct entity, wrong SNOMED ID","(8862, 8873)","(8862, 8873)",No evidence,No evidence,281900007,41647002,10912090-DS-33,"===== ___ Head CT without Contrast IMPRESSION: 1. No evidence of an acute intracranial abnormality. 2. Slightly" Wrong span,"(8886, 8898)","(8886, 8910)",intracranial,intracranial abnormality,128319008,93468003,10912090-DS-33,"t Contrast IMPRESSION: 1. No evidence of an acute intracranial abnormality. 2. Slightly prominent ventricles and" Wrong span,"(8899, 8910)","(8886, 8910)",abnormality,intracranial abnormality,281900007,93468003,10912090-DS-33,"PRESSION: 1. No evidence of an acute intracranial abnormality. 2. Slightly prominent ventricles and sulci for t" "Correct entity, wrong SNOMED ID","(8934, 8944)","(8934, 8944)",ventricles,ventricles,35764002,91746003,10912090-DS-33,"e intracranial abnormality. 2. Slightly prominent ventricles and sulci for the patient's age, likely related " Missed entity,"(8949, 8954)",,sulci,,72078007,,10912090-DS-33,"abnormality. 2. Slightly prominent ventricles and sulci for the patient's age, likely related with the H" "Correct entity, wrong SNOMED ID","(9221, 9229)","(9221, 9229)",vascular,vascular,59820001,238460009,10912090-DS-33,"ilhouette is stable. No evidence of appreciable vascular congestion, pleural effusion, or acute focal pneu" "Correct entity, wrong SNOMED ID","(9230, 9240)","(9230, 9240)",congestion,congestion,85804007,68235000,10912090-DS-33," is stable. No evidence of appreciable vascular congestion, pleural effusion, or acute focal pneumonia. Evid" "Correct entity, wrong SNOMED ID","(9242, 9258)","(9242, 9258)",pleural effusion,pleural effusion,60046008,1366511008,10912090-DS-33," No evidence of appreciable vascular congestion, pleural effusion, or acute focal pneumonia. Evidence of previous c" Wrong span,"(9269, 9284)","(9275, 9284)",focal pneumonia,pneumonia,123590007,415125002,10912090-DS-33,"e vascular congestion, pleural effusion, or acute focal pneumonia. Evidence of previous cholecystectomy clips in th" "Correct entity, wrong SNOMED ID","(9307, 9322)","(9307, 9322)",cholecystectomy,cholecystectomy,38102005,428882003,10912090-DS-33,"n, or acute focal pneumonia. Evidence of previous cholecystectomy clips in the right upper quadrant of the abdomen" Wrong span,"(9336, 9372)","(9336, 9357)","right upper quadrant of the abdomen","right upper quadrant",50519007,255497008,10912090-DS-33,"Evidence of previous cholecystectomy clips in the right upper quadrant of the abdomen. ___ Transthoracic Echo CONCLUSIONS: The left at" Wrong span,"(9379, 9397)","(9379, 9392)",Transthoracic Echo,Transthoracic,433236007,55872002,10912090-DS-33,"in the right upper quadrant of the abdomen. ___ Transthoracic Echo CONCLUSIONS: The left atrial volume index is mode" "Correct entity, wrong SNOMED ID","(9415, 9426)","(9415, 9426)",left atrial,left atrial,82471001,244387002,10912090-DS-33,"abdomen. ___ Transthoracic Echo CONCLUSIONS: The left atrial volume index is moderately increased. Left ventr" Wrong span,"(9466, 9487)","(9466, 9499)",Left ventricular wall,Left ventricular wall thicknesses,87878005,250926001,10912090-DS-33,"eft atrial volume index is moderately increased. Left ventricular wall thicknesses and cavity size are normal. There is" Wrong span,"(9488, 9499)","(9466, 9499)",thicknesses,Left ventricular wall thicknesses,36506006,250926001,10912090-DS-33,"x is moderately increased. Left ventricular wall thicknesses and cavity size are normal. There is moderate gl" Wrong span,"(9504, 9510)","(9504, 9527)",cavity,"cavity size are normal",737551008,162010006,10912090-DS-33," increased. Left ventricular wall thicknesses and cavity size are normal. There is moderate global left v" Wrong span,"(9554, 9570)","(9554, 9582)",left ventricular,left ventricular hypokinesis,87878005,38161000087105,10912090-DS-33,"cavity size are normal. There is moderate global left ventricular hypokinesis. [Intrinsic left ventricular systoli" Wrong span,"(9596, 9656)","(9596, 9630)","left ventricular systolic function is likely more depressed",left ventricular systolic function,371862006,1001000124104,10912090-DS-33," global left ventricular hypokinesis. [Intrinsic left ventricular systolic function is likely more depressed given the severity of valvular regurgitation.] Q" "Correct entity, wrong SNOMED ID","(9679, 9701)","(9679, 9701)",valvular regurgitation,valvular regurgitation,10337008,1131009,10912090-DS-33,"n is likely more depressed given the severity of valvular regurgitation.] Quantitative (3D) LVEF = 37%. Right ventricula" Wrong span,"(9735, 9760)","(9735, 9776)",Right ventricular chamber,"Right ventricular chamber size is normal",53085002,165043001,10912090-DS-33,"ar regurgitation.] Quantitative (3D) LVEF = 37%. Right ventricular chamber size is normal; there is mild free wall hypokine" Wrong span,"(9797, 9801)","(9792, 9813)",wall,free wall hypokinesis,272657006,371868005,10912090-DS-33,"cular chamber size is normal; there is mild free wall hypokinesis. The diameters of aorta at the sinus" Wrong span,"(9833, 9851)","(9833, 9845)",aorta at the sinus,aorta at the,81128002,81817003,10912090-DS-33," is mild free wall hypokinesis. The diameters of aorta at the sinus, ascending and arch levels are normal. The aorti" "Correct entity, wrong SNOMED ID","(9853, 9862)","(9853, 9862)",ascending,ascending,54247002,83711003,10912090-DS-33,"ypokinesis. The diameters of aorta at the sinus, ascending and arch levels are normal. The aortic valve lea" "Correct entity, wrong SNOMED ID","(9960, 9967)","(9960, 9967)",leaflet,leaflet,6530003,699117005,10912090-DS-33,"eaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regur" "Correct entity, wrong SNOMED ID","(9985, 10000)","(9985, 10000)",aortic stenosis,aortic stenosis,60573004,233863001,10912090-DS-33,"urally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. There is no aortic valv" "Correct entity, wrong SNOMED ID","(10004, 10025)","(10004, 10025)","aortic regurgitation","aortic regurgitation",60234000,61612001,10912090-DS-33,"good leaflet excursion and no aortic stenosis or aortic regurgitation. There is no aortic valve stenosis. The mitral v" "Correct entity, wrong SNOMED ID","(10039, 10060)","(10039, 10060)",aortic valve stenosis,aortic valve stenosis,60573004,836480008,10912090-DS-33,"ic stenosis or aortic regurgitation. There is no aortic valve stenosis. The mitral valve leaflets are mildly thickened." "Correct entity, wrong SNOMED ID","(10066, 10109)","(10066, 10109)","mitral valve leaflets are mildly thickened","mitral valve leaflets are mildly thickened",448820003,244355000,10912090-DS-33,"rgitation. There is no aortic valve stenosis. The mitral valve leaflets are mildly thickened. No mass or vegetation is seen on the mitral val" "Correct entity, wrong SNOMED ID","(10114, 10118)","(10114, 10118)",mass,mass,4147007,237557003,10912090-DS-33,"e mitral valve leaflets are mildly thickened. No mass or vegetation is seen on the mitral valve. Moder" "Correct entity, wrong SNOMED ID","(10122, 10132)","(10122, 10132)",vegetation,vegetation,363564008,459055004,10912090-DS-33," valve leaflets are mildly thickened. No mass or vegetation is seen on the mitral valve. Moderate to severe " "Correct entity, wrong SNOMED ID","(10149, 10161)","(10149, 10161)",mitral valve,mitral valve,91134007,78196008,10912090-DS-33," thickened. No mass or vegetation is seen on the mitral valve. Moderate to severe (3+) mitral regurgitation is" Missed entity,"(10187, 10208)",,"mitral regurgitation",,48724000,,10912090-DS-33,"seen on the mitral valve. Moderate to severe (3+) mitral regurgitation is seen ___ 0.3 cm2, RV 35 cc/beat). There is mi" Missed entity,"(10230, 10232)",,RV,,53085002,,10912090-DS-33,"e (3+) mitral regurgitation is seen ___ 0.3 cm2, RV 35 cc/beat). There is mild pulmonary artery syst" "Correct entity, wrong SNOMED ID","(10261, 10299)","(10261, 10299)",pulmonary artery systolic hypertension,pulmonary artery systolic hypertension,11399002,840306007,10912090-DS-33," seen ___ 0.3 cm2, RV 35 cc/beat). There is mild pulmonary artery systolic hypertension. No vegetation/mass is seen on the pulmonic valv" "Correct entity, wrong SNOMED ID","(10304, 10314)","(10304, 10314)",vegetation,vegetation,363564008,459055004,10912090-DS-33," mild pulmonary artery systolic hypertension. No vegetation/mass is seen on the pulmonic valve. IMPRESSION:" "Correct entity, wrong SNOMED ID","(10315, 10319)","(10315, 10319)",mass,mass,4147007,237557003,10912090-DS-33,"onary artery systolic hypertension. No vegetation/mass is seen on the pulmonic valve. IMPRESSION: No v" "Correct entity, wrong SNOMED ID","(10336, 10350)","(10336, 10350)",pulmonic valve,pulmonic valve,39057004,31689007,10912090-DS-33," hypertension. No vegetation/mass is seen on the pulmonic valve. IMPRESSION: No vegetations seen. Moderate globa" "Correct entity, wrong SNOMED ID","(10368, 10379)","(10368, 10379)",vegetations,vegetations,363564008,63998007,10912090-DS-33,"s is seen on the pulmonic valve. IMPRESSION: No vegetations seen. Moderate global left ventricular systolic " Missed entity,"(10402, 10440)",,"left ventricular systolic dysfunction",,134401001,,10912090-DS-33," IMPRESSION: No vegetations seen. Moderate global left ventricular systolic dysfunction. Moderate to severe mitral regurgitation. Mild p" Missed entity,"(10461, 10482)",,"mitral regurgitation",,48724000,,10912090-DS-33,"tricular systolic dysfunction. Moderate to severe mitral regurgitation. Mild pulmonary hypertension. DISCHARGE LABS: ==" "Correct entity, wrong SNOMED ID","(10605, 10610)","(10605, 10610)",Fever,Fever,386661006,248430002,10912090-DS-33,"f Hospital Course: ACTIVE ISSUES: ============= #Fever: Initial presentation with Tm 102.9F in the setti" "Correct entity, wrong SNOMED ID","(10696, 10699)","(10696, 10699)",HIV,HIV,86406008,19030005,10912090-DS-33,"F in the setting of an admission CD4 of 123 in a HIV+ patient with poor HAART compliance. Given her " Wrong span,"(10714, 10736)","(10714, 10718)","poor HAART compliance",poor,400978007,62476001,10912090-DS-33,"f an admission CD4 of 123 in a HIV+ patient with poor HAART compliance. Given her history of multiple opportunistic in" Wrong span,"(10769, 10794)","(10784, 10794)","opportunistic infections",infections,61274003,260976002,10912090-DS-33,"HAART compliance. Given her history of multiple opportunistic infections in the past, her presentation was most likely of " "Correct entity, wrong SNOMED ID","(10845, 10855)","(10845, 10855)",infectious,infectious,40733004,366971000119100,10912090-DS-33,"in the past, her presentation was most likely of infectious etiology with a broad differential vs ___. Her " "Correct entity, wrong SNOMED ID","(10996, 11002)","(10996, 11002)",fevers,fevers,386661006,248444008,10912090-DS-33,"eneral medicine on ___, where she began to spike fevers ___, resistant to acetaminophen/ibuprofen. She " "Correct entity, wrong SNOMED ID","(11061, 11072)","(11061, 11072)",tachycardic,tachycardic,3424008,6456007,10912090-DS-33,"istant to acetaminophen/ibuprofen. She was also tachycardic to the 120s, with a RR of 36. She was given dos" Wrong span,"(11094, 11102)","(11094, 11096)",RR of 36,RR,17077006,258702006,10912090-DS-33,"n. She was also tachycardic to the 120s, with a RR of 36. She was given doses of azithromycin, vancomyci" Wrong span,"(11289, 11304)","(11289, 11292)",HSV prophylaxis,HSV,723181002,186538004,10912090-DS-33,"he MICU, she received two doses of acyclovir for HSV prophylaxis. Infectious disease was consulted. She had one e" Wrong span,"(11413, 11424)","(11413, 11418)",fluid bolus,fluid,43060002,25670009,10912090-DS-33," hypotension to SBPs ___ which was responsive to fluid bolus. She was transferred back to the floor on ___ wh" "Correct entity, wrong SNOMED ID","(11477, 11483)","(11477, 11483)",stable,stable,271651005,301459008,10912090-DS-33,"he was transferred back to the floor on ___ when stable. Blood cultures x2 showed no growth. Her UA had " "Correct entity, wrong SNOMED ID","(11485, 11499)","(11485, 11499)",Blood cultures,Blood cultures,30088009,8730001000004107,10912090-DS-33,"ransferred back to the floor on ___ when stable. Blood cultures x2 showed no growth. Her UA had protein and bloo" "Correct entity, wrong SNOMED ID","(11526, 11528)","(11526, 11528)",UA,UA,27171005,257999003,10912090-DS-33," stable. Blood cultures x2 showed no growth. Her UA had protein and blood, and her urine culture show" Wrong span,"(11560, 11591)","(11560, 11573)","urine culture showed no growth",urine culture,167568007,117010004,10912090-DS-33,"no growth. Her UA had protein and blood, and her urine culture showed no growth. CXR was clear, she had a negative respiratory vi" Missed entity,"(11601, 11606)",,clear,,301708006,,10912090-DS-33," and her urine culture showed no growth. CXR was clear, she had a negative respiratory viral panel, leg" "Correct entity, wrong SNOMED ID","(11910, 11921)","(11910, 11921)",CSF culture,CSF culture,252399001,104174003,10912090-DS-33,"ative in serum and CSF. HSV was negative in CSF. CSF culture negative. Head CT was negative for toxoplasma or" Wrong span,"(11972, 11975)","(11972, 11984)",CNS,CNS lymphoma,21483005,307649006,10912090-DS-33,"negative. Head CT was negative for toxoplasma or CNS lymphoma. Serologies were negative for toxoplasm" Wrong span,"(11976, 11984)","(11972, 11984)",lymphoma,CNS lymphoma,118600007,307649006,10912090-DS-33,"tive. Head CT was negative for toxoplasma or CNS lymphoma. Serologies were negative for toxoplasma. Parasi" "Correct entity, wrong SNOMED ID","(12201, 12204)","(12201, 12204)",TTE,TTE,433236007,186378005,10912090-DS-33,"<200 (reference under 200). The patient underwent TTE which was negative for vegetations or myocarditi" "Correct entity, wrong SNOMED ID","(12229, 12240)","(12229, 12240)",vegetations,vegetations,363564008,63998007,10912090-DS-33,"The patient underwent TTE which was negative for vegetations or myocarditis. Diagnostic studies were signific" "Correct entity, wrong SNOMED ID","(12244, 12255)","(12244, 12255)",myocarditis,myocarditis,50920009,1052287002,10912090-DS-33,"erwent TTE which was negative for vegetations or myocarditis. Diagnostic studies were significant for EBV det" "Correct entity, wrong SNOMED ID","(12338, 12356)","(12338, 12356)",infectious disease,infectious disease,40733004,34014006,10912090-DS-33,"icant for EBV detection. Given negative work up, infectious disease believed patient had ___, antibiotics were disco" "Correct entity, wrong SNOMED ID","(12383, 12394)","(12383, 12394)",antibiotics,antibiotics,281789004,372599003,10912090-DS-33," up, infectious disease believed patient had ___, antibiotics were discontinued and patient was monitored and " "Correct entity, wrong SNOMED ID","(12481, 12489)","(12481, 12489)",afebrile,afebrile,386661006,307200007,10912090-DS-33,"onitored and remained hemodynamically stable and afebrile. On discharge, patient feels well with no locali" Missed entity,"(12505, 12524)",,"patient feels well",,267112005,,10912090-DS-33,"emodynamically stable and afebrile. On discharge, patient feels well with no localizing symptoms and back to baseline." "Correct entity, wrong SNOMED ID","(12565, 12573)","(12565, 12573)",baseline,baseline,128974000,129082007,10912090-DS-33,"els well with no localizing symptoms and back to baseline. #HIV: ___ CD4 218 VL7900 ___ CD4 nadir 8, fo" "Correct entity, wrong SNOMED ID","(12580, 12583)","(12580, 12583)",HIV,HIV,86406008,19030005,10912090-DS-33,"no localizing symptoms and back to baseline. #HIV: ___ CD4 218 VL7900 ___ CD4 nadir 8, found to hav" "Correct entity, wrong SNOMED ID","(12799, 12807)","(12799, 12807)",improved,improved,268910001,251359002,10912090-DS-33,"uted to hypotension, on admission 1.2, peak 1.6, improved after fluids to 1.4. Consider rechecking Cr in 1 " "Correct entity, wrong SNOMED ID","(12814, 12820)","(12814, 12820)",fluids,fluids,711133000,25670009,10912090-DS-33,"sion, on admission 1.2, peak 1.6, improved after fluids to 1.4. Consider rechecking Cr in 1 week. CHRONI" "Correct entity, wrong SNOMED ID","(12898, 12904)","(12898, 12904)",CHFrEF,CHFrEF,42343007,88805009,10912090-DS-33," Cr in 1 week. CHRONIC ISSUES: ================ #CHFrEF: Held metop in the setting of sepsis initially, H" "Correct entity, wrong SNOMED ID","(12935, 12941)","(12935, 12941)",sepsis,sepsis,91302008,233795005,10912090-DS-33,"=========== #CHFrEF: Held metop in the setting of sepsis initially, HR after stabilized are in 60-70s so " "Correct entity, wrong SNOMED ID","(12953, 12955)","(12953, 12955)",HR,HR,301113001,258702006,10912090-DS-33,"F: Held metop in the setting of sepsis initially, HR after stabilized are in 60-70s so held on discha" "Correct entity, wrong SNOMED ID","(13108, 13117)","(13108, 13117)",pressures,pressures,135840009,263644009,10912090-DS-33,"eld given hypotension. After patient stabilized, pressures remained 110-120s so they were held on discharge" "Correct entity, wrong SNOMED ID","(13172, 13182)","(13172, 13182)",Depression,Depression,35489007,26141007,10912090-DS-33,"ined 110-120s so they were held on discharge. #Depression: Continued home paroxetine #Ppx: Continued home " "Correct entity, wrong SNOMED ID","(13260, 13271)","(13260, 13271)",CMV viremia,CMV viremia,1085381000119108,370979009,10912090-DS-33," #Ppx: Continued home Bactrim, Azithromycin #H/o CMV viremia: Continued home valganciclovir TRANSITIONAL ISSU" "Correct entity, wrong SNOMED ID","(13479, 13481)","(13479, 13481)",MR,MR,48724000,1380161007,10912090-DS-33,"tting of ___ with EF 37% with moderate to severe MR, mild pulmonary HTN, compared to prior studies, M" Wrong span,"(13483, 13501)","(13483, 13487)",mild pulmonary HTN,mild,840306007,162468002,10912090-DS-33,"g of ___ with EF 37% with moderate to severe MR, mild pulmonary HTN, compared to prior studies, MR has worsened - __" "Correct entity, wrong SNOMED ID","(13530, 13532)","(13530, 13532)",MR,MR,48724000,1380161007,10912090-DS-33,"R, mild pulmonary HTN, compared to prior studies, MR has worsened - ___ hydralazine, metoprolol and i" Wrong span,"(13611, 13633)","(13611, 13626)",blood pressures stable,blood pressures,271651005,12763006,10912090-DS-33,"ine, metoprolol and isosorbide mononitrate given blood pressures stable at 110-120s Medications on Admission: The Prea" Missed entity,"(14292, 14294)",,mg,,271285000,,10912090-DS-33,"ing 14. Prezcobix (darunavir-cobicistat) 800-150 mg-mg oral DAILY 15. Omeprazole 40 mg PO BID 16. S" Missed entity,"(14763, 14765)",,mg,,271285000,,10912090-DS-33,"LY 8. Prezcobix (darunavir-cobicistat) 800-150 mg-mg oral DAILY 9. Sulfameth/Trimethoprim DS 1 T" "Correct entity, wrong SNOMED ID","(15159, 15176)","(15159, 15176)",Home With Service,Home With Service,385783005,710242005,10912090-DS-33,"you talk to your doctor Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Primary di" "Correct entity, wrong SNOMED ID","(15268, 15272)","(15268, 15272)",AIDs,AIDs,62479008,183135000,10912090-DS-33,"imary diagnosis ------------------ ___ ___ virus AIDs Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(15297, 15310)","(15297, 15310)",Mental Status,Mental Status,392257007,419284004,10912090-DS-33,"----- ___ ___ virus AIDs Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(15312, 15317)","(15312, 15317)",Clear,Clear,48348007,281278005,10912090-DS-33,"virus AIDs Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(15332, 15354)","(15332, 15354)",Level of Consciousness,Level of Consciousness,444714004,830285008,10912090-DS-33,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(15356, 15361)","(15356, 15361)",Alert,Alert,248234008,409787004,10912090-DS-33,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(15379, 15394)","(15379, 15394)",Activity Status,Activity Status,129676008,397622007,10912090-DS-33,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(15396, 15420)","(15396, 15420)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,10912090-DS-33,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, WHY WE" "Correct entity, wrong SNOMED ID","(15518, 15524)","(15518, 15524)",fevers,fevers,386661006,248444008,10912090-DS-33,"WERE YOU ADMITTED?: You were admitted to ___ with fevers and body aches. WHAT HAPPENED WHILE YOU WERE IN" "Correct entity, wrong SNOMED ID","(15615, 15624)","(15615, 15624)",infection,infection,40733004,260976002,10912090-DS-33,"U WERE IN THE HOSPITAL?: - We thought you had an infection and did testing to identify a cause. - You requi" "Correct entity, wrong SNOMED ID","(15765, 15782)","(15765, 15782)",high temperatures,high temperatures,386661006,217592001,10912090-DS-33,"re Unit) when you started to look very sick with high temperatures (___), high heart rate (>120), and high respirat" "Correct entity, wrong SNOMED ID","(15791, 15806)","(15791, 15806)",high heart rate,high heart rate,3424008,289438002,10912090-DS-33," to look very sick with high temperatures (___), high heart rate (>120), and high respiratory rate (>36) - We moni" "Correct entity, wrong SNOMED ID","(15819, 15840)","(15819, 15840)",high respiratory rate,high respiratory rate,17077006,408867002,10912090-DS-33," temperatures (___), high heart rate (>120), and high respiratory rate (>36) - We monitored you closely and gave you ant" "Correct entity, wrong SNOMED ID","(15887, 15898)","(15887, 15898)",antibiotics,antibiotics,281789004,372599003,10912090-DS-33,"ate (>36) - We monitored you closely and gave you antibiotics to cover for any infection. The infectious team " "Correct entity, wrong SNOMED ID","(15917, 15926)","(15917, 15926)",infection,infection,40733004,260976002,10912090-DS-33,"losely and gave you antibiotics to cover for any infection. The infectious team was consulted. - All your b" "Correct entity, wrong SNOMED ID","(15975, 15986)","(15975, 15986)",blood tests,blood tests,396550006,275707000,10912090-DS-33,"n. The infectious team was consulted. - All your blood tests and scans came back negative and reassuring exce" "Correct entity, wrong SNOMED ID","(16253, 16258)","(16253, 16258)",fever,fever,386661006,416113008,10912090-DS-33,"EAVE THE HOSPITAL: - We believe your symptoms of fever, fatigue and not feeling well was because your b" "Correct entity, wrong SNOMED ID","(16260, 16267)","(16260, 16267)",fatigue,fatigue,84229001,1141720008,10912090-DS-33,"E HOSPITAL: - We believe your symptoms of fever, fatigue and not feeling well was because your body was m" Missed entity,"(16272, 16289)",,"not feeling well",,367391008,,10912090-DS-33," - We believe your symptoms of fever, fatigue and not feeling well was because your body was mounting a response to " Wrong span,"(16374, 16377)","(16374, 16389)",HIV,HIV medications,86406008,428681000124109,10912090-DS-33," a response to the ___ virus. This can happen on HIV medications when your immune system becomes stro" "Correct entity, wrong SNOMED ID","(16447, 16491)","(16447, 16491)","Immune Reconstitution Inflammatory Syndrome","Immune Reconstitution Inflammatory Syndrome",714464009,426202004,10912090-DS-33,"ur immune system becomes stronger. It is called ""Immune Reconstitution Inflammatory Syndrome"". Your HIV medications are working and you shoul" Wrong span,"(16499, 16502)","(16499, 16514)",HIV,HIV medications,86406008,428681000124109,10912090-DS-33,"mune Reconstitution Inflammatory Syndrome"". Your HIV medications are working and you should continue " Wrong span,"(16503, 16514)","(16499, 16514)",medications,HIV medications,967006,428681000124109,10912090-DS-33," Reconstitution Inflammatory Syndrome"". Your HIV medications are working and you should continue taking them " "Correct entity, wrong SNOMED ID","(16678, 16683)","(16678, 16683)",fever,fever,386661006,248430002,10912090-DS-33,"that we have made, listed below - If you develop fever, body aches, shortness of breath, nausea, vomiti" "Correct entity, wrong SNOMED ID","(16697, 16716)","(16697, 16716)",shortness of breath,shortness of breath,267036007,135833008,10912090-DS-33," listed below - If you develop fever, body aches, shortness of breath, nausea, vomiting please call your doctor. It" "Correct entity, wrong SNOMED ID","(16718, 16735)","(16718, 16735)","nausea, vomiting","nausea, vomiting",16932000,698861005,10912090-DS-33,"u develop fever, body aches, shortness of breath, nausea, vomiting please call your doctor. It was a pleasure car" Missed entity,"(16805, 16814)",,follow up,,183616001,,10912090-DS-33,"ctor. It was a pleasure caring for you. Please follow up with your primary care doctor below. Wishing y" False positive,,"(199, 208)",,Neurontin,,128391007,10960609-DS-16,"Service: ORTHOPAEDICS Allergies: Penicillins / Neurontin Attending: ___. Chief Complaint: right knee p" False positive,,"(595, 616)",,"total knee prosthesis",,314581007,10960609-DS-16,"___. We see a lot of increased tracer around the total knee prosthesis on both the femoral and the tibial component, mor" False positive,,"(629, 636)",,femoral,,45689001,10960609-DS-16,"acer around the total knee prosthesis on both the femoral and the tibial component, more on the tibia. Thi" False positive,,"(789, 793)",,scan,,77477000,10960609-DS-16," are picking up tracer on all three phases of the scan. As I noted in my prior visits, aspiration of th" False positive,,"(918, 935)",,white blood cells,,165543009,10960609-DS-16,"ign in final culture results and in the number of white blood cells but that certainly cannot rule out osteomyelitis" False positive,,"(1117, 1124)",,radiolu,,1304212007,10960609-DS-16,"f surgeries she has been through, the progressive radiolucency seen on plain film and now with the bone sca" False positive,,"(1256, 1262)",,remove,,450831000124105,10960609-DS-16,"with a two-stage resection arthroplasty. We will remove her entire prosthesis. Because she is quite stif" False positive,,"(1274, 1284)",,prosthesis,,405424002,10960609-DS-16,"esection arthroplasty. We will remove her entire prosthesis. Because she is quite stiff and has had the prio" False positive,,"(1374, 1387)",,translocation,,15897004,10960609-DS-16,"d the prior osteotomy of the tibial tubercle with translocation and has retained hardware including some broken " False positive,,"(1397, 1405)",,retained,,1172951004,10960609-DS-16,"f the tibial tubercle with translocation and has retained hardware including some broken hardware quite pos" False positive,,"(1430, 1445)",,broken hardware,,1354565009,10960609-DS-16,"ocation and has retained hardware including some broken hardware quite possibly at surgery, need to take down the " False positive,,"(1464, 1471)",,surgery,,110473004,10960609-DS-16," including some broken hardware quite possibly at surgery, need to take down the osteotomy, remove the har" False positive,,"(1506, 1512)",,remove,,450831000124105,10960609-DS-16,"ibly at surgery, need to take down the osteotomy, remove the hardware, remove all the implants, and fresh" False positive,,"(1691, 1701)",,antibiotic,,68322007,10960609-DS-16,"otal knee replacement 8 weeks later after interim antibiotic spacer and IV antibiotics. Even if she comes bac" False positive,,"(2235, 2243)",,implants,,260846005,10960609-DS-16,"t certainly may be a problem later. Longevity of implants in the setting of prior osteomyelitis presumptive" False positive,,"(2360, 2369)",,extremity,,61685007,10960609-DS-16,"lish. She will not be able to weightbear on this extremity for 8 weeks until it is re-implanted. She does u" False positive,,"(3254, 3267)",,physical exam,,410182004,10960609-DS-16," neuropathy. Physical Exam: Physical Exam: On physical exam, she appears with a cane today (she was using cru" False positive,,"(4378, 4388)",,vancomycin,,42082003,10960609-DS-16,"see op report for details. ID: Pt was started on vancomycin IV post-op, ID was consulted on POD1. A UA/UCx " False positive,,"(4468, 4478)",,transfused,,260791009,10960609-DS-16,"on POD1. A UA/UCx was (-) on POD1. Heme: Pt was transfused 2U PRBCs for a Hct of 27.3 on POD1, and another " False positive,,"(4482, 4487)",,PRBCs,,258759006,10960609-DS-16,"A/UCx was (-) on POD1. Heme: Pt was transfused 2U PRBCs for a Hct of 27.3 on POD1, and another 2U PRBCs " False positive,,"(4531, 4536)",,PRBCs,,258759006,10960609-DS-16," PRBCs for a Hct of 27.3 on POD1, and another 2U PRBCs on POD2 for a Hct of 26.9. Her Hct was 28.8 on " False positive,,"(4569, 4572)",,Hct,,282660005,10960609-DS-16," another 2U PRBCs on POD2 for a Hct of 26.9. Her Hct was 28.8 on POD3. Activity: NWB RLE with knee lo" False positive,,"(4592, 4600)",,Activity,,280147009,10960609-DS-16,"D2 for a Hct of 26.9. Her Hct was 28.8 on POD3. Activity: NWB RLE with knee locked in extension throughout" False positive,,"(4769, 4783)",,foley catheter,,23973005,10960609-DS-16,"erated regular diet in-house, no issues TLD: Pt's foley catheter and hemovac drain were both d/c'd on POD2; she h" False positive,,"(4788, 4801)",,hemovac drain,,385621003,10960609-DS-16," in-house, no issues TLD: Pt's foley catheter and hemovac drain were both d/c'd on POD2; she had aPICC line plac" False positive,,"(5116, 5126)",,vancomycin,,42082003,10960609-DS-16,"o oxycodone on POD1 Pt was discharged home on IV vancomycin afebrile, with a well-appearing wound, stable, t" False positive,,"(5145, 5149)",,well,,160885004,10960609-DS-16,"ischarged home on IV vancomycin afebrile, with a well-appearing wound, stable, to follow-up with Dr. __" False positive,,"(6935, 6940)",,brace,,228599009,10960609-DS-16,"on-weight bearing on your right leg with the ___ brace on at all times, locked in extension. Physical Th" False positive,,"(6979, 6995)",,Physical Therapy,,183326003,10960609-DS-16," ___ brace on at all times, locked in extension. Physical Therapy: Activity: Activity as tolerated Right lower ex" False positive,,"(7129, 7133)",,knee,,248491001,10960609-DS-16,"rage turn, cough and deep breathe q2h when awake; knee locked in extension @ all times in ___ brace Tr" False positive,,"(7174, 7179)",,brace,,228599009,10960609-DS-16,"ake; knee locked in extension @ all times in ___ brace Treatments Frequency: local wound care with dry " False positive,,"(7284, 7292)",,dressing,,3895009,10960609-DS-16,"le dressings and ACE wrap daily for 1 week, then dressings alone (no ACE wrap) Followup Instructions: ___" "Correct entity, wrong SNOMED ID","(185, 196)","(185, 196)",Penicillins,Penicillins,91936005,11986009,10960609-DS-16," Sex: F Service: ORTHOPAEDICS Allergies: Penicillins / Neurontin Attending: ___. Chief Complaint: " Wrong span,"(246, 256)","(246, 261)",right knee,right knee pain,6757004,49641000087109,10960609-DS-16," / Neurontin Attending: ___. Chief Complaint: right knee pain Major Surgical or Invasive Procedure: ___ " Wrong span,"(257, 261)","(246, 261)",pain,right knee pain,22253000,49641000087109,10960609-DS-16,"n Attending: ___. Chief Complaint: right knee pain Major Surgical or Invasive Procedure: ___ right" Wrong span,"(306, 316)","(306, 339)",right knee,right knee resection arthroplasty,6757004,12001291000119100,10960609-DS-16," pain Major Surgical or Invasive Procedure: ___ right knee resection arthroplasty and placement of antibiot" Wrong span,"(317, 326)","(306, 339)",resection,right knee resection arthroplasty,65801008,12001291000119100,10960609-DS-16,"or Surgical or Invasive Procedure: ___ right knee resection arthroplasty and placement of antibiotic spacer " Wrong span,"(327, 339)","(306, 339)",arthroplasty,right knee resection arthroplasty,442095009,12001291000119100,10960609-DS-16,"l or Invasive Procedure: ___ right knee resection arthroplasty and placement of antibiotic spacer ___ PICC plac" Missed entity,"(344, 375)",,"placement of antibiotic spacer",,427507000,,10960609-DS-16,"cedure: ___ right knee resection arthroplasty and placement of antibiotic spacer ___ PICC placement History of Present Illness:" "Correct entity, wrong SNOMED ID","(380, 394)","(380, 394)",PICC placement,PICC placement,425196008,439414000,10960609-DS-16,"hroplasty and placement of antibiotic spacer ___ PICC placement History of Present Illness: HISTORY OF PRESENT" "Correct entity, wrong SNOMED ID","(645, 651)","(645, 651)",tibial,tibial,71341001,1003515004,10960609-DS-16,"total knee prosthesis on both the femoral and the tibial component, more on the tibia. This is consistent" "Correct entity, wrong SNOMED ID","(707, 716)","(707, 716)",infection,infection,40733004,260976002,10960609-DS-16,"nent, more on the tibia. This is consistent with infection/osteomyelitis since we are picking up tracer on a" "Correct entity, wrong SNOMED ID","(717, 730)","(717, 730)",osteomyelitis,osteomyelitis,60168000,409780002,10960609-DS-16," on the tibia. This is consistent with infection/osteomyelitis since we are picking up tracer on all three phase" Wrong span,"(827, 855)","(827, 849)",aspiration of the knee fluid,aspiration of the knee,281810004,446675002,10960609-DS-16,"ases of the scan. As I noted in my prior visits, aspiration of the knee fluid has been benign in final culture results and in t" "Correct entity, wrong SNOMED ID","(972, 985)","(972, 985)",osteomyelitis,osteomyelitis,60168000,409780002,10960609-DS-16,"e blood cells but that certainly cannot rule out osteomyelitis of the bone, which would be subsynovial. Given h" "Correct entity, wrong SNOMED ID","(1049, 1053)","(1049, 1053)",pain,pain,29857009,102570003,10960609-DS-16,"which would be subsynovial. Given her persistent pain, the number of surgeries she has been through, th" Wrong span,"(1069, 1078)","(1069, 1074)",surgeries,surge,387713003,1348299005,10960609-DS-16,"novial. Given her persistent pain, the number of surgeries she has been through, the progressive radiolucenc" "Correct entity, wrong SNOMED ID","(1138, 1148)","(1138, 1148)","plain film","plain film",168537006,1293073005,10960609-DS-16,"een through, the progressive radiolucency seen on plain film and now with the bone scan, we are going to move " "Correct entity, wrong SNOMED ID","(1223, 1245)","(1223, 1245)",resection arthroplasty,resection arthroplasty,179537001,179540001,10960609-DS-16,"an, we are going to move forward with a two-stage resection arthroplasty. We will remove her entire prosthesis. Because " "Correct entity, wrong SNOMED ID","(1308, 1313)","(1308, 1313)",stiff,stiff,271587009,249918006,10960609-DS-16,"move her entire prosthesis. Because she is quite stiff and has had the prior osteotomy of the tibial tub" "Correct entity, wrong SNOMED ID","(1336, 1345)","(1336, 1345)",osteotomy,osteotomy,150062003,31757006,10960609-DS-16," Because she is quite stiff and has had the prior osteotomy of the tibial tubercle with translocation and ha" "Correct entity, wrong SNOMED ID","(1353, 1368)","(1353, 1368)",tibial tubercle,tibial tubercle,45879002,430506003,10960609-DS-16,"uite stiff and has had the prior osteotomy of the tibial tubercle with translocation and has retained hardware inc" "Correct entity, wrong SNOMED ID","(1495, 1504)","(1495, 1504)",osteotomy,osteotomy,150062003,31757006,10960609-DS-16," quite possibly at surgery, need to take down the osteotomy, remove the hardware, remove all the implants, a" "Correct entity, wrong SNOMED ID","(1572, 1588)","(1572, 1588)",tibial osteotomy,tibial osteotomy,31757006,239312004,10960609-DS-16,"ware, remove all the implants, and freshen up the tibial osteotomy site for a reimplantation at the time she has he" Missed entity,"(1601, 1615)",,reimplantation,,3137001,,10960609-DS-16,", and freshen up the tibial osteotomy site for a reimplantation at the time she has her total knee replacement 8 " "Correct entity, wrong SNOMED ID","(1713, 1727)","(1713, 1727)","IV antibiotics","IV antibiotics",281790008,410573003,10960609-DS-16,"8 weeks later after interim antibiotic spacer and IV antibiotics. Even if she comes back with negative culture on" Wrong span,"(1767, 1774)","(1758, 1774)",culture,negative culture,61594008,307811009,10960609-DS-16,"ntibiotics. Even if she comes back with negative culture on the multiple tibia cultures, I probably would" Wrong span,"(1792, 1797)","(1792, 1806)",tibia,tibia cultures,12611008,31757006,10960609-DS-16,"comes back with negative culture on the multiple tibia cultures, I probably would still want to treat h" Wrong span,"(1798, 1806)","(1792, 1806)",cultures,tibia cultures,61594008,31757006,10960609-DS-16,"back with negative culture on the multiple tibia cultures, I probably would still want to treat her long s" "Correct entity, wrong SNOMED ID","(1870, 1881)","(1870, 1881)",antibiotics,antibiotics,281789004,372599003,10960609-DS-16,"ould still want to treat her long six weeks with antibiotics since there is a high suspicion that there is inf" "Correct entity, wrong SNOMED ID","(1928, 1937)","(1928, 1937)",infection,infection,40733004,260976002,10960609-DS-16,"ics since there is a high suspicion that there is infection even though it is to date eliminated, determinati" Wrong span,"(2062, 2066)","(2062, 2071)",pain,pain free,22253000,279052002,10960609-DS-16,"tands it we cannot guarantee that she will have a pain free knee. It is quite possible that she will al" "Correct entity, wrong SNOMED ID","(2072, 2076)","(2072, 2076)",knee,knee,82169009,248491001,10960609-DS-16,"e cannot guarantee that she will have a pain free knee. It is quite possible that she will always have " "Correct entity, wrong SNOMED ID","(2144, 2148)","(2144, 2148)",knee,knee,82169009,309431009,10960609-DS-16,"sible that she will always have trouble with this knee. She has arthrofibrosis now and that certainly m" "Correct entity, wrong SNOMED ID","(2159, 2173)","(2159, 2173)",arthrofibrosis,arthrofibrosis,72781000119105,16097481000119107,10960609-DS-16,"will always have trouble with this knee. She has arthrofibrosis now and that certainly may be a problem later. L" "Correct entity, wrong SNOMED ID","(2268, 2281)","(2268, 2281)",osteomyelitis,osteomyelitis,60168000,409780002,10960609-DS-16,"er. Longevity of implants in the setting of prior osteomyelitis presumptive is hard to establish. She will not b" "Correct entity, wrong SNOMED ID","(2499, 2503)","(2499, 2503)",knee,knee,82169009,248491001,10960609-DS-16,"ntain some amount of range of motion through the knee, but I do not think she would be a great benefit " Wrong span,"(2726, 2732)","(2716, 2732)",asthma,low-grade asthma,195967001,735589002,10960609-DS-16,". Past Medical History: PMH: She has low-grade asthma, non-insulin-dependent diabetes, and is hypothyro" "Correct entity, wrong SNOMED ID","(2734, 2764)","(2734, 2764)",non-insulin-dependent diabetes,non-insulin-dependent diabetes,44054006,472972006,10960609-DS-16,"t Medical History: PMH: She has low-grade asthma, non-insulin-dependent diabetes, and is hypothyroid. Past Surgical History: As " "Correct entity, wrong SNOMED ID","(2773, 2784)","(2773, 2784)",hypothyroid,hypothyroid,40930008,10753681000119101,10960609-DS-16,"de asthma, non-insulin-dependent diabetes, and is hypothyroid. Past Surgical History: As mentioned above, six" Wrong span,"(2835, 2839)","(2835, 2850)",knee,knee operations,82169009,360336003,10960609-DS-16," Past Surgical History: As mentioned above, six knee operations on the right knee at ___. She has ha" Wrong span,"(2840, 2850)","(2835, 2850)",operations,knee operations,387713003,360336003,10960609-DS-16,"t Surgical History: As mentioned above, six knee operations on the right knee at ___. She has had a left an" "Correct entity, wrong SNOMED ID","(2858, 2868)","(2858, 2868)",right knee,right knee,6757004,778055004,10960609-DS-16,": As mentioned above, six knee operations on the right knee at ___. She has had a left ankle fusion with il" Wrong span,"(2893, 2897)","(2893, 2903)",left,left ankle,368208006,241784008,10960609-DS-16,"rations on the right knee at ___. She has had a left ankle fusion with iliac crest bone graft ___ year" Wrong span,"(2898, 2910)","(2893, 2903)",ankle fusion,left ankle,63513005,241784008,10960609-DS-16,"ns on the right knee at ___. She has had a left ankle fusion with iliac crest bone graft ___ years ago. She h" "Correct entity, wrong SNOMED ID","(2916, 2927)","(2916, 2927)",iliac crest,iliac crest,29850006,1208626003,10960609-DS-16,"ee at ___. She has had a left ankle fusion with iliac crest bone graft ___ years ago. She has also had a par" "Correct entity, wrong SNOMED ID","(2928, 2938)","(2928, 2938)",bone graft,bone graft,80983001,213126000,10960609-DS-16," She has had a left ankle fusion with iliac crest bone graft ___ years ago. She has also had a partial thyroi" Wrong span,"(2982, 2995)","(2974, 2995)",thyroidectomy,partial thyroidectomy,13619001,428486007,10960609-DS-16," graft ___ years ago. She has also had a partial thyroidectomy and a partial salivary gland excision and cholecy" Wrong span,"(3010, 3033)","(3002, 3033)",salivary gland excision,"partial salivary gland excision",71735005,58968004,10960609-DS-16,"as also had a partial thyroidectomy and a partial salivary gland excision and cholecystectomy. Social History: ___ Famil" "Correct entity, wrong SNOMED ID","(3038, 3053)","(3038, 3053)",cholecystectomy,cholecystectomy,38102005,45595009,10960609-DS-16,"dectomy and a partial salivary gland excision and cholecystectomy. Social History: ___ Family History: Family Hi" "Correct entity, wrong SNOMED ID","(3136, 3142)","(3136, 3142)",cancer,cancer,1240414004,34563004,10960609-DS-16,"istory: Family History: Positive for nonspecific cancer, diabetes, heart disease including CAD and hyper" "Correct entity, wrong SNOMED ID","(3144, 3152)","(3144, 3152)",diabetes,diabetes,73211009,9414007,10960609-DS-16,"Family History: Positive for nonspecific cancer, diabetes, heart disease including CAD and hypertension, a" "Correct entity, wrong SNOMED ID","(3155, 3168)","(3155, 3168)","heart disease","heart disease",56265001,127337006,10960609-DS-16,"ory: Positive for nonspecific cancer, diabetes, heart disease including CAD and hypertension, and neuropathy. " "Correct entity, wrong SNOMED ID","(3179, 3182)","(3179, 3182)",CAD,CAD,53741008,84270004,10960609-DS-16,"ecific cancer, diabetes, heart disease including CAD and hypertension, and neuropathy. Physical Exa" "Correct entity, wrong SNOMED ID","(3187, 3199)","(3187, 3199)",hypertension,hypertension,38341003,70995007,10960609-DS-16,"ancer, diabetes, heart disease including CAD and hypertension, and neuropathy. Physical Exam: Physical Exam:" "Correct entity, wrong SNOMED ID","(3205, 3215)","(3205, 3215)",neuropathy,neuropathy,386033004,302226006,10960609-DS-16,"heart disease including CAD and hypertension, and neuropathy. Physical Exam: Physical Exam: On physical ex" Boundary error,"(3235, 3248)","(3235, 3246)",Physical Exam,Physical Ex,5880005,40979000,10960609-DS-16,"d hypertension, and neuropathy. Physical Exam: Physical Exam: On physical exam, she appears with a cane today" "Correct entity, wrong SNOMED ID","(3345, 3349)","(3345, 3349)",knee,knee,82169009,309431009,10960609-DS-16,"day (she was using crutches at prior visit). Her knee is mildly swollen, but not significantly warm to " "Correct entity, wrong SNOMED ID","(3360, 3367)","(3360, 3367)",swollen,swollen,248491001,300890009,10960609-DS-16,"ing crutches at prior visit). Her knee is mildly swollen, but not significantly warm to the touch. The in" "Correct entity, wrong SNOMED ID","(3391, 3395)","(3391, 3395)",warm,warm,102599008,298256005,10960609-DS-16,"Her knee is mildly swollen, but not significantly warm to the touch. The incision is well healed. Her " "Correct entity, wrong SNOMED ID","(3415, 3423)","(3415, 3423)",incision,incision,609343002,119684006,10960609-DS-16,"en, but not significantly warm to the touch. The incision is well healed. Her motion is from approximately" Missed entity,"(3427, 3438)",,well healed,,298006005,,10960609-DS-16,"significantly warm to the touch. The incision is well healed. Her motion is from approximately -10 of extensi" Missed entity,"(3508, 3515)",,flexion,,419196000,,10960609-DS-16,"m approximately -10 of extension to 80 degrees of flexion. She does have pain. There is some tenderness t" "Correct entity, wrong SNOMED ID","(3532, 3536)","(3532, 3536)",pain,pain,22253000,102570003,10960609-DS-16,"xtension to 80 degrees of flexion. She does have pain. There is some tenderness to palpation along the" "Correct entity, wrong SNOMED ID","(3553, 3563)","(3553, 3563)",tenderness,tenderness,247348008,43478001,10960609-DS-16,"s of flexion. She does have pain. There is some tenderness to palpation along the medial aspect of her joint" "Correct entity, wrong SNOMED ID","(3567, 3576)","(3567, 3576)",palpation,palpation,113011001,51558006,10960609-DS-16," She does have pain. There is some tenderness to palpation along the medial aspect of her joint line. Per" Wrong span,"(3608, 3613)","(3608, 3618)",joint,joint line,39352004,272620000,10960609-DS-16,"rness to palpation along the medial aspect of her joint line. Pertinent Results: ___ 05:34PM PLT COU" "Correct entity, wrong SNOMED ID","(3684, 3687)","(3684, 3687)",WBC,WBC,767002,391558003,10960609-DS-16,"esults: ___ 05:34PM PLT COUNT-296 ___ 05:34PM WBC-12.7*# RBC-3.59* HGB-11.6* HCT-32.5* MCV-90 MCH-" "Correct entity, wrong SNOMED ID","(3695, 3698)","(3695, 3698)",RBC,RBC,14089001,258759006,10960609-DS-16," 05:34PM PLT COUNT-296 ___ 05:34PM WBC-12.7*# RBC-3.59* HGB-11.6* HCT-32.5* MCV-90 MCH-32.2* MCHC-" "Correct entity, wrong SNOMED ID","(3705, 3708)","(3705, 3708)",HGB,HGB,441689006,104142005,10960609-DS-16," PLT COUNT-296 ___ 05:34PM WBC-12.7*# RBC-3.59* HGB-11.6* HCT-32.5* MCV-90 MCH-32.2* MCHC-35.6* RDW-" "Correct entity, wrong SNOMED ID","(3715, 3718)","(3715, 3718)",HCT,HCT,28317006,282660005,10960609-DS-16,"-296 ___ 05:34PM WBC-12.7*# RBC-3.59* HGB-11.6* HCT-32.5* MCV-90 MCH-32.2* MCHC-35.6* RDW-13.5 ___ 0" "Correct entity, wrong SNOMED ID","(3743, 3747)","(3743, 3747)",MCHC,MCHC,37254006,735147002,10960609-DS-16,"# RBC-3.59* HGB-11.6* HCT-32.5* MCV-90 MCH-32.2* MCHC-35.6* RDW-13.5 ___ 05:34PM CALCIUM-8.7 PHOSPHAT" "Correct entity, wrong SNOMED ID","(3777, 3784)","(3777, 3784)",CALCIUM,CALCIUM,312472004,108601004,10960609-DS-16,"CV-90 MCH-32.2* MCHC-35.6* RDW-13.5 ___ 05:34PM CALCIUM-8.7 PHOSPHATE-3.9 MAGNESIUM-2.0 ___ 05:34PM est" "Correct entity, wrong SNOMED ID","(3863, 3870)","(3863, 3870)",GLUCOSE,GLUCOSE,33747003,72191006,10960609-DS-16,"2.0 ___ 05:34PM estGFR-Using this ___ 05:34PM GLUCOSE-145* UREA N-9 CREAT-0.7 SODIUM-138 POTASSIUM-4.5" "Correct entity, wrong SNOMED ID","(3885, 3890)","(3885, 3890)",CREAT,CREAT,70901006,413856009,10960609-DS-16,"FR-Using this ___ 05:34PM GLUCOSE-145* UREA N-9 CREAT-0.7 SODIUM-138 POTASSIUM-4.5 CHLORIDE-102 TOTAL " "Correct entity, wrong SNOMED ID","(3895, 3901)","(3895, 3901)",SODIUM,SODIUM,25197003,104934005,10960609-DS-16,"his ___ 05:34PM GLUCOSE-145* UREA N-9 CREAT-0.7 SODIUM-138 POTASSIUM-4.5 CHLORIDE-102 TOTAL CO2-24 ANIO" "Correct entity, wrong SNOMED ID","(3907, 3916)","(3907, 3916)",POTASSIUM,POTASSIUM,59573005,1149432009,10960609-DS-16,"4PM GLUCOSE-145* UREA N-9 CREAT-0.7 SODIUM-138 POTASSIUM-4.5 CHLORIDE-102 TOTAL CO2-24 ANION GAP-17 ___ 06" "Correct entity, wrong SNOMED ID","(3921, 3929)","(3921, 3929)",CHLORIDE,CHLORIDE,104589004,108447000,10960609-DS-16,"145* UREA N-9 CREAT-0.7 SODIUM-138 POTASSIUM-4.5 CHLORIDE-102 TOTAL CO2-24 ANION GAP-17 ___ 06:11AM BLOOD H" "Correct entity, wrong SNOMED ID","(3947, 3956)","(3947, 3956)",ANION GAP,ANION GAP,25469001,237854004,10960609-DS-16,"DIUM-138 POTASSIUM-4.5 CHLORIDE-102 TOTAL CO2-24 ANION GAP-17 ___ 06:11AM BLOOD Hct-28.8* ___ 06:05AM BLOOD " "Correct entity, wrong SNOMED ID","(3978, 3981)","(3978, 3981)",Hct,Hct,28317006,282660005,10960609-DS-16,"E-102 TOTAL CO2-24 ANION GAP-17 ___ 06:11AM BLOOD Hct-28.8* ___ 06:05AM BLOOD Hct-26.9* ___ 05:50AM BLO" "Correct entity, wrong SNOMED ID","(4006, 4009)","(4006, 4009)",Hct,Hct,28317006,282660005,10960609-DS-16,"-17 ___ 06:11AM BLOOD Hct-28.8* ___ 06:05AM BLOOD Hct-26.9* ___ 05:50AM BLOOD WBC-10.2 RBC-2.98* Hgb-9." "Correct entity, wrong SNOMED ID","(4034, 4037)","(4034, 4037)",WBC,WBC,767002,391558003,10960609-DS-16,".8* ___ 06:05AM BLOOD Hct-26.9* ___ 05:50AM BLOOD WBC-10.2 RBC-2.98* Hgb-9.5* Hct-27.3* MCV-92 MCH-31." "Correct entity, wrong SNOMED ID","(4043, 4046)","(4043, 4046)",RBC,RBC,14089001,258759006,10960609-DS-16,"6:05AM BLOOD Hct-26.9* ___ 05:50AM BLOOD WBC-10.2 RBC-2.98* Hgb-9.5* Hct-27.3* MCV-92 MCH-31.9 MCHC-34" "Correct entity, wrong SNOMED ID","(4053, 4056)","(4053, 4056)",Hgb,Hgb,441689006,104142005,10960609-DS-16,"OD Hct-26.9* ___ 05:50AM BLOOD WBC-10.2 RBC-2.98* Hgb-9.5* Hct-27.3* MCV-92 MCH-31.9 MCHC-34.8 RDW-13." "Correct entity, wrong SNOMED ID","(4062, 4065)","(4062, 4065)",Hct,Hct,28317006,282660005,10960609-DS-16,".9* ___ 05:50AM BLOOD WBC-10.2 RBC-2.98* Hgb-9.5* Hct-27.3* MCV-92 MCH-31.9 MCHC-34.8 RDW-13.1 Plt ___" "Correct entity, wrong SNOMED ID","(4089, 4093)","(4089, 4093)",MCHC,MCHC,37254006,735147002,10960609-DS-16,"0.2 RBC-2.98* Hgb-9.5* Hct-27.3* MCV-92 MCH-31.9 MCHC-34.8 RDW-13.1 Plt ___ ___ 05:34PM BLOOD WBC-12.7*" "Correct entity, wrong SNOMED ID","(4134, 4137)","(4134, 4137)",WBC,WBC,767002,391558003,10960609-DS-16,"31.9 MCHC-34.8 RDW-13.1 Plt ___ ___ 05:34PM BLOOD WBC-12.7*# RBC-3.59* Hgb-11.6* Hct-32.5* MCV-90 MCH-" "Correct entity, wrong SNOMED ID","(4145, 4148)","(4145, 4148)",RBC,RBC,14089001,258759006,10960609-DS-16,"4.8 RDW-13.1 Plt ___ ___ 05:34PM BLOOD WBC-12.7*# RBC-3.59* Hgb-11.6* Hct-32.5* MCV-90 MCH-32.2* MCHC-" "Correct entity, wrong SNOMED ID","(4155, 4158)","(4155, 4158)",Hgb,Hgb,441689006,104142005,10960609-DS-16,".1 Plt ___ ___ 05:34PM BLOOD WBC-12.7*# RBC-3.59* Hgb-11.6* Hct-32.5* MCV-90 MCH-32.2* MCHC-35.6* RDW-" "Correct entity, wrong SNOMED ID","(4165, 4168)","(4165, 4168)",Hct,Hct,28317006,282660005,10960609-DS-16," ___ 05:34PM BLOOD WBC-12.7*# RBC-3.59* Hgb-11.6* Hct-32.5* MCV-90 MCH-32.2* MCHC-35.6* RDW-13.5 Plt _" "Correct entity, wrong SNOMED ID","(4193, 4197)","(4193, 4197)",MCHC,MCHC,37254006,735147002,10960609-DS-16,"# RBC-3.59* Hgb-11.6* Hct-32.5* MCV-90 MCH-32.2* MCHC-35.6* RDW-13.5 Plt ___ Brief Hospital Course: P" Missed entity,"(4309, 4318)",,procedure,,71388002,,10960609-DS-16,"ed to the hospital following the above mentioedn procedure - please see op report for details. ID: Pt was s" "Correct entity, wrong SNOMED ID","(4389, 4391)","(4389, 4391)",IV,IV,386358000,258000009,10960609-DS-16,"rt for details. ID: Pt was started on vancomycin IV post-op, ID was consulted on POD1. A UA/UCx was" Missed entity,"(4392, 4399)",,post-op,,19585003,,10960609-DS-16,"for details. ID: Pt was started on vancomycin IV post-op, ID was consulted on POD1. A UA/UCx was (-) on " "Correct entity, wrong SNOMED ID","(4431, 4433)","(4431, 4433)",UA,UA,27171005,257999003,10960609-DS-16,"comycin IV post-op, ID was consulted on POD1. A UA/UCx was (-) on POD1. Heme: Pt was transfused 2U P" "Correct entity, wrong SNOMED ID","(4434, 4437)","(4434, 4437)",UCx,UCx,117010004,257999003,10960609-DS-16,"ycin IV post-op, ID was consulted on POD1. A UA/UCx was (-) on POD1. Heme: Pt was transfused 2U PRBCs" Boundary error,"(4455, 4459)","(4455, 4457)",Heme,He,252275004,89797005,10960609-DS-16,"as consulted on POD1. A UA/UCx was (-) on POD1. Heme: Pt was transfused 2U PRBCs for a Hct of 27.3 on " "Correct entity, wrong SNOMED ID","(4606, 4609)","(4606, 4609)",RLE,RLE,62175007,229042004,10960609-DS-16,"f 26.9. Her Hct was 28.8 on POD3. Activity: NWB RLE with knee locked in extension throughout hospita" "Correct entity, wrong SNOMED ID","(4615, 4619)","(4615, 4619)",knee,knee,82169009,248491001,10960609-DS-16,"Her Hct was 28.8 on POD3. Activity: NWB RLE with knee locked in extension throughout hospitalization, " Missed entity,"(4712, 4714)",,GI,,268937004,,10960609-DS-16,"ation, and she worked with ___ while in-house FEN/GI: tolerated regular diet in-house, no issues TLD: " "Correct entity, wrong SNOMED ID","(4726, 4738)","(4726, 4738)",regular diet,regular diet,36823005,63740007,10960609-DS-16," worked with ___ while in-house FEN/GI: tolerated regular diet in-house, no issues TLD: Pt's foley catheter and " "Correct entity, wrong SNOMED ID","(4868, 4874)","(4868, 4874)",IV abx,IV abx,281790008,169400008,10960609-DS-16,"on POD2; she had aPICC line placed for long-term IV abx on POD1. AC: pt was on lovenox for DVT prophylaxi" "Correct entity, wrong SNOMED ID","(4910, 4925)","(4910, 4925)",DVT prophylaxis,DVT prophylaxis,439993001,787930001,10960609-DS-16,"ng-term IV abx on POD1. AC: pt was on lovenox for DVT prophylaxis while in-house, and was discharged on lovenox as" "Correct entity, wrong SNOMED ID","(4981, 4985)","(4981, 4985)",Pain,Pain,22253000,102570003,10960609-DS-16," in-house, and was discharged on lovenox as well Pain: pain was controlled post-op with a dilaudid PCA," "Correct entity, wrong SNOMED ID","(4987, 5006)","(4987, 5006)",pain was controlled,pain was controlled,1156446004,370778008,10960609-DS-16,"use, and was discharged on lovenox as well Pain: pain was controlled post-op with a dilaudid PCA, and she was transit" Missed entity,"(5031, 5034)",,PCA,,241716000,,10960609-DS-16,"Pain: pain was controlled post-op with a dilaudid PCA, and she was transitioned to po oxycodone on POD" "Correct entity, wrong SNOMED ID","(5113, 5115)","(5113, 5115)",IV,IV,386358000,258000009,10960609-DS-16,"o po oxycodone on POD1 Pt was discharged home on IV vancomycin afebrile, with a well-appearing wound" Missed entity,"(5127, 5135)",,afebrile,,386661006,,10960609-DS-16," on POD1 Pt was discharged home on IV vancomycin afebrile, with a well-appearing wound, stable, to follow-" "Correct entity, wrong SNOMED ID","(5160, 5165)","(5160, 5165)",wound,wound,416462003,35933005,10960609-DS-16,"on IV vancomycin afebrile, with a well-appearing wound, stable, to follow-up with Dr. ___ the ___ Disea" "Correct entity, wrong SNOMED ID","(5167, 5173)","(5167, 5173)",stable,stable,359746009,301459008,10960609-DS-16,"ancomycin afebrile, with a well-appearing wound, stable, to follow-up with Dr. ___ the ___ Disease team." Missed entity,"(5178, 5187)",,follow-up,,183616001,,10960609-DS-16,"febrile, with a well-appearing wound, stable, to follow-up with Dr. ___ the ___ Disease team. Medications" "Correct entity, wrong SNOMED ID","(6475, 6492)","(6475, 6492)",Home With Service,Home With Service,385783005,710242005,10960609-DS-16,"e care as per protocol. Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: right knee" "Correct entity, wrong SNOMED ID","(6532, 6542)","(6532, 6542)",right knee,right knee,6757004,1075551000119102,10960609-DS-16,"th Service Facility: ___ Discharge Diagnosis: right knee prosthetic infection Discharge Condition: stab" "Correct entity, wrong SNOMED ID","(6543, 6563)","(6543, 6563)",prosthetic infection,prosthetic infection,275274007,236729003,10960609-DS-16," Facility: ___ Discharge Diagnosis: right knee prosthetic infection Discharge Condition: stable Discharge Instr" "Correct entity, wrong SNOMED ID","(6588, 6594)","(6588, 6594)",stable,stable,359746009,301459008,10960609-DS-16,"knee prosthetic infection Discharge Condition: stable Discharge Instructions: You should return to t" "Correct entity, wrong SNOMED ID","(6699, 6709)","(6699, 6709)",chest pain,chest pain,29857009,102589003,10960609-DS-16," or call MD if you develop any of the following: chest pain, shortness of preath, severe nausea/vomiting, fe" Wrong span,"(6711, 6730)","(6711, 6727)",shortness of preath,shortness of pre,366135003,230070004,10960609-DS-16,"if you develop any of the following: chest pain, shortness of preath, severe nausea/vomiting, fever greater than 101." "Correct entity, wrong SNOMED ID","(6740, 6755)","(6740, 6755)",nausea/vomiting,nausea/vomiting,16932000,33841007,10960609-DS-16,"llowing: chest pain, shortness of preath, severe nausea/vomiting, fever greater than 101.5F, increased redness or " "Correct entity, wrong SNOMED ID","(6757, 6762)","(6757, 6762)",fever,fever,386661006,248430002,10960609-DS-16,"in, shortness of preath, severe nausea/vomiting, fever greater than 101.5F, increased redness or draina" "Correct entity, wrong SNOMED ID","(6794, 6801)","(6794, 6801)",redness,redness,822962003,1268301006,10960609-DS-16,"ea/vomiting, fever greater than 101.5F, increased redness or drainage from your incision, or any other con" "Correct entity, wrong SNOMED ID","(6806, 6814)","(6806, 6814)",drainage,drainage,75823008,56783008,10960609-DS-16," fever greater than 101.5F, increased redness or drainage from your incision, or any other concerning sympt" "Correct entity, wrong SNOMED ID","(6825, 6833)","(6825, 6833)",incision,incision,609343002,119684006,10960609-DS-16," 101.5F, increased redness or drainage from your incision, or any other concerning symptoms. You should be" "Correct entity, wrong SNOMED ID","(6884, 6902)","(6884, 6902)",non-weight bearing,non-weight bearing,261999007,404920007,10960609-DS-16," or any other concerning symptoms. You should be non-weight bearing on your right leg with the ___ brace on at all t" "Correct entity, wrong SNOMED ID","(6911, 6920)","(6911, 6920)",right leg,right leg,32696007,213289002,10960609-DS-16,"mptoms. You should be non-weight bearing on your right leg with the ___ brace on at all times, locked in ex" Missed entity,"(6997, 7005)",,Activity,,304673006,,10960609-DS-16,"all times, locked in extension. Physical Therapy: Activity: Activity as tolerated Right lower extremity: " Wrong span,"(7008, 7029)","(7008, 7016)",Activity as tolerated,Activity,710883002,280147009,10960609-DS-16,"locked in extension. Physical Therapy: Activity: Activity as tolerated Right lower extremity: Non weight bearing Encou" "Correct entity, wrong SNOMED ID","(7031, 7052)","(7031, 7052)",Right lower extremity,Right lower extremity,62175007,362784000,10960609-DS-16,"ysical Therapy: Activity: Activity as tolerated Right lower extremity: Non weight bearing Encourage turn, cough and de" Missed entity,"(7055, 7073)",,Non weight bearing,,261999007,,10960609-DS-16,": Activity as tolerated Right lower extremity: Non weight bearing Encourage turn, cough and deep breathe q2h when a" "Correct entity, wrong SNOMED ID","(7090, 7112)","(7090, 7112)",cough and deep breathe,cough and deep breathe,371605008,370791009,10960609-DS-16,"er extremity: Non weight bearing Encourage turn, cough and deep breathe q2h when awake; knee locked in extension @ all t" "Correct entity, wrong SNOMED ID","(7209, 7219)","(7209, 7219)",wound care,wound care,225358003,15502008,10960609-DS-16,"l times in ___ brace Treatments Frequency: local wound care with dry sterile dressings and ACE wrap daily fo" False positive,,"(422, 431)",,relapsing,,264498007,10965697-DS-12,"sent Illness: Ms. ___ is a ___ y/o woman with PMH relapsing AML, s/p multiple failed therapies, including al" False positive,,"(562, 565)",,HCC,,718290002,10965697-DS-12," ___, most recently on Cabozatinib as part of DF/HCC Protocol ___: Phase 1 trial of cabozantinib in p" False positive,,"(1024, 1029)",,surge,,1348299005,10965697-DS-12,"tinent Oncologic history (include past therapies, surgeries, etc): Dx with anemia in ___. Seen in follow-" False positive,,"(1119, 1130)",,drop in Hct,,417186004,10965697-DS-12,"in follow-up in ___ and found to have a continued drop in Hct and with an elevated LDH. BM bx revealed AML. In" False positive,,"(2116, 2129)",,translocation,,15897004,10965697-DS-12,"and cytogenetics are now showing the presence of translocation(18;21). Questioning either a second primary mali" False positive,,"(2644, 2655)",,Aspergillus,,413584009,10965697-DS-12," MEC. PAST MEDICAL/SURGICAL HISTORY: - HTN - Aspergillus - On previous admission on ___, dx via CT chest," False positive,,"(2929, 2931)",,St,,51811007,10965697-DS-12,"ed to moxifloxacin in ___. Plan to stop on ___ - Stomatococcus/Fusobacterium Bacteremia likely from d" False positive,,"(3443, 3449)",,oozing,,239164002,10965697-DS-12,"he upper and lower gingiva, associated with some oozing of blood from the gingiva Physical Exam on Disch" False positive,,"(3790, 3802)",,nondistended,,441380004,10965697-DS-12,"o auscultation bilaterally Abd: soft, nontender, nondistended Ext: warm, well perfused, no edema Skin: no rashe" False positive,,"(4070, 4076)",,POLYCH,,28801000087101,10965697-DS-12,"-2+ POIKILOCY-NORMAL MACROCYT-2+ MICROCYT-NORMAL POLYCHROM-NORMAL STIPPLED-OCCASIONAL ___ 11:00AM NEUT" False positive,,"(5360, 5363)",,tTG,,412814003,10965697-DS-12,"-NEGATIVE ___ 12:40AM BLOOD ___ ___ 12:40AM BLOOD tTG-IgA-___HEST WITHOUT CONTRAST ___ 2:21 ___ 1. Sev" False positive,,"(5839, 5846)",,Ectatic,,174637007,10965697-DS-12,"nchanged indeterminate right adrenal lesion. 4. Ectatic ascending aorta is similar to previous exam, mea" False positive,,"(5958, 5964)",,PELVIS,,25990002,10965697-DS-12,"ximately 3.8 cm in greatest dimension. CT ABD & PELVIS WITH CONTRAST ___ 3:50 ___ 1. Colitis involvin" False positive,,"(6034, 6042)",,proximal,,260739009,10965697-DS-12,":50 ___ 1. Colitis involving the ascending and proximal transverse colon, most severe in the proximal tr" False positive,,"(6081, 6084)",,pro,,61765004,10965697-DS-12,"nd proximal transverse colon, most severe in the proximal transverse colon. Most likely etiology is " False positive,,"(6917, 6921)",,Band,,360221003,10965697-DS-12,".2 RDW-14.9 Plt Ct-12* ___ 12:00AM BLOOD Neuts-4* Bands-0 Lymphs-60* Monos-7 Eos-0 Baso-2 ___ Myelos-0 " False positive,,"(7033, 7039)",,NORMAL,,840673007,10965697-DS-12,"__ 12:00AM BLOOD Hypochr-1+ Anisocy-NORMAL Poiklo-NORMAL Macrocy-NORMAL Microcy-NORMAL Polychr-NORMAL ___" False positive,,"(7049, 7054)",,NORMA,,60641004,10965697-DS-12," Hypochr-1+ Anisocy-NORMAL Poiklo-NORMAL Macrocy-NORMAL Microcy-NORMAL Polychr-NORMAL ___ 10:02AM BLOOD " False positive,,"(7064, 7070)",,NORMAL,,840673007,10965697-DS-12,"socy-NORMAL Poiklo-NORMAL Macrocy-NORMAL Microcy-NORMAL Polychr-NORMAL ___ 10:02AM BLOOD Plt Ct-30*# ___ " False positive,,"(7255, 7257)",,Cl,,311741002,10965697-DS-12," BLOOD Glucose-78 UreaN-9 Creat-0.7 Na-141 K-3.5 Cl-104 HCO3-30 AnGap-11 ___ 12:00AM BLOOD ALT-19 AST" False positive,,"(8534, 8544)",,normalized,,165581004,10965697-DS-12,"as removed from the study. Her LFTs subsequently normalized by discharge. She received a repeat bone marrow " False positive,,"(8779, 8785)",,vancom,,294475007,10965697-DS-12,"ile neutropenic. She was started on cefepime and vancomycin. Blood cultures eventually showed no growth." False positive,,"(12121, 12130)",,infection,,260976002,10965697-DS-12," watched you for recovery and treated you for an infection of your abdomen and another infection in your lu" "Correct entity, wrong SNOMED ID","(182, 192)","(182, 192)",lisinopril,lisinopril,410682003,108575001,10965697-DS-12," Sex: F Service: MEDICINE Allergies: lisinopril / chlorhexidine Attending: ___ Chief Complain" "Correct entity, wrong SNOMED ID","(195, 208)","(195, 208)",chlorhexidine,chlorhexidine,294431008,96316004,10965697-DS-12," F Service: MEDICINE Allergies: lisinopril / chlorhexidine Attending: ___ Chief Complaint: Leukocytosis," "Correct entity, wrong SNOMED ID","(245, 257)","(245, 257)",Leukocytosis,Leukocytosis,111583006,65209002,10965697-DS-12,"chlorhexidine Attending: ___ Chief Complaint: Leukocytosis, mucosal bleeding Major Surgical or Invasive Pr" "Correct entity, wrong SNOMED ID","(259, 275)","(259, 275)",mucosal bleeding,mucosal bleeding,249418002,307296008,10965697-DS-12," Attending: ___ Chief Complaint: Leukocytosis, mucosal bleeding Major Surgical or Invasive Procedure: PICC in R" "Correct entity, wrong SNOMED ID","(316, 320)","(316, 320)",PICC,PICC,1021000119106,422380005,10965697-DS-12," bleeding Major Surgical or Invasive Procedure: PICC in Right Basilic Vein (Placed ___ History of P" Wrong span,"(330, 342)","(324, 342)",Basilic Vein,Right Basilic Vein,19715009,181393008,10965697-DS-12,"jor Surgical or Invasive Procedure: PICC in Right Basilic Vein (Placed ___ History of Present Illness: Ms. __" Missed entity,"(344, 350)",,Placed,,782902008,,10965697-DS-12,"r Invasive Procedure: PICC in Right Basilic Vein (Placed ___ History of Present Illness: Ms. ___ is a _" "Correct entity, wrong SNOMED ID","(432, 435)","(432, 435)",AML,AML,1162928000,14317002,10965697-DS-12,"ss: Ms. ___ is a ___ y/o woman with PMH relapsing AML, s/p multiple failed therapies, including alloge" Missed entity,"(458, 467)",,therapies,,276239002,,10965697-DS-12,"oman with PMH relapsing AML, s/p multiple failed therapies, including allogenic stem cell transplant in ___" "Correct entity, wrong SNOMED ID","(479, 509)","(479, 509)",allogenic stem cell transplant,allogenic stem cell transplant,425843001,174251000112102,10965697-DS-12,"ng AML, s/p multiple failed therapies, including allogenic stem cell transplant in ___, most recently on Cabozatinib as part of " "Correct entity, wrong SNOMED ID","(629, 637)","(629, 637)",relapsed,relapsed,12281000132104,414482001,10965697-DS-12,": Phase 1 trial of cabozantinib in patients with relapsed or refractory AML. She presented for regular foll" Wrong span,"(641, 655)","(641, 651)",refractory AML,refractory,12291000132102,435341000124104,10965697-DS-12,"ial of cabozantinib in patients with relapsed or refractory AML. She presented for regular follow-up to clinic, " Wrong span,"(733, 742)","(733, 738)",worsening,worse,271299001,280122007,10965697-DS-12,"follow-up to clinic, where she was found to have worsening fatigue, weakness, and anorexia. Lab tests from " "Correct entity, wrong SNOMED ID","(743, 750)","(743, 750)",fatigue,fatigue,84229001,1141720008,10965697-DS-12," to clinic, where she was found to have worsening fatigue, weakness, and anorexia. Lab tests from clinic s" "Correct entity, wrong SNOMED ID","(767, 775)","(767, 775)",anorexia,anorexia,79890006,161471008,10965697-DS-12,"s found to have worsening fatigue, weakness, and anorexia. Lab tests from clinic showed leukocytosis to 27" "Correct entity, wrong SNOMED ID","(807, 819)","(807, 819)",leukocytosis,leukocytosis,111583006,65209002,10965697-DS-12,"ness, and anorexia. Lab tests from clinic showed leukocytosis to 27K and thrombocytopenia to 13K. She had also " "Correct entity, wrong SNOMED ID","(831, 847)","(831, 847)",thrombocytopenia,thrombocytopenia,302215000,10752381000119101,10965697-DS-12,"tests from clinic showed leukocytosis to 27K and thrombocytopenia to 13K. She had also electrolyte abnormalities l" "Correct entity, wrong SNOMED ID","(870, 895)","(870, 895)",electrolyte abnormalities,electrolyte abnormalities,166686006,64814003,10965697-DS-12,"to 27K and thrombocytopenia to 13K. She had also electrolyte abnormalities likely related to her AML. Past Medical History" "Correct entity, wrong SNOMED ID","(918, 921)","(918, 921)",AML,AML,1162928000,14317002,10965697-DS-12," electrolyte abnormalities likely related to her AML. Past Medical History: PAST ONCOLOGIC HISTORY: " "Correct entity, wrong SNOMED ID","(1049, 1055)","(1049, 1055)",anemia,anemia,271737000,87522002,10965697-DS-12,"(include past therapies, surgeries, etc): Dx with anemia in ___. Seen in follow-up in ___ and found to hav" "Correct entity, wrong SNOMED ID","(1157, 1162)","(1157, 1162)",BM bx,BM bx,234326005,11343000,10965697-DS-12,"a continued drop in Hct and with an elevated LDH. BM bx revealed AML. Induction with 7+3 regimen on ___ " "Correct entity, wrong SNOMED ID","(1172, 1175)","(1172, 1175)",AML,AML,1162928000,14317002,10965697-DS-12,"p in Hct and with an elevated LDH. BM bx revealed AML. Induction with 7+3 regimen on ___ (daunorubicin" "Correct entity, wrong SNOMED ID","(1197, 1204)","(1197, 1204)",regimen,regimen,133877004,461391000124102,10965697-DS-12,"ated LDH. BM bx revealed AML. Induction with 7+3 regimen on ___ (daunorubicin 90 mg/m2 days ___ and cytara" "Correct entity, wrong SNOMED ID","(1293, 1304)","(1293, 1304)",bone marrow,bone marrow,14016003,313228006,10965697-DS-12," and cytarabine 100 mg/m2 days ___ The patient's bone marrow after induction therapy was without evidence of l" Wrong span,"(1321, 1328)","(1311, 1328)",therapy,induction therapy,276239002,308693008,10965697-DS-12,"ys ___ The patient's bone marrow after induction therapy was without evidence of leukemia; however, showed" "Correct entity, wrong SNOMED ID","(1353, 1361)","(1353, 1361)",leukemia,leukemia,1162768007,110006004,10965697-DS-12,"w after induction therapy was without evidence of leukemia; however, showed features of MDS and she remained" "Correct entity, wrong SNOMED ID","(1391, 1394)","(1391, 1394)",MDS,MDS,109995007,405717004,10965697-DS-12,"evidence of leukemia; however, showed features of MDS and she remained pancytopenic. Allogenic stem ce" "Correct entity, wrong SNOMED ID","(1412, 1424)","(1412, 1424)",pancytopenic,pancytopenic,127034005,183005,10965697-DS-12," however, showed features of MDS and she remained pancytopenic. Allogenic stem cell transplant from a ___ match" "Correct entity, wrong SNOMED ID","(1427, 1457)","(1427, 1457)",Allogenic stem cell transplant,Allogenic stem cell transplant,425843001,174251000112102,10965697-DS-12,"d features of MDS and she remained pancytopenic. Allogenic stem cell transplant from a ___ matched unrelated donor (female, CMV +" Missed entity,"(1502, 1505)",,CMV,,28944009,,10965697-DS-12,"plant from a ___ matched unrelated donor (female, CMV +/+, ABO matched), reduced intensity conditioning" Missed entity,"(1511, 1522)",,ABO matched,,365648009,,10965697-DS-12,"m a ___ matched unrelated donor (female, CMV +/+, ABO matched), reduced intensity conditioning with FLU-BU-ATG," "Correct entity, wrong SNOMED ID","(1583, 1594)","(1583, 1594)",Bone marrow,Bone marrow,14016003,313228006,10965697-DS-12,"intensity conditioning with FLU-BU-ATG, day ___. Bone marrow on ___ (D+91) - ___ blasts, chimerism 90% donor." Missed entity,"(1623, 1632)",,chimerism,,71568000,,10965697-DS-12,"day ___. Bone marrow on ___ (D+91) - ___ blasts, chimerism 90% donor. BM bx showing ""hypocellular marrow wi" "Correct entity, wrong SNOMED ID","(1645, 1650)","(1645, 1650)",BM bx,BM bx,234326005,396999004,10965697-DS-12,"on ___ (D+91) - ___ blasts, chimerism 90% donor. BM bx showing ""hypocellular marrow with increased blast" "Correct entity, wrong SNOMED ID","(1660, 1679)","(1660, 1679)",hypocellular marrow,hypocellular marrow,416995001,167923006,10965697-DS-12," ___ blasts, chimerism 90% donor. BM bx showing ""hypocellular marrow with increased blast concerning for relapsing ac" Wrong span,"(1727, 1741)","(1717, 1741)",acute leukemia,relapsing acute leukemia,24072005,122981000119101,10965697-DS-12,"ow with increased blast concerning for relapsing acute leukemia"". CSA taper ___ (last dose) Bone marrow on ___" "Correct entity, wrong SNOMED ID","(1773, 1784)","(1773, 1784)",Bone marrow,Bone marrow,14016003,313228006,10965697-DS-12,"ing acute leukemia"". CSA taper ___ (last dose) Bone marrow on ___ - increased blasts, however CD34 negative" Missed entity,"(1826, 1834)",,negative,,23875004,,10965697-DS-12,"e marrow on ___ - increased blasts, however CD34 negative, cytogenetics with a new clone with t(18;21), rep" "Correct entity, wrong SNOMED ID","(1888, 1894)","(1888, 1894)","BM bx","BM bx",234326005,396999004,10965697-DS-12,"togenetics with a new clone with t(18;21), repeat BM bx shows 60% donor cells compared to 90% on previous" Missed entity,"(1911, 1916)",,cells,,4421005,,10965697-DS-12,"lone with t(18;21), repeat BM bx shows 60% donor cells compared to 90% on previous bx. The blasts in he" "Correct entity, wrong SNOMED ID","(1968, 1979)","(1968, 1979)",bone marrow,bone marrow,14016003,313228006,10965697-DS-12,"ompared to 90% on previous bx. The blasts in her bone marrow do not have the same surface markers as previous" Wrong span,"(2167, 2185)","(2175, 2185)","primary malignancy",malignancy,372003004,47709007,10965697-DS-12,"ranslocation(18;21). Questioning either a second primary malignancy or evolution of the prior leukemia clone C1 Deci" "Correct entity, wrong SNOMED ID","(2212, 2220)","(2212, 2220)",leukemia,leukemia,1162768007,110006004,10965697-DS-12,"cond primary malignancy or evolution of the prior leukemia clone C1 Decitabine D1-10 from ___ On ___ pt ha" Missed entity,"(2319, 2324)",,cells,,4421005,,10965697-DS-12,"ad repeat BM biopsy which showed ___, 75% of the cells of patient origin and only 25% are donor. Given " Wrong span,"(2397, 2408)","(2397, 2398)",pacytopenia,p,127034005,421542006,10965697-DS-12,"only 25% are donor. Given circulating blasts and pacytopenia, pt discussed remaining options w/ Dr. ___ on __" "Correct entity, wrong SNOMED ID","(2638, 2641)","(2638, 2641)",HTN,HTN,38341003,10725009,10965697-DS-12,"e plus MEC. PAST MEDICAL/SURGICAL HISTORY: - HTN - Aspergillus - On previous admission on ___, dx " "Correct entity, wrong SNOMED ID","(2709, 2715)","(2709, 2715)",bronch,bronch,10847001,287430001,10965697-DS-12,"n previous admission on ___, dx via CT chest, w/ bronch, and galatomannan, who continues on Voriconazole" Missed entity,"(2739, 2748)",,continues,,306806004,,10965697-DS-12,"x via CT chest, w/ bronch, and galatomannan, who continues on Voriconazole - Latent TB - Previously decline" Wrong span,"(2768, 2777)","(2775, 2777)",Latent TB,TB,11999007,1365841009,10965697-DS-12,"nd galatomannan, who continues on Voriconazole - Latent TB - Previously declined tx until ___ admission whe" Missed entity,"(2833, 2840)",,started,,275942009,,10965697-DS-12,"viously declined tx until ___ admission when was started on INH and Pyridoxine, that was switched to moxi" Missed entity,"(2873, 2881)",,switched,,182838006,,10965697-DS-12," when was started on INH and Pyridoxine, that was switched to moxifloxacin in ___. Plan to stop on ___ - St" Missed entity,"(2957, 2967)",,Bacteremia,,5758002,,10965697-DS-12,"Plan to stop on ___ - Stomatococcus/Fusobacterium Bacteremia likely from dental source (___) Social Histor" Missed entity,"(3051, 3059)",,negative,,23875004,,10965697-DS-12," Social History: ___ Family History: Per notes, negative for cancer or hematologic malignancies. Physica" "Correct entity, wrong SNOMED ID","(3064, 3070)","(3064, 3070)",cancer,cancer,363406005,34563004,10965697-DS-12,"tory: ___ Family History: Per notes, negative for cancer or hematologic malignancies. Physical Exam: Phy" "Correct entity, wrong SNOMED ID","(3074, 3098)","(3074, 3098)",hematologic malignancies,hematologic malignancies,269475001,699005005,10965697-DS-12,"Family History: Per notes, negative for cancer or hematologic malignancies. Physical Exam: Physical Exam on Admission: GEN" Missed entity,"(3117, 3130)",,Physical Exam,,5880005,,10965697-DS-12,"cer or hematologic malignancies. Physical Exam: Physical Exam on Admission: GENERAL: Thin Asian lady lying comf" "Correct entity, wrong SNOMED ID","(3145, 3152)","(3145, 3152)",GENERAL,GENERAL,162673000,252398009,10965697-DS-12,"ies. Physical Exam: Physical Exam on Admission: GENERAL: Thin Asian lady lying comfortably in bed CV: R" "Correct entity, wrong SNOMED ID","(3154, 3158)","(3154, 3158)",Thin,Thin,61294007,289770001,10965697-DS-12,"ysical Exam: Physical Exam on Admission: GENERAL: Thin Asian lady lying comfortably in bed CV: Regular" Wrong span,"(3170, 3194)","(3170, 3175)",lying comfortably in bed,lying,17535004,32185000,10965697-DS-12,"sical Exam on Admission: GENERAL: Thin Asian lady lying comfortably in bed CV: Regular rate and rhythm, no murmurs/rubs/ga" "Correct entity, wrong SNOMED ID","(3197, 3199)","(3197, 3199)",CV,CV,363003006,258773002,10965697-DS-12,"NERAL: Thin Asian lady lying comfortably in bed CV: Regular rate and rhythm, no murmurs/rubs/gallops" "Correct entity, wrong SNOMED ID","(3201, 3224)","(3201, 3224)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,10965697-DS-12,"L: Thin Asian lady lying comfortably in bed CV: Regular rate and rhythm, no murmurs/rubs/gallops Lungs: Clear to auscul" "Correct entity, wrong SNOMED ID","(3229, 3236)","(3229, 3236)",murmurs,murmurs,414786004,248699005,10965697-DS-12,"fortably in bed CV: Regular rate and rhythm, no murmurs/rubs/gallops Lungs: Clear to auscultation bilat" "Correct entity, wrong SNOMED ID","(3242, 3249)","(3242, 3249)",gallops,gallops,2170000,4592006,10965697-DS-12,"ed CV: Regular rate and rhythm, no murmurs/rubs/gallops Lungs: Clear to auscultation bilaterally Abdo" "Correct entity, wrong SNOMED ID","(3252, 3257)","(3252, 3257)",Lungs,Lungs,268925001,74101002,10965697-DS-12,"egular rate and rhythm, no murmurs/rubs/gallops Lungs: Clear to auscultation bilaterally Abdomen: Sof" "Correct entity, wrong SNOMED ID","(3295, 3302)","(3295, 3302)",Abdomen,Abdomen,225162003,75093004,10965697-DS-12,"lops Lungs: Clear to auscultation bilaterally Abdomen: Soft, nontender, nondistended Ext: warm, well " "Correct entity, wrong SNOMED ID","(3310, 3319)","(3310, 3319)",nontender,nontender,43478001,413319007,10965697-DS-12,"lear to auscultation bilaterally Abdomen: Soft, nontender, nondistended Ext: warm, well perfused, no edem" "Correct entity, wrong SNOMED ID","(3321, 3333)","(3321, 3333)",nondistended,nondistended,300405003,441380004,10965697-DS-12,"cultation bilaterally Abdomen: Soft, nontender, nondistended Ext: warm, well perfused, no edema Skin: ecchy" "Correct entity, wrong SNOMED ID","(3336, 3339)","(3336, 3339)",Ext,Ext,302773001,1489008,10965697-DS-12,"erally Abdomen: Soft, nontender, nondistended Ext: warm, well perfused, no edema Skin: ecchymoses " "Correct entity, wrong SNOMED ID","(3341, 3345)","(3341, 3345)",warm,warm,102599008,298256005,10965697-DS-12,"y Abdomen: Soft, nontender, nondistended Ext: warm, well perfused, no edema Skin: ecchymoses of the" "Correct entity, wrong SNOMED ID","(3347, 3360)","(3347, 3360)",well perfused,well perfused,1137685003,301121007,10965697-DS-12,"domen: Soft, nontender, nondistended Ext: warm, well perfused, no edema Skin: ecchymoses of the upper and lowe" "Correct entity, wrong SNOMED ID","(3365, 3370)","(3365, 3370)",edema,edema,267038008,102576009,10965697-DS-12,"nder, nondistended Ext: warm, well perfused, no edema Skin: ecchymoses of the upper and lower gingiva," "Correct entity, wrong SNOMED ID","(3372, 3376)","(3372, 3376)",Skin,Skin,271303006,444884003,10965697-DS-12,"ondistended Ext: warm, well perfused, no edema Skin: ecchymoses of the upper and lower gingiva, assoc" "Correct entity, wrong SNOMED ID","(3378, 3388)","(3378, 3388)",ecchymoses,ecchymoses,302227002,1263930005,10965697-DS-12,"ended Ext: warm, well perfused, no edema Skin: ecchymoses of the upper and lower gingiva, associated with " "Correct entity, wrong SNOMED ID","(3396, 3401)","(3396, 3401)",upper,upper,23114008,102558002,10965697-DS-12," well perfused, no edema Skin: ecchymoses of the upper and lower gingiva, associated with some oozing o" "Correct entity, wrong SNOMED ID","(3406, 3419)","(3406, 3419)",lower gingiva,lower gingiva,57131003,304704007,10965697-DS-12,"used, no edema Skin: ecchymoses of the upper and lower gingiva, associated with some oozing of blood from the g" "Correct entity, wrong SNOMED ID","(3468, 3475)","(3468, 3475)",gingiva,gingiva,113279002,109623008,10965697-DS-12,"a, associated with some oozing of blood from the gingiva Physical Exam on Discharge: Vitals: T 97.5, Tma" Missed entity,"(3477, 3490)",,Physical Exam,,5880005,,10965697-DS-12,"ated with some oozing of blood from the gingiva Physical Exam on Discharge: Vitals: T 97.5, Tmax 98, HR 76(76-" "Correct entity, wrong SNOMED ID","(3506, 3512)","(3506, 3512)",Vitals,Vitals,118227000,260390007,10965697-DS-12,"od from the gingiva Physical Exam on Discharge: Vitals: T 97.5, Tmax 98, HR 76(76-95), BP 112/60(94/50-1" "Correct entity, wrong SNOMED ID","(3531, 3533)","(3531, 3533)",HR,HR,301113001,258702006,10965697-DS-12,"ical Exam on Discharge: Vitals: T 97.5, Tmax 98, HR 76(76-95), BP 112/60(94/50-126/66), RR ___, SAT " "Correct entity, wrong SNOMED ID","(3545, 3547)","(3545, 3547)",BP,BP,392570002,38341003,10965697-DS-12,"ischarge: Vitals: T 97.5, Tmax 98, HR 76(76-95), BP 112/60(94/50-126/66), RR ___, SAT 99% RA General" "Correct entity, wrong SNOMED ID","(3571, 3573)","(3571, 3573)",RR,RR,301283003,258702006,10965697-DS-12," Tmax 98, HR 76(76-95), BP 112/60(94/50-126/66), RR ___, SAT 99% RA General: thin Asian lady lying co" Missed entity,"(3579, 3582)",,SAT,,447755005,,10965697-DS-12,", HR 76(76-95), BP 112/60(94/50-126/66), RR ___, SAT 99% RA General: thin Asian lady lying comfortably" "Correct entity, wrong SNOMED ID","(3587, 3589)","(3587, 3589)",RA,RA,722742002,463051000124105,10965697-DS-12,"76-95), BP 112/60(94/50-126/66), RR ___, SAT 99% RA General: thin Asian lady lying comfortably in bed" "Correct entity, wrong SNOMED ID","(3590, 3597)","(3590, 3597)",General,General,162673000,252398009,10965697-DS-12,"95), BP 112/60(94/50-126/66), RR ___, SAT 99% RA General: thin Asian lady lying comfortably in bed HEENT: " Wrong span,"(3599, 3603)","(3599, 3609)",thin,thin Asian,61294007,401180009,10965697-DS-12,"12/60(94/50-126/66), RR ___, SAT 99% RA General: thin Asian lady lying comfortably in bed HEENT: no ora" Wrong span,"(3615, 3639)","(3615, 3620)",lying comfortably in bed,lying,17535004,32185000,10965697-DS-12,"66), RR ___, SAT 99% RA General: thin Asian lady lying comfortably in bed HEENT: no oral ulcers or lesions CV: regular rate" "Correct entity, wrong SNOMED ID","(3640, 3645)","(3640, 3645)",HEENT,HEENT,5880005,113665002,10965697-DS-12,"General: thin Asian lady lying comfortably in bed HEENT: no oral ulcers or lesions CV: regular rate and r" Wrong span,"(3655, 3661)","(3650, 3661)",ulcers,oral ulcers,429040005,403444006,10965697-DS-12,"sian lady lying comfortably in bed HEENT: no oral ulcers or lesions CV: regular rate and rhythm, no murmur" "Correct entity, wrong SNOMED ID","(3665, 3672)","(3665, 3672)",lesions,lesions,52988006,246206008,10965697-DS-12,"lying comfortably in bed HEENT: no oral ulcers or lesions CV: regular rate and rhythm, no murmurs/rubs/gall" "Correct entity, wrong SNOMED ID","(3673, 3675)","(3673, 3675)",CV,CV,363003006,258773002,10965697-DS-12,"mfortably in bed HEENT: no oral ulcers or lesions CV: regular rate and rhythm, no murmurs/rubs/gallops" "Correct entity, wrong SNOMED ID","(3677, 3700)","(3677, 3700)",regular rate and rhythm,regular rate and rhythm,76863003,428919002,10965697-DS-12,"tably in bed HEENT: no oral ulcers or lesions CV: regular rate and rhythm, no murmurs/rubs/gallops Chest: clear to ausculta" "Correct entity, wrong SNOMED ID","(3705, 3712)","(3705, 3712)",murmurs,murmurs,414786004,248699005,10965697-DS-12,"ulcers or lesions CV: regular rate and rhythm, no murmurs/rubs/gallops Chest: clear to auscultation bilater" "Correct entity, wrong SNOMED ID","(3718, 3725)","(3718, 3725)",gallops,gallops,2170000,4592006,10965697-DS-12,"ions CV: regular rate and rhythm, no murmurs/rubs/gallops Chest: clear to auscultation bilaterally Abd: so" "Correct entity, wrong SNOMED ID","(3726, 3731)","(3726, 3731)",Chest,Chest,268925001,74160004,10965697-DS-12," regular rate and rhythm, no murmurs/rubs/gallops Chest: clear to auscultation bilaterally Abd: soft, no" "Correct entity, wrong SNOMED ID","(3768, 3771)","(3768, 3771)",Abd,Abd,225162003,60728008,10965697-DS-12,"gallops Chest: clear to auscultation bilaterally Abd: soft, nontender, nondistended Ext: warm, well pe" "Correct entity, wrong SNOMED ID","(3779, 3788)","(3779, 3788)",nontender,nontender,43478001,413319007,10965697-DS-12,"st: clear to auscultation bilaterally Abd: soft, nontender, nondistended Ext: warm, well perfused, no edema " "Correct entity, wrong SNOMED ID","(3803, 3806)","(3803, 3806)",Ext,Ext,302773001,1489008,10965697-DS-12,"n bilaterally Abd: soft, nontender, nondistended Ext: warm, well perfused, no edema Skin: no rashes " "Correct entity, wrong SNOMED ID","(3808, 3812)","(3808, 3812)",warm,warm,102599008,298256005,10965697-DS-12,"aterally Abd: soft, nontender, nondistended Ext: warm, well perfused, no edema Skin: no rashes Pertin" "Correct entity, wrong SNOMED ID","(3814, 3827)","(3814, 3827)",well perfused,well perfused,1137685003,301121007,10965697-DS-12,"ly Abd: soft, nontender, nondistended Ext: warm, well perfused, no edema Skin: no rashes Pertinent Results: AD" "Correct entity, wrong SNOMED ID","(3832, 3837)","(3832, 3837)",edema,edema,267038008,102576009,10965697-DS-12,"tender, nondistended Ext: warm, well perfused, no edema Skin: no rashes Pertinent Results: ADMISSION LA" "Correct entity, wrong SNOMED ID","(3838, 3842)","(3838, 3842)",Skin,Skin,271303006,444884003,10965697-DS-12,", nondistended Ext: warm, well perfused, no edema Skin: no rashes Pertinent Results: ADMISSION LABS __" "Correct entity, wrong SNOMED ID","(3847, 3853)","(3847, 3853)",rashes,rashes,271807003,247472004,10965697-DS-12,"ended Ext: warm, well perfused, no edema Skin: no rashes Pertinent Results: ADMISSION LABS ___ 11:00AM " "Correct entity, wrong SNOMED ID","(3922, 3925)","(3922, 3925)",PTT,PTT,42525009,282119004,10965697-DS-12,"s: ADMISSION LABS ___ 11:00AM ___ 11:00AM ___ PTT-32.6 ___ ___ 11:00AM PLT SMR-RARE PLT COUNT-13*" Missed entity,"(3949, 3952)",,PLT,,61928009,,10965697-DS-12,"AM ___ 11:00AM ___ PTT-32.6 ___ ___ 11:00AM PLT SMR-RARE PLT COUNT-13*# ___ 11:00AM HYPOCHROM-O" Missed entity,"(3962, 3971)",,PLT COUNT,,61928009,,10965697-DS-12,"0AM ___ PTT-32.6 ___ ___ 11:00AM PLT SMR-RARE PLT COUNT-13*# ___ 11:00AM HYPOCHROM-OCCASIONAL ANISOCYT-" Missed entity,"(4035, 4041)",,NORMAL,,281900007,,10965697-DS-12,"0AM HYPOCHROM-OCCASIONAL ANISOCYT-2+ POIKILOCY-NORMAL MACROCYT-2+ MICROCYT-NORMAL POLYCHROM-NORMAL STI" "Correct entity, wrong SNOMED ID","(4063, 4069)","(4063, 4069)",NORMAL,NORMAL,281900007,840673007,10965697-DS-12,"NISOCYT-2+ POIKILOCY-NORMAL MACROCYT-2+ MICROCYT-NORMAL POLYCHROM-NORMAL STIPPLED-OCCASIONAL ___ 11:00AM" Boundary error,"(4080, 4086)","(4080, 4085)",NORMAL,NORMA,281900007,60641004,10965697-DS-12,"LOCY-NORMAL MACROCYT-2+ MICROCYT-NORMAL POLYCHROM-NORMAL STIPPLED-OCCASIONAL ___ 11:00AM NEUTS-2* BANDS" "Correct entity, wrong SNOMED ID","(4122, 4127)","(4122, 4127)",NEUTS,NEUTS,30630007,271035003,10965697-DS-12,"LYCHROM-NORMAL STIPPLED-OCCASIONAL ___ 11:00AM NEUTS-2* BANDS-0 LYMPHS-16* MONOS-34* EOS-0 BASOS-0 __" "Correct entity, wrong SNOMED ID","(4139, 4145)","(4139, 4145)",LYMPHS,LYMPHS,74765001,79709007,10965697-DS-12,"TIPPLED-OCCASIONAL ___ 11:00AM NEUTS-2* BANDS-0 LYMPHS-16* MONOS-34* EOS-0 BASOS-0 ___ MYELOS-0 BLASTS-" "Correct entity, wrong SNOMED ID","(4150, 4155)","(4150, 4155)",MONOS,MONOS,67776007,462791000124108,10965697-DS-12,"ASIONAL ___ 11:00AM NEUTS-2* BANDS-0 LYMPHS-16* MONOS-34* EOS-0 BASOS-0 ___ MYELOS-0 BLASTS-48* NUC RB" "Correct entity, wrong SNOMED ID","(4160, 4163)","(4160, 4163)",EOS,EOS,71960002,67099000,10965697-DS-12,"_ 11:00AM NEUTS-2* BANDS-0 LYMPHS-16* MONOS-34* EOS-0 BASOS-0 ___ MYELOS-0 BLASTS-48* NUC RBCS-9* __" Missed entity,"(4167, 4172)",,BASOS,,42351005,,10965697-DS-12,"AM NEUTS-2* BANDS-0 LYMPHS-16* MONOS-34* EOS-0 BASOS-0 ___ MYELOS-0 BLASTS-48* NUC RBCS-9* ___ 11:00AM" Missed entity,"(4190, 4193)",,AST,,45896001,,10965697-DS-12,"YMPHS-16* MONOS-34* EOS-0 BASOS-0 ___ MYELOS-0 BLASTS-48* NUC RBCS-9* ___ 11:00AM WBC-27.3*# RBC-2.6" "Correct entity, wrong SNOMED ID","(4225, 4228)","(4225, 4228)",WBC,WBC,767002,391558003,10965697-DS-12,"___ MYELOS-0 BLASTS-48* NUC RBCS-9* ___ 11:00AM WBC-27.3*# RBC-2.61* HGB-9.0* HCT-28.4* MCV-109* MCH" "Correct entity, wrong SNOMED ID","(4236, 4239)","(4236, 4239)",RBC,RBC,14089001,258759006,10965697-DS-12,"0 BLASTS-48* NUC RBCS-9* ___ 11:00AM WBC-27.3*# RBC-2.61* HGB-9.0* HCT-28.4* MCV-109* MCH-34.5* MCHC" "Correct entity, wrong SNOMED ID","(4246, 4249)","(4246, 4249)",HGB,HGB,441689006,104142005,10965697-DS-12,"8* NUC RBCS-9* ___ 11:00AM WBC-27.3*# RBC-2.61* HGB-9.0* HCT-28.4* MCV-109* MCH-34.5* MCHC-31.8 RDW-" "Correct entity, wrong SNOMED ID","(4255, 4258)","(4255, 4258)",HCT,HCT,28317006,840276005,10965697-DS-12,"CS-9* ___ 11:00AM WBC-27.3*# RBC-2.61* HGB-9.0* HCT-28.4* MCV-109* MCH-34.5* MCHC-31.8 RDW-18.6* ___" Missed entity,"(4266, 4269)",,MCV,,104133003,,10965697-DS-12,"1:00AM WBC-27.3*# RBC-2.61* HGB-9.0* HCT-28.4* MCV-109* MCH-34.5* MCHC-31.8 RDW-18.6* ___ 11:00AM " "Correct entity, wrong SNOMED ID","(4275, 4278)","(4275, 4278)",MCH,MCH,54706004,735147002,10965697-DS-12,"WBC-27.3*# RBC-2.61* HGB-9.0* HCT-28.4* MCV-109* MCH-34.5* MCHC-31.8 RDW-18.6* ___ 11:00AM T3-67* FR" "Correct entity, wrong SNOMED ID","(4285, 4289)","(4285, 4289)",MCHC,MCHC,37254006,735147002,10965697-DS-12," RBC-2.61* HGB-9.0* HCT-28.4* MCV-109* MCH-34.5* MCHC-31.8 RDW-18.6* ___ 11:00AM T3-67* FREE T4-1.0 _" "Correct entity, wrong SNOMED ID","(4295, 4298)","(4295, 4298)",RDW,RDW,66842004,735149004,10965697-DS-12," HGB-9.0* HCT-28.4* MCV-109* MCH-34.5* MCHC-31.8 RDW-18.6* ___ 11:00AM T3-67* FREE T4-1.0 ___ 11:00A" Missed entity,"(4326, 4333)",,FREE T4,,5113004,,10965697-DS-12,"CH-34.5* MCHC-31.8 RDW-18.6* ___ 11:00AM T3-67* FREE T4-1.0 ___ 11:00AM TSH-6.3* ___ 11:00AM D-DIMER-" "Correct entity, wrong SNOMED ID","(4352, 4355)","(4352, 4355)",TSH,TSH,61167004,412520006,10965697-DS-12,"6* ___ 11:00AM T3-67* FREE T4-1.0 ___ 11:00AM TSH-6.3* ___ 11:00AM D-DIMER-2732* ___ 11:00AM TO" Missed entity,"(4375, 4382)",,D-DIMER,,70648006,,10965697-DS-12," FREE T4-1.0 ___ 11:00AM TSH-6.3* ___ 11:00AM D-DIMER-2732* ___ 11:00AM TOT PROT-6.8 ALBUMIN-4.6 GLOB" "Correct entity, wrong SNOMED ID","(4416, 4423)","(4416, 4423)",ALBUMIN,ALBUMIN,26758005,166804009,10965697-DS-12,"1:00AM D-DIMER-2732* ___ 11:00AM TOT PROT-6.8 ALBUMIN-4.6 GLOBULIN-2.2 CALCIUM-8.9 PHOSPHATE-4.4 MAGNE" "Correct entity, wrong SNOMED ID","(4442, 4449)","(4442, 4449)",CALCIUM,CALCIUM,312472004,108601004,10965697-DS-12," 11:00AM TOT PROT-6.8 ALBUMIN-4.6 GLOBULIN-2.2 CALCIUM-8.9 PHOSPHATE-4.4 MAGNESIUM-2.0 URIC ACID-4.9 ___" Missed entity,"(4454, 4463)",,PHOSPHATE,,104868000,,10965697-DS-12,"OT PROT-6.8 ALBUMIN-4.6 GLOBULIN-2.2 CALCIUM-8.9 PHOSPHATE-4.4 MAGNESIUM-2.0 URIC ACID-4.9 ___ 11:00AM LIP" Missed entity,"(4468, 4477)",,MAGNESIUM,,271285000,,10965697-DS-12,"BUMIN-4.6 GLOBULIN-2.2 CALCIUM-8.9 PHOSPHATE-4.4 MAGNESIUM-2.0 URIC ACID-4.9 ___ 11:00AM LIPASE-23 ___ 11:" Missed entity,"(4510, 4516)",,LIPASE,,104988000,,10965697-DS-12,"ATE-4.4 MAGNESIUM-2.0 URIC ACID-4.9 ___ 11:00AM LIPASE-23 ___ 11:00AM ALT(SGPT)-99* AST(SGOT)-92* LD(L" "Correct entity, wrong SNOMED ID","(4534, 4537)","(4534, 4537)",ALT,ALT,34608000,56935002,10965697-DS-12,"IC ACID-4.9 ___ 11:00AM LIPASE-23 ___ 11:00AM ALT(SGPT)-99* AST(SGOT)-92* LD(LDH)-863* ALK PHOS-17" "Correct entity, wrong SNOMED ID","(4548, 4551)","(4548, 4551)",AST,AST,45896001,85043005,10965697-DS-12,"_ 11:00AM LIPASE-23 ___ 11:00AM ALT(SGPT)-99* AST(SGOT)-92* LD(LDH)-863* ALK PHOS-171* TOT BILI-0." "Correct entity, wrong SNOMED ID","(4565, 4568)","(4565, 4568)",LDH,LDH,11274001,67568008,10965697-DS-12,"E-23 ___ 11:00AM ALT(SGPT)-99* AST(SGOT)-92* LD(LDH)-863* ALK PHOS-171* TOT BILI-0.7 DIR BILI-0.2 IN" Wrong span,"(4575, 4584)","(4580, 4584)","ALK PHOS",PHOS,88810008,168075002,10965697-DS-12,"1:00AM ALT(SGPT)-99* AST(SGOT)-92* LD(LDH)-863* ALK PHOS-171* TOT BILI-0.7 DIR BILI-0.2 INDIR BIL-0.5 ___ " "Correct entity, wrong SNOMED ID","(4590, 4598)","(4590, 4598)",TOT BILI,TOT BILI,359986008,176271000119108,10965697-DS-12,"PT)-99* AST(SGOT)-92* LD(LDH)-863* ALK PHOS-171* TOT BILI-0.7 DIR BILI-0.2 INDIR BIL-0.5 ___ 11:00AM UREA" Missed entity,"(4607, 4611)",,BILI,,302787001,,10965697-DS-12,"-92* LD(LDH)-863* ALK PHOS-171* TOT BILI-0.7 DIR BILI-0.2 INDIR BIL-0.5 ___ 11:00AM UREA N-15 CREAT-1" Missed entity,"(4644, 4650)",,UREA N,,105011006,,10965697-DS-12,"BILI-0.7 DIR BILI-0.2 INDIR BIL-0.5 ___ 11:00AM UREA N-15 CREAT-1.2* SODIUM-135 POTASSIUM-3.1* CHLORIDE" "Correct entity, wrong SNOMED ID","(4654, 4659)","(4654, 4659)",CREAT,CREAT,70901006,365756002,10965697-DS-12,"IR BILI-0.2 INDIR BIL-0.5 ___ 11:00AM UREA N-15 CREAT-1.2* SODIUM-135 POTASSIUM-3.1* CHLORIDE-98 TOTAL" "Correct entity, wrong SNOMED ID","(4665, 4671)","(4665, 4671)",SODIUM,SODIUM,25197003,104934005,10965697-DS-12," INDIR BIL-0.5 ___ 11:00AM UREA N-15 CREAT-1.2* SODIUM-135 POTASSIUM-3.1* CHLORIDE-98 TOTAL CO2-26 ANIO" "Correct entity, wrong SNOMED ID","(4677, 4686)","(4677, 4686)",POTASSIUM,POTASSIUM,59573005,1149432009,10965697-DS-12,".5 ___ 11:00AM UREA N-15 CREAT-1.2* SODIUM-135 POTASSIUM-3.1* CHLORIDE-98 TOTAL CO2-26 ANION GAP-14 ___ 11" "Correct entity, wrong SNOMED ID","(4692, 4700)","(4692, 4700)",CHLORIDE,CHLORIDE,104589004,108447000,10965697-DS-12," UREA N-15 CREAT-1.2* SODIUM-135 POTASSIUM-3.1* CHLORIDE-98 TOTAL CO2-26 ANION GAP-14 ___ 11:00AM GLUCOS" "Correct entity, wrong SNOMED ID","(4717, 4726)","(4717, 4726)",ANION GAP,ANION GAP,25469001,237854004,10965697-DS-12,"DIUM-135 POTASSIUM-3.1* CHLORIDE-98 TOTAL CO2-26 ANION GAP-14 ___ 11:00AM GLUCOSE-148* PERTINENT LABS ___" "Correct entity, wrong SNOMED ID","(4744, 4751)","(4744, 4751)",GLUCOSE,GLUCOSE,33747003,72191006,10965697-DS-12,"LORIDE-98 TOTAL CO2-26 ANION GAP-14 ___ 11:00AM GLUCOSE-148* PERTINENT LABS ___ 12:30AM BLOOD WBC-0.7* R" "Correct entity, wrong SNOMED ID","(4791, 4794)","(4791, 4794)",WBC,WBC,767002,391558003,10965697-DS-12," GLUCOSE-148* PERTINENT LABS ___ 12:30AM BLOOD WBC-0.7* RBC-2.54* Hgb-8.5* Hct-24.8* MCV-97 MCH-33." "Correct entity, wrong SNOMED ID","(4800, 4803)","(4800, 4803)",RBC,RBC,14089001,258759006,10965697-DS-12,"E-148* PERTINENT LABS ___ 12:30AM BLOOD WBC-0.7* RBC-2.54* Hgb-8.5* Hct-24.8* MCV-97 MCH-33.5* MCHC-3" "Correct entity, wrong SNOMED ID","(4810, 4813)","(4810, 4813)",Hgb,Hgb,441689006,104142005,10965697-DS-12,"RTINENT LABS ___ 12:30AM BLOOD WBC-0.7* RBC-2.54* Hgb-8.5* Hct-24.8* MCV-97 MCH-33.5* MCHC-34.4 RDW-17" "Correct entity, wrong SNOMED ID","(4819, 4822)","(4819, 4822)",Hct,Hct,28317006,840276005,10965697-DS-12,"ABS ___ 12:30AM BLOOD WBC-0.7* RBC-2.54* Hgb-8.5* Hct-24.8* MCV-97 MCH-33.5* MCHC-34.4 RDW-17.5* Plt C" Missed entity,"(4830, 4833)",,MCV,,104133003,,10965697-DS-12,"30AM BLOOD WBC-0.7* RBC-2.54* Hgb-8.5* Hct-24.8* MCV-97 MCH-33.5* MCHC-34.4 RDW-17.5* Plt Ct-<5 ___ 12" "Correct entity, wrong SNOMED ID","(4837, 4840)","(4837, 4840)",MCH,MCH,54706004,735147002,10965697-DS-12,"OOD WBC-0.7* RBC-2.54* Hgb-8.5* Hct-24.8* MCV-97 MCH-33.5* MCHC-34.4 RDW-17.5* Plt Ct-<5 ___ 12:30AM B" "Correct entity, wrong SNOMED ID","(4847, 4851)","(4847, 4851)",MCHC,MCHC,37254006,735147002,10965697-DS-12,"7* RBC-2.54* Hgb-8.5* Hct-24.8* MCV-97 MCH-33.5* MCHC-34.4 RDW-17.5* Plt Ct-<5 ___ 12:30AM BLOOD Neuts-" "Correct entity, wrong SNOMED ID","(4857, 4860)","(4857, 4860)",RDW,RDW,66842004,735149004,10965697-DS-12,"4* Hgb-8.5* Hct-24.8* MCV-97 MCH-33.5* MCHC-34.4 RDW-17.5* Plt Ct-<5 ___ 12:30AM BLOOD Neuts-2* Bands-" "Correct entity, wrong SNOMED ID","(4895, 4900)","(4895, 4900)",Neuts,Neuts,30630007,271035003,10965697-DS-12,"* MCHC-34.4 RDW-17.5* Plt Ct-<5 ___ 12:30AM BLOOD Neuts-2* Bands-0 Lymphs-86* Monos-4 Eos-0 Baso-0 ___ M" "Correct entity, wrong SNOMED ID","(4912, 4918)","(4912, 4918)",Lymphs,Lymphs,74765001,79709007,10965697-DS-12,"7.5* Plt Ct-<5 ___ 12:30AM BLOOD Neuts-2* Bands-0 Lymphs-86* Monos-4 Eos-0 Baso-0 ___ Myelos-0 Blasts-8* " "Correct entity, wrong SNOMED ID","(4923, 4928)","(4923, 4928)",Monos,Monos,67776007,462791000124108,10965697-DS-12,"-<5 ___ 12:30AM BLOOD Neuts-2* Bands-0 Lymphs-86* Monos-4 Eos-0 Baso-0 ___ Myelos-0 Blasts-8* ___ 01:00A" Missed entity,"(4931, 4934)",,Eos,,71960002,,10965697-DS-12,"12:30AM BLOOD Neuts-2* Bands-0 Lymphs-86* Monos-4 Eos-0 Baso-0 ___ Myelos-0 Blasts-8* ___ 01:00AM BLOO" Missed entity,"(4938, 4942)",,Baso,,42351005,,10965697-DS-12," BLOOD Neuts-2* Bands-0 Lymphs-86* Monos-4 Eos-0 Baso-0 ___ Myelos-0 Blasts-8* ___ 01:00AM BLOOD ALT-85" "Correct entity, wrong SNOMED ID","(4986, 4989)","(4986, 4989)",ALT,ALT,34608000,56935002,10965697-DS-12," Baso-0 ___ Myelos-0 Blasts-8* ___ 01:00AM BLOOD ALT-85* AST-153* LD(LDH)-3050* AlkPhos-145* TotBili-" "Correct entity, wrong SNOMED ID","(4994, 4997)","(4994, 4997)",AST,AST,45896001,85043005,10965697-DS-12," ___ Myelos-0 Blasts-8* ___ 01:00AM BLOOD ALT-85* AST-153* LD(LDH)-3050* AlkPhos-145* TotBili-1.1 DirB" "Correct entity, wrong SNOMED ID","(5006, 5009)","(5006, 5009)",LDH,LDH,11274001,67568008,10965697-DS-12,"0 Blasts-8* ___ 01:00AM BLOOD ALT-85* AST-153* LD(LDH)-3050* AlkPhos-145* TotBili-1.1 DirBili-0.3 IndB" "Correct entity, wrong SNOMED ID","(5018, 5025)","(5018, 5025)",AlkPhos,AlkPhos,88810008,30703008,10965697-DS-12,"___ 01:00AM BLOOD ALT-85* AST-153* LD(LDH)-3050* AlkPhos-145* TotBili-1.1 DirBili-0.3 IndBili-0.8 ___ 11:0" "Correct entity, wrong SNOMED ID","(5031, 5038)","(5031, 5038)",TotBili,TotBili,359986008,424388002,10965697-DS-12,"LOOD ALT-85* AST-153* LD(LDH)-3050* AlkPhos-145* TotBili-1.1 DirBili-0.3 IndBili-0.8 ___ 11:00AM BLOOD TSH" "Correct entity, wrong SNOMED ID","(5085, 5088)","(5085, 5088)",TSH,TSH,61167004,412520006,10965697-DS-12,"ili-1.1 DirBili-0.3 IndBili-0.8 ___ 11:00AM BLOOD TSH-6.3* ___ 01:00AM BLOOD TSH-2.9 ___ 02:30PM BLOOD " "Correct entity, wrong SNOMED ID","(5112, 5115)","(5112, 5115)",TSH,TSH,61167004,412520006,10965697-DS-12,"-0.8 ___ 11:00AM BLOOD TSH-6.3* ___ 01:00AM BLOOD TSH-2.9 ___ 02:30PM BLOOD TSH-4.1 ___ 11:00AM BLOOD T" "Correct entity, wrong SNOMED ID","(5138, 5141)","(5138, 5141)",TSH,TSH,61167004,412520006,10965697-DS-12,"-6.3* ___ 01:00AM BLOOD TSH-2.9 ___ 02:30PM BLOOD TSH-4.1 ___ 11:00AM BLOOD T3-67* Free T4-1.0 ___ 02:3" Missed entity,"(5171, 5178)",,Free T4,,5113004,,10965697-DS-12,"__ 02:30PM BLOOD TSH-4.1 ___ 11:00AM BLOOD T3-67* Free T4-1.0 ___ 02:30PM BLOOD T3-47* Free T4-0.83* ___ 12" Missed entity,"(5208, 5215)",,Free T4,,5113004,,10965697-DS-12,"BLOOD T3-67* Free T4-1.0 ___ 02:30PM BLOOD T3-47* Free T4-0.83* ___ 12:40AM BLOOD HAV Ab-POSITIVE IgM HAV-N" Missed entity,"(5264, 5272)",,NEGATIVE,,23875004,,10965697-DS-12,"4-0.83* ___ 12:40AM BLOOD HAV Ab-POSITIVE IgM HAV-NEGATIVE ___ 12:40AM BLOOD AMA-NEGATIVE Smooth-NEGATIVE __" Wrong span,"(5295, 5303)","(5295, 5319)",NEGATIVE,NEGATIVE Smooth-NEGATIVE,23875004,117513006,10965697-DS-12,"b-POSITIVE IgM HAV-NEGATIVE ___ 12:40AM BLOOD AMA-NEGATIVE Smooth-NEGATIVE ___ 12:40AM BLOOD ___ ___ 12:40AM" Wrong span,"(5311, 5319)","(5295, 5319)",NEGATIVE,NEGATIVE Smooth-NEGATIVE,23875004,117513006,10965697-DS-12,"AV-NEGATIVE ___ 12:40AM BLOOD AMA-NEGATIVE Smooth-NEGATIVE ___ 12:40AM BLOOD ___ ___ 12:40AM BLOOD tTG-IgA-_" Missed entity,"(5389, 5392)",,AST,,45896001,,10965697-DS-12,"__ ___ 12:40AM BLOOD tTG-IgA-___HEST WITHOUT CONTRAST ___ 2:21 ___ 1. Several new lung nodules have de" Wrong span,"(5422, 5434)","(5422, 5426)",lung nodules,lung,786838002,301232003,10965697-DS-12,"EST WITHOUT CONTRAST ___ 2:21 ___ 1. Several new lung nodules have developed, including a dominant cavitary 7 " Missed entity,"(5487, 5495)",,lingular,,64720009,,10965697-DS-12,"ve developed, including a dominant cavitary 7 mm lingular nodule with peripheral ground-glass halo and two" "Correct entity, wrong SNOMED ID","(5496, 5502)","(5496, 5502)",nodule,nodule,27925004,246120007,10965697-DS-12,"ped, including a dominant cavitary 7 mm lingular nodule with peripheral ground-glass halo and two solid " Wrong span,"(5520, 5532)","(5520, 5537)",ground-glass,ground-glass halo,1217294009,59145000,10965697-DS-12,"nt cavitary 7 mm lingular nodule with peripheral ground-glass halo and two solid right apical nodules measuring" Missed entity,"(5552, 5564)",,right apical,,62884005,,10965697-DS-12," with peripheral ground-glass halo and two solid right apical nodules measuring up to 5 mm. These findings ar" "Correct entity, wrong SNOMED ID","(5565, 5572)","(5565, 5572)",nodules,nodules,27925004,21444008,10965697-DS-12,"ral ground-glass halo and two solid right apical nodules measuring up to 5 mm. These findings are concer" Wrong span,"(5644, 5653)","(5631, 5653)",infection,"aspergillus infection",40733004,63764008,10965697-DS-12,". These findings are concerning for aspergillus infection, but are not specific for this entity. 2. Near " "Correct entity, wrong SNOMED ID","(5717, 5737)","(5717, 5737)",pericardial effusion,pericardial effusion,373945007,1230405007,10965697-DS-12,"specific for this entity. 2. Near resolution of pericardial effusion but development of trace pleural effusions. 3. " "Correct entity, wrong SNOMED ID","(5764, 5781)","(5764, 5781)",pleural effusions,pleural effusions,60046008,425802001,10965697-DS-12,"of pericardial effusion but development of trace pleural effusions. 3. Unchanged indeterminate right adrenal lesio" Missed entity,"(5788, 5797)",,Unchanged,,359748005,,10965697-DS-12,"but development of trace pleural effusions. 3. Unchanged indeterminate right adrenal lesion. 4. Ectatic " Wrong span,"(5812, 5825)","(5818, 5825)",right adrenal,adrenal,29392005,241550007,10965697-DS-12,"e pleural effusions. 3. Unchanged indeterminate right adrenal lesion. 4. Ectatic ascending aorta is similar t" "Correct entity, wrong SNOMED ID","(5826, 5832)","(5826, 5832)",lesion,lesion,52988006,120609008,10965697-DS-12,"sions. 3. Unchanged indeterminate right adrenal lesion. 4. Ectatic ascending aorta is similar to previ" "Correct entity, wrong SNOMED ID","(5847, 5862)","(5847, 5862)",ascending aorta,ascending aorta,54247002,181299009,10965697-DS-12," indeterminate right adrenal lesion. 4. Ectatic ascending aorta is similar to previous exam, measuring approxima" Missed entity,"(5975, 5978)",,AST,,45896001,,10965697-DS-12,"n greatest dimension. CT ABD & PELVIS WITH CONTRAST ___ 3:50 ___ 1. Colitis involving the ascendin" "Correct entity, wrong SNOMED ID","(5998, 6005)","(5998, 6005)",Colitis,Colitis,64226004,423590009,10965697-DS-12," CT ABD & PELVIS WITH CONTRAST ___ 3:50 ___ 1. Colitis involving the ascending and proximal transverse " "Correct entity, wrong SNOMED ID","(6020, 6029)","(6020, 6029)",ascending,ascending,9040008,307638000,10965697-DS-12,"CONTRAST ___ 3:50 ___ 1. Colitis involving the ascending and proximal transverse colon, most severe in th" "Correct entity, wrong SNOMED ID","(6043, 6060)","(6043, 6060)","transverse colon","transverse colon",485005,362163004,10965697-DS-12," 1. Colitis involving the ascending and proximal transverse colon, most severe in the proximal transverse colon. M" "Correct entity, wrong SNOMED ID","(6090, 6106)","(6090, 6106)",transverse colon,transverse colon,485005,362163004,10965697-DS-12,"al transverse colon, most severe in the proximal transverse colon. Most likely etiology is infectious. Ischemia " "Correct entity, wrong SNOMED ID","(6134, 6144)","(6134, 6144)",infectious,infectious,40733004,22653005,10965697-DS-12,"ximal transverse colon. Most likely etiology is infectious. Ischemia is less likely. 2. Apparent focal ga" "Correct entity, wrong SNOMED ID","(6147, 6155)","(6147, 6155)",Ischemia,Ischemia,52674009,414795007,10965697-DS-12,"rse colon. Most likely etiology is infectious. Ischemia is less likely. 2. Apparent focal gastric antru" "Correct entity, wrong SNOMED ID","(6207, 6217)","(6207, 6217)",thickening,thickening,89977008,112674009,10965697-DS-12,"s less likely. 2. Apparent focal gastric antrum thickening with edema. Endoscopy should be considered when" "Correct entity, wrong SNOMED ID","(6223, 6228)","(6223, 6228)",edema,edema,267038008,102576009,10965697-DS-12,"2. Apparent focal gastric antrum thickening with edema. Endoscopy should be considered when the patien" "Correct entity, wrong SNOMED ID","(6232, 6241)","(6232, 6241)",Endoscopy,Endoscopy,423827005,246431006,10965697-DS-12,"ent focal gastric antrum thickening with edema. Endoscopy should be considered when the patient is able to " Wrong span,"(6314, 6333)","(6314, 6319)",right adrenal gland,right,29392005,225794002,10965697-DS-12,"hen the patient is able to tolerate. 3. 1.3 cm right adrenal gland nodule, similar in size to ___, likely an adenom" "Correct entity, wrong SNOMED ID","(6334, 6340)","(6334, 6340)",nodule,nodule,27925004,237495005,10965697-DS-12,"ble to tolerate. 3. 1.3 cm right adrenal gland nodule, similar in size to ___, likely an adenoma. CT" "Correct entity, wrong SNOMED ID","(6377, 6384)","(6377, 6384)",adenoma,adenoma,1187375007,1156419009,10965697-DS-12," gland nodule, similar in size to ___, likely an adenoma. CT CHEST W/CONTRAST ___ 3:51 ___ Worsening mul" Wrong span,"(6404, 6407)","(6388, 6407)",AST,CT CHEST W/CONTRAST,45896001,16335031000119103,10965697-DS-12,"ize to ___, likely an adenoma. CT CHEST W/CONTRAST ___ 3:51 ___ Worsening multifocal pneumonia invol" Missed entity,"(6421, 6430)",,Worsening,,271299001,,10965697-DS-12,"ly an adenoma. CT CHEST W/CONTRAST ___ 3:51 ___ Worsening multifocal pneumonia involving the right lobe and" "Correct entity, wrong SNOMED ID","(6442, 6451)","(6442, 6451)",pneumonia,pneumonia,233604007,415125002,10965697-DS-12,"HEST W/CONTRAST ___ 3:51 ___ Worsening multifocal pneumonia involving the right lobe and lingula. The diffe" "Correct entity, wrong SNOMED ID","(6466, 6476)","(6466, 6476)",right lobe,right lobe,266005,361969002,10965697-DS-12," ___ Worsening multifocal pneumonia involving the right lobe and lingula. The differential diagnosis include" "Correct entity, wrong SNOMED ID","(6482, 6489)","(6482, 6489)",lingula,lingula,50837003,272653005,10965697-DS-12,"ultifocal pneumonia involving the right lobe and lingula. The differential diagnosis includes atypical ba" Wrong span,"(6547, 6556)","(6537, 6556)",infection,bacterial infection,40733004,1300178001,10965697-DS-12,"ifferential diagnosis includes atypical bacterial infection and fungal infection. Increased small bilateral" Wrong span,"(6570, 6579)","(6562, 6579)",infection,"fungal infection",40733004,110276005,10965697-DS-12,"ncludes atypical bacterial infection and fungal infection. Increased small bilateral pleural effusions. Un" Wrong span,"(6607, 6623)","(6597, 6624)",pleural effusion,bilateral pleural effusions,60046008,425802001,10965697-DS-12,"and fungal infection. Increased small bilateral pleural effusions. Unchanged diffuse bronchial wall thickening, l" Missed entity,"(6627, 6636)",,Unchanged,,359748005,,10965697-DS-12,"on. Increased small bilateral pleural effusions. Unchanged diffuse bronchial wall thickening, likely due to " Wrong span,"(6645, 6654)","(6645, 6659)",bronchial,bronchial wall,955009,1366724005,10965697-DS-12,"l bilateral pleural effusions. Unchanged diffuse bronchial wall thickening, likely due to chronic infection" "Correct entity, wrong SNOMED ID","(6660, 6670)","(6660, 6670)",thickening,thickening,89977008,112674009,10965697-DS-12,"ural effusions. Unchanged diffuse bronchial wall thickening, likely due to chronic infection. 3 mm solid rig" Wrong span,"(6687, 6694)","(6687, 6704)",chronic,chronic infection,27624003,788865000,10965697-DS-12,"diffuse bronchial wall thickening, likely due to chronic infection. 3 mm solid right middle lobe nodule wh" Wrong span,"(6695, 6704)","(6687, 6704)",infection,chronic infection,40733004,788865000,10965697-DS-12,"bronchial wall thickening, likely due to chronic infection. 3 mm solid right middle lobe nodule which is st" "Correct entity, wrong SNOMED ID","(6717, 6734)","(6717, 6734)",right middle lobe,right middle lobe,72481006,113250009,10965697-DS-12,"ing, likely due to chronic infection. 3 mm solid right middle lobe nodule which is stable since ___. DISCHARGE LA" "Correct entity, wrong SNOMED ID","(6735, 6741)","(6735, 6741)",nodule,nodule,786838002,237495005,10965697-DS-12," chronic infection. 3 mm solid right middle lobe nodule which is stable since ___. DISCHARGE LABS ___ " "Correct entity, wrong SNOMED ID","(6752, 6758)","(6752, 6758)",stable,stable,359746009,301459008,10965697-DS-12,"on. 3 mm solid right middle lobe nodule which is stable since ___. DISCHARGE LABS ___ 12:00AM BLOOD WBC" "Correct entity, wrong SNOMED ID","(6805, 6808)","(6805, 6808)",WBC,WBC,767002,391558003,10965697-DS-12,"ble since ___. DISCHARGE LABS ___ 12:00AM BLOOD WBC-1.0* RBC-2.68* Hgb-8.5* Hct-24.8* MCV-92 MCH-31." "Correct entity, wrong SNOMED ID","(6814, 6817)","(6814, 6817)",RBC,RBC,14089001,258759006,10965697-DS-12," ___. DISCHARGE LABS ___ 12:00AM BLOOD WBC-1.0* RBC-2.68* Hgb-8.5* Hct-24.8* MCV-92 MCH-31.6 MCHC-34" "Correct entity, wrong SNOMED ID","(6824, 6827)","(6824, 6827)",Hgb,Hgb,441689006,104142005,10965697-DS-12,"SCHARGE LABS ___ 12:00AM BLOOD WBC-1.0* RBC-2.68* Hgb-8.5* Hct-24.8* MCV-92 MCH-31.6 MCHC-34.2 RDW-14." "Correct entity, wrong SNOMED ID","(6833, 6836)","(6833, 6836)",Hct,Hct,28317006,282660005,10965697-DS-12,"ABS ___ 12:00AM BLOOD WBC-1.0* RBC-2.68* Hgb-8.5* Hct-24.8* MCV-92 MCH-31.6 MCHC-34.2 RDW-14.9 Plt Ct-" Missed entity,"(6844, 6847)",,MCV,,104133003,,10965697-DS-12,"00AM BLOOD WBC-1.0* RBC-2.68* Hgb-8.5* Hct-24.8* MCV-92 MCH-31.6 MCHC-34.2 RDW-14.9 Plt Ct-12* ___ 12:" "Correct entity, wrong SNOMED ID","(6860, 6864)","(6860, 6864)",MCHC,MCHC,37254006,735147002,10965697-DS-12,".0* RBC-2.68* Hgb-8.5* Hct-24.8* MCV-92 MCH-31.6 MCHC-34.2 RDW-14.9 Plt Ct-12* ___ 12:00AM BLOOD Neuts-" "Correct entity, wrong SNOMED ID","(6908, 6913)","(6908, 6913)",Neuts,Neuts,30630007,271035003,10965697-DS-12,"6 MCHC-34.2 RDW-14.9 Plt Ct-12* ___ 12:00AM BLOOD Neuts-4* Bands-0 Lymphs-60* Monos-7 Eos-0 Baso-2 ___ M" Boundary error,"(6925, 6931)","(6925, 6930)",Lymphs,Lymph,74765001,79709007,10965697-DS-12,"4.9 Plt Ct-12* ___ 12:00AM BLOOD Neuts-4* Bands-0 Lymphs-60* Monos-7 Eos-0 Baso-2 ___ Myelos-0 Blasts-27*" "Correct entity, wrong SNOMED ID","(6936, 6941)","(6936, 6941)",Monos,Monos,67776007,462791000124108,10965697-DS-12,"12* ___ 12:00AM BLOOD Neuts-4* Bands-0 Lymphs-60* Monos-7 Eos-0 Baso-2 ___ Myelos-0 Blasts-27* ___ 12:00" Boundary error,"(6944, 6947)","(6944, 6945)",Eos,E,71960002,257985002,10965697-DS-12,"12:00AM BLOOD Neuts-4* Bands-0 Lymphs-60* Monos-7 Eos-0 Baso-2 ___ Myelos-0 Blasts-27* ___ 12:00AM BLO" "Correct entity, wrong SNOMED ID","(6951, 6955)","(6951, 6955)",Baso,Baso,42351005,700051010000106,10965697-DS-12," BLOOD Neuts-4* Bands-0 Lymphs-60* Monos-7 Eos-0 Baso-2 ___ Myelos-0 Blasts-27* ___ 12:00AM BLOOD Hypoc" "Correct entity, wrong SNOMED ID","(7181, 7184)","(7181, 7184)",PTT,PTT,42525009,282119004,10965697-DS-12,"OD Plt Smr-RARE Plt Ct-___* ___ 12:00AM BLOOD ___ PTT-31.4 ___ ___ 12:00AM BLOOD Glucose-78 UreaN-9 Cre" "Correct entity, wrong SNOMED ID","(7212, 7219)","(7212, 7219)",Glucose,Glucose,33747003,72191006,10965697-DS-12," 12:00AM BLOOD ___ PTT-31.4 ___ ___ 12:00AM BLOOD Glucose-78 UreaN-9 Creat-0.7 Na-141 K-3.5 Cl-104 HCO3-30" "Correct entity, wrong SNOMED ID","(7223, 7228)","(7223, 7228)",UreaN,UreaN,105011006,111108008,10965697-DS-12,"OOD ___ PTT-31.4 ___ ___ 12:00AM BLOOD Glucose-78 UreaN-9 Creat-0.7 Na-141 K-3.5 Cl-104 HCO3-30 AnGap-11" "Correct entity, wrong SNOMED ID","(7231, 7236)","(7231, 7236)",Creat,Creat,70901006,413856009,10965697-DS-12,"PTT-31.4 ___ ___ 12:00AM BLOOD Glucose-78 UreaN-9 Creat-0.7 Na-141 K-3.5 Cl-104 HCO3-30 AnGap-11 ___ 12:" "Correct entity, wrong SNOMED ID","(7241, 7243)","(7241, 7243)",Na,Na,312469006,257992007,10965697-DS-12,"__ ___ 12:00AM BLOOD Glucose-78 UreaN-9 Creat-0.7 Na-141 K-3.5 Cl-104 HCO3-30 AnGap-11 ___ 12:00AM BL" Missed entity,"(7248, 7249)",,K,,312468003,,10965697-DS-12,"12:00AM BLOOD Glucose-78 UreaN-9 Creat-0.7 Na-141 K-3.5 Cl-104 HCO3-30 AnGap-11 ___ 12:00AM BLOOD AL" "Correct entity, wrong SNOMED ID","(7262, 7266)","(7262, 7266)",HCO3,HCO3,312471006,88645003,10965697-DS-12,"Glucose-78 UreaN-9 Creat-0.7 Na-141 K-3.5 Cl-104 HCO3-30 AnGap-11 ___ 12:00AM BLOOD ALT-19 AST-20 LD(LD" "Correct entity, wrong SNOMED ID","(7270, 7275)","(7270, 7275)",AnGap,AnGap,25469001,124504004,10965697-DS-12,"78 UreaN-9 Creat-0.7 Na-141 K-3.5 Cl-104 HCO3-30 AnGap-11 ___ 12:00AM BLOOD ALT-19 AST-20 LD(LDH)-204 Al" "Correct entity, wrong SNOMED ID","(7297, 7300)","(7297, 7300)",ALT,ALT,34608000,56935002,10965697-DS-12," K-3.5 Cl-104 HCO3-30 AnGap-11 ___ 12:00AM BLOOD ALT-19 AST-20 LD(LDH)-204 AlkPhos-164* TotBili-0.7 _" "Correct entity, wrong SNOMED ID","(7304, 7307)","(7304, 7307)",AST,AST,45896001,85043005,10965697-DS-12," Cl-104 HCO3-30 AnGap-11 ___ 12:00AM BLOOD ALT-19 AST-20 LD(LDH)-204 AlkPhos-164* TotBili-0.7 ___ 12:0" "Correct entity, wrong SNOMED ID","(7314, 7317)","(7314, 7317)",LDH,LDH,11274001,67568008,10965697-DS-12,"O3-30 AnGap-11 ___ 12:00AM BLOOD ALT-19 AST-20 LD(LDH)-204 AlkPhos-164* TotBili-0.7 ___ 12:00AM BLOOD " "Correct entity, wrong SNOMED ID","(7323, 7330)","(7323, 7330)",AlkPhos,AlkPhos,88810008,30703008,10965697-DS-12,"ap-11 ___ 12:00AM BLOOD ALT-19 AST-20 LD(LDH)-204 AlkPhos-164* TotBili-0.7 ___ 12:00AM BLOOD Albumin-3.2* " "Correct entity, wrong SNOMED ID","(7337, 7344)","(7337, 7344)",TotBili,TotBili,359986008,19754005,10965697-DS-12,"0AM BLOOD ALT-19 AST-20 LD(LDH)-204 AlkPhos-164* TotBili-0.7 ___ 12:00AM BLOOD Albumin-3.2* Calcium-7.8* P" "Correct entity, wrong SNOMED ID","(7367, 7374)","(7367, 7374)",Albumin,Albumin,26758005,102688002,10965697-DS-12,")-204 AlkPhos-164* TotBili-0.7 ___ 12:00AM BLOOD Albumin-3.2* Calcium-7.8* Phos-3.2 Mg-2.0 Brief Hospita" "Correct entity, wrong SNOMED ID","(7380, 7387)","(7380, 7387)",Calcium,Calcium,312472004,108601004,10965697-DS-12,"-164* TotBili-0.7 ___ 12:00AM BLOOD Albumin-3.2* Calcium-7.8* Phos-3.2 Mg-2.0 Brief Hospital Course: Ms." "Correct entity, wrong SNOMED ID","(7393, 7397)","(7393, 7397)",Phos,Phos,104868000,168075002,10965697-DS-12,"i-0.7 ___ 12:00AM BLOOD Albumin-3.2* Calcium-7.8* Phos-3.2 Mg-2.0 Brief Hospital Course: Ms. ___ is a " "Correct entity, wrong SNOMED ID","(7402, 7404)","(7402, 7404)",Mg,Mg,271285000,258684004,10965697-DS-12," 12:00AM BLOOD Albumin-3.2* Calcium-7.8* Phos-3.2 Mg-2.0 Brief Hospital Course: Ms. ___ is a ___ yea" "Correct entity, wrong SNOMED ID","(7485, 7493)","(7485, 7493)",relapsed,relapsed,12281000132104,414482001,10965697-DS-12,"s. ___ is a ___ year-old-woman with a history of relapsed/refractory AML, s/p multiple failed therapies inc" "Correct entity, wrong SNOMED ID","(7494, 7508)","(7494, 7508)",refractory AML,refractory AML,12291000132102,431111000124104,10965697-DS-12," a ___ year-old-woman with a history of relapsed/refractory AML, s/p multiple failed therapies including allogen" Missed entity,"(7530, 7539)",,therapies,,276239002,,10965697-DS-12," of relapsed/refractory AML, s/p multiple failed therapies including allogenic stem cell transplant in ___," Wrong span,"(7561, 7581)","(7551, 7581)",stem cell transplant,allogenic stem cell transplant,425843001,174241000112100,10965697-DS-12,"/p multiple failed therapies including allogenic stem cell transplant in ___, most recently on cabozatinib as part of " Boundary error,"(7634, 7637)","(7634, 7636)",HCC,HC,109841003,259344006,10965697-DS-12," ___, most recently on cabozatinib as part of DF/HCC Protocol ___: Phase 1 trial of cabozantinib in p" "Correct entity, wrong SNOMED ID","(7700, 7708)","(7700, 7708)",relapsed,relapsed,12281000132104,414482001,10965697-DS-12,": Phase 1 trial of cabozantinib in patients with relapsed or refractory AML. She presented with leukocytos" "Correct entity, wrong SNOMED ID","(7712, 7726)","(7712, 7726)",refractory AML,refractory AML,12291000132102,431111000124104,10965697-DS-12,"ial of cabozantinib in patients with relapsed or refractory AML. She presented with leukocytosis, thrombocytopen" "Correct entity, wrong SNOMED ID","(7748, 7760)","(7748, 7760)",leukocytosis,leukocytosis,111583006,65209002,10965697-DS-12,"h relapsed or refractory AML. She presented with leukocytosis, thrombocytopenia, fatigue, anorexia and weaknes" "Correct entity, wrong SNOMED ID","(7762, 7778)","(7762, 7778)",thrombocytopenia,thrombocytopenia,302215000,10752381000119101,10965697-DS-12,"refractory AML. She presented with leukocytosis, thrombocytopenia, fatigue, anorexia and weakness and was found to" "Correct entity, wrong SNOMED ID","(7780, 7787)","(7780, 7787)",fatigue,fatigue,84229001,1141720008,10965697-DS-12,"e presented with leukocytosis, thrombocytopenia, fatigue, anorexia and weakness and was found to have tox" "Correct entity, wrong SNOMED ID","(7789, 7797)","(7789, 7797)",anorexia,anorexia,79890006,161471008,10965697-DS-12,"ted with leukocytosis, thrombocytopenia, fatigue, anorexia and weakness and was found to have toxicity from" Missed entity,"(7834, 7842)",,toxicity,,75478009,,10965697-DS-12,"gue, anorexia and weakness and was found to have toxicity from cabozatinib. Her hospital course was compli" "Correct entity, wrong SNOMED ID","(7928, 7935)","(7928, 7935)",colitis,colitis,64226004,423590009,10965697-DS-12,"rse was complicated by aspergillus pneumonia and colitis. # AML/Leukocytosis Upon admission, the patient " "Correct entity, wrong SNOMED ID","(7940, 7943)","(7940, 7943)",AML,AML,1162928000,14317002,10965697-DS-12,"licated by aspergillus pneumonia and colitis. # AML/Leukocytosis Upon admission, the patient was trea" "Correct entity, wrong SNOMED ID","(7944, 7956)","(7944, 7956)",Leukocytosis,Leukocytosis,111583006,65209002,10965697-DS-12,"ted by aspergillus pneumonia and colitis. # AML/Leukocytosis Upon admission, the patient was treated with hydr" Missed entity,"(8020, 8033)",,good response,,78469002,,10965697-DS-12,"n, the patient was treated with hydroxyurea with good response, and it was discontinued on ___ when her WBC rea" Missed entity,"(8046, 8058)",,discontinued,,304540007,,10965697-DS-12," with hydroxyurea with good response, and it was discontinued on ___ when her WBC reached 6.1. However, her wh" "Correct entity, wrong SNOMED ID","(8075, 8078)","(8075, 8078)",WBC,WBC,767002,391558003,10965697-DS-12,"response, and it was discontinued on ___ when her WBC reached 6.1. However, her white count continued " Wrong span,"(8106, 8139)","(8106, 8117)",white count continued to decrease,white count,419188005,391558003,10965697-DS-12,"ed on ___ when her WBC reached 6.1. However, her white count continued to decrease and remained below 1.0 until discharge. Upon adm" "Correct entity, wrong SNOMED ID","(8206, 8219)","(8206, 8219)",elevated LFTs,elevated LFTs,863927004,441001005,10965697-DS-12,"low 1.0 until discharge. Upon admission, she had elevated LFTs with ALT 99, AST 92, LDH 863, and AlkPhos 171. T" "Correct entity, wrong SNOMED ID","(8225, 8228)","(8225, 8228)",ALT,ALT,34608000,364571000119101,10965697-DS-12,"arge. Upon admission, she had elevated LFTs with ALT 99, AST 92, LDH 863, and AlkPhos 171. They conti" "Correct entity, wrong SNOMED ID","(8233, 8236)","(8233, 8236)",AST,AST,45896001,85043005,10965697-DS-12,"on admission, she had elevated LFTs with ALT 99, AST 92, LDH 863, and AlkPhos 171. They continued to " "Correct entity, wrong SNOMED ID","(8241, 8244)","(8241, 8244)",LDH,LDH,11274001,67568008,10965697-DS-12,"sion, she had elevated LFTs with ALT 99, AST 92, LDH 863, and AlkPhos 171. They continued to trend up" "Correct entity, wrong SNOMED ID","(8254, 8261)","(8254, 8261)",AlkPhos,AlkPhos,88810008,30703008,10965697-DS-12," elevated LFTs with ALT 99, AST 92, LDH 863, and AlkPhos 171. They continued to trend up with a peak on _" "Correct entity, wrong SNOMED ID","(8317, 8320)","(8317, 8320)",ALT,ALT,34608000,56935002,10965697-DS-12," They continued to trend up with a peak on ___ of ALT 85, AST 153, and AlkPhos 145. Subsequently, her " "Correct entity, wrong SNOMED ID","(8325, 8328)","(8325, 8328)",AST,AST,45896001,85043005,10965697-DS-12,"ntinued to trend up with a peak on ___ of ALT 85, AST 153, and AlkPhos 145. Subsequently, her total bi" "Correct entity, wrong SNOMED ID","(8339, 8346)","(8339, 8346)",AlkPhos,AlkPhos,88810008,30703008,10965697-DS-12,"nd up with a peak on ___ of ALT 85, AST 153, and AlkPhos 145. Subsequently, her total bilirubin trended u" "Correct entity, wrong SNOMED ID","(8370, 8385)","(8370, 8385)",total bilirubin,total bilirubin,359986008,176271000119108,10965697-DS-12," 85, AST 153, and AlkPhos 145. Subsequently, her total bilirubin trended up to 3.8 on ___. The changes were thoug" Missed entity,"(8465, 8473)",,toxicity,,75478009,,10965697-DS-12,"e changes were thought to be due to carbozatinib toxicity, and she was removed from the study. Her LFTs su" "Correct entity, wrong SNOMED ID","(8516, 8520)","(8516, 8520)",LFTs,LFTs,26958001,365769003,10965697-DS-12,"oxicity, and she was removed from the study. Her LFTs subsequently normalized by discharge. She receive" "Correct entity, wrong SNOMED ID","(8660, 8679)","(8660, 8679)",Febrile Neutropenia,Febrile Neutropenia,409089005,772126000,10965697-DS-12,"hich the full report is pending at discharge. # Febrile Neutropenia She became febrile early in the morning on ___ wh" "Correct entity, wrong SNOMED ID","(8691, 8698)","(8691, 8698)",febrile,febrile,386661006,307200007,10965697-DS-12," at discharge. # Febrile Neutropenia She became febrile early in the morning on ___ while neutropenic. S" "Correct entity, wrong SNOMED ID","(8734, 8745)","(8734, 8745)",neutropenic,neutropenic,165517008,49191000119102,10965697-DS-12,"became febrile early in the morning on ___ while neutropenic. She was started on cefepime and vancomycin. Bloo" "Correct entity, wrong SNOMED ID","(8791, 8806)","(8791, 8806)","Blood cultures","Blood cultures",30088009,121238005,10965697-DS-12,"enic. She was started on cefepime and vancomycin. Blood cultures eventually showed no growth. Patient was found to" "Correct entity, wrong SNOMED ID","(8863, 8870)","(8863, 8870)",colitis,colitis,64226004,423590009,10965697-DS-12,"ally showed no growth. Patient was found to have colitis by abdominal CT on ___. Cdiff was negative. She w" "Correct entity, wrong SNOMED ID","(8874, 8886)","(8874, 8886)",abdominal CT,abdominal CT,169070004,712816007,10965697-DS-12," no growth. Patient was found to have colitis by abdominal CT on ___. Cdiff was negative. She was switched fro" Missed entity,"(8905, 8913)",,negative,,23875004,,10965697-DS-12,"o have colitis by abdominal CT on ___. Cdiff was negative. She was switched from cefepime to meropenem unt" Missed entity,"(8924, 8932)",,switched,,182838006,,10965697-DS-12,"abdominal CT on ___. Cdiff was negative. She was switched from cefepime to meropenem until discharge, at wh" "Correct entity, wrong SNOMED ID","(9033, 9055)","(9033, 9055)","bacterial prophylaxis","bacterial prophylaxis",422181004,870360005,10965697-DS-12,"ch time she was sent home with ciprofloxacin for bacterial prophylaxis and 5 days of metronidazole. She became afebrile " "Correct entity, wrong SNOMED ID","(9096, 9104)","(9096, 9104)",afebrile,afebrile,386661006,307200007,10965697-DS-12,"ophylaxis and 5 days of metronidazole. She became afebrile on ___ and remained afebrile until discharge. #" "Correct entity, wrong SNOMED ID","(9126, 9134)","(9126, 9134)",afebrile,afebrile,386661006,307200007,10965697-DS-12,"idazole. She became afebrile on ___ and remained afebrile until discharge. # Hemoptysis / Aspergillus Pneu" "Correct entity, wrong SNOMED ID","(9155, 9165)","(9155, 9165)",Hemoptysis,Hemoptysis,66857006,206304007,10965697-DS-12,"on ___ and remained afebrile until discharge. # Hemoptysis / Aspergillus Pneumonia The patient reported hemo" "Correct entity, wrong SNOMED ID","(9211, 9221)","(9211, 9221)",hemoptysis,hemoptysis,66857006,206304007,10965697-DS-12,"ysis / Aspergillus Pneumonia The patient reported hemoptysis, and ENT was consulted on ___. They determined t" "Correct entity, wrong SNOMED ID","(9289, 9297)","(9289, 9297)",bleeding,bleeding,131148009,74474003,10965697-DS-12,"ulted on ___. They determined that the source of bleeding was most likely mucosal given thrombocytopenia a" Boundary error,"(9315, 9322)","(9315, 9321)",mucosal,mucosa,414781009,1119372009,10965697-DS-12,"ined that the source of bleeding was most likely mucosal given thrombocytopenia as they noted clotted bloo" "Correct entity, wrong SNOMED ID","(9329, 9345)","(9329, 9345)",thrombocytopenia,thrombocytopenia,302215000,10752381000119101,10965697-DS-12,"source of bleeding was most likely mucosal given thrombocytopenia as they noted clotted blood at the back of the r" "Correct entity, wrong SNOMED ID","(9360, 9373)","(9360, 9373)",clotted blood,clotted blood,75753009,22084008,10965697-DS-12,"ely mucosal given thrombocytopenia as they noted clotted blood at the back of the right nostril, however, the s" "Correct entity, wrong SNOMED ID","(9394, 9407)","(9394, 9407)",right nostril,right nostril,723609004,421814002,10965697-DS-12,"a as they noted clotted blood at the back of the right nostril, however, the scope was limited and they could n" "Correct entity, wrong SNOMED ID","(9531, 9542)","(9531, 9542)",cavitations,cavitations,2483006,50801008,10965697-DS-12,"he equipment. A CT chest on ___, however, showed cavitations and nodules, which were concerning for aspergill" "Correct entity, wrong SNOMED ID","(9547, 9554)","(9547, 9554)",nodules,nodules,27925004,21444008,10965697-DS-12,"CT chest on ___, however, showed cavitations and nodules, which were concerning for aspergillosis. Given " "Correct entity, wrong SNOMED ID","(9583, 9596)","(9583, 9596)",aspergillosis,aspergillosis,65553006,111899005,10965697-DS-12,"vitations and nodules, which were concerning for aspergillosis. Given that she had a history of aspergillosis w" "Correct entity, wrong SNOMED ID","(9631, 9644)","(9631, 9644)",aspergillosis,aspergillosis,65553006,111899005,10965697-DS-12,"r aspergillosis. Given that she had a history of aspergillosis with hemoptysis, she was started on ambisome ini" "Correct entity, wrong SNOMED ID","(9650, 9660)","(9650, 9660)",hemoptysis,hemoptysis,66857006,206304007,10965697-DS-12,"ven that she had a history of aspergillosis with hemoptysis, she was started on ambisome initially for treat" "Correct entity, wrong SNOMED ID","(9720, 9738)","(9720, 9738)",elevated bilirubin,elevated bilirubin,26165005,176271000119108,10965697-DS-12,"started on ambisome initially for treatment with elevated bilirubin. Once the bilirubin normalized, she was given vo" Wrong span,"(9750, 9770)","(9750, 9759)",bilirubin normalized,bilirubin,166611006,359986008,10965697-DS-12," for treatment with elevated bilirubin. Once the bilirubin normalized, she was given voriconazole until discharge. # " "Correct entity, wrong SNOMED ID","(9820, 9836)","(9820, 9836)",Thrombocytopenia,Thrombocytopenia,302215000,10752381000119101,10965697-DS-12,", she was given voriconazole until discharge. # Thrombocytopenia She had thrombocytopenia, which was likely second" "Correct entity, wrong SNOMED ID","(9845, 9861)","(9845, 9861)",thrombocytopenia,thrombocytopenia,302215000,10752381000119101,10965697-DS-12,"ole until discharge. # Thrombocytopenia She had thrombocytopenia, which was likely secondary to her AML. She was " "Correct entity, wrong SNOMED ID","(9897, 9900)","(9897, 9900)",AML,AML,1162928000,14317002,10965697-DS-12,"rombocytopenia, which was likely secondary to her AML. She was consistently transfusion dependent and " Wrong span,"(9924, 9935)","(9924, 9945)",transfusion,transfusion dependent,5447007,10421000132103,10965697-DS-12,"ikely secondary to her AML. She was consistently transfusion dependent and required frequent platelet transfu" "Correct entity, wrong SNOMED ID","(9969, 9990)","(9969, 9990)",platelet transfusions,platelet transfusions,12719002,180208003,10965697-DS-12,"ntly transfusion dependent and required frequent platelet transfusions. She had some gingival bleeding that resolved by" "Correct entity, wrong SNOMED ID","(11332, 11349)","(11332, 11349)",Home With Service,Home With Service,385783005,710242005,10965697-DS-12," #*15 Tablet Refills:*0 Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Primary: A" Missed entity,"(11456, 11464)",,Toxicity,,75478009,,10965697-DS-12,"elogenous Leukemia Secondary: Cabozatinib-Induced Toxicity (Hyperbilirubinemia, Abnormal Liver Function Tes" "Correct entity, wrong SNOMED ID","(11466, 11484)","(11466, 11484)",Hyperbilirubinemia,Hyperbilirubinemia,14783006,51071000,10965697-DS-12,"Leukemia Secondary: Cabozatinib-Induced Toxicity (Hyperbilirubinemia, Abnormal Liver Function Tests), Febrile Neutrop" Missed entity,"(11487, 11510)",,Abnormal Liver Function,,75183008,,10965697-DS-12,"abozatinib-Induced Toxicity (Hyperbilirubinemia, Abnormal Liver Function Tests), Febrile Neutropenia, Infectious Colitis," Wrong span,"(11519, 11538)","(11519, 11526)",Febrile Neutropenia,Febrile,409089005,307200007,10965697-DS-12,"erbilirubinemia, Abnormal Liver Function Tests), Febrile Neutropenia, Infectious Colitis, Aspergillus Pneumonia Di" "Correct entity, wrong SNOMED ID","(11540, 11559)","(11540, 11559)","Infectious Colitis","Infectious Colitis",39341005,721685001,10965697-DS-12,"ormal Liver Function Tests), Febrile Neutropenia, Infectious Colitis, Aspergillus Pneumonia Discharge Condition: Me" "Correct entity, wrong SNOMED ID","(11607, 11620)","(11607, 11620)",Mental Status,Mental Status,392257007,419284004,10965697-DS-12,"is, Aspergillus Pneumonia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(11622, 11627)","(11622, 11627)",Clear,Clear,830123008,281278005,10965697-DS-12," Pneumonia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(11642, 11664)","(11642, 11664)",Level of Consciousness,Level of Consciousness,444714004,830285008,10965697-DS-12,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(11666, 11671)","(11666, 11671)",Alert,Alert,248234008,409787004,10965697-DS-12,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(11676, 11687)","(11676, 11687)",interactive,interactive,288577006,10301000202103,10965697-DS-12,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(11689, 11704)","(11689, 11704)",Activity Status,Activity Status,129676008,397622007,10965697-DS-12,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(11706, 11730)","(11706, 11730)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,10965697-DS-12,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, You we" "Correct entity, wrong SNOMED ID","(11833, 11840)","(11833, 11840)",fatigue,fatigue,84229001,1141720008,10965697-DS-12,"admitted to the hospital because of weakness and fatigue and elevated white cell count, which required tre" "Correct entity, wrong SNOMED ID","(11845, 11870)","(11845, 11870)",elevated white cell count,elevated white cell count,111583006,415115007,10965697-DS-12,"the hospital because of weakness and fatigue and elevated white cell count, which required treatment with hydroxyurea, a ch" "Correct entity, wrong SNOMED ID","(11918, 11930)","(11918, 11930)",chemotherapy,chemotherapy,367336001,266719004,10965697-DS-12,"nt, which required treatment with hydroxyurea, a chemotherapy drug. During your hospitalization, you develop t" Missed entity,"(11979, 11987)",,toxicity,,75478009,,10965697-DS-12,"y drug. During your hospitalization, you develop toxicity to the new chemotherapy drug, cabozanitib, and i" "Correct entity, wrong SNOMED ID","(11999, 12011)","(11999, 12011)",chemotherapy,chemotherapy,367336001,266719004,10965697-DS-12," hospitalization, you develop toxicity to the new chemotherapy drug, cabozanitib, and it was discontinued. Afte" Missed entity,"(12043, 12055)",,discontinued,,304540007,,10965697-DS-12,"e new chemotherapy drug, cabozanitib, and it was discontinued. Afterwards, we watched you for recovery and tre" Missed entity,"(12140, 12147)",,abdomen,,818983003,,10965697-DS-12,"ecovery and treated you for an infection of your abdomen and another infection in your lungs. Last, we gav" Wrong span,"(12160, 12183)","(12160, 12169)",infection in your lungs,infection,128601007,260976002,10965697-DS-12,"you for an infection of your abdomen and another infection in your lungs. Last, we gave you blood products for low platel" Missed entity,"(12223, 12236)",,low platelets,,302215000,,10965697-DS-12,"your lungs. Last, we gave you blood products for low platelets, something that helps you clot. It was a pleasur" Missed entity,"(12264, 12268)",,clot,,75753009,,10965697-DS-12,"ucts for low platelets, something that helps you clot. It was a pleasure to take care you during your s" False positive,,"(585, 595)",,queasiness,,162221009,11021124-DS-15,"had in the past. She also decribes intermittent ""queasiness"" without chest pain, shortness of breath or diap" False positive,,"(1289, 1292)",,lay,,247987004,11021124-DS-15,"sly. She then felt fatigued, and ""not well"", and lay down on the couch. She then felt chest pressure " False positive,,"(1356, 1363)",,sitting,,282969008,11021124-DS-15,"ouch. She then felt chest pressure ""like an iron sitting on my chest"" with left arm numbness and tingling" False positive,,"(2232, 2234)",,AS,,121606009,11021124-DS-15,"s admitted to the medicine service for ___. . ASA given, oxygen. 3 SL NG, without relieve. not rel" False positive,,"(2344, 2352)",,relieved,,162483007,11021124-DS-15," SL. Pain free with MSIV 2mg them returned, then relieved again with another. HR 50, 132/45, 12, sating we" False positive,,"(2461, 2467)",,sating,,65256004,11021124-DS-15," . On floor, initial VS were HR 50, 132/45, 12, sating 99% RA. Patient was asymptomatic. She denies che" False positive,,"(2988, 2990)",,L3,,263301002,11021124-DS-15,"nd gallstone pancreatitis - Spinal stenosis s/p L3-5 laminectomy - Shoulder impingement s/p rotato" False positive,,"(3332, 3343)",,comfortable,,1148784009,11021124-DS-15," GENERAL - well-appearing ___ yo female in NAD, comfortable, appropriate HEENT - NC/AT, MMM, OP clear NE" False positive,,"(3532, 3535)",,PMI,,32671000087105,11021124-DS-15,"esp unlabored, no accessory muscle use HEART - PMI non-displaced, RRR, no MRG, nl S1-S2, TTP at lowe" False positive,,"(3806, 3807)",,A,,420512001,11021124-DS-15,"es SKIN - no rashes or lesions NEURO - awake, A&Ox3, face symmetric, speech fluent, muscle stren" False positive,,"(4058, 4063)",,URINE,,78888000,11021124-DS-15,"ANDOM ___ 02:45PM URINE GR HOLD-HOLD ___ 02:45PM URINE COLOR-Straw APPEAR-Clear SP ___ ___ 02:45PM URIN" False positive,,"(4151, 4155)",,GLUC,,124462004,11021124-DS-15,"02:45PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-" False positive,,"(4474, 4477)",,MCH,,735147002,11021124-DS-15,"M WBC-5.3 RBC-4.19* HGB-11.4* HCT-34.3* MCV-82 MCH-27.3 MCHC-33.4 RDW-14.3 ___ 01:30PM NEUTS-73.8*" False positive,,"(4897, 4901)",,Baso,,700051010000106,11021124-DS-15," 01:30PM BLOOD Neuts-73.8* ___ Monos-4.1 Eos-3.6 Baso-0.5 ___ 05:15AM BLOOD Plt ___ ___ 05:15AM BLOOD _" False positive,,"(5438, 5443)",,CK-MB,,259309009,11021124-DS-15,"5AM BLOOD CK-MB-3 cTropnT-<0.01 ___ 10:40AM BLOOD CK-MB-3 cTropnT-LESS THAN ___ 06:00AM BLOOD CK-MB-2 cT" False positive,,"(6095, 6102)",,resting,,707707000,11021124-DS-15,"d approximately 45 minutes prior to obtaining the resting images. Following resting images and two mi" False positive,,"(6127, 6134)",,resting,,707707000,11021124-DS-15," to obtaining the resting images. Following resting images and two minutes following intravenous dip" False positive,,"(6168, 6170)",,in,,10828004,11021124-DS-15,"ollowing resting images and two minutes following intravenous dipyridamole, approximately three time" False positive,,"(6625, 6629)",,Rest,,17535004,11021124-DS-15,". Left ventricular cavity size is normal. Rest and stress perfusion images reveal uniform tracer" False positive,,"(6634, 6640)",,stress,,73595000,11021124-DS-15,"t ventricular cavity size is normal. Rest and stress perfusion images reveal uniform tracer uptake th" False positive,,"(6868, 6874)",,stress,,73595000,11021124-DS-15,"ction fraction is 71% with an EDV of 71 ml post stress. Compared with an exercise MIBI performed on" False positive,,"(6898, 6906)",,exercise,,102533007,11021124-DS-15," EDV of 71 ml post stress. Compared with an exercise MIBI performed on ___ there is no appreciable i" False positive,,"(7068, 7074)",,stress,,73595000,11021124-DS-15,"n study. 2. EF of 71% with an EDV of 71 ml post stress. . ___ EKG Sinus bradycardia. Compared to th" False positive,,"(7236, 7245)",,CTA Chest,,169069000,11021124-DS-15,"RS QT/QTc P QRS T 54 166 92 470/459 62 -46 34 . CTA Chest ___ UNDERLYING MEDICAL CONDITION: ___ year o" False positive,,"(8143, 8149)",,normal,,840673007,11021124-DS-15," great vessels including the thoracic aorta are normal in caliber and patent. There is no dissection se" False positive,,"(8807, 8824)",,OSSEOUS STRUCTURE,,62149008,11021124-DS-15," hernia is unchanged since the ___, CT exam. OSSEOUS STRUCTURES: There is no acute fracture or dislocation. No " False positive,,"(8839, 8844)",,acute,,255228009,11021124-DS-15,"___, CT exam. OSSEOUS STRUCTURES: There is no acute fracture or dislocation. No concerning blastic " False positive,,"(8897, 8902)",,lytic,,413418003,11021124-DS-15,"acture or dislocation. No concerning blastic or lytic lesions are seen. Moderate degenerative changes " False positive,,"(8903, 8910)",,lesions,,246206008,11021124-DS-15," or dislocation. No concerning blastic or lytic lesions are seen. Moderate degenerative changes are pres" False positive,,"(9515, 9519)",,left,,264745005,11021124-DS-15," the chest was obtained. Slight blunting of the left costophrenic angle may relate to overlying soft " False positive,,"(9812, 9816)",,left,,264745005,11021124-DS-15,"l in size. IMPRESSION: Subtle blunting of the left costophrenic angle may relate to overlying soft" False positive,,"(10840, 10847)",,EKG was,,366170001,11021124-DS-15,"turned on the floor the morning after admission, EKG was stable, CE negative. Pt was started on Heparin g" False positive,,"(10856, 10858)",,CE,,257985002,11021124-DS-15,"oor the morning after admission, EKG was stable, CE negative. Pt was started on Heparin gtt for poss" False positive,,"(11039, 11041)",,AS,,121606009,11021124-DS-15,"arin was stopped AM of ___. She was continued on ASA. Persantine stress test on ___, showed no wall " False positive,,"(11158, 11161)",,CTA,,397005006,11021124-DS-15,"ies, with EF of 71%, and no ischemic ST changes. CTA ruled out PE and aortic dissection on admission." False positive,,"(13824, 13834)",,blood work,,282337009,11021124-DS-15,"chest pain and shortness of breath. Your EKG and blood work indicated you were not having an active heart at" False positive,,"(13929, 13935)",,normal,,840673007,11021124-DS-15,"rt attack. You underwent a stress test which was normal. . The following changes were made to your medica" "Correct entity, wrong SNOMED ID","(179, 186)","(179, 186)",Codeine,Codeine,293597001,1381986007,11021124-DS-15," Sex: F Service: MEDICINE Allergies: Codeine Attending: ___. Chief Complaint: chest pain " "Correct entity, wrong SNOMED ID","(224, 234)","(224, 234)",chest pain,chest pain,29857009,444821009,11021124-DS-15,"es: Codeine Attending: ___. Chief Complaint: chest pain Major Surgical or Invasive Procedure: None " "Correct entity, wrong SNOMED ID","(335, 338)","(335, 338)",HTN,HTN,38341003,10725009,11021124-DS-15,"istory of Present Illness: ___ yo female with h/o HTN, hyperlipidemia, presents with several episodes " "Correct entity, wrong SNOMED ID","(340, 354)","(340, 354)",hyperlipidemia,hyperlipidemia,55822004,267434003,11021124-DS-15,"y of Present Illness: ___ yo female with h/o HTN, hyperlipidemia, presents with several episodes of chest pain in" "Correct entity, wrong SNOMED ID","(391, 401)","(391, 401)",chest pain,chest pain,29857009,444821009,11021124-DS-15,"yperlipidemia, presents with several episodes of chest pain in the last 24 hours. Over the last three weeks" "Correct entity, wrong SNOMED ID","(502, 520)","(502, 520)",difficulty walking,difficulty walking,719232003,1285122000,11021124-DS-15," patient has feeling progressively weak, and has difficulty walking as far as she had in the past. She also decribes" "Correct entity, wrong SNOMED ID","(605, 615)","(605, 615)",chest pain,chest pain,29857009,102589003,11021124-DS-15,"e also decribes intermittent ""queasiness"" without chest pain, shortness of breath or diaphoresis. She says th" "Correct entity, wrong SNOMED ID","(618, 637)","(618, 637)",shortness of breath,shortness of breath,267036007,135833008,11021124-DS-15,"es intermittent ""queasiness"" without chest pain, shortness of breath or diaphoresis. She says that at baseline she ca" "Correct entity, wrong SNOMED ID","(641, 652)","(641, 652)",diaphoresis,diaphoresis,52613005,111980002,11021124-DS-15,"ness"" without chest pain, shortness of breath or diaphoresis. She says that at baseline she can climb a fligh" "Correct entity, wrong SNOMED ID","(671, 679)","(671, 679)",baseline,baseline,128974000,129082007,11021124-DS-15,"rtness of breath or diaphoresis. She says that at baseline she can climb a flight of stairs, and walk out t" Missed entity,"(689, 694)",,climb,,284097000,,11021124-DS-15,"r diaphoresis. She says that at baseline she can climb a flight of stairs, and walk out to her mailbox " "Correct entity, wrong SNOMED ID","(798, 807)","(798, 807)","leg pain","leg pain",10601006,12247531000119106,11021124-DS-15,"out stopping, but that her activity is limited by leg pain/weakness, not shortness of breath or fatigue. She" "Correct entity, wrong SNOMED ID","(808, 816)","(808, 816)",weakness,weakness,249945007,13791008,11021124-DS-15,"ng, but that her activity is limited by leg pain/weakness, not shortness of breath or fatigue. She saw her " "Correct entity, wrong SNOMED ID","(822, 841)","(822, 841)",shortness of breath,shortness of breath,267036007,135833008,11021124-DS-15,"er activity is limited by leg pain/weakness, not shortness of breath or fatigue. She saw her PCP in the office on ___" "Correct entity, wrong SNOMED ID","(845, 852)","(845, 852)",fatigue,fatigue,84229001,1141720008,11021124-DS-15,"by leg pain/weakness, not shortness of breath or fatigue. She saw her PCP in the office on ___ who felt h" "Correct entity, wrong SNOMED ID","(930, 938)","(930, 938)",hip pain,hip pain,49218002,12247611000119100,11021124-DS-15,"fice on ___ who felt her weakness was related to hip pain and lower extremity weakness, got plain films of " Wrong span,"(973, 984)","(973, 987)",plain films,plain films of,168537006,399015009,11021124-DS-15,"ed to hip pain and lower extremity weakness, got plain films of her hips which which showed mild DJD, and rec" "Correct entity, wrong SNOMED ID","(993, 997)","(993, 997)",hips,hips,29836001,710226003,11021124-DS-15,"lower extremity weakness, got plain films of her hips which which showed mild DJD, and recommended phys" Missed entity,"(1017, 1021)",,mild,,162468002,,11021124-DS-15,", got plain films of her hips which which showed mild DJD, and recommended physical therapy. . One" "Correct entity, wrong SNOMED ID","(1022, 1025)","(1022, 1025)",DJD,DJD,396275006,698279003,11021124-DS-15," plain films of her hips which which showed mild DJD, and recommended physical therapy. . One nig" "Correct entity, wrong SNOMED ID","(1043, 1060)","(1043, 1060)","physical therapy","physical therapy",410158009,183326003,11021124-DS-15,"hips which which showed mild DJD, and recommended physical therapy. . One night prior to admission, patient note" "Correct entity, wrong SNOMED ID","(1129, 1134)","(1129, 1134)",sharp,sharp,8708008,465145007,11021124-DS-15,"rior to admission, patient noted sudden onset of sharp, stabbing chest pain while carrying food to the d" Wrong span,"(1136, 1144)","(1136, 1155)",stabbing,stabbing chest pain,55145008,279019008,11021124-DS-15," admission, patient noted sudden onset of sharp, stabbing chest pain while carrying food to the dinner tab" Wrong span,"(1145, 1155)","(1136, 1155)",chest pain,stabbing chest pain,29857009,279019008,11021124-DS-15,"n, patient noted sudden onset of sharp, stabbing chest pain while carrying food to the dinner table. It last" "Correct entity, wrong SNOMED ID","(1259, 1267)","(1259, 1267)",fatigued,fatigued,84229001,22171002,11021124-DS-15,"econds and resolved spontaneously. She then felt fatigued, and ""not well"", and lay down on the couch. She " Missed entity,"(1274, 1282)",,not well,,367391008,,11021124-DS-15,"lved spontaneously. She then felt fatigued, and ""not well"", and lay down on the couch. She then felt chest" "Correct entity, wrong SNOMED ID","(1327, 1341)","(1327, 1341)",chest pressure,chest pressure,23924001,78387000,11021124-DS-15," well"", and lay down on the couch. She then felt chest pressure ""like an iron sitting on my chest"" with left arm" Missed entity,"(1370, 1375)",,chest,,51185008,,11021124-DS-15,"n felt chest pressure ""like an iron sitting on my chest"" with left arm numbness and tingling. This resol" "Correct entity, wrong SNOMED ID","(1383, 1391)","(1383, 1391)",left arm,left arm,80768000,72098002,11021124-DS-15,"pressure ""like an iron sitting on my chest"" with left arm numbness and tingling. This resolved over the nex" Wrong span,"(1392, 1400)","(1392, 1413)",numbness,numbness and tingling,44077006,101000119102,11021124-DS-15,"""like an iron sitting on my chest"" with left arm numbness and tingling. This resolved over the next hour. " Wrong span,"(1405, 1413)","(1392, 1413)",tingling,numbness and tingling,786837007,101000119102,11021124-DS-15," sitting on my chest"" with left arm numbness and tingling. This resolved over the next hour. The following" Wrong span,"(1500, 1504)","(1500, 1520)",dull,"dull chest pressure",83644001,248610008,11021124-DS-15,"The following morning, she had another episode of dull chest pressure, radiating into the epigastrum, a" Wrong span,"(1506, 1520)","(1500, 1520)",chest pressure,"dull chest pressure",23924001,248610008,11021124-DS-15,"llowing morning, she had another episode of dull chest pressure, radiating into the epigastrum, associated with " "Correct entity, wrong SNOMED ID","(1522, 1531)","(1522, 1531)",radiating,radiating,9972008,161892003,11021124-DS-15," she had another episode of dull chest pressure, radiating into the epigastrum, associated with nausea. Thi" "Correct entity, wrong SNOMED ID","(1541, 1551)","(1541, 1551)",epigastrum,epigastrum,27947004,301403003,11021124-DS-15,"isode of dull chest pressure, radiating into the epigastrum, associated with nausea. This did not resolve. O" "Correct entity, wrong SNOMED ID","(1570, 1576)","(1570, 1576)",nausea,nausea,422587007,1217125005,11021124-DS-15,", radiating into the epigastrum, associated with nausea. This did not resolve. On speaking with her daugh" Missed entity,"(1591, 1598)",,resolve,,413322009,,11021124-DS-15,"epigastrum, associated with nausea. This did not resolve. On speaking with her daughter and triage nurse," "Correct entity, wrong SNOMED ID","(1728, 1730)","(1728, 1730)",VS,VS,118227000,313611000,11021124-DS-15,"artment. . In the emergency department initial VS were T 98.5 HR 49 BP 155/57 RR 18 99/RA. EKG sho" Missed entity,"(1736, 1737)",,T,,105723007,,11021124-DS-15," . In the emergency department initial VS were T 98.5 HR 49 BP 155/57 RR 18 99/RA. EKG showed TWI" Missed entity,"(1743, 1745)",,HR,,301113001,,11021124-DS-15,"n the emergency department initial VS were T 98.5 HR 49 BP 155/57 RR 18 99/RA. EKG showed TWI V2-V4 s" "Correct entity, wrong SNOMED ID","(1749, 1751)","(1749, 1751)",BP,BP,392570002,38341003,11021124-DS-15,"emergency department initial VS were T 98.5 HR 49 BP 155/57 RR 18 99/RA. EKG showed TWI V2-V4 since h" "Correct entity, wrong SNOMED ID","(1760, 1762)","(1760, 1762)",RR,RR,301283003,229040007,11021124-DS-15,"epartment initial VS were T 98.5 HR 49 BP 155/57 RR 18 99/RA. EKG showed TWI V2-V4 since here, consis" "Correct entity, wrong SNOMED ID","(1769, 1771)","(1769, 1771)",RA,RA,722742002,463051000124105,11021124-DS-15," initial VS were T 98.5 HR 49 BP 155/57 RR 18 99/RA. EKG showed TWI V2-V4 since here, consistent but" "Correct entity, wrong SNOMED ID","(1773, 1776)","(1773, 1776)",EKG,EKG,29303009,75444003,11021124-DS-15,"tial VS were T 98.5 HR 49 BP 155/57 RR 18 99/RA. EKG showed TWI V2-V4 since here, consistent but diff" "Correct entity, wrong SNOMED ID","(1784, 1787)","(1784, 1787)",TWI,TWI,59931005,258001008,11021124-DS-15,"e T 98.5 HR 49 BP 155/57 RR 18 99/RA. EKG showed TWI V2-V4 since here, consistent but different from " "Correct entity, wrong SNOMED ID","(1879, 1898)","(1879, 1898)",costophrenic angles,costophrenic angles,46297007,1297172001,11021124-DS-15,"nt from prior. A CXR showed mild blunting of the costophrenic angles bilaterally. A CTA demonstrated no PE or dissect" "Correct entity, wrong SNOMED ID","(1914, 1917)","(1914, 1917)",CTA,CTA,418272005,397005006,11021124-DS-15,"unting of the costophrenic angles bilaterally. A CTA demonstrated no PE or dissection, but some RUL G" "Correct entity, wrong SNOMED ID","(1934, 1936)","(1934, 1936)",PE,PE,59282003,20503002,11021124-DS-15,"phrenic angles bilaterally. A CTA demonstrated no PE or dissection, but some RUL GGO. Troponin was ne" "Correct entity, wrong SNOMED ID","(1962, 1965)","(1962, 1965)",RUL,RUL,42400003,65826004,11021124-DS-15,"A CTA demonstrated no PE or dissection, but some RUL GGO. Troponin was negative x 1. She was given 32" "Correct entity, wrong SNOMED ID","(1966, 1969)","(1966, 1969)",GGO,GGO,1217294009,37196004,11021124-DS-15,"A demonstrated no PE or dissection, but some RUL GGO. Troponin was negative x 1. She was given 325mg " "Correct entity, wrong SNOMED ID","(1971, 1979)","(1971, 1979)",Troponin,Troponin,105000003,102684000,11021124-DS-15,"onstrated no PE or dissection, but some RUL GGO. Troponin was negative x 1. She was given 325mg of aspirin" Missed entity,"(1984, 1992)",,negative,,281900007,,11021124-DS-15,"PE or dissection, but some RUL GGO. Troponin was negative x 1. She was given 325mg of aspirin and suppleme" "Correct entity, wrong SNOMED ID","(2022, 2029)","(2022, 2029)",aspirin,aspirin,431463004,25796002,11021124-DS-15,"roponin was negative x 1. She was given 325mg of aspirin and supplemental O2. She was given SL NTG x 3 wi" "Correct entity, wrong SNOMED ID","(2085, 2091)","(2085, 2091)",relief,relief,224978009,182970005,11021124-DS-15,"upplemental O2. She was given SL NTG x 3 without relief of her chest pain. She was given morhine IV 2mg " "Correct entity, wrong SNOMED ID","(2099, 2109)","(2099, 2109)",chest pain,chest pain,29857009,102589003,11021124-DS-15,". She was given SL NTG x 3 without relief of her chest pain. She was given morhine IV 2mg x 2 with relief of" Missed entity,"(2133, 2135)",,IV,,386358000,,11021124-DS-15,"t relief of her chest pain. She was given morhine IV 2mg x 2 with relief of her chest pain. She was a" "Correct entity, wrong SNOMED ID","(2150, 2156)","(2150, 2156)",relief,relief,224978009,182970005,11021124-DS-15,"hest pain. She was given morhine IV 2mg x 2 with relief of her chest pain. She was admitted to the medic" "Correct entity, wrong SNOMED ID","(2164, 2174)","(2164, 2174)",chest pain,chest pain,29857009,102589003,11021124-DS-15," was given morhine IV 2mg x 2 with relief of her chest pain. She was admitted to the medicine service for __" "Correct entity, wrong SNOMED ID","(2300, 2309)","(2300, 2309)",Pain free,Pain free,301379001,279052002,11021124-DS-15," 3 SL NG, without relieve. not relieved with SL. Pain free with MSIV 2mg them returned, then relieved again " "Correct entity, wrong SNOMED ID","(2374, 2376)","(2374, 2376)",HR,HR,301113001,258702006,11021124-DS-15,"them returned, then relieved again with another. HR 50, 132/45, 12, sating well 99%. . On floor, " "Correct entity, wrong SNOMED ID","(2434, 2436)","(2434, 2436)",VS,VS,118227000,313611000,11021124-DS-15,"/45, 12, sating well 99%. . On floor, initial VS were HR 50, 132/45, 12, sating 99% RA. Patient w" "Correct entity, wrong SNOMED ID","(2442, 2444)","(2442, 2444)",HR,HR,301113001,258702006,11021124-DS-15," sating well 99%. . On floor, initial VS were HR 50, 132/45, 12, sating 99% RA. Patient was asymp" "Correct entity, wrong SNOMED ID","(2472, 2474)","(2472, 2474)",RA,RA,722742002,463051000124105,11021124-DS-15,"or, initial VS were HR 50, 132/45, 12, sating 99% RA. Patient was asymptomatic. She denies chest pain" "Correct entity, wrong SNOMED ID","(2489, 2501)","(2489, 2501)",asymptomatic,asymptomatic,84387000,5481000175101,11021124-DS-15,"re HR 50, 132/45, 12, sating 99% RA. Patient was asymptomatic. She denies chest pain, shortness of breath, nau" "Correct entity, wrong SNOMED ID","(2514, 2524)","(2514, 2524)",chest pain,chest pain,29857009,102589003,11021124-DS-15,"ing 99% RA. Patient was asymptomatic. She denies chest pain, shortness of breath, nausea/vomiting or diaphor" "Correct entity, wrong SNOMED ID","(2526, 2546)","(2526, 2546)","shortness of breath","shortness of breath",267036007,135833008,11021124-DS-15," Patient was asymptomatic. She denies chest pain, shortness of breath, nausea/vomiting or diaphoresis. . ROS: Denie" "Correct entity, wrong SNOMED ID","(2548, 2563)","(2548, 2563)",nausea/vomiting,nausea/vomiting,16932000,33841007,11021124-DS-15,"tic. She denies chest pain, shortness of breath, nausea/vomiting or diaphoresis. . ROS: Denies fever, chills, " "Correct entity, wrong SNOMED ID","(2567, 2578)","(2567, 2578)",diaphoresis,diaphoresis,52613005,1354698007,11021124-DS-15,"st pain, shortness of breath, nausea/vomiting or diaphoresis. . ROS: Denies fever, chills, night sweats, h" "Correct entity, wrong SNOMED ID","(2598, 2603)","(2598, 2603)",fever,fever,386661006,416113008,11021124-DS-15,"nausea/vomiting or diaphoresis. . ROS: Denies fever, chills, night sweats, headache, vision changes," "Correct entity, wrong SNOMED ID","(2605, 2611)","(2605, 2611)",chills,chills,43724002,274640006,11021124-DS-15,"vomiting or diaphoresis. . ROS: Denies fever, chills, night sweats, headache, vision changes, rhinorr" "Correct entity, wrong SNOMED ID","(2627, 2635)","(2627, 2635)",headache,headache,25064002,267096005,11021124-DS-15,"s. . ROS: Denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore th" "Correct entity, wrong SNOMED ID","(2637, 2652)","(2637, 2652)","vision changes","vision changes",63102001,83275001,11021124-DS-15,"OS: Denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, abdo" "Correct entity, wrong SNOMED ID","(2654, 2664)","(2654, 2664)",rhinorrhea,rhinorrhea,64531003,75803007,11021124-DS-15," chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, abdominal pain," "Correct entity, wrong SNOMED ID","(2678, 2689)","(2678, 2689)",sore throat,sore throat,267102003,43878008,11021124-DS-15,"eadache, vision changes, rhinorrhea, congestion, sore throat, cough, abdominal pain, nausea, vomiting, diarrh" "Correct entity, wrong SNOMED ID","(2691, 2696)","(2691, 2696)",cough,cough,49727002,28743005,11021124-DS-15,"on changes, rhinorrhea, congestion, sore throat, cough, abdominal pain, nausea, vomiting, diarrhea, con" "Correct entity, wrong SNOMED ID","(2698, 2713)","(2698, 2713)","abdominal pain","abdominal pain",21522001,54586004,11021124-DS-15,"nges, rhinorrhea, congestion, sore throat, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, BRBPR," "Correct entity, wrong SNOMED ID","(2743, 2755)","(2743, 2755)",constipation,constipation,14760008,236069009,11021124-DS-15,"ugh, abdominal pain, nausea, vomiting, diarrhea, constipation, BRBPR, melena, hematochezia, dysuria, hematuria" "Correct entity, wrong SNOMED ID","(2757, 2762)","(2757, 2762)",BRBPR,BRBPR,405729008,106195005,11021124-DS-15," pain, nausea, vomiting, diarrhea, constipation, BRBPR, melena, hematochezia, dysuria, hematuria. " "Correct entity, wrong SNOMED ID","(2764, 2770)","(2764, 2770)",melena,melena,2901004,206424005,11021124-DS-15," nausea, vomiting, diarrhea, constipation, BRBPR, melena, hematochezia, dysuria, hematuria. Past Med" "Correct entity, wrong SNOMED ID","(2773, 2785)","(2773, 2785)",hematochezia,hematochezia,405729008,206406008,11021124-DS-15,"vomiting, diarrhea, constipation, BRBPR, melena, hematochezia, dysuria, hematuria. Past Medical History: -" "Correct entity, wrong SNOMED ID","(2787, 2794)","(2787, 2794)",dysuria,dysuria,49650001,16844001,11021124-DS-15,"rhea, constipation, BRBPR, melena, hematochezia, dysuria, hematuria. Past Medical History: - HTN - " "Correct entity, wrong SNOMED ID","(2796, 2805)","(2796, 2805)",hematuria,hematuria,34436003,197940006,11021124-DS-15,"stipation, BRBPR, melena, hematochezia, dysuria, hematuria. Past Medical History: - HTN - History of " "Correct entity, wrong SNOMED ID","(2836, 2839)","(2836, 2839)",HTN,HTN,38341003,10725009,11021124-DS-15," dysuria, hematuria. Past Medical History: - HTN - History of appendectomy - History of two la" "Correct entity, wrong SNOMED ID","(2855, 2867)","(2855, 2867)",appendectomy,appendectomy,80146002,6025007,11021124-DS-15,". Past Medical History: - HTN - History of appendectomy - History of two laparotomies - Endometriosis" "Correct entity, wrong SNOMED ID","(2887, 2899)","(2887, 2899)",laparotomies,laparotomies,86481000,40801000,11021124-DS-15,"TN - History of appendectomy - History of two laparotomies - Endometriosis - Cholelithiasis and gallston" "Correct entity, wrong SNOMED ID","(2904, 2917)","(2904, 2917)",Endometriosis,Endometriosis,129103003,53913001,11021124-DS-15," appendectomy - History of two laparotomies - Endometriosis - Cholelithiasis and gallstone pancreatitis -" "Correct entity, wrong SNOMED ID","(2922, 2936)","(2922, 2936)",Cholelithiasis,Cholelithiasis,266474003,407637009,11021124-DS-15,"History of two laparotomies - Endometriosis - Cholelithiasis and gallstone pancreatitis - Spinal stenosis s/" "Correct entity, wrong SNOMED ID","(2968, 2983)","(2968, 2983)",Spinal stenosis,Spinal stenosis,76107001,18347007,11021124-DS-15," - Cholelithiasis and gallstone pancreatitis - Spinal stenosis s/p L3-5 laminectomy - Shoulder impingement s/p" "Correct entity, wrong SNOMED ID","(3009, 3029)","(3009, 3029)",Shoulder impingement,Shoulder impingement,239960007,1269433008,11021124-DS-15,"itis - Spinal stenosis s/p L3-5 laminectomy - Shoulder impingement s/p rotator cuff tear surgery. Social Histor" Wrong span,"(3034, 3051)","(3034, 3059)",rotator cuff tear,rotator cuff tear surgery,926335004,441907007,11021124-DS-15,"s/p L3-5 laminectomy - Shoulder impingement s/p rotator cuff tear surgery. Social History: ___ Family History:" Wrong span,"(3052, 3059)","(3034, 3059)",surgery,rotator cuff tear surgery,387713003,441907007,11021124-DS-15,"my - Shoulder impingement s/p rotator cuff tear surgery. Social History: ___ Family History: Stroke " "Correct entity, wrong SNOMED ID","(3102, 3108)","(3102, 3108)",Stroke,Stroke,230690007,422504002,11021124-DS-15,"surgery. Social History: ___ Family History: Stroke in her mother at ___ years. Father with MI at ___" "Correct entity, wrong SNOMED ID","(3228, 3230)","(3228, 3230)",VS,VS,118227000,313611000,11021124-DS-15,"y of rheumatic heart disease. Physical Exam: VS - Temp 96.1F, BP 106/50, HR 90, R 18, O2-sat 98% " "Correct entity, wrong SNOMED ID","(3233, 3237)","(3233, 3237)",Temp,Temp,105723007,102496004,11021124-DS-15,"rheumatic heart disease. Physical Exam: VS - Temp 96.1F, BP 106/50, HR 90, R 18, O2-sat 98% RA GE" "Correct entity, wrong SNOMED ID","(3245, 3247)","(3245, 3247)",BP,BP,392570002,38341003,11021124-DS-15,"art disease. Physical Exam: VS - Temp 96.1F, BP 106/50, HR 90, R 18, O2-sat 98% RA GENERAL - we" "Correct entity, wrong SNOMED ID","(3256, 3258)","(3256, 3258)",HR,HR,301113001,258702006,11021124-DS-15,". Physical Exam: VS - Temp 96.1F, BP 106/50, HR 90, R 18, O2-sat 98% RA GENERAL - well-appearin" "Correct entity, wrong SNOMED ID","(3269, 3275)","(3269, 3275)",O2-sat,O2-sat,104847001,449171008,11021124-DS-15,"al Exam: VS - Temp 96.1F, BP 106/50, HR 90, R 18, O2-sat 98% RA GENERAL - well-appearing ___ yo female i" "Correct entity, wrong SNOMED ID","(3280, 3282)","(3280, 3282)",RA,RA,722742002,463051000124105,11021124-DS-15," - Temp 96.1F, BP 106/50, HR 90, R 18, O2-sat 98% RA GENERAL - well-appearing ___ yo female in NAD, " "Correct entity, wrong SNOMED ID","(3285, 3292)","(3285, 3292)",GENERAL,GENERAL,162673000,252398009,11021124-DS-15,"mp 96.1F, BP 106/50, HR 90, R 18, O2-sat 98% RA GENERAL - well-appearing ___ yo female in NAD, comfortabl" "Correct entity, wrong SNOMED ID","(3295, 3309)","(3295, 3309)",well-appearing,well-appearing,397749000,167827008,11021124-DS-15,"BP 106/50, HR 90, R 18, O2-sat 98% RA GENERAL - well-appearing ___ yo female in NAD, comfortable, appropriate " "Correct entity, wrong SNOMED ID","(3327, 3330)","(3327, 3330)",NAD,NAD,281900007,131143000,11021124-DS-15,"8% RA GENERAL - well-appearing ___ yo female in NAD, comfortable, appropriate HEENT - NC/AT, MMM, " "Correct entity, wrong SNOMED ID","(3360, 3365)","(3360, 3365)",HEENT,HEENT,5880005,113665002,11021124-DS-15,"___ yo female in NAD, comfortable, appropriate HEENT - NC/AT, MMM, OP clear NECK - supple, no thyrom" "Correct entity, wrong SNOMED ID","(3368, 3370)","(3368, 3370)",NC,NC,840673007,705056007,11021124-DS-15,"emale in NAD, comfortable, appropriate HEENT - NC/AT, MMM, OP clear NECK - supple, no thyromegaly" "Correct entity, wrong SNOMED ID","(3375, 3378)","(3375, 3378)",MMM,MMM,276398005,258673006,11021124-DS-15,"n NAD, comfortable, appropriate HEENT - NC/AT, MMM, OP clear NECK - supple, no thyromegaly, no JVD" "Correct entity, wrong SNOMED ID","(3380, 3388)","(3380, 3388)",OP clear,OP clear,300280008,271591004,11021124-DS-15,", comfortable, appropriate HEENT - NC/AT, MMM, OP clear NECK - supple, no thyromegaly, no JVD LUNGS -" "Correct entity, wrong SNOMED ID","(3391, 3395)","(3391, 3395)",NECK,NECK,5880005,840674001,11021124-DS-15,"le, appropriate HEENT - NC/AT, MMM, OP clear NECK - supple, no thyromegaly, no JVD LUNGS - CTA bi" "Correct entity, wrong SNOMED ID","(3398, 3404)","(3398, 3404)",supple,supple,298475003,169743001,11021124-DS-15,"propriate HEENT - NC/AT, MMM, OP clear NECK - supple, no thyromegaly, no JVD LUNGS - CTA bilat, no r" "Correct entity, wrong SNOMED ID","(3409, 3420)","(3409, 3420)",thyromegaly,thyromegaly,3716002,92978002,11021124-DS-15," HEENT - NC/AT, MMM, OP clear NECK - supple, no thyromegaly, no JVD LUNGS - CTA bilat, no r/rh/wh, good air" "Correct entity, wrong SNOMED ID","(3425, 3428)","(3425, 3428)",JVD,JVD,271653008,253395003,11021124-DS-15,"MMM, OP clear NECK - supple, no thyromegaly, no JVD LUNGS - CTA bilat, no r/rh/wh, good air movemen" "Correct entity, wrong SNOMED ID","(3431, 3436)","(3431, 3436)",LUNGS,LUNGS,268925001,74101002,11021124-DS-15,"P clear NECK - supple, no thyromegaly, no JVD LUNGS - CTA bilat, no r/rh/wh, good air movement, resp " "Correct entity, wrong SNOMED ID","(3439, 3442)","(3439, 3442)",CTA,CTA,48348007,397005006,11021124-DS-15," NECK - supple, no thyromegaly, no JVD LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlab" Wrong span,"(3455, 3460)","(3450, 3458)",rh/wh,no r/rh/,24612001,30828007,11021124-DS-15," no thyromegaly, no JVD LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, no accessory" "Correct entity, wrong SNOMED ID","(3462, 3479)","(3462, 3479)",good air movement,good air movement,161957007,2521009,11021124-DS-15,"romegaly, no JVD LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use HEART" "Correct entity, wrong SNOMED ID","(3481, 3496)","(3481, 3496)","resp unlabored","resp unlabored",276362002,79031000119101,11021124-DS-15,"LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use HEART - PMI non-displa" Wrong span,"(3501, 3517)","(3501, 3521)",accessory muscle,accessory muscle use,50847000,178272006,11021124-DS-15,"o r/rh/wh, good air movement, resp unlabored, no accessory muscle use HEART - PMI non-displaced, RRR, no MRG, nl " "Correct entity, wrong SNOMED ID","(3524, 3529)","(3524, 3529)",HEART,HEART,363003006,226984005,11021124-DS-15,"ement, resp unlabored, no accessory muscle use HEART - PMI non-displaced, RRR, no MRG, nl S1-S2, TTP a" "Correct entity, wrong SNOMED ID","(3551, 3554)","(3551, 3554)",RRR,RRR,76863003,129960002,11021124-DS-15,"accessory muscle use HEART - PMI non-displaced, RRR, no MRG, nl S1-S2, TTP at lower sternum, pain di" "Correct entity, wrong SNOMED ID","(3556, 3562)","(3556, 3562)",no MRG,no MRG,301132007,169082008,11021124-DS-15,"sory muscle use HEART - PMI non-displaced, RRR, no MRG, nl S1-S2, TTP at lower sternum, pain disssimila" "Correct entity, wrong SNOMED ID","(3570, 3572)","(3570, 3572)",S2,S2,111974005,81170007,11021124-DS-15,"e HEART - PMI non-displaced, RRR, no MRG, nl S1-S2, TTP at lower sternum, pain disssimilar to pain " "Correct entity, wrong SNOMED ID","(3574, 3577)","(3574, 3577)",TTP,TTP,247348008,438476003,11021124-DS-15,"HEART - PMI non-displaced, RRR, no MRG, nl S1-S2, TTP at lower sternum, pain disssimilar to pain on pr" Wrong span,"(3588, 3595)","(3581, 3595)",sternum,"lower sternum",56873002,302522007,11021124-DS-15,"n-displaced, RRR, no MRG, nl S1-S2, TTP at lower sternum, pain disssimilar to pain on presentation ABDOM" "Correct entity, wrong SNOMED ID","(3597, 3601)","(3597, 3601)",pain,pain,22253000,102570003,11021124-DS-15,"ed, RRR, no MRG, nl S1-S2, TTP at lower sternum, pain disssimilar to pain on presentation ABDOMEN - N" "Correct entity, wrong SNOMED ID","(3617, 3621)","(3617, 3621)",pain,pain,22253000,102570003,11021124-DS-15,"S1-S2, TTP at lower sternum, pain disssimilar to pain on presentation ABDOMEN - NABS, soft/NT/ND, no " "Correct entity, wrong SNOMED ID","(3640, 3647)","(3640, 3647)",ABDOMEN,ABDOMEN,225162003,41931001,11021124-DS-15,"ernum, pain disssimilar to pain on presentation ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no rebound" "Correct entity, wrong SNOMED ID","(3650, 3654)","(3650, 3654)",NABS,NABS,61539000,7992005,11021124-DS-15,"n disssimilar to pain on presentation ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no rebound/guardi" "Correct entity, wrong SNOMED ID","(3661, 3663)","(3661, 3663)",NT,NT,43478001,257992007,11021124-DS-15,"ar to pain on presentation ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no rebound/guarding EXTR" "Correct entity, wrong SNOMED ID","(3664, 3666)","(3664, 3666)",ND,ND,60728008,165815009,11021124-DS-15,"to pain on presentation ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no rebound/guarding EXTREMI" "Correct entity, wrong SNOMED ID","(3671, 3677)","(3671, 3677)",masses,masses,271860004,237557003,11021124-DS-15," on presentation ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no rebound/guarding EXTREMITIES - WWP," "Correct entity, wrong SNOMED ID","(3681, 3684)","(3681, 3684)",HSM,HSM,36760000,282140003,11021124-DS-15,"tation ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no rebound/guarding EXTREMITIES - WWP, no c/c" "Correct entity, wrong SNOMED ID","(3690, 3697)","(3690, 3697)",rebound,rebound,35611005,844584001,11021124-DS-15,"ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no rebound/guarding EXTREMITIES - WWP, no c/c/e, 2+ periph" "Correct entity, wrong SNOMED ID","(3709, 3720)","(3709, 3720)",EXTREMITIES,EXTREMITIES,302773001,248416007,11021124-DS-15,"t/NT/ND, no masses or HSM, no rebound/guarding EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses SKIN - no" "Correct entity, wrong SNOMED ID","(3723, 3726)","(3723, 3726)",WWP,WWP,1137685003,258001008,11021124-DS-15,"sses or HSM, no rebound/guarding EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses SKIN - no rashe" Wrong span,"(3728, 3736)","(3728, 3732)",no c/c/e,no c,281900007,182851001,11021124-DS-15,"or HSM, no rebound/guarding EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses SKIN - no rashes or lesio" "Correct entity, wrong SNOMED ID","(3738, 3758)","(3738, 3758)",2+ peripheral pulses,2+ peripheral pulses,40969002,301145006,11021124-DS-15," rebound/guarding EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses SKIN - no rashes or lesions NEURO - awake, A&" "Correct entity, wrong SNOMED ID","(3761, 3765)","(3761, 3765)",SKIN,SKIN,271303006,444884003,11021124-DS-15,"TREMITIES - WWP, no c/c/e, 2+ peripheral pulses SKIN - no rashes or lesions NEURO - awake, A&Ox3, fa" "Correct entity, wrong SNOMED ID","(3771, 3777)","(3771, 3777)",rashes,rashes,271807003,247472004,11021124-DS-15,"- WWP, no c/c/e, 2+ peripheral pulses SKIN - no rashes or lesions NEURO - awake, A&Ox3, face symmetric" "Correct entity, wrong SNOMED ID","(3781, 3788)","(3781, 3788)",lesions,lesions,52988006,246206008,11021124-DS-15,"c/c/e, 2+ peripheral pulses SKIN - no rashes or lesions NEURO - awake, A&Ox3, face symmetric, speech fl" "Correct entity, wrong SNOMED ID","(3791, 3796)","(3791, 3796)",NEURO,NEURO,84728005,281247006,11021124-DS-15,"peripheral pulses SKIN - no rashes or lesions NEURO - awake, A&Ox3, face symmetric, speech fluent, mu" "Correct entity, wrong SNOMED ID","(3808, 3811)","(3808, 3811)",Ox3,Ox3,426224004,396154006,11021124-DS-15," SKIN - no rashes or lesions NEURO - awake, A&Ox3, face symmetric, speech fluent, muscle strength " "Correct entity, wrong SNOMED ID","(3813, 3827)","(3813, 3827)",face symmetric,face symmetric,248172007,248149005,11021124-DS-15,"IN - no rashes or lesions NEURO - awake, A&Ox3, face symmetric, speech fluent, muscle strength ___ throughout, " "Correct entity, wrong SNOMED ID","(3829, 3842)","(3829, 3842)",speech fluent,speech fluent,286402008,39423001,11021124-DS-15,"r lesions NEURO - awake, A&Ox3, face symmetric, speech fluent, muscle strength ___ throughout, sensation gross" Wrong span,"(3844, 3850)","(3844, 3860)",muscle,"muscle strength",71616004,26544005,11021124-DS-15,"RO - awake, A&Ox3, face symmetric, speech fluent, muscle strength ___ throughout, sensation grossly intac" "Correct entity, wrong SNOMED ID","(3877, 3901)","(3877, 3901)",sensation grossly intact,sensation grossly intact,299956006,422015002,11021124-DS-15,", speech fluent, muscle strength ___ throughout, sensation grossly intact throughout Pertinent Results: Admission labs" "Correct entity, wrong SNOMED ID","(3968, 3975)","(3968, 3975)",cTropnT,cTropnT,105001004,442255004,11021124-DS-15,"Pertinent Results: Admission labs ___ 08:15PM cTropnT-<0.01 ___ 02:45PM URINE HOURS-RANDOM ___ 02:45PM" "Correct entity, wrong SNOMED ID","(3994, 3999)","(3994, 3999)",URINE,URINE,27171005,78888000,11021124-DS-15,"on labs ___ 08:15PM cTropnT-<0.01 ___ 02:45PM URINE HOURS-RANDOM ___ 02:45PM URINE GR HOLD-HOLD ___" "Correct entity, wrong SNOMED ID","(4026, 4031)","(4026, 4031)",URINE,URINE,27171005,78888000,11021124-DS-15,"<0.01 ___ 02:45PM URINE HOURS-RANDOM ___ 02:45PM URINE GR HOLD-HOLD ___ 02:45PM URINE COLOR-Straw APPE" "Correct entity, wrong SNOMED ID","(4065, 4070)","(4065, 4070)",COLOR,COLOR,107650008,1004164008,11021124-DS-15,"__ 02:45PM URINE GR HOLD-HOLD ___ 02:45PM URINE COLOR-Straw APPEAR-Clear SP ___ ___ 02:45PM URINE BLOO" "Correct entity, wrong SNOMED ID","(4138, 4145)","(4138, 4145)",PROTEIN,PROTEIN,57378007,764892007,11021124-DS-15,"r SP ___ ___ 02:45PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILN" "Correct entity, wrong SNOMED ID","(4163, 4169)","(4163, 4169)",KETONE,KETONE,47615003,256048004,11021124-DS-15,"E BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG " "Correct entity, wrong SNOMED ID","(4174, 4183)","(4174, 4183)",BILIRUBIN,BILIRUBIN,359992002,359986008,11021124-DS-15,"G NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG ___ 01:30PM " "Correct entity, wrong SNOMED ID","(4202, 4204)","(4202, 4204)",PH,PH,81065003,264912003,11021124-DS-15,"LUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG ___ 01:30PM GLUCOSE-90 UREA N-20 " "Correct entity, wrong SNOMED ID","(4233, 4240)","(4233, 4240)",GLUCOSE,GLUCOSE,33747003,72191006,11021124-DS-15,"-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG ___ 01:30PM GLUCOSE-90 UREA N-20 CREAT-0.8 SODIUM-139 POTASSIUM-4.0 " "Correct entity, wrong SNOMED ID","(4254, 4259)","(4254, 4259)",CREAT,CREAT,70901006,365756002,11021124-DS-15,"-7.0 LEUK-NEG ___ 01:30PM GLUCOSE-90 UREA N-20 CREAT-0.8 SODIUM-139 POTASSIUM-4.0 CHLORIDE-102 TOTAL " "Correct entity, wrong SNOMED ID","(4264, 4270)","(4264, 4270)",SODIUM,SODIUM,25197003,104934005,11021124-DS-15,"-NEG ___ 01:30PM GLUCOSE-90 UREA N-20 CREAT-0.8 SODIUM-139 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-29 ANIO" "Correct entity, wrong SNOMED ID","(4276, 4285)","(4276, 4285)",POTASSIUM,POTASSIUM,59573005,1149432009,11021124-DS-15,"30PM GLUCOSE-90 UREA N-20 CREAT-0.8 SODIUM-139 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-29 ANION GAP-12 ___ 01" "Correct entity, wrong SNOMED ID","(4290, 4298)","(4290, 4298)",CHLORIDE,CHLORIDE,104589004,108447000,11021124-DS-15,"-90 UREA N-20 CREAT-0.8 SODIUM-139 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-29 ANION GAP-12 ___ 01:30PM estGF" "Correct entity, wrong SNOMED ID","(4316, 4325)","(4316, 4325)",ANION GAP,ANION GAP,25469001,237854004,11021124-DS-15,"DIUM-139 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-29 ANION GAP-12 ___ 01:30PM estGFR-Using this ___ 01:30PM " "Correct entity, wrong SNOMED ID","(4400, 4407)","(4400, 4407)",cTropnT,cTropnT,105001004,442255004,11021124-DS-15,"Using this ___ 01:30PM CK(CPK)-39 ___ 01:30PM cTropnT-<0.01 ___ 01:30PM WBC-5.3 RBC-4.19* HGB-11.4* H" "Correct entity, wrong SNOMED ID","(4428, 4431)","(4428, 4431)",WBC,WBC,767002,391558003,11021124-DS-15,"CPK)-39 ___ 01:30PM cTropnT-<0.01 ___ 01:30PM WBC-5.3 RBC-4.19* HGB-11.4* HCT-34.3* MCV-82 MCH-27." "Correct entity, wrong SNOMED ID","(4436, 4439)","(4436, 4439)",RBC,RBC,14089001,258759006,11021124-DS-15,"___ 01:30PM cTropnT-<0.01 ___ 01:30PM WBC-5.3 RBC-4.19* HGB-11.4* HCT-34.3* MCV-82 MCH-27.3 MCHC-3" "Correct entity, wrong SNOMED ID","(4446, 4449)","(4446, 4449)",HGB,HGB,441689006,104142005,11021124-DS-15,"M cTropnT-<0.01 ___ 01:30PM WBC-5.3 RBC-4.19* HGB-11.4* HCT-34.3* MCV-82 MCH-27.3 MCHC-33.4 RDW-14" "Correct entity, wrong SNOMED ID","(4456, 4459)","(4456, 4459)",HCT,HCT,28317006,840276005,11021124-DS-15,"T-<0.01 ___ 01:30PM WBC-5.3 RBC-4.19* HGB-11.4* HCT-34.3* MCV-82 MCH-27.3 MCHC-33.4 RDW-14.3 ___ 01:" Missed entity,"(4466, 4469)",,MCV,,104133003,,11021124-DS-15,"_ 01:30PM WBC-5.3 RBC-4.19* HGB-11.4* HCT-34.3* MCV-82 MCH-27.3 MCHC-33.4 RDW-14.3 ___ 01:30PM NEU" "Correct entity, wrong SNOMED ID","(4483, 4487)","(4483, 4487)",MCHC,MCHC,37254006,735147002,11021124-DS-15,".3 RBC-4.19* HGB-11.4* HCT-34.3* MCV-82 MCH-27.3 MCHC-33.4 RDW-14.3 ___ 01:30PM NEUTS-73.8* ___ MONOS" "Correct entity, wrong SNOMED ID","(4516, 4521)","(4516, 4521)",NEUTS,NEUTS,30630007,271035003,11021124-DS-15,"MCV-82 MCH-27.3 MCHC-33.4 RDW-14.3 ___ 01:30PM NEUTS-73.8* ___ MONOS-4.1 EOS-3.6 BASOS-0.5 ___ 01:30P" "Correct entity, wrong SNOMED ID","(4532, 4537)","(4532, 4537)",MONOS,MONOS,67776007,462791000124108,11021124-DS-15," MCHC-33.4 RDW-14.3 ___ 01:30PM NEUTS-73.8* ___ MONOS-4.1 EOS-3.6 BASOS-0.5 ___ 01:30PM PLT COUNT-12" "Correct entity, wrong SNOMED ID","(4542, 4545)","(4542, 4545)",EOS,EOS,71960002,67099000,11021124-DS-15," RDW-14.3 ___ 01:30PM NEUTS-73.8* ___ MONOS-4.1 EOS-3.6 BASOS-0.5 ___ 01:30PM PLT COUNT-120* ___ 0" "Correct entity, wrong SNOMED ID","(4608, 4611)","(4608, 4611)",PTT,PTT,42525009,282119004,11021124-DS-15,".5 ___ 01:30PM PLT COUNT-120* ___ 01:30PM ___ PTT-24.9 ___ . Discharge Labs ___ 05:15AM BLOOD WBC" "Correct entity, wrong SNOMED ID","(4658, 4661)","(4658, 4661)",WBC,WBC,767002,391558003,11021124-DS-15,"PTT-24.9 ___ . Discharge Labs ___ 05:15AM BLOOD WBC-4.3 RBC-4.11* Hgb-11.4* Hct-34.0* MCV-83 MCH-27." "Correct entity, wrong SNOMED ID","(4666, 4669)","(4666, 4669)",RBC,RBC,14089001,258759006,11021124-DS-15," ___ . Discharge Labs ___ 05:15AM BLOOD WBC-4.3 RBC-4.11* Hgb-11.4* Hct-34.0* MCV-83 MCH-27.7 MCHC-3" "Correct entity, wrong SNOMED ID","(4676, 4679)","(4676, 4679)",Hgb,Hgb,441689006,104142005,11021124-DS-15,"charge Labs ___ 05:15AM BLOOD WBC-4.3 RBC-4.11* Hgb-11.4* Hct-34.0* MCV-83 MCH-27.7 MCHC-33.5 RDW-14" "Correct entity, wrong SNOMED ID","(4686, 4689)","(4686, 4689)",Hct,Hct,28317006,282660005,11021124-DS-15,"s ___ 05:15AM BLOOD WBC-4.3 RBC-4.11* Hgb-11.4* Hct-34.0* MCV-83 MCH-27.7 MCHC-33.5 RDW-14.5 Plt ___" "Correct entity, wrong SNOMED ID","(4713, 4717)","(4713, 4717)",MCHC,MCHC,37254006,735147002,11021124-DS-15,".3 RBC-4.11* Hgb-11.4* Hct-34.0* MCV-83 MCH-27.7 MCHC-33.5 RDW-14.5 Plt ___ ___ 07:15AM BLOOD WBC-3.5* " "Correct entity, wrong SNOMED ID","(4758, 4761)","(4758, 4761)",WBC,WBC,767002,391558003,11021124-DS-15,"27.7 MCHC-33.5 RDW-14.5 Plt ___ ___ 07:15AM BLOOD WBC-3.5* RBC-4.13* Hgb-11.4* Hct-34.0* MCV-82 MCH-27" "Correct entity, wrong SNOMED ID","(4767, 4770)","(4767, 4770)",RBC,RBC,14089001,258759006,11021124-DS-15,"-33.5 RDW-14.5 Plt ___ ___ 07:15AM BLOOD WBC-3.5* RBC-4.13* Hgb-11.4* Hct-34.0* MCV-82 MCH-27.5 MCHC-3" "Correct entity, wrong SNOMED ID","(4777, 4780)","(4777, 4780)",Hgb,Hgb,441689006,104142005,11021124-DS-15,"14.5 Plt ___ ___ 07:15AM BLOOD WBC-3.5* RBC-4.13* Hgb-11.4* Hct-34.0* MCV-82 MCH-27.5 MCHC-33.4 RDW-14" "Correct entity, wrong SNOMED ID","(4787, 4790)","(4787, 4790)",Hct,Hct,28317006,282660005,11021124-DS-15,"__ ___ 07:15AM BLOOD WBC-3.5* RBC-4.13* Hgb-11.4* Hct-34.0* MCV-82 MCH-27.5 MCHC-33.4 RDW-14.2 Plt Ct-" "Correct entity, wrong SNOMED ID","(4814, 4818)","(4814, 4818)",MCHC,MCHC,37254006,735147002,11021124-DS-15,"5* RBC-4.13* Hgb-11.4* Hct-34.0* MCV-82 MCH-27.5 MCHC-33.4 RDW-14.2 Plt Ct-96* ___ 01:30PM BLOOD Neuts-" "Correct entity, wrong SNOMED ID","(4862, 4867)","(4862, 4867)",Neuts,Neuts,30630007,271035003,11021124-DS-15,"5 MCHC-33.4 RDW-14.2 Plt Ct-96* ___ 01:30PM BLOOD Neuts-73.8* ___ Monos-4.1 Eos-3.6 Baso-0.5 ___ 05:15AM" "Correct entity, wrong SNOMED ID","(4878, 4883)","(4878, 4883)",Monos,Monos,67776007,462791000124108,11021124-DS-15,"14.2 Plt Ct-96* ___ 01:30PM BLOOD Neuts-73.8* ___ Monos-4.1 Eos-3.6 Baso-0.5 ___ 05:15AM BLOOD Plt ___ _" "Correct entity, wrong SNOMED ID","(4888, 4891)","(4888, 4891)",Eos,Eos,71960002,67099000,11021124-DS-15,"t-96* ___ 01:30PM BLOOD Neuts-73.8* ___ Monos-4.1 Eos-3.6 Baso-0.5 ___ 05:15AM BLOOD Plt ___ ___ 05:15" "Correct entity, wrong SNOMED ID","(4954, 4957)","(4954, 4957)",PTT,PTT,42525009,282119004,11021124-DS-15,"5 ___ 05:15AM BLOOD Plt ___ ___ 05:15AM BLOOD ___ PTT-24.1 ___ ___ 10:50AM BLOOD PTT-55.5* ___ 07:15AM " "Correct entity, wrong SNOMED ID","(4985, 4988)","(4985, 4988)",PTT,PTT,42525009,282119004,11021124-DS-15," 05:15AM BLOOD ___ PTT-24.1 ___ ___ 10:50AM BLOOD PTT-55.5* ___ 07:15AM BLOOD Plt Smr-LOW Plt Ct-96* __" "Correct entity, wrong SNOMED ID","(5076, 5083)","(5076, 5083)",Glucose,Glucose,33747003,72191006,11021124-DS-15,"lt Ct-96* ___ 07:15AM BLOOD ___ ___ 05:15AM BLOOD Glucose-105* UreaN-18 Creat-0.8 Na-139 K-3.8 Cl-102 HCO3" "Correct entity, wrong SNOMED ID","(5089, 5094)","(5089, 5094)",UreaN,UreaN,105011006,111108008,11021124-DS-15," 07:15AM BLOOD ___ ___ 05:15AM BLOOD Glucose-105* UreaN-18 Creat-0.8 Na-139 K-3.8 Cl-102 HCO3-31 AnGap-1" "Correct entity, wrong SNOMED ID","(5098, 5103)","(5098, 5103)",Creat,Creat,70901006,413856009,11021124-DS-15,"BLOOD ___ ___ 05:15AM BLOOD Glucose-105* UreaN-18 Creat-0.8 Na-139 K-3.8 Cl-102 HCO3-31 AnGap-10 ___ 07:" "Correct entity, wrong SNOMED ID","(5108, 5110)","(5108, 5110)",Na,Na,312469006,257992007,11021124-DS-15,"___ 05:15AM BLOOD Glucose-105* UreaN-18 Creat-0.8 Na-139 K-3.8 Cl-102 HCO3-31 AnGap-10 ___ 07:15AM BL" "Correct entity, wrong SNOMED ID","(5122, 5124)","(5122, 5124)",Cl,Cl,104589004,311741002,11021124-DS-15,"OOD Glucose-105* UreaN-18 Creat-0.8 Na-139 K-3.8 Cl-102 HCO3-31 AnGap-10 ___ 07:15AM BLOOD Glucose-10" "Correct entity, wrong SNOMED ID","(5129, 5133)","(5129, 5133)",HCO3,HCO3,312471006,88645003,11021124-DS-15,"cose-105* UreaN-18 Creat-0.8 Na-139 K-3.8 Cl-102 HCO3-31 AnGap-10 ___ 07:15AM BLOOD Glucose-102* UreaN-" "Correct entity, wrong SNOMED ID","(5137, 5142)","(5137, 5142)",AnGap,AnGap,25469001,124504004,11021124-DS-15,"* UreaN-18 Creat-0.8 Na-139 K-3.8 Cl-102 HCO3-31 AnGap-10 ___ 07:15AM BLOOD Glucose-102* UreaN-17 Creat-" "Correct entity, wrong SNOMED ID","(5164, 5171)","(5164, 5171)",Glucose,Glucose,33747003,72191006,11021124-DS-15," K-3.8 Cl-102 HCO3-31 AnGap-10 ___ 07:15AM BLOOD Glucose-102* UreaN-17 Creat-0.8 Na-141 K-3.9 Cl-103 HCO3" "Correct entity, wrong SNOMED ID","(5177, 5182)","(5177, 5182)",UreaN,UreaN,105011006,111108008,11021124-DS-15,"2 HCO3-31 AnGap-10 ___ 07:15AM BLOOD Glucose-102* UreaN-17 Creat-0.8 Na-141 K-3.9 Cl-103 HCO3-31 AnGap-1" "Correct entity, wrong SNOMED ID","(5186, 5191)","(5186, 5191)",Creat,Creat,70901006,413856009,11021124-DS-15," AnGap-10 ___ 07:15AM BLOOD Glucose-102* UreaN-17 Creat-0.8 Na-141 K-3.9 Cl-103 HCO3-31 AnGap-11 ___ 06:" "Correct entity, wrong SNOMED ID","(5196, 5198)","(5196, 5198)",Na,Na,312469006,257992007,11021124-DS-15,"___ 07:15AM BLOOD Glucose-102* UreaN-17 Creat-0.8 Na-141 K-3.9 Cl-103 HCO3-31 AnGap-11 ___ 06:00AM BL" "Correct entity, wrong SNOMED ID","(5210, 5212)","(5210, 5212)",Cl,Cl,104589004,311741002,11021124-DS-15,"OOD Glucose-102* UreaN-17 Creat-0.8 Na-141 K-3.9 Cl-103 HCO3-31 AnGap-11 ___ 06:00AM BLOOD Glucose-10" "Correct entity, wrong SNOMED ID","(5217, 5221)","(5217, 5221)",HCO3,HCO3,312471006,88645003,11021124-DS-15,"cose-102* UreaN-17 Creat-0.8 Na-141 K-3.9 Cl-103 HCO3-31 AnGap-11 ___ 06:00AM BLOOD Glucose-105* UreaN-" "Correct entity, wrong SNOMED ID","(5225, 5230)","(5225, 5230)",AnGap,AnGap,25469001,124504004,11021124-DS-15,"* UreaN-17 Creat-0.8 Na-141 K-3.9 Cl-103 HCO3-31 AnGap-11 ___ 06:00AM BLOOD Glucose-105* UreaN-17 Creat-" "Correct entity, wrong SNOMED ID","(5252, 5259)","(5252, 5259)",Glucose,Glucose,33747003,72191006,11021124-DS-15," K-3.9 Cl-103 HCO3-31 AnGap-11 ___ 06:00AM BLOOD Glucose-105* UreaN-17 Creat-0.7 Na-137 K-3.7 Cl-101 HCO3" "Correct entity, wrong SNOMED ID","(5265, 5270)","(5265, 5270)",UreaN,UreaN,105011006,111108008,11021124-DS-15,"3 HCO3-31 AnGap-11 ___ 06:00AM BLOOD Glucose-105* UreaN-17 Creat-0.7 Na-137 K-3.7 Cl-101 HCO3-29 AnGap-1" "Correct entity, wrong SNOMED ID","(5274, 5279)","(5274, 5279)",Creat,Creat,70901006,413856009,11021124-DS-15," AnGap-11 ___ 06:00AM BLOOD Glucose-105* UreaN-17 Creat-0.7 Na-137 K-3.7 Cl-101 HCO3-29 AnGap-11 ___ 06:" "Correct entity, wrong SNOMED ID","(5284, 5286)","(5284, 5286)",Na,Na,312469006,257992007,11021124-DS-15,"___ 06:00AM BLOOD Glucose-105* UreaN-17 Creat-0.7 Na-137 K-3.7 Cl-101 HCO3-29 AnGap-11 ___ 06:00AM BL" "Correct entity, wrong SNOMED ID","(5298, 5300)","(5298, 5300)",Cl,Cl,104589004,311741002,11021124-DS-15,"OOD Glucose-105* UreaN-17 Creat-0.7 Na-137 K-3.7 Cl-101 HCO3-29 AnGap-11 ___ 06:00AM BLOOD CK(CPK)-38" "Correct entity, wrong SNOMED ID","(5305, 5309)","(5305, 5309)",HCO3,HCO3,312471006,88645003,11021124-DS-15,"cose-105* UreaN-17 Creat-0.7 Na-137 K-3.7 Cl-101 HCO3-29 AnGap-11 ___ 06:00AM BLOOD CK(CPK)-38 ___ 01:3" "Correct entity, wrong SNOMED ID","(5313, 5318)","(5313, 5318)",AnGap,AnGap,25469001,124504004,11021124-DS-15,"* UreaN-17 Creat-0.7 Na-137 K-3.7 Cl-101 HCO3-29 AnGap-11 ___ 06:00AM BLOOD CK(CPK)-38 ___ 01:30PM BLOOD" "Correct entity, wrong SNOMED ID","(5406, 5413)","(5406, 5413)",cTropnT,cTropnT,105001004,442255004,11021124-DS-15,"1:30PM BLOOD CK(CPK)-39 ___ 07:15AM BLOOD CK-MB-3 cTropnT-<0.01 ___ 10:40AM BLOOD CK-MB-3 cTropnT-LESS THAN" "Correct entity, wrong SNOMED ID","(5446, 5453)","(5446, 5453)",cTropnT,cTropnT,105001004,442255004,11021124-DS-15,"D CK-MB-3 cTropnT-<0.01 ___ 10:40AM BLOOD CK-MB-3 cTropnT-LESS THAN ___ 06:00AM BLOOD CK-MB-2 cTropnT-LESS" "Correct entity, wrong SNOMED ID","(5491, 5498)","(5491, 5498)",cTropnT,cTropnT,105001004,442255004,11021124-DS-15,"MB-3 cTropnT-LESS THAN ___ 06:00AM BLOOD CK-MB-2 cTropnT-LESS THAN ___ 08:15PM BLOOD cTropnT-<0.01 ___ 05" "Correct entity, wrong SNOMED ID","(5528, 5535)","(5528, 5535)",cTropnT,cTropnT,105001004,442255004,11021124-DS-15,"LOOD CK-MB-2 cTropnT-LESS THAN ___ 08:15PM BLOOD cTropnT-<0.01 ___ 05:15AM BLOOD Calcium-9.1 Phos-3.4 Mg-2" "Correct entity, wrong SNOMED ID","(5560, 5567)","(5560, 5567)",Calcium,Calcium,312472004,108601004,11021124-DS-15,"___ 08:15PM BLOOD cTropnT-<0.01 ___ 05:15AM BLOOD Calcium-9.1 Phos-3.4 Mg-2.3 ___ 07:15AM BLOOD Calcium-9.1" "Correct entity, wrong SNOMED ID","(5572, 5576)","(5572, 5576)",Phos,Phos,104868000,168075002,11021124-DS-15,"BLOOD cTropnT-<0.01 ___ 05:15AM BLOOD Calcium-9.1 Phos-3.4 Mg-2.3 ___ 07:15AM BLOOD Calcium-9.1 Phos-3.3" "Correct entity, wrong SNOMED ID","(5581, 5583)","(5581, 5583)",Mg,Mg,271285000,258684004,11021124-DS-15,"opnT-<0.01 ___ 05:15AM BLOOD Calcium-9.1 Phos-3.4 Mg-2.3 ___ 07:15AM BLOOD Calcium-9.1 Phos-3.3 Mg-2.4" "Correct entity, wrong SNOMED ID","(5606, 5613)","(5606, 5613)",Calcium,Calcium,312472004,108601004,11021124-DS-15,"OOD Calcium-9.1 Phos-3.4 Mg-2.3 ___ 07:15AM BLOOD Calcium-9.1 Phos-3.3 Mg-2.4 . Micro: None . Reports ___" "Correct entity, wrong SNOMED ID","(5618, 5622)","(5618, 5622)",Phos,Phos,104868000,168075002,11021124-DS-15,"9.1 Phos-3.4 Mg-2.3 ___ 07:15AM BLOOD Calcium-9.1 Phos-3.3 Mg-2.4 . Micro: None . Reports ___ Persanti" "Correct entity, wrong SNOMED ID","(5627, 5629)","(5627, 5629)",Mg,Mg,271285000,258684004,11021124-DS-15,"3.4 Mg-2.3 ___ 07:15AM BLOOD Calcium-9.1 Phos-3.3 Mg-2.4 . Micro: None . Reports ___ Persantine Stre" Missed entity,"(5675, 5686)",,Stress test,,46136006,,11021124-DS-15,"3 Mg-2.4 . Micro: None . Reports ___ Persantine Stress test RADIOPHARMACEUTICAL DATA: 9.6 mCi Tc-99m Sestam" Missed entity,"(5776, 5782)",,Stress,,46136006,,11021124-DS-15,"99m Sestamibi Rest ___ 29.1 mCi Tc-99m Sestamibi Stress ___ HISTORY:Progressive SOB SUMMARY FROM THE" "Correct entity, wrong SNOMED ID","(5808, 5811)","(5808, 5811)",SOB,SOB,267036007,43731003,11021124-DS-15," Tc-99m Sestamibi Stress ___ HISTORY:Progressive SOB SUMMARY FROM THE EXERCISE LAB: Dipyridam" Missed entity,"(5942, 5949)",,IMAGING,,363679005,,11021124-DS-15,"or 4 minutes at a dose of 0.142 mg/kg/min. IMAGING METHOD: Resting perfusion images were obtain" "Correct entity, wrong SNOMED ID","(5971, 5980)","(5971, 5980)",perfusion,perfusion,88058003,251053005,11021124-DS-15,"142 mg/kg/min. IMAGING METHOD: Resting perfusion images were obtained with Tc-99m sestamibi. Trac" Wrong span,"(6293, 6299)","(6293, 6295)",Stress,St,46136006,51811007,11021124-DS-15,"c-99m sestamibi was administered intravenously. Stress images were obtained approximately 30 minutes fo" Missed entity,"(6365, 6374)",,injection,,59108006,,11021124-DS-15,"ained approximately 30 minutes following tracer injection. Imaging protocol: Gated SPECT. This st" Missed entity,"(6381, 6388)",,Imaging,,363679005,,11021124-DS-15,"ely 30 minutes following tracer injection. Imaging protocol: Gated SPECT. This study was interp" Missed entity,"(6567, 6575)",,artifact,,47973001,,11021124-DS-15," The image quality is adequate with some motion artifact. Left ventricular cavity size is normal. " Wrong span,"(6581, 6604)","(6581, 6619)",Left ventricular cavity,Left ventricular cavity size is normal,1259956008,250929008,11021124-DS-15,"uality is adequate with some motion artifact. Left ventricular cavity size is normal. Rest and stress perfusion ima" Wrong span,"(6605, 6619)","(6581, 6619)",size is normal,Left ventricular cavity size is normal,53461003,250929008,11021124-DS-15,"some motion artifact. Left ventricular cavity size is normal. Rest and stress perfusion images reveal unif" Wrong span,"(6641, 6657)","(6641, 6650)",perfusion images,perfusion,252432008,251053005,11021124-DS-15,"icular cavity size is normal. Rest and stress perfusion images reveal uniform tracer uptake throughout the lef" "Correct entity, wrong SNOMED ID","(6704, 6731)","(6704, 6731)",left ventricular myocardium,left ventricular myocardium,49848007,362021000,11021124-DS-15,"ges reveal uniform tracer uptake throughout the left ventricular myocardium. Gated images reveal normal wall motion. " "Correct entity, wrong SNOMED ID","(6758, 6776)","(6758, 6776)",normal wall motion,normal wall motion,373122000,301143004,11021124-DS-15," ventricular myocardium. Gated images reveal normal wall motion. The calculated left ventricular ejection fr" Wrong span,"(6798, 6814)","(6798, 6810)",left ventricular,left ventric,87878005,264004009,11021124-DS-15,"es reveal normal wall motion. The calculated left ventricular ejection fraction is 71% with an EDV of 71 ml p" Missed entity,"(6907, 6911)",,MIBI,,252432008,,11021124-DS-15,"1 ml post stress. Compared with an exercise MIBI performed on ___ there is no appreciable interv" Wrong span,"(6992, 7019)","(6992, 7025)",Normal myocardial perfusion,Normal myocardial perfusion study,301121007,252432008,11021124-DS-15,"appreciable interval change. IMPRESSION: 1. Normal myocardial perfusion study. 2. EF of 71% with an EDV of 71 ml post s" "Correct entity, wrong SNOMED ID","(7086, 7089)","(7086, 7089)",EKG,EKG,29303009,75444003,11021124-DS-15,"71% with an EDV of 71 ml post stress. . ___ EKG Sinus bradycardia. Compared to the previous trac" "Correct entity, wrong SNOMED ID","(7091, 7108)","(7091, 7108)",Sinus bradycardia,Sinus bradycardia,49710005,49044005,11021124-DS-15,"with an EDV of 71 ml post stress. . ___ EKG Sinus bradycardia. Compared to the previous tracing there is no di" Missed entity,"(7177, 7181)",,Rate,,301113001,,11021124-DS-15,"revious tracing there is no diagnostic change. Rate PR QRS QT/QTc P QRS T 54 166 92 470/459 62 -46 3" "Correct entity, wrong SNOMED ID","(7182, 7184)","(7182, 7184)",PR,PR,365411005,225761000,11021124-DS-15,"us tracing there is no diagnostic change. Rate PR QRS QT/QTc P QRS T 54 166 92 470/459 62 -46 34 " Missed entity,"(7185, 7188)",,QRS,,365415001,,11021124-DS-15,"tracing there is no diagnostic change. Rate PR QRS QT/QTc P QRS T 54 166 92 470/459 62 -46 34 . CT" Missed entity,"(7189, 7191)",,QT,,365417009,,11021124-DS-15,"ing there is no diagnostic change. Rate PR QRS QT/QTc P QRS T 54 166 92 470/459 62 -46 34 . CTA C" Missed entity,"(7192, 7195)",,QTc,,365417009,,11021124-DS-15," there is no diagnostic change. Rate PR QRS QT/QTc P QRS T 54 166 92 470/459 62 -46 34 . CTA Chest" Missed entity,"(7196, 7197)",,P,,365410006,,11021124-DS-15,"re is no diagnostic change. Rate PR QRS QT/QTc P QRS T 54 166 92 470/459 62 -46 34 . CTA Chest " Boundary error,"(7198, 7201)","(7198, 7199)",QRS,Q,365415001,257995009,11021124-DS-15," is no diagnostic change. Rate PR QRS QT/QTc P QRS T 54 166 92 470/459 62 -46 34 . CTA Chest ___ " Missed entity,"(7202, 7203)",,T,,365418004,,11021124-DS-15,"no diagnostic change. Rate PR QRS QT/QTc P QRS T 54 166 92 470/459 62 -46 34 . CTA Chest ___ UN" "Correct entity, wrong SNOMED ID","(7309, 7311)","(7309, 7311)",CP,CP,29857009,282108002,11021124-DS-15,"NG MEDICAL CONDITION: ___ year old woman with CP REASON FOR THIS EXAMINATION: Eval AD/PE C" "Correct entity, wrong SNOMED ID","(7355, 7357)","(7355, 7357)",PE,PE,59282003,20503002,11021124-DS-15,"ith CP REASON FOR THIS EXAMINATION: Eval AD/PE CONTRAINDICATIONS FOR IV CONTRAST: None. " Wrong span,"(7390, 7393)","(7382, 7393)",AST,IV CONTRAST,45896001,113090004,11021124-DS-15,"N: Eval AD/PE CONTRAINDICATIONS FOR IV CONTRAST: None. Wet Read: ___ FRI ___ 5:31 ___ " "Correct entity, wrong SNOMED ID","(7449, 7451)","(7449, 7451)",PE,PE,59282003,421542006,11021124-DS-15,"None. Wet Read: ___ FRI ___ 5:31 ___ 1. no PE detected to the subsegmental levels. 2. No disse" Wrong span,"(7528, 7550)","(7528, 7540)",ground glass opacities,ground glass,1217294009,1217294009,11021124-DS-15,"al levels. 2. No dissection. 3. Small scattered ground glass opacities throughout both lungs are a non- specific findi" Wrong span,"(7562, 7572)","(7562, 7566)",both lungs,both,74101002,260652008,11021124-DS-15,"Small scattered ground glass opacities throughout both lungs are a non- specific finding and may represent s" Wrong span,"(7636, 7648)","(7636, 7657)",inflammatory,"inflammatory changes",128139000,4532008,11021124-DS-15,"specific finding and may represent small areas of inflammatory changes. No focal consolidations are seen. " "Correct entity, wrong SNOMED ID","(7669, 7683)","(7669, 7683)",consolidations,consolidations,9656002,95436008,11021124-DS-15,"t small areas of inflammatory changes. No focal consolidations are seen. Final Report INDICATION: Chest pai" "Correct entity, wrong SNOMED ID","(7724, 7734)","(7724, 7734)",Chest pain,Chest pain,29857009,102589003,11021124-DS-15,"lidations are seen. Final Report INDICATION: Chest pain. COMPARISON: Radiographs available from ___. " Missed entity,"(7752, 7763)",,Radiographs,,168537006,,11021124-DS-15,"l Report INDICATION: Chest pain. COMPARISON: Radiographs available from ___. TECHNIQUE: MDCT-acquired " "Correct entity, wrong SNOMED ID","(7833, 7838)","(7833, 7838)",chest,chest,51185008,177765008,11021124-DS-15," TECHNIQUE: MDCT-acquired axial images of the chest were obtained with the use of IV contrast. Coro" Missed entity,"(7871, 7882)",,IV contrast,,113090004,,11021124-DS-15,"ages of the chest were obtained with the use of IV contrast. Coronal and sagittal reformats were performed. " "Correct entity, wrong SNOMED ID","(8010, 8020)","(8010, 8020)",evaluation,evaluation,386053000,39609006,11021124-DS-15,"blique reconstructions were obtained for further evaluation of the pulmonary vasculature. CT OF THE CHES" "Correct entity, wrong SNOMED ID","(8066, 8071)","(8066, 8071)",CHEST,CHEST,51185008,74160004,11021124-DS-15,"tion of the pulmonary vasculature. CT OF THE CHEST WITH IV CONTRAST: The great vessels including th" Wrong span,"(8085, 8088)","(8077, 8088)",AST,IV CONTRAST,45896001,113090004,11021124-DS-15,"ary vasculature. CT OF THE CHEST WITH IV CONTRAST: The great vessels including the thoracic aorta" "Correct entity, wrong SNOMED ID","(8094, 8107)","(8094, 8107)",great vessels,great vessels,3711007,340772002,11021124-DS-15,"lature. CT OF THE CHEST WITH IV CONTRAST: The great vessels including the thoracic aorta are normal in cali" "Correct entity, wrong SNOMED ID","(8123, 8138)","(8123, 8138)","thoracic aorta","thoracic aorta",113262008,241666000,11021124-DS-15,"ITH IV CONTRAST: The great vessels including the thoracic aorta are normal in caliber and patent. There is no dis" "Correct entity, wrong SNOMED ID","(8207, 8224)","(8207, 8224)",pulmonary embolus,pulmonary embolus,59282003,161512007,11021124-DS-15,"ber and patent. There is no dissection seen. No pulmonary embolus is detected at the subsegmental levels. There is" "Correct entity, wrong SNOMED ID","(8279, 8290)","(8279, 8290)",pericardial,pericardial,373945007,362027001,11021124-DS-15,"etected at the subsegmental levels. There is no pericardial or pleural effusion. Note, there is a mild-to-mo" "Correct entity, wrong SNOMED ID","(8294, 8310)","(8294, 8310)",pleural effusion,pleural effusion,60046008,1366511008,11021124-DS-15,"subsegmental levels. There is no pericardial or pleural effusion. Note, there is a mild-to-moderate degree of de" Wrong span,"(8415, 8438)","(8415, 8427)","ground-glass opacities",ground-glass,1217294009,1217294009,11021124-DS-15,"nt atelectasis bilaterally. Scattered centimeter ground-glass opacities, predominantly within the right upper lobe (3:44)" "Correct entity, wrong SNOMED ID","(8465, 8481)","(8465, 8481)",right upper lobe,right upper lobe,42400003,11339004,11021124-DS-15,"ground-glass opacities, predominantly within the right upper lobe (3:44), are is a nonspecific finding and may re" Wrong span,"(8553, 8565)","(8553, 8574)",inflammatory,"inflammatory changes",128139000,4532008,11021124-DS-15,"nspecific finding and may represent small foci of inflammatory changes. No focal consolidations are seen. Ther" "Correct entity, wrong SNOMED ID","(8586, 8600)","(8586, 8600)",consolidations,consolidations,9656002,95436008,11021124-DS-15,"nt small foci of inflammatory changes. No focal consolidations are seen. There is no pleural effusion. There" "Correct entity, wrong SNOMED ID","(8623, 8639)","(8623, 8639)",pleural effusion,pleural effusion,60046008,1366511008,11021124-DS-15,"s. No focal consolidations are seen. There is no pleural effusion. There is mild calcification of the trachea. " "Correct entity, wrong SNOMED ID","(8680, 8687)","(8680, 8687)",trachea,trachea,44567001,35555009,11021124-DS-15," effusion. There is mild calcification of the trachea. No axillary or mediastinal lymphadenopathy is " "Correct entity, wrong SNOMED ID","(8692, 8700)","(8692, 8700)",axillary,axillary,127189005,20437008,11021124-DS-15," There is mild calcification of the trachea. No axillary or mediastinal lymphadenopathy is seen. A small" Wrong span,"(8705, 8733)","(8705, 8716)","mediastinal lymphadenopathy",mediastinal,52324001,363646005,11021124-DS-15,"ild calcification of the trachea. No axillary or mediastinal lymphadenopathy is seen. A small hiatal hernia is unchanged sinc" Wrong span,"(8797, 8801)","(8794, 8801)",exam,CT exam,5880005,720389008,11021124-DS-15,"all hiatal hernia is unchanged since the ___, CT exam. OSSEOUS STRUCTURES: There is no acute fractu" "Correct entity, wrong SNOMED ID","(8845, 8853)","(8845, 8853)",fracture,fracture,72704001,307186006,11021124-DS-15,"T exam. OSSEOUS STRUCTURES: There is no acute fracture or dislocation. No concerning blastic or lytic " "Correct entity, wrong SNOMED ID","(8857, 8868)","(8857, 8868)",dislocation,dislocation,87642003,125171008,11021124-DS-15,"OSSEOUS STRUCTURES: There is no acute fracture or dislocation. No concerning blastic or lytic lesions are see" "Correct entity, wrong SNOMED ID","(8930, 8950)","(8930, 8950)",degenerative changes,degenerative changes,107669003,708529002,11021124-DS-15,"ning blastic or lytic lesions are seen. Moderate degenerative changes are present throughout the thoracic spine. " "Correct entity, wrong SNOMED ID","(8980, 8994)","(8980, 8994)",thoracic spine,thoracic spine,122495006,243931006,11021124-DS-15,"degenerative changes are present throughout the thoracic spine. IMPRESSION: 1. No evidence of pulmonary emb" "Correct entity, wrong SNOMED ID","(9016, 9027)","(9016, 9027)",No evidence,No evidence,281900007,41647002,11021124-DS-15,"hroughout the thoracic spine. IMPRESSION: 1. No evidence of pulmonary embolus to the subsegmental levels. " "Correct entity, wrong SNOMED ID","(9031, 9048)","(9031, 9048)",pulmonary embolus,pulmonary embolus,59282003,161512007,11021124-DS-15,"horacic spine. IMPRESSION: 1. No evidence of pulmonary embolus to the subsegmental levels. 2. No evidence of ao" "Correct entity, wrong SNOMED ID","(9081, 9092)","(9081, 9092)",No evidence,No evidence,281900007,41647002,11021124-DS-15,"pulmonary embolus to the subsegmental levels. 2. No evidence of aortic dissection. 3. Scattered centimeter gr" "Correct entity, wrong SNOMED ID","(9096, 9113)","(9096, 9113)",aortic dissection,aortic dissection,308546005,301899003,11021124-DS-15,"us to the subsegmental levels. 2. No evidence of aortic dissection. 3. Scattered centimeter ground-glass opacities," Wrong span,"(9140, 9162)","(9140, 9152)",ground-glass opacities,ground-glass,1217294009,1217294009,11021124-DS-15,"ce of aortic dissection. 3. Scattered centimeter ground-glass opacities, predominantly within the right upper lobe, are" "Correct entity, wrong SNOMED ID","(9191, 9207)","(9191, 9207)",right upper lobe,right upper lobe,42400003,11339004,11021124-DS-15,"round-glass opacities, predominantly within the right upper lobe, are nonspecific and most likely reflect small f" Wrong span,"(9265, 9277)","(9265, 9284)",inflammatory,inflammatory change,128139000,1293189005,11021124-DS-15,"nspecific and most likely reflect small foci of inflammatory change or infection. No focal consolidations are " "Correct entity, wrong SNOMED ID","(9288, 9297)","(9288, 9297)",infection,infection,40733004,260976002,11021124-DS-15,"ly reflect small foci of inflammatory change or infection. No focal consolidations are seen. The study" "Correct entity, wrong SNOMED ID","(9308, 9322)","(9308, 9322)",consolidations,consolidations,9656002,95436008,11021124-DS-15,"ci of inflammatory change or infection. No focal consolidations are seen. The study and the report were revi" Missed entity,"(9416, 9419)",,CXR,,399208008,,11021124-DS-15,"e reviewed by the staff radiologist. . ___ CXR FINDINGS: Single AP upright portable view of the" Missed entity,"(9438, 9440)",,AP,,32535000,,11021124-DS-15,"f radiologist. . ___ CXR FINDINGS: Single AP upright portable view of the chest was obtained." "Correct entity, wrong SNOMED ID","(9470, 9475)","(9470, 9475)",chest,chest,51185008,177765008,11021124-DS-15," FINDINGS: Single AP upright portable view of the chest was obtained. Slight blunting of the left costo" "Correct entity, wrong SNOMED ID","(9520, 9538)","(9520, 9538)",costophrenic angle,costophrenic angle,46297007,1297172001,11021124-DS-15,"chest was obtained. Slight blunting of the left costophrenic angle may relate to overlying soft tissue. A very tr" "Correct entity, wrong SNOMED ID","(9564, 9575)","(9564, 9575)",soft tissue,soft tissue,87784001,110543005,11021124-DS-15," left costophrenic angle may relate to overlying soft tissue. A very trace effusion or pleural thickening ca" "Correct entity, wrong SNOMED ID","(9592, 9600)","(9592, 9600)",effusion,effusion,41699000,60046008,11021124-DS-15," relate to overlying soft tissue. A very trace effusion or pleural thickening cannot be entirely exclude" "Correct entity, wrong SNOMED ID","(9604, 9622)","(9604, 9622)",pleural thickening,pleural thickening,73725006,233653007,11021124-DS-15,"verlying soft tissue. A very trace effusion or pleural thickening cannot be entirely excluded. No focal consolida" "Correct entity, wrong SNOMED ID","(9663, 9676)","(9663, 9676)",consolidation,consolidation,9656002,95436008,11021124-DS-15,"hickening cannot be entirely excluded. No focal consolidation or pneumothorax is seen. The aorta is tortuous. " "Correct entity, wrong SNOMED ID","(9680, 9692)","(9680, 9692)",pneumothorax,pneumothorax,36118008,109364007,11021124-DS-15,"be entirely excluded. No focal consolidation or pneumothorax is seen. The aorta is tortuous. The cardiac sil" "Correct entity, wrong SNOMED ID","(9706, 9711)","(9706, 9711)",aorta,aorta,15825003,57034009,11021124-DS-15," focal consolidation or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top norm" "Correct entity, wrong SNOMED ID","(9716, 9724)","(9716, 9724)",tortuous,tortuous,15690004,247123003,11021124-DS-15,"solidation or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top normal in size. " "Correct entity, wrong SNOMED ID","(9731, 9738)","(9731, 9738)",cardiac,cardiac,80891009,71892000,11021124-DS-15,"neumothorax is seen. The aorta is tortuous. The cardiac silhouette is top normal in size. IMPRESSION:" Missed entity,"(9757, 9771)",,normal in size,,53461003,,11021124-DS-15,"orta is tortuous. The cardiac silhouette is top normal in size. IMPRESSION: Subtle blunting of the left cost" "Correct entity, wrong SNOMED ID","(9817, 9835)","(9817, 9835)",costophrenic angle,costophrenic angle,46297007,1297172001,11021124-DS-15,"size. IMPRESSION: Subtle blunting of the left costophrenic angle may relate to overlying soft tissue, although m" "Correct entity, wrong SNOMED ID","(9862, 9873)","(9862, 9873)",soft tissue,soft tissue,87784001,110543005,11021124-DS-15,"left costophrenic angle may relate to overlying soft tissue, although minimal pleural thickening or a very t" Wrong span,"(9892, 9910)","(9892, 9899)",pleural thickening,pleural,73725006,233635001,11021124-DS-15,"elate to overlying soft tissue, although minimal pleural thickening or a very trace effusion cannot be entirely exc" "Correct entity, wrong SNOMED ID","(9929, 9937)","(9929, 9937)",effusion,effusion,41699000,60046008,11021124-DS-15,"ough minimal pleural thickening or a very trace effusion cannot be entirely excluded. No focal consolidati" "Correct entity, wrong SNOMED ID","(9976, 9989)","(9976, 9989)",consolidation,consolidation,9656002,95436008,11021124-DS-15,"e effusion cannot be entirely excluded. No focal consolidation or pulmonary edema. . EKG ___ Sinus bradycard" Wrong span,"(10005, 10010)","(9994, 10010)",edema,"pulmonary edema",267038008,40541001,11021124-DS-15,"y excluded. No focal consolidation or pulmonary edema. . EKG ___ Sinus bradycardia. Compared to the p" "Correct entity, wrong SNOMED ID","(10015, 10018)","(10015, 10018)",EKG,EKG,29303009,75444003,11021124-DS-15,". No focal consolidation or pulmonary edema. . EKG ___ Sinus bradycardia. Compared to the previous " "Correct entity, wrong SNOMED ID","(10024, 10041)","(10024, 10041)",Sinus bradycardia,Sinus bradycardia,49710005,49044005,11021124-DS-15,"l consolidation or pulmonary edema. . EKG ___ Sinus bradycardia. Compared to the previous tracing there is no di" Missed entity,"(10161, 10165)",,Rate,,301113001,,11021124-DS-15,"RACING #3 Read by: ___ Intervals Axes Rate PR QRS QT/QTc P QRS T 48 ___ 57 -24 ___ yo femal" "Correct entity, wrong SNOMED ID","(10166, 10168)","(10166, 10168)",PR,PR,365411005,225761000,11021124-DS-15,"G #3 Read by: ___ Intervals Axes Rate PR QRS QT/QTc P QRS T 48 ___ 57 -24 ___ yo female w" "Correct entity, wrong SNOMED ID","(10169, 10172)","(10169, 10172)",QRS,QRS,365415001,366170001,11021124-DS-15,"3 Read by: ___ Intervals Axes Rate PR QRS QT/QTc P QRS T 48 ___ 57 -24 ___ yo female with " "Correct entity, wrong SNOMED ID","(10173, 10175)","(10173, 10175)",QT,QT,365417009,257995009,11021124-DS-15," Read by: ___ Intervals Axes Rate PR QRS QT/QTc P QRS T 48 ___ 57 -24 ___ yo female with h/o" Missed entity,"(10180, 10181)",,P,,365410006,,11021124-DS-15,"d by: ___ Intervals Axes Rate PR QRS QT/QTc P QRS T 48 ___ 57 -24 ___ yo female with h/o HTN, " "Correct entity, wrong SNOMED ID","(10182, 10185)","(10182, 10185)",QRS,QRS,365415001,366170001,11021124-DS-15,"by: ___ Intervals Axes Rate PR QRS QT/QTc P QRS T 48 ___ 57 -24 ___ yo female with h/o HTN, hype" Missed entity,"(10186, 10187)",,T,,365418004,,11021124-DS-15,"___ Intervals Axes Rate PR QRS QT/QTc P QRS T 48 ___ 57 -24 ___ yo female with h/o HTN, hyperl" "Correct entity, wrong SNOMED ID","(10226, 10229)","(10226, 10229)",HTN,HTN,38341003,10725009,11021124-DS-15,"QTc P QRS T 48 ___ 57 -24 ___ yo female with h/o HTN, hyperlipidemia, presented with several episodes" "Correct entity, wrong SNOMED ID","(10231, 10245)","(10231, 10245)",hyperlipidemia,hyperlipidemia,55822004,267434003,11021124-DS-15," QRS T 48 ___ 57 -24 ___ yo female with h/o HTN, hyperlipidemia, presented with several episodes of chest pain a" "Correct entity, wrong SNOMED ID","(10283, 10293)","(10283, 10293)",chest pain,chest pain,29857009,102589003,11021124-DS-15,"perlipidemia, presented with several episodes of chest pain associated with nausea, left arm numbness, that " "Correct entity, wrong SNOMED ID","(10310, 10316)","(10310, 10316)",nausea,nausea,422587007,1217125005,11021124-DS-15,"h several episodes of chest pain associated with nausea, left arm numbness, that improved after morphine" Wrong span,"(10318, 10326)","(10318, 10336)",left arm,"left arm numbness",368208006,292721000119107,11021124-DS-15,"al episodes of chest pain associated with nausea, left arm numbness, that improved after morphine. . #." Wrong span,"(10328, 10336)","(10318, 10336)",numbness,"left arm numbness",44077006,292721000119107,11021124-DS-15,"s of chest pain associated with nausea, left arm numbness, that improved after morphine. . #. Chest Pai" "Correct entity, wrong SNOMED ID","(10343, 10351)","(10343, 10351)",improved,improved,268910001,251359002,11021124-DS-15," associated with nausea, left arm numbness, that improved after morphine. . #. Chest Pain: Description " "Correct entity, wrong SNOMED ID","(10377, 10387)","(10377, 10387)",Chest Pain,Chest Pain,29857009,444821009,11021124-DS-15," numbness, that improved after morphine. . #. Chest Pain: Description of pain was initially concerning for" "Correct entity, wrong SNOMED ID","(10404, 10408)","(10404, 10408)",pain,pain,29857009,102570003,11021124-DS-15,"ter morphine. . #. Chest Pain: Description of pain was initially concerning for angina, with chest " "Correct entity, wrong SNOMED ID","(10452, 10466)","(10452, 10466)",chest pressure,chest pressure,23924001,78387000,11021124-DS-15,"f pain was initially concerning for angina, with chest pressure, associated with nausea, left arm numbness. Vari" "Correct entity, wrong SNOMED ID","(10484, 10490)","(10484, 10490)",nausea,nausea,422587007,1217125005,11021124-DS-15,"for angina, with chest pressure, associated with nausea, left arm numbness. Variable nature of pain, rep" Wrong span,"(10492, 10500)","(10492, 10510)",left arm,"left arm numbness",368208006,292721000119107,11021124-DS-15,"ina, with chest pressure, associated with nausea, left arm numbness. Variable nature of pain, reproducibili" Wrong span,"(10502, 10510)","(10492, 10510)",numbness,"left arm numbness",44077006,292721000119107,11021124-DS-15,"chest pressure, associated with nausea, left arm numbness. Variable nature of pain, reproducibility, lack o" "Correct entity, wrong SNOMED ID","(10531, 10535)","(10531, 10535)",pain,pain,29857009,102570003,11021124-DS-15,"th nausea, left arm numbness. Variable nature of pain, reproducibility, lack of association with activ" "Correct entity, wrong SNOMED ID","(10633, 10635)","(10633, 10635)",GI,GI,86762007,1142285003,11021124-DS-15,"ivity makes it less typical for angina, possibly GI related given h/o GERD. Per patient, she has had " "Correct entity, wrong SNOMED ID","(10654, 10658)","(10654, 10658)",GERD,GERD,235595009,15749591000119107,11021124-DS-15,"ypical for angina, possibly GI related given h/o GERD. Per patient, she has had a negative stress as r" "Correct entity, wrong SNOMED ID","(10688, 10696)","(10688, 10696)",negative,negative,281900007,268375009,11021124-DS-15,"lated given h/o GERD. Per patient, she has had a negative stress as recently as ___. Cardiac biomarkers wer" Wrong span,"(10724, 10731)","(10724, 10742)",Cardiac,Cardiac biomarkers,56265001,40824007,11021124-DS-15,"he has had a negative stress as recently as ___. Cardiac biomarkers were negative with no EKG changes. He" "Correct entity, wrong SNOMED ID","(10749, 10757)","(10749, 10757)",negative,negative,281900007,268375009,11021124-DS-15,"ress as recently as ___. Cardiac biomarkers were negative with no EKG changes. Her pain returned on the flo" "Correct entity, wrong SNOMED ID","(10766, 10777)","(10766, 10777)",EKG changes,EKG changes,102594003,251144001,11021124-DS-15,"as ___. Cardiac biomarkers were negative with no EKG changes. Her pain returned on the floor the morning afte" "Correct entity, wrong SNOMED ID","(10783, 10787)","(10783, 10787)",pain,pain,29857009,102570003,11021124-DS-15,"iomarkers were negative with no EKG changes. Her pain returned on the floor the morning after admissio" "Correct entity, wrong SNOMED ID","(10848, 10854)","(10848, 10854)",stable,stable,359746009,301459008,11021124-DS-15,"n the floor the morning after admission, EKG was stable, CE negative. Pt was started on Heparin gtt for " Missed entity,"(10859, 10867)",,negative,,281900007,,11021124-DS-15," the morning after admission, EKG was stable, CE negative. Pt was started on Heparin gtt for possible unst" "Correct entity, wrong SNOMED ID","(10888, 10895)","(10888, 10895)",Heparin,Heparin,103746007,412201008,11021124-DS-15,", EKG was stable, CE negative. Pt was started on Heparin gtt for possible unstable angina, however she ha" Wrong span,"(10915, 10921)","(10913, 10928)",stable,unstable angina,359746009,233819005,11021124-DS-15,"ve. Pt was started on Heparin gtt for possible unstable angina, however she had no more chest pain and n" "Correct entity, wrong SNOMED ID","(10955, 10965)","(10955, 10965)",chest pain,chest pain,29857009,102589003,11021124-DS-15,"ossible unstable angina, however she had no more chest pain and no EKG changes. Heparin was stopped AM of __" "Correct entity, wrong SNOMED ID","(10973, 10984)","(10973, 10984)",EKG changes,EKG changes,102594003,251144001,11021124-DS-15,"ngina, however she had no more chest pain and no EKG changes. Heparin was stopped AM of ___. She was continue" "Correct entity, wrong SNOMED ID","(10986, 10993)","(10986, 10993)",Heparin,Heparin,103746007,412201008,11021124-DS-15,"r she had no more chest pain and no EKG changes. Heparin was stopped AM of ___. She was continued on ASA." Wrong span,"(11098, 11111)","(11086, 11111)",abnormalities,wall motion abnormalities,408574004,429750003,11021124-DS-15,"antine stress test on ___, showed no wall motion abnormalities, with EF of 71%, and no ischemic ST changes. CTA" Wrong span,"(11137, 11145)","(11137, 11156)",ischemic,ischemic ST changes,52674009,401303003,11021124-DS-15,"all motion abnormalities, with EF of 71%, and no ischemic ST changes. CTA ruled out PE and aortic dissectio" Wrong span,"(11146, 11156)","(11137, 11156)",ST changes,ischemic ST changes,55930002,401303003,11021124-DS-15,"n abnormalities, with EF of 71%, and no ischemic ST changes. CTA ruled out PE and aortic dissection on admis" "Correct entity, wrong SNOMED ID","(11172, 11174)","(11172, 11174)",PE,PE,59282003,20503002,11021124-DS-15,"f 71%, and no ischemic ST changes. CTA ruled out PE and aortic dissection on admission. . #. " "Correct entity, wrong SNOMED ID","(11179, 11196)","(11179, 11196)",aortic dissection,aortic dissection,308546005,301899003,11021124-DS-15,"and no ischemic ST changes. CTA ruled out PE and aortic dissection on admission. . #. Hypertension: BPs were" "Correct entity, wrong SNOMED ID","(11224, 11236)","(11224, 11236)",Hypertension,Hypertension,38341003,70995007,11021124-DS-15," and aortic dissection on admission. . #. Hypertension: BPs were elevated during admission to 170s. Con" Missed entity,"(11238, 11241)",,BPs,,392570002,,11021124-DS-15,"ssection on admission. . #. Hypertension: BPs were elevated during admission to 170s. Continue" "Correct entity, wrong SNOMED ID","(11247, 11255)","(11247, 11255)",elevated,elevated,24184005,50177009,11021124-DS-15,"on admission. . #. Hypertension: BPs were elevated during admission to 170s. Continued BB and HCTZ " Missed entity,"(11300, 11303)",,HCT,,28317006,,11021124-DS-15,"vated during admission to 170s. Continued BB and HCTZ and lisinopril was added at 5mg once pt appeare" Missed entity,"(11309, 11319)",,lisinopril,,410682003,,11021124-DS-15,"ing admission to 170s. Continued BB and HCTZ and lisinopril was added at 5mg once pt appeared stable from a " "Correct entity, wrong SNOMED ID","(11355, 11361)","(11355, 11361)",stable,stable,359746009,301459008,11021124-DS-15,"and lisinopril was added at 5mg once pt appeared stable from a cardiac stand point. Given sinus bradycar" Missed entity,"(11369, 11376)",,cardiac,,56265001,,11021124-DS-15," was added at 5mg once pt appeared stable from a cardiac stand point. Given sinus bradycardia did not inc" "Correct entity, wrong SNOMED ID","(11396, 11414)","(11396, 11414)","sinus bradycardia","sinus bradycardia",49710005,49044005,11021124-DS-15,"appeared stable from a cardiac stand point. Given sinus bradycardia did not increase beta. . #. Sinus Bradycardia: " "Correct entity, wrong SNOMED ID","(11445, 11462)","(11445, 11462)",Sinus Bradycardia,Sinus Bradycardia,49710005,49044005,11021124-DS-15," sinus bradycardia did not increase beta. . #. Sinus Bradycardia: Initially had some bradycardia in ___ with brie" "Correct entity, wrong SNOMED ID","(11483, 11494)","(11483, 11494)",bradycardia,bradycardia,48867003,690461000119106,11021124-DS-15,"eta. . #. Sinus Bradycardia: Initially had some bradycardia in ___ with brief episodes in high fort___ witho" "Correct entity, wrong SNOMED ID","(11576, 11584)","(11576, 11584)",baseline,baseline,128974000,161033005,11021124-DS-15,"high fort___ without symptoms. Appears to be her baseline in ___, unclear if this is related to her sympto" Missed entity,"(11612, 11619)",,related,,262094002,,11021124-DS-15,"rs to be her baseline in ___, unclear if this is related to her symptoms. Was continued on low dose beta " "Correct entity, wrong SNOMED ID","(11700, 11721)","(11700, 11721)",Restless Leg Syndrome,Restless Leg Syndrome,32914008,722963007,11021124-DS-15,"d on low dose beta blocker at discharge. . #. Restless Leg Syndrome: Continued Requip, gabapentin and remained well " Wrong span,"(11829, 11847)","(11829, 11836)",Anxiety/Depression,Anxiety,231504006,10756431000119109,11021124-DS-15,"ed. . #. GERD: continued pantoprazole. . #. Anxiety/Depression: continued sertraline, clonazepam . Pt was di" "Correct entity, wrong SNOMED ID","(11916, 11919)","(11916, 11919)",PCP,PCP,737470001,282108002,11021124-DS-15,"ine, clonazepam . Pt was discharged home with PCP ___. Medications on Admission: ATENOLOL 25MG PO" "Correct entity, wrong SNOMED ID","(13440, 13457)","(13440, 13457)",Home With Service,Home With Service,385783005,31532004,11021124-DS-15," Tablet(s)* Refills:*0* Discharge Disposition: Home With Service Facility: ___ ___ Diagnosis: Primary: 1. Ches" "Correct entity, wrong SNOMED ID","(13503, 13513)","(13503, 13513)",Chest pain,Chest pain,29857009,102589003,11021124-DS-15,"vice Facility: ___ ___ Diagnosis: Primary: 1. Chest pain Secondary: 1. Hypertension 2. Hyperlipidemia D" "Correct entity, wrong SNOMED ID","(13528, 13540)","(13528, 13540)",Hypertension,Hypertension,38341003,70995007,11021124-DS-15,"_ Diagnosis: Primary: 1. Chest pain Secondary: 1. Hypertension 2. Hyperlipidemia Discharge Condition: Mental " "Correct entity, wrong SNOMED ID","(13544, 13558)","(13544, 13558)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11021124-DS-15,"mary: 1. Chest pain Secondary: 1. Hypertension 2. Hyperlipidemia Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(13583, 13596)","(13583, 13596)",Mental Status,Mental Status,392257007,419284004,11021124-DS-15,"tension 2. Hyperlipidemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(13598, 13603)","(13598, 13603)",Clear,Clear,830123008,281278005,11021124-DS-15,"rlipidemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(13618, 13640)","(13618, 13640)",Level of Consciousness,Level of Consciousness,444714004,830285008,11021124-DS-15,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(13642, 13647)","(13642, 13647)",Alert,Alert,248234008,409787004,11021124-DS-15,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(13652, 13663)","(13652, 13663)",interactive,interactive,288577006,10301000202103,11021124-DS-15,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(13665, 13680)","(13665, 13680)",Activity Status,Activity Status,129676008,397622007,11021124-DS-15,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(13682, 13706)","(13682, 13706)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11021124-DS-15,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: You were admitted to " "Correct entity, wrong SNOMED ID","(13774, 13784)","(13774, 13784)",chest pain,chest pain,29857009,102589003,11021124-DS-15,"tructions: You were admitted to the hospital with chest pain and shortness of breath. Your EKG and blood work" "Correct entity, wrong SNOMED ID","(13789, 13809)","(13789, 13809)","shortness of breath","shortness of breath",267036007,135833008,11021124-DS-15,"were admitted to the hospital with chest pain and shortness of breath. Your EKG and blood work indicated you were not h" "Correct entity, wrong SNOMED ID","(13816, 13819)","(13816, 13819)",EKG,EKG,29303009,75444003,11021124-DS-15,"al with chest pain and shortness of breath. Your EKG and blood work indicated you were not having an " "Correct entity, wrong SNOMED ID","(13876, 13888)","(13876, 13888)",heart attack,heart attack,22298006,247818001,11021124-DS-15,"ood work indicated you were not having an active heart attack. You underwent a stress test which was normal. ." "Correct entity, wrong SNOMED ID","(14033, 14047)","(14033, 14047)",blood pressure,blood pressure,135840009,50723001,11021124-DS-15,"cations: -You were started on Lisinopril for your blood pressure Followup Instructions: ___ " False positive,,"(1145, 1151)",,ostomy,,705335002,11134545-DS-21,"est pain, n/v, abdominal pain. He states that his ostomy bag has been draining normally and that his bilat" False positive,,"(1549, 1551)",,RR,,229040007,11134545-DS-21,"l vital signs were: T 98.3 HR 64 BP 100/59 RR 16 ___ 99 on RA Pain 7 - Exam notable for: " False positive,,"(1641, 1647)",,ostomy,,280361007,11134545-DS-21,"able for: RRR no m/r/g/, lungs CTAB, abd soft, ostomy pink, 3+ pitting edema to knees with overlying ve" False positive,,"(1777, 1788)",,normal diff,,165430007,11134545-DS-21,"ere notable for... Leukocytosis (WBC 12.3*) with normal diff Worsened chronic anemia (Hgb 10.3* from 12.7* on " False positive,,"(1814, 1817)",,Hgb,,104142005,11134545-DS-21," 12.3*) with normal diff Worsened chronic anemia (Hgb 10.3* from 12.7* on ___ (baseline ~11.5)) Glucos" False positive,,"(1861, 1868)",,Glucose,,72191006,11134545-DS-21,"a (Hgb 10.3* from 12.7* on ___ (baseline ~11.5)) Glucose 109* ___ (BUN 49 from baseline in ___, Cr 2.1* fr" False positive,,"(1963, 1964)",,T,,257998006,11134545-DS-21,"1* from baseline 0.8-1.2) Hyperkalemia (K 5.2*) Trop 0.03* CK-MB <1 - Studies performed include.." False positive,,"(2209, 2211)",,HR,,258702006,11134545-DS-21,"inopril 2.5 mg - Vitals on transfer: T 97.6 HR 76 BP 127/66 RR 23 ___ 95 on RA Upon arri" False positive,,"(2217, 2219)",,BP,,38341003,11134545-DS-21,"2.5 mg - Vitals on transfer: T 97.6 HR 76 BP 127/66 RR 23 ___ 95 on RA Upon arrival to t" False positive,,"(2229, 2231)",,RR,,229040007,11134545-DS-21,"itals on transfer: T 97.6 HR 76 BP 127/66 RR 23 ___ 95 on RA Upon arrival to the floor... " False positive,,"(2864, 2869)",,R arm,,59126009,11134545-DS-21,"nd/leg weakness; had speech difficulties before - R arm DVT ___ - chronic lymphedema with venous stasis c" False positive,,"(3121, 3127)",,ostomy,,280361007,11134545-DS-21,"al cataract surgery - Cardiac cath as above - H/O ostomy after sigmoid colectomy for volvulus, ___ - H/O e" False positive,,"(3487, 3490)",,con,,31237006,11134545-DS-21,"xam: ================================= AOx3, NAD, conversant, lying comfortably 30 degrees in bed HEE" False positive,,"(3587, 3597)",,left-sided,,448683002,11134545-DS-21,"HEENT: Normocephalic, atraumatic. Blind in L eye, left-sided RAPD. Sclera anicteric. Poor dentition, MMM, orop" False positive,,"(3729, 3731)",,S1,,431855005,11134545-DS-21," exudates. CARDIAC: RRR, distant heart sounds, S1/S2, no murmurs, rubs or gallops. PMI palpable and" False positive,,"(3807, 3814)",,wheezes,,9763007,11134545-DS-21,"allops. PMI palpable and visible. LUNGS: CTAB, no wheezes, rhonchi or rales without labored breathing ABDOM" False positive,,"(3963, 3972)",,discharge,,2311000175105,11134545-DS-21,"y or guarding. Colostomy in LLQ w/out erythema or discharge, no output (changed last night, had not eaten). " False positive,,"(4523, 4531)",,Physical,,363818006,11134545-DS-21,"to light touch intact and symmetric Discharge Physical Exam: ======================================= Gen" False positive,,"(4592, 4602)",,conversant,,304886000,11134545-DS-21,"=================================== General: NAD, conversant, lying comfortably 30 degrees in bed HEENT: Nor" False positive,,"(4859, 4862)",,PMI,,259015003,11134545-DS-21,"t sounds, nl S1/S2, no murmurs, rubs or gallops. PMI palpable and visible. LUNGS: mild B lower lobe cr" False positive,,"(4920, 4926)",,stable,,301459008,11134545-DS-21,"e and visible. LUNGS: mild B lower lobe crackles, stable ABDOMEN: +BS, soft, NTND. Colostomy in LLQ w/o er" False positive,,"(4987, 4996)",,discharge,,2311000175105,11134545-DS-21,"BS, soft, NTND. Colostomy in LLQ w/o erythema or discharge EXTREMITIES: 2+ pitting edema in BLE up to knees," False positive,,"(6493, 6501)",,tortuous,,247123003,11134545-DS-21,"trodes in expected position. There is aorta is tortuous and calcified, as before. The mediastinal and " False positive,,"(7066, 7069)",,SLN,,1370927002,11134545-DS-21,"as felt to be angina in nature and improved with SLN. He is not interested in cardiac catheterization" False positive,,"(7313, 7323)",,poor renal,,709044004,11134545-DS-21,"ending and negative CK-MB felt to be likely from poor renal clearance rather than NSTEMI. ECG difficult to i" False positive,,"(7681, 7691)",,lisinopril,,108575001,11134545-DS-21," performed. Patient was medically optimized with lisinopril, metoprolol, and atorvastatin increased to 40 mg" False positive,,"(8426, 8431)",,clear,,281278005,11134545-DS-21,"omatic, with no dyspnea, cough, dysuria. CXR was clear and his ostomy site was clean. The leukocytosis " False positive,,"(8440, 8451)",,ostomy site,,705336001,11134545-DS-21,"no dyspnea, cough, dysuria. CXR was clear and his ostomy site was clean. The leukocytosis resolved without spe" False positive,,"(8546, 8553)",,drop in,,263700004,11134545-DS-21,"t specific intervention. #Anemia: Noted to have drop in H/H on this admission from 2 weeks prior. Iron s" False positive,,"(8994, 9004)",,immobility,,67759008,11134545-DS-21,"es. He has evidence of skin breakdown related to immobility. In prolonged discussion with patient's son and " False positive,,"(9883, 9895)",,guardianship,,5981000175107,11134545-DS-21," hygeine and self neglect, will need to consider guardianship to help better care for patient. --------------" False positive,,"(10288, 10290)",,IV,,258000009,11134545-DS-21,"ro-BNP to 4413 from 1312. Diuresed ___ with 40 mg IV Lasix with improvement. Given intravascular depl" False positive,,"(10731, 10741)",,mouth wash,,225073008,11134545-DS-21,"tal Caries. Patient has poor dentition. Nystatin mouth wash was offered four times daily, however patient re" False positive,,"(10957, 10960)",,ASA,,417980006,11134545-DS-21,". Resumed once Cr decreased. #CAD Continued home ASA Continued metoprolol fractionated. Can resume met" False positive,,"(11821, 11831)",,decline of,,386806002,11134545-DS-21,"e care services at home given patient's repeated decline of nursing care and his goals of care. [ ] In term" False positive,,"(11832, 11845)",,"nursing care",,182998008,11134545-DS-21,"vices at home given patient's repeated decline of nursing care and his goals of care. [ ] In terms of goals of " "Correct entity, wrong SNOMED ID","(198, 220)","(198, 220)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,11134545-DS-21,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: chest pain " "Correct entity, wrong SNOMED ID","(258, 268)","(258, 268)",chest pain,chest pain,29857009,444821009,11134545-DS-21,"ug Reactions Attending: ___. Chief Complaint: chest pain Major Surgical or Invasive Procedure: none H" "Correct entity, wrong SNOMED ID","(354, 359)","(354, 359)",HFrEF,HFrEF,703272007,609387006,11134545-DS-21,"ure: none History of Present Illness: ___ M w/ HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA __" "Correct entity, wrong SNOMED ID","(367, 370)","(367, 370)",CAD,CAD,53741008,84270004,11134545-DS-21,"History of Present Illness: ___ M w/ HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemake" "Correct entity, wrong SNOMED ID","(372, 375)","(372, 375)",HTN,HTN,38341003,10725009,11134545-DS-21,"ry of Present Illness: ___ M w/ HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemaker pre" "Correct entity, wrong SNOMED ID","(377, 401)","(377, 401)",Type B Aortic dissection,Type B Aortic dissection,233997009,1344842003,11134545-DS-21," Present Illness: ___ M w/ HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemaker presenting from home with 2 d" "Correct entity, wrong SNOMED ID","(403, 406)","(403, 406)",CVA,CVA,230690007,1131000119105,11134545-DS-21," HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemaker presenting from home with 2 days o" "Correct entity, wrong SNOMED ID","(412, 421)","(412, 421)",pacemaker,pacemaker,441509002,14106009,11134545-DS-21,"0%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemaker presenting from home with 2 days of intermittent " "Correct entity, wrong SNOMED ID","(471, 481)","(471, 481)",chest pain,chest pain,29857009,444821009,11134545-DS-21," presenting from home with 2 days of intermittent chest pain. Patient responds appropriately to questions but " "Correct entity, wrong SNOMED ID","(597, 607)","(597, 607)",chest pain,chest pain,29857009,102589003,11134545-DS-21,"understand. He states the he has had intermittent chest pain for the past ___ years, but appears to have worse" Wrong span,"(652, 660)","(652, 657)",worsened,worse,1144586002,280122007,11134545-DS-21," pain for the past ___ years, but appears to have worsened in severity recently. The patient describes the p" Wrong span,"(709, 724)","(709, 713)",pain as burning,pain,1264062004,102570003,11134545-DS-21,"d in severity recently. The patient describes the pain as burning in quality, waxing and waning in timing, maximum " Wrong span,"(817, 821)","(817, 835)",left,left costal margin,724223001,39095009,11134545-DS-21,"aximum ___ in severity, localized to the inferior left costal margin with radiating ""aching"" in the uppe" Wrong span,"(822, 835)","(817, 835)",costal margin,left costal margin,360945007,39095009,11134545-DS-21,"m ___ in severity, localized to the inferior left costal margin with radiating ""aching"" in the upper extremities " Missed entity,"(841, 850)",,radiating,,9972008,,11134545-DS-21,"localized to the inferior left costal margin with radiating ""aching"" in the upper extremities bilaterally, an" "Correct entity, wrong SNOMED ID","(852, 858)","(852, 858)",aching,aching,27635008,75483001,11134545-DS-21,"o the inferior left costal margin with radiating ""aching"" in the upper extremities bilaterally, and aggrav" "Correct entity, wrong SNOMED ID","(867, 884)","(867, 884)",upper extremities,upper extremities,53120007,90909003,11134545-DS-21,"left costal margin with radiating ""aching"" in the upper extremities bilaterally, and aggravated by exertion and sitti" "Correct entity, wrong SNOMED ID","(916, 924)","(916, 924)",exertion,exertion,81953000,255214003,11134545-DS-21," upper extremities bilaterally, and aggravated by exertion and sitting up. He called EMS today because he go" "Correct entity, wrong SNOMED ID","(929, 936)","(929, 936)",sitting,sitting,33586001,282969008,11134545-DS-21,"ities bilaterally, and aggravated by exertion and sitting up. He called EMS today because he got a new cha" Missed entity,"(951, 954)",,EMS,,385868005,,11134545-DS-21," aggravated by exertion and sitting up. He called EMS today because he got a new chair at home that he" Missed entity,"(1027, 1034)",,problem,,55607006,,11134545-DS-21," new chair at home that he thought would fix the problem but did not. Denies fevers, dyspnea, orthopnea, p" "Correct entity, wrong SNOMED ID","(1055, 1061)","(1055, 1061)",fevers,fevers,386661006,248444008,11134545-DS-21,"thought would fix the problem but did not. Denies fevers, dyspnea, orthopnea, pleuritic chest pain, n/v, a" "Correct entity, wrong SNOMED ID","(1063, 1070)","(1063, 1070)",dyspnea,dyspnea,267036007,60845006,11134545-DS-21,"would fix the problem but did not. Denies fevers, dyspnea, orthopnea, pleuritic chest pain, n/v, abdominal " "Correct entity, wrong SNOMED ID","(1072, 1081)","(1072, 1081)",orthopnea,orthopnea,62744007,435931000124105,11134545-DS-21," the problem but did not. Denies fevers, dyspnea, orthopnea, pleuritic chest pain, n/v, abdominal pain. He st" "Correct entity, wrong SNOMED ID","(1083, 1103)","(1083, 1103)",pleuritic chest pain,pleuritic chest pain,2237002,7921000119104,11134545-DS-21,"m but did not. Denies fevers, dyspnea, orthopnea, pleuritic chest pain, n/v, abdominal pain. He states that his ostomy b" "Correct entity, wrong SNOMED ID","(1105, 1108)","(1105, 1108)",n/v,n/v,16932000,257992007,11134545-DS-21,"fevers, dyspnea, orthopnea, pleuritic chest pain, n/v, abdominal pain. He states that his ostomy bag ha" "Correct entity, wrong SNOMED ID","(1110, 1124)","(1110, 1124)",abdominal pain,abdominal pain,21522001,54586004,11134545-DS-21,"s, dyspnea, orthopnea, pleuritic chest pain, n/v, abdominal pain. He states that his ostomy bag has been draining " "Correct entity, wrong SNOMED ID","(1210, 1215)","(1210, 1215)",edema,edema,267038008,102576009,11134545-DS-21,"been draining normally and that his bilateral ___ edema has not worsened. Patient was evaluated in the ED" Missed entity,"(1246, 1255)",,evaluated,,386053000,,11134545-DS-21,"bilateral ___ edema has not worsened. Patient was evaluated in the ED on ___ for concern of worsening ___ ede" "Correct entity, wrong SNOMED ID","(1302, 1307)","(1302, 1307)",edema,edema,267038008,102576009,11134545-DS-21,"ted in the ED on ___ for concern of worsening ___ edema but was discharged after ___ showed no clots. He " "Correct entity, wrong SNOMED ID","(1372, 1376)","(1372, 1376)",pain,pain,22253000,102570003,11134545-DS-21,"rged after ___ showed no clots. He wonders if the pain could be due to anxiety, as he had similar chest " "Correct entity, wrong SNOMED ID","(1393, 1400)","(1393, 1400)",anxiety,anxiety,48694002,286644009,11134545-DS-21," no clots. He wonders if the pain could be due to anxiety, as he had similar chest pain in the setting of a" "Correct entity, wrong SNOMED ID","(1420, 1430)","(1420, 1430)",chest pain,chest pain,29857009,102589003,11134545-DS-21,"e pain could be due to anxiety, as he had similar chest pain in the setting of a panic attack in the 1960s. " "Correct entity, wrong SNOMED ID","(1451, 1463)","(1451, 1463)",panic attack,panic attack,225624000,231502005,11134545-DS-21," as he had similar chest pain in the setting of a panic attack in the 1960s. In the ED, initial vital signs " "Correct entity, wrong SNOMED ID","(1501, 1512)","(1501, 1512)",vital signs,vital signs,118227000,72970002,11134545-DS-21,"panic attack in the 1960s. In the ED, initial vital signs were: T 98.3 HR 64 BP 100/59 RR 16 ___ 9" "Correct entity, wrong SNOMED ID","(1567, 1569)","(1567, 1569)",RA,RA,722742002,463051000124105,11134545-DS-21,": T 98.3 HR 64 BP 100/59 RR 16 ___ 99 on RA Pain 7 - Exam notable for: RRR no m/r/g/, " "Correct entity, wrong SNOMED ID","(1572, 1576)","(1572, 1576)",Pain,Pain,22253000,102570003,11134545-DS-21,"98.3 HR 64 BP 100/59 RR 16 ___ 99 on RA Pain 7 - Exam notable for: RRR no m/r/g/, lungs C" "Correct entity, wrong SNOMED ID","(1583, 1587)","(1583, 1587)",Exam,Exam,5880005,105477005,11134545-DS-21,"4 BP 100/59 RR 16 ___ 99 on RA Pain 7 - Exam notable for: RRR no m/r/g/, lungs CTAB, abd so" "Correct entity, wrong SNOMED ID","(1604, 1607)","(1604, 1607)",RRR,RRR,76863003,129960002,11134545-DS-21," ___ 99 on RA Pain 7 - Exam notable for: RRR no m/r/g/, lungs CTAB, abd soft, ostomy pink, 3+ " "Correct entity, wrong SNOMED ID","(1608, 1616)","(1608, 1616)",no m/r/g,no m/r/g,301132007,315221003,11134545-DS-21,"__ 99 on RA Pain 7 - Exam notable for: RRR no m/r/g/, lungs CTAB, abd soft, ostomy pink, 3+ pitting e" Wrong span,"(1619, 1629)","(1619, 1624)",lungs CTAB,lungs,48348007,74101002,11134545-DS-21," Pain 7 - Exam notable for: RRR no m/r/g/, lungs CTAB, abd soft, ostomy pink, 3+ pitting edema to knees" "Correct entity, wrong SNOMED ID","(1631, 1639)","(1631, 1639)",abd soft,abd soft,249543005,58231000087109,11134545-DS-21,"- Exam notable for: RRR no m/r/g/, lungs CTAB, abd soft, ostomy pink, 3+ pitting edema to knees with over" Wrong span,"(1654, 1670)","(1654, 1655)","3+ pitting edema",3,421346005,70905002,11134545-DS-21,"RRR no m/r/g/, lungs CTAB, abd soft, ostomy pink, 3+ pitting edema to knees with overlying venous stasis changes -" "Correct entity, wrong SNOMED ID","(1674, 1679)","(1674, 1679)",knees,knees,72696002,36701003,11134545-DS-21," CTAB, abd soft, ostomy pink, 3+ pitting edema to knees with overlying venous stasis changes - Labs wer" Wrong span,"(1695, 1708)","(1695, 1716)",venous stasis,venous stasis changes,71897006,703283003,11134545-DS-21,"my pink, 3+ pitting edema to knees with overlying venous stasis changes - Labs were notable for... Leukocytosi" "Correct entity, wrong SNOMED ID","(1747, 1759)","(1747, 1759)",Leukocytosis,Leukocytosis,111583006,65209002,11134545-DS-21,"nous stasis changes - Labs were notable for... Leukocytosis (WBC 12.3*) with normal diff Worsened chronic ane" "Correct entity, wrong SNOMED ID","(1761, 1764)","(1761, 1764)",WBC,WBC,767002,391558003,11134545-DS-21,"anges - Labs were notable for... Leukocytosis (WBC 12.3*) with normal diff Worsened chronic anemia (" "Correct entity, wrong SNOMED ID","(1798, 1812)","(1798, 1812)",chronic anemia,chronic anemia,191268006,291262006,11134545-DS-21,"eukocytosis (WBC 12.3*) with normal diff Worsened chronic anemia (Hgb 10.3* from 12.7* on ___ (baseline ~11.5)) G" "Correct entity, wrong SNOMED ID","(1843, 1851)","(1843, 1851)",baseline,baseline,128974000,129082007,11134545-DS-21,"ened chronic anemia (Hgb 10.3* from 12.7* on ___ (baseline ~11.5)) Glucose 109* ___ (BUN 49 from baseline i" Missed entity,"(1879, 1882)",,BUN,,105011006,,11134545-DS-21,"12.7* on ___ (baseline ~11.5)) Glucose 109* ___ (BUN 49 from baseline in ___, Cr 2.1* from baseline 0." "Correct entity, wrong SNOMED ID","(1891, 1899)","(1891, 1899)",baseline,baseline,128974000,129082007,11134545-DS-21," (baseline ~11.5)) Glucose 109* ___ (BUN 49 from baseline in ___, Cr 2.1* from baseline 0.8-1.2) Hyperkalem" "Correct entity, wrong SNOMED ID","(1921, 1929)","(1921, 1929)",baseline,baseline,128974000,129082007,11134545-DS-21,"9* ___ (BUN 49 from baseline in ___, Cr 2.1* from baseline 0.8-1.2) Hyperkalemia (K 5.2*) Trop 0.03* CK-MB" "Correct entity, wrong SNOMED ID","(1939, 1951)","(1939, 1951)",Hyperkalemia,Hyperkalemia,14140009,40777006,11134545-DS-21,"m baseline in ___, Cr 2.1* from baseline 0.8-1.2) Hyperkalemia (K 5.2*) Trop 0.03* CK-MB <1 - Studies perfor" Missed entity,"(1987, 1994)",,Studies,,386053000,,11134545-DS-21,") Hyperkalemia (K 5.2*) Trop 0.03* CK-MB <1 - Studies performed include... Chest XR: ""no acute cardi" Wrong span,"(2030, 2038)","(2030, 2032)",no acute,no,281900007,160552003,11134545-DS-21,"<1 - Studies performed include... Chest XR: ""no acute cardiopulmonary abnormality"" ECG: pacemaker - P" Missed entity,"(2055, 2066)",,abnormality,,281900007,,11134545-DS-21,"include... Chest XR: ""no acute cardiopulmonary abnormality"" ECG: pacemaker - Patient was given... Aspirin" "Correct entity, wrong SNOMED ID","(2068, 2071)","(2068, 2071)",ECG,ECG,29303009,75444003,11134545-DS-21," Chest XR: ""no acute cardiopulmonary abnormality"" ECG: pacemaker - Patient was given... Aspirin 81 m" "Correct entity, wrong SNOMED ID","(2073, 2082)","(2073, 2082)",pacemaker,pacemaker,426083000,14106009,11134545-DS-21,"t XR: ""no acute cardiopulmonary abnormality"" ECG: pacemaker - Patient was given... Aspirin 81 mg HTZ 50 " "Correct entity, wrong SNOMED ID","(2109, 2116)","(2109, 2116)",Aspirin,Aspirin,431463004,7947003,11134545-DS-21,"rmality"" ECG: pacemaker - Patient was given... Aspirin 81 mg HTZ 50 mg Metop Tartrate 50 mg Lisinopril" "Correct entity, wrong SNOMED ID","(2178, 2184)","(2178, 2184)",Vitals,Vitals,118227000,260390007,11134545-DS-21," 50 mg Metop Tartrate 50 mg Lisinopril 2.5 mg - Vitals on transfer: T 97.6 HR 76 BP 127/66 RR 23" "Correct entity, wrong SNOMED ID","(2247, 2249)","(2247, 2249)",RA,RA,722742002,463051000124105,11134545-DS-21," T 97.6 HR 76 BP 127/66 RR 23 ___ 95 on RA Upon arrival to the floor... The patient repor" "Correct entity, wrong SNOMED ID","(2311, 2321)","(2311, 2321)",chest pain,chest pain,29857009,444821009,11134545-DS-21,"val to the floor... The patient reports that his chest pain has improved to ___ from ___ after being given n" "Correct entity, wrong SNOMED ID","(2326, 2334)","(2326, 2334)",improved,improved,268910001,251359002,11134545-DS-21,"r... The patient reports that his chest pain has improved to ___ from ___ after being given nitro this mor" "Correct entity, wrong SNOMED ID","(2400, 2405)","(2400, 2405)",fever,fever,386661006,248430002,11134545-DS-21,"_ after being given nitro this morning. He denies fever, chills, night sweats, headache, vision changes, " "Correct entity, wrong SNOMED ID","(2407, 2413)","(2407, 2413)",chills,chills,43724002,274640006,11134545-DS-21," being given nitro this morning. He denies fever, chills, night sweats, headache, vision changes, hearing " "Correct entity, wrong SNOMED ID","(2429, 2437)","(2429, 2437)",headache,headache,25064002,267096005,11134545-DS-21,"s morning. He denies fever, chills, night sweats, headache, vision changes, hearing changes, SOB, orthopnea," "Correct entity, wrong SNOMED ID","(2439, 2453)","(2439, 2453)",vision changes,vision changes,63102001,83275001,11134545-DS-21," He denies fever, chills, night sweats, headache, vision changes, hearing changes, SOB, orthopnea, n/v, abdominal " "Correct entity, wrong SNOMED ID","(2455, 2470)","(2455, 2470)",hearing changes,hearing changes,251358005,721294001,11134545-DS-21,", chills, night sweats, headache, vision changes, hearing changes, SOB, orthopnea, n/v, abdominal pain. Past Medi" "Correct entity, wrong SNOMED ID","(2472, 2475)","(2472, 2475)",SOB,SOB,267036007,43731003,11134545-DS-21,"weats, headache, vision changes, hearing changes, SOB, orthopnea, n/v, abdominal pain. Past Medical H" "Correct entity, wrong SNOMED ID","(2477, 2486)","(2477, 2486)",orthopnea,orthopnea,62744007,435931000124105,11134545-DS-21,", headache, vision changes, hearing changes, SOB, orthopnea, n/v, abdominal pain. Past Medical History: PAS" "Correct entity, wrong SNOMED ID","(2488, 2491)","(2488, 2491)",n/v,n/v,16932000,257992007,11134545-DS-21," vision changes, hearing changes, SOB, orthopnea, n/v, abdominal pain. Past Medical History: PAST MED" "Correct entity, wrong SNOMED ID","(2493, 2507)","(2493, 2507)",abdominal pain,abdominal pain,21522001,54586004,11134545-DS-21,"on changes, hearing changes, SOB, orthopnea, n/v, abdominal pain. Past Medical History: PAST MEDICAL HISTORY: -" "Correct entity, wrong SNOMED ID","(2558, 2561)","(2558, 2561)",CAD,CAD,53741008,84270004,11134545-DS-21," Past Medical History: PAST MEDICAL HISTORY: - CAD: 3-vessel CAD ___ LAD 60%, midLAD 100%, PDA 80% " Wrong span,"(2563, 2575)","(2563, 2564)",3-vessel CAD,3,233817007,70905002,11134545-DS-21,"st Medical History: PAST MEDICAL HISTORY: - CAD: 3-vessel CAD ___ LAD 60%, midLAD 100%, PDA 80% diffusely dis" "Correct entity, wrong SNOMED ID","(2580, 2583)","(2580, 2583)",LAD,LAD,59438005,1010291002,11134545-DS-21,"y: PAST MEDICAL HISTORY: - CAD: 3-vessel CAD ___ LAD 60%, midLAD 100%, PDA 80% diffusely diseased, _" "Correct entity, wrong SNOMED ID","(2589, 2595)","(2589, 2595)",midLAD,midLAD,91748002,17408006,11134545-DS-21,"EDICAL HISTORY: - CAD: 3-vessel CAD ___ LAD 60%, midLAD 100%, PDA 80% diffusely diseased, ___ RCA 100% " "Correct entity, wrong SNOMED ID","(2602, 2605)","(2602, 2605)",PDA,PDA,443113009,1179298002,11134545-DS-21,"Y: - CAD: 3-vessel CAD ___ LAD 60%, midLAD 100%, PDA 80% diffusely diseased, ___ RCA 100% on cath __" "Correct entity, wrong SNOMED ID","(2622, 2630)","(2622, 2630)",diseased,diseased,64572001,102915009,11134545-DS-21,"CAD ___ LAD 60%, midLAD 100%, PDA 80% diffusely diseased, ___ RCA 100% on cath ___ no intervention) - Type" "Correct entity, wrong SNOMED ID","(2636, 2639)","(2636, 2639)",RCA,RCA,13647002,244257005,11134545-DS-21,"%, midLAD 100%, PDA 80% diffusely diseased, ___ RCA 100% on cath ___ no intervention) - Type B aortic" "Correct entity, wrong SNOMED ID","(2648, 2652)","(2648, 2652)",cath,cath,41976001,28309003,11134545-DS-21,"0%, PDA 80% diffusely diseased, ___ RCA 100% on cath ___ no intervention) - Type B aortic dissection, " "Correct entity, wrong SNOMED ID","(2676, 2700)","(2676, 2700)",Type B aortic dissection,Type B aortic dissection,233997009,699385002,11134545-DS-21,"ased, ___ RCA 100% on cath ___ no intervention) - Type B aortic dissection, treated conservatively; diagnosed ___ - L-side" Wrong span,"(2744, 2764)","(2744, 2751)",L-sided ischemic CVA,L-sided,195216008,264180000,11134545-DS-21,"ection, treated conservatively; diagnosed ___ - L-sided ischemic CVA (small L pontine), ___, with resuidual R arm/ha" Boundary error,"(2772, 2782)","(2774, 2781)",L pontine),pontine,734479006,304942009,11134545-DS-21,"ly; diagnosed ___ - L-sided ischemic CVA (small L pontine), ___, with resuidual R arm/hand/leg weakness; h" Wrong span,"(2808, 2811)","(2804, 2811)",arm,"R arm",249944006,59126009,11134545-DS-21,"ic CVA (small L pontine), ___, with resuidual R arm/hand/leg weakness; had speech difficulties before" Wrong span,"(2812, 2830)","(2812, 2816)",hand/leg weakness;,hand,249943000,53057004,11134545-DS-21,"VA (small L pontine), ___, with resuidual R arm/hand/leg weakness; had speech difficulties before - R arm DVT ___ - " "Correct entity, wrong SNOMED ID","(2835, 2854)","(2835, 2854)",speech difficulties,speech difficulties,162294008,1145003,11134545-DS-21,"__, with resuidual R arm/hand/leg weakness; had speech difficulties before - R arm DVT ___ - chronic lymphedema with " "Correct entity, wrong SNOMED ID","(2870, 2873)","(2870, 2873)",DVT,DVT,128053003,49956009,11134545-DS-21," weakness; had speech difficulties before - R arm DVT ___ - chronic lymphedema with venous stasis chang" "Correct entity, wrong SNOMED ID","(2880, 2898)","(2880, 2898)",chronic lymphedema,chronic lymphedema,28590005,33129002,11134545-DS-21," had speech difficulties before - R arm DVT ___ - chronic lymphedema with venous stasis changes - RLE cellulitis - Col" Wrong span,"(2904, 2917)","(2904, 2925)",venous stasis,venous stasis changes,71897006,703283003,11134545-DS-21," before - R arm DVT ___ - chronic lymphedema with venous stasis changes - RLE cellulitis - Colonic volvulus s/p c" Wrong span,"(2928, 2931)","(2928, 2942)",RLE,RLE cellulitis,62175007,402927009,11134545-DS-21,"- chronic lymphedema with venous stasis changes - RLE cellulitis - Colonic volvulus s/p colectomy - Deg" Wrong span,"(2932, 2942)","(2928, 2942)",cellulitis,RLE cellulitis,128045006,402927009,11134545-DS-21,"ronic lymphedema with venous stasis changes - RLE cellulitis - Colonic volvulus s/p colectomy - Degenerative j" "Correct entity, wrong SNOMED ID","(2966, 2975)","(2966, 2975)",colectomy,colectomy,23968004,359571009,11134545-DS-21,"s changes - RLE cellulitis - Colonic volvulus s/p colectomy - Degenerative joint disease - Right retinal vein" "Correct entity, wrong SNOMED ID","(2978, 3004)","(2978, 3004)",Degenerative joint disease,Degenerative joint disease,396275006,239873007,11134545-DS-21,"RLE cellulitis - Colonic volvulus s/p colectomy - Degenerative joint disease - Right retinal vein occlusion PAST SURGICAL HIS" Wrong span,"(3007, 3012)","(3007, 3035)",Right,Right retinal vein occlusion,770597003,677831000119107,11134545-DS-21,"ulus s/p colectomy - Degenerative joint disease - Right retinal vein occlusion PAST SURGICAL HISTORY: " Wrong span,"(3013, 3035)","(3007, 3035)",retinal vein occlusion,Right retinal vein occlusion,1237532002,677831000119107,11134545-DS-21,"/p colectomy - Degenerative joint disease - Right retinal vein occlusion PAST SURGICAL HISTORY: - Bilateral cataract su" "Correct entity, wrong SNOMED ID","(3064, 3090)","(3064, 3090)",Bilateral cataract surgery,Bilateral cataract surgery,1236928007,15999871000119109,11134545-DS-21,"etinal vein occlusion PAST SURGICAL HISTORY: - Bilateral cataract surgery - Cardiac cath as above - H/O ostomy after sigmoi" "Correct entity, wrong SNOMED ID","(3093, 3105)","(3093, 3105)",Cardiac cath,Cardiac cath,41976001,59261000119100,11134545-DS-21,"URGICAL HISTORY: - Bilateral cataract surgery - Cardiac cath as above - H/O ostomy after sigmoid colectomy for" "Correct entity, wrong SNOMED ID","(3134, 3151)","(3134, 3151)",sigmoid colectomy,sigmoid colectomy,84604002,1303413007,11134545-DS-21,"urgery - Cardiac cath as above - H/O ostomy after sigmoid colectomy for volvulus, ___ - H/O exploratory laparotomy in" "Correct entity, wrong SNOMED ID","(3156, 3164)","(3156, 3164)",volvulus,volvulus,6441003,1148568006,11134545-DS-21,"as above - H/O ostomy after sigmoid colectomy for volvulus, ___ - H/O exploratory laparotomy in the ___ w/o " "Correct entity, wrong SNOMED ID","(3214, 3223)","(3214, 3223)",resection,resection,65801008,265414003,11134545-DS-21,", ___ - H/O exploratory laparotomy in the ___ w/o resection - Umbilical hernia (over ___ years ago) Social " "Correct entity, wrong SNOMED ID","(3226, 3242)","(3226, 3242)",Umbilical hernia,Umbilical hernia,396347007,196859000,11134545-DS-21,"exploratory laparotomy in the ___ w/o resection - Umbilical hernia (over ___ years ago) Social History: ___ Family" "Correct entity, wrong SNOMED ID","(3334, 3337)","(3334, 3337)",CAD,CAD,53741008,84270004,11134545-DS-21,"_ Family History: From previous notes Father with CAD, deceased age ___, pt confirmed Mother with ___ 4" "Correct entity, wrong SNOMED ID","(3339, 3347)","(3339, 3347)",deceased,deceased,419099009,739678005,11134545-DS-21,"ily History: From previous notes Father with CAD, deceased age ___, pt confirmed Mother with ___ 4 Children " "Correct entity, wrong SNOMED ID","(3476, 3480)","(3476, 3480)",AOx3,AOx3,426224004,124161002,11134545-DS-21,"Admission Exam: ================================= AOx3, NAD, conversant, lying comfortably 30 degrees in" "Correct entity, wrong SNOMED ID","(3482, 3485)","(3482, 3485)",NAD,NAD,281900007,131143000,11134545-DS-21,"ion Exam: ================================= AOx3, NAD, conversant, lying comfortably 30 degrees in bed " "Correct entity, wrong SNOMED ID","(3499, 3504)","(3499, 3504)",lying,lying,17535004,32185000,11134545-DS-21,"========================== AOx3, NAD, conversant, lying comfortably 30 degrees in bed HEENT: Normocepha" "Correct entity, wrong SNOMED ID","(3537, 3542)","(3537, 3542)",HEENT,HEENT,5880005,113665002,11134545-DS-21,"conversant, lying comfortably 30 degrees in bed HEENT: Normocephalic, atraumatic. Blind in L eye, left-" "Correct entity, wrong SNOMED ID","(3544, 3557)","(3544, 3557)",Normocephalic,Normocephalic,840673007,90629004,11134545-DS-21,"ant, lying comfortably 30 degrees in bed HEENT: Normocephalic, atraumatic. Blind in L eye, left-sided RAPD. Scl" "Correct entity, wrong SNOMED ID","(3559, 3569)","(3559, 3569)",atraumatic,atraumatic,224964008,294228005,11134545-DS-21,"ortably 30 degrees in bed HEENT: Normocephalic, atraumatic. Blind in L eye, left-sided RAPD. Sclera anicteri" Wrong span,"(3571, 3585)","(3571, 3576)",Blind in L eye,Blind,274571007,170727003,11134545-DS-21,"egrees in bed HEENT: Normocephalic, atraumatic. Blind in L eye, left-sided RAPD. Sclera anicteric. Poor dentitio" Boundary error,"(3598, 3600)","(3598, 3602)",RA,RAPD,722742002,229040007,11134545-DS-21,"ocephalic, atraumatic. Blind in L eye, left-sided RAPD. Sclera anicteric. Poor dentition, MMM, orophar" "Correct entity, wrong SNOMED ID","(3604, 3620)","(3604, 3620)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,11134545-DS-21,"lic, atraumatic. Blind in L eye, left-sided RAPD. Sclera anicteric. Poor dentition, MMM, oropharynx clear with no er" "Correct entity, wrong SNOMED ID","(3622, 3636)","(3622, 3636)",Poor dentition,Poor dentition,129904008,109439008,11134545-DS-21,"lind in L eye, left-sided RAPD. Sclera anicteric. Poor dentition, MMM, oropharynx clear with no erythema or exudat" "Correct entity, wrong SNOMED ID","(3638, 3641)","(3638, 3641)",MMM,MMM,276398005,258673006,11134545-DS-21,"eft-sided RAPD. Sclera anicteric. Poor dentition, MMM, oropharynx clear with no erythema or exudates. " "Correct entity, wrong SNOMED ID","(3643, 3659)","(3643, 3659)",oropharynx clear,oropharynx clear,300280008,426547004,11134545-DS-21,"ided RAPD. Sclera anicteric. Poor dentition, MMM, oropharynx clear with no erythema or exudates. CARDIAC: RRR, di" "Correct entity, wrong SNOMED ID","(3668, 3676)","(3668, 3676)",erythema,erythema,247441003,403194002,11134545-DS-21,"ic. Poor dentition, MMM, oropharynx clear with no erythema or exudates. CARDIAC: RRR, distant heart sound" "Correct entity, wrong SNOMED ID","(3680, 3688)","(3680, 3688)",exudates,exudates,42142007,247131008,11134545-DS-21,"tition, MMM, oropharynx clear with no erythema or exudates. CARDIAC: RRR, distant heart sounds, S1/S2, no" "Correct entity, wrong SNOMED ID","(3693, 3700)","(3693, 3700)",CARDIAC,CARDIAC,363003006,71892000,11134545-DS-21,"oropharynx clear with no erythema or exudates. CARDIAC: RRR, distant heart sounds, S1/S2, no murmurs, ru" "Correct entity, wrong SNOMED ID","(3702, 3705)","(3702, 3705)",RRR,RRR,76863003,129960002,11134545-DS-21,"x clear with no erythema or exudates. CARDIAC: RRR, distant heart sounds, S1/S2, no murmurs, rubs or" "Correct entity, wrong SNOMED ID","(3707, 3727)","(3707, 3727)",distant heart sounds,distant heart sounds,271662005,89884001,11134545-DS-21,"ar with no erythema or exudates. CARDIAC: RRR, distant heart sounds, S1/S2, no murmurs, rubs or gallops. PMI palpable" "Correct entity, wrong SNOMED ID","(3732, 3734)","(3732, 3734)",S2,S2,111974005,81170007,11134545-DS-21,"udates. CARDIAC: RRR, distant heart sounds, S1/S2, no murmurs, rubs or gallops. PMI palpable and vi" "Correct entity, wrong SNOMED ID","(3739, 3746)","(3739, 3746)",murmurs,murmurs,414786004,248699005,11134545-DS-21," CARDIAC: RRR, distant heart sounds, S1/S2, no murmurs, rubs or gallops. PMI palpable and visible. LUNGS" "Correct entity, wrong SNOMED ID","(3756, 3763)","(3756, 3763)",gallops,gallops,2170000,4592006,11134545-DS-21," distant heart sounds, S1/S2, no murmurs, rubs or gallops. PMI palpable and visible. LUNGS: CTAB, no wheeze" "Correct entity, wrong SNOMED ID","(3769, 3777)","(3769, 3777)",palpable,palpable,118242002,163210008,11134545-DS-21,"t sounds, S1/S2, no murmurs, rubs or gallops. PMI palpable and visible. LUNGS: CTAB, no wheezes, rhonchi or " "Correct entity, wrong SNOMED ID","(3791, 3796)","(3791, 3796)",LUNGS,LUNGS,268925001,169115000,11134545-DS-21,"rmurs, rubs or gallops. PMI palpable and visible. LUNGS: CTAB, no wheezes, rhonchi or rales without labor" "Correct entity, wrong SNOMED ID","(3798, 3802)","(3798, 3802)",CTAB,CTAB,48348007,112188007,11134545-DS-21,"rubs or gallops. PMI palpable and visible. LUNGS: CTAB, no wheezes, rhonchi or rales without labored bre" "Correct entity, wrong SNOMED ID","(3827, 3832)","(3827, 3832)",rales,rales,48409008,31846006,11134545-DS-21," and visible. LUNGS: CTAB, no wheezes, rhonchi or rales without labored breathing ABDOMEN: +BS, nontender" "Correct entity, wrong SNOMED ID","(3841, 3858)","(3841, 3858)","labored breathing","labored breathing",248549001,237283007,11134545-DS-21,"LUNGS: CTAB, no wheezes, rhonchi or rales without labored breathing ABDOMEN: +BS, nontender, nondistended, without ri" "Correct entity, wrong SNOMED ID","(3859, 3866)","(3859, 3866)",ABDOMEN,ABDOMEN,225162003,41931001,11134545-DS-21,"eezes, rhonchi or rales without labored breathing ABDOMEN: +BS, nontender, nondistended, without rigidity o" Boundary error,"(3869, 3871)","(3868, 3871)",BS,+BS,61539000,260347006,11134545-DS-21,"nchi or rales without labored breathing ABDOMEN: +BS, nontender, nondistended, without rigidity or gua" "Correct entity, wrong SNOMED ID","(3873, 3882)","(3873, 3882)",nontender,nontender,43478001,413319007,11134545-DS-21," or rales without labored breathing ABDOMEN: +BS, nontender, nondistended, without rigidity or guarding. Colo" "Correct entity, wrong SNOMED ID","(3884, 3896)","(3884, 3896)",nondistended,nondistended,300405003,441380004,11134545-DS-21,"ithout labored breathing ABDOMEN: +BS, nontender, nondistended, without rigidity or guarding. Colostomy in LLQ w" "Correct entity, wrong SNOMED ID","(3906, 3914)","(3906, 3914)",rigidity,rigidity,72300008,405947006,11134545-DS-21,"ng ABDOMEN: +BS, nontender, nondistended, without rigidity or guarding. Colostomy in LLQ w/out erythema or d" "Correct entity, wrong SNOMED ID","(3928, 3937)","(3928, 3937)",Colostomy,Colostomy,398740003,180636004,11134545-DS-21,"nder, nondistended, without rigidity or guarding. Colostomy in LLQ w/out erythema or discharge, no output (c" "Correct entity, wrong SNOMED ID","(3941, 3944)","(3941, 3944)",LLQ,LLQ,68505006,257995009,11134545-DS-21,"ended, without rigidity or guarding. Colostomy in LLQ w/out erythema or discharge, no output (changed " "Correct entity, wrong SNOMED ID","(3951, 3959)","(3951, 3959)",erythema,erythema,247441003,403194002,11134545-DS-21,"hout rigidity or guarding. Colostomy in LLQ w/out erythema or discharge, no output (changed last night, had" "Correct entity, wrong SNOMED ID","(4025, 4036)","(4025, 4036)",EXTREMITIES,EXTREMITIES,302773001,248416007,11134545-DS-21,"o output (changed last night, had not eaten). EXTREMITIES: 3+ pitting edema in BLE up to knees, no tenderne" "Correct entity, wrong SNOMED ID","(4049, 4054)","(4049, 4054)",edema,edema,267038008,102576009,11134545-DS-21,"night, had not eaten). EXTREMITIES: 3+ pitting edema in BLE up to knees, no tenderness, clubbing or cy" "Correct entity, wrong SNOMED ID","(4058, 4061)","(4058, 4061)",BLE,BLE,816190002,403579006,11134545-DS-21,"d not eaten). EXTREMITIES: 3+ pitting edema in BLE up to knees, no tenderness, clubbing or cyanosis " "Correct entity, wrong SNOMED ID","(4068, 4073)","(4068, 4073)",knees,knees,72696002,36701003,11134545-DS-21,"n). EXTREMITIES: 3+ pitting edema in BLE up to knees, no tenderness, clubbing or cyanosis SKIN: stage " "Correct entity, wrong SNOMED ID","(4078, 4088)","(4078, 4088)",tenderness,tenderness,247348008,43478001,11134545-DS-21,"REMITIES: 3+ pitting edema in BLE up to knees, no tenderness, clubbing or cyanosis SKIN: stage 2 pressure ulce" "Correct entity, wrong SNOMED ID","(4090, 4098)","(4090, 4098)",clubbing,clubbing,367004,30760008,11134545-DS-21," pitting edema in BLE up to knees, no tenderness, clubbing or cyanosis SKIN: stage 2 pressure ulcer on coccy" "Correct entity, wrong SNOMED ID","(4102, 4110)","(4102, 4110)",cyanosis,cyanosis,3415004,84260001,11134545-DS-21,"ma in BLE up to knees, no tenderness, clubbing or cyanosis SKIN: stage 2 pressure ulcer on coccyx, ecchymosi" "Correct entity, wrong SNOMED ID","(4111, 4115)","(4111, 4115)",SKIN,SKIN,271303006,444884003,11134545-DS-21," up to knees, no tenderness, clubbing or cyanosis SKIN: stage 2 pressure ulcer on coccyx, ecchymosis on " Wrong span,"(4117, 4149)","(4125, 4139)",stage 2 pressure ulcer on coccyx,pressure ulcer,10669671000119101,866167005,11134545-DS-21," knees, no tenderness, clubbing or cyanosis SKIN: stage 2 pressure ulcer on coccyx, ecchymosis on posterior right thigh, peeling dry" "Correct entity, wrong SNOMED ID","(4151, 4161)","(4151, 4161)",ecchymosis,ecchymosis,302227002,1156411007,11134545-DS-21," cyanosis SKIN: stage 2 pressure ulcer on coccyx, ecchymosis on posterior right thigh, peeling dry skin on bil" Missed entity,"(4165, 4174)",,posterior,,4578000,,11134545-DS-21,": stage 2 pressure ulcer on coccyx, ecchymosis on posterior right thigh, peeling dry skin on bilateral legs " "Correct entity, wrong SNOMED ID","(4175, 4186)","(4175, 4186)",right thigh,right thigh,11207009,209570001,11134545-DS-21,"pressure ulcer on coccyx, ecchymosis on posterior right thigh, peeling dry skin on bilateral legs NEUROLOGIC" Missed entity,"(4188, 4195)",,peeling,,271767006,,11134545-DS-21,"r on coccyx, ecchymosis on posterior right thigh, peeling dry skin on bilateral legs NEUROLOGIC: A&Ox3, " Missed entity,"(4196, 4204)",,dry skin,,52475004,,11134545-DS-21,"cyx, ecchymosis on posterior right thigh, peeling dry skin on bilateral legs NEUROLOGIC: A&Ox3, blind in " Wrong span,"(4218, 4222)","(4208, 4222)",legs,bilateral legs,61685007,15974581000119103,11134545-DS-21,"terior right thigh, peeling dry skin on bilateral legs NEUROLOGIC: A&Ox3, blind in left eye, facial s" Wrong span,"(4226, 4231)","(4226, 4236)",NEURO,NEUROLOGIC,84728005,386427000,11134545-DS-21,"ight thigh, peeling dry skin on bilateral legs NEUROLOGIC: A&Ox3, blind in left eye, facial sensation " Wrong span,"(4233, 4235)","(4226, 4236)",GI,NEUROLOGIC,268937004,386427000,11134545-DS-21,"igh, peeling dry skin on bilateral legs NEUROLOGIC: A&Ox3, blind in left eye, facial sensation inta" "Correct entity, wrong SNOMED ID","(4240, 4243)","(4240, 4243)",Ox3,Ox3,426224004,396154006,11134545-DS-21,"eling dry skin on bilateral legs NEUROLOGIC: A&Ox3, blind in left eye, facial sensation intact and " Wrong span,"(4245, 4262)","(4245, 4250)",blind in left eye,blind,274571007,170727003,11134545-DS-21," dry skin on bilateral legs NEUROLOGIC: A&Ox3, blind in left eye, facial sensation intact and symmetric, R lower " Wrong span,"(4264, 4270)","(4264, 4287)",facial,facial sensation intact,89545001,422015002,11134545-DS-21,"ral legs NEUROLOGIC: A&Ox3, blind in left eye, facial sensation intact and symmetric, R lower facial w" Wrong span,"(4271, 4287)","(4264, 4287)",sensation intact,facial sensation intact,299956006,422015002,11134545-DS-21,"s NEUROLOGIC: A&Ox3, blind in left eye, facial sensation intact and symmetric, R lower facial weakness, hearing " "Correct entity, wrong SNOMED ID","(4293, 4302)","(4293, 4302)",symmetric,symmetric,248172007,289660009,11134545-DS-21,", blind in left eye, facial sensation intact and symmetric, R lower facial weakness, hearing intact to finge" Missed entity,"(4304, 4305)",,R,,424431000,,11134545-DS-21,"left eye, facial sensation intact and symmetric, R lower facial weakness, hearing intact to finger r" "Correct entity, wrong SNOMED ID","(4329, 4343)","(4329, 4343)",hearing intact,hearing intact,162339002,405180000,11134545-DS-21,"n intact and symmetric, R lower facial weakness, hearing intact to finger rub and symmetric, SCM/trapezius ___, t" "Correct entity, wrong SNOMED ID","(4373, 4376)","(4373, 4376)",SCM,SCM,22823000,258672001,11134545-DS-21,"ness, hearing intact to finger rub and symmetric, SCM/trapezius ___, tongue midline, ___ strength bilat" "Correct entity, wrong SNOMED ID","(4377, 4386)","(4377, 4386)",trapezius,trapezius,31764008,181740005,11134545-DS-21,", hearing intact to finger rub and symmetric, SCM/trapezius ___, tongue midline, ___ strength bilateral UE, _" Wrong span,"(4392, 4398)","(4392, 4406)",tongue,tongue midline,21974007,275397008,11134545-DS-21,"t to finger rub and symmetric, SCM/trapezius ___, tongue midline, ___ strength bilateral UE, ___ strength " "Correct entity, wrong SNOMED ID","(4431, 4433)","(4431, 4433)",UE,UE,53120007,257999003,11134545-DS-21,"ezius ___, tongue midline, ___ strength bilateral UE, ___ strength bilateral ___, sensation to light " "Correct entity, wrong SNOMED ID","(4463, 4495)","(4463, 4495)","sensation to light touch intact","sensation to light touch intact",299911004,422015002,11134545-DS-21,"trength bilateral UE, ___ strength bilateral ___, sensation to light touch intact and symmetric Discharge Physical Exam: =======" "Correct entity, wrong SNOMED ID","(4578, 4585)","(4578, 4585)",General,General,162673000,252398009,11134545-DS-21,"cal Exam: ======================================= General: NAD, conversant, lying comfortably 30 degrees in" "Correct entity, wrong SNOMED ID","(4587, 4590)","(4587, 4590)",NAD,NAD,281900007,131143000,11134545-DS-21," ======================================= General: NAD, conversant, lying comfortably 30 degrees in bed " "Correct entity, wrong SNOMED ID","(4604, 4609)","(4604, 4609)",lying,lying,17535004,32185000,11134545-DS-21,"======================= General: NAD, conversant, lying comfortably 30 degrees in bed HEENT: Normocepha" "Correct entity, wrong SNOMED ID","(4642, 4647)","(4642, 4647)",HEENT,HEENT,5880005,113665002,11134545-DS-21,"conversant, lying comfortably 30 degrees in bed HEENT: Normocephalic, atraumatic. Blind in L eye, Scler" "Correct entity, wrong SNOMED ID","(4649, 4662)","(4649, 4662)",Normocephalic,Normocephalic,840673007,90629004,11134545-DS-21,"ant, lying comfortably 30 degrees in bed HEENT: Normocephalic, atraumatic. Blind in L eye, Sclera anicteric. P" "Correct entity, wrong SNOMED ID","(4664, 4674)","(4664, 4674)",atraumatic,atraumatic,224964008,294228005,11134545-DS-21,"ortably 30 degrees in bed HEENT: Normocephalic, atraumatic. Blind in L eye, Sclera anicteric. Poor dentitio" Wrong span,"(4676, 4690)","(4676, 4681)",Blind in L eye,Blind,274571007,170727003,11134545-DS-21,"egrees in bed HEENT: Normocephalic, atraumatic. Blind in L eye, Sclera anicteric. Poor dentition, MMM, orophary" "Correct entity, wrong SNOMED ID","(4692, 4709)","(4692, 4709)","Sclera anicteric","Sclera anicteric",427801009,470731000124100,11134545-DS-21,"HEENT: Normocephalic, atraumatic. Blind in L eye, Sclera anicteric. Poor dentition, MMM, oropharynx clear with no e" "Correct entity, wrong SNOMED ID","(4711, 4725)","(4711, 4725)",Poor dentition,Poor dentition,129904008,109439008,11134545-DS-21,"c, atraumatic. Blind in L eye, Sclera anicteric. Poor dentition, MMM, oropharynx clear with no erythema or exuda" "Correct entity, wrong SNOMED ID","(4727, 4730)","(4727, 4730)",MMM,MMM,276398005,258673006,11134545-DS-21,"lind in L eye, Sclera anicteric. Poor dentition, MMM, oropharynx clear with no erythema or exudates. " "Correct entity, wrong SNOMED ID","(4732, 4748)","(4732, 4748)",oropharynx clear,oropharynx clear,300280008,426547004,11134545-DS-21,"in L eye, Sclera anicteric. Poor dentition, MMM, oropharynx clear with no erythema or exudates. CARDIAC: RRR, d" "Correct entity, wrong SNOMED ID","(4758, 4766)","(4758, 4766)",erythema,erythema,247441003,403194002,11134545-DS-21,"c. Poor dentition, MMM, oropharynx clear with no erythema or exudates. CARDIAC: RRR, distant heart sound" "Correct entity, wrong SNOMED ID","(4770, 4778)","(4770, 4778)",exudates,exudates,42142007,247131008,11134545-DS-21,"ition, MMM, oropharynx clear with no erythema or exudates. CARDIAC: RRR, distant heart sounds, nl S1/S2," "Correct entity, wrong SNOMED ID","(4783, 4790)","(4783, 4790)",CARDIAC,CARDIAC,363003006,71892000,11134545-DS-21,"ropharynx clear with no erythema or exudates. CARDIAC: RRR, distant heart sounds, nl S1/S2, no murmurs," "Correct entity, wrong SNOMED ID","(4792, 4795)","(4792, 4795)",RRR,RRR,76863003,129960002,11134545-DS-21," clear with no erythema or exudates. CARDIAC: RRR, distant heart sounds, nl S1/S2, no murmurs, rubs" "Correct entity, wrong SNOMED ID","(4797, 4817)","(4797, 4817)",distant heart sounds,distant heart sounds,271662005,89884001,11134545-DS-21,"r with no erythema or exudates. CARDIAC: RRR, distant heart sounds, nl S1/S2, no murmurs, rubs or gallops. PMI palp" Wrong span,"(4819, 4827)","(4819, 4824)",nl S1/S2,nl S1,301132007,27273002,11134545-DS-21," exudates. CARDIAC: RRR, distant heart sounds, nl S1/S2, no murmurs, rubs or gallops. PMI palpable and v" "Correct entity, wrong SNOMED ID","(4832, 4839)","(4832, 4839)",murmurs,murmurs,414786004,248699005,11134545-DS-21," CARDIAC: RRR, distant heart sounds, nl S1/S2, no murmurs, rubs or gallops. PMI palpable and visible. LUNG" "Correct entity, wrong SNOMED ID","(4850, 4857)","(4850, 4857)",gallops,gallops,2170000,4592006,11134545-DS-21,"tant heart sounds, nl S1/S2, no murmurs, rubs or gallops. PMI palpable and visible. LUNGS: mild B lower lo" "Correct entity, wrong SNOMED ID","(4863, 4871)","(4863, 4871)",palpable,palpable,118242002,163210008,11134545-DS-21,"unds, nl S1/S2, no murmurs, rubs or gallops. PMI palpable and visible. LUNGS: mild B lower lobe crackles, s" "Correct entity, wrong SNOMED ID","(4885, 4890)","(4885, 4890)",LUNGS,LUNGS,268925001,74101002,11134545-DS-21,"murs, rubs or gallops. PMI palpable and visible. LUNGS: mild B lower lobe crackles, stable ABDOMEN: +BS," Boundary error,"(4899, 4909)","(4897, 4909)",lower lobe,B lower lobe,90572001,372111007,11134545-DS-21," gallops. PMI palpable and visible. LUNGS: mild B lower lobe crackles, stable ABDOMEN: +BS, soft, NTND. Colost" "Correct entity, wrong SNOMED ID","(4927, 4934)","(4927, 4934)",ABDOMEN,ABDOMEN,225162003,75093004,11134545-DS-21,"isible. LUNGS: mild B lower lobe crackles, stable ABDOMEN: +BS, soft, NTND. Colostomy in LLQ w/o erythema o" Boundary error,"(4937, 4939)","(4936, 4939)",BS,+BS,61539000,260347006,11134545-DS-21,"NGS: mild B lower lobe crackles, stable ABDOMEN: +BS, soft, NTND. Colostomy in LLQ w/o erythema or di" Boundary error,"(4947, 4951)","(4947, 4949)",NTND,NT,43478001,257992007,11134545-DS-21,"B lower lobe crackles, stable ABDOMEN: +BS, soft, NTND. Colostomy in LLQ w/o erythema or discharge EXTR" "Correct entity, wrong SNOMED ID","(4953, 4962)","(4953, 4962)",Colostomy,Colostomy,398740003,180636004,11134545-DS-21,"r lobe crackles, stable ABDOMEN: +BS, soft, NTND. Colostomy in LLQ w/o erythema or discharge EXTREMITIES: 2+" "Correct entity, wrong SNOMED ID","(4966, 4969)","(4966, 4969)",LLQ,LLQ,68505006,257995009,11134545-DS-21,"es, stable ABDOMEN: +BS, soft, NTND. Colostomy in LLQ w/o erythema or discharge EXTREMITIES: 2+ pittin" "Correct entity, wrong SNOMED ID","(4974, 4982)","(4974, 4982)",erythema,erythema,247441003,403194002,11134545-DS-21,"le ABDOMEN: +BS, soft, NTND. Colostomy in LLQ w/o erythema or discharge EXTREMITIES: 2+ pitting edema in BL" "Correct entity, wrong SNOMED ID","(4997, 5008)","(4997, 5008)",EXTREMITIES,EXTREMITIES,302773001,248416007,11134545-DS-21,"NTND. Colostomy in LLQ w/o erythema or discharge EXTREMITIES: 2+ pitting edema in BLE up to knees, no tenderne" Wrong span,"(5010, 5026)","(5010, 5011)",2+ pitting edema,2,421605005,81170007,11134545-DS-21,"my in LLQ w/o erythema or discharge EXTREMITIES: 2+ pitting edema in BLE up to knees, no tenderness, clubbing or cy" "Correct entity, wrong SNOMED ID","(5030, 5033)","(5030, 5033)",BLE,BLE,816190002,17569003,11134545-DS-21,"ma or discharge EXTREMITIES: 2+ pitting edema in BLE up to knees, no tenderness, clubbing or cyanosis," "Correct entity, wrong SNOMED ID","(5040, 5045)","(5040, 5045)",knees,knees,82169009,36701003,11134545-DS-21,"charge EXTREMITIES: 2+ pitting edema in BLE up to knees, no tenderness, clubbing or cyanosis, chronic lym" "Correct entity, wrong SNOMED ID","(5050, 5060)","(5050, 5060)",tenderness,tenderness,247348008,43478001,11134545-DS-21,"REMITIES: 2+ pitting edema in BLE up to knees, no tenderness, clubbing or cyanosis, chronic lymphedematous cha" "Correct entity, wrong SNOMED ID","(5062, 5070)","(5062, 5070)",clubbing,clubbing,367004,30760008,11134545-DS-21," pitting edema in BLE up to knees, no tenderness, clubbing or cyanosis, chronic lymphedematous changes SKIN:" "Correct entity, wrong SNOMED ID","(5074, 5082)","(5074, 5082)",cyanosis,cyanosis,3415004,84260001,11134545-DS-21,"ma in BLE up to knees, no tenderness, clubbing or cyanosis, chronic lymphedematous changes SKIN: stage 2 pre" Wrong span,"(5084, 5114)","(5092, 5114)",chronic lymphedematous changes,lymphedematous changes,28590005,238807000,11134545-DS-21,"up to knees, no tenderness, clubbing or cyanosis, chronic lymphedematous changes SKIN: stage 2 pressure ulcer on coccyx, ecchymosi" "Correct entity, wrong SNOMED ID","(5115, 5119)","(5115, 5119)",SKIN,SKIN,271303006,7748002,11134545-DS-21,"bbing or cyanosis, chronic lymphedematous changes SKIN: stage 2 pressure ulcer on coccyx, ecchymosis on " Wrong span,"(5121, 5153)","(5129, 5143)",stage 2 pressure ulcer on coccyx,pressure ulcer,10669671000119101,866167005,11134545-DS-21,"or cyanosis, chronic lymphedematous changes SKIN: stage 2 pressure ulcer on coccyx, ecchymosis on posterior right thigh, peeling dry" "Correct entity, wrong SNOMED ID","(5155, 5165)","(5155, 5165)",ecchymosis,ecchymosis,302227002,1156411007,11134545-DS-21,"s changes SKIN: stage 2 pressure ulcer on coccyx, ecchymosis on posterior right thigh, peeling dry skin on bil" Missed entity,"(5169, 5178)",,posterior,,4578000,,11134545-DS-21,": stage 2 pressure ulcer on coccyx, ecchymosis on posterior right thigh, peeling dry skin on bilateral legs " "Correct entity, wrong SNOMED ID","(5179, 5190)","(5179, 5190)",right thigh,right thigh,11207009,209570001,11134545-DS-21,"pressure ulcer on coccyx, ecchymosis on posterior right thigh, peeling dry skin on bilateral legs Pertinen" Missed entity,"(5192, 5199)",,peeling,,271767006,,11134545-DS-21,"r on coccyx, ecchymosis on posterior right thigh, peeling dry skin on bilateral legs Pertinent Results" Missed entity,"(5200, 5208)",,dry skin,,52475004,,11134545-DS-21,"cyx, ecchymosis on posterior right thigh, peeling dry skin on bilateral legs Pertinent Results: Admissi" Missed entity,"(5222, 5226)",,legs,,61685007,,11134545-DS-21,"terior right thigh, peeling dry skin on bilateral legs Pertinent Results: Admission Labs: =========" "Correct entity, wrong SNOMED ID","(5310, 5313)","(5310, 5313)",WBC,WBC,767002,391558003,11134545-DS-21," Labs: ======================= ___ 04:55AM BLOOD WBC-12.3* RBC-3.53* Hgb-10.3* Hct-31.7* MCV-90 MCH-2" "Correct entity, wrong SNOMED ID","(5320, 5323)","(5320, 5323)",RBC,RBC,14089001,258759006,11134545-DS-21,"==================== ___ 04:55AM BLOOD WBC-12.3* RBC-3.53* Hgb-10.3* Hct-31.7* MCV-90 MCH-29.2 MCHC-3" "Correct entity, wrong SNOMED ID","(5330, 5333)","(5330, 5333)",Hgb,Hgb,441689006,104142005,11134545-DS-21,"========== ___ 04:55AM BLOOD WBC-12.3* RBC-3.53* Hgb-10.3* Hct-31.7* MCV-90 MCH-29.2 MCHC-32.5 RDW-16" "Correct entity, wrong SNOMED ID","(5340, 5343)","(5340, 5343)",Hct,Hct,28317006,282660005,11134545-DS-21," ___ 04:55AM BLOOD WBC-12.3* RBC-3.53* Hgb-10.3* Hct-31.7* MCV-90 MCH-29.2 MCHC-32.5 RDW-16.3* RDWSD-" "Correct entity, wrong SNOMED ID","(5358, 5361)","(5358, 5361)",MCH,MCH,54706004,735147002,11134545-DS-21,"D WBC-12.3* RBC-3.53* Hgb-10.3* Hct-31.7* MCV-90 MCH-29.2 MCHC-32.5 RDW-16.3* RDWSD-54.4* Plt ___ ___ " "Correct entity, wrong SNOMED ID","(5367, 5371)","(5367, 5371)",MCHC,MCHC,37254006,735147002,11134545-DS-21,"3* RBC-3.53* Hgb-10.3* Hct-31.7* MCV-90 MCH-29.2 MCHC-32.5 RDW-16.3* RDWSD-54.4* Plt ___ ___ 04:55AM BL" "Correct entity, wrong SNOMED ID","(5377, 5380)","(5377, 5380)",RDW,RDW,66842004,735149004,11134545-DS-21,"3* Hgb-10.3* Hct-31.7* MCV-90 MCH-29.2 MCHC-32.5 RDW-16.3* RDWSD-54.4* Plt ___ ___ 04:55AM BLOOD Plt _" "Correct entity, wrong SNOMED ID","(5387, 5392)","(5387, 5392)",RDWSD,RDWSD,66842004,80328002,11134545-DS-21,"3* Hct-31.7* MCV-90 MCH-29.2 MCHC-32.5 RDW-16.3* RDWSD-54.4* Plt ___ ___ 04:55AM BLOOD Plt ___ ___ 10:25" "Correct entity, wrong SNOMED ID","(5455, 5458)","(5455, 5458)",PTT,PTT,42525009,282119004,11134545-DS-21,"_ ___ 04:55AM BLOOD Plt ___ ___ 10:25AM BLOOD ___ PTT-24.7* ___ ___ 04:55AM BLOOD Glucose-109* UreaN-49" "Correct entity, wrong SNOMED ID","(5487, 5494)","(5487, 5494)",Glucose,Glucose,33747003,72191006,11134545-DS-21,"10:25AM BLOOD ___ PTT-24.7* ___ ___ 04:55AM BLOOD Glucose-109* UreaN-49* Creat-2.1* Na-137 K-5.2* Cl-96 HC" "Correct entity, wrong SNOMED ID","(5500, 5505)","(5500, 5505)",UreaN,UreaN,105011006,111108008,11134545-DS-21," ___ PTT-24.7* ___ ___ 04:55AM BLOOD Glucose-109* UreaN-49* Creat-2.1* Na-137 K-5.2* Cl-96 HCO3-25 AnGap" "Correct entity, wrong SNOMED ID","(5510, 5515)","(5510, 5515)",Creat,Creat,70901006,365756002,11134545-DS-21,"4.7* ___ ___ 04:55AM BLOOD Glucose-109* UreaN-49* Creat-2.1* Na-137 K-5.2* Cl-96 HCO3-25 AnGap-16 ___ 04" "Correct entity, wrong SNOMED ID","(5521, 5523)","(5521, 5523)",Na,Na,312469006,257992007,11134545-DS-21,"_ 04:55AM BLOOD Glucose-109* UreaN-49* Creat-2.1* Na-137 K-5.2* Cl-96 HCO3-25 AnGap-16 ___ 04:55AM BL" "Correct entity, wrong SNOMED ID","(5536, 5538)","(5536, 5538)",Cl,Cl,104589004,311741002,11134545-DS-21," Glucose-109* UreaN-49* Creat-2.1* Na-137 K-5.2* Cl-96 HCO3-25 AnGap-16 ___ 04:55AM BLOOD CK(CPK)-73 " "Correct entity, wrong SNOMED ID","(5542, 5546)","(5542, 5546)",HCO3,HCO3,312471006,88645003,11134545-DS-21,"se-109* UreaN-49* Creat-2.1* Na-137 K-5.2* Cl-96 HCO3-25 AnGap-16 ___ 04:55AM BLOOD CK(CPK)-73 ___ 04:5" "Correct entity, wrong SNOMED ID","(5550, 5555)","(5550, 5555)",AnGap,AnGap,25469001,124504004,11134545-DS-21,"UreaN-49* Creat-2.1* Na-137 K-5.2* Cl-96 HCO3-25 AnGap-16 ___ 04:55AM BLOOD CK(CPK)-73 ___ 04:55AM BLOOD" "Correct entity, wrong SNOMED ID","(5633, 5640)","(5633, 5640)",cTropnT,cTropnT,105001004,442255004,11134545-DS-21,")-73 ___ 04:55AM BLOOD CK-MB-<1 ___ 04:55AM BLOOD cTropnT-0.03* ___ 08:10AM BLOOD cTropnT-0.02* ___ 09:25PM" "Correct entity, wrong SNOMED ID","(5665, 5672)","(5665, 5672)",cTropnT,cTropnT,105001004,442255004,11134545-DS-21,"___ 04:55AM BLOOD cTropnT-0.03* ___ 08:10AM BLOOD cTropnT-0.02* ___ 09:25PM BLOOD proBNP-4413* ___ 10:25AM " "Correct entity, wrong SNOMED ID","(5697, 5703)","(5697, 5703)",proBNP,proBNP,414799001,407060002,11134545-DS-21,"___ 08:10AM BLOOD cTropnT-0.02* ___ 09:25PM BLOOD proBNP-4413* ___ 10:25AM BLOOD Calcium-9.0 Phos-3.5 Mg-2" "Correct entity, wrong SNOMED ID","(5728, 5735)","(5728, 5735)",Calcium,Calcium,312472004,108601004,11134545-DS-21," ___ 09:25PM BLOOD proBNP-4413* ___ 10:25AM BLOOD Calcium-9.0 Phos-3.5 Mg-2.2 Discharge and Notable Labs: " "Correct entity, wrong SNOMED ID","(5740, 5744)","(5740, 5744)",Phos,Phos,104868000,168075002,11134545-DS-21," BLOOD proBNP-4413* ___ 10:25AM BLOOD Calcium-9.0 Phos-3.5 Mg-2.2 Discharge and Notable Labs: =========" "Correct entity, wrong SNOMED ID","(5749, 5751)","(5749, 5751)",Mg,Mg,271285000,258684004,11134545-DS-21,"oBNP-4413* ___ 10:25AM BLOOD Calcium-9.0 Phos-3.5 Mg-2.2 Discharge and Notable Labs: ================" "Correct entity, wrong SNOMED ID","(5835, 5838)","(5835, 5838)",WBC,WBC,767002,391558003,11134545-DS-21,"============================== ___ 04:40AM BLOOD WBC-5.9 RBC-3.27* Hgb-9.6* Hct-29.9* MCV-91 MCH-29.4" "Correct entity, wrong SNOMED ID","(5843, 5846)","(5843, 5846)",RBC,RBC,14089001,258759006,11134545-DS-21,"====================== ___ 04:40AM BLOOD WBC-5.9 RBC-3.27* Hgb-9.6* Hct-29.9* MCV-91 MCH-29.4 MCHC-32" "Correct entity, wrong SNOMED ID","(5853, 5856)","(5853, 5856)",Hgb,Hgb,441689006,104142005,11134545-DS-21,"============ ___ 04:40AM BLOOD WBC-5.9 RBC-3.27* Hgb-9.6* Hct-29.9* MCV-91 MCH-29.4 MCHC-32.1 RDW-16." "Correct entity, wrong SNOMED ID","(5862, 5865)","(5862, 5865)",Hct,Hct,28317006,282660005,11134545-DS-21,"=== ___ 04:40AM BLOOD WBC-5.9 RBC-3.27* Hgb-9.6* Hct-29.9* MCV-91 MCH-29.4 MCHC-32.1 RDW-16.1* RDWSD-" "Correct entity, wrong SNOMED ID","(5880, 5883)","(5880, 5883)",MCH,MCH,54706004,735147002,11134545-DS-21,"LOOD WBC-5.9 RBC-3.27* Hgb-9.6* Hct-29.9* MCV-91 MCH-29.4 MCHC-32.1 RDW-16.1* RDWSD-54.3* Plt ___ ___ " "Correct entity, wrong SNOMED ID","(5889, 5893)","(5889, 5893)",MCHC,MCHC,37254006,735147002,11134545-DS-21,"5.9 RBC-3.27* Hgb-9.6* Hct-29.9* MCV-91 MCH-29.4 MCHC-32.1 RDW-16.1* RDWSD-54.3* Plt ___ ___ 04:40AM BL" "Correct entity, wrong SNOMED ID","(5899, 5902)","(5899, 5902)",RDW,RDW,66842004,735149004,11134545-DS-21,"27* Hgb-9.6* Hct-29.9* MCV-91 MCH-29.4 MCHC-32.1 RDW-16.1* RDWSD-54.3* Plt ___ ___ 04:40AM BLOOD Plt _" "Correct entity, wrong SNOMED ID","(5909, 5914)","(5909, 5914)",RDWSD,RDWSD,66842004,80328002,11134545-DS-21,"6* Hct-29.9* MCV-91 MCH-29.4 MCHC-32.1 RDW-16.1* RDWSD-54.3* Plt ___ ___ 04:40AM BLOOD Plt ___ ___ 04:20" Wrong span,"(6011, 6024)","(6017, 6024)",BLOOD Glucose,Glucose,33747003,72191006,11134545-DS-21,":20AM BLOOD Ret Aut-3.0* Abs Ret-0.09 ___ 04:40AM BLOOD Glucose-90 UreaN-20 Creat-0.7 Na-139 K-4.0 Cl-97 HCO3-30" "Correct entity, wrong SNOMED ID","(6028, 6033)","(6028, 6033)",UreaN,UreaN,105011006,111108008,11134545-DS-21,"ut-3.0* Abs Ret-0.09 ___ 04:40AM BLOOD Glucose-90 UreaN-20 Creat-0.7 Na-139 K-4.0 Cl-97 HCO3-30 AnGap-12" "Correct entity, wrong SNOMED ID","(6037, 6042)","(6037, 6042)",Creat,Creat,70901006,365756002,11134545-DS-21,"bs Ret-0.09 ___ 04:40AM BLOOD Glucose-90 UreaN-20 Creat-0.7 Na-139 K-4.0 Cl-97 HCO3-30 AnGap-12 ___ 04:4" "Correct entity, wrong SNOMED ID","(6047, 6049)","(6047, 6049)",Na,Na,312469006,257992007,11134545-DS-21,"9 ___ 04:40AM BLOOD Glucose-90 UreaN-20 Creat-0.7 Na-139 K-4.0 Cl-97 HCO3-30 AnGap-12 ___ 04:40AM BLO" "Correct entity, wrong SNOMED ID","(6061, 6063)","(6061, 6063)",Cl,Cl,104589004,311741002,11134545-DS-21,"BLOOD Glucose-90 UreaN-20 Creat-0.7 Na-139 K-4.0 Cl-97 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Calcium-8.5" "Correct entity, wrong SNOMED ID","(6067, 6071)","(6067, 6071)",HCO3,HCO3,312471006,88645003,11134545-DS-21,"Glucose-90 UreaN-20 Creat-0.7 Na-139 K-4.0 Cl-97 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Calcium-8.5 Phos-2." "Correct entity, wrong SNOMED ID","(6075, 6080)","(6075, 6080)",AnGap,AnGap,25469001,124504004,11134545-DS-21,"90 UreaN-20 Creat-0.7 Na-139 K-4.0 Cl-97 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Calcium-8.5 Phos-2.0* Mg-1.8" "Correct entity, wrong SNOMED ID","(6102, 6109)","(6102, 6109)",Calcium,Calcium,312472004,108601004,11134545-DS-21,"9 K-4.0 Cl-97 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Calcium-8.5 Phos-2.0* Mg-1.8 Microbiology: =============" "Correct entity, wrong SNOMED ID","(6114, 6118)","(6114, 6118)",Phos,Phos,104868000,168075002,11134545-DS-21,"97 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Calcium-8.5 Phos-2.0* Mg-1.8 Microbiology: ======================" "Correct entity, wrong SNOMED ID","(6124, 6126)","(6124, 6126)",Mg,Mg,271285000,258684004,11134545-DS-21," AnGap-12 ___ 04:40AM BLOOD Calcium-8.5 Phos-2.0* Mg-1.8 Microbiology: ======================= URINE " Wrong span,"(6209, 6303)","(6264, 6268)","BACTERIAL FLORA ( >= 3 COLONY TYPES), CONSISTENT WITH SKIN AND/OR GENITAL CONTAMINATION",SKIN,66790001,7748002,11134545-DS-21,"========== URINE CULTURE (Final ___: MIXED BACTERIAL FLORA ( >= 3 COLONY TYPES), CONSISTENT WITH SKIN AND/OR GENITAL CONTAMINATION. Imaging: ================== CHEST (PORTABLE AP" "Correct entity, wrong SNOMED ID","(6335, 6353)","(6335, 6353)",CHEST (PORTABLE AP,CHEST (PORTABLE AP,394421000119103,169037009,11134545-DS-21,"ITAL CONTAMINATION. Imaging: ================== CHEST (PORTABLE AP) Study Date of ___ 5:11 AM FINDINGS: Unchan" Missed entity,"(6355, 6360)",,Study,,386053000,,11134545-DS-21," Imaging: ================== CHEST (PORTABLE AP) Study Date of ___ 5:11 AM FINDINGS: Unchanged car" "Correct entity, wrong SNOMED ID","(6407, 6419)","(6407, 6419)",cardiomegaly,cardiomegaly,8186001,275516004,11134545-DS-21,"udy Date of ___ 5:11 AM FINDINGS: Unchanged cardiomegaly and pacemaker with electrodes in expected positi" "Correct entity, wrong SNOMED ID","(6424, 6433)","(6424, 6433)",pacemaker,pacemaker,441509002,14106009,11134545-DS-21,":11 AM FINDINGS: Unchanged cardiomegaly and pacemaker with electrodes in expected position. There is" "Correct entity, wrong SNOMED ID","(6484, 6489)","(6484, 6489)",aorta,aorta,15825003,57034009,11134545-DS-21,"with electrodes in expected position. There is aorta is tortuous and calcified, as before. The media" "Correct entity, wrong SNOMED ID","(6506, 6515)","(6506, 6515)",calcified,calcified,18115005,249174002,11134545-DS-21,"ected position. There is aorta is tortuous and calcified, as before. The mediastinal and hilar contours" "Correct entity, wrong SNOMED ID","(6534, 6545)","(6534, 6545)",mediastinal,mediastinal,72410000,363646005,11134545-DS-21,"aorta is tortuous and calcified, as before. The mediastinal and hilar contours are normal. The pulmonary vas" "Correct entity, wrong SNOMED ID","(6551, 6556)","(6551, 6556)",hilar,hilar,46750007,264508001,11134545-DS-21," and calcified, as before. The mediastinal and hilar contours are normal. The pulmonary vasculature is" "Correct entity, wrong SNOMED ID","(6570, 6576)","(6570, 6576)",normal,normal,281900007,840673007,11134545-DS-21,"before. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are " Wrong span,"(6582, 6603)","(6582, 6613)",pulmonary vasculature,pulmonary vasculature is normal,281158006,301100007,11134545-DS-21," mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusio" Wrong span,"(6607, 6613)","(6582, 6613)",normal,pulmonary vasculature is normal,281900007,301100007,11134545-DS-21,"contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneum" "Correct entity, wrong SNOMED ID","(6616, 6632)","(6616, 6632)","Lungs are clear","Lungs are clear",827032003,48348007,11134545-DS-21,"are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Th" "Correct entity, wrong SNOMED ID","(6638, 6654)","(6638, 6654)",pleural effusion,pleural effusion,60046008,1366511008,11134545-DS-21,"ary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute oss" "Correct entity, wrong SNOMED ID","(6658, 6670)","(6658, 6670)",pneumothorax,pneumothorax,36118008,109364007,11134545-DS-21,"ormal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormaliti" Missed entity,"(6691, 6699)",,no acute,,281900007,,11134545-DS-21,"ural effusion or pneumothorax is seen. There are no acute osseous abnormalities. IMPRESSION: No a" Wrong span,"(6701, 6708)","(6701, 6722)",osseous,osseous abnormalities,272673000,271774001,11134545-DS-21,"ion or pneumothorax is seen. There are no acute osseous abnormalities. IMPRESSION: No acute card" Wrong span,"(6709, 6722)","(6701, 6722)",abnormalities,osseous abnormalities,281900007,271774001,11134545-DS-21,"neumothorax is seen. There are no acute osseous abnormalities. IMPRESSION: No acute cardiopulmonary ab" Missed entity,"(6745, 6753)",,No acute,,281900007,,11134545-DS-21,"cute osseous abnormalities. IMPRESSION: No acute cardiopulmonary abnormality. Brief Hospital C" Missed entity,"(6770, 6781)",,abnormality,,281900007,,11134545-DS-21,"es. IMPRESSION: No acute cardiopulmonary abnormality. Brief Hospital Course: ___ M w/ HFrEF (30%)," "Correct entity, wrong SNOMED ID","(6819, 6824)","(6819, 6824)",HFrEF,HFrEF,703272007,609387006,11134545-DS-21," abnormality. Brief Hospital Course: ___ M w/ HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA _" "Correct entity, wrong SNOMED ID","(6832, 6835)","(6832, 6835)",CAD,CAD,53741008,84270004,11134545-DS-21," Brief Hospital Course: ___ M w/ HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemak" "Correct entity, wrong SNOMED ID","(6837, 6840)","(6837, 6840)",HTN,HTN,38341003,10725009,11134545-DS-21,"Brief Hospital Course: ___ M w/ HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemaker pr" "Correct entity, wrong SNOMED ID","(6842, 6866)","(6842, 6866)",Type B Aortic dissection,Type B Aortic dissection,233997009,1344842003,11134545-DS-21," Hospital Course: ___ M w/ HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemaker presented from home with 2 d" "Correct entity, wrong SNOMED ID","(6868, 6871)","(6868, 6871)",CVA,CVA,230690007,1131000119105,11134545-DS-21," HFrEF (30%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemaker presented from home with 2 days o" "Correct entity, wrong SNOMED ID","(6878, 6887)","(6878, 6887)",pacemaker,pacemaker,441509002,14106009,11134545-DS-21,"%), CAD, HTN, Type B Aortic dissection, CVA ___, pacemaker presented from home with 2 days of intermittent " "Correct entity, wrong SNOMED ID","(6937, 6947)","(6937, 6947)",chest pain,chest pain,29857009,444821009,11134545-DS-21," presented from home with 2 days of intermittent chest pain. He was found to have ___ which resolved with IVF" "Correct entity, wrong SNOMED ID","(6994, 6997)","(6994, 6997)",IVF,IVF,103744005,52637005,11134545-DS-21,"ain. He was found to have ___ which resolved with IVF. His chest pain was felt to be angina in nature " "Correct entity, wrong SNOMED ID","(7004, 7014)","(7004, 7014)",chest pain,chest pain,29857009,102589003,11134545-DS-21,"s found to have ___ which resolved with IVF. His chest pain was felt to be angina in nature and improved wit" "Correct entity, wrong SNOMED ID","(7052, 7060)","(7052, 7060)",improved,improved,268910001,251359002,11134545-DS-21,"s chest pain was felt to be angina in nature and improved with SLN. He is not interested in cardiac cathet" Missed entity,"(7081, 7091)",,interested,,225469004,,11134545-DS-21,"ngina in nature and improved with SLN. He is not interested in cardiac catheterization, so stress test was n" "Correct entity, wrong SNOMED ID","(7095, 7119)","(7095, 7119)","cardiac catheterization","cardiac catheterization",41976001,59261000119100,11134545-DS-21,"e and improved with SLN. He is not interested in cardiac catheterization, so stress test was not pursued. #Chest pain: Pa" "Correct entity, wrong SNOMED ID","(7124, 7135)","(7124, 7135)",stress test,stress test,46136006,76746007,11134545-DS-21,"is not interested in cardiac catheterization, so stress test was not pursued. #Chest pain: Patient presented " "Correct entity, wrong SNOMED ID","(7155, 7165)","(7155, 7165)",Chest pain,Chest pain,29857009,444821009,11134545-DS-21,"atheterization, so stress test was not pursued. #Chest pain: Patient presented with chest pain felt to likely" "Correct entity, wrong SNOMED ID","(7190, 7200)","(7190, 7200)",chest pain,chest pain,29857009,444821009,11134545-DS-21,"not pursued. #Chest pain: Patient presented with chest pain felt to likely be angina in nature. Troponins to" "Correct entity, wrong SNOMED ID","(7238, 7247)","(7238, 7247)",Troponins,Troponins,105000003,102684000,11134545-DS-21,"h chest pain felt to likely be angina in nature. Troponins to 0.03, downtrending and negative CK-MB felt to" "Correct entity, wrong SNOMED ID","(7347, 7353)","(7347, 7353)",NSTEMI,NSTEMI,401314000,1204155000,11134545-DS-21," be likely from poor renal clearance rather than NSTEMI. ECG difficult to interpret in the setting of pac" "Correct entity, wrong SNOMED ID","(7355, 7358)","(7355, 7358)",ECG,ECG,29303009,75444003,11134545-DS-21,"ly from poor renal clearance rather than NSTEMI. ECG difficult to interpret in the setting of pacemake" "Correct entity, wrong SNOMED ID","(7400, 7409)","(7400, 7409)",pacemaker,pacemaker,426083000,14106009,11134545-DS-21,"EMI. ECG difficult to interpret in the setting of pacemaker. Pain improved with nitroglycerin. Patient felt " Wrong span,"(7412, 7425)","(7412, 7416)",Pain improved,Pain,816133002,102570003,11134545-DS-21,"ficult to interpret in the setting of pacemaker. Pain improved with nitroglycerin. Patient felt to have progres" Missed entity,"(7495, 7506)",,Discussions,,223482009,,11134545-DS-21," Patient felt to have progressive stable angina. Discussions with the patient and HCP indicated that patient " Missed entity,"(7569, 7579)",,interested,,225469004,,11134545-DS-21,"ient and HCP indicated that patient would not be interested in cardiac catheterization, so stress test was n" "Correct entity, wrong SNOMED ID","(7583, 7607)","(7583, 7607)","cardiac catheterization","cardiac catheterization",41976001,59261000119100,11134545-DS-21,"indicated that patient would not be interested in cardiac catheterization, so stress test was not performed. Patient was m" "Correct entity, wrong SNOMED ID","(7612, 7623)","(7612, 7623)",stress test,stress test,46136006,76746007,11134545-DS-21,"not be interested in cardiac catheterization, so stress test was not performed. Patient was medically optimiz" Wrong span,"(7761, 7776)","(7761, 7762)","statin therapy",s,315053001,420952007,11134545-DS-21,"torvastatin increased to 40 mg for high intensity statin therapy. Aspirin was continued. ___: Patient presented w" "Correct entity, wrong SNOMED ID","(7778, 7785)","(7778, 7785)",Aspirin,Aspirin,431463004,7947003,11134545-DS-21,"ased to 40 mg for high intensity statin therapy. Aspirin was continued. ___: Patient presented with Cr 2." "Correct entity, wrong SNOMED ID","(7885, 7899)","(7885, 7899)",poor po intake,poor po intake,440321000124101,23800005,11134545-DS-21,"1. This was felt to be pre-renal in etiology ___ poor po intake at home. This resolved with IVF administration. " Wrong span,"(7929, 7932)","(7929, 7947)",IVF,IVF administration,103744005,52637005,11134545-DS-21,"y ___ poor po intake at home. This resolved with IVF administration. Lisinopril held initially in the " Missed entity,"(7949, 7959)",,Lisinopril,,410682003,,11134545-DS-21," at home. This resolved with IVF administration. Lisinopril held initially in the setting ___ and restarted " Missed entity,"(7999, 8008)",,restarted,,182837001,,11134545-DS-21,"Lisinopril held initially in the setting ___ and restarted when Cr decreased. #Hypotension: Patient haad h" "Correct entity, wrong SNOMED ID","(8131, 8142)","(8131, 8142)",hypovolemia,hypovolemia,816082000,816156006,11134545-DS-21," receiving sublingual nitro x1 as well as likely hypovolemia. This improved over 24 hours. Sublingual nitro s" "Correct entity, wrong SNOMED ID","(8150, 8158)","(8150, 8158)",improved,improved,268910001,251359002,11134545-DS-21,"ual nitro x1 as well as likely hypovolemia. This improved over 24 hours. Sublingual nitro should be used w" "Correct entity, wrong SNOMED ID","(8230, 8243)","(8230, 8243)",BP monitoring,BP monitoring,135840009,17146006,11134545-DS-21,"gual nitro should be used with caution and close BP monitoring in the future. #Leukocytosis: Patient had a leuk" "Correct entity, wrong SNOMED ID","(8261, 8273)","(8261, 8273)",Leukocytosis,Leukocytosis,111583006,65209002,11134545-DS-21," caution and close BP monitoring in the future. #Leukocytosis: Patient had a leukocytosis of 12.3 on admission " "Correct entity, wrong SNOMED ID","(8289, 8301)","(8289, 8301)",leukocytosis,leukocytosis,111583006,65209002,11134545-DS-21,"ring in the future. #Leukocytosis: Patient had a leukocytosis of 12.3 on admission of unclear etiology. Patien" "Correct entity, wrong SNOMED ID","(8357, 8365)","(8357, 8365)",afebrile,afebrile,386661006,307200007,11134545-DS-21,".3 on admission of unclear etiology. Patient was afebrile and asymptomatic, with no dyspnea, cough, dysuri" "Correct entity, wrong SNOMED ID","(8370, 8382)","(8370, 8382)",asymptomatic,asymptomatic,84387000,280428001,11134545-DS-21,"on of unclear etiology. Patient was afebrile and asymptomatic, with no dyspnea, cough, dysuria. CXR was clear " "Correct entity, wrong SNOMED ID","(8393, 8400)","(8393, 8400)",dyspnea,dyspnea,267036007,60845006,11134545-DS-21,". Patient was afebrile and asymptomatic, with no dyspnea, cough, dysuria. CXR was clear and his ostomy sit" "Correct entity, wrong SNOMED ID","(8402, 8407)","(8402, 8407)",cough,cough,49727002,28743005,11134545-DS-21," was afebrile and asymptomatic, with no dyspnea, cough, dysuria. CXR was clear and his ostomy site was " "Correct entity, wrong SNOMED ID","(8409, 8416)","(8409, 8416)",dysuria,dysuria,49650001,16844001,11134545-DS-21,"ebrile and asymptomatic, with no dyspnea, cough, dysuria. CXR was clear and his ostomy site was clean. Th" "Correct entity, wrong SNOMED ID","(8468, 8480)","(8468, 8480)",leukocytosis,leukocytosis,111583006,65209002,11134545-DS-21,"CXR was clear and his ostomy site was clean. The leukocytosis resolved without specific intervention. #Anemia" "Correct entity, wrong SNOMED ID","(8524, 8530)","(8524, 8530)",Anemia,Anemia,271737000,87522002,11134545-DS-21,"ytosis resolved without specific intervention. #Anemia: Noted to have drop in H/H on this admission from" Wrong span,"(8602, 8609)","(8597, 8609)",studies,Iron studies,386053000,250216004,11134545-DS-21,"n H/H on this admission from 2 weeks prior. Iron studies without iron deficiency. Had mild folate deficie" "Correct entity, wrong SNOMED ID","(8618, 8633)","(8618, 8633)",iron deficiency,iron deficiency,35240004,427762006,11134545-DS-21,"mission from 2 weeks prior. Iron studies without iron deficiency. Had mild folate deficiency and was started on f" Missed entity,"(8645, 8662)",,folate deficiency,,190633005,,11134545-DS-21,". Iron studies without iron deficiency. Had mild folate deficiency and was started on folate supplements. #Failure" "Correct entity, wrong SNOMED ID","(8705, 8722)","(8705, 8722)",Failure to thrive,Failure to thrive,54840006,428484005,11134545-DS-21,"iciency and was started on folate supplements. #Failure to thrive: Patient has been readmitted to the hospital man" "Correct entity, wrong SNOMED ID","(8822, 8840)","(8822, 8840)","failure to thrive","failure to thrive",54840006,134251000119105,11134545-DS-21,"y times in the last months with clear evidence of failure to thrive at home, intermittently refusing care and not all" "Correct entity, wrong SNOMED ID","(8931, 8936)","(8931, 8936)",urine,urine,165232002,386099003,11134545-DS-21,"d not allowing help with cleaning, including his urine and feces. He has evidence of skin breakdown rel" "Correct entity, wrong SNOMED ID","(8968, 8982)","(8968, 8982)",skin breakdown,skin breakdown,247442005,70693003,11134545-DS-21,"ncluding his urine and feces. He has evidence of skin breakdown related to immobility. In prolonged discussion w" Missed entity,"(9020, 9030)",,discussion,,223482009,,11134545-DS-21,"in breakdown related to immobility. In prolonged discussion with patient's son and the patient on both this " Missed entity,"(9301, 9309)",,oriented,,247663003,,11134545-DS-21," the capacity to make this decision. While he is oriented, his insight is quite poor and I do not think th" Missed entity,"(9315, 9337)",,"insight is quite poor",,24340004,,11134545-DS-21,"to make this decision. While he is oriented, his insight is quite poor and I do not think the patient has true capacity " Missed entity,"(9483, 9503)",,recurrent admissions,,417005,,11134545-DS-21,"es as long as the situation at home is safe. His recurrent admissions and poor care raise concerns about this however " Missed entity,"(9585, 9589)",,home,,385783005,,11134545-DS-21,"bout this however he has not had a true trial of home services (24 hours care and home visits from PCP)" Missed entity,"(9618, 9629)",,home visits,,439708006,,11134545-DS-21,"a true trial of home services (24 hours care and home visits from PCP) to help mimick a rehab. The family has" Missed entity,"(9635, 9638)",,PCP,,737470001,,11134545-DS-21,"home services (24 hours care and home visits from PCP) to help mimick a rehab. The family has now arra" Boundary error,"(9723, 9726)","(9723, 9725)",PCP,PC,737470001,24863003,11134545-DS-21,"ly has now arranged for these services including PCP who will see patient on ___ at home. Should he c" Missed entity,"(9802, 9806)",,home,,385783005,,11134545-DS-21,"__ at home. Should he continue to refuse care at home in this setting with poor hygeine and self negle" "Correct entity, wrong SNOMED ID","(9829, 9841)","(9829, 9841)",poor hygeine,poor hygeine,248056001,289873006,11134545-DS-21,"inue to refuse care at home in this setting with poor hygeine and self neglect, will need to consider guardian" "Correct entity, wrong SNOMED ID","(9846, 9858)","(9846, 9858)",self neglect,self neglect,248054003,401233007,11134545-DS-21,"re at home in this setting with poor hygeine and self neglect, will need to consider guardianship to help bett" Boundary error,"(9976, 9981)","(9976, 9979)",HFrEF,HFr,703272007,1186847009,11134545-DS-21,"t. ------------------ CHRONIC/STABLE PROBLEMS: #HFrEF #Acute on Chronic Systolic Heart Failure Exacerba" Wrong span,"(9983, 10022)","(9983, 10025)",Acute on Chronic Systolic Heart Failure,Acute on Chronic Systolic Heart Failure Ex,443253003,443253003,11134545-DS-21,"---------------- CHRONIC/STABLE PROBLEMS: #HFrEF #Acute on Chronic Systolic Heart Failure ExacerbationEF of 30% in ___. Patient has chroni" "Correct entity, wrong SNOMED ID","(10066, 10084)","(10066, 10084)",chronic lymphedema,chronic lymphedema,28590005,33129002,11134545-DS-21,"ailure ExacerbationEF of 30% in ___. Patient has chronic lymphedema in lower extremities. He had crackles on exam in" "Correct entity, wrong SNOMED ID","(10088, 10105)","(10088, 10105)",lower extremities,lower extremities,61685007,58517005,11134545-DS-21,"of 30% in ___. Patient has chronic lymphedema in lower extremities. He had crackles on exam indicative of pulmonary" Missed entity,"(10127, 10131)",,exam,,5880005,,11134545-DS-21,"phedema in lower extremities. He had crackles on exam indicative of pulmonary edema following administ" "Correct entity, wrong SNOMED ID","(10146, 10161)","(10146, 10161)",pulmonary edema,pulmonary edema,19242006,40541001,11134545-DS-21,"tremities. He had crackles on exam indicative of pulmonary edema following administration of IV fluids for pre-re" Missed entity,"(10241, 10244)",,BNP,,390917008,,11134545-DS-21,"IV fluids for pre-renal ___ with increase in pro-BNP to 4413 from 1312. Diuresed ___ with 40 mg IV Las" "Correct entity, wrong SNOMED ID","(10264, 10272)","(10264, 10272)",Diuresed,Diuresed,722048006,182736004,11134545-DS-21," ___ with increase in pro-BNP to 4413 from 1312. Diuresed ___ with 40 mg IV Lasix with improvement. Given " "Correct entity, wrong SNOMED ID","(10291, 10296)","(10291, 10296)",Lasix,Lasix,722048006,25401000181106,11134545-DS-21,"BNP to 4413 from 1312. Diuresed ___ with 40 mg IV Lasix with improvement. Given intravascular depletion " "Correct entity, wrong SNOMED ID","(10303, 10314)","(10303, 10314)",improvement,improvement,268910001,142016009,11134545-DS-21,"from 1312. Diuresed ___ with 40 mg IV Lasix with improvement. Given intravascular depletion on admission, hom" Wrong span,"(10336, 10345)","(10322, 10345)",depletion,intravascular depletion,69251000,816081007,11134545-DS-21,"g IV Lasix with improvement. Given intravascular depletion on admission, home dose of Lasix was reduced to " "Correct entity, wrong SNOMED ID","(10374, 10379)","(10374, 10379)",Lasix,Lasix,722048006,25401000181106,11134545-DS-21,"travascular depletion on admission, home dose of Lasix was reduced to 20 mg po daily. Can consider addi" "Correct entity, wrong SNOMED ID","(10459, 10470)","(10459, 10470)",weight gain,weight gain,8943002,36440009,11134545-DS-21,". Can consider additional 20 mg po as needed for weight gain. Lisinopril held initially in setting ___ and __" Missed entity,"(10472, 10482)",,Lisinopril,,410682003,,11134545-DS-21,"r additional 20 mg po as needed for weight gain. Lisinopril held initially in setting ___ and ___ restarted " Missed entity,"(10522, 10531)",,restarted,,182837001,,11134545-DS-21,"Lisinopril held initially in setting ___ and ___ restarted at home dose. Metoprolol continued at home dose " "Correct entity, wrong SNOMED ID","(10620, 10642)","(10620, 10642)",Vitamin B12 deficiency,Vitamin B12 deficiency,190634004,1186815004,11134545-DS-21," home dose fractionated and then consolidated. #Vitamin B12 deficiency Continued B12 1000mcg PO daily. #Dental Caries." "Correct entity, wrong SNOMED ID","(10678, 10691)","(10678, 10691)",Dental Caries,Dental Caries,80967001,109570002,11134545-DS-21,"B12 deficiency Continued B12 1000mcg PO daily. #Dental Caries. Patient has poor dentition. Nystatin mouth wash" "Correct entity, wrong SNOMED ID","(10706, 10720)","(10706, 10720)",poor dentition,poor dentition,129904008,109439008,11134545-DS-21," 1000mcg PO daily. #Dental Caries. Patient has poor dentition. Nystatin mouth wash was offered four times dail" "Correct entity, wrong SNOMED ID","(10810, 10832)","(10810, 10832)",Essential Hypertension,Essential Hypertension,59621000,371125006,11134545-DS-21,"times daily, however patient regularly refused. #Essential Hypertension Continued home metoprolol fractionated. Held lisi" "Correct entity, wrong SNOMED ID","(10938, 10941)","(10938, 10941)",CAD,CAD,53741008,84270004,11134545-DS-21," 2.5 mg due to ___. Resumed once Cr decreased. #CAD Continued home ASA Continued metoprolol fractiona" "Correct entity, wrong SNOMED ID","(11038, 11058)","(11038, 11058)",Vitamin D Deficiency,Vitamin D Deficiency,34713006,68295002,11134545-DS-21,"onated. Can resume metoprolol XL on discharge. #Vitamin D Deficiency Continued vit D 50K units weekly #Depression Con" "Correct entity, wrong SNOMED ID","(11094, 11104)","(11094, 11104)",Depression,Depression,35489007,26141007,11134545-DS-21,"n D Deficiency Continued vit D 50K units weekly #Depression Continued home dose of Citalopram 10 mg PO QD. T" "Correct entity, wrong SNOMED ID","(11210, 11215)","(11210, 11215)",Lasix,Lasix,722048006,25401000181106,11134545-DS-21,"IONAL ISSUES: =========================== CHANGED Lasix to 20 mg po daily CHANGED atorvastatin to 40 mg q" "Correct entity, wrong SNOMED ID","(11311, 11320)","(11311, 11320)",dizziness,dizziness,404640003,1141711004,11134545-DS-21,"mg qhs CHANGED meclizine to 12.5 mg daily prn for dizziness STARTED folate supplements [ ] PCP follow up thr" "Correct entity, wrong SNOMED ID","(11353, 11356)","(11353, 11356)",PCP,PCP,737470001,258731005,11134545-DS-21,"prn for dizziness STARTED folate supplements [ ] PCP follow up through home visits with Dr. ___ [ ] Us" Missed entity,"(11375, 11386)",,home visits,,439708006,,11134545-DS-21,"TED folate supplements [ ] PCP follow up through home visits with Dr. ___ [ ] Use caution with sublingual nitr" "Correct entity, wrong SNOMED ID","(11457, 11468)","(11457, 11468)",hypotensive,hypotensive,45007003,372740001,11134545-DS-21," caution with sublingual nitro as patient became hypotensive to ___ [ ] Encourage po intake at home [ ] Would " Missed entity,"(11622, 11628)",,volume,,1860003,,11134545-DS-21,"ss volume status. Titrate furosemide depending on volume status given poor PO intake. [ ] Patient dischar" "Correct entity, wrong SNOMED ID","(11643, 11657)","(11643, 11657)",poor PO intake,poor PO intake,440321000124101,23800005,11134545-DS-21,"rate furosemide depending on volume status given poor PO intake. [ ] Patient discharged with 24hr services as wel" Missed entity,"(11712, 11723)",,home visits,,439708006,,11134545-DS-21," Patient discharged with 24hr services as well as home visits with ___ medicine practice. Consider palliative " "Correct entity, wrong SNOMED ID","(11762, 11777)","(11762, 11777)",palliative care,palliative care,103735009,443761007,11134545-DS-21,"home visits with ___ medicine practice. Consider palliative care services at home given patient's repeated declin" "Correct entity, wrong SNOMED ID","(13282, 13299)","(13282, 13299)",Home With Service,Home With Service,385783005,710242005,11134545-DS-21,"UNIT PO 1X/WEEK (___) Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Acute Kidn" "Correct entity, wrong SNOMED ID","(13359, 13369)","(13359, 13369)",Chest Pain,Chest Pain,29857009,102589003,11134545-DS-21,"y: ___ Discharge Diagnosis: Acute Kidney Injury Chest Pain Acute on Chronic Systolic Heart Failure Exacerbat" Wrong span,"(13370, 13409)","(13370, 13422)",Acute on Chronic Systolic Heart Failure,Acute on Chronic Systolic Heart Failure Exacerbation,443253003,1296659009,11134545-DS-21,"scharge Diagnosis: Acute Kidney Injury Chest Pain Acute on Chronic Systolic Heart Failure Exacerbation Discharge Condition: Mental Statu" "Correct entity, wrong SNOMED ID","(13447, 13460)","(13447, 13460)",Mental Status,Mental Status,392257007,419284004,11134545-DS-21,"eart Failure Exacerbation Discharge Condition: Mental Status: Confused - sometimes. Level of Consciousness: Al" "Correct entity, wrong SNOMED ID","(13462, 13470)","(13462, 13470)",Confused,Confused,40917007,62476001,11134545-DS-21,"acerbation Discharge Condition: Mental Status: Confused - sometimes. Level of Consciousness: Alert and in" "Correct entity, wrong SNOMED ID","(13484, 13506)","(13484, 13506)",Level of Consciousness,Level of Consciousness,444714004,830285008,11134545-DS-21,"e Condition: Mental Status: Confused - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Bedbound" "Correct entity, wrong SNOMED ID","(13508, 13513)","(13508, 13513)",Alert,Alert,248234008,409787004,11134545-DS-21,"us: Confused - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Bedbound. Di" "Correct entity, wrong SNOMED ID","(13518, 13529)","(13518, 13529)",interactive,interactive,288577006,10301000202103,11134545-DS-21,"ed - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Bedbound. Discharge Instruct" "Correct entity, wrong SNOMED ID","(13531, 13546)","(13531, 13546)",Activity Status,Activity Status,129676008,397622007,11134545-DS-21,"s. Level of Consciousness: Alert and interactive. Activity Status: Bedbound. Discharge Instructions: Dear Mr. __" "Correct entity, wrong SNOMED ID","(13548, 13556)","(13548, 13556)",Bedbound,Bedbound,160685001,385883000,11134545-DS-21,"iousness: Alert and interactive. Activity Status: Bedbound. Discharge Instructions: Dear Mr. ___, It was" "Correct entity, wrong SNOMED ID","(13697, 13707)","(13697, 13707)",chest pain,chest pain,29857009,102589003,11134545-DS-21,"r stay at ___. WHY WAS I HERE? - You were having chest pain - Your kidneys were not working well enough WHAT" "Correct entity, wrong SNOMED ID","(13715, 13722)","(13715, 13722)",kidneys,kidneys,64033007,17373004,11134545-DS-21,"Y WAS I HERE? - You were having chest pain - Your kidneys were not working well enough WHAT WAS DONE WHILE" "Correct entity, wrong SNOMED ID","(13813, 13819)","(13813, 13819)",fluids,fluids,103744005,25670009,11134545-DS-21,"ONE WHILE I WAS IN THE HOSPITAL? - You were given fluids - You were given nitro for your chest pain WHAT " "Correct entity, wrong SNOMED ID","(13852, 13862)","(13852, 13862)",chest pain,chest pain,29857009,102589003,11134545-DS-21,"were given fluids - You were given nitro for your chest pain WHAT SHOULD I DO WHEN I GO HOME? - You should wo" Missed entity,"(13929, 13932)",,PCP,,737470001,,11134545-DS-21,"O WHEN I GO HOME? - You should work with your new PCP at home - You should eat and drink your regular d" "Correct entity, wrong SNOMED ID","(13973, 13985)","(13973, 13985)",regular diet,regular diet,36823005,63740007,11134545-DS-21,"r new PCP at home - You should eat and drink your regular diet Be well! Your ___ Care Team Followup Instruct" False positive,,"(617, 624)",,insulin,,412210000,11161110-DS-13,"d vomiting. In this setting he stopped taking his insulin, as he wasn't eating. Symptoms were associated w" False positive,,"(804, 809)",,worse,,280122007,11161110-DS-13,"ymptoms. The two days prior to admission he had worsening shakiness and fatigue, leading him to presen" False positive,,"(936, 943)",,lactate,,10133003,11161110-DS-13," BP 145/96, HR 113, T-99.5. Labs significant for lactate 3.9, CO2 8, Gap 40, glu 541. Initially, 2L NS gi" False positive,,"(949, 951)",,CO,,256526003,11161110-DS-13,"HR 113, T-99.5. Labs significant for lactate 3.9, CO2 8, Gap 40, glu 541. Initially, 2L NS given, 10u" False positive,,"(1394, 1396)",,pH,,264912003,11161110-DS-13,"ble for: FSBG 279. WBC 11.3K hbg 18.0K Plt 274. pH 7.18 pCO2 29 pO2 36. chem panel with HCO3 9, AG " False positive,,"(1418, 1422)",,chem,,166312007,11161110-DS-13," 11.3K hbg 18.0K Plt 274. pH 7.18 pCO2 29 pO2 36. chem panel with HCO3 9, AG 20. K:3.1 and lactate 1.9" False positive,,"(1461, 1468)",,lactate,,10133003,11161110-DS-13,"O2 36. chem panel with HCO3 9, AG 20. K:3.1 and lactate 1.9. Phos 1.1. UA with ketones. - Imaging: CXR " False positive,,"(2065, 2070)",,sober,,43777007,11161110-DS-13,"w years 2. H/o alcohol use disorder in remission (sober x 15 months) 3. H/o IV drug use in remission 4. U" False positive,,"(2119, 2124)",,Untre,,224274001,11161110-DS-13,"r x 15 months) 3. H/o IV drug use in remission 4. Untreated hepatitis C diagnosed ___ Social History: " False positive,,"(2210, 2221)",,Physical Ex,,40979000,11161110-DS-13,"cial History: ___ Family History: Not reviewed Physical Exam: ======================= ADMISSION PHYSICAL EXA" False positive,,"(2523, 2529)",,supple,,169743001,11161110-DS-13,"nctiva, very dry mucus membranes NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no mu" False positive,,"(2567, 2569)",,S1,,82609006,11161110-DS-13,"ender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no" False positive,,"(3128, 3143)",,reclined in bed,,301691002,11161110-DS-13,"tals: 97.9 109 / 70 58 18 98 RA Gen: Young male, reclined in bed, NAD HEENT: NCAT, EOMI, PERRLA, anicteric sclera" False positive,,"(3218, 3226)",,no r/g/m,,167724007,11161110-DS-13," PERRLA, anicteric sclera, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: " False positive,,"(3659, 3662)",,Eos,,67099000,11161110-DS-13,"03:02AM BLOOD Neuts-81.4* Lymphs-10.9* Monos-6.8 Eos-0.0* Baso-0.2 Im ___ AbsNeut-9.19* AbsLymp-1.23 " False positive,,"(4183, 4188)",,URINE,,78888000,11161110-DS-13,"URINE Color-Straw Appear-Clear Sp ___ ___ 04:15AM URINE Blood-SM Nitrite-NEG Protein-100 Glucose-1000 K" False positive,,"(4301, 4306)",,URINE,,78888000,11161110-DS-13,"irub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ 04:15AM URINE RBC-<1 WBC-3 Bacteri-NONE Yeast-NONE Epi-<1 ___ " False positive,,"(4320, 4322)",,Ba,,257983009,11161110-DS-13,"G pH-6.0 Leuks-NEG ___ 04:15AM URINE RBC-<1 WBC-3 Bacteri-NONE Yeast-NONE Epi-<1 ___ 04:15AM URINE Ca" False positive,,"(4364, 4369)",,URINE,,78888000,11161110-DS-13,"WBC-3 Bacteri-NONE Yeast-NONE Epi-<1 ___ 04:15AM URINE CastGr-7* CastHy-4* ___ 04:15AM URINE Mucous-RARE" False positive,,"(4402, 4407)",,URINE,,78888000,11161110-DS-13,"___ 04:15AM URINE CastGr-7* CastHy-4* ___ 04:15AM URINE Mucous-RARE ___ 04:15AM URINE bnzodzp-NEG barbitr" False positive,,"(4582, 4590)",,PORTABLE,,466584003,11161110-DS-13,"========= PERTINENT IMAGING ================= CXR PORTABLE (___): No pneumonia. ============== DISCHARGE " False positive,,"(4721, 4724)",,MCH,,735147002,11161110-DS-13," BLOOD WBC-5.0 RBC-5.04 Hgb-15.2 Hct-41.9 MCV-83 MCH-30.2 MCHC-36.3 RDW-12.0 RDWSD-36.6 Plt ___ ___ 07" False positive,,"(5217, 5224)",,insulin,,412210000,11161110-DS-13," As he wasn't able to eat, Pt stopped taking his insulin. Two days prior to admission he became increasi" False positive,,"(5353, 5360)",,insulin,,412210000,11161110-DS-13,"ch led him to present to ___. Pt was started on insulin gtt and then transferred to ___. =============" False positive,,"(5472, 5479)",,insulin,,412210000,11161110-DS-13," COURSE ================= Pt was maintained on an insulin drip until his anion gap closed and he was able " False positive,,"(5584, 5590)",,inject,,246495004,11161110-DS-13,"lerate PO, at which point he was transitioned to injectable insulin. Also given brisk IV hydration and " False positive,,"(5640, 5649)",,repletion,,29119006,11161110-DS-13,"able insulin. Also given brisk IV hydration and repletion of his hypokalemia/hypophosphatemia. # T1DM wi" False positive,,"(5750, 5757)",,insulin,,18337009,11161110-DS-13,"h # DKA: Likely precipitated by nonadherence to insulin egimen in setting of GI illness. No obvious infe" False positive,,"(5857, 5862)",,fluid,,109192009,11161110-DS-13,"ctious source on CXR or UA. Put on insulin gtt, fluid repleted with ___ NS with K. Transitioned to sub" False positive,,"(6221, 6237)",,glycemic control,,237622006,11161110-DS-13,"ed sparingly during his course. N/V improved as glycemic control improved. # PROLONGED QTc: No medications or dr" False positive,,"(6812, 6820)",,Diabetes,,9414007,11161110-DS-13,"ed electrolyte repletion. He was seen by the ___ Diabetes Educator, and discharged in stable condition. " False positive,,"(7366, 7379)",,blood-glucose,,271061004,11161110-DS-13,"nits before BED; Disp #*12 Syringe Refills:*0 RX *blood-glucose meter dispense one blood glucose monitoring kit" False positive,,"(7400, 7413)",,blood glucose,,271061004,11161110-DS-13," Refills:*0 RX *blood-glucose meter dispense one blood glucose monitoring kit including blood glucose monitor A" False positive,,"(7440, 7453)",,blood glucose,,271061004,11161110-DS-13,"pense one blood glucose monitoring kit including blood glucose monitor AS DIR Disp #*1 Kit Refills:*0 RX *insul" False positive,,"(8013, 8020)",,insulin,,412210000,11161110-DS-13,"ere admitted for diabetic ketoaciodosis following insulin non-use during a gastrointestinal illness. You w" False positive,,"(8182, 8189)",,regimen,,405117005,11161110-DS-13,"was increased and you will be discharged on this regimen. Please remember to take your insulin regardless" False positive,,"(8331, 8338)",,primary,,263909009,11161110-DS-13,"oncerned or have infections symptoms to call your primary care physician or diabetologist. We wish you al" "Correct entity, wrong SNOMED ID","(202, 224)","(202, 224)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,11161110-DS-13,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: DKA Major " "Correct entity, wrong SNOMED ID","(385, 405)","(385, 405)",alcohol use disorder,alcohol use disorder,7200002,1297128004,11161110-DS-13,"ness: ___ history type 1 diabetes with history of alcohol use disorder and IVDU now sober x15 months, who presents as a" "Correct entity, wrong SNOMED ID","(411, 415)","(411, 415)",IVDU,IVDU,228388006,84440006,11161110-DS-13,"iabetes with history of alcohol use disorder and IVDU now sober x15 months, who presents as a transfer " "Correct entity, wrong SNOMED ID","(538, 545)","(538, 545)",malaise,malaise,367391008,82991003,11161110-DS-13,"for DKA. For 4days prior to admission, he's had malaise, myalgias, nausea and vomiting. In this setting " "Correct entity, wrong SNOMED ID","(547, 555)","(547, 555)",myalgias,myalgias,68962001,1141862008,11161110-DS-13," For 4days prior to admission, he's had malaise, myalgias, nausea and vomiting. In this setting he stopped" "Correct entity, wrong SNOMED ID","(557, 577)","(557, 577)","nausea and vomiting","nausea and vomiting",16932000,33841007,11161110-DS-13,"s prior to admission, he's had malaise, myalgias, nausea and vomiting. In this setting he stopped taking his insulin, a" "Correct entity, wrong SNOMED ID","(678, 684)","(678, 684)",chills,chills,43724002,274640006,11161110-DS-13," he wasn't eating. Symptoms were associated with chills, no fevers. He lives in a sober house and no one" "Correct entity, wrong SNOMED ID","(690, 696)","(690, 696)",fevers,fevers,386661006,248444008,11161110-DS-13,"eating. Symptoms were associated with chills, no fevers. He lives in a sober house and no one else had si" "Correct entity, wrong SNOMED ID","(814, 823)","(814, 823)",shakiness,shakiness,26079004,277358001,11161110-DS-13," The two days prior to admission he had worsening shakiness and fatigue, leading him to present to ___. Vita" "Correct entity, wrong SNOMED ID","(829, 836)","(829, 836)",fatigue,fatigue,84229001,1141720008,11161110-DS-13,"rior to admission he had worsening shakiness and fatigue, leading him to present to ___. Vital signs were " "Correct entity, wrong SNOMED ID","(869, 880)","(869, 880)",Vital signs,Vital signs,118227000,72970002,11161110-DS-13,"ness and fatigue, leading him to present to ___. Vital signs were BP 145/96, HR 113, T-99.5. Labs significan" "Correct entity, wrong SNOMED ID","(888, 890)","(888, 890)",BP,BP,392570002,38341003,11161110-DS-13,"leading him to present to ___. Vital signs were BP 145/96, HR 113, T-99.5. Labs significant for lact" "Correct entity, wrong SNOMED ID","(899, 901)","(899, 901)",HR,HR,301113001,258702006,11161110-DS-13," to present to ___. Vital signs were BP 145/96, HR 113, T-99.5. Labs significant for lactate 3.9, CO" "Correct entity, wrong SNOMED ID","(1092, 1098)","(1092, 1098)",Nausea,Nausea,422587007,1217125005,11161110-DS-13,"d on gtt at 4.2 units/hr and transferred to ___. Nausea was treated with 8 mg IV Zofran. Last FSBG prior" Missed entity,"(1121, 1123)",,IV,,386358000,,11161110-DS-13,"transferred to ___. Nausea was treated with 8 mg IV Zofran. Last FSBG prior to transfer to ___ ___ " "Correct entity, wrong SNOMED ID","(1222, 1228)","(1222, 1228)",vitals,vitals,118227000,260390007,11161110-DS-13," was 297. Upon arrival to the ___ ___ , initial vitals: Temp 98.0 F HR 88 BP 146/94 RR 24 100% RA - E" "Correct entity, wrong SNOMED ID","(1231, 1235)","(1231, 1235)",Temp,Temp,105723007,102496004,11161110-DS-13," Upon arrival to the ___ ___ , initial vitals: Temp 98.0 F HR 88 BP 146/94 RR 24 100% RA - Exam not" "Correct entity, wrong SNOMED ID","(1243, 1245)","(1243, 1245)",HR,HR,301113001,258702006,11161110-DS-13,"val to the ___ ___ , initial vitals: Temp 98.0 F HR 88 BP 146/94 RR 24 100% RA - Exam notable for " "Correct entity, wrong SNOMED ID","(1250, 1252)","(1250, 1252)",BP,BP,392570002,38341003,11161110-DS-13,"the ___ ___ , initial vitals: Temp 98.0 F HR 88 BP 146/94 RR 24 100% RA - Exam notable for - EKG " "Correct entity, wrong SNOMED ID","(1260, 1262)","(1260, 1262)",RR,RR,301283003,229040007,11161110-DS-13,"_ , initial vitals: Temp 98.0 F HR 88 BP 146/94 RR 24 100% RA - Exam notable for - EKG with NSR H" "Correct entity, wrong SNOMED ID","(1271, 1273)","(1271, 1273)",RA,RA,722742002,463051000124105,11161110-DS-13," vitals: Temp 98.0 F HR 88 BP 146/94 RR 24 100% RA - Exam notable for - EKG with NSR HR 90's QTc " "Correct entity, wrong SNOMED ID","(1277, 1281)","(1277, 1281)",Exam,Exam,5880005,105477005,11161110-DS-13,"s: Temp 98.0 F HR 88 BP 146/94 RR 24 100% RA - Exam notable for - EKG with NSR HR 90's QTc 542 - L" "Correct entity, wrong SNOMED ID","(1298, 1301)","(1298, 1301)",EKG,EKG,29303009,75444003,11161110-DS-13,"8 BP 146/94 RR 24 100% RA - Exam notable for - EKG with NSR HR 90's QTc 542 - Labs were notable for" "Correct entity, wrong SNOMED ID","(1307, 1310)","(1307, 1310)",NSR,NSR,64730000,258699004,11161110-DS-13,"94 RR 24 100% RA - Exam notable for - EKG with NSR HR 90's QTc 542 - Labs were notable for: FSBG 2" "Correct entity, wrong SNOMED ID","(1311, 1313)","(1311, 1313)",HR,HR,301113001,258702006,11161110-DS-13,"R 24 100% RA - Exam notable for - EKG with NSR HR 90's QTc 542 - Labs were notable for: FSBG 279." Missed entity,"(1354, 1358)",,FSBG,,365812005,,11161110-DS-13,"th NSR HR 90's QTc 542 - Labs were notable for: FSBG 279. WBC 11.3K hbg 18.0K Plt 274. pH 7.18 pCO2 2" "Correct entity, wrong SNOMED ID","(1365, 1368)","(1365, 1368)",WBC,WBC,767002,391558003,11161110-DS-13,"0's QTc 542 - Labs were notable for: FSBG 279. WBC 11.3K hbg 18.0K Plt 274. pH 7.18 pCO2 29 pO2 36. " Wrong span,"(1484, 1500)","(1484, 1486)","UA with ketones",UA,167289004,257999003,11161110-DS-13," HCO3 9, AG 20. K:3.1 and lactate 1.9. Phos 1.1. UA with ketones. - Imaging: CXR w/o evidence of pneumonia. - Pat" "Correct entity, wrong SNOMED ID","(1504, 1511)","(1504, 1511)",Imaging,Imaging,363679005,408574004,11161110-DS-13,".1 and lactate 1.9. Phos 1.1. UA with ketones. - Imaging: CXR w/o evidence of pneumonia. - Patient was gi" "Correct entity, wrong SNOMED ID","(1534, 1543)","(1534, 1543)",pneumonia,pneumonia,233604007,415125002,11161110-DS-13,"UA with ketones. - Imaging: CXR w/o evidence of pneumonia. - Patient was given: insulin gtt, 20 KCl in ___" "Correct entity, wrong SNOMED ID","(1629, 1637)","(1629, 1637)",fatigued,fatigued,84229001,398051009,11161110-DS-13," 20 KCl in ___. On arrival to the MICU, he feels fatigued but improved from prior. His mouth feels very dr" "Correct entity, wrong SNOMED ID","(1642, 1650)","(1642, 1650)",improved,improved,268910001,251359002,11161110-DS-13,"_. On arrival to the MICU, he feels fatigued but improved from prior. His mouth feels very dry and he is t" "Correct entity, wrong SNOMED ID","(1668, 1673)","(1668, 1673)",mouth,mouth,123851003,59611000087105,11161110-DS-13,", he feels fatigued but improved from prior. His mouth feels very dry and he is thirsty. He's not had n" Missed entity,"(1685, 1688)",,dry,,87715008,,11161110-DS-13,"ed but improved from prior. His mouth feels very dry and he is thirsty. He's not had nausea or vomiti" "Correct entity, wrong SNOMED ID","(1699, 1706)","(1699, 1706)",thirsty,thirsty,289159000,37561006,11161110-DS-13,"d from prior. His mouth feels very dry and he is thirsty. He's not had nausea or vomiting since arrival t" Wrong span,"(1722, 1728)","(1722, 1740)",nausea,nausea or vomiting,422587007,70790008,11161110-DS-13,"h feels very dry and he is thirsty. He's not had nausea or vomiting since arrival to ___. He denies abdom" Wrong span,"(1732, 1740)","(1722, 1740)",vomiting,nausea or vomiting,422400008,70790008,11161110-DS-13,"ry dry and he is thirsty. He's not had nausea or vomiting since arrival to ___. He denies abdominal pain, " "Correct entity, wrong SNOMED ID","(1773, 1788)","(1773, 1788)","abdominal pain","abdominal pain",21522001,54586004,11161110-DS-13,"ausea or vomiting since arrival to ___. He denies abdominal pain, diarrhea, bloody or dark stools. He has not had " "Correct entity, wrong SNOMED ID","(1790, 1798)","(1790, 1798)",diarrhea,diarrhea,62315008,111843007,11161110-DS-13," since arrival to ___. He denies abdominal pain, diarrhea, bloody or dark stools. He has not had CP, SOB, " "Correct entity, wrong SNOMED ID","(1800, 1806)","(1800, 1806)",bloody,bloody,405729008,269909003,11161110-DS-13,"ival to ___. He denies abdominal pain, diarrhea, bloody or dark stools. He has not had CP, SOB, or dysur" "Correct entity, wrong SNOMED ID","(1838, 1840)","(1838, 1840)",CP,CP,29857009,282108002,11161110-DS-13,", diarrhea, bloody or dark stools. He has not had CP, SOB, or dysuria. No rashes. On arrival, IVF wer" "Correct entity, wrong SNOMED ID","(1842, 1845)","(1842, 1845)",SOB,SOB,267036007,43731003,11161110-DS-13,"arrhea, bloody or dark stools. He has not had CP, SOB, or dysuria. No rashes. On arrival, IVF were cha" "Correct entity, wrong SNOMED ID","(1851, 1858)","(1851, 1858)",dysuria,dysuria,49650001,16844001,11161110-DS-13,"loody or dark stools. He has not had CP, SOB, or dysuria. No rashes. On arrival, IVF were changed to 40 KC" "Correct entity, wrong SNOMED ID","(1863, 1869)","(1863, 1869)",rashes,rashes,271807003,247472004,11161110-DS-13,"k stools. He has not had CP, SOB, or dysuria. No rashes. On arrival, IVF were changed to 40 KCL in NS at" Boundary error,"(1883, 1886)","(1883, 1885)",IVF,IV,103744005,258000009,11161110-DS-13," had CP, SOB, or dysuria. No rashes. On arrival, IVF were changed to 40 KCL in NS at 250 cc/hour " "Correct entity, wrong SNOMED ID","(1962, 1971)","(1962, 1971)",Type 1 DM,Type 1 DM,46635009,28032008,11161110-DS-13," NS at 250 cc/hour Past Medical History: 1. Type 1 DM --4 to 5 hositalizations for DKA in past few year" "Correct entity, wrong SNOMED ID","(2030, 2050)","(2030, 2050)",alcohol use disorder,alcohol use disorder,7200002,1297128004,11161110-DS-13," hositalizations for DKA in past few years 2. H/o alcohol use disorder in remission (sober x 15 months) 3. H/o IV drug u" Wrong span,"(2091, 2115)","(2091, 2102)",IV drug use in remission,IV drug use,1471000119103,16464661000119103,11161110-DS-13," disorder in remission (sober x 15 months) 3. H/o IV drug use in remission 4. Untreated hepatitis C diagnosed ___ Social " "Correct entity, wrong SNOMED ID","(2129, 2140)","(2129, 2140)",hepatitis C,hepatitis C,50711007,128302006,11161110-DS-13,"ths) 3. H/o IV drug use in remission 4. Untreated hepatitis C diagnosed ___ Social History: ___ Family Histo" "Correct entity, wrong SNOMED ID","(2259, 2272)","(2259, 2272)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,11161110-DS-13," Physical Exam: ======================= ADMISSION PHYSICAL EXAM ======================= Vitals: T 97.5 HRs in __" "Correct entity, wrong SNOMED ID","(2297, 2303)","(2297, 2303)",Vitals,Vitals,118227000,260390007,11161110-DS-13,"= ADMISSION PHYSICAL EXAM ======================= Vitals: T 97.5 HRs in ___ BP 138/83 100 RA GEN: fatigue" Missed entity,"(2306, 2307)",,T,,105723007,,11161110-DS-13,"ON PHYSICAL EXAM ======================= Vitals: T 97.5 HRs in ___ BP 138/83 100 RA GEN: fatigued ap" Boundary error,"(2313, 2316)","(2313, 2315)",HRs,HR,301113001,258702006,11161110-DS-13,"ICAL EXAM ======================= Vitals: T 97.5 HRs in ___ BP 138/83 100 RA GEN: fatigued appearing b" "Correct entity, wrong SNOMED ID","(2324, 2326)","(2324, 2326)",BP,BP,392570002,38341003,11161110-DS-13,"====================== Vitals: T 97.5 HRs in ___ BP 138/83 100 RA GEN: fatigued appearing but able to" "Correct entity, wrong SNOMED ID","(2338, 2340)","(2338, 2340)",RA,RA,722742002,463051000124105,11161110-DS-13,"======== Vitals: T 97.5 HRs in ___ BP 138/83 100 RA GEN: fatigued appearing but able to recount detai" "Correct entity, wrong SNOMED ID","(2341, 2344)","(2341, 2344)",GEN,GEN,162673000,420208008,11161110-DS-13,"===== Vitals: T 97.5 HRs in ___ BP 138/83 100 RA GEN: fatigued appearing but able to recount detailed " "Correct entity, wrong SNOMED ID","(2346, 2354)","(2346, 2354)",fatigued,fatigued,84229001,398051009,11161110-DS-13," Vitals: T 97.5 HRs in ___ BP 138/83 100 RA GEN: fatigued appearing but able to recount detailed history w/" "Correct entity, wrong SNOMED ID","(2418, 2423)","(2418, 2423)",HEENT,HEENT,5880005,113665002,11161110-DS-13," able to recount detailed history w/o difficulty HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conju" Missed entity,"(2425, 2427)",,AT,,1119219007,,11161110-DS-13,"o recount detailed history w/o difficulty HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjuncti" "Correct entity, wrong SNOMED ID","(2428, 2430)","(2428, 2430)",NC,NC,840673007,705056007,11161110-DS-13,"ecount detailed history w/o difficulty HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva," "Correct entity, wrong SNOMED ID","(2432, 2436)","(2432, 2436)",EOMI,EOMI,103251002,67099000,11161110-DS-13,"nt detailed history w/o difficulty HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, very" "Correct entity, wrong SNOMED ID","(2438, 2443)","(2438, 2443)",PERRL,PERRL,386666001,431291005,11161110-DS-13,"ailed history w/o difficulty HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, very dry mu" "Correct entity, wrong SNOMED ID","(2445, 2461)","(2445, 2461)",anicteric sclera,anicteric sclera,427801009,1162594001,11161110-DS-13,"istory w/o difficulty HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, very dry mucus membranes NECK" "Correct entity, wrong SNOMED ID","(2463, 2479)","(2463, 2479)",pink conjunctiva,pink conjunctiva,193894004,111825008,11161110-DS-13,"ulty HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, very dry mucus membranes NECK: nontender supple" "Correct entity, wrong SNOMED ID","(2487, 2506)","(2487, 2506)",dry mucus membranes,dry mucus membranes,123640000,21697007,11161110-DS-13," PERRL, anicteric sclera, pink conjunctiva, very dry mucus membranes NECK: nontender supple neck, no LAD, no JVD CAR" "Correct entity, wrong SNOMED ID","(2507, 2511)","(2507, 2511)",NECK,NECK,5880005,840674001,11161110-DS-13,"lera, pink conjunctiva, very dry mucus membranes NECK: nontender supple neck, no LAD, no JVD CARDIAC:" "Correct entity, wrong SNOMED ID","(2513, 2522)","(2513, 2522)",nontender,nontender,43478001,413319007,11161110-DS-13,"pink conjunctiva, very dry mucus membranes NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2" "Correct entity, wrong SNOMED ID","(2530, 2534)","(2530, 2534)",neck,neck,5880005,840674001,11161110-DS-13," very dry mucus membranes NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs" "Correct entity, wrong SNOMED ID","(2539, 2542)","(2539, 2542)",LAD,LAD,30746006,1010291002,11161110-DS-13,"y mucus membranes NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallop" "Correct entity, wrong SNOMED ID","(2547, 2550)","(2547, 2550)",JVD,JVD,271653008,253395003,11161110-DS-13,"membranes NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or ru" "Correct entity, wrong SNOMED ID","(2553, 2560)","(2553, 2560)",CARDIAC,CARDIAC,363003006,71892000,11161110-DS-13,"nes NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG:" "Correct entity, wrong SNOMED ID","(2562, 2565)","(2562, 2565)",RRR,RRR,76863003,129960002,11161110-DS-13," nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB" "Correct entity, wrong SNOMED ID","(2570, 2572)","(2570, 2572)",S2,S2,111974005,733987005,11161110-DS-13,"er supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wh" "Correct entity, wrong SNOMED ID","(2577, 2584)","(2577, 2584)",murmurs,murmurs,414786004,248699005,11161110-DS-13,"le neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales" "Correct entity, wrong SNOMED ID","(2586, 2593)","(2586, 2593)",gallops,gallops,2170000,4592006,11161110-DS-13,"no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi" "Correct entity, wrong SNOMED ID","(2605, 2609)","(2605, 2609)",LUNG,LUNG,268925001,301232003,11161110-DS-13,"RDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comf" "Correct entity, wrong SNOMED ID","(2611, 2615)","(2611, 2615)",CTAB,CTAB,48348007,259641008,11161110-DS-13," RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortabl" "Correct entity, wrong SNOMED ID","(2620, 2627)","(2620, 2627)",wheezes,wheezes,56018004,9763007,11161110-DS-13,"S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably without u" "Correct entity, wrong SNOMED ID","(2629, 2634)","(2629, 2634)",rales,rales,48409008,31846006,11161110-DS-13,"rmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably without use of a" "Correct entity, wrong SNOMED ID","(2645, 2666)","(2645, 2666)",breathing comfortably,breathing comfortably,276362002,229299002,11161110-DS-13,"or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably without use of accessory muscles ABDOMEN: nond" "Correct entity, wrong SNOMED ID","(2683, 2700)","(2683, 2700)",accessory muscles,accessory muscles,50847000,204216001,11161110-DS-13,"s, rhonchi, breathing comfortably without use of accessory muscles ABDOMEN: nondistended, +BS, nontender in all qu" "Correct entity, wrong SNOMED ID","(2703, 2710)","(2703, 2710)",ABDOMEN,ABDOMEN,225162003,41931001,11161110-DS-13,"g comfortably without use of accessory muscles ABDOMEN: nondistended, +BS, nontender in all quadrants, n" "Correct entity, wrong SNOMED ID","(2712, 2724)","(2712, 2724)",nondistended,nondistended,300405003,441380004,11161110-DS-13,"ably without use of accessory muscles ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/gua" Boundary error,"(2727, 2729)","(2726, 2729)",BS,+BS,61539000,260347006,11161110-DS-13,"se of accessory muscles ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding" "Correct entity, wrong SNOMED ID","(2731, 2740)","(2731, 2740)",nontender,nontender,43478001,413319007,11161110-DS-13,"f accessory muscles ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding, EXTREMIT" "Correct entity, wrong SNOMED ID","(2763, 2770)","(2763, 2770)",rebound,rebound,35611005,844584001,11161110-DS-13,"ondistended, +BS, nontender in all quadrants, no rebound/guarding, EXTREMITIES: no cyanosis, clubbing or " "Correct entity, wrong SNOMED ID","(2782, 2793)","(2782, 2793)",EXTREMITIES,EXTREMITIES,302773001,248416007,11161110-DS-13,"ontender in all quadrants, no rebound/guarding, EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 ex" "Correct entity, wrong SNOMED ID","(2798, 2806)","(2798, 2806)",cyanosis,cyanosis,3415004,84260001,11161110-DS-13,"quadrants, no rebound/guarding, EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities wit" "Correct entity, wrong SNOMED ID","(2808, 2816)","(2808, 2816)",clubbing,clubbing,367004,30760008,11161110-DS-13," no rebound/guarding, EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose " "Correct entity, wrong SNOMED ID","(2820, 2825)","(2820, 2825)",edema,edema,267038008,102576009,11161110-DS-13,"/guarding, EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose PULSES:" "Correct entity, wrong SNOMED ID","(2827, 2852)","(2827, 2852)","moving all 4 extremities","moving all 4 extremities",284137004,364892002,11161110-DS-13,"ng, EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose PULSES: 2+ DP pulses bilaterally " "Correct entity, wrong SNOMED ID","(2868, 2874)","(2868, 2874)",PULSES,PULSES,12146004,307684005,11161110-DS-13,"r edema, moving all 4 extremities with purpose PULSES: 2+ DP pulses bilaterally NEURO: CN II-XII inta" "Correct entity, wrong SNOMED ID","(2876, 2888)","(2876, 2888)",2+ DP pulses,2+ DP pulses,792832001,429784004,11161110-DS-13," moving all 4 extremities with purpose PULSES: 2+ DP pulses bilaterally NEURO: CN II-XII intact SKIN: multi" "Correct entity, wrong SNOMED ID","(2903, 2908)","(2903, 2908)",NEURO,NEURO,84728005,281247006,11161110-DS-13,"with purpose PULSES: 2+ DP pulses bilaterally NEURO: CN II-XII intact SKIN: multiple tattoos, small h" "Correct entity, wrong SNOMED ID","(2910, 2926)","(2910, 2926)",CN II-XII intact,CN II-XII intact,830121005,408755005,11161110-DS-13,"rpose PULSES: 2+ DP pulses bilaterally NEURO: CN II-XII intact SKIN: multiple tattoos, small healing scars on ar" "Correct entity, wrong SNOMED ID","(2927, 2931)","(2927, 2931)",SKIN,SKIN,271303006,444884003,11161110-DS-13,"+ DP pulses bilaterally NEURO: CN II-XII intact SKIN: multiple tattoos, small healing scars on arms, n" "Correct entity, wrong SNOMED ID","(2942, 2949)","(2942, 2949)",tattoos,tattoos,341000119102,112653008,11161110-DS-13,"aterally NEURO: CN II-XII intact SKIN: multiple tattoos, small healing scars on arms, no recent track ma" Wrong span,"(2957, 2970)","(2957, 2964)",healing scars,healing,48677004,18867006,11161110-DS-13,"O: CN II-XII intact SKIN: multiple tattoos, small healing scars on arms, no recent track marks ================" "Correct entity, wrong SNOMED ID","(2974, 2978)","(2974, 2978)",arms,arms,53120007,69273007,11161110-DS-13,"ct SKIN: multiple tattoos, small healing scars on arms, no recent track marks ======================= " Wrong span,"(3038, 3051)","(3038, 3040)",PHYSICAL EXAM,PH,5880005,264912003,11161110-DS-13,"t track marks ======================= DISCHARGE PHYSICAL EXAM ======================= Vitals: 97.9 109 / 70 58 " "Correct entity, wrong SNOMED ID","(3076, 3082)","(3076, 3082)",Vitals,Vitals,118227000,260390007,11161110-DS-13,"= DISCHARGE PHYSICAL EXAM ======================= Vitals: 97.9 109 / 70 58 18 98 RA Gen: Young male, recl" "Correct entity, wrong SNOMED ID","(3107, 3109)","(3107, 3109)",RA,RA,722742002,463051000124105,11161110-DS-13,"================== Vitals: 97.9 109 / 70 58 18 98 RA Gen: Young male, reclined in bed, NAD HEENT: NC" "Correct entity, wrong SNOMED ID","(3111, 3114)","(3111, 3114)",Gen,Gen,162673000,420208008,11161110-DS-13,"============== Vitals: 97.9 109 / 70 58 18 98 RA Gen: Young male, reclined in bed, NAD HEENT: NCAT, E" "Correct entity, wrong SNOMED ID","(3145, 3148)","(3145, 3148)",NAD,NAD,281900007,131143000,11161110-DS-13,"70 58 18 98 RA Gen: Young male, reclined in bed, NAD HEENT: NCAT, EOMI, PERRLA, anicteric sclera, cle" "Correct entity, wrong SNOMED ID","(3150, 3155)","(3150, 3155)",HEENT,HEENT,5880005,113665002,11161110-DS-13," 18 98 RA Gen: Young male, reclined in bed, NAD HEENT: NCAT, EOMI, PERRLA, anicteric sclera, clear OP, " Boundary error,"(3157, 3159)","(3157, 3161)",NC,NCAT,840673007,32752003,11161110-DS-13,"RA Gen: Young male, reclined in bed, NAD HEENT: NCAT, EOMI, PERRLA, anicteric sclera, clear OP, MMM " "Correct entity, wrong SNOMED ID","(3163, 3167)","(3163, 3167)",EOMI,EOMI,103251002,67099000,11161110-DS-13,"n: Young male, reclined in bed, NAD HEENT: NCAT, EOMI, PERRLA, anicteric sclera, clear OP, MMM CV: RRR," "Correct entity, wrong SNOMED ID","(3169, 3175)","(3169, 3175)",PERRLA,PERRLA,386667005,68123009,11161110-DS-13,"ng male, reclined in bed, NAD HEENT: NCAT, EOMI, PERRLA, anicteric sclera, clear OP, MMM CV: RRR, no r/g/" "Correct entity, wrong SNOMED ID","(3177, 3193)","(3177, 3193)",anicteric sclera,anicteric sclera,427801009,1162594001,11161110-DS-13," reclined in bed, NAD HEENT: NCAT, EOMI, PERRLA, anicteric sclera, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no " Wrong span,"(3195, 3203)","(3195, 3200)",clear OP,clear,300280008,281278005,11161110-DS-13,"NAD HEENT: NCAT, EOMI, PERRLA, anicteric sclera, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: " "Correct entity, wrong SNOMED ID","(3205, 3208)","(3205, 3208)",MMM,MMM,276398005,258673006,11161110-DS-13,": NCAT, EOMI, PERRLA, anicteric sclera, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft," "Correct entity, wrong SNOMED ID","(3209, 3211)","(3209, 3211)",CV,CV,363003006,258773002,11161110-DS-13,"AT, EOMI, PERRLA, anicteric sclera, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT" "Correct entity, wrong SNOMED ID","(3213, 3216)","(3213, 3216)",RRR,RRR,76863003,129960002,11161110-DS-13,"EOMI, PERRLA, anicteric sclera, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND," "Correct entity, wrong SNOMED ID","(3227, 3232)","(3227, 3232)",Chest,Chest,268925001,74160004,11161110-DS-13,"anicteric sclera, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyp" "Correct entity, wrong SNOMED ID","(3234, 3238)","(3234, 3238)",CTAB,CTAB,48348007,259641008,11161110-DS-13,"ic sclera, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis." "Correct entity, wrong SNOMED ID","(3240, 3248)","(3240, 3248)",no w/r/r,no w/r/r,48348007,711560003,11161110-DS-13,"era, clear OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No" "Correct entity, wrong SNOMED ID","(3249, 3251)","(3249, 3251)",GI,GI,268937004,1142285003,11161110-DS-13,"r OP, MMM CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No ra" "Correct entity, wrong SNOMED ID","(3259, 3261)","(3259, 3261)",NT,NT,43478001,257992007,11161110-DS-13,"CV: RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No rash. No jau" "Correct entity, wrong SNOMED ID","(3263, 3265)","(3263, 3265)",ND,ND,60728008,165815009,11161110-DS-13,"RRR, no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No rash. No jaundic" "Correct entity, wrong SNOMED ID","(3267, 3270)","(3267, 3270)",BS+,BS+,61539000,260347006,11161110-DS-13," no r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No rash. No jaundice. Mu" "Correct entity, wrong SNOMED ID","(3271, 3274)","(3271, 3274)",MSK,MSK,363215001,258697002,11161110-DS-13,"r/g/m Chest: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No rash. No jaundice. Multip" "Correct entity, wrong SNOMED ID","(3279, 3287)","(3279, 3287)",kyphosis,kyphosis,414564002,19371000119107,11161110-DS-13,"est: CTAB, no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No rash. No jaundice. Multiple tattoos. N" "Correct entity, wrong SNOMED ID","(3290, 3294)","(3290, 3294)",Skin,Skin,271303006,444884003,11161110-DS-13,"no w/r/r GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No rash. No jaundice. Multiple tattoos. Neuro: A" "Correct entity, wrong SNOMED ID","(3299, 3303)","(3299, 3303)",rash,rash,271807003,247472004,11161110-DS-13,"GI: soft, NT, ND, BS+ MSK: No kyphosis. Skin: No rash. No jaundice. Multiple tattoos. Neuro: AAOx3. No " "Correct entity, wrong SNOMED ID","(3308, 3316)","(3308, 3316)",jaundice,jaundice,18165001,371117009,11161110-DS-13," NT, ND, BS+ MSK: No kyphosis. Skin: No rash. No jaundice. Multiple tattoos. Neuro: AAOx3. No facial droop." "Correct entity, wrong SNOMED ID","(3327, 3334)","(3327, 3334)",tattoos,tattoos,341000119102,112653008,11161110-DS-13,"o kyphosis. Skin: No rash. No jaundice. Multiple tattoos. Neuro: AAOx3. No facial droop. Full strength all" "Correct entity, wrong SNOMED ID","(3336, 3341)","(3336, 3341)",Neuro,Neuro,84728005,281247006,11161110-DS-13,"s. Skin: No rash. No jaundice. Multiple tattoos. Neuro: AAOx3. No facial droop. Full strength all extrem" Boundary error,"(3345, 3348)","(3343, 3348)",Ox3,AAOx3,426224004,90902007,11161110-DS-13," No rash. No jaundice. Multiple tattoos. Neuro: AAOx3. No facial droop. Full strength all extremities. " "Correct entity, wrong SNOMED ID","(3353, 3365)","(3353, 3365)",facial droop,facial droop,95666008,248204003,11161110-DS-13,". No jaundice. Multiple tattoos. Neuro: AAOx3. No facial droop. Full strength all extremities. Psych: Full rang" Missed entity,"(3381, 3396)",,all extremities,,2592007,,11161110-DS-13,"oos. Neuro: AAOx3. No facial droop. Full strength all extremities. Psych: Full range of affect Pertinent Results" "Correct entity, wrong SNOMED ID","(3399, 3404)","(3399, 3404)",Psych,Psych,405783006,17326005,11161110-DS-13," No facial droop. Full strength all extremities. Psych: Full range of affect Pertinent Results: ======" Missed entity,"(3420, 3426)",,affect,,106131003,,11161110-DS-13,"l strength all extremities. Psych: Full range of affect Pertinent Results: ============== ADMISSION LAB" "Correct entity, wrong SNOMED ID","(3511, 3514)","(3511, 3514)",WBC,WBC,767002,391558003,11161110-DS-13,"= ADMISSION LABS ============== ___ 03:02AM BLOOD WBC-11.3* RBC-5.84 Hgb-18.0*# Hct-50.3 MCV-86 MCH-30" "Correct entity, wrong SNOMED ID","(3521, 3524)","(3521, 3524)",RBC,RBC,14089001,258759006,11161110-DS-13,"N LABS ============== ___ 03:02AM BLOOD WBC-11.3* RBC-5.84 Hgb-18.0*# Hct-50.3 MCV-86 MCH-30.8 MCHC-35" "Correct entity, wrong SNOMED ID","(3530, 3533)","(3530, 3533)",Hgb,Hgb,441689006,104142005,11161110-DS-13,"============ ___ 03:02AM BLOOD WBC-11.3* RBC-5.84 Hgb-18.0*# Hct-50.3 MCV-86 MCH-30.8 MCHC-35.8 RDW-12" "Correct entity, wrong SNOMED ID","(3541, 3544)","(3541, 3544)",Hct,Hct,28317006,282660005,11161110-DS-13,"= ___ 03:02AM BLOOD WBC-11.3* RBC-5.84 Hgb-18.0*# Hct-50.3 MCV-86 MCH-30.8 MCHC-35.8 RDW-12.4 RDWSD-38" "Correct entity, wrong SNOMED ID","(3558, 3561)","(3558, 3561)",MCH,MCH,54706004,735147002,11161110-DS-13,"OD WBC-11.3* RBC-5.84 Hgb-18.0*# Hct-50.3 MCV-86 MCH-30.8 MCHC-35.8 RDW-12.4 RDWSD-38.5 Plt ___ ___ 03" "Correct entity, wrong SNOMED ID","(3567, 3571)","(3567, 3571)",MCHC,MCHC,37254006,735147002,11161110-DS-13,".3* RBC-5.84 Hgb-18.0*# Hct-50.3 MCV-86 MCH-30.8 MCHC-35.8 RDW-12.4 RDWSD-38.5 Plt ___ ___ 03:02AM BLOO" "Correct entity, wrong SNOMED ID","(3577, 3580)","(3577, 3580)",RDW,RDW,66842004,735149004,11161110-DS-13,"84 Hgb-18.0*# Hct-50.3 MCV-86 MCH-30.8 MCHC-35.8 RDW-12.4 RDWSD-38.5 Plt ___ ___ 03:02AM BLOOD Neuts-8" "Correct entity, wrong SNOMED ID","(3586, 3591)","(3586, 3591)",RDWSD,RDWSD,66842004,80328002,11161110-DS-13,".0*# Hct-50.3 MCV-86 MCH-30.8 MCHC-35.8 RDW-12.4 RDWSD-38.5 Plt ___ ___ 03:02AM BLOOD Neuts-81.4* Lymphs" "Correct entity, wrong SNOMED ID","(3623, 3628)","(3623, 3628)",Neuts,Neuts,30630007,271035003,11161110-DS-13,"5.8 RDW-12.4 RDWSD-38.5 Plt ___ ___ 03:02AM BLOOD Neuts-81.4* Lymphs-10.9* Monos-6.8 Eos-0.0* Baso-0.2 I" "Correct entity, wrong SNOMED ID","(3635, 3641)","(3635, 3641)",Lymphs,Lymphs,74765001,79709007,11161110-DS-13," RDWSD-38.5 Plt ___ ___ 03:02AM BLOOD Neuts-81.4* Lymphs-10.9* Monos-6.8 Eos-0.0* Baso-0.2 Im ___ AbsNeut" "Correct entity, wrong SNOMED ID","(3648, 3653)","(3648, 3653)",Monos,Monos,67776007,462791000124108,11161110-DS-13,"lt ___ ___ 03:02AM BLOOD Neuts-81.4* Lymphs-10.9* Monos-6.8 Eos-0.0* Baso-0.2 Im ___ AbsNeut-9.19* AbsLy" "Correct entity, wrong SNOMED ID","(3668, 3672)","(3668, 3672)",Baso,Baso,42351005,700051010000106,11161110-DS-13,"LOOD Neuts-81.4* Lymphs-10.9* Monos-6.8 Eos-0.0* Baso-0.2 Im ___ AbsNeut-9.19* AbsLymp-1.23 AbsMono-0." "Correct entity, wrong SNOMED ID","(3769, 3776)","(3769, 3776)",Glucose,Glucose,33747003,72191006,11161110-DS-13,"-0.77 AbsEos-0.00* AbsBaso-0.02 ___ 03:02AM BLOOD Glucose-296* UreaN-14 Creat-1.1 Na-140 K-3.3 Cl-111* HCO" "Correct entity, wrong SNOMED ID","(3782, 3787)","(3782, 3787)",UreaN,UreaN,105011006,111108008,11161110-DS-13,"0.00* AbsBaso-0.02 ___ 03:02AM BLOOD Glucose-296* UreaN-14 Creat-1.1 Na-140 K-3.3 Cl-111* HCO3-9* AnGap-" "Correct entity, wrong SNOMED ID","(3791, 3796)","(3791, 3796)",Creat,Creat,70901006,413856009,11161110-DS-13,"Baso-0.02 ___ 03:02AM BLOOD Glucose-296* UreaN-14 Creat-1.1 Na-140 K-3.3 Cl-111* HCO3-9* AnGap-23* ___ 1" "Correct entity, wrong SNOMED ID","(3801, 3803)","(3801, 3803)",Na,Na,312469006,257992007,11161110-DS-13,"___ 03:02AM BLOOD Glucose-296* UreaN-14 Creat-1.1 Na-140 K-3.3 Cl-111* HCO3-9* AnGap-23* ___ 10:28AM " "Correct entity, wrong SNOMED ID","(3815, 3817)","(3815, 3817)",Cl,Cl,104589004,311741002,11161110-DS-13,"OOD Glucose-296* UreaN-14 Creat-1.1 Na-140 K-3.3 Cl-111* HCO3-9* AnGap-23* ___ 10:28AM BLOOD ALT-18 A" "Correct entity, wrong SNOMED ID","(3823, 3827)","(3823, 3827)",HCO3,HCO3,312471006,88645003,11161110-DS-13,"ose-296* UreaN-14 Creat-1.1 Na-140 K-3.3 Cl-111* HCO3-9* AnGap-23* ___ 10:28AM BLOOD ALT-18 AST-11 AlkP" "Correct entity, wrong SNOMED ID","(3831, 3836)","(3831, 3836)",AnGap,AnGap,25469001,124504004,11161110-DS-13," UreaN-14 Creat-1.1 Na-140 K-3.3 Cl-111* HCO3-9* AnGap-23* ___ 10:28AM BLOOD ALT-18 AST-11 AlkPhos-53 To" "Correct entity, wrong SNOMED ID","(3859, 3862)","(3859, 3862)",ALT,ALT,34608000,56935002,11161110-DS-13,"K-3.3 Cl-111* HCO3-9* AnGap-23* ___ 10:28AM BLOOD ALT-18 AST-11 AlkPhos-53 TotBili-0.5 ___ 03:02AM BLOO" "Correct entity, wrong SNOMED ID","(3866, 3869)","(3866, 3869)",AST,AST,45896001,85043005,11161110-DS-13,"l-111* HCO3-9* AnGap-23* ___ 10:28AM BLOOD ALT-18 AST-11 AlkPhos-53 TotBili-0.5 ___ 03:02AM BLOOD Calci" "Correct entity, wrong SNOMED ID","(3873, 3880)","(3873, 3880)",AlkPhos,AlkPhos,88810008,30703008,11161110-DS-13,"HCO3-9* AnGap-23* ___ 10:28AM BLOOD ALT-18 AST-11 AlkPhos-53 TotBili-0.5 ___ 03:02AM BLOOD Calcium-8.8 Phos" "Correct entity, wrong SNOMED ID","(3884, 3891)","(3884, 3891)",TotBili,TotBili,359986008,19754005,11161110-DS-13,"ap-23* ___ 10:28AM BLOOD ALT-18 AST-11 AlkPhos-53 TotBili-0.5 ___ 03:02AM BLOOD Calcium-8.8 Phos-1.1* Mg-2." "Correct entity, wrong SNOMED ID","(3914, 3921)","(3914, 3921)",Calcium,Calcium,312472004,108601004,11161110-DS-13,"8 AST-11 AlkPhos-53 TotBili-0.5 ___ 03:02AM BLOOD Calcium-8.8 Phos-1.1* Mg-2.0 ___ 06:24AM BLOOD %HbA1c-14." "Correct entity, wrong SNOMED ID","(3926, 3930)","(3926, 3930)",Phos,Phos,104868000,168075002,11161110-DS-13,"Phos-53 TotBili-0.5 ___ 03:02AM BLOOD Calcium-8.8 Phos-1.1* Mg-2.0 ___ 06:24AM BLOOD %HbA1c-14.7* eAG-37" "Correct entity, wrong SNOMED ID","(3936, 3938)","(3936, 3938)",Mg,Mg,271285000,258684004,11161110-DS-13,"tBili-0.5 ___ 03:02AM BLOOD Calcium-8.8 Phos-1.1* Mg-2.0 ___ 06:24AM BLOOD %HbA1c-14.7* eAG-375* ___ 0" Missed entity,"(3974, 3977)",,eAG,,117346004,,11161110-DS-13,"8 Phos-1.1* Mg-2.0 ___ 06:24AM BLOOD %HbA1c-14.7* eAG-375* ___ 03:17AM BLOOD ___ pO2-36* pCO2-29* pH-7." "Correct entity, wrong SNOMED ID","(4022, 4024)","(4022, 4024)",pH,pH,81065003,264912003,11161110-DS-13,"* eAG-375* ___ 03:17AM BLOOD ___ pO2-36* pCO2-29* pH-7.18* calTCO2-11* Base XS--17 ___ 03:17AM BLOOD " Missed entity,"(4086, 4087)",,K,,312468003,,11161110-DS-13,"CO2-11* Base XS--17 ___ 03:17AM BLOOD Lactate-1.9 K-3.1* ___ 03:17AM BLOOD O2 Sat-73 ___ 04:15AM URIN" Wrong span,"(4133, 4150)","(4133, 4138)",URINE Color-Straw,URINE,46800005,78888000,11161110-DS-13,".9 K-3.1* ___ 03:17AM BLOOD O2 Sat-73 ___ 04:15AM URINE Color-Straw Appear-Clear Sp ___ ___ 04:15AM URINE Blood-SM N" "Correct entity, wrong SNOMED ID","(4211, 4218)","(4211, 4218)",Protein,Protein,57378007,764892007,11161110-DS-13,"ar Sp ___ ___ 04:15AM URINE Blood-SM Nitrite-NEG Protein-100 Glucose-1000 Ketone-150 Bilirub-NEG Urobiln-" Missed entity,"(4237, 4243)",,Ketone,,47615003,,11161110-DS-13,"E Blood-SM Nitrite-NEG Protein-100 Glucose-1000 Ketone-150 Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ " "Correct entity, wrong SNOMED ID","(4272, 4274)","(4272, 4274)",pH,pH,81065003,264912003,11161110-DS-13," Glucose-1000 Ketone-150 Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ 04:15AM URINE RBC-<1 WBC-3 Bact" "Correct entity, wrong SNOMED ID","(4307, 4310)","(4307, 4310)",RBC,RBC,14089001,258759006,11161110-DS-13,"EG Urobiln-NEG pH-6.0 Leuks-NEG ___ 04:15AM URINE RBC-<1 WBC-3 Bacteri-NONE Yeast-NONE Epi-<1 ___ 04:1" "Correct entity, wrong SNOMED ID","(4314, 4317)","(4314, 4317)",WBC,WBC,767002,391558003,11161110-DS-13,"iln-NEG pH-6.0 Leuks-NEG ___ 04:15AM URINE RBC-<1 WBC-3 Bacteri-NONE Yeast-NONE Epi-<1 ___ 04:15AM URI" Missed entity,"(4552, 4559)",,IMAGING,,363679005,,11161110-DS-13,"codn-NEG mthdone-NEG ================= PERTINENT IMAGING ================= CXR PORTABLE (___): No pneumo" "Correct entity, wrong SNOMED ID","(4603, 4612)","(4603, 4612)",pneumonia,pneumonia,233604007,415125002,11161110-DS-13,"MAGING ================= CXR PORTABLE (___): No pneumonia. ============== DISCHARGE LABS ============== __" "Correct entity, wrong SNOMED ID","(4678, 4681)","(4678, 4681)",WBC,WBC,767002,391558003,11161110-DS-13,"= DISCHARGE LABS ============== ___ 07:15AM BLOOD WBC-5.0 RBC-5.04 Hgb-15.2 Hct-41.9 MCV-83 MCH-30.2 M" "Correct entity, wrong SNOMED ID","(4686, 4689)","(4686, 4689)",RBC,RBC,14089001,258759006,11161110-DS-13,"RGE LABS ============== ___ 07:15AM BLOOD WBC-5.0 RBC-5.04 Hgb-15.2 Hct-41.9 MCV-83 MCH-30.2 MCHC-36.3" "Correct entity, wrong SNOMED ID","(4695, 4698)","(4695, 4698)",Hgb,Hgb,441689006,104142005,11161110-DS-13,"============== ___ 07:15AM BLOOD WBC-5.0 RBC-5.04 Hgb-15.2 Hct-41.9 MCV-83 MCH-30.2 MCHC-36.3 RDW-12.0" "Correct entity, wrong SNOMED ID","(4704, 4707)","(4704, 4707)",Hct,Hct,28317006,282660005,11161110-DS-13,"===== ___ 07:15AM BLOOD WBC-5.0 RBC-5.04 Hgb-15.2 Hct-41.9 MCV-83 MCH-30.2 MCHC-36.3 RDW-12.0 RDWSD-36" "Correct entity, wrong SNOMED ID","(4713, 4716)","(4713, 4716)",MCV,MCV,104133003,735146006,11161110-DS-13," 07:15AM BLOOD WBC-5.0 RBC-5.04 Hgb-15.2 Hct-41.9 MCV-83 MCH-30.2 MCHC-36.3 RDW-12.0 RDWSD-36.6 Plt __" "Correct entity, wrong SNOMED ID","(4730, 4734)","(4730, 4734)",MCHC,MCHC,37254006,735147002,11161110-DS-13,"C-5.0 RBC-5.04 Hgb-15.2 Hct-41.9 MCV-83 MCH-30.2 MCHC-36.3 RDW-12.0 RDWSD-36.6 Plt ___ ___ 07:15AM BLOO" "Correct entity, wrong SNOMED ID","(4749, 4754)","(4749, 4754)",RDWSD,RDWSD,66842004,80328002,11161110-DS-13,"15.2 Hct-41.9 MCV-83 MCH-30.2 MCHC-36.3 RDW-12.0 RDWSD-36.6 Plt ___ ___ 07:15AM BLOOD Glucose-287* UreaN" "Correct entity, wrong SNOMED ID","(4786, 4793)","(4786, 4793)",Glucose,Glucose,33747003,72191006,11161110-DS-13,"6.3 RDW-12.0 RDWSD-36.6 Plt ___ ___ 07:15AM BLOOD Glucose-287* UreaN-10 Creat-0.5 Na-135 K-4.1 Cl-96 HCO3-" "Correct entity, wrong SNOMED ID","(4799, 4804)","(4799, 4804)",UreaN,UreaN,105011006,111108008,11161110-DS-13,"RDWSD-36.6 Plt ___ ___ 07:15AM BLOOD Glucose-287* UreaN-10 Creat-0.5 Na-135 K-4.1 Cl-96 HCO3-29 AnGap-14" "Correct entity, wrong SNOMED ID","(4808, 4813)","(4808, 4813)",Creat,Creat,70901006,365756002,11161110-DS-13,"6 Plt ___ ___ 07:15AM BLOOD Glucose-287* UreaN-10 Creat-0.5 Na-135 K-4.1 Cl-96 HCO3-29 AnGap-14 ___ 07:1" "Correct entity, wrong SNOMED ID","(4818, 4820)","(4818, 4820)",Na,Na,312469006,257992007,11161110-DS-13,"___ 07:15AM BLOOD Glucose-287* UreaN-10 Creat-0.5 Na-135 K-4.1 Cl-96 HCO3-29 AnGap-14 ___ 07:15AM BLO" "Correct entity, wrong SNOMED ID","(4832, 4834)","(4832, 4834)",Cl,Cl,104589004,311741002,11161110-DS-13,"OOD Glucose-287* UreaN-10 Creat-0.5 Na-135 K-4.1 Cl-96 HCO3-29 AnGap-14 ___ 07:15AM BLOOD Calcium-9.0" "Correct entity, wrong SNOMED ID","(4838, 4842)","(4838, 4842)",HCO3,HCO3,312471006,88645003,11161110-DS-13,"ucose-287* UreaN-10 Creat-0.5 Na-135 K-4.1 Cl-96 HCO3-29 AnGap-14 ___ 07:15AM BLOOD Calcium-9.0 Phos-3." "Correct entity, wrong SNOMED ID","(4846, 4851)","(4846, 4851)",AnGap,AnGap,25469001,124504004,11161110-DS-13,"7* UreaN-10 Creat-0.5 Na-135 K-4.1 Cl-96 HCO3-29 AnGap-14 ___ 07:15AM BLOOD Calcium-9.0 Phos-3.7 Mg-2.1 " "Correct entity, wrong SNOMED ID","(4873, 4880)","(4873, 4880)",Calcium,Calcium,312472004,108601004,11161110-DS-13,"5 K-4.1 Cl-96 HCO3-29 AnGap-14 ___ 07:15AM BLOOD Calcium-9.0 Phos-3.7 Mg-2.1 Brief Hospital Course: Mr. " "Correct entity, wrong SNOMED ID","(4885, 4889)","(4885, 4889)",Phos,Phos,104868000,168075002,11161110-DS-13,"96 HCO3-29 AnGap-14 ___ 07:15AM BLOOD Calcium-9.0 Phos-3.7 Mg-2.1 Brief Hospital Course: Mr. ___ is a " "Correct entity, wrong SNOMED ID","(4894, 4896)","(4894, 4896)",Mg,Mg,271285000,258684004,11161110-DS-13,"9 AnGap-14 ___ 07:15AM BLOOD Calcium-9.0 Phos-3.7 Mg-2.1 Brief Hospital Course: Mr. ___ is a ___ wit" "Correct entity, wrong SNOMED ID","(4952, 4956)","(4952, 4956)",T1DM,T1DM,46635009,1290118005,11161110-DS-13," Brief Hospital Course: Mr. ___ is a ___ with PMH T1DM, alcohol/IVDU abuse (sober x 15 months), and hep" "Correct entity, wrong SNOMED ID","(4958, 4965)","(4958, 4965)",alcohol,alcohol,15167005,219006,11161110-DS-13," Hospital Course: Mr. ___ is a ___ with PMH T1DM, alcohol/IVDU abuse (sober x 15 months), and hepatitis C " Wrong span,"(4966, 4970)","(4966, 4976)",IVDU,IVDU abuse,228388006,16464661000119103,11161110-DS-13,"l Course: Mr. ___ is a ___ with PMH T1DM, alcohol/IVDU abuse (sober x 15 months), and hepatitis C who p" "Correct entity, wrong SNOMED ID","(5003, 5014)","(5003, 5014)",hepatitis C,hepatitis C,50711007,128302006,11161110-DS-13,"1DM, alcohol/IVDU abuse (sober x 15 months), and hepatitis C who presented from outside hospital in ___. Fou" "Correct entity, wrong SNOMED ID","(5099, 5106)","(5099, 5106)",malaise,malaise,367391008,82991003,11161110-DS-13,"l in ___. Four days prior to admission, Pt had malaise/myalgias/nausea/vomiting that he thought was a st" "Correct entity, wrong SNOMED ID","(5107, 5115)","(5107, 5115)",myalgias,myalgias,68962001,1141862008,11161110-DS-13,"_. Four days prior to admission, Pt had malaise/myalgias/nausea/vomiting that he thought was a stomach bu" "Correct entity, wrong SNOMED ID","(5116, 5131)","(5116, 5131)",nausea/vomiting,nausea/vomiting,16932000,33841007,11161110-DS-13,"days prior to admission, Pt had malaise/myalgias/nausea/vomiting that he thought was a stomach bug. As he wasn't" "Correct entity, wrong SNOMED ID","(5154, 5166)","(5154, 5166)","stomach bug","stomach bug",715852004,29239001,11161110-DS-13,"se/myalgias/nausea/vomiting that he thought was a stomach bug. As he wasn't able to eat, Pt stopped taking his" Wrong span,"(5175, 5193)","(5182, 5193)",wasn't able to eat,able to eat,288885009,364787006,11161110-DS-13,"miting that he thought was a stomach bug. As he wasn't able to eat, Pt stopped taking his insulin. Two days prior " "Correct entity, wrong SNOMED ID","(5279, 5287)","(5279, 5287)",fatigued,fatigued,84229001,398051009,11161110-DS-13,"wo days prior to admission he became increasingly fatigued and shaky, which led him to present to ___. Pt " "Correct entity, wrong SNOMED ID","(5293, 5298)","(5293, 5298)",shaky,shaky,26079004,271713000,11161110-DS-13,"to admission he became increasingly fatigued and shaky, which led him to present to ___. Pt was started" Wrong span,"(5495, 5511)","(5495, 5504)",anion gap closed,anion gap,237855003,237854004,11161110-DS-13,"== Pt was maintained on an insulin drip until his anion gap closed and he was able to tolerate PO, at which point h" "Correct entity, wrong SNOMED ID","(5622, 5635)","(5622, 5635)","IV hydration","IV hydration",103744005,385745009,11161110-DS-13,"sitioned to injectable insulin. Also given brisk IV hydration and repletion of his hypokalemia/hypophosphatemia" "Correct entity, wrong SNOMED ID","(5657, 5668)","(5657, 5668)",hypokalemia,hypokalemia,43339004,81987005,11161110-DS-13,"so given brisk IV hydration and repletion of his hypokalemia/hypophosphatemia. # T1DM with # DKA: Likely p" "Correct entity, wrong SNOMED ID","(5669, 5685)","(5669, 5685)",hypophosphatemia,hypophosphatemia,4996001,82236004,11161110-DS-13,"sk IV hydration and repletion of his hypokalemia/hypophosphatemia. # T1DM with # DKA: Likely precipitated by no" "Correct entity, wrong SNOMED ID","(5692, 5696)","(5692, 5696)",T1DM,T1DM,46635009,1290118005,11161110-DS-13,"pletion of his hypokalemia/hypophosphatemia. # T1DM with # DKA: Likely precipitated by nonadherence " "Correct entity, wrong SNOMED ID","(5779, 5789)","(5779, 5789)",GI illness,GI illness,53619000,312153005,11161110-DS-13," by nonadherence to insulin egimen in setting of GI illness. No obvious infectious source on CXR or UA. Pu" "Correct entity, wrong SNOMED ID","(5803, 5813)","(5803, 5813)",infectious,infectious,40733004,22653005,11161110-DS-13,"ulin egimen in setting of GI illness. No obvious infectious source on CXR or UA. Put on insulin gtt, fluid " "Correct entity, wrong SNOMED ID","(5832, 5834)","(5832, 5834)",UA,UA,27171005,257999003,11161110-DS-13,"illness. No obvious infectious source on CXR or UA. Put on insulin gtt, fluid repleted with ___ NS " Missed entity,"(5926, 5943)",,"anion gap closed",,237855003,,11161110-DS-13," ___ NS with K. Transitioned to subq insulin hen anion gap closed. ___ was consulted, and titrated Pt's insulin t" Wrong span,"(6019, 6034)","(6019, 6025)",NAUSEA/VOMITING,NAUSEA,16932000,1217125005,11161110-DS-13,"titrated Pt's insulin throughout his course. # NAUSEA/VOMITING: DDx viral gastroenteritis vs. manifestation of" "Correct entity, wrong SNOMED ID","(6041, 6062)","(6041, 6062)",viral gastroenteritis,viral gastroenteritis,111843007,308119005,11161110-DS-13," throughout his course. # NAUSEA/VOMITING: DDx viral gastroenteritis vs. manifestation of Pt's DKA. Had a borderline" Wrong span,"(6113, 6126)","(6123, 6126)",prolonged QTc,QTc,111975006,365417009,11161110-DS-13,"vs. manifestation of Pt's DKA. Had a borderline prolonged QTc on admission (see below), so antiemetics used sp" "Correct entity, wrong SNOMED ID","(6204, 6207)","(6204, 6207)",N/V,N/V,16932000,257992007,11161110-DS-13,"so antiemetics used sparingly during his course. N/V improved as glycemic control improved. # PROLON" "Correct entity, wrong SNOMED ID","(6209, 6217)","(6209, 6217)",improved,improved,268910001,251359002,11161110-DS-13,"tiemetics used sparingly during his course. N/V improved as glycemic control improved. # PROLONGED QTc: " "Correct entity, wrong SNOMED ID","(6238, 6246)","(6238, 6246)",improved,improved,268910001,251359002,11161110-DS-13,"ng his course. N/V improved as glycemic control improved. # PROLONGED QTc: No medications or drugs on bo" Wrong span,"(6251, 6264)","(6261, 6264)",PROLONGED QTc,QTc,111975006,365417009,11161110-DS-13,". N/V improved as glycemic control improved. # PROLONGED QTc: No medications or drugs on board that could ob" Missed entity,"(6322, 6333)",,prolong QTc,,111975006,,11161110-DS-13,"dications or drugs on board that could obviously prolong QTc. Repeat EKG demonstrated QTc of 432. # HEPATI" "Correct entity, wrong SNOMED ID","(6343, 6346)","(6343, 6346)",EKG,EKG,29303009,75444003,11161110-DS-13," board that could obviously prolong QTc. Repeat EKG demonstrated QTc of 432. # HEPATITIS C: Has n" "Correct entity, wrong SNOMED ID","(6377, 6388)","(6377, 6388)",HEPATITIS C,HEPATITIS C,50711007,128302006,11161110-DS-13,"ng QTc. Repeat EKG demonstrated QTc of 432. # HEPATITIS C: Has never received Tx for same. # Hx ALCOHOL " Wrong span,"(6430, 6443)","(6430, 6434)",ALCOHOL ABUSE,ALCO,15167005,53989006,11161110-DS-13,"ATITIS C: Has never received Tx for same. # Hx ALCOHOL ABUSE and # Hx IVDU: Patient denied recent use, no su" "Correct entity, wrong SNOMED ID","(6453, 6457)","(6453, 6457)",IVDU,IVDU,228388006,84440006,11161110-DS-13,"ceived Tx for same. # Hx ALCOHOL ABUSE and # Hx IVDU: Patient denied recent use, no suggestion of in" "Correct entity, wrong SNOMED ID","(6505, 6517)","(6505, 6517)",intoxication,intoxication,1149322001,25702006,11161110-DS-13,"DU: Patient denied recent use, no suggestion of intoxication, no withdrawal symptoms. # HYPOKALEMIA and # HY" "Correct entity, wrong SNOMED ID","(6522, 6541)","(6522, 6541)",withdrawal symptoms,withdrawal symptoms,720822008,710059009,11161110-DS-13,"ed recent use, no suggestion of intoxication, no withdrawal symptoms. # HYPOKALEMIA and # HYPOPHOSPHATEMIA: In the " "Correct entity, wrong SNOMED ID","(6547, 6558)","(6547, 6558)",HYPOKALEMIA,HYPOKALEMIA,43339004,81987005,11161110-DS-13,"tion of intoxication, no withdrawal symptoms. # HYPOKALEMIA and # HYPOPHOSPHATEMIA: In the setting of DKA an" "Correct entity, wrong SNOMED ID","(6565, 6581)","(6565, 6581)",HYPOPHOSPHATEMIA,HYPOPHOSPHATEMIA,4996001,82236004,11161110-DS-13,"on, no withdrawal symptoms. # HYPOKALEMIA and # HYPOPHOSPHATEMIA: In the setting of DKA and GI losses. Repleted" "Correct entity, wrong SNOMED ID","(6611, 6620)","(6611, 6620)",GI losses,GI losses,47417003,59586001,11161110-DS-13,"d # HYPOPHOSPHATEMIA: In the setting of DKA and GI losses. Repleted IV and PO. =============== HOSPITAL" Missed entity,"(6632, 6634)",,IV,,386358000,,11161110-DS-13," In the setting of DKA and GI losses. Repleted IV and PO. =============== HOSPITAL COURSE ======" "Correct entity, wrong SNOMED ID","(6765, 6786)","(6765, 6786)",electrolyte repletion,electrolyte repletion,47451004,1153461008,11161110-DS-13," on the hospital floor while receiving continued electrolyte repletion. He was seen by the ___ Diabetes Educator, and d" "Correct entity, wrong SNOMED ID","(6849, 6865)","(6849, 6865)",stable condition,stable condition,359746009,193844000,11161110-DS-13," by the ___ Diabetes Educator, and discharged in stable condition. Medications on Admission: The Preadmission Me" "Correct entity, wrong SNOMED ID","(7752, 7767)","(7752, 7767)",Type 1 Diabetes,Type 1 Diabetes,46635009,28032008,11161110-DS-13,"gnosis: Primary: Diabetic Ketoacidosis Secondary: Type 1 Diabetes Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(7792, 7805)","(7792, 7805)",Mental Status,Mental Status,392257007,419284004,11161110-DS-13,"econdary: Type 1 Diabetes Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(7827, 7849)","(7827, 7849)",Level of Consciousness,Level of Consciousness,444714004,830285008,11161110-DS-13,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(7851, 7856)","(7851, 7856)",Alert,Alert,248234008,409787004,11161110-DS-13,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(7861, 7872)","(7861, 7872)",interactive,interactive,288577006,10301000202103,11161110-DS-13,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(7874, 7889)","(7874, 7889)",Activity Status,Activity Status,129676008,397622007,11161110-DS-13,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(7891, 7915)","(7891, 7915)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11161110-DS-13,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr ___, You wer" "Correct entity, wrong SNOMED ID","(8039, 8063)","(8039, 8063)",gastrointestinal illness,gastrointestinal illness,119292006,363219007,11161110-DS-13,"ketoaciodosis following insulin non-use during a gastrointestinal illness. You were treated and fortunately rapidly got be" False positive,,"(1934, 1940)",,Severe,,162470006,11180362-DS-10," report sent separately. Nuclear: IMPRESSION: 1) Severe myocardial perfusion defect involving the inferi" False positive,,"(2446, 2448)",,NC,,705056007,11180362-DS-10,"lesterol Social History: ___ Family History: NC Physical Exam: 98.3 118/78 78 20 95%RA GEN:" False positive,,"(3775, 3784)",,follow up,,1354473003,11180362-DS-10,"onal involvement of right ___ lobe. Radiographic follow up in 4 weeks after completion of antibiotics is re" False positive,,"(4363, 4375)",,levofloxacin,,96087006,11180362-DS-10,"uired Pneumonia: For pneumonia he was started on levofloxacin, renally dosed, and had symptomatic improvment, " False positive,,"(4597, 4608)",,white count,,391558003,11180362-DS-10,"zer treatments. diagnosis supported by symptoms, white count, and infiltrate. His fever curve trended down s" False positive,,"(6074, 6076)",,pp,,258731005,11180362-DS-10,"in. 6) Duodenal ulcer: He was maintained on home ppi. 7) ___ - an appointment was made with his PCP " False positive,,"(7391, 7395)",,CHES,,34730008,11180362-DS-10," Tablet, Sublingual Sig: One (1) Sublingual PRN CHEST PAIN. Discharge Disposition: Home Dischar" "Correct entity, wrong SNOMED ID","(178, 187)","(178, 187)",Glucotrol,Glucotrol,294734004,128383003,11180362-DS-10," Sex: M Service: MEDICINE Allergies: Glucotrol Attending: ___. Chief Complaint: cough Majo" "Correct entity, wrong SNOMED ID","(225, 230)","(225, 230)",cough,cough,49727002,28743005,11180362-DS-10,": Glucotrol Attending: ___. Chief Complaint: cough Major Surgical or Invasive Procedure: none Hi" "Correct entity, wrong SNOMED ID","(354, 362)","(354, 362)",diabetes,diabetes,73211009,9414007,11180362-DS-10,": The patient is an ___ y/o man with a history of diabetes, coronary disease, chronic systolic congestive h" "Correct entity, wrong SNOMED ID","(365, 381)","(365, 381)",coronary disease,coronary disease,53741008,315348000,11180362-DS-10,"nt is an ___ y/o man with a history of diabetes, coronary disease, chronic systolic congestive heart failure s/p I" Wrong span,"(391, 424)","(383, 424)",systolic congestive heart failure,chronic systolic congestive heart failure,426263006,441481004,11180362-DS-10,"a history of diabetes, coronary disease, chronic systolic congestive heart failure s/p ICD placement, who is admitted to the medica" Missed entity,"(468, 483)",,medical service,,373655009,,11180362-DS-10,"ailure s/p ICD placement, who is admitted to the medical service after presenting to the emergency department wit" Missed entity,"(509, 518)",,emergency,,182813001,,11180362-DS-10,"d to the medical service after presenting to the emergency department with fever and cough. He reports hav" "Correct entity, wrong SNOMED ID","(535, 540)","(535, 540)",fever,fever,386661006,248430002,11180362-DS-10,"fter presenting to the emergency department with fever and cough. He reports having symptoms for sever" "Correct entity, wrong SNOMED ID","(545, 550)","(545, 550)",cough,cough,49727002,28743005,11180362-DS-10,"enting to the emergency department with fever and cough. He reports having symptoms for several days wh" "Correct entity, wrong SNOMED ID","(613, 618)","(613, 618)",fever,fever,386661006,248430002,11180362-DS-10,"s having symptoms for several days which included fever as high as 103 today, cough productive of yellow" Missed entity,"(781, 793)",,azithromycin,,281789004,,11180362-DS-10,"with acute bronchitis and prescribed a course of azithromycin. He continued to feel poorly, spiking a high fev" Missed entity,"(812, 823)",,feel poorly,,367391008,,11180362-DS-10,"cribed a course of azithromycin. He continued to feel poorly, spiking a high fever to 103 and having extreme " "Correct entity, wrong SNOMED ID","(840, 845)","(840, 845)",fever,fever,386661006,248430002,11180362-DS-10,"cin. He continued to feel poorly, spiking a high fever to 103 and having extreme weakness ___ night. He" Missed entity,"(910, 913)",,PCP,,737470001,,11180362-DS-10,"ing extreme weakness ___ night. He contacted his PCP who recommend that he present to the ED. In t" Missed entity,"(952, 954)",,ED,,182813001,,11180362-DS-10,"ted his PCP who recommend that he present to the ED. In the ED, his vital signs were 98.5 88 157" "Correct entity, wrong SNOMED ID","(974, 985)","(974, 985)",vital signs,vital signs,118227000,72970002,11180362-DS-10,"end that he present to the ED. In the ED, his vital signs were 98.5 88 157/66 breathing at 24/min and sa" Missed entity,"(1008, 1017)",,breathing,,268925001,,11180362-DS-10," In the ED, his vital signs were 98.5 88 157/66 breathing at 24/min and sating 98%on room air. He was give" Missed entity,"(1043, 1054)",,on room air,,722742002,,11180362-DS-10,".5 88 157/66 breathing at 24/min and sating 98%on room air. He was given combivent, 1LNS, and 750mg levaqui" "Correct entity, wrong SNOMED ID","(1117, 1120)","(1117, 1120)",EKG,EKG,29303009,75444003,11180362-DS-10,"n combivent, 1LNS, and 750mg levaquin po x 1. an EKG was unchanged. Of note, he was recently admitte" Missed entity,"(1187, 1205)",,cardiology service,,310036006,,11180362-DS-10," Of note, he was recently admitted in ___ to the cardiology service epigastric pain. He ruled out for MI and a cardi" "Correct entity, wrong SNOMED ID","(1206, 1221)","(1206, 1221)",epigastric pain,epigastric pain,79922009,21005005,11180362-DS-10,"cently admitted in ___ to the cardiology service epigastric pain. He ruled out for MI and a cardiac catheterizati" "Correct entity, wrong SNOMED ID","(1250, 1273)","(1250, 1273)",cardiac catheterization,cardiac catheterization,41976001,59261000119100,11180362-DS-10,"rvice epigastric pain. He ruled out for MI and a cardiac catheterization was performed and was unchanged with stable 3 ve" "Correct entity, wrong SNOMED ID","(1312, 1318)","(1312, 1318)",stable,stable,359746009,301459008,11180362-DS-10,"eterization was performed and was unchanged with stable 3 vessel coronary disease. Past Medical Histo" "Correct entity, wrong SNOMED ID","(1374, 1377)","(1374, 1377)",CAD,CAD,53741008,84270004,11180362-DS-10,"sel coronary disease. Past Medical History: # CAD status post CABGx3 in ___ (first obtuse marginal " Missed entity,"(1378, 1389)",,status post,,19585003,,11180362-DS-10,"coronary disease. Past Medical History: # CAD status post CABGx3 in ___ (first obtuse marginal to left ant" "Correct entity, wrong SNOMED ID","(1390, 1396)","(1390, 1396)",CABGx3,CABGx3,232721002,232719007,11180362-DS-10,"ease. Past Medical History: # CAD status post CABGx3 in ___ (first obtuse marginal to left anterior d" "Correct entity, wrong SNOMED ID","(1411, 1426)","(1411, 1426)",obtuse marginal,obtuse marginal,51815003,1255187002,11180362-DS-10,"l History: # CAD status post CABGx3 in ___ (first obtuse marginal to left anterior descending artery, saphenous ve" "Correct entity, wrong SNOMED ID","(1464, 1484)","(1464, 1484)",saphenous vein graft,saphenous vein graft,736967001,312141006,11180362-DS-10,"use marginal to left anterior descending artery, saphenous vein graft to right coronary artery, and saphenous vein gra" "Correct entity, wrong SNOMED ID","(1488, 1510)","(1488, 1510)","right coronary artery","right coronary artery",13647002,362037006,11180362-DS-10,"terior descending artery, saphenous vein graft to right coronary artery, and saphenous vein graft to obtuse marginal/dia" "Correct entity, wrong SNOMED ID","(1516, 1536)","(1516, 1536)",saphenous vein graft,saphenous vein graft,736967001,312141006,11180362-DS-10,"phenous vein graft to right coronary artery, and saphenous vein graft to obtuse marginal/diagonal). # Cath from ___:" "Correct entity, wrong SNOMED ID","(1540, 1556)","(1540, 1556)","obtuse marginal","obtuse marginal",51815003,1255187002,11180362-DS-10,"ght coronary artery, and saphenous vein graft to obtuse marginal/diagonal). # Cath from ___: 1. Three vessel nat" "Correct entity, wrong SNOMED ID","(1557, 1565)","(1557, 1565)",diagonal,diagonal,44024001,257388006,11180362-DS-10,"ery, and saphenous vein graft to obtuse marginal/diagonal). # Cath from ___: 1. Three vessel native coron" "Correct entity, wrong SNOMED ID","(1572, 1576)","(1572, 1576)",Cath,Cath,41976001,28309003,11180362-DS-10,"ous vein graft to obtuse marginal/diagonal). # Cath from ___: 1. Three vessel native coronary artery " Wrong span,"(1590, 1634)","(1590, 1602)","Three vessel native coronary artery disease",Three vessel,233817007,281138005,11180362-DS-10,"obtuse marginal/diagonal). # Cath from ___: 1. Three vessel native coronary artery disease. 2. Mild left ventricular diastolic dysfunction. " Wrong span,"(1644, 1682)","(1639, 1682)",left ventricular diastolic dysfunction,Mild left ventricular diastolic dysfunction,395704004,395704004,11180362-DS-10,"e vessel native coronary artery disease. 2. Mild left ventricular diastolic dysfunction. 3. Patent SVG to Diagonal with patent jump segm" Missed entity,"(1688, 1694)",,Patent,,251023003,,11180362-DS-10," Mild left ventricular diastolic dysfunction. 3. Patent SVG to Diagonal with patent jump segment to OM2. " "Correct entity, wrong SNOMED ID","(1695, 1698)","(1695, 1698)",SVG,SVG,3546002,369368000,11180362-DS-10,"eft ventricular diastolic dysfunction. 3. Patent SVG to Diagonal with patent jump segment to OM2. 4. " Missed entity,"(1702, 1710)",,Diagonal,,44024001,,11180362-DS-10,"tricular diastolic dysfunction. 3. Patent SVG to Diagonal with patent jump segment to OM2. 4. Patent LIMA " Missed entity,"(1716, 1722)",,patent,,251023003,,11180362-DS-10,"olic dysfunction. 3. Patent SVG to Diagonal with patent jump segment to OM2. 4. Patent LIMA to LAD. # " "Correct entity, wrong SNOMED ID","(1739, 1742)","(1739, 1742)",OM2,OM2,91755000,278077005,11180362-DS-10,"atent SVG to Diagonal with patent jump segment to OM2. 4. Patent LIMA to LAD. # Stress from ___: EKG" Missed entity,"(1748, 1754)",,Patent,,251018003,,11180362-DS-10," to Diagonal with patent jump segment to OM2. 4. Patent LIMA to LAD. # Stress from ___: EKG: IMPRESSION" "Correct entity, wrong SNOMED ID","(1755, 1759)","(1755, 1759)",LIMA,LIMA,261402001,11752006,11180362-DS-10,"gonal with patent jump segment to OM2. 4. Patent LIMA to LAD. # Stress from ___: EKG: IMPRESSION: No " "Correct entity, wrong SNOMED ID","(1763, 1766)","(1763, 1766)",LAD,LAD,59438005,1010291002,11180362-DS-10,"th patent jump segment to OM2. 4. Patent LIMA to LAD. # Stress from ___: EKG: IMPRESSION: No anginal" Missed entity,"(1772, 1778)",,Stress,,46136006,,11180362-DS-10," jump segment to OM2. 4. Patent LIMA to LAD. # Stress from ___: EKG: IMPRESSION: No anginal symptoms or" "Correct entity, wrong SNOMED ID","(1789, 1792)","(1789, 1792)",EKG,EKG,29303009,75444003,11180362-DS-10,"OM2. 4. Patent LIMA to LAD. # Stress from ___: EKG: IMPRESSION: No anginal symptoms or ischemic EKG" Wrong span,"(1809, 1825)","(1809, 1816)",anginal symptoms,anginal,194828000,704207005,11180362-DS-10," to LAD. # Stress from ___: EKG: IMPRESSION: No anginal symptoms or ischemic EKG changes at the achieved workload" "Correct entity, wrong SNOMED ID","(1830, 1850)","(1830, 1850)",ischemic EKG changes,ischemic EKG changes,164861001,251144001,11180362-DS-10,"rom ___: EKG: IMPRESSION: No anginal symptoms or ischemic EKG changes at the achieved workload. Nuclear report sent se" "Correct entity, wrong SNOMED ID","(1941, 1969)","(1941, 1969)","myocardial perfusion defect","myocardial perfusion defect",251054004,251055003,11180362-DS-10," sent separately. Nuclear: IMPRESSION: 1) Severe myocardial perfusion defect involving the inferior wall shows partial revers" "Correct entity, wrong SNOMED ID","(1984, 1997)","(1984, 1997)",inferior wall,inferior wall,367598003,277703002,11180362-DS-10,"Severe myocardial perfusion defect involving the inferior wall shows partial reversibility in its apical region" Missed entity,"(2034, 2040)",,apical,,13383001,,11180362-DS-10,"inferior wall shows partial reversibility in its apical region. 2) Global hypokinesis with estimated EF " "Correct entity, wrong SNOMED ID","(2059, 2070)","(2059, 2070)",hypokinesis,hypokinesis,43994002,95633009,11180362-DS-10,"al reversibility in its apical region. 2) Global hypokinesis with estimated EF of 35%. Further evaluation by " "Correct entity, wrong SNOMED ID","(2106, 2116)","(2106, 2116)",evaluation,evaluation,386053000,39609006,11180362-DS-10,"al hypokinesis with estimated EF of 35%. Further evaluation by cardiac ECHO is recommended. # Chronic syst" "Correct entity, wrong SNOMED ID","(2120, 2132)","(2120, 2132)",cardiac ECHO,cardiac ECHO,40701008,433232009,11180362-DS-10," with estimated EF of 35%. Further evaluation by cardiac ECHO is recommended. # Chronic systolic CHF EF 35-4" Wrong span,"(2162, 2174)","(2154, 2174)",systolic CHF,Chronic systolic CHF,426263006,443253003,11180362-DS-10,"tion by cardiac ECHO is recommended. # Chronic systolic CHF EF 35-40% ___ # Hypertension # Diabetes melli" "Correct entity, wrong SNOMED ID","(2193, 2205)","(2193, 2205)",Hypertension,Hypertension,38341003,70995007,11180362-DS-10,"ended. # Chronic systolic CHF EF 35-40% ___ # Hypertension # Diabetes mellitus # Duodenal ulcer # Stat" "Correct entity, wrong SNOMED ID","(2210, 2227)","(2210, 2227)",Diabetes mellitus,Diabetes mellitus,73211009,931000172106,11180362-DS-10,"c systolic CHF EF 35-40% ___ # Hypertension # Diabetes mellitus # Duodenal ulcer # Status post appendectomy " "Correct entity, wrong SNOMED ID","(2232, 2246)","(2232, 2246)",Duodenal ulcer,Duodenal ulcer,51868009,196652006,11180362-DS-10,"0% ___ # Hypertension # Diabetes mellitus # Duodenal ulcer # Status post appendectomy # Status post impl" Missed entity,"(2251, 2262)",,Status post,,19585003,,11180362-DS-10,"sion # Diabetes mellitus # Duodenal ulcer # Status post appendectomy # Status post implantable cardiove" "Correct entity, wrong SNOMED ID","(2263, 2275)","(2263, 2275)",appendectomy,appendectomy,80146002,6025007,11180362-DS-10,"betes mellitus # Duodenal ulcer # Status post appendectomy # Status post implantable cardioverter-defibril" Wrong span,"(2292, 2330)","(2304, 2342)",implantable cardioverter-defibrillator,"cardioverter-defibrillator placement",233169004,428625001,11180362-DS-10,"lcer # Status post appendectomy # Status post implantable cardioverter-defibrillator placement for nonsustained ventricular tachycar" Wrong span,"(2333, 2342)","(2304, 2342)",placement,"cardioverter-defibrillator placement",782902008,428625001,11180362-DS-10,"tus post implantable cardioverter-defibrillator placement for nonsustained ventricular tachycardia # High" Wrong span,"(2347, 2383)","(2360, 2383)",nonsustained ventricular tachycardia,ventricular tachycardia,444658006,1163437003,11180362-DS-10,"ntable cardioverter-defibrillator placement for nonsustained ventricular tachycardia # High cholesterol Social History: ___ Fam" "Correct entity, wrong SNOMED ID","(2388, 2404)","(2388, 2404)",High cholesterol,High cholesterol,13644009,166830008,11180362-DS-10,"ment for nonsustained ventricular tachycardia # High cholesterol Social History: ___ Family History: NC Phy" "Correct entity, wrong SNOMED ID","(2491, 2493)","(2491, 2493)",RA,RA,722742002,463051000124105,11180362-DS-10,"ory: NC Physical Exam: 98.3 118/78 78 20 95%RA GEN: well appearing, not in any distress HEENT: d" "Correct entity, wrong SNOMED ID","(2494, 2497)","(2494, 2497)",GEN,GEN,162673000,420208008,11180362-DS-10,": NC Physical Exam: 98.3 118/78 78 20 95%RA GEN: well appearing, not in any distress HEENT: dry " "Correct entity, wrong SNOMED ID","(2499, 2513)","(2499, 2513)",well appearing,well appearing,397749000,102499006,11180362-DS-10," Physical Exam: 98.3 118/78 78 20 95%RA GEN: well appearing, not in any distress HEENT: dry mucus membranes," "Correct entity, wrong SNOMED ID","(2526, 2534)","(2526, 2534)",distress,distress,69328002,271825005,11180362-DS-10,"78 78 20 95%RA GEN: well appearing, not in any distress HEENT: dry mucus membranes, JVP not prominent CV" "Correct entity, wrong SNOMED ID","(2535, 2540)","(2535, 2540)",HEENT,HEENT,5880005,113665002,11180362-DS-10,"0 95%RA GEN: well appearing, not in any distress HEENT: dry mucus membranes, JVP not prominent CV: Irre" "Correct entity, wrong SNOMED ID","(2542, 2562)","(2542, 2562)",dry mucus membranes,dry mucus membranes,123640000,21697007,11180362-DS-10,"A GEN: well appearing, not in any distress HEENT: dry mucus membranes, JVP not prominent CV: Irregular s1, s2, no M/G/R" "Correct entity, wrong SNOMED ID","(2564, 2567)","(2564, 2567)",JVP,JVP,366163001,276766001,11180362-DS-10," not in any distress HEENT: dry mucus membranes, JVP not prominent CV: Irregular s1, s2, no M/G/R RESP" "Correct entity, wrong SNOMED ID","(2582, 2584)","(2582, 2584)",CV,CV,363003006,258773002,11180362-DS-10,"ss HEENT: dry mucus membranes, JVP not prominent CV: Irregular s1, s2, no M/G/R RESP: course breath s" Wrong span,"(2586, 2595)","(2586, 2598)",Irregular,Irregular s1,361137007,248651005,11180362-DS-10,"EENT: dry mucus membranes, JVP not prominent CV: Irregular s1, s2, no M/G/R RESP: course breath sounds @ bas" Wrong span,"(2596, 2602)","(2586, 2598)","s1, s2",Irregular s1,301132007,248651005,11180362-DS-10," mucus membranes, JVP not prominent CV: Irregular s1, s2, no M/G/R RESP: course breath sounds @ bases, but" Boundary error,"(2604, 2612)","(2604, 2610)",no M/G/R,no M/G,123824001,408168009,11180362-DS-10,"embranes, JVP not prominent CV: Irregular s1, s2, no M/G/R RESP: course breath sounds @ bases, but no crackl" "Correct entity, wrong SNOMED ID","(2613, 2617)","(2613, 2617)",RESP,RESP,268925001,20139000,11180362-DS-10," JVP not prominent CV: Irregular s1, s2, no M/G/R RESP: course breath sounds @ bases, but no crackles or" "Correct entity, wrong SNOMED ID","(2619, 2639)","(2619, 2639)",course breath sounds,course breath sounds,301273002,106051002,11180362-DS-10,"ot prominent CV: Irregular s1, s2, no M/G/R RESP: course breath sounds @ bases, but no crackles or wheezing. ABD: soft" "Correct entity, wrong SNOMED ID","(2642, 2647)","(2642, 2647)",bases,bases,10024003,417082000,11180362-DS-10,"lar s1, s2, no M/G/R RESP: course breath sounds @ bases, but no crackles or wheezing. ABD: soft, protub" "Correct entity, wrong SNOMED ID","(2668, 2676)","(2668, 2676)",wheezing,wheezing,56018004,9763007,11180362-DS-10," course breath sounds @ bases, but no crackles or wheezing. ABD: soft, protuberent, non-tender EXT; trace " "Correct entity, wrong SNOMED ID","(2680, 2683)","(2680, 2683)",ABD,ABD,225162003,60728008,11180362-DS-10,"th sounds @ bases, but no crackles or wheezing. ABD: soft, protuberent, non-tender EXT; trace pitting" Missed entity,"(2691, 2702)",,protuberent,,60728008,,11180362-DS-10," bases, but no crackles or wheezing. ABD: soft, protuberent, non-tender EXT; trace pitting edema Pertinent " "Correct entity, wrong SNOMED ID","(2704, 2714)","(2704, 2714)",non-tender,non-tender,43478001,298741000,11180362-DS-10,"o crackles or wheezing. ABD: soft, protuberent, non-tender EXT; trace pitting edema Pertinent Results: LAB" "Correct entity, wrong SNOMED ID","(2715, 2718)","(2715, 2718)",EXT,EXT,302773001,1489008,11180362-DS-10,"or wheezing. ABD: soft, protuberent, non-tender EXT; trace pitting edema Pertinent Results: LABS ON" Wrong span,"(2734, 2739)","(2726, 2739)",edema,pitting edema,267038008,445281006,11180362-DS-10," soft, protuberent, non-tender EXT; trace pitting edema Pertinent Results: LABS ON ADMISSION: ___ 12:15" "Correct entity, wrong SNOMED ID","(2794, 2797)","(2794, 2797)",WBC,WBC,767002,391558003,11180362-DS-10,"rtinent Results: LABS ON ADMISSION: ___ 12:15PM WBC-13.1*# RBC-3.93* HGB-12.0* HCT-34.5* MCV-88 MCH-" "Correct entity, wrong SNOMED ID","(2805, 2808)","(2805, 2808)",RBC,RBC,14089001,258759006,11180362-DS-10,"ults: LABS ON ADMISSION: ___ 12:15PM WBC-13.1*# RBC-3.93* HGB-12.0* HCT-34.5* MCV-88 MCH-30.5 MCHC-3" "Correct entity, wrong SNOMED ID","(2815, 2818)","(2815, 2818)",HGB,HGB,441689006,104142005,11180362-DS-10," ON ADMISSION: ___ 12:15PM WBC-13.1*# RBC-3.93* HGB-12.0* HCT-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13" "Correct entity, wrong SNOMED ID","(2825, 2828)","(2825, 2828)",HCT,HCT,28317006,840276005,11180362-DS-10,"ION: ___ 12:15PM WBC-13.1*# RBC-3.93* HGB-12.0* HCT-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 ___ 12:" "Correct entity, wrong SNOMED ID","(2843, 2846)","(2843, 2846)",MCH,MCH,54706004,735147002,11180362-DS-10," WBC-13.1*# RBC-3.93* HGB-12.0* HCT-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 ___ 12:15PM GLUCOSE-178" "Correct entity, wrong SNOMED ID","(2852, 2856)","(2852, 2856)",MCHC,MCHC,37254006,735147002,11180362-DS-10,"*# RBC-3.93* HGB-12.0* HCT-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 ___ 12:15PM GLUCOSE-178* UREA N-3" "Correct entity, wrong SNOMED ID","(2862, 2865)","(2862, 2865)",RDW,RDW,66842004,735149004,11180362-DS-10,"3* HGB-12.0* HCT-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 ___ 12:15PM GLUCOSE-178* UREA N-36* CREAT-" "Correct entity, wrong SNOMED ID","(2885, 2892)","(2885, 2892)",GLUCOSE,GLUCOSE,33747003,72191006,11180362-DS-10," MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 ___ 12:15PM GLUCOSE-178* UREA N-36* CREAT-1.6* SODIUM-137 POTASSIUM-" "Correct entity, wrong SNOMED ID","(2909, 2914)","(2909, 2914)",CREAT,CREAT,70901006,413856009,11180362-DS-10,".8 RDW-13.3 ___ 12:15PM GLUCOSE-178* UREA N-36* CREAT-1.6* SODIUM-137 POTASSIUM-4.7 CHLORIDE-101 TOTAL" "Correct entity, wrong SNOMED ID","(2920, 2926)","(2920, 2926)",SODIUM,SODIUM,25197003,104934005,11180362-DS-10," ___ 12:15PM GLUCOSE-178* UREA N-36* CREAT-1.6* SODIUM-137 POTASSIUM-4.7 CHLORIDE-101 TOTAL CO2-27 ANIO" "Correct entity, wrong SNOMED ID","(2932, 2941)","(2932, 2941)",POTASSIUM,POTASSIUM,59573005,1149432009,11180362-DS-10," GLUCOSE-178* UREA N-36* CREAT-1.6* SODIUM-137 POTASSIUM-4.7 CHLORIDE-101 TOTAL CO2-27 ANION GAP-14 ___ 12" "Correct entity, wrong SNOMED ID","(2946, 2954)","(2946, 2954)",CHLORIDE,CHLORIDE,104589004,108447000,11180362-DS-10,"* UREA N-36* CREAT-1.6* SODIUM-137 POTASSIUM-4.7 CHLORIDE-101 TOTAL CO2-27 ANION GAP-14 ___ 12:15PM BLOOD W" "Correct entity, wrong SNOMED ID","(2972, 2981)","(2972, 2981)",ANION GAP,ANION GAP,25469001,237854004,11180362-DS-10,"DIUM-137 POTASSIUM-4.7 CHLORIDE-101 TOTAL CO2-27 ANION GAP-14 ___ 12:15PM BLOOD WBC-13.1*# RBC-3.93* Hgb-12." "Correct entity, wrong SNOMED ID","(3003, 3006)","(3003, 3006)",WBC,WBC,767002,391558003,11180362-DS-10,"E-101 TOTAL CO2-27 ANION GAP-14 ___ 12:15PM BLOOD WBC-13.1*# RBC-3.93* Hgb-12.0* Hct-34.5* MCV-88 MCH-" "Correct entity, wrong SNOMED ID","(3014, 3017)","(3014, 3017)",RBC,RBC,14089001,258759006,11180362-DS-10," CO2-27 ANION GAP-14 ___ 12:15PM BLOOD WBC-13.1*# RBC-3.93* Hgb-12.0* Hct-34.5* MCV-88 MCH-30.5 MCHC-3" "Correct entity, wrong SNOMED ID","(3024, 3027)","(3024, 3027)",Hgb,Hgb,441689006,104142005,11180362-DS-10,"ION GAP-14 ___ 12:15PM BLOOD WBC-13.1*# RBC-3.93* Hgb-12.0* Hct-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13" "Correct entity, wrong SNOMED ID","(3034, 3037)","(3034, 3037)",Hct,Hct,28317006,840276005,11180362-DS-10," ___ 12:15PM BLOOD WBC-13.1*# RBC-3.93* Hgb-12.0* Hct-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 Plt ___" "Correct entity, wrong SNOMED ID","(3052, 3055)","(3052, 3055)",MCH,MCH,54706004,735147002,11180362-DS-10," WBC-13.1*# RBC-3.93* Hgb-12.0* Hct-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 Plt ___ ___ 06:10AM BLOOD" "Correct entity, wrong SNOMED ID","(3061, 3065)","(3061, 3065)",MCHC,MCHC,37254006,735147002,11180362-DS-10,"*# RBC-3.93* Hgb-12.0* Hct-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 Plt ___ ___ 06:10AM BLOOD WBC-10.8 " "Correct entity, wrong SNOMED ID","(3071, 3074)","(3071, 3074)",RDW,RDW,66842004,735149004,11180362-DS-10,"3* Hgb-12.0* Hct-34.5* MCV-88 MCH-30.5 MCHC-34.8 RDW-13.3 Plt ___ ___ 06:10AM BLOOD WBC-10.8 RBC-3.66*" "Correct entity, wrong SNOMED ID","(3106, 3109)","(3106, 3109)",WBC,WBC,767002,391558003,11180362-DS-10,"30.5 MCHC-34.8 RDW-13.3 Plt ___ ___ 06:10AM BLOOD WBC-10.8 RBC-3.66* Hgb-10.9* Hct-32.1* MCV-88 MCH-29" "Correct entity, wrong SNOMED ID","(3115, 3118)","(3115, 3118)",RBC,RBC,14089001,258759006,11180362-DS-10,"-34.8 RDW-13.3 Plt ___ ___ 06:10AM BLOOD WBC-10.8 RBC-3.66* Hgb-10.9* Hct-32.1* MCV-88 MCH-29.7 MCHC-3" "Correct entity, wrong SNOMED ID","(3125, 3128)","(3125, 3128)",Hgb,Hgb,441689006,104142005,11180362-DS-10,"13.3 Plt ___ ___ 06:10AM BLOOD WBC-10.8 RBC-3.66* Hgb-10.9* Hct-32.1* MCV-88 MCH-29.7 MCHC-33.9 RDW-12" "Correct entity, wrong SNOMED ID","(3135, 3138)","(3135, 3138)",Hct,Hct,28317006,840276005,11180362-DS-10,"__ ___ 06:10AM BLOOD WBC-10.8 RBC-3.66* Hgb-10.9* Hct-32.1* MCV-88 MCH-29.7 MCHC-33.9 RDW-12.9 Plt ___" "Correct entity, wrong SNOMED ID","(3153, 3156)","(3153, 3156)",MCH,MCH,54706004,735147002,11180362-DS-10,"OD WBC-10.8 RBC-3.66* Hgb-10.9* Hct-32.1* MCV-88 MCH-29.7 MCHC-33.9 RDW-12.9 Plt ___ ___ 06:10AM BLOOD" "Correct entity, wrong SNOMED ID","(3162, 3166)","(3162, 3166)",MCHC,MCHC,37254006,735147002,11180362-DS-10,".8 RBC-3.66* Hgb-10.9* Hct-32.1* MCV-88 MCH-29.7 MCHC-33.9 RDW-12.9 Plt ___ ___ 06:10AM BLOOD WBC-6.9 R" "Correct entity, wrong SNOMED ID","(3172, 3175)","(3172, 3175)",RDW,RDW,66842004,735149004,11180362-DS-10,"6* Hgb-10.9* Hct-32.1* MCV-88 MCH-29.7 MCHC-33.9 RDW-12.9 Plt ___ ___ 06:10AM BLOOD WBC-6.9 RBC-3.66* " "Correct entity, wrong SNOMED ID","(3207, 3210)","(3207, 3210)",WBC,WBC,767002,391558003,11180362-DS-10,"29.7 MCHC-33.9 RDW-12.9 Plt ___ ___ 06:10AM BLOOD WBC-6.9 RBC-3.66* Hgb-10.8* Hct-32.4* MCV-88 MCH-29." "Correct entity, wrong SNOMED ID","(3215, 3218)","(3215, 3218)",RBC,RBC,14089001,258759006,11180362-DS-10,"C-33.9 RDW-12.9 Plt ___ ___ 06:10AM BLOOD WBC-6.9 RBC-3.66* Hgb-10.8* Hct-32.4* MCV-88 MCH-29.6 MCHC-3" "Correct entity, wrong SNOMED ID","(3225, 3228)","(3225, 3228)",Hgb,Hgb,441689006,104142005,11180362-DS-10,"-12.9 Plt ___ ___ 06:10AM BLOOD WBC-6.9 RBC-3.66* Hgb-10.8* Hct-32.4* MCV-88 MCH-29.6 MCHC-33.5 RDW-13" "Correct entity, wrong SNOMED ID","(3235, 3238)","(3235, 3238)",Hct,Hct,28317006,840276005,11180362-DS-10,"___ ___ 06:10AM BLOOD WBC-6.9 RBC-3.66* Hgb-10.8* Hct-32.4* MCV-88 MCH-29.6 MCHC-33.5 RDW-13.2 Plt ___" "Correct entity, wrong SNOMED ID","(3253, 3256)","(3253, 3256)",MCH,MCH,54706004,735147002,11180362-DS-10,"OOD WBC-6.9 RBC-3.66* Hgb-10.8* Hct-32.4* MCV-88 MCH-29.6 MCHC-33.5 RDW-13.2 Plt ___ ___ 12:15PM BLOOD" "Correct entity, wrong SNOMED ID","(3262, 3266)","(3262, 3266)",MCHC,MCHC,37254006,735147002,11180362-DS-10,".9 RBC-3.66* Hgb-10.8* Hct-32.4* MCV-88 MCH-29.6 MCHC-33.5 RDW-13.2 Plt ___ ___ 12:15PM BLOOD Glucose-1" "Correct entity, wrong SNOMED ID","(3272, 3275)","(3272, 3275)",RDW,RDW,66842004,735149004,11180362-DS-10,"6* Hgb-10.8* Hct-32.4* MCV-88 MCH-29.6 MCHC-33.5 RDW-13.2 Plt ___ ___ 12:15PM BLOOD Glucose-178* UreaN" "Correct entity, wrong SNOMED ID","(3307, 3314)","(3307, 3314)",Glucose,Glucose,33747003,72191006,11180362-DS-10,"29.6 MCHC-33.5 RDW-13.2 Plt ___ ___ 12:15PM BLOOD Glucose-178* UreaN-36* Creat-1.6* Na-137 K-4.7 Cl-101 HC" "Correct entity, wrong SNOMED ID","(3320, 3325)","(3320, 3325)",UreaN,UreaN,105011006,111108008,11180362-DS-10,"5 RDW-13.2 Plt ___ ___ 12:15PM BLOOD Glucose-178* UreaN-36* Creat-1.6* Na-137 K-4.7 Cl-101 HCO3-27 AnGap" "Correct entity, wrong SNOMED ID","(3330, 3335)","(3330, 3335)",Creat,Creat,70901006,413856009,11180362-DS-10," Plt ___ ___ 12:15PM BLOOD Glucose-178* UreaN-36* Creat-1.6* Na-137 K-4.7 Cl-101 HCO3-27 AnGap-14 ___ 06" "Correct entity, wrong SNOMED ID","(3341, 3343)","(3341, 3343)",Na,Na,312469006,257992007,11180362-DS-10,"_ 12:15PM BLOOD Glucose-178* UreaN-36* Creat-1.6* Na-137 K-4.7 Cl-101 HCO3-27 AnGap-14 ___ 06:10AM BL" "Correct entity, wrong SNOMED ID","(3355, 3357)","(3355, 3357)",Cl,Cl,104589004,311741002,11180362-DS-10,"D Glucose-178* UreaN-36* Creat-1.6* Na-137 K-4.7 Cl-101 HCO3-27 AnGap-14 ___ 06:10AM BLOOD Glucose-13" "Correct entity, wrong SNOMED ID","(3362, 3366)","(3362, 3366)",HCO3,HCO3,312471006,88645003,11180362-DS-10,"se-178* UreaN-36* Creat-1.6* Na-137 K-4.7 Cl-101 HCO3-27 AnGap-14 ___ 06:10AM BLOOD Glucose-135* UreaN-" "Correct entity, wrong SNOMED ID","(3370, 3375)","(3370, 3375)",AnGap,AnGap,25469001,124504004,11180362-DS-10,"UreaN-36* Creat-1.6* Na-137 K-4.7 Cl-101 HCO3-27 AnGap-14 ___ 06:10AM BLOOD Glucose-135* UreaN-34* Creat" "Correct entity, wrong SNOMED ID","(3397, 3404)","(3397, 3404)",Glucose,Glucose,33747003,72191006,11180362-DS-10," K-4.7 Cl-101 HCO3-27 AnGap-14 ___ 06:10AM BLOOD Glucose-135* UreaN-34* Creat-1.6* Na-136 K-4.0 Cl-102 HC" "Correct entity, wrong SNOMED ID","(3410, 3415)","(3410, 3415)",UreaN,UreaN,105011006,111108008,11180362-DS-10,"1 HCO3-27 AnGap-14 ___ 06:10AM BLOOD Glucose-135* UreaN-34* Creat-1.6* Na-136 K-4.0 Cl-102 HCO3-24 AnGap" "Correct entity, wrong SNOMED ID","(3420, 3425)","(3420, 3425)",Creat,Creat,70901006,413856009,11180362-DS-10,"AnGap-14 ___ 06:10AM BLOOD Glucose-135* UreaN-34* Creat-1.6* Na-136 K-4.0 Cl-102 HCO3-24 AnGap-14 ___ 06" "Correct entity, wrong SNOMED ID","(3431, 3433)","(3431, 3433)",Na,Na,312469006,257992007,11180362-DS-10,"_ 06:10AM BLOOD Glucose-135* UreaN-34* Creat-1.6* Na-136 K-4.0 Cl-102 HCO3-24 AnGap-14 ___ 06:10AM BL" "Correct entity, wrong SNOMED ID","(3445, 3447)","(3445, 3447)",Cl,Cl,104589004,311741002,11180362-DS-10,"D Glucose-135* UreaN-34* Creat-1.6* Na-136 K-4.0 Cl-102 HCO3-24 AnGap-14 ___ 06:10AM BLOOD Glucose-15" "Correct entity, wrong SNOMED ID","(3452, 3456)","(3452, 3456)",HCO3,HCO3,312471006,88645003,11180362-DS-10,"se-135* UreaN-34* Creat-1.6* Na-136 K-4.0 Cl-102 HCO3-24 AnGap-14 ___ 06:10AM BLOOD Glucose-158* UreaN-" "Correct entity, wrong SNOMED ID","(3460, 3465)","(3460, 3465)",AnGap,AnGap,25469001,124504004,11180362-DS-10,"UreaN-34* Creat-1.6* Na-136 K-4.0 Cl-102 HCO3-24 AnGap-14 ___ 06:10AM BLOOD Glucose-158* UreaN-28* Creat" "Correct entity, wrong SNOMED ID","(3487, 3494)","(3487, 3494)",Glucose,Glucose,33747003,72191006,11180362-DS-10," K-4.0 Cl-102 HCO3-24 AnGap-14 ___ 06:10AM BLOOD Glucose-158* UreaN-28* Creat-1.3* Na-136 K-3.9 Cl-103 HC" "Correct entity, wrong SNOMED ID","(3500, 3505)","(3500, 3505)",UreaN,UreaN,105011006,111108008,11180362-DS-10,"2 HCO3-24 AnGap-14 ___ 06:10AM BLOOD Glucose-158* UreaN-28* Creat-1.3* Na-136 K-3.9 Cl-103 HCO3-26 AnGap" "Correct entity, wrong SNOMED ID","(3510, 3515)","(3510, 3515)",Creat,Creat,70901006,413856009,11180362-DS-10,"AnGap-14 ___ 06:10AM BLOOD Glucose-158* UreaN-28* Creat-1.3* Na-136 K-3.9 Cl-103 HCO3-26 AnGap-11 ___ 12" "Correct entity, wrong SNOMED ID","(3521, 3523)","(3521, 3523)",Na,Na,312469006,257992007,11180362-DS-10,"_ 06:10AM BLOOD Glucose-158* UreaN-28* Creat-1.3* Na-136 K-3.9 Cl-103 HCO3-26 AnGap-11 ___ 12:15PM BL" "Correct entity, wrong SNOMED ID","(3535, 3537)","(3535, 3537)",Cl,Cl,104589004,311741002,11180362-DS-10,"D Glucose-158* UreaN-28* Creat-1.3* Na-136 K-3.9 Cl-103 HCO3-26 AnGap-11 ___ 12:15PM BLOOD ALT-24 AST" "Correct entity, wrong SNOMED ID","(3542, 3546)","(3542, 3546)",HCO3,HCO3,312471006,88645003,11180362-DS-10,"se-158* UreaN-28* Creat-1.3* Na-136 K-3.9 Cl-103 HCO3-26 AnGap-11 ___ 12:15PM BLOOD ALT-24 AST-25 AlkPh" "Correct entity, wrong SNOMED ID","(3550, 3555)","(3550, 3555)",AnGap,AnGap,25469001,124504004,11180362-DS-10,"UreaN-28* Creat-1.3* Na-136 K-3.9 Cl-103 HCO3-26 AnGap-11 ___ 12:15PM BLOOD ALT-24 AST-25 AlkPhos-54 Tot" "Correct entity, wrong SNOMED ID","(3577, 3580)","(3577, 3580)",ALT,ALT,34608000,56935002,11180362-DS-10," K-3.9 Cl-103 HCO3-26 AnGap-11 ___ 12:15PM BLOOD ALT-24 AST-25 AlkPhos-54 TotBili-1.1 ___ 06:10AM BLOO" "Correct entity, wrong SNOMED ID","(3584, 3587)","(3584, 3587)",AST,AST,45896001,85043005,11180362-DS-10," Cl-103 HCO3-26 AnGap-11 ___ 12:15PM BLOOD ALT-24 AST-25 AlkPhos-54 TotBili-1.1 ___ 06:10AM BLOOD Calci" "Correct entity, wrong SNOMED ID","(3591, 3598)","(3591, 3598)",AlkPhos,AlkPhos,88810008,30703008,11180362-DS-10," HCO3-26 AnGap-11 ___ 12:15PM BLOOD ALT-24 AST-25 AlkPhos-54 TotBili-1.1 ___ 06:10AM BLOOD Calcium-8.5 Phos" "Correct entity, wrong SNOMED ID","(3602, 3609)","(3602, 3609)",TotBili,TotBili,359986008,424388002,11180362-DS-10,"Gap-11 ___ 12:15PM BLOOD ALT-24 AST-25 AlkPhos-54 TotBili-1.1 ___ 06:10AM BLOOD Calcium-8.5 Phos-2.9 Mg-1.9" "Correct entity, wrong SNOMED ID","(3632, 3639)","(3632, 3639)",Calcium,Calcium,312472004,108601004,11180362-DS-10,"4 AST-25 AlkPhos-54 TotBili-1.1 ___ 06:10AM BLOOD Calcium-8.5 Phos-2.9 Mg-1.9 STUDIES: CXR ___: Left lowe" "Correct entity, wrong SNOMED ID","(3644, 3648)","(3644, 3648)",Phos,Phos,104868000,168075002,11180362-DS-10,"Phos-54 TotBili-1.1 ___ 06:10AM BLOOD Calcium-8.5 Phos-2.9 Mg-1.9 STUDIES: CXR ___: Left lower lobe pn" "Correct entity, wrong SNOMED ID","(3653, 3655)","(3653, 3655)",Mg,Mg,271285000,258684004,11180362-DS-10,"otBili-1.1 ___ 06:10AM BLOOD Calcium-8.5 Phos-2.9 Mg-1.9 STUDIES: CXR ___: Left lower lobe pneumonia" "Correct entity, wrong SNOMED ID","(3680, 3705)","(3680, 3705)",Left lower lobe pneumonia,Left lower lobe pneumonia,41224006,301000005,11180362-DS-10,"D Calcium-8.5 Phos-2.9 Mg-1.9 STUDIES: CXR ___: Left lower lobe pneumonia and possible additional involvement of right ___" Wrong span,"(3746, 3760)","(3746, 3751)",right ___ lobe,right,266005,225794002,11180362-DS-10,"pneumonia and possible additional involvement of right ___ lobe. Radiographic follow up in 4 weeks after complet" "Correct entity, wrong SNOMED ID","(3817, 3828)","(3817, 3828)",antibiotics,antibiotics,281789004,372599003,11180362-DS-10,"graphic follow up in 4 weeks after completion of antibiotics is recommended to ensure resolution. MICRO: __" Missed entity,"(3847, 3853)",,ensure,,386053000,,11180362-DS-10,"after completion of antibiotics is recommended to ensure resolution. MICRO: ___ - BCX - pending at time" Missed entity,"(3855, 3865)",,resolution,,413322009,,11180362-DS-10,"mpletion of antibiotics is recommended to ensure resolution. MICRO: ___ - BCX - pending at time of discharg" "Correct entity, wrong SNOMED ID","(3882, 3885)","(3882, 3885)",BCX,BCX,30088009,89619004,11180362-DS-10,"recommended to ensure resolution. MICRO: ___ - BCX - pending at time of discharge. ___ - UCX - pend" "Correct entity, wrong SNOMED ID","(3925, 3928)","(3925, 3928)",UCX,UCX,117010004,257999003,11180362-DS-10," ___ - BCX - pending at time of discharge. ___ - UCX - pending at time of discharge. ___ - BCx - pendi" "Correct entity, wrong SNOMED ID","(3967, 3970)","(3967, 3970)",BCx,BCx,30088009,89619004,11180362-DS-10," ___ - UCX - pending at time of discharge. ___ - BCx - pending at tiem of discharge. ___ - Sputum Cx " "Correct entity, wrong SNOMED ID","(4010, 4019)","(4010, 4019)",Sputum Cx,Sputum Cx,104173009,37705003,11180362-DS-10," ___ - BCx - pending at tiem of discharge. ___ - Sputum Cx - oral flora. ___ - Urine Legionella - Negative." "Correct entity, wrong SNOMED ID","(4022, 4026)","(4022, 4026)",oral,oral,386359008,129080004,11180362-DS-10," pending at tiem of discharge. ___ - Sputum Cx - oral flora. ___ - Urine Legionella - Negative. ___ -" "Correct entity, wrong SNOMED ID","(4041, 4046)","(4041, 4046)",Urine,Urine,117010004,78888000,11180362-DS-10," discharge. ___ - Sputum Cx - oral flora. ___ - Urine Legionella - Negative. ___ - BCx - pending at ti" Missed entity,"(4060, 4068)",,Negative,,281900007,,11180362-DS-10,"Sputum Cx - oral flora. ___ - Urine Legionella - Negative. ___ - BCx - pending at time of discharge. Br" "Correct entity, wrong SNOMED ID","(4077, 4080)","(4077, 4080)",BCx,BCx,30088009,89619004,11180362-DS-10,"flora. ___ - Urine Legionella - Negative. ___ - BCx - pending at time of discharge. Brief Hospital" "Correct entity, wrong SNOMED ID","(4167, 4175)","(4167, 4175)",diabetes,diabetes,73211009,9414007,11180362-DS-10,"rief Hospital Course: This is an ___ y/o man with diabetes, coronary disease, systolic heart failure and ch" "Correct entity, wrong SNOMED ID","(4177, 4193)","(4177, 4193)",coronary disease,coronary disease,53741008,315348000,11180362-DS-10,"tal Course: This is an ___ y/o man with diabetes, coronary disease, systolic heart failure and chronic kidney disea" "Correct entity, wrong SNOMED ID","(4195, 4218)","(4195, 4218)","systolic heart failure","systolic heart failure",417996009,441481004,11180362-DS-10,"s an ___ y/o man with diabetes, coronary disease, systolic heart failure and chronic kidney disease admitted with pneumoni" "Correct entity, wrong SNOMED ID","(4260, 4269)","(4260, 4269)",pneumonia,pneumonia,233604007,415125002,11180362-DS-10," failure and chronic kidney disease admitted with pneumonia and acute renal failure. 1) Community Acquired " "Correct entity, wrong SNOMED ID","(4275, 4294)","(4275, 4294)",acute renal failure,acute renal failure,14669001,12245621000119102,11180362-DS-10,"ronic kidney disease admitted with pneumonia and acute renal failure. 1) Community Acquired Pneumonia: For pneumonia " "Correct entity, wrong SNOMED ID","(4334, 4343)","(4334, 4343)",pneumonia,pneumonia,233604007,415125002,11180362-DS-10,"al failure. 1) Community Acquired Pneumonia: For pneumonia he was started on levofloxacin, renally dosed, a" Missed entity,"(4412, 4422)",,improvment,,268910001,,11180362-DS-10," levofloxacin, renally dosed, and had symptomatic improvment, improved oxygenation, and leukocytosis rapidly." Wrong span,"(4425, 4433)","(4425, 4445)",improved,improved oxygenation,268910001,276732005,11180362-DS-10,", renally dosed, and had symptomatic improvment, improved oxygenation, and leukocytosis rapidly. He was als" Wrong span,"(4434, 4445)","(4425, 4445)",oxygenation,improved oxygenation,284032008,276732005,11180362-DS-10," dosed, and had symptomatic improvment, improved oxygenation, and leukocytosis rapidly. He was also given gua" "Correct entity, wrong SNOMED ID","(4451, 4463)","(4451, 4463)",leukocytosis,leukocytosis,111583006,65209002,11180362-DS-10,"ymptomatic improvment, improved oxygenation, and leukocytosis rapidly. He was also given guaifenesin with code" "Correct entity, wrong SNOMED ID","(4530, 4535)","(4530, 4535)",cough,cough,49727002,28743005,11180362-DS-10,"also given guaifenesin with codeine to help with cough, and nebulizer treatments. diagnosis supported b" "Correct entity, wrong SNOMED ID","(4541, 4562)","(4541, 4562)","nebulizer treatments","nebulizer treatments",56251003,708409001,11180362-DS-10," guaifenesin with codeine to help with cough, and nebulizer treatments. diagnosis supported by symptoms, white count, an" "Correct entity, wrong SNOMED ID","(4615, 4625)","(4615, 4625)",infiltrate,infiltrate,231287002,26246006,11180362-DS-10,"iagnosis supported by symptoms, white count, and infiltrate. His fever curve trended down slowly, with Tmax " "Correct entity, wrong SNOMED ID","(4632, 4637)","(4632, 4637)",fever,fever,386661006,248430002,11180362-DS-10,"d by symptoms, white count, and infiltrate. His fever curve trended down slowly, with Tmax 101.4 on __" Missed entity,"(4745, 4757)",,instructions,,394835006,,11180362-DS-10,"00.6 on ___. He was discharged home on ___ with instructions to complete a 7 day course of antibiotics, with " "Correct entity, wrong SNOMED ID","(4789, 4800)","(4789, 4800)",antibiotics,antibiotics,281789004,372599003,11180362-DS-10," with instructions to complete a 7 day course of antibiotics, with levaquin 750mg po q48hrs, last dose on ___." Missed entity,"(4921, 4927)",,ensure,,386053000,,11180362-DS-10,"on ___, repeat CXR was recommended in 4 weeks to ensure resolution of his infiltrate. ( IMPRESSION : Lef" Missed entity,"(4928, 4938)",,resolution,,413322009,,11180362-DS-10," repeat CXR was recommended in 4 weeks to ensure resolution of his infiltrate. ( IMPRESSION : Left lower lo" "Correct entity, wrong SNOMED ID","(4946, 4956)","(4946, 4956)",infiltrate,infiltrate,231287002,26246006,11180362-DS-10,"commended in 4 weeks to ensure resolution of his infiltrate. ( IMPRESSION : Left lower lobe pneumonia and p" "Correct entity, wrong SNOMED ID","(4974, 5000)","(4974, 5000)","Left lower lobe pneumonia","Left lower lobe pneumonia",41224006,301000005,11180362-DS-10,"ure resolution of his infiltrate. ( IMPRESSION : Left lower lobe pneumonia and possible additional involvement of right low" "Correct entity, wrong SNOMED ID","(5041, 5057)","(5041, 5057)",right lower lobe,right lower lobe,266005,200384002,11180362-DS-10,"pneumonia and possible additional involvement of right lower lobe. Radiographic follow up in 4 weeks after completi" "Correct entity, wrong SNOMED ID","(5059, 5071)","(5059, 5071)",Radiographic,Radiographic,363679005,363680008,11180362-DS-10,"ible additional involvement of right lower lobe. Radiographic follow up in 4 weeks after completion of antibiot" "Correct entity, wrong SNOMED ID","(5072, 5081)","(5072, 5081)",follow up,follow up,281036007,1354473003,11180362-DS-10,"al involvement of right lower lobe. Radiographic follow up in 4 weeks after completion of antibiotics is rec" "Correct entity, wrong SNOMED ID","(5113, 5124)","(5113, 5124)",antibiotics,antibiotics,281789004,372599003,11180362-DS-10,"ographic follow up in 4 weeks after completion of antibiotics is recommended to ensure resolution). 2) Acut" Missed entity,"(5143, 5149)",,ensure,,386053000,,11180362-DS-10,"after completion of antibiotics is recommended to ensure resolution). 2) Acute Renal Failure: This was" Missed entity,"(5150, 5160)",,resolution,,413322009,,11180362-DS-10,"ompletion of antibiotics is recommended to ensure resolution). 2) Acute Renal Failure: This was thought du" "Correct entity, wrong SNOMED ID","(5170, 5189)","(5170, 5189)",Acute Renal Failure,Acute Renal Failure,14669001,12245621000119102,11180362-DS-10,"tics is recommended to ensure resolution). 2) Acute Renal Failure: This was thought due to dehydration from his ac" "Correct entity, wrong SNOMED ID","(5215, 5226)","(5215, 5226)",dehydration,dehydration,34095006,1611000119108,11180362-DS-10," 2) Acute Renal Failure: This was thought due to dehydration from his acute illness. He was given cautious IV" "Correct entity, wrong SNOMED ID","(5274, 5282)","(5274, 5282)",IV fluid,IV fluid,103744005,261512006,11180362-DS-10,"on from his acute illness. He was given cautious IV fluid and his lisinopril and hctz were held. His crea" "Correct entity, wrong SNOMED ID","(5292, 5302)","(5292, 5302)",lisinopril,lisinopril,410682003,108575001,11180362-DS-10," illness. He was given cautious IV fluid and his lisinopril and hctz were held. His creatinine improved to 1" "Correct entity, wrong SNOMED ID","(5328, 5338)","(5328, 5338)",creatinine,creatinine,70901006,113075003,11180362-DS-10,"luid and his lisinopril and hctz were held. His creatinine improved to 1.3 at the time of discharge (baseli" "Correct entity, wrong SNOMED ID","(5339, 5347)","(5339, 5347)",improved,improved,268910001,251359002,11180362-DS-10,"s lisinopril and hctz were held. His creatinine improved to 1.3 at the time of discharge (baseline 1.2). " "Correct entity, wrong SNOMED ID","(5382, 5390)","(5382, 5390)",baseline,baseline,128974000,129082007,11180362-DS-10,"tinine improved to 1.3 at the time of discharge (baseline 1.2). He was instructed to discuss restarting H" Missed entity,"(5428, 5438)",,restarting,,182837001,,11180362-DS-10,"ge (baseline 1.2). He was instructed to discuss restarting HCTZ/lisinopril with his PCP at his ___ appointm" "Correct entity, wrong SNOMED ID","(5444, 5454)","(5444, 5454)",lisinopril,lisinopril,410682003,108575001,11180362-DS-10,"). He was instructed to discuss restarting HCTZ/lisinopril with his PCP at his ___ appointment on ___. 3)" Missed entity,"(5464, 5467)",,PCP,,737470001,,11180362-DS-10,"d to discuss restarting HCTZ/lisinopril with his PCP at his ___ appointment on ___. 3) Chronic Syst" Wrong span,"(5513, 5546)","(5505, 5546)",Systolic Congestive Heart Failure,Chronic Systolic Congestive Heart Failure,426263006,441481004,11180362-DS-10," PCP at his ___ appointment on ___. 3) Chronic Systolic Congestive Heart Failure; stable, euvolemic to dry, he was continued on c" Wrong span,"(5548, 5573)","(5548, 5554)","stable, euvolemic to dry",stable,278022001,301459008,11180362-DS-10,". 3) Chronic Systolic Congestive Heart Failure; stable, euvolemic to dry, he was continued on carvedilol. 4) Diabetes, ty" "Correct entity, wrong SNOMED ID","(5702, 5715)","(5702, 5715)",sliding scale,sliding scale,225301004,466289007,11180362-DS-10,"His metformin was held in house with coverage by sliding scale and diabetic diet. He was instructed to restart" "Correct entity, wrong SNOMED ID","(5720, 5733)","(5720, 5733)",diabetic diet,diabetic diet,160670007,170753006,11180362-DS-10," held in house with coverage by sliding scale and diabetic diet. He was instructed to restart metformin on ___," Missed entity,"(5758, 5765)",,restart,,182837001,,11180362-DS-10,"g scale and diabetic diet. He was instructed to restart metformin on ___, one day after his last dose of" Missed entity,"(5833, 5878)",,"combination of these 2 medications can cause",,698603008,,11180362-DS-10," one day after his last dose of levaquin, as the combination of these 2 medications can cause hypoglycemia. 5) Coronary Artery Disease, nativ" "Correct entity, wrong SNOMED ID","(5879, 5891)","(5879, 5891)",hypoglycemia,hypoglycemia,302866003,1296523008,11180362-DS-10,"the combination of these 2 medications can cause hypoglycemia. 5) Coronary Artery Disease, native vessel and " "Correct entity, wrong SNOMED ID","(5898, 5921)","(5898, 5921)",Coronary Artery Disease,Coronary Artery Disease,53741008,1293192009,11180362-DS-10,"these 2 medications can cause hypoglycemia. 5) Coronary Artery Disease, native vessel and bypass graft: He was continue" Wrong span,"(5923, 5936)","(5923, 5940)",native vessel,native vessel and,264293000,255502005,11180362-DS-10,"cause hypoglycemia. 5) Coronary Artery Disease, native vessel and bypass graft: He was continued on home simva" "Correct entity, wrong SNOMED ID","(5941, 5953)","(5941, 5953)",bypass graft,bypass graft,232717009,112828007,11180362-DS-10,". 5) Coronary Artery Disease, native vessel and bypass graft: He was continued on home simvastatin, carvedilo" "Correct entity, wrong SNOMED ID","(6019, 6026)","(6019, 6026)",aspirin,aspirin,431463004,7947003,11180362-DS-10,"ued on home simvastatin, carvedilol, plavix, and aspirin. 6) Duodenal ulcer: He was maintained on home pp" "Correct entity, wrong SNOMED ID","(6032, 6046)","(6032, 6046)",Duodenal ulcer,Duodenal ulcer,51868009,275547005,11180362-DS-10,"imvastatin, carvedilol, plavix, and aspirin. 6) Duodenal ulcer: He was maintained on home ppi. 7) ___ - an appo" Missed entity,"(6092, 6112)",,appointment was made,,183616001,,11180362-DS-10,"lcer: He was maintained on home ppi. 7) ___ - an appointment was made with his PCP ___ ___, and he will be called by t" Missed entity,"(6122, 6125)",,PCP,,737470001,,11180362-DS-10,"e ppi. 7) ___ - an appointment was made with his PCP ___ ___, and he will be called by their office i" "Correct entity, wrong SNOMED ID","(7488, 7513)","(7488, 7513)","Diabetes melitus, type II","Diabetes melitus, type II",44054006,71441000119104,11180362-DS-10,"Discharge Diagnosis: Community acquired pneumonia Diabetes melitus, type II Chronic obstructive pulmonary disease Acute renal" "Correct entity, wrong SNOMED ID","(7514, 7551)","(7514, 7551)",Chronic obstructive pulmonary disease,Chronic obstructive pulmonary disease,13645005,313297008,11180362-DS-10,"nity acquired pneumonia Diabetes melitus, type II Chronic obstructive pulmonary disease Acute renal failure with chronic kidney disease A" Wrong span,"(7552, 7571)","(7552, 7599)",Acute renal failure,Acute renal failure with chronic kidney disease,14669001,137971000119104,11180362-DS-10,"us, type II Chronic obstructive pulmonary disease Acute renal failure with chronic kidney disease Anemia Hypertension C" Wrong span,"(7577, 7599)","(7552, 7599)",chronic kidney disease,Acute renal failure with chronic kidney disease,709044004,137971000119104,11180362-DS-10,"uctive pulmonary disease Acute renal failure with chronic kidney disease Anemia Hypertension Coronary artery disease, nati" "Correct entity, wrong SNOMED ID","(7600, 7606)","(7600, 7606)",Anemia,Anemia,271737000,87522002,11180362-DS-10,"e Acute renal failure with chronic kidney disease Anemia Hypertension Coronary artery disease, native vess" "Correct entity, wrong SNOMED ID","(7607, 7619)","(7607, 7619)",Hypertension,Hypertension,38341003,70995007,11180362-DS-10," renal failure with chronic kidney disease Anemia Hypertension Coronary artery disease, native vessel and bypass" Boundary error,"(7620, 7643)","(7620, 7644)",Coronary artery disease,"Coronary artery disease,",53741008,1293192009,11180362-DS-10,"e with chronic kidney disease Anemia Hypertension Coronary artery disease, native vessel and bypass graft Hyperlipidemia Sy" Wrong span,"(7645, 7658)","(7645, 7662)",native vessel,native vessel and,264293000,255502005,11180362-DS-10,"ease Anemia Hypertension Coronary artery disease, native vessel and bypass graft Hyperlipidemia Systolic congesti" "Correct entity, wrong SNOMED ID","(7663, 7675)","(7663, 7675)",bypass graft,bypass graft,232717009,112828007,11180362-DS-10,"ension Coronary artery disease, native vessel and bypass graft Hyperlipidemia Systolic congestive heart failure " "Correct entity, wrong SNOMED ID","(7676, 7690)","(7676, 7690)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11180362-DS-10,"ry artery disease, native vessel and bypass graft Hyperlipidemia Systolic congestive heart failure Discharge Co" "Correct entity, wrong SNOMED ID","(7691, 7724)","(7691, 7724)",Systolic congestive heart failure,Systolic congestive heart failure,426263006,443254009,11180362-DS-10,"se, native vessel and bypass graft Hyperlipidemia Systolic congestive heart failure Discharge Condition: afebrile, breathing comfo" "Correct entity, wrong SNOMED ID","(7749, 7757)","(7749, 7757)",afebrile,afebrile,87273009,307200007,11180362-DS-10," congestive heart failure Discharge Condition: afebrile, breathing comfortably on room air. Discharge " Wrong span,"(7759, 7792)","(7759, 7780)",breathing comfortably on room air,breathing comfortably,722742002,288842000,11180362-DS-10,"e heart failure Discharge Condition: afebrile, breathing comfortably on room air. Discharge Instructions: Weigh yourself every " Missed entity,"(7821, 7849)",,Weigh yourself every morning,,307818003,,11180362-DS-10,"mfortably on room air. Discharge Instructions: Weigh yourself every morning, call MD if weight > 3 lbs. Adhere to 2 gm sodium" "Correct entity, wrong SNOMED ID","(7862, 7868)","(7862, 7868)",weight,weight,107647005,43664005,11180362-DS-10,"uctions: Weigh yourself every morning, call MD if weight > 3 lbs. Adhere to 2 gm sodium diet Fluid Restric" Missed entity,"(7893, 7904)",,sodium diet,,437421000124105,,11180362-DS-10,"orning, call MD if weight > 3 lbs. Adhere to 2 gm sodium diet Fluid Restriction: 2L You were admitted to the h" "Correct entity, wrong SNOMED ID","(7905, 7922)","(7905, 7922)",Fluid Restriction,Fluid Restriction,25389001,699827002,11180362-DS-10," MD if weight > 3 lbs. Adhere to 2 gm sodium diet Fluid Restriction: 2L You were admitted to the hospital with pneum" "Correct entity, wrong SNOMED ID","(7967, 7976)","(7967, 7976)",pneumonia,pneumonia,233604007,415125002,11180362-DS-10,"ction: 2L You were admitted to the hospital with pneumonia. You improved with antibiotics. You should conti" "Correct entity, wrong SNOMED ID","(7982, 7990)","(7982, 7990)",improved,improved,268910001,251359002,11180362-DS-10,"were admitted to the hospital with pneumonia. You improved with antibiotics. You should continue this antib" "Correct entity, wrong SNOMED ID","(7997, 8008)","(7997, 8008)",antibiotics,antibiotics,281789004,372599003,11180362-DS-10,"o the hospital with pneumonia. You improved with antibiotics. You should continue this antibiotic, levofloxac" "Correct entity, wrong SNOMED ID","(8035, 8045)","(8035, 8045)",antibiotic,antibiotic,281789004,68322007,11180362-DS-10,"roved with antibiotics. You should continue this antibiotic, levofloxacin, on discharge, and take your last " "Correct entity, wrong SNOMED ID","(8048, 8060)","(8048, 8060)",levofloxacin,levofloxacin,281789004,96087006,11180362-DS-10,"ntibiotics. You should continue this antibiotic, levofloxacin, on discharge, and take your last dose on ___. ." Missed entity,"(8136, 8148)",,primary care,,737470001,,11180362-DS-10,"our last dose on ___. . You should ___ with your primary care Dr. ___ 1 week of your discharge. . The follo" "Correct entity, wrong SNOMED ID","(8268, 8278)","(8268, 8278)",antibiotic,antibiotic,281789004,68322007,11180362-DS-10,"de to your medications: 1. You were started on an antibiotic, levaquin as above. 2. Your blood pressure medic" "Correct entity, wrong SNOMED ID","(8308, 8334)","(8308, 8334)",blood pressure medications,blood pressure medications,308116003,12569007,11180362-DS-10,"ted on an antibiotic, levaquin as above. 2. Your blood pressure medications (HCTZ and Lisinopril) were held because your kid" "Correct entity, wrong SNOMED ID","(8381, 8396)","(8381, 8396)",kidney function,kidney function,182809008,76114004,11180362-DS-10,"ons (HCTZ and Lisinopril) were held because your kidney function. Your blood pressure remained well controlled i" Wrong span,"(8404, 8418)","(8404, 8444)",blood pressure,"blood pressure remained well controlled",392570002,12650007,11180362-DS-10,"l) were held because your kidney function. Your blood pressure remained well controlled in the hospital. These" Wrong span,"(8429, 8444)","(8404, 8444)",well controlled,"blood pressure remained well controlled",1194003,12650007,11180362-DS-10,"r kidney function. Your blood pressure remained well controlled in the hospital. These can be restarted as need" Missed entity,"(8505, 8517)",,primary care,,737470001,,11180362-DS-10,"pital. These can be restarted as needed by your primary care doctor. 3. Your metformin was held because it ca" Missed entity,"(8565, 8574)",,can cause,,79899007,,11180362-DS-10,"re doctor. 3. Your metformin was held because it can cause low blood sugars while you are taking the levaqu" Wrong span,"(8579, 8591)","(8575, 8591)",blood sugars,low blood sugars,418389000,166891009,11180362-DS-10," Your metformin was held because it can cause low blood sugars while you are taking the levaquin. You should r" Missed entity,"(8640, 8647)",,restart,,182837001,,11180362-DS-10,"s while you are taking the levaquin. You should restart your metformin on ___ after completing your cour" "Correct entity, wrong SNOMED ID","(8703, 8714)","(8703, 8714)",antibiotics,antibiotics,281789004,372599003,11180362-DS-10," metformin on ___ after completing your course of antibiotics. . You should contact your primary care doctor " Missed entity,"(8744, 8756)",,primary care,,737470001,,11180362-DS-10,"ourse of antibiotics. . You should contact your primary care doctor or return to the Emergency Department if " Missed entity,"(8767, 8791)",,"return to the Emergency",,385867000,,11180362-DS-10," . You should contact your primary care doctor or return to the Emergency Department if you experience worsening fevers, ch" "Correct entity, wrong SNOMED ID","(8831, 8837)","(8831, 8837)",fevers,fevers,386661006,248444008,11180362-DS-10," Emergency Department if you experience worsening fevers, chills, shortness of breath, nausea, vomitting," "Correct entity, wrong SNOMED ID","(8839, 8845)","(8839, 8845)",chills,chills,43724002,274640006,11180362-DS-10,"cy Department if you experience worsening fevers, chills, shortness of breath, nausea, vomitting, inabili" "Correct entity, wrong SNOMED ID","(8848, 8867)","(8848, 8867)",shortness of breath,shortness of breath,267036007,135833008,11180362-DS-10,"ment if you experience worsening fevers, chills, shortness of breath, nausea, vomitting, inability to take in foods o" Wrong span,"(8869, 8875)","(8869, 8886)",nausea,"nausea, vomitting",422587007,33841007,11180362-DS-10,"e worsening fevers, chills, shortness of breath, nausea, vomitting, inability to take in foods or liquid" Wrong span,"(8877, 8886)","(8869, 8886)",vomitting,"nausea, vomitting",422400008,33841007,11180362-DS-10,"ing fevers, chills, shortness of breath, nausea, vomitting, inability to take in foods or liquids. Follow" "Correct entity, wrong SNOMED ID","(8888, 8915)","(8888, 8915)","inability to take in foods","inability to take in foods",110292000,183052003,11180362-DS-10," chills, shortness of breath, nausea, vomitting, inability to take in foods or liquids. Followup Instructions: ___ " Missed entity,"(8919, 8926)",,liquids,,288857007,,11180362-DS-10,"nausea, vomitting, inability to take in foods or liquids. Followup Instructions: ___ " False positive,,"(194, 204)",,Multihance,,414308003,11215929-DS-4," F Service: OBSTETRICS/GYNECOLOGY Allergies: Multihance / Penicillins / Bactrim Attending: ___ Chief " False positive,,"(722, 728)",,menses,,84292000,11215929-DS-4,"ay, she had very little appetite, and started her menses which was much heavier than she has ever experien" False positive,,"(960, 969)",,menstrual,,426943005,11215929-DS-4,"CP, or bowel/bladder symptoms. This was her first menstrual period since she was started on Xarelto for supe" False positive,,"(1149, 1156)",,pulling,,303372004,11215929-DS-4,"___) last night. She had severe RLQ cramping and pulling at 2am with associated nausea and dry heaves but " False positive,,"(1362, 1367)",,worse,,280122007,11215929-DS-4,"te the pain. The pain continues to persist and is worse if she lies flat, but she still cannot get comfo" False positive,,"(1460, 1462)",,BM,,120638006,11215929-DS-4,"t comfortable. Has not eaten anything today. Last BM was yesterday morning, passing flatus. No abnl va" False positive,,"(2375, 2388)",,uncomfortable,,250893000,11215929-DS-4,"s in ED: Tmax 99.6 110 135/75 17 97% RA General: uncomfortable appearing woman, NAD, AxO CV: tachycardic, no mur" False positive,,"(2411, 2414)",,AxO,,25080007,11215929-DS-4," RA General: uncomfortable appearing woman, NAD, AxO CV: tachycardic, no murmur Resp: CTAB, no crackle" False positive,,"(2501, 2504)",,RLQ,,255480002,11215929-DS-4,"B, no crackles appreciated Abd: +BS, soft, obese, RLQ very tender to palpation, no rebound or guarding " False positive,,"(2554, 2560)",,Pelvic,,239992008,11215929-DS-4," very tender to palpation, no rebound or guarding Pelvic: Normal external genitalia with dried blood exter" False positive,,"(2869, 2873)",,body,,271600004,11215929-DS-4," no palpable mass due to limitation from pain and body habitus. No left adnexal tenderness. Ext: right t" False positive,,"(2942, 2946)",,cord,,2748008,11215929-DS-4,"dnexal tenderness. Ext: right thigh with palpable cord and erythema On discharge: Afebrile, normal vita" False positive,,"(3145, 3147)",,St,,51811007,11215929-DS-4,"rding Extr: 1+ ___ edema bilaterally, non tender. Stable ant thigh ecchymosis and tenderness Pertin" False positive,,"(4395, 4399)",,Baso,,700051010000106,11215929-DS-4," 06:25AM BLOOD Neuts-70.7* ___ Monos-6.8 Eos-3.7 Baso-0.3 ___ 06:06AM BLOOD Neuts-71.0* Lymphs-17.7* Mo" False positive,,"(4600, 4604)",,Baso,,700051010000106,11215929-DS-4," 03:20PM BLOOD Neuts-69.4 ___ Monos-7.1 Eos-4.3* Baso-0.4 ___ 06:50AM BLOOD Neuts-67.9 ___ Monos-6.7 Eo" False positive,,"(4661, 4665)",,Baso,,700051010000106,11215929-DS-4,"_ 06:50AM BLOOD Neuts-67.9 ___ Monos-6.7 Eos-3.0 Baso-0.3 ___ 06:45AM BLOOD Neuts-82.3* Lymphs-12.6* Mo" False positive,,"(4802, 4806)",,Baso,,700051010000106,11215929-DS-4," BLOOD Neuts-87.3* Lymphs-8.4* Monos-3.4 Eos-0.8 Baso-0.1 ___ 03:00AM BLOOD Neuts-86.4* Lymphs-9.9* Mon" False positive,,"(4872, 4876)",,Baso,,700051010000106,11215929-DS-4," BLOOD Neuts-86.4* Lymphs-9.9* Monos-2.2 Eos-1.4 Baso-0.1 ___ 02:29PM BLOOD Neuts-90.1* Lymphs-6.9* Mon" False positive,,"(4942, 4946)",,Baso,,700051010000106,11215929-DS-4," BLOOD Neuts-90.1* Lymphs-6.9* Monos-2.3 Eos-0.6 Baso-0.1 ___ 06:40AM BLOOD Neuts-91.2* Lymphs-6.5* Mon" False positive,,"(5379, 5381)",,Cl,,311741002,11215929-DS-4," BLOOD Glucose-86 UreaN-6 Creat-0.6 Na-138 K-3.9 Cl-98 HCO3-29 AnGap-15 ___ 06:39AM BLOOD Glucose-94 " False positive,,"(5463, 5465)",,Cl,,311741002,11215929-DS-4," BLOOD Glucose-94 UreaN-6 Creat-0.5 Na-138 K-3.9 Cl-98 HCO3-28 AnGap-16 ___ 03:20PM BLOOD Glucose-98 " False positive,,"(5656, 5663)",,Tubular,,248919007,11215929-DS-4,"Phos-70 TotBili-1.2 IMAGING: Pelvic US ___: 1. Tubular structure in right adnexa with echogenic contents" False positive,,"(5820, 5840)",,elevated white count,,165513007,11215929-DS-4,"plasm would be other considerations, however the elevated white count suggest pyosalpinx would be more likely. Ascites" False positive,,"(8002, 8007)",,fluid,,109192009,11215929-DS-4,"ded drainage of right hematosalypnx with minimal fluid aspirated. There was no purulence noted at the t" False positive,,"(8076, 8078)",,ID,,84440006,11215929-DS-4,"as no purulence noted at the time of drain. 3) ID: the patient was noted to have a significant leuk" False positive,,"(8930, 8938)",,advanced,,288068006,11215929-DS-4,"ich significantly improved her symptoms. She was advanced to a regular diet without difficulty. Nutrtition " False positive,,"(9080, 9084)",,Heme,,88861003,11215929-DS-4,"n K who recommended Ensure supplementation. 5) Heme: Patient was initially on Xaralto due to a histor" False positive,,"(9140, 9151)",,superficial,,288105009,11215929-DS-4,"ent was initially on Xaralto due to a history of superficial thrombosis and fam hx of DVT. Hematology was con" False positive,,"(9942, 9944)",,IV,,258000009,11215929-DS-4," swelling) the patient received several doses of IV lasix and used the incentive spirometer followin" False positive,,"(9964, 9985)",,"incentive spirometer",,470221003,11215929-DS-4," received several doses of IV lasix and used the incentive spirometer following which she was weaned to room air withou" False positive,,"(10211, 10213)",,to,,24932003,11215929-DS-4,"on on hospital day #8- ambulating independently, tolerating a regular diet and pain adequately contr" False positive,,"(11560, 11575)",,lower extremity,,62175007,11215929-DS-4,"blet Refills:*0 11. Furosemide 20 mg PO DAILY:PRN lower extremity swelling Take as needed for swelling in your leg" False positive,,"(11576, 11584)",,swelling,,300890009,11215929-DS-4,"11. Furosemide 20 mg PO DAILY:PRN lower extremity swelling Take as needed for swelling in your legs. Do not" False positive,,"(11605, 11613)",,swelling,,300890009,11215929-DS-4,":PRN lower extremity swelling Take as needed for swelling in your legs. Do not take more than one daily. " False positive,,"(11622, 11626)",,legs,,274791003,11215929-DS-4,"ity swelling Take as needed for swelling in your legs. Do not take more than one daily. RX *furosemid" "Correct entity, wrong SNOMED ID","(207, 218)","(207, 218)",Penicillins,Penicillins,91936005,11986009,11215929-DS-4," OBSTETRICS/GYNECOLOGY Allergies: Multihance / Penicillins / Bactrim Attending: ___ Chief Complaint: Abd" "Correct entity, wrong SNOMED ID","(221, 228)","(221, 228)",Bactrim,Bactrim,870714005,3533007,11215929-DS-4,"NECOLOGY Allergies: Multihance / Penicillins / Bactrim Attending: ___ Chief Complaint: Abdominal pai" "Correct entity, wrong SNOMED ID","(265, 279)","(265, 279)",Abdominal pain,Abdominal pain,21522001,54586004,11215929-DS-4,"ins / Bactrim Attending: ___ Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: ___ drain" Wrong span,"(324, 332)","(324, 335)",drainage,drainage of,122462000,56783008,11215929-DS-4," pain Major Surgical or Invasive Procedure: ___ drainage of hematosalpynx History of Present Illness: " "Correct entity, wrong SNOMED ID","(336, 349)","(336, 349)",hematosalpynx,hematosalpynx,78095005,423668003,11215929-DS-4,"r Surgical or Invasive Procedure: ___ drainage of hematosalpynx History of Present Illness: Ms. ___ is a ___ " Wrong span,"(437, 465)","(437, 448)",superficial thrombophlebitis,superficial,2477008,288105009,11215929-DS-4,"__ is a ___ year-old G0 with unprovoked extensive superficial thrombophlebitis of the right thigh on ___ presents with RLQ pain " "Correct entity, wrong SNOMED ID","(473, 484)","(473, 484)",right thigh,right thigh,11207009,209570001,11215929-DS-4,"ked extensive superficial thrombophlebitis of the right thigh on ___ presents with RLQ pain starting at 2am thi" Wrong span,"(559, 571)","(567, 588)",feeling weak,weak without appetite,13791008,405788002,11215929-DS-4," pain starting at 2am this morning. She has been feeling weak without appetite for 2 days, and has been feeling" Wrong span,"(572, 588)","(567, 588)",without appetite,weak without appetite,79890006,405788002,11215929-DS-4,"g at 2am this morning. She has been feeling weak without appetite for 2 days, and has been feeling cold for a week " Wrong span,"(614, 626)","(614, 621)","feeling cold",feeling,724233009,439151001,11215929-DS-4,"ng weak without appetite for 2 days, and has been feeling cold for a week now, but denies any fever. Yesterday, " "Correct entity, wrong SNOMED ID","(658, 663)","(658, 663)",fever,fever,386661006,248430002,11215929-DS-4," been feeling cold for a week now, but denies any fever. Yesterday, she had very little appetite, and sta" Missed entity,"(689, 704)",,little appetite,,64379006,,11215929-DS-4,"ow, but denies any fever. Yesterday, she had very little appetite, and started her menses which was much heavier th" "Correct entity, wrong SNOMED ID","(838, 846)","(838, 846)",cramping,cramping,279093005,41581000,11215929-DS-4,"ring 10 pads (normally uses ___. She had a lot of cramping associated with clots. Denies any dizziness, palp" "Correct entity, wrong SNOMED ID","(881, 890)","(881, 890)",dizziness,dizziness,404640003,1141711004,11215929-DS-4,"lot of cramping associated with clots. Denies any dizziness, palpitations, SOB/CP, or bowel/bladder symptoms." "Correct entity, wrong SNOMED ID","(892, 904)","(892, 904)",palpitations,palpitations,80313002,161966006,11215929-DS-4,"ping associated with clots. Denies any dizziness, palpitations, SOB/CP, or bowel/bladder symptoms. This was her " "Correct entity, wrong SNOMED ID","(906, 909)","(906, 909)",SOB,SOB,267036007,43731003,11215929-DS-4,"d with clots. Denies any dizziness, palpitations, SOB/CP, or bowel/bladder symptoms. This was her first" "Correct entity, wrong SNOMED ID","(910, 912)","(910, 912)",CP,CP,29857009,282108002,11215929-DS-4,"th clots. Denies any dizziness, palpitations, SOB/CP, or bowel/bladder symptoms. This was her first me" Boundary error,"(917, 922)","(917, 923)",bowel,bowel/,113276009,30315005,11215929-DS-4,"s. Denies any dizziness, palpitations, SOB/CP, or bowel/bladder symptoms. This was her first menstrual pe" Wrong span,"(923, 930)","(923, 939)",bladder,bladder symptoms,89837001,307541003,11215929-DS-4,"ies any dizziness, palpitations, SOB/CP, or bowel/bladder symptoms. This was her first menstrual period si" Wrong span,"(1039, 1049)","(1027, 1049)",thrombosis,"right left thrombosis",439127006,15699321000119102,11215929-DS-4,"as started on Xarelto for superficial right left thrombosis. She then went to stay with her sister (who is a " Wrong span,"(1132, 1135)","(1132, 1144)",RLQ,RLQ cramping,48544008,431416001,11215929-DS-4,"sister (who is a ___) last night. She had severe RLQ cramping and pulling at 2am with associated nause" Wrong span,"(1136, 1144)","(1132, 1144)",cramping,RLQ cramping,279093005,431416001,11215929-DS-4,"er (who is a ___) last night. She had severe RLQ cramping and pulling at 2am with associated nausea and dry" "Correct entity, wrong SNOMED ID","(1180, 1186)","(1180, 1186)",nausea,nausea,422587007,1217125005,11215929-DS-4,"e RLQ cramping and pulling at 2am with associated nausea and dry heaves but no actual emesis. She tried us" "Correct entity, wrong SNOMED ID","(1216, 1222)","(1216, 1222)",emesis,emesis,422400008,71419002,11215929-DS-4,"th associated nausea and dry heaves but no actual emesis. She tried using some heat packs, which helped te" Missed entity,"(1245, 1255)",,heat packs,,398074008,,11215929-DS-4,"heaves but no actual emesis. She tried using some heat packs, which helped temporarily but did not completely " "Correct entity, wrong SNOMED ID","(1319, 1323)","(1319, 1323)",pain,pain,21522001,102570003,11215929-DS-4," temporarily but did not completely alleviate the pain. The pain continues to persist and is worse if s" "Correct entity, wrong SNOMED ID","(1329, 1333)","(1329, 1333)",pain,pain,22253000,102570003,11215929-DS-4,"ly but did not completely alleviate the pain. The pain continues to persist and is worse if she lies fl" "Correct entity, wrong SNOMED ID","(1486, 1500)","(1486, 1500)","passing flatus","passing flatus",249504006,249523004,11215929-DS-4,"en anything today. Last BM was yesterday morning, passing flatus. No abnl vaginal discharge, not sexually active f" Missed entity,"(1505, 1527)",,abnl vaginal discharge,,289567003,,11215929-DS-4,"Last BM was yesterday morning, passing flatus. No abnl vaginal discharge, not sexually active for several years due to sev" Missed entity,"(1529, 1566)",,"not sexually active for several years",,228452000,,11215929-DS-4,"rning, passing flatus. No abnl vaginal discharge, not sexually active for several years due to severe dyspareunia. Past Medical Histor" "Correct entity, wrong SNOMED ID","(1581, 1592)","(1581, 1592)",dyspareunia,dyspareunia,71315007,23285006,11215929-DS-4,"t sexually active for several years due to severe dyspareunia. Past Medical History: Obstetric History: G0 " Wrong span,"(1788, 1796)","(1779, 1796)",Pap test,abnormal Pap test,90226004,171161003,11215929-DS-4,"ing ___ pads on those days) - Denies h/o abnormal Pap test - Denies h/o STIs or pelvic infections - h/o L ov" "Correct entity, wrong SNOMED ID","(1810, 1814)","(1810, 1814)",STIs,STIs,8098009,38186005,11215929-DS-4,"days) - Denies h/o abnormal Pap test - Denies h/o STIs or pelvic infections - h/o L ovarian cyst (unsure" "Correct entity, wrong SNOMED ID","(1818, 1835)","(1818, 1835)",pelvic infections,pelvic infections,203230004,267017002,11215929-DS-4,"Denies h/o abnormal Pap test - Denies h/o STIs or pelvic infections - h/o L ovarian cyst (unsure what size) which had" Wrong span,"(1842, 1843)","(1842, 1856)",L,L ovarian cyst,43981004,15631971000119109,11215929-DS-4,"test - Denies h/o STIs or pelvic infections - h/o L ovarian cyst (unsure what size) which had rupture" Boundary error,"(1844, 1856)","(1842, 1856)",ovarian cyst,L ovarian cyst,79883001,15631971000119109,11215929-DS-4,"st - Denies h/o STIs or pelvic infections - h/o L ovarian cyst (unsure what size) which had ruptured ___ years a" "Correct entity, wrong SNOMED ID","(1886, 1894)","(1886, 1894)",ruptured,ruptured,15931381000119105,264883001,11215929-DS-4,"- h/o L ovarian cyst (unsure what size) which had ruptured ___ years ago Past Medical History: - HTN - Slee" "Correct entity, wrong SNOMED ID","(1934, 1937)","(1934, 1937)",HTN,HTN,38341003,10725009,11215929-DS-4,"d ruptured ___ years ago Past Medical History: - HTN - Sleep apnea - Obesity (BMI 44) - Elevated Facto" "Correct entity, wrong SNOMED ID","(1940, 1951)","(1940, 1951)",Sleep apnea,Sleep apnea,73430006,78275009,11215929-DS-4,"ured ___ years ago Past Medical History: - HTN - Sleep apnea - Obesity (BMI 44) - Elevated Factor VIII level (" "Correct entity, wrong SNOMED ID","(1954, 1961)","(1954, 1961)",Obesity,Obesity,414916001,111036000,11215929-DS-4," ago Past Medical History: - HTN - Sleep apnea - Obesity (BMI 44) - Elevated Factor VIII level (246% of no" Missed entity,"(1963, 1966)",,BMI,,301331008,,11215929-DS-4,"t Medical History: - HTN - Sleep apnea - Obesity (BMI 44) - Elevated Factor VIII level (246% of normal " "Correct entity, wrong SNOMED ID","(1973, 1999)","(1973, 1999)",Elevated Factor VIII level,Elevated Factor VIII level,76612001,441042008,11215929-DS-4,"History: - HTN - Sleep apnea - Obesity (BMI 44) - Elevated Factor VIII level (246% of normal in ___ - Iron deficiency anemia s" "Correct entity, wrong SNOMED ID","(2025, 2047)","(2025, 2047)",Iron deficiency anemia,Iron deficiency anemia,87522002,10755381000119108,11215929-DS-4,"evated Factor VIII level (246% of normal in ___ - Iron deficiency anemia s/p iron dextran infusion in ___. Last HCT 34.3 " Wrong span,"(2052, 2073)","(2052, 2056)",iron dextran infusion,iron,718520009,406952009,11215929-DS-4,"46% of normal in ___ - Iron deficiency anemia s/p iron dextran infusion in ___. Last HCT 34.3 (___) Past Surgical Histo" "Correct entity, wrong SNOMED ID","(2088, 2091)","(2088, 2091)",HCT,HCT,28317006,282660005,11215929-DS-4,"cy anemia s/p iron dextran infusion in ___. Last HCT 34.3 (___) Past Surgical History: - nasal septum" "Correct entity, wrong SNOMED ID","(2129, 2149)","(2129, 2149)",nasal septum surgery,nasal septum surgery,5781000,172790004,11215929-DS-4,"_. Last HCT 34.3 (___) Past Surgical History: - nasal septum surgery (age ___ Social History: ___ Family History: -" "Correct entity, wrong SNOMED ID","(2227, 2230)","(2227, 2230)",DVT,DVT,128053003,49956009,11215929-DS-4," ___ Family History: - Father and sister with h/o DVT - Denies family history of ovarian, uterine, cerv" "Correct entity, wrong SNOMED ID","(2258, 2265)","(2258, 2265)",ovarian,ovarian,363443007,277685004,11215929-DS-4,"nd sister with h/o DVT - Denies family history of ovarian, uterine, cervical, or colon cancer Physical E" "Correct entity, wrong SNOMED ID","(2267, 2274)","(2267, 2274)",uterine,uterine,371973000,1372004,11215929-DS-4," with h/o DVT - Denies family history of ovarian, uterine, cervical, or colon cancer Physical Exam: Vita" "Correct entity, wrong SNOMED ID","(2276, 2284)","(2276, 2284)",cervical,cervical,363354003,304174001,11215929-DS-4," DVT - Denies family history of ovarian, uterine, cervical, or colon cancer Physical Exam: Vitals in ED: " "Correct entity, wrong SNOMED ID","(2289, 2301)","(2289, 2301)","colon cancer","colon cancer",363406005,363408006,11215929-DS-4," family history of ovarian, uterine, cervical, or colon cancer Physical Exam: Vitals in ED: Tmax 99.6 110 135" "Correct entity, wrong SNOMED ID","(2320, 2326)","(2320, 2326)",Vitals,Vitals,118227000,260390007,11215929-DS-4,"rine, cervical, or colon cancer Physical Exam: Vitals in ED: Tmax 99.6 110 135/75 17 97% RA General: u" "Correct entity, wrong SNOMED ID","(2362, 2364)","(2362, 2364)",RA,RA,722742002,463051000124105,11215929-DS-4,"l Exam: Vitals in ED: Tmax 99.6 110 135/75 17 97% RA General: uncomfortable appearing woman, NAD, AxO" "Correct entity, wrong SNOMED ID","(2366, 2373)","(2366, 2373)",General,General,162673000,252398009,11215929-DS-4,"am: Vitals in ED: Tmax 99.6 110 135/75 17 97% RA General: uncomfortable appearing woman, NAD, AxO CV: tach" "Correct entity, wrong SNOMED ID","(2406, 2409)","(2406, 2409)",NAD,NAD,281900007,131143000,11215929-DS-4,"7 97% RA General: uncomfortable appearing woman, NAD, AxO CV: tachycardic, no murmur Resp: CTAB, no cr" "Correct entity, wrong SNOMED ID","(2415, 2417)","(2415, 2417)",CV,CV,363003006,258773002,11215929-DS-4," General: uncomfortable appearing woman, NAD, AxO CV: tachycardic, no murmur Resp: CTAB, no crackles a" "Correct entity, wrong SNOMED ID","(2419, 2430)","(2419, 2430)",tachycardic,tachycardic,3424008,6456007,11215929-DS-4,"eral: uncomfortable appearing woman, NAD, AxO CV: tachycardic, no murmur Resp: CTAB, no crackles appreciated Ab" "Correct entity, wrong SNOMED ID","(2435, 2441)","(2435, 2441)",murmur,murmur,414786004,373112006,11215929-DS-4,"ble appearing woman, NAD, AxO CV: tachycardic, no murmur Resp: CTAB, no crackles appreciated Abd: +BS, sof" "Correct entity, wrong SNOMED ID","(2442, 2446)","(2442, 2446)",Resp,Resp,268925001,20139000,11215929-DS-4,"earing woman, NAD, AxO CV: tachycardic, no murmur Resp: CTAB, no crackles appreciated Abd: +BS, soft, ob" "Correct entity, wrong SNOMED ID","(2448, 2452)","(2448, 2452)",CTAB,CTAB,48348007,112188007,11215929-DS-4," woman, NAD, AxO CV: tachycardic, no murmur Resp: CTAB, no crackles appreciated Abd: +BS, soft, obese, R" "Correct entity, wrong SNOMED ID","(2478, 2481)","(2478, 2481)",Abd,Abd,225162003,60728008,11215929-DS-4,"ic, no murmur Resp: CTAB, no crackles appreciated Abd: +BS, soft, obese, RLQ very tender to palpation, " Boundary error,"(2484, 2486)","(2483, 2486)",BS,+BS,61539000,260347006,11215929-DS-4," murmur Resp: CTAB, no crackles appreciated Abd: +BS, soft, obese, RLQ very tender to palpation, no re" "Correct entity, wrong SNOMED ID","(2494, 2499)","(2494, 2499)",obese,obese,249533007,415530009,11215929-DS-4,"sp: CTAB, no crackles appreciated Abd: +BS, soft, obese, RLQ very tender to palpation, no rebound or guar" "Correct entity, wrong SNOMED ID","(2510, 2516)","(2510, 2516)",tender,tender,43478001,300821004,11215929-DS-4,"ckles appreciated Abd: +BS, soft, obese, RLQ very tender to palpation, no rebound or guarding Pelvic: Norm" "Correct entity, wrong SNOMED ID","(2520, 2529)","(2520, 2529)",palpation,palpation,113011001,51558006,11215929-DS-4,"eciated Abd: +BS, soft, obese, RLQ very tender to palpation, no rebound or guarding Pelvic: Normal external g" "Correct entity, wrong SNOMED ID","(2534, 2541)","(2534, 2541)",rebound,rebound,35611005,844584001,11215929-DS-4,"BS, soft, obese, RLQ very tender to palpation, no rebound or guarding Pelvic: Normal external genitalia wit" "Correct entity, wrong SNOMED ID","(2624, 2637)","(2624, 2637)",vaginal walls,vaginal walls,263355003,728538006,11215929-DS-4,"nal genitalia with dried blood externally, smooth vaginal walls without lesions, ___ scopettes of blood in the va" "Correct entity, wrong SNOMED ID","(2646, 2653)","(2646, 2653)",lesions,lesions,52988006,246206008,11215929-DS-4,"ed blood externally, smooth vaginal walls without lesions, ___ scopettes of blood in the vault, no mucopuru" Wrong span,"(2672, 2690)","(2672, 2677)","blood in the vault",blood,248895001,8765009,11215929-DS-4,"h vaginal walls without lesions, ___ scopettes of blood in the vault, no mucopurulent discharge, nulliparous cervix wi" "Correct entity, wrong SNOMED ID","(2695, 2717)","(2695, 2717)",mucopurulent discharge,mucopurulent discharge,836474000,1290514002,11215929-DS-4," lesions, ___ scopettes of blood in the vault, no mucopurulent discharge, nulliparous cervix without lesions. On bimanual " "Correct entity, wrong SNOMED ID","(2719, 2737)","(2719, 2737)",nulliparous cervix,nulliparous cervix,248928008,254890008,11215929-DS-4,"of blood in the vault, no mucopurulent discharge, nulliparous cervix without lesions. On bimanual exam, has tenderness" "Correct entity, wrong SNOMED ID","(2746, 2753)","(2746, 2753)",lesions,lesions,52988006,246206008,11215929-DS-4,"ucopurulent discharge, nulliparous cervix without lesions. On bimanual exam, has tenderness in the right ad" Missed entity,"(2758, 2771)",,bimanual exam,,241598003,,11215929-DS-4,"discharge, nulliparous cervix without lesions. On bimanual exam, has tenderness in the right adhexal region but n" "Correct entity, wrong SNOMED ID","(2777, 2787)","(2777, 2787)",tenderness,tenderness,247348008,43478001,11215929-DS-4,"ous cervix without lesions. On bimanual exam, has tenderness in the right adhexal region but no palpable mass " Wrong span,"(2795, 2815)","(2795, 2800)","right adhexal region",right,110634007,225794002,11215929-DS-4," lesions. On bimanual exam, has tenderness in the right adhexal region but no palpable mass due to limitation from pain " Wrong span,"(2823, 2836)","(2832, 2836)",palpable mass,mass,443607001,237557003,11215929-DS-4,"has tenderness in the right adhexal region but no palpable mass due to limitation from pain and body habitus. No " "Correct entity, wrong SNOMED ID","(2860, 2864)","(2860, 2864)",pain,pain,22253000,102570003,11215929-DS-4,"egion but no palpable mass due to limitation from pain and body habitus. No left adnexal tenderness. Ext" "Correct entity, wrong SNOMED ID","(2886, 2898)","(2886, 2898)",left adnexal,left adnexal,110635008,1010714005,11215929-DS-4," due to limitation from pain and body habitus. No left adnexal tenderness. Ext: right thigh with palpable cord a" "Correct entity, wrong SNOMED ID","(2899, 2909)","(2899, 2909)",tenderness,tenderness,247348008,43478001,11215929-DS-4,"ation from pain and body habitus. No left adnexal tenderness. Ext: right thigh with palpable cord and erythema" "Correct entity, wrong SNOMED ID","(2911, 2914)","(2911, 2914)",Ext,Ext,302773001,1489008,11215929-DS-4,"ain and body habitus. No left adnexal tenderness. Ext: right thigh with palpable cord and erythema On " "Correct entity, wrong SNOMED ID","(2916, 2927)","(2916, 2927)",right thigh,right thigh,11207009,209570001,11215929-DS-4,"nd body habitus. No left adnexal tenderness. Ext: right thigh with palpable cord and erythema On discharge: Af" "Correct entity, wrong SNOMED ID","(2933, 2941)","(2933, 2941)",palpable,palpable,118242002,163210008,11215929-DS-4,"No left adnexal tenderness. Ext: right thigh with palpable cord and erythema On discharge: Afebrile, normal" "Correct entity, wrong SNOMED ID","(2951, 2959)","(2951, 2959)",erythema,erythema,247441003,403194002,11215929-DS-4,"nderness. Ext: right thigh with palpable cord and erythema On discharge: Afebrile, normal vital signs Gen: " "Correct entity, wrong SNOMED ID","(2975, 2983)","(2975, 2983)",Afebrile,Afebrile,87273009,307200007,11215929-DS-4,"gh with palpable cord and erythema On discharge: Afebrile, normal vital signs Gen: NAD CV: RRR PULM: CTAB A" "Correct entity, wrong SNOMED ID","(3004, 3007)","(3004, 3007)",Gen,Gen,162673000,420208008,11215929-DS-4,"thema On discharge: Afebrile, normal vital signs Gen: NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly " "Correct entity, wrong SNOMED ID","(3009, 3012)","(3009, 3012)",NAD,NAD,281900007,131143000,11215929-DS-4," On discharge: Afebrile, normal vital signs Gen: NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly diste" "Correct entity, wrong SNOMED ID","(3013, 3015)","(3013, 3015)",CV,CV,363003006,258773002,11215929-DS-4," discharge: Afebrile, normal vital signs Gen: NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly distende" "Correct entity, wrong SNOMED ID","(3017, 3020)","(3017, 3020)",RRR,RRR,76863003,129960002,11215929-DS-4,"charge: Afebrile, normal vital signs Gen: NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly distended, TT" "Correct entity, wrong SNOMED ID","(3021, 3025)","(3021, 3025)",PULM,PULM,268925001,90623003,11215929-DS-4,"ge: Afebrile, normal vital signs Gen: NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly distended, TTP in " "Correct entity, wrong SNOMED ID","(3027, 3031)","(3027, 3031)",CTAB,CTAB,48348007,1286955004,11215929-DS-4,"ebrile, normal vital signs Gen: NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly distended, TTP in RLQ, n" "Correct entity, wrong SNOMED ID","(3032, 3035)","(3032, 3035)",Abd,Abd,225162003,60728008,11215929-DS-4,"e, normal vital signs Gen: NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly distended, TTP in RLQ, no r" "Correct entity, wrong SNOMED ID","(3043, 3048)","(3043, 3048)",obese,obese,249533007,415530009,11215929-DS-4,"ital signs Gen: NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly distended, TTP in RLQ, no rebound/guardi" "Correct entity, wrong SNOMED ID","(3057, 3066)","(3057, 3066)",distended,distended,60728008,1204394008,11215929-DS-4,": NAD CV: RRR PULM: CTAB Abd: soft, obese, mildly distended, TTP in RLQ, no rebound/guarding Extr: 1+ ___ ed" "Correct entity, wrong SNOMED ID","(3068, 3071)","(3068, 3071)",TTP,TTP,43478001,438476003,11215929-DS-4,"RR PULM: CTAB Abd: soft, obese, mildly distended, TTP in RLQ, no rebound/guarding Extr: 1+ ___ edema b" "Correct entity, wrong SNOMED ID","(3075, 3078)","(3075, 3078)",RLQ,RLQ,448661001,255480002,11215929-DS-4,": CTAB Abd: soft, obese, mildly distended, TTP in RLQ, no rebound/guarding Extr: 1+ ___ edema bilatera" "Correct entity, wrong SNOMED ID","(3084, 3091)","(3084, 3091)",rebound,rebound,35611005,844584001,11215929-DS-4,"d: soft, obese, mildly distended, TTP in RLQ, no rebound/guarding Extr: 1+ ___ edema bilaterally, non tend" "Correct entity, wrong SNOMED ID","(3101, 3105)","(3101, 3105)",Extr,Extr,302773001,413725009,11215929-DS-4,"ildly distended, TTP in RLQ, no rebound/guarding Extr: 1+ ___ edema bilaterally, non tender. Stable ant" "Correct entity, wrong SNOMED ID","(3114, 3119)","(3114, 3119)",edema,edema,267038008,102576009,11215929-DS-4,"ed, TTP in RLQ, no rebound/guarding Extr: 1+ ___ edema bilaterally, non tender. Stable ant thigh ecchym" "Correct entity, wrong SNOMED ID","(3133, 3143)","(3133, 3143)",non tender,non tender,43478001,289668002,11215929-DS-4," rebound/guarding Extr: 1+ ___ edema bilaterally, non tender. Stable ant thigh ecchymosis and tenderness Pe" Wrong span,"(3156, 3161)","(3152, 3161)",thigh,ant thigh,68367000,1217130009,11215929-DS-4," 1+ ___ edema bilaterally, non tender. Stable ant thigh ecchymosis and tenderness Pertinent Results: _" "Correct entity, wrong SNOMED ID","(3163, 3173)","(3163, 3173)",ecchymosis,ecchymosis,302227002,1156411007,11215929-DS-4," edema bilaterally, non tender. Stable ant thigh ecchymosis and tenderness Pertinent Results: ___ 06:25AM B" "Correct entity, wrong SNOMED ID","(3178, 3188)","(3178, 3188)",tenderness,tenderness,247348008,43478001,11215929-DS-4,"lly, non tender. Stable ant thigh ecchymosis and tenderness Pertinent Results: ___ 06:25AM BLOOD WBC-8.6 RB" "Correct entity, wrong SNOMED ID","(3228, 3231)","(3228, 3231)",WBC,WBC,767002,391558003,11215929-DS-4,"tenderness Pertinent Results: ___ 06:25AM BLOOD WBC-8.6 RBC-4.01* Hgb-9.7* Hct-30.3* MCV-76* MCH-24." "Correct entity, wrong SNOMED ID","(3236, 3239)","(3236, 3239)",RBC,RBC,14089001,258759006,11215929-DS-4,"ss Pertinent Results: ___ 06:25AM BLOOD WBC-8.6 RBC-4.01* Hgb-9.7* Hct-30.3* MCV-76* MCH-24.3* MCHC-" "Correct entity, wrong SNOMED ID","(3246, 3249)","(3246, 3249)",Hgb,Hgb,441689006,104142005,11215929-DS-4,"nent Results: ___ 06:25AM BLOOD WBC-8.6 RBC-4.01* Hgb-9.7* Hct-30.3* MCV-76* MCH-24.3* MCHC-32.1 RDW-1" "Correct entity, wrong SNOMED ID","(3255, 3258)","(3255, 3258)",Hct,Hct,28317006,282660005,11215929-DS-4,"lts: ___ 06:25AM BLOOD WBC-8.6 RBC-4.01* Hgb-9.7* Hct-30.3* MCV-76* MCH-24.3* MCHC-32.1 RDW-17.7* Plt " "Correct entity, wrong SNOMED ID","(3274, 3277)","(3274, 3277)",MCH,MCH,54706004,735147002,11215929-DS-4,"OOD WBC-8.6 RBC-4.01* Hgb-9.7* Hct-30.3* MCV-76* MCH-24.3* MCHC-32.1 RDW-17.7* Plt ___ ___ 06:39AM BLO" "Correct entity, wrong SNOMED ID","(3284, 3288)","(3284, 3288)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"6 RBC-4.01* Hgb-9.7* Hct-30.3* MCV-76* MCH-24.3* MCHC-32.1 RDW-17.7* Plt ___ ___ 06:39AM BLOOD WBC-7.5 " "Correct entity, wrong SNOMED ID","(3294, 3297)","(3294, 3297)",RDW,RDW,66842004,735149004,11215929-DS-4,"* Hgb-9.7* Hct-30.3* MCV-76* MCH-24.3* MCHC-32.1 RDW-17.7* Plt ___ ___ 06:39AM BLOOD WBC-7.5 RBC-3.72*" "Correct entity, wrong SNOMED ID","(3330, 3333)","(3330, 3333)",WBC,WBC,767002,391558003,11215929-DS-4,".3* MCHC-32.1 RDW-17.7* Plt ___ ___ 06:39AM BLOOD WBC-7.5 RBC-3.72* Hgb-9.3* Hct-28.4* MCV-76* MCH-25." "Correct entity, wrong SNOMED ID","(3338, 3341)","(3338, 3341)",RBC,RBC,14089001,258759006,11215929-DS-4,"-32.1 RDW-17.7* Plt ___ ___ 06:39AM BLOOD WBC-7.5 RBC-3.72* Hgb-9.3* Hct-28.4* MCV-76* MCH-25.0* MCHC-" "Correct entity, wrong SNOMED ID","(3348, 3351)","(3348, 3351)",Hgb,Hgb,441689006,104142005,11215929-DS-4,"17.7* Plt ___ ___ 06:39AM BLOOD WBC-7.5 RBC-3.72* Hgb-9.3* Hct-28.4* MCV-76* MCH-25.0* MCHC-32.7 RDW-1" "Correct entity, wrong SNOMED ID","(3357, 3360)","(3357, 3360)",Hct,Hct,28317006,282660005,11215929-DS-4," ___ ___ 06:39AM BLOOD WBC-7.5 RBC-3.72* Hgb-9.3* Hct-28.4* MCV-76* MCH-25.0* MCHC-32.7 RDW-17.4* Plt " "Correct entity, wrong SNOMED ID","(3376, 3379)","(3376, 3379)",MCH,MCH,54706004,735147002,11215929-DS-4,"OOD WBC-7.5 RBC-3.72* Hgb-9.3* Hct-28.4* MCV-76* MCH-25.0* MCHC-32.7 RDW-17.4* Plt ___ ___ 03:20PM BLO" "Correct entity, wrong SNOMED ID","(3386, 3390)","(3386, 3390)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"5 RBC-3.72* Hgb-9.3* Hct-28.4* MCV-76* MCH-25.0* MCHC-32.7 RDW-17.4* Plt ___ ___ 03:20PM BLOOD WBC-6.9 " "Correct entity, wrong SNOMED ID","(3396, 3399)","(3396, 3399)",RDW,RDW,66842004,735149004,11215929-DS-4,"* Hgb-9.3* Hct-28.4* MCV-76* MCH-25.0* MCHC-32.7 RDW-17.4* Plt ___ ___ 03:20PM BLOOD WBC-6.9 RBC-3.81*" "Correct entity, wrong SNOMED ID","(3432, 3435)","(3432, 3435)",WBC,WBC,767002,391558003,11215929-DS-4,".0* MCHC-32.7 RDW-17.4* Plt ___ ___ 03:20PM BLOOD WBC-6.9 RBC-3.81* Hgb-9.5* Hct-29.1* MCV-77* MCH-25." "Correct entity, wrong SNOMED ID","(3440, 3443)","(3440, 3443)",RBC,RBC,14089001,258759006,11215929-DS-4,"-32.7 RDW-17.4* Plt ___ ___ 03:20PM BLOOD WBC-6.9 RBC-3.81* Hgb-9.5* Hct-29.1* MCV-77* MCH-25.1* MCHC-" "Correct entity, wrong SNOMED ID","(3450, 3453)","(3450, 3453)",Hgb,Hgb,441689006,104142005,11215929-DS-4,"17.4* Plt ___ ___ 03:20PM BLOOD WBC-6.9 RBC-3.81* Hgb-9.5* Hct-29.1* MCV-77* MCH-25.1* MCHC-32.8 RDW-1" "Correct entity, wrong SNOMED ID","(3459, 3462)","(3459, 3462)",Hct,Hct,28317006,282660005,11215929-DS-4," ___ ___ 03:20PM BLOOD WBC-6.9 RBC-3.81* Hgb-9.5* Hct-29.1* MCV-77* MCH-25.1* MCHC-32.8 RDW-17.3* Plt " "Correct entity, wrong SNOMED ID","(3478, 3481)","(3478, 3481)",MCH,MCH,54706004,735147002,11215929-DS-4,"OOD WBC-6.9 RBC-3.81* Hgb-9.5* Hct-29.1* MCV-77* MCH-25.1* MCHC-32.8 RDW-17.3* Plt ___ ___ 06:50AM BLO" "Correct entity, wrong SNOMED ID","(3488, 3492)","(3488, 3492)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"9 RBC-3.81* Hgb-9.5* Hct-29.1* MCV-77* MCH-25.1* MCHC-32.8 RDW-17.3* Plt ___ ___ 06:50AM BLOOD WBC-6.6 " "Correct entity, wrong SNOMED ID","(3498, 3501)","(3498, 3501)",RDW,RDW,66842004,735149004,11215929-DS-4,"* Hgb-9.5* Hct-29.1* MCV-77* MCH-25.1* MCHC-32.8 RDW-17.3* Plt ___ ___ 06:50AM BLOOD WBC-6.6 RBC-3.67*" "Correct entity, wrong SNOMED ID","(3534, 3537)","(3534, 3537)",WBC,WBC,767002,391558003,11215929-DS-4,".1* MCHC-32.8 RDW-17.3* Plt ___ ___ 06:50AM BLOOD WBC-6.6 RBC-3.67* Hgb-9.0* Hct-27.6* MCV-75* MCH-24." "Correct entity, wrong SNOMED ID","(3542, 3545)","(3542, 3545)",RBC,RBC,14089001,258759006,11215929-DS-4,"-32.8 RDW-17.3* Plt ___ ___ 06:50AM BLOOD WBC-6.6 RBC-3.67* Hgb-9.0* Hct-27.6* MCV-75* MCH-24.6* MCHC-" "Correct entity, wrong SNOMED ID","(3552, 3555)","(3552, 3555)",Hgb,Hgb,441689006,104142005,11215929-DS-4,"17.3* Plt ___ ___ 06:50AM BLOOD WBC-6.6 RBC-3.67* Hgb-9.0* Hct-27.6* MCV-75* MCH-24.6* MCHC-32.6 RDW-1" "Correct entity, wrong SNOMED ID","(3561, 3564)","(3561, 3564)",Hct,Hct,28317006,282660005,11215929-DS-4," ___ ___ 06:50AM BLOOD WBC-6.6 RBC-3.67* Hgb-9.0* Hct-27.6* MCV-75* MCH-24.6* MCHC-32.6 RDW-17.2* Plt " "Correct entity, wrong SNOMED ID","(3580, 3583)","(3580, 3583)",MCH,MCH,54706004,735147002,11215929-DS-4,"OOD WBC-6.6 RBC-3.67* Hgb-9.0* Hct-27.6* MCV-75* MCH-24.6* MCHC-32.6 RDW-17.2* Plt ___ ___ 01:30AM BLO" "Correct entity, wrong SNOMED ID","(3590, 3594)","(3590, 3594)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"6 RBC-3.67* Hgb-9.0* Hct-27.6* MCV-75* MCH-24.6* MCHC-32.6 RDW-17.2* Plt ___ ___ 01:30AM BLOOD WBC-7.6 " "Correct entity, wrong SNOMED ID","(3600, 3603)","(3600, 3603)",RDW,RDW,66842004,735149004,11215929-DS-4,"* Hgb-9.0* Hct-27.6* MCV-75* MCH-24.6* MCHC-32.6 RDW-17.2* Plt ___ ___ 01:30AM BLOOD WBC-7.6 RBC-3.69*" "Correct entity, wrong SNOMED ID","(3636, 3639)","(3636, 3639)",WBC,WBC,767002,391558003,11215929-DS-4,".6* MCHC-32.6 RDW-17.2* Plt ___ ___ 01:30AM BLOOD WBC-7.6 RBC-3.69* Hgb-9.1*# Hct-27.0* MCV-73* MCH-24" "Correct entity, wrong SNOMED ID","(3644, 3647)","(3644, 3647)",RBC,RBC,14089001,258759006,11215929-DS-4,"-32.6 RDW-17.2* Plt ___ ___ 01:30AM BLOOD WBC-7.6 RBC-3.69* Hgb-9.1*# Hct-27.0* MCV-73* MCH-24.8* MCHC" "Correct entity, wrong SNOMED ID","(3654, 3657)","(3654, 3657)",Hgb,Hgb,441689006,104142005,11215929-DS-4,"17.2* Plt ___ ___ 01:30AM BLOOD WBC-7.6 RBC-3.69* Hgb-9.1*# Hct-27.0* MCV-73* MCH-24.8* MCHC-33.9 RDW-" "Correct entity, wrong SNOMED ID","(3664, 3667)","(3664, 3667)",Hct,Hct,28317006,282660005,11215929-DS-4,"___ ___ 01:30AM BLOOD WBC-7.6 RBC-3.69* Hgb-9.1*# Hct-27.0* MCV-73* MCH-24.8* MCHC-33.9 RDW-16.5* Plt " "Correct entity, wrong SNOMED ID","(3683, 3686)","(3683, 3686)",MCH,MCH,54706004,735147002,11215929-DS-4,"OD WBC-7.6 RBC-3.69* Hgb-9.1*# Hct-27.0* MCV-73* MCH-24.8* MCHC-33.9 RDW-16.5* Plt ___ ___ 06:45AM BLO" "Correct entity, wrong SNOMED ID","(3693, 3697)","(3693, 3697)",MCHC,MCHC,37254006,735147002,11215929-DS-4," RBC-3.69* Hgb-9.1*# Hct-27.0* MCV-73* MCH-24.8* MCHC-33.9 RDW-16.5* Plt ___ ___ 06:45AM BLOOD WBC-8.6 " "Correct entity, wrong SNOMED ID","(3703, 3706)","(3703, 3706)",RDW,RDW,66842004,735149004,11215929-DS-4," Hgb-9.1*# Hct-27.0* MCV-73* MCH-24.8* MCHC-33.9 RDW-16.5* Plt ___ ___ 06:45AM BLOOD WBC-8.6 RBC-3.14*" "Correct entity, wrong SNOMED ID","(3739, 3742)","(3739, 3742)",WBC,WBC,767002,391558003,11215929-DS-4,".8* MCHC-33.9 RDW-16.5* Plt ___ ___ 06:45AM BLOOD WBC-8.6 RBC-3.14* Hgb-7.2* Hct-23.4* MCV-74* MCH-23." "Correct entity, wrong SNOMED ID","(3747, 3750)","(3747, 3750)",RBC,RBC,14089001,258759006,11215929-DS-4,"-33.9 RDW-16.5* Plt ___ ___ 06:45AM BLOOD WBC-8.6 RBC-3.14* Hgb-7.2* Hct-23.4* MCV-74* MCH-23.0* MCHC-" "Correct entity, wrong SNOMED ID","(3757, 3760)","(3757, 3760)",Hgb,Hgb,441689006,104142005,11215929-DS-4,"16.5* Plt ___ ___ 06:45AM BLOOD WBC-8.6 RBC-3.14* Hgb-7.2* Hct-23.4* MCV-74* MCH-23.0* MCHC-30.9* RDW-" "Correct entity, wrong SNOMED ID","(3766, 3769)","(3766, 3769)",Hct,Hct,28317006,282660005,11215929-DS-4," ___ ___ 06:45AM BLOOD WBC-8.6 RBC-3.14* Hgb-7.2* Hct-23.4* MCV-74* MCH-23.0* MCHC-30.9* RDW-16.8* Plt" "Correct entity, wrong SNOMED ID","(3785, 3788)","(3785, 3788)",MCH,MCH,54706004,735147002,11215929-DS-4,"OOD WBC-8.6 RBC-3.14* Hgb-7.2* Hct-23.4* MCV-74* MCH-23.0* MCHC-30.9* RDW-16.8* Plt ___ ___ 12:45AM BL" "Correct entity, wrong SNOMED ID","(3795, 3799)","(3795, 3799)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"6 RBC-3.14* Hgb-7.2* Hct-23.4* MCV-74* MCH-23.0* MCHC-30.9* RDW-16.8* Plt ___ ___ 12:45AM BLOOD WBC-9.1" "Correct entity, wrong SNOMED ID","(3806, 3809)","(3806, 3809)",RDW,RDW,66842004,735149004,11215929-DS-4," Hgb-7.2* Hct-23.4* MCV-74* MCH-23.0* MCHC-30.9* RDW-16.8* Plt ___ ___ 12:45AM BLOOD WBC-9.1 RBC-3.24*" "Correct entity, wrong SNOMED ID","(3842, 3845)","(3842, 3845)",WBC,WBC,767002,391558003,11215929-DS-4,"0* MCHC-30.9* RDW-16.8* Plt ___ ___ 12:45AM BLOOD WBC-9.1 RBC-3.24* Hgb-7.5* Hct-23.6* MCV-73* MCH-23." "Correct entity, wrong SNOMED ID","(3850, 3853)","(3850, 3853)",RBC,RBC,14089001,258759006,11215929-DS-4,"30.9* RDW-16.8* Plt ___ ___ 12:45AM BLOOD WBC-9.1 RBC-3.24* Hgb-7.5* Hct-23.6* MCV-73* MCH-23.1* MCHC-" "Correct entity, wrong SNOMED ID","(3860, 3863)","(3860, 3863)",Hgb,Hgb,441689006,104142005,11215929-DS-4,"16.8* Plt ___ ___ 12:45AM BLOOD WBC-9.1 RBC-3.24* Hgb-7.5* Hct-23.6* MCV-73* MCH-23.1* MCHC-31.7 RDW-1" "Correct entity, wrong SNOMED ID","(3869, 3872)","(3869, 3872)",Hct,Hct,28317006,282660005,11215929-DS-4," ___ ___ 12:45AM BLOOD WBC-9.1 RBC-3.24* Hgb-7.5* Hct-23.6* MCV-73* MCH-23.1* MCHC-31.7 RDW-16.5* Plt " "Correct entity, wrong SNOMED ID","(3888, 3891)","(3888, 3891)",MCH,MCH,54706004,735147002,11215929-DS-4,"OOD WBC-9.1 RBC-3.24* Hgb-7.5* Hct-23.6* MCV-73* MCH-23.1* MCHC-31.7 RDW-16.5* Plt ___ ___ 06:20PM BLO" "Correct entity, wrong SNOMED ID","(3898, 3902)","(3898, 3902)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"1 RBC-3.24* Hgb-7.5* Hct-23.6* MCV-73* MCH-23.1* MCHC-31.7 RDW-16.5* Plt ___ ___ 06:20PM BLOOD WBC-10.8" "Correct entity, wrong SNOMED ID","(3908, 3911)","(3908, 3911)",RDW,RDW,66842004,735149004,11215929-DS-4,"* Hgb-7.5* Hct-23.6* MCV-73* MCH-23.1* MCHC-31.7 RDW-16.5* Plt ___ ___ 06:20PM BLOOD WBC-10.8 RBC-3.54" "Correct entity, wrong SNOMED ID","(3944, 3947)","(3944, 3947)",WBC,WBC,767002,391558003,11215929-DS-4,".1* MCHC-31.7 RDW-16.5* Plt ___ ___ 06:20PM BLOOD WBC-10.8 RBC-3.54* Hgb-8.2* Hct-25.9* MCV-73* MCH-23" "Correct entity, wrong SNOMED ID","(3953, 3956)","(3953, 3956)",RBC,RBC,14089001,258759006,11215929-DS-4,"31.7 RDW-16.5* Plt ___ ___ 06:20PM BLOOD WBC-10.8 RBC-3.54* Hgb-8.2* Hct-25.9* MCV-73* MCH-23.1* MCHC-" "Correct entity, wrong SNOMED ID","(3963, 3966)","(3963, 3966)",Hgb,Hgb,441689006,104142005,11215929-DS-4,"6.5* Plt ___ ___ 06:20PM BLOOD WBC-10.8 RBC-3.54* Hgb-8.2* Hct-25.9* MCV-73* MCH-23.1* MCHC-31.5 RDW-1" "Correct entity, wrong SNOMED ID","(3972, 3975)","(3972, 3975)",Hct,Hct,28317006,282660005,11215929-DS-4,"___ ___ 06:20PM BLOOD WBC-10.8 RBC-3.54* Hgb-8.2* Hct-25.9* MCV-73* MCH-23.1* MCHC-31.5 RDW-16.2* Plt " "Correct entity, wrong SNOMED ID","(3991, 3994)","(3991, 3994)",MCH,MCH,54706004,735147002,11215929-DS-4,"OD WBC-10.8 RBC-3.54* Hgb-8.2* Hct-25.9* MCV-73* MCH-23.1* MCHC-31.5 RDW-16.2* Plt ___ ___ 02:29PM BLO" "Correct entity, wrong SNOMED ID","(4001, 4005)","(4001, 4005)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"8 RBC-3.54* Hgb-8.2* Hct-25.9* MCV-73* MCH-23.1* MCHC-31.5 RDW-16.2* Plt ___ ___ 02:29PM BLOOD WBC-18.1" "Correct entity, wrong SNOMED ID","(4011, 4014)","(4011, 4014)",RDW,RDW,66842004,735149004,11215929-DS-4,"* Hgb-8.2* Hct-25.9* MCV-73* MCH-23.1* MCHC-31.5 RDW-16.2* Plt ___ ___ 02:29PM BLOOD WBC-18.1* RBC-3.7" "Correct entity, wrong SNOMED ID","(4047, 4050)","(4047, 4050)",WBC,WBC,767002,391558003,11215929-DS-4,".1* MCHC-31.5 RDW-16.2* Plt ___ ___ 02:29PM BLOOD WBC-18.1* RBC-3.79* Hgb-9.1* Hct-27.4* MCV-72* MCH-2" "Correct entity, wrong SNOMED ID","(4057, 4060)","(4057, 4060)",RBC,RBC,14089001,258759006,11215929-DS-4,"1.5 RDW-16.2* Plt ___ ___ 02:29PM BLOOD WBC-18.1* RBC-3.79* Hgb-9.1* Hct-27.4* MCV-72* MCH-24.0* MCHC-" "Correct entity, wrong SNOMED ID","(4067, 4070)","(4067, 4070)",Hgb,Hgb,441689006,104142005,11215929-DS-4,".2* Plt ___ ___ 02:29PM BLOOD WBC-18.1* RBC-3.79* Hgb-9.1* Hct-27.4* MCV-72* MCH-24.0* MCHC-33.3 RDW-1" "Correct entity, wrong SNOMED ID","(4076, 4079)","(4076, 4079)",Hct,Hct,28317006,282660005,11215929-DS-4,"__ ___ 02:29PM BLOOD WBC-18.1* RBC-3.79* Hgb-9.1* Hct-27.4* MCV-72* MCH-24.0* MCHC-33.3 RDW-16.5* Plt " "Correct entity, wrong SNOMED ID","(4095, 4098)","(4095, 4098)",MCH,MCH,54706004,735147002,11215929-DS-4,"D WBC-18.1* RBC-3.79* Hgb-9.1* Hct-27.4* MCV-72* MCH-24.0* MCHC-33.3 RDW-16.5* Plt ___ ___ 06:40AM BLO" "Correct entity, wrong SNOMED ID","(4105, 4109)","(4105, 4109)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"* RBC-3.79* Hgb-9.1* Hct-27.4* MCV-72* MCH-24.0* MCHC-33.3 RDW-16.5* Plt ___ ___ 06:40AM BLOOD WBC-18.7" "Correct entity, wrong SNOMED ID","(4115, 4118)","(4115, 4118)",RDW,RDW,66842004,735149004,11215929-DS-4,"* Hgb-9.1* Hct-27.4* MCV-72* MCH-24.0* MCHC-33.3 RDW-16.5* Plt ___ ___ 06:40AM BLOOD WBC-18.7* RBC-3.7" "Correct entity, wrong SNOMED ID","(4151, 4154)","(4151, 4154)",WBC,WBC,767002,391558003,11215929-DS-4,".0* MCHC-33.3 RDW-16.5* Plt ___ ___ 06:40AM BLOOD WBC-18.7* RBC-3.77* Hgb-8.8* Hct-27.2* MCV-72* MCH-2" "Correct entity, wrong SNOMED ID","(4161, 4164)","(4161, 4164)",RBC,RBC,14089001,258759006,11215929-DS-4,"3.3 RDW-16.5* Plt ___ ___ 06:40AM BLOOD WBC-18.7* RBC-3.77* Hgb-8.8* Hct-27.2* MCV-72* MCH-23.4* MCHC-" "Correct entity, wrong SNOMED ID","(4171, 4174)","(4171, 4174)",Hgb,Hgb,441689006,104142005,11215929-DS-4,".5* Plt ___ ___ 06:40AM BLOOD WBC-18.7* RBC-3.77* Hgb-8.8* Hct-27.2* MCV-72* MCH-23.4* MCHC-32.4 RDW-1" "Correct entity, wrong SNOMED ID","(4180, 4183)","(4180, 4183)",Hct,Hct,28317006,282660005,11215929-DS-4,"__ ___ 06:40AM BLOOD WBC-18.7* RBC-3.77* Hgb-8.8* Hct-27.2* MCV-72* MCH-23.4* MCHC-32.4 RDW-16.5* Plt " "Correct entity, wrong SNOMED ID","(4199, 4202)","(4199, 4202)",MCH,MCH,54706004,735147002,11215929-DS-4,"D WBC-18.7* RBC-3.77* Hgb-8.8* Hct-27.2* MCV-72* MCH-23.4* MCHC-32.4 RDW-16.5* Plt ___ ___ 07:05AM BLO" "Correct entity, wrong SNOMED ID","(4209, 4213)","(4209, 4213)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"* RBC-3.77* Hgb-8.8* Hct-27.2* MCV-72* MCH-23.4* MCHC-32.4 RDW-16.5* Plt ___ ___ 07:05AM BLOOD WBC-17.3" "Correct entity, wrong SNOMED ID","(4219, 4222)","(4219, 4222)",RDW,RDW,66842004,735149004,11215929-DS-4,"* Hgb-8.8* Hct-27.2* MCV-72* MCH-23.4* MCHC-32.4 RDW-16.5* Plt ___ ___ 07:05AM BLOOD WBC-17.3*# RBC-4." "Correct entity, wrong SNOMED ID","(4255, 4258)","(4255, 4258)",WBC,WBC,767002,391558003,11215929-DS-4,".4* MCHC-32.4 RDW-16.5* Plt ___ ___ 07:05AM BLOOD WBC-17.3*# RBC-4.66 Hgb-11.2* Hct-33.4* MCV-72* MCH-" "Correct entity, wrong SNOMED ID","(4266, 4269)","(4266, 4269)",RBC,RBC,14089001,258759006,11215929-DS-4,".4 RDW-16.5* Plt ___ ___ 07:05AM BLOOD WBC-17.3*# RBC-4.66 Hgb-11.2* Hct-33.4* MCV-72* MCH-24.0* MCHC-" "Correct entity, wrong SNOMED ID","(4275, 4278)","(4275, 4278)",Hgb,Hgb,441689006,104142005,11215929-DS-4,".5* Plt ___ ___ 07:05AM BLOOD WBC-17.3*# RBC-4.66 Hgb-11.2* Hct-33.4* MCV-72* MCH-24.0* MCHC-33.5 RDW-" "Correct entity, wrong SNOMED ID","(4285, 4288)","(4285, 4288)",Hct,Hct,28317006,282660005,11215929-DS-4,"_ ___ 07:05AM BLOOD WBC-17.3*# RBC-4.66 Hgb-11.2* Hct-33.4* MCV-72* MCH-24.0* MCHC-33.5 RDW-16.3* Plt " "Correct entity, wrong SNOMED ID","(4304, 4307)","(4304, 4307)",MCH,MCH,54706004,735147002,11215929-DS-4," WBC-17.3*# RBC-4.66 Hgb-11.2* Hct-33.4* MCV-72* MCH-24.0* MCHC-33.5 RDW-16.3* Plt ___ ___ 06:25AM BLO" "Correct entity, wrong SNOMED ID","(4314, 4318)","(4314, 4318)",MCHC,MCHC,37254006,735147002,11215929-DS-4,"# RBC-4.66 Hgb-11.2* Hct-33.4* MCV-72* MCH-24.0* MCHC-33.5 RDW-16.3* Plt ___ ___ 06:25AM BLOOD Neuts-70" "Correct entity, wrong SNOMED ID","(4324, 4327)","(4324, 4327)",RDW,RDW,66842004,735149004,11215929-DS-4," Hgb-11.2* Hct-33.4* MCV-72* MCH-24.0* MCHC-33.5 RDW-16.3* Plt ___ ___ 06:25AM BLOOD Neuts-70.7* ___ M" "Correct entity, wrong SNOMED ID","(4360, 4365)","(4360, 4365)",Neuts,Neuts,30630007,271035003,11215929-DS-4,".0* MCHC-33.5 RDW-16.3* Plt ___ ___ 06:25AM BLOOD Neuts-70.7* ___ Monos-6.8 Eos-3.7 Baso-0.3 ___ 06:06AM" "Correct entity, wrong SNOMED ID","(4376, 4381)","(4376, 4381)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"W-16.3* Plt ___ ___ 06:25AM BLOOD Neuts-70.7* ___ Monos-6.8 Eos-3.7 Baso-0.3 ___ 06:06AM BLOOD Neuts-71." Missed entity,"(4386, 4389)",,Eos,,71960002,,11215929-DS-4,"t ___ ___ 06:25AM BLOOD Neuts-70.7* ___ Monos-6.8 Eos-3.7 Baso-0.3 ___ 06:06AM BLOOD Neuts-71.0* Lymph" "Correct entity, wrong SNOMED ID","(4422, 4427)","(4422, 4427)",Neuts,Neuts,30630007,271035003,11215929-DS-4,"___ Monos-6.8 Eos-3.7 Baso-0.3 ___ 06:06AM BLOOD Neuts-71.0* Lymphs-17.7* Monos-7.4 Eos-3.7 Baso-0.2 __" "Correct entity, wrong SNOMED ID","(4434, 4440)","(4434, 4440)",Lymphs,Lymphs,74765001,79709007,11215929-DS-4,"8 Eos-3.7 Baso-0.3 ___ 06:06AM BLOOD Neuts-71.0* Lymphs-17.7* Monos-7.4 Eos-3.7 Baso-0.2 ___ 06:39AM BLO" "Correct entity, wrong SNOMED ID","(4447, 4452)","(4447, 4452)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"so-0.3 ___ 06:06AM BLOOD Neuts-71.0* Lymphs-17.7* Monos-7.4 Eos-3.7 Baso-0.2 ___ 06:39AM BLOOD Neuts-72." "Correct entity, wrong SNOMED ID","(4466, 4470)","(4466, 4470)",Baso,Baso,42351005,700051010000106,11215929-DS-4,"BLOOD Neuts-71.0* Lymphs-17.7* Monos-7.4 Eos-3.7 Baso-0.2 ___ 06:39AM BLOOD Neuts-72.9* Lymphs-15.2* Mo" "Correct entity, wrong SNOMED ID","(4493, 4498)","(4493, 4498)",Neuts,Neuts,30630007,271035003,11215929-DS-4,".7* Monos-7.4 Eos-3.7 Baso-0.2 ___ 06:39AM BLOOD Neuts-72.9* Lymphs-15.2* Monos-7.5 Eos-4.2* Baso-0.2 _" "Correct entity, wrong SNOMED ID","(4505, 4511)","(4505, 4511)",Lymphs,Lymphs,74765001,79709007,11215929-DS-4,"4 Eos-3.7 Baso-0.2 ___ 06:39AM BLOOD Neuts-72.9* Lymphs-15.2* Monos-7.5 Eos-4.2* Baso-0.2 ___ 03:20PM BL" "Correct entity, wrong SNOMED ID","(4518, 4523)","(4518, 4523)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"so-0.2 ___ 06:39AM BLOOD Neuts-72.9* Lymphs-15.2* Monos-7.5 Eos-4.2* Baso-0.2 ___ 03:20PM BLOOD Neuts-69" "Correct entity, wrong SNOMED ID","(4538, 4542)","(4538, 4542)",Baso,Baso,42351005,700051010000106,11215929-DS-4,"LOOD Neuts-72.9* Lymphs-15.2* Monos-7.5 Eos-4.2* Baso-0.2 ___ 03:20PM BLOOD Neuts-69.4 ___ Monos-7.1 Eo" "Correct entity, wrong SNOMED ID","(4565, 4570)","(4565, 4570)",Neuts,Neuts,30630007,271035003,11215929-DS-4,"2* Monos-7.5 Eos-4.2* Baso-0.2 ___ 03:20PM BLOOD Neuts-69.4 ___ Monos-7.1 Eos-4.3* Baso-0.4 ___ 06:50AM" "Correct entity, wrong SNOMED ID","(4580, 4585)","(4580, 4585)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"os-4.2* Baso-0.2 ___ 03:20PM BLOOD Neuts-69.4 ___ Monos-7.1 Eos-4.3* Baso-0.4 ___ 06:50AM BLOOD Neuts-67" Missed entity,"(4590, 4593)",,Eos,,71960002,,11215929-DS-4,"so-0.2 ___ 03:20PM BLOOD Neuts-69.4 ___ Monos-7.1 Eos-4.3* Baso-0.4 ___ 06:50AM BLOOD Neuts-67.9 ___ M" "Correct entity, wrong SNOMED ID","(4627, 4632)","(4627, 4632)",Neuts,Neuts,30630007,271035003,11215929-DS-4,"__ Monos-7.1 Eos-4.3* Baso-0.4 ___ 06:50AM BLOOD Neuts-67.9 ___ Monos-6.7 Eos-3.0 Baso-0.3 ___ 06:45AM " "Correct entity, wrong SNOMED ID","(4642, 4647)","(4642, 4647)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"s-4.3* Baso-0.4 ___ 06:50AM BLOOD Neuts-67.9 ___ Monos-6.7 Eos-3.0 Baso-0.3 ___ 06:45AM BLOOD Neuts-82." Missed entity,"(4652, 4655)",,Eos,,71960002,,11215929-DS-4,"so-0.4 ___ 06:50AM BLOOD Neuts-67.9 ___ Monos-6.7 Eos-3.0 Baso-0.3 ___ 06:45AM BLOOD Neuts-82.3* Lymph" "Correct entity, wrong SNOMED ID","(4688, 4693)","(4688, 4693)",Neuts,Neuts,30630007,271035003,11215929-DS-4,"___ Monos-6.7 Eos-3.0 Baso-0.3 ___ 06:45AM BLOOD Neuts-82.3* Lymphs-12.6* Monos-3.8 Eos-1.3 Baso-0.1 __" "Correct entity, wrong SNOMED ID","(4700, 4706)","(4700, 4706)",Lymphs,Lymphs,74765001,79709007,11215929-DS-4,"7 Eos-3.0 Baso-0.3 ___ 06:45AM BLOOD Neuts-82.3* Lymphs-12.6* Monos-3.8 Eos-1.3 Baso-0.1 ___ 12:45AM BLO" "Correct entity, wrong SNOMED ID","(4713, 4718)","(4713, 4718)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"so-0.3 ___ 06:45AM BLOOD Neuts-82.3* Lymphs-12.6* Monos-3.8 Eos-1.3 Baso-0.1 ___ 12:45AM BLOOD Neuts-87." "Correct entity, wrong SNOMED ID","(4732, 4736)","(4732, 4736)",Baso,Baso,42351005,700051010000106,11215929-DS-4,"BLOOD Neuts-82.3* Lymphs-12.6* Monos-3.8 Eos-1.3 Baso-0.1 ___ 12:45AM BLOOD Neuts-87.3* Lymphs-8.4* Mon" "Correct entity, wrong SNOMED ID","(4759, 4764)","(4759, 4764)",Neuts,Neuts,30630007,271035003,11215929-DS-4,".6* Monos-3.8 Eos-1.3 Baso-0.1 ___ 12:45AM BLOOD Neuts-87.3* Lymphs-8.4* Monos-3.4 Eos-0.8 Baso-0.1 ___" "Correct entity, wrong SNOMED ID","(4771, 4777)","(4771, 4777)",Lymphs,Lymphs,74765001,79709007,11215929-DS-4,"8 Eos-1.3 Baso-0.1 ___ 12:45AM BLOOD Neuts-87.3* Lymphs-8.4* Monos-3.4 Eos-0.8 Baso-0.1 ___ 03:00AM BLOO" "Correct entity, wrong SNOMED ID","(4783, 4788)","(4783, 4788)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"aso-0.1 ___ 12:45AM BLOOD Neuts-87.3* Lymphs-8.4* Monos-3.4 Eos-0.8 Baso-0.1 ___ 03:00AM BLOOD Neuts-86." Missed entity,"(4793, 4796)",,Eos,,71960002,,11215929-DS-4,"_ 12:45AM BLOOD Neuts-87.3* Lymphs-8.4* Monos-3.4 Eos-0.8 Baso-0.1 ___ 03:00AM BLOOD Neuts-86.4* Lymph" "Correct entity, wrong SNOMED ID","(4829, 4834)","(4829, 4834)",Neuts,Neuts,30630007,271035003,11215929-DS-4,".4* Monos-3.4 Eos-0.8 Baso-0.1 ___ 03:00AM BLOOD Neuts-86.4* Lymphs-9.9* Monos-2.2 Eos-1.4 Baso-0.1 ___" "Correct entity, wrong SNOMED ID","(4841, 4847)","(4841, 4847)",Lymphs,Lymphs,74765001,79709007,11215929-DS-4,"4 Eos-0.8 Baso-0.1 ___ 03:00AM BLOOD Neuts-86.4* Lymphs-9.9* Monos-2.2 Eos-1.4 Baso-0.1 ___ 02:29PM BLOO" "Correct entity, wrong SNOMED ID","(4853, 4858)","(4853, 4858)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"aso-0.1 ___ 03:00AM BLOOD Neuts-86.4* Lymphs-9.9* Monos-2.2 Eos-1.4 Baso-0.1 ___ 02:29PM BLOOD Neuts-90." Missed entity,"(4863, 4866)",,Eos,,71960002,,11215929-DS-4,"_ 03:00AM BLOOD Neuts-86.4* Lymphs-9.9* Monos-2.2 Eos-1.4 Baso-0.1 ___ 02:29PM BLOOD Neuts-90.1* Lymph" "Correct entity, wrong SNOMED ID","(4899, 4904)","(4899, 4904)",Neuts,Neuts,30630007,271035003,11215929-DS-4,".9* Monos-2.2 Eos-1.4 Baso-0.1 ___ 02:29PM BLOOD Neuts-90.1* Lymphs-6.9* Monos-2.3 Eos-0.6 Baso-0.1 ___" "Correct entity, wrong SNOMED ID","(4911, 4917)","(4911, 4917)",Lymphs,Lymphs,74765001,79709007,11215929-DS-4,"2 Eos-1.4 Baso-0.1 ___ 02:29PM BLOOD Neuts-90.1* Lymphs-6.9* Monos-2.3 Eos-0.6 Baso-0.1 ___ 06:40AM BLOO" "Correct entity, wrong SNOMED ID","(4923, 4928)","(4923, 4928)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"aso-0.1 ___ 02:29PM BLOOD Neuts-90.1* Lymphs-6.9* Monos-2.3 Eos-0.6 Baso-0.1 ___ 06:40AM BLOOD Neuts-91." Missed entity,"(4933, 4936)",,Eos,,71960002,,11215929-DS-4,"_ 02:29PM BLOOD Neuts-90.1* Lymphs-6.9* Monos-2.3 Eos-0.6 Baso-0.1 ___ 06:40AM BLOOD Neuts-91.2* Lymph" "Correct entity, wrong SNOMED ID","(4969, 4974)","(4969, 4974)",Neuts,Neuts,30630007,271035003,11215929-DS-4,".9* Monos-2.3 Eos-0.6 Baso-0.1 ___ 06:40AM BLOOD Neuts-91.2* Lymphs-6.5* Monos-2.0 Eos-0.1 Baso-0.1 ___" "Correct entity, wrong SNOMED ID","(4981, 4987)","(4981, 4987)",Lymphs,Lymphs,74765001,79709007,11215929-DS-4,"3 Eos-0.6 Baso-0.1 ___ 06:40AM BLOOD Neuts-91.2* Lymphs-6.5* Monos-2.0 Eos-0.1 Baso-0.1 ___ 06:25AM BLOO" "Correct entity, wrong SNOMED ID","(4993, 4998)","(4993, 4998)",Monos,Monos,67776007,462791000124108,11215929-DS-4,"aso-0.1 ___ 06:40AM BLOOD Neuts-91.2* Lymphs-6.5* Monos-2.0 Eos-0.1 Baso-0.1 ___ 06:25AM BLOOD ___ PTT-3" Missed entity,"(5003, 5006)",,Eos,,71960002,,11215929-DS-4,"_ 06:40AM BLOOD Neuts-91.2* Lymphs-6.5* Monos-2.0 Eos-0.1 Baso-0.1 ___ 06:25AM BLOOD ___ PTT-31.7 ___ " "Correct entity, wrong SNOMED ID","(5043, 5046)","(5043, 5046)",PTT,PTT,42525009,282119004,11215929-DS-4,"Monos-2.0 Eos-0.1 Baso-0.1 ___ 06:25AM BLOOD ___ PTT-31.7 ___ ___ 06:50AM BLOOD ___ PTT-30.8 ___ ___ 0" "Correct entity, wrong SNOMED ID","(5078, 5081)","(5078, 5081)",PTT,PTT,42525009,282119004,11215929-DS-4,"25AM BLOOD ___ PTT-31.7 ___ ___ 06:50AM BLOOD ___ PTT-30.8 ___ ___ 06:45AM BLOOD ___ PTT-29.0 ___ ___ 0" "Correct entity, wrong SNOMED ID","(5113, 5116)","(5113, 5116)",PTT,PTT,42525009,282119004,11215929-DS-4,"50AM BLOOD ___ PTT-30.8 ___ ___ 06:45AM BLOOD ___ PTT-29.0 ___ ___ 02:29PM BLOOD ___ PTT-33.7 ___ ___ 0" "Correct entity, wrong SNOMED ID","(5148, 5151)","(5148, 5151)",PTT,PTT,42525009,282119004,11215929-DS-4,"45AM BLOOD ___ PTT-29.0 ___ ___ 02:29PM BLOOD ___ PTT-33.7 ___ ___ 06:40AM BLOOD ___ PTT-31.2 ___ ___ 0" "Correct entity, wrong SNOMED ID","(5183, 5186)","(5183, 5186)",PTT,PTT,42525009,282119004,11215929-DS-4,"29PM BLOOD ___ PTT-33.7 ___ ___ 06:40AM BLOOD ___ PTT-31.2 ___ ___ 07:05AM BLOOD ___ PTT-34.0 ___ ___ 0" "Correct entity, wrong SNOMED ID","(5218, 5221)","(5218, 5221)",PTT,PTT,42525009,282119004,11215929-DS-4,"40AM BLOOD ___ PTT-31.2 ___ ___ 07:05AM BLOOD ___ PTT-34.0 ___ ___ 06:25AM BLOOD Glucose-123* UreaN-4* " "Correct entity, wrong SNOMED ID","(5249, 5256)","(5249, 5256)",Glucose,Glucose,33747003,72191006,11215929-DS-4," 07:05AM BLOOD ___ PTT-34.0 ___ ___ 06:25AM BLOOD Glucose-123* UreaN-4* Creat-0.6 Na-137 K-3.6 Cl-97 HCO3-" "Correct entity, wrong SNOMED ID","(5262, 5267)","(5262, 5267)",UreaN,UreaN,105011006,111108008,11215929-DS-4,"D ___ PTT-34.0 ___ ___ 06:25AM BLOOD Glucose-123* UreaN-4* Creat-0.6 Na-137 K-3.6 Cl-97 HCO3-31 AnGap-13" "Correct entity, wrong SNOMED ID","(5271, 5276)","(5271, 5276)",Creat,Creat,70901006,413856009,11215929-DS-4,"-34.0 ___ ___ 06:25AM BLOOD Glucose-123* UreaN-4* Creat-0.6 Na-137 K-3.6 Cl-97 HCO3-31 AnGap-13 ___ 06:0" "Correct entity, wrong SNOMED ID","(5281, 5283)","(5281, 5283)",Na,Na,312469006,257992007,11215929-DS-4,"___ 06:25AM BLOOD Glucose-123* UreaN-4* Creat-0.6 Na-137 K-3.6 Cl-97 HCO3-31 AnGap-13 ___ 06:06AM BLO" "Correct entity, wrong SNOMED ID","(5295, 5297)","(5295, 5297)",Cl,Cl,104589004,311741002,11215929-DS-4,"OOD Glucose-123* UreaN-4* Creat-0.6 Na-137 K-3.6 Cl-97 HCO3-31 AnGap-13 ___ 06:06AM BLOOD Glucose-86 " "Correct entity, wrong SNOMED ID","(5301, 5305)","(5301, 5305)",HCO3,HCO3,312471006,88645003,11215929-DS-4,"ucose-123* UreaN-4* Creat-0.6 Na-137 K-3.6 Cl-97 HCO3-31 AnGap-13 ___ 06:06AM BLOOD Glucose-86 UreaN-6 " "Correct entity, wrong SNOMED ID","(5309, 5314)","(5309, 5314)",AnGap,AnGap,25469001,124504004,11215929-DS-4,"3* UreaN-4* Creat-0.6 Na-137 K-3.6 Cl-97 HCO3-31 AnGap-13 ___ 06:06AM BLOOD Glucose-86 UreaN-6 Creat-0.6" "Correct entity, wrong SNOMED ID","(5336, 5343)","(5336, 5343)",Glucose,Glucose,33747003,72191006,11215929-DS-4,"7 K-3.6 Cl-97 HCO3-31 AnGap-13 ___ 06:06AM BLOOD Glucose-86 UreaN-6 Creat-0.6 Na-138 K-3.9 Cl-98 HCO3-29 " "Correct entity, wrong SNOMED ID","(5347, 5352)","(5347, 5352)",UreaN,UreaN,105011006,111108008,11215929-DS-4,"-97 HCO3-31 AnGap-13 ___ 06:06AM BLOOD Glucose-86 UreaN-6 Creat-0.6 Na-138 K-3.9 Cl-98 HCO3-29 AnGap-15 " "Correct entity, wrong SNOMED ID","(5355, 5360)","(5355, 5360)",Creat,Creat,70901006,413856009,11215929-DS-4,"-31 AnGap-13 ___ 06:06AM BLOOD Glucose-86 UreaN-6 Creat-0.6 Na-138 K-3.9 Cl-98 HCO3-29 AnGap-15 ___ 06:3" "Correct entity, wrong SNOMED ID","(5365, 5367)","(5365, 5367)",Na,Na,312469006,257992007,11215929-DS-4,"13 ___ 06:06AM BLOOD Glucose-86 UreaN-6 Creat-0.6 Na-138 K-3.9 Cl-98 HCO3-29 AnGap-15 ___ 06:39AM BLO" Missed entity,"(5372, 5373)",,K,,312468003,,11215929-DS-4,"06:06AM BLOOD Glucose-86 UreaN-6 Creat-0.6 Na-138 K-3.9 Cl-98 HCO3-29 AnGap-15 ___ 06:39AM BLOOD Glu" "Correct entity, wrong SNOMED ID","(5385, 5389)","(5385, 5389)",HCO3,HCO3,312471006,88645003,11215929-DS-4," Glucose-86 UreaN-6 Creat-0.6 Na-138 K-3.9 Cl-98 HCO3-29 AnGap-15 ___ 06:39AM BLOOD Glucose-94 UreaN-6 " "Correct entity, wrong SNOMED ID","(5393, 5398)","(5393, 5398)",AnGap,AnGap,25469001,124504004,11215929-DS-4,"-86 UreaN-6 Creat-0.6 Na-138 K-3.9 Cl-98 HCO3-29 AnGap-15 ___ 06:39AM BLOOD Glucose-94 UreaN-6 Creat-0.5" "Correct entity, wrong SNOMED ID","(5420, 5427)","(5420, 5427)",Glucose,Glucose,33747003,72191006,11215929-DS-4,"8 K-3.9 Cl-98 HCO3-29 AnGap-15 ___ 06:39AM BLOOD Glucose-94 UreaN-6 Creat-0.5 Na-138 K-3.9 Cl-98 HCO3-28 " "Correct entity, wrong SNOMED ID","(5431, 5436)","(5431, 5436)",UreaN,UreaN,105011006,111108008,11215929-DS-4,"-98 HCO3-29 AnGap-15 ___ 06:39AM BLOOD Glucose-94 UreaN-6 Creat-0.5 Na-138 K-3.9 Cl-98 HCO3-28 AnGap-16 " "Correct entity, wrong SNOMED ID","(5439, 5444)","(5439, 5444)",Creat,Creat,70901006,413856009,11215929-DS-4,"-29 AnGap-15 ___ 06:39AM BLOOD Glucose-94 UreaN-6 Creat-0.5 Na-138 K-3.9 Cl-98 HCO3-28 AnGap-16 ___ 03:2" "Correct entity, wrong SNOMED ID","(5449, 5451)","(5449, 5451)",Na,Na,312469006,257992007,11215929-DS-4,"15 ___ 06:39AM BLOOD Glucose-94 UreaN-6 Creat-0.5 Na-138 K-3.9 Cl-98 HCO3-28 AnGap-16 ___ 03:20PM BLO" Missed entity,"(5456, 5457)",,K,,312468003,,11215929-DS-4,"06:39AM BLOOD Glucose-94 UreaN-6 Creat-0.5 Na-138 K-3.9 Cl-98 HCO3-28 AnGap-16 ___ 03:20PM BLOOD Glu" "Correct entity, wrong SNOMED ID","(5469, 5473)","(5469, 5473)",HCO3,HCO3,312471006,88645003,11215929-DS-4," Glucose-94 UreaN-6 Creat-0.5 Na-138 K-3.9 Cl-98 HCO3-28 AnGap-16 ___ 03:20PM BLOOD Glucose-98 UreaN-5*" "Correct entity, wrong SNOMED ID","(5477, 5482)","(5477, 5482)",AnGap,AnGap,25469001,124504004,11215929-DS-4,"-94 UreaN-6 Creat-0.5 Na-138 K-3.9 Cl-98 HCO3-28 AnGap-16 ___ 03:20PM BLOOD Glucose-98 UreaN-5* Creat-0." "Correct entity, wrong SNOMED ID","(5504, 5511)","(5504, 5511)",Glucose,Glucose,33747003,72191006,11215929-DS-4,"8 K-3.9 Cl-98 HCO3-28 AnGap-16 ___ 03:20PM BLOOD Glucose-98 UreaN-5* Creat-0.7 Na-137 K-3.5 Cl-98 HCO3-27" "Correct entity, wrong SNOMED ID","(5515, 5520)","(5515, 5520)",UreaN,UreaN,105011006,111108008,11215929-DS-4,"-98 HCO3-28 AnGap-16 ___ 03:20PM BLOOD Glucose-98 UreaN-5* Creat-0.7 Na-137 K-3.5 Cl-98 HCO3-27 AnGap-16" "Correct entity, wrong SNOMED ID","(5524, 5529)","(5524, 5529)",Creat,Creat,70901006,413856009,11215929-DS-4,"28 AnGap-16 ___ 03:20PM BLOOD Glucose-98 UreaN-5* Creat-0.7 Na-137 K-3.5 Cl-98 HCO3-27 AnGap-16 ___ 03:0" "Correct entity, wrong SNOMED ID","(5534, 5536)","(5534, 5536)",Na,Na,312469006,257992007,11215929-DS-4,"6 ___ 03:20PM BLOOD Glucose-98 UreaN-5* Creat-0.7 Na-137 K-3.5 Cl-98 HCO3-27 AnGap-16 ___ 03:00AM BLO" "Correct entity, wrong SNOMED ID","(5548, 5550)","(5548, 5550)",Cl,Cl,104589004,311741002,11215929-DS-4,"BLOOD Glucose-98 UreaN-5* Creat-0.7 Na-137 K-3.5 Cl-98 HCO3-27 AnGap-16 ___ 03:00AM BLOOD ALT-10 AST-" "Correct entity, wrong SNOMED ID","(5554, 5558)","(5554, 5558)",HCO3,HCO3,312471006,88645003,11215929-DS-4,"Glucose-98 UreaN-5* Creat-0.7 Na-137 K-3.5 Cl-98 HCO3-27 AnGap-16 ___ 03:00AM BLOOD ALT-10 AST-14 AlkPh" "Correct entity, wrong SNOMED ID","(5562, 5567)","(5562, 5567)",AnGap,AnGap,25469001,124504004,11215929-DS-4,"98 UreaN-5* Creat-0.7 Na-137 K-3.5 Cl-98 HCO3-27 AnGap-16 ___ 03:00AM BLOOD ALT-10 AST-14 AlkPhos-70 Tot" "Correct entity, wrong SNOMED ID","(5589, 5592)","(5589, 5592)",ALT,ALT,34608000,56935002,11215929-DS-4,"7 K-3.5 Cl-98 HCO3-27 AnGap-16 ___ 03:00AM BLOOD ALT-10 AST-14 AlkPhos-70 TotBili-1.2 IMAGING: Pelvi" "Correct entity, wrong SNOMED ID","(5596, 5599)","(5596, 5599)",AST,AST,45896001,85043005,11215929-DS-4,"5 Cl-98 HCO3-27 AnGap-16 ___ 03:00AM BLOOD ALT-10 AST-14 AlkPhos-70 TotBili-1.2 IMAGING: Pelvic US __" "Correct entity, wrong SNOMED ID","(5603, 5610)","(5603, 5610)",AlkPhos,AlkPhos,88810008,30703008,11215929-DS-4," HCO3-27 AnGap-16 ___ 03:00AM BLOOD ALT-10 AST-14 AlkPhos-70 TotBili-1.2 IMAGING: Pelvic US ___: 1. Tubu" "Correct entity, wrong SNOMED ID","(5614, 5621)","(5614, 5621)",TotBili,TotBili,359986008,19754005,11215929-DS-4,"Gap-16 ___ 03:00AM BLOOD ALT-10 AST-14 AlkPhos-70 TotBili-1.2 IMAGING: Pelvic US ___: 1. Tubular structu" "Correct entity, wrong SNOMED ID","(5637, 5646)","(5637, 5646)",Pelvic US,Pelvic US,24848001,711554003,11215929-DS-4,"D ALT-10 AST-14 AlkPhos-70 TotBili-1.2 IMAGING: Pelvic US ___: 1. Tubular structure in right adnexa with e" "Correct entity, wrong SNOMED ID","(5733, 5743)","(5733, 5743)",pyosalpinx,pyosalpinx,397810006,72626008,11215929-DS-4,"adnexa with echogenic contents, consistent with pyosalpinx. Endometriosis and/or neoplasm would be other c" "Correct entity, wrong SNOMED ID","(5746, 5759)","(5746, 5759)",Endometriosis,Endometriosis,129103003,53913001,11215929-DS-4,"chogenic contents, consistent with pyosalpinx. Endometriosis and/or neoplasm would be other considerations, h" "Correct entity, wrong SNOMED ID","(5767, 5775)","(5767, 5775)",neoplasm,neoplasm,108369006,264869003,11215929-DS-4,"onsistent with pyosalpinx. Endometriosis and/or neoplasm would be other considerations, however the eleva" "Correct entity, wrong SNOMED ID","(5850, 5860)","(5850, 5860)",pyosalpinx,pyosalpinx,397810006,72626008,11215929-DS-4,"ations, however the elevated white count suggest pyosalpinx would be more likely. Ascites and omental strand" "Correct entity, wrong SNOMED ID","(5883, 5890)","(5883, 5890)",Ascites,Ascites,389026000,860638000,11215929-DS-4,"e count suggest pyosalpinx would be more likely. Ascites and omental stranding are also presumed to be in" Wrong span,"(5895, 5902)","(5895, 5913)",omental,"omental stranding",27398004,57921006,11215929-DS-4,"gest pyosalpinx would be more likely. Ascites and omental stranding are also presumed to be inflammatory i" "Correct entity, wrong SNOMED ID","(5938, 5950)","(5938, 5950)",inflammatory,inflammatory,128139000,103623002,11215929-DS-4,"es and omental stranding are also presumed to be inflammatory in nature given patient's clinical presentation." "Correct entity, wrong SNOMED ID","(6006, 6010)","(6006, 6010)",Left,Left,113293009,264745005,11215929-DS-4,"ture given patient's clinical presentation. 2. Left hydrosalpinx. Normal appearance of left ovary. " "Correct entity, wrong SNOMED ID","(6011, 6023)","(6011, 6023)",hydrosalpinx,hydrosalpinx,21711003,253825002,11215929-DS-4,"given patient's clinical presentation. 2. Left hydrosalpinx. Normal appearance of left ovary. 3. Right ov" "Correct entity, wrong SNOMED ID","(6026, 6043)","(6026, 6043)",Normal appearance,Normal appearance,386549008,225544001,11215929-DS-4,"s clinical presentation. 2. Left hydrosalpinx. Normal appearance of left ovary. 3. Right ovary not well evaluat" "Correct entity, wrong SNOMED ID","(6047, 6057)","(6047, 6057)",left ovary,left ovary,43981004,280124008,11215929-DS-4,"on. 2. Left hydrosalpinx. Normal appearance of left ovary. 3. Right ovary not well evaluated on this exa" "Correct entity, wrong SNOMED ID","(6065, 6076)","(6065, 6076)",Right ovary,Right ovary,20837000,830048009,11215929-DS-4,"osalpinx. Normal appearance of left ovary. 3. Right ovary not well evaluated on this exam due to displacem" Missed entity,"(6117, 6129)",,displacement,,112638000,,11215929-DS-4,"ght ovary not well evaluated on this exam due to displacement by adnexal structures, making complete exclusion " Wrong span,"(6183, 6204)","(6183, 6196)",right ovarian torsion,right ovarian,15931901000119103,1010192004,11215929-DS-4,"adnexal structures, making complete exclusion of right ovarian torsion, as queried, not possible on this exam. Liver" "Correct entity, wrong SNOMED ID","(6249, 6257)","(6249, 6257)",Liver US,Liver US,105377009,427108001,11215929-DS-4,"rsion, as queried, not possible on this exam. Liver US ___: 1. Biliary sludge without evidence of acute" Wrong span,"(6302, 6322)","(6302, 6307)","acute cholecystitis",acute,65275009,255228009,11215929-DS-4,"er US ___: 1. Biliary sludge without evidence of acute cholecystitis. No cholelithiasis. 2. 0.___ile duct, similar t" "Correct entity, wrong SNOMED ID","(6327, 6341)","(6327, 6341)",cholelithiasis,cholelithiasis,266474003,407637009,11215929-DS-4,"udge without evidence of acute cholecystitis. No cholelithiasis. 2. 0.___ile duct, similar to MR dated ___ wit" "Correct entity, wrong SNOMED ID","(6353, 6361)","(6353, 6361)",ile duct,ile duct,28273000,110816006,11215929-DS-4,"cute cholecystitis. No cholelithiasis. 2. 0.___ile duct, similar to MR dated ___ without evidence of st" "Correct entity, wrong SNOMED ID","(6409, 6414)","(6409, 6414)",stone,stone,56381008,246117004,11215929-DS-4,"ct, similar to MR dated ___ without evidence of stone. 3. Small volume of ascites. CTA Chest ___: L" "Correct entity, wrong SNOMED ID","(6437, 6444)","(6437, 6444)",ascites,ascites,389026000,860638000,11215929-DS-4," without evidence of stone. 3. Small volume of ascites. CTA Chest ___: Limited exam due to body habitu" "Correct entity, wrong SNOMED ID","(6448, 6457)","(6448, 6457)",CTA Chest,CTA Chest,411251000119104,169069000,11215929-DS-4,"idence of stone. 3. Small volume of ascites. CTA Chest ___: Limited exam due to body habitus and bolus " "Correct entity, wrong SNOMED ID","(6515, 6526)","(6515, 6526)",No evidence,No evidence,281900007,41647002,11215929-DS-4,"mited exam due to body habitus and bolus timing. No evidence of large pulmonary embolism. No acute findings" "Correct entity, wrong SNOMED ID","(6537, 6555)","(6537, 6555)",pulmonary embolism,pulmonary embolism,59282003,133971000119108,11215929-DS-4," habitus and bolus timing. No evidence of large pulmonary embolism. No acute findings. Bibasilar atelectasis, left" Missed entity,"(6558, 6566)",,No acute,,281900007,,11215929-DS-4,"iming. No evidence of large pulmonary embolism. No acute findings. Bibasilar atelectasis, left greater th" "Correct entity, wrong SNOMED ID","(6578, 6587)","(6578, 6587)",Bibasilar,Bibasilar,10024003,704915001,11215929-DS-4,"f large pulmonary embolism. No acute findings. Bibasilar atelectasis, left greater than right. Lower ext" "Correct entity, wrong SNOMED ID","(6588, 6599)","(6588, 6599)",atelectasis,atelectasis,46621007,16537000,11215929-DS-4,"ulmonary embolism. No acute findings. Bibasilar atelectasis, left greater than right. Lower extremity venou" "Correct entity, wrong SNOMED ID","(6601, 6605)","(6601, 6605)",left,left,44029006,264745005,11215929-DS-4,"lism. No acute findings. Bibasilar atelectasis, left greater than right. Lower extremity venous ultr" "Correct entity, wrong SNOMED ID","(6619, 6624)","(6619, 6624)",right,right,3341006,264746006,11215929-DS-4,"indings. Bibasilar atelectasis, left greater than right. Lower extremity venous ultrasound ___: No evid" Wrong span,"(6628, 6650)","(6628, 6661)",Lower extremity venous,Lower extremity venous ultrasound,80195002,711500000,11215929-DS-4,"Bibasilar atelectasis, left greater than right. Lower extremity venous ultrasound ___: No evidence of deep venous throm" Wrong span,"(6651, 6661)","(6628, 6661)",ultrasound,Lower extremity venous ultrasound,16310003,711500000,11215929-DS-4,"left greater than right. Lower extremity venous ultrasound ___: No evidence of deep venous thrombosis in th" "Correct entity, wrong SNOMED ID","(6667, 6678)","(6667, 6678)",No evidence,No evidence,281900007,41647002,11215929-DS-4,"n right. Lower extremity venous ultrasound ___: No evidence of deep venous thrombosis in the bilateral lower" "Correct entity, wrong SNOMED ID","(6682, 6705)","(6682, 6705)","deep venous thrombosis","deep venous thrombosis",128053003,132281000119108,11215929-DS-4,"r extremity venous ultrasound ___: No evidence of deep venous thrombosis in the bilateral lower extremity veins. Brief" Wrong span,"(6723, 6744)","(6713, 6744)",lower extremity veins,bilateral lower extremity veins,80195002,16014311000119102,11215929-DS-4,"dence of deep venous thrombosis in the bilateral lower extremity veins. Brief Hospital Course: Ms. ___ was admitted " Missed entity,"(6813, 6816)",,GYN,,305873001,,11215929-DS-4,"l Course: Ms. ___ was admitted from the ED to the GYN service with the diagnosis of hematosalpynx thou" "Correct entity, wrong SNOMED ID","(6848, 6861)","(6848, 6861)",hematosalpynx,hematosalpynx,78095005,423668003,11215929-DS-4," the ED to the GYN service with the diagnosis of hematosalpynx thought to be related to anticoagulation from be" "Correct entity, wrong SNOMED ID","(6888, 6903)","(6888, 6903)",anticoagulation,anticoagulation,182764009,260678004,11215929-DS-4,"gnosis of hematosalpynx thought to be related to anticoagulation from being on Xarelto. Please see below for deta" "Correct entity, wrong SNOMED ID","(6997, 7002)","(6997, 7002)",Neuro,Neuro,84728005,281247006,11215929-DS-4,"r detailed hospital course by system/problem: 1) Neuro: Ms. ___ had significant abdominal pain associate" "Correct entity, wrong SNOMED ID","(7028, 7042)","(7028, 7042)",abdominal pain,abdominal pain,21522001,54586004,11215929-DS-4,"ystem/problem: 1) Neuro: Ms. ___ had significant abdominal pain associated with a right hematosalpynx. She recei" "Correct entity, wrong SNOMED ID","(7062, 7067)","(7062, 7067)",right,right,2033006,225794002,11215929-DS-4,"had significant abdominal pain associated with a right hematosalpynx. She received IV pain medication h" "Correct entity, wrong SNOMED ID","(7068, 7081)","(7068, 7081)",hematosalpynx,hematosalpynx,78095005,423668003,11215929-DS-4,"gnificant abdominal pain associated with a right hematosalpynx. She received IV pain medication however continu" Wrong span,"(7096, 7098)","(7096, 7114)",IV,IV pain medication,386340006,1365982005,11215929-DS-4,"ociated with a right hematosalpynx. She received IV pain medication however continued to have persis" Wrong span,"(7099, 7114)","(7096, 7114)",pain medication,IV pain medication,52685006,1365982005,11215929-DS-4,"ated with a right hematosalpynx. She received IV pain medication however continued to have persistnet pain. APS w" "Correct entity, wrong SNOMED ID","(7153, 7157)","(7153, 7157)",pain,pain,21522001,102570003,11215929-DS-4," medication however continued to have persistnet pain. APS was consulted who recommended a morphine PC" Missed entity,"(7205, 7208)",,PCA,,241716000,,11215929-DS-4,"in. APS was consulted who recommended a morphine PCA. This was continued until her diet was advanced " "Correct entity, wrong SNOMED ID","(7239, 7243)","(7239, 7243)",diet,diet,41829006,405106009,11215929-DS-4,"nded a morphine PCA. This was continued until her diet was advanced to a regular diet after which she w" "Correct entity, wrong SNOMED ID","(7263, 7275)","(7263, 7275)",regular diet,regular diet,36823005,63740007,11215929-DS-4,"s was continued until her diet was advanced to a regular diet after which she was transitioned to oral oxycodo" Missed entity,"(7313, 7317)",,oral,,386359008,,11215929-DS-4,"regular diet after which she was transitioned to oral oxycodone and acetaminophen which controlled her " "Correct entity, wrong SNOMED ID","(7367, 7371)","(7367, 7371)",pain,pain,22253000,102570003,11215929-DS-4," oxycodone and acetaminophen which controlled her pain adequately. 2) Hematosalypnx: This was thought " "Correct entity, wrong SNOMED ID","(7389, 7402)","(7389, 7402)",Hematosalypnx,Hematosalypnx,78095005,161538007,11215929-DS-4,"nophen which controlled her pain adequately. 2) Hematosalypnx: This was thought to be related to beign anticoa" "Correct entity, wrong SNOMED ID","(7445, 7459)","(7445, 7459)",anticoagulated,anticoagulated,182764009,122621000119109,11215929-DS-4,"salypnx: This was thought to be related to beign anticoagulated on Xaralto. Therefore, this medication was held " Wrong span,"(7488, 7507)","(7488, 7498)",medication was held,medication,304540007,182837001,11215929-DS-4,"beign anticoagulated on Xaralto. Therefore, this medication was held and all anticoagulation was held. The patient re" "Correct entity, wrong SNOMED ID","(7517, 7532)","(7517, 7532)",anticoagulation,anticoagulation,182764009,260678004,11215929-DS-4,"lto. Therefore, this medication was held and all anticoagulation was held. The patient received multiple doses of" "Correct entity, wrong SNOMED ID","(7623, 7635)","(7623, 7635)",coagulopathy,coagulopathy,64779008,67406007,11215929-DS-4," doses of Vitamin K and 2units FFP to reverse her coagulopathy following which her INR significantly improved. " "Correct entity, wrong SNOMED ID","(7657, 7660)","(7657, 7660)",INR,INR,440685005,390792008,11215929-DS-4," to reverse her coagulopathy following which her INR significantly improved. Although there was some " "Correct entity, wrong SNOMED ID","(7675, 7683)","(7675, 7683)",improved,improved,268910001,251359002,11215929-DS-4,"agulopathy following which her INR significantly improved. Although there was some suspicion for hemoperit" "Correct entity, wrong SNOMED ID","(7744, 7758)","(7744, 7758)",abdominal exam,abdominal exam,225162003,5506006,11215929-DS-4,"there was some suspicion for hemoperitoneum, her abdominal exam remained stable throughout with no hemodynamic i" "Correct entity, wrong SNOMED ID","(7769, 7775)","(7769, 7775)",stable,stable,359746009,301459008,11215929-DS-4," for hemoperitoneum, her abdominal exam remained stable throughout with no hemodynamic instability or ac" "Correct entity, wrong SNOMED ID","(7795, 7818)","(7795, 7818)",hemodynamic instability,hemodynamic instability,422773005,95614004,11215929-DS-4,"bdominal exam remained stable throughout with no hemodynamic instability or acute abdomen. She received 2 units pRBC for " Wrong span,"(7823, 7836)","(7823, 7828)",acute abdomen,acute,9209005,255228009,11215929-DS-4,"le throughout with no hemodynamic instability or acute abdomen. She received 2 units pRBC for downtrending anemi" "Correct entity, wrong SNOMED ID","(7881, 7887)","(7881, 7887)",anemia,anemia,271737000,87522002,11215929-DS-4,"domen. She received 2 units pRBC for downtrending anemia with an appropriate response. The patient under" "Correct entity, wrong SNOMED ID","(7956, 7964)","(7956, 7964)",drainage,drainage,122462000,56783008,11215929-DS-4,"te response. The patient underwent an ___ guided drainage of right hematosalypnx with minimal fluid aspira" "Correct entity, wrong SNOMED ID","(7968, 7973)","(7968, 7973)",right,right,2033006,225794002,11215929-DS-4," The patient underwent an ___ guided drainage of right hematosalypnx with minimal fluid aspirated. Ther" "Correct entity, wrong SNOMED ID","(7975, 7988)","(7975, 7988)",hematosalypnx,hematosalypnx,78095005,161538007,11215929-DS-4,"atient underwent an ___ guided drainage of right hematosalypnx with minimal fluid aspirated. There was no purul" "Correct entity, wrong SNOMED ID","(8033, 8042)","(8033, 8042)",purulence,purulence,225550006,167953004,11215929-DS-4,"lypnx with minimal fluid aspirated. There was no purulence noted at the time of drain. 3) ID: the patient " "Correct entity, wrong SNOMED ID","(8064, 8069)","(8064, 8069)",drain,drain,122462000,258551007,11215929-DS-4,"ted. There was no purulence noted at the time of drain. 3) ID: the patient was noted to have a signifi" "Correct entity, wrong SNOMED ID","(8124, 8136)","(8124, 8136)",leukocytosis,leukocytosis,111583006,65209002,11215929-DS-4,") ID: the patient was noted to have a significant leukocytosis on admission. Due to some initial concern for py" "Correct entity, wrong SNOMED ID","(8184, 8194)","(8184, 8194)",pyosalpynx,pyosalpynx,397810006,206370004,11215929-DS-4,"is on admission. Due to some initial concern for pyosalpynx, the patient was started on gentamicin and clind" "Correct entity, wrong SNOMED ID","(8261, 8269)","(8261, 8269)",afebrile,afebrile,386661006,307200007,11215929-DS-4,"s started on gentamicin and clindamycin. She was afebrile until the day of above noted ___ drained when pos" "Correct entity, wrong SNOMED ID","(8359, 8369)","(8359, 8369)",heart rate,heart rate,301113001,76863003,11215929-DS-4,"d when post procedurally she was triggered for a heart rate in the 130s and a temp of 101.4. She subsequentl" "Correct entity, wrong SNOMED ID","(8389, 8393)","(8389, 8393)",temp,temp,105723007,102496004,11215929-DS-4,"was triggered for a heart rate in the 130s and a temp of 101.4. She subsequently defevervesced with no " "Correct entity, wrong SNOMED ID","(8452, 8458)","(8452, 8458)",fevers,fevers,386661006,248444008,11215929-DS-4,". She subsequently defevervesced with no further fevers. This was thought to be related to a inflammatory" "Correct entity, wrong SNOMED ID","(8496, 8508)","(8496, 8508)",inflammatory,inflammatory,128139000,103623002,11215929-DS-4,"ther fevers. This was thought to be related to a inflammatory response after ___ drainage. Her antibiotics wer" "Correct entity, wrong SNOMED ID","(8529, 8537)","(8529, 8537)",drainage,drainage,122462000,56783008,11215929-DS-4," be related to a inflammatory response after ___ drainage. Her antibiotics were subsequently discontinued " "Correct entity, wrong SNOMED ID","(8543, 8554)","(8543, 8554)",antibiotics,antibiotics,281789004,372599003,11215929-DS-4," a inflammatory response after ___ drainage. Her antibiotics were subsequently discontinued given no clinical" "Correct entity, wrong SNOMED ID","(8617, 8627)","(8617, 8627)",pyosalpynx,pyosalpynx,397810006,1269483003,11215929-DS-4,"ently discontinued given no clinical evidence of pyosalpynx or infection. ___ cultures did not grow anything" "Correct entity, wrong SNOMED ID","(8632, 8641)","(8632, 8641)",infection,infection,40733004,260976002,11215929-DS-4,"nued given no clinical evidence of pyosalpynx or infection. ___ cultures did not grow anything. 4) GI: Init" "Correct entity, wrong SNOMED ID","(8683, 8685)","(8683, 8685)",GI,GI,86762007,1142285003,11215929-DS-4,"nfection. ___ cultures did not grow anything. 4) GI: Initially, the patient had nausea, intermittent " "Correct entity, wrong SNOMED ID","(8714, 8720)","(8714, 8720)",nausea,nausea,422587007,1217125005,11215929-DS-4,"grow anything. 4) GI: Initially, the patient had nausea, intermittent emesis and limited bowel function." "Correct entity, wrong SNOMED ID","(8735, 8741)","(8735, 8741)",emesis,emesis,422400008,71419002,11215929-DS-4,": Initially, the patient had nausea, intermittent emesis and limited bowel function. She was maintained o" "Correct entity, wrong SNOMED ID","(8747, 8769)","(8747, 8769)",limited bowel function,limited bowel function,88111009,247338006,11215929-DS-4," the patient had nausea, intermittent emesis and limited bowel function. She was maintained on a clear liquid diet due t" "Correct entity, wrong SNOMED ID","(8842, 8847)","(8842, 8847)",ileus,ileus,710572000,37976006,11215929-DS-4," a clear liquid diet due to concern for possible ileus and received a bowel regimen which significantly" Wrong span,"(8863, 8868)","(8863, 8877)",bowel,"bowel regimen",113276009,710140005,11215929-DS-4," due to concern for possible ileus and received a bowel regimen which significantly improved her symptom" Wrong span,"(8870, 8877)","(8863, 8877)",regimen,"bowel regimen",133877004,710140005,11215929-DS-4," concern for possible ileus and received a bowel regimen which significantly improved her symptoms. She wa" "Correct entity, wrong SNOMED ID","(8898, 8906)","(8898, 8906)",improved,improved,268910001,251359002,11215929-DS-4,"and received a bowel regimen which significantly improved her symptoms. She was advanced to a regular diet" "Correct entity, wrong SNOMED ID","(8944, 8956)","(8944, 8956)",regular diet,regular diet,36823005,63740007,11215929-DS-4,"tly improved her symptoms. She was advanced to a regular diet without difficulty. Nutrtition was consulted giv" Missed entity,"(9050, 9056)",,Ensure,,709542007,,11215929-DS-4,"ed given need for daily vitamin K who recommended Ensure supplementation. 5) Heme: Patient was initiall" "Correct entity, wrong SNOMED ID","(9152, 9162)","(9152, 9162)",thrombosis,thrombosis,439127006,111293003,11215929-DS-4,"ially on Xaralto due to a history of superficial thrombosis and fam hx of DVT. Hematology was consulted who " "Correct entity, wrong SNOMED ID","(9177, 9180)","(9177, 9180)",DVT,DVT,128053003,49956009,11215929-DS-4," history of superficial thrombosis and fam hx of DVT. Hematology was consulted who agreed with holdin" Wrong span,"(9259, 9283)","(9260, 9271)"," hematocrits were stable",hematocrits,409683007,409683007,11215929-DS-4,"ho agreed with holding Xaralto on admission. Once hematocrits were stable with no evidence of ongoing bleeding into hemato" "Correct entity, wrong SNOMED ID","(9312, 9320)","(9312, 9320)",bleeding,bleeding,131148009,74474003,11215929-DS-4,"matocrits were stable with no evidence of ongoing bleeding into hematosalypnx, the patient was started on p" "Correct entity, wrong SNOMED ID","(9327, 9340)","(9327, 9340)",hematosalypnx,hematosalypnx,78095005,66259004,11215929-DS-4,"stable with no evidence of ongoing bleeding into hematosalypnx, the patient was started on prophylactic anticoa" "Correct entity, wrong SNOMED ID","(9506, 9516)","(9506, 9516)",ultrasound,ultrasound,16310003,765172009,11215929-DS-4," lovenox). During her hospital stay, she had ___ ultrasound that was negative for a DVT (this was done to a " "Correct entity, wrong SNOMED ID","(9526, 9534)","(9526, 9534)",negative,negative,281900007,268375009,11215929-DS-4,"r hospital stay, she had ___ ultrasound that was negative for a DVT (this was done to a complaint of lower" "Correct entity, wrong SNOMED ID","(9541, 9544)","(9541, 9544)",DVT,DVT,128053003,161508001,11215929-DS-4,", she had ___ ultrasound that was negative for a DVT (this was done to a complaint of lower extremity" Wrong span,"(9579, 9594)","(9579, 9603)",lower extremity,lower extremity swelling,61685007,10678591000119104,11215929-DS-4,"ative for a DVT (this was done to a complaint of lower extremity swelling) 6)Pulm: the patient had intermittent o" Wrong span,"(9595, 9603)","(9579, 9603)",swelling,lower extremity swelling,442672001,10678591000119104,11215929-DS-4,"(this was done to a complaint of lower extremity swelling) 6)Pulm: the patient had intermittent oxygen req" "Correct entity, wrong SNOMED ID","(9608, 9612)","(9608, 9612)",Pulm,Pulm,268925001,90623003,11215929-DS-4,"e to a complaint of lower extremity swelling) 6)Pulm: the patient had intermittent oxygen requirements" "Correct entity, wrong SNOMED ID","(9716, 9727)","(9716, 9727)",sleep apnea,sleep apnea,73430006,78275009,11215929-DS-4,"is was thought to be related to a combination of sleep apnea and fluid overload. A CTA chest was negative for" "Correct entity, wrong SNOMED ID","(9733, 9747)","(9733, 9747)",fluid overload,fluid overload,21639008,1148820009,11215929-DS-4,"o be related to a combination of sleep apnea and fluid overload. A CTA chest was negative for a PE. A CXR showed " "Correct entity, wrong SNOMED ID","(9751, 9760)","(9751, 9760)",CTA chest,CTA chest,411251000119104,169069000,11215929-DS-4,"combination of sleep apnea and fluid overload. A CTA chest was negative for a PE. A CXR showed possible flu" Missed entity,"(9765, 9773)",,negative,,281900007,,11215929-DS-4," sleep apnea and fluid overload. A CTA chest was negative for a PE. A CXR showed possible fluid overload. " "Correct entity, wrong SNOMED ID","(9780, 9782)","(9780, 9782)",PE,PE,59282003,20503002,11215929-DS-4,"d fluid overload. A CTA chest was negative for a PE. A CXR showed possible fluid overload. Given cli" "Correct entity, wrong SNOMED ID","(9807, 9821)","(9807, 9821)",fluid overload,fluid overload,21639008,1148820009,11215929-DS-4,"est was negative for a PE. A CXR showed possible fluid overload. Given clinical evidence of fluid overload (crac" "Correct entity, wrong SNOMED ID","(9850, 9865)","(9850, 9865)","fluid overload","fluid overload",21639008,1148820009,11215929-DS-4,"ssible fluid overload. Given clinical evidence of fluid overload (crackes on lung exam, ___ swelling) the patient " "Correct entity, wrong SNOMED ID","(9878, 9887)","(9878, 9887)",lung exam,lung exam,268925001,241293008,11215929-DS-4," clinical evidence of fluid overload (crackes on lung exam, ___ swelling) the patient received several dose" "Correct entity, wrong SNOMED ID","(9893, 9901)","(9893, 9901)",swelling,swelling,442672001,300890009,11215929-DS-4,"nce of fluid overload (crackes on lung exam, ___ swelling) the patient received several doses of IV lasix " "Correct entity, wrong SNOMED ID","(9945, 9950)","(9945, 9950)",lasix,lasix,722048006,25401000181106,11215929-DS-4,"elling) the patient received several doses of IV lasix and used the incentive spirometer following whic" Missed entity,"(10020, 10028)",,room air,,722742002,,11215929-DS-4,"ive spirometer following which she was weaned to room air without difficulty. The patient had normal ambul" "Correct entity, wrong SNOMED ID","(10066, 10072)","(10066, 10072)",normal,normal,281900007,840673007,11215929-DS-4," to room air without difficulty. The patient had normal ambulatory O2 sats prior to discharge. Ms. __" Missed entity,"(10084, 10090)",,O2 sat,,104847001,,11215929-DS-4,"ut difficulty. The patient had normal ambulatory O2 sats prior to discharge. Ms. ___ was discharged h" "Correct entity, wrong SNOMED ID","(10147, 10163)","(10147, 10163)",stable condition,stable condition,359746009,193844000,11215929-DS-4," to discharge. Ms. ___ was discharged home in stable condition on hospital day #8- ambulating independently, to" "Correct entity, wrong SNOMED ID","(10185, 10209)","(10185, 10209)",ambulating independently,ambulating independently,165245003,722370002,11215929-DS-4,"ged home in stable condition on hospital day #8- ambulating independently, tolerating a regular diet and pain adequately c" "Correct entity, wrong SNOMED ID","(10224, 10236)","(10224, 10236)",regular diet,regular diet,36823005,63740007,11215929-DS-4,"l day #8- ambulating independently, tolerating a regular diet and pain adequately controlled on oral pain regi" Wrong span,"(10241, 10245)","(10241, 10268)",pain,"pain adequately controlled",22253000,397618002,11215929-DS-4,"ting independently, tolerating a regular diet and pain adequately controlled on oral pain regimen. " Wrong span,"(10272, 10276)","(10272, 10289)",oral,oral pain regimen,386359008,433131000124106,11215929-DS-4,"a regular diet and pain adequately controlled on oral pain regimen. Discharge Medications: 1. Aceta" Wrong span,"(10277, 10289)","(10272, 10289)",pain regimen,oral pain regimen,278414003,433131000124106,11215929-DS-4,"ular diet and pain adequately controlled on oral pain regimen. Discharge Medications: 1. Acetaminophen 1000" Missed entity,"(12063, 12076)",,hematosalpinx,,78095005,,11215929-DS-4,"ischarge Disposition: Home Discharge Diagnosis: hematosalpinx Discharge Condition: Mental Status: Clear and" "Correct entity, wrong SNOMED ID","(12102, 12115)","(12102, 12115)",Mental Status,Mental Status,392257007,419284004,11215929-DS-4,"Diagnosis: hematosalpinx Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(12117, 12122)","(12117, 12122)",Clear,Clear,281900007,281278005,11215929-DS-4,"tosalpinx Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(12137, 12159)","(12137, 12159)",Level of Consciousness,Level of Consciousness,444714004,830285008,11215929-DS-4,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(12161, 12166)","(12161, 12166)",Alert,Alert,248234008,409787004,11215929-DS-4,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(12171, 12182)","(12171, 12182)",interactive,interactive,288577006,10301000202103,11215929-DS-4,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(12184, 12199)","(12184, 12199)",Activity Status,Activity Status,129676008,397622007,11215929-DS-4,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(12201, 12225)","(12201, 12225)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11215929-DS-4,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, . You w" Missed entity,"(12330, 12343)",,hematosalpinx,,78095005,,11215929-DS-4,"dmitted to the gynecologic oncology service with hematosalpinx. You have recovered well, and the team feels that" Missed entity,"(12452, 12464)",,instructions,,420227002,,11215929-DS-4," safe to be discharged home. Please follow these instructions: . * Take your medications as prescribed. *" Missed entity,"(12474, 12509)",,Take your medications as prescribed,,394835006,,11215929-DS-4," home. Please follow these instructions: . * Take your medications as prescribed. * Do not drive while taking narcotics. * Do " Missed entity,"(12528, 12550)",,while taking narcotics,,708652009,,11215929-DS-4," your medications as prescribed. * Do not drive while taking narcotics. * Do not combine narcotic and sedative medicat" "Correct entity, wrong SNOMED ID","(12571, 12579)","(12571, 12579)",narcotic,narcotic,302748001,95914002,11215929-DS-4," drive while taking narcotics. * Do not combine narcotic and sedative medications or alcohol. * Do not t" Missed entity,"(12593, 12604)",,medications,,394835006,,11215929-DS-4,"rcotics. * Do not combine narcotic and sedative medications or alcohol. * Do not take more than 4000mg acet" Missed entity,"(12621, 12632)",,Do not take,,394835006,,11215929-DS-4,"narcotic and sedative medications or alcohol. * Do not take more than 4000mg acetaminophen (APAP) in 24 hrs. " "Correct entity, wrong SNOMED ID","(12702, 12714)","(12702, 12714)",regular diet,regular diet,36823005,63740007,11215929-DS-4,"etaminophen (APAP) in 24 hrs. * You may eat a regular diet. . To reach medical records to get the records f" False positive,,"(560, 562)",,RA,,463051000124105,11296936-DS-66," initial vs were: 97.5 171/81 130s 38 89% RA. He triggered on arrival for his hypoxia and ta" False positive,,"(718, 726)",,negative,,268375009,11296936-DS-66," Labs were significant for hypkalemia to 6.6 and negative cardiac biomarkers. CXR was interpreted as show" False positive,,"(849, 860)",,improvement,,142016009,11296936-DS-66,"congestion. He was given diltiazem 15mg IV with improvement in his tachycardia to the ___. He also received" False positive,,"(911, 913)",,AS,,121606009,11296936-DS-66,"in his tachycardia to the ___. He also received ASA 325mg. The dialysis fellow was contacted and h" False positive,,"(1354, 1355)",,H,,257988000,11296936-DS-66,"n the past. Pt. did have N/V at this time and a HR of ""200"" though when assessed his HR decreased " False positive,,"(1391, 1393)",,HR,,258702006,11296936-DS-66,"s time and a HR of ""200"" though when assessed his HR decreased to 150s. An EKG was done which showed" False positive,,"(1540, 1560)",,heart rate decreased,,289440007,11296936-DS-66,"resent but more pronounced than previous. Pt.'s heart rate decreased spontaenously and his n/v resolved on it's own. " False positive,,"(1588, 1596)",,resolved,,413322009,11296936-DS-66,"s heart rate decreased spontaenously and his n/v resolved on it's own. Pt.'s CP did not respond to 0.4 of " False positive,,"(1792, 1799)",,worsens,,385639007,11296936-DS-66,"plained of left hand pain which he states always worsens after dialysis over the past several months. He" False positive,,"(2577, 2584)",,defects,,15462009,11296936-DS-66," on cardiac cath - MIBI in ___ showed reversible defects inferior/lateral - baseline troponin 0.2-0.4 Ch" False positive,,"(2606, 2610)",,base,,417082000,11296936-DS-66,"__ showed reversible defects inferior/lateral - baseline troponin 0.2-0.4 Chronic systolic CHF with EF" False positive,,"(2615, 2623)",,troponin,,102684000,11296936-DS-66," reversible defects inferior/lateral - baseline troponin 0.2-0.4 Chronic systolic CHF with EF ___ TEE) A" False positive,,"(2747, 2749)",,EP,,257985002,11296936-DS-66,"ter s/p ablation ___ h/o atrial tachycardia s/p EPS ___ and ablation x 2 Hypertension Dyslipidemi" False positive,,"(2814, 2815)",,L,,420296000,11296936-DS-66,"ion x 2 Hypertension Dyslipidemia: ___ TC 101, LDL 54, HDL 29, ___ 112 History of GI bleed: - " False positive,,"(2905, 2920)",,thermal therapy,,58169006,11296936-DS-66,"leed: - Duodenal, jejunal, and gastric AVMs s/p thermal therapy - diverticulosis throughout colon Chronic pan" False positive,,"(3014, 3017)",,HCV,,80129000,11296936-DS-66,"ic pancreatitis Possible Hepatitis C infection, HCV Ab + ___, but neg ___ GERD Gout s/p arthroscop" False positive,,"(4094, 4097)",,AVF,,233477006,11296936-DS-66,"+ radial pulses, no clubbing, cyanosis or edema. AVF in left arm strong thrill. NL warmth in left ha" False positive,,"(4255, 4258)",,RDW,,66842004,11296936-DS-66,"6* Hgb-12.8* Hct-39.1* MCV-86 MCH-28.0 MCHC-32.6 RDW-17.3* Plt ___ Neuts-78.6* Lymphs-13.5* Monos-6.4 " False positive,,"(4273, 4278)",,Neuts,,271035003,11296936-DS-66,"9.1* MCV-86 MCH-28.0 MCHC-32.6 RDW-17.3* Plt ___ Neuts-78.6* Lymphs-13.5* Monos-6.4 Eos-0.7 Baso-0.8 Glu" False positive,,"(4325, 4332)",,Glucose,,72191006,11296936-DS-66,"uts-78.6* Lymphs-13.5* Monos-6.4 Eos-0.7 Baso-0.8 Glucose-288* UreaN-54* Creat-9.5*# Na-131* K-6.6* Cl-94* " False positive,,"(4391, 4396)",,AnGap,,124504004,11296936-DS-66,"aN-54* Creat-9.5*# Na-131* K-6.6* Cl-94* HCO3-24 AnGap-20 CK(CPK)-71 ___ set) CK(CPK)-55 CK(CPK)-55 cTro" False positive,,"(4442, 4449)",,cTropnT,,442255004,11296936-DS-66,"nGap-20 CK(CPK)-71 ___ set) CK(CPK)-55 CK(CPK)-55 cTropnT-0.22* ___ set) cTropnT-0.31* cTropnT-0.31* Calci" False positive,,"(4465, 4472)",,cTropnT,,442255004,11296936-DS-66,"set) CK(CPK)-55 CK(CPK)-55 cTropnT-0.22* ___ set) cTropnT-0.31* cTropnT-0.31* Calcium-10.0 Phos-5.6* Mg-2." False positive,,"(4479, 4486)",,cTropnT,,442255004,11296936-DS-66,"5 CK(CPK)-55 cTropnT-0.22* ___ set) cTropnT-0.31* cTropnT-0.31* Calcium-10.0 Phos-5.6* Mg-2.4 PTH-468* Lac" False positive,,"(4494, 4501)",,Calcium,,108601004,11296936-DS-66,"ropnT-0.22* ___ set) cTropnT-0.31* cTropnT-0.31* Calcium-10.0 Phos-5.6* Mg-2.4 PTH-468* Lactate-2.6* K-5.5" False positive,,"(4524, 4527)",,PTH,,442986004,11296936-DS-66,".31* cTropnT-0.31* Calcium-10.0 Phos-5.6* Mg-2.4 PTH-468* Lactate-2.6* K-5.5* URINE bnzodzp-NEG barbi" False positive,,"(4533, 4540)",,Lactate,,10133003,11296936-DS-66,"pnT-0.31* Calcium-10.0 Phos-5.6* Mg-2.4 PTH-468* Lactate-2.6* K-5.5* URINE bnzodzp-NEG barbitr-NEG opiate" False positive,,"(4596, 4603)",,cocaine,,229003004,11296936-DS-66,"K-5.5* URINE bnzodzp-NEG barbitr-NEG opiates-NEG cocaine-POS amphetm-NEG mthdone-NEG blood culture ___ p" False positive,,"(4786, 4797)",,radiography,,168537006,11296936-DS-66,"al infiltrate cannot be entirely excluded. Repeat radiography recommended after appropriate diuresis to assess" False positive,,"(4879, 4887)",,enlarged,,300344005,11296936-DS-66,"diuresis to assess for underlying infection. The enlarged cardiac silhouette is stable since the prior stud" False positive,,"(4888, 4906)",,cardiac silhouette,,253541009,11296936-DS-66,"to assess for underlying infection. The enlarged cardiac silhouette is stable since the prior study, but is an inter" False positive,,"(5071, 5074)",,EMG,,252638003,11296936-DS-66,"fusion cannot be excluded. Correlate clinically. EMG b/l arms: Abnormal study. There is also evidence " False positive,,"(5295, 5303)",,moderate,,162469005,11296936-DS-66," elbow. There is also evidence for a generalized moderate sensory motor polyneuropathy. Although the clinic" False positive,,"(5570, 5573)",,TTE,,258691001,11296936-DS-66,"w or for a radial neuropathy on the right side. TTE: The left atrium is moderately dilated. There is " False positive,,"(6269, 6287)",,"systolic function",,255236000,11296936-DS-66," the left ventricle now appears less dilated and systolic function is improved. The images from the study of ___ ar" False positive,,"(6835, 6852)",,urea not elevated,,166711002,11296936-DS-66," patient not hypotensive, but hypertensive), and urea not elevated to extent that would expect to see uremic perica" False positive,,"(7341, 7349)",,baseline,,161033005,11296936-DS-66,"h Dr ___. . # Chest pain: Troponins elevated at baseline. Given CP with palpation, most likely MSK and r" False positive,,"(7469, 7472)",,CEs,,702671010000105,11296936-DS-66,"ver could have been secondary to cocaine abuse. CEs negative X3. Patient was started on asa, cont st" False positive,,"(7611, 7622)",,cocaine use,,428493006,11296936-DS-66," given prn pain meds. He was CP free at d/c. . # cocaine use: could contribute to ischemic as although patient" False positive,,"(7644, 7652)",,ischemic,,233958001,11296936-DS-66,"free at d/c. . # cocaine use: could contribute to ischemic as although patient denies use in the past ___ d" False positive,,"(7724, 7733)",,urine tox,,367421000119109,11296936-DS-66,"denies use in the past ___ days at admission, his urine tox ___ ___ of admission was positive.Advised patien" False positive,,"(8029, 8035)",,Pulses,,307684005,11296936-DS-66,"ropathy versus steal syndrome due to AV fistula. Pulses and flow on exam however seemed normal. EMG rev" False positive,,"(8049, 8053)",,exam,,105477005,11296936-DS-66," syndrome due to AV fistula. Pulses and flow on exam however seemed normal. EMG revealing for carpal " False positive,,"(8145, 8146)",,s,,420952007,11296936-DS-66," carpal tunel b/l. Gabapentin was continued and splints were ordered along with outpatient hand f/" False positive,,"(8189, 8193)",,hand,,53057004,11296936-DS-66,"d and splints were ordered along with outpatient hand f/u. . # DM -Insulin s/s . # HLD -cont statin . #" False positive,,"(8283, 8291)",,pruritis,,1256085003,11296936-DS-66,"statin . # HTN -cont Lisinopril and Diltiazem . # pruritis: unclear etiology, possible ___ cocaine withrdawa" False positive,,"(8647, 8655)",,dialysis,,71192002,11296936-DS-66,"daily Atorvastatin 20mg daily Percocet ___ before dialysis prn pain Gabapentin 100mg HS Pantoprazole 40mg da" False positive,,"(10355, 10362)",,cocaine,,229003004,11296936-DS-66,"Diagnosis: Primary - chest pain, atypical, likely cocaine-related - carpal tunnel syndrome - volume overloa" False positive,,"(10716, 10720)",,MIBI,,424299003,11296936-DS-66,"with no flow-limiting stenoses on cardiac cath - MIBI in ___ showed reversible defects inferior/lateral" False positive,,"(10746, 10753)",,defects,,15462009,11296936-DS-66," on cardiac cath - MIBI in ___ showed reversible defects inferior/lateral - baseline troponin 0.2-0.4 Ch" False positive,,"(10775, 10779)",,base,,417082000,11296936-DS-66,"__ showed reversible defects inferior/lateral - baseline troponin 0.2-0.4 Chronic systolic CHF with EF" False positive,,"(10784, 10792)",,troponin,,102684000,11296936-DS-66," reversible defects inferior/lateral - baseline troponin 0.2-0.4 Chronic systolic CHF with EF ___ TEE) A" False positive,,"(10916, 10918)",,EP,,257985002,11296936-DS-66,"ter s/p ablation ___ h/o atrial tachycardia s/p EPS ___ and ablation x 2 Hypertension Dyslipidemi" False positive,,"(10983, 10985)",,LD,,706393000,11296936-DS-66,"ion x 2 Hypertension Dyslipidemia: ___ TC 101, LDL 54, HDL 29, ___ 112 History of GI bleed: - D" False positive,,"(10991, 10993)",,HD,,229788003,11296936-DS-66," Hypertension Dyslipidemia: ___ TC 101, LDL 54, HDL 29, ___ 112 History of GI bleed: - Duodenal," False positive,,"(11074, 11089)",,thermal therapy,,58169006,11296936-DS-66,"leed: - Duodenal, jejunal, and gastric AVMs s/p thermal therapy - diverticulosis throughout colon Chronic pan" False positive,,"(11183, 11185)",,HC,,259344006,11296936-DS-66,"ic pancreatitis Possible Hepatitis C infection, HCV Ab + ___, but neg ___ GERD Gout s/p arthrosco" False positive,,"(11751, 11758)",,studies,,252765001,11296936-DS-66," which helped your shortness of breath. You had studies of your heart which showed that you were not hav" False positive,,"(12377, 12385)",,surgical,,274071003,11296936-DS-66,"n in case you want their opinion on getting this surgically fixed. Sometimes this type of pain can resolve" "Correct entity, wrong SNOMED ID","(178, 186)","(178, 186)",Morphine,Morphine,293601001,73572009,11296936-DS-66," Sex: M Service: MEDICINE Allergies: Morphine Attending: ___ Chief Complaint: chest pain, d" "Correct entity, wrong SNOMED ID","(223, 233)","(223, 233)",chest pain,chest pain,29857009,444821009,11296936-DS-66,"es: Morphine Attending: ___ Chief Complaint: chest pain, dyspnea Major Surgical or Invasive Procedure: " "Correct entity, wrong SNOMED ID","(235, 242)","(235, 242)",dyspnea,dyspnea,267036007,60845006,11296936-DS-66,"e Attending: ___ Chief Complaint: chest pain, dyspnea Major Surgical or Invasive Procedure: none H" "Correct entity, wrong SNOMED ID","(355, 365)","(355, 365)",ESRD on HD,ESRD on HD,236435004,286371000119107,11296936-DS-66,"sent Illness: Mr. ___ is a ___ gentleman with h/o ESRD on HD, chronic systolic CHF with EF 30%, AF, HTN, GIB," "Correct entity, wrong SNOMED ID","(367, 388)","(367, 388)","chronic systolic CHF","chronic systolic CHF",441481004,443253003,11296936-DS-66,": Mr. ___ is a ___ gentleman with h/o ESRD on HD, chronic systolic CHF with EF 30%, AF, HTN, GIB, cocaine abuse, p/w che" "Correct entity, wrong SNOMED ID","(402, 404)","(402, 404)",AF,AF,49436004,33734008,11296936-DS-66,"/o ESRD on HD, chronic systolic CHF with EF 30%, AF, HTN, GIB, cocaine abuse, p/w chest pain X 2 day" "Correct entity, wrong SNOMED ID","(406, 409)","(406, 409)",HTN,HTN,38341003,10725009,11296936-DS-66,"SRD on HD, chronic systolic CHF with EF 30%, AF, HTN, GIB, cocaine abuse, p/w chest pain X 2 days. P" "Correct entity, wrong SNOMED ID","(411, 414)","(411, 414)",GIB,GIB,74474003,53253006,11296936-DS-66,"n HD, chronic systolic CHF with EF 30%, AF, HTN, GIB, cocaine abuse, p/w chest pain X 2 days. Pt. al" "Correct entity, wrong SNOMED ID","(416, 429)","(416, 429)",cocaine abuse,cocaine abuse,78267003,145101000119102,11296936-DS-66," chronic systolic CHF with EF 30%, AF, HTN, GIB, cocaine abuse, p/w chest pain X 2 days. Pt. also complains of" "Correct entity, wrong SNOMED ID","(435, 446)","(435, 446)","chest pain","chest pain",29857009,285389008,11296936-DS-66,"CHF with EF 30%, AF, HTN, GIB, cocaine abuse, p/w chest pain X 2 days. Pt. also complains of N/V X 2 days. " "Correct entity, wrong SNOMED ID","(480, 483)","(480, 483)",N/V,N/V,16932000,257992007,11296936-DS-66," p/w chest pain X 2 days. Pt. also complains of N/V X 2 days. . In the ED, initial vs were: 97.5 " "Correct entity, wrong SNOMED ID","(598, 605)","(598, 605)",hypoxia,hypoxia,389086002,275367000,11296936-DS-66," 38 89% RA. He triggered on arrival for his hypoxia and tachypnea. EKG showed AFib but no evidence " "Correct entity, wrong SNOMED ID","(610, 619)","(610, 619)",tachypnea,tachypnea,271823003,7550008,11296936-DS-66,"RA. He triggered on arrival for his hypoxia and tachypnea. EKG showed AFib but no evidence of ischemia. " "Correct entity, wrong SNOMED ID","(622, 625)","(622, 625)",EKG,EKG,29303009,75444003,11296936-DS-66,"ggered on arrival for his hypoxia and tachypnea. EKG showed AFib but no evidence of ischemia. Labs w" "Correct entity, wrong SNOMED ID","(634, 638)","(634, 638)",AFib,AFib,49436004,71908006,11296936-DS-66,"rival for his hypoxia and tachypnea. EKG showed AFib but no evidence of ischemia. Labs were significa" Wrong span,"(643, 666)","(643, 654)",no evidence of ischemia,no evidence,164862008,41647002,11296936-DS-66," his hypoxia and tachypnea. EKG showed AFib but no evidence of ischemia. Labs were significant for hypkalemia to 6.6 an" "Correct entity, wrong SNOMED ID","(696, 706)","(696, 706)",hypkalemia,hypkalemia,43339004,717254007,11296936-DS-66,"evidence of ischemia. Labs were significant for hypkalemia to 6.6 and negative cardiac biomarkers. CXR was " Wrong span,"(727, 734)","(727, 745)",cardiac,cardiac biomarkers,80891009,40824007,11296936-DS-66,"e significant for hypkalemia to 6.6 and negative cardiac biomarkers. CXR was interpreted as showing pulm" Wrong span,"(780, 798)","(780, 809)",pulmonary vascular,pulmonary vascular congestion,281158006,63841001,11296936-DS-66,"diac biomarkers. CXR was interpreted as showing pulmonary vascular congestion. He was given diltiazem 15mg IV with" Wrong span,"(799, 809)","(780, 809)",congestion,pulmonary vascular congestion,85804007,63841001,11296936-DS-66,"XR was interpreted as showing pulmonary vascular congestion. He was given diltiazem 15mg IV with improvemen" "Correct entity, wrong SNOMED ID","(868, 879)","(868, 879)",tachycardia,tachycardia,3424008,6456007,11296936-DS-66," given diltiazem 15mg IV with improvement in his tachycardia to the ___. He also received ASA 325mg. The di" "Correct entity, wrong SNOMED ID","(1075, 1083)","(1075, 1083)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"the medical floor. He was given Dilaudid 2mg in dialysis. . On the floor, pt. complained of ___ CP which h" "Correct entity, wrong SNOMED ID","(1123, 1125)","(1123, 1125)",CP,CP,29857009,282108002,11296936-DS-66," dialysis. . On the floor, pt. complained of ___ CP which he said was constant since waking the morn" Missed entity,"(1145, 1153)",,constant,,426206001,,11296936-DS-66,"loor, pt. complained of ___ CP which he said was constant since waking the morning prior to the ___ of admi" "Correct entity, wrong SNOMED ID","(1246, 1250)","(1246, 1250)",pain,pain,22253000,102570003,11296936-DS-66,"of admission. He said that he did not have this pain before. He states he was asymptomatic with his " "Correct entity, wrong SNOMED ID","(1278, 1290)","(1278, 1290)",asymptomatic,asymptomatic,84387000,5481000175101,11296936-DS-66,"did not have this pain before. He states he was asymptomatic with his MI in the past. Pt. did have N/V at th" "Correct entity, wrong SNOMED ID","(1330, 1333)","(1330, 1333)",N/V,N/V,16932000,257992007,11296936-DS-66,"ymptomatic with his MI in the past. Pt. did have N/V at this time and a HR of ""200"" though when asses" "Correct entity, wrong SNOMED ID","(1418, 1421)","(1418, 1421)",EKG,EKG,29303009,75444003,11296936-DS-66,"ough when assessed his HR decreased to 150s. An EKG was done which showed ST depressions in II, AvF," "Correct entity, wrong SNOMED ID","(1463, 1465)","(1463, 1465)",II,II,272730000,257989008,11296936-DS-66," An EKG was done which showed ST depressions in II, AvF, V5, V6 with were present but more pronounce" "Correct entity, wrong SNOMED ID","(1467, 1470)","(1467, 1470)",AvF,AvF,257472005,233477006,11296936-DS-66," EKG was done which showed ST depressions in II, AvF, V5, V6 with were present but more pronounced tha" "Correct entity, wrong SNOMED ID","(1472, 1474)","(1472, 1474)",V5,V5,257479001,258000009,11296936-DS-66,"was done which showed ST depressions in II, AvF, V5, V6 with were present but more pronounced than p" Boundary error,"(1476, 1478)","(1476, 1477)",V6,V,257480003,258000009,11296936-DS-66,"done which showed ST depressions in II, AvF, V5, V6 with were present but more pronounced than previ" "Correct entity, wrong SNOMED ID","(1583, 1586)","(1583, 1586)",n/v,n/v,16932000,257992007,11296936-DS-66," Pt.'s heart rate decreased spontaenously and his n/v resolved on it's own. Pt.'s CP did not respond " "Correct entity, wrong SNOMED ID","(1617, 1619)","(1617, 1619)",CP,CP,29857009,282108002,11296936-DS-66,"enously and his n/v resolved on it's own. Pt.'s CP did not respond to 0.4 of SL Nitroglycerin. His" "Correct entity, wrong SNOMED ID","(1670, 1685)","(1670, 1685)",Cardiac enzymes,Cardiac enzymes,74500006,365768006,11296936-DS-66,"did not respond to 0.4 of SL Nitroglycerin. His Cardiac enzymes were repeated at that time and were unchanged. " Wrong span,"(1753, 1762)","(1753, 1767)",left hand,left hand pain,85151006,1076731000119106,11296936-DS-66,"that time and were unchanged. Pt. complained of left hand pain which he states always worsens after dialys" Wrong span,"(1763, 1767)","(1753, 1767)",pain,left hand pain,53057004,1076731000119106,11296936-DS-66," and were unchanged. Pt. complained of left hand pain which he states always worsens after dialysis ov" "Correct entity, wrong SNOMED ID","(1806, 1814)","(1806, 1814)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"t hand pain which he states always worsens after dialysis over the past several months. He c/o constant n" "Correct entity, wrong SNOMED ID","(1863, 1871)","(1863, 1871)",numbness,numbness,44077006,102601005,11296936-DS-66,"s over the past several months. He c/o constant numbness in his left hand. Patient states he last used c" "Correct entity, wrong SNOMED ID","(1879, 1888)","(1879, 1888)",left hand,left hand,85151006,15746321000119106,11296936-DS-66,"several months. He c/o constant numbness in his left hand. Patient states he last used cocaine ""a few day" "Correct entity, wrong SNOMED ID","(2103, 2111)","(2103, 2111)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"ake any of his home medications today and missed dialysis because he was laid up in bed not feeling well s" Missed entity,"(2142, 2159)",,"not feeling well",,367391008,,11296936-DS-66,"and missed dialysis because he was laid up in bed not feeling well since yesterday. Pt. believes sxs started becaus" "Correct entity, wrong SNOMED ID","(2330, 2340)","(2330, 2340)",ESRD on HD,ESRD on HD,236435004,428982002,11296936-DS-66,"s. Denies sick contacts. Past Medical History: ESRD on HD ___ at ___ Dialysis, ___, ___ Type 2 diabetes " "Correct entity, wrong SNOMED ID","(2352, 2360)","(2352, 2360)",Dialysis,Dialysis,108241001,71192002,11296936-DS-66,"ts. Past Medical History: ESRD on HD ___ at ___ Dialysis, ___, ___ Type 2 diabetes mellitus c/b periphe" "Correct entity, wrong SNOMED ID","(2374, 2398)","(2374, 2398)",Type 2 diabetes mellitus,Type 2 diabetes mellitus,44054006,445353002,11296936-DS-66,"tory: ESRD on HD ___ at ___ Dialysis, ___, ___ Type 2 diabetes mellitus c/b peripheral neuropathy Reports h/o MI: on r" "Correct entity, wrong SNOMED ID","(2403, 2424)","(2403, 2424)",peripheral neuropathy,peripheral neuropathy,302226006,129611009,11296936-DS-66,"ialysis, ___, ___ Type 2 diabetes mellitus c/b peripheral neuropathy Reports h/o MI: on review of records, he had d" "Correct entity, wrong SNOMED ID","(2473, 2488)","(2473, 2488)",demand ischemia,demand ischemia,691471000119109,16837681000119104,11296936-DS-66,"y Reports h/o MI: on review of records, he had demand ischemia in ___ with no flow-limiting stenoses on cardiac" "Correct entity, wrong SNOMED ID","(2519, 2527)","(2519, 2527)",stenoses,stenoses,415582006,252108008,11296936-DS-66,"had demand ischemia in ___ with no flow-limiting stenoses on cardiac cath - MIBI in ___ showed reversible " "Correct entity, wrong SNOMED ID","(2531, 2543)","(2531, 2543)",cardiac cath,cardiac cath,41976001,59261000119100,11296936-DS-66,"schemia in ___ with no flow-limiting stenoses on cardiac cath - MIBI in ___ showed reversible defects inferior" Boundary error,"(2547, 2551)","(2547, 2549)",MIBI,MI,252432008,22298006,11296936-DS-66,"with no flow-limiting stenoses on cardiac cath - MIBI in ___ showed reversible defects inferior/lateral" "Correct entity, wrong SNOMED ID","(2632, 2652)","(2632, 2652)",Chronic systolic CHF,Chronic systolic CHF,441481004,443253003,11296936-DS-66,"ts inferior/lateral - baseline troponin 0.2-0.4 Chronic systolic CHF with EF ___ TEE) Atrial fibrillation/AFlutter s" "Correct entity, wrong SNOMED ID","(2665, 2668)","(2665, 2668)",TEE,TEE,105376000,783261004,11296936-DS-66,"troponin 0.2-0.4 Chronic systolic CHF with EF ___ TEE) Atrial fibrillation/AFlutter s/p ablation ___ " "Correct entity, wrong SNOMED ID","(2672, 2691)","(2672, 2691)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,11296936-DS-66,"n 0.2-0.4 Chronic systolic CHF with EF ___ TEE) Atrial fibrillation/AFlutter s/p ablation ___ h/o atrial tachycardi" "Correct entity, wrong SNOMED ID","(2692, 2700)","(2692, 2700)",AFlutter,AFlutter,5370000,76679000,11296936-DS-66,"stolic CHF with EF ___ TEE) Atrial fibrillation/AFlutter s/p ablation ___ h/o atrial tachycardia s/p EPS" "Correct entity, wrong SNOMED ID","(2705, 2713)","(2705, 2713)",ablation,ablation,64597002,65659003,11296936-DS-66,"th EF ___ TEE) Atrial fibrillation/AFlutter s/p ablation ___ h/o atrial tachycardia s/p EPS ___ and abla" "Correct entity, wrong SNOMED ID","(2724, 2742)","(2724, 2742)",atrial tachycardia,atrial tachycardia,276796006,233892002,11296936-DS-66,"rial fibrillation/AFlutter s/p ablation ___ h/o atrial tachycardia s/p EPS ___ and ablation x 2 Hypertension Dysl" "Correct entity, wrong SNOMED ID","(2759, 2767)","(2759, 2767)",ablation,ablation,64597002,65659003,11296936-DS-66,"tion ___ h/o atrial tachycardia s/p EPS ___ and ablation x 2 Hypertension Dyslipidemia: ___ TC 101, LDL" "Correct entity, wrong SNOMED ID","(2773, 2785)","(2773, 2785)",Hypertension,Hypertension,38341003,70995007,11296936-DS-66," atrial tachycardia s/p EPS ___ and ablation x 2 Hypertension Dyslipidemia: ___ TC 101, LDL 54, HDL 29, ___ 1" "Correct entity, wrong SNOMED ID","(2788, 2800)","(2788, 2800)",Dyslipidemia,Dyslipidemia,370992007,109041000119107,11296936-DS-66,"rdia s/p EPS ___ and ablation x 2 Hypertension Dyslipidemia: ___ TC 101, LDL 54, HDL 29, ___ 112 History of" "Correct entity, wrong SNOMED ID","(2851, 2859)","(2851, 2859)",GI bleed,GI bleed,74474003,307297004,11296936-DS-66," ___ TC 101, LDL 54, HDL 29, ___ 112 History of GI bleed: - Duodenal, jejunal, and gastric AVMs s/p ther" "Correct entity, wrong SNOMED ID","(2865, 2873)","(2865, 2873)",Duodenal,Duodenal,717880001,81559006,11296936-DS-66,"DL 54, HDL 29, ___ 112 History of GI bleed: - Duodenal, jejunal, and gastric AVMs s/p thermal therapy " "Correct entity, wrong SNOMED ID","(2875, 2882)","(2875, 2882)",jejunal,jejunal,21306003,110788008,11296936-DS-66," 29, ___ 112 History of GI bleed: - Duodenal, jejunal, and gastric AVMs s/p thermal therapy - diverti" "Correct entity, wrong SNOMED ID","(2888, 2900)","(2888, 2900)",gastric AVMs,gastric AVMs,717866008,43935004,11296936-DS-66," History of GI bleed: - Duodenal, jejunal, and gastric AVMs s/p thermal therapy - diverticulosis throughout" Wrong span,"(2925, 2956)","(2925, 2939)",diverticulosis throughout colon,diverticulosis,733657002,14011008,11296936-DS-66,"jejunal, and gastric AVMs s/p thermal therapy - diverticulosis throughout colon Chronic pancreatitis Possible Hepatitis C inf" "Correct entity, wrong SNOMED ID","(2959, 2979)","(2959, 2979)",Chronic pancreatitis,Chronic pancreatitis,235494005,301009006,11296936-DS-66,"mal therapy - diverticulosis throughout colon Chronic pancreatitis Possible Hepatitis C infection, HCV Ab + ___, b" "Correct entity, wrong SNOMED ID","(2991, 3012)","(2991, 3012)",Hepatitis C infection,Hepatitis C infection,50711007,713966008,11296936-DS-66,"hroughout colon Chronic pancreatitis Possible Hepatitis C infection, HCV Ab + ___, but neg ___ GERD Gout s/p arthr" "Correct entity, wrong SNOMED ID","(3047, 3051)","(3047, 3051)",Gout,Gout,90560007,69896004,11296936-DS-66,"tis C infection, HCV Ab + ___, but neg ___ GERD Gout s/p arthroscopy with medial meniscectomy ___ D" "Correct entity, wrong SNOMED ID","(3057, 3068)","(3057, 3068)",arthroscopy,arthroscopy,13714004,429677001,11296936-DS-66,"ction, HCV Ab + ___, but neg ___ GERD Gout s/p arthroscopy with medial meniscectomy ___ Depression with mu" Wrong span,"(3074, 3080)","(3074, 3093)",medial,medial meniscectomy,49390008,300977003,11296936-DS-66,"__, but neg ___ GERD Gout s/p arthroscopy with medial meniscectomy ___ Depression with multiple hospi" Wrong span,"(3081, 3093)","(3074, 3093)",meniscectomy,medial meniscectomy,6148000,300977003,11296936-DS-66," neg ___ GERD Gout s/p arthroscopy with medial meniscectomy ___ Depression with multiple hospitalizations d" "Correct entity, wrong SNOMED ID","(3100, 3110)","(3100, 3110)",Depression,Depression,35489007,26141007,11296936-DS-66,"t s/p arthroscopy with medial meniscectomy ___ Depression with multiple hospitalizations due to SI Polysu" "Correct entity, wrong SNOMED ID","(3149, 3151)","(3149, 3151)",SI,SI,6471006,259015003,11296936-DS-66," Depression with multiple hospitalizations due to SI Polysubstance abuse: crack cocaine, EtOH, tobac" "Correct entity, wrong SNOMED ID","(3154, 3173)","(3154, 3173)",Polysubstance abuse,Polysubstance abuse,445273005,16076691000119100,11296936-DS-66,"ession with multiple hospitalizations due to SI Polysubstance abuse: crack cocaine, EtOH, tobacco - frequent bouts " Missed entity,"(3181, 3188)",,cocaine,,78267003,,11296936-DS-66,"alizations due to SI Polysubstance abuse: crack cocaine, EtOH, tobacco - frequent bouts of chest pain f" Missed entity,"(3190, 3194)",,EtOH,,15167005,,11296936-DS-66,"s due to SI Polysubstance abuse: crack cocaine, EtOH, tobacco - frequent bouts of chest pain followi" "Correct entity, wrong SNOMED ID","(3196, 3203)","(3196, 3203)",tobacco,tobacco,89765005,228518000,11296936-DS-66,"to SI Polysubstance abuse: crack cocaine, EtOH, tobacco - frequent bouts of chest pain following crack/" "Correct entity, wrong SNOMED ID","(3226, 3236)","(3226, 3236)",chest pain,chest pain,29857009,102589003,11296936-DS-66,"rack cocaine, EtOH, tobacco - frequent bouts of chest pain following crack/cocaine use Erectile dysfunctio" "Correct entity, wrong SNOMED ID","(3267, 3287)","(3267, 3287)",Erectile dysfunction,Erectile dysfunction,860914002,860916000,11296936-DS-66,"bouts of chest pain following crack/cocaine use Erectile dysfunction s/p inflatable penile prosthesis ___ h/o C diff " Wrong span,"(3292, 3320)","(3292, 3294)",inflatable penile prosthesis,in,26573008,10828004,11296936-DS-66,"wing crack/cocaine use Erectile dysfunction s/p inflatable penile prosthesis ___ h/o C diff in ___ Social History: ___ Fami" "Correct entity, wrong SNOMED ID","(3393, 3403)","(3393, 3403)",ESRD on HD,ESRD on HD,236435004,428982002,11296936-DS-66," Social History: ___ Family History: Mother had ESRD on HD, died from MI at the age of ___. 4 Brothers and " "Correct entity, wrong SNOMED ID","(3480, 3483)","(3480, 3483)",DM2,DM2,44054006,396166000,11296936-DS-66,"f ___. 4 Brothers and 2 sisters, nearly all with DM2 Physical Exam: Vitals: 98.2 143/97 (-160/100 " "Correct entity, wrong SNOMED ID","(3501, 3507)","(3501, 3507)",Vitals,Vitals,118227000,260390007,11296936-DS-66,"d 2 sisters, nearly all with DM2 Physical Exam: Vitals: 98.2 143/97 (-160/100 98-100 20 100%/3L Gen" "Correct entity, wrong SNOMED ID","(3554, 3561)","(3554, 3561)",General,General,162673000,252398009,11296936-DS-66,"als: 98.2 143/97 (-160/100 98-100 20 100%/3L General: Alert, oriented, no acute distress HEENT: Scle" "Correct entity, wrong SNOMED ID","(3563, 3568)","(3563, 3568)",Alert,Alert,248234008,409787004,11296936-DS-66," 143/97 (-160/100 98-100 20 100%/3L General: Alert, oriented, no acute distress HEENT: Sclera anic" "Correct entity, wrong SNOMED ID","(3570, 3578)","(3570, 3578)",oriented,oriented,247663003,787379002,11296936-DS-66,"7 (-160/100 98-100 20 100%/3L General: Alert, oriented, no acute distress HEENT: Sclera anicteric, MMM" "Correct entity, wrong SNOMED ID","(3589, 3597)","(3589, 3597)",distress,distress,69328002,271825005,11296936-DS-66,"0 20 100%/3L General: Alert, oriented, no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear," "Correct entity, wrong SNOMED ID","(3600, 3605)","(3600, 3605)",HEENT,HEENT,5880005,113665002,11296936-DS-66,"3L General: Alert, oriented, no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, partial" "Correct entity, wrong SNOMED ID","(3607, 3623)","(3607, 3623)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,11296936-DS-66,"eral: Alert, oriented, no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, partially adentulous N" "Correct entity, wrong SNOMED ID","(3625, 3628)","(3625, 3628)",MMM,MMM,276398005,258673006,11296936-DS-66,"ted, no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, partially adentulous Neck: " "Correct entity, wrong SNOMED ID","(3630, 3646)","(3630, 3646)",oropharynx clear,oropharynx clear,300280008,426547004,11296936-DS-66,"no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, partially adentulous Neck: supple, JVP not el" "Correct entity, wrong SNOMED ID","(3659, 3669)","(3659, 3669)",adentulous,adentulous,278650002,59020000,11296936-DS-66,"lera anicteric, MMM, oropharynx clear, partially adentulous Neck: supple, JVP not elevated, no LAD Lungs:" "Correct entity, wrong SNOMED ID","(3672, 3676)","(3672, 3676)",Neck,Neck,5880005,840674001,11296936-DS-66,"c, MMM, oropharynx clear, partially adentulous Neck: supple, JVP not elevated, no LAD Lungs: Clear " "Correct entity, wrong SNOMED ID","(3678, 3684)","(3678, 3684)",supple,supple,298475003,169743001,11296936-DS-66,", oropharynx clear, partially adentulous Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscu" "Correct entity, wrong SNOMED ID","(3686, 3702)","(3686, 3702)",JVP not elevated,JVP not elevated,369001,248729008,11296936-DS-66,"rynx clear, partially adentulous Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterall" "Correct entity, wrong SNOMED ID","(3707, 3710)","(3707, 3710)",LAD,LAD,30746006,1010291002,11296936-DS-66," adentulous Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterally, no wh" "Correct entity, wrong SNOMED ID","(3713, 3718)","(3713, 3718)",Lungs,Lungs,268925001,74101002,11296936-DS-66,"tulous Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterally, no wheezes, r" "Correct entity, wrong SNOMED ID","(3758, 3765)","(3758, 3765)",wheezes,wheezes,56018004,9763007,11296936-DS-66,"AD Lungs: Clear to auscultation bilaterally, no wheezes, rales, ronchi; TTP along sternum-rib border on " "Correct entity, wrong SNOMED ID","(3767, 3772)","(3767, 3772)",rales,rales,48409008,31846006,11296936-DS-66,"s: Clear to auscultation bilaterally, no wheezes, rales, ronchi; TTP along sternum-rib border on left. " "Correct entity, wrong SNOMED ID","(3775, 3781)","(3775, 3781)",ronchi,ronchi,24612001,25905002,11296936-DS-66," to auscultation bilaterally, no wheezes, rales, ronchi; TTP along sternum-rib border on left. CV: Re" "Correct entity, wrong SNOMED ID","(3783, 3786)","(3783, 3786)",TTP,TTP,247348008,438476003,11296936-DS-66,"ultation bilaterally, no wheezes, rales, ronchi; TTP along sternum-rib border on left. CV: Regular" "Correct entity, wrong SNOMED ID","(3793, 3800)","(3793, 3800)",sternum,sternum,56873002,249692009,11296936-DS-66,"ilaterally, no wheezes, rales, ronchi; TTP along sternum-rib border on left. CV: Regular rate and rhyt" Wrong span,"(3801, 3819)","(3801, 3811)",rib border on left,rib border,724223001,730319008,11296936-DS-66,"ly, no wheezes, rales, ronchi; TTP along sternum-rib border on left. CV: Regular rate and rhythm, normal S1 + S2," "Correct entity, wrong SNOMED ID","(3825, 3827)","(3825, 3827)",CV,CV,363003006,258773002,11296936-DS-66,"ronchi; TTP along sternum-rib border on left. CV: Regular rate and rhythm, normal S1 + S2, no murm" "Correct entity, wrong SNOMED ID","(3829, 3852)","(3829, 3852)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,11296936-DS-66,"hi; TTP along sternum-rib border on left. CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abd" "Correct entity, wrong SNOMED ID","(3854, 3863)","(3854, 3863)",normal S1,normal S1,26198000,164911006,11296936-DS-66," border on left. CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft," Missed entity,"(3866, 3868)",,S2,,111974005,,11296936-DS-66,"eft. CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-" "Correct entity, wrong SNOMED ID","(3873, 3880)","(3873, 3880)",murmurs,murmurs,414786004,248699005,11296936-DS-66," CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-" "Correct entity, wrong SNOMED ID","(3889, 3896)","(3889, 3896)",gallops,gallops,2170000,4592006,11296936-DS-66,"te and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel" "Correct entity, wrong SNOMED ID","(3899, 3906)","(3899, 3906)",Abdomen,Abdomen,225162003,41931001,11296936-DS-66,"thm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds pr" "Correct entity, wrong SNOMED ID","(3914, 3924)","(3914, 3924)",non-tender,non-tender,43478001,298741000,11296936-DS-66,"+ S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound" "Correct entity, wrong SNOMED ID","(3926, 3939)","(3926, 3939)",non-distended,non-distended,300405003,162069004,11296936-DS-66,"murs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or " "Correct entity, wrong SNOMED ID","(3941, 3961)","(3941, 3961)",bowel sounds present,bowel sounds present,61539000,444685004,11296936-DS-66,"llops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomeg" "Correct entity, wrong SNOMED ID","(3967, 3974)","(3967, 3974)",rebound,rebound,35611005,844584001,11296936-DS-66,"-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Ext: Wa" "Correct entity, wrong SNOMED ID","(3975, 3985)","(3975, 3985)",tenderness,tenderness,247348008,43478001,11296936-DS-66," non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Ext: Warm, well pe" "Correct entity, wrong SNOMED ID","(4017, 4020)","(4017, 4020)",Ext,Ext,302773001,1489008,11296936-DS-66,"rebound tenderness or guarding, no organomegaly Ext: Warm, well perfused, 2+ radial pulses, no clubbi" "Correct entity, wrong SNOMED ID","(4022, 4026)","(4022, 4026)",Warm,Warm,102599008,298256005,11296936-DS-66,"nd tenderness or guarding, no organomegaly Ext: Warm, well perfused, 2+ radial pulses, no clubbing, c" "Correct entity, wrong SNOMED ID","(4028, 4041)","(4028, 4041)",well perfused,well perfused,1137685003,301121007,11296936-DS-66,"derness or guarding, no organomegaly Ext: Warm, well perfused, 2+ radial pulses, no clubbing, cyanosis or edem" Wrong span,"(4046, 4059)","(4043, 4059)",radial pulses,2+ radial pulses,301155005,15137004,11296936-DS-66,"g, no organomegaly Ext: Warm, well perfused, 2+ radial pulses, no clubbing, cyanosis or edema. AVF in left arm" "Correct entity, wrong SNOMED ID","(4064, 4072)","(4064, 4072)",clubbing,clubbing,367004,30760008,11296936-DS-66," Ext: Warm, well perfused, 2+ radial pulses, no clubbing, cyanosis or edema. AVF in left arm strong thril" "Correct entity, wrong SNOMED ID","(4075, 4083)","(4075, 4083)",cyanosis,cyanosis,3415004,95442007,11296936-DS-66,"m, well perfused, 2+ radial pulses, no clubbing, cyanosis or edema. AVF in left arm strong thrill. NL warm" "Correct entity, wrong SNOMED ID","(4087, 4092)","(4087, 4092)",edema,edema,267038008,102576009,11296936-DS-66,"used, 2+ radial pulses, no clubbing, cyanosis or edema. AVF in left arm strong thrill. NL warmth in le" "Correct entity, wrong SNOMED ID","(4101, 4109)","(4101, 4109)",left arm,left arm,368208006,72098002,11296936-DS-66,"l pulses, no clubbing, cyanosis or edema. AVF in left arm strong thrill. NL warmth in left hand. Pert" "Correct entity, wrong SNOMED ID","(4117, 4123)","(4117, 4123)",thrill,thrill,1735007,27144005,11296936-DS-66,"bbing, cyanosis or edema. AVF in left arm strong thrill. NL warmth in left hand. Pertinent Results:" Boundary error,"(4129, 4133)","(4129, 4135)",warm,warmth,102599008,1371354000,11296936-DS-66,"osis or edema. AVF in left arm strong thrill. NL warmth in left hand. Pertinent Results: Admission" "Correct entity, wrong SNOMED ID","(4140, 4149)","(4140, 4149)",left hand,left hand,85151006,1177082009,11296936-DS-66,"ma. AVF in left arm strong thrill. NL warmth in left hand. Pertinent Results: Admission labs: WBC-5.3 R" "Correct entity, wrong SNOMED ID","(4190, 4193)","(4190, 4193)",WBC,WBC,767002,391558003,11296936-DS-66,"left hand. Pertinent Results: Admission labs: WBC-5.3 RBC-4.56* Hgb-12.8* Hct-39.1* MCV-86 MCH-28.0" "Correct entity, wrong SNOMED ID","(4198, 4201)","(4198, 4201)",RBC,RBC,14089001,258759006,11296936-DS-66,"d. Pertinent Results: Admission labs: WBC-5.3 RBC-4.56* Hgb-12.8* Hct-39.1* MCV-86 MCH-28.0 MCHC-32" "Correct entity, wrong SNOMED ID","(4208, 4211)","(4208, 4211)",Hgb,Hgb,441689006,104142005,11296936-DS-66,"tinent Results: Admission labs: WBC-5.3 RBC-4.56* Hgb-12.8* Hct-39.1* MCV-86 MCH-28.0 MCHC-32.6 RDW-17" "Correct entity, wrong SNOMED ID","(4218, 4221)","(4218, 4221)",Hct,Hct,28317006,409683007,11296936-DS-66,"ults: Admission labs: WBC-5.3 RBC-4.56* Hgb-12.8* Hct-39.1* MCV-86 MCH-28.0 MCHC-32.6 RDW-17.3* Plt __" Missed entity,"(4228, 4231)",,MCV,,104133003,,11296936-DS-66,"ssion labs: WBC-5.3 RBC-4.56* Hgb-12.8* Hct-39.1* MCV-86 MCH-28.0 MCHC-32.6 RDW-17.3* Plt ___ Neuts-78" "Correct entity, wrong SNOMED ID","(4244, 4248)","(4244, 4248)",MCHC,MCHC,37254006,735147002,11296936-DS-66,"5.3 RBC-4.56* Hgb-12.8* Hct-39.1* MCV-86 MCH-28.0 MCHC-32.6 RDW-17.3* Plt ___ Neuts-78.6* Lymphs-13.5* " "Correct entity, wrong SNOMED ID","(4285, 4291)","(4285, 4291)",Lymphs,Lymphs,74765001,79709007,11296936-DS-66,"MCH-28.0 MCHC-32.6 RDW-17.3* Plt ___ Neuts-78.6* Lymphs-13.5* Monos-6.4 Eos-0.7 Baso-0.8 Glucose-288* Ure" "Correct entity, wrong SNOMED ID","(4298, 4303)","(4298, 4303)",Monos,Monos,67776007,462791000124108,11296936-DS-66,"-32.6 RDW-17.3* Plt ___ Neuts-78.6* Lymphs-13.5* Monos-6.4 Eos-0.7 Baso-0.8 Glucose-288* UreaN-54* Creat" "Correct entity, wrong SNOMED ID","(4308, 4311)","(4308, 4311)",Eos,Eos,71960002,67099000,11296936-DS-66,"-17.3* Plt ___ Neuts-78.6* Lymphs-13.5* Monos-6.4 Eos-0.7 Baso-0.8 Glucose-288* UreaN-54* Creat-9.5*# N" "Correct entity, wrong SNOMED ID","(4316, 4320)","(4316, 4320)",Baso,Baso,42351005,700051010000106,11296936-DS-66,"lt ___ Neuts-78.6* Lymphs-13.5* Monos-6.4 Eos-0.7 Baso-0.8 Glucose-288* UreaN-54* Creat-9.5*# Na-131* K-" "Correct entity, wrong SNOMED ID","(4338, 4343)","(4338, 4343)",UreaN,UreaN,105011006,111108008,11296936-DS-66,"phs-13.5* Monos-6.4 Eos-0.7 Baso-0.8 Glucose-288* UreaN-54* Creat-9.5*# Na-131* K-6.6* Cl-94* HCO3-24 An" "Correct entity, wrong SNOMED ID","(4348, 4353)","(4348, 4353)",Creat,Creat,70901006,413856009,11296936-DS-66,"Monos-6.4 Eos-0.7 Baso-0.8 Glucose-288* UreaN-54* Creat-9.5*# Na-131* K-6.6* Cl-94* HCO3-24 AnGap-20 CK(" "Correct entity, wrong SNOMED ID","(4360, 4362)","(4360, 4362)",Na,Na,312469006,257992007,11296936-DS-66,"s-0.7 Baso-0.8 Glucose-288* UreaN-54* Creat-9.5*# Na-131* K-6.6* Cl-94* HCO3-24 AnGap-20 CK(CPK)-71 _" Missed entity,"(4368, 4369)",,K,,312468003,,11296936-DS-66,"so-0.8 Glucose-288* UreaN-54* Creat-9.5*# Na-131* K-6.6* Cl-94* HCO3-24 AnGap-20 CK(CPK)-71 ___ set)" "Correct entity, wrong SNOMED ID","(4375, 4377)","(4375, 4377)",Cl,Cl,104589004,311741002,11296936-DS-66,"Glucose-288* UreaN-54* Creat-9.5*# Na-131* K-6.6* Cl-94* HCO3-24 AnGap-20 CK(CPK)-71 ___ set) CK(CPK)" "Correct entity, wrong SNOMED ID","(4382, 4386)","(4382, 4386)",HCO3,HCO3,312471006,88645003,11296936-DS-66,"-288* UreaN-54* Creat-9.5*# Na-131* K-6.6* Cl-94* HCO3-24 AnGap-20 CK(CPK)-71 ___ set) CK(CPK)-55 CK(CP" "Correct entity, wrong SNOMED ID","(4507, 4511)","(4507, 4511)",Phos,Phos,104868000,168075002,11296936-DS-66,"__ set) cTropnT-0.31* cTropnT-0.31* Calcium-10.0 Phos-5.6* Mg-2.4 PTH-468* Lactate-2.6* K-5.5* URINE b" "Correct entity, wrong SNOMED ID","(4517, 4519)","(4517, 4519)",Mg,Mg,271285000,258684004,11296936-DS-66,"ropnT-0.31* cTropnT-0.31* Calcium-10.0 Phos-5.6* Mg-2.4 PTH-468* Lactate-2.6* K-5.5* URINE bnzodzp-N" Missed entity,"(4546, 4547)",,K,,312468003,,11296936-DS-66,"lcium-10.0 Phos-5.6* Mg-2.4 PTH-468* Lactate-2.6* K-5.5* URINE bnzodzp-NEG barbitr-NEG opiates-NEG c" "Correct entity, wrong SNOMED ID","(4634, 4647)","(4634, 4647)",blood culture,blood culture,30088009,8730001000004107,11296936-DS-66,"opiates-NEG cocaine-POS amphetm-NEG mthdone-NEG blood culture ___ pending CXR: Findings are most compatible w" "Correct entity, wrong SNOMED ID","(4701, 4716)","(4701, 4716)",volume overload,volume overload,21639008,457651000124103,11296936-DS-66," pending CXR: Findings are most compatible with volume overload. An underlying focal infiltrate cannot be entire" "Correct entity, wrong SNOMED ID","(4739, 4749)","(4739, 4749)",infiltrate,infiltrate,231287002,26246006,11296936-DS-66,"atible with volume overload. An underlying focal infiltrate cannot be entirely excluded. Repeat radiography " "Correct entity, wrong SNOMED ID","(4829, 4837)","(4829, 4837)",diuresis,diuresis,162182005,37766004,11296936-DS-66,"Repeat radiography recommended after appropriate diuresis to assess for underlying infection. The enlarged" "Correct entity, wrong SNOMED ID","(4863, 4872)","(4863, 4872)",infection,infection,40733004,260976002,11296936-DS-66,"ter appropriate diuresis to assess for underlying infection. The enlarged cardiac silhouette is stable since" "Correct entity, wrong SNOMED ID","(4910, 4916)","(4910, 4916)",stable,stable,359746009,301459008,11296936-DS-66,"ng infection. The enlarged cardiac silhouette is stable since the prior study, but is an interval change" "Correct entity, wrong SNOMED ID","(5006, 5027)","(5006, 5027)","pericardial effusion","pericardial effusion",373945007,1269348003,11296936-DS-66,"val change since the study of ___. A superimposed pericardial effusion cannot be excluded. Correlate clinically. EMG b/" Wrong span,"(5136, 5166)","(5147, 5166)","bilateral median neuropathies","median neuropathies",16636821000119106,292791000119109,11296936-DS-66,"bnormal study. There is also evidence for severe, bilateral median neuropathies at the wrist. There is evidence for a moderate, " "Correct entity, wrong SNOMED ID","(5174, 5179)","(5174, 5179)",wrist,wrist,8205005,182405008,11296936-DS-66,"for severe, bilateral median neuropathies at the wrist. There is evidence for a moderate, right ulnar n" Wrong span,"(5216, 5221)","(5216, 5238)",right,"right ulnar neuropathy",723834001,292731000119105,11296936-DS-66," at the wrist. There is evidence for a moderate, right ulnar neuropathy at the elbow. There is also evid" Wrong span,"(5222, 5238)","(5216, 5238)","ulnar neuropathy","right ulnar neuropathy",359837005,292731000119105,11296936-DS-66,"e wrist. There is evidence for a moderate, right ulnar neuropathy at the elbow. There is also evidence for a gener" "Correct entity, wrong SNOMED ID","(5246, 5251)","(5246, 5251)",elbow,elbow,368149001,116309007,11296936-DS-66,"ce for a moderate, right ulnar neuropathy at the elbow. There is also evidence for a generalized modera" Wrong span,"(5304, 5311)","(5304, 5332)",sensory,sensory motor polyneuropathy,13694005,3900008,11296936-DS-66,"here is also evidence for a generalized moderate sensory motor polyneuropathy. Although the clinical histo" Wrong span,"(5312, 5332)","(5304, 5332)",motor polyneuropathy,sensory motor polyneuropathy,85423005,3900008,11296936-DS-66,"also evidence for a generalized moderate sensory motor polyneuropathy. Although the clinical history is worrisome for " "Correct entity, wrong SNOMED ID","(5384, 5401)","(5384, 5401)",median neuropathy,median neuropathy,397828008,292791000119109,11296936-DS-66,"Although the clinical history is worrisome for a median neuropathy at the cubital fossa, this was not confirmed on " "Correct entity, wrong SNOMED ID","(5409, 5422)","(5409, 5422)",cubital fossa,cubital fossa,50496004,731068005,11296936-DS-66,"tory is worrisome for a median neuropathy at the cubital fossa, this was not confirmed on this study. There is " Missed entity,"(5472, 5483)",,no evidence,,281900007,,11296936-DS-66,", this was not confirmed on this study. There is no evidence for an ulnar neuropathy at the elbow or for a ra" "Correct entity, wrong SNOMED ID","(5491, 5508)","(5491, 5508)","ulnar neuropathy","ulnar neuropathy",359837005,16206301000119102,11296936-DS-66,"firmed on this study. There is no evidence for an ulnar neuropathy at the elbow or for a radial neuropathy on the ri" "Correct entity, wrong SNOMED ID","(5516, 5521)","(5516, 5521)",elbow,elbow,127949000,116309007,11296936-DS-66,"re is no evidence for an ulnar neuropathy at the elbow or for a radial neuropathy on the right side. T" "Correct entity, wrong SNOMED ID","(5531, 5548)","(5531, 5548)",radial neuropathy,radial neuropathy,16644004,330331000119105,11296936-DS-66,"ce for an ulnar neuropathy at the elbow or for a radial neuropathy on the right side. TTE: The left atrium is mode" "Correct entity, wrong SNOMED ID","(5556, 5561)","(5556, 5561)",right,right,734368000,225794002,11296936-DS-66,"hy at the elbow or for a radial neuropathy on the right side. TTE: The left atrium is moderately dilate" "Correct entity, wrong SNOMED ID","(5579, 5612)","(5579, 5612)",left atrium is moderately dilated,left atrium is moderately dilated,253361002,448320008,11296936-DS-66,"a radial neuropathy on the right side. TTE: The left atrium is moderately dilated. There is mild symmetric left ventricular hypert" "Correct entity, wrong SNOMED ID","(5673, 5696)","(5673, 5696)",left ventricular cavity,left ventricular cavity,1259956008,1259953000,11296936-DS-66,"mild symmetric left ventricular hypertrophy. The left ventricular cavity size is normal. There is moderate global left ve" Missed entity,"(5697, 5712)",,"size is normal",,53461003,,11296936-DS-66,"tricular hypertrophy. The left ventricular cavity size is normal. There is moderate global left ventricular hypoki" Missed entity,"(5739, 5767)",,left ventricular hypokinesis,,250912005,,11296936-DS-66," cavity size is normal. There is moderate global left ventricular hypokinesis (LVEF = XX %). The right ventricular cavity is d" "Correct entity, wrong SNOMED ID","(5788, 5823)","(5788, 5823)",right ventricular cavity is dilated,right ventricular cavity is dilated,253522006,233067004,11296936-DS-66," left ventricular hypokinesis (LVEF = XX %). The right ventricular cavity is dilated and the free wall is hypokinetic. The aortic val" Wrong span,"(5838, 5857)","(5833, 5842)",wall is hypokinetic,free wall,250951000,450707002,11296936-DS-66,"right ventricular cavity is dilated and the free wall is hypokinetic. The aortic valve leaflets (3) are mildly thicke" "Correct entity, wrong SNOMED ID","(5863, 5884)","(5863, 5884)",aortic valve leaflets,aortic valve leaflets,81797008,232899001,11296936-DS-66,"is dilated and the free wall is hypokinetic. The aortic valve leaflets (3) are mildly thickened. No aortic regurgitatio" Missed entity,"(5894, 5910)",,mildly thickened,,89977008,,11296936-DS-66,"s hypokinetic. The aortic valve leaflets (3) are mildly thickened. No aortic regurgitation is seen. The mitral val" "Correct entity, wrong SNOMED ID","(5915, 5935)","(5915, 5935)",aortic regurgitation,aortic regurgitation,60234000,61612001,11296936-DS-66,"rtic valve leaflets (3) are mildly thickened. No aortic regurgitation is seen. The mitral valve leaflets are mildly th" "Correct entity, wrong SNOMED ID","(5949, 5992)","(5949, 5992)","mitral valve leaflets are mildly thickened","mitral valve leaflets are mildly thickened",448820003,244355000,11296936-DS-66,"y thickened. No aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Mild (1+) mitral regurgitation is seen. The est" "Correct entity, wrong SNOMED ID","(5994, 6025)","(5994, 6025)","Mild (1+) mitral regurgitation","Mild (1+) mitral regurgitation",838451005,373116009,11296936-DS-66," The mitral valve leaflets are mildly thickened. Mild (1+) mitral regurgitation is seen. The estimated pulmonary artery systolic " Wrong span,"(6049, 6065)","(6049, 6094)",pulmonary artery,"pulmonary artery systolic pressure is normal",81040000,167712000,11296936-DS-66,"(1+) mitral regurgitation is seen. The estimated pulmonary artery systolic pressure is normal. There is no pericar" "Correct entity, wrong SNOMED ID","(6108, 6128)","(6108, 6128)",pericardial effusion,pericardial effusion,373945007,1230405007,11296936-DS-66," artery systolic pressure is normal. There is no pericardial effusion (does not exclude pericarditis). Compared with " "Correct entity, wrong SNOMED ID","(6148, 6160)","(6148, 6160)",pericarditis,pericarditis,3238004,70189005,11296936-DS-66,"ere is no pericardial effusion (does not exclude pericarditis). Compared with the prior study (images reviewed" "Correct entity, wrong SNOMED ID","(6225, 6239)","(6225, 6239)",left ventricle,left ventricle,87878005,250921006,11296936-DS-66,"th the prior study (images reviewed) of ___, the left ventricle now appears less dilated and systolic function i" "Correct entity, wrong SNOMED ID","(6257, 6264)","(6257, 6264)",dilated,dilated,25322007,37125009,11296936-DS-66,"wed) of ___, the left ventricle now appears less dilated and systolic function is improved. The images fr" "Correct entity, wrong SNOMED ID","(6291, 6299)","(6291, 6299)",improved,improved,268910001,251359002,11296936-DS-66,"ow appears less dilated and systolic function is improved. The images from the study of ___ are not availa" "Correct entity, wrong SNOMED ID","(6398, 6401)","(6398, 6401)",EKG,EKG,29303009,75444003,11296936-DS-66,"able for review due to technical difficulties. EKG: multiple EKGs showing, Atrial tachycardia with 3" "Correct entity, wrong SNOMED ID","(6412, 6416)","(6412, 6416)",EKGs,EKGs,29303009,46136006,11296936-DS-66,"w due to technical difficulties. EKG: multiple EKGs showing, Atrial tachycardia with 3:1 or 2:1 bloc" "Correct entity, wrong SNOMED ID","(6426, 6444)","(6426, 6444)",Atrial tachycardia,Atrial tachycardia,276796006,233892002,11296936-DS-66,"ical difficulties. EKG: multiple EKGs showing, Atrial tachycardia with 3:1 or 2:1 block. Non-specific ST-T wave ab" Missed entity,"(6450, 6453)",,3:1,,164904007,,11296936-DS-66,"G: multiple EKGs showing, Atrial tachycardia with 3:1 or 2:1 block. Non-specific ST-T wave abnormaliti" Wrong span,"(6457, 6467)","(6462, 6467)","2:1 block",block,164903001,1201985008,11296936-DS-66,"iple EKGs showing, Atrial tachycardia with 3:1 or 2:1 block. Non-specific ST-T wave abnormalities. Low limb l" Wrong span,"(6485, 6505)","(6482, 6505)",T wave abnormalities,ST-T wave abnormalities,164934002,428418001,11296936-DS-66,"chycardia with 3:1 or 2:1 block. Non-specific ST-T wave abnormalities. Low limb lead voltage. Brief Hospital Course:" Missed entity,"(6507, 6528)",,Low limb lead voltage,,251147008,,11296936-DS-66,"2:1 block. Non-specific ST-T wave abnormalities. Low limb lead voltage. Brief Hospital Course: # Shortness of breath:" "Correct entity, wrong SNOMED ID","(6558, 6577)","(6558, 6577)",Shortness of breath,Shortness of breath,267036007,135833008,11296936-DS-66,"ow limb lead voltage. Brief Hospital Course: # Shortness of breath: CXR c/w pulmonary edema. Given recent dietary " "Correct entity, wrong SNOMED ID","(6587, 6602)","(6587, 6602)",pulmonary edema,pulmonary edema,19242006,40541001,11296936-DS-66,"f Hospital Course: # Shortness of breath: CXR c/w pulmonary edema. Given recent dietary indiscretion, possibly we" Missed entity,"(6619, 6639)",,dietary indiscretion,,405241002,,11296936-DS-66,"f breath: CXR c/w pulmonary edema. Given recent dietary indiscretion, possibly went into flash pulmonary edema from t" "Correct entity, wrong SNOMED ID","(6660, 6681)","(6660, 6681)",flash pulmonary edema,flash pulmonary edema,40541001,233710001,11296936-DS-66," recent dietary indiscretion, possibly went into flash pulmonary edema from tachycardia. No viral syndrome to suggest " "Correct entity, wrong SNOMED ID","(6688, 6699)","(6688, 6699)",tachycardia,tachycardia,3424008,6456007,11296936-DS-66,"n, possibly went into flash pulmonary edema from tachycardia. No viral syndrome to suggest pericarditis and " "Correct entity, wrong SNOMED ID","(6731, 6743)","(6731, 6743)",pericarditis,pericarditis,3238004,70189005,11296936-DS-66," from tachycardia. No viral syndrome to suggest pericarditis and no pericardial effusion on echo (and patient" "Correct entity, wrong SNOMED ID","(6752, 6772)","(6752, 6772)",pericardial effusion,pericardial effusion,373945007,1230405007,11296936-DS-66,"No viral syndrome to suggest pericarditis and no pericardial effusion on echo (and patient not hypotensive, but hypert" "Correct entity, wrong SNOMED ID","(6798, 6809)","(6798, 6809)",hypotensive,hypotensive,45007003,88887003,11296936-DS-66," no pericardial effusion on echo (and patient not hypotensive, but hypertensive), and urea not elevated to ext" "Correct entity, wrong SNOMED ID","(6816, 6828)","(6816, 6828)",hypertensive,hypertensive,24184005,70995007,11296936-DS-66,"fusion on echo (and patient not hypotensive, but hypertensive), and urea not elevated to extent that would exp" "Correct entity, wrong SNOMED ID","(6889, 6908)","(6889, 6908)",uremic pericarditis,uremic pericarditis,80119007,194909006,11296936-DS-66," not elevated to extent that would expect to see uremic pericarditis. Renal followed and patient had dialysis with U" "Correct entity, wrong SNOMED ID","(6943, 6951)","(6943, 6951)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"ic pericarditis. Renal followed and patient had dialysis with UF on hospital ___ 1 and dialysis on ___ 3. " "Correct entity, wrong SNOMED ID","(6982, 6990)","(6982, 6990)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"tient had dialysis with UF on hospital ___ 1 and dialysis on ___ 3. He was also kept on a low potassium, " "Correct entity, wrong SNOMED ID","(7025, 7038)","(7025, 7038)",low potassium,low potassium,26041009,166690008,11296936-DS-66," 1 and dialysis on ___ 3. He was also kept on a low potassium, low salt diet with fluid restrictions. . # AF" "Correct entity, wrong SNOMED ID","(7040, 7053)","(7040, 7053)",low salt diet,low salt diet,386619000,226164007,11296936-DS-66," on ___ 3. He was also kept on a low potassium, low salt diet with fluid restrictions. . # AFib with RVR: Pa" Wrong span,"(7059, 7078)","(7059, 7064)","fluid restrictions",fluid,25389001,25670009,11296936-DS-66," also kept on a low potassium, low salt diet with fluid restrictions. . # AFib with RVR: Patient converted with Dilt" "Correct entity, wrong SNOMED ID","(7086, 7099)","(7086, 7099)",AFib with RVR,AFib with RVR,120041000119109,1010405004,11296936-DS-66,"um, low salt diet with fluid restrictions. . # AFib with RVR: Patient converted with Diltiazem 15mg IV X1 in " "Correct entity, wrong SNOMED ID","(7211, 7215)","(7211, 7215)",tele,tele,422952004,129013008,11296936-DS-66,"spontaneously on floor ___. He was continued on tele without further events. He was continued on Amio" "Correct entity, wrong SNOMED ID","(7307, 7317)","(7307, 7317)",Chest pain,Chest pain,29857009,102589003,11296936-DS-66," on Amiodarone per discussion with Dr ___. . # Chest pain: Troponins elevated at baseline. Given CP with " Wrong span,"(7319, 7328)","(7319, 7337)",Troponins,Troponins elevated,105000003,444931001,11296936-DS-66,"ne per discussion with Dr ___. . # Chest pain: Troponins elevated at baseline. Given CP with palpation, " "Correct entity, wrong SNOMED ID","(7358, 7360)","(7358, 7360)",CP,CP,29857009,282108002,11296936-DS-66,"hest pain: Troponins elevated at baseline. Given CP with palpation, most likely MSK and related to c" "Correct entity, wrong SNOMED ID","(7367, 7376)","(7367, 7376)",palpation,palpation,113011001,51558006,11296936-DS-66,": Troponins elevated at baseline. Given CP with palpation, most likely MSK and related to cough however cou" "Correct entity, wrong SNOMED ID","(7390, 7393)","(7390, 7393)",MSK,MSK,26107004,258697002,11296936-DS-66," baseline. Given CP with palpation, most likely MSK and related to cough however could have been sec" "Correct entity, wrong SNOMED ID","(7409, 7414)","(7409, 7414)",cough,cough,49727002,28743005,11296936-DS-66,"P with palpation, most likely MSK and related to cough however could have been secondary to cocaine abu" "Correct entity, wrong SNOMED ID","(7453, 7466)","(7453, 7466)",cocaine abuse,cocaine abuse,78267003,145101000119102,11296936-DS-66,"ed to cough however could have been secondary to cocaine abuse. CEs negative X3. Patient was started on asa, c" "Correct entity, wrong SNOMED ID","(7572, 7576)","(7572, 7576)",pain,pain,22253000,102570003,11296936-DS-66,"atin, ___, nitro prn for treatment and given prn pain meds. He was CP free at d/c. . # cocaine use: co" Wrong span,"(7591, 7593)","(7591, 7598)",CP,CP free,29857009,370994008,11296936-DS-66,"n for treatment and given prn pain meds. He was CP free at d/c. . # cocaine use: could contribute to" "Correct entity, wrong SNOMED ID","(7825, 7835)","(7825, 7835)",ESRD on HD,ESRD on HD,236435004,16218721000119107,11296936-DS-66,"d patient to quit and he refused SW consult. . # ESRD on HD: Continued dialysis as above. Continued Sevelame" "Correct entity, wrong SNOMED ID","(7847, 7855)","(7847, 7855)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"he refused SW consult. . # ESRD on HD: Continued dialysis as above. Continued Sevelamer, started Cinacalc" "Correct entity, wrong SNOMED ID","(7913, 7926)","(7913, 7926)",left arm pain,left arm pain,287045000,15743561000119103,11296936-DS-66,"e. Continued Sevelamer, started Cinacalcet. . # left arm pain: Etiology unclear however differential included " "Correct entity, wrong SNOMED ID","(7976, 7986)","(7976, 7986)",neuropathy,neuropathy,386033004,302226006,11296936-DS-66,": Etiology unclear however differential included neuropathy versus steal syndrome due to AV fistula. Pulses " "Correct entity, wrong SNOMED ID","(8016, 8026)","(8016, 8026)",AV fistula,AV fistula,439470001,77095007,11296936-DS-66,"included neuropathy versus steal syndrome due to AV fistula. Pulses and flow on exam however seemed normal." "Correct entity, wrong SNOMED ID","(8078, 8081)","(8078, 8081)",EMG,EMG,42803009,252638003,11296936-DS-66," Pulses and flow on exam however seemed normal. EMG revealing for carpal tunel b/l. Gabapentin was " Wrong span,"(8096, 8109)","(8096, 8099)","carpal tunel",car,57406009,720370008,11296936-DS-66,"on exam however seemed normal. EMG revealing for carpal tunel b/l. Gabapentin was continued and splints were o" "Correct entity, wrong SNOMED ID","(8203, 8205)","(8203, 8205)",DM,DM,73211009,258671008,11296936-DS-66,"were ordered along with outpatient hand f/u. . # DM -Insulin s/s . # HLD -cont statin . # HTN -cont L" "Correct entity, wrong SNOMED ID","(8223, 8226)","(8223, 8226)",HLD,HLD,55822004,396338004,11296936-DS-66,"with outpatient hand f/u. . # DM -Insulin s/s . # HLD -cont statin . # HTN -cont Lisinopril and Diltiaz" "Correct entity, wrong SNOMED ID","(8244, 8247)","(8244, 8247)",HTN,HTN,38341003,10725009,11296936-DS-66,"f/u. . # DM -Insulin s/s . # HLD -cont statin . # HTN -cont Lisinopril and Diltiazem . # pruritis: uncl" Wrong span,"(8324, 8342)","(8324, 8331)",cocaine withrdawal,cocaine,80868005,229003004,11296936-DS-66,"azem . # pruritis: unclear etiology, possible ___ cocaine withrdawal? - benadryl, hydroxizine used . # Code: full (c" Missed entity,"(8916, 8924)",,Morphine,,293601001,,11296936-DS-66,"buterol inhaler Q4-6H prn wheeze . Allergies: Morphine -- itch Discharge Medications: 1. Gabapentin 10" Missed entity,"(8928, 8932)",,itch,,418290006,,11296936-DS-66,"ler Q4-6H prn wheeze . Allergies: Morphine -- itch Discharge Medications: 1. Gabapentin 100 mg Cap" Wrong span,"(10326, 10346)","(10326, 10336)","chest pain, atypical",chest pain,102589003,102589003,11296936-DS-66,"isposition: Home Discharge Diagnosis: Primary - chest pain, atypical, likely cocaine-related - carpal tunnel syndrome " "Correct entity, wrong SNOMED ID","(10373, 10395)","(10373, 10395)",carpal tunnel syndrome,carpal tunnel syndrome,57406009,12265501000119101,11296936-DS-66," - chest pain, atypical, likely cocaine-related - carpal tunnel syndrome - volume overload, likely secondary to missing di" "Correct entity, wrong SNOMED ID","(10398, 10413)","(10398, 10413)",volume overload,volume overload,21639008,457651000124103,11296936-DS-66,"likely cocaine-related - carpal tunnel syndrome - volume overload, likely secondary to missing dialysis and food/m" "Correct entity, wrong SNOMED ID","(10443, 10451)","(10443, 10451)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"me - volume overload, likely secondary to missing dialysis and food/medications noncompliance Secondary ES" Missed entity,"(10462, 10487)",,medications noncompliance,,400978007,,11296936-DS-66,"d, likely secondary to missing dialysis and food/medications noncompliance Secondary ESRD on HD ___ at ___ Dialysis, ___, " "Correct entity, wrong SNOMED ID","(10499, 10509)","(10499, 10509)",ESRD on HD,ESRD on HD,236435004,428982002,11296936-DS-66,"is and food/medications noncompliance Secondary ESRD on HD ___ at ___ Dialysis, ___, ___ Type 2 diabetes " "Correct entity, wrong SNOMED ID","(10521, 10529)","(10521, 10529)",Dialysis,Dialysis,108241001,71192002,11296936-DS-66,"ns noncompliance Secondary ESRD on HD ___ at ___ Dialysis, ___, ___ Type 2 diabetes mellitus c/b periphe" "Correct entity, wrong SNOMED ID","(10543, 10567)","(10543, 10567)",Type 2 diabetes mellitus,Type 2 diabetes mellitus,44054006,445353002,11296936-DS-66,"ndary ESRD on HD ___ at ___ Dialysis, ___, ___ Type 2 diabetes mellitus c/b peripheral neuropathy Reports h/o MI: on r" "Correct entity, wrong SNOMED ID","(10572, 10593)","(10572, 10593)",peripheral neuropathy,peripheral neuropathy,302226006,129611009,11296936-DS-66,"ialysis, ___, ___ Type 2 diabetes mellitus c/b peripheral neuropathy Reports h/o MI: on review of records, he had d" "Correct entity, wrong SNOMED ID","(10642, 10657)","(10642, 10657)",demand ischemia,demand ischemia,691471000119109,16837681000119104,11296936-DS-66,"y Reports h/o MI: on review of records, he had demand ischemia in ___ with no flow-limiting stenoses on cardiac" "Correct entity, wrong SNOMED ID","(10688, 10696)","(10688, 10696)",stenoses,stenoses,415582006,252108008,11296936-DS-66,"had demand ischemia in ___ with no flow-limiting stenoses on cardiac cath - MIBI in ___ showed reversible " "Correct entity, wrong SNOMED ID","(10700, 10712)","(10700, 10712)",cardiac cath,cardiac cath,41976001,59261000119100,11296936-DS-66,"schemia in ___ with no flow-limiting stenoses on cardiac cath - MIBI in ___ showed reversible defects inferior" "Correct entity, wrong SNOMED ID","(10801, 10821)","(10801, 10821)",Chronic systolic CHF,Chronic systolic CHF,441481004,443253003,11296936-DS-66,"ts inferior/lateral - baseline troponin 0.2-0.4 Chronic systolic CHF with EF ___ TEE) Atrial fibrillation/AFlutter s" Missed entity,"(10834, 10837)",,TEE,,105376000,,11296936-DS-66,"troponin 0.2-0.4 Chronic systolic CHF with EF ___ TEE) Atrial fibrillation/AFlutter s/p ablation ___ " "Correct entity, wrong SNOMED ID","(10841, 10860)","(10841, 10860)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,11296936-DS-66,"n 0.2-0.4 Chronic systolic CHF with EF ___ TEE) Atrial fibrillation/AFlutter s/p ablation ___ h/o atrial tachycardi" "Correct entity, wrong SNOMED ID","(10861, 10869)","(10861, 10869)",AFlutter,AFlutter,5370000,76679000,11296936-DS-66,"stolic CHF with EF ___ TEE) Atrial fibrillation/AFlutter s/p ablation ___ h/o atrial tachycardia s/p EPS" "Correct entity, wrong SNOMED ID","(10874, 10882)","(10874, 10882)",ablation,ablation,64597002,65659003,11296936-DS-66,"th EF ___ TEE) Atrial fibrillation/AFlutter s/p ablation ___ h/o atrial tachycardia s/p EPS ___ and abla" "Correct entity, wrong SNOMED ID","(10893, 10911)","(10893, 10911)",atrial tachycardia,atrial tachycardia,276796006,233892002,11296936-DS-66,"rial fibrillation/AFlutter s/p ablation ___ h/o atrial tachycardia s/p EPS ___ and ablation x 2 Hypertension Dysl" "Correct entity, wrong SNOMED ID","(10928, 10936)","(10928, 10936)",ablation,ablation,64597002,65659003,11296936-DS-66,"tion ___ h/o atrial tachycardia s/p EPS ___ and ablation x 2 Hypertension Dyslipidemia: ___ TC 101, LDL" "Correct entity, wrong SNOMED ID","(10942, 10954)","(10942, 10954)",Hypertension,Hypertension,38341003,70995007,11296936-DS-66," atrial tachycardia s/p EPS ___ and ablation x 2 Hypertension Dyslipidemia: ___ TC 101, LDL 54, HDL 29, ___ 1" "Correct entity, wrong SNOMED ID","(10957, 10969)","(10957, 10969)",Dyslipidemia,Dyslipidemia,370992007,109041000119107,11296936-DS-66,"rdia s/p EPS ___ and ablation x 2 Hypertension Dyslipidemia: ___ TC 101, LDL 54, HDL 29, ___ 112 History of" "Correct entity, wrong SNOMED ID","(11020, 11028)","(11020, 11028)",GI bleed,GI bleed,74474003,307297004,11296936-DS-66," ___ TC 101, LDL 54, HDL 29, ___ 112 History of GI bleed: - Duodenal, jejunal, and gastric AVMs s/p ther" "Correct entity, wrong SNOMED ID","(11034, 11042)","(11034, 11042)",Duodenal,Duodenal,717880001,81559006,11296936-DS-66,"DL 54, HDL 29, ___ 112 History of GI bleed: - Duodenal, jejunal, and gastric AVMs s/p thermal therapy " "Correct entity, wrong SNOMED ID","(11044, 11051)","(11044, 11051)",jejunal,jejunal,21306003,110788008,11296936-DS-66," 29, ___ 112 History of GI bleed: - Duodenal, jejunal, and gastric AVMs s/p thermal therapy - diverti" "Correct entity, wrong SNOMED ID","(11057, 11069)","(11057, 11069)",gastric AVMs,gastric AVMs,717866008,43935004,11296936-DS-66," History of GI bleed: - Duodenal, jejunal, and gastric AVMs s/p thermal therapy - diverticulosis throughout" Wrong span,"(11094, 11125)","(11094, 11108)",diverticulosis throughout colon,diverticulosis,733657002,14011008,11296936-DS-66,"jejunal, and gastric AVMs s/p thermal therapy - diverticulosis throughout colon Chronic pancreatitis Possible Hepatitis C inf" "Correct entity, wrong SNOMED ID","(11128, 11148)","(11128, 11148)",Chronic pancreatitis,Chronic pancreatitis,235494005,301009006,11296936-DS-66,"mal therapy - diverticulosis throughout colon Chronic pancreatitis Possible Hepatitis C infection, HCV Ab + ___, b" "Correct entity, wrong SNOMED ID","(11160, 11181)","(11160, 11181)",Hepatitis C infection,Hepatitis C infection,50711007,713966008,11296936-DS-66,"hroughout colon Chronic pancreatitis Possible Hepatitis C infection, HCV Ab + ___, but neg ___ GERD Gout s/p arthr" "Correct entity, wrong SNOMED ID","(11216, 11220)","(11216, 11220)",Gout,Gout,90560007,69896004,11296936-DS-66,"tis C infection, HCV Ab + ___, but neg ___ GERD Gout s/p arthroscopy with medial meniscectomy ___ D" "Correct entity, wrong SNOMED ID","(11226, 11237)","(11226, 11237)",arthroscopy,arthroscopy,13714004,465561002,11296936-DS-66,"ction, HCV Ab + ___, but neg ___ GERD Gout s/p arthroscopy with medial meniscectomy ___ Depression with mu" Wrong span,"(11243, 11249)","(11243, 11262)",medial,medial meniscectomy,49390008,300977003,11296936-DS-66,"__, but neg ___ GERD Gout s/p arthroscopy with medial meniscectomy ___ Depression with multiple hospi" Wrong span,"(11250, 11262)","(11243, 11262)",meniscectomy,medial meniscectomy,6148000,300977003,11296936-DS-66," neg ___ GERD Gout s/p arthroscopy with medial meniscectomy ___ Depression with multiple hospitalizations d" "Correct entity, wrong SNOMED ID","(11269, 11279)","(11269, 11279)",Depression,Depression,35489007,26141007,11296936-DS-66,"t s/p arthroscopy with medial meniscectomy ___ Depression with multiple hospitalizations due to SI Polysu" Missed entity,"(11318, 11320)",,SI,,6471006,,11296936-DS-66," Depression with multiple hospitalizations due to SI Polysubstance abuse: crack cocaine, EtOH, tobac" "Correct entity, wrong SNOMED ID","(11323, 11342)","(11323, 11342)",Polysubstance abuse,Polysubstance abuse,445273005,16076691000119100,11296936-DS-66,"ession with multiple hospitalizations due to SI Polysubstance abuse: crack cocaine, EtOH, tobacco - frequent bouts " Missed entity,"(11350, 11357)",,cocaine,,78267003,,11296936-DS-66,"alizations due to SI Polysubstance abuse: crack cocaine, EtOH, tobacco - frequent bouts of chest pain f" Missed entity,"(11359, 11363)",,EtOH,,15167005,,11296936-DS-66,"s due to SI Polysubstance abuse: crack cocaine, EtOH, tobacco - frequent bouts of chest pain followi" "Correct entity, wrong SNOMED ID","(11365, 11372)","(11365, 11372)",tobacco,tobacco,89765005,228518000,11296936-DS-66,"to SI Polysubstance abuse: crack cocaine, EtOH, tobacco - frequent bouts of chest pain following crack/" "Correct entity, wrong SNOMED ID","(11395, 11405)","(11395, 11405)",chest pain,chest pain,29857009,102589003,11296936-DS-66,"rack cocaine, EtOH, tobacco - frequent bouts of chest pain following crack/cocaine use Erectile dysfunctio" "Correct entity, wrong SNOMED ID","(11436, 11456)","(11436, 11456)",Erectile dysfunction,Erectile dysfunction,860914002,860916000,11296936-DS-66,"bouts of chest pain following crack/cocaine use Erectile dysfunction s/p inflatable penile prosthesis ___ h/o C diff " Wrong span,"(11461, 11489)","(11472, 11489)",inflatable penile prosthesis,penile prosthesis,26573008,404192008,11296936-DS-66,"wing crack/cocaine use Erectile dysfunction s/p inflatable penile prosthesis ___ h/o C diff in ___ Discharge Condition: st" "Correct entity, wrong SNOMED ID","(11537, 11543)","(11537, 11543)",stable,stable,359746009,301459008,11296936-DS-66,"is ___ h/o C diff in ___ Discharge Condition: stable, improved. Discharge Instructions: You were ad" "Correct entity, wrong SNOMED ID","(11545, 11553)","(11545, 11553)",improved,improved,268910001,251359002,11296936-DS-66,"h/o C diff in ___ Discharge Condition: stable, improved. Discharge Instructions: You were admitted to " "Correct entity, wrong SNOMED ID","(11627, 11637)","(11627, 11637)",chest pain,chest pain,29857009,102589003,11296936-DS-66,"ons: You were admitted to the hospital because of chest pain and shortness of breath. While you were here yo" "Correct entity, wrong SNOMED ID","(11643, 11662)","(11643, 11662)",shortness of breath,shortness of breath,267036007,135833008,11296936-DS-66,"mitted to the hospital because of chest pain and shortness of breath. While you were here you had dialysis which hel" "Correct entity, wrong SNOMED ID","(11693, 11701)","(11693, 11701)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"shortness of breath. While you were here you had dialysis which helped your shortness of breath. You had " "Correct entity, wrong SNOMED ID","(11721, 11740)","(11721, 11740)",shortness of breath,shortness of breath,267036007,135833008,11296936-DS-66,"you were here you had dialysis which helped your shortness of breath. You had studies of your heart which showed tha" "Correct entity, wrong SNOMED ID","(11767, 11772)","(11767, 11772)",heart,heart,80891009,22298006,11296936-DS-66,"our shortness of breath. You had studies of your heart which showed that you were not having a heart at" "Correct entity, wrong SNOMED ID","(11814, 11826)","(11814, 11826)",heart attack,heart attack,22298006,247818001,11296936-DS-66,"ur heart which showed that you were not having a heart attack. Your chest pain improved. It was thought that" "Correct entity, wrong SNOMED ID","(11835, 11845)","(11835, 11845)",chest pain,chest pain,29857009,102589003,11296936-DS-66,"d that you were not having a heart attack. Your chest pain improved. It was thought that your chest was cau" "Correct entity, wrong SNOMED ID","(11846, 11854)","(11846, 11854)",improved,improved,268910001,251359002,11296936-DS-66,"were not having a heart attack. Your chest pain improved. It was thought that your chest was caused by t" "Correct entity, wrong SNOMED ID","(11882, 11887)","(11882, 11887)",chest,chest,51185008,74160004,11296936-DS-66,"r chest pain improved. It was thought that your chest was caused by the use of cocaine. You had 2 epi" "Correct entity, wrong SNOMED ID","(11951, 11956)","(11951, 11956)",heart,heart,80891009,226984005,11296936-DS-66,"y the use of cocaine. You had 2 episodes of your heart going very fast which was likely due to the coca" Wrong span,"(12215, 12220)","(12215, 12228)",nerve,nerve studies,3057000,3651000,11296936-DS-66,"ing you want to do. . While you were here you had nerve studies of your arms which show that you have ca" "Correct entity, wrong SNOMED ID","(12237, 12241)","(12237, 12241)",arms,arms,53120007,69273007,11296936-DS-66,"While you were here you had nerve studies of your arms which show that you have carpal tunel syndrome. " "Correct entity, wrong SNOMED ID","(12268, 12289)","(12268, 12289)",carpal tunel syndrome,carpal tunel syndrome,57406009,766992008,11296936-DS-66,"ve studies of your arms which show that you have carpal tunel syndrome. We will refer you to a hand surgeon in case yo" "Correct entity, wrong SNOMED ID","(12419, 12423)","(12419, 12423)",pain,pain,22253000,102570003,11296936-DS-66,"g this surgically fixed. Sometimes this type of pain can resolve on its own with wrist splints. You " Wrong span,"(12453, 12458)","(12453, 12466)",wrist,wrist splints,8205005,283288001,11296936-DS-66,"es this type of pain can resolve on its own with wrist splints. You can speak with Dr. ___ this with y" "Correct entity, wrong SNOMED ID","(12634, 12642)","(12634, 12642)",arm pain,arm pain,102556003,15749341000119107,11296936-DS-66," to 200mg each night. This might help with your arm pain. You can also pick up wrist splints which shoul" Wrong span,"(12667, 12672)","(12667, 12680)",wrist,wrist splints,8205005,183194003,11296936-DS-66,"t help with your arm pain. You can also pick up wrist splints which should be waiting for you at the _" "Correct entity, wrong SNOMED ID","(12833, 12841)","(12833, 12841)",dialysis,dialysis,108241001,71192002,11296936-DS-66,"ou can use Percocet 1 pill before and after each dialysis session for your pain. You should not use this " "Correct entity, wrong SNOMED ID","(12859, 12863)","(12859, 12863)",pain,pain,22253000,102570003,11296936-DS-66," before and after each dialysis session for your pain. You should not use this medication while drivi" Missed entity,"(13244, 13255)",,sodium diet,,20676001,,11296936-DS-66," weight goes up more than 3 lbs. Adhere to 2 gm sodium diet Fluid Restriction: 1.5 Liters per ___ . If you de" "Correct entity, wrong SNOMED ID","(13256, 13273)","(13256, 13273)",Fluid Restriction,Fluid Restriction,25389001,699827002,11296936-DS-66," up more than 3 lbs. Adhere to 2 gm sodium diet Fluid Restriction: 1.5 Liters per ___ . If you develop chest pain, " "Correct entity, wrong SNOMED ID","(13311, 13321)","(13311, 13321)",chest pain,chest pain,29857009,102589003,11296936-DS-66," Restriction: 1.5 Liters per ___ . If you develop chest pain, shortness of breath, difficulty breathing or wi" "Correct entity, wrong SNOMED ID","(13323, 13342)","(13323, 13342)",shortness of breath,shortness of breath,267036007,135833008,11296936-DS-66,": 1.5 Liters per ___ . If you develop chest pain, shortness of breath, difficulty breathing or with any other concerni" "Correct entity, wrong SNOMED ID","(13344, 13365)","(13344, 13365)","difficulty breathing","difficulty breathing",230145002,1023001,11296936-DS-66,". If you develop chest pain, shortness of breath, difficulty breathing or with any other concerning symptoms you should " False positive,,"(382, 390)",,coumadin,,76346005,11392990-DS-6,"_ w/ CAD s/p CABG, CHF w/ EF ___ & ICD, A-fib on coumadin, and extensive smoking history who presents with" False positive,,"(815, 817)",,US,,258698007,11392990-DS-6," to the ___ and had a collapsable IVC on bedside US. CXR looked more volume overloaded, so they did" False positive,,"(1311, 1322)",,Lymphocytes,,250286009,11392990-DS-6,"f pulm edema. Notable labs include WBC 7 w/ 49% Lymphocytes, Cr 2.3 (baseline 1.4-1.5), Lactate 5.7 -> 3.7, " False positive,,"(1492, 1503)",,comfortable,,1148784009,11392990-DS-6,"98 71 148/51 17 97% on Venturi mask. The pt was comfortable and reports his SOB has improved but not yet bac" False positive,,"(1569, 1586)",,REVIEW OF SYSTEMS,,415300000,11392990-DS-6," SOB has improved but not yet back to baseline. REVIEW OF SYSTEMS: (+) Per HPI (-) Denies fever, chills, night " False positive,,"(2845, 2848)",,non,,160552003,11392990-DS-6,"so noted ranging from 2 mm to 8 mm. There are no noncalcified pulmonary nodules. No evidence for infil" False positive,,"(3770, 3772)",,no,,160552003,11392990-DS-6,"7/51 17 91% on 2L NC General: Well appearing in no acute distress, breathing comfortably HEENT: d" False positive,,"(4198, 4215)",,peripheral pulses,,301145006,11392990-DS-6,": Foley in place Ext: Warm, no peripheral edema peripheral pulses 2+ ___ Neuro: alert and oriented to person, hos" False positive,,"(4363, 4378)",,Ambulatory sats,,273509002,11392990-DS-6,"8/46 (119-145/35-70), 58 (56-73), ___, 97-98%RA. Ambulatory sats on ___ AM: 90-93% on RA while walking FSBS: 166, " False positive,,"(4417, 4421)",,FSBS,,90992001,11392990-DS-6,"latory sats on ___ AM: 90-93% on RA while walking FSBS: 166, 186, 229, 220 General: NAD, not tachypneic," False positive,,"(4522, 4527)",,HEENT,,113665002,11392990-DS-6,"no increased WOB, comfortable lying on 2 pillows HEENT: no oral lesions, no oropharyngeal erythema Nec" False positive,,"(4701, 4706)",,Lungs,,74101002,11392990-DS-6," well-healed sternotomy scar, ICD in left chest Lungs: CTAB, no crackles or wheezes Abdomen: soft, NT, " False positive,,"(5158, 5161)",,MCH,,735147002,11392990-DS-6,"M WBC-7.0 RBC-4.11* HGB-11.8* HCT-36.5* MCV-89 MCH-28.7 MCHC-32.3 RDW-14.8 ___ 02:05AM PLT COUNT-2" False positive,,"(5572, 5575)",,ALK,,360781002,11392990-DS-6,"nT-<0.01 ___ 02:05AM ALT(SGPT)-35 AST(SGOT)-47* ALK PHOS-148* TOT BILI-0.2 ___ 02:05AM TSH-11* ___" False positive,,"(6545, 6548)",,HbA,,250221001,11392990-DS-6,"1:30AM BLOOD ___ PTT-38.3* ___ ___ 02:19AM BLOOD %HbA1c-6.2* eAG-131* ___ 02:27PM ___ PO2-76* PCO2-40" False positive,,"(6591, 6594)",,PCO,,12686008,11392990-DS-6,"OD %HbA1c-6.2* eAG-131* ___ 02:27PM ___ PO2-76* PCO2-40 PH-7.40 TOTAL CO2-26 BASE XS-0 ___ 02:39AM B" False positive,,"(6888, 6891)",,QRS,,366170001,11392990-DS-6,"lity. Compared to the previous tracing of ___ the QRS duration has increased. Atrial fibrillation/flut" False positive,,"(7543, 7551)",,anterior,,261123004,11392990-DS-6,"ricular systolic dysfunction with inferior/septal/anterior hypokinesis and distal LV/apical akinesis. No ma" False positive,,"(7725, 7729)",,free,,249117000,11392990-DS-6,"eptal defect. Right ventricular chamber size and free wall motion are normal. The diameters of aorta a" False positive,,"(9201, 9207)",,Severe,,162470006,11392990-DS-6,"R IMPRESSION: AP chest compared to ___ and ___: Severe cardiomegaly progressed between ___ and ___, sub" False positive,,"(10811, 10817)",,severe,,162470006,11392990-DS-6," COPD exacerbation. TTE revealed no change in his severe heart failure with increased EF ___. CT chest re" False positive,,"(11250, 11257)",,improve,,251359002,11392990-DS-6,"one was held. His respiratory status continued to improve on steroids and duo nebs and on transfer to the " False positive,,"(11279, 11283)",,nebs,,466987002,11392990-DS-6," status continued to improve on steroids and duo nebs and on transfer to the floor he reported almost " False positive,,"(11346, 11364)",,respiratory status,,53617003,11392990-DS-6,"fer to the floor he reported almost his baseline respiratory status on nasal cannula. On the floor, he was continued" False positive,,"(11418, 11428)",,prednisone,,10312003,11392990-DS-6,"nasal cannula. On the floor, he was continued on prednisone, azithromycin, and nebs, with decreased SOB, no " False positive,,"(11449, 11453)",,nebs,,466987002,11392990-DS-6,"e was continued on prednisone, azithromycin, and nebs, with decreased SOB, no tachypnea, and improving" False positive,,"(11460, 11469)",,decreased,,182879007,11392990-DS-6,"nued on prednisone, azithromycin, and nebs, with decreased SOB, no tachypnea, and improving O2 sat. By the " False positive,,"(11494, 11503)",,improving,,170596004,11392990-DS-6," and nebs, with decreased SOB, no tachypnea, and improving O2 sat. By the day of discharge, O2 sat was stabl" False positive,,"(11879, 11886)",,prerena,,425371003,11392990-DS-6,"On admission, Cr was 2.3. This was though likely prerenal in etiology, although no obvious history of poor" False positive,,"(11951, 11953)",,GI,,1142285003,11392990-DS-6,"although no obvious history of poor PO intake or GI losses. In the unit patient received NS @ 100 cc" False positive,,"(12134, 12141)",,restart,,182837001,11392990-DS-6,"el of 1.5 on ___. Home lisinopril and lasix were restarted on ___ and ___, respectively. Cr remained base" False positive,,"(12233, 12240)",,amiodar,,294988000,11392990-DS-6,"ned baseline 1.5 on day of discharge. # Possible amiodarone toxicity SOB and hypoxemia with GGOs on CT Che" False positive,,"(12316, 12318)",,am,,258723000,11392990-DS-6,"emia with GGOs on CT Chest could be secondary to amiodarone toxicity. LFTs were mildly elevated on __" False positive,,"(12376, 12382)",,normal,,840673007,11392990-DS-6," toxicity. LFTs were mildly elevated on ___, and normalized by ___. TSH was elevated at 11.0, T4 was norm" False positive,,"(12709, 12711)",,am,,258723000,11392990-DS-6,"ossibility of underlying amiodarone toxicity, as amio toxicity would warrant longer course of steroi" False positive,,"(13239, 13247)",,resolved,,413322009,11392990-DS-6," lasix were held in the setting of ___. When ___ resolved, home lisinopril, lasix, and atenolol were resta" False positive,,"(13292, 13299)",,restart,,182837001,11392990-DS-6,"olved, home lisinopril, lasix, and atenolol were restarted. # Afib on coumadin Patient with longstanding " False positive,,"(13401, 13403)",,co,,256526003,11392990-DS-6,"story of AFib s/p failed ablation and s/p ICD on coumadin. Started on amiodarone in ___ due to incre" False positive,,"(13730, 13744)",,rhythm control,,70878000,11392990-DS-6,"den onset dyspnea. Patient declined ablation for rhythm control. His coumadin was held in the setting of a supra" False positive,,"(13751, 13753)",,co,,256526003,11392990-DS-6,"atient declined ablation for rhythm control. His coumadin was held in the setting of a supratherapeut" False positive,,"(14141, 14144)",,Hct,,409683007,11392990-DS-6,"ardiology and EP after discharge. # Downtrending Hct Patient's baseline Hct appears to be ___. Hct was" False positive,,"(14164, 14167)",,Hct,,409683007,11392990-DS-6,"discharge. # Downtrending Hct Patient's baseline Hct appears to be ___. Hct was 36 on admission ___ a" False positive,,"(14342, 14353)",,no evidence,,41647002,11392990-DS-6,"ct did not appear to be dilutional and there was no evidence of active bleeding. Hct was stable at 29.9 for t" False positive,,"(14517, 14525)",,negative,,268375009,11392990-DS-6," no signs of active ischemia, and troponins were negative x2. He was continued on home ASA 81 mg and statin" False positive,,"(14952, 14959)",,restart,,182837001,11392990-DS-6," home lisinopril was initially held for ___, and restarted after ___ resolved on ___. Home atenolol was r" False positive,,"(14972, 14980)",,resolved,,413322009,11392990-DS-6," initially held for ___, and restarted after ___ resolved on ___. Home atenolol was replaced by metoprolol" False positive,,"(15086, 15093)",,restart,,182837001,11392990-DS-6,"e setting ___ (atenolol is renally cleared), and restarted after ___ resolved on ___. # Hyperlipidemia " False positive,,"(15106, 15114)",,resolved,,413322009,11392990-DS-6,"lol is renally cleared), and restarted after ___ resolved on ___. # Hyperlipidemia Patient received home" False positive,,"(15218, 15221)",,ICU,,419215006,11392990-DS-6,"tin during admission. # Possible Aspiration in ICU Due to concern for possible aspiration in the ICU" False positive,,"(15268, 15271)",,ICU,,419215006,11392990-DS-6,"ICU Due to concern for possible aspiration in the ICU, speech and swallow was consulted. They found no" False positive,,"(15319, 15330)",,no evidence,,41647002,11392990-DS-6,"CU, speech and swallow was consulted. They found no evidence of obvious aspiration, however the patient's O2 " False positive,,"(15446, 15452)",,desats,,28251007,11392990-DS-6,"om 91 to high ___ on RA while eating. Though the desats could have been due to silent aspirations, they " False positive,,"(15733, 15735)",,EP,,257985002,11392990-DS-6," - Follow up with general cardiology (Dr. ___ and EP (Dr. ___ about atrial fibrillation management, p" False positive,,"(17474, 17494)",,"shortness of breath",,135833008,11392990-DS-6,". Albuterol Inhaler ___ PUFF IH Q6H:PRN wheezing, shortness of breath RX *albuterol sulfate 90 mcg ___ puffs inhaled e" False positive,,"(17993, 17998)",,flare,,425736001,11392990-DS-6,"tted with shortness of breath, probably due to a flare of COPD (emphysema). You were initially in the I" False positive,,"(18047, 18049)",,In,,10828004,11392990-DS-6,"e of COPD (emphysema). You were initially in the Intensive Care Unit (ICU), and then you were transfe" False positive,,"(18143, 18152)",,breathing,,271825005,11392990-DS-6,"ransferred to a general medicine floor when your breathing improved. For your COPD flare, you were treated " False positive,,"(18207, 18217)",,prednisone,,10312003,11392990-DS-6,"oved. For your COPD flare, you were treated with prednisone (steroids), nebulizer treatments, azithromycin (" False positive,,"(18253, 18265)",,azithromycin,,96034006,11392990-DS-6,"ith prednisone (steroids), nebulizer treatments, azithromycin (antibiotic), and extra oxygen. Your breathing i" False positive,,"(18304, 18313)",,breathing,,271825005,11392990-DS-6,"zithromycin (antibiotic), and extra oxygen. Your breathing improved and by the time of discharge, you were " False positive,,"(18951, 18953)",,IN,,10828004,11392990-DS-6,"st. When you were admitted to the hospital, your INR was high, indicating that the coumadin had made" False positive,,"(19009, 19014)",,blood,,8765009,11392990-DS-6,"high, indicating that the coumadin had made your blood too thin. We stopped the coumadin until your INR" False positive,,"(19041, 19043)",,co,,422514006,11392990-DS-6,"din had made your blood too thin. We stopped the coumadin until your INR was normal again. Your INR " False positive,,"(19061, 19064)",,INR,,390792008,11392990-DS-6,"ood too thin. We stopped the coumadin until your INR was normal again. Your INR was 2.2 on ___. Bec" False positive,,"(19169, 19177)",,coumadin,,76346005,11392990-DS-6,"you are a reliable patient, you can restart your coumadin also known as warfarin at home. Take your coumadi" False positive,,"(19268, 19283)",,anticoagulation,,260678004,11392990-DS-6,"r coumadin 2.5 mg per day at home, and call your anticoagulation service on ___. Please call your doctor or go t" False positive,,"(19617, 19623)",,weight,,43664005,11392990-DS-6,"orning and call your primary care doctor if your weight goes up more than 3 lbs. It was a pleasure takin" "Correct entity, wrong SNOMED ID","(221, 240)","(221, 240)",Shortness of breath,Shortness of breath,267036007,135833008,11392990-DS-6,"ergies: ___ Attending: ___. Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: None H" "Correct entity, wrong SNOMED ID","(337, 340)","(337, 340)",CAD,CAD,53741008,84270004,11392990-DS-6," History of Present Illness: Mr. ___ is a ___ w/ CAD s/p CABG, CHF w/ EF ___ & ICD, A-fib on coumadin" "Correct entity, wrong SNOMED ID","(345, 349)","(345, 349)",CABG,CABG,232717009,312692004,11392990-DS-6,"y of Present Illness: Mr. ___ is a ___ w/ CAD s/p CABG, CHF w/ EF ___ & ICD, A-fib on coumadin, and ext" "Correct entity, wrong SNOMED ID","(351, 354)","(351, 354)",CHF,CHF,42343007,48447003,11392990-DS-6,"resent Illness: Mr. ___ is a ___ w/ CAD s/p CABG, CHF w/ EF ___ & ICD, A-fib on coumadin, and extensiv" "Correct entity, wrong SNOMED ID","(367, 370)","(367, 370)",ICD,ICD,443325000,233169004,11392990-DS-6,"Mr. ___ is a ___ w/ CAD s/p CABG, CHF w/ EF ___ & ICD, A-fib on coumadin, and extensive smoking histor" "Correct entity, wrong SNOMED ID","(373, 378)","(373, 378)",A-fib,A-fib,49436004,51172005,11392990-DS-6,"_ is a ___ w/ CAD s/p CABG, CHF w/ EF ___ & ICD, A-fib on coumadin, and extensive smoking history who pr" "Correct entity, wrong SNOMED ID","(406, 413)","(406, 413)",smoking,smoking,77176002,160617001,11392990-DS-6,"/ EF ___ & ICD, A-fib on coumadin, and extensive smoking history who presents with SOB. Today he was at " "Correct entity, wrong SNOMED ID","(441, 444)","(441, 444)",SOB,SOB,267036007,43777007,11392990-DS-6," and extensive smoking history who presents with SOB. Today he was at home in his USOH when he began " "Correct entity, wrong SNOMED ID","(511, 518)","(511, 518)",dyspnic,dyspnic,267036007,60845006,11392990-DS-6,"t home in his USOH when he began feeling acutely dyspnic. He called EMS, who reported that he was cool/p" "Correct entity, wrong SNOMED ID","(562, 566)","(562, 566)",cool,cool,427733005,298257001,11392990-DS-6,"yspnic. He called EMS, who reported that he was cool/pale/diaphoretic and tachypnic to the ___ and sat" "Correct entity, wrong SNOMED ID","(572, 583)","(572, 583)",diaphoretic,diaphoretic,52613005,59574004,11392990-DS-6,"e called EMS, who reported that he was cool/pale/diaphoretic and tachypnic to the ___ and satting in the ___." "Correct entity, wrong SNOMED ID","(588, 597)","(588, 597)",tachypnic,tachypnic,271823003,7550008,11392990-DS-6,"o reported that he was cool/pale/diaphoretic and tachypnic to the ___ and satting in the ___. He did not i" Missed entity,"(613, 620)",,satting,,447755005,,11392990-DS-6,"ool/pale/diaphoretic and tachypnic to the ___ and satting in the ___. He did not improve with albuterol, " Wrong span,"(690, 697)","(693, 697)",on CPAP,CPAP,429487005,47545007,11392990-DS-6,"d not improve with albuterol, so they placed him on CPAP, after which he improved. On arrival to the ED" "Correct entity, wrong SNOMED ID","(714, 722)","(714, 722)",improved,improved,268910001,251359002,11392990-DS-6,"erol, so they placed him on CPAP, after which he improved. On arrival to the ED, he was tachypnic to the" "Correct entity, wrong SNOMED ID","(756, 765)","(756, 765)",tachypnic,tachypnic,271823003,7550008,11392990-DS-6,"hich he improved. On arrival to the ED, he was tachypnic to the ___ and had a collapsable IVC on bedside " "Correct entity, wrong SNOMED ID","(800, 803)","(800, 803)",IVC,IVC,64131007,232998008,11392990-DS-6,"e was tachypnic to the ___ and had a collapsable IVC on bedside US. CXR looked more volume overloade" "Correct entity, wrong SNOMED ID","(836, 854)","(836, 854)","volume overloaded","volume overloaded",21639008,457651000124103,11392990-DS-6," collapsable IVC on bedside US. CXR looked more volume overloaded, so they did not give him IVF. His respiratory " "Correct entity, wrong SNOMED ID","(881, 884)","(881, 884)",IVF,IVF,103744005,52637005,11392990-DS-6,"more volume overloaded, so they did not give him IVF. His respiratory status improved with duonebs, " Wrong span,"(891, 902)","(891, 910)",respiratory,"respiratory status",268925001,53617003,11392990-DS-6,"e overloaded, so they did not give him IVF. His respiratory status improved with duonebs, and he received so" "Correct entity, wrong SNOMED ID","(911, 919)","(911, 919)",improved,improved,268910001,251359002,11392990-DS-6,"ey did not give him IVF. His respiratory status improved with duonebs, and he received solumedrol. Also, " "Correct entity, wrong SNOMED ID","(1019, 1023)","(1019, 1023)",HCAP,HCAP,425464007,413913003,11392990-DS-6," he received a dose of vanc/cefepime for presumed HCAP given opacities on CXR and ronchorous lung exam " "Correct entity, wrong SNOMED ID","(1031, 1040)","(1031, 1040)",opacities,opacities,128305008,422061002,11392990-DS-6," a dose of vanc/cefepime for presumed HCAP given opacities on CXR and ronchorous lung exam - the patient has" "Correct entity, wrong SNOMED ID","(1052, 1062)","(1052, 1062)",ronchorous,ronchorous,24612001,25905002,11392990-DS-6,"ime for presumed HCAP given opacities on CXR and ronchorous lung exam - the patient has not been febrile and" "Correct entity, wrong SNOMED ID","(1063, 1072)","(1063, 1072)",lung exam,lung exam,268925001,241293008,11392990-DS-6,"sumed HCAP given opacities on CXR and ronchorous lung exam - the patient has not been febrile and does not " "Correct entity, wrong SNOMED ID","(1101, 1108)","(1101, 1108)",febrile,febrile,386661006,307200007,11392990-DS-6," ronchorous lung exam - the patient has not been febrile and does not report cough. He was also started o" "Correct entity, wrong SNOMED ID","(1129, 1134)","(1129, 1134)",cough,cough,49727002,28743005,11392990-DS-6,"patient has not been febrile and does not report cough. He was also started on a nitro gtt for SBP in " "Correct entity, wrong SNOMED ID","(1212, 1234)","(1212, 1234)","flash pulmonary edema","flash pulmonary edema",40541001,233706004,11392990-DS-6," nitro gtt for SBP in the 160s out of concern for flash pulmonary edema, as CXR also w/ evidence of pulm edema. Notable " "Correct entity, wrong SNOMED ID","(1263, 1273)","(1263, 1273)",pulm edema,pulm edema,19242006,40541001,11392990-DS-6,"lash pulmonary edema, as CXR also w/ evidence of pulm edema. Notable labs include WBC 7 w/ 49% Lymphocytes," "Correct entity, wrong SNOMED ID","(1298, 1301)","(1298, 1301)",WBC,WBC,767002,391558003,11392990-DS-6,"w/ evidence of pulm edema. Notable labs include WBC 7 w/ 49% Lymphocytes, Cr 2.3 (baseline 1.4-1.5)," "Correct entity, wrong SNOMED ID","(1332, 1340)","(1332, 1340)",baseline,baseline,128974000,129082007,11392990-DS-6,"e labs include WBC 7 w/ 49% Lymphocytes, Cr 2.3 (baseline 1.4-1.5), Lactate 5.7 -> 3.7, and BNP in the 990" "Correct entity, wrong SNOMED ID","(1376, 1379)","(1376, 1379)",BNP,BNP,390917008,414798009,11392990-DS-6," 2.3 (baseline 1.4-1.5), Lactate 5.7 -> 3.7, and BNP in the 990s (no baseline). On arrival to the M" "Correct entity, wrong SNOMED ID","(1396, 1404)","(1396, 1404)",baseline,baseline,128974000,129082007,11392990-DS-6,"1.5), Lactate 5.7 -> 3.7, and BNP in the 990s (no baseline). On arrival to the MICU, VS were 98 71 148/51" "Correct entity, wrong SNOMED ID","(1434, 1436)","(1434, 1436)",VS,VS,118227000,313611000,11392990-DS-6,"he 990s (no baseline). On arrival to the MICU, VS were 98 71 148/51 17 97% on Venturi mask. The p" "Correct entity, wrong SNOMED ID","(1520, 1523)","(1520, 1523)",SOB,SOB,267036007,43777007,11392990-DS-6,"ri mask. The pt was comfortable and reports his SOB has improved but not yet back to baseline. REVI" "Correct entity, wrong SNOMED ID","(1528, 1536)","(1528, 1536)",improved,improved,268910001,251359002,11392990-DS-6,". The pt was comfortable and reports his SOB has improved but not yet back to baseline. REVIEW OF SYSTEMS" "Correct entity, wrong SNOMED ID","(1558, 1566)","(1558, 1566)",baseline,baseline,128974000,161033005,11392990-DS-6,"reports his SOB has improved but not yet back to baseline. REVIEW OF SYSTEMS: (+) Per HPI (-) Denies f" "Correct entity, wrong SNOMED ID","(1615, 1620)","(1615, 1620)",fever,fever,386661006,248430002,11392990-DS-6,"e. REVIEW OF SYSTEMS: (+) Per HPI (-) Denies fever, chills, night sweats, recent weight loss or gai" "Correct entity, wrong SNOMED ID","(1622, 1628)","(1622, 1628)",chills,chills,43724002,274640006,11392990-DS-6,"IEW OF SYSTEMS: (+) Per HPI (-) Denies fever, chills, night sweats, recent weight loss or gain. Denie" "Correct entity, wrong SNOMED ID","(1644, 1662)","(1644, 1662)",recent weight loss,recent weight loss,426977000,248349002,11392990-DS-6,"Per HPI (-) Denies fever, chills, night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhin" "Correct entity, wrong SNOMED ID","(1667, 1671)","(1667, 1671)",gain,gain,427572007,262286000,11392990-DS-6,"ver, chills, night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or" "Correct entity, wrong SNOMED ID","(1680, 1688)","(1680, 1688)",headache,headache,25064002,267096005,11392990-DS-6,"night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Den" "Correct entity, wrong SNOMED ID","(1690, 1706)","(1690, 1706)",sinus tenderness,sinus tenderness,277241008,9631000119102,11392990-DS-6,"ts, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Denies cough, shortne" "Correct entity, wrong SNOMED ID","(1708, 1718)","(1708, 1718)",rhinorrhea,rhinorrhea,64531003,75803007,11392990-DS-6,"loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Denies cough, shortness of breath" Wrong span,"(1735, 1747)","(1742, 1747)",Denies cough,cough,289115009,28743005,11392990-DS-6,"che, sinus tenderness, rhinorrhea or congestion. Denies cough, shortness of breath, or wheezing. Denies chest " "Correct entity, wrong SNOMED ID","(1749, 1768)","(1749, 1768)",shortness of breath,shortness of breath,267036007,135833008,11392990-DS-6,"derness, rhinorrhea or congestion. Denies cough, shortness of breath, or wheezing. Denies chest pain, chest pressure," "Correct entity, wrong SNOMED ID","(1773, 1781)","(1773, 1781)",wheezing,wheezing,56018004,9763007,11392990-DS-6,"congestion. Denies cough, shortness of breath, or wheezing. Denies chest pain, chest pressure, palpitations" "Correct entity, wrong SNOMED ID","(1791, 1801)","(1791, 1801)",chest pain,chest pain,29857009,102589003,11392990-DS-6," cough, shortness of breath, or wheezing. Denies chest pain, chest pressure, palpitations, or weakness. Deni" "Correct entity, wrong SNOMED ID","(1803, 1817)","(1803, 1817)",chest pressure,chest pressure,23924001,78387000,11392990-DS-6,"tness of breath, or wheezing. Denies chest pain, chest pressure, palpitations, or weakness. Denies nausea, vomit" "Correct entity, wrong SNOMED ID","(1819, 1831)","(1819, 1831)",palpitations,palpitations,80313002,161966006,11392990-DS-6," or wheezing. Denies chest pain, chest pressure, palpitations, or weakness. Denies nausea, vomiting, diarrhea," "Correct entity, wrong SNOMED ID","(1882, 1894)","(1882, 1894)",constipation,constipation,14760008,236069009,11392990-DS-6," or weakness. Denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. Den" "Correct entity, wrong SNOMED ID","(1896, 1910)","(1896, 1910)",abdominal pain,abdominal pain,21522001,54586004,11392990-DS-6," Denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. Denies dysuria, fre" "Correct entity, wrong SNOMED ID","(1916, 1939)","(1916, 1939)",changes in bowel habits,changes in bowel habits,88111009,55019002,11392990-DS-6,"ting, diarrhea, constipation, abdominal pain, or changes in bowel habits. Denies dysuria, frequency, or urgency. Denies a" "Correct entity, wrong SNOMED ID","(1948, 1955)","(1948, 1955)",dysuria,dysuria,49650001,16844001,11392990-DS-6,"dominal pain, or changes in bowel habits. Denies dysuria, frequency, or urgency. Denies arthralgias or my" "Correct entity, wrong SNOMED ID","(1957, 1966)","(1957, 1966)",frequency,frequency,162116003,170707004,11392990-DS-6,"ain, or changes in bowel habits. Denies dysuria, frequency, or urgency. Denies arthralgias or myalgias. Den" "Correct entity, wrong SNOMED ID","(1972, 1979)","(1972, 1979)",urgency,urgency,75088002,443482000,11392990-DS-6,"s in bowel habits. Denies dysuria, frequency, or urgency. Denies arthralgias or myalgias. Denies rashes or" "Correct entity, wrong SNOMED ID","(1988, 1999)","(1988, 1999)",arthralgias,arthralgias,57676002,277138006,11392990-DS-6,"s. Denies dysuria, frequency, or urgency. Denies arthralgias or myalgias. Denies rashes or skin changes. O" "Correct entity, wrong SNOMED ID","(2003, 2011)","(2003, 2011)",myalgias,myalgias,68962001,1141862008,11392990-DS-6,"ia, frequency, or urgency. Denies arthralgias or myalgias. Denies rashes or skin changes. Of note, pt h" "Correct entity, wrong SNOMED ID","(2020, 2026)","(2020, 2026)",rashes,rashes,271807003,247472004,11392990-DS-6," urgency. Denies arthralgias or myalgias. Denies rashes or skin changes. Of note, pt had workup in __" "Correct entity, wrong SNOMED ID","(2030, 2043)","(2030, 2043)","skin changes","skin changes",225543007,115951000119105,11392990-DS-6," Denies arthralgias or myalgias. Denies rashes or skin changes. Of note, pt had workup in ___ at ___ for dys" "Correct entity, wrong SNOMED ID","(2064, 2070)","(2064, 2070)",workup,workup,386053000,118669005,11392990-DS-6,"enies rashes or skin changes. Of note, pt had workup in ___ at ___ for dyspnea, notable for: - PFTs " "Correct entity, wrong SNOMED ID","(2090, 2097)","(2090, 2097)",dyspnea,dyspnea,267036007,60845006,11392990-DS-6,"ges. Of note, pt had workup in ___ at ___ for dyspnea, notable for: - PFTs ___ FVC 78% predicted FEV1 " Missed entity,"(2355, 2359)",,mild,,162468002,,11392990-DS-6,"ence of combined borderline restrictive and very mild obstructive physiology. The latter is at the lev" Missed entity,"(2360, 2382)",,obstructive physiology,,79688008,,11392990-DS-6,"of combined borderline restrictive and very mild obstructive physiology. The latter is at the level of the small airways" "Correct entity, wrong SNOMED ID","(2425, 2432)","(2425, 2432)",airways,airways,89187006,232711005,11392990-DS-6,"siology. The latter is at the level of the small airways. The mild reduction in the maximum breathing cap" Missed entity,"(2516, 2520)",,mild,,162468002,,11392990-DS-6,"um breathing capacity suggests the possibility of mild neuromuscular weakness."" Methacholine challenge:" Wrong span,"(2536, 2544)","(2522, 2544)",weakness,neuromuscular weakness,13791008,41786007,11392990-DS-6,"y suggests the possibility of mild neuromuscular weakness."" Methacholine challenge: No bronchoconstrictor r" Missed entity,"(2547, 2569)",,Methacholine challenge,,252520007,,11392990-DS-6,"the possibility of mild neuromuscular weakness."" Methacholine challenge: No bronchoconstrictor response to methacholine " Missed entity,"(2606, 2628)",,methacholine challenge,,252520007,,11392990-DS-6,"ine challenge: No bronchoconstrictor response to methacholine challenge. - CT Chest ___ ""There is minimal to moderate pl" Wrong span,"(2676, 2704)","(2676, 2695)",pleural parenchymal fibrosis,pleural parenchymal,442110002,278295001,11392990-DS-6,"ge. - CT Chest ___ ""There is minimal to moderate pleural parenchymal fibrosis noted in both upper lobes greater on the left si" "Correct entity, wrong SNOMED ID","(2720, 2731)","(2720, 2731)",upper lobes,upper lobes,45653009,42400003,11392990-DS-6,"erate pleural parenchymal fibrosis noted in both upper lobes greater on the left side. Multiple calcified gra" "Correct entity, wrong SNOMED ID","(2747, 2751)","(2747, 2751)",left,left,44029006,264745005,11392990-DS-6,"ibrosis noted in both upper lobes greater on the left side. Multiple calcified granulomas are also not" "Correct entity, wrong SNOMED ID","(2767, 2788)","(2767, 2788)","calcified granulomas","calcified granulomas",48391002,16163002,11392990-DS-6,"th upper lobes greater on the left side. Multiple calcified granulomas are also noted ranging from 2 mm to 8 mm. There a" "Correct entity, wrong SNOMED ID","(2858, 2875)","(2858, 2875)",pulmonary nodules,pulmonary nodules,786838002,445249002,11392990-DS-6,"ing from 2 mm to 8 mm. There are no noncalcified pulmonary nodules. No evidence for infiltrates or effusions. No ev" "Correct entity, wrong SNOMED ID","(2893, 2904)","(2893, 2904)",infiltrates,infiltrates,231287002,26246006,11392990-DS-6,"o noncalcified pulmonary nodules. No evidence for infiltrates or effusions. No evidence for bronchiectasis. Ev" "Correct entity, wrong SNOMED ID","(2909, 2918)","(2909, 2918)",effusions,effusions,60046008,125311007,11392990-DS-6,"ulmonary nodules. No evidence for infiltrates or effusions. No evidence for bronchiectasis. Evaluation for " "Correct entity, wrong SNOMED ID","(2936, 2950)","(2936, 2950)",bronchiectasis,bronchiectasis,12295008,51068008,11392990-DS-6,"ce for infiltrates or effusions. No evidence for bronchiectasis. Evaluation for mediastinal and hilar adenopathy" Missed entity,"(2952, 2962)",,Evaluation,,386053000,,11392990-DS-6,"es or effusions. No evidence for bronchiectasis. Evaluation for mediastinal and hilar adenopathy is limited " "Correct entity, wrong SNOMED ID","(2968, 2979)","(2968, 2979)",mediastinal,mediastinal,52324001,363646005,11392990-DS-6,". No evidence for bronchiectasis. Evaluation for mediastinal and hilar adenopathy is limited due to lack of IV" "Correct entity, wrong SNOMED ID","(2984, 3000)","(2984, 3000)",hilar adenopathy,hilar adenopathy,87500009,264508001,11392990-DS-6,"r bronchiectasis. Evaluation for mediastinal and hilar adenopathy is limited due to lack of IV contrast. There are" "Correct entity, wrong SNOMED ID","(3054, 3065)","(3054, 3065)",lymph nodes,lymph nodes,59441001,67022004,11392990-DS-6,"limited due to lack of IV contrast. There are no lymph nodes noted in the axillary regions."" ""Bilateral pleur" Wrong span,"(3079, 3096)","(3079, 3087)","axillary regions",axillary,91470000,20437008,11392990-DS-6," contrast. There are no lymph nodes noted in the axillary regions."" ""Bilateral pleural parenchymal scarring and fib" Wrong span,"(3110, 3138)","(3110, 3129)",pleural parenchymal scarring,pleural parenchymal,301005000,233635001,11392990-DS-6,"nodes noted in the axillary regions."" ""Bilateral pleural parenchymal scarring and fibrosis within both upper lobes with multip" "Correct entity, wrong SNOMED ID","(3143, 3151)","(3143, 3151)",fibrosis,fibrosis,442110002,125565008,11392990-DS-6,"ons."" ""Bilateral pleural parenchymal scarring and fibrosis within both upper lobes with multiple calcified " "Correct entity, wrong SNOMED ID","(3165, 3176)","(3165, 3176)",upper lobes,upper lobes,45653009,42400003,11392990-DS-6,"al parenchymal scarring and fibrosis within both upper lobes with multiple calcified granulomas. No other sig" "Correct entity, wrong SNOMED ID","(3191, 3211)","(3191, 3211)",calcified granulomas,calcified granulomas,48391002,125371001,11392990-DS-6,"d fibrosis within both upper lobes with multiple calcified granulomas. No other significant abnormalities."" Past Med" "Correct entity, wrong SNOMED ID","(3275, 3294)","(3275, 3294)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,11392990-DS-6,"gnificant abnormalities."" Past Medical History: Atrial fibrillation/flutter - s/p ablation, on coumadin and amiodaro" "Correct entity, wrong SNOMED ID","(3295, 3302)","(3295, 3302)",flutter,flutter,5370000,90674006,11392990-DS-6,"ies."" Past Medical History: Atrial fibrillation/flutter - s/p ablation, on coumadin and amiodarone CAD s" "Correct entity, wrong SNOMED ID","(3309, 3317)","(3309, 3317)",ablation,ablation,64597002,65659003,11392990-DS-6,"edical History: Atrial fibrillation/flutter - s/p ablation, on coumadin and amiodarone CAD s/p anterior MI " "Correct entity, wrong SNOMED ID","(3347, 3350)","(3347, 3350)",CAD,CAD,53741008,84270004,11392990-DS-6,"utter - s/p ablation, on coumadin and amiodarone CAD s/p anterior MI in ___, CABG in ___ CHF (EF ___, " Missed entity,"(3355, 3366)",,anterior MI,,233839009,,11392990-DS-6,"s/p ablation, on coumadin and amiodarone CAD s/p anterior MI in ___, CABG in ___ CHF (EF ___, ICD implantation" "Correct entity, wrong SNOMED ID","(3375, 3379)","(3375, 3379)",CABG,CABG,232717009,312692004,11392990-DS-6,"madin and amiodarone CAD s/p anterior MI in ___, CABG in ___ CHF (EF ___, ICD implantation w h/o inappr" "Correct entity, wrong SNOMED ID","(3387, 3390)","(3387, 3390)",CHF,CHF,42343007,48447003,11392990-DS-6,"miodarone CAD s/p anterior MI in ___, CABG in ___ CHF (EF ___, ICD implantation w h/o inappropriate sho" "Correct entity, wrong SNOMED ID","(3400, 3416)","(3400, 3416)",ICD implantation,ICD implantation,233170003,428555003,11392990-DS-6," s/p anterior MI in ___, CABG in ___ CHF (EF ___, ICD implantation w h/o inappropriate shocks) Non-insulin dependent" Missed entity,"(3423, 3443)",,inappropriate shocks,,234239006,,11392990-DS-6,", CABG in ___ CHF (EF ___, ICD implantation w h/o inappropriate shocks) Non-insulin dependent diabetes mellitus Hyperten" "Correct entity, wrong SNOMED ID","(3445, 3484)","(3445, 3484)",Non-insulin dependent diabetes mellitus,Non-insulin dependent diabetes mellitus,44054006,23045005,11392990-DS-6,"___, ICD implantation w h/o inappropriate shocks) Non-insulin dependent diabetes mellitus Hypertension Hyperlipidemia Chronic kidney diseas" "Correct entity, wrong SNOMED ID","(3485, 3497)","(3485, 3497)",Hypertension,Hypertension,38341003,70995007,11392990-DS-6,"e shocks) Non-insulin dependent diabetes mellitus Hypertension Hyperlipidemia Chronic kidney disease (Cr baselin" "Correct entity, wrong SNOMED ID","(3498, 3512)","(3498, 3512)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11392990-DS-6,"-insulin dependent diabetes mellitus Hypertension Hyperlipidemia Chronic kidney disease (Cr baseline 1.4-1.5) Dist" Missed entity,"(3540, 3548)",,baseline,,128974000,,11392990-DS-6,"tension Hyperlipidemia Chronic kidney disease (Cr baseline 1.4-1.5) Distant history of TB treated with abx " "Correct entity, wrong SNOMED ID","(3577, 3579)","(3577, 3579)",TB,TB,56717001,1365841009,11392990-DS-6," disease (Cr baseline 1.4-1.5) Distant history of TB treated with abx Social History: ___ Family His" Missed entity,"(3593, 3596)",,abx,,281789004,,11392990-DS-6,"eline 1.4-1.5) Distant history of TB treated with abx Social History: ___ Family History: No FH of pr" "Correct entity, wrong SNOMED ID","(3654, 3657)","(3654, 3657)",CAD,CAD,53741008,84270004,11392990-DS-6,"l History: ___ Family History: No FH of premature CAD. Physical Exam: ADMISSION (arrival to ___): Vit" "Correct entity, wrong SNOMED ID","(3704, 3710)","(3704, 3710)",Vitals,Vitals,118227000,260390007,11392990-DS-6,"CAD. Physical Exam: ADMISSION (arrival to ___): Vitals: 98 71 117/51 17 91% on 2L NC General: Well app" "Correct entity, wrong SNOMED ID","(3738, 3740)","(3738, 3740)",NC,NC,840673007,705056007,11392990-DS-6,"rrival to ___): Vitals: 98 71 117/51 17 91% on 2L NC General: Well appearing in no acute distress, b" "Correct entity, wrong SNOMED ID","(3743, 3750)","(3743, 3750)",General,General,162673000,252398009,11392990-DS-6,"l to ___): Vitals: 98 71 117/51 17 91% on 2L NC General: Well appearing in no acute distress, breathing " "Correct entity, wrong SNOMED ID","(3752, 3766)","(3752, 3766)",Well appearing,Well appearing,397749000,102499006,11392990-DS-6,": Vitals: 98 71 117/51 17 91% on 2L NC General: Well appearing in no acute distress, breathing comfortably HE" "Correct entity, wrong SNOMED ID","(3779, 3787)","(3779, 3787)",distress,distress,69328002,271825005,11392990-DS-6,"1% on 2L NC General: Well appearing in no acute distress, breathing comfortably HEENT: dry mucous membr" Wrong span,"(3789, 3811)","(3789, 3798)","breathing comfortably",breathing,276362002,271825005,11392990-DS-6,"C General: Well appearing in no acute distress, breathing comfortably HEENT: dry mucous membranes Neck: JVP non-ele" "Correct entity, wrong SNOMED ID","(3814, 3819)","(3814, 3819)",HEENT,HEENT,5880005,113665002,11392990-DS-6,"ng in no acute distress, breathing comfortably HEENT: dry mucous membranes Neck: JVP non-elevated (~" "Correct entity, wrong SNOMED ID","(3844, 3848)","(3844, 3848)",Neck,Neck,5880005,840674001,11392990-DS-6,"hing comfortably HEENT: dry mucous membranes Neck: JVP non-elevated (~8 cm) CV: Distant heart sou" "Correct entity, wrong SNOMED ID","(3850, 3853)","(3850, 3853)",JVP,JVP,366163001,276766001,11392990-DS-6,"comfortably HEENT: dry mucous membranes Neck: JVP non-elevated (~8 cm) CV: Distant heart sounds R" "Correct entity, wrong SNOMED ID","(3877, 3879)","(3877, 3879)",CV,CV,363003006,258773002,11392990-DS-6,"cous membranes Neck: JVP non-elevated (~8 cm) CV: Distant heart sounds Regular rate and rhythm, no" Missed entity,"(3881, 3901)",,Distant heart sounds,,271662005,,11392990-DS-6," membranes Neck: JVP non-elevated (~8 cm) CV: Distant heart sounds Regular rate and rhythm, normal S1 S2, no murmur" "Correct entity, wrong SNOMED ID","(3902, 3925)","(3902, 3925)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,11392990-DS-6,"P non-elevated (~8 cm) CV: Distant heart sounds Regular rate and rhythm, normal S1 S2, no murmurs Lungs: good air move" Wrong span,"(3927, 3936)","(3927, 3939)",normal S1,normal S1 S2,26198000,165043001,11392990-DS-6,"CV: Distant heart sounds Regular rate and rhythm, normal S1 S2, no murmurs Lungs: good air movement throug" Wrong span,"(3937, 3939)","(3927, 3939)",S2,normal S1 S2,111974005,165043001,11392990-DS-6,"t heart sounds Regular rate and rhythm, normal S1 S2, no murmurs Lungs: good air movement throughou" "Correct entity, wrong SNOMED ID","(3945, 3952)","(3945, 3952)",murmurs,murmurs,414786004,248699005,11392990-DS-6,"sounds Regular rate and rhythm, normal S1 S2, no murmurs Lungs: good air movement throughout, prolonged " "Correct entity, wrong SNOMED ID","(3955, 3960)","(3955, 3960)",Lungs,Lungs,268925001,74101002,11392990-DS-6,"ular rate and rhythm, normal S1 S2, no murmurs Lungs: good air movement throughout, prolonged expirato" "Correct entity, wrong SNOMED ID","(4033, 4039)","(4033, 4039)",ronchi,ronchi,24612001,465646007,11392990-DS-6,"oughout, prolonged expiratory phase with diffuse ronchi posteriorly Abdomen: Soft, normoactive bowel so" "Correct entity, wrong SNOMED ID","(4069, 4093)","(4069, 4093)",normoactive bowel sounds,normoactive bowel sounds,61539000,15280003,11392990-DS-6," with diffuse ronchi posteriorly Abdomen: Soft, normoactive bowel sounds, nontender, nondistended, no rebound or guarding" "Correct entity, wrong SNOMED ID","(4095, 4104)","(4095, 4104)",nontender,nontender,43478001,413319007,11392990-DS-6,"riorly Abdomen: Soft, normoactive bowel sounds, nontender, nondistended, no rebound or guarding GU: Fole" "Correct entity, wrong SNOMED ID","(4107, 4119)","(4107, 4119)",nondistended,nondistended,300405003,441380004,11392990-DS-6,"omen: Soft, normoactive bowel sounds, nontender, nondistended, no rebound or guarding GU: Foley in place Ex" "Correct entity, wrong SNOMED ID","(4124, 4131)","(4124, 4131)",rebound,rebound,35611005,844584001,11392990-DS-6,"active bowel sounds, nontender, nondistended, no rebound or guarding GU: Foley in place Ext: Warm, no " "Correct entity, wrong SNOMED ID","(4146, 4148)","(4146, 4148)",GU,GU,268945009,77618006,11392990-DS-6,"ontender, nondistended, no rebound or guarding GU: Foley in place Ext: Warm, no peripheral edema " Wrong span,"(4150, 4164)","(4150, 4155)",Foley in place,Foley,439053001,411381006,11392990-DS-6,"nder, nondistended, no rebound or guarding GU: Foley in place Ext: Warm, no peripheral edema peripheral pulse" "Correct entity, wrong SNOMED ID","(4167, 4170)","(4167, 4170)",Ext,Ext,302773001,1489008,11392990-DS-6,"ed, no rebound or guarding GU: Foley in place Ext: Warm, no peripheral edema peripheral pulses 2+ _" "Correct entity, wrong SNOMED ID","(4172, 4176)","(4172, 4176)",Warm,Warm,102599008,298256005,11392990-DS-6,"o rebound or guarding GU: Foley in place Ext: Warm, no peripheral edema peripheral pulses 2+ ___ N" Wrong span,"(4192, 4197)","(4181, 4197)",edema,peripheral edema,267038008,1141974008,11392990-DS-6,"g GU: Foley in place Ext: Warm, no peripheral edema peripheral pulses 2+ ___ Neuro: alert and orien" "Correct entity, wrong SNOMED ID","(4225, 4230)","(4225, 4230)",Neuro,Neuro,84728005,281247006,11392990-DS-6,"m, no peripheral edema peripheral pulses 2+ ___ Neuro: alert and oriented to person, hospital, and date" "Correct entity, wrong SNOMED ID","(4242, 4250)","(4242, 4250)",oriented,oriented,247663003,787379002,11392990-DS-6,"edema peripheral pulses 2+ ___ Neuro: alert and oriented to person, hospital, and date DISCHARGE: VS: 9" "Correct entity, wrong SNOMED ID","(4295, 4297)","(4295, 4297)",VS,VS,118227000,313611000,11392990-DS-6,"ented to person, hospital, and date DISCHARGE: VS: 99.2, 99.0, 128/46 (119-145/35-70), 58 (56-73), " "Correct entity, wrong SNOMED ID","(4359, 4361)","(4359, 4361)",RA,RA,722742002,463051000124105,11392990-DS-6,", 128/46 (119-145/35-70), 58 (56-73), ___, 97-98%RA. Ambulatory sats on ___ AM: 90-93% on RA while wa" "Correct entity, wrong SNOMED ID","(4400, 4402)","(4400, 4402)",RA,RA,722742002,463051000124105,11392990-DS-6,", 97-98%RA. Ambulatory sats on ___ AM: 90-93% on RA while walking FSBS: 166, 186, 229, 220 General: N" "Correct entity, wrong SNOMED ID","(4442, 4449)","(4442, 4449)",General,General,162673000,252398009,11392990-DS-6,"-93% on RA while walking FSBS: 166, 186, 229, 220 General: NAD, not tachypneic, no increased WOB, comfortab" "Correct entity, wrong SNOMED ID","(4451, 4454)","(4451, 4454)",NAD,NAD,281900007,131143000,11392990-DS-6,"A while walking FSBS: 166, 186, 229, 220 General: NAD, not tachypneic, no increased WOB, comfortable l" "Correct entity, wrong SNOMED ID","(4460, 4470)","(4460, 4470)",tachypneic,tachypneic,271823003,7550008,11392990-DS-6,"alking FSBS: 166, 186, 229, 220 General: NAD, not tachypneic, no increased WOB, comfortable lying on 2 pillow" "Correct entity, wrong SNOMED ID","(4485, 4488)","(4485, 4488)",WOB,WOB,276362002,64929002,11392990-DS-6,"9, 220 General: NAD, not tachypneic, no increased WOB, comfortable lying on 2 pillows HEENT: no oral l" "Correct entity, wrong SNOMED ID","(4503, 4508)","(4503, 4508)",lying,lying,17535004,32185000,11392990-DS-6,"D, not tachypneic, no increased WOB, comfortable lying on 2 pillows HEENT: no oral lesions, no oropharyn" Wrong span,"(4532, 4544)","(4532, 4536)",oral lesions,oral,1071000119107,129080004,11392990-DS-6,"ed WOB, comfortable lying on 2 pillows HEENT: no oral lesions, no oropharyngeal erythema Neck: supple, no LAD" "Correct entity, wrong SNOMED ID","(4549, 4562)","(4549, 4562)",oropharyngeal,oropharyngeal,31389004,731353000,11392990-DS-6,"le lying on 2 pillows HEENT: no oral lesions, no oropharyngeal erythema Neck: supple, no LAD, no carotid bruit" "Correct entity, wrong SNOMED ID","(4563, 4571)","(4563, 4571)",erythema,erythema,247441003,403194002,11392990-DS-6," pillows HEENT: no oral lesions, no oropharyngeal erythema Neck: supple, no LAD, no carotid bruits CV: R" "Correct entity, wrong SNOMED ID","(4574, 4578)","(4574, 4578)",Neck,Neck,5880005,840674001,11392990-DS-6,"ENT: no oral lesions, no oropharyngeal erythema Neck: supple, no LAD, no carotid bruits CV: RRR, no " "Correct entity, wrong SNOMED ID","(4580, 4586)","(4580, 4586)",supple,supple,298475003,169743001,11392990-DS-6,"o oral lesions, no oropharyngeal erythema Neck: supple, no LAD, no carotid bruits CV: RRR, no m/r/g, J" "Correct entity, wrong SNOMED ID","(4591, 4594)","(4591, 4594)",LAD,LAD,30746006,1010291002,11392990-DS-6,"ons, no oropharyngeal erythema Neck: supple, no LAD, no carotid bruits CV: RRR, no m/r/g, JVP appro" "Correct entity, wrong SNOMED ID","(4599, 4613)","(4599, 4613)",carotid bruits,carotid bruits,419642000,10857000,11392990-DS-6,"oropharyngeal erythema Neck: supple, no LAD, no carotid bruits CV: RRR, no m/r/g, JVP approx 8 cm, well-healed" "Correct entity, wrong SNOMED ID","(4616, 4618)","(4616, 4618)",CV,CV,363003006,258773002,11392990-DS-6,"thema Neck: supple, no LAD, no carotid bruits CV: RRR, no m/r/g, JVP approx 8 cm, well-healed ster" "Correct entity, wrong SNOMED ID","(4620, 4623)","(4620, 4623)",RRR,RRR,76863003,129960002,11392990-DS-6,"a Neck: supple, no LAD, no carotid bruits CV: RRR, no m/r/g, JVP approx 8 cm, well-healed sternotom" "Correct entity, wrong SNOMED ID","(4625, 4633)","(4625, 4633)",no m/r/g,no m/r/g,301132007,315221003,11392990-DS-6,"eck: supple, no LAD, no carotid bruits CV: RRR, no m/r/g, JVP approx 8 cm, well-healed sternotomy scar, I" "Correct entity, wrong SNOMED ID","(4635, 4638)","(4635, 4638)",JVP,JVP,366163001,369001,11392990-DS-6,"e, no LAD, no carotid bruits CV: RRR, no m/r/g, JVP approx 8 cm, well-healed sternotomy scar, ICD in" Missed entity,"(4652, 4663)",,well-healed,,125195005,,11392990-DS-6,"otid bruits CV: RRR, no m/r/g, JVP approx 8 cm, well-healed sternotomy scar, ICD in left chest Lungs: CTAB," Wrong span,"(4664, 4674)","(4664, 4679)",sternotomy,sternotomy scar,27779004,5806001,11392990-DS-6," CV: RRR, no m/r/g, JVP approx 8 cm, well-healed sternotomy scar, ICD in left chest Lungs: CTAB, no crackle" Wrong span,"(4675, 4679)","(4664, 4679)",scar,sternotomy scar,12402003,5806001,11392990-DS-6,"no m/r/g, JVP approx 8 cm, well-healed sternotomy scar, ICD in left chest Lungs: CTAB, no crackles or " "Correct entity, wrong SNOMED ID","(4682, 4685)","(4682, 4685)",ICD,ICD,443325000,233169004,11392990-DS-6,"g, JVP approx 8 cm, well-healed sternotomy scar, ICD in left chest Lungs: CTAB, no crackles or wheeze" "Correct entity, wrong SNOMED ID","(4689, 4699)","(4689, 4699)",left chest,left chest,771318003,11849661000119103,11392990-DS-6,"approx 8 cm, well-healed sternotomy scar, ICD in left chest Lungs: CTAB, no crackles or wheezes Abdomen: sof" "Correct entity, wrong SNOMED ID","(4708, 4712)","(4708, 4712)",CTAB,CTAB,48348007,112188007,11392990-DS-6,"ealed sternotomy scar, ICD in left chest Lungs: CTAB, no crackles or wheezes Abdomen: soft, NT, ND, BS" "Correct entity, wrong SNOMED ID","(4729, 4736)","(4729, 4736)",wheezes,wheezes,56018004,9763007,11392990-DS-6,", ICD in left chest Lungs: CTAB, no crackles or wheezes Abdomen: soft, NT, ND, BS+ GU: no foley in place," "Correct entity, wrong SNOMED ID","(4737, 4744)","(4737, 4744)",Abdomen,Abdomen,225162003,41931001,11392990-DS-6,"n left chest Lungs: CTAB, no crackles or wheezes Abdomen: soft, NT, ND, BS+ GU: no foley in place, no CVAT" "Correct entity, wrong SNOMED ID","(4752, 4754)","(4752, 4754)",NT,NT,43478001,257992007,11392990-DS-6,"ungs: CTAB, no crackles or wheezes Abdomen: soft, NT, ND, BS+ GU: no foley in place, no CVAT Ext: WWP," "Correct entity, wrong SNOMED ID","(4756, 4758)","(4756, 4758)",ND,ND,300405003,165815009,11392990-DS-6,": CTAB, no crackles or wheezes Abdomen: soft, NT, ND, BS+ GU: no foley in place, no CVAT Ext: WWP, DP " "Correct entity, wrong SNOMED ID","(4760, 4763)","(4760, 4763)",BS+,BS+,61539000,260347006,11392990-DS-6,"AB, no crackles or wheezes Abdomen: soft, NT, ND, BS+ GU: no foley in place, no CVAT Ext: WWP, DP and _" "Correct entity, wrong SNOMED ID","(4764, 4766)","(4764, 4766)",GU,GU,268945009,77618006,11392990-DS-6,"no crackles or wheezes Abdomen: soft, NT, ND, BS+ GU: no foley in place, no CVAT Ext: WWP, DP and ___ " Wrong span,"(4771, 4785)","(4771, 4776)",foley in place,foley,439053001,126224002,11392990-DS-6,"kles or wheezes Abdomen: soft, NT, ND, BS+ GU: no foley in place, no CVAT Ext: WWP, DP and ___ 2+ bilaterally, no " "Correct entity, wrong SNOMED ID","(4790, 4794)","(4790, 4794)",CVAT,CVAT,102830001,143491000146106,11392990-DS-6,"omen: soft, NT, ND, BS+ GU: no foley in place, no CVAT Ext: WWP, DP and ___ 2+ bilaterally, no edema Neu" "Correct entity, wrong SNOMED ID","(4795, 4798)","(4795, 4798)",Ext,Ext,302773001,1489008,11392990-DS-6," soft, NT, ND, BS+ GU: no foley in place, no CVAT Ext: WWP, DP and ___ 2+ bilaterally, no edema Neuro: " "Correct entity, wrong SNOMED ID","(4800, 4803)","(4800, 4803)",WWP,WWP,1137685003,258001008,11392990-DS-6,", NT, ND, BS+ GU: no foley in place, no CVAT Ext: WWP, DP and ___ 2+ bilaterally, no edema Neuro: A&Ox3" "Correct entity, wrong SNOMED ID","(4805, 4807)","(4805, 4807)",DP,DP,86547008,418288005,11392990-DS-6," ND, BS+ GU: no foley in place, no CVAT Ext: WWP, DP and ___ 2+ bilaterally, no edema Neuro: A&Ox3, no" Missed entity,"(4816, 4830)",,2+ bilaterally,,301160009,,11392990-DS-6,": no foley in place, no CVAT Ext: WWP, DP and ___ 2+ bilaterally, no edema Neuro: A&Ox3, no focal neuro deficits " "Correct entity, wrong SNOMED ID","(4835, 4840)","(4835, 4840)",edema,edema,267038008,102576009,11392990-DS-6,", no CVAT Ext: WWP, DP and ___ 2+ bilaterally, no edema Neuro: A&Ox3, no focal neuro deficits Pertinen" "Correct entity, wrong SNOMED ID","(4841, 4846)","(4841, 4846)",Neuro,Neuro,84728005,281247006,11392990-DS-6,"VAT Ext: WWP, DP and ___ 2+ bilaterally, no edema Neuro: A&Ox3, no focal neuro deficits Pertinent Resu" "Correct entity, wrong SNOMED ID","(4850, 4853)","(4850, 4853)",Ox3,Ox3,426224004,396154006,11392990-DS-6,"WWP, DP and ___ 2+ bilaterally, no edema Neuro: A&Ox3, no focal neuro deficits Pertinent Results: PE" "Correct entity, wrong SNOMED ID","(4864, 4878)","(4864, 4878)",neuro deficits,neuro deficits,264552009,761908002,11392990-DS-6,"_ 2+ bilaterally, no edema Neuro: A&Ox3, no focal neuro deficits Pertinent Results: PERTINENT ADMISSION LABS: _" "Correct entity, wrong SNOMED ID","(4941, 4948)","(4941, 4948)",GLUCOSE,GLUCOSE,33747003,72191006,11392990-DS-6," Results: PERTINENT ADMISSION LABS: ___ 02:05AM GLUCOSE-247* UREA N-35* CREAT-2.3* SODIUM-141 POTASSIUM-" "Correct entity, wrong SNOMED ID","(4965, 4970)","(4965, 4970)",CREAT,CREAT,70901006,365756002,11392990-DS-6,"SSION LABS: ___ 02:05AM GLUCOSE-247* UREA N-35* CREAT-2.3* SODIUM-141 POTASSIUM-4.2 CHLORIDE-97 TOTAL " "Correct entity, wrong SNOMED ID","(4976, 4982)","(4976, 4982)",SODIUM,SODIUM,25197003,104934005,11392990-DS-6," ___ 02:05AM GLUCOSE-247* UREA N-35* CREAT-2.3* SODIUM-141 POTASSIUM-4.2 CHLORIDE-97 TOTAL CO2-21* ANIO" "Correct entity, wrong SNOMED ID","(4988, 4997)","(4988, 4997)",POTASSIUM,POTASSIUM,59573005,1149432009,11392990-DS-6," GLUCOSE-247* UREA N-35* CREAT-2.3* SODIUM-141 POTASSIUM-4.2 CHLORIDE-97 TOTAL CO2-21* ANION GAP-27* ___ 0" "Correct entity, wrong SNOMED ID","(5002, 5010)","(5002, 5010)",CHLORIDE,CHLORIDE,104589004,108447000,11392990-DS-6,"* UREA N-35* CREAT-2.3* SODIUM-141 POTASSIUM-4.2 CHLORIDE-97 TOTAL CO2-21* ANION GAP-27* ___ 02:05AM CALC" "Correct entity, wrong SNOMED ID","(5028, 5037)","(5028, 5037)",ANION GAP,ANION GAP,25469001,237854004,11392990-DS-6,"DIUM-141 POTASSIUM-4.2 CHLORIDE-97 TOTAL CO2-21* ANION GAP-27* ___ 02:05AM CALCIUM-9.1 PHOSPHATE-7.7*# MAG" "Correct entity, wrong SNOMED ID","(5056, 5063)","(5056, 5063)",CALCIUM,CALCIUM,312472004,108601004,11392990-DS-6,"RIDE-97 TOTAL CO2-21* ANION GAP-27* ___ 02:05AM CALCIUM-9.1 PHOSPHATE-7.7*# MAGNESIUM-2.2 ___ 02:05AM W" "Correct entity, wrong SNOMED ID","(5112, 5115)","(5112, 5115)",WBC,WBC,767002,391558003,11392990-DS-6,"M-9.1 PHOSPHATE-7.7*# MAGNESIUM-2.2 ___ 02:05AM WBC-7.0 RBC-4.11* HGB-11.8* HCT-36.5* MCV-89 MCH-28." "Correct entity, wrong SNOMED ID","(5120, 5123)","(5120, 5123)",RBC,RBC,14089001,258759006,11392990-DS-6,"OSPHATE-7.7*# MAGNESIUM-2.2 ___ 02:05AM WBC-7.0 RBC-4.11* HGB-11.8* HCT-36.5* MCV-89 MCH-28.7 MCHC-3" "Correct entity, wrong SNOMED ID","(5130, 5133)","(5130, 5133)",HGB,HGB,441689006,104142005,11392990-DS-6,"7*# MAGNESIUM-2.2 ___ 02:05AM WBC-7.0 RBC-4.11* HGB-11.8* HCT-36.5* MCV-89 MCH-28.7 MCHC-32.3 RDW-14" "Correct entity, wrong SNOMED ID","(5140, 5143)","(5140, 5143)",HCT,HCT,28317006,840276005,11392990-DS-6,"IUM-2.2 ___ 02:05AM WBC-7.0 RBC-4.11* HGB-11.8* HCT-36.5* MCV-89 MCH-28.7 MCHC-32.3 RDW-14.8 ___ 02:" Missed entity,"(5150, 5153)",,MCV,,104133003,,11392990-DS-6,"_ 02:05AM WBC-7.0 RBC-4.11* HGB-11.8* HCT-36.5* MCV-89 MCH-28.7 MCHC-32.3 RDW-14.8 ___ 02:05AM PLT" "Correct entity, wrong SNOMED ID","(5167, 5171)","(5167, 5171)",MCHC,MCHC,37254006,735147002,11392990-DS-6,".0 RBC-4.11* HGB-11.8* HCT-36.5* MCV-89 MCH-28.7 MCHC-32.3 RDW-14.8 ___ 02:05AM PLT COUNT-293 ___ 02:" "Correct entity, wrong SNOMED ID","(5177, 5180)","(5177, 5180)",RDW,RDW,66842004,735149004,11392990-DS-6,"1* HGB-11.8* HCT-36.5* MCV-89 MCH-28.7 MCHC-32.3 RDW-14.8 ___ 02:05AM PLT COUNT-293 ___ 02:05AM NE" "Correct entity, wrong SNOMED ID","(5228, 5233)","(5228, 5233)",NEUTS,NEUTS,30630007,271035003,11392990-DS-6,"DW-14.8 ___ 02:05AM PLT COUNT-293 ___ 02:05AM NEUTS-42.0* LYMPHS-49.8* MONOS-6.3 EOS-1.6 BASOS-0.4 _" "Correct entity, wrong SNOMED ID","(5240, 5246)","(5240, 5246)",LYMPHS,LYMPHS,74765001,79709007,11392990-DS-6,"02:05AM PLT COUNT-293 ___ 02:05AM NEUTS-42.0* LYMPHS-49.8* MONOS-6.3 EOS-1.6 BASOS-0.4 ___ 02:05AM " "Correct entity, wrong SNOMED ID","(5253, 5258)","(5253, 5258)",MONOS,MONOS,67776007,462791000124108,11392990-DS-6," COUNT-293 ___ 02:05AM NEUTS-42.0* LYMPHS-49.8* MONOS-6.3 EOS-1.6 BASOS-0.4 ___ 02:05AM ___ PTT-41.1" "Correct entity, wrong SNOMED ID","(5263, 5266)","(5263, 5266)",EOS,EOS,71960002,67099000,11392990-DS-6," ___ 02:05AM NEUTS-42.0* LYMPHS-49.8* MONOS-6.3 EOS-1.6 BASOS-0.4 ___ 02:05AM ___ PTT-41.1* ___ __" "Correct entity, wrong SNOMED ID","(5300, 5303)","(5300, 5303)",PTT,PTT,42525009,282119004,11392990-DS-6,"8* MONOS-6.3 EOS-1.6 BASOS-0.4 ___ 02:05AM ___ PTT-41.1* ___ ___ 02:05AM proBNP-995* ___ 02:12AM " "Correct entity, wrong SNOMED ID","(5328, 5334)","(5328, 5334)",proBNP,proBNP,414799001,407060002,11392990-DS-6,"0.4 ___ 02:05AM ___ PTT-41.1* ___ ___ 02:05AM proBNP-995* ___ 02:12AM LACTATE-5.7* ___ 02:29AM LAC" "Correct entity, wrong SNOMED ID","(5461, 5468)","(5461, 5468)",cTropnT,cTropnT,105001004,442255004,11392990-DS-6,"TATE-3.6* ___ 02:39AM Lactate-1.0 ___ 02:05AM cTropnT-<0.01 ___ 10:10AM cTropnT-0.02* ___ 02:05AM c" "Correct entity, wrong SNOMED ID","(5489, 5496)","(5489, 5496)",cTropnT,cTropnT,105001004,442255004,11392990-DS-6,"ate-1.0 ___ 02:05AM cTropnT-<0.01 ___ 10:10AM cTropnT-0.02* ___ 02:05AM cTropnT-<0.01 ___ 02:05AM A" "Correct entity, wrong SNOMED ID","(5517, 5524)","(5517, 5524)",cTropnT,cTropnT,105001004,442255004,11392990-DS-6,"T-<0.01 ___ 10:10AM cTropnT-0.02* ___ 02:05AM cTropnT-<0.01 ___ 02:05AM ALT(SGPT)-35 AST(SGOT)-47* AL" "Correct entity, wrong SNOMED ID","(5545, 5548)","(5545, 5548)",ALT,ALT,34608000,56935002,11392990-DS-6,"T-0.02* ___ 02:05AM cTropnT-<0.01 ___ 02:05AM ALT(SGPT)-35 AST(SGOT)-47* ALK PHOS-148* TOT BILI-0." "Correct entity, wrong SNOMED ID","(5558, 5561)","(5558, 5561)",AST,AST,45896001,85043005,11392990-DS-6,"2:05AM cTropnT-<0.01 ___ 02:05AM ALT(SGPT)-35 AST(SGOT)-47* ALK PHOS-148* TOT BILI-0.2 ___ 02:05AM" "Correct entity, wrong SNOMED ID","(5576, 5580)","(5576, 5580)",PHOS,PHOS,104868000,168075002,11392990-DS-6,"0.01 ___ 02:05AM ALT(SGPT)-35 AST(SGOT)-47* ALK PHOS-148* TOT BILI-0.2 ___ 02:05AM TSH-11* ___ 01:3" "Correct entity, wrong SNOMED ID","(5586, 5595)","(5586, 5595)","TOT BILI","TOT BILI",359986008,176271000119108,11392990-DS-6,"2:05AM ALT(SGPT)-35 AST(SGOT)-47* ALK PHOS-148* TOT BILI-0.2 ___ 02:05AM TSH-11* ___ 01:39PM T4-8.0 P" "Correct entity, wrong SNOMED ID","(5614, 5617)","(5614, 5617)",TSH,TSH,61167004,412520006,11392990-DS-6,"OT)-47* ALK PHOS-148* TOT BILI-0.2 ___ 02:05AM TSH-11* ___ 01:39PM T4-8.0 PERTINENT INTERVAL LABS" "Correct entity, wrong SNOMED ID","(5683, 5690)","(5683, 5690)",GLUCOSE,GLUCOSE,33747003,72191006,11392990-DS-6," T4-8.0 PERTINENT INTERVAL LABS: ___ 01:39PM GLUCOSE-219* UREA N-33* CREAT-1.9* SODIUM-139 POTASSIUM-" "Correct entity, wrong SNOMED ID","(5707, 5712)","(5707, 5712)",CREAT,CREAT,70901006,365756002,11392990-DS-6,"ERVAL LABS: ___ 01:39PM GLUCOSE-219* UREA N-33* CREAT-1.9* SODIUM-139 POTASSIUM-4.9 CHLORIDE-105 TOTAL" "Correct entity, wrong SNOMED ID","(5718, 5724)","(5718, 5724)",SODIUM,SODIUM,25197003,104934005,11392990-DS-6," ___ 01:39PM GLUCOSE-219* UREA N-33* CREAT-1.9* SODIUM-139 POTASSIUM-4.9 CHLORIDE-105 TOTAL CO2-23 ANIO" "Correct entity, wrong SNOMED ID","(5730, 5739)","(5730, 5739)",POTASSIUM,POTASSIUM,59573005,1149432009,11392990-DS-6," GLUCOSE-219* UREA N-33* CREAT-1.9* SODIUM-139 POTASSIUM-4.9 CHLORIDE-105 TOTAL CO2-23 ANION GAP-16 ___ 02" "Correct entity, wrong SNOMED ID","(5744, 5752)","(5744, 5752)",CHLORIDE,CHLORIDE,104589004,108447000,11392990-DS-6,"* UREA N-33* CREAT-1.9* SODIUM-139 POTASSIUM-4.9 CHLORIDE-105 TOTAL CO2-23 ANION GAP-16 ___ 02:19AM BLOOD G" "Correct entity, wrong SNOMED ID","(5770, 5779)","(5770, 5779)",ANION GAP,ANION GAP,25469001,237854004,11392990-DS-6,"DIUM-139 POTASSIUM-4.9 CHLORIDE-105 TOTAL CO2-23 ANION GAP-16 ___ 02:19AM BLOOD Glucose-123* UreaN-31* Creat" Wrong span,"(5795, 5808)","(5801, 5808)",BLOOD Glucose,Glucose,33747003,72191006,11392990-DS-6,"HLORIDE-105 TOTAL CO2-23 ANION GAP-16 ___ 02:19AM BLOOD Glucose-123* UreaN-31* Creat-1.6* Na-141 K-4.5 Cl-108 HC" "Correct entity, wrong SNOMED ID","(5814, 5819)","(5814, 5819)",UreaN,UreaN,105011006,111108008,11392990-DS-6,"O2-23 ANION GAP-16 ___ 02:19AM BLOOD Glucose-123* UreaN-31* Creat-1.6* Na-141 K-4.5 Cl-108 HCO3-23 AnGap" "Correct entity, wrong SNOMED ID","(5824, 5829)","(5824, 5829)",Creat,Creat,70901006,365756002,11392990-DS-6,"N GAP-16 ___ 02:19AM BLOOD Glucose-123* UreaN-31* Creat-1.6* Na-141 K-4.5 Cl-108 HCO3-23 AnGap-15 ___ 11" "Correct entity, wrong SNOMED ID","(5835, 5837)","(5835, 5837)",Na,Na,312469006,257992007,11392990-DS-6,"_ 02:19AM BLOOD Glucose-123* UreaN-31* Creat-1.6* Na-141 K-4.5 Cl-108 HCO3-23 AnGap-15 ___ 11:30AM BL" "Correct entity, wrong SNOMED ID","(5849, 5851)","(5849, 5851)",Cl,Cl,104589004,311741002,11392990-DS-6,"D Glucose-123* UreaN-31* Creat-1.6* Na-141 K-4.5 Cl-108 HCO3-23 AnGap-15 ___ 11:30AM BLOOD Glucose-15" "Correct entity, wrong SNOMED ID","(5856, 5860)","(5856, 5860)",HCO3,HCO3,312471006,88645003,11392990-DS-6,"se-123* UreaN-31* Creat-1.6* Na-141 K-4.5 Cl-108 HCO3-23 AnGap-15 ___ 11:30AM BLOOD Glucose-158* UreaN-" "Correct entity, wrong SNOMED ID","(5864, 5869)","(5864, 5869)",AnGap,AnGap,25469001,124504004,11392990-DS-6,"UreaN-31* Creat-1.6* Na-141 K-4.5 Cl-108 HCO3-23 AnGap-15 ___ 11:30AM BLOOD Glucose-158* UreaN-29* Creat" Wrong span,"(5885, 5898)","(5891, 5898)",BLOOD Glucose,Glucose,33747003,72191006,11392990-DS-6,"Na-141 K-4.5 Cl-108 HCO3-23 AnGap-15 ___ 11:30AM BLOOD Glucose-158* UreaN-29* Creat-1.5* Na-139 K-4.0 Cl-103 HC" "Correct entity, wrong SNOMED ID","(5904, 5909)","(5904, 5909)",UreaN,UreaN,105011006,111108008,11392990-DS-6,"8 HCO3-23 AnGap-15 ___ 11:30AM BLOOD Glucose-158* UreaN-29* Creat-1.5* Na-139 K-4.0 Cl-103 HCO3-27 AnGap" "Correct entity, wrong SNOMED ID","(5914, 5919)","(5914, 5919)",Creat,Creat,70901006,365756002,11392990-DS-6,"AnGap-15 ___ 11:30AM BLOOD Glucose-158* UreaN-29* Creat-1.5* Na-139 K-4.0 Cl-103 HCO3-27 AnGap-13 ___ 08" "Correct entity, wrong SNOMED ID","(5925, 5927)","(5925, 5927)",Na,Na,312469006,257992007,11392990-DS-6,"_ 11:30AM BLOOD Glucose-158* UreaN-29* Creat-1.5* Na-139 K-4.0 Cl-103 HCO3-27 AnGap-13 ___ 08:05AM BL" "Correct entity, wrong SNOMED ID","(5939, 5941)","(5939, 5941)",Cl,Cl,104589004,311741002,11392990-DS-6,"D Glucose-158* UreaN-29* Creat-1.5* Na-139 K-4.0 Cl-103 HCO3-27 AnGap-13 ___ 08:05AM BLOOD Glucose-10" "Correct entity, wrong SNOMED ID","(5946, 5950)","(5946, 5950)",HCO3,HCO3,312471006,88645003,11392990-DS-6,"se-158* UreaN-29* Creat-1.5* Na-139 K-4.0 Cl-103 HCO3-27 AnGap-13 ___ 08:05AM BLOOD Glucose-106* UreaN-" "Correct entity, wrong SNOMED ID","(5954, 5959)","(5954, 5959)",AnGap,AnGap,25469001,124504004,11392990-DS-6,"UreaN-29* Creat-1.5* Na-139 K-4.0 Cl-103 HCO3-27 AnGap-13 ___ 08:05AM BLOOD Glucose-106* UreaN-30* Creat" Wrong span,"(5975, 5988)","(5981, 5988)",BLOOD Glucose,Glucose,33747003,72191006,11392990-DS-6,"Na-139 K-4.0 Cl-103 HCO3-27 AnGap-13 ___ 08:05AM BLOOD Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HC" "Correct entity, wrong SNOMED ID","(5994, 5999)","(5994, 5999)",UreaN,UreaN,105011006,111108008,11392990-DS-6,"3 HCO3-27 AnGap-13 ___ 08:05AM BLOOD Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap" "Correct entity, wrong SNOMED ID","(6004, 6009)","(6004, 6009)",Creat,Creat,70901006,365756002,11392990-DS-6,"AnGap-13 ___ 08:05AM BLOOD Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___:39" "Correct entity, wrong SNOMED ID","(6015, 6017)","(6015, 6017)",Na,Na,312469006,257992007,11392990-DS-6,"_ 08:05AM BLOOD Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___:39PM CAL" "Correct entity, wrong SNOMED ID","(6029, 6031)","(6029, 6031)",Cl,Cl,104589004,311741002,11392990-DS-6,"D Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___:39PM CALCIUM-8.6 PHOSP" "Correct entity, wrong SNOMED ID","(6036, 6040)","(6036, 6040)",HCO3,HCO3,312471006,88645003,11392990-DS-6,"se-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___:39PM CALCIUM-8.6 PHOSPHATE-2.4*" "Correct entity, wrong SNOMED ID","(6044, 6049)","(6044, 6049)",AnGap,AnGap,25469001,124504004,11392990-DS-6,"UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___:39PM CALCIUM-8.6 PHOSPHATE-2.4*# MAGNESI" "Correct entity, wrong SNOMED ID","(6064, 6071)","(6064, 6071)",CALCIUM,CALCIUM,312472004,108601004,11392990-DS-6," Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___:39PM CALCIUM-8.6 PHOSPHATE-2.4*# MAGNESIUM-1.9 ___ 02:19AM BLO" "Correct entity, wrong SNOMED ID","(6124, 6131)","(6124, 6131)",Calcium,Calcium,312472004,108601004,11392990-DS-6,"6 PHOSPHATE-2.4*# MAGNESIUM-1.9 ___ 02:19AM BLOOD Calcium-8.4 Phos-2.3* Mg-1.9 ___ 11:30AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(6136, 6140)","(6136, 6140)",Phos,Phos,104868000,168075002,11392990-DS-6,"2.4*# MAGNESIUM-1.9 ___ 02:19AM BLOOD Calcium-8.4 Phos-2.3* Mg-1.9 ___ 11:30AM BLOOD Calcium-8.7 Phos-2." "Correct entity, wrong SNOMED ID","(6146, 6148)","(6146, 6148)",Mg,Mg,271285000,258684004,11392990-DS-6,"ESIUM-1.9 ___ 02:19AM BLOOD Calcium-8.4 Phos-2.3* Mg-1.9 ___ 11:30AM BLOOD Calcium-8.7 Phos-2.4* Mg-2." "Correct entity, wrong SNOMED ID","(6171, 6178)","(6171, 6178)",Calcium,Calcium,312472004,108601004,11392990-DS-6,"OD Calcium-8.4 Phos-2.3* Mg-1.9 ___ 11:30AM BLOOD Calcium-8.7 Phos-2.4* Mg-2.0 ___ 02:19AM BLOOD ALT-24 AST" "Correct entity, wrong SNOMED ID","(6183, 6187)","(6183, 6187)",Phos,Phos,104868000,168075002,11392990-DS-6,".4 Phos-2.3* Mg-1.9 ___ 11:30AM BLOOD Calcium-8.7 Phos-2.4* Mg-2.0 ___ 02:19AM BLOOD ALT-24 AST-20 AlkPh" "Correct entity, wrong SNOMED ID","(6193, 6195)","(6193, 6195)",Mg,Mg,271285000,258684004,11392990-DS-6,"3* Mg-1.9 ___ 11:30AM BLOOD Calcium-8.7 Phos-2.4* Mg-2.0 ___ 02:19AM BLOOD ALT-24 AST-20 AlkPhos-76 To" "Correct entity, wrong SNOMED ID","(6218, 6221)","(6218, 6221)",ALT,ALT,34608000,56935002,11392990-DS-6,"OD Calcium-8.7 Phos-2.4* Mg-2.0 ___ 02:19AM BLOOD ALT-24 AST-20 AlkPhos-76 TotBili-0.2 ___ 02:19AM BLOO" "Correct entity, wrong SNOMED ID","(6225, 6228)","(6225, 6228)",AST,AST,45896001,85043005,11392990-DS-6,"ium-8.7 Phos-2.4* Mg-2.0 ___ 02:19AM BLOOD ALT-24 AST-20 AlkPhos-76 TotBili-0.2 ___ 02:19AM BLOOD WBC-7" "Correct entity, wrong SNOMED ID","(6232, 6239)","(6232, 6239)",AlkPhos,AlkPhos,88810008,30703008,11392990-DS-6," Phos-2.4* Mg-2.0 ___ 02:19AM BLOOD ALT-24 AST-20 AlkPhos-76 TotBili-0.2 ___ 02:19AM BLOOD WBC-7.8 RBC-3.27" "Correct entity, wrong SNOMED ID","(6243, 6250)","(6243, 6250)",TotBili,TotBili,359986008,19754005,11392990-DS-6,"Mg-2.0 ___ 02:19AM BLOOD ALT-24 AST-20 AlkPhos-76 TotBili-0.2 ___ 02:19AM BLOOD WBC-7.8 RBC-3.27* Hgb-9.3* " "Correct entity, wrong SNOMED ID","(6273, 6276)","(6273, 6276)",WBC,WBC,767002,391558003,11392990-DS-6,"4 AST-20 AlkPhos-76 TotBili-0.2 ___ 02:19AM BLOOD WBC-7.8 RBC-3.27* Hgb-9.3* Hct-29.3* MCV-90 MCH-28.3" "Correct entity, wrong SNOMED ID","(6281, 6284)","(6281, 6284)",RBC,RBC,14089001,258759006,11392990-DS-6," AlkPhos-76 TotBili-0.2 ___ 02:19AM BLOOD WBC-7.8 RBC-3.27* Hgb-9.3* Hct-29.3* MCV-90 MCH-28.3 MCHC-31" "Correct entity, wrong SNOMED ID","(6291, 6294)","(6291, 6294)",Hgb,Hgb,441689006,104142005,11392990-DS-6,"6 TotBili-0.2 ___ 02:19AM BLOOD WBC-7.8 RBC-3.27* Hgb-9.3* Hct-29.3* MCV-90 MCH-28.3 MCHC-31.6 RDW-15." "Correct entity, wrong SNOMED ID","(6300, 6303)","(6300, 6303)",Hct,Hct,28317006,840276005,11392990-DS-6,"-0.2 ___ 02:19AM BLOOD WBC-7.8 RBC-3.27* Hgb-9.3* Hct-29.3* MCV-90 MCH-28.3 MCHC-31.6 RDW-15.4 Plt ___" "Correct entity, wrong SNOMED ID","(6318, 6321)","(6318, 6321)",MCH,MCH,54706004,735147002,11392990-DS-6,"LOOD WBC-7.8 RBC-3.27* Hgb-9.3* Hct-29.3* MCV-90 MCH-28.3 MCHC-31.6 RDW-15.4 Plt ___ ___ 11:30AM BLOOD" "Correct entity, wrong SNOMED ID","(6327, 6331)","(6327, 6331)",MCHC,MCHC,37254006,735147002,11392990-DS-6,"7.8 RBC-3.27* Hgb-9.3* Hct-29.3* MCV-90 MCH-28.3 MCHC-31.6 RDW-15.4 Plt ___ ___ 11:30AM BLOOD WBC-8.3 R" "Correct entity, wrong SNOMED ID","(6337, 6340)","(6337, 6340)",RDW,RDW,66842004,735149004,11392990-DS-6,"27* Hgb-9.3* Hct-29.3* MCV-90 MCH-28.3 MCHC-31.6 RDW-15.4 Plt ___ ___ 11:30AM BLOOD WBC-8.3 RBC-3.49* " "Correct entity, wrong SNOMED ID","(6372, 6375)","(6372, 6375)",WBC,WBC,767002,391558003,11392990-DS-6,"28.3 MCHC-31.6 RDW-15.4 Plt ___ ___ 11:30AM BLOOD WBC-8.3 RBC-3.49* Hgb-10.1* Hct-29.9* MCV-86 MCH-28." "Correct entity, wrong SNOMED ID","(6380, 6383)","(6380, 6383)",RBC,RBC,14089001,258759006,11392990-DS-6,"C-31.6 RDW-15.4 Plt ___ ___ 11:30AM BLOOD WBC-8.3 RBC-3.49* Hgb-10.1* Hct-29.9* MCV-86 MCH-28.9 MCHC-3" "Correct entity, wrong SNOMED ID","(6390, 6393)","(6390, 6393)",Hgb,Hgb,441689006,104142005,11392990-DS-6,"-15.4 Plt ___ ___ 11:30AM BLOOD WBC-8.3 RBC-3.49* Hgb-10.1* Hct-29.9* MCV-86 MCH-28.9 MCHC-33.8 RDW-15" "Correct entity, wrong SNOMED ID","(6400, 6403)","(6400, 6403)",Hct,Hct,28317006,840276005,11392990-DS-6,"___ ___ 11:30AM BLOOD WBC-8.3 RBC-3.49* Hgb-10.1* Hct-29.9* MCV-86 MCH-28.9 MCHC-33.8 RDW-15.3 Plt ___" "Correct entity, wrong SNOMED ID","(6418, 6421)","(6418, 6421)",MCH,MCH,54706004,735147002,11392990-DS-6,"OOD WBC-8.3 RBC-3.49* Hgb-10.1* Hct-29.9* MCV-86 MCH-28.9 MCHC-33.8 RDW-15.3 Plt ___ ___ 02:19AM BLOOD" "Correct entity, wrong SNOMED ID","(6427, 6431)","(6427, 6431)",MCHC,MCHC,37254006,735147002,11392990-DS-6,".3 RBC-3.49* Hgb-10.1* Hct-29.9* MCV-86 MCH-28.9 MCHC-33.8 RDW-15.3 Plt ___ ___ 02:19AM BLOOD ___ PTT-4" "Correct entity, wrong SNOMED ID","(6437, 6440)","(6437, 6440)",RDW,RDW,66842004,735149004,11392990-DS-6,"9* Hgb-10.1* Hct-29.9* MCV-86 MCH-28.9 MCHC-33.8 RDW-15.3 Plt ___ ___ 02:19AM BLOOD ___ PTT-42.2* ___ " "Correct entity, wrong SNOMED ID","(6476, 6479)","(6476, 6479)",PTT,PTT,42525009,282119004,11392990-DS-6," MCHC-33.8 RDW-15.3 Plt ___ ___ 02:19AM BLOOD ___ PTT-42.2* ___ ___ 11:30AM BLOOD ___ PTT-38.3* ___ ___" "Correct entity, wrong SNOMED ID","(6512, 6515)","(6512, 6515)",PTT,PTT,42525009,282119004,11392990-DS-6,"9AM BLOOD ___ PTT-42.2* ___ ___ 11:30AM BLOOD ___ PTT-38.3* ___ ___ 02:19AM BLOOD %HbA1c-6.2* eAG-131* " "Correct entity, wrong SNOMED ID","(6556, 6559)","(6556, 6559)",eAG,eAG,117346004,361444006,11392990-DS-6,"D ___ PTT-38.3* ___ ___ 02:19AM BLOOD %HbA1c-6.2* eAG-131* ___ 02:27PM ___ PO2-76* PCO2-40 PH-7.40 TO" "Correct entity, wrong SNOMED ID","(6599, 6601)","(6599, 6601)",PH,PH,81065003,264912003,11392990-DS-6,"c-6.2* eAG-131* ___ 02:27PM ___ PO2-76* PCO2-40 PH-7.40 TOTAL CO2-26 BASE XS-0 ___ 02:39AM BLOOD pO" "Correct entity, wrong SNOMED ID","(6666, 6668)","(6666, 6668)",pH,pH,81065003,264912003,11392990-DS-6,"-26 BASE XS-0 ___ 02:39AM BLOOD pO2-102 pCO2-34* pH-7.46* calTCO2-25 Base XS-0 Comment-GREEN TOP EK" Missed entity,"(6716, 6720)",,EKGS,,29303009,,11392990-DS-6,"pH-7.46* calTCO2-25 Base XS-0 Comment-GREEN TOP EKGS: ___ Normal sinus rhythm with intra-atrial conduc" "Correct entity, wrong SNOMED ID","(6726, 6745)","(6726, 6745)",Normal sinus rhythm,Normal sinus rhythm,64730000,426285000,11392990-DS-6,"alTCO2-25 Base XS-0 Comment-GREEN TOP EKGS: ___ Normal sinus rhythm with intra-atrial conduction abnormality. Non-sp" Wrong span,"(6757, 6763)","(6751, 6763)",atrial,intra-atrial,59652004,65331008,11392990-DS-6,"EEN TOP EKGS: ___ Normal sinus rhythm with intra-atrial conduction abnormality. Non-specific intraventri" Missed entity,"(6764, 6787)",,"conduction abnormality",,36358004,,11392990-DS-6," EKGS: ___ Normal sinus rhythm with intra-atrial conduction abnormality. Non-specific intraventricular conduction abnorm" Missed entity,"(6819, 6842)",,"conduction abnormality",,36358004,,11392990-DS-6,"ction abnormality. Non-specific intraventricular conduction abnormality. Compared to the previous tracing of ___ the QRS " "Correct entity, wrong SNOMED ID","(6917, 6936)","(6917, 6936)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,11392990-DS-6,"s tracing of ___ the QRS duration has increased. Atrial fibrillation/flutter is no longer present. ST segment abnorma" "Correct entity, wrong SNOMED ID","(6937, 6944)","(6937, 6944)",flutter,flutter,5370000,33466002,11392990-DS-6," QRS duration has increased. Atrial fibrillation/flutter is no longer present. ST segment abnormalities a" "Correct entity, wrong SNOMED ID","(7015, 7027)","(7015, 7027)",Sinus rhythm,Sinus rhythm,251150006,64730000,11392990-DS-6,"t. ST segment abnormalities are less marked. ___ Sinus rhythm. Intraventricular conduction delay. Left atrial " Missed entity,"(7162, 7173)",,ventricular,,21814001,,11392990-DS-6,"ion. Compared to the previous tracing of ___ the ventricular rate is faster and the Q-T interval has normaliz" "Correct entity, wrong SNOMED ID","(7243, 7246)","(7243, 7246)",TTE,TTE,433236007,258691001,11392990-DS-6," the Q-T interval has normalized. IMAGING: ___ TTE The left atrium is mildly dilated. No atrial sept" Wrong span,"(7251, 7262)","(7251, 7280)",left atrium,left atrium is mildly dilated,82471001,448320008,11392990-DS-6," interval has normalized. IMAGING: ___ TTE The left atrium is mildly dilated. No atrial septal defect is se" Wrong span,"(7273, 7280)","(7251, 7280)",dilated,left atrium is mildly dilated,82608003,448320008,11392990-DS-6,"ed. IMAGING: ___ TTE The left atrium is mildly dilated. No atrial septal defect is seen by 2D or color " "Correct entity, wrong SNOMED ID","(7285, 7305)","(7285, 7305)",atrial septal defect,atrial septal defect,70142008,204315000,11392990-DS-6,"G: ___ TTE The left atrium is mildly dilated. No atrial septal defect is seen by 2D or color Doppler. There is mild sy" "Correct entity, wrong SNOMED ID","(7324, 7337)","(7324, 7337)",color Doppler,color Doppler,423736003,261197005,11392990-DS-6,"ilated. No atrial septal defect is seen by 2D or color Doppler. There is mild symmetric left ventricular hypert" "Correct entity, wrong SNOMED ID","(7398, 7444)","(7398, 7444)","left ventricular cavity is moderately dilated","left ventricular cavity is moderately dilated",253541009,445221000124100,11392990-DS-6,"mild symmetric left ventricular hypertrophy. The left ventricular cavity is moderately dilated. There is moderate to severe regional left ventr" Missed entity,"(7483, 7521)",,"left ventricular systolic dysfunction",,134401001,,11392990-DS-6,"ely dilated. There is moderate to severe regional left ventricular systolic dysfunction with inferior/septal/anterior hypokinesis and di" "Correct entity, wrong SNOMED ID","(7527, 7535)","(7527, 7535)",inferior,inferior,72542009,28985004,11392990-DS-6,"ional left ventricular systolic dysfunction with inferior/septal/anterior hypokinesis and distal LV/apical" "Correct entity, wrong SNOMED ID","(7536, 7542)","(7536, 7542)",septal,septal,10746000,308846003,11392990-DS-6,"t ventricular systolic dysfunction with inferior/septal/anterior hypokinesis and distal LV/apical akines" "Correct entity, wrong SNOMED ID","(7553, 7564)","(7553, 7564)",hypokinesis,hypokinesis,43994002,95633009,11392990-DS-6,"stolic dysfunction with inferior/septal/anterior hypokinesis and distal LV/apical akinesis. No masses or throm" "Correct entity, wrong SNOMED ID","(7576, 7578)","(7576, 7578)",LV,LV,87878005,109426009,11392990-DS-6," inferior/septal/anterior hypokinesis and distal LV/apical akinesis. No masses or thrombi are seen i" "Correct entity, wrong SNOMED ID","(7579, 7585)","(7579, 7585)",apical,apical,13383001,264843009,11392990-DS-6,"ferior/septal/anterior hypokinesis and distal LV/apical akinesis. No masses or thrombi are seen in the l" "Correct entity, wrong SNOMED ID","(7599, 7605)","(7599, 7605)",masses,masses,4147007,237557003,11392990-DS-6,"or hypokinesis and distal LV/apical akinesis. No masses or thrombi are seen in the left ventricle. There" "Correct entity, wrong SNOMED ID","(7609, 7616)","(7609, 7616)",thrombi,thrombi,396339007,448128007,11392990-DS-6,"nesis and distal LV/apical akinesis. No masses or thrombi are seen in the left ventricle. There is no vent" "Correct entity, wrong SNOMED ID","(7634, 7648)","(7634, 7648)",left ventricle,left ventricle,87878005,244385005,11392990-DS-6,"l akinesis. No masses or thrombi are seen in the left ventricle. There is no ventricular septal defect. Right ve" "Correct entity, wrong SNOMED ID","(7662, 7688)","(7662, 7688)","ventricular septal defect","ventricular septal defect",30288003,253551005,11392990-DS-6,"ombi are seen in the left ventricle. There is no ventricular septal defect. Right ventricular chamber size and free wall mot" Wrong span,"(7690, 7715)","(7690, 7720)",Right ventricular chamber,Right ventricular chamber size,53085002,74193008,11392990-DS-6,"entricle. There is no ventricular septal defect. Right ventricular chamber size and free wall motion are normal. The diamet" "Correct entity, wrong SNOMED ID","(7730, 7753)","(7730, 7753)","wall motion are normal","wall motion are normal",373122000,414072005,11392990-DS-6," defect. Right ventricular chamber size and free wall motion are normal. The diameters of aorta at the sinus, ascending a" Wrong span,"(7772, 7790)","(7772, 7784)",aorta at the sinus,aorta at the,81128002,81817003,11392990-DS-6,"nd free wall motion are normal. The diameters of aorta at the sinus, ascending and arch levels are normal. The aorti" "Correct entity, wrong SNOMED ID","(7792, 7801)","(7792, 7801)",ascending,ascending,54247002,83711003,11392990-DS-6,"are normal. The diameters of aorta at the sinus, ascending and arch levels are normal. The aortic valve is " "Correct entity, wrong SNOMED ID","(7835, 7847)","(7835, 7847)",aortic valve,aortic valve,34202007,60573004,11392990-DS-6,"sinus, ascending and arch levels are normal. The aortic valve is not well seen. There is no aortic valve steno" "Correct entity, wrong SNOMED ID","(7879, 7900)","(7879, 7900)",aortic valve stenosis,aortic valve stenosis,60573004,836480008,11392990-DS-6,". The aortic valve is not well seen. There is no aortic valve stenosis. Trace aortic regurgitation is seen. The mitral " "Correct entity, wrong SNOMED ID","(7908, 7928)","(7908, 7928)",aortic regurgitation,aortic regurgitation,60234000,61612001,11392990-DS-6,"l seen. There is no aortic valve stenosis. Trace aortic regurgitation is seen. The mitral valve leaflets are mildly th" "Correct entity, wrong SNOMED ID","(7943, 7985)","(7943, 7985)",mitral valve leaflets are mildly thickened,mitral valve leaflets are mildly thickened,448820003,244355000,11392990-DS-6,"tenosis. Trace aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Mild to moderate (___) mitral regurgitation is " Wrong span,"(7987, 7991)","(7987, 8003)",Mild,Mild to moderate,838451005,371923003,11392990-DS-6," The mitral valve leaflets are mildly thickened. Mild to moderate (___) mitral regurgitation is seen. " Wrong span,"(7995, 8031)","(7987, 8003)","moderate (___) mitral regurgitation",Mild to moderate,838452003,371923003,11392990-DS-6,"tral valve leaflets are mildly thickened. Mild to moderate (___) mitral regurgitation is seen. The tricuspid valve leaflets are mildly" "Correct entity, wrong SNOMED ID","(8045, 8091)","(8045, 8091)","tricuspid valve leaflets are mildly thickened","tricuspid valve leaflets are mildly thickened",446633003,261090009,11392990-DS-6,"moderate (___) mitral regurgitation is seen. The tricuspid valve leaflets are mildly thickened. There is moderate pulmonary artery systolic hyp" "Correct entity, wrong SNOMED ID","(8102, 8150)","(8102, 8150)","moderate pulmonary artery systolic hypertension","moderate pulmonary artery systolic hypertension",840307003,233942004,11392990-DS-6,"id valve leaflets are mildly thickened. There is moderate pulmonary artery systolic hypertension. There is no pericardial effusion. Compared with" "Correct entity, wrong SNOMED ID","(8164, 8184)","(8164, 8184)",pericardial effusion,pericardial effusion,373945007,1230405007,11392990-DS-6,"monary artery systolic hypertension. There is no pericardial effusion. Compared with the prior study (images reviewed)" "Correct entity, wrong SNOMED ID","(8243, 8264)","(8243, 8264)","LV systolic function","LV systolic function",371857005,1001000124104,11392990-DS-6,"ed with the prior study (images reviewed) of ___, LV systolic function has slightly improved (LVEF on prior really ___." "Correct entity, wrong SNOMED ID","(8278, 8286)","(8278, 8286)",improved,improved,268910001,251359002,11392990-DS-6,"iewed) of ___, LV systolic function has slightly improved (LVEF on prior really ___. ___ CXR IMPRESSION" "Correct entity, wrong SNOMED ID","(8322, 8325)","(8322, 8325)",CXR,CXR,399208008,55106003,11392990-DS-6,"ghtly improved (LVEF on prior really ___. ___ CXR IMPRESSION: Markedly enlarged cardiac silhouette" Wrong span,"(8348, 8375)","(8348, 8356)",enlarged cardiac silhouette,enlarged,8186001,300344005,11392990-DS-6,"ior really ___. ___ CXR IMPRESSION: Markedly enlarged cardiac silhouette with findings suggestive of chronic fluid overlo" Wrong span,"(8413, 8427)","(8405, 8427)",fluid overload,chronic fluid overload,21639008,721181006,11392990-DS-6,"c silhouette with findings suggestive of chronic fluid overload with no evidence of acute pulmonary edema. ___" Wrong span,"(8448, 8470)","(8455, 8470)","acute pulmonary edema",pulmonary edema,40541001,40541001,11392990-DS-6,"ive of chronic fluid overload with no evidence of acute pulmonary edema. ___ CT Chest without contrast IMPRESSION: 1. " "Correct entity, wrong SNOMED ID","(8478, 8503)","(8478, 8503)",CT Chest without contrast,CT Chest without contrast,395081000119108,16335031000119103,11392990-DS-6,"with no evidence of acute pulmonary edema. ___ CT Chest without contrast IMPRESSION: 1. Prior tuberculosis/granulomatous" "Correct entity, wrong SNOMED ID","(8527, 8539)","(8527, 8539)",tuberculosis,tuberculosis,56717001,235067001,11392990-DS-6," CT Chest without contrast IMPRESSION: 1. Prior tuberculosis/granulomatous infection evident in lung apices. " Wrong span,"(8554, 8563)","(8540, 8563)",infection,granulomatous infection,40733004,52760008,11392990-DS-6,"IMPRESSION: 1. Prior tuberculosis/granulomatous infection evident in lung apices. No reactivation. 2. " "Correct entity, wrong SNOMED ID","(8575, 8587)","(8575, 8587)","lung apices","lung apices",86598002,314790003,11392990-DS-6,"r tuberculosis/granulomatous infection evident in lung apices. No reactivation. 2. Posterior basilar ground" "Correct entity, wrong SNOMED ID","(8623, 8630)","(8623, 8630)",basilar,basilar,10024003,64009001,11392990-DS-6,"n lung apices. No reactivation. 2. Posterior basilar ground glass opacification in the bilateral lowe" Wrong span,"(8676, 8687)","(8666, 8687)",lower lobes,bilateral lower lobes,90572001,372111007,11392990-DS-6,"ilar ground glass opacification in the bilateral lower lobes could be pulmonary hemorrhage, drug reaction, or" "Correct entity, wrong SNOMED ID","(8697, 8717)","(8697, 8717)",pulmonary hemorrhage,pulmonary hemorrhage,78144005,414822009,11392990-DS-6,"cification in the bilateral lower lobes could be pulmonary hemorrhage, drug reaction, or the early manifestation of ch" "Correct entity, wrong SNOMED ID","(8719, 8733)","(8719, 8733)","drug reaction","drug reaction",62014003,400072006,11392990-DS-6,"ateral lower lobes could be pulmonary hemorrhage, drug reaction, or the early manifestation of chronic eosinophil" Wrong span,"(8765, 8796)","(8765, 8772)","chronic eosinophilic pneumonia",chronic,233692000,255212004,11392990-DS-6,"ge, drug reaction, or the early manifestation of chronic eosinophilic pneumonia, nonspecific or desquamative interstitial pneumon" Missed entity,"(8813, 8848)",,desquamative interstitial pneumonia,,8549006,,11392990-DS-6,"f chronic eosinophilic pneumonia, nonspecific or desquamative interstitial pneumonia. Supplementary prone imaging could be performed" Wrong span,"(8949, 8964)","(8959, 8964)",dependent edema,edema,248499004,102576009,11392990-DS-6,"to see if this is unusual atelectasis or gravity dependent edema. No evidence of pulmonary fibrosis. 3. Modera" "Correct entity, wrong SNOMED ID","(8983, 9001)","(8983, 9001)",pulmonary fibrosis,pulmonary fibrosis,51615001,14700006,11392990-DS-6,"asis or gravity dependent edema. No evidence of pulmonary fibrosis. 3. Moderately severe emphysema. Probable pulmo" "Correct entity, wrong SNOMED ID","(9026, 9035)","(9026, 9035)",emphysema,emphysema,49158009,26680001000004102,11392990-DS-6,"ce of pulmonary fibrosis. 3. Moderately severe emphysema. Probable pulmonary hypertension. 4. Extensive" "Correct entity, wrong SNOMED ID","(9046, 9069)","(9046, 9069)","pulmonary hypertension","pulmonary hypertension",70995007,840307003,11392990-DS-6,"rosis. 3. Moderately severe emphysema. Probable pulmonary hypertension. 4. Extensive coronary and peripheral atheroscl" "Correct entity, wrong SNOMED ID","(9086, 9094)","(9086, 9094)",coronary,coronary,443502000,1755008,11392990-DS-6," Probable pulmonary hypertension. 4. Extensive coronary and peripheral atherosclerosis detailed above. " Wrong span,"(9110, 9125)","(9099, 9125)",atherosclerosis,peripheral atherosclerosis,38716007,870346008,11392990-DS-6,"ertension. 4. Extensive coronary and peripheral atherosclerosis detailed above. ___ CXR IMPRESSION: AP chest " "Correct entity, wrong SNOMED ID","(9149, 9152)","(9149, 9152)",CXR,CXR,399208008,55106003,11392990-DS-6,"peripheral atherosclerosis detailed above. ___ CXR IMPRESSION: AP chest compared to ___ and ___: S" Missed entity,"(9166, 9174)",,AP chest,,394421000119103,,11392990-DS-6,"sclerosis detailed above. ___ CXR IMPRESSION: AP chest compared to ___ and ___: Severe cardiomegaly pro" "Correct entity, wrong SNOMED ID","(9208, 9220)","(9208, 9220)",cardiomegaly,cardiomegaly,8186001,275516004,11392990-DS-6,"SSION: AP chest compared to ___ and ___: Severe cardiomegaly progressed between ___ and ___, subsequently unc" Wrong span,"(9296, 9316)","(9296, 9304)",vascular engorgement,vascular,30098003,238460009,11392990-DS-6,"d ___, subsequently unchanged. A combination of vascular engorgement and worsening interstitial abnormality suggests " Wrong span,"(9406, 9428)","(9406, 9413)",cardiac decompensation,cardiac,195111005,71892000,11392990-DS-6," suggests all the findings could be explained by cardiac decompensation. Because of asymmetry in lower lobe involvement" "Correct entity, wrong SNOMED ID","(9608, 9625)","(9608, 9625)",Pleural effusions,Pleural effusions,60046008,425802001,11392990-DS-6,"not be invoked to explain the current findings. Pleural effusions are small, if any. Transvenous pacer lead tip pr" Missed entity,"(9691, 9695)",,apex,,13383001,,11392990-DS-6,"any. Transvenous pacer lead tip projects over the apex of the right ventricle. PERTINENT DISCHARGE LA" "Correct entity, wrong SNOMED ID","(9704, 9719)","(9704, 9719)",right ventricle,right ventricle,53085002,109425008,11392990-DS-6,"ous pacer lead tip projects over the apex of the right ventricle. PERTINENT DISCHARGE LABS: ___ 08:05AM BLOOD Gl" Wrong span,"(9761, 9774)","(9767, 9774)",BLOOD Glucose,Glucose,33747003,72191006,11392990-DS-6,"entricle. PERTINENT DISCHARGE LABS: ___ 08:05AM BLOOD Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HC" "Correct entity, wrong SNOMED ID","(9780, 9785)","(9780, 9785)",UreaN,UreaN,105011006,111108008,11392990-DS-6,"NT DISCHARGE LABS: ___ 08:05AM BLOOD Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap" "Correct entity, wrong SNOMED ID","(9790, 9795)","(9790, 9795)",Creat,Creat,70901006,413856009,11392990-DS-6,"GE LABS: ___ 08:05AM BLOOD Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___ 08" "Correct entity, wrong SNOMED ID","(9801, 9803)","(9801, 9803)",Na,Na,312469006,257992007,11392990-DS-6,"_ 08:05AM BLOOD Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___ 08:05AM BL" "Correct entity, wrong SNOMED ID","(9815, 9817)","(9815, 9817)",Cl,Cl,104589004,311741002,11392990-DS-6,"D Glucose-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___ 08:05AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(9822, 9826)","(9822, 9826)",HCO3,HCO3,312471006,88645003,11392990-DS-6,"se-106* UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___ 08:05AM BLOOD Calcium-8.5 Phos-3." "Correct entity, wrong SNOMED ID","(9830, 9835)","(9830, 9835)",AnGap,AnGap,25469001,124504004,11392990-DS-6,"UreaN-30* Creat-1.5* Na-141 K-3.3 Cl-103 HCO3-27 AnGap-14 ___ 08:05AM BLOOD Calcium-8.5 Phos-3.4 Mg-2.0 " "Correct entity, wrong SNOMED ID","(9857, 9864)","(9857, 9864)",Calcium,Calcium,312472004,108601004,11392990-DS-6," K-3.3 Cl-103 HCO3-27 AnGap-14 ___ 08:05AM BLOOD Calcium-8.5 Phos-3.4 Mg-2.0 ___ 08:05AM BLOOD WBC-7.7 RBC" "Correct entity, wrong SNOMED ID","(9869, 9873)","(9869, 9873)",Phos,Phos,104868000,168075002,11392990-DS-6,"03 HCO3-27 AnGap-14 ___ 08:05AM BLOOD Calcium-8.5 Phos-3.4 Mg-2.0 ___ 08:05AM BLOOD WBC-7.7 RBC-3.50* Hg" "Correct entity, wrong SNOMED ID","(9878, 9880)","(9878, 9880)",Mg,Mg,271285000,258684004,11392990-DS-6,"7 AnGap-14 ___ 08:05AM BLOOD Calcium-8.5 Phos-3.4 Mg-2.0 ___ 08:05AM BLOOD WBC-7.7 RBC-3.50* Hgb-9.9* " "Correct entity, wrong SNOMED ID","(9903, 9906)","(9903, 9906)",WBC,WBC,767002,391558003,11392990-DS-6,"OOD Calcium-8.5 Phos-3.4 Mg-2.0 ___ 08:05AM BLOOD WBC-7.7 RBC-3.50* Hgb-9.9* Hct-29.9* MCV-85 MCH-28.4" "Correct entity, wrong SNOMED ID","(9911, 9914)","(9911, 9914)",RBC,RBC,14089001,258759006,11392990-DS-6,"ium-8.5 Phos-3.4 Mg-2.0 ___ 08:05AM BLOOD WBC-7.7 RBC-3.50* Hgb-9.9* Hct-29.9* MCV-85 MCH-28.4 MCHC-33" "Correct entity, wrong SNOMED ID","(9921, 9924)","(9921, 9924)",Hgb,Hgb,441689006,104142005,11392990-DS-6,"os-3.4 Mg-2.0 ___ 08:05AM BLOOD WBC-7.7 RBC-3.50* Hgb-9.9* Hct-29.9* MCV-85 MCH-28.4 MCHC-33.3 RDW-15." "Correct entity, wrong SNOMED ID","(9930, 9933)","(9930, 9933)",Hct,Hct,28317006,282660005,11392990-DS-6,"-2.0 ___ 08:05AM BLOOD WBC-7.7 RBC-3.50* Hgb-9.9* Hct-29.9* MCV-85 MCH-28.4 MCHC-33.3 RDW-15.1 Plt ___" "Correct entity, wrong SNOMED ID","(9957, 9961)","(9957, 9961)",MCHC,MCHC,37254006,735147002,11392990-DS-6,"7.7 RBC-3.50* Hgb-9.9* Hct-29.9* MCV-85 MCH-28.4 MCHC-33.3 RDW-15.1 Plt ___ ___ 02:00PM BLOOD ___ PEND" "Correct entity, wrong SNOMED ID","(10038, 10052)","(10038, 10052)",Blood cultures,Blood cultures,30088009,8730001000004107,11392990-DS-6,"02:00PM BLOOD ___ PENDING LABS ON DISCHARGE: ___ Blood cultures pending Brief Hospital Course: Mr. ___ is a ___" "Correct entity, wrong SNOMED ID","(10112, 10115)","(10112, 10115)",CAD,CAD,53741008,84270004,11392990-DS-6," Brief Hospital Course: Mr. ___ is a ___ man with CAD s/p CABG, CHF (EF ___, afib on coumadin and amio" "Correct entity, wrong SNOMED ID","(10120, 10124)","(10120, 10124)",CABG,CABG,232717009,312692004,11392990-DS-6,"ospital Course: Mr. ___ is a ___ man with CAD s/p CABG, CHF (EF ___, afib on coumadin and amiodarone, a" "Correct entity, wrong SNOMED ID","(10126, 10129)","(10126, 10129)",CHF,CHF,42343007,48447003,11392990-DS-6,"l Course: Mr. ___ is a ___ man with CAD s/p CABG, CHF (EF ___, afib on coumadin and amiodarone, and s/" "Correct entity, wrong SNOMED ID","(10140, 10144)","(10140, 10144)",afib,afib,49436004,282825002,11392990-DS-6,"___ is a ___ man with CAD s/p CABG, CHF (EF ___, afib on coumadin and amiodarone, and s/p ICD placement" Missed entity,"(10201, 10221)",,inappropriate shocks,,234239006,,11392990-DS-6,"madin and amiodarone, and s/p ICD placement (h/o inappropriate shocks for AF), who presented to the ED with acute onse" "Correct entity, wrong SNOMED ID","(10226, 10228)","(10226, 10228)",AF,AF,49436004,33734008,11392990-DS-6," s/p ICD placement (h/o inappropriate shocks for AF), who presented to the ED with acute onset SOB l" "Correct entity, wrong SNOMED ID","(10273, 10276)","(10273, 10276)",SOB,SOB,267036007,43777007,11392990-DS-6,"or AF), who presented to the ED with acute onset SOB likely secondary to exacerbation of undiagnosed C" Wrong span,"(10297, 10329)","(10325, 10329)",exacerbation of undiagnosed COPD,COPD,195951007,48347002,11392990-DS-6," the ED with acute onset SOB likely secondary to exacerbation of undiagnosed COPD prompting admission to ICU on ___ followed by tr" Missed entity,"(10341, 10357)",,admission to ICU,,305351004,,11392990-DS-6,"ry to exacerbation of undiagnosed COPD prompting admission to ICU on ___ followed by transfer to Medicine floor on" "Correct entity, wrong SNOMED ID","(10416, 10435)","(10416, 10435)",Shortness of breath,Shortness of breath,267036007,135833008,11392990-DS-6,"ollowed by transfer to Medicine floor on ___. # Shortness of breath/hypoxemia On arrival to the MICU, VS were 98 71 1" "Correct entity, wrong SNOMED ID","(10470, 10472)","(10470, 10472)",VS,VS,118227000,313611000,11392990-DS-6,"tness of breath/hypoxemia On arrival to the MICU, VS were 98 71 148/51 17 97% on Venturi mask. The pa" "Correct entity, wrong SNOMED ID","(10561, 10564)","(10561, 10564)",SOB,SOB,267036007,43777007,11392990-DS-6,"ask. The patient was comfortable and reported his SOB had improved. Empiric antibiotics and nitro drip" "Correct entity, wrong SNOMED ID","(10570, 10578)","(10570, 10578)",improved,improved,268910001,251359002,11392990-DS-6,"patient was comfortable and reported his SOB had improved. Empiric antibiotics and nitro drip were disconti" "Correct entity, wrong SNOMED ID","(10588, 10599)","(10588, 10599)",antibiotics,antibiotics,281789004,372599003,11392990-DS-6,"table and reported his SOB had improved. Empiric antibiotics and nitro drip were discontinued given lack of e" "Correct entity, wrong SNOMED ID","(10661, 10664)","(10661, 10664)",PNA,PNA,233604007,423257005,11392990-DS-6,"rip were discontinued given lack of evidence for PNA or fluid overload. Respiratory status continued " "Correct entity, wrong SNOMED ID","(10668, 10682)","(10668, 10682)",fluid overload,fluid overload,21639008,1148820009,11392990-DS-6,"e discontinued given lack of evidence for PNA or fluid overload. Respiratory status continued to improve with st" Wrong span,"(10684, 10695)","(10684, 10703)",Respiratory,"Respiratory status",268925001,53617003,11392990-DS-6,"given lack of evidence for PNA or fluid overload. Respiratory status continued to improve with steroids and ne" "Correct entity, wrong SNOMED ID","(10730, 10738)","(10730, 10738)",steroids,steroids,297279009,285435007,11392990-DS-6,"ad. Respiratory status continued to improve with steroids and nebs for presumed COPD exacerbation. TTE rev" "Correct entity, wrong SNOMED ID","(10781, 10784)","(10781, 10784)",TTE,TTE,433236007,258691001,11392990-DS-6,"teroids and nebs for presumed COPD exacerbation. TTE revealed no change in his severe heart failure w" "Correct entity, wrong SNOMED ID","(10818, 10832)","(10818, 10832)","heart failure","heart failure",84114007,56675007,11392990-DS-6,"xacerbation. TTE revealed no change in his severe heart failure with increased EF ___. CT chest revealed prior t" "Correct entity, wrong SNOMED ID","(10881, 10893)","(10881, 10893)",tuberculosis,tuberculosis,56717001,235067001,11392990-DS-6,"e with increased EF ___. CT chest revealed prior tuberculosis/granulomatous infection (no reactivation), moder" Wrong span,"(10908, 10917)","(10894, 10917)",infection,granulomatous infection,40733004,1186835003,11392990-DS-6," chest revealed prior tuberculosis/granulomatous infection (no reactivation), moderately severe emphysema, " "Correct entity, wrong SNOMED ID","(10956, 10965)","(10956, 10965)",emphysema,emphysema,49158009,26680001000004102,11392990-DS-6,"s infection (no reactivation), moderately severe emphysema, and basilar ground glass opacities that could b" "Correct entity, wrong SNOMED ID","(10971, 10978)","(10971, 10978)",basilar,basilar,10024003,64009001,11392990-DS-6," reactivation), moderately severe emphysema, and basilar ground glass opacities that could be pulmonary h" "Correct entity, wrong SNOMED ID","(11017, 11037)","(11017, 11037)",pulmonary hemorrhage,pulmonary hemorrhage,78144005,414822009,11392990-DS-6,"and basilar ground glass opacities that could be pulmonary hemorrhage, drug reaction, or the early manifestation of ch" "Correct entity, wrong SNOMED ID","(11039, 11052)","(11039, 11052)",drug reaction,drug reaction,62014003,400072006,11392990-DS-6,"ss opacities that could be pulmonary hemorrhage, drug reaction, or the early manifestation of chronic eosinophi" "Correct entity, wrong SNOMED ID","(11085, 11115)","(11085, 11115)",chronic eosinophilic pneumonia,chronic eosinophilic pneumonia,233692000,724500003,11392990-DS-6,"ge, drug reaction, or the early manifestation of chronic eosinophilic pneumonia. Because of the possibility of amiodarone-relate" Wrong span,"(11218, 11229)","(11218, 11236)",respiratory,respiratory status,268925001,53617003,11392990-DS-6,"ulmonary toxicity, home amiodarone was held. His respiratory status continued to improve on steroids and duo " "Correct entity, wrong SNOMED ID","(11262, 11270)","(11262, 11270)",steroids,steroids,297279009,285435007,11392990-DS-6,". His respiratory status continued to improve on steroids and duo nebs and on transfer to the floor he rep" "Correct entity, wrong SNOMED ID","(11337, 11345)","(11337, 11345)",baseline,baseline,128974000,129082007,11392990-DS-6," on transfer to the floor he reported almost his baseline respiratory status on nasal cannula. On the floo" "Correct entity, wrong SNOMED ID","(11368, 11382)","(11368, 11382)","nasal cannula","nasal cannula",371907003,336623009,11392990-DS-6,"eported almost his baseline respiratory status on nasal cannula. On the floor, he was continued on prednisone, a" "Correct entity, wrong SNOMED ID","(11470, 11473)","(11470, 11473)",SOB,SOB,267036007,43777007,11392990-DS-6,"ednisone, azithromycin, and nebs, with decreased SOB, no tachypnea, and improving O2 sat. By the day " "Correct entity, wrong SNOMED ID","(11478, 11487)","(11478, 11487)",tachypnea,tachypnea,271823003,7550008,11392990-DS-6,", azithromycin, and nebs, with decreased SOB, no tachypnea, and improving O2 sat. By the day of discharge, " "Correct entity, wrong SNOMED ID","(11504, 11510)","(11504, 11510)",O2 sat,O2 sat,104847001,103228002,11392990-DS-6," with decreased SOB, no tachypnea, and improving O2 sat. By the day of discharge, O2 sat was stably >90%" "Correct entity, wrong SNOMED ID","(11537, 11543)","(11537, 11543)",O2 sat,O2 sat,104847001,103228002,11392990-DS-6,", and improving O2 sat. By the day of discharge, O2 sat was stably >90% on room air at rest and while am" Missed entity,"(11561, 11572)",,on room air,,722742002,,11392990-DS-6," By the day of discharge, O2 sat was stably >90% on room air at rest and while ambulating. Patient was discha" Missed entity,"(11591, 11601)",,ambulating,,160680006,,11392990-DS-6,"at was stably >90% on room air at rest and while ambulating. Patient was discharged on albuterol PRN and wit" "Correct entity, wrong SNOMED ID","(11659, 11668)","(11659, 11668)",pulmonary,pulmonary,310039004,419170002,11392990-DS-6,"t was discharged on albuterol PRN and with early pulmonary follow up for new possible diagnosis of COPD and" Missed entity,"(11669, 11678)",,follow up,,308273005,,11392990-DS-6,"charged on albuterol PRN and with early pulmonary follow up for new possible diagnosis of COPD and the quest" "Correct entity, wrong SNOMED ID","(11710, 11714)","(11710, 11714)",COPD,COPD,13645005,48347002,11392990-DS-6,"ulmonary follow up for new possible diagnosis of COPD and the question of amiodarone induced lung toxi" Missed entity,"(11747, 11768)",,induced lung toxicity,,846605006,,11392990-DS-6,"diagnosis of COPD and the question of amiodarone induced lung toxicity. # Acute-on-chronic kidney disease Baseline C" "Correct entity, wrong SNOMED ID","(11776, 11807)","(11776, 11807)",Acute-on-chronic kidney disease,Acute-on-chronic kidney disease,236433006,1148896009,11392990-DS-6,"stion of amiodarone induced lung toxicity. # Acute-on-chronic kidney disease Baseline Cr 1.4-1.5. On admission, Cr was 2.3. Th" Missed entity,"(11808, 11816)",,Baseline,,128974000,,11392990-DS-6,"g toxicity. # Acute-on-chronic kidney disease Baseline Cr 1.4-1.5. On admission, Cr was 2.3. This was th" "Correct entity, wrong SNOMED ID","(11932, 11947)","(11932, 11947)","poor PO intake","poor PO intake",64379006,23800005,11392990-DS-6,"renal in etiology, although no obvious history of poor PO intake or GI losses. In the unit patient received NS @ 1" Wrong span,"(12008, 12013)","(12008, 12019)",Urine,Urine lytes,442564008,271258007,11392990-DS-6,"es. In the unit patient received NS @ 100 cc/hr. Urine lytes demonstrated a FENA <1% and his Cr returned" "Correct entity, wrong SNOMED ID","(12072, 12080)","(12072, 12080)",baseline,baseline,128974000,161033005,11392990-DS-6,"monstrated a FENA <1% and his Cr returned to its baseline level of 1.5 on ___. Home lisinopril and lasix w" Wrong span,"(12107, 12117)","(12107, 12114)",lisinopril,lisinop,410682003,108575001,11392990-DS-6,"turned to its baseline level of 1.5 on ___. Home lisinopril and lasix were restarted on ___ and ___, respect" "Correct entity, wrong SNOMED ID","(12123, 12128)","(12123, 12128)",lasix,lasix,722048006,25401000181106,11392990-DS-6,"aseline level of 1.5 on ___. Home lisinopril and lasix were restarted on ___ and ___, respectively. Cr " "Correct entity, wrong SNOMED ID","(12187, 12195)","(12187, 12195)",baseline,baseline,128974000,129082007,11392990-DS-6,"tarted on ___ and ___, respectively. Cr remained baseline 1.5 on day of discharge. # Possible amiodarone t" Missed entity,"(12244, 12252)",,toxicity,,75478009,,11392990-DS-6,"e 1.5 on day of discharge. # Possible amiodarone toxicity SOB and hypoxemia with GGOs on CT Chest could be " "Correct entity, wrong SNOMED ID","(12253, 12256)","(12253, 12256)",SOB,SOB,267036007,43731003,11392990-DS-6,"day of discharge. # Possible amiodarone toxicity SOB and hypoxemia with GGOs on CT Chest could be seco" Boundary error,"(12276, 12279)","(12276, 12280)",GGO,GGOs,1217294009,124706000,11392990-DS-6,"ssible amiodarone toxicity SOB and hypoxemia with GGOs on CT Chest could be secondary to amiodarone to" Missed entity,"(12327, 12335)",,toxicity,,75478009,,11392990-DS-6,"GOs on CT Chest could be secondary to amiodarone toxicity. LFTs were mildly elevated on ___, and normalize" Wrong span,"(12337, 12362)","(12337, 12341)",LFTs were mildly elevated,LFTs,863927004,365769003,11392990-DS-6,"Chest could be secondary to amiodarone toxicity. LFTs were mildly elevated on ___, and normalized by ___. TSH was elevated " Wrong span,"(12395, 12411)","(12395, 12398)",TSH was elevated,TSH,309080005,294830002,11392990-DS-6,"e mildly elevated on ___, and normalized by ___. TSH was elevated at 11.0, T4 was normal. Cardiology/EP was consul" "Correct entity, wrong SNOMED ID","(12532, 12535)","(12532, 12535)",SOB,SOB,267036007,43777007,11392990-DS-6,"ontinuing to hold amiodarone, though stated that SOB was probably not due to amiodarone toxicity. Pat" Missed entity,"(12572, 12580)",,toxicity,,75478009,,11392990-DS-6,"ated that SOB was probably not due to amiodarone toxicity. Patient was scheduled for outpatient pulmonary " Wrong span,"(12620, 12629)","(12620, 12639)",pulmonary,pulmonary follow up,268925001,444562008,11392990-DS-6,"e toxicity. Patient was scheduled for outpatient pulmonary follow up to further assess possibility of underl" Wrong span,"(12630, 12639)","(12620, 12639)",follow up,pulmonary follow up,308273005,444562008,11392990-DS-6,". Patient was scheduled for outpatient pulmonary follow up to further assess possibility of underlying amio" Missed entity,"(12696, 12704)",,toxicity,,75478009,,11392990-DS-6,"ther assess possibility of underlying amiodarone toxicity, as amio toxicity would warrant longer course of" Missed entity,"(12714, 12722)",,toxicity,,75478009,,11392990-DS-6,"ility of underlying amiodarone toxicity, as amio toxicity would warrant longer course of steroids. # CHF" "Correct entity, wrong SNOMED ID","(12755, 12763)","(12755, 12763)",steroids,steroids,297279009,285435007,11392990-DS-6," as amio toxicity would warrant longer course of steroids. # CHF (EF ___ s/p ICD) No evidence of acute vo" "Correct entity, wrong SNOMED ID","(12769, 12772)","(12769, 12772)",CHF,CHF,42343007,48447003,11392990-DS-6,"ity would warrant longer course of steroids. # CHF (EF ___ s/p ICD) No evidence of acute volume over" "Correct entity, wrong SNOMED ID","(12785, 12788)","(12785, 12788)",ICD,ICD,233170003,233169004,11392990-DS-6,"t longer course of steroids. # CHF (EF ___ s/p ICD) No evidence of acute volume overload on this adm" Wrong span,"(12811, 12817)","(12811, 12826)",volume,volume overload,286340007,457651000124103,11392990-DS-6,"ds. # CHF (EF ___ s/p ICD) No evidence of acute volume overload on this admission (JVP ~8cm, no leg swe" "Correct entity, wrong SNOMED ID","(12846, 12849)","(12846, 12849)",JVP,JVP,366163001,276766001,11392990-DS-6,"dence of acute volume overload on this admission (JVP ~8cm, no leg swelling, CXR with cardiomegaly and" "Correct entity, wrong SNOMED ID","(12860, 12872)","(12860, 12872)",leg swelling,leg swelling,248480008,300981003,11392990-DS-6," volume overload on this admission (JVP ~8cm, no leg swelling, CXR with cardiomegaly and e/o chronic volume ov" "Correct entity, wrong SNOMED ID","(12874, 12877)","(12874, 12877)",CXR,CXR,399208008,55106003,11392990-DS-6,"ad on this admission (JVP ~8cm, no leg swelling, CXR with cardiomegaly and e/o chronic volume overloa" "Correct entity, wrong SNOMED ID","(12883, 12895)","(12883, 12895)",cardiomegaly,cardiomegaly,8186001,275516004,11392990-DS-6,"s admission (JVP ~8cm, no leg swelling, CXR with cardiomegaly and e/o chronic volume overload). Repeat TTE thi" Wrong span,"(12913, 12928)","(12904, 12928)",volume overload,"chronic volume overload",21639008,457651000124103,11392990-DS-6," swelling, CXR with cardiomegaly and e/o chronic volume overload). Repeat TTE this admission showed no significan" "Correct entity, wrong SNOMED ID","(12938, 12941)","(12938, 12941)",TTE,TTE,433236007,258691001,11392990-DS-6,"omegaly and e/o chronic volume overload). Repeat TTE this admission showed no significant change, inc" Wrong span,"(13175, 13185)","(13175, 13181)",lisinopril,lisino,410682003,412210000,11392990-DS-6,"d, in the setting of ___. Additionally, his home lisinopril and lasix were held in the setting of ___. When " "Correct entity, wrong SNOMED ID","(13190, 13195)","(13190, 13195)",lasix,lasix,722048006,25401000181106,11392990-DS-6,"ng of ___. Additionally, his home lisinopril and lasix were held in the setting of ___. When ___ resolv" Wrong span,"(13254, 13264)","(13254, 13261)",lisinopril,lisinop,410682003,108575001,11392990-DS-6,"d in the setting of ___. When ___ resolved, home lisinopril, lasix, and atenolol were restarted. # Afib on " "Correct entity, wrong SNOMED ID","(13266, 13271)","(13266, 13271)",lasix,lasix,722048006,25401000181106,11392990-DS-6,"tting of ___. When ___ resolved, home lisinopril, lasix, and atenolol were restarted. # Afib on coumadi" "Correct entity, wrong SNOMED ID","(13306, 13310)","(13306, 13310)",Afib,Afib,49436004,312442005,11392990-DS-6,"sinopril, lasix, and atenolol were restarted. # Afib on coumadin Patient with longstanding history of " "Correct entity, wrong SNOMED ID","(13360, 13364)","(13360, 13364)",AFib,AFib,49436004,312442005,11392990-DS-6," on coumadin Patient with longstanding history of AFib s/p failed ablation and s/p ICD on coumadin. Sta" Wrong span,"(13376, 13384)","(13369, 13384)",ablation,failed ablation,64597002,129089003,11392990-DS-6,"ient with longstanding history of AFib s/p failed ablation and s/p ICD on coumadin. Started on amiodarone i" "Correct entity, wrong SNOMED ID","(13394, 13397)","(13394, 13397)",ICD,ICD,233170003,233169004,11392990-DS-6,"ding history of AFib s/p failed ablation and s/p ICD on coumadin. Started on amiodarone in ___ due to " "Correct entity, wrong SNOMED ID","(13459, 13466)","(13459, 13466)",fatigue,fatigue,84229001,1141720008,11392990-DS-6,". Started on amiodarone in ___ due to increasing fatigue, possibly due to AV dyssynchrony. Amiodarone hel" "Correct entity, wrong SNOMED ID","(13484, 13499)","(13484, 13499)",AV dyssynchrony,AV dyssynchrony,698252002,458084001,11392990-DS-6,"n ___ due to increasing fatigue, possibly due to AV dyssynchrony. Amiodarone held during admission and on dischar" "Correct entity, wrong SNOMED ID","(13572, 13575)","(13572, 13575)",NSR,NSR,64730000,258699004,11392990-DS-6,"ng admission and on discharge as above. He was in NSR throughout admission. EP interrogated the ICD, w" "Correct entity, wrong SNOMED ID","(13619, 13622)","(13619, 13622)",ICD,ICD,443325000,233169004,11392990-DS-6,"in NSR throughout admission. EP interrogated the ICD, which demonstrated no inciting event to explain" "Correct entity, wrong SNOMED ID","(13691, 13698)","(13691, 13698)",dyspnea,dyspnea,267036007,60845006,11392990-DS-6,"ed no inciting event to explain the sudden onset dyspnea. Patient declined ablation for rhythm control. Hi" "Correct entity, wrong SNOMED ID","(13717, 13725)","(13717, 13725)",ablation,ablation,64597002,65659003,11392990-DS-6,"plain the sudden onset dyspnea. Patient declined ablation for rhythm control. His coumadin was held in the" Missed entity,"(13954, 13966)",,instructions,,311401005,,11392990-DS-6,"Patient was restarted on coumadin 2.5 mg QD with instructions for early follow up of his INR with his outpt ca" Missed entity,"(13977, 13986)",,follow up,,183616001,,11392990-DS-6,"n coumadin 2.5 mg QD with instructions for early follow up of his INR with his outpt cardiologist's office." Missed entity,"(14049, 14075)",,scheduled for appointments,,183616001,,11392990-DS-6,"ith his outpt cardiologist's office. Patient was scheduled for appointments with general cardiology and EP after discharge. " "Correct entity, wrong SNOMED ID","(14155, 14163)","(14155, 14163)",baseline,baseline,128974000,161033005,11392990-DS-6,"EP after discharge. # Downtrending Hct Patient's baseline Hct appears to be ___. Hct was 36 on admission _" "Correct entity, wrong SNOMED ID","(14187, 14190)","(14187, 14190)",Hct,Hct,28317006,258702006,11392990-DS-6,"ing Hct Patient's baseline Hct appears to be ___. Hct was 36 on admission ___ and decreased to 29.3 on" Wrong span,"(14281, 14294)","(14291, 14294)",decreased Hct,Hct,165414004,840276005,11392990-DS-6,"o 29.3 on ___, normocytic. Unclear etiology; the decreased Hct did not appear to be dilutional and there was no" "Correct entity, wrong SNOMED ID","(14364, 14372)","(14364, 14372)",bleeding,bleeding,131148009,74474003,11392990-DS-6,"e dilutional and there was no evidence of active bleeding. Hct was stable at 29.9 for the remainder of the" Wrong span,"(14374, 14389)","(14374, 14377)","Hct was stable",Hct,409683007,258702006,11392990-DS-6,"nal and there was no evidence of active bleeding. Hct was stable at 29.9 for the remainder of the admission. # CA" "Correct entity, wrong SNOMED ID","(14437, 14440)","(14437, 14440)",CAD,CAD,53741008,84270004,11392990-DS-6,"le at 29.9 for the remainder of the admission. # CAD s/p CABG Admission EKG had no signs of active isc" "Correct entity, wrong SNOMED ID","(14445, 14449)","(14445, 14449)",CABG,CABG,232717009,1366456004,11392990-DS-6,".9 for the remainder of the admission. # CAD s/p CABG Admission EKG had no signs of active ischemia, an" "Correct entity, wrong SNOMED ID","(14460, 14463)","(14460, 14463)",EKG,EKG,29303009,75444003,11392990-DS-6,"inder of the admission. # CAD s/p CABG Admission EKG had no signs of active ischemia, and troponins w" Missed entity,"(14471, 14476)",,signs,,72670004,,11392990-DS-6,"e admission. # CAD s/p CABG Admission EKG had no signs of active ischemia, and troponins were negative " "Correct entity, wrong SNOMED ID","(14487, 14495)","(14487, 14495)",ischemia,ischemia,52674009,414795007,11392990-DS-6,"CAD s/p CABG Admission EKG had no signs of active ischemia, and troponins were negative x2. He was continue" "Correct entity, wrong SNOMED ID","(14501, 14510)","(14501, 14510)",troponins,troponins,105000003,102684000,11392990-DS-6,"dmission EKG had no signs of active ischemia, and troponins were negative x2. He was continued on home ASA 8" "Correct entity, wrong SNOMED ID","(14600, 14626)","(14600, 14626)","Diabetes Mellitus, type II","Diabetes Mellitus, type II",44054006,472969004,11392990-DS-6,"home ASA 81 mg and statin during admission. # Diabetes Mellitus, type II Patient is on metformin at home, with good contro" "Correct entity, wrong SNOMED ID","(14711, 14722)","(14711, 14722)",nephropathy,nephropathy,90708001,236411009,11392990-DS-6,"ith good control (HgbA1c 6.2% on ___. Unclear if nephropathy is a complication of DM. During admission, he wa" "Correct entity, wrong SNOMED ID","(14744, 14746)","(14744, 14746)",DM,DM,73211009,258671008,11392990-DS-6," ___. Unclear if nephropathy is a complication of DM. During admission, he was placed on an insulin s" Missed entity,"(14839, 14858)",,Metformin restarted,,182837001,,11392990-DS-6,"sulin sliding scale and home metformin was held. Metformin restarted on discharge. # Hypertension Patient's home " "Correct entity, wrong SNOMED ID","(14878, 14890)","(14878, 14890)",Hypertension,Hypertension,38341003,70995007,11392990-DS-6," was held. Metformin restarted on discharge. # Hypertension Patient's home lisinopril was initially held fo" Wrong span,"(14908, 14918)","(14908, 14914)",lisinopril,lisino,410682003,412210000,11392990-DS-6," on discharge. # Hypertension Patient's home lisinopril was initially held for ___, and restarted after " "Correct entity, wrong SNOMED ID","(15126, 15140)","(15126, 15140)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11392990-DS-6,"red), and restarted after ___ resolved on ___. # Hyperlipidemia Patient received home statin during admission. " "Correct entity, wrong SNOMED ID","(15273, 15292)","(15273, 15292)","speech and swallow","speech and swallow",305864009,440363007,11392990-DS-6,"ue to concern for possible aspiration in the ICU, speech and swallow was consulted. They found no evidence of obvious " "Correct entity, wrong SNOMED ID","(15377, 15383)","(15377, 15383)",O2 sat,O2 sat,104847001,103228002,11392990-DS-6,"nce of obvious aspiration, however the patient's O2 sat decreased from 91 to high ___ on RA while eating" "Correct entity, wrong SNOMED ID","(15418, 15420)","(15418, 15420)",RA,RA,722742002,463051000124105,11392990-DS-6,"atient's O2 sat decreased from 91 to high ___ on RA while eating. Though the desats could have been " Wrong span,"(15539, 15543)","(15539, 15549)",COPD,COPD flare,13645005,277175001,11392990-DS-6,"ations, they were more likely due to the ongoing COPD flare, and video swallow was deferred. There was " "Correct entity, wrong SNOMED ID","(15555, 15568)","(15555, 15568)",video swallow,video swallow,241149003,311570008,11392990-DS-6,"e more likely due to the ongoing COPD flare, and video swallow was deferred. There was no other concern for asp" Missed entity,"(15686, 15695)",,Follow up,,183616001,,11392990-DS-6,"ration of the admission. # Transitional issues - Follow up with general cardiology (Dr. ___ and EP (Dr. ___" Missed entity,"(15701, 15719)",,general cardiology,,310036006,,11392990-DS-6,"dmission. # Transitional issues - Follow up with general cardiology (Dr. ___ and EP (Dr. ___ about atrial fibrillati" Wrong span,"(15752, 15771)","(15752, 15782)",atrial fibrillation,atrial fibrillation management,49436004,429218009,11392990-DS-6,"eneral cardiology (Dr. ___ and EP (Dr. ___ about atrial fibrillation management, possibly restarting amiodarone versu" "Correct entity, wrong SNOMED ID","(15823, 15831)","(15823, 15831)",ablation,ablation,64597002,65659003,11392990-DS-6,"anagement, possibly restarting amiodarone versus ablation - Follow up with pulmonary about new possible dia" Missed entity,"(15834, 15843)",,Follow up,,308273005,,11392990-DS-6,"possibly restarting amiodarone versus ablation - Follow up with pulmonary about new possible diagnosis of CO" Missed entity,"(15849, 15858)",,pulmonary,,310039004,,11392990-DS-6,"rting amiodarone versus ablation - Follow up with pulmonary about new possible diagnosis of COPD and ? of wh" "Correct entity, wrong SNOMED ID","(15891, 15895)","(15891, 15895)",COPD,COPD,13645005,48347002,11392990-DS-6,"up with pulmonary about new possible diagnosis of COPD and ? of whether amiodarone was causing pulmonar" Missed entity,"(15958, 15967)",,Follow up,,308273005,,11392990-DS-6,"ether amiodarone was causing pulmonary toxicity - Follow up with PCP about elevated TSH - Follow up with PCP " "Correct entity, wrong SNOMED ID","(15973, 15976)","(15973, 15976)",PCP,PCP,737470001,258735001,11392990-DS-6,"e was causing pulmonary toxicity - Follow up with PCP about elevated TSH - Follow up with PCP about ___" "Correct entity, wrong SNOMED ID","(15983, 15995)","(15983, 15995)",elevated TSH,elevated TSH,309080005,73064001,11392990-DS-6,"ing pulmonary toxicity - Follow up with PCP about elevated TSH - Follow up with PCP about ___ slightly below bas" Missed entity,"(15998, 16007)",,Follow up,,308273005,,11392990-DS-6,"oxicity - Follow up with PCP about elevated TSH - Follow up with PCP about ___ slightly below baseline Medi" "Correct entity, wrong SNOMED ID","(16013, 16016)","(16013, 16016)",PCP,PCP,737470001,258735001,11392990-DS-6,"w up with PCP about elevated TSH - Follow up with PCP about ___ slightly below baseline Medications o" "Correct entity, wrong SNOMED ID","(16042, 16050)","(16042, 16050)",baseline,baseline,128974000,129082007,11392990-DS-6,"TSH - Follow up with PCP about ___ slightly below baseline Medications on Admission: The Preadmission Medi" "Correct entity, wrong SNOMED ID","(17658, 17688)","(17658, 17688)",Acute on chronic kidney injury,Acute on chronic kidney injury,236433006,1285574007,11392990-DS-6,"on: Home Discharge Diagnosis: COPD exacerbation Acute on chronic kidney injury Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(17713, 17726)","(17713, 17726)",Mental Status,Mental Status,392257007,419284004,11392990-DS-6," on chronic kidney injury Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(17748, 17770)","(17748, 17770)",Level of Consciousness,Level of Consciousness,444714004,830285008,11392990-DS-6,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(17772, 17777)","(17772, 17777)",Alert,Alert,248234008,409787004,11392990-DS-6,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(17782, 17793)","(17782, 17793)",interactive,interactive,288577006,10301000202103,11392990-DS-6,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(17795, 17810)","(17795, 17810)",Activity Status,Activity Status,129676008,397622007,11392990-DS-6,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(17812, 17836)","(17812, 17836)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11392990-DS-6,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, It was" "Correct entity, wrong SNOMED ID","(17953, 17972)","(17953, 17972)",shortness of breath,shortness of breath,267036007,135833008,11392990-DS-6,"g care of you at ___ ___. You were admitted with shortness of breath, probably due to a flare of COPD (emphysema). Yo" "Correct entity, wrong SNOMED ID","(18002, 18006)","(18002, 18006)",COPD,COPD,13645005,48347002,11392990-DS-6," shortness of breath, probably due to a flare of COPD (emphysema). You were initially in the Intensive" "Correct entity, wrong SNOMED ID","(18008, 18017)","(18008, 18017)",emphysema,emphysema,49158009,87433001,11392990-DS-6,"ness of breath, probably due to a flare of COPD (emphysema). You were initially in the Intensive Care Unit " Missed entity,"(18068, 18071)",,ICU,,305351004,,11392990-DS-6,". You were initially in the Intensive Care Unit (ICU), and then you were transferred to a general med" "Correct entity, wrong SNOMED ID","(18153, 18161)","(18153, 18161)",improved,improved,268910001,251359002,11392990-DS-6," to a general medicine floor when your breathing improved. For your COPD flare, you were treated with pred" Wrong span,"(18173, 18177)","(18173, 18183)",COPD,COPD flare,13645005,246992005,11392990-DS-6,"ine floor when your breathing improved. For your COPD flare, you were treated with prednisone (steroids" "Correct entity, wrong SNOMED ID","(18219, 18227)","(18219, 18227)",steroids,steroids,297279009,285435007,11392990-DS-6,"our COPD flare, you were treated with prednisone (steroids), nebulizer treatments, azithromycin (antibiotic" "Correct entity, wrong SNOMED ID","(18231, 18251)","(18231, 18251)",nebulizer treatments,nebulizer treatments,56251003,708409001,11392990-DS-6,"re, you were treated with prednisone (steroids), nebulizer treatments, azithromycin (antibiotic), and extra oxygen. Yo" "Correct entity, wrong SNOMED ID","(18267, 18277)","(18267, 18277)",antibiotic,antibiotic,281789004,68322007,11392990-DS-6," (steroids), nebulizer treatments, azithromycin (antibiotic), and extra oxygen. Your breathing improved and " "Correct entity, wrong SNOMED ID","(18314, 18322)","(18314, 18322)",improved,improved,268910001,251359002,11392990-DS-6,"n (antibiotic), and extra oxygen. Your breathing improved and by the time of discharge, you were breathing" Wrong span,"(18363, 18384)","(18363, 18372)",breathing comfortably,breathing,276362002,271825005,11392990-DS-6," improved and by the time of discharge, you were breathing comfortably without extra oxygen, both at rest and when you " "Correct entity, wrong SNOMED ID","(18439, 18446)","(18439, 18446)",walking,walking,282146009,165245003,11392990-DS-6,"out extra oxygen, both at rest and when you were walking. Because amiodarone may have contributed to your" "Correct entity, wrong SNOMED ID","(18497, 18517)","(18497, 18517)","shortness of breath","shortness of breath",267036007,135833008,11392990-DS-6," Because amiodarone may have contributed to your shortness of breath, it was stopped while you were in the hospital. Y" Wrong span,"(18767, 18771)","(18767, 18778)",lung,lung damage,39607008,44833003,11392990-DS-6,"ll assess if the amiodarone may have caused some lung damage. We gave you a copy of some test results f" Wrong span,"(18772, 18778)","(18767, 18778)",damage,lung damage,37782003,44833003,11392990-DS-6,"sess if the amiodarone may have caused some lung damage. We gave you a copy of some test results from __" "Correct entity, wrong SNOMED ID","(19379, 19398)","(19379, 19398)",shortness of breath,shortness of breath,267036007,135833008,11392990-DS-6,"go to an Emergency Room if you develop worsening shortness of breath, fever/chills, worsening shortness of breath whe" "Correct entity, wrong SNOMED ID","(19400, 19405)","(19400, 19405)",fever,fever,386661006,248430002,11392990-DS-6,"om if you develop worsening shortness of breath, fever/chills, worsening shortness of breath when walki" "Correct entity, wrong SNOMED ID","(19406, 19412)","(19406, 19412)",chills,chills,43724002,274640006,11392990-DS-6,"you develop worsening shortness of breath, fever/chills, worsening shortness of breath when walking, ina" "Correct entity, wrong SNOMED ID","(19425, 19444)","(19425, 19444)",shortness of breath,shortness of breath,267036007,135833008,11392990-DS-6,"ing shortness of breath, fever/chills, worsening shortness of breath when walking, inability to lie flat, chest pain," "Correct entity, wrong SNOMED ID","(19450, 19457)","(19450, 19457)",walking,walking,282146009,165245003,11392990-DS-6,"fever/chills, worsening shortness of breath when walking, inability to lie flat, chest pain, dark stools," "Correct entity, wrong SNOMED ID","(19459, 19480)","(19459, 19480)",inability to lie flat,inability to lie flat,282926000,282927009,11392990-DS-6,"lls, worsening shortness of breath when walking, inability to lie flat, chest pain, dark stools, or blood in your stool" "Correct entity, wrong SNOMED ID","(19482, 19493)","(19482, 19493)","chest pain","chest pain",29857009,285389008,11392990-DS-6,"ss of breath when walking, inability to lie flat, chest pain, dark stools, or blood in your stool. Also please" "Correct entity, wrong SNOMED ID","(19511, 19530)","(19511, 19530)",blood in your stool,blood in your stool,405729008,59614000,11392990-DS-6,"ability to lie flat, chest pain, dark stools, or blood in your stool. Also please weigh yourself every morning and ca" False positive,,"(1510, 1519)",,allergies,,370860007,11515132-DS-10,"lar to previous episodes of asthma (triggered by allergies). Patient is allergic to ASA which causes diffi" False positive,,"(2107, 2109)",,IV,,258000009,11515132-DS-10,"elevation V2-V3. Patient was given small dose of IV morphine w/ relief. On arrival to the floor, " False positive,,"(2578, 2584)",,benign,,110460003,11515132-DS-10," as heel bursitis 6. Gout 7. Hysteroscopy for benign 8. Neuropathy effecting feet. 9. Colonoscopy " False positive,,"(3750, 3755)",,pedal,,64771006,11515132-DS-10,"NT, obese. EXTREMITIES- No c/c. Bilateral trace pedal edema. SKIN- No stasis dermatitis. PULSES- " False positive,,"(3805, 3810)",,Right,,225794002,11515132-DS-10," edema. SKIN- No stasis dermatitis. PULSES- Right: DP 1+ ___ 1+ Left: DP 1+ ___ 1+ Discharge P" False positive,,"(3827, 3831)",,Left,,264745005,11515132-DS-10,"sis dermatitis. PULSES- Right: DP 1+ ___ 1+ Left: DP 1+ ___ 1+ Discharge Physical Exam: VS: T= " False positive,,"(4119, 4124)",,girth,,48094003,11515132-DS-10,"MM. NECK: Supple. Difficult to asses JVP due to girth of neck. No carotid bruits auscultated. CARDIA" False positive,,"(4128, 4132)",,neck,,840674001,11515132-DS-10,"K: Supple. Difficult to asses JVP due to girth of neck. No carotid bruits auscultated. CARDIAC: Regul" False positive,,"(5866, 5874)",,infusion,,14152002,11515132-DS-10,"inal type symptoms in the setting of Persantine infusion. No ischemic EKG changes. Nuclear report sent se" False positive,,"(6158, 6167)",,increased,,262286000,11515132-DS-10,"esterday. She had negative troponins. EKG showed increased LAD and questionable new LAFB. Stress MIBI was p" False positive,,"(6955, 6963)",,allergic,,241929008,11515132-DS-10,"hroat and dyspnea), so aspirin is deferred. Also allergic to IV dye. - Patient received a persantine stres" False positive,,"(6967, 6969)",,IV,,258000009,11515132-DS-10,"spnea), so aspirin is deferred. Also allergic to IV dye. - Patient received a persantine stress MIBI" False positive,,"(7755, 7765)",,lisinopril,,108575001,11515132-DS-10,"for management of hypertension, with addition of lisinopril 5mg for improved blood pressure control in the s" False positive,,"(7784, 7806)",,blood pressure control,,183413003,11515132-DS-10,"on, with addition of lisinopril 5mg for improved blood pressure control in the setting of diabetes. - Patient was also st" False positive,,"(7937, 7941)",,PUMP,,23736002,11515132-DS-10,"0mg for SVT and hypertension. - TSH was WNL. # PUMP: Pt w/ trace pedal edema which is baseline. Has " False positive,,"(8538, 8552)",,blood pressure,,50723001,11515132-DS-10,"ring hospitalization (150s/80s - 170s/80s). Home blood pressure medications (clonidine and amlodipine) were cont" False positive,,"(9055, 9062)",,regimen,,405117005,11515132-DS-10,"spitalization. Patient was continued on her home regimen. # Hyperlipidemia - Patient was continued on h" "Correct entity, wrong SNOMED ID","(181, 187)","(181, 187)",Nsaids,Nsaids,293610009,372665008,11515132-DS-10," Sex: F Service: MEDICINE Allergies: Nsaids / Penicillins / Sulfa (Sulfonamide Antibiotics) /" "Correct entity, wrong SNOMED ID","(190, 201)","(190, 201)",Penicillins,Penicillins,91936005,11986009,11515132-DS-10,"x: F Service: MEDICINE Allergies: Nsaids / Penicillins / Sulfa (Sulfonamide Antibiotics) / Benadryl / A" "Correct entity, wrong SNOMED ID","(204, 209)","(204, 209)",Sulfa,Sulfa,429239002,68224005,11515132-DS-10,"ce: MEDICINE Allergies: Nsaids / Penicillins / Sulfa (Sulfonamide Antibiotics) / Benadryl / Aspirin /" "Correct entity, wrong SNOMED ID","(211, 234)","(211, 234)",Sulfonamide Antibiotics,Sulfonamide Antibiotics,429239002,372788003,11515132-DS-10,"ICINE Allergies: Nsaids / Penicillins / Sulfa (Sulfonamide Antibiotics) / Benadryl / Aspirin / Zithromax / Quinine / sh" "Correct entity, wrong SNOMED ID","(239, 247)","(239, 247)",Benadryl,Benadryl,294109009,256167003,11515132-DS-10," Penicillins / Sulfa (Sulfonamide Antibiotics) / Benadryl / Aspirin / Zithromax / Quinine / shellfish deriv" "Correct entity, wrong SNOMED ID","(250, 257)","(250, 257)",Aspirin,Aspirin,293586001,25796002,11515132-DS-10,"s / Sulfa (Sulfonamide Antibiotics) / Benadryl / Aspirin / Zithromax / Quinine / shellfish derived / raw " Missed entity,"(260, 269)",,Zithromax,,294472005,,11515132-DS-10,"(Sulfonamide Antibiotics) / Benadryl / Aspirin / Zithromax / Quinine / shellfish derived / raw fruits and v" Wrong span,"(272, 279)","(272, 273)",Quinine,Q,294398000,257995009,11515132-DS-10," Antibiotics) / Benadryl / Aspirin / Zithromax / Quinine / shellfish derived / raw fruits and vegetables " Missed entity,"(282, 291)",,shellfish,,300913006,,11515132-DS-10,"cs) / Benadryl / Aspirin / Zithromax / Quinine / shellfish derived / raw fruits and vegetables Attending:" Missed entity,"(303, 313)",,raw fruits,,91932007,,11515132-DS-10,"irin / Zithromax / Quinine / shellfish derived / raw fruits and vegetables Attending: ___. Chief Complain" "Correct entity, wrong SNOMED ID","(501, 503)","(501, 503)",DM,DM,73211009,258671008,11515132-DS-10,"t Illness: Ms. ___ is a ___ with a history of DM, HTN, HL presenting with chest pressure that has" "Correct entity, wrong SNOMED ID","(505, 508)","(505, 508)",HTN,HTN,38341003,10725009,11515132-DS-10,"lness: Ms. ___ is a ___ with a history of DM, HTN, HL presenting with chest pressure that has been" "Correct entity, wrong SNOMED ID","(510, 512)","(510, 512)",HL,HL,55822004,257988000,11515132-DS-10,": Ms. ___ is a ___ with a history of DM, HTN, HL presenting with chest pressure that has been off" "Correct entity, wrong SNOMED ID","(530, 544)","(530, 544)",chest pressure,chest pressure,23924001,78387000,11515132-DS-10,"__ with a history of DM, HTN, HL presenting with chest pressure that has been off and on for the past 3 weeks. S" "Correct entity, wrong SNOMED ID","(611, 621)","(611, 621)",discomfort,discomfort,247347003,279084009,11515132-DS-10,"f and on for the past 3 weeks. She says that the discomfort started weeks ago, but has gotten somewhat more " "Correct entity, wrong SNOMED ID","(743, 758)","(743, 758)",chest tightness,chest tightness,23924001,4568003,11515132-DS-10,"d in the past few weeks. She typically feels the chest tightness prior to going to sleep, occasionally associated" "Correct entity, wrong SNOMED ID","(819, 825)","(819, 825)",nausea,nausea,422587007,1217125005,11515132-DS-10,"oing to sleep, occasionally associated with some nausea. Patient also has associated right elbow pain, w" Wrong span,"(856, 867)","(856, 872)",right elbow,right elbow pain,368149001,12106401000119107,11515132-DS-10,"ed with some nausea. Patient also has associated right elbow pain, which she describes as sharp and located o" Wrong span,"(868, 872)","(856, 872)",pain,right elbow pain,74323005,12106401000119107,11515132-DS-10," nausea. Patient also has associated right elbow pain, which she describes as sharp and located over o" "Correct entity, wrong SNOMED ID","(897, 902)","(897, 902)",sharp,sharp,8708008,465145007,11515132-DS-10,"sociated right elbow pain, which she describes as sharp and located over olecranon and antecubital fossa" "Correct entity, wrong SNOMED ID","(921, 930)","(921, 930)",olecranon,olecranon,371504003,181949001,11515132-DS-10,"n, which she describes as sharp and located over olecranon and antecubital fossa. She has not had fevers an" "Correct entity, wrong SNOMED ID","(935, 952)","(935, 952)",antecubital fossa,antecubital fossa,90837009,17957002,11515132-DS-10,"escribes as sharp and located over olecranon and antecubital fossa. She has not had fevers and chills. She has been" "Correct entity, wrong SNOMED ID","(971, 977)","(971, 977)",fevers,fevers,386661006,248444008,11515132-DS-10,"olecranon and antecubital fossa. She has not had fevers and chills. She has been fatigued. Her exercise i" "Correct entity, wrong SNOMED ID","(982, 988)","(982, 988)",chills,chills,43724002,274640006,11515132-DS-10,"nd antecubital fossa. She has not had fevers and chills. She has been fatigued. Her exercise is swimming" "Correct entity, wrong SNOMED ID","(1003, 1011)","(1003, 1011)",fatigued,fatigued,84229001,22171002,11515132-DS-10," She has not had fevers and chills. She has been fatigued. Her exercise is swimming, but she hasn't been t" "Correct entity, wrong SNOMED ID","(1017, 1025)","(1017, 1025)",exercise,exercise,226029000,102533007,11515132-DS-10,"had fevers and chills. She has been fatigued. Her exercise is swimming, but she hasn't been to the pool rec" "Correct entity, wrong SNOMED ID","(1152, 1162)","(1152, 1162)",discomfort,discomfort,247347003,279084009,11515132-DS-10,"went to the pool today, and worked out w/out any discomfort. This evening, she had the chest pressure while " Wrong span,"(1190, 1229)","(1190, 1204)","chest pressure while walking up stairs",chest pressure,81953000,78387000,11515132-DS-10," w/out any discomfort. This evening, she had the chest pressure while walking up stairs, and she had to sit down after climbing the stai" Missed entity,"(1261, 1281)",,"climbing the stairs",,282195009,,11515132-DS-10," walking up stairs, and she had to sit down after climbing the stairs because she was winded and absolutely fatigued. S" "Correct entity, wrong SNOMED ID","(1298, 1304)","(1298, 1304)",winded,winded,248552009,106429001,11515132-DS-10,"t down after climbing the stairs because she was winded and absolutely fatigued. She called her PCP who " "Correct entity, wrong SNOMED ID","(1320, 1328)","(1320, 1328)",fatigued,fatigued,84229001,398051009,11515132-DS-10," the stairs because she was winded and absolutely fatigued. She called her PCP who referred her here. Pt ha" Missed entity,"(1335, 1341)",,called,,304562007,,11515132-DS-10,"ause she was winded and absolutely fatigued. She called her PCP who referred her here. Pt has a hx of bro" "Correct entity, wrong SNOMED ID","(1388, 1405)","(1388, 1405)","bronchial asthma","bronchial asthma",195967001,389145006,11515132-DS-10,"led her PCP who referred her here. Pt has a hx of bronchial asthma, and states that her dyspnea today feels somewhat" "Correct entity, wrong SNOMED ID","(1427, 1434)","(1427, 1434)",dyspnea,dyspnea,267036007,60845006,11515132-DS-10,"as a hx of bronchial asthma, and states that her dyspnea today feels somewhat similar to previous episode" "Correct entity, wrong SNOMED ID","(1489, 1495)","(1489, 1495)",asthma,asthma,195967001,281239006,11515132-DS-10,"y feels somewhat similar to previous episodes of asthma (triggered by allergies). Patient is allergic t" Wrong span,"(1535, 1550)","(1535, 1546)",allergic to ASA,allergic to,293586001,241929008,11515132-DS-10," of asthma (triggered by allergies). Patient is allergic to ASA which causes difficulty breathing/ throat swelli" "Correct entity, wrong SNOMED ID","(1564, 1584)","(1564, 1584)",difficulty breathing,difficulty breathing,230145002,1023001,11515132-DS-10,"rgies). Patient is allergic to ASA which causes difficulty breathing/ throat swelling / rash. She also has an allergy" "Correct entity, wrong SNOMED ID","(1587, 1602)","(1587, 1602)",throat swelling,throat swelling,421581006,247323005,11515132-DS-10,"lergic to ASA which causes difficulty breathing/ throat swelling / rash. She also has an allergy to IV dye. In " "Correct entity, wrong SNOMED ID","(1605, 1609)","(1605, 1609)",rash,rash,271807003,247472004,11515132-DS-10,"h causes difficulty breathing/ throat swelling / rash. She also has an allergy to IV dye. In the ED," Wrong span,"(1627, 1644)","(1627, 1637)",allergy to IV dye,allergy to,293637006,830081005,11515132-DS-10,"eathing/ throat swelling / rash. She also has an allergy to IV dye. In the ED, initial vitals were 98.3 98 168/98" "Correct entity, wrong SNOMED ID","(1668, 1674)","(1668, 1674)",vitals,vitals,118227000,260390007,11515132-DS-10,"o has an allergy to IV dye. In the ED, initial vitals were 98.3 98 168/98 15 98% RA. Labs and imaging " "Correct entity, wrong SNOMED ID","(1702, 1704)","(1702, 1704)",RA,RA,722742002,463051000124105,11515132-DS-10,"the ED, initial vitals were 98.3 98 168/98 15 98% RA. Labs and imaging significant for EKG demonstrat" "Correct entity, wrong SNOMED ID","(1706, 1710)","(1706, 1710)",Labs,Labs,15220000,415259005,11515132-DS-10,"ED, initial vitals were 98.3 98 168/98 15 98% RA. Labs and imaging significant for EKG demonstrated sin" "Correct entity, wrong SNOMED ID","(1716, 1723)","(1716, 1723)",imaging,imaging,363679005,408574004,11515132-DS-10,"l vitals were 98.3 98 168/98 15 98% RA. Labs and imaging significant for EKG demonstrated sinus, RBBB with" "Correct entity, wrong SNOMED ID","(1740, 1743)","(1740, 1743)",EKG,EKG,29303009,75444003,11515132-DS-10,"8/98 15 98% RA. Labs and imaging significant for EKG demonstrated sinus, RBBB with new LAFB, non-spec" "Correct entity, wrong SNOMED ID","(1757, 1762)","(1757, 1762)",sinus,sinus,251150006,89175004,11515132-DS-10,"abs and imaging significant for EKG demonstrated sinus, RBBB with new LAFB, non-specific ST-T changes. " Wrong span,"(1764, 1783)","(1764, 1768)","RBBB with new LAFB",RBBB,445263008,421188008,11515132-DS-10,"d imaging significant for EKG demonstrated sinus, RBBB with new LAFB, non-specific ST-T changes. UA unremarkable. CXR " Wrong span,"(1785, 1810)","(1798, 1810)",non-specific ST-T changes,ST-T changes,428750005,55930002,11515132-DS-10," for EKG demonstrated sinus, RBBB with new LAFB, non-specific ST-T changes. UA unremarkable. CXR was performed which demons" Wrong span,"(1812, 1827)","(1812, 1814)",UA unremarkable,UA,167221003,257999003,11515132-DS-10,", RBBB with new LAFB, non-specific ST-T changes. UA unremarkable. CXR was performed which demonstrated no acute i" Missed entity,"(1867, 1897)",,no acute intrathoracic process,,281900007,,11515132-DS-10,"remarkable. CXR was performed which demonstrated no acute intrathoracic process. Urine culture was sent. The patient had nausea " "Correct entity, wrong SNOMED ID","(1940, 1946)","(1940, 1946)",nausea,nausea,422587007,1217125005,11515132-DS-10,"process. Urine culture was sent. The patient had nausea and some arm pain prior to arriving to the floor" "Correct entity, wrong SNOMED ID","(1956, 1964)","(1956, 1964)",arm pain,arm pain,102556003,15749341000119107,11515132-DS-10,"culture was sent. The patient had nausea and some arm pain prior to arriving to the floor. Repeat EKG demon" Wrong span,"(2005, 2044)","(2005, 2008)","EKG demonstrated no appreciable change",EKG,142018005,75444003,11515132-DS-10," arm pain prior to arriving to the floor. Repeat EKG demonstrated no appreciable change, < 1mm ST-T elevation V2-V3. Patient was given s" Missed entity,"(2067, 2069)",,V2,,257476008,,11515132-DS-10,"ated no appreciable change, < 1mm ST-T elevation V2-V3. Patient was given small dose of IV morphine " Missed entity,"(2070, 2072)",,V3,,257477004,,11515132-DS-10,"d no appreciable change, < 1mm ST-T elevation V2-V3. Patient was given small dose of IV morphine w/ " Missed entity,"(2122, 2128)",,relief,,182970005,,11515132-DS-10,". Patient was given small dose of IV morphine w/ relief. On arrival to the floor, patient's vitals ar" "Correct entity, wrong SNOMED ID","(2169, 2175)","(2169, 2175)",vitals,vitals,118227000,260390007,11515132-DS-10,"w/ relief. On arrival to the floor, patient's vitals are 98.2 156/89 74 20 96%RA. ___ 195. Pt current" "Correct entity, wrong SNOMED ID","(2202, 2204)","(2202, 2204)",RA,RA,722742002,463051000124105,11515132-DS-10,"floor, patient's vitals are 98.2 156/89 74 20 96%RA. ___ 195. Pt currently is asymptomatic, and is ab" "Correct entity, wrong SNOMED ID","(2231, 2243)","(2231, 2243)",asymptomatic,asymptomatic,84387000,5481000175101,11515132-DS-10,"8.2 156/89 74 20 96%RA. ___ 195. Pt currently is asymptomatic, and is able to relay a cogent history. Pas" "Correct entity, wrong SNOMED ID","(2339, 2347)","(2339, 2347)",Diabetes,Diabetes,73211009,9414007,11515132-DS-10," Past Medical History: Past Medical History: 1. Diabetes. 2. Hypothyroidism. 3. Hypertension. 4. His" "Correct entity, wrong SNOMED ID","(2354, 2368)","(2354, 2368)",Hypothyroidism,Hypothyroidism,40930008,10753681000119101,11515132-DS-10,"istory: Past Medical History: 1. Diabetes. 2. Hypothyroidism. 3. Hypertension. 4. History of breast cancer" "Correct entity, wrong SNOMED ID","(2375, 2387)","(2375, 2387)",Hypertension,Hypertension,38341003,70995007,11515132-DS-10,"History: 1. Diabetes. 2. Hypothyroidism. 3. Hypertension. 4. History of breast cancer for which she has " "Correct entity, wrong SNOMED ID","(2405, 2418)","(2405, 2418)",breast cancer,breast cancer,254837009,724451007,11515132-DS-10,"ypothyroidism. 3. Hypertension. 4. History of breast cancer for which she has finished a five-year course o" "Correct entity, wrong SNOMED ID","(2515, 2520)","(2515, 2520)",heels,heels,76853006,21143006,11515132-DS-10,"e of tamoxifen. 5. History of bone spurs in her heels as well as heel bursitis 6. Gout 7. Hysterosc" Wrong span,"(2532, 2536)","(2532, 2545)",heel,heel bursitis,76853006,15683361000119109,11515132-DS-10," 5. History of bone spurs in her heels as well as heel bursitis 6. Gout 7. Hysteroscopy for benign " Wrong span,"(2537, 2545)","(2532, 2545)",bursitis,heel bursitis,84017003,15683361000119109,11515132-DS-10,"istory of bone spurs in her heels as well as heel bursitis 6. Gout 7. Hysteroscopy for benign 8. Neuro" "Correct entity, wrong SNOMED ID","(2551, 2555)","(2551, 2555)",Gout,Gout,90560007,69896004,11515132-DS-10," spurs in her heels as well as heel bursitis 6. Gout 7. Hysteroscopy for benign 8. Neuropathy effe" "Correct entity, wrong SNOMED ID","(2561, 2573)","(2561, 2573)",Hysteroscopy,Hysteroscopy,233545006,700135005,11515132-DS-10,"her heels as well as heel bursitis 6. Gout 7. Hysteroscopy for benign 8. Neuropathy effecting feet. 9. C" "Correct entity, wrong SNOMED ID","(2590, 2600)","(2590, 2600)",Neuropathy,Neuropathy,386033004,302226006,11515132-DS-10,"sitis 6. Gout 7. Hysteroscopy for benign 8. Neuropathy effecting feet. 9. Colonoscopy ___ normal. But " "Correct entity, wrong SNOMED ID","(2611, 2615)","(2611, 2615)",feet,feet,56459004,259051005,11515132-DS-10,"Hysteroscopy for benign 8. Neuropathy effecting feet. 9. Colonoscopy ___ normal. But family history " "Correct entity, wrong SNOMED ID","(2622, 2633)","(2622, 2633)",Colonoscopy,Colonoscopy,73761001,174158000,11515132-DS-10,"y for benign 8. Neuropathy effecting feet. 9. Colonoscopy ___ normal. But family history of large polyps " Missed entity,"(2638, 2644)",,normal,,281900007,,11515132-DS-10,". Neuropathy effecting feet. 9. Colonoscopy ___ normal. But family history of large polyps needs every" Wrong span,"(2674, 2680)","(2668, 2680)",polyps,large polyps,41329004,56331000087102,11515132-DS-10,"lonoscopy ___ normal. But family history of large polyps needs every ___ years. 10. Asthma 11. Trige" "Correct entity, wrong SNOMED ID","(2712, 2718)","(2712, 2718)",Asthma,Asthma,195967001,281239006,11515132-DS-10,"ry of large polyps needs every ___ years. 10. Asthma 11. Trigeminal neuralgia 12. Pain in her righ" "Correct entity, wrong SNOMED ID","(2725, 2745)","(2725, 2745)",Trigeminal neuralgia,Trigeminal neuralgia,31681005,12242071000119103,11515132-DS-10,"olyps needs every ___ years. 10. Asthma 11. Trigeminal neuralgia 12. Pain in her right hip likely due to vertebr" "Correct entity, wrong SNOMED ID","(2752, 2756)","(2752, 2756)",Pain,Pain,49218002,102570003,11515132-DS-10,"rs. 10. Asthma 11. Trigeminal neuralgia 12. Pain in her right hip likely due to vertebral disc pro" "Correct entity, wrong SNOMED ID","(2764, 2773)","(2764, 2773)",right hip,right hip,287579007,15724521000119109,11515132-DS-10,"thma 11. Trigeminal neuralgia 12. Pain in her right hip likely due to vertebral disc problems. 13. Bro" "Correct entity, wrong SNOMED ID","(2788, 2811)","(2788, 2811)",vertebral disc problems,vertebral disc problems,36427004,789017006,11515132-DS-10,"uralgia 12. Pain in her right hip likely due to vertebral disc problems. 13. Bronchial asthma Surgical History Kn" "Correct entity, wrong SNOMED ID","(2820, 2836)","(2820, 2836)",Bronchial asthma,Bronchial asthma,195967001,225057002,11515132-DS-10,"hip likely due to vertebral disc problems. 13. Bronchial asthma Surgical History Knee surgery ___ Breast s" Wrong span,"(2859, 2863)","(2859, 2871)",Knee,Knee surgery,82169009,427749007,11515132-DS-10,"ms. 13. Bronchial asthma Surgical History Knee surgery ___ Breast surgery ___ Back surgery _" Wrong span,"(2864, 2871)","(2859, 2871)",surgery,Knee surgery,387713003,427749007,11515132-DS-10," 13. Bronchial asthma Surgical History Knee surgery ___ Breast surgery ___ Back surgery ___ Thy" "Correct entity, wrong SNOMED ID","(2878, 2892)","(2878, 2892)",Breast surgery,Breast surgery,392090004,237406004,11515132-DS-10,"l asthma Surgical History Knee surgery ___ Breast surgery ___ Back surgery ___ Thyroid tumors ___ " Wrong span,"(2899, 2903)","(2899, 2911)",Back,Back surgery,77568009,428310009,11515132-DS-10,"History Knee surgery ___ Breast surgery ___ Back surgery ___ Thyroid tumors ___ Social Hist" Wrong span,"(2904, 2911)","(2899, 2911)",surgery,Back surgery,387713003,428310009,11515132-DS-10,"ry Knee surgery ___ Breast surgery ___ Back surgery ___ Thyroid tumors ___ Social History: ___" "Correct entity, wrong SNOMED ID","(2918, 2932)","(2918, 2932)",Thyroid tumors,Thyroid tumors,127018007,447711004,11515132-DS-10,"ery ___ Breast surgery ___ Back surgery ___ Thyroid tumors ___ Social History: ___ Family History: Fath" "Correct entity, wrong SNOMED ID","(3007, 3020)","(3007, 3020)",heart disease,heart disease,56265001,127337006,11515132-DS-10," ___ Family History: Father: Died at age ___ from heart disease; Had first MI at age ___ History of multiple byp" "Correct entity, wrong SNOMED ID","(3067, 3084)","(3067, 3084)",bypass procedures,bypass procedures,90205004,38610007,11515132-DS-10,"ase; Had first MI at age ___ History of multiple bypass procedures and an aortic aneurysm Mother: Lung CA alive, " "Correct entity, wrong SNOMED ID","(3092, 3107)","(3092, 3107)",aortic aneurysm,aortic aneurysm,67362008,161514008,11515132-DS-10," ___ History of multiple bypass procedures and an aortic aneurysm Mother: Lung CA alive, ___ Physical Exam:" "Correct entity, wrong SNOMED ID","(3119, 3126)","(3119, 3126)",Lung CA,Lung CA,363358000,162573006,11515132-DS-10,"pass procedures and an aortic aneurysm Mother: Lung CA alive, ___ Physical Exam: Admission Physical" Missed entity,"(3127, 3132)",,alive,,438949009,,11515132-DS-10,"cedures and an aortic aneurysm Mother: Lung CA alive, ___ Physical Exam: Admission Physical Exam:" Boundary error,"(3168, 3181)","(3168, 3179)",Physical Exam,Physical Ex,5880005,40979000,11515132-DS-10," Lung CA alive, ___ Physical Exam: Admission Physical Exam: VS- 98.2 156/89 74 20 96%RA ___ 195 GENERAL- A" "Correct entity, wrong SNOMED ID","(3183, 3185)","(3183, 3185)",VS,VS,118227000,313611000,11515132-DS-10," ___ Physical Exam: Admission Physical Exam: VS- 98.2 156/89 74 20 96%RA ___ 195 GENERAL- AOx3," "Correct entity, wrong SNOMED ID","(3208, 3210)","(3208, 3210)",RA,RA,722742002,463051000124105,11515132-DS-10,"Admission Physical Exam: VS- 98.2 156/89 74 20 96%RA ___ 195 GENERAL- AOx3, in NAD HEENT- NCAT. Sc" "Correct entity, wrong SNOMED ID","(3221, 3228)","(3221, 3228)",GENERAL,GENERAL,162673000,252398009,11515132-DS-10,"sical Exam: VS- 98.2 156/89 74 20 96%RA ___ 195 GENERAL- AOx3, in NAD HEENT- NCAT. Sclera anicteric. PE" "Correct entity, wrong SNOMED ID","(3230, 3234)","(3230, 3234)",AOx3,AOx3,426224004,124161002,11515132-DS-10,"m: VS- 98.2 156/89 74 20 96%RA ___ 195 GENERAL- AOx3, in NAD HEENT- NCAT. Sclera anicteric. PERRL, E" "Correct entity, wrong SNOMED ID","(3239, 3242)","(3239, 3242)",NAD,NAD,281900007,131143000,11515132-DS-10,".2 156/89 74 20 96%RA ___ 195 GENERAL- AOx3, in NAD HEENT- NCAT. Sclera anicteric. PERRL, EOMI. Con" "Correct entity, wrong SNOMED ID","(3245, 3250)","(3245, 3250)",HEENT,HEENT,5880005,113665002,11515132-DS-10,"/89 74 20 96%RA ___ 195 GENERAL- AOx3, in NAD HEENT- NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva" Boundary error,"(3252, 3254)","(3252, 3256)",NC,NCAT,840673007,32752003,11515132-DS-10,"20 96%RA ___ 195 GENERAL- AOx3, in NAD HEENT- NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva wer" "Correct entity, wrong SNOMED ID","(3258, 3274)","(3258, 3274)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,11515132-DS-10,"RA ___ 195 GENERAL- AOx3, in NAD HEENT- NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor o" "Correct entity, wrong SNOMED ID","(3276, 3281)","(3276, 3281)",PERRL,PERRL,386666001,431291005,11515132-DS-10,"AL- AOx3, in NAD HEENT- NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyano" "Correct entity, wrong SNOMED ID","(3283, 3287)","(3283, 3287)",EOMI,EOMI,103251002,67099000,11515132-DS-10,"3, in NAD HEENT- NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of" Wrong span,"(3289, 3311)","(3289, 3300)","Conjunctiva were pink",Conjunctiva,301926003,719640000,11515132-DS-10,"NAD HEENT- NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. NECK" "Correct entity, wrong SNOMED ID","(3316, 3322)","(3316, 3322)",pallor,pallor,1209208002,1237486008,11515132-DS-10,"nicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. NECK- Supple, u" "Correct entity, wrong SNOMED ID","(3326, 3334)","(3326, 3334)",cyanosis,cyanosis,3415004,95442007,11515132-DS-10,"PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. NECK- Supple, unable to app" "Correct entity, wrong SNOMED ID","(3342, 3353)","(3342, 3353)",oral mucosa,oral mucosa,113277000,276398005,11515132-DS-10,"junctiva were pink, no pallor or cyanosis of the oral mucosa. NECK- Supple, unable to appreciate JVP seconda" "Correct entity, wrong SNOMED ID","(3357, 3361)","(3357, 3361)",NECK,NECK,5880005,840674001,11515132-DS-10,"pink, no pallor or cyanosis of the oral mucosa. NECK- Supple, unable to appreciate JVP secondary to ne" "Correct entity, wrong SNOMED ID","(3363, 3369)","(3363, 3369)",Supple,Supple,298475003,116121000,11515132-DS-10,"no pallor or cyanosis of the oral mucosa. NECK- Supple, unable to appreciate JVP secondary to neck habit" "Correct entity, wrong SNOMED ID","(3392, 3395)","(3392, 3395)",JVP,JVP,366163001,369001,11515132-DS-10,"oral mucosa. NECK- Supple, unable to appreciate JVP secondary to neck habitus CARDIAC- RR, normal " Wrong span,"(3409, 3413)","(3409, 3421)",neck,neck habitus,45048000,298386000,11515132-DS-10,"CK- Supple, unable to appreciate JVP secondary to neck habitus CARDIAC- RR, normal S1, S2. II/VI syst" "Correct entity, wrong SNOMED ID","(3425, 3432)","(3425, 3432)",CARDIAC,CARDIAC,363003006,71892000,11515132-DS-10,"le to appreciate JVP secondary to neck habitus CARDIAC- RR, normal S1, S2. II/VI systolic murmur, unable" "Correct entity, wrong SNOMED ID","(3434, 3436)","(3434, 3436)",RR,RR,301283003,229040007,11515132-DS-10,"reciate JVP secondary to neck habitus CARDIAC- RR, normal S1, S2. II/VI systolic murmur, unable to " "Correct entity, wrong SNOMED ID","(3438, 3447)","(3438, 3447)",normal S1,normal S1,26198000,167242001,11515132-DS-10,"ate JVP secondary to neck habitus CARDIAC- RR, normal S1, S2. II/VI systolic murmur, unable to appreciate" "Correct entity, wrong SNOMED ID","(3449, 3451)","(3449, 3451)",S2,S2,111974005,81170007,11515132-DS-10,"ondary to neck habitus CARDIAC- RR, normal S1, S2. II/VI systolic murmur, unable to appreciate rad" "Correct entity, wrong SNOMED ID","(3468, 3474)","(3468, 3474)",murmur,murmur,414786004,373112006,11515132-DS-10,"tus CARDIAC- RR, normal S1, S2. II/VI systolic murmur, unable to appreciate radiation. No thrills, lif" "Correct entity, wrong SNOMED ID","(3512, 3519)","(3512, 3519)",thrills,thrills,1735007,27144005,11515132-DS-10,"tolic murmur, unable to appreciate radiation. No thrills, lifts. No S3 or S4. LUNGS- No chest wall defor" "Correct entity, wrong SNOMED ID","(3521, 3526)","(3521, 3526)",lifts,lifts,421433001,225632008,11515132-DS-10,"mur, unable to appreciate radiation. No thrills, lifts. No S3 or S4. LUNGS- No chest wall deformities," Wrong span,"(3528, 3533)","(3531, 3533)",No S3,S3,50522009,87802005,11515132-DS-10,"able to appreciate radiation. No thrills, lifts. No S3 or S4. LUNGS- No chest wall deformities, scolio" "Correct entity, wrong SNOMED ID","(3537, 3539)","(3537, 3539)",S4,S4,60721002,29970001,11515132-DS-10,"appreciate radiation. No thrills, lifts. No S3 or S4. LUNGS- No chest wall deformities, scoliosis or" "Correct entity, wrong SNOMED ID","(3543, 3548)","(3543, 3548)",LUNGS,LUNGS,268925001,74101002,11515132-DS-10,"iate radiation. No thrills, lifts. No S3 or S4. LUNGS- No chest wall deformities, scoliosis or kyphosis" "Correct entity, wrong SNOMED ID","(3553, 3575)","(3553, 3575)",chest wall deformities,chest wall deformities,448488004,75511006,11515132-DS-10,"tion. No thrills, lifts. No S3 or S4. LUNGS- No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no " "Correct entity, wrong SNOMED ID","(3577, 3586)","(3577, 3586)",scoliosis,scoliosis,298382003,111266001,11515132-DS-10," No S3 or S4. LUNGS- No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory m" "Correct entity, wrong SNOMED ID","(3590, 3598)","(3590, 3598)",kyphosis,kyphosis,414564002,19371000119107,11515132-DS-10," LUNGS- No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. C" "Correct entity, wrong SNOMED ID","(3600, 3604)","(3600, 3604)",Resp,Resp,268925001,300851005,11515132-DS-10,"No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, f" "Correct entity, wrong SNOMED ID","(3625, 3641)","(3625, 3641)",accessory muscle,accessory muscle,50847000,239273004,11515132-DS-10,", scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, faint end-inspiratory squeak ABDOME" "Correct entity, wrong SNOMED ID","(3647, 3651)","(3647, 3651)",CTAB,CTAB,48348007,1286955004,11515132-DS-10,"s. Resp were unlabored, no accessory muscle use. CTAB, faint end-inspiratory squeak ABDOMEN- Soft, N" "Correct entity, wrong SNOMED ID","(3685, 3692)","(3685, 3692)",ABDOMEN,ABDOMEN,225162003,75093004,11515132-DS-10,"muscle use. CTAB, faint end-inspiratory squeak ABDOMEN- Soft, NT, obese. EXTREMITIES- No c/c. Bilatera" "Correct entity, wrong SNOMED ID","(3700, 3702)","(3700, 3702)",NT,NT,43478001,257992007,11515132-DS-10,"B, faint end-inspiratory squeak ABDOMEN- Soft, NT, obese. EXTREMITIES- No c/c. Bilateral trace pe" "Correct entity, wrong SNOMED ID","(3704, 3709)","(3704, 3709)",obese,obese,414915002,415530009,11515132-DS-10,"aint end-inspiratory squeak ABDOMEN- Soft, NT, obese. EXTREMITIES- No c/c. Bilateral trace pedal ede" "Correct entity, wrong SNOMED ID","(3713, 3724)","(3713, 3724)",EXTREMITIES,EXTREMITIES,302773001,248416007,11515132-DS-10,"-inspiratory squeak ABDOMEN- Soft, NT, obese. EXTREMITIES- No c/c. Bilateral trace pedal edema. SKIN- No " "Correct entity, wrong SNOMED ID","(3756, 3761)","(3756, 3761)",edema,edema,267038008,102576009,11515132-DS-10,"ese. EXTREMITIES- No c/c. Bilateral trace pedal edema. SKIN- No stasis dermatitis. PULSES- Right:" "Correct entity, wrong SNOMED ID","(3765, 3769)","(3765, 3769)",SKIN,SKIN,271303006,444884003,11515132-DS-10,"TREMITIES- No c/c. Bilateral trace pedal edema. SKIN- No stasis dermatitis. PULSES- Right: DP 1+ _" "Correct entity, wrong SNOMED ID","(3774, 3791)","(3774, 3791)",stasis dermatitis,stasis dermatitis,35498005,50563003,11515132-DS-10,"- No c/c. Bilateral trace pedal edema. SKIN- No stasis dermatitis. PULSES- Right: DP 1+ ___ 1+ Left: DP 1+ __" "Correct entity, wrong SNOMED ID","(3795, 3801)","(3795, 3801)",PULSES,PULSES,366199006,307684005,11515132-DS-10,"race pedal edema. SKIN- No stasis dermatitis. PULSES- Right: DP 1+ ___ 1+ Left: DP 1+ ___ 1+ Di" Wrong span,"(3812, 3817)","(3812, 3814)",DP 1+,DP,792818003,418288005,11515132-DS-10," SKIN- No stasis dermatitis. PULSES- Right: DP 1+ ___ 1+ Left: DP 1+ ___ 1+ Discharge Physical" Missed entity,"(3822, 3824)",,1+,,315225007,,11515132-DS-10,"o stasis dermatitis. PULSES- Right: DP 1+ ___ 1+ Left: DP 1+ ___ 1+ Discharge Physical Exam: " Wrong span,"(3833, 3838)","(3833, 3835)",DP 1+,DP,792819006,418288005,11515132-DS-10,"rmatitis. PULSES- Right: DP 1+ ___ 1+ Left: DP 1+ ___ 1+ Discharge Physical Exam: VS: T= 98 BP= " Missed entity,"(3843, 3845)",,1+,,315225007,,11515132-DS-10," PULSES- Right: DP 1+ ___ 1+ Left: DP 1+ ___ 1+ Discharge Physical Exam: VS: T= 98 BP= 156/ 89" "Correct entity, wrong SNOMED ID","(3874, 3876)","(3874, 3876)",VS,VS,118227000,313611000,11515132-DS-10," Left: DP 1+ ___ 1+ Discharge Physical Exam: VS: T= 98 BP= 156/ 89 - 173/89 HR= ___ RR=18 O2 sat=" Missed entity,"(3878, 3879)",,T,,105723007,,11515132-DS-10,"eft: DP 1+ ___ 1+ Discharge Physical Exam: VS: T= 98 BP= 156/ 89 - 173/89 HR= ___ RR=18 O2 sat= 97" "Correct entity, wrong SNOMED ID","(3884, 3886)","(3884, 3886)",BP,BP,392570002,38341003,11515132-DS-10,"P 1+ ___ 1+ Discharge Physical Exam: VS: T= 98 BP= 156/ 89 - 173/89 HR= ___ RR=18 O2 sat= 97% on RA" "Correct entity, wrong SNOMED ID","(3905, 3907)","(3905, 3907)",HR,HR,301113001,258702006,11515132-DS-10,"rge Physical Exam: VS: T= 98 BP= 156/ 89 - 173/89 HR= ___ RR=18 O2 sat= 97% on RA GENERAL: Obese fe" "Correct entity, wrong SNOMED ID","(3913, 3915)","(3913, 3915)",RR,RR,301283003,229040007,11515132-DS-10,"ical Exam: VS: T= 98 BP= 156/ 89 - 173/89 HR= ___ RR=18 O2 sat= 97% on RA GENERAL: Obese female, ly" "Correct entity, wrong SNOMED ID","(3919, 3925)","(3919, 3925)",O2 sat,O2 sat,104847001,103228002,11515132-DS-10,"xam: VS: T= 98 BP= 156/ 89 - 173/89 HR= ___ RR=18 O2 sat= 97% on RA GENERAL: Obese female, lying comfor" "Correct entity, wrong SNOMED ID","(3934, 3936)","(3934, 3936)",RA,RA,722742002,463051000124105,11515132-DS-10,"BP= 156/ 89 - 173/89 HR= ___ RR=18 O2 sat= 97% on RA GENERAL: Obese female, lying comfortably in be" "Correct entity, wrong SNOMED ID","(3940, 3947)","(3940, 3947)",GENERAL,GENERAL,162673000,252398009,11515132-DS-10,"6/ 89 - 173/89 HR= ___ RR=18 O2 sat= 97% on RA GENERAL: Obese female, lying comfortably in bed. Oriented" "Correct entity, wrong SNOMED ID","(3949, 3954)","(3949, 3954)",Obese,Obese,414915002,415530009,11515132-DS-10,"73/89 HR= ___ RR=18 O2 sat= 97% on RA GENERAL: Obese female, lying comfortably in bed. Oriented x3. M" "Correct entity, wrong SNOMED ID","(3963, 3987)","(3963, 3987)",lying comfortably in bed,lying comfortably in bed,17535004,714875000,11515132-DS-10,"RR=18 O2 sat= 97% on RA GENERAL: Obese female, lying comfortably in bed. Oriented x3. Mood, affect appropriate. HEENT:" "Correct entity, wrong SNOMED ID","(3989, 4000)","(3989, 4000)",Oriented x3,Oriented x3,426224004,311552005,11515132-DS-10," GENERAL: Obese female, lying comfortably in bed. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera" "Correct entity, wrong SNOMED ID","(4003, 4007)","(4003, 4007)",Mood,Mood,134417007,709488003,11515132-DS-10,"e female, lying comfortably in bed. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicte" "Correct entity, wrong SNOMED ID","(4031, 4036)","(4031, 4036)",HEENT,HEENT,5880005,113665002,11515132-DS-10,"in bed. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. EOMI. MMM. NECK: Suppl" "Correct entity, wrong SNOMED ID","(4038, 4042)","(4038, 4042)",NCAT,NCAT,840673007,32752003,11515132-DS-10," Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. EOMI. MMM. NECK: Supple. Dif" "Correct entity, wrong SNOMED ID","(4044, 4060)","(4044, 4060)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,11515132-DS-10,"ted x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. EOMI. MMM. NECK: Supple. Difficult to asses JV" "Correct entity, wrong SNOMED ID","(4062, 4066)","(4062, 4066)",EOMI,EOMI,103251002,67099000,11515132-DS-10,"ect appropriate. HEENT: NCAT. Sclera anicteric. EOMI. MMM. NECK: Supple. Difficult to asses JVP due " "Correct entity, wrong SNOMED ID","(4068, 4071)","(4068, 4071)",MMM,MMM,276398005,258673006,11515132-DS-10,"propriate. HEENT: NCAT. Sclera anicteric. EOMI. MMM. NECK: Supple. Difficult to asses JVP due to gi" "Correct entity, wrong SNOMED ID","(4075, 4079)","(4075, 4079)",NECK,NECK,5880005,840674001,11515132-DS-10,"te. HEENT: NCAT. Sclera anicteric. EOMI. MMM. NECK: Supple. Difficult to asses JVP due to girth of n" "Correct entity, wrong SNOMED ID","(4081, 4087)","(4081, 4087)",Supple,Supple,298475003,116121000,11515132-DS-10,"HEENT: NCAT. Sclera anicteric. EOMI. MMM. NECK: Supple. Difficult to asses JVP due to girth of neck. No " "Correct entity, wrong SNOMED ID","(4108, 4111)","(4108, 4111)",JVP,JVP,366163001,369001,11515132-DS-10,"ic. EOMI. MMM. NECK: Supple. Difficult to asses JVP due to girth of neck. No carotid bruits ausculta" Wrong span,"(4138, 4152)","(4138, 4164)",carotid bruits,carotid bruits auscultated,419642000,54908008,11515132-DS-10," Difficult to asses JVP due to girth of neck. No carotid bruits auscultated. CARDIAC: Regular rate and rhythm. " "Correct entity, wrong SNOMED ID","(4168, 4175)","(4168, 4175)",CARDIAC,CARDIAC,363003006,71892000,11515132-DS-10," girth of neck. No carotid bruits auscultated. CARDIAC: Regular rate and rhythm. Systolic murmur heard l" "Correct entity, wrong SNOMED ID","(4177, 4200)","(4177, 4200)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,11515132-DS-10," neck. No carotid bruits auscultated. CARDIAC: Regular rate and rhythm. Systolic murmur heard loudest at the LUSB. No S" Wrong span,"(4202, 4217)","(4202, 4210)",Systolic murmur,Systolic,31574009,255236000,11515132-DS-10," auscultated. CARDIAC: Regular rate and rhythm. Systolic murmur heard loudest at the LUSB. No S3, S4, thrills or" Missed entity,"(4240, 4244)",,LUSB,,117144008,,11515132-DS-10,"and rhythm. Systolic murmur heard loudest at the LUSB. No S3, S4, thrills or gallops. LUNGS: No chest " Missed entity,"(4246, 4251)",,No S3,,50522009,,11515132-DS-10,"ythm. Systolic murmur heard loudest at the LUSB. No S3, S4, thrills or gallops. LUNGS: No chest wall de" "Correct entity, wrong SNOMED ID","(4253, 4255)","(4253, 4255)",S4,S4,60721002,29970001,11515132-DS-10,"ystolic murmur heard loudest at the LUSB. No S3, S4, thrills or gallops. LUNGS: No chest wall deform" "Correct entity, wrong SNOMED ID","(4257, 4264)","(4257, 4264)",thrills,thrills,1735007,27144005,11515132-DS-10,"lic murmur heard loudest at the LUSB. No S3, S4, thrills or gallops. LUNGS: No chest wall deformities, sc" "Correct entity, wrong SNOMED ID","(4268, 4275)","(4268, 4275)",gallops,gallops,2170000,4592006,11515132-DS-10,"heard loudest at the LUSB. No S3, S4, thrills or gallops. LUNGS: No chest wall deformities, scoliosis or " "Correct entity, wrong SNOMED ID","(4278, 4283)","(4278, 4283)",LUNGS,LUNGS,268925001,74101002,11515132-DS-10,"est at the LUSB. No S3, S4, thrills or gallops. LUNGS: No chest wall deformities, scoliosis or kyphosis" "Correct entity, wrong SNOMED ID","(4288, 4310)","(4288, 4310)",chest wall deformities,chest wall deformities,448488004,75511006,11515132-DS-10,"e LUSB. No S3, S4, thrills or gallops. LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no " "Correct entity, wrong SNOMED ID","(4312, 4321)","(4312, 4321)",scoliosis,scoliosis,298382003,111266001,11515132-DS-10,"ls or gallops. LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory m" "Correct entity, wrong SNOMED ID","(4325, 4333)","(4325, 4333)",kyphosis,kyphosis,414564002,19371000119107,11515132-DS-10,". LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. C" Wrong span,"(4335, 4355)","(4335, 4339)","Resp were unlabored",Resp,276362002,300851005,11515132-DS-10,"No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, no crackles, whe" Wrong span,"(4360, 4380)","(4360, 4376)",accessory muscle use,accessory muscle,271620003,239273004,11515132-DS-10,", scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. ABDOME" "Correct entity, wrong SNOMED ID","(4382, 4386)","(4382, 4386)",CTAB,CTAB,48348007,112188007,11515132-DS-10,"s. Resp were unlabored, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. ABDOMEN: Sof" "Correct entity, wrong SNOMED ID","(4402, 4409)","(4402, 4409)",wheezes,wheezes,56018004,9763007,11515132-DS-10,"red, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. ABDOMEN: Soft, nondistended, nonten" "Correct entity, wrong SNOMED ID","(4424, 4431)","(4424, 4431)",ABDOMEN,ABDOMEN,225162003,41931001,11515132-DS-10,"le use. CTAB, no crackles, wheezes or rhonchi. ABDOMEN: Soft, nondistended, nontender to palpation. EX" "Correct entity, wrong SNOMED ID","(4439, 4451)","(4439, 4451)",nondistended,nondistended,300405003,441380004,11515132-DS-10,"o crackles, wheezes or rhonchi. ABDOMEN: Soft, nondistended, nontender to palpation. EXTREMITIES: Warm extr" "Correct entity, wrong SNOMED ID","(4453, 4462)","(4453, 4462)",nontender,nontender,43478001,413319007,11515132-DS-10,"heezes or rhonchi. ABDOMEN: Soft, nondistended, nontender to palpation. EXTREMITIES: Warm extremities. Bi" "Correct entity, wrong SNOMED ID","(4466, 4475)","(4466, 4475)",palpation,palpation,113011001,51558006,11515132-DS-10,"nchi. ABDOMEN: Soft, nondistended, nontender to palpation. EXTREMITIES: Warm extremities. Bilateral trace" "Correct entity, wrong SNOMED ID","(4479, 4490)","(4479, 4490)",EXTREMITIES,EXTREMITIES,302773001,248416007,11515132-DS-10,"EN: Soft, nondistended, nontender to palpation. EXTREMITIES: Warm extremities. Bilateral trace edema. PU" "Correct entity, wrong SNOMED ID","(4492, 4508)","(4492, 4508)",Warm extremities,Warm extremities,248420006,724232004,11515132-DS-10,"distended, nontender to palpation. EXTREMITIES: Warm extremities. Bilateral trace edema. PULSES: Radial 1+, _" Wrong span,"(4510, 4531)","(4526, 4531)",Bilateral trace edema,edema,816181009,102576009,11515132-DS-10,"er to palpation. EXTREMITIES: Warm extremities. Bilateral trace edema. PULSES: Radial 1+, ___ 1+ bilaterally Pe" "Correct entity, wrong SNOMED ID","(4538, 4544)","(4538, 4544)",PULSES,PULSES,366199006,307684005,11515132-DS-10,"ES: Warm extremities. Bilateral trace edema. PULSES: Radial 1+, ___ 1+ bilaterally Pertinent Resul" Boundary error,"(4546, 4552)","(4546, 4554)",Radial,Radial 1,39435002,255601005,11515132-DS-10," extremities. Bilateral trace edema. PULSES: Radial 1+, ___ 1+ bilaterally Pertinent Results: Admi" Missed entity,"(4561, 4563)",,1+,,315225007,,11515132-DS-10,"ilateral trace edema. PULSES: Radial 1+, ___ 1+ bilaterally Pertinent Results: Admission Labs:" "Correct entity, wrong SNOMED ID","(4632, 4635)","(4632, 4635)",WBC,WBC,767002,391558003,11515132-DS-10,"tinent Results: Admission Labs: ___ 08:10PM BLOOD WBC-13.0* RBC-4.74 Hgb-13.3 Hct-41.7 MCV-88 MCH-28.0" "Correct entity, wrong SNOMED ID","(4642, 4645)","(4642, 4645)",RBC,RBC,14089001,258759006,11515132-DS-10,"ults: Admission Labs: ___ 08:10PM BLOOD WBC-13.0* RBC-4.74 Hgb-13.3 Hct-41.7 MCV-88 MCH-28.0 MCHC-31.8" "Correct entity, wrong SNOMED ID","(4651, 4654)","(4651, 4654)",Hgb,Hgb,441689006,104142005,11515132-DS-10,"ission Labs: ___ 08:10PM BLOOD WBC-13.0* RBC-4.74 Hgb-13.3 Hct-41.7 MCV-88 MCH-28.0 MCHC-31.8 RDW-13.5" "Correct entity, wrong SNOMED ID","(4660, 4663)","(4660, 4663)",Hct,Hct,28317006,282660005,11515132-DS-10,"bs: ___ 08:10PM BLOOD WBC-13.0* RBC-4.74 Hgb-13.3 Hct-41.7 MCV-88 MCH-28.0 MCHC-31.8 RDW-13.5 Plt ___ " Missed entity,"(4670, 4673)",,MCV,,104133003,,11515132-DS-10,":10PM BLOOD WBC-13.0* RBC-4.74 Hgb-13.3 Hct-41.7 MCV-88 MCH-28.0 MCHC-31.8 RDW-13.5 Plt ___ ___ 08:10P" "Correct entity, wrong SNOMED ID","(4677, 4680)","(4677, 4680)",MCH,MCH,54706004,735147002,11515132-DS-10,"LOOD WBC-13.0* RBC-4.74 Hgb-13.3 Hct-41.7 MCV-88 MCH-28.0 MCHC-31.8 RDW-13.5 Plt ___ ___ 08:10PM BLOOD" "Correct entity, wrong SNOMED ID","(4686, 4690)","(4686, 4690)",MCHC,MCHC,37254006,735147002,11515132-DS-10,"13.0* RBC-4.74 Hgb-13.3 Hct-41.7 MCV-88 MCH-28.0 MCHC-31.8 RDW-13.5 Plt ___ ___ 08:10PM BLOOD Neuts-66." "Correct entity, wrong SNOMED ID","(4696, 4699)","(4696, 4699)",RDW,RDW,66842004,735149004,11515132-DS-10,"4.74 Hgb-13.3 Hct-41.7 MCV-88 MCH-28.0 MCHC-31.8 RDW-13.5 Plt ___ ___ 08:10PM BLOOD Neuts-66.1 ___ Mon" Missed entity,"(4703, 4708)",,5 Plt,,61928009,,11515132-DS-10,"b-13.3 Hct-41.7 MCV-88 MCH-28.0 MCHC-31.8 RDW-13.5 Plt ___ ___ 08:10PM BLOOD Neuts-66.1 ___ Monos-5.4 Eo" "Correct entity, wrong SNOMED ID","(4731, 4736)","(4731, 4736)",Neuts,Neuts,30630007,271035003,11515132-DS-10,"28.0 MCHC-31.8 RDW-13.5 Plt ___ ___ 08:10PM BLOOD Neuts-66.1 ___ Monos-5.4 Eos-2.4 Baso-0.5 ___ 08:10PM " "Correct entity, wrong SNOMED ID","(4746, 4751)","(4746, 4751)",Monos,Monos,67776007,462791000124108,11515132-DS-10,"RDW-13.5 Plt ___ ___ 08:10PM BLOOD Neuts-66.1 ___ Monos-5.4 Eos-2.4 Baso-0.5 ___ 08:10PM BLOOD Glucose-2" "Correct entity, wrong SNOMED ID","(4756, 4759)","(4756, 4759)",Eos,Eos,71960002,67099000,11515132-DS-10,"lt ___ ___ 08:10PM BLOOD Neuts-66.1 ___ Monos-5.4 Eos-2.4 Baso-0.5 ___ 08:10PM BLOOD Glucose-270* Urea" "Correct entity, wrong SNOMED ID","(4765, 4769)","(4765, 4769)",Baso,Baso,42351005,700051010000106,11515132-DS-10,"_ 08:10PM BLOOD Neuts-66.1 ___ Monos-5.4 Eos-2.4 Baso-0.5 ___ 08:10PM BLOOD Glucose-270* UreaN-16 Creat" "Correct entity, wrong SNOMED ID","(4792, 4799)","(4792, 4799)",Glucose,Glucose,33747003,72191006,11515132-DS-10,"___ Monos-5.4 Eos-2.4 Baso-0.5 ___ 08:10PM BLOOD Glucose-270* UreaN-16 Creat-0.7 Na-137 K-3.9 Cl-99 HCO3-" "Correct entity, wrong SNOMED ID","(4805, 4810)","(4805, 4810)",UreaN,UreaN,105011006,111108008,11515132-DS-10," Eos-2.4 Baso-0.5 ___ 08:10PM BLOOD Glucose-270* UreaN-16 Creat-0.7 Na-137 K-3.9 Cl-99 HCO3-28 AnGap-14" "Correct entity, wrong SNOMED ID","(4814, 4819)","(4814, 4819)",Creat,Creat,70901006,413856009,11515132-DS-10," Baso-0.5 ___ 08:10PM BLOOD Glucose-270* UreaN-16 Creat-0.7 Na-137 K-3.9 Cl-99 HCO3-28 AnGap-14 ___ 08:1" "Correct entity, wrong SNOMED ID","(4824, 4826)","(4824, 4826)",Na,Na,312469006,257992007,11515132-DS-10,"___ 08:10PM BLOOD Glucose-270* UreaN-16 Creat-0.7 Na-137 K-3.9 Cl-99 HCO3-28 AnGap-14 ___ 08:10PM BLO" "Correct entity, wrong SNOMED ID","(4838, 4840)","(4838, 4840)",Cl,Cl,104589004,311741002,11515132-DS-10,"OOD Glucose-270* UreaN-16 Creat-0.7 Na-137 K-3.9 Cl-99 HCO3-28 AnGap-14 ___ 08:10PM BLOOD cTropnT-<0." "Correct entity, wrong SNOMED ID","(4844, 4848)","(4844, 4848)",HCO3,HCO3,312471006,88645003,11515132-DS-10,"ucose-270* UreaN-16 Creat-0.7 Na-137 K-3.9 Cl-99 HCO3-28 AnGap-14 ___ 08:10PM BLOOD cTropnT-<0.01 ___ 0" "Correct entity, wrong SNOMED ID","(4852, 4857)","(4852, 4857)",AnGap,AnGap,25469001,124504004,11515132-DS-10,"0* UreaN-16 Creat-0.7 Na-137 K-3.9 Cl-99 HCO3-28 AnGap-14 ___ 08:10PM BLOOD cTropnT-<0.01 ___ 01:55AM BL" "Correct entity, wrong SNOMED ID","(4879, 4886)","(4879, 4886)",cTropnT,cTropnT,105001004,442255004,11515132-DS-10,"7 K-3.9 Cl-99 HCO3-28 AnGap-14 ___ 08:10PM BLOOD cTropnT-<0.01 ___ 01:55AM BLOOD CK-MB-6 cTropnT-<0.01 ___" Missed entity,"(4911, 4916)",,CK-MB,,104613001,,11515132-DS-10,"___ 08:10PM BLOOD cTropnT-<0.01 ___ 01:55AM BLOOD CK-MB-6 cTropnT-<0.01 ___ 08:10PM BLOOD Calcium-9.6 Pho" "Correct entity, wrong SNOMED ID","(4919, 4926)","(4919, 4926)",cTropnT,cTropnT,105001004,442255004,11515132-DS-10,"0PM BLOOD cTropnT-<0.01 ___ 01:55AM BLOOD CK-MB-6 cTropnT-<0.01 ___ 08:10PM BLOOD Calcium-9.6 Phos-3.4 Mg-1" "Correct entity, wrong SNOMED ID","(4951, 4958)","(4951, 4958)",Calcium,Calcium,312472004,108601004,11515132-DS-10,"5AM BLOOD CK-MB-6 cTropnT-<0.01 ___ 08:10PM BLOOD Calcium-9.6 Phos-3.4 Mg-1.9 ___ 08:10PM BLOOD TSH-4.2 Di" "Correct entity, wrong SNOMED ID","(4963, 4967)","(4963, 4967)",Phos,Phos,104868000,168075002,11515132-DS-10,"-MB-6 cTropnT-<0.01 ___ 08:10PM BLOOD Calcium-9.6 Phos-3.4 Mg-1.9 ___ 08:10PM BLOOD TSH-4.2 Discharge L" "Correct entity, wrong SNOMED ID","(4972, 4974)","(4972, 4974)",Mg,Mg,271285000,258684004,11515132-DS-10,"opnT-<0.01 ___ 08:10PM BLOOD Calcium-9.6 Phos-3.4 Mg-1.9 ___ 08:10PM BLOOD TSH-4.2 Discharge Labs: __" "Correct entity, wrong SNOMED ID","(4997, 5000)","(4997, 5000)",TSH,TSH,61167004,412520006,11515132-DS-10,"OOD Calcium-9.6 Phos-3.4 Mg-1.9 ___ 08:10PM BLOOD TSH-4.2 Discharge Labs: ___ 07:45AM BLOOD WBC-12.0* " "Correct entity, wrong SNOMED ID","(5040, 5043)","(5040, 5043)",WBC,WBC,767002,391558003,11515132-DS-10," BLOOD TSH-4.2 Discharge Labs: ___ 07:45AM BLOOD WBC-12.0* RBC-4.57 Hgb-12.7 Hct-40.1 MCV-88 MCH-27.7" "Correct entity, wrong SNOMED ID","(5050, 5053)","(5050, 5053)",RBC,RBC,14089001,258759006,11515132-DS-10,"-4.2 Discharge Labs: ___ 07:45AM BLOOD WBC-12.0* RBC-4.57 Hgb-12.7 Hct-40.1 MCV-88 MCH-27.7 MCHC-31.6" "Correct entity, wrong SNOMED ID","(5059, 5062)","(5059, 5062)",Hgb,Hgb,441689006,104142005,11515132-DS-10,"charge Labs: ___ 07:45AM BLOOD WBC-12.0* RBC-4.57 Hgb-12.7 Hct-40.1 MCV-88 MCH-27.7 MCHC-31.6 RDW-13.6" "Correct entity, wrong SNOMED ID","(5068, 5071)","(5068, 5071)",Hct,Hct,28317006,282660005,11515132-DS-10,"bs: ___ 07:45AM BLOOD WBC-12.0* RBC-4.57 Hgb-12.7 Hct-40.1 MCV-88 MCH-27.7 MCHC-31.6 RDW-13.6 Plt ___ " Missed entity,"(5078, 5081)",,MCV,,104133003,,11515132-DS-10,":45AM BLOOD WBC-12.0* RBC-4.57 Hgb-12.7 Hct-40.1 MCV-88 MCH-27.7 MCHC-31.6 RDW-13.6 Plt ___ ___ 07:45A" "Correct entity, wrong SNOMED ID","(5085, 5088)","(5085, 5088)",MCH,MCH,54706004,735147002,11515132-DS-10,"LOOD WBC-12.0* RBC-4.57 Hgb-12.7 Hct-40.1 MCV-88 MCH-27.7 MCHC-31.6 RDW-13.6 Plt ___ ___ 07:45AM BLOOD" "Correct entity, wrong SNOMED ID","(5094, 5098)","(5094, 5098)",MCHC,MCHC,37254006,735147002,11515132-DS-10,"12.0* RBC-4.57 Hgb-12.7 Hct-40.1 MCV-88 MCH-27.7 MCHC-31.6 RDW-13.6 Plt ___ ___ 07:45AM BLOOD Glucose-1" "Correct entity, wrong SNOMED ID","(5104, 5107)","(5104, 5107)",RDW,RDW,66842004,735149004,11515132-DS-10,"4.57 Hgb-12.7 Hct-40.1 MCV-88 MCH-27.7 MCHC-31.6 RDW-13.6 Plt ___ ___ 07:45AM BLOOD Glucose-133* UreaN" Missed entity,"(5113, 5116)",,Plt,,61928009,,11515132-DS-10,"12.7 Hct-40.1 MCV-88 MCH-27.7 MCHC-31.6 RDW-13.6 Plt ___ ___ 07:45AM BLOOD Glucose-133* UreaN-15 Creat" Wrong span,"(5133, 5146)","(5139, 5146)",BLOOD Glucose,Glucose,33747003,72191006,11515132-DS-10,"8 MCH-27.7 MCHC-31.6 RDW-13.6 Plt ___ ___ 07:45AM BLOOD Glucose-133* UreaN-15 Creat-0.8 Na-141 K-4.3 Cl-100 HCO3" "Correct entity, wrong SNOMED ID","(5152, 5157)","(5152, 5157)",UreaN,UreaN,105011006,111108008,11515132-DS-10,"6 RDW-13.6 Plt ___ ___ 07:45AM BLOOD Glucose-133* UreaN-15 Creat-0.8 Na-141 K-4.3 Cl-100 HCO3-30 AnGap-1" "Correct entity, wrong SNOMED ID","(5161, 5166)","(5161, 5166)",Creat,Creat,70901006,413856009,11515132-DS-10,"6 Plt ___ ___ 07:45AM BLOOD Glucose-133* UreaN-15 Creat-0.8 Na-141 K-4.3 Cl-100 HCO3-30 AnGap-15 ___ 07:" "Correct entity, wrong SNOMED ID","(5171, 5173)","(5171, 5173)",Na,Na,312469006,257992007,11515132-DS-10,"___ 07:45AM BLOOD Glucose-133* UreaN-15 Creat-0.8 Na-141 K-4.3 Cl-100 HCO3-30 AnGap-15 ___ 07:45AM BL" "Correct entity, wrong SNOMED ID","(5185, 5187)","(5185, 5187)",Cl,Cl,104589004,311741002,11515132-DS-10,"OOD Glucose-133* UreaN-15 Creat-0.8 Na-141 K-4.3 Cl-100 HCO3-30 AnGap-15 ___ 07:45AM BLOOD Calcium-9." "Correct entity, wrong SNOMED ID","(5192, 5196)","(5192, 5196)",HCO3,HCO3,312471006,88645003,11515132-DS-10,"cose-133* UreaN-15 Creat-0.8 Na-141 K-4.3 Cl-100 HCO3-30 AnGap-15 ___ 07:45AM BLOOD Calcium-9.9 Phos-4." "Correct entity, wrong SNOMED ID","(5200, 5205)","(5200, 5205)",AnGap,AnGap,25469001,124504004,11515132-DS-10,"* UreaN-15 Creat-0.8 Na-141 K-4.3 Cl-100 HCO3-30 AnGap-15 ___ 07:45AM BLOOD Calcium-9.9 Phos-4.4 Mg-2.0 " "Correct entity, wrong SNOMED ID","(5227, 5234)","(5227, 5234)",Calcium,Calcium,312472004,108601004,11515132-DS-10," K-4.3 Cl-100 HCO3-30 AnGap-15 ___ 07:45AM BLOOD Calcium-9.9 Phos-4.4 Mg-2.0 CXR (___) FINDINGS: PA and " "Correct entity, wrong SNOMED ID","(5239, 5243)","(5239, 5243)",Phos,Phos,104868000,168075002,11515132-DS-10,"00 HCO3-30 AnGap-15 ___ 07:45AM BLOOD Calcium-9.9 Phos-4.4 Mg-2.0 CXR (___) FINDINGS: PA and lateral v" "Correct entity, wrong SNOMED ID","(5248, 5250)","(5248, 5250)",Mg,Mg,271285000,258684004,11515132-DS-10,"0 AnGap-15 ___ 07:45AM BLOOD Calcium-9.9 Phos-4.4 Mg-2.0 CXR (___) FINDINGS: PA and lateral views of" Wrong span,"(5277, 5310)","(5305, 5310)",PA and lateral views of the chest,chest,42869005,74160004,11515132-DS-10,"Calcium-9.9 Phos-4.4 Mg-2.0 CXR (___) FINDINGS: PA and lateral views of the chest provided demonstrate no focal consolidation, eff" "Correct entity, wrong SNOMED ID","(5342, 5355)","(5342, 5355)",consolidation,consolidation,9656002,95436008,11515132-DS-10,"views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and media" "Correct entity, wrong SNOMED ID","(5390, 5395)","(5390, 5395)",heart,heart,80891009,226984005,11515132-DS-10,"l consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Bony st" "Correct entity, wrong SNOMED ID","(5400, 5411)","(5400, 5411)",mediastinal,mediastinal,72410000,363646005,11515132-DS-10,"ation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are int" Wrong span,"(5421, 5434)","(5428, 5434)",appear normal,normal,386549008,840673007,11515132-DS-10,"pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. IMPRESSION: N" Missed entity,"(5438, 5453)",,Bony structures,,272673000,,11515132-DS-10,"e heart and mediastinal contours appear normal. Bony structures are intact. IMPRESSION: No acute intrathorac" Missed entity,"(5458, 5464)",,intact,,281900007,,11515132-DS-10,"nal contours appear normal. Bony structures are intact. IMPRESSION: No acute intrathoracic process." Missed entity,"(5483, 5513)",,No acute intrathoracic process,,281900007,,11515132-DS-10,"l. Bony structures are intact. IMPRESSION: No acute intrathoracic process. EKG (___): Sinus rhythm, LAD, RBBB (similar to" "Correct entity, wrong SNOMED ID","(5517, 5520)","(5517, 5520)",EKG,EKG,29303009,75444003,11515132-DS-10," IMPRESSION: No acute intrathoracic process. EKG (___): Sinus rhythm, LAD, RBBB (similar to previo" "Correct entity, wrong SNOMED ID","(5528, 5540)","(5528, 5540)",Sinus rhythm,Sinus rhythm,251150006,64730000,11515132-DS-10,"ON: No acute intrathoracic process. EKG (___): Sinus rhythm, LAD, RBBB (similar to previous EKGs) with ? new" "Correct entity, wrong SNOMED ID","(5542, 5545)","(5542, 5545)",LAD,LAD,39732003,1010291002,11515132-DS-10,"intrathoracic process. EKG (___): Sinus rhythm, LAD, RBBB (similar to previous EKGs) with ? new LAFB" "Correct entity, wrong SNOMED ID","(5547, 5551)","(5547, 5551)",RBBB,RBBB,164907000,258284008,11515132-DS-10,"thoracic process. EKG (___): Sinus rhythm, LAD, RBBB (similar to previous EKGs) with ? new LAFB, non-" Boundary error,"(5574, 5578)","(5574, 5577)",EKGs,EKG,29303009,75444003,11515132-DS-10,"_): Sinus rhythm, LAD, RBBB (similar to previous EKGs) with ? new LAFB, non-specific ST-T changes Pers" "Correct entity, wrong SNOMED ID","(5591, 5595)","(5591, 5595)",LAFB,LAFB,37760005,313377641000119105,11515132-DS-10," LAD, RBBB (similar to previous EKGs) with ? new LAFB, non-specific ST-T changes Persantine Stress MIB" Wrong span,"(5597, 5622)","(5610, 5622)",non-specific ST-T changes,ST-T changes,428750005,1259231006,11515132-DS-10,"RBBB (similar to previous EKGs) with ? new LAFB, non-specific ST-T changes Persantine Stress MIBI (___): IMPRESSION: 1. N" "Correct entity, wrong SNOMED ID","(5680, 5708)","(5680, 5708)",myocardial perfusion defects,myocardial perfusion defects,251054004,251057006,11515132-DS-10,"tine Stress MIBI (___): IMPRESSION: 1. No focal myocardial perfusion defects. 2. Normal wall motion with LVEF 63%. 3. Top n" "Correct entity, wrong SNOMED ID","(5715, 5733)","(5715, 5733)",Normal wall motion,Normal wall motion,373122000,61932003,11515132-DS-10,": 1. No focal myocardial perfusion defects. 2. Normal wall motion with LVEF 63%. 3. Top normal LV size with LEDV " Missed entity,"(5757, 5763)",,normal,,53461003,,11515132-DS-10,"s. 2. Normal wall motion with LVEF 63%. 3. Top normal LV size with LEDV 117cc. IMPRESSION: Atypical " "Correct entity, wrong SNOMED ID","(5764, 5766)","(5764, 5766)",LV,LV,87878005,49848007,11515132-DS-10," Normal wall motion with LVEF 63%. 3. Top normal LV size with LEDV 117cc. IMPRESSION: Atypical ang" Missed entity,"(5767, 5771)",,size,,53461003,,11515132-DS-10,"rmal wall motion with LVEF 63%. 3. Top normal LV size with LEDV 117cc. IMPRESSION: Atypical anginal " Wrong span,"(5804, 5820)","(5804, 5825)",Atypical anginal,Atypical anginal type,371807002,429559004,11515132-DS-10,"op normal LV size with LEDV 117cc. IMPRESSION: Atypical anginal type symptoms in the setting of Persantine infu" "Correct entity, wrong SNOMED ID","(5879, 5899)","(5879, 5899)",ischemic EKG changes,ischemic EKG changes,164861001,449735000,11515132-DS-10,"ptoms in the setting of Persantine infusion. No ischemic EKG changes. Nuclear report sent separately. Brief Hos" "Correct entity, wrong SNOMED ID","(5987, 5989)","(5987, 5989)",DM,DM,73211009,258671008,11515132-DS-10," Brief Hospital Course: Ms. ___ is a ___ F with DM, HTN, and HL presenting with chest pressure that" "Correct entity, wrong SNOMED ID","(5991, 5994)","(5991, 5994)",HTN,HTN,38341003,10725009,11515132-DS-10,"rief Hospital Course: Ms. ___ is a ___ F with DM, HTN, and HL presenting with chest pressure that has " "Correct entity, wrong SNOMED ID","(6000, 6002)","(6000, 6002)",HL,HL,55822004,257988000,11515132-DS-10,"ital Course: Ms. ___ is a ___ F with DM, HTN, and HL presenting with chest pressure that has been on " "Correct entity, wrong SNOMED ID","(6019, 6034)","(6019, 6034)","chest pressure","chest pressure",23924001,78387000,11515132-DS-10,"_ is a ___ F with DM, HTN, and HL presenting with chest pressure that has been on and off for the past 3 weeks, w" Wrong span,"(6083, 6106)","(6083, 6092)",worsening with exertion,worsening,81953000,170597008,11515132-DS-10,"e that has been on and off for the past 3 weeks, worsening with exertion yesterday. She had negative troponins. EKG showe" Wrong span,"(6135, 6144)","(6126, 6144)",troponins,negative troponins,105000003,310291005,11515132-DS-10,"rsening with exertion yesterday. She had negative troponins. EKG showed increased LAD and questionable new L" "Correct entity, wrong SNOMED ID","(6147, 6150)","(6147, 6150)",EKG,EKG,29303009,75444003,11515132-DS-10," exertion yesterday. She had negative troponins. EKG showed increased LAD and questionable new LAFB. S" "Correct entity, wrong SNOMED ID","(6168, 6171)","(6168, 6171)",LAD,LAD,39732003,1010291002,11515132-DS-10,"She had negative troponins. EKG showed increased LAD and questionable new LAFB. Stress MIBI was perfo" "Correct entity, wrong SNOMED ID","(6193, 6197)","(6193, 6197)",LAFB,LAFB,37760005,4973001,11515132-DS-10,"s. EKG showed increased LAD and questionable new LAFB. Stress MIBI was performed and showed no focal m" Missed entity,"(6246, 6264)",,myocardial defects,,251054004,,11515132-DS-10,"B. Stress MIBI was performed and showed no focal myocardial defects and an EF of 63%. # Atypical Chest Pain, likely" "Correct entity, wrong SNOMED ID","(6328, 6331)","(6328, 6331)",SVT,SVT,6456007,1237128001,11515132-DS-10," 63%. # Atypical Chest Pain, likely secondary to SVT- Patient has chest pressure and R arm pain, occa" "Correct entity, wrong SNOMED ID","(6346, 6360)","(6346, 6360)",chest pressure,chest pressure,23924001,78387000,11515132-DS-10,"Chest Pain, likely secondary to SVT- Patient has chest pressure and R arm pain, occasional nausea. Pain sometimes" Boundary error,"(6367, 6375)","(6365, 6375)",arm pain,R arm pain,102556003,15743521000119108,11515132-DS-10,"condary to SVT- Patient has chest pressure and R arm pain, occasional nausea. Pain sometimes occurs with e" "Correct entity, wrong SNOMED ID","(6388, 6394)","(6388, 6394)",nausea,nausea,422587007,1217125005,11515132-DS-10,"nt has chest pressure and R arm pain, occasional nausea. Pain sometimes occurs with exertion, sometimes " "Correct entity, wrong SNOMED ID","(6396, 6400)","(6396, 6400)",Pain,Pain,22253000,102570003,11515132-DS-10,"chest pressure and R arm pain, occasional nausea. Pain sometimes occurs with exertion, sometimes does n" "Correct entity, wrong SNOMED ID","(6424, 6432)","(6424, 6432)",exertion,exertion,81953000,255214003,11515132-DS-10,"n, occasional nausea. Pain sometimes occurs with exertion, sometimes does not not. Given her risk factors " "Correct entity, wrong SNOMED ID","(6483, 6496)","(6483, 6496)",former smoker,former smoker,8517006,230063004,11515132-DS-10," sometimes does not not. Given her risk factors (former smoker, hypertension, DMII, + family hx of early MI, ce" "Correct entity, wrong SNOMED ID","(6498, 6510)","(6498, 6510)",hypertension,hypertension,38341003,70995007,11515132-DS-10," not not. Given her risk factors (former smoker, hypertension, DMII, + family hx of early MI, central obesity)" "Correct entity, wrong SNOMED ID","(6512, 6516)","(6512, 6516)",DMII,DMII,44054006,258671008,11515132-DS-10,"n her risk factors (former smoker, hypertension, DMII, + family hx of early MI, central obesity) and h" Wrong span,"(6595, 6612)","(6595, 6604)","worsening angina",worsening,4557003,170597008,11515132-DS-10,"entral obesity) and history, there is concern for worsening angina. The patient is currently chest pressure free, tr" Wrong span,"(6639, 6653)","(6639, 6658)",chest pressure,chest pressure free,23924001,271720007,11515132-DS-10,"n for worsening angina. The patient is currently chest pressure free, troponins were negative, and EKG has some " "Correct entity, wrong SNOMED ID","(6660, 6669)","(6660, 6669)",troponins,troponins,105000003,102684000,11515132-DS-10,"na. The patient is currently chest pressure free, troponins were negative, and EKG has some conduction distu" "Correct entity, wrong SNOMED ID","(6690, 6693)","(6690, 6693)",EKG,EKG,29303009,75444003,11515132-DS-10,"hest pressure free, troponins were negative, and EKG has some conduction disturbance, but no ST eleva" Missed entity,"(6703, 6725)",,conduction disturbance,,44808001,,11515132-DS-10," free, troponins were negative, and EKG has some conduction disturbance, but no ST elevations > 1mm and is relatively un" "Correct entity, wrong SNOMED ID","(6792, 6795)","(6792, 6795)",EKG,EKG,29303009,75444003,11515132-DS-10,"ations > 1mm and is relatively unchanged from ___ EKG (although worsening LAD and questionable new LAF" Wrong span,"(6807, 6816)","(6807, 6812)",worsening,worse,271299001,280122007,11515132-DS-10,"d is relatively unchanged from ___ EKG (although worsening LAD and questionable new LAFB). Patient is unfor" "Correct entity, wrong SNOMED ID","(6817, 6820)","(6817, 6820)",LAD,LAD,39732003,1010291002,11515132-DS-10,"ively unchanged from ___ EKG (although worsening LAD and questionable new LAFB). Patient is unfortuna" "Correct entity, wrong SNOMED ID","(6842, 6846)","(6842, 6846)",LAFB,LAFB,37760005,4973001,11515132-DS-10,"EKG (although worsening LAD and questionable new LAFB). Patient is unfortunatley allergic to ASA (swel" Wrong span,"(6875, 6890)","(6875, 6883)",allergic to ASA,allergic,293586001,241929008,11515132-DS-10,"questionable new LAFB). Patient is unfortunatley allergic to ASA (swelling of throat and dyspnea), so aspirin is " "Correct entity, wrong SNOMED ID","(6892, 6910)","(6892, 6910)",swelling of throat,swelling of throat,421581006,447327009,11515132-DS-10,"LAFB). Patient is unfortunatley allergic to ASA (swelling of throat and dyspnea), so aspirin is deferred. Also aller" "Correct entity, wrong SNOMED ID","(6915, 6922)","(6915, 6922)",dyspnea,dyspnea,267036007,60845006,11515132-DS-10,"rtunatley allergic to ASA (swelling of throat and dyspnea), so aspirin is deferred. Also allergic to IV dy" "Correct entity, wrong SNOMED ID","(6929, 6936)","(6929, 6936)",aspirin,aspirin,431463004,7947003,11515132-DS-10,"rgic to ASA (swelling of throat and dyspnea), so aspirin is deferred. Also allergic to IV dye. - Patient " Wrong span,"(7008, 7019)","(7008, 7014)",stress MIBI,stress,16545191000119100,73595000,11515132-DS-10,"ergic to IV dye. - Patient received a persantine stress MIBI as an inpatient for evaluation of angina with ex" "Correct entity, wrong SNOMED ID","(7041, 7051)","(7041, 7051)",evaluation,evaluation,386053000,39609006,11515132-DS-10,"ved a persantine stress MIBI as an inpatient for evaluation of angina with exertion - Stress MIBI showed no f" Wrong span,"(7055, 7075)","(7055, 7066)",angina with exertion,angina with,300995000,161504004,11515132-DS-10,"ne stress MIBI as an inpatient for evaluation of angina with exertion - Stress MIBI showed no focal myocardial perfusio" Wrong span,"(7106, 7134)","(7106, 7126)",myocardial perfusion defects,myocardial perfusion,251054004,366196004,11515132-DS-10,"ngina with exertion - Stress MIBI showed no focal myocardial perfusion defects and normal wall motion with an ejection fraction" "Correct entity, wrong SNOMED ID","(7140, 7158)","(7140, 7158)",normal wall motion,normal wall motion,373122000,412746008,11515132-DS-10,"showed no focal myocardial perfusion defects and normal wall motion with an ejection fraction of 63%. The patient di" Wrong span,"(7220, 7245)","(7220, 7223)",atypical anginal symptoms,aty,371807002,421755005,11515132-DS-10,"ction fraction of 63%. The patient did have some atypical anginal symptoms with the injection of persantine - Patient reci" Wrong span,"(7255, 7279)","(7255, 7264)","injection of persantine",injection,764863008,193894004,11515132-DS-10," did have some atypical anginal symptoms with the injection of persantine - Patient recieved in patient echo prior to disc" "Correct entity, wrong SNOMED ID","(7347, 7361)","(7347, 7361)",cardiac murmur,cardiac murmur,88610006,722920009,11515132-DS-10,"ed in patient echo prior to discharge due to new cardiac murmur. This showed no significant valvular abnormality," "Correct entity, wrong SNOMED ID","(7390, 7410)","(7390, 7410)",valvular abnormality,valvular abnormality,708024004,234125002,11515132-DS-10,"o new cardiac murmur. This showed no significant valvular abnormality, but did show mild LV outflow tract obstruction." "Correct entity, wrong SNOMED ID","(7431, 7459)","(7431, 7459)",LV outflow tract obstruction,LV outflow tract obstruction,253546004,880013003,11515132-DS-10,"nificant valvular abnormality, but did show mild LV outflow tract obstruction. She was hyperdynamic (EF 70%), which per attend" "Correct entity, wrong SNOMED ID","(7470, 7482)","(7470, 7482)",hyperdynamic,hyperdynamic,438933007,10649000,11515132-DS-10," show mild LV outflow tract obstruction. She was hyperdynamic (EF 70%), which per attending cardiologist can e" Missed entity,"(7634, 7647)",,level of LVOT,,253546004,,11515132-DS-10,"is reason as well, as rate control should reduce level of LVOT. - Throughout hospitalization continued outpatie" "Correct entity, wrong SNOMED ID","(7724, 7736)","(7724, 7736)",hypertension,hypertension,38341003,70995007,11515132-DS-10,"tion continued outpatient meds for management of hypertension, with addition of lisinopril 5mg for improved bl" "Correct entity, wrong SNOMED ID","(7775, 7783)","(7775, 7783)",improved,improved,268910001,251359002,11515132-DS-10,"ypertension, with addition of lisinopril 5mg for improved blood pressure control in the setting of diabetes" "Correct entity, wrong SNOMED ID","(7825, 7833)","(7825, 7833)",diabetes,diabetes,73211009,9414007,11515132-DS-10,"improved blood pressure control in the setting of diabetes. - Patient was also started on Metoprolol succina" "Correct entity, wrong SNOMED ID","(7895, 7898)","(7895, 7898)",SVT,SVT,6456007,1237128001,11515132-DS-10,"was also started on Metoprolol succinate 50mg for SVT and hypertension. - TSH was WNL. # PUMP: Pt w/" "Correct entity, wrong SNOMED ID","(7904, 7916)","(7904, 7916)",hypertension,hypertension,38341003,70995007,11515132-DS-10,"started on Metoprolol succinate 50mg for SVT and hypertension. - TSH was WNL. # PUMP: Pt w/ trace pedal edema" Wrong span,"(7920, 7931)","(7920, 7923)",TSH was WNL,TSH,166336006,412520006,11515132-DS-10,"rolol succinate 50mg for SVT and hypertension. - TSH was WNL. # PUMP: Pt w/ trace pedal edema which is basel" "Correct entity, wrong SNOMED ID","(7955, 7966)","(7955, 7966)",pedal edema,pedal edema,102576009,829986000,11515132-DS-10,"ypertension. - TSH was WNL. # PUMP: Pt w/ trace pedal edema which is baseline. Has increasing fatigue over t" "Correct entity, wrong SNOMED ID","(7976, 7984)","(7976, 7984)",baseline,baseline,128974000,129082007,11515132-DS-10,"s WNL. # PUMP: Pt w/ trace pedal edema which is baseline. Has increasing fatigue over the last three week" "Correct entity, wrong SNOMED ID","(8002, 8009)","(8002, 8009)",fatigue,fatigue,84229001,1141720008,11515132-DS-10,"ce pedal edema which is baseline. Has increasing fatigue over the last three weeks. - Persantine stress " Missed entity,"(8041, 8058)",,Persantine stress,,16545191000119100,,11515132-DS-10,"increasing fatigue over the last three weeks. - Persantine stress suggested EF was 63%. # RHYTHM: Pt w/ what may" "Correct entity, wrong SNOMED ID","(8086, 8092)","(8086, 8092)",RHYTHM,RHYTHM,301112006,2170000,11515132-DS-10," - Persantine stress suggested EF was 63%. # RHYTHM: Pt w/ what may be new anterior fascicular block " "Correct entity, wrong SNOMED ID","(8152, 8155)","(8152, 8155)",EKG,EKG,29303009,75444003,11515132-DS-10,"at may be new anterior fascicular block on first EKG in ED, w/ existant RBBB. New EKG showed worsening" "Correct entity, wrong SNOMED ID","(8185, 8188)","(8185, 8188)",EKG,EKG,29303009,75444003,11515132-DS-10," block on first EKG in ED, w/ existant RBBB. New EKG showed worsening LAD. # DMII: Slightly eleva" "Correct entity, wrong SNOMED ID","(8196, 8205)","(8196, 8205)",worsening,worsening,271299001,170597008,11515132-DS-10,"first EKG in ED, w/ existant RBBB. New EKG showed worsening LAD. # DMII: Slightly elevated ___ upon arri" "Correct entity, wrong SNOMED ID","(8206, 8209)","(8206, 8209)",LAD,LAD,39732003,1010291002,11515132-DS-10,"in ED, w/ existant RBBB. New EKG showed worsening LAD. # DMII: Slightly elevated ___ upon arrival " "Correct entity, wrong SNOMED ID","(8218, 8222)","(8218, 8222)",DMII,DMII,44054006,258671008,11515132-DS-10,"istant RBBB. New EKG showed worsening LAD. # DMII: Slightly elevated ___ upon arrival (190s). Metfo" "Correct entity, wrong SNOMED ID","(8233, 8241)","(8233, 8241)",elevated,elevated,444780001,50177009,11515132-DS-10,"w EKG showed worsening LAD. # DMII: Slightly elevated ___ upon arrival (190s). Metformin was held duri" Missed entity,"(8342, 8363)",,Insulin Sliding Scale,,225301004,,11515132-DS-10,"g hospitalization and the patient was started on Insulin Sliding Scale. Her last HbA1C was 6.9 in ___. Patient was disc" Missed entity,"(8374, 8379)",,HbA1C,,43396009,,11515132-DS-10,"t was started on Insulin Sliding Scale. Her last HbA1C was 6.9 in ___. Patient was discharged on her ho" "Correct entity, wrong SNOMED ID","(8457, 8460)","(8457, 8460)",HTN,HTN,38341003,10725009,11515132-DS-10,"s discharged on her home dose of Metformin. # HTN: Blood presures elevated during hospitalization (" Wrong span,"(8462, 8485)","(8462, 8467)",Blood presures elevated,Blood,38341003,8765009,11515132-DS-10,"charged on her home dose of Metformin. # HTN: Blood presures elevated during hospitalization (150s/80s - 170s/80s). Ho" Wrong span,"(8652, 8672)","(8652, 8664)",hypertension regimen,hypertension,308116003,70995007,11515132-DS-10,"inued. Lisinopril 5mg was added to the patient's hypertension regimen for improved control. Given benefit to patients " "Correct entity, wrong SNOMED ID","(8677, 8685)","(8677, 8685)",improved,improved,268910001,251359002,11515132-DS-10," added to the patient's hypertension regimen for improved control. Given benefit to patients with diabetes" "Correct entity, wrong SNOMED ID","(8727, 8735)","(8727, 8735)",diabetes,diabetes,73211009,82980005,11515132-DS-10,"improved control. Given benefit to patients with diabetes, ACE-I can be titrated up in the outpatient sett" "Correct entity, wrong SNOMED ID","(8853, 8867)","(8853, 8867)",Hypothyroidism,Hypothyroidism,40930008,10753681000119101,11515132-DS-10,"started on Metoprolol Succinate 50mg daily. # Hypothyroidism: Stable. Patient was continued on levothyroximne" "Correct entity, wrong SNOMED ID","(8869, 8875)","(8869, 8875)",Stable,Stable,359746009,301459008,11515132-DS-10,"rolol Succinate 50mg daily. # Hypothyroidism: Stable. Patient was continued on levothyroximne. TSH WN" "Correct entity, wrong SNOMED ID","(8919, 8926)","(8919, 8926)",TSH WNL,TSH WNL,166336006,82598004,11515132-DS-10,"Stable. Patient was continued on levothyroximne. TSH WNL during this hospitalization. # Trigeminal Neu" "Correct entity, wrong SNOMED ID","(8962, 8982)","(8962, 8982)",Trigeminal Neuralgia,Trigeminal Neuralgia,31681005,12242071000119103,11515132-DS-10,"ximne. TSH WNL during this hospitalization. # Trigeminal Neuralgia: Stable during this hospitalization. Patient was" "Correct entity, wrong SNOMED ID","(8984, 8990)","(8984, 8990)",Stable,Stable,359746009,301459008,11515132-DS-10,"this hospitalization. # Trigeminal Neuralgia: Stable during this hospitalization. Patient was continu" "Correct entity, wrong SNOMED ID","(9069, 9083)","(9069, 9083)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11515132-DS-10," Patient was continued on her home regimen. # Hyperlipidemia - Patient was continued on home Pravastatin 20mg" Wrong span,"(9139, 9151)","(9139, 9157)",Elevated WBC,Elevated WBC count,165509000,415115007,11515132-DS-10,"ient was continued on home Pravastatin 20mg. # Elevated WBC count - Patient was admitted with a WBC count of " "Correct entity, wrong SNOMED ID","(9188, 9197)","(9188, 9197)",WBC count,WBC count,767002,116708001,11515132-DS-10," Elevated WBC count - Patient was admitted with a WBC count of 13, down to 12 today. CXR and UA were not sug" "Correct entity, wrong SNOMED ID","(9224, 9227)","(9224, 9227)",CXR,CXR,399208008,363680008,11515132-DS-10,"mitted with a WBC count of 13, down to 12 today. CXR and UA were not suggestive of infection. Patient" "Correct entity, wrong SNOMED ID","(9232, 9234)","(9232, 9234)",UA,UA,27171005,257999003,11515132-DS-10,"ith a WBC count of 13, down to 12 today. CXR and UA were not suggestive of infection. Patient has be" "Correct entity, wrong SNOMED ID","(9259, 9268)","(9259, 9268)",infection,infection,40733004,260976002,11515132-DS-10,"n to 12 today. CXR and UA were not suggestive of infection. Patient has been afebrile during hospitalization" "Correct entity, wrong SNOMED ID","(9287, 9295)","(9287, 9295)",afebrile,afebrile,87273009,307200007,11515132-DS-10,"re not suggestive of infection. Patient has been afebrile during hospitalization, with no picture concerni" "Correct entity, wrong SNOMED ID","(9352, 9361)","(9352, 9361)",infection,infection,40733004,260976002,11515132-DS-10," hospitalization, with no picture concerning for infection. Transitional Issues: - Further consideration o" Wrong span,"(9466, 9488)","(9466, 9469)",HTN medication regimen,HTN,308116003,10725009,11515132-DS-10,"ential causes of atypical chest pain. - Optimize HTN medication regimen (titrate ACE-I and B-blocker). - Control LVOT wit" Missed entity,"(9530, 9534)",,LVOT,,253546004,,11515132-DS-10," regimen (titrate ACE-I and B-blocker). - Control LVOT with metoprolol succinate, f/u with Cardiology " "Correct entity, wrong SNOMED ID","(9571, 9581)","(9571, 9581)",Cardiology,Cardiology,310036006,1251549008,11515132-DS-10," Control LVOT with metoprolol succinate, f/u with Cardiology Medications on Admission: Preadmissions medica" "Correct entity, wrong SNOMED ID","(10913, 10916)","(10913, 10916)",SVT,SVT,6456007,1237128001,11515132-DS-10,"agnosis: Atypical chest pain, liking secondary to SVT Discharge Condition: Mental Status: Clear and" "Correct entity, wrong SNOMED ID","(10942, 10955)","(10942, 10955)",Mental Status,Mental Status,392257007,419284004,11515132-DS-10," liking secondary to SVT Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(10957, 10962)","(10957, 10962)",Clear,Clear,830123008,281278005,11515132-DS-10,"ry to SVT Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(10977, 10999)","(10977, 10999)",Level of Consciousness,Level of Consciousness,444714004,830285008,11515132-DS-10,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(11001, 11006)","(11001, 11006)",Alert,Alert,248234008,409787004,11515132-DS-10,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(11011, 11022)","(11011, 11022)",interactive,interactive,288577006,10301000202103,11515132-DS-10,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(11024, 11039)","(11024, 11039)",Activity Status,Activity Status,129676008,397622007,11515132-DS-10,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(11041, 11065)","(11041, 11065)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11515132-DS-10,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, It was" Wrong span,"(11176, 11209)","(11176, 11186)","chest pain worsening on exertion",chest pain,81953000,102589003,11515132-DS-10," taking care of you at ___ ___. You came in with chest pain worsening on exertion. You received a cardiac imaging test to help us b" Wrong span,"(11226, 11241)","(11226, 11246)",cardiac imaging,cardiac imaging test,441985002,16439801000119108,11515132-DS-10,"chest pain worsening on exertion. You received a cardiac imaging test to help us better assess your chest pain, w" "Correct entity, wrong SNOMED ID","(11278, 11288)","(11278, 11288)",chest pain,chest pain,29857009,444821009,11515132-DS-10,"rdiac imaging test to help us better assess your chest pain, which showed no distinct abnormalities. Please " Missed entity,"(11303, 11328)",,no distinct abnormalities,,281900007,,11515132-DS-10,"p us better assess your chest pain, which showed no distinct abnormalities. Please follow up with Dr. ___ Cardiology on ___" False positive,,"(362, 375)",,Trans-jugular,,424207007,11532659-DS-11,"rasound-guided percutaneous cholecystostomy (___) Trans-jugular temporary pacer wire Screw-in pacemaker Hepatic " False positive,,"(417, 444)",,Hepatic artery embolization,,174466003,11532659-DS-11,"-jugular temporary pacer wire Screw-in pacemaker Hepatic artery embolization History of Present Illness: ___ year-old femal" False positive,,"(525, 543)",,"prosthetic mitral",,703179007,11532659-DS-11," ___ year-old female with past medical history of prosthetic mitral ___, on warfarin, congestive heart failure, hype" False positive,,"(909, 919)",,compliance,,1157244008,11532659-DS-11,"and reports worsening ___ edema. She does report compliance with all of her medications but did not take her" False positive,,"(936, 947)",,medications,,182837001,11532659-DS-11,"dema. She does report compliance with all of her medications but did not take her home torsemide on the day o" False positive,,"(2042, 2055)",,uncomfortable,,250893000,11532659-DS-11,"7.5 137 / 81 48 24 95 Gen: middle aged female, uncomfortable appearing, tachypneic HEENT: MMM, no scleral i" False positive,,"(2133, 2136)",,jaw,,1231151009,11532659-DS-11,"ENT: MMM, no scleral icterus, PERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 with mechanical mi" False positive,,"(2463, 2465)",,UE,,257999003,11532659-DS-11,"o rash Neuro: CNII-XII intact, ___ strength in UE and ___ bilaterally, normal sensation to touch i" False positive,,"(2517, 2519)",,UE,,257999003,11532659-DS-11,"nd ___ bilaterally, normal sensation to touch in UE and ___. Gait deferred. Discharge exam: ======" False positive,,"(2529, 2533)",,Gait,,22325002,11532659-DS-11,"erally, normal sensation to touch in UE and ___. Gait deferred. Discharge exam: =============== VS: " False positive,,"(2579, 2581)",,VS,,313611000,11532659-DS-11,"Gait deferred. Discharge exam: =============== VS: 97.7 87 122/65 23 100% on RA GENERAL: Well devel" False positive,,"(2609, 2611)",,RA,,463051000124105,11532659-DS-11,"am: =============== VS: 97.7 87 122/65 23 100% on RA GENERAL: Well developed, well nourished Hispanic " False positive,,"(3008, 3012)",,neck,,840674001,11532659-DS-11,"edema. No R groin hematoma or bleeding noted. No neck bleeding or hematoma at Pacer site Pertinen" False positive,,"(3038, 3043)",,Pacer,,287698001,11532659-DS-11," bleeding noted. No neck bleeding or hematoma at Pacer site Pertinent Results: Admission labs: ====" False positive,,"(5577, 5581)",,BILE,,48866007,11532659-DS-11,"E CULTURE (Final ___: NO GROWTH. ___ 9:43 am BILE **FINAL REPORT ___ " False positive,,"(6133, 6137)",,wall,,78904004,11532659-DS-11,"en lodged in the neck of the gallbladder and the wall of the gallbladder is edematous. Gallbladder ed" False positive,,"(6595, 6613)",,bilious secretions,,73426008,11532659-DS-11,"r microbiology and chemistry evaluation. 5 cc of bilious secretions were aspirated after 10 cc of saline was instill" False positive,,"(6931, 6942)",,spontaneous,,225897003,11532659-DS-11," monitored by nursing throughout the study. No spontaneous echo contrast or thrombus is seen in the body of " False positive,,"(6943, 6956)",,echo contrast,,785775005,11532659-DS-11,"y nursing throughout the study. No spontaneous echo contrast or thrombus is seen in the body of the left atri" False positive,,"(7339, 7341)",,2D,,455641000124108,11532659-DS-11,"ed (<0.2m/s). No atrial septal defect is seen by 2D or color Doppler. There are simple atheroma in t" False positive,,"(7777, 7794)",,mitral prosthesis,,472832001,11532659-DS-11,"ransvalvular gradient. A very small paravalvular mitral prosthesis leak is probably present with mild (1+) mitral r" False positive,,"(7795, 7799)",,leak,,236608000,11532659-DS-11,"ient. A very small paravalvular mitral prosthesis leak is probably present with mild (1+) mitral regurg" False positive,,"(8098, 8102)",,Mild,,162468002,11532659-DS-11,"ents and mild paravalvular mitral regurgitation. Mild-moderate tricuspid regurgitation. Moderate pulmo" False positive,,"(8532, 8534)",,RV,,301097002,11532659-DS-11,"n of a temporary screw-in ventricular pacemaker (RV apical lead connected to an external generator). " False positive,,"(8705, 8707)",,PA,,421542006,11532659-DS-11," Continue antibiotics as per primary condition. • PA and LAT chest X ray in AM to check lead placement" False positive,,"(8939, 8944)",,blood,,8765009,11532659-DS-11,"f intra-abdominal blood with the highest density blood around the liver and a small hematoma situated b" False positive,,"(9451, 9456)",,blood,,8765009,11532659-DS-11,"f intra-abdominal blood with the highest density blood around the liver and a small hematoma situated b" False positive,,"(10038, 10041)",,LIJ,,32841000087103,11532659-DS-11," branch which fills a hepatic pseudoaneurysm. 2. LIJ central line is kinked and should not be used. 3" False positive,,"(10187, 10192)",,right,,225794002,11532659-DS-11,"stostomy tube. FEMORAL VASCULAR US RIGHT ___ cm right inguinal pseudoaneurysm. CT A/P ___ IMPRESSION: " False positive,,"(10251, 10264)",,peribronchial,,199697003,11532659-DS-11," pseudoaneurysm. CT A/P ___ IMPRESSION: 1. Hazy peribronchial nodular opacities in the right lower lobe and no" False positive,,"(10456, 10475)",,"inferior left lobe",,361989001,11532659-DS-11," The previously seen hematoma along the posterior inferior left lobe and medial gallbladder fossa is increased in siz" False positive,,"(12270, 12271)",,E,,257985002,11532659-DS-11,"chanical mitral valve, congestive heart failure (EF 46% in ___, hypertension, hyperlipidemia, diabe" False positive,,"(12657, 12664)",,surgery,,110473004,11532659-DS-11,"ommended percutaneous chlecystotomy and to defer surgery for 6 weeks in setting of comorbidities, late pr" False positive,,"(13440, 13443)",,RIJ,,1370883000,11532659-DS-11,"nderwent temporary pacemaker placement through a RIJ. In the setting of percutaneous drain in her gal" False positive,,"(15182, 15187)",,Acute,,255228009,11532659-DS-11,"ly improved. Her Cr upon discharge was 1.1. #Acute decompensation of HFpEF: EF 46% in ___. Per patie" False positive,,"(15672, 15686)",,volume removal,,429609002,11532659-DS-11,"ame anuric as detailed above. She improved after volume removal with CVVH. Renal function subsequently improved " False positive,,"(16399, 16403)",,drop,,227624001,11532659-DS-11,"orrhage: Patient was found to have a significant drop in H/H on ___ with abdominal tenderness. CT A/P " False positive,,"(16528, 16533)",,PRBCs,,258759006,11532659-DS-11,"e hepatic artery. She received multiple units of PRBCs. She underwent ___ embolization on ___ of the bl" False positive,,"(16824, 16825)",,h,,257988000,11532659-DS-11,"rwent repeat hepatic artery embolization and her hgb remained stable the remainder of her hospitaliz" False positive,,"(17051, 17052)",,s,,420952007,11532659-DS-11,"ion. Hemolysis work up revealed low haptoglobin, schistocytes on smear, and elevated LDH. Likely he" False positive,,"(18081, 18089)",,Vitamins,,346537006,11532659-DS-11," #Insomnia: continued home regimen of trazodone #Vitamins: continued home regimen of vitamin D #Chronic " False positive,,"(18131, 18138)",,Chronic,,255212004,11532659-DS-11,"Vitamins: continued home regimen of vitamin D #Chronic steroid use: #Polymalgia Rheumatica: Patient st" False positive,,"(18311, 18324)",,acute illness,,160953001,11532659-DS-11,"ent was given stress-dose steroids in setting of acute illness, prednisone 40mg x3 days (___). Patient tapered " False positive,,"(19132, 19135)",,ACS,,89218003,11532659-DS-11,"rsemide accordingly APPT FOLLOW UP: [ ] F/u with ACS within 2 weeks of discharge to plan for lap CCY." False positive,,"(21287, 21309)",,Mechanical Heart Valve,,699347000,11532659-DS-11,"n IV per Weight-Based Dosing Protocol Indication: Mechanical Heart Valve Continue existing infusion at 900 units/hr Therap" False positive,,"(24048, 24056)",,pressure,,1264052006,11532659-DS-11,"aced a tube into your gallbladder to relieve the pressure and clear out the infection. The tube in your ga" False positive,,"(24091, 24095)",,tube,,371002007,11532659-DS-11,"ve the pressure and clear out the infection. The tube in your gallbladder caused some bleeding in your " Missed entity,"(180, 198)",,No Known Allergies,,609328004,,11532659-DS-11," Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chie" "Correct entity, wrong SNOMED ID","(201, 223)","(201, 223)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,11532659-DS-11,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: dyspnea Ma" "Correct entity, wrong SNOMED ID","(261, 268)","(261, 268)",dyspnea,dyspnea,267036007,60845006,11532659-DS-11,"ug Reactions Attending: ___. Chief Complaint: dyspnea Major Surgical or Invasive Procedure: Ultrasoun" Wrong span,"(309, 355)","(309, 326)",Ultrasound-guided percutaneous cholecystostomy,Ultrasound-guided,442833003,441552002,11532659-DS-11,": dyspnea Major Surgical or Invasive Procedure: Ultrasound-guided percutaneous cholecystostomy (___) Trans-jugular temporary pacer wire Screw-in" "Correct entity, wrong SNOMED ID","(397, 415)","(397, 415)",Screw-in pacemaker,Screw-in pacemaker,281556002,119551000119102,11532659-DS-11,"stostomy (___) Trans-jugular temporary pacer wire Screw-in pacemaker Hepatic artery embolization History of Presen" Missed entity,"(549, 560)",,on warfarin,,722045009,,11532659-DS-11,"h past medical history of prosthetic mitral ___, on warfarin, congestive heart failure, hypertension, yperlip" "Correct entity, wrong SNOMED ID","(562, 586)","(562, 586)",congestive heart failure,congestive heart failure,42343007,88805009,11532659-DS-11,"l history of prosthetic mitral ___, on warfarin, congestive heart failure, hypertension, yperlipidemia, diabetes presentin" "Correct entity, wrong SNOMED ID","(589, 601)","(589, 601)",hypertension,hypertension,38341003,70995007,11532659-DS-11,"tral ___, on warfarin, congestive heart failure, hypertension, yperlipidemia, diabetes presenting with dyspnea " "Correct entity, wrong SNOMED ID","(603, 616)","(603, 616)",yperlipidemia,yperlipidemia,55822004,267434003,11532659-DS-11,"arfarin, congestive heart failure, hypertension, yperlipidemia, diabetes presenting with dyspnea and abdominal " "Correct entity, wrong SNOMED ID","(618, 626)","(618, 626)",diabetes,diabetes,73211009,9414007,11532659-DS-11,"tive heart failure, hypertension, yperlipidemia, diabetes presenting with dyspnea and abdominal pain. SOB " "Correct entity, wrong SNOMED ID","(643, 650)","(643, 650)",dyspnea,dyspnea,267036007,60845006,11532659-DS-11,"rtension, yperlipidemia, diabetes presenting with dyspnea and abdominal pain. SOB has been ongoing for 2 w" "Correct entity, wrong SNOMED ID","(656, 670)","(656, 670)",abdominal pain,abdominal pain,21522001,54586004,11532659-DS-11,"rlipidemia, diabetes presenting with dyspnea and abdominal pain. SOB has been ongoing for 2 weeks and has been g" "Correct entity, wrong SNOMED ID","(672, 675)","(672, 675)",SOB,SOB,267036007,43731003,11532659-DS-11,"etes presenting with dyspnea and abdominal pain. SOB has been ongoing for 2 weeks and has been gettin" "Correct entity, wrong SNOMED ID","(766, 775)","(766, 775)",orthopnea,orthopnea,62744007,435931000124105,11532659-DS-11,"en getting worse. Notabyl this is associated with orthopnea requiring 5 pillows from 2 pillows previously. A" "Correct entity, wrong SNOMED ID","(838, 858)","(838, 858)",weight has increased,weight has increased,262286000,161833006,11532659-DS-11," pillows from 2 pillows previously. Also reports weight has increased and reports worsening ___ edema. She does report" "Correct entity, wrong SNOMED ID","(871, 880)","(871, 880)",worsening,worsening,271299001,170597008,11532659-DS-11,"y. Also reports weight has increased and reports worsening ___ edema. She does report compliance with all o" "Correct entity, wrong SNOMED ID","(885, 890)","(885, 890)",edema,edema,267038008,102576009,11532659-DS-11,"s weight has increased and reports worsening ___ edema. She does report compliance with all of her medi" "Correct entity, wrong SNOMED ID","(1046, 1054)","(1046, 1054)",RUQ pain,RUQ pain,301717006,270477000,11532659-DS-11,"of admission. She has also been complaining of RUQ pain that has been also ongoing for days. She initial" Missed entity,"(1126, 1130)",,food,,426277009,,11532659-DS-11,"ngoing for days. She initially associated it with food but is now constant. Reports early satiety as we" Missed entity,"(1143, 1151)",,constant,,426206001,,11532659-DS-11,"She initially associated it with food but is now constant. Reports early satiety as well. Reports intermit" Wrong span,"(1161, 1174)","(1167, 1174)",early satiety,satiety,442076002,442076002,11532659-DS-11,"ciated it with food but is now constant. Reports early satiety as well. Reports intermittent constipation and d" "Correct entity, wrong SNOMED ID","(1206, 1218)","(1206, 1218)",constipation,constipation,14760008,236069009,11532659-DS-11,"orts early satiety as well. Reports intermittent constipation and diarrhea. Has been nauseous but no vomiting." "Correct entity, wrong SNOMED ID","(1223, 1231)","(1223, 1231)",diarrhea,diarrhea,62315008,111843007,11532659-DS-11,"y as well. Reports intermittent constipation and diarrhea. Has been nauseous but no vomiting. She went " "Correct entity, wrong SNOMED ID","(1242, 1250)","(1242, 1250)",nauseous,nauseous,422587007,697411010000106,11532659-DS-11," intermittent constipation and diarrhea. Has been nauseous but no vomiting. She went to her PCP (referra" "Correct entity, wrong SNOMED ID","(1259, 1267)","(1259, 1267)",vomiting,vomiting,422400008,162062008,11532659-DS-11,"stipation and diarrhea. Has been nauseous but no vomiting. She went to her PCP (referral on ED dash) for" Missed entity,"(1288, 1291)",,PCP,,737470001,,11532659-DS-11,"een nauseous but no vomiting. She went to her PCP (referral on ED dash) for an outpatient routine " Missed entity,"(1293, 1301)",,referral,,3457005,,11532659-DS-11,"auseous but no vomiting. She went to her PCP (referral on ED dash) for an outpatient routine follow-up " "Correct entity, wrong SNOMED ID","(1378, 1386)","(1378, 1386)",dyspneic,dyspneic,267036007,60845006,11532659-DS-11,"ent routine follow-up visit. She was found to be dyspneic with concern for volume overload. Her PCP referr" "Correct entity, wrong SNOMED ID","(1405, 1420)","(1405, 1420)",volume overload,volume overload,21639008,457651000124103,11532659-DS-11,"t. She was found to be dyspneic with concern for volume overload. Her PCP referred her to the ED for further eval" Missed entity,"(1426, 1429)",,PCP,,737470001,,11532659-DS-11,"e dyspneic with concern for volume overload. Her PCP referred her to the ED for further evaluation. " "Correct entity, wrong SNOMED ID","(1466, 1476)","(1466, 1476)",evaluation,evaluation,386053000,39609006,11532659-DS-11,"load. Her PCP referred her to the ED for further evaluation. Past Medical History: - Severe MR: s/p mec" "Correct entity, wrong SNOMED ID","(1515, 1517)","(1515, 1517)",MR,MR,48724000,1380161007,11532659-DS-11," evaluation. Past Medical History: - Severe MR: s/p mechanical MVR in ___. - Atrial fibrillat" "Correct entity, wrong SNOMED ID","(1523, 1537)","(1523, 1537)",mechanical MVR,mechanical MVR,431339008,1258985005,11532659-DS-11,"ion. Past Medical History: - Severe MR: s/p mechanical MVR in ___. - Atrial fibrillation s/p DCCV ___ " "Correct entity, wrong SNOMED ID","(1551, 1570)","(1551, 1570)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,11532659-DS-11,"ry: - Severe MR: s/p mechanical MVR in ___. - Atrial fibrillation s/p DCCV ___ - Hypertension - Hyperlipidemi" "Correct entity, wrong SNOMED ID","(1575, 1579)","(1575, 1579)",DCCV,DCCV,180325003,408747003,11532659-DS-11,"chanical MVR in ___. - Atrial fibrillation s/p DCCV ___ - Hypertension - Hyperlipidemia - Di" "Correct entity, wrong SNOMED ID","(1589, 1601)","(1589, 1601)",Hypertension,Hypertension,38341003,70995007,11532659-DS-11,"n ___. - Atrial fibrillation s/p DCCV ___ - Hypertension - Hyperlipidemia - Diabetes, type 2 - Hy" "Correct entity, wrong SNOMED ID","(1607, 1621)","(1607, 1621)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11532659-DS-11," fibrillation s/p DCCV ___ - Hypertension - Hyperlipidemia - Diabetes, type 2 - Hyperthyroidism - A" "Correct entity, wrong SNOMED ID","(1649, 1664)","(1649, 1664)",Hyperthyroidism,Hyperthyroidism,34486009,10754961000119101,11532659-DS-11,"on - Hyperlipidemia - Diabetes, type 2 - Hyperthyroidism - Anxiety - Asthma - CHF with EF 43% " "Correct entity, wrong SNOMED ID","(1670, 1677)","(1670, 1677)",Anxiety,Anxiety,48694002,286644009,11532659-DS-11,"a - Diabetes, type 2 - Hyperthyroidism - Anxiety - Asthma - CHF with EF 43% - GERD S" "Correct entity, wrong SNOMED ID","(1683, 1689)","(1683, 1689)",Asthma,Asthma,195967001,281239006,11532659-DS-11,"es, type 2 - Hyperthyroidism - Anxiety - Asthma - CHF with EF 43% - GERD Social Histor" "Correct entity, wrong SNOMED ID","(1695, 1698)","(1695, 1698)",CHF,CHF,42343007,48447003,11532659-DS-11," - Hyperthyroidism - Anxiety - Asthma - CHF with EF 43% - GERD Social History: ___ Fa" "Correct entity, wrong SNOMED ID","(1809, 1812)","(1809, 1812)",CAD,CAD,53741008,84270004,11532659-DS-11,"y: Family history is significant for brother with CAD in his ___. Her grandmother died of coronary art" "Correct entity, wrong SNOMED ID","(1850, 1873)","(1850, 1873)",coronary artery disease,coronary artery disease,53741008,1293192009,11532659-DS-11,"her with CAD in his ___. Her grandmother died of coronary artery disease when she was elderly. Reports family history of " "Correct entity, wrong SNOMED ID","(1923, 1935)","(1923, 1935)",hypertension,hypertension,38341003,70995007,11532659-DS-11," when she was elderly. Reports family history of hypertension. Physical Exam: Admission exam: ==============" "Correct entity, wrong SNOMED ID","(1987, 1989)","(1987, 1989)",VS,VS,118227000,313611000,11532659-DS-11," Physical Exam: Admission exam: =============== VS: 97.5 137 / 81 48 24 95 Gen: middle aged femal" "Correct entity, wrong SNOMED ID","(2017, 2020)","(2017, 2020)",Gen,Gen,162673000,16651008,11532659-DS-11,"am: =============== VS: 97.5 137 / 81 48 24 95 Gen: middle aged female, uncomfortable appearing, tac" Wrong span,"(2022, 2033)","(2022, 2028)",middle aged,middle,28288005,405622006,11532659-DS-11,"============== VS: 97.5 137 / 81 48 24 95 Gen: middle aged female, uncomfortable appearing, tachypneic HE" "Correct entity, wrong SNOMED ID","(2067, 2077)","(2067, 2077)",tachypneic,tachypneic,271823003,430390000,11532659-DS-11,"Gen: middle aged female, uncomfortable appearing, tachypneic HEENT: MMM, no scleral icterus, PERRL, EOMI. J" "Correct entity, wrong SNOMED ID","(2081, 2086)","(2081, 2086)",HEENT,HEENT,5880005,113665002,11532659-DS-11,"ed female, uncomfortable appearing, tachypneic HEENT: MMM, no scleral icterus, PERRL, EOMI. JVD to jaw" "Correct entity, wrong SNOMED ID","(2088, 2091)","(2088, 2091)",MMM,MMM,276398005,258673006,11532659-DS-11,"le, uncomfortable appearing, tachypneic HEENT: MMM, no scleral icterus, PERRL, EOMI. JVD to jaw C" "Correct entity, wrong SNOMED ID","(2113, 2118)","(2113, 2118)",PERRL,PERRL,386666001,431291005,11532659-DS-11,"ng, tachypneic HEENT: MMM, no scleral icterus, PERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 " "Correct entity, wrong SNOMED ID","(2120, 2124)","(2120, 2124)",EOMI,EOMI,103251002,67099000,11532659-DS-11,"hypneic HEENT: MMM, no scleral icterus, PERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 with m" "Correct entity, wrong SNOMED ID","(2126, 2129)","(2126, 2129)",JVD,JVD,271653008,253395003,11532659-DS-11,"c HEENT: MMM, no scleral icterus, PERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 with mechan" "Correct entity, wrong SNOMED ID","(2140, 2142)","(2140, 2142)",CV,CV,363003006,258773002,11532659-DS-11,"M, no scleral icterus, PERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 with mechanical mitral s" "Correct entity, wrong SNOMED ID","(2144, 2147)","(2144, 2147)",RRR,RRR,76863003,129960002,11532659-DS-11,"o scleral icterus, PERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 with mechanical mitral sound." "Correct entity, wrong SNOMED ID","(2149, 2158)","(2149, 2158)",normal S1,normal S1,26198000,167242001,11532659-DS-11,"eral icterus, PERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 with mechanical mitral sound. Pulm: R" "Correct entity, wrong SNOMED ID","(2160, 2162)","(2160, 2162)",S2,S2,111974005,81170007,11532659-DS-11,"s, PERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 with mechanical mitral sound. Pulm: Rales" Boundary error,"(2164, 2167)","(2165, 2167)",+S3,S3,277455002,260279004,11532659-DS-11,"ERRL, EOMI. JVD to jaw CV: RRR, normal S1, S2. +S3 with mechanical mitral sound. Pulm: Rales in b" Wrong span,"(2184, 2190)","(2173, 2196)",mitral,mechanical mitral sound,91134007,248658004,11532659-DS-11,"aw CV: RRR, normal S1, S2. +S3 with mechanical mitral sound. Pulm: Rales in bases bilaterally; decre" "Correct entity, wrong SNOMED ID","(2201, 2205)","(2201, 2205)",Pulm,Pulm,268925001,90623003,11532659-DS-11,"rmal S1, S2. +S3 with mechanical mitral sound. Pulm: Rales in bases bilaterally; decreased BS bilater" "Correct entity, wrong SNOMED ID","(2207, 2212)","(2207, 2212)",Rales,Rales,48409008,31846006,11532659-DS-11,"1, S2. +S3 with mechanical mitral sound. Pulm: Rales in bases bilaterally; decreased BS bilaterally, n" "Correct entity, wrong SNOMED ID","(2216, 2221)","(2216, 2221)",bases,bases,10024003,417082000,11532659-DS-11,"3 with mechanical mitral sound. Pulm: Rales in bases bilaterally; decreased BS bilaterally, no wheeze" "Correct entity, wrong SNOMED ID","(2235, 2247)","(2235, 2247)",decreased BS,decreased BS,58840004,182879007,11532659-DS-11,"itral sound. Pulm: Rales in bases bilaterally; decreased BS bilaterally, no wheeze or rhonchi Abd: soft, " "Correct entity, wrong SNOMED ID","(2265, 2271)","(2265, 2271)",wheeze,wheeze,56018004,9763007,11532659-DS-11," bases bilaterally; decreased BS bilaterally, no wheeze or rhonchi Abd: soft, ND, RUQ TTP +Murphys. No" "Correct entity, wrong SNOMED ID","(2286, 2289)","(2286, 2289)",Abd,Abd,225162003,60728008,11532659-DS-11,"ecreased BS bilaterally, no wheeze or rhonchi Abd: soft, ND, RUQ TTP +Murphys. No appreciable ascit" "Correct entity, wrong SNOMED ID","(2297, 2299)","(2297, 2299)",ND,ND,60728008,165815009,11532659-DS-11," bilaterally, no wheeze or rhonchi Abd: soft, ND, RUQ TTP +Murphys. No appreciable ascites GU: " "Correct entity, wrong SNOMED ID","(2301, 2304)","(2301, 2304)",RUQ,RUQ,448265002,65826004,11532659-DS-11,"aterally, no wheeze or rhonchi Abd: soft, ND, RUQ TTP +Murphys. No appreciable ascites GU: no fo" "Correct entity, wrong SNOMED ID","(2305, 2308)","(2305, 2308)",TTP,TTP,247348008,438476003,11532659-DS-11,"ally, no wheeze or rhonchi Abd: soft, ND, RUQ TTP +Murphys. No appreciable ascites GU: no foley " Boundary error,"(2309, 2317)","(2310, 2317)",+Murphys,Murphys,53566005,75333007,11532659-DS-11,", no wheeze or rhonchi Abd: soft, ND, RUQ TTP +Murphys. No appreciable ascites GU: no foley Ext: 2" "Correct entity, wrong SNOMED ID","(2334, 2341)","(2334, 2341)",ascites,ascites,389026000,860638000,11532659-DS-11," Abd: soft, ND, RUQ TTP +Murphys. No appreciable ascites GU: no foley Ext: 2+ pitting edema to knee " "Correct entity, wrong SNOMED ID","(2345, 2347)","(2345, 2347)",GU,GU,268945009,77618006,11532659-DS-11,", ND, RUQ TTP +Murphys. No appreciable ascites GU: no foley Ext: 2+ pitting edema to knee bilate" "Correct entity, wrong SNOMED ID","(2352, 2357)","(2352, 2357)",foley,foley,439053001,411381006,11532659-DS-11,"UQ TTP +Murphys. No appreciable ascites GU: no foley Ext: 2+ pitting edema to knee bilaterally S" "Correct entity, wrong SNOMED ID","(2361, 2364)","(2361, 2364)",Ext,Ext,302773001,1489008,11532659-DS-11,"urphys. No appreciable ascites GU: no foley Ext: 2+ pitting edema to knee bilaterally Skin: no" "Correct entity, wrong SNOMED ID","(2377, 2382)","(2377, 2382)",edema,edema,267038008,102576009,11532659-DS-11,"ciable ascites GU: no foley Ext: 2+ pitting edema to knee bilaterally Skin: no rash Neuro: CN" "Correct entity, wrong SNOMED ID","(2386, 2390)","(2386, 2390)",knee,knee,72696002,248491001,11532659-DS-11,"cites GU: no foley Ext: 2+ pitting edema to knee bilaterally Skin: no rash Neuro: CNII-XII i" "Correct entity, wrong SNOMED ID","(2406, 2410)","(2406, 2410)",Skin,Skin,271303006,7748002,11532659-DS-11,"y Ext: 2+ pitting edema to knee bilaterally Skin: no rash Neuro: CNII-XII intact, ___ strength " "Correct entity, wrong SNOMED ID","(2415, 2419)","(2415, 2419)",rash,rash,271807003,247472004,11532659-DS-11," 2+ pitting edema to knee bilaterally Skin: no rash Neuro: CNII-XII intact, ___ strength in UE and" "Correct entity, wrong SNOMED ID","(2423, 2428)","(2423, 2428)",Neuro,Neuro,84728005,281247006,11532659-DS-11,"ing edema to knee bilaterally Skin: no rash Neuro: CNII-XII intact, ___ strength in UE and ___ bila" "Correct entity, wrong SNOMED ID","(2430, 2445)","(2430, 2445)",CNII-XII intact,CNII-XII intact,830121005,408755005,11532659-DS-11,"ma to knee bilaterally Skin: no rash Neuro: CNII-XII intact, ___ strength in UE and ___ bilaterally, normal " Wrong span,"(2488, 2504)","(2488, 2513)",normal sensation,normal sensation to touch,299956006,299909008,11532659-DS-11," intact, ___ strength in UE and ___ bilaterally, normal sensation to touch in UE and ___. Gait deferred. Dischar" "Correct entity, wrong SNOMED ID","(2612, 2619)","(2612, 2619)",GENERAL,GENERAL,162673000,252398009,11532659-DS-11," =============== VS: 97.7 87 122/65 23 100% on RA GENERAL: Well developed, well nourished Hispanic female C" "Correct entity, wrong SNOMED ID","(2668, 2675)","(2668, 2675)",CARDIAC,CARDIAC,363003006,71892000,11532659-DS-11,"L: Well developed, well nourished Hispanic female CARDIAC: RRR. mechanical S1, S2. no gallops/rubs NECK: Et" "Correct entity, wrong SNOMED ID","(2677, 2680)","(2677, 2680)",RRR,RRR,76863003,129960002,11532659-DS-11,"eveloped, well nourished Hispanic female CARDIAC: RRR. mechanical S1, S2. no gallops/rubs NECK: Eternal" Wrong span,"(2693, 2699)","(2682, 2695)","S1, S2",mechanical S1,301132007,465335000,11532659-DS-11,"ourished Hispanic female CARDIAC: RRR. mechanical S1, S2. no gallops/rubs NECK: Eternal pacemaker generato" "Correct entity, wrong SNOMED ID","(2704, 2711)","(2704, 2711)",gallops,gallops,2170000,4592006,11532659-DS-11,"spanic female CARDIAC: RRR. mechanical S1, S2. no gallops/rubs NECK: Eternal pacemaker generator in place L" "Correct entity, wrong SNOMED ID","(2717, 2721)","(2717, 2721)",NECK,NECK,5880005,840674001,11532659-DS-11," CARDIAC: RRR. mechanical S1, S2. no gallops/rubs NECK: Eternal pacemaker generator in place LUNGS: brea" Missed entity,"(2731, 2759)",,pacemaker generator in place,,441509002,,11532659-DS-11," mechanical S1, S2. no gallops/rubs NECK: Eternal pacemaker generator in place LUNGS: breathing comfortably, in no respiratory d" "Correct entity, wrong SNOMED ID","(2760, 2765)","(2760, 2765)",LUNGS,LUNGS,268925001,74101002,11532659-DS-11,"s/rubs NECK: Eternal pacemaker generator in place LUNGS: breathing comfortably, in no respiratory distres" "Correct entity, wrong SNOMED ID","(2767, 2788)","(2767, 2788)",breathing comfortably,breathing comfortably,276362002,288842000,11532659-DS-11,"NECK: Eternal pacemaker generator in place LUNGS: breathing comfortably, in no respiratory distress, clear to auscultati" "Correct entity, wrong SNOMED ID","(2796, 2816)","(2796, 2816)",respiratory distress,respiratory distress,271825005,1179627006,11532659-DS-11,"ator in place LUNGS: breathing comfortably, in no respiratory distress, clear to auscultation bilaterally ABDOMEN: Soft" Boundary error,"(2818, 2852)","(2818, 2850)","clear to auscultation bilaterally","clear to auscultation bilateral",48348007,48348007,11532659-DS-11,"reathing comfortably, in no respiratory distress, clear to auscultation bilaterally ABDOMEN: Soft non-tender, obese, PCBD in place dr" "Correct entity, wrong SNOMED ID","(2853, 2860)","(2853, 2860)",ABDOMEN,ABDOMEN,225162003,75093004,11532659-DS-11,"tory distress, clear to auscultation bilaterally ABDOMEN: Soft non-tender, obese, PCBD in place draining b" "Correct entity, wrong SNOMED ID","(2867, 2877)","(2867, 2877)",non-tender,non-tender,43478001,298741000,11532659-DS-11," clear to auscultation bilaterally ABDOMEN: Soft non-tender, obese, PCBD in place draining bile EXTREMITIES: " "Correct entity, wrong SNOMED ID","(2879, 2884)","(2879, 2884)",obese,obese,414915002,415530009,11532659-DS-11,"uscultation bilaterally ABDOMEN: Soft non-tender, obese, PCBD in place draining bile EXTREMITIES: Warm, w" Missed entity,"(2891, 2899)",,in place,,397578001,,11532659-DS-11,"bilaterally ABDOMEN: Soft non-tender, obese, PCBD in place draining bile EXTREMITIES: Warm, well perfused. T" Wrong span,"(2900, 2908)","(2900, 2913)",draining,draining bile,239164002,235569007,11532659-DS-11,"ly ABDOMEN: Soft non-tender, obese, PCBD in place draining bile EXTREMITIES: Warm, well perfused. Trace ___ " "Correct entity, wrong SNOMED ID","(2914, 2925)","(2914, 2925)",EXTREMITIES,EXTREMITIES,302773001,248416007,11532659-DS-11,"ft non-tender, obese, PCBD in place draining bile EXTREMITIES: Warm, well perfused. Trace ___ edema. No R groin" "Correct entity, wrong SNOMED ID","(2927, 2931)","(2927, 2931)",Warm,Warm,102599008,298256005,11532659-DS-11,", obese, PCBD in place draining bile EXTREMITIES: Warm, well perfused. Trace ___ edema. No R groin hema" "Correct entity, wrong SNOMED ID","(2933, 2946)","(2933, 2946)",well perfused,well perfused,1137685003,301121007,11532659-DS-11,"e, PCBD in place draining bile EXTREMITIES: Warm, well perfused. Trace ___ edema. No R groin hematoma or bleedin" "Correct entity, wrong SNOMED ID","(2958, 2963)","(2958, 2963)",edema,edema,267038008,102576009,11532659-DS-11," bile EXTREMITIES: Warm, well perfused. Trace ___ edema. No R groin hematoma or bleeding noted. No neck " "Correct entity, wrong SNOMED ID","(2968, 2985)","(2968, 2985)","R groin hematoma","R groin hematoma",39571000087103,65062004,11532659-DS-11,"EMITIES: Warm, well perfused. Trace ___ edema. No R groin hematoma or bleeding noted. No neck bleeding or hematoma a" "Correct entity, wrong SNOMED ID","(2989, 2997)","(2989, 2997)",bleeding,bleeding,131148009,74474003,11532659-DS-11,"erfused. Trace ___ edema. No R groin hematoma or bleeding noted. No neck bleeding or hematoma at Pacer sit" "Correct entity, wrong SNOMED ID","(3013, 3021)","(3013, 3021)",bleeding,bleeding,131148009,74474003,11532659-DS-11,". No R groin hematoma or bleeding noted. No neck bleeding or hematoma at Pacer site Pertinent Results" "Correct entity, wrong SNOMED ID","(3025, 3033)","(3025, 3033)",hematoma,hematoma,35566002,784408000,11532659-DS-11," hematoma or bleeding noted. No neck bleeding or hematoma at Pacer site Pertinent Results: Admission " "Correct entity, wrong SNOMED ID","(3123, 3126)","(3123, 3126)",WBC,WBC,767002,391558003,11532659-DS-11,"Admission labs: =============== ___ 03:30PM BLOOD WBC-7.1 RBC-3.37* Hgb-9.6* Hct-31.0* MCV-92 MCH-28.5" "Correct entity, wrong SNOMED ID","(3131, 3134)","(3131, 3134)",RBC,RBC,14089001,258759006,11532659-DS-11,"n labs: =============== ___ 03:30PM BLOOD WBC-7.1 RBC-3.37* Hgb-9.6* Hct-31.0* MCV-92 MCH-28.5 MCHC-31" "Correct entity, wrong SNOMED ID","(3141, 3144)","(3141, 3144)",Hgb,Hgb,441689006,104142005,11532659-DS-11,"============= ___ 03:30PM BLOOD WBC-7.1 RBC-3.37* Hgb-9.6* Hct-31.0* MCV-92 MCH-28.5 MCHC-31.0* RDW-16" "Correct entity, wrong SNOMED ID","(3150, 3153)","(3150, 3153)",Hct,Hct,28317006,282660005,11532659-DS-11,"==== ___ 03:30PM BLOOD WBC-7.1 RBC-3.37* Hgb-9.6* Hct-31.0* MCV-92 MCH-28.5 MCHC-31.0* RDW-16.6* RDWSD" Missed entity,"(3161, 3164)",,MCV,,104133003,,11532659-DS-11,":30PM BLOOD WBC-7.1 RBC-3.37* Hgb-9.6* Hct-31.0* MCV-92 MCH-28.5 MCHC-31.0* RDW-16.6* RDWSD-56.4* Plt " "Correct entity, wrong SNOMED ID","(3168, 3171)","(3168, 3171)",MCH,MCH,54706004,735147002,11532659-DS-11,"LOOD WBC-7.1 RBC-3.37* Hgb-9.6* Hct-31.0* MCV-92 MCH-28.5 MCHC-31.0* RDW-16.6* RDWSD-56.4* Plt ___ ___" "Correct entity, wrong SNOMED ID","(3177, 3181)","(3177, 3181)",MCHC,MCHC,37254006,735147002,11532659-DS-11,"7.1 RBC-3.37* Hgb-9.6* Hct-31.0* MCV-92 MCH-28.5 MCHC-31.0* RDW-16.6* RDWSD-56.4* Plt ___ ___ 03:30PM B" "Correct entity, wrong SNOMED ID","(3198, 3203)","(3198, 3203)",RDWSD,RDWSD,66842004,80328002,11532659-DS-11,"* Hct-31.0* MCV-92 MCH-28.5 MCHC-31.0* RDW-16.6* RDWSD-56.4* Plt ___ ___ 03:30PM BLOOD Neuts-70.1 Lymphs" "Correct entity, wrong SNOMED ID","(3236, 3241)","(3236, 3241)",Neuts,Neuts,30630007,271035003,11532659-DS-11,"* RDW-16.6* RDWSD-56.4* Plt ___ ___ 03:30PM BLOOD Neuts-70.1 Lymphs-18.0* Monos-9.7 Eos-1.7 Baso-0.4 Im " "Correct entity, wrong SNOMED ID","(3247, 3253)","(3247, 3253)",Lymphs,Lymphs,74765001,79709007,11532659-DS-11," RDWSD-56.4* Plt ___ ___ 03:30PM BLOOD Neuts-70.1 Lymphs-18.0* Monos-9.7 Eos-1.7 Baso-0.4 Im ___ AbsNeut-" "Correct entity, wrong SNOMED ID","(3260, 3265)","(3260, 3265)",Monos,Monos,67776007,462791000124108,11532659-DS-11,"Plt ___ ___ 03:30PM BLOOD Neuts-70.1 Lymphs-18.0* Monos-9.7 Eos-1.7 Baso-0.4 Im ___ AbsNeut-5.00# AbsLym" "Correct entity, wrong SNOMED ID","(3270, 3273)","(3270, 3273)",Eos,Eos,71960002,67099000,11532659-DS-11,"_ 03:30PM BLOOD Neuts-70.1 Lymphs-18.0* Monos-9.7 Eos-1.7 Baso-0.4 Im ___ AbsNeut-5.00# AbsLymp-1.28 A" "Correct entity, wrong SNOMED ID","(3279, 3283)","(3279, 3283)",Baso,Baso,42351005,700051010000106,11532659-DS-11," BLOOD Neuts-70.1 Lymphs-18.0* Monos-9.7 Eos-1.7 Baso-0.4 Im ___ AbsNeut-5.00# AbsLymp-1.28 AbsMono-0.6" "Correct entity, wrong SNOMED ID","(3383, 3386)","(3383, 3386)",PTT,PTT,42525009,282119004,11532659-DS-11,"9 AbsEos-0.12 AbsBaso-0.03 ___ 03:30PM BLOOD ___ PTT-34.6 ___ ___ 03:30PM BLOOD Glucose-146* UreaN-28*" "Correct entity, wrong SNOMED ID","(3414, 3421)","(3414, 3421)",Glucose,Glucose,33747003,72191006,11532659-DS-11," 03:30PM BLOOD ___ PTT-34.6 ___ ___ 03:30PM BLOOD Glucose-146* UreaN-28* Creat-1.6* Na-140 K-5.1 Cl-102 HC" "Correct entity, wrong SNOMED ID","(3427, 3432)","(3427, 3432)",UreaN,UreaN,105011006,111108008,11532659-DS-11,"D ___ PTT-34.6 ___ ___ 03:30PM BLOOD Glucose-146* UreaN-28* Creat-1.6* Na-140 K-5.1 Cl-102 HCO3-23 AnGap" "Correct entity, wrong SNOMED ID","(3437, 3442)","(3437, 3442)",Creat,Creat,70901006,413856009,11532659-DS-11,"34.6 ___ ___ 03:30PM BLOOD Glucose-146* UreaN-28* Creat-1.6* Na-140 K-5.1 Cl-102 HCO3-23 AnGap-20 ___ 03" "Correct entity, wrong SNOMED ID","(3448, 3450)","(3448, 3450)",Na,Na,312469006,257992007,11532659-DS-11,"_ 03:30PM BLOOD Glucose-146* UreaN-28* Creat-1.6* Na-140 K-5.1 Cl-102 HCO3-23 AnGap-20 ___ 03:30PM BL" "Correct entity, wrong SNOMED ID","(3462, 3464)","(3462, 3464)",Cl,Cl,104589004,311741002,11532659-DS-11,"D Glucose-146* UreaN-28* Creat-1.6* Na-140 K-5.1 Cl-102 HCO3-23 AnGap-20 ___ 03:30PM BLOOD ALT-12 AST" "Correct entity, wrong SNOMED ID","(3469, 3473)","(3469, 3473)",HCO3,HCO3,312471006,88645003,11532659-DS-11,"se-146* UreaN-28* Creat-1.6* Na-140 K-5.1 Cl-102 HCO3-23 AnGap-20 ___ 03:30PM BLOOD ALT-12 AST-35 AlkPh" "Correct entity, wrong SNOMED ID","(3477, 3482)","(3477, 3482)",AnGap,AnGap,25469001,124504004,11532659-DS-11,"UreaN-28* Creat-1.6* Na-140 K-5.1 Cl-102 HCO3-23 AnGap-20 ___ 03:30PM BLOOD ALT-12 AST-35 AlkPhos-64 Tot" "Correct entity, wrong SNOMED ID","(3504, 3507)","(3504, 3507)",ALT,ALT,34608000,56935002,11532659-DS-11," K-5.1 Cl-102 HCO3-23 AnGap-20 ___ 03:30PM BLOOD ALT-12 AST-35 AlkPhos-64 TotBili-0.9 ___ 03:30PM BLOO" "Correct entity, wrong SNOMED ID","(3511, 3514)","(3511, 3514)",AST,AST,45896001,85043005,11532659-DS-11," Cl-102 HCO3-23 AnGap-20 ___ 03:30PM BLOOD ALT-12 AST-35 AlkPhos-64 TotBili-0.9 ___ 03:30PM BLOOD Lipas" "Correct entity, wrong SNOMED ID","(3518, 3525)","(3518, 3525)",AlkPhos,AlkPhos,88810008,30703008,11532659-DS-11," HCO3-23 AnGap-20 ___ 03:30PM BLOOD ALT-12 AST-35 AlkPhos-64 TotBili-0.9 ___ 03:30PM BLOOD Lipase-96* ___ 0" "Correct entity, wrong SNOMED ID","(3529, 3536)","(3529, 3536)",TotBili,TotBili,359986008,19754005,11532659-DS-11,"Gap-20 ___ 03:30PM BLOOD ALT-12 AST-35 AlkPhos-64 TotBili-0.9 ___ 03:30PM BLOOD Lipase-96* ___ 03:30PM BLOO" Missed entity,"(3559, 3565)",,Lipase,,104988000,,11532659-DS-11,"2 AST-35 AlkPhos-64 TotBili-0.9 ___ 03:30PM BLOOD Lipase-96* ___ 03:30PM BLOOD cTropnT-<0.01 proBNP-2323* " "Correct entity, wrong SNOMED ID","(3588, 3595)","(3588, 3595)",cTropnT,cTropnT,105001004,442255004,11532659-DS-11,".9 ___ 03:30PM BLOOD Lipase-96* ___ 03:30PM BLOOD cTropnT-<0.01 proBNP-2323* ___ 10:29PM BLOOD cTropnT-<0.0" "Correct entity, wrong SNOMED ID","(3602, 3608)","(3602, 3608)",proBNP,proBNP,414799001,407060002,11532659-DS-11," BLOOD Lipase-96* ___ 03:30PM BLOOD cTropnT-<0.01 proBNP-2323* ___ 10:29PM BLOOD cTropnT-<0.01 ___ 10:29PM" "Correct entity, wrong SNOMED ID","(3633, 3640)","(3633, 3640)",cTropnT,cTropnT,105001004,442255004,11532659-DS-11,"LOOD cTropnT-<0.01 proBNP-2323* ___ 10:29PM BLOOD cTropnT-<0.01 ___ 10:29PM BLOOD Calcium-9.3 Phos-3.8 Mg-1" "Correct entity, wrong SNOMED ID","(3665, 3672)","(3665, 3672)",Calcium,Calcium,312472004,108601004,11532659-DS-11,"___ 10:29PM BLOOD cTropnT-<0.01 ___ 10:29PM BLOOD Calcium-9.3 Phos-3.8 Mg-1.4* ___ 03:30PM BLOOD Albumin-4." "Correct entity, wrong SNOMED ID","(3677, 3681)","(3677, 3681)",Phos,Phos,104868000,168075002,11532659-DS-11,"BLOOD cTropnT-<0.01 ___ 10:29PM BLOOD Calcium-9.3 Phos-3.8 Mg-1.4* ___ 03:30PM BLOOD Albumin-4.0 ___ 10:" "Correct entity, wrong SNOMED ID","(3686, 3688)","(3686, 3688)",Mg,Mg,271285000,258684004,11532659-DS-11,"opnT-<0.01 ___ 10:29PM BLOOD Calcium-9.3 Phos-3.8 Mg-1.4* ___ 03:30PM BLOOD Albumin-4.0 ___ 10:29PM BL" "Correct entity, wrong SNOMED ID","(3712, 3719)","(3712, 3719)",Albumin,Albumin,26758005,166804009,11532659-DS-11,"OD Calcium-9.3 Phos-3.8 Mg-1.4* ___ 03:30PM BLOOD Albumin-4.0 ___ 10:29PM BLOOD Hapto-<10* ___ 03:38PM BLOO" Missed entity,"(3742, 3747)",,Hapto,,443308002,,11532659-DS-11,"* ___ 03:30PM BLOOD Albumin-4.0 ___ 10:29PM BLOOD Hapto-<10* ___ 03:38PM BLOOD Lactate-3.7* ___ 11:42PM B" Missed entity,"(3771, 3778)",,Lactate,,3926003,,11532659-DS-11,".0 ___ 10:29PM BLOOD Hapto-<10* ___ 03:38PM BLOOD Lactate-3.7* ___ 11:42PM BLOOD Lactate-2.8* Microbiology" Missed entity,"(3802, 3809)",,Lactate,,3926003,,11532659-DS-11," ___ 03:38PM BLOOD Lactate-3.7* ___ 11:42PM BLOOD Lactate-2.8* Microbiology: ============= Blood cultures " "Correct entity, wrong SNOMED ID","(3844, 3858)","(3844, 3858)",Blood cultures,Blood cultures,30088009,8730001000004107,11532659-DS-11,"M BLOOD Lactate-2.8* Microbiology: ============= Blood cultures ___ pending Urine culture ___ negative Blood cult" Missed entity,"(3889, 3897)",,negative,,708118007,,11532659-DS-11,"==== Blood cultures ___ pending Urine culture ___ negative Blood culture ___ pending Urine culture ___ negat" "Correct entity, wrong SNOMED ID","(3898, 3911)","(3898, 3911)",Blood culture,Blood culture,30088009,8730001000004107,11532659-DS-11,"d cultures ___ pending Urine culture ___ negative Blood culture ___ pending Urine culture ___ negative ___ 11:45" Missed entity,"(3942, 3950)",,negative,,708118007,,11532659-DS-11,"ative Blood culture ___ pending Urine culture ___ negative ___ 11:45 am BILE *" "Correct entity, wrong SNOMED ID","(4022, 4032)","(4022, 4032)",GRAM STAIN,GRAM STAIN,62777006,104200004,11532659-DS-11," **FINAL REPORT ___ GRAM STAIN (Final ___: NO POLYMORPHONUCLEAR LEUKOCYTE" "Correct entity, wrong SNOMED ID","(4126, 4139)","(4126, 4139)",FLUID CULTURE,FLUID CULTURE,61594008,252399001,11532659-DS-11,"KOCYTES SEEN. NO MICROORGANISMS SEEN. FLUID CULTURE (Final ___: NO GROWTH. ANAEROBIC CULTURE " Missed entity,"(4155, 4164)",,NO GROWTH,,708118007,,11532659-DS-11,"ORGANISMS SEEN. FLUID CULTURE (Final ___: NO GROWTH. ANAEROBIC CULTURE (Final ___: NO GROWTH." "Correct entity, wrong SNOMED ID","(4171, 4188)","(4171, 4188)",ANAEROBIC CULTURE,ANAEROBIC CULTURE,117034009,37366002,11532659-DS-11," FLUID CULTURE (Final ___: NO GROWTH. ANAEROBIC CULTURE (Final ___: NO GROWTH. ___ 9:00 pm BLOOD CUL" Missed entity,"(4204, 4213)",,NO GROWTH,,708118007,,11532659-DS-11," NO GROWTH. ANAEROBIC CULTURE (Final ___: NO GROWTH. ___ 9:00 pm BLOOD CULTURE Source: Line-ar" Wrong span,"(4229, 4242)","(4229, 4234)",BLOOD CULTURE,BLOOD,30088009,8765009,11532659-DS-11,"C CULTURE (Final ___: NO GROWTH. ___ 9:00 pm BLOOD CULTURE Source: Line-art 1 OF 2. " "Correct entity, wrong SNOMED ID","(4326, 4339)","(4326, 4339)",Blood Culture,Blood Culture,30088009,8730001000004107,11532659-DS-11," **FINAL REPORT ___ Blood Culture, Routine (Final ___: NO GROWTH. ___ 9:30 pm " Missed entity,"(4364, 4373)",,NO GROWTH,,708118007,,11532659-DS-11,"ORT ___ Blood Culture, Routine (Final ___: NO GROWTH. ___ 9:30 pm URINE Source: Catheter. " "Correct entity, wrong SNOMED ID","(4389, 4394)","(4389, 4394)",URINE,URINE,117010004,78888000,11532659-DS-11,", Routine (Final ___: NO GROWTH. ___ 9:30 pm URINE Source: Catheter. " Missed entity,"(4408, 4416)",,Catheter,,446775007,,11532659-DS-11,"_: NO GROWTH. ___ 9:30 pm URINE Source: Catheter. **FINAL REPORT ___" Missed entity,"(4500, 4509)",,NO GROWTH,,708118007,,11532659-DS-11,"FINAL REPORT ___ URINE CULTURE (Final ___: NO GROWTH. ___ 11:30 am MRSA SCREEN Source: Nasal swa" Missed entity,"(4550, 4560)",,Nasal swab,,312882009,,11532659-DS-11,"NO GROWTH. ___ 11:30 am MRSA SCREEN Source: Nasal swab. **FINAL REPORT ___" "Correct entity, wrong SNOMED ID","(4615, 4626)","(4615, 4626)",MRSA SCREEN,MRSA SCREEN,301786007,720301008,11532659-DS-11," **FINAL REPORT ___ MRSA SCREEN (Final ___: No MRSA isolated. ___ 4:37 am BL" Boundary error,"(4645, 4649)","(4645, 4647)",MRSA,MR,266096002,1380161007,11532659-DS-11,"INAL REPORT ___ MRSA SCREEN (Final ___: No MRSA isolated. ___ 4:37 am BLOOD CULTURE Source" "Correct entity, wrong SNOMED ID","(4674, 4687)","(4674, 4687)",BLOOD CULTURE,BLOOD CULTURE,30088009,121238005,11532659-DS-11,"EN (Final ___: No MRSA isolated. ___ 4:37 am BLOOD CULTURE Source: Line-ALINE. " "Correct entity, wrong SNOMED ID","(4766, 4779)","(4766, 4779)",Blood Culture,Blood Culture,30088009,8730001000004107,11532659-DS-11," **FINAL REPORT ___ Blood Culture, Routine (Final ___: NO GROWTH. ___ 4:38 am " Missed entity,"(4804, 4813)",,NO GROWTH,,708118007,,11532659-DS-11,"ORT ___ Blood Culture, Routine (Final ___: NO GROWTH. ___ 4:38 am URINE Source: Catheter. " "Correct entity, wrong SNOMED ID","(4829, 4834)","(4829, 4834)",URINE,URINE,117010004,78888000,11532659-DS-11,", Routine (Final ___: NO GROWTH. ___ 4:38 am URINE Source: Catheter. " Missed entity,"(4848, 4856)",,Catheter,,446775007,,11532659-DS-11,"_: NO GROWTH. ___ 4:38 am URINE Source: Catheter. **FINAL REPORT ___" Missed entity,"(4940, 4949)",,NO GROWTH,,708118007,,11532659-DS-11,"FINAL REPORT ___ URINE CULTURE (Final ___: NO GROWTH. ___ 5:00 pm STOOL CONSISTENCY: NOT APPLICA" Missed entity,"(4965, 4970)",,STOOL,,365437008,,11532659-DS-11,"E CULTURE (Final ___: NO GROWTH. ___ 5:00 pm STOOL CONSISTENCY: NOT APPLICABLE Source: Sto" Missed entity,"(4975, 4986)",,CONSISTENCY,,365437008,,11532659-DS-11,"(Final ___: NO GROWTH. ___ 5:00 pm STOOL CONSISTENCY: NOT APPLICABLE Source: Stool. " Missed entity,"(5017, 5022)",,Stool,,167592004,,11532659-DS-11,"OOL CONSISTENCY: NOT APPLICABLE Source: Stool. **FINAL REPORT ___" Missed entity,"(5077, 5113)",,C. difficile DNA amplification assay,,72415005,,11532659-DS-11," **FINAL REPORT ___ C. difficile DNA amplification assay (Final ___: Negative for toxigenic C. diff" Missed entity,"(5133, 5141)",,Negative,,23875004,,11532659-DS-11,"ficile DNA amplification assay (Final ___: Negative for toxigenic C. difficile by the Cepheid nucleic" Missed entity,"(5255, 5263)",,Negative,,23875004,,11532659-DS-11,"mplification assay.. (Reference Range-Negative). ___ 6:00 pm BLOOD CULTURE Source: Line-PI" "Correct entity, wrong SNOMED ID","(5279, 5292)","(5279, 5292)",BLOOD CULTURE,BLOOD CULTURE,30088009,121238005,11532659-DS-11," (Reference Range-Negative). ___ 6:00 pm BLOOD CULTURE Source: Line-PICC 2 OF 2. " Missed entity,"(5311, 5315)",,PICC,,1021000119106,,11532659-DS-11,"ve). ___ 6:00 pm BLOOD CULTURE Source: Line-PICC 2 OF 2. **FINAL REP" "Correct entity, wrong SNOMED ID","(5377, 5390)","(5377, 5390)",Blood Culture,Blood Culture,30088009,8730001000004107,11532659-DS-11," **FINAL REPORT ___ Blood Culture, Routine (Final ___: NO GROWTH. ___ 10:53 am" Missed entity,"(5415, 5424)",,NO GROWTH,,708118007,,11532659-DS-11,"ORT ___ Blood Culture, Routine (Final ___: NO GROWTH. ___ 10:53 am URINE Source: Catheter. " Boundary error,"(5441, 5446)","(5441, 5444)",URINE,URI,117010004,78888000,11532659-DS-11," Routine (Final ___: NO GROWTH. ___ 10:53 am URINE Source: Catheter. " Missed entity,"(5460, 5468)",,Catheter,,446775007,,11532659-DS-11,": NO GROWTH. ___ 10:53 am URINE Source: Catheter. **FINAL REPORT ___" Missed entity,"(5552, 5561)",,NO GROWTH,,708118007,,11532659-DS-11,"FINAL REPORT ___ URINE CULTURE (Final ___: NO GROWTH. ___ 9:43 am BILE " "Correct entity, wrong SNOMED ID","(5634, 5644)","(5634, 5644)",GRAM STAIN,GRAM STAIN,62777006,104200004,11532659-DS-11," **FINAL REPORT ___ GRAM STAIN (Final ___: 1+ (<1 per 1000X FIELD): " Missed entity,"(5694, 5723)",,"POLYMORPHONUCLEAR LEUKOCYTES",,116708001,,11532659-DS-11," (Final ___: 1+ (<1 per 1000X FIELD): POLYMORPHONUCLEAR LEUKOCYTES. NO MICROORGANISMS SEEN. FLUID CULTUR" "Correct entity, wrong SNOMED ID","(5761, 5774)","(5761, 5774)",FLUID CULTURE,FLUID CULTURE,61594008,252399001,11532659-DS-11," LEUKOCYTES. NO MICROORGANISMS SEEN. FLUID CULTURE (Final ___: NO GROWTH. ANAEROBIC CULTURE " Missed entity,"(5790, 5799)",,NO GROWTH,,708118007,,11532659-DS-11,"ORGANISMS SEEN. FLUID CULTURE (Final ___: NO GROWTH. ANAEROBIC CULTURE (Final ___: NO GROWTH." "Correct entity, wrong SNOMED ID","(5806, 5823)","(5806, 5823)",ANAEROBIC CULTURE,ANAEROBIC CULTURE,117034009,37366002,11532659-DS-11," FLUID CULTURE (Final ___: NO GROWTH. ANAEROBIC CULTURE (Final ___: NO GROWTH. Studies: ======== CXR" Missed entity,"(5839, 5848)",,NO GROWTH,,708118007,,11532659-DS-11," NO GROWTH. ANAEROBIC CULTURE (Final ___: NO GROWTH. Studies: ======== CXR ___ - Small pleural eff" "Correct entity, wrong SNOMED ID","(5887, 5904)","(5887, 5904)",pleural effusions,pleural effusions,60046008,425802001,11532659-DS-11," NO GROWTH. Studies: ======== CXR ___ - Small pleural effusions, mild to moderate pulmonary edema, and cardiomeg" Missed entity,"(5914, 5922)",,moderate,,162469005,,11532659-DS-11,"===== CXR ___ - Small pleural effusions, mild to moderate pulmonary edema, and cardiomegaly suggest CHF. " "Correct entity, wrong SNOMED ID","(5923, 5938)","(5923, 5938)",pulmonary edema,pulmonary edema,19242006,40541001,11532659-DS-11," ___ - Small pleural effusions, mild to moderate pulmonary edema, and cardiomegaly suggest CHF. RUQ U/S ___ - " "Correct entity, wrong SNOMED ID","(5945, 5957)","(5945, 5957)",cardiomegaly,cardiomegaly,8186001,275516004,11532659-DS-11,"effusions, mild to moderate pulmonary edema, and cardiomegaly suggest CHF. RUQ U/S ___ - The gallbladder con" "Correct entity, wrong SNOMED ID","(5966, 5969)","(5966, 5969)",CHF,CHF,42343007,48447003,11532659-DS-11,"derate pulmonary edema, and cardiomegaly suggest CHF. RUQ U/S ___ - The gallbladder contains sludge" "Correct entity, wrong SNOMED ID","(5973, 5980)","(5973, 5980)",RUQ U/S,RUQ U/S,426701000119108,257999003,11532659-DS-11,"pulmonary edema, and cardiomegaly suggest CHF. RUQ U/S ___ - The gallbladder contains sludge and stones" "Correct entity, wrong SNOMED ID","(5992, 6003)","(5992, 6003)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11,"nd cardiomegaly suggest CHF. RUQ U/S ___ - The gallbladder contains sludge and stones bones and is nondiste" "Correct entity, wrong SNOMED ID","(6013, 6019)","(6013, 6019)",sludge,sludge,44901006,19703005,11532659-DS-11,"st CHF. RUQ U/S ___ - The gallbladder contains sludge and stones bones and is nondistended. A shadowi" "Correct entity, wrong SNOMED ID","(6024, 6030)","(6024, 6030)",stones,stones,56381008,246433009,11532659-DS-11,"UQ U/S ___ - The gallbladder contains sludge and stones bones and is nondistended. A shadowing stone is" Wrong span,"(6062, 6077)","(6072, 6077)",shadowing stone,stone,235919008,246117004,11532659-DS-11," sludge and stones bones and is nondistended. A shadowing stone is seen lodged in the neck of the gallbladder an" Wrong span,"(6100, 6124)","(6100, 6107)","neck of the gallbladder",neck of,47742008,302550007,11532659-DS-11,"stended. A shadowing stone is seen lodged in the neck of the gallbladder and the wall of the gallbladder is edematous. G" "Correct entity, wrong SNOMED ID","(6145, 6156)","(6145, 6156)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11," the neck of the gallbladder and the wall of the gallbladder is edematous. Gallbladder edema may be seen wit" "Correct entity, wrong SNOMED ID","(6160, 6169)","(6160, 6169)",edematous,edematous,267038008,56425003,11532659-DS-11,"he gallbladder and the wall of the gallbladder is edematous. Gallbladder edema may be seen with hepatitis o" "Correct entity, wrong SNOMED ID","(6173, 6184)","(6173, 6184)",Gallbladder,Gallbladder,28231008,169010007,11532659-DS-11,"r and the wall of the gallbladder is edematous. Gallbladder edema may be seen with hepatitis or heart failure" "Correct entity, wrong SNOMED ID","(6185, 6190)","(6185, 6190)",edema,edema,267038008,102576009,11532659-DS-11,"ll of the gallbladder is edematous. Gallbladder edema may be seen with hepatitis or heart failure, how" "Correct entity, wrong SNOMED ID","(6208, 6217)","(6208, 6217)",hepatitis,hepatitis,128241005,186698009,11532659-DS-11,"s edematous. Gallbladder edema may be seen with hepatitis or heart failure, however in the setting of chol" "Correct entity, wrong SNOMED ID","(6221, 6234)","(6221, 6234)",heart failure,heart failure,84114007,56675007,11532659-DS-11," Gallbladder edema may be seen with hepatitis or heart failure, however in the setting of cholelithiasis with g" "Correct entity, wrong SNOMED ID","(6263, 6277)","(6263, 6277)",cholelithiasis,cholelithiasis,266474003,407637009,11532659-DS-11,"itis or heart failure, however in the setting of cholelithiasis with gallstone at the neck of the gallbladder, c" "Correct entity, wrong SNOMED ID","(6283, 6292)","(6283, 6292)",gallstone,gallstone,235919008,390926006,11532659-DS-11,"e, however in the setting of cholelithiasis with gallstone at the neck of the gallbladder, cannot exclude a" "Correct entity, wrong SNOMED ID","(6301, 6324)","(6301, 6324)",neck of the gallbladder,neck of the gallbladder,47742008,245394007,11532659-DS-11," setting of cholelithiasis with gallstone at the neck of the gallbladder, cannot exclude acute cholecystitis in the appro" Wrong span,"(6341, 6360)","(6341, 6346)",acute cholecystitis,acute,65275009,255228009,11532659-DS-11,"e at the neck of the gallbladder, cannot exclude acute cholecystitis in the appropriate clinical setting. ___ EXAMI" "Correct entity, wrong SNOMED ID","(6419, 6439)","(6419, 6439)",Ultrasound procedure,Ultrasound procedure,16310003,314607003,11532659-DS-11,"appropriate clinical setting. ___ EXAMINATION: Ultrasound procedure Successful ultrasound-guided placement of ___ pig" Wrong span,"(6451, 6524)","(6451, 6478)","ultrasound-guided placement of ___ pigtail catheter into the gallbladder",ultrasound-guided placement,1268402000,438623001,11532659-DS-11,"___ EXAMINATION: Ultrasound procedure Successful ultrasound-guided placement of ___ pigtail catheter into the gallbladder. Samples was sent for microbiology and chemistry" "Correct entity, wrong SNOMED ID","(6547, 6559)","(6547, 6559)",microbiology,microbiology,269934003,394820005,11532659-DS-11,"theter into the gallbladder. Samples was sent for microbiology and chemistry evaluation. 5 cc of bilious secret" Missed entity,"(6575, 6585)",,evaluation,,386053000,,11532659-DS-11," Samples was sent for microbiology and chemistry evaluation. 5 cc of bilious secretions were aspirated after" "Correct entity, wrong SNOMED ID","(6676, 6687)","(6676, 6687)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11,"ted after 10 cc of saline was instilled into the gallbladder. Aspirated material was extremely thick and dif" Missed entity,"(6763, 6775)",,inspissation,,47927003,,11532659-DS-11,"extremely thick and difficult to aspirate due to inspissation. ___ TTE Endotracheal intubation performed days " "Correct entity, wrong SNOMED ID","(6782, 6785)","(6782, 6785)",TTE,TTE,433236007,258691001,11532659-DS-11," difficult to aspirate due to inspissation. ___ TTE Endotracheal intubation performed days prior to s" "Correct entity, wrong SNOMED ID","(6786, 6809)","(6786, 6809)",Endotracheal intubation,Endotracheal intubation,112798008,232674004,11532659-DS-11,"fficult to aspirate due to inspissation. ___ TTE Endotracheal intubation performed days prior to study, and patient was s" Missed entity,"(6834, 6839)",,study,,386053000,,11532659-DS-11,"E Endotracheal intubation performed days prior to study, and patient was sedated on propofol and monitor" "Correct entity, wrong SNOMED ID","(6858, 6865)","(6858, 6865)",sedated,sedated,72641008,1157030006,11532659-DS-11,"n performed days prior to study, and patient was sedated on propofol and monitored by nursing throughout " Missed entity,"(6882, 6891)",,monitored,,239516002,,11532659-DS-11,"o study, and patient was sedated on propofol and monitored by nursing throughout the study. No spontaneou" Missed entity,"(6919, 6924)",,study,,386053000,,11532659-DS-11,"propofol and monitored by nursing throughout the study. No spontaneous echo contrast or thrombus is se" "Correct entity, wrong SNOMED ID","(6960, 6968)","(6960, 6968)",thrombus,thrombus,439127006,373140001,11532659-DS-11,"hout the study. No spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atri" "Correct entity, wrong SNOMED ID","(6997, 7008)","(6997, 7008)",left atrium,left atrium,82471001,312026008,11532659-DS-11," contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right a" "Correct entity, wrong SNOMED ID","(7009, 7030)","(7009, 7030)",left atrial appendage,left atrial appendage,33626005,277930000,11532659-DS-11," thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial app" "Correct entity, wrong SNOMED ID","(7050, 7063)","(7050, 7063)","right atrium","right atrium",73829009,128591008,11532659-DS-11,"t atrium/left atrial appendage or the body of the right atrium/right atrial appendage. The left atrial appendage" "Correct entity, wrong SNOMED ID","(7064, 7086)","(7064, 7086)",right atrial appendage,right atrial appendage,68300000,277713005,11532659-DS-11,"atrial appendage or the body of the right atrium/right atrial appendage. The left atrial appendage emptying velocity is " "Correct entity, wrong SNOMED ID","(7092, 7113)","(7092, 7113)",left atrial appendage,left atrial appendage,33626005,277930000,11532659-DS-11," of the right atrium/right atrial appendage. The left atrial appendage emptying velocity is depressed (<0.2m/s). No mas" Missed entity,"(7115, 7145)",,emptying velocity is depressed,,21762000,,11532659-DS-11,"ight atrial appendage. The left atrial appendage emptying velocity is depressed (<0.2m/s). No mass or thrombus is seen in the ri" "Correct entity, wrong SNOMED ID","(7160, 7164)","(7160, 7164)",mass,mass,300848003,237557003,11532659-DS-11,"age emptying velocity is depressed (<0.2m/s). No mass or thrombus is seen in the right atrium or right" "Correct entity, wrong SNOMED ID","(7168, 7176)","(7168, 7176)",thrombus,thrombus,439127006,373140001,11532659-DS-11,"tying velocity is depressed (<0.2m/s). No mass or thrombus is seen in the right atrium or right atrial appe" "Correct entity, wrong SNOMED ID","(7193, 7205)","(7193, 7205)",right atrium,right atrium,73829009,128591008,11532659-DS-11,"ed (<0.2m/s). No mass or thrombus is seen in the right atrium or right atrial appendage. The right atrial appe" "Correct entity, wrong SNOMED ID","(7209, 7231)","(7209, 7231)",right atrial appendage,right atrial appendage,68300000,277713005,11532659-DS-11," mass or thrombus is seen in the right atrium or right atrial appendage. The right atrial appendage ejection velocity is" "Correct entity, wrong SNOMED ID","(7237, 7260)","(7237, 7260)","right atrial appendage","right atrial appendage",68300000,277713005,11532659-DS-11,"n the right atrium or right atrial appendage. The right atrial appendage ejection velocity is depressed (<0.2m/s). No atr" Missed entity,"(7282, 7291)",,depressed,,21762000,,11532659-DS-11," The right atrial appendage ejection velocity is depressed (<0.2m/s). No atrial septal defect is seen by 2D" "Correct entity, wrong SNOMED ID","(7307, 7327)","(7307, 7327)",atrial septal defect,atrial septal defect,70142008,204315000,11532659-DS-11,"age ejection velocity is depressed (<0.2m/s). No atrial septal defect is seen by 2D or color Doppler. There are simple" "Correct entity, wrong SNOMED ID","(7345, 7358)","(7345, 7358)",color Doppler,color Doppler,423736003,261197005,11532659-DS-11,".2m/s). No atrial septal defect is seen by 2D or color Doppler. There are simple atheroma in the ascending aort" "Correct entity, wrong SNOMED ID","(7378, 7386)","(7378, 7386)",atheroma,atheroma,50808002,29483008,11532659-DS-11,"is seen by 2D or color Doppler. There are simple atheroma in the ascending aorta, aortic arch, and descend" "Correct entity, wrong SNOMED ID","(7394, 7409)","(7394, 7409)",ascending aorta,ascending aorta,54247002,181299009,11532659-DS-11," color Doppler. There are simple atheroma in the ascending aorta, aortic arch, and descending thoracic aorta. The" "Correct entity, wrong SNOMED ID","(7411, 7422)","(7411, 7422)",aortic arch,aortic arch,57034009,244230008,11532659-DS-11,"here are simple atheroma in the ascending aorta, aortic arch, and descending thoracic aorta. The aortic valve" "Correct entity, wrong SNOMED ID","(7429, 7454)","(7429, 7454)",descending thoracic aorta,descending thoracic aorta,32672002,2831000119107,11532659-DS-11,"theroma in the ascending aorta, aortic arch, and descending thoracic aorta. The aortic valve leaflets (3) are mildly thicke" "Correct entity, wrong SNOMED ID","(7460, 7481)","(7460, 7481)",aortic valve leaflets,aortic valve leaflets,81797008,232899001,11532659-DS-11," aortic arch, and descending thoracic aorta. The aortic valve leaflets (3) are mildly thickened. There are filamentous " "Correct entity, wrong SNOMED ID","(7491, 7507)","(7491, 7507)",mildly thickened,mildly thickened,89977008,309085000,11532659-DS-11,"horacic aorta. The aortic valve leaflets (3) are mildly thickened. There are filamentous strands on the aortic lea" "Correct entity, wrong SNOMED ID","(7546, 7562)","(7546, 7562)","aortic leaflets","aortic leaflets",81797008,45324002,11532659-DS-11,"y thickened. There are filamentous strands on the aortic leaflets consistent with Lambl's excresences (normal varia" "Correct entity, wrong SNOMED ID","(7624, 7644)","(7624, 7644)",aortic regurgitation,aortic regurgitation,60234000,61612001,11532659-DS-11,"with Lambl's excresences (normal variant). Trace aortic regurgitation is seen. The mitral prosthesis appears well seat" Wrong span,"(7658, 7675)","(7658, 7668)",mitral prosthesis,mitral pro,449846007,164913009,11532659-DS-11,"ariant). Trace aortic regurgitation is seen. The mitral prosthesis appears well seated, with normal disc motion and" "Correct entity, wrong SNOMED ID","(7703, 7709)","(7703, 7709)",normal,normal,386549008,840673007,11532659-DS-11," The mitral prosthesis appears well seated, with normal disc motion and transvalvular gradient. A very s" Missed entity,"(7758, 7763)",,small,,162468002,,11532659-DS-11,"l disc motion and transvalvular gradient. A very small paravalvular mitral prosthesis leak is probably " Missed entity,"(7877, 7924)",,moderate pulmonary artery systolic hypertension,,840307003,,11532659-DS-11,"ild (1+) mitral regurgitation. There is at least moderate pulmonary artery systolic hypertension. There is no pericardial effusion. IMPRESSION:" "Correct entity, wrong SNOMED ID","(7939, 7959)","(7939, 7959)",pericardial effusion,pericardial effusion,373945007,1230405007,11532659-DS-11,"monary artery systolic hypertension. There is no pericardial effusion. IMPRESSION: Well-seated mitral mechanical pros" Missed entity,"(7987, 8015)",,mitral mechanical prosthesis,,449846007,,11532659-DS-11,"o pericardial effusion. IMPRESSION: Well-seated mitral mechanical prosthesis with mobile discs, normal gradients and mild par" "Correct entity, wrong SNOMED ID","(8057, 8061)","(8057, 8061)",mild,mild,838451005,162468002,11532659-DS-11,"osthesis with mobile discs, normal gradients and mild paravalvular mitral regurgitation. Mild-moderate" Wrong span,"(8062, 8096)","(8062, 8069)","paravalvular mitral regurgitation",paraval,250988002,368074001,11532659-DS-11,"sis with mobile discs, normal gradients and mild paravalvular mitral regurgitation. Mild-moderate tricuspid regurgitation. Moderate " Missed entity,"(8103, 8135)",,moderate tricuspid regurgitation,,838455001,,11532659-DS-11,"and mild paravalvular mitral regurgitation. Mild-moderate tricuspid regurgitation. Moderate pulmonary artery systolic hypertension" Missed entity,"(8137, 8185)",,"Moderate pulmonary artery systolic hypertension",,840307003,,11532659-DS-11,"rgitation. Mild-moderate tricuspid regurgitation. Moderate pulmonary artery systolic hypertension. ___ CXR IMPRESSION: Unchanged severe bilatera" Missed entity,"(8210, 8219)",,Unchanged,,359748005,,11532659-DS-11,"ery systolic hypertension. ___ CXR IMPRESSION: Unchanged severe bilateral pulmonary edema with asymmetric " Missed entity,"(8220, 8226)",,severe,,162470006,,11532659-DS-11,"ic hypertension. ___ CXR IMPRESSION: Unchanged severe bilateral pulmonary edema with asymmetric distri" Wrong span,"(8227, 8246)","(8237, 8252)",bilateral pulmonary,pulmonary edema,74101002,40541001,11532659-DS-11,"rtension. ___ CXR IMPRESSION: Unchanged severe bilateral pulmonary edema with asymmetric distribution in the right " Wrong span,"(8247, 8252)","(8237, 8252)",edema,pulmonary edema,267038008,40541001,11532659-DS-11,"MPRESSION: Unchanged severe bilateral pulmonary edema with asymmetric distribution in the right upper " "Correct entity, wrong SNOMED ID","(8290, 8306)","(8290, 8306)",right upper lobe,right upper lobe,42400003,11339004,11532659-DS-11,"monary edema with asymmetric distribution in the right upper lobe. This could be edema alone if the patient has m" "Correct entity, wrong SNOMED ID","(8323, 8328)","(8323, 8328)",edema,edema,267038008,102576009,11532659-DS-11,"tribution in the right upper lobe. This could be edema alone if the patient has mitral regurgitation, " "Correct entity, wrong SNOMED ID","(8355, 8376)","(8355, 8376)","mitral regurgitation","mitral regurgitation",48724000,233861004,11532659-DS-11,"e. This could be edema alone if the patient has mitral regurgitation, alternatively edema and concurrent right upper " "Correct entity, wrong SNOMED ID","(8392, 8397)","(8392, 8397)",edema,edema,267038008,102576009,11532659-DS-11," patient has mitral regurgitation, alternatively edema and concurrent right upper lobe pneumonia. ___" Missed entity,"(8508, 8519)",,ventricular,,21814001,,11532659-DS-11,"• Successful implantation of a temporary screw-in ventricular pacemaker (RV apical lead connected to an extern" Missed entity,"(8521, 8530)",,pacemaker,,307280005,,11532659-DS-11,"implantation of a temporary screw-in ventricular pacemaker (RV apical lead connected to an external generato" "Correct entity, wrong SNOMED ID","(8665, 8676)","(8665, 8676)",antibiotics,antibiotics,281789004,372599003,11532659-DS-11,"• Device interrogation in the morning. • Continue antibiotics as per primary condition. • PA and LAT chest X ra" Wrong span,"(8712, 8715)","(8712, 8727)",LAT,LAT chest X ray,113094008,1295279000,11532659-DS-11,"ue antibiotics as per primary condition. • PA and LAT chest X ray in AM to check lead placement. • Perm" Wrong span,"(8716, 8727)","(8712, 8727)",chest X ray,LAT chest X ray,399208008,1295279000,11532659-DS-11,"ntibiotics as per primary condition. • PA and LAT chest X ray in AM to check lead placement. • Permanent PPM af" Wrong span,"(8748, 8757)","(8743, 8757)",placement,lead placement,782902008,10199002,11532659-DS-11,"ion. • PA and LAT chest X ray in AM to check lead placement. • Permanent PPM after resolution of the infectio" "Correct entity, wrong SNOMED ID","(8771, 8774)","(8771, 8774)",PPM,PPM,119551000119102,258731005,11532659-DS-11," X ray in AM to check lead placement. • Permanent PPM after resolution of the infectious process/after " Missed entity,"(8781, 8791)",,resolution,,413322009,,11532659-DS-11,"AM to check lead placement. • Permanent PPM after resolution of the infectious process/after surgery. CT AP " Wrong span,"(8799, 8817)","(8799, 8809)",infectious process,infectious,40733004,366971000119100,11532659-DS-11,"lacement. • Permanent PPM after resolution of the infectious process/after surgery. CT AP ___ IMPRESSION: 1. S" Wrong span,"(8818, 8832)","(8825, 8832)","after surgery",surgery,19585003,110473004,11532659-DS-11,"nt PPM after resolution of the infectious process/after surgery. CT AP ___ IMPRESSION: 1. Small-moderate a" Missed entity,"(8866, 8871)",,Small,,162468002,,11532659-DS-11,"s/after surgery. CT AP ___ IMPRESSION: 1. Small-moderate amount of intra-abdominal blood with the" Missed entity,"(8872, 8880)",,moderate,,162469005,,11532659-DS-11,"r surgery. CT AP ___ IMPRESSION: 1. Small-moderate amount of intra-abdominal blood with the highest" Wrong span,"(8891, 8906)","(8891, 8912)",intra-abdominal,intra-abdominal blood,123872000,18945009,11532659-DS-11,"___ IMPRESSION: 1. Small-moderate amount of intra-abdominal blood with the highest density blood around the " "Correct entity, wrong SNOMED ID","(8956, 8961)","(8956, 8961)",liver,liver,10200004,80515008,11532659-DS-11," blood with the highest density blood around the liver and a small hematoma situated between the gallbl" Missed entity,"(8968, 8973)",,small,,162468002,,11532659-DS-11,"the highest density blood around the liver and a small hematoma situated between the gallbladder and du" "Correct entity, wrong SNOMED ID","(8974, 8982)","(8974, 8982)",hematoma,hematoma,35566002,784408000,11532659-DS-11,"ighest density blood around the liver and a small hematoma situated between the gallbladder and duodenum. " "Correct entity, wrong SNOMED ID","(9005, 9016)","(9005, 9016)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11," liver and a small hematoma situated between the gallbladder and duodenum. Active contrast extravasation is " "Correct entity, wrong SNOMED ID","(9021, 9029)","(9021, 9029)",duodenum,duodenum,38848004,1304072005,11532659-DS-11,"ll hematoma situated between the gallbladder and duodenum. Active contrast extravasation is noted into th" Missed entity,"(9032, 9062)",,"Active contrast extravasation",,427924001,,11532659-DS-11," situated between the gallbladder and duodenum. Active contrast extravasation is noted into this hematoma from a possible subc" "Correct entity, wrong SNOMED ID","(9082, 9090)","(9082, 9090)",hematoma,hematoma,35566002,784408000,11532659-DS-11,"Active contrast extravasation is noted into this hematoma from a possible subcapsular branch arising from " "Correct entity, wrong SNOMED ID","(9144, 9164)","(9144, 9164)",right hepatic artery,right hepatic artery,69421009,244265008,11532659-DS-11,"m a possible subcapsular branch arising from the right hepatic artery where a percutaneous cholecystostomy tube course" Missed entity,"(9246, 9274)",,Percutaneous cholecystostomy,,174525001,,11532659-DS-11,"ostomy tube courses adjacent to the branch. 2. Percutaneous cholecystostomy tube appropriately positioned within the fundus" Wrong span,"(9318, 9343)","(9318, 9324)",fundus of the gallbladder,fundus,14347000,414003,11532659-DS-11,"ostomy tube appropriately positioned within the fundus of the gallbladder. CT CHEST ___ IMPRESSION: 1. Small-moderate " Missed entity,"(9347, 9355)",,CT CHEST,,169069000,,11532659-DS-11,"itioned within the fundus of the gallbladder. CT CHEST ___ IMPRESSION: 1. Small-moderate amount of in" Missed entity,"(9378, 9383)",,Small,,162468002,,11532659-DS-11,"the gallbladder. CT CHEST ___ IMPRESSION: 1. Small-moderate amount of intra-abdominal blood with the" Missed entity,"(9384, 9392)",,moderate,,162469005,,11532659-DS-11,"llbladder. CT CHEST ___ IMPRESSION: 1. Small-moderate amount of intra-abdominal blood with the highest" Wrong span,"(9403, 9418)","(9403, 9424)",intra-abdominal,intra-abdominal blood,123872000,18945009,11532659-DS-11,"ST ___ IMPRESSION: 1. Small-moderate amount of intra-abdominal blood with the highest density blood around the " "Correct entity, wrong SNOMED ID","(9468, 9473)","(9468, 9473)",liver,liver,10200004,80515008,11532659-DS-11," blood with the highest density blood around the liver and a small hematoma situated between the gallbl" Missed entity,"(9480, 9485)",,small,,162468002,,11532659-DS-11,"the highest density blood around the liver and a small hematoma situated between the gallbladder and du" "Correct entity, wrong SNOMED ID","(9486, 9494)","(9486, 9494)",hematoma,hematoma,35566002,784408000,11532659-DS-11,"ighest density blood around the liver and a small hematoma situated between the gallbladder and duodenum. " "Correct entity, wrong SNOMED ID","(9517, 9528)","(9517, 9528)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11," liver and a small hematoma situated between the gallbladder and duodenum. Active contrast extravasation is " "Correct entity, wrong SNOMED ID","(9533, 9541)","(9533, 9541)",duodenum,duodenum,38848004,1304072005,11532659-DS-11,"ll hematoma situated between the gallbladder and duodenum. Active contrast extravasation is noted into th" Missed entity,"(9544, 9574)",,"Active contrast extravasation",,427924001,,11532659-DS-11," situated between the gallbladder and duodenum. Active contrast extravasation is noted into this hematoma from a possible subc" "Correct entity, wrong SNOMED ID","(9594, 9602)","(9594, 9602)",hematoma,hematoma,35566002,784408000,11532659-DS-11,"Active contrast extravasation is noted into this hematoma from a possible subcapsular branch arising from " "Correct entity, wrong SNOMED ID","(9656, 9676)","(9656, 9676)",right hepatic artery,right hepatic artery,69421009,244265008,11532659-DS-11,"m a possible subcapsular branch arising from the right hepatic artery where a percutaneous cholecystostomy tube course" Wrong span,"(9686, 9714)","(9686, 9719)",percutaneous cholecystostomy,percutaneous cholecystostomy tube,174525001,1162763003,11532659-DS-11,"ch arising from the right hepatic artery where a percutaneous cholecystostomy tube courses adjacent to the branch. 2. Percut" Missed entity,"(9758, 9786)",,Percutaneous cholecystostomy,,174525001,,11532659-DS-11,"ostomy tube courses adjacent to the branch. 2. Percutaneous cholecystostomy tube appropriately positioned within the fundus" Wrong span,"(9830, 9855)","(9830, 9836)",fundus of the gallbladder,fundus,14347000,414003,11532659-DS-11,"ostomy tube appropriately positioned within the fundus of the gallbladder. HEPATIC ARTERIOGRAM ___ IMPRESSION: 1. Techn" Missed entity,"(9858, 9877)",,HEPATIC ARTERIOGRAM,,241239005,,11532659-DS-11,"sitioned within the fundus of the gallbladder. HEPATIC ARTERIOGRAM ___ IMPRESSION: 1. Technically successful coil" "Correct entity, wrong SNOMED ID","(9941, 9953)","(9941, 9953)",embolization,embolization,122463005,448396008,11532659-DS-11,"N: 1. Technically successful coil and Gel-Foam embolization of the segment 4B hepatic artery branch which f" "Correct entity, wrong SNOMED ID","(9974, 9988)","(9974, 9988)",hepatic artery,hepatic artery,76015000,1332214005,11532659-DS-11,"oil and Gel-Foam embolization of the segment 4B hepatic artery branch which fills a hepatic pseudoaneurysm. 2. " Wrong span,"(10010, 10017)","(10010, 10032)",hepatic,hepatic pseudoaneurysm,10200004,412711000,11532659-DS-11," segment 4B hepatic artery branch which fills a hepatic pseudoaneurysm. 2. LIJ central line is kinked an" Wrong span,"(10018, 10032)","(10010, 10032)",pseudoaneurysm,hepatic pseudoaneurysm,443089001,412711000,11532659-DS-11,"t 4B hepatic artery branch which fills a hepatic pseudoaneurysm. 2. LIJ central line is kinked and should not be" Missed entity,"(10042, 10064)",,central line is kinked,,1255693006,,11532659-DS-11,"nch which fills a hepatic pseudoaneurysm. 2. LIJ central line is kinked and should not be used. 3. Appropriate position " Wrong span,"(10117, 10145)","(10117, 10150)",percutaneous cholecystostomy,percutaneous cholecystostomy tube,174525001,1162763003,11532659-DS-11,"d should not be used. 3. Appropriate position of percutaneous cholecystostomy tube. FEMORAL VASCULAR US RIGHT ___ cm right in" Missed entity,"(10154, 10179)",,FEMORAL VASCULAR US RIGHT,,14511000087103,,11532659-DS-11," position of percutaneous cholecystostomy tube. FEMORAL VASCULAR US RIGHT ___ cm right inguinal pseudoaneurysm. CT A/P ___" Wrong span,"(10202, 10216)","(10193, 10216)",pseudoaneurysm,inguinal pseudoaneurysm,443089001,698852005,11532659-DS-11," FEMORAL VASCULAR US RIGHT ___ cm right inguinal pseudoaneurysm. CT A/P ___ IMPRESSION: 1. Hazy peribronchial n" Missed entity,"(10219, 10225)",,CT A/P,,419394006,,11532659-DS-11,"R US RIGHT ___ cm right inguinal pseudoaneurysm. CT A/P ___ IMPRESSION: 1. Hazy peribronchial nodular op" "Correct entity, wrong SNOMED ID","(10265, 10272)","(10265, 10272)",nodular,nodular,786838002,263888000,11532659-DS-11,"m. CT A/P ___ IMPRESSION: 1. Hazy peribronchial nodular opacities in the right lower lobe and nodular co" "Correct entity, wrong SNOMED ID","(10273, 10282)","(10273, 10282)",opacities,opacities,128305008,422061002,11532659-DS-11,"/P ___ IMPRESSION: 1. Hazy peribronchial nodular opacities in the right lower lobe and nodular consolidatio" "Correct entity, wrong SNOMED ID","(10290, 10306)","(10290, 10306)",right lower lobe,right lower lobe,266005,200384002,11532659-DS-11,": 1. Hazy peribronchial nodular opacities in the right lower lobe and nodular consolidation in the left lower lobe" Wrong span,"(10312, 10319)","(10312, 10315)",nodular,nod,786838002,422725000,11532659-DS-11,"al nodular opacities in the right lower lobe and nodular consolidation in the left lower lobe consistent w" "Correct entity, wrong SNOMED ID","(10341, 10356)","(10341, 10356)",left lower lobe,left lower lobe,41224006,361989001,11532659-DS-11,"ight lower lobe and nodular consolidation in the left lower lobe consistent with aspiration versus pneumonia. 2." "Correct entity, wrong SNOMED ID","(10374, 10384)","(10374, 10384)",aspiration,aspiration,422588002,86088003,11532659-DS-11,"olidation in the left lower lobe consistent with aspiration versus pneumonia. 2. The previously seen hematom" "Correct entity, wrong SNOMED ID","(10392, 10401)","(10392, 10401)",pneumonia,pneumonia,233604007,415125002,11532659-DS-11,"eft lower lobe consistent with aspiration versus pneumonia. 2. The previously seen hematoma along the poste" "Correct entity, wrong SNOMED ID","(10427, 10435)","(10427, 10435)",hematoma,hematoma,35566002,784408000,11532659-DS-11,"iration versus pneumonia. 2. The previously seen hematoma along the posterior inferior left lobe and medi" "Correct entity, wrong SNOMED ID","(10488, 10505)","(10488, 10505)",gallbladder fossa,gallbladder fossa,69039008,261413003,11532659-DS-11,"ong the posterior inferior left lobe and medial gallbladder fossa is increased in size, with increased low-density" Missed entity,"(10509, 10526)",,increased in size,,15454001,,11532659-DS-11,"erior left lobe and medial gallbladder fossa is increased in size, with increased low-density fluid and clot. The" "Correct entity, wrong SNOMED ID","(10557, 10562)","(10557, 10562)",fluid,fluid,17672001,109192009,11532659-DS-11,"s increased in size, with increased low-density fluid and clot. There is increased hemoperitoneum of i" "Correct entity, wrong SNOMED ID","(10592, 10606)","(10592, 10606)",hemoperitoneum,hemoperitoneum,443826006,45626005,11532659-DS-11," low-density fluid and clot. There is increased hemoperitoneum of intermediate density, with density in some p" "Correct entity, wrong SNOMED ID","(10723, 10731)","(10723, 10731)",bleeding,bleeding,131148009,74474003,11532659-DS-11,"rom prior. Findings are compatible with recent bleeding however ongoing bleeding cannot be definitively " "Correct entity, wrong SNOMED ID","(10748, 10756)","(10748, 10756)",bleeding,bleeding,131148009,74474003,11532659-DS-11," compatible with recent bleeding however ongoing bleeding cannot be definitively assessed on this noncontr" Missed entity,"(10798, 10815)",,noncontrast study,,399331006,,11532659-DS-11,"bleeding cannot be definitively assessed on this noncontrast study. 3. Small pseudoaneurysm in the right femoral ac" Missed entity,"(10821, 10826)",,Small,,162468002,,11532659-DS-11,"initively assessed on this noncontrast study. 3. Small pseudoaneurysm in the right femoral access site s" "Correct entity, wrong SNOMED ID","(10827, 10841)","(10827, 10841)",pseudoaneurysm,pseudoaneurysm,443089001,59711000119107,11532659-DS-11,"ely assessed on this noncontrast study. 3. Small pseudoaneurysm in the right femoral access site seen on ultraso" Wrong span,"(10849, 10862)","(10849, 10874)",right femoral,right femoral access site,73365007,792821001,11532659-DS-11,"oncontrast study. 3. Small pseudoaneurysm in the right femoral access site seen on ultrasound is not well evalu" "Correct entity, wrong SNOMED ID","(10884, 10894)","(10884, 10894)",ultrasound,ultrasound,16310003,765172009,11532659-DS-11,"neurysm in the right femoral access site seen on ultrasound is not well evaluated on this noncontrast study. " Missed entity,"(10907, 10916)",,evaluated,,386053000,,11532659-DS-11,"moral access site seen on ultrasound is not well evaluated on this noncontrast study. No significant right" Missed entity,"(10925, 10942)",,noncontrast study,,399331006,,11532659-DS-11,"seen on ultrasound is not well evaluated on this noncontrast study. No significant right groin hematoma. 4. The g" "Correct entity, wrong SNOMED ID","(10991, 11002)","(10991, 11002)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11,"y. No significant right groin hematoma. 4. The gallbladder contains previously administered contrast and a " Wrong span,"(11052, 11057)","(11052, 11066)",stone,"stone without",56381008,19968009,11532659-DS-11," contains previously administered contrast and a stone without contrast egress into the bile ducts, con" "Correct entity, wrong SNOMED ID","(11092, 11102)","(11092, 11102)",bile ducts,bile ducts,28273000,79741001,11532659-DS-11,"st and a stone without contrast egress into the bile ducts, consistent with gallstone obstruction at gallb" Wrong span,"(11121, 11130)","(11121, 11143)",gallstone,"gallstone obstruction",235919008,431931000124108,11532659-DS-11,"rast egress into the bile ducts, consistent with gallstone obstruction at gallbladder neck. Recommend flus" Wrong span,"(11132, 11163)","(11121, 11143)",obstruction at gallbladder neck,"gallstone obstruction",197418006,431931000124108,11532659-DS-11," into the bile ducts, consistent with gallstone obstruction at gallbladder neck. Recommend flushing of the percutaneous cholec" Missed entity,"(11176, 11184)",,flushing,,225063006,,11532659-DS-11,"tone obstruction at gallbladder neck. Recommend flushing of the percutaneous cholecystostomy tube. HEP" Wrong span,"(11193, 11222)","(11193, 11227)","percutaneous cholecystostomy","percutaneous cholecystostomy tube",174525001,1162763003,11532659-DS-11," at gallbladder neck. Recommend flushing of the percutaneous cholecystostomy tube. HEPATIC ARTERIOGRAM ___ IMPRESSION: 1. N" Missed entity,"(11231, 11250)",,HEPATIC ARTERIOGRAM,,241239005,,11532659-DS-11,"ing of the percutaneous cholecystostomy tube. HEPATIC ARTERIOGRAM ___ IMPRESSION: 1. No evidence of arterial extra" "Correct entity, wrong SNOMED ID","(11271, 11282)","(11271, 11282)",No evidence,No evidence,281900007,41647002,11532659-DS-11,"y tube. HEPATIC ARTERIOGRAM ___ IMPRESSION: 1. No evidence of arterial extravasation on hepatic angiography." "Correct entity, wrong SNOMED ID","(11286, 11308)","(11286, 11308)",arterial extravasation,arterial extravasation,371100002,274732007,11532659-DS-11,"IC ARTERIOGRAM ___ IMPRESSION: 1. No evidence of arterial extravasation on hepatic angiography. Empiric Gel-Foam embol" "Correct entity, wrong SNOMED ID","(11312, 11331)","(11312, 11331)",hepatic angiography,hepatic angiography,241239005,418554003,11532659-DS-11,"ION: 1. No evidence of arterial extravasation on hepatic angiography. Empiric Gel-Foam embolization of the right an" "Correct entity, wrong SNOMED ID","(11353, 11365)","(11353, 11365)",embolization,embolization,122463005,448396008,11532659-DS-11,"ation on hepatic angiography. Empiric Gel-Foam embolization of the right and middle hepatic arteries to stas" "Correct entity, wrong SNOMED ID","(11373, 11378)","(11373, 11378)",right,right,69421009,225794002,11532659-DS-11,"iography. Empiric Gel-Foam embolization of the right and middle hepatic arteries to stasis. 2. Abort" Wrong span,"(11390, 11406)","(11383, 11406)",hepatic arteries,middle hepatic arteries,76015000,272795008,11532659-DS-11,"ic Gel-Foam embolization of the right and middle hepatic arteries to stasis. 2. Aborted thrombin injection of rig" "Correct entity, wrong SNOMED ID","(11411, 11417)","(11411, 11417)",stasis,stasis,19685008,235675006,11532659-DS-11,"tion of the right and middle hepatic arteries to stasis. 2. Aborted thrombin injection of right common f" "Correct entity, wrong SNOMED ID","(11431, 11449)","(11431, 11449)",thrombin injection,thrombin injection,745600007,429325004,11532659-DS-11,"d middle hepatic arteries to stasis. 2. Aborted thrombin injection of right common femoral pseudoaneurysm. RECO" Wrong span,"(11459, 11473)","(11453, 11489)",common femoral,"right common femoral pseudoaneurysm",181347005,16013111000119103,11532659-DS-11,"o stasis. 2. Aborted thrombin injection of right common femoral pseudoaneurysm. RECOMMENDATION(S): Ultrasou" Wrong span,"(11475, 11489)","(11453, 11489)",pseudoaneurysm,"right common femoral pseudoaneurysm",443089001,16013111000119103,11532659-DS-11,"orted thrombin injection of right common femoral pseudoaneurysm. RECOMMENDATION(S): Ultrasound of the right " Wrong span,"(11515, 11544)","(11515, 11528)",Ultrasound of the right groin,Ultrasound of,1081000087100,736741000,11532659-DS-11," femoral pseudoaneurysm. RECOMMENDATION(S): Ultrasound of the right groin should be performed to follow up the right comm" Missed entity,"(11570, 11579)",,follow up,,281036007,,11532659-DS-11,"sound of the right groin should be performed to follow up the right common femoral artery pseudoaneurysm. " "Correct entity, wrong SNOMED ID","(11612, 11626)","(11612, 11626)",pseudoaneurysm,pseudoaneurysm,443089001,440534008,11532659-DS-11,"med to follow up the right common femoral artery pseudoaneurysm. FEMORAL VASCULAR US RIGHT ___ IMPRESSION: " Missed entity,"(11630, 11655)",,FEMORAL VASCULAR US RIGHT,,14511000087103,,11532659-DS-11,"the right common femoral artery pseudoaneurysm. FEMORAL VASCULAR US RIGHT ___ IMPRESSION: The previously noted pseudo" "Correct entity, wrong SNOMED ID","(11699, 11713)","(11699, 11713)",pseudoaneurysm,pseudoaneurysm,443089001,440534008,11532659-DS-11," RIGHT ___ IMPRESSION: The previously noted pseudoaneurysm now appears thrombosed, without internal flow on" "Correct entity, wrong SNOMED ID","(11726, 11736)","(11726, 11736)",thrombosed,thrombosed,125271003,111293003,11532659-DS-11," The previously noted pseudoaneurysm now appears thrombosed, without internal flow on Doppler interrogation." Missed entity,"(11764, 11771)",,Doppler,,765172009,,11532659-DS-11,"now appears thrombosed, without internal flow on Doppler interrogation. Discharge labs: =============== " "Correct entity, wrong SNOMED ID","(11839, 11842)","(11839, 11842)",WBC,WBC,767002,391558003,11532659-DS-11,"Discharge labs: =============== ___ 04:17AM BLOOD WBC-15.5* RBC-2.43* Hgb-7.5* Hct-23.6* MCV-97 MCH-30" "Correct entity, wrong SNOMED ID","(11849, 11852)","(11849, 11852)",RBC,RBC,14089001,258759006,11532659-DS-11,"labs: =============== ___ 04:17AM BLOOD WBC-15.5* RBC-2.43* Hgb-7.5* Hct-23.6* MCV-97 MCH-30.9 MCHC-31" "Correct entity, wrong SNOMED ID","(11859, 11862)","(11859, 11862)",Hgb,Hgb,441689006,104142005,11532659-DS-11,"=========== ___ 04:17AM BLOOD WBC-15.5* RBC-2.43* Hgb-7.5* Hct-23.6* MCV-97 MCH-30.9 MCHC-31.8* RDW-19" "Correct entity, wrong SNOMED ID","(11868, 11871)","(11868, 11871)",Hct,Hct,28317006,282660005,11532659-DS-11,"== ___ 04:17AM BLOOD WBC-15.5* RBC-2.43* Hgb-7.5* Hct-23.6* MCV-97 MCH-30.9 MCHC-31.8* RDW-19.4* RDWSD" Missed entity,"(11879, 11882)",,MCV,,104133003,,11532659-DS-11,"7AM BLOOD WBC-15.5* RBC-2.43* Hgb-7.5* Hct-23.6* MCV-97 MCH-30.9 MCHC-31.8* RDW-19.4* RDWSD-59.3* Plt " "Correct entity, wrong SNOMED ID","(11886, 11889)","(11886, 11889)",MCH,MCH,54706004,735147002,11532659-DS-11,"OD WBC-15.5* RBC-2.43* Hgb-7.5* Hct-23.6* MCV-97 MCH-30.9 MCHC-31.8* RDW-19.4* RDWSD-59.3* Plt ___ ___" "Correct entity, wrong SNOMED ID","(11895, 11899)","(11895, 11899)",MCHC,MCHC,37254006,735147002,11532659-DS-11,".5* RBC-2.43* Hgb-7.5* Hct-23.6* MCV-97 MCH-30.9 MCHC-31.8* RDW-19.4* RDWSD-59.3* Plt ___ ___ 09:05AM B" "Correct entity, wrong SNOMED ID","(11916, 11921)","(11916, 11921)",RDWSD,RDWSD,66842004,80328002,11532659-DS-11,"* Hct-23.6* MCV-97 MCH-30.9 MCHC-31.8* RDW-19.4* RDWSD-59.3* Plt ___ ___ 09:05AM BLOOD PTT-123.5* ___ 04" "Correct entity, wrong SNOMED ID","(11954, 11957)","(11954, 11957)",PTT,PTT,42525009,282119004,11532659-DS-11,"* RDW-19.4* RDWSD-59.3* Plt ___ ___ 09:05AM BLOOD PTT-123.5* ___ 04:17AM BLOOD Plt ___ ___ 04:17AM BLOO" "Correct entity, wrong SNOMED ID","(12013, 12016)","(12013, 12016)",PTT,PTT,42525009,282119004,11532659-DS-11,"* ___ 04:17AM BLOOD Plt ___ ___ 04:17AM BLOOD ___ PTT-55.1* ___ ___ 04:17AM BLOOD Glucose-107* UreaN-21" Wrong span,"(12039, 12052)","(12045, 12052)",BLOOD Glucose,Glucose,33747003,72191006,11532659-DS-11,"_ ___ 04:17AM BLOOD ___ PTT-55.1* ___ ___ 04:17AM BLOOD Glucose-107* UreaN-21* Creat-1.1 Na-135 K-4.2 Cl-105 HCO" "Correct entity, wrong SNOMED ID","(12058, 12063)","(12058, 12063)",UreaN,UreaN,105011006,111108008,11532659-DS-11," ___ PTT-55.1* ___ ___ 04:17AM BLOOD Glucose-107* UreaN-21* Creat-1.1 Na-135 K-4.2 Cl-105 HCO3-22 AnGap-" "Correct entity, wrong SNOMED ID","(12068, 12073)","(12068, 12073)",Creat,Creat,70901006,413856009,11532659-DS-11,"5.1* ___ ___ 04:17AM BLOOD Glucose-107* UreaN-21* Creat-1.1 Na-135 K-4.2 Cl-105 HCO3-22 AnGap-12 ___ 04:" "Correct entity, wrong SNOMED ID","(12078, 12080)","(12078, 12080)",Na,Na,312469006,257992007,11532659-DS-11,"__ 04:17AM BLOOD Glucose-107* UreaN-21* Creat-1.1 Na-135 K-4.2 Cl-105 HCO3-22 AnGap-12 ___ 04:17AM BL" "Correct entity, wrong SNOMED ID","(12092, 12094)","(12092, 12094)",Cl,Cl,104589004,311741002,11532659-DS-11,"OD Glucose-107* UreaN-21* Creat-1.1 Na-135 K-4.2 Cl-105 HCO3-22 AnGap-12 ___ 04:17AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(12099, 12103)","(12099, 12103)",HCO3,HCO3,312471006,88645003,11532659-DS-11,"ose-107* UreaN-21* Creat-1.1 Na-135 K-4.2 Cl-105 HCO3-22 AnGap-12 ___ 04:17AM BLOOD Calcium-8.3* Phos-3" "Correct entity, wrong SNOMED ID","(12107, 12112)","(12107, 12112)",AnGap,AnGap,25469001,124504004,11532659-DS-11," UreaN-21* Creat-1.1 Na-135 K-4.2 Cl-105 HCO3-22 AnGap-12 ___ 04:17AM BLOOD Calcium-8.3* Phos-3.0 Mg-2._" "Correct entity, wrong SNOMED ID","(12134, 12141)","(12134, 12141)",Calcium,Calcium,312472004,108601004,11532659-DS-11," K-4.2 Cl-105 HCO3-22 AnGap-12 ___ 04:17AM BLOOD Calcium-8.3* Phos-3.0 Mg-2.___rief summary: =============" "Correct entity, wrong SNOMED ID","(12147, 12151)","(12147, 12151)",Phos,Phos,104868000,168075002,11532659-DS-11,"5 HCO3-22 AnGap-12 ___ 04:17AM BLOOD Calcium-8.3* Phos-3.0 Mg-2.___rief summary: ============== ___ year" "Correct entity, wrong SNOMED ID","(12156, 12158)","(12156, 12158)",Mg,Mg,271285000,258684004,11532659-DS-11," AnGap-12 ___ 04:17AM BLOOD Calcium-8.3* Phos-3.0 Mg-2.___rief summary: ============== ___ year-old fe" "Correct entity, wrong SNOMED ID","(12218, 12241)","(12218, 12241)",mechanical mitral valve,mechanical mitral valve,449846007,431339008,11532659-DS-11," summary: ============== ___ year-old female with mechanical mitral valve, congestive heart failure (EF 46% in ___, hypert" "Correct entity, wrong SNOMED ID","(12243, 12268)","(12243, 12268)","congestive heart failure","congestive heart failure",42343007,88805009,11532659-DS-11,"___ year-old female with mechanical mitral valve, congestive heart failure (EF 46% in ___, hypertension, hyperlipidemia, di" "Correct entity, wrong SNOMED ID","(12285, 12297)","(12285, 12297)",hypertension,hypertension,38341003,70995007,11532659-DS-11," valve, congestive heart failure (EF 46% in ___, hypertension, hyperlipidemia, diabetes presenting with dyspne" "Correct entity, wrong SNOMED ID","(12299, 12313)","(12299, 12313)",hyperlipidemia,hyperlipidemia,55822004,267434003,11532659-DS-11,"tive heart failure (EF 46% in ___, hypertension, hyperlipidemia, diabetes presenting with dyspnea and abdominal " "Correct entity, wrong SNOMED ID","(12316, 12324)","(12316, 12324)",diabetes,diabetes,73211009,9414007,11532659-DS-11,"re (EF 46% in ___, hypertension, hyperlipidemia, diabetes presenting with dyspnea and abdominal pain, found" "Correct entity, wrong SNOMED ID","(12341, 12348)","(12341, 12348)",dyspnea,dyspnea,267036007,60845006,11532659-DS-11,"ension, hyperlipidemia, diabetes presenting with dyspnea and abdominal pain, found to have cholecystitis " "Correct entity, wrong SNOMED ID","(12353, 12367)","(12353, 12367)",abdominal pain,abdominal pain,21522001,54586004,11532659-DS-11,"rlipidemia, diabetes presenting with dyspnea and abdominal pain, found to have cholecystitis and in an acute exa" "Correct entity, wrong SNOMED ID","(12384, 12397)","(12384, 12397)",cholecystitis,cholecystitis,76581006,65275009,11532659-DS-11,"g with dyspnea and abdominal pain, found to have cholecystitis and in an acute exacerbation of HFpEF. Acute is" Missed entity,"(12408, 12426)",,acute exacerbation,,698296002,,11532659-DS-11,"inal pain, found to have cholecystitis and in an acute exacerbation of HFpEF. Acute issues: ============= #Acute c" "Correct entity, wrong SNOMED ID","(12490, 12504)","(12490, 12504)",RUQ ultrasound,RUQ ultrasound,426701000119108,770572002,11532659-DS-11,"cute issues: ============= #Acute cholecystitis: RUQ ultrasound revealed gallbladder edema and a stone in the ne" "Correct entity, wrong SNOMED ID","(12514, 12525)","(12514, 12525)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11,"=== #Acute cholecystitis: RUQ ultrasound revealed gallbladder edema and a stone in the neck of the gallbladder" "Correct entity, wrong SNOMED ID","(12526, 12531)","(12526, 12531)",edema,edema,267038008,102576009,11532659-DS-11,"holecystitis: RUQ ultrasound revealed gallbladder edema and a stone in the neck of the gallbladder. ACS " "Correct entity, wrong SNOMED ID","(12539, 12544)","(12539, 12544)",stone,stone,56381008,246117004,11532659-DS-11," RUQ ultrasound revealed gallbladder edema and a stone in the neck of the gallbladder. ACS evaluated pa" "Correct entity, wrong SNOMED ID","(12552, 12575)","(12552, 12575)",neck of the gallbladder,neck of the gallbladder,47742008,245394007,11532659-DS-11,"nd revealed gallbladder edema and a stone in the neck of the gallbladder. ACS evaluated patient and recommended percutane" Missed entity,"(12581, 12590)",,evaluated,,386053000,,11532659-DS-11," and a stone in the neck of the gallbladder. ACS evaluated patient and recommended percutaneous chlecystoto" "Correct entity, wrong SNOMED ID","(12616, 12642)","(12616, 12642)",percutaneous chlecystotomy,percutaneous chlecystotomy,174525001,231413006,11532659-DS-11,"llbladder. ACS evaluated patient and recommended percutaneous chlecystotomy and to defer surgery for 6 weeks in setting of c" Wrong span,"(12730, 12738)","(12730, 12732)",coumadin,co,722045009,422514006,11532659-DS-11,"setting of comorbidities, late presentation, and coumadin anticoagulation for a mechanical mitrial valve. " "Correct entity, wrong SNOMED ID","(12739, 12754)","(12739, 12754)",anticoagulation,anticoagulation,182764009,260678004,11532659-DS-11,"f comorbidities, late presentation, and coumadin anticoagulation for a mechanical mitrial valve. Patient was giv" "Correct entity, wrong SNOMED ID","(12761, 12786)","(12761, 12786)","mechanical mitrial valve","mechanical mitrial valve",449846007,297118002,11532659-DS-11," presentation, and coumadin anticoagulation for a mechanical mitrial valve. Patient was given unasyn which was later broad" "Correct entity, wrong SNOMED ID","(12857, 12863)","(12857, 12863)",fevers,fevers,386661006,248444008,11532659-DS-11,"unasyn which was later broadened to Zosyn due to fevers and worsening clinical status. She improved on Z" "Correct entity, wrong SNOMED ID","(12868, 12877)","(12868, 12877)",worsening,worsening,271299001,170597008,11532659-DS-11,"h was later broadened to Zosyn due to fevers and worsening clinical status. She improved on Zosyn and was t" "Correct entity, wrong SNOMED ID","(12900, 12908)","(12900, 12908)",improved,improved,268910001,251359002,11532659-DS-11,"due to fevers and worsening clinical status. She improved on Zosyn and was transitioned back to Unasyn. She" "Correct entity, wrong SNOMED ID","(12964, 12970)","(12964, 12970)",stable,stable,359746009,301459008,11532659-DS-11,"syn and was transitioned back to Unasyn. She was stable on Unasyn and transitioned to augmentin at time o" Missed entity,"(13001, 13010)",,augmentin,,281789004,,11532659-DS-11,"yn. She was stable on Unasyn and transitioned to augmentin at time of discharge. [ ] She will need to f/u" Wrong span,"(13107, 13114)","(13111, 13114)",lap CCY,CCY,45595009,258773002,11532659-DS-11,"f/u with ACS within 2 weeks of discharge to plan lap CCY. #Heart Block: Patient was transferred to the C" "Correct entity, wrong SNOMED ID","(13119, 13130)","(13119, 13130)",Heart Block,Heart Block,233916004,27885002,11532659-DS-11," within 2 weeks of discharge to plan lap CCY. #Heart Block: Patient was transferred to the CCU from the med" "Correct entity, wrong SNOMED ID","(13202, 13213)","(13202, 13213)",heart block,heart block,233916004,27885002,11532659-DS-11,"red to the CCU from the medical floor due to new heart block and prolonged QT. Her home nodal agents were sto" "Correct entity, wrong SNOMED ID","(13218, 13230)","(13218, 13230)",prolonged QT,prolonged QT,111975006,690731000119108,11532659-DS-11,"rom the medical floor due to new heart block and prolonged QT. Her home nodal agents were stopped. Electrophys" Missed entity,"(13260, 13267)",,stopped,,304540007,,11532659-DS-11,"ock and prolonged QT. Her home nodal agents were stopped. Electrophysiology evaluated the patient and rec" Missed entity,"(13287, 13296)",,evaluated,,386053000,,11532659-DS-11,"ome nodal agents were stopped. Electrophysiology evaluated the patient and recommended pacemaker once she c" "Correct entity, wrong SNOMED ID","(13326, 13335)","(13326, 13335)",pacemaker,pacemaker,307280005,14106009,11532659-DS-11,"physiology evaluated the patient and recommended pacemaker once she cleared her infection. In the interim, " "Correct entity, wrong SNOMED ID","(13358, 13367)","(13358, 13367)",infection,infection,40733004,260976002,11532659-DS-11,"t and recommended pacemaker once she cleared her infection. In the interim, she underwent temporary pacemake" "Correct entity, wrong SNOMED ID","(13399, 13429)","(13399, 13429)","temporary pacemaker placement","temporary pacemaker placement",281556002,233179002,11532659-DS-11,"red her infection. In the interim, she underwent temporary pacemaker placement through a RIJ. In the setting of percutaneous dra" Wrong span,"(13463, 13501)","(13463, 13481)","percutaneous drain in her gallbladder",percutaneous drain,174525001,241031001,11532659-DS-11,"maker placement through a RIJ. In the setting of percutaneous drain in her gallbladder, she was unable to undergo permanent pacemaker p" "Correct entity, wrong SNOMED ID","(13529, 13559)","(13529, 13559)","permanent pacemaker placement","permanent pacemaker placement",233182007,77453006,11532659-DS-11,"in in her gallbladder, she was unable to undergo permanent pacemaker placement until after drain can be removed (in several week" Wrong span,"(13572, 13592)","(13572, 13577)",drain can be removed,drain,75639003,258551007,11532659-DS-11,"ndergo permanent pacemaker placement until after drain can be removed (in several weeks). She underwent screw-in pacem" Missed entity,"(13637, 13646)",,pacemaker,,307280005,,11532659-DS-11,"moved (in several weeks). She underwent screw-in pacemaker on ___. The plan will be to keep the temporary p" Missed entity,"(13685, 13704)",,temporary pacemaker,,281556002,,11532659-DS-11,"n pacemaker on ___. The plan will be to keep the temporary pacemaker in place until her gall-bladder drain heals and " Missed entity,"(13705, 13713)",,in place,,397578001,,11532659-DS-11,"The plan will be to keep the temporary pacemaker in place until her gall-bladder drain heals and she is ab" Wrong span,"(13724, 13736)","(13724, 13743)",gall-bladder,"gall-bladder drain",28231008,439781002,11532659-DS-11," keep the temporary pacemaker in place until her gall-bladder drain heals and she is able to undergo CCY. Afte" Wrong span,"(13738, 13743)","(13724, 13743)",drain,"gall-bladder drain",122462000,439781002,11532659-DS-11,"porary pacemaker in place until her gall-bladder drain heals and she is able to undergo CCY. After she u" "Correct entity, wrong SNOMED ID","(13777, 13780)","(13777, 13780)",CCY,CCY,38102005,258773002,11532659-DS-11,"l-bladder drain heals and she is able to undergo CCY. After she undergoes CCY, she will be able to ha" "Correct entity, wrong SNOMED ID","(13803, 13806)","(13803, 13806)",CCY,CCY,38102005,258773002,11532659-DS-11," she is able to undergo CCY. After she undergoes CCY, she will be able to have a permanent pacemaker p" Missed entity,"(13835, 13861)",,permanent pacemaker placed,,233182007,,11532659-DS-11,"er she undergoes CCY, she will be able to have a permanent pacemaker placed. #Hypoxemic Respiratory Failure: Upon trans" "Correct entity, wrong SNOMED ID","(13870, 13899)","(13870, 13899)",Hypoxemic Respiratory Failure,Hypoxemic Respiratory Failure,10676831000119101,709111008,11532659-DS-11,"able to have a permanent pacemaker placed. #Hypoxemic Respiratory Failure: Upon transfer to the CCU, the patient became hy" Wrong span,"(13993, 14002)","(13993, 14011)",Hypoxemia,Hypoxemia worsened,389087006,706968005,11532659-DS-11,"ame hypoxemic. CXR showed acute pulmonary edema. Hypoxemia worsened despite Lasix and nitro so she was intub" Wrong span,"(14003, 14011)","(13993, 14011)",worsened,Hypoxemia worsened,271299001,706968005,11532659-DS-11,"mic. CXR showed acute pulmonary edema. Hypoxemia worsened despite Lasix and nitro so she was intubated on " Missed entity,"(14020, 14025)",,Lasix,,722048006,,11532659-DS-11,"cute pulmonary edema. Hypoxemia worsened despite Lasix and nitro so she was intubated on ___. CVVH was " "Correct entity, wrong SNOMED ID","(14047, 14056)","(14047, 14056)",intubated,intubated,112798008,262007003,11532659-DS-11,"xemia worsened despite Lasix and nitro so she was intubated on ___. CVVH was initiated to remove fluid in th" "Correct entity, wrong SNOMED ID","(14066, 14070)","(14066, 14070)",CVVH,CVVH,233585000,233590002,11532659-DS-11,"ite Lasix and nitro so she was intubated on ___. CVVH was initiated to remove fluid in the setting of " "Correct entity, wrong SNOMED ID","(14120, 14139)","(14120, 14139)",acute renal failure,acute renal failure,14669001,12245621000119102,11532659-DS-11," was initiated to remove fluid in the setting of acute renal failure (detailed below). Her pulmonary edema improved w" "Correct entity, wrong SNOMED ID","(14162, 14177)","(14162, 14177)",pulmonary edema,pulmonary edema,19242006,40541001,11532659-DS-11,"ing of acute renal failure (detailed below). Her pulmonary edema improved with improving volume status and she wa" "Correct entity, wrong SNOMED ID","(14179, 14187)","(14179, 14187)",improved,improved,268910001,251359002,11532659-DS-11,"al failure (detailed below). Her pulmonary edema improved with improving volume status and she was extubate" "Correct entity, wrong SNOMED ID","(14193, 14202)","(14193, 14202)",improving,improving,268910001,170596004,11532659-DS-11,"tailed below). Her pulmonary edema improved with improving volume status and she was extubated ___. " "Correct entity, wrong SNOMED ID","(14229, 14238)","(14229, 14238)",extubated,extubated,271280005,309812005,11532659-DS-11,"improved with improving volume status and she was extubated ___. #Hypotension / Septic Shock: On ___ " "Correct entity, wrong SNOMED ID","(14267, 14279)","(14267, 14279)",Septic Shock,Septic Shock,76571007,234173007,11532659-DS-11,"and she was extubated ___. #Hypotension / Septic Shock: On ___ after intubation, patient became hypoten" "Correct entity, wrong SNOMED ID","(14322, 14333)","(14322, 14333)",hypotensive,hypotensive,45007003,372740001,11532659-DS-11,"c Shock: On ___ after intubation, patient became hypotensive to the ___ systolic and required levophed. The f" "Correct entity, wrong SNOMED ID","(14412, 14417)","(14412, 14417)",fever,fever,386661006,248430002,11532659-DS-11,"ired levophed. The following day she developed a fever to 100.5 on unasyn and increasing pressor requir" Missed entity,"(14453, 14460)",,pressor,,408497003,,11532659-DS-11,"eloped a fever to 100.5 on unasyn and increasing pressor requirement with the addition of vasopressin. He" "Correct entity, wrong SNOMED ID","(14512, 14523)","(14512, 14523)",antibiotics,antibiotics,281789004,372599003,11532659-DS-11,"equirement with the addition of vasopressin. Her antibiotics were broadened to zosyn. The patient was also gi" "Correct entity, wrong SNOMED ID","(14616, 14638)","(14616, 14638)","adrenal insufficiency","adrenal insufficiency",386584007,16685009,11532659-DS-11,"lso given glucocorticoids in setting of possible adrenal insufficiency related to chronic prednisone use for PMR. Press" Missed entity,"(14658, 14668)",,prednisone,,297279009,,11532659-DS-11,"ossible adrenal insufficiency related to chronic prednisone use for PMR. Pressors were weaned off on ___. " Missed entity,"(14677, 14680)",,PMR,,65323003,,11532659-DS-11,"sufficiency related to chronic prednisone use for PMR. Pressors were weaned off on ___. #Acute" Missed entity,"(14683, 14691)",,Pressors,,408497003,,11532659-DS-11,"iency related to chronic prednisone use for PMR. Pressors were weaned off on ___. #Acute renal fail" "Correct entity, wrong SNOMED ID","(14725, 14744)","(14725, 14744)",Acute renal failure,Acute renal failure,14669001,12245621000119102,11532659-DS-11,"r PMR. Pressors were weaned off on ___. #Acute renal failure: Baseline at 1.0. On admission Cr 1.6. Clearly v" Missed entity,"(14746, 14754)",,Baseline,,128974000,,11532659-DS-11," weaned off on ___. #Acute renal failure: Baseline at 1.0. On admission Cr 1.6. Clearly volume over" "Correct entity, wrong SNOMED ID","(14793, 14810)","(14793, 14810)",volume overloaded,volume overloaded,21639008,457651000124103,11532659-DS-11,"e: Baseline at 1.0. On admission Cr 1.6. Clearly volume overloaded, likely cause ___ was cardiorenal. Patient's cre" "Correct entity, wrong SNOMED ID","(14857, 14867)","(14857, 14867)",creatinine,creatinine,70901006,113075003,11532659-DS-11,"ded, likely cause ___ was cardiorenal. Patient's creatinine continued to increase to 2.0 and she became anur" "Correct entity, wrong SNOMED ID","(14913, 14919)","(14913, 14919)",anuric,anuric,2472002,12202461000119106,11532659-DS-11,"nine continued to increase to 2.0 and she became anuric despite aggressive diuresis with lasix gtt and m" "Correct entity, wrong SNOMED ID","(14939, 14947)","(14939, 14947)",diuresis,diuresis,162182005,37766004,11532659-DS-11," to 2.0 and she became anuric despite aggressive diuresis with lasix gtt and metolazone. CVVH was started " "Correct entity, wrong SNOMED ID","(14953, 14958)","(14953, 14958)",lasix,lasix,722048006,25401000181106,11532659-DS-11,"e became anuric despite aggressive diuresis with lasix gtt and metolazone. CVVH was started on ___. Sev" "Correct entity, wrong SNOMED ID","(14980, 14984)","(14980, 14984)",CVVH,CVVH,233585000,233590002,11532659-DS-11,"gressive diuresis with lasix gtt and metolazone. CVVH was started on ___. Several liters of fluid were" Wrong span,"(15118, 15143)","(15118, 15121)",UOP subsequently improved,UOP,718402002,257999003,11532659-DS-11,"produce urine. CVVH was discontinued on ___. Her UOP subsequently improved. Her Cr upon discharge was 1.1. #Acute decom" "Correct entity, wrong SNOMED ID","(15188, 15202)","(15188, 15202)",decompensation,decompensation,87228002,59927004,11532659-DS-11,"roved. Her Cr upon discharge was 1.1. #Acute decompensation of HFpEF: EF 46% in ___. Per patient, baseline w" "Correct entity, wrong SNOMED ID","(15242, 15250)","(15242, 15250)",baseline,baseline,128974000,161033005,11532659-DS-11,"mpensation of HFpEF: EF 46% in ___. Per patient, baseline weight is 210 at home. In system, weights have be" "Correct entity, wrong SNOMED ID","(15251, 15257)","(15251, 15257)",weight,weight,107647005,43664005,11532659-DS-11,"n of HFpEF: EF 46% in ___. Per patient, baseline weight is 210 at home. In system, weights have been bet" Missed entity,"(15285, 15292)",,weights,,107647005,,11532659-DS-11,"ient, baseline weight is 210 at home. In system, weights have been between 202-210lbs this past year. 216" "Correct entity, wrong SNOMED ID","(15372, 15389)","(15372, 15389)",volume overloaded,volume overloaded,21639008,457651000124103,11532659-DS-11," this past year. 216lbs on admission. Clinically volume overloaded with pitting edema, elevated JVP, and basilar cr" "Correct entity, wrong SNOMED ID","(15395, 15408)","(15395, 15408)",pitting edema,pitting edema,5008001,445281006,11532659-DS-11," on admission. Clinically volume overloaded with pitting edema, elevated JVP, and basilar crackles. Confirmed t" "Correct entity, wrong SNOMED ID","(15410, 15422)","(15410, 15422)",elevated JVP,elevated JVP,22447003,248729008,11532659-DS-11," Clinically volume overloaded with pitting edema, elevated JVP, and basilar crackles. Confirmed taking torsemid" "Correct entity, wrong SNOMED ID","(15429, 15436)","(15429, 15436)",basilar,basilar,10024003,64009001,11532659-DS-11,"overloaded with pitting edema, elevated JVP, and basilar crackles. Confirmed taking torsemide daily. Conf" "Correct entity, wrong SNOMED ID","(15509, 15513)","(15509, 15513)",diet,diet,182922004,405106009,11532659-DS-11,"king torsemide daily. Confirmed not changing her diet. Likely cause of her exacerbation was cholecysti" "Correct entity, wrong SNOMED ID","(15553, 15566)","(15553, 15566)",cholecystitis,cholecystitis,76581006,65275009,11532659-DS-11,"g her diet. Likely cause of her exacerbation was cholecystitis. Aggressive diuresis was attempted but the patie" "Correct entity, wrong SNOMED ID","(15579, 15587)","(15579, 15587)",diuresis,diuresis,162182005,243186008,11532659-DS-11,"f her exacerbation was cholecystitis. Aggressive diuresis was attempted but the patient became anuric as d" "Correct entity, wrong SNOMED ID","(15626, 15632)","(15626, 15632)",anuric,anuric,2472002,12202461000119106,11532659-DS-11,"ve diuresis was attempted but the patient became anuric as detailed above. She improved after volume rem" "Correct entity, wrong SNOMED ID","(15657, 15665)","(15657, 15665)",improved,improved,268910001,251359002,11532659-DS-11,"the patient became anuric as detailed above. She improved after volume removal with CVVH. Renal function s" "Correct entity, wrong SNOMED ID","(15698, 15712)","(15698, 15712)",Renal function,Renal function,182809008,76114004,11532659-DS-11,"ve. She improved after volume removal with CVVH. Renal function subsequently improved and the patient became euv" "Correct entity, wrong SNOMED ID","(15727, 15735)","(15727, 15735)",improved,improved,268910001,251359002,11532659-DS-11,"e removal with CVVH. Renal function subsequently improved and the patient became euvolemic. She was discha" "Correct entity, wrong SNOMED ID","(15759, 15768)","(15759, 15768)",euvolemic,euvolemic,64826008,213258001,11532659-DS-11,"ion subsequently improved and the patient became euvolemic. She was discharged on metoprolol XL 200mg and t" "Correct entity, wrong SNOMED ID","(15844, 15863)","(15844, 15863)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,11532659-DS-11,"etoprolol XL 200mg and torsemide 20mg daily. #Atrial fibrillation: s/p DCCV ___. EKG on admission revealed A-fib w" "Correct entity, wrong SNOMED ID","(15869, 15873)","(15869, 15873)",DCCV,DCCV,180325003,408747003,11532659-DS-11,"rsemide 20mg daily. #Atrial fibrillation: s/p DCCV ___. EKG on admission revealed A-fib with slow c" "Correct entity, wrong SNOMED ID","(15879, 15882)","(15879, 15882)",EKG,EKG,29303009,75444003,11532659-DS-11,"mg daily. #Atrial fibrillation: s/p DCCV ___. EKG on admission revealed A-fib with slow conduction" "Correct entity, wrong SNOMED ID","(15906, 15911)","(15906, 15911)",A-fib,A-fib,49436004,51172005,11532659-DS-11,"llation: s/p DCCV ___. EKG on admission revealed A-fib with slow conduction. Metoprolol was held, howev" Missed entity,"(15949, 15953)",,held,,304540007,,11532659-DS-11,"vealed A-fib with slow conduction. Metoprolol was held, however patient continued to have slow conducti" "Correct entity, wrong SNOMED ID","(16035, 16046)","(16035, 16046)",heart block,heart block,233916004,27885002,11532659-DS-11,"have slow conduction. She was determined to have heart block requiring trans-venous pacing (as detailed above" Wrong span,"(16070, 16076)","(16057, 16076)",pacing,trans-venous pacing,18590009,233178005,11532659-DS-11,"rmined to have heart block requiring trans-venous pacing (as detailed above). Warfarin initially held in " Missed entity,"(16099, 16107)",,Warfarin,,722045009,,11532659-DS-11,"quiring trans-venous pacing (as detailed above). Warfarin initially held in setting of hepatic artery hemo" Missed entity,"(16118, 16122)",,held,,304540007,,11532659-DS-11,"s pacing (as detailed above). Warfarin initially held in setting of hepatic artery hemorrhage (as desc" Wrong span,"(16137, 16152)","(16137, 16163)","hepatic artery","hepatic artery hemorrhage",76015000,78171005,11532659-DS-11,"led above). Warfarin initially held in setting of hepatic artery hemorrhage (as described below). She was bridged " Wrong span,"(16153, 16163)","(16137, 16163)",hemorrhage,"hepatic artery hemorrhage",234003006,78171005,11532659-DS-11,"arin initially held in setting of hepatic artery hemorrhage (as described below). She was bridged with hepar" Missed entity,"(16208, 16215)",,heparin,,103746007,,11532659-DS-11,"rhage (as described below). She was bridged with heparin. Warfarin restarted prior to discharge. Her warfa" Missed entity,"(16217, 16225)",,Warfarin,,722045009,,11532659-DS-11," described below). She was bridged with heparin. Warfarin restarted prior to discharge. Her warfarin dose " Missed entity,"(16226, 16235)",,restarted,,182837001,,11532659-DS-11,"d below). She was bridged with heparin. Warfarin restarted prior to discharge. Her warfarin dose on dischar" Missed entity,"(16260, 16268)",,warfarin,,722045009,,11532659-DS-11,"parin. Warfarin restarted prior to discharge. Her warfarin dose on discharge was 3mg 2x/wk, 4mg 5x/wk and I" Missed entity,"(16317, 16320)",,INR,,440685005,,11532659-DS-11,"n dose on discharge was 3mg 2x/wk, 4mg 5x/wk and INR 1.3. #Hepatic Artery Hemorrhage: Patient was " Wrong span,"(16331, 16345)","(16331, 16356)",Hepatic Artery,Hepatic Artery Hemorrhage,76015000,78171005,11532659-DS-11,"charge was 3mg 2x/wk, 4mg 5x/wk and INR 1.3. #Hepatic Artery Hemorrhage: Patient was found to have a signific" Wrong span,"(16346, 16356)","(16331, 16356)",Hemorrhage,Hepatic Artery Hemorrhage,234003006,78171005,11532659-DS-11,"2x/wk, 4mg 5x/wk and INR 1.3. #Hepatic Artery Hemorrhage: Patient was found to have a significant drop in" Wrong span,"(16423, 16443)","(16423, 16432)",abdominal tenderness,abdominal,43478001,422314007,11532659-DS-11,"nd to have a significant drop in H/H on ___ with abdominal tenderness. CT A/P showed hemorrhage from the hepatic arter" "Correct entity, wrong SNOMED ID","(16445, 16452)","(16445, 16452)","CT A/P","CT A/P",419394006,418891003,11532659-DS-11,"ant drop in H/H on ___ with abdominal tenderness. CT A/P showed hemorrhage from the hepatic artery. She re" "Correct entity, wrong SNOMED ID","(16460, 16470)","(16460, 16470)",hemorrhage,hemorrhage,234003006,8573003,11532659-DS-11," on ___ with abdominal tenderness. CT A/P showed hemorrhage from the hepatic artery. She received multiple u" "Correct entity, wrong SNOMED ID","(16480, 16494)","(16480, 16494)",hepatic artery,hepatic artery,76015000,1332214005,11532659-DS-11,"al tenderness. CT A/P showed hemorrhage from the hepatic artery. She received multiple units of PRBCs. She under" "Correct entity, wrong SNOMED ID","(16553, 16565)","(16553, 16565)",embolization,embolization,122463005,448396008,11532659-DS-11,"eived multiple units of PRBCs. She underwent ___ embolization on ___ of the bleeding site and her H/H initiall" "Correct entity, wrong SNOMED ID","(16581, 16589)","(16581, 16589)",bleeding,bleeding,131148009,74474003,11532659-DS-11,"Cs. She underwent ___ embolization on ___ of the bleeding site and her H/H initially stabilized. Unfortuna" "Correct entity, wrong SNOMED ID","(16617, 16627)","(16617, 16627)",stabilized,stabilized,409683007,182781000,11532659-DS-11,"n ___ of the bleeding site and her H/H initially stabilized. Unfortunately, she continued to bleed slowly fr" "Correct entity, wrong SNOMED ID","(16662, 16667)","(16662, 16667)",bleed,bleed,131148009,74474003,11532659-DS-11,"ally stabilized. Unfortunately, she continued to bleed slowly from her hepatic artery and required dail" "Correct entity, wrong SNOMED ID","(16684, 16699)","(16684, 16699)","hepatic artery","hepatic artery",76015000,66559000,11532659-DS-11,"rtunately, she continued to bleed slowly from her hepatic artery and required daily transfusions for the following" "Correct entity, wrong SNOMED ID","(16719, 16731)","(16719, 16731)",transfusions,transfusions,5447007,12719002,11532659-DS-11,"lowly from her hepatic artery and required daily transfusions for the following 3 days. On ___ she underwent r" Wrong span,"(16787, 16801)","(16787, 16814)",hepatic artery,hepatic artery embolization,76015000,174466003,11532659-DS-11,"he following 3 days. On ___ she underwent repeat hepatic artery embolization and her hgb remained stable the rem" Wrong span,"(16802, 16814)","(16787, 16814)",embolization,hepatic artery embolization,122463005,174466003,11532659-DS-11,"days. On ___ she underwent repeat hepatic artery embolization and her hgb remained stable the remainder of her" "Correct entity, wrong SNOMED ID","(16837, 16843)","(16837, 16843)",stable,stable,359746009,301459008,11532659-DS-11,"hepatic artery embolization and her hgb remained stable the remainder of her hospitalization. #Anemia/" "Correct entity, wrong SNOMED ID","(16886, 16892)","(16886, 16892)",Anemia,Anemia,271737000,87522002,11532659-DS-11," stable the remainder of her hospitalization. #Anemia/Hemolysis: On admission, H/H far below baseline o" "Correct entity, wrong SNOMED ID","(16893, 16902)","(16893, 16902)",Hemolysis,Hemolysis,73320003,15601008,11532659-DS-11," the remainder of her hospitalization. #Anemia/Hemolysis: On admission, H/H far below baseline of ___. No" "Correct entity, wrong SNOMED ID","(16932, 16940)","(16932, 16940)",baseline,baseline,128974000,161033005,11532659-DS-11," #Anemia/Hemolysis: On admission, H/H far below baseline of ___. No clear evidence of bleed although on a" Missed entity,"(16950, 16967)",,No clear evidence,,281900007,,11532659-DS-11,"is: On admission, H/H far below baseline of ___. No clear evidence of bleed although on anticoagulation. Hemolysis " "Correct entity, wrong SNOMED ID","(16971, 16976)","(16971, 16976)",bleed,bleed,131148009,74474003,11532659-DS-11," far below baseline of ___. No clear evidence of bleed although on anticoagulation. Hemolysis work up r" "Correct entity, wrong SNOMED ID","(16989, 17004)","(16989, 17004)",anticoagulation,anticoagulation,182764009,260678004,11532659-DS-11,"e of ___. No clear evidence of bleed although on anticoagulation. Hemolysis work up revealed low haptoglobin, sch" "Correct entity, wrong SNOMED ID","(17007, 17016)","(17007, 17016)",Hemolysis,Hemolysis,73320003,15601008,11532659-DS-11,"r evidence of bleed although on anticoagulation. Hemolysis work up revealed low haptoglobin, schistocytes on" Missed entity,"(17017, 17024)",,work up,,386053000,,11532659-DS-11," of bleed although on anticoagulation. Hemolysis work up revealed low haptoglobin, schistocytes on smear," "Correct entity, wrong SNOMED ID","(17100, 17109)","(17100, 17109)",hemolysis,hemolysis,73320003,15601008,11532659-DS-11," schistocytes on smear, and elevated LDH. Likely hemolysis from mechanical mitral valve iso acute illness. " Wrong span,"(17126, 17139)","(17115, 17139)","mitral valve","mechanical mitral valve",91134007,431339008,11532659-DS-11,"nd elevated LDH. Likely hemolysis from mechanical mitral valve iso acute illness. H/H initially stabilized and n" Missed entity,"(17173, 17183)",,stabilized,,409683007,,11532659-DS-11,"al mitral valve iso acute illness. H/H initially stabilized and no evidence of bleeding during hospitalizati" "Correct entity, wrong SNOMED ID","(17188, 17200)","(17188, 17200)","no evidence","no evidence",281900007,41647002,11532659-DS-11,"e iso acute illness. H/H initially stabilized and no evidence of bleeding during hospitalization. #Severe MR" "Correct entity, wrong SNOMED ID","(17204, 17212)","(17204, 17212)",bleeding,bleeding,131148009,74474003,11532659-DS-11,"ess. H/H initially stabilized and no evidence of bleeding during hospitalization. #Severe MR: s/p mechan" Wrong span,"(17241, 17250)","(17241, 17247)",Severe MR,Severe,838453008,162470006,11532659-DS-11," evidence of bleeding during hospitalization. #Severe MR: s/p mechanical MVR in ___. On Coumadin as outpa" "Correct entity, wrong SNOMED ID","(17256, 17270)","(17256, 17270)",mechanical MVR,mechanical MVR,431339008,1258985005,11532659-DS-11,"eeding during hospitalization. #Severe MR: s/p mechanical MVR in ___. On Coumadin as outpatient. Intially was " Wrong span,"(17282, 17290)","(17282, 17284)",Coumadin,Co,722045009,422514006,11532659-DS-11,"ion. #Severe MR: s/p mechanical MVR in ___. On Coumadin as outpatient. Intially was held in anticipation" Missed entity,"(17320, 17324)",,held,,304540007,,11532659-DS-11," in ___. On Coumadin as outpatient. Intially was held in anticipation of pacemaker placement and in se" "Correct entity, wrong SNOMED ID","(17344, 17364)","(17344, 17364)","pacemaker placement","pacemaker placement",307280005,763343001,11532659-DS-11," outpatient. Intially was held in anticipation of pacemaker placement and in setting of intra-abdominal hemorrhage (as " Wrong span,"(17383, 17398)","(17383, 17409)",intra-abdominal,intra-abdominal hemorrhage,123872000,699013006,11532659-DS-11,"ipation of pacemaker placement and in setting of intra-abdominal hemorrhage (as above). Patient remained on hepar" Wrong span,"(17399, 17409)","(17383, 17409)",hemorrhage,intra-abdominal hemorrhage,131148009,699013006,11532659-DS-11,"aker placement and in setting of intra-abdominal hemorrhage (as above). Patient remained on heparin gtt for " "Correct entity, wrong SNOMED ID","(17443, 17450)","(17443, 17450)",heparin,heparin,103746007,412201008,11532659-DS-11,"minal hemorrhage (as above). Patient remained on heparin gtt for bridging. She was restarted on Coumadin " Boundary error,"(17478, 17487)","(17478, 17485)",restarted,restart,182837001,182837001,11532659-DS-11,"nt remained on heparin gtt for bridging. She was restarted on Coumadin prior to discharge from the hospital " Missed entity,"(17491, 17499)",,Coumadin,,722045009,,11532659-DS-11,"n heparin gtt for bridging. She was restarted on Coumadin prior to discharge from the hospital with hepari" Missed entity,"(17543, 17550)",,heparin,,103746007,,11532659-DS-11,"umadin prior to discharge from the hospital with heparin bridge. #HTN: Well controlled in hospital. Imd" "Correct entity, wrong SNOMED ID","(17563, 17566)","(17563, 17566)",HTN,HTN,38341003,10725009,11532659-DS-11,"harge from the hospital with heparin bridge. #HTN: Well controlled in hospital. Imdur and hydralazi" Wrong span,"(17568, 17583)","(17568, 17572)",Well controlled,Well,1194003,160885004,11532659-DS-11," from the hospital with heparin bridge. #HTN: Well controlled in hospital. Imdur and hydralazine held at disch" Missed entity,"(17619, 17623)",,held,,304540007,,11532659-DS-11,"ell controlled in hospital. Imdur and hydralazine held at discharge. #Hyperlipidemia: Continued home " "Correct entity, wrong SNOMED ID","(17642, 17656)","(17642, 17656)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11532659-DS-11,"tal. Imdur and hydralazine held at discharge. #Hyperlipidemia: Continued home atorvastatin #Diabetes, type 2," Boundary error,"(17689, 17705)","(17689, 17706)","Diabetes, type 2","Diabetes, type 2,",44054006,44054006,11532659-DS-11," #Hyperlipidemia: Continued home atorvastatin #Diabetes, type 2, insulin dependent: patient stated she is on 20 " Wrong span,"(17707, 17714)","(17707, 17724)",insulin,insulin dependent,225302006,23045005,11532659-DS-11," Continued home atorvastatin #Diabetes, type 2, insulin dependent: patient stated she is on 20 detemir a" Missed entity,"(17823, 17826)",,ISS,,225301004,,11532659-DS-11,"t OMR showed 26 units detemir. On glarginine and ISS while in hospital. Home metformin held on admiss" Missed entity,"(17861, 17865)",,held,,304540007,,11532659-DS-11,"rginine and ISS while in hospital. Home metformin held on admission and restarted upon discharge. #Ast" Boundary error,"(17884, 17893)","(17884, 17891)",restarted,restart,182837001,182837001,11532659-DS-11,"n hospital. Home metformin held on admission and restarted upon discharge. #Asthma: Continued home regimen " "Correct entity, wrong SNOMED ID","(17912, 17918)","(17912, 17918)",Asthma,Asthma,195967001,281239006,11532659-DS-11,"eld on admission and restarted upon discharge. #Asthma: Continued home regimen of albuterol, fluticasone" Missed entity,"(17935, 17942)",,regimen,,133877004,,11532659-DS-11,"estarted upon discharge. #Asthma: Continued home regimen of albuterol, fluticasone, and loratidine #GERD" Missed entity,"(18009, 18016)",,regimen,,133877004,,11532659-DS-11,"uticasone, and loratidine #GERD: Continued home regimen of omeprazole #Insomnia: continued home regimen " "Correct entity, wrong SNOMED ID","(18033, 18041)","(18033, 18041)",Insomnia,Insomnia,193462001,162204000,11532659-DS-11,"ne #GERD: Continued home regimen of omeprazole #Insomnia: continued home regimen of trazodone #Vitamins: " Missed entity,"(18058, 18065)",,regimen,,133877004,,11532659-DS-11," regimen of omeprazole #Insomnia: continued home regimen of trazodone #Vitamins: continued home regimen o" Missed entity,"(18106, 18113)",,regimen,,133877004,,11532659-DS-11,"e regimen of trazodone #Vitamins: continued home regimen of vitamin D #Chronic steroid use: #Polymalgi" Wrong span,"(18139, 18146)","(18139, 18150)",steroid,steroid use,297279009,170659001,11532659-DS-11,": continued home regimen of vitamin D #Chronic steroid use: #Polymalgia Rheumatica: Patient started on" Missed entity,"(18186, 18193)",,started,,275942009,,11532659-DS-11,"ic steroid use: #Polymalgia Rheumatica: Patient started on prednisone in ___ for PMR. During current hos" Missed entity,"(18197, 18207)",,prednisone,,297279009,,11532659-DS-11,"use: #Polymalgia Rheumatica: Patient started on prednisone in ___ for PMR. During current hospitalization, " Missed entity,"(18219, 18222)",,PMR,,65323003,,11532659-DS-11,"matica: Patient started on prednisone in ___ for PMR. During current hospitalization, patient was giv" "Correct entity, wrong SNOMED ID","(18287, 18295)","(18287, 18295)",steroids,steroids,297279009,285435007,11532659-DS-11,"nt hospitalization, patient was given stress-dose steroids in setting of acute illness, prednisone 40mg x3 " Missed entity,"(18326, 18336)",,prednisone,,297279009,,11532659-DS-11,"tress-dose steroids in setting of acute illness, prednisone 40mg x3 days (___). Patient tapered to 10mg pred" Missed entity,"(18382, 18392)",,prednisone,,297279009,,11532659-DS-11,"sone 40mg x3 days (___). Patient tapered to 10mg prednisone prior to discharge (___). [ ] Continue to taper" Missed entity,"(18437, 18442)",,taper,,182879007,,11532659-DS-11,"isone prior to discharge (___). [ ] Continue to taper prednisone as tolerated TRANSITIONAL ISSUES: " Missed entity,"(18443, 18453)",,prednisone,,297279009,,11532659-DS-11,"prior to discharge (___). [ ] Continue to taper prednisone as tolerated TRANSITIONAL ISSUES: ==========" Missed entity,"(18513, 18519)",,WEIGHT,,107647005,,11532659-DS-11,"ted TRANSITIONAL ISSUES: =================== WEIGHT AT DISCHARGE: 113 KG CREATININE AT DISCHARGE: 1.1" Missed entity,"(18541, 18551)",,CREATININE,,70901006,,11532659-DS-11," =================== WEIGHT AT DISCHARGE: 113 KG CREATININE AT DISCHARGE: 1.1 INR AT DISCHARGE: 1.3 MEDICATI" Missed entity,"(18570, 18573)",,INR,,440685005,,11532659-DS-11,"AT DISCHARGE: 113 KG CREATININE AT DISCHARGE: 1.1 INR AT DISCHARGE: 1.3 MEDICATIONS TEMPORARILY HELD [" Missed entity,"(18593, 18604)",,MEDICATIONS,,18629005,,11532659-DS-11,"EATININE AT DISCHARGE: 1.1 INR AT DISCHARGE: 1.3 MEDICATIONS TEMPORARILY HELD [ ] Hydralazine, restart as BP t" Missed entity,"(18617, 18621)",,HELD,,304540007,,11532659-DS-11,".1 INR AT DISCHARGE: 1.3 MEDICATIONS TEMPORARILY HELD [ ] Hydralazine, restart as BP tolerates [ ] Imdu" Missed entity,"(18639, 18646)",,restart,,182837001,,11532659-DS-11,".3 MEDICATIONS TEMPORARILY HELD [ ] Hydralazine, restart as BP tolerates [ ] Imdur, restart as BP tolerate" Missed entity,"(18674, 18681)",,restart,,182837001,,11532659-DS-11,"] Hydralazine, restart as BP tolerates [ ] Imdur, restart as BP tolerates MEDICATIONS STARTED [ ] Amoxic" Missed entity,"(18700, 18711)",,MEDICATIONS,,18629005,,11532659-DS-11,"BP tolerates [ ] Imdur, restart as BP tolerates MEDICATIONS STARTED [ ] Amoxicillin-Clavulanic Acid ___ mg P" Missed entity,"(18712, 18719)",,STARTED,,275942009,,11532659-DS-11," [ ] Imdur, restart as BP tolerates MEDICATIONS STARTED [ ] Amoxicillin-Clavulanic Acid ___ mg PO Q12H f" Wrong span,"(18772, 18783)","(18772, 18794)",gallbladder,"gallbladder infection",28231008,25924004,11532659-DS-11," ] Amoxicillin-Clavulanic Acid ___ mg PO Q12H for gallbladder infection REDOSED MEDICATIONS [ ] Metoprolol in" Wrong span,"(18785, 18794)","(18772, 18794)",infection,"gallbladder infection",40733004,25924004,11532659-DS-11,"n-Clavulanic Acid ___ mg PO Q12H for gallbladder infection REDOSED MEDICATIONS [ ] Metoprolol increased FO" Missed entity,"(18804, 18815)",,MEDICATIONS,,18629005,,11532659-DS-11,"__ mg PO Q12H for gallbladder infection REDOSED MEDICATIONS [ ] Metoprolol increased FOLLOW-UP ITEMS: LAB FO" Missed entity,"(18831, 18840)",,increased,,763779006,,11532659-DS-11,"er infection REDOSED MEDICATIONS [ ] Metoprolol increased FOLLOW-UP ITEMS: LAB FOLLOW UP: [ ] Please repea" Missed entity,"(18892, 18895)",,BMP,,866146005,,11532659-DS-11,"FOLLOW-UP ITEMS: LAB FOLLOW UP: [ ] Please repeat BMP and INR on ___, replete electrolytes while on to" Missed entity,"(18900, 18903)",,INR,,440685005,,11532659-DS-11,"P ITEMS: LAB FOLLOW UP: [ ] Please repeat BMP and INR on ___, replete electrolytes while on torsemide " Missed entity,"(18921, 18933)",,electrolytes,,386275008,,11532659-DS-11,"P: [ ] Please repeat BMP and INR on ___, replete electrolytes while on torsemide and adjust warfarin dosing [ " Missed entity,"(18964, 18972)",,warfarin,,722045009,,11532659-DS-11,"plete electrolytes while on torsemide and adjust warfarin dosing [ ] Goal INR 2.5-3.5 --overlap heparin gt" Missed entity,"(18990, 18993)",,INR,,440685005,,11532659-DS-11,"on torsemide and adjust warfarin dosing [ ] Goal INR 2.5-3.5 --overlap heparin gtt with therapeutic IN" "Correct entity, wrong SNOMED ID","(19012, 19019)","(19012, 19019)",heparin,heparin,103746007,412201008,11532659-DS-11,"t warfarin dosing [ ] Goal INR 2.5-3.5 --overlap heparin gtt with therapeutic INR x 24hrs [ ] Daily weigh" Missed entity,"(19041, 19044)",,INR,,440685005,,11532659-DS-11,"NR 2.5-3.5 --overlap heparin gtt with therapeutic INR x 24hrs [ ] Daily weights, adjust torsemide acco" Missed entity,"(19064, 19071)",,weights,,107647005,,11532659-DS-11,"parin gtt with therapeutic INR x 24hrs [ ] Daily weights, adjust torsemide accordingly APPT FOLLOW UP: [ " "Correct entity, wrong SNOMED ID","(19176, 19184)","(19176, 19184)","lap CCY","lap CCY",450500003,466385003,11532659-DS-11," with ACS within 2 weeks of discharge to plan for lap CCY. [ ] Following cholecystectomy, patient will nee" "Correct entity, wrong SNOMED ID","(19201, 19216)","(19201, 19216)",cholecystectomy,cholecystectomy,38102005,428882003,11532659-DS-11,"of discharge to plan for lap CCY. [ ] Following cholecystectomy, patient will need follow-up with EP to have a p" Wrong span,"(19275, 19291)","(19265, 19291)",pacemaker placed,permanent pacemaker placed,307280005,77453006,11532659-DS-11," will need follow-up with EP to have a permanent pacemaker placed [ ] Patient will need to follow-up with Cardiolog" Missed entity,"(19317, 19326)",,follow-up,,183616001,,11532659-DS-11,"rmanent pacemaker placed [ ] Patient will need to follow-up with Cardiologist Dr. ___ in one month [ ] Conti" Missed entity,"(19380, 19389)",,Augmentin,,281789004,,11532659-DS-11,"h Cardiologist Dr. ___ in one month [ ] Continue Augmentin for discharge until PTBD drain out / CCY. [ ] P" "Correct entity, wrong SNOMED ID","(19410, 19414)","(19410, 19414)",PTBD,PTBD,235568004,282106003,11532659-DS-11," month [ ] Continue Augmentin for discharge until PTBD drain out / CCY. [ ] Patient discharged on pred" Missed entity,"(19415, 19424)",,drain out,,241031001,,11532659-DS-11,"h [ ] Continue Augmentin for discharge until PTBD drain out / CCY. [ ] Patient discharged on prednisone 10m" Missed entity,"(19427, 19430)",,CCY,,38102005,,11532659-DS-11,"ue Augmentin for discharge until PTBD drain out / CCY. [ ] Patient discharged on prednisone 10mg dail" Missed entity,"(19460, 19470)",,prednisone,,297279009,,11532659-DS-11,"PTBD drain out / CCY. [ ] Patient discharged on prednisone 10mg daily for PMR. Taper dose as tolerated. " Missed entity,"(19486, 19489)",,PMR,,65323003,,11532659-DS-11,"] Patient discharged on prednisone 10mg daily for PMR. Taper dose as tolerated. # CODE: full (presu" Missed entity,"(19491, 19496)",,Taper,,182879007,,11532659-DS-11,"ient discharged on prednisone 10mg daily for PMR. Taper dose as tolerated. # CODE: full (presumed) " Missed entity,"(19719, 19732)",,investigation,,386053000,,11532659-DS-11,"ation list may be inaccurate and requires futher investigation. 1. Acetaminophen 500 mg PO BID:PRN Pain - Mild " Missed entity,"(19769, 19780)",,Pain - Mild,,40196000,,11532659-DS-11,"investigation. 1. Acetaminophen 500 mg PO BID:PRN Pain - Mild 2. Aspirin 81 mg PO DAILY 3. Alcohol Pads (alco" Missed entity,"(19909, 19917)",,diabetic,,73211009,,11532659-DS-11,"RN 4. BD Insulin Pen Needle UF Orig (pen needle, diabetic) 29 gauge x ___ miscellaneous ASDIR 5. BD Insul" Missed entity,"(19962, 19969)",,Insulin,,225302006,,11532659-DS-11,"betic) 29 gauge x ___ miscellaneous ASDIR 5. BD Insulin Syringe Ultra-Fine (insulin syringe-needle U-100)" Missed entity,"(19990, 19997)",,insulin,,225302006,,11532659-DS-11,"llaneous ASDIR 5. BD Insulin Syringe Ultra-Fine (insulin syringe-needle U-100) 0.3 mL 30 gauge x ___ misc" Missed entity,"(20067, 20075)",,Warfarin,,722045009,,11532659-DS-11,"0) 0.3 mL 30 gauge x ___ miscellaneous DAILY 6. Warfarin 1 mg PO DAILY16 7. Flovent HFA (fluticasone) 220" Missed entity,"(20182, 20193)",,blood sugar,,33747003,,11532659-DS-11,"tuation inhalation BID 8. FreeStyle Lite Strips (blood sugar diagnostic) miscellaneous TID 9. Levemir Fle" Missed entity,"(20251, 20258)",,insulin,,225302006,,11532659-DS-11,"tic) miscellaneous TID 9. Levemir FlexTouch (insulin detemir) 100 unit/mL (3 mL) subcutaneous DAILY " Missed entity,"(20288, 20300)",,subcutaneous,,386362006,,11532659-DS-11,"r FlexTouch (insulin detemir) 100 unit/mL (3 mL) subcutaneous DAILY 10. Omeprazole 20 mg PO DAILY 11. Guaifen" Missed entity,"(20388, 20393)",,cough,,49727002,,11532659-DS-11," 11. Guaifenesin-Dextromethorphan 5 mL PO Q6H:PRN cough 12. Metoprolol Succinate XL 100 mg PO BID 13. a" Missed entity,"(20535, 20546)",,prophylaxis,,169443000,,11532659-DS-11,"on QID 14. Amoxicillin 500 mg PO ONCE:PRN dental prophylaxis 15. Atorvastatin 80 mg PO QPM 16. Vitamin D 100" Missed entity,"(20646, 20653)",,anxiety,,48694002,,11532659-DS-11,"0 UNIT PO DAILY 17. ClonazePAM 0.5 mg PO BID:PRN anxiety, insomnia 18. Fluticasone Propionate NASAL 2 SPR" Missed entity,"(20655, 20663)",,insomnia,,193462001,,11532659-DS-11," DAILY 17. ClonazePAM 0.5 mg PO BID:PRN anxiety, insomnia 18. Fluticasone Propionate NASAL 2 SPRY NU DAILY" Missed entity,"(20692, 20697)",,NASAL,,406172003,,11532659-DS-11,"PRN anxiety, insomnia 18. Fluticasone Propionate NASAL 2 SPRY NU DAILY 19. HydrALAZINE 25 mg PO BID 20" Missed entity,"(20983, 20990)",,painful,,22253000,,11532659-DS-11," QHS 25. Lidocaine 5% Ointment 1 Appl TP TID:PRN painful area Discharge Medications: 1. Amoxicillin-C" Missed entity,"(21107, 21109)",,mg,,271285000,,11532659-DS-11,"_ mg PO Q12H RX *amoxicillin-pot clavulanate 875 mg-125 mg 1 by mouth twice a day Disp #*60 Tablet R" "Correct entity, wrong SNOMED ID","(23235, 23254)","(23235, 23254)",Acute cholecystitis,Acute cholecystitis,65275009,59771005,11532659-DS-11," Diagnosis: Primary diagnoses: ================== Acute cholecystitis Cholelithiasis Complete heart block Sinus bradyca" "Correct entity, wrong SNOMED ID","(23255, 23269)","(23255, 23269)",Cholelithiasis,Cholelithiasis,266474003,407637009,11532659-DS-11,"diagnoses: ================== Acute cholecystitis Cholelithiasis Complete heart block Sinus bradycardia Acute exac" "Correct entity, wrong SNOMED ID","(23270, 23290)","(23270, 23290)",Complete heart block,Complete heart block,27885002,233918003,11532659-DS-11,"============== Acute cholecystitis Cholelithiasis Complete heart block Sinus bradycardia Acute exacerbation of HFpEF Acu" "Correct entity, wrong SNOMED ID","(23291, 23308)","(23291, 23308)",Sinus bradycardia,Sinus bradycardia,49710005,49044005,11532659-DS-11,"cholecystitis Cholelithiasis Complete heart block Sinus bradycardia Acute exacerbation of HFpEF Acute kidney injury B" Wrong span,"(23309, 23327)","(23309, 23317)",Acute exacerbation,Acute ex,698296002,255228009,11532659-DS-11,"elithiasis Complete heart block Sinus bradycardia Acute exacerbation of HFpEF Acute kidney injury Blood loss anemia S" "Correct entity, wrong SNOMED ID","(23357, 23374)","(23357, 23374)",Blood loss anemia,Blood loss anemia,413532003,267530009,11532659-DS-11,"a Acute exacerbation of HFpEF Acute kidney injury Blood loss anemia Secondary diagnoses: ==================== Atrial" "Correct entity, wrong SNOMED ID","(23418, 23437)","(23418, 23437)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,11532659-DS-11,"anemia Secondary diagnoses: ==================== Atrial fibrillation Mechanical mitral valve Discharge Condition: " "Correct entity, wrong SNOMED ID","(23438, 23461)","(23438, 23461)",Mechanical mitral valve,Mechanical mitral valve,449846007,431339008,11532659-DS-11,"agnoses: ==================== Atrial fibrillation Mechanical mitral valve Discharge Condition: Mental Status: Clear and" "Correct entity, wrong SNOMED ID","(23487, 23500)","(23487, 23500)",Mental Status,Mental Status,392257007,419284004,11532659-DS-11," Mechanical mitral valve Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(23502, 23507)","(23502, 23507)",Clear,Clear,830123008,281278005,11532659-DS-11,"ral valve Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(23522, 23544)","(23522, 23544)",Level of Consciousness,Level of Consciousness,444714004,830285008,11532659-DS-11,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(23546, 23551)","(23546, 23551)",Alert,Alert,248234008,409787004,11532659-DS-11,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(23556, 23567)","(23556, 23567)",interactive,interactive,288577006,10301000202103,11532659-DS-11,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(23569, 23584)","(23569, 23584)",Activity Status,Activity Status,129676008,397622007,11532659-DS-11,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(23586, 23610)","(23586, 23610)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11532659-DS-11,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, It was" "Correct entity, wrong SNOMED ID","(23764, 23783)","(23764, 23783)",shortness of breath,shortness of breath,267036007,135833008,11532659-DS-11,"to the hospital? - You were concerned about your shortness of breath and abdominal pain What did you receive in the " "Correct entity, wrong SNOMED ID","(23789, 23803)","(23789, 23803)",abdominal pain,abdominal pain,21522001,54586004,11532659-DS-11,"ere concerned about your shortness of breath and abdominal pain What did you receive in the hospital? - On imag" "Correct entity, wrong SNOMED ID","(23849, 23856)","(23849, 23856)",imaging,imaging,363679005,408574004,11532659-DS-11,"pain What did you receive in the hospital? - On imaging, you were found to have an gallstone leading to a" "Correct entity, wrong SNOMED ID","(23884, 23893)","(23884, 23893)",gallstone,gallstone,235919008,407637009,11532659-DS-11,"ospital? - On imaging, you were found to have an gallstone leading to a gallbladder infection. You were giv" Wrong span,"(23908, 23919)","(23908, 23929)",gallbladder,gallbladder infection,28231008,25924004,11532659-DS-11,"you were found to have an gallstone leading to a gallbladder infection. You were given antibiotics. You event" Wrong span,"(23920, 23929)","(23908, 23929)",infection,gallbladder infection,40733004,25924004,11532659-DS-11,"nd to have an gallstone leading to a gallbladder infection. You were given antibiotics. You eventually had " "Correct entity, wrong SNOMED ID","(23946, 23957)","(23946, 23957)",antibiotics,antibiotics,281789004,372599003,11532659-DS-11,"ading to a gallbladder infection. You were given antibiotics. You eventually had a procedure that placed a tu" "Correct entity, wrong SNOMED ID","(23981, 23990)","(23981, 23990)",procedure,procedure,71388002,118672003,11532659-DS-11,"You were given antibiotics. You eventually had a procedure that placed a tube into your gallbladder to reli" Missed entity,"(23996, 24002)",,placed,,782902008,,11532659-DS-11,"antibiotics. You eventually had a procedure that placed a tube into your gallbladder to relieve the pres" "Correct entity, wrong SNOMED ID","(24021, 24032)","(24021, 24032)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11,"lly had a procedure that placed a tube into your gallbladder to relieve the pressure and clear out the infecti" "Correct entity, wrong SNOMED ID","(24075, 24084)","(24075, 24084)",infection,infection,40733004,260976002,11532659-DS-11,"bladder to relieve the pressure and clear out the infection. The tube in your gallbladder caused some bleedi" "Correct entity, wrong SNOMED ID","(24104, 24115)","(24104, 24115)",gallbladder,gallbladder,28231008,169010007,11532659-DS-11,"re and clear out the infection. The tube in your gallbladder caused some bleeding in your abdomen so a proced" "Correct entity, wrong SNOMED ID","(24128, 24136)","(24128, 24136)",bleeding,bleeding,131148009,74474003,11532659-DS-11,"ection. The tube in your gallbladder caused some bleeding in your abdomen so a procedure was performed to " "Correct entity, wrong SNOMED ID","(24146, 24153)","(24146, 24153)",abdomen,abdomen,818983003,225162003,11532659-DS-11,"in your gallbladder caused some bleeding in your abdomen so a procedure was performed to stop the bleeding" "Correct entity, wrong SNOMED ID","(24159, 24168)","(24159, 24168)",procedure,procedure,71388002,118672003,11532659-DS-11,"ladder caused some bleeding in your abdomen so a procedure was performed to stop the bleeding. - While we" "Correct entity, wrong SNOMED ID","(24195, 24203)","(24195, 24203)",bleeding,bleeding,131148009,74474003,11532659-DS-11," abdomen so a procedure was performed to stop the bleeding. - While we were monitoring you, your heart ra" Missed entity,"(24224, 24234)",,monitoring,,239516002,,11532659-DS-11,"erformed to stop the bleeding. - While we were monitoring you, your heart rate also slowed down significan" Wrong span,"(24245, 24273)","(24245, 24255)","heart rate also slowed down",heart rate,48867003,76863003,11532659-DS-11,"bleeding. - While we were monitoring you, your heart rate also slowed down significantly, a condition called complete heart " "Correct entity, wrong SNOMED ID","(24308, 24328)","(24308, 24328)",complete heart block,complete heart block,27885002,233918003,11532659-DS-11,"so slowed down significantly, a condition called complete heart block. You were given a temporary pacemaker to keep yo" "Correct entity, wrong SNOMED ID","(24358, 24367)","(24358, 24367)",pacemaker,pacemaker,307280005,14106009,11532659-DS-11,"complete heart block. You were given a temporary pacemaker to keep your heart rate up during the procedure." "Correct entity, wrong SNOMED ID","(24381, 24391)","(24381, 24391)",heart rate,heart rate,301113001,76863003,11532659-DS-11,"ou were given a temporary pacemaker to keep your heart rate up during the procedure. After you have your gal" "Correct entity, wrong SNOMED ID","(24407, 24416)","(24407, 24416)",procedure,procedure,71388002,118672003,11532659-DS-11," pacemaker to keep your heart rate up during the procedure. After you have your gall bladder removed, you w" "Correct entity, wrong SNOMED ID","(24438, 24458)","(24438, 24458)",gall bladder removed,gall bladder removed,38102005,128399009,11532659-DS-11,"ate up during the procedure. After you have your gall bladder removed, you will have a permanent placemaker placed. " "Correct entity, wrong SNOMED ID","(24487, 24504)","(24487, 24504)",placemaker placed,placemaker placed,307280005,439980006,11532659-DS-11," gall bladder removed, you will have a permanent placemaker placed. What should you do once you leave the hospital" Missed entity,"(24576, 24585)",,follow up,,183616001,,11532659-DS-11," once you leave the hospital? - You will need to follow up with the surgeons who will arrange for removal o" Wrong span,"(24626, 24658)","(24626, 24636)",removal of your your gallbladder,removal of,38102005,246158006,11532659-DS-11,"follow up with the surgeons who will arrange for removal of your your gallbladder surgically. - You will need to follow-up with " Wrong span,"(24738, 24760)","(24738, 24749)",gallbladder is removed,gallbladder,38102005,169010007,11532659-DS-11,"d to follow-up with the cardiologists after your gallbladder is removed for a permanent pacemaker We wish you the best, " Missed entity,"(24777, 24786)",,pacemaker,,307280005,,11532659-DS-11,"fter your gallbladder is removed for a permanent pacemaker We wish you the best, Your ___ Care Team Follo" False positive,,"(1026, 1030)",,trop,,1288019004,11576109-DS-15,"- EKG: Sinus at ___, ___ later ST depression. - tropI at OSH 0.19 - Labs notable for: WBC 10.7 (55%N" False positive,,"(2028, 2030)",,S1,,82609006,11576109-DS-15,": PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops, or rubs Lungs: breat" False positive,,"(3066, 3075)",,CTA chest,,169069000,11576109-DS-15,"__ 01:40AM PLT COUNT-223 IMAGING: ========= # CTA chest: 1. No evidence of aortic dissection. 2. Bila" False positive,,"(3392, 3404)",,Sinus rhythm,,64730000,11576109-DS-15,"l body may suggest a more acute process. ECG: Sinus rhythm, nl axis, nl intervals, with ST depressions in I" False positive,,"(3773, 3776)",,SLN,,1370927002,11576109-DS-15,"ng to back, which is new. Relieved somewhat with SLN. CTA at ___ negative for dissection or PE, but d" False positive,,"(4922, 4923)",,R,,420274006,11576109-DS-15,"60% stenosis, RCA mid ___ stenosis, L to distal R collaterals. Not a good candidate for C - continu" False positive,,"(5064, 5072)",,renal HD,,193003,11576109-DS-15,"idogrel # ESRD on HD: ___, went for HD today - renal HD consult - continue home cinacalcet, sevalemer " False positive,,"(5437, 5446)",,follow up,,1354473003,11576109-DS-15,"0/11 comrpession fractures, asymptomatic; should follow up with PCP ___: optimizing bone/mineral density - " False positive,,"(5496, 5502)",,follow,,429545006,11576109-DS-15," with PCP ___: optimizing bone/mineral density - follow up with cardiologist if chest pain persists Me" False positive,,"(7105, 7115)",,wheelchair,,386428005,11576109-DS-15,"y Status: Out of Bed with assistance to chair or wheelchair. Discharge Instructions: Dear Ms ___, You we" False positive,,"(7393, 7405)",,levofloxacin,,96087006,11576109-DS-15,"s now improved. We started you on an antibiotic (levofloxacin) for 5 days. You should follow up with your outp" Missed entity,"(178, 196)",,No Known Allergies,,609328004,,11576109-DS-15," Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief" "Correct entity, wrong SNOMED ID","(199, 221)","(199, 221)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,11576109-DS-15,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: chest pain " "Correct entity, wrong SNOMED ID","(258, 268)","(258, 268)",chest pain,chest pain,29857009,444821009,11576109-DS-15,"rug Reactions Attending: ___ Chief Complaint: chest pain Major Surgical or Invasive Procedure: None " "Correct entity, wrong SNOMED ID","(357, 360)","(357, 360)",CAD,CAD,53741008,84270004,11576109-DS-15,"e: None History of Present Illness: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p " "Correct entity, wrong SNOMED ID","(374, 377)","(374, 377)",3VD,3VD,233817007,70905002,11576109-DS-15,"ry of Present Illness: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, " "Correct entity, wrong SNOMED ID","(378, 381)","(378, 381)",DES,DES,746050008,9985006,11576109-DS-15,"f Present Illness: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, pres" "Correct entity, wrong SNOMED ID","(385, 388)","(385, 388)",LAD,LAD,59438005,1010291002,11576109-DS-15,"nt Illness: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents wi" Wrong span,"(390, 394)","(390, 400)",ESRD,ESRD on HD,236435004,286371000119107,11576109-DS-15,"lness: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with che" Wrong span,"(398, 400)","(390, 400)",HD,ESRD on HD,302497006,286371000119107,11576109-DS-15,"__ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pai" "Correct entity, wrong SNOMED ID","(402, 405)","(402, 405)",PAD,PAD,840580004,5398002,11576109-DS-15,"2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain. " "Correct entity, wrong SNOMED ID","(410, 416)","(410, 416)","R BKA","R BKA",721061008,395120004,11576109-DS-15," w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain. - Reports " "Correct entity, wrong SNOMED ID","(418, 421)","(418, 421)",HTN,HTN,38341003,10725009,11576109-DS-15,"n s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain. - Reports subst" "Correct entity, wrong SNOMED ID","(423, 425)","(423, 425)",HL,HL,55822004,257988000,11576109-DS-15," 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain. - Reports substerna" "Correct entity, wrong SNOMED ID","(441, 451)","(441, 451)",chest pain,chest pain,29857009,444821009,11576109-DS-15,"SRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain. - Reports substernal chest pain, similar to p" "Correct entity, wrong SNOMED ID","(466, 487)","(466, 487)",substernal chest pain,substernal chest pain,4568003,162039006,11576109-DS-15,", HTN, HL, presents with chest pain. - Reports substernal chest pain, similar to past, burning in quality, but this t" Wrong span,"(506, 513)","(506, 516)",burning,burning in,90673000,213897004,11576109-DS-15,"- Reports substernal chest pain, similar to past, burning in quality, but this time radiates to back (whic" "Correct entity, wrong SNOMED ID","(541, 549)","(541, 549)",radiates,radiates,9972008,62376000,11576109-DS-15,"milar to past, burning in quality, but this time radiates to back (which is new), no n/v, neck pain, arm p" Missed entity,"(553, 557)",,back,,161891005,,11576109-DS-15,"t, burning in quality, but this time radiates to back (which is new), no n/v, neck pain, arm pain. CP " "Correct entity, wrong SNOMED ID","(577, 580)","(577, 580)",n/v,n/v,16932000,257992007,11576109-DS-15,"but this time radiates to back (which is new), no n/v, neck pain, arm pain. CP not worsened with deep " "Correct entity, wrong SNOMED ID","(583, 592)","(583, 592)",neck pain,neck pain,427310006,1121000119107,11576109-DS-15,"is time radiates to back (which is new), no n/v, neck pain, arm pain. CP not worsened with deep breathes. re" "Correct entity, wrong SNOMED ID","(594, 602)","(594, 602)",arm pain,arm pain,102556003,15749341000119107,11576109-DS-15,"iates to back (which is new), no n/v, neck pain, arm pain. CP not worsened with deep breathes. reports sub" "Correct entity, wrong SNOMED ID","(604, 606)","(604, 606)",CP,CP,29857009,282108002,11576109-DS-15,"ack (which is new), no n/v, neck pain, arm pain. CP not worsened with deep breathes. reports subject" "Correct entity, wrong SNOMED ID","(611, 619)","(611, 619)",worsened,worsened,1144586002,271299001,11576109-DS-15,"ich is new), no n/v, neck pain, arm pain. CP not worsened with deep breathes. reports subjective fever yes" Missed entity,"(625, 638)",,deep breathes,,289123006,,11576109-DS-15,"o n/v, neck pain, arm pain. CP not worsened with deep breathes. reports subjective fever yesterday, since resol" "Correct entity, wrong SNOMED ID","(660, 665)","(660, 665)",fever,fever,386661006,248430002,11576109-DS-15," worsened with deep breathes. reports subjective fever yesterday, since resolved. no cough. no abd pain" "Correct entity, wrong SNOMED ID","(696, 701)","(696, 701)",cough,cough,49727002,28743005,11576109-DS-15,"s subjective fever yesterday, since resolved. no cough. no abd pain, d/c, GU complaints. - Went to __" "Correct entity, wrong SNOMED ID","(706, 715)","(706, 715)","abd pain","abd pain",21522001,45979003,11576109-DS-15,"ive fever yesterday, since resolved. no cough. no abd pain, d/c, GU complaints. - Went to ___, received ni" Missed entity,"(717, 718)",,d,,62315008,,11576109-DS-15,"esterday, since resolved. no cough. no abd pain, d/c, GU complaints. - Went to ___, received nitro" Missed entity,"(719, 720)",,c,,14760008,,11576109-DS-15,"terday, since resolved. no cough. no abd pain, d/c, GU complaints. - Went to ___, received nitro >" Wrong span,"(722, 735)","(722, 724)",GU complaints,GU,118238000,77618006,11576109-DS-15,"day, since resolved. no cough. no abd pain, d/c, GU complaints. - Went to ___, received nitro > reports that i" "Correct entity, wrong SNOMED ID","(887, 893)","(887, 893)",vitals,vitals,118227000,260390007,11576109-DS-15," transferred here for mgmt. In the ED, initial vitals were: 98.0 85 111/56 14 100% RA - exam: ___ pai" "Correct entity, wrong SNOMED ID","(923, 925)","(923, 925)",RA,RA,722742002,463051000124105,11576109-DS-15,"e ED, initial vitals were: 98.0 85 111/56 14 100% RA - exam: ___ pain. RRR, CTAb, no ___ swelling. " "Correct entity, wrong SNOMED ID","(930, 934)","(930, 934)",exam,exam,5880005,105477005,11576109-DS-15,"nitial vitals were: 98.0 85 111/56 14 100% RA - exam: ___ pain. RRR, CTAb, no ___ swelling. - EKG: S" "Correct entity, wrong SNOMED ID","(940, 944)","(940, 944)",pain,pain,29857009,102570003,11576109-DS-15,"als were: 98.0 85 111/56 14 100% RA - exam: ___ pain. RRR, CTAb, no ___ swelling. - EKG: Sinus at __" "Correct entity, wrong SNOMED ID","(946, 949)","(946, 949)",RRR,RRR,76863003,129960002,11576109-DS-15,"re: 98.0 85 111/56 14 100% RA - exam: ___ pain. RRR, CTAb, no ___ swelling. - EKG: Sinus at ___, __" "Correct entity, wrong SNOMED ID","(951, 955)","(951, 955)",CTAb,CTAb,48348007,259641008,11576109-DS-15,"8.0 85 111/56 14 100% RA - exam: ___ pain. RRR, CTAb, no ___ swelling. - EKG: Sinus at ___, ___ late" "Correct entity, wrong SNOMED ID","(964, 972)","(964, 972)",swelling,swelling,442672001,300890009,11576109-DS-15," 14 100% RA - exam: ___ pain. RRR, CTAb, no ___ swelling. - EKG: Sinus at ___, ___ later ST depression. " "Correct entity, wrong SNOMED ID","(978, 981)","(978, 981)",EKG,EKG,29303009,75444003,11576109-DS-15,"- exam: ___ pain. RRR, CTAb, no ___ swelling. - EKG: Sinus at ___, ___ later ST depression. - tropI" "Correct entity, wrong SNOMED ID","(983, 988)","(983, 988)",Sinus,Sinus,426783006,2095001,11576109-DS-15,"m: ___ pain. RRR, CTAb, no ___ swelling. - EKG: Sinus at ___, ___ later ST depression. - tropI at OSH" "Correct entity, wrong SNOMED ID","(1007, 1020)","(1007, 1020)",ST depression,ST depression,26141007,258125002,11576109-DS-15,"no ___ swelling. - EKG: Sinus at ___, ___ later ST depression. - tropI at OSH 0.19 - Labs notable for: WBC " Missed entity,"(1048, 1052)",,Labs,,15220000,,11576109-DS-15,"__ later ST depression. - tropI at OSH 0.19 - Labs notable for: WBC 10.7 (55%N), Hb 11, K 5.5, BUN/C" "Correct entity, wrong SNOMED ID","(1066, 1069)","(1066, 1069)",WBC,WBC,767002,391558003,11576109-DS-15,"sion. - tropI at OSH 0.19 - Labs notable for: WBC 10.7 (55%N), Hb 11, K 5.5, BUN/Cr 53/9.8, trop 0" Missed entity,"(1083, 1085)",,Hb,,441689006,,11576109-DS-15,"t OSH 0.19 - Labs notable for: WBC 10.7 (55%N), Hb 11, K 5.5, BUN/Cr 53/9.8, trop 0.06, CKMb 3 - " Missed entity,"(1090, 1091)",,K,,312468003,,11576109-DS-15,".19 - Labs notable for: WBC 10.7 (55%N), Hb 11, K 5.5, BUN/Cr 53/9.8, trop 0.06, CKMb 3 - CTA ch" Missed entity,"(1097, 1103)",,BUN/Cr,,18207002,,11576109-DS-15," Labs notable for: WBC 10.7 (55%N), Hb 11, K 5.5, BUN/Cr 53/9.8, trop 0.06, CKMb 3 - CTA chest without " Missed entity,"(1113, 1117)",,trop,,105000003,,11576109-DS-15,"r: WBC 10.7 (55%N), Hb 11, K 5.5, BUN/Cr 53/9.8, trop 0.06, CKMb 3 - CTA chest without evidence of di" Missed entity,"(1124, 1128)",,CKMb,,104613001,,11576109-DS-15," (55%N), Hb 11, K 5.5, BUN/Cr 53/9.8, trop 0.06, CKMb 3 - CTA chest without evidence of dissection, n" "Correct entity, wrong SNOMED ID","(1135, 1144)","(1135, 1144)",CTA chest,CTA chest,411251000119104,169069000,11576109-DS-15," 11, K 5.5, BUN/Cr 53/9.8, trop 0.06, CKMb 3 - CTA chest without evidence of dissection, noted bilateral " "Correct entity, wrong SNOMED ID","(1165, 1175)","(1165, 1175)",dissection,dissection,308546005,710864009,11576109-DS-15,"op 0.06, CKMb 3 - CTA chest without evidence of dissection, noted bilateral opacities concering for multifo" Missed entity,"(1183, 1192)",,bilateral,,74101002,,11576109-DS-15,"- CTA chest without evidence of dissection, noted bilateral opacities concering for multifocal PNA - Pt wa" "Correct entity, wrong SNOMED ID","(1194, 1203)","(1194, 1203)",opacities,opacities,128305008,422061002,11576109-DS-15," without evidence of dissection, noted bilateral opacities concering for multifocal PNA - Pt was given not" "Correct entity, wrong SNOMED ID","(1229, 1232)","(1229, 1232)",PNA,PNA,233604007,423257005,11576109-DS-15,"ted bilateral opacities concering for multifocal PNA - Pt was given nothing - vitals prior to tran" "Correct entity, wrong SNOMED ID","(1262, 1268)","(1262, 1268)",vitals,vitals,118227000,260390007,11576109-DS-15,"g for multifocal PNA - Pt was given nothing - vitals prior to transfer: 64 124/60 15 97% RA On arri" "Correct entity, wrong SNOMED ID","(1305, 1307)","(1305, 1307)",RA,RA,722742002,463051000124105,11576109-DS-15,"ng - vitals prior to transfer: 64 124/60 15 97% RA On arrival to the floor, pt reports chest and " "Correct entity, wrong SNOMED ID","(1347, 1352)","(1347, 1352)",chest,chest,29857009,177765008,11576109-DS-15," 15 97% RA On arrival to the floor, pt reports chest and back pain are fully resolved. Past Medic" "Correct entity, wrong SNOMED ID","(1357, 1366)","(1357, 1366)",back pain,back pain,161891005,134407002,11576109-DS-15," On arrival to the floor, pt reports chest and back pain are fully resolved. Past Medical History: - " "Correct entity, wrong SNOMED ID","(1416, 1441)","(1416, 1441)",Type II diabetes mellitus,Type II diabetes mellitus,44054006,443694000,11576109-DS-15," are fully resolved. Past Medical History: - Type II diabetes mellitus - LLE neuropathy - ESRD on HD MWF - CAD wit" Wrong span,"(1446, 1449)","(1446, 1460)",LLE,LLE neuropathy,32153003,29834003,11576109-DS-15," Medical History: - Type II diabetes mellitus - LLE neuropathy - ESRD on HD MWF - CAD with LM dis" Wrong span,"(1450, 1460)","(1446, 1460)",neuropathy,LLE neuropathy,609600000,29834003,11576109-DS-15,"ical History: - Type II diabetes mellitus - LLE neuropathy - ESRD on HD MWF - CAD with LM distal 60% ste" "Correct entity, wrong SNOMED ID","(1465, 1469)","(1465, 1469)",ESRD,ESRD,236435004,46177005,11576109-DS-15," Type II diabetes mellitus - LLE neuropathy - ESRD on HD MWF - CAD with LM distal 60% stenosis, LC" Missed entity,"(1473, 1475)",,HD,,302497006,,11576109-DS-15," diabetes mellitus - LLE neuropathy - ESRD on HD MWF - CAD with LM distal 60% stenosis, LCX osti" "Correct entity, wrong SNOMED ID","(1484, 1487)","(1484, 1487)",CAD,CAD,53741008,84270004,11576109-DS-15,"ellitus - LLE neuropathy - ESRD on HD MWF - CAD with LM distal 60% stenosis, LCX ostial 90% steno" Wrong span,"(1493, 1515)","(1493, 1495)",LM distal 60% stenosis,LM,1255621004,420296000,11576109-DS-15," - LLE neuropathy - ESRD on HD MWF - CAD with LM distal 60% stenosis, LCX ostial 90% stenosis before stent mid 60% " Wrong span,"(1517, 1540)","(1517, 1520)",LCX ostial 90% stenosis,LCX,1255624007,421806008,11576109-DS-15,"RD on HD MWF - CAD with LM distal 60% stenosis, LCX ostial 90% stenosis before stent mid 60% stenosis, LAD difuse dise" Wrong span,"(1551, 1573)","(1551, 1556)",stent mid 60% stenosis,stent,251030009,1287503001,11576109-DS-15,"l 60% stenosis, LCX ostial 90% stenosis before stent mid 60% stenosis, LAD difuse disease segmental mid 60% stenosis," Wrong span,"(1575, 1622)","(1575, 1578)","LAD difuse disease segmental mid 60% stenosis",LAD,876859003,1010291002,11576109-DS-15,"al 90% stenosis before stent mid 60% stenosis, LAD difuse disease segmental mid 60% stenosis, RCA mid ___ stenosis, L to distal R collaterals " Wrong span,"(1624, 1644)","(1624, 1627)",RCA mid ___ stenosis,RCA,876856005,244257005,11576109-DS-15," LAD difuse disease segmental mid 60% stenosis, RCA mid ___ stenosis, L to distal R collaterals - PAD s/p R BKA - " Missed entity,"(1660, 1671)",,collaterals,,251032001,,11576109-DS-15,"% stenosis, RCA mid ___ stenosis, L to distal R collaterals - PAD s/p R BKA - Hypertension - Hyperlipid" "Correct entity, wrong SNOMED ID","(1676, 1679)","(1676, 1679)",PAD,PAD,840580004,238135003,11576109-DS-15,"A mid ___ stenosis, L to distal R collaterals - PAD s/p R BKA - Hypertension - Hyperlipidemia -" Boundary error,"(1684, 1689)","(1686, 1689)",R BKA,BKA,721061008,66587009,11576109-DS-15,"_ stenosis, L to distal R collaterals - PAD s/p R BKA - Hypertension - Hyperlipidemia - Carpal tu" "Correct entity, wrong SNOMED ID","(1694, 1706)","(1694, 1706)",Hypertension,Hypertension,38341003,70995007,11576109-DS-15,", L to distal R collaterals - PAD s/p R BKA - Hypertension - Hyperlipidemia - Carpal tunnel syndrome -" "Correct entity, wrong SNOMED ID","(1711, 1725)","(1711, 1725)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11576109-DS-15,"ollaterals - PAD s/p R BKA - Hypertension - Hyperlipidemia - Carpal tunnel syndrome - Breast cancer " "Correct entity, wrong SNOMED ID","(1730, 1752)","(1730, 1752)",Carpal tunnel syndrome,Carpal tunnel syndrome,57406009,12265501000119101,11576109-DS-15,"s/p R BKA - Hypertension - Hyperlipidemia - Carpal tunnel syndrome - Breast cancer Social History: ___ Family" "Correct entity, wrong SNOMED ID","(1757, 1770)","(1757, 1770)",Breast cancer,Breast cancer,254837009,134405005,11576109-DS-15," - Hyperlipidemia - Carpal tunnel syndrome - Breast cancer Social History: ___ Family History: No famil" "Correct entity, wrong SNOMED ID","(1873, 1879)","(1873, 1879)",Vitals,Vitals,118227000,260390007,11576109-DS-15,"istory of early MI. Physical Exam: Exam: ===== Vitals: 98.1 118/62 67 98% RA wt: 97.4kg General: well" "Correct entity, wrong SNOMED ID","(1900, 1902)","(1900, 1902)",RA,RA,722742002,463051000124105,11576109-DS-15,"cal Exam: Exam: ===== Vitals: 98.1 118/62 67 98% RA wt: 97.4kg General: well appearing, middle aged" Missed entity,"(1903, 1905)",,wt,,107647005,,11576109-DS-15," Exam: Exam: ===== Vitals: 98.1 118/62 67 98% RA wt: 97.4kg General: well appearing, middle aged, o" "Correct entity, wrong SNOMED ID","(1916, 1923)","(1916, 1923)",General,General,162673000,252398009,11576109-DS-15," ===== Vitals: 98.1 118/62 67 98% RA wt: 97.4kg General: well appearing, middle aged, overweight female " "Correct entity, wrong SNOMED ID","(1925, 1939)","(1925, 1939)",well appearing,well appearing,397749000,102499006,11576109-DS-15,"tals: 98.1 118/62 67 98% RA wt: 97.4kg General: well appearing, middle aged, overweight female HEENT: PERRLA, O" "Correct entity, wrong SNOMED ID","(1941, 1952)","(1941, 1952)",middle aged,middle aged,28288005,64816001,11576109-DS-15,"2 67 98% RA wt: 97.4kg General: well appearing, middle aged, overweight female HEENT: PERRLA, OP clear, hirs" "Correct entity, wrong SNOMED ID","(1954, 1964)","(1954, 1964)",overweight,overweight,238131007,248354006,11576109-DS-15,"t: 97.4kg General: well appearing, middle aged, overweight female HEENT: PERRLA, OP clear, hirsute Neck: no" "Correct entity, wrong SNOMED ID","(1973, 1978)","(1973, 1978)",HEENT,HEENT,5880005,113665002,11576109-DS-15,": well appearing, middle aged, overweight female HEENT: PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, " "Correct entity, wrong SNOMED ID","(1980, 1986)","(1980, 1986)",PERRLA,PERRLA,386667005,68123009,11576109-DS-15,"appearing, middle aged, overweight female HEENT: PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, n" "Correct entity, wrong SNOMED ID","(1988, 1996)","(1988, 1996)",OP clear,OP clear,300280008,271591004,11576109-DS-15,"g, middle aged, overweight female HEENT: PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs," Missed entity,"(1998, 2005)",,hirsute,,399939002,,11576109-DS-15,"aged, overweight female HEENT: PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops," "Correct entity, wrong SNOMED ID","(2006, 2010)","(2006, 2010)",Neck,Neck,5880005,840674001,11576109-DS-15,"erweight female HEENT: PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops, or r" "Correct entity, wrong SNOMED ID","(2015, 2018)","(2015, 2018)",LAD,LAD,30746006,1010291002,11576109-DS-15,"female HEENT: PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops, or rubs " "Correct entity, wrong SNOMED ID","(2019, 2021)","(2019, 2021)",CV,CV,363003006,258773002,11576109-DS-15,"le HEENT: PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops, or rubs Lun" "Correct entity, wrong SNOMED ID","(2023, 2026)","(2023, 2026)",RRR,RRR,76863003,129960002,11576109-DS-15,"HEENT: PERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops, or rubs Lungs: b" "Correct entity, wrong SNOMED ID","(2031, 2033)","(2031, 2033)",S2,S2,111974005,81170007,11576109-DS-15,"ERRLA, OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops, or rubs Lungs: breathin" "Correct entity, wrong SNOMED ID","(2038, 2045)","(2038, 2045)",murmurs,murmurs,414786004,248699005,11576109-DS-15,"OP clear, hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops, or rubs Lungs: breathing comfortabl" "Correct entity, wrong SNOMED ID","(2047, 2054)","(2047, 2054)",gallops,gallops,2170000,4592006,11576109-DS-15," hirsute Neck: no LAD CV: RRR, S1/S2, no murmurs, gallops, or rubs Lungs: breathing comfortably. faint " "Correct entity, wrong SNOMED ID","(2068, 2073)","(2068, 2073)",Lungs,Lungs,268925001,74101002,11576109-DS-15," CV: RRR, S1/S2, no murmurs, gallops, or rubs Lungs: breathing comfortably. faint crackles at bases, " "Correct entity, wrong SNOMED ID","(2075, 2096)","(2075, 2096)",breathing comfortably,breathing comfortably,276362002,229299002,11576109-DS-15,"R, S1/S2, no murmurs, gallops, or rubs Lungs: breathing comfortably. faint crackles at bases, no focal deficits Abd" "Correct entity, wrong SNOMED ID","(2116, 2121)","(2116, 2121)",bases,bases,10024003,417082000,11576109-DS-15," Lungs: breathing comfortably. faint crackles at bases, no focal deficits Abdomen: nondistended, +BS, " "Correct entity, wrong SNOMED ID","(2143, 2150)","(2143, 2150)",Abdomen,Abdomen,225162003,75093004,11576109-DS-15,"bly. faint crackles at bases, no focal deficits Abdomen: nondistended, +BS, nontender in all quadrants, n" "Correct entity, wrong SNOMED ID","(2152, 2164)","(2152, 2164)",nondistended,nondistended,300405003,441380004,11576109-DS-15,"t crackles at bases, no focal deficits Abdomen: nondistended, +BS, nontender in all quadrants, no rebound/gua" "Correct entity, wrong SNOMED ID","(2166, 2169)","(2166, 2169)",+BS,+BS,61539000,260347006,11576109-DS-15,"bases, no focal deficits Abdomen: nondistended, +BS, nontender in all quadrants, no rebound/guarding" "Correct entity, wrong SNOMED ID","(2171, 2180)","(2171, 2180)",nontender,nontender,43478001,413319007,11576109-DS-15,", no focal deficits Abdomen: nondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepato" "Correct entity, wrong SNOMED ID","(2203, 2210)","(2203, 2210)",rebound,rebound,35611005,844584001,11576109-DS-15,"ondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly Extr: no edema" "Correct entity, wrong SNOMED ID","(2224, 2242)","(2224, 2242)",hepatosplenomegaly,hepatosplenomegaly,36760000,80378000,11576109-DS-15,"tender in all quadrants, no rebound/guarding, no hepatosplenomegaly Extr: no edema, WWP Neuro: ___ strength in __" "Correct entity, wrong SNOMED ID","(2246, 2250)","(2246, 2250)",Extr,Extr,302773001,710354007,11576109-DS-15,"s, no rebound/guarding, no hepatosplenomegaly Extr: no edema, WWP Neuro: ___ strength in ___, R BKA" "Correct entity, wrong SNOMED ID","(2255, 2260)","(2255, 2260)",edema,edema,267038008,102576009,11576109-DS-15,"bound/guarding, no hepatosplenomegaly Extr: no edema, WWP Neuro: ___ strength in ___, R BKA, some sto" "Correct entity, wrong SNOMED ID","(2262, 2265)","(2262, 2265)",WWP,WWP,1137685003,258001008,11576109-DS-15,"uarding, no hepatosplenomegaly Extr: no edema, WWP Neuro: ___ strength in ___, R BKA, some stocking" "Correct entity, wrong SNOMED ID","(2267, 2272)","(2267, 2272)",Neuro,Neuro,84728005,281247006,11576109-DS-15,"ng, no hepatosplenomegaly Extr: no edema, WWP Neuro: ___ strength in ___, R BKA, some stocking glove " Boundary error,"(2295, 2300)","(2297, 2300)",R BKA,BKA,721061008,66587009,11576109-DS-15," Extr: no edema, WWP Neuro: ___ strength in ___, R BKA, some stocking glove distribution neuropathy, bu" "Correct entity, wrong SNOMED ID","(2336, 2346)","(2336, 2346)",neuropathy,neuropathy,386033004,302226006,11576109-DS-15," in ___, R BKA, some stocking glove distribution neuropathy, but no saddle anesthesia, good rectal tone. Ski" "Correct entity, wrong SNOMED ID","(2355, 2372)","(2355, 2372)",saddle anesthesia,saddle anesthesia,449813001,763218005,11576109-DS-15,"e stocking glove distribution neuropathy, but no saddle anesthesia, good rectal tone. Skin: no lesions Pertinent" Missed entity,"(2374, 2378)",,good,,281900007,,11576109-DS-15,"istribution neuropathy, but no saddle anesthesia, good rectal tone. Skin: no lesions Pertinent Resul" Wrong span,"(2379, 2391)","(2379, 2385)","rectal tone",rectal,249645005,719908001,11576109-DS-15,"bution neuropathy, but no saddle anesthesia, good rectal tone. Skin: no lesions Pertinent Results: Labs: ===" "Correct entity, wrong SNOMED ID","(2393, 2397)","(2393, 2397)",Skin,Skin,271303006,444884003,11576109-DS-15,"thy, but no saddle anesthesia, good rectal tone. Skin: no lesions Pertinent Results: Labs: ===== ___" "Correct entity, wrong SNOMED ID","(2402, 2409)","(2402, 2409)",lesions,lesions,52988006,246206008,11576109-DS-15,"no saddle anesthesia, good rectal tone. Skin: no lesions Pertinent Results: Labs: ===== ___ 12:53PM U" Missed entity,"(2458, 2464)",,UREA N,,105011006,,11576109-DS-15,"s Pertinent Results: Labs: ===== ___ 12:53PM UREA N-17 ___ 09:14AM CK-MB-4 cTropnT-0.10* ___ 09:14A" Missed entity,"(2482, 2487)",,CK-MB,,104613001,,11576109-DS-15,"Labs: ===== ___ 12:53PM UREA N-17 ___ 09:14AM CK-MB-4 cTropnT-0.10* ___ 09:14AM CALCIUM-9.3 PHOSPHA" "Correct entity, wrong SNOMED ID","(2490, 2497)","(2490, 2497)",cTropnT,cTropnT,105001004,442255004,11576109-DS-15,"=== ___ 12:53PM UREA N-17 ___ 09:14AM CK-MB-4 cTropnT-0.10* ___ 09:14AM CALCIUM-9.3 PHOSPHATE-2.3* __" "Correct entity, wrong SNOMED ID","(2518, 2525)","(2518, 2525)",CALCIUM,CALCIUM,312472004,108601004,11576109-DS-15,"___ 09:14AM CK-MB-4 cTropnT-0.10* ___ 09:14AM CALCIUM-9.3 PHOSPHATE-2.3* ___ 01:40AM GLUCOSE-233* URE" Missed entity,"(2530, 2539)",,PHOSPHATE,,104868000,,11576109-DS-15," CK-MB-4 cTropnT-0.10* ___ 09:14AM CALCIUM-9.3 PHOSPHATE-2.3* ___ 01:40AM GLUCOSE-233* UREA N-53* CREAT-" "Correct entity, wrong SNOMED ID","(2559, 2566)","(2559, 2566)",GLUCOSE,GLUCOSE,33747003,72191006,11576109-DS-15,"9:14AM CALCIUM-9.3 PHOSPHATE-2.3* ___ 01:40AM GLUCOSE-233* UREA N-53* CREAT-9.8*# SODIUM-133 POTASSIUM" Missed entity,"(2572, 2578)",,UREA N,,105011006,,11576109-DS-15,"IUM-9.3 PHOSPHATE-2.3* ___ 01:40AM GLUCOSE-233* UREA N-53* CREAT-9.8*# SODIUM-133 POTASSIUM-5.5* CHLORI" "Correct entity, wrong SNOMED ID","(2583, 2588)","(2583, 2588)",CREAT,CREAT,70901006,413856009,11576109-DS-15,"SPHATE-2.3* ___ 01:40AM GLUCOSE-233* UREA N-53* CREAT-9.8*# SODIUM-133 POTASSIUM-5.5* CHLORIDE-94* TOT" "Correct entity, wrong SNOMED ID","(2596, 2602)","(2596, 2602)",SODIUM,SODIUM,25197003,104934005,11576109-DS-15,"__ 01:40AM GLUCOSE-233* UREA N-53* CREAT-9.8*# SODIUM-133 POTASSIUM-5.5* CHLORIDE-94* TOTAL CO2-22 ANIO" "Correct entity, wrong SNOMED ID","(2607, 2616)","(2607, 2616)",POTASSIUM,POTASSIUM,59573005,1149432009,11576109-DS-15," GLUCOSE-233* UREA N-53* CREAT-9.8*# SODIUM-133 POTASSIUM-5.5* CHLORIDE-94* TOTAL CO2-22 ANION GAP-23* ___" "Correct entity, wrong SNOMED ID","(2622, 2630)","(2622, 2630)",CHLORIDE,CHLORIDE,104589004,108447000,11576109-DS-15,"UREA N-53* CREAT-9.8*# SODIUM-133 POTASSIUM-5.5* CHLORIDE-94* TOTAL CO2-22 ANION GAP-23* ___ 01:40AM est" "Correct entity, wrong SNOMED ID","(2648, 2658)","(2648, 2658)","ANION GAP","ANION GAP",25469001,237854004,11576109-DS-15,"DIUM-133 POTASSIUM-5.5* CHLORIDE-94* TOTAL CO2-22 ANION GAP-23* ___ 01:40AM estGFR-Using this ___ 01:40AM " Missed entity,"(2709, 2715)",,CK(CPK,,397798009,,11576109-DS-15,"23* ___ 01:40AM estGFR-Using this ___ 01:40AM CK(CPK)-132 ___ 01:40AM CK-MB-3 cTropnT-0.06* ___ 01:4" Missed entity,"(2735, 2740)",,CK-MB,,104613001,,11576109-DS-15,"sing this ___ 01:40AM CK(CPK)-132 ___ 01:40AM CK-MB-3 cTropnT-0.06* ___ 01:40AM WBC-10.7* RBC-3.72*" "Correct entity, wrong SNOMED ID","(2743, 2750)","(2743, 2750)",cTropnT,cTropnT,105001004,442255004,11576109-DS-15,"s ___ 01:40AM CK(CPK)-132 ___ 01:40AM CK-MB-3 cTropnT-0.06* ___ 01:40AM WBC-10.7* RBC-3.72* HGB-11.0*" "Correct entity, wrong SNOMED ID","(2771, 2774)","(2771, 2774)",WBC,WBC,767002,391558003,11576109-DS-15,"___ 01:40AM CK-MB-3 cTropnT-0.06* ___ 01:40AM WBC-10.7* RBC-3.72* HGB-11.0* HCT-34.4 MCV-93 MCH-29" "Correct entity, wrong SNOMED ID","(2781, 2784)","(2781, 2784)",RBC,RBC,14089001,258759006,11576109-DS-15,"M CK-MB-3 cTropnT-0.06* ___ 01:40AM WBC-10.7* RBC-3.72* HGB-11.0* HCT-34.4 MCV-93 MCH-29.6 MCHC-32" "Correct entity, wrong SNOMED ID","(2791, 2794)","(2791, 2794)",HGB,HGB,441689006,104142005,11576109-DS-15,"3 cTropnT-0.06* ___ 01:40AM WBC-10.7* RBC-3.72* HGB-11.0* HCT-34.4 MCV-93 MCH-29.6 MCHC-32.0 RDW-14." "Correct entity, wrong SNOMED ID","(2801, 2804)","(2801, 2804)",HCT,HCT,28317006,282660005,11576109-DS-15,"0.06* ___ 01:40AM WBC-10.7* RBC-3.72* HGB-11.0* HCT-34.4 MCV-93 MCH-29.6 MCHC-32.0 RDW-14.8 RDWSD-49" "Correct entity, wrong SNOMED ID","(2810, 2813)","(2810, 2813)",MCV,MCV,104133003,735146006,11576109-DS-15," 01:40AM WBC-10.7* RBC-3.72* HGB-11.0* HCT-34.4 MCV-93 MCH-29.6 MCHC-32.0 RDW-14.8 RDWSD-49.6* ___ 0" "Correct entity, wrong SNOMED ID","(2818, 2821)","(2818, 2821)",MCH,MCH,54706004,735147002,11576109-DS-15," WBC-10.7* RBC-3.72* HGB-11.0* HCT-34.4 MCV-93 MCH-29.6 MCHC-32.0 RDW-14.8 RDWSD-49.6* ___ 01:40AM " "Correct entity, wrong SNOMED ID","(2827, 2831)","(2827, 2831)",MCHC,MCHC,37254006,735147002,11576109-DS-15,".7* RBC-3.72* HGB-11.0* HCT-34.4 MCV-93 MCH-29.6 MCHC-32.0 RDW-14.8 RDWSD-49.6* ___ 01:40AM NEUTS-55." "Correct entity, wrong SNOMED ID","(2837, 2840)","(2837, 2840)",RDW,RDW,66842004,735149004,11576109-DS-15,"72* HGB-11.0* HCT-34.4 MCV-93 MCH-29.6 MCHC-32.0 RDW-14.8 RDWSD-49.6* ___ 01:40AM NEUTS-55.6 ___ MON" "Correct entity, wrong SNOMED ID","(2846, 2851)","(2846, 2851)",RDWSD,RDWSD,66842004,80328002,11576109-DS-15,"1.0* HCT-34.4 MCV-93 MCH-29.6 MCHC-32.0 RDW-14.8 RDWSD-49.6* ___ 01:40AM NEUTS-55.6 ___ MONOS-10.5 EOS" "Correct entity, wrong SNOMED ID","(2872, 2877)","(2872, 2877)",NEUTS,NEUTS,30630007,271035003,11576109-DS-15,"29.6 MCHC-32.0 RDW-14.8 RDWSD-49.6* ___ 01:40AM NEUTS-55.6 ___ MONOS-10.5 EOS-3.4 BASOS-0.7 IM ___ Abs" "Correct entity, wrong SNOMED ID","(2887, 2892)","(2887, 2892)",MONOS,MONOS,67776007,462791000124108,11576109-DS-15,"RDW-14.8 RDWSD-49.6* ___ 01:40AM NEUTS-55.6 ___ MONOS-10.5 EOS-3.4 BASOS-0.7 IM ___ AbsNeut-5.97 AbsLy" "Correct entity, wrong SNOMED ID","(2898, 2901)","(2898, 2901)",EOS,EOS,71960002,67099000,11576109-DS-15,"WSD-49.6* ___ 01:40AM NEUTS-55.6 ___ MONOS-10.5 EOS-3.4 BASOS-0.7 IM ___ AbsNeut-5.97 AbsLymp-3.18 A" Missed entity,"(2907, 2912)",,BASOS,,42351005,,11576109-DS-15," ___ 01:40AM NEUTS-55.6 ___ MONOS-10.5 EOS-3.4 BASOS-0.7 IM ___ AbsNeut-5.97 AbsLymp-3.18 AbsMono-1.13" Missed entity,"(3001, 3010)",,PLT COUNT,,61928009,,11576109-DS-15,"bsMono-1.13* AbsEos-0.36 AbsBaso-0.___ 01:40AM PLT COUNT-223 ___ 01:40AM PLT COUNT-223 IMAGING: ======" Missed entity,"(3029, 3038)",,PLT COUNT,,61928009,,11576109-DS-15,"sBaso-0.___ 01:40AM PLT COUNT-223 ___ 01:40AM PLT COUNT-223 IMAGING: ========= # CTA chest: 1. No evi" "Correct entity, wrong SNOMED ID","(3044, 3051)","(3044, 3051)",IMAGING,IMAGING,363679005,408574004,11576109-DS-15,"40AM PLT COUNT-223 ___ 01:40AM PLT COUNT-223 IMAGING: ========= # CTA chest: 1. No evidence of aort" "Correct entity, wrong SNOMED ID","(3082, 3093)","(3082, 3093)",No evidence,No evidence,281900007,41647002,11576109-DS-15," COUNT-223 IMAGING: ========= # CTA chest: 1. No evidence of aortic dissection. 2. Bilateral patchy opaci" "Correct entity, wrong SNOMED ID","(3097, 3114)","(3097, 3114)",aortic dissection,aortic dissection,308546005,301899003,11576109-DS-15,"GING: ========= # CTA chest: 1. No evidence of aortic dissection. 2. Bilateral patchy opacities are concerning f" Missed entity,"(3121, 3130)",,Bilateral,,74101002,,11576109-DS-15,"hest: 1. No evidence of aortic dissection. 2. Bilateral patchy opacities are concerning for multifocal p" "Correct entity, wrong SNOMED ID","(3138, 3147)","(3138, 3147)",opacities,opacities,128305008,422061002,11576109-DS-15,"dence of aortic dissection. 2. Bilateral patchy opacities are concerning for multifocal pneumonia. 3. Co" "Correct entity, wrong SNOMED ID","(3179, 3188)","(3179, 3188)",pneumonia,pneumonia,233604007,415125002,11576109-DS-15,"l patchy opacities are concerning for multifocal pneumonia. 3. Compression deformities of the T10 and T11 " Missed entity,"(3195, 3206)",,Compression,,71173004,,11576109-DS-15,"es are concerning for multifocal pneumonia. 3. Compression deformities of the T10 and T11 vertebral bodies " "Correct entity, wrong SNOMED ID","(3207, 3218)","(3207, 3218)",deformities,deformities,6081001,281826003,11576109-DS-15,"rning for multifocal pneumonia. 3. Compression deformities of the T10 and T11 vertebral bodies are of uncle" "Correct entity, wrong SNOMED ID","(3226, 3229)","(3226, 3229)",T10,T10,48405002,260249006,11576109-DS-15,"l pneumonia. 3. Compression deformities of the T10 and T11 vertebral bodies are of unclear chronici" "Correct entity, wrong SNOMED ID","(3234, 3237)","(3234, 3237)",T11,T11,52120002,205652000,11576109-DS-15,"onia. 3. Compression deformities of the T10 and T11 vertebral bodies are of unclear chronicity, but " "Correct entity, wrong SNOMED ID","(3238, 3254)","(3238, 3254)",vertebral bodies,vertebral bodies,3572006,280845004,11576109-DS-15,". 3. Compression deformities of the T10 and T11 vertebral bodies are of unclear chronicity, but new since ___. Li" Missed entity,"(3271, 3278)",,chronic,,27624003,,11576109-DS-15," the T10 and T11 vertebral bodies are of unclear chronicity, but new since ___. Linear sclerosis of of th" "Correct entity, wrong SNOMED ID","(3310, 3319)","(3310, 3319)",sclerosis,sclerosis,43846000,53741008,11576109-DS-15,"of unclear chronicity, but new since ___. Linear sclerosis of of the T11 vertebral body may suggest a more a" Wrong span,"(3330, 3348)","(3330, 3333)",T11 vertebral body,T11,52120002,205652000,11576109-DS-15,"y, but new since ___. Linear sclerosis of of the T11 vertebral body may suggest a more acute process. ECG: Sinus " "Correct entity, wrong SNOMED ID","(3387, 3390)","(3387, 3390)",ECG,ECG,29303009,75444003,11576109-DS-15,"tebral body may suggest a more acute process. ECG: Sinus rhythm, nl axis, nl intervals, with ST dep" Missed entity,"(3409, 3413)",,axis,,5177007,,11576109-DS-15,"t a more acute process. ECG: Sinus rhythm, nl axis, nl intervals, with ST depressions in I, II, V5-" "Correct entity, wrong SNOMED ID","(3418, 3427)","(3418, 3427)",intervals,intervals,365408009,40602005,11576109-DS-15,"acute process. ECG: Sinus rhythm, nl axis, nl intervals, with ST depressions in I, II, V5-6, unchanged f" "Correct entity, wrong SNOMED ID","(3453, 3454)","(3453, 3454)",I,I,272729005,257989008,11576109-DS-15,"m, nl axis, nl intervals, with ST depressions in I, II, V5-6, unchanged from prior Brief Hospital" "Correct entity, wrong SNOMED ID","(3456, 3458)","(3456, 3458)",II,II,272730000,257989008,11576109-DS-15,"nl axis, nl intervals, with ST depressions in I, II, V5-6, unchanged from prior Brief Hospital Cou" Missed entity,"(3460, 3462)",,V5,,257479001,,11576109-DS-15,"xis, nl intervals, with ST depressions in I, II, V5-6, unchanged from prior Brief Hospital Course:" Missed entity,"(3463, 3464)",,6,,257480003,,11576109-DS-15,", nl intervals, with ST depressions in I, II, V5-6, unchanged from prior Brief Hospital Course: _" "Correct entity, wrong SNOMED ID","(3523, 3526)","(3523, 3526)",CAD,CAD,53741008,84270004,11576109-DS-15,"ed from prior Brief Hospital Course: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p " "Correct entity, wrong SNOMED ID","(3540, 3543)","(3540, 3543)",3VD,3VD,233817007,70905002,11576109-DS-15,"Brief Hospital Course: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, " "Correct entity, wrong SNOMED ID","(3544, 3547)","(3544, 3547)",DES,DES,746050008,9985006,11576109-DS-15,"f Hospital Course: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, pres" "Correct entity, wrong SNOMED ID","(3551, 3554)","(3551, 3554)",LAD,LAD,59438005,1010291002,11576109-DS-15,"tal Course: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents wi" Wrong span,"(3556, 3560)","(3556, 3566)",ESRD,ESRD on HD,236435004,428982002,11576109-DS-15,"ourse: ___ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with che" Wrong span,"(3564, 3566)","(3556, 3566)",HD,ESRD on HD,302497006,428982002,11576109-DS-15,"__ T2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pai" "Correct entity, wrong SNOMED ID","(3568, 3571)","(3568, 3571)",PAD,PAD,840580004,238135003,11576109-DS-15,"2DM, CAD w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain, po" "Correct entity, wrong SNOMED ID","(3576, 3582)","(3576, 3582)","R BKA","R BKA",721061008,395120004,11576109-DS-15," w/ known s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain, possibly PNA." "Correct entity, wrong SNOMED ID","(3584, 3587)","(3584, 3587)",HTN,HTN,38341003,10725009,11576109-DS-15,"n s/p 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain, possibly PNA. ACU" "Correct entity, wrong SNOMED ID","(3589, 3591)","(3589, 3591)",HL,HL,55822004,257988000,11576109-DS-15," 3VD DES to LAD, ESRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain, possibly PNA. ACUTE I" "Correct entity, wrong SNOMED ID","(3607, 3617)","(3607, 3617)",chest pain,chest pain,29857009,444821009,11576109-DS-15,"SRD on HD, PAD s/p R BKA, HTN, HL, presents with chest pain, possibly PNA. ACUTE ISSUES: ============= # Ch" "Correct entity, wrong SNOMED ID","(3628, 3631)","(3628, 3631)",PNA,PNA,233604007,423257005,11576109-DS-15," BKA, HTN, HL, presents with chest pain, possibly PNA. ACUTE ISSUES: ============= # Chest pain: Subs" "Correct entity, wrong SNOMED ID","(3665, 3675)","(3665, 3675)",Chest pain,Chest pain,29857009,102589003,11576109-DS-15,"in, possibly PNA. ACUTE ISSUES: ============= # Chest pain: Substernal CP with exertion yesterday, radiating" Wrong span,"(3677, 3687)","(3677, 3690)",Substernal,Substernal CP,4568003,33547000,11576109-DS-15," PNA. ACUTE ISSUES: ============= # Chest pain: Substernal CP with exertion yesterday, radiating to back, w" Wrong span,"(3688, 3704)","(3677, 3690)",CP with exertion,Substernal CP,81953000,33547000,11576109-DS-15,"E ISSUES: ============= # Chest pain: Substernal CP with exertion yesterday, radiating to back, which is new. Reli" Wrong span,"(3716, 3725)","(3716, 3734)",radiating,"radiating to back",9972008,427475007,11576109-DS-15,"hest pain: Substernal CP with exertion yesterday, radiating to back, which is new. Relieved somewhat with SL" Wrong span,"(3730, 3734)","(3716, 3734)",back,"radiating to back",161891005,427475007,11576109-DS-15,"sternal CP with exertion yesterday, radiating to back, which is new. Relieved somewhat with SLN. CTA at" "Correct entity, wrong SNOMED ID","(3778, 3781)","(3778, 3781)",CTA,CTA,411251000119104,397005006,11576109-DS-15,"o back, which is new. Relieved somewhat with SLN. CTA at ___ negative for dissection or PE, but did sh" "Correct entity, wrong SNOMED ID","(3790, 3798)","(3790, 3798)",negative,negative,23875004,268375009,11576109-DS-15,"h is new. Relieved somewhat with SLN. CTA at ___ negative for dissection or PE, but did show atypical PNA. " "Correct entity, wrong SNOMED ID","(3803, 3813)","(3803, 3813)",dissection,dissection,308546005,710864009,11576109-DS-15,"ieved somewhat with SLN. CTA at ___ negative for dissection or PE, but did show atypical PNA. EKG unchanged," "Correct entity, wrong SNOMED ID","(3817, 3819)","(3817, 3819)",PE,PE,59282003,20503002,11576109-DS-15," with SLN. CTA at ___ negative for dissection or PE, but did show atypical PNA. EKG unchanged, trops" Wrong span,"(3834, 3846)","(3834, 3842)",atypical PNA,atypical,233606009,1230097004,11576109-DS-15," ___ negative for dissection or PE, but did show atypical PNA. EKG unchanged, trops near baseline, MB flat. Pa" "Correct entity, wrong SNOMED ID","(3848, 3851)","(3848, 3851)",EKG,EKG,29303009,75444003,11576109-DS-15," for dissection or PE, but did show atypical PNA. EKG unchanged, trops near baseline, MB flat. Patient" "Correct entity, wrong SNOMED ID","(3864, 3869)","(3864, 3869)",trops,trops,105000003,1288019004,11576109-DS-15,"or PE, but did show atypical PNA. EKG unchanged, trops near baseline, MB flat. Patient lacking many inf" "Correct entity, wrong SNOMED ID","(3875, 3883)","(3875, 3883)",baseline,baseline,128974000,129082007,11576109-DS-15,"did show atypical PNA. EKG unchanged, trops near baseline, MB flat. Patient lacking many infectious sympto" "Correct entity, wrong SNOMED ID","(3916, 3926)","(3916, 3926)",infectious,infectious,40733004,366971000119100,11576109-DS-15,"ops near baseline, MB flat. Patient lacking many infectious symptoms (no cough, subjective fevers at home, bu" "Correct entity, wrong SNOMED ID","(3940, 3945)","(3940, 3945)",cough,cough,49727002,28743005,11576109-DS-15,"at. Patient lacking many infectious symptoms (no cough, subjective fevers at home, but no fever or leuc" "Correct entity, wrong SNOMED ID","(3958, 3964)","(3958, 3964)",fevers,fevers,386661006,248444008,11576109-DS-15,"g many infectious symptoms (no cough, subjective fevers at home, but no fever or leuckocyotsis here), st" Wrong span,"(3978, 3987)","(3982, 3987)","no fever",fever,87273009,248430002,11576109-DS-15,"ymptoms (no cough, subjective fevers at home, but no fever or leuckocyotsis here), started on levoflox for 5" "Correct entity, wrong SNOMED ID","(3991, 4004)","(3991, 4004)",leuckocyotsis,leuckocyotsis,165507003,424853007,11576109-DS-15,"ough, subjective fevers at home, but no fever or leuckocyotsis here), started on levoflox for 5 days for treatm" Missed entity,"(4012, 4019)",,started,,275942009,,11576109-DS-15,"rs at home, but no fever or leuckocyotsis here), started on levoflox for 5 days for treatment of atypial " Wrong span,"(4061, 4072)","(4061, 4064)",atypial PNA,aty,233606009,421755005,11576109-DS-15," started on levoflox for 5 days for treatment of atypial PNA (renally dosed; QTc not prolonged). To follow up" Missed entity,"(4089, 4106)",,QTc not prolonged,,164955000,,11576109-DS-15,"ays for treatment of atypial PNA (renally dosed; QTc not prolonged). To follow up as outpatient with Dr ___ CP pers" "Correct entity, wrong SNOMED ID","(4149, 4151)","(4149, 4151)",CP,CP,29857009,282108002,11576109-DS-15,"olonged). To follow up as outpatient with Dr ___ CP persists (ischemic CP has been managed medically" "Correct entity, wrong SNOMED ID","(4162, 4174)","(4162, 4174)","ischemic CP","ischemic CP",225566008,314436005,11576109-DS-15," follow up as outpatient with Dr ___ CP persists (ischemic CP has been managed medically as an outpatient given" Missed entity,"(4238, 4247)",,operative,,387713003,,11576109-DS-15,"ged medically as an outpatient given she is poor operative candidate). Continue home ranolazine and imdur. " Missed entity,"(4300, 4303)",,T10,,7610001,,11576109-DS-15,"ndidate). Continue home ranolazine and imdur. # T10/11 compression fractures: incidentally noted on C" Missed entity,"(4304, 4306)",,11,,12989004,,11576109-DS-15,"ate). Continue home ranolazine and imdur. # T10/11 compression fractures: incidentally noted on CT, " "Correct entity, wrong SNOMED ID","(4307, 4328)","(4307, 4328)",compression fractures,compression fractures,698077007,1003500000,11576109-DS-15,"). Continue home ranolazine and imdur. # T10/11 compression fractures: incidentally noted on CT, could explain back pa" "Correct entity, wrong SNOMED ID","(4352, 4354)","(4352, 4354)",CT,CT,77477000,241541005,11576109-DS-15,"0/11 compression fractures: incidentally noted on CT, could explain back pain, though pain now resolv" "Correct entity, wrong SNOMED ID","(4371, 4380)","(4371, 4380)",back pain,back pain,161891005,134407002,11576109-DS-15,"actures: incidentally noted on CT, could explain back pain, though pain now resolved, patient has no TTP ov" "Correct entity, wrong SNOMED ID","(4389, 4393)","(4389, 4393)",pain,pain,22253000,102570003,11576109-DS-15,"lly noted on CT, could explain back pain, though pain now resolved, patient has no TTP over spinus pro" "Correct entity, wrong SNOMED ID","(4423, 4426)","(4423, 4426)",TTP,TTP,247348008,438476003,11576109-DS-15,"ck pain, though pain now resolved, patient has no TTP over spinus processes. Appear sub-acute to chron" "Correct entity, wrong SNOMED ID","(4433, 4449)","(4433, 4449)",spinus processes,spinus processes,27539006,26607000,11576109-DS-15,"hough pain now resolved, patient has no TTP over spinus processes. Appear sub-acute to chronic. Neurologically int" "Correct entity, wrong SNOMED ID","(4471, 4478)","(4471, 4478)",chronic,chronic,27624003,234347009,11576109-DS-15,"o TTP over spinus processes. Appear sub-acute to chronic. Neurologically intact. Discussed with ortho, wh" "Correct entity, wrong SNOMED ID","(4481, 4502)","(4481, 4502)",Neurologically intact,Neurologically intact,18460000,247602005,11576109-DS-15,"r spinus processes. Appear sub-acute to chronic. Neurologically intact. Discussed with ortho, who reviewed the films, f" "Correct entity, wrong SNOMED ID","(4560, 4569)","(4560, 4569)",fractures,fractures,698077007,307186006,11576109-DS-15,"sed with ortho, who reviewed the films, felt the fractures appeared old. To follow up as outpatient re: min" "Correct entity, wrong SNOMED ID","(4616, 4624)","(4616, 4624)",minearal,minearal,435641000124109,160165001,11576109-DS-15,"res appeared old. To follow up as outpatient re: minearal/bone density management in setting of ESRD to pr" Wrong span,"(4625, 4629)","(4625, 4637)",bone,bone density,272673000,22059005,11576109-DS-15,"red old. To follow up as outpatient re: minearal/bone density management in setting of ESRD to prevent" Missed entity,"(4672, 4679)",,prevent,,169443000,,11576109-DS-15,"al/bone density management in setting of ESRD to prevent further fractures. CHRONIC ISSUES: ===========" "Correct entity, wrong SNOMED ID","(4688, 4697)","(4688, 4697)",fractures,fractures,125605004,307186006,11576109-DS-15,"management in setting of ESRD to prevent further fractures. CHRONIC ISSUES: =============== # CAD: known " "Correct entity, wrong SNOMED ID","(4736, 4739)","(4736, 4739)",CAD,CAD,53741008,84270004,11576109-DS-15,"r fractures. CHRONIC ISSUES: =============== # CAD: known 3VD, with LM distal 60% stenosis, LCX osti" "Correct entity, wrong SNOMED ID","(4747, 4750)","(4747, 4750)",3VD,3VD,233817007,70905002,11576109-DS-15,". CHRONIC ISSUES: =============== # CAD: known 3VD, with LM distal 60% stenosis, LCX ostial 90% ste" Wrong span,"(4757, 4779)","(4757, 4759)",LM distal 60% stenosis,LM,1255621004,420296000,11576109-DS-15,"C ISSUES: =============== # CAD: known 3VD, with LM distal 60% stenosis, LCX ostial 90% stenosis before stent mid 60% s" Wrong span,"(4781, 4805)","(4781, 4784)","LCX ostial 90% stenosis",LCX,1255624007,421806008,11576109-DS-15,"== # CAD: known 3VD, with LM distal 60% stenosis, LCX ostial 90% stenosis before stent mid 60% stenosis, LAD difuse diseas" Wrong span,"(4814, 4836)","(4814, 4819)",stent mid 60% stenosis,stent,251030009,1287503001,11576109-DS-15,"al 60% stenosis, LCX ostial 90% stenosis before stent mid 60% stenosis, LAD difuse disease segmental mid 60% stenosis," Wrong span,"(4838, 4885)","(4838, 4841)","LAD difuse disease segmental mid 60% stenosis",LAD,876859003,1010291002,11576109-DS-15,"ial 90% stenosis before stent mid 60% stenosis, LAD difuse disease segmental mid 60% stenosis, RCA mid ___ stenosis, L to distal R collaterals" Wrong span,"(4887, 4907)","(4887, 4890)",RCA mid ___ stenosis,RCA,876856005,244257005,11576109-DS-15," LAD difuse disease segmental mid 60% stenosis, RCA mid ___ stenosis, L to distal R collaterals. Not a good candidate" Missed entity,"(4924, 4935)",,collaterals,,251032001,,11576109-DS-15,"% stenosis, RCA mid ___ stenosis, L to distal R collaterals. Not a good candidate for C - continue home aspir" "Correct entity, wrong SNOMED ID","(4980, 4987)","(4980, 4987)",aspirin,aspirin,431463004,7947003,11576109-DS-15,"erals. Not a good candidate for C - continue home aspirin, atorvastatin, metop, clopidogrel # ESRD on HD: " Wrong span,"(5025, 5029)","(5025, 5035)",ESRD,ESRD on HD,236435004,286371000119107,11576109-DS-15,"home aspirin, atorvastatin, metop, clopidogrel # ESRD on HD: ___, went for HD today - renal HD consul" Wrong span,"(5033, 5035)","(5025, 5035)",HD,ESRD on HD,302497006,286371000119107,11576109-DS-15,"irin, atorvastatin, metop, clopidogrel # ESRD on HD: ___, went for HD today - renal HD consult - c" "Correct entity, wrong SNOMED ID","(5051, 5053)","(5051, 5053)",HD,HD,302497006,260359005,11576109-DS-15,", metop, clopidogrel # ESRD on HD: ___, went for HD today - renal HD consult - continue home cinac" "Correct entity, wrong SNOMED ID","(5124, 5126)","(5124, 5126)",DM,DM,44054006,258671008,11576109-DS-15,"onsult - continue home cinacalcet, sevalemer # DM: - continue home insulin - continue home gabape" "Correct entity, wrong SNOMED ID","(5145, 5152)","(5145, 5152)",insulin,insulin,225302006,412210000,11576109-DS-15,"me cinacalcet, sevalemer # DM: - continue home insulin - continue home gabapentin # HTN: - continue a" "Correct entity, wrong SNOMED ID","(5184, 5187)","(5184, 5187)",HTN,HTN,38341003,10725009,11576109-DS-15,"tinue home insulin - continue home gabapentin # HTN: - continue amlodipine # GERD: - continue ho" "Correct entity, wrong SNOMED ID","(5217, 5221)","(5217, 5221)",GERD,GERD,235595009,15749591000119107,11576109-DS-15,"me gabapentin # HTN: - continue amlodipine # GERD: - continue home famotidine TRANSITIONAL ISSUE" "Correct entity, wrong SNOMED ID","(5298, 5310)","(5298, 5310)",levofloxacin,levofloxacin,281789004,96087006,11576109-DS-15,"ne TRANSITIONAL ISSUES: ==================== - levofloxacin for 5 days for pneumonia (day 1= ___ - noted to " "Correct entity, wrong SNOMED ID","(5326, 5335)","(5326, 5335)",pneumonia,pneumonia,233604007,415125002,11576109-DS-15,"=================== - levofloxacin for 5 days for pneumonia (day 1= ___ - noted to have subacute to chronic " Missed entity,"(5377, 5384)",,chronic,,27624003,,11576109-DS-15,"neumonia (day 1= ___ - noted to have subacute to chronic T10/11 comrpession fractures, asymptomatic; shou" "Correct entity, wrong SNOMED ID","(5385, 5388)","(5385, 5388)",T10,T10,7610001,260249006,11576109-DS-15," (day 1= ___ - noted to have subacute to chronic T10/11 comrpession fractures, asymptomatic; should f" Missed entity,"(5389, 5391)",,11,,12989004,,11576109-DS-15,"y 1= ___ - noted to have subacute to chronic T10/11 comrpession fractures, asymptomatic; should foll" Missed entity,"(5392, 5414)",,"comrpession fractures",,698077007,,11576109-DS-15,"= ___ - noted to have subacute to chronic T10/11 comrpession fractures, asymptomatic; should follow up with PCP ___: op" "Correct entity, wrong SNOMED ID","(5416, 5428)","(5416, 5428)",asymptomatic,asymptomatic,84387000,5481000175101,11576109-DS-15,"ubacute to chronic T10/11 comrpession fractures, asymptomatic; should follow up with PCP ___: optimizing bone/" "Correct entity, wrong SNOMED ID","(5452, 5455)","(5452, 5455)",PCP,PCP,737470001,258735001,11576109-DS-15,"n fractures, asymptomatic; should follow up with PCP ___: optimizing bone/mineral density - follow up" "Correct entity, wrong SNOMED ID","(5473, 5477)","(5473, 5477)",bone,bone,272673000,128530007,11576109-DS-15,"matic; should follow up with PCP ___: optimizing bone/mineral density - follow up with cardiologist if " Missed entity,"(5478, 5485)",,mineral,,435641000124109,,11576109-DS-15,"; should follow up with PCP ___: optimizing bone/mineral density - follow up with cardiologist if chest pa" "Correct entity, wrong SNOMED ID","(5527, 5537)","(5527, 5537)",chest pain,chest pain,29857009,102589003,11576109-DS-15,"/mineral density - follow up with cardiologist if chest pain persists Medications on Admission: The Preadmi" "Correct entity, wrong SNOMED ID","(6869, 6878)","(6869, 6878)",Pneumonia,Pneumonia,233604007,415125002,11576109-DS-15,"sposition: Home Discharge Diagnosis: # Primary: Pneumonia # Secondary: Cornonary Artery Disease, End Stage " "Correct entity, wrong SNOMED ID","(6892, 6916)","(6892, 6916)",Cornonary Artery Disease,Cornonary Artery Disease,53741008,34781003,11576109-DS-15,"arge Diagnosis: # Primary: Pneumonia # Secondary: Cornonary Artery Disease, End Stage Renal Disease Discharge Condition: " "Correct entity, wrong SNOMED ID","(6918, 6941)","(6918, 6941)",End Stage Renal Disease,End Stage Renal Disease,46177005,707324008,11576109-DS-15," Pneumonia # Secondary: Cornonary Artery Disease, End Stage Renal Disease Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(6966, 6979)","(6966, 6979)",Mental Status,Mental Status,392257007,419284004,11576109-DS-15,", End Stage Renal Disease Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(6981, 6986)","(6981, 6986)",Clear,Clear,830123008,281278005,11576109-DS-15,"al Disease Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(7001, 7023)","(7001, 7023)",Level of Consciousness,Level of Consciousness,444714004,830285008,11576109-DS-15,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of B" "Correct entity, wrong SNOMED ID","(7025, 7030)","(7025, 7030)",Alert,Alert,248234008,409787004,11576109-DS-15,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with" "Correct entity, wrong SNOMED ID","(7035, 7046)","(7035, 7046)",interactive,interactive,288577006,10301000202103,11576109-DS-15,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to c" "Correct entity, wrong SNOMED ID","(7048, 7063)","(7048, 7063)",Activity Status,Activity Status,129676008,397622007,11576109-DS-15,"t. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelcha" "Correct entity, wrong SNOMED ID","(7065, 7091)","(7065, 7091)",Out of Bed with assistance,Out of Bed with assistance,301679006,1075001000000104,11576109-DS-15,"iousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelchair. Discharge Instruction" "Correct entity, wrong SNOMED ID","(7182, 7191)","(7182, 7191)",back pain,back pain,161891005,134407002,11576109-DS-15,"structions: Dear Ms ___, You were admitted with back pain and chest pain. Imaging was negative for anythin" "Correct entity, wrong SNOMED ID","(7196, 7206)","(7196, 7206)",chest pain,chest pain,29857009,102589003,11576109-DS-15,"ar Ms ___, You were admitted with back pain and chest pain. Imaging was negative for anything concerning, b" "Correct entity, wrong SNOMED ID","(7208, 7215)","(7208, 7215)",Imaging,Imaging,363679005,408574004,11576109-DS-15," You were admitted with back pain and chest pain. Imaging was negative for anything concerning, but we did" "Correct entity, wrong SNOMED ID","(7221, 7229)","(7221, 7229)",negative,negative,23875004,268375009,11576109-DS-15,"itted with back pain and chest pain. Imaging was negative for anything concerning, but we did note that you" "Correct entity, wrong SNOMED ID","(7294, 7303)","(7294, 7303)",pneumonia,pneumonia,233604007,415125002,11576109-DS-15,"oncerning, but we did note that you might have a pneumonia. This could explain your pain, which has now imp" "Correct entity, wrong SNOMED ID","(7329, 7333)","(7329, 7333)",pain,pain,22253000,102570003,11576109-DS-15," might have a pneumonia. This could explain your pain, which has now improved. We started you on an an" "Correct entity, wrong SNOMED ID","(7350, 7358)","(7350, 7358)",improved,improved,268910001,251359002,11576109-DS-15,"nia. This could explain your pain, which has now improved. We started you on an antibiotic (levofloxacin) f" Missed entity,"(7363, 7370)",,started,,275942009,,11576109-DS-15,"ld explain your pain, which has now improved. We started you on an antibiotic (levofloxacin) for 5 days. " "Correct entity, wrong SNOMED ID","(7381, 7391)","(7381, 7391)",antibiotic,antibiotic,281789004,68322007,11576109-DS-15,"in, which has now improved. We started you on an antibiotic (levofloxacin) for 5 days. You should follow up " Missed entity,"(7431, 7440)",,follow up,,183616001,,11576109-DS-15,"antibiotic (levofloxacin) for 5 days. You should follow up with your outpatient cardiologist if you continu" "Correct entity, wrong SNOMED ID","(7500, 7510)","(7500, 7510)",chest pain,chest pain,29857009,444821009,11576109-DS-15," outpatient cardiologist if you continue to have chest pain. Weigh yourself every morning, call MD if weigh" Missed entity,"(7514, 7542)",,Weigh yourself every morning,,307818003,,11576109-DS-15,"rdiologist if you continue to have chest pain. Weigh yourself every morning, call MD if weight goes up more than 3 lbs. Fo" Missed entity,"(7544, 7551)",,call MD,,304562007,,11576109-DS-15," have chest pain. Weigh yourself every morning, call MD if weight goes up more than 3 lbs. Followup In" Wrong span,"(7555, 7569)","(7555, 7561)",weight goes up,weight,262286000,43664005,11576109-DS-15," pain. Weigh yourself every morning, call MD if weight goes up more than 3 lbs. Followup Instructions: ___ " False positive,,"(193, 203)",,lisinopril,,108575001,11649745-DS-4," M Service: NEUROLOGY Allergies: Novocain / lisinopril Attending: ___ Chief Complaint: headache Ma" False positive,,"(719, 726)",,heparin,,412201008,11649745-DS-4,"ilinta, cangrelor gtt) as well as intraprocedural heparin gtt. Post Cath he developed HAs and was noted on" False positive,,"(1006, 1010)",,Neur,,32909009,11649745-DS-4,"as held. He presents as a direct transfer to the Neuro ICU. Currently he denies CP, SOB. He c/o ""migr" False positive,,"(1116, 1122)",,vision,,366064009,11649745-DS-4,"eadache"" and light sensitivity. He feels that his vision is blurry at times and that he is losing vision o" False positive,,"(1660, 1669)",,mentating,,21040006,11649745-DS-4,"h a blood pressure in the ___. Reportedly he was mentating throughout most of his time in the ER. He receiv" False positive,,"(1963, 1969)",,ostial,,9970000,11649745-DS-4,"s found to have thrombotic total occlusion of the ostial RCA and an occluded distal RCA with thrombus, lik" False positive,,"(2265, 2267)",,HR,,258702006,11649745-DS-4,"ain, SOB. SBPs today have been less than 130 and HR ___ in sinus rhythm. Please see Atrium records fo" False positive,,"(2618, 2624)",,ostial,,9970000,11649745-DS-4,"___ s/p cardiac cath thas showed occlusion of the ostial RCA and thrombus within the distal RCA Social " False positive,,"(2709, 2712)",,ICH,,115033002,11649745-DS-4," RCA Social History: ___ Family History: no hx ICH Physical Exam: ADMISSION PHYSICAL EXAM: O: AVSS" False positive,,"(2768, 2770)",,WD,,258001008,11649745-DS-4,"sical Exam: ADMISSION PHYSICAL EXAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: normocephalic, atrau" False positive,,"(2771, 2773)",,WN,,258001008,11649745-DS-4,"al Exam: ADMISSION PHYSICAL EXAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: normocephalic, atraumat" False positive,,"(2775, 2786)",,comfortable,,1148784009,11649745-DS-4,"xam: ADMISSION PHYSICAL EXAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: normocephalic, atraumatic Neck: Supp" False positive,,"(2916, 2920)",,Coma,,420662003,11649745-DS-4,"used. Date and Time of evaluation: ___ 23:00 ___ Coma Scale: [ ]Intubated [x]Not intubated Eye Ope" False positive,,"(3008, 3037)",,Opens eyes to painful stimuli,,246636008,11649745-DS-4,"ted Eye Opening: [ ]1 Does not open eyes [ ]2 Opens eyes to painful stimuli [ ]3 Opens eyes to voice [x]4 Opens eyes sponta" False positive,,"(3044, 3063)",,Opens eyes to voice,,49036005,11649745-DS-4,"en eyes [ ]2 Opens eyes to painful stimuli [ ]3 Opens eyes to voice [x]4 Opens eyes spontaneously Verbal: [ ]1 Mak" False positive,,"(3070, 3094)",,Opens eyes spontaneously,,451481000124103,11649745-DS-4,"o painful stimuli [ ]3 Opens eyes to voice [x]4 Opens eyes spontaneously Verbal: [ ]1 Makes no sounds [ ]2 Incomprehens" False positive,,"(3198, 3209)",,disoriented,,1144864005,11649745-DS-4," sounds [ ]3 Inappropriate words [ ]4 Confused, disoriented [x]5 Oriented Motor: [ ]1 No movement [ ]2 Ex" False positive,,"(3239, 3250)",,No movement,,249900008,11649745-DS-4,"onfused, disoriented [x]5 Oriented Motor: [ ]1 No movement [ ]2 Extension to painful stimuli (decerebrate r" False positive,,"(3257, 3285)",,Extension to painful stimuli,,55406008,11649745-DS-4,"ed [x]5 Oriented Motor: [ ]1 No movement [ ]2 Extension to painful stimuli (decerebrate response) [ ]3 Abnormal flexion to " False positive,,"(3381, 3388)",,Flexion,,417365009,11649745-DS-4," to painful stimuli (decorticate response) [ ___ Flexion/ withdrawal to painful stimuli [ ]5 Localizes t" False positive,,"(3390, 3419)",,withdrawal to painful stimuli,,55406008,11649745-DS-4,"ul stimuli (decorticate response) [ ___ Flexion/ withdrawal to painful stimuli [ ]5 Localizes to painful stimuli [x]6 Obeys c" False positive,,"(3427, 3455)",,Localizes to painful stimuli,,55406008,11649745-DS-4,"___ Flexion/ withdrawal to painful stimuli [ ]5 Localizes to painful stimuli [x]6 Obeys commands __15__ Total ICH Score: G" False positive,,"(3462, 3463)",,O,,257993002,11649745-DS-4,"stimuli [ ]5 Localizes to painful stimuli [x]6 Obeys commands __15__ Total ICH Score: GCS " False positive,,"(3493, 3496)",,ICH,,115033002,11649745-DS-4,"nful stimuli [x]6 Obeys commands __15__ Total ICH Score: GCS [ ]2 GCS ___ [ ]1 GC" False positive,,"(3580, 3583)",,ICH,,115033002,11649745-DS-4," [ ]1 GCS ___ [x]0 GCS ___ ICH Volume [x]1 30 mL or Greater [ ]0 " False positive,,"(3741, 3744)",,ICH,,115033002,11649745-DS-4," Present [ ]0 Absent Infratentorial ICH [ ___ Yes [x]0 No Age [ ]" False positive,,"(3948, 3954)",,normal,,840673007,11649745-DS-4,"l status: Awake and alert, cooperative with exam, normal affect. Orientation: Oriented to person, place, a" False positive,,"(4013, 4021)",,Language,,289198005,11649745-DS-4,"Orientation: Oriented to person, place, and date. Language: Speech fluent with good comprehension and repeti" False positive,,"(4077, 4090)",,Naming intact,,1367857008,11649745-DS-4,"ch fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Ner" False positive,,"(4272, 4293)",,Extraocular movements,,366081000,11649745-DS-4,"erally. Left homonymous hemianopsia. III, IV, VI: Extraocular movements intact bilaterally without nystagmus. V, VII: Fac" False positive,,"(4430, 4459)",,Palatal elevation symmetrical,,285553004,11649745-DS-4," symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidomastoid and trapezius normal bil" False positive,,"(4499, 4505)",,normal,,840673007,11649745-DS-4,"ymmetrical. XI: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fascicul" False positive,,"(4571, 4582)",,Normal bulk,,289779000,11649745-DS-4,"I: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, trem" False positive,,"(4587, 4591)",,tone,,248908009,11649745-DS-4,"e without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Stre" False positive,,"(4692, 4701)",,Sensation,,276435006,11649745-DS-4,"gth full power ___ throughout. No pronator drift Sensation: Intact to light touch bilaterally. ============" False positive,,"(4822, 4832)",,Opens eyes,,1360076007,11649745-DS-4,"GE FROM ICU EXAM: =========================== MS- Opens eyes spont, awake and alert, oriented x3, coverasatio" False positive,,"(4871, 4876)",,cover,,895383004,11649745-DS-4," Opens eyes spont, awake and alert, oriented x3, coverasational but headache so speaks quietly follows c" False positive,,"(4974, 4976)",,CN,,223697002,11649745-DS-4," commands with all extremities. No dysarthria. CN- R pupil 3->2, L pupil 3->2. Decreased BTT on the" False positive,,"(5006, 5019)",,Decreased BTT,,182879007,11649745-DS-4," No dysarthria. CN- R pupil 3->2, L pupil 3->2. Decreased BTT on the left. EOMI without nystagmus, No facial " False positive,,"(5027, 5031)",,left,,264745005,11649745-DS-4," R pupil 3->2, L pupil 3->2. Decreased BTT on the left. EOMI without nystagmus, No facial droop, face " False positive,,"(5135, 5140)",,Motor,,312018000,11649745-DS-4,"etric at rest, tongue midline, left hemianopia. Motor- RUE: able to lift hold and resist ___, LUE:" False positive,,"(5500, 5512)",,Coordination,,302288005,11649745-DS-4,"TRs: Plantar response was flexor bilaterally. Coordination- no dysmetria on FNF ================== DISCHAR" False positive,,"(5590, 5592)",,MS,,258697002,11649745-DS-4,"============== DISCHARGE EXAM ================== MS- awake, alert and interactive, oriented x3, conve" False positive,,"(5711, 5713)",,CN,,223572005,11649745-DS-4," commands with all extremities. No dysarthria. CN- Left homonomous hemianopia, EOMI slight left NLF" False positive,,"(5755, 5759)",,left,,264745005,11649745-DS-4,"a. CN- Left homonomous hemianopia, EOMI slight left NLFF but no obvious facial droop, face symmetric " False positive,,"(5760, 5762)",,NL,,420296000,11649745-DS-4," CN- Left homonomous hemianopia, EOMI slight left NLFF but no obvious facial droop, face symmetric at " False positive,,"(5834, 5839)",,Motor,,312018000,11649745-DS-4,"al droop, face symmetric at rest, tongue midline Motor- ___ in all four extremities to confrontational t" False positive,,"(5963, 5970)",,Gastroc,,47606005,11649745-DS-4,"eps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -Sensory: No deficits to light touch. Does not " False positive,,"(5974, 5981)",,Sensory,,717241000,11649745-DS-4,"s, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -Sensory: No deficits to light touch. Does not extinguish " False positive,,"(6042, 6052)",,Cerebellar,,279389006,11649745-DS-4,"ts to light touch. Does not extinguish to DSS -Cerebellar: mild intention tremor bilaterally. no dysmetria " False positive,,"(6054, 6058)",,mild,,162468002,11649745-DS-4,"touch. Does not extinguish to DSS -Cerebellar: mild intention tremor bilaterally. no dysmetria Per" False positive,,"(6812, 6815)",,LDH,,67568008,11649745-DS-4,"D CK(CPK)-82 ___ 11:58PM BLOOD ALT-43* AST-74* LD(LDH)-409* CK(CPK)-254 AlkPhos-41 TotBili-0.8 ___ 11:" False positive,,"(6822, 6823)",,C,,257984003,11649745-DS-4,"82 ___ 11:58PM BLOOD ALT-43* AST-74* LD(LDH)-409* CK(CPK)-254 AlkPhos-41 TotBili-0.8 ___ 11:58PM BLO" False positive,,"(6835, 6842)",,AlkPhos,,30703008,11649745-DS-4,"M BLOOD ALT-43* AST-74* LD(LDH)-409* CK(CPK)-254 AlkPhos-41 TotBili-0.8 ___ 11:58PM BLOOD CK-MB-12* MB Ind" False positive,,"(6977, 6982)",,HbA1c,,43396009,11649745-DS-4,"OD Calcium-9.4 Phos-3.3 Mg-2.4 ___ 12:14AM BLOOD %HbA1c-5.4 eAG-108 ___ 11:58PM BLOOD Triglyc-97 HDL-34* " False positive,,"(7094, 7099)",,URINE,,78888000,11649745-DS-4,"LDLcalc-97 ___ 11:58PM BLOOD TSH-0.88 ___ 02:50PM URINE Color-Yellow Appear-Clear Sp ___ ___ 02:50PM URIN" False positive,,"(7100, 7105)",,Color,,1004164008,11649745-DS-4,"c-97 ___ 11:58PM BLOOD TSH-0.88 ___ 02:50PM URINE Color-Yellow Appear-Clear Sp ___ ___ 02:50PM URINE Bloo" False positive,,"(7145, 7150)",,URINE,,78888000,11649745-DS-4,"RINE Color-Yellow Appear-Clear Sp ___ ___ 02:50PM URINE Blood-NEG Nitrite-NEG Protein-TR* Glucose-NEG Ke" False positive,,"(7161, 7168)",,Nitrite,,167585009,11649745-DS-4,"w Appear-Clear Sp ___ ___ 02:50PM URINE Blood-NEG Nitrite-NEG Protein-TR* Glucose-NEG Ketone-NEG Bilirub-N" False positive,,"(7173, 7180)",,Protein,,764892007,11649745-DS-4,"ar Sp ___ ___ 02:50PM URINE Blood-NEG Nitrite-NEG Protein-TR* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-N" False positive,,"(7186, 7197)",,Glucose-NEG,,167261002,11649745-DS-4," 02:50PM URINE Blood-NEG Nitrite-NEG Protein-TR* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-N" False positive,,"(7221, 7228)",,Urobiln,,124085007,11649745-DS-4,"G Protein-TR* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ 02:50PM URINE RBC-4* WBC" False positive,,"(7262, 7267)",,URINE,,78888000,11649745-DS-4,"irub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ 02:50PM URINE RBC-4* WBC-2 Bacteri-NONE Yeast-NONE Epi-<1 Tran" False positive,,"(7376, 7381)",,URINE,,78888000,11649745-DS-4," 02:50PM URINE CastHy-1* STUDIES ___ 12:44 am URINE Source: ___. *" False positive,,"(7755, 7757)",,NC,,705056007,11649745-DS-4,"outine (Pending): ======== IMAGES ======== ___ NCHCT IMPRESSION: No significant change in righ" False positive,,"(7947, 7949)",,St,,51811007,11649745-DS-4,"hemorrhage allowing for slight redistribution. Stable hydrocephalus. ==================== MRI/MRA" False positive,,"(8015, 8017)",,St,,51811007,11649745-DS-4,"us. ==================== MRI/MRA BRAIN ___ 1. Stable extent of right parietal/occipital parenchyma" False positive,,"(8475, 8483)",,vascular,,238460009,11649745-DS-4,"head of the right caudate nucleus, in a different vascular territory. 4. While the brain MRA is limited by" False positive,,"(8700, 8703)",,CTA,,397005006,11649745-DS-4,"osterior cerebral artery. =================== CTA HEAD AND NECK ___ 1. Unchanged large right pari" False positive,,"(8913, 8924)",,no evidence,,41647002,11649745-DS-4,"ithin the third and fourth ventricles. There is no evidence of vasospasm or underlying vascular abnormality" False positive,,"(8963, 8974)",,abnormality,,22325002,11649745-DS-4,"no evidence of vasospasm or underlying vascular abnormality. 9 mm of leftward midline shift is unchanged. " False positive,,"(9111, 9117)",,normal,,840673007,11649745-DS-4,"nd their principal intracranial branches appear normal without stenosis, occlusion, or aneurysm formati" False positive,,"(9182, 9193)",,no evidence,,41647002,11649745-DS-4,"is, occlusion, or aneurysm formation. There is no evidence of internal carotid stenosis by NASCET criteria." False positive,,"(9275, 9278)",,LOW,,165414004,11649745-DS-4," NASCET criteria. ================== BILATERAL LOWER EXTREMITY VENOUS ULTRASOUND Occlusive thrombus " False positive,,"(9298, 9308)",,ULTRASOUND,,16310003,11649745-DS-4,"================ BILATERAL LOWER EXTREMITY VENOUS ULTRASOUND Occlusive thrombus within the right internal jugu" False positive,,"(9942, 9944)",,CT,,439101006,11649745-DS-4,"midline shift, now minimal. ================== CT L SPINE ___ No acute fracture of the lumbar spin" False positive,,"(9998, 10002)",,Mild,,162468002,11649745-DS-4,"PINE ___ No acute fracture of the lumbar spine. Mild degenerative changes. Brief Hospital Course:" False positive,,"(10179, 10187)",,invasive,,22762002,11649745-DS-4,"hild treated with surgery, XRT and chemotherapy, invasive breast cancer leading to bilateral mastectomy __" False positive,,"(10366, 10387)",,left visual field cut,,386729001,11649745-DS-4," DES to the RCA on ___, subsequently developed a left visual field cut, CT showing IPH and transferred to ___. Patient " False positive,,"(10389, 10391)",,CT,,702569007,11649745-DS-4,", subsequently developed a left visual field cut, CT showing IPH and transferred to ___. Patient moni" False positive,,"(10454, 10459)",,neuro,,284186002,11649745-DS-4," and transferred to ___. Patient monitored in the neuro ICU for edema. Here, MRI showed ischemic infarct" False positive,,"(10602, 10606)",,Exam,,105477005,11649745-DS-4,"th hemorrhagic conversion in the PCA territory. Exam was initially significant for left hemianopia, ex" False positive,,"(10708, 10712)",,left,,264745005,11649745-DS-4,"nction to double simultaneous stimulation on the left, and overall fatigue and sensitivity to light. " False positive,,"(10950, 10961)",,vasculature,,51833009,11649745-DS-4,"riprocedural infarction from manipulation of the vasculature, particularly if the patient is found to have at" False positive,,"(11413, 11428)",,post-stent care,,251027002,11649745-DS-4," in right IJ. Cardiology was consulted regarding post-stent care, as well as medication recommendations. They rec" False positive,,"(11798, 11808)",,medication,,182837001,11649745-DS-4,"otherapy, and monitor patient inpatient while the medication is started. They advised against continuing tamo" False positive,,"(11876, 11888)",,coagulopathy,,67406007,11649745-DS-4," advised against continuing tamoxifen due to its coagulopathy side effect. In chart review, patient was found t" False positive,,"(12326, 12332)",,moving,,302002000,11649745-DS-4,"latter episode, the patient reported diffuse and moving paresthesias in his bilateral legs, back, arms, a" False positive,,"(12642, 12657)",,anticoagulation,,260678004,11649745-DS-4," ultrasound ___, which could not be treated with anticoagulation in the ICU due to acute hemorrhage. Plan was mad" False positive,,"(12993, 12999)",,stable,,301459008,11649745-DS-4,"_ and patient had repeat head CT on ___ that was stable. If patient continue to do well, anticipate re-s" False positive,,"(13057, 13064)",,aspirin,,25796002,11649745-DS-4,"ient continue to do well, anticipate re-starting aspirin on ___. Patient was otherwise started on atorva" False positive,,"(13500, 13511)",,vasculature,,51833009,11649745-DS-4,"ility is ___ infarction from manipulation of the vasculature. Stroke risk factors evaluated TSH 0.88, A1c 5.4 " False positive,,"(13543, 13546)",,TSH,,412520006,11649745-DS-4,"f the vasculature. Stroke risk factors evaluated TSH 0.88, A1c 5.4 and LDL 97. He has a PFO on chart " False positive,,"(13553, 13555)",,A1,,420512001,11649745-DS-4,"culature. Stroke risk factors evaluated TSH 0.88, A1c 5.4 and LDL 97. He has a PFO on chart review an" False positive,,"(13566, 13569)",,LDL,,124040006,11649745-DS-4,"oke risk factors evaluated TSH 0.88, A1c 5.4 and LDL 97. He has a PFO on chart review and redemonstrat" False positive,,"(13666, 13674)",,negative,,268375009,11649745-DS-4,"rated on our TTE. Lower extremity ultrasound was negative for venous clot. #Hypertension: Patient has a " False positive,,"(13696, 13708)",,Hypertension,,70995007,11649745-DS-4,"mity ultrasound was negative for venous clot. #Hypertension: Patient has a history of hypertension. He had pr" False positive,,"(14140, 14142)",,AS,,121606009,11649745-DS-4,"owed PFO - Plavix resumed on ___. Plan to resume ASA on ___ if stable - F/U platelet aggregation ass" False positive,,"(14154, 14160)",,stable,,301459008,11649745-DS-4,"avix resumed on ___. Plan to resume ASA on ___ if stable - F/U platelet aggregation assay ___ - Cardiolo" False positive,,"(14448, 14449)",,a,,420512001,11649745-DS-4,"econditioned at acute rehab. #Leukocytosis: now afebrile, downtrending - continue to monitor #Low " False positive,,"(15184, 15196)",,RIJ Thrombus,,731101000124107,11649745-DS-4," now and follow up with her as an outpatient. #RIJ Thrombus: Discussed incidentally found right IJ clot (seen" False positive,,"(15323, 15326)",,ICU,,419215006,11649745-DS-4,"could not be treated with anticoagulation in the ICU due to acute hemorrhage. Plan was made to plan fo" False positive,,"(15540, 15547)",,aspirin,,25796002,11649745-DS-4,"sitional Issues: [ ] If clinically stable, resume aspirin on ___ [ ] Repeat US in 3 months to ensure resolu" False positive,,"(15566, 15568)",,US,,258698007,11649745-DS-4,"inically stable, resume aspirin on ___ [ ] Repeat US in 3 months to ensure resolution of R IJ thrombus" False positive,,"(15828, 15842)",,deconditioning,,31031000119102,11649745-DS-4,"r orthostatic hypotension resolves with improved deconditioning [ ] Neurology Follow up =======================" False positive,,"(16213, 16224)",,hemorrhagic,,55714001,11649745-DS-4,"ered by end of hospital day 2? () Yes - (x) No (hemorrhagic conversion of PCA infarct) 4. LDL documented? (x" False positive,,"(16281, 16284)",,LDL,,124040006,11649745-DS-4,"sion of PCA infarct) 4. LDL documented? (x) Yes (LDL = 97) - () No 5. Intensive statin therapy admi" False positive,,"(16457, 16460)",,LDL,,124040006,11649745-DS-4,"in 40mg or 80 mg, rosuvastatin 20mg or 40mg, for LDL > 100) (x) Yes - () No [if LDL if LDL >70, reaso" False positive,,"(16489, 16492)",,LDL,,124040006,11649745-DS-4,"20mg or 40mg, for LDL > 100) (x) Yes - () No [if LDL if LDL >70, reason not given: [ ] Statin medic" False positive,,"(16496, 16499)",,LDL,,124040006,11649745-DS-4," 40mg, for LDL > 100) (x) Yes - () No [if LDL if LDL >70, reason not given: [ ] Statin medication a" False positive,,"(16680, 16683)",,LDL,,124040006,11649745-DS-4,"ician ___ (physician/APN/PA) or pharmacist [ ] LDL-c less than 70 mg/dL] 6. Smoking cessation cou" False positive,,"(17171, 17174)",,LDL,,124040006,11649745-DS-4,"Discharged on statin therapy? (x) Yes - () No [if LDL >70, reason not given: [ ] Statin medication " False positive,,"(17356, 17359)",,LDL,,124040006,11649745-DS-4,"ician ___ (physician/APN/PA) or pharmacist [ ] LDL-c less than 70 mg/dL 10. Discharged on antithr" False positive,,"(17446, 17450)",,Anti,,246085002,11649745-DS-4,"ed on antithrombotic therapy? (x) Yes [Type: (x) Antiplatelet - () Anticoagulation] - () No 11. Disc" False positive,,"(17464, 17479)",,Anticoagulation,,260678004,11649745-DS-4,"ic therapy? (x) Yes [Type: (x) Antiplatelet - () Anticoagulation] - () No 11. Discharged on oral anticoagulatio" False positive,,"(17510, 17530)",,oral anticoagulation,,260678004,11649745-DS-4," () Anticoagulation] - () No 11. Discharged on oral anticoagulation for patients with atrial fibrillation/flutter? (" False positive,,"(18293, 18298)",,Clear,,281278005,11649745-DS-4,"y infarct Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" False positive,,"(18488, 18510)",,changes in your vision,,1119536003,11649745-DS-4,". ___, You were hospitalized due to symptoms of changes in your vision resulting from an ACUTE ISCHEMIC STROKE WITH HEM" False positive,,"(18663, 18670)",,blocked,,277173008,11649745-DS-4,"l providing oxygen and nutrients to the brain is blocked by a clot. The brain is the part of your body th" False positive,,"(19114, 19120)",,recent,,42176003,11649745-DS-4,"y those risk factors. Your risk factors are: - recent heart surgery - patent foramen ovale We are ch" False positive,,"(19182, 19193)",,medications,,129019007,11649745-DS-4,"ry - patent foramen ovale We are changing your medications as follows: - STOP tamoxifen - continue PLAVIX " False positive,,"(19259, 19266)",,aspirin,,7947003,11649745-DS-4," STOP tamoxifen - continue PLAVIX - do not resume aspirin until ___ Please take your other medications as" False positive,,"(19302, 19313)",,medications,,129019007,11649745-DS-4,"resume aspirin until ___ Please take your other medications as prescribed. Please follow up with Neurolog" False positive,,"(19688, 19695)",,partial,,55322005,11649745-DS-4,"t and persistence of these symptoms: - Sudden partial or complete loss of vision - Sudden loss of th" False positive,,"(19913, 19921)",,drooping,,267090004,11649745-DS-4,"dden weakness of one side of the body - Sudden drooping of one side of the face - Sudden loss of sensa" Wrong span,"(182, 190)","(182, 187)",Novocain,Novoc,293727006,113857003,11649745-DS-4," Sex: M Service: NEUROLOGY Allergies: Novocain / lisinopril Attending: ___ Chief Complaint: " "Correct entity, wrong SNOMED ID","(240, 248)","(240, 248)",headache,headache,25064002,267096005,11649745-DS-4," / lisinopril Attending: ___ Chief Complaint: headache Major Surgical or Invasive Procedure: none H" Wrong span,"(337, 361)","(337, 380)",embryonal cell carcinoma,embryonal cell carcinoma of the mediastinum,28047004,74409009,11649745-DS-4,": none History of Present Illness: ___ yo M Hx embryonal cell carcinoma of the mediastinum as a child treated with surger" Wrong span,"(369, 380)","(337, 380)",mediastinum,embryonal cell carcinoma of the mediastinum,72410000,74409009,11649745-DS-4,"ness: ___ yo M Hx embryonal cell carcinoma of the mediastinum as a child treated with surgery, XRT and chemothe" "Correct entity, wrong SNOMED ID","(405, 412)","(405, 412)",surgery,surgery,387713003,110473004,11649745-DS-4,"cinoma of the mediastinum as a child treated with surgery, XRT and chemotherapy, invasive breast cancer le" "Correct entity, wrong SNOMED ID","(414, 417)","(414, 417)",XRT,XRT,169291001,312254007,11649745-DS-4," the mediastinum as a child treated with surgery, XRT and chemotherapy, invasive breast cancer leading" "Correct entity, wrong SNOMED ID","(422, 434)","(422, 434)",chemotherapy,chemotherapy,367336001,266719004,11649745-DS-4,"iastinum as a child treated with surgery, XRT and chemotherapy, invasive breast cancer leading to bilateral mas" Wrong span,"(446, 459)","(436, 459)","breast cancer","invasive breast cancer",254837009,48901000119103,11649745-DS-4,"ted with surgery, XRT and chemotherapy, invasive breast cancer leading to bilateral mastectomy ___ and subsequen" "Correct entity, wrong SNOMED ID","(471, 491)","(471, 491)",bilateral mastectomy,bilateral mastectomy,27865001,428529004,11649745-DS-4," chemotherapy, invasive breast cancer leading to bilateral mastectomy ___ and subsequent treatment with tamoxifen. who " "Correct entity, wrong SNOMED ID","(552, 575)","(552, 575)",cardiac Catheterization,cardiac Catheterization,41976001,59261000119100,11649745-DS-4,"bsequent treatment with tamoxifen. who is now s/p cardiac Catheterization and ___ for RCA occlusion ___. Pre and post cath " "Correct entity, wrong SNOMED ID","(588, 601)","(588, 601)",RCA occlusion,RCA occlusion,285171000119104,123642008,11649745-DS-4,"ho is now s/p cardiac Catheterization and ___ for RCA occlusion ___. Pre and post cath he received Antiplatelet t" "Correct entity, wrong SNOMED ID","(620, 624)","(620, 624)",cath,cath,41976001,28309003,11649745-DS-4,"ation and ___ for RCA occlusion ___. Pre and post cath he received Antiplatelet therapy (Asa 81, brilint" "Correct entity, wrong SNOMED ID","(637, 657)","(637, 657)",Antiplatelet therapy,Antiplatelet therapy,840595002,699047009,11649745-DS-4," RCA occlusion ___. Pre and post cath he received Antiplatelet therapy (Asa 81, brilinta, cangrelor gtt) as well as intr" "Correct entity, wrong SNOMED ID","(738, 742)","(738, 742)",Cath,Cath,41976001,28309003,11649745-DS-4,"tt) as well as intraprocedural heparin gtt. Post Cath he developed HAs and was noted on exam today arou" "Correct entity, wrong SNOMED ID","(756, 759)","(756, 759)",HAs,HAs,25064002,68167006,11649745-DS-4,"raprocedural heparin gtt. Post Cath he developed HAs and was noted on exam today around 2pm to have le" "Correct entity, wrong SNOMED ID","(807, 829)","(807, 829)","left sided vision loss","left sided vision loss",274571007,337411000119105,11649745-DS-4,"As and was noted on exam today around 2pm to have left sided vision loss and neglect when he got up to use the commode. H" "Correct entity, wrong SNOMED ID","(834, 841)","(834, 841)",neglect,neglect,246563002,32422007,11649745-DS-4,"day around 2pm to have left sided vision loss and neglect when he got up to use the commode. Head CT showe" Wrong span,"(893, 898)","(893, 916)",Right,Right parieto-occipital,5228007,57541000087104,11649745-DS-4,"hen he got up to use the commode. Head CT showed Right parieto-occipital IPH with IVH and antiplatelet t" Wrong span,"(899, 906)","(893, 916)",parieto,Right parieto-occipital,16630005,57541000087104,11649745-DS-4," got up to use the commode. Head CT showed Right parieto-occipital IPH with IVH and antiplatelet therapy w" Wrong span,"(907, 916)","(893, 916)",occipital,Right parieto-occipital,31065004,57541000087104,11649745-DS-4,"to use the commode. Head CT showed Right parieto-occipital IPH with IVH and antiplatelet therapy was held. " "Correct entity, wrong SNOMED ID","(917, 920)","(917, 920)",IPH,IPH,449020009,44026004,11649745-DS-4," commode. Head CT showed Right parieto-occipital IPH with IVH and antiplatelet therapy was held. He p" "Correct entity, wrong SNOMED ID","(934, 954)","(934, 954)","antiplatelet therapy","antiplatelet therapy",840595002,699047009,11649745-DS-4,"T showed Right parieto-occipital IPH with IVH and antiplatelet therapy was held. He presents as a direct transfer to th" "Correct entity, wrong SNOMED ID","(1038, 1040)","(1038, 1040)",CP,CP,29857009,282108002,11649745-DS-4,"t transfer to the Neuro ICU. Currently he denies CP, SOB. He c/o ""migraine headache"" and light sensi" "Correct entity, wrong SNOMED ID","(1042, 1045)","(1042, 1045)",SOB,SOB,267036007,43731003,11649745-DS-4,"ansfer to the Neuro ICU. Currently he denies CP, SOB. He c/o ""migraine headache"" and light sensitivit" "Correct entity, wrong SNOMED ID","(1056, 1073)","(1056, 1073)",migraine headache,migraine headache,37796009,423683008,11649745-DS-4,"Neuro ICU. Currently he denies CP, SOB. He c/o ""migraine headache"" and light sensitivity. He feels that his vision " "Correct entity, wrong SNOMED ID","(1079, 1096)","(1079, 1096)",light sensitivity,light sensitivity,246622003,1285284009,11649745-DS-4,"e denies CP, SOB. He c/o ""migraine headache"" and light sensitivity. He feels that his vision is blurry at times and " "Correct entity, wrong SNOMED ID","(1126, 1132)","(1126, 1132)",blurry,blurry,111516008,1119528007,11649745-DS-4,"nd light sensitivity. He feels that his vision is blurry at times and that he is losing vision off to the " Wrong span,"(1157, 1191)","(1157, 1170)",losing vision off to the left side,losing vision,274571007,38950008,11649745-DS-4,"that his vision is blurry at times and that he is losing vision off to the left side. According to Atrius records he was in his usual" "Correct entity, wrong SNOMED ID","(1298, 1308)","(1298, 1308)",chest pain,chest pain,29857009,102589003,11649745-DS-4,"of health until ___ when he developed significant chest pain in the morning while making coffee. Pain radiated" Wrong span,"(1345, 1374)","(1345, 1358)",Pain radiated to the left arm,Pain radiated,425677008,161892003,11649745-DS-4,"nt chest pain in the morning while making coffee. Pain radiated to the left arm. He became dizzy and lost consciousness and fell" "Correct entity, wrong SNOMED ID","(1387, 1392)","(1387, 1392)",dizzy,dizzy,404640003,1141711004,11649745-DS-4,"coffee. Pain radiated to the left arm. He became dizzy and lost consciousness and fell to the floor. EM" "Correct entity, wrong SNOMED ID","(1397, 1415)","(1397, 1415)",lost consciousness,lost consciousness,419045004,40863000,11649745-DS-4,"in radiated to the left arm. He became dizzy and lost consciousness and fell to the floor. EMS was called and prehos" "Correct entity, wrong SNOMED ID","(1420, 1424)","(1420, 1424)",fell,fell,161898004,31549006,11649745-DS-4," arm. He became dizzy and lost consciousness and fell to the floor. EMS was called and prehospital ECG" "Correct entity, wrong SNOMED ID","(1471, 1474)","(1471, 1474)",ECG,ECG,29303009,75444003,11649745-DS-4,"ell to the floor. EMS was called and prehospital ECG showed inferior STEMI. When he presented to OSH " Wrong span,"(1482, 1496)","(1491, 1496)",inferior STEMI,STEMI,703213009,703360004,11649745-DS-4,"floor. EMS was called and prehospital ECG showed inferior STEMI. When he presented to OSH heart rate was in the " "Correct entity, wrong SNOMED ID","(1524, 1534)","(1524, 1534)",heart rate,heart rate,301113001,76863003,11649745-DS-4," showed inferior STEMI. When he presented to OSH heart rate was in the ___ and ECG showed complete heart bloc" "Correct entity, wrong SNOMED ID","(1554, 1557)","(1554, 1557)",ECG,ECG,29303009,75444003,11649745-DS-4,"he presented to OSH heart rate was in the ___ and ECG showed complete heart block. He was hypotensive " "Correct entity, wrong SNOMED ID","(1565, 1585)","(1565, 1585)",complete heart block,complete heart block,27885002,233918003,11649745-DS-4,"d to OSH heart rate was in the ___ and ECG showed complete heart block. He was hypotensive with a blood pressure in the" "Correct entity, wrong SNOMED ID","(1595, 1606)","(1595, 1606)",hypotensive,hypotensive,45007003,372740001,11649745-DS-4," ___ and ECG showed complete heart block. He was hypotensive with a blood pressure in the ___. Reportedly he " "Correct entity, wrong SNOMED ID","(1614, 1628)","(1614, 1628)",blood pressure,blood pressure,392570002,50723001,11649745-DS-4," complete heart block. He was hypotensive with a blood pressure in the ___. Reportedly he was mentating througho" "Correct entity, wrong SNOMED ID","(1789, 1810)","(1789, 1810)",transcutaneous pacing,transcutaneous pacing,233181000,59218006,11649745-DS-4,"vophed and then dopamine drips and was placed on transcutaneous pacing. He remained hypotensive and was taken emergentl" "Correct entity, wrong SNOMED ID","(1825, 1836)","(1825, 1836)",hypotensive,hypotensive,408497003,372740001,11649745-DS-4,"was placed on transcutaneous pacing. He remained hypotensive and was taken emergently to cardiac catheterizati" "Correct entity, wrong SNOMED ID","(1865, 1888)","(1865, 1888)","cardiac catheterization","cardiac catheterization",41976001,59261000119100,11649745-DS-4," remained hypotensive and was taken emergently to cardiac catheterization. In the Cath Lab, he was found to have thromboti" "Correct entity, wrong SNOMED ID","(1898, 1902)","(1898, 1902)",Cath,Cath,41976001,28309003,11649745-DS-4,"en emergently to cardiac catheterization. In the Cath Lab, he was found to have thrombotic total occlus" Wrong span,"(1929, 1939)","(1929, 1955)",thrombotic,thrombotic total occlusion,396339007,1204218005,11649745-DS-4,"erization. In the Cath Lab, he was found to have thrombotic total occlusion of the ostial RCA and an occluded" Wrong span,"(1946, 1955)","(1929, 1955)",occlusion,thrombotic total occlusion,50173008,1204218005,11649745-DS-4,"e Cath Lab, he was found to have thrombotic total occlusion of the ostial RCA and an occluded distal RCA with" "Correct entity, wrong SNOMED ID","(1970, 1973)","(1970, 1973)",RCA,RCA,13647002,244257005,11649745-DS-4," to have thrombotic total occlusion of the ostial RCA and an occluded distal RCA with thrombus, likely " Wrong span,"(1990, 2000)","(1981, 2000)",distal RCA,"occluded distal RCA",41879009,868217004,11649745-DS-4,"total occlusion of the ostial RCA and an occluded distal RCA with thrombus, likely embolic. DES was placed in" "Correct entity, wrong SNOMED ID","(2006, 2014)","(2006, 2014)",thrombus,thrombus,396339007,373140001,11649745-DS-4,"of the ostial RCA and an occluded distal RCA with thrombus, likely embolic. DES was placed in the RCA. His " "Correct entity, wrong SNOMED ID","(2023, 2030)","(2023, 2030)",embolic,embolic,55584005,125305009,11649745-DS-4," and an occluded distal RCA with thrombus, likely embolic. DES was placed in the RCA. His blood pressure i" Wrong span,"(2033, 2047)","(2033, 2036)",DES was placed,DES,746050008,9985006,11649745-DS-4,"cluded distal RCA with thrombus, likely embolic. DES was placed in the RCA. His blood pressure in the CCU on both" "Correct entity, wrong SNOMED ID","(2055, 2058)","(2055, 2058)",RCA,RCA,13647002,244257005,11649745-DS-4," thrombus, likely embolic. DES was placed in the RCA. His blood pressure in the CCU on both high-dose " "Correct entity, wrong SNOMED ID","(2064, 2078)","(2064, 2078)",blood pressure,blood pressure,392570002,50723001,11649745-DS-4,", likely embolic. DES was placed in the RCA. His blood pressure in the CCU on both high-dose dopamine and Levoph" "Correct entity, wrong SNOMED ID","(2153, 2164)","(2153, 2164)",heart rates,heart rates,301113001,76863003,11649745-DS-4,"dose dopamine and Levophed were in the 150s with heart rates in the 130s. The patient had no further CP, arm " "Correct entity, wrong SNOMED ID","(2206, 2208)","(2206, 2208)",CP,CP,29857009,282108002,11649745-DS-4,"rt rates in the 130s. The patient had no further CP, arm pain, SOB. SBPs today have been less than 1" "Correct entity, wrong SNOMED ID","(2210, 2218)","(2210, 2218)",arm pain,arm pain,102556003,15749341000119107,11649745-DS-4,"ates in the 130s. The patient had no further CP, arm pain, SOB. SBPs today have been less than 130 and HR " "Correct entity, wrong SNOMED ID","(2220, 2223)","(2220, 2223)",SOB,SOB,267036007,43731003,11649745-DS-4,"e 130s. The patient had no further CP, arm pain, SOB. SBPs today have been less than 130 and HR ___ i" "Correct entity, wrong SNOMED ID","(2275, 2287)","(2275, 2287)",sinus rhythm,sinus rhythm,251150006,64730000,11649745-DS-4," SBPs today have been less than 130 and HR ___ in sinus rhythm. Please see Atrium records for echo results. P" Missed entity,"(2300, 2306)",,Atrium,,59652004,,11649745-DS-4,"s than 130 and HR ___ in sinus rhythm. Please see Atrium records for echo results. Past Medical History" "Correct entity, wrong SNOMED ID","(2361, 2385)","(2361, 2385)",embryonal cell carcinoma,embryonal cell carcinoma,28047004,74409009,11649745-DS-4,"rds for echo results. Past Medical History: Hx embryonal cell carcinoma of the mediastinum as a child treated with surge" "Correct entity, wrong SNOMED ID","(2393, 2404)","(2393, 2404)",mediastinum,mediastinum,72410000,363646005,11649745-DS-4,"dical History: Hx embryonal cell carcinoma of the mediastinum as a child treated with surgery, XRT and chemoth" "Correct entity, wrong SNOMED ID","(2430, 2437)","(2430, 2437)",surgery,surgery,387713003,110473004,11649745-DS-4,"inoma of the mediastinum as a child treated with surgery, XRT and chemotherapy, invasive breast cancer lea" "Correct entity, wrong SNOMED ID","(2447, 2459)","(2447, 2459)",chemotherapy,chemotherapy,367336001,266719004,11649745-DS-4,"astinum as a child treated with surgery, XRT and chemotherapy, invasive breast cancer leading to bilateral mast" Wrong span,"(2470, 2483)","(2461, 2483)",breast cancer,invasive breast cancer,254837009,48901000119103,11649745-DS-4,"ated with surgery, XRT and chemotherapy, invasive breast cancer leading to bilateral mastectomy ___ and subsequen" "Correct entity, wrong SNOMED ID","(2495, 2515)","(2495, 2515)",bilateral mastectomy,bilateral mastectomy,27865001,428529004,11649745-DS-4,"d chemotherapy, invasive breast cancer leading to bilateral mastectomy ___ and subsequent treatment with tamoxifen. STE" "Correct entity, wrong SNOMED ID","(2562, 2567)","(2562, 2567)",STEMI,STEMI,401303003,703360004,11649745-DS-4,"omy ___ and subsequent treatment with tamoxifen. STEMI ___ s/p cardiac cath thas showed occlusion of the" "Correct entity, wrong SNOMED ID","(2576, 2588)","(2576, 2588)",cardiac cath,cardiac cath,41976001,59261000119100,11649745-DS-4,"bsequent treatment with tamoxifen. STEMI ___ s/p cardiac cath thas showed occlusion of the ostial RCA and throm" "Correct entity, wrong SNOMED ID","(2601, 2610)","(2601, 2610)",occlusion,occlusion,50173008,63739005,11649745-DS-4,"amoxifen. STEMI ___ s/p cardiac cath thas showed occlusion of the ostial RCA and thrombus within the distal " "Correct entity, wrong SNOMED ID","(2625, 2628)","(2625, 2628)",RCA,RCA,13647002,244257005,11649745-DS-4," cardiac cath thas showed occlusion of the ostial RCA and thrombus within the distal RCA Social Hist" "Correct entity, wrong SNOMED ID","(2633, 2641)","(2633, 2641)",thrombus,thrombus,396339007,373140001,11649745-DS-4," cath thas showed occlusion of the ostial RCA and thrombus within the distal RCA Social History: ___ Fami" Wrong span,"(2653, 2663)","(2660, 2663)",distal RCA,RCA,41879009,244257005,11649745-DS-4,"clusion of the ostial RCA and thrombus within the distal RCA Social History: ___ Family History: no hx ICH " "Correct entity, wrong SNOMED ID","(2740, 2753)","(2740, 2753)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,11649745-DS-4,"ily History: no hx ICH Physical Exam: ADMISSION PHYSICAL EXAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: nor" "Correct entity, wrong SNOMED ID","(2758, 2762)","(2758, 2762)",AVSS,AVSS,118227000,280969001,11649745-DS-4," ICH Physical Exam: ADMISSION PHYSICAL EXAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: normocephali" "Correct entity, wrong SNOMED ID","(2763, 2766)","(2763, 2766)",Gen,Gen,162673000,16651008,11649745-DS-4," Physical Exam: ADMISSION PHYSICAL EXAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: normocephalic, a" "Correct entity, wrong SNOMED ID","(2788, 2791)","(2788, 2791)",NAD,NAD,281900007,131143000,11649745-DS-4,"N PHYSICAL EXAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: normocephalic, atraumatic Neck: Supple. E" "Correct entity, wrong SNOMED ID","(2793, 2798)","(2793, 2798)",HEENT,HEENT,5880005,113665002,11649745-DS-4,"SICAL EXAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: normocephalic, atraumatic Neck: Supple. Extrem: " "Correct entity, wrong SNOMED ID","(2800, 2813)","(2800, 2813)",normocephalic,normocephalic,840673007,30470009,11649745-DS-4,"XAM: O: AVSS Gen: WD/WN, comfortable, NAD. HEENT: normocephalic, atraumatic Neck: Supple. Extrem: Warm and well-p" "Correct entity, wrong SNOMED ID","(2815, 2825)","(2815, 2825)",atraumatic,atraumatic,224964008,294228005,11649745-DS-4,"n: WD/WN, comfortable, NAD. HEENT: normocephalic, atraumatic Neck: Supple. Extrem: Warm and well-perfused. Da" "Correct entity, wrong SNOMED ID","(2826, 2830)","(2826, 2830)",Neck,Neck,5880005,840674001,11649745-DS-4,"omfortable, NAD. HEENT: normocephalic, atraumatic Neck: Supple. Extrem: Warm and well-perfused. Date an" "Correct entity, wrong SNOMED ID","(2832, 2838)","(2832, 2838)",Supple,Supple,298475003,169743001,11649745-DS-4,"able, NAD. HEENT: normocephalic, atraumatic Neck: Supple. Extrem: Warm and well-perfused. Date and Time o" "Correct entity, wrong SNOMED ID","(2840, 2846)","(2840, 2846)",Extrem,Extrem,302773001,102404009,11649745-DS-4,"D. HEENT: normocephalic, atraumatic Neck: Supple. Extrem: Warm and well-perfused. Date and Time of evalua" "Correct entity, wrong SNOMED ID","(2848, 2852)","(2848, 2852)",Warm,Warm,102599008,298256005,11649745-DS-4,": normocephalic, atraumatic Neck: Supple. Extrem: Warm and well-perfused. Date and Time of evaluation: " "Correct entity, wrong SNOMED ID","(2857, 2870)","(2857, 2870)",well-perfused,well-perfused,1137685003,301121007,11649745-DS-4,"phalic, atraumatic Neck: Supple. Extrem: Warm and well-perfused. Date and Time of evaluation: ___ 23:00 ___ Coma" Missed entity,"(2890, 2900)",,evaluation,,386053000,,11649745-DS-4,"Extrem: Warm and well-perfused. Date and Time of evaluation: ___ 23:00 ___ Coma Scale: [ ]Intubated [x]No" "Correct entity, wrong SNOMED ID","(2933, 2942)","(2933, 2942)",Intubated,Intubated,52765003,262007003,11649745-DS-4,"ime of evaluation: ___ 23:00 ___ Coma Scale: [ ]Intubated [x]Not intubated Eye Opening: [ ]1 Does not " "Correct entity, wrong SNOMED ID","(2952, 2961)","(2952, 2961)",intubated,intubated,52765003,262007003,11649745-DS-4,"___ 23:00 ___ Coma Scale: [ ]Intubated [x]Not intubated Eye Opening: [ ]1 Does not open eyes [ ]2 Ope" "Correct entity, wrong SNOMED ID","(2963, 2966)","(2963, 2966)",Eye,Eye,25434003,1285599008,11649745-DS-4,"__ Coma Scale: [ ]Intubated [x]Not intubated Eye Opening: [ ]1 Does not open eyes [ ]2 Opens ey" "Correct entity, wrong SNOMED ID","(3188, 3196)","(3188, 3196)",Confused,Confused,40917007,225439006,11649745-DS-4,"rehensible sounds [ ]3 Inappropriate words [ ]4 Confused, disoriented [x]5 Oriented Motor: [ ]1 No move" "Correct entity, wrong SNOMED ID","(3216, 3224)","(3216, 3224)",Oriented,Oriented,247663003,787379002,11649745-DS-4,"propriate words [ ]4 Confused, disoriented [x]5 Oriented Motor: [ ]1 No movement [ ]2 Extension to pain" Wrong span,"(3315, 3331)","(3324, 3331)",Abnormal flexion,flexion,123623009,417365009,11649745-DS-4,"n to painful stimuli (decerebrate response) [ ]3 Abnormal flexion to painful stimuli (decorticate response) [ ___ " "Correct entity, wrong SNOMED ID","(3654, 3681)","(3654, 3681)",Intraventricular Hemorrhage,Intraventricular Hemorrhage,23276006,70611002,11649745-DS-4," 30 mL or Greater [ ]0 Less than 30 mL Intraventricular Hemorrhage [x]1 Present [ ]0 Absent Infra" "Correct entity, wrong SNOMED ID","(3726, 3740)","(3726, 3740)",Infratentorial,Infratentorial,21031007,361690007,11649745-DS-4,"rhage [x]1 Present [ ]0 Absent Infratentorial ICH [ ___ Yes [x]0 No Age " "Correct entity, wrong SNOMED ID","(3886, 3891)","(3886, 3891)",Neuro,Neuro,84728005,281247006,11649745-DS-4," Less than ___ years old Total Score: ___2___ Neuro: Mental status: Awake and alert, cooperative with" "Correct entity, wrong SNOMED ID","(3893, 3906)","(3893, 3906)",Mental status,Mental status,392257007,419284004,11649745-DS-4," than ___ years old Total Score: ___2___ Neuro: Mental status: Awake and alert, cooperative with exam, normal a" "Correct entity, wrong SNOMED ID","(3918, 3923)","(3918, 3923)",alert,alert,248234008,409787004,11649745-DS-4,"l Score: ___2___ Neuro: Mental status: Awake and alert, cooperative with exam, normal affect. Orientatio" "Correct entity, wrong SNOMED ID","(3925, 3936)","(3925, 3936)",cooperative,cooperative,427867005,472391000124101,11649745-DS-4,": ___2___ Neuro: Mental status: Awake and alert, cooperative with exam, normal affect. Orientation: Oriented t" "Correct entity, wrong SNOMED ID","(3963, 3974)","(3963, 3974)",Orientation,Orientation,311470005,228547007,11649745-DS-4," and alert, cooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Language: S" Wrong span,"(3976, 4011)","(3976, 4002)","Oriented to person, place, and date","Oriented to person, place,",426224004,311470005,11649745-DS-4,"ooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Language: Speech fluent with good comprehension " "Correct entity, wrong SNOMED ID","(4023, 4036)","(4023, 4036)",Speech fluent,Speech fluent,286402008,39423001,11649745-DS-4,"n: Oriented to person, place, and date. Language: Speech fluent with good comprehension and repetition. Naming in" Missed entity,"(4042, 4060)",,good comprehension,,719750006,,11649745-DS-4,"on, place, and date. Language: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or p" Missed entity,"(4065, 4075)",,repetition,,25107009,,11649745-DS-4,"nguage: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic error" "Correct entity, wrong SNOMED ID","(4095, 4105)","(4095, 4105)",dysarthria,dysarthria,8011004,427926004,11649745-DS-4,"d comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tes" "Correct entity, wrong SNOMED ID","(4109, 4119)","(4109, 4119)",paraphasic,paraphasic,53096005,23869008,11649745-DS-4,"n and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tested II: Pupils" Missed entity,"(4159, 4161)",,II,,18234004,,11649745-DS-4,"paraphasic errors. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, 3 to" Wrong span,"(4163, 4205)","(4163, 4183)",Pupils equally round and reactive to light,Pupils equally round,418970005,418970005,11649745-DS-4,"phasic errors. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, 3 to 2 mm bilaterally. Left homonymous hemianops" "Correct entity, wrong SNOMED ID","(4259, 4262)","(4259, 4262)",III,III,56193007,424915003,11649745-DS-4,"to 2 mm bilaterally. Left homonymous hemianopsia. III, IV, VI: Extraocular movements intact bilaterally" "Correct entity, wrong SNOMED ID","(4264, 4266)","(4264, 4266)",IV,IV,39322007,258000009,11649745-DS-4,"mm bilaterally. Left homonymous hemianopsia. III, IV, VI: Extraocular movements intact bilaterally wit" "Correct entity, wrong SNOMED ID","(4268, 4270)","(4268, 4270)",VI,VI,80622005,258000009,11649745-DS-4,"ilaterally. Left homonymous hemianopsia. III, IV, VI: Extraocular movements intact bilaterally without" "Correct entity, wrong SNOMED ID","(4321, 4330)","(4321, 4330)",nystagmus,nystagmus,563001,285764004,11649745-DS-4," Extraocular movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and" "Correct entity, wrong SNOMED ID","(4332, 4333)","(4332, 4333)",V,V,27612005,258000009,11649745-DS-4,"r movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and sy" "Correct entity, wrong SNOMED ID","(4335, 4338)","(4335, 4338)",VII,VII,56052001,235908005,11649745-DS-4,"ovements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetr" Wrong span,"(4340, 4346)","(4340, 4355)",Facial,Facial strength,89545001,105572002,11649745-DS-4,"nts intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII" "Correct entity, wrong SNOMED ID","(4360, 4376)","(4360, 4376)",sensation intact,sensation intact,299956006,422015002,11649745-DS-4,"ly without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX," "Correct entity, wrong SNOMED ID","(4381, 4390)","(4381, 4390)",symmetric,symmetric,248172007,289660009,11649745-DS-4," V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal el" "Correct entity, wrong SNOMED ID","(4392, 4396)","(4392, 4396)",VIII,VIII,8598002,235908005,11649745-DS-4,"cial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevatio" Wrong span,"(4398, 4412)","(4398, 4421)",Hearing intact,Hearing intact to voice,162339002,300222003,11649745-DS-4,"trength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. X" "Correct entity, wrong SNOMED ID","(4423, 4425)","(4423, 4425)",IX,IX,21161002,421806008,11649745-DS-4,"act and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. XI: Sternoclei" "Correct entity, wrong SNOMED ID","(4427, 4428)","(4427, 4428)",X,X,88882009,421806008,11649745-DS-4,"and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidom" "Correct entity, wrong SNOMED ID","(4461, 4463)","(4461, 4463)",XI,XI,15119000,421806008,11649745-DS-4,"t to voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidomastoid and trapezius normal bilater" "Correct entity, wrong SNOMED ID","(4465, 4484)","(4465, 4484)",Sternocleidomastoid,Sternocleidomastoid,22823000,181741009,11649745-DS-4," voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue mid" "Correct entity, wrong SNOMED ID","(4489, 4498)","(4489, 4498)",trapezius,trapezius,31764008,181740005,11649745-DS-4,"levation symmetrical. XI: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without f" "Correct entity, wrong SNOMED ID","(4519, 4522)","(4519, 4522)",XII,XII,37899009,738500000,11649745-DS-4,"nocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: N" Wrong span,"(4524, 4530)","(4524, 4538)",Tongue,Tongue midline,21974007,275397008,11649745-DS-4,"idomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bu" "Correct entity, wrong SNOMED ID","(4547, 4561)","(4547, 4561)",fasciculations,fasciculations,249878001,82470000,11649745-DS-4,"s normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abn" "Correct entity, wrong SNOMED ID","(4564, 4569)","(4564, 4569)",Motor,Motor,34118006,312018000,11649745-DS-4,"lly. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal mo" "Correct entity, wrong SNOMED ID","(4608, 4626)","(4608, 4626)",abnormal movements,abnormal movements,225606002,271799000,11649745-DS-4,"ons. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Strength full power ___ throughout. No " "Correct entity, wrong SNOMED ID","(4628, 4635)","(4628, 4635)",tremors,tremors,26079004,30721006,11649745-DS-4,"bulk and tone bilaterally. No abnormal movements, tremors. Strength full power ___ throughout. No pronator " "Correct entity, wrong SNOMED ID","(4703, 4724)","(4703, 4724)",Intact to light touch,Intact to light touch,299911004,301946008,11649745-DS-4,"wer ___ throughout. No pronator drift Sensation: Intact to light touch bilaterally. ========================= DISCHARGE" "Correct entity, wrong SNOMED ID","(4850, 4855)","(4850, 4855)",alert,alert,248234008,409787004,11649745-DS-4,"================= MS- Opens eyes spont, awake and alert, oriented x3, coverasational but headache so spe" Boundary error,"(4857, 4868)","(4857, 4867)",oriented x3,oriented x,426224004,787379002,11649745-DS-4,"========== MS- Opens eyes spont, awake and alert, oriented x3, coverasational but headache so speaks quietly f" "Correct entity, wrong SNOMED ID","(4890, 4898)","(4890, 4898)",headache,headache,25064002,267096005,11649745-DS-4,"awake and alert, oriented x3, coverasational but headache so speaks quietly follows commands with all extr" Missed entity,"(4902, 4908)",,speaks,,286370002,,11649745-DS-4,"ert, oriented x3, coverasational but headache so speaks quietly follows commands with all extremities. N" "Correct entity, wrong SNOMED ID","(4960, 4970)","(4960, 4970)",dysarthria,dysarthria,8011004,427926004,11649745-DS-4,"uietly follows commands with all extremities. No dysarthria. CN- R pupil 3->2, L pupil 3->2. Decreased BTT " "Correct entity, wrong SNOMED ID","(4978, 4985)","(4978, 4985)",R pupil,R pupil,52378001,368575009,11649745-DS-4,"mands with all extremities. No dysarthria. CN- R pupil 3->2, L pupil 3->2. Decreased BTT on the left. " "Correct entity, wrong SNOMED ID","(4992, 4999)","(4992, 4999)",L pupil,L pupil,16089004,15746641000119109,11649745-DS-4,"l extremities. No dysarthria. CN- R pupil 3->2, L pupil 3->2. Decreased BTT on the left. EOMI without n" "Correct entity, wrong SNOMED ID","(5035, 5039)","(5035, 5039)",EOMI,EOMI,103251002,67099000,11649745-DS-4," 3->2, L pupil 3->2. Decreased BTT on the left. EOMI without nystagmus, No facial droop, face symmetri" "Correct entity, wrong SNOMED ID","(5048, 5057)","(5048, 5057)",nystagmus,nystagmus,563001,285764004,11649745-DS-4,"l 3->2. Decreased BTT on the left. EOMI without nystagmus, No facial droop, face symmetric at rest, tongue" "Correct entity, wrong SNOMED ID","(5062, 5074)","(5062, 5074)",facial droop,facial droop,95666008,248204003,11649745-DS-4,"sed BTT on the left. EOMI without nystagmus, No facial droop, face symmetric at rest, tongue midline, left he" "Correct entity, wrong SNOMED ID","(5076, 5090)","(5076, 5090)",face symmetric,face symmetric,248172007,248149005,11649745-DS-4," left. EOMI without nystagmus, No facial droop, face symmetric at rest, tongue midline, left hemianopia. Motor" Wrong span,"(5101, 5107)","(5101, 5115)",tongue,tongue midline,21974007,275397008,11649745-DS-4,"tagmus, No facial droop, face symmetric at rest, tongue midline, left hemianopia. Motor- RUE: able to " "Correct entity, wrong SNOMED ID","(5117, 5132)","(5117, 5132)",left hemianopia,left hemianopia,55634009,342751000119101,11649745-DS-4,"l droop, face symmetric at rest, tongue midline, left hemianopia. Motor- RUE: able to lift hold and resist ___," "Correct entity, wrong SNOMED ID","(5144, 5147)","(5144, 5147)",RUE,RUE,6921000,40522004,11649745-DS-4,"rest, tongue midline, left hemianopia. Motor- RUE: able to lift hold and resist ___, LUE: able t" Missed entity,"(5149, 5161)",,able to lift,,288331003,,11649745-DS-4," tongue midline, left hemianopia. Motor- RUE: able to lift hold and resist ___, LUE: able to lift hold an" "Correct entity, wrong SNOMED ID","(5186, 5189)","(5186, 5189)",LUE,LUE,80768000,24631000181104,11649745-DS-4,"otor- RUE: able to lift hold and resist ___, LUE: able to lift hold and resist ___, (Has very subt" Missed entity,"(5191, 5203)",,able to lift,,288331003,,11649745-DS-4," RUE: able to lift hold and resist ___, LUE: able to lift hold and resist ___, (Has very subtle + left pro" "Correct entity, wrong SNOMED ID","(5244, 5248)","(5244, 5248)",left,left,80768000,264745005,11649745-DS-4,"e to lift hold and resist ___, (Has very subtle + left pronator drift) RLE: able to lift hold and resis" "Correct entity, wrong SNOMED ID","(5250, 5264)","(5250, 5264)",pronator drift,pronator drift,428334004,16903441000119104,11649745-DS-4,"ift hold and resist ___, (Has very subtle + left pronator drift) RLE: able to lift hold and resist ___ LLE: able" "Correct entity, wrong SNOMED ID","(5266, 5269)","(5266, 5269)",RLE,RLE,62175007,229042004,11649745-DS-4,"ist ___, (Has very subtle + left pronator drift) RLE: able to lift hold and resist ___ LLE: able to l" Missed entity,"(5271, 5283)",,able to lift,,288331003,,11649745-DS-4,"__, (Has very subtle + left pronator drift) RLE: able to lift hold and resist ___ LLE: able to lift hold and r" "Correct entity, wrong SNOMED ID","(5305, 5308)","(5305, 5308)",LLE,LLE,32153003,420296000,11649745-DS-4,"tor drift) RLE: able to lift hold and resist ___ LLE: able to lift hold and resist ___ -Sensory: N" Missed entity,"(5310, 5322)",,able to lift,,288331003,,11649745-DS-4,"rift) RLE: able to lift hold and resist ___ LLE: able to lift hold and resist ___ -Sensory: No deficits to " "Correct entity, wrong SNOMED ID","(5348, 5355)","(5348, 5355)",Sensory,Sensory,80314008,717241000,11649745-DS-4,"t ___ LLE: able to lift hold and resist ___ -Sensory: No deficits to light touch, pinprick, propriocep" Wrong span,"(5357, 5383)","(5360, 5368)",No deficits to light touch,deficits,299914007,236822003,11649745-DS-4,"E: able to lift hold and resist ___ -Sensory: No deficits to light touch, pinprick, proprioception throughout. Extingui" Missed entity,"(5385, 5393)",,pinprick,,299929009,,11649745-DS-4,"ist ___ -Sensory: No deficits to light touch, pinprick, proprioception throughout. Extinguishes to DS" "Correct entity, wrong SNOMED ID","(5395, 5409)","(5395, 5409)",proprioception,proprioception,299943004,299936005,11649745-DS-4," -Sensory: No deficits to light touch, pinprick, proprioception throughout. Extinguishes to DSS. -DTRs: Pl" Wrong span,"(5457, 5496)","(5457, 5484)",Plantar response was flexor bilaterally,Plantar response was flexor,271717004,271717004,11649745-DS-4,"on throughout. Extinguishes to DSS. -DTRs: Plantar response was flexor bilaterally. Coordination- no dysmetria on FNF ==========" "Correct entity, wrong SNOMED ID","(5517, 5526)","(5517, 5526)",dysmetria,dysmetria,32566006,28581003,11649745-DS-4,"sponse was flexor bilaterally. Coordination- no dysmetria on FNF ================== DISCHARGE EXAM ======" "Correct entity, wrong SNOMED ID","(5530, 5533)","(5530, 5533)",FNF,FNF,73060005,116797000,11649745-DS-4,"exor bilaterally. Coordination- no dysmetria on FNF ================== DISCHARGE EXAM =============" "Correct entity, wrong SNOMED ID","(5601, 5606)","(5601, 5606)",alert,alert,248234008,409787004,11649745-DS-4,"=== DISCHARGE EXAM ================== MS- awake, alert and interactive, oriented x3, conversational. fo" "Correct entity, wrong SNOMED ID","(5611, 5622)","(5611, 5622)",interactive,interactive,288577006,10301000202103,11649745-DS-4,"RGE EXAM ================== MS- awake, alert and interactive, oriented x3, conversational. follows commands w" "Correct entity, wrong SNOMED ID","(5624, 5635)","(5624, 5635)",oriented x3,oriented x3,426224004,311552005,11649745-DS-4,"============== MS- awake, alert and interactive, oriented x3, conversational. follows commands with all extre" "Correct entity, wrong SNOMED ID","(5654, 5670)","(5654, 5670)",follows commands,follows commands,298331001,363708005,11649745-DS-4,"rt and interactive, oriented x3, conversational. follows commands with all extremities. No dysarthria. CN- Left " Missed entity,"(5676, 5691)",,all extremities,,2592007,,11649745-DS-4,"iented x3, conversational. follows commands with all extremities. No dysarthria. CN- Left homonomous hemianopia" "Correct entity, wrong SNOMED ID","(5696, 5706)","(5696, 5706)",dysarthria,dysarthria,8011004,427926004,11649745-DS-4,"ional. follows commands with all extremities. No dysarthria. CN- Left homonomous hemianopia, EOMI slight l" Wrong span,"(5715, 5741)","(5715, 5719)",Left homonomous hemianopia,Left,55634009,264745005,11649745-DS-4,"mands with all extremities. No dysarthria. CN- Left homonomous hemianopia, EOMI slight left NLFF but no obvious facial droo" "Correct entity, wrong SNOMED ID","(5743, 5747)","(5743, 5747)",EOMI,EOMI,103251002,67099000,11649745-DS-4,"No dysarthria. CN- Left homonomous hemianopia, EOMI slight left NLFF but no obvious facial droop, fac" Wrong span,"(5791, 5808)","(5780, 5792)","p, face symmetric",facial droop,248172007,248204003,11649745-DS-4,", EOMI slight left NLFF but no obvious facial droop, face symmetric at rest, tongue midline Motor- ___ in all four e" Wrong span,"(5818, 5824)","(5818, 5832)",tongue,tongue midline,21974007,275397008,11649745-DS-4," no obvious facial droop, face symmetric at rest, tongue midline Motor- ___ in all four extremities to co" Missed entity,"(5848, 5868)",,all four extremities,,2592007,,11649745-DS-4," symmetric at rest, tongue midline Motor- ___ in all four extremities to confrontational testing in b/l delt, biceps, " "Correct entity, wrong SNOMED ID","(5904, 5908)","(5904, 5908)",delt,delt,35259002,181620007,11649745-DS-4,"ur extremities to confrontational testing in b/l delt, biceps, triceps, ECR, FEx, IP, Hamstring, Quad, " "Correct entity, wrong SNOMED ID","(5910, 5916)","(5910, 5916)",biceps,biceps,16225001,1197044005,11649745-DS-4,"remities to confrontational testing in b/l delt, biceps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gas" "Correct entity, wrong SNOMED ID","(5918, 5925)","(5918, 5925)",triceps,triceps,40284004,203060003,11649745-DS-4," to confrontational testing in b/l delt, biceps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -S" "Correct entity, wrong SNOMED ID","(5927, 5930)","(5927, 5930)",ECR,ECR,31486005,64487008,11649745-DS-4,"ontational testing in b/l delt, biceps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -Sensor" "Correct entity, wrong SNOMED ID","(5932, 5935)","(5932, 5935)",FEx,FEx,30339000,421806008,11649745-DS-4,"ional testing in b/l delt, biceps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -Sensory: No" "Correct entity, wrong SNOMED ID","(5937, 5939)","(5937, 5939)",IP,IP,68455001,426053009,11649745-DS-4," testing in b/l delt, biceps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -Sensory: No def" "Correct entity, wrong SNOMED ID","(5941, 5950)","(5941, 5950)",Hamstring,Hamstring,128511007,307023002,11649745-DS-4,"ting in b/l delt, biceps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -Sensory: No deficits to li" "Correct entity, wrong SNOMED ID","(5952, 5956)","(5952, 5956)",Quad,Quad,21989003,272670002,11649745-DS-4,"l delt, biceps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -Sensory: No deficits to light to" "Correct entity, wrong SNOMED ID","(5958, 5960)","(5958, 5960)",TA,TA,73508007,424926009,11649745-DS-4,", biceps, triceps, ECR, FEx, IP, Hamstring, Quad, TA, Gastroc -Sensory: No deficits to light touch." "Correct entity, wrong SNOMED ID","(5983, 6009)","(5983, 6009)",No deficits to light touch,No deficits to light touch,299914007,63063006,11649745-DS-4,"Ex, IP, Hamstring, Quad, TA, Gastroc -Sensory: No deficits to light touch. Does not extinguish to DSS -Cerebellar: mild " "Correct entity, wrong SNOMED ID","(6092, 6101)","(6092, 6101)",dysmetria,dysmetria,32566006,28581003,11649745-DS-4,"Cerebellar: mild intention tremor bilaterally. no dysmetria Pertinent Results: ============== PERTINENT LA" "Correct entity, wrong SNOMED ID","(6188, 6191)","(6188, 6191)",WBC,WBC,767002,391558003,11649745-DS-4," PERTINENT LABS ============== ___ 11:58PM BLOOD WBC-16.7* RBC-3.66* Hgb-10.8* Hct-33.2* MCV-91 MCH-2" "Correct entity, wrong SNOMED ID","(6198, 6201)","(6198, 6201)",RBC,RBC,14089001,258759006,11649745-DS-4," LABS ============== ___ 11:58PM BLOOD WBC-16.7* RBC-3.66* Hgb-10.8* Hct-33.2* MCV-91 MCH-29.5 MCHC-3" "Correct entity, wrong SNOMED ID","(6208, 6211)","(6208, 6211)",Hgb,Hgb,441689006,104142005,11649745-DS-4,"========== ___ 11:58PM BLOOD WBC-16.7* RBC-3.66* Hgb-10.8* Hct-33.2* MCV-91 MCH-29.5 MCHC-32.5 RDW-14" "Correct entity, wrong SNOMED ID","(6218, 6221)","(6218, 6221)",Hct,Hct,28317006,282660005,11649745-DS-4," ___ 11:58PM BLOOD WBC-16.7* RBC-3.66* Hgb-10.8* Hct-33.2* MCV-91 MCH-29.5 MCHC-32.5 RDW-14.8 RDWSD-4" "Correct entity, wrong SNOMED ID","(6236, 6239)","(6236, 6239)",MCH,MCH,54706004,735147002,11649745-DS-4,"D WBC-16.7* RBC-3.66* Hgb-10.8* Hct-33.2* MCV-91 MCH-29.5 MCHC-32.5 RDW-14.8 RDWSD-49.1* Plt ___ ___ 0" "Correct entity, wrong SNOMED ID","(6245, 6249)","(6245, 6249)",MCHC,MCHC,37254006,735147002,11649745-DS-4,"7* RBC-3.66* Hgb-10.8* Hct-33.2* MCV-91 MCH-29.5 MCHC-32.5 RDW-14.8 RDWSD-49.1* Plt ___ ___ 04:35AM BLO" "Correct entity, wrong SNOMED ID","(6255, 6258)","(6255, 6258)",RDW,RDW,66842004,735149004,11649745-DS-4,"6* Hgb-10.8* Hct-33.2* MCV-91 MCH-29.5 MCHC-32.5 RDW-14.8 RDWSD-49.1* Plt ___ ___ 04:35AM BLOOD WBC-14" "Correct entity, wrong SNOMED ID","(6264, 6269)","(6264, 6269)",RDWSD,RDWSD,66842004,80328002,11649745-DS-4,".8* Hct-33.2* MCV-91 MCH-29.5 MCHC-32.5 RDW-14.8 RDWSD-49.1* Plt ___ ___ 04:35AM BLOOD WBC-14.3* RBC-4.2" "Correct entity, wrong SNOMED ID","(6302, 6305)","(6302, 6305)",WBC,WBC,767002,391558003,11649745-DS-4,".5 RDW-14.8 RDWSD-49.1* Plt ___ ___ 04:35AM BLOOD WBC-14.3* RBC-4.22* Hgb-12.5* Hct-36.8* MCV-87 MCH-2" "Correct entity, wrong SNOMED ID","(6312, 6315)","(6312, 6315)",RBC,RBC,14089001,258759006,11649745-DS-4,"8 RDWSD-49.1* Plt ___ ___ 04:35AM BLOOD WBC-14.3* RBC-4.22* Hgb-12.5* Hct-36.8* MCV-87 MCH-29.6 MCHC-3" "Correct entity, wrong SNOMED ID","(6322, 6325)","(6322, 6325)",Hgb,Hgb,441689006,104142005,11649745-DS-4,".1* Plt ___ ___ 04:35AM BLOOD WBC-14.3* RBC-4.22* Hgb-12.5* Hct-36.8* MCV-87 MCH-29.6 MCHC-34.0 RDW-14" "Correct entity, wrong SNOMED ID","(6332, 6335)","(6332, 6335)",Hct,Hct,28317006,282660005,11649745-DS-4,"_ ___ 04:35AM BLOOD WBC-14.3* RBC-4.22* Hgb-12.5* Hct-36.8* MCV-87 MCH-29.6 MCHC-34.0 RDW-14.1 RDWSD-4" "Correct entity, wrong SNOMED ID","(6350, 6353)","(6350, 6353)",MCH,MCH,54706004,735147002,11649745-DS-4,"D WBC-14.3* RBC-4.22* Hgb-12.5* Hct-36.8* MCV-87 MCH-29.6 MCHC-34.0 RDW-14.1 RDWSD-44.8 Plt ___ ___ 11" "Correct entity, wrong SNOMED ID","(6359, 6363)","(6359, 6363)",MCHC,MCHC,37254006,735147002,11649745-DS-4,"3* RBC-4.22* Hgb-12.5* Hct-36.8* MCV-87 MCH-29.6 MCHC-34.0 RDW-14.1 RDWSD-44.8 Plt ___ ___ 11:58PM BLOO" "Correct entity, wrong SNOMED ID","(6369, 6372)","(6369, 6372)",RDW,RDW,66842004,735149004,11649745-DS-4,"2* Hgb-12.5* Hct-36.8* MCV-87 MCH-29.6 MCHC-34.0 RDW-14.1 RDWSD-44.8 Plt ___ ___ 11:58PM BLOOD Neuts-8" "Correct entity, wrong SNOMED ID","(6378, 6383)","(6378, 6383)",RDWSD,RDWSD,66842004,80328002,11649745-DS-4,".5* Hct-36.8* MCV-87 MCH-29.6 MCHC-34.0 RDW-14.1 RDWSD-44.8 Plt ___ ___ 11:58PM BLOOD Neuts-84.5* Lymphs" "Correct entity, wrong SNOMED ID","(6415, 6420)","(6415, 6420)",Neuts,Neuts,30630007,271035003,11649745-DS-4,"4.0 RDW-14.1 RDWSD-44.8 Plt ___ ___ 11:58PM BLOOD Neuts-84.5* Lymphs-7.0* Monos-7.8 Eos-0.1* Baso-0.2 Im" "Correct entity, wrong SNOMED ID","(6427, 6433)","(6427, 6433)",Lymphs,Lymphs,74765001,79709007,11649745-DS-4," RDWSD-44.8 Plt ___ ___ 11:58PM BLOOD Neuts-84.5* Lymphs-7.0* Monos-7.8 Eos-0.1* Baso-0.2 Im ___ AbsNeut-" "Correct entity, wrong SNOMED ID","(6439, 6444)","(6439, 6444)",Monos,Monos,67776007,462791000124108,11649745-DS-4,"Plt ___ ___ 11:58PM BLOOD Neuts-84.5* Lymphs-7.0* Monos-7.8 Eos-0.1* Baso-0.2 Im ___ AbsNeut-14.14* AbsL" "Correct entity, wrong SNOMED ID","(6459, 6463)","(6459, 6463)",Baso,Baso,42351005,700051010000106,11649745-DS-4,"BLOOD Neuts-84.5* Lymphs-7.0* Monos-7.8 Eos-0.1* Baso-0.2 Im ___ AbsNeut-14.14* AbsLymp-1.18* AbsMono-" "Correct entity, wrong SNOMED ID","(6593, 6596)","(6593, 6596)",PTT,PTT,42525009,282119004,11649745-DS-4,"4 ___ 04:35AM BLOOD Plt ___ ___ 05:50AM BLOOD ___ PTT-25.6 ___ ___ 06:05AM BLOOD Glucose-101* UreaN-20 " "Correct entity, wrong SNOMED ID","(6624, 6631)","(6624, 6631)",Glucose,Glucose,33747003,72191006,11649745-DS-4," 05:50AM BLOOD ___ PTT-25.6 ___ ___ 06:05AM BLOOD Glucose-101* UreaN-20 Creat-1.0 Na-136 K-4.7 Cl-97 HCO3-" "Correct entity, wrong SNOMED ID","(6637, 6642)","(6637, 6642)",UreaN,UreaN,105011006,111108008,11649745-DS-4,"D ___ PTT-25.6 ___ ___ 06:05AM BLOOD Glucose-101* UreaN-20 Creat-1.0 Na-136 K-4.7 Cl-97 HCO3-26 AnGap-13" "Correct entity, wrong SNOMED ID","(6646, 6651)","(6646, 6651)",Creat,Creat,70901006,365756002,11649745-DS-4,"-25.6 ___ ___ 06:05AM BLOOD Glucose-101* UreaN-20 Creat-1.0 Na-136 K-4.7 Cl-97 HCO3-26 AnGap-13 ___ 08:3" "Correct entity, wrong SNOMED ID","(6656, 6658)","(6656, 6658)",Na,Na,312469006,257992007,11649745-DS-4,"___ 06:05AM BLOOD Glucose-101* UreaN-20 Creat-1.0 Na-136 K-4.7 Cl-97 HCO3-26 AnGap-13 ___ 08:33AM BLO" "Correct entity, wrong SNOMED ID","(6670, 6672)","(6670, 6672)",Cl,Cl,104589004,311741002,11649745-DS-4,"OOD Glucose-101* UreaN-20 Creat-1.0 Na-136 K-4.7 Cl-97 HCO3-26 AnGap-13 ___ 08:33AM BLOOD ADP-DONE Co" "Correct entity, wrong SNOMED ID","(6676, 6680)","(6676, 6680)",HCO3,HCO3,312471006,88645003,11649745-DS-4,"ucose-101* UreaN-20 Creat-1.0 Na-136 K-4.7 Cl-97 HCO3-26 AnGap-13 ___ 08:33AM BLOOD ADP-DONE Collage-DO" "Correct entity, wrong SNOMED ID","(6684, 6689)","(6684, 6689)",AnGap,AnGap,25469001,124504004,11649745-DS-4,"1* UreaN-20 Creat-1.0 Na-136 K-4.7 Cl-97 HCO3-26 AnGap-13 ___ 08:33AM BLOOD ADP-DONE Collage-DONE Arach " "Correct entity, wrong SNOMED ID","(6793, 6796)","(6793, 6796)",ALT,ALT,34608000,56935002,11649745-DS-4,"NE ___ 11:58PM BLOOD CK(CPK)-82 ___ 11:58PM BLOOD ALT-43* AST-74* LD(LDH)-409* CK(CPK)-254 AlkPhos-41 " "Correct entity, wrong SNOMED ID","(6801, 6804)","(6801, 6804)",AST,AST,45896001,85043005,11649745-DS-4,"1:58PM BLOOD CK(CPK)-82 ___ 11:58PM BLOOD ALT-43* AST-74* LD(LDH)-409* CK(CPK)-254 AlkPhos-41 TotBili-" "Correct entity, wrong SNOMED ID","(6846, 6853)","(6846, 6853)",TotBili,TotBili,359986008,424388002,11649745-DS-4,"-43* AST-74* LD(LDH)-409* CK(CPK)-254 AlkPhos-41 TotBili-0.8 ___ 11:58PM BLOOD CK-MB-12* MB Indx-4.7 cTrop" "Correct entity, wrong SNOMED ID","(6898, 6905)","(6898, 6905)",cTropnT,cTropnT,105001004,442255004,11649745-DS-4,"tBili-0.8 ___ 11:58PM BLOOD CK-MB-12* MB Indx-4.7 cTropnT-0.98* ___ 06:05AM BLOOD Calcium-9.4 Phos-3.3 Mg-2" "Correct entity, wrong SNOMED ID","(6930, 6937)","(6930, 6937)",Calcium,Calcium,312472004,108601004,11649745-DS-4,"B-12* MB Indx-4.7 cTropnT-0.98* ___ 06:05AM BLOOD Calcium-9.4 Phos-3.3 Mg-2.4 ___ 12:14AM BLOOD %HbA1c-5.4 " "Correct entity, wrong SNOMED ID","(6942, 6946)","(6942, 6946)",Phos,Phos,104868000,168075002,11649745-DS-4,"x-4.7 cTropnT-0.98* ___ 06:05AM BLOOD Calcium-9.4 Phos-3.3 Mg-2.4 ___ 12:14AM BLOOD %HbA1c-5.4 eAG-108 _" "Correct entity, wrong SNOMED ID","(6951, 6953)","(6951, 6953)",Mg,Mg,271285000,258684004,11649745-DS-4,"opnT-0.98* ___ 06:05AM BLOOD Calcium-9.4 Phos-3.3 Mg-2.4 ___ 12:14AM BLOOD %HbA1c-5.4 eAG-108 ___ 11:5" "Correct entity, wrong SNOMED ID","(6987, 6990)","(6987, 6990)",eAG,eAG,117346004,69349001,11649745-DS-4,"-9.4 Phos-3.3 Mg-2.4 ___ 12:14AM BLOOD %HbA1c-5.4 eAG-108 ___ 11:58PM BLOOD Triglyc-97 HDL-34* CHOL/HD-" "Correct entity, wrong SNOMED ID","(7013, 7020)","(7013, 7020)",Triglyc,Triglyc,14740000,167082000,11649745-DS-4,"2:14AM BLOOD %HbA1c-5.4 eAG-108 ___ 11:58PM BLOOD Triglyc-97 HDL-34* CHOL/HD-4.4 LDLcalc-97 ___ 11:58PM BLO" "Correct entity, wrong SNOMED ID","(7024, 7027)","(7024, 7027)",HDL,HDL,17888004,9422000,11649745-DS-4,"D %HbA1c-5.4 eAG-108 ___ 11:58PM BLOOD Triglyc-97 HDL-34* CHOL/HD-4.4 LDLcalc-97 ___ 11:58PM BLOOD TSH-" "Correct entity, wrong SNOMED ID","(7032, 7039)","(7032, 7039)",CHOL/HD,CHOL/HD,313811003,439953004,11649745-DS-4,"-5.4 eAG-108 ___ 11:58PM BLOOD Triglyc-97 HDL-34* CHOL/HD-4.4 LDLcalc-97 ___ 11:58PM BLOOD TSH-0.88 ___ 02:" "Correct entity, wrong SNOMED ID","(7073, 7076)","(7073, 7076)",TSH,TSH,61167004,412520006,11649745-DS-4," HDL-34* CHOL/HD-4.4 LDLcalc-97 ___ 11:58PM BLOOD TSH-0.88 ___ 02:50PM URINE Color-Yellow Appear-Clear " Wrong span,"(7198, 7204)","(7198, 7208)",Ketone,Ketone-NEG,47615003,167287002,11649745-DS-4,"NE Blood-NEG Nitrite-NEG Protein-TR* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ " "Correct entity, wrong SNOMED ID","(7233, 7235)","(7233, 7235)",pH,pH,81065003,264912003,11649745-DS-4,"* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ 02:50PM URINE RBC-4* WBC-2 Bact" "Correct entity, wrong SNOMED ID","(7268, 7271)","(7268, 7271)",RBC,RBC,14089001,258759006,11649745-DS-4,"EG Urobiln-NEG pH-6.0 Leuks-NEG ___ 02:50PM URINE RBC-4* WBC-2 Bacteri-NONE Yeast-NONE Epi-<1 TransE-<" "Correct entity, wrong SNOMED ID","(7275, 7278)","(7275, 7278)",WBC,WBC,767002,391558003,11649745-DS-4,"iln-NEG pH-6.0 Leuks-NEG ___ 02:50PM URINE RBC-4* WBC-2 Bacteri-NONE Yeast-NONE Epi-<1 TransE-<1 ___ 0" Wrong span,"(7649, 7656)","(7643, 7656)",CULTURE,BLOOD CULTURE,30088009,8730001000004107,11649745-DS-4,"RE (Final ___: NO GROWTH. ___ 12:44 am BLOOD CULTURE Source: Venipuncture. Blood Culture, Ro" Missed entity,"(7670, 7682)",,Venipuncture,,22778000,,11649745-DS-4,"GROWTH. ___ 12:44 am BLOOD CULTURE Source: Venipuncture. Blood Culture, Routine (Pending): =======" "Correct entity, wrong SNOMED ID","(7689, 7702)","(7689, 7702)",Blood Culture,Blood Culture,30088009,8730001000004107,11649745-DS-4," am BLOOD CULTURE Source: Venipuncture. Blood Culture, Routine (Pending): ======== IMAGES ======== _" Missed entity,"(7757, 7760)",,HCT,,28317006,,11649745-DS-4,"tine (Pending): ======== IMAGES ======== ___ NCHCT IMPRESSION: No significant change in right p" "Correct entity, wrong SNOMED ID","(7803, 7817)","(7803, 7817)",right parietal,right parietal,47876008,56781000087102,11649745-DS-4,"_ NCHCT IMPRESSION: No significant change in right parietal/occipital parenchymal hemorrhage. No significa" Wrong span,"(7818, 7827)","(7818, 7839)",occipital,occipital parenchymal,43631005,180923002,11649745-DS-4,"ION: No significant change in right parietal/occipital parenchymal hemorrhage. No significant change " Wrong span,"(7828, 7851)","(7818, 7839)","parenchymal hemorrhage",occipital parenchymal,449020009,180923002,11649745-DS-4,"No significant change in right parietal/occipital parenchymal hemorrhage. No significant change in intraventricular hemo" Wrong span,"(7880, 7907)","(7880, 7896)",intraventricular hemorrhage,intraventricular,23276006,428951001,11649745-DS-4,"renchymal hemorrhage. No significant change in intraventricular hemorrhage allowing for slight redistribution. Stable hyd" Missed entity,"(7930, 7944)",,redistribution,,18565007,,11649745-DS-4,"intraventricular hemorrhage allowing for slight redistribution. Stable hydrocephalus. ==================== MR" "Correct entity, wrong SNOMED ID","(7954, 7967)","(7954, 7967)",hydrocephalus,hydrocephalus,230745008,253132009,11649745-DS-4,"age allowing for slight redistribution. Stable hydrocephalus. ==================== MRI/MRA BRAIN ___ 1. St" "Correct entity, wrong SNOMED ID","(7992, 7995)","(7992, 7995)",MRI,MRI,816077007,1144760005,11649745-DS-4,"on. Stable hydrocephalus. ==================== MRI/MRA BRAIN ___ 1. Stable extent of right parieta" "Correct entity, wrong SNOMED ID","(7996, 8005)","(7996, 8005)",MRA BRAIN,MRA BRAIN,489811000119100,816077007,11649745-DS-4," Stable hydrocephalus. ==================== MRI/MRA BRAIN ___ 1. Stable extent of right parietal/occipita" "Correct entity, wrong SNOMED ID","(8032, 8046)","(8032, 8046)",right parietal,right parietal,47876008,314146000,11649745-DS-4,"========= MRI/MRA BRAIN ___ 1. Stable extent of right parietal/occipital parenchymal hemorrhage with stable in" Wrong span,"(8047, 8056)","(8047, 8068)",occipital,occipital parenchymal,43631005,180923002,11649745-DS-4,"RA BRAIN ___ 1. Stable extent of right parietal/occipital parenchymal hemorrhage with stable intraventric" Wrong span,"(8057, 8080)","(8047, 8068)","parenchymal hemorrhage",occipital parenchymal,449020009,180923002,11649745-DS-4,"__ 1. Stable extent of right parietal/occipital parenchymal hemorrhage with stable intraventricular extension and stabl" "Correct entity, wrong SNOMED ID","(8087, 8093)","(8087, 8093)",stable,stable,359746009,301459008,11649745-DS-4," parietal/occipital parenchymal hemorrhage with stable intraventricular extension and stable mass effect" Wrong span,"(8094, 8110)","(8094, 8106)",intraventricular,intraventric,23276006,169400008,11649745-DS-4,"al/occipital parenchymal hemorrhage with stable intraventricular extension and stable mass effect. 2. Underlying " "Correct entity, wrong SNOMED ID","(8125, 8131)","(8125, 8131)",stable,stable,359746009,301459008,11649745-DS-4,"rhage with stable intraventricular extension and stable mass effect. 2. Underlying acute to early subacu" "Correct entity, wrong SNOMED ID","(8132, 8136)","(8132, 8136)",mass,mass,4147007,237557003,11649745-DS-4,"ith stable intraventricular extension and stable mass effect. 2. Underlying acute to early subacute in" "Correct entity, wrong SNOMED ID","(8184, 8194)","(8184, 8194)",infarction,infarction,55641003,432504007,11649745-DS-4,"ss effect. 2. Underlying acute to early subacute infarction in the right posterior cerebral artery territor" Wrong span,"(8202, 8235)","(8202, 8207)","right posterior cerebral artery",right,369300005,225794002,11649745-DS-4,"erlying acute to early subacute infarction in the right posterior cerebral artery territory, with involvement of the occipital and " "Correct entity, wrong SNOMED ID","(8271, 8280)","(8271, 8280)",occipital,occipital,31065004,362618001,11649745-DS-4,"erebral artery territory, with involvement of the occipital and parietal lobes, and of the splenium of the " "Correct entity, wrong SNOMED ID","(8286, 8301)","(8286, 8301)","parietal lobes","parietal lobes",16630005,180922007,11649745-DS-4,"territory, with involvement of the occipital and parietal lobes, and of the splenium of the corpus callosum. 3. " Wrong span,"(8314, 8345)","(8314, 8322)",splenium of the corpus callosum,splenium,23347006,362355007,11649745-DS-4,"of the occipital and parietal lobes, and of the splenium of the corpus callosum. 3. Several small, near punctate acute to early " "Correct entity, wrong SNOMED ID","(8405, 8416)","(8405, 8416)",infarctions,infarctions,55641003,230698000,11649745-DS-4,"ral small, near punctate acute to early subacute infarctions in the head of the right caudate nucleus, in a d" Wrong span,"(8425, 8458)","(8425, 8429)",head of the right caudate nucleus,head,88017005,1230043004,11649745-DS-4,"tate acute to early subacute infarctions in the head of the right caudate nucleus, in a different vascular territory. 4. While th" Wrong span,"(8510, 8519)","(8510, 8515)",brain MRA,brain,417936006,256860004,11649745-DS-4,"in a different vascular territory. 4. While the brain MRA is limited by motion artifact, there is apparent" "Correct entity, wrong SNOMED ID","(8599, 8608)","(8599, 8608)",narrowing,narrowing,708528005,246406005,11649745-DS-4,", there is apparent asymmetric mild-to-moderate narrowing of the distal P1 segment of the right posterior" "Correct entity, wrong SNOMED ID","(8642, 8674)","(8642, 8674)","right posterior cerebral artery","right posterior cerebral artery",369300005,329561000119101,11649745-DS-4,"derate narrowing of the distal P1 segment of the right posterior cerebral artery. =================== CTA HEAD AND NECK ___ " Wrong span,"(8749, 8756)","(8743, 8766)",parieto,right parieto-occipital,16630005,541011000124109,11649745-DS-4," CTA HEAD AND NECK ___ 1. Unchanged large right parieto-occipital intraparenchymal hemorrhage with intr" Wrong span,"(8757, 8766)","(8743, 8766)",occipital,right parieto-occipital,31065004,541011000124109,11649745-DS-4,"D AND NECK ___ 1. Unchanged large right parieto-occipital intraparenchymal hemorrhage with intraventricul" "Correct entity, wrong SNOMED ID","(8767, 8795)","(8767, 8795)","intraparenchymal hemorrhage","intraparenchymal hemorrhage",449020009,1332499002,11649745-DS-4," ___ 1. Unchanged large right parieto-occipital intraparenchymal hemorrhage with intraventricular extension. There is decre" Missed entity,"(8802, 8818)",,intraventricular,,23276006,,11649745-DS-4,"ieto-occipital intraparenchymal hemorrhage with intraventricular extension. There is decreased hemorrhage within" "Correct entity, wrong SNOMED ID","(8850, 8860)","(8850, 8860)",hemorrhage,hemorrhage,50960005,8573003,11649745-DS-4," intraventricular extension. There is decreased hemorrhage within the third and fourth ventricles. There " "Correct entity, wrong SNOMED ID","(8873, 8878)","(8873, 8878)",third,third,49841001,261133007,11649745-DS-4,"nsion. There is decreased hemorrhage within the third and fourth ventricles. There is no evidence of " "Correct entity, wrong SNOMED ID","(8884, 8901)","(8884, 8901)",fourth ventricles,fourth ventricles,35918002,13315000,11649745-DS-4,"re is decreased hemorrhage within the third and fourth ventricles. There is no evidence of vasospasm or underlyin" "Correct entity, wrong SNOMED ID","(8954, 8962)","(8954, 8962)",vascular,vascular,59820001,238460009,11649745-DS-4,"There is no evidence of vasospasm or underlying vascular abnormality. 9 mm of leftward midline shift is " Missed entity,"(8994, 9007)",,midline shift,,299728009,,11649745-DS-4,"derlying vascular abnormality. 9 mm of leftward midline shift is unchanged. 2. The vessels of the circle of _" "Correct entity, wrong SNOMED ID","(9031, 9038)","(9031, 9038)",vessels,vessels,59820001,42586008,11649745-DS-4," of leftward midline shift is unchanged. 2. The vessels of the circle of ___ and their principal intracr" Missed entity,"(9081, 9093)",,intracranial,,128319008,,11649745-DS-4,"vessels of the circle of ___ and their principal intracranial branches appear normal without stenosis, occlusi" "Correct entity, wrong SNOMED ID","(9126, 9134)","(9126, 9134)",stenosis,stenosis,415582006,56786000,11649745-DS-4,"pal intracranial branches appear normal without stenosis, occlusion, or aneurysm formation. There is no" "Correct entity, wrong SNOMED ID","(9136, 9145)","(9136, 9145)",occlusion,occlusion,50173008,1287587002,11649745-DS-4,"cranial branches appear normal without stenosis, occlusion, or aneurysm formation. There is no evidence o" "Correct entity, wrong SNOMED ID","(9150, 9158)","(9150, 9158)",aneurysm,aneurysm,85659009,22036004,11649745-DS-4,"hes appear normal without stenosis, occlusion, or aneurysm formation. There is no evidence of internal ca" Wrong span,"(9291, 9297)","(9281, 9297)",VENOUS,EXTREMITY VENOUS,29092000,80195002,11649745-DS-4,"a. ================== BILATERAL LOWER EXTREMITY VENOUS ULTRASOUND Occlusive thrombus within the right in" Wrong span,"(9309, 9327)","(9309, 9318)",Occlusive thrombus,Occlusive,78195007,2929001,11649745-DS-4,"===== BILATERAL LOWER EXTREMITY VENOUS ULTRASOUND Occlusive thrombus within the right internal jugular vein. Otherwi" "Correct entity, wrong SNOMED ID","(9339, 9366)","(9339, 9366)",right internal jugular vein,right internal jugular vein,771195007,11845191000119102,11649745-DS-4,"Y VENOUS ULTRASOUND Occlusive thrombus within the right internal jugular vein. Otherwise no DVT within the left or right uppe" "Correct entity, wrong SNOMED ID","(9383, 9386)","(9383, 9386)",DVT,DVT,128053003,161508001,11649745-DS-4,"n the right internal jugular vein. Otherwise no DVT within the left or right upper extremities. BIL" "Correct entity, wrong SNOMED ID","(9398, 9402)","(9398, 9402)",left,left,80768000,264745005,11649745-DS-4,"ernal jugular vein. Otherwise no DVT within the left or right upper extremities. BILATERAL UPPER EXT" "Correct entity, wrong SNOMED ID","(9406, 9429)","(9406, 9429)",right upper extremities,right upper extremities,6921000,724019001,11649745-DS-4,"gular vein. Otherwise no DVT within the left or right upper extremities. BILATERAL UPPER EXTREMITY VENOUS ULTRASOUND N" Wrong span,"(9459, 9465)","(9449, 9476)",VENOUS,EXTREMITY VENOUS ULTRASOUND,29092000,711231008,11649745-DS-4,"ht upper extremities. BILATERAL UPPER EXTREMITY VENOUS ULTRASOUND No evidence of deep venous thrombosis" "Correct entity, wrong SNOMED ID","(9478, 9489)","(9478, 9489)",No evidence,No evidence,281900007,41647002,11649745-DS-4,"s. BILATERAL UPPER EXTREMITY VENOUS ULTRASOUND No evidence of deep venous thrombosis in the right or left lo" "Correct entity, wrong SNOMED ID","(9493, 9515)","(9493, 9515)",deep venous thrombosis,deep venous thrombosis,128053003,132281000119108,11649745-DS-4,"UPPER EXTREMITY VENOUS ULTRASOUND No evidence of deep venous thrombosis in the right or left lower extremity veins. =" "Correct entity, wrong SNOMED ID","(9523, 9528)","(9523, 9528)",right,right,62175007,225794002,11649745-DS-4,"UND No evidence of deep venous thrombosis in the right or left lower extremity veins. ==============" Boundary error,"(9586, 9589)","(9584, 9588)",HCT,NCHC,28317006,79005005,11649745-DS-4," lower extremity veins. =================== NCHCT ___ 1. Expected evolution of right parieto-occi" Wrong span,"(9627, 9634)","(9621, 9644)",parieto,right parieto-occipital,16630005,541011000124109,11649745-DS-4,"====== NCHCT ___ 1. Expected evolution of right parieto-occipital intraparenchymal hemorrhage with inte" Wrong span,"(9635, 9644)","(9621, 9644)",occipital,right parieto-occipital,31065004,541011000124109,11649745-DS-4,"CHCT ___ 1. Expected evolution of right parieto-occipital intraparenchymal hemorrhage with interval decre" "Correct entity, wrong SNOMED ID","(9646, 9673)","(9646, 9673)",intraparenchymal hemorrhage,intraparenchymal hemorrhage,449020009,1332499002,11649745-DS-4,"1. Expected evolution of right parieto-occipital intraparenchymal hemorrhage with interval decrease in degree of intraventric" Missed entity,"(9711, 9727)",,intraventricular,,23276006,,11649745-DS-4,"l hemorrhage with interval decrease in degree of intraventricular extension. 2. No new or enlarging hemorrhages. " "Correct entity, wrong SNOMED ID","(9763, 9774)","(9763, 9774)",hemorrhages,hemorrhages,50960005,5399005,11649745-DS-4,"traventricular extension. 2. No new or enlarging hemorrhages. No evidence of new infarction 3. Slight inter" Missed entity,"(9777, 9788)",,No evidence,,281900007,,11649745-DS-4," extension. 2. No new or enlarging hemorrhages. No evidence of new infarction 3. Slight interval decrease i" "Correct entity, wrong SNOMED ID","(9797, 9807)","(9797, 9807)",infarction,infarction,55641003,432504007,11649745-DS-4,"ew or enlarging hemorrhages. No evidence of new infarction 3. Slight interval decrease in ventricular size." "Correct entity, wrong SNOMED ID","(9840, 9851)","(9840, 9851)",ventricular,ventricular,35764002,53085002,11649745-DS-4,"f new infarction 3. Slight interval decrease in ventricular size. 4. Interval decrease of leftward midline s" Missed entity,"(9892, 9905)",,midline shift,,299728009,,11649745-DS-4,"ntricular size. 4. Interval decrease of leftward midline shift, now minimal. ================== CT L SPINE __" Wrong span,"(9967, 9995)","(9967, 9975)",fracture of the lumbar spine,fracture,125608002,307186006,11649745-DS-4,"l. ================== CT L SPINE ___ No acute fracture of the lumbar spine. Mild degenerative changes. Brief Hospital " "Correct entity, wrong SNOMED ID","(10003, 10024)","(10003, 10024)","degenerative changes","degenerative changes",762305005,708529002,11649745-DS-4,"___ No acute fracture of the lumbar spine. Mild degenerative changes. Brief Hospital Course: ___ yo M with history" "Correct entity, wrong SNOMED ID","(10078, 10102)","(10078, 10102)",embryonal cell carcinoma,embryonal cell carcinoma,28047004,74409009,11649745-DS-4," Brief Hospital Course: ___ yo M with history of embryonal cell carcinoma of the mediastinum as a child treated with surge" "Correct entity, wrong SNOMED ID","(10111, 10122)","(10111, 10122)",mediastinum,mediastinum,72410000,363646005,11649745-DS-4," with history of embryonal cell carcinoma of the mediastinum as a child treated with surgery, XRT and chemoth" "Correct entity, wrong SNOMED ID","(10147, 10154)","(10147, 10154)",surgery,surgery,387713003,110473004,11649745-DS-4,"inoma of the mediastinum as a child treated with surgery, XRT and chemotherapy, invasive breast cancer le" "Correct entity, wrong SNOMED ID","(10156, 10159)","(10156, 10159)",XRT,XRT,169291001,312254007,11649745-DS-4,"the mediastinum as a child treated with surgery, XRT and chemotherapy, invasive breast cancer leading" "Correct entity, wrong SNOMED ID","(10165, 10177)","(10165, 10177)",chemotherapy,chemotherapy,367336001,266719004,11649745-DS-4,"astinum as a child treated with surgery, XRT and chemotherapy, invasive breast cancer leading to bilateral mas" "Correct entity, wrong SNOMED ID","(10188, 10201)","(10188, 10201)",breast cancer,breast cancer,254837009,134405005,11649745-DS-4,"ted with surgery, XRT and chemotherapy, invasive breast cancer leading to bilateral mastectomy ___ and subseque" Wrong span,"(10213, 10234)","(10213, 10222)","bilateral mastectomy",bilateral,27865001,268228006,11649745-DS-4," chemotherapy, invasive breast cancer leading to bilateral mastectomy ___ and subsequent treatment with tamoxifen whop" "Correct entity, wrong SNOMED ID","(10307, 10312)","(10307, 10312)",STEMI,STEMI,401303003,703360004,11649745-DS-4,"atment with tamoxifen whopresented to ___ with a STEMI s/p DES to the RCA on ___, subsequently develope" "Correct entity, wrong SNOMED ID","(10317, 10320)","(10317, 10320)",DES,DES,746050008,9985006,11649745-DS-4,"h tamoxifen whopresented to ___ with a STEMI s/p DES to the RCA on ___, subsequently developed a left" "Correct entity, wrong SNOMED ID","(10328, 10331)","(10328, 10331)",RCA,RCA,13647002,244257005,11649745-DS-4," whopresented to ___ with a STEMI s/p DES to the RCA on ___, subsequently developed a left visual fie" "Correct entity, wrong SNOMED ID","(10401, 10404)","(10401, 10404)",IPH,IPH,449020009,44026004,11649745-DS-4,"ly developed a left visual field cut, CT showing IPH and transferred to ___. Patient monitored in the " "Correct entity, wrong SNOMED ID","(10469, 10474)","(10469, 10474)",edema,edema,267038008,102576009,11649745-DS-4,"d to ___. Patient monitored in the neuro ICU for edema. Here, MRI showed ischemic infarcts in the PCA t" "Correct entity, wrong SNOMED ID","(10482, 10485)","(10482, 10485)",MRI,MRI,241601008,1144760005,11649745-DS-4,"ient monitored in the neuro ICU for edema. Here, MRI showed ischemic infarcts in the PCA territory an" Wrong span,"(10493, 10501)","(10493, 10510)",ischemic,ischemic infarcts,52674009,79770005,11649745-DS-4,"red in the neuro ICU for edema. Here, MRI showed ischemic infarcts in the PCA territory and the caudate, w" Wrong span,"(10502, 10510)","(10493, 10510)",infarcts,ischemic infarcts,55641003,79770005,11649745-DS-4,"e neuro ICU for edema. Here, MRI showed ischemic infarcts in the PCA territory and the caudate, with hemor" "Correct entity, wrong SNOMED ID","(10518, 10521)","(10518, 10521)",PCA,PCA,70382005,1259388006,11649745-DS-4," edema. Here, MRI showed ischemic infarcts in the PCA territory and the caudate, with hemorrhagic conv" "Correct entity, wrong SNOMED ID","(10541, 10548)","(10541, 10548)",caudate,caudate,11000004,279297002,11649745-DS-4,"d ischemic infarcts in the PCA territory and the caudate, with hemorrhagic conversion in the PCA territor" Wrong span,"(10555, 10566)","(10555, 10577)",hemorrhagic,hemorrhagic conversion,5571000124103,230706003,11649745-DS-4,"arcts in the PCA territory and the caudate, with hemorrhagic conversion in the PCA territory. Exam was initi" "Correct entity, wrong SNOMED ID","(10586, 10589)","(10586, 10589)",PCA,PCA,70382005,1259388006,11649745-DS-4," the caudate, with hemorrhagic conversion in the PCA territory. Exam was initially significant for le" Wrong span,"(10642, 10652)","(10637, 10652)",hemianopia,left hemianopia,77674003,342751000119101,11649745-DS-4,"rritory. Exam was initially significant for left hemianopia, extinction to double simultaneous stimulation o" Missed entity,"(10689, 10700)",,stimulation,,122545008,,11649745-DS-4,"ft hemianopia, extinction to double simultaneous stimulation on the left, and overall fatigue and sensitivity" "Correct entity, wrong SNOMED ID","(10727, 10734)","(10727, 10734)",fatigue,fatigue,84229001,1141720008,11649745-DS-4,"imultaneous stimulation on the left, and overall fatigue and sensitivity to light. Stroke etiology at thi" "Correct entity, wrong SNOMED ID","(10739, 10759)","(10739, 10759)",sensitivity to light,sensitivity to light,246622003,1285284009,11649745-DS-4,"stimulation on the left, and overall fatigue and sensitivity to light. Stroke etiology at this time is unclear. Patien" "Correct entity, wrong SNOMED ID","(10762, 10768)","(10762, 10768)",Stroke,Stroke,230690007,422504002,11649745-DS-4,", and overall fatigue and sensitivity to light. Stroke etiology at this time is unclear. Patient has kno" "Correct entity, wrong SNOMED ID","(10853, 10856)","(10853, 10856)",PFO,PFO,204317008,165054006,11649745-DS-4,"Patient has known risk factors including a large PFO and sleep apnea. Another possibility is periproc" "Correct entity, wrong SNOMED ID","(10861, 10872)","(10861, 10872)",sleep apnea,sleep apnea,73430006,78275009,11649745-DS-4,"has known risk factors including a large PFO and sleep apnea. Another possibility is periprocedural infarctio" "Correct entity, wrong SNOMED ID","(10913, 10923)","(10913, 10923)",infarction,infarction,55641003,432504007,11649745-DS-4,"eep apnea. Another possibility is periprocedural infarction from manipulation of the vasculature, particular" "Correct entity, wrong SNOMED ID","(10929, 10941)","(10929, 10941)",manipulation,manipulation,19207007,119907000,11649745-DS-4,"er possibility is periprocedural infarction from manipulation of the vasculature, particularly if the patient " "Correct entity, wrong SNOMED ID","(11009, 11024)","(11009, 11024)",atherosclerosis,atherosclerosis,38716007,443502000,11649745-DS-4,"re, particularly if the patient is found to have atherosclerosis. #Ischemic to hemorrhagic conversion of PCA infa" "Correct entity, wrong SNOMED ID","(11028, 11036)","(11028, 11036)",Ischemic,Ischemic,52674009,233958001,11649745-DS-4," the patient is found to have atherosclerosis. #Ischemic to hemorrhagic conversion of PCA infarct, and R " Wrong span,"(11040, 11051)","(11040, 11062)",hemorrhagic,hemorrhagic conversion,5571000124103,230706003,11649745-DS-4," is found to have atherosclerosis. #Ischemic to hemorrhagic conversion of PCA infarct, and R Caudate head in" "Correct entity, wrong SNOMED ID","(11066, 11069)","(11066, 11069)",PCA,PCA,70382005,1259388006,11649745-DS-4,"clerosis. #Ischemic to hemorrhagic conversion of PCA infarct, and R Caudate head infarct. #ICU cours" "Correct entity, wrong SNOMED ID","(11070, 11077)","(11070, 11077)",infarct,infarct,55641003,55470003,11649745-DS-4,"osis. #Ischemic to hemorrhagic conversion of PCA infarct, and R Caudate head infarct. #ICU course On adm" Missed entity,"(11086, 11098)",,Caudate head,,88017005,,11649745-DS-4," to hemorrhagic conversion of PCA infarct, and R Caudate head infarct. #ICU course On admission to the neuro I" "Correct entity, wrong SNOMED ID","(11099, 11106)","(11099, 11106)",infarct,infarct,55641003,55470003,11649745-DS-4,"ic conversion of PCA infarct, and R Caudate head infarct. #ICU course On admission to the neuro ICU, pati" Wrong span,"(11124, 11150)","(11141, 11146)",admission to the neuro ICU,neuro,183448005,284186002,11649745-DS-4,"rct, and R Caudate head infarct. #ICU course On admission to the neuro ICU, patient had MRI/MRA which showed PCA territory " "Correct entity, wrong SNOMED ID","(11164, 11167)","(11164, 11167)",MRI,MRI,113091000,305882007,11649745-DS-4,"course On admission to the neuro ICU, patient had MRI/MRA which showed PCA territory infarct as well a" "Correct entity, wrong SNOMED ID","(11168, 11171)","(11168, 11171)",MRA,MRA,417936006,241663008,11649745-DS-4,"se On admission to the neuro ICU, patient had MRI/MRA which showed PCA territory infarct as well as ri" Wrong span,"(11186, 11189)","(11186, 11199)",PCA,PCA territory,70382005,421676007,11649745-DS-4," the neuro ICU, patient had MRI/MRA which showed PCA territory infarct as well as right head caudate i" "Correct entity, wrong SNOMED ID","(11200, 11207)","(11200, 11207)",infarct,infarct,55641003,55470003,11649745-DS-4,", patient had MRI/MRA which showed PCA territory infarct as well as right head caudate infarct. MRA showe" Wrong span,"(11225, 11237)","(11219, 11237)",head caudate,right head caudate,88017005,451038000,11649745-DS-4,"ch showed PCA territory infarct as well as right head caudate infarct. MRA showed no vessel cutoffs. Bedside u" "Correct entity, wrong SNOMED ID","(11238, 11245)","(11238, 11245)",infarct,infarct,55641003,55470003,11649745-DS-4,"A territory infarct as well as right head caudate infarct. MRA showed no vessel cutoffs. Bedside ultrasoun" "Correct entity, wrong SNOMED ID","(11247, 11250)","(11247, 11250)",MRA,MRA,417936006,1380161007,11649745-DS-4,"ry infarct as well as right head caudate infarct. MRA showed no vessel cutoffs. Bedside ultrasound of " Wrong span,"(11262, 11268)","(11259, 11272)",vessel,no vessel cut,59820001,413975003,11649745-DS-4,"ell as right head caudate infarct. MRA showed no vessel cutoffs. Bedside ultrasound of right IJ (incisio" "Correct entity, wrong SNOMED ID","(11286, 11296)","(11286, 11296)",ultrasound,ultrasound,16310003,1172737007,11649745-DS-4,"e infarct. MRA showed no vessel cutoffs. Bedside ultrasound of right IJ (incision at the site from OSH) show" "Correct entity, wrong SNOMED ID","(11311, 11319)","(11311, 11319)",incision,incision,34896006,119684006,11649745-DS-4," vessel cutoffs. Bedside ultrasound of right IJ (incision at the site from OSH) showed large thrombus in ri" "Correct entity, wrong SNOMED ID","(11355, 11363)","(11355, 11363)",thrombus,thrombus,396339007,373140001,11649745-DS-4," IJ (incision at the site from OSH) showed large thrombus in right IJ. Cardiology was consulted regarding " "Correct entity, wrong SNOMED ID","(11497, 11517)","(11497, 11517)",antiplatelet therapy,antiplatelet therapy,840595002,699047009,11649745-DS-4,"ation recommendations. They recommended starting antiplatelet therapy as soon as possible, but were agreeable to holdi" Missed entity,"(11905, 11917)",,chart review,,107728002,,11649745-DS-4,"amoxifen due to its coagulopathy side effect. In chart review, patient was found to have a large PFO. Patien" Missed entity,"(11954, 11957)",,PFO,,204317008,,11649745-DS-4," chart review, patient was found to have a large PFO. Patient experienced a flushing sensation ___ a" Wrong span,"(11983, 11991)","(11983, 12001)",flushing,flushing sensation,238810007,198436008,11649745-DS-4,"und to have a large PFO. Patient experienced a flushing sensation ___ after administration of hydralazin" Wrong span,"(12128, 12149)","(12128, 12135)","allergy to novacaine",allergy,293727006,293675006,11649745-DS-4,"s thought to be likely to Lidocaine, as he has an allergy to novacaine which also involved flushing. He experienced a si" "Correct entity, wrong SNOMED ID","(12170, 12178)","(12170, 12178)",flushing,flushing,238810007,1204142001,11649745-DS-4," has an allergy to novacaine which also involved flushing. He experienced a similar flushing sensation ___" Wrong span,"(12206, 12214)","(12206, 12224)",flushing,flushing sensation,238810007,198436008,11649745-DS-4,"also involved flushing. He experienced a similar flushing sensation ___ after metoprolol and acetaminophen." "Correct entity, wrong SNOMED ID","(12333, 12345)","(12333, 12345)",paresthesias,paresthesias,91019004,95358009,11649745-DS-4,"episode, the patient reported diffuse and moving paresthesias in his bilateral legs, back, arms, and face. The" "Correct entity, wrong SNOMED ID","(12363, 12367)","(12363, 12367)",legs,legs,61685007,274791003,11649745-DS-4,"diffuse and moving paresthesias in his bilateral legs, back, arms, and face. These paresthesias did no" "Correct entity, wrong SNOMED ID","(12369, 12373)","(12369, 12373)",back,back,77568009,37822005,11649745-DS-4,"e and moving paresthesias in his bilateral legs, back, arms, and face. These paresthesias did not foll" "Correct entity, wrong SNOMED ID","(12375, 12379)","(12375, 12379)",arms,arms,53120007,69273007,11649745-DS-4," moving paresthesias in his bilateral legs, back, arms, and face. These paresthesias did not follow a s" "Correct entity, wrong SNOMED ID","(12385, 12389)","(12385, 12389)",face,face,89545001,1209208002,11649745-DS-4,"resthesias in his bilateral legs, back, arms, and face. These paresthesias did not follow a sensory dis" "Correct entity, wrong SNOMED ID","(12398, 12410)","(12398, 12410)",paresthesias,paresthesias,91019004,95358009,11649745-DS-4," his bilateral legs, back, arms, and face. These paresthesias did not follow a sensory distribution and were t" Wrong span,"(12503, 12511)","(12503, 12529)",platelet,"platelet reactivity study",16378004,87532009,11649745-DS-4," were thought not to be a central process. On ___ platelet reactivity study was sent. Discussed incidentall" "Correct entity, wrong SNOMED ID","(12569, 12577)","(12569, 12577)",right IJ,right IJ,771195007,448644004,11649745-DS-4,"vity study was sent. Discussed incidentally found right IJ clot (seen on ultrasound ___, which could not be" "Correct entity, wrong SNOMED ID","(12676, 12692)","(12676, 12692)",acute hemorrhage,acute hemorrhage,8573003,267530009,11649745-DS-4,"e treated with anticoagulation in the ICU due to acute hemorrhage. Plan was made to plan for a follow up ultrasoun" Wrong span,"(12723, 12743)","(12723, 12729)",follow up ultrasound,follow,89343007,168831000,11649745-DS-4,"to acute hemorrhage. Plan was made to plan for a follow up ultrasound in 3 months after discharge to ensure resolution" "Correct entity, wrong SNOMED ID","(12818, 12826)","(12818, 12826)",improved,improved,268910001,251359002,11649745-DS-4,"arge to ensure resolution. On the floor, Mr ___ improved quickly and had only a residual left homonymous " "Correct entity, wrong SNOMED ID","(13135, 13141)","(13135, 13141)",Stroke,Stroke,230690007,422504002,11649745-DS-4," otherwise started on atorvastatin 40mg daily. Stroke etiology has yet to be elucidated. Patient has kn" "Correct entity, wrong SNOMED ID","(13227, 13230)","(13227, 13230)",PFO,PFO,204317008,165054006,11649745-DS-4,"Patient has known risk factors including a large PFO and tamoxifen is known to predispose patients to" Wrong span,"(13281, 13287)","(13281, 13292)",venous,venous clot,29092000,13740001000004108,11649745-DS-4,"and tamoxifen is known to predispose patients to venous clot (though no venous clot identified apart fro" Wrong span,"(13288, 13292)","(13281, 13292)",clot,venous clot,75753009,13740001000004108,11649745-DS-4,"oxifen is known to predispose patients to venous clot (though no venous clot identified apart from R I" Wrong span,"(13304, 13310)","(13304, 13315)",venous,venous clot,29092000,13740001000004108,11649745-DS-4,"to predispose patients to venous clot (though no venous clot identified apart from R IJ). He also has s" Wrong span,"(13311, 13315)","(13304, 13315)",clot,venous clot,75753009,13740001000004108,11649745-DS-4,"dispose patients to venous clot (though no venous clot identified apart from R IJ). He also has sleep " "Correct entity, wrong SNOMED ID","(13339, 13343)","(13339, 13343)",R IJ,R IJ,771195007,420274006,11649745-DS-4,"lot (though no venous clot identified apart from R IJ). He also has sleep apnea as well as some calci" "Correct entity, wrong SNOMED ID","(13359, 13370)","(13359, 13370)",sleep apnea,sleep apnea,73430006,78275009,11649745-DS-4,"s clot identified apart from R IJ). He also has sleep apnea as well as some calcification in the aortic arch" "Correct entity, wrong SNOMED ID","(13409, 13420)","(13409, 13420)",aortic arch,aortic arch,57034009,244230008,11649745-DS-4,"sleep apnea as well as some calcification in the aortic arch seen on CTA. Another possibility is ___ infarct" "Correct entity, wrong SNOMED ID","(13429, 13432)","(13429, 13432)",CTA,CTA,418272005,397005006,11649745-DS-4,"as some calcification in the aortic arch seen on CTA. Another possibility is ___ infarction from man" "Correct entity, wrong SNOMED ID","(13463, 13473)","(13463, 13473)",infarction,infarction,55641003,432504007,11649745-DS-4,"ic arch seen on CTA. Another possibility is ___ infarction from manipulation of the vasculature. Stroke ris" "Correct entity, wrong SNOMED ID","(13479, 13491)","(13479, 13491)",manipulation,manipulation,19207007,119907000,11649745-DS-4,"CTA. Another possibility is ___ infarction from manipulation of the vasculature. Stroke risk factors evaluate" "Correct entity, wrong SNOMED ID","(13513, 13519)","(13513, 13519)",Stroke,Stroke,230690007,422504002,11649745-DS-4,"infarction from manipulation of the vasculature. Stroke risk factors evaluated TSH 0.88, A1c 5.4 and LDL" "Correct entity, wrong SNOMED ID","(13583, 13586)","(13583, 13586)",PFO,PFO,204317008,165054006,11649745-DS-4,"evaluated TSH 0.88, A1c 5.4 and LDL 97. He has a PFO on chart review and redemonstrated on our TTE. L" Missed entity,"(13590, 13602)",,chart review,,107728002,,11649745-DS-4,"ed TSH 0.88, A1c 5.4 and LDL 97. He has a PFO on chart review and redemonstrated on our TTE. Lower extremity u" "Correct entity, wrong SNOMED ID","(13630, 13633)","(13630, 13633)",TTE,TTE,433236007,258691001,11649745-DS-4," a PFO on chart review and redemonstrated on our TTE. Lower extremity ultrasound was negative for veno" "Correct entity, wrong SNOMED ID","(13635, 13661)","(13635, 13661)",Lower extremity ultrasound,Lower extremity ultrasound,449922004,711500000,11649745-DS-4,"O on chart review and redemonstrated on our TTE. Lower extremity ultrasound was negative for venous clot. #Hypertension: P" Wrong span,"(13679, 13685)","(13679, 13691)",venous,"venous clot",29092000,128053003,11649745-DS-4," TTE. Lower extremity ultrasound was negative for venous clot. #Hypertension: Patient has a history of " Wrong span,"(13687, 13691)","(13679, 13691)",clot,"venous clot",75753009,128053003,11649745-DS-4,"wer extremity ultrasound was negative for venous clot. #Hypertension: Patient has a history of hypert" "Correct entity, wrong SNOMED ID","(13735, 13747)","(13735, 13747)",hypertension,hypertension,38341003,70995007,11649745-DS-4," clot. #Hypertension: Patient has a history of hypertension. He had previously been on lisinopril but he dev" "Correct entity, wrong SNOMED ID","(13804, 13809)","(13804, 13809)",cough,cough,49727002,28743005,11649745-DS-4,"d previously been on lisinopril but he developed cough. Blood pressures were well controlled on metopr" Wrong span,"(13812, 13827)","(13812, 13849)",Blood pressures,"Blood pressures were well controlled",392570002,183413003,11649745-DS-4,"usly been on lisinopril but he developed cough. Blood pressures were well controlled on metoprolol. Patient had" "Correct entity, wrong SNOMED ID","(13896, 13919)","(13896, 13919)",orthostatic hypotension,orthostatic hypotension,28651003,75181005,11649745-DS-4,"led on metoprolol. Patient had a few episodes of orthostatic hypotension that improved with increased PO intake. #ST-el" "Correct entity, wrong SNOMED ID","(13926, 13934)","(13926, 13934)",improved,improved,268910001,251359002,11649745-DS-4,"d a few episodes of orthostatic hypotension that improved with increased PO intake. #ST-elevation MI (STE" "Correct entity, wrong SNOMED ID","(13981, 13986)","(13981, 13986)",STEMI,STEMI,401303003,703360004,11649745-DS-4,"ved with increased PO intake. #ST-elevation MI (STEMI) on ___ cardiac cath at ___ RCA occlusion - TT" "Correct entity, wrong SNOMED ID","(13995, 14007)","(13995, 14007)",cardiac cath,cardiac cath,41976001,59261000119100,11649745-DS-4,"ased PO intake. #ST-elevation MI (STEMI) on ___ cardiac cath at ___ RCA occlusion - TTE ___ here showed pos" Wrong span,"(14015, 14028)","(14015, 14018)",RCA occlusion,RCA,285171000119104,244257005,11649745-DS-4,"T-elevation MI (STEMI) on ___ cardiac cath at ___ RCA occlusion - TTE ___ here showed possible PFO, previous E" "Correct entity, wrong SNOMED ID","(14034, 14037)","(14034, 14037)",TTE,TTE,433236007,258691001,11649745-DS-4,"MI) on ___ cardiac cath at ___ RCA occlusion - TTE ___ here showed possible PFO, previous ECHOs have" "Correct entity, wrong SNOMED ID","(14063, 14066)","(14063, 14066)",PFO,PFO,204317008,165054006,11649745-DS-4,"_ RCA occlusion - TTE ___ here showed possible PFO, previous ECHOs have showed PFO - Plavix resumed" "Correct entity, wrong SNOMED ID","(14096, 14099)","(14096, 14099)",PFO,PFO,204317008,165054006,11649745-DS-4," showed possible PFO, previous ECHOs have showed PFO - Plavix resumed on ___. Plan to resume ASA on __" Wrong span,"(14168, 14194)","(14168, 14178)",platelet aggregation assay,platelet a,19739004,25624002,11649745-DS-4,"n ___. Plan to resume ASA on ___ if stable - F/U platelet aggregation assay ___ - Cardiology recommended restarting lisinopr" "Correct entity, wrong SNOMED ID","(14329, 14352)","(14329, 14352)",orthostatic hypotension,orthostatic hypotension,28651003,75181005,11649745-DS-4,"gh this was held in the hospital due to episodic orthostatic hypotension. This should be resumed as he becomes less decon" "Correct entity, wrong SNOMED ID","(14430, 14442)","(14430, 14442)",Leukocytosis,Leukocytosis,111583006,65209002,11649745-DS-4,"he becomes less deconditioned at acute rehab. #Leukocytosis: now afebrile, downtrending - continue to monitor" "Correct entity, wrong SNOMED ID","(14495, 14508)","(14495, 14508)",Low back pain,Low back pain,279039007,278862001,11649745-DS-4,"ow afebrile, downtrending - continue to monitor #Low back pain: On ___, patient developed severe low back pain. " "Correct entity, wrong SNOMED ID","(14543, 14556)","(14543, 14556)",low back pain,low back pain,279039007,278862001,11649745-DS-4," #Low back pain: On ___, patient developed severe low back pain. Patient had CT L-spine which revealed degenera" "Correct entity, wrong SNOMED ID","(14598, 14618)","(14598, 14618)",degenerative changes,degenerative changes,762305005,708529002,11649745-DS-4,"ack pain. Patient had CT L-spine which revealed degenerative changes but no acute abnormalities. Pain was controlled " Wrong span,"(14624, 14646)","(14624, 14632)",no acute abnormalities,no acute,281900007,1290509001,11649745-DS-4," L-spine which revealed degenerative changes but no acute abnormalities. Pain was controlled on tramadol and Tylenol. P" Wrong span,"(14648, 14652)","(14648, 14667)",Pain,Pain was controlled,22253000,370778008,11649745-DS-4,"degenerative changes but no acute abnormalities. Pain was controlled on tramadol and Tylenol. Pain re" Wrong span,"(14695, 14699)","(14695, 14708)",Pain,Pain resolved,22253000,816133002,11649745-DS-4,"s. Pain was controlled on tramadol and Tylenol. Pain resolved prior to discharge but did occur interm" "Correct entity, wrong SNOMED ID","(14834, 14845)","(14834, 14845)",sleep study,sleep study,164773008,60554003,11649745-DS-4,"A: Patient was found to have OSA. He will need a sleep study as an outpatient #Hx of breast cancer: Patient" "Correct entity, wrong SNOMED ID","(14872, 14885)","(14872, 14885)",breast cancer,breast cancer,254837009,724451007,11649745-DS-4,"will need a sleep study as an outpatient #Hx of breast cancer: Patient has been on tamoxifen since ___. Becau" Wrong span,"(14977, 15000)","(14985, 15000)",risk of venous thrombus,venous thrombus,427631000,397028007,11649745-DS-4,". Because it has been associated with increased risk of venous thrombus and patient has a PFO, we spoke with his primary" "Correct entity, wrong SNOMED ID","(15020, 15023)","(15020, 15023)",PFO,PFO,204317008,165054006,11649745-DS-4,"reased risk of venous thrombus and patient has a PFO, we spoke with his primary oncologist, Dr. ___, " Missed entity,"(15144, 15153)",,follow up,,308273005,,11649745-DS-4,"ecommended not re-starting tamoxifen for now and follow up with her as an outpatient. #RIJ Thrombus: Discu" "Correct entity, wrong SNOMED ID","(15227, 15235)","(15227, 15235)",right IJ,right IJ,771195007,448644004,11649745-DS-4,"nt. #RIJ Thrombus: Discussed incidentally found right IJ clot (seen on ultrasound ___, which could not be" "Correct entity, wrong SNOMED ID","(15299, 15314)","(15299, 15314)",anticoagulation,anticoagulation,182764009,260678004,11649745-DS-4," ultrasound ___, which could not be treated with anticoagulation in the ICU due to acute hemorrhage. Plan was mad" "Correct entity, wrong SNOMED ID","(15334, 15350)","(15334, 15350)",acute hemorrhage,acute hemorrhage,8573003,267530009,11649745-DS-4,"e treated with anticoagulation in the ICU due to acute hemorrhage. Plan was made to plan for a follow up ultrasoun" Wrong span,"(15380, 15401)","(15380, 15390)","follow up ultrasound","follow up",89343007,1354473003,11649745-DS-4," to acute hemorrhage. Plan was made to plan for a follow up ultrasound in 3 months after discharge to ensure resolution." "Correct entity, wrong SNOMED ID","(15525, 15531)","(15525, 15531)",stable,stable,359746009,301459008,11649745-DS-4,"========== Transitional Issues: [ ] If clinically stable, resume aspirin on ___ [ ] Repeat US in 3 months " "Correct entity, wrong SNOMED ID","(15605, 15609)","(15605, 15609)",R IJ,R IJ,771195007,420274006,11649745-DS-4,"[ ] Repeat US in 3 months to ensure resolution of R IJ thrombus [ ] Sleep study [ ] Tamoxifen stopped " "Correct entity, wrong SNOMED ID","(15610, 15618)","(15610, 15618)",thrombus,thrombus,396339007,373140001,11649745-DS-4,"epeat US in 3 months to ensure resolution of R IJ thrombus [ ] Sleep study [ ] Tamoxifen stopped during th" "Correct entity, wrong SNOMED ID","(15624, 15635)","(15624, 15635)",Sleep study,Sleep study,164773008,60554003,11649745-DS-4,"months to ensure resolution of R IJ thrombus [ ] Sleep study [ ] Tamoxifen stopped during this admission afte" Missed entity,"(15719, 15728)",,follow up,,308273005,,11649745-DS-4,"s admission after talking with Dr ___. Will need follow up with Dr ___. [ ] Resume Lisinopril 5mg daily afte" "Correct entity, wrong SNOMED ID","(15780, 15803)","(15780, 15803)",orthostatic hypotension,orthostatic hypotension,28651003,75181005,11649745-DS-4,"ith Dr ___. [ ] Resume Lisinopril 5mg daily after orthostatic hypotension resolves with improved deconditioning [ ] Neuro" "Correct entity, wrong SNOMED ID","(15819, 15827)","(15819, 15827)",improved,improved,268910001,251359002,11649745-DS-4,"aily after orthostatic hypotension resolves with improved deconditioning [ ] Neurology Follow up ========" Wrong span,"(15848, 15867)","(15848, 15857)",Neurology Follow up,Neurology,170693002,394538003,11649745-DS-4,"nsion resolves with improved deconditioning [ ] Neurology Follow up =============================== AHA/ASA Core Me" "Correct entity, wrong SNOMED ID","(15928, 15943)","(15928, 15943)",Ischemic Stroke,Ischemic Stroke,422504002,1142056004,11649745-DS-4,"====================== AHA/ASA Core Measures for Ischemic Stroke and Transient Ischemic Attack 1. Dysphagia sc" Wrong span,"(15981, 16000)","(15981, 15990)",Dysphagia screening,Dysphagia,431765005,21101000119105,11649745-DS-4,"hemic Stroke and Transient Ischemic Attack 1. Dysphagia screening before any PO intake? (x) Yes, confirmed done - " Wrong span,"(16080, 16095)","(16080, 16083)",DVT Prophylaxis,DVT,439993001,161508001,11649745-DS-4,", confirmed done - () Not confirmed () No 2. DVT Prophylaxis administered? (x) Yes - () No 3. Antithromboti" "Correct entity, wrong SNOMED ID","(16132, 16154)","(16132, 16154)",Antithrombotic therapy,Antithrombotic therapy,182764009,707259005,11649745-DS-4,"T Prophylaxis administered? (x) Yes - () No 3. Antithrombotic therapy administered by end of hospital day 2? () Yes - " Wrong span,"(16239, 16242)","(16239, 16250)",PCA,PCA infarct,70382005,85844000,11649745-DS-4,"y 2? () Yes - (x) No (hemorrhagic conversion of PCA infarct) 4. LDL documented? (x) Yes (LDL = 97) -" Wrong span,"(16243, 16250)","(16239, 16250)",infarct,PCA infarct,55641003,85844000,11649745-DS-4,"? () Yes - (x) No (hemorrhagic conversion of PCA infarct) 4. LDL documented? (x) Yes (LDL = 97) - () No " "Correct entity, wrong SNOMED ID","(16256, 16259)","(16256, 16259)",LDL,LDL,113079009,124040006,11649745-DS-4,") No (hemorrhagic conversion of PCA infarct) 4. LDL documented? (x) Yes (LDL = 97) - () No 5. Inte" "Correct entity, wrong SNOMED ID","(16315, 16329)","(16315, 16329)",statin therapy,statin therapy,315053001,439631004,11649745-DS-4,"ented? (x) Yes (LDL = 97) - () No 5. Intensive statin therapy administered? (simvastatin 80mg, simvastatin 80m" "Correct entity, wrong SNOMED ID","(16712, 16740)","(16712, 16740)",Smoking cessation counseling,Smoking cessation counseling,225323000,765000002,11649745-DS-4,"pharmacist [ ] LDL-c less than 70 mg/dL] 6. Smoking cessation counseling given? () Yes - (x) No [reason (x) non-smoker - " "Correct entity, wrong SNOMED ID","(16777, 16787)","(16777, 16787)",non-smoker,non-smoker,8392000,360918006,11649745-DS-4,"on counseling given? () Yes - (x) No [reason (x) non-smoker - () unable to participate] 7. Stroke educatio" "Correct entity, wrong SNOMED ID","(16899, 16905)","(16899, 16905)",stroke,stroke,230690007,422504002,11649745-DS-4,"modifiable risk factors, how to activate EMS for stroke, stroke warning signs and symptoms, prescribed m" "Correct entity, wrong SNOMED ID","(16907, 16913)","(16907, 16913)",stroke,stroke,230690007,422504002,11649745-DS-4,"le risk factors, how to activate EMS for stroke, stroke warning signs and symptoms, prescribed medicatio" Missed entity,"(16914, 16940)",,warning signs and symptoms,,713056003,,11649745-DS-4," factors, how to activate EMS for stroke, stroke warning signs and symptoms, prescribed medications, need for followup) give" Missed entity,"(17038, 17067)",,Assessment for rehabilitation,,268388007,,11649745-DS-4,"ven (verbally or written)? (x) Yes - () No 8. Assessment for rehabilitation or rehab services considered? (x) Yes - () No " "Correct entity, wrong SNOMED ID","(17135, 17149)","(17135, 17149)",statin therapy,statin therapy,315053001,439631004,11649745-DS-4," considered? (x) Yes - () No 9. Discharged on statin therapy? (x) Yes - () No [if LDL >70, reason not given: " "Correct entity, wrong SNOMED ID","(17402, 17424)","(17402, 17424)",antithrombotic therapy,antithrombotic therapy,182764009,707259005,11649745-DS-4,"[ ] LDL-c less than 70 mg/dL 10. Discharged on antithrombotic therapy? (x) Yes [Type: (x) Antiplatelet - () Anticoagul" "Correct entity, wrong SNOMED ID","(17549, 17569)","(17549, 17569)","atrial fibrillation","atrial fibrillation",49436004,313377641000119105,11649745-DS-4,"charged on oral anticoagulation for patients with atrial fibrillation/flutter? () Yes - () No - (x) N/A Medicatio" "Correct entity, wrong SNOMED ID","(17570, 17577)","(17570, 17577)",flutter,flutter,5370000,33466002,11649745-DS-4,"oagulation for patients with atrial fibrillation/flutter? () Yes - () No - (x) N/A Medications on Ad" Wrong span,"(18184, 18195)","(18184, 18209)",Hemorrhagic,Hemorrhagic conversion of,5571000124103,230706003,11649745-DS-4,"nded Care Facility: ___ Discharge Diagnosis: Hemorrhagic conversion of ischemic posterior cerebral artery " Wrong span,"(18210, 18218)","(18210, 18253)",ischemic,"ischemic posterior cerebral artery infarct",52674009,433951000124102,11649745-DS-4," Discharge Diagnosis: Hemorrhagic conversion of ischemic posterior cerebral artery infarct Discharge C" Wrong span,"(18219, 18244)","(18210, 18253)",posterior cerebral artery,"ischemic posterior cerebral artery infarct",70382005,433951000124102,11649745-DS-4,"rge Diagnosis: Hemorrhagic conversion of ischemic posterior cerebral artery infarct Discharge Condition: Mental Status: C" Wrong span,"(18246, 18253)","(18210, 18253)",infarct,"ischemic posterior cerebral artery infarct",55641003,433951000124102,11649745-DS-4,"conversion of ischemic posterior cerebral artery infarct Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(18278, 18291)","(18278, 18291)",Mental Status,Mental Status,392257007,419284004,11649745-DS-4," cerebral artery infarct Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(18313, 18335)","(18313, 18335)",Level of Consciousness,Level of Consciousness,444714004,830285008,11649745-DS-4,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(18337, 18342)","(18337, 18342)",Alert,Alert,248234008,409787004,11649745-DS-4,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(18347, 18358)","(18347, 18358)",interactive,interactive,288577006,10301000202103,11649745-DS-4,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(18360, 18375)","(18360, 18375)",Activity Status,Activity Status,129676008,397622007,11649745-DS-4,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(18377, 18401)","(18377, 18401)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11649745-DS-4,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, You " "Correct entity, wrong SNOMED ID","(18536, 18551)","(18536, 18551)",ISCHEMIC STROKE,ISCHEMIC STROKE,422504002,1142056004,11649745-DS-4,"f changes in your vision resulting from an ACUTE ISCHEMIC STROKE WITH HEMORRHAGIC CONVERSION, a condition where a" Wrong span,"(18557, 18568)","(18557, 18580)",HEMORRHAGIC,"HEMORRHAGIC CONVERSION",131148009,230706003,11649745-DS-4,"ion resulting from an ACUTE ISCHEMIC STROKE WITH HEMORRHAGIC CONVERSION, a condition where a blood vessel pro" "Correct entity, wrong SNOMED ID","(18602, 18614)","(18602, 18614)",blood vessel,blood vessel,59820001,248709007,11649745-DS-4,"WITH HEMORRHAGIC CONVERSION, a condition where a blood vessel providing oxygen and nutrients to the brain is b" Missed entity,"(18654, 18659)",,brain,,12738006,,11649745-DS-4,"ood vessel providing oxygen and nutrients to the brain is blocked by a clot. The brain is the part of y" "Correct entity, wrong SNOMED ID","(18686, 18691)","(18686, 18691)",brain,brain,12738006,258335003,11649745-DS-4," nutrients to the brain is blocked by a clot. The brain is the part of your body that controls and direc" Missed entity,"(18796, 18801)",,brain,,12738006,,11649745-DS-4,"l the other parts of your body, so damage to the brain from being deprived of its blood supply can resu" "Correct entity, wrong SNOMED ID","(18884, 18890)","(18884, 18890)",Stroke,Stroke,230690007,422504002,11649745-DS-4,"d supply can result in a variety of symptoms. Stroke can have many different causes, so we assessed yo" "Correct entity, wrong SNOMED ID","(19003, 19009)","(19003, 19009)",stroke,stroke,230690007,422504002,11649745-DS-4,"l conditions that might raise your risk of having stroke. In order to prevent future strokes, we plan to " "Correct entity, wrong SNOMED ID","(19039, 19046)","(19039, 19046)",strokes,strokes,230690007,422504002,11649745-DS-4,"isk of having stroke. In order to prevent future strokes, we plan to modify those risk factors. Your risk" "Correct entity, wrong SNOMED ID","(19121, 19134)","(19121, 19134)",heart surgery,heart surgery,64915003,2598006,11649745-DS-4," risk factors. Your risk factors are: - recent heart surgery - patent foramen ovale We are changing your me" "Correct entity, wrong SNOMED ID","(19137, 19157)","(19137, 19157)",patent foramen ovale,patent foramen ovale,204317008,41817002,11649745-DS-4,"Your risk factors are: - recent heart surgery - patent foramen ovale We are changing your medications as follows: " Missed entity,"(19340, 19364)",,follow up with Neurology,,170693002,,11649745-DS-4," your other medications as prescribed. Please follow up with Neurology and your primary care physician as listed below." "Correct entity, wrong SNOMED ID","(19580, 19586)","(19580, 19586)",stroke,stroke,230690007,422504002,11649745-DS-4,"cal Services (dialing 911). In particular, since stroke can recur, please pay attention to the sudden on" "Correct entity, wrong SNOMED ID","(19708, 19722)","(19708, 19722)",loss of vision,loss of vision,105597003,38950008,11649745-DS-4," these symptoms: - Sudden partial or complete loss of vision - Sudden loss of the ability to speak words fr" Wrong span,"(19747, 19763)","(19735, 19769)",ability to speak,loss of the ability to speak words,286366005,286415004,11649745-DS-4,"r complete loss of vision - Sudden loss of the ability to speak words from your mouth - Sudden loss of the abi" "Correct entity, wrong SNOMED ID","(19780, 19785)","(19780, 19785)",mouth,mouth,123851003,59611000087105,11649745-DS-4,"dden loss of the ability to speak words from your mouth - Sudden loss of the ability to understand oth" Wrong span,"(19810, 19847)","(19798, 19820)",ability to understand others speaking,loss of the ability to,719362007,105719004,11649745-DS-4,"eak words from your mouth - Sudden loss of the ability to understand others speaking to you - Sudden weakness of one side of the b" "Correct entity, wrong SNOMED ID","(19868, 19876)","(19868, 19876)",weakness,weakness,26544005,13791008,11649745-DS-4,"to understand others speaking to you - Sudden weakness of one side of the body - Sudden drooping of o" Missed entity,"(19941, 19945)",,face,,89545001,,11649745-DS-4," the body - Sudden drooping of one side of the face - Sudden loss of sensation of one side of the " "Correct entity, wrong SNOMED ID","(19958, 19975)","(19958, 19975)",loss of sensation,loss of sensation,44077006,251379005,11649745-DS-4,"dden drooping of one side of the face - Sudden loss of sensation of one side of the body Sincerely, Your __" False positive,,"(1640, 1650)",,Trach Mask,,102605001,11652327-DS-14,"e: Vitals 98.3 84 Sinus 102/59 17 97% Trach Mask 35% Gen: lying in bed, no acute distress CV: sinu" False positive,,"(1718, 1728)",,trach mask,,102605001,11652327-DS-14," bed, no acute distress CV: sinus rhythm Pulm: on trach mask, no respiratory distress Abd: soft, non-tender, n" False positive,,"(1809, 1812)",,fem,,52595008,11652327-DS-14,"soft, non-tender, nondistended ___: WWP, palp b/l fem, pop and dp pulses Pertinent Results: CTA torso" False positive,,"(1814, 1817)",,pop,,228387001,11652327-DS-14," non-tender, nondistended ___: WWP, palp b/l fem, pop and dp pulses Pertinent Results: CTA torso ___ " False positive,,"(1853, 1856)",,CTA,,397005006,11652327-DS-14,"p b/l fem, pop and dp pulses Pertinent Results: CTA torso ___ IMPRESSION: 1. Status post inter" False positive,,"(2535, 2537)",,CT,,241541005,11652327-DS-14,"4. Pulmonary nodules measure up to 8 mm for which CT is recommended as below. RECOMMENDATION(S): " False positive,,"(2671, 2683)",,CT follow-up,,71040008,11652327-DS-14,"e solid pulmonary nodules measuring 6 to 8mm, a CT follow-up in 3 to 6 months is recommended in a low-risk p" False positive,,"(2758, 2770)",,CT follow-up,,71040008,11652327-DS-14,"ommended in a low-risk patient, with an optional CT follow-up in 18 to 24 months. In a high-risk patient, bot" False positive,,"(2824, 2836)",,CT follow-up,,71040008,11652327-DS-14,"18 to 24 months. In a high-risk patient, both a CT follow-up in 3 to 6 months and in 18 to 24 months is reco" False positive,,"(2901, 2909)",,CT chest,,169069000,11652327-DS-14,"hs and in 18 to 24 months is recommended. ___ CT chest: IMPRESSION: Findings highly concerning for " False positive,,"(3087, 3095)",,reactive,,735269004,11652327-DS-14,"sema syndrome. Mediastinal adenopathy, likely reactive. ___ CT abd/pelvis: IMPRESSION: 1. No ac" False positive,,"(3271, 3275)",,Opac,,193570009,11652327-DS-14," of acute intracranial process or hemorrhage. 2. Opacified bilateral mastoid air cells and middle ear " False positive,,"(3281, 3290)",,bilateral,,268228006,11652327-DS-14,"intracranial process or hemorrhage. 2. Opacified bilateral mastoid air cells and middle ear cavities. No e" False positive,,"(3617, 3623)",,global,,273849003,11652327-DS-14,"dia. 3. Chronic findings include age-appropriate global parenchymal loss and vascular calcifications. " False positive,,"(3637, 3641)",,loss,,50960005,11652327-DS-14,"dings include age-appropriate global parenchymal loss and vascular calcifications. ___ CT abd/pelvis" False positive,,"(3800, 3811)",,intrapelvic,,826990002,11652327-DS-14,"or pelvis. Specifically, no intra-abdominal or intrapelvic fluid collection. 2. Unchanged splenomegaly. 3." False positive,,"(3912, 3921)",,bilateral,,268228006,11652327-DS-14,"Patent aorto bi-iliac stent graft, ___ stent, and bilateral renal artery stents without definite evidence o" False positive,,"(4128, 4142)",,bilateral lobe,,48800003,11652327-DS-14,". ___ CT chest: IMPRESSION: 1. Extensive bilateral lobe consolidations suggestive of pneumonia or aspir" False positive,,"(4813, 4824)",,myonecrosis,,80466000,11652327-DS-14," they could represent intramuscular abscesses or myonecrosis. Intramuscular hematoma cannot be excluded esp" False positive,,"(5484, 5495)",,myonecrosis,,80466000,11652327-DS-14," in the left gluteus maximus muscle may reflect myonecrosis. This area is predominantly low signal on T2 su" False positive,,"(5737, 5748)",,myonecrosis,,80466000,11652327-DS-14,"uscle is nonspecific but may reflect developing myonecrosis. 4. Bilateral gluteal and adductor muscle edema." False positive,,"(5764, 5771)",,gluteal,,12430003,11652327-DS-14,"y reflect developing myonecrosis. 4. Bilateral gluteal and adductor muscle edema. ___ TEE CONCLUSION: " False positive,,"(5845, 5858)",,echo contrast,,785775005,11652327-DS-14,"ma. ___ TEE CONCLUSION: There is no spontaneous echo contrast or thrombus in the body of the left atrium/left " False positive,,"(5995, 6006)",,spontaneous,,225897003,11652327-DS-14,"endage ejection velocity is mildly depressed. No spontaneous echo contrast or thrombus is seen in the body of " False positive,,"(6125, 6133)",,ejection,,444371003,11652327-DS-14,"ght atrial appendage. The right atrial appendage ejection velocity is depressed. There is no evidence for a" False positive,,"(6862, 6871)",,intracard,,65331008,11652327-DS-14,"mild [1+] tricuspid regurgitation. IMPRESSION: No intracardiac thrombus or valvular vegetations seen. Mild m" False positive,,"(7037, 7048)",,vasculature,,51833009,11652327-DS-14," 1. No evidence of mesenteric ischemia. Patent vasculature. Due to metallic artifact, patency of a superi" False positive,,"(7397, 7402)",,acute,,255228009,11652327-DS-14," may also be present and a differential would be acute on chronic interstitial disease. Associated med" False positive,,"(7873, 7882)",,Opacified,,370950002,11652327-DS-14,"ebral hemisphere, left cerebellar infarcts. 2. Opacified mastoids, middle ear cavities, likely from nasal " False positive,,"(8232, 8241)",,bilateral,,268228006,11652327-DS-14,"es throughout the lungs, most pronounced in the bilateral lower lobes, not significantly changed compared" False positive,,"(8301, 8303)",,CT,,241541005,11652327-DS-14,"es, not significantly changed compared to prior CT from ___. Findings are compatible with ARDS an" False positive,,"(8497, 8506)",,bilateral,,268228006,11652327-DS-14,"und interstitial lung disease. 3. Mediastinal, bilateral hilar and supraclavicular lymphadenopathy is un" False positive,,"(8735, 8738)",,CTs,,282108002,11652327-DS-14,"of the neck and abdomen please see the dedicated CTs which were obtained at the same time. ___ CT a" False positive,,"(8880, 8884)",,Mild,,162468002,11652327-DS-14,"nfection identified in the abdomen or pelvis. 2. Mild perisplenic and perihepatic ascites. 3. Right ob" False positive,,"(8926, 8931)",,Right,,225794002,11652327-DS-14," 2. Mild perisplenic and perihepatic ascites. 3. Right obturator internus hematoma is not significantly " False positive,,"(9026, 9037)",,myonecrosis,,80466000,11652327-DS-14,"ntly changed from ___. Previously characterized myonecrosis of the gluteus maximus muscles bilaterally is b" False positive,,"(9133, 9145)",,pars defects,,722598000,11652327-DS-14,"is better appreciated on prior MRI. 4. Bilateral pars defects at L5-S1 with associated mild grade 1 anterolist" False positive,,"(9245, 9251)",,cortex,,40146001,11652327-DS-14,"hesis. ___ MR head IMPRESSION: 1. In the cortex of the right posterior frontal and parietal regi" False positive,,"(9259, 9264)",,right,,225794002,11652327-DS-14,"R head IMPRESSION: 1. In the cortex of the right posterior frontal and parietal regions are sign" False positive,,"(9310, 9316)",,signal,,263530005,11652327-DS-14,"ight posterior frontal and parietal regions are signal abnormalities which are likely chronic infarcts s" False positive,,"(9387, 9389)",,CT,,241541005,11652327-DS-14,"are likely chronic infarcts seen on the previous CT of ___ 2. Leukoaraiosis is demonstrated in thep" False positive,,"(9402, 9415)",,Leukoaraiosis,,230353003,11652327-DS-14,"nic infarcts seen on the previous CT of ___ 2. Leukoaraiosis is demonstrated in theperiventricular white matt" False positive,,"(9674, 9676)",,CS,,257984003,11652327-DS-14," less likely due to meningitis. Correlation with CSF findings recommended. 4. No evidence of infarc" False positive,,"(10143, 10150)",,hyperex,,723238007,11652327-DS-14,"thies, but may be suggestive of diffuse cortical hyperexcitability with potential to evolve to seizures. " False positive,,"(10234, 10241)",,slowing,,417621006,11652327-DS-14,"ve to seizures. 2) Burst suppression pattern, slowing, and disorganization of the background, which i" False positive,,"(10395, 10406)",,medications,,129019007,11652327-DS-14," nonspecific as etiology but causes can include medications/sedation, global hypoxic ischemic injuries. By " False positive,,"(10533, 10540)",,slowing,,417621006,11652327-DS-14,"he background transitions to diffuse continuous slowing, which may be secondary to weaning of sedation b" False positive,,"(10757, 10764)",,slowing,,417621006,11652327-DS-14,"ctrographic seizure correlate. No areas of focal slowing or electrographic seizures are seen. ___ GJ I" False positive,,"(11091, 11100)",,exudative,,79148002,11652327-DS-14," alveolar damage with interval clearance of the exudative/edematous phase and is now transitioning into th" False positive,,"(11152, 11160)",,fibrotic,,125565008,11652327-DS-14,"dematous phase and is now transitioning into the fibrotic phase. 2. Ground-glass changes with an anterio" False positive,,"(11416, 11424)",,fibrotic,,125565008,11652327-DS-14,"ess to further fibrosis). 3. Multiple confluent fibrotic nodules are also noted, which could be followed" False positive,,"(11588, 11595)",,widened,,363646005,11652327-DS-14,"n to suggest pneumonia. 4. The trachea appears widened in the coronal diameter and tracheobronchomalaci" False positive,,"(11955, 11959)",,PMEG,,258684004,11652327-DS-14,"level of renals. He went to the OR on ___ for a PMEG. Postoperatively, he did fine and was transferr" False positive,,"(12260, 12261)",,C,,257984003,11652327-DS-14,"s on intermittent pressors. He was treated with CVVH. He was also treated with broad spectrum anti" False positive,,"(12366, 12371)",,trach,,722553006,11652327-DS-14,"cs for pneumonia. He went to the OR on ___ for a trach and PEG. Neuro: Patient had difficulties with " False positive,,"(12376, 12379)",,PEG,,430306004,11652327-DS-14,"umonia. He went to the OR on ___ for a trach and PEG. Neuro: Patient had difficulties with vent dys" False positive,,"(12766, 12786)",,spontaneous movement,,247905005,11652327-DS-14,"uro exam improved to withdrawal to pain and some spontaneous movement of the face and left upper extremity. Psych was " False positive,,"(13675, 13689)",,Cardiovascular,,113257007,11652327-DS-14," agitation, he was started on Seroquel on ___. Cardiovascular: Patient had aflutter/afib requiring diltiazem d" False positive,,"(14189, 14198)",,converted,,224634002,11652327-DS-14,"0's-130's. He had a brief 4 hour period where he converted to sinus rhythm on ___, however, he went back in" False positive,,"(14269, 14273)",,poor,,62476001,11652327-DS-14,"___, however, he went back into Afib/flutter with poor rate control. Hence, cardiology was reconsulted." False positive,,"(14629, 14635)",,trach/,,722553006,11652327-DS-14,"residuals which worsened his ARDS. He received a trach/peg on ___ due to prolonged intubation. He requir" False positive,,"(14635, 14638)",,peg,,430306004,11652327-DS-14,"als which worsened his ARDS. He received a trach/peg on ___ due to prolonged intubation. He required " False positive,,"(14772, 14782)",,ventilator,,707765006,11652327-DS-14,"to respiratory acidosis and overbreathing on the ventilator while on pressure support. He was ultimately sta" False positive,,"(14829, 14839)",,stabilized,,182781000,11652327-DS-14,"tor while on pressure support. He was ultimately stabilized on pressure support. Pulmonary was consulted to h" False positive,,"(15028, 15029)",,G,,258682000,11652327-DS-14,"riod on the ventilator, likely several months. GI: After receiving his trach/peg, he was fed throu" False positive,,"(15052, 15057)",,trach,,722553006,11652327-DS-14,"likely several months. GI: After receiving his trach/peg, he was fed through TFs until he aspirated e" False positive,,"(15058, 15061)",,peg,,430306004,11652327-DS-14," several months. GI: After receiving his trach/peg, he was fed through TFs until he aspirated even " False positive,,"(15214, 15221)",,restart,,182837001,11652327-DS-14,"ped and he was started on TPN. He was eventually restarted on ___ of TFs with no residuals, followed by a" False positive,,"(15426, 15436)",,aspiration,,68052005,11652327-DS-14,"ased to goal and were tolerated well without any aspiration events. Renal: Patient developed ATN and CRRT w" False positive,,"(15447, 15452)",,Renal,,63893004,11652327-DS-14,"e tolerated well without any aspiration events. Renal: Patient developed ATN and CRRT was initiated to " False positive,,"(15513, 15526)",,fluid removal,,103744005,11652327-DS-14,"eveloped ATN and CRRT was initiated to help with fluid removal to optimize his pulmonary status. He was trialed " False positive,,"(15543, 15552)",,pulmonary,,419170002,11652327-DS-14,"iated to help with fluid removal to optimize his pulmonary status. He was trialed off of CRRT twice, which " False positive,,"(17372, 17382)",,trach mask,,706223008,11652327-DS-14,"hi"" - tolerated tube feeds via J tube - stayed on trach mask with no vent requirements - worked with speech th" False positive,,"(18446, 18449)",,ins,,18337009,11652327-DS-14,"PO DAILY 13. QUEtiapine Fumarate 100 mg PO QHS insomnia / delirium 14. Simethicone 40-80 mg PO QI" False positive,,"(18457, 18465)",,delirium,,10361001,11652327-DS-14,"13. QUEtiapine Fumarate 100 mg PO QHS insomnia / delirium 14. Simethicone 40-80 mg PO QID:PRN gas pain " False positive,,"(18816, 18825)",,arousable,,33105009,11652327-DS-14,"d coherent. Level of Consciousness: Lethargic but arousable. Activity Status: Out of Bed with assistance to c" "Correct entity, wrong SNOMED ID","(201, 223)","(201, 223)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,11652327-DS-14,"rvice: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Penetrating " Wrong span,"(261, 285)","(273, 285)",Penetrating aortic ulcer,aortic ulcer,690791000119107,690791000119107,11652327-DS-14,"ug Reactions Attending: ___. Chief Complaint: Penetrating aortic ulcer of visceral segment of the abdominal aorta. Maj" "Correct entity, wrong SNOMED ID","(313, 328)","(313, 328)",abdominal aorta,abdominal aorta,7832008,241668004,11652327-DS-14,"netrating aortic ulcer of visceral segment of the abdominal aorta. Major Surgical or Invasive Procedure: ___ 1. " Wrong span,"(387, 397)","(387, 404)",ultrasound,ultrasound-guided,16310003,441552002,11652327-DS-14," Surgical or Invasive Procedure: ___ 1. Realtime ultrasound-guided access to both common femoral arteries. 2." Wrong span,"(420, 443)","(415, 443)","common femoral arteries","both common femoral arteries",181347005,16013071000119105,11652327-DS-14,"___ 1. Realtime ultrasound-guided access to both common femoral arteries. 2. Fenestrated endovascular aortic aneurysm rep" Wrong span,"(449, 496)","(461, 496)",Fenestrated endovascular aortic aneurysm repair,endovascular aortic aneurysm repair,817947005,764971006,11652327-DS-14,"uided access to both common femoral arteries. 2. Fenestrated endovascular aortic aneurysm repair with three visceral endoprostheses using a physic" "Correct entity, wrong SNOMED ID","(588, 602)","(588, 602)",thoracic graft,thoracic graft,45874007,11242008,11652327-DS-14,"a physician-modified ___, 28 x ___ mm Cook Zenith thoracic graft. 3. Closure of both common femoral puncture site" Wrong span,"(608, 615)","(608, 609)",Closure,C,112695004,257984003,11652327-DS-14," ___, 28 x ___ mm Cook Zenith thoracic graft. 3. Closure of both common femoral puncture sites using two P" Wrong span,"(624, 638)","(624, 653)",common femoral,common femoral puncture sites,181347005,467629005,11652327-DS-14,"m Cook Zenith thoracic graft. 3. Closure of both common femoral puncture sites using two Perclose devices each in" Wrong span,"(639, 653)","(624, 653)",puncture sites,common femoral puncture sites,386141001,467629005,11652327-DS-14,"horacic graft. 3. Closure of both common femoral puncture sites using two Perclose devices each in a preclose fas" "Correct entity, wrong SNOMED ID","(715, 750)","(715, 750)",Percutaneous endoscopic gastrostomy,Percutaneous endoscopic gastrostomy,235159007,312340001,11652327-DS-14,"erclose devices each in a preclose fashion. ___: Percutaneous endoscopic gastrostomy and tracheostomy. History of Present Illness: M" "Correct entity, wrong SNOMED ID","(755, 767)","(755, 767)",tracheostomy,tracheostomy,697984004,180640008,11652327-DS-14,"on. ___: Percutaneous endoscopic gastrostomy and tracheostomy. History of Present Illness: Mr. ___ is seen in" Missed entity,"(818, 830)",,consultation,,11429006,,11652327-DS-14," History of Present Illness: Mr. ___ is seen in consultation for referral from Dr. ___ for evaluation of a jux" Missed entity,"(835, 843)",,referral,,3457005,,11652327-DS-14,"sent Illness: Mr. ___ is seen in consultation for referral from Dr. ___ for evaluation of a juxtarenal abdom" "Correct entity, wrong SNOMED ID","(861, 871)","(861, 871)",evaluation,evaluation,386053000,39609006,11652327-DS-14,"een in consultation for referral from Dr. ___ for evaluation of a juxtarenal abdominal aortic aneurysm. He ha" Wrong span,"(877, 913)","(888, 913)",juxtarenal abdominal aortic aneurysm,abdominal aortic aneurysm,314185007,314186008,11652327-DS-14,"ion for referral from Dr. ___ for evaluation of a juxtarenal abdominal aortic aneurysm. He had an infrarenal ___ repair of an abdominal" Boundary error,"(926, 936)","(926, 935)",infrarenal,infrarena,28205006,1303726005,11652327-DS-14," juxtarenal abdominal aortic aneurysm. He had an infrarenal ___ repair of an abdominal aortic aneurysm in ___" Wrong span,"(941, 979)","(941, 947)",repair of an abdominal aortic aneurysm,repair,405525004,50465008,11652327-DS-14,"ominal aortic aneurysm. He had an infrarenal ___ repair of an abdominal aortic aneurysm in ___ ___ an ___ graft. Dr. ___ and Dr. ___ has" Wrong span,"(998, 1003)","(998, 999)",graft,g,24486003,258682000,11652327-DS-14,"of an abdominal aortic aneurysm in ___ ___ an ___ graft. Dr. ___ and Dr. ___ has taken over followup and" Missed entity,"(1041, 1049)",,followup,,281036007,,11652327-DS-14,"an ___ graft. Dr. ___ and Dr. ___ has taken over followup and noted development of a large penetrating aort" Wrong span,"(1083, 1107)","(1095, 1107)",penetrating aortic ulcer,aortic ulcer,690791000119107,690791000119107,11652327-DS-14,"en over followup and noted development of a large penetrating aortic ulcer in the posterior wall near the level of the renal" Missed entity,"(1125, 1129)",,wall,,711494004,,11652327-DS-14,"a large penetrating aortic ulcer in the posterior wall near the level of the renals at the top of the ex" "Correct entity, wrong SNOMED ID","(1152, 1158)","(1152, 1158)",renals,renals,64033007,62000003,11652327-DS-14,"ulcer in the posterior wall near the level of the renals at the top of the existing stent graft. He has no" Wrong span,"(1192, 1197)","(1186, 1197)",graft,stent graft,312317000,1208814006,11652327-DS-14,"el of the renals at the top of the existing stent graft. He has no abdominal or back pain. Past Medica" "Correct entity, wrong SNOMED ID","(1210, 1219)","(1210, 1219)",abdominal,abdominal,21522001,422314007,11652327-DS-14,"t the top of the existing stent graft. He has no abdominal or back pain. Past Medical History: Notable for" "Correct entity, wrong SNOMED ID","(1223, 1232)","(1223, 1232)",back pain,back pain,161891005,134407002,11652327-DS-14,"the existing stent graft. He has no abdominal or back pain. Past Medical History: Notable for diabetes, hy" "Correct entity, wrong SNOMED ID","(1270, 1278)","(1270, 1278)",diabetes,diabetes,73211009,9414007,11652327-DS-14,"or back pain. Past Medical History: Notable for diabetes, hyperlipidemia, and hypertension. He also has " "Correct entity, wrong SNOMED ID","(1280, 1294)","(1280, 1294)",hyperlipidemia,hyperlipidemia,55822004,267434003,11652327-DS-14,"in. Past Medical History: Notable for diabetes, hyperlipidemia, and hypertension. He also has a history of anx" "Correct entity, wrong SNOMED ID","(1300, 1312)","(1300, 1312)",hypertension,hypertension,38341003,70995007,11652327-DS-14,"istory: Notable for diabetes, hyperlipidemia, and hypertension. He also has a history of anxiety, and depress" "Correct entity, wrong SNOMED ID","(1341, 1348)","(1341, 1348)",anxiety,anxiety,48694002,286644009,11652327-DS-14,"mia, and hypertension. He also has a history of anxiety, and depression. Social History: ___ Family Hi" "Correct entity, wrong SNOMED ID","(1355, 1365)","(1355, 1365)",depression,depression,35489007,26141007,11652327-DS-14,"tension. He also has a history of anxiety, and depression. Social History: ___ Family History: His father" "Correct entity, wrong SNOMED ID","(1427, 1442)","(1427, 1442)",aortic aneurysm,aortic aneurysm,67362008,161514008,11652327-DS-14,"istory: ___ Family History: His father died of an aortic aneurysm and his brother has one as well. His children ha" "Correct entity, wrong SNOMED ID","(1531, 1539)","(1531, 1539)",diabetes,diabetes,73211009,9414007,11652327-DS-14,"children have all been checked. Notable also for diabetes and breast cancer. Physical Exam: Upon dischar" "Correct entity, wrong SNOMED ID","(1544, 1557)","(1544, 1557)",breast cancer,breast cancer,254837009,134405005,11652327-DS-14," all been checked. Notable also for diabetes and breast cancer. Physical Exam: Upon discharge: Vitals 98.3 " "Correct entity, wrong SNOMED ID","(1594, 1600)","(1594, 1600)",Vitals,Vitals,118227000,260390007,11652327-DS-14,"breast cancer. Physical Exam: Upon discharge: Vitals 98.3 84 Sinus 102/59 17 97% Trach Mask" "Correct entity, wrong SNOMED ID","(1611, 1616)","(1611, 1616)",Sinus,Sinus,251150006,2095001,11652327-DS-14," Physical Exam: Upon discharge: Vitals 98.3 84 Sinus 102/59 17 97% Trach Mask 35% Gen: lying " "Correct entity, wrong SNOMED ID","(1655, 1658)","(1655, 1658)",Gen,Gen,162673000,420208008,11652327-DS-14," 84 Sinus 102/59 17 97% Trach Mask 35% Gen: lying in bed, no acute distress CV: sinus rhythm" "Correct entity, wrong SNOMED ID","(1660, 1672)","(1660, 1672)",lying in bed,lying in bed,17535004,1230176002,11652327-DS-14," Sinus 102/59 17 97% Trach Mask 35% Gen: lying in bed, no acute distress CV: sinus rhythm Pulm: on trac" "Correct entity, wrong SNOMED ID","(1683, 1691)","(1683, 1691)",distress,distress,69328002,271825005,11652327-DS-14," 97% Trach Mask 35% Gen: lying in bed, no acute distress CV: sinus rhythm Pulm: on trach mask, no respirat" "Correct entity, wrong SNOMED ID","(1692, 1694)","(1692, 1694)",CV,CV,363003006,258773002,11652327-DS-14,"ach Mask 35% Gen: lying in bed, no acute distress CV: sinus rhythm Pulm: on trach mask, no respiratory" "Correct entity, wrong SNOMED ID","(1696, 1708)","(1696, 1708)",sinus rhythm,sinus rhythm,251150006,64730000,11652327-DS-14,"Mask 35% Gen: lying in bed, no acute distress CV: sinus rhythm Pulm: on trach mask, no respiratory distress Abd:" "Correct entity, wrong SNOMED ID","(1709, 1713)","(1709, 1713)",Pulm,Pulm,268925001,90623003,11652327-DS-14," lying in bed, no acute distress CV: sinus rhythm Pulm: on trach mask, no respiratory distress Abd: soft" Wrong span,"(1745, 1753)","(1733, 1753)",distress,respiratory distress,69328002,1179627006,11652327-DS-14," sinus rhythm Pulm: on trach mask, no respiratory distress Abd: soft, non-tender, nondistended ___: WWP, pal" "Correct entity, wrong SNOMED ID","(1754, 1757)","(1754, 1757)",Abd,Abd,225162003,60728008,11652327-DS-14,"ythm Pulm: on trach mask, no respiratory distress Abd: soft, non-tender, nondistended ___: WWP, palp b/" "Correct entity, wrong SNOMED ID","(1765, 1775)","(1765, 1775)",non-tender,non-tender,43478001,298741000,11652327-DS-14,"on trach mask, no respiratory distress Abd: soft, non-tender, nondistended ___: WWP, palp b/l fem, pop and dp " Wrong span,"(1777, 1789)","(1777, 1783)",nondistended,nondis,300405003,441380004,11652327-DS-14,"k, no respiratory distress Abd: soft, non-tender, nondistended ___: WWP, palp b/l fem, pop and dp pulses Perti" "Correct entity, wrong SNOMED ID","(1795, 1798)","(1795, 1798)",WWP,WWP,1137685003,258001008,11652327-DS-14,"distress Abd: soft, non-tender, nondistended ___: WWP, palp b/l fem, pop and dp pulses Pertinent Resu" Wrong span,"(1800, 1804)","(1800, 1808)",palp,palp b/l,64908006,469771000124100,11652327-DS-14,"ess Abd: soft, non-tender, nondistended ___: WWP, palp b/l fem, pop and dp pulses Pertinent Results: C" "Correct entity, wrong SNOMED ID","(1822, 1831)","(1822, 1831)",dp pulses,dp pulses,301160009,169275004,11652327-DS-14,"der, nondistended ___: WWP, palp b/l fem, pop and dp pulses Pertinent Results: CTA torso ___ IMPRESSION: " Missed entity,"(1857, 1862)",,torso,,22943007,,11652327-DS-14,"l fem, pop and dp pulses Pertinent Results: CTA torso ___ IMPRESSION: 1. Status post interval pl" Missed entity,"(1889, 1900)",,Status post,,19585003,,11652327-DS-14,"nent Results: CTA torso ___ IMPRESSION: 1. Status post interval placement of aortic, SMA, and renal art" Wrong span,"(1910, 1929)","(1910, 1919)",placement of aortic,placement,428057004,228647003,11652327-DS-14,"so ___ IMPRESSION: 1. Status post interval placement of aortic, SMA, and renal artery stents. Peripheral wedg" "Correct entity, wrong SNOMED ID","(1931, 1934)","(1931, 1934)",SMA,SMA,42258001,784391002,11652327-DS-14," 1. Status post interval placement of aortic, SMA, and renal artery stents. Peripheral wedge-sha" "Correct entity, wrong SNOMED ID","(2062, 2078)","(2062, 2078)",renal infarction,renal infarction,45456005,85096001,11652327-DS-14,"eft lower pole of the kidney is consistent with renal infarction due to exclusion of an accessory lower pole ren" Missed entity,"(2103, 2137)",,"accessory lower pole renal artery",,85383006,,11652327-DS-14,"ent with renal infarction due to exclusion of an accessory lower pole renal artery, possibly accounting for patient's symptoms. No" "Correct entity, wrong SNOMED ID","(2216, 2223)","(2216, 2223)",abdomen,abdomen,818983003,225162003,11652327-DS-14,"ient's symptoms. No other acute process in the abdomen or pelvis is identified. 2. Bilateral pulmonary " "Correct entity, wrong SNOMED ID","(2227, 2233)","(2227, 2233)",pelvis,pelvis,12921003,25990002,11652327-DS-14,"toms. No other acute process in the abdomen or pelvis is identified. 2. Bilateral pulmonary ground-gla" Wrong span,"(2253, 2272)","(2263, 2272)",Bilateral pulmonary,pulmonary,74101002,419170002,11652327-DS-14,"ocess in the abdomen or pelvis is identified. 2. Bilateral pulmonary ground-glass opacities are worrisome for develop" "Correct entity, wrong SNOMED ID","(2327, 2337)","(2327, 2337)",infectious,infectious,40733004,366971000119100,11652327-DS-14,"nd-glass opacities are worrisome for developing infectious or inflammatory process. Extensive mediastinal a" "Correct entity, wrong SNOMED ID","(2341, 2353)","(2341, 2353)",inflammatory,inflammatory,128139000,103623002,11652327-DS-14,"ties are worrisome for developing infectious or inflammatory process. Extensive mediastinal and hilar lymph" "Correct entity, wrong SNOMED ID","(2374, 2385)","(2374, 2385)",mediastinal,mediastinal,52324001,363646005,11652327-DS-14,"g infectious or inflammatory process. Extensive mediastinal and hilar lymphadenopathy is likely reactive. " "Correct entity, wrong SNOMED ID","(2391, 2413)","(2391, 2413)","hilar lymphadenopathy","hilar lymphadenopathy",87500009,127141001,11652327-DS-14,"inflammatory process. Extensive mediastinal and hilar lymphadenopathy is likely reactive. 3. Underlying chronic inters" Wrong span,"(2449, 2456)","(2449, 2482)",chronic,chronic interstitial lung disease,27624003,434301000124102,11652327-DS-14,"ymphadenopathy is likely reactive. 3. Underlying chronic interstitial lung disease. 4. Pulmonary nodules " Wrong span,"(2475, 2482)","(2449, 2482)",disease,chronic interstitial lung disease,64572001,434301000124102,11652327-DS-14,"eactive. 3. Underlying chronic interstitial lung disease. 4. Pulmonary nodules measure up to 8 mm for whi" "Correct entity, wrong SNOMED ID","(2488, 2505)","(2488, 2505)",Pulmonary nodules,Pulmonary nodules,786838002,445249002,11652327-DS-14,"Underlying chronic interstitial lung disease. 4. Pulmonary nodules measure up to 8 mm for which CT is recommended a" "Correct entity, wrong SNOMED ID","(2630, 2647)","(2630, 2647)",pulmonary nodules,pulmonary nodules,786838002,445249002,11652327-DS-14,"ON(S): For incidentally detected multiple solid pulmonary nodules measuring 6 to 8mm, a CT follow-up in 3 to 6 mon" "Correct entity, wrong SNOMED ID","(2959, 2978)","(2959, 2978)",bilateral pneumonia,bilateral pneumonia,407671000,11796981000119102,11652327-DS-14,": IMPRESSION: Findings highly concerning for bilateral pneumonia on a background of combined pulmonary fibrosis " Wrong span,"(2999, 3050)","(3009, 3027)","combined pulmonary fibrosis and emphysema syndrome",pulmonary fibrosis,708030004,14700006,11652327-DS-14,"rning for bilateral pneumonia on a background of combined pulmonary fibrosis and emphysema syndrome. Mediastinal adenopathy, likely reactive. _" "Correct entity, wrong SNOMED ID","(3056, 3078)","(3056, 3078)",Mediastinal adenopathy,Mediastinal adenopathy,52324001,127109007,11652327-DS-14,"d pulmonary fibrosis and emphysema syndrome. Mediastinal adenopathy, likely reactive. ___ CT abd/pelvis: IMPRESSION" Missed entity,"(3140, 3148)",,No acute,,281900007,,11652327-DS-14,"ctive. ___ CT abd/pelvis: IMPRESSION: 1. No acute intra-abdominal process. ___ CT head IMPRESSION" "Correct entity, wrong SNOMED ID","(3149, 3164)","(3149, 3164)",intra-abdominal,intra-abdominal,123872000,189197001,11652327-DS-14,"___ CT abd/pelvis: IMPRESSION: 1. No acute intra-abdominal process. ___ CT head IMPRESSION: 1. No e" "Correct entity, wrong SNOMED ID","(3180, 3187)","(3180, 3187)",CT head,CT head,303653007,303654001,11652327-DS-14," 1. No acute intra-abdominal process. ___ CT head IMPRESSION: 1. No evidence of acute intrac" "Correct entity, wrong SNOMED ID","(3210, 3221)","(3210, 3221)",No evidence,No evidence,281900007,41647002,11652327-DS-14,"inal process. ___ CT head IMPRESSION: 1. No evidence of acute intracranial process or hemorrhage. 2. " Wrong span,"(3231, 3243)","(3231, 3251)",intracranial,intracranial process,128319008,731998000,11652327-DS-14,"T head IMPRESSION: 1. No evidence of acute intracranial process or hemorrhage. 2. Opacified bilateral ma" "Correct entity, wrong SNOMED ID","(3255, 3265)","(3255, 3265)",hemorrhage,hemorrhage,50960005,8573003,11652327-DS-14," 1. No evidence of acute intracranial process or hemorrhage. 2. Opacified bilateral mastoid air cells and mi" "Correct entity, wrong SNOMED ID","(3291, 3308)","(3291, 3308)",mastoid air cells,mastoid air cells,57222008,264093007,11652327-DS-14,"al process or hemorrhage. 2. Opacified bilateral mastoid air cells and middle ear cavities. No evidence of bony e" "Correct entity, wrong SNOMED ID","(3313, 3333)","(3313, 3333)","middle ear cavities","middle ear cavities",25342003,360386009,11652327-DS-14,"ge. 2. Opacified bilateral mastoid air cells and middle ear cavities. No evidence of bony erosion on this nondedicat" "Correct entity, wrong SNOMED ID","(3336, 3347)","(3336, 3347)",No evidence,No evidence,281900007,41647002,11652327-DS-14,"eral mastoid air cells and middle ear cavities. No evidence of bony erosion on this nondedicated study. Fin" Wrong span,"(3352, 3364)","(3352, 3356)",bony erosion,bony,788917000,870248007,11652327-DS-14," cells and middle ear cavities. No evidence of bony erosion on this nondedicated study. Findings could refl" Missed entity,"(3386, 3391)",,study,,386053000,,11652327-DS-14,"No evidence of bony erosion on this nondedicated study. Findings could reflect sequelae of chronic ot" Missed entity,"(3418, 3426)",,sequelae,,302049001,,11652327-DS-14,"this nondedicated study. Findings could reflect sequelae of chronic otitis media with bilateral mastoid e" Wrong span,"(3431, 3451)","(3431, 3438)",chronic otitis media,chronic,21186006,234347009,11652327-DS-14,"ated study. Findings could reflect sequelae of chronic otitis media with bilateral mastoid effusions. Correlate cl" Wrong span,"(3467, 3474)","(3457, 3484)",mastoid,bilateral mastoid effusions,450719005,7271000119107,11652327-DS-14," sequelae of chronic otitis media with bilateral mastoid effusions. Correlate clinically with patient's" Wrong span,"(3475, 3484)","(3457, 3484)",effusions,bilateral mastoid effusions,60046008,7271000119107,11652327-DS-14,"e of chronic otitis media with bilateral mastoid effusions. Correlate clinically with patient's symptoms," "Correct entity, wrong SNOMED ID","(3557, 3570)","(3557, 3570)","otitis media","otitis media",65363002,3110003,11652327-DS-14,"ly with patient's symptoms, including symptoms of otitis media. 3. Chronic findings include age-appropriate glo" Missed entity,"(3576, 3583)",,Chronic,,27624003,,11652327-DS-14,"ymptoms, including symptoms of otitis media. 3. Chronic findings include age-appropriate global parenchym" "Correct entity, wrong SNOMED ID","(3647, 3670)","(3647, 3670)",vascular calcifications,vascular calcifications,237897009,129759000,11652327-DS-14,"ude age-appropriate global parenchymal loss and vascular calcifications. ___ CT abd/pelvis IMPRESSION: 1. No acu" Wrong span,"(3678, 3691)","(3678, 3684)",CT abd/pelvis,CT abd,419394006,3941000175104,11652327-DS-14,"nchymal loss and vascular calcifications. ___ CT abd/pelvis IMPRESSION: 1. No acute process within the" Missed entity,"(3714, 3722)",,No acute,,281900007,,11652327-DS-14,"ations. ___ CT abd/pelvis IMPRESSION: 1. No acute process within the abdomen or pelvis. Specifical" "Correct entity, wrong SNOMED ID","(3742, 3749)","(3742, 3749)",abdomen,abdomen,818983003,364449002,11652327-DS-14,"IMPRESSION: 1. No acute process within the abdomen or pelvis. Specifically, no intra-abdominal or" "Correct entity, wrong SNOMED ID","(3753, 3759)","(3753, 3759)",pelvis,pelvis,12921003,25990002,11652327-DS-14," 1. No acute process within the abdomen or pelvis. Specifically, no intra-abdominal or intrapelv" "Correct entity, wrong SNOMED ID","(3781, 3796)","(3781, 3796)",intra-abdominal,intra-abdominal,123872000,189197001,11652327-DS-14,"within the abdomen or pelvis. Specifically, no intra-abdominal or intrapelvic fluid collection. 2. Unchanged sp" "Correct entity, wrong SNOMED ID","(3812, 3828)","(3812, 3828)",fluid collection,fluid collection,17672001,231061006,11652327-DS-14,"Specifically, no intra-abdominal or intrapelvic fluid collection. 2. Unchanged splenomegaly. 3. Patent aorto bi-" "Correct entity, wrong SNOMED ID","(3844, 3856)","(3844, 3856)",splenomegaly,splenomegaly,16294009,19058002,11652327-DS-14,"al or intrapelvic fluid collection. 2. Unchanged splenomegaly. 3. Patent aorto bi-iliac stent graft, ___ stent" Wrong span,"(3884, 3889)","(3869, 3895)",stent,aorto bi-iliac stent graft,233404000,609162005,11652327-DS-14,"Unchanged splenomegaly. 3. Patent aorto bi-iliac stent graft, ___ stent, and bilateral renal artery st" Wrong span,"(3890, 3895)","(3869, 3895)",graft,aorto bi-iliac stent graft,24486003,609162005,11652327-DS-14,"ged splenomegaly. 3. Patent aorto bi-iliac stent graft, ___ stent, and bilateral renal artery stents w" "Correct entity, wrong SNOMED ID","(3901, 3906)","(3901, 3906)",stent,stent,233404000,1287503001,11652327-DS-14,"egaly. 3. Patent aorto bi-iliac stent graft, ___ stent, and bilateral renal artery stents without defi" "Correct entity, wrong SNOMED ID","(3973, 3981)","(3973, 3981)",endoleak,endoleak,1208762007,1208768006,11652327-DS-14,"renal artery stents without definite evidence of endoleak. 4. Please see separate report performed on the " "Correct entity, wrong SNOMED ID","(4055, 4065)","(4055, 4065)",evaluation,evaluation,386053000,39609006,11652327-DS-14,"e report performed on the same day for detailed evaluation of the chest. ___ CT chest: IMPRESSION: " "Correct entity, wrong SNOMED ID","(4073, 4078)","(4073, 4078)",chest,chest,51185008,177765008,11652327-DS-14," on the same day for detailed evaluation of the chest. ___ CT chest: IMPRESSION: 1. Extensive " "Correct entity, wrong SNOMED ID","(4173, 4182)","(4173, 4182)",pneumonia,pneumonia,233604007,415125002,11652327-DS-14,"sive bilateral lobe consolidations suggestive of pneumonia or aspiration are overall improved compared to p" "Correct entity, wrong SNOMED ID","(4187, 4197)","(4187, 4197)",aspiration,aspiration,422588002,68052005,11652327-DS-14," lobe consolidations suggestive of pneumonia or aspiration are overall improved compared to prior. No sign" "Correct entity, wrong SNOMED ID","(4210, 4218)","(4210, 4218)",improved,improved,268910001,251359002,11652327-DS-14,"ggestive of pneumonia or aspiration are overall improved compared to prior. No significant change in li" "Correct entity, wrong SNOMED ID","(4282, 4293)","(4282, 4293)",mediastinal,mediastinal,52324001,363646005,11652327-DS-14,"rior. No significant change in likely reactive mediastinal and hilar lymphadenopathy. 2. Worsened, small pe" "Correct entity, wrong SNOMED ID","(4298, 4319)","(4298, 4319)",hilar lymphadenopathy,hilar lymphadenopathy,87500009,127141001,11652327-DS-14,"ficant change in likely reactive mediastinal and hilar lymphadenopathy. 2. Worsened, small pericardial effusion. 3. Re" "Correct entity, wrong SNOMED ID","(4341, 4361)","(4341, 4361)",pericardial effusion,pericardial effusion,373945007,1230405007,11652327-DS-14,"al and hilar lymphadenopathy. 2. Worsened, small pericardial effusion. 3. Redemonstration of chronic emphysema and bro" "Correct entity, wrong SNOMED ID","(4408, 4422)","(4408, 4422)",bronchiectasis,bronchiectasis,12295008,51068008,11652327-DS-14,"ion. 3. Redemonstration of chronic emphysema and bronchiectasis. 4. 8 mm left upper lobe nodule. Recommend foll" "Correct entity, wrong SNOMED ID","(4433, 4448)","(4433, 4448)",left upper lobe,left upper lobe,44714003,200581009,11652327-DS-14,"of chronic emphysema and bronchiectasis. 4. 8 mm left upper lobe nodule. Recommend follow-up chest CT as recomme" "Correct entity, wrong SNOMED ID","(4449, 4455)","(4449, 4455)",nodule,nodule,27925004,237495005,11652327-DS-14,"sema and bronchiectasis. 4. 8 mm left upper lobe nodule. Recommend follow-up chest CT as recommended i" Missed entity,"(4468, 4477)",,follow-up,,281036007,,11652327-DS-14,"asis. 4. 8 mm left upper lobe nodule. Recommend follow-up chest CT as recommended in recent CTA torso dat" Wrong span,"(4514, 4517)","(4514, 4523)",CTA,CTA torso,418272005,262225004,11652327-DS-14,"end follow-up chest CT as recommended in recent CTA torso dated ___. 5. Please refer to separate rep" Wrong span,"(4518, 4523)","(4514, 4523)",torso,CTA torso,22943007,262225004,11652327-DS-14,"follow-up chest CT as recommended in recent CTA torso dated ___. 5. Please refer to separate report fr" "Correct entity, wrong SNOMED ID","(4641, 4650)","(4641, 4650)",diaphragm,diaphragm,5798000,88936002,11652327-DS-14,"bdomen pelvis for description of findings below diaphragm. ___ CT a/p IMPRESSION: -New indetermina" Missed entity,"(4658, 4664)",,CT a/p,,419394006,,11652327-DS-14,"r description of findings below diaphragm. ___ CT a/p IMPRESSION: -New indeterminate peripherall" "Correct entity, wrong SNOMED ID","(4726, 4733)","(4726, 4733)",lesions,lesions,52988006,246206008,11652327-DS-14," -New indeterminate peripherally enhancing lesions in the muscle of the pelvis; they could represe" "Correct entity, wrong SNOMED ID","(4741, 4747)","(4741, 4747)",muscle,muscle,71616004,102290008,11652327-DS-14,"determinate peripherally enhancing lesions in the muscle of the pelvis; they could represent intramuscul" Missed entity,"(4756, 4762)",,pelvis,,12921003,,11652327-DS-14,"ipherally enhancing lesions in the muscle of the pelvis; they could represent intramuscular abscesses or" "Correct entity, wrong SNOMED ID","(4786, 4809)","(4786, 4809)",intramuscular abscesses,intramuscular abscesses,203019005,281754001,11652327-DS-14," the muscle of the pelvis; they could represent intramuscular abscesses or myonecrosis. Intramuscular hematoma cannot " "Correct entity, wrong SNOMED ID","(4828, 4851)","(4828, 4851)","Intramuscular hematoma","Intramuscular hematoma",262969000,281753007,11652327-DS-14,"present intramuscular abscesses or myonecrosis. Intramuscular hematoma cannot be excluded especially in the right intern" Wrong span,"(4895, 4921)","(4889, 4921)","internal obturator muscle","right internal obturator muscle",82115007,764767004,11652327-DS-14,"matoma cannot be excluded especially in the right internal obturator muscle. -No intra-abdominal acute process. RECOMMEN" "Correct entity, wrong SNOMED ID","(4928, 4943)","(4928, 4943)",intra-abdominal,intra-abdominal,123872000,189197001,11652327-DS-14,"lly in the right internal obturator muscle. -No intra-abdominal acute process. RECOMMENDATION(S): Non emerge" "Correct entity, wrong SNOMED ID","(4996, 5006)","(4996, 5006)",pelvic MRI,pelvic MRI,2690005,432882000,11652327-DS-14,"ute process. RECOMMENDATION(S): Non emergent pelvic MRI ___ CT chest IMPRESSION: -Interval decre" "Correct entity, wrong SNOMED ID","(5091, 5100)","(5091, 5100)",opacities,opacities,128305008,422061002,11652327-DS-14,"-Interval decrease but persistence of parenchymal opacities that could represent aspiration with superimpos" "Correct entity, wrong SNOMED ID","(5124, 5134)","(5124, 5134)",aspiration,aspiration,422588002,68052005,11652327-DS-14,"e of parenchymal opacities that could represent aspiration with superimposed infection. ___ MRI pelvis IMP" Wrong span,"(5140, 5162)","(5153, 5162)",superimposed infection,infection,193198003,260976002,11652327-DS-14," opacities that could represent aspiration with superimposed infection. ___ MRI pelvis IMPRESSION: 1. Multilocu" "Correct entity, wrong SNOMED ID","(5170, 5180)","(5170, 5180)",MRI pelvis,MRI pelvis,2690005,446315002,11652327-DS-14,"ent aspiration with superimposed infection. ___ MRI pelvis IMPRESSION: 1. Multiloculated centrally no" "Correct entity, wrong SNOMED ID","(5241, 5247)","(5241, 5247)",lesion,lesion,52988006,120609008,11652327-DS-14,": 1. Multiloculated centrally nonenhancing lesion with surrounding enhancement expanding the righ" Wrong span,"(5299, 5324)","(5293, 5324)",obturator internus muscle,right obturator internus muscle,82115007,764767004,11652327-DS-14,"ith surrounding enhancement expanding the right obturator internus muscle is likely a hematoma. No drainable fluid colle" "Correct entity, wrong SNOMED ID","(5338, 5346)","(5338, 5346)",hematoma,hematoma,35566002,784408000,11652327-DS-14," the right obturator internus muscle is likely a hematoma. No drainable fluid collection is identified. " Wrong span,"(5363, 5379)","(5363, 5368)",fluid collection,fluid,17672001,109192009,11652327-DS-14,"rnus muscle is likely a hematoma. No drainable fluid collection is identified. 2. Ill-defined area of non enhanc" Wrong span,"(5447, 5470)","(5442, 5470)","gluteus maximus muscle","left gluteus maximus muscle",206007,1236872009,11652327-DS-14,". Ill-defined area of non enhancement in the left gluteus maximus muscle may reflect myonecrosis. This area is predomina" "Correct entity, wrong SNOMED ID","(5572, 5577)","(5572, 5577)",fluid,fluid,17672001,109192009,11652327-DS-14,"ly low signal on T2 suggesting that this is not fluid. 3. Area of hyperenhancement with multiple inter" Wrong span,"(5670, 5692)","(5664, 5692)",gluteus maximus muscle,right gluteus maximus muscle,206007,1236873004,11652327-DS-14,"e internal foci of hypoenhancement in the right gluteus maximus muscle is nonspecific but may reflect developing myone" Wrong span,"(5776, 5791)","(5776, 5797)",adductor muscle,adductor muscle edema,44487003,397970031000119102,11652327-DS-14,"eveloping myonecrosis. 4. Bilateral gluteal and adductor muscle edema. ___ TEE CONCLUSION: There is no spontane" Wrong span,"(5792, 5797)","(5776, 5797)",edema,adductor muscle edema,267038008,397970031000119102,11652327-DS-14,"crosis. 4. Bilateral gluteal and adductor muscle edema. ___ TEE CONCLUSION: There is no spontaneous ec" Missed entity,"(5805, 5808)",,TEE,,105376000,,11652327-DS-14,"ilateral gluteal and adductor muscle edema. ___ TEE CONCLUSION: There is no spontaneous echo contrast" "Correct entity, wrong SNOMED ID","(5862, 5870)","(5862, 5870)",thrombus,thrombus,396339007,373140001,11652327-DS-14,"CLUSION: There is no spontaneous echo contrast or thrombus in the body of the left atrium/left atrial appen" "Correct entity, wrong SNOMED ID","(5891, 5902)","(5891, 5902)",left atrium,left atrium,82471001,312026008,11652327-DS-14,"ous echo contrast or thrombus in the body of the left atrium/left atrial appendage. The left atrial appendage " "Correct entity, wrong SNOMED ID","(5903, 5924)","(5903, 5924)",left atrial appendage,left atrial appendage,33626005,277930000,11652327-DS-14,"trast or thrombus in the body of the left atrium/left atrial appendage. The left atrial appendage ejection velocity is m" Wrong span,"(5930, 5951)","(5930, 5960)",left atrial appendage,left atrial appendage ejection,33626005,253337009,11652327-DS-14,"dy of the left atrium/left atrial appendage. The left atrial appendage ejection velocity is mildly depressed. No sponta" Missed entity,"(5980, 5989)",,depressed,,21762000,,11652327-DS-14,"left atrial appendage ejection velocity is mildly depressed. No spontaneous echo contrast or thrombus is see" Wrong span,"(6007, 6011)","(6007, 6020)",echo,echo contrast,40701008,785775005,11652327-DS-14,"ion velocity is mildly depressed. No spontaneous echo contrast or thrombus is seen in the body of the r" "Correct entity, wrong SNOMED ID","(6024, 6032)","(6024, 6032)",thrombus,thrombus,396339007,373140001,11652327-DS-14,"ildly depressed. No spontaneous echo contrast or thrombus is seen in the body of the right atrium/right atr" "Correct entity, wrong SNOMED ID","(6060, 6072)","(6060, 6072)",right atrium,right atrium,73829009,128591008,11652327-DS-14,"o contrast or thrombus is seen in the body of the right atrium/right atrial appendage. The right atrial appenda" "Correct entity, wrong SNOMED ID","(6073, 6095)","(6073, 6095)",right atrial appendage,right atrial appendage,68300000,277713005,11652327-DS-14," thrombus is seen in the body of the right atrium/right atrial appendage. The right atrial appendage ejection velocity is" "Correct entity, wrong SNOMED ID","(6102, 6124)","(6102, 6124)",right atrial appendage,right atrial appendage,68300000,277713005,11652327-DS-14," of the right atrium/right atrial appendage. The right atrial appendage ejection velocity is depressed. There is no evide" Missed entity,"(6146, 6155)",,depressed,,21762000,,11652327-DS-14," The right atrial appendage ejection velocity is depressed. There is no evidence for an atrial septal defect" Missed entity,"(6166, 6177)",,no evidence,,281900007,,11652327-DS-14,"ppendage ejection velocity is depressed. There is no evidence for an atrial septal defect by 2D/color Doppler." "Correct entity, wrong SNOMED ID","(6185, 6205)","(6185, 6205)",atrial septal defect,atrial septal defect,70142008,204315000,11652327-DS-14,"elocity is depressed. There is no evidence for an atrial septal defect by 2D/color Doppler. There are no aortic arch at" "Correct entity, wrong SNOMED ID","(6213, 6226)","(6213, 6226)",color Doppler,color Doppler,423736003,261197005,11652327-DS-14,"is no evidence for an atrial septal defect by 2D/color Doppler. There are no aortic arch atheroma with simple at" Wrong span,"(6241, 6252)","(6241, 6261)",aortic arch,"aortic arch atheroma",57034009,895205251000119104,11652327-DS-14," septal defect by 2D/color Doppler. There are no aortic arch atheroma with simple atheroma in the descending a" Wrong span,"(6253, 6261)","(6241, 6261)",atheroma,"aortic arch atheroma",48434008,895205251000119104,11652327-DS-14,"ct by 2D/color Doppler. There are no aortic arch atheroma with simple atheroma in the descending aorta. The" "Correct entity, wrong SNOMED ID","(6274, 6282)","(6274, 6282)",atheroma,atheroma,48434008,29483008,11652327-DS-14,"er. There are no aortic arch atheroma with simple atheroma in the descending aorta. The aortic valve leafle" "Correct entity, wrong SNOMED ID","(6290, 6306)","(6290, 6306)",descending aorta,descending aorta,281130003,253652009,11652327-DS-14," aortic arch atheroma with simple atheroma in the descending aorta. The aortic valve leaflets (3) are mildly thicke" "Correct entity, wrong SNOMED ID","(6313, 6334)","(6313, 6334)",aortic valve leaflets,aortic valve leaflets,6530003,232899001,11652327-DS-14,"ith simple atheroma in the descending aorta. The aortic valve leaflets (3) are mildly thickened. No masses or vegetation" "Correct entity, wrong SNOMED ID","(6343, 6359)","(6343, 6359)",mildly thickened,mildly thickened,89977008,309085000,11652327-DS-14,"cending aorta. The aortic valve leaflets (3) are mildly thickened. No masses or vegetations are seen on the aortic " "Correct entity, wrong SNOMED ID","(6364, 6370)","(6364, 6370)",masses,masses,4147007,237557003,11652327-DS-14,"ortic valve leaflets (3) are mildly thickened. No masses or vegetations are seen on the aortic valve. No a" "Correct entity, wrong SNOMED ID","(6374, 6385)","(6374, 6385)",vegetations,vegetations,363564008,63998007,11652327-DS-14,"e leaflets (3) are mildly thickened. No masses or vegetations are seen on the aortic valve. No abscess is seen" "Correct entity, wrong SNOMED ID","(6402, 6414)","(6402, 6414)",aortic valve,aortic valve,34202007,60573004,11652327-DS-14,"ickened. No masses or vegetations are seen on the aortic valve. No abscess is seen. There is no aortic regurgit" "Correct entity, wrong SNOMED ID","(6419, 6426)","(6419, 6426)",abscess,abscess,128477000,196341005,11652327-DS-14,"s or vegetations are seen on the aortic valve. No abscess is seen. There is no aortic regurgitation. The m" "Correct entity, wrong SNOMED ID","(6449, 6469)","(6449, 6469)",aortic regurgitation,aortic regurgitation,60234000,61612001,11652327-DS-14,"he aortic valve. No abscess is seen. There is no aortic regurgitation. The mitral valve leaflets appear structurally no" Wrong span,"(6475, 6523)","(6475, 6503)",mitral valve leaflets appear structurally normal,mitral valve leaflets appear,301103009,473374005,11652327-DS-14,"s is seen. There is no aortic regurgitation. The mitral valve leaflets appear structurally normal with no mitral valve prolapse. No masses or vege" "Correct entity, wrong SNOMED ID","(6532, 6554)","(6532, 6554)","mitral valve prolapse","mitral valve prolapse",409712001,286031000119106,11652327-DS-14,"valve leaflets appear structurally normal with no mitral valve prolapse. No masses or vegetations are seen on the mitral " "Correct entity, wrong SNOMED ID","(6559, 6565)","(6559, 6565)",masses,masses,4147007,237557003,11652327-DS-14,"turally normal with no mitral valve prolapse. No masses or vegetations are seen on the mitral valve. No a" "Correct entity, wrong SNOMED ID","(6569, 6580)","(6569, 6580)",vegetations,vegetations,363564008,63998007,11652327-DS-14,"rmal with no mitral valve prolapse. No masses or vegetations are seen on the mitral valve. No abscess is seen." "Correct entity, wrong SNOMED ID","(6597, 6609)","(6597, 6609)",mitral valve,mitral valve,91134007,78196008,11652327-DS-14,"rolapse. No masses or vegetations are seen on the mitral valve. No abscess is seen. There is mild [1+] mitral r" "Correct entity, wrong SNOMED ID","(6614, 6621)","(6614, 6621)",abscess,abscess,128477000,196341005,11652327-DS-14,"s or vegetations are seen on the mitral valve. No abscess is seen. There is mild [1+] mitral regurgitation" "Correct entity, wrong SNOMED ID","(6640, 6671)","(6640, 6671)","mild [1+] mitral regurgitation","mild [1+] mitral regurgitation",838451005,373116009,11652327-DS-14,"on the mitral valve. No abscess is seen. There is mild [1+] mitral regurgitation. The tricuspid valve leaflets appear structurally" Wrong span,"(6677, 6728)","(6677, 6701)","tricuspid valve leaflets appear structurally normal","tricuspid valve leaflets",301111004,457617003,11652327-DS-14,"en. There is mild [1+] mitral regurgitation. The tricuspid valve leaflets appear structurally normal. No mass/vegetation are seen on the tricuspid va" "Correct entity, wrong SNOMED ID","(6733, 6737)","(6733, 6737)",mass,mass,4147007,237557003,11652327-DS-14,"pid valve leaflets appear structurally normal. No mass/vegetation are seen on the tricuspid valve. No a" "Correct entity, wrong SNOMED ID","(6738, 6748)","(6738, 6748)",vegetation,vegetation,363564008,459055004,11652327-DS-14,"alve leaflets appear structurally normal. No mass/vegetation are seen on the tricuspid valve. No abscess is s" "Correct entity, wrong SNOMED ID","(6766, 6781)","(6766, 6781)",tricuspid valve,tricuspid valve,46030003,253378006,11652327-DS-14,"rally normal. No mass/vegetation are seen on the tricuspid valve. No abscess is seen. There is mild [1+] tricuspid" "Correct entity, wrong SNOMED ID","(6786, 6793)","(6786, 6793)",abscess,abscess,128477000,196341005,11652327-DS-14,"s/vegetation are seen on the tricuspid valve. No abscess is seen. There is mild [1+] tricuspid regurgitati" "Correct entity, wrong SNOMED ID","(6875, 6883)","(6875, 6883)",thrombus,thrombus,396339007,373140001,11652327-DS-14,"cuspid regurgitation. IMPRESSION: No intracardiac thrombus or valvular vegetations seen. Mild mitral and tr" "Correct entity, wrong SNOMED ID","(6887, 6895)","(6887, 6895)",valvular,valvular,386109007,10337008,11652327-DS-14,"gitation. IMPRESSION: No intracardiac thrombus or valvular vegetations seen. Mild mitral and tricuspid regu" "Correct entity, wrong SNOMED ID","(6896, 6907)","(6896, 6907)",vegetations,vegetations,363564008,63998007,11652327-DS-14," IMPRESSION: No intracardiac thrombus or valvular vegetations seen. Mild mitral and tricuspid regurgitation. " "Correct entity, wrong SNOMED ID","(6915, 6926)","(6915, 6926)",Mild mitral,Mild mitral,838451005,250988002,11652327-DS-14,"racardiac thrombus or valvular vegetations seen. Mild mitral and tricuspid regurgitation. ___ CTA torso IMPRE" "Correct entity, wrong SNOMED ID","(6931, 6954)","(6931, 6954)",tricuspid regurgitation,tricuspid regurgitation,838454002,83119008,11652327-DS-14,"us or valvular vegetations seen. Mild mitral and tricuspid regurgitation. ___ CTA torso IMPRESSION: 1. No evidence" Missed entity,"(6961, 6964)",,CTA,,418272005,,11652327-DS-14,"en. Mild mitral and tricuspid regurgitation. ___ CTA torso IMPRESSION: 1. No evidence of mesent" Missed entity,"(6965, 6970)",,torso,,22943007,,11652327-DS-14,"Mild mitral and tricuspid regurgitation. ___ CTA torso IMPRESSION: 1. No evidence of mesenteric i" "Correct entity, wrong SNOMED ID","(6993, 7004)","(6993, 7004)",No evidence,No evidence,281900007,41647002,11652327-DS-14,"gurgitation. ___ CTA torso IMPRESSION: 1. No evidence of mesenteric ischemia. Patent vasculature. Due" Missed entity,"(7069, 7077)",,artifact,,47973001,,11652327-DS-14,"ischemia. Patent vasculature. Due to metallic artifact, patency of a superior mesenteric artery stent is" Wrong span,"(7092, 7118)","(7092, 7100)",superior mesenteric artery,superior,42258001,415670009,11652327-DS-14,"lature. Due to metallic artifact, patency of a superior mesenteric artery stent is not well assessed with this technique." "Correct entity, wrong SNOMED ID","(7119, 7124)","(7119, 7124)",stent,stent,233404000,1287503001,11652327-DS-14,"artifact, patency of a superior mesenteric artery stent is not well assessed with this technique. 2. I" "Correct entity, wrong SNOMED ID","(7246, 7260)","(7246, 7260)",consolidations,consolidations,9656002,95436008,11652327-DS-14," extensive bilateral ground-glass opacities and consolidations a consist with multifocal infection, ARDS, or bo" "Correct entity, wrong SNOMED ID","(7287, 7296)","(7287, 7296)",infection,infection,40733004,260976002,11652327-DS-14,"ies and consolidations a consist with multifocal infection, ARDS, or both. Underlying interstitial diseas" "Correct entity, wrong SNOMED ID","(7298, 7302)","(7298, 7302)",ARDS,ARDS,67782005,94671000119102,11652327-DS-14,"nsolidations a consist with multifocal infection, ARDS, or both. Underlying interstitial disease may " "Correct entity, wrong SNOMED ID","(7327, 7347)","(7327, 7347)",interstitial disease,interstitial disease,233703007,434301000124102,11652327-DS-14,"ultifocal infection, ARDS, or both. Underlying interstitial disease may also be present and a differential would be " Wrong span,"(7415, 7435)","(7407, 7435)",interstitial disease,chronic interstitial disease,233703007,434301000124102,11652327-DS-14,"nt and a differential would be acute on chronic interstitial disease. Associated mediastinal lymphadenopathy has sl" "Correct entity, wrong SNOMED ID","(7449, 7477)","(7449, 7477)","mediastinal lymphadenopathy","mediastinal lymphadenopathy",52324001,127109007,11652327-DS-14,"ute on chronic interstitial disease. Associated mediastinal lymphadenopathy has slightly increased. Differential for this a" "Correct entity, wrong SNOMED ID","(7541, 7571)","(7541, 7571)","lymphoproliferative disorders","lymphoproliferative disorders",277466009,20991001,11652327-DS-14," increased. Differential for this also includes lymphoproliferative disorders. 3. Interval increase in small volume ascites an" "Correct entity, wrong SNOMED ID","(7611, 7618)","(7611, 7618)",ascites,ascites,389026000,860638000,11652327-DS-14," disorders. 3. Interval increase in small volume ascites and small bilateral pleural effusions. 4. New " "Correct entity, wrong SNOMED ID","(7688, 7700)","(7688, 7700)",foreign body,foreign body,19227008,125245002,11652327-DS-14," pleural effusions. 4. New hyperdense ingested foreign body posteriorly within the stomach resembles a toot" "Correct entity, wrong SNOMED ID","(7725, 7732)","(7725, 7732)",stomach,stomach,69695003,169008005,11652327-DS-14,"nse ingested foreign body posteriorly within the stomach resembles a tooth. ___ CT head IMPRESSION: " "Correct entity, wrong SNOMED ID","(7746, 7751)","(7746, 7751)",tooth,tooth,245543004,710007003,11652327-DS-14,"body posteriorly within the stomach resembles a tooth. ___ CT head IMPRESSION: 1. Late subacut" Missed entity,"(7759, 7766)",,CT head,,303653007,,11652327-DS-14,"rly within the stomach resembles a tooth. ___ CT head IMPRESSION: 1. Late subacute to chronic ri" Missed entity,"(7806, 7813)",,chronic,,27624003,,11652327-DS-14,"__ CT head IMPRESSION: 1. Late subacute to chronic right cerebral hemisphere, left cerebellar infa" "Correct entity, wrong SNOMED ID","(7814, 7839)","(7814, 7839)",right cerebral hemisphere,right cerebral hemisphere,5228007,362322002,11652327-DS-14,"ad IMPRESSION: 1. Late subacute to chronic right cerebral hemisphere, left cerebellar infarcts. 2. Opacified mastoi" Wrong span,"(7841, 7845)","(7841, 7867)",left,"left cerebellar infarcts",1010600003,16024151000119105,11652327-DS-14,"te subacute to chronic right cerebral hemisphere, left cerebellar infarcts. 2. Opacified mastoids, mi" Wrong span,"(7847, 7867)","(7841, 7867)","cerebellar infarcts","left cerebellar infarcts",95460007,16024151000119105,11652327-DS-14,"acute to chronic right cerebral hemisphere, left cerebellar infarcts. 2. Opacified mastoids, middle ear cavities, lik" "Correct entity, wrong SNOMED ID","(7883, 7891)","(7883, 7891)",mastoids,mastoids,59066005,265784008,11652327-DS-14,"sphere, left cerebellar infarcts. 2. Opacified mastoids, middle ear cavities, likely from nasal intubati" "Correct entity, wrong SNOMED ID","(7893, 7912)","(7893, 7912)",middle ear cavities,middle ear cavities,25342003,360386009,11652327-DS-14,"ft cerebellar infarcts. 2. Opacified mastoids, middle ear cavities, likely from nasal intubation. ___ CT neck IMP" "Correct entity, wrong SNOMED ID","(7926, 7943)","(7926, 7943)","nasal intubation","nasal intubation",232679009,232681006,11652327-DS-14,"cified mastoids, middle ear cavities, likely from nasal intubation. ___ CT neck IMPRESSION: 1. Borderline n" "Correct entity, wrong SNOMED ID","(7951, 7958)","(7951, 7958)",CT neck,CT neck,169068008,718015004,11652327-DS-14,"ar cavities, likely from nasal intubation. ___ CT neck IMPRESSION: 1. Borderline neck lymph nodes" "Correct entity, wrong SNOMED ID","(7992, 8008)","(7992, 8008)",neck lymph nodes,neck lymph nodes,81105003,127235000,11652327-DS-14,"n. ___ CT neck IMPRESSION: 1. Borderline neck lymph nodes, measure up to 1 cm, may be reactive. 2. Refer " Wrong span,"(8066, 8078)","(8061, 8068)","CT, chest CT",head CT,169069000,303653007,11652327-DS-14,"e up to 1 cm, may be reactive. 2. Refer to head CT, chest CT report from today. ___ CT chest IMPRESSION: " "Correct entity, wrong SNOMED ID","(8144, 8157)","(8144, 8157)",consolidation,consolidation,9656002,95436008,11652327-DS-14,"ay. ___ CT chest IMPRESSION: 1. Extensive consolidation and ground-glass opacities throughout the lungs," "Correct entity, wrong SNOMED ID","(8201, 8206)","(8201, 8206)",lungs,lungs,39607008,169115000,11652327-DS-14,"dation and ground-glass opacities throughout the lungs, most pronounced in the bilateral lower lobes, n" "Correct entity, wrong SNOMED ID","(8242, 8253)","(8242, 8253)",lower lobes,lower lobes,90572001,41224006,11652327-DS-14,"hout the lungs, most pronounced in the bilateral lower lobes, not significantly changed compared to prior CT" "Correct entity, wrong SNOMED ID","(8346, 8350)","(8346, 8350)",ARDS,ARDS,67782005,94671000119102,11652327-DS-14,"rior CT from ___. Findings are compatible with ARDS and/or multifocal pneumonia.. 2. Extensive hone" "Correct entity, wrong SNOMED ID","(8369, 8378)","(8369, 8378)",pneumonia,pneumonia,233604007,415125002,11652327-DS-14,"ings are compatible with ARDS and/or multifocal pneumonia.. 2. Extensive honeycombing of the lungs, in ke" Missed entity,"(8396, 8408)",,honeycombing,,47260009,,11652327-DS-14,"ARDS and/or multifocal pneumonia.. 2. Extensive honeycombing of the lungs, in keeping with background inters" "Correct entity, wrong SNOMED ID","(8416, 8421)","(8416, 8421)",lungs,lungs,39607008,169115000,11652327-DS-14,"al pneumonia.. 2. Extensive honeycombing of the lungs, in keeping with background interstitial lung d" "Correct entity, wrong SNOMED ID","(8452, 8477)","(8452, 8477)",interstitial lung disease,interstitial lung disease,233703007,434301000124102,11652327-DS-14,"ombing of the lungs, in keeping with background interstitial lung disease. 3. Mediastinal, bilateral hilar and supraclavi" "Correct entity, wrong SNOMED ID","(8484, 8495)","(8484, 8495)",Mediastinal,Mediastinal,52324001,363646005,11652327-DS-14,"with background interstitial lung disease. 3. Mediastinal, bilateral hilar and supraclavicular lymphadenop" "Correct entity, wrong SNOMED ID","(8507, 8512)","(8507, 8512)",hilar,hilar,87500009,264508001,11652327-DS-14,"stitial lung disease. 3. Mediastinal, bilateral hilar and supraclavicular lymphadenopathy is unchange" "Correct entity, wrong SNOMED ID","(8517, 8549)","(8517, 8549)","supraclavicular lymphadenopathy","supraclavicular lymphadenopathy",127088000,127241007,11652327-DS-14,"ng disease. 3. Mediastinal, bilateral hilar and supraclavicular lymphadenopathy is unchanged. 4. Small bilateral pleural effusi" "Correct entity, wrong SNOMED ID","(8659, 8663)","(8659, 8663)",left,left,44029006,264745005,11652327-DS-14,"nged on the right and slightly increased on the left. 4. For evaluation of the neck and abdomen plea" "Correct entity, wrong SNOMED ID","(8674, 8684)","(8674, 8684)",evaluation,evaluation,386053000,39609006,11652327-DS-14,"ht and slightly increased on the left. 4. For evaluation of the neck and abdomen please see the dedicated" "Correct entity, wrong SNOMED ID","(8692, 8696)","(8692, 8696)",neck,neck,45048000,840674001,11652327-DS-14,"increased on the left. 4. For evaluation of the neck and abdomen please see the dedicated CTs which " "Correct entity, wrong SNOMED ID","(8701, 8708)","(8701, 8708)",abdomen,abdomen,818983003,225162003,11652327-DS-14," on the left. 4. For evaluation of the neck and abdomen please see the dedicated CTs which were obtaine" Missed entity,"(8784, 8790)",,CT a/p,,419394006,,11652327-DS-14," CTs which were obtained at the same time. ___ CT a/p IMPRESSION: 1. No source of infection i" "Correct entity, wrong SNOMED ID","(8829, 8838)","(8829, 8838)",infection,infection,40733004,246083009,11652327-DS-14," ___ CT a/p IMPRESSION: 1. No source of infection identified in the abdomen or pelvis. 2. Mild per" "Correct entity, wrong SNOMED ID","(8857, 8864)","(8857, 8864)",abdomen,abdomen,818983003,75093004,11652327-DS-14," 1. No source of infection identified in the abdomen or pelvis. 2. Mild perisplenic and perihepatic a" "Correct entity, wrong SNOMED ID","(8868, 8874)","(8868, 8874)",pelvis,pelvis,12921003,25990002,11652327-DS-14," source of infection identified in the abdomen or pelvis. 2. Mild perisplenic and perihepatic ascites. 3" Wrong span,"(8901, 8912)","(8901, 8920)",perihepatic,perihepatic ascites,29055000,236004002,11652327-DS-14,"n the abdomen or pelvis. 2. Mild perisplenic and perihepatic ascites. 3. Right obturator internus hematoma is" Wrong span,"(8913, 8920)","(8901, 8920)",ascites,perihepatic ascites,389026000,236004002,11652327-DS-14,"n or pelvis. 2. Mild perisplenic and perihepatic ascites. 3. Right obturator internus hematoma is not sig" Wrong span,"(8932, 8950)","(8932, 8959)",obturator internus,obturator internus hematoma,82115007,245025008,11652327-DS-14,"ld perisplenic and perihepatic ascites. 3. Right obturator internus hematoma is not significantly changed from ___. " Wrong span,"(8951, 8959)","(8932, 8959)",hematoma,obturator internus hematoma,35566002,245025008,11652327-DS-14,"perihepatic ascites. 3. Right obturator internus hematoma is not significantly changed from ___. Previous" "Correct entity, wrong SNOMED ID","(9046, 9070)","(9046, 9070)","gluteus maximus muscles","gluteus maximus muscles",206007,181674001,11652327-DS-14,"__. Previously characterized myonecrosis of the gluteus maximus muscles bilaterally is better appreciated on prior MRI. " "Correct entity, wrong SNOMED ID","(9114, 9117)","(9114, 9117)",MRI,MRI,241601008,305882007,11652327-DS-14,"uscles bilaterally is better appreciated on prior MRI. 4. Bilateral pars defects at L5-S1 with associa" Wrong span,"(9149, 9201)","(9149, 9151)","L5-S1 with associated mild grade 1 anterolisthesis.",L5,307138004,728841005,11652327-DS-14,"iated on prior MRI. 4. Bilateral pars defects at L5-S1 with associated mild grade 1 anterolisthesis. ___ MR head IMPRESSION: 1. In the cortex" Wrong span,"(9275, 9282)","(9265, 9282)",frontal,posterior frontal,26972005,314144002,11652327-DS-14,"N: 1. In the cortex of the right posterior frontal and parietal regions are signal abnormalities w" "Correct entity, wrong SNOMED ID","(9317, 9330)","(9317, 9330)",abnormalities,abnormalities,408574004,107669003,11652327-DS-14,"sterior frontal and parietal regions are signal abnormalities which are likely chronic infarcts seen on the pr" "Correct entity, wrong SNOMED ID","(9348, 9355)","(9348, 9355)",chronic,chronic,27624003,234347009,11652327-DS-14,"egions are signal abnormalities which are likely chronic infarcts seen on the previous CT of ___ 2. Leu" "Correct entity, wrong SNOMED ID","(9356, 9364)","(9356, 9364)",infarcts,infarcts,432504007,27876002,11652327-DS-14,"re signal abnormalities which are likely chronic infarcts seen on the previous CT of ___ 2. Leukoaraiosi" Wrong span,"(9438, 9467)","(9438, 9453)","periventricular white matter",periventricular,37065005,37065005,11652327-DS-14,"T of ___ 2. Leukoaraiosis is demonstrated in theperiventricular white matter. 3. Increased FLAIR signal along the sulci of bo" "Correct entity, wrong SNOMED ID","(9506, 9511)","(9506, 9511)",sulci,sulci,72078007,432171006,11652327-DS-14,"ite matter. 3. Increased FLAIR signal along the sulci of both cerebral hemispheres is a nonspecific f" Wrong span,"(9515, 9541)","(9520, 9541)","both cerebral hemispheres","cerebral hemispheres",278251007,72792008,11652327-DS-14,"er. 3. Increased FLAIR signal along the sulci of both cerebral hemispheres is a nonspecific finding and could be related to" Missed entity,"(9605, 9620)",,"oxygen therapy",,57485005,,11652327-DS-14,"ific finding and could be related to supplemental oxygen therapy or less likely due to meningitis. Correlation w" "Correct entity, wrong SNOMED ID","(9644, 9654)","(9644, 9654)",meningitis,meningitis,7180009,10491005,11652327-DS-14,"pplemental oxygen therapy or less likely due to meningitis. Correlation with CSF findings recommended. 4." "Correct entity, wrong SNOMED ID","(9705, 9716)","(9705, 9716)",No evidence,No evidence,281900007,41647002,11652327-DS-14," Correlation with CSF findings recommended. 4. No evidence of infarction, hemorrhage, edema, mass or mass e" "Correct entity, wrong SNOMED ID","(9720, 9730)","(9720, 9730)",infarction,infarction,55641003,432504007,11652327-DS-14,"ith CSF findings recommended. 4. No evidence of infarction, hemorrhage, edema, mass or mass effect. ___ E" "Correct entity, wrong SNOMED ID","(9732, 9742)","(9732, 9742)",hemorrhage,hemorrhage,50960005,8573003,11652327-DS-14,"ings recommended. 4. No evidence of infarction, hemorrhage, edema, mass or mass effect. ___ EEG IMPRESSIO" "Correct entity, wrong SNOMED ID","(9744, 9749)","(9744, 9749)",edema,edema,267038008,102576009,11652327-DS-14,"ended. 4. No evidence of infarction, hemorrhage, edema, mass or mass effect. ___ EEG IMPRESSION: This" "Correct entity, wrong SNOMED ID","(9751, 9755)","(9751, 9755)",mass,mass,4147007,237557003,11652327-DS-14," 4. No evidence of infarction, hemorrhage, edema, mass or mass effect. ___ EEG IMPRESSION: This is an" Wrong span,"(9759, 9763)","(9759, 9771)",mass,"mass effect",4147007,118535001,11652327-DS-14,"vidence of infarction, hemorrhage, edema, mass or mass effect. ___ EEG IMPRESSION: This is an abnorma" Boundary error,"(9779, 9782)","(9779, 9780)",EEG,E,54550000,257985002,11652327-DS-14,"n, hemorrhage, edema, mass or mass effect. ___ EEG IMPRESSION: This is an abnormal continuous ICU EE" Missed entity,"(9826, 9829)",,ICU,,305351004,,11652327-DS-14,"__ EEG IMPRESSION: This is an abnormal continuous ICU EEG monitoring study due to: 1) Frequent bro" Wrong span,"(9830, 9844)","(9830, 9833)",EEG monitoring,EEG,252736007,397962009,11652327-DS-14,"EG IMPRESSION: This is an abnormal continuous ICU EEG monitoring study due to: 1) Frequent broad-based blunte" Missed entity,"(9846, 9851)",,study,,386053000,,11652327-DS-14,"his is an abnormal continuous ICU EEG monitoring study due to: 1) Frequent broad-based blunted gener" Missed entity,"(9927, 9948)",,"triphasic appearance",,251466002,,11652327-DS-14,"road-based blunted generalized discharges with a triphasic appearance, which are often periodic and often have a rhythm" "Correct entity, wrong SNOMED ID","(10082, 10098)","(10082, 10098)",encephalopathies,encephalopathies,81308009,192816007,11652327-DS-14,"h can be seen in setting of etiology-nonspecific encephalopathies, but may be suggestive of diffuse cortical hyper" "Correct entity, wrong SNOMED ID","(10190, 10198)","(10190, 10198)",seizures,seizures,91175000,1366362005,11652327-DS-14,"l hyperexcitability with potential to evolve to seizures. 2) Burst suppression pattern, slowing, and d" "Correct entity, wrong SNOMED ID","(10323, 10337)","(10323, 10337)",encephalopathy,encephalopathy,81308009,230357002,11652327-DS-14,"ckground, which is suggestive of a severe global encephalopathy that is nonspecific as etiology but causes can " "Correct entity, wrong SNOMED ID","(10407, 10415)","(10407, 10415)",sedation,sedation,72641008,17971005,11652327-DS-14,"c as etiology but causes can include medications/sedation, global hypoxic ischemic injuries. By the end o" Wrong span,"(10425, 10451)","(10425, 10432)","hypoxic ischemic injuries",hypoxic,703300001,275367000,11652327-DS-14," causes can include medications/sedation, global hypoxic ischemic injuries. By the end of the recording, the background tra" Missed entity,"(10580, 10588)",,sedation,,72641008,,11652327-DS-14,"us slowing, which may be secondary to weaning of sedation but is suggestive of a severe encephalopathy. " "Correct entity, wrong SNOMED ID","(10620, 10634)","(10620, 10634)",encephalopathy,encephalopathy,81308009,230357002,11652327-DS-14,"aning of sedation but is suggestive of a severe encephalopathy. The pushbutton events show no changes in the" "Correct entity, wrong SNOMED ID","(10685, 10688)","(10685, 10688)",EEG,EEG,54550000,397962009,11652327-DS-14," The pushbutton events show no changes in the EEG background or electrographic seizure correlate." "Correct entity, wrong SNOMED ID","(10720, 10727)","(10720, 10727)",seizure,seizure,91175000,435901000124102,11652327-DS-14,"changes in the EEG background or electrographic seizure correlate. No areas of focal slowing or electrogr" "Correct entity, wrong SNOMED ID","(10784, 10792)","(10784, 10792)",seizures,seizures,91175000,1366362005,11652327-DS-14,"ate. No areas of focal slowing or electrographic seizures are seen. ___ GJ IMPRESSION: Successful p" Wrong span,"(10841, 10888)","(10871, 10893)","placement of a ___ extension gastrojejunostomy",gastrojejunostomy tube,736158002,47441000087101,11652327-DS-14,"s are seen. ___ GJ IMPRESSION: Successful placement of a ___ extension gastrojejunostomy tube with its tip in the proximal jejunum. The " Missed entity,"(10924, 10931)",,jejunum,,21306003,,11652327-DS-14,"trojejunostomy tube with its tip in the proximal jejunum. The catheter can be used immediately. ___ CT" Wrong span,"(11051, 11057)","(11042, 11057)",damage,alveolar damage,37782003,46775006,11652327-DS-14," 1. Findings in keeping with diffuse alveolar damage with interval clearance of the exudative/edemat" "Correct entity, wrong SNOMED ID","(11101, 11110)","(11101, 11110)",edematous,edematous,267038008,56425003,11652327-DS-14,"damage with interval clearance of the exudative/edematous phase and is now transitioning into the fibrotic" Wrong span,"(11174, 11186)","(11174, 11194)",Ground-glass,Ground-glass changes,1217294009,1217294009,11652327-DS-14,"now transitioning into the fibrotic phase. 2. Ground-glass changes with an anterior posterior graded is non" Wrong span,"(11264, 11282)","(11277, 11282)",interstitial edema,edema,267038008,102576009,11652327-DS-14,"sterior graded is nonspecific and may represent interstitial edema, or may represent active inflammatory changes (" "Correct entity, wrong SNOMED ID","(11309, 11321)","(11309, 11321)",inflammatory,inflammatory,128139000,103623002,11652327-DS-14,"sent interstitial edema, or may represent active inflammatory changes (organizing phase which could progress t" "Correct entity, wrong SNOMED ID","(11381, 11389)","(11381, 11389)",fibrosis,fibrosis,112674009,125565008,11652327-DS-14,"(organizing phase which could progress to further fibrosis). 3. Multiple confluent fibrotic nodules are al" "Correct entity, wrong SNOMED ID","(11425, 11432)","(11425, 11432)",nodules,nodules,27925004,21444008,11652327-DS-14,"rther fibrosis). 3. Multiple confluent fibrotic nodules are also noted, which could be followed to esta" "Correct entity, wrong SNOMED ID","(11526, 11539)","(11526, 11539)",consolidation,consolidation,9656002,95436008,11652327-DS-14,"o establish benignity. No superimposed airspace consolidation to suggest pneumonia. 4. The trachea appears w" "Correct entity, wrong SNOMED ID","(11552, 11561)","(11552, 11561)",pneumonia,pneumonia,233604007,415125002,11652327-DS-14," superimposed airspace consolidation to suggest pneumonia. 4. The trachea appears widened in the coronal " "Correct entity, wrong SNOMED ID","(11572, 11579)","(11572, 11579)",trachea,trachea,44567001,35555009,11652327-DS-14,"ce consolidation to suggest pneumonia. 4. The trachea appears widened in the coronal diameter and trac" "Correct entity, wrong SNOMED ID","(11625, 11646)","(11625, 11646)",tracheobronchomalacia,tracheobronchomalacia,233788001,735747007,11652327-DS-14,"chea appears widened in the coronal diameter and tracheobronchomalacia should be excluded. 5. Relative hypodensity of " "Correct entity, wrong SNOMED ID","(11722, 11728)","(11722, 11728)",anemia,anemia,271737000,87522002,11652327-DS-14,"Relative hypodensity of the blood pool suggesting anemia. Brief Hospital Course: Mr. ___ is a ___ year" "Correct entity, wrong SNOMED ID","(11804, 11806)","(11804, 11806)",DM,DM,73211009,258671008,11652327-DS-14,"e: Mr. ___ is a ___ year old male with history of DM, HLD, HTN, AAA s/p EVAR ___, ___, who presented " "Correct entity, wrong SNOMED ID","(11808, 11811)","(11808, 11811)",HLD,HLD,55822004,396338004,11652327-DS-14,"r. ___ is a ___ year old male with history of DM, HLD, HTN, AAA s/p EVAR ___, ___, who presented with " "Correct entity, wrong SNOMED ID","(11813, 11816)","(11813, 11816)",HTN,HTN,38341003,10725009,11652327-DS-14,"_ is a ___ year old male with history of DM, HLD, HTN, AAA s/p EVAR ___, ___, who presented with PAU a" "Correct entity, wrong SNOMED ID","(11827, 11831)","(11827, 11831)",EVAR,EVAR,444588006,1231787007,11652327-DS-14,"r old male with history of DM, HLD, HTN, AAA s/p EVAR ___, ___, who presented with PAU at the top of t" "Correct entity, wrong SNOMED ID","(11861, 11864)","(11861, 11864)",PAU,PAU,690791000119107,425385008,11652327-DS-14,", HTN, AAA s/p EVAR ___, ___, who presented with PAU at the top of the prior stent graft at level of " Wrong span,"(11890, 11895)","(11890, 11901)",stent,stent graft,233404000,1208814006,11652327-DS-14,", who presented with PAU at the top of the prior stent graft at level of renals. He went to the OR on " Wrong span,"(11896, 11901)","(11890, 11901)",graft,stent graft,24486003,1208814006,11652327-DS-14,"presented with PAU at the top of the prior stent graft at level of renals. He went to the OR on ___ fo" "Correct entity, wrong SNOMED ID","(11914, 11920)","(11914, 11920)",renals,renals,64033007,62000003,11652327-DS-14," at the top of the prior stent graft at level of renals. He went to the OR on ___ for a PMEG. Postoper" Missed entity,"(11962, 11977)",,Postoperatively,,19585003,,11652327-DS-14,"f renals. He went to the OR on ___ for a PMEG. Postoperatively, he did fine and was transferred to the VICU. H" "Correct entity, wrong SNOMED ID","(12083, 12102)","(12083, 12102)",respiratory failure,respiratory failure,409622000,39871006,11652327-DS-14,"an episode of presumed aspiration and subsequent respiratory failure. He was transferred to the ___ where he was tre" "Correct entity, wrong SNOMED ID","(12161, 12165)","(12161, 12165)",ARDS,ARDS,67782005,1179627006,11652327-DS-14," transferred to the ___ where he was treated for ARDS. He remained intubated and sedated. He was on " "Correct entity, wrong SNOMED ID","(12181, 12190)","(12181, 12190)",intubated,intubated,52765003,262007003,11652327-DS-14," ___ where he was treated for ARDS. He remained intubated and sedated. He was on intermittent pressors. " "Correct entity, wrong SNOMED ID","(12195, 12202)","(12195, 12202)",sedated,sedated,17971005,1157030006,11652327-DS-14,"was treated for ARDS. He remained intubated and sedated. He was on intermittent pressors. He was treat" Missed entity,"(12229, 12237)",,pressors,,408497003,,11652327-DS-14,"d intubated and sedated. He was on intermittent pressors. He was treated with CVVH. He was also treated w" Missed entity,"(12307, 12318)",,antibiotics,,281789004,,11652327-DS-14,"th CVVH. He was also treated with broad spectrum antibiotics for pneumonia. He went to the OR on ___ for a tr" "Correct entity, wrong SNOMED ID","(12323, 12332)","(12323, 12332)",pneumonia,pneumonia,233604007,415125002,11652327-DS-14,"also treated with broad spectrum antibiotics for pneumonia. He went to the OR on ___ for a trach and PEG. " "Correct entity, wrong SNOMED ID","(12384, 12389)","(12384, 12389)",Neuro,Neuro,84728005,281247006,11652327-DS-14,"He went to the OR on ___ for a trach and PEG. Neuro: Patient had difficulties with vent dysychrony an" Wrong span,"(12421, 12436)","(12421, 12425)",vent dysychrony,vent,450450008,10448000,11652327-DS-14," and PEG. Neuro: Patient had difficulties with vent dysychrony and overbreathing on the ventilator, requiring m" Wrong span,"(12442, 12455)","(12442, 12446)",overbreathing,over,68978004,282634009,11652327-DS-14,"atient had difficulties with vent dysychrony and overbreathing on the ventilator, requiring multiple different " Missed entity,"(12505, 12513)",,sedation,,72641008,,11652327-DS-14," on the ventilator, requiring multiple different sedation regimens, including midazolam, precedex, dilaudid" Missed entity,"(12514, 12522)",,regimens,,133877004,,11652327-DS-14,"entilator, requiring multiple different sedation regimens, including midazolam, precedex, dilaudid, Haldol" "Correct entity, wrong SNOMED ID","(12603, 12613)","(12603, 12613)",neuro exam,neuro exam,84728005,163584009,11652327-DS-14,", dilaudid, Haldol, propofol. He had no reliable neuro exam while on sedation. After he was stabilized on pr" Missed entity,"(12624, 12632)",,sedation,,72641008,,11652327-DS-14,"propofol. He had no reliable neuro exam while on sedation. After he was stabilized on pressure support, he " Wrong span,"(12670, 12677)","(12661, 12677)",support,pressure support,710872006,229306004,11652327-DS-14,"on sedation. After he was stabilized on pressure support, he was weaned off of sedation and neuro exam im" Missed entity,"(12701, 12709)",,sedation,,72641008,,11652327-DS-14,"ilized on pressure support, he was weaned off of sedation and neuro exam improved to withdrawal to pain an" "Correct entity, wrong SNOMED ID","(12714, 12724)","(12714, 12724)",neuro exam,neuro exam,84728005,163584009,11652327-DS-14,"ssure support, he was weaned off of sedation and neuro exam improved to withdrawal to pain and some spontane" "Correct entity, wrong SNOMED ID","(12725, 12733)","(12725, 12733)",improved,improved,268910001,251359002,11652327-DS-14,"rt, he was weaned off of sedation and neuro exam improved to withdrawal to pain and some spontaneous movem" Wrong span,"(12752, 12756)","(12737, 12756)",pain,"withdrawal to pain",22253000,279052002,11652327-DS-14,"edation and neuro exam improved to withdrawal to pain and some spontaneous movement of the face and lef" Missed entity,"(12794, 12798)",,face,,89545001,,11652327-DS-14,"wal to pain and some spontaneous movement of the face and left upper extremity. Psych was consulted fo" "Correct entity, wrong SNOMED ID","(12803, 12824)","(12803, 12824)","left upper extremity","left upper extremity",80768000,362729008,11652327-DS-14,"ain and some spontaneous movement of the face and left upper extremity. Psych was consulted for assistance in sedation " Missed entity,"(12826, 12831)",,Psych,,108311000,,11652327-DS-14,"s movement of the face and left upper extremity. Psych was consulted for assistance in sedation managem" Wrong span,"(12864, 12884)","(12864, 12872)","sedation management",sedation,406187008,17971005,11652327-DS-14," extremity. Psych was consulted for assistance in sedation management as patient had a significant history of anxiety. " "Correct entity, wrong SNOMED ID","(12925, 12932)","(12925, 12932)",anxiety,anxiety,48694002,286644009,11652327-DS-14,"anagement as patient had a significant history of anxiety. He also had several CT scans of the head due to" "Correct entity, wrong SNOMED ID","(12955, 12975)","(12955, 12975)",CT scans of the head,CT scans of the head,303653007,303654001,11652327-DS-14,"nificant history of anxiety. He also had several CT scans of the head due to poor mental status and ultimately an MRI," Wrong span,"(12988, 13001)","(12983, 13001)",mental status,poor mental status,392257007,433082007,11652327-DS-14,"also had several CT scans of the head due to poor mental status and ultimately an MRI, which showed an old infar" "Correct entity, wrong SNOMED ID","(13021, 13024)","(13021, 13024)",MRI,MRI,241601008,305882007,11652327-DS-14,"head due to poor mental status and ultimately an MRI, which showed an old infarct but nothing to expl" Wrong span,"(13042, 13053)","(13046, 13053)",old infarct,infarct,71911007,55470003,11652327-DS-14,"al status and ultimately an MRI, which showed an old infarct but nothing to explain his poor mental status. T" Wrong span,"(13087, 13100)","(13082, 13100)",mental status,poor mental status,392257007,433082007,11652327-DS-14,"d an old infarct but nothing to explain his poor mental status. There was some questionable sign of meningitis " Missed entity,"(13131, 13135)",,sign,,72670004,,11652327-DS-14," poor mental status. There was some questionable sign of meningitis on the MRI, which subsequently led " "Correct entity, wrong SNOMED ID","(13139, 13149)","(13139, 13149)",meningitis,meningitis,7180009,10491005,11652327-DS-14,"ntal status. There was some questionable sign of meningitis on the MRI, which subsequently led to an LP bein" "Correct entity, wrong SNOMED ID","(13157, 13160)","(13157, 13160)",MRI,MRI,241601008,305882007,11652327-DS-14," was some questionable sign of meningitis on the MRI, which subsequently led to an LP being performed" "Correct entity, wrong SNOMED ID","(13191, 13193)","(13191, 13193)",LP,LP,277762005,9422000,11652327-DS-14,"ningitis on the MRI, which subsequently led to an LP being performed on ___, which was negative for b" Missed entity,"(13229, 13237)",,negative,,281900007,,11652327-DS-14,"y led to an LP being performed on ___, which was negative for bacterial and HSV infections. EEG showed mod" "Correct entity, wrong SNOMED ID","(13242, 13251)","(13242, 13251)",bacterial,bacterial,87628006,41792001,11652327-DS-14,"P being performed on ___, which was negative for bacterial and HSV infections. EEG showed moderate to sever" "Correct entity, wrong SNOMED ID","(13273, 13276)","(13273, 13276)",EEG,EEG,54550000,397962009,11652327-DS-14,"h was negative for bacterial and HSV infections. EEG showed moderate to severe encephalopathy and lat" "Correct entity, wrong SNOMED ID","(13303, 13317)","(13303, 13317)",encephalopathy,encephalopathy,81308009,230357002,11652327-DS-14,"and HSV infections. EEG showed moderate to severe encephalopathy and later on new generalized periodic discharged" Missed entity,"(13412, 13429)",,Neurology service,,310057003,,11652327-DS-14,"arged for which he was started on keppra on ___. Neurology service was consulted to help us manage these issues. " "Correct entity, wrong SNOMED ID","(13517, 13527)","(13517, 13527)",neuro exam,neuro exam,84728005,163584009,11652327-DS-14,"e issues. During the week of ___, the patient's neuro exam was of spontaneous movement of all four extremit" Wrong span,"(13548, 13580)","(13536, 13556)",movement of all four extremities,spontaneous movement,284137004,247905005,11652327-DS-14,"___, the patient's neuro exam was of spontaneous movement of all four extremities; he did not follow commands or track. Given agit" Missed entity,"(13593, 13609)",,"follow commands",,298331001,,11652327-DS-14,"eous movement of all four extremities; he did not follow commands or track. Given agitation, he was started on Sero" "Correct entity, wrong SNOMED ID","(13626, 13635)","(13626, 13635)",agitation,agitation,24199005,16997008,11652327-DS-14,"ties; he did not follow commands or track. Given agitation, he was started on Seroquel on ___. Cardiovasc" "Correct entity, wrong SNOMED ID","(13703, 13711)","(13703, 13711)",aflutter,aflutter,5370000,33466002,11652327-DS-14,"n Seroquel on ___. Cardiovascular: Patient had aflutter/afib requiring diltiazem drip and heparin drips." "Correct entity, wrong SNOMED ID","(13712, 13716)","(13712, 13716)",afib,afib,49436004,71908006,11652327-DS-14,"l on ___. Cardiovascular: Patient had aflutter/afib requiring diltiazem drip and heparin drips. He w" "Correct entity, wrong SNOMED ID","(13747, 13754)","(13747, 13754)",heparin,heparin,103746007,412201008,11652327-DS-14,"t had aflutter/afib requiring diltiazem drip and heparin drips. He was intermittently on prn metoprolol a" "Correct entity, wrong SNOMED ID","(13814, 13822)","(13814, 13822)",pressors,pressors,408497003,50052006,11652327-DS-14," was intermittently on prn metoprolol and was on pressors for most of his icu course, which was eventually" "Correct entity, wrong SNOMED ID","(13900, 13903)","(13900, 13903)",TEE,TEE,105376000,257985002,11652327-DS-14," which was eventually weaned off. He underwent a TEE to rule out culture negative endocarditis, which" Wrong span,"(13916, 13946)","(13916, 13923)","culture negative endocarditis",culture,233852004,61594008,11652327-DS-14,"tually weaned off. He underwent a TEE to rule out culture negative endocarditis, which was negative. During the week of ___, the" "Correct entity, wrong SNOMED ID","(13958, 13966)","(13958, 13966)",negative,negative,281900007,268375009,11652327-DS-14,"ule out culture negative endocarditis, which was negative. During the week of ___, the patient was transit" Missed entity,"(14066, 14073)",,regimen,,133877004,,11652327-DS-14,"ioned from diltizem drip to po diltiazem. His po regimen was uptitrated due to continued Afib/flutter wit" Wrong span,"(14107, 14111)","(14107, 14119)",Afib,Afib/flutter,49436004,428076002,11652327-DS-14,". His po regimen was uptitrated due to continued Afib/flutter with rate in the 110's-130's. He had a b" Wrong span,"(14112, 14119)","(14107, 14119)",flutter,Afib/flutter,5370000,428076002,11652327-DS-14," po regimen was uptitrated due to continued Afib/flutter with rate in the 110's-130's. He had a brief 4 h" Missed entity,"(14125, 14129)",,rate,,301113001,,11652327-DS-14,"as uptitrated due to continued Afib/flutter with rate in the 110's-130's. He had a brief 4 hour period" "Correct entity, wrong SNOMED ID","(14202, 14214)","(14202, 14214)",sinus rhythm,sinus rhythm,251150006,64730000,11652327-DS-14," had a brief 4 hour period where he converted to sinus rhythm on ___, however, he went back into Afib/flutter " Wrong span,"(14251, 14255)","(14251, 14263)",Afib,Afib/flutter,49436004,428076002,11652327-DS-14," sinus rhythm on ___, however, he went back into Afib/flutter with poor rate control. Hence, cardiolog" Wrong span,"(14256, 14263)","(14251, 14263)",flutter,Afib/flutter,5370000,428076002,11652327-DS-14,"s rhythm on ___, however, he went back into Afib/flutter with poor rate control. Hence, cardiology was re" Missed entity,"(14274, 14278)",,rate,,301113001,,11652327-DS-14,"however, he went back into Afib/flutter with poor rate control. Hence, cardiology was reconsulted. Duri" Missed entity,"(14296, 14306)",,cardiology,,310036006,,11652327-DS-14,"into Afib/flutter with poor rate control. Hence, cardiology was reconsulted. During this week, a bridge from" "Correct entity, wrong SNOMED ID","(14357, 14364)","(14357, 14364)",heparin,heparin,103746007,412201008,11652327-DS-14,"was reconsulted. During this week, a bridge from heparin gtt to Coumadin was started. Pulmonary: Patien" Wrong span,"(14372, 14380)","(14372, 14374)",Coumadin,Co,182764009,422514006,11652327-DS-14,". During this week, a bridge from heparin gtt to Coumadin was started. Pulmonary: Patient experienced an" Wrong span,"(14431, 14441)","(14431, 14447)",aspiration,aspiration event,68052005,764873005,11652327-DS-14,"was started. Pulmonary: Patient experienced an aspiration event which led to development of ARDS and pneum" "Correct entity, wrong SNOMED ID","(14477, 14481)","(14477, 14481)",ARDS,ARDS,67782005,94671000119102,11652327-DS-14," an aspiration event which led to development of ARDS and pneumonia. He subsequently reaspirated while" "Correct entity, wrong SNOMED ID","(14486, 14495)","(14486, 14495)",pneumonia,pneumonia,233604007,415125002,11652327-DS-14,"ation event which led to development of ARDS and pneumonia. He subsequently reaspirated while in the ICU an" Boundary error,"(14539, 14542)","(14539, 14540)",ICU,I,305351004,257989008,11652327-DS-14,"umonia. He subsequently reaspirated while in the ICU and intubated due to high tube feed residuals wh" "Correct entity, wrong SNOMED ID","(14547, 14556)","(14547, 14556)",intubated,intubated,52765003,262007003,11652327-DS-14,"He subsequently reaspirated while in the ICU and intubated due to high tube feed residuals which worsened h" "Correct entity, wrong SNOMED ID","(14609, 14613)","(14609, 14613)",ARDS,ARDS,67782005,1179627006,11652327-DS-14,"e to high tube feed residuals which worsened his ARDS. He received a trach/peg on ___ due to prolonged" "Correct entity, wrong SNOMED ID","(14664, 14674)","(14664, 14674)",intubation,intubation,52765003,112798008,11652327-DS-14," He received a trach/peg on ___ due to prolonged intubation. He required paralysis for a brief period due to" "Correct entity, wrong SNOMED ID","(14688, 14697)","(14688, 14697)",paralysis,paralysis,416660001,846715009,11652327-DS-14," on ___ due to prolonged intubation. He required paralysis for a brief period due to respiratory acidosis a" "Correct entity, wrong SNOMED ID","(14725, 14745)","(14725, 14745)",respiratory acidosis,respiratory acidosis,12326000,70644008,11652327-DS-14," He required paralysis for a brief period due to respiratory acidosis and overbreathing on the ventilator while on pre" Wrong span,"(14750, 14763)","(14750, 14757)",overbreathing,overbre,68978004,252722002,11652327-DS-14,"r a brief period due to respiratory acidosis and overbreathing on the ventilator while on pressure support. He " Wrong span,"(14801, 14808)","(14792, 14808)",support,pressure support,710872006,229306004,11652327-DS-14,"verbreathing on the ventilator while on pressure support. He was ultimately stabilized on pressure suppor" Wrong span,"(14852, 14859)","(14843, 14859)",support,pressure support,710872006,229306004,11652327-DS-14,"upport. He was ultimately stabilized on pressure support. Pulmonary was consulted to help us with managem" Missed entity,"(14861, 14870)",,Pulmonary,,310039004,,11652327-DS-14,"e was ultimately stabilized on pressure support. Pulmonary was consulted to help us with management of thes" "Correct entity, wrong SNOMED ID","(14990, 15000)","(14990, 15000)",ventilator,ventilator,409025002,707765006,11652327-DS-14,"ted that he would have a prolonged period on the ventilator, likely several months. GI: After receiving hi" Wrong span,"(15187, 15193)","(15190, 15193)",on TPN,TPN,225372007,3921000181103,11652327-DS-14,"on ___. TFs were then stopped and he was started on TPN. He was eventually restarted on ___ of TFs with " "Correct entity, wrong SNOMED ID","(15472, 15475)","(15472, 15475)",ATN,ATN,35455006,9293002,11652327-DS-14,"any aspiration events. Renal: Patient developed ATN and CRRT was initiated to help with fluid remova" "Correct entity, wrong SNOMED ID","(15480, 15484)","(15480, 15484)",CRRT,CRRT,714749008,111070004,11652327-DS-14,"ration events. Renal: Patient developed ATN and CRRT was initiated to help with fluid removal to opti" "Correct entity, wrong SNOMED ID","(15584, 15588)","(15584, 15588)",CRRT,CRRT,714749008,111070004,11652327-DS-14,"mize his pulmonary status. He was trialed off of CRRT twice, which was not well tolerated. He eventuall" "Correct entity, wrong SNOMED ID","(15681, 15685)","(15681, 15685)",CRRT,CRRT,714749008,111070004,11652327-DS-14,"entually started making more urine even while on CRRT. Renal was consulted to help with management. A" "Correct entity, wrong SNOMED ID","(15736, 15762)","(15736, 15762)",tunneled dialysis catheter,tunneled dialysis catheter,431781000,736922008,11652327-DS-14," Renal was consulted to help with management. A tunneled dialysis catheter was placed on ___ in planning for intermittent H" Missed entity,"(15767, 15773)",,placed,,782902008,,11652327-DS-14,"ith management. A tunneled dialysis catheter was placed on ___ in planning for intermittent HD. ID: Pa" "Correct entity, wrong SNOMED ID","(15811, 15813)","(15811, 15813)",HD,HD,302497006,229788003,11652327-DS-14,"r was placed on ___ in planning for intermittent HD. ID: Patient was treated with two courses of an" "Correct entity, wrong SNOMED ID","(15861, 15872)","(15861, 15872)",antibiotics,antibiotics,281789004,372599003,11652327-DS-14,"HD. ID: Patient was treated with two courses of antibiotics for aspiration pneumonia. He was on vanc/zosyn f" "Correct entity, wrong SNOMED ID","(15878, 15898)","(15878, 15898)",aspiration pneumonia,aspiration pneumonia,422588002,276695003,11652327-DS-14," was treated with two courses of antibiotics for aspiration pneumonia. He was on vanc/zosyn from ___ and linezolid/zos" Missed entity,"(15910, 15914)",,vanc,,281789004,,11652327-DS-14," antibiotics for aspiration pneumonia. He was on vanc/zosyn from ___ and linezolid/zosyn (___). He was" Missed entity,"(15999, 16011)",,discontinued,,304540007,,11652327-DS-14,"n (___). He was briefly on micafungin, which was discontinued after cultures were negative and the BDglucan wa" Missed entity,"(16032, 16040)",,negative,,281900007,,11652327-DS-14,"ngin, which was discontinued after cultures were negative and the BDglucan was felt to be a contaminate. O" "Correct entity, wrong SNOMED ID","(16100, 16109)","(16100, 16109)",pneumonia,pneumonia,233604007,415125002,11652327-DS-14,"Dglucan was felt to be a contaminate. Other than pneumonia, no other sources of infection were ultimately i" "Correct entity, wrong SNOMED ID","(16132, 16141)","(16132, 16141)",infection,infection,40733004,260976002,11652327-DS-14,"inate. Other than pneumonia, no other sources of infection were ultimately identified. ID consult was obtai" Wrong span,"(16266, 16284)","(16266, 16276)",infectious disease,infectious,40733004,366971000119100,11652327-DS-14,"se issues. During the week of ___, there were no infectious disease related issues. Week of ___: - patient was fou" "Correct entity, wrong SNOMED ID","(16349, 16357)","(16349, 16357)",fungemia,fungemia,434532004,240707005,11652327-DS-14,"s. Week of ___: - patient was found to have ___ fungemia--> lines were removed and micafungin was started" Missed entity,"(16373, 16380)",,removed,,103715008,,11652327-DS-14,"ent was found to have ___ fungemia--> lines were removed and micafungin was started and transitioned to f" Missed entity,"(16449, 16462)",,sensitivities,,14788002,,11652327-DS-14," started and transitioned to fluconazole po once sensitivities resulted; ophthalmology was consulted with the f" "Correct entity, wrong SNOMED ID","(16536, 16552)","(16536, 16552)",anterior chamber,anterior chamber,31636006,246986004,11652327-DS-14," was consulted with the following comments: ""His anterior chamber is quiet without evidence of anterior inflammati" "Correct entity, wrong SNOMED ID","(16592, 16604)","(16592, 16604)",inflammation,inflammation,409774005,103622007,11652327-DS-14,"or chamber is quiet without evidence of anterior inflammation. Dilated exam at bedside limited in view of peri" "Correct entity, wrong SNOMED ID","(16606, 16618)","(16606, 16618)",Dilated exam,Dilated exam,424986007,289762006,11652327-DS-14," quiet without evidence of anterior inflammation. Dilated exam at bedside limited in view of peripheral retina " Missed entity,"(16650, 16667)",,peripheral retina,,264141008,,11652327-DS-14,"tion. Dilated exam at bedside limited in view of peripheral retina due to patient cooperation, but there is a clear" Missed entity,"(16730, 16744)",,posterior pole,,1222874004,,11652327-DS-14,"nt cooperation, but there is a clear view to the posterior pole. He does have an exudate in the macula of his ri" "Correct entity, wrong SNOMED ID","(16763, 16770)","(16763, 16770)",exudate,exudate,42142007,247156002,11652327-DS-14,"lear view to the posterior pole. He does have an exudate in the macula of his right eye and a small spot " "Correct entity, wrong SNOMED ID","(16778, 16784)","(16778, 16784)",macula,macula,721945009,18410006,11652327-DS-14,"e posterior pole. He does have an exudate in the macula of his right eye and a small spot of peripapilla" "Correct entity, wrong SNOMED ID","(16792, 16801)","(16792, 16801)",right eye,right eye,18944008,12241871000119100,11652327-DS-14,"le. He does have an exudate in the macula of his right eye and a small spot of peripapillary hemorrhage in " Wrong span,"(16823, 16836)","(16823, 16847)",peripapillary,peripapillary hemorrhage,280615000,678061000119109,11652327-DS-14," the macula of his right eye and a small spot of peripapillary hemorrhage in the left eye, which may be related" Wrong span,"(16837, 16847)","(16823, 16847)",hemorrhage,peripapillary hemorrhage,50960005,678061000119109,11652327-DS-14," his right eye and a small spot of peripapillary hemorrhage in the left eye, which may be related to his HTN" "Correct entity, wrong SNOMED ID","(16855, 16863)","(16855, 16863)",left eye,left eye,8966001,12241831000119103,11652327-DS-14," a small spot of peripapillary hemorrhage in the left eye, which may be related to his HTN and T2DM. To b" "Correct entity, wrong SNOMED ID","(16894, 16897)","(16894, 16897)",HTN,HTN,38341003,10725009,11652327-DS-14,"age in the left eye, which may be related to his HTN and T2DM. To be safe, will follow up with dilat" Missed entity,"(16926, 16935)",,follow up,,183616001,,11652327-DS-14,"e related to his HTN and T2DM. To be safe, will follow up with dilated exam in 1 week; please page sooner " "Correct entity, wrong SNOMED ID","(16942, 16954)","(16942, 16954)",dilated exam,dilated exam,424986007,289762006,11652327-DS-14,"s HTN and T2DM. To be safe, will follow up with dilated exam in 1 week; please page sooner if there is any ch" Missed entity,"(17021, 17025)",,exam,,36228007,,11652327-DS-14,"e page sooner if there is any change in external exam or if the patient complains of any visual sympto" Missed entity,"(17062, 17077)",,visual symptoms,,162274004,,11652327-DS-14,"external exam or if the patient complains of any visual symptoms. - underwent TTE/cardioversion on ___ with succe" "Correct entity, wrong SNOMED ID","(17092, 17095)","(17092, 17095)",TTE,TTE,433236007,258691001,11652327-DS-14,"t complains of any visual symptoms. - underwent TTE/cardioversion on ___ with successful cardioversi" "Correct entity, wrong SNOMED ID","(17096, 17109)","(17096, 17109)",cardioversion,cardioversion,250980009,180325003,11652327-DS-14,"mplains of any visual symptoms. - underwent TTE/cardioversion on ___ with successful cardioversion to sinus ta" "Correct entity, wrong SNOMED ID","(17134, 17147)","(17134, 17147)",cardioversion,cardioversion,250980009,180325003,11652327-DS-14,"derwent TTE/cardioversion on ___ with successful cardioversion to sinus tachycardia - patient tolerated increas" "Correct entity, wrong SNOMED ID","(17151, 17168)","(17151, 17168)",sinus tachycardia,sinus tachycardia,11092001,425582007,11652327-DS-14,"oversion on ___ with successful cardioversion to sinus tachycardia - patient tolerated increasing periods of time o" Missed entity,"(17224, 17234)",,ventilator,,409025002,,11652327-DS-14,"tient tolerated increasing periods of time off of ventilator Week of ___: - started to follow commands, smile" Missed entity,"(17262, 17277)",,follow commands,,298331001,,11652327-DS-14,"time off of ventilator Week of ___: - started to follow commands, smiled when providers walked in and said ""hi"" -" "Correct entity, wrong SNOMED ID","(17423, 17437)","(17423, 17437)",speech therapy,speech therapy,5154007,410161005,11652327-DS-14,"rach mask with no vent requirements - worked with speech therapy, who fitted speech valve --> not to be used for " Wrong span,"(17443, 17462)","(17450, 17462)",fitted speech valve,speech valve,870532007,465186000,11652327-DS-14,"nt requirements - worked with speech therapy, who fitted speech valve --> not to be used for >10 minutes, needs to hav" Missed entity,"(17514, 17555)",,"constant healthcare provider supervision",,225312004,,11652327-DS-14,"-> not to be used for >10 minutes, needs to have constant healthcare provider supervision when speaking valve in place, MAY NOT take anyth" Wrong span,"(18631, 18655)","(18643, 18655)",Penetrating aortic ulcer,aortic ulcer,690791000119107,690791000119107,11652327-DS-14,"ended Care Facility: ___ Discharge Diagnosis: Penetrating aortic ulcer pneumonia respiratory failure ARDS encephalopathy" "Correct entity, wrong SNOMED ID","(18656, 18665)","(18656, 18665)",pneumonia,pneumonia,233604007,415125002,11652327-DS-14,"_ Discharge Diagnosis: Penetrating aortic ulcer pneumonia respiratory failure ARDS encephalopathy renal fai" "Correct entity, wrong SNOMED ID","(18666, 18685)","(18666, 18685)",respiratory failure,respiratory failure,409622000,39871006,11652327-DS-14,"rge Diagnosis: Penetrating aortic ulcer pneumonia respiratory failure ARDS encephalopathy renal failure Discharge Con" "Correct entity, wrong SNOMED ID","(18686, 18690)","(18686, 18690)",ARDS,ARDS,67782005,94671000119102,11652327-DS-14,"rating aortic ulcer pneumonia respiratory failure ARDS encephalopathy renal failure Discharge Conditio" "Correct entity, wrong SNOMED ID","(18691, 18705)","(18691, 18705)",encephalopathy,encephalopathy,81308009,230357002,11652327-DS-14,"g aortic ulcer pneumonia respiratory failure ARDS encephalopathy renal failure Discharge Condition: Mental Statu" "Correct entity, wrong SNOMED ID","(18706, 18719)","(18706, 18719)",renal failure,renal failure,42399005,14669001,11652327-DS-14,"pneumonia respiratory failure ARDS encephalopathy renal failure Discharge Condition: Mental Status: Clear and c" "Correct entity, wrong SNOMED ID","(18743, 18756)","(18743, 18756)",Mental Status,Mental Status,392257007,419284004,11652327-DS-14,"cephalopathy renal failure Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Leth" "Correct entity, wrong SNOMED ID","(18758, 18763)","(18758, 18763)",Clear,Clear,830123008,281278005,11652327-DS-14,"nal failure Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Lethargic b" "Correct entity, wrong SNOMED ID","(18778, 18800)","(18778, 18800)",Level of Consciousness,Level of Consciousness,444714004,365931003,11652327-DS-14,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Lethargic but arousable. Activity Status: Out of" "Correct entity, wrong SNOMED ID","(18802, 18811)","(18802, 18811)",Lethargic,Lethargic,214264003,186499007,11652327-DS-14,"atus: Clear and coherent. Level of Consciousness: Lethargic but arousable. Activity Status: Out of Bed with a" Missed entity,"(18827, 18842)",,Activity Status,,129676008,,11652327-DS-14," Level of Consciousness: Lethargic but arousable. Activity Status: Out of Bed with assistance to chair or wheelcha" Wrong span,"(18844, 18870)","(18844, 18859)",Out of Bed with assistance,Out of Bed with,301679006,1070151000000105,11652327-DS-14,"usness: Lethargic but arousable. Activity Status: Out of Bed with assistance to chair or wheelchair. Discharge Instruction" "Correct entity, wrong SNOMED ID","(19028, 19034)","(19028, 19034)",repair,repair,4365001,50465008,11652327-DS-14,"ith us. While you came into the hospital for the repair of a penetrating aortic ulcer and were set to be" Wrong span,"(19041, 19065)","(19053, 19065)",penetrating aortic ulcer,aortic ulcer,690791000119107,690791000119107,11652327-DS-14,"e you came into the hospital for the repair of a penetrating aortic ulcer and were set to be discharge home, there was a c" "Correct entity, wrong SNOMED ID","(19151, 19160)","(19151, 19160)",intubated,intubated,52765003,262007003,11652327-DS-14," there was a complication that required you to be intubated and transferred to the intensive care unit. Once" Missed entity,"(19166, 19204)",,transferred to the intensive care unit,,397821002,,11652327-DS-14,"mplication that required you to be intubated and transferred to the intensive care unit. Once you were better, we continued your care in" "Correct entity, wrong SNOMED ID","(19259, 19262)","(19259, 19262)",ICU,ICU,305351004,419215006,11652327-DS-14,"e you were better, we continued your care in the ICU. Now, you are stable for discharge to rehab. " "Correct entity, wrong SNOMED ID","(19277, 19283)","(19277, 19283)",stable,stable,359746009,301459008,11652327-DS-14," we continued your care in the ICU. Now, you are stable for discharge to rehab. Followup Instructions" False positive,,"(461, 465)",,mild,,162468002,11783215-DS-18,"akness for approximately 1 week, and on ROS noted mild hematuria. The patient reports that over the las" False positive,,"(929, 931)",,cp,,282108002,11783215-DS-18,"ry little stiffness. Otherwise no fevers/chills, cp, diarrhea, melena, rectal bleeding. She is on a " False positive,,"(1159, 1169)",,creatinine,,113075003,11783215-DS-18,"he follows for CKD ___ DM, and was told that her creatinine was up from 3.0 to 3.7. In the setting of this w" False positive,,"(1273, 1276)",,PCP,,258735001,11783215-DS-18,"ess, her nephrologist suggested that she see her PCP. She saw her PCP, ___, on ___. Her PCP felt that" False positive,,"(1290, 1293)",,PCP,,258735001,11783215-DS-18,"gist suggested that she see her PCP. She saw her PCP, ___, on ___. Her PCP felt that this presentatio" False positive,,"(1312, 1315)",,PCP,,282108002,11783215-DS-18,"he see her PCP. She saw her PCP, ___, on ___. Her PCP felt that this presentation was consistent with " False positive,,"(1411, 1414)",,ESR,,416838001,11783215-DS-18,"ith PMR, so they sent a set of labs including an ESR which was elevated to 58, and a CRP which was no" False positive,,"(1425, 1433)",,elevated,,50177009,11783215-DS-18,"ey sent a set of labs including an ESR which was elevated to 58, and a CRP which was normal. They recommen" False positive,,"(1448, 1451)",,CRP,,61425002,11783215-DS-18,"including an ESR which was elevated to 58, and a CRP which was normal. They recommended drinking lots " False positive,,"(1652, 1658)",,vitals,,260390007,11783215-DS-18," made to present to the ED. In the ED, initial vitals: 99.2 99 154/71 18 99% RA - Exam notable for: " False positive,,"(1682, 1684)",,RA,,463051000124105,11783215-DS-18," In the ED, initial vitals: 99.2 99 154/71 18 99% RA - Exam notable for: well-appearing, no limb sw" False positive,,"(1690, 1694)",,Exam,,105477005,11783215-DS-18,"ED, initial vitals: 99.2 99 154/71 18 99% RA - Exam notable for: well-appearing, no limb swelling, mi" False positive,,"(1708, 1722)",,well-appearing,,167827008,11783215-DS-18,": 99.2 99 154/71 18 99% RA - Exam notable for: well-appearing, no limb swelling, mild hip flexor weakness but " False positive,,"(1826, 1836)",,creatinine,,113075003,11783215-DS-18,"l bilaterally t/o - Labs notable for: CK 9561, creatinine 4.8 (baseline in ___ of 3.0), BUN 96, bicarb 16 " False positive,,"(1842, 1850)",,baseline,,129082007,11783215-DS-18,"o - Labs notable for: CK 9561, creatinine 4.8 (baseline in ___ of 3.0), BUN 96, bicarb 16 (AG 20), H/H 9" False positive,,"(1909, 1912)",,WBC,,391558003,11783215-DS-18,"of 3.0), BUN 96, bicarb 16 (AG 20), H/H 9.1/30.4, WBC 8.8, UA mod leuk, mod blood, 27 WBC, 1 epi ALT 2" False positive,,"(1918, 1920)",,UA,,257999003,11783215-DS-18,"BUN 96, bicarb 16 (AG 20), H/H 9.1/30.4, WBC 8.8, UA mod leuk, mod blood, 27 WBC, 1 epi ALT 258, AST " False positive,,"(1946, 1949)",,WBC,,391558003,11783215-DS-18,"/H 9.1/30.4, WBC 8.8, UA mod leuk, mod blood, 27 WBC, 1 epi ALT 258, AST 280. - Imaging notable for" False positive,,"(1957, 1960)",,ALT,,56935002,11783215-DS-18,", WBC 8.8, UA mod leuk, mod blood, 27 WBC, 1 epi ALT 258, AST 280. - Imaging notable for: none -" False positive,,"(1966, 1969)",,AST,,85043005,11783215-DS-18,", UA mod leuk, mod blood, 27 WBC, 1 epi ALT 258, AST 280. - Imaging notable for: none - Patient " False positive,,"(2035, 2041)",,Vitals,,260390007,11783215-DS-18,"ng notable for: none - Patient given: IVF - Vitals prior to transfer: 98.3 88 127/70 16 98% RA " False positive,,"(2083, 2085)",,RA,,463051000124105,11783215-DS-18,"- Vitals prior to transfer: 98.3 88 127/70 16 98% RA On arrival to the floor, pt reports persiste" False positive,,"(3112, 3114)",,no,,160552003,11783215-DS-18,"itting up in bed attempting to eat breakfast, in no acute distress HEENT: Sclera anicteric, MMM, or" False positive,,"(3180, 3184)",,neck,,840674001,11783215-DS-18," HEENT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, PERRLA. Some periorbital s" False positive,,"(3691, 3700)",,CN II-XII,,124648003,11783215-DS-18,"sed, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossly intact, strength ___ in UE and ___ throu" False positive,,"(3733, 3735)",,UE,,257999003,11783215-DS-18," Neuro: CN II-XII grossly intact, strength ___ in UE and ___ throughout with exception of deltoid and" False positive,,"(3866, 3872)",,Vitals,,260390007,11783215-DS-18,"leasant affect DISCHARGE EXAM: =============== Vitals: Afebrile, BP 102-112/59-70, 74-90, ___, 96% on R" False positive,,"(3874, 3882)",,Afebrile,,307200007,11783215-DS-18,"affect DISCHARGE EXAM: =============== Vitals: Afebrile, BP 102-112/59-70, 74-90, ___, 96% on RA General" False positive,,"(3884, 3886)",,BP,,38341003,11783215-DS-18,"DISCHARGE EXAM: =============== Vitals: Afebrile, BP 102-112/59-70, 74-90, ___, 96% on RA General: Al" False positive,,"(3921, 3923)",,RA,,109511000146106,11783215-DS-18,"s: Afebrile, BP 102-112/59-70, 74-90, ___, 96% on RA General: Alert, sitting in chair, looking quite " False positive,,"(3981, 3986)",,HEENT,,113665002,11783215-DS-18,"l: Alert, sitting in chair, looking quite well HEENT: Sclera anicteric, MMM, oropharynx clear, neck su" False positive,,"(4067, 4070)",,JVP,,369001,11783215-DS-18,"rynx clear, neck supple, EOMI grossly, PERRLA. JVP @8cm. No LAD. Periorbital edema with slight pink" False positive,,"(4216, 4218)",,S2,,81170007,11783215-DS-18,"heezes, crackles, or rhonchi CV: RRR, with loud S2 (loudest at RUSB), with II/VI blowing mid-systol" False positive,,"(4286, 4295)",,radiation,,279230002,11783215-DS-18,", with II/VI blowing mid-systolic murmur with no radiation, no rubs or gallops Abdomen: soft, non-tender, " False positive,,"(4333, 4343)",,non-tender,,298741000,11783215-DS-18,"no radiation, no rubs or gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebou" False positive,,"(4345, 4358)",,non-distended,,162069004,11783215-DS-18,", no rubs or gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness o" False positive,,"(4609, 4611)",,UE,,257999003,11783215-DS-18," Neuro: CN II-XII grossly intact, strength ___ in UE and ___ Psych: pleasant affect Pertinent" False positive,,"(4883, 4887)",,HCO3,,88645003,11783215-DS-18,"M BLOOD UreaN-90* Creat-4.5* Na-142 K-3.5 Cl-103 HCO3-20* AnGap-23* ___ 11:00AM BLOOD ALT-248* AST-280*" False positive,,"(4943, 4950)",,AlkPhos,,30703008,11783215-DS-18,"nGap-23* ___ 11:00AM BLOOD ALT-248* AST-280* ___ AlkPhos-87 TotBili-0.3 ___ 05:25AM BLOOD SED RATE: 58 R" False positive,,"(5149, 5158)",,echogenic,,421222001,11783215-DS-18," The left kidney measures 10.1cm. Kidneys appear echogenic consistent with chronic medical renal disease. " False positive,,"(5281, 5291)",,left renal,,1268765001,11783215-DS-18,"re better assessed on prior MRI. The hypoechoic left renal lesion described on prior MRI as ""Concerning for" False positive,,"(5699, 5704)",,fluid,,109192009,11783215-DS-18,"1.8 cm ___ thigh MRI: FINDINGS: Muscles: Mild fluid signal is seen throughout the musculature bilate" False positive,,"(5735, 5746)",,musculature,,79984008,11783215-DS-18,"Muscles: Mild fluid signal is seen throughout the musculature bilateral thighs, greatest involving the rectus" False positive,,"(5814, 5818)",,left,,264745005,11783215-DS-18,"s, greatest involving the rectus femoris muscles, left greater than right, as well as the right vastus" False positive,,"(5834, 5839)",,right,,264746006,11783215-DS-18,"g the rectus femoris muscles, left greater than right, as well as the right vastus lateralis and bilate" False positive,,"(5883, 5892)",,bilateral,,268228006,11783215-DS-18," right, as well as the right vastus lateralis and bilateral hamstring muscles. These findings are consist wi" False positive,,"(5974, 5989)",,abnormal marrow,,167911000,11783215-DS-18,"ngs are consist with myopathy. Bone marrow: No abnormal marrow signal. Other: Bilateral hamstring origin compl" False positive,,"(6051, 6066)",,"grossly intact",,408658000,11783215-DS-18,"ther: Bilateral hamstring origin complexes appear grossly intact. Visualized intrapelvic soft tissues appear gr" False positive,,"(6155, 6159)",,Mild,,162468002,11783215-DS-18,"s appear grossly unremarkable. IMPRESSION: Mild muscle edema throughout bilateral thigh musculatu" False positive,,"(6184, 6193)",,bilateral,,268228006,11783215-DS-18,". IMPRESSION: Mild muscle edema throughout bilateral thigh musculature greater in the rectus femoris " False positive,,"(6252, 6256)",,left,,264745005,11783215-DS-18,"sculature greater in the rectus femoris muscles, left greater than right. These findings may be seen i" False positive,,"(6270, 6275)",,right,,225794002,11783215-DS-18," in the rectus femoris muscles, left greater than right. These findings may be seen in a statin-induced " False positive,,"(6394, 6397)",,WBC,,391558003,11783215-DS-18,"GE RESULTS: =================== ___ 05:45AM BLOOD WBC-7.4 RBC-3.92 Hgb-8.6* Hct-28.0* MCV-71* MCH-21.9" False positive,,"(6896, 6904)",,resolved,,413322009,11783215-DS-18," rhabdomyolysis of unclear etiology. ___ and ___ resolved with IVF. #Muscle weakness: CK elevated to ~10k" False positive,,"(6960, 6968)",,elevated,,50177009,11783215-DS-18," IVF. #Muscle weakness: CK elevated to ~10k with elevated ALT/AST (low Alk Phos), both downtrended and her" False positive,,"(6969, 6972)",,ALT,,364571000119101,11783215-DS-18,"uscle weakness: CK elevated to ~10k with elevated ALT/AST (low Alk Phos), both downtrended and her wea" False positive,,"(6973, 6976)",,AST,,85043005,11783215-DS-18,"e weakness: CK elevated to ~10k with elevated ALT/AST (low Alk Phos), both downtrended and her weaknes" False positive,,"(7072, 7075)",,ESR,,416838001,11783215-DS-18,"kness improved with only d/c-ing statin and IVF. ESR was also elevated to 58 on ___, downtrended to 3" False positive,,"(7085, 7093)",,elevated,,50177009,11783215-DS-18,"d with only d/c-ing statin and IVF. ESR was also elevated to 58 on ___, downtrended to 32 on ___. CRP rema" False positive,,"(7135, 7138)",,CRP,,61425002,11783215-DS-18,"elevated to 58 on ___, downtrended to 32 on ___. CRP remained normal. Rheumatology was consulted and " False positive,,"(7227, 7228)",,s,,420952007,11783215-DS-18,"sulted and felt her presentation was most likely statin-related myopathy, however they could not exc" False positive,,"(7446, 7453)",,chronic,,255212004,11783215-DS-18,"er periorbital edema (although pt states this is chronic), as well as her ?renal cell carcinoma. Of note," False positive,,"(7607, 7616)",,malignant,,128643000,11783215-DS-18,"ram, and pap smear, with no reported evidence of malignant or premalignant lesions. She was discharged with " False positive,,"(7764, 7772)",,baseline,,129082007,11783215-DS-18,"nt biopsy. ___ on CKD: CKD reportedly ___ T2DM, baseline Cr ~3. ___ could be from myoglobinuria. FeNa ~ 6" False positive,,"(7843, 7848)",,renal,,63893004,11783215-DS-18," from myoglobinuria. FeNa ~ 60%--likely intrinsic renal given hx of CKD and recent myoglobinuria which c" False positive,,"(8062, 8079)",,good urine output,,130953005,11783215-DS-18,"enal obstruction seems unlikely given pt reports good urine output w/ no changes from baseline, and US with no hydr" False positive,,"(8100, 8108)",,baseline,,129082007,11783215-DS-18," pt reports good urine output w/ no changes from baseline, and US with no hydronephrosis. Cr down to 3 on " False positive,,"(8114, 8116)",,US,,258698007,11783215-DS-18,"od urine output w/ no changes from baseline, and US with no hydronephrosis. Cr down to 3 on discharg" False positive,,"(8141, 8143)",,Cr,,111070004,11783215-DS-18,"es from baseline, and US with no hydronephrosis. Cr down to 3 on discharge. #HTN: given ___ and ___" False positive,,"(8241, 8263)",,BP was well-controlled,,444059002,11783215-DS-18,"__, held HCTZ and losartan. Continued verapamil. BP was well-controlled (SBP 110s) on verapamil only, so she was instruc" False positive,,"(8364, 8367)",,PCP,,258735001,11783215-DS-18,"ed to continue holding HCTZ and losartan pending PCP ___. #H/o gout - continue allopurinol at lower" False positive,,"(8479, 8486)",,chronic,,255212004,11783215-DS-18,"g every third day) due to GFR now 9. #Anemia: chronic, thought to be due to thal minor. #DM: Home gl" False positive,,"(8686, 8698)",,electrolytes,,14830009,11783215-DS-18,"======== -Losartan and HCTZ stopped. Check BP and electrolytes and restart as needed. -Check chemistry to ___ o" False positive,,"(8750, 8764)",,renal function,,76114004,11783215-DS-18,"nd restart as needed. -Check chemistry to ___ on renal function -Rheumatology recommending muscle biopsy to r/o i" False positive,,"(8981, 8982)",,L,,420296000,11783215-DS-18,"w-up scheduled -Will still need ___ MRI for known L renal mass -If renal function worsens, may need d" False positive,,"(8998, 9012)",,renal function,,76114004,11783215-DS-18,"ill still need ___ MRI for known L renal mass -If renal function worsens, may need dose adjustment of allopurinol" False positive,,"(11072, 11077)",,Clear,,281278005,11783215-DS-18,"domyolysis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" False positive,,"(11126, 11137)",,interactive,,10301000202103,11783215-DS-18,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" False positive,,"(11139, 11154)",,Activity Status,,397622007,11783215-DS-18,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" False positive,,"(11473, 11481)",,baseline,,161033005,11783215-DS-18,"charge, your kidney function had returned to its baseline before coming to the hospital. We think your mus" "Correct entity, wrong SNOMED ID","(347, 361)","(347, 361)",rhabdomyolysis,rhabdomyolysis,89010004,1141859005,11783215-DS-18,"Illness: ___ with PMHx as below presents with c/f rhabdomyolysis. She presented to her PCP complaining of ___ we" "Correct entity, wrong SNOMED ID","(467, 476)","(467, 476)",hematuria,hematuria,34436003,197940006,11783215-DS-18," for approximately 1 week, and on ROS noted mild hematuria. The patient reports that over the last 9 days, s" "Correct entity, wrong SNOMED ID","(560, 577)","(560, 577)",shoulder weakness,shoulder weakness,249940002,205306000,11783215-DS-18,"e last 9 days, she has developed progressive b/l shoulder weakness and hip weakness. She reports that up until ___ " "Correct entity, wrong SNOMED ID","(582, 595)","(582, 595)","hip weakness","hip weakness",249941003,1119519006,11783215-DS-18,"s developed progressive b/l shoulder weakness and hip weakness. She reports that up until ___ she was continuing" Missed entity,"(719, 727)",,exercise,,226029000,,11783215-DS-18," per week working out, and had not done any more exercise than usual. She woke up on ___ with significant " Wrong span,"(777, 792)","(777, 778)",girdle weakness,g,249941003,258682000,11783215-DS-18," than usual. She woke up on ___ with significant girdle weakness so much so that it has been difficult for her to " Wrong span,"(821, 847)","(843, 847)","difficult for her to walk",walk,719232003,282146009,11783215-DS-18,"cant girdle weakness so much so that it has been difficult for her to walk. She has denied any pain and very little stiffnes" "Correct entity, wrong SNOMED ID","(868, 872)","(868, 872)",pain,pain,22253000,102570003,11783215-DS-18,"en difficult for her to walk. She has denied any pain and very little stiffness. Otherwise no fevers/c" "Correct entity, wrong SNOMED ID","(889, 898)","(889, 898)",stiffness,stiffness,271587009,161882006,11783215-DS-18,"to walk. She has denied any pain and very little stiffness. Otherwise no fevers/chills, cp, diarrhea, melen" Wrong span,"(911, 920)","(914, 920)",no fevers,fevers,87273009,248444008,11783215-DS-18,"ed any pain and very little stiffness. Otherwise no fevers/chills, cp, diarrhea, melena, rectal bleeding. S" "Correct entity, wrong SNOMED ID","(921, 927)","(921, 927)",chills,chills,43724002,274640006,11783215-DS-18,"n and very little stiffness. Otherwise no fevers/chills, cp, diarrhea, melena, rectal bleeding. She is o" "Correct entity, wrong SNOMED ID","(933, 941)","(933, 941)",diarrhea,diarrhea,62315008,111843007,11783215-DS-18,"ittle stiffness. Otherwise no fevers/chills, cp, diarrhea, melena, rectal bleeding. She is on a statin whi" "Correct entity, wrong SNOMED ID","(943, 949)","(943, 949)",melena,melena,2901004,206424005,11783215-DS-18,"fness. Otherwise no fevers/chills, cp, diarrhea, melena, rectal bleeding. She is on a statin which was s" "Correct entity, wrong SNOMED ID","(951, 967)","(951, 967)","rectal bleeding","rectal bleeding",12063002,414991007,11783215-DS-18,"Otherwise no fevers/chills, cp, diarrhea, melena, rectal bleeding. She is on a statin which was stopped two days pr" "Correct entity, wrong SNOMED ID","(1051, 1066)","(1051, 1066)",muscle weakness,muscle weakness,26544005,249942005,11783215-DS-18,"pped two days prior to this admission due to the muscle weakness. She saw her nephrologist on ___, who she foll" "Correct entity, wrong SNOMED ID","(1133, 1135)","(1133, 1135)",DM,DM,73211009,258671008,11783215-DS-18,"nephrologist on ___, who she follows for CKD ___ DM, and was told that her creatinine was up from 3.0" Missed entity,"(1365, 1368)",,PMR,,65323003,,11783215-DS-18," felt that this presentation was consistent with PMR, so they sent a set of labs including an ESR whi" "Correct entity, wrong SNOMED ID","(1727, 1740)","(1727, 1740)",limb swelling,limb swelling,722742002,699376002,11783215-DS-18," 99% RA - Exam notable for: well-appearing, no limb swelling, mild hip flexor weakness but equal bilaterally " Wrong span,"(1747, 1758)","(1747, 1767)","hip flexor","hip flexor weakness",303800000,1119519006,11783215-DS-18,"table for: well-appearing, no limb swelling, mild hip flexor weakness but equal bilaterally t/o - Labs nota" Wrong span,"(1759, 1767)","(1747, 1767)",weakness,"hip flexor weakness",26544005,1119519006,11783215-DS-18,"ell-appearing, no limb swelling, mild hip flexor weakness but equal bilaterally t/o - Labs notable for: " "Correct entity, wrong SNOMED ID","(1980, 1987)","(1980, 1987)",Imaging,Imaging,363679005,408574004,11783215-DS-18,", mod blood, 27 WBC, 1 epi ALT 258, AST 280. - Imaging notable for: none - Patient given: IVF - Vi" "Correct entity, wrong SNOMED ID","(2026, 2029)","(2026, 2029)",IVF,IVF,103744005,52637005,11783215-DS-18," - Imaging notable for: none - Patient given: IVF - Vitals prior to transfer: 98.3 88 127/70 16 " "Correct entity, wrong SNOMED ID","(2138, 2148)","(2138, 2148)",hip flexor,hip flexor,303800000,429722003,11783215-DS-18," On arrival to the floor, pt reports persistent hip flexor and shoulder weakness, strength relatively intac" "Correct entity, wrong SNOMED ID","(2154, 2171)","(2154, 2171)",shoulder weakness,shoulder weakness,249940002,205306000,11783215-DS-18," the floor, pt reports persistent hip flexor and shoulder weakness, strength relatively intact in other more distal" "Correct entity, wrong SNOMED ID","(2247, 2251)","(2247, 2251)",pain,pain,22253000,102570003,11783215-DS-18,"ct in other more distal motor groups. She denies pain or stiffness. Denies fevers/chills, other notabl" "Correct entity, wrong SNOMED ID","(2255, 2264)","(2255, 2264)",stiffness,stiffness,271587009,161882006,11783215-DS-18,"her more distal motor groups. She denies pain or stiffness. Denies fevers/chills, other notable symptoms (a" "Correct entity, wrong SNOMED ID","(2274, 2280)","(2274, 2280)",fevers,fevers,386661006,248444008,11783215-DS-18,"tor groups. She denies pain or stiffness. Denies fevers/chills, other notable symptoms (as above) Pa" "Correct entity, wrong SNOMED ID","(2281, 2287)","(2281, 2287)",chills,chills,43724002,274640006,11783215-DS-18,"ups. She denies pain or stiffness. Denies fevers/chills, other notable symptoms (as above) Past Medi" "Correct entity, wrong SNOMED ID","(2358, 2375)","(2358, 2375)",ALLERGIC RHINITIS,ALLERGIC RHINITIS,61582004,367498001,11783215-DS-18,"oms (as above) Past Medical History: T2DM ALLERGIC RHINITIS ANEMIA - PROB THAL MINOR AORTIC SCLEROSI" "Correct entity, wrong SNOMED ID","(2379, 2385)","(2379, 2385)",ANEMIA,ANEMIA,271737000,87522002,11783215-DS-18,"ast Medical History: T2DM ALLERGIC RHINITIS ANEMIA - PROB THAL MINOR AORTIC SCLEROSIS ASTHM" Wrong span,"(2396, 2406)","(2391, 2416)",THAL MINOR,"PROB THAL MINOR AORTIC",19442009,762252001,11783215-DS-18,"ry: T2DM ALLERGIC RHINITIS ANEMIA - PROB THAL MINOR AORTIC SCLEROSIS ASTHMA BENIGN POSITIONA" Wrong span,"(2410, 2426)","(2391, 2416)",AORTIC SCLEROSIS,"PROB THAL MINOR AORTIC",67754003,762252001,11783215-DS-18,"LERGIC RHINITIS ANEMIA - PROB THAL MINOR AORTIC SCLEROSIS ASTHMA BENIGN POSITIONAL VERTIGO CATARAC" "Correct entity, wrong SNOMED ID","(2430, 2436)","(2430, 2436)",ASTHMA,ASTHMA,195967001,281239006,11783215-DS-18,"NEMIA - PROB THAL MINOR AORTIC SCLEROSIS ASTHMA BENIGN POSITIONAL VERTIGO CATARACT CHRON" Wrong span,"(2440, 2465)","(2440, 2446)",BENIGN POSITIONAL VERTIGO,BENIGN,111541001,110460003,11783215-DS-18," PROB THAL MINOR AORTIC SCLEROSIS ASTHMA BENIGN POSITIONAL VERTIGO CATARACT CHRONIC KIDNEY DISEASE STAGE IV L" "Correct entity, wrong SNOMED ID","(2469, 2477)","(2469, 2477)",CATARACT,CATARACT,193570009,766834007,11783215-DS-18,"LEROSIS ASTHMA BENIGN POSITIONAL VERTIGO CATARACT CHRONIC KIDNEY DISEASE STAGE IV L KIDNEY MASS" Wrong span,"(2481, 2512)","(2481, 2503)",CHRONIC KIDNEY DISEASE STAGE IV,CHRONIC KIDNEY DISEASE,431857002,709044004,11783215-DS-18,"STHMA BENIGN POSITIONAL VERTIGO CATARACT CHRONIC KIDNEY DISEASE STAGE IV L KIDNEY MASS (?papillary renal cell carcinoma) " Wrong span,"(2516, 2527)","(2523, 2527)",KIDNEY MASS,MASS,309088003,237557003,11783215-DS-18," CATARACT CHRONIC KIDNEY DISEASE STAGE IV L KIDNEY MASS (?papillary renal cell carcinoma) ECZEMA GO" "Correct entity, wrong SNOMED ID","(2530, 2560)","(2530, 2560)",papillary renal cell carcinoma,papillary renal cell carcinoma,733607005,106231000146105,11783215-DS-18," CHRONIC KIDNEY DISEASE STAGE IV L KIDNEY MASS (?papillary renal cell carcinoma) ECZEMA GOUT HYPERCHOLESTEROLEMIA HYP" "Correct entity, wrong SNOMED ID","(2565, 2571)","(2565, 2571)",ECZEMA,ECZEMA,43116000,123698008,11783215-DS-18," KIDNEY MASS (?papillary renal cell carcinoma) ECZEMA GOUT HYPERCHOLESTEROLEMIA HYPERTENSION " Boundary error,"(2575, 2579)","(2575, 2577)",GOUT,GO,90560007,10968004,11783215-DS-18,"SS (?papillary renal cell carcinoma) ECZEMA GOUT HYPERCHOLESTEROLEMIA HYPERTENSION MITRAL" "Correct entity, wrong SNOMED ID","(2583, 2603)","(2583, 2603)",HYPERCHOLESTEROLEMIA,HYPERCHOLESTEROLEMIA,13644009,238076009,11783215-DS-18,"illary renal cell carcinoma) ECZEMA GOUT HYPERCHOLESTEROLEMIA HYPERTENSION MITRAL REGURGITATION OBESIT" "Correct entity, wrong SNOMED ID","(2607, 2619)","(2607, 2619)",HYPERTENSION,HYPERTENSION,38341003,70995007,11783215-DS-18,"oma) ECZEMA GOUT HYPERCHOLESTEROLEMIA HYPERTENSION MITRAL REGURGITATION OBESITY OSTEOARTHRI" "Correct entity, wrong SNOMED ID","(2623, 2643)","(2623, 2643)",MITRAL REGURGITATION,MITRAL REGURGITATION,48724000,373116009,11783215-DS-18," GOUT HYPERCHOLESTEROLEMIA HYPERTENSION MITRAL REGURGITATION OBESITY OSTEOARTHRITIS HIP-BILAT, LT HIP" "Correct entity, wrong SNOMED ID","(2647, 2654)","(2647, 2654)",OBESITY,OBESITY,414916001,111036000,11783215-DS-18,"OLEMIA HYPERTENSION MITRAL REGURGITATION OBESITY OSTEOARTHRITIS HIP-BILAT, LT HIP BURSITIS " "Correct entity, wrong SNOMED ID","(2658, 2672)","(2658, 2672)",OSTEOARTHRITIS,OSTEOARTHRITIS,112991000119105,43829003,11783215-DS-18,"YPERTENSION MITRAL REGURGITATION OBESITY OSTEOARTHRITIS HIP-BILAT, LT HIP BURSITIS SLEEP APNEA S" "Correct entity, wrong SNOMED ID","(2676, 2685)","(2676, 2685)",HIP-BILAT,HIP-BILAT,304909008,259545006,11783215-DS-18,"RAL REGURGITATION OBESITY OSTEOARTHRITIS HIP-BILAT, LT HIP BURSITIS SLEEP APNEA SPINAL STENOSI" Wrong span,"(2687, 2702)","(2690, 2693)",LT HIP BURSITIS,HIP,773969003,287679003,11783215-DS-18,"TATION OBESITY OSTEOARTHRITIS HIP-BILAT, LT HIP BURSITIS SLEEP APNEA SPINAL STENOSIS VITAMIN D DE" Wrong span,"(2706, 2717)","(2706, 2711)",SLEEP APNEA,SLEEP,73430006,248256006,11783215-DS-18," OSTEOARTHRITIS HIP-BILAT, LT HIP BURSITIS SLEEP APNEA SPINAL STENOSIS VITAMIN D DEFICIENCY RIG" Wrong span,"(2721, 2736)","(2721, 2727)",SPINAL STENOSIS,SPINAL,76107001,277362007,11783215-DS-18,"S HIP-BILAT, LT HIP BURSITIS SLEEP APNEA SPINAL STENOSIS VITAMIN D DEFICIENCY RIGHT BUNDLE BRANCH BL" "Correct entity, wrong SNOMED ID","(2740, 2760)","(2740, 2760)",VITAMIN D DEFICIENCY,VITAMIN D DEFICIENCY,34713006,237894002,11783215-DS-18,"HIP BURSITIS SLEEP APNEA SPINAL STENOSIS VITAMIN D DEFICIENCY RIGHT BUNDLE BRANCH BLOCK STRESS INCONTIN" Wrong span,"(2764, 2789)","(2764, 2776)",RIGHT BUNDLE BRANCH BLOCK,RIGHT BUNDLE,59118001,277689005,11783215-DS-18,"NEA SPINAL STENOSIS VITAMIN D DEFICIENCY RIGHT BUNDLE BRANCH BLOCK STRESS INCONTINENCE Social History: ___" Wrong span,"(2795, 2814)","(2784, 2814)",STRESS INCONTINENCE,"BLOCK STRESS INCONTINENCE",22220005,161794005,11783215-DS-18,"IN D DEFICIENCY RIGHT BUNDLE BRANCH BLOCK STRESS INCONTINENCE Social History: ___ Family History: Mother: " "Correct entity, wrong SNOMED ID","(2864, 2876)","(2864, 2876)",HYPERTENSION,HYPERTENSION,38341003,70995007,11783215-DS-18," Social History: ___ Family History: Mother: HYPERTENSION Father: ___ DIABETES MELLITUS Sister: ___ END" "Correct entity, wrong SNOMED ID","(2891, 2908)","(2891, 2908)",DIABETES MELLITUS,DIABETES MELLITUS,73211009,44054006,11783215-DS-18,"amily History: Mother: HYPERTENSION Father: ___ DIABETES MELLITUS Sister: ___ ENDOMETRIAL CANCER at ___ yrs " "Correct entity, wrong SNOMED ID","(2923, 2941)","(2923, 2941)",ENDOMETRIAL CANCER,ENDOMETRIAL CANCER,254878006,315267003,11783215-DS-18,"ION Father: ___ DIABETES MELLITUS Sister: ___ ENDOMETRIAL CANCER at ___ yrs Physical Exam: ADMISSION EXAM: ==" "Correct entity, wrong SNOMED ID","(3005, 3011)","(3005, 3011)",Vitals,Vitals,118227000,260390007,11783215-DS-18," Physical Exam: ADMISSION EXAM: =============== Vitals: 0739 98.4 131/77 91 18 96% RA General: Alert, " "Correct entity, wrong SNOMED ID","(3040, 3042)","(3040, 3042)",RA,RA,722742002,463051000124105,11783215-DS-18,"============== Vitals: 0739 98.4 131/77 91 18 96% RA General: Alert, sitting up in bed attempting to" "Correct entity, wrong SNOMED ID","(3045, 3052)","(3045, 3052)",General,General,162673000,252398009,11783215-DS-18,"========= Vitals: 0739 98.4 131/77 91 18 96% RA General: Alert, sitting up in bed attempting to eat break" "Correct entity, wrong SNOMED ID","(3054, 3059)","(3054, 3059)",Alert,Alert,248234008,409787004,11783215-DS-18," Vitals: 0739 98.4 131/77 91 18 96% RA General: Alert, sitting up in bed attempting to eat breakfast, " Wrong span,"(3061, 3068)","(3061, 3078)",sitting,sitting up in bed,33586001,282923008,11783215-DS-18,": 0739 98.4 131/77 91 18 96% RA General: Alert, sitting up in bed attempting to eat breakfast, in no acu" "Correct entity, wrong SNOMED ID","(3121, 3129)","(3121, 3129)",distress,distress,69328002,271825005,11783215-DS-18," in bed attempting to eat breakfast, in no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear," "Correct entity, wrong SNOMED ID","(3132, 3137)","(3132, 3137)",HEENT,HEENT,5880005,113665002,11783215-DS-18,"empting to eat breakfast, in no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, neck su" "Correct entity, wrong SNOMED ID","(3139, 3155)","(3139, 3155)",Sclera anicteric,Sclera anicteric,427801009,231878001,11783215-DS-18," to eat breakfast, in no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI grossl" "Correct entity, wrong SNOMED ID","(3157, 3160)","(3157, 3160)",MMM,MMM,276398005,258673006,11783215-DS-18," in no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, PE" "Correct entity, wrong SNOMED ID","(3162, 3178)","(3162, 3178)",oropharynx clear,oropharynx clear,300280008,426547004,11783215-DS-18,"no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, PERRLA. Some periorb" "Correct entity, wrong SNOMED ID","(3185, 3191)","(3185, 3191)",supple,supple,298475003,116121000,11783215-DS-18,"NT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, PERRLA. Some periorbital swelling" "Correct entity, wrong SNOMED ID","(3194, 3198)","(3194, 3198)",EOMI,EOMI,103251002,67099000,11783215-DS-18,"a anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, PERRLA. Some periorbital swelling with m" "Correct entity, wrong SNOMED ID","(3208, 3214)","(3208, 3214)",PERRLA,PERRLA,386667005,48280007,11783215-DS-18,"MM, oropharynx clear, neck supple, EOMI grossly, PERRLA. Some periorbital swelling with mild pink colora" "Correct entity, wrong SNOMED ID","(3221, 3241)","(3221, 3241)",periorbital swelling,periorbital swelling,49563000,349131000119103,11783215-DS-18,"x clear, neck supple, EOMI grossly, PERRLA. Some periorbital swelling with mild pink coloration. JVP @8cm. No LAD Lu" Missed entity,"(3252, 3268)",,"pink coloration",,1141809001,,11783215-DS-18,"ssly, PERRLA. Some periorbital swelling with mild pink coloration. JVP @8cm. No LAD Lungs: clear to auscultation " "Correct entity, wrong SNOMED ID","(3270, 3273)","(3270, 3273)",JVP,JVP,366163001,369001,11783215-DS-18," periorbital swelling with mild pink coloration. JVP @8cm. No LAD Lungs: clear to auscultation bilat" "Correct entity, wrong SNOMED ID","(3283, 3286)","(3283, 3286)",LAD,LAD,30746006,1010291002,11783215-DS-18,"swelling with mild pink coloration. JVP @8cm. No LAD Lungs: clear to auscultation bilaterally w/o wh" "Correct entity, wrong SNOMED ID","(3289, 3294)","(3289, 3294)",Lungs,Lungs,268925001,74101002,11783215-DS-18,"ng with mild pink coloration. JVP @8cm. No LAD Lungs: clear to auscultation bilaterally w/o wheezes, c" Boundary error,"(3296, 3329)","(3296, 3327)",clear to auscultation bilaterally,clear to auscultation bilateral,48348007,48348007,11783215-DS-18," mild pink coloration. JVP @8cm. No LAD Lungs: clear to auscultation bilaterally w/o wheezes, crackles, or rhonchi CV: tachycar" "Correct entity, wrong SNOMED ID","(3334, 3341)","(3334, 3341)",wheezes,wheezes,56018004,9763007,11783215-DS-18,"AD Lungs: clear to auscultation bilaterally w/o wheezes, crackles, or rhonchi CV: tachycardic w/ norma" "Correct entity, wrong SNOMED ID","(3367, 3369)","(3367, 3369)",CV,CV,363003006,258773002,11783215-DS-18," bilaterally w/o wheezes, crackles, or rhonchi CV: tachycardic w/ normal rhythm, normal S1 + S2, no" "Correct entity, wrong SNOMED ID","(3371, 3382)","(3371, 3382)",tachycardic,tachycardic,3424008,6456007,11783215-DS-18,"aterally w/o wheezes, crackles, or rhonchi CV: tachycardic w/ normal rhythm, normal S1 + S2, no murmurs, ru" "Correct entity, wrong SNOMED ID","(3386, 3399)","(3386, 3399)",normal rhythm,normal rhythm,64730000,428919002,11783215-DS-18,"eezes, crackles, or rhonchi CV: tachycardic w/ normal rhythm, normal S1 + S2, no murmurs, rubs, gallops Abd" "Correct entity, wrong SNOMED ID","(3401, 3410)","(3401, 3410)",normal S1,normal S1,26198000,167242001,11783215-DS-18,", or rhonchi CV: tachycardic w/ normal rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft," "Correct entity, wrong SNOMED ID","(3413, 3415)","(3413, 3415)",S2,S2,111974005,81170007,11783215-DS-18,"i CV: tachycardic w/ normal rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-" "Correct entity, wrong SNOMED ID","(3420, 3427)","(3420, 3427)",murmurs,murmurs,414786004,248699005,11783215-DS-18," tachycardic w/ normal rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-" "Correct entity, wrong SNOMED ID","(3436, 3443)","(3436, 3443)",gallops,gallops,2170000,4592006,11783215-DS-18,"normal rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel" "Correct entity, wrong SNOMED ID","(3446, 3453)","(3446, 3453)",Abdomen,Abdomen,225162003,41931001,11783215-DS-18,"thm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds pr" "Correct entity, wrong SNOMED ID","(3461, 3471)","(3461, 3471)",non-tender,non-tender,43478001,298741000,11783215-DS-18,"+ S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound" "Correct entity, wrong SNOMED ID","(3473, 3486)","(3473, 3486)",non-distended,non-distended,300405003,162069004,11783215-DS-18,"murs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or " "Correct entity, wrong SNOMED ID","(3488, 3508)","(3488, 3508)",bowel sounds present,bowel sounds present,61539000,444685004,11783215-DS-18,"llops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomeg" "Correct entity, wrong SNOMED ID","(3514, 3521)","(3514, 3521)",rebound,rebound,35611005,844584001,11783215-DS-18,"-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Ext: No" "Correct entity, wrong SNOMED ID","(3522, 3532)","(3522, 3532)",tenderness,tenderness,247348008,43478001,11783215-DS-18," non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Ext: No tenderness" "Correct entity, wrong SNOMED ID","(3564, 3567)","(3564, 3567)",Ext,Ext,302773001,1489008,11783215-DS-18,"rebound tenderness or guarding, no organomegaly Ext: No tenderness to palpation at the thighs or shou" "Correct entity, wrong SNOMED ID","(3572, 3582)","(3572, 3582)",tenderness,tenderness,247348008,43478001,11783215-DS-18,"tenderness or guarding, no organomegaly Ext: No tenderness to palpation at the thighs or shoulders. Warm, w" "Correct entity, wrong SNOMED ID","(3586, 3595)","(3586, 3595)",palpation,palpation,113011001,51558006,11783215-DS-18,"guarding, no organomegaly Ext: No tenderness to palpation at the thighs or shoulders. Warm, well perfused," "Correct entity, wrong SNOMED ID","(3603, 3609)","(3603, 3609)",thighs,thighs,68367000,57172001,11783215-DS-18,"nomegaly Ext: No tenderness to palpation at the thighs or shoulders. Warm, well perfused, no cyanosis o" "Correct entity, wrong SNOMED ID","(3613, 3622)","(3613, 3622)",shoulders,shoulders,16982005,91774008,11783215-DS-18," Ext: No tenderness to palpation at the thighs or shoulders. Warm, well perfused, no cyanosis or edema. no _" "Correct entity, wrong SNOMED ID","(3625, 3629)","(3625, 3629)",Warm,Warm,102599008,298256005,11783215-DS-18,"derness to palpation at the thighs or shoulders. Warm, well perfused, no cyanosis or edema. no ___ edem" "Correct entity, wrong SNOMED ID","(3631, 3644)","(3631, 3644)",well perfused,well perfused,1137685003,301121007,11783215-DS-18,"s to palpation at the thighs or shoulders. Warm, well perfused, no cyanosis or edema. no ___ edema. Neuro: CN " "Correct entity, wrong SNOMED ID","(3649, 3657)","(3649, 3657)",cyanosis,cyanosis,3415004,95442007,11783215-DS-18,"the thighs or shoulders. Warm, well perfused, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossl" "Correct entity, wrong SNOMED ID","(3661, 3666)","(3661, 3666)",edema,edema,267038008,102576009,11783215-DS-18,"r shoulders. Warm, well perfused, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossly intact," "Correct entity, wrong SNOMED ID","(3675, 3680)","(3675, 3680)",edema,edema,267038008,102576009,11783215-DS-18,"Warm, well perfused, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossly intact, strength ___ " "Correct entity, wrong SNOMED ID","(3684, 3689)","(3684, 3689)",Neuro,Neuro,84728005,281247006,11783215-DS-18,"l perfused, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossly intact, strength ___ in UE and" "Correct entity, wrong SNOMED ID","(3701, 3715)","(3701, 3715)",grossly intact,grossly intact,18460000,408658000,11783215-DS-18,"anosis or edema. no ___ edema. Neuro: CN II-XII grossly intact, strength ___ in UE and ___ throughout with exce" "Correct entity, wrong SNOMED ID","(3774, 3781)","(3774, 3781)",deltoid,deltoid,35259002,181620007,11783215-DS-18,"h ___ in UE and ___ throughout with exception of deltoid and hip flexors at ___. Psych: pleasant affect " "Correct entity, wrong SNOMED ID","(3786, 3797)","(3786, 3797)",hip flexors,hip flexors,303800000,429722003,11783215-DS-18,"and ___ throughout with exception of deltoid and hip flexors at ___. Psych: pleasant affect DISCHARGE EXA" "Correct entity, wrong SNOMED ID","(3808, 3813)","(3808, 3813)",Psych,Psych,24642003,17326005,11783215-DS-18,"th exception of deltoid and hip flexors at ___. Psych: pleasant affect DISCHARGE EXAM: =============" Missed entity,"(3824, 3830)",,affect,,106131003,,11783215-DS-18,"deltoid and hip flexors at ___. Psych: pleasant affect DISCHARGE EXAM: =============== Vitals: Afebri" "Correct entity, wrong SNOMED ID","(3925, 3932)","(3925, 3932)",General,General,162673000,252398009,11783215-DS-18,"febrile, BP 102-112/59-70, 74-90, ___, 96% on RA General: Alert, sitting in chair, looking quite well H" "Correct entity, wrong SNOMED ID","(3934, 3939)","(3934, 3939)",Alert,Alert,248234008,409787004,11783215-DS-18,"BP 102-112/59-70, 74-90, ___, 96% on RA General: Alert, sitting in chair, looking quite well HEENT: S" "Correct entity, wrong SNOMED ID","(3941, 3948)","(3941, 3948)",sitting,sitting,33586001,282969008,11783215-DS-18,"112/59-70, 74-90, ___, 96% on RA General: Alert, sitting in chair, looking quite well HEENT: Sclera ani" "Correct entity, wrong SNOMED ID","(3988, 4004)","(3988, 4004)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,11783215-DS-18,"t, sitting in chair, looking quite well HEENT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI gros" "Correct entity, wrong SNOMED ID","(4006, 4009)","(4006, 4009)",MMM,MMM,276398005,258673006,11783215-DS-18,"r, looking quite well HEENT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, " Wrong span,"(4011, 4021)","(4011, 4027)",oropharynx,oropharynx clear,31389004,426547004,11783215-DS-18,"oking quite well HEENT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, PERRLA. JVP " Wrong span,"(4029, 4040)","(4029, 4033)",neck supple,neck,298475003,840674001,11783215-DS-18," HEENT: Sclera anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, PERRLA. JVP @8cm. No LAD. Perio" "Correct entity, wrong SNOMED ID","(4043, 4047)","(4043, 4047)",EOMI,EOMI,103251002,67099000,11783215-DS-18,"a anicteric, MMM, oropharynx clear, neck supple, EOMI grossly, PERRLA. JVP @8cm. No LAD. Periorbital " "Correct entity, wrong SNOMED ID","(4059, 4065)","(4059, 4065)",PERRLA,PERRLA,386667005,48280007,11783215-DS-18,", oropharynx clear, neck supple, EOMI grossly, PERRLA. JVP @8cm. No LAD. Periorbital edema with slight " "Correct entity, wrong SNOMED ID","(4080, 4083)","(4080, 4083)",LAD,LAD,30746006,1010291002,11783215-DS-18,"eck supple, EOMI grossly, PERRLA. JVP @8cm. No LAD. Periorbital edema with slight pink discoloratio" Wrong span,"(4085, 4102)","(4085, 4096)",Periorbital edema,Periorbital,49563000,109242000,11783215-DS-18,"upple, EOMI grossly, PERRLA. JVP @8cm. No LAD. Periorbital edema with slight pink discoloration of eyelids. Lun" Wrong span,"(4121, 4145)","(4121, 4134)",discoloration of eyelids,discoloration,1141809001,1137601009,11783215-DS-18,"@8cm. No LAD. Periorbital edema with slight pink discoloration of eyelids. Lungs: CTAB w/o wheezes, crackles, or rhonchi " "Correct entity, wrong SNOMED ID","(4149, 4154)","(4149, 4154)",Lungs,Lungs,268925001,74101002,11783215-DS-18,"ema with slight pink discoloration of eyelids. Lungs: CTAB w/o wheezes, crackles, or rhonchi CV: RRR" "Correct entity, wrong SNOMED ID","(4156, 4160)","(4156, 4160)",CTAB,CTAB,48348007,112188007,11783215-DS-18,"h slight pink discoloration of eyelids. Lungs: CTAB w/o wheezes, crackles, or rhonchi CV: RRR, with" "Correct entity, wrong SNOMED ID","(4165, 4172)","(4165, 4172)",wheezes,wheezes,56018004,9763007,11783215-DS-18," pink discoloration of eyelids. Lungs: CTAB w/o wheezes, crackles, or rhonchi CV: RRR, with loud S2 (lo" "Correct entity, wrong SNOMED ID","(4197, 4199)","(4197, 4199)",CV,CV,363003006,258773002,11783215-DS-18," Lungs: CTAB w/o wheezes, crackles, or rhonchi CV: RRR, with loud S2 (loudest at RUSB), with II/VI " "Correct entity, wrong SNOMED ID","(4201, 4204)","(4201, 4204)",RRR,RRR,76863003,129960002,11783215-DS-18,"ngs: CTAB w/o wheezes, crackles, or rhonchi CV: RRR, with loud S2 (loudest at RUSB), with II/VI blowi" Missed entity,"(4211, 4215)",,loud,,271661003,,11783215-DS-18,"w/o wheezes, crackles, or rhonchi CV: RRR, with loud S2 (loudest at RUSB), with II/VI blowing mid-sys" Wrong span,"(4258, 4277)","(4271, 4277)",mid-systolic murmur,murmur,68494000,128151003,11783215-DS-18,"th loud S2 (loudest at RUSB), with II/VI blowing mid-systolic murmur with no radiation, no rubs or gallops Abdomen: " "Correct entity, wrong SNOMED ID","(4308, 4315)","(4308, 4315)",gallops,gallops,2170000,4592006,11783215-DS-18,"mid-systolic murmur with no radiation, no rubs or gallops Abdomen: soft, non-tender, non-distended, bowel" "Correct entity, wrong SNOMED ID","(4318, 4325)","(4318, 4325)",Abdomen,Abdomen,118698009,41931001,11783215-DS-18,"ic murmur with no radiation, no rubs or gallops Abdomen: soft, non-tender, non-distended, bowel sounds pr" "Correct entity, wrong SNOMED ID","(4360, 4380)","(4360, 4380)",bowel sounds present,bowel sounds present,61539000,444685004,11783215-DS-18,"llops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organom" Wrong span,"(4388, 4406)","(4388, 4395)",rebound tenderness,rebound,35611005,844584001,11783215-DS-18,"ender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Ext: No tenderness" "Correct entity, wrong SNOMED ID","(4438, 4441)","(4438, 4441)",Ext,Ext,302773001,1489008,11783215-DS-18,"rebound tenderness or guarding, no organomegaly Ext: No tenderness to palpation at the thighs or shou" Wrong span,"(4446, 4469)","(4446, 4456)",tenderness to palpation,tenderness,247348008,43478001,11783215-DS-18,"tenderness or guarding, no organomegaly Ext: No tenderness to palpation at the thighs or shoulders. Warm, well perfuse" "Correct entity, wrong SNOMED ID","(4477, 4483)","(4477, 4483)",thighs,thighs,68367000,57172001,11783215-DS-18,"nomegaly Ext: No tenderness to palpation at the thighs or shoulders. Warm, well perfused, no cyanosis" "Correct entity, wrong SNOMED ID","(4487, 4496)","(4487, 4496)",shoulders,shoulders,16982005,91774008,11783215-DS-18," Ext: No tenderness to palpation at the thighs or shoulders. Warm, well perfused, no cyanosis or edema. no" "Correct entity, wrong SNOMED ID","(4499, 4503)","(4499, 4503)",Warm,Warm,102599008,298256005,11783215-DS-18,"derness to palpation at the thighs or shoulders. Warm, well perfused, no cyanosis or edema. no ___ ed" "Correct entity, wrong SNOMED ID","(4507, 4520)","(4507, 4520)",well perfused,well perfused,1137685003,301121007,11783215-DS-18,"to palpation at the thighs or shoulders. Warm, well perfused, no cyanosis or edema. no ___ edema. Neuro: CN " "Correct entity, wrong SNOMED ID","(4525, 4533)","(4525, 4533)",cyanosis,cyanosis,3415004,95442007,11783215-DS-18,"e thighs or shoulders. Warm, well perfused, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossl" "Correct entity, wrong SNOMED ID","(4537, 4542)","(4537, 4542)",edema,edema,267038008,102576009,11783215-DS-18,"shoulders. Warm, well perfused, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossly intact," "Correct entity, wrong SNOMED ID","(4551, 4556)","(4551, 4556)",edema,edema,267038008,102576009,11783215-DS-18,"rm, well perfused, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossly intact, strength ___ " "Correct entity, wrong SNOMED ID","(4560, 4565)","(4560, 4565)",Neuro,Neuro,84728005,281247006,11783215-DS-18,"l perfused, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossly intact, strength ___ in UE and" Wrong span,"(4567, 4591)","(4567, 4576)",CN II-XII grossly intact,CN II-XII,830121005,55386006,11783215-DS-18,"sed, no cyanosis or edema. no ___ edema. Neuro: CN II-XII grossly intact, strength ___ in UE and ___ Psych: pleasant a" "Correct entity, wrong SNOMED ID","(4624, 4629)","(4624, 4629)",Psych,Psych,24642003,17326005,11783215-DS-18,"II grossly intact, strength ___ in UE and ___ Psych: pleasant affect Pertinent Results: ADMISSIO" Missed entity,"(4631, 4646)",,pleasant affect,,134417007,,11783215-DS-18,"sly intact, strength ___ in UE and ___ Psych: pleasant affect Pertinent Results: ADMISSION RESULTS: ======" "Correct entity, wrong SNOMED ID","(4727, 4730)","(4727, 4730)",WBC,WBC,767002,391558003,11783215-DS-18,"ION RESULTS: ================== ___ 09:34PM BLOOD WBC-8.8 RBC-4.22 Hgb-9.1* Hct-30.4* MCV-72* MCH-21.6" "Correct entity, wrong SNOMED ID","(4735, 4738)","(4735, 4738)",RBC,RBC,14089001,258759006,11783215-DS-18,"LTS: ================== ___ 09:34PM BLOOD WBC-8.8 RBC-4.22 Hgb-9.1* Hct-30.4* MCV-72* MCH-21.6* MCHC-2" "Correct entity, wrong SNOMED ID","(4744, 4747)","(4744, 4747)",Hgb,Hgb,441689006,104142005,11783215-DS-18,"============== ___ 09:34PM BLOOD WBC-8.8 RBC-4.22 Hgb-9.1* Hct-30.4* MCV-72* MCH-21.6* MCHC-29.9* RDW-" "Correct entity, wrong SNOMED ID","(4753, 4756)","(4753, 4756)",Hct,Hct,28317006,282660005,11783215-DS-18,"===== ___ 09:34PM BLOOD WBC-8.8 RBC-4.22 Hgb-9.1* Hct-30.4* MCV-72* MCH-21.6* MCHC-29.9* RDW-22.1* RDW" "Correct entity, wrong SNOMED ID","(4782, 4786)","(4782, 4786)",MCHC,MCHC,37254006,735147002,11783215-DS-18,".8 RBC-4.22 Hgb-9.1* Hct-30.4* MCV-72* MCH-21.6* MCHC-29.9* RDW-22.1* RDWSD-51.4* Plt ___ ___ 11:00AM B" "Correct entity, wrong SNOMED ID","(4803, 4808)","(4803, 4808)",RDWSD,RDWSD,66842004,80328002,11783215-DS-18,"Hct-30.4* MCV-72* MCH-21.6* MCHC-29.9* RDW-22.1* RDWSD-51.4* Plt ___ ___ 11:00AM BLOOD UreaN-90* Creat-4" "Correct entity, wrong SNOMED ID","(4841, 4846)","(4841, 4846)",UreaN,UreaN,105011006,111108008,11783215-DS-18,"* RDW-22.1* RDWSD-51.4* Plt ___ ___ 11:00AM BLOOD UreaN-90* Creat-4.5* Na-142 K-3.5 Cl-103 HCO3-20* AnGa" "Correct entity, wrong SNOMED ID","(4851, 4856)","(4851, 4856)",Creat,Creat,70901006,413856009,11783215-DS-18,"* RDWSD-51.4* Plt ___ ___ 11:00AM BLOOD UreaN-90* Creat-4.5* Na-142 K-3.5 Cl-103 HCO3-20* AnGap-23* ___ " "Correct entity, wrong SNOMED ID","(4862, 4864)","(4862, 4864)",Na,Na,312469006,257992007,11783215-DS-18,"4* Plt ___ ___ 11:00AM BLOOD UreaN-90* Creat-4.5* Na-142 K-3.5 Cl-103 HCO3-20* AnGap-23* ___ 11:00AM " Missed entity,"(4869, 4870)",,K,,312468003,,11783215-DS-18,"___ ___ 11:00AM BLOOD UreaN-90* Creat-4.5* Na-142 K-3.5 Cl-103 HCO3-20* AnGap-23* ___ 11:00AM BLOOD " "Correct entity, wrong SNOMED ID","(4875, 4877)","(4875, 4877)",Cl,Cl,104589004,311741002,11783215-DS-18,"_ 11:00AM BLOOD UreaN-90* Creat-4.5* Na-142 K-3.5 Cl-103 HCO3-20* AnGap-23* ___ 11:00AM BLOOD ALT-248" "Correct entity, wrong SNOMED ID","(4892, 4897)","(4892, 4897)",AnGap,AnGap,25469001,124504004,11783215-DS-18,"reaN-90* Creat-4.5* Na-142 K-3.5 Cl-103 HCO3-20* AnGap-23* ___ 11:00AM BLOOD ALT-248* AST-280* ___ AlkP" "Correct entity, wrong SNOMED ID","(4920, 4923)","(4920, 4923)",ALT,ALT,409673008,56935002,11783215-DS-18,"-3.5 Cl-103 HCO3-20* AnGap-23* ___ 11:00AM BLOOD ALT-248* AST-280* ___ AlkPhos-87 TotBili-0.3 ___ 05:" "Correct entity, wrong SNOMED ID","(4929, 4932)","(4929, 4932)",AST,AST,45896001,85043005,11783215-DS-18,"03 HCO3-20* AnGap-23* ___ 11:00AM BLOOD ALT-248* AST-280* ___ AlkPhos-87 TotBili-0.3 ___ 05:25AM BLOO" "Correct entity, wrong SNOMED ID","(4954, 4961)","(4954, 4961)",TotBili,TotBili,359986008,19754005,11783215-DS-18,"_ 11:00AM BLOOD ALT-248* AST-280* ___ AlkPhos-87 TotBili-0.3 ___ 05:25AM BLOOD SED RATE: 58 RELEVANT IMA" Wrong span,"(5040, 5048)","(5040, 5045)",renal US,renal,306005,63893004,11783215-DS-18,"TE: 58 RELEVANT IMAGING: ================== ___ renal US: FINDINGS: The right kidney measures 9.7 cm." "Correct entity, wrong SNOMED ID","(5069, 5081)","(5069, 5081)",right kidney,right kidney,9846003,1268766000,11783215-DS-18,"================ ___ renal US: FINDINGS: The right kidney measures 9.7 cm. The left kidney measures 10.1c" "Correct entity, wrong SNOMED ID","(5104, 5115)","(5104, 5115)",left kidney,left kidney,11800891000119109,1268765001,11783215-DS-18,"NDINGS: The right kidney measures 9.7 cm. The left kidney measures 10.1cm. Kidneys appear echogenic consis" "Correct entity, wrong SNOMED ID","(5134, 5141)","(5134, 5141)",Kidneys,Kidneys,64033007,204984002,11783215-DS-18,"asures 9.7 cm. The left kidney measures 10.1cm. Kidneys appear echogenic consistent with chronic medical " "Correct entity, wrong SNOMED ID","(5175, 5205)","(5175, 5205)","chronic medical renal disease","chronic medical renal disease",709044004,1148926002,11783215-DS-18," 10.1cm. Kidneys appear echogenic consistent with chronic medical renal disease. Bilateral renal cysts are better assessed on p" "Correct entity, wrong SNOMED ID","(5218, 5229)","(5218, 5229)",renal cysts,renal cysts,722223000,253883006,11783215-DS-18,"t with chronic medical renal disease. Bilateral renal cysts are better assessed on prior MRI. The hypoechoi" "Correct entity, wrong SNOMED ID","(5260, 5263)","(5260, 5263)",MRI,MRI,113091000,1144760005,11783215-DS-18,"lateral renal cysts are better assessed on prior MRI. The hypoechoic left renal lesion described on p" "Correct entity, wrong SNOMED ID","(5292, 5298)","(5292, 5298)",lesion,lesion,52988006,120609008,11783215-DS-18,"ssessed on prior MRI. The hypoechoic left renal lesion described on prior MRI as ""Concerning for papill" "Correct entity, wrong SNOMED ID","(5319, 5322)","(5319, 5322)",MRI,MRI,113091000,305882007,11783215-DS-18," hypoechoic left renal lesion described on prior MRI as ""Concerning for papillary renal cell carcinoma" "Correct entity, wrong SNOMED ID","(5342, 5372)","(5342, 5372)",papillary renal cell carcinoma,papillary renal cell carcinoma,733607005,106231000146105,11783215-DS-18,"lesion described on prior MRI as ""Concerning for papillary renal cell carcinoma"" is visualized measuring approximately 1.9 x 1.5" "Correct entity, wrong SNOMED ID","(5447, 5461)","(5447, 5461)",hydronephrosis,hydronephrosis,43064006,1255620003,11783215-DS-18,"g approximately 1.9 x 1.5 x 1.8 cm. There is no hydronephrosis. Bladder is decompressed. IMPRESSION: Ec" "Correct entity, wrong SNOMED ID","(5464, 5471)","(5464, 5471)",Bladder,Bladder,89837001,261094000,11783215-DS-18,".9 x 1.5 x 1.8 cm. There is no hydronephrosis. Bladder is decompressed. IMPRESSION: Echogenic ki" Missed entity,"(5475, 5487)",,decompressed,,424128006,,11783215-DS-18,"1.8 cm. There is no hydronephrosis. Bladder is decompressed. IMPRESSION: Echogenic kidney most consis" Wrong span,"(5519, 5525)","(5509, 5525)",kidney,Echogenic kidney,64033007,271387005,11783215-DS-18,"er is decompressed. IMPRESSION: Echogenic kidney most consistent with chronic medical renal disea" "Correct entity, wrong SNOMED ID","(5547, 5577)","(5547, 5577)","chronic medical renal disease","chronic medical renal disease",709044004,1148926002,11783215-DS-18,"ESSION: Echogenic kidney most consistent with chronic medical renal disease. Simple cysts and left renal interpolar lesion " Wrong span,"(5580, 5592)","(5587, 5592)",Simple cysts,cysts,367644007,125291005,11783215-DS-18," consistent with chronic medical renal disease. Simple cysts and left renal interpolar lesion measuring 1.9 x" "Correct entity, wrong SNOMED ID","(5597, 5607)","(5597, 5607)",left renal,left renal,18639004,1268765001,11783215-DS-18,"chronic medical renal disease. Simple cysts and left renal interpolar lesion measuring 1.9 x 1.5 x 1.8 cm " "Correct entity, wrong SNOMED ID","(5619, 5625)","(5619, 5625)",lesion,lesion,52988006,120609008,11783215-DS-18," disease. Simple cysts and left renal interpolar lesion measuring 1.9 x 1.5 x 1.8 cm ___ thigh MRI: FIN" "Correct entity, wrong SNOMED ID","(5685, 5692)","(5685, 5692)",Muscles,Muscles,71616004,68962001,11783215-DS-18,"g 1.9 x 1.5 x 1.8 cm ___ thigh MRI: FINDINGS: Muscles: Mild fluid signal is seen throughout the muscula" "Correct entity, wrong SNOMED ID","(5759, 5765)","(5759, 5765)",thighs,thighs,68367000,57172001,11783215-DS-18,"al is seen throughout the musculature bilateral thighs, greatest involving the rectus femoris muscles, l" "Correct entity, wrong SNOMED ID","(5790, 5812)","(5790, 5812)",rectus femoris muscles,rectus femoris muscles,72226001,430906009,11783215-DS-18,"lature bilateral thighs, greatest involving the rectus femoris muscles, left greater than right, as well as the right " "Correct entity, wrong SNOMED ID","(5894, 5911)","(5894, 5911)",hamstring muscles,hamstring muscles,128511007,1380024001,11783215-DS-18,"well as the right vastus lateralis and bilateral hamstring muscles. These findings are consist with myopathy. Bon" "Correct entity, wrong SNOMED ID","(5945, 5953)","(5945, 5953)",myopathy,myopathy,129565002,1263499004,11783215-DS-18,"amstring muscles. These findings are consist with myopathy. Bone marrow: No abnormal marrow signal. Oth" "Correct entity, wrong SNOMED ID","(5958, 5969)","(5958, 5969)",Bone marrow,Bone marrow,14016003,313228006,11783215-DS-18,"les. These findings are consist with myopathy. Bone marrow: No abnormal marrow signal. Other: Bilateral ha" "Correct entity, wrong SNOMED ID","(6017, 6026)","(6017, 6026)",hamstring,hamstring,128511007,307023002,11783215-DS-18,"ow: No abnormal marrow signal. Other: Bilateral hamstring origin complexes appear grossly intact. Visua" "Correct entity, wrong SNOMED ID","(6122, 6134)","(6122, 6134)",unremarkable,unremarkable,281900007,167827008,11783215-DS-18,"isualized intrapelvic soft tissues appear grossly unremarkable. IMPRESSION: Mild muscle edema throughout " Wrong span,"(6160, 6172)","(6160, 6166)",muscle edema,muscle,277374006,102290008,11783215-DS-18,"ear grossly unremarkable. IMPRESSION: Mild muscle edema throughout bilateral thigh musculature greater i" "Correct entity, wrong SNOMED ID","(6228, 6250)","(6228, 6250)",rectus femoris muscles,rectus femoris muscles,72226001,430906009,11783215-DS-18,"ghout bilateral thigh musculature greater in the rectus femoris muscles, left greater than right. These findings may be " Wrong span,"(6325, 6333)","(6310, 6333)",myopathy,statin-induced myopathy,129565002,26715006,11783215-DS-18,". These findings may be seen in a statin-induced myopathy. DISCHARGE RESULTS: =================== ___ 05:" "Correct entity, wrong SNOMED ID","(6402, 6405)","(6402, 6405)",RBC,RBC,14089001,258759006,11783215-DS-18,"TS: =================== ___ 05:45AM BLOOD WBC-7.4 RBC-3.92 Hgb-8.6* Hct-28.0* MCV-71* MCH-21.9* MCHC-3" "Correct entity, wrong SNOMED ID","(6411, 6414)","(6411, 6414)",Hgb,Hgb,441689006,104142005,11783215-DS-18,"============== ___ 05:45AM BLOOD WBC-7.4 RBC-3.92 Hgb-8.6* Hct-28.0* MCV-71* MCH-21.9* MCHC-30.7* RDW-" "Correct entity, wrong SNOMED ID","(6420, 6423)","(6420, 6423)",Hct,Hct,28317006,282660005,11783215-DS-18,"===== ___ 05:45AM BLOOD WBC-7.4 RBC-3.92 Hgb-8.6* Hct-28.0* MCV-71* MCH-21.9* MCHC-30.7* RDW-22.1* RDW" "Correct entity, wrong SNOMED ID","(6449, 6453)","(6449, 6453)",MCHC,MCHC,37254006,735147002,11783215-DS-18,".4 RBC-3.92 Hgb-8.6* Hct-28.0* MCV-71* MCH-21.9* MCHC-30.7* RDW-22.1* RDWSD-51.8* Plt ___ ___ 05:45AM B" "Correct entity, wrong SNOMED ID","(6470, 6475)","(6470, 6475)",RDWSD,RDWSD,66842004,80328002,11783215-DS-18,"Hct-28.0* MCV-71* MCH-21.9* MCHC-30.7* RDW-22.1* RDWSD-51.8* Plt ___ ___ 05:45AM BLOOD Glucose-125* Urea" "Correct entity, wrong SNOMED ID","(6508, 6515)","(6508, 6515)",Glucose,Glucose,33747003,72191006,11783215-DS-18,"* RDW-22.1* RDWSD-51.8* Plt ___ ___ 05:45AM BLOOD Glucose-125* UreaN-60* Creat-3.0* Na-143 K-4.5 Cl-109* H" "Correct entity, wrong SNOMED ID","(6521, 6526)","(6521, 6526)",UreaN,UreaN,105011006,111108008,11783215-DS-18,"DWSD-51.8* Plt ___ ___ 05:45AM BLOOD Glucose-125* UreaN-60* Creat-3.0* Na-143 K-4.5 Cl-109* HCO3-19* AnG" "Correct entity, wrong SNOMED ID","(6531, 6536)","(6531, 6536)",Creat,Creat,70901006,413856009,11783215-DS-18," Plt ___ ___ 05:45AM BLOOD Glucose-125* UreaN-60* Creat-3.0* Na-143 K-4.5 Cl-109* HCO3-19* AnGap-20 ___ " "Correct entity, wrong SNOMED ID","(6542, 6544)","(6542, 6544)",Na,Na,312469006,257992007,11783215-DS-18,"_ 05:45AM BLOOD Glucose-125* UreaN-60* Creat-3.0* Na-143 K-4.5 Cl-109* HCO3-19* AnGap-20 ___ 05:45AM " "Correct entity, wrong SNOMED ID","(6556, 6558)","(6556, 6558)",Cl,Cl,104589004,311741002,11783215-DS-18,"D Glucose-125* UreaN-60* Creat-3.0* Na-143 K-4.5 Cl-109* HCO3-19* AnGap-20 ___ 05:45AM BLOOD ALT-130*" "Correct entity, wrong SNOMED ID","(6564, 6568)","(6564, 6568)",HCO3,HCO3,312471006,88645003,11783215-DS-18,"e-125* UreaN-60* Creat-3.0* Na-143 K-4.5 Cl-109* HCO3-19* AnGap-20 ___ 05:45AM BLOOD ALT-130* AST-71* C" "Correct entity, wrong SNOMED ID","(6573, 6578)","(6573, 6578)",AnGap,AnGap,25469001,124504004,11783215-DS-18,"eaN-60* Creat-3.0* Na-143 K-4.5 Cl-109* HCO3-19* AnGap-20 ___ 05:45AM BLOOD ALT-130* AST-71* CK(CPK)-125" "Correct entity, wrong SNOMED ID","(6600, 6603)","(6600, 6603)",ALT,ALT,34608000,56935002,11783215-DS-18,"K-4.5 Cl-109* HCO3-19* AnGap-20 ___ 05:45AM BLOOD ALT-130* AST-71* CK(CPK)-1256* Brief Hospital " "Correct entity, wrong SNOMED ID","(6609, 6612)","(6609, 6612)",AST,AST,45896001,85043005,11783215-DS-18,"109* HCO3-19* AnGap-20 ___ 05:45AM BLOOD ALT-130* AST-71* CK(CPK)-1256* Brief Hospital Course: _" Wrong span,"(6686, 6692)","(6680, 6692)",IV CKD,stage IV CKD,431857002,691401000119104,11783215-DS-18," Brief Hospital Course: ___ y/o woman with stage IV CKD ___ T2DM, and likely renal cell carcinoma, prese" "Correct entity, wrong SNOMED ID","(6714, 6735)","(6714, 6735)","renal cell carcinoma","renal cell carcinoma",702391001,1259489002,11783215-DS-18," y/o woman with stage IV CKD ___ T2DM, and likely renal cell carcinoma, presentedwith 9d of proximal muscle weakness, fo" "Correct entity, wrong SNOMED ID","(6757, 6781)","(6757, 6781)",proximal muscle weakness,proximal muscle weakness,249939004,1137512002,11783215-DS-18,"likely renal cell carcinoma, presentedwith 9d of proximal muscle weakness, found to have acute on chronic kidney injury in" Wrong span,"(6798, 6828)","(6798, 6806)",acute on chronic kidney injury,acute on,236433006,255228009,11783215-DS-18,"th 9d of proximal muscle weakness, found to have acute on chronic kidney injury in the setting of rhabdomyolysis of unclear etio" "Correct entity, wrong SNOMED ID","(6848, 6862)","(6848, 6862)",rhabdomyolysis,rhabdomyolysis,89010004,1141859005,11783215-DS-18,"acute on chronic kidney injury in the setting of rhabdomyolysis of unclear etiology. ___ and ___ resolved with I" "Correct entity, wrong SNOMED ID","(6911, 6914)","(6911, 6914)",IVF,IVF,103744005,52637005,11783215-DS-18,"s of unclear etiology. ___ and ___ resolved with IVF. #Muscle weakness: CK elevated to ~10k with elev" "Correct entity, wrong SNOMED ID","(6918, 6933)","(6918, 6933)",Muscle weakness,Muscle weakness,26544005,249942005,11783215-DS-18,"clear etiology. ___ and ___ resolved with IVF. #Muscle weakness: CK elevated to ~10k with elevated ALT/AST (low " "Correct entity, wrong SNOMED ID","(7028, 7036)","(7028, 7036)",improved,improved,268910001,251359002,11783215-DS-18,"low Alk Phos), both downtrended and her weakness improved with only d/c-ing statin and IVF. ESR was also e" "Correct entity, wrong SNOMED ID","(7067, 7070)","(7067, 7070)",IVF,IVF,103744005,52637005,11783215-DS-18,"r weakness improved with only d/c-ing statin and IVF. ESR was also elevated to 58 on ___, downtrended" "Correct entity, wrong SNOMED ID","(7242, 7250)","(7242, 7250)",myopathy,myopathy,240101000,1263499004,11783215-DS-18," her presentation was most likely statin-related myopathy, however they could not exclude inflammatory myo" "Correct entity, wrong SNOMED ID","(7284, 7305)","(7284, 7305)",inflammatory myopathy,inflammatory myopathy,26889001,702380008,11783215-DS-18,"related myopathy, however they could not exclude inflammatory myopathy without a muscle biopsy. Their suspicion for inf" "Correct entity, wrong SNOMED ID","(7316, 7329)","(7316, 7329)",muscle biopsy,muscle biopsy,178263003,222287008,11783215-DS-18,"ould not exclude inflammatory myopathy without a muscle biopsy. Their suspicion for inflammatory myopathy was i" "Correct entity, wrong SNOMED ID","(7352, 7373)","(7352, 7373)",inflammatory myopathy,inflammatory myopathy,26889001,702380008,11783215-DS-18,"thy without a muscle biopsy. Their suspicion for inflammatory myopathy was increased due to her periorbital edema (alth" "Correct entity, wrong SNOMED ID","(7399, 7417)","(7399, 7417)","periorbital edema","periorbital edema",49563000,349131000119103,11783215-DS-18,"or inflammatory myopathy was increased due to her periorbital edema (although pt states this is chronic), as well as " "Correct entity, wrong SNOMED ID","(7473, 7493)","(7473, 7493)",renal cell carcinoma,renal cell carcinoma,702391001,1259489002,11783215-DS-18,"ough pt states this is chronic), as well as her ?renal cell carcinoma. Of note, pt reports being up to date with colon" "Correct entity, wrong SNOMED ID","(7538, 7549)","(7538, 7549)",colonoscopy,colonoscopy,73761001,174158000,11783215-DS-18,"inoma. Of note, pt reports being up to date with colonoscopy, mammogram, and pap smear, with no reported evide" "Correct entity, wrong SNOMED ID","(7566, 7575)","(7566, 7575)",pap smear,pap smear,439958008,309081009,11783215-DS-18,"eing up to date with colonoscopy, mammogram, and pap smear, with no reported evidence of malignant or prema" "Correct entity, wrong SNOMED ID","(7633, 7640)","(7633, 7640)",lesions,lesions,52988006,246206008,11783215-DS-18,"o reported evidence of malignant or premalignant lesions. She was discharged with improved weakness, and " "Correct entity, wrong SNOMED ID","(7667, 7675)","(7667, 7675)",improved,improved,268910001,251359002,11783215-DS-18,"or premalignant lesions. She was discharged with improved weakness, and plan for muscle outpatient biopsy. " Wrong span,"(7699, 7705)","(7699, 7723)",muscle,muscle outpatient biopsy,71616004,432058006,11783215-DS-18," discharged with improved weakness, and plan for muscle outpatient biopsy. ___ on CKD: CKD reportedly _" Wrong span,"(7717, 7723)","(7699, 7723)",biopsy,muscle outpatient biopsy,86273004,432058006,11783215-DS-18,"improved weakness, and plan for muscle outpatient biopsy. ___ on CKD: CKD reportedly ___ T2DM, baseline " "Correct entity, wrong SNOMED ID","(7799, 7812)","(7799, 7812)",myoglobinuria,myoglobinuria,48165008,359569009,11783215-DS-18,"edly ___ T2DM, baseline Cr ~3. ___ could be from myoglobinuria. FeNa ~ 60%--likely intrinsic renal given hx of " "Correct entity, wrong SNOMED ID","(7877, 7890)","(7877, 7890)",myoglobinuria,myoglobinuria,48165008,359569009,11783215-DS-18,"ikely intrinsic renal given hx of CKD and recent myoglobinuria which could lead to ATN. Pre-renal cause seems u" "Correct entity, wrong SNOMED ID","(7911, 7914)","(7911, 7914)",ATN,ATN,35455006,9293002,11783215-DS-18," CKD and recent myoglobinuria which could lead to ATN. Pre-renal cause seems unlikely given pt does no" "Correct entity, wrong SNOMED ID","(7974, 7985)","(7974, 7985)",hypovolemic,hypovolemic,816082000,816156006,11783215-DS-18,"al cause seems unlikely given pt does not appear hypovolemic and increased FeNA. Post-renal obstruction seems " Wrong span,"(8017, 8028)","(8006, 8028)",obstruction,Post-renal obstruction,7163005,423322005,11783215-DS-18,"ppear hypovolemic and increased FeNA. Post-renal obstruction seems unlikely given pt reports good urine outpu" "Correct entity, wrong SNOMED ID","(8125, 8139)","(8125, 8139)",hydronephrosis,hydronephrosis,43064006,1255620003,11783215-DS-18,"tput w/ no changes from baseline, and US with no hydronephrosis. Cr down to 3 on discharge. #HTN: given ___ and" "Correct entity, wrong SNOMED ID","(8171, 8174)","(8171, 8174)",HTN,HTN,38341003,10725009,11783215-DS-18," no hydronephrosis. Cr down to 3 on discharge. #HTN: given ___ and ___, held HCTZ and losartan. Conti" "Correct entity, wrong SNOMED ID","(8379, 8383)","(8379, 8383)",gout,gout,90560007,161451004,11783215-DS-18,"holding HCTZ and losartan pending PCP ___. #H/o gout - continue allopurinol at lower dose (100 mg ev" "Correct entity, wrong SNOMED ID","(8471, 8477)","(8471, 8477)",Anemia,Anemia,271737000,87522002,11783215-DS-18,"e (100 mg every third day) due to GFR now 9. #Anemia: chronic, thought to be due to thal minor. #DM" Missed entity,"(8509, 8519)",,thal minor,,19442009,,11783215-DS-18," now 9. #Anemia: chronic, thought to be due to thal minor. #DM: Home glipizide was held and pt was maint" "Correct entity, wrong SNOMED ID","(8525, 8527)","(8525, 8527)",DM,DM,73211009,258671008,11783215-DS-18,"ia: chronic, thought to be due to thal minor. #DM: Home glipizide was held and pt was maintained on" "Correct entity, wrong SNOMED ID","(8792, 8805)","(8792, 8805)",muscle biopsy,muscle biopsy,178263003,222287008,11783215-DS-18," ___ on renal function -Rheumatology recommending muscle biopsy to r/o inflammatory myositis. This was scheduled" "Correct entity, wrong SNOMED ID","(8813, 8835)","(8813, 8835)","inflammatory myositis","inflammatory myositis",26889001,702380008,11783215-DS-18,"n -Rheumatology recommending muscle biopsy to r/o inflammatory myositis. This was scheduled with surgery. Please discuss " "Correct entity, wrong SNOMED ID","(8861, 8868)","(8861, 8868)",surgery,surgery,387713003,110473004,11783215-DS-18,"o inflammatory myositis. This was scheduled with surgery. Please discuss this with patient. -Pt has rheum" "Correct entity, wrong SNOMED ID","(8967, 8970)","(8967, 8970)",MRI,MRI,113091000,1144760005,11783215-DS-18,"matology follow-up scheduled -Will still need ___ MRI for known L renal mass -If renal function worsens" "Correct entity, wrong SNOMED ID","(8983, 8993)","(8983, 8993)",renal mass,renal mass,309088003,43918003,11783215-DS-18,"up scheduled -Will still need ___ MRI for known L renal mass -If renal function worsens, may need dose adjustm" "Correct entity, wrong SNOMED ID","(10941, 10958)","(10941, 10958)",Home With Service,Home With Service,385783005,710242005,11783215-DS-18," Potassium until you speak with your PCP ___: Home With Service Facility: ___ Discharge Diagnosis: Acute Rena" "Correct entity, wrong SNOMED ID","(10998, 11017)","(10998, 11017)",Acute Renal Failure,Acute Renal Failure,14669001,12245621000119102,11783215-DS-18,"th Service Facility: ___ Discharge Diagnosis: Acute Renal Failure Rhabdomyolysis Discharge Condition: Mental Sta" "Correct entity, wrong SNOMED ID","(11018, 11032)","(11018, 11032)",Rhabdomyolysis,Rhabdomyolysis,89010004,1141859005,11783215-DS-18,"y: ___ Discharge Diagnosis: Acute Renal Failure Rhabdomyolysis Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(11057, 11070)","(11057, 11070)",Mental Status,Mental Status,392257007,419284004,11783215-DS-18,"al Failure Rhabdomyolysis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(11092, 11114)","(11092, 11114)",Level of Consciousness,Level of Consciousness,444714004,830285008,11783215-DS-18,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(11116, 11121)","(11116, 11121)",Alert,Alert,248234008,409787004,11783215-DS-18,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(11156, 11180)","(11156, 11180)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11783215-DS-18,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, You ca" Wrong span,"(11267, 11290)","(11267, 11273)","injury to your kidneys",injury,40095003,312608009,11783215-DS-18," ___, You came to the hospital with weakness and injury to your kidneys. We did tests that showed the most likely cause o" "Correct entity, wrong SNOMED ID","(11361, 11379)","(11361, 11379)",kidney dysfunction,kidney dysfunction,40095003,276583007,11783215-DS-18,"howed the most likely cause of your weakness and kidney dysfunction was your muscle injury. By the time of discharge" "Correct entity, wrong SNOMED ID","(11389, 11402)","(11389, 11402)",muscle injury,muscle injury,95847005,262970004,11783215-DS-18,"of your weakness and kidney dysfunction was your muscle injury. By the time of discharge, your kidney function " "Correct entity, wrong SNOMED ID","(11436, 11451)","(11436, 11451)",kidney function,kidney function,182809008,76114004,11783215-DS-18,"ur muscle injury. By the time of discharge, your kidney function had returned to its baseline before coming to th" "Correct entity, wrong SNOMED ID","(11528, 11541)","(11528, 11541)",muscle injury,muscle injury,95847005,262970004,11783215-DS-18,"ine before coming to the hospital. We think your muscle injury is most likely related to the rosuvastatin (Cres" "Correct entity, wrong SNOMED ID","(11711, 11724)","(11711, 11724)",muscle biopsy,muscle biopsy,178263003,222287008,11783215-DS-18,"ifferent cause, we recommend that you consider a muscle biopsy and discuss with rheumatology what further treat" False positive,,"(677, 693)",,precordial leads,,251148003,11838076-DS-20,"% RA. EKG showed STD in v4-v5, loss of R waves in precordial leads, no prior for comparison. Troponin was 0.77. whi" False positive,,"(969, 971)",,IV,,258000009,11838076-DS-20,"had a CXR with pulmonary edema and received 20 mg IV Lasix ___ and another 20 mg ___. At 11AM today, " False positive,,"(1947, 1951)",,Neur,,32909009,11838076-DS-20,"ve he has new facial droop for the past 24 hours. Neurology was STAT paged out of concern for stroke. Ho" False positive,,"(2384, 2387)",,Ox1,,830174000,11838076-DS-20,"ing in bed. Conversant with family at bedside. A&Ox1. HEENT: Normocephalic, atraumatic. Sclera anict" False positive,,"(2763, 2773)",,peripheral,,168981008,11838076-DS-20,"S: Warm, well perfused. No clubbing, cyanosis, or peripheral edema. SKIN: No significant lesions or rashes. " False positive,,"(3485, 3492)",,wheezes,,9763007,11838076-DS-20,"eric Lungs: Clear to auscultation bilaterally, no wheezes rhonchi or crackles Heart: RRR, ___ systolic murm" False positive,,"(3559, 3563)",,apex,,13383001,11838076-DS-20,"les Heart: RRR, ___ systolic murmur heard best at apex Extremities: WWP, no c/c/e Neuro: - No focal abn" False positive,,"(3810, 3813)",,MCH,,54706004,11838076-DS-20," BLOOD WBC-6.9 RBC-4.79 Hgb-14.1 Hct-45.0 MCV-94 MCH-29.4 MCHC-31.3* RDW-13.0 RDWSD-44.8 Plt ___ ___ 0" False positive,,"(4015, 4021)",,CK(CPK,,432352001,11838076-DS-20,"HCO3-35* AnGap-13 ___ 01:45PM BLOOD ALT-22 AST-33 CK(CPK)-196 AlkPhos-66 TotBili-1.2 ___ 01:45PM BLOOD CK" False positive,,"(4069, 4074)",,CK-MB,,259309009,11838076-DS-20,"PK)-196 AlkPhos-66 TotBili-1.2 ___ 01:45PM BLOOD CK-MB-10 MB Indx-5.1 cTropnT-0.68* ___ 01:45PM BLOOD Al" False positive,,"(4163, 4170)",,Cholest,,168077005,11838076-DS-20,"PM BLOOD Albumin-3.7 Calcium-8.6 Phos-4.4 Mg-1.9 Cholest-169 ___ 01:45PM BLOOD VitB12-222* Folate-18 ___ 0" False positive,,"(4205, 4211)",,Folate,,126224002,11838076-DS-20,"Mg-1.9 Cholest-169 ___ 01:45PM BLOOD VitB12-222* Folate-18 ___ 01:45PM BLOOD Triglyc-102 HDL-61 CHOL/HD-2" False positive,,"(5075, 5082)",,imaging,,1331947007,11838076-DS-20,"ion to suggest large acute infarction. 3. Repeat imaging could be attempted if/when the patient is better" False positive,,"(5166, 5178)",,CARDIAC CATH,,59261000119100,11838076-DS-20,"tient is better able to tolerate examination. CARDIAC CATH ___: The coronary circulation is right dominant. " False positive,,"(5295, 5301)",,vessel,,261328002,11838076-DS-20,", arising from the left cusp, is a small caliber vessel. This vessel bifurcates into the Left Anterior De" False positive,,"(5308, 5314)",,vessel,,246325009,11838076-DS-20,"m the left cusp, is a small caliber vessel. This vessel bifurcates into the Left Anterior Descending and " False positive,,"(6436, 6458)",,volume index is normal,,165027008,11838076-DS-20,"tal segment. TTE ___ CONCLUSION: The left atrial volume index is normal. There is mild symmetric left ventricular hypert" False positive,,"(6688, 6697)",,preserved,,433831000124104,11838076-DS-20,"rior and inferolateral walls (see schematic) and preserved/normal contractility of the remaining segments. " False positive,,"(6698, 6718)",,normal contractility,,373129009,11838076-DS-20,"nferolateral walls (see schematic) and preserved/normal contractility of the remaining segments. Quantitative biplane " False positive,,"(7237, 7243)",,normal,,840673007,11838076-DS-20,"l free wall motion. The aortic sinus diameter is normal for gender with normal ascending aorta diameter " False positive,,"(7260, 7266)",,normal,,840673007,11838076-DS-20," aortic sinus diameter is normal for gender with normal ascending aorta diameter for gender. The aortic " False positive,,"(7333, 7339)",,normal,,840673007,11838076-DS-20," diameter for gender. The aortic arch diameter is normal with a normal descending aorta diameter. The aor" False positive,,"(7348, 7354)",,normal,,840673007,11838076-DS-20,"ender. The aortic arch diameter is normal with a normal descending aorta diameter. The aortic valve leafl" False positive,,"(7674, 7693)",,structurally normal,,840673007,11838076-DS-20,"gurgitation. The tricuspid valve leaflets appear structurally normal. There is mild [1+] tricuspid regurgitation. The" False positive,,"(7868, 7870)",,2D,,455641000124108,11838076-DS-20,"rcumferential pericardial effusion. There are no 2D or Doppler echocardiographic evidence of tampona" False positive,,"(8219, 8227)",,Moderate,,19391002,11838076-DS-20,"most likely due to papillary muscle dysfunction. Moderate pulmonary artery systolic hypertension. Small ci" False positive,,"(8686, 8691)",,clear,,281278005,11838076-DS-20,"s, mastoid air cells, and middle ear cavities are clear. The visualized portion of the orbits are unre" False positive,,"(8931, 8945)",,vertebral flow,,250916008,11838076-DS-20,"PRESSION: Bilateral ___ ICA stenosis Antegrade vertebral flow EEG ___ IMPRESSION: This is an abnormal continu" False positive,,"(8999, 9002)",,ICU,,419215006,11838076-DS-20,"EG ___ IMPRESSION: This is an abnormal continuous ICU EEG monitoring study because of mild background " False positive,,"(9052, 9059)",,slowing,,417621006,11838076-DS-20," EEG monitoring study because of mild background slowing that is nonspecific as to etiology, but Common c" False positive,,"(9119, 9136)",,medication effect,,1177155004,11838076-DS-20,"onspecific as to etiology, but Common causes are medication effect, infections, or toxic/metabolic disturbances. T" False positive,,"(9219, 9226)",,slowing,,417621006,11838076-DS-20," disturbances. There was also focal intermittent slowing in the left temporal region, indicative of subc" False positive,,"(9284, 9295)",,dysfunction,,860914002,11838076-DS-20,"left temporal region, indicative of subcortical dysfunction in that region. Compared to the prior day's reco" False positive,,"(9371, 9378)",,slowing,,417621006,11838076-DS-20," to the prior day's recording, focal intermittent slowing in the left temporal region is better appreciate" False positive,,"(9520, 9540)",,white matter changes,,1144633006,11838076-DS-20," of mass, hemorrhage or infarction. Atrophy with white matter changes suggesting chronic small vessel schemia. EE" False positive,,"(9552, 9559)",,chronic,,234347009,11838076-DS-20,"on. Atrophy with white matter changes suggesting chronic small vessel schemia. EEG ___ IMPRESSION: T" False positive,,"(9639, 9642)",,ICU,,419215006,11838076-DS-20,"EG ___ IMPRESSION: This is an abnormal continuous ICU EEG monitoring study because of a slow backgrou" False positive,,"(9724, 9728)",,mild,,162468002,11838076-DS-20,"of a slow background activity, consistent with a mild to moderate encephalopathy that is nonspecific a" False positive,,"(9813, 9830)",,medication effect,,1177155004,11838076-DS-20,"s nonspecific as to etiology. Common causes are medication effect, infections, or toxic/metabolic disturbances. Th" False positive,,"(9898, 9905)",,slowing,,417621006,11838076-DS-20,"oxic/metabolic disturbances. There was no focal slowing, or epileptiform discharges. Brief Hospita" False positive,,"(10082, 10107)",,wall motion abnormalities,,429750003,11838076-DS-20,"l medical care admitted for NSTEMI and echo with wall motion abnormalities. Cath ___ with multi-vessel disease for which he" False positive,,"(10458, 10462)",,diff,,250297009,11838076-DS-20," LMCA, 90% ___, mid, distal LAD (serial lesions),diffuse LAD disease (heavily calcified), 70% ___ RCA," False positive,,"(10470, 10477)",,disease,,170516003,11838076-DS-20,"__, mid, distal LAD (serial lesions),diffuse LAD disease (heavily calcified), 70% ___ RCA, 80% distal RCA" False positive,,"(10542, 10546)",,PUMP,,23736002,11838076-DS-20,"ified), 70% ___ RCA, 80% distal RCA, 99% mid LCX #PUMP: near akinesis of inferior and inferolateral wall" False positive,,"(10607, 10613)",,RHYTHM,,2170000,11838076-DS-20,"esis of inferior and inferolateral walls, EF 31% #RHYTHM: pAF, mostly NSR, intermittently bradycardic ACU" False positive,,"(10700, 10711)",,Multivessel,,371803003,11838076-DS-20,"dycardic ACUTE ISSUES ================= #NSTEMI #Multivessel CAD #HFrEF (31%) Heart failure diagnosis is new t" False positive,,"(10809, 10814)",,multi,,38375002,11838076-DS-20," this admission, ischemic etiology in setting of multivessel CAD. Will be worked up as an outpatient fo" False positive,,"(11026, 11033)",,diffuse,,188676008,11838076-DS-20,"% ___ RCA, 80% distal RCA, 99% mid LCX up to 90% diffuse LAD disease. Attempted to optimize medical thera" False positive,,"(11483, 11497)",,blood pressure,,50723001,11838076-DS-20,", with plan to possibly add on hydral for better blood pressure control. This was not started during the hospita" False positive,,"(11564, 11579)",,blood pressures,,12763006,11838076-DS-20,"s not started during the hospitalization because blood pressures were acceptable (130s systolic) and simplificati" False positive,,"(11700, 11711)",,medications,,182837001,11838076-DS-20," emphasized. Patient also intermittently refused medications in the setting of delirium as below. #pAF Seen " False positive,,"(11780, 11788)",,reverted,,249713005,11838076-DS-20," delirium as below. #pAF Seen overnight on tele, reverted to sinus by AM of ___, and remained in sinus. St" False positive,,"(12216, 12223)",,refusal,,248052004,11838076-DS-20,"icity of medication administration given patient refusal of medications. #UTI #Leukocytosis No growth on" False positive,,"(12529, 12537)",,baseline,,129082007,11838076-DS-20,"etabolic iso UTI, delirium, and unknown dementia baseline. Waxing and waning hypoactive to hyperactive deli" False positive,,"(12539, 12545)",,Waxing,,445613007,11838076-DS-20,"so UTI, delirium, and unknown dementia baseline. Waxing and waning hypoactive to hyperactive delirium, a" False positive,,"(12620, 12628)",,refusing,,248052004,11838076-DS-20," hyperactive delirium, and he was intermittently refusing meds. Telemetry was discontinued and lab draws w" False positive,,"(12869, 12885)",,language barrier,,22541000175109,11838076-DS-20,"m in the setting of hospitalization, worsened by language barrier, with a component of toxic metabolic due to UTI " False positive,,"(13276, 13286)",,Creatinine,,113075003,11838076-DS-20,"d was intermittently confused on discharge. ___ Creatinine 1.6 on admission, baseline unclear. Initially tre" False positive,,"(13305, 13313)",,baseline,,161033005,11838076-DS-20," on discharge. ___ Creatinine 1.6 on admission, baseline unclear. Initially trended down, nadir 1.2, max " False positive,,"(13669, 13675)",,workup,,118669005,11838076-DS-20,"hearing ___. #Hematuria Noted on urinalysis for workup for UTI. Hemoglobin stable throughout hospitaliz" False positive,,"(14031, 14040)",,follow-up,,71040008,11838076-DS-20,"ion recovers to baseline. [ ] Has appointment for follow-up with cardiac surgeon Dr. ___ discharge [ ] Has a" False positive,,"(14175, 14184)",,follow-up,,71040008,11838076-DS-20,"ollow-up for hematuria [ ] Needs appointment for follow-up with cardiology #Code: Full #Contact: Daughter _" False positive,,"(14190, 14200)",,cardiology,,1251549008,11838076-DS-20,"ematuria [ ] Needs appointment for follow-up with cardiology #Code: Full #Contact: Daughter ___ ___ Grandson " False positive,,"(15995, 16001)",,stents,,440271000124109,11838076-DS-20," which showed narrowing of multiple arteries. No stents were placed, because it would be better for you " "Correct entity, wrong SNOMED ID","(203, 225)","(203, 225)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,11838076-DS-20,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: chest pain, " "Correct entity, wrong SNOMED ID","(263, 273)","(263, 273)",chest pain,chest pain,29857009,102589003,11838076-DS-20,"ug Reactions Attending: ___. Chief Complaint: chest pain, cough Major Surgical or Invasive Procedure: C" "Correct entity, wrong SNOMED ID","(275, 280)","(275, 280)",cough,cough,49727002,28743005,11838076-DS-20," Attending: ___. Chief Complaint: chest pain, cough Major Surgical or Invasive Procedure: Cardiac " "Correct entity, wrong SNOMED ID","(322, 345)","(322, 345)",Cardiac Catheterization,Cardiac Catheterization,41976001,59261000119100,11838076-DS-20,"n, cough Major Surgical or Invasive Procedure: Cardiac Catheterization (___) History of Present Illness: Mr. ___ is a" "Correct entity, wrong SNOMED ID","(458, 468)","(458, 468)",chest pain,chest pain,29857009,102589003,11838076-DS-20,"aking man who presented ___ to ___ with 4 days of chest pain and cough. Patient without any known medical prob" "Correct entity, wrong SNOMED ID","(473, 478)","(473, 478)",cough,cough,49727002,28743005,11838076-DS-20,"resented ___ to ___ with 4 days of chest pain and cough. Patient without any known medical problems altho" "Correct entity, wrong SNOMED ID","(586, 594)","(586, 594)",afebrile,afebrile,386661006,307200007,11838076-DS-20,"not seen a doctor in decades. On presentation was afebrile, HR ___, BPs 170s/90s, O2 sat 93% RA. EKG showed " "Correct entity, wrong SNOMED ID","(596, 598)","(596, 598)",HR,HR,301113001,258702006,11838076-DS-20," doctor in decades. On presentation was afebrile, HR ___, BPs 170s/90s, O2 sat 93% RA. EKG showed STD " "Correct entity, wrong SNOMED ID","(604, 607)","(604, 607)",BPs,BPs,392570002,271651005,11838076-DS-20,"in decades. On presentation was afebrile, HR ___, BPs 170s/90s, O2 sat 93% RA. EKG showed STD in v4-v5," "Correct entity, wrong SNOMED ID","(618, 624)","(618, 624)",O2 sat,O2 sat,104847001,103228002,11838076-DS-20," presentation was afebrile, HR ___, BPs 170s/90s, O2 sat 93% RA. EKG showed STD in v4-v5, loss of R waves " "Correct entity, wrong SNOMED ID","(629, 631)","(629, 631)",RA,RA,722742002,463051000124105,11838076-DS-20,"on was afebrile, HR ___, BPs 170s/90s, O2 sat 93% RA. EKG showed STD in v4-v5, loss of R waves in prec" "Correct entity, wrong SNOMED ID","(633, 636)","(633, 636)",EKG,EKG,29303009,75444003,11838076-DS-20,"as afebrile, HR ___, BPs 170s/90s, O2 sat 93% RA. EKG showed STD in v4-v5, loss of R waves in precordia" "Correct entity, wrong SNOMED ID","(644, 647)","(644, 647)",STD,STD,26141007,229798009,11838076-DS-20,", HR ___, BPs 170s/90s, O2 sat 93% RA. EKG showed STD in v4-v5, loss of R waves in precordial leads, no" Missed entity,"(651, 653)",,v4,,257478009,,11838076-DS-20,"_, BPs 170s/90s, O2 sat 93% RA. EKG showed STD in v4-v5, loss of R waves in precordial leads, no prior" Missed entity,"(654, 656)",,v5,,257479001,,11838076-DS-20,"BPs 170s/90s, O2 sat 93% RA. EKG showed STD in v4-v5, loss of R waves in precordial leads, no prior fo" "Correct entity, wrong SNOMED ID","(721, 729)","(721, 729)",Troponin,Troponin,105000003,102684000,11838076-DS-20,"es in precordial leads, no prior for comparison. Troponin was 0.77. which uptrended to ___ yesterday aftern" "Correct entity, wrong SNOMED ID","(826, 833)","(826, 833)",heparin,heparin,103746007,412201008,11838076-DS-20,"ernoon and then 2.96 this morning. He was started heparin gtt, statin, aspirin. He had an echo that showed " Wrong span,"(839, 845)","(839, 840)",statin,s,315053001,420952007,11838076-DS-20,"en 2.96 this morning. He was started heparin gtt, statin, aspirin. He had an echo that showed inferior wal" "Correct entity, wrong SNOMED ID","(847, 854)","(847, 854)",aspirin,aspirin,431463004,7947003,11838076-DS-20,"this morning. He was started heparin gtt, statin, aspirin. He had an echo that showed inferior wall hypokin" "Correct entity, wrong SNOMED ID","(883, 896)","(883, 896)",inferior wall,inferior wall,72542009,277703002,11838076-DS-20," gtt, statin, aspirin. He had an echo that showed inferior wall hypokinesis. He also had a CXR with pulmonary ed" "Correct entity, wrong SNOMED ID","(897, 908)","(897, 908)",hypokinesis,hypokinesis,37706002,95633009,11838076-DS-20,"aspirin. He had an echo that showed inferior wall hypokinesis. He also had a CXR with pulmonary edema and rece" "Correct entity, wrong SNOMED ID","(934, 949)","(934, 949)",pulmonary edema,pulmonary edema,19242006,40541001,11838076-DS-20,"nferior wall hypokinesis. He also had a CXR with pulmonary edema and received 20 mg IV Lasix ___ and another 20 mg" "Correct entity, wrong SNOMED ID","(972, 977)","(972, 977)",Lasix,Lasix,722048006,25401000181106,11838076-DS-20," a CXR with pulmonary edema and received 20 mg IV Lasix ___ and another 20 mg ___. At 11AM today, patien" "Correct entity, wrong SNOMED ID","(1039, 1059)","(1039, 1059)",respiratory distress,respiratory distress,271825005,1179627006,11838076-DS-20,"ther 20 mg ___. At 11AM today, patient developed respiratory distress, CP, chest pressure with vitals: BP 190/70, O2 sa" "Correct entity, wrong SNOMED ID","(1061, 1063)","(1061, 1063)",CP,CP,29857009,282108002,11838076-DS-20,"AM today, patient developed respiratory distress, CP, chest pressure with vitals: BP 190/70, O2 sat in" "Correct entity, wrong SNOMED ID","(1065, 1079)","(1065, 1079)","chest pressure","chest pressure",23924001,78387000,11838076-DS-20,"oday, patient developed respiratory distress, CP, chest pressure with vitals: BP 190/70, O2 sat in ___, placed on " "Correct entity, wrong SNOMED ID","(1085, 1091)","(1085, 1091)",vitals,vitals,118227000,260390007,11838076-DS-20,"ped respiratory distress, CP, chest pressure with vitals: BP 190/70, O2 sat in ___, placed on 4L to 100%. " "Correct entity, wrong SNOMED ID","(1093, 1095)","(1093, 1095)",BP,BP,392570002,38341003,11838076-DS-20,"iratory distress, CP, chest pressure with vitals: BP 190/70, O2 sat in ___, placed on 4L to 100%. Nitr" "Correct entity, wrong SNOMED ID","(1104, 1110)","(1104, 1110)",O2 sat,O2 sat,104847001,103228002,11838076-DS-20,"tress, CP, chest pressure with vitals: BP 190/70, O2 sat in ___, placed on 4L to 100%. Nitro paste was giv" "Correct entity, wrong SNOMED ID","(1167, 1175)","(1167, 1175)",pressure,pressure,23924001,1264052006,11838076-DS-20,", placed on 4L to 100%. Nitro paste was given and pressure and pain improved. EKG showed blocked PACs. Patie" Wrong span,"(1180, 1193)","(1180, 1184)",pain improved,pain,816133002,102570003,11838076-DS-20,"L to 100%. Nitro paste was given and pressure and pain improved. EKG showed blocked PACs. Patient transferred to " "Correct entity, wrong SNOMED ID","(1195, 1198)","(1195, 1198)",EKG,EKG,29303009,75444003,11838076-DS-20,"o paste was given and pressure and pain improved. EKG showed blocked PACs. Patient transferred to ___ f" Wrong span,"(1214, 1218)","(1206, 1218)",PACs,blocked PACs,164885009,300317000,11838076-DS-20,"nd pressure and pain improved. EKG showed blocked PACs. Patient transferred to ___ for cath. Out of conc" "Correct entity, wrong SNOMED ID","(1251, 1255)","(1251, 1255)",cath,cath,41976001,1344996000,11838076-DS-20,"owed blocked PACs. Patient transferred to ___ for cath. Out of concern for imminent decompensation, he w" "Correct entity, wrong SNOMED ID","(1285, 1299)","(1285, 1299)",decompensation,decompensation,87228002,59927004,11838076-DS-20,"rred to ___ for cath. Out of concern for imminent decompensation, he was sent to the CCU for stabilization prior t" "Correct entity, wrong SNOMED ID","(1328, 1341)","(1328, 1341)",stabilization,stabilization,115979005,182781000,11838076-DS-20,"minent decompensation, he was sent to the CCU for stabilization prior to cath. OSH studies: ___ NCHCT: Study " "Correct entity, wrong SNOMED ID","(1351, 1355)","(1351, 1355)",cath,cath,41976001,28309003,11838076-DS-20,"he was sent to the CCU for stabilization prior to cath. OSH studies: ___ NCHCT: Study blurred by pat" "Correct entity, wrong SNOMED ID","(1378, 1383)","(1378, 1383)",NCHCT,NCHCT,383371000119108,28252000,11838076-DS-20,"stabilization prior to cath. OSH studies: ___ NCHCT: Study blurred by patient motion with changes con" Wrong span,"(1446, 1458)","(1446, 1475)",small vessel,small vessel ischemic disease,27915009,443929000,11838076-DS-20,"ed by patient motion with changes consistent with small vessel ischemic disease with atrophy, but no apparent ac" Wrong span,"(1459, 1475)","(1446, 1475)",ischemic disease,small vessel ischemic disease,129573006,443929000,11838076-DS-20," motion with changes consistent with small vessel ischemic disease with atrophy, but no apparent acute intracranial " "Correct entity, wrong SNOMED ID","(1481, 1488)","(1481, 1488)",atrophy,atrophy,13331008,1144432007,11838076-DS-20,"onsistent with small vessel ischemic disease with atrophy, but no apparent acute intracranial abnormality. " "Correct entity, wrong SNOMED ID","(1512, 1524)","(1512, 1524)",intracranial,intracranial,128319008,731998000,11838076-DS-20,"hemic disease with atrophy, but no apparent acute intracranial abnormality. TTE reportedly with inferior wall " "Correct entity, wrong SNOMED ID","(1525, 1536)","(1525, 1536)",abnormality,abnormality,408574004,22325002,11838076-DS-20," with atrophy, but no apparent acute intracranial abnormality. TTE reportedly with inferior wall hypokinesis " "Correct entity, wrong SNOMED ID","(1540, 1543)","(1540, 1543)",TTE,TTE,433236007,258691001,11838076-DS-20,"but no apparent acute intracranial abnormality. TTE reportedly with inferior wall hypokinesis but no " "Correct entity, wrong SNOMED ID","(1560, 1573)","(1560, 1573)",inferior wall,inferior wall,72542009,277703002,11838076-DS-20,"e intracranial abnormality. TTE reportedly with inferior wall hypokinesis but no official read available on OMR" "Correct entity, wrong SNOMED ID","(1574, 1585)","(1574, 1585)",hypokinesis,hypokinesis,37706002,95633009,11838076-DS-20," abnormality. TTE reportedly with inferior wall hypokinesis but no official read available on OMR On arrival" Wrong span,"(1671, 1675)","(1671, 1680)",eyes,eyes open,81745001,1360076007,11838076-DS-20,"MR On arrival to the CCU, patient initially with eyes open but not making eye contact and not speaking " "Correct entity, wrong SNOMED ID","(1806, 1814)","(1806, 1814)",confused,confused,40917007,62476001,11838076-DS-20,"sive with family 30 minutes later. Conversant but confused, stating that he believes he is in a kitchen. A&O" Missed entity,"(1861, 1862)",,A,,248234008,,11838076-DS-20,"sed, stating that he believes he is in a kitchen. A&Ox3. Family also states that believe he has new f" "Correct entity, wrong SNOMED ID","(1863, 1866)","(1863, 1866)",Ox3,Ox3,426224004,396154006,11838076-DS-20,"d, stating that he believes he is in a kitchen. A&Ox3. Family also states that believe he has new facia" "Correct entity, wrong SNOMED ID","(1911, 1923)","(1911, 1923)",facial droop,facial droop,95666008,248204003,11838076-DS-20,"A&Ox3. Family also states that believe he has new facial droop for the past 24 hours. Neurology was STAT paged o" "Correct entity, wrong SNOMED ID","(1991, 1997)","(1991, 1997)",stroke,stroke,230690007,422504002,11838076-DS-20,"ours. Neurology was STAT paged out of concern for stroke. However, code stroke not called because out of 2" "Correct entity, wrong SNOMED ID","(2236, 2256)","(2236, 2256)",PHYSICAL EXAMINATION,PHYSICAL EXAMINATION,5880005,410182004,11838076-DS-20,"ry: Non-contributory. Physical Exam: ADMISSION PHYSICAL EXAMINATION: ============================== GENERAL: Elderl" "Correct entity, wrong SNOMED ID","(2291, 2298)","(2291, 2298)",GENERAL,GENERAL,162673000,252398009,11838076-DS-20,"CAL EXAMINATION: ============================== GENERAL: Elderly cachectic appearing man lying in bed. C" "Correct entity, wrong SNOMED ID","(2308, 2317)","(2308, 2317)",cachectic,cachectic,238108007,110988004,11838076-DS-20," ============================== GENERAL: Elderly cachectic appearing man lying in bed. Conversant with fami" Missed entity,"(2382, 2383)",,A,,248234008,,11838076-DS-20,"lying in bed. Conversant with family at bedside. A&Ox1. HEENT: Normocephalic, atraumatic. Sclera a" "Correct entity, wrong SNOMED ID","(2391, 2396)","(2391, 2396)",HEENT,HEENT,5880005,113665002,11838076-DS-20,"bed. Conversant with family at bedside. A&Ox1. HEENT: Normocephalic, atraumatic. Sclera anicteric. PER" "Correct entity, wrong SNOMED ID","(2398, 2411)","(2398, 2411)",Normocephalic,Normocephalic,840673007,30470009,11838076-DS-20,"onversant with family at bedside. A&Ox1. HEENT: Normocephalic, atraumatic. Sclera anicteric. PERRL. EOMI. CAR" "Correct entity, wrong SNOMED ID","(2413, 2423)","(2413, 2423)",atraumatic,atraumatic,224964008,294228005,11838076-DS-20,"family at bedside. A&Ox1. HEENT: Normocephalic, atraumatic. Sclera anicteric. PERRL. EOMI. CARDIAC: Normal" "Correct entity, wrong SNOMED ID","(2425, 2441)","(2425, 2441)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,11838076-DS-20,"dside. A&Ox1. HEENT: Normocephalic, atraumatic. Sclera anicteric. PERRL. EOMI. CARDIAC: Normal rate, regular rhy" "Correct entity, wrong SNOMED ID","(2443, 2448)","(2443, 2448)",PERRL,PERRL,386666001,431291005,11838076-DS-20,"ENT: Normocephalic, atraumatic. Sclera anicteric. PERRL. EOMI. CARDIAC: Normal rate, regular rhythm. No" "Correct entity, wrong SNOMED ID","(2450, 2454)","(2450, 2454)",EOMI,EOMI,103251002,67099000,11838076-DS-20,"rmocephalic, atraumatic. Sclera anicteric. PERRL. EOMI. CARDIAC: Normal rate, regular rhythm. No murmu" "Correct entity, wrong SNOMED ID","(2458, 2465)","(2458, 2465)",CARDIAC,CARDIAC,363003006,71892000,11838076-DS-20,"lic, atraumatic. Sclera anicteric. PERRL. EOMI. CARDIAC: Normal rate, regular rhythm. No murmurs, rubs, o" "Correct entity, wrong SNOMED ID","(2467, 2478)","(2467, 2478)",Normal rate,Normal rate,76863003,20716004,11838076-DS-20,"umatic. Sclera anicteric. PERRL. EOMI. CARDIAC: Normal rate, regular rhythm. No murmurs, rubs, or gallops. Ni" "Correct entity, wrong SNOMED ID","(2480, 2494)","(2480, 2494)",regular rhythm,regular rhythm,64730000,428919002,11838076-DS-20,"a anicteric. PERRL. EOMI. CARDIAC: Normal rate, regular rhythm. No murmurs, rubs, or gallops. Nitro paste in pla" "Correct entity, wrong SNOMED ID","(2499, 2506)","(2499, 2506)",murmurs,murmurs,414786004,248699005,11838076-DS-20," EOMI. CARDIAC: Normal rate, regular rhythm. No murmurs, rubs, or gallops. Nitro paste in place on chest." "Correct entity, wrong SNOMED ID","(2517, 2524)","(2517, 2524)",gallops,gallops,2170000,4592006,11838076-DS-20,"Normal rate, regular rhythm. No murmurs, rubs, or gallops. Nitro paste in place on chest. LUNGS: No accesso" "Correct entity, wrong SNOMED ID","(2550, 2555)","(2550, 2555)",chest,chest,51185008,74160004,11838076-DS-20,"urmurs, rubs, or gallops. Nitro paste in place on chest. LUNGS: No accessory muscle use. Poor air entry t" "Correct entity, wrong SNOMED ID","(2557, 2562)","(2557, 2562)",LUNGS,LUNGS,268925001,74101002,11838076-DS-20," rubs, or gallops. Nitro paste in place on chest. LUNGS: No accessory muscle use. Poor air entry througho" Wrong span,"(2567, 2583)","(2567, 2587)",accessory muscle,accessory muscle use,50847000,178272006,11838076-DS-20,"gallops. Nitro paste in place on chest. LUNGS: No accessory muscle use. Poor air entry throughout. ABDOMEN: Soft, n" "Correct entity, wrong SNOMED ID","(2617, 2624)","(2617, 2624)",ABDOMEN,ABDOMEN,225162003,41931001,11838076-DS-20,"accessory muscle use. Poor air entry throughout. ABDOMEN: Soft, non-tender, non-distended. No palpable hep" "Correct entity, wrong SNOMED ID","(2632, 2642)","(2632, 2642)",non-tender,non-tender,43478001,298741000,11838076-DS-20,"e use. Poor air entry throughout. ABDOMEN: Soft, non-tender, non-distended. No palpable hepatomegaly or splen" "Correct entity, wrong SNOMED ID","(2644, 2657)","(2644, 2657)",non-distended,non-distended,300405003,162069004,11838076-DS-20,"air entry throughout. ABDOMEN: Soft, non-tender, non-distended. No palpable hepatomegaly or splenomegaly. EXTR" "Correct entity, wrong SNOMED ID","(2671, 2683)","(2671, 2683)",hepatomegaly,hepatomegaly,80515008,240790002,11838076-DS-20,"MEN: Soft, non-tender, non-distended. No palpable hepatomegaly or splenomegaly. EXTREMITIES: Warm, well perfus" "Correct entity, wrong SNOMED ID","(2687, 2699)","(2687, 2699)",splenomegaly,splenomegaly,16294009,19058002,11838076-DS-20,"ender, non-distended. No palpable hepatomegaly or splenomegaly. EXTREMITIES: Warm, well perfused. No clubbing," "Correct entity, wrong SNOMED ID","(2703, 2714)","(2703, 2714)",EXTREMITIES,EXTREMITIES,302773001,248416007,11838076-DS-20,"nded. No palpable hepatomegaly or splenomegaly. EXTREMITIES: Warm, well perfused. No clubbing, cyanosis, or p" "Correct entity, wrong SNOMED ID","(2716, 2720)","(2716, 2720)",Warm,Warm,102599008,298256005,11838076-DS-20,"able hepatomegaly or splenomegaly. EXTREMITIES: Warm, well perfused. No clubbing, cyanosis, or periphe" "Correct entity, wrong SNOMED ID","(2722, 2735)","(2722, 2735)",well perfused,well perfused,1137685003,301121007,11838076-DS-20,"epatomegaly or splenomegaly. EXTREMITIES: Warm, well perfused. No clubbing, cyanosis, or peripheral edema. SK" "Correct entity, wrong SNOMED ID","(2740, 2748)","(2740, 2748)",clubbing,clubbing,367004,30760008,11838076-DS-20,"enomegaly. EXTREMITIES: Warm, well perfused. No clubbing, cyanosis, or peripheral edema. SKIN: No signif" "Correct entity, wrong SNOMED ID","(2750, 2758)","(2750, 2758)",cyanosis,cyanosis,3415004,95837007,11838076-DS-20," EXTREMITIES: Warm, well perfused. No clubbing, cyanosis, or peripheral edema. SKIN: No significant lesi" "Correct entity, wrong SNOMED ID","(2774, 2779)","(2774, 2779)",edema,edema,267038008,102576009,11838076-DS-20,"ll perfused. No clubbing, cyanosis, or peripheral edema. SKIN: No significant lesions or rashes. NEU" "Correct entity, wrong SNOMED ID","(2783, 2787)","(2783, 2787)",SKIN,SKIN,271303006,444884003,11838076-DS-20,"ed. No clubbing, cyanosis, or peripheral edema. SKIN: No significant lesions or rashes. NEURO: Subt" "Correct entity, wrong SNOMED ID","(2804, 2811)","(2804, 2811)",lesions,lesions,52988006,246206008,11838076-DS-20,"osis, or peripheral edema. SKIN: No significant lesions or rashes. NEURO: Subtle left sided facial dro" "Correct entity, wrong SNOMED ID","(2815, 2821)","(2815, 2821)",rashes,rashes,271807003,247472004,11838076-DS-20,"ripheral edema. SKIN: No significant lesions or rashes. NEURO: Subtle left sided facial droop. Moving" "Correct entity, wrong SNOMED ID","(2826, 2831)","(2826, 2831)",NEURO,NEURO,84728005,281247006,11838076-DS-20,"ema. SKIN: No significant lesions or rashes. NEURO: Subtle left sided facial droop. Moving all extre" Wrong span,"(2840, 2857)","(2840, 2863)",left sided facial,left sided facial droop,423781004,1052243006,11838076-DS-20,"o significant lesions or rashes. NEURO: Subtle left sided facial droop. Moving all extremities equally. DISCHAR" Wrong span,"(2872, 2887)","(2865, 2887)",all extremities,Moving all extremities,2592007,284138009,11838076-DS-20," NEURO: Subtle left sided facial droop. Moving all extremities equally. DISCHARGE PHYSICAL EXAM =============" Missed entity,"(2910, 2923)",,PHYSICAL EXAM,,5880005,,11838076-DS-20,"oop. Moving all extremities equally. DISCHARGE PHYSICAL EXAM ======================== 24 HR Data (last updated" Missed entity,"(2952, 2954)",,HR,,301113001,,11838076-DS-20,"SCHARGE PHYSICAL EXAM ======================== 24 HR Data (last updated ___ @ 1514) Temp: 97.4 (Tm" "Correct entity, wrong SNOMED ID","(2990, 2994)","(2990, 2994)",Temp,Temp,105723007,102496004,11838076-DS-20,"======== 24 HR Data (last updated ___ @ 1514) Temp: 97.4 (Tm 98.2), BP: 139/51 (117-151/51-60), HR: " "Correct entity, wrong SNOMED ID","(3012, 3014)","(3012, 3014)",BP,BP,392570002,38341003,11838076-DS-20,"ast updated ___ @ 1514) Temp: 97.4 (Tm 98.2), BP: 139/51 (117-151/51-60), HR: 53 (49-78), RR: 24 (" "Correct entity, wrong SNOMED ID","(3040, 3042)","(3040, 3042)",HR,HR,301113001,258702006,11838076-DS-20,"Temp: 97.4 (Tm 98.2), BP: 139/51 (117-151/51-60), HR: 53 (49-78), RR: 24 (___), O2 sat: 97% (94-97), O" "Correct entity, wrong SNOMED ID","(3056, 3058)","(3056, 3058)",RR,RR,301283003,229040007,11838076-DS-20,"8.2), BP: 139/51 (117-151/51-60), HR: 53 (49-78), RR: 24 (___), O2 sat: 97% (94-97), O2 delivery: Ra, " "Correct entity, wrong SNOMED ID","(3070, 3076)","(3070, 3076)",O2 sat,O2 sat,104847001,103228002,11838076-DS-20,"51 (117-151/51-60), HR: 53 (49-78), RR: 24 (___), O2 sat: 97% (94-97), O2 delivery: Ra, Wt: 113.1 lb/51.3 " Missed entity,"(3108, 3110)",,Wt,,107647005,,11838076-DS-20,": 24 (___), O2 sat: 97% (94-97), O2 delivery: Ra, Wt: 113.1 lb/51.3 kg Fluid Balance (last updated " "Correct entity, wrong SNOMED ID","(3374, 3381)","(3374, 3381)",General,General,162673000,252398009,11838076-DS-20," Total 355ml, Urine Amt 355ml, Bowel Amt 0ml General: Sitting in bed, in NAD. HEENT: NC/AT, sclera-no" Wrong span,"(3383, 3390)","(3383, 3397)",Sitting,Sitting in bed,33586001,282969008,11838076-DS-20,"55ml, Urine Amt 355ml, Bowel Amt 0ml General: Sitting in bed, in NAD. HEENT: NC/AT, sclera-nonicteric " "Correct entity, wrong SNOMED ID","(3402, 3405)","(3402, 3405)",NAD,NAD,281900007,131143000,11838076-DS-20,"ml, Bowel Amt 0ml General: Sitting in bed, in NAD. HEENT: NC/AT, sclera-nonicteric Lungs: Clear to" "Correct entity, wrong SNOMED ID","(3408, 3413)","(3408, 3413)",HEENT,HEENT,5880005,113665002,11838076-DS-20,"wel Amt 0ml General: Sitting in bed, in NAD. HEENT: NC/AT, sclera-nonicteric Lungs: Clear to auscult" "Correct entity, wrong SNOMED ID","(3415, 3417)","(3415, 3417)",NC,NC,840673007,705056007,11838076-DS-20," 0ml General: Sitting in bed, in NAD. HEENT: NC/AT, sclera-nonicteric Lungs: Clear to auscultatio" Missed entity,"(3418, 3420)",,AT,,224964008,,11838076-DS-20,"l General: Sitting in bed, in NAD. HEENT: NC/AT, sclera-nonicteric Lungs: Clear to auscultation b" Wrong span,"(3422, 3439)","(3422, 3428)",sclera-nonicteric,sclera,427801009,427801009,11838076-DS-20," General: Sitting in bed, in NAD. HEENT: NC/AT, sclera-nonicteric Lungs: Clear to auscultation bilaterally, no whee" "Correct entity, wrong SNOMED ID","(3440, 3445)","(3440, 3445)",Lungs,Lungs,268925001,169115000,11838076-DS-20," in bed, in NAD. HEENT: NC/AT, sclera-nonicteric Lungs: Clear to auscultation bilaterally, no wheezes rh" "Correct entity, wrong SNOMED ID","(3513, 3518)","(3513, 3518)",Heart,Heart,363003006,22298006,11838076-DS-20,"ation bilaterally, no wheezes rhonchi or crackles Heart: RRR, ___ systolic murmur heard best at apex Extr" "Correct entity, wrong SNOMED ID","(3520, 3523)","(3520, 3523)",RRR,RRR,76863003,129960002,11838076-DS-20,"ilaterally, no wheezes rhonchi or crackles Heart: RRR, ___ systolic murmur heard best at apex Extremiti" "Correct entity, wrong SNOMED ID","(3538, 3544)","(3538, 3544)",murmur,murmur,414786004,248699005,11838076-DS-20,"ezes rhonchi or crackles Heart: RRR, ___ systolic murmur heard best at apex Extremities: WWP, no c/c/e Neu" "Correct entity, wrong SNOMED ID","(3564, 3575)","(3564, 3575)",Extremities,Extremities,302773001,248416007,11838076-DS-20,"eart: RRR, ___ systolic murmur heard best at apex Extremities: WWP, no c/c/e Neuro: - No focal abnormalities " "Correct entity, wrong SNOMED ID","(3577, 3580)","(3577, 3580)",WWP,WWP,1137685003,258001008,11838076-DS-20,"_ systolic murmur heard best at apex Extremities: WWP, no c/c/e Neuro: - No focal abnormalities - Mov" Wrong span,"(3585, 3586)","(3582, 3586)",c,no c,367004,182851001,11838076-DS-20,"ic murmur heard best at apex Extremities: WWP, no c/c/e Neuro: - No focal abnormalities - Moving al" Missed entity,"(3587, 3588)",,c,,3415004,,11838076-DS-20," murmur heard best at apex Extremities: WWP, no c/c/e Neuro: - No focal abnormalities - Moving all " Missed entity,"(3589, 3590)",,e,,267038008,,11838076-DS-20,"urmur heard best at apex Extremities: WWP, no c/c/e Neuro: - No focal abnormalities - Moving all 4 " "Correct entity, wrong SNOMED ID","(3591, 3596)","(3591, 3596)",Neuro,Neuro,84728005,281247006,11838076-DS-20,"mur heard best at apex Extremities: WWP, no c/c/e Neuro: - No focal abnormalities - Moving all 4 extrem" "Correct entity, wrong SNOMED ID","(3601, 3623)","(3601, 3623)",No focal abnormalities,No focal abnormalities,281900007,171109003,11838076-DS-20,"best at apex Extremities: WWP, no c/c/e Neuro: - No focal abnormalities - Moving all 4 extremities with purpose - Face s" "Correct entity, wrong SNOMED ID","(3627, 3651)","(3627, 3651)",Moving all 4 extremities,Moving all 4 extremities,284137004,364892002,11838076-DS-20,"WWP, no c/c/e Neuro: - No focal abnormalities - Moving all 4 extremities with purpose - Face symmetric Pertinent Results" "Correct entity, wrong SNOMED ID","(3667, 3681)","(3667, 3681)",Face symmetric,Face symmetric,248172007,248149005,11838076-DS-20,"lities - Moving all 4 extremities with purpose - Face symmetric Pertinent Results: ADMISSION LABS: ============" "Correct entity, wrong SNOMED ID","(3767, 3770)","(3767, 3770)",WBC,WBC,767002,391558003,11838076-DS-20,": ============================= ___ 01:45PM BLOOD WBC-6.9 RBC-4.79 Hgb-14.1 Hct-45.0 MCV-94 MCH-29.4 M" "Correct entity, wrong SNOMED ID","(3775, 3778)","(3775, 3778)",RBC,RBC,14089001,258759006,11838076-DS-20,"======================= ___ 01:45PM BLOOD WBC-6.9 RBC-4.79 Hgb-14.1 Hct-45.0 MCV-94 MCH-29.4 MCHC-31.3" "Correct entity, wrong SNOMED ID","(3784, 3787)","(3784, 3787)",Hgb,Hgb,441689006,104142005,11838076-DS-20,"============== ___ 01:45PM BLOOD WBC-6.9 RBC-4.79 Hgb-14.1 Hct-45.0 MCV-94 MCH-29.4 MCHC-31.3* RDW-13." "Correct entity, wrong SNOMED ID","(3793, 3796)","(3793, 3796)",Hct,Hct,28317006,282660005,11838076-DS-20,"===== ___ 01:45PM BLOOD WBC-6.9 RBC-4.79 Hgb-14.1 Hct-45.0 MCV-94 MCH-29.4 MCHC-31.3* RDW-13.0 RDWSD-4" Missed entity,"(3802, 3805)",,MCV,,104133003,,11838076-DS-20," 01:45PM BLOOD WBC-6.9 RBC-4.79 Hgb-14.1 Hct-45.0 MCV-94 MCH-29.4 MCHC-31.3* RDW-13.0 RDWSD-44.8 Plt _" "Correct entity, wrong SNOMED ID","(3819, 3823)","(3819, 3823)",MCHC,MCHC,37254006,735147002,11838076-DS-20,"C-6.9 RBC-4.79 Hgb-14.1 Hct-45.0 MCV-94 MCH-29.4 MCHC-31.3* RDW-13.0 RDWSD-44.8 Plt ___ ___ 01:45PM BLO" "Correct entity, wrong SNOMED ID","(3830, 3833)","(3830, 3833)",RDW,RDW,66842004,735149004,11838076-DS-20,".79 Hgb-14.1 Hct-45.0 MCV-94 MCH-29.4 MCHC-31.3* RDW-13.0 RDWSD-44.8 Plt ___ ___ 01:45PM BLOOD ___ PTT" "Correct entity, wrong SNOMED ID","(3839, 3844)","(3839, 3844)",RDWSD,RDWSD,66842004,80328002,11838076-DS-20,"4.1 Hct-45.0 MCV-94 MCH-29.4 MCHC-31.3* RDW-13.0 RDWSD-44.8 Plt ___ ___ 01:45PM BLOOD ___ PTT-34.9 ___ _" "Correct entity, wrong SNOMED ID","(3880, 3883)","(3880, 3883)",PTT,PTT,42525009,282119004,11838076-DS-20,"RDW-13.0 RDWSD-44.8 Plt ___ ___ 01:45PM BLOOD ___ PTT-34.9 ___ ___ 01:45PM BLOOD Glucose-178* UreaN-25*" "Correct entity, wrong SNOMED ID","(3911, 3918)","(3911, 3918)",Glucose,Glucose,33747003,72191006,11838076-DS-20," 01:45PM BLOOD ___ PTT-34.9 ___ ___ 01:45PM BLOOD Glucose-178* UreaN-25* Creat-1.6* Na-144 K-3.9 Cl-96 HCO" "Correct entity, wrong SNOMED ID","(3924, 3929)","(3924, 3929)",UreaN,UreaN,105011006,111108008,11838076-DS-20,"D ___ PTT-34.9 ___ ___ 01:45PM BLOOD Glucose-178* UreaN-25* Creat-1.6* Na-144 K-3.9 Cl-96 HCO3-35* AnGap" "Correct entity, wrong SNOMED ID","(3934, 3939)","(3934, 3939)",Creat,Creat,70901006,365756002,11838076-DS-20,"34.9 ___ ___ 01:45PM BLOOD Glucose-178* UreaN-25* Creat-1.6* Na-144 K-3.9 Cl-96 HCO3-35* AnGap-13 ___ 01" "Correct entity, wrong SNOMED ID","(3945, 3947)","(3945, 3947)",Na,Na,312469006,257992007,11838076-DS-20,"_ 01:45PM BLOOD Glucose-178* UreaN-25* Creat-1.6* Na-144 K-3.9 Cl-96 HCO3-35* AnGap-13 ___ 01:45PM BL" "Correct entity, wrong SNOMED ID","(3959, 3961)","(3959, 3961)",Cl,Cl,104589004,311741002,11838076-DS-20,"D Glucose-178* UreaN-25* Creat-1.6* Na-144 K-3.9 Cl-96 HCO3-35* AnGap-13 ___ 01:45PM BLOOD ALT-22 AST" "Correct entity, wrong SNOMED ID","(3965, 3969)","(3965, 3969)",HCO3,HCO3,312471006,88645003,11838076-DS-20,"ose-178* UreaN-25* Creat-1.6* Na-144 K-3.9 Cl-96 HCO3-35* AnGap-13 ___ 01:45PM BLOOD ALT-22 AST-33 CK(C" "Correct entity, wrong SNOMED ID","(3974, 3979)","(3974, 3979)",AnGap,AnGap,25469001,124504004,11838076-DS-20,"UreaN-25* Creat-1.6* Na-144 K-3.9 Cl-96 HCO3-35* AnGap-13 ___ 01:45PM BLOOD ALT-22 AST-33 CK(CPK)-196 Al" "Correct entity, wrong SNOMED ID","(4001, 4004)","(4001, 4004)",ALT,ALT,34608000,56935002,11838076-DS-20," K-3.9 Cl-96 HCO3-35* AnGap-13 ___ 01:45PM BLOOD ALT-22 AST-33 CK(CPK)-196 AlkPhos-66 TotBili-1.2 ___" "Correct entity, wrong SNOMED ID","(4008, 4011)","(4008, 4011)",AST,AST,45896001,85043005,11838076-DS-20," Cl-96 HCO3-35* AnGap-13 ___ 01:45PM BLOOD ALT-22 AST-33 CK(CPK)-196 AlkPhos-66 TotBili-1.2 ___ 01:45P" "Correct entity, wrong SNOMED ID","(4027, 4034)","(4027, 4034)",AlkPhos,AlkPhos,88810008,30703008,11838076-DS-20,"ap-13 ___ 01:45PM BLOOD ALT-22 AST-33 CK(CPK)-196 AlkPhos-66 TotBili-1.2 ___ 01:45PM BLOOD CK-MB-10 MB Ind" "Correct entity, wrong SNOMED ID","(4039, 4046)","(4039, 4046)",TotBili,TotBili,359986008,19754005,11838076-DS-20,":45PM BLOOD ALT-22 AST-33 CK(CPK)-196 AlkPhos-66 TotBili-1.2 ___ 01:45PM BLOOD CK-MB-10 MB Indx-5.1 cTropn" "Correct entity, wrong SNOMED ID","(4090, 4097)","(4090, 4097)",cTropnT,cTropnT,105001004,442255004,11838076-DS-20,"otBili-1.2 ___ 01:45PM BLOOD CK-MB-10 MB Indx-5.1 cTropnT-0.68* ___ 01:45PM BLOOD Albumin-3.7 Calcium-8.6 P" "Correct entity, wrong SNOMED ID","(4122, 4129)","(4122, 4129)",Albumin,Albumin,26758005,166804009,11838076-DS-20,"MB-10 MB Indx-5.1 cTropnT-0.68* ___ 01:45PM BLOOD Albumin-3.7 Calcium-8.6 Phos-4.4 Mg-1.9 Cholest-169 ___ " "Correct entity, wrong SNOMED ID","(4134, 4141)","(4134, 4141)",Calcium,Calcium,312472004,108601004,11838076-DS-20,"x-5.1 cTropnT-0.68* ___ 01:45PM BLOOD Albumin-3.7 Calcium-8.6 Phos-4.4 Mg-1.9 Cholest-169 ___ 01:45PM BLOO" "Correct entity, wrong SNOMED ID","(4146, 4150)","(4146, 4150)",Phos,Phos,104868000,168075002,11838076-DS-20,"T-0.68* ___ 01:45PM BLOOD Albumin-3.7 Calcium-8.6 Phos-4.4 Mg-1.9 Cholest-169 ___ 01:45PM BLOOD VitB12-" "Correct entity, wrong SNOMED ID","(4155, 4157)","(4155, 4157)",Mg,Mg,271285000,258684004,11838076-DS-20,"__ 01:45PM BLOOD Albumin-3.7 Calcium-8.6 Phos-4.4 Mg-1.9 Cholest-169 ___ 01:45PM BLOOD VitB12-222* Fo" "Correct entity, wrong SNOMED ID","(4233, 4240)","(4233, 4240)",Triglyc,Triglyc,14740000,420621009,11838076-DS-20,"5PM BLOOD VitB12-222* Folate-18 ___ 01:45PM BLOOD Triglyc-102 HDL-61 CHOL/HD-2.8 LDLcalc-88 ___ 01:45PM BLO" "Correct entity, wrong SNOMED ID","(4245, 4248)","(4245, 4248)",HDL,HDL,17888004,9422000,11838076-DS-20,"tB12-222* Folate-18 ___ 01:45PM BLOOD Triglyc-102 HDL-61 CHOL/HD-2.8 LDLcalc-88 ___ 01:45PM BLOOD TSH-1" "Correct entity, wrong SNOMED ID","(4252, 4259)","(4252, 4259)",CHOL/HD,CHOL/HD,313811003,439953004,11838076-DS-20,"2* Folate-18 ___ 01:45PM BLOOD Triglyc-102 HDL-61 CHOL/HD-2.8 LDLcalc-88 ___ 01:45PM BLOOD TSH-1.0 ___ 02:2" "Correct entity, wrong SNOMED ID","(4293, 4296)","(4293, 4296)",TSH,TSH,61167004,412520006,11838076-DS-20,"2 HDL-61 CHOL/HD-2.8 LDLcalc-88 ___ 01:45PM BLOOD TSH-1.0 ___ 02:26PM BLOOD ___ pO2-45* pCO2-75* pH-7.3" "Correct entity, wrong SNOMED ID","(4340, 4342)","(4340, 4342)",pH,pH,81065003,264912003,11838076-DS-20,"OD TSH-1.0 ___ 02:26PM BLOOD ___ pO2-45* pCO2-75* pH-7.32* calTCO2-40* Base XS-8 ___ 02:26PM BLOOD La" "Correct entity, wrong SNOMED ID","(4467, 4470)","(4467, 4470)",WBC,WBC,767002,391558003,11838076-DS-20,": ============================= ___ 05:05PM BLOOD WBC-5.4 RBC-3.97* Hgb-12.2* Hct-37.5* MCV-95 MCH-30." "Correct entity, wrong SNOMED ID","(4475, 4478)","(4475, 4478)",RBC,RBC,14089001,258759006,11838076-DS-20,"======================= ___ 05:05PM BLOOD WBC-5.4 RBC-3.97* Hgb-12.2* Hct-37.5* MCV-95 MCH-30.7 MCHC-3" "Correct entity, wrong SNOMED ID","(4485, 4488)","(4485, 4488)",Hgb,Hgb,441689006,104142005,11838076-DS-20,"============= ___ 05:05PM BLOOD WBC-5.4 RBC-3.97* Hgb-12.2* Hct-37.5* MCV-95 MCH-30.7 MCHC-32.5 RDW-13" "Correct entity, wrong SNOMED ID","(4495, 4498)","(4495, 4498)",Hct,Hct,28317006,282660005,11838076-DS-20,"=== ___ 05:05PM BLOOD WBC-5.4 RBC-3.97* Hgb-12.2* Hct-37.5* MCV-95 MCH-30.7 MCHC-32.5 RDW-13.2 RDWSD-4" "Correct entity, wrong SNOMED ID","(4522, 4526)","(4522, 4526)",MCHC,MCHC,37254006,735147002,11838076-DS-20,".4 RBC-3.97* Hgb-12.2* Hct-37.5* MCV-95 MCH-30.7 MCHC-32.5 RDW-13.2 RDWSD-45.3 Plt ___ ___ 05:05PM BLOO" "Correct entity, wrong SNOMED ID","(4532, 4535)","(4532, 4535)",RDW,RDW,66842004,735149004,11838076-DS-20,"7* Hgb-12.2* Hct-37.5* MCV-95 MCH-30.7 MCHC-32.5 RDW-13.2 RDWSD-45.3 Plt ___ ___ 05:05PM BLOOD Plt ___" "Correct entity, wrong SNOMED ID","(4541, 4546)","(4541, 4546)",RDWSD,RDWSD,66842004,80328002,11838076-DS-20,".2* Hct-37.5* MCV-95 MCH-30.7 MCHC-32.5 RDW-13.2 RDWSD-45.3 Plt ___ ___ 05:05PM BLOOD Plt ___ ___ 05:05P" "Correct entity, wrong SNOMED ID","(4604, 4611)","(4604, 4611)",Glucose,Glucose,33747003,72191006,11838076-DS-20,"t ___ ___ 05:05PM BLOOD Plt ___ ___ 05:05PM BLOOD Glucose-237* UreaN-27* Creat-1.5* Na-142 K-5.1 Cl-103 HC" "Correct entity, wrong SNOMED ID","(4617, 4622)","(4617, 4622)",UreaN,UreaN,105011006,111108008,11838076-DS-20,"05PM BLOOD Plt ___ ___ 05:05PM BLOOD Glucose-237* UreaN-27* Creat-1.5* Na-142 K-5.1 Cl-103 HCO3-30 AnGap" "Correct entity, wrong SNOMED ID","(4627, 4632)","(4627, 4632)",Creat,Creat,70901006,365756002,11838076-DS-20," Plt ___ ___ 05:05PM BLOOD Glucose-237* UreaN-27* Creat-1.5* Na-142 K-5.1 Cl-103 HCO3-30 AnGap-9* ___ 05" "Correct entity, wrong SNOMED ID","(4638, 4640)","(4638, 4640)",Na,Na,312469006,257992007,11838076-DS-20,"_ 05:05PM BLOOD Glucose-237* UreaN-27* Creat-1.5* Na-142 K-5.1 Cl-103 HCO3-30 AnGap-9* ___ 05:05PM BL" "Correct entity, wrong SNOMED ID","(4652, 4654)","(4652, 4654)",Cl,Cl,104589004,311741002,11838076-DS-20,"D Glucose-237* UreaN-27* Creat-1.5* Na-142 K-5.1 Cl-103 HCO3-30 AnGap-9* ___ 05:05PM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(4659, 4663)","(4659, 4663)",HCO3,HCO3,312471006,88645003,11838076-DS-20,"se-237* UreaN-27* Creat-1.5* Na-142 K-5.1 Cl-103 HCO3-30 AnGap-9* ___ 05:05PM BLOOD Calcium-8.1* Phos-4" "Correct entity, wrong SNOMED ID","(4667, 4672)","(4667, 4672)",AnGap,AnGap,25469001,124504004,11838076-DS-20,"UreaN-27* Creat-1.5* Na-142 K-5.1 Cl-103 HCO3-30 AnGap-9* ___ 05:05PM BLOOD Calcium-8.1* Phos-4.1 Mg-2.1" "Correct entity, wrong SNOMED ID","(4694, 4701)","(4694, 4701)",Calcium,Calcium,312472004,108601004,11838076-DS-20," K-5.1 Cl-103 HCO3-30 AnGap-9* ___ 05:05PM BLOOD Calcium-8.1* Phos-4.1 Mg-2.1 IMAGES/RESULTS: ===========" "Correct entity, wrong SNOMED ID","(4707, 4711)","(4707, 4711)",Phos,Phos,104868000,168075002,11838076-DS-20,"3 HCO3-30 AnGap-9* ___ 05:05PM BLOOD Calcium-8.1* Phos-4.1 Mg-2.1 IMAGES/RESULTS: =====================" "Correct entity, wrong SNOMED ID","(4716, 4718)","(4716, 4718)",Mg,Mg,271285000,258684004,11838076-DS-20," AnGap-9* ___ 05:05PM BLOOD Calcium-8.1* Phos-4.1 Mg-2.1 IMAGES/RESULTS: ============================" Wrong span,"(4770, 4778)","(4770, 4773)",MRI HEAD,MRI,241601008,1144760005,11838076-DS-20,".1 IMAGES/RESULTS: ============================= MRI HEAD WITHOUT CONTRAST ___: IMPRESSION: 1. Incomplete" Missed entity,"(4779, 4795)",,WITHOUT CONTRAST,,90084008,,11838076-DS-20,"S/RESULTS: ============================= MRI HEAD WITHOUT CONTRAST ___: IMPRESSION: 1. Incomplete examination with" Wrong span,"(5046, 5062)","(5052, 5062)",acute infarction,infarction,55470003,432504007,11838076-DS-20,"ence of focal slowed diffusion to suggest large acute infarction. 3. Repeat imaging could be attempted if/when th" Wrong span,"(5188, 5196)","(5188, 5208)",coronary,coronary circulation,443502000,13647002,11838076-DS-20,"to tolerate examination. CARDIAC CATH ___: The coronary circulation is right dominant. LM: The Left Main," "Correct entity, wrong SNOMED ID","(5212, 5226)","(5212, 5226)",right dominant,right dominant,253728007,294121000119100,11838076-DS-20,". CARDIAC CATH ___: The coronary circulation is right dominant. LM: The Left Main, arising from the left cusp, i" "Correct entity, wrong SNOMED ID","(5228, 5230)","(5228, 5230)",LM,LM,3227004,420296000,11838076-DS-20," ___: The coronary circulation is right dominant. LM: The Left Main, arising from the left cusp, is a " "Correct entity, wrong SNOMED ID","(5236, 5245)","(5236, 5245)",Left Main,Left Main,3227004,362034004,11838076-DS-20,"e coronary circulation is right dominant. LM: The Left Main, arising from the left cusp, is a small caliber " "Correct entity, wrong SNOMED ID","(5264, 5273)","(5264, 5273)",left cusp,left cusp,63059004,244365006,11838076-DS-20,"ght dominant. LM: The Left Main, arising from the left cusp, is a small caliber vessel. This vessel bifurcat" Wrong span,"(5364, 5379)","(5364, 5387)",Left Circumflex,Left Circumflex systems,57396003,846588001,11838076-DS-20," bifurcates into the Left Anterior Descending and Left Circumflex systems. There is a 60% stenosis in the proximal" "Correct entity, wrong SNOMED ID","(5405, 5413)","(5405, 5413)",stenosis,stenosis,415582006,246073005,11838076-DS-20,"ding and Left Circumflex systems. There is a 60% stenosis in the proximal, mid, and distal segments. There " "Correct entity, wrong SNOMED ID","(5421, 5429)","(5421, 5429)",proximal,proximal,52433000,260739009,11838076-DS-20,"rcumflex systems. There is a 60% stenosis in the proximal, mid, and distal segments. There is severe calcif" "Correct entity, wrong SNOMED ID","(5431, 5434)","(5431, 5434)",mid,mid,91753007,17408006,11838076-DS-20,"ystems. There is a 60% stenosis in the proximal, mid, and distal segments. There is severe calcificati" Wrong span,"(5440, 5446)","(5440, 5455)",distal,distal segments,6511003,260735003,11838076-DS-20,"here is a 60% stenosis in the proximal, mid, and distal segments. There is severe calcification in the mi" "Correct entity, wrong SNOMED ID","(5494, 5506)","(5494, 5506)","mid segment","mid segment",91753007,264855003,11838076-DS-20,"al segments. There is severe calcification in the mid segment extending to the distal third of the LAD. LAD: Th" Wrong span,"(5524, 5547)","(5544, 5547)","distal third of the LAD",LAD,36672000,1010291002,11838076-DS-20,"alcification in the mid segment extending to the distal third of the LAD. LAD: The Left Anterior Descending artery, which " "Correct entity, wrong SNOMED ID","(5549, 5552)","(5549, 5552)",LAD,LAD,59438005,1010291002,11838076-DS-20,"segment extending to the distal third of the LAD. LAD: The Left Anterior Descending artery, which arise" "Correct entity, wrong SNOMED ID","(5614, 5616)","(5614, 5616)",LM,LM,3227004,420296000,11838076-DS-20,"nterior Descending artery, which arises from the LM, is a small caliber vessel. There is mild tortuos" "Correct entity, wrong SNOMED ID","(5659, 5669)","(5659, 5669)",tortuosity,tortuosity,15690004,247123003,11838076-DS-20,"the LM, is a small caliber vessel. There is mild tortuosity beginning in the proximal segment. There is a 90" "Correct entity, wrong SNOMED ID","(5687, 5695)","(5687, 5695)",proximal,proximal,68787002,260739009,11838076-DS-20,"vessel. There is mild tortuosity beginning in the proximal segment. There is a 90% stenosis in the proximal" "Correct entity, wrong SNOMED ID","(5721, 5729)","(5721, 5729)",stenosis,stenosis,415582006,56786000,11838076-DS-20,"eginning in the proximal segment. There is a 90% stenosis in the proximal segment. There is a 90% stenosis " "Correct entity, wrong SNOMED ID","(5737, 5745)","(5737, 5745)",proximal,proximal,68787002,260739009,11838076-DS-20,"proximal segment. There is a 90% stenosis in the proximal segment. There is a 90% stenosis in the proximal," "Correct entity, wrong SNOMED ID","(5770, 5778)","(5770, 5778)",stenosis,stenosis,415582006,246073005,11838076-DS-20," stenosis in the proximal segment. There is a 90% stenosis in the proximal, mid segment a nd distal segment" "Correct entity, wrong SNOMED ID","(5786, 5794)","(5786, 5794)",proximal,proximal,68787002,260739009,11838076-DS-20," proximal segment. There is a 90% stenosis in the proximal, mid segment a nd distal segments (serial lesion" Wrong span,"(5796, 5807)","(5796, 5799)",mid segment,mid,91748002,17408006,11838076-DS-20,"segment. There is a 90% stenosis in the proximal, mid segment a nd distal segments (serial lesions) and the re" Missed entity,"(5813, 5829)",,"distal segments",,36672000,,11838076-DS-20," a 90% stenosis in the proximal, mid segment a nd distal segments (serial lesions) and the remaining of the vessel " "Correct entity, wrong SNOMED ID","(5838, 5845)","(5838, 5845)",lesions,lesions,52988006,246206008,11838076-DS-20,"oximal, mid segment a nd distal segments (serial lesions) and the remaining of the vessel has severe diffu" "Correct entity, wrong SNOMED ID","(5872, 5878)","(5872, 5878)",vessel,vessel,59820001,261328002,11838076-DS-20,"egments (serial lesions) and the remaining of the vessel has severe diffuse disease. The vessel is heavil" Wrong span,"(5890, 5905)","(5898, 5905)",diffuse disease,disease,371915000,170516003,11838076-DS-20,"sions) and the remaining of the vessel has severe diffuse disease. The vessel is heavily calcified. Cx: The Circum" "Correct entity, wrong SNOMED ID","(5911, 5917)","(5911, 5917)",vessel,vessel,59820001,42586008,11838076-DS-20,"ing of the vessel has severe diffuse disease. The vessel is heavily calcified. Cx: The Circumflex artery," "Correct entity, wrong SNOMED ID","(5930, 5939)","(5930, 5939)",calcified,calcified,18115005,249174002,11838076-DS-20,"as severe diffuse disease. The vessel is heavily calcified. Cx: The Circumflex artery, which arises from the" Boundary error,"(5941, 5943)","(5941, 5942)",Cx,C,57396003,257984003,11838076-DS-20,"iffuse disease. The vessel is heavily calcified. Cx: The Circumflex artery, which arises from the LM," "Correct entity, wrong SNOMED ID","(5949, 5966)","(5949, 5966)",Circumflex artery,Circumflex artery,57396003,362036002,11838076-DS-20,"isease. The vessel is heavily calcified. Cx: The Circumflex artery, which arises from the LM, is a very small calib" "Correct entity, wrong SNOMED ID","(5990, 5992)","(5990, 5992)",LM,LM,3227004,420296000,11838076-DS-20," Cx: The Circumflex artery, which arises from the LM, is a very small caliber vessel. There is mild t" Missed entity,"(6019, 6025)",,vessel,,59820001,,11838076-DS-20,"hich arises from the LM, is a very small caliber vessel. There is mild tortuosity beginning in the mid s" "Correct entity, wrong SNOMED ID","(6041, 6051)","(6041, 6051)",tortuosity,tortuosity,15690004,247123003,11838076-DS-20,"M, is a very small caliber vessel. There is mild tortuosity beginning in the mid segment. There is a 99% ste" Wrong span,"(6070, 6081)","(6070, 6073)",mid segment,mid,91753007,17408006,11838076-DS-20,"essel. There is mild tortuosity beginning in the mid segment. There is a 99% stenosis in the mid segment. The " "Correct entity, wrong SNOMED ID","(6098, 6106)","(6098, 6106)",stenosis,stenosis,415582006,246073005,11838076-DS-20,"ity beginning in the mid segment. There is a 99% stenosis in the mid segment. The Obtuse Marginal, arising " Wrong span,"(6114, 6125)","(6114, 6117)",mid segment,mid,91753007,17408006,11838076-DS-20," the mid segment. There is a 99% stenosis in the mid segment. The Obtuse Marginal, arising from the mid segmen" "Correct entity, wrong SNOMED ID","(6131, 6146)","(6131, 6146)",Obtuse Marginal,Obtuse Marginal,51815003,264108005,11838076-DS-20,". There is a 99% stenosis in the mid segment. The Obtuse Marginal, arising from the mid segment, is a very small c" Wrong span,"(6165, 6176)","(6165, 6168)",mid segment,mid,91753007,17408006,11838076-DS-20,"id segment. The Obtuse Marginal, arising from the mid segment, is a very small caliber vessel. RCA: The Right " Missed entity,"(6203, 6209)",,vessel,,59820001,,11838076-DS-20,"ng from the mid segment, is a very small caliber vessel. RCA: The Right Coronary Artery, arising from the" "Correct entity, wrong SNOMED ID","(6211, 6214)","(6211, 6214)",RCA,RCA,13647002,244257005,11838076-DS-20,"the mid segment, is a very small caliber vessel. RCA: The Right Coronary Artery, arising from the righ" "Correct entity, wrong SNOMED ID","(6220, 6241)","(6220, 6241)",Right Coronary Artery,Right Coronary Artery,13647002,362037006,11838076-DS-20,"egment, is a very small caliber vessel. RCA: The Right Coronary Artery, arising from the right cusp, is a medium calibe" "Correct entity, wrong SNOMED ID","(6260, 6270)","(6260, 6270)",right cusp,right cusp,45324002,244364005,11838076-DS-20," RCA: The Right Coronary Artery, arising from the right cusp, is a medium caliber vessel. There is a 70% sten" Missed entity,"(6293, 6299)",,vessel,,59820001,,11838076-DS-20,"arising from the right cusp, is a medium caliber vessel. There is a 70% stenosis in the proximal segment." "Correct entity, wrong SNOMED ID","(6316, 6324)","(6316, 6324)",stenosis,stenosis,415582006,246073005,11838076-DS-20,"cusp, is a medium caliber vessel. There is a 70% stenosis in the proximal segment. There is an 80% stenosis" "Correct entity, wrong SNOMED ID","(6332, 6340)","(6332, 6340)",proximal,proximal,91083009,260739009,11838076-DS-20,"um caliber vessel. There is a 70% stenosis in the proximal segment. There is an 80% stenosis in the distal " "Correct entity, wrong SNOMED ID","(6366, 6374)","(6366, 6374)",stenosis,stenosis,415582006,246073005,11838076-DS-20,"stenosis in the proximal segment. There is an 80% stenosis in the distal segment. TTE ___ CONCLUSION: The " Wrong span,"(6383, 6397)","(6383, 6389)",distal segment,distal,41879009,52618001,11838076-DS-20,"roximal segment. There is an 80% stenosis in the distal segment. TTE ___ CONCLUSION: The left atrial volume inde" Missed entity,"(6400, 6403)",,TTE,,433236007,,11838076-DS-20,"There is an 80% stenosis in the distal segment. TTE ___ CONCLUSION: The left atrial volume index is n" "Correct entity, wrong SNOMED ID","(6424, 6435)","(6424, 6435)",left atrial,left atrial,82471001,244387002,11838076-DS-20," in the distal segment. TTE ___ CONCLUSION: The left atrial volume index is normal. There is mild symmetric " Wrong span,"(6521, 6534)","(6521, 6527)",normal cavity,normal,373124004,840673007,11838076-DS-20,"ild symmetric left ventricular hypertrophy with a normal cavity size. There is moderate regional left ventricula" Missed entity,"(6569, 6607)",,"left ventricular systolic dysfunction",,134401001,,11838076-DS-20,"a normal cavity size. There is moderate regional left ventricular systolic dysfunction with near akinesis of the inferior and inferolate" "Correct entity, wrong SNOMED ID","(6618, 6626)","(6618, 6626)",akinesis,akinesis,33994004,195675009,11838076-DS-20," left ventricular systolic dysfunction with near akinesis of the inferior and inferolateral walls (see sch" "Correct entity, wrong SNOMED ID","(6634, 6642)","(6634, 6642)",inferior,inferior,72542009,28985004,11838076-DS-20,"r systolic dysfunction with near akinesis of the inferior and inferolateral walls (see schematic) and pres" Missed entity,"(6647, 6667)",,"inferolateral walls",,16239001,,11838076-DS-20,"ysfunction with near akinesis of the inferior and inferolateral walls (see schematic) and preserved/normal contractilit" "Correct entity, wrong SNOMED ID","(6768, 6784)","(6768, 6784)",left ventricular,left ventricular,87878005,264004009,11838076-DS-20," of the remaining segments. Quantitative biplane left ventricular ejection fraction is 31 %. Due to severity of mi" "Correct entity, wrong SNOMED ID","(6832, 6853)","(6832, 6853)","mitral regurgitation","mitral regurgitation",48724000,233861004,11838076-DS-20,"ar ejection fraction is 31 %. Due to severity of mitral regurgitation, intrinsic left ventricular systolic function li" Wrong span,"(6865, 6916)","(6865, 6881)","left ventricular systolic function likely be lower",left ventricular,371862006,264004009,11838076-DS-20,"e to severity of mitral regurgitation, intrinsic left ventricular systolic function likely be lower. Left ventricular cardiac index is normal (>2.5 " Wrong span,"(6918, 6934)","(6918, 6958)",Left ventricular,Left ventricular cardiac index is normal,87878005,165430007,11838076-DS-20,"t ventricular systolic function likely be lower. Left ventricular cardiac index is normal (>2.5 L/min/m2). There i" Wrong span,"(6935, 6958)","(6918, 6958)",cardiac index is normal,Left ventricular cardiac index is normal,72399002,165430007,11838076-DS-20,"tolic function likely be lower. Left ventricular cardiac index is normal (>2.5 L/min/m2). There is no resting left ventri" Wrong span,"(6995, 7027)","(6997, 7013)",g left ventricular outflow tract,left ventricular,13418002,264004009,11838076-DS-20,"dex is normal (>2.5 L/min/m2). There is no resting left ventricular outflow tract gradient. Tissue Doppler suggests an increased l" "Correct entity, wrong SNOMED ID","(7039, 7053)","(7039, 7053)",Tissue Doppler,Tissue Doppler,439858009,448750002,11838076-DS-20,"resting left ventricular outflow tract gradient. Tissue Doppler suggests an increased left ventricular filling p" "Correct entity, wrong SNOMED ID","(7076, 7092)","(7076, 7092)",left ventricular,left ventricular,87878005,264004009,11838076-DS-20,"t gradient. Tissue Doppler suggests an increased left ventricular filling pressure (PCWP greater than 18mmHg). Nor" Missed entity,"(7102, 7110)",,pressure,,13543005,,11838076-DS-20,"r suggests an increased left ventricular filling pressure (PCWP greater than 18mmHg). Normal right ventric" Wrong span,"(7139, 7176)","(7146, 7171)","Normal right ventricular cavity size","right ventricular cavity",373124004,1259954006,11838076-DS-20,"lar filling pressure (PCWP greater than 18mmHg). Normal right ventricular cavity size with normal free wall motion. The aortic sinus d" Wrong span,"(7182, 7205)","(7182, 7188)",normal free wall motion,normal,373122000,840673007,11838076-DS-20,"mmHg). Normal right ventricular cavity size with normal free wall motion. The aortic sinus diameter is normal for gender " "Correct entity, wrong SNOMED ID","(7211, 7224)","(7211, 7224)","aortic sinus","aortic sinus",81128002,277732004,11838076-DS-20,"lar cavity size with normal free wall motion. The aortic sinus diameter is normal for gender with normal ascendi" "Correct entity, wrong SNOMED ID","(7267, 7282)","(7267, 7282)",ascending aorta,ascending aorta,54247002,181299009,11838076-DS-20," sinus diameter is normal for gender with normal ascending aorta diameter for gender. The aortic arch diameter is" "Correct entity, wrong SNOMED ID","(7309, 7320)","(7309, 7320)",aortic arch,aortic arch,57034009,244230008,11838076-DS-20," normal ascending aorta diameter for gender. The aortic arch diameter is normal with a normal descending aort" "Correct entity, wrong SNOMED ID","(7355, 7371)","(7355, 7371)",descending aorta,descending aorta,281130003,253652009,11838076-DS-20,"The aortic arch diameter is normal with a normal descending aorta diameter. The aortic valve leaflets (3) are mild" "Correct entity, wrong SNOMED ID","(7386, 7407)","(7386, 7407)",aortic valve leaflets,aortic valve leaflets,6530003,232899001,11838076-DS-20,"mal with a normal descending aorta diameter. The aortic valve leaflets (3) are mildly thickened. There is no aortic val" "Correct entity, wrong SNOMED ID","(7417, 7433)","(7417, 7433)",mildly thickened,mildly thickened,89977008,309085000,11838076-DS-20,"orta diameter. The aortic valve leaflets (3) are mildly thickened. There is no aortic valve stenosis. There is mil" "Correct entity, wrong SNOMED ID","(7447, 7468)","(7447, 7468)",aortic valve stenosis,aortic valve stenosis,60573004,836480008,11838076-DS-20,"e leaflets (3) are mildly thickened. There is no aortic valve stenosis. There is mild [1+] aortic regurgitation. The mi" "Correct entity, wrong SNOMED ID","(7516, 7559)","(7516, 7559)","mitral valve leaflets are mildly thickened","mitral valve leaflets are mildly thickened",448820003,244355000,11838076-DS-20,"is. There is mild [1+] aortic regurgitation. The mitral valve leaflets are mildly thickened with no mitral valve prolapse. There is moderate" "Correct entity, wrong SNOMED ID","(7568, 7589)","(7568, 7589)",mitral valve prolapse,mitral valve prolapse,409712001,286031000119106,11838076-DS-20,"tral valve leaflets are mildly thickened with no mitral valve prolapse. There is moderate [2+] mitral regurgitation. Th" Wrong span,"(7641, 7665)","(7641, 7673)",tricuspid valve leaflets,"tricuspid valve leaflets appear",32427001,232797005,11838076-DS-20,"There is moderate [2+] mitral regurgitation. The tricuspid valve leaflets appear structurally normal. There is mild [1+] t" Wrong span,"(7758, 7797)","(7749, 7797)","pulmonary artery systolic hypertension","moderate pulmonary artery systolic hypertension",11399002,233942004,11838076-DS-20," [1+] tricuspid regurgitation. There is moderate pulmonary artery systolic hypertension. There is a small circumferential pericardial ef" "Correct entity, wrong SNOMED ID","(7832, 7853)","(7832, 7853)","pericardial effusion","pericardial effusion",373945007,1269348003,11838076-DS-20,"c hypertension. There is a small circumferential pericardial effusion. There are no 2D or Doppler echocardiographic evi" Wrong span,"(7882, 7899)","(7874, 7908)",echocardiographic,Doppler echocardiographic evidence,40701008,398153005,11838076-DS-20,"pericardial effusion. There are no 2D or Doppler echocardiographic evidence of tamponade. A left pleural effusion i" Wrong span,"(7926, 7930)","(7926, 7947)",left,left pleural effusion,44029006,1366511008,11838076-DS-20,"ppler echocardiographic evidence of tamponade. A left pleural effusion is present. IMPRESSION: Mild sy" Wrong span,"(7931, 7947)","(7926, 7947)",pleural effusion,left pleural effusion,60046008,1366511008,11838076-DS-20," echocardiographic evidence of tamponade. A left pleural effusion is present. IMPRESSION: Mild symmetric left vent" Wrong span,"(8037, 8057)","(8023, 8057)",systolic dysfunction,mild regional systolic dysfunction,371037005,971000124108,11838076-DS-20," left ventricular hypertrophy with mild regional systolic dysfunction most consistent with single vessel coronary arte" "Correct entity, wrong SNOMED ID","(8119, 8122)","(8119, 8122)",PDA,PDA,443113009,1179298002,11838076-DS-20,"tent with single vessel coronary artery disease (PDA distribution). Moderate mitral regurgitation mos" "Correct entity, wrong SNOMED ID","(8188, 8217)","(8188, 8217)","papillary muscle dysfunction","papillary muscle dysfunction",86856005,266252006,11838076-DS-20,"Moderate mitral regurgitation most likely due to papillary muscle dysfunction. Moderate pulmonary artery systolic hypertension." "Correct entity, wrong SNOMED ID","(8228, 8266)","(8228, 8266)",pulmonary artery systolic hypertension,pulmonary artery systolic hypertension,11399002,840306007,11838076-DS-20,"ly due to papillary muscle dysfunction. Moderate pulmonary artery systolic hypertension. Small circumferential pericardial effusion with" "Correct entity, wrong SNOMED ID","(8291, 8311)","(8291, 8311)",pericardial effusion,pericardial effusion,373945007,1230405007,11838076-DS-20,"ery systolic hypertension. Small circumferential pericardial effusion without echocardiographic evidence for tamponade" "Correct entity, wrong SNOMED ID","(8321, 8338)","(8321, 8338)",echocardiographic,echocardiographic,40701008,433236007,11838076-DS-20,"all circumferential pericardial effusion without echocardiographic evidence for tamponade physiology. HEAD CT WITHO" Missed entity,"(8375, 8399)",,HEAD CT WITHOUT CONTRAST,,383371000119108,,11838076-DS-20,"cardiographic evidence for tamponade physiology. HEAD CT WITHOUT CONTRAST ___ FINDINGS: There is no evidence of infarc" "Correct entity, wrong SNOMED ID","(8428, 8439)","(8428, 8439)",no evidence,no evidence,281900007,41647002,11838076-DS-20,"D CT WITHOUT CONTRAST ___ FINDINGS: There is no evidence of infarction, hemorrhage, edema, or mass. The " "Correct entity, wrong SNOMED ID","(8443, 8453)","(8443, 8453)",infarction,infarction,55641003,432504007,11838076-DS-20,"NTRAST ___ FINDINGS: There is no evidence of infarction, hemorrhage, edema, or mass. The ventricles an" "Correct entity, wrong SNOMED ID","(8455, 8465)","(8455, 8465)",hemorrhage,hemorrhage,50960005,8573003,11838076-DS-20,"INDINGS: There is no evidence of infarction, hemorrhage, edema, or mass. The ventricles and sulci are " "Correct entity, wrong SNOMED ID","(8467, 8472)","(8467, 8472)",edema,edema,267038008,102576009,11838076-DS-20," There is no evidence of infarction, hemorrhage, edema, or mass. The ventricles and sulci are normal " "Correct entity, wrong SNOMED ID","(8477, 8481)","(8477, 8481)",mass,mass,4147007,237557003,11838076-DS-20," no evidence of infarction, hemorrhage, edema, or mass. The ventricles and sulci are normal in size a" "Correct entity, wrong SNOMED ID","(8490, 8500)","(8490, 8500)",ventricles,ventricles,35764002,91746003,11838076-DS-20,"of infarction, hemorrhage, edema, or mass. The ventricles and sulci are normal in size and configuration. " "Correct entity, wrong SNOMED ID","(8505, 8510)","(8505, 8510)",sulci,sulci,72078007,432171006,11838076-DS-20,"hemorrhage, edema, or mass. The ventricles and sulci are normal in size and configuration. There i" "Correct entity, wrong SNOMED ID","(8515, 8529)","(8515, 8529)",normal in size,normal in size,53461003,289632007,11838076-DS-20,", edema, or mass. The ventricles and sulci are normal in size and configuration. There is no evidence of fr" "Correct entity, wrong SNOMED ID","(8562, 8573)","(8562, 8573)",no evidence,no evidence,281900007,41647002,11838076-DS-20,"re normal in size and configuration. There is no evidence of fracture. The visualized portion of the para" "Correct entity, wrong SNOMED ID","(8577, 8585)","(8577, 8585)",fracture,fracture,72704001,307186006,11838076-DS-20,"ze and configuration. There is no evidence of fracture. The visualized portion of the paranasal sinus" "Correct entity, wrong SNOMED ID","(8619, 8637)","(8619, 8637)","paranasal sinuses","paranasal sinuses",2095001,241526005,11838076-DS-20,"ence of fracture. The visualized portion of the paranasal sinuses, mastoid air cells, and middle ear cavities are c" "Correct entity, wrong SNOMED ID","(8639, 8656)","(8639, 8656)",mastoid air cells,mastoid air cells,57222008,264093007,11838076-DS-20,"he visualized portion of the paranasal sinuses, mastoid air cells, and middle ear cavities are clear. The visuali" "Correct entity, wrong SNOMED ID","(8662, 8681)","(8662, 8681)",middle ear cavities,middle ear cavities,25342003,360386009,11838076-DS-20,"f the paranasal sinuses, mastoid air cells, and middle ear cavities are clear. The visualized portion of the orbit" Missed entity,"(8726, 8732)",,orbits,,363654007,,11838076-DS-20,"ities are clear. The visualized portion of the orbits are unremarkable. Multiple EEG leads appreciate" "Correct entity, wrong SNOMED ID","(8737, 8749)","(8737, 8749)",unremarkable,unremarkable,281900007,268484008,11838076-DS-20,"lear. The visualized portion of the orbits are unremarkable. Multiple EEG leads appreciated. ICA calc. I" "Correct entity, wrong SNOMED ID","(8761, 8764)","(8761, 8764)",EEG,EEG,54550000,397962009,11838076-DS-20,"portion of the orbits are unremarkable. Multiple EEG leads appreciated. ICA calc. IMPRESSION: 1" "Correct entity, wrong SNOMED ID","(8785, 8788)","(8785, 8788)",ICA,ICA,86117002,792922009,11838076-DS-20,"e unremarkable. Multiple EEG leads appreciated. ICA calc. IMPRESSION: 1. No evidence of infarct" Missed entity,"(8789, 8793)",,calc,,18115005,,11838076-DS-20,"remarkable. Multiple EEG leads appreciated. ICA calc. IMPRESSION: 1. No evidence of infarct, hem" "Correct entity, wrong SNOMED ID","(8816, 8827)","(8816, 8827)",No evidence,No evidence,281900007,41647002,11838076-DS-20,"eads appreciated. ICA calc. IMPRESSION: 1. No evidence of infarct, hemorrhage, edema. CAROTID SERIES __" "Correct entity, wrong SNOMED ID","(8831, 8838)","(8831, 8838)",infarct,infarct,55641003,55470003,11838076-DS-20,"ed. ICA calc. IMPRESSION: 1. No evidence of infarct, hemorrhage, edema. CAROTID SERIES ___ IMPRESSIO" "Correct entity, wrong SNOMED ID","(8840, 8850)","(8840, 8850)",hemorrhage,hemorrhage,50960005,8573003,11838076-DS-20,"alc. IMPRESSION: 1. No evidence of infarct, hemorrhage, edema. CAROTID SERIES ___ IMPRESSION: Bilater" "Correct entity, wrong SNOMED ID","(8852, 8857)","(8852, 8857)",edema,edema,267038008,102576009,11838076-DS-20,"ESSION: 1. No evidence of infarct, hemorrhage, edema. CAROTID SERIES ___ IMPRESSION: Bilateral ___ " Wrong span,"(8860, 8867)","(8860, 8874)",CAROTID,CAROTID SERIES,69105007,276021004,11838076-DS-20," 1. No evidence of infarct, hemorrhage, edema. CAROTID SERIES ___ IMPRESSION: Bilateral ___ ICA stenos" "Correct entity, wrong SNOMED ID","(8907, 8919)","(8907, 8919)",ICA stenosis,ICA stenosis,233964008,1204156004,11838076-DS-20,". CAROTID SERIES ___ IMPRESSION: Bilateral ___ ICA stenosis Antegrade vertebral flow EEG ___ IMPRESSION: T" "Correct entity, wrong SNOMED ID","(8948, 8951)","(8948, 8951)",EEG,EEG,54550000,397962009,11838076-DS-20,"eral ___ ICA stenosis Antegrade vertebral flow EEG ___ IMPRESSION: This is an abnormal continuous IC" Wrong span,"(9003, 9017)","(9003, 9006)",EEG monitoring,EEG,252736007,397962009,11838076-DS-20,"__ IMPRESSION: This is an abnormal continuous ICU EEG monitoring study because of mild background slowing that is" "Correct entity, wrong SNOMED ID","(9139, 9149)","(9139, 9149)",infections,infections,40733004,260976002,11838076-DS-20,"iology, but Common causes are medication effect, infections, or toxic/metabolic disturbances. There was also" "Correct entity, wrong SNOMED ID","(9154, 9182)","(9154, 9182)",toxic/metabolic disturbances,toxic/metabolic disturbances,472916000,128289001,11838076-DS-20,"mon causes are medication effect, infections, or toxic/metabolic disturbances. There was also focal intermittent slowing in th" "Correct entity, wrong SNOMED ID","(9234, 9255)","(9234, 9255)","left temporal region","left temporal region",52718009,1371759008,11838076-DS-20," There was also focal intermittent slowing in the left temporal region, indicative of subcortical dysfunction in that r" "Correct entity, wrong SNOMED ID","(9387, 9407)","(9387, 9407)",left temporal region,left temporal region,52718009,1371759008,11838076-DS-20,"y's recording, focal intermittent slowing in the left temporal region is better appreciated. CT HEAD ___ IMPRESSION: " Missed entity,"(9433, 9440)",,CT HEAD,,303653007,,11838076-DS-20,"he left temporal region is better appreciated. CT HEAD ___ IMPRESSION: No evidence of mass, hemorrhage" "Correct entity, wrong SNOMED ID","(9459, 9470)","(9459, 9470)",No evidence,No evidence,281900007,41647002,11838076-DS-20,"s better appreciated. CT HEAD ___ IMPRESSION: No evidence of mass, hemorrhage or infarction. Atrophy with " "Correct entity, wrong SNOMED ID","(9474, 9478)","(9474, 9478)",mass,mass,4147007,237557003,11838076-DS-20,"iated. CT HEAD ___ IMPRESSION: No evidence of mass, hemorrhage or infarction. Atrophy with white ma" "Correct entity, wrong SNOMED ID","(9480, 9490)","(9480, 9490)",hemorrhage,hemorrhage,50960005,8573003,11838076-DS-20," CT HEAD ___ IMPRESSION: No evidence of mass, hemorrhage or infarction. Atrophy with white matter changes" "Correct entity, wrong SNOMED ID","(9494, 9504)","(9494, 9504)",infarction,infarction,55641003,432504007,11838076-DS-20," IMPRESSION: No evidence of mass, hemorrhage or infarction. Atrophy with white matter changes suggesting ch" "Correct entity, wrong SNOMED ID","(9507, 9514)","(9507, 9514)",Atrophy,Atrophy,13331008,1144432007,11838076-DS-20," No evidence of mass, hemorrhage or infarction. Atrophy with white matter changes suggesting chronic smal" Wrong span,"(9560, 9573)","(9560, 9581)","small vessel","small vessel schemia",27915009,402668003,11838076-DS-20,"ophy with white matter changes suggesting chronic small vessel schemia. EEG ___ IMPRESSION: This is an abno" Wrong span,"(9574, 9581)","(9560, 9581)",schemia,"small vessel schemia",52674009,402668003,11838076-DS-20,"e matter changes suggesting chronic small vessel schemia. EEG ___ IMPRESSION: This is an abnormal con" "Correct entity, wrong SNOMED ID","(9588, 9591)","(9588, 9591)",EEG,EEG,54550000,397962009,11838076-DS-20,"es suggesting chronic small vessel schemia. EEG ___ IMPRESSION: This is an abnormal continuous IC" Wrong span,"(9643, 9657)","(9643, 9664)",EEG monitoring,"EEG monitoring study",252736007,27808002,11838076-DS-20,"__ IMPRESSION: This is an abnormal continuous ICU EEG monitoring study because of a slow background activity, co" "Correct entity, wrong SNOMED ID","(9742, 9756)","(9742, 9756)",encephalopathy,encephalopathy,81308009,230357002,11838076-DS-20,"nd activity, consistent with a mild to moderate encephalopathy that is nonspecific as to etiology. Common causes" "Correct entity, wrong SNOMED ID","(9832, 9842)","(9832, 9842)",infections,infections,40733004,111570005,11838076-DS-20," etiology. Common causes are medication effect, infections, or toxic/metabolic disturbances. There was no " "Correct entity, wrong SNOMED ID","(9847, 9875)","(9847, 9875)",toxic/metabolic disturbances,toxic/metabolic disturbances,472916000,128289001,11838076-DS-20,"on causes are medication effect, infections, or toxic/metabolic disturbances. There was no focal slowing, or epileptiform di" "Correct entity, wrong SNOMED ID","(10109, 10113)","(10109, 10113)",Cath,Cath,41976001,28309003,11838076-DS-20," NSTEMI and echo with wall motion abnormalities. Cath ___ with multi-vessel disease for which he will " Wrong span,"(10130, 10144)","(10124, 10144)",vessel disease,multi-vessel disease,53741008,233817007,11838076-DS-20,"h wall motion abnormalities. Cath ___ with multi-vessel disease for which he will have CABG down the road. Hospi" "Correct entity, wrong SNOMED ID","(10168, 10172)","(10168, 10172)",CABG,CABG,232717009,312692004,11838076-DS-20,"with multi-vessel disease for which he will have CABG down the road. Hospital course complicated by mu" Wrong span,"(10220, 10249)","(10235, 10249)",multifactorial encephalopathy,encephalopathy,423144007,230357002,11838076-DS-20,"BG down the road. Hospital course complicated by multifactorial encephalopathy (toxic-metabolic, UTI, ?underlying dementia). Gu" "Correct entity, wrong SNOMED ID","(10252, 10267)","(10252, 10267)",toxic-metabolic,toxic-metabolic,472916000,68198008,11838076-DS-20,"se complicated by multifactorial encephalopathy (toxic-metabolic, UTI, ?underlying dementia). Guardianship pursue" "Correct entity, wrong SNOMED ID","(10269, 10272)","(10269, 10272)",UTI,UTI,68566005,4009004,11838076-DS-20," multifactorial encephalopathy (toxic-metabolic, UTI, ?underlying dementia). Guardianship pursued dur" "Correct entity, wrong SNOMED ID","(10354, 10363)","(10354, 10363)",confusion,confusion,40917007,44031002,11838076-DS-20,"nship pursued during this hospitalization due to confusion. #CORONARIES: 3v CAD, 60% ___, mid, distal LMCA" Wrong span,"(10380, 10386)","(10383, 10386)",3v CAD,CAD,233817007,84270004,11838076-DS-20," hospitalization due to confusion. #CORONARIES: 3v CAD, 60% ___, mid, distal LMCA, 90% ___, mid, distal" Missed entity,"(10397, 10400)",,mid,,1256092008,,11838076-DS-20,"due to confusion. #CORONARIES: 3v CAD, 60% ___, mid, distal LMCA, 90% ___, mid, distal LAD (serial l" Wrong span,"(10402, 10413)","(10409, 10413)",distal LMCA,LMCA,1256093003,3227004,11838076-DS-20,"o confusion. #CORONARIES: 3v CAD, 60% ___, mid, distal LMCA, 90% ___, mid, distal LAD (serial lesions),diffu" Missed entity,"(10424, 10427)",,mid,,91748002,,11838076-DS-20,"RIES: 3v CAD, 60% ___, mid, distal LMCA, 90% ___, mid, distal LAD (serial lesions),diffuse LAD disease" Wrong span,"(10430, 10440)","(10430, 10436)",distal LAD,distal,36672000,260735003,11838076-DS-20,"3v CAD, 60% ___, mid, distal LMCA, 90% ___, mid, distal LAD (serial lesions),diffuse LAD disease (heavily ca" "Correct entity, wrong SNOMED ID","(10449, 10456)","(10449, 10456)",lesions,lesions,52988006,246206008,11838076-DS-20,"d, distal LMCA, 90% ___, mid, distal LAD (serial lesions),diffuse LAD disease (heavily calcified), 70% __" "Correct entity, wrong SNOMED ID","(10466, 10469)","(10466, 10469)",LAD,LAD,59438005,1010291002,11838076-DS-20,"0% ___, mid, distal LAD (serial lesions),diffuse LAD disease (heavily calcified), 70% ___ RCA, 80% di" "Correct entity, wrong SNOMED ID","(10488, 10497)","(10488, 10497)",calcified,calcified,18115005,249174002,11838076-DS-20,"AD (serial lesions),diffuse LAD disease (heavily calcified), 70% ___ RCA, 80% distal RCA, 99% mid LCX #PUMP:" "Correct entity, wrong SNOMED ID","(10508, 10511)","(10508, 10511)",RCA,RCA,13647002,244257005,11838076-DS-20,"diffuse LAD disease (heavily calcified), 70% ___ RCA, 80% distal RCA, 99% mid LCX #PUMP: near akinesis" Wrong span,"(10517, 10527)","(10517, 10523)",distal RCA,distal,41879009,260735003,11838076-DS-20,"AD disease (heavily calcified), 70% ___ RCA, 80% distal RCA, 99% mid LCX #PUMP: near akinesis of inferior and" Wrong span,"(10533, 10540)","(10533, 10536)",mid LCX,mid,91753007,17408006,11838076-DS-20,"ily calcified), 70% ___ RCA, 80% distal RCA, 99% mid LCX #PUMP: near akinesis of inferior and inferolatera" "Correct entity, wrong SNOMED ID","(10553, 10561)","(10553, 10561)",akinesis,akinesis,33994004,195675009,11838076-DS-20," ___ RCA, 80% distal RCA, 99% mid LCX #PUMP: near akinesis of inferior and inferolateral walls, EF 31% #RHYT" "Correct entity, wrong SNOMED ID","(10565, 10573)","(10565, 10573)",inferior,inferior,72542009,28985004,11838076-DS-20,"% distal RCA, 99% mid LCX #PUMP: near akinesis of inferior and inferolateral walls, EF 31% #RHYTHM: pAF, mos" Missed entity,"(10578, 10597)",,inferolateral walls,,16239001,,11838076-DS-20," 99% mid LCX #PUMP: near akinesis of inferior and inferolateral walls, EF 31% #RHYTHM: pAF, mostly NSR, intermittently " Missed entity,"(10615, 10618)",,pAF,,282825002,,11838076-DS-20,"inferior and inferolateral walls, EF 31% #RHYTHM: pAF, mostly NSR, intermittently bradycardic ACUTE IS" "Correct entity, wrong SNOMED ID","(10627, 10630)","(10627, 10630)",NSR,NSR,64730000,258699004,11838076-DS-20," inferolateral walls, EF 31% #RHYTHM: pAF, mostly NSR, intermittently bradycardic ACUTE ISSUES =======" "Correct entity, wrong SNOMED ID","(10647, 10658)","(10647, 10658)",bradycardic,bradycardic,48867003,690461000119106,11838076-DS-20,", EF 31% #RHYTHM: pAF, mostly NSR, intermittently bradycardic ACUTE ISSUES ================= #NSTEMI #Multives" "Correct entity, wrong SNOMED ID","(10692, 10698)","(10692, 10698)",NSTEMI,NSTEMI,401314000,1204155000,11838076-DS-20,"ntly bradycardic ACUTE ISSUES ================= #NSTEMI #Multivessel CAD #HFrEF (31%) Heart failure diagn" "Correct entity, wrong SNOMED ID","(10712, 10715)","(10712, 10715)",CAD,CAD,53741008,84270004,11838076-DS-20,"UTE ISSUES ================= #NSTEMI #Multivessel CAD #HFrEF (31%) Heart failure diagnosis is new this " "Correct entity, wrong SNOMED ID","(10717, 10722)","(10717, 10722)",HFrEF,HFrEF,703272007,609387006,11838076-DS-20,"SSUES ================= #NSTEMI #Multivessel CAD #HFrEF (31%) Heart failure diagnosis is new this admissi" "Correct entity, wrong SNOMED ID","(10729, 10742)","(10729, 10742)",Heart failure,Heart failure,84114007,56675007,11838076-DS-20,"=========== #NSTEMI #Multivessel CAD #HFrEF (31%) Heart failure diagnosis is new this admission, ischemic etiolog" "Correct entity, wrong SNOMED ID","(10776, 10784)","(10776, 10784)",ischemic,ischemic,52674009,233958001,11838076-DS-20,"%) Heart failure diagnosis is new this admission, ischemic etiology in setting of multivessel CAD. Will be " "Correct entity, wrong SNOMED ID","(10821, 10824)","(10821, 10824)",CAD,CAD,53741008,84270004,11838076-DS-20,"ion, ischemic etiology in setting of multivessel CAD. Will be worked up as an outpatient for possible" "Correct entity, wrong SNOMED ID","(10875, 10879)","(10875, 10879)",CABG,CABG,232717009,312692004,11838076-DS-20," Will be worked up as an outpatient for possible CABG. TTE showed near akinesis of the inferior and in" "Correct entity, wrong SNOMED ID","(10881, 10884)","(10881, 10884)",TTE,TTE,433236007,258691001,11838076-DS-20,"be worked up as an outpatient for possible CABG. TTE showed near akinesis of the inferior and inferol" "Correct entity, wrong SNOMED ID","(10897, 10905)","(10897, 10905)",akinesis,akinesis,33994004,195675009,11838076-DS-20,"an outpatient for possible CABG. TTE showed near akinesis of the inferior and inferolateral walls, EF 31%." "Correct entity, wrong SNOMED ID","(10914, 10922)","(10914, 10922)",inferior,inferior,72542009,28985004,11838076-DS-20,"r possible CABG. TTE showed near akinesis of the inferior and inferolateral walls, EF 31%. Cath ___: 3v CAD" Missed entity,"(10927, 10946)",,inferolateral walls,,16239001,,11838076-DS-20,"BG. TTE showed near akinesis of the inferior and inferolateral walls, EF 31%. Cath ___: 3v CAD, 70% ___ RCA, 80% dist" "Correct entity, wrong SNOMED ID","(10956, 10960)","(10956, 10960)",Cath,Cath,41976001,28309003,11838076-DS-20,"of the inferior and inferolateral walls, EF 31%. Cath ___: 3v CAD, 70% ___ RCA, 80% distal RCA, 99% mi" Wrong span,"(10966, 10972)","(10969, 10972)",3v CAD,CAD,233817007,84270004,11838076-DS-20,"ferior and inferolateral walls, EF 31%. Cath ___: 3v CAD, 70% ___ RCA, 80% distal RCA, 99% mid LCX up to " "Correct entity, wrong SNOMED ID","(10983, 10986)","(10983, 10986)",RCA,RCA,13647002,244257005,11838076-DS-20,"lateral walls, EF 31%. Cath ___: 3v CAD, 70% ___ RCA, 80% distal RCA, 99% mid LCX up to 90% diffuse LA" Wrong span,"(10992, 11002)","(10992, 10998)",distal RCA,distal,41879009,260735003,11838076-DS-20,"alls, EF 31%. Cath ___: 3v CAD, 70% ___ RCA, 80% distal RCA, 99% mid LCX up to 90% diffuse LAD disease. Atte" Wrong span,"(11008, 11015)","(11008, 11011)",mid LCX,mid,91753007,43130005,11838076-DS-20,"th ___: 3v CAD, 70% ___ RCA, 80% distal RCA, 99% mid LCX up to 90% diffuse LAD disease. Attempted to opti" Wrong span,"(11034, 11037)","(11034, 11046)",LAD,"LAD disease",59438005,233817007,11838076-DS-20,"CA, 80% distal RCA, 99% mid LCX up to 90% diffuse LAD disease. Attempted to optimize medical therapy w" Missed entity,"(11070, 11085)",,medical therapy,,243121000,,11838076-DS-20,"o 90% diffuse LAD disease. Attempted to optimize medical therapy while waiting for guardianship for discharge to " "Correct entity, wrong SNOMED ID","(11154, 11158)","(11154, 11158)",CABG,CABG,232717009,312692004,11838076-DS-20," guardianship for discharge to rehab while awaing CABG. Unfortunately had to discontinue ___ (and canno" Wrong span,"(11234, 11259)","(11234, 11243)",worsening kidney function,worsening,76114004,170597008,11838076-DS-20,"scontinue ___ (and cannot give ___ in setting of worsening kidney function. Carvedilol could not be uptitrated in the setti" "Correct entity, wrong SNOMED ID","(11315, 11326)","(11315, 11326)",bradycardia,bradycardia,48867003,690461000119106,11838076-DS-20,"edilol could not be uptitrated in the setting of bradycardia. Did not start spironolactone in setting of bord" "Correct entity, wrong SNOMED ID","(11731, 11739)","(11731, 11739)",delirium,delirium,2776000,10361001,11838076-DS-20,"rmittently refused medications in the setting of delirium as below. #pAF Seen overnight on tele, reverted " "Correct entity, wrong SNOMED ID","(11752, 11755)","(11752, 11755)",pAF,pAF,282825002,1380318002,11838076-DS-20,"dications in the setting of delirium as below. #pAF Seen overnight on tele, reverted to sinus by AM o" "Correct entity, wrong SNOMED ID","(11774, 11778)","(11774, 11778)",tele,tele,422952004,129013008,11838076-DS-20,"ing of delirium as below. #pAF Seen overnight on tele, reverted to sinus by AM of ___, and remained in" "Correct entity, wrong SNOMED ID","(11792, 11797)","(11792, 11797)",sinus,sinus,251150006,2095001,11838076-DS-20," below. #pAF Seen overnight on tele, reverted to sinus by AM of ___, and remained in sinus. Started on " Missed entity,"(11829, 11834)",,sinus,,251150006,,11838076-DS-20," reverted to sinus by AM of ___, and remained in sinus. Started on apixaban renal dosing. #HTN Hyperte" "Correct entity, wrong SNOMED ID","(11873, 11876)","(11873, 11876)",HTN,HTN,38341003,10725009,11838076-DS-20,"ed in sinus. Started on apixaban renal dosing. #HTN Hypertensive to 150s-160s in setting of intermitt" "Correct entity, wrong SNOMED ID","(11877, 11889)","(11877, 11889)",Hypertensive,Hypertensive,38341003,70995007,11838076-DS-20,"n sinus. Started on apixaban renal dosing. #HTN Hypertensive to 150s-160s in setting of intermittently refusin" Missed entity,"(11965, 11976)",,uptitration,,763779006,,11838076-DS-20,"f intermittently refusing medications. Tolerated uptitration of imdur as above. Could not start spironolacton" "Correct entity, wrong SNOMED ID","(12056, 12072)","(12056, 12072)","kidney function","kidney function",182809008,76114004,11838076-DS-20," start spironolactone, ___ as above in setting of kidney function. Considered adding hydralazine, but opted for to" "Correct entity, wrong SNOMED ID","(12243, 12246)","(12243, 12246)",UTI,UTI,68566005,4009004,11838076-DS-20,"stration given patient refusal of medications. #UTI #Leukocytosis No growth on urine cultures, althou" "Correct entity, wrong SNOMED ID","(12248, 12260)","(12248, 12260)",Leukocytosis,Leukocytosis,111583006,65209002,11838076-DS-20,"ion given patient refusal of medications. #UTI #Leukocytosis No growth on urine cultures, although urine with " Wrong span,"(12261, 12288)","(12274, 12288)",No growth on urine cultures,urine cultures,167568007,117010004,11838076-DS-20,"ient refusal of medications. #UTI #Leukocytosis No growth on urine cultures, although urine with bacteria. S/p 7 day course " Wrong span,"(12299, 12318)","(12299, 12304)",urine with bacteria,urine,61373006,442564008,11838076-DS-20,"eukocytosis No growth on urine cultures, although urine with bacteria. S/p 7 day course of ceftriaxone during this hos" "Correct entity, wrong SNOMED ID","(12385, 12406)","(12385, 12406)",Altered mental status,Altered mental status,419284004,433082007,11838076-DS-20,"se of ceftriaxone during this hospitalization. #Altered mental status Negative seizure and stroke workup, felt Likely m" "Correct entity, wrong SNOMED ID","(12416, 12423)","(12416, 12423)",seizure,seizure,91175000,435901000124102,11838076-DS-20,"ospitalization. #Altered mental status Negative seizure and stroke workup, felt Likely multifactorial: t" "Correct entity, wrong SNOMED ID","(12428, 12434)","(12428, 12434)",stroke,stroke,230690007,422504002,11838076-DS-20,"on. #Altered mental status Negative seizure and stroke workup, felt Likely multifactorial: toxic/metabo" Wrong span,"(12472, 12487)","(12472, 12477)",toxic/metabolic,toxic,472916000,32941000119104,11838076-DS-20,"e and stroke workup, felt Likely multifactorial: toxic/metabolic iso UTI, delirium, and unknown dementia baseline" "Correct entity, wrong SNOMED ID","(12492, 12495)","(12492, 12495)",UTI,UTI,68566005,4009004,11838076-DS-20," felt Likely multifactorial: toxic/metabolic iso UTI, delirium, and unknown dementia baseline. Waxing" "Correct entity, wrong SNOMED ID","(12497, 12505)","(12497, 12505)",delirium,delirium,2776000,10361001,11838076-DS-20," Likely multifactorial: toxic/metabolic iso UTI, delirium, and unknown dementia baseline. Waxing and wanin" Wrong span,"(12583, 12591)","(12571, 12591)",delirium,hyperactive delirium,2776000,771421000,11838076-DS-20,"line. Waxing and waning hypoactive to hyperactive delirium, and he was intermittently refusing meds. Teleme" "Correct entity, wrong SNOMED ID","(12635, 12644)","(12635, 12644)",Telemetry,Telemetry,252739000,422952004,11838076-DS-20,"lirium, and he was intermittently refusing meds. Telemetry was discontinued and lab draws were minimized to" "Correct entity, wrong SNOMED ID","(12704, 12712)","(12704, 12712)",delirium,delirium,2776000,10361001,11838076-DS-20,"ontinued and lab draws were minimized to minimize delirium. Since workup of treatable causes of delirium we" "Correct entity, wrong SNOMED ID","(12751, 12759)","(12751, 12759)",delirium,delirium,2776000,10361001,11838076-DS-20,"ze delirium. Since workup of treatable causes of delirium were negative, it is thought that his confusion " "Correct entity, wrong SNOMED ID","(12799, 12808)","(12799, 12808)",confusion,confusion,40917007,44031002,11838076-DS-20,"f delirium were negative, it is thought that his confusion is delirium in the setting of hospitalization, w" "Correct entity, wrong SNOMED ID","(12812, 12820)","(12812, 12820)",delirium,delirium,2776000,10361001,11838076-DS-20,"re negative, it is thought that his confusion is delirium in the setting of hospitalization, worsened by l" "Correct entity, wrong SNOMED ID","(12908, 12923)","(12908, 12923)",toxic metabolic,toxic metabolic,472916000,68198008,11838076-DS-20,"orsened by language barrier, with a component of toxic metabolic due to UTI as above. Initially he did not have a" "Correct entity, wrong SNOMED ID","(12931, 12934)","(12931, 12934)",UTI,UTI,68566005,4009004,11838076-DS-20,"rier, with a component of toxic metabolic due to UTI as above. Initially he did not have an official " "Correct entity, wrong SNOMED ID","(13247, 13255)","(13247, 13255)",confused,confused,40917007,225439006,11838076-DS-20,"arged home with services, and was intermittently confused on discharge. ___ Creatinine 1.6 on admission, " Wrong span,"(13405, 13419)","(13405, 13409)",poor PO intake,poor,440321000124101,62476001,11838076-DS-20,".2, max 1.7 this admission. Likely pre-renal iso poor PO intake and reduced EF. #Goals of care Unclear if CABG " "Correct entity, wrong SNOMED ID","(13464, 13468)","(13464, 13468)",CABG,CABG,232717009,312692004,11838076-DS-20,"ntake and reduced EF. #Goals of care Unclear if CABG is within his goals of care, and with intermitte" Wrong span,"(13508, 13530)","(13521, 13530)",intermittent confusion,confusion,281793005,32380001000004109,11838076-DS-20,"ar if CABG is within his goals of care, and with intermittent confusion, difficult to elicit wishes. Healthcare proxy na" "Correct entity, wrong SNOMED ID","(13635, 13644)","(13635, 13644)",Hematuria,Hematuria,34436003,197940006,11838076-DS-20,"his hospitalization. Guardianship hearing ___. #Hematuria Noted on urinalysis for workup for UTI. Hemoglobi" "Correct entity, wrong SNOMED ID","(13654, 13664)","(13654, 13664)",urinalysis,urinalysis,27171005,127800008,11838076-DS-20,". Guardianship hearing ___. #Hematuria Noted on urinalysis for workup for UTI. Hemoglobin stable throughout" "Correct entity, wrong SNOMED ID","(13680, 13683)","(13680, 13683)",UTI,UTI,68566005,4009004,11838076-DS-20,". #Hematuria Noted on urinalysis for workup for UTI. Hemoglobin stable throughout hospitalization. " Wrong span,"(13685, 13695)","(13685, 13702)",Hemoglobin,Hemoglobin stable,250220000,225658008,11838076-DS-20,"Hematuria Noted on urinalysis for workup for UTI. Hemoglobin stable throughout hospitalization. TRANSITIONA" "Correct entity, wrong SNOMED ID","(13790, 13796)","(13790, 13796)",weight,weight,107647005,43664005,11838076-DS-20,"TIONAL ISSUES: ==================== --- Discharge weight: 51.3 kg (113.1 lbs) --- Discharge creatinine: 1." "Correct entity, wrong SNOMED ID","(13832, 13842)","(13832, 13842)",creatinine,creatinine,70901006,113075003,11838076-DS-20,"scharge weight: 51.3 kg (113.1 lbs) --- Discharge creatinine: 1.5 --- Discharge potassium: 5.1 (Labs drawn 3 d" "Correct entity, wrong SNOMED ID","(13862, 13871)","(13862, 13871)",potassium,potassium,59573005,1149432009,11838076-DS-20," lbs) --- Discharge creatinine: 1.5 --- Discharge potassium: 5.1 (Labs drawn 3 days before discharge) [ ] Ca" Missed entity,"(13878, 13882)",,Labs,,15220000,,11838076-DS-20,"rge creatinine: 1.5 --- Discharge potassium: 5.1 (Labs drawn 3 days before discharge) [ ] Can start lis" "Correct entity, wrong SNOMED ID","(13969, 13984)","(13969, 13984)","renal function","renal function",182809008,81141003,11838076-DS-20,"Can start lisinopril 5mg daily as outpatient once renal function recovers to baseline. [ ] Has appointment for fol" "Correct entity, wrong SNOMED ID","(13997, 14005)","(13997, 14005)",baseline,baseline,128974000,129082007,11838076-DS-20,"ly as outpatient once renal function recovers to baseline. [ ] Has appointment for follow-up with cardiac s" Wrong span,"(14113, 14133)","(14124, 14133)",outpatient follow-up,follow-up,737492002,71040008,11838076-DS-20,"r. ___ discharge [ ] Has appointment for urology outpatient follow-up for hematuria [ ] Needs appointment for follow-u" "Correct entity, wrong SNOMED ID","(14139, 14148)","(14139, 14148)",hematuria,hematuria,34436003,197940006,11838076-DS-20,"appointment for urology outpatient follow-up for hematuria [ ] Needs appointment for follow-up with cardiolo" "Correct entity, wrong SNOMED ID","(15213, 15230)","(15213, 15230)",Home With Service,Home With Service,385783005,710242005,11838076-DS-20,"*30 Tablet Refills:*0 Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: PRIMARY DI" Wrong span,"(15306, 15352)","(15310, 15352)",Non ST-segment elevation myocardial infarction,ST-segment elevation myocardial infarction,401314000,703211006,11838076-DS-20,"ge Diagnosis: PRIMARY DIAGNOSIS: ================ Non ST-segment elevation myocardial infarction Coronary artery disease SECONDARY DIAGNOSIS: ==" "Correct entity, wrong SNOMED ID","(15354, 15377)","(15354, 15377)",Coronary artery disease,Coronary artery disease,53741008,1293192009,11838076-DS-20,"= Non ST-segment elevation myocardial infarction Coronary artery disease SECONDARY DIAGNOSIS: ==================== Altere" "Correct entity, wrong SNOMED ID","(15421, 15442)","(15421, 15442)",Altered mental status,Altered mental status,419284004,433082007,11838076-DS-20,"isease SECONDARY DIAGNOSIS: ==================== Altered mental status Acute kidney injury Discharge Condition: Men" "Correct entity, wrong SNOMED ID","(15489, 15502)","(15489, 15502)",Mental Status,Mental Status,392257007,419284004,11838076-DS-20,"tus Acute kidney injury Discharge Condition: Mental Status: Confused - sometimes. Level of Consciousness: Al" "Correct entity, wrong SNOMED ID","(15504, 15512)","(15504, 15512)",Confused,Confused,40917007,62476001,11838076-DS-20,"ey injury Discharge Condition: Mental Status: Confused - sometimes. Level of Consciousness: Alert and in" "Correct entity, wrong SNOMED ID","(15526, 15548)","(15526, 15548)",Level of Consciousness,Level of Consciousness,444714004,830285008,11838076-DS-20,"e Condition: Mental Status: Confused - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(15550, 15555)","(15550, 15555)",Alert,Alert,248234008,409787004,11838076-DS-20,"us: Confused - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(15560, 15571)","(15560, 15571)",interactive,interactive,288577006,10301000202103,11838076-DS-20,"ed - sometimes. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(15573, 15588)","(15573, 15588)",Activity Status,Activity Status,129676008,397622007,11838076-DS-20,"s. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(15590, 15614)","(15590, 15614)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,11838076-DS-20,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, It w" "Correct entity, wrong SNOMED ID","(15801, 15813)","(15801, 15813)",heart attack,heart attack,22298006,247818001,11838076-DS-20,"======== - You were admitted because you had a heart attack WHAT HAPPENED IN THE HOSPITAL? ============" Wrong span,"(15891, 15896)","(15891, 15905)",heart,heart arteries,80891009,371860003,11838076-DS-20,"SPITAL? ============================== - Your heart arteries were examined (cardiac catheterization) " Wrong span,"(15897, 15905)","(15891, 15905)",arteries,heart arteries,51114001,371860003,11838076-DS-20,"? ============================== - Your heart arteries were examined (cardiac catheterization) which sh" "Correct entity, wrong SNOMED ID","(15921, 15944)","(15921, 15944)",cardiac catheterization,cardiac catheterization,41976001,59261000119100,11838076-DS-20,"========== - Your heart arteries were examined (cardiac catheterization) which showed narrowing of multiple arteries. No" "Correct entity, wrong SNOMED ID","(15960, 15969)","(15960, 15969)",narrowing,narrowing,708528005,246406005,11838076-DS-20," examined (cardiac catheterization) which showed narrowing of multiple arteries. No stents were placed, bec" Wrong span,"(15982, 15990)","(15973, 15990)",arteries,multiple arteries,51114001,840437006,11838076-DS-20,"heterization) which showed narrowing of multiple arteries. No stents were placed, because it would be bett" "Correct entity, wrong SNOMED ID","(16059, 16066)","(16059, 16066)",surgery,surgery,387713003,110473004,11838076-DS-20,"laced, because it would be better for you to have surgery on your heart arteries. - You had some confusio" Wrong span,"(16076, 16081)","(16076, 16090)",heart,heart arteries,80891009,371860003,11838076-DS-20," would be better for you to have surgery on your heart arteries. - You had some confusion concerning fo" Wrong span,"(16082, 16090)","(16076, 16090)",arteries,heart arteries,51114001,371860003,11838076-DS-20," be better for you to have surgery on your heart arteries. - You had some confusion concerning for neurolo" "Correct entity, wrong SNOMED ID","(16108, 16117)","(16108, 16117)",confusion,confusion,40917007,44031002,11838076-DS-20," surgery on your heart arteries. - You had some confusion concerning for neurologic changes. Head imaging " Wrong span,"(16133, 16143)","(16133, 16151)",neurologic,neurologic changes,84728005,21542005,11838076-DS-20,"rteries. - You had some confusion concerning for neurologic changes. Head imaging (CAT SCAN and MRI) did not" "Correct entity, wrong SNOMED ID","(16153, 16166)","(16153, 16166)","Head imaging","Head imaging",441875004,41440006,11838076-DS-20,"some confusion concerning for neurologic changes. Head imaging (CAT SCAN and MRI) did not show acute stroke or b" "Correct entity, wrong SNOMED ID","(16168, 16176)","(16168, 16176)",CAT SCAN,CAT SCAN,303653007,77477000,11838076-DS-20,"concerning for neurologic changes. Head imaging (CAT SCAN and MRI) did not show acute stroke or bleed, and" "Correct entity, wrong SNOMED ID","(16181, 16184)","(16181, 16184)",MRI,MRI,241601008,1144760005,11838076-DS-20,"r neurologic changes. Head imaging (CAT SCAN and MRI) did not show acute stroke or bleed, and blood t" "Correct entity, wrong SNOMED ID","(16205, 16211)","(16205, 16211)",stroke,stroke,230690007,422504002,11838076-DS-20,"ad imaging (CAT SCAN and MRI) did not show acute stroke or bleed, and blood tests didn't show any clear " "Correct entity, wrong SNOMED ID","(16215, 16220)","(16215, 16220)",bleed,bleed,131148009,74474003,11838076-DS-20,"g (CAT SCAN and MRI) did not show acute stroke or bleed, and blood tests didn't show any clear cause for" "Correct entity, wrong SNOMED ID","(16227, 16238)","(16227, 16238)",blood tests,blood tests,396550006,275707000,11838076-DS-20,"and MRI) did not show acute stroke or bleed, and blood tests didn't show any clear cause for your confusion. " "Correct entity, wrong SNOMED ID","(16276, 16285)","(16276, 16285)",confusion,confusion,40917007,44031002,11838076-DS-20," blood tests didn't show any clear cause for your confusion. People often become confused in the hospital wh" "Correct entity, wrong SNOMED ID","(16308, 16316)","(16308, 16316)",confused,confused,40917007,225439006,11838076-DS-20,"ar cause for your confusion. People often become confused in the hospital when they are in unfamiliar surr" "Correct entity, wrong SNOMED ID","(16376, 16384)","(16376, 16384)",delirium,delirium,2776000,10361001,11838076-DS-20,"spital when they are in unfamiliar surroundings (delirium). WHAT SHOULD I DO WHEN I GO HOME? =======" "Correct entity, wrong SNOMED ID","(16656, 16662)","(16656, 16662)",weight,weight,107647005,43664005,11838076-DS-20,"s below. - Please weigh yourself every day. Your weight on day of discharge is 113 lbs. If your weight g" Wrong span,"(16704, 16718)","(16704, 16710)",weight goes up,weight,262286000,43664005,11838076-DS-20,"r weight on day of discharge is 113 lbs. If your weight goes up by more than 3 lbs in 24 hours, call your doctor" Missed entity,"(16752, 16768)",,call your doctor,,304562007,,11838076-DS-20,"r weight goes up by more than 3 lbs in 24 hours, call your doctor. Thank you for allowing us to be involved in yo" False positive,,"(184, 192)",,Percodan,,107437001,11997336-DS-3,": F Service: MEDICINE Allergies: Codeine / Percodan / Morphine Attending: ___ Chief Complaint: sh" False positive,,"(449, 457)",,diabetes,,9414007,11997336-DS-3,"ignificant past medical history of hypertension, diabetes, and hyperlipidemia who was admitted to OSH on _" False positive,,"(593, 603)",,left-sided,,448683002,11997336-DS-3,"associated with shortness of breath, nausea, and left-sided rib pain radiating to her back and over her umbi" False positive,,"(745, 752)",,feeling,,439151001,11997336-DS-3,"leaning her house. She described the episode as feeling dizzy and cold. On questioning she admits to the" False positive,,"(1362, 1368)",,sleeps,,301345002,11997336-DS-3," She requires daily afternoon naps. She always sleeps on an incline or in a chair which she attributes" False positive,,"(2450, 2455)",,exert,,255214003,11997336-DS-3,"nies recent fevers, chills or rigors. She denies exertional buttock or calf pain. Cardiac review of sys" False positive,,"(3102, 3106)",,SpO2,,250551006,11997336-DS-3," Physical Exam: VS: T 98.0 BP 141/60 HR 94 RR 20 SpO2 98 %2L Gen: WDWN middle aged male in NAD. Oriente" False positive,,"(3124, 3135)",,middle aged,,439815005,11997336-DS-3," 98.0 BP 141/60 HR 94 RR 20 SpO2 98 %2L Gen: WDWN middle aged male in NAD. Oriented x3. Mood, affect appropria" False positive,,"(3394, 3396)",,S4,,29970001,11997336-DS-3,"s JVP CV: RR, normal S1, S2. No m/r/g. No S3 or S4. Chest: No chest wall deformities, scoliosis or" False positive,,"(3557, 3558)",,N,,257992007,11997336-DS-3,"B, no crackles, wheezes or rhonchi. Abd: Soft, NTND. Ext:No clubbing or cyanosis. Trace symmetri" False positive,,"(3610, 3613)",,BLE,,403579006,11997336-DS-3,"D. Ext:No clubbing or cyanosis. Trace symmetric BLE edema. Skin: No stasis dermatitis or ulcers. " False positive,,"(3940, 3952)",,hemodynamics,,371858000,11997336-DS-3,"he RCA had a 30% proximal stenosis. 2. Resting hemodynamics revealed elevated left sided and right sided fil" False positive,,"(3971, 3981)",,left sided,,448164008,11997336-DS-3,"nosis. 2. Resting hemodynamics revealed elevated left sided and right sided filling pressures with LVEDP of " False positive,,"(3987, 3998)",,right sided,,472700006,11997336-DS-3,"ng hemodynamics revealed elevated left sided and right sided filling pressures with LVEDP of 29 mmHg, mean PCW" False positive,,"(4177, 4181)",,mild,,162468002,11997336-DS-3,"lic hypertension with PASP of 61 mmHg. There was mild systemic arterial systolic hypertension with SB" False positive,,"(4715, 4721)",,Severe,,162470006,11997336-DS-3,"tion. 4. Mild-moderate mitral regurgitation. 5. Severe pulmonary arterial systolic hypertension. . ___ " False positive,,"(4771, 4775)",,ECHO,,40701008,11997336-DS-3," pulmonary arterial systolic hypertension. . ___ ECHO: The atria are moderately dilated. There is mild" False positive,,"(4977, 4981)",,free,,249117000,11997336-DS-3,"n (LVEF>55%). Right ventricular chamber size and free wall motion are normal. The aortic valve leaflet" False positive,,"(5118, 5138)",,rheumatic valvulitis,,84871007,11997336-DS-3,"y towards the leaflet tips (charcteristic of the rheumatic valvulitis sequelae), but aortic stenosis is not present. M" False positive,,"(5593, 5601)",,moderate,,162469005,11997336-DS-3,"n may be significantly UNDERestimated.] There is moderate pulmonary artery systolic hypertension. There is" False positive,,"(6037, 6046)",,worsening,,170597008,11997336-DS-3," with hx of HTN, HL, and DM presents to OSH with worsening dyspnea on exertion and acute chest pain. She rul" False positive,,"(6175, 6178)",,CAD,,84270004,11997336-DS-3,"rred to ___ for cardiac catheterization. . #. CAD: No known diagnosis of CAD on arrival to OSH. Pt " False positive,,"(6454, 6462)",,positive,,268376005,11997336-DS-3,"e concerning for ACS. Reports from OSH indicate positive cardiac enzymes with a troponin of 0.4 (per verb" False positive,,"(7013, 7017)",,Pump,,23736002,11997336-DS-3,"n aspirin, betablocker, ACEI, and statin. . #. Pump: No known history of heart failure. However, cli" False positive,,"(7252, 7265)",,"pump failure",,367363000,11997336-DS-3,"re at time of dyspneic episode that would support pump failure. Etiology of heart failure was undetermined at ti" False positive,,"(7403, 7406)",,MVP,,250875001,11997336-DS-3,"ial for significant valvular disease given known MVP, history of Rheumatic fever, and MR identified o" False positive,,"(7933, 7945)",,rate control,,183412008,11997336-DS-3,"n. Because pt responded so well to diuresis and rate control there is no indication for surgical intervention" False positive,,"(8092, 8104)",,rate control,,183412008,11997336-DS-3,"y managed with metoprolol tartrate 150mg bid for rate control (goal heart rate 60) and lasix 40mg po bid for a" False positive,,"(8153, 8172)",,afterload reduction,,698009006,11997336-DS-3,"l (goal heart rate 60) and lasix 40mg po bid for afterload reduction. Pt was counseling on maintaining a low sodium d" False positive,,"(8536, 8553)",,poorly controlled,,2121000124101,11997336-DS-3,"e status of her mitral stenosis. . #. Diabetes: poorly controlled; Home oral hypoglycemics where held in setting o" False positive,,"(11070, 11098)",,ambulates without assistance,,443285000,11997336-DS-3,"arge Condition: Pt is hemodynamically stable. She ambulates without assistance and does not require supplemental oxygen. Dis" False positive,,"(11284, 11293)",,blockages,,246077006,11997336-DS-3,"terization. The catheterization did not show any blockages in the blood vessels that supply the heart. How" False positive,,"(11522, 11533)",,tight valve,,8074002,11997336-DS-3," had an echocardiogram performed. This showed a tight valve within your heart. This is most likely the caus" False positive,,"(11699, 11708)",,breathing,,271825005,11997336-DS-3,"the pressures within your heart and to make your breathing easier. You tolerated the medications well and i" False positive,,"(11736, 11747)",,medications,,182837001,11997336-DS-3,"to make your breathing easier. You tolerated the medications well and it was determined that you are not in ac" False positive,,"(11896, 11907)",,medications,,182837001,11997336-DS-3,"ime. You will need to continue some of these new medications after you leave the hospital. . During your hosp" "Correct entity, wrong SNOMED ID","(174, 181)","(174, 181)",Codeine,Codeine,293597001,1381986007,11997336-DS-3," Sex: F Service: MEDICINE Allergies: Codeine / Percodan / Morphine Attending: ___ Chief Co" "Correct entity, wrong SNOMED ID","(195, 203)","(195, 203)",Morphine,Morphine,293601001,73572009,11997336-DS-3,"vice: MEDICINE Allergies: Codeine / Percodan / Morphine Attending: ___ Chief Complaint: shortness of " "Correct entity, wrong SNOMED ID","(240, 259)","(240, 259)",shortness of breath,shortness of breath,267036007,135833008,11997336-DS-3,"an / Morphine Attending: ___ Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: ___ cardi" "Correct entity, wrong SNOMED ID","(304, 327)","(304, 327)",cardiac catheterization,cardiac catheterization,41976001,59261000119100,11997336-DS-3,"reath Major Surgical or Invasive Procedure: ___ cardiac catheterization History of Present Illness: Mrs ___ is a ___ f" "Correct entity, wrong SNOMED ID","(435, 447)","(435, 447)",hypertension,hypertension,38341003,70995007,11997336-DS-3,"tient with a significant past medical history of hypertension, diabetes, and hyperlipidemia who was admitted t" "Correct entity, wrong SNOMED ID","(464, 478)","(464, 478)",hyperlipidemia,hyperlipidemia,55822004,267434003,11997336-DS-3,"t medical history of hypertension, diabetes, and hyperlipidemia who was admitted to OSH on ___ after an episode " "Correct entity, wrong SNOMED ID","(531, 541)","(531, 541)",presyncope,presyncope,427461000,674191000119109,11997336-DS-3,"o was admitted to OSH on ___ after an episode of presyncope, associated with shortness of breath, nausea, an" "Correct entity, wrong SNOMED ID","(559, 578)","(559, 578)",shortness of breath,shortness of breath,267036007,135833008,11997336-DS-3," after an episode of presyncope, associated with shortness of breath, nausea, and left-sided rib pain radiating to he" "Correct entity, wrong SNOMED ID","(581, 587)","(581, 587)",nausea,nausea,422587007,1217125005,11997336-DS-3,"presyncope, associated with shortness of breath, nausea, and left-sided rib pain radiating to her back an" Wrong span,"(604, 607)","(604, 612)",rib,rib pain,297217002,298741000,11997336-DS-3,"with shortness of breath, nausea, and left-sided rib pain radiating to her back and over her umbilicu" Wrong span,"(608, 634)","(604, 612)",pain radiating to her back,rib pain,427475007,298741000,11997336-DS-3," shortness of breath, nausea, and left-sided rib pain radiating to her back and over her umbilicus. The episode occurred whe" "Correct entity, wrong SNOMED ID","(649, 658)","(649, 658)",umbilicus,umbilicus,78220002,249539006,11997336-DS-3,"ided rib pain radiating to her back and over her umbilicus. The episode occurred when she was cleaning her " "Correct entity, wrong SNOMED ID","(753, 758)","(753, 758)",dizzy,dizzy,404640003,1141711004,11997336-DS-3,"her house. She described the episode as feeling dizzy and cold. On questioning she admits to the chest" "Correct entity, wrong SNOMED ID","(763, 767)","(763, 767)",cold,cold,724233009,80585000,11997336-DS-3,". She described the episode as feeling dizzy and cold. On questioning she admits to the chest pain and" "Correct entity, wrong SNOMED ID","(803, 813)","(803, 813)",chest pain,chest pain,29857009,102589003,11997336-DS-3,"dizzy and cold. On questioning she admits to the chest pain and shortness of breath. She described the pain" "Correct entity, wrong SNOMED ID","(818, 838)","(818, 838)","shortness of breath","shortness of breath",267036007,135833008,11997336-DS-3," On questioning she admits to the chest pain and shortness of breath. She described the pain as sharp and ___ in inte" "Correct entity, wrong SNOMED ID","(859, 863)","(859, 863)",pain,pain,29857009,102570003,11997336-DS-3,"pain and shortness of breath. She described the pain as sharp and ___ in intensity. She denies ever e" "Correct entity, wrong SNOMED ID","(867, 872)","(867, 872)",sharp,sharp,8708008,465145007,11997336-DS-3," shortness of breath. She described the pain as sharp and ___ in intensity. She denies ever experienci" "Correct entity, wrong SNOMED ID","(933, 943)","(933, 943)",chest pain,chest pain,29857009,444821009,11997336-DS-3," intensity. She denies ever experiencing similar chest pain before but states that she had a history of inju" "Correct entity, wrong SNOMED ID","(989, 995)","(989, 995)",injury,injury,417163006,312608009,11997336-DS-3,"pain before but states that she had a history of injury to her left ribs. She admits that her ability to" "Correct entity, wrong SNOMED ID","(1003, 1012)","(1003, 1012)",left ribs,left ribs,724223001,15666041000119100,11997336-DS-3,"t states that she had a history of injury to her left ribs. She admits that her ability to complete daily a" "Correct entity, wrong SNOMED ID","(1097, 1104)","(1097, 1104)",fatigue,fatigue,84229001,1141720008,11997336-DS-3,"omplete daily activities has been limited by her fatigue, shortness of breath, and diaphoresis over the l" "Correct entity, wrong SNOMED ID","(1106, 1125)","(1106, 1125)",shortness of breath,shortness of breath,267036007,135833008,11997336-DS-3,"aily activities has been limited by her fatigue, shortness of breath, and diaphoresis over the last year. She believe" "Correct entity, wrong SNOMED ID","(1131, 1142)","(1131, 1142)",diaphoresis,diaphoresis,52613005,1354698007,11997336-DS-3," limited by her fatigue, shortness of breath, and diaphoresis over the last year. She believes these symptoms " Missed entity,"(1253, 1257)",,walk,,282146009,,11997336-DS-3,"ssed over the last ___ years. She can no longer walk as far as across the street without getting worn" Missed entity,"(1303, 1311)",,worn out,,60119000,,11997336-DS-3,"walk as far as across the street without getting worn out. She requires daily afternoon naps. She always" "Correct entity, wrong SNOMED ID","(1426, 1445)","(1426, 1445)",shortness of breath,shortness of breath,267036007,135833008,11997336-DS-3,"ncline or in a chair which she attributes to her shortness of breath and her chronic back pain. She is uncertain of r" "Correct entity, wrong SNOMED ID","(1454, 1472)","(1454, 1472)","chronic back pain","chronic back pain",134407002,278860009,11997336-DS-3,"she attributes to her shortness of breath and her chronic back pain. She is uncertain of recent weight gain or swelli" Wrong span,"(1494, 1512)","(1501, 1512)",recent weight gain,weight gain,427572007,36440009,11997336-DS-3,"h and her chronic back pain. She is uncertain of recent weight gain or swelling but states she has gain at least 20 " "Correct entity, wrong SNOMED ID","(1516, 1524)","(1516, 1524)",swelling,swelling,442672001,300890009,11997336-DS-3,"k pain. She is uncertain of recent weight gain or swelling but states she has gain at least 20 lbs in the l" "Correct entity, wrong SNOMED ID","(1545, 1549)","(1545, 1549)",gain,gain,8943002,262286000,11997336-DS-3,"ecent weight gain or swelling but states she has gain at least 20 lbs in the last ___ years. In the O" Missed entity,"(1651, 1657)",,relief,,224978009,,11997336-DS-3," she was given Demerol and Reglan in the ED with relief of her pain and nausea. She was admitted to tele" "Correct entity, wrong SNOMED ID","(1665, 1669)","(1665, 1669)",pain,pain,29857009,102570003,11997336-DS-3," Demerol and Reglan in the ED with relief of her pain and nausea. She was admitted to telemetry and r" "Correct entity, wrong SNOMED ID","(1674, 1680)","(1674, 1680)",nausea,nausea,422587007,1217125005,11997336-DS-3,"and Reglan in the ED with relief of her pain and nausea. She was admitted to telemetry and ruled in for" "Correct entity, wrong SNOMED ID","(1733, 1739)","(1733, 1739)",NSTEMI,NSTEMI,401314000,401303003,11997336-DS-3,"She was admitted to telemetry and ruled in for a NSTEMI with a peak troponin of 0.40. She underwent a n" "Correct entity, wrong SNOMED ID","(1752, 1760)","(1752, 1760)",troponin,troponin,105000003,102684000,11997336-DS-3," telemetry and ruled in for a NSTEMI with a peak troponin of 0.40. She underwent a nuclear stress test an" "Correct entity, wrong SNOMED ID","(1788, 1807)","(1788, 1807)",nuclear stress test,nuclear stress test,252429005,76746007,11997336-DS-3,"I with a peak troponin of 0.40. She underwent a nuclear stress test and was found to have anterior and anteroapical " Wrong span,"(1857, 1866)","(1857, 1874)",perfusion,perfusion defects,88058003,251054004,11997336-DS-3," and was found to have anterior and anteroapical perfusion defects with documented LVEF of 74%. Due to a c" Boundary error,"(1930, 1939)","(1928, 1939)",calf pain,R calf pain,300954003,15634471000119104,11997336-DS-3,"documented LVEF of 74%. Due to a complaint of R calf pain she underwent ultrasound which revealed no DVT. " "Correct entity, wrong SNOMED ID","(1954, 1964)","(1954, 1964)",ultrasound,ultrasound,16310003,314607003,11997336-DS-3," Due to a complaint of R calf pain she underwent ultrasound which revealed no DVT. Pt was then transferred t" "Correct entity, wrong SNOMED ID","(1984, 1987)","(1984, 1987)",DVT,DVT,128053003,161508001,11997336-DS-3," pain she underwent ultrasound which revealed no DVT. Pt was then transferred to ___ for cardiac cath" "Correct entity, wrong SNOMED ID","(2024, 2048)","(2024, 2048)","cardiac catheterization","cardiac catheterization",41976001,59261000119100,11997336-DS-3,"vealed no DVT. Pt was then transferred to ___ for cardiac catheterization. . On arrival to the floor after cardiac cath" "Correct entity, wrong SNOMED ID","(2086, 2109)","(2086, 2109)",cardiac catheterization,cardiac catheterization,41976001,59261000119100,11997336-DS-3,"heterization. . On arrival to the floor after cardiac catheterization, pt denied any feelings of chest discomfort, sho" "Correct entity, wrong SNOMED ID","(2138, 2154)","(2138, 2154)",chest discomfort,chest discomfort,279084009,444821009,11997336-DS-3,"rdiac catheterization, pt denied any feelings of chest discomfort, shortness of breath, or palpitations. On her " "Correct entity, wrong SNOMED ID","(2156, 2175)","(2156, 2175)",shortness of breath,shortness of breath,267036007,135833008,11997336-DS-3,"ion, pt denied any feelings of chest discomfort, shortness of breath, or palpitations. On her review of systems, sh" "Correct entity, wrong SNOMED ID","(2181, 2193)","(2181, 2193)",palpitations,palpitations,80313002,161966006,11997336-DS-3,"ngs of chest discomfort, shortness of breath, or palpitations. On her review of systems, she denies any prior" "Correct entity, wrong SNOMED ID","(2256, 2262)","(2256, 2262)",stroke,stroke,230690007,422504002,11997336-DS-3,"view of systems, she denies any prior history of stroke, TIA, deep venous thrombosis, pulmonary embolism" "Correct entity, wrong SNOMED ID","(2269, 2291)","(2269, 2291)",deep venous thrombosis,deep venous thrombosis,128053003,132281000119108,11997336-DS-3,"ms, she denies any prior history of stroke, TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of sur" "Correct entity, wrong SNOMED ID","(2293, 2312)","(2293, 2312)","pulmonary embolism","pulmonary embolism",59282003,133971000119108,11997336-DS-3," history of stroke, TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, cough, hemoptys" "Correct entity, wrong SNOMED ID","(2314, 2322)","(2314, 2322)",bleeding,bleeding,131148009,74474003,11997336-DS-3,"TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, cough, hemoptysis, black" "Correct entity, wrong SNOMED ID","(2338, 2345)","(2338, 2345)",surgery,surgery,387713003,110473004,11997336-DS-3,"sis, pulmonary embolism, bleeding at the time of surgery, cough, hemoptysis, black stools or red stools. " "Correct entity, wrong SNOMED ID","(2347, 2352)","(2347, 2352)",cough,cough,49727002,28743005,11997336-DS-3,"onary embolism, bleeding at the time of surgery, cough, hemoptysis, black stools or red stools. He deni" "Correct entity, wrong SNOMED ID","(2354, 2364)","(2354, 2364)",hemoptysis,hemoptysis,66857006,206304007,11997336-DS-3,"embolism, bleeding at the time of surgery, cough, hemoptysis, black stools or red stools. He denies recent fe" "Correct entity, wrong SNOMED ID","(2367, 2379)","(2367, 2379)",black stools,black stools,35064005,70396004,11997336-DS-3,"eding at the time of surgery, cough, hemoptysis, black stools or red stools. He denies recent fevers, chills or" "Correct entity, wrong SNOMED ID","(2383, 2393)","(2383, 2393)",red stools,red stools,64412006,449331000124107,11997336-DS-3,"e of surgery, cough, hemoptysis, black stools or red stools. He denies recent fevers, chills or rigors. She " "Correct entity, wrong SNOMED ID","(2412, 2418)","(2412, 2418)",fevers,fevers,386661006,248444008,11997336-DS-3,"is, black stools or red stools. He denies recent fevers, chills or rigors. She denies exertional buttock" "Correct entity, wrong SNOMED ID","(2420, 2426)","(2420, 2426)",chills,chills,43724002,274640006,11997336-DS-3,"ck stools or red stools. He denies recent fevers, chills or rigors. She denies exertional buttock or calf" "Correct entity, wrong SNOMED ID","(2431, 2437)","(2431, 2437)",rigors,rigors,38880002,274640006,11997336-DS-3,"r red stools. He denies recent fevers, chills or rigors. She denies exertional buttock or calf pain. Card" "Correct entity, wrong SNOMED ID","(2461, 2468)","(2461, 2468)",buttock,buttock,279043006,362677002,11997336-DS-3," fevers, chills or rigors. She denies exertional buttock or calf pain. Cardiac review of systems is notab" "Correct entity, wrong SNOMED ID","(2472, 2481)","(2472, 2481)",calf pain,calf pain,300954003,15634471000119104,11997336-DS-3,"ills or rigors. She denies exertional buttock or calf pain. Cardiac review of systems is notable for absenc" Wrong span,"(2483, 2490)","(2483, 2509)",Cardiac,"Cardiac review of systems",56265001,1354650003,11997336-DS-3,"gors. She denies exertional buttock or calf pain. Cardiac review of systems is notable for absence of paro" Wrong span,"(2492, 2509)","(2483, 2509)",review of systems,"Cardiac review of systems",415300000,1354650003,11997336-DS-3," denies exertional buttock or calf pain. Cardiac review of systems is notable for absence of paroxysmal nocturnal d" "Correct entity, wrong SNOMED ID","(2567, 2579)","(2567, 2579)",palpitations,palpitations,80313002,161966006,11997336-DS-3,"ble for absence of paroxysmal nocturnal dyspnea, palpitations, ankle edema, syncope or presyncope. Past Me" "Correct entity, wrong SNOMED ID","(2594, 2601)","(2594, 2601)",syncope,syncope,271594007,427461000,11997336-DS-3,"al nocturnal dyspnea, palpitations, ankle edema, syncope or presyncope. Past Medical History: 1) Hype" "Correct entity, wrong SNOMED ID","(2605, 2615)","(2605, 2615)",presyncope,presyncope,427461000,674191000119109,11997336-DS-3,"l dyspnea, palpitations, ankle edema, syncope or presyncope. Past Medical History: 1) Hypertension 2) Hy" "Correct entity, wrong SNOMED ID","(2647, 2659)","(2647, 2659)",Hypertension,Hypertension,38341003,70995007,11997336-DS-3,"cope or presyncope. Past Medical History: 1) Hypertension 2) Hyperlipidemia 3) Diabetes (non-insulin depend" "Correct entity, wrong SNOMED ID","(2663, 2677)","(2663, 2677)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11997336-DS-3,"pe. Past Medical History: 1) Hypertension 2) Hyperlipidemia 3) Diabetes (non-insulin dependent) 4) Anxiety di" "Correct entity, wrong SNOMED ID","(2681, 2689)","(2681, 2689)",Diabetes,Diabetes,73211009,9414007,11997336-DS-3,"cal History: 1) Hypertension 2) Hyperlipidemia 3) Diabetes (non-insulin dependent) 4) Anxiety disorder 5) S/" "Correct entity, wrong SNOMED ID","(2717, 2733)","(2717, 2733)",Anxiety disorder,Anxiety disorder,197480006,111487009,11997336-DS-3,"rlipidemia 3) Diabetes (non-insulin dependent) 4) Anxiety disorder 5) S/P TAHBSO 6) Seasonal allergies 7) Mitral val" Wrong span,"(2741, 2747)","(2741, 2744)",TAHBSO,TAH,116144002,424926009,11997336-DS-3,"non-insulin dependent) 4) Anxiety disorder 5) S/P TAHBSO 6) Seasonal allergies 7) Mitral valve prolapse 8)" "Correct entity, wrong SNOMED ID","(2751, 2769)","(2751, 2769)",Seasonal allergies,Seasonal allergies,444316004,232353008,11997336-DS-3,"n dependent) 4) Anxiety disorder 5) S/P TAHBSO 6) Seasonal allergies 7) Mitral valve prolapse 8) S/P right foot surger" "Correct entity, wrong SNOMED ID","(2773, 2794)","(2773, 2794)",Mitral valve prolapse,Mitral valve prolapse,409712001,286031000119106,11997336-DS-3,"y disorder 5) S/P TAHBSO 6) Seasonal allergies 7) Mitral valve prolapse 8) S/P right foot surgery x 2 for osteomyletis 9)" "Correct entity, wrong SNOMED ID","(2802, 2812)","(2802, 2812)",right foot,right foot,7769000,239830003,11997336-DS-3,"easonal allergies 7) Mitral valve prolapse 8) S/P right foot surgery x 2 for osteomyletis 9) cholecystectomy _" "Correct entity, wrong SNOMED ID","(2813, 2820)","(2813, 2820)",surgery,surgery,387713003,110473004,11997336-DS-3,"ergies 7) Mitral valve prolapse 8) S/P right foot surgery x 2 for osteomyletis 9) cholecystectomy ___ Rheum" "Correct entity, wrong SNOMED ID","(2829, 2841)","(2829, 2841)",osteomyletis,osteomyletis,60168000,445220005,11997336-DS-3," valve prolapse 8) S/P right foot surgery x 2 for osteomyletis 9) cholecystectomy ___ Rheumatic fever as a child" "Correct entity, wrong SNOMED ID","(2845, 2860)","(2845, 2860)",cholecystectomy,cholecystectomy,38102005,45595009,11997336-DS-3,"8) S/P right foot surgery x 2 for osteomyletis 9) cholecystectomy ___ Rheumatic fever as a child Social History:" "Correct entity, wrong SNOMED ID","(2865, 2880)","(2865, 2880)",Rheumatic fever,Rheumatic fever,58718002,195528001,11997336-DS-3,"rgery x 2 for osteomyletis 9) cholecystectomy ___ Rheumatic fever as a child Social History: ___ Family History:" "Correct entity, wrong SNOMED ID","(2952, 2959)","(2952, 2959)",cardiac,cardiac,56265001,71892000,11997336-DS-3,"History: ___ Family History: Father had extensive cardiac history. Pt denies any history of sudden death o" "Correct entity, wrong SNOMED ID","(2995, 3007)","(2995, 3007)",sudden death,sudden death,418362005,90049009,11997336-DS-3,"ensive cardiac history. Pt denies any history of sudden death or premature cardiac disease in her family. Phy" Wrong span,"(3021, 3036)","(3011, 3036)",cardiac disease,premature cardiac disease,56265001,1293192009,11997336-DS-3," denies any history of sudden death or premature cardiac disease in her family. Physical Exam: VS: T 98.0 BP 141" "Correct entity, wrong SNOMED ID","(3069, 3071)","(3069, 3071)",VS,VS,118227000,313611000,11997336-DS-3,"e cardiac disease in her family. Physical Exam: VS: T 98.0 BP 141/60 HR 94 RR 20 SpO2 98 %2L Gen: WD" "Correct entity, wrong SNOMED ID","(3080, 3082)","(3080, 3082)",BP,BP,392570002,38341003,11997336-DS-3,"isease in her family. Physical Exam: VS: T 98.0 BP 141/60 HR 94 RR 20 SpO2 98 %2L Gen: WDWN middle a" "Correct entity, wrong SNOMED ID","(3090, 3092)","(3090, 3092)",HR,HR,301113001,258702006,11997336-DS-3,"her family. Physical Exam: VS: T 98.0 BP 141/60 HR 94 RR 20 SpO2 98 %2L Gen: WDWN middle aged male i" "Correct entity, wrong SNOMED ID","(3096, 3098)","(3096, 3098)",RR,RR,301283003,229040007,11997336-DS-3,"mily. Physical Exam: VS: T 98.0 BP 141/60 HR 94 RR 20 SpO2 98 %2L Gen: WDWN middle aged male in NAD." "Correct entity, wrong SNOMED ID","(3114, 3117)","(3114, 3117)",Gen,Gen,162673000,16651008,11997336-DS-3,"xam: VS: T 98.0 BP 141/60 HR 94 RR 20 SpO2 98 %2L Gen: WDWN middle aged male in NAD. Oriented x3. Mood," "Correct entity, wrong SNOMED ID","(3119, 3123)","(3119, 3123)",WDWN,WDWN,248324001,258001008,11997336-DS-3,"VS: T 98.0 BP 141/60 HR 94 RR 20 SpO2 98 %2L Gen: WDWN middle aged male in NAD. Oriented x3. Mood, affec" "Correct entity, wrong SNOMED ID","(3144, 3147)","(3144, 3147)",NAD,NAD,281900007,131143000,11997336-DS-3,"4 RR 20 SpO2 98 %2L Gen: WDWN middle aged male in NAD. Oriented x3. Mood, affect appropriate. HEENT:" "Correct entity, wrong SNOMED ID","(3149, 3160)","(3149, 3160)",Oriented x3,Oriented x3,426224004,311552005,11997336-DS-3,"20 SpO2 98 %2L Gen: WDWN middle aged male in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera" "Correct entity, wrong SNOMED ID","(3162, 3166)","(3162, 3166)",Mood,Mood,134417007,709488003,11997336-DS-3,"L Gen: WDWN middle aged male in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anict" Wrong span,"(3168, 3174)","(3168, 3187)",affect,"affect appropriate",106131003,80608005,11997336-DS-3," WDWN middle aged male in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PE" "Correct entity, wrong SNOMED ID","(3191, 3196)","(3191, 3196)",HEENT,HEENT,5880005,113665002,11997336-DS-3,"in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva" Boundary error,"(3198, 3200)","(3198, 3202)",NC,NCAT,840673007,32752003,11997336-DS-3," Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva wer" "Correct entity, wrong SNOMED ID","(3204, 3220)","(3204, 3220)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,11997336-DS-3,"ted x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor o" "Correct entity, wrong SNOMED ID","(3222, 3227)","(3222, 3227)",PERRL,PERRL,386666001,431291005,11997336-DS-3,"ct appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyano" "Correct entity, wrong SNOMED ID","(3229, 3233)","(3229, 3233)",EOMI,EOMI,103251002,67099000,11997336-DS-3,"ropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of" "Correct entity, wrong SNOMED ID","(3235, 3246)","(3235, 3246)",Conjunctiva,Conjunctiva,29445007,719640000,11997336-DS-3,"te. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral muc" "Correct entity, wrong SNOMED ID","(3262, 3268)","(3262, 3268)",pallor,pallor,1209208002,1237486008,11997336-DS-3,"nicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. Neck: Supple; " "Correct entity, wrong SNOMED ID","(3272, 3280)","(3272, 3280)",cyanosis,cyanosis,3415004,95442007,11997336-DS-3,"PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. Neck: Supple; no masses, u" "Correct entity, wrong SNOMED ID","(3288, 3299)","(3288, 3299)",oral mucosa,oral mucosa,113277000,276398005,11997336-DS-3,"junctiva were pink, no pallor or cyanosis of the oral mucosa. Neck: Supple; no masses, unable to assess JVP" "Correct entity, wrong SNOMED ID","(3304, 3308)","(3304, 3308)",Neck,Neck,5880005,840674001,11997336-DS-3,"ink, no pallor or cyanosis of the oral mucosa. Neck: Supple; no masses, unable to assess JVP CV: RR" "Correct entity, wrong SNOMED ID","(3310, 3316)","(3310, 3316)",Supple,Supple,298475003,116121000,11997336-DS-3,"o pallor or cyanosis of the oral mucosa. Neck: Supple; no masses, unable to assess JVP CV: RR, normal" "Correct entity, wrong SNOMED ID","(3321, 3327)","(3321, 3327)",masses,masses,4147007,237557003,11997336-DS-3," cyanosis of the oral mucosa. Neck: Supple; no masses, unable to assess JVP CV: RR, normal S1, S2. No" "Correct entity, wrong SNOMED ID","(3346, 3349)","(3346, 3349)",JVP,JVP,366163001,369001,11997336-DS-3,"osa. Neck: Supple; no masses, unable to assess JVP CV: RR, normal S1, S2. No m/r/g. No S3 or S4. " "Correct entity, wrong SNOMED ID","(3352, 3354)","(3352, 3354)",CV,CV,363003006,258773002,11997336-DS-3," Neck: Supple; no masses, unable to assess JVP CV: RR, normal S1, S2. No m/r/g. No S3 or S4. Ches" "Correct entity, wrong SNOMED ID","(3356, 3358)","(3356, 3358)",RR,RR,301283003,229040007,11997336-DS-3,"ck: Supple; no masses, unable to assess JVP CV: RR, normal S1, S2. No m/r/g. No S3 or S4. Chest: N" "Correct entity, wrong SNOMED ID","(3360, 3369)","(3360, 3369)",normal S1,normal S1,26198000,167242001,11997336-DS-3,"Supple; no masses, unable to assess JVP CV: RR, normal S1, S2. No m/r/g. No S3 or S4. Chest: No chest wal" "Correct entity, wrong SNOMED ID","(3371, 3373)","(3371, 3373)",S2,S2,111974005,81170007,11997336-DS-3,"masses, unable to assess JVP CV: RR, normal S1, S2. No m/r/g. No S3 or S4. Chest: No chest wall de" "Correct entity, wrong SNOMED ID","(3375, 3383)","(3375, 3383)",No m/r/g,No m/r/g,301132007,167724007,11997336-DS-3,"es, unable to assess JVP CV: RR, normal S1, S2. No m/r/g. No S3 or S4. Chest: No chest wall deformities," "Correct entity, wrong SNOMED ID","(3385, 3390)","(3385, 3390)",No S3,No S3,50522009,396360001,11997336-DS-3," to assess JVP CV: RR, normal S1, S2. No m/r/g. No S3 or S4. Chest: No chest wall deformities, scolio" "Correct entity, wrong SNOMED ID","(3400, 3405)","(3400, 3405)",Chest,Chest,268925001,74160004,11997336-DS-3," CV: RR, normal S1, S2. No m/r/g. No S3 or S4. Chest: No chest wall deformities, scoliosis or kyphosis" "Correct entity, wrong SNOMED ID","(3410, 3432)","(3410, 3432)",chest wall deformities,chest wall deformities,448488004,75511006,11997336-DS-3,"normal S1, S2. No m/r/g. No S3 or S4. Chest: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no " "Correct entity, wrong SNOMED ID","(3434, 3443)","(3434, 3443)",scoliosis,scoliosis,298382003,111266001,11997336-DS-3," No S3 or S4. Chest: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory m" "Correct entity, wrong SNOMED ID","(3447, 3455)","(3447, 3455)",kyphosis,kyphosis,414564002,19371000119107,11997336-DS-3," Chest: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. C" "Correct entity, wrong SNOMED ID","(3457, 3461)","(3457, 3461)",Resp,Resp,268925001,300851005,11997336-DS-3,"No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, n" Missed entity,"(3468, 3477)",,unlabored,,276362002,,11997336-DS-3,"ll deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, no crackles, whe" Wrong span,"(3482, 3498)","(3482, 3502)",accessory muscle,accessory muscle use,50847000,178276009,11997336-DS-3,", scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. Ab" "Correct entity, wrong SNOMED ID","(3504, 3508)","(3504, 3508)",CTAB,CTAB,48348007,112188007,11997336-DS-3,"s. Resp were unlabored, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. Abd: Soft, N" "Correct entity, wrong SNOMED ID","(3524, 3531)","(3524, 3531)",wheezes,wheezes,56018004,9763007,11997336-DS-3,"red, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. Abd: Soft, NTND. Ext:No clubbing o" "Correct entity, wrong SNOMED ID","(3546, 3549)","(3546, 3549)",Abd,Abd,225162003,60728008,11997336-DS-3,"le use. CTAB, no crackles, wheezes or rhonchi. Abd: Soft, NTND. Ext:No clubbing or cyanosis. Trace" "Correct entity, wrong SNOMED ID","(3559, 3561)","(3559, 3561)",ND,ND,60728008,165815009,11997336-DS-3," no crackles, wheezes or rhonchi. Abd: Soft, NTND. Ext:No clubbing or cyanosis. Trace symmetric B" "Correct entity, wrong SNOMED ID","(3564, 3567)","(3564, 3567)",Ext,Ext,302773001,1489008,11997336-DS-3,"rackles, wheezes or rhonchi. Abd: Soft, NTND. Ext:No clubbing or cyanosis. Trace symmetric BLE ede" "Correct entity, wrong SNOMED ID","(3571, 3579)","(3571, 3579)",clubbing,clubbing,367004,30760008,11997336-DS-3,", wheezes or rhonchi. Abd: Soft, NTND. Ext:No clubbing or cyanosis. Trace symmetric BLE edema. Skin: N" "Correct entity, wrong SNOMED ID","(3583, 3591)","(3583, 3591)",cyanosis,cyanosis,3415004,95837007,11997336-DS-3,"r rhonchi. Abd: Soft, NTND. Ext:No clubbing or cyanosis. Trace symmetric BLE edema. Skin: No stasis der" "Correct entity, wrong SNOMED ID","(3614, 3619)","(3614, 3619)",edema,edema,267038008,102576009,11997336-DS-3,"Ext:No clubbing or cyanosis. Trace symmetric BLE edema. Skin: No stasis dermatitis or ulcers. Perti" "Correct entity, wrong SNOMED ID","(3622, 3626)","(3622, 3626)",Skin,Skin,271303006,444884003,11997336-DS-3,"lubbing or cyanosis. Trace symmetric BLE edema. Skin: No stasis dermatitis or ulcers. Pertinent Re" "Correct entity, wrong SNOMED ID","(3631, 3648)","(3631, 3648)",stasis dermatitis,stasis dermatitis,35498005,50563003,11997336-DS-3,"r cyanosis. Trace symmetric BLE edema. Skin: No stasis dermatitis or ulcers. Pertinent Results: ___ Cardiac Cat" "Correct entity, wrong SNOMED ID","(3652, 3658)","(3652, 3658)",ulcers,ulcers,429040005,125318001,11997336-DS-3,"mmetric BLE edema. Skin: No stasis dermatitis or ulcers. Pertinent Results: ___ Cardiac Cath: COMMEN" Wrong span,"(3687, 3699)","(3687, 3694)",Cardiac Cath,Cardiac,41976001,71892000,11997336-DS-3," dermatitis or ulcers. Pertinent Results: ___ Cardiac Cath: COMMENTS: 1. Coronary angiography in this " "Correct entity, wrong SNOMED ID","(3720, 3740)","(3720, 3740)",Coronary angiography,Coronary angiography,33367005,419997008,11997336-DS-3,"ent Results: ___ Cardiac Cath: COMMENTS: 1. Coronary angiography in this right dominant system revealed no angiog" Missed entity,"(3749, 3754)",,right,,13647002,,11997336-DS-3,": COMMENTS: 1. Coronary angiography in this right dominant system revealed no angiographically app" Wrong span,"(3842, 3849)","(3824, 3849)",disease,"coronary artery disease",64572001,1293192009,11997336-DS-3,"phically apparent flow-limiting coronary artery disease. The LMCA, LAD and LCx had no disease. The RCA ha" "Correct entity, wrong SNOMED ID","(3861, 3864)","(3861, 3864)",LAD,LAD,59438005,1010291002,11997336-DS-3,"low-limiting coronary artery disease. The LMCA, LAD and LCx had no disease. The RCA had a 30% proxi" "Correct entity, wrong SNOMED ID","(3869, 3872)","(3869, 3872)",LCx,LCx,57396003,421806008,11997336-DS-3,"ting coronary artery disease. The LMCA, LAD and LCx had no disease. The RCA had a 30% proximal sten" "Correct entity, wrong SNOMED ID","(3880, 3887)","(3880, 3887)",disease,disease,64572001,53619000,11997336-DS-3,"ry artery disease. The LMCA, LAD and LCx had no disease. The RCA had a 30% proximal stenosis. 2. Resti" "Correct entity, wrong SNOMED ID","(3893, 3896)","(3893, 3896)",RCA,RCA,13647002,244257005,11997336-DS-3,"isease. The LMCA, LAD and LCx had no disease. The RCA had a 30% proximal stenosis. 2. Resting hemody" "Correct entity, wrong SNOMED ID","(3909, 3926)","(3909, 3926)",proximal stenosis,proximal stenosis,1254657004,21980004,11997336-DS-3,", LAD and LCx had no disease. The RCA had a 30% proximal stenosis. 2. Resting hemodynamics revealed elevated left " "Correct entity, wrong SNOMED ID","(3962, 3970)","(3962, 3970)",elevated,elevated,24184005,50177009,11997336-DS-3,"ximal stenosis. 2. Resting hemodynamics revealed elevated left sided and right sided filling pressures wit" Wrong span,"(4007, 4016)","(3999, 4016)",pressures,filling pressures,13543005,250944009,11997336-DS-3,"aled elevated left sided and right sided filling pressures with LVEDP of 29 mmHg, mean PCW of 31 mmHg, and" "Correct entity, wrong SNOMED ID","(4102, 4144)","(4102, 4144)","pulmonary arterial systolic hypertension","pulmonary arterial systolic hypertension",11399002,697902002,11997336-DS-3," 31 mmHg, and RVEDP of 19 mmHg. There was severe pulmonary arterial systolic hypertension with PASP of 61 mmHg. There was mild systemic ar" Wrong span,"(4202, 4223)","(4182, 4223)",systolic hypertension,"systemic arterial systolic hypertension",56218007,697925001,11997336-DS-3,"SP of 61 mmHg. There was mild systemic arterial systolic hypertension with SBP of 147 mmHg. The cardiac index was pre" Missed entity,"(4250, 4279)",,"cardiac index was preserved",,72399002,,11997336-DS-3," systolic hypertension with SBP of 147 mmHg. The cardiac index was preserved at 2.2 L/min/m2. 3. Left ventriculography reveal" Wrong span,"(4335, 4355)","(4332, 4355)",mitral regurgitation,2+ mitral regurgitation,48724000,233861004,11997336-DS-3,"2 L/min/m2. 3. Left ventriculography revealed 2+ mitral regurgitation. The LVEF was calculated to be 72% with no wall" Wrong span,"(4401, 4412)","(4401, 4426)",wall motion,wall motion abnormalities,366195000,429750003,11997336-DS-3,"tion. The LVEF was calculated to be 72% with no wall motion abnormalities. 4. Succesful closure of femoral a" Wrong span,"(4413, 4426)","(4401, 4426)",abnormalities,wall motion abnormalities,281900007,429750003,11997336-DS-3,"VEF was calculated to be 72% with no wall motion abnormalities. 4. Succesful closure of femoral access with ___" Missed entity,"(4442, 4449)",,closure,,112695004,,11997336-DS-3," with no wall motion abnormalities. 4. Succesful closure of femoral access with ___ Angioseal device. " Wrong span,"(4453, 4460)","(4453, 4467)",femoral,femoral access,7657000,396543007,11997336-DS-3,"ll motion abnormalities. 4. Succesful closure of femoral access with ___ Angioseal device. FINAL DIAG" Wrong span,"(4585, 4592)","(4568, 4592)",disease,"coronary artery disease",64572001,1293192009,11997336-DS-3,"aphically apparent flow-limiting coronary artery disease. 2. Normal ventricular function. 3. Left ventri" Wrong span,"(4605, 4616)","(4598, 4625)",ventricular,Normal ventricular function,21814001,250907009,11997336-DS-3,"low-limiting coronary artery disease. 2. Normal ventricular function. 3. Left ventricular diastolic dysfunct" Wrong span,"(4675, 4679)","(4675, 4709)",Mild,Mild-moderate mitral regurgitation,838451005,373116009,11997336-DS-3,". 3. Left ventricular diastolic dysfunction. 4. Mild-moderate mitral regurgitation. 5. Severe pulmona" Wrong span,"(4680, 4709)","(4675, 4709)",moderate mitral regurgitation,Mild-moderate mitral regurgitation,838452003,373116009,11997336-DS-3," Left ventricular diastolic dysfunction. 4. Mild-moderate mitral regurgitation. 5. Severe pulmonary arterial systolic hypertens" "Correct entity, wrong SNOMED ID","(4722, 4762)","(4722, 4762)",pulmonary arterial systolic hypertension,pulmonary arterial systolic hypertension,11399002,697902002,11997336-DS-3,"4. Mild-moderate mitral regurgitation. 5. Severe pulmonary arterial systolic hypertension. . ___ ECHO: The atria are moderately dilated. " Wrong span,"(4782, 4787)","(4782, 4810)",atria,atria are moderately dilated,59652004,373127006,11997336-DS-3,"arterial systolic hypertension. . ___ ECHO: The atria are moderately dilated. There is mild symmetric l" Wrong span,"(4803, 4810)","(4782, 4810)",dilated,atria are moderately dilated,25322007,373127006,11997336-DS-3,"ertension. . ___ ECHO: The atria are moderately dilated. There is mild symmetric left ventricular hypert" Wrong span,"(4871, 4884)","(4871, 4889)",normal cavity,normal cavity size,373124004,456261000124102,11997336-DS-3,"mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (LVEF" "Correct entity, wrong SNOMED ID","(4895, 4928)","(4895, 4928)",regional/global systolic function,regional/global systolic function,371857005,153931000119109,11997336-DS-3,"tricular hypertrophy with normal cavity size and regional/global systolic function (LVEF>55%). Right ventricular chamber size and f" Wrong span,"(4941, 4967)","(4941, 4972)","Right ventricular chamber","Right ventricular chamber size",53085002,74193008,11997336-DS-3,"nd regional/global systolic function (LVEF>55%). Right ventricular chamber size and free wall motion are normal. The aortic " "Correct entity, wrong SNOMED ID","(4982, 5004)","(4982, 5004)",wall motion are normal,wall motion are normal,373122000,414072005,11997336-DS-3,"EF>55%). Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets (3) are mildly thicke" "Correct entity, wrong SNOMED ID","(5010, 5032)","(5010, 5032)","aortic valve leaflets","aortic valve leaflets",6530003,232899001,11997336-DS-3,"chamber size and free wall motion are normal. The aortic valve leaflets (3) are mildly thickened, especially towards the " "Correct entity, wrong SNOMED ID","(5041, 5057)","(5041, 5057)",mildly thickened,mildly thickened,89977008,309085000,11997336-DS-3,"on are normal. The aortic valve leaflets (3) are mildly thickened, especially towards the leaflet tips (charcteris" Wrong span,"(5083, 5090)","(5083, 5087)",leaflet,leaf,6530003,227213007,11997336-DS-3,"(3) are mildly thickened, especially towards the leaflet tips (charcteristic of the rheumatic valvulitis " Missed entity,"(5140, 5148)",,sequelae,,302049001,,11997336-DS-3," tips (charcteristic of the rheumatic valvulitis sequelae), but aortic stenosis is not present. Moderate (2" "Correct entity, wrong SNOMED ID","(5155, 5170)","(5155, 5170)",aortic stenosis,aortic stenosis,60573004,233863001,11997336-DS-3,"istic of the rheumatic valvulitis sequelae), but aortic stenosis is not present. Moderate (2+) aortic regurgitati" "Correct entity, wrong SNOMED ID","(5296, 5316)","(5296, 5316)",aortic regurgitation,aortic regurgitation,60234000,61612001,11997336-DS-3,"ate valvular mitral stenosis. Due to co-existing aortic regurgitation, the pressure half-time estimate of mitral valve" Missed entity,"(5322, 5330)",,pressure,,13543005,,11997336-DS-3,"sis. Due to co-existing aortic regurgitation, the pressure half-time estimate of mitral valve area may be a" "Correct entity, wrong SNOMED ID","(5354, 5366)","(5354, 5366)",mitral valve,mitral valve,91134007,78196008,11997336-DS-3,"egurgitation, the pressure half-time estimate of mitral valve area may be an OVERestimation of true mitral val" "Correct entity, wrong SNOMED ID","(5406, 5418)","(5406, 5418)",mitral valve,mitral valve,91134007,78196008,11997336-DS-3,"tral valve area may be an OVERestimation of true mitral valve area. Mild to moderate (___) mitral regurgitatio" "Correct entity, wrong SNOMED ID","(5425, 5429)","(5425, 5429)",Mild,Mild,838451005,162468002,11997336-DS-3," be an OVERestimation of true mitral valve area. Mild to moderate (___) mitral regurgitation is seen. " Missed entity,"(5433, 5469)",,"moderate (___) mitral regurgitation",,838452003,,11997336-DS-3,"VERestimation of true mitral valve area. Mild to moderate (___) mitral regurgitation is seen. [Due to acoustic shadowing, the severity" "Correct entity, wrong SNOMED ID","(5524, 5544)","(5524, 5544)",mitral regurgitation,mitral regurgitation,48724000,373116009,11997336-DS-3,"een. [Due to acoustic shadowing, the severity of mitral regurgitation may be significantly UNDERestimated.] There is m" "Correct entity, wrong SNOMED ID","(5602, 5640)","(5602, 5640)",pulmonary artery systolic hypertension,pulmonary artery systolic hypertension,11399002,840306007,11997336-DS-3,"significantly UNDERestimated.] There is moderate pulmonary artery systolic hypertension. There is a trivial/physiologic pericardial effu" "Correct entity, wrong SNOMED ID","(5674, 5694)","(5674, 5694)",pericardial effusion,pericardial effusion,373945007,1230405007,11997336-DS-3,"lic hypertension. There is a trivial/physiologic pericardial effusion. IMPRESSION: Rheumatic valvular disease with mo" Wrong span,"(5729, 5736)","(5710, 5736)",disease,Rheumatic valvular disease,64572001,89456004,11997336-DS-3,"ardial effusion. IMPRESSION: Rheumatic valvular disease with moderate mitral stenosis and moderate aorti" Missed entity,"(5742, 5767)",,"moderate mitral stenosis",,838449006,,11997336-DS-3,"on. IMPRESSION: Rheumatic valvular disease with moderate mitral stenosis and moderate aortic regurgitation. Mild symmetric" Wrong span,"(5884, 5897)","(5853, 5915)",biventricular,"preserved global and regional biventricular systolic function",21814001,472776004,11997336-DS-3,"r hypertrophy with preserved global and regional biventricular systolic function. Moderate pulmonary hypertensi" Wrong span,"(5898, 5915)","(5853, 5915)",systolic function,"preserved global and regional biventricular systolic function",1148838007,472776004,11997336-DS-3,"with preserved global and regional biventricular systolic function. Moderate pulmonary hypertension. Brief Hos" "Correct entity, wrong SNOMED ID","(5999, 6002)","(5999, 6002)",HTN,HTN,38341003,10725009,11997336-DS-3,". Brief Hospital Course: ___ yo f with hx of HTN, HL, and DM presents to OSH with worsening dyspn" "Correct entity, wrong SNOMED ID","(6004, 6006)","(6004, 6006)",HL,HL,55822004,257988000,11997336-DS-3," Brief Hospital Course: ___ yo f with hx of HTN, HL, and DM presents to OSH with worsening dyspnea o" "Correct entity, wrong SNOMED ID","(6012, 6014)","(6012, 6014)",DM,DM,73211009,258671008,11997336-DS-3,"Hospital Course: ___ yo f with hx of HTN, HL, and DM presents to OSH with worsening dyspnea on exerti" "Correct entity, wrong SNOMED ID","(6047, 6066)","(6047, 6066)",dyspnea on exertion,dyspnea on exertion,60845006,590365011000119106,11997336-DS-3,"f HTN, HL, and DM presents to OSH with worsening dyspnea on exertion and acute chest pain. She ruled in for NSTEMI wa" "Correct entity, wrong SNOMED ID","(6107, 6113)","(6107, 6113)",NSTEMI,NSTEMI,401314000,401303003,11997336-DS-3," exertion and acute chest pain. She ruled in for NSTEMI was transferred to ___ for cardiac catheterizatio" "Correct entity, wrong SNOMED ID","(6141, 6164)","(6141, 6164)",cardiac catheterization,cardiac catheterization,41976001,59261000119100,11997336-DS-3,"e ruled in for NSTEMI was transferred to ___ for cardiac catheterization. . #. CAD: No known diagnosis of CAD on arriv" "Correct entity, wrong SNOMED ID","(6202, 6205)","(6202, 6205)",CAD,CAD,53741008,84270004,11997336-DS-3,"heterization. . #. CAD: No known diagnosis of CAD on arrival to OSH. Pt has multiple risk factors " "Correct entity, wrong SNOMED ID","(6259, 6275)","(6259, 6275)",coronary disease,coronary disease,53741008,315348000,11997336-DS-3,"arrival to OSH. Pt has multiple risk factors for coronary disease including HTN, HL, DM and history of tobacco abu" "Correct entity, wrong SNOMED ID","(6286, 6289)","(6286, 6289)",HTN,HTN,38341003,10725009,11997336-DS-3,"tiple risk factors for coronary disease including HTN, HL, DM and history of tobacco abuse. Her presen" "Correct entity, wrong SNOMED ID","(6291, 6293)","(6291, 6293)",HL,HL,55822004,257988000,11997336-DS-3," risk factors for coronary disease including HTN, HL, DM and history of tobacco abuse. Her presentati" "Correct entity, wrong SNOMED ID","(6295, 6297)","(6295, 6297)",DM,DM,73211009,258671008,11997336-DS-3,"k factors for coronary disease including HTN, HL, DM and history of tobacco abuse. Her presentation w" "Correct entity, wrong SNOMED ID","(6314, 6327)","(6314, 6327)",tobacco abuse,tobacco abuse,89765005,1149350001,11997336-DS-3,"ary disease including HTN, HL, DM and history of tobacco abuse. Her presentation with SOB, atypical chest pain," "Correct entity, wrong SNOMED ID","(6351, 6354)","(6351, 6354)",SOB,SOB,267036007,43731003,11997336-DS-3,"d history of tobacco abuse. Her presentation with SOB, atypical chest pain, nausea and diaphoresis wer" "Correct entity, wrong SNOMED ID","(6378, 6384)","(6378, 6384)",nausea,nausea,422587007,1217125005,11997336-DS-3," Her presentation with SOB, atypical chest pain, nausea and diaphoresis were concerning for ACS. Report" "Correct entity, wrong SNOMED ID","(6389, 6400)","(6389, 6400)",diaphoresis,diaphoresis,52613005,111980002,11997336-DS-3,"tation with SOB, atypical chest pain, nausea and diaphoresis were concerning for ACS. Reports from OSH indic" "Correct entity, wrong SNOMED ID","(6422, 6425)","(6422, 6425)",ACS,ACS,394659003,89218003,11997336-DS-3,"pain, nausea and diaphoresis were concerning for ACS. Reports from OSH indicate positive cardiac enzy" "Correct entity, wrong SNOMED ID","(6487, 6495)","(6487, 6495)",troponin,troponin,105000003,102684000,11997336-DS-3,"rom OSH indicate positive cardiac enzymes with a troponin of 0.4 (per verbal signout). Stress test also rep" "Correct entity, wrong SNOMED ID","(6525, 6536)","(6525, 6536)",Stress test,Stress test,46136006,1231717004,11997336-DS-3,"mes with a troponin of 0.4 (per verbal signout). Stress test also reportly had anterior and anterior-apical c" Wrong span,"(6578, 6584)","(6569, 6584)",apical,anterior-apical,13383001,35471000087101,11997336-DS-3,"ess test also reportly had anterior and anterior-apical changes. Cardiac cath performed on arrival to __" "Correct entity, wrong SNOMED ID","(6594, 6606)","(6594, 6606)",Cardiac cath,Cardiac cath,41976001,59261000119100,11997336-DS-3,"portly had anterior and anterior-apical changes. Cardiac cath performed on arrival to ___ showed no significan" "Correct entity, wrong SNOMED ID","(6658, 6682)","(6658, 6682)","coronary artery disease","coronary artery disease",53741008,1293192009,11997336-DS-3,"erformed on arrival to ___ showed no significant coronary artery disease. Catheterizations did, however, show evidence of" "Correct entity, wrong SNOMED ID","(6685, 6701)","(6685, 6701)",Catheterizations,Catheterizations,41976001,392247006,11997336-DS-3," showed no significant coronary artery disease. Catheterizations did, however, show evidence of elevated pressure" Wrong span,"(6734, 6742)","(6734, 6752)",elevated,elevated pressures,24184005,24184005,11997336-DS-3," Catheterizations did, however, show evidence of elevated pressures throughout the heart. This likely indi" Wrong span,"(6743, 6752)","(6734, 6752)",pressures,elevated pressures,13543005,24184005,11997336-DS-3,"izations did, however, show evidence of elevated pressures throughout the heart. This likely indicates tha" "Correct entity, wrong SNOMED ID","(6768, 6773)","(6768, 6773)",heart,heart,80891009,22298006,11997336-DS-3,"ow evidence of elevated pressures throughout the heart. This likely indicates that it was not coronary" "Correct entity, wrong SNOMED ID","(6815, 6833)","(6815, 6833)",coronary occlusion,coronary occlusion,63739005,123642008,11997336-DS-3,"he heart. This likely indicates that it was not coronary occlusion that caused the elevated troponin rather heart f" "Correct entity, wrong SNOMED ID","(6850, 6868)","(6850, 6868)","elevated troponin","elevated troponin",444931001,314068007,11997336-DS-3,"hat it was not coronary occlusion that caused the elevated troponin rather heart failure. Plavix and heparin were d" "Correct entity, wrong SNOMED ID","(6876, 6889)","(6876, 6889)",heart failure,heart failure,84114007,56675007,11997336-DS-3,"clusion that caused the elevated troponin rather heart failure. Plavix and heparin were discontinued after cat" Boundary error,"(6903, 6910)","(6903, 6908)",heparin,hepar,103746007,197352008,11997336-DS-3,"vated troponin rather heart failure. Plavix and heparin were discontinued after cath and pt was continue" "Correct entity, wrong SNOMED ID","(6936, 6940)","(6936, 6940)",cath,cath,41976001,28309003,11997336-DS-3,"ure. Plavix and heparin were discontinued after cath and pt was continued on aspirin, betablocker, AC" "Correct entity, wrong SNOMED ID","(6965, 6972)","(6965, 6972)",aspirin,aspirin,431463004,7947003,11997336-DS-3," discontinued after cath and pt was continued on aspirin, betablocker, ACEI, and statin. . #. Pump: No " "Correct entity, wrong SNOMED ID","(7039, 7052)","(7039, 7052)",heart failure,heart failure,84114007,56675007,11997336-DS-3,"CEI, and statin. . #. Pump: No known history of heart failure. However, clinical presentation, history, and c" "Correct entity, wrong SNOMED ID","(7101, 7113)","(7101, 7113)",cardiac cath,cardiac cath,41976001,59261000119100,11997336-DS-3,"e. However, clinical presentation, history, and cardiac cath results support diagnosis of diastolic heart fai" "Correct entity, wrong SNOMED ID","(7144, 7167)","(7144, 7167)",diastolic heart failure,diastolic heart failure,418304008,441530006,11997336-DS-3,"y, and cardiac cath results support diagnosis of diastolic heart failure. Pt reports elevated blood pressure at time of d" "Correct entity, wrong SNOMED ID","(7180, 7204)","(7180, 7204)","elevated blood pressure","elevated blood pressure",24184005,863928009,11997336-DS-3," diagnosis of diastolic heart failure. Pt reports elevated blood pressure at time of dyspneic episode that would support pu" Wrong span,"(7216, 7224)","(7216, 7232)",dyspneic,dyspneic episode,267036007,34560001,11997336-DS-3,"e. Pt reports elevated blood pressure at time of dyspneic episode that would support pump failure. Etiolog" "Correct entity, wrong SNOMED ID","(7279, 7292)","(7279, 7292)",heart failure,heart failure,84114007,56675007,11997336-DS-3,"ode that would support pump failure. Etiology of heart failure was undetermined at time of admission. Pt had k" "Correct entity, wrong SNOMED ID","(7373, 7390)","(7373, 7390)","valvular disease","valvular disease",368009,426611007,11997336-DS-3,"dmission. Pt had known potential for significant valvular disease given known MVP, history of Rheumatic fever, and " "Correct entity, wrong SNOMED ID","(7419, 7434)","(7419, 7434)",Rheumatic fever,Rheumatic fever,58718002,195528001,11997336-DS-3,"ant valvular disease given known MVP, history of Rheumatic fever, and MR identified on cath. Cardiac cath perform" "Correct entity, wrong SNOMED ID","(7440, 7442)","(7440, 7442)",MR,MR,48724000,1380161007,11997336-DS-3," given known MVP, history of Rheumatic fever, and MR identified on cath. Cardiac cath performed on ad" "Correct entity, wrong SNOMED ID","(7458, 7462)","(7458, 7462)",cath,cath,41976001,28309003,11997336-DS-3,"history of Rheumatic fever, and MR identified on cath. Cardiac cath performed on admission showed mark" "Correct entity, wrong SNOMED ID","(7464, 7476)","(7464, 7476)",Cardiac cath,Cardiac cath,41976001,59261000119100,11997336-DS-3,"y of Rheumatic fever, and MR identified on cath. Cardiac cath performed on admission showed markedly elevated " Wrong span,"(7517, 7525)","(7517, 7535)",elevated,elevated pressures,24184005,24184005,11997336-DS-3,"diac cath performed on admission showed markedly elevated pressures throughout the heart. Echo was perform" Wrong span,"(7526, 7535)","(7517, 7535)",pressures,elevated pressures,13543005,24184005,11997336-DS-3," performed on admission showed markedly elevated pressures throughout the heart. Echo was performed the fol" "Correct entity, wrong SNOMED ID","(7551, 7556)","(7551, 7556)",heart,heart,80891009,226984005,11997336-DS-3,"howed markedly elevated pressures throughout the heart. Echo was performed the follow morning showing d" "Correct entity, wrong SNOMED ID","(7605, 7625)","(7605, 7625)",diastolic dysfuction,diastolic dysfuction,3545003,395704004,11997336-DS-3,"t. Echo was performed the follow morning showing diastolic dysfuction as a result of mitral stenosis (see results). P" "Correct entity, wrong SNOMED ID","(7642, 7657)","(7642, 7657)",mitral stenosis,mitral stenosis,79619009,82458004,11997336-DS-3,"ning showing diastolic dysfuction as a result of mitral stenosis (see results). Pt was placed on fluid restricti" "Correct entity, wrong SNOMED ID","(7691, 7709)","(7691, 7709)","fluid restriction","fluid restriction",25389001,816081007,11997336-DS-3," mitral stenosis (see results). Pt was placed on fluid restriction, low salt diet and started on a lasix gtt. Sympt" "Correct entity, wrong SNOMED ID","(7711, 7724)","(7711, 7724)",low salt diet,low salt diet,386619000,226164007,11997336-DS-3,"e results). Pt was placed on fluid restriction, low salt diet and started on a lasix gtt. Symptoms greatly im" "Correct entity, wrong SNOMED ID","(7742, 7747)","(7742, 7747)",lasix,lasix,722048006,25401000181106,11997336-DS-3,"luid restriction, low salt diet and started on a lasix gtt. Symptoms greatly improved overnight with d" "Correct entity, wrong SNOMED ID","(7772, 7780)","(7772, 7780)",improved,improved,268910001,251359002,11997336-DS-3,"et and started on a lasix gtt. Symptoms greatly improved overnight with diuresis. Pt was also managed wi" "Correct entity, wrong SNOMED ID","(7796, 7804)","(7796, 7804)",diuresis,diuresis,162182005,37766004,11997336-DS-3,"x gtt. Symptoms greatly improved overnight with diuresis. Pt was also managed with heart rate control to" Wrong span,"(7833, 7843)","(7833, 7851)",heart rate,heart rate control,301113001,183412008,11997336-DS-3,"ernight with diuresis. Pt was also managed with heart rate control to reduce pulmonary hypertension. Becau" "Correct entity, wrong SNOMED ID","(7862, 7884)","(7862, 7884)",pulmonary hypertension,pulmonary hypertension,70995007,840307003,11997336-DS-3,"s also managed with heart rate control to reduce pulmonary hypertension. Because pt responded so well to diuresis and r" "Correct entity, wrong SNOMED ID","(7920, 7928)","(7920, 7928)",diuresis,diuresis,162182005,37766004,11997336-DS-3,"y hypertension. Because pt responded so well to diuresis and rate control there is no indication for surg" "Correct entity, wrong SNOMED ID","(7974, 7995)","(7974, 7995)",surgical intervention,surgical intervention,387713003,112802009,11997336-DS-3,"esis and rate control there is no indication for surgical intervention at this time. Pt will continue to be medically m" "Correct entity, wrong SNOMED ID","(8111, 8121)","(8111, 8121)",heart rate,heart rate,301113001,76863003,11997336-DS-3,"prolol tartrate 150mg bid for rate control (goal heart rate 60) and lasix 40mg po bid for afterload reductio" "Correct entity, wrong SNOMED ID","(8130, 8135)","(8130, 8135)",lasix,lasix,722048006,25401000181106,11997336-DS-3,"mg bid for rate control (goal heart rate 60) and lasix 40mg po bid for afterload reduction. Pt was coun" Missed entity,"(8181, 8191)",,counseling,,409063005,,11997336-DS-3,"asix 40mg po bid for afterload reduction. Pt was counseling on maintaining a low sodium diet, fluid restrict" "Correct entity, wrong SNOMED ID","(8209, 8225)","(8209, 8225)","low sodium diet","low sodium diet",386619000,226164007,11997336-DS-3,"oad reduction. Pt was counseling on maintaining a low sodium diet, fluid restriction and weighing herself daily. P" "Correct entity, wrong SNOMED ID","(8227, 8244)","(8227, 8244)",fluid restriction,fluid restriction,25389001,699827002,11997336-DS-3,"was counseling on maintaining a low sodium diet, fluid restriction and weighing herself daily. Pt is to follow up " Missed entity,"(8249, 8257)",,weighing,,39857003,,11997336-DS-3,"taining a low sodium diet, fluid restriction and weighing herself daily. Pt is to follow up with her prim" Missed entity,"(8284, 8293)",,follow up,,183616001,,11997336-DS-3,"estriction and weighing herself daily. Pt is to follow up with her primary care provider to have her blood " "Correct entity, wrong SNOMED ID","(8337, 8352)","(8337, 8352)","blood pressure","blood pressure",135840009,24184005,11997336-DS-3,"low up with her primary care provider to have her blood pressure, heart rate, and electrolytes monitored on her ne" "Correct entity, wrong SNOMED ID","(8354, 8364)","(8354, 8364)",heart rate,heart rate,47101004,428420003,11997336-DS-3,"rimary care provider to have her blood pressure, heart rate, and electrolytes monitored on her new regimen. " "Correct entity, wrong SNOMED ID","(8370, 8382)","(8370, 8382)",electrolytes,electrolytes,386275008,14830009,11997336-DS-3,"ider to have her blood pressure, heart rate, and electrolytes monitored on her new regimen. She is also instr" "Correct entity, wrong SNOMED ID","(8405, 8412)","(8405, 8412)",regimen,regimen,133877004,55053003,11997336-DS-3,"eart rate, and electrolytes monitored on her new regimen. She is also instructed to have biannual echoca" "Correct entity, wrong SNOMED ID","(8456, 8471)","(8456, 8471)",echocardiograms,echocardiograms,40701008,105376000,11997336-DS-3,"egimen. She is also instructed to have biannual echocardiograms to evaluate the status of her mitral stenosis. . " "Correct entity, wrong SNOMED ID","(8502, 8517)","(8502, 8517)",mitral stenosis,mitral stenosis,79619009,82458004,11997336-DS-3,"al echocardiograms to evaluate the status of her mitral stenosis. . #. Diabetes: poorly controlled; Home oral hy" "Correct entity, wrong SNOMED ID","(8526, 8534)","(8526, 8534)",Diabetes,Diabetes,73211009,9414007,11997336-DS-3,"valuate the status of her mitral stenosis. . #. Diabetes: poorly controlled; Home oral hypoglycemics where" Missed entity,"(8560, 8564)",,oral,,386359008,,11997336-DS-3,"tenosis. . #. Diabetes: poorly controlled; Home oral hypoglycemics where held in setting of catheteri" "Correct entity, wrong SNOMED ID","(8605, 8620)","(8605, 8620)",catheterization,catheterization,41976001,164781009,11997336-DS-3,"Home oral hypoglycemics where held in setting of catheterization; Pt was monitored with fsbs qachs and treated wi" Missed entity,"(8644, 8648)",,fsbs,,104686004,,11997336-DS-3,"setting of catheterization; Pt was monitored with fsbs qachs and treated with lantus 25 u qpm and slidi" Missed entity,"(8693, 8706)",,sliding scale,,225301004,,11997336-DS-3," fsbs qachs and treated with lantus 25 u qpm and sliding scale humolog at meal time. Pt's blood sugars remained" Wrong span,"(8735, 8765)","(8735, 8747)",blood sugars remained elevated,blood sugars,444780001,104686004,11997336-DS-3,"qpm and sliding scale humolog at meal time. Pt's blood sugars remained elevated throughout hospitalization (range from 200-400)." Wrong span,"(8860, 8867)","(8847, 8867)",regimen,hypoglycemic regimen,133877004,398140007,11997336-DS-3,"400). Pt instructed to resume home hypoglycemic regimen and diabetic diet at home with frequent glucose " "Correct entity, wrong SNOMED ID","(8872, 8885)","(8872, 8885)",diabetic diet,diabetic diet,160670007,170753006,11997336-DS-3,"structed to resume home hypoglycemic regimen and diabetic diet at home with frequent glucose monitoring. Pt is" Missed entity,"(8909, 8927)",,glucose monitoring,,698472009,,11997336-DS-3," regimen and diabetic diet at home with frequent glucose monitoring. Pt is to follow up with primary care doctor to" "Correct entity, wrong SNOMED ID","(8939, 8948)","(8939, 8948)",follow up,follow up,183616001,1354473003,11997336-DS-3,"home with frequent glucose monitoring. Pt is to follow up with primary care doctor to discuss augmenting h" Missed entity,"(9001, 9008)",,regimen,,133877004,,11997336-DS-3,"th primary care doctor to discuss augmenting her regimen if elevated sugars persist at home. . #. Hyper" "Correct entity, wrong SNOMED ID","(9012, 9027)","(9012, 9027)",elevated sugars,elevated sugars,68256003,166892002,11997336-DS-3," care doctor to discuss augmenting her regimen if elevated sugars persist at home. . #. Hyperlipidemia: continue" "Correct entity, wrong SNOMED ID","(9053, 9067)","(9053, 9067)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,11997336-DS-3,"gimen if elevated sugars persist at home. . #. Hyperlipidemia: continue home meds of lipitor and tricor . #. Co" Wrong span,"(10946, 10959)","(10940, 10959)",diastolic CHF,acute diastolic CHF,441530006,441530006,11997336-DS-3,"ition: Home Discharge Diagnosis: Primary: acute diastolic CHF secondary to mitral stenosis Secondary: DM, HTN, " "Correct entity, wrong SNOMED ID","(10973, 10988)","(10973, 10988)",mitral stenosis,mitral stenosis,79619009,82458004,11997336-DS-3,"gnosis: Primary: acute diastolic CHF secondary to mitral stenosis Secondary: DM, HTN, HL Discharge Condition: Pt" "Correct entity, wrong SNOMED ID","(11000, 11002)","(11000, 11002)",DM,DM,73211009,258671008,11997336-DS-3,"tolic CHF secondary to mitral stenosis Secondary: DM, HTN, HL Discharge Condition: Pt is hemodynami" "Correct entity, wrong SNOMED ID","(11004, 11007)","(11004, 11007)",HTN,HTN,38341003,10725009,11997336-DS-3,"c CHF secondary to mitral stenosis Secondary: DM, HTN, HL Discharge Condition: Pt is hemodynamically" "Correct entity, wrong SNOMED ID","(11009, 11011)","(11009, 11011)",HL,HL,55822004,257988000,11997336-DS-3," secondary to mitral stenosis Secondary: DM, HTN, HL Discharge Condition: Pt is hemodynamically sta" "Correct entity, wrong SNOMED ID","(11220, 11244)","(11220, 11244)","cardiac catheterization","cardiac catheterization",41976001,59261000119100,11997336-DS-3,"ou were transferred to this hospital to undergo a cardiac catheterization. The catheterization did not show any blockages " "Correct entity, wrong SNOMED ID","(11251, 11266)","(11251, 11266)",catheterization,catheterization,41976001,164781009,11997336-DS-3,"pital to undergo a cardiac catheterization. The catheterization did not show any blockages in the blood vessels " "Correct entity, wrong SNOMED ID","(11302, 11315)","(11302, 11315)",blood vessels,blood vessels,59820001,818999009,11997336-DS-3,"atheterization did not show any blockages in the blood vessels that supply the heart. However, it did show tha" "Correct entity, wrong SNOMED ID","(11332, 11337)","(11332, 11337)",heart,heart,80891009,226984005,11997336-DS-3,"y blockages in the blood vessels that supply the heart. However, it did show that you have high blood " "Correct entity, wrong SNOMED ID","(11376, 11396)","(11376, 11396)",high blood pressures,high blood pressures,38341003,84094009,11997336-DS-3,"y the heart. However, it did show that you have high blood pressures within your heart. To determine why you have th" "Correct entity, wrong SNOMED ID","(11409, 11414)","(11409, 11414)",heart,heart,80891009,226984005,11997336-DS-3,"ow that you have high blood pressures within your heart. To determine why you have these elevated press" Wrong span,"(11450, 11458)","(11450, 11468)",elevated,elevated pressures,24184005,24184005,11997336-DS-3,"hin your heart. To determine why you have these elevated pressures you had an echocardiogram performed. " Wrong span,"(11459, 11468)","(11450, 11468)",pressures,elevated pressures,13543005,24184005,11997336-DS-3,"heart. To determine why you have these elevated pressures you had an echocardiogram performed. This showe" "Correct entity, wrong SNOMED ID","(11481, 11495)","(11481, 11495)",echocardiogram,echocardiogram,40701008,105376000,11997336-DS-3,"why you have these elevated pressures you had an echocardiogram performed. This showed a tight valve within your" "Correct entity, wrong SNOMED ID","(11547, 11552)","(11547, 11552)",heart,heart,80891009,226984005,11997336-DS-3,"erformed. This showed a tight valve within your heart. This is most likely the cause of your symptoms." "Correct entity, wrong SNOMED ID","(11653, 11662)","(11653, 11662)",pressures,pressures,13543005,263644009,11997336-DS-3," You were treated with medications to reduce the pressures within your heart and to make your breathing eas" "Correct entity, wrong SNOMED ID","(11676, 11681)","(11676, 11681)",heart,heart,80891009,226984005,11997336-DS-3," medications to reduce the pressures within your heart and to make your breathing easier. You tolerated " "Correct entity, wrong SNOMED ID","(11815, 11836)","(11815, 11836)",surgical intervention,surgical intervention,387713003,112802009,11997336-DS-3,"etermined that you are not in acute need for any surgical intervention at this time. You will need to continue some of " Wrong span,"(11985, 12040)","(11985, 12002)","bladder infection in the setting of a bladder catheter",bladder infection,371061003,197928006,11997336-DS-3,"al. . During your hospitalization you developed a bladder infection in the setting of a bladder catheter. The catheter was removed and you were started " Wrong span,"(12060, 12067)","(12047, 12067)",removed,catheter was removed,43748006,266768004,11997336-DS-3," setting of a bladder catheter. The catheter was removed and you were started on a three day course of an" "Correct entity, wrong SNOMED ID","(12115, 12126)","(12115, 12126)",antibiotics,antibiotics,281789004,372599003,11997336-DS-3,"ed and you were started on a three day course of antibiotics. You should complete this course at home and fo" Missed entity,"(12174, 12183)",,follow up,,183616001,,11997336-DS-3,"cs. You should complete this course at home and follow up with your primary care provider. . While inpatie" Wrong span,"(12241, 12275)","(12241, 12248)",glucose was significantly elevated,glucose,444780001,72191006,11997336-DS-3,"ur primary care provider. . While inpatient your glucose was significantly elevated. You were treated with insulin while inpatient." "Correct entity, wrong SNOMED ID","(12367, 12371)","(12367, 12371)",oral,oral,386359008,129080004,11997336-DS-3,"patient. You are advised to return to your home oral hypoglycemic regimen after you leave the hospita" Missed entity,"(12385, 12392)",,regimen,,133877004,,11997336-DS-3,"advised to return to your home oral hypoglycemic regimen after you leave the hospital and to follow up wi" Missed entity,"(12430, 12439)",,follow up,,183616001,,11997336-DS-3,"emic regimen after you leave the hospital and to follow up with your primary care physician within one week" "Correct entity, wrong SNOMED ID","(12523, 12530)","(12523, 12530)",regimen,regimen,133877004,405117005,11997336-DS-3," within one week to discuss changing your current regimen. Please check your glucose regularly and alert " Missed entity,"(12739, 12747)",,by mouth,,386359008,,11997336-DS-3,"ations: 1) INCREASE Metoprolol Tartrate to 150 mg by mouth daily 2) START furosemide (lasix) 40mg by mouth t" Missed entity,"(12775, 12780)",,lasix,,722048006,,11997336-DS-3,"ate to 150 mg by mouth daily 2) START furosemide (lasix) 40mg by mouth twice a day. 3) START bactrim-DS 1" Missed entity,"(12787, 12795)",,by mouth,,386359008,,11997336-DS-3,"g by mouth daily 2) START furosemide (lasix) 40mg by mouth twice a day. 3) START bactrim-DS 1 tablet twice a" Missed entity,"(12945, 12955)",,medication,,394835006,,11997336-DS-3," STOP Premarin. Please discuss the need for this medication with your primary care physician before restarti" Missed entity,"(13037, 13048)",,medications,,967006,,11997336-DS-3,"an before restarting. . Please continue all other medications as previously directed. . Please notify your phys" Missed entity,"(13082, 13088)",,notify,,304562007,,11997336-DS-3,"ther medications as previously directed. . Please notify your physician or return to the hospital if you " "Correct entity, wrong SNOMED ID","(13159, 13178)","(13159, 13178)",shortness of breath,shortness of breath,267036007,135833008,11997336-DS-3,"turn to the hospital if you experience worsening shortness of breath, chest pain, palpitations, loss of consciousness" "Correct entity, wrong SNOMED ID","(13180, 13190)","(13180, 13190)",chest pain,chest pain,29857009,102589003,11997336-DS-3,"if you experience worsening shortness of breath, chest pain, palpitations, loss of consciousness, fever, chi" "Correct entity, wrong SNOMED ID","(13193, 13205)","(13193, 13205)",palpitations,palpitations,80313002,161966006,11997336-DS-3,"ience worsening shortness of breath, chest pain, palpitations, loss of consciousness, fever, chills, or any oth" "Correct entity, wrong SNOMED ID","(13207, 13228)","(13207, 13228)",loss of consciousness,loss of consciousness,419045004,32834005,11997336-DS-3,"g shortness of breath, chest pain, palpitations, loss of consciousness, fever, chills, or any other symptom that is con" "Correct entity, wrong SNOMED ID","(13230, 13235)","(13230, 13235)",fever,fever,386661006,248430002,11997336-DS-3,"chest pain, palpitations, loss of consciousness, fever, chills, or any other symptom that is concerning" "Correct entity, wrong SNOMED ID","(13237, 13243)","(13237, 13243)",chills,chills,43724002,274640006,11997336-DS-3,"ain, palpitations, loss of consciousness, fever, chills, or any other symptom that is concerning to you." False positive,,"(948, 953)",,blood,,8765009,12018901-DS-68," did have one small bowel movement today w/ some blood on paper. Her daughter and her ___ were concerne" False positive,,"(1394, 1403)",,arousable,,33105009,12018901-DS-68," up to ___ when she would wake up. Pt reportedly arousable during these episodes, unclear what O2 sat was d" False positive,,"(1477, 1479)",,RR,,229040007,12018901-DS-68," unclear what O2 sat was during espisodes, and no RR was documented. Pt was sent to ED for further ev" False positive,,"(1888, 1896)",,infected,,76844004,12018901-DS-68,"ound and L breast wound were examined and seemed infected. Labs were remarkable for WBC 13.5k, Hct 29 (bas" False positive,,"(2311, 2322)",,superficial,,288105009,12018901-DS-68,"g her left breast wound, but they thought it was superficial infection and did not feel this was the source f" False positive,,"(2434, 2436)",,IV,,258000009,12018901-DS-68,"s. Culture was obtained in ED. Pt was started on IV vancomycin for empiric coverage of skin infectio" False positive,,"(2708, 2722)",,R lateral side,,260435004,12018901-DS-68,", 97% 3L, 237 lb (bed) Pt reported pain in her R lateral side, reproducible on palpation. States that it hurt " False positive,,"(3979, 3989)",,chest wall,,448488004,12018901-DS-68,"s2, no m/r/g Abdomen: obese, lateral R inferior chest wall pain to palpation. Mild tenderness diffusely ove" False positive,,"(4041, 4048)",,abdomen,,364449002,12018901-DS-68,"ain to palpation. Mild tenderness diffusely over abdomen. No rebound, normal bowel sounds. No masses. E" False positive,,"(5022, 5023)",,L,,420296000,12018901-DS-68," to palpation, no surrounding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound, foul smelli" False positive,,"(6012, 6013)",,I,,257989008,12018901-DS-68,"05:08PM BLOOD K-4.6 Discharge labs and studies: Imaging studies: ___ Liver/gallbladder US IMPRESSI" False positive,,"(6130, 6142)",,body habitus,,165184000,12018901-DS-68,"is. ___ CXR IMPRESSION: Limited study due to body habitus, however there is no significant interval change" False positive,,"(6328, 6340)",,intracardiac,,65331008,12018901-DS-68," the staff radiologist. ___ ECHO IMPRESSION: No intracardiac thrombus identified (better excluded by TEE). _" False positive,,"(9824, 9826)",,RR,,229040007,12018901-DS-68,"p to ___ when awoken. Unclear what her O2 sat or RR was during these periods, but it is possible tha" False positive,,"(10317, 10318)",,L,,420296000,12018901-DS-68," concern that warfarin was making her breast and L achilles wounds worse, but her CHADS2 score is 4," False positive,,"(10801, 10802)",,L,,420296000,12018901-DS-68," warfarin after making an informed decision. # L achilles wound: Pt was just seen by podiatry ___," False positive,,"(10941, 10954)",,fibrotic base,,95587009,12018901-DS-68," purulent type drainage with a slight odor, with fibrotic base of wound but no purulence and moderate exudate. " "Correct entity, wrong SNOMED ID","(182, 192)","(182, 192)",Ranitidine,Ranitidine,293653009,48174005,12018901-DS-68," Sex: F Service: MEDICINE Allergies: Ranitidine / Aldactone Attending: ___. Chief Complaint: " "Correct entity, wrong SNOMED ID","(195, 204)","(195, 204)",Aldactone,Aldactone,295009002,2405001,12018901-DS-68," F Service: MEDICINE Allergies: Ranitidine / Aldactone Attending: ___. Chief Complaint: #Fevers and " "Correct entity, wrong SNOMED ID","(243, 249)","(243, 249)",Fevers,Fevers,386661006,248444008,12018901-DS-68,"/ Aldactone Attending: ___. Chief Complaint: #Fevers and lethargy Major Surgical or Invasive Procedu" "Correct entity, wrong SNOMED ID","(254, 262)","(254, 262)",lethargy,lethargy,214264003,186499007,12018901-DS-68," Attending: ___. Chief Complaint: #Fevers and lethargy Major Surgical or Invasive Procedure: none H" "Correct entity, wrong SNOMED ID","(376, 379)","(376, 379)",DM2,DM2,44054006,396166000,12018901-DS-68,"ent Illness: F w/ complicated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L hom" Wrong span,"(381, 385)","(381, 391)",ESRD,ESRD on HD,236435004,428982002,12018901-DS-68,"llness: F w/ complicated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, " Wrong span,"(389, 391)","(381, 391)",HD,ESRD on HD,302497006,428982002,12018901-DS-68,"F w/ complicated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib n" "Correct entity, wrong SNOMED ID","(393, 397)","(393, 397)",gout,gout,90560007,69896004,12018901-DS-68," complicated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib not on " "Correct entity, wrong SNOMED ID","(400, 411)","(400, 411)",sleep apnea,sleep apnea,73430006,78275009,12018901-DS-68,"cated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib not on warfarin, chro" "Correct entity, wrong SNOMED ID","(413, 419)","(413, 419)",asthma,asthma,195967001,281239006,12018901-DS-68,"nificant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib not on warfarin, chronic L a" Missed entity,"(426, 433)",,home O2,,426990007,,12018901-DS-68,"DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib not on warfarin, chronic L achilles wound " "Correct entity, wrong SNOMED ID","(435, 439)","(435, 439)",afib,afib,49436004,312442005,12018901-DS-68," on HD, gout, sleep apnea, asthma on 3L home O2, afib not on warfarin, chronic L achilles wound and L " Missed entity,"(444, 455)",,on warfarin,,722045009,,12018901-DS-68,"out, sleep apnea, asthma on 3L home O2, afib not on warfarin, chronic L achilles wound and L breast wound, se" Missed entity,"(457, 464)",,chronic,,92161000112103,,12018901-DS-68,"pnea, asthma on 3L home O2, afib not on warfarin, chronic L achilles wound and L breast wound, sent from p" Wrong span,"(468, 476)","(466, 482)",achilles,L achilles wound,699609003,1075841000119102,12018901-DS-68,"a on 3L home O2, afib not on warfarin, chronic L achilles wound and L breast wound, sent from primary care " Wrong span,"(477, 482)","(466, 482)",wound,L achilles wound,416462003,1075841000119102,12018901-DS-68,"ome O2, afib not on warfarin, chronic L achilles wound and L breast wound, sent from primary care for l" Wrong span,"(487, 495)","(487, 488)",L breast,L,80248007,420296000,12018901-DS-68,"ib not on warfarin, chronic L achilles wound and L breast wound, sent from primary care for lethargy and f" Wrong span,"(496, 501)","(489, 501)",wound,breast wound,416462003,210454002,12018901-DS-68," warfarin, chronic L achilles wound and L breast wound, sent from primary care for lethargy and fever. " Missed entity,"(513, 525)",,primary care,,737470001,,12018901-DS-68,"c L achilles wound and L breast wound, sent from primary care for lethargy and fever. Pt was seen in ___ clini" "Correct entity, wrong SNOMED ID","(531, 539)","(531, 539)",lethargy,lethargy,214264003,186499007,12018901-DS-68,"d and L breast wound, sent from primary care for lethargy and fever. Pt was seen in ___ clinic for urgent c" "Correct entity, wrong SNOMED ID","(544, 549)","(544, 549)",fever,fever,386661006,248430002,12018901-DS-68,"t wound, sent from primary care for lethargy and fever. Pt was seen in ___ clinic for urgent care visit" Wrong span,"(623, 639)","(631, 639)",feeling feverish,feverish,103001002,103001002,12018901-DS-68,"nic for urgent care visit at which she described feeling feverish for 1 day and sleeping excessively during the da" "Correct entity, wrong SNOMED ID","(655, 663)","(655, 663)",sleeping,sleeping,248220008,301345002,12018901-DS-68,"ich she described feeling feverish for 1 day and sleeping excessively during the day for ~5 days. She denie" "Correct entity, wrong SNOMED ID","(720, 726)","(720, 726)",chills,chills,43724002,274640006,12018901-DS-68,"ively during the day for ~5 days. She denies any chills, cough, chest pain. Reports having RUQ colicky ab" "Correct entity, wrong SNOMED ID","(728, 733)","(728, 733)",cough,cough,49727002,28743005,12018901-DS-68,"ring the day for ~5 days. She denies any chills, cough, chest pain. Reports having RUQ colicky abdominal" "Correct entity, wrong SNOMED ID","(735, 745)","(735, 745)",chest pain,chest pain,29857009,102589003,12018901-DS-68,"e day for ~5 days. She denies any chills, cough, chest pain. Reports having RUQ colicky abdominal pain w/ oc" "Correct entity, wrong SNOMED ID","(762, 765)","(762, 765)",RUQ,RUQ,50519007,65826004,12018901-DS-68,"es any chills, cough, chest pain. Reports having RUQ colicky abdominal pain w/ occasional nausea and " Wrong span,"(766, 789)","(774, 789)","colicky abdominal pain","abdominal pain",9991008,54586004,12018901-DS-68,"ny chills, cough, chest pain. Reports having RUQ colicky abdominal pain w/ occasional nausea and vomited up breakfast onc" "Correct entity, wrong SNOMED ID","(804, 810)","(804, 810)",nausea,nausea,422587007,1217125005,12018901-DS-68," having RUQ colicky abdominal pain w/ occasional nausea and vomited up breakfast once. Also reports havi" Wrong span,"(815, 822)","(815, 825)",vomited,vomited up,422400008,167844007,12018901-DS-68," colicky abdominal pain w/ occasional nausea and vomited up breakfast once. Also reports having constipat" "Correct entity, wrong SNOMED ID","(863, 875)","(863, 875)",constipation,constipation,14760008,236069009,12018901-DS-68,"d vomited up breakfast once. Also reports having constipation for 5 days, though she did have one small bowel " Wrong span,"(919, 933)","(913, 933)",bowel movement,small bowel movement,300375001,102623009,12018901-DS-68,"pation for 5 days, though she did have one small bowel movement today w/ some blood on paper. Her daughter and h" Missed entity,"(1052, 1061)",,asleeping,,248220008,,12018901-DS-68,"ed that she was not as talkative and was falling asleeping in the middle of conversations, which they state" Missed entity,"(1151, 1154)",,PCP,,737470001,,12018901-DS-68,"hey state is a major change from her normal. Per PCP note, ___ clinic vitals were BP 101/49, HR 83, T" "Correct entity, wrong SNOMED ID","(1173, 1179)","(1173, 1179)",vitals,vitals,118227000,260390007,12018901-DS-68,"change from her normal. Per PCP note, ___ clinic vitals were BP 101/49, HR 83, Temp 102.1F. Her O2 sat on" "Correct entity, wrong SNOMED ID","(1185, 1187)","(1185, 1187)",BP,BP,392570002,38341003,12018901-DS-68,"her normal. Per PCP note, ___ clinic vitals were BP 101/49, HR 83, Temp 102.1F. Her O2 sat on 3L was" "Correct entity, wrong SNOMED ID","(1196, 1198)","(1196, 1198)",HR,HR,301113001,258702006,12018901-DS-68," Per PCP note, ___ clinic vitals were BP 101/49, HR 83, Temp 102.1F. Her O2 sat on 3L was 79-83%, th" "Correct entity, wrong SNOMED ID","(1203, 1207)","(1203, 1207)",Temp,Temp,105723007,102496004,12018901-DS-68,"P note, ___ clinic vitals were BP 101/49, HR 83, Temp 102.1F. Her O2 sat on 3L was 79-83%, then up to " "Correct entity, wrong SNOMED ID","(1220, 1226)","(1220, 1226)",O2 sat,O2 sat,104847001,103228002,12018901-DS-68,"ic vitals were BP 101/49, HR 83, Temp 102.1F. Her O2 sat on 3L was 79-83%, then up to 100% on 5L, but ___" Missed entity,"(1231, 1233)",,3L,,57485005,,12018901-DS-68,"ere BP 101/49, HR 83, Temp 102.1F. Her O2 sat on 3L was 79-83%, then up to 100% on 5L, but ___ HR wou" "Correct entity, wrong SNOMED ID","(1277, 1279)","(1277, 1279)",HR,HR,301113001,258702006,12018901-DS-68,"on 3L was 79-83%, then up to 100% on 5L, but ___ HR would dip to ___ when she ""fell asleep"" in clini" Missed entity,"(1313, 1319)",,asleep,,248220008,,12018901-DS-68,"n 5L, but ___ HR would dip to ___ when she ""fell asleep"" in clinic and then back up to ___ when she woul" Wrong span,"(1441, 1447)","(1441, 1442)",O2 sat,O,104847001,257993002,12018901-DS-68,"ly arousable during these episodes, unclear what O2 sat was during espisodes, and no RR was documented. " "Correct entity, wrong SNOMED ID","(1527, 1537)","(1527, 1537)",evaluation,evaluation,386053000,39609006,12018901-DS-68,"RR was documented. Pt was sent to ED for further evaluation. In the ED, initial vs were: 99.6F, HR 90, 119/" Missed entity,"(1560, 1562)",,vs,,118227000,,12018901-DS-68,"o ED for further evaluation. In the ED, initial vs were: 99.6F, HR 90, 119/65, 1, 99% 3L. Pt had RU" "Correct entity, wrong SNOMED ID","(1576, 1578)","(1576, 1578)",HR,HR,301113001,258702006,12018901-DS-68," evaluation. In the ED, initial vs were: 99.6F, HR 90, 119/65, 1, 99% 3L. Pt had RUQ tenderness w/ " Missed entity,"(1598, 1600)",,3L,,57485005,,12018901-DS-68,"ED, initial vs were: 99.6F, HR 90, 119/65, 1, 99% 3L. Pt had RUQ tenderness w/ + ___ sign, clear lung" Wrong span,"(1610, 1624)","(1610, 1613)",RUQ tenderness,RUQ,448265002,65826004,12018901-DS-68,"vs were: 99.6F, HR 90, 119/65, 1, 99% 3L. Pt had RUQ tenderness w/ + ___ sign, clear lungs, no evidence of brady" Missed entity,"(1634, 1638)",,sign,,72670004,,12018901-DS-68,"19/65, 1, 99% 3L. Pt had RUQ tenderness w/ + ___ sign, clear lungs, no evidence of bradycardia, LLE mo" "Correct entity, wrong SNOMED ID","(1640, 1651)","(1640, 1651)",clear lungs,clear lungs,48348007,241541005,12018901-DS-68," 1, 99% 3L. Pt had RUQ tenderness w/ + ___ sign, clear lungs, no evidence of bradycardia, LLE more swolen tha" "Correct entity, wrong SNOMED ID","(1653, 1664)","(1653, 1664)",no evidence,no evidence,281900007,41647002,12018901-DS-68,"t had RUQ tenderness w/ + ___ sign, clear lungs, no evidence of bradycardia, LLE more swolen than RLE with ca" "Correct entity, wrong SNOMED ID","(1669, 1680)","(1669, 1680)",bradycardia,bradycardia,48867003,49710005,12018901-DS-68,"rness w/ + ___ sign, clear lungs, no evidence of bradycardia, LLE more swolen than RLE with calf tenderness, " "Correct entity, wrong SNOMED ID","(1682, 1685)","(1682, 1685)",LLE,LLE,32153003,420296000,12018901-DS-68,"_ sign, clear lungs, no evidence of bradycardia, LLE more swolen than RLE with calf tenderness, uncha" Missed entity,"(1691, 1697)",,swolen,,449614009,,12018901-DS-68,"lear lungs, no evidence of bradycardia, LLE more swolen than RLE with calf tenderness, unchanged from no" "Correct entity, wrong SNOMED ID","(1703, 1706)","(1703, 1706)",RLE,RLE,62175007,53541006,12018901-DS-68,"no evidence of bradycardia, LLE more swolen than RLE with calf tenderness, unchanged from note on ___" Wrong span,"(1712, 1727)","(1712, 1716)",calf tenderness,calf,300954003,281792000,12018901-DS-68,"ce of bradycardia, LLE more swolen than RLE with calf tenderness, unchanged from note on ___ visit, same per pati" Missed entity,"(1730, 1739)",,unchanged,,359748005,,12018901-DS-68,", LLE more swolen than RLE with calf tenderness, unchanged from note on ___ visit, same per patient, when sh" Wrong span,"(1796, 1804)","(1796, 1812)",negative,negative doppler,281900007,299316003,12018901-DS-68,"ote on ___ visit, same per patient, when she nad negative doppler. Her chronic L achilles wound and L breas" Wrong span,"(1805, 1812)","(1796, 1812)",doppler,negative doppler,765172009,299316003,12018901-DS-68,"_ visit, same per patient, when she nad negative doppler. Her chronic L achilles wound and L breast wound" "Correct entity, wrong SNOMED ID","(1818, 1825)","(1818, 1825)",chronic,chronic,92161000112103,234347009,12018901-DS-68," per patient, when she nad negative doppler. Her chronic L achilles wound and L breast wound were examine" Wrong span,"(1828, 1836)","(1826, 1842)",achilles,L achilles wound,699609003,1075841000119102,12018901-DS-68,"nt, when she nad negative doppler. Her chronic L achilles wound and L breast wound were examined and seeme" Wrong span,"(1837, 1842)","(1826, 1842)",wound,L achilles wound,416462003,1075841000119102,12018901-DS-68,"she nad negative doppler. Her chronic L achilles wound and L breast wound were examined and seemed infe" Wrong span,"(1847, 1855)","(1847, 1862)",L breast,"L breast wound",80248007,10849981000119105,12018901-DS-68,"egative doppler. Her chronic L achilles wound and L breast wound were examined and seemed infected. Labs we" Wrong span,"(1857, 1862)","(1847, 1862)",wound,"L breast wound",416462003,10849981000119105,12018901-DS-68,"ppler. Her chronic L achilles wound and L breast wound were examined and seemed infected. Labs were rema" Missed entity,"(1898, 1902)",,Labs,,15220000,,12018901-DS-68," breast wound were examined and seemed infected. Labs were remarkable for WBC 13.5k, Hct 29 (baseline)" "Correct entity, wrong SNOMED ID","(1924, 1927)","(1924, 1927)",WBC,WBC,767002,391558003,12018901-DS-68,"ed and seemed infected. Labs were remarkable for WBC 13.5k, Hct 29 (baseline), AP 120, AST 87, Lactate" Boundary error,"(1935, 1938)","(1935, 1936)",Hct,H,28317006,257988000,12018901-DS-68,"ed infected. Labs were remarkable for WBC 13.5k, Hct 29 (baseline), AP 120, AST 87, Lactate 1.8. RUQ " "Correct entity, wrong SNOMED ID","(1943, 1951)","(1943, 1951)",baseline,baseline,128974000,129082007,12018901-DS-68,"ted. Labs were remarkable for WBC 13.5k, Hct 29 (baseline), AP 120, AST 87, Lactate 1.8. RUQ ultrasound sh" Missed entity,"(1954, 1956)",,AP,,88810008,,12018901-DS-68,"ere remarkable for WBC 13.5k, Hct 29 (baseline), AP 120, AST 87, Lactate 1.8. RUQ ultrasound showed " "Correct entity, wrong SNOMED ID","(1962, 1965)","(1962, 1965)",AST,AST,45896001,85043005,12018901-DS-68,"rkable for WBC 13.5k, Hct 29 (baseline), AP 120, AST 87, Lactate 1.8. RUQ ultrasound showed cholelith" Missed entity,"(1970, 1977)",,Lactate,,3926003,,12018901-DS-68,"for WBC 13.5k, Hct 29 (baseline), AP 120, AST 87, Lactate 1.8. RUQ ultrasound showed cholelithiasis but no" "Correct entity, wrong SNOMED ID","(1984, 1998)","(1984, 1998)",RUQ ultrasound,RUQ ultrasound,426701000119108,770572002,12018901-DS-68," Hct 29 (baseline), AP 120, AST 87, Lactate 1.8. RUQ ultrasound showed cholelithiasis but no evidence of cholecy" "Correct entity, wrong SNOMED ID","(2006, 2020)","(2006, 2020)",cholelithiasis,cholelithiasis,266474003,407637009,12018901-DS-68," 120, AST 87, Lactate 1.8. RUQ ultrasound showed cholelithiasis but no evidence of cholecystitis. Her chest XR s" "Correct entity, wrong SNOMED ID","(2025, 2036)","(2025, 2036)",no evidence,no evidence,281900007,41647002,12018901-DS-68,"te 1.8. RUQ ultrasound showed cholelithiasis but no evidence of cholecystitis. Her chest XR showed significan" "Correct entity, wrong SNOMED ID","(2041, 2054)","(2041, 2054)",cholecystitis,cholecystitis,76581006,65275009,12018901-DS-68,"rasound showed cholelithiasis but no evidence of cholecystitis. Her chest XR showed significant bilateral pulmo" Wrong span,"(2088, 2108)","(2088, 2114)","bilateral pulmonary","bilateral pulmonary edema",74101002,40541001,12018901-DS-68,"f cholecystitis. Her chest XR showed significant bilateral pulmonary edema but unchanged from prior. She reportedly ha" Wrong span,"(2109, 2114)","(2088, 2114)",edema,"bilateral pulmonary edema",19242006,40541001,12018901-DS-68," chest XR showed significant bilateral pulmonary edema but unchanged from prior. She reportedly had gua" Missed entity,"(2119, 2128)",,unchanged,,359748005,,12018901-DS-68,"showed significant bilateral pulmonary edema but unchanged from prior. She reportedly had guaiac positive s" Wrong span,"(2161, 2167)","(2161, 2182)",guaiac,guaiac positive stool,442554004,71711000112103,12018901-DS-68,"ema but unchanged from prior. She reportedly had guaiac positive stool in ED. Pt spiked a fever in ED to " Wrong span,"(2168, 2182)","(2161, 2182)",positive stool,guaiac positive stool,59614000,71711000112103,12018901-DS-68," unchanged from prior. She reportedly had guaiac positive stool in ED. Pt spiked a fever in ED to 101.6F. Surger" "Correct entity, wrong SNOMED ID","(2202, 2207)","(2202, 2207)",fever,fever,386661006,248430002,12018901-DS-68,"dly had guaiac positive stool in ED. Pt spiked a fever in ED to 101.6F. Surgery consult was called rega" Wrong span,"(2267, 2278)","(2267, 2284)",left breast,left breast wound,80248007,10849981000119105,12018901-DS-68,"101.6F. Surgery consult was called regarding her left breast wound, but they thought it was superficial infec" Wrong span,"(2279, 2284)","(2267, 2284)",wound,left breast wound,416462003,10849981000119105,12018901-DS-68,"gery consult was called regarding her left breast wound, but they thought it was superficial infection a" "Correct entity, wrong SNOMED ID","(2323, 2332)","(2323, 2332)",infection,infection,40733004,102919003,12018901-DS-68,"reast wound, but they thought it was superficial infection and did not feel this was the source for her fev" "Correct entity, wrong SNOMED ID","(2379, 2385)","(2379, 2385)",fevers,fevers,386661006,248444008,12018901-DS-68,"ion and did not feel this was the source for her fevers. Culture was obtained in ED. Pt was started on I" Missed entity,"(2423, 2430)",,started,,275942009,,12018901-DS-68,"r her fevers. Culture was obtained in ED. Pt was started on IV vancomycin for empiric coverage of skin in" "Correct entity, wrong SNOMED ID","(2437, 2447)","(2437, 2447)",vancomycin,vancomycin,281789004,42082003,12018901-DS-68,"Culture was obtained in ED. Pt was started on IV vancomycin for empiric coverage of skin infections. She was" "Correct entity, wrong SNOMED ID","(2472, 2488)","(2472, 2488)","skin infections","skin infections",19824006,279324004,12018901-DS-68," started on IV vancomycin for empiric coverage of skin infections. She was also given IV fluids, and HR remained in" Wrong span,"(2503, 2518)","(2509, 2518)",given IV fluids,IV fluids,103744005,103744005,12018901-DS-68,"mpiric coverage of skin infections. She was also given IV fluids, and HR remained in ___ and BP ___. Pt was admit" Missed entity,"(2548, 2550)",,BP,,392570002,,12018901-DS-68,"also given IV fluids, and HR remained in ___ and BP ___. Pt was admitted to medicine for further man" Missed entity,"(2627, 2629)",,vs,,118227000,,12018901-DS-68,"dicine for further management. On the floor, vs were: 100.6F, 134/47, 96, 20, 97% 3L, 237 lb (be" Missed entity,"(2664, 2666)",,3L,,57485005,,12018901-DS-68,"n the floor, vs were: 100.6F, 134/47, 96, 20, 97% 3L, 237 lb (bed) Pt reported pain in her R latera" "Correct entity, wrong SNOMED ID","(2696, 2700)","(2696, 2700)",pain,pain,22253000,102570003,12018901-DS-68,"4/47, 96, 20, 97% 3L, 237 lb (bed) Pt reported pain in her R lateral side, reproducible on palpation" "Correct entity, wrong SNOMED ID","(2741, 2750)","(2741, 2750)",palpation,palpation,113011001,51558006,12018901-DS-68,"rted pain in her R lateral side, reproducible on palpation. States that it hurt more than her chronic breast" "Correct entity, wrong SNOMED ID","(2786, 2793)","(2786, 2793)",chronic,chronic,92161000112103,234347009,12018901-DS-68," on palpation. States that it hurt more than her chronic breast or L achilles wounds. Reported constipati" "Correct entity, wrong SNOMED ID","(2794, 2800)","(2794, 2800)",breast,breast,80248007,211040008,12018901-DS-68,"pation. States that it hurt more than her chronic breast or L achilles wounds. Reported constipation. Oth" Wrong span,"(2807, 2815)","(2804, 2822)",achilles,"L achilles wounds",699609003,1075841000119102,12018901-DS-68,"s that it hurt more than her chronic breast or L achilles wounds. Reported constipation. Otherwise felt at " Wrong span,"(2816, 2822)","(2804, 2822)",wounds,"L achilles wounds",92161000112103,1075841000119102,12018901-DS-68," hurt more than her chronic breast or L achilles wounds. Reported constipation. Otherwise felt at baseli" "Correct entity, wrong SNOMED ID","(2833, 2845)","(2833, 2845)",constipation,constipation,14760008,236069009,12018901-DS-68,"er chronic breast or L achilles wounds. Reported constipation. Otherwise felt at baseline. Reports having vomi" "Correct entity, wrong SNOMED ID","(2866, 2874)","(2866, 2874)",baseline,baseline,128974000,161033005,12018901-DS-68,"wounds. Reported constipation. Otherwise felt at baseline. Reports having vomited once yesterday. Past " "Correct entity, wrong SNOMED ID","(2891, 2898)","(2891, 2898)",vomited,vomited,422400008,271352005,12018901-DS-68,"tion. Otherwise felt at baseline. Reports having vomited once yesterday. Past Medical History: PMH: DM" "Correct entity, wrong SNOMED ID","(2946, 2949)","(2946, 2949)",DM2,DM2,44054006,396166000,12018901-DS-68,"ed once yesterday. Past Medical History: PMH: DM2, ESRD on HD (RUE AVF), HTN, hyperlipidemia, hype" Wrong span,"(2951, 2955)","(2951, 2961)",ESRD,ESRD on HD,236435004,286371000119107,12018901-DS-68,"ce yesterday. Past Medical History: PMH: DM2, ESRD on HD (RUE AVF), HTN, hyperlipidemia, hypertroph" Wrong span,"(2959, 2961)","(2951, 2961)",HD,ESRD on HD,302497006,286371000119107,12018901-DS-68,"rday. Past Medical History: PMH: DM2, ESRD on HD (RUE AVF), HTN, hyperlipidemia, hypertrophic car" "Correct entity, wrong SNOMED ID","(2963, 2966)","(2963, 2966)",RUE,RUE,6921000,40522004,12018901-DS-68,". Past Medical History: PMH: DM2, ESRD on HD (RUE AVF), HTN, hyperlipidemia, hypertrophic cardiomy" "Correct entity, wrong SNOMED ID","(2967, 2970)","(2967, 2970)",AVF,AVF,439470001,233477006,12018901-DS-68," Past Medical History: PMH: DM2, ESRD on HD (RUE AVF), HTN, hyperlipidemia, hypertrophic cardiomyopat" "Correct entity, wrong SNOMED ID","(2973, 2976)","(2973, 2976)",HTN,HTN,38341003,10725009,12018901-DS-68," Medical History: PMH: DM2, ESRD on HD (RUE AVF), HTN, hyperlipidemia, hypertrophic cardiomyopathy w/ " "Correct entity, wrong SNOMED ID","(2978, 2992)","(2978, 2992)",hyperlipidemia,hyperlipidemia,55822004,267434003,12018901-DS-68,"cal History: PMH: DM2, ESRD on HD (RUE AVF), HTN, hyperlipidemia, hypertrophic cardiomyopathy w/ heart failure, A" "Correct entity, wrong SNOMED ID","(2995, 3022)","(2995, 3022)","hypertrophic cardiomyopathy","hypertrophic cardiomyopathy",233873004,1204194004,12018901-DS-68," DM2, ESRD on HD (RUE AVF), HTN, hyperlipidemia, hypertrophic cardiomyopathy w/ heart failure, Afib, h/o thalamic CVA, OSA on " "Correct entity, wrong SNOMED ID","(3026, 3039)","(3026, 3039)",heart failure,heart failure,84114007,56675007,12018901-DS-68,", hyperlipidemia, hypertrophic cardiomyopathy w/ heart failure, Afib, h/o thalamic CVA, OSA on home CPAP, obesit" "Correct entity, wrong SNOMED ID","(3041, 3045)","(3041, 3045)",Afib,Afib,49436004,71908006,12018901-DS-68,"a, hypertrophic cardiomyopathy w/ heart failure, Afib, h/o thalamic CVA, OSA on home CPAP, obesity, h/o" Wrong span,"(3051, 3059)","(3051, 3063)",thalamic,thalamic CVA,42695009,719164000,12018901-DS-68,"rophic cardiomyopathy w/ heart failure, Afib, h/o thalamic CVA, OSA on home CPAP, obesity, h/o pericarditis," Wrong span,"(3060, 3063)","(3051, 3063)",CVA,thalamic CVA,230690007,719164000,12018901-DS-68,"rdiomyopathy w/ heart failure, Afib, h/o thalamic CVA, OSA on home CPAP, obesity, h/o pericarditis, h/o" Missed entity,"(3072, 3081)",,home CPAP,,8771000175103,,12018901-DS-68," w/ heart failure, Afib, h/o thalamic CVA, OSA on home CPAP, obesity, h/o pericarditis, h/o GIB (gastric ulce" "Correct entity, wrong SNOMED ID","(3083, 3090)","(3083, 3090)",obesity,obesity,414916001,111036000,12018901-DS-68,"ailure, Afib, h/o thalamic CVA, OSA on home CPAP, obesity, h/o pericarditis, h/o GIB (gastric ulcer), asthm" "Correct entity, wrong SNOMED ID","(3096, 3108)","(3096, 3108)",pericarditis,pericarditis,3238004,70189005,12018901-DS-68," h/o thalamic CVA, OSA on home CPAP, obesity, h/o pericarditis, h/o GIB (gastric ulcer), asthma (on home O2), de" "Correct entity, wrong SNOMED ID","(3114, 3117)","(3114, 3117)",GIB,GIB,74474003,53253006,12018901-DS-68," OSA on home CPAP, obesity, h/o pericarditis, h/o GIB (gastric ulcer), asthma (on home O2), depression," "Correct entity, wrong SNOMED ID","(3119, 3132)","(3119, 3132)",gastric ulcer,gastric ulcer,397825006,1197714001,12018901-DS-68,"on home CPAP, obesity, h/o pericarditis, h/o GIB (gastric ulcer), asthma (on home O2), depression, nephrolithiasi" "Correct entity, wrong SNOMED ID","(3135, 3141)","(3135, 3141)",asthma,asthma,195967001,281239006,12018901-DS-68,"esity, h/o pericarditis, h/o GIB (gastric ulcer), asthma (on home O2), depression, nephrolithiasis, positi" Missed entity,"(3146, 3153)",,home O2,,426990007,,12018901-DS-68,"pericarditis, h/o GIB (gastric ulcer), asthma (on home O2), depression, nephrolithiasis, positive PPD, anem" "Correct entity, wrong SNOMED ID","(3156, 3166)","(3156, 3166)",depression,depression,35489007,26141007,12018901-DS-68,"is, h/o GIB (gastric ulcer), asthma (on home O2), depression, nephrolithiasis, positive PPD, anemia, dysphagia" "Correct entity, wrong SNOMED ID","(3168, 3183)","(3168, 3183)",nephrolithiasis,nephrolithiasis,95570007,1056501000112102,12018901-DS-68,"(gastric ulcer), asthma (on home O2), depression, nephrolithiasis, positive PPD, anemia, dysphagia, GERD, uterine f" "Correct entity, wrong SNOMED ID","(3185, 3197)","(3185, 3197)",positive PPD,positive PPD,268376005,164987002,12018901-DS-68,"asthma (on home O2), depression, nephrolithiasis, positive PPD, anemia, dysphagia, GERD, uterine fibroids, gout," "Correct entity, wrong SNOMED ID","(3199, 3205)","(3199, 3205)",anemia,anemia,271737000,87522002,12018901-DS-68,"e O2), depression, nephrolithiasis, positive PPD, anemia, dysphagia, GERD, uterine fibroids, gout, low bac" "Correct entity, wrong SNOMED ID","(3207, 3216)","(3207, 3216)",dysphagia,dysphagia,40739000,21101000119105,12018901-DS-68,"epression, nephrolithiasis, positive PPD, anemia, dysphagia, GERD, uterine fibroids, gout, low back pain, nec" "Correct entity, wrong SNOMED ID","(3218, 3222)","(3218, 3222)",GERD,GERD,235595009,717847008,12018901-DS-68,"nephrolithiasis, positive PPD, anemia, dysphagia, GERD, uterine fibroids, gout, low back pain, neck pain" "Correct entity, wrong SNOMED ID","(3242, 3246)","(3242, 3246)",gout,gout,90560007,69896004,12018901-DS-68,"e PPD, anemia, dysphagia, GERD, uterine fibroids, gout, low back pain, neck pain, vitamin D deficiency, " "Correct entity, wrong SNOMED ID","(3248, 3261)","(3248, 3261)",low back pain,low back pain,279039007,278862001,12018901-DS-68," anemia, dysphagia, GERD, uterine fibroids, gout, low back pain, neck pain, vitamin D deficiency, diverticulitis," "Correct entity, wrong SNOMED ID","(3263, 3272)","(3263, 3272)",neck pain,neck pain,81680005,1121000119107,12018901-DS-68,"gia, GERD, uterine fibroids, gout, low back pain, neck pain, vitamin D deficiency, diverticulitis, breast ulc" "Correct entity, wrong SNOMED ID","(3274, 3294)","(3274, 3294)",vitamin D deficiency,vitamin D deficiency,34713006,870299000,12018901-DS-68,"uterine fibroids, gout, low back pain, neck pain, vitamin D deficiency, diverticulitis, breast ulcers, lichen simplex ch" "Correct entity, wrong SNOMED ID","(3296, 3310)","(3296, 3310)",diverticulitis,diverticulitis,307496006,2091005,12018901-DS-68,", low back pain, neck pain, vitamin D deficiency, diverticulitis, breast ulcers, lichen simplex chronicus, pulmona" "Correct entity, wrong SNOMED ID","(3312, 3325)","(3312, 3325)",breast ulcers,breast ulcers,248818003,284217008,12018901-DS-68," neck pain, vitamin D deficiency, diverticulitis, breast ulcers, lichen simplex chronicus, pulmonary nodule, h/o " "Correct entity, wrong SNOMED ID","(3353, 3369)","(3353, 3369)",pulmonary nodule,pulmonary nodule,786838002,427359005,12018901-DS-68,"culitis, breast ulcers, lichen simplex chronicus, pulmonary nodule, h/o pericarditis PSH: TAH, L rotator cuff repai" "Correct entity, wrong SNOMED ID","(3375, 3387)","(3375, 3387)",pericarditis,pericarditis,3238004,70189005,12018901-DS-68,", lichen simplex chronicus, pulmonary nodule, h/o pericarditis PSH: TAH, L rotator cuff repair, back cyst remov" "Correct entity, wrong SNOMED ID","(3394, 3397)","(3394, 3397)",TAH,TAH,116143008,424926009,12018901-DS-68,"ronicus, pulmonary nodule, h/o pericarditis PSH: TAH, L rotator cuff repair, back cyst removal, RUE AV" Boundary error,"(3401, 3420)","(3399, 3420)",rotator cuff repair,L rotator cuff repair,56060000,260940003,12018901-DS-68,", pulmonary nodule, h/o pericarditis PSH: TAH, L rotator cuff repair, back cyst removal, RUE AVF, umbilical hernia rep" Wrong span,"(3422, 3426)","(3422, 3439)",back,back cyst removal,77568009,303237000,12018901-DS-68,"/o pericarditis PSH: TAH, L rotator cuff repair, back cyst removal, RUE AVF, umbilical hernia repair " Wrong span,"(3427, 3431)","(3422, 3439)",cyst,back cyst removal,367643001,303237000,12018901-DS-68,"ricarditis PSH: TAH, L rotator cuff repair, back cyst removal, RUE AVF, umbilical hernia repair Soci" Wrong span,"(3432, 3439)","(3422, 3439)",removal,back cyst removal,118292001,303237000,12018901-DS-68,"ditis PSH: TAH, L rotator cuff repair, back cyst removal, RUE AVF, umbilical hernia repair Social Histo" "Correct entity, wrong SNOMED ID","(3441, 3444)","(3441, 3444)",RUE,RUE,6921000,40522004,12018901-DS-68,"H: TAH, L rotator cuff repair, back cyst removal, RUE AVF, umbilical hernia repair Social History: _" "Correct entity, wrong SNOMED ID","(3445, 3448)","(3445, 3448)",AVF,AVF,439470001,233477006,12018901-DS-68,"AH, L rotator cuff repair, back cyst removal, RUE AVF, umbilical hernia repair Social History: ___ F" "Correct entity, wrong SNOMED ID","(3450, 3473)","(3450, 3473)",umbilical hernia repair,umbilical hernia repair,44946007,771708006,12018901-DS-68," rotator cuff repair, back cyst removal, RUE AVF, umbilical hernia repair Social History: ___ Family History: Mother di" "Correct entity, wrong SNOMED ID","(3530, 3532)","(3530, 3532)",DM,DM,73211009,258671008,12018901-DS-68,"ial History: ___ Family History: Mother died ___ DM. Father died ___ cancer, unknown type. Brother " "Correct entity, wrong SNOMED ID","(3551, 3557)","(3551, 3557)",cancer,cancer,363346000,870711002,12018901-DS-68,"ly History: Mother died ___ DM. Father died ___ cancer, unknown type. Brother died ___ DM. Sister died" "Correct entity, wrong SNOMED ID","(3591, 3593)","(3591, 3593)",DM,DM,73211009,258671008,12018901-DS-68," died ___ cancer, unknown type. Brother died ___ DM. Sister died ___ DM, also had HTN. Physical E" "Correct entity, wrong SNOMED ID","(3612, 3614)","(3612, 3614)",DM,DM,73211009,258671008,12018901-DS-68,"nown type. Brother died ___ DM. Sister died ___ DM, also had HTN. Physical Exam: Admission physic" "Correct entity, wrong SNOMED ID","(3625, 3628)","(3625, 3628)",HTN,HTN,38341003,10725009,12018901-DS-68,"rother died ___ DM. Sister died ___ DM, also had HTN. Physical Exam: Admission physical: PHYSICAL " "Correct entity, wrong SNOMED ID","(3669, 3682)","(3669, 3682)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,12018901-DS-68,"o had HTN. Physical Exam: Admission physical: PHYSICAL EXAM: Vitals: 100.6F, 134/47, 96, 20, 97% 3L, 237 lb" "Correct entity, wrong SNOMED ID","(3686, 3692)","(3686, 3692)",Vitals,Vitals,118227000,260390007,12018901-DS-68,"sical Exam: Admission physical: PHYSICAL EXAM: Vitals: 100.6F, 134/47, 96, 20, 97% 3L, 237 lb General" Missed entity,"(3722, 3724)",,3L,,57485005,,12018901-DS-68,"SICAL EXAM: Vitals: 100.6F, 134/47, 96, 20, 97% 3L, 237 lb General: elderly obese woman in bed in " "Correct entity, wrong SNOMED ID","(3735, 3742)","(3735, 3742)",General,General,162673000,252398009,12018901-DS-68," Vitals: 100.6F, 134/47, 96, 20, 97% 3L, 237 lb General: elderly obese woman in bed in no acute distress " "Correct entity, wrong SNOMED ID","(3752, 3757)","(3752, 3757)",obese,obese,414915002,415530009,12018901-DS-68,"134/47, 96, 20, 97% 3L, 237 lb General: elderly obese woman in bed in no acute distress HEENT: PERRL," Wrong span,"(3774, 3782)","(3774, 3776)",no acute,no,281900007,160552003,12018901-DS-68,", 237 lb General: elderly obese woman in bed in no acute distress HEENT: PERRL, EOMI, normal oropharynx " "Correct entity, wrong SNOMED ID","(3783, 3791)","(3783, 3791)",distress,distress,69328002,271825005,12018901-DS-68," General: elderly obese woman in bed in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: " "Correct entity, wrong SNOMED ID","(3794, 3799)","(3794, 3799)",HEENT,HEENT,5880005,113665002,12018901-DS-68,"elderly obese woman in bed in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: distant " "Correct entity, wrong SNOMED ID","(3801, 3806)","(3801, 3806)",PERRL,PERRL,386666001,431291005,12018901-DS-68," obese woman in bed in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: distant breath " "Correct entity, wrong SNOMED ID","(3808, 3812)","(3808, 3812)",EOMI,EOMI,103251002,67099000,12018901-DS-68,"woman in bed in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: distant breath sounds" Wrong span,"(3821, 3831)","(3814, 3831)",oropharynx,normal oropharynx,31389004,30991000087103,12018901-DS-68,"in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: distant breath sounds, relatively clear " "Correct entity, wrong SNOMED ID","(3834, 3839)","(3834, 3839)",Lungs,Lungs,268925001,74101002,12018901-DS-68,"istress HEENT: PERRL, EOMI, normal oropharynx Lungs: distant breath sounds, relatively clear CV: ir" "Correct entity, wrong SNOMED ID","(3841, 3862)","(3841, 3862)",distant breath sounds,distant breath sounds,58840004,33778004,12018901-DS-68," HEENT: PERRL, EOMI, normal oropharynx Lungs: distant breath sounds, relatively clear CV: irregular rhythm, normal " "Correct entity, wrong SNOMED ID","(3875, 3880)","(3875, 3880)",clear,clear,301288007,281278005,12018901-DS-68,"harynx Lungs: distant breath sounds, relatively clear CV: irregular rhythm, normal rate, normal s1, s" "Correct entity, wrong SNOMED ID","(3883, 3885)","(3883, 3885)",CV,CV,363003006,258773002,12018901-DS-68," Lungs: distant breath sounds, relatively clear CV: irregular rhythm, normal rate, normal s1, s2, no" "Correct entity, wrong SNOMED ID","(3887, 3903)","(3887, 3903)",irregular rhythm,irregular rhythm,361137007,301114007,12018901-DS-68,"gs: distant breath sounds, relatively clear CV: irregular rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: " "Correct entity, wrong SNOMED ID","(3905, 3916)","(3905, 3916)",normal rate,normal rate,76863003,20716004,12018901-DS-68," sounds, relatively clear CV: irregular rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: obese, latera" Wrong span,"(3918, 3931)","(3918, 3927)","normal s1, s2",normal s1,301132007,167242001,12018901-DS-68,"tively clear CV: irregular rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: obese, lateral R inferior ch" "Correct entity, wrong SNOMED ID","(3933, 3941)","(3933, 3941)",no m/r/g,no m/r/g,301132007,315221003,12018901-DS-68,"CV: irregular rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: obese, lateral R inferior chest wall p" "Correct entity, wrong SNOMED ID","(3944, 3951)","(3944, 3951)",Abdomen,Abdomen,225162003,75093004,12018901-DS-68,"ar rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: obese, lateral R inferior chest wall pain to pal" "Correct entity, wrong SNOMED ID","(3953, 3958)","(3953, 3958)",obese,obese,414915002,415530009,12018901-DS-68,", normal rate, normal s1, s2, no m/r/g Abdomen: obese, lateral R inferior chest wall pain to palpation." "Correct entity, wrong SNOMED ID","(3990, 3994)","(3990, 3994)",pain,pain,22253000,102570003,12018901-DS-68,"g Abdomen: obese, lateral R inferior chest wall pain to palpation. Mild tenderness diffusely over abd" "Correct entity, wrong SNOMED ID","(3998, 4007)","(3998, 4007)",palpation,palpation,113011001,51558006,12018901-DS-68,"men: obese, lateral R inferior chest wall pain to palpation. Mild tenderness diffusely over abdomen. No rebo" Missed entity,"(4010, 4014)",,Mild,,162468002,,12018901-DS-68,"lateral R inferior chest wall pain to palpation. Mild tenderness diffusely over abdomen. No rebound, no" "Correct entity, wrong SNOMED ID","(4015, 4025)","(4015, 4025)",tenderness,tenderness,247348008,43478001,12018901-DS-68,"al R inferior chest wall pain to palpation. Mild tenderness diffusely over abdomen. No rebound, normal bowel " "Correct entity, wrong SNOMED ID","(4053, 4060)","(4053, 4060)",rebound,rebound,35611005,844584001,12018901-DS-68,"tion. Mild tenderness diffusely over abdomen. No rebound, normal bowel sounds. No masses. Ext: no edema" "Correct entity, wrong SNOMED ID","(4087, 4093)","(4087, 4093)",masses,masses,271860004,237557003,12018901-DS-68,"ver abdomen. No rebound, normal bowel sounds. No masses. Ext: no edema bilaterally, 2+ pulses Skin: L" "Correct entity, wrong SNOMED ID","(4097, 4100)","(4097, 4100)",Ext,Ext,302773001,1489008,12018901-DS-68,"n. No rebound, normal bowel sounds. No masses. Ext: no edema bilaterally, 2+ pulses Skin: L breast" "Correct entity, wrong SNOMED ID","(4105, 4110)","(4105, 4110)",edema,edema,267038008,102576009,12018901-DS-68,"bound, normal bowel sounds. No masses. Ext: no edema bilaterally, 2+ pulses Skin: L breast w/ 3 cm i" "Correct entity, wrong SNOMED ID","(4124, 4133)","(4124, 4133)",2+ pulses,2+ pulses,40969002,429784004,12018901-DS-68," sounds. No masses. Ext: no edema bilaterally, 2+ pulses Skin: L breast w/ 3 cm irregular wound w/ foul " "Correct entity, wrong SNOMED ID","(4136, 4140)","(4136, 4140)",Skin,Skin,271303006,7748002,12018901-DS-68," masses. Ext: no edema bilaterally, 2+ pulses Skin: L breast w/ 3 cm irregular wound w/ foul smellin" Boundary error,"(4142, 4150)","(4144, 4150)",L breast,breast,80248007,211040008,12018901-DS-68,"s. Ext: no edema bilaterally, 2+ pulses Skin: L breast w/ 3 cm irregular wound w/ foul smelling pus, mi" Wrong span,"(4169, 4174)","(4159, 4174)",wound,irregular wound,262526004,22247000,12018901-DS-68,"lly, 2+ pulses Skin: L breast w/ 3 cm irregular wound w/ foul smelling pus, mildly tender to palpation" Missed entity,"(4178, 4182)",,foul,,447547000,,12018901-DS-68,"ulses Skin: L breast w/ 3 cm irregular wound w/ foul smelling pus, mildly tender to palpation, no sur" "Correct entity, wrong SNOMED ID","(4192, 4195)","(4192, 4195)",pus,pus,225550006,271354006,12018901-DS-68,"L breast w/ 3 cm irregular wound w/ foul smelling pus, mildly tender to palpation, no surrounding eryt" "Correct entity, wrong SNOMED ID","(4205, 4211)","(4205, 4211)",tender,tender,43478001,300821004,12018901-DS-68," cm irregular wound w/ foul smelling pus, mildly tender to palpation, no surrounding erythema or warmth. " "Correct entity, wrong SNOMED ID","(4215, 4224)","(4215, 4224)",palpation,palpation,113011001,51558006,12018901-DS-68,"lar wound w/ foul smelling pus, mildly tender to palpation, no surrounding erythema or warmth. L achilles w" "Correct entity, wrong SNOMED ID","(4241, 4249)","(4241, 4249)",erythema,erythema,247441003,403194002,12018901-DS-68," pus, mildly tender to palpation, no surrounding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound" Boundary error,"(4253, 4257)","(4253, 4259)",warm,warmth,102599008,1371354000,12018901-DS-68,"y tender to palpation, no surrounding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound, foul s" "Correct entity, wrong SNOMED ID","(4264, 4272)","(4264, 4272)",achilles,achilles,699609003,429513001,12018901-DS-68," palpation, no surrounding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound, foul smelling w/ some" "Correct entity, wrong SNOMED ID","(4285, 4299)","(4285, 4299)",surgical wound,surgical wound,112633009,58126003,12018901-DS-68,"nding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound, foul smelling w/ some white fluid, mild-moderat" Missed entity,"(4301, 4305)",,foul,,447547000,,12018901-DS-68,"r warmth. L achilles w/ 4 x 1 cm surgical wound, foul smelling w/ some white fluid, mild-moderate tend" Wrong span,"(4330, 4335)","(4323, 4335)",fluid,"white fluid",239164002,167881006,12018901-DS-68,"1 cm surgical wound, foul smelling w/ some white fluid, mild-moderate tenderness, no surrounding erythem" Missed entity,"(4337, 4341)",,mild,,162468002,,12018901-DS-68,"rgical wound, foul smelling w/ some white fluid, mild-moderate tenderness, no surrounding erythema or " Missed entity,"(4342, 4350)",,moderate,,162469005,,12018901-DS-68,"l wound, foul smelling w/ some white fluid, mild-moderate tenderness, no surrounding erythema or warmth. " "Correct entity, wrong SNOMED ID","(4351, 4361)","(4351, 4361)",tenderness,tenderness,247348008,43478001,12018901-DS-68,"foul smelling w/ some white fluid, mild-moderate tenderness, no surrounding erythema or warmth. Neuro: A&O" "Correct entity, wrong SNOMED ID","(4378, 4386)","(4378, 4386)",erythema,erythema,247441003,403194002,12018901-DS-68," fluid, mild-moderate tenderness, no surrounding erythema or warmth. Neuro: A&O x name, BI ___ floor, __" Boundary error,"(4391, 4395)","(4391, 4397)",warm,warmth,102599008,1371354000,12018901-DS-68,"-moderate tenderness, no surrounding erythema or warmth. Neuro: A&O x name, BI ___ floor, ___ (not da" "Correct entity, wrong SNOMED ID","(4401, 4406)","(4401, 4406)",Neuro,Neuro,84728005,281247006,12018901-DS-68,"tenderness, no surrounding erythema or warmth. Neuro: A&O x name, BI ___ floor, ___ (not date), spelle" Missed entity,"(4410, 4418)",,O x name,,427645006,,12018901-DS-68,"s, no surrounding erythema or warmth. Neuro: A&O x name, BI ___ floor, ___ (not date), spelled world for" Wrong span,"(4489, 4495)","(4489, 4492)",CN2-12,CN2,25238003,278077005,12018901-DS-68,"not date), spelled world forwards and backwards. CN2-12 intact. No focal deficits. Discharge physical" Missed entity,"(4496, 4502)",,intact,,281900007,,12018901-DS-68,"e), spelled world forwards and backwards. CN2-12 intact. No focal deficits. Discharge physical: Gener" Missed entity,"(4504, 4521)",,No focal deficits,,18460000,,12018901-DS-68,"led world forwards and backwards. CN2-12 intact. No focal deficits. Discharge physical: General: elderly obese w" "Correct entity, wrong SNOMED ID","(4547, 4554)","(4547, 4554)",General,General,162673000,252398009,12018901-DS-68,"ntact. No focal deficits. Discharge physical: General: elderly obese woman sitting on chair with legs r" "Correct entity, wrong SNOMED ID","(4564, 4569)","(4564, 4569)",obese,obese,414915002,415530009,12018901-DS-68,"eficits. Discharge physical: General: elderly obese woman sitting on chair with legs raised on stool" "Correct entity, wrong SNOMED ID","(4576, 4583)","(4576, 4583)",sitting,sitting,33586001,282969008,12018901-DS-68," Discharge physical: General: elderly obese woman sitting on chair with legs raised on stool. in no acute " "Correct entity, wrong SNOMED ID","(4598, 4602)","(4598, 4602)",legs,legs,61685007,40927001,12018901-DS-68,"eneral: elderly obese woman sitting on chair with legs raised on stool. in no acute distress HEENT: P" Missed entity,"(4624, 4632)",,no acute,,281900007,,12018901-DS-68,"n sitting on chair with legs raised on stool. in no acute distress HEENT: PERRL, EOMI, normal oropharynx " "Correct entity, wrong SNOMED ID","(4633, 4641)","(4633, 4641)",distress,distress,69328002,271825005,12018901-DS-68," on chair with legs raised on stool. in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: " "Correct entity, wrong SNOMED ID","(4644, 4649)","(4644, 4649)",HEENT,HEENT,5880005,113665002,12018901-DS-68,"ith legs raised on stool. in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: clear to" "Correct entity, wrong SNOMED ID","(4651, 4656)","(4651, 4656)",PERRL,PERRL,386666001,431291005,12018901-DS-68,"s raised on stool. in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: clear to auscul" "Correct entity, wrong SNOMED ID","(4658, 4662)","(4658, 4662)",EOMI,EOMI,103251002,67099000,12018901-DS-68,"d on stool. in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: clear to auscultation" "Correct entity, wrong SNOMED ID","(4664, 4681)","(4664, 4681)",normal oropharynx,normal oropharynx,300280008,30991000087103,12018901-DS-68,"stool. in no acute distress HEENT: PERRL, EOMI, normal oropharynx Lungs: clear to auscultation CV: irregular rhyt" "Correct entity, wrong SNOMED ID","(4684, 4689)","(4684, 4689)",Lungs,Lungs,268925001,74101002,12018901-DS-68,"istress HEENT: PERRL, EOMI, normal oropharynx Lungs: clear to auscultation CV: irregular rhythm, norm" "Correct entity, wrong SNOMED ID","(4713, 4715)","(4713, 4715)",CV,CV,363003006,258773002,12018901-DS-68," normal oropharynx Lungs: clear to auscultation CV: irregular rhythm, normal rate, normal s1, s2, no" "Correct entity, wrong SNOMED ID","(4717, 4733)","(4717, 4733)",irregular rhythm,irregular rhythm,361137007,301114007,12018901-DS-68,"mal oropharynx Lungs: clear to auscultation CV: irregular rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: " "Correct entity, wrong SNOMED ID","(4735, 4746)","(4735, 4746)",normal rate,normal rate,76863003,20716004,12018901-DS-68,"ungs: clear to auscultation CV: irregular rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: obese, soft a" Wrong span,"(4748, 4761)","(4748, 4757)","normal s1, s2",normal s1,301132007,167242001,12018901-DS-68,"o auscultation CV: irregular rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: obese, soft and non-tender. " "Correct entity, wrong SNOMED ID","(4763, 4771)","(4763, 4771)",no m/r/g,no m/r/g,301132007,315221003,12018901-DS-68,"CV: irregular rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: obese, soft and non-tender. No rebound" "Correct entity, wrong SNOMED ID","(4774, 4781)","(4774, 4781)",Abdomen,Abdomen,225162003,41931001,12018901-DS-68,"ar rhythm, normal rate, normal s1, s2, no m/r/g Abdomen: obese, soft and non-tender. No rebound, normal b" "Correct entity, wrong SNOMED ID","(4783, 4788)","(4783, 4788)",obese,obese,414915002,415530009,12018901-DS-68,", normal rate, normal s1, s2, no m/r/g Abdomen: obese, soft and non-tender. No rebound, normal bowel s" "Correct entity, wrong SNOMED ID","(4799, 4809)","(4799, 4809)",non-tender,non-tender,43478001,298741000,12018901-DS-68,"ormal s1, s2, no m/r/g Abdomen: obese, soft and non-tender. No rebound, normal bowel sounds. No masses. E" "Correct entity, wrong SNOMED ID","(4814, 4821)","(4814, 4821)",rebound,rebound,35611005,844584001,12018901-DS-68,"o m/r/g Abdomen: obese, soft and non-tender. No rebound, normal bowel sounds. No masses. Ext: no edema" "Correct entity, wrong SNOMED ID","(4848, 4854)","(4848, 4854)",masses,masses,271860004,237557003,12018901-DS-68," non-tender. No rebound, normal bowel sounds. No masses. Ext: no edema bilaterally, 2+ pulses Skin: L" "Correct entity, wrong SNOMED ID","(4858, 4861)","(4858, 4861)",Ext,Ext,302773001,1489008,12018901-DS-68,"r. No rebound, normal bowel sounds. No masses. Ext: no edema bilaterally, 2+ pulses Skin: L breast" "Correct entity, wrong SNOMED ID","(4866, 4871)","(4866, 4871)",edema,edema,267038008,102576009,12018901-DS-68,"bound, normal bowel sounds. No masses. Ext: no edema bilaterally, 2+ pulses Skin: L breast w/ 3 cm i" "Correct entity, wrong SNOMED ID","(4885, 4894)","(4885, 4894)",2+ pulses,2+ pulses,40969002,429784004,12018901-DS-68," sounds. No masses. Ext: no edema bilaterally, 2+ pulses Skin: L breast w/ 3 cm irregular wound w/ foul " "Correct entity, wrong SNOMED ID","(4897, 4901)","(4897, 4901)",Skin,Skin,271303006,7748002,12018901-DS-68," masses. Ext: no edema bilaterally, 2+ pulses Skin: L breast w/ 3 cm irregular wound w/ foul smellin" Wrong span,"(4903, 4911)","(4903, 4904)",L breast,L,80248007,420296000,12018901-DS-68,"s. Ext: no edema bilaterally, 2+ pulses Skin: L breast w/ 3 cm irregular wound w/ foul smelling pus, mi" Wrong span,"(4930, 4935)","(4920, 4935)",wound,irregular wound,262526004,22247000,12018901-DS-68,"lly, 2+ pulses Skin: L breast w/ 3 cm irregular wound w/ foul smelling pus, mildly tender to palpation" Missed entity,"(4939, 4943)",,foul,,447547000,,12018901-DS-68,"ulses Skin: L breast w/ 3 cm irregular wound w/ foul smelling pus, mildly tender to palpation, no sur" "Correct entity, wrong SNOMED ID","(4953, 4956)","(4953, 4956)",pus,pus,225550006,271354006,12018901-DS-68,"L breast w/ 3 cm irregular wound w/ foul smelling pus, mildly tender to palpation, no surrounding eryt" Wrong span,"(4966, 4985)","(4966, 4972)",tender to palpation,tender,247348008,300821004,12018901-DS-68," cm irregular wound w/ foul smelling pus, mildly tender to palpation, no surrounding erythema or warmth. L achilles w" "Correct entity, wrong SNOMED ID","(5002, 5010)","(5002, 5010)",erythema,erythema,444827008,403194002,12018901-DS-68," pus, mildly tender to palpation, no surrounding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound" "Correct entity, wrong SNOMED ID","(5014, 5020)","(5014, 5020)",warmth,warmth,102599008,1371354000,12018901-DS-68,"y tender to palpation, no surrounding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound, foul sme" "Correct entity, wrong SNOMED ID","(5025, 5033)","(5025, 5033)",achilles,achilles,699609003,429513001,12018901-DS-68," palpation, no surrounding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound, foul smelling w/ some" "Correct entity, wrong SNOMED ID","(5046, 5060)","(5046, 5060)",surgical wound,surgical wound,112633009,58126003,12018901-DS-68,"nding erythema or warmth. L achilles w/ 4 x 1 cm surgical wound, foul smelling w/ some white fluid, mild-moderat" Missed entity,"(5062, 5066)",,foul,,447547000,,12018901-DS-68,"r warmth. L achilles w/ 4 x 1 cm surgical wound, foul smelling w/ some white fluid, mild-moderate tend" Wrong span,"(5091, 5096)","(5084, 5096)",fluid,"white fluid",239164002,167881006,12018901-DS-68,"1 cm surgical wound, foul smelling w/ some white fluid, mild-moderate tenderness, no surrounding erythem" Missed entity,"(5098, 5102)",,mild,,162468002,,12018901-DS-68,"rgical wound, foul smelling w/ some white fluid, mild-moderate tenderness, no surrounding erythema or " Missed entity,"(5103, 5111)",,moderate,,162469005,,12018901-DS-68,"l wound, foul smelling w/ some white fluid, mild-moderate tenderness, no surrounding erythema or warmth. " "Correct entity, wrong SNOMED ID","(5112, 5122)","(5112, 5122)",tenderness,tenderness,247348008,43478001,12018901-DS-68,"foul smelling w/ some white fluid, mild-moderate tenderness, no surrounding erythema or warmth. Neuro: A&O" "Correct entity, wrong SNOMED ID","(5139, 5147)","(5139, 5147)",erythema,erythema,444827008,403194002,12018901-DS-68," fluid, mild-moderate tenderness, no surrounding erythema or warmth. Neuro: A&O x 3 Pertinent Resul" "Correct entity, wrong SNOMED ID","(5152, 5158)","(5152, 5158)",warmth,warmth,102599008,1371354000,12018901-DS-68,"-moderate tenderness, no surrounding erythema or warmth. Neuro: A&O x 3 Pertinent Results: Admissi" "Correct entity, wrong SNOMED ID","(5162, 5167)","(5162, 5167)",Neuro,Neuro,84728005,281247006,12018901-DS-68,"tenderness, no surrounding erythema or warmth. Neuro: A&O x 3 Pertinent Results: Admission labs: " Wrong span,"(5171, 5176)","(5171, 5172)",O x 3,O,426224004,257993002,12018901-DS-68,"s, no surrounding erythema or warmth. Neuro: A&O x 3 Pertinent Results: Admission labs: ___ 03:0" "Correct entity, wrong SNOMED ID","(5236, 5239)","(5236, 5239)",WBC,WBC,767002,391558003,12018901-DS-68,"inent Results: Admission labs: ___ 03:00PM BLOOD WBC-13.5* RBC-2.69* Hgb-9.0* Hct-29.2* MCV-109* MCH-" "Correct entity, wrong SNOMED ID","(5246, 5249)","(5246, 5249)",RBC,RBC,14089001,258759006,12018901-DS-68,"lts: Admission labs: ___ 03:00PM BLOOD WBC-13.5* RBC-2.69* Hgb-9.0* Hct-29.2* MCV-109* MCH-33.5* MCHC" "Correct entity, wrong SNOMED ID","(5256, 5259)","(5256, 5259)",Hgb,Hgb,441689006,104142005,12018901-DS-68,"sion labs: ___ 03:00PM BLOOD WBC-13.5* RBC-2.69* Hgb-9.0* Hct-29.2* MCV-109* MCH-33.5* MCHC-30.8* RDW" "Correct entity, wrong SNOMED ID","(5265, 5268)","(5265, 5268)",Hct,Hct,28317006,282660005,12018901-DS-68,": ___ 03:00PM BLOOD WBC-13.5* RBC-2.69* Hgb-9.0* Hct-29.2* MCV-109* MCH-33.5* MCHC-30.8* RDW-18.1* Pl" Missed entity,"(5276, 5279)",,MCV,,104133003,,12018901-DS-68,"0PM BLOOD WBC-13.5* RBC-2.69* Hgb-9.0* Hct-29.2* MCV-109* MCH-33.5* MCHC-30.8* RDW-18.1* Plt ___ ___ 0" "Correct entity, wrong SNOMED ID","(5295, 5299)","(5295, 5299)",MCHC,MCHC,37254006,735147002,12018901-DS-68," RBC-2.69* Hgb-9.0* Hct-29.2* MCV-109* MCH-33.5* MCHC-30.8* RDW-18.1* Plt ___ ___ 03:00PM BLOOD Neuts-8" Missed entity,"(5316, 5319)",,Plt,,61928009,,12018901-DS-68,"ct-29.2* MCV-109* MCH-33.5* MCHC-30.8* RDW-18.1* Plt ___ ___ 03:00PM BLOOD Neuts-86.8* Lymphs-8.4* Mon" "Correct entity, wrong SNOMED ID","(5342, 5347)","(5342, 5347)",Neuts,Neuts,30630007,271035003,12018901-DS-68,"5* MCHC-30.8* RDW-18.1* Plt ___ ___ 03:00PM BLOOD Neuts-86.8* Lymphs-8.4* Monos-4.4 Eos-0.3 Baso-0.2 ___" "Correct entity, wrong SNOMED ID","(5354, 5360)","(5354, 5360)",Lymphs,Lymphs,74765001,79709007,12018901-DS-68,"* RDW-18.1* Plt ___ ___ 03:00PM BLOOD Neuts-86.8* Lymphs-8.4* Monos-4.4 Eos-0.3 Baso-0.2 ___ 03:00PM BLOO" "Correct entity, wrong SNOMED ID","(5366, 5371)","(5366, 5371)",Monos,Monos,67776007,462791000124108,12018901-DS-68,"Plt ___ ___ 03:00PM BLOOD Neuts-86.8* Lymphs-8.4* Monos-4.4 Eos-0.3 Baso-0.2 ___ 03:00PM BLOOD Plt ___ _" "Correct entity, wrong SNOMED ID","(5376, 5379)","(5376, 5379)",Eos,Eos,71960002,67099000,12018901-DS-68,"_ 03:00PM BLOOD Neuts-86.8* Lymphs-8.4* Monos-4.4 Eos-0.3 Baso-0.2 ___ 03:00PM BLOOD Plt ___ ___ 06:45" "Correct entity, wrong SNOMED ID","(5385, 5389)","(5385, 5389)",Baso,Baso,42351005,700051010000106,12018901-DS-68," BLOOD Neuts-86.8* Lymphs-8.4* Monos-4.4 Eos-0.3 Baso-0.2 ___ 03:00PM BLOOD Plt ___ ___ 06:45AM BLOOD E" "Correct entity, wrong SNOMED ID","(5465, 5472)","(5465, 5472)",Glucose,Glucose,33747003,72191006,12018901-DS-68," ___ ___ 06:45AM BLOOD ESR-131* ___ 03:00PM BLOOD Glucose-186* UreaN-17 Creat-5.3*# Na-136 K-7.2* Cl-93* H" "Correct entity, wrong SNOMED ID","(5478, 5483)","(5478, 5483)",UreaN,UreaN,105011006,111108008,12018901-DS-68,"5AM BLOOD ESR-131* ___ 03:00PM BLOOD Glucose-186* UreaN-17 Creat-5.3*# Na-136 K-7.2* Cl-93* HCO3-26 AnGa" "Correct entity, wrong SNOMED ID","(5487, 5492)","(5487, 5492)",Creat,Creat,70901006,413856009,12018901-DS-68," ESR-131* ___ 03:00PM BLOOD Glucose-186* UreaN-17 Creat-5.3*# Na-136 K-7.2* Cl-93* HCO3-26 AnGap-24* ___" "Correct entity, wrong SNOMED ID","(5499, 5501)","(5499, 5501)",Na,Na,312469006,257992007,12018901-DS-68,"_ 03:00PM BLOOD Glucose-186* UreaN-17 Creat-5.3*# Na-136 K-7.2* Cl-93* HCO3-26 AnGap-24* ___ 05:00PM " Missed entity,"(5507, 5508)",,K,,312468003,,12018901-DS-68,"M BLOOD Glucose-186* UreaN-17 Creat-5.3*# Na-136 K-7.2* Cl-93* HCO3-26 AnGap-24* ___ 05:00PM BLOOD G" "Correct entity, wrong SNOMED ID","(5514, 5516)","(5514, 5516)",Cl,Cl,104589004,311741002,12018901-DS-68," Glucose-186* UreaN-17 Creat-5.3*# Na-136 K-7.2* Cl-93* HCO3-26 AnGap-24* ___ 05:00PM BLOOD Glucose-1" "Correct entity, wrong SNOMED ID","(5521, 5525)","(5521, 5525)",HCO3,HCO3,312471006,88645003,12018901-DS-68,"e-186* UreaN-17 Creat-5.3*# Na-136 K-7.2* Cl-93* HCO3-26 AnGap-24* ___ 05:00PM BLOOD Glucose-173* UreaN" "Correct entity, wrong SNOMED ID","(5529, 5534)","(5529, 5534)",AnGap,AnGap,25469001,124504004,12018901-DS-68,"reaN-17 Creat-5.3*# Na-136 K-7.2* Cl-93* HCO3-26 AnGap-24* ___ 05:00PM BLOOD Glucose-173* UreaN-17 Creat" "Correct entity, wrong SNOMED ID","(5557, 5564)","(5557, 5564)",Glucose,Glucose,33747003,72191006,12018901-DS-68,"K-7.2* Cl-93* HCO3-26 AnGap-24* ___ 05:00PM BLOOD Glucose-173* UreaN-17 Creat-5.4* Na-141 K-4.7 Cl-92* HCO" "Correct entity, wrong SNOMED ID","(5570, 5575)","(5570, 5575)",UreaN,UreaN,105011006,111108008,12018901-DS-68," HCO3-26 AnGap-24* ___ 05:00PM BLOOD Glucose-173* UreaN-17 Creat-5.4* Na-141 K-4.7 Cl-92* HCO3-28 AnGap-" "Correct entity, wrong SNOMED ID","(5579, 5584)","(5579, 5584)",Creat,Creat,70901006,413856009,12018901-DS-68,"AnGap-24* ___ 05:00PM BLOOD Glucose-173* UreaN-17 Creat-5.4* Na-141 K-4.7 Cl-92* HCO3-28 AnGap-26* ___ 0" "Correct entity, wrong SNOMED ID","(5590, 5592)","(5590, 5592)",Na,Na,312469006,257992007,12018901-DS-68,"__ 05:00PM BLOOD Glucose-173* UreaN-17 Creat-5.4* Na-141 K-4.7 Cl-92* HCO3-28 AnGap-26* ___ 03:00PM B" Missed entity,"(5598, 5599)",,K,,312468003,,12018901-DS-68,"PM BLOOD Glucose-173* UreaN-17 Creat-5.4* Na-141 K-4.7 Cl-92* HCO3-28 AnGap-26* ___ 03:00PM BLOOD AL" "Correct entity, wrong SNOMED ID","(5604, 5606)","(5604, 5606)",Cl,Cl,104589004,311741002,12018901-DS-68,"OD Glucose-173* UreaN-17 Creat-5.4* Na-141 K-4.7 Cl-92* HCO3-28 AnGap-26* ___ 03:00PM BLOOD ALT-20 AS" "Correct entity, wrong SNOMED ID","(5611, 5615)","(5611, 5615)",HCO3,HCO3,312471006,88645003,12018901-DS-68,"ose-173* UreaN-17 Creat-5.4* Na-141 K-4.7 Cl-92* HCO3-28 AnGap-26* ___ 03:00PM BLOOD ALT-20 AST-87* Alk" "Correct entity, wrong SNOMED ID","(5619, 5624)","(5619, 5624)",AnGap,AnGap,25469001,124504004,12018901-DS-68," UreaN-17 Creat-5.4* Na-141 K-4.7 Cl-92* HCO3-28 AnGap-26* ___ 03:00PM BLOOD ALT-20 AST-87* AlkPhos-120*" "Correct entity, wrong SNOMED ID","(5647, 5650)","(5647, 5650)",ALT,ALT,34608000,56935002,12018901-DS-68," K-4.7 Cl-92* HCO3-28 AnGap-26* ___ 03:00PM BLOOD ALT-20 AST-87* AlkPhos-120* TotBili-0.6 ___ 03:00PM B" "Correct entity, wrong SNOMED ID","(5654, 5657)","(5654, 5657)",AST,AST,45896001,85043005,12018901-DS-68,"Cl-92* HCO3-28 AnGap-26* ___ 03:00PM BLOOD ALT-20 AST-87* AlkPhos-120* TotBili-0.6 ___ 03:00PM BLOOD Li" "Correct entity, wrong SNOMED ID","(5662, 5669)","(5662, 5669)",AlkPhos,AlkPhos,88810008,30703008,12018901-DS-68,"CO3-28 AnGap-26* ___ 03:00PM BLOOD ALT-20 AST-87* AlkPhos-120* TotBili-0.6 ___ 03:00PM BLOOD Lipase-17 ___ " "Correct entity, wrong SNOMED ID","(5675, 5682)","(5675, 5682)",TotBili,TotBili,359986008,19754005,12018901-DS-68,"26* ___ 03:00PM BLOOD ALT-20 AST-87* AlkPhos-120* TotBili-0.6 ___ 03:00PM BLOOD Lipase-17 ___ 03:00PM BLOOD" Missed entity,"(5705, 5711)",,Lipase,,104988000,,12018901-DS-68,"ST-87* AlkPhos-120* TotBili-0.6 ___ 03:00PM BLOOD Lipase-17 ___ 03:00PM BLOOD Albumin-3.4* ___ 05:00PM BLO" "Correct entity, wrong SNOMED ID","(5733, 5740)","(5733, 5740)",Albumin,Albumin,26758005,102688002,12018901-DS-68,"0.6 ___ 03:00PM BLOOD Lipase-17 ___ 03:00PM BLOOD Albumin-3.4* ___ 05:00PM BLOOD Calcium-10.0 Phos-2.1* Mg-" "Correct entity, wrong SNOMED ID","(5764, 5771)","(5764, 5771)",Calcium,Calcium,312472004,108601004,12018901-DS-68," ___ 03:00PM BLOOD Albumin-3.4* ___ 05:00PM BLOOD Calcium-10.0 Phos-2.1* Mg-1.5* ___ 05:00PM BLOOD CRP-74.7" "Correct entity, wrong SNOMED ID","(5777, 5781)","(5777, 5781)",Phos,Phos,104868000,168075002,12018901-DS-68,"BLOOD Albumin-3.4* ___ 05:00PM BLOOD Calcium-10.0 Phos-2.1* Mg-1.5* ___ 05:00PM BLOOD CRP-74.7* ___ 06:4" "Correct entity, wrong SNOMED ID","(5787, 5789)","(5787, 5789)",Mg,Mg,271285000,258684004,12018901-DS-68,"min-3.4* ___ 05:00PM BLOOD Calcium-10.0 Phos-2.1* Mg-1.5* ___ 05:00PM BLOOD CRP-74.7* ___ 06:45AM BLOO" Missed entity,"(5813, 5816)",,CRP,,55235003,,12018901-DS-68," Calcium-10.0 Phos-2.1* Mg-1.5* ___ 05:00PM BLOOD CRP-74.7* ___ 06:45AM BLOOD CRP-201.6* ___ 05:08PM BL" Boundary error,"(5841, 5844)","(5843, 5844)",CRP,P,55235003,421542006,12018901-DS-68,".5* ___ 05:00PM BLOOD CRP-74.7* ___ 06:45AM BLOOD CRP-201.6* ___ 05:08PM BLOOD ___ pO2-44* pCO2-58* pH-" Missed entity,"(5874, 5877)",,pO2,,250546000,,12018901-DS-68,"__ 06:45AM BLOOD CRP-201.6* ___ 05:08PM BLOOD ___ pO2-44* pCO2-58* pH-7.36 calTCO2-34* Base XS-4 ___ 0" Missed entity,"(5882, 5886)",,pCO2,,250564007,,12018901-DS-68,"AM BLOOD CRP-201.6* ___ 05:08PM BLOOD ___ pO2-44* pCO2-58* pH-7.36 calTCO2-34* Base XS-4 ___ 03:17PM BL" "Correct entity, wrong SNOMED ID","(5891, 5893)","(5891, 5893)",pH,pH,81065003,264912003,12018901-DS-68,"CRP-201.6* ___ 05:08PM BLOOD ___ pO2-44* pCO2-58* pH-7.36 calTCO2-34* Base XS-4 ___ 03:17PM BLOOD Lac" Missed entity,"(5900, 5907)",,calTCO2,,391396001,,12018901-DS-68,"* ___ 05:08PM BLOOD ___ pO2-44* pCO2-58* pH-7.36 calTCO2-34* Base XS-4 ___ 03:17PM BLOOD Lactate-1.8 K-4.7" Missed entity,"(5912, 5919)",,Base XS,,67487000,,12018901-DS-68,"M BLOOD ___ pO2-44* pCO2-58* pH-7.36 calTCO2-34* Base XS-4 ___ 03:17PM BLOOD Lactate-1.8 K-4.7 ___ 05:08PM" Missed entity,"(5940, 5947)",,Lactate,,3926003,,12018901-DS-68," pH-7.36 calTCO2-34* Base XS-4 ___ 03:17PM BLOOD Lactate-1.8 K-4.7 ___ 05:08PM BLOOD K-4.6 Discharge labs" Missed entity,"(5952, 5953)",,K,,312468003,,12018901-DS-68,"lTCO2-34* Base XS-4 ___ 03:17PM BLOOD Lactate-1.8 K-4.7 ___ 05:08PM BLOOD K-4.6 Discharge labs and s" Missed entity,"(5976, 5977)",,K,,312468003,,12018901-DS-68,"03:17PM BLOOD Lactate-1.8 K-4.7 ___ 05:08PM BLOOD K-4.6 Discharge labs and studies: Imaging studies" "Correct entity, wrong SNOMED ID","(6034, 6039)","(6034, 6039)",Liver,Liver,105377009,80515008,12018901-DS-68,"ischarge labs and studies: Imaging studies: ___ Liver/gallbladder US IMPRESSION: Cholelithiasis. ___ " "Correct entity, wrong SNOMED ID","(6068, 6082)","(6068, 6082)",Cholelithiasis,Cholelithiasis,266474003,407637009,12018901-DS-68,"g studies: ___ Liver/gallbladder US IMPRESSION: Cholelithiasis. ___ CXR IMPRESSION: Limited study due to bo" Missed entity,"(6117, 6122)",,study,,386053000,,12018901-DS-68," Cholelithiasis. ___ CXR IMPRESSION: Limited study due to body habitus, however there is no signifi" Missed entity,"(6161, 6192)",,"no significant interval change",,162498009,,12018901-DS-68,"mited study due to body habitus, however there is no significant interval change in the diffuse bilateral pulmonary edema. The s" Wrong span,"(6208, 6227)","(6218, 6233)",bilateral pulmonary,pulmonary edema,74101002,40541001,12018901-DS-68,"is no significant interval change in the diffuse bilateral pulmonary edema. The study and the report were reviewed b" Wrong span,"(6228, 6233)","(6218, 6233)",edema,pulmonary edema,19242006,40541001,12018901-DS-68,"nterval change in the diffuse bilateral pulmonary edema. The study and the report were reviewed by the " "Correct entity, wrong SNOMED ID","(6341, 6349)","(6341, 6349)",thrombus,thrombus,396339007,373140001,12018901-DS-68,"diologist. ___ ECHO IMPRESSION: No intracardiac thrombus identified (better excluded by TEE). ___ KUB IM" "Correct entity, wrong SNOMED ID","(6382, 6385)","(6382, 6385)",TEE,TEE,105376000,783261004,12018901-DS-68,"acardiac thrombus identified (better excluded by TEE). ___ KUB IMPRESSION: Focal loops of small bow" "Correct entity, wrong SNOMED ID","(6393, 6396)","(6393, 6396)",KUB,KUB,31911002,469341000124107,12018901-DS-68,"rombus identified (better excluded by TEE). ___ KUB IMPRESSION: Focal loops of small bowel which ar" "Correct entity, wrong SNOMED ID","(6426, 6437)","(6426, 6437)",small bowel,small bowel,30315005,174005007,12018901-DS-68,"d by TEE). ___ KUB IMPRESSION: Focal loops of small bowel which are stacked and dilated in the left lower " "Correct entity, wrong SNOMED ID","(6460, 6467)","(6460, 6467)",dilated,dilated,86247009,37125009,12018901-DS-68," Focal loops of small bowel which are stacked and dilated in the left lower quadrant. This is concerning " "Correct entity, wrong SNOMED ID","(6476, 6495)","(6476, 6495)","left lower quadrant","left lower quadrant",68505006,255480002,12018901-DS-68,"small bowel which are stacked and dilated in the left lower quadrant. This is concerning for a partial obstruction gi" Wrong span,"(6523, 6542)","(6523, 6530)",partial obstruction,partial,429196001,55322005,12018901-DS-68,"e left lower quadrant. This is concerning for a partial obstruction given the fact that there is air within the colo" "Correct entity, wrong SNOMED ID","(6588, 6593)","(6588, 6593)",colon,colon,71854001,269533000,12018901-DS-68,"tion given the fact that there is air within the colon as well. Findings discussed with ___ upon revie" Missed entity,"(6653, 6658)",,study,,386053000,,12018901-DS-68," Findings discussed with ___ upon review of the study at 2:10 AM via ___ ___ CT abdomen w/contrast I" Wrong span,"(6685, 6706)","(6685, 6698)",CT abdomen w/contrast,CT abdomen w/,32962002,32962002,12018901-DS-68,"on review of the study at 2:10 AM via ___ ___ CT abdomen w/contrast IMPRESSION: Partial small bowel obstruction with" Wrong span,"(6720, 6751)","(6728, 6751)",Partial small bowel obstruction,small bowel obstruction,429196001,429196001,12018901-DS-68,"via ___ ___ CT abdomen w/contrast IMPRESSION: Partial small bowel obstruction with the transition occurring over a long segmen" "Correct entity, wrong SNOMED ID","(6806, 6815)","(6806, 6815)",hyperemic,hyperemic,37727007,723238007,12018901-DS-68," the transition occurring over a long segment of hyperemic and thickened small bowel with adjacent mesenter" Wrong span,"(6820, 6829)","(6820, 6841)",thickened,thickened small bowel,89977008,721668003,12018901-DS-68,"n occurring over a long segment of hyperemic and thickened small bowel with adjacent mesenteric edema and f" Wrong span,"(6830, 6841)","(6820, 6841)",small bowel,thickened small bowel,30315005,721668003,12018901-DS-68,"g over a long segment of hyperemic and thickened small bowel with adjacent mesenteric edema and fluid. These " "Correct entity, wrong SNOMED ID","(6857, 6867)","(6857, 6867)",mesenteric,mesenteric,89679009,26278003,12018901-DS-68,"yperemic and thickened small bowel with adjacent mesenteric edema and fluid. These findings are concerning fo" "Correct entity, wrong SNOMED ID","(6868, 6873)","(6868, 6873)",edema,edema,267038008,102576009,12018901-DS-68,"d thickened small bowel with adjacent mesenteric edema and fluid. These findings are concerning for a fo" "Correct entity, wrong SNOMED ID","(6878, 6883)","(6878, 6883)",fluid,fluid,17672001,109192009,12018901-DS-68,"d small bowel with adjacent mesenteric edema and fluid. These findings are concerning for a focal area o" "Correct entity, wrong SNOMED ID","(6936, 6944)","(6936, 6944)",ischemia,ischemia,52674009,414795007,12018901-DS-68,"hese findings are concerning for a focal area of ischemia versus infection. Other considerations would be a" "Correct entity, wrong SNOMED ID","(6952, 6961)","(6952, 6961)",infection,infection,40733004,260976002,12018901-DS-68,"e concerning for a focal area of ischemia versus infection. Other considerations would be an adhesion from w" "Correct entity, wrong SNOMED ID","(6996, 7004)","(6996, 7004)",adhesion,adhesion,307198001,246179006,12018901-DS-68,"ersus infection. Other considerations would be an adhesion from which the bowel recently ""untwisted"". Given" "Correct entity, wrong SNOMED ID","(7021, 7026)","(7021, 7026)",bowel,bowel,113276009,30315005,12018901-DS-68,"nsiderations would be an adhesion from which the bowel recently ""untwisted"". Given the patient's signifi" Wrong span,"(7091, 7114)","(7081, 7114)","atherosclerotic disease","arterial atherosclerotic disease",38716007,724441006,12018901-DS-68,"isted"". Given the patient's significant arterial atherosclerotic disease and enlarged heart, ischemia is a primary concern" "Correct entity, wrong SNOMED ID","(7119, 7133)","(7119, 7133)",enlarged heart,enlarged heart,8186001,373126002,12018901-DS-68,"significant arterial atherosclerotic disease and enlarged heart, ischemia is a primary concern. ___ 08:10AM " "Correct entity, wrong SNOMED ID","(7135, 7143)","(7135, 7143)",ischemia,ischemia,52674009,414795007,12018901-DS-68,"rial atherosclerotic disease and enlarged heart, ischemia is a primary concern. ___ 08:10AM BLOOD WBC-" "Correct entity, wrong SNOMED ID","(7189, 7192)","(7189, 7192)",WBC,WBC,767002,391558003,12018901-DS-68,"emia is a primary concern. ___ 08:10AM BLOOD WBC-8.9 RBC-2.40* Hgb-8.1* Hct-25.9* MCV-108* MCH-33" "Correct entity, wrong SNOMED ID","(7197, 7200)","(7197, 7200)",RBC,RBC,14089001,258759006,12018901-DS-68,"a primary concern. ___ 08:10AM BLOOD WBC-8.9 RBC-2.40* Hgb-8.1* Hct-25.9* MCV-108* MCH-33.6* MCHC" "Correct entity, wrong SNOMED ID","(7207, 7210)","(7207, 7210)",Hgb,Hgb,441689006,104142005,12018901-DS-68,"concern. ___ 08:10AM BLOOD WBC-8.9 RBC-2.40* Hgb-8.1* Hct-25.9* MCV-108* MCH-33.6* MCHC-31.2 RDW-" "Correct entity, wrong SNOMED ID","(7216, 7219)","(7216, 7219)",Hct,Hct,28317006,282660005,12018901-DS-68," ___ 08:10AM BLOOD WBC-8.9 RBC-2.40* Hgb-8.1* Hct-25.9* MCV-108* MCH-33.6* MCHC-31.2 RDW-17.8* Plt" Missed entity,"(7227, 7230)",,MCV,,104133003,,12018901-DS-68,":10AM BLOOD WBC-8.9 RBC-2.40* Hgb-8.1* Hct-25.9* MCV-108* MCH-33.6* MCHC-31.2 RDW-17.8* Plt ___ ___ 08" "Correct entity, wrong SNOMED ID","(7246, 7250)","(7246, 7250)",MCHC,MCHC,37254006,735147002,12018901-DS-68," RBC-2.40* Hgb-8.1* Hct-25.9* MCV-108* MCH-33.6* MCHC-31.2 RDW-17.8* Plt ___ ___ 08:10AM BLOOD Glucose-" Wrong span,"(7286, 7299)","(7292, 7299)",BLOOD Glucose,Glucose,33747003,72191006,12018901-DS-68,"MCH-33.6* MCHC-31.2 RDW-17.8* Plt ___ ___ 08:10AM BLOOD Glucose-83 UreaN-19 Creat-4.9*# Na-140 K-3.9 Cl-92* HCO3" "Correct entity, wrong SNOMED ID","(7303, 7308)","(7303, 7308)",UreaN,UreaN,105011006,111108008,12018901-DS-68,".2 RDW-17.8* Plt ___ ___ 08:10AM BLOOD Glucose-83 UreaN-19 Creat-4.9*# Na-140 K-3.9 Cl-92* HCO3-27 AnGap" "Correct entity, wrong SNOMED ID","(7312, 7317)","(7312, 7317)",Creat,Creat,70901006,365756002,12018901-DS-68,".8* Plt ___ ___ 08:10AM BLOOD Glucose-83 UreaN-19 Creat-4.9*# Na-140 K-3.9 Cl-92* HCO3-27 AnGap-25* ___ " "Correct entity, wrong SNOMED ID","(7324, 7326)","(7324, 7326)",Na,Na,312469006,257992007,12018901-DS-68,"___ 08:10AM BLOOD Glucose-83 UreaN-19 Creat-4.9*# Na-140 K-3.9 Cl-92* HCO3-27 AnGap-25* ___ 08:10AM B" Missed entity,"(7332, 7333)",,K,,312468003,,12018901-DS-68,"0AM BLOOD Glucose-83 UreaN-19 Creat-4.9*# Na-140 K-3.9 Cl-92* HCO3-27 AnGap-25* ___ 08:10AM BLOOD Ca" "Correct entity, wrong SNOMED ID","(7338, 7340)","(7338, 7340)",Cl,Cl,104589004,311741002,12018901-DS-68,"OOD Glucose-83 UreaN-19 Creat-4.9*# Na-140 K-3.9 Cl-92* HCO3-27 AnGap-25* ___ 08:10AM BLOOD Calcium-9" "Correct entity, wrong SNOMED ID","(7345, 7349)","(7345, 7349)",HCO3,HCO3,312471006,88645003,12018901-DS-68,"cose-83 UreaN-19 Creat-4.9*# Na-140 K-3.9 Cl-92* HCO3-27 AnGap-25* ___ 08:10AM BLOOD Calcium-9.8 Phos-2" "Correct entity, wrong SNOMED ID","(7353, 7358)","(7353, 7358)",AnGap,AnGap,25469001,124504004,12018901-DS-68,"UreaN-19 Creat-4.9*# Na-140 K-3.9 Cl-92* HCO3-27 AnGap-25* ___ 08:10AM BLOOD Calcium-9.8 Phos-2.4*# Mg-1" "Correct entity, wrong SNOMED ID","(7381, 7388)","(7381, 7388)",Calcium,Calcium,312472004,108601004,12018901-DS-68," K-3.9 Cl-92* HCO3-27 AnGap-25* ___ 08:10AM BLOOD Calcium-9.8 Phos-2.4*# Mg-1.8 BREAST WOUND. " "Correct entity, wrong SNOMED ID","(7393, 7397)","(7393, 7397)",Phos,Phos,104868000,168075002,12018901-DS-68,"* HCO3-27 AnGap-25* ___ 08:10AM BLOOD Calcium-9.8 Phos-2.4*# Mg-1.8 BREAST WOUND. " "Correct entity, wrong SNOMED ID","(7404, 7406)","(7404, 7406)",Mg,Mg,271285000,258684004,12018901-DS-68,"nGap-25* ___ 08:10AM BLOOD Calcium-9.8 Phos-2.4*# Mg-1.8 BREAST WOUND. " Missed entity,"(7412, 7418)",,BREAST,,82038008,,12018901-DS-68," ___ 08:10AM BLOOD Calcium-9.8 Phos-2.4*# Mg-1.8 BREAST WOUND. **FINAL REPO" Missed entity,"(7419, 7424)",,WOUND,,416462003,,12018901-DS-68,":10AM BLOOD Calcium-9.8 Phos-2.4*# Mg-1.8 BREAST WOUND. **FINAL REPORT ___" "Correct entity, wrong SNOMED ID","(7479, 7492)","(7479, 7492)",WOUND CULTURE,WOUND CULTURE,401294003,448194002,12018901-DS-68," **FINAL REPORT ___ WOUND CULTURE (Final ___: This culture contains mixed ba" Missed entity,"(7517, 7524)",,culture,,61594008,,12018901-DS-68,"ORT ___ WOUND CULTURE (Final ___: This culture contains mixed bacterial types (>=3) so an abbre" Missed entity,"(7540, 7549)",,bacterial,,87628006,,12018901-DS-68,"RE (Final ___: This culture contains mixed bacterial types (>=3) so an abbreviated workup is pe" Missed entity,"(7587, 7593)",,workup,,386053000,,12018901-DS-68,"ed bacterial types (>=3) so an abbreviated workup is performed. Any growth of P.aeruginosa, S.aureu" Missed entity,"(7780, 7787)",,culture,,61594008,,12018901-DS-68," REPORTED BELOW, THEY ARE NOT PRESENT in this culture.. ESCHERICHIA COLI. MODERATE GROWTH. " Missed entity,"(7797, 7813)",,ESCHERICHIA COLI,,71057007,,12018901-DS-68,"OW, THEY ARE NOT PRESENT in this culture.. ESCHERICHIA COLI. MODERATE GROWTH. Cefazolin interpre" Missed entity,"(7902, 7909)",,regimen,,133877004,,12018901-DS-68,"in interpretative criteria are based on a dosage regimen of 2g every 8h. " "Correct entity, wrong SNOMED ID","(7967, 7980)","(7967, 7980)",SENSITIVITIES,SENSITIVITIES,14788002,252390002,12018901-DS-68," 2g every 8h. SENSITIVITIES: MIC expressed in MCG/ML " Missed entity,"(8117, 8133)",,ESCHERICHIA COLI,,71057007,,12018901-DS-68,"____________________ ESCHERICHIA COLI | AMPICILLIN-----" "Correct entity, wrong SNOMED ID","(8604, 8607)","(8604, 8607)",DM2,DM2,44054006,396166000,12018901-DS-68,"al Course: ___ w/ complicated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L hom" Wrong span,"(8609, 8613)","(8609, 8619)",ESRD,ESRD on HD,236435004,428982002,12018901-DS-68,"urse: ___ w/ complicated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, " Wrong span,"(8617, 8619)","(8609, 8619)",HD,ESRD on HD,302497006,428982002,12018901-DS-68,"_ w/ complicated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib n" "Correct entity, wrong SNOMED ID","(8621, 8625)","(8621, 8625)",gout,gout,90560007,69896004,12018901-DS-68," complicated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib not on " "Correct entity, wrong SNOMED ID","(8628, 8639)","(8628, 8639)",sleep apnea,sleep apnea,73430006,78275009,12018901-DS-68,"cated PMH significant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib not on warfarin, chro" "Correct entity, wrong SNOMED ID","(8641, 8647)","(8641, 8647)",asthma,asthma,195967001,281239006,12018901-DS-68,"nificant for DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib not on warfarin, chronic L a" Missed entity,"(8654, 8661)",,home O2,,426990007,,12018901-DS-68,"DM2, ESRD on HD, gout, sleep apnea, asthma on 3L home O2, afib not on warfarin, chronic L achilles wound " "Correct entity, wrong SNOMED ID","(8663, 8667)","(8663, 8667)",afib,afib,49436004,282825002,12018901-DS-68," on HD, gout, sleep apnea, asthma on 3L home O2, afib not on warfarin, chronic L achilles wound and L " Missed entity,"(8672, 8683)",,on warfarin,,722045009,,12018901-DS-68,"out, sleep apnea, asthma on 3L home O2, afib not on warfarin, chronic L achilles wound and L breast wound, se" Missed entity,"(8685, 8692)",,chronic,,92161000112103,,12018901-DS-68,"pnea, asthma on 3L home O2, afib not on warfarin, chronic L achilles wound and L breast wound, sent from p" Wrong span,"(8696, 8704)","(8694, 8710)",achilles,L achilles wound,699609003,10863881000119106,12018901-DS-68,"a on 3L home O2, afib not on warfarin, chronic L achilles wound and L breast wound, sent from primary care " Wrong span,"(8705, 8710)","(8694, 8710)",wound,L achilles wound,416462003,10863881000119106,12018901-DS-68,"ome O2, afib not on warfarin, chronic L achilles wound and L breast wound, sent from primary care for l" Wrong span,"(8715, 8723)","(8715, 8716)",L breast,L,80248007,420296000,12018901-DS-68,"ib not on warfarin, chronic L achilles wound and L breast wound, sent from primary care for lethargy and f" Wrong span,"(8724, 8729)","(8717, 8729)",wound,breast wound,416462003,210454002,12018901-DS-68," warfarin, chronic L achilles wound and L breast wound, sent from primary care for lethargy and fever. " Missed entity,"(8741, 8753)",,primary care,,737470001,,12018901-DS-68,"c L achilles wound and L breast wound, sent from primary care for lethargy and fever. # Lethargy: Patient had" "Correct entity, wrong SNOMED ID","(8759, 8767)","(8759, 8767)",lethargy,lethargy,214264003,186499007,12018901-DS-68,"d and L breast wound, sent from primary care for lethargy and fever. # Lethargy: Patient had reported leth" "Correct entity, wrong SNOMED ID","(8772, 8777)","(8772, 8777)",fever,fever,386661006,102496004,12018901-DS-68,"t wound, sent from primary care for lethargy and fever. # Lethargy: Patient had reported lethargy in cl" "Correct entity, wrong SNOMED ID","(8782, 8790)","(8782, 8790)",Lethargy,Lethargy,214264003,186499007,12018901-DS-68,"ent from primary care for lethargy and fever. # Lethargy: Patient had reported lethargy in clinic. In ED a" "Correct entity, wrong SNOMED ID","(8813, 8821)","(8813, 8821)",lethargy,lethargy,214264003,186499007,12018901-DS-68,"argy and fever. # Lethargy: Patient had reported lethargy in clinic. In ED and on floor, patient had been " Missed entity,"(8825, 8831)",,clinic,,737492002,,12018901-DS-68,"er. # Lethargy: Patient had reported lethargy in clinic. In ED and on floor, patient had been completely" "Correct entity, wrong SNOMED ID","(8898, 8906)","(8898, 8906)",oriented,oriented,247663003,787379002,12018901-DS-68,"loor, patient had been completely awake and fully oriented. This was most likely from the E.coli that grew " Missed entity,"(8939, 8945)",,E.coli,,71057007,,12018901-DS-68,"nd fully oriented. This was most likely from the E.coli that grew from her breast wound. This was manag" Wrong span,"(8965, 8971)","(8965, 8978)",breast,"breast wound",80248007,210454002,12018901-DS-68,"as most likely from the E.coli that grew from her breast wound. This was managed initially with vancomyc" Wrong span,"(8973, 8978)","(8965, 8978)",wound,"breast wound",416462003,210454002,12018901-DS-68,"likely from the E.coli that grew from her breast wound. This was managed initially with vancomycin, ci" "Correct entity, wrong SNOMED ID","(9013, 9023)","(9013, 9023)",vancomycin,vancomycin,281789004,42082003,12018901-DS-68,"r breast wound. This was managed initially with vancomycin, ciprofloxacin and flagyl. But once the culture" Missed entity,"(9026, 9039)",,ciprofloxacin,,281789004,,12018901-DS-68,"nd. This was managed initially with vancomycin, ciprofloxacin and flagyl. But once the cultures came back pos" "Correct entity, wrong SNOMED ID","(9096, 9106)","(9096, 9106)",vancomycin,vancomycin,281789004,42082003,12018901-DS-68,"agyl. But once the cultures came back positive, vancomycin was discontinued as she only required gram-negat" Missed entity,"(9111, 9123)",,discontinued,,304540007,,12018901-DS-68," the cultures came back positive, vancomycin was discontinued as she only required gram-negative coverage. Her" "Correct entity, wrong SNOMED ID","(9174, 9188)","(9174, 9188)",blood cultures,blood cultures,30088009,8730001000004107,12018901-DS-68,"as she only required gram-negative coverage. Her blood cultures are still pending. She had associated abdominal " Wrong span,"(9228, 9248)","(9228, 9237)",abdominal tenderness,abdominal,43478001,422314007,12018901-DS-68,"d cultures are still pending. She had associated abdominal tenderness and CT imaging results were indicative of a smal" "Correct entity, wrong SNOMED ID","(9253, 9263)","(9253, 9263)",CT imaging,CT imaging,77477000,312251004,12018901-DS-68,"ing. She had associated abdominal tenderness and CT imaging results were indicative of a small area of bowel" Missed entity,"(9294, 9299)",,small,,162468002,,12018901-DS-68,"ness and CT imaging results were indicative of a small area of bowel ischemia. Given her A-fib without " Wrong span,"(9308, 9313)","(9308, 9322)",bowel,bowel ischemia,113276009,91489000,12018901-DS-68,"aging results were indicative of a small area of bowel ischemia. Given her A-fib without anticoagulatio" Wrong span,"(9314, 9322)","(9308, 9322)",ischemia,bowel ischemia,52674009,91489000,12018901-DS-68,"results were indicative of a small area of bowel ischemia. Given her A-fib without anticoagulation, it is " "Correct entity, wrong SNOMED ID","(9335, 9340)","(9335, 9340)",A-fib,A-fib,49436004,51172005,12018901-DS-68,"ive of a small area of bowel ischemia. Given her A-fib without anticoagulation, it is possible she may h" "Correct entity, wrong SNOMED ID","(9349, 9364)","(9349, 9364)",anticoagulation,anticoagulation,182764009,260678004,12018901-DS-68," area of bowel ischemia. Given her A-fib without anticoagulation, it is possible she may have thrown a clot to he" "Correct entity, wrong SNOMED ID","(9416, 9438)","(9416, 9438)",intestinal vasculature,intestinal vasculature,312577008,871847001,12018901-DS-68,"it is possible she may have thrown a clot to her intestinal vasculature. This was managed with 24 hours of bowel rest a" "Correct entity, wrong SNOMED ID","(9476, 9486)","(9476, 9486)",bowel rest,bowel rest,182923009,311685007,12018901-DS-68," vasculature. This was managed with 24 hours of bowel rest and resolved. An ECHO ruled out a myocardial thr" Wrong span,"(9522, 9532)","(9522, 9541)",myocardial,myocardial thrombus,74281007,233929004,12018901-DS-68," of bowel rest and resolved. An ECHO ruled out a myocardial thrombus. In-house her gabapentin was also disco" Wrong span,"(9533, 9541)","(9522, 9541)",thrombus,myocardial thrombus,396339007,233929004,12018901-DS-68,"est and resolved. An ECHO ruled out a myocardial thrombus. In-house her gabapentin was also discontinued d" Missed entity,"(9577, 9589)",,discontinued,,304540007,,12018901-DS-68,"rdial thrombus. In-house her gabapentin was also discontinued due to its effects of lethargy. # intermittent " "Correct entity, wrong SNOMED ID","(9612, 9620)","(9612, 9620)",lethargy,lethargy,214264003,186499007,12018901-DS-68,"ntin was also discontinued due to its effects of lethargy. # intermittent bradycardia: Pt had reported ep" Wrong span,"(9639, 9650)","(9626, 9650)",bradycardia,intermittent bradycardia,48867003,29894000,12018901-DS-68," due to its effects of lethargy. # intermittent bradycardia: Pt had reported episodes of bradycardia when sh" "Correct entity, wrong SNOMED ID","(9681, 9692)","(9681, 9692)",bradycardia,bradycardia,48867003,49710005,12018901-DS-68,"mittent bradycardia: Pt had reported episodes of bradycardia when she ""feel asleep"" in urgent care clinic, w/ " Missed entity,"(9708, 9714)",,asleep,,248220008,,12018901-DS-68," reported episodes of bradycardia when she ""feel asleep"" in urgent care clinic, w/ HR down to ___, but t" Wrong span,"(9742, 9750)","(9742, 9744)","HR down",HR,48867003,258702006,12018901-DS-68," when she ""feel asleep"" in urgent care clinic, w/ HR down to ___, but then back up to ___ when awoken. Uncl" Missed entity,"(9788, 9794)",,awoken,,248218005,,12018901-DS-68," w/ HR down to ___, but then back up to ___ when awoken. Unclear what her O2 sat or RR was during these " "Correct entity, wrong SNOMED ID","(9814, 9820)","(9814, 9820)",O2 sat,O2 sat,104847001,103228002,12018901-DS-68,"hen back up to ___ when awoken. Unclear what her O2 sat or RR was during these periods, but it is possib" "Correct entity, wrong SNOMED ID","(9882, 9890)","(9882, 9890)",lethargy,lethargy,214264003,186499007,12018901-DS-68,"uring these periods, but it is possible that her lethargy, possibly from opiate medications described abov" Missed entity,"(9906, 9924)",,opiate medications,,726582005,,12018901-DS-68," it is possible that her lethargy, possibly from opiate medications described above, led to worsening of her known o" Missed entity,"(9950, 9959)",,worsening,,271299001,,12018901-DS-68," from opiate medications described above, led to worsening of her known obstructive apnea, and transient hy" "Correct entity, wrong SNOMED ID","(9973, 9991)","(9973, 9991)","obstructive apnea","obstructive apnea",78275009,276545006,12018901-DS-68,"s described above, led to worsening of her known obstructive apnea, and transient hypoxia, which may reduce heart ra" "Correct entity, wrong SNOMED ID","(10007, 10014)","(10007, 10014)",hypoxia,hypoxia,389086002,275367000,12018901-DS-68,"ng of her known obstructive apnea, and transient hypoxia, which may reduce heart rate. She refuses CPAP. " Wrong span,"(10026, 10043)","(10026, 10032)",reduce heart rate,reduce,48867003,278074003,12018901-DS-68,"tructive apnea, and transient hypoxia, which may reduce heart rate. She refuses CPAP. In-house, her opiate dosing w" Missed entity,"(10078, 10084)",,opiate,,726582005,,12018901-DS-68,"duce heart rate. She refuses CPAP. In-house, her opiate dosing was decreased and gabapentin was disconti" Missed entity,"(10085, 10105)",,dosing was decreased,,182879007,,12018901-DS-68,"art rate. She refuses CPAP. In-house, her opiate dosing was decreased and gabapentin was discontinued. Her heart rate" Missed entity,"(10126, 10138)",,discontinued,,304540007,,12018901-DS-68,"r opiate dosing was decreased and gabapentin was discontinued. Her heart rate was stable in the ___. # atri" Wrong span,"(10145, 10155)","(10145, 10166)",heart rate,heart rate was stable,301113001,301148008,12018901-DS-68," decreased and gabapentin was discontinued. Her heart rate was stable in the ___. # atrial fibrillation: " Wrong span,"(10160, 10166)","(10145, 10166)",stable,heart rate was stable,359746009,301148008,12018901-DS-68," gabapentin was discontinued. Her heart rate was stable in the ___. # atrial fibrillation: not on anti" "Correct entity, wrong SNOMED ID","(10184, 10203)","(10184, 10203)",atrial fibrillation,atrial fibrillation,49436004,313377641000119105,12018901-DS-68,"nued. Her heart rate was stable in the ___. # atrial fibrillation: not on anticoagulation. Per daughter and PCP, t" "Correct entity, wrong SNOMED ID","(10212, 10227)","(10212, 10227)",anticoagulation,anticoagulation,182764009,260678004,12018901-DS-68,"able in the ___. # atrial fibrillation: not on anticoagulation. Per daughter and PCP, this was due to concern t" Missed entity,"(10247, 10250)",,PCP,,737470001,,12018901-DS-68,"lation: not on anticoagulation. Per daughter and PCP, this was due to concern that warfarin was making" Missed entity,"(10281, 10289)",,warfarin,,722045009,,12018901-DS-68,"r daughter and PCP, this was due to concern that warfarin was making her breast and L achilles wounds wors" "Correct entity, wrong SNOMED ID","(10305, 10311)","(10305, 10311)",breast,breast,80248007,211040008,12018901-DS-68,"s was due to concern that warfarin was making her breast and L achilles wounds worse, but her CHADS2 scor" "Correct entity, wrong SNOMED ID","(10319, 10327)","(10319, 10327)",achilles,achilles,699609003,429513001,12018901-DS-68,"oncern that warfarin was making her breast and L achilles wounds worse, but her CHADS2 score is 4, which is" "Correct entity, wrong SNOMED ID","(10328, 10334)","(10328, 10334)",wounds,wounds,416462003,57028002,12018901-DS-68,"at warfarin was making her breast and L achilles wounds worse, but her CHADS2 score is 4, which is high " Missed entity,"(10335, 10340)",,worse,,1144586002,,12018901-DS-68,"arin was making her breast and L achilles wounds worse, but her CHADS2 score is 4, which is high risk, " "Correct entity, wrong SNOMED ID","(10397, 10403)","(10397, 10403)",stroke,stroke,230690007,422504002,12018901-DS-68,"er CHADS2 score is 4, which is high risk, though stroke was thalamic so possibly due to bleed. PCP to _" "Correct entity, wrong SNOMED ID","(10408, 10416)","(10408, 10416)",thalamic,thalamic,42695009,244433007,12018901-DS-68,"core is 4, which is high risk, though stroke was thalamic so possibly due to bleed. PCP to ___ with out-p" "Correct entity, wrong SNOMED ID","(10436, 10441)","(10436, 10441)",bleed,bleed,50960005,74474003,12018901-DS-68,"sk, though stroke was thalamic so possibly due to bleed. PCP to ___ with out-patient cardiologist and n" "Correct entity, wrong SNOMED ID","(10445, 10448)","(10445, 10448)",PCP,PCP,737470001,282108002,12018901-DS-68,"h stroke was thalamic so possibly due to bleed. PCP to ___ with out-patient cardiologist and nephrolo" Missed entity,"(10548, 10556)",,warfarin,,722045009,,12018901-DS-68,"gist to assess patient's current requirement for warfarin. PCP did reply in email explaining that he had a" Missed entity,"(10558, 10561)",,PCP,,737470001,,12018901-DS-68,"ssess patient's current requirement for warfarin. PCP did reply in email explaining that he had a risk" "Correct entity, wrong SNOMED ID","(10671, 10684)","(10671, 10684)",calciphylaxis,calciphylaxis,237900002,771236000,12018901-DS-68,"onversation (especially given bleeding risk from calciphylaxis) about warfarin and that the patient and her fam" Missed entity,"(10693, 10701)",,warfarin,,722045009,,12018901-DS-68,"ly given bleeding risk from calciphylaxis) about warfarin and that the patient and her family chose against" Missed entity,"(10753, 10761)",,warfarin,,722045009,,12018901-DS-68,"nd that the patient and her family chose against warfarin after making an informed decision. # L achilles" Wrong span,"(10803, 10811)","(10803, 10817)",achilles,achilles wound,699609003,426394008,12018901-DS-68,"warfarin after making an informed decision. # L achilles wound: Pt was just seen by podiatry ___, who fel" Wrong span,"(10812, 10817)","(10803, 10817)",wound,achilles wound,416462003,426394008,12018901-DS-68,"after making an informed decision. # L achilles wound: Pt was just seen by podiatry ___, who felt woun" "Correct entity, wrong SNOMED ID","(10863, 10868)","(10863, 10868)",wound,wound,416462003,241019003,12018901-DS-68,"ound: Pt was just seen by podiatry ___, who felt wound had moderate amount of purulent type drainage wit" Missed entity,"(10873, 10881)",,moderate,,162469005,,12018901-DS-68,"as just seen by podiatry ___, who felt wound had moderate amount of purulent type drainage with a slight o" Wrong span,"(10892, 10914)","(10892, 10900)",purulent type drainage,purulent,225550006,36390009,12018901-DS-68,"iatry ___, who felt wound had moderate amount of purulent type drainage with a slight odor, with fibrotic base of wound " Missed entity,"(10930, 10934)",,odor,,445916002,,12018901-DS-68,"e amount of purulent type drainage with a slight odor, with fibrotic base of wound but no purulence and" "Correct entity, wrong SNOMED ID","(10958, 10963)","(10958, 10963)",wound,wound,416462003,241019003,12018901-DS-68,"ainage with a slight odor, with fibrotic base of wound but no purulence and moderate exudate. In-house" "Correct entity, wrong SNOMED ID","(10971, 10980)","(10971, 10980)",purulence,purulence,225550006,167953004,12018901-DS-68," slight odor, with fibrotic base of wound but no purulence and moderate exudate. In-house managed with Aqu" Missed entity,"(10986, 10994)",,moderate,,162469005,,12018901-DS-68,"with fibrotic base of wound but no purulence and moderate exudate. In-house managed with Aquacel Ag dressi" "Correct entity, wrong SNOMED ID","(10995, 11002)","(10995, 11002)",exudate,exudate,42142007,247156002,12018901-DS-68,"otic base of wound but no purulence and moderate exudate. In-house managed with Aquacel Ag dressings. P" Missed entity,"(11038, 11047)",,dressings,,182531007,,12018901-DS-68,"derate exudate. In-house managed with Aquacel Ag dressings. Patient has out-patient podiatry follow up. #" Missed entity,"(11075, 11093)",,podiatry follow up,,400982009,,12018901-DS-68,"h Aquacel Ag dressings. Patient has out-patient podiatry follow up. #Left breast wound. Chronic over a few months." Wrong span,"(11097, 11108)","(11097, 11114)",Left breast,Left breast wound,80248007,10849981000119105,12018901-DS-68,". Patient has out-patient podiatry follow up. #Left breast wound. Chronic over a few months. Being dressed" Wrong span,"(11109, 11114)","(11097, 11114)",wound,Left breast wound,416462003,10849981000119105,12018901-DS-68,"has out-patient podiatry follow up. #Left breast wound. Chronic over a few months. Being dressed by n" "Correct entity, wrong SNOMED ID","(11117, 11124)","(11117, 11124)",Chronic,Chronic,92161000112103,255212004,12018901-DS-68,"patient podiatry follow up. #Left breast wound. Chronic over a few months. Being dressed by nurse at ho" Missed entity,"(11151, 11158)",,dressed,,182531007,,12018901-DS-68," breast wound. Chronic over a few months. Being dressed by nurse at home. Slight odor. Fleshy erythema s" "Correct entity, wrong SNOMED ID","(11185, 11189)","(11185, 11189)",odor,odor,445916002,301340007,12018901-DS-68," months. Being dressed by nurse at home. Slight odor. Fleshy erythema surrounding a crusted center. B" "Correct entity, wrong SNOMED ID","(11198, 11206)","(11198, 11206)",erythema,erythema,247441003,403194002,12018901-DS-68,"ng dressed by nurse at home. Slight odor. Fleshy erythema surrounding a crusted center. Biopsied prior to " Missed entity,"(11222, 11229)",,crusted,,69640009,,12018901-DS-68,"home. Slight odor. Fleshy erythema surrounding a crusted center. Biopsied prior to admission which was ind" "Correct entity, wrong SNOMED ID","(11238, 11246)","(11238, 11246)",Biopsied,Biopsied,86273004,246163005,12018901-DS-68,"r. Fleshy erythema surrounding a crusted center. Biopsied prior to admission which was indicative of wound" "Correct entity, wrong SNOMED ID","(11291, 11296)","(11291, 11296)",wound,wound,416462003,241019003,12018901-DS-68,"psied prior to admission which was indicative of wound likely secondary to calcifilaixis from renal fail" "Correct entity, wrong SNOMED ID","(11317, 11330)","(11317, 11330)",calcifilaixis,calcifilaixis,237900002,237897009,12018901-DS-68,"hich was indicative of wound likely secondary to calcifilaixis from renal failure. Wound cultures also grow E.c" "Correct entity, wrong SNOMED ID","(11336, 11349)","(11336, 11349)",renal failure,renal failure,42399005,14669001,12018901-DS-68," of wound likely secondary to calcifilaixis from renal failure. Wound cultures also grow E.coli. She was manag" "Correct entity, wrong SNOMED ID","(11352, 11366)","(11352, 11366)",Wound cultures,Wound cultures,401294003,448194002,12018901-DS-68,"y secondary to calcifilaixis from renal failure. Wound cultures also grow E.coli. She was managed as above with " Missed entity,"(11377, 11383)",,E.coli,,71057007,,12018901-DS-68,"xis from renal failure. Wound cultures also grow E.coli. She was managed as above with ciprofloxacin an" Missed entity,"(11417, 11430)",,ciprofloxacin,,281789004,,12018901-DS-68,"also grow E.coli. She was managed as above with ciprofloxacin and flagyl Transitional issues: -patient to cont" Missed entity,"(11485, 11497)",,cipro/flagyl,,281789004,,12018901-DS-68,"flagyl Transitional issues: -patient to continue cipro/flagyl until ___ -out-patient assessment for warfarin -" Missed entity,"(11521, 11531)",,assessment,,386053000,,12018901-DS-68,"t to continue cipro/flagyl until ___ -out-patient assessment for warfarin -out-patient podiatry appointment -" Missed entity,"(11536, 11544)",,warfarin,,722045009,,12018901-DS-68,"ipro/flagyl until ___ -out-patient assessment for warfarin -out-patient podiatry appointment -out-patient P" Missed entity,"(11559, 11579)",,podiatry appointment,,400982009,,12018901-DS-68,"out-patient assessment for warfarin -out-patient podiatry appointment -out-patient PCP ___ (PCP to please follow up blo" "Correct entity, wrong SNOMED ID","(11593, 11596)","(11593, 11596)",PCP,PCP,737470001,258735001,12018901-DS-68,"n -out-patient podiatry appointment -out-patient PCP ___ (PCP to please follow up blood cultures) -ou" "Correct entity, wrong SNOMED ID","(11602, 11605)","(11602, 11605)",PCP,PCP,737470001,258735001,12018901-DS-68,"atient podiatry appointment -out-patient PCP ___ (PCP to please follow up blood cultures) -out-patient" Missed entity,"(11616, 11625)",,follow up,,183616001,,12018901-DS-68,"y appointment -out-patient PCP ___ (PCP to please follow up blood cultures) -out-patient cardiology appointm" "Correct entity, wrong SNOMED ID","(11626, 11641)","(11626, 11641)","blood cultures","blood cultures",30088009,121238005,12018901-DS-68,"ent -out-patient PCP ___ (PCP to please follow up blood cultures) -out-patient cardiology appointment Medic" Missed entity,"(11656, 11678)",,cardiology appointment,,385717003,,12018901-DS-68,"to please follow up blood cultures) -out-patient cardiology appointment Medications on Admission: The Preadmission" Wrong span,"(13956, 13968)","(13951, 13968)",With Service,Home With Service,385783005,710242005,12018901-DS-68,"PO TID:PRN cough Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Bowel isch" Wrong span,"(14008, 14013)","(14008, 14022)",Bowel,Bowel ischemia,113276009,91489000,12018901-DS-68,"th Service Facility: ___ Discharge Diagnosis: Bowel ischemia Wound on left breast with growth of E.co" Wrong span,"(14014, 14022)","(14008, 14022)",ischemia,Bowel ischemia,52674009,91489000,12018901-DS-68,"vice Facility: ___ Discharge Diagnosis: Bowel ischemia Wound on left breast with growth of E.coli ESRD" Wrong span,"(14023, 14028)","(14023, 14031)",Wound,Wound on,56768003,442460002,12018901-DS-68,"cility: ___ Discharge Diagnosis: Bowel ischemia Wound on left breast with growth of E.coli ESRD on HD" "Correct entity, wrong SNOMED ID","(14032, 14043)","(14032, 14043)",left breast,left breast,80248007,15954901000119100,12018901-DS-68,"__ Discharge Diagnosis: Bowel ischemia Wound on left breast with growth of E.coli ESRD on HD Calciphylaxis " Missed entity,"(14059, 14065)",,E.coli,,71057007,,12018901-DS-68,"owel ischemia Wound on left breast with growth of E.coli ESRD on HD Calciphylaxis Atrial Fibrillation wi" Wrong span,"(14068, 14072)","(14068, 14078)",ESRD,ESRD on HD,236435004,286371000119107,12018901-DS-68,"emia Wound on left breast with growth of E.coli ESRD on HD Calciphylaxis Atrial Fibrillation with CHAD" Wrong span,"(14076, 14078)","(14068, 14078)",HD,ESRD on HD,302497006,286371000119107,12018901-DS-68,"nd on left breast with growth of E.coli ESRD on HD Calciphylaxis Atrial Fibrillation with CHADS2 of " "Correct entity, wrong SNOMED ID","(14079, 14092)","(14079, 14092)",Calciphylaxis,Calciphylaxis,237900002,771236000,12018901-DS-68,"on left breast with growth of E.coli ESRD on HD Calciphylaxis Atrial Fibrillation with CHADS2 of 4 Discharge" "Correct entity, wrong SNOMED ID","(14093, 14112)","(14093, 14112)",Atrial Fibrillation,Atrial Fibrillation,49436004,313377641000119105,12018901-DS-68," with growth of E.coli ESRD on HD Calciphylaxis Atrial Fibrillation with CHADS2 of 4 Discharge Condition: Mental S" "Correct entity, wrong SNOMED ID","(14154, 14167)","(14154, 14167)",Mental Status,Mental Status,392257007,419284004,12018901-DS-68,"illation with CHADS2 of 4 Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(14169, 14174)","(14169, 14174)",Clear,Clear,830123008,281278005,12018901-DS-68,"HADS2 of 4 Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(14189, 14211)","(14189, 14211)",Level of Consciousness,Level of Consciousness,444714004,830285008,12018901-DS-68,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(14213, 14218)","(14213, 14218)",Alert,Alert,248234008,409787004,12018901-DS-68,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - re" "Correct entity, wrong SNOMED ID","(14223, 14234)","(14223, 14234)",interactive,interactive,288577006,10301000202103,12018901-DS-68,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistanc" "Correct entity, wrong SNOMED ID","(14236, 14251)","(14236, 14251)",Activity Status,Activity Status,129676008,397622007,12018901-DS-68,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker " "Correct entity, wrong SNOMED ID","(14253, 14292)","(14253, 14292)",Ambulatory - requires assistance or aid,Ambulatory - requires assistance or aid,365112008,165252001,12018901-DS-68,"iousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dea" "Correct entity, wrong SNOMED ID","(14294, 14300)","(14294, 14300)",walker,walker,165255004,1290910004,12018901-DS-68," Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dear Ms. __" Missed entity,"(14305, 14309)",,cane,,443320005,,12018901-DS-68,"bulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dear Ms. ___, It wa" "Correct entity, wrong SNOMED ID","(14419, 14425)","(14419, 14425)",fevers,fevers,386661006,248444008,12018901-DS-68,"re caring for you at ___. You were admitted with fevers and lethargy. We treated you with antibiotics for" "Correct entity, wrong SNOMED ID","(14430, 14438)","(14430, 14438)",lethargy,lethargy,214264003,186499007,12018901-DS-68,"or you at ___. You were admitted with fevers and lethargy. We treated you with antibiotics for bacteria wh" "Correct entity, wrong SNOMED ID","(14460, 14471)","(14460, 14471)",antibiotics,antibiotics,281789004,372599003,12018901-DS-68,"ed with fevers and lethargy. We treated you with antibiotics for bacteria which was growing in the wound of y" "Correct entity, wrong SNOMED ID","(14477, 14485)","(14477, 14485)",bacteria,bacteria,61373006,409793007,12018901-DS-68,"nd lethargy. We treated you with antibiotics for bacteria which was growing in the wound of your left breas" "Correct entity, wrong SNOMED ID","(14511, 14516)","(14511, 14516)",wound,wound,416462003,35933005,12018901-DS-68,"ntibiotics for bacteria which was growing in the wound of your left breast. You also had an area of bo" "Correct entity, wrong SNOMED ID","(14525, 14536)","(14525, 14536)",left breast,left breast,80248007,15954901000119100,12018901-DS-68," bacteria which was growing in the wound of your left breast. You also had an area of bowel which was thicke" Missed entity,"(14564, 14569)",,bowel,,113276009,,12018901-DS-68,"nd of your left breast. You also had an area of bowel which was thickened on CT imaging. This resolve" "Correct entity, wrong SNOMED ID","(14580, 14589)","(14580, 14589)",thickened,thickened,89977008,309085000,12018901-DS-68,"breast. You also had an area of bowel which was thickened on CT imaging. This resolved spontaneously with" "Correct entity, wrong SNOMED ID","(14593, 14603)","(14593, 14603)",CT imaging,CT imaging,77477000,312251004,12018901-DS-68," also had an area of bowel which was thickened on CT imaging. This resolved spontaneously with resting your " Wrong span,"(14640, 14659)","(14640, 14647)",resting your bowels,resting,182923009,707708005,12018901-DS-68,"on CT imaging. This resolved spontaneously with resting your bowels for 24 hours. Weigh yourself every morning, " Missed entity,"(14679, 14707)",,Weigh yourself every morning,,307818003,,12018901-DS-68,"ously with resting your bowels for 24 hours. Weigh yourself every morning, call MD if weight goes up more than 3 lbs. " Missed entity,"(14709, 14716)",,call MD,,304562007,,12018901-DS-68," for 24 hours. Weigh yourself every morning, call MD if weight goes up more than 3 lbs. Please be" Wrong span,"(14720, 14734)","(14720, 14726)",weight goes up,weight,262286000,43664005,12018901-DS-68,"urs. Weigh yourself every morning, call MD if weight goes up more than 3 lbs. Please be sure to keep up w" False positive,,"(254, 257)",,Aug,,85965007,12050253-DS-20,"ibiotics) / shellfish derived / ACE Inhibitors / Augmentin / glipizide / metformin / gluten / nifedip" False positive,,"(732, 743)",,generalized,,162432007,12050253-DS-20,"loss (over 100 pounds in the past year), fatigue, generalized weakness, sent in from GI clinic today for admiss" False positive,,"(767, 769)",,GI,,1142285003,12050253-DS-20,"ear), fatigue, generalized weakness, sent in from GI clinic today for admission for further workup. P" False positive,,"(979, 997)",,poor bowel control,,247809003,12050253-DS-20,"radually developed frequent diarrhea, urgency and poor bowel control associated with abdominal bloating and flatus. At" False positive,,"(1316, 1321)",,bowel,,30315005,12050253-DS-20,"he sometimes gets up ___ times at night to have a bowel movement. His diarrhea is mostly light brown and " False positive,,"(1371, 1376)",,loose,,278631002,12050253-DS-20," movement. His diarrhea is mostly light brown and loose but sometimes fully formed. He cannot tell if it " False positive,,"(1598, 1603)",,bowel,,30315005,12050253-DS-20,"n along with the diarrhea but cannot tell whether bowel movements make it better or worse. He cannot iden" False positive,,"(2748, 2758)",,probiotics,,609320006,12050253-DS-20,"ast 1.5 months, he has been taking loperamide and probiotics and has been having diarrhea ___ times per day. H" False positive,,"(4386, 4389)",,con,,31237006,12050253-DS-20," HR 78 RR 20 O2sat 98 RA General: Lying in bed, conversant, NAD. Cachectic. HEENT: NC/AT, anicteric" False positive,,"(4525, 4533)",,palpable,,163210008,12050253-DS-20,"thout ulcers or bleeding. Dry MM NECK: No JVD. No palpable lymph nodes. No thyromegaly. LUNGS: CTAB no w/r/r" False positive,,"(4684, 4704)",,cholecystostomy tube,,75639003,12050253-DS-20,"ry muscle use. CARDIAC: distant heart sounds ABD: cholecystostomy tube in RUQ, +BS, mildly distended and tympanic, nonte" False positive,,"(4972, 4976)",,CNII,,102681008,12050253-DS-20,"s, no other rashes or lesions noted. NEURO: AOx3, CNII-XII grossly intact, spontaneously moving all limb" False positive,,"(5070, 5083)",,PHYSICAL EXAM,,410182004,12050253-DS-20,"l limbs against gravity, no asterixis DISCHARGE PHYSICAL EXAM: ======================== VITALS 98.2 132/86 93 1" False positive,,"(5203, 5207)",,non-,,238960002,12050253-DS-20,"D, laying in bed waiting for breakfast EYES: MMM, non-icteric CV: Irregularly irregular, no m/r/g RESP:" False positive,,"(5337, 5345)",,muscular,,360502005,12050253-DS-20,"s at the bases GI: abdomen very soft with minimal muscular tone, mildly distended, non tender to palpation M" False positive,,"(5457, 5466)",,improving,,170596004,12050253-DS-20,"s noted on posterior thigh, superior to the knee, improving. 2+ LLE edema improving, RLE without edema, palpa" False positive,,"(5639, 5654)",,"lower strength",,26544005,12050253-DS-20,"EURO: A&Ox3, moves all extremities, ___ upper and lower strength RECTAL: small open lesion draining minimal pus, a" False positive,,"(6305, 6307)",,Mg,,258684004,12050253-DS-20,"02:27PM BLOOD Albumin-1.9* Calcium-7.7* Phos-3.5 Mg-1.4* ___ 04:35AM BLOOD calTIBC-124* VitB12-PND Ha" False positive,,"(6492, 6495)",,CRP,,61425002,12050253-DS-20," ___ 04:35AM BLOOD Free T4-0.9* ___ 02:27PM BLOOD CRP-9.5* ___ 04:35AM BLOOD PEP-PND IgG-995 IgA-623* I" False positive,,"(6535, 6538)",,IgA,,31651002,12050253-DS-20," BLOOD CRP-9.5* ___ 04:35AM BLOOD PEP-PND IgG-995 IgA-623* IgM-95 ___ 04:35AM BLOOD HIV Ab-NEG ___ 02:2" False positive,,"(6544, 6547)",,IgM,,250709001,12050253-DS-20,"P-9.5* ___ 04:35AM BLOOD PEP-PND IgG-995 IgA-623* IgM-95 ___ 04:35AM BLOOD HIV Ab-NEG ___ 02:27PM BLOOD" False positive,,"(6598, 6601)",,tTG,,412814003,12050253-DS-20,"95 ___ 04:35AM BLOOD HIV Ab-NEG ___ 02:27PM BLOOD tTG-IgA-9 IMAGING ========= ___ EGD - Normal mucosa " False positive,,"(8065, 8069)",,left,,264745005,12050253-DS-20,"on or fistula. 3. Small volume ascites. Moderate left and small right pleural effusion. 4. Diffusely d" False positive,,"(8080, 8085)",,right,,264746006,12050253-DS-20,"3. Small volume ascites. Moderate left and small right pleural effusion. 4. Diffusely decreased bone mi" False positive,,"(8128, 8140)",,bone mineral,,418262007,12050253-DS-20,"l right pleural effusion. 4. Diffusely decreased bone mineral density with multilevel compression fractures. " False positive,,"(8556, 8561)",,chest,,177765008,12050253-DS-20,"ly related to pleural effusion. Please refer to chest performed concomitantly. MICRO ===== ___ 1:10 am" False positive,,"(8907, 8914)",,Stomach,,169008005,12050253-DS-20,"y.. PATHOLOGY ========== + ___ GI BIOPSIES: 1. Stomach, biopsy: -Antral mucosa with chronic inactive gas" False positive,,"(8916, 8922)",,biopsy,,48635004,12050253-DS-20,"HOLOGY ========== + ___ GI BIOPSIES: 1. Stomach, biopsy: -Antral mucosa with chronic inactive gastritis. " False positive,,"(9229, 9242)",,Duodenal bulb,,308212008,12050253-DS-20,"obacter is negative with adequate controls. 2. Duodenal bulb, biopsy: -Duodenal mucosa with surface foveolar m" False positive,,"(9244, 9250)",,biopsy,,48635004,12050253-DS-20,"ative with adequate controls. 2. Duodenal bulb, biopsy: -Duodenal mucosa with surface foveolar metaplasi" False positive,,"(9322, 9335)",,peptic injury,,865912001,12050253-DS-20,"h surface foveolar metaplasia suggestive of mild peptic injury, otherwise within normal limits. 3. Duodenum, bi" False positive,,"(9906, 9910)",,skin,,7748002,12050253-DS-20,"changed since ___ and located 0.7 cm deep to the skin. 2. Extensive anasarca, deep tissue and presacr" False positive,,"(10005, 10010)",,worse,,280122007,12050253-DS-20,"esacral edema, including severe muscular edema, worse than on prior. 3. 3.5 cm right proximal femoral" False positive,,"(10821, 10832)",,generalized,,162432007,12050253-DS-20,"oss (over 100 pounds in the past year), fatigue, generalized weakness, here for workup. He underwent ___ on _" False positive,,"(11261, 11267)",,Celiac,,1197730009,12050253-DS-20,"up, which has thus far been notable for positive Celiac markers HLA-DQ2/DQ8 without pathologic diagnosis" False positive,,"(11276, 11279)",,HLA,,57393006,12050253-DS-20,"hus far been notable for positive Celiac markers HLA-DQ2/DQ8 without pathologic diagnosis of Celiac d" False positive,,"(11347, 11357)",,normal tTG,,167654008,12050253-DS-20,"athologic diagnosis of Celiac disease (including normal tTG-IgA) although he has been adherent to a gluten f" False positive,,"(11757, 11763)",,Crohns,,444546002,12050253-DS-20,"teritis. Old pathology report also suggestive of Crohns without intraepithelial leukocytes. He likely has" False positive,,"(12142, 12151)",,evaluated,,39609006,12050253-DS-20," Dr. ___. Regarding perirectal fistula, this was evaluated by our colorectal surgery team and with an MRI p" False positive,,"(12160, 12170)",,colorectal,,1286880003,12050253-DS-20,"ng perirectal fistula, this was evaluated by our colorectal surgery team and with an MRI pelvis. There is no" False positive,,"(12222, 12227)",,drain,,258551007,12050253-DS-20,"urgery team and with an MRI pelvis. There is no drainable pocket for now. He should be scheduled for o" False positive,,"(12602, 12611)",,Nutrition,,2492009,12050253-DS-20,"umin of 1.9 consistent with severe malnutrition. Nutrition was consulted. Electrolytes were checked frequen" False positive,,"(12809, 12818)",,nutrition,,2492009,12050253-DS-20,"thmias. He temporarily required TPN to boost his nutrition and then was discontinued shortly thereafter. He" False positive,,"(12984, 13004)",,Cholecystostomy tube,,75639003,12050253-DS-20,"aily. He does NOT require a gluten-free diet. # Cholecystostomy tube Placed at ___ in ___ for conservative management" False positive,,"(13129, 13134)",,RUQUS,,449057003,12050253-DS-20,"is (positive ___ sign, gallbladder distention of RUQUS, though no CBD dilation or pericholecystic fluid" False positive,,"(13219, 13226)",,surgery,,110473004,12050253-DS-20,"olecystic fluid). Patient is a poor candidate for surgery given his overall deconditioning and poor nutrit" False positive,,"(13246, 13251)",,decon,,257986001,12050253-DS-20,"s a poor candidate for surgery given his overall deconditioning and poor nutritional status. Surgery wa" False positive,,"(13553, 13562)",,HD stable,,301148008,12050253-DS-20,"trophilic leukocytosis Patient remained afebrile, HD stable, and normoxemic in room air without any localizi" False positive,,"(13568, 13578)",,normoxemic,,165473003,12050253-DS-20,"cytosis Patient remained afebrile, HD stable, and normoxemic in room air without any localizing symptoms. Inf" False positive,,"(13683, 13700)",,demarginalization,,1381670002,12050253-DS-20,"us workup negative. Likely leukemoid reaction vs demarginalization in setting of starting steroids. WBC count on d" False positive,,"(13920, 13928)",,Resolved,,413322009,12050253-DS-20,"a in the setting of poor PO intake and diarrhea. Resolved with TPN and fluids. Renal was consulted for add" False positive,,"(14079, 14087)",,baseline,,161033005,12050253-DS-20," Cr day prior to discharge is 1.3, likely his new baseline. #LLE swelling: has had this for many years. Lik" False positive,,"(14253, 14258)",,LENIs,,1255581005,12050253-DS-20," cardiac etiology given unilaterality. Bilateral LENIs were negative for DVT. He was recommended to ele" False positive,,"(14305, 14312)",,elevate,,50177009,12050253-DS-20,"NIs were negative for DVT. He was recommended to elevate the leg and wear compression stockings. His swel" False positive,,"(14401, 14406)",,Lasix,,25401000181106,12050253-DS-20,"s. His swelling improved with resolution of home Lasix and aldactone. #Anemia: Normocytic, likely rela" False positive,,"(14511, 14522)",,No evidence,,41647002,12050253-DS-20,"o anemia of chronic disease, not iron deficient. No evidence of hemolysis. # Atrial fibrillation INR of 2.7 o" False positive,,"(14644, 14648)",,CHAD,,1264461004,12050253-DS-20,"made to stop anticoagulation with warfarin given CHADS2VASC of 1 (1 point for age). He was started on " False positive,,"(14863, 14879)",,"rate controlled",,183412008,12050253-DS-20,"ioning rather than poorly controlled afib. He was rate controlled on metoprolol succinate 50mg daily and digoxin (d" False positive,,"(15126, 15128)",,St,,51811007,12050253-DS-20," Developed following push enteroscopy procedure. Stabilized without intervention. He had no further e" False positive,,"(15429, 15431)",,IP,,426053009,12050253-DS-20,"ized as above. He underwent a thoracentesis with IP to have 1L of fluid removed. Repeat CT showed re" False positive,,"(15446, 15451)",,fluid,,109192009,12050253-DS-20," underwent a thoracentesis with IP to have 1L of fluid removed. Repeat CT showed reinflation of the lun" False positive,,"(15469, 15471)",,CT,,241541005,12050253-DS-20,"esis with IP to have 1L of fluid removed. Repeat CT showed reinflation of the lung with resolution of" False positive,,"(15479, 15483)",,rein,,90445006,12050253-DS-20,"IP to have 1L of fluid removed. Repeat CT showed reinflation of the lung with resolution of the pleura" False positive,,"(15599, 15611)",,reaccumation,,425706005,12050253-DS-20,"ill need continued follow up given likelihood of reaccumation. TRANSITIONAL ISSUES: ==================== [ ] W" False positive,,"(15830, 15848)",,colorectal surgery,,306379002,12050253-DS-20,"will call ___ with details. [ ] Needs outpatient colorectal surgery follow up [ ] New meds: Prednisone 40 daily, Pant" False positive,,"(16281, 16290)",,DEXA scan,,241686001,12050253-DS-20,"to 800 units daily of D3 afterward [ ] Outpatient DEXA scan [ ] Consider repeat CXR as outpatient to re-eval " False positive,,"(16467, 16476)",,echogenic,,421222001,12050253-DS-20,"onth is also recommended to ensure resolution of echogenic material within the bladder. [ ] Was hyperglycem" False positive,,"(16699, 16709)",,immobility,,67759008,12050253-DS-20,"m, other pressure sites at risk for injury given immobility [ ] Consider atovaquone for PCP prophylaxis follo" False positive,,"(18769, 18776)",,work-up,,276059007,12050253-DS-20,"hospital? - You were admitted to the hospital for work-up of your chronic diarrhea. What was done for me" False positive,,"(18920, 18930)",,irritation,,70784009,12050253-DS-20," a colonoscopy on ___. The endoscopy showed some irritation in your stomach, called gastritis. The colonosco" False positive,,"(19190, 19203)",,abnormalities,,107669003,12050253-DS-20," that looked at your small bowel. It showed some abnormalities, and biopsies were taken. These biopsies showed " Boundary error,"(182, 187)","(182, 185)",Sulfa,Sul,429239002,415326005,12050253-DS-20," Sex: M Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / shellfish derived / A" Missed entity,"(189, 212)",,Sulfonamide Antibiotics,,429239002,,12050253-DS-20,"Sex: M Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / shellfish derived / ACE Inhibitors / Augmenti" Wrong span,"(216, 225)","(216, 233)",shellfish,shellfish derived,300913006,765097005,12050253-DS-20,"E Allergies: Sulfa (Sulfonamide Antibiotics) / shellfish derived / ACE Inhibitors / Augmentin / glipizide" Wrong span,"(236, 251)","(236, 248)","ACE Inhibitors","ACE Inhibit",789251000,441195008,12050253-DS-20,"a (Sulfonamide Antibiotics) / shellfish derived / ACE Inhibitors / Augmentin / glipizide / metformin / gluten / n" Missed entity,"(278, 287)",,metformin,,294740006,,12050253-DS-20,"rived / ACE Inhibitors / Augmentin / glipizide / metformin / gluten / nifedipine Attending: ___. Chief " Missed entity,"(290, 296)",,gluten,,1269425007,,12050253-DS-20," Inhibitors / Augmentin / glipizide / metformin / gluten / nifedipine Attending: ___. Chief Complaint" Missed entity,"(300, 310)",,nifedipine,,293996002,,12050253-DS-20,"s / Augmentin / glipizide / metformin / gluten / nifedipine Attending: ___. Chief Complaint: Chronic Diar" "Correct entity, wrong SNOMED ID","(348, 364)","(348, 364)",Chronic Diarrhea,Chronic Diarrhea,236071009,249517009,12050253-DS-20," nifedipine Attending: ___. Chief Complaint: Chronic Diarrhea, malnutrition Major Surgical or Invasive Proced" "Correct entity, wrong SNOMED ID","(366, 378)","(366, 378)",malnutrition,malnutrition,2492009,29740003,12050253-DS-20,"ending: ___. Chief Complaint: Chronic Diarrhea, malnutrition Major Surgical or Invasive Procedure: ___: EGD/" "Correct entity, wrong SNOMED ID","(428, 439)","(428, 439)",colonoscopy,colonoscopy,73761001,174158000,12050253-DS-20," Major Surgical or Invasive Procedure: ___: EGD/colonoscopy ___: Push Enteroscopy History of Present Illn" Missed entity,"(446, 462)",,Push Enteroscopy,,235148003,,12050253-DS-20,"or Invasive Procedure: ___: EGD/colonoscopy ___: Push Enteroscopy History of Present Illness: This is a ___ male" "Correct entity, wrong SNOMED ID","(539, 543)","(539, 543)",afib,afib,49436004,312442005,12050253-DS-20,"ess: This is a ___ male with PMHx significant for afib on warfarin, presumed diagnosis of Celiac disease" Missed entity,"(544, 555)",,"on warfarin",,722045009,,12050253-DS-20,"This is a ___ male with PMHx significant for afib on warfarin, presumed diagnosis of Celiac disease presenting " "Correct entity, wrong SNOMED ID","(579, 593)","(579, 593)",Celiac disease,Celiac disease,396331005,91867008,12050253-DS-20,"icant for afib on warfarin, presumed diagnosis of Celiac disease presenting with ___ year history of diarrhea, fai" "Correct entity, wrong SNOMED ID","(630, 638)","(630, 638)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"eliac disease presenting with ___ year history of diarrhea, failure to thrive with significant weight loss (" "Correct entity, wrong SNOMED ID","(640, 657)","(640, 657)",failure to thrive,failure to thrive,54840006,428484005,12050253-DS-20,"ase presenting with ___ year history of diarrhea, failure to thrive with significant weight loss (over 100 pounds in " "Correct entity, wrong SNOMED ID","(675, 686)","(675, 686)",weight loss,weight loss,89362005,267024001,12050253-DS-20,"y of diarrhea, failure to thrive with significant weight loss (over 100 pounds in the past year), fatigue, gene" "Correct entity, wrong SNOMED ID","(723, 730)","(723, 730)",fatigue,fatigue,84229001,1141720008,12050253-DS-20,"t weight loss (over 100 pounds in the past year), fatigue, generalized weakness, sent in from GI clinic tod" "Correct entity, wrong SNOMED ID","(957, 965)","(957, 965)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"event or trigger. He gradually developed frequent diarrhea, urgency and poor bowel control associated with a" "Correct entity, wrong SNOMED ID","(967, 974)","(967, 974)",urgency,urgency,75088002,443482000,12050253-DS-20,"rigger. He gradually developed frequent diarrhea, urgency and poor bowel control associated with abdominal " "Correct entity, wrong SNOMED ID","(1158, 1166)","(1158, 1166)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"g Giardia"" which was unrevealing. Since then, his diarrhea has been persistent. Frequency of diarrhea varies" Wrong span,"(1188, 1209)","(1201, 1209)",Frequency of diarrhea,diarrhea,300380005,111843007,12050253-DS-20,"ng. Since then, his diarrhea has been persistent. Frequency of diarrhea varies from ___ times up to 12 times per day. He " "Correct entity, wrong SNOMED ID","(1336, 1344)","(1336, 1344)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20," ___ times at night to have a bowel movement. His diarrhea is mostly light brown and loose but sometimes ful" "Correct entity, wrong SNOMED ID","(1480, 1486)","(1480, 1486)",bloody,bloody,405729008,269909003,12050253-DS-20,"ls particularly bad or not. He denies ever having bloody or dark stool. He has intermittent crampy lower a" "Correct entity, wrong SNOMED ID","(1490, 1500)","(1490, 1500)",dark stool,dark stool,35064005,449331000124107,12050253-DS-20,"larly bad or not. He denies ever having bloody or dark stool. He has intermittent crampy lower abdominal pain " "Correct entity, wrong SNOMED ID","(1522, 1528)","(1522, 1528)",crampy,crampy,51197009,60043000,12050253-DS-20," having bloody or dark stool. He has intermittent crampy lower abdominal pain along with the diarrhea but " "Correct entity, wrong SNOMED ID","(1565, 1573)","(1565, 1573)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"ittent crampy lower abdominal pain along with the diarrhea but cannot tell whether bowel movements make it b" "Correct entity, wrong SNOMED ID","(1721, 1729)","(1721, 1729)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"triggers (i.e. fatty food, carbohydrates) for his diarrhea but thinks eating pasta with tomato sauce sometim" "Correct entity, wrong SNOMED ID","(1814, 1822)","(1814, 1822)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"o sauce sometimes make it worse. He denies having diarrhea prior, significant travel outside of the ___, alc" Missed entity,"(1886, 1899)",,substance use,,361055000,,12050253-DS-20,"icant travel outside of the ___, alcohol or other substance use, nausea, vomiting, fevers, chills, lightheadednes" "Correct entity, wrong SNOMED ID","(1901, 1917)","(1901, 1917)","nausea, vomiting","nausea, vomiting",16932000,698861005,12050253-DS-20,"tside of the ___, alcohol or other substance use, nausea, vomiting, fevers, chills, lightheadedness, headaches, oral" "Correct entity, wrong SNOMED ID","(1919, 1925)","(1919, 1925)",fevers,fevers,386661006,248444008,12050253-DS-20,"alcohol or other substance use, nausea, vomiting, fevers, chills, lightheadedness, headaches, oral ulcers," "Correct entity, wrong SNOMED ID","(1927, 1933)","(1927, 1933)",chills,chills,43724002,274640006,12050253-DS-20,"or other substance use, nausea, vomiting, fevers, chills, lightheadedness, headaches, oral ulcers, rash, a" "Correct entity, wrong SNOMED ID","(1935, 1950)","(1935, 1950)",lightheadedness,lightheadedness,386705008,1354698007,12050253-DS-20," substance use, nausea, vomiting, fevers, chills, lightheadedness, headaches, oral ulcers, rash, abnormal bleeding" "Correct entity, wrong SNOMED ID","(1952, 1961)","(1952, 1961)",headaches,headaches,25064002,267096005,12050253-DS-20,"ausea, vomiting, fevers, chills, lightheadedness, headaches, oral ulcers, rash, abnormal bleeding, palpitati" "Correct entity, wrong SNOMED ID","(1963, 1974)","(1963, 1974)",oral ulcers,oral ulcers,26284000,403444006,12050253-DS-20,"ting, fevers, chills, lightheadedness, headaches, oral ulcers, rash, abnormal bleeding, palpitations, chest pa" "Correct entity, wrong SNOMED ID","(1976, 1980)","(1976, 1980)",rash,rash,271807003,247472004,12050253-DS-20," chills, lightheadedness, headaches, oral ulcers, rash, abnormal bleeding, palpitations, chest pain, sh" Wrong span,"(1992, 2000)","(1982, 2000)",bleeding,"abnormal bleeding",131148009,27585009,12050253-DS-20,"adedness, headaches, oral ulcers, rash, abnormal bleeding, palpitations, chest pain, shortness of breath, o" "Correct entity, wrong SNOMED ID","(2002, 2014)","(2002, 2014)",palpitations,palpitations,80313002,161966006,12050253-DS-20,"headaches, oral ulcers, rash, abnormal bleeding, palpitations, chest pain, shortness of breath, orthopnea, dysu" "Correct entity, wrong SNOMED ID","(2016, 2026)","(2016, 2026)",chest pain,chest pain,29857009,102589003,12050253-DS-20,"l ulcers, rash, abnormal bleeding, palpitations, chest pain, shortness of breath, orthopnea, dysuria, frequen" "Correct entity, wrong SNOMED ID","(2028, 2047)","(2028, 2047)",shortness of breath,shortness of breath,267036007,135833008,12050253-DS-20,"sh, abnormal bleeding, palpitations, chest pain, shortness of breath, orthopnea, dysuria, frequency, or hematuria. In" "Correct entity, wrong SNOMED ID","(2049, 2058)","(2049, 2058)",orthopnea,orthopnea,62744007,435931000124105,12050253-DS-20,"g, palpitations, chest pain, shortness of breath, orthopnea, dysuria, frequency, or hematuria. In ___, he wa" "Correct entity, wrong SNOMED ID","(2060, 2067)","(2060, 2067)",dysuria,dysuria,49650001,16844001,12050253-DS-20,"ions, chest pain, shortness of breath, orthopnea, dysuria, frequency, or hematuria. In ___, he was hospita" "Correct entity, wrong SNOMED ID","(2069, 2078)","(2069, 2078)",frequency,frequency,162116003,170707004,12050253-DS-20,"st pain, shortness of breath, orthopnea, dysuria, frequency, or hematuria. In ___, he was hospitalized after" "Correct entity, wrong SNOMED ID","(2083, 2092)","(2083, 2092)",hematuria,hematuria,34436003,197940006,12050253-DS-20,"ness of breath, orthopnea, dysuria, frequency, or hematuria. In ___, he was hospitalized after becoming sept" "Correct entity, wrong SNOMED ID","(2138, 2144)","(2138, 2144)",septic,septic,91302008,137701000119106,12050253-DS-20,"uria. In ___, he was hospitalized after becoming septic from a perirectal abscess for which he underwent " "Correct entity, wrong SNOMED ID","(2152, 2170)","(2152, 2170)",perirectal abscess,perirectal abscess,91669008,174393004,12050253-DS-20," he was hospitalized after becoming septic from a perirectal abscess for which he underwent surgery. At the time, he w" "Correct entity, wrong SNOMED ID","(2194, 2201)","(2194, 2201)",surgery,surgery,387713003,110473004,12050253-DS-20," from a perirectal abscess for which he underwent surgery. At the time, he was told he had ""gluten antibodi" "Correct entity, wrong SNOMED ID","(2277, 2288)","(2277, 2288)",colonoscopy,colonoscopy,73761001,174158000,12050253-DS-20," he had ""gluten antibodies in blood"" and he had a colonoscopy and endoscopy which reportedly confirmed he had C" "Correct entity, wrong SNOMED ID","(2293, 2302)","(2293, 2302)",endoscopy,endoscopy,423827005,287866009,12050253-DS-20,"antibodies in blood"" and he had a colonoscopy and endoscopy which reportedly confirmed he had Celiac disease." "Correct entity, wrong SNOMED ID","(2337, 2351)","(2337, 2351)",Celiac disease,Celiac disease,396331005,91867008,12050253-DS-20,"y and endoscopy which reportedly confirmed he had Celiac disease. For the past ___ years, he has been careful in a" "Correct entity, wrong SNOMED ID","(2493, 2503)","(2493, 2503)",cellulitis,cellulitis,128045006,109245003,12050253-DS-20,"his symptoms. In ___, he was hospitalized for a cellulitis treated with antibiotics. At the time he also had" Wrong span,"(2504, 2528)","(2517, 2528)","treated with antibiotics",antibiotics,281789004,372599003,12050253-DS-20,"s. In ___, he was hospitalized for a cellulitis treated with antibiotics. At the time he also had cholesystostomy tube pla" Wrong span,"(2554, 2569)","(2554, 2581)",cholesystostomy,cholesystostomy tube placed,35241000,28489004,12050253-DS-20,"treated with antibiotics. At the time he also had cholesystostomy tube placed due to concern for cholecystitis. Sin" "Correct entity, wrong SNOMED ID","(2601, 2614)","(2601, 2614)",cholecystitis,cholecystitis,76581006,65275009,12050253-DS-20,"ad cholesystostomy tube placed due to concern for cholecystitis. Since his last hospitalization, he has been liv" "Correct entity, wrong SNOMED ID","(2779, 2787)","(2779, 2787)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"ing loperamide and probiotics and has been having diarrhea ___ times per day. However, he also has not been " "Correct entity, wrong SNOMED ID","(2859, 2872)","(2859, 2872)",poor appetite,poor appetite,64379006,405788002,12050253-DS-20,"wever, he also has not been eating much as he has poor appetite and he doesn't like the food at the rehab. His wi" "Correct entity, wrong SNOMED ID","(3028, 3036)","(3028, 3036)",fatigued,fatigued,84229001,22171002,12050253-DS-20,"at, potatoes, and vegetables. He has been feeling fatigued and weak. He reports losing a lot of weight over" Wrong span,"(3059, 3081)","(3059, 3065)",losing a lot of weight,losing,161832001,225009008,12050253-DS-20,"e has been feeling fatigued and weak. He reports losing a lot of weight over the past ___ years. He weighed 376 lbs ___ y" "Correct entity, wrong SNOMED ID","(3158, 3169)","(3158, 3169)",lost weight,lost weight,89362005,267024001,12050253-DS-20,"e weighed 376 lbs ___ years ago and intentionally lost weight for his diabetes down to 240 lbs in ___. However" "Correct entity, wrong SNOMED ID","(3179, 3187)","(3179, 3187)",diabetes,diabetes,73211009,82980005,12050253-DS-20," years ago and intentionally lost weight for his diabetes down to 240 lbs in ___. However, since then, he " "Correct entity, wrong SNOMED ID","(3262, 3275)","(3262, 3275)",losing weight,losing weight,161832001,267024001,12050253-DS-20,"However, since then, he has been unintentionally losing weight. His weight was 205 lbs in ___ and 143 lbs now. " "Correct entity, wrong SNOMED ID","(3281, 3287)","(3281, 3287)",weight,weight,107647005,43664005,12050253-DS-20,", he has been unintentionally losing weight. His weight was 205 lbs in ___ and 143 lbs now. He infrequen" "Correct entity, wrong SNOMED ID","(3352, 3364)","(3352, 3364)","blood sugars","blood sugars",33747003,104686004,12050253-DS-20,"n ___ and 143 lbs now. He infrequently checks his blood sugars. Past Medical History: -Type 2 Diabetes (resol" "Correct entity, wrong SNOMED ID","(3392, 3407)","(3392, 3407)",Type 2 Diabetes,Type 2 Diabetes,44054006,443694000,12050253-DS-20,"hecks his blood sugars. Past Medical History: -Type 2 Diabetes (resolved with weight loss) -Hypertension -Hyperl" Missed entity,"(3409, 3417)",,resolved,,315051004,,12050253-DS-20,"ugars. Past Medical History: -Type 2 Diabetes (resolved with weight loss) -Hypertension -Hyperlipidemia " "Correct entity, wrong SNOMED ID","(3423, 3434)","(3423, 3434)",weight loss,weight loss,89362005,267024001,12050253-DS-20," Medical History: -Type 2 Diabetes (resolved with weight loss) -Hypertension -Hyperlipidemia " "Correct entity, wrong SNOMED ID","(3437, 3449)","(3437, 3449)",Hypertension,Hypertension,38341003,70995007,12050253-DS-20,"ry: -Type 2 Diabetes (resolved with weight loss) -Hypertension -Hyperlipidemia -A" "Correct entity, wrong SNOMED ID","(3451, 3465)","(3451, 3465)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,12050253-DS-20,"abetes (resolved with weight loss) -Hypertension -Hyperlipidemia -Atrial fibrillati" "Correct entity, wrong SNOMED ID","(3498, 3517)","(3498, 3517)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,12050253-DS-20,"n -Hyperlipidemia -Atrial fibrillation -Hyperuricemia ___, left lower leg was hot and so" "Correct entity, wrong SNOMED ID","(3519, 3532)","(3519, 3532)",Hyperuricemia,Hyperuricemia,35885006,190920002,12050253-DS-20," -Atrial fibrillation -Hyperuricemia ___, left lower leg was hot and sore, was diagnos" "Correct entity, wrong SNOMED ID","(3538, 3552)","(3538, 3552)",left lower leg,left lower leg,48979004,213384005,12050253-DS-20," -Atrial fibrillation -Hyperuricemia ___, left lower leg was hot and sore, was diagnosed with gout, did no" "Correct entity, wrong SNOMED ID","(3557, 3560)","(3557, 3560)",hot,hot,707793005,248837007,12050253-DS-20,"brillation -Hyperuricemia ___, left lower leg was hot and sore, was diagnosed with gout, did not improv" "Correct entity, wrong SNOMED ID","(3565, 3569)","(3565, 3569)",sore,sore,71393004,275321000,12050253-DS-20,"on -Hyperuricemia ___, left lower leg was hot and sore, was diagnosed with gout, did not improve with an" "Correct entity, wrong SNOMED ID","(3590, 3594)","(3590, 3594)",gout,gout,90560007,69896004,12050253-DS-20,"ft lower leg was hot and sore, was diagnosed with gout, did not improve with antibiotics) -Morbid obesit" "Correct entity, wrong SNOMED ID","(3617, 3628)","(3617, 3628)",antibiotics,antibiotics,281789004,372599003,12050253-DS-20,"re, was diagnosed with gout, did not improve with antibiotics) -Morbid obesity -OSA -Gallstones -Pulmonary hyp" "Correct entity, wrong SNOMED ID","(3631, 3645)","(3631, 3645)",Morbid obesity,Morbid obesity,238136002,1186802008,12050253-DS-20,"sed with gout, did not improve with antibiotics) -Morbid obesity -OSA -Gallstones -Pulmonary hypertension (modera" "Correct entity, wrong SNOMED ID","(3652, 3662)","(3652, 3662)",Gallstones,Gallstones,235919008,390926006,12050253-DS-20,"t improve with antibiotics) -Morbid obesity -OSA -Gallstones -Pulmonary hypertension (moderate to severe) -Pe" "Correct entity, wrong SNOMED ID","(3665, 3687)","(3665, 3687)",Pulmonary hypertension,Pulmonary hypertension,70995007,840307003,12050253-DS-20,"h antibiotics) -Morbid obesity -OSA -Gallstones -Pulmonary hypertension (moderate to severe) -Perirectal abscess -Ascites" Missed entity,"(3689, 3697)",,moderate,,840307003,,12050253-DS-20,"besity -OSA -Gallstones -Pulmonary hypertension (moderate to severe) -Perirectal abscess -Ascites -Severe p" Missed entity,"(3701, 3707)",,severe,,840308008,,12050253-DS-20,"-Gallstones -Pulmonary hypertension (moderate to severe) -Perirectal abscess -Ascites -Severe protein-cal" "Correct entity, wrong SNOMED ID","(3710, 3728)","(3710, 3728)",Perirectal abscess,Perirectal abscess,91669008,174393004,12050253-DS-20,"es -Pulmonary hypertension (moderate to severe) -Perirectal abscess -Ascites -Severe protein-calorie malnutrition -__" "Correct entity, wrong SNOMED ID","(3730, 3737)","(3730, 3737)",Ascites,Ascites,389026000,860638000,12050253-DS-20,"tension (moderate to severe) -Perirectal abscess -Ascites -Severe protein-calorie malnutrition -___ -___ -C" Wrong span,"(3739, 3774)","(3739, 3741)",Severe protein-calorie malnutrition,Se,360549009,96277001,12050253-DS-20,"moderate to severe) -Perirectal abscess -Ascites -Severe protein-calorie malnutrition -___ -___ -Celiac disease -Subclinical hypothyroi" "Correct entity, wrong SNOMED ID","(3786, 3800)","(3786, 3800)",Celiac disease,Celiac disease,396331005,91867008,12050253-DS-20,"s -Severe protein-calorie malnutrition -___ -___ -Celiac disease -Subclinical hypothyroidism -MRSA Bacteremia (__" Wrong span,"(3802, 3828)","(3814, 3828)",Subclinical hypothyroidism,hypothyroidism,54823002,10753681000119101,12050253-DS-20,"n-calorie malnutrition -___ -___ -Celiac disease -Subclinical hypothyroidism -MRSA Bacteremia (___) PAST SURGICAL HISTORY: -" "Correct entity, wrong SNOMED ID","(3878, 3890)","(3878, 3890)",Anal fistula,Anal fistula,786878009,261827001,12050253-DS-20," -MRSA Bacteremia (___) PAST SURGICAL HISTORY: -Anal fistula and fistulotomy ___ -Perineal abscess and transph" "Correct entity, wrong SNOMED ID","(3912, 3928)","(3912, 3928)",Perineal abscess,Perineal abscess,35708002,1290835006,12050253-DS-20,"GICAL HISTORY: -Anal fistula and fistulotomy ___ -Perineal abscess and transphinteric anal fistula ___ placement __" Missed entity,"(3966, 3975)",,placement,,782902008,,12050253-DS-20,"neal abscess and transphinteric anal fistula ___ placement ___ -Cholecystostomy tube placement ___ Social" Wrong span,"(3981, 3996)","(3981, 4011)",Cholecystostomy,Cholecystostomy tube placement,35241000,260560001,12050253-DS-20,"d transphinteric anal fistula ___ placement ___ -Cholecystostomy tube placement ___ Social History: ___ Family " Wrong span,"(4002, 4011)","(3981, 4011)",placement,Cholecystostomy tube placement,782902008,260560001,12050253-DS-20," fistula ___ placement ___ -Cholecystostomy tube placement ___ Social History: ___ Family History: No his" "Correct entity, wrong SNOMED ID","(4069, 4076)","(4069, 4076)",Crohn's,Crohn's,34000006,444546002,12050253-DS-20,"Social History: ___ Family History: No history of Crohn's, UC, Celiac disease, autoimmune disease. Maternal" "Correct entity, wrong SNOMED ID","(4082, 4096)","(4082, 4096)",Celiac disease,Celiac disease,396331005,91867008,12050253-DS-20,"y: ___ Family History: No history of Crohn's, UC, Celiac disease, autoimmune disease. Maternal grandfather died of" "Correct entity, wrong SNOMED ID","(4098, 4116)","(4098, 4116)",autoimmune disease,autoimmune disease,85828009,1197684002,12050253-DS-20,"story: No history of Crohn's, UC, Celiac disease, autoimmune disease. Maternal grandfather died of liver cancer, fathe" "Correct entity, wrong SNOMED ID","(4147, 4159)","(4147, 4159)",liver cancer,liver cancer,93870000,1186630006,12050253-DS-20," autoimmune disease. Maternal grandfather died of liver cancer, father died of ?embolism or aneurysm, mother die" "Correct entity, wrong SNOMED ID","(4177, 4185)","(4177, 4185)",embolism,embolism,414086009,59282003,12050253-DS-20,"grandfather died of liver cancer, father died of ?embolism or aneurysm, mother died of stroke ___ years ago " "Correct entity, wrong SNOMED ID","(4189, 4197)","(4189, 4197)",aneurysm,aneurysm,85659009,22036004,12050253-DS-20,"died of liver cancer, father died of ?embolism or aneurysm, mother died of stroke ___ years ago (___) Phys" "Correct entity, wrong SNOMED ID","(4214, 4220)","(4214, 4220)",stroke,stroke,230690007,422504002,12050253-DS-20,"her died of ?embolism or aneurysm, mother died of stroke ___ years ago (___) Physical Exam: ADMISSION PH" "Correct entity, wrong SNOMED ID","(4268, 4281)","(4268, 4281)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,12050253-DS-20,"ke ___ years ago (___) Physical Exam: ADMISSION PHYSICAL EXAM: ========================= VS: Temp 97.8 BP 9" "Correct entity, wrong SNOMED ID","(4311, 4313)","(4311, 4313)",VS,VS,118227000,313611000,12050253-DS-20,"ISSION PHYSICAL EXAM: ========================= VS: Temp 97.8 BP 94/64 HR 78 RR 20 O2sat 98 RA " "Correct entity, wrong SNOMED ID","(4316, 4320)","(4316, 4320)",Temp,Temp,105723007,102496004,12050253-DS-20,"N PHYSICAL EXAM: ========================= VS: Temp 97.8 BP 94/64 HR 78 RR 20 O2sat 98 RA General" "Correct entity, wrong SNOMED ID","(4327, 4329)","(4327, 4329)",BP,BP,392570002,38341003,12050253-DS-20,"EXAM: ========================= VS: Temp 97.8 BP 94/64 HR 78 RR 20 O2sat 98 RA General: Lying i" "Correct entity, wrong SNOMED ID","(4337, 4339)","(4337, 4339)",HR,HR,301113001,258702006,12050253-DS-20,"======================= VS: Temp 97.8 BP 94/64 HR 78 RR 20 O2sat 98 RA General: Lying in bed, con" "Correct entity, wrong SNOMED ID","(4344, 4346)","(4344, 4346)",RR,RR,301283003,229040007,12050253-DS-20,"================ VS: Temp 97.8 BP 94/64 HR 78 RR 20 O2sat 98 RA General: Lying in bed, conversant" "Correct entity, wrong SNOMED ID","(4351, 4356)","(4351, 4356)",O2sat,O2sat,104847001,103228002,12050253-DS-20,"========= VS: Temp 97.8 BP 94/64 HR 78 RR 20 O2sat 98 RA General: Lying in bed, conversant, NAD. Cac" "Correct entity, wrong SNOMED ID","(4360, 4362)","(4360, 4362)",RA,RA,722742002,463051000124105,12050253-DS-20," VS: Temp 97.8 BP 94/64 HR 78 RR 20 O2sat 98 RA General: Lying in bed, conversant, NAD. Cachectic" "Correct entity, wrong SNOMED ID","(4363, 4370)","(4363, 4370)",General,General,162673000,252398009,12050253-DS-20,": Temp 97.8 BP 94/64 HR 78 RR 20 O2sat 98 RA General: Lying in bed, conversant, NAD. Cachectic. HEEN" "Correct entity, wrong SNOMED ID","(4398, 4401)","(4398, 4401)",NAD,NAD,281900007,131143000,12050253-DS-20,"0 O2sat 98 RA General: Lying in bed, conversant, NAD. Cachectic. HEENT: NC/AT, anicteric sclera, PER" "Correct entity, wrong SNOMED ID","(4403, 4412)","(4403, 4412)",Cachectic,Cachectic,238108007,110988004,12050253-DS-20,"sat 98 RA General: Lying in bed, conversant, NAD. Cachectic. HEENT: NC/AT, anicteric sclera, PERRL, oral mu" "Correct entity, wrong SNOMED ID","(4416, 4421)","(4416, 4421)",HEENT,HEENT,5880005,113665002,12050253-DS-20,"eral: Lying in bed, conversant, NAD. Cachectic. HEENT: NC/AT, anicteric sclera, PERRL, oral mucosa clea" "Correct entity, wrong SNOMED ID","(4423, 4425)","(4423, 4425)",NC,NC,840673007,705056007,12050253-DS-20,"ying in bed, conversant, NAD. Cachectic. HEENT: NC/AT, anicteric sclera, PERRL, oral mucosa clear wi" "Correct entity, wrong SNOMED ID","(4430, 4446)","(4430, 4446)",anicteric sclera,anicteric sclera,427801009,470731000124100,12050253-DS-20," bed, conversant, NAD. Cachectic. HEENT: NC/AT, anicteric sclera, PERRL, oral mucosa clear without ulcers or bleed" "Correct entity, wrong SNOMED ID","(4448, 4453)","(4448, 4453)",PERRL,PERRL,386666001,431291005,12050253-DS-20,"NAD. Cachectic. HEENT: NC/AT, anicteric sclera, PERRL, oral mucosa clear without ulcers or bleeding. Dr" Wrong span,"(4455, 4466)","(4455, 4472)",oral mucosa,oral mucosa clear,113277000,454821000124103,12050253-DS-20,"chectic. HEENT: NC/AT, anicteric sclera, PERRL, oral mucosa clear without ulcers or bleeding. Dry MM NECK: No" "Correct entity, wrong SNOMED ID","(4481, 4487)","(4481, 4487)",ulcers,ulcers,429040005,125318001,12050253-DS-20,"nicteric sclera, PERRL, oral mucosa clear without ulcers or bleeding. Dry MM NECK: No JVD. No palpable lym" "Correct entity, wrong SNOMED ID","(4491, 4499)","(4491, 4499)",bleeding,bleeding,131148009,74474003,12050253-DS-20,"clera, PERRL, oral mucosa clear without ulcers or bleeding. Dry MM NECK: No JVD. No palpable lymph nodes. No" "Correct entity, wrong SNOMED ID","(4501, 4507)","(4501, 4507)",Dry MM,Dry MM,123640000,289873006,12050253-DS-20,"RL, oral mucosa clear without ulcers or bleeding. Dry MM NECK: No JVD. No palpable lymph nodes. No thyrome" "Correct entity, wrong SNOMED ID","(4508, 4512)","(4508, 4512)",NECK,NECK,5880005,840674001,12050253-DS-20,"l mucosa clear without ulcers or bleeding. Dry MM NECK: No JVD. No palpable lymph nodes. No thyromegaly." "Correct entity, wrong SNOMED ID","(4517, 4520)","(4517, 4520)",JVD,JVD,271653008,253395003,12050253-DS-20,"clear without ulcers or bleeding. Dry MM NECK: No JVD. No palpable lymph nodes. No thyromegaly. LUNGS: " "Correct entity, wrong SNOMED ID","(4534, 4545)","(4534, 4545)",lymph nodes,lymph nodes,284427004,67022004,12050253-DS-20,"ers or bleeding. Dry MM NECK: No JVD. No palpable lymph nodes. No thyromegaly. LUNGS: CTAB no w/r/r. Breathing " "Correct entity, wrong SNOMED ID","(4550, 4561)","(4550, 4561)",thyromegaly,thyromegaly,3716002,92978002,12050253-DS-20," Dry MM NECK: No JVD. No palpable lymph nodes. No thyromegaly. LUNGS: CTAB no w/r/r. Breathing comfortably in r" "Correct entity, wrong SNOMED ID","(4563, 4568)","(4563, 4568)",LUNGS,LUNGS,268925001,74101002,12050253-DS-20," No JVD. No palpable lymph nodes. No thyromegaly. LUNGS: CTAB no w/r/r. Breathing comfortably in room air" "Correct entity, wrong SNOMED ID","(4570, 4574)","(4570, 4574)",CTAB,CTAB,48348007,5250008,12050253-DS-20,". No palpable lymph nodes. No thyromegaly. LUNGS: CTAB no w/r/r. Breathing comfortably in room air witho" "Correct entity, wrong SNOMED ID","(4575, 4583)","(4575, 4583)",no w/r/r,no w/r/r,48348007,30828007,12050253-DS-20,"palpable lymph nodes. No thyromegaly. LUNGS: CTAB no w/r/r. Breathing comfortably in room air without access" Wrong span,"(4585, 4606)","(4585, 4618)",Breathing comfortably,Breathing comfortably in room air,276362002,722742002,12050253-DS-20,"ymph nodes. No thyromegaly. LUNGS: CTAB no w/r/r. Breathing comfortably in room air without accessory muscle use. CARDIAC" Wrong span,"(4610, 4618)","(4585, 4618)",room air,Breathing comfortably in room air,722742002,722742002,12050253-DS-20,"y. LUNGS: CTAB no w/r/r. Breathing comfortably in room air without accessory muscle use. CARDIAC: distant he" Wrong span,"(4627, 4643)","(4627, 4647)",accessory muscle,accessory muscle use,50847000,178272006,12050253-DS-20," w/r/r. Breathing comfortably in room air without accessory muscle use. CARDIAC: distant heart sounds ABD: cholecyst" "Correct entity, wrong SNOMED ID","(4649, 4656)","(4649, 4656)",CARDIAC,CARDIAC,363003006,71892000,12050253-DS-20,"ortably in room air without accessory muscle use. CARDIAC: distant heart sounds ABD: cholecystostomy tube i" "Correct entity, wrong SNOMED ID","(4658, 4678)","(4658, 4678)",distant heart sounds,distant heart sounds,271662005,89884001,12050253-DS-20,"n room air without accessory muscle use. CARDIAC: distant heart sounds ABD: cholecystostomy tube in RUQ, +BS, mildly dis" "Correct entity, wrong SNOMED ID","(4679, 4682)","(4679, 4682)",ABD,ABD,225162003,60728008,12050253-DS-20,"cessory muscle use. CARDIAC: distant heart sounds ABD: cholecystostomy tube in RUQ, +BS, mildly distend" "Correct entity, wrong SNOMED ID","(4708, 4711)","(4708, 4711)",RUQ,RUQ,448265002,65826004,12050253-DS-20,"distant heart sounds ABD: cholecystostomy tube in RUQ, +BS, mildly distended and tympanic, nontender, n" Boundary error,"(4713, 4716)","(4713, 4714)",+BS,+,61539000,260347006,12050253-DS-20,"nt heart sounds ABD: cholecystostomy tube in RUQ, +BS, mildly distended and tympanic, nontender, no pal" "Correct entity, wrong SNOMED ID","(4725, 4734)","(4725, 4734)",distended,distended,60728008,1204394008,12050253-DS-20,"nds ABD: cholecystostomy tube in RUQ, +BS, mildly distended and tympanic, nontender, no palpable masses. EXT:" "Correct entity, wrong SNOMED ID","(4739, 4747)","(4739, 4747)",tympanic,tympanic,271836003,360895009,12050253-DS-20,"cystostomy tube in RUQ, +BS, mildly distended and tympanic, nontender, no palpable masses. EXT: Warm and wel" "Correct entity, wrong SNOMED ID","(4749, 4758)","(4749, 4758)",nontender,nontender,43478001,413319007,12050253-DS-20," tube in RUQ, +BS, mildly distended and tympanic, nontender, no palpable masses. EXT: Warm and well perfused," Wrong span,"(4763, 4778)","(4772, 4778)",palpable masses,masses,443607001,237557003,12050253-DS-20,"+BS, mildly distended and tympanic, nontender, no palpable masses. EXT: Warm and well perfused, pedal pulses palpab" "Correct entity, wrong SNOMED ID","(4780, 4783)","(4780, 4783)",EXT,EXT,302773001,1489008,12050253-DS-20,"nded and tympanic, nontender, no palpable masses. EXT: Warm and well perfused, pedal pulses palpable, n" "Correct entity, wrong SNOMED ID","(4785, 4789)","(4785, 4789)",Warm,Warm,102599008,298256005,12050253-DS-20,"and tympanic, nontender, no palpable masses. EXT: Warm and well perfused, pedal pulses palpable, no club" "Correct entity, wrong SNOMED ID","(4794, 4807)","(4794, 4807)",well perfused,well perfused,1137685003,301121007,12050253-DS-20,"nic, nontender, no palpable masses. EXT: Warm and well perfused, pedal pulses palpable, no clubbing or cyanosis S" Wrong span,"(4815, 4830)","(4809, 4821)",pulses palpable,pedal pulses,301146007,710994004,12050253-DS-20,"lpable masses. EXT: Warm and well perfused, pedal pulses palpable, no clubbing or cyanosis SKIN: Skin breakdown on " "Correct entity, wrong SNOMED ID","(4835, 4843)","(4835, 4843)",clubbing,clubbing,367004,30760008,12050253-DS-20,"Warm and well perfused, pedal pulses palpable, no clubbing or cyanosis SKIN: Skin breakdown on forearms, low" "Correct entity, wrong SNOMED ID","(4847, 4855)","(4847, 4855)",cyanosis,cyanosis,3415004,95442007,12050253-DS-20,"l perfused, pedal pulses palpable, no clubbing or cyanosis SKIN: Skin breakdown on forearms, lower extremity" "Correct entity, wrong SNOMED ID","(4856, 4860)","(4856, 4860)",SKIN,SKIN,271303006,444884003,12050253-DS-20,"d, pedal pulses palpable, no clubbing or cyanosis SKIN: Skin breakdown on forearms, lower extremity stas" Wrong span,"(4862, 4866)","(4862, 4876)",Skin,Skin breakdown,271303006,70693003,12050253-DS-20,"al pulses palpable, no clubbing or cyanosis SKIN: Skin breakdown on forearms, lower extremity stasis der" "Correct entity, wrong SNOMED ID","(4880, 4888)","(4880, 4888)",forearms,forearms,14975008,9055004,12050253-DS-20,", no clubbing or cyanosis SKIN: Skin breakdown on forearms, lower extremity stasis dermatitis, no other rash" Wrong span,"(4890, 4905)","(4890, 4923)",lower extremity,"lower extremity stasis dermatitis",61685007,709666005,12050253-DS-20,"ing or cyanosis SKIN: Skin breakdown on forearms, lower extremity stasis dermatitis, no other rashes or lesions not" Wrong span,"(4906, 4923)","(4890, 4923)","stasis dermatitis","lower extremity stasis dermatitis",35498005,709666005,12050253-DS-20,"SKIN: Skin breakdown on forearms, lower extremity stasis dermatitis, no other rashes or lesions noted. NEURO: AOx3, C" "Correct entity, wrong SNOMED ID","(4934, 4940)","(4934, 4940)",rashes,rashes,271807003,247472004,12050253-DS-20,"arms, lower extremity stasis dermatitis, no other rashes or lesions noted. NEURO: AOx3, CNII-XII grossly i" "Correct entity, wrong SNOMED ID","(4944, 4951)","(4944, 4951)",lesions,lesions,52988006,246206008,12050253-DS-20,"r extremity stasis dermatitis, no other rashes or lesions noted. NEURO: AOx3, CNII-XII grossly intact, spon" "Correct entity, wrong SNOMED ID","(4959, 4964)","(4959, 4964)",NEURO,NEURO,84728005,281247006,12050253-DS-20,"sis dermatitis, no other rashes or lesions noted. NEURO: AOx3, CNII-XII grossly intact, spontaneously mov" "Correct entity, wrong SNOMED ID","(4966, 4970)","(4966, 4970)",AOx3,AOx3,426224004,124161002,12050253-DS-20,"matitis, no other rashes or lesions noted. NEURO: AOx3, CNII-XII grossly intact, spontaneously moving al" "Correct entity, wrong SNOMED ID","(4981, 4995)","(4981, 4995)",grossly intact,grossly intact,18460000,408658000,12050253-DS-20,"er rashes or lesions noted. NEURO: AOx3, CNII-XII grossly intact, spontaneously moving all limbs against gravity, " "Correct entity, wrong SNOMED ID","(5011, 5027)","(5011, 5027)","moving all limbs","moving all limbs",284137004,284138009,12050253-DS-20,"URO: AOx3, CNII-XII grossly intact, spontaneously moving all limbs against gravity, no asterixis DISCHARGE PHYSICA" "Correct entity, wrong SNOMED ID","(5048, 5057)","(5048, 5057)",asterixis,asterixis,32838008,25963006,12050253-DS-20,"pontaneously moving all limbs against gravity, no asterixis DISCHARGE PHYSICAL EXAM: ======================" "Correct entity, wrong SNOMED ID","(5110, 5116)","(5110, 5116)",VITALS,VITALS,118227000,260390007,12050253-DS-20,"DISCHARGE PHYSICAL EXAM: ======================== VITALS 98.2 132/86 93 18 98 Ra GENERAL: NAD, laying in " Wrong span,"(5146, 5148)","(5142, 5149)",RA,GENERAL,722742002,252398009,12050253-DS-20,"============= VITALS 98.2 132/86 93 18 98 Ra GENERAL: NAD, laying in bed waiting for breakfast EYES: " "Correct entity, wrong SNOMED ID","(5151, 5154)","(5151, 5154)",NAD,NAD,281900007,131143000,12050253-DS-20,"======== VITALS 98.2 132/86 93 18 98 Ra GENERAL: NAD, laying in bed waiting for breakfast EYES: MMM, n" "Correct entity, wrong SNOMED ID","(5192, 5196)","(5192, 5196)",EYES,EYES,36228007,1285599008,12050253-DS-20,"GENERAL: NAD, laying in bed waiting for breakfast EYES: MMM, non-icteric CV: Irregularly irregular, no " "Correct entity, wrong SNOMED ID","(5198, 5201)","(5198, 5201)",MMM,MMM,276398005,258673006,12050253-DS-20,"L: NAD, laying in bed waiting for breakfast EYES: MMM, non-icteric CV: Irregularly irregular, no m/r/g" "Correct entity, wrong SNOMED ID","(5207, 5214)","(5207, 5214)",icteric,icteric,18165001,118129005,12050253-DS-20,"aying in bed waiting for breakfast EYES: MMM, non-icteric CV: Irregularly irregular, no m/r/g RESP: CTAB, " "Correct entity, wrong SNOMED ID","(5215, 5217)","(5215, 5217)",CV,CV,363003006,258773002,12050253-DS-20," bed waiting for breakfast EYES: MMM, non-icteric CV: Irregularly irregular, no m/r/g RESP: CTAB, dim" "Correct entity, wrong SNOMED ID","(5243, 5251)","(5243, 5251)",no m/r/g,no m/r/g,301132007,315221003,12050253-DS-20,"YES: MMM, non-icteric CV: Irregularly irregular, no m/r/g RESP: CTAB, diminished breath sounds at the bases" "Correct entity, wrong SNOMED ID","(5252, 5256)","(5252, 5256)",RESP,RESP,268925001,20139000,12050253-DS-20," non-icteric CV: Irregularly irregular, no m/r/g RESP: CTAB, diminished breath sounds at the bases GI: " "Correct entity, wrong SNOMED ID","(5258, 5262)","(5258, 5262)",CTAB,CTAB,48348007,1286955004,12050253-DS-20,"cteric CV: Irregularly irregular, no m/r/g RESP: CTAB, diminished breath sounds at the bases GI: abdome" "Correct entity, wrong SNOMED ID","(5264, 5288)","(5264, 5288)",diminished breath sounds,diminished breath sounds,58840004,271662005,12050253-DS-20," CV: Irregularly irregular, no m/r/g RESP: CTAB, diminished breath sounds at the bases GI: abdomen very soft with minimal m" "Correct entity, wrong SNOMED ID","(5296, 5301)","(5296, 5301)",bases,bases,10024003,417082000,12050253-DS-20,"m/r/g RESP: CTAB, diminished breath sounds at the bases GI: abdomen very soft with minimal muscular tone," "Correct entity, wrong SNOMED ID","(5302, 5304)","(5302, 5304)",GI,GI,268937004,1142285003,12050253-DS-20,"RESP: CTAB, diminished breath sounds at the bases GI: abdomen very soft with minimal muscular tone, mi" Wrong span,"(5306, 5323)","(5306, 5313)",abdomen very soft,abdomen,249543005,75093004,12050253-DS-20,": CTAB, diminished breath sounds at the bases GI: abdomen very soft with minimal muscular tone, mildly distended, non" "Correct entity, wrong SNOMED ID","(5359, 5368)","(5359, 5368)",distended,distended,60728008,1204394008,12050253-DS-20,"omen very soft with minimal muscular tone, mildly distended, non tender to palpation MSK: Eccymosis noted on " Wrong span,"(5374, 5393)","(5374, 5380)",tender to palpation,tender,247348008,300821004,12050253-DS-20,"with minimal muscular tone, mildly distended, non tender to palpation MSK: Eccymosis noted on posterior thigh, superior" "Correct entity, wrong SNOMED ID","(5394, 5397)","(5394, 5397)",MSK,MSK,363215001,258697002,12050253-DS-20,"r tone, mildly distended, non tender to palpation MSK: Eccymosis noted on posterior thigh, superior to " "Correct entity, wrong SNOMED ID","(5399, 5408)","(5399, 5408)",Eccymosis,Eccymosis,302227002,1156760001,12050253-DS-20,"e, mildly distended, non tender to palpation MSK: Eccymosis noted on posterior thigh, superior to the knee, i" "Correct entity, wrong SNOMED ID","(5418, 5433)","(5418, 5433)",posterior thigh,posterior thigh,90528004,302544002,12050253-DS-20,", non tender to palpation MSK: Eccymosis noted on posterior thigh, superior to the knee, improving. 2+ LLE edema im" "Correct entity, wrong SNOMED ID","(5451, 5455)","(5451, 5455)",knee,knee,82169009,309431009,12050253-DS-20,"cymosis noted on posterior thigh, superior to the knee, improving. 2+ LLE edema improving, RLE without e" "Correct entity, wrong SNOMED ID","(5471, 5474)","(5471, 5474)",LLE,LLE,32153003,420296000,12050253-DS-20,"terior thigh, superior to the knee, improving. 2+ LLE edema improving, RLE without edema, palpable dist" "Correct entity, wrong SNOMED ID","(5475, 5480)","(5475, 5480)",edema,edema,267038008,102576009,12050253-DS-20,"or thigh, superior to the knee, improving. 2+ LLE edema improving, RLE without edema, palpable distal pul" "Correct entity, wrong SNOMED ID","(5492, 5495)","(5492, 5495)",RLE,RLE,62175007,229042004,12050253-DS-20,"r to the knee, improving. 2+ LLE edema improving, RLE without edema, palpable distal pulses SKIN: No ra" "Correct entity, wrong SNOMED ID","(5504, 5509)","(5504, 5509)",edema,edema,267038008,102576009,12050253-DS-20,"e, improving. 2+ LLE edema improving, RLE without edema, palpable distal pulses SKIN: No rashes or lesion" Wrong span,"(5511, 5533)","(5511, 5519)","palpable distal pulses",palpable,301160009,163210008,12050253-DS-20,"oving. 2+ LLE edema improving, RLE without edema, palpable distal pulses SKIN: No rashes or lesions noted. Ecchymosis on a" "Correct entity, wrong SNOMED ID","(5534, 5538)","(5534, 5538)",SKIN,SKIN,271303006,7748002,12050253-DS-20,"roving, RLE without edema, palpable distal pulses SKIN: No rashes or lesions noted. Ecchymosis on arms " "Correct entity, wrong SNOMED ID","(5543, 5549)","(5543, 5549)",rashes,rashes,271807003,247472004,12050253-DS-20,"LE without edema, palpable distal pulses SKIN: No rashes or lesions noted. Ecchymosis on arms NEURO: A&Ox" "Correct entity, wrong SNOMED ID","(5553, 5560)","(5553, 5560)",lesions,lesions,95324001,246206008,12050253-DS-20," edema, palpable distal pulses SKIN: No rashes or lesions noted. Ecchymosis on arms NEURO: A&Ox3, moves al" "Correct entity, wrong SNOMED ID","(5568, 5578)","(5568, 5578)",Ecchymosis,Ecchymosis,302227002,1156411007,12050253-DS-20,"e distal pulses SKIN: No rashes or lesions noted. Ecchymosis on arms NEURO: A&Ox3, moves all extremities, ___" "Correct entity, wrong SNOMED ID","(5582, 5586)","(5582, 5586)",arms,arms,53120007,69273007,12050253-DS-20,"s SKIN: No rashes or lesions noted. Ecchymosis on arms NEURO: A&Ox3, moves all extremities, ___ upper a" "Correct entity, wrong SNOMED ID","(5588, 5593)","(5588, 5593)",NEURO,NEURO,84728005,281247006,12050253-DS-20,": No rashes or lesions noted. Ecchymosis on arms NEURO: A&Ox3, moves all extremities, ___ upper and lowe" Missed entity,"(5595, 5596)",,A,,248234008,,12050253-DS-20,"shes or lesions noted. Ecchymosis on arms NEURO: A&Ox3, moves all extremities, ___ upper and lower " "Correct entity, wrong SNOMED ID","(5597, 5600)","(5597, 5600)",Ox3,Ox3,426224004,264674009,12050253-DS-20,"es or lesions noted. Ecchymosis on arms NEURO: A&Ox3, moves all extremities, ___ upper and lower stre" "Correct entity, wrong SNOMED ID","(5602, 5623)","(5602, 5623)",moves all extremities,moves all extremities,284137004,284138009,12050253-DS-20," lesions noted. Ecchymosis on arms NEURO: A&Ox3, moves all extremities, ___ upper and lower strength RECTAL: small open" "Correct entity, wrong SNOMED ID","(5629, 5634)","(5629, 5634)",upper,upper,53120007,102558002,12050253-DS-20,"on arms NEURO: A&Ox3, moves all extremities, ___ upper and lower strength RECTAL: small open lesion dra" "Correct entity, wrong SNOMED ID","(5655, 5661)","(5655, 5661)",RECTAL,RECTAL,410007005,719908001,12050253-DS-20,"es all extremities, ___ upper and lower strength RECTAL: small open lesion draining minimal pus, at top o" "Correct entity, wrong SNOMED ID","(5674, 5680)","(5674, 5680)",lesion,lesion,52988006,120609008,12050253-DS-20," ___ upper and lower strength RECTAL: small open lesion draining minimal pus, at top of gluteal cleft " Missed entity,"(5681, 5689)",,draining,,75823008,,12050253-DS-20,"per and lower strength RECTAL: small open lesion draining minimal pus, at top of gluteal cleft Pertinent" "Correct entity, wrong SNOMED ID","(5698, 5701)","(5698, 5701)",pus,pus,367646009,271354006,12050253-DS-20,"rength RECTAL: small open lesion draining minimal pus, at top of gluteal cleft Pertinent Results: AD" Wrong span,"(5714, 5727)","(5714, 5721)",gluteal cleft,gluteal,89508007,12430003,12050253-DS-20,"mall open lesion draining minimal pus, at top of gluteal cleft Pertinent Results: ADMISSION LABS =============" "Correct entity, wrong SNOMED ID","(5798, 5801)","(5798, 5801)",WBC,WBC,767002,391558003,12050253-DS-20," ADMISSION LABS =============== ___ 02:27PM BLOOD WBC-21.5* RBC-3.75* Hgb-11.7* Hct-34.7* MCV-93 MCH-3" "Correct entity, wrong SNOMED ID","(5808, 5811)","(5808, 5811)",RBC,RBC,14089001,258759006,12050253-DS-20," LABS =============== ___ 02:27PM BLOOD WBC-21.5* RBC-3.75* Hgb-11.7* Hct-34.7* MCV-93 MCH-31.2 MCHC-3" "Correct entity, wrong SNOMED ID","(5818, 5821)","(5818, 5821)",Hgb,Hgb,441689006,104142005,12050253-DS-20,"=========== ___ 02:27PM BLOOD WBC-21.5* RBC-3.75* Hgb-11.7* Hct-34.7* MCV-93 MCH-31.2 MCHC-33.7 RDW-15" "Correct entity, wrong SNOMED ID","(5828, 5831)","(5828, 5831)",Hct,Hct,28317006,282660005,12050253-DS-20,"= ___ 02:27PM BLOOD WBC-21.5* RBC-3.75* Hgb-11.7* Hct-34.7* MCV-93 MCH-31.2 MCHC-33.7 RDW-15.9* RDWSD-" "Correct entity, wrong SNOMED ID","(5846, 5849)","(5846, 5849)",MCH,MCH,54706004,735147002,12050253-DS-20,"D WBC-21.5* RBC-3.75* Hgb-11.7* Hct-34.7* MCV-93 MCH-31.2 MCHC-33.7 RDW-15.9* RDWSD-53.9* Plt ___ ___ " "Correct entity, wrong SNOMED ID","(5855, 5859)","(5855, 5859)",MCHC,MCHC,37254006,735147002,12050253-DS-20,"5* RBC-3.75* Hgb-11.7* Hct-34.7* MCV-93 MCH-31.2 MCHC-33.7 RDW-15.9* RDWSD-53.9* Plt ___ ___ 02:27PM BL" "Correct entity, wrong SNOMED ID","(5865, 5868)","(5865, 5868)",RDW,RDW,66842004,735149004,12050253-DS-20,"5* Hgb-11.7* Hct-34.7* MCV-93 MCH-31.2 MCHC-33.7 RDW-15.9* RDWSD-53.9* Plt ___ ___ 02:27PM BLOOD Neuts" "Correct entity, wrong SNOMED ID","(5875, 5880)","(5875, 5880)",RDWSD,RDWSD,66842004,80328002,12050253-DS-20,"7* Hct-34.7* MCV-93 MCH-31.2 MCHC-33.7 RDW-15.9* RDWSD-53.9* Plt ___ ___ 02:27PM BLOOD Neuts-86.9* Lymph" "Correct entity, wrong SNOMED ID","(5913, 5918)","(5913, 5918)",Neuts,Neuts,30630007,271035003,12050253-DS-20,"7 RDW-15.9* RDWSD-53.9* Plt ___ ___ 02:27PM BLOOD Neuts-86.9* Lymphs-4.3* Monos-6.7 Eos-0.8* Baso-0.6 Im" "Correct entity, wrong SNOMED ID","(5925, 5931)","(5925, 5931)",Lymphs,Lymphs,74765001,79709007,12050253-DS-20,"RDWSD-53.9* Plt ___ ___ 02:27PM BLOOD Neuts-86.9* Lymphs-4.3* Monos-6.7 Eos-0.8* Baso-0.6 Im ___ AbsNeut-" "Correct entity, wrong SNOMED ID","(5937, 5942)","(5937, 5942)",Monos,Monos,67776007,462791000124108,12050253-DS-20,"Plt ___ ___ 02:27PM BLOOD Neuts-86.9* Lymphs-4.3* Monos-6.7 Eos-0.8* Baso-0.6 Im ___ AbsNeut-18.71* AbsL" "Correct entity, wrong SNOMED ID","(5957, 5961)","(5957, 5961)",Baso,Baso,42351005,386561000,12050253-DS-20,"BLOOD Neuts-86.9* Lymphs-4.3* Monos-6.7 Eos-0.8* Baso-0.6 Im ___ AbsNeut-18.71* AbsLymp-0.92* AbsMono-" "Correct entity, wrong SNOMED ID","(6065, 6068)","(6065, 6068)",PTT,PTT,42525009,282119004,12050253-DS-20,"* AbsEos-0.17 AbsBaso-0.14* ___ 02:30PM BLOOD ___ PTT-35.9 ___ ___ 02:27PM BLOOD Glucose-98 UreaN-20 Cr" "Correct entity, wrong SNOMED ID","(6096, 6103)","(6096, 6103)",Glucose,Glucose,33747003,72191006,12050253-DS-20," 02:30PM BLOOD ___ PTT-35.9 ___ ___ 02:27PM BLOOD Glucose-98 UreaN-20 Creat-1.4* Na-134* K-4.4 Cl-104 HCO3" "Correct entity, wrong SNOMED ID","(6107, 6112)","(6107, 6112)",UreaN,UreaN,105011006,111108008,12050253-DS-20,"OOD ___ PTT-35.9 ___ ___ 02:27PM BLOOD Glucose-98 UreaN-20 Creat-1.4* Na-134* K-4.4 Cl-104 HCO3-16* AnGa" "Correct entity, wrong SNOMED ID","(6116, 6121)","(6116, 6121)",Creat,Creat,70901006,365756002,12050253-DS-20,"TT-35.9 ___ ___ 02:27PM BLOOD Glucose-98 UreaN-20 Creat-1.4* Na-134* K-4.4 Cl-104 HCO3-16* AnGap-14 ___ " "Correct entity, wrong SNOMED ID","(6127, 6129)","(6127, 6129)",Na,Na,312469006,257992007,12050253-DS-20," ___ 02:27PM BLOOD Glucose-98 UreaN-20 Creat-1.4* Na-134* K-4.4 Cl-104 HCO3-16* AnGap-14 ___ 02:27PM " "Correct entity, wrong SNOMED ID","(6142, 6144)","(6142, 6144)",Cl,Cl,104589004,311741002,12050253-DS-20,"OOD Glucose-98 UreaN-20 Creat-1.4* Na-134* K-4.4 Cl-104 HCO3-16* AnGap-14 ___ 02:27PM BLOOD ALT-10 AS" "Correct entity, wrong SNOMED ID","(6149, 6153)","(6149, 6153)",HCO3,HCO3,312471006,88645003,12050253-DS-20,"cose-98 UreaN-20 Creat-1.4* Na-134* K-4.4 Cl-104 HCO3-16* AnGap-14 ___ 02:27PM BLOOD ALT-10 AST-19 AlkP" "Correct entity, wrong SNOMED ID","(6158, 6163)","(6158, 6163)",AnGap,AnGap,25469001,124504004,12050253-DS-20,"reaN-20 Creat-1.4* Na-134* K-4.4 Cl-104 HCO3-16* AnGap-14 ___ 02:27PM BLOOD ALT-10 AST-19 AlkPhos-132* T" "Correct entity, wrong SNOMED ID","(6185, 6188)","(6185, 6188)",ALT,ALT,34608000,56935002,12050253-DS-20," K-4.4 Cl-104 HCO3-16* AnGap-14 ___ 02:27PM BLOOD ALT-10 AST-19 AlkPhos-132* TotBili-0.4 ___ 02:27PM BL" "Correct entity, wrong SNOMED ID","(6192, 6195)","(6192, 6195)",AST,AST,45896001,85043005,12050253-DS-20,"Cl-104 HCO3-16* AnGap-14 ___ 02:27PM BLOOD ALT-10 AST-19 AlkPhos-132* TotBili-0.4 ___ 02:27PM BLOOD Lip" "Correct entity, wrong SNOMED ID","(6199, 6206)","(6199, 6206)",AlkPhos,AlkPhos,88810008,30703008,12050253-DS-20,"HCO3-16* AnGap-14 ___ 02:27PM BLOOD ALT-10 AST-19 AlkPhos-132* TotBili-0.4 ___ 02:27PM BLOOD Lipase-9 ___ 0" "Correct entity, wrong SNOMED ID","(6212, 6219)","(6212, 6219)",TotBili,TotBili,359986008,424388002,12050253-DS-20,"p-14 ___ 02:27PM BLOOD ALT-10 AST-19 AlkPhos-132* TotBili-0.4 ___ 02:27PM BLOOD Lipase-9 ___ 02:27PM BLOOD " "Correct entity, wrong SNOMED ID","(6269, 6276)","(6269, 6276)",Albumin,Albumin,26758005,166804009,12050253-DS-20,"-0.4 ___ 02:27PM BLOOD Lipase-9 ___ 02:27PM BLOOD Albumin-1.9* Calcium-7.7* Phos-3.5 Mg-1.4* ___ 04:35AM B" "Correct entity, wrong SNOMED ID","(6282, 6289)","(6282, 6289)",Calcium,Calcium,312472004,108601004,12050253-DS-20,"7PM BLOOD Lipase-9 ___ 02:27PM BLOOD Albumin-1.9* Calcium-7.7* Phos-3.5 Mg-1.4* ___ 04:35AM BLOOD calTIBC-" "Correct entity, wrong SNOMED ID","(6295, 6299)","(6295, 6299)",Phos,Phos,104868000,168075002,12050253-DS-20,"ase-9 ___ 02:27PM BLOOD Albumin-1.9* Calcium-7.7* Phos-3.5 Mg-1.4* ___ 04:35AM BLOOD calTIBC-124* VitB1" "Correct entity, wrong SNOMED ID","(6434, 6437)","(6434, 6437)",TSH,TSH,61167004,412520006,12050253-DS-20,"* ___ 02:27PM BLOOD Osmolal-290 ___ 04:35AM BLOOD TSH-6.3* ___ 04:35AM BLOOD Free T4-0.9* ___ 02:27PM B" Missed entity,"(6461, 6468)",,Free T4,,5113004,,12050253-DS-20,"-290 ___ 04:35AM BLOOD TSH-6.3* ___ 04:35AM BLOOD Free T4-0.9* ___ 02:27PM BLOOD CRP-9.5* ___ 04:35AM BLOOD" "Correct entity, wrong SNOMED ID","(6527, 6530)","(6527, 6530)",IgG,IgG,45293001,131136006,12050253-DS-20," 02:27PM BLOOD CRP-9.5* ___ 04:35AM BLOOD PEP-PND IgG-995 IgA-623* IgM-95 ___ 04:35AM BLOOD HIV Ab-NEG " Missed entity,"(6609, 6616)",,IMAGING,,363679005,,12050253-DS-20,"5AM BLOOD HIV Ab-NEG ___ 02:27PM BLOOD tTG-IgA-9 IMAGING ========= ___ EGD - Normal mucosa was noted in th" Wrong span,"(6637, 6643)","(6637, 6650)",Normal,Normal mucosa,386549008,454821000124103,12050253-DS-20,"27PM BLOOD tTG-IgA-9 IMAGING ========= ___ EGD - Normal mucosa was noted in the whole esophagus. - Diffus" Wrong span,"(6644, 6650)","(6637, 6650)",mucosa,Normal mucosa,414781009,454821000124103,12050253-DS-20,"OOD tTG-IgA-9 IMAGING ========= ___ EGD - Normal mucosa was noted in the whole esophagus. - Diffuse eryth" "Correct entity, wrong SNOMED ID","(6674, 6683)","(6674, 6683)",esophagus,esophagus,32849002,169005008,12050253-DS-20,"== ___ EGD - Normal mucosa was noted in the whole esophagus. - Diffuse erythema of the mucosa with no bleedin" "Correct entity, wrong SNOMED ID","(6695, 6703)","(6695, 6703)",erythema,erythema,247441003,403194002,12050253-DS-20,"ucosa was noted in the whole esophagus. - Diffuse erythema of the mucosa with no bleeding was noted in the " Missed entity,"(6711, 6717)",,mucosa,,414781009,,12050253-DS-20,"in the whole esophagus. - Diffuse erythema of the mucosa with no bleeding was noted in the stomach. These" "Correct entity, wrong SNOMED ID","(6726, 6734)","(6726, 6734)",bleeding,bleeding,131148009,74474003,12050253-DS-20,"ophagus. - Diffuse erythema of the mucosa with no bleeding was noted in the stomach. These findings are com" "Correct entity, wrong SNOMED ID","(6753, 6760)","(6753, 6760)",stomach,stomach,69695003,169008005,12050253-DS-20," of the mucosa with no bleeding was noted in the stomach. These findings are compatible with gastritis. M" "Correct entity, wrong SNOMED ID","(6797, 6806)","(6797, 6806)",gastritis,gastritis,4556007,1086791000119100,12050253-DS-20," the stomach. These findings are compatible with gastritis. Multiple cold forceps biopsies were performed f" "Correct entity, wrong SNOMED ID","(6831, 6839)","(6831, 6839)",biopsies,biopsies,86273004,7246002,12050253-DS-20,"compatible with gastritis. Multiple cold forceps biopsies were performed for histology in the stomach. ___" "Correct entity, wrong SNOMED ID","(6877, 6884)","(6877, 6884)",stomach,stomach,69695003,169008005,12050253-DS-20,"eps biopsies were performed for histology in the stomach. ___ protocol). - Normal mucosa was noted in the " Wrong span,"(6903, 6909)","(6903, 6916)",Normal,Normal mucosa,386549008,454821000124103,12050253-DS-20,"d for histology in the stomach. ___ protocol). - Normal mucosa was noted in the whole examined duodenum. " Wrong span,"(6910, 6916)","(6903, 6916)",mucosa,Normal mucosa,414781009,454821000124103,12050253-DS-20,"istology in the stomach. ___ protocol). - Normal mucosa was noted in the whole examined duodenum. Multip" "Correct entity, wrong SNOMED ID","(6949, 6957)","(6949, 6957)",duodenum,duodenum,38848004,1304072005,12050253-DS-20,". - Normal mucosa was noted in the whole examined duodenum. Multiple cold forceps biopsies were performed f" "Correct entity, wrong SNOMED ID","(6982, 6990)","(6982, 6990)",biopsies,biopsies,86273004,7246002,12050253-DS-20,"e whole examined duodenum. Multiple cold forceps biopsies were performed for histology in the duodenum. " "Correct entity, wrong SNOMED ID","(7028, 7036)","(7028, 7036)",duodenum,duodenum,38848004,1304072005,12050253-DS-20,"eps biopsies were performed for histology in the duodenum. ___ COLONOSCOPY - A fistula was found in the a" Missed entity,"(7044, 7055)",,COLONOSCOPY,,73761001,,12050253-DS-20,"e performed for histology in the duodenum. ___ COLONOSCOPY - A fistula was found in the anus - A few diverti" "Correct entity, wrong SNOMED ID","(7060, 7067)","(7060, 7067)",fistula,fistula,428794004,28626004,12050253-DS-20,"histology in the duodenum. ___ COLONOSCOPY - A fistula was found in the anus - A few diverticula were se" "Correct entity, wrong SNOMED ID","(7085, 7089)","(7085, 7089)",anus,anus,53505006,181262009,12050253-DS-20,"m. ___ COLONOSCOPY - A fistula was found in the anus - A few diverticula were seen in the whole colon." "Correct entity, wrong SNOMED ID","(7098, 7109)","(7098, 7109)",diverticula,diverticula,31113003,125285008,12050253-DS-20,"NOSCOPY - A fistula was found in the anus - A few diverticula were seen in the whole colon. Diverticulosis app" "Correct entity, wrong SNOMED ID","(7133, 7138)","(7133, 7138)",colon,colon,71854001,269533000,12050253-DS-20,"e anus - A few diverticula were seen in the whole colon. Diverticulosis appeared to be of mild severity." "Correct entity, wrong SNOMED ID","(7140, 7154)","(7140, 7154)",Diverticulosis,Diverticulosis,733657002,14011008,12050253-DS-20,"- A few diverticula were seen in the whole colon. Diverticulosis appeared to be of mild severity. - Normal mucos" Wrong span,"(7192, 7198)","(7192, 7205)",Normal,Normal mucosa,386549008,454821000124103,12050253-DS-20,"verticulosis appeared to be of mild severity. - Normal mucosa was noted in the whole colon and 10cm into" Wrong span,"(7199, 7205)","(7192, 7205)",mucosa,Normal mucosa,414781009,454821000124103,12050253-DS-20,"losis appeared to be of mild severity. - Normal mucosa was noted in the whole colon and 10cm into the t" "Correct entity, wrong SNOMED ID","(7229, 7234)","(7229, 7234)",colon,colon,71854001,269533000,12050253-DS-20,"severity. - Normal mucosa was noted in the whole colon and 10cm into the terminal ileum. Multiple cold " "Correct entity, wrong SNOMED ID","(7254, 7268)","(7254, 7268)",terminal ileum,terminal ileum,85774003,1170359003,12050253-DS-20,"a was noted in the whole colon and 10cm into the terminal ileum. Multiple cold forceps biopsies were performed f" "Correct entity, wrong SNOMED ID","(7292, 7300)","(7292, 7300)",biopsies,biopsies,86273004,7246002,12050253-DS-20,"m into the terminal ileum. Multiple cold forceps biopsies were performed for histology in the random colon" "Correct entity, wrong SNOMED ID","(7345, 7350)","(7345, 7350)",colon,colon,71854001,269533000,12050253-DS-20,"psies were performed for histology in the random colon and terminal ileum. - Abnormal digital rectal ex" "Correct entity, wrong SNOMED ID","(7355, 7369)","(7355, 7369)",terminal ileum,terminal ileum,85774003,1170359003,12050253-DS-20," performed for histology in the random colon and terminal ileum. - Abnormal digital rectal exam (external hemorr" Missed entity,"(7383, 7402)",,digital rectal exam,,410006001,,12050253-DS-20," the random colon and terminal ileum. - Abnormal digital rectal exam (external hemorrhoids). ** Note: colonoscopy inc" Wrong span,"(7404, 7424)","(7413, 7424)",external hemorrhoids,hemorrhoids,23913003,46276006,12050253-DS-20," terminal ileum. - Abnormal digital rectal exam (external hemorrhoids). ** Note: colonoscopy incomplete, will need to " "Correct entity, wrong SNOMED ID","(7437, 7448)","(7437, 7448)",colonoscopy,colonoscopy,73761001,174158000,12050253-DS-20,"tal rectal exam (external hemorrhoids). ** Note: colonoscopy incomplete, will need to repeat as an outpatient" "Correct entity, wrong SNOMED ID","(7561, 7570)","(7561, 7570)",PICC line,PICC line,1021000119106,175852005,12050253-DS-20,"prep. ___ CXR 1. Repositioning of the left-sided PICC line, now with tip terminating at the mid SVC. No pn" Missed entity,"(7609, 7612)",,SVC,,48345005,,12050253-DS-20,"d PICC line, now with tip terminating at the mid SVC. No pneumothorax is seen. 2. Small to moderate l" "Correct entity, wrong SNOMED ID","(7618, 7630)","(7618, 7630)",pneumothorax,pneumothorax,36118008,109364007,12050253-DS-20,"ne, now with tip terminating at the mid SVC. No pneumothorax is seen. 2. Small to moderate left pleural effusi" "Correct entity, wrong SNOMED ID","(7661, 7665)","(7661, 7665)",left,left,61396006,264745005,12050253-DS-20,"C. No pneumothorax is seen. 2. Small to moderate left pleural effusion with left basilar atelectasis i" "Correct entity, wrong SNOMED ID","(7666, 7682)","(7666, 7682)",pleural effusion,pleural effusion,60046008,1366511008,12050253-DS-20,"o pneumothorax is seen. 2. Small to moderate left pleural effusion with left basilar atelectasis is unchanged. + _" "Correct entity, wrong SNOMED ID","(7688, 7700)","(7688, 7700)",left basilar,left basilar,41224006,787061007,12050253-DS-20,". 2. Small to moderate left pleural effusion with left basilar atelectasis is unchanged. + ___ CT ENTEROGRAPHY" "Correct entity, wrong SNOMED ID","(7789, 7797)","(7789, 7797)",inflamed,inflamed,363169009,301470001,12050253-DS-20,"NTEROGRAPHY IMPRESSION: 1. Multiple discontiguous inflamed segments of jejunum, with areas of suspected inf" "Correct entity, wrong SNOMED ID","(7810, 7817)","(7810, 7817)",jejunum,jejunum,21306003,181248002,12050253-DS-20,"N: 1. Multiple discontiguous inflamed segments of jejunum, with areas of suspected inflammatory stricturin" Wrong span,"(7844, 7856)","(7844, 7868)",inflammatory,inflammatory stricturing,128139000,1293189005,12050253-DS-20,"med segments of jejunum, with areas of suspected inflammatory stricturing but no high-grade mechanical obstruc" "Correct entity, wrong SNOMED ID","(7887, 7910)","(7887, 7910)","mechanical obstruction","mechanical obstruction",46420000,54917008,12050253-DS-20,"pected inflammatory stricturing but no high-grade mechanical obstruction. Findings are most in keeping with an infectious" "Correct entity, wrong SNOMED ID","(7950, 7960)","(7950, 7960)",infectious,infectious,40733004,366971000119100,12050253-DS-20,"bstruction. Findings are most in keeping with an infectious or inflammatory jejunitis. 2. No focal fluid col" Wrong span,"(7964, 7976)","(7964, 7987)",inflammatory,"inflammatory jejunitis",128139000,91390005,12050253-DS-20,"indings are most in keeping with an infectious or inflammatory jejunitis. 2. No focal fluid collection or fistu" Wrong span,"(7978, 7987)","(7964, 7987)",jejunitis,"inflammatory jejunitis",80805005,91390005,12050253-DS-20,"st in keeping with an infectious or inflammatory jejunitis. 2. No focal fluid collection or fistula. 3. Smal" "Correct entity, wrong SNOMED ID","(8001, 8017)","(8001, 8017)",fluid collection,fluid collection,17672001,231061006,12050253-DS-20,"nfectious or inflammatory jejunitis. 2. No focal fluid collection or fistula. 3. Small volume ascites. Moderate le" "Correct entity, wrong SNOMED ID","(8021, 8028)","(8021, 8028)",fistula,fistula,428794004,28626004,12050253-DS-20,"atory jejunitis. 2. No focal fluid collection or fistula. 3. Small volume ascites. Moderate left and smal" "Correct entity, wrong SNOMED ID","(8046, 8053)","(8046, 8053)",ascites,ascites,389026000,860638000,12050253-DS-20,"ocal fluid collection or fistula. 3. Small volume ascites. Moderate left and small right pleural effusion" "Correct entity, wrong SNOMED ID","(8086, 8103)","(8086, 8103)","pleural effusion","pleural effusion",60046008,1366511008,12050253-DS-20,"ll volume ascites. Moderate left and small right pleural effusion. 4. Diffusely decreased bone mineral density with" "Correct entity, wrong SNOMED ID","(8166, 8187)","(8166, 8187)","compression fractures","compression fractures",21947006,1003500000,12050253-DS-20,"y decreased bone mineral density with multilevel compression fractures. Please refer to the body of the report for furt" Wrong span,"(8276, 8290)","(8276, 8285)",ABDOMINAL XRAY,ABDOMINAL,60654006,422314007,12050253-DS-20,"rt for further details on osseous findings. ___ ABDOMINAL XRAY IMPRESSION: 1. New marked distention of the stoma" Wrong span,"(8317, 8342)","(8317, 8327)",distention of the stomach,distention,387666006,5314004,12050253-DS-20,"gs. ___ ABDOMINAL XRAY IMPRESSION: 1. New marked distention of the stomach which could represent gastric outlet obstruction" "Correct entity, wrong SNOMED ID","(8366, 8392)","(8366, 8392)","gastric outlet obstruction","gastric outlet obstruction",244815007,13483000,12050253-DS-20," distention of the stomach which could represent gastric outlet obstruction. 2. Possible small bowel ileus or small-bowel obs" Wrong span,"(8406, 8417)","(8406, 8423)",small bowel,small bowel ileus,30315005,1197677005,12050253-DS-20,"epresent gastric outlet obstruction. 2. Possible small bowel ileus or small-bowel obstruction. 3. Near complet" Wrong span,"(8418, 8423)","(8406, 8423)",ileus,small bowel ileus,710572000,1197677005,12050253-DS-20,"stric outlet obstruction. 2. Possible small bowel ileus or small-bowel obstruction. 3. Near complete opac" "Correct entity, wrong SNOMED ID","(8427, 8450)","(8427, 8450)",small-bowel obstruction,small-bowel obstruction,281255004,1197725005,12050253-DS-20,"let obstruction. 2. Possible small bowel ileus or small-bowel obstruction. 3. Near complete opacification of the left thora" "Correct entity, wrong SNOMED ID","(8469, 8482)","(8469, 8482)",opacification,opacification,128305008,370950002,12050253-DS-20,"leus or small-bowel obstruction. 3. Near complete opacification of the left thorax likely related to pleural eff" "Correct entity, wrong SNOMED ID","(8490, 8501)","(8490, 8501)",left thorax,left thorax,40768004,128247009,12050253-DS-20,"bstruction. 3. Near complete opacification of the left thorax likely related to pleural effusion. Please refe" "Correct entity, wrong SNOMED ID","(8521, 8537)","(8521, 8537)","pleural effusion","pleural effusion",60046008,1366511008,12050253-DS-20,"acification of the left thorax likely related to pleural effusion. Please refer to chest performed concomitantly. " Missed entity,"(8612, 8617)",,STOOL,,365437008,,12050253-DS-20,"performed concomitantly. MICRO ===== ___ 1:10 am STOOL CONSISTENCY: SOFT Source: Stool. " Missed entity,"(8622, 8633)",,CONSISTENCY,,365437008,,12050253-DS-20,"concomitantly. MICRO ===== ___ 1:10 am STOOL CONSISTENCY: SOFT Source: Stool. " Missed entity,"(8635, 8639)",,SOFT,,27731006,,12050253-DS-20,". MICRO ===== ___ 1:10 am STOOL CONSISTENCY: SOFT Source: Stool. " Missed entity,"(8653, 8658)",,Stool,,365437008,,12050253-DS-20," 1:10 am STOOL CONSISTENCY: SOFT Source: Stool. **FINAL REPORT ___" Missed entity,"(8890, 8892)",,GI,,86762007,,12050253-DS-20,"mplification assay.. PATHOLOGY ========== + ___ GI BIOPSIES: 1. Stomach, biopsy: -Antral mucosa wit" Missed entity,"(8893, 8901)",,BIOPSIES,,86273004,,12050253-DS-20,"ification assay.. PATHOLOGY ========== + ___ GI BIOPSIES: 1. Stomach, biopsy: -Antral mucosa with chronic" "Correct entity, wrong SNOMED ID","(8925, 8938)","(8925, 8938)",Antral mucosa,Antral mucosa,703651000,204676004,12050253-DS-20,"======== + ___ GI BIOPSIES: 1. Stomach, biopsy: -Antral mucosa with chronic inactive gastritis. -Corpus mucosa w" Wrong span,"(8944, 8970)","(8944, 8951)",chronic inactive gastritis,chronic,8493009,234347009,12050253-DS-20,"IOPSIES: 1. Stomach, biopsy: -Antral mucosa with chronic inactive gastritis. -Corpus mucosa with edema, otherwise within norm" "Correct entity, wrong SNOMED ID","(8973, 8986)","(8973, 8986)",Corpus mucosa,Corpus mucosa,782859007,2739003,12050253-DS-20," -Antral mucosa with chronic inactive gastritis. -Corpus mucosa with edema, otherwise within normal limits. - Imm" "Correct entity, wrong SNOMED ID","(8992, 8997)","(8992, 8997)",edema,edema,267038008,102576009,12050253-DS-20,"h chronic inactive gastritis. -Corpus mucosa with edema, otherwise within normal limits. - Immunohistoche" Missed entity,"(9033, 9058)",,Immunohistochemical stain,,117617002,,12050253-DS-20,"osa with edema, otherwise within normal limits. - Immunohistochemical stain for Helicobacter will be performed and reported " "Correct entity, wrong SNOMED ID","(9135, 9142)","(9135, 9142)",Stomach,Stomach,69695003,169008005,12050253-DS-20,"erformed and reported in a revised report. ** 1. Stomach: Immunohistochemical stain for Helicobacter is n" Missed entity,"(9144, 9169)",,Immunohistochemical stain,,117617002,,12050253-DS-20," and reported in a revised report. ** 1. Stomach: Immunohistochemical stain for Helicobacter is negative with adequate contr" "Correct entity, wrong SNOMED ID","(9253, 9268)","(9253, 9268)",Duodenal mucosa,Duodenal mucosa,77763002,734422004,12050253-DS-20,"h adequate controls. 2. Duodenal bulb, biopsy: -Duodenal mucosa with surface foveolar metaplasia suggestive of m" "Correct entity, wrong SNOMED ID","(9291, 9301)","(9291, 9301)",metaplasia,metaplasia,17665002,112671001,12050253-DS-20,"b, biopsy: -Duodenal mucosa with surface foveolar metaplasia suggestive of mild peptic injury, otherwise with" "Correct entity, wrong SNOMED ID","(9373, 9381)","(9373, 9381)",Duodenum,Duodenum,38848004,1304072005,12050253-DS-20,"eptic injury, otherwise within normal limits. 3. Duodenum, biopsy: -Duodenal mucosa within normal limits. " "Correct entity, wrong SNOMED ID","(9383, 9389)","(9383, 9389)",biopsy,biopsy,86273004,48635004,12050253-DS-20,"ry, otherwise within normal limits. 3. Duodenum, biopsy: -Duodenal mucosa within normal limits. 4. Termi" "Correct entity, wrong SNOMED ID","(9392, 9407)","(9392, 9407)",Duodenal mucosa,Duodenal mucosa,77763002,414390000,12050253-DS-20,"wise within normal limits. 3. Duodenum, biopsy: -Duodenal mucosa within normal limits. 4. Terminal ileum, biopsy:" Missed entity,"(9415, 9421)",,normal,,386549008,,12050253-DS-20,"ts. 3. Duodenum, biopsy: -Duodenal mucosa within normal limits. 4. Terminal ileum, biopsy: -Small intest" Missed entity,"(9434, 9448)",,Terminal ileum,,85774003,,12050253-DS-20,"iopsy: -Duodenal mucosa within normal limits. 4. Terminal ileum, biopsy: -Small intestinal mucosa within normal l" "Correct entity, wrong SNOMED ID","(9450, 9456)","(9450, 9456)",biopsy,biopsy,86273004,48635004,12050253-DS-20," mucosa within normal limits. 4. Terminal ileum, biopsy: -Small intestinal mucosa within normal limits. " "Correct entity, wrong SNOMED ID","(9459, 9464)","(9459, 9464)",Small,Small,30315005,26098002,12050253-DS-20,"ithin normal limits. 4. Terminal ileum, biopsy: -Small intestinal mucosa within normal limits. 5. Rando" "Correct entity, wrong SNOMED ID","(9465, 9482)","(9465, 9482)",intestinal mucosa,intestinal mucosa,68534000,61108006,12050253-DS-20,"normal limits. 4. Terminal ileum, biopsy: -Small intestinal mucosa within normal limits. 5. Random colon, biopsy: -" Missed entity,"(9490, 9496)",,normal,,386549008,,12050253-DS-20,"al ileum, biopsy: -Small intestinal mucosa within normal limits. 5. Random colon, biopsy: -Colonic mucosa" "Correct entity, wrong SNOMED ID","(9516, 9521)","(9516, 9521)",colon,colon,71854001,269533000,12050253-DS-20,"ntestinal mucosa within normal limits. 5. Random colon, biopsy: -Colonic mucosa within normal limits. " "Correct entity, wrong SNOMED ID","(9523, 9529)","(9523, 9529)",biopsy,biopsy,86273004,48635004,12050253-DS-20,"al mucosa within normal limits. 5. Random colon, biopsy: -Colonic mucosa within normal limits. + ___ SM" "Correct entity, wrong SNOMED ID","(9532, 9546)","(9532, 9546)",Colonic mucosa,Colonic mucosa,68502009,415767003,12050253-DS-20," within normal limits. 5. Random colon, biopsy: -Colonic mucosa within normal limits. + ___ SMALL INTESTINE BIO" Missed entity,"(9554, 9560)",,normal,,386549008,,12050253-DS-20," 5. Random colon, biopsy: -Colonic mucosa within normal limits. + ___ SMALL INTESTINE BIOPSIES Chronic " Missed entity,"(9577, 9601)",,SMALL INTESTINE BIOPSIES,,119286000,,12050253-DS-20,"sy: -Colonic mucosa within normal limits. + ___ SMALL INTESTINE BIOPSIES Chronic severely active enteritis with non-necrot" Missed entity,"(9602, 9609)",,Chronic,,84499006,,12050253-DS-20,"n normal limits. + ___ SMALL INTESTINE BIOPSIES Chronic severely active enteritis with non-necrotizing g" "Correct entity, wrong SNOMED ID","(9626, 9635)","(9626, 9635)",enteritis,enteritis,1187638005,235706001,12050253-DS-20," SMALL INTESTINE BIOPSIES Chronic severely active enteritis with non-necrotizing granulomas MRI PELVIS ___." Wrong span,"(9641, 9668)","(9645, 9656)","non-necrotizing granulomas",necrotizing,71282004,37585003,12050253-DS-20,"E BIOPSIES Chronic severely active enteritis with non-necrotizing granulomas MRI PELVIS ___. Complex trans sphincteric peria" Wrong span,"(9670, 9680)","(9670, 9673)",MRI PELVIS,MRI,2690005,1144760005,12050253-DS-20,"ctive enteritis with non-necrotizing granulomas MRI PELVIS ___. Complex trans sphincteric perianal fistula " Wrong span,"(9713, 9729)","(9722, 9729)",perianal fistula,fistula,58103005,28626004,12050253-DS-20,"lomas MRI PELVIS ___. Complex trans sphincteric perianal fistula within intersphincteric component and multiple " Wrong span,"(9828, 9844)","(9828, 9833)",fluid collection,fluid,17672001,109192009,12050253-DS-20," branches, one of which terminates into a 1.7 cm fluid collection which is unchanged since ___ and located 0.7 cm " "Correct entity, wrong SNOMED ID","(9927, 9935)","(9927, 9935)",anasarca,anasarca,442433009,74011000119107,12050253-DS-20," located 0.7 cm deep to the skin. 2. Extensive anasarca, deep tissue and presacral edema, including seve" "Correct entity, wrong SNOMED ID","(9953, 9962)","(9953, 9962)",presacral,presacral,39703001,281699004,12050253-DS-20,"he skin. 2. Extensive anasarca, deep tissue and presacral edema, including severe muscular edema, worse t" "Correct entity, wrong SNOMED ID","(9963, 9968)","(9963, 9968)",edema,edema,267038008,102576009,12050253-DS-20,"2. Extensive anasarca, deep tissue and presacral edema, including severe muscular edema, worse than on" Wrong span,"(9989, 10003)","(9989, 9997)",muscular edema,muscular,277374006,360502005,12050253-DS-20,"ep tissue and presacral edema, including severe muscular edema, worse than on prior. 3. 3.5 cm right proximal " Wrong span,"(10038, 10060)","(10038, 10043)",right proximal femoral,right,764827008,225794002,12050253-DS-20," muscular edema, worse than on prior. 3. 3.5 cm right proximal femoral chondroid lesion without cortical breakthrough." "Correct entity, wrong SNOMED ID","(10061, 10077)","(10061, 10077)",chondroid lesion,chondroid lesion,84052006,1293244004,12050253-DS-20,"than on prior. 3. 3.5 cm right proximal femoral chondroid lesion without cortical breakthrough. This could be f" "Correct entity, wrong SNOMED ID","(10197, 10215)","(10197, 10215)",osseous structures,osseous structures,272673000,62149008,12050253-DS-20,"t exams. 4. Diffuse fatty marrow throughout the osseous structures with focal red marrow conversion within the pro" Wrong span,"(10228, 10239)","(10228, 10235)","red marrow","red ma",75330005,2159007,12050253-DS-20,"row throughout the osseous structures with focal red marrow conversion within the proximal right femur. DIS" Wrong span,"(10262, 10282)","(10262, 10270)",proximal right femur,proximal,764827008,260739009,12050253-DS-20,"res with focal red marrow conversion within the proximal right femur. DISCHARGE LABS =============== ___ 06:25AM BLO" "Correct entity, wrong SNOMED ID","(10335, 10338)","(10335, 10338)",WBC,WBC,767002,391558003,12050253-DS-20," DISCHARGE LABS =============== ___ 06:25AM BLOOD WBC-18.7* RBC-2.82* Hgb-8.7* Hct-27.7* MCV-98 MCH-30" "Correct entity, wrong SNOMED ID","(10345, 10348)","(10345, 10348)",RBC,RBC,14089001,258759006,12050253-DS-20," LABS =============== ___ 06:25AM BLOOD WBC-18.7* RBC-2.82* Hgb-8.7* Hct-27.7* MCV-98 MCH-30.9 MCHC-31" "Correct entity, wrong SNOMED ID","(10355, 10358)","(10355, 10358)",Hgb,Hgb,441689006,104142005,12050253-DS-20,"=========== ___ 06:25AM BLOOD WBC-18.7* RBC-2.82* Hgb-8.7* Hct-27.7* MCV-98 MCH-30.9 MCHC-31.4* RDW-16" "Correct entity, wrong SNOMED ID","(10364, 10367)","(10364, 10367)",Hct,Hct,28317006,282660005,12050253-DS-20,"== ___ 06:25AM BLOOD WBC-18.7* RBC-2.82* Hgb-8.7* Hct-27.7* MCV-98 MCH-30.9 MCHC-31.4* RDW-16.8* RDWSD" "Correct entity, wrong SNOMED ID","(10382, 10385)","(10382, 10385)",MCH,MCH,54706004,735147002,12050253-DS-20,"OD WBC-18.7* RBC-2.82* Hgb-8.7* Hct-27.7* MCV-98 MCH-30.9 MCHC-31.4* RDW-16.8* RDWSD-60.3* Plt ___ ___" "Correct entity, wrong SNOMED ID","(10391, 10395)","(10391, 10395)",MCHC,MCHC,37254006,735147002,12050253-DS-20,".7* RBC-2.82* Hgb-8.7* Hct-27.7* MCV-98 MCH-30.9 MCHC-31.4* RDW-16.8* RDWSD-60.3* Plt ___ ___ 06:25AM B" "Correct entity, wrong SNOMED ID","(10412, 10417)","(10412, 10417)",RDWSD,RDWSD,66842004,80328002,12050253-DS-20,"* Hct-27.7* MCV-98 MCH-30.9 MCHC-31.4* RDW-16.8* RDWSD-60.3* Plt ___ ___ 06:25AM BLOOD Glucose-184* Urea" Wrong span,"(10444, 10457)","(10450, 10457)",BLOOD Glucose,Glucose,33747003,72191006,12050253-DS-20,"C-31.4* RDW-16.8* RDWSD-60.3* Plt ___ ___ 06:25AM BLOOD Glucose-184* UreaN-43* Creat-1.3* Na-146 K-3.6 Cl-117* H" "Correct entity, wrong SNOMED ID","(10463, 10468)","(10463, 10468)",UreaN,UreaN,105011006,111108008,12050253-DS-20,"DWSD-60.3* Plt ___ ___ 06:25AM BLOOD Glucose-184* UreaN-43* Creat-1.3* Na-146 K-3.6 Cl-117* HCO3-18* AnG" "Correct entity, wrong SNOMED ID","(10473, 10478)","(10473, 10478)",Creat,Creat,70901006,413856009,12050253-DS-20," Plt ___ ___ 06:25AM BLOOD Glucose-184* UreaN-43* Creat-1.3* Na-146 K-3.6 Cl-117* HCO3-18* AnGap-11 ___ " "Correct entity, wrong SNOMED ID","(10484, 10486)","(10484, 10486)",Na,Na,312469006,257992007,12050253-DS-20,"_ 06:25AM BLOOD Glucose-184* UreaN-43* Creat-1.3* Na-146 K-3.6 Cl-117* HCO3-18* AnGap-11 ___ 06:25AM " "Correct entity, wrong SNOMED ID","(10498, 10500)","(10498, 10500)",Cl,Cl,104589004,311741002,12050253-DS-20,"D Glucose-184* UreaN-43* Creat-1.3* Na-146 K-3.6 Cl-117* HCO3-18* AnGap-11 ___ 06:25AM BLOOD Calcium-" "Correct entity, wrong SNOMED ID","(10506, 10510)","(10506, 10510)",HCO3,HCO3,312471006,88645003,12050253-DS-20,"e-184* UreaN-43* Creat-1.3* Na-146 K-3.6 Cl-117* HCO3-18* AnGap-11 ___ 06:25AM BLOOD Calcium-7.9* Phos-" "Correct entity, wrong SNOMED ID","(10515, 10520)","(10515, 10520)",AnGap,AnGap,25469001,124504004,12050253-DS-20,"eaN-43* Creat-1.3* Na-146 K-3.6 Cl-117* HCO3-18* AnGap-11 ___ 06:25AM BLOOD Calcium-7.9* Phos-3.1 Mg-1._" "Correct entity, wrong SNOMED ID","(10542, 10549)","(10542, 10549)",Calcium,Calcium,312472004,108601004,12050253-DS-20,"K-3.6 Cl-117* HCO3-18* AnGap-11 ___ 06:25AM BLOOD Calcium-7.9* Phos-3.1 Mg-1.___ male with PMHx significant" "Correct entity, wrong SNOMED ID","(10555, 10559)","(10555, 10559)",Phos,Phos,104868000,168075002,12050253-DS-20," HCO3-18* AnGap-11 ___ 06:25AM BLOOD Calcium-7.9* Phos-3.1 Mg-1.___ male with PMHx significant for afib " "Correct entity, wrong SNOMED ID","(10564, 10566)","(10564, 10566)",Mg,Mg,271285000,258684004,12050253-DS-20," AnGap-11 ___ 06:25AM BLOOD Calcium-7.9* Phos-3.1 Mg-1.___ male with PMHx significant for afib on warf" "Correct entity, wrong SNOMED ID","(10604, 10608)","(10604, 10608)",afib,afib,49436004,282825002,12050253-DS-20," Phos-3.1 Mg-1.___ male with PMHx significant for afib on warfarin, presumed diagnosis of Celiac diseas" Missed entity,"(10609, 10620)",,on warfarin,,722045009,,12050253-DS-20,"-3.1 Mg-1.___ male with PMHx significant for afib on warfarin, presumed diagnosis of Celiac disease presenting" "Correct entity, wrong SNOMED ID","(10645, 10659)","(10645, 10659)",Celiac disease,Celiac disease,396331005,91867008,12050253-DS-20,"cant for afib on warfarin, presumed diagnosis of Celiac disease presenting with ___ year history of diarrhea of " "Correct entity, wrong SNOMED ID","(10697, 10705)","(10697, 10705)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"liac disease presenting with ___ year history of diarrhea of unclear etiology, failure to thrive with sign" "Correct entity, wrong SNOMED ID","(10727, 10744)","(10727, 10744)",failure to thrive,failure to thrive,54840006,428484005,12050253-DS-20,"__ year history of diarrhea of unclear etiology, failure to thrive with significant weight loss (over 100 pounds in" "Correct entity, wrong SNOMED ID","(10763, 10774)","(10763, 10774)",weight loss,weight loss,89362005,267024001,12050253-DS-20,"ear etiology, failure to thrive with significant weight loss (over 100 pounds in the past year), fatigue, gen" "Correct entity, wrong SNOMED ID","(10812, 10819)","(10812, 10819)",fatigue,fatigue,84229001,1141720008,12050253-DS-20," weight loss (over 100 pounds in the past year), fatigue, generalized weakness, here for workup. He underw" "Correct entity, wrong SNOMED ID","(10852, 10858)","(10852, 10858)",workup,workup,386053000,118669005,12050253-DS-20,"t year), fatigue, generalized weakness, here for workup. He underwent ___ on ___ (unrevealing), then pus" "Correct entity, wrong SNOMED ID","(10944, 10964)","(10944, 10964)",chronic inflammation,chronic inflammation,84499006,123632006,12050253-DS-20,"ing), then push enteroscopy on ___, which showed chronic inflammation consistent with Crohn's disease. ACUTE ISSUES:" "Correct entity, wrong SNOMED ID","(10981, 10997)","(10981, 10997)","Crohn's disease","Crohn's disease",34000006,1300124001,12050253-DS-20,"which showed chronic inflammation consistent with Crohn's disease. ACUTE ISSUES: ================ # Crohn's disea" "Correct entity, wrong SNOMED ID","(11034, 11049)","(11034, 11049)",Crohn's disease,Crohn's disease,34000006,700104004,12050253-DS-20,"hn's disease. ACUTE ISSUES: ================ # Crohn's disease # Chronic diarrhea and weight loss # Perirectal a" "Correct entity, wrong SNOMED ID","(11052, 11068)","(11052, 11068)",Chronic diarrhea,Chronic diarrhea,236071009,249517009,12050253-DS-20,"CUTE ISSUES: ================ # Crohn's disease # Chronic diarrhea and weight loss # Perirectal abscess and fistula " "Correct entity, wrong SNOMED ID","(11073, 11084)","(11073, 11084)",weight loss,weight loss,89362005,267024001,12050253-DS-20,"======== # Crohn's disease # Chronic diarrhea and weight loss # Perirectal abscess and fistula He presented wit" "Correct entity, wrong SNOMED ID","(11087, 11105)","(11087, 11105)",Perirectal abscess,Perirectal abscess,91669008,174393004,12050253-DS-20,"hn's disease # Chronic diarrhea and weight loss # Perirectal abscess and fistula He presented with a compelling story " "Correct entity, wrong SNOMED ID","(11110, 11117)","(11110, 11117)",fistula,fistula,428794004,28626004,12050253-DS-20,"diarrhea and weight loss # Perirectal abscess and fistula He presented with a compelling story of weight lo" "Correct entity, wrong SNOMED ID","(11158, 11169)","(11158, 11169)",weight loss,weight loss,89362005,267024001,12050253-DS-20,"d fistula He presented with a compelling story of weight loss and chronic diarrhea. Has had large workup, whic" "Correct entity, wrong SNOMED ID","(11174, 11191)","(11174, 11191)","chronic diarrhea","chronic diarrhea",236071009,249517009,12050253-DS-20,"sented with a compelling story of weight loss and chronic diarrhea. Has had large workup, which has thus far been no" "Correct entity, wrong SNOMED ID","(11321, 11335)","(11321, 11335)",Celiac disease,Celiac disease,396331005,91867008,12050253-DS-20,"kers HLA-DQ2/DQ8 without pathologic diagnosis of Celiac disease (including normal tTG-IgA) although he has been " Missed entity,"(11399, 11415)",,gluten free diet,,160671006,,12050253-DS-20,"rmal tTG-IgA) although he has been adherent to a gluten free diet. He has been told he has Celiac disease in the p" "Correct entity, wrong SNOMED ID","(11442, 11456)","(11442, 11456)",Celiac disease,Celiac disease,396331005,91867008,12050253-DS-20,"t to a gluten free diet. He has been told he has Celiac disease in the past. Push enteroscopy revealing for disc" Wrong span,"(11470, 11486)","(11475, 11486)",Push enteroscopy,enteroscopy,235148003,235148003,12050253-DS-20,"has been told he has Celiac disease in the past. Push enteroscopy revealing for discontinguous and strictured jeju" "Correct entity, wrong SNOMED ID","(11521, 11539)","(11521, 11539)",strictured jejunum,strictured jejunum,550376571000132101,204699000,12050253-DS-20,"ush enteroscopy revealing for discontinguous and strictured jejunum which, in the setting of perirectal abscesses wa" "Correct entity, wrong SNOMED ID","(11566, 11586)","(11566, 11586)",perirectal abscesses,perirectal abscesses,91669008,174393004,12050253-DS-20," and strictured jejunum which, in the setting of perirectal abscesses was consistent with Crohn's disease. Final path " "Correct entity, wrong SNOMED ID","(11607, 11622)","(11607, 11622)",Crohn's disease,Crohn's disease,34000006,1300124001,12050253-DS-20,"ting of perirectal abscesses was consistent with Crohn's disease. Final path from push enteroscopy showed non-nec" Wrong span,"(11665, 11691)","(11669, 11680)",non-necrotizing granulomas,necrotizing,71282004,37585003,12050253-DS-20,"disease. Final path from push enteroscopy showed non-necrotizing granulomas and chronic enteritis. Old pathology report also" Wrong span,"(11697, 11704)","(11697, 11714)",chronic,chronic enteritis,84499006,22207007,12050253-DS-20,"nteroscopy showed non-necrotizing granulomas and chronic enteritis. Old pathology report also suggestive o" Wrong span,"(11705, 11714)","(11697, 11714)",enteritis,chronic enteritis,1187638005,22207007,12050253-DS-20,"py showed non-necrotizing granulomas and chronic enteritis. Old pathology report also suggestive of Crohns " "Correct entity, wrong SNOMED ID","(11819, 11833)","(11819, 11833)",Crohns disease,Crohns disease,34000006,1300124001,12050253-DS-20,"ut intraepithelial leukocytes. He likely has had Crohns disease all along. Per gastroenterology, he was taken off" Missed entity,"(11885, 11901)",,gluten free diet,,160671006,,12050253-DS-20,"ll along. Per gastroenterology, he was taken off gluten free diet and tolerated a regular diet in house without an" Wrong span,"(11906, 11930)","(11918, 11930)",tolerated a regular diet,regular diet,449894006,63740007,12050253-DS-20,"nterology, he was taken off gluten free diet and tolerated a regular diet in house without any issues. He was started on p" Wrong span,"(12124, 12131)","(12113, 12131)",fistula,perirectal fistula,428794004,58857000,12050253-DS-20," gastroenterology Dr. ___. Regarding perirectal fistula, this was evaluated by our colorectal surgery te" Wrong span,"(12288, 12298)","(12288, 12306)",colorectal,colorectal surgery,1279755003,306379002,12050253-DS-20," for now. He should be scheduled for outpatient colorectal surgery follow up in ___. Recommend Dr. ___ ___" Wrong span,"(12299, 12306)","(12288, 12306)",surgery,colorectal surgery,305891006,306379002,12050253-DS-20,"He should be scheduled for outpatient colorectal surgery follow up in ___. Recommend Dr. ___ ___ this. " "Correct entity, wrong SNOMED ID","(12358, 12366)","(12358, 12366)",Anorexia,Anorexia,79890006,231522009,12050253-DS-20,"ollow up in ___. Recommend Dr. ___ ___ this. # Anorexia # Severe Malnutrition # Protein Losing Enteropath" "Correct entity, wrong SNOMED ID","(12421, 12436)","(12421, 12436)",Hypoalbuminemia,Hypoalbuminemia,119247004,123806003,12050253-DS-20,"vere Malnutrition # Protein Losing Enteropathy # Hypoalbuminemia Unintentional weight loss of ~60 lbs since ___ in" Wrong span,"(12437, 12462)","(12451, 12462)",Unintentional weight loss,weight loss,448765001,816160009,12050253-DS-20,"n # Protein Losing Enteropathy # Hypoalbuminemia Unintentional weight loss of ~60 lbs since ___ in the setting of poor PO i" "Correct entity, wrong SNOMED ID","(12503, 12517)","(12503, 12517)",poor PO intake,poor PO intake,64379006,440331000124103,12050253-DS-20,"ight loss of ~60 lbs since ___ in the setting of poor PO intake and intermittent diarrhea. Low albumin of 1.9 co" "Correct entity, wrong SNOMED ID","(12535, 12543)","(12535, 12543)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"n the setting of poor PO intake and intermittent diarrhea. Low albumin of 1.9 consistent with severe malnu" Wrong span,"(12581, 12600)","(12588, 12600)",severe malnutrition,malnutrition,29740003,29740003,12050253-DS-20,"ent diarrhea. Low albumin of 1.9 consistent with severe malnutrition. Nutrition was consulted. Electrolytes were chec" Wrong span,"(12628, 12653)","(12628, 12640)",Electrolytes were checked,Electrolytes,386275008,14830009,12050253-DS-20,"th severe malnutrition. Nutrition was consulted. Electrolytes were checked frequently and patient was monitored on telemetr" "Correct entity, wrong SNOMED ID","(12695, 12704)","(12695, 12704)",telemetry,telemetry,252739000,422952004,12050253-DS-20," checked frequently and patient was monitored on telemetry for re-feeding syndrome and electrolyte-related " "Correct entity, wrong SNOMED ID","(12709, 12728)","(12709, 12728)",re-feeding syndrome,re-feeding syndrome,427698009,722877006,12050253-DS-20,"ently and patient was monitored on telemetry for re-feeding syndrome and electrolyte-related arrhythmias. He temporar" Wrong span,"(12754, 12765)","(12734, 12765)",arrhythmias,electrolyte-related arrhythmias,698247007,71792006,12050253-DS-20," for re-feeding syndrome and electrolyte-related arrhythmias. He temporarily required TPN to boost his nutrit" "Correct entity, wrong SNOMED ID","(12791, 12794)","(12791, 12794)",TPN,TPN,225372007,789708003,12050253-DS-20,"lyte-related arrhythmias. He temporarily required TPN to boost his nutrition and then was discontinued" Wrong span,"(12869, 12893)","(12881, 12893)",tolerated a regular diet,regular diet,449894006,63740007,12050253-DS-20,"and then was discontinued shortly thereafter. He tolerated a regular diet and was given vitamin supplementation daily. He" "Correct entity, wrong SNOMED ID","(12963, 12979)","(12963, 12979)",gluten-free diet,gluten-free diet,437651000124104,404919001,12050253-DS-20,"in supplementation daily. He does NOT require a gluten-free diet. # Cholecystostomy tube Placed at ___ in ___ for" Missed entity,"(13030, 13054)",,"conservative management",,281131004,,12050253-DS-20," # Cholecystostomy tube Placed at ___ in ___ for conservative management of suspected cholecystitis (positive ___ sign, g" "Correct entity, wrong SNOMED ID","(13068, 13081)","(13068, 13081)",cholecystitis,cholecystitis,76581006,65275009,12050253-DS-20," in ___ for conservative management of suspected cholecystitis (positive ___ sign, gallbladder distention of RU" Wrong span,"(13103, 13114)","(13103, 13125)",gallbladder,gallbladder distention,28231008,33243000,12050253-DS-20,"t of suspected cholecystitis (positive ___ sign, gallbladder distention of RUQUS, though no CBD dilation or p" Wrong span,"(13115, 13125)","(13103, 13125)",distention,gallbladder distention,25322007,33243000,12050253-DS-20,"ed cholecystitis (positive ___ sign, gallbladder distention of RUQUS, though no CBD dilation or pericholecys" Wrong span,"(13146, 13149)","(13146, 13158)",CBD,CBD dilation,79741001,1287827009,12050253-DS-20,"sign, gallbladder distention of RUQUS, though no CBD dilation or pericholecystic fluid). Patient is a" Wrong span,"(13150, 13158)","(13146, 13158)",dilation,CBD dilation,25322007,1287827009,12050253-DS-20,", gallbladder distention of RUQUS, though no CBD dilation or pericholecystic fluid). Patient is a poor can" Wrong span,"(13179, 13184)","(13163, 13184)",fluid,pericholecystic fluid,17672001,95558008,12050253-DS-20,"RUQUS, though no CBD dilation or pericholecystic fluid). Patient is a poor candidate for surgery given " Wrong span,"(13265, 13281)","(13265, 13288)",poor nutritional,poor nutritional status,47563007,102635008,12050253-DS-20,"for surgery given his overall deconditioning and poor nutritional status. Surgery was consulted and they recommend" "Correct entity, wrong SNOMED ID","(13334, 13354)","(13334, 13354)",T tube cholangiogram,T tube cholangiogram,174682006,1351717006,12050253-DS-20,"atus. Surgery was consulted and they recommended T tube cholangiogram which showed patent biliary tree and patent cyst" "Correct entity, wrong SNOMED ID","(13376, 13388)","(13376, 13388)",biliary tree,biliary tree,34707002,90140006,12050253-DS-20,"mmended T tube cholangiogram which showed patent biliary tree and patent cystic duct. Surgery removed the perc" "Correct entity, wrong SNOMED ID","(13400, 13411)","(13400, 13411)",cystic duct,cystic duct,77452001,260564005,12050253-DS-20,"gram which showed patent biliary tree and patent cystic duct. Surgery removed the percutaneous cholecystostom" Wrong span,"(13422, 13467)","(13434, 13467)",removed the percutaneous cholecystostomy tube,percutaneous cholecystostomy tube,75639003,1162763003,12050253-DS-20,"ent biliary tree and patent cystic duct. Surgery removed the percutaneous cholecystostomy tube without any further issues. # Neutrophilic leuk" "Correct entity, wrong SNOMED ID","(13500, 13525)","(13500, 13525)",Neutrophilic leukocytosis,Neutrophilic leukocytosis,165518003,128834007,12050253-DS-20,"lecystostomy tube without any further issues. # Neutrophilic leukocytosis Patient remained afebrile, HD stable, and normoxe" "Correct entity, wrong SNOMED ID","(13543, 13551)","(13543, 13551)",afebrile,afebrile,87273009,16263009,12050253-DS-20,"es. # Neutrophilic leukocytosis Patient remained afebrile, HD stable, and normoxemic in room air without a" Wrong span,"(13625, 13635)","(13625, 13642)",Infectious,Infectious workup,40733004,270391007,12050253-DS-20,"mic in room air without any localizing symptoms. Infectious workup negative. Likely leukemoid reaction vs de" "Correct entity, wrong SNOMED ID","(13661, 13679)","(13661, 13679)",leukemoid reaction,leukemoid reaction,56478004,191273000,12050253-DS-20,"ing symptoms. Infectious workup negative. Likely leukemoid reaction vs demarginalization in setting of starting ster" "Correct entity, wrong SNOMED ID","(13725, 13733)","(13725, 13733)",steroids,steroids,297279009,285435007,12050253-DS-20,"tion vs demarginalization in setting of starting steroids. WBC count on day prior to discharge 18.7. # __" "Correct entity, wrong SNOMED ID","(13736, 13745)","(13736, 13745)",WBC count,WBC count,767002,116708001,12050253-DS-20,"arginalization in setting of starting steroids. WBC count on day prior to discharge 18.7. # ___ Baseline C" Missed entity,"(13794, 13796)",,Cr,,365756002,,12050253-DS-20,"t on day prior to discharge 18.7. # ___ Baseline Cr of 0.9 in ___, up to 1.4 on admission. Suspected" Wrong span,"(13857, 13871)","(13853, 13871)",renal azotemia,pre-renal azotemia,371019009,445646001,12050253-DS-20,"___, up to 1.4 on admission. Suspected to be pre-renal azotemia in the setting of poor PO intake and diarrhea. R" "Correct entity, wrong SNOMED ID","(13890, 13905)","(13890, 13905)","poor PO intake","poor PO intake",440321000124101,23800005,12050253-DS-20,"pected to be pre-renal azotemia in the setting of poor PO intake and diarrhea. Resolved with TPN and fluids. Renal" "Correct entity, wrong SNOMED ID","(13910, 13918)","(13910, 13918)",diarrhea,diarrhea,62315008,111843007,12050253-DS-20,"al azotemia in the setting of poor PO intake and diarrhea. Resolved with TPN and fluids. Renal was consult" "Correct entity, wrong SNOMED ID","(13934, 13937)","(13934, 13937)",TPN,TPN,225372007,789708003,12050253-DS-20,"ng of poor PO intake and diarrhea. Resolved with TPN and fluids. Renal was consulted for additional a" "Correct entity, wrong SNOMED ID","(13942, 13948)","(13942, 13948)",fluids,fluids,711133000,25670009,12050253-DS-20,"or PO intake and diarrhea. Resolved with TPN and fluids. Renal was consulted for additional assistance a" "Correct entity, wrong SNOMED ID","(14024, 14027)","(14024, 14027)",IVF,IVF,103744005,52637005,12050253-DS-20," additional assistance and they also recommended IVF. Cr day prior to discharge is 1.3, likely his ne" Missed entity,"(14030, 14032)",,Cr,,365756002,,12050253-DS-20,"ional assistance and they also recommended IVF. Cr day prior to discharge is 1.3, likely his new bas" Wrong span,"(14091, 14094)","(14091, 14103)",LLE,LLE swelling,32153003,60728008,12050253-DS-20,"r to discharge is 1.3, likely his new baseline. #LLE swelling: has had this for many years. Likely ___" "Correct entity, wrong SNOMED ID","(14146, 14159)","(14146, 14159)",hypoalbuminea,hypoalbuminea,119247004,123806003,12050253-DS-20,"welling: has had this for many years. Likely ___ hypoalbuminea and venous insufficiency. Low suspicion for card" "Correct entity, wrong SNOMED ID","(14164, 14184)","(14164, 14184)",venous insufficiency,venous insufficiency,86341008,20696009,12050253-DS-20,"his for many years. Likely ___ hypoalbuminea and venous insufficiency. Low suspicion for cardiac etiology given unilat" Wrong span,"(14205, 14221)","(14205, 14212)",cardiac etiology,cardiac,56265001,71892000,12050253-DS-20,"inea and venous insufficiency. Low suspicion for cardiac etiology given unilaterality. Bilateral LENIs were negati" "Correct entity, wrong SNOMED ID","(14278, 14281)","(14278, 14281)",DVT,DVT,128053003,161508001,12050253-DS-20,"unilaterality. Bilateral LENIs were negative for DVT. He was recommended to elevate the leg and wear " "Correct entity, wrong SNOMED ID","(14317, 14320)","(14317, 14320)",leg,leg,61685007,442871000124106,12050253-DS-20,"gative for DVT. He was recommended to elevate the leg and wear compression stockings. His swelling imp" Missed entity,"(14343, 14352)",,stockings,,225420001,,12050253-DS-20,"ommended to elevate the leg and wear compression stockings. His swelling improved with resolution of home L" "Correct entity, wrong SNOMED ID","(14358, 14366)","(14358, 14366)",swelling,swelling,442672001,300890009,12050253-DS-20,"vate the leg and wear compression stockings. His swelling improved with resolution of home Lasix and aldac" "Correct entity, wrong SNOMED ID","(14367, 14375)","(14367, 14375)",improved,improved,268910001,251359002,12050253-DS-20,"leg and wear compression stockings. His swelling improved with resolution of home Lasix and aldactone. #A" "Correct entity, wrong SNOMED ID","(14424, 14430)","(14424, 14430)",Anemia,Anemia,271737000,87522002,12050253-DS-20,"d with resolution of home Lasix and aldactone. #Anemia: Normocytic, likely related to anemia of chronic" "Correct entity, wrong SNOMED ID","(14463, 14488)","(14463, 14488)",anemia of chronic disease,anemia of chronic disease,234347009,191244003,12050253-DS-20,"dactone. #Anemia: Normocytic, likely related to anemia of chronic disease, not iron deficient. No evidence of hemolysis. " "Correct entity, wrong SNOMED ID","(14495, 14509)","(14495, 14509)",iron deficient,iron deficient,35240004,427762006,12050253-DS-20,"likely related to anemia of chronic disease, not iron deficient. No evidence of hemolysis. # Atrial fibrillation" "Correct entity, wrong SNOMED ID","(14526, 14535)","(14526, 14535)",hemolysis,hemolysis,73320003,15601008,12050253-DS-20,"onic disease, not iron deficient. No evidence of hemolysis. # Atrial fibrillation INR of 2.7 on admission. " "Correct entity, wrong SNOMED ID","(14540, 14559)","(14540, 14559)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,12050253-DS-20,"not iron deficient. No evidence of hemolysis. # Atrial fibrillation INR of 2.7 on admission. Decision made to stop an" "Correct entity, wrong SNOMED ID","(14607, 14622)","(14607, 14622)",anticoagulation,anticoagulation,182764009,260678004,12050253-DS-20,"on INR of 2.7 on admission. Decision made to stop anticoagulation with warfarin given CHADS2VASC of 1 (1 point for" Missed entity,"(14629, 14637)",,warfarin,,722045009,,12050253-DS-20,"sion. Decision made to stop anticoagulation with warfarin given CHADS2VASC of 1 (1 point for age). He was " "Correct entity, wrong SNOMED ID","(14698, 14705)","(14698, 14705)",aspirin,aspirin,431463004,25796002,12050253-DS-20,"S2VASC of 1 (1 point for age). He was started on aspirin during this admission. He had intermittent tachy" "Correct entity, wrong SNOMED ID","(14750, 14761)","(14750, 14761)",tachycardia,tachycardia,3424008,6456007,12050253-DS-20,"pirin during this admission. He had intermittent tachycardia with movement thought to be the result of decond" Wrong span,"(14850, 14854)","(14832, 14854)",afib,poorly controlled afib,49436004,314828009,12050253-DS-20," of deconditioning rather than poorly controlled afib. He was rate controlled on metoprolol succinate " Wrong span,"(14965, 14979)","(14965, 14970)",renal function,renal,182809008,63893004,12050253-DS-20,"and digoxin (dose reduced to 0.625 in setting of renal function). #Hyperglycemia: developed in setting of steroi" "Correct entity, wrong SNOMED ID","(14984, 14997)","(14984, 14997)",Hyperglycemia,Hyperglycemia,80394007,237623001,12050253-DS-20,"reduced to 0.625 in setting of renal function). #Hyperglycemia: developed in setting of steroids. Was controlled" "Correct entity, wrong SNOMED ID","(15023, 15031)","(15023, 15031)",steroids,steroids,297279009,285435007,12050253-DS-20,"nction). #Hyperglycemia: developed in setting of steroids. Was controlled with minimal ISS. #Melena: Deve" Missed entity,"(15062, 15065)",,ISS,,225301004,,12050253-DS-20,"setting of steroids. Was controlled with minimal ISS. #Melena: Developed following push enteroscopy p" "Correct entity, wrong SNOMED ID","(15069, 15075)","(15069, 15075)",Melena,Melena,2901004,206424005,12050253-DS-20," of steroids. Was controlled with minimal ISS. #Melena: Developed following push enteroscopy procedure. " Wrong span,"(15097, 15123)","(15102, 15123)",push enteroscopy procedure,enteroscopy procedure,235148003,235148003,12050253-DS-20," with minimal ISS. #Melena: Developed following push enteroscopy procedure. Stabilized without intervention. He had no furt" "Correct entity, wrong SNOMED ID","(15190, 15196)","(15190, 15196)",melena,melena,2901004,206424005,12050253-DS-20,"hout intervention. He had no further episodes of melena thereafter. #Transudative left pleural effusion:" Wrong span,"(15224, 15228)","(15211, 15245)",left,Transudative left pleural effusion,61396006,1366512001,12050253-DS-20,"er episodes of melena thereafter. #Transudative left pleural effusion: etiology appears to be consist" Wrong span,"(15229, 15245)","(15211, 15245)",pleural effusion,Transudative left pleural effusion,60046008,1366512001,12050253-DS-20,"isodes of melena thereafter. #Transudative left pleural effusion: etiology appears to be consistent with hypoalbu" "Correct entity, wrong SNOMED ID","(15287, 15302)","(15287, 15302)",hypoalbuminemic,hypoalbuminemic,119247004,123806003,12050253-DS-20,"effusion: etiology appears to be consistent with hypoalbuminemic state. No clinical signs of heart failure. His n" Missed entity,"(15322, 15327)",,signs,,72670004,,12050253-DS-20,"onsistent with hypoalbuminemic state. No clinical signs of heart failure. His nutritional status was opt" "Correct entity, wrong SNOMED ID","(15332, 15345)","(15332, 15345)",heart failure,heart failure,84114007,56675007,12050253-DS-20,"with hypoalbuminemic state. No clinical signs of heart failure. His nutritional status was optimized as above. H" "Correct entity, wrong SNOMED ID","(15410, 15423)","(15410, 15423)",thoracentesis,thoracentesis,91602002,1359769003,12050253-DS-20,"al status was optimized as above. He underwent a thoracentesis with IP to have 1L of fluid removed. Repeat CT s" "Correct entity, wrong SNOMED ID","(15498, 15502)","(15498, 15502)",lung,lung,39607008,301232003,12050253-DS-20,"uid removed. Repeat CT showed reinflation of the lung with resolution of the pleural effusion. He will" "Correct entity, wrong SNOMED ID","(15527, 15543)","(15527, 15543)",pleural effusion,pleural effusion,60046008,1366511008,12050253-DS-20,"d reinflation of the lung with resolution of the pleural effusion. He will need continued follow up given likeliho" "Correct entity, wrong SNOMED ID","(15568, 15577)","(15568, 15577)",follow up,follow up,281036007,1354473003,12050253-DS-20," of the pleural effusion. He will need continued follow up given likelihood of reaccumation. TRANSITIONAL " Missed entity,"(16130, 16135)",,hep B,,66071002,,12050253-DS-20,"0.0625 daily (from 0.125 daily) [ ] Non-immune to hep B [ ] Supplementation of Vitamin D3 at 50,000 units" "Correct entity, wrong SNOMED ID","(16369, 16385)","(16369, 16385)",pleural effusion,pleural effusion,60046008,1366511008,12050253-DS-20,"utpatient to re-eval for reaccumulation of prior pleural effusion [ ] Follow-up ultrasound in 1 month is also recom" Wrong span,"(16390, 16410)","(16400, 16410)",Follow-up ultrasound,ultrasound,89343007,765172009,12050253-DS-20,"for reaccumulation of prior pleural effusion [ ] Follow-up ultrasound in 1 month is also recommended to ensure resolut" "Correct entity, wrong SNOMED ID","(16497, 16504)","(16497, 16504)",bladder,bladder,89837001,398064005,12050253-DS-20,"nsure resolution of echogenic material within the bladder. [ ] Was hyperglycemic on steroids in house. Wil" "Correct entity, wrong SNOMED ID","(16515, 16528)","(16515, 16528)",hyperglycemic,hyperglycemic,80394007,170765005,12050253-DS-20,"f echogenic material within the bladder. [ ] Was hyperglycemic on steroids in house. Will need ongoing evaluati" "Correct entity, wrong SNOMED ID","(16532, 16540)","(16532, 16540)",steroids,steroids,297279009,285435007,12050253-DS-20,"ial within the bladder. [ ] Was hyperglycemic on steroids in house. Will need ongoing evaluation and asses" "Correct entity, wrong SNOMED ID","(16570, 16580)","(16570, 16580)",evaluation,evaluation,386053000,39609006,12050253-DS-20,"glycemic on steroids in house. Will need ongoing evaluation and assessment of his blood glucose readings [ ] " "Correct entity, wrong SNOMED ID","(16585, 16595)","(16585, 16595)",assessment,assessment,386053000,405787007,12050253-DS-20,"roids in house. Will need ongoing evaluation and assessment of his blood glucose readings [ ] Evaluation of s" "Correct entity, wrong SNOMED ID","(16603, 16616)","(16603, 16616)",blood glucose,blood glucose,33747003,271061004,12050253-DS-20,"ll need ongoing evaluation and assessment of his blood glucose readings [ ] Evaluation of sacrum, other pressure" "Correct entity, wrong SNOMED ID","(16630, 16640)","(16630, 16640)",Evaluation,Evaluation,386053000,39609006,12050253-DS-20," and assessment of his blood glucose readings [ ] Evaluation of sacrum, other pressure sites at risk for inju" "Correct entity, wrong SNOMED ID","(16644, 16650)","(16644, 16650)",sacrum,sacrum,699698002,264186006,12050253-DS-20,"t of his blood glucose readings [ ] Evaluation of sacrum, other pressure sites at risk for injury given i" "Correct entity, wrong SNOMED ID","(16658, 16666)","(16658, 16666)",pressure,pressure,51590001,1264052006,12050253-DS-20," glucose readings [ ] Evaluation of sacrum, other pressure sites at risk for injury given immobility [ ] Co" "Correct entity, wrong SNOMED ID","(16686, 16692)","(16686, 16692)",injury,injury,417163006,312608009,12050253-DS-20,"tion of sacrum, other pressure sites at risk for injury given immobility [ ] Consider atovaquone for PCP " Wrong span,"(16742, 16753)","(16738, 16753)",prophylaxis,PCP prophylaxis,169443000,865899005,12050253-DS-20," given immobility [ ] Consider atovaquone for PCP prophylaxis following hospitalization (no Bactrim due to ana" Wrong span,"(16800, 16811)","(16800, 16819)",anaphylaxis,anaphylaxis allergy,39579001,10839421000119104,12050253-DS-20,"xis following hospitalization (no Bactrim due to anaphylaxis allergy) [ ] Needs repeat quantiferon gold as out" Wrong span,"(16812, 16819)","(16800, 16819)",allergy,anaphylaxis allergy,609328004,10839421000119104,12050253-DS-20,"g hospitalization (no Bactrim due to anaphylaxis allergy) [ ] Needs repeat quantiferon gold as outpatient " "Correct entity, wrong SNOMED ID","(16958, 16967)","(16958, 16967)",WBC count,WBC count,767002,116708001,12050253-DS-20,"e insufficient for analysis) [ ] Recommend repeat WBC count and Cr in ___ days after discharge from ___ #CO" "Correct entity, wrong SNOMED ID","(18251, 18265)","(18251, 18265)",Crohns Disease,Crohns Disease,34000006,1300124001,12050253-DS-20,"ge Diagnosis: PRIMARY DIAGNOSIS ================= Crohns Disease SECONDARY DIAGNOSES ==================== Severe " "Correct entity, wrong SNOMED ID","(18348, 18367)","(18348, 18367)",Atrial Fibrillation,Atrial Fibrillation,49436004,313377641000119105,12050253-DS-20,"========= Severe Malnutrition Acute Kidney Injury Atrial Fibrillation Anemia Melena Transudative pleural effusion Di" "Correct entity, wrong SNOMED ID","(18368, 18374)","(18368, 18374)",Anemia,Anemia,271737000,87522002,12050253-DS-20,"nutrition Acute Kidney Injury Atrial Fibrillation Anemia Melena Transudative pleural effusion Discharge" "Correct entity, wrong SNOMED ID","(18375, 18381)","(18375, 18381)",Melena,Melena,2901004,206424005,12050253-DS-20,"on Acute Kidney Injury Atrial Fibrillation Anemia Melena Transudative pleural effusion Discharge Condit" Wrong span,"(18395, 18411)","(18382, 18411)",pleural effusion,Transudative pleural effusion,60046008,13841000119107,12050253-DS-20,"ry Atrial Fibrillation Anemia Melena Transudative pleural effusion Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(18436, 18449)","(18436, 18449)",Mental Status,Mental Status,392257007,419284004,12050253-DS-20,"sudative pleural effusion Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(18451, 18456)","(18451, 18456)",Clear,Clear,48348007,281278005,12050253-DS-20,"l effusion Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(18471, 18493)","(18471, 18493)",Level of Consciousness,Level of Consciousness,444714004,830285008,12050253-DS-20,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(18495, 18500)","(18495, 18500)",Alert,Alert,248234008,409787004,12050253-DS-20,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - re" "Correct entity, wrong SNOMED ID","(18505, 18516)","(18505, 18516)",interactive,interactive,288577006,10301000202103,12050253-DS-20,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistanc" "Correct entity, wrong SNOMED ID","(18518, 18533)","(18518, 18533)",Activity Status,Activity Status,129676008,397622007,12050253-DS-20,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker " "Correct entity, wrong SNOMED ID","(18535, 18574)","(18535, 18574)",Ambulatory - requires assistance or aid,Ambulatory - requires assistance or aid,365112008,165252001,12050253-DS-20,"iousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dea" Missed entity,"(18576, 18582)",,walker,,165255004,,12050253-DS-20," Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dear Mr. __" Missed entity,"(18587, 18591)",,cane,,443320005,,12050253-DS-20,"bulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dear Mr. ___, It wa" "Correct entity, wrong SNOMED ID","(18785, 18802)","(18785, 18802)","chronic diarrhea","chronic diarrhea",236071009,249517009,12050253-DS-20,"were admitted to the hospital for work-up of your chronic diarrhea. What was done for me in the hospital? - You ha" "Correct entity, wrong SNOMED ID","(18857, 18866)","(18857, 18866)",endoscopy,endoscopy,423827005,287866009,12050253-DS-20,"hat was done for me in the hospital? - You had an endoscopy and a colonoscopy on ___. The endoscopy showed s" "Correct entity, wrong SNOMED ID","(18873, 18884)","(18873, 18884)",colonoscopy,colonoscopy,73761001,174158000,12050253-DS-20," me in the hospital? - You had an endoscopy and a colonoscopy on ___. The endoscopy showed some irritation in " "Correct entity, wrong SNOMED ID","(18898, 18907)","(18898, 18907)",endoscopy,endoscopy,423827005,10847001,12050253-DS-20,"u had an endoscopy and a colonoscopy on ___. The endoscopy showed some irritation in your stomach, called g" "Correct entity, wrong SNOMED ID","(18939, 18946)","(18939, 18946)",stomach,stomach,69695003,169008005,12050253-DS-20,"__. The endoscopy showed some irritation in your stomach, called gastritis. The colonoscopy showed a fist" "Correct entity, wrong SNOMED ID","(18956, 18965)","(18956, 18965)",gastritis,gastritis,4556007,1086791000119100,12050253-DS-20,"y showed some irritation in your stomach, called gastritis. The colonoscopy showed a fistula (an irritated h" "Correct entity, wrong SNOMED ID","(18971, 18982)","(18971, 18982)",colonoscopy,colonoscopy,73761001,174158000,12050253-DS-20,"rritation in your stomach, called gastritis. The colonoscopy showed a fistula (an irritated hole that connect" "Correct entity, wrong SNOMED ID","(18992, 18999)","(18992, 18999)",fistula,fistula,428794004,28626004,12050253-DS-20,"mach, called gastritis. The colonoscopy showed a fistula (an irritated hole that connects two parts of th" "Correct entity, wrong SNOMED ID","(19051, 19061)","(19051, 19061)",intestines,intestines,113276009,60136008,12050253-DS-20,"an irritated hole that connects two parts of the intestines) in your rectum. - You had a ""push enteroscopy""" "Correct entity, wrong SNOMED ID","(19071, 19077)","(19071, 19077)",rectum,rectum,34402009,37161004,12050253-DS-20,"hat connects two parts of the intestines) in your rectum. - You had a ""push enteroscopy"", a special kind" "Correct entity, wrong SNOMED ID","(19131, 19140)","(19131, 19140)",endoscopy,endoscopy,423827005,10847001,12050253-DS-20,"- You had a ""push enteroscopy"", a special kind of endoscopy that looked at your small bowel. It showed some " "Correct entity, wrong SNOMED ID","(19162, 19173)","(19162, 19173)",small bowel,small bowel,30315005,174005007,12050253-DS-20," a special kind of endoscopy that looked at your small bowel. It showed some abnormalities, and biopsies were" "Correct entity, wrong SNOMED ID","(19210, 19218)","(19210, 19218)",biopsies,biopsies,86273004,7246002,12050253-DS-20,"r small bowel. It showed some abnormalities, and biopsies were taken. These biopsies showed Crohn's disease" "Correct entity, wrong SNOMED ID","(19237, 19245)","(19237, 19245)",biopsies,biopsies,86273004,7246002,12050253-DS-20,"me abnormalities, and biopsies were taken. These biopsies showed Crohn's disease. You were started on ster" "Correct entity, wrong SNOMED ID","(19253, 19268)","(19253, 19268)",Crohn's disease,Crohn's disease,34000006,700104004,12050253-DS-20,", and biopsies were taken. These biopsies showed Crohn's disease. You were started on steroids to reduce the infl" "Correct entity, wrong SNOMED ID","(19291, 19299)","(19291, 19299)",steroids,steroids,297279009,285435007,12050253-DS-20,"sies showed Crohn's disease. You were started on steroids to reduce the inflammation. - You had a liter of " "Correct entity, wrong SNOMED ID","(19314, 19326)","(19314, 19326)",inflammation,inflammation,128139000,103622007,12050253-DS-20,"ease. You were started on steroids to reduce the inflammation. - You had a liter of fluid removed from your lef" Wrong span,"(19349, 19362)","(19349, 19354)",fluid removed,fluid,278296000,109192009,12050253-DS-20," to reduce the inflammation. - You had a liter of fluid removed from your left lung. - You were seen by a nutriti" "Correct entity, wrong SNOMED ID","(19373, 19382)","(19373, 19382)",left lung,left lung,44029006,10631000,12050253-DS-20,"ion. - You had a liter of fluid removed from your left lung. - You were seen by a nutritionist, and you were " Missed entity,"(19468, 19488)",,vitamin deficiencies,,85670002,,12050253-DS-20," and you were given vitamin replacement for your vitamin deficiencies. - You had your percutaneous cholecystostomy tube" Wrong span,"(19505, 19546)","(19505, 19538)",percutaneous cholecystostomy tube removed,percutaneous cholecystostomy tube,75639003,1162763003,12050253-DS-20,"ent for your vitamin deficiencies. - You had your percutaneous cholecystostomy tube removed after we ensured there weren't any blockages in " "Correct entity, wrong SNOMED ID","(19601, 19612)","(19601, 19612)",gallbladder,gallbladder,28231008,169010007,12050253-DS-20,"r we ensured there weren't any blockages in your gallbladder. What should I do when I leave the hospital? - P" "Correct entity, wrong SNOMED ID","(19785, 19800)","(19785, 19800)","Crohns Disease","Crohns Disease",34000006,1300124001,12050253-DS-20,"You will be following up with ___ at ___ for the Crohns Disease. We wish you the best of luck in your health! S" False positive,,"(1217, 1231)",,Constitutional,,47708004,12128814-DS-15,"HR 114 BP 89/67 RR 15 intubated O2 sat 89% Constitutional: intubated and sedated PERRLA Chest clear, equal " False positive,,"(1275, 1280)",,equal,,301943000,12128814-DS-15,"tional: intubated and sedated PERRLA Chest clear, equal BS Abdominal: Soft, gsw right and left abd Extr/B" False positive,,"(1281, 1283)",,BS,,257983009,12128814-DS-15,": intubated and sedated PERRLA Chest clear, equal BS Abdominal: Soft, gsw right and left abd Extr/Back" False positive,,"(1864, 1865)",,E,,257985002,12128814-DS-15,"11:40PM BLOOD Neuts-84.4* Lymphs-10.3* Monos-2.6 Eos-2.3 Baso-0.5 ___ 05:35AM BLOOD Plt ___ ___ 04:4" False positive,,"(2145, 2147)",,Cl,,311741002,12128814-DS-15," BLOOD Glucose-93 UreaN-7 Creat-0.8 Na-139 K-3.9 Cl-101 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Glucose-11" False positive,,"(2445, 2447)",,Li,,463381000124104,12128814-DS-15,"0.4 ___ 01:58PM BLOOD Lipase-13 ___ 11:40PM BLOOD Lipase-28 ___ 05:35AM BLOOD Calcium-8.6 Phos-3.8 Mg-" False positive,,"(2702, 2713)",,chest x-ray,,399208008,12128814-DS-15,"Na-139 K-4.5 ___ 01:04AM BLOOD freeCa-1.28 ___: chest x-ray: An ET tube ends 4.4 cm above the carina at the " False positive,,"(2962, 2968)",,normal,,840673007,12128814-DS-15,"pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures are visualized in the t" False positive,,"(3058, 3069)",,chest x-ray,,399208008,12128814-DS-15,"d in the thorax. PELVIS: No fracture ___: chest x-ray: The ET tube tip is 6 cm above the carina. NG " False positive,,"(3439, 3448)",,Chest CTA,,169069000,12128814-DS-15,"e consistent with resolution of contusion ___: Chest CTA: IMPRESSION: 1. Within limitation of subopt" False positive,,"(5508, 5516)",,afebrile,,307200007,12128814-DS-15,"ling well. His vital signs are stable and he is afebrile. After an uncomplicated recovery he was discharg" False positive,,"(7450, 7459)",,discharge,,2311000175105,12128814-DS-15,"inate, have blood in your urine, or experience a discharge. *You have shaking chills, or fever greater than" Missed entity,"(158, 165)",,SURGERY,,305891006,,12128814-DS-15,"te of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug R" Missed entity,"(180, 198)",,No Known Allergies,,609328004,,12128814-DS-15," Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chie" "Correct entity, wrong SNOMED ID","(201, 223)","(201, 223)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,12128814-DS-15,"rvice: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Trauma: gun" "Correct entity, wrong SNOMED ID","(261, 267)","(261, 267)",Trauma,Trauma,417746004,39400004,12128814-DS-15,"ug Reactions Attending: ___. Chief Complaint: Trauma: gunshot wound to abdomen ( entry) Left flank wo" "Correct entity, wrong SNOMED ID","(270, 283)","(270, 283)",gunshot wound,gunshot wound,425055008,1351922001,12128814-DS-15,"ons Attending: ___. Chief Complaint: Trauma: gunshot wound to abdomen ( entry) Left flank wound (exit) Maj" "Correct entity, wrong SNOMED ID","(287, 294)","(287, 294)",abdomen,abdomen,818983003,225162003,12128814-DS-15,"___. Chief Complaint: Trauma: gunshot wound to abdomen ( entry) Left flank wound (exit) Major Surgical" Wrong span,"(304, 308)","(304, 320)",Left,Left flank wound,31156008,1344624006,12128814-DS-15,"laint: Trauma: gunshot wound to abdomen ( entry) Left flank wound (exit) Major Surgical or Invasive P" Wrong span,"(309, 314)","(304, 320)",flank,Left flank wound,58602004,1344624006,12128814-DS-15,": Trauma: gunshot wound to abdomen ( entry) Left flank wound (exit) Major Surgical or Invasive Procedu" Wrong span,"(315, 320)","(304, 320)",wound,Left flank wound,424867003,1344624006,12128814-DS-15,"ma: gunshot wound to abdomen ( entry) Left flank wound (exit) Major Surgical or Invasive Procedure: __" "Correct entity, wrong SNOMED ID","(396, 417)","(396, 417)",small bowel resection,small bowel resection,107938000,54357003,12128814-DS-15,"r Invasive Procedure: ___ Exploratory laparotomy, small bowel resection History of Present Illness: This patient is a " "Correct entity, wrong SNOMED ID","(502, 508)","(502, 508)",trauma,trauma,417746004,39400004,12128814-DS-15,"s patient is a ___ year old male who came in as a trauma STAT with a gunshot wound to the right upper qua" "Correct entity, wrong SNOMED ID","(522, 535)","(522, 535)",gunshot wound,gunshot wound,56768003,1351922001,12128814-DS-15,"ear old male who came in as a trauma STAT with a gunshot wound to the right upper quadrant and was evaluated bri" "Correct entity, wrong SNOMED ID","(543, 563)","(543, 563)",right upper quadrant,right upper quadrant,50519007,243354008,12128814-DS-15," in as a trauma STAT with a gunshot wound to the right upper quadrant and was evaluated briefly in the trauma bay where" Missed entity,"(572, 581)",,evaluated,,386053000,,12128814-DS-15,"gunshot wound to the right upper quadrant and was evaluated briefly in the trauma bay where he was hemodynami" Missed entity,"(597, 603)",,trauma,,417746004,,12128814-DS-15,"t upper quadrant and was evaluated briefly in the trauma bay where he was hemodynamically fairly stable wi" "Correct entity, wrong SNOMED ID","(621, 650)","(621, 650)","hemodynamically fairly stable","hemodynamically fairly stable",301459008,301148008,12128814-DS-15," evaluated briefly in the trauma bay where he was hemodynamically fairly stable with systolic blood pressure above 100 after some" "Correct entity, wrong SNOMED ID","(656, 679)","(656, 679)",systolic blood pressure,systolic blood pressure,135840009,18050000,12128814-DS-15,"y where he was hemodynamically fairly stable with systolic blood pressure above 100 after some volume and blood resuscitati" Missed entity,"(701, 707)",,volume,,14152002,,12128814-DS-15,"with systolic blood pressure above 100 after some volume and blood resuscitation. He had evidence of a gu" Wrong span,"(718, 731)","(712, 731)",resuscitation,blood resuscitation,439569004,304252001,12128814-DS-15,"od pressure above 100 after some volume and blood resuscitation. He had evidence of a gunshot wound in the right" "Correct entity, wrong SNOMED ID","(755, 768)","(755, 768)","gunshot wound","gunshot wound",56768003,1351922001,12128814-DS-15,"me and blood resuscitation. He had evidence of a gunshot wound in the right upper quadrant and another wound in " "Correct entity, wrong SNOMED ID","(776, 796)","(776, 796)",right upper quadrant,right upper quadrant,50519007,243354008,12128814-DS-15,"ation. He had evidence of a gunshot wound in the right upper quadrant and another wound in the left lower flank. On qu" "Correct entity, wrong SNOMED ID","(809, 814)","(809, 814)",wound,wound,56768003,35933005,12128814-DS-15,"hot wound in the right upper quadrant and another wound in the left lower flank. On quick evaluation the" Wrong span,"(822, 826)","(822, 838)",left,left lower flank,31156008,1371736002,12128814-DS-15,"the right upper quadrant and another wound in the left lower flank. On quick evaluation there was a cop" Wrong span,"(833, 838)","(822, 838)",flank,left lower flank,58602004,1371736002,12128814-DS-15,"pper quadrant and another wound in the left lower flank. On quick evaluation there was a copious hemoper" "Correct entity, wrong SNOMED ID","(850, 860)","(850, 860)",evaluation,evaluation,386053000,39609006,12128814-DS-15," another wound in the left lower flank. On quick evaluation there was a copious hemoperitoneum seen on ultras" "Correct entity, wrong SNOMED ID","(881, 895)","(881, 895)",hemoperitoneum,hemoperitoneum,699013006,45626005,12128814-DS-15,"r flank. On quick evaluation there was a copious hemoperitoneum seen on ultrasound. Given the transabdominal natu" "Correct entity, wrong SNOMED ID","(904, 914)","(904, 914)",ultrasound,ultrasound,45036003,765172009,12128814-DS-15,"uation there was a copious hemoperitoneum seen on ultrasound. Given the transabdominal nature of this wound, w" "Correct entity, wrong SNOMED ID","(956, 961)","(956, 961)",wound,wound,56768003,35933005,12128814-DS-15,"trasound. Given the transabdominal nature of this wound, was brought to the operating room for laparotomy" "Correct entity, wrong SNOMED ID","(1001, 1011)","(1001, 1011)",laparotomy,laparotomy,86481000,74770008,12128814-DS-15,"this wound, was brought to the operating room for laparotomy. No consent was obtained given the emergency nat" Missed entity,"(1048, 1057)",,emergency,,73994005,,12128814-DS-15,"or laparotomy. No consent was obtained given the emergency nature. Past Medical History: none Social Hi" "Correct entity, wrong SNOMED ID","(1156, 1160)","(1156, 1160)",Temp,Temp,105723007,102496004,12128814-DS-15,"istory: ___ Family History: none Physical Exam: Temp 95.9 HR 114 BP 89/67 RR 15 intubated O2 sat" "Correct entity, wrong SNOMED ID","(1167, 1169)","(1167, 1169)",HR,HR,301113001,258702006,12128814-DS-15," Family History: none Physical Exam: Temp 95.9 HR 114 BP 89/67 RR 15 intubated O2 sat 89% Co" "Correct entity, wrong SNOMED ID","(1175, 1177)","(1175, 1177)",BP,BP,392570002,38341003,12128814-DS-15,"History: none Physical Exam: Temp 95.9 HR 114 BP 89/67 RR 15 intubated O2 sat 89% Constituti" "Correct entity, wrong SNOMED ID","(1186, 1188)","(1186, 1188)",RR,RR,301283003,229040007,12128814-DS-15,"ne Physical Exam: Temp 95.9 HR 114 BP 89/67 RR 15 intubated O2 sat 89% Constitutional: intub" "Correct entity, wrong SNOMED ID","(1193, 1202)","(1193, 1202)",intubated,intubated,112798008,262007003,12128814-DS-15,"ysical Exam: Temp 95.9 HR 114 BP 89/67 RR 15 intubated O2 sat 89% Constitutional: intubated and sedat" "Correct entity, wrong SNOMED ID","(1204, 1210)","(1204, 1210)",O2 sat,O2 sat,104847001,103228002,12128814-DS-15,": Temp 95.9 HR 114 BP 89/67 RR 15 intubated O2 sat 89% Constitutional: intubated and sedated PERRL" "Correct entity, wrong SNOMED ID","(1233, 1242)","(1233, 1242)",intubated,intubated,112798008,262007003,12128814-DS-15,"7 RR 15 intubated O2 sat 89% Constitutional: intubated and sedated PERRLA Chest clear, equal BS Abdomina" "Correct entity, wrong SNOMED ID","(1247, 1254)","(1247, 1254)",sedated,sedated,17971005,1157030006,12128814-DS-15,"bated O2 sat 89% Constitutional: intubated and sedated PERRLA Chest clear, equal BS Abdominal: Soft, gsw" "Correct entity, wrong SNOMED ID","(1255, 1261)","(1255, 1261)",PERRLA,PERRLA,386667005,68123009,12128814-DS-15,"2 sat 89% Constitutional: intubated and sedated PERRLA Chest clear, equal BS Abdominal: Soft, gsw right " Wrong span,"(1262, 1267)","(1262, 1273)",Chest,Chest clear,268925001,289118006,12128814-DS-15,"9% Constitutional: intubated and sedated PERRLA Chest clear, equal BS Abdominal: Soft, gsw right and le" Wrong span,"(1284, 1287)","(1284, 1293)",Abd,Abdominal,225162003,422314007,12128814-DS-15,"ntubated and sedated PERRLA Chest clear, equal BS Abdominal: Soft, gsw right and left abd Extr/Back: No" Missed entity,"(1301, 1304)",,gsw,,56768003,,12128814-DS-15,"ted PERRLA Chest clear, equal BS Abdominal: Soft, gsw right and left abd Extr/Back: No cyanosis, clubbi" "Correct entity, wrong SNOMED ID","(1305, 1310)","(1305, 1310)",right,right,415994006,264746006,12128814-DS-15,"PERRLA Chest clear, equal BS Abdominal: Soft, gsw right and left abd Extr/Back: No cyanosis, clubbing or " Wrong span,"(1315, 1323)","(1315, 1319)",left abd,left,416011007,264745005,12128814-DS-15,"st clear, equal BS Abdominal: Soft, gsw right and left abd Extr/Back: No cyanosis, clubbing or edema Skin: N" "Correct entity, wrong SNOMED ID","(1324, 1328)","(1324, 1328)",Extr,Extr,302773001,413725009,12128814-DS-15," equal BS Abdominal: Soft, gsw right and left abd Extr/Back: No cyanosis, clubbing or edema Skin: No ras" "Correct entity, wrong SNOMED ID","(1329, 1333)","(1329, 1333)",Back,Back,77568009,37822005,12128814-DS-15,"l BS Abdominal: Soft, gsw right and left abd Extr/Back: No cyanosis, clubbing or edema Skin: No rash " "Correct entity, wrong SNOMED ID","(1338, 1346)","(1338, 1346)",cyanosis,cyanosis,3415004,57020009,12128814-DS-15,"minal: Soft, gsw right and left abd Extr/Back: No cyanosis, clubbing or edema Skin: No rash Pertinent Res" "Correct entity, wrong SNOMED ID","(1348, 1356)","(1348, 1356)",clubbing,clubbing,367004,30760008,12128814-DS-15,"t, gsw right and left abd Extr/Back: No cyanosis, clubbing or edema Skin: No rash Pertinent Results: ___ " "Correct entity, wrong SNOMED ID","(1360, 1365)","(1360, 1365)",edema,edema,267038008,102576009,12128814-DS-15," and left abd Extr/Back: No cyanosis, clubbing or edema Skin: No rash Pertinent Results: ___ 05:35AM B" "Correct entity, wrong SNOMED ID","(1366, 1370)","(1366, 1370)",Skin,Skin,271303006,444884003,12128814-DS-15,"eft abd Extr/Back: No cyanosis, clubbing or edema Skin: No rash Pertinent Results: ___ 05:35AM BLOOD " "Correct entity, wrong SNOMED ID","(1375, 1379)","(1375, 1379)",rash,rash,271807003,247472004,12128814-DS-15,"xtr/Back: No cyanosis, clubbing or edema Skin: No rash Pertinent Results: ___ 05:35AM BLOOD WBC-11.7*" "Correct entity, wrong SNOMED ID","(1420, 1423)","(1420, 1423)",WBC,WBC,767002,391558003,12128814-DS-15,": No rash Pertinent Results: ___ 05:35AM BLOOD WBC-11.7* RBC-3.41* Hgb-10.3* Hct-30.2* MCV-89 MCH-3" "Correct entity, wrong SNOMED ID","(1430, 1433)","(1430, 1433)",RBC,RBC,14089001,258759006,12128814-DS-15," Pertinent Results: ___ 05:35AM BLOOD WBC-11.7* RBC-3.41* Hgb-10.3* Hct-30.2* MCV-89 MCH-30.2 MCHC-3" "Correct entity, wrong SNOMED ID","(1440, 1443)","(1440, 1443)",Hgb,Hgb,441689006,104142005,12128814-DS-15,"nt Results: ___ 05:35AM BLOOD WBC-11.7* RBC-3.41* Hgb-10.3* Hct-30.2* MCV-89 MCH-30.2 MCHC-34.0 RDW-14" "Correct entity, wrong SNOMED ID","(1450, 1453)","(1450, 1453)",Hct,Hct,28317006,840276005,12128814-DS-15,": ___ 05:35AM BLOOD WBC-11.7* RBC-3.41* Hgb-10.3* Hct-30.2* MCV-89 MCH-30.2 MCHC-34.0 RDW-14.0 Plt ___" "Correct entity, wrong SNOMED ID","(1468, 1471)","(1468, 1471)",MCH,MCH,54706004,735147002,12128814-DS-15,"D WBC-11.7* RBC-3.41* Hgb-10.3* Hct-30.2* MCV-89 MCH-30.2 MCHC-34.0 RDW-14.0 Plt ___ ___ 04:40AM BLOOD" "Correct entity, wrong SNOMED ID","(1477, 1481)","(1477, 1481)",MCHC,MCHC,37254006,735147002,12128814-DS-15,"7* RBC-3.41* Hgb-10.3* Hct-30.2* MCV-89 MCH-30.2 MCHC-34.0 RDW-14.0 Plt ___ ___ 04:40AM BLOOD WBC-11.1*" "Correct entity, wrong SNOMED ID","(1487, 1490)","(1487, 1490)",RDW,RDW,66842004,735149004,12128814-DS-15,"1* Hgb-10.3* Hct-30.2* MCV-89 MCH-30.2 MCHC-34.0 RDW-14.0 Plt ___ ___ 04:40AM BLOOD WBC-11.1* RBC-3.14" "Correct entity, wrong SNOMED ID","(1522, 1525)","(1522, 1525)",WBC,WBC,767002,391558003,12128814-DS-15,"30.2 MCHC-34.0 RDW-14.0 Plt ___ ___ 04:40AM BLOOD WBC-11.1* RBC-3.14* Hgb-9.7* Hct-28.1* MCV-89 MCH-30" "Correct entity, wrong SNOMED ID","(1532, 1535)","(1532, 1535)",RBC,RBC,14089001,258759006,12128814-DS-15,"34.0 RDW-14.0 Plt ___ ___ 04:40AM BLOOD WBC-11.1* RBC-3.14* Hgb-9.7* Hct-28.1* MCV-89 MCH-30.9 MCHC-34" "Correct entity, wrong SNOMED ID","(1542, 1545)","(1542, 1545)",Hgb,Hgb,441689006,104142005,12128814-DS-15,"4.0 Plt ___ ___ 04:40AM BLOOD WBC-11.1* RBC-3.14* Hgb-9.7* Hct-28.1* MCV-89 MCH-30.9 MCHC-34.5 RDW-13." "Correct entity, wrong SNOMED ID","(1551, 1554)","(1551, 1554)",Hct,Hct,28317006,840276005,12128814-DS-15,"__ ___ 04:40AM BLOOD WBC-11.1* RBC-3.14* Hgb-9.7* Hct-28.1* MCV-89 MCH-30.9 MCHC-34.5 RDW-13.6 Plt ___" "Correct entity, wrong SNOMED ID","(1569, 1572)","(1569, 1572)",MCH,MCH,54706004,735147002,12128814-DS-15,"OD WBC-11.1* RBC-3.14* Hgb-9.7* Hct-28.1* MCV-89 MCH-30.9 MCHC-34.5 RDW-13.6 Plt ___ ___ 05:00AM BLOOD" "Correct entity, wrong SNOMED ID","(1578, 1582)","(1578, 1582)",MCHC,MCHC,37254006,735147002,12128814-DS-15,".1* RBC-3.14* Hgb-9.7* Hct-28.1* MCV-89 MCH-30.9 MCHC-34.5 RDW-13.6 Plt ___ ___ 05:00AM BLOOD WBC-11.5*" "Correct entity, wrong SNOMED ID","(1588, 1591)","(1588, 1591)",RDW,RDW,66842004,735149004,12128814-DS-15,"14* Hgb-9.7* Hct-28.1* MCV-89 MCH-30.9 MCHC-34.5 RDW-13.6 Plt ___ ___ 05:00AM BLOOD WBC-11.5* RBC-3.31" "Correct entity, wrong SNOMED ID","(1623, 1626)","(1623, 1626)",WBC,WBC,767002,391558003,12128814-DS-15,"30.9 MCHC-34.5 RDW-13.6 Plt ___ ___ 05:00AM BLOOD WBC-11.5* RBC-3.31* Hgb-10.4* Hct-29.3* MCV-89 MCH-3" "Correct entity, wrong SNOMED ID","(1633, 1636)","(1633, 1636)",RBC,RBC,14089001,258759006,12128814-DS-15,"34.5 RDW-13.6 Plt ___ ___ 05:00AM BLOOD WBC-11.5* RBC-3.31* Hgb-10.4* Hct-29.3* MCV-89 MCH-31.4 MCHC-3" "Correct entity, wrong SNOMED ID","(1643, 1646)","(1643, 1646)",Hgb,Hgb,441689006,104142005,12128814-DS-15,"3.6 Plt ___ ___ 05:00AM BLOOD WBC-11.5* RBC-3.31* Hgb-10.4* Hct-29.3* MCV-89 MCH-31.4 MCHC-35.5* RDW-1" "Correct entity, wrong SNOMED ID","(1653, 1656)","(1653, 1656)",Hct,Hct,28317006,840276005,12128814-DS-15,"_ ___ 05:00AM BLOOD WBC-11.5* RBC-3.31* Hgb-10.4* Hct-29.3* MCV-89 MCH-31.4 MCHC-35.5* RDW-14.0 Plt __" "Correct entity, wrong SNOMED ID","(1671, 1674)","(1671, 1674)",MCH,MCH,54706004,735147002,12128814-DS-15,"D WBC-11.5* RBC-3.31* Hgb-10.4* Hct-29.3* MCV-89 MCH-31.4 MCHC-35.5* RDW-14.0 Plt ___ ___ 11:40PM BLOO" "Correct entity, wrong SNOMED ID","(1680, 1684)","(1680, 1684)",MCHC,MCHC,37254006,735147002,12128814-DS-15,"5* RBC-3.31* Hgb-10.4* Hct-29.3* MCV-89 MCH-31.4 MCHC-35.5* RDW-14.0 Plt ___ ___ 11:40PM BLOOD WBC-31.1" "Correct entity, wrong SNOMED ID","(1691, 1694)","(1691, 1694)",RDW,RDW,66842004,735149004,12128814-DS-15,"* Hgb-10.4* Hct-29.3* MCV-89 MCH-31.4 MCHC-35.5* RDW-14.0 Plt ___ ___ 11:40PM BLOOD WBC-31.1* RBC-4.26" "Correct entity, wrong SNOMED ID","(1726, 1729)","(1726, 1729)",WBC,WBC,767002,391558003,12128814-DS-15,"1.4 MCHC-35.5* RDW-14.0 Plt ___ ___ 11:40PM BLOOD WBC-31.1* RBC-4.26* Hgb-12.9* Hct-37.9* MCV-89 MCH-3" "Correct entity, wrong SNOMED ID","(1736, 1739)","(1736, 1739)",RBC,RBC,14089001,258759006,12128814-DS-15,"5.5* RDW-14.0 Plt ___ ___ 11:40PM BLOOD WBC-31.1* RBC-4.26* Hgb-12.9* Hct-37.9* MCV-89 MCH-30.2 MCHC-3" "Correct entity, wrong SNOMED ID","(1746, 1749)","(1746, 1749)",Hgb,Hgb,441689006,104142005,12128814-DS-15,"4.0 Plt ___ ___ 11:40PM BLOOD WBC-31.1* RBC-4.26* Hgb-12.9* Hct-37.9* MCV-89 MCH-30.2 MCHC-33.9 RDW-13" "Correct entity, wrong SNOMED ID","(1756, 1759)","(1756, 1759)",Hct,Hct,28317006,840276005,12128814-DS-15,"_ ___ 11:40PM BLOOD WBC-31.1* RBC-4.26* Hgb-12.9* Hct-37.9* MCV-89 MCH-30.2 MCHC-33.9 RDW-13.2 Plt ___" "Correct entity, wrong SNOMED ID","(1774, 1777)","(1774, 1777)",MCH,MCH,54706004,735147002,12128814-DS-15,"D WBC-31.1* RBC-4.26* Hgb-12.9* Hct-37.9* MCV-89 MCH-30.2 MCHC-33.9 RDW-13.2 Plt ___ ___ 11:40PM BLOOD" "Correct entity, wrong SNOMED ID","(1783, 1787)","(1783, 1787)",MCHC,MCHC,37254006,735147002,12128814-DS-15,"1* RBC-4.26* Hgb-12.9* Hct-37.9* MCV-89 MCH-30.2 MCHC-33.9 RDW-13.2 Plt ___ ___ 11:40PM BLOOD Neuts-84." "Correct entity, wrong SNOMED ID","(1793, 1796)","(1793, 1796)",RDW,RDW,66842004,735149004,12128814-DS-15,"6* Hgb-12.9* Hct-37.9* MCV-89 MCH-30.2 MCHC-33.9 RDW-13.2 Plt ___ ___ 11:40PM BLOOD Neuts-84.4* Lymphs" "Correct entity, wrong SNOMED ID","(1828, 1833)","(1828, 1833)",Neuts,Neuts,30630007,271035003,12128814-DS-15,"30.2 MCHC-33.9 RDW-13.2 Plt ___ ___ 11:40PM BLOOD Neuts-84.4* Lymphs-10.3* Monos-2.6 Eos-2.3 Baso-0.5 __" "Correct entity, wrong SNOMED ID","(1840, 1846)","(1840, 1846)",Lymphs,Lymphs,74765001,79709007,12128814-DS-15,".9 RDW-13.2 Plt ___ ___ 11:40PM BLOOD Neuts-84.4* Lymphs-10.3* Monos-2.6 Eos-2.3 Baso-0.5 ___ 05:35AM BLO" "Correct entity, wrong SNOMED ID","(1853, 1858)","(1853, 1858)",Monos,Monos,67776007,462791000124108,12128814-DS-15,"lt ___ ___ 11:40PM BLOOD Neuts-84.4* Lymphs-10.3* Monos-2.6 Eos-2.3 Baso-0.5 ___ 05:35AM BLOOD Plt ___ _" "Correct entity, wrong SNOMED ID","(1872, 1876)","(1872, 1876)",Baso,Baso,42351005,700051010000106,12128814-DS-15,"BLOOD Neuts-84.4* Lymphs-10.3* Monos-2.6 Eos-2.3 Baso-0.5 ___ 05:35AM BLOOD Plt ___ ___ 04:40AM BLOOD P" "Correct entity, wrong SNOMED ID","(1981, 1984)","(1981, 1984)",PTT,PTT,42525009,282119004,12128814-DS-15,"_ ___ 05:00AM BLOOD Plt ___ ___ 01:58PM BLOOD ___ PTT-21.9* ___ ___ 03:22AM BLOOD ___ PTT-19.7* ___ ___" "Correct entity, wrong SNOMED ID","(2017, 2020)","(2017, 2020)",PTT,PTT,42525009,282119004,12128814-DS-15,"8PM BLOOD ___ PTT-21.9* ___ ___ 03:22AM BLOOD ___ PTT-19.7* ___ ___ 12:55AM BLOOD ___ PTT-23.4 ___ ___ " "Correct entity, wrong SNOMED ID","(2053, 2056)","(2053, 2056)",PTT,PTT,42525009,282119004,12128814-DS-15,"2AM BLOOD ___ PTT-19.7* ___ ___ 12:55AM BLOOD ___ PTT-23.4 ___ ___ 12:55AM BLOOD ___ 05:35AM BLOOD Gluc" "Correct entity, wrong SNOMED ID","(2102, 2109)","(2102, 2109)",Glucose,Glucose,33747003,72191006,12128814-DS-15," PTT-23.4 ___ ___ 12:55AM BLOOD ___ 05:35AM BLOOD Glucose-93 UreaN-7 Creat-0.8 Na-139 K-3.9 Cl-101 HCO3-30" "Correct entity, wrong SNOMED ID","(2113, 2118)","(2113, 2118)",UreaN,UreaN,105011006,111108008,12128814-DS-15,"__ ___ 12:55AM BLOOD ___ 05:35AM BLOOD Glucose-93 UreaN-7 Creat-0.8 Na-139 K-3.9 Cl-101 HCO3-30 AnGap-12" "Correct entity, wrong SNOMED ID","(2121, 2126)","(2121, 2126)",Creat,Creat,70901006,365756002,12128814-DS-15,"2:55AM BLOOD ___ 05:35AM BLOOD Glucose-93 UreaN-7 Creat-0.8 Na-139 K-3.9 Cl-101 HCO3-30 AnGap-12 ___ 04:" "Correct entity, wrong SNOMED ID","(2131, 2133)","(2131, 2133)",Na,Na,312469006,257992007,12128814-DS-15,"OD ___ 05:35AM BLOOD Glucose-93 UreaN-7 Creat-0.8 Na-139 K-3.9 Cl-101 HCO3-30 AnGap-12 ___ 04:40AM BL" Missed entity,"(2138, 2139)",,K,,312468003,,12128814-DS-15,"05:35AM BLOOD Glucose-93 UreaN-7 Creat-0.8 Na-139 K-3.9 Cl-101 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Gl" "Correct entity, wrong SNOMED ID","(2152, 2156)","(2152, 2156)",HCO3,HCO3,312471006,88645003,12128814-DS-15,"Glucose-93 UreaN-7 Creat-0.8 Na-139 K-3.9 Cl-101 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Glucose-110* UreaN-" "Correct entity, wrong SNOMED ID","(2160, 2165)","(2160, 2165)",AnGap,AnGap,25469001,124504004,12128814-DS-15,"93 UreaN-7 Creat-0.8 Na-139 K-3.9 Cl-101 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Glucose-110* UreaN-8 Creat-0" "Correct entity, wrong SNOMED ID","(2187, 2194)","(2187, 2194)",Glucose,Glucose,33747003,72191006,12128814-DS-15," K-3.9 Cl-101 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Glucose-110* UreaN-8 Creat-0.9 Na-138 K-4.0 Cl-101 HCO3-" "Correct entity, wrong SNOMED ID","(2200, 2205)","(2200, 2205)",UreaN,UreaN,105011006,111108008,12128814-DS-15,"1 HCO3-30 AnGap-12 ___ 04:40AM BLOOD Glucose-110* UreaN-8 Creat-0.9 Na-138 K-4.0 Cl-101 HCO3-30 AnGap-11" "Correct entity, wrong SNOMED ID","(2208, 2213)","(2208, 2213)",Creat,Creat,70901006,365756002,12128814-DS-15,"0 AnGap-12 ___ 04:40AM BLOOD Glucose-110* UreaN-8 Creat-0.9 Na-138 K-4.0 Cl-101 HCO3-30 AnGap-11 ___ 11:" "Correct entity, wrong SNOMED ID","(2218, 2220)","(2218, 2220)",Na,Na,312469006,257992007,12128814-DS-15," ___ 04:40AM BLOOD Glucose-110* UreaN-8 Creat-0.9 Na-138 K-4.0 Cl-101 HCO3-30 AnGap-11 ___ 11:40PM BL" "Correct entity, wrong SNOMED ID","(2232, 2234)","(2232, 2234)",Cl,Cl,104589004,311741002,12128814-DS-15,"LOOD Glucose-110* UreaN-8 Creat-0.9 Na-138 K-4.0 Cl-101 HCO3-30 AnGap-11 ___ 11:40PM BLOOD Glucose-15" "Correct entity, wrong SNOMED ID","(2239, 2243)","(2239, 2243)",HCO3,HCO3,312471006,88645003,12128814-DS-15,"ucose-110* UreaN-8 Creat-0.9 Na-138 K-4.0 Cl-101 HCO3-30 AnGap-11 ___ 11:40PM BLOOD Glucose-154* UreaN-" "Correct entity, wrong SNOMED ID","(2247, 2252)","(2247, 2252)",AnGap,AnGap,25469001,124504004,12128814-DS-15,"0* UreaN-8 Creat-0.9 Na-138 K-4.0 Cl-101 HCO3-30 AnGap-11 ___ 11:40PM BLOOD Glucose-154* UreaN-16 Creat-" "Correct entity, wrong SNOMED ID","(2274, 2281)","(2274, 2281)",Glucose,Glucose,33747003,72191006,12128814-DS-15," K-4.0 Cl-101 HCO3-30 AnGap-11 ___ 11:40PM BLOOD Glucose-154* UreaN-16 Creat-1.1 Na-142 K-3.5 Cl-107 HCO3" "Correct entity, wrong SNOMED ID","(2287, 2292)","(2287, 2292)",UreaN,UreaN,105011006,111108008,12128814-DS-15,"1 HCO3-30 AnGap-11 ___ 11:40PM BLOOD Glucose-154* UreaN-16 Creat-1.1 Na-142 K-3.5 Cl-107 HCO3-26 AnGap-1" "Correct entity, wrong SNOMED ID","(2296, 2301)","(2296, 2301)",Creat,Creat,70901006,365756002,12128814-DS-15," AnGap-11 ___ 11:40PM BLOOD Glucose-154* UreaN-16 Creat-1.1 Na-142 K-3.5 Cl-107 HCO3-26 AnGap-13 ___ 11:" "Correct entity, wrong SNOMED ID","(2306, 2308)","(2306, 2308)",Na,Na,312469006,257992007,12128814-DS-15,"___ 11:40PM BLOOD Glucose-154* UreaN-16 Creat-1.1 Na-142 K-3.5 Cl-107 HCO3-26 AnGap-13 ___ 11:40PM BL" "Correct entity, wrong SNOMED ID","(2320, 2322)","(2320, 2322)",Cl,Cl,104589004,311741002,12128814-DS-15,"OOD Glucose-154* UreaN-16 Creat-1.1 Na-142 K-3.5 Cl-107 HCO3-26 AnGap-13 ___ 11:40PM BLOOD ALT-26 AST" "Correct entity, wrong SNOMED ID","(2327, 2331)","(2327, 2331)",HCO3,HCO3,312471006,88645003,12128814-DS-15,"cose-154* UreaN-16 Creat-1.1 Na-142 K-3.5 Cl-107 HCO3-26 AnGap-13 ___ 11:40PM BLOOD ALT-26 AST-22 AlkPh" "Correct entity, wrong SNOMED ID","(2335, 2340)","(2335, 2340)",AnGap,AnGap,25469001,124504004,12128814-DS-15,"* UreaN-16 Creat-1.1 Na-142 K-3.5 Cl-107 HCO3-26 AnGap-13 ___ 11:40PM BLOOD ALT-26 AST-22 AlkPhos-40 Tot" "Correct entity, wrong SNOMED ID","(2362, 2365)","(2362, 2365)",ALT,ALT,34608000,56935002,12128814-DS-15," K-3.5 Cl-107 HCO3-26 AnGap-13 ___ 11:40PM BLOOD ALT-26 AST-22 AlkPhos-40 TotBili-0.4 ___ 01:58PM BLOO" "Correct entity, wrong SNOMED ID","(2369, 2372)","(2369, 2372)",AST,AST,45896001,85043005,12128814-DS-15," Cl-107 HCO3-26 AnGap-13 ___ 11:40PM BLOOD ALT-26 AST-22 AlkPhos-40 TotBili-0.4 ___ 01:58PM BLOOD Lipas" "Correct entity, wrong SNOMED ID","(2376, 2383)","(2376, 2383)",AlkPhos,AlkPhos,88810008,30703008,12128814-DS-15," HCO3-26 AnGap-13 ___ 11:40PM BLOOD ALT-26 AST-22 AlkPhos-40 TotBili-0.4 ___ 01:58PM BLOOD Lipase-13 ___ 11" "Correct entity, wrong SNOMED ID","(2387, 2394)","(2387, 2394)",TotBili,TotBili,359986008,19754005,12128814-DS-15,"Gap-13 ___ 11:40PM BLOOD ALT-26 AST-22 AlkPhos-40 TotBili-0.4 ___ 01:58PM BLOOD Lipase-13 ___ 11:40PM BLOOD" "Correct entity, wrong SNOMED ID","(2473, 2480)","(2473, 2480)",Calcium,Calcium,312472004,108601004,12128814-DS-15,"-13 ___ 11:40PM BLOOD Lipase-28 ___ 05:35AM BLOOD Calcium-8.6 Phos-3.8 Mg-2.1 ___ 04:40AM BLOOD Calcium-8.5" "Correct entity, wrong SNOMED ID","(2485, 2489)","(2485, 2489)",Phos,Phos,104868000,168075002,12128814-DS-15,"0PM BLOOD Lipase-28 ___ 05:35AM BLOOD Calcium-8.6 Phos-3.8 Mg-2.1 ___ 04:40AM BLOOD Calcium-8.5 Phos-3.6" "Correct entity, wrong SNOMED ID","(2494, 2496)","(2494, 2496)",Mg,Mg,271285000,258684004,12128814-DS-15," Lipase-28 ___ 05:35AM BLOOD Calcium-8.6 Phos-3.8 Mg-2.1 ___ 04:40AM BLOOD Calcium-8.5 Phos-3.6 Mg-2.1" "Correct entity, wrong SNOMED ID","(2519, 2526)","(2519, 2526)",Calcium,Calcium,312472004,108601004,12128814-DS-15,"OOD Calcium-8.6 Phos-3.8 Mg-2.1 ___ 04:40AM BLOOD Calcium-8.5 Phos-3.6 Mg-2.1 ___ 02:16PM BLOOD Lactate-1.8" "Correct entity, wrong SNOMED ID","(2531, 2535)","(2531, 2535)",Phos,Phos,104868000,168075002,12128814-DS-15,"8.6 Phos-3.8 Mg-2.1 ___ 04:40AM BLOOD Calcium-8.5 Phos-3.6 Mg-2.1 ___ 02:16PM BLOOD Lactate-1.8 ___ 07:0" "Correct entity, wrong SNOMED ID","(2540, 2542)","(2540, 2542)",Mg,Mg,271285000,258684004,12128814-DS-15,"3.8 Mg-2.1 ___ 04:40AM BLOOD Calcium-8.5 Phos-3.6 Mg-2.1 ___ 02:16PM BLOOD Lactate-1.8 ___ 07:01AM BLO" "Correct entity, wrong SNOMED ID","(2626, 2633)","(2626, 2633)",Glucose,Glucose,33747003,72191006,12128814-DS-15," ___ 07:01AM BLOOD Lactate-3.3* ___ 01:04AM BLOOD Glucose-189* Lactate-2.6* Na-139 K-4.5 ___ 01:04AM BLOOD " "Correct entity, wrong SNOMED ID","(2652, 2654)","(2652, 2654)",Na,Na,312469006,257992007,12128814-DS-15,"-3.3* ___ 01:04AM BLOOD Glucose-189* Lactate-2.6* Na-139 K-4.5 ___ 01:04AM BLOOD freeCa-1.28 ___: ch" Missed entity,"(2659, 2660)",,K,,312468003,,12128814-DS-15,"__ 01:04AM BLOOD Glucose-189* Lactate-2.6* Na-139 K-4.5 ___ 01:04AM BLOOD freeCa-1.28 ___: chest x-" Missed entity,"(2719, 2731)",,ET tube ends,,225718003,,12128814-DS-15,"01:04AM BLOOD freeCa-1.28 ___: chest x-ray: An ET tube ends 4.4 cm above the carina at the thoracic inlet. A" "Correct entity, wrong SNOMED ID","(2749, 2755)","(2749, 2755)",carina,carina,28700002,181214003,12128814-DS-15,": chest x-ray: An ET tube ends 4.4 cm above the carina at the thoracic inlet. An NG tube ends in the f" Wrong span,"(2763, 2777)","(2763, 2771)",thoracic inlet,thoracic,42973007,202748002,12128814-DS-15,": An ET tube ends 4.4 cm above the carina at the thoracic inlet. An NG tube ends in the fundus of the stomach. " Wrong span,"(2783, 2796)","(2783, 2790)","NG tube ends",NG tube,744880001,87750000,12128814-DS-15,".4 cm above the carina at the thoracic inlet. An NG tube ends in the fundus of the stomach. Lung volumes are l" Wrong span,"(2804, 2825)","(2804, 2810)",fundus of the stomach,fundus,414003,414003,12128814-DS-15,"a at the thoracic inlet. An NG tube ends in the fundus of the stomach. Lung volumes are low. There is no focal consoli" "Correct entity, wrong SNOMED ID","(2828, 2840)","(2828, 2840)",Lung volumes,Lung volumes,366148004,366149007,12128814-DS-15," An NG tube ends in the fundus of the stomach. Lung volumes are low. There is no focal consolidation, no ple" "Correct entity, wrong SNOMED ID","(2868, 2881)","(2868, 2881)",consolidation,consolidation,9656002,95436008,12128814-DS-15,"stomach. Lung volumes are low. There is no focal consolidation, no pleural effusion and no pneumothorax. The c" "Correct entity, wrong SNOMED ID","(2887, 2903)","(2887, 2903)",pleural effusion,pleural effusion,60046008,1366511008,12128814-DS-15,"mes are low. There is no focal consolidation, no pleural effusion and no pneumothorax. The cardiomediastinal silho" "Correct entity, wrong SNOMED ID","(2912, 2924)","(2912, 2924)",pneumothorax,pneumothorax,36118008,109364007,12128814-DS-15,"focal consolidation, no pleural effusion and no pneumothorax. The cardiomediastinal silhouette is normal. No" "Correct entity, wrong SNOMED ID","(2930, 2947)","(2930, 2947)",cardiomediastinal,cardiomediastinal,72410000,83099006,12128814-DS-15,"n, no pleural effusion and no pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures ar" Wrong span,"(2975, 2994)","(2975, 2984)",displaced fractures,displaced,123735002,13206009,12128814-DS-15," The cardiomediastinal silhouette is normal. No displaced fractures are visualized in the thorax. PELVIS: No fr" "Correct entity, wrong SNOMED ID","(3017, 3023)","(3017, 3023)",thorax,thorax,51185008,413815006,12128814-DS-15,"l. No displaced fractures are visualized in the thorax. PELVIS: No fracture ___: chest x-ray: " Missed entity,"(3029, 3035)",,PELVIS,,12921003,,12128814-DS-15,"laced fractures are visualized in the thorax. PELVIS: No fracture ___: chest x-ray: The ET tube" "Correct entity, wrong SNOMED ID","(3042, 3050)","(3042, 3050)",fracture,fracture,77493009,307186006,12128814-DS-15,"es are visualized in the thorax. PELVIS: No fracture ___: chest x-ray: The ET tube tip is 6 cm ab" Missed entity,"(3078, 3089)",,ET tube tip,,225718003,,12128814-DS-15," PELVIS: No fracture ___: chest x-ray: The ET tube tip is 6 cm above the carina. NG tube tip is in the " "Correct entity, wrong SNOMED ID","(3108, 3114)","(3108, 3114)",carina,carina,28700002,181214003,12128814-DS-15,"chest x-ray: The ET tube tip is 6 cm above the carina. NG tube tip is in the stomach. The patient is a" Wrong span,"(3116, 3127)","(3116, 3118)",NG tube tip,NG,744880001,258686002,12128814-DS-15,"ray: The ET tube tip is 6 cm above the carina. NG tube tip is in the stomach. The patient is after recent a" "Correct entity, wrong SNOMED ID","(3139, 3146)","(3139, 3146)",stomach,stomach,69695003,169008005,12128814-DS-15," is 6 cm above the carina. NG tube tip is in the stomach. The patient is after recent abdominal surgery. R" Wrong span,"(3176, 3185)","(3176, 3193)",abdominal,abdominal surgery,818983003,161617006,12128814-DS-15,"p is in the stomach. The patient is after recent abdominal surgery. Right internal jugular line tip is at t" Wrong span,"(3186, 3193)","(3176, 3193)",surgery,abdominal surgery,387713003,161617006,12128814-DS-15,"e stomach. The patient is after recent abdominal surgery. Right internal jugular line tip is at the level" Wrong span,"(3195, 3210)","(3195, 3200)","Right internal",Right,771195007,225794002,12128814-DS-15,"h. The patient is after recent abdominal surgery. Right internal jugular line tip is at the level of mid SVC. Ther" "Correct entity, wrong SNOMED ID","(3251, 3254)","(3251, 3254)",SVC,SVC,48345005,281596000,12128814-DS-15," internal jugular line tip is at the level of mid SVC. There is no pneumothorax. Minimal bibasilar ate" "Correct entity, wrong SNOMED ID","(3269, 3281)","(3269, 3281)",pneumothorax,pneumothorax,36118008,109364007,12128814-DS-15,"line tip is at the level of mid SVC. There is no pneumothorax. Minimal bibasilar atelectasis is noted but ther" "Correct entity, wrong SNOMED ID","(3291, 3300)","(3291, 3300)",bibasilar,bibasilar,10024003,704915001,12128814-DS-15,"el of mid SVC. There is no pneumothorax. Minimal bibasilar atelectasis is noted but there is overall improv" Missed entity,"(3344, 3355)",,improvement,,268910001,,12128814-DS-15,"asilar atelectasis is noted but there is overall improvement of the right lung aeration, may be consistent wi" "Correct entity, wrong SNOMED ID","(3363, 3373)","(3363, 3373)",right lung,right lung,3341006,1332247001,12128814-DS-15,"is noted but there is overall improvement of the right lung aeration, may be consistent with resolution of c" "Correct entity, wrong SNOMED ID","(3422, 3431)","(3422, 3431)",contusion,contusion,125667009,473140000,12128814-DS-15,"g aeration, may be consistent with resolution of contusion ___: Chest CTA: IMPRESSION: 1. Within lim" "Correct entity, wrong SNOMED ID","(3528, 3540)","(3528, 3540)","no evidence","no evidence",281900007,41647002,12128814-DS-15,"limitation of suboptimal contrast bolus, there is no evidence of acute central pulmonary embolism. 2. No e" Wrong span,"(3559, 3577)","(3551, 3577)",pulmonary embolism,central pulmonary embolism,59282003,200284000,12128814-DS-15,"st bolus, there is no evidence of acute central pulmonary embolism. 2. No evidence of acute aortic injury. 3" "Correct entity, wrong SNOMED ID","(3586, 3597)","(3586, 3597)",No evidence,No evidence,281900007,41647002,12128814-DS-15,"ence of acute central pulmonary embolism. 2. No evidence of acute aortic injury. 3. Trace left pleural" "Correct entity, wrong SNOMED ID","(3607, 3620)","(3607, 3620)",aortic injury,aortic injury,444036008,10392004,12128814-DS-15,"l pulmonary embolism. 2. No evidence of acute aortic injury. 3. Trace left pleural effusion. Bilateral op" "Correct entity, wrong SNOMED ID","(3635, 3639)","(3635, 3639)",left,left,53727004,264745005,12128814-DS-15," No evidence of acute aortic injury. 3. Trace left pleural effusion. Bilateral opacification of lung" "Correct entity, wrong SNOMED ID","(3640, 3656)","(3640, 3656)",pleural effusion,pleural effusion,60046008,1366511008,12128814-DS-15,"vidence of acute aortic injury. 3. Trace left pleural effusion. Bilateral opacification of lungs with some air" "Correct entity, wrong SNOMED ID","(3668, 3681)","(3668, 3681)",opacification,opacification,128305008,370950002,12128814-DS-15,"ry. 3. Trace left pleural effusion. Bilateral opacification of lungs with some air bronchograms may represe" "Correct entity, wrong SNOMED ID","(3685, 3690)","(3685, 3690)",lungs,lungs,39607008,169115000,12128814-DS-15,"left pleural effusion. Bilateral opacification of lungs with some air bronchograms may represent compre" Missed entity,"(3703, 3719)",,air bronchograms,,1217293003,,12128814-DS-15,"ion. Bilateral opacification of lungs with some air bronchograms may represent compressive atelectasis; however, " Wrong span,"(3734, 3757)","(3746, 3757)",compressive atelectasis,atelectasis,16537000,46621007,12128814-DS-15," lungs with some air bronchograms may represent compressive atelectasis; however, acute infectious process cannot be co" Wrong span,"(3776, 3794)","(3776, 3786)",infectious process,infectious,40733004,22653005,12128814-DS-15,"present compressive atelectasis; however, acute infectious process cannot be completely excluded and should be cons" "Correct entity, wrong SNOMED ID","(3974, 3987)","(3974, 3987)",gunshot wound,gunshot wound,10878111000119106,1351922001,12128814-DS-15,"gentleman admitted to the Acute Care service s/p gunshot wound to his abdomen. Initially admitted to an OSH, w" "Correct entity, wrong SNOMED ID","(3995, 4002)","(3995, 4002)",abdomen,abdomen,818983003,225162003,12128814-DS-15," the Acute Care service s/p gunshot wound to his abdomen. Initially admitted to an OSH, where he was int" "Correct entity, wrong SNOMED ID","(4049, 4058)","(4049, 4058)",intubated,intubated,112798008,262007003,12128814-DS-15,"men. Initially admitted to an OSH, where he was intubated, required intravenous fluids and blood products" "Correct entity, wrong SNOMED ID","(4070, 4088)","(4070, 4088)",intravenous fluids,intravenous fluids,14152002,103744005,12128814-DS-15,"ted to an OSH, where he was intubated, required intravenous fluids and blood products. Upon admission, he was f" "Correct entity, wrong SNOMED ID","(4153, 4168)","(4153, 4168)",hemo-peritoneum,hemo-peritoneum,699013006,45626005,12128814-DS-15,"ducts. Upon admission, he was found to have a hemo-peritoneum. He was urgently taken to the operating room wh" Missed entity,"(4179, 4215)",,urgently taken to the operating room,,73994005,,12128814-DS-15," he was found to have a hemo-peritoneum. He was urgently taken to the operating room where he underwent an exploratory laparotomy and" "Correct entity, wrong SNOMED ID","(4266, 4287)","(4266, 4287)",small bowel resection,small bowel resection,107938000,54357003,12128814-DS-15,"where he underwent an exploratory laparotomy and small bowel resection. During his operative course, he required addit" Missed entity,"(4302, 4311)",,operative,,387713003,,12128814-DS-15,"aparotomy and small bowel resection. During his operative course, he required additional blood products. H" "Correct entity, wrong SNOMED ID","(4378, 4388)","(4378, 4388)",blood loss,blood loss,50960005,8573003,12128814-DS-15,"red additional blood products. He had an 1800cc blood loss. He was monitored in the intensive care unit af" Missed entity,"(4415, 4435)",,"intensive care unit",,397821002,,12128814-DS-15,"d an 1800cc blood loss. He was monitored in the intensive care unit after his surgery where he required pressors for " Wrong span,"(4436, 4453)","(4446, 4453)",after his surgery,surgery,19585003,110473004,12128814-DS-15,"ss. He was monitored in the intensive care unit after his surgery where he required pressors for blood pressure su" "Correct entity, wrong SNOMED ID","(4472, 4480)","(4472, 4480)",pressors,pressors,408497003,50052006,12128814-DS-15,"ve care unit after his surgery where he required pressors for blood pressure support. Once his blood press" Wrong span,"(4485, 4500)","(4485, 4508)","blood pressure","blood pressure support",135840009,232957001,12128814-DS-15," after his surgery where he required pressors for blood pressure support. Once his blood pressure stabilized, his " Wrong span,"(4501, 4508)","(4485, 4508)",support,"blood pressure support",710872006,232957001,12128814-DS-15,"ry where he required pressors for blood pressure support. Once his blood pressure stabilized, his pressor" Wrong span,"(4519, 4544)","(4519, 4533)",blood pressure stabilized,blood pressure,271651005,50723001,12128814-DS-15,"ed pressors for blood pressure support. Once his blood pressure stabilized, his pressors were weaned. He was extubated on" Missed entity,"(4551, 4559)",,pressors,,408497003,,12128814-DS-15,"support. Once his blood pressure stabilized, his pressors were weaned. He was extubated on POD #1 and was" "Correct entity, wrong SNOMED ID","(4582, 4591)","(4582, 4591)",extubated,extubated,271280005,309812005,12128814-DS-15,"e stabilized, his pressors were weaned. He was extubated on POD #1 and was maintained on antibiotics for " "Correct entity, wrong SNOMED ID","(4625, 4636)","(4625, 4636)",antibiotics,antibiotics,281789004,372599003,12128814-DS-15,"He was extubated on POD #1 and was maintained on antibiotics for 48 hours. Social work services were consulted" Missed entity,"(4651, 4686)",,Social work services were consulted,,306366006,,12128814-DS-15," and was maintained on antibiotics for 48 hours. Social work services were consulted once he was extubated. He was transferred to the" "Correct entity, wrong SNOMED ID","(4699, 4708)","(4699, 4708)",extubated,extubated,271280005,309812005,12128814-DS-15,". Social work services were consulted once he was extubated. He was transferred to the regular floor on POD " Missed entity,"(4718, 4750)",,transferred to the regular floor,,306568008,,12128814-DS-15,"ces were consulted once he was extubated. He was transferred to the regular floor on POD #2. His post-operative pain was managed " Wrong span,"(4768, 4787)","(4768, 4782)",post-operative pain,post-operative,213299007,456361000124107,12128814-DS-15,"transferred to the regular floor on POD #2. His post-operative pain was managed with Dilaudid PCA. He did have an is" Missed entity,"(4814, 4817)",,PCA,,241716000,,12128814-DS-15,"is post-operative pain was managed with Dilaudid PCA. He did have an isolated episode of decreased ox" "Correct entity, wrong SNOMED ID","(4899, 4919)","(4899, 4919)",abdominal discomfort,abdominal discomfort,43364001,1332010007,12128814-DS-15,"de of decreased oxygen saturation related to his abdominal discomfort and his pain regimen was readjusted. He did expe" "Correct entity, wrong SNOMED ID","(4928, 4940)","(4928, 4940)",pain regimen,pain regimen,278414003,370823008,12128814-DS-15,"tion related to his abdominal discomfort and his pain regimen was readjusted. He did experience abdominal dist" "Correct entity, wrong SNOMED ID","(4976, 4996)","(4976, 4996)",abdominal distention,abdominal distention,60728008,300402000,12128814-DS-15,"s pain regimen was readjusted. He did experience abdominal distention with slow return of bowel function and received " Missed entity,"(5017, 5022)",,bowel,,113276009,,12128814-DS-15,"perience abdominal distention with slow return of bowel function and received methylnaltrexone with pass" Wrong span,"(5068, 5085)","(5079, 5085)",passage of flatus,flatus,249504006,300369005,12128814-DS-15,"owel function and received methylnaltrexone with passage of flatus. His PCA was discontinued once clear liquids we" "Correct entity, wrong SNOMED ID","(5093, 5096)","(5093, 5096)",PCA,PCA,241716000,1259388006,12128814-DS-15,"ed methylnaltrexone with passage of flatus. His PCA was discontinued once clear liquids were tolerate" "Correct entity, wrong SNOMED ID","(5119, 5132)","(5119, 5132)",clear liquids,clear liquids,54500007,167880007,12128814-DS-15,"assage of flatus. His PCA was discontinued once clear liquids were tolerated and his diet was gradually advanc" Wrong span,"(5157, 5184)","(5157, 5161)",diet was gradually advanced,diet,422972009,1217196000,12128814-DS-15,"tinued once clear liquids were tolerated and his diet was gradually advanced. He had adequate pain relief with oral Dilaudid" Missed entity,"(5221, 5225)",,oral,,386359008,,12128814-DS-15,"ally advanced. He had adequate pain relief with oral Dilaudid and Tylenol. He ambulated with some dif" Missed entity,"(5239, 5246)",,Tylenol,,52685006,,12128814-DS-15," had adequate pain relief with oral Dilaudid and Tylenol. He ambulated with some difficulty initially and" Wrong span,"(5252, 5282)","(5252, 5261)",ambulated with some difficulty,ambulated,719232003,722370002,12128814-DS-15," pain relief with oral Dilaudid and Tylenol. He ambulated with some difficulty initially and required walking with a walker. Cu" "Correct entity, wrong SNOMED ID","(5306, 5313)","(5306, 5313)",walking,walking,282146009,165245003,12128814-DS-15,"lated with some difficulty initially and required walking with a walker. Currently he is walking independe" Missed entity,"(5322, 5328)",,walker,,165255004,,12128814-DS-15,"difficulty initially and required walking with a walker. Currently he is walking independently on his own" "Correct entity, wrong SNOMED ID","(5346, 5367)","(5346, 5367)",walking independently,walking independently,165245003,710804006,12128814-DS-15," required walking with a walker. Currently he is walking independently on his own but will be sent home with a walker i" Missed entity,"(5409, 5415)",,walker,,165255004,,12128814-DS-15,"endently on his own but will be sent home with a walker if he needs it. His surgical wound is healing we" "Correct entity, wrong SNOMED ID","(5436, 5451)","(5436, 5451)","surgical wound","surgical wound",112633009,58126003,12128814-DS-15,"ll be sent home with a walker if he needs it. His surgical wound is healing well. His vital signs are stable and " Wrong span,"(5455, 5467)","(5455, 5462)",healing well,healing,830130002,19771006,12128814-DS-15,"h a walker if he needs it. His surgical wound is healing well. His vital signs are stable and he is afebrile." "Correct entity, wrong SNOMED ID","(5474, 5485)","(5474, 5485)",vital signs,vital signs,118227000,72970002,12128814-DS-15,"eds it. His surgical wound is healing well. His vital signs are stable and he is afebrile. After an uncompl" "Correct entity, wrong SNOMED ID","(5490, 5496)","(5490, 5496)",stable,stable,359746009,301459008,12128814-DS-15,"ical wound is healing well. His vital signs are stable and he is afebrile. After an uncomplicated reco" Missed entity,"(5635, 5641)",,Clinic,,737492002,,12128814-DS-15,"home on ___ and will follow up in the Acute Care Clinic in 2 weeks. Medications on Admission: none D" "Correct entity, wrong SNOMED ID","(6227, 6240)","(6227, 6240)",Gunshot wound,Gunshot wound,56768003,1351922001,12128814-DS-15,"harge Disposition: Home Discharge Diagnosis: 1. Gunshot wound to the abdomen, and multiple small bowel injury " Missed entity,"(6248, 6255)",,abdomen,,818983003,,12128814-DS-15,"me Discharge Diagnosis: 1. Gunshot wound to the abdomen, and multiple small bowel injury as well as mese" "Correct entity, wrong SNOMED ID","(6270, 6288)","(6270, 6288)",small bowel injury,small bowel injury,125627008,235742009,12128814-DS-15,"is: 1. Gunshot wound to the abdomen, and multiple small bowel injury as well as mesenteric vessel injury. 2. Acute bl" Wrong span,"(6301, 6311)","(6301, 6325)",mesenteric,mesenteric vessel injury,89679009,446836009,12128814-DS-15,"omen, and multiple small bowel injury as well as mesenteric vessel injury. 2. Acute blood loss anemia Disc" Wrong span,"(6312, 6318)","(6301, 6325)",vessel,mesenteric vessel injury,59820001,446836009,12128814-DS-15,"ultiple small bowel injury as well as mesenteric vessel injury. 2. Acute blood loss anemia Discharge C" Wrong span,"(6319, 6325)","(6301, 6325)",injury,mesenteric vessel injury,417746004,446836009,12128814-DS-15," small bowel injury as well as mesenteric vessel injury. 2. Acute blood loss anemia Discharge Conditio" "Correct entity, wrong SNOMED ID","(6378, 6391)","(6378, 6391)",Mental Status,Mental Status,392257007,419284004,12128814-DS-15,". Acute blood loss anemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(6393, 6398)","(6393, 6398)",Clear,Clear,830123008,281278005,12128814-DS-15,"oss anemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(6413, 6435)","(6413, 6435)",Level of Consciousness,Level of Consciousness,444714004,830285008,12128814-DS-15,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(6437, 6442)","(6437, 6442)",Alert,Alert,248234008,409787004,12128814-DS-15,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(6447, 6458)","(6447, 6458)",interactive,interactive,288577006,10301000202103,12128814-DS-15,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(6460, 6475)","(6460, 6475)",Activity Status,Activity Status,129676008,397622007,12128814-DS-15,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(6477, 6501)","(6477, 6501)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,12128814-DS-15,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: You were admitted to " "Correct entity, wrong SNOMED ID","(6571, 6584)","(6571, 6584)",gunshot wound,gunshot wound,56768003,1351922001,12128814-DS-15,"uctions: You were admitted to the hospital with a gunshot wound to the abdomen. You also had injury to your left" Missed entity,"(6593, 6600)",,abdomen,,818983003,,12128814-DS-15,"tted to the hospital with a gunshot wound to the abdomen. You also had injury to your left flank. You wer" Wrong span,"(6630, 6634)","(6630, 6640)",left,left flank,31156008,1371736002,12128814-DS-15,"ound to the abdomen. You also had injury to your left flank. You were taken to the operating room for" Wrong span,"(6635, 6640)","(6630, 6640)",flank,left flank,58602004,1371736002,12128814-DS-15,"to the abdomen. You also had injury to your left flank. You were taken to the operating room for a res" "Correct entity, wrong SNOMED ID","(6687, 6696)","(6687, 6696)",resection,resection,65801008,265414003,12128814-DS-15,"ank. You were taken to the operating room for a resection of your bowel. You are now preparing for discha" Missed entity,"(6705, 6710)",,bowel,,113276009,,12128814-DS-15,"en to the operating room for a resection of your bowel. You are now preparing for discharge home with " "Correct entity, wrong SNOMED ID","(6922, 6932)","(6922, 6932)",chest pain,chest pain,29857009,444821009,12128814-DS-15,"nt for any of the following: *You experience new chest pain, pressure, squeezing or tightness. *New or wors" "Correct entity, wrong SNOMED ID","(6934, 6942)","(6934, 6942)",pressure,pressure,23924001,1264052006,12128814-DS-15,"f the following: *You experience new chest pain, pressure, squeezing or tightness. *New or worsening coug" "Correct entity, wrong SNOMED ID","(6944, 6953)","(6944, 6953)",squeezing,squeezing,371030007,242002003,12128814-DS-15,"owing: *You experience new chest pain, pressure, squeezing or tightness. *New or worsening cough, shortnes" "Correct entity, wrong SNOMED ID","(6988, 6993)","(6988, 6993)",cough,cough,49727002,28743005,12128814-DS-15,"sure, squeezing or tightness. *New or worsening cough, shortness of breath, or wheeze. *If you are vom" "Correct entity, wrong SNOMED ID","(6995, 7014)","(6995, 7014)",shortness of breath,shortness of breath,267036007,135833008,12128814-DS-15,"queezing or tightness. *New or worsening cough, shortness of breath, or wheeze. *If you are vomiting and cannot keep" "Correct entity, wrong SNOMED ID","(7019, 7025)","(7019, 7025)",wheeze,wheeze,56018004,9763007,12128814-DS-15," *New or worsening cough, shortness of breath, or wheeze. *If you are vomiting and cannot keep down fluid" "Correct entity, wrong SNOMED ID","(7040, 7048)","(7040, 7048)",vomiting,vomiting,422400008,162062008,12128814-DS-15,"ugh, shortness of breath, or wheeze. *If you are vomiting and cannot keep down fluids or your medications." Wrong span,"(7053, 7097)","(7053, 7064)","cannot keep down fluids or your medications",cannot keep,16932000,24199005,12128814-DS-15,"s of breath, or wheeze. *If you are vomiting and cannot keep down fluids or your medications. *You are getting dehydrated due to continued vo" "Correct entity, wrong SNOMED ID","(7117, 7127)","(7117, 7127)",dehydrated,dehydrated,34095006,190894003,12128814-DS-15,"wn fluids or your medications. *You are getting dehydrated due to continued vomiting, diarrhea, or other re" "Correct entity, wrong SNOMED ID","(7145, 7153)","(7145, 7153)",vomiting,vomiting,422400008,162062008,12128814-DS-15,"ns. *You are getting dehydrated due to continued vomiting, diarrhea, or other reasons. Signs of dehydratio" "Correct entity, wrong SNOMED ID","(7155, 7163)","(7155, 7163)",diarrhea,diarrhea,62315008,111843007,12128814-DS-15,"are getting dehydrated due to continued vomiting, diarrhea, or other reasons. Signs of dehydration include " "Correct entity, wrong SNOMED ID","(7184, 7189)","(7184, 7189)",Signs,Signs,72670004,86631001,12128814-DS-15," continued vomiting, diarrhea, or other reasons. Signs of dehydration include dry mouth, rapid heartbea" "Correct entity, wrong SNOMED ID","(7193, 7204)","(7193, 7204)",dehydration,dehydration,34095006,1611000119108,12128814-DS-15,"d vomiting, diarrhea, or other reasons. Signs of dehydration include dry mouth, rapid heartbeat, or feeling d" "Correct entity, wrong SNOMED ID","(7213, 7222)","(7213, 7222)",dry mouth,dry mouth,87715008,284831000,12128814-DS-15,", or other reasons. Signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when" "Correct entity, wrong SNOMED ID","(7224, 7240)","(7224, 7240)","rapid heartbeat","rapid heartbeat",3424008,361134000,12128814-DS-15," reasons. Signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *You s" "Correct entity, wrong SNOMED ID","(7253, 7258)","(7253, 7258)",dizzy,dizzy,404640003,1141711004,12128814-DS-15,"n include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *You see blood or dark/b" "Correct entity, wrong SNOMED ID","(7273, 7281)","(7273, 7281)",standing,standing,10904000,249902000,12128814-DS-15," rapid heartbeat, or feeling dizzy or faint when standing. *You see blood or dark/black material when you " Wrong span,"(7293, 7336)","(7293, 7298)",blood or dark/black material when you vomit,blood,300361008,8765009,12128814-DS-15,"r feeling dizzy or faint when standing. *You see blood or dark/black material when you vomit or have a bowel movement. *You experience burni" "Correct entity, wrong SNOMED ID","(7348, 7362)","(7348, 7362)",bowel movement,bowel movement,405729008,398032003,12128814-DS-15," or dark/black material when you vomit or have a bowel movement. *You experience burning when you urinate, have " Wrong span,"(7381, 7388)","(7381, 7393)",burning,burning when,90673000,417915009,12128814-DS-15,"vomit or have a bowel movement. *You experience burning when you urinate, have blood in your urine, or e" "Correct entity, wrong SNOMED ID","(7398, 7405)","(7398, 7405)",urinate,urinate,252041008,249277001,12128814-DS-15,"bowel movement. *You experience burning when you urinate, have blood in your urine, or experience a disch" "Correct entity, wrong SNOMED ID","(7412, 7432)","(7412, 7432)","blood in your urine","blood in your urine",34436003,1284890008,12128814-DS-15,". *You experience burning when you urinate, have blood in your urine, or experience a discharge. *You have shaking ch" "Correct entity, wrong SNOMED ID","(7472, 7479)","(7472, 7479)",shaking,shaking,26079004,247819009,12128814-DS-15,"our urine, or experience a discharge. *You have shaking chills, or fever greater than 101.5 degrees Fahr" "Correct entity, wrong SNOMED ID","(7480, 7486)","(7480, 7486)",chills,chills,43724002,274640006,12128814-DS-15,"ne, or experience a discharge. *You have shaking chills, or fever greater than 101.5 degrees Fahrenheit " "Correct entity, wrong SNOMED ID","(7491, 7496)","(7491, 7496)",fever,fever,386661006,248430002,12128814-DS-15,"rience a discharge. *You have shaking chills, or fever greater than 101.5 degrees Fahrenheit or 38 degr" Wrong span,"(7637, 7672)","(7661, 7672)",resume all regular home medications,medications,394835006,182837001,12128814-DS-15,"s, or any new symptoms that concern you. Please resume all regular home medications , unless specifically advised not to take a part" Missed entity,"(7696, 7739)",,advised not to take a particular medication,,394835006,,12128814-DS-15,"l regular home medications , unless specifically advised not to take a particular medication. Also, please take any new medications as prescr" Missed entity,"(7754, 7779)",,"take any new medications",,394835006,,12128814-DS-15,"not to take a particular medication. Also, please take any new medications as prescribed. Please get plenty of rest, contin" Missed entity,"(7823, 7843)",,continue to ambulate,,304673006,,12128814-DS-15,"ations as prescribed. Please get plenty of rest, continue to ambulate several times per day, and drink adequate amount" Wrong span,"(7872, 7904)","(7872, 7877)",drink adequate amounts of fluids,drink,313210009,1296980001,12128814-DS-15," continue to ambulate several times per day, and drink adequate amounts of fluids. Avoid lifting weights greater than ___ lbs unti" Missed entity,"(7906, 7928)",,"Avoid lifting weights",,304673006,,12128814-DS-15,"s per day, and drink adequate amounts of fluids. Avoid lifting weights greater than ___ lbs until you follow-up with you" Wrong span,"(8034, 8064)","(8047, 8064)","while taking pain medications","pain medications",394835006,52685006,12128814-DS-15,"geon. Avoid driving or operating heavy machinery while taking pain medications. Incision Care: *Please call your doctor or nur" Missed entity,"(8091, 8107)",,call your doctor,,304562007,,12128814-DS-15,"aking pain medications. Incision Care: *Please call your doctor or nurse practitioner if you have increased pain" "Correct entity, wrong SNOMED ID","(8143, 8157)","(8143, 8157)",increased pain,increased pain,1144586002,35331000087107,12128814-DS-15,"ll your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision" "Correct entity, wrong SNOMED ID","(8159, 8167)","(8159, 8167)",swelling,swelling,442672001,300890009,12128814-DS-15,"r nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *" "Correct entity, wrong SNOMED ID","(8169, 8176)","(8169, 8176)",redness,redness,822962003,1268301006,12128814-DS-15,"actitioner if you have increased pain, swelling, redness, or drainage from the incision site. *Avoid swi" "Correct entity, wrong SNOMED ID","(8181, 8189)","(8181, 8189)",drainage,drainage,239164002,56783008,12128814-DS-15,"f you have increased pain, swelling, redness, or drainage from the incision site. *Avoid swimming and bat" "Correct entity, wrong SNOMED ID","(8199, 8213)","(8199, 8213)","incision site","incision site",609343002,260847001,12128814-DS-15,"sed pain, swelling, redness, or drainage from the incision site. *Avoid swimming and baths until your follow-up " Missed entity,"(8282, 8292)",,may shower,,15502008,,12128814-DS-15,"and baths until your follow-up appointment. *You may shower, and wash surgical incisions with a mild soap an" Wrong span,"(8298, 8321)","(8303, 8321)",wash surgical incisions,surgical incisions,15502008,34896006,12128814-DS-15,"your follow-up appointment. *You may shower, and wash surgical incisions with a mild soap and warm water. Gently pat the " Missed entity,"(8363, 8379)",,pat the area dry,,15502008,,12128814-DS-15,"ncisions with a mild soap and warm water. Gently pat the area dry. *If you have staples, they will be removed at y" Missed entity,"(8417, 8424)",,removed,,35963001,,12128814-DS-15,"the area dry. *If you have staples, they will be removed at your follow-up appointment. *If you have ste" Wrong span,"(8563, 8576)","(8569, 8576)",after surgery,surgery,19585003,110473004,12128814-DS-15,"own. Please remove any remaining strips ___ days after surgery Followup Instructions: ___ " False positive,,"(325, 327)",,C6,,260272008,12247014-DS-9,"OM who fell and hit head on car tire, sustaining C6-7 ligamentous injury Major Surgical or Invasiv" False positive,,"(394, 396)",,C4,,103200008,12247014-DS-9,"njury Major Surgical or Invasive Procedure: ___ C4-7 Tracheostomy Percutaneous Endoscopic Gastrostom" False positive,,"(566, 567)",,h,,257988000,12247014-DS-9,"g a mattress in the garage, fell on his car, and hyperextended his neck against the tire. Found by " False positive,,"(1062, 1064)",,UE,,257999003,12247014-DS-9,"g to questions PERRLA sensation impaired below C5 UE bicep/tricep strength intact ___ b/l flaccid lowe" False positive,,"(1687, 1689)",,AS,,121606009,12247014-DS-9,"K-MB-5 ___ 12:45PM cTropnT-<0.01 ___ 12:45PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barb" False positive,,"(2108, 2119)",,no evidence,,41647002,12247014-DS-9,"alization of the skull base through T1. There is no evidence of acute fracture. However, anterior splaying of" False positive,,"(2747, 2760)",,Uncovertebral,,263010001,12247014-DS-9,"eral neural foramen narrowing at the C5-6 level. Uncovertebral and facet joint hypertrophy cause severe neural " False positive,,"(3044, 3046)",,MR,,1380161007,12247014-DS-9,"ion may represent chronic small vessel ischemia. MR may be performed for more sensitive evaluation of" False positive,,"(3083, 3093)",,evaluation,,39609006,12247014-DS-9," ischemia. MR may be performed for more sensitive evaluation of acute infarct if of clinical concern. CTA" False positive,,"(3140, 3153)",,CTA head/neck,,429858000,12247014-DS-9,"ion of acute infarct if of clinical concern. CTA head/neck: Bilateral partially calcified plaques at carotid" False positive,,"(3411, 3413)",,PC,,24863003,12247014-DS-9,"anial arteries patent; small basilar with patent PComs bilaterally. 3D reformats pending. Scattered " False positive,,"(3536, 3539)",,ETT,,415306006,12247014-DS-9,"ties and atelectasis. Anterior splaying of C5-6. ETT/NGT. Ethmoid mucosal thickening & fluid in nasop" False positive,,"(3540, 3543)",,NGT,,258686002,12247014-DS-9," and atelectasis. Anterior splaying of C5-6. ETT/NGT. Ethmoid mucosal thickening & fluid in nasophary" False positive,,"(3801, 3804)",,ETT,,415306006,12247014-DS-9,"involving right upper and bilateral lower lobes. ETT slightly low. 2. No evidence of acute intra-abdo" False positive,,"(3823, 3834)",,No evidence,,41647002,12247014-DS-9,"and bilateral lower lobes. ETT slightly low. 2. No evidence of acute intra-abdominal pathology. Colonic dive" False positive,,"(3957, 3960)",,MRA,,1380161007,12247014-DS-9,"ce of diverticulitis. ___ Radiologic Studies MR/MRA brain: 1. A small subcentimeter focus of increase" False positive,,"(4027, 4037)",,diffusion-,,1803003,12247014-DS-9,"l subcentimeter focus of increased signal on the diffusion-weighted image, which may represent a small acute " False positive,,"(5382, 5392)",,effacement,,65809005,12247014-DS-9,"in which can relate to edema or injury. There is effacement of the ventral thecal sac at this level, with mo" False positive,,"(5400, 5418)",,ventral thecal sac,,279810008,12247014-DS-9,"e to edema or injury. There is effacement of the ventral thecal sac at this level, with moderate- severe compression" False positive,,"(5553, 5554)",,C,,257984003,12247014-DS-9,"ignal within the cord extending from the level of C4 to C7 from cord edema versus contusion. This li" False positive,,"(5560, 5562)",,C7,,712695007,12247014-DS-9,"ithin the cord extending from the level of C4 to C7 from cord edema versus contusion. This linear foc" False positive,,"(5865, 5883)",,ventral thecal sac,,279810008,12247014-DS-9,"trusion is noted causing mild indentation on the ventral thecal sac. At C4-5, there is posterior spondylotic ridg" False positive,,"(5917, 5928)",,spondylotic,,387800004,12247014-DS-9,"ntral thecal sac. At C4-5, there is posterior spondylotic ridge with uncovertebral osteophyte causing mild" False positive,,"(5940, 5953)",,uncovertebral,,263010001,12247014-DS-9,"t C4-5, there is posterior spondylotic ridge with uncovertebral osteophyte causing mild indentation on the ventr" False positive,,"(5998, 6012)",,ventral thecal,,730401003,12247014-DS-9,"ebral osteophyte causing mild indentation on the ventral thecal side and bilateral neural foraminal narrowing. A" False positive,,"(6495, 6499)",,STIR,,469730003,12247014-DS-9,"ng edema versus hemorrhagic contusion. On the STIR sequence, there is also increased signal in the " False positive,,"(6549, 6561)",,interspinous,,245989002,12247014-DS-9," sequence, there is also increased signal in the interspinous and the posterior spinous soft tissue at the leve" False positive,,"(6674, 6686)",,interspinous,,245989002,12247014-DS-9,"C6, representing possible edema or injury to the interspinous and supraspinous ligaments (series 5, image 10). " False positive,,"(6932, 6940)",,sagittal,,9823000,12247014-DS-9," areas of increased signal intensity seen on the sagittal T2 (series 5, image 10; series 6, image 27), whi" False positive,,"(6941, 6943)",,T2,,282384009,12247014-DS-9," increased signal intensity seen on the sagittal T2 (series 5, image 10; series 6, image 27), which " False positive,,"(7567, 7569)",,C5,,62699008,12247014-DS-9,"for details> Given his neurologic deficit due to C5 spinal cord injury, he underwent ___ 1. Tracheo" False positive,,"(7819, 7830)",,postop care,,160870005,12247014-DS-9,"2) Pt was trasferred to Trauma Service/TSICU for postop care and vent support. He continued on heparin 5000 u" False positive,,"(7836, 7848)",,vent support,,371786002,12247014-DS-9,"rred to Trauma Service/TSICU for postop care and vent support. He continued on heparin 5000 units SC TID. ___ " False positive,,"(7866, 7873)",,heparin,,412201008,12247014-DS-9,"or postop care and vent support. He continued on heparin 5000 units SC TID. ___ early AM febrile to 102. " False positive,,"(7985, 7990)",,blood,,8765009,12247014-DS-9,"over the course of the day. Pt was pan cultured (blood x2, tracheal Aspirate)and started on broad-spect" False positive,,"(7995, 8002)",,trachea,,35555009,12247014-DS-9,"ourse of the day. Pt was pan cultured (blood x2, tracheal Aspirate)and started on broad-spectrum IV antib" False positive,,"(9493, 9495)",,C5,,62699008,12247014-DS-9,"sis and multi-level cervical spine fracture with C5 spinal cord injury Discharge Condition: Stable " False positive,,"(9590, 9605)",,Cervical collar,,49689007,12247014-DS-9,"able Discharge Instructions: You must wear the Cervical collar at all times when out of bed until follow-up. Y" False positive,,"(9750, 9764)",,incision clean,,60482008,12247014-DS-9,"d. Monitor for skin breakdown under collar. Keep incision clean and dry, cover with dry gauze dressing as needed" False positive,,"(9891, 9901)",,neurologic,,386427000,12247014-DS-9," concerns about the wound, fevers/chills, or new neurologic symptoms. You are able to shower, but do not sub" False positive,,"(9961, 9970)",,incisions,,278721002,12247014-DS-9," You are able to shower, but do not submerge the incisions under water. Do not lift anything heavier than " Missed entity,"(208, 232)",,Known Allergies to Drugs,,609398007,,12247014-DS-9,"RGERY Allergies: Patient recorded as having No Known Allergies to Drugs Attending: ___. Chief Complaint: ___ YOM who " "Correct entity, wrong SNOMED ID","(282, 286)","(282, 286)",fell,fell,161898004,31549006,12247014-DS-9," Attending: ___. Chief Complaint: ___ YOM who fell and hit head on car tire, sustaining C6-7 ligam" Missed entity,"(295, 299)",,head,,69536005,,12247014-DS-9," ___. Chief Complaint: ___ YOM who fell and hit head on car tire, sustaining C6-7 ligamentous injury" "Correct entity, wrong SNOMED ID","(331, 349)","(331, 349)",ligamentous injury,ligamentous injury,405561009,263146007,12247014-DS-9," fell and hit head on car tire, sustaining C6-7 ligamentous injury Major Surgical or Invasive Procedure: ___ C4-7 " "Correct entity, wrong SNOMED ID","(399, 411)","(399, 411)",Tracheostomy,Tracheostomy,697984004,180640008,12247014-DS-9," Major Surgical or Invasive Procedure: ___ C4-7 Tracheostomy Percutaneous Endoscopic Gastrostomy IVC filter " Wrong span,"(412, 447)","(412, 435)",Percutaneous Endoscopic Gastrostomy,Percutaneous Endoscopic,235159007,698309000,12247014-DS-9,"ical or Invasive Procedure: ___ C4-7 Tracheostomy Percutaneous Endoscopic Gastrostomy IVC filter History of Present Illness: ___ s/p" "Correct entity, wrong SNOMED ID","(448, 458)","(448, 458)",IVC filter,IVC filter,216051000119102,398182006,12247014-DS-9," Tracheostomy Percutaneous Endoscopic Gastrostomy IVC filter History of Present Illness: ___ s/p fall while" "Correct entity, wrong SNOMED ID","(498, 502)","(498, 502)",fall,fall,161898004,298344006,12247014-DS-9,"IVC filter History of Present Illness: ___ s/p fall while carrying a mattress in the garage, fell on " "Correct entity, wrong SNOMED ID","(544, 548)","(544, 548)",fell,fell,161898004,31549006,12247014-DS-9,"s/p fall while carrying a mattress in the garage, fell on his car, and hyperextended his neck against t" "Correct entity, wrong SNOMED ID","(584, 588)","(584, 588)",neck,neck,45048000,840674001,12247014-DS-9,"e garage, fell on his car, and hyperextended his neck against the tire. Found by his family unable to " Wrong span,"(628, 658)","(628, 642)",unable to move his extremities,unable to move,284136008,302001007,12247014-DS-9,"d his neck against the tire. Found by his family unable to move his extremities. Pt was intubated on scene by EMS and medflighte" "Correct entity, wrong SNOMED ID","(667, 676)","(667, 676)",intubated,intubated,112798008,262007003,12247014-DS-9,"his family unable to move his extremities. Pt was intubated on scene by EMS and medflighted to ___. Past M" "Correct entity, wrong SNOMED ID","(742, 745)","(742, 745)",CAD,CAD,53741008,84270004,12247014-DS-9,"S and medflighted to ___. Past Medical History: CAD Htxn hypercholesterolemia DM2 seizure disorder al" "Correct entity, wrong SNOMED ID","(746, 750)","(746, 750)",Htxn,Htxn,59621000,3568007,12247014-DS-9,"d medflighted to ___. Past Medical History: CAD Htxn hypercholesterolemia DM2 seizure disorder allergi" "Correct entity, wrong SNOMED ID","(751, 771)","(751, 771)",hypercholesterolemia,hypercholesterolemia,13644009,238076009,12247014-DS-9,"flighted to ___. Past Medical History: CAD Htxn hypercholesterolemia DM2 seizure disorder allergic rhinitis prostate C" "Correct entity, wrong SNOMED ID","(772, 775)","(772, 775)",DM2,DM2,44054006,396166000,12247014-DS-9,"st Medical History: CAD Htxn hypercholesterolemia DM2 seizure disorder allergic rhinitis prostate CA s/" "Correct entity, wrong SNOMED ID","(776, 792)","(776, 792)",seizure disorder,seizure disorder,128613002,460731000124105,12247014-DS-9,"edical History: CAD Htxn hypercholesterolemia DM2 seizure disorder allergic rhinitis prostate CA s/p radiation ___ p" "Correct entity, wrong SNOMED ID","(793, 810)","(793, 810)",allergic rhinitis,allergic rhinitis,61582004,367498001,12247014-DS-9,"AD Htxn hypercholesterolemia DM2 seizure disorder allergic rhinitis prostate CA s/p radiation ___ prior mechanical fa" "Correct entity, wrong SNOMED ID","(811, 822)","(811, 822)",prostate CA,prostate CA,254900004,1259388006,12247014-DS-9,"sterolemia DM2 seizure disorder allergic rhinitis prostate CA s/p radiation ___ prior mechanical fall Social " "Correct entity, wrong SNOMED ID","(827, 836)","(827, 836)",radiation,radiation,108290001,279230002,12247014-DS-9,"eizure disorder allergic rhinitis prostate CA s/p radiation ___ prior mechanical fall Social History: ___ F" "Correct entity, wrong SNOMED ID","(858, 862)","(858, 862)",fall,fall,161898004,298344006,12247014-DS-9,"is prostate CA s/p radiation ___ prior mechanical fall Social History: ___ Family History: n/c Physi" "Correct entity, wrong SNOMED ID","(943, 952)","(943, 952)",intubated,intubated,52765003,262007003,12247014-DS-9,"istory: n/c Physical Exam: T95.7 P55 90/40 100% intubated CPAP 0.5 PS 15 PEEP 5 intubated but awake, alert," Missed entity,"(953, 957)",,CPAP,,47545007,,12247014-DS-9,"c Physical Exam: T95.7 P55 90/40 100% intubated CPAP 0.5 PS 15 PEEP 5 intubated but awake, alert, resp" "Correct entity, wrong SNOMED ID","(975, 984)","(975, 984)",intubated,intubated,52765003,262007003,12247014-DS-9,".7 P55 90/40 100% intubated CPAP 0.5 PS 15 PEEP 5 intubated but awake, alert, responding to questions PERRLA " Missed entity,"(1003, 1026)",,responding to questions,,300202002,,12247014-DS-9,"CPAP 0.5 PS 15 PEEP 5 intubated but awake, alert, responding to questions PERRLA sensation impaired below C5 UE bicep/trice" "Correct entity, wrong SNOMED ID","(1027, 1033)","(1027, 1033)",PERRLA,PERRLA,386667005,68123009,12247014-DS-9,"tubated but awake, alert, responding to questions PERRLA sensation impaired below C5 UE bicep/tricep stren" "Correct entity, wrong SNOMED ID","(1034, 1052)","(1034, 1052)",sensation impaired,sensation impaired,247325003,251379005,12247014-DS-9," but awake, alert, responding to questions PERRLA sensation impaired below C5 UE bicep/tricep strength intact ___ b/l " Missed entity,"(1059, 1061)",,C5,,36978003,,12247014-DS-9,"ding to questions PERRLA sensation impaired below C5 UE bicep/tricep strength intact ___ b/l flaccid l" "Correct entity, wrong SNOMED ID","(1065, 1070)","(1065, 1070)",bicep,bicep,16225001,227712003,12247014-DS-9,"o questions PERRLA sensation impaired below C5 UE bicep/tricep strength intact ___ b/l flaccid lower ext " Wrong span,"(1071, 1077)","(1071, 1093)",tricep,tricep strength intact,40284004,247602005,12247014-DS-9,"tions PERRLA sensation impaired below C5 UE bicep/tricep strength intact ___ b/l flaccid lower ext w/o ref" Wrong span,"(1078, 1093)","(1071, 1093)",strength intact,tricep strength intact,249955006,247602005,12247014-DS-9,"ERRLA sensation impaired below C5 UE bicep/tricep strength intact ___ b/l flaccid lower ext w/o reflex RR S1 S2 no " "Correct entity, wrong SNOMED ID","(1102, 1109)","(1102, 1109)",flaccid,flaccid,186611004,1137496003,12247014-DS-9," below C5 UE bicep/tricep strength intact ___ b/l flaccid lower ext w/o reflex RR S1 S2 no m/r/g CTA b/l so" Wrong span,"(1110, 1119)","(1110, 1130)",lower ext,lower ext w/o reflex,61685007,866248000,12247014-DS-9,"5 UE bicep/tricep strength intact ___ b/l flaccid lower ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT n" Wrong span,"(1120, 1130)","(1110, 1130)",w/o reflex,lower ext w/o reflex,37280007,866248000,12247014-DS-9,"/tricep strength intact ___ b/l flaccid lower ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonit" "Correct entity, wrong SNOMED ID","(1131, 1133)","(1131, 1133)",RR,RR,301283003,229040007,12247014-DS-9,"ength intact ___ b/l flaccid lower ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonitis " Boundary error,"(1134, 1136)","(1134, 1135)",S1,S,26198000,420952007,12247014-DS-9,"th intact ___ b/l flaccid lower ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonitis P" "Correct entity, wrong SNOMED ID","(1137, 1139)","(1137, 1139)",S2,S2,111974005,81170007,12247014-DS-9,"intact ___ b/l flaccid lower ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonitis Pert" "Correct entity, wrong SNOMED ID","(1140, 1148)","(1140, 1148)",no m/r/g,no m/r/g,301132007,315221003,12247014-DS-9,"act ___ b/l flaccid lower ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonitis Pertinent Res" "Correct entity, wrong SNOMED ID","(1149, 1152)","(1149, 1152)",CTA,CTA,48348007,397005006,12247014-DS-9,"/l flaccid lower ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonitis Pertinent Results" "Correct entity, wrong SNOMED ID","(1162, 1164)","(1162, 1164)",ND,ND,60728008,165815009,12247014-DS-9,"wer ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonitis Pertinent Results: ___ 12:45P" "Correct entity, wrong SNOMED ID","(1165, 1167)","(1165, 1167)",NT,NT,43478001,257992007,12247014-DS-9," ext w/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonitis Pertinent Results: ___ 12:45PM " "Correct entity, wrong SNOMED ID","(1171, 1182)","(1171, 1182)",peritonitis,peritonitis,48661000,36746002,12247014-DS-9,"/o reflex RR S1 S2 no m/r/g CTA b/l soft ND NT no peritonitis Pertinent Results: ___ 12:45PM WBC-8.2 RBC-3." "Correct entity, wrong SNOMED ID","(1218, 1221)","(1218, 1221)",WBC,WBC,767002,391558003,12247014-DS-9,"no peritonitis Pertinent Results: ___ 12:45PM WBC-8.2 RBC-3.43* HGB-10.3* HCT-29.7* MCV-87 MCH-30." "Correct entity, wrong SNOMED ID","(1226, 1229)","(1226, 1229)",RBC,RBC,14089001,258759006,12247014-DS-9,"onitis Pertinent Results: ___ 12:45PM WBC-8.2 RBC-3.43* HGB-10.3* HCT-29.7* MCV-87 MCH-30.0 MCHC-3" "Correct entity, wrong SNOMED ID","(1236, 1239)","(1236, 1239)",HGB,HGB,441689006,104142005,12247014-DS-9,"ertinent Results: ___ 12:45PM WBC-8.2 RBC-3.43* HGB-10.3* HCT-29.7* MCV-87 MCH-30.0 MCHC-34.6 RDW-14" "Correct entity, wrong SNOMED ID","(1246, 1249)","(1246, 1249)",HCT,HCT,28317006,840276005,12247014-DS-9,"esults: ___ 12:45PM WBC-8.2 RBC-3.43* HGB-10.3* HCT-29.7* MCV-87 MCH-30.0 MCHC-34.6 RDW-14.2 ___ 12:" Missed entity,"(1256, 1259)",,MCV,,104133003,,12247014-DS-9,"_ 12:45PM WBC-8.2 RBC-3.43* HGB-10.3* HCT-29.7* MCV-87 MCH-30.0 MCHC-34.6 RDW-14.2 ___ 12:45PM PLT" "Correct entity, wrong SNOMED ID","(1264, 1267)","(1264, 1267)",MCH,MCH,54706004,735147002,12247014-DS-9,"M WBC-8.2 RBC-3.43* HGB-10.3* HCT-29.7* MCV-87 MCH-30.0 MCHC-34.6 RDW-14.2 ___ 12:45PM PLT COUNT-2" "Correct entity, wrong SNOMED ID","(1273, 1277)","(1273, 1277)",MCHC,MCHC,37254006,735147002,12247014-DS-9,".2 RBC-3.43* HGB-10.3* HCT-29.7* MCV-87 MCH-30.0 MCHC-34.6 RDW-14.2 ___ 12:45PM PLT COUNT-239 ___ 12:" "Correct entity, wrong SNOMED ID","(1283, 1286)","(1283, 1286)",RDW,RDW,66842004,735149004,12247014-DS-9,"3* HGB-10.3* HCT-29.7* MCV-87 MCH-30.0 MCHC-34.6 RDW-14.2 ___ 12:45PM PLT COUNT-239 ___ 12:45PM NE" Missed entity,"(1306, 1315)",,PLT COUNT,,61928009,,12247014-DS-9,"MCV-87 MCH-30.0 MCHC-34.6 RDW-14.2 ___ 12:45PM PLT COUNT-239 ___ 12:45PM NEUTS-74.2* ___ MONOS-4.5 EOS-2" "Correct entity, wrong SNOMED ID","(1334, 1339)","(1334, 1339)",NEUTS,NEUTS,30630007,271035003,12247014-DS-9,"DW-14.2 ___ 12:45PM PLT COUNT-239 ___ 12:45PM NEUTS-74.2* ___ MONOS-4.5 EOS-2.8 BASOS-0.3 ___ 12:45P" "Correct entity, wrong SNOMED ID","(1350, 1355)","(1350, 1355)",MONOS,MONOS,67776007,462791000124108,12247014-DS-9,"5PM PLT COUNT-239 ___ 12:45PM NEUTS-74.2* ___ MONOS-4.5 EOS-2.8 BASOS-0.3 ___ 12:45PM ___ PTT-23.0" "Correct entity, wrong SNOMED ID","(1360, 1363)","(1360, 1363)",EOS,EOS,71960002,67099000,12247014-DS-9,"COUNT-239 ___ 12:45PM NEUTS-74.2* ___ MONOS-4.5 EOS-2.8 BASOS-0.3 ___ 12:45PM ___ PTT-23.0 ___ ___" Missed entity,"(1369, 1374)",,BASOS,,42351005,,12247014-DS-9," ___ 12:45PM NEUTS-74.2* ___ MONOS-4.5 EOS-2.8 BASOS-0.3 ___ 12:45PM ___ PTT-23.0 ___ ___ 12:45PM " "Correct entity, wrong SNOMED ID","(1397, 1400)","(1397, 1400)",PTT,PTT,42525009,282119004,12247014-DS-9,"__ MONOS-4.5 EOS-2.8 BASOS-0.3 ___ 12:45PM ___ PTT-23.0 ___ ___ 12:45PM ___ 12:48PM GLUCOSE-93 L" "Correct entity, wrong SNOMED ID","(1438, 1445)","(1438, 1445)",GLUCOSE,GLUCOSE,33747003,72191006,12247014-DS-9,"PM ___ PTT-23.0 ___ ___ 12:45PM ___ 12:48PM GLUCOSE-93 LACTATE-2.9* NA+-138 K+-5.1 CL--106 TCO2-23 _" Missed entity,"(1462, 1464)",,NA,,312469006,,12247014-DS-9,"_ 12:45PM ___ 12:48PM GLUCOSE-93 LACTATE-2.9* NA+-138 K+-5.1 CL--106 TCO2-23 ___ 12:45PM UREA N" Missed entity,"(1470, 1471)",,K,,312468003,,12247014-DS-9,"M ___ 12:48PM GLUCOSE-93 LACTATE-2.9* NA+-138 K+-5.1 CL--106 TCO2-23 ___ 12:45PM UREA N-22* CR" Missed entity,"(1478, 1480)",,CL,,104589004,,12247014-DS-9,"12:48PM GLUCOSE-93 LACTATE-2.9* NA+-138 K+-5.1 CL--106 TCO2-23 ___ 12:45PM UREA N-22* CREAT-1.1 _" "Correct entity, wrong SNOMED ID","(1486, 1490)","(1486, 1490)",TCO2,TCO2,391396001,130028005,12247014-DS-9," GLUCOSE-93 LACTATE-2.9* NA+-138 K+-5.1 CL--106 TCO2-23 ___ 12:45PM UREA N-22* CREAT-1.1 ___ 12:45PM" Missed entity,"(1508, 1514)",,UREA N,,105011006,,12247014-DS-9,".9* NA+-138 K+-5.1 CL--106 TCO2-23 ___ 12:45PM UREA N-22* CREAT-1.1 ___ 12:45PM CALCIUM-8.3* PHOSPHAT" "Correct entity, wrong SNOMED ID","(1519, 1524)","(1519, 1524)",CREAT,CREAT,70901006,365756002,12247014-DS-9," K+-5.1 CL--106 TCO2-23 ___ 12:45PM UREA N-22* CREAT-1.1 ___ 12:45PM CALCIUM-8.3* PHOSPHATE-2.7 MAGN" "Correct entity, wrong SNOMED ID","(1543, 1550)","(1543, 1550)",CALCIUM,CALCIUM,312472004,108601004,12247014-DS-9," ___ 12:45PM UREA N-22* CREAT-1.1 ___ 12:45PM CALCIUM-8.3* PHOSPHATE-2.7 MAGNESIUM-1.8 ___ 12:45PM CK" Missed entity,"(1556, 1565)",,PHOSPHATE,,104868000,,12247014-DS-9," UREA N-22* CREAT-1.1 ___ 12:45PM CALCIUM-8.3* PHOSPHATE-2.7 MAGNESIUM-1.8 ___ 12:45PM CK(CPK)-267* AMYL" Missed entity,"(1570, 1579)",,MAGNESIUM,,271285000,,12247014-DS-9,"REAT-1.1 ___ 12:45PM CALCIUM-8.3* PHOSPHATE-2.7 MAGNESIUM-1.8 ___ 12:45PM CK(CPK)-267* AMYLASE-52 ___ 12:" Missed entity,"(1598, 1604)",,CK(CPK,,397798009,,12247014-DS-9,"UM-8.3* PHOSPHATE-2.7 MAGNESIUM-1.8 ___ 12:45PM CK(CPK)-267* AMYLASE-52 ___ 12:45PM CK-MB-5 ___ 12:45P" "Correct entity, wrong SNOMED ID","(1611, 1618)","(1611, 1618)",AMYLASE,AMYLASE,64435009,28378007,12247014-DS-9,"HATE-2.7 MAGNESIUM-1.8 ___ 12:45PM CK(CPK)-267* AMYLASE-52 ___ 12:45PM CK-MB-5 ___ 12:45PM cTropnT-<0" Missed entity,"(1636, 1641)",,CK-MB,,104613001,,12247014-DS-9,"_ 12:45PM CK(CPK)-267* AMYLASE-52 ___ 12:45PM CK-MB-5 ___ 12:45PM cTropnT-<0.01 ___ 12:45PM ASA-" "Correct entity, wrong SNOMED ID","(1658, 1665)","(1658, 1665)",cTropnT,cTropnT,105001004,442255004,12247014-DS-9,"7* AMYLASE-52 ___ 12:45PM CK-MB-5 ___ 12:45PM cTropnT-<0.01 ___ 12:45PM ASA-NEG ETHANOL-NEG ACETMNPH" Missed entity,"(1695, 1702)",,ETHANOL,,167009006,,12247014-DS-9,"__ 12:45PM cTropnT-<0.01 ___ 12:45PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tric" Missed entity,"(1707, 1716)",,ACETMNPHN,,46093004,,12247014-DS-9," cTropnT-<0.01 ___ 12:45PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ " Missed entity,"(1722, 1730)",,bnzodzpn,,574005,,12247014-DS-9," ___ 12:45PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 01:15PM URINE " Missed entity,"(1735, 1743)",,barbitrt,,105079003,,12247014-DS-9," ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 01:15PM URINE bnzodzpn-NEG" Missed entity,"(1748, 1757)",,tricyclic,,44787002,,12247014-DS-9,"ANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 01:15PM URINE bnzodzpn-NEG barbitrt-NEG " Missed entity,"(1774, 1779)",,URINE,,442564008,,12247014-DS-9,"zodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 01:15PM URINE bnzodzpn-NEG barbitrt-NEG opiates-NEG cocaine-N" Missed entity,"(1781, 1789)",,bnzodzpn,,271070001,,12247014-DS-9,"NEG barbitrt-NEG tricyclic-NEG ___ 01:15PM URINE bnzodzpn-NEG barbitrt-NEG opiates-NEG cocaine-NEG amphetm" Missed entity,"(1794, 1802)",,barbitrt,,271071002,,12247014-DS-9,"NEG tricyclic-NEG ___ 01:15PM URINE bnzodzpn-NEG barbitrt-NEG opiates-NEG cocaine-NEG amphetmn-NEG mthdone" Missed entity,"(1807, 1814)",,opiates,,312466004,,12247014-DS-9,"-NEG ___ 01:15PM URINE bnzodzpn-NEG barbitrt-NEG opiates-NEG cocaine-NEG amphetmn-NEG mthdone-NEG ___ 01" Missed entity,"(1820, 1827)",,cocaine,,271072009,,12247014-DS-9,"5PM URINE bnzodzpn-NEG barbitrt-NEG opiates-NEG cocaine-NEG amphetmn-NEG mthdone-NEG ___ 01:15PM URINE " Missed entity,"(1845, 1852)",,mthdone,,271073004,,12247014-DS-9,"arbitrt-NEG opiates-NEG cocaine-NEG amphetmn-NEG mthdone-NEG ___ 01:15PM URINE BLOOD-LG NITRITE-NEG PROT" Wrong span,"(1898, 1909)","(1898, 1905)",PROTEIN-NEG,PROTEIN,167273002,764892007,12247014-DS-9,"done-NEG ___ 01:15PM URINE BLOOD-LG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-N" Wrong span,"(1911, 1922)","(1911, 1913)",GLUCOSE-NEG,GL,167261002,258682000,12247014-DS-9," 01:15PM URINE BLOOD-LG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LE" Wrong span,"(1923, 1933)","(1923, 1929)",KETONE-NEG,KETONE,167287002,256048004,12247014-DS-9,"NE BLOOD-LG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LEUK-NEG ___ " "Correct entity, wrong SNOMED ID","(1934, 1943)","(1934, 1943)",BILIRUBIN,BILIRUBIN,359992002,359986008,12247014-DS-9,"G NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LEUK-NEG ___ 01:15PM UR" Missed entity,"(1948, 1957)",,UROBILNGN,,67410005,,12247014-DS-9,"PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LEUK-NEG ___ 01:15PM URINE ___ BACTE" "Correct entity, wrong SNOMED ID","(1962, 1964)","(1962, 1964)",PH,PH,81065003,264912003,12247014-DS-9,"LUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LEUK-NEG ___ 01:15PM URINE ___ BACTERIA-FEW" Missed entity,"(1970, 1978)",,LEUK-NEG,,394717006,,12247014-DS-9,"EG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LEUK-NEG ___ 01:15PM URINE ___ BACTERIA-FEW YEAST-NONE E" Missed entity,"(2017, 2020)",,AST,,45896001,,12247014-DS-9,"0 LEUK-NEG ___ 01:15PM URINE ___ BACTERIA-FEW YEAST-NONE EPI-0 ___-SPINE: There is visualization of" "Correct entity, wrong SNOMED ID","(2075, 2085)","(2075, 2085)",skull base,skull base,31467002,86587003,12247014-DS-9," EPI-0 ___-SPINE: There is visualization of the skull base through T1. There is no evidence of acute fractu" Missed entity,"(2094, 2096)",,T1,,64864005,,12247014-DS-9," There is visualization of the skull base through T1. There is no evidence of acute fracture. However" "Correct entity, wrong SNOMED ID","(2129, 2137)","(2129, 2137)",fracture,fracture,72704001,307186006,12247014-DS-9,"l base through T1. There is no evidence of acute fracture. However, anterior splaying of the intervertebra" Wrong span,"(2174, 2211)","(2174, 2185)",intervertebral disc space at the C6-7,interverteb,15075002,714795001,12247014-DS-9,"cute fracture. However, anterior splaying of the intervertebral disc space at the C6-7 level is concerning for ligamentous injury. Ther" "Correct entity, wrong SNOMED ID","(2237, 2255)","(2237, 2255)",ligamentous injury,ligamentous injury,405561009,263146007,12247014-DS-9,"l disc space at the C6-7 level is concerning for ligamentous injury. There is no spondylolisthesis. There is no para" "Correct entity, wrong SNOMED ID","(2270, 2287)","(2270, 2287)",spondylolisthesis,spondylolisthesis,274152003,321171000119102,12247014-DS-9," concerning for ligamentous injury. There is no spondylolisthesis. There is no paravertebral hematoma seen. Mul" "Correct entity, wrong SNOMED ID","(2315, 2323)","(2315, 2323)",hematoma,hematoma,35566002,784408000,12247014-DS-9," no spondylolisthesis. There is no paravertebral hematoma seen. Multilevel degenerative changes are see" "Correct entity, wrong SNOMED ID","(2345, 2365)","(2345, 2365)",degenerative changes,degenerative changes,762305005,708529002,12247014-DS-9,"is no paravertebral hematoma seen. Multilevel degenerative changes are seen. There is mild narrowing of the spinal " "Correct entity, wrong SNOMED ID","(2391, 2400)","(2391, 2400)",narrowing,narrowing,708528005,246406005,12247014-DS-9,"vel degenerative changes are seen. There is mild narrowing of the spinal canal due to posterior osteophytes " "Correct entity, wrong SNOMED ID","(2408, 2420)","(2408, 2420)",spinal canal,spinal canal,61853006,11537001,12247014-DS-9,"changes are seen. There is mild narrowing of the spinal canal due to posterior osteophytes at the C5-6 level a" "Correct entity, wrong SNOMED ID","(2438, 2449)","(2438, 2449)",osteophytes,osteophytes,88998003,239454000,12247014-DS-9,"d narrowing of the spinal canal due to posterior osteophytes at the C5-6 level and also due to disc osteophyt" "Correct entity, wrong SNOMED ID","(2458, 2460)","(2458, 2460)",C5,C5,36978003,62699008,12247014-DS-9,"spinal canal due to posterior osteophytes at the C5-6 level and also due to disc osteophyte complex a" Missed entity,"(2461, 2462)",,6,,36054005,,12247014-DS-9,"nal canal due to posterior osteophytes at the C5-6 level and also due to disc osteophyte complex at " Wrong span,"(2485, 2489)","(2485, 2500)",disc,disc osteophyte,47886009,1156767003,12247014-DS-9,"or osteophytes at the C5-6 level and also due to disc osteophyte complex at the C7-T1 level. Uncoverte" Wrong span,"(2490, 2500)","(2485, 2500)",osteophyte,disc osteophyte,88998003,1156767003,12247014-DS-9,"teophytes at the C5-6 level and also due to disc osteophyte complex at the C7-T1 level. Uncovertebral hypert" Boundary error,"(2517, 2519)","(2517, 2518)",C7,C,87391001,257984003,12247014-DS-9,"l and also due to disc osteophyte complex at the C7-T1 level. Uncovertebral hypertrophy and facet hyp" Missed entity,"(2520, 2522)",,T1,,64864005,,12247014-DS-9,"nd also due to disc osteophyte complex at the C7-T1 level. Uncovertebral hypertrophy and facet hypert" Wrong span,"(2544, 2555)","(2530, 2555)",hypertrophy,Uncovertebral hypertrophy,56246009,897588005,12247014-DS-9,"ophyte complex at the C7-T1 level. Uncovertebral hypertrophy and facet hypertrophy cause severe narrowing of " Wrong span,"(2560, 2565)","(2560, 2577)",facet,facet hypertrophy,1179207001,298157007,12247014-DS-9,"t the C7-T1 level. Uncovertebral hypertrophy and facet hypertrophy cause severe narrowing of the right " Wrong span,"(2566, 2577)","(2560, 2577)",hypertrophy,facet hypertrophy,56246009,298157007,12247014-DS-9," C7-T1 level. Uncovertebral hypertrophy and facet hypertrophy cause severe narrowing of the right neural foram" Wrong span,"(2592, 2629)","(2592, 2601)",narrowing of the right neural foramen,narrowing,371000119109,246406005,12247014-DS-9,"l hypertrophy and facet hypertrophy cause severe narrowing of the right neural foramen at the C4-5 level. Uncovertebral hypertrophy cau" Missed entity,"(2637, 2641)",,C4-5,,1179207001,,12247014-DS-9,"vere narrowing of the right neural foramen at the C4-5 level. Uncovertebral hypertrophy causes moderate" Missed entity,"(2664, 2675)",,hypertrophy,,56246009,,12247014-DS-9," neural foramen at the C4-5 level. Uncovertebral hypertrophy causes moderate bilateral neural foramen narrowi" Wrong span,"(2703, 2727)","(2703, 2717)",neural foramen narrowing,neural foramen,371000119109,113204006,12247014-DS-9,"overtebral hypertrophy causes moderate bilateral neural foramen narrowing at the C5-6 level. Uncovertebral and facet joint" "Correct entity, wrong SNOMED ID","(2735, 2737)","(2735, 2737)",C5,C5,281192009,62699008,12247014-DS-9,"derate bilateral neural foramen narrowing at the C5-6 level. Uncovertebral and facet joint hypertrop" Missed entity,"(2738, 2739)",,6,,281193004,,12247014-DS-9,"ate bilateral neural foramen narrowing at the C5-6 level. Uncovertebral and facet joint hypertrophy" Wrong span,"(2766, 2777)","(2766, 2789)",facet joint,facet joint hypertrophy,1148804004,231276005,12247014-DS-9,"n narrowing at the C5-6 level. Uncovertebral and facet joint hypertrophy cause severe neural foraminal narrowi" Wrong span,"(2778, 2789)","(2766, 2789)",hypertrophy,facet joint hypertrophy,56246009,231276005,12247014-DS-9,"at the C5-6 level. Uncovertebral and facet joint hypertrophy cause severe neural foraminal narrowing at the C" Wrong span,"(2803, 2829)","(2803, 2819)",neural foraminal narrowing,neural foraminal,371000119109,371000119109,12247014-DS-9,"rtebral and facet joint hypertrophy cause severe neural foraminal narrowing at the C6-7 level. CT HEAD: No evidence of int" "Correct entity, wrong SNOMED ID","(2838, 2840)","(2838, 2840)",C6,C6,281193004,260254002,12247014-DS-9,"y cause severe neural foraminal narrowing at the C6-7 level. CT HEAD: No evidence of intracranial h" Missed entity,"(2841, 2842)",,7,,281194005,,12247014-DS-9,"ause severe neural foraminal narrowing at the C6-7 level. CT HEAD: No evidence of intracranial hem" "Correct entity, wrong SNOMED ID","(2861, 2872)","(2861, 2872)",No evidence,No evidence,281900007,41647002,12247014-DS-9,"oraminal narrowing at the C6-7 level. CT HEAD: No evidence of intracranial hemorrhage. Hypodensity in subco" "Correct entity, wrong SNOMED ID","(2876, 2899)","(2876, 2899)",intracranial hemorrhage,intracranial hemorrhage,1386000,35486000,12247014-DS-9,"ing at the C6-7 level. CT HEAD: No evidence of intracranial hemorrhage. Hypodensity in subcortical and periventricular " Wrong span,"(2933, 2961)","(2933, 2948)",periventricular white matter,periventricular,37065005,89530008,12247014-DS-9,"anial hemorrhage. Hypodensity in subcortical and periventricular white matter in right occipital/parietal region may represent" "Correct entity, wrong SNOMED ID","(2965, 2981)","(2965, 2981)","right occipital","right occipital",59144001,57541000087104,12247014-DS-9," subcortical and periventricular white matter in right occipital/parietal region may represent chronic small vesse" "Correct entity, wrong SNOMED ID","(2982, 2997)","(2982, 2997)",parietal region,parietal region,47876008,362617006,12247014-DS-9," periventricular white matter in right occipital/parietal region may represent chronic small vessel ischemia. MR " "Correct entity, wrong SNOMED ID","(3012, 3019)","(3012, 3019)",chronic,chronic,27624003,234347009,12247014-DS-9,"in right occipital/parietal region may represent chronic small vessel ischemia. MR may be performed for m" Wrong span,"(3020, 3032)","(3020, 3042)",small vessel,"small vessel ischemia",27915009,46109009,12247014-DS-9," occipital/parietal region may represent chronic small vessel ischemia. MR may be performed for more sensitive" Wrong span,"(3034, 3042)","(3020, 3042)",ischemia,"small vessel ischemia",52674009,46109009,12247014-DS-9,"rietal region may represent chronic small vessel ischemia. MR may be performed for more sensitive evaluatio" Wrong span,"(3098, 3111)","(3104, 3111)",acute infarct,infarct,55470003,55470003,12247014-DS-9,"ay be performed for more sensitive evaluation of acute infarct if of clinical concern. CTA head/neck: Bilate" Wrong span,"(3175, 3184)","(3175, 3192)",calcified,calcified plaques,18115005,18115005,12247014-DS-9,"l concern. CTA head/neck: Bilateral partially calcified plaques at carotid bifurcations, with at least 5" Wrong span,"(3185, 3192)","(3175, 3192)",plaques,calcified plaques,1522000,18115005,12247014-DS-9," CTA head/neck: Bilateral partially calcified plaques at carotid bifurcations, with at least 50% steno" "Correct entity, wrong SNOMED ID","(3196, 3217)","(3196, 3217)","carotid bifurcations","carotid bifurcations",80272002,244209004,12247014-DS-9,"ad/neck: Bilateral partially calcified plaques at carotid bifurcations, with at least 50% stenosis on the right. Left v" "Correct entity, wrong SNOMED ID","(3237, 3245)","(3237, 3245)",stenosis,stenosis,415582006,246073005,12247014-DS-9,"aques at carotid bifurcations, with at least 50% stenosis on the right. Left vertebral artery dominant, wi" "Correct entity, wrong SNOMED ID","(3253, 3258)","(3253, 3258)",right,right,65355003,225794002,12247014-DS-9," bifurcations, with at least 50% stenosis on the right. Left vertebral artery dominant, with intermitte" "Correct entity, wrong SNOMED ID","(3260, 3282)","(3260, 3282)","Left vertebral artery","Left vertebral artery",369355008,50291007,12247014-DS-9,"cations, with at least 50% stenosis on the right. Left vertebral artery dominant, with intermittent flow seen in diminui" "Correct entity, wrong SNOMED ID","(3354, 3375)","(3354, 3375)",Intracranial arteries,Intracranial arteries,127955005,21710002,12247014-DS-9,"ittent flow seen in diminuitive right vertebral. Intracranial arteries patent; small basilar with patent PComs bilatera" "Correct entity, wrong SNOMED ID","(3471, 3480)","(3471, 3480)",pulmonary,pulmonary,39607008,419170002,12247014-DS-9,"terally. 3D reformats pending. Scattered rounded pulmonary opacities and atelectasis. Anterior splaying of " "Correct entity, wrong SNOMED ID","(3481, 3490)","(3481, 3490)",opacities,opacities,128305008,422061002,12247014-DS-9,"D reformats pending. Scattered rounded pulmonary opacities and atelectasis. Anterior splaying of C5-6. ETT/" Missed entity,"(3530, 3532)",,C5,,13469002,,12247014-DS-9," opacities and atelectasis. Anterior splaying of C5-6. ETT/NGT. Ethmoid mucosal thickening & fluid in" Missed entity,"(3533, 3534)",,6,,88182006,,12247014-DS-9,"acities and atelectasis. Anterior splaying of C5-6. ETT/NGT. Ethmoid mucosal thickening & fluid in " Wrong span,"(3545, 3560)","(3545, 3571)",Ethmoid mucosal,Ethmoid mucosal thickening,368900009,7954009,12247014-DS-9,"atelectasis. Anterior splaying of C5-6. ETT/NGT. Ethmoid mucosal thickening & fluid in nasopharynx. CT Torso: 1" Wrong span,"(3561, 3571)","(3545, 3571)",thickening,Ethmoid mucosal thickening,89977008,7954009,12247014-DS-9,"erior splaying of C5-6. ETT/NGT. Ethmoid mucosal thickening & fluid in nasopharynx. CT Torso: 1. Multifoca" "Correct entity, wrong SNOMED ID","(3574, 3579)","(3574, 3579)",fluid,fluid,17672001,109192009,12247014-DS-9,"ng of C5-6. ETT/NGT. Ethmoid mucosal thickening & fluid in nasopharynx. CT Torso: 1. Multifocal pulmon" "Correct entity, wrong SNOMED ID","(3584, 3595)","(3584, 3595)",nasopharynx,nasopharynx,71836000,277232003,12247014-DS-9,". ETT/NGT. Ethmoid mucosal thickening & fluid in nasopharynx. CT Torso: 1. Multifocal pulmonary opacities co" "Correct entity, wrong SNOMED ID","(3623, 3632)","(3623, 3632)",pulmonary,pulmonary,39607008,419170002,12247014-DS-9," fluid in nasopharynx. CT Torso: 1. Multifocal pulmonary opacities concerning for multifocal pneumonia, a" "Correct entity, wrong SNOMED ID","(3633, 3642)","(3633, 3642)",opacities,opacities,128305008,422061002,12247014-DS-9," nasopharynx. CT Torso: 1. Multifocal pulmonary opacities concerning for multifocal pneumonia, although th" "Correct entity, wrong SNOMED ID","(3670, 3679)","(3670, 3679)",pneumonia,pneumonia,233604007,415125002,12247014-DS-9,"al pulmonary opacities concerning for multifocal pneumonia, although there is also likely a component of as" "Correct entity, wrong SNOMED ID","(3761, 3772)","(3761, 3772)",right upper,right upper,42400003,362728000,12247014-DS-9,"a component of aspiration. Atelectasis involving right upper and bilateral lower lobes. ETT slightly low. 2." Wrong span,"(3777, 3786)","(3777, 3799)",bilateral,"bilateral lower lobes",74101002,372111007,12247014-DS-9,"aspiration. Atelectasis involving right upper and bilateral lower lobes. ETT slightly low. 2. No evidence o" Wrong span,"(3788, 3799)","(3777, 3799)",lower lobes,"bilateral lower lobes",90572001,372111007,12247014-DS-9," Atelectasis involving right upper and bilateral lower lobes. ETT slightly low. 2. No evidence of acute intra" "Correct entity, wrong SNOMED ID","(3844, 3859)","(3844, 3859)",intra-abdominal,intra-abdominal,123872000,189197001,12247014-DS-9,"lobes. ETT slightly low. 2. No evidence of acute intra-abdominal pathology. Colonic diverticula, without evidence" "Correct entity, wrong SNOMED ID","(3871, 3891)","(3871, 3891)","Colonic diverticula","Colonic diverticula",733657002,386197003,12247014-DS-9,". No evidence of acute intra-abdominal pathology. Colonic diverticula, without evidence of diverticulitis. ___ Radiol" "Correct entity, wrong SNOMED ID","(3913, 3927)","(3913, 3927)",diverticulitis,diverticulitis,307496006,2091005,12247014-DS-9,"hology. Colonic diverticula, without evidence of diverticulitis. ___ Radiologic Studies MR/MRA brain: 1. A smal" Wrong span,"(4081, 4095)","(4088, 4095)","acute infarct",infarct,55470003,55470003,12247014-DS-9,"usion-weighted image, which may represent a small acute infarct versus T2 shine-through artifact. As this is not " Missed entity,"(4120, 4128)",,artifact,,47973001,,12247014-DS-9,"nt a small acute infarct versus T2 shine-through artifact. As this is not definitely identifiable on other" "Correct entity, wrong SNOMED ID","(4331, 4340)","(4331, 4340)",vertebral,vertebral,85234005,203709007,12247014-DS-9,"s nature. 2. Very small caliber of the distal vertebral and basilar arteries, which is grossly unchanged" "Correct entity, wrong SNOMED ID","(4345, 4362)","(4345, 4362)","basilar arteries","basilar arteries",59011009,64009001,12247014-DS-9,"2. Very small caliber of the distal vertebral and basilar arteries, which is grossly unchanged since ___. Prominent " Missed entity,"(4381, 4390)",,unchanged,,359748005,,12247014-DS-9,"vertebral and basilar arteries, which is grossly unchanged since ___. Prominent posterior communicating art" Wrong span,"(4413, 4445)","(4423, 4445)",posterior communicating arteries,communicating arteries,43119007,8012006,12247014-DS-9," which is grossly unchanged since ___. Prominent posterior communicating arteries, supplying the posterior circulation. This appea" "Correct entity, wrong SNOMED ID","(4515, 4539)","(4515, 4539)","atherosclerotic disease","atherosclerotic disease",38716007,39823006,12247014-DS-9,"erior circulation. This appearance may relate to atherosclerotic disease, as described previously. MR ___ spine: The axia" Missed entity,"(4629, 4638)",,artifacts,,47973001,,12247014-DS-9,": The axial GRE sequence is limited due to motion artifacts. However, confirming the findings of the recent " Wrong span,"(4688, 4713)","(4688, 4690)","CT of the cervical spine",CT,241578008,241541005,12247014-DS-9,". However, confirming the findings of the recent CT of the cervical spine, there is widening of the disc space anteriorly " "Correct entity, wrong SNOMED ID","(4724, 4732)","(4724, 4732)",widening,widening,90522003,363646005,12247014-DS-9,"of the recent CT of the cervical spine, there is widening of the disc space anteriorly at the level of C6-" Wrong span,"(4779, 4784)","(4779, 4780)",C6-C7,C,81872001,257984003,12247014-DS-9,"ing of the disc space anteriorly at the level of C6-C7 with disruption of the anterior longitudinal lig" "Correct entity, wrong SNOMED ID","(4790, 4800)","(4790, 4800)",disruption,disruption,76555007,21997005,12247014-DS-9,"disc space anteriorly at the level of C6-C7 with disruption of the anterior longitudinal ligament, anterior " "Correct entity, wrong SNOMED ID","(4808, 4839)","(4808, 4839)","anterior longitudinal ligament","anterior longitudinal ligament",41933003,244601007,12247014-DS-9,"rly at the level of C6-C7 with disruption of the anterior longitudinal ligament, anterior disc herniation with increased signal " Wrong span,"(4850, 4865)","(4841, 4865)",disc herniation,anterior disc herniation,84857004,472980004,12247014-DS-9," of the anterior longitudinal ligament, anterior disc herniation with increased signal within the disc, which can" "Correct entity, wrong SNOMED ID","(4900, 4904)","(4900, 4904)",disc,disc,360499006,244579004,12247014-DS-9,"disc herniation with increased signal within the disc, which can relate to edema. In addition, there i" "Correct entity, wrong SNOMED ID","(4926, 4931)","(4926, 4931)",edema,edema,267038008,102576009,12247014-DS-9,"ased signal within the disc, which can relate to edema. In addition, there is also evidence of injury t" "Correct entity, wrong SNOMED ID","(4973, 4979)","(4973, 4979)",injury,injury,417746004,312608009,12247014-DS-9,"to edema. In addition, there is also evidence of injury to the anterior longitudinal ligament at the lev" "Correct entity, wrong SNOMED ID","(4987, 5018)","(4987, 5018)","anterior longitudinal ligament","anterior longitudinal ligament",41933003,244601007,12247014-DS-9,"ddition, there is also evidence of injury to the anterior longitudinal ligament at the level of C5-6 with widening of the disc sp" Boundary error,"(5035, 5039)","(5035, 5037)",C5-6,C5,73959003,62699008,12247014-DS-9,"e anterior longitudinal ligament at the level of C5-6 with widening of the disc space anteriorly with " "Correct entity, wrong SNOMED ID","(5045, 5053)","(5045, 5053)",widening,widening,90522003,363646005,12247014-DS-9," longitudinal ligament at the level of C5-6 with widening of the disc space anteriorly with increased sign" "Correct entity, wrong SNOMED ID","(5061, 5071)","(5061, 5071)",disc space,disc space,73959003,47886009,12247014-DS-9,"igament at the level of C5-6 with widening of the disc space anteriorly with increased signal of the disc, re" "Correct entity, wrong SNOMED ID","(5113, 5117)","(5113, 5117)",disc,disc,360499006,244579004,12247014-DS-9,"sc space anteriorly with increased signal of the disc, representing edema. There is also diffuse disc " "Correct entity, wrong SNOMED ID","(5133, 5138)","(5133, 5138)",edema,edema,267038008,102576009,12247014-DS-9," with increased signal of the disc, representing edema. There is also diffuse disc bulge with posterior " Wrong span,"(5162, 5166)","(5162, 5172)",disc,disc bulge,360499006,73589001,12247014-DS-9," disc, representing edema. There is also diffuse disc bulge with posterior central disc extrusion with" Wrong span,"(5167, 5172)","(5162, 5172)",bulge,disc bulge,442672001,73589001,12247014-DS-9,", representing edema. There is also diffuse disc bulge with posterior central disc extrusion with super" Missed entity,"(5226, 5235)",,migration,,699456009,,12247014-DS-9,"h posterior central disc extrusion with superior migration. Theposterior longitudinal ligament is displaced" "Correct entity, wrong SNOMED ID","(5240, 5272)","(5240, 5272)","posterior longitudinal ligament","posterior longitudinal ligament",48259001,244603005,12247014-DS-9,"ntral disc extrusion with superior migration. Theposterior longitudinal ligament is displaced anteriorly and has some increased s" "Correct entity, wrong SNOMED ID","(5276, 5285)","(5276, 5285)",displaced,displaced,112638000,13206009,12247014-DS-9,"migration. Theposterior longitudinal ligament is displaced anteriorly and has some increased signal within " "Correct entity, wrong SNOMED ID","(5355, 5360)","(5355, 5360)",edema,edema,267038008,102576009,12247014-DS-9,"some increased signal within which can relate to edema or injury. There is effacement of the ventral th" "Correct entity, wrong SNOMED ID","(5364, 5370)","(5364, 5370)",injury,injury,417746004,312608009,12247014-DS-9,"reased signal within which can relate to edema or injury. There is effacement of the ventral thecal sac a" Wrong span,"(5457, 5480)","(5457, 5468)",compression on the cord,compression,71286001,234069007,12247014-DS-9," thecal sac at this level, with moderate- severe compression on the cord. There is increased signal within the cord exten" Wrong span,"(5568, 5578)","(5568, 5572)",cord edema,cord,65605001,2748008,12247014-DS-9,"e cord extending from the level of C4 to C7 from cord edema versus contusion. This linear focus of increased" "Correct entity, wrong SNOMED ID","(5586, 5595)","(5586, 5595)",contusion,contusion,262696004,473140000,12247014-DS-9,"rom the level of C4 to C7 from cord edema versus contusion. This linear focus of increased signal noted pos" Wrong span,"(5659, 5666)","(5659, 5661)",C5 body,C5,67479001,62699008,12247014-DS-9,"focus of increased signal noted posterior to the C5 body (___) can represent small edpidural hematoma. " "Correct entity, wrong SNOMED ID","(5694, 5712)","(5694, 5712)",edpidural hematoma,edpidural hematoma,703861005,1162966002,12247014-DS-9,"sterior to the C5 body (___) can represent small edpidural hematoma. At C2-3, small central focal disc protrusion" Missed entity,"(5721, 5725)",,C2-3,,1078209008,,12247014-DS-9,") can represent small edpidural hematoma. At C2-3, small central focal disc protrusion is noted. " Missed entity,"(5780, 5784)",,C3-4,,58820006,,12247014-DS-9,"ll central focal disc protrusion is noted. At C3-4 moderate-sized central disc extrusion is noted ca" "Correct entity, wrong SNOMED ID","(5846, 5857)","(5846, 5857)",indentation,indentation,82448003,860848000,12247014-DS-9,"zed central disc extrusion is noted causing mild indentation on the ventral thecal sac. At C4-5, there is " Missed entity,"(5892, 5894)",,C4,,5329002,,12247014-DS-9,"ild indentation on the ventral thecal sac. At C4-5, there is posterior spondylotic ridge with unco" Missed entity,"(5895, 5896)",,5,,36978003,,12247014-DS-9," indentation on the ventral thecal sac. At C4-5, there is posterior spondylotic ridge with uncove" "Correct entity, wrong SNOMED ID","(5955, 5965)","(5955, 5965)",osteophyte,osteophyte,88998003,699329006,12247014-DS-9,"s posterior spondylotic ridge with uncovertebral osteophyte causing mild indentation on the ventral thecal si" "Correct entity, wrong SNOMED ID","(5979, 5990)","(5979, 5990)",indentation,indentation,82448003,860848000,12247014-DS-9,"ridge with uncovertebral osteophyte causing mild indentation on the ventral thecal side and bilateral neural " Wrong span,"(6033, 6059)","(6033, 6049)",neural foraminal narrowing,neural foraminal,371000119109,371000119109,12247014-DS-9,"ntation on the ventral thecal side and bilateral neural foraminal narrowing. At C4-5, there is also increased signal in the " Missed entity,"(6064, 6068)",,C4-5,,243904008,,12247014-DS-9,"ide and bilateral neural foraminal narrowing. At C4-5, there is also increased signal in the disc, wit" "Correct entity, wrong SNOMED ID","(6109, 6113)","(6109, 6113)",disc,disc,84020006,244579004,12247014-DS-9,". At C4-5, there is also increased signal in the disc, with anterior disc herniation and possible inju" "Correct entity, wrong SNOMED ID","(6129, 6144)","(6129, 6144)",disc herniation,disc herniation,84857004,73589001,12247014-DS-9,"also increased signal in the disc, with anterior disc herniation and possible injury to the anterior longitudinal" "Correct entity, wrong SNOMED ID","(6159, 6165)","(6159, 6165)",injury,injury,417746004,312608009,12247014-DS-9,"disc, with anterior disc herniation and possible injury to the anterior longitudinal ligament at this le" "Correct entity, wrong SNOMED ID","(6173, 6203)","(6173, 6203)",anterior longitudinal ligament,anterior longitudinal ligament,41933003,244601007,12247014-DS-9,"erior disc herniation and possible injury to the anterior longitudinal ligament at this level as well. At C7-T1, the disc sp" Missed entity,"(6235, 6240)",,C7-T1,,75095006,,12247014-DS-9,"gitudinal ligament at this level as well. At C7-T1, the disc space is grossly unremarkable but not " "Correct entity, wrong SNOMED ID","(6268, 6280)","(6268, 6280)",unremarkable,unremarkable,281900007,167703002,12247014-DS-9," as well. At C7-T1, the disc space is grossly unremarkable but not adequately assessed due to artifacts on " Missed entity,"(6317, 6326)",,artifacts,,47973001,,12247014-DS-9," unremarkable but not adequately assessed due to artifacts on the axial sequences. There is moderate amo" Wrong span,"(6421, 6433)","(6407, 6433)",soft tissues,"prevertebral soft tissues",87784001,175407002,12247014-DS-9,"e amount of increased signal in the prevertebral soft tissues, representing edema versus hemorrhagic contusion." "Correct entity, wrong SNOMED ID","(6448, 6453)","(6448, 6453)",edema,edema,267038008,102576009,12247014-DS-9,"l in the prevertebral soft tissues, representing edema versus hemorrhagic contusion. On the STIR seq" "Correct entity, wrong SNOMED ID","(6461, 6482)","(6461, 6482)",hemorrhagic contusion,hemorrhagic contusion,870557002,870558007,12247014-DS-9,"ertebral soft tissues, representing edema versus hemorrhagic contusion. On the STIR sequence, there is also increase" Wrong span,"(6570, 6587)","(6570, 6579)",posterior spinous,posterior,55678000,289784006,12247014-DS-9,"lso increased signal in the interspinous and the posterior spinous soft tissue at the level of C5 and C6, represent" Wrong span,"(6588, 6599)","(6580, 6599)",soft tissue,spinous soft tissue,87784001,26607000,12247014-DS-9,"al in the interspinous and the posterior spinous soft tissue at the level of C5 and C6, representing possible" Missed entity,"(6617, 6619)",,C5,,36978003,,12247014-DS-9,"he posterior spinous soft tissue at the level of C5 and C6, representing possible edema or injury to " Missed entity,"(6624, 6626)",,C6,,36054005,,12247014-DS-9,"erior spinous soft tissue at the level of C5 and C6, representing possible edema or injury to the in" "Correct entity, wrong SNOMED ID","(6650, 6655)","(6650, 6655)",edema,edema,267038008,102576009,12247014-DS-9,"at the level of C5 and C6, representing possible edema or injury to the interspinous and supraspinous l" "Correct entity, wrong SNOMED ID","(6659, 6665)","(6659, 6665)",injury,injury,417746004,312608009,12247014-DS-9,"vel of C5 and C6, representing possible edema or injury to the interspinous and supraspinous ligaments (" "Correct entity, wrong SNOMED ID","(6691, 6713)","(6691, 6713)",supraspinous ligaments,supraspinous ligaments,33154002,244592001,12247014-DS-9,"possible edema or injury to the interspinous and supraspinous ligaments (series 5, image 10). Patient is intubated, with" "Correct entity, wrong SNOMED ID","(6748, 6757)","(6748, 6757)",intubated,intubated,112798008,262007003,12247014-DS-9,"inous ligaments (series 5, image 10). Patient is intubated, with increased signal from fluid in the sphenoi" "Correct entity, wrong SNOMED ID","(6786, 6791)","(6786, 6791)",fluid,fluid,17672001,109192009,12247014-DS-9," Patient is intubated, with increased signal from fluid in the sphenoid and the maxillary sinuses. I" "Correct entity, wrong SNOMED ID","(6800, 6808)","(6800, 6808)",sphenoid,sphenoid,24999009,65891000,12247014-DS-9,"tubated, with increased signal from fluid in the sphenoid and the maxillary sinuses. In the left lobe o" "Correct entity, wrong SNOMED ID","(6817, 6834)","(6817, 6834)",maxillary sinuses,maxillary sinuses,15924003,105972009,12247014-DS-9,"reased signal from fluid in the sphenoid and the maxillary sinuses. In the left lobe of the thyroid, there are a" Wrong span,"(6847, 6871)","(6847, 6863)",left lobe of the thyroid,left lobe of the,79163004,362899007,12247014-DS-9,"e sphenoid and the maxillary sinuses. In the left lobe of the thyroid, there are areas of increased signal intensity s" "Correct entity, wrong SNOMED ID","(7003, 7008)","(7003, 7008)",cysts,cysts,367643001,125291005,12247014-DS-9,", image 10; series 6, image 27), which represent cysts or adenoma, not adequately assessed. Brief " "Correct entity, wrong SNOMED ID","(7012, 7019)","(7012, 7019)",adenoma,adenoma,1187375007,1156419009,12247014-DS-9,"0; series 6, image 27), which represent cysts or adenoma, not adequately assessed. Brief Hospital Co" Wrong span,"(7213, 7219)","(7213, 7222)",Fusion,Fusion C4,50172003,1336121003,12247014-DS-9,"tho Spine service (Dr ___ and underwent ___ 1. Fusion C4-C7. 2. Anterior diskectomies at C4-5, " Wrong span,"(7220, 7222)","(7213, 7222)",C4,Fusion C4,5329002,1336121003,12247014-DS-9,"ne service (Dr ___ and underwent ___ 1. Fusion C4-C7. 2. Anterior diskectomies at C4-5, C5-" Missed entity,"(7223, 7225)",,C7,,87391001,,12247014-DS-9,"service (Dr ___ and underwent ___ 1. Fusion C4-C7. 2. Anterior diskectomies at C4-5, C5-6 a" Wrong span,"(7238, 7259)","(7238, 7246)",Anterior diskectomies,Anterior,439877006,261123004,12247014-DS-9," and underwent ___ 1. Fusion C4-C7. 2. Anterior diskectomies at C4-5, C5-6 and C6-7. 3. Anterior instr" Missed entity,"(7263, 7267)",,C4-5,,49400002,,12247014-DS-9,"Fusion C4-C7. 2. Anterior diskectomies at C4-5, C5-6 and C6-7. 3. Anterior instrumentati" Missed entity,"(7269, 7273)",,C5-6,,73959003,,12247014-DS-9," C4-C7. 2. Anterior diskectomies at C4-5, C5-6 and C6-7. 3. Anterior instrumentation C4-" Missed entity,"(7278, 7282)",,C6-7,,75095006,,12247014-DS-9," 2. Anterior diskectomies at C4-5, C5-6 and C6-7. 3. Anterior instrumentation C4-C7. " Wrong span,"(7295, 7319)","(7304, 7319)",Anterior instrumentation,instrumentation,22793001,311479006,12247014-DS-9,"r diskectomies at C4-5, C5-6 and C6-7. 3. Anterior instrumentation C4-C7. 4. Structural allograft. ___ 1. T" Missed entity,"(7320, 7322)",,C4,,5329002,,12247014-DS-9,"5-6 and C6-7. 3. Anterior instrumentation C4-C7. 4. Structural allograft. ___ 1. Tota" Missed entity,"(7323, 7325)",,C7,,87391001,,12247014-DS-9," and C6-7. 3. Anterior instrumentation C4-C7. 4. Structural allograft. ___ 1. Total l" Wrong span,"(7338, 7358)","(7338, 7340)",Structural allograft,St,442908000,51811007,12247014-DS-9," 3. Anterior instrumentation C4-C7. 4. Structural allograft. ___ 1. Total laminectomy of C4, 5, 6 and 7. " Wrong span,"(7368, 7385)","(7374, 7385)",Total laminectomy,laminectomy,260647003,387731002,12247014-DS-9,"n C4-C7. 4. Structural allograft. ___ 1. Total laminectomy of C4, 5, 6 and 7. 2. Fusion C4-C7. " Missed entity,"(7389, 7391)",,C4,,5329002,,12247014-DS-9,"tructural allograft. ___ 1. Total laminectomy of C4, 5, 6 and 7. 2. Fusion C4-C7. 3. " Missed entity,"(7393, 7394)",,5,,36978003,,12247014-DS-9,"tural allograft. ___ 1. Total laminectomy of C4, 5, 6 and 7. 2. Fusion C4-C7. 3. Pos" Missed entity,"(7396, 7397)",,6,,36054005,,12247014-DS-9,"al allograft. ___ 1. Total laminectomy of C4, 5, 6 and 7. 2. Fusion C4-C7. 3. Poster" Missed entity,"(7402, 7403)",,7,,87391001,,12247014-DS-9,"ograft. ___ 1. Total laminectomy of C4, 5, 6 and 7. 2. Fusion C4-C7. 3. Posterior in" Missed entity,"(7423, 7425)",,C4,,5329002,,12247014-DS-9," laminectomy of C4, 5, 6 and 7. 2. Fusion C4-C7. 3. Posterior instrumentation C4-7. " Missed entity,"(7426, 7428)",,C7,,87391001,,12247014-DS-9,"minectomy of C4, 5, 6 and 7. 2. Fusion C4-C7. 3. Posterior instrumentation C4-7. " Wrong span,"(7441, 7466)","(7451, 7466)",Posterior instrumentation,instrumentation,311482001,311479006,12247014-DS-9,", 5, 6 and 7. 2. Fusion C4-C7. 3. Posterior instrumentation C4-7. 4. Autograft. Given his ne" "Correct entity, wrong SNOMED ID","(7541, 7559)","(7541, 7559)",neurologic deficit,neurologic deficit,264552009,761908002,12247014-DS-9,"ft. Given his neurologic deficit due to C5 spinal cord injury, he underwent ___ " "Correct entity, wrong SNOMED ID","(7570, 7588)","(7570, 7588)",spinal cord injury,spinal cord injury,90584004,60681000119105,12247014-DS-9," details> Given his neurologic deficit due to C5 spinal cord injury, he underwent ___ 1. Tracheostomy. (#8 perfit, " "Correct entity, wrong SNOMED ID","(7612, 7624)","(7612, 7624)",Tracheostomy,Tracheostomy,697984004,180640008,12247014-DS-9,"e to C5 spinal cord injury, he underwent ___ 1. Tracheostomy. (#8 perfit, cuffed, non-fenestrated) 2. " "Correct entity, wrong SNOMED ID","(7674, 7709)","(7674, 7709)",Percutaneous endoscopic gastrostomy,Percutaneous endoscopic gastrostomy,235159007,312340001,12247014-DS-9,". (#8 perfit, cuffed, non-fenestrated) 2. Percutaneous endoscopic gastrostomy. 3. Placement of inferior vena cava filte" Wrong span,"(7722, 7760)","(7722, 7734)",Placement of inferior vena cava filter,Placement of,398182006,228647003,12247014-DS-9,". Percutaneous endoscopic gastrostomy. 3. Placement of inferior vena cava filter. (Bard G2) Pt was trasferred to Trauma Service/T" "Correct entity, wrong SNOMED ID","(7907, 7914)","(7907, 7914)",febrile,febrile,386661006,307200007,12247014-DS-9,"inued on heparin 5000 units SC TID. ___ early AM febrile to 102. Defervesced over the course of the day. " "Correct entity, wrong SNOMED ID","(7971, 7983)","(7971, 7983)",pan cultured,pan cultured,61594008,168198007,12247014-DS-9,". Defervesced over the course of the day. Pt was pan cultured (blood x2, tracheal Aspirate)and started on broa" Wrong span,"(8047, 8066)","(8044, 8057)",antibiotic coverage,IV antibiotic,422181004,410573003,12247014-DS-9,"acheal Aspirate)and started on broad-spectrum IV antibiotic coverage with Vancomycin and Zosyn. ___ Pt has been afeb" "Correct entity, wrong SNOMED ID","(8112, 8120)","(8112, 8120)",afebrile,afebrile,386661006,307200007,12247014-DS-9,"rage with Vancomycin and Zosyn. ___ Pt has been afebrile for 24 hours. At this time feel that patient is " Missed entity,"(8170, 8189)",,ready for discharge,,430567009,,12247014-DS-9," for 24 hours. At this time feel that patient is ready for discharge to extended care facility. Patient seen by psych" "Correct entity, wrong SNOMED ID","(8286, 8309)","(8286, 8309)",antideppressant therapy,antideppressant therapy,698456001,700214004,12247014-DS-9,"ychiatry and at this time does not want to begin antideppressant therapy. Psych recommends counseling during rehabilitat" Missed entity,"(8329, 8339)",,counseling,,409063005,,12247014-DS-9," begin antideppressant therapy. Psych recommends counseling during rehabilitation Medications on Admissi" Missed entity,"(8348, 8362)",,rehabilitation,,52052004,,12247014-DS-9,"ant therapy. Psych recommends counseling during rehabilitation Medications on Admission: Lisinopril 40 mg qd" Wrong span,"(9451, 9486)","(9463, 9486)",multi-level cervical spine fracture,cervical spine fracture,207985005,269062008,12247014-DS-9," ___ Discharge Diagnosis: Cervical stenosis and multi-level cervical spine fracture with C5 spinal cord injury Discharge Condition" "Correct entity, wrong SNOMED ID","(9538, 9544)","(9538, 9544)",Stable,Stable,359746009,301459008,12247014-DS-9,"ith C5 spinal cord injury Discharge Condition: Stable Discharge Instructions: You must wear the Cerv" "Correct entity, wrong SNOMED ID","(9716, 9730)","(9716, 9730)",skin breakdown,skin breakdown,247442005,70693003,12247014-DS-9,"eed to wear the collar when in bed. Monitor for skin breakdown under collar. Keep incision clean and dry, cover" "Correct entity, wrong SNOMED ID","(9861, 9866)","(9861, 9866)",wound,wound,416462003,241019003,12247014-DS-9,"ded. Call your doctor for any concerns about the wound, fevers/chills, or new neurologic symptoms. You" "Correct entity, wrong SNOMED ID","(9868, 9874)","(9868, 9874)",fevers,fevers,386661006,248444008,12247014-DS-9,"ll your doctor for any concerns about the wound, fevers/chills, or new neurologic symptoms. You are abl" "Correct entity, wrong SNOMED ID","(9875, 9881)","(9875, 9881)",chills,chills,43724002,274640006,12247014-DS-9," doctor for any concerns about the wound, fevers/chills, or new neurologic symptoms. You are able to sh" Missed entity,"(10081, 10085)",,neck,,5880005,,12247014-DS-9," milk (about 10 lbs). Do not bend or twist your neck. Followup Instructions: ___ " False positive,,"(178, 184)",,Biaxin,,294471003,12304719-DS-18," Sex: M Service: NEUROLOGY Allergies: Biaxin Attending: ___. Chief Complaint: Left hand cl" False positive,,"(256, 265)",,stiffness,,161882006,12304719-DS-18,"hief Complaint: Left hand clumsiness and left leg stiffness. Major Surgical or Invasive Procedure: None. " False positive,,"(982, 991)",,sensation,,276435006,12304719-DS-18," believes there was perhaps some tingling or the sensation that the hand was asleep. He also felt that he m" False positive,,"(1010, 1016)",,asleep,,67233009,12304719-DS-18,"some tingling or the sensation that the hand was asleep. He also felt that he might be having some diff" False positive,,"(1132, 1135)",,ear,,50228009,12304719-DS-18,"dination trying to get the earring in his wife's ear. He is unsure if there was any actual weakness." False positive,,"(1301, 1310)",,sensation,,276435006,12304719-DS-18,"and for a brief period of time. He believes the sensation lasted for about a minute and then resolved. Aft" False positive,,"(2901, 2910)",,stiffness,,161882006,12304719-DS-18," significantly different than his usual left leg stiffness. He spoke with his PCP who recommended that the" False positive,,"(3451, 3466)",,difficulty with,,52925006,12304719-DS-18,"ears, although he is not clear for how long, had difficulty with his left leg and left leg stiffness. However, h" False positive,,"(3493, 3502)",,stiffness,,161882006,12304719-DS-18,"ng, had difficulty with his left leg and left leg stiffness. However, he has never experienced significant " False positive,,"(5395, 5397)",,nl,,257992007,12304719-DS-18,"ungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, norm" False positive,,"(5399, 5400)",,S,,420952007,12304719-DS-18," CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoac" False positive,,"(5729, 5737)",,Language,,289198005,12304719-DS-18,", able to name ___ backward without difficulty. Language is fluent with intact repetition and comprehensio" False positive,,"(6616, 6622)",,Normal,,840673007,12304719-DS-18,"lly. XII: Tongue protrudes in midline. -Motor: Normal bulk, slightly increased tone in left leg/arm, Sl" False positive,,"(6677, 6684)",,curling,,282109005,12304719-DS-18,", slightly increased tone in left leg/arm, Slight curling of left arm on pronator No adventitious movement" False positive,,"(6700, 6708)",,pronator,,302514000,12304719-DS-18,"ne in left leg/arm, Slight curling of left arm on pronator No adventitious movements, such as tremor, noted" False positive,,"(6954, 6958)",,left,,264745005,12304719-DS-18,"5 5 5 5 5 5 RAM a little slower on left, but he is left handed. -Sensory: No deficits t" False positive,,"(6998, 7009)",,deficits to,,236822003,12304719-DS-18,"er on left, but he is left handed. -Sensory: No deficits to light touch, pinprick, cold sensation, vibratory " False positive,,"(7651, 7654)",,Eos,,67099000,12304719-DS-18,"01:00PM BLOOD Neuts-73.9* Lymphs-17.9* Monos-4.6 Eos-2.9 Baso-0.6 ___ 07:45AM BLOOD ___ PTT-21.5* ___ " False positive,,"(7906, 7913)",,Cholest,,13644009,12304719-DS-18,"AM BLOOD Albumin-3.8 Calcium-9.3 Phos-3.6 Mg-2.1 Cholest-224* ___ 07:45AM BLOOD %HbA1c-5.6 eAG-114 ___ 07:" False positive,,"(7938, 7939)",,H,,257988000,12304719-DS-18," Phos-3.6 Mg-2.1 Cholest-224* ___ 07:45AM BLOOD %HbA1c-5.6 eAG-114 ___ 07:45AM BLOOD Triglyc-124 HDL" False positive,,"(8006, 8013)",,LDLcalc,,395065005,12304719-DS-18,"___ 07:45AM BLOOD Triglyc-124 HDL-55 CHOL/HD-4.1 LDLcalc-144 ___ 07:45AM BLOOD TSH-<0.02* ___ 01:00PM BLOO" False positive,,"(8136, 8141)",,URINE,,78888000,12304719-DS-18,"nzodzp-NEG Barbitr-NEG Tricycl-NEG ___ 05:20AM URINE Color-Yellow Appear-Clear Sp ___ ___ 05:20AM URIN" False positive,,"(8618, 8621)",,non,,900000000000495008,12304719-DS-18,"suggested. ___ ___ MRI Brain IMPRESSION: 1. The non-contrast MRI of the brain demonstrates no acute " False positive,,"(8790, 8799)",,bilateral,,268228006,12304719-DS-18," demonstrate gradient signal artifact within the bilateral frontal lobes and the right pons which are uncha" False positive,,"(9012, 9020)",,right A1,,1153544008,12304719-DS-18," a severe short segment stenosis of the proximal right A1 segment of the anterior cerebral artery. There ar" False positive,,"(9645, 9653)",,abnormal,,309198006,12304719-DS-18," C6-C7 worst at C5-C6 as described above without abnormal signal of the spinal cord. There is severe neural" False positive,,"(9732, 9737)",,right,,225794002,12304719-DS-18,"here is severe neural foraminal narrowing at the right C4-C5 and C5-C6. CT C-spine IMPRESSION: Moderat" False positive,,"(9986, 9995)",,confusion,,44031002,12304719-DS-18," Exam and history most consistent with this. Some confusion initially given left sided weakness in the conte" False positive,,"(10053, 10061)",,cavenoma,,113356001,12304719-DS-18,"lly given left sided weakness in the context of a cavenoma in the right basis pontis, but cervical disease " False positive,,"(10070, 10075)",,right,,264746006,12304719-DS-18,"ded weakness in the context of a cavenoma in the right basis pontis, but cervical disease much more con" False positive,,"(10155, 10157)",,Ex,,51401007,12304719-DS-18,"sease much more consistent with overall picture. Exam actually worsened after admission with increas" False positive,,"(10169, 10177)",,worsened,,271299001,12304719-DS-18,"e consistent with overall picture. Exam actually worsened after admission with increased leg stiffness/ton" False positive,,"(10311, 10315)",,Exam,,105477005,12304719-DS-18," upgoing toes. Has not previously had neck pain. Exam worse than MRI, but flexion extension imaging not" False positive,,"(10386, 10391)",,worse,,280122007,12304719-DS-18,"flexion extension imaging not performed owing to worsening and concern for exacerbation. MRI c- and t- " False positive,,"(10557, 10569)",,rigid collar,,183189003,12304719-DS-18,"ulted and recommended Medrol steroid dose taper, rigid collar and muscle relaxants. Thus, hydrocortisone 10 mg" False positive,,"(10851, 10855)",,exam,,105477005,12304719-DS-18," diazepam daily was rescheduled as 2 mg q8h. His exam improved somewhat in rigid collar and with Medro" False positive,,"(10878, 10890)",,rigid collar,,183189003,12304719-DS-18,"duled as 2 mg q8h. His exam improved somewhat in rigid collar and with Medrol, but we felt that he was not suf" False positive,,"(11054, 11065)",,improvement,,142016009,12304719-DS-18," rehabilitation. We expect that further clinical improvement will be seen. He should be seen by Neurosurgery i" False positive,,"(11168, 11180)",,rigid collar,,183189003,12304719-DS-18,"clinic in two weeks. He should remain in an Aspen rigid collar until that time. Hypertension Amlodipine was " False positive,,"(11341, 11356)",,blood pressures,,12763006,12304719-DS-18," QD and atenolol was changed to carvedilol given blood pressures around 200 systolic. This began prior to steroid " False positive,,"(11535, 11549)",,blood pressure,,50723001,12304719-DS-18,"id treatment. It will be essential to follow his blood pressure closely and down-titrate medications if there is " False positive,,"(11602, 11606)",,fall,,298344006,12304719-DS-18,"osely and down-titrate medications if there is a fall in his blood pressure with steroid taper. Hyp" False positive,,"(11614, 11628)",,blood pressure,,50723001,12304719-DS-18,"wn-titrate medications if there is a fall in his blood pressure with steroid taper. Hypopituitarism After ade" False positive,,"(12119, 12124)",,worse,,280122007,12304719-DS-18,"it urgency and small volume urination, with some worsening due to spinal disease. Condom catheter was us" False positive,,"(12667, 12675)",,left eye,,12241831000119103,12304719-DS-18,"ications on Admission: - Timolol 0.25% once a day left eye - Xalatan .005% once a day left eye - Citalopram" False positive,,"(12704, 12712)",,left eye,,12241831000119103,12304719-DS-18,"% once a day left eye - Xalatan .005% once a day left eye - Citalopram 15mg qd - Protonix 40mg qd - ASA 81" False positive,,"(15123, 15128)",,Clear,,281278005,12304719-DS-18,"ituitarism Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" False positive,,"(15805, 15821)",,Physical therapy,,183326003,12304719-DS-18,"d that you follow-up with them as an outpatient. Physical therapy, along with your Neurology Team, recommended a s" Wrong span,"(222, 231)","(222, 242)",Left hand,Left hand clumsiness,85151006,788468009,12304719-DS-18,"ies: Biaxin Attending: ___. Chief Complaint: Left hand clumsiness and left leg stiffness. Major Surgic" Wrong span,"(232, 242)","(222, 242)",clumsiness,Left hand clumsiness,7006003,788468009,12304719-DS-18,"in Attending: ___. Chief Complaint: Left hand clumsiness and left leg stiffness. Major Surgical or Invas" "Correct entity, wrong SNOMED ID","(247, 255)","(247, 255)",left leg,left leg,48979004,213384005,12304719-DS-18," ___. Chief Complaint: Left hand clumsiness and left leg stiffness. Major Surgical or Invasive Procedure" "Correct entity, wrong SNOMED ID","(424, 436)","(424, 436)",hypertension,hypertension,38341003,70995007,12304719-DS-18,"male with a past medical history significant for hypertension, panhypopituitarism since a benign pituitary ade" "Correct entity, wrong SNOMED ID","(438, 456)","(438, 456)",panhypopituitarism,panhypopituitarism,32390006,190470005,12304719-DS-18,"st medical history significant for hypertension, panhypopituitarism since a benign pituitary adenoma in ___, panic a" Wrong span,"(466, 490)","(473, 490)",benign pituitary adenoma,pituitary adenoma,1156904003,1156904003,12304719-DS-18,"ant for hypertension, panhypopituitarism since a benign pituitary adenoma in ___, panic and anxiety, and BPH, who presents" "Correct entity, wrong SNOMED ID","(499, 504)","(499, 504)",panic,panic,79823003,702021010000100,12304719-DS-18,"itarism since a benign pituitary adenoma in ___, panic and anxiety, and BPH, who presents with an episo" "Correct entity, wrong SNOMED ID","(509, 516)","(509, 516)",anxiety,anxiety,48694002,286644009,12304719-DS-18,"ince a benign pituitary adenoma in ___, panic and anxiety, and BPH, who presents with an episode of left h" "Correct entity, wrong SNOMED ID","(560, 579)","(560, 579)","left hand weakness","left hand weakness",15639641000119109,570921000124107,12304719-DS-18,"nxiety, and BPH, who presents with an episode of left hand weakness/clumsiness this morning followed by an episode of" "Correct entity, wrong SNOMED ID","(580, 590)","(580, 590)",clumsiness,clumsiness,7006003,230703006,12304719-DS-18,"o presents with an episode of left hand weakness/clumsiness this morning followed by an episode of left leg " Wrong span,"(630, 634)","(630, 648)",left,"left leg weakness",48979004,290251000119106,12304719-DS-18,"clumsiness this morning followed by an episode of left leg weakness this afternoon. The patient was i" Wrong span,"(636, 648)","(630, 648)",leg weakness,"left leg weakness",249945007,290251000119106,12304719-DS-18,"ness this morning followed by an episode of left leg weakness this afternoon. The patient was in his usual st" "Correct entity, wrong SNOMED ID","(864, 873)","(864, 873)",left hand,left hand,85151006,15746321000119106,12304719-DS-18,"ticed a sudden onset of a strange feeling in his left hand. He is a little unclear about what this feeling " "Correct entity, wrong SNOMED ID","(965, 973)","(965, 973)",tingling,tingling,62507009,274676007,12304719-DS-18,"feeling was. He believes there was perhaps some tingling or the sensation that the hand was asleep. He a" Wrong span,"(1001, 1005)","(1001, 1009)",hand,hand was,85562004,53057004,12304719-DS-18," perhaps some tingling or the sensation that the hand was asleep. He also felt that he might be havin" Missed entity,"(1062, 1090)",,difficulty with coordination,,302289002,,12304719-DS-18,"leep. He also felt that he might be having some difficulty with coordination trying to get the earring in his wife's ear. He" "Correct entity, wrong SNOMED ID","(1176, 1184)","(1176, 1184)",weakness,weakness,26544005,13791008,12304719-DS-18,"ife's ear. He is unsure if there was any actual weakness. He stopped doing what he was doing and proceede" Missed entity,"(1250, 1254)",,hand,,85562004,,12304719-DS-18,"ing what he was doing and proceeded to shake the hand for a brief period of time. He believes the sen" "Correct entity, wrong SNOMED ID","(1853, 1861)","(1853, 1861)",left leg,left leg,32153003,213384005,12304719-DS-18,"hen he was attempting to get out of the car, his left leg was both stiff and weak. The patient has had a " "Correct entity, wrong SNOMED ID","(1871, 1876)","(1871, 1876)",stiff,stiff,225609009,249918006,12304719-DS-18,"ting to get out of the car, his left leg was both stiff and weak. The patient has had a number of probl" "Correct entity, wrong SNOMED ID","(1882, 1886)","(1882, 1886)",weak,weak,249945007,13791008,12304719-DS-18," out of the car, his left leg was both stiff and weak. The patient has had a number of problems with l" Missed entity,"(1921, 1929)",,problems,,55607006,,12304719-DS-18,"stiff and weak. The patient has had a number of problems with left leg stiffness in the past; however, th" Wrong span,"(1935, 1939)","(1935, 1944)",left,"left leg",32153003,213384005,12304719-DS-18,"k. The patient has had a number of problems with left leg stiffness in the past; however, this was unl" Wrong span,"(1941, 1954)","(1935, 1944)",leg stiffness,"left leg",225609009,213384005,12304719-DS-18,"e patient has had a number of problems with left leg stiffness in the past; however, this was unlike other epis" "Correct entity, wrong SNOMED ID","(2023, 2031)","(2023, 2031)",left leg,left leg,32153003,213384005,12304719-DS-18,"er, this was unlike other episodes. He felt his left leg was dragging and he was unable to put any weight" Missed entity,"(2036, 2044)",,dragging,,275313006,,12304719-DS-18,"unlike other episodes. He felt his left leg was dragging and he was unable to put any weight on it. He w" Missed entity,"(2056, 2084)",,"unable to put any weight on",,285674009,,12304719-DS-18,"es. He felt his left leg was dragging and he was unable to put any weight on it. He was barely able to take a few steps befo" Missed entity,"(2097, 2128)",,barely able to take a few steps,,719232003,,12304719-DS-18,"d he was unable to put any weight on it. He was barely able to take a few steps before he felt he was going to give out and fall" Missed entity,"(2174, 2178)",,fall,,161898004,,12304719-DS-18,"teps before he felt he was going to give out and fall down. However, someone in the pharmacy caught h" "Correct entity, wrong SNOMED ID","(2301, 2307)","(2301, 2307)",fallen,fallen,161898004,401269004,12304719-DS-18," the floor. The patient felt that he would have fallen due to the lack of power in the left leg. There" Missed entity,"(2320, 2333)",,lack of power,,13740005,,12304719-DS-18,"atient felt that he would have fallen due to the lack of power in the left leg. There was no pain with this ep" "Correct entity, wrong SNOMED ID","(2341, 2349)","(2341, 2349)",left leg,left leg,48979004,213384005,12304719-DS-18,"ould have fallen due to the lack of power in the left leg. There was no pain with this episode. The peop" "Correct entity, wrong SNOMED ID","(2365, 2369)","(2365, 2369)",pain,pain,22253000,102570003,12304719-DS-18,"the lack of power in the left leg. There was no pain with this episode. The people in the pharmacy i" "Correct entity, wrong SNOMED ID","(2726, 2733)","(2726, 2733)",walking,walking,282146009,165245003,12304719-DS-18,"ble to do so. At this point, he believes he was walking normally, although he did feel that his left leg" "Correct entity, wrong SNOMED ID","(2775, 2783)","(2775, 2783)",left leg,left leg,32153003,213384005,12304719-DS-18," walking normally, although he did feel that his left leg was somewhat stiff. However, at this point, the" "Correct entity, wrong SNOMED ID","(2797, 2802)","(2797, 2802)",stiff,stiff,225609009,249918006,12304719-DS-18,"hough he did feel that his left leg was somewhat stiff. However, at this point, the stiffness was not " "Correct entity, wrong SNOMED ID","(2834, 2843)","(2834, 2843)",stiffness,stiffness,271587009,161882006,12304719-DS-18,"was somewhat stiff. However, at this point, the stiffness was not significantly different than his usual l" "Correct entity, wrong SNOMED ID","(2892, 2900)","(2892, 2900)",left leg,left leg,48979004,213384005,12304719-DS-18,"s was not significantly different than his usual left leg stiffness. He spoke with his PCP who recommended" "Correct entity, wrong SNOMED ID","(3123, 3131)","(3123, 3131)",baseline,baseline,128974000,161033005,12304719-DS-18,"e ___ Emergency Room. He believes he is back at baseline, although feels his left leg is slightly stiff c" "Correct entity, wrong SNOMED ID","(3153, 3161)","(3153, 3161)",left leg,left leg,32153003,213384005,12304719-DS-18,"ieves he is back at baseline, although feels his left leg is slightly stiff currently. The patient has ne" "Correct entity, wrong SNOMED ID","(3174, 3179)","(3174, 3179)",stiff,stiff,271587009,249918006,12304719-DS-18,"aseline, although feels his left leg is slightly stiff currently. The patient has never had anything l" "Correct entity, wrong SNOMED ID","(3276, 3284)","(3276, 3284)",problems,problems,55607006,386816005,12304719-DS-18,"g like this happen before. He has never had any problems with carpal tunnel syndrome or tingling or numbn" "Correct entity, wrong SNOMED ID","(3290, 3312)","(3290, 3312)",carpal tunnel syndrome,carpal tunnel syndrome,57406009,12265501000119101,12304719-DS-18,"ppen before. He has never had any problems with carpal tunnel syndrome or tingling or numbness in his hands either left" "Correct entity, wrong SNOMED ID","(3317, 3325)","(3317, 3325)",tingling,tingling,62507009,274676007,12304719-DS-18," had any problems with carpal tunnel syndrome or tingling or numbness in his hands either left or right. T" Wrong span,"(3329, 3337)","(3329, 3350)",numbness,numbness in his hands,44077006,231154009,12304719-DS-18,"blems with carpal tunnel syndrome or tingling or numbness in his hands either left or right. The patient " Wrong span,"(3345, 3350)","(3329, 3350)",hands,numbness in his hands,85562004,231154009,12304719-DS-18,"l tunnel syndrome or tingling or numbness in his hands either left or right. The patient has for many " "Correct entity, wrong SNOMED ID","(3358, 3362)","(3358, 3362)",left,left,85151006,264745005,12304719-DS-18,"rome or tingling or numbness in his hands either left or right. The patient has for many years, altho" "Correct entity, wrong SNOMED ID","(3366, 3371)","(3366, 3371)",right,right,78791008,225794002,12304719-DS-18," tingling or numbness in his hands either left or right. The patient has for many years, although he is" "Correct entity, wrong SNOMED ID","(3471, 3479)","(3471, 3479)",left leg,left leg,32153003,213384005,12304719-DS-18," not clear for how long, had difficulty with his left leg and left leg stiffness. However, he has never e" Wrong span,"(3484, 3488)","(3484, 3492)",left,left leg,32153003,213384005,12304719-DS-18,"r how long, had difficulty with his left leg and left leg stiffness. However, he has never experience" "Correct entity, wrong SNOMED ID","(3552, 3560)","(3552, 3560)",weakness,weakness,26544005,13791008,12304719-DS-18,". However, he has never experienced significant weakness like this in the past. He does report that some" Missed entity,"(3629, 3647)",,difficulty lifting,,288335007,,12304719-DS-18,"past. He does report that sometimes he has some difficulty lifting up his leg and needs to lower his pants down to " Missed entity,"(3655, 3658)",,leg,,61685007,,12304719-DS-18," sometimes he has some difficulty lifting up his leg and needs to lower his pants down to get his leg" Missed entity,"(3705, 3708)",,leg,,61685007,,12304719-DS-18,"leg and needs to lower his pants down to get his leg into it and sometimes when getting out of a car " Missed entity,"(3767, 3770)",,leg,,48979004,,12304719-DS-18,"and sometimes when getting out of a car will aid leg in lifting it out of the car. The patient other" Missed entity,"(3774, 3781)",,lifting,,288333000,,12304719-DS-18,"etimes when getting out of a car will aid leg in lifting it out of the car. The patient otherwise has no" "Correct entity, wrong SNOMED ID","(3841, 3850)","(3841, 3850)",headaches,headaches,25064002,267096005,12304719-DS-18," the car. The patient otherwise has not had any headaches. He has had no other focal numbness or weakness" "Correct entity, wrong SNOMED ID","(3880, 3888)","(3880, 3888)",numbness,numbness,44077006,102601005,12304719-DS-18,"ot had any headaches. He has had no other focal numbness or weakness besides the above-mentioned problems." Missed entity,"(3929, 3937)",,problems,,55607006,,12304719-DS-18," numbness or weakness besides the above-mentioned problems. He had no difficulties with speech. He has ne" Wrong span,"(3969, 3975)","(3951, 3975)",speech,difficulties with speech,106132005,162294008,12304719-DS-18,"mentioned problems. He had no difficulties with speech. He has never experienced any episode like this" "Correct entity, wrong SNOMED ID","(4071, 4079)","(4071, 4079)",weakness,weakness,26544005,13791008,12304719-DS-18,"this before. He has never had episodes of focal weakness in the past before either. On neuro ROS, the p" "Correct entity, wrong SNOMED ID","(4113, 4118)","(4113, 4118)",neuro,neuro,84728005,281247006,12304719-DS-18," focal weakness in the past before either. On neuro ROS, the pt denies headache, loss of vision, blur" "Correct entity, wrong SNOMED ID","(4138, 4146)","(4138, 4146)",headache,headache,25064002,267096005,12304719-DS-18,"ast before either. On neuro ROS, the pt denies headache, loss of vision, blurred vision, diplopia, dysar" "Correct entity, wrong SNOMED ID","(4148, 4162)","(4148, 4162)",loss of vision,loss of vision,313165001,38950008,12304719-DS-18," either. On neuro ROS, the pt denies headache, loss of vision, blurred vision, diplopia, dysarthria, dysphagia" "Correct entity, wrong SNOMED ID","(4164, 4179)","(4164, 4179)","blurred vision","blurred vision",111516008,1119528007,12304719-DS-18,"euro ROS, the pt denies headache, loss of vision, blurred vision, diplopia, dysarthria, dysphagia, lightheadedness" "Correct entity, wrong SNOMED ID","(4181, 4189)","(4181, 4189)",diplopia,diplopia,24982008,246655008,12304719-DS-18,"denies headache, loss of vision, blurred vision, diplopia, dysarthria, dysphagia, lightheadedness, vertigo" "Correct entity, wrong SNOMED ID","(4191, 4201)","(4191, 4201)",dysarthria,dysarthria,8011004,230785002,12304719-DS-18,"dache, loss of vision, blurred vision, diplopia, dysarthria, dysphagia, lightheadedness, vertigo, tinnitus o" "Correct entity, wrong SNOMED ID","(4203, 4212)","(4203, 4212)",dysphagia,dysphagia,40739000,21101000119105,12304719-DS-18,"of vision, blurred vision, diplopia, dysarthria, dysphagia, lightheadedness, vertigo, tinnitus or hearing d" "Correct entity, wrong SNOMED ID","(4214, 4229)","(4214, 4229)",lightheadedness,lightheadedness,386705008,1354698007,12304719-DS-18,"blurred vision, diplopia, dysarthria, dysphagia, lightheadedness, vertigo, tinnitus or hearing difficulty. Denies" "Correct entity, wrong SNOMED ID","(4232, 4239)","(4232, 4239)",vertigo,vertigo,399153001,13445001,12304719-DS-18,"iplopia, dysarthria, dysphagia, lightheadedness, vertigo, tinnitus or hearing difficulty. Denies difficult" "Correct entity, wrong SNOMED ID","(4241, 4249)","(4241, 4249)",tinnitus,tinnitus,60862001,4831000119102,12304719-DS-18,"dysarthria, dysphagia, lightheadedness, vertigo, tinnitus or hearing difficulty. Denies difficulties produ" "Correct entity, wrong SNOMED ID","(4253, 4271)","(4253, 4271)",hearing difficulty,hearing difficulty,162340000,721294001,12304719-DS-18,"dysphagia, lightheadedness, vertigo, tinnitus or hearing difficulty. Denies difficulties producing or comprehending " Wrong span,"(4280, 4327)","(4280, 4303)","difficulties producing or comprehending speech","difficulties producing",716475005,161129001,12304719-DS-18," vertigo, tinnitus or hearing difficulty. Denies difficulties producing or comprehending speech. No bowel or bladder incontinence or retention" "Correct entity, wrong SNOMED ID","(4334, 4339)","(4334, 4339)",bowel,bowel,72042002,30315005,12304719-DS-18,"iculties producing or comprehending speech. No bowel or bladder incontinence or retention. Denies dif" "Correct entity, wrong SNOMED ID","(4343, 4364)","(4343, 4364)","bladder incontinence","bladder incontinence",165232002,22220005,12304719-DS-18," producing or comprehending speech. No bowel or bladder incontinence or retention. Denies difficulty with gait. On " "Correct entity, wrong SNOMED ID","(4368, 4377)","(4368, 4377)",retention,retention,36850000,87241003,12304719-DS-18,"ng speech. No bowel or bladder incontinence or retention. Denies difficulty with gait. On general revie" "Correct entity, wrong SNOMED ID","(4386, 4406)","(4386, 4406)",difficulty with gait,difficulty with gait,22325002,431524008,12304719-DS-18,"wel or bladder incontinence or retention. Denies difficulty with gait. On general review of systems, the pt denies r" Missed entity,"(4414, 4421)",,general,,162673000,,12304719-DS-18," or retention. Denies difficulty with gait. On general review of systems, the pt denies recent fever or " "Correct entity, wrong SNOMED ID","(4462, 4467)","(4462, 4467)",fever,fever,386661006,248430002,12304719-DS-18,"n general review of systems, the pt denies recent fever or chills. No night sweats or recent weight los" "Correct entity, wrong SNOMED ID","(4472, 4478)","(4472, 4478)",chills,chills,43724002,274640006,12304719-DS-18,"review of systems, the pt denies recent fever or chills. No night sweats or recent weight loss or gain. " "Correct entity, wrong SNOMED ID","(4500, 4518)","(4500, 4518)",recent weight loss,recent weight loss,426977000,248349002,12304719-DS-18,"nies recent fever or chills. No night sweats or recent weight loss or gain. Denies cough, shortness of breath. Den" "Correct entity, wrong SNOMED ID","(4522, 4526)","(4522, 4526)",gain,gain,427572007,262286000,12304719-DS-18,"chills. No night sweats or recent weight loss or gain. Denies cough, shortness of breath. Denies ches" Wrong span,"(4528, 4541)","(4536, 4541)","Denies cough",cough,289115009,28743005,12304719-DS-18,". No night sweats or recent weight loss or gain. Denies cough, shortness of breath. Denies chest pain or tight" "Correct entity, wrong SNOMED ID","(4543, 4562)","(4543, 4562)",shortness of breath,shortness of breath,267036007,135833008,12304719-DS-18,"ats or recent weight loss or gain. Denies cough, shortness of breath. Denies chest pain or tightness, palpitations. " "Correct entity, wrong SNOMED ID","(4572, 4582)","(4572, 4582)",chest pain,chest pain,29857009,102589003,12304719-DS-18,"gain. Denies cough, shortness of breath. Denies chest pain or tightness, palpitations. Denies nausea, vomi" "Correct entity, wrong SNOMED ID","(4598, 4610)","(4598, 4610)",palpitations,palpitations,80313002,161966006,12304719-DS-18,"ness of breath. Denies chest pain or tightness, palpitations. Denies nausea, vomiting, diarrhea, constipation" "Correct entity, wrong SNOMED ID","(4648, 4660)","(4648, 4660)",constipation,constipation,14760008,236069009,12304719-DS-18,"palpitations. Denies nausea, vomiting, diarrhea, constipation or abdominal pain. No recent change in bowel or" "Correct entity, wrong SNOMED ID","(4665, 4679)","(4665, 4679)",abdominal pain,abdominal pain,21522001,54586004,12304719-DS-18,"nies nausea, vomiting, diarrhea, constipation or abdominal pain. No recent change in bowel or bladder habits. " "Correct entity, wrong SNOMED ID","(4711, 4725)","(4711, 4725)",bladder habits,bladder habits,47252008,444702007,12304719-DS-18," or abdominal pain. No recent change in bowel or bladder habits. No dysuria. Denies arthralgias or myalgias. D" "Correct entity, wrong SNOMED ID","(4732, 4739)","(4732, 4739)",dysuria,dysuria,49650001,16844001,12304719-DS-18,"No recent change in bowel or bladder habits. No dysuria. Denies arthralgias or myalgias. Denies rash. " "Correct entity, wrong SNOMED ID","(4749, 4760)","(4749, 4760)",arthralgias,arthralgias,57676002,277138006,12304719-DS-18,"in bowel or bladder habits. No dysuria. Denies arthralgias or myalgias. Denies rash. Past Medical History:" "Correct entity, wrong SNOMED ID","(4764, 4772)","(4764, 4772)",myalgias,myalgias,68962001,1141862008,12304719-DS-18,"dder habits. No dysuria. Denies arthralgias or myalgias. Denies rash. Past Medical History: - HTN - hyp" "Correct entity, wrong SNOMED ID","(4781, 4785)","(4781, 4785)",rash,rash,271807003,247472004,12304719-DS-18," dysuria. Denies arthralgias or myalgias. Denies rash. Past Medical History: - HTN - hypopituitarism " "Correct entity, wrong SNOMED ID","(4813, 4816)","(4813, 4816)",HTN,HTN,38341003,10725009,12304719-DS-18," myalgias. Denies rash. Past Medical History: - HTN - hypopituitarism s/p adenoma and radiation in __" "Correct entity, wrong SNOMED ID","(4819, 4834)","(4819, 4834)",hypopituitarism,hypopituitarism,74728003,442001,12304719-DS-18,"ias. Denies rash. Past Medical History: - HTN - hypopituitarism s/p adenoma and radiation in ___ - BPH - glaucoma" "Correct entity, wrong SNOMED ID","(4839, 4846)","(4839, 4846)",adenoma,adenoma,1187375007,1156419009,12304719-DS-18,"Past Medical History: - HTN - hypopituitarism s/p adenoma and radiation in ___ - BPH - glaucoma - hemorrhoi" "Correct entity, wrong SNOMED ID","(4851, 4860)","(4851, 4860)",radiation,radiation,108290001,279230002,12304719-DS-18," History: - HTN - hypopituitarism s/p adenoma and radiation in ___ - BPH - glaucoma - hemorrhoids - depressio" "Correct entity, wrong SNOMED ID","(4876, 4884)","(4876, 4884)",glaucoma,glaucoma,23986001,111514006,12304719-DS-18,"uitarism s/p adenoma and radiation in ___ - BPH - glaucoma - hemorrhoids - depression/anxiety Social Histo" "Correct entity, wrong SNOMED ID","(4887, 4898)","(4887, 4898)",hemorrhoids,hemorrhoids,70153002,46276006,12304719-DS-18,"p adenoma and radiation in ___ - BPH - glaucoma - hemorrhoids - depression/anxiety Social History: ___ Family" "Correct entity, wrong SNOMED ID","(4901, 4911)","(4901, 4911)",depression,depression,35489007,26141007,12304719-DS-18,"radiation in ___ - BPH - glaucoma - hemorrhoids - depression/anxiety Social History: ___ Family History: Fat" "Correct entity, wrong SNOMED ID","(4912, 4919)","(4912, 4919)",anxiety,anxiety,48694002,286644009,12304719-DS-18,"n ___ - BPH - glaucoma - hemorrhoids - depression/anxiety Social History: ___ Family History: Father with" "Correct entity, wrong SNOMED ID","(4970, 4981)","(4970, 4981)",prostate CA,prostate CA,254900004,1259388006,12304719-DS-18," Social History: ___ Family History: Father with prostate CA and a stroke later in life. Some HTN in his fami" "Correct entity, wrong SNOMED ID","(4988, 4994)","(4988, 4994)",stroke,stroke,230690007,422504002,12304719-DS-18,"___ Family History: Father with prostate CA and a stroke later in life. Some HTN in his family as well. " "Correct entity, wrong SNOMED ID","(5015, 5018)","(5015, 5018)",HTN,HTN,38341003,10725009,12304719-DS-18,"with prostate CA and a stroke later in life. Some HTN in his family as well. Physical Exam: Vitals: " "Correct entity, wrong SNOMED ID","(5060, 5066)","(5060, 5066)",Vitals,Vitals,118227000,260390007,12304719-DS-18,"Some HTN in his family as well. Physical Exam: Vitals: T: 97.8 P:52 R: 16 BP:235/69 -> 185/70 SaO2:9" Missed entity,"(5068, 5069)",,T,,105723007,,12304719-DS-18," in his family as well. Physical Exam: Vitals: T: 97.8 P:52 R: 16 BP:235/69 -> 185/70 SaO2:99 " Missed entity,"(5076, 5077)",,P,,301147003,,12304719-DS-18," family as well. Physical Exam: Vitals: T: 97.8 P:52 R: 16 BP:235/69 -> 185/70 SaO2:99 General:" Missed entity,"(5082, 5083)",,R,,301283003,,12304719-DS-18,"y as well. Physical Exam: Vitals: T: 97.8 P:52 R: 16 BP:235/69 -> 185/70 SaO2:99 General: Awake" "Correct entity, wrong SNOMED ID","(5089, 5091)","(5089, 5091)",BP,BP,392570002,38341003,12304719-DS-18,"ll. Physical Exam: Vitals: T: 97.8 P:52 R: 16 BP:235/69 -> 185/70 SaO2:99 General: Awake, cooper" "Correct entity, wrong SNOMED ID","(5110, 5114)","(5110, 5114)",SaO2,SaO2,447755005,449171008,12304719-DS-18,"Vitals: T: 97.8 P:52 R: 16 BP:235/69 -> 185/70 SaO2:99 General: Awake, cooperative, NAD. HEENT: NC/" "Correct entity, wrong SNOMED ID","(5119, 5126)","(5119, 5126)",General,General,162673000,252398009,12304719-DS-18,": 97.8 P:52 R: 16 BP:235/69 -> 185/70 SaO2:99 General: Awake, cooperative, NAD. HEENT: NC/AT, no scler" "Correct entity, wrong SNOMED ID","(5135, 5146)","(5135, 5146)",cooperative,cooperative,427867005,472391000124101,12304719-DS-18,"16 BP:235/69 -> 185/70 SaO2:99 General: Awake, cooperative, NAD. HEENT: NC/AT, no scleral icterus noted, MM" "Correct entity, wrong SNOMED ID","(5148, 5151)","(5148, 5151)",NAD,NAD,281900007,131143000,12304719-DS-18," -> 185/70 SaO2:99 General: Awake, cooperative, NAD. HEENT: NC/AT, no scleral icterus noted, MMM, no" "Correct entity, wrong SNOMED ID","(5154, 5159)","(5154, 5159)",HEENT,HEENT,5880005,113665002,12304719-DS-18,"5/70 SaO2:99 General: Awake, cooperative, NAD. HEENT: NC/AT, no scleral icterus noted, MMM, no lesions" Missed entity,"(5161, 5163)",,NC,,840673007,,12304719-DS-18,"aO2:99 General: Awake, cooperative, NAD. HEENT: NC/AT, no scleral icterus noted, MMM, no lesions not" "Correct entity, wrong SNOMED ID","(5194, 5197)","(5194, 5197)",MMM,MMM,276398005,258673006,12304719-DS-18,"ve, NAD. HEENT: NC/AT, no scleral icterus noted, MMM, no lesions noted in oropharynx Neck: Supple, no" "Correct entity, wrong SNOMED ID","(5202, 5209)","(5202, 5209)",lesions,lesions,52988006,246206008,12304719-DS-18," HEENT: NC/AT, no scleral icterus noted, MMM, no lesions noted in oropharynx Neck: Supple, no carotid bru" "Correct entity, wrong SNOMED ID","(5219, 5229)","(5219, 5229)",oropharynx,oropharynx,31389004,263376008,12304719-DS-18,"o scleral icterus noted, MMM, no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No " "Correct entity, wrong SNOMED ID","(5231, 5235)","(5231, 5235)",Neck,Neck,5880005,840674001,12304719-DS-18,"terus noted, MMM, no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No nuchal" "Correct entity, wrong SNOMED ID","(5237, 5243)","(5237, 5243)",Supple,Supple,298475003,116121000,12304719-DS-18,"noted, MMM, no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No nuchal rigidit" "Correct entity, wrong SNOMED ID","(5248, 5262)","(5248, 5262)",carotid bruits,carotid bruits,419642000,10857000,12304719-DS-18," no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No nuchal rigidity, limited horizont" Missed entity,"(5327, 5331)",,neck,,5880005,,12304719-DS-18,"o nuchal rigidity, limited horizontal rotation of neck Pulmonary: Lungs CTA bilaterally without R/R/W " Wrong span,"(5333, 5337)","(5333, 5342)",Pulm,Pulmonary,268925001,419170002,12304719-DS-18,"al rigidity, limited horizontal rotation of neck Pulmonary: Lungs CTA bilaterally without R/R/W Cardia" "Correct entity, wrong SNOMED ID","(5344, 5349)","(5344, 5349)",Lungs,Lungs,268925001,74101002,12304719-DS-18,", limited horizontal rotation of neck Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. " Wrong span,"(5350, 5353)","(5350, 5363)",CTA,CTA bilateral,48348007,1155688007,12304719-DS-18,"ted horizontal rotation of neck Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2" Wrong span,"(5366, 5379)","(5374, 5379)",without R/R/W,R/R/W,281900007,420274006,12304719-DS-18,"otation of neck Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen:" "Correct entity, wrong SNOMED ID","(5381, 5388)","(5381, 5388)",Cardiac,Cardiac,363003006,71892000,12304719-DS-18," Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT" "Correct entity, wrong SNOMED ID","(5390, 5393)","(5390, 5393)",RRR,RRR,76863003,129960002,12304719-DS-18,"ry: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, " Missed entity,"(5401, 5403)",,S2,,111974005,,12304719-DS-18,"TA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactiv" "Correct entity, wrong SNOMED ID","(5405, 5413)","(5405, 5413)",no M/R/G,no M/R/G,301132007,315221003,12304719-DS-18,"ilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel so" "Correct entity, wrong SNOMED ID","(5421, 5428)","(5421, 5428)",Abdomen,Abdomen,225162003,41931001,12304719-DS-18,"ut R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sounds Extremitie" "Correct entity, wrong SNOMED ID","(5436, 5438)","(5436, 5438)",NT,NT,43478001,257992007,12304719-DS-18,"ac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sounds Extremities: No C/C/" "Correct entity, wrong SNOMED ID","(5439, 5441)","(5439, 5441)",ND,ND,60728008,165815009,12304719-DS-18," RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sounds Extremities: No C/C/E b" "Correct entity, wrong SNOMED ID","(5443, 5467)","(5443, 5467)",normoactive bowel sounds,normoactive bowel sounds,61539000,15280003,12304719-DS-18,", nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP " "Correct entity, wrong SNOMED ID","(5468, 5479)","(5468, 5479)",Extremities,Extremities,302773001,248416007,12304719-DS-18,"d Abdomen: soft, NT/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilat" Missed entity,"(5484, 5485)",,C,,3415004,,12304719-DS-18,", NT/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally" Missed entity,"(5486, 5487)",,C,,30760008,,12304719-DS-18,"NT/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. " "Correct entity, wrong SNOMED ID","(5488, 5489)","(5488, 5489)",E,E,267038008,257985002,12304719-DS-18,"/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. S" Wrong span,"(5503, 5512)","(5503, 5505)",2+ radial,2+,301155005,260347006,12304719-DS-18,"e bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. Skin: no rashes or lesio" "Correct entity, wrong SNOMED ID","(5514, 5523)","(5514, 5523)",DP pulses,DP pulses,301160009,429784004,12304719-DS-18,"nds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. Skin: no rashes or lesions noted. " "Correct entity, wrong SNOMED ID","(5538, 5542)","(5538, 5542)",Skin,Skin,271303006,444884003,12304719-DS-18,"E bilaterally, 2+ radial, DP pulses bilaterally. Skin: no rashes or lesions noted. Neurologic: -Men" "Correct entity, wrong SNOMED ID","(5547, 5553)","(5547, 5553)",rashes,rashes,271807003,247472004,12304719-DS-18,"ally, 2+ radial, DP pulses bilaterally. Skin: no rashes or lesions noted. Neurologic: -Mental Status:" "Correct entity, wrong SNOMED ID","(5557, 5564)","(5557, 5564)",lesions,lesions,52988006,246206008,12304719-DS-18,"adial, DP pulses bilaterally. Skin: no rashes or lesions noted. Neurologic: -Mental Status: Alert, ori" "Correct entity, wrong SNOMED ID","(5575, 5585)","(5575, 5585)",Neurologic,Neurologic,84728005,386427000,12304719-DS-18,"ilaterally. Skin: no rashes or lesions noted. Neurologic: -Mental Status: Alert, oriented x 3. Able to r" "Correct entity, wrong SNOMED ID","(5589, 5602)","(5589, 5602)",Mental Status,Mental Status,392257007,419284004,12304719-DS-18,"kin: no rashes or lesions noted. Neurologic: -Mental Status: Alert, oriented x 3. Able to relate history wit" "Correct entity, wrong SNOMED ID","(5604, 5609)","(5604, 5609)",Alert,Alert,248234008,409787004,12304719-DS-18,"or lesions noted. Neurologic: -Mental Status: Alert, oriented x 3. Able to relate history without di" "Correct entity, wrong SNOMED ID","(5611, 5619)","(5611, 5619)",oriented,oriented,247663003,311552005,12304719-DS-18,"ons noted. Neurologic: -Mental Status: Alert, oriented x 3. Able to relate history without difficulty. " "Correct entity, wrong SNOMED ID","(5670, 5679)","(5670, 5679)",Attentive,Attentive,247769007,246621005,12304719-DS-18,"x 3. Able to relate history without difficulty. Attentive, able to name ___ backward without difficulty. " "Correct entity, wrong SNOMED ID","(5741, 5747)","(5741, 5747)",fluent,fluent,286402008,39423001,12304719-DS-18,"me ___ backward without difficulty. Language is fluent with intact repetition and comprehension. Normal" Wrong span,"(5753, 5759)","(5753, 5770)",intact,intact repetition,281900007,709134004,12304719-DS-18,"ard without difficulty. Language is fluent with intact repetition and comprehension. Normal prosody. T" Wrong span,"(5760, 5770)","(5753, 5770)",repetition,intact repetition,25107009,709134004,12304719-DS-18,"thout difficulty. Language is fluent with intact repetition and comprehension. Normal prosody. There were n" "Correct entity, wrong SNOMED ID","(5775, 5788)","(5775, 5788)",comprehension,comprehension,719750006,46977006,12304719-DS-18,"y. Language is fluent with intact repetition and comprehension. Normal prosody. There were no paraphasic erro" Missed entity,"(5798, 5805)",,prosody,,838499005,,12304719-DS-18,"with intact repetition and comprehension. Normal prosody. There were no paraphasic errors. Pt. was able " "Correct entity, wrong SNOMED ID","(5822, 5832)","(5822, 5832)",paraphasic,paraphasic,53096005,23869008,12304719-DS-18,"nd comprehension. Normal prosody. There were no paraphasic errors. Pt. was able to name both high and low f" Missed entity,"(5850, 5898)",,able to name both high and low frequency objects,,285156004,,12304719-DS-18,"osody. There were no paraphasic errors. Pt. was able to name both high and low frequency objects. Able to read without difficulty. Speech was no" Missed entity,"(5901, 5913)",,"Able to read",,309251006,,12304719-DS-18,"ble to name both high and low frequency objects. Able to read without difficulty. Speech was not dysarthric. A" "Correct entity, wrong SNOMED ID","(5935, 5941)","(5935, 5941)",Speech,Speech,106132005,311656001,12304719-DS-18,"uency objects. Able to read without difficulty. Speech was not dysarthric. Able to follow both midline a" "Correct entity, wrong SNOMED ID","(5950, 5960)","(5950, 5960)",dysarthric,dysarthric,8011004,427926004,12304719-DS-18," Able to read without difficulty. Speech was not dysarthric. Able to follow both midline and appendicular com" "Correct entity, wrong SNOMED ID","(6140, 6151)","(6140, 6151)",no evidence,no evidence,281900007,41647002,12304719-DS-18,"had good knowledge of current events. There was no evidence of apraxia or neglect. -Cranial Nerves: I: Ol" "Correct entity, wrong SNOMED ID","(6155, 6162)","(6155, 6162)",apraxia,apraxia,68345001,11443001,12304719-DS-18,"edge of current events. There was no evidence of apraxia or neglect. -Cranial Nerves: I: Olfaction not" "Correct entity, wrong SNOMED ID","(6167, 6174)","(6167, 6174)",neglect,neglect,246563002,32422007,12304719-DS-18,"ent events. There was no evidence of apraxia or neglect. -Cranial Nerves: I: Olfaction not tested. I" Wrong span,"(6179, 6193)","(6179, 6180)",Cranial Nerves,C,25238003,257984003,12304719-DS-18," There was no evidence of apraxia or neglect. -Cranial Nerves: I: Olfaction not tested. II: PERRL 3 to 2mm a" "Correct entity, wrong SNOMED ID","(6196, 6197)","(6196, 6197)",I,I,11522000,257989008,12304719-DS-18,"dence of apraxia or neglect. -Cranial Nerves: I: Olfaction not tested. II: PERRL 3 to 2mm and b" "Correct entity, wrong SNOMED ID","(6199, 6208)","(6199, 6208)",Olfaction,Olfaction,47166007,247720005,12304719-DS-18,"ce of apraxia or neglect. -Cranial Nerves: I: Olfaction not tested. II: PERRL 3 to 2mm and brisk. VFF " "Correct entity, wrong SNOMED ID","(6223, 6225)","(6223, 6225)",II,II,18234004,257989008,12304719-DS-18,"t. -Cranial Nerves: I: Olfaction not tested. II: PERRL 3 to 2mm and brisk. VFF to confrontation." "Correct entity, wrong SNOMED ID","(6227, 6232)","(6227, 6232)",PERRL,PERRL,386666001,431291005,12304719-DS-18," -Cranial Nerves: I: Olfaction not tested. II: PERRL 3 to 2mm and brisk. VFF to confrontation. III," Wrong span,"(6254, 6274)","(6254, 6255)",VFF to confrontation,V,830129007,258000009,12304719-DS-18,"tion not tested. II: PERRL 3 to 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal s" "Correct entity, wrong SNOMED ID","(6278, 6281)","(6278, 6281)",III,III,56193007,1003684003,12304719-DS-18,"ERRL 3 to 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades" "Correct entity, wrong SNOMED ID","(6283, 6285)","(6283, 6285)",IV,IV,39322007,258000009,12304719-DS-18,"3 to 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V" "Correct entity, wrong SNOMED ID","(6287, 6289)","(6287, 6289)",VI,VI,80622005,258000009,12304719-DS-18," 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: Fa" "Correct entity, wrong SNOMED ID","(6291, 6295)","(6291, 6295)",EOMI,EOMI,103251002,67099000,12304719-DS-18," and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: Facial s" "Correct entity, wrong SNOMED ID","(6304, 6313)","(6304, 6313)",nystagmus,nystagmus,563001,285764004,12304719-DS-18,"VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: Facial sensation intact to" Missed entity,"(6316, 6331)",,Normal saccades,,103251002,,12304719-DS-18,"ontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: Facial sensation intact to light touch. VII" "Correct entity, wrong SNOMED ID","(6334, 6335)","(6334, 6335)",V,V,27612005,258000009,12304719-DS-18,"V, VI: EOMI without nystagmus. Normal saccades. V: Facial sensation intact to light touch. VII: No" Wrong span,"(6337, 6343)","(6337, 6375)",Facial,Facial sensation intact to light touch,89545001,422015002,12304719-DS-18,"VI: EOMI without nystagmus. Normal saccades. V: Facial sensation intact to light touch. VII: No facial " Wrong span,"(6344, 6375)","(6337, 6375)",sensation intact to light touch,Facial sensation intact to light touch,299911004,422015002,12304719-DS-18,"I without nystagmus. Normal saccades. V: Facial sensation intact to light touch. VII: No facial droop, facial musculature symmet" "Correct entity, wrong SNOMED ID","(6378, 6381)","(6378, 6381)",VII,VII,56052001,235908005,12304719-DS-18,"des. V: Facial sensation intact to light touch. VII: No facial droop, facial musculature symmetric. " "Correct entity, wrong SNOMED ID","(6386, 6398)","(6386, 6398)",facial droop,facial droop,95666008,248204003,12304719-DS-18," Facial sensation intact to light touch. VII: No facial droop, facial musculature symmetric. VIII: Hearing int" "Correct entity, wrong SNOMED ID","(6400, 6428)","(6400, 6428)",facial musculature symmetric,facial musculature symmetric,248172007,734532009,12304719-DS-18,"ion intact to light touch. VII: No facial droop, facial musculature symmetric. VIII: Hearing intact to finger-rub bilaterally." "Correct entity, wrong SNOMED ID","(6431, 6435)","(6431, 6435)",VIII,VIII,8598002,235908005,12304719-DS-18,": No facial droop, facial musculature symmetric. VIII: Hearing intact to finger-rub bilaterally. IX, " "Correct entity, wrong SNOMED ID","(6437, 6451)","(6437, 6451)",Hearing intact,Hearing intact,162339002,1367857008,12304719-DS-18,"acial droop, facial musculature symmetric. VIII: Hearing intact to finger-rub bilaterally. IX, X: Palate elevat" Wrong span,"(6455, 6461)","(6455, 6465)",finger,finger-rub,7569003,78393008,12304719-DS-18,"l musculature symmetric. VIII: Hearing intact to finger-rub bilaterally. IX, X: Palate elevates symmetr" "Correct entity, wrong SNOMED ID","(6481, 6483)","(6481, 6483)",IX,IX,21161002,421806008,12304719-DS-18,"VIII: Hearing intact to finger-rub bilaterally. IX, X: Palate elevates symmetrically. XI: ___ stre" "Correct entity, wrong SNOMED ID","(6485, 6486)","(6485, 6486)",X,X,88882009,421806008,12304719-DS-18,": Hearing intact to finger-rub bilaterally. IX, X: Palate elevates symmetrically. XI: ___ strengt" "Correct entity, wrong SNOMED ID","(6488, 6503)","(6488, 6503)",Palate elevates,Palate elevates,285550001,285552009,12304719-DS-18,"earing intact to finger-rub bilaterally. IX, X: Palate elevates symmetrically. XI: ___ strength in trapezii and" Missed entity,"(6521, 6523)",,XI,,15119000,,12304719-DS-18,"erally. IX, X: Palate elevates symmetrically. XI: ___ strength in trapezii and SCM bilaterally. X" Missed entity,"(6541, 6549)",,trapezii,,31764008,,12304719-DS-18,"ate elevates symmetrically. XI: ___ strength in trapezii and SCM bilaterally. XII: Tongue protrudes in mi" "Correct entity, wrong SNOMED ID","(6554, 6557)","(6554, 6557)",SCM,SCM,22823000,258672001,12304719-DS-18,"symmetrically. XI: ___ strength in trapezii and SCM bilaterally. XII: Tongue protrudes in midline. " "Correct entity, wrong SNOMED ID","(6572, 6575)","(6572, 6575)",XII,XII,37899009,738500000,12304719-DS-18,"I: ___ strength in trapezii and SCM bilaterally. XII: Tongue protrudes in midline. -Motor: Normal bu" Wrong span,"(6577, 6604)","(6577, 6593)",Tongue protrudes in midline,Tongue protrudes,285507006,285505003,12304719-DS-18,"_ strength in trapezii and SCM bilaterally. XII: Tongue protrudes in midline. -Motor: Normal bulk, slightly increased tone i" "Correct entity, wrong SNOMED ID","(6609, 6614)","(6609, 6614)",Motor,Motor,34118006,312018000,12304719-DS-18,"ilaterally. XII: Tongue protrudes in midline. -Motor: Normal bulk, slightly increased tone in left leg" Missed entity,"(6638, 6652)",,increased tone,,56731001,,12304719-DS-18,"rudes in midline. -Motor: Normal bulk, slightly increased tone in left leg/arm, Slight curling of left arm on pr" "Correct entity, wrong SNOMED ID","(6656, 6664)","(6656, 6664)",left leg,left leg,32153003,213384005,12304719-DS-18," -Motor: Normal bulk, slightly increased tone in left leg/arm, Slight curling of left arm on pronator No ad" "Correct entity, wrong SNOMED ID","(6688, 6696)","(6688, 6696)",left arm,left arm,368208006,72098002,12304719-DS-18,"increased tone in left leg/arm, Slight curling of left arm on pronator No adventitious movements, such as t" Missed entity,"(6712, 6735)",,"adventitious movements",,267078001,,12304719-DS-18,"eg/arm, Slight curling of left arm on pronator No adventitious movements, such as tremor, noted. No asterixis noted. De" "Correct entity, wrong SNOMED ID","(6745, 6751)","(6745, 6751)",tremor,tremor,26079004,30721006,12304719-DS-18,"m on pronator No adventitious movements, such as tremor, noted. No asterixis noted. Delt Bic Tri WrE F" "Correct entity, wrong SNOMED ID","(6763, 6772)","(6763, 6772)",asterixis,asterixis,32838008,25963006,12304719-DS-18,"dventitious movements, such as tremor, noted. No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham " "Correct entity, wrong SNOMED ID","(6783, 6787)","(6783, 6787)",Delt,Delt,35259002,103587005,12304719-DS-18,"ts, such as tremor, noted. No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 " Wrong span,"(6788, 6791)","(6788, 6795)",Bic,Bic Tri,16225001,86945009,12304719-DS-18,"uch as tremor, noted. No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___" Wrong span,"(6792, 6795)","(6788, 6795)",Tri,Bic Tri,40284004,86945009,12304719-DS-18,"as tremor, noted. No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ _" "Correct entity, wrong SNOMED ID","(6796, 6799)","(6796, 6799)",WrE,WrE,303741000,13102004,12304719-DS-18,"remor, noted. No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ ___ " "Correct entity, wrong SNOMED ID","(6800, 6803)","(6800, 6803)",FFl,FFl,303785003,282118007,12304719-DS-18,"r, noted. No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ ___ 4+ " "Correct entity, wrong SNOMED ID","(6804, 6806)","(6804, 6806)",FE,FE,423512000,183165005,12304719-DS-18,"oted. No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ ___ 4+ 5 " "Correct entity, wrong SNOMED ID","(6807, 6809)","(6807, 6809)",IO,IO,118497009,69402001,12304719-DS-18,"d. No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ ___ 4+ 5 5" "Correct entity, wrong SNOMED ID","(6810, 6812)","(6810, 6812)",IP,IP,68455001,44026004,12304719-DS-18,"No asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ ___ 4+ 5 5- 4" Wrong span,"(6813, 6817)","(6813, 6821)",Quad,Quad Ham,21989003,226933009,12304719-DS-18,"asterixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ ___ 4+ 5 5- 4+ " Wrong span,"(6818, 6821)","(6813, 6821)",Ham,Quad Ham,128511007,226933009,12304719-DS-18,"ixis noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ ___ 4+ 5 5- 4+ 5 " "Correct entity, wrong SNOMED ID","(6822, 6824)","(6822, 6824)",TA,TA,73508007,424926009,12304719-DS-18," noted. Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ L 5 ___ ___ 4+ 5 5- 4+ 5 5" Missed entity,"(6931, 6933)",,RA,,722742002,,12304719-DS-18,"R 5 ___ ___ 5 5 5 5 5 5 5 RAM a little slower on left, but he is left handed. " "Correct entity, wrong SNOMED ID","(6970, 6981)","(6970, 6981)",left handed,left handed,87683000,299724006,12304719-DS-18," 5 5 RAM a little slower on left, but he is left handed. -Sensory: No deficits to light touch, pinprick" "Correct entity, wrong SNOMED ID","(6986, 6993)","(6986, 6993)",Sensory,Sensory,80314008,717241000,12304719-DS-18," little slower on left, but he is left handed. -Sensory: No deficits to light touch, pinprick, cold sensa" "Correct entity, wrong SNOMED ID","(7010, 7021)","(7010, 7021)",light touch,light touch,299911004,299910003,12304719-DS-18,"but he is left handed. -Sensory: No deficits to light touch, pinprick, cold sensation, vibratory sense, propr" "Correct entity, wrong SNOMED ID","(7023, 7031)","(7023, 7031)",pinprick,pinprick,299925003,397701006,12304719-DS-18,"t handed. -Sensory: No deficits to light touch, pinprick, cold sensation, vibratory sense, proprioception " "Correct entity, wrong SNOMED ID","(7033, 7047)","(7033, 7047)",cold sensation,cold sensation,724233009,277749006,12304719-DS-18," -Sensory: No deficits to light touch, pinprick, cold sensation, vibratory sense, proprioception throughout. No e" "Correct entity, wrong SNOMED ID","(7049, 7064)","(7049, 7064)",vibratory sense,vibratory sense,299932007,130980003,12304719-DS-18,"eficits to light touch, pinprick, cold sensation, vibratory sense, proprioception throughout. No extinction to DSS" "Correct entity, wrong SNOMED ID","(7066, 7080)","(7066, 7080)",proprioception,proprioception,299943004,299936005,12304719-DS-18,"touch, pinprick, cold sensation, vibratory sense, proprioception throughout. No extinction to DSS. -DTRs: B" "Correct entity, wrong SNOMED ID","(7129, 7131)","(7129, 7131)",Bi,Bi,366443004,257983009,12304719-DS-18,"n throughout. No extinction to DSS. -DTRs: Bi Tri ___ Pat Ach L 3 3 3 3 2 R 2 2 " Missed entity,"(7132, 7135)",,Tri,,366432007,,12304719-DS-18,"hroughout. No extinction to DSS. -DTRs: Bi Tri ___ Pat Ach L 3 3 3 3 2 R 2 2 2 " Missed entity,"(7140, 7143)",,Pat,,366536008,,12304719-DS-18,"t. No extinction to DSS. -DTRs: Bi Tri ___ Pat Ach L 3 3 3 3 2 R 2 2 2 2 1" Boundary error,"(7144, 7147)","(7144, 7145)",Ach,A,366547001,420512001,12304719-DS-18,"o extinction to DSS. -DTRs: Bi Tri ___ Pat Ach L 3 3 3 3 2 R 2 2 2 2 1 Pl" Wrong span,"(7195, 7234)","(7195, 7222)",Plantar response was flexor bilaterally,Plantar response was flexor,271717004,271717004,12304719-DS-18,"ch L 3 3 3 3 2 R 2 2 2 2 1 Plantar response was flexor bilaterally. -Coordination: No intention tremor, no dysdia" "Correct entity, wrong SNOMED ID","(7278, 7296)","(7278, 7296)",dysdiadochokinesia,dysdiadochokinesia,23133003,609218006,12304719-DS-18,"erally. -Coordination: No intention tremor, no dysdiadochokinesia noted. No dysmetria on FNF or HKS bilaterally. " "Correct entity, wrong SNOMED ID","(7307, 7316)","(7307, 7316)",dysmetria,dysmetria,32566006,28581003,12304719-DS-18,"intention tremor, no dysdiadochokinesia noted. No dysmetria on FNF or HKS bilaterally. -Gait: Good initiat" "Correct entity, wrong SNOMED ID","(7320, 7323)","(7320, 7323)",FNF,FNF,73060005,116666005,12304719-DS-18,"mor, no dysdiadochokinesia noted. No dysmetria on FNF or HKS bilaterally. -Gait: Good initiation. Na" "Correct entity, wrong SNOMED ID","(7327, 7330)","(7327, 7330)",HKS,HKS,53219007,124306003,12304719-DS-18," dysdiadochokinesia noted. No dysmetria on FNF or HKS bilaterally. -Gait: Good initiation. Narrow-ba" "Correct entity, wrong SNOMED ID","(7348, 7352)","(7348, 7352)",Gait,Gait,274787008,22325002,12304719-DS-18,"oted. No dysmetria on FNF or HKS bilaterally. -Gait: Good initiation. Narrow-based, normal stride and" Missed entity,"(7354, 7369)",,Good initiation,,773567007,,12304719-DS-18,"No dysmetria on FNF or HKS bilaterally. -Gait: Good initiation. Narrow-based, normal stride and arm swing. Able" "Correct entity, wrong SNOMED ID","(7371, 7383)","(7371, 7383)",Narrow-based,Narrow-based,404937000,250144008,12304719-DS-18,"NF or HKS bilaterally. -Gait: Good initiation. Narrow-based, normal stride and arm swing. Able to walk in ta" Wrong span,"(7403, 7406)","(7403, 7412)",arm,"arm swing",53120007,284143002,12304719-DS-18," Good initiation. Narrow-based, normal stride and arm swing. Able to walk in tandem without difficulty" Missed entity,"(7415, 7437)",,Able to walk in tandem,,401210006,,12304719-DS-18,"tion. Narrow-based, normal stride and arm swing. Able to walk in tandem without difficulty. Romberg absent. Pertinent R" "Correct entity, wrong SNOMED ID","(7458, 7465)","(7458, 7465)",Romberg,Romberg,373676004,715487005,12304719-DS-18,"wing. Able to walk in tandem without difficulty. Romberg absent. Pertinent Results: ___ 07:50AM BLOOD WB" "Correct entity, wrong SNOMED ID","(7513, 7516)","(7513, 7516)",WBC,WBC,767002,391558003,12304719-DS-18,"rg absent. Pertinent Results: ___ 07:50AM BLOOD WBC-11.3* RBC-4.35* Hgb-13.8* Hct-39.5* MCV-91 MCH-3" "Correct entity, wrong SNOMED ID","(7523, 7526)","(7523, 7526)",RBC,RBC,14089001,258759006,12304719-DS-18," Pertinent Results: ___ 07:50AM BLOOD WBC-11.3* RBC-4.35* Hgb-13.8* Hct-39.5* MCV-91 MCH-31.7 MCHC-3" "Correct entity, wrong SNOMED ID","(7533, 7536)","(7533, 7536)",Hgb,Hgb,441689006,104142005,12304719-DS-18,"nt Results: ___ 07:50AM BLOOD WBC-11.3* RBC-4.35* Hgb-13.8* Hct-39.5* MCV-91 MCH-31.7 MCHC-35.0 RDW-14" "Correct entity, wrong SNOMED ID","(7543, 7546)","(7543, 7546)",Hct,Hct,28317006,282660005,12304719-DS-18,": ___ 07:50AM BLOOD WBC-11.3* RBC-4.35* Hgb-13.8* Hct-39.5* MCV-91 MCH-31.7 MCHC-35.0 RDW-14.5 Plt ___" "Correct entity, wrong SNOMED ID","(7570, 7574)","(7570, 7574)",MCHC,MCHC,37254006,735147002,12304719-DS-18,"3* RBC-4.35* Hgb-13.8* Hct-39.5* MCV-91 MCH-31.7 MCHC-35.0 RDW-14.5 Plt ___ ___ 01:00PM BLOOD Neuts-73." "Correct entity, wrong SNOMED ID","(7615, 7620)","(7615, 7620)",Neuts,Neuts,30630007,271035003,12304719-DS-18,"31.7 MCHC-35.0 RDW-14.5 Plt ___ ___ 01:00PM BLOOD Neuts-73.9* Lymphs-17.9* Monos-4.6 Eos-2.9 Baso-0.6 __" "Correct entity, wrong SNOMED ID","(7627, 7633)","(7627, 7633)",Lymphs,Lymphs,74765001,79709007,12304719-DS-18,".0 RDW-14.5 Plt ___ ___ 01:00PM BLOOD Neuts-73.9* Lymphs-17.9* Monos-4.6 Eos-2.9 Baso-0.6 ___ 07:45AM BLO" "Correct entity, wrong SNOMED ID","(7640, 7645)","(7640, 7645)",Monos,Monos,67776007,462791000124108,12304719-DS-18,"lt ___ ___ 01:00PM BLOOD Neuts-73.9* Lymphs-17.9* Monos-4.6 Eos-2.9 Baso-0.6 ___ 07:45AM BLOOD ___ PTT-2" Missed entity,"(7659, 7663)",,Baso,,42351005,,12304719-DS-18,"BLOOD Neuts-73.9* Lymphs-17.9* Monos-4.6 Eos-2.9 Baso-0.6 ___ 07:45AM BLOOD ___ PTT-21.5* ___ ___ 07:50" "Correct entity, wrong SNOMED ID","(7690, 7693)","(7690, 7693)",PTT,PTT,42525009,282119004,12304719-DS-18,"Monos-4.6 Eos-2.9 Baso-0.6 ___ 07:45AM BLOOD ___ PTT-21.5* ___ ___ 07:50AM BLOOD Glucose-77 UreaN-26* " "Correct entity, wrong SNOMED ID","(7722, 7729)","(7722, 7729)",Glucose,Glucose,33747003,72191006,12304719-DS-18,"07:45AM BLOOD ___ PTT-21.5* ___ ___ 07:50AM BLOOD Glucose-77 UreaN-26* Creat-1.2 Na-142 K-3.5 Cl-110* HCO3" "Correct entity, wrong SNOMED ID","(7733, 7738)","(7733, 7738)",UreaN,UreaN,105011006,111108008,12304719-DS-18,"OD ___ PTT-21.5* ___ ___ 07:50AM BLOOD Glucose-77 UreaN-26* Creat-1.2 Na-142 K-3.5 Cl-110* HCO3-25 AnGap" "Correct entity, wrong SNOMED ID","(7743, 7748)","(7743, 7748)",Creat,Creat,70901006,413856009,12304719-DS-18,"-21.5* ___ ___ 07:50AM BLOOD Glucose-77 UreaN-26* Creat-1.2 Na-142 K-3.5 Cl-110* HCO3-25 AnGap-11 ___ 07" "Correct entity, wrong SNOMED ID","(7753, 7755)","(7753, 7755)",Na,Na,312469006,257992007,12304719-DS-18," ___ 07:50AM BLOOD Glucose-77 UreaN-26* Creat-1.2 Na-142 K-3.5 Cl-110* HCO3-25 AnGap-11 ___ 07:45AM B" "Correct entity, wrong SNOMED ID","(7767, 7769)","(7767, 7769)",Cl,Cl,104589004,311741002,12304719-DS-18,"LOOD Glucose-77 UreaN-26* Creat-1.2 Na-142 K-3.5 Cl-110* HCO3-25 AnGap-11 ___ 07:45AM BLOOD ALT-15 AS" "Correct entity, wrong SNOMED ID","(7775, 7779)","(7775, 7779)",HCO3,HCO3,312471006,88645003,12304719-DS-18,"cose-77 UreaN-26* Creat-1.2 Na-142 K-3.5 Cl-110* HCO3-25 AnGap-11 ___ 07:45AM BLOOD ALT-15 AST-18 AlkPh" "Correct entity, wrong SNOMED ID","(7783, 7788)","(7783, 7788)",AnGap,AnGap,25469001,124504004,12304719-DS-18,"UreaN-26* Creat-1.2 Na-142 K-3.5 Cl-110* HCO3-25 AnGap-11 ___ 07:45AM BLOOD ALT-15 AST-18 AlkPhos-51 Tot" "Correct entity, wrong SNOMED ID","(7810, 7813)","(7810, 7813)",ALT,ALT,34608000,56935002,12304719-DS-18," K-3.5 Cl-110* HCO3-25 AnGap-11 ___ 07:45AM BLOOD ALT-15 AST-18 AlkPhos-51 TotBili-0.6 ___ 07:45AM BLOO" "Correct entity, wrong SNOMED ID","(7817, 7820)","(7817, 7820)",AST,AST,45896001,85043005,12304719-DS-18,"Cl-110* HCO3-25 AnGap-11 ___ 07:45AM BLOOD ALT-15 AST-18 AlkPhos-51 TotBili-0.6 ___ 07:45AM BLOOD Album" "Correct entity, wrong SNOMED ID","(7824, 7831)","(7824, 7831)",AlkPhos,AlkPhos,88810008,30703008,12304719-DS-18," HCO3-25 AnGap-11 ___ 07:45AM BLOOD ALT-15 AST-18 AlkPhos-51 TotBili-0.6 ___ 07:45AM BLOOD Albumin-3.8 Calc" "Correct entity, wrong SNOMED ID","(7835, 7842)","(7835, 7842)",TotBili,TotBili,359986008,19754005,12304719-DS-18,"Gap-11 ___ 07:45AM BLOOD ALT-15 AST-18 AlkPhos-51 TotBili-0.6 ___ 07:45AM BLOOD Albumin-3.8 Calcium-9.3 Pho" "Correct entity, wrong SNOMED ID","(7865, 7872)","(7865, 7872)",Albumin,Albumin,26758005,102688002,12304719-DS-18,"5 AST-18 AlkPhos-51 TotBili-0.6 ___ 07:45AM BLOOD Albumin-3.8 Calcium-9.3 Phos-3.6 Mg-2.1 Cholest-224* ___" "Correct entity, wrong SNOMED ID","(7877, 7884)","(7877, 7884)",Calcium,Calcium,312472004,108601004,12304719-DS-18,"Phos-51 TotBili-0.6 ___ 07:45AM BLOOD Albumin-3.8 Calcium-9.3 Phos-3.6 Mg-2.1 Cholest-224* ___ 07:45AM BLO" "Correct entity, wrong SNOMED ID","(7889, 7893)","(7889, 7893)",Phos,Phos,104868000,168075002,12304719-DS-18,"ili-0.6 ___ 07:45AM BLOOD Albumin-3.8 Calcium-9.3 Phos-3.6 Mg-2.1 Cholest-224* ___ 07:45AM BLOOD %HbA1c" "Correct entity, wrong SNOMED ID","(7898, 7900)","(7898, 7900)",Mg,Mg,271285000,258684004,12304719-DS-18,"__ 07:45AM BLOOD Albumin-3.8 Calcium-9.3 Phos-3.6 Mg-2.1 Cholest-224* ___ 07:45AM BLOOD %HbA1c-5.6 eA" "Correct entity, wrong SNOMED ID","(7948, 7951)","(7948, 7951)",eAG,eAG,117346004,361444006,12304719-DS-18,"Mg-2.1 Cholest-224* ___ 07:45AM BLOOD %HbA1c-5.6 eAG-114 ___ 07:45AM BLOOD Triglyc-124 HDL-55 CHOL/HD-" "Correct entity, wrong SNOMED ID","(7974, 7981)","(7974, 7981)",Triglyc,Triglyc,14740000,167082000,12304719-DS-18,"7:45AM BLOOD %HbA1c-5.6 eAG-114 ___ 07:45AM BLOOD Triglyc-124 HDL-55 CHOL/HD-4.1 LDLcalc-144 ___ 07:45AM B" "Correct entity, wrong SNOMED ID","(7986, 7989)","(7986, 7989)",HDL,HDL,17888004,259558007,12304719-DS-18," %HbA1c-5.6 eAG-114 ___ 07:45AM BLOOD Triglyc-124 HDL-55 CHOL/HD-4.1 LDLcalc-144 ___ 07:45AM BLOOD TSH" "Correct entity, wrong SNOMED ID","(7993, 8000)","(7993, 8000)",CHOL/HD,CHOL/HD,313811003,439953004,12304719-DS-18,"-5.6 eAG-114 ___ 07:45AM BLOOD Triglyc-124 HDL-55 CHOL/HD-4.1 LDLcalc-144 ___ 07:45AM BLOOD TSH-<0.02* ___" "Correct entity, wrong SNOMED ID","(8036, 8039)","(8036, 8039)",TSH,TSH,61167004,412520006,12304719-DS-18,"HDL-55 CHOL/HD-4.1 LDLcalc-144 ___ 07:45AM BLOOD TSH-<0.02* ___ 01:00PM BLOOD ASA-NEG Acetmnp-NEG Bnzo" Missed entity,"(8142, 8147)",,Color,,107650008,,12304719-DS-18,"-NEG Barbitr-NEG Tricycl-NEG ___ 05:20AM URINE Color-Yellow Appear-Clear Sp ___ ___ 05:20AM URINE Bloo" Missed entity,"(8239, 8245)",,Ketone,,47615003,,12304719-DS-18,"INE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.5 Leuks-NEG ___ " "Correct entity, wrong SNOMED ID","(8274, 8276)","(8274, 8276)",pH,pH,81065003,264912003,12304719-DS-18,"R Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.5 Leuks-NEG ___ 05:20AM URINE RBC-1 WBC-1 Bacte" "Correct entity, wrong SNOMED ID","(8303, 8308)","(8303, 8308)",URINE,URINE,442564008,78888000,12304719-DS-18,"irub-NEG Urobiln-NEG pH-5.5 Leuks-NEG ___ 05:20AM URINE RBC-1 WBC-1 Bacteri-NONE Yeast-NONE Epi-0 URINE C" "Correct entity, wrong SNOMED ID","(8309, 8312)","(8309, 8312)",RBC,RBC,14089001,258759006,12304719-DS-18,"EG Urobiln-NEG pH-5.5 Leuks-NEG ___ 05:20AM URINE RBC-1 WBC-1 Bacteri-NONE Yeast-NONE Epi-0 URINE CULTU" "Correct entity, wrong SNOMED ID","(8315, 8318)","(8315, 8318)",WBC,WBC,767002,391558003,12304719-DS-18,"biln-NEG pH-5.5 Leuks-NEG ___ 05:20AM URINE RBC-1 WBC-1 Bacteri-NONE Yeast-NONE Epi-0 URINE CULTURE (Fi" "Correct entity, wrong SNOMED ID","(8394, 8397)","(8394, 8397)",EKG,EKG,29303009,75444003,12304719-DS-18," Epi-0 URINE CULTURE (Final ___: NO GROWTH. EKG Sinus bradycardia. Right bundle-branch block. Sin" "Correct entity, wrong SNOMED ID","(8398, 8415)","(8398, 8415)",Sinus bradycardia,Sinus bradycardia,49710005,49044005,12304719-DS-18,"-0 URINE CULTURE (Final ___: NO GROWTH. EKG Sinus bradycardia. Right bundle-branch block. Since the previous t" "Correct entity, wrong SNOMED ID","(8509, 8535)","(8509, 8535)","right bundle-branch block","right bundle-branch block",59118001,164907000,12304719-DS-18,"ous tracing of ___ the axis is more vertical and right bundle-branch block is new. Clinical correlation is suggested. ___ __" Wrong span,"(8589, 8598)","(8589, 8592)",MRI Brain,MRI,816077007,1144760005,12304719-DS-18,"new. Clinical correlation is suggested. ___ ___ MRI Brain IMPRESSION: 1. The non-contrast MRI of the brain " Wrong span,"(8631, 8647)","(8631, 8634)",MRI of the brain,MRI,816077007,1144760005,12304719-DS-18,"_ ___ MRI Brain IMPRESSION: 1. The non-contrast MRI of the brain demonstrates no acute intracranial process. Ther" "Correct entity, wrong SNOMED ID","(8671, 8683)","(8671, 8683)",intracranial,intracranial,128319008,731998000,12304719-DS-18,"-contrast MRI of the brain demonstrates no acute intracranial process. There are multiple T2 hypointense lesion" "Correct entity, wrong SNOMED ID","(8727, 8734)","(8727, 8734)",lesions,lesions,52988006,246206008,12304719-DS-18,"ranial process. There are multiple T2 hypointense lesions which demonstrate gradient signal artifact withi" Missed entity,"(8770, 8778)",,artifact,,47973001,,12304719-DS-18,"ntense lesions which demonstrate gradient signal artifact within the bilateral frontal lobes and the right " "Correct entity, wrong SNOMED ID","(8800, 8813)","(8800, 8813)",frontal lobes,frontal lobes,83251001,110669009,12304719-DS-18,"ate gradient signal artifact within the bilateral frontal lobes and the right pons which are unchanged compared " Wrong span,"(8822, 8827)","(8822, 8833)",right,"right pons",5228007,10943311000119108,12304719-DS-18,"tifact within the bilateral frontal lobes and the right pons which are unchanged compared with the prior" Wrong span,"(8829, 8833)","(8822, 8833)",pons,"right pons",49557009,10943311000119108,12304719-DS-18,"within the bilateral frontal lobes and the right pons which are unchanged compared with the prior study" "Correct entity, wrong SNOMED ID","(8928, 8950)","(8928, 8950)",vascular malformations,vascular malformations,783806000,703221003,12304719-DS-18,"study in ___ and most certainly represent occult vascular malformations 2. There is a severe short segment stenosis of th" "Correct entity, wrong SNOMED ID","(8986, 8994)","(8986, 8994)",stenosis,stenosis,415582006,246073005,12304719-DS-18," malformations 2. There is a severe short segment stenosis of the proximal right A1 segment of the anterior" "Correct entity, wrong SNOMED ID","(9036, 9060)","(9036, 9060)",anterior cerebral artery,anterior cerebral artery,60176003,181309000,12304719-DS-18,"stenosis of the proximal right A1 segment of the anterior cerebral artery. There are also other foci of intracranial arter" Wrong span,"(9092, 9104)","(9092, 9122)",intracranial,"intracranial arterial stenoses",128319008,724427002,12304719-DS-18,"or cerebral artery. There are also other foci of intracranial arterial stenoses to include the right MCA M2 bra" Wrong span,"(9105, 9122)","(9092, 9122)",arterial stenoses,"intracranial arterial stenoses",726490008,724427002,12304719-DS-18,"rtery. There are also other foci of intracranial arterial stenoses to include the right MCA M2 branch and bilateral" Wrong span,"(9138, 9157)","(9138, 9143)",right MCA M2 branch,right,369352006,264746006,12304719-DS-18,"of intracranial arterial stenoses to include the right MCA M2 branch and bilateral PCA branches which are not typical" "Correct entity, wrong SNOMED ID","(9173, 9176)","(9173, 9176)",PCA,PCA,70382005,1259388006,12304719-DS-18,"to include the right MCA M2 branch and bilateral PCA branches which are not typical for atheromatous d" "Correct entity, wrong SNOMED ID","(9212, 9232)","(9212, 9232)",atheromatous disease,atheromatous disease,441574008,111008005,12304719-DS-18," bilateral PCA branches which are not typical for atheromatous disease. Even though these are atypical in appearance fo" "Correct entity, wrong SNOMED ID","(9284, 9304)","(9284, 9304)",atheromatous disease,atheromatous disease,441574008,111008005,12304719-DS-18,"Even though these are atypical in appearance for atheromatous disease, given the high incidence of this disease, ather" "Correct entity, wrong SNOMED ID","(9340, 9347)","(9340, 9347)",disease,disease,64572001,53619000,12304719-DS-18,"matous disease, given the high incidence of this disease, atheromatous etiology is still on the different" Wrong span,"(9349, 9370)","(9349, 9361)",atheromatous etiology,atheromatous,441574008,111008005,12304719-DS-18,"sease, given the high incidence of this disease, atheromatous etiology is still on the differential. Another possibilit" "Correct entity, wrong SNOMED ID","(9427, 9437)","(9427, 9437)",vasculitis,vasculitis,31996006,11791001,12304719-DS-18,"ll on the differential. Another possibility is a vasculitis. Clinical correlation recommended. MRI C-spine " "Correct entity, wrong SNOMED ID","(9510, 9530)","(9510, 9530)",cervical spondylosis,cervical spondylosis,387800004,1156963006,12304719-DS-18,"recommended. MRI C-spine IMPRESSION: Multilevel cervical spondylosis with mild to moderate spinal canal narrowing fro" Wrong span,"(9553, 9576)","(9553, 9566)","spinal canal narrowing","spinal canal",83561009,361746009,12304719-DS-18,"ilevel cervical spondylosis with mild to moderate spinal canal narrowing from C3-C4 through C6-C7 worst at C5-C6 as descri" Missed entity,"(9582, 9587)",,C3-C4,,19563009,,12304719-DS-18,"ith mild to moderate spinal canal narrowing from C3-C4 through C6-C7 worst at C5-C6 as described above " Wrong span,"(9596, 9601)","(9596, 9598)",C6-C7,C6,81872001,260254002,12304719-DS-18,"derate spinal canal narrowing from C3-C4 through C6-C7 worst at C5-C6 as described above without abnorm" Missed entity,"(9611, 9616)",,C5-C6,,70424007,,12304719-DS-18,"canal narrowing from C3-C4 through C6-C7 worst at C5-C6 as described above without abnormal signal of th" "Correct entity, wrong SNOMED ID","(9668, 9679)","(9668, 9679)",spinal cord,spinal cord,2748008,11478001,12304719-DS-18,"s described above without abnormal signal of the spinal cord. There is severe neural foraminal narrowing at t" Wrong span,"(9697, 9724)","(9715, 9724)","neural foraminal narrowing",narrowing,371000119109,246406005,12304719-DS-18,"normal signal of the spinal cord. There is severe neural foraminal narrowing at the right C4-C5 and C5-C6. CT C-spine IMPRES" Wrong span,"(9738, 9743)","(9738, 9740)",C4-C5,C4,19563009,84720003,12304719-DS-18,"s severe neural foraminal narrowing at the right C4-C5 and C5-C6. CT C-spine IMPRESSION: Moderate dege" Missed entity,"(9748, 9753)",,C5-C6,,70424007,,12304719-DS-18,"eural foraminal narrowing at the right C4-C5 and C5-C6. CT C-spine IMPRESSION: Moderate degenerative d" "Correct entity, wrong SNOMED ID","(9757, 9767)","(9757, 9767)",CT C-spine,CT C-spine,241578008,718000000,12304719-DS-18,"aminal narrowing at the right C4-C5 and C5-C6. CT C-spine IMPRESSION: Moderate degenerative disease of the " "Correct entity, wrong SNOMED ID","(9789, 9809)","(9789, 9809)",degenerative disease,degenerative disease,362975008,1217650009,12304719-DS-18,"4-C5 and C5-C6. CT C-spine IMPRESSION: Moderate degenerative disease of the cervical spine, without ""critical"" spinal" "Correct entity, wrong SNOMED ID","(9817, 9831)","(9817, 9831)",cervical spine,cervical spine,122494005,178778006,12304719-DS-18," IMPRESSION: Moderate degenerative disease of the cervical spine, without ""critical"" spinal canal stenosis. Bri" "Correct entity, wrong SNOMED ID","(9853, 9874)","(9853, 9874)",spinal canal stenosis,spinal canal stenosis,76107001,840487004,12304719-DS-18,"isease of the cervical spine, without ""critical"" spinal canal stenosis. Brief Hospital Course: Cervical Spondylosis/Ca" "Correct entity, wrong SNOMED ID","(9901, 9921)","(9901, 9921)",Cervical Spondylosis,Cervical Spondylosis,387800004,1351841004,12304719-DS-18,""" spinal canal stenosis. Brief Hospital Course: Cervical Spondylosis/Canal Stenosis Exam and history most consistent w" "Correct entity, wrong SNOMED ID","(9922, 9936)","(9922, 9936)",Canal Stenosis,Canal Stenosis,83561009,306963008,12304719-DS-18,"is. Brief Hospital Course: Cervical Spondylosis/Canal Stenosis Exam and history most consistent with this. Some " Wrong span,"(10013, 10032)","(10013, 10023)",left sided weakness,left sided,278287000,448164008,12304719-DS-18,"istent with this. Some confusion initially given left sided weakness in the context of a cavenoma in the right basis " Missed entity,"(10076, 10081)",,basis,,59650007,,12304719-DS-18,"akness in the context of a cavenoma in the right basis pontis, but cervical disease much more consisten" "Correct entity, wrong SNOMED ID","(10094, 10110)","(10094, 10110)",cervical disease,cervical disease,63339007,37610005,12304719-DS-18,"ext of a cavenoma in the right basis pontis, but cervical disease much more consistent with overall picture. Exam " Wrong span,"(10210, 10223)","(10210, 10213)",leg stiffness,leg,225609009,53840002,12304719-DS-18,"actually worsened after admission with increased leg stiffness/tone, left patella clonus, bilateral upgoing toe" "Correct entity, wrong SNOMED ID","(10224, 10228)","(10224, 10228)",tone,tone,56731001,248908009,12304719-DS-18,"ned after admission with increased leg stiffness/tone, left patella clonus, bilateral upgoing toes. Ha" Wrong span,"(10235, 10250)","(10230, 10250)","patella clonus","left patella clonus",54360005,16051551000119103,12304719-DS-18,"admission with increased leg stiffness/tone, left patella clonus, bilateral upgoing toes. Has not previously had n" Missed entity,"(10270, 10274)",,toes,,8671006,,12304719-DS-18,"ess/tone, left patella clonus, bilateral upgoing toes. Has not previously had neck pain. Exam worse th" "Correct entity, wrong SNOMED ID","(10299, 10309)","(10299, 10309)","neck pain","neck pain",81680005,1121000119107,12304719-DS-18,"s, bilateral upgoing toes. Has not previously had neck pain. Exam worse than MRI, but flexion extension imagi" "Correct entity, wrong SNOMED ID","(10327, 10330)","(10327, 10330)",MRI,MRI,241601008,1144760005,12304719-DS-18,"as not previously had neck pain. Exam worse than MRI, but flexion extension imaging not performed owi" Wrong span,"(10354, 10361)","(10336, 10361)",imaging,flexion extension imaging,363679005,1290645005,12304719-DS-18," pain. Exam worse than MRI, but flexion extension imaging not performed owing to worsening and concern for" Wrong span,"(10426, 10446)","(10426, 10433)","MRI c- and t- spine","MRI c-",702607002,1144760005,12304719-DS-18," owing to worsening and concern for exacerbation. MRI c- and t- spine was performed, along with CT c-spine. Neurosurge" "Correct entity, wrong SNOMED ID","(10473, 10483)","(10473, 10483)",CT c-spine,CT c-spine,241578008,718000000,12304719-DS-18,"n. MRI c- and t- spine was performed, along with CT c-spine. Neurosurgery was consulted and recommended Medr" Missed entity,"(10536, 10543)",,steroid,,297279009,,12304719-DS-18,"Neurosurgery was consulted and recommended Medrol steroid dose taper, rigid collar and muscle relaxants. T" Missed entity,"(10544, 10555)",,"dose taper",,423846006,,12304719-DS-18,"gery was consulted and recommended Medrol steroid dose taper, rigid collar and muscle relaxants. Thus, hydroco" Wrong span,"(10574, 10580)","(10574, 10590)",muscle,muscle relaxants,71616004,372666009,12304719-DS-18,"nded Medrol steroid dose taper, rigid collar and muscle relaxants. Thus, hydrocortisone 10 mg BID was he" "Correct entity, wrong SNOMED ID","(10726, 10738)","(10726, 10738)",hypertension,hypertension,38341003,70995007,12304719-DS-18,"estarted wihen Medrol completed. This resulted in hypertension which will need to be followed closely as below." "Correct entity, wrong SNOMED ID","(10856, 10864)","(10856, 10864)",improved,improved,268910001,251359002,12304719-DS-18,"zepam daily was rescheduled as 2 mg q8h. His exam improved somewhat in rigid collar and with Medrol, but we" Missed entity,"(11005, 11019)",,rehabilitation,,52052004,,12304719-DS-18,"endent to return home. Thus, he is discharged to rehabilitation. We expect that further clinical improvement wil" "Correct entity, wrong SNOMED ID","(11202, 11214)","(11202, 11214)",Hypertension,Hypertension,38341003,70995007,12304719-DS-18,"ain in an Aspen rigid collar until that time. Hypertension Amlodipine was increased to 10 mg QD from 5 mg, e" "Correct entity, wrong SNOMED ID","(11398, 11405)","(11398, 11405)",steroid,steroid,297279009,296778005,12304719-DS-18,"ressures around 200 systolic. This began prior to steroid treatment, but uptitration of these medications " Missed entity,"(11422, 11433)",,uptitration,,763779006,,12304719-DS-18,"olic. This began prior to steroid treatment, but uptitration of these medications in part occurred during ste" Missed entity,"(11443, 11454)",,medications,,33633005,,12304719-DS-18,"r to steroid treatment, but uptitration of these medications in part occurred during steroid treatment. It wi" "Correct entity, wrong SNOMED ID","(11480, 11487)","(11480, 11487)",steroid,steroid,297279009,296778005,12304719-DS-18,"ion of these medications in part occurred during steroid treatment. It will be essential to follow his bl" Missed entity,"(11575, 11586)",,medications,,33633005,,12304719-DS-18,"llow his blood pressure closely and down-titrate medications if there is a fall in his blood pressure with st" Boundary error,"(11634, 11641)","(11634, 11639)",steroid,stero,297279009,225153000,12304719-DS-18,"ns if there is a fall in his blood pressure with steroid taper. Hypopituitarism After adenoma and radi" "Correct entity, wrong SNOMED ID","(11653, 11668)","(11653, 11668)",Hypopituitarism,Hypopituitarism,74728003,442001,12304719-DS-18,"all in his blood pressure with steroid taper. Hypopituitarism After adenoma and radiation in ___. Radiation is " "Correct entity, wrong SNOMED ID","(11675, 11682)","(11675, 11682)",adenoma,adenoma,1187375007,1156419009,12304719-DS-18,"ure with steroid taper. Hypopituitarism After adenoma and radiation in ___. Radiation is the likely ca" "Correct entity, wrong SNOMED ID","(11687, 11696)","(11687, 11696)",radiation,radiation,108290001,279230002,12304719-DS-18,"roid taper. Hypopituitarism After adenoma and radiation in ___. Radiation is the likely cause of caverno" "Correct entity, wrong SNOMED ID","(11705, 11714)","(11705, 11714)",Radiation,Radiation,108290001,279230002,12304719-DS-18,"popituitarism After adenoma and radiation in ___. Radiation is the likely cause of cavernomas, of which he h" "Correct entity, wrong SNOMED ID","(11739, 11749)","(11739, 11749)",cavernomas,cavernomas,416824008,1381497004,12304719-DS-18,"diation in ___. Radiation is the likely cause of cavernomas, of which he has several (see MRI report). Testo" "Correct entity, wrong SNOMED ID","(11780, 11783)","(11780, 11783)",MRI,MRI,113091000,1144760005,12304719-DS-18,"cause of cavernomas, of which he has several (see MRI report). Testosterone and levothyroxine were con" "Correct entity, wrong SNOMED ID","(12072, 12079)","(12072, 12079)",urgency,urgency,75088002,443482000,12304719-DS-18,"is is very important. BPH Continued to exhibit urgency and small volume urination, with some worsening " Wrong span,"(12097, 12106)","(12084, 12106)",urination,small volume urination,252041008,102834005,12304719-DS-18,"BPH Continued to exhibit urgency and small volume urination, with some worsening due to spinal disease. Cond" "Correct entity, wrong SNOMED ID","(12136, 12150)","(12136, 12150)",spinal disease,spinal disease,410730009,428857003,12304719-DS-18,"all volume urination, with some worsening due to spinal disease. Condom catheter was used for much of the admiss" "Correct entity, wrong SNOMED ID","(12235, 12243)","(12235, 12243)",Glaucoma,Glaucoma,23986001,111514006,12304719-DS-18,"h of the admission. Finasteride was continued. Glaucoma Ophthalmic medicatons were continued. Depress" "Correct entity, wrong SNOMED ID","(12286, 12296)","(12286, 12296)",Depression,Depression,35489007,26141007,12304719-DS-18,"laucoma Ophthalmic medicatons were continued. Depression/Anxiety Buspirone and celexa, along with diazepam" "Correct entity, wrong SNOMED ID","(12297, 12304)","(12297, 12304)",Anxiety,Anxiety,48694002,10756431000119109,12304719-DS-18,"thalmic medicatons were continued. Depression/Anxiety Buspirone and celexa, along with diazepam were co" Missed entity,"(12377, 12384)",,anxious,,48694002,,12304719-DS-18,"along with diazepam were continued. He was quite anxious about his new gait difficulties, but this was ap" "Correct entity, wrong SNOMED ID","(12399, 12416)","(12399, 12416)",gait difficulties,gait difficulties,22325002,428116008,12304719-DS-18,"re continued. He was quite anxious about his new gait difficulties, but this was appropriate and understandable. Th" Missed entity,"(12483, 12491)",,standing,,10904000,,12304719-DS-18,"ppropriate and understandable. Thus, these longer-standing problems were not really active issues during th" Missed entity,"(12493, 12501)",,problems,,55607006,,12304719-DS-18," and understandable. Thus, these longer-standing problems were not really active issues during the admissio" "Correct entity, wrong SNOMED ID","(12557, 12569)","(12557, 12569)",Leukocytosis,Leukocytosis,111583006,65209002,12304719-DS-18,"not really active issues during the admission. Leukocytosis Attributable to steroid dosing. No bands. Medic" "Correct entity, wrong SNOMED ID","(12586, 12593)","(12586, 12593)",steroid,steroid,297279009,296778005,12304719-DS-18,"ng the admission. Leukocytosis Attributable to steroid dosing. No bands. Medications on Admission: - T" "Correct entity, wrong SNOMED ID","(15006, 15023)","(15006, 15023)",Cervical stenosis,Cervical stenosis,83561009,202760001,12304719-DS-18,"e Facility: ___ Discharge Diagnosis: Primary Cervical stenosis with myelopathy Secondary Hypertension Panhypop" "Correct entity, wrong SNOMED ID","(15029, 15039)","(15029, 15039)",myelopathy,myelopathy,48522003,1259085004,12304719-DS-18,"scharge Diagnosis: Primary Cervical stenosis with myelopathy Secondary Hypertension Panhypopituitarism Di" "Correct entity, wrong SNOMED ID","(15052, 15064)","(15052, 15064)",Hypertension,Hypertension,38341003,70995007,12304719-DS-18,"ary Cervical stenosis with myelopathy Secondary Hypertension Panhypopituitarism Discharge Condition: Mental" "Correct entity, wrong SNOMED ID","(15065, 15083)","(15065, 15083)",Panhypopituitarism,Panhypopituitarism,32390006,190470005,12304719-DS-18,"stenosis with myelopathy Secondary Hypertension Panhypopituitarism Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(15108, 15121)","(15108, 15121)",Mental Status,Mental Status,392257007,419284004,12304719-DS-18,"ension Panhypopituitarism Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(15143, 15165)","(15143, 15165)",Level of Consciousness,Level of Consciousness,444714004,830285008,12304719-DS-18,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(15167, 15172)","(15167, 15172)",Alert,Alert,248234008,409787004,12304719-DS-18,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(15177, 15188)","(15177, 15188)",interactive,interactive,288577006,10301000202103,12304719-DS-18,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(15190, 15205)","(15190, 15205)",Activity Status,Activity Status,129676008,397622007,12304719-DS-18,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(15207, 15231)","(15207, 15231)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,12304719-DS-18,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: You were admitted aft" Wrong span,"(15336, 15345)","(15336, 15356)",left hand,left hand clumsiness,85151006,788468009,12304719-DS-18,"brief episode (that lasted for a few seconds) of left hand clumsiness and a few minutes of left leg stiffne" Wrong span,"(15346, 15356)","(15336, 15356)",clumsiness,left hand clumsiness,7006003,788468009,12304719-DS-18,"ode (that lasted for a few seconds) of left hand clumsiness and a few minutes of left leg stiffness. Your br" Wrong span,"(15378, 15386)","(15378, 15397)",left leg,"left leg stiffness",48979004,291941000119106,12304719-DS-18,"nds) of left hand clumsiness and a few minutes of left leg stiffness. Your brain MRI did not show any strok" Wrong span,"(15388, 15397)","(15378, 15397)",stiffness,"left leg stiffness",161882006,291941000119106,12304719-DS-18,"ft hand clumsiness and a few minutes of left leg stiffness. Your brain MRI did not show any stroke but did s" "Correct entity, wrong SNOMED ID","(15431, 15437)","(15431, 15437)",stroke,stroke,230690007,422504002,12304719-DS-18,"t leg stiffness. Your brain MRI did not show any stroke but did show small cavernomas which are vascular" Wrong span,"(15452, 15468)","(15458, 15468)",small cavernomas,cavernomas,416824008,1381497004,12304719-DS-18,"r brain MRI did not show any stroke but did show small cavernomas which are vascular malformations. Your clinical " "Correct entity, wrong SNOMED ID","(15479, 15501)","(15479, 15501)",vascular malformations,vascular malformations,783806000,703221003,12304719-DS-18,"y stroke but did show small cavernomas which are vascular malformations. Your clinical condition worsened after admissio" Missed entity,"(15557, 15574)",,clinical findings,,404684003,,12304719-DS-18," clinical condition worsened after admission and clinical findings were consistent with spinal stenosis with myelop" "Correct entity, wrong SNOMED ID","(15597, 15612)","(15597, 15612)",spinal stenosis,spinal stenosis,76107001,18347007,12304719-DS-18,"ssion and clinical findings were consistent with spinal stenosis with myelopathy. This was confirmed on imaging o" "Correct entity, wrong SNOMED ID","(15618, 15628)","(15618, 15628)",myelopathy,myelopathy,48522003,1259085004,12304719-DS-18,"ndings were consistent with spinal stenosis with myelopathy. This was confirmed on imaging of your spine. Yo" Wrong span,"(15653, 15660)","(15653, 15663)",imaging,imaging of,363679005,408574004,12304719-DS-18," stenosis with myelopathy. This was confirmed on imaging of your spine. You were seen by Neurosurgery who" Missed entity,"(15669, 15674)",,spine,,421060004,,12304719-DS-18,"yelopathy. This was confirmed on imaging of your spine. You were seen by Neurosurgery who recommended a" "Correct entity, wrong SNOMED ID","(15731, 15738)","(15731, 15738)",surgery,surgery,387713003,110473004,12304719-DS-18,"ere seen by Neurosurgery who recommended against surgery at this time, and that you follow-up with them a" Missed entity,"(15879, 15893)",,rehabilitation,,52052004,,12304719-DS-18," with your Neurology Team, recommended a stay in rehabilitation. Followup Instructions: ___ " False positive,,"(2169, 2172)",,BMP,,414988007,12314513-DS-16,"2 76 113/75 16 100% RA -Labs showed normal CBC, BMP, normal lactate at 1.2, UA unremarkable, UCx and" False positive,,"(2174, 2188)",,normal lactate,,166427008,12314513-DS-16,"113/75 16 100% RA -Labs showed normal CBC, BMP, normal lactate at 1.2, UA unremarkable, UCx and BCx pending -" False positive,,"(2503, 2520)",,REVIEW OF SYSTEMS,,415300000,12314513-DS-16," -On arrival to the floor, patient reports... REVIEW OF SYSTEMS: As documented in HPI Past Medical History" False positive,,"(2916, 2929)",,complications,,398158001,12314513-DS-16,"er has an arrhythmia and her grandmother died of complications of heart disease in her ___. Physical Exam: " False positive,,"(3168, 3172)",,neck,,840674001,12314513-DS-16,"va, MMM, good dentition NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs" False positive,,"(3205, 3207)",,S1,,431855005,12314513-DS-16,"ender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no" False positive,,"(4369, 4372)",,MCH,,735147002,12314513-DS-16," BLOOD WBC-6.0 RBC-4.30 Hgb-12.5 Hct-35.9 MCV-84 MCH-29.1 MCHC-34.8 RDW-12.0 RDWSD-36.6 Plt ___ ___ 02" False positive,,"(4469, 4473)",,Baso,,700051010000106,12314513-DS-16," 02:00PM BLOOD Neuts-61.0 ___ Monos-8.5 Eos-0.8* Baso-0.5 Im ___ AbsNeut-3.66 AbsLymp-1.74 AbsMono-0.51" False positive,,"(4749, 4752)",,MCH,,735147002,12314513-DS-16," BLOOD WBC-6.1 RBC-4.61 Hgb-13.0 Hct-39.0 MCV-85 MCH-28.2 MCHC-33.3 RDW-12.3 RDWSD-37.2 Plt ___ ___ 07" False positive,,"(4857, 4859)",,Cl,,311741002,12314513-DS-16," BLOOD Glucose-86 UreaN-8 Creat-0.7 Na-138 K-4.1 Cl-104 HCO3-24 AnGap-14 ___ 07:25AM BLOOD Calcium-9." False positive,,"(4963, 4966)",,HIV,,19030005,12314513-DS-16,"os-3.9 Mg-1.8 ***OTHER LABS*** ___ 07:17AM BLOOD HIV Ab-Negative ***IMAGING*** ___ CXR FINDINGS: Th" False positive,,"(5555, 5557)",,SP,,469738005,12314513-DS-16,"BACILLI SEEN ON CONCENTRATED SMEAR. ___ 5:23 pm SPUTUM Source: Induced (noted as expectorated " False positive,,"(6251, 6254)",,AFB,,447624008,12314513-DS-16," years. Induced sputum x3 was preformed with no AFB on gram stain, culture results and MTB direct am" False positive,,"(7523, 7538)",,Activity Status,,397622007,12314513-DS-16,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" False positive,,"(7787, 7795)",,negative,,268375009,12314513-DS-16,"your positive PPD. The initial sputum tests are negative, so we are discharing you home. You should foll" "Correct entity, wrong SNOMED ID","(178, 189)","(178, 189)",Penicillins,Penicillins,91936005,11986009,12314513-DS-16," Sex: F Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) " Wrong span,"(192, 237)","(192, 198)",NSAIDS (Non-Steroidal Anti-Inflammatory Drug),NSAIDS,293610009,372665008,12314513-DS-16,"F Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) Attending: ___. Chief Complaint: Positive PPD" Wrong span,"(275, 287)","(275, 277)",Positive PPD,Po,268376005,414593002,12314513-DS-16,"matory Drug) Attending: ___. Chief Complaint: Positive PPD Major Surgical or Invasive Procedure: None H" "Correct entity, wrong SNOMED ID","(393, 408)","(393, 408)",iron deficiency,iron deficiency,87522002,427762006,12314513-DS-16," of Present Illness: Ms. ___ is a ___ with PMH of iron deficiency secondary to menorrhagia, NSAID gastritis, and b" "Correct entity, wrong SNOMED ID","(423, 434)","(423, 434)",menorrhagia,menorrhagia,386692008,237125007,12314513-DS-16,"s a ___ with PMH of iron deficiency secondary to menorrhagia, NSAID gastritis, and bipolar disorder presenting" "Correct entity, wrong SNOMED ID","(436, 451)","(436, 451)",NSAID gastritis,NSAID gastritis,62473009,89538001,12314513-DS-16,"PMH of iron deficiency secondary to menorrhagia, NSAID gastritis, and bipolar disorder presenting for evaluation " "Correct entity, wrong SNOMED ID","(457, 473)","(457, 473)",bipolar disorder,bipolar disorder,13746004,13313007,12314513-DS-16,"y secondary to menorrhagia, NSAID gastritis, and bipolar disorder presenting for evaluation of +PPD and concern fo" "Correct entity, wrong SNOMED ID","(490, 500)","(490, 500)",evaluation,evaluation,386053000,39609006,12314513-DS-16,"D gastritis, and bipolar disorder presenting for evaluation of +PPD and concern for active TB exposure. To " Missed entity,"(504, 508)",,+PPD,,268376005,,12314513-DS-16,"nd bipolar disorder presenting for evaluation of +PPD and concern for active TB exposure. To explain " Wrong span,"(525, 543)","(532, 534)",active TB exposure,TB,1237025001,1365841009,12314513-DS-16,"resenting for evaluation of +PPD and concern for active TB exposure. To explain the current scenario, one of pt's r" "Correct entity, wrong SNOMED ID","(638, 643)","(638, 643)",cough,cough,49727002,28743005,12314513-DS-16,"t's roommate beginning in ___ developed a severe cough associated with fever or chills. These symptoms " "Correct entity, wrong SNOMED ID","(660, 665)","(660, 665)",fever,fever,386661006,248430002,12314513-DS-16," in ___ developed a severe cough associated with fever or chills. These symptoms continued through ___." "Correct entity, wrong SNOMED ID","(670, 676)","(670, 676)",chills,chills,43724002,274640006,12314513-DS-16,"eveloped a severe cough associated with fever or chills. These symptoms continued through ___. Pt. never " Missed entity,"(782, 791)",,traveling,,300607004,,12314513-DS-16," medical intention. In this time period, pt. was traveling around ___ interviewing for grad school. Prior t" Missed entity,"(857, 865)",,traveled,,300607004,,12314513-DS-16,"erviewing for grad school. Prior to ___, pt. had traveled to ___ ___ years prior, but otherwise no recent " Missed entity,"(915, 921)",,travel,,276030007,,12314513-DS-16," to ___ ___ years prior, but otherwise no recent travel. No known risk factors for HIV in this person as " "Correct entity, wrong SNOMED ID","(949, 952)","(949, 952)",HIV,HIV,86406008,19030005,12314513-DS-16,"wise no recent travel. No known risk factors for HIV in this person as far as the pt. is aware. This " Missed entity,"(1018, 1026)",,traveled,,276030007,,12314513-DS-16,"as far as the pt. is aware. This individual then traveled to Malaise and ___ in ___ and then returned to l" Missed entity,"(1158, 1171)",,positive PPDS,,268376005,,12314513-DS-16,"s with multiple other roommates, 2 of which have positive PPDS recently. One of these roommates has been coughin" "Correct entity, wrong SNOMED ID","(1214, 1222)","(1214, 1222)",coughing,coughing,49727002,52673003,12314513-DS-16,"ve PPDS recently. One of these roommates has been coughing and feeling unwell for several weeks. Pt. want" Missed entity,"(1228, 1242)",,feeling unwell,,367391008,,12314513-DS-16,"ly. One of these roommates has been coughing and feeling unwell for several weeks. Pt. wanted to go to the minu" Missed entity,"(1295, 1301)",,clinic,,737492002,,12314513-DS-16,"r several weeks. Pt. wanted to go to the minute clinic to have a ppd placed. Pt. found out about positi" "Correct entity, wrong SNOMED ID","(1312, 1315)","(1312, 1315)",ppd,ppd,424294008,423321003,12314513-DS-16," Pt. wanted to go to the minute clinic to have a ppd placed. Pt. found out about positive ppd on ___ " Missed entity,"(1345, 1357)",,positive ppd,,268376005,,12314513-DS-16,"clinic to have a ppd placed. Pt. found out about positive ppd on ___ (20mm). She made an urgent care appt here" "Correct entity, wrong SNOMED ID","(1533, 1540)","(1533, 1540)",malaise,malaise,367391008,82991003,12314513-DS-16," the ED. Pt. recently began feeling generalized malaise and weak over the last several weeks. She has no" "Correct entity, wrong SNOMED ID","(1608, 1613)","(1608, 1613)",cough,cough,49727002,28743005,12314513-DS-16," last several weeks. She has noted an on and off cough over the same time period, typically in the morn" Missed entity,"(1659, 1667)",,mornings,,161932002,,12314513-DS-16,"ough over the same time period, typically in the mornings. Denies sputum production, fevers, chills, weigh" "Correct entity, wrong SNOMED ID","(1696, 1702)","(1696, 1702)",fevers,fevers,386661006,248444008,12314513-DS-16,"cally in the mornings. Denies sputum production, fevers, chills, weight gain (intentional weight loss of" "Correct entity, wrong SNOMED ID","(1704, 1710)","(1704, 1710)",chills,chills,43724002,274640006,12314513-DS-16," the mornings. Denies sputum production, fevers, chills, weight gain (intentional weight loss of 7lbs si" "Correct entity, wrong SNOMED ID","(1712, 1723)","(1712, 1723)",weight gain,weight gain,8943002,36440009,12314513-DS-16,"nings. Denies sputum production, fevers, chills, weight gain (intentional weight loss of 7lbs since ___, ches" Wrong span,"(1725, 1748)","(1737, 1748)",intentional weight loss,weight loss,416528001,267024001,12314513-DS-16," sputum production, fevers, chills, weight gain (intentional weight loss of 7lbs since ___, chest pain, SOB, nausea, vomi" "Correct entity, wrong SNOMED ID","(1769, 1779)","(1769, 1779)",chest pain,chest pain,29857009,102589003,12314513-DS-16,"gain (intentional weight loss of 7lbs since ___, chest pain, SOB, nausea, vomiting. Pt. does note ___ year o" "Correct entity, wrong SNOMED ID","(1781, 1784)","(1781, 1784)",SOB,SOB,267036007,43731003,12314513-DS-16,"ional weight loss of 7lbs since ___, chest pain, SOB, nausea, vomiting. Pt. does note ___ year of abd" "Correct entity, wrong SNOMED ID","(1786, 1802)","(1786, 1802)","nausea, vomiting","nausea, vomiting",16932000,698861005,12314513-DS-16," weight loss of 7lbs since ___, chest pain, SOB, nausea, vomiting. Pt. does note ___ year of abdominal pain associ" "Correct entity, wrong SNOMED ID","(1831, 1845)","(1831, 1845)",abdominal pain,abdominal pain,21522001,54586004,12314513-DS-16,"SOB, nausea, vomiting. Pt. does note ___ year of abdominal pain associated with loose stools. No significant cha" "Correct entity, wrong SNOMED ID","(1938, 1950)","(1938, 1950)","BCG vaccine","BCG vaccine",42284007,294646007,12314513-DS-16,"ant change in this recently. Denies ever having a BCG vaccine. Pt. has traveled to ___, Hungry, ___, and ___. " Missed entity,"(1960, 1968)",,traveled,,276030007,,12314513-DS-16,"ently. Denies ever having a BCG vaccine. Pt. has traveled to ___, Hungry, ___, and ___. Last travel was _" Missed entity,"(2005, 2011)",,travel,,276030007,,12314513-DS-16," has traveled to ___, Hungry, ___, and ___. Last travel was ___ in ___ working in a hospital (sanitizine" "Correct entity, wrong SNOMED ID","(2108, 2110)","(2108, 2110)",VS,VS,118227000,313611000,12314513-DS-16,"ine and autoclaving parts). In the ED, initial VS were 98.2 76 113/75 16 100% RA -Labs showed nor" Boundary error,"(2137, 2141)","(2139, 2141)",% RA,RA,722742002,463051000124105,12314513-DS-16," In the ED, initial VS were 98.2 76 113/75 16 100% RA -Labs showed normal CBC, BMP, normal lactate at" "Correct entity, wrong SNOMED ID","(2157, 2167)","(2157, 2167)",normal CBC,normal CBC,165406005,165507003,12314513-DS-16," VS were 98.2 76 113/75 16 100% RA -Labs showed normal CBC, BMP, normal lactate at 1.2, UA unremarkable, UC" Wrong span,"(2197, 2213)","(2197, 2199)","UA unremarkable",UA,167221003,257999003,12314513-DS-16,"bs showed normal CBC, BMP, normal lactate at 1.2, UA unremarkable, UCx and BCx pending -Imaging showed CXR withou" "Correct entity, wrong SNOMED ID","(2215, 2218)","(2215, 2218)",UCx,UCx,117010004,257999003,12314513-DS-16,"BC, BMP, normal lactate at 1.2, UA unremarkable, UCx and BCx pending -Imaging showed CXR without acu" "Correct entity, wrong SNOMED ID","(2223, 2226)","(2223, 2226)",BCx,BCx,30088009,89619004,12314513-DS-16," normal lactate at 1.2, UA unremarkable, UCx and BCx pending -Imaging showed CXR without acute cardi" "Correct entity, wrong SNOMED ID","(2238, 2245)","(2238, 2245)",Imaging,Imaging,363679005,408574004,12314513-DS-16," at 1.2, UA unremarkable, UCx and BCx pending -Imaging showed CXR without acute cardiopulmonary process." Missed entity,"(2296, 2308)",,"No findings",,281900007,,12314513-DS-16,"showed CXR without acute cardiopulmonary process. No findings to suggest active tuberculosis. -Transfer VS we" Wrong span,"(2320, 2339)","(2327, 2339)",active tuberculosis,tuberculosis,427099000,235067001,12314513-DS-16," cardiopulmonary process. No findings to suggest active tuberculosis. -Transfer VS were 98.2 72 118/72 16 100% RA " "Correct entity, wrong SNOMED ID","(2353, 2355)","(2353, 2355)",VS,VS,118227000,313611000,12314513-DS-16,"dings to suggest active tuberculosis. -Transfer VS were 98.2 72 118/72 16 100% RA -Decision was ma" Boundary error,"(2382, 2386)","(2384, 2386)",% RA,RA,722742002,463051000124105,12314513-DS-16,"culosis. -Transfer VS were 98.2 72 118/72 16 100% RA -Decision was made to admit to medicine for fur" "Correct entity, wrong SNOMED ID","(2574, 2596)","(2574, 2596)",Iron Deficiency Anemia,Iron Deficiency Anemia,87522002,10755381000119108,12314513-DS-16,"As documented in HPI Past Medical History: # Iron Deficiency Anemia: hx of heavy menses, checking for ___'s disease " Missed entity,"(2604, 2616)",,heavy menses,,386692008,,12314513-DS-16," Medical History: # Iron Deficiency Anemia: hx of heavy menses, checking for ___'s disease # Bipolar Type II " "Correct entity, wrong SNOMED ID","(2638, 2645)","(2638, 2645)",disease,disease,64572001,170516003,12314513-DS-16,"y Anemia: hx of heavy menses, checking for ___'s disease # Bipolar Type II with hypomanic episodes # U" Wrong span,"(2650, 2690)","(2650, 2665)",Bipolar Type II with hypomanic episodes ,Bipolar Type II,48937005,38368003,12314513-DS-16," of heavy menses, checking for ___'s disease # Bipolar Type II with hypomanic episodes # UGIB ___ Erosive Gastropathy (___) - unclear e" "Correct entity, wrong SNOMED ID","(2694, 2698)","(2694, 2698)",UGIB,UGIB,37372002,258685003,12314513-DS-16,"e # Bipolar Type II with hypomanic episodes # UGIB ___ Erosive Gastropathy (___) - unclear etiology," "Correct entity, wrong SNOMED ID","(2703, 2722)","(2703, 2722)",Erosive Gastropathy,Erosive Gastropathy,413216002,717847008,12314513-DS-16,"olar Type II with hypomanic episodes # UGIB ___ Erosive Gastropathy (___) - unclear etiology, no evidence of hpylori" "Correct entity, wrong SNOMED ID","(2749, 2761)","(2749, 2761)","no evidence","no evidence",281900007,41647002,12314513-DS-16,"___ Erosive Gastropathy (___) - unclear etiology, no evidence of hpylori # Positive PPD (___), 20mm Soci" Wrong span,"(2762, 2773)","(2765, 2772)",of hpylori ,hpylori,721730009,65686003,12314513-DS-16,"astropathy (___) - unclear etiology, no evidence of hpylori # Positive PPD (___), 20mm Social History: " Missed entity,"(2777, 2789)",,Positive PPD,,268376005,,12314513-DS-16,") - unclear etiology, no evidence of hpylori # Positive PPD (___), 20mm Social History: ___ Family Histo" "Correct entity, wrong SNOMED ID","(2933, 2946)","(2933, 2946)",heart disease,heart disease,56265001,127337006,12314513-DS-16,"mia and her grandmother died of complications of heart disease in her ___. Physical Exam: ADMISSION PHYSICA" "Correct entity, wrong SNOMED ID","(2989, 3002)","(2989, 3002)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,12314513-DS-16,"disease in her ___. Physical Exam: ADMISSION PHYSICAL EXAM: VS: 98.0, 116/75, 61, 18, 99% on RA GENERAL:" "Correct entity, wrong SNOMED ID","(3006, 3008)","(3006, 3008)",VS,VS,118227000,313611000,12314513-DS-16,"_. Physical Exam: ADMISSION PHYSICAL EXAM: VS: 98.0, 116/75, 61, 18, 99% on RA GENERAL: NAD " "Correct entity, wrong SNOMED ID","(3039, 3041)","(3039, 3041)",RA,RA,722742002,109511000146106,12314513-DS-16,"PHYSICAL EXAM: VS: 98.0, 116/75, 61, 18, 99% on RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anict" "Correct entity, wrong SNOMED ID","(3044, 3051)","(3044, 3051)",GENERAL,GENERAL,162673000,252398009,12314513-DS-16,"CAL EXAM: VS: 98.0, 116/75, 61, 18, 99% on RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric scler" "Correct entity, wrong SNOMED ID","(3053, 3056)","(3053, 3056)",NAD,NAD,281900007,131143000,12314513-DS-16," VS: 98.0, 116/75, 61, 18, 99% on RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pi" "Correct entity, wrong SNOMED ID","(3059, 3064)","(3059, 3064)",HEENT,HEENT,5880005,113665002,12314513-DS-16," 98.0, 116/75, 61, 18, 99% on RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conju" "Correct entity, wrong SNOMED ID","(3069, 3071)","(3069, 3071)",NC,NC,840673007,705056007,12314513-DS-16,"/75, 61, 18, 99% on RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva," "Correct entity, wrong SNOMED ID","(3073, 3077)","(3073, 3077)",EOMI,EOMI,103251002,67099000,12314513-DS-16," 61, 18, 99% on RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, MMM," "Correct entity, wrong SNOMED ID","(3079, 3084)","(3079, 3084)",PERRL,PERRL,386666001,431291005,12314513-DS-16,"8, 99% on RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, MMM, good d" "Correct entity, wrong SNOMED ID","(3086, 3102)","(3086, 3102)",anicteric sclera,anicteric sclera,427801009,470731000124100,12314513-DS-16,"on RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, MMM, good dentition NECK: n" "Correct entity, wrong SNOMED ID","(3104, 3120)","(3104, 3120)",pink conjunctiva,pink conjunctiva,193894004,111825008,12314513-DS-16,"AD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, MMM, good dentition NECK: nontender supple ne" "Correct entity, wrong SNOMED ID","(3123, 3126)","(3123, 3126)",MMM,MMM,276398005,258673006,12314513-DS-16,"EOMI, PERRL, anicteric sclera, pink conjunctiva, MMM, good dentition NECK: nontender supple neck, no" "Correct entity, wrong SNOMED ID","(3128, 3142)","(3128, 3142)",good dentition,good dentition,860975008,110476007,12314513-DS-16," PERRL, anicteric sclera, pink conjunctiva, MMM, good dentition NECK: nontender supple neck, no LAD, no JVD C" "Correct entity, wrong SNOMED ID","(3145, 3149)","(3145, 3149)",NECK,NECK,5880005,840674001,12314513-DS-16," sclera, pink conjunctiva, MMM, good dentition NECK: nontender supple neck, no LAD, no JVD CARDIAC:" "Correct entity, wrong SNOMED ID","(3151, 3160)","(3151, 3160)",nontender,nontender,43478001,413319007,12314513-DS-16,"a, pink conjunctiva, MMM, good dentition NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2" "Correct entity, wrong SNOMED ID","(3161, 3167)","(3161, 3167)",supple,supple,298475003,116121000,12314513-DS-16,"njunctiva, MMM, good dentition NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no mu" "Correct entity, wrong SNOMED ID","(3177, 3180)","(3177, 3180)",LAD,LAD,30746006,1010291002,12314513-DS-16," good dentition NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallop" "Correct entity, wrong SNOMED ID","(3185, 3188)","(3185, 3188)",JVD,JVD,271653008,253395003,12314513-DS-16,"ntition NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or ru" "Correct entity, wrong SNOMED ID","(3191, 3198)","(3191, 3198)",CARDIAC,CARDIAC,363003006,71892000,12314513-DS-16,"n NECK: nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG:" "Correct entity, wrong SNOMED ID","(3200, 3203)","(3200, 3203)",RRR,RRR,76863003,129960002,12314513-DS-16," nontender supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB" "Correct entity, wrong SNOMED ID","(3208, 3210)","(3208, 3210)",S2,S2,111974005,81170007,12314513-DS-16,"er supple neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wh" "Correct entity, wrong SNOMED ID","(3215, 3222)","(3215, 3222)",murmurs,murmurs,414786004,248699005,12314513-DS-16,"le neck, no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales" "Correct entity, wrong SNOMED ID","(3224, 3231)","(3224, 3231)",gallops,gallops,2170000,4592006,12314513-DS-16,"no LAD, no JVD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi" "Correct entity, wrong SNOMED ID","(3243, 3247)","(3243, 3247)",LUNG,LUNG,268925001,301232003,12314513-DS-16,"RDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comf" "Correct entity, wrong SNOMED ID","(3249, 3253)","(3249, 3253)",CTAB,CTAB,48348007,259641008,12314513-DS-16," RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortabl" "Correct entity, wrong SNOMED ID","(3258, 3265)","(3258, 3265)",wheezes,wheezes,56018004,9763007,12314513-DS-16,"S2, no murmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably without u" "Correct entity, wrong SNOMED ID","(3267, 3272)","(3267, 3272)",rales,rales,48409008,31846006,12314513-DS-16,"rmurs, gallops, or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably without use of a" "Correct entity, wrong SNOMED ID","(3283, 3304)","(3283, 3304)",breathing comfortably,breathing comfortably,276362002,229299002,12314513-DS-16,"or rubs LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably without use of accessory muscles ABDOMEN: nond" "Correct entity, wrong SNOMED ID","(3321, 3338)","(3321, 3338)",accessory muscles,accessory muscles,50847000,1264025001,12314513-DS-16,"s, rhonchi, breathing comfortably without use of accessory muscles ABDOMEN: nondistended, +BS, nontender in all qu" "Correct entity, wrong SNOMED ID","(3341, 3348)","(3341, 3348)",ABDOMEN,ABDOMEN,225162003,41931001,12314513-DS-16,"g comfortably without use of accessory muscles ABDOMEN: nondistended, +BS, nontender in all quadrants, n" "Correct entity, wrong SNOMED ID","(3350, 3362)","(3350, 3362)",nondistended,nondistended,300405003,441380004,12314513-DS-16,"ably without use of accessory muscles ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/gua" "Correct entity, wrong SNOMED ID","(3364, 3367)","(3364, 3367)",+BS,+BS,61539000,260347006,12314513-DS-16,"use of accessory muscles ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding" "Correct entity, wrong SNOMED ID","(3369, 3378)","(3369, 3378)",nontender,nontender,43478001,413319007,12314513-DS-16,"f accessory muscles ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepato" "Correct entity, wrong SNOMED ID","(3401, 3408)","(3401, 3408)",rebound,rebound,35611005,844584001,12314513-DS-16,"ondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no" "Correct entity, wrong SNOMED ID","(3422, 3440)","(3422, 3440)",hepatosplenomegaly,hepatosplenomegaly,36760000,80378000,12314513-DS-16,"tender in all quadrants, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, mo" "Correct entity, wrong SNOMED ID","(3443, 3454)","(3443, 3454)",EXTREMITIES,EXTREMITIES,302773001,248416007,12314513-DS-16,"ts, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 ex" "Correct entity, wrong SNOMED ID","(3459, 3467)","(3459, 3467)",cyanosis,cyanosis,3415004,95442007,12314513-DS-16,"guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities wit" "Correct entity, wrong SNOMED ID","(3469, 3477)","(3469, 3477)",clubbing,clubbing,367004,30760008,12314513-DS-16,"no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose " "Correct entity, wrong SNOMED ID","(3481, 3486)","(3481, 3486)",edema,edema,267038008,102576009,12314513-DS-16,"enomegaly EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose PULSES:" "Correct entity, wrong SNOMED ID","(3488, 3513)","(3488, 3513)","moving all 4 extremities","moving all 4 extremities",284137004,364892002,12314513-DS-16,"ly EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 extremities with purpose PULSES: 2+ DP pulses bilaterally " "Correct entity, wrong SNOMED ID","(3529, 3535)","(3529, 3535)",PULSES,PULSES,366199006,307684005,12314513-DS-16,"r edema, moving all 4 extremities with purpose PULSES: 2+ DP pulses bilaterally NEURO: CN II-XII inta" "Correct entity, wrong SNOMED ID","(3537, 3549)","(3537, 3549)",2+ DP pulses,2+ DP pulses,301160009,429784004,12314513-DS-16," moving all 4 extremities with purpose PULSES: 2+ DP pulses bilaterally NEURO: CN II-XII intact SKIN: war" "Correct entity, wrong SNOMED ID","(3564, 3569)","(3564, 3569)",NEURO,NEURO,84728005,281247006,12314513-DS-16,"with purpose PULSES: 2+ DP pulses bilaterally NEURO: CN II-XII intact SKIN: warm and well perfused," Wrong span,"(3571, 3580)","(3571, 3587)",CN II-XII,CN II-XII intact,830121005,408755005,12314513-DS-16,"rpose PULSES: 2+ DP pulses bilaterally NEURO: CN II-XII intact SKIN: warm and well perfused, no excoria" Wrong span,"(3581, 3587)","(3571, 3587)",intact,CN II-XII intact,830121005,408755005,12314513-DS-16,"LSES: 2+ DP pulses bilaterally NEURO: CN II-XII intact SKIN: warm and well perfused, no excoriations o" "Correct entity, wrong SNOMED ID","(3590, 3594)","(3590, 3594)",SKIN,SKIN,271303006,444884003,12314513-DS-16,"DP pulses bilaterally NEURO: CN II-XII intact SKIN: warm and well perfused, no excoriations or lesio" "Correct entity, wrong SNOMED ID","(3596, 3600)","(3596, 3600)",warm,warm,102599008,298256005,12314513-DS-16,"ses bilaterally NEURO: CN II-XII intact SKIN: warm and well perfused, no excoriations or lesions, no" "Correct entity, wrong SNOMED ID","(3605, 3618)","(3605, 3618)",well perfused,well perfused,1137685003,301121007,12314513-DS-16,"erally NEURO: CN II-XII intact SKIN: warm and well perfused, no excoriations or lesions, no rashes DISCHAR" "Correct entity, wrong SNOMED ID","(3623, 3635)","(3623, 3635)",excoriations,excoriations,400048001,788886000,12314513-DS-16," II-XII intact SKIN: warm and well perfused, no excoriations or lesions, no rashes DISCHARGE PHYSICAL EXAM:" "Correct entity, wrong SNOMED ID","(3639, 3646)","(3639, 3646)",lesions,lesions,52988006,246206008,12314513-DS-16," SKIN: warm and well perfused, no excoriations or lesions, no rashes DISCHARGE PHYSICAL EXAM: VS: 97.7, " "Correct entity, wrong SNOMED ID","(3652, 3658)","(3652, 3658)",rashes,rashes,271807003,247472004,12314513-DS-16,"nd well perfused, no excoriations or lesions, no rashes DISCHARGE PHYSICAL EXAM: VS: 97.7, 94/57, 52, 1" "Correct entity, wrong SNOMED ID","(3686, 3688)","(3686, 3688)",VS,VS,118227000,313611000,12314513-DS-16,"or lesions, no rashes DISCHARGE PHYSICAL EXAM: VS: 97.7, 94/57, 52, 18, 99% on RA General: alert," "Correct entity, wrong SNOMED ID","(3718, 3720)","(3718, 3720)",RA,RA,722742002,109511000146106,12314513-DS-16,"GE PHYSICAL EXAM: VS: 97.7, 94/57, 52, 18, 99% on RA General: alert, oriented, no acute distress H" "Correct entity, wrong SNOMED ID","(3723, 3730)","(3723, 3730)",General,General,162673000,252398009,12314513-DS-16,"YSICAL EXAM: VS: 97.7, 94/57, 52, 18, 99% on RA General: alert, oriented, no acute distress HEENT: scle" "Correct entity, wrong SNOMED ID","(3732, 3737)","(3732, 3737)",alert,alert,248234008,409787004,12314513-DS-16,"AM: VS: 97.7, 94/57, 52, 18, 99% on RA General: alert, oriented, no acute distress HEENT: sclera anic" "Correct entity, wrong SNOMED ID","(3739, 3747)","(3739, 3747)",oriented,oriented,247663003,787379002,12314513-DS-16," 97.7, 94/57, 52, 18, 99% on RA General: alert, oriented, no acute distress HEENT: sclera anicteric, MMM" "Correct entity, wrong SNOMED ID","(3758, 3766)","(3758, 3766)",distress,distress,69328002,271825005,12314513-DS-16,"8, 99% on RA General: alert, oriented, no acute distress HEENT: sclera anicteric, MMM, oropharynx clear " "Correct entity, wrong SNOMED ID","(3769, 3774)","(3769, 3774)",HEENT,HEENT,5880005,113665002,12314513-DS-16,"A General: alert, oriented, no acute distress HEENT: sclera anicteric, MMM, oropharynx clear Neck: " "Correct entity, wrong SNOMED ID","(3776, 3792)","(3776, 3792)",sclera anicteric,sclera anicteric,427801009,470731000124100,12314513-DS-16,"eral: alert, oriented, no acute distress HEENT: sclera anicteric, MMM, oropharynx clear Neck: supple, JVP not el" "Correct entity, wrong SNOMED ID","(3794, 3797)","(3794, 3797)",MMM,MMM,276398005,258673006,12314513-DS-16,"ted, no acute distress HEENT: sclera anicteric, MMM, oropharynx clear Neck: supple, JVP not elevate" Wrong span,"(3799, 3809)","(3799, 3815)",oropharynx,oropharynx clear,31389004,426547004,12314513-DS-16,"no acute distress HEENT: sclera anicteric, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD " "Correct entity, wrong SNOMED ID","(3818, 3822)","(3818, 3822)",Neck,Neck,5880005,840674001,12314513-DS-16," HEENT: sclera anicteric, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: clear " "Correct entity, wrong SNOMED ID","(3824, 3830)","(3824, 3830)",supple,supple,298475003,116121000,12314513-DS-16,": sclera anicteric, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: clear to auscu" "Correct entity, wrong SNOMED ID","(3832, 3848)","(3832, 3848)",JVP not elevated,JVP not elevated,369001,248729008,12314513-DS-16," anicteric, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: clear to auscultation bilaterall" "Correct entity, wrong SNOMED ID","(3853, 3856)","(3853, 3856)",LAD,LAD,30746006,1010291002,12314513-DS-16,"harynx clear Neck: supple, JVP not elevated, no LAD Lungs: clear to auscultation bilaterally, no wh" "Correct entity, wrong SNOMED ID","(3859, 3864)","(3859, 3864)",Lungs,Lungs,268925001,169115000,12314513-DS-16," clear Neck: supple, JVP not elevated, no LAD Lungs: clear to auscultation bilaterally, no wheezes, r" "Correct entity, wrong SNOMED ID","(3904, 3911)","(3904, 3911)",wheezes,wheezes,56018004,9763007,12314513-DS-16,"AD Lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi CV: regular rate and rhythm, no" "Correct entity, wrong SNOMED ID","(3913, 3918)","(3913, 3918)",rales,rales,48409008,31846006,12314513-DS-16,"s: clear to auscultation bilaterally, no wheezes, rales, ronchi CV: regular rate and rhythm, normal S1" "Correct entity, wrong SNOMED ID","(3921, 3927)","(3921, 3927)",ronchi,ronchi,24612001,25905002,12314513-DS-16," to auscultation bilaterally, no wheezes, rales, ronchi CV: regular rate and rhythm, normal S1 + S2, no" "Correct entity, wrong SNOMED ID","(3930, 3932)","(3930, 3932)",CV,CV,363003006,258773002,12314513-DS-16,"ltation bilaterally, no wheezes, rales, ronchi CV: regular rate and rhythm, normal S1 + S2, no murm" "Correct entity, wrong SNOMED ID","(3934, 3957)","(3934, 3957)",regular rate and rhythm,regular rate and rhythm,76863003,428919002,12314513-DS-16,"ion bilaterally, no wheezes, rales, ronchi CV: regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abd" "Correct entity, wrong SNOMED ID","(3959, 3968)","(3959, 3968)",normal S1,normal S1,26198000,167242001,12314513-DS-16,"es, rales, ronchi CV: regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft," Boundary error,"(3969, 3973)","(3971, 3973)",+ S2,S2,111974005,81170007,12314513-DS-16," ronchi CV: regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-" "Correct entity, wrong SNOMED ID","(3978, 3985)","(3978, 3985)",murmurs,murmurs,414786004,248699005,12314513-DS-16," CV: regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-" "Correct entity, wrong SNOMED ID","(3994, 4001)","(3994, 4001)",gallops,gallops,2170000,4592006,12314513-DS-16,"te and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel" "Correct entity, wrong SNOMED ID","(4004, 4011)","(4004, 4011)",Abdomen,Abdomen,225162003,41931001,12314513-DS-16,"thm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds pr" "Correct entity, wrong SNOMED ID","(4019, 4029)","(4019, 4029)",non-tender,non-tender,43478001,298741000,12314513-DS-16,"+ S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound" "Correct entity, wrong SNOMED ID","(4031, 4044)","(4031, 4044)",non-distended,non-distended,300405003,162069004,12314513-DS-16,"murs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or " "Correct entity, wrong SNOMED ID","(4046, 4066)","(4046, 4066)",bowel sounds present,bowel sounds present,61539000,444685004,12314513-DS-16,"llops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomeg" Wrong span,"(4072, 4090)","(4072, 4079)",rebound tenderness,rebound,35611005,844584001,12314513-DS-16,"-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly GU: no foley Ext" "Correct entity, wrong SNOMED ID","(4122, 4124)","(4122, 4124)",GU,GU,268945009,112505003,12314513-DS-16,"rebound tenderness or guarding, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, " "Correct entity, wrong SNOMED ID","(4129, 4134)","(4129, 4134)",foley,foley,439053001,411381006,12314513-DS-16," tenderness or guarding, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, no clubbin" "Correct entity, wrong SNOMED ID","(4137, 4140)","(4137, 4140)",Ext,Ext,302773001,1489008,12314513-DS-16,"ess or guarding, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, no clubbing, cya" "Correct entity, wrong SNOMED ID","(4142, 4146)","(4142, 4146)",warm,warm,102599008,298256005,12314513-DS-16,"r guarding, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis " "Correct entity, wrong SNOMED ID","(4148, 4161)","(4148, 4161)",well perfused,well perfused,1137685003,301121007,12314513-DS-16,"ding, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neu" "Correct entity, wrong SNOMED ID","(4163, 4172)","(4163, 4172)",2+ pulses,2+ pulses,40969002,429784004,12314513-DS-16,"megaly GU: no foley Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs2-12" "Correct entity, wrong SNOMED ID","(4177, 4185)","(4177, 4185)",clubbing,clubbing,367004,30760008,12314513-DS-16,"o foley Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs2-12 intact, moto" "Correct entity, wrong SNOMED ID","(4187, 4195)","(4187, 4195)",cyanosis,cyanosis,3415004,95442007,12314513-DS-16,"Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs2-12 intact, motor function" "Correct entity, wrong SNOMED ID","(4200, 4205)","(4200, 4205)",edema,edema,267038008,102576009,12314513-DS-16,"ll perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs2-12 intact, motor function grossly n" "Correct entity, wrong SNOMED ID","(4208, 4213)","(4208, 4213)",Neuro,Neuro,84728005,281247006,12314513-DS-16,"sed, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs2-12 intact, motor function grossly normal " Missed entity,"(4220, 4229)",,12 intact,,823978007,,12314513-DS-16,"es, no clubbing, cyanosis or edema Neuro: CNs2-12 intact, motor function grossly normal Pertinent R" "Correct entity, wrong SNOMED ID","(4231, 4260)","(4231, 4260)",motor function grossly normal,motor function grossly normal,298331001,167792001,12314513-DS-16,"bing, cyanosis or edema Neuro: CNs2-12 intact, motor function grossly normal Pertinent Results: ***ADMISSION LABS*** __" "Correct entity, wrong SNOMED ID","(4326, 4329)","(4326, 4329)",WBC,WBC,767002,391558003,12314513-DS-16,"t Results: ***ADMISSION LABS*** ___ 02:00PM BLOOD WBC-6.0 RBC-4.30 Hgb-12.5 Hct-35.9 MCV-84 MCH-29.1 M" "Correct entity, wrong SNOMED ID","(4334, 4337)","(4334, 4337)",RBC,RBC,14089001,258759006,12314513-DS-16,"s: ***ADMISSION LABS*** ___ 02:00PM BLOOD WBC-6.0 RBC-4.30 Hgb-12.5 Hct-35.9 MCV-84 MCH-29.1 MCHC-34.8" "Correct entity, wrong SNOMED ID","(4343, 4346)","(4343, 4346)",Hgb,Hgb,441689006,104142005,12314513-DS-16,"ISSION LABS*** ___ 02:00PM BLOOD WBC-6.0 RBC-4.30 Hgb-12.5 Hct-35.9 MCV-84 MCH-29.1 MCHC-34.8 RDW-12.0" "Correct entity, wrong SNOMED ID","(4352, 4355)","(4352, 4355)",Hct,Hct,28317006,409683007,12314513-DS-16,"BS*** ___ 02:00PM BLOOD WBC-6.0 RBC-4.30 Hgb-12.5 Hct-35.9 MCV-84 MCH-29.1 MCHC-34.8 RDW-12.0 RDWSD-36" Missed entity,"(4361, 4364)",,MCV,,104133003,,12314513-DS-16," 02:00PM BLOOD WBC-6.0 RBC-4.30 Hgb-12.5 Hct-35.9 MCV-84 MCH-29.1 MCHC-34.8 RDW-12.0 RDWSD-36.6 Plt __" "Correct entity, wrong SNOMED ID","(4378, 4382)","(4378, 4382)",MCHC,MCHC,37254006,735147002,12314513-DS-16,"C-6.0 RBC-4.30 Hgb-12.5 Hct-35.9 MCV-84 MCH-29.1 MCHC-34.8 RDW-12.0 RDWSD-36.6 Plt ___ ___ 02:00PM BLOO" "Correct entity, wrong SNOMED ID","(4388, 4391)","(4388, 4391)",RDW,RDW,66842004,735149004,12314513-DS-16,"4.30 Hgb-12.5 Hct-35.9 MCV-84 MCH-29.1 MCHC-34.8 RDW-12.0 RDWSD-36.6 Plt ___ ___ 02:00PM BLOOD Neuts-6" "Correct entity, wrong SNOMED ID","(4397, 4402)","(4397, 4402)",RDWSD,RDWSD,66842004,80328002,12314513-DS-16,"12.5 Hct-35.9 MCV-84 MCH-29.1 MCHC-34.8 RDW-12.0 RDWSD-36.6 Plt ___ ___ 02:00PM BLOOD Neuts-61.0 ___ Mon" "Correct entity, wrong SNOMED ID","(4434, 4439)","(4434, 4439)",Neuts,Neuts,30630007,271035003,12314513-DS-16,"4.8 RDW-12.0 RDWSD-36.6 Plt ___ ___ 02:00PM BLOOD Neuts-61.0 ___ Monos-8.5 Eos-0.8* Baso-0.5 Im ___ AbsN" "Correct entity, wrong SNOMED ID","(4449, 4454)","(4449, 4454)",Monos,Monos,67776007,462791000124108,12314513-DS-16,"WSD-36.6 Plt ___ ___ 02:00PM BLOOD Neuts-61.0 ___ Monos-8.5 Eos-0.8* Baso-0.5 Im ___ AbsNeut-3.66 AbsLym" "Correct entity, wrong SNOMED ID","(4459, 4462)","(4459, 4462)",Eos,Eos,71960002,67099000,12314513-DS-16,"lt ___ ___ 02:00PM BLOOD Neuts-61.0 ___ Monos-8.5 Eos-0.8* Baso-0.5 Im ___ AbsNeut-3.66 AbsLymp-1.74 A" "Correct entity, wrong SNOMED ID","(4568, 4575)","(4568, 4575)",Glucose,Glucose,33747003,72191006,12314513-DS-16,"-0.51 AbsEos-0.05 AbsBaso-0.03 ___ 02:00PM BLOOD Glucose-97 UreaN-10 Creat-0.8 Na-139 K-3.6 Cl-104 HCO3-2" "Correct entity, wrong SNOMED ID","(4579, 4584)","(4579, 4584)",UreaN,UreaN,105011006,111108008,12314513-DS-16,"os-0.05 AbsBaso-0.03 ___ 02:00PM BLOOD Glucose-97 UreaN-10 Creat-0.8 Na-139 K-3.6 Cl-104 HCO3-26 AnGap-1" "Correct entity, wrong SNOMED ID","(4588, 4593)","(4588, 4593)",Creat,Creat,70901006,365756002,12314513-DS-16,"bsBaso-0.03 ___ 02:00PM BLOOD Glucose-97 UreaN-10 Creat-0.8 Na-139 K-3.6 Cl-104 HCO3-26 AnGap-13 ___ 02:" "Correct entity, wrong SNOMED ID","(4598, 4600)","(4598, 4600)",Na,Na,312469006,257992007,12314513-DS-16,"3 ___ 02:00PM BLOOD Glucose-97 UreaN-10 Creat-0.8 Na-139 K-3.6 Cl-104 HCO3-26 AnGap-13 ___ 02:17PM BL" "Correct entity, wrong SNOMED ID","(4612, 4614)","(4612, 4614)",Cl,Cl,104589004,311741002,12314513-DS-16,"BLOOD Glucose-97 UreaN-10 Creat-0.8 Na-139 K-3.6 Cl-104 HCO3-26 AnGap-13 ___ 02:17PM BLOOD Lactate-1." "Correct entity, wrong SNOMED ID","(4619, 4623)","(4619, 4623)",HCO3,HCO3,312471006,88645003,12314513-DS-16,"lucose-97 UreaN-10 Creat-0.8 Na-139 K-3.6 Cl-104 HCO3-26 AnGap-13 ___ 02:17PM BLOOD Lactate-1.2 ***DIS" "Correct entity, wrong SNOMED ID","(4627, 4632)","(4627, 4632)",AnGap,AnGap,25469001,124504004,12314513-DS-16,"7 UreaN-10 Creat-0.8 Na-139 K-3.6 Cl-104 HCO3-26 AnGap-13 ___ 02:17PM BLOOD Lactate-1.2 ***DISCHARGE LA" "Correct entity, wrong SNOMED ID","(4706, 4709)","(4706, 4709)",WBC,WBC,767002,391558003,12314513-DS-16,"ctate-1.2 ***DISCHARGE LABS*** ___ 07:25AM BLOOD WBC-6.1 RBC-4.61 Hgb-13.0 Hct-39.0 MCV-85 MCH-28.2 M" "Correct entity, wrong SNOMED ID","(4714, 4717)","(4714, 4717)",RBC,RBC,14089001,258759006,12314513-DS-16,"2 ***DISCHARGE LABS*** ___ 07:25AM BLOOD WBC-6.1 RBC-4.61 Hgb-13.0 Hct-39.0 MCV-85 MCH-28.2 MCHC-33.3" "Correct entity, wrong SNOMED ID","(4723, 4726)","(4723, 4726)",Hgb,Hgb,441689006,104142005,12314513-DS-16,"CHARGE LABS*** ___ 07:25AM BLOOD WBC-6.1 RBC-4.61 Hgb-13.0 Hct-39.0 MCV-85 MCH-28.2 MCHC-33.3 RDW-12.3" "Correct entity, wrong SNOMED ID","(4732, 4735)","(4732, 4735)",Hct,Hct,28317006,409683007,12314513-DS-16,"BS*** ___ 07:25AM BLOOD WBC-6.1 RBC-4.61 Hgb-13.0 Hct-39.0 MCV-85 MCH-28.2 MCHC-33.3 RDW-12.3 RDWSD-37" Missed entity,"(4741, 4744)",,MCV,,104133003,,12314513-DS-16," 07:25AM BLOOD WBC-6.1 RBC-4.61 Hgb-13.0 Hct-39.0 MCV-85 MCH-28.2 MCHC-33.3 RDW-12.3 RDWSD-37.2 Plt __" "Correct entity, wrong SNOMED ID","(4758, 4762)","(4758, 4762)",MCHC,MCHC,37254006,735147002,12314513-DS-16,"C-6.1 RBC-4.61 Hgb-13.0 Hct-39.0 MCV-85 MCH-28.2 MCHC-33.3 RDW-12.3 RDWSD-37.2 Plt ___ ___ 07:25AM BLOO" "Correct entity, wrong SNOMED ID","(4768, 4771)","(4768, 4771)",RDW,RDW,66842004,735149004,12314513-DS-16,"4.61 Hgb-13.0 Hct-39.0 MCV-85 MCH-28.2 MCHC-33.3 RDW-12.3 RDWSD-37.2 Plt ___ ___ 07:25AM BLOOD Glucose" "Correct entity, wrong SNOMED ID","(4777, 4782)","(4777, 4782)",RDWSD,RDWSD,66842004,80328002,12314513-DS-16,"13.0 Hct-39.0 MCV-85 MCH-28.2 MCHC-33.3 RDW-12.3 RDWSD-37.2 Plt ___ ___ 07:25AM BLOOD Glucose-86 UreaN-8" "Correct entity, wrong SNOMED ID","(4814, 4821)","(4814, 4821)",Glucose,Glucose,33747003,72191006,12314513-DS-16,"3.3 RDW-12.3 RDWSD-37.2 Plt ___ ___ 07:25AM BLOOD Glucose-86 UreaN-8 Creat-0.7 Na-138 K-4.1 Cl-104 HCO3-24" "Correct entity, wrong SNOMED ID","(4825, 4830)","(4825, 4830)",UreaN,UreaN,105011006,111108008,12314513-DS-16,"3 RDWSD-37.2 Plt ___ ___ 07:25AM BLOOD Glucose-86 UreaN-8 Creat-0.7 Na-138 K-4.1 Cl-104 HCO3-24 AnGap-14" "Correct entity, wrong SNOMED ID","(4833, 4838)","(4833, 4838)",Creat,Creat,70901006,365756002,12314513-DS-16,"37.2 Plt ___ ___ 07:25AM BLOOD Glucose-86 UreaN-8 Creat-0.7 Na-138 K-4.1 Cl-104 HCO3-24 AnGap-14 ___ 07:" "Correct entity, wrong SNOMED ID","(4843, 4845)","(4843, 4845)",Na,Na,312469006,257992007,12314513-DS-16,"__ ___ 07:25AM BLOOD Glucose-86 UreaN-8 Creat-0.7 Na-138 K-4.1 Cl-104 HCO3-24 AnGap-14 ___ 07:25AM BL" Missed entity,"(4850, 4851)",,K,,312468003,,12314513-DS-16,"07:25AM BLOOD Glucose-86 UreaN-8 Creat-0.7 Na-138 K-4.1 Cl-104 HCO3-24 AnGap-14 ___ 07:25AM BLOOD Ca" "Correct entity, wrong SNOMED ID","(4864, 4868)","(4864, 4868)",HCO3,HCO3,312471006,88645003,12314513-DS-16,"Glucose-86 UreaN-8 Creat-0.7 Na-138 K-4.1 Cl-104 HCO3-24 AnGap-14 ___ 07:25AM BLOOD Calcium-9.2 Phos-3." "Correct entity, wrong SNOMED ID","(4872, 4877)","(4872, 4877)",AnGap,AnGap,25469001,124504004,12314513-DS-16,"86 UreaN-8 Creat-0.7 Na-138 K-4.1 Cl-104 HCO3-24 AnGap-14 ___ 07:25AM BLOOD Calcium-9.2 Phos-3.9 Mg-1.8 " "Correct entity, wrong SNOMED ID","(4899, 4906)","(4899, 4906)",Calcium,Calcium,312472004,108601004,12314513-DS-16," K-4.1 Cl-104 HCO3-24 AnGap-14 ___ 07:25AM BLOOD Calcium-9.2 Phos-3.9 Mg-1.8 ***OTHER LABS*** ___ 07:17AM" "Correct entity, wrong SNOMED ID","(4911, 4915)","(4911, 4915)",Phos,Phos,104868000,168075002,12314513-DS-16,"04 HCO3-24 AnGap-14 ___ 07:25AM BLOOD Calcium-9.2 Phos-3.9 Mg-1.8 ***OTHER LABS*** ___ 07:17AM BLOOD HI" "Correct entity, wrong SNOMED ID","(4920, 4922)","(4920, 4922)",Mg,Mg,271285000,258684004,12314513-DS-16,"4 AnGap-14 ___ 07:25AM BLOOD Calcium-9.2 Phos-3.9 Mg-1.8 ***OTHER LABS*** ___ 07:17AM BLOOD HIV Ab-Ne" Missed entity,"(4983, 4990)",,IMAGING,,363679005,,12314513-DS-16,"HER LABS*** ___ 07:17AM BLOOD HIV Ab-Negative ***IMAGING*** ___ CXR FINDINGS: The lungs are hyperinflate" "Correct entity, wrong SNOMED ID","(5018, 5023)","(5018, 5023)",lungs,lungs,39607008,169115000,12314513-DS-16,"b-Negative ***IMAGING*** ___ CXR FINDINGS: The lungs are hyperinflated and clear. No pleural effusion" "Correct entity, wrong SNOMED ID","(5057, 5073)","(5057, 5073)",pleural effusion,pleural effusion,60046008,1366511008,12314513-DS-16,"NGS: The lungs are hyperinflated and clear. No pleural effusion or pneumothorax is seen. The cardiac and mediast" "Correct entity, wrong SNOMED ID","(5078, 5090)","(5078, 5090)",pneumothorax,pneumothorax,36118008,109364007,12314513-DS-16,"hyperinflated and clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes " "Correct entity, wrong SNOMED ID","(5104, 5111)","(5104, 5111)",cardiac,cardiac,80891009,71892000,12314513-DS-16,"No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. " "Correct entity, wrong SNOMED ID","(5116, 5127)","(5116, 5127)",mediastinal,mediastinal,72410000,363646005,12314513-DS-16,"ffusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. IMPRESSION: " "Correct entity, wrong SNOMED ID","(5145, 5157)","(5145, 5157)",unremarkable,unremarkable,281900007,167827008,12314513-DS-16,"een. The cardiac and mediastinal silhouettes are unremarkable. IMPRESSION: No acute cardiopulmonary pro" Missed entity,"(5214, 5225)",,No findings,,281900007,,12314513-DS-16,"MPRESSION: No acute cardiopulmonary process. No findings to suggest active tuberculosis. ***MICROBIOLOGY" Wrong span,"(5237, 5257)","(5245, 5257)","active tuberculosis",tuberculosis,427099000,235067001,12314513-DS-16," cardiopulmonary process. No findings to suggest active tuberculosis. ***MICROBIOLOGY*** ___ 12:25 am SPUTUM Sou" Boundary error,"(5263, 5275)","(5263, 5273)",MICROBIOLOGY,MICROBIOLO,269934003,394820005,12314513-DS-16," No findings to suggest active tuberculosis. ***MICROBIOLOGY*** ___ 12:25 am SPUTUM Source: Induced. " Missed entity,"(5331, 5335)",,FAST,,45896001,,12314513-DS-16,"_ 12:25 am SPUTUM Source: Induced. ACID FAST SMEAR (Final ___: NO ACID FAST BACILLI SEE" Missed entity,"(5369, 5373)",,FAST,,45896001,,12314513-DS-16,". ACID FAST SMEAR (Final ___: NO ACID FAST BACILLI SEEN ON CONCENTRATED SMEAR. ___ 9:02 am " Missed entity,"(5462, 5466)",,FAST,,45896001,,12314513-DS-16,"__ 9:02 am SPUTUM Source: Induced. ACID FAST SMEAR (Final ___: NO ACID FAST BACILLI SEE" Missed entity,"(5500, 5504)",,FAST,,45896001,,12314513-DS-16,". ACID FAST SMEAR (Final ___: NO ACID FAST BACILLI SEEN ON CONCENTRATED SMEAR. ___ 5:23 pm" Missed entity,"(5594, 5606)",,expectorated,,289119003,,12314513-DS-16,"__ 5:23 pm SPUTUM Source: Induced (noted as expectorated in lab report, but actually induced per respirato" Missed entity,"(5717, 5721)",,FAST,,45896001,,12314513-DS-16,"st, will be corrected in future records) ACID FAST SMEAR (Final ___: NO ACID FAST BACILLI SEE" Missed entity,"(5755, 5759)",,FAST,,45896001,,12314513-DS-16,"s) ACID FAST SMEAR (Final ___: NO ACID FAST BACILLI SEEN ON CONCENTRATED SMEAR. Brief " "Correct entity, wrong SNOMED ID","(5866, 5889)","(5866, 5889)","pulmonary tuberculosis","pulmonary tuberculosis",154283005,446946005,12314513-DS-16,"l Course: Ms. ___ was admitted to rule out active pulmonary tuberculosis. ACTIVE ISSUES ============== #Positive PPD:" Missed entity,"(5926, 5938)",,Positive PPD,,268376005,,12314513-DS-16," tuberculosis. ACTIVE ISSUES ============== #Positive PPD: Pt. has had generalized malaise with a mild coug" "Correct entity, wrong SNOMED ID","(5964, 5971)","(5964, 5971)",malaise,malaise,367391008,82991003,12314513-DS-16,"======== #Positive PPD: Pt. has had generalized malaise with a mild cough recently, however she is large" "Correct entity, wrong SNOMED ID","(5984, 5989)","(5984, 5989)",cough,cough,49727002,28743005,12314513-DS-16," PPD: Pt. has had generalized malaise with a mild cough recently, however she is largely asymptomatic, n" "Correct entity, wrong SNOMED ID","(6024, 6036)","(6024, 6036)",asymptomatic,asymptomatic,84387000,5481000175101,12314513-DS-16,"th a mild cough recently, however she is largely asymptomatic, no fevers, chills, hemoptysis. Negative CXR (if" "Correct entity, wrong SNOMED ID","(6041, 6047)","(6041, 6047)",fevers,fevers,386661006,248444008,12314513-DS-16,"recently, however she is largely asymptomatic, no fevers, chills, hemoptysis. Negative CXR (if reactivati" "Correct entity, wrong SNOMED ID","(6050, 6056)","(6050, 6056)",chills,chills,43724002,274640006,12314513-DS-16," however she is largely asymptomatic, no fevers, chills, hemoptysis. Negative CXR (if reactivation TB, wo" "Correct entity, wrong SNOMED ID","(6058, 6068)","(6058, 6068)",hemoptysis,hemoptysis,66857006,206304007,12314513-DS-16," she is largely asymptomatic, no fevers, chills, hemoptysis. Negative CXR (if reactivation TB, would expect " Wrong span,"(6070, 6082)","(6079, 6082)",Negative CXR,CXR,168733007,399208008,12314513-DS-16,"ely asymptomatic, no fevers, chills, hemoptysis. Negative CXR (if reactivation TB, would expect positive CXR)." Wrong span,"(6118, 6130)","(6118, 6126)",positive CXR,positive,168734001,268376005,12314513-DS-16,". Negative CXR (if reactivation TB, would expect positive CXR). Pt. without risk factors for HIV, negative tes" Wrong span,"(6162, 6175)","(6162, 6165)","HIV, negative",HIV,165815009,19030005,12314513-DS-16,"xpect positive CXR). Pt. without risk factors for HIV, negative test within the last ___ years. Induced sputum " Missed entity,"(6258, 6268)",,gram stain,,62777006,,12314513-DS-16," Induced sputum x3 was preformed with no AFB on gram stain, culture results and MTB direct amplification pe" "Correct entity, wrong SNOMED ID","(6270, 6277)","(6270, 6277)",culture,culture,104173009,61594008,12314513-DS-16,"utum x3 was preformed with no AFB on gram stain, culture results and MTB direct amplification pending at " Wrong span,"(6347, 6353)","(6347, 6350)",HIV ab,HIV,165813002,19030005,12314513-DS-16,"ect amplification pending at time of discharge. HIV ab negative. CHRONIC ISSUES =============== #" "Correct entity, wrong SNOMED ID","(6403, 6425)","(6403, 6425)",Iron Deficiency anemia,Iron Deficiency anemia,87522002,10755381000119108,12314513-DS-16," negative. CHRONIC ISSUES =============== #Iron Deficiency anemia: due to menorrhagia, pt s/p IV iron ___, not on " "Correct entity, wrong SNOMED ID","(6434, 6445)","(6434, 6445)",menorrhagia,menorrhagia,386692008,237125007,12314513-DS-16,"=============== #Iron Deficiency anemia: due to menorrhagia, pt s/p IV iron ___, not on oral iron supplement" "Correct entity, wrong SNOMED ID","(6454, 6461)","(6454, 6461)",IV iron,IV iron,718520009,445902007,12314513-DS-16,"ron Deficiency anemia: due to menorrhagia, pt s/p IV iron ___, not on oral iron supplement per last outpat" Missed entity,"(6480, 6495)",,iron supplement,,438911000124105,,12314513-DS-16," to menorrhagia, pt s/p IV iron ___, not on oral iron supplement per last outpatient note. Recommend continued o" Missed entity,"(6555, 6565)",,monitoring,,710993005,,12314513-DS-16,"outpatient note. Recommend continued outpatient monitoring. #Bipolar Type II: stable per last outpatient" "Correct entity, wrong SNOMED ID","(6572, 6587)","(6572, 6587)",Bipolar Type II,Bipolar Type II,83225003,38368003,12314513-DS-16," Recommend continued outpatient monitoring. #Bipolar Type II: stable per last outpatient note, patient not on" "Correct entity, wrong SNOMED ID","(6589, 6595)","(6589, 6595)",stable,stable,359746009,301459008,12314513-DS-16,"nued outpatient monitoring. #Bipolar Type II: stable per last outpatient note, patient not on any med" Missed entity,"(6642, 6653)",,medications,,33633005,,12314513-DS-16,"ble per last outpatient note, patient not on any medications #Seasonal Allergies: Continue fluticasone PRN " "Correct entity, wrong SNOMED ID","(6658, 6676)","(6658, 6676)",Seasonal Allergies,Seasonal Allergies,444316004,232353008,12314513-DS-16,"patient note, patient not on any medications #Seasonal Allergies: Continue fluticasone PRN TRANSITIONAL ISSUES:" Wrong span,"(6760, 6769)","(6760, 6785)",acid fast,acid fast sputum cultures,391361001,442773002,12314513-DS-16,"SITIONAL ISSUES: ====================== [ ] Final acid fast sputum cultures pending at discharge. [ ] Patient" Wrong span,"(6770, 6785)","(6760, 6785)",sputum cultures,acid fast sputum cultures,104173009,442773002,12314513-DS-16,"SSUES: ====================== [ ] Final acid fast sputum cultures pending at discharge. [ ] Patient is planning to " Missed entity,"(6823, 6839)",,planning to move,,310869005,,12314513-DS-16,"tum cultures pending at discharge. [ ] Patient is planning to move to ___ in two weeks. We recommend that she find " Missed entity,"(6892, 6921)",,Infectious Disease specialist,,305491002,,12314513-DS-16," ___ in two weeks. We recommend that she find an Infectious Disease specialist in ___ ___ to start treatment for latent TB, and" Missed entity,"(6957, 6966)",,latent TB,,11999007,,12314513-DS-16,"ase specialist in ___ ___ to start treatment for latent TB, and she is agreeable. We counseled her on the t" Missed entity,"(7024, 7049)",,"medications, side effects",,401207004,,12314513-DS-16,"e is agreeable. We counseled her on the types of medications, side effects, etc. She plans to f/u with PCP at ___ prior to " "Correct entity, wrong SNOMED ID","(7079, 7082)","(7079, 7082)",PCP,PCP,737470001,258731005,12314513-DS-16,"ations, side effects, etc. She plans to f/u with PCP at ___ prior to moving as well. Medications on " Missed entity,"(7404, 7416)",,Positive PPD,,268376005,,12314513-DS-16,"Diagnosis: PRIMARY DIAGNOSIS: =================== Positive PPD Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(7441, 7454)","(7441, 7454)",Mental Status,Mental Status,392257007,419284004,12314513-DS-16,"============ Positive PPD Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(7456, 7461)","(7456, 7461)",Clear,Clear,830123008,281278005,12314513-DS-16,"sitive PPD Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(7476, 7498)","(7476, 7498)",Level of Consciousness,Level of Consciousness,444714004,830285008,12314513-DS-16,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(7500, 7505)","(7500, 7505)",Alert,Alert,248234008,409787004,12314513-DS-16,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(7510, 7521)","(7510, 7521)",interactive,interactive,288577006,10301000202103,12314513-DS-16,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(7540, 7564)","(7540, 7564)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,12314513-DS-16,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, It was" Wrong span,"(7711, 7730)","(7718, 7730)",active tuberculosis,tuberculosis,427099000,235067001,12314513-DS-16,"lization at ___. You were admitted to rule out active tuberculosis given your positive PPD. The initial sputum tes" "Correct entity, wrong SNOMED ID","(7742, 7754)","(7742, 7754)",positive PPD,positive PPD,268376005,164987002,12314513-DS-16,"itted to rule out active tuberculosis given your positive PPD. The initial sputum tests are negative, so we a" "Correct entity, wrong SNOMED ID","(7770, 7782)","(7770, 7782)",sputum tests,sputum tests,269911007,167995008,12314513-DS-16,"berculosis given your positive PPD. The initial sputum tests are negative, so we are discharing you home. You" Missed entity,"(7841, 7850)",,follow-up,,308273005,,12314513-DS-16,"tive, so we are discharing you home. You should follow-up with your primary care physician as scheduled. " "Correct entity, wrong SNOMED ID","(7861, 7873)","(7861, 7873)",primary care,primary care,737470001,703978000,12314513-DS-16,"haring you home. You should follow-up with your primary care physician as scheduled. We recommend that you f" Missed entity,"(7927, 7959)",,an Infectious Disease specialist,,305491002,,12314513-DS-16,"sician as scheduled. We recommend that you find an Infectious Disease specialist after you move to ___ to start treatment for lat" Missed entity,"(8006, 8026)",,"latent tuberculosis",,11999007,,12314513-DS-16,"ist after you move to ___ to start treatment for latent tuberculosis. We wish you the best! Sincerely, Your ___ Team" False positive,,"(204, 226)",,Adverse Drug Reactions,,396079007,12545016-DS-17,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chest Pain " False positive,,"(357, 361)",,POBA,,415206008,12545016-DS-17,"cedure: ___ Coronary Angiography without stent or POBA History of Present Illness: Ms. ___ (***NEW NA" False positive,,"(1063, 1067)",,rest,,17535004,12545016-DS-17,"as no recent history of DOE, CP with exertion or rest, orthopnea, leg swelling, or PND. She is a smok" False positive,,"(1202, 1204)",,AS,,121606009,12545016-DS-17,"ke this before. She received a full strength ASA at the OSH ED and was started on a heparin gtt." False positive,,"(1513, 1516)",,Hgb,,104142005,12545016-DS-17," 15, hemolyzed sample 5.7 | 21 | 1.1 WBC 9.7 Hgb 13.7 Plt 299 INR 1.0 K 4.8 U/A 127 WBC, few" False positive,,"(2503, 2510)",,anxiety,,286644009,12545016-DS-17," HISTORY Fibromyalgia Mood disorder- depression/anxiety Chronic LBP s/p gastric bypass in ___ Social H" False positive,,"(3125, 3127)",,PM,,258731005,12545016-DS-17,". No xanthelasma. NECK: Supple with CARDIAC: PMI located in ___ intercostal space, midclavicular " False positive,,"(3213, 3214)",,s,,420952007,12545016-DS-17,"midclavicular line. RRR, normal S1, S2. Soft ___ systolic murmur best at LUSB. No thrills, lifts. " False positive,,"(3256, 3261)",,lifts,,225632008,12545016-DS-17,"ft ___ systolic murmur best at LUSB. No thrills, lifts. LUNGS: No chest wall deformities, scoliosis or" False positive,,"(3420, 3421)",,N,,257992007,12545016-DS-17,"o crackles, wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. EXTREMITIES: No c/c/e" False positive,,"(3588, 3597)",,symmetric,,289660009,12545016-DS-17,"r xanthomas. PULSES: Distal pulses palpable and symmetric ============================== DISCHARGE PHYSI" False positive,,"(3814, 3822)",,reactive,,735269004,12545016-DS-17,"n any apparent distress. HEENT: Pupils equal and reactive. No scleral icterus or injection. Moist mucous m" False positive,,"(3913, 3920)",,base of,,446772005,12545016-DS-17," mucous membranes. NECK: JVP visible only at the base of the neck at 30 degrees. CARDIAC: S1/S2 regular. " False positive,,"(3955, 3957)",,S1,,82609006,12545016-DS-17," at the base of the neck at 30 degrees. CARDIAC: S1/S2 regular. Soft ___ systolic murmur best at LUSB" False positive,,"(3961, 3968)",,regular,,271636001,12545016-DS-17,"e base of the neck at 30 degrees. CARDIAC: S1/S2 regular. Soft ___ systolic murmur best at LUSB. LUNGS: L" False positive,,"(4326, 4332)",,Distal,,52618001,12545016-DS-17,"ermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable and symmetric Pertinent Resul" False positive,,"(4353, 4362)",,symmetric,,289660009,12545016-DS-17,"r xanthomas. PULSES: Distal pulses palpable and symmetric Pertinent Results: ==========================" False positive,,"(4528, 4530)",,GL,,258682000,12545016-DS-17,"4:15AM URINE BLOOD-NEG NITRITE-POS* PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG P" False positive,,"(4720, 4723)",,MCH,,54706004,12545016-DS-17,"55AM WBC-9.7 RBC-4.54 HGB-13.7 HCT-43.4 MCV-96 MCH-30.2 MCHC-31.6* RDW-15.3 RDWSD-53.1* ___ 04:55AM " False positive,,"(4916, 4918)",,K+,,257991000,12545016-DS-17,"RIDE-105 TOTAL CO2-21* ANION GAP-15 ___ 06:08AM K+-4.7 ___ 10:35AM CK-MB-2 cTropnT-0.19* ========" False positive,,"(5150, 5153)",,MCH,,54706004,12545016-DS-17," BLOOD WBC-6.7 RBC-3.90 Hgb-11.9 Hct-37.7 MCV-97 MCH-30.5 MCHC-31.6* RDW-15.4 RDWSD-54.3* Plt ___ ___ " False positive,,"(5583, 5592)",,CTA Chest,,169069000,12545016-DS-17,"========================== ------------------ ___ CTA Chest ------------------ IMPRESSION: 1. No aortic d" False positive,,"(5750, 5759)",,pulmonary,,419170002,12545016-DS-17,"bolism through the segmental level. 3. No acute pulmonary parenchymal process. ___ Coronary Angiography L" False positive,,"(5822, 5824)",,LM,,420296000,12545016-DS-17,"process. ___ Coronary Angiography Left dominant LM: No disease. LAD: No obstructive disease. LCx: No" False positive,,"(6666, 6685)",,structurally normal,,840673007,12545016-DS-17,"r aortic regurgitation. The mitral valve appears structurally normal with trivial mitral regurgitation. The estimated" False positive,,"(7876, 7881)",,clean,,289319007,12545016-DS-17," history who presented with NSTEMI found to have clean coronary arteries on LHC and a dilated, hypokine" False positive,,"(7904, 7907)",,LHC,,40245009,12545016-DS-17," NSTEMI found to have clean coronary arteries on LHC and a dilated, hypokinetic RV on TTE. Ms. ___ pre" False positive,,"(9102, 9105)",,LHC,,40245009,12545016-DS-17,"ed EKG changes (non-specific T wave inversions). LHC without CAD- making working diagnosis myocardial" False positive,,"(9455, 9467)",,intracardiac,,65331008,12545016-DS-17," related to her presentation. She did not have a intracardiac shunt that could help explain her findings. It i" False positive,,"(9758, 9762)",,PASP,,35775003,12545016-DS-17,"imary pulmonary disease is less likely given her PASP was not elevated. She will be treated for primar" False positive,,"(9983, 9996)",,beta blockade,,448541000124102,12545016-DS-17,"ter oral Metoprolol. She should not be placed on beta blockade for that reasons. - ASA 81mg daily - Atorvastati" False positive,,"(10366, 10368)",,CT,,241541005,12545016-DS-17,"in/augmentin. Treated for 3 d with IV CTX 1g. - CTX 1g ___ -> ___ ===================== CHRONIC/STA" False positive,,"(12092, 12095)",,DIA,,467331000124107,12545016-DS-17," Discharge Diagnosis: ================= PRIMARY DIAGNOSIS ================= Non-ST elevation myocardi" False positive,,"(12349, 12364)",,Activity Status,,397622007,12545016-DS-17,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(264, 274)","(264, 274)",Chest Pain,Chest Pain,29857009,102589003,12545016-DS-17,"ug Reactions Attending: ___. Chief Complaint: Chest Pain Major Surgical or Invasive Procedure: ___ Coron" Wrong span,"(319, 339)","(319, 347)",Coronary Angiography,Coronary Angiography without,33367005,232732002,12545016-DS-17," Pain Major Surgical or Invasive Procedure: ___ Coronary Angiography without stent or POBA History of Present Illne" "Correct entity, wrong SNOMED ID","(348, 353)","(348, 353)",stent,stent,233404000,1287503001,12545016-DS-17,"asive Procedure: ___ Coronary Angiography without stent or POBA History of Present Illness: Ms. ___ (*" "Correct entity, wrong SNOMED ID","(446, 454)","(446, 454)",mood d/o,mood d/o,46206005,366979004,12545016-DS-17," ___ (***NEW NAME IS ___ is a ___ with a PMHx of mood d/o, fibromyalgia, and s/p gastric bypass who present" "Correct entity, wrong SNOMED ID","(456, 468)","(456, 468)",fibromyalgia,fibromyalgia,203082005,95417003,12545016-DS-17,"EW NAME IS ___ is a ___ with a PMHx of mood d/o, fibromyalgia, and s/p gastric bypass who presented as an OSH " "Correct entity, wrong SNOMED ID","(478, 492)","(478, 492)",gastric bypass,gastric bypass,442338001,30803004,12545016-DS-17,"_ with a PMHx of mood d/o, fibromyalgia, and s/p gastric bypass who presented as an OSH transfer for evaluation " "Correct entity, wrong SNOMED ID","(531, 541)","(531, 541)",evaluation,evaluation,386053000,39609006,12545016-DS-17,"tric bypass who presented as an OSH transfer for evaluation of NSTEMI. The patient notes that 1d PTA that " "Correct entity, wrong SNOMED ID","(545, 551)","(545, 551)",NSTEMI,NSTEMI,401314000,401303003,12545016-DS-17,"o presented as an OSH transfer for evaluation of NSTEMI. The patient notes that 1d PTA that she was in" Wrong span,"(631, 661)","(640, 661)",crushing substernal chest pain,substernal chest pain,279019008,162039006,12545016-DS-17," PTA that she was in her USOH when she developed crushing substernal chest pain while walking. She sat down and it took approxim" Missed entity,"(668, 675)",,walking,,282146009,,12545016-DS-17,"he developed crushing substernal chest pain while walking. She sat down and it took approximately 20 minut" "Correct entity, wrong SNOMED ID","(736, 740)","(736, 740)",pain,pain,22253000,102570003,12545016-DS-17,"down and it took approximately 20 minutes for the pain to ablate spontaneously. She also endorsed some " "Correct entity, wrong SNOMED ID","(790, 793)","(790, 793)",SOB,SOB,267036007,43731003,12545016-DS-17," to ablate spontaneously. She also endorsed some SOB and lightheadedness with this episode. Unfortuna" "Correct entity, wrong SNOMED ID","(799, 814)","(799, 814)",lightheadedness,lightheadedness,386705008,1354698007,12545016-DS-17,"te spontaneously. She also endorsed some SOB and lightheadedness with this episode. Unfortunately, later in the e" "Correct entity, wrong SNOMED ID","(875, 885)","(875, 885)",chest pain,chest pain,29857009,102589003,12545016-DS-17,"episode. Unfortunately, later in the evening her chest pain recurred while at rest and was then a/w L arm nu" Wrong span,"(929, 941)","(926, 932)",arm numbness,"L arm",95673003,72098002,12545016-DS-17,"t pain recurred while at rest and was then a/w L arm numbness- after which her boyfriend encouraged her to pre" "Correct entity, wrong SNOMED ID","(1037, 1040)","(1037, 1040)",DOE,DOE,60845006,371151008,12545016-DS-17," present to the ED. She has no recent history of DOE, CP with exertion or rest, orthopnea, leg swelli" Wrong span,"(1042, 1059)","(1042, 1049)","CP with exertion",CP with,81953000,204616008,12545016-DS-17,"ent to the ED. She has no recent history of DOE, CP with exertion or rest, orthopnea, leg swelling, or PND. She is" "Correct entity, wrong SNOMED ID","(1069, 1078)","(1069, 1078)",orthopnea,orthopnea,62744007,435931000124105,12545016-DS-17,"recent history of DOE, CP with exertion or rest, orthopnea, leg swelling, or PND. She is a smoker. She has" "Correct entity, wrong SNOMED ID","(1080, 1092)","(1080, 1092)",leg swelling,leg swelling,248480008,300981003,12545016-DS-17,"ory of DOE, CP with exertion or rest, orthopnea, leg swelling, or PND. She is a smoker. She has never had che" "Correct entity, wrong SNOMED ID","(1097, 1100)","(1097, 1100)",PND,PND,55442000,225761000,12545016-DS-17,"th exertion or rest, orthopnea, leg swelling, or PND. She is a smoker. She has never had chest pain " "Correct entity, wrong SNOMED ID","(1139, 1149)","(1139, 1149)",chest pain,chest pain,29857009,102589003,12545016-DS-17,"ing, or PND. She is a smoker. She has never had chest pain like this before. She received a full streng" "Correct entity, wrong SNOMED ID","(1242, 1249)","(1242, 1249)",heparin,heparin,103746007,412201008,12545016-DS-17," strength ASA at the OSH ED and was started on a heparin gtt. In the ED initial vitals were: 96.8 74 116" "Correct entity, wrong SNOMED ID","(1275, 1281)","(1275, 1281)",vitals,vitals,118227000,260390007,12545016-DS-17,"as started on a heparin gtt. In the ED initial vitals were: 96.8 74 116/81 14 96% RA EKG: Sinus rate " "Correct entity, wrong SNOMED ID","(1310, 1312)","(1310, 1312)",RA,RA,722742002,463051000124105,12545016-DS-17,"the ED initial vitals were: 96.8 74 116/81 14 96% RA EKG: Sinus rate 72, normal axis, normal interva" "Correct entity, wrong SNOMED ID","(1315, 1318)","(1315, 1318)",EKG,EKG,29303009,75444003,12545016-DS-17,"D initial vitals were: 96.8 74 116/81 14 96% RA EKG: Sinus rate 72, normal axis, normal intervals, Q " Wrong span,"(1320, 1325)","(1320, 1330)",Sinus,Sinus rate,251150006,426783006,12545016-DS-17,"tial vitals were: 96.8 74 116/81 14 96% RA EKG: Sinus rate 72, normal axis, normal intervals, Q in III," Wrong span,"(1326, 1330)","(1320, 1330)",rate,Sinus rate,301113001,426783006,12545016-DS-17,"itals were: 96.8 74 116/81 14 96% RA EKG: Sinus rate 72, normal axis, normal intervals, Q in III, TWI " Wrong span,"(1335, 1341)","(1335, 1346)",normal,normal axis,281900007,14419000,12545016-DS-17,"e: 96.8 74 116/81 14 96% RA EKG: Sinus rate 72, normal axis, normal intervals, Q in III, TWI in V1 La" Wrong span,"(1342, 1346)","(1335, 1346)",axis,normal axis,5177007,14419000,12545016-DS-17," 74 116/81 14 96% RA EKG: Sinus rate 72, normal axis, normal intervals, Q in III, TWI in V1 Labs/st" Wrong span,"(1348, 1354)","(1348, 1364)",normal,normal intervals,281900007,164929001,12545016-DS-17,"6/81 14 96% RA EKG: Sinus rate 72, normal axis, normal intervals, Q in III, TWI in V1 Labs/studies no" Wrong span,"(1355, 1364)","(1348, 1364)",intervals,normal intervals,365408009,164929001,12545016-DS-17," 96% RA EKG: Sinus rate 72, normal axis, normal intervals, Q in III, TWI in V1 Labs/studies notable for:" "Correct entity, wrong SNOMED ID","(1371, 1374)","(1371, 1374)",III,III,272731001,424915003,12545016-DS-17,"inus rate 72, normal axis, normal intervals, Q in III, TWI in V1 Labs/studies notable for: 141 | " "Correct entity, wrong SNOMED ID","(1376, 1379)","(1376, 1379)",TWI,TWI,59931005,258001008,12545016-DS-17,"rate 72, normal axis, normal intervals, Q in III, TWI in V1 Labs/studies notable for: 141 | 105 |" Missed entity,"(1389, 1393)",,Labs,,15220000,,12545016-DS-17,"al axis, normal intervals, Q in III, TWI in V1 Labs/studies notable for: 141 | 105 | 23 -------" Missed entity,"(1394, 1401)",,studies,,386053000,,12545016-DS-17,"is, normal intervals, Q in III, TWI in V1 Labs/studies notable for: 141 | 105 | 23 ---------------" "Correct entity, wrong SNOMED ID","(1452, 1461)","(1452, 1461)",Anion gap,Anion gap,25469001,237854004,12545016-DS-17,"notable for: 141 | 105 | 23 --------------- Anion gap = 15, hemolyzed sample 5.7 | 21 | 1.1 WBC 9." "Correct entity, wrong SNOMED ID","(1505, 1508)","(1505, 1508)",WBC,WBC,767002,391558003,12545016-DS-17,"on gap = 15, hemolyzed sample 5.7 | 21 | 1.1 WBC 9.7 Hgb 13.7 Plt 299 INR 1.0 K 4.8 U/A 127 " Boundary error,"(1532, 1535)","(1532, 1534)",INR,IN,440685005,10828004,12545016-DS-17,"le 5.7 | 21 | 1.1 WBC 9.7 Hgb 13.7 Plt 299 INR 1.0 K 4.8 U/A 127 WBC, few bacteria, large le" "Correct entity, wrong SNOMED ID","(1550, 1553)","(1550, 1553)",U/A,U/A,27171005,257999003,12545016-DS-17,".1 WBC 9.7 Hgb 13.7 Plt 299 INR 1.0 K 4.8 U/A 127 WBC, few bacteria, large leuk, positive nitri" "Correct entity, wrong SNOMED ID","(1558, 1561)","(1558, 1561)",WBC,WBC,767002,391558003,12545016-DS-17," 9.7 Hgb 13.7 Plt 299 INR 1.0 K 4.8 U/A 127 WBC, few bacteria, large leuk, positive nitrite Ima" Missed entity,"(1567, 1575)",,bacteria,,61373006,,12545016-DS-17,"13.7 Plt 299 INR 1.0 K 4.8 U/A 127 WBC, few bacteria, large leuk, positive nitrite Imaging with CTA " Missed entity,"(1589, 1605)",,positive nitrite,,314137006,,12545016-DS-17," K 4.8 U/A 127 WBC, few bacteria, large leuk, positive nitrite Imaging with CTA which was negative for aortic " "Correct entity, wrong SNOMED ID","(1608, 1615)","(1608, 1615)",Imaging,Imaging,363679005,408574004,12545016-DS-17,"WBC, few bacteria, large leuk, positive nitrite Imaging with CTA which was negative for aortic pathology " "Correct entity, wrong SNOMED ID","(1621, 1624)","(1621, 1624)",CTA,CTA,418272005,127423001,12545016-DS-17,"eria, large leuk, positive nitrite Imaging with CTA which was negative for aortic pathology or PE. " Missed entity,"(1635, 1643)",,negative,,281900007,,12545016-DS-17,"uk, positive nitrite Imaging with CTA which was negative for aortic pathology or PE. Patient was given:" "Correct entity, wrong SNOMED ID","(1648, 1654)","(1648, 1654)",aortic,aortic,15825003,261146002,12545016-DS-17,"nitrite Imaging with CTA which was negative for aortic pathology or PE. Patient was given: IV NS and" "Correct entity, wrong SNOMED ID","(1668, 1670)","(1668, 1670)",PE,PE,59282003,20503002,12545016-DS-17,"th CTA which was negative for aortic pathology or PE. Patient was given: IV NS and heparin gtt con" "Correct entity, wrong SNOMED ID","(1695, 1697)","(1695, 1697)",IV,IV,386340006,258000009,12545016-DS-17,"or aortic pathology or PE. Patient was given: IV NS and heparin gtt continued REVIEW OF SYSTEMS:" Missed entity,"(1698, 1700)",,NS,,313418004,,12545016-DS-17,"aortic pathology or PE. Patient was given: IV NS and heparin gtt continued REVIEW OF SYSTEMS: " "Correct entity, wrong SNOMED ID","(1705, 1712)","(1705, 1712)",heparin,heparin,103746007,412201008,12545016-DS-17,"pathology or PE. Patient was given: IV NS and heparin gtt continued REVIEW OF SYSTEMS: Cardiac revi" Missed entity,"(1729, 1746)",,REVIEW OF SYSTEMS,,415300000,,12545016-DS-17,"ent was given: IV NS and heparin gtt continued REVIEW OF SYSTEMS: Cardiac review of systems is notable for absen" "Correct entity, wrong SNOMED ID","(1750, 1757)","(1750, 1757)",Cardiac,Cardiac,363003006,71892000,12545016-DS-17," and heparin gtt continued REVIEW OF SYSTEMS: Cardiac review of systems is notable for absence of parox" "Correct entity, wrong SNOMED ID","(1833, 1842)","(1833, 1842)",orthopnea,orthopnea,62744007,435931000124105,12545016-DS-17,"ble for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope, or presynco" "Correct entity, wrong SNOMED ID","(1857, 1869)","(1857, 1869)",palpitations,palpitations,80313002,161966006,12545016-DS-17,"ysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope, or presyncope. On further review of" "Correct entity, wrong SNOMED ID","(1872, 1879)","(1872, 1879)",syncope,syncope,271594007,427461000,12545016-DS-17,"l dyspnea, orthopnea, ankle edema, palpitations, syncope, or presyncope. On further review of systems, " "Correct entity, wrong SNOMED ID","(1884, 1894)","(1884, 1894)",presyncope,presyncope,427461000,674191000119109,12545016-DS-17,"rthopnea, ankle edema, palpitations, syncope, or presyncope. On further review of systems, denies any prio" "Correct entity, wrong SNOMED ID","(1958, 1964)","(1958, 1964)",stroke,stroke,230690007,422504002,12545016-DS-17,"r review of systems, denies any prior history of stroke, TIA, deep venous thrombosis, pulmonary embolism," "Correct entity, wrong SNOMED ID","(1971, 1993)","(1971, 1993)",deep venous thrombosis,deep venous thrombosis,128053003,132281000119108,12545016-DS-17,"ystems, denies any prior history of stroke, TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of sur" "Correct entity, wrong SNOMED ID","(1995, 2013)","(1995, 2013)",pulmonary embolism,pulmonary embolism,59282003,133971000119108,12545016-DS-17," history of stroke, TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, join" "Correct entity, wrong SNOMED ID","(2016, 2024)","(2016, 2024)",bleeding,bleeding,131148009,74474003,12545016-DS-17,"TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, co" "Correct entity, wrong SNOMED ID","(2040, 2047)","(2040, 2047)",surgery,surgery,387713003,110473004,12545016-DS-17,"sis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black" "Correct entity, wrong SNOMED ID","(2049, 2057)","(2049, 2057)",myalgias,myalgias,68962001,1141862008,12545016-DS-17,"onary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or" "Correct entity, wrong SNOMED ID","(2059, 2070)","(2059, 2070)",joint pains,joint pains,57676002,202478007,12545016-DS-17,"lism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. " "Correct entity, wrong SNOMED ID","(2072, 2077)","(2072, 2077)",cough,cough,49727002,28743005,12545016-DS-17,"ng at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. Denies " "Correct entity, wrong SNOMED ID","(2080, 2090)","(2080, 2090)",hemoptysis,hemoptysis,66857006,206304007,12545016-DS-17,"e time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. Denies exertional b" "Correct entity, wrong SNOMED ID","(2092, 2104)","(2092, 2104)",black stools,black stools,35064005,70396004,12545016-DS-17,"rgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. Denies exertional buttock or calf" "Correct entity, wrong SNOMED ID","(2108, 2118)","(2108, 2118)",red stools,red stools,64412006,449331000124107,12545016-DS-17," joint pains, cough, hemoptysis, black stools or red stools. Denies exertional buttock or calf pain. Denies " Missed entity,"(2127, 2137)",,exertional,,427341007,,12545016-DS-17,", hemoptysis, black stools or red stools. Denies exertional buttock or calf pain. Denies recent fevers, chil" "Correct entity, wrong SNOMED ID","(2139, 2146)","(2139, 2146)",buttock,buttock,279043006,211043005,12545016-DS-17,"s, black stools or red stools. Denies exertional buttock or calf pain. Denies recent fevers, chills or rig" "Correct entity, wrong SNOMED ID","(2150, 2159)","(2150, 2159)",calf pain,calf pain,300954003,15634471000119104,12545016-DS-17,"ools or red stools. Denies exertional buttock or calf pain. Denies recent fevers, chills or rigors. All of " "Correct entity, wrong SNOMED ID","(2175, 2181)","(2175, 2181)",fevers,fevers,386661006,248444008,12545016-DS-17,"s exertional buttock or calf pain. Denies recent fevers, chills or rigors. All of the other review of sy" "Correct entity, wrong SNOMED ID","(2183, 2189)","(2183, 2189)",chills,chills,43724002,274640006,12545016-DS-17,"onal buttock or calf pain. Denies recent fevers, chills or rigors. All of the other review of systems we" "Correct entity, wrong SNOMED ID","(2193, 2199)","(2193, 2199)",rigors,rigors,38880002,248456009,12545016-DS-17,"ock or calf pain. Denies recent fevers, chills or rigors. All of the other review of systems were negativ" "Correct entity, wrong SNOMED ID","(2242, 2250)","(2242, 2250)",negative,negative,281900007,268375009,12545016-DS-17," rigors. All of the other review of systems were negative. Past Medical History: 1. CARDIAC RISK FACTOR" "Correct entity, wrong SNOMED ID","(2281, 2301)","(2281, 2301)",CARDIAC RISK FACTORS,CARDIAC RISK FACTORS,441829007,16434071000119108,12545016-DS-17,"stems were negative. Past Medical History: 1. CARDIAC RISK FACTORS - none per history 2. CARDIAC HISTORY - CA" Boundary error,"(2328, 2335)","(2328, 2334)",CARDIAC,CARDIA,80891009,62898002,12545016-DS-17,"1. CARDIAC RISK FACTORS - none per history 2. CARDIAC HISTORY - CABG: None - PERCUTANEOUS CORONAR" "Correct entity, wrong SNOMED ID","(2349, 2353)","(2349, 2353)",CABG,CABG,232717009,312692004,12545016-DS-17,"RS - none per history 2. CARDIAC HISTORY - CABG: None - PERCUTANEOUS CORONARY INTERVENTIONS: N" "Correct entity, wrong SNOMED ID","(2365, 2400)","(2365, 2400)",PERCUTANEOUS CORONARY INTERVENTIONS,PERCUTANEOUS CORONARY INTERVENTIONS,415070008,414089002,12545016-DS-17," history 2. CARDIAC HISTORY - CABG: None - PERCUTANEOUS CORONARY INTERVENTIONS: None - PACING/ICD: None 3. OTHER PAST MEDI" Missed entity,"(2412, 2418)",,PACING,,18590009,,12545016-DS-17," - PERCUTANEOUS CORONARY INTERVENTIONS: None - PACING/ICD: None 3. OTHER PAST MEDICAL HISTORY Fibr" Missed entity,"(2419, 2422)",,ICD,,443325000,,12545016-DS-17,"UTANEOUS CORONARY INTERVENTIONS: None - PACING/ICD: None 3. OTHER PAST MEDICAL HISTORY Fibromya" "Correct entity, wrong SNOMED ID","(2464, 2476)","(2464, 2476)",Fibromyalgia,Fibromyalgia,203082005,95417003,12545016-DS-17,"CING/ICD: None 3. OTHER PAST MEDICAL HISTORY Fibromyalgia Mood disorder- depression/anxiety Chronic LBP s/" "Correct entity, wrong SNOMED ID","(2477, 2490)","(2477, 2490)",Mood disorder,Mood disorder,46206005,36622002,12545016-DS-17,"e 3. OTHER PAST MEDICAL HISTORY Fibromyalgia Mood disorder- depression/anxiety Chronic LBP s/p gastric bypa" "Correct entity, wrong SNOMED ID","(2492, 2502)","(2492, 2502)",depression,depression,35489007,26141007,12545016-DS-17,"AST MEDICAL HISTORY Fibromyalgia Mood disorder- depression/anxiety Chronic LBP s/p gastric bypass in ___ " "Correct entity, wrong SNOMED ID","(2528, 2542)","(2528, 2542)",gastric bypass,gastric bypass,442338001,30803004,12545016-DS-17,"ood disorder- depression/anxiety Chronic LBP s/p gastric bypass in ___ Social History: ___ Family History: Fath" "Correct entity, wrong SNOMED ID","(2596, 2599)","(2596, 2599)",CAD,CAD,53741008,84270004,12545016-DS-17,"___ Social History: ___ Family History: Father- CAD, died in ___ Mother- ""bad heart"", unsure of detai" Wrong span,"(2626, 2631)","(2622, 2631)",heart,bad heart,80891009,723086009,12545016-DS-17,"ly History: Father- CAD, died in ___ Mother- ""bad heart"", unsure of details 2 brothers and two sons witho" Boundary error,"(2690, 2706)","(2690, 2705)",cardiac disease.,cardiac disease,56265001,42343007,12545016-DS-17," of details 2 brothers and two sons without known cardiac disease. One granddaughter with congenital heart defect. " "Correct entity, wrong SNOMED ID","(2731, 2754)","(2731, 2754)",congenital heart defect,congenital heart defect,13213009,63191000119107,12545016-DS-17,"ut known cardiac disease. One granddaughter with congenital heart defect. Physical Exam: ============================== " "Correct entity, wrong SNOMED ID","(2814, 2834)","(2814, 2834)",PHYSICAL EXAMINATION,PHYSICAL EXAMINATION,5880005,410182004,12545016-DS-17,"al Exam: ============================== ADMISSION PHYSICAL EXAMINATION ============================== VS: Reviewed in P" "Correct entity, wrong SNOMED ID","(2867, 2869)","(2867, 2869)",VS,VS,118227000,313611000,12545016-DS-17,"SICAL EXAMINATION ============================== VS: Reviewed in POE- stable GENERAL: WDWN female in" "Correct entity, wrong SNOMED ID","(2888, 2894)","(2888, 2894)",stable,stable,359746009,301459008,12545016-DS-17,"=========================== VS: Reviewed in POE- stable GENERAL: WDWN female in NAD. Oriented x3. Mood, " "Correct entity, wrong SNOMED ID","(2896, 2903)","(2896, 2903)",GENERAL,GENERAL,162673000,112262001,12545016-DS-17,"=================== VS: Reviewed in POE- stable GENERAL: WDWN female in NAD. Oriented x3. Mood, affect a" "Correct entity, wrong SNOMED ID","(2905, 2909)","(2905, 2909)",WDWN,WDWN,248324001,258001008,12545016-DS-17,"========== VS: Reviewed in POE- stable GENERAL: WDWN female in NAD. Oriented x3. Mood, affect appropr" "Correct entity, wrong SNOMED ID","(2920, 2923)","(2920, 2923)",NAD,NAD,281900007,131143000,12545016-DS-17," Reviewed in POE- stable GENERAL: WDWN female in NAD. Oriented x3. Mood, affect appropriate. HEENT:" "Correct entity, wrong SNOMED ID","(2925, 2936)","(2925, 2936)",Oriented x3,Oriented x3,426224004,311552005,12545016-DS-17,"ewed in POE- stable GENERAL: WDWN female in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera" "Correct entity, wrong SNOMED ID","(2938, 2942)","(2938, 2942)",Mood,Mood,134417007,709488003,12545016-DS-17,"stable GENERAL: WDWN female in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anict" Wrong span,"(2944, 2950)","(2944, 2963)",affect,"affect appropriate",106131003,80608005,12545016-DS-17," GENERAL: WDWN female in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PE" "Correct entity, wrong SNOMED ID","(2967, 2972)","(2967, 2972)",HEENT,HEENT,5880005,113665002,12545016-DS-17,"in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva" Boundary error,"(2974, 2976)","(2974, 2978)",NC,NCAT,840673007,32752003,12545016-DS-17," Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva wer" "Correct entity, wrong SNOMED ID","(2980, 2996)","(2980, 2996)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,12545016-DS-17,"ted x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor o" "Correct entity, wrong SNOMED ID","(2998, 3003)","(2998, 3003)",PERRL,PERRL,386666001,431291005,12545016-DS-17,"ct appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyano" "Correct entity, wrong SNOMED ID","(3005, 3009)","(3005, 3009)",EOMI,EOMI,103251002,67099000,12545016-DS-17,"ropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of" "Correct entity, wrong SNOMED ID","(3011, 3022)","(3011, 3022)",Conjunctiva,Conjunctiva,29445007,719640000,12545016-DS-17,"te. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral muc" "Correct entity, wrong SNOMED ID","(3038, 3044)","(3038, 3044)",pallor,pallor,1209208002,1237486008,12545016-DS-17,"nicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. No xanthelasma. " "Correct entity, wrong SNOMED ID","(3048, 3056)","(3048, 3056)",cyanosis,cyanosis,3415004,95442007,12545016-DS-17,"PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. No xanthelasma. NECK: Supp" "Correct entity, wrong SNOMED ID","(3064, 3075)","(3064, 3075)",oral mucosa,oral mucosa,113277000,276398005,12545016-DS-17,"junctiva were pink, no pallor or cyanosis of the oral mucosa. No xanthelasma. NECK: Supple with CARDIAC: " "Correct entity, wrong SNOMED ID","(3080, 3091)","(3080, 3091)",xanthelasma,xanthelasma,238951005,433425003,12545016-DS-17,"ink, no pallor or cyanosis of the oral mucosa. No xanthelasma. NECK: Supple with CARDIAC: PMI located in _" "Correct entity, wrong SNOMED ID","(3096, 3100)","(3096, 3100)",NECK,NECK,5880005,840674001,12545016-DS-17,"r cyanosis of the oral mucosa. No xanthelasma. NECK: Supple with CARDIAC: PMI located in ___ interc" "Correct entity, wrong SNOMED ID","(3102, 3108)","(3102, 3108)",Supple,Supple,298475003,169743001,12545016-DS-17,"osis of the oral mucosa. No xanthelasma. NECK: Supple with CARDIAC: PMI located in ___ intercostal sp" "Correct entity, wrong SNOMED ID","(3116, 3123)","(3116, 3123)",CARDIAC,CARDIAC,363003006,71892000,12545016-DS-17,"al mucosa. No xanthelasma. NECK: Supple with CARDIAC: PMI located in ___ intercostal space, midclavicu" "Correct entity, wrong SNOMED ID","(3144, 3161)","(3144, 3161)",intercostal space,intercostal space,47495005,117133000,12545016-DS-17," NECK: Supple with CARDIAC: PMI located in ___ intercostal space, midclavicular line. RRR, normal S1, S2. Soft __" "Correct entity, wrong SNOMED ID","(3163, 3182)","(3163, 3182)","midclavicular line","midclavicular line",279013009,36073009,12545016-DS-17," CARDIAC: PMI located in ___ intercostal space, midclavicular line. RRR, normal S1, S2. Soft ___ systolic murmur bes" "Correct entity, wrong SNOMED ID","(3184, 3187)","(3184, 3187)",RRR,RRR,76863003,129960002,12545016-DS-17,"ed in ___ intercostal space, midclavicular line. RRR, normal S1, S2. Soft ___ systolic murmur best at " "Correct entity, wrong SNOMED ID","(3189, 3198)","(3189, 3198)",normal S1,normal S1,26198000,167242001,12545016-DS-17," ___ intercostal space, midclavicular line. RRR, normal S1, S2. Soft ___ systolic murmur best at LUSB. No t" "Correct entity, wrong SNOMED ID","(3200, 3202)","(3200, 3202)",S2,S2,111974005,81170007,12545016-DS-17,"ostal space, midclavicular line. RRR, normal S1, S2. Soft ___ systolic murmur best at LUSB. No thril" "Correct entity, wrong SNOMED ID","(3222, 3228)","(3222, 3228)",murmur,murmur,414786004,373112006,12545016-DS-17,"ular line. RRR, normal S1, S2. Soft ___ systolic murmur best at LUSB. No thrills, lifts. LUNGS: No che" Missed entity,"(3237, 3241)",,LUSB,,117144008,,12545016-DS-17,", normal S1, S2. Soft ___ systolic murmur best at LUSB. No thrills, lifts. LUNGS: No chest wall defor" "Correct entity, wrong SNOMED ID","(3247, 3254)","(3247, 3254)",thrills,thrills,1735007,27144005,12545016-DS-17,"1, S2. Soft ___ systolic murmur best at LUSB. No thrills, lifts. LUNGS: No chest wall deformities, scoli" "Correct entity, wrong SNOMED ID","(3265, 3270)","(3265, 3270)",LUNGS,LUNGS,268925001,74101002,12545016-DS-17,"stolic murmur best at LUSB. No thrills, lifts. LUNGS: No chest wall deformities, scoliosis or kyphosis" "Correct entity, wrong SNOMED ID","(3275, 3297)","(3275, 3297)",chest wall deformities,chest wall deformities,448488004,75511006,12545016-DS-17,"mur best at LUSB. No thrills, lifts. LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no " "Correct entity, wrong SNOMED ID","(3299, 3308)","(3299, 3308)",scoliosis,scoliosis,298382003,111266001,12545016-DS-17,"rills, lifts. LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory m" "Correct entity, wrong SNOMED ID","(3312, 3320)","(3312, 3320)",kyphosis,kyphosis,414564002,19371000119107,12545016-DS-17," LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. N" "Correct entity, wrong SNOMED ID","(3322, 3326)","(3322, 3326)",Resp,Resp,268925001,300851005,12545016-DS-17,"No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. No crac" "Correct entity, wrong SNOMED ID","(3347, 3363)","(3347, 3363)",accessory muscle,accessory muscle,50847000,239273004,12545016-DS-17,", scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. No crackles, wheezes or rhonchi. ABDOMEN:" "Correct entity, wrong SNOMED ID","(3382, 3389)","(3382, 3389)",wheezes,wheezes,56018004,9763007,12545016-DS-17," unlabored, no accessory muscle use. No crackles, wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or ten" "Correct entity, wrong SNOMED ID","(3405, 3412)","(3405, 3412)",ABDOMEN,ABDOMEN,225162003,41931001,12545016-DS-17,"y muscle use. No crackles, wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. EXTREMITIES:" "Correct entity, wrong SNOMED ID","(3422, 3424)","(3422, 3424)",ND,ND,60728008,165815009,12545016-DS-17,"crackles, wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. EXTREMITIES: No c/c/e. N" "Correct entity, wrong SNOMED ID","(3429, 3432)","(3429, 3432)",HSM,HSM,36760000,282140003,12545016-DS-17,"s, wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. EXTREMITIES: No c/c/e. No femora" "Correct entity, wrong SNOMED ID","(3436, 3446)","(3436, 3446)",tenderness,tenderness,247348008,43478001,12545016-DS-17,"zes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. EXTREMITIES: No c/c/e. No femoral bruits. SK" "Correct entity, wrong SNOMED ID","(3450, 3461)","(3450, 3461)",EXTREMITIES,EXTREMITIES,302773001,248416007,12545016-DS-17,"i. ABDOMEN: Soft, NTND. No HSM or tenderness. EXTREMITIES: No c/c/e. No femoral bruits. SKIN: No stasis d" Missed entity,"(3463, 3471)",,No c/c/e,,281900007,,12545016-DS-17," Soft, NTND. No HSM or tenderness. EXTREMITIES: No c/c/e. No femoral bruits. SKIN: No stasis dermatitis," "Correct entity, wrong SNOMED ID","(3476, 3490)","(3476, 3490)",femoral bruits,femoral bruits,418869005,34276006,12545016-DS-17,"No HSM or tenderness. EXTREMITIES: No c/c/e. No femoral bruits. SKIN: No stasis dermatitis, ulcers, scars, or " "Correct entity, wrong SNOMED ID","(3494, 3498)","(3494, 3498)",SKIN,SKIN,271303006,444884003,12545016-DS-17,"ss. EXTREMITIES: No c/c/e. No femoral bruits. SKIN: No stasis dermatitis, ulcers, scars, or xanthoma" "Correct entity, wrong SNOMED ID","(3503, 3520)","(3503, 3520)",stasis dermatitis,stasis dermatitis,35498005,773732005,12545016-DS-17,"REMITIES: No c/c/e. No femoral bruits. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pu" "Correct entity, wrong SNOMED ID","(3522, 3528)","(3522, 3528)",ulcers,ulcers,429040005,125318001,12545016-DS-17," No femoral bruits. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses pal" "Correct entity, wrong SNOMED ID","(3530, 3535)","(3530, 3535)",scars,scars,12402003,403193008,12545016-DS-17,"ral bruits. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable a" "Correct entity, wrong SNOMED ID","(3540, 3549)","(3540, 3549)",xanthomas,xanthomas,63103006,1254896008,12545016-DS-17,". SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable and symmetric " "Correct entity, wrong SNOMED ID","(3553, 3559)","(3553, 3559)",PULSES,PULSES,366199006,307684005,12545016-DS-17,"stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable and symmetric ========" Wrong span,"(3568, 3583)","(3561, 3574)",pulses palpable,Distal pulses,301146007,414617007,12545016-DS-17,"is, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable and symmetric ============================== D" Wrong span,"(3642, 3662)","(3642, 3644)",PHYSICAL EXAMINATION,PH,5880005,264912003,12545016-DS-17,"etric ============================== DISCHARGE PHYSICAL EXAMINATION ============================== GENERAL: Well appe" "Correct entity, wrong SNOMED ID","(3694, 3701)","(3694, 3701)",GENERAL,GENERAL,162673000,112262001,12545016-DS-17,"YSICAL EXAMINATION ============================== GENERAL: Well appearing woman sitting up in bed speaking " "Correct entity, wrong SNOMED ID","(3703, 3717)","(3703, 3717)",Well appearing,Well appearing,397749000,102499006,12545016-DS-17,"AMINATION ============================== GENERAL: Well appearing woman sitting up in bed speaking to me. Not in a" "Correct entity, wrong SNOMED ID","(3724, 3731)","(3724, 3731)",sitting,sitting,33586001,282969008,12545016-DS-17,"=================== GENERAL: Well appearing woman sitting up in bed speaking to me. Not in any apparent di" "Correct entity, wrong SNOMED ID","(3779, 3787)","(3779, 3787)",distress,distress,69328002,271825005,12545016-DS-17,"ng up in bed speaking to me. Not in any apparent distress. HEENT: Pupils equal and reactive. No scleral ic" "Correct entity, wrong SNOMED ID","(3790, 3795)","(3790, 3795)",HEENT,HEENT,5880005,113665002,12545016-DS-17,"d speaking to me. Not in any apparent distress. HEENT: Pupils equal and reactive. No scleral icterus or" "Correct entity, wrong SNOMED ID","(3797, 3809)","(3797, 3809)",Pupils equal,Pupils equal,301943000,418970005,12545016-DS-17,"ing to me. Not in any apparent distress. HEENT: Pupils equal and reactive. No scleral icterus or injection. M" "Correct entity, wrong SNOMED ID","(3847, 3856)","(3847, 3856)",injection,injection,246980005,193894004,12545016-DS-17,"Pupils equal and reactive. No scleral icterus or injection. Moist mucous membranes. NECK: JVP visible only " Wrong span,"(3864, 3880)","(3858, 3880)",mucous membranes,Moist mucous membranes,414781009,1264085003,12545016-DS-17,"reactive. No scleral icterus or injection. Moist mucous membranes. NECK: JVP visible only at the base of the neck " "Correct entity, wrong SNOMED ID","(3883, 3887)","(3883, 3887)",NECK,NECK,5880005,840674001,12545016-DS-17,"l icterus or injection. Moist mucous membranes. NECK: JVP visible only at the base of the neck at 30 d" "Correct entity, wrong SNOMED ID","(3889, 3892)","(3889, 3892)",JVP,JVP,366163001,369001,12545016-DS-17,"rus or injection. Moist mucous membranes. NECK: JVP visible only at the base of the neck at 30 degree" "Correct entity, wrong SNOMED ID","(3925, 3929)","(3925, 3929)",neck,neck,45048000,840674001,12545016-DS-17,"ranes. NECK: JVP visible only at the base of the neck at 30 degrees. CARDIAC: S1/S2 regular. Soft ___ " "Correct entity, wrong SNOMED ID","(3946, 3953)","(3946, 3953)",CARDIAC,CARDIAC,363003006,71892000,12545016-DS-17,"ible only at the base of the neck at 30 degrees. CARDIAC: S1/S2 regular. Soft ___ systolic murmur best at " "Correct entity, wrong SNOMED ID","(3958, 3960)","(3958, 3960)",S2,S2,111974005,81170007,12545016-DS-17," the base of the neck at 30 degrees. CARDIAC: S1/S2 regular. Soft ___ systolic murmur best at LUSB. " "Correct entity, wrong SNOMED ID","(3988, 3994)","(3988, 3994)",murmur,murmur,414786004,373112006,12545016-DS-17,"grees. CARDIAC: S1/S2 regular. Soft ___ systolic murmur best at LUSB. LUNGS: Lungs clear to auscultation" Missed entity,"(4003, 4007)",,LUSB,,117144008,,12545016-DS-17,": S1/S2 regular. Soft ___ systolic murmur best at LUSB. LUNGS: Lungs clear to auscultation bilaterally " "Correct entity, wrong SNOMED ID","(4010, 4015)","(4010, 4015)",LUNGS,LUNGS,268925001,74101002,12545016-DS-17," regular. Soft ___ systolic murmur best at LUSB. LUNGS: Lungs clear to auscultation bilaterally without " Wrong span,"(4017, 4022)","(4017, 4054)",Lungs,Lungs clear to auscultation bilateral,268925001,48348007,12545016-DS-17,"r. Soft ___ systolic murmur best at LUSB. LUNGS: Lungs clear to auscultation bilaterally without crackle" Wrong span,"(4023, 4056)","(4017, 4054)",clear to auscultation bilaterally,Lungs clear to auscultation bilateral,48348007,48348007,12545016-DS-17,"t ___ systolic murmur best at LUSB. LUNGS: Lungs clear to auscultation bilaterally without crackles, wheezing or rhonchi. No use of" "Correct entity, wrong SNOMED ID","(4076, 4084)","(4076, 4084)",wheezing,wheezing,56018004,9763007,12545016-DS-17,"ar to auscultation bilaterally without crackles, wheezing or rhonchi. No use of accessory muscles or eviden" "Correct entity, wrong SNOMED ID","(4107, 4124)","(4107, 4124)",accessory muscles,accessory muscles,50847000,1264025001,12545016-DS-17,"without crackles, wheezing or rhonchi. No use of accessory muscles or evidence ABDOMEN: Soft, non-tender, non-diste" "Correct entity, wrong SNOMED ID","(4138, 4145)","(4138, 4145)",ABDOMEN,ABDOMEN,225162003,41931001,12545016-DS-17,"rhonchi. No use of accessory muscles or evidence ABDOMEN: Soft, non-tender, non-distended. EXTREMITIES: W" "Correct entity, wrong SNOMED ID","(4153, 4163)","(4153, 4163)",non-tender,non-tender,43478001,298741000,12545016-DS-17," of accessory muscles or evidence ABDOMEN: Soft, non-tender, non-distended. EXTREMITIES: Warm extremities wi" "Correct entity, wrong SNOMED ID","(4165, 4178)","(4165, 4178)",non-distended,non-distended,300405003,162069004,12545016-DS-17,"y muscles or evidence ABDOMEN: Soft, non-tender, non-distended. EXTREMITIES: Warm extremities with trace edema " "Correct entity, wrong SNOMED ID","(4181, 4192)","(4181, 4192)",EXTREMITIES,EXTREMITIES,302773001,248416007,12545016-DS-17,"dence ABDOMEN: Soft, non-tender, non-distended. EXTREMITIES: Warm extremities with trace edema up to mid-shin" Wrong span,"(4194, 4198)","(4194, 4210)",Warm,Warm extremities,102599008,225459005,12545016-DS-17,"N: Soft, non-tender, non-distended. EXTREMITIES: Warm extremities with trace edema up to mid-shin bila" "Correct entity, wrong SNOMED ID","(4222, 4227)","(4222, 4227)",edema,edema,267038008,102576009,12545016-DS-17,"tended. EXTREMITIES: Warm extremities with trace edema up to mid-shin bilaterally. SKIN: No stasis de" Missed entity,"(4238, 4242)",,shin,,78234002,,12545016-DS-17,"TIES: Warm extremities with trace edema up to mid-shin bilaterally. SKIN: No stasis dermatitis, ulcer" "Correct entity, wrong SNOMED ID","(4259, 4263)","(4259, 4263)",SKIN,SKIN,271303006,444884003,12545016-DS-17,"s with trace edema up to mid-shin bilaterally. SKIN: No stasis dermatitis, ulcers, scars, or xanthoma" "Correct entity, wrong SNOMED ID","(4268, 4285)","(4268, 4285)",stasis dermatitis,stasis dermatitis,35498005,773732005,12545016-DS-17,"ace edema up to mid-shin bilaterally. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pu" "Correct entity, wrong SNOMED ID","(4287, 4293)","(4287, 4293)",ulcers,ulcers,429040005,125318001,12545016-DS-17,"-shin bilaterally. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses pal" "Correct entity, wrong SNOMED ID","(4295, 4300)","(4295, 4300)",scars,scars,12402003,403193008,12545016-DS-17,"ilaterally. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable a" "Correct entity, wrong SNOMED ID","(4305, 4314)","(4305, 4314)",xanthomas,xanthomas,63103006,1254896008,12545016-DS-17,". SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable and symmetric " Wrong span,"(4318, 4324)","(4318, 4320)",PULSES,PU,366199006,257999003,12545016-DS-17,"stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable and symmetric Pertine" Wrong span,"(4333, 4348)","(4333, 4339)",pulses palpable,pulses,301146007,307684005,12545016-DS-17,"is, ulcers, scars, or xanthomas. PULSES: Distal pulses palpable and symmetric Pertinent Results: ============" "Correct entity, wrong SNOMED ID","(4515, 4522)","(4515, 4522)",PROTEIN,PROTEIN,57378007,764892007,12545016-DS-17,"======= ___ 04:15AM URINE BLOOD-NEG NITRITE-POS* PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILN" "Correct entity, wrong SNOMED ID","(4540, 4546)","(4540, 4546)",KETONE,KETONE,47615003,256048004,12545016-DS-17," BLOOD-NEG NITRITE-POS* PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 LEUK-LG* " "Correct entity, wrong SNOMED ID","(4551, 4560)","(4551, 4560)",BILIRUBIN,BILIRUBIN,359992002,359986008,12545016-DS-17," NITRITE-POS* PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 LEUK-LG* ___ 04:15AM UR" "Correct entity, wrong SNOMED ID","(4579, 4581)","(4579, 4581)",PH,PH,81065003,264912003,12545016-DS-17,"LUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 LEUK-LG* ___ 04:15AM URINE RBC-6* WBC-127* " "Correct entity, wrong SNOMED ID","(4608, 4613)","(4608, 4613)",URINE,URINE,442564008,78888000,12545016-DS-17,"IN-NEG UROBILNGN-NEG PH-6.0 LEUK-LG* ___ 04:15AM URINE RBC-6* WBC-127* BACTERIA-FEW* YEAST-NONE EPI-2 " "Correct entity, wrong SNOMED ID","(4615, 4618)","(4615, 4618)",RBC,RBC,14089001,258759006,12545016-DS-17,"UROBILNGN-NEG PH-6.0 LEUK-LG* ___ 04:15AM URINE RBC-6* WBC-127* BACTERIA-FEW* YEAST-NONE EPI-2 ___ 0" "Correct entity, wrong SNOMED ID","(4622, 4625)","(4622, 4625)",WBC,WBC,767002,391558003,12545016-DS-17,"GN-NEG PH-6.0 LEUK-LG* ___ 04:15AM URINE RBC-6* WBC-127* BACTERIA-FEW* YEAST-NONE EPI-2 ___ 04:55AM " Boundary error,"(4647, 4650)","(4645, 4650)",AST,YEAST,45896001,419742006,12545016-DS-17,"__ 04:15AM URINE RBC-6* WBC-127* BACTERIA-FEW* YEAST-NONE EPI-2 ___ 04:55AM WBC-9.7 RBC-4.54 HGB-13" "Correct entity, wrong SNOMED ID","(4677, 4680)","(4677, 4680)",WBC,WBC,767002,391558003,12545016-DS-17,"27* BACTERIA-FEW* YEAST-NONE EPI-2 ___ 04:55AM WBC-9.7 RBC-4.54 HGB-13.7 HCT-43.4 MCV-96 MCH-30.2 M" "Correct entity, wrong SNOMED ID","(4685, 4688)","(4685, 4688)",RBC,RBC,14089001,258759006,12545016-DS-17,"ERIA-FEW* YEAST-NONE EPI-2 ___ 04:55AM WBC-9.7 RBC-4.54 HGB-13.7 HCT-43.4 MCV-96 MCH-30.2 MCHC-31.6" "Correct entity, wrong SNOMED ID","(4694, 4697)","(4694, 4697)",HGB,HGB,441689006,104142005,12545016-DS-17," YEAST-NONE EPI-2 ___ 04:55AM WBC-9.7 RBC-4.54 HGB-13.7 HCT-43.4 MCV-96 MCH-30.2 MCHC-31.6* RDW-15." "Correct entity, wrong SNOMED ID","(4703, 4706)","(4703, 4706)",HCT,HCT,28317006,409683007,12545016-DS-17,"NE EPI-2 ___ 04:55AM WBC-9.7 RBC-4.54 HGB-13.7 HCT-43.4 MCV-96 MCH-30.2 MCHC-31.6* RDW-15.3 RDWSD-5" Missed entity,"(4712, 4715)",,MCV,,104133003,,12545016-DS-17," ___ 04:55AM WBC-9.7 RBC-4.54 HGB-13.7 HCT-43.4 MCV-96 MCH-30.2 MCHC-31.6* RDW-15.3 RDWSD-53.1* ___ " "Correct entity, wrong SNOMED ID","(4729, 4733)","(4729, 4733)",MCHC,MCHC,37254006,735147002,12545016-DS-17,"C-9.7 RBC-4.54 HGB-13.7 HCT-43.4 MCV-96 MCH-30.2 MCHC-31.6* RDW-15.3 RDWSD-53.1* ___ 04:55AM cTropnT-" "Correct entity, wrong SNOMED ID","(4740, 4743)","(4740, 4743)",RDW,RDW,66842004,735149004,12545016-DS-17,".54 HGB-13.7 HCT-43.4 MCV-96 MCH-30.2 MCHC-31.6* RDW-15.3 RDWSD-53.1* ___ 04:55AM cTropnT-0.21* ___ " "Correct entity, wrong SNOMED ID","(4749, 4754)","(4749, 4754)",RDWSD,RDWSD,66842004,80328002,12545016-DS-17,"3.7 HCT-43.4 MCV-96 MCH-30.2 MCHC-31.6* RDW-15.3 RDWSD-53.1* ___ 04:55AM cTropnT-0.21* ___ 04:55AM G" "Correct entity, wrong SNOMED ID","(4775, 4782)","(4775, 4782)",cTropnT,cTropnT,105001004,442255004,12545016-DS-17,"0.2 MCHC-31.6* RDW-15.3 RDWSD-53.1* ___ 04:55AM cTropnT-0.21* ___ 04:55AM GLUCOSE-93 UREA N-23* CREAT-1" "Correct entity, wrong SNOMED ID","(4803, 4810)","(4803, 4810)",GLUCOSE,GLUCOSE,33747003,72191006,12545016-DS-17,"D-53.1* ___ 04:55AM cTropnT-0.21* ___ 04:55AM GLUCOSE-93 UREA N-23* CREAT-1.1 SODIUM-141 POTASSIUM-5.7" "Correct entity, wrong SNOMED ID","(4825, 4830)","(4825, 4830)",CREAT,CREAT,70901006,413856009,12545016-DS-17,"cTropnT-0.21* ___ 04:55AM GLUCOSE-93 UREA N-23* CREAT-1.1 SODIUM-141 POTASSIUM-5.7* CHLORIDE-105 TOTAL" "Correct entity, wrong SNOMED ID","(4835, 4841)","(4835, 4841)",SODIUM,SODIUM,25197003,104934005,12545016-DS-17,"21* ___ 04:55AM GLUCOSE-93 UREA N-23* CREAT-1.1 SODIUM-141 POTASSIUM-5.7* CHLORIDE-105 TOTAL CO2-21* AN" "Correct entity, wrong SNOMED ID","(4847, 4856)","(4847, 4856)",POTASSIUM,POTASSIUM,59573005,1149432009,12545016-DS-17,"5AM GLUCOSE-93 UREA N-23* CREAT-1.1 SODIUM-141 POTASSIUM-5.7* CHLORIDE-105 TOTAL CO2-21* ANION GAP-15 ___ " "Correct entity, wrong SNOMED ID","(4862, 4870)","(4862, 4870)",CHLORIDE,CHLORIDE,104589004,108447000,12545016-DS-17,"3 UREA N-23* CREAT-1.1 SODIUM-141 POTASSIUM-5.7* CHLORIDE-105 TOTAL CO2-21* ANION GAP-15 ___ 06:08AM K+-4" "Correct entity, wrong SNOMED ID","(4889, 4898)","(4889, 4898)",ANION GAP,ANION GAP,25469001,237854004,12545016-DS-17,"UM-141 POTASSIUM-5.7* CHLORIDE-105 TOTAL CO2-21* ANION GAP-15 ___ 06:08AM K+-4.7 ___ 10:35AM CK-MB-2 cTr" "Correct entity, wrong SNOMED ID","(4945, 4952)","(4945, 4952)",cTropnT,cTropnT,105001004,442255004,12545016-DS-17,"GAP-15 ___ 06:08AM K+-4.7 ___ 10:35AM CK-MB-2 cTropnT-0.19* ==========================================" "Correct entity, wrong SNOMED ID","(5107, 5110)","(5107, 5110)",WBC,WBC,767002,391558003,12545016-DS-17,"=============================== ___ 06:15AM BLOOD WBC-6.7 RBC-3.90 Hgb-11.9 Hct-37.7 MCV-97 MCH-30.5 M" "Correct entity, wrong SNOMED ID","(5115, 5118)","(5115, 5118)",RBC,RBC,14089001,258759006,12545016-DS-17,"======================= ___ 06:15AM BLOOD WBC-6.7 RBC-3.90 Hgb-11.9 Hct-37.7 MCV-97 MCH-30.5 MCHC-31.6" "Correct entity, wrong SNOMED ID","(5124, 5127)","(5124, 5127)",Hgb,Hgb,441689006,104142005,12545016-DS-17,"============== ___ 06:15AM BLOOD WBC-6.7 RBC-3.90 Hgb-11.9 Hct-37.7 MCV-97 MCH-30.5 MCHC-31.6* RDW-15." "Correct entity, wrong SNOMED ID","(5133, 5136)","(5133, 5136)",Hct,Hct,28317006,409683007,12545016-DS-17,"===== ___ 06:15AM BLOOD WBC-6.7 RBC-3.90 Hgb-11.9 Hct-37.7 MCV-97 MCH-30.5 MCHC-31.6* RDW-15.4 RDWSD-5" "Correct entity, wrong SNOMED ID","(5142, 5145)","(5142, 5145)",MCV,MCV,104133003,735146006,12545016-DS-17," 06:15AM BLOOD WBC-6.7 RBC-3.90 Hgb-11.9 Hct-37.7 MCV-97 MCH-30.5 MCHC-31.6* RDW-15.4 RDWSD-54.3* Plt " "Correct entity, wrong SNOMED ID","(5159, 5163)","(5159, 5163)",MCHC,MCHC,37254006,735147002,12545016-DS-17,"C-6.7 RBC-3.90 Hgb-11.9 Hct-37.7 MCV-97 MCH-30.5 MCHC-31.6* RDW-15.4 RDWSD-54.3* Plt ___ ___ 06:15AM BL" "Correct entity, wrong SNOMED ID","(5170, 5173)","(5170, 5173)",RDW,RDW,66842004,735149004,12545016-DS-17,".90 Hgb-11.9 Hct-37.7 MCV-97 MCH-30.5 MCHC-31.6* RDW-15.4 RDWSD-54.3* Plt ___ ___ 06:15AM BLOOD Glucos" "Correct entity, wrong SNOMED ID","(5179, 5184)","(5179, 5184)",RDWSD,RDWSD,66842004,80328002,12545016-DS-17,"1.9 Hct-37.7 MCV-97 MCH-30.5 MCHC-31.6* RDW-15.4 RDWSD-54.3* Plt ___ ___ 06:15AM BLOOD Glucose-101* Urea" "Correct entity, wrong SNOMED ID","(5217, 5224)","(5217, 5224)",Glucose,Glucose,33747003,72191006,12545016-DS-17,"6* RDW-15.4 RDWSD-54.3* Plt ___ ___ 06:15AM BLOOD Glucose-101* UreaN-17 Creat-1.0 Na-141 K-4.4 Cl-106 HCO3" "Correct entity, wrong SNOMED ID","(5230, 5235)","(5230, 5235)",UreaN,UreaN,105011006,111108008,12545016-DS-17,"DWSD-54.3* Plt ___ ___ 06:15AM BLOOD Glucose-101* UreaN-17 Creat-1.0 Na-141 K-4.4 Cl-106 HCO3-21* AnGap-" "Correct entity, wrong SNOMED ID","(5239, 5244)","(5239, 5244)",Creat,Creat,70901006,413856009,12545016-DS-17,"* Plt ___ ___ 06:15AM BLOOD Glucose-101* UreaN-17 Creat-1.0 Na-141 K-4.4 Cl-106 HCO3-21* AnGap-14 ___ 04" "Correct entity, wrong SNOMED ID","(5249, 5251)","(5249, 5251)",Na,Na,312469006,257992007,12545016-DS-17,"___ 06:15AM BLOOD Glucose-101* UreaN-17 Creat-1.0 Na-141 K-4.4 Cl-106 HCO3-21* AnGap-14 ___ 04:55AM B" "Correct entity, wrong SNOMED ID","(5263, 5265)","(5263, 5265)",Cl,Cl,104589004,311741002,12545016-DS-17,"OOD Glucose-101* UreaN-17 Creat-1.0 Na-141 K-4.4 Cl-106 HCO3-21* AnGap-14 ___ 04:55AM BLOOD cTropnT-0" "Correct entity, wrong SNOMED ID","(5270, 5274)","(5270, 5274)",HCO3,HCO3,312471006,88645003,12545016-DS-17,"cose-101* UreaN-17 Creat-1.0 Na-141 K-4.4 Cl-106 HCO3-21* AnGap-14 ___ 04:55AM BLOOD cTropnT-0.21* ___ " "Correct entity, wrong SNOMED ID","(5279, 5284)","(5279, 5284)",AnGap,AnGap,25469001,124504004,12545016-DS-17," UreaN-17 Creat-1.0 Na-141 K-4.4 Cl-106 HCO3-21* AnGap-14 ___ 04:55AM BLOOD cTropnT-0.21* ___ 10:35AM BL" "Correct entity, wrong SNOMED ID","(5306, 5313)","(5306, 5313)",cTropnT,cTropnT,105001004,442255004,12545016-DS-17," K-4.4 Cl-106 HCO3-21* AnGap-14 ___ 04:55AM BLOOD cTropnT-0.21* ___ 10:35AM BLOOD CK-MB-2 cTropnT-0.19* ___" "Correct entity, wrong SNOMED ID","(5346, 5353)","(5346, 5353)",cTropnT,cTropnT,105001004,442255004,12545016-DS-17,"5AM BLOOD cTropnT-0.21* ___ 10:35AM BLOOD CK-MB-2 cTropnT-0.19* ___ 10:30AM BLOOD CK-MB-2 cTropnT-0.09* ___" "Correct entity, wrong SNOMED ID","(5386, 5393)","(5386, 5393)",cTropnT,cTropnT,105001004,442255004,12545016-DS-17,"D CK-MB-2 cTropnT-0.19* ___ 10:30AM BLOOD CK-MB-2 cTropnT-0.09* ___ 06:15AM BLOOD proBNP-122 ___ 06:15AM BL" "Correct entity, wrong SNOMED ID","(5418, 5424)","(5418, 5424)",proBNP,proBNP,414799001,407060002,12545016-DS-17,"0AM BLOOD CK-MB-2 cTropnT-0.09* ___ 06:15AM BLOOD proBNP-122 ___ 06:15AM BLOOD Calcium-8.4 Phos-3.3 Mg-1.8" "Correct entity, wrong SNOMED ID","(5447, 5454)","(5447, 5454)",Calcium,Calcium,312472004,108601004,12545016-DS-17,"9* ___ 06:15AM BLOOD proBNP-122 ___ 06:15AM BLOOD Calcium-8.4 Phos-3.3 Mg-1.8 =========================== " "Correct entity, wrong SNOMED ID","(5459, 5463)","(5459, 5463)",Phos,Phos,104868000,168075002,12545016-DS-17,"AM BLOOD proBNP-122 ___ 06:15AM BLOOD Calcium-8.4 Phos-3.3 Mg-1.8 =========================== REPORTS A" "Correct entity, wrong SNOMED ID","(5468, 5470)","(5468, 5470)",Mg,Mg,271285000,258684004,12545016-DS-17,"proBNP-122 ___ 06:15AM BLOOD Calcium-8.4 Phos-3.3 Mg-1.8 =========================== REPORTS AND IMAG" Missed entity,"(5516, 5523)",,IMAGING,,363679005,,12545016-DS-17,"3 Mg-1.8 =========================== REPORTS AND IMAGING STUDIES =========================== -------------" Missed entity,"(5524, 5531)",,STUDIES,,386053000,,12545016-DS-17," =========================== REPORTS AND IMAGING STUDIES =========================== ------------------ __" Wrong span,"(5641, 5651)","(5634, 5651)",dissection,aortic dissection,710864009,301899003,12545016-DS-17,"t ------------------ IMPRESSION: 1. No aortic dissection or other acute abnormality. 2. No pulmonary emb" Missed entity,"(5667, 5678)",,abnormality,,281900007,,12545016-DS-17,"ESSION: 1. No aortic dissection or other acute abnormality. 2. No pulmonary embolism through the segmental" "Correct entity, wrong SNOMED ID","(5688, 5706)","(5688, 5706)",pulmonary embolism,pulmonary embolism,59282003,133971000119108,12545016-DS-17,"ic dissection or other acute abnormality. 2. No pulmonary embolism through the segmental level. 3. No acute pulmon" Missed entity,"(5741, 5749)",,No acute,,281900007,,12545016-DS-17,"monary embolism through the segmental level. 3. No acute pulmonary parenchymal process. ___ Coronary Ang" "Correct entity, wrong SNOMED ID","(5787, 5807)","(5787, 5807)",Coronary Angiography,Coronary Angiography,33367005,419997008,12545016-DS-17,"3. No acute pulmonary parenchymal process. ___ Coronary Angiography Left dominant LM: No disease. LAD: No obstructive" Wrong span,"(5808, 5812)","(5808, 5821)",Left,Left dominant,67629009,294101000119109,12545016-DS-17,"y parenchymal process. ___ Coronary Angiography Left dominant LM: No disease. LAD: No obstructive dise" "Correct entity, wrong SNOMED ID","(5829, 5836)","(5829, 5836)",disease,disease,64572001,53619000,12545016-DS-17,". ___ Coronary Angiography Left dominant LM: No disease. LAD: No obstructive disease. LCx: No obstructive" "Correct entity, wrong SNOMED ID","(5838, 5841)","(5838, 5841)",LAD,LAD,59438005,1010291002,12545016-DS-17,"oronary Angiography Left dominant LM: No disease. LAD: No obstructive disease. LCx: No obstructive dise" Wrong span,"(5846, 5857)","(5846, 5865)",obstructive,obstructive disease,26036001,13645005,12545016-DS-17,"Angiography Left dominant LM: No disease. LAD: No obstructive disease. LCx: No obstructive disease. RCA: No obs" Wrong span,"(5858, 5865)","(5846, 5865)",disease,obstructive disease,64572001,13645005,12545016-DS-17,"Left dominant LM: No disease. LAD: No obstructive disease. LCx: No obstructive disease. RCA: No obstructive" "Correct entity, wrong SNOMED ID","(5867, 5870)","(5867, 5870)",LCx,LCx,57396003,282255002,12545016-DS-17,"nant LM: No disease. LAD: No obstructive disease. LCx: No obstructive disease. RCA: No obstructive dise" Wrong span,"(5875, 5886)","(5875, 5894)",obstructive,obstructive disease,26036001,13645005,12545016-DS-17," No disease. LAD: No obstructive disease. LCx: No obstructive disease. RCA: No obstructive disease. Impressions" Wrong span,"(5887, 5894)","(5875, 5894)",disease,obstructive disease,64572001,13645005,12545016-DS-17," LAD: No obstructive disease. LCx: No obstructive disease. RCA: No obstructive disease. Impressions: No cor" "Correct entity, wrong SNOMED ID","(5896, 5899)","(5896, 5899)",RCA,RCA,13647002,244257005,12545016-DS-17,"obstructive disease. LCx: No obstructive disease. RCA: No obstructive disease. Impressions: No coronary" Wrong span,"(5904, 5915)","(5904, 5923)",obstructive,obstructive disease,26036001,13645005,12545016-DS-17,"ive disease. LCx: No obstructive disease. RCA: No obstructive disease. Impressions: No coronary artery disease." Wrong span,"(5916, 5923)","(5904, 5923)",disease,obstructive disease,64572001,13645005,12545016-DS-17," LCx: No obstructive disease. RCA: No obstructive disease. Impressions: No coronary artery disease. Normal " "Correct entity, wrong SNOMED ID","(5941, 5964)","(5941, 5964)",coronary artery disease,coronary artery disease,53741008,1293192009,12545016-DS-17,"ase. RCA: No obstructive disease. Impressions: No coronary artery disease. Normal EF without wall motion abnormalities. --" "Correct entity, wrong SNOMED ID","(5966, 5972)","(5966, 5972)",Normal,Normal,281900007,840673007,12545016-DS-17,"disease. Impressions: No coronary artery disease. Normal EF without wall motion abnormalities. ----------" Wrong span,"(5984, 5995)","(5984, 6009)",wall motion,wall motion abnormalities,366195000,429750003,12545016-DS-17,"ns: No coronary artery disease. Normal EF without wall motion abnormalities. ------------ ___ TTE ------------" "Correct entity, wrong SNOMED ID","(6029, 6032)","(6029, 6032)",TTE,TTE,433236007,258691001,12545016-DS-17,"hout wall motion abnormalities. ------------ ___ TTE ------------ The left atrium is normal in size. L" "Correct entity, wrong SNOMED ID","(6050, 6061)","(6050, 6061)",left atrium,left atrium,82471001,312026008,12545016-DS-17,"rmalities. ------------ ___ TTE ------------ The left atrium is normal in size. Left ventricular wall thickne" "Correct entity, wrong SNOMED ID","(6065, 6079)","(6065, 6079)",normal in size,normal in size,53461003,289632007,12545016-DS-17,"--------- ___ TTE ------------ The left atrium is normal in size. Left ventricular wall thickness, cavity size an" Wrong span,"(6081, 6102)","(6081, 6113)",Left ventricular wall,"Left ventricular wall thickness",87878005,250926001,12545016-DS-17,"E ------------ The left atrium is normal in size. Left ventricular wall thickness, cavity size and regional/global systo" Wrong span,"(6104, 6113)","(6081, 6113)",thickness,"Left ventricular wall thickness",36506006,250926001,12545016-DS-17," atrium is normal in size. Left ventricular wall thickness, cavity size and regional/global systolic functio" Wrong span,"(6115, 6121)","(6115, 6126)",cavity,cavity size,1259956008,250929008,12545016-DS-17,"normal in size. Left ventricular wall thickness, cavity size and regional/global systolic function are n" Wrong span,"(6122, 6126)","(6115, 6126)",size,cavity size,53461003,250929008,12545016-DS-17,"in size. Left ventricular wall thickness, cavity size and regional/global systolic function are normal" "Correct entity, wrong SNOMED ID","(6131, 6176)","(6131, 6176)","regional/global systolic function are normal","regional/global systolic function are normal",371857005,165043001,12545016-DS-17,"Left ventricular wall thickness, cavity size and regional/global systolic function are normal (LVEF = 70%). Tissue Doppler imaging suggests a n" "Correct entity, wrong SNOMED ID","(6191, 6213)","(6191, 6213)",Tissue Doppler imaging,Tissue Doppler imaging,439858009,40892001,12545016-DS-17,"lobal systolic function are normal (LVEF = 70%). Tissue Doppler imaging suggests a normal left ventricular filling press" "Correct entity, wrong SNOMED ID","(6225, 6231)","(6225, 6231)",normal,normal,281900007,840673007,12545016-DS-17,"l (LVEF = 70%). Tissue Doppler imaging suggests a normal left ventricular filling pressure (PCWP<12mmHg)." "Correct entity, wrong SNOMED ID","(6233, 6249)","(6233, 6249)",left ventricular,left ventricular,87878005,264004009,12545016-DS-17,"= 70%). Tissue Doppler imaging suggests a normal left ventricular filling pressure (PCWP<12mmHg). The right ventri" Missed entity,"(6250, 6257)",,filling,,91274007,,12545016-DS-17,"ppler imaging suggests a normal left ventricular filling pressure (PCWP<12mmHg). The right ventricular fr" Missed entity,"(6258, 6266)",,pressure,,13543005,,12545016-DS-17,"aging suggests a normal left ventricular filling pressure (PCWP<12mmHg). The right ventricular free wall t" Wrong span,"(6286, 6304)","(6286, 6309)","right ventricular","right ventricular free",53085002,364081002,12545016-DS-17,"t ventricular filling pressure (PCWP<12mmHg). The right ventricular free wall thickness is normal. The right ventricu" Wrong span,"(6310, 6314)","(6310, 6334)",wall,wall thickness is normal,272657006,414072005,12545016-DS-17,"essure (PCWP<12mmHg). The right ventricular free wall thickness is normal. The right ventricular cavit" Wrong span,"(6315, 6334)","(6310, 6334)",thickness is normal,wall thickness is normal,36506006,414072005,12545016-DS-17,"e (PCWP<12mmHg). The right ventricular free wall thickness is normal. The right ventricular cavity is moderately dila" Wrong span,"(6340, 6365)","(6340, 6387)","right ventricular cavity","right ventricular cavity is moderately dilated",1259955007,2829000,12545016-DS-17,"t ventricular free wall thickness is normal. The right ventricular cavity is moderately dilated with depressed free wall c" Wrong span,"(6380, 6387)","(6340, 6387)",dilated,"right ventricular cavity is moderately dilated",25322007,2829000,12545016-DS-17,"rmal. The right ventricular cavity is moderately dilated with depressed free wall contractility. The diam" "Correct entity, wrong SNOMED ID","(6393, 6402)","(6393, 6402)",depressed,depressed,21762000,58051000087107,12545016-DS-17,"ht ventricular cavity is moderately dilated with depressed free wall contractility. The diameters of aorta " Missed entity,"(6408, 6412)",,wall,,272657006,,12545016-DS-17," cavity is moderately dilated with depressed free wall contractility. The diameters of aorta at the sin" Wrong span,"(6446, 6464)","(6446, 6451)",aorta at the sinus,aorta,81128002,57034009,12545016-DS-17,"ressed free wall contractility. The diameters of aorta at the sinus, ascending and arch levels are normal. The aorti" "Correct entity, wrong SNOMED ID","(6466, 6475)","(6466, 6475)",ascending,ascending,54247002,83711003,12545016-DS-17,"ntractility. The diameters of aorta at the sinus, ascending and arch levels are normal. The aortic valve lea" Missed entity,"(6497, 6503)",,normal,,281900007,,12545016-DS-17,"orta at the sinus, ascending and arch levels are normal. The aortic valve leaflets (3) appear structural" "Correct entity, wrong SNOMED ID","(6543, 6562)","(6543, 6562)",structurally normal,structurally normal,301100007,840673007,12545016-DS-17,"are normal. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenos" Missed entity,"(6568, 6572)",,good,,281900007,,12545016-DS-17,"lve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aort" "Correct entity, wrong SNOMED ID","(6573, 6580)","(6573, 6580)",leaflet,leaflet,6530003,699117005,12545016-DS-17,"eaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regur" "Correct entity, wrong SNOMED ID","(6598, 6614)","(6598, 6614)","aortic stenosis","aortic stenosis",60573004,233863001,12545016-DS-17,"turally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. The mitral valve appears" "Correct entity, wrong SNOMED ID","(6618, 6638)","(6618, 6638)",aortic regurgitation,aortic regurgitation,60234000,61612001,12545016-DS-17,"good leaflet excursion and no aortic stenosis or aortic regurgitation. The mitral valve appears structurally normal wi" "Correct entity, wrong SNOMED ID","(6644, 6656)","(6644, 6656)",mitral valve,mitral valve,91134007,78196008,12545016-DS-17," no aortic stenosis or aortic regurgitation. The mitral valve appears structurally normal with trivial mitral " "Correct entity, wrong SNOMED ID","(6691, 6719)","(6691, 6719)",trivial mitral regurgitation,trivial mitral regurgitation,838451005,233861004,12545016-DS-17,"he mitral valve appears structurally normal with trivial mitral regurgitation. The estimated pulmonary artery systolic pressur" Wrong span,"(6736, 6752)","(6736, 6780)",pulmonary artery,pulmonary artery systolic pressure is normal,81040000,167712000,12545016-DS-17,"with trivial mitral regurgitation. The estimated pulmonary artery systolic pressure is normal. There is no pericar" Wrong span,"(6753, 6780)","(6736, 6780)",systolic pressure is normal,pulmonary artery systolic pressure is normal,12929001,167712000,12545016-DS-17,"al regurgitation. The estimated pulmonary artery systolic pressure is normal. There is no pericardial effusion. No intracar" "Correct entity, wrong SNOMED ID","(6795, 6815)","(6795, 6815)",pericardial effusion,pericardial effusion,373945007,1230405007,12545016-DS-17," artery systolic pressure is normal. There is no pericardial effusion. No intracardiac shunt identified on agitated s" "Correct entity, wrong SNOMED ID","(6835, 6840)","(6835, 6840)",shunt,shunt,125319009,238162006,12545016-DS-17,"re is no pericardial effusion. No intracardiac shunt identified on agitated saline contrast injection" Wrong span,"(6871, 6890)","(6855, 6890)","contrast injection","agitated saline contrast injection",443432005,785775005,12545016-DS-17," intracardiac shunt identified on agitated saline contrast injection with maneuvers. IMPRESSION: dilated, hypokinetic" "Correct entity, wrong SNOMED ID","(6920, 6927)","(6920, 6927)",dilated,dilated,253522006,37125009,12545016-DS-17," contrast injection with maneuvers. IMPRESSION: dilated, hypokinetic right ventricle ============ MICRO" Wrong span,"(6929, 6956)","(6929, 6940)",hypokinetic right ventricle,hypokinetic,250951000,95633009,12545016-DS-17," injection with maneuvers. IMPRESSION: dilated, hypokinetic right ventricle ============ MICROBIOLOGY ============ URINE CU" "Correct entity, wrong SNOMED ID","(6972, 6984)","(6972, 6984)",MICROBIOLOGY,MICROBIOLOGY,269934003,394820005,12545016-DS-17,"lated, hypokinetic right ventricle ============ MICROBIOLOGY ============ URINE CULTURE (Final ___: MIXED BAC" "Correct entity, wrong SNOMED ID","(7819, 7826)","(7819, 7826)",cardiac,cardiac,56265001,71892000,12545016-DS-17,"============ Ms. ___ is a ___ with a limited past cardiac history who presented with NSTEMI found to have " "Correct entity, wrong SNOMED ID","(7855, 7861)","(7855, 7861)",NSTEMI,NSTEMI,401314000,401303003,12545016-DS-17," limited past cardiac history who presented with NSTEMI found to have clean coronary arteries on LHC and" "Correct entity, wrong SNOMED ID","(7882, 7899)","(7882, 7899)",coronary arteries,coronary arteries,41801008,371860003,12545016-DS-17,"ry who presented with NSTEMI found to have clean coronary arteries on LHC and a dilated, hypokinetic RV on TTE. Ms." "Correct entity, wrong SNOMED ID","(7914, 7921)","(7914, 7921)",dilated,dilated,253522006,37125009,12545016-DS-17,"und to have clean coronary arteries on LHC and a dilated, hypokinetic RV on TTE. Ms. ___ presented with t" Wrong span,"(7923, 7937)","(7923, 7934)",hypokinetic RV,hypokinetic,250951000,95633009,12545016-DS-17,"ve clean coronary arteries on LHC and a dilated, hypokinetic RV on TTE. Ms. ___ presented with typical anginal s" "Correct entity, wrong SNOMED ID","(7941, 7944)","(7941, 7944)",TTE,TTE,433236007,258691001,12545016-DS-17,"arteries on LHC and a dilated, hypokinetic RV on TTE. Ms. ___ presented with typical anginal symptoms" Wrong span,"(7978, 7994)","(7978, 7985)",anginal symptoms,anginal,194828000,194828000,12545016-DS-17,"inetic RV on TTE. Ms. ___ presented with typical anginal symptoms with mild troponin elevation and no ischemic EKG" Wrong span,"(8000, 8004)","(8000, 8023)",mild,mild troponin elevation,162468002,401314000,12545016-DS-17,"___ presented with typical anginal symptoms with mild troponin elevation and no ischemic EKG changes. " Wrong span,"(8005, 8013)","(8000, 8023)",troponin,mild troponin elevation,105000003,401314000,12545016-DS-17,"resented with typical anginal symptoms with mild troponin elevation and no ischemic EKG changes. She had a" "Correct entity, wrong SNOMED ID","(8032, 8052)","(8032, 8052)",ischemic EKG changes,ischemic EKG changes,164861001,251144001,12545016-DS-17,"nal symptoms with mild troponin elevation and no ischemic EKG changes. She had a coronary angiography that did not sho" "Correct entity, wrong SNOMED ID","(8064, 8084)","(8064, 8084)",coronary angiography,coronary angiography,33367005,419997008,12545016-DS-17,"elevation and no ischemic EKG changes. She had a coronary angiography that did not show significant disease and an ECG" "Correct entity, wrong SNOMED ID","(8116, 8123)","(8116, 8123)",disease,disease,64572001,170516003,12545016-DS-17,"ronary angiography that did not show significant disease and an ECG that demonstrated RV dilation with de" "Correct entity, wrong SNOMED ID","(8131, 8134)","(8131, 8134)",ECG,ECG,29303009,75444003,12545016-DS-17,"phy that did not show significant disease and an ECG that demonstrated RV dilation with depressed fre" "Correct entity, wrong SNOMED ID","(8153, 8165)","(8153, 8165)","RV dilation","RV dilation",253522006,1268523009,12545016-DS-17," significant disease and an ECG that demonstrated RV dilation with depressed free wall contractility with a nor" "Correct entity, wrong SNOMED ID","(8171, 8180)","(8171, 8180)",depressed,depressed,21762000,58051000087107,12545016-DS-17,"se and an ECG that demonstrated RV dilation with depressed free wall contractility with a normal PA systoli" Wrong span,"(8186, 8190)","(8181, 8204)",wall,free wall contractility,272657006,373129009,12545016-DS-17,"hat demonstrated RV dilation with depressed free wall contractility with a normal PA systolic pressure" "Correct entity, wrong SNOMED ID","(8212, 8218)","(8212, 8218)",normal,normal,281900007,840673007,12545016-DS-17,"ion with depressed free wall contractility with a normal PA systolic pressure. She did not have any other" Wrong span,"(8219, 8221)","(8219, 8240)",PA,"PA systolic pressure",81040000,250768007,12545016-DS-17,"h depressed free wall contractility with a normal PA systolic pressure. She did not have any other an" Wrong span,"(8223, 8240)","(8219, 8240)",systolic pressure,"PA systolic pressure",18050000,250768007,12545016-DS-17,"pressed free wall contractility with a normal PA systolic pressure. She did not have any other anginal symptoms aft" Wrong span,"(8269, 8285)","(8269, 8276)",anginal symptoms,anginal,194828000,704207005,12545016-DS-17,"PA systolic pressure. She did not have any other anginal symptoms after presentation. The differential for her RV " Wrong span,"(8332, 8346)","(8332, 8334)",RV hypokinesis,RV,250951000,301097002,12545016-DS-17,"oms after presentation. The differential for her RV hypokinesis includes thrombus (through no intracardiac shunt" "Correct entity, wrong SNOMED ID","(8357, 8365)","(8357, 8365)",thrombus,thrombus,396339007,373140001,12545016-DS-17,"The differential for her RV hypokinesis includes thrombus (through no intracardiac shunt), microvascular d" Missed entity,"(8391, 8396)",,shunt,,125319009,,12545016-DS-17,"nesis includes thrombus (through no intracardiac shunt), microvascular disease, vasospasm or focal myoc" "Correct entity, wrong SNOMED ID","(8423, 8432)","(8423, 8432)",vasospasm,vasospasm,71772004,45798009,12545016-DS-17,"h no intracardiac shunt), microvascular disease, vasospasm or focal myocarditis. Given resolution of her sy" "Correct entity, wrong SNOMED ID","(8442, 8453)","(8442, 8453)",myocarditis,myocarditis,50920009,1052287002,12545016-DS-17,"hunt), microvascular disease, vasospasm or focal myocarditis. Given resolution of her symptoms and improvemen" Missed entity,"(8461, 8471)",,resolution,,413322009,,12545016-DS-17,"r disease, vasospasm or focal myocarditis. Given resolution of her symptoms and improvement of her cardiac e" "Correct entity, wrong SNOMED ID","(8493, 8504)","(8493, 8504)",improvement,improvement,268910001,142016009,12545016-DS-17,"yocarditis. Given resolution of her symptoms and improvement of her cardiac enzymes, she was discharge home w" Missed entity,"(8567, 8576)",,follow up,,183616001,,12545016-DS-17,"ac enzymes, she was discharge home with plan for follow up TTE in several months. ==================== ACU" "Correct entity, wrong SNOMED ID","(8577, 8580)","(8577, 8580)",TTE,TTE,433236007,258691001,12545016-DS-17,", she was discharge home with plan for follow up TTE in several months. ==================== ACUTE M" "Correct entity, wrong SNOMED ID","(8667, 8673)","(8667, 8673)",NSTEMI,NSTEMI,401314000,401303003,12545016-DS-17,"===== ACUTE MEDICAL ISSUES ==================== # NSTEMI/Chest pain # RV Dysfunction Ms. ___ presented wi" "Correct entity, wrong SNOMED ID","(8674, 8684)","(8674, 8684)",Chest pain,Chest pain,29857009,102589003,12545016-DS-17,"CUTE MEDICAL ISSUES ==================== # NSTEMI/Chest pain # RV Dysfunction Ms. ___ presented with crushing" "Correct entity, wrong SNOMED ID","(8688, 8702)","(8688, 8702)",RV Dysfunction,RV Dysfunction,473365008,472774001,12545016-DS-17,"SSUES ==================== # NSTEMI/Chest pain # RV Dysfunction Ms. ___ presented with crushing substernal chest " Wrong span,"(8726, 8756)","(8735, 8756)",crushing substernal chest pain,substernal chest pain,279019008,162039006,12545016-DS-17,"est pain # RV Dysfunction Ms. ___ presented with crushing substernal chest pain on two occasions in the 24 hours prior to presen" "Correct entity, wrong SNOMED ID","(8836, 8843)","(8836, 8843)",walking,walking,282146009,165245003,12545016-DS-17,"ours prior to presentation, occurring once while walking and once at rest. By presentation, she was chest " Wrong span,"(8887, 8898)","(8887, 8903)","chest pain","chest pain free",29857009,59021001,12545016-DS-17,"alking and once at rest. By presentation, she was chest pain free. However, she was found to have troponin-T e" Wrong span,"(8936, 8946)","(8936, 8956)",troponin-T,troponin-T elevation,121871002,166794009,12545016-DS-17," chest pain free. However, she was found to have troponin-T elevation that peaked at 0.21 (her first lab dra" "Correct entity, wrong SNOMED ID","(9055, 9066)","(9055, 9066)",EKG changes,EKG changes,102594003,251144001,12545016-DS-17,"before downtrending. She did not have associated EKG changes (non-specific T wave inversions). LHC without CA" "Correct entity, wrong SNOMED ID","(9114, 9117)","(9114, 9117)",CAD,CAD,53741008,84270004,12545016-DS-17,"es (non-specific T wave inversions). LHC without CAD- making working diagnosis myocardial infarcation" Wrong span,"(9177, 9207)","(9173, 9207)","obstructive coronary aterties","non-obstructive coronary aterties",63739005,1381430004,12545016-DS-17,"working diagnosis myocardial infarcation with non-obstructive coronary aterties (MINOCA), etiologies include myocarditis, thromb" "Correct entity, wrong SNOMED ID","(9237, 9248)","(9237, 9248)",myocarditis,myocarditis,50920009,1052287002,12545016-DS-17,"e coronary aterties (MINOCA), etiologies include myocarditis, thrombus, microvascular disease or vasospasm. " "Correct entity, wrong SNOMED ID","(9251, 9259)","(9251, 9259)",thrombus,thrombus,396339007,373140001,12545016-DS-17,"erties (MINOCA), etiologies include myocarditis, thrombus, microvascular disease or vasospasm. Etiology of" "Correct entity, wrong SNOMED ID","(9286, 9295)","(9286, 9295)",vasospasm,vasospasm,71772004,45798009,12545016-DS-17," myocarditis, thrombus, microvascular disease or vasospasm. Etiology of isolated RV dilation and hypokinesi" "Correct entity, wrong SNOMED ID","(9319, 9330)","(9319, 9330)",RV dilation,RV dilation,253522006,1268523009,12545016-DS-17,"cular disease or vasospasm. Etiology of isolated RV dilation and hypokinesis is unknown, though it is likely " "Correct entity, wrong SNOMED ID","(9335, 9346)","(9335, 9346)",hypokinesis,hypokinesis,250951000,95633009,12545016-DS-17," vasospasm. Etiology of isolated RV dilation and hypokinesis is unknown, though it is likely an incidental fi" "Correct entity, wrong SNOMED ID","(9468, 9473)","(9468, 9473)",shunt,shunt,125319009,246157001,12545016-DS-17,"er presentation. She did not have a intracardiac shunt that could help explain her findings. It is poss" "Correct entity, wrong SNOMED ID","(9560, 9571)","(9560, 9571)",myocarditis,myocarditis,50920009,1052287002,12545016-DS-17,"s. It is possible the etiology is secondary to a myocarditis, though it would be somewhat atypical to see iso" "Correct entity, wrong SNOMED ID","(9627, 9641)","(9627, 9641)",RV dysfunction,RV dysfunction,473365008,472774001,12545016-DS-17,"gh it would be somewhat atypical to see isolated RV dysfunction. Vasospasm or transient thrombus are also on the" "Correct entity, wrong SNOMED ID","(9666, 9674)","(9666, 9674)",thrombus,thrombus,396339007,373140001,12545016-DS-17,"e isolated RV dysfunction. Vasospasm or transient thrombus are also on the differential. Primary pulmonary " "Correct entity, wrong SNOMED ID","(9714, 9731)","(9714, 9731)",pulmonary disease,pulmonary disease,19829001,86157004,12545016-DS-17,"t thrombus are also on the differential. Primary pulmonary disease is less likely given her PASP was not elevated. " Missed entity,"(9806, 9824)",,primary prevention,,315233008,,12545016-DS-17,"r PASP was not elevated. She will be treated for primary prevention of CAD with ASA/statin. Of note, the patient ex" "Correct entity, wrong SNOMED ID","(9828, 9831)","(9828, 9831)",CAD,CAD,53741008,84270004,12545016-DS-17,"d. She will be treated for primary prevention of CAD with ASA/statin. Of note, the patient experienc" Missed entity,"(9841, 9847)",,statin,,315053001,,12545016-DS-17,"e treated for primary prevention of CAD with ASA/statin. Of note, the patient experienced hypotension o" Missed entity,"(9937, 9941)",,oral,,386359008,,12545016-DS-17,"otension on two separate occasions shortly after oral Metoprolol. She should not be placed on beta blo" "Correct entity, wrong SNOMED ID","(10135, 10138)","(10135, 10138)",TTE,TTE,433236007,258691001,12545016-DS-17,"d given hypotension with administration - Repeat TTE in ___ to re-evaluate for RV dysfunction # Urin" "Correct entity, wrong SNOMED ID","(10165, 10179)","(10165, 10179)",RV dysfunction,RV dysfunction,473365008,472774001,12545016-DS-17,"nistration - Repeat TTE in ___ to re-evaluate for RV dysfunction # Urinary tract infection - U cx originally wit" "Correct entity, wrong SNOMED ID","(10184, 10207)","(10184, 10207)",Urinary tract infection,Urinary tract infection,68566005,197928006,12545016-DS-17," TTE in ___ to re-evaluate for RV dysfunction # Urinary tract infection - U cx originally with mixed flora, subsequently " Missed entity,"(10210, 10214)",,U cx,,117010004,,12545016-DS-17," for RV dysfunction # Urinary tract infection - U cx originally with mixed flora, subsequently grew >1" Missed entity,"(10296, 10303)",,Bactrim,,281789004,,12545016-DS-17,"bsequently grew >100k units E. coil resistant to Bactrim and ampicillin/augmentin. Treated for 3 d with I" Missed entity,"(10308, 10318)",,ampicillin,,281789004,,12545016-DS-17,"rew >100k units E. coil resistant to Bactrim and ampicillin/augmentin. Treated for 3 d with IV CTX 1g. - CT" Missed entity,"(10319, 10328)",,augmentin,,281789004,,12545016-DS-17,"units E. coil resistant to Bactrim and ampicillin/augmentin. Treated for 3 d with IV CTX 1g. - CTX 1g ___ -" "Correct entity, wrong SNOMED ID","(10352, 10354)","(10352, 10354)",IV,IV,386340006,258000009,12545016-DS-17,"m and ampicillin/augmentin. Treated for 3 d with IV CTX 1g. - CTX 1g ___ -> ___ ===================" "Correct entity, wrong SNOMED ID","(10455, 10465)","(10455, 10465)",Depression,Depression,35489007,26141007,12545016-DS-17,"= CHRONIC/STABLE ISSUES ===================== # Depression - Continued wellbutrin and trazodone # Fibromyal" "Correct entity, wrong SNOMED ID","(10506, 10518)","(10506, 10518)",Fibromyalgia,Fibromyalgia,203082005,95417003,12545016-DS-17,"epression - Continued wellbutrin and trazodone # Fibromyalgia - Continued home lyrica and tizanidine =========" Wrong span,"(10631, 10638)","(10631, 10635)",Aspirin,Aspi,431463004,9007004,12545016-DS-17,"ANSITIONAL ISSUES =================== - New Meds: Aspirin 81mg; Atorvastatin 80mg - Stopped/Held Meds: Hel" Missed entity,"(10666, 10683)",,Stopped/Held Meds,,304540007,,12545016-DS-17,"== - New Meds: Aspirin 81mg; Atorvastatin 80mg - Stopped/Held Meds: Held molixacam 15mg held during admission - Chan" Missed entity,"(10729, 10741)",,Changed Meds,,182838006,,12545016-DS-17,"Meds: Held molixacam 15mg held during admission - Changed Meds: None - Post-Discharge Follow-up Labs Needed: Non" Missed entity,"(10750, 10774)",,Post-Discharge Follow-up,,406151001,,12545016-DS-17,"15mg held during admission - Changed Meds: None - Post-Discharge Follow-up Labs Needed: None - Incidental Findings: RV dilat" Missed entity,"(10775, 10779)",,Labs,,15220000,,12545016-DS-17,"n - Changed Meds: None - Post-Discharge Follow-up Labs Needed: None - Incidental Findings: RV dilation, " "Correct entity, wrong SNOMED ID","(10816, 10827)","(10816, 10827)",RV dilation,RV dilation,253522006,1268523009,12545016-DS-17,"ollow-up Labs Needed: None - Incidental Findings: RV dilation, as above - Discharge weight: ___ 108.1kg 238.32l" Missed entity,"(10850, 10856)",,weight,,107647005,,12545016-DS-17,"ental Findings: RV dilation, as above - Discharge weight: ___ 108.1kg 238.32lbs [ ] Repeat TTE around __" "Correct entity, wrong SNOMED ID","(10893, 10896)","(10893, 10896)",TTE,TTE,433236007,258691001,12545016-DS-17,"charge weight: ___ 108.1kg 238.32lbs [ ] Repeat TTE around ___ to evaluate for change in RV function" Missed entity,"(10911, 10919)",,evaluate,,386053000,,12545016-DS-17," 108.1kg 238.32lbs [ ] Repeat TTE around ___ to evaluate for change in RV function [ ] Patient should not" Wrong span,"(10934, 10936)","(10934, 10946)",RV,"RV function",53085002,366193007,12545016-DS-17,"] Repeat TTE around ___ to evaluate for change in RV function [ ] Patient should not be placed on bet" "Correct entity, wrong SNOMED ID","(11028, 11039)","(11028, 11039)",hypotensive,hypotensive,45007003,372740001,12545016-DS-17,"d on beta-blockers as she became symptomatically hypotensive on this medication on two instances while hospit" Wrong span,"(12221, 12232)","(12221, 12241)",Right heart,Right heart dilation,79561009,1268523009,12545016-DS-17,"========= SECONDARY DIAGNOSES =================== Right heart dilation Discharge Condition: Mental Status: " Wrong span,"(12233, 12241)","(12221, 12241)",dilation,Right heart dilation,25322007,1268523009,12545016-DS-17,"CONDARY DIAGNOSES =================== Right heart dilation Discharge Condition: Mental Status: Clear and" "Correct entity, wrong SNOMED ID","(12267, 12280)","(12267, 12280)",Mental Status,Mental Status,392257007,419284004,12545016-DS-17,"=== Right heart dilation Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(12282, 12287)","(12282, 12287)",Clear,Clear,830123008,281278005,12545016-DS-17," dilation Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(12302, 12324)","(12302, 12324)",Level of Consciousness,Level of Consciousness,444714004,830285008,12545016-DS-17,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(12326, 12331)","(12326, 12331)",Alert,Alert,248234008,409787004,12545016-DS-17,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(12336, 12347)","(12336, 12347)",interactive,interactive,288577006,10301000202103,12545016-DS-17,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(12366, 12390)","(12366, 12390)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,12545016-DS-17,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, It wa" "Correct entity, wrong SNOMED ID","(12564, 12574)","(12564, 12574)",chest pain,chest pain,29857009,102589003,12545016-DS-17,"E YOU ADMITTED TO THE HOSPITAL? - You were having chest pain and when you came to the hospital we found that " "Correct entity, wrong SNOMED ID","(12659, 12664)","(12659, 12664)",heart,heart,80891009,226984005,12545016-DS-17," we found that you had evidence of damage to your heart, which made us worried you had blockages in the " Missed entity,"(12681, 12688)",,worried,,79015004,,12545016-DS-17," evidence of damage to your heart, which made us worried you had blockages in the vessels of the heart. " "Correct entity, wrong SNOMED ID","(12697, 12706)","(12697, 12706)",blockages,blockages,63739005,246077006,12545016-DS-17,"age to your heart, which made us worried you had blockages in the vessels of the heart. WHAT HAPPENED WHIL" "Correct entity, wrong SNOMED ID","(12714, 12721)","(12714, 12721)",vessels,vessels,59820001,42586008,12545016-DS-17,", which made us worried you had blockages in the vessels of the heart. WHAT HAPPENED WHILE YOU WERE IN T" Missed entity,"(12729, 12734)",,heart,,80891009,,12545016-DS-17,"s worried you had blockages in the vessels of the heart. WHAT HAPPENED WHILE YOU WERE IN THE HOSPITAL? " "Correct entity, wrong SNOMED ID","(12795, 12815)","(12795, 12815)",coronary angiography,coronary angiography,33367005,419997008,12545016-DS-17,"PPENED WHILE YOU WERE IN THE HOSPITAL? - We did a coronary angiography (catheterization) that did not show any signific" "Correct entity, wrong SNOMED ID","(12817, 12832)","(12817, 12832)",catheterization,catheterization,41976001,164781009,12545016-DS-17,"IN THE HOSPITAL? - We did a coronary angiography (catheterization) that did not show any significant blockages in " "Correct entity, wrong SNOMED ID","(12869, 12878)","(12869, 12878)",blockages,blockages,63739005,246077006,12545016-DS-17,"theterization) that did not show any significant blockages in your heart. - We did an ultrasound of the hea" "Correct entity, wrong SNOMED ID","(12887, 12892)","(12887, 12892)",heart,heart,80891009,226984005,12545016-DS-17,"t did not show any significant blockages in your heart. - We did an ultrasound of the heart (echocardio" Wrong span,"(12907, 12917)","(12907, 12930)",ultrasound,ultrasound of the heart,16310003,439858009,12545016-DS-17,"significant blockages in your heart. - We did an ultrasound of the heart (echocardiogram) that showed some s" Wrong span,"(12925, 12930)","(12907, 12930)",heart,ultrasound of the heart,80891009,439858009,12545016-DS-17,"ges in your heart. - We did an ultrasound of the heart (echocardiogram) that showed some stretching of " "Correct entity, wrong SNOMED ID","(12932, 12946)","(12932, 12946)",echocardiogram,echocardiogram,40701008,105376000,12545016-DS-17,"your heart. - We did an ultrasound of the heart (echocardiogram) that showed some stretching of the right side o" Wrong span,"(12966, 13008)","(12966, 12976)",stretching of the right side of your heart,stretching,253522006,229478003,12545016-DS-17,"d of the heart (echocardiogram) that showed some stretching of the right side of your heart. This does not require us to do anything now, bu" "Correct entity, wrong SNOMED ID","(13083, 13093)","(13083, 13093)",ultrasound,ultrasound,40701008,765172009,12545016-DS-17,"us to do anything now, but you will have another ultrasound in several months to ensure there are no changes." Missed entity,"(13213, 13223)",,medication,,394835006,,12545016-DS-17,"O WHEN YOU GO HOME? - Please carefully review the medication list that we provided to you, as we changed some" Missed entity,"(13261, 13293)",,changed some of your medications,,182838006,,12545016-DS-17,"e medication list that we provided to you, as we changed some of your medications. - Continue to be active and get regular exercis" Wrong span,"(13298, 13344)","(13328, 13344)",Continue to be active and get regular exercise,regular exercise,223415003,225925001,12545016-DS-17,"o you, as we changed some of your medications. - Continue to be active and get regular exercise. - Call your doctor or go to an emergency room r" Missed entity,"(13349, 13365)",,Call your doctor,,304562007,,12545016-DS-17,"ontinue to be active and get regular exercise. - Call your doctor or go to an emergency room right away if you hav" Missed entity,"(13378, 13387)",,emergency,,182813001,,12545016-DS-17,"regular exercise. - Call your doctor or go to an emergency room right away if you have chest pain again. " "Correct entity, wrong SNOMED ID","(13417, 13427)","(13417, 13427)",chest pain,chest pain,29857009,102589003,12545016-DS-17,"r go to an emergency room right away if you have chest pain again. Sincerely, ___ Cardiology Team Follow" Missed entity,"(13453, 13463)",,Cardiology,,310036006,,12545016-DS-17," if you have chest pain again. Sincerely, ___ Cardiology Team Followup Instructions: ___ " False positive,,"(1119, 1136)",,"could not breath",,161938003,12549331-DS-3,"t two days. Patient presented to ___ saying he ""could not breath."" Wearing CPAP nightly. Using ICS daily and albut" False positive,,"(1459, 1461)",,VS,,313611000,12549331-DS-3,"pain, abdominal pain or vomiting. In ED initial VS: Temp 101.8 HR 138 BP 143/93 RR 35 POx 99% nrb " False positive,,"(4312, 4315)",,flu,,12463005,12549331-DS-3,": ___ Family History: Several family members with flu, otherwise noncontributory Physical Exam: ADMIS" False positive,,"(4516, 4519)",,RLA,,77107007,12549331-DS-3,"EENT: Head AT NC, Sclera injected, Pupils 2mm and RLA LUNGS: On ventilator, poor air movement throughou" False positive,,"(4542, 4550)",,poor air,,217606002,12549331-DS-3,"njected, Pupils 2mm and RLA LUNGS: On ventilator, poor air movement throughout with scattered expiratory wh" False positive,,"(4941, 4947)",,Vitals,,260390007,12549331-DS-3," DISCHARGE PHYSICAL EXAM ======================= Vitals: T:98 BP: 151/88 HR:85 18 94 RA GENERAL: Alert, N" False positive,,"(4949, 4950)",,T,,257998006,12549331-DS-3,"RGE PHYSICAL EXAM ======================= Vitals: T:98 BP: 151/88 HR:85 18 94 RA GENERAL: Alert, NAD," False positive,,"(5110, 5112)",,NR,,257992007,12549331-DS-3,"ces EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L auscultation without" False positive,,"(5113, 5115)",,RR,,229040007,12549331-DS-3," EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L auscultation without wh" False positive,,"(5281, 5289)",,fullness,,8644006,12549331-DS-3,"lpation. Bowel sounds present. GU: No suprapubic fullness or tenderness to palpation MSK: Neck supple, move" False positive,,"(6349, 6358)",,Influenza,,789775004,12549331-DS-3,"* Reported to and read back by ___, 16:23 ___ Influenza B by PCR NEGATIVE S. PNEUMONIAE ANTIGENS, " False positive,,"(6381, 6400)",,PNEUMONIAE ANTIGENS,,120985002,12549331-DS-3," ___, 16:23 ___ Influenza B by PCR NEGATIVE S. PNEUMONIAE ANTIGENS, Not Detected Not Detected URINE " False positive,,"(6665, 6676)",,RESPIRATORY,,268925001,12549331-DS-3,"EEN-FINAL INPATIENT ___ SPUTUM GRAM STAIN-FINAL; RESPIRATORY CULTURE-FINAL EMERGENCY WARD ___ BLOOD CULTURE " False positive,,"(7629, 7646)",,could not breathe,,161938003,12549331-DS-3,"ented to ___ urgent care wheezing and saying he ""could not breathe,"" found to be in respiratory distress with HR 14" False positive,,"(8478, 8481)",,van,,385482004,12549331-DS-3,"e was started on broad spectrum antibiotics with vancomycin and ceftriaxone. These were discontinued " False positive,,"(9185, 9192)",,improve,,251359002,12549331-DS-3,"g nebulizers as needed at home. He continued to improve and was discharged on a prednisone taper over 2 w" False positive,,"(9394, 9399)",,acute,,255228009,12549331-DS-3,"tient developed acute renal failure in setting of acute illness. Cr peaked at 1.4, now back to baseline " False positive,,"(9613, 9619)",,lisino,,293813008,12549331-DS-3,"CEi after improvement in renal function his home lisinopril was resumed. He was discharged on both ACEI a" False positive,,"(9784, 9787)",,Hgb,,104142005,12549331-DS-3,"labetolol was still needed. # Macrocytic anemia Hgb ___ during admission from a baseline normal Hgb (" False positive,,"(9918, 9938)",,volume resuscitation,,129833008,12549331-DS-3,"ilutional/iatrogenic anemia from blood draws and volume resuscitation. LFTs wnl. EtOH use is moderate. B12 and folate " False positive,,"(10423, 10430)",,illness,,35489007,12549331-DS-3," he is planning to quit smoking after his severe illness. Transitional issues: - discharged on prednisone" False positive,,"(12857, 12881)",,Ambulatory - Independent,,273531005,12549331-DS-3,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Mr. ___, It was a ple" False positive,,"(13014, 13017)",,flu,,12463005,12549331-DS-3,"our admission to ___. You were admitted with the flu and developed a severe asthma exacerbation. You " False positive,,"(13180, 13183)",,flu,,12463005,12549331-DS-3,"steroids, nebulizers and medication to treat the flu and you improved. You were monitored on the gen" Missed entity,"(178, 196)",,No Known Allergies,,609328004,,12549331-DS-3," Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chie" "Correct entity, wrong SNOMED ID","(199, 221)","(199, 221)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,12549331-DS-3,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Dypsnea Ma" "Correct entity, wrong SNOMED ID","(259, 266)","(259, 266)",Dypsnea,Dypsnea,267036007,590365011000119106,12549331-DS-3,"ug Reactions Attending: ___. Chief Complaint: Dypsnea Major Surgical or Invasive Procedure: Intubatio" "Correct entity, wrong SNOMED ID","(334, 346)","(334, 346)",Central line,Central line,1172566008,225065004,12549331-DS-3,"or Invasive Procedure: Intubation, extubation ___ Central line ___ History of Present Illness: Mr. ___ is a _" "Correct entity, wrong SNOMED ID","(411, 417)","(411, 417)",asthma,asthma,195967001,281239006,12549331-DS-3," of Present Illness: Mr. ___ is a ___ with PMH of asthma, sleep apnea on CPAP, and recent treatment for p" "Correct entity, wrong SNOMED ID","(419, 430)","(419, 430)",sleep apnea,sleep apnea,73430006,78275009,12549331-DS-3,"ent Illness: Mr. ___ is a ___ with PMH of asthma, sleep apnea on CPAP, and recent treatment for pneumonia (___" Missed entity,"(434, 438)",,CPAP,,47545007,,12549331-DS-3,". ___ is a ___ with PMH of asthma, sleep apnea on CPAP, and recent treatment for pneumonia (___) presen" "Correct entity, wrong SNOMED ID","(466, 475)","(466, 475)",pneumonia,pneumonia,233604007,415125002,12549331-DS-3,"a, sleep apnea on CPAP, and recent treatment for pneumonia (___) presenting with respiratory distress. Hist" "Correct entity, wrong SNOMED ID","(499, 519)","(499, 519)",respiratory distress,respiratory distress,271825005,1179627006,12549331-DS-3,"nt treatment for pneumonia (___) presenting with respiratory distress. History limited by patient intubation. Per ED " "Correct entity, wrong SNOMED ID","(610, 613)","(610, 613)",CXR,CXR,399208008,303931008,12549331-DS-3," Per ED signout, patient presented to ED on ___. CXR during past ED visit suggestive of left lung bas" "Correct entity, wrong SNOMED ID","(650, 664)","(650, 664)",left lung base,left lung base,60859004,184611002,12549331-DS-3,"D on ___. CXR during past ED visit suggestive of left lung base early pneumonia. Was discharged from ED during t" "Correct entity, wrong SNOMED ID","(671, 680)","(671, 680)",pneumonia,pneumonia,233604007,415125002,12549331-DS-3," past ED visit suggestive of left lung base early pneumonia. Was discharged from ED during that visit with i" Missed entity,"(729, 741)",,instructions,,311401005,,12549331-DS-3,"a. Was discharged from ED during that visit with instructions to complete 4 day course of azithromycin and pre" "Correct entity, wrong SNOMED ID","(771, 783)","(771, 783)",azithromycin,azithromycin,281789004,96034006,12549331-DS-3,"it with instructions to complete 4 day course of azithromycin and prednisone, and to continue albuterol inhale" Boundary error,"(788, 798)","(788, 797)",prednisone,prednison,297279009,10312003,12549331-DS-3,"ons to complete 4 day course of azithromycin and prednisone, and to continue albuterol inhaler. Patient has " "Correct entity, wrong SNOMED ID","(880, 885)","(880, 885)",cough,cough,49727002,28743005,12549331-DS-3,"aler. Patient has been having persistence of the cough since his pneumonia in ___ despite completing th" "Correct entity, wrong SNOMED ID","(896, 905)","(896, 905)",pneumonia,pneumonia,233604007,415125002,12549331-DS-3,"s been having persistence of the cough since his pneumonia in ___ despite completing the full course of ant" "Correct entity, wrong SNOMED ID","(952, 963)","(952, 963)",antibiotics,antibiotics,281789004,372599003,12549331-DS-3,"nia in ___ despite completing the full course of antibiotics. His child has the flu and he has been having wo" "Correct entity, wrong SNOMED ID","(983, 986)","(983, 986)",flu,flu,6142004,12463005,12549331-DS-3,"the full course of antibiotics. His child has the flu and he has been having worsening symptoms includ" Missed entity,"(1011, 1020)",,worsening,,271299001,,12549331-DS-3,"cs. His child has the flu and he has been having worsening symptoms including fever and nausea for the past" "Correct entity, wrong SNOMED ID","(1040, 1045)","(1040, 1045)",fever,fever,386661006,416113008,12549331-DS-3," he has been having worsening symptoms including fever and nausea for the past two days. Patient pres" "Correct entity, wrong SNOMED ID","(1050, 1056)","(1050, 1056)",nausea,nausea,422587007,1217125005,12549331-DS-3,"een having worsening symptoms including fever and nausea for the past two days. Patient presented to __" Missed entity,"(1167, 1170)",,ICS,,710818004,,12549331-DS-3," ""could not breath."" Wearing CPAP nightly. Using ICS daily and albuterol ___. At ___, patient found t" "Correct entity, wrong SNOMED ID","(1228, 1230)","(1228, 1230)",RR,RR,301283003,229040007,12549331-DS-3,"nd albuterol ___. At ___, patient found to have RR 20, HR 140, O2 Sat 94% on 2 L O2. Sent to ___ E" "Correct entity, wrong SNOMED ID","(1235, 1237)","(1235, 1237)",HR,HR,301113001,258702006,12549331-DS-3,"terol ___. At ___, patient found to have RR 20, HR 140, O2 Sat 94% on 2 L O2. Sent to ___ ED for f" Wrong span,"(1243, 1249)","(1243, 1245)",O2 Sat,O2,104847001,51776002,12549331-DS-3,"__. At ___, patient found to have RR 20, HR 140, O2 Sat 94% on 2 L O2. Sent to ___ ED for further manag" Missed entity,"(1257, 1263)",,2 L O2,,57485005,,12549331-DS-3,"tient found to have RR 20, HR 140, O2 Sat 94% on 2 L O2. Sent to ___ ED for further management of respi" "Correct entity, wrong SNOMED ID","(1308, 1328)","(1308, 1328)",respiratory distress,respiratory distress,271825005,1179627006,12549331-DS-3," L O2. Sent to ___ ED for further management of respiratory distress. At ___, patient endorses significant difficult" "Correct entity, wrong SNOMED ID","(1369, 1389)","(1369, 1389)",difficulty breathing,difficulty breathing,230145002,289104004,12549331-DS-3," distress. At ___, patient endorses significant difficulty breathing, but denies chest pain, abdominal pain or vomiti" "Correct entity, wrong SNOMED ID","(1403, 1413)","(1403, 1413)",chest pain,chest pain,29857009,102589003,12549331-DS-3,"ses significant difficulty breathing, but denies chest pain, abdominal pain or vomiting. In ED initial VS: " "Correct entity, wrong SNOMED ID","(1415, 1429)","(1415, 1429)",abdominal pain,abdominal pain,21522001,54586004,12549331-DS-3,"ant difficulty breathing, but denies chest pain, abdominal pain or vomiting. In ED initial VS: Temp 101.8 HR 1" "Correct entity, wrong SNOMED ID","(1433, 1441)","(1433, 1441)",vomiting,vomiting,422400008,162062008,12549331-DS-3,"athing, but denies chest pain, abdominal pain or vomiting. In ED initial VS: Temp 101.8 HR 138 BP 143/93" "Correct entity, wrong SNOMED ID","(1464, 1468)","(1464, 1468)",Temp,Temp,105723007,102496004,12549331-DS-3," abdominal pain or vomiting. In ED initial VS: Temp 101.8 HR 138 BP 143/93 RR 35 POx 99% nrb Exam " "Correct entity, wrong SNOMED ID","(1475, 1477)","(1475, 1477)",HR,HR,301113001,258702006,12549331-DS-3,"pain or vomiting. In ED initial VS: Temp 101.8 HR 138 BP 143/93 RR 35 POx 99% nrb Exam was notab" Missed entity,"(1482, 1484)",,BP,,392570002,,12549331-DS-3," vomiting. In ED initial VS: Temp 101.8 HR 138 BP 143/93 RR 35 POx 99% nrb Exam was notable for:" "Correct entity, wrong SNOMED ID","(1492, 1494)","(1492, 1494)",RR,RR,301283003,258702006,12549331-DS-3," In ED initial VS: Temp 101.8 HR 138 BP 143/93 RR 35 POx 99% nrb Exam was notable for: Tachycard" Missed entity,"(1498, 1501)",,POx,,252465000,,12549331-DS-3,"ED initial VS: Temp 101.8 HR 138 BP 143/93 RR 35 POx 99% nrb Exam was notable for: Tachycardic, reg" Missed entity,"(1506, 1509)",,nrb,,371908008,,12549331-DS-3,"al VS: Temp 101.8 HR 138 BP 143/93 RR 35 POx 99% nrb Exam was notable for: Tachycardic, regular rhy" Missed entity,"(1513, 1517)",,Exam,,268925001,,12549331-DS-3," Temp 101.8 HR 138 BP 143/93 RR 35 POx 99% nrb Exam was notable for: Tachycardic, regular rhythm. Poo" "Correct entity, wrong SNOMED ID","(1535, 1546)","(1535, 1546)",Tachycardic,Tachycardic,3424008,6456007,12549331-DS-3,"143/93 RR 35 POx 99% nrb Exam was notable for: Tachycardic, regular rhythm. Poor air movement bilaterally, " "Correct entity, wrong SNOMED ID","(1548, 1562)","(1548, 1562)",regular rhythm,regular rhythm,64730000,428919002,12549331-DS-3,"POx 99% nrb Exam was notable for: Tachycardic, regular rhythm. Poor air movement bilaterally, diffuse expirato" "Correct entity, wrong SNOMED ID","(1564, 1582)","(1564, 1582)","Poor air movement","Poor air movement",58840004,248588004,12549331-DS-3,"xam was notable for: Tachycardic, regular rhythm. Poor air movement bilaterally, diffuse expiratory wheezing. Labs" Wrong span,"(1604, 1623)","(1615, 1623)",expiratory wheezing,wheezing,9763007,9763007,12549331-DS-3,"r rhythm. Poor air movement bilaterally, diffuse expiratory wheezing. Labs significant for: FluAPCR: Positive Lac" Missed entity,"(1652, 1659)",,FluAPCR,,772835009,,12549331-DS-3,"e expiratory wheezing. Labs significant for: FluAPCR: Positive Lactate: 2 WBC 9.9 VBG 15:27: pH 7.37 p" Missed entity,"(1670, 1677)",,Lactate,,3926003,,12549331-DS-3,"ing. Labs significant for: FluAPCR: Positive Lactate: 2 WBC 9.9 VBG 15:27: pH 7.37 pCO2 43 pO2 96 HCO3" Missed entity,"(1681, 1684)",,WBC,,767002,,12549331-DS-3,"s significant for: FluAPCR: Positive Lactate: 2 WBC 9.9 VBG 15:27: pH 7.37 pCO2 43 pO2 96 HCO3 26 VB" Missed entity,"(1689, 1692)",,VBG,,61911006,,12549331-DS-3,"icant for: FluAPCR: Positive Lactate: 2 WBC 9.9 VBG 15:27: pH 7.37 pCO2 43 pO2 96 HCO3 26 VBG 18:30:" Missed entity,"(1700, 1702)",,pH,,81065003,,12549331-DS-3," FluAPCR: Positive Lactate: 2 WBC 9.9 VBG 15:27: pH 7.37 pCO2 43 pO2 96 HCO3 26 VBG 18:30: pH 7.21 p" Missed entity,"(1708, 1712)",,pCO2,,250565008,,12549331-DS-3,"R: Positive Lactate: 2 WBC 9.9 VBG 15:27: pH 7.37 pCO2 43 pO2 96 HCO3 26 VBG 18:30: pH 7.21 pCO2 66 pO2" Missed entity,"(1716, 1719)",,pO2,,250547009,,12549331-DS-3,"ive Lactate: 2 WBC 9.9 VBG 15:27: pH 7.37 pCO2 43 pO2 96 HCO3 26 VBG 18:30: pH 7.21 pCO2 66 pO2 298 HC" Missed entity,"(1723, 1727)",,HCO3,,312471006,,12549331-DS-3,"tate: 2 WBC 9.9 VBG 15:27: pH 7.37 pCO2 43 pO2 96 HCO3 26 VBG 18:30: pH 7.21 pCO2 66 pO2 298 HCO3 28 VB" Missed entity,"(1732, 1735)",,VBG,,61911006,,12549331-DS-3,"BC 9.9 VBG 15:27: pH 7.37 pCO2 43 pO2 96 HCO3 26 VBG 18:30: pH 7.21 pCO2 66 pO2 298 HCO3 28 VBG 20:12:" Missed entity,"(1743, 1745)",,pH,,81065003,,12549331-DS-3,"15:27: pH 7.37 pCO2 43 pO2 96 HCO3 26 VBG 18:30: pH 7.21 pCO2 66 pO2 298 HCO3 28 VBG 20:12: pH 7.11 p" Missed entity,"(1751, 1755)",,pCO2,,250565008,,12549331-DS-3,"H 7.37 pCO2 43 pO2 96 HCO3 26 VBG 18:30: pH 7.21 pCO2 66 pO2 298 HCO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2" Missed entity,"(1759, 1762)",,pO2,,250547009,,12549331-DS-3,"CO2 43 pO2 96 HCO3 26 VBG 18:30: pH 7.21 pCO2 66 pO2 298 HCO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2 166 HC" Missed entity,"(1767, 1771)",,HCO3,,312471006,,12549331-DS-3,"O2 96 HCO3 26 VBG 18:30: pH 7.21 pCO2 66 pO2 298 HCO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2 166 HCO3 29 VBG" Missed entity,"(1775, 1778)",,VBG,,61911006,,12549331-DS-3,"O3 26 VBG 18:30: pH 7.21 pCO2 66 pO2 298 HCO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2 166 HCO3 29 VBG 00:09 " Missed entity,"(1786, 1788)",,pH,,81065003,,12549331-DS-3,"18:30: pH 7.21 pCO2 66 pO2 298 HCO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2 166 HCO3 29 VBG 00:09 (___): pH " Missed entity,"(1794, 1798)",,pCO2,,250565008,,12549331-DS-3,"H 7.21 pCO2 66 pO2 298 HCO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2 166 HCO3 29 VBG 00:09 (___): pH 7.13 pCO2 " Missed entity,"(1802, 1805)",,pO2,,250547009,,12549331-DS-3,"CO2 66 pO2 298 HCO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2 166 HCO3 29 VBG 00:09 (___): pH 7.13 pCO2 76 pO2 " Missed entity,"(1810, 1814)",,HCO3,,312471006,,12549331-DS-3,"O2 298 HCO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2 166 HCO3 29 VBG 00:09 (___): pH 7.13 pCO2 76 pO2 121 HCO3 " Missed entity,"(1818, 1821)",,VBG,,61911006,,12549331-DS-3,"CO3 28 VBG 20:12: pH 7.11 pCO2 85 pO2 166 HCO3 29 VBG 00:09 (___): pH 7.13 pCO2 76 pO2 121 HCO3 27 SPU" Missed entity,"(1835, 1837)",,pH,,81065003,,12549331-DS-3," pH 7.11 pCO2 85 pO2 166 HCO3 29 VBG 00:09 (___): pH 7.13 pCO2 76 pO2 121 HCO3 27 SPUTUM GRAM STAIN >" Missed entity,"(1843, 1847)",,pCO2,,250565008,,12549331-DS-3," pCO2 85 pO2 166 HCO3 29 VBG 00:09 (___): pH 7.13 pCO2 76 pO2 121 HCO3 27 SPUTUM GRAM STAIN >25 PMNs an" Missed entity,"(1851, 1854)",,pO2,,250547009,,12549331-DS-3," pO2 166 HCO3 29 VBG 00:09 (___): pH 7.13 pCO2 76 pO2 121 HCO3 27 SPUTUM GRAM STAIN >25 PMNs and <10 e" Missed entity,"(1859, 1863)",,HCO3,,312471006,,12549331-DS-3," HCO3 29 VBG 00:09 (___): pH 7.13 pCO2 76 pO2 121 HCO3 27 SPUTUM GRAM STAIN >25 PMNs and <10 epithelial" Missed entity,"(1868, 1874)",,SPUTUM,,104173009,,12549331-DS-3,"VBG 00:09 (___): pH 7.13 pCO2 76 pO2 121 HCO3 27 SPUTUM GRAM STAIN >25 PMNs and <10 epithelial cells/100X" Missed entity,"(1875, 1885)",,GRAM STAIN,,62777006,,12549331-DS-3,"09 (___): pH 7.13 pCO2 76 pO2 121 HCO3 27 SPUTUM GRAM STAIN >25 PMNs and <10 epithelial cells/100X field 1+ (" Missed entity,"(1903, 1919)",,epithelial cells,,250441008,,12549331-DS-3,"2 121 HCO3 27 SPUTUM GRAM STAIN >25 PMNs and <10 epithelial cells/100X field 1+ (<1 per 1000X FIELD): /GRAM POSITIV" Wrong span,"(2000, 2008)","(2000, 2005)",Blood cx,Blood,30088009,8765009,12549331-DS-3,"ELD): /GRAM POSITIVE COCCI /IN PAIRS/AND/SINGLY Blood cx pending Patient was given: PO Acetaminophen 1" Missed entity,"(2297, 2300)",,IVF,,103744005,,12549331-DS-3,"b Soln 1 NEB IH Ipratropium Bromide Neb 1 NEB IVF NS ( 1000 mL ordered) IH Albuterol 0.083% Neb S" "Correct entity, wrong SNOMED ID","(2863, 2873)","(2863, 2873)",left basal,left basal,60859004,110683006,12549331-DS-3," for: CXR ___ Decreased conspicuity of previous left basal opacity suggests a resolving pneumonia. Consul" "Correct entity, wrong SNOMED ID","(2874, 2881)","(2874, 2881)",opacity,opacity,128305008,193570009,12549331-DS-3," ___ Decreased conspicuity of previous left basal opacity suggests a resolving pneumonia. Consults: Re" "Correct entity, wrong SNOMED ID","(2894, 2903)","(2894, 2903)",resolving,resolving,268910001,413322009,12549331-DS-3,"icuity of previous left basal opacity suggests a resolving pneumonia. Consults: Respiratory Therapy: Pla" "Correct entity, wrong SNOMED ID","(2904, 2913)","(2904, 2913)",pneumonia,pneumonia,233604007,415125002,12549331-DS-3,"previous left basal opacity suggests a resolving pneumonia. Consults: Respiratory Therapy: Placed pt on " Missed entity,"(2963, 2967)",,HFNC,,371907003,,12549331-DS-3,". Consults: Respiratory Therapy: Placed pt on HFNC at 100% and 40L, pt tolerated fairly well, but p" "Correct entity, wrong SNOMED ID","(3031, 3038)","(3031, 3038)",labored,labored,248549001,124735008,12549331-DS-3,"0L, pt tolerated fairly well, but pt became more labored and somnolent over time. ABG showed a respirator" "Correct entity, wrong SNOMED ID","(3043, 3052)","(3043, 3052)",somnolent,somnolent,271782001,95631006,12549331-DS-3,"ated fairly well, but pt became more labored and somnolent over time. ABG showed a respiratory acidosis. Pt" "Correct entity, wrong SNOMED ID","(3064, 3067)","(3064, 3067)",ABG,ABG,60170009,279180003,12549331-DS-3," pt became more labored and somnolent over time. ABG showed a respiratory acidosis. Pt intubated with" "Correct entity, wrong SNOMED ID","(3078, 3098)","(3078, 3098)",respiratory acidosis,respiratory acidosis,12326000,70644008,12549331-DS-3,"re labored and somnolent over time. ABG showed a respiratory acidosis. Pt intubated with a 7.5ETT with a glidescope. E" "Correct entity, wrong SNOMED ID","(3103, 3112)","(3103, 3112)",intubated,intubated,112798008,262007003,12549331-DS-3,"over time. ABG showed a respiratory acidosis. Pt intubated with a 7.5ETT with a glidescope. ETCO2 had a + c" Missed entity,"(3161, 3166)",,color,,107650008,,12549331-DS-3,"d with a 7.5ETT with a glidescope. ETCO2 had a + color change. Initial settings VT 500; RR 18; FiO2 80%" Missed entity,"(3427, 3435)",,wheezing,,56018004,,12549331-DS-3,"ned the same. Pt given Albuterol MDI 6 puffs for wheezing and was suctioned for small amts of thick, yello" "Correct entity, wrong SNOMED ID","(3445, 3454)","(3445, 3454)",suctioned,suctioned,225715000,129112001,12549331-DS-3,"given Albuterol MDI 6 puffs for wheezing and was suctioned for small amts of thick, yellow secretions. Sputu" Missed entity,"(3473, 3478)",,thick,,277903005,,12549331-DS-3,"for wheezing and was suctioned for small amts of thick, yellow secretions. Sputum sample obtained and s" Missed entity,"(3480, 3486)",,yellow,,277907006,,12549331-DS-3,"ezing and was suctioned for small amts of thick, yellow secretions. Sputum sample obtained and sent to l" Wrong span,"(3499, 3505)","(3499, 3513)",Sputum,"Sputum sample",104173009,119335007,12549331-DS-3,"ioned for small amts of thick, yellow secretions. Sputum sample obtained and sent to lab. s/p VBG 7.___/1" Missed entity,"(3544, 3547)",,VBG,,61911006,,12549331-DS-3,"ons. Sputum sample obtained and sent to lab. s/p VBG 7.___/121/27 -5. Vent settings changed to vT:500" "Correct entity, wrong SNOMED ID","(3711, 3731)","(3711, 3731)",respiratory distress,respiratory distress,271825005,1179627006,12549331-DS-3,"ngs MV increased 10.5L --> 12L Initially treated respiratory distress with nebs then advanced to BiPAP. Patient intuba" Missed entity,"(3737, 3741)",,nebs,,56251003,,12549331-DS-3," 12L Initially treated respiratory distress with nebs then advanced to BiPAP. Patient intubated after " "Correct entity, wrong SNOMED ID","(3760, 3765)","(3760, 3765)",BiPAP,BiPAP,447243000,243142003,12549331-DS-3," respiratory distress with nebs then advanced to BiPAP. Patient intubated after failing BiPAP for increa" "Correct entity, wrong SNOMED ID","(3775, 3784)","(3775, 3784)",intubated,intubated,112798008,262007003,12549331-DS-3,"stress with nebs then advanced to BiPAP. Patient intubated after failing BiPAP for increasing hypercarbia a" "Correct entity, wrong SNOMED ID","(3799, 3804)","(3799, 3804)",BiPAP,BiPAP,447243000,243142003,12549331-DS-3,"vanced to BiPAP. Patient intubated after failing BiPAP for increasing hypercarbia and respiratory acido" Missed entity,"(3809, 3819)",,increasing,,271299001,,12549331-DS-3," BiPAP. Patient intubated after failing BiPAP for increasing hypercarbia and respiratory acidosis. Decision w" "Correct entity, wrong SNOMED ID","(3821, 3832)","(3821, 3832)",hypercarbia,hypercarbia,29596007,429428003,12549331-DS-3,"ent intubated after failing BiPAP for increasing hypercarbia and respiratory acidosis. Decision was made to ad" "Correct entity, wrong SNOMED ID","(3837, 3857)","(3837, 3857)",respiratory acidosis,respiratory acidosis,12326000,70644008,12549331-DS-3,"ter failing BiPAP for increasing hypercarbia and respiratory acidosis. Decision was made to admit patient to MICU for " Missed entity,"(3898, 3902)",,MICU,,397821002,,12549331-DS-3," acidosis. Decision was made to admit patient to MICU for management of severe asthma exacerbation, fl" Missed entity,"(3921, 3927)",,severe,,162470006,,12549331-DS-3," made to admit patient to MICU for management of severe asthma exacerbation, flu, and pneumonia. VS pr" "Correct entity, wrong SNOMED ID","(3928, 3947)","(3928, 3947)",asthma exacerbation,asthma exacerbation,281239006,734905008,12549331-DS-3,"o admit patient to MICU for management of severe asthma exacerbation, flu, and pneumonia. VS prior to transfer: T" "Correct entity, wrong SNOMED ID","(3950, 3953)","(3950, 3953)",flu,flu,6142004,12463005,12549331-DS-3,"CU for management of severe asthma exacerbation, flu, and pneumonia. VS prior to transfer: Temp 98" "Correct entity, wrong SNOMED ID","(3959, 3968)","(3959, 3968)",pneumonia,pneumonia,233604007,415125002,12549331-DS-3,"nagement of severe asthma exacerbation, flu, and pneumonia. VS prior to transfer: Temp 98.5 HR 108 BP 99" "Correct entity, wrong SNOMED ID","(3972, 3974)","(3972, 3974)",VS,VS,118227000,313611000,12549331-DS-3,"evere asthma exacerbation, flu, and pneumonia. VS prior to transfer: Temp 98.5 HR 108 BP 99/57 RR" "Correct entity, wrong SNOMED ID","(3996, 4000)","(3996, 4000)",Temp,Temp,105723007,102496004,12549331-DS-3,"n, flu, and pneumonia. VS prior to transfer: Temp 98.5 HR 108 BP 99/57 RR 24 POx 97% vent On arr" "Correct entity, wrong SNOMED ID","(4006, 4008)","(4006, 4008)",HR,HR,301113001,258702006,12549331-DS-3,"nd pneumonia. VS prior to transfer: Temp 98.5 HR 108 BP 99/57 RR 24 POx 97% vent On arrival to " "Correct entity, wrong SNOMED ID","(4013, 4015)","(4013, 4015)",BP,BP,392570002,38341003,12549331-DS-3,"monia. VS prior to transfer: Temp 98.5 HR 108 BP 99/57 RR 24 POx 97% vent On arrival to the MIC" "Correct entity, wrong SNOMED ID","(4022, 4024)","(4022, 4024)",RR,RR,301283003,229040007,12549331-DS-3,"VS prior to transfer: Temp 98.5 HR 108 BP 99/57 RR 24 POx 97% vent On arrival to the MICU, patien" Missed entity,"(4028, 4031)",,POx,,252465000,,12549331-DS-3,"or to transfer: Temp 98.5 HR 108 BP 99/57 RR 24 POx 97% vent On arrival to the MICU, patient found" "Correct entity, wrong SNOMED ID","(4036, 4040)","(4036, 4040)",vent,vent,1258985005,10448000,12549331-DS-3,"ansfer: Temp 98.5 HR 108 BP 99/57 RR 24 POx 97% vent On arrival to the MICU, patient found to be hy" Missed entity,"(4062, 4066)",,MICU,,397821002,,12549331-DS-3," BP 99/57 RR 24 POx 97% vent On arrival to the MICU, patient found to be hypotensive with SBPs ___. " "Correct entity, wrong SNOMED ID","(4088, 4099)","(4088, 4099)",hypotensive,hypotensive,45007003,372740001,12549331-DS-3,"nt On arrival to the MICU, patient found to be hypotensive with SBPs ___. Given 1L bolus LR and started on " Missed entity,"(4138, 4145)",,started,,275942009,,12549331-DS-3,"hypotensive with SBPs ___. Given 1L bolus LR and started on norepinephrine drip. Past Medical History" Missed entity,"(4149, 4169)",,"norepinephrine drip",,50060141000188106,,12549331-DS-3," with SBPs ___. Given 1L bolus LR and started on norepinephrine drip. Past Medical History: Asthma Hypothyroidism" "Correct entity, wrong SNOMED ID","(4197, 4203)","(4197, 4203)",Asthma,Asthma,195967001,281239006,12549331-DS-3,"n norepinephrine drip. Past Medical History: Asthma Hypothyroidism HTN Gout GERD Sleep Apnea Socia" "Correct entity, wrong SNOMED ID","(4205, 4219)","(4205, 4219)",Hypothyroidism,Hypothyroidism,40930008,10753681000119101,12549331-DS-3,"nephrine drip. Past Medical History: Asthma Hypothyroidism HTN Gout GERD Sleep Apnea Social History: ___ F" "Correct entity, wrong SNOMED ID","(4220, 4223)","(4220, 4223)",HTN,HTN,38341003,10725009,12549331-DS-3," Past Medical History: Asthma Hypothyroidism HTN Gout GERD Sleep Apnea Social History: ___ Famil" "Correct entity, wrong SNOMED ID","(4224, 4228)","(4224, 4228)",Gout,Gout,90560007,69896004,12549331-DS-3," Past Medical History: Asthma Hypothyroidism HTN Gout GERD Sleep Apnea Social History: ___ Family His" "Correct entity, wrong SNOMED ID","(4229, 4233)","(4229, 4233)",GERD,GERD,235595009,15749591000119107,12549331-DS-3," Medical History: Asthma Hypothyroidism HTN Gout GERD Sleep Apnea Social History: ___ Family History:" "Correct entity, wrong SNOMED ID","(4234, 4245)","(4234, 4245)",Sleep Apnea,Sleep Apnea,73430006,78275009,12549331-DS-3,"cal History: Asthma Hypothyroidism HTN Gout GERD Sleep Apnea Social History: ___ Family History: Several fam" "Correct entity, wrong SNOMED ID","(4370, 4383)","(4370, 4383)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,12549331-DS-3,"erwise noncontributory Physical Exam: ADMISSION PHYSICAL EXAM ======================= VITALS: Reviewed in Meta" "Correct entity, wrong SNOMED ID","(4408, 4414)","(4408, 4414)",VITALS,VITALS,118227000,260390007,12549331-DS-3,": ADMISSION PHYSICAL EXAM ======================= VITALS: Reviewed in MetaVision GENERAL: Intubated, NAD " "Correct entity, wrong SNOMED ID","(4440, 4447)","(4440, 4447)",GENERAL,GENERAL,162673000,112262001,12549331-DS-3,"================= VITALS: Reviewed in MetaVision GENERAL: Intubated, NAD HEENT: Head AT NC, Sclera inject" "Correct entity, wrong SNOMED ID","(4449, 4458)","(4449, 4458)",Intubated,Intubated,112798008,262007003,12549331-DS-3,"======== VITALS: Reviewed in MetaVision GENERAL: Intubated, NAD HEENT: Head AT NC, Sclera injected, Pupils " "Correct entity, wrong SNOMED ID","(4460, 4463)","(4460, 4463)",NAD,NAD,281900007,131143000,12549331-DS-3,"TALS: Reviewed in MetaVision GENERAL: Intubated, NAD HEENT: Head AT NC, Sclera injected, Pupils 2mm a" "Correct entity, wrong SNOMED ID","(4465, 4470)","(4465, 4470)",HEENT,HEENT,5880005,113665002,12549331-DS-3," Reviewed in MetaVision GENERAL: Intubated, NAD HEENT: Head AT NC, Sclera injected, Pupils 2mm and RLA " "Correct entity, wrong SNOMED ID","(4472, 4476)","(4472, 4476)",Head,Head,69536005,1230043004,12549331-DS-3,"wed in MetaVision GENERAL: Intubated, NAD HEENT: Head AT NC, Sclera injected, Pupils 2mm and RLA LUNGS:" "Correct entity, wrong SNOMED ID","(4480, 4482)","(4480, 4482)",NC,NC,840673007,705056007,12549331-DS-3,"etaVision GENERAL: Intubated, NAD HEENT: Head AT NC, Sclera injected, Pupils 2mm and RLA LUNGS: On ve" "Correct entity, wrong SNOMED ID","(4484, 4499)","(4484, 4499)",Sclera injected,Sclera injected,193894004,231768009,12549331-DS-3,"ision GENERAL: Intubated, NAD HEENT: Head AT NC, Sclera injected, Pupils 2mm and RLA LUNGS: On ventilator, poor ai" "Correct entity, wrong SNOMED ID","(4501, 4507)","(4501, 4507)",Pupils,Pupils,247010007,363955005,12549331-DS-3,"tubated, NAD HEENT: Head AT NC, Sclera injected, Pupils 2mm and RLA LUNGS: On ventilator, poor air moveme" "Correct entity, wrong SNOMED ID","(4520, 4525)","(4520, 4525)",LUNGS,LUNGS,268925001,74101002,12549331-DS-3,": Head AT NC, Sclera injected, Pupils 2mm and RLA LUNGS: On ventilator, poor air movement throughout with" "Correct entity, wrong SNOMED ID","(4530, 4540)","(4530, 4540)",ventilator,ventilator,1258985005,707765006,12549331-DS-3,"NC, Sclera injected, Pupils 2mm and RLA LUNGS: On ventilator, poor air movement throughout with scattered exp" "Correct entity, wrong SNOMED ID","(4598, 4605)","(4598, 4605)",wheezes,wheezes,56018004,9763007,12549331-DS-3,"ir movement throughout with scattered expiratory wheezes and rhonchi CV: RRR, although difficult to apprec" "Correct entity, wrong SNOMED ID","(4618, 4620)","(4618, 4620)",CV,CV,363003006,258773002,12549331-DS-3,"ut with scattered expiratory wheezes and rhonchi CV: RRR, although difficult to appreciate ABD: so" "Correct entity, wrong SNOMED ID","(4622, 4625)","(4622, 4625)",RRR,RRR,76863003,129960002,12549331-DS-3,"ith scattered expiratory wheezes and rhonchi CV: RRR, although difficult to appreciate ABD: soft, n" "Correct entity, wrong SNOMED ID","(4663, 4666)","(4663, 4666)",ABD,ABD,225162003,60728008,12549331-DS-3,"nchi CV: RRR, although difficult to appreciate ABD: soft, non-tender, non-distended, bowel sounds pr" "Correct entity, wrong SNOMED ID","(4674, 4684)","(4674, 4684)",non-tender,non-tender,43478001,298741000,12549331-DS-3,"R, although difficult to appreciate ABD: soft, non-tender, non-distended, bowel sounds present, no rebound" "Correct entity, wrong SNOMED ID","(4686, 4699)","(4686, 4699)",non-distended,non-distended,300405003,162069004,12549331-DS-3,"difficult to appreciate ABD: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or " "Correct entity, wrong SNOMED ID","(4701, 4721)","(4701, 4721)",bowel sounds present,bowel sounds present,61539000,444685004,12549331-DS-3,"preciate ABD: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomeg" "Correct entity, wrong SNOMED ID","(4727, 4734)","(4727, 4734)",rebound,rebound,35611005,844584001,12549331-DS-3,"-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly EXT: Wa" "Correct entity, wrong SNOMED ID","(4735, 4745)","(4735, 4745)",tenderness,tenderness,247348008,43478001,12549331-DS-3," non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly EXT: Warm, well pe" "Correct entity, wrong SNOMED ID","(4777, 4780)","(4777, 4780)",EXT,EXT,302773001,1489008,12549331-DS-3,"rebound tenderness or guarding, no organomegaly EXT: Warm, well perfused, 2+ pulses, no clubbing, cya" "Correct entity, wrong SNOMED ID","(4782, 4786)","(4782, 4786)",Warm,Warm,102599008,298256005,12549331-DS-3,"nd tenderness or guarding, no organomegaly EXT: Warm, well perfused, 2+ pulses, no clubbing, cyanosis " "Correct entity, wrong SNOMED ID","(4788, 4801)","(4788, 4801)",well perfused,well perfused,1137685003,301121007,12549331-DS-3,"derness or guarding, no organomegaly EXT: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema GU: F" "Correct entity, wrong SNOMED ID","(4803, 4812)","(4803, 4812)",2+ pulses,2+ pulses,40969002,429784004,12549331-DS-3,"ding, no organomegaly EXT: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema GU: Foley in pla" "Correct entity, wrong SNOMED ID","(4817, 4825)","(4817, 4825)",clubbing,clubbing,367004,247519001,12549331-DS-3,"omegaly EXT: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema GU: Foley in place NEURO: " "Correct entity, wrong SNOMED ID","(4827, 4835)","(4827, 4835)",cyanosis,cyanosis,3415004,84260001,12549331-DS-3,"EXT: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema GU: Foley in place NEURO: Patient se" "Correct entity, wrong SNOMED ID","(4840, 4845)","(4840, 4845)",edema,edema,267038008,102576009,12549331-DS-3,"ll perfused, 2+ pulses, no clubbing, cyanosis or edema GU: Foley in place NEURO: Patient sedated DI" "Correct entity, wrong SNOMED ID","(4846, 4848)","(4846, 4848)",GU,GU,268945009,77618006,12549331-DS-3,"fused, 2+ pulses, no clubbing, cyanosis or edema GU: Foley in place NEURO: Patient sedated DISCH" "Correct entity, wrong SNOMED ID","(4850, 4864)","(4850, 4864)",Foley in place,Foley in place,410024004,72440003,12549331-DS-3,"d, 2+ pulses, no clubbing, cyanosis or edema GU: Foley in place NEURO: Patient sedated DISCHARGE PHYSICAL EX" "Correct entity, wrong SNOMED ID","(4868, 4873)","(4868, 4873)",NEURO,NEURO,84728005,281247006,12549331-DS-3,"lubbing, cyanosis or edema GU: Foley in place NEURO: Patient sedated DISCHARGE PHYSICAL EXAM ======" "Correct entity, wrong SNOMED ID","(4883, 4890)","(4883, 4890)",sedated,sedated,17971005,1157030006,12549331-DS-3,"is or edema GU: Foley in place NEURO: Patient sedated DISCHARGE PHYSICAL EXAM =======================" Missed entity,"(4903, 4916)",,PHYSICAL EXAM,,5880005,,12549331-DS-3,"ey in place NEURO: Patient sedated DISCHARGE PHYSICAL EXAM ======================= Vitals: T:98 BP: 151/88 H" "Correct entity, wrong SNOMED ID","(4954, 4956)","(4954, 4956)",BP,BP,392570002,38341003,12549331-DS-3,"HYSICAL EXAM ======================= Vitals: T:98 BP: 151/88 HR:85 18 94 RA GENERAL: Alert, NAD, breat" "Correct entity, wrong SNOMED ID","(4965, 4967)","(4965, 4967)",HR,HR,301113001,258702006,12549331-DS-3,"M ======================= Vitals: T:98 BP: 151/88 HR:85 18 94 RA GENERAL: Alert, NAD, breathing room a" "Correct entity, wrong SNOMED ID","(4977, 4979)","(4977, 4979)",RA,RA,722742002,463051000124105,12549331-DS-3,"============= Vitals: T:98 BP: 151/88 HR:85 18 94 RA GENERAL: Alert, NAD, breathing room air comfortab" "Correct entity, wrong SNOMED ID","(4980, 4987)","(4980, 4987)",GENERAL,GENERAL,162673000,112262001,12549331-DS-3,"========== Vitals: T:98 BP: 151/88 HR:85 18 94 RA GENERAL: Alert, NAD, breathing room air comfortably and s" "Correct entity, wrong SNOMED ID","(4989, 4994)","(4989, 4994)",Alert,Alert,248234008,409787004,12549331-DS-3,"= Vitals: T:98 BP: 151/88 HR:85 18 94 RA GENERAL: Alert, NAD, breathing room air comfortably and speaking" "Correct entity, wrong SNOMED ID","(4996, 4999)","(4996, 4999)",NAD,NAD,281900007,131143000,12549331-DS-3,"s: T:98 BP: 151/88 HR:85 18 94 RA GENERAL: Alert, NAD, breathing room air comfortably and speaking in " Missed entity,"(5020, 5031)",,comfortably,,276362002,,12549331-DS-3," 18 94 RA GENERAL: Alert, NAD, breathing room air comfortably and speaking in full sentences EYES: Anicteric, " Missed entity,"(5049, 5063)",,full sentences,,713661000,,12549331-DS-3,", breathing room air comfortably and speaking in full sentences EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/" "Correct entity, wrong SNOMED ID","(5064, 5068)","(5064, 5068)",EYES,EYES,36228007,1285599008,12549331-DS-3,"m air comfortably and speaking in full sentences EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, n" "Correct entity, wrong SNOMED ID","(5070, 5079)","(5070, 5079)",Anicteric,Anicteric,427801009,230421008,12549331-DS-3,"comfortably and speaking in full sentences EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RES" "Correct entity, wrong SNOMED ID","(5081, 5086)","(5081, 5086)",PERRL,PERRL,386666001,431291005,12549331-DS-3," and speaking in full sentences EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clea" "Correct entity, wrong SNOMED ID","(5087, 5090)","(5087, 5090)",ENT,ENT,113028003,49229003,12549331-DS-3,"peaking in full sentences EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/" "Correct entity, wrong SNOMED ID","(5092, 5100)","(5092, 5100)",OP clear,OP clear,300280008,271591004,12549331-DS-3,"ng in full sentences EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L ausculta" "Correct entity, wrong SNOMED ID","(5102, 5105)","(5102, 5105)",MMM,MMM,276398005,258673006,12549331-DS-3,"l sentences EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L auscultation " "Correct entity, wrong SNOMED ID","(5106, 5108)","(5106, 5108)",CV,CV,363003006,258773002,12549331-DS-3,"ntences EYES: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L auscultation wit" "Correct entity, wrong SNOMED ID","(5117, 5125)","(5117, 5125)",no m/r/g,no m/r/g,301132007,315221003,12549331-DS-3,"S: Anicteric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L auscultation without wheezes or r" "Correct entity, wrong SNOMED ID","(5126, 5130)","(5126, 5130)",RESP,RESP,268925001,20139000,12549331-DS-3,"ric, PERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L auscultation without wheezes or rhonch" "Correct entity, wrong SNOMED ID","(5132, 5137)","(5132, 5137)",Clear,Clear,48348007,281278005,12549331-DS-3,"ERRL ENT: OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L auscultation without wheezes or rhonchi GI: A" Missed entity,"(5142, 5154)",,auscultation,,37931006,,12549331-DS-3,"OP clear, MMM CV: NR/RR, no m/r/g RESP: Clear B/L auscultation without wheezes or rhonchi GI: Abdomen soft, non-" "Correct entity, wrong SNOMED ID","(5163, 5170)","(5163, 5170)",wheezes,wheezes,56018004,9763007,12549331-DS-3,"RR, no m/r/g RESP: Clear B/L auscultation without wheezes or rhonchi GI: Abdomen soft, non-distended, non-t" "Correct entity, wrong SNOMED ID","(5182, 5184)","(5182, 5184)",GI,GI,268937004,1142285003,12549331-DS-3,"Clear B/L auscultation without wheezes or rhonchi GI: Abdomen soft, non-distended, non-tender to palpa" "Correct entity, wrong SNOMED ID","(5186, 5198)","(5186, 5198)",Abdomen soft,Abdomen soft,249543005,126611005,12549331-DS-3,"r B/L auscultation without wheezes or rhonchi GI: Abdomen soft, non-distended, non-tender to palpation. Bowel s" "Correct entity, wrong SNOMED ID","(5200, 5213)","(5200, 5213)",non-distended,non-distended,300405003,162069004,12549331-DS-3,"tion without wheezes or rhonchi GI: Abdomen soft, non-distended, non-tender to palpation. Bowel sounds present. " Wrong span,"(5219, 5238)","(5215, 5225)",tender to palpation,non-tender,247348008,298741000,12549331-DS-3,"s or rhonchi GI: Abdomen soft, non-distended, non-tender to palpation. Bowel sounds present. GU: No suprapubic fullnes" "Correct entity, wrong SNOMED ID","(5241, 5261)","(5241, 5261)","Bowel sounds present","Bowel sounds present",61539000,444685004,12549331-DS-3,"en soft, non-distended, non-tender to palpation. Bowel sounds present. GU: No suprapubic fullness or tenderness to palp" "Correct entity, wrong SNOMED ID","(5263, 5265)","(5263, 5265)",GU,GU,268945009,77618006,12549331-DS-3,", non-tender to palpation. Bowel sounds present. GU: No suprapubic fullness or tenderness to palpatio" "Correct entity, wrong SNOMED ID","(5270, 5280)","(5270, 5280)",suprapubic,suprapubic,11708003,42531000087106,12549331-DS-3,"ender to palpation. Bowel sounds present. GU: No suprapubic fullness or tenderness to palpation MSK: Neck sup" "Correct entity, wrong SNOMED ID","(5293, 5303)","(5293, 5303)",tenderness,tenderness,247348008,43478001,12549331-DS-3,"wel sounds present. GU: No suprapubic fullness or tenderness to palpation MSK: Neck supple, moves all extremit" "Correct entity, wrong SNOMED ID","(5307, 5316)","(5307, 5316)",palpation,palpation,64908006,51558006,12549331-DS-3,"sent. GU: No suprapubic fullness or tenderness to palpation MSK: Neck supple, moves all extremities, strength" "Correct entity, wrong SNOMED ID","(5317, 5320)","(5317, 5320)",MSK,MSK,363215001,258697002,12549331-DS-3,"No suprapubic fullness or tenderness to palpation MSK: Neck supple, moves all extremities, strength gro" Wrong span,"(5322, 5333)","(5322, 5326)",Neck supple,Neck,298475003,840674001,12549331-DS-3,"prapubic fullness or tenderness to palpation MSK: Neck supple, moves all extremities, strength grossly full and" Wrong span,"(5335, 5356)","(5335, 5340)",moves all extremities,moves,284137004,302000008,12549331-DS-3,"ness or tenderness to palpation MSK: Neck supple, moves all extremities, strength grossly full and symmetric bilaterally " Missed entity,"(5358, 5366)",,strength,,1148974002,,12549331-DS-3,"alpation MSK: Neck supple, moves all extremities, strength grossly full and symmetric bilaterally in all lim" Missed entity,"(5384, 5418)",,symmetric bilaterally in all limbs,,860972006,,12549331-DS-3," moves all extremities, strength grossly full and symmetric bilaterally in all limbs, no ___ edema SKIN: No rashes or ulcerations note" "Correct entity, wrong SNOMED ID","(5427, 5432)","(5427, 5432)",edema,edema,267038008,102576009,12549331-DS-3,"ll and symmetric bilaterally in all limbs, no ___ edema SKIN: No rashes or ulcerations noted NEURO: Alert" "Correct entity, wrong SNOMED ID","(5433, 5437)","(5433, 5437)",SKIN,SKIN,271303006,444884003,12549331-DS-3," symmetric bilaterally in all limbs, no ___ edema SKIN: No rashes or ulcerations noted NEURO: Alert, ori" "Correct entity, wrong SNOMED ID","(5442, 5448)","(5442, 5448)",rashes,rashes,271807003,247472004,12549331-DS-3,"c bilaterally in all limbs, no ___ edema SKIN: No rashes or ulcerations noted NEURO: Alert, oriented, face" "Correct entity, wrong SNOMED ID","(5452, 5463)","(5452, 5463)",ulcerations,ulcerations,46742003,13200003,12549331-DS-3,"lly in all limbs, no ___ edema SKIN: No rashes or ulcerations noted NEURO: Alert, oriented, face symmetric, gaz" "Correct entity, wrong SNOMED ID","(5470, 5475)","(5470, 5475)",NEURO,NEURO,84728005,281247006,12549331-DS-3,"no ___ edema SKIN: No rashes or ulcerations noted NEURO: Alert, oriented, face symmetric, gaze conjugate " "Correct entity, wrong SNOMED ID","(5477, 5482)","(5477, 5482)",Alert,Alert,248234008,409787004,12549331-DS-3,"edema SKIN: No rashes or ulcerations noted NEURO: Alert, oriented, face symmetric, gaze conjugate with E" "Correct entity, wrong SNOMED ID","(5484, 5492)","(5484, 5492)",oriented,oriented,247663003,787379002,12549331-DS-3,"KIN: No rashes or ulcerations noted NEURO: Alert, oriented, face symmetric, gaze conjugate with EOMI, speec" "Correct entity, wrong SNOMED ID","(5494, 5508)","(5494, 5508)",face symmetric,face symmetric,248172007,248149005,12549331-DS-3,"shes or ulcerations noted NEURO: Alert, oriented, face symmetric, gaze conjugate with EOMI, speech fluent, moves " Missed entity,"(5510, 5524)",,gaze conjugate,,103255006,,12549331-DS-3,"ons noted NEURO: Alert, oriented, face symmetric, gaze conjugate with EOMI, speech fluent, moves all limbs PSYCH:" "Correct entity, wrong SNOMED ID","(5531, 5535)","(5531, 5535)",EOMI,EOMI,103251002,67099000,12549331-DS-3,"t, oriented, face symmetric, gaze conjugate with EOMI, speech fluent, moves all limbs PSYCH: pleasant, " "Correct entity, wrong SNOMED ID","(5537, 5550)","(5537, 5550)",speech fluent,speech fluent,286402008,39423001,12549331-DS-3,"ented, face symmetric, gaze conjugate with EOMI, speech fluent, moves all limbs PSYCH: pleasant, appropriate aff" Missed entity,"(5552, 5567)",,moves all limbs,,284137004,,12549331-DS-3,"metric, gaze conjugate with EOMI, speech fluent, moves all limbs PSYCH: pleasant, appropriate affect Pertinent " "Correct entity, wrong SNOMED ID","(5568, 5573)","(5568, 5573)",PSYCH,PSYCH,405783006,17326005,12549331-DS-3,"jugate with EOMI, speech fluent, moves all limbs PSYCH: pleasant, appropriate affect Pertinent Result" Wrong span,"(5585, 5603)","(5585, 5596)",appropriate affect,appropriate,80608005,225919000,12549331-DS-3,", speech fluent, moves all limbs PSYCH: pleasant, appropriate affect Pertinent Results: ADMISSION LABS ============" "Correct entity, wrong SNOMED ID","(5674, 5677)","(5674, 5677)",WBC,WBC,767002,391558003,12549331-DS-3,": ADMISSION LABS ============== ___ 03:10PM BLOOD WBC-9.9 RBC-4.33* Hgb-14.7 Hct-43.6 MCV-101* MCH-33." "Correct entity, wrong SNOMED ID","(5682, 5685)","(5682, 5685)",RBC,RBC,14089001,258759006,12549331-DS-3,"ION LABS ============== ___ 03:10PM BLOOD WBC-9.9 RBC-4.33* Hgb-14.7 Hct-43.6 MCV-101* MCH-33.9* MCHC-" "Correct entity, wrong SNOMED ID","(5692, 5695)","(5692, 5695)",Hgb,Hgb,441689006,104142005,12549331-DS-3,"============= ___ 03:10PM BLOOD WBC-9.9 RBC-4.33* Hgb-14.7 Hct-43.6 MCV-101* MCH-33.9* MCHC-33.7 RDW-1" "Correct entity, wrong SNOMED ID","(5701, 5704)","(5701, 5704)",Hct,Hct,28317006,282660005,12549331-DS-3,"==== ___ 03:10PM BLOOD WBC-9.9 RBC-4.33* Hgb-14.7 Hct-43.6 MCV-101* MCH-33.9* MCHC-33.7 RDW-13.6 RDWSD" Missed entity,"(5711, 5714)",,MCV,,104133003,,12549331-DS-3,"3:10PM BLOOD WBC-9.9 RBC-4.33* Hgb-14.7 Hct-43.6 MCV-101* MCH-33.9* MCHC-33.7 RDW-13.6 RDWSD-50.4* Plt" "Correct entity, wrong SNOMED ID","(5720, 5723)","(5720, 5723)",MCH,MCH,54706004,735147002,12549331-DS-3,"OOD WBC-9.9 RBC-4.33* Hgb-14.7 Hct-43.6 MCV-101* MCH-33.9* MCHC-33.7 RDW-13.6 RDWSD-50.4* Plt ___ ___ " "Correct entity, wrong SNOMED ID","(5730, 5734)","(5730, 5734)",MCHC,MCHC,37254006,735147002,12549331-DS-3,"9 RBC-4.33* Hgb-14.7 Hct-43.6 MCV-101* MCH-33.9* MCHC-33.7 RDW-13.6 RDWSD-50.4* Plt ___ ___ 03:10PM BLO" "Correct entity, wrong SNOMED ID","(5749, 5754)","(5749, 5754)",RDWSD,RDWSD,66842004,80328002,12549331-DS-3,"7 Hct-43.6 MCV-101* MCH-33.9* MCHC-33.7 RDW-13.6 RDWSD-50.4* Plt ___ ___ 03:10PM BLOOD Neuts-91.7* Lymph" Missed entity,"(5761, 5764)",,Plt,,61928009,,12549331-DS-3,"MCV-101* MCH-33.9* MCHC-33.7 RDW-13.6 RDWSD-50.4* Plt ___ ___ 03:10PM BLOOD Neuts-91.7* Lymphs-3.2* Mon" "Correct entity, wrong SNOMED ID","(5787, 5792)","(5787, 5792)",Neuts,Neuts,30630007,271035003,12549331-DS-3,".7 RDW-13.6 RDWSD-50.4* Plt ___ ___ 03:10PM BLOOD Neuts-91.7* Lymphs-3.2* Monos-4.0* Eos-0.4* Baso-0.3 I" "Correct entity, wrong SNOMED ID","(5799, 5805)","(5799, 5805)",Lymphs,Lymphs,74765001,79709007,12549331-DS-3,"RDWSD-50.4* Plt ___ ___ 03:10PM BLOOD Neuts-91.7* Lymphs-3.2* Monos-4.0* Eos-0.4* Baso-0.3 Im ___ AbsNeut" "Correct entity, wrong SNOMED ID","(5811, 5816)","(5811, 5816)",Monos,Monos,67776007,462791000124108,12549331-DS-3,"Plt ___ ___ 03:10PM BLOOD Neuts-91.7* Lymphs-3.2* Monos-4.0* Eos-0.4* Baso-0.3 Im ___ AbsNeut-9.04* AbsL" "Correct entity, wrong SNOMED ID","(5832, 5836)","(5832, 5836)",Baso,Baso,42351005,700051010000106,12549331-DS-3,"LOOD Neuts-91.7* Lymphs-3.2* Monos-4.0* Eos-0.4* Baso-0.3 Im ___ AbsNeut-9.04* AbsLymp-0.32* AbsMono-0" Missed entity,"(5933, 5936)",,Plt,,61928009,,12549331-DS-3,"o-0.39 AbsEos-0.04 AbsBaso-0.03 ___ 03:10PM BLOOD Plt ___ ___ 03:10PM BLOOD Glucose-125* UreaN-14 Creat" "Correct entity, wrong SNOMED ID","(5959, 5966)","(5959, 5966)",Glucose,Glucose,33747003,72191006,12549331-DS-3,"-0.03 ___ 03:10PM BLOOD Plt ___ ___ 03:10PM BLOOD Glucose-125* UreaN-14 Creat-1.1 Na-138 K-4.0 Cl-100 HCO3" "Correct entity, wrong SNOMED ID","(5972, 5977)","(5972, 5977)",UreaN,UreaN,105011006,111108008,12549331-DS-3,"10PM BLOOD Plt ___ ___ 03:10PM BLOOD Glucose-125* UreaN-14 Creat-1.1 Na-138 K-4.0 Cl-100 HCO3-24 AnGap-1" "Correct entity, wrong SNOMED ID","(5981, 5986)","(5981, 5986)",Creat,Creat,70901006,365756002,12549331-DS-3,"D Plt ___ ___ 03:10PM BLOOD Glucose-125* UreaN-14 Creat-1.1 Na-138 K-4.0 Cl-100 HCO3-24 AnGap-14 ___ 03:" "Correct entity, wrong SNOMED ID","(5991, 5993)","(5991, 5993)",Na,Na,312469006,257992007,12549331-DS-3,"___ 03:10PM BLOOD Glucose-125* UreaN-14 Creat-1.1 Na-138 K-4.0 Cl-100 HCO3-24 AnGap-14 ___ 03:10PM BL" Missed entity,"(5999, 6000)",,K,,312468003,,12549331-DS-3,"0PM BLOOD Glucose-125* UreaN-14 Creat-1.1 Na-138 K-4.0 Cl-100 HCO3-24 AnGap-14 ___ 03:10PM BLOOD ALT" "Correct entity, wrong SNOMED ID","(6005, 6007)","(6005, 6007)",Cl,Cl,104589004,311741002,12549331-DS-3,"OOD Glucose-125* UreaN-14 Creat-1.1 Na-138 K-4.0 Cl-100 HCO3-24 AnGap-14 ___ 03:10PM BLOOD ALT-20 AST" "Correct entity, wrong SNOMED ID","(6012, 6016)","(6012, 6016)",HCO3,HCO3,312471006,88645003,12549331-DS-3,"cose-125* UreaN-14 Creat-1.1 Na-138 K-4.0 Cl-100 HCO3-24 AnGap-14 ___ 03:10PM BLOOD ALT-20 AST-23 AlkPh" "Correct entity, wrong SNOMED ID","(6020, 6025)","(6020, 6025)",AnGap,AnGap,25469001,124504004,12549331-DS-3,"* UreaN-14 Creat-1.1 Na-138 K-4.0 Cl-100 HCO3-24 AnGap-14 ___ 03:10PM BLOOD ALT-20 AST-23 AlkPhos-86 Tot" "Correct entity, wrong SNOMED ID","(6047, 6050)","(6047, 6050)",ALT,ALT,34608000,56935002,12549331-DS-3," K-4.0 Cl-100 HCO3-24 AnGap-14 ___ 03:10PM BLOOD ALT-20 AST-23 AlkPhos-86 TotBili-0.4 ___ 03:10PM BLOO" "Correct entity, wrong SNOMED ID","(6054, 6057)","(6054, 6057)",AST,AST,45896001,85043005,12549331-DS-3," Cl-100 HCO3-24 AnGap-14 ___ 03:10PM BLOOD ALT-20 AST-23 AlkPhos-86 TotBili-0.4 ___ 03:10PM BLOOD Album" "Correct entity, wrong SNOMED ID","(6061, 6068)","(6061, 6068)",AlkPhos,AlkPhos,88810008,30703008,12549331-DS-3," HCO3-24 AnGap-14 ___ 03:10PM BLOOD ALT-20 AST-23 AlkPhos-86 TotBili-0.4 ___ 03:10PM BLOOD Albumin-4.2 Calc" "Correct entity, wrong SNOMED ID","(6072, 6079)","(6072, 6079)",TotBili,TotBili,359986008,19754005,12549331-DS-3,"Gap-14 ___ 03:10PM BLOOD ALT-20 AST-23 AlkPhos-86 TotBili-0.4 ___ 03:10PM BLOOD Albumin-4.2 Calcium-8.8 Pho" "Correct entity, wrong SNOMED ID","(6102, 6109)","(6102, 6109)",Albumin,Albumin,26758005,166804009,12549331-DS-3,"0 AST-23 AlkPhos-86 TotBili-0.4 ___ 03:10PM BLOOD Albumin-4.2 Calcium-8.8 Phos-3.2 Mg-2.3 ___ 03:27PM BLOOD" "Correct entity, wrong SNOMED ID","(6114, 6121)","(6114, 6121)",Calcium,Calcium,312472004,108601004,12549331-DS-3,"Phos-86 TotBili-0.4 ___ 03:10PM BLOOD Albumin-4.2 Calcium-8.8 Phos-3.2 Mg-2.3 ___ 03:27PM BLOOD ___ Temp-38" "Correct entity, wrong SNOMED ID","(6126, 6130)","(6126, 6130)",Phos,Phos,104868000,168075002,12549331-DS-3,"ili-0.4 ___ 03:10PM BLOOD Albumin-4.2 Calcium-8.8 Phos-3.2 Mg-2.3 ___ 03:27PM BLOOD ___ Temp-38.8 Rates-" "Correct entity, wrong SNOMED ID","(6135, 6137)","(6135, 6137)",Mg,Mg,271285000,258684004,12549331-DS-3,"__ 03:10PM BLOOD Albumin-4.2 Calcium-8.8 Phos-3.2 Mg-2.3 ___ 03:27PM BLOOD ___ Temp-38.8 Rates-/28 pO2" "Correct entity, wrong SNOMED ID","(6164, 6168)","(6164, 6168)",Temp,Temp,105723007,102496004,12549331-DS-3,"Calcium-8.8 Phos-3.2 Mg-2.3 ___ 03:27PM BLOOD ___ Temp-38.8 Rates-/28 pO2-96 pCO2-43 pH-7.37 calTCO2-26" Missed entity,"(6184, 6187)",,pO2,,250546000,,12549331-DS-3," Mg-2.3 ___ 03:27PM BLOOD ___ Temp-38.8 Rates-/28 pO2-96 pCO2-43 pH-7.37 calTCO2-26 Base XS-0 ___ 03:2" Missed entity,"(6192, 6196)",,pCO2,,250564007,,12549331-DS-3,"___ 03:27PM BLOOD ___ Temp-38.8 Rates-/28 pO2-96 pCO2-43 pH-7.37 calTCO2-26 Base XS-0 ___ 03:27PM BLOOD" "Correct entity, wrong SNOMED ID","(6200, 6202)","(6200, 6202)",pH,pH,81065003,264912003,12549331-DS-3,"7PM BLOOD ___ Temp-38.8 Rates-/28 pO2-96 pCO2-43 pH-7.37 calTCO2-26 Base XS-0 ___ 03:27PM BLOOD Lacta" Missed entity,"(6208, 6215)",,calTCO2,,391396001,,12549331-DS-3,"D ___ Temp-38.8 Rates-/28 pO2-96 pCO2-43 pH-7.37 calTCO2-26 Base XS-0 ___ 03:27PM BLOOD Lactate-2.0 MICRO" Missed entity,"(6219, 6226)",,Base XS,,67487000,,12549331-DS-3,"38.8 Rates-/28 pO2-96 pCO2-43 pH-7.37 calTCO2-26 Base XS-0 ___ 03:27PM BLOOD Lactate-2.0 MICRO ===== Infl" Missed entity,"(6247, 6254)",,Lactate,,3926003,,12549331-DS-3,"43 pH-7.37 calTCO2-26 Base XS-0 ___ 03:27PM BLOOD Lactate-2.0 MICRO ===== Influenza A by PCR POSITIVE* R" Wrong span,"(6272, 6290)","(6272, 6281)",Influenza A by PCR,Influenza,772835009,789775004,12549331-DS-3,"e XS-0 ___ 03:27PM BLOOD Lactate-2.0 MICRO ===== Influenza A by PCR POSITIVE* Reported to and read back by ___, 16" Missed entity,"(6368, 6376)",,NEGATIVE,,23875004,,12549331-DS-3," read back by ___, 16:23 ___ Influenza B by PCR NEGATIVE S. PNEUMONIAE ANTIGENS, Not Detected " "Correct entity, wrong SNOMED ID","(6441, 6446)","(6441, 6446)",URINE,URINE,442564008,78888000,12549331-DS-3," ANTIGENS, Not Detected Not Detected URINE __" "Correct entity, wrong SNOMED ID","(6498, 6503)","(6498, 6503)",URINE,URINE,117010004,78888000,12549331-DS-3," ___ URINE URINE CULTURE-FINAL INPATIENT ___ URINE Legionel" Missed entity,"(6539, 6544)",,URINE,,117010004,,12549331-DS-3," ___ URINE URINE CULTURE-FINAL INPATIENT ___ URINE Legionella Urinary Antigen -FINAL INPATIENT ___" Missed entity,"(6545, 6555)",,Legionella,,398489007,,12549331-DS-3,"__ URINE URINE CULTURE-FINAL INPATIENT ___ URINE Legionella Urinary Antigen -FINAL INPATIENT ___ MRSA SCREE" Missed entity,"(6556, 6563)",,Urinary,,68566005,,12549331-DS-3,"INE CULTURE-FINAL INPATIENT ___ URINE Legionella Urinary Antigen -FINAL INPATIENT ___ MRSA SCREEN MRSA S" "Correct entity, wrong SNOMED ID","(6640, 6646)","(6640, 6646)",SPUTUM,SPUTUM,104173009,28743005,12549331-DS-3," ___ MRSA SCREEN MRSA SCREEN-FINAL INPATIENT ___ SPUTUM GRAM STAIN-FINAL; RESPIRATORY CULTURE-FINAL EMER" "Correct entity, wrong SNOMED ID","(6647, 6657)","(6647, 6657)",GRAM STAIN,GRAM STAIN,62777006,104200004,12549331-DS-3,"SA SCREEN MRSA SCREEN-FINAL INPATIENT ___ SPUTUM GRAM STAIN-FINAL; RESPIRATORY CULTURE-FINAL EMERGENCY WARD " "Correct entity, wrong SNOMED ID","(6718, 6725)","(6718, 6725)",CULTURE,CULTURE,30088009,61594008,12549331-DS-3,"PIRATORY CULTURE-FINAL EMERGENCY WARD ___ BLOOD CULTURE Blood Culture, Routine-PENDING EMERGENCY WARD _" "Correct entity, wrong SNOMED ID","(6726, 6739)","(6726, 6739)",Blood Culture,Blood Culture,30088009,8730001000004107,12549331-DS-3," CULTURE-FINAL EMERGENCY WARD ___ BLOOD CULTURE Blood Culture, Routine-PENDING EMERGENCY WARD ___ BLOOD CULTU" Missed entity,"(6784, 6791)",,CULTURE,,30088009,,12549331-DS-3,"lture, Routine-PENDING EMERGENCY WARD ___ BLOOD CULTURE Blood Culture, Routine-PENDING EMERGENCY WARD " "Correct entity, wrong SNOMED ID","(6792, 6805)","(6792, 6805)",Blood Culture,Blood Culture,30088009,8730001000004107,12549331-DS-3,"outine-PENDING EMERGENCY WARD ___ BLOOD CULTURE Blood Culture, Routine-PENDING EMERGENCY WARD IMAGING ======" Missed entity,"(6841, 6848)",,IMAGING,,363679005,,12549331-DS-3," Blood Culture, Routine-PENDING EMERGENCY WARD IMAGING ======= ___ CXR IMPRESSION: Decreased conspicui" "Correct entity, wrong SNOMED ID","(6861, 6864)","(6861, 6864)",CXR,CXR,399208008,55106003,12549331-DS-3,"ine-PENDING EMERGENCY WARD IMAGING ======= ___ CXR IMPRESSION: Decreased conspicuity of previous l" "Correct entity, wrong SNOMED ID","(6913, 6923)","(6913, 6923)",left basal,left basal,60859004,110683006,12549331-DS-3,"R IMPRESSION: Decreased conspicuity of previous left basal opacity suggests a resolving pneumonia. DISCH" "Correct entity, wrong SNOMED ID","(6924, 6931)","(6924, 6931)",opacity,opacity,128305008,193570009,12549331-DS-3,"N: Decreased conspicuity of previous left basal opacity suggests a resolving pneumonia. DISCHARGE LAB" "Correct entity, wrong SNOMED ID","(6944, 6953)","(6944, 6953)",resolving,resolving,268910001,413322009,12549331-DS-3,"icuity of previous left basal opacity suggests a resolving pneumonia. DISCHARGE LABS ============== ___ 0" "Correct entity, wrong SNOMED ID","(6955, 6964)","(6955, 6964)",pneumonia,pneumonia,233604007,415125002,12549331-DS-3,"revious left basal opacity suggests a resolving pneumonia. DISCHARGE LABS ============== ___ 07:45AM BLOO" "Correct entity, wrong SNOMED ID","(7016, 7019)","(7016, 7019)",WBC,WBC,767002,391558003,12549331-DS-3," DISCHARGE LABS ============== ___ 07:45AM BLOOD WBC-6.2 RBC-3.80* Hgb-12.9* Hct-38.9* MCV-102* MCH-3" "Correct entity, wrong SNOMED ID","(7024, 7027)","(7024, 7027)",RBC,RBC,14089001,258759006,12549331-DS-3,"RGE LABS ============== ___ 07:45AM BLOOD WBC-6.2 RBC-3.80* Hgb-12.9* Hct-38.9* MCV-102* MCH-33.9* MCH" "Correct entity, wrong SNOMED ID","(7034, 7037)","(7034, 7037)",Hgb,Hgb,441689006,104142005,12549331-DS-3,"============= ___ 07:45AM BLOOD WBC-6.2 RBC-3.80* Hgb-12.9* Hct-38.9* MCV-102* MCH-33.9* MCHC-33.2 RDW" "Correct entity, wrong SNOMED ID","(7044, 7047)","(7044, 7047)",Hct,Hct,28317006,282660005,12549331-DS-3,"=== ___ 07:45AM BLOOD WBC-6.2 RBC-3.80* Hgb-12.9* Hct-38.9* MCV-102* MCH-33.9* MCHC-33.2 RDW-13.5 RDWS" Missed entity,"(7055, 7058)",,MCV,,104133003,,12549331-DS-3,"45AM BLOOD WBC-6.2 RBC-3.80* Hgb-12.9* Hct-38.9* MCV-102* MCH-33.9* MCHC-33.2 RDW-13.5 RDWSD-51.5* Plt" "Correct entity, wrong SNOMED ID","(7074, 7078)","(7074, 7078)",MCHC,MCHC,37254006,735147002,12549331-DS-3,"RBC-3.80* Hgb-12.9* Hct-38.9* MCV-102* MCH-33.9* MCHC-33.2 RDW-13.5 RDWSD-51.5* Plt ___ ___ 07:45AM BLO" "Correct entity, wrong SNOMED ID","(7093, 7098)","(7093, 7098)",RDWSD,RDWSD,66842004,80328002,12549331-DS-3," Hct-38.9* MCV-102* MCH-33.9* MCHC-33.2 RDW-13.5 RDWSD-51.5* Plt ___ ___ 07:45AM BLOOD Glucose-112* Urea" Missed entity,"(7105, 7108)",,Plt,,61928009,,12549331-DS-3,"MCV-102* MCH-33.9* MCHC-33.2 RDW-13.5 RDWSD-51.5* Plt ___ ___ 07:45AM BLOOD Glucose-112* UreaN-24* Crea" "Correct entity, wrong SNOMED ID","(7131, 7138)","(7131, 7138)",Glucose,Glucose,33747003,72191006,12549331-DS-3,".2 RDW-13.5 RDWSD-51.5* Plt ___ ___ 07:45AM BLOOD Glucose-112* UreaN-24* Creat-1.0 Na-143 K-4.8 Cl-103 HCO" "Correct entity, wrong SNOMED ID","(7144, 7149)","(7144, 7149)",UreaN,UreaN,105011006,111108008,12549331-DS-3,"DWSD-51.5* Plt ___ ___ 07:45AM BLOOD Glucose-112* UreaN-24* Creat-1.0 Na-143 K-4.8 Cl-103 HCO3-27 AnGap-" "Correct entity, wrong SNOMED ID","(7154, 7159)","(7154, 7159)",Creat,Creat,70901006,413856009,12549331-DS-3," Plt ___ ___ 07:45AM BLOOD Glucose-112* UreaN-24* Creat-1.0 Na-143 K-4.8 Cl-103 HCO3-27 AnGap-13 ___ 03:" "Correct entity, wrong SNOMED ID","(7164, 7166)","(7164, 7166)",Na,Na,312469006,257992007,12549331-DS-3,"__ 07:45AM BLOOD Glucose-112* UreaN-24* Creat-1.0 Na-143 K-4.8 Cl-103 HCO3-27 AnGap-13 ___ 03:30AM BL" Missed entity,"(7172, 7173)",,K,,312468003,,12549331-DS-3,"AM BLOOD Glucose-112* UreaN-24* Creat-1.0 Na-143 K-4.8 Cl-103 HCO3-27 AnGap-13 ___ 03:30AM BLOOD ALT" "Correct entity, wrong SNOMED ID","(7178, 7180)","(7178, 7180)",Cl,Cl,104589004,311741002,12549331-DS-3,"OD Glucose-112* UreaN-24* Creat-1.0 Na-143 K-4.8 Cl-103 HCO3-27 AnGap-13 ___ 03:30AM BLOOD ALT-14 AST" "Correct entity, wrong SNOMED ID","(7185, 7189)","(7185, 7189)",HCO3,HCO3,312471006,88645003,12549331-DS-3,"ose-112* UreaN-24* Creat-1.0 Na-143 K-4.8 Cl-103 HCO3-27 AnGap-13 ___ 03:30AM BLOOD ALT-14 AST-21 LD(LD" "Correct entity, wrong SNOMED ID","(7193, 7198)","(7193, 7198)",AnGap,AnGap,25469001,124504004,12549331-DS-3," UreaN-24* Creat-1.0 Na-143 K-4.8 Cl-103 HCO3-27 AnGap-13 ___ 03:30AM BLOOD ALT-14 AST-21 LD(LDH)-191 Al" "Correct entity, wrong SNOMED ID","(7220, 7223)","(7220, 7223)",ALT,ALT,34608000,56935002,12549331-DS-3," K-4.8 Cl-103 HCO3-27 AnGap-13 ___ 03:30AM BLOOD ALT-14 AST-21 LD(LDH)-191 AlkPhos-57 TotBili-<0.2 " "Correct entity, wrong SNOMED ID","(7227, 7230)","(7227, 7230)",AST,AST,45896001,85043005,12549331-DS-3," Cl-103 HCO3-27 AnGap-13 ___ 03:30AM BLOOD ALT-14 AST-21 LD(LDH)-191 AlkPhos-57 TotBili-<0.2 Brief H" "Correct entity, wrong SNOMED ID","(7237, 7240)","(7237, 7240)",LDH,LDH,11274001,67568008,12549331-DS-3,"O3-27 AnGap-13 ___ 03:30AM BLOOD ALT-14 AST-21 LD(LDH)-191 AlkPhos-57 TotBili-<0.2 Brief Hospital Co" "Correct entity, wrong SNOMED ID","(7246, 7253)","(7246, 7253)",AlkPhos,AlkPhos,88810008,30703008,12549331-DS-3,"ap-13 ___ 03:30AM BLOOD ALT-14 AST-21 LD(LDH)-191 AlkPhos-57 TotBili-<0.2 Brief Hospital Course: Mr. ___" "Correct entity, wrong SNOMED ID","(7258, 7265)","(7258, 7265)",TotBili,TotBili,359986008,19754005,12549331-DS-3,":30AM BLOOD ALT-14 AST-21 LD(LDH)-191 AlkPhos-57 TotBili-<0.2 Brief Hospital Course: Mr. ___ is a ___ ma" "Correct entity, wrong SNOMED ID","(7323, 7329)","(7323, 7329)",asthma,asthma,195967001,281239006,12549331-DS-3,"Brief Hospital Course: Mr. ___ is a ___ male with asthma, OSA on CPAP, CAD with prior MI, HTN, and GERD w" Wrong span,"(7335, 7342)","(7338, 7342)",on CPAP,CPAP,429487005,47545007,12549331-DS-3,"al Course: Mr. ___ is a ___ male with asthma, OSA on CPAP, CAD with prior MI, HTN, and GERD who was recent" "Correct entity, wrong SNOMED ID","(7345, 7348)","(7345, 7348)",CAD,CAD,53741008,84270004,12549331-DS-3," Mr. ___ is a ___ male with asthma, OSA on CPAP, CAD with prior MI, HTN, and GERD who was recently tre" "Correct entity, wrong SNOMED ID","(7364, 7367)","(7364, 7367)",HTN,HTN,38341003,10725009,12549331-DS-3,"ale with asthma, OSA on CPAP, CAD with prior MI, HTN, and GERD who was recently treated for CAP (___)" "Correct entity, wrong SNOMED ID","(7408, 7411)","(7408, 7411)",CAP,CAP,385093006,6982005,12549331-DS-3,"r MI, HTN, and GERD who was recently treated for CAP (___) who presented in respiratory distress ___ i" "Correct entity, wrong SNOMED ID","(7435, 7455)","(7435, 7455)",respiratory distress,respiratory distress,271825005,1179627006,12549331-DS-3," recently treated for CAP (___) who presented in respiratory distress ___ influenza A and status asthmaticus. #Influe" "Correct entity, wrong SNOMED ID","(7460, 7472)","(7460, 7472)","influenza A","influenza A",181000124108,186788009,12549331-DS-3,"P (___) who presented in respiratory distress ___ influenza A and status asthmaticus. #Influenza A #Status Ast" "Correct entity, wrong SNOMED ID","(7499, 7510)","(7499, 7510)",Influenza A,Influenza A,181000124108,186788009,12549331-DS-3,"stress ___ influenza A and status asthmaticus. #Influenza A #Status Asthmaticus #Hypoxemic respiratory failur" "Correct entity, wrong SNOMED ID","(7532, 7561)","(7532, 7561)",Hypoxemic respiratory failure,Hypoxemic respiratory failure,10676831000119101,709111008,12549331-DS-3,"s asthmaticus. #Influenza A #Status Asthmaticus #Hypoxemic respiratory failure He initially presented to ___ urgent care wheezi" "Correct entity, wrong SNOMED ID","(7605, 7613)","(7605, 7613)",wheezing,wheezing,56018004,9763007,12549331-DS-3,"ailure He initially presented to ___ urgent care wheezing and saying he ""could not breathe,"" found to be in" "Correct entity, wrong SNOMED ID","(7665, 7685)","(7665, 7685)",respiratory distress,respiratory distress,271825005,1179627006,12549331-DS-3,"nd saying he ""could not breathe,"" found to be in respiratory distress with HR 140s, RR 20, and SpO2 94% on 2L and was " "Correct entity, wrong SNOMED ID","(7691, 7693)","(7691, 7693)",HR,HR,301113001,258702006,12549331-DS-3,"eathe,"" found to be in respiratory distress with HR 140s, RR 20, and SpO2 94% on 2L and was transfer" "Correct entity, wrong SNOMED ID","(7700, 7702)","(7700, 7702)",RR,RR,301283003,229040007,12549331-DS-3,"ound to be in respiratory distress with HR 140s, RR 20, and SpO2 94% on 2L and was transferred to th" Missed entity,"(7711, 7715)",,SpO2,,447755005,,12549331-DS-3,"in respiratory distress with HR 140s, RR 20, and SpO2 94% on 2L and was transferred to the ___ ED for " Missed entity,"(7723, 7725)",,2L,,57485005,,12549331-DS-3,"ory distress with HR 140s, RR 20, and SpO2 94% on 2L and was transferred to the ___ ED for further ma" "Correct entity, wrong SNOMED ID","(7815, 7822)","(7815, 7822)",febrile,febrile,386661006,307200007,12549331-DS-3,"further management. In the ED he was found to be febrile to 101.8, tachycardic in the 130s, slightly hype" "Correct entity, wrong SNOMED ID","(7833, 7844)","(7833, 7844)",tachycardic,tachycardic,3424008,6456007,12549331-DS-3,". In the ED he was found to be febrile to 101.8, tachycardic in the 130s, slightly hypertensive, and tachypne" "Correct entity, wrong SNOMED ID","(7868, 7880)","(7868, 7880)",hypertensive,hypertensive,24184005,70995007,12549331-DS-3,"rile to 101.8, tachycardic in the 130s, slightly hypertensive, and tachypneic at RR 35 requiring a NRB to main" "Correct entity, wrong SNOMED ID","(7886, 7896)","(7886, 7896)",tachypneic,tachypneic,271823003,7550008,12549331-DS-3,"hycardic in the 130s, slightly hypertensive, and tachypneic at RR 35 requiring a NRB to maintain SpO2 in the" Missed entity,"(7900, 7902)",,RR,,301283003,,12549331-DS-3,"e 130s, slightly hypertensive, and tachypneic at RR 35 requiring a NRB to maintain SpO2 in the ___. " "Correct entity, wrong SNOMED ID","(7918, 7921)","(7918, 7921)",NRB,NRB,371908008,396043004,12549331-DS-3,"hypertensive, and tachypneic at RR 35 requiring a NRB to maintain SpO2 in the ___. He was placed on HF" Missed entity,"(7935, 7939)",,SpO2,,447755005,,12549331-DS-3," tachypneic at RR 35 requiring a NRB to maintain SpO2 in the ___. He was placed on HFNC at 100% and 40" Missed entity,"(7969, 7973)",,HFNC,,371907003,,12549331-DS-3,"RB to maintain SpO2 in the ___. He was placed on HFNC at 100% and 40L which he tolerated well initiall" "Correct entity, wrong SNOMED ID","(8033, 8042)","(8033, 8042)",breathing,breathing,230145002,271825005,12549331-DS-3,"nd 40L which he tolerated well initially but his breathing became more labored and he became more somnolent" "Correct entity, wrong SNOMED ID","(8056, 8063)","(8056, 8063)",labored,labored,248549001,124735008,12549331-DS-3,"ted well initially but his breathing became more labored and he became more somnolent. BiPAP was placed. " "Correct entity, wrong SNOMED ID","(8083, 8092)","(8083, 8092)",somnolent,somnolent,271782001,95631006,12549331-DS-3,"breathing became more labored and he became more somnolent. BiPAP was placed. Despite this, he developed a " "Correct entity, wrong SNOMED ID","(8094, 8099)","(8094, 8099)",BiPAP,BiPAP,447243000,243142003,12549331-DS-3,"ecame more labored and he became more somnolent. BiPAP was placed. Despite this, he developed a worseni" Missed entity,"(8142, 8151)",,worsening,,271299001,,12549331-DS-3,". BiPAP was placed. Despite this, he developed a worsening respiratory acidosis with VBG: pH 7.11, pCO2 85," "Correct entity, wrong SNOMED ID","(8152, 8172)","(8152, 8172)",respiratory acidosis,respiratory acidosis,12326000,70644008,12549331-DS-3,"s placed. Despite this, he developed a worsening respiratory acidosis with VBG: pH 7.11, pCO2 85, HCO3 29 and was intu" Missed entity,"(8179, 8182)",,VBG,,61911006,,12549331-DS-3," developed a worsening respiratory acidosis with VBG: pH 7.11, pCO2 85, HCO3 29 and was intubated for " Missed entity,"(8184, 8186)",,pH,,81065003,,12549331-DS-3,"loped a worsening respiratory acidosis with VBG: pH 7.11, pCO2 85, HCO3 29 and was intubated for hype" Missed entity,"(8193, 8197)",,pCO2,,250565008,,12549331-DS-3,"orsening respiratory acidosis with VBG: pH 7.11, pCO2 85, HCO3 29 and was intubated for hypercarbic re" Missed entity,"(8202, 8206)",,HCO3,,312471006,,12549331-DS-3,"respiratory acidosis with VBG: pH 7.11, pCO2 85, HCO3 29 and was intubated for hypercarbic respiratory" "Correct entity, wrong SNOMED ID","(8218, 8227)","(8218, 8227)",intubated,intubated,112798008,262007003,12549331-DS-3,"osis with VBG: pH 7.11, pCO2 85, HCO3 29 and was intubated for hypercarbic respiratory failure. For his hyp" "Correct entity, wrong SNOMED ID","(8232, 8264)","(8232, 8264)","hypercarbic respiratory failure","hypercarbic respiratory failure",709109004,709110009,12549331-DS-3,": pH 7.11, pCO2 85, HCO3 29 and was intubated for hypercarbic respiratory failure. For his hypercarbic respiratory failure he was " "Correct entity, wrong SNOMED ID","(8274, 8305)","(8274, 8305)",hypercarbic respiratory failure,hypercarbic respiratory failure,709109004,709110009,12549331-DS-3,"ted for hypercarbic respiratory failure. For his hypercarbic respiratory failure he was started on oseltamivir, methylprednisolon" Missed entity,"(8314, 8321)",,started,,275942009,,12549331-DS-3,". For his hypercarbic respiratory failure he was started on oseltamivir, methylprednisolone, Duonebs, and " "Correct entity, wrong SNOMED ID","(8372, 8383)","(8372, 8383)",antibiotics,antibiotics,281789004,372599003,12549331-DS-3,"on oseltamivir, methylprednisolone, Duonebs, and antibiotics (ceftriaxone, azithromycin, and Zosyn x1). He was" Missed entity,"(8435, 8442)",,started,,275942009,,12549331-DS-3,"ceftriaxone, azithromycin, and Zosyn x1). He was started on broad spectrum antibiotics with vancomycin and" Missed entity,"(8461, 8472)",,antibiotics,,281789004,,12549331-DS-3," and Zosyn x1). He was started on broad spectrum antibiotics with vancomycin and ceftriaxone. These were disc" Missed entity,"(8518, 8530)",,discontinued,,304540007,,12549331-DS-3,"tics with vancomycin and ceftriaxone. These were discontinued on ___ as he had no overt evidence of bacterial " "Correct entity, wrong SNOMED ID","(8570, 8589)","(8570, 8589)",bacterial pneumonia,bacterial pneumonia,53084003,308906005,12549331-DS-3,"scontinued on ___ as he had no overt evidence of bacterial pneumonia. He also received 3L IVF. He was then admitted " "Correct entity, wrong SNOMED ID","(8611, 8614)","(8611, 8614)",IVF,IVF,103744005,52637005,12549331-DS-3,"dence of bacterial pneumonia. He also received 3L IVF. He was then admitted to the MICU. On arrival t" Missed entity,"(8646, 8650)",,MICU,,397821002,,12549331-DS-3,"so received 3L IVF. He was then admitted to the MICU. On arrival to the MICU he was hypotensive with " Missed entity,"(8670, 8674)",,MICU,,397821002,,12549331-DS-3," was then admitted to the MICU. On arrival to the MICU he was hypotensive with SBPs in the ___. His lac" "Correct entity, wrong SNOMED ID","(8683, 8694)","(8683, 8694)",hypotensive,hypotensive,45007003,372740001,12549331-DS-3,"itted to the MICU. On arrival to the MICU he was hypotensive with SBPs in the ___. His lactate increased from " "Correct entity, wrong SNOMED ID","(8721, 8728)","(8721, 8728)",lactate,lactate,3926003,10133003,12549331-DS-3,"ICU he was hypotensive with SBPs in the ___. His lactate increased from 2 to 17, although this was likely" Missed entity,"(8729, 8738)",,increased,,271299001,,12549331-DS-3,"as hypotensive with SBPs in the ___. His lactate increased from 2 to 17, although this was likely type B in" Missed entity,"(8810, 8814)",,nebs,,56251003,,12549331-DS-3,"gh this was likely type B insetting of albuterol nebs. He was given 2L LR bolus and was started on nor" Missed entity,"(8849, 8856)",,started,,275942009,,12549331-DS-3,"albuterol nebs. He was given 2L LR bolus and was started on norepinephrine. He was weaned off pressors wi" Missed entity,"(8861, 8875)",,norepinephrine,,50060141000188106,,12549331-DS-3,"ebs. He was given 2L LR bolus and was started on norepinephrine. He was weaned off pressors within 24 hours. Due " Missed entity,"(8895, 8903)",,pressors,,408497003,,12549331-DS-3,"was started on norepinephrine. He was weaned off pressors within 24 hours. Due to high PIP due to breath s" Missed entity,"(8969, 8978)",,paralyzed,,17971005,,12549331-DS-3,". Due to high PIP due to breath stacking, he was paralyzed to optimize ventilation. He was extubated on ___" "Correct entity, wrong SNOMED ID","(9012, 9021)","(9012, 9021)",extubated,extubated,271280005,309812005,12549331-DS-3,"he was paralyzed to optimize ventilation. He was extubated on ___. Called out to the floor on ___, stable o" Wrong span,"(9063, 9069)","(9063, 9081)",stable,stable on room air,359746009,301148008,12549331-DS-3,"xtubated on ___. Called out to the floor on ___, stable on room air. He was no longer wheezing and felt " Wrong span,"(9070, 9081)","(9063, 9081)",on room air,stable on room air,722742002,301148008,12549331-DS-3,"d on ___. Called out to the floor on ___, stable on room air. He was no longer wheezing and felt comfortable " "Correct entity, wrong SNOMED ID","(9100, 9108)","(9100, 9108)",wheezing,wheezing,56018004,9763007,12549331-DS-3,"oor on ___, stable on room air. He was no longer wheezing and felt comfortable using nebulizers as needed " Missed entity,"(9119, 9130)",,comfortable,,304530009,,12549331-DS-3," on room air. He was no longer wheezing and felt comfortable using nebulizers as needed at home. He continued" "Correct entity, wrong SNOMED ID","(9137, 9147)","(9137, 9147)",nebulizers,nebulizers,56251003,1231837007,12549331-DS-3,"as no longer wheezing and felt comfortable using nebulizers as needed at home. He continued to improve and " Missed entity,"(9217, 9227)",,prednisone,,297279009,,12549331-DS-3," He continued to improve and was discharged on a prednisone taper over 2 weeks. he was advised to follow up " Missed entity,"(9228, 9233)",,taper,,182879007,,12549331-DS-3,"ed to improve and was discharged on a prednisone taper over 2 weeks. he was advised to follow up with h" "Correct entity, wrong SNOMED ID","(9286, 9289)","(9286, 9289)",PCP,PCP,737470001,258735001,12549331-DS-3,"er 2 weeks. he was advised to follow up with his PCP ___ ___ weeks of discharge. # Acute renal failu" "Correct entity, wrong SNOMED ID","(9322, 9341)","(9322, 9341)",Acute renal failure,Acute renal failure,14669001,12245621000119102,12549331-DS-3,"w up with his PCP ___ ___ weeks of discharge. # Acute renal failure Patient developed acute renal failure in setting " "Correct entity, wrong SNOMED ID","(9360, 9379)","(9360, 9379)",acute renal failure,acute renal failure,14669001,12245621000119102,12549331-DS-3,"scharge. # Acute renal failure Patient developed acute renal failure in setting of acute illness. Cr peaked at 1.4, n" Missed entity,"(9410, 9412)",,Cr,,70901006,,12549331-DS-3,"acute renal failure in setting of acute illness. Cr peaked at 1.4, now back to baseline of 1.0 on di" "Correct entity, wrong SNOMED ID","(9440, 9448)","(9440, 9448)",baseline,baseline,128974000,129082007,12549331-DS-3," of acute illness. Cr peaked at 1.4, now back to baseline of 1.0 on discharge. # Hypertension Labetalol w" "Correct entity, wrong SNOMED ID","(9474, 9486)","(9474, 9486)",Hypertension,Hypertension,38341003,70995007,12549331-DS-3,".4, now back to baseline of 1.0 on discharge. # Hypertension Labetalol was started in the ICU due to recent __" Missed entity,"(9501, 9508)",,started,,275942009,,12549331-DS-3," 1.0 on discharge. # Hypertension Labetalol was started in the ICU due to recent ___ preventing use of h" Missed entity,"(9516, 9519)",,ICU,,305351004,,12549331-DS-3,"rge. # Hypertension Labetalol was started in the ICU due to recent ___ preventing use of home ACEi af" "Correct entity, wrong SNOMED ID","(9573, 9584)","(9573, 9584)",improvement,improvement,268910001,142016009,12549331-DS-3," to recent ___ preventing use of home ACEi after improvement in renal function his home lisinopril was resume" "Correct entity, wrong SNOMED ID","(9588, 9602)","(9588, 9602)",renal function,renal function,182809008,76114004,12549331-DS-3,"preventing use of home ACEi after improvement in renal function his home lisinopril was resumed. He was discharg" "Correct entity, wrong SNOMED ID","(9713, 9716)","(9713, 9716)",PCP,PCP,737470001,258735001,12549331-DS-3,"ACEI and labetolol and advised to follow up with PCP to determine if labetolol was still needed. # " "Correct entity, wrong SNOMED ID","(9766, 9783)","(9766, 9783)",Macrocytic anemia,Macrocytic anemia,83414005,31206006,12549331-DS-3," to determine if labetolol was still needed. # Macrocytic anemia Hgb ___ during admission from a baseline normal H" "Correct entity, wrong SNOMED ID","(9816, 9824)","(9816, 9824)",baseline,baseline,128974000,161033005,12549331-DS-3,"Macrocytic anemia Hgb ___ during admission from a baseline normal Hgb (14.7). Likely partially some dilutio" Wrong span,"(9825, 9835)","(9825, 9831)",normal Hgb,normal,165399006,840673007,12549331-DS-3,"c anemia Hgb ___ during admission from a baseline normal Hgb (14.7). Likely partially some dilutional/iatroge" Missed entity,"(9867, 9877)",,dilutional,,234346000,,12549331-DS-3,"aseline normal Hgb (14.7). Likely partially some dilutional/iatrogenic anemia from blood draws and volume re" "Correct entity, wrong SNOMED ID","(9889, 9895)","(9889, 9895)",anemia,anemia,271737000,87522002,12549331-DS-3,".7). Likely partially some dilutional/iatrogenic anemia from blood draws and volume resuscitation. LFTs " "Correct entity, wrong SNOMED ID","(9901, 9913)","(9901, 9913)","blood draws","blood draws",396550006,396540005,12549331-DS-3," partially some dilutional/iatrogenic anemia from blood draws and volume resuscitation. LFTs wnl. EtOH use is m" Wrong span,"(9940, 9948)","(9940, 9944)",LFTs wnl,LFTs,166602006,365769003,12549331-DS-3,"nemia from blood draws and volume resuscitation. LFTs wnl. EtOH use is moderate. B12 and folate both norma" "Correct entity, wrong SNOMED ID","(9950, 9958)","(9950, 9958)",EtOH use,EtOH use,365967005,160592001,12549331-DS-3," blood draws and volume resuscitation. LFTs wnl. EtOH use is moderate. B12 and folate both normal - recomm" Missed entity,"(9973, 9976)",,B12,,165644008,,12549331-DS-3,"e resuscitation. LFTs wnl. EtOH use is moderate. B12 and folate both normal - recommend repeat CBC as" Missed entity,"(9981, 9987)",,folate,,165658005,,12549331-DS-3,"itation. LFTs wnl. EtOH use is moderate. B12 and folate both normal - recommend repeat CBC as outpatient" Missed entity,"(10076, 10083)",,work up,,386053000,,12549331-DS-3," outpatient and if persists, consider additional work up # Hypothyroidism - Continued home levothyroxine" "Correct entity, wrong SNOMED ID","(10087, 10101)","(10087, 10101)",Hypothyroidism,Hypothyroidism,40930008,161443002,12549331-DS-3," and if persists, consider additional work up # Hypothyroidism - Continued home levothyroxine # GERD - Was on" Wrong span,"(10152, 10154)","(10152, 10158)",IV,IV PPI,386358000,360616008,12549331-DS-3," - Continued home levothyroxine # GERD - Was on IV PPI while intubated; resumed home omeprazole 20 m" Wrong span,"(10155, 10158)","(10152, 10158)",PPI,IV PPI,870251000,360616008,12549331-DS-3,"Continued home levothyroxine # GERD - Was on IV PPI while intubated; resumed home omeprazole 20 mg d" "Correct entity, wrong SNOMED ID","(10165, 10174)","(10165, 10174)",intubated,intubated,112798008,262007003,12549331-DS-3,"home levothyroxine # GERD - Was on IV PPI while intubated; resumed home omeprazole 20 mg daily after extub" "Correct entity, wrong SNOMED ID","(10260, 10264)","(10260, 10264)",Gout,Gout,90560007,161451004,12549331-DS-3,"ly after extubation and continued on discharge # Gout - Continued home allopurinol ___ mg daily # OSA" Missed entity,"(10320, 10324)",,CPAP,,47545007,,12549331-DS-3,"ntinued home allopurinol ___ mg daily # OSA Home CPAP ordered. # Tobacco use disorder Patient reports " Wrong span,"(10337, 10348)","(10337, 10357)",Tobacco use,Tobacco use disorder,110483000,89765005,12549331-DS-3,"purinol ___ mg daily # OSA Home CPAP ordered. # Tobacco use disorder Patient reports he is planning to quit s" Wrong span,"(10349, 10357)","(10337, 10357)",disorder,Tobacco use disorder,64572001,89765005,12549331-DS-3,"mg daily # OSA Home CPAP ordered. # Tobacco use disorder Patient reports he is planning to quit smoking af" Missed entity,"(10380, 10388)",,planning,,225294001,,12549331-DS-3,"ed. # Tobacco use disorder Patient reports he is planning to quit smoking after his severe illness. Trans" "Correct entity, wrong SNOMED ID","(10392, 10404)","(10392, 10404)",quit smoking,quit smoking,394871007,446172000,12549331-DS-3,"co use disorder Patient reports he is planning to quit smoking after his severe illness. Transitional issues: " Missed entity,"(10470, 10480)",,prednisone,,297279009,,12549331-DS-3,"e illness. Transitional issues: - discharged on prednisone ___ call PCP to schedule follow up - labetolol a" Missed entity,"(10490, 10493)",,PCP,,737470001,,12549331-DS-3,"ional issues: - discharged on prednisone ___ call PCP to schedule follow up - labetolol added to antih" Missed entity,"(10529, 10534)",,added,,275942009,,12549331-DS-3,"e ___ call PCP to schedule follow up - labetolol added to antihypertensive regimen - recommend repeat C" "Correct entity, wrong SNOMED ID","(10538, 10554)","(10538, 10554)",antihypertensive,antihypertensive,308116003,372740001,12549331-DS-3,"l PCP to schedule follow up - labetolol added to antihypertensive regimen - recommend repeat CBC as outpatient and" Missed entity,"(10555, 10562)",,regimen,,133877004,,12549331-DS-3," follow up - labetolol added to antihypertensive regimen - recommend repeat CBC as outpatient and if anem" "Correct entity, wrong SNOMED ID","(10608, 10614)","(10608, 10614)",anemia,anemia,271737000,87522002,12549331-DS-3,"imen - recommend repeat CBC as outpatient and if anemia persists, consider additional work up Code: Full" Missed entity,"(10646, 10653)",,work up,,386053000,,12549331-DS-3,"ient and if anemia persists, consider additional work up Code: Full HCP: HCP is daughter ___ ___ Wife- ___" Missed entity,"(11476, 11478)",,mg,,271285000,,12549331-DS-3," Neb 1 NEB NEB Q4H RX *ipratropium-albuterol 0.5 mg-3 mg (2.5 mg base)/3 mL 1 neb INH Q4hrs Disp #*4" Wrong span,"(12688, 12697)","(12688, 12716)",Influenza,"Influenza Status asthmaticus",6142004,733858005,12549331-DS-3,"ischarge Disposition: Home Discharge Diagnosis: Influenza Status asthmaticus Macrocytic anemia Discharge " Wrong span,"(12698, 12716)","(12688, 12716)",Status asthmaticus,"Influenza Status asthmaticus",733858005,733858005,12549331-DS-3,"isposition: Home Discharge Diagnosis: Influenza Status asthmaticus Macrocytic anemia Discharge Condition: Mental S" "Correct entity, wrong SNOMED ID","(12717, 12734)","(12717, 12734)",Macrocytic anemia,Macrocytic anemia,83414005,31206006,12549331-DS-3,"Discharge Diagnosis: Influenza Status asthmaticus Macrocytic anemia Discharge Condition: Mental Status: Clear and c" "Correct entity, wrong SNOMED ID","(12758, 12771)","(12758, 12771)",Mental Status,Mental Status,392257007,419284004,12549331-DS-3,"hmaticus Macrocytic anemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(12773, 12778)","(12773, 12778)",Clear,Clear,830123008,281278005,12549331-DS-3,"ytic anemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(12793, 12815)","(12793, 12815)",Level of Consciousness,Level of Consciousness,444714004,830285008,12549331-DS-3,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(12817, 12822)","(12817, 12822)",Alert,Alert,248234008,409787004,12549331-DS-3,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(12827, 12838)","(12827, 12838)",interactive,interactive,288577006,10301000202103,12549331-DS-3,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Dis" "Correct entity, wrong SNOMED ID","(12840, 12855)","(12840, 12855)",Activity Status,Activity Status,129676008,397622007,12549331-DS-3,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructio" Missed entity,"(13034, 13040)",,severe,,162470006,,12549331-DS-3,"_. You were admitted with the flu and developed a severe asthma exacerbation. You were treated in the ICU" "Correct entity, wrong SNOMED ID","(13042, 13061)","(13042, 13061)",asthma exacerbation,asthma exacerbation,281239006,734905008,12549331-DS-3,"ere admitted with the flu and developed a severe asthma exacerbation. You were treated in the ICU on a breathing mach" "Correct entity, wrong SNOMED ID","(13087, 13090)","(13087, 13090)",ICU,ICU,305351004,419215006,12549331-DS-3,"ere asthma exacerbation. You were treated in the ICU on a breathing machine and were given steroids, " Missed entity,"(13096, 13114)",,"breathing machine",,243142003,,12549331-DS-3,"ma exacerbation. You were treated in the ICU on a breathing machine and were given steroids, nebulizers and medicatio" "Correct entity, wrong SNOMED ID","(13130, 13138)","(13130, 13138)",steroids,steroids,297279009,285435007,12549331-DS-3,"in the ICU on a breathing machine and were given steroids, nebulizers and medication to treat the flu and " "Correct entity, wrong SNOMED ID","(13140, 13150)","(13140, 13150)",nebulizers,nebulizers,56251003,1231837007,12549331-DS-3," on a breathing machine and were given steroids, nebulizers and medication to treat the flu and you improved" "Correct entity, wrong SNOMED ID","(13155, 13165)","(13155, 13165)",medication,medication,18629005,182837001,12549331-DS-3," machine and were given steroids, nebulizers and medication to treat the flu and you improved. You were mon" "Correct entity, wrong SNOMED ID","(13192, 13200)","(13192, 13200)",improved,improved,268910001,251359002,12549331-DS-3,"bulizers and medication to treat the flu and you improved. You were monitored on the general medical floo" Missed entity,"(13212, 13221)",,monitored,,239516002,,12549331-DS-3,"ion to treat the flu and you improved. You were monitored on the general medical floor and you improved. Y" "Correct entity, wrong SNOMED ID","(13260, 13268)","(13260, 13268)",improved,improved,268910001,251359002,12549331-DS-3,"e monitored on the general medical floor and you improved. You should continue to take nebulizers once you" "Correct entity, wrong SNOMED ID","(13299, 13309)","(13299, 13309)",nebulizers,nebulizers,56251003,1231837007,12549331-DS-3,"or and you improved. You should continue to take nebulizers once you are at home. You will be discharged on " Missed entity,"(13361, 13374)",,tapering dose,,182879007,,12549331-DS-3,"nce you are at home. You will be discharged on a tapering dose of steroids. Take Prednisone 50mg daily ___ Take" "Correct entity, wrong SNOMED ID","(13378, 13386)","(13378, 13386)",steroids,steroids,297279009,285435007,12549331-DS-3,"me. You will be discharged on a tapering dose of steroids. Take Prednisone 50mg daily ___ Take Prednisone " "Correct entity, wrong SNOMED ID","(13574, 13593)","(13574, 13593)",high blood pressure,high blood pressure,38341003,84094009,12549331-DS-3,"isone 10mg daily ___ You were also noted to have high blood pressure. We have added a blood pressure medication to yo" Missed entity,"(13603, 13608)",,added,,275942009,,12549331-DS-3,"e also noted to have high blood pressure. We have added a blood pressure medication to your regimen and " "Correct entity, wrong SNOMED ID","(13612, 13637)","(13612, 13637)",blood pressure medication,blood pressure medication,308116003,12569007,12549331-DS-3,"ted to have high blood pressure. We have added a blood pressure medication to your regimen and you should follow up with yo" "Correct entity, wrong SNOMED ID","(13646, 13653)","(13646, 13653)",regimen,regimen,133877004,55053003,12549331-DS-3,"e have added a blood pressure medication to your regimen and you should follow up with your primary care " Missed entity,"(13669, 13679)",,"follow up",,183616001,,12549331-DS-3,"ressure medication to your regimen and you should follow up with your primary care doctor to determine if you" Missed entity,"(13690, 13702)",,primary care,,737470001,,12549331-DS-3," your regimen and you should follow up with your primary care doctor to determine if you still need this medic" Missed entity,"(13747, 13757)",,medication,,18629005,,12549331-DS-3," care doctor to determine if you still need this medication. You were also noted to have anemia. This may b" "Correct entity, wrong SNOMED ID","(13788, 13794)","(13788, 13794)",anemia,anemia,271737000,87522002,12549331-DS-3,"ed this medication. You were also noted to have anemia. This may be due to your infection but please ha" "Correct entity, wrong SNOMED ID","(13821, 13830)","(13821, 13830)",infection,infection,40733004,260976002,12549331-DS-3,"so noted to have anemia. This may be due to your infection but please have your doctor recheck your blood c" "Correct entity, wrong SNOMED ID","(13873, 13885)","(13873, 13885)",blood counts,blood counts,88308000,26604007,12549331-DS-3,"fection but please have your doctor recheck your blood counts when you follow up. We wish you the best, Your _" Missed entity,"(13895, 13904)",,follow up,,183616001,,12549331-DS-3,"e your doctor recheck your blood counts when you follow up. We wish you the best, Your ___ Care team Foll" False positive,,"(196, 215)",,Horse Blood Extract,,412405002,12612379-DS-23," Service: MEDICINE Allergies: Tetracycline / Horse Blood Extract / Minocycline / Lipitor / adhesive tapa Attend" False positive,,"(294, 306)",,Ground level,,257593005,12612379-DS-23,"dhesive tapa Attending: ___. Chief Complaint: Ground level fall Major Surgical or Invasive Procedure: - Ri" False positive,,"(800, 808)",,baseline,,161033005,12612379-DS-23,"ight leg. Patient is an independent ambulator at baseline, denies premorbid hip pain. She volunteers at __" False positive,,"(965, 975)",,lymphocyte,,112130006,12612379-DS-23,"or syncope. Past Medical History: 1. Recurrent lymphocyte predominant right sided pleural effusion s/p pl" False positive,,"(1129, 1132)",,RML,,304618008,12612379-DS-23,"l fibrillation with RVR on coumadin 4. History of RML lung nodules likely NSCLC, s/p RFA treatment in " False positive,,"(1312, 1318)",,stable,,301459008,12612379-DS-23," no malignancy 5. Abnormal CT scan with multiple stable nodules and a few areas of inflammatory ___ nod" False positive,,"(1839, 1846)",,elderly,,404904002,12612379-DS-23," On admission: In general, the patient is in NAD, elderly female Vitals: VSS Right upper extremity: S" False positive,,"(2416, 2422)",,pulses,,307684005,12612379-DS-23,"LT SPN/DPN/TN/saphenous/sural distributions ___ pulses, foot warm and well-perfused Left lower extremi" False positive,,"(2635, 2641)",,pulses,,307684005,12612379-DS-23,"LT SPN/DPN/TN/saphenous/sural distributions ___ pulses, foot warm and well-perfused At discharge: VS:" False positive,,"(3022, 3030)",,poor air,,11891009,12612379-DS-23,"reg, normal rate, no murmurs or rubs PULM: Clear, poor air movement with mild wheezes EXT: R hip with mild i" False positive,,"(3050, 3057)",,wheezes,,9763007,12612379-DS-23," or rubs PULM: Clear, poor air movement with mild wheezes EXT: R hip with mild induration and swelling, but" False positive,,"(3058, 3061)",,EXT,,1489008,12612379-DS-23," PULM: Clear, poor air movement with mild wheezes EXT: R hip with mild induration and swelling, but no " False positive,,"(3254, 3257)",,WBC,,391558003,12612379-DS-23,"ertinent Results: On admission: ___ 11:45AM BLOOD WBC-11.9*# RBC-3.74* Hgb-11.4* Hct-35.1* MCV-94 MCH-" False positive,,"(3645, 3648)",,WBC,,391558003,12612379-DS-23,"OOD Lactate-2.7* At discharge: ___ 07:15AM BLOOD WBC-5.7 RBC-3.15* Hgb-9.7* Hct-30.2* MCV-96 MCH-30.8" False positive,,"(3905, 3916)",,No evidence,,41647002,12612379-DS-23,"iology: NONE Imaging: CT HEAD ___: IMPRESSION: No evidence for an acute intracranial abnormality. RIGHT FEM" False positive,,"(4135, 4137)",,Se,,420952007,12612379-DS-23,"gulation. No fracture is identified elsewhere. Severe osteopenia. CXR ___: IMPRESSION: Interval " False positive,,"(4156, 4159)",,CXR,,399208008,12612379-DS-23,"e is identified elsewhere. Severe osteopenia. CXR ___: IMPRESSION: Interval improvement of patchy " False positive,,"(4488, 4499)",,No evidence,,41647002,12612379-DS-23," changes. CTA HEAD & NECK ___: IMPRESSION: 1. No evidence of acute intracranial hemorrhage or large territ" False positive,,"(4572, 4583)",,No evidence,,41647002,12612379-DS-23,"hemorrhage or large territorial infarction. 2. No evidence of aneurysm > 3mm or dissection. 3. Complete occ" False positive,,"(5032, 5049)",,airway secretions,,427391006,12612379-DS-23,"ions with adjacent atelectasis, bronchiectasis, airway secretions, and scattered airspace opacities. ___ MRI HEA" False positive,,"(5092, 5095)",,MRI,,1144760005,12612379-DS-23,"retions, and scattered airspace opacities. ___ MRI HEAD W/O CONTRAST: MRI HEAD: There is no evidenc" False positive,,"(5135, 5146)",,no evidence,,41647002,12612379-DS-23," ___ MRI HEAD W/O CONTRAST: MRI HEAD: There is no evidence of acute infarction or hemorrhage. There is no m" False positive,,"(5150, 5155)",,acute,,255228009,12612379-DS-23," W/O CONTRAST: MRI HEAD: There is no evidence of acute infarction or hemorrhage. There is no mass effec" False positive,,"(5195, 5206)",,mass effect,,118535001,12612379-DS-23,"e of acute infarction or hemorrhage. There is no mass effect, edema, or hydrocephalus. Prominent ventricles " False positive,,"(5286, 5290)",,mild,,162468002,12612379-DS-23,"rominent ventricles and sulci are compatible with mild global age-related atrophy. FLAIR hyperintensiti" False positive,,"(5299, 5303)",,age-,,49808004,12612379-DS-23,"ricles and sulci are compatible with mild global age-related atrophy. FLAIR hyperintensities in the sub" False positive,,"(5537, 5545)",,vascular,,238460009,12612379-DS-23," noted within the right temporal lobe. Principal vascular flow voids are preserved. Globes and soft tissu" False positive,,"(5704, 5715)",,No evidence,,41647002,12612379-DS-23,"oid air cells are well aerated. IMPRESSION: No evidence of acute infarction or hemorrhage ___ TTE: The " False positive,,"(5756, 5759)",,TTE,,258691001,12612379-DS-23," evidence of acute infarction or hemorrhage ___ TTE: The left atrium is elongated. No left atrial mas" False positive,,"(5780, 5789)",,elongated,,229250001,12612379-DS-23,"ction or hemorrhage ___ TTE: The left atrium is elongated. No left atrial mass/thrombus seen (best exclude" False positive,,"(6560, 6568)",,moderate,,162469005,12612379-DS-23,"id valve leaflets are mildly thickened. There is moderate pulmonary artery systolic hypertension. There is" False positive,,"(6764, 6793)",,moderate ventricular response,,390860003,12612379-DS-23,"s are similar. ___ ECG: Atrial fibrillation with moderate ventricular response. Modest diffuse ST-T wave changes that are non" False positive,,"(6988, 7000)",,wave changes,,262146004,12612379-DS-23,"te age. Compared to the previous tracing of ___ wave changes appear to be improved. Otherwise, no other sign" False positive,,"(7802, 7803)",,h,,257988000,12612379-DS-23," on heparin. Transthoracic echo showed no ___. A hypercoaguable workup was not pursued as an inpatie" False positive,,"(7903, 7910)",,restart,,182837001,12612379-DS-23,"nt, thinking that it would be low yield. She was restarted on home warfarin that she had been non-complia" False positive,,"(8169, 8180)",,no evidence,,41647002,12612379-DS-23,"efore it was clear her arm was ischemic. She had no evidence of large vessel aneurysm or dissection on CTA of" False positive,,"(8505, 8521)",,Physical therapy,,183326003,12612379-DS-23,"-op orders were for weight bearing as tolerated. Physical therapy saw the patient and recommended rehab for acute " False positive,,"(8646, 8648)",,Be,,69630006,12612379-DS-23,"follow up in ~2 weeks for repeat hip imaging. #Behavioral Changes: The family (3 children) were pre" False positive,,"(9031, 9050)",,independent in ADLs,,273531005,12612379-DS-23,"r concern is that she still resides alone and is independent in ADLs, IADLs. However, she reportedly is not able to d" False positive,,"(9052, 9057)",,IADLs,,304492001,12612379-DS-23," still resides alone and is independent in ADLs, IADLs. However, she reportedly is not able to do tax p" False positive,,"(9202, 9209)",,decline,,386806002,12612379-DS-23," from previous years. The description of her slow decline sounds most consistent with incipient dementia. " False positive,,"(10420, 10427)",,rebound,,844584001,12612379-DS-23,"nd surgery, with HITT being quite unlikely given rebound of platelets while on continuous heparin infusio" False positive,,"(10432, 10441)",,platelets,,6631009,12612379-DS-23," with HITT being quite unlikely given rebound of platelets while on continuous heparin infusion. Drop and ti" False positive,,"(10686, 10692)",,normal,,840673007,12612379-DS-23,"ic CHF: TTE showed findings similar to prior with normal LVEF, moderate PA systolic hypertension, and 1+ " False positive,,"(10773, 10778)",,Lasix,,25401000181106,12612379-DS-23,"pertension, and 1+ AR. She had been getting both Lasix 20mg daily and developed low blood pressure post" False positive,,"(10885, 10890)",,Lasix,,25401000181106,12612379-DS-23,"ively, likely from some bleeding. Therefore, her Lasix was held. This should be given if she develops an" False positive,,"(10966, 10974)",,worsened,,271299001,12612379-DS-23,"given if she develops any signs of hypervolemia, worsened respiratory status, or elevated jugular veins. S" False positive,,"(11656, 11669)",,elevated HCO3,,166699009,12612379-DS-23,"SUES: #COPD: Home 2 liters O2. Chemistries showed elevated HCO3 consistent with chronic CO2 retention. Continued" False positive,,"(11725, 11733)",,inhalers,,465148009,12612379-DS-23,"istent with chronic CO2 retention. Continued home inhalers and O2. #Left pleural effusion: Seen on imaging" False positive,,"(12233, 12241)",,cytology,,310437009,12612379-DS-23,"r lymphoma/leukemia cells. Additionally, she had cytology in ___ that was likewise negative. #Pulmonary n" False positive,,"(12638, 12647)",,evaluated,,39609006,12612379-DS-23,"tified on the previous Chest CTA. These should be evaluated with chest CT in ___ year. #Hypothyroidism - Co" False positive,,"(12990, 13008)",,orthopedic surgery,,24151000087101,12612379-DS-23," US in 1 month, vascular surgery follow up ___ []orthopedic surgery follow up ___ []outpatient reversible dementia wo" False positive,,"(13036, 13046)",,reversible,,314979004,12612379-DS-23,"_ []orthopedic surgery follow up ___ []outpatient reversible dementia workup and/or neurocognitive evaluation" False positive,,"(13170, 13192)",,"medication compliance",,419011006,12612379-DS-23,"]consideration of home health aide to assist with medication compliance []uptitration of rate control agents (diltiazem) " "Correct entity, wrong SNOMED ID","(181, 193)","(181, 193)",Tetracycline,Tetracycline,294592000,66261008,12612379-DS-23," Sex: F Service: MEDICINE Allergies: Tetracycline / Horse Blood Extract / Minocycline / Lipitor / " "Correct entity, wrong SNOMED ID","(218, 229)","(218, 229)",Minocycline,Minocycline,294587002,13512003,12612379-DS-23," Allergies: Tetracycline / Horse Blood Extract / Minocycline / Lipitor / adhesive tapa Attending: ___. Ch" "Correct entity, wrong SNOMED ID","(232, 239)","(232, 239)",Lipitor,Lipitor,13221000122100,32246003,12612379-DS-23,"etracycline / Horse Blood Extract / Minocycline / Lipitor / adhesive tapa Attending: ___. Chief Compla" "Correct entity, wrong SNOMED ID","(243, 256)","(243, 256)",adhesive tapa,adhesive tapa,417930000,448031000124104,12612379-DS-23," / Horse Blood Extract / Minocycline / Lipitor / adhesive tapa Attending: ___. Chief Complaint: Ground level" "Correct entity, wrong SNOMED ID","(307, 311)","(307, 311)",fall,fall,161898004,298344006,12612379-DS-23," Attending: ___. Chief Complaint: Ground level fall Major Surgical or Invasive Procedure: - Right i" "Correct entity, wrong SNOMED ID","(354, 359)","(354, 359)",Right,Right,761922002,225794002,12612379-DS-23,"el fall Major Surgical or Invasive Procedure: - Right intertrochanteric hip fracture status post repair" "Correct entity, wrong SNOMED ID","(360, 390)","(360, 390)",intertrochanteric hip fracture,intertrochanteric hip fracture,127287001,26938002,12612379-DS-23,"l Major Surgical or Invasive Procedure: - Right intertrochanteric hip fracture status post repair with trochanteric femoral nai" Missed entity,"(391, 402)",,status post,,19585003,,12612379-DS-23,"Procedure: - Right intertrochanteric hip fracture status post repair with trochanteric femoral nail - Left sub" Wrong span,"(403, 441)","(403, 409)","repair with trochanteric femoral nail",repair,24485004,50465008,12612379-DS-23," Right intertrochanteric hip fracture status post repair with trochanteric femoral nail - Left subclavian artery occlusion status post th" Wrong span,"(444, 466)","(444, 476)",Left subclavian artery,Left subclavian artery occlusion,85235006,1204178006,12612379-DS-23,"tus post repair with trochanteric femoral nail - Left subclavian artery occlusion status post thrombectomy History of " Wrong span,"(467, 476)","(444, 476)",occlusion,Left subclavian artery occlusion,2929001,1204178006,12612379-DS-23,"rochanteric femoral nail - Left subclavian artery occlusion status post thrombectomy History of Present Il" Missed entity,"(477, 488)",,status post,,19585003,,12612379-DS-23,"c femoral nail - Left subclavian artery occlusion status post thrombectomy History of Present Illness: Ms. _" "Correct entity, wrong SNOMED ID","(489, 501)","(489, 501)",thrombectomy,thrombectomy,43810009,21710002,12612379-DS-23,"il - Left subclavian artery occlusion status post thrombectomy History of Present Illness: Ms. ___ is an ___ " "Correct entity, wrong SNOMED ID","(566, 570)","(566, 570)",fall,fall,161898004,298344006,12612379-DS-23,"Present Illness: Ms. ___ is an ___ s/p mechanical fall while at home earlier today sustaining an injury" "Correct entity, wrong SNOMED ID","(614, 620)","(614, 620)",injury,injury,417163006,312608009,12612379-DS-23,"l fall while at home earlier today sustaining an injury to her right hip, denies hitting her head or LOC" "Correct entity, wrong SNOMED ID","(628, 637)","(628, 637)",right hip,right hip,287579007,15724521000119109,12612379-DS-23,"t home earlier today sustaining an injury to her right hip, denies hitting her head or LOC. She noted immed" "Correct entity, wrong SNOMED ID","(646, 663)","(646, 663)","hitting her head","hitting her head",248070001,282662002,12612379-DS-23,"day sustaining an injury to her right hip, denies hitting her head or LOC. She noted immediate pain in her RLE, deni" "Correct entity, wrong SNOMED ID","(667, 670)","(667, 670)",LOC,LOC,419045004,249213009,12612379-DS-23,"ury to her right hip, denies hitting her head or LOC. She noted immediate pain in her RLE, denies any " "Correct entity, wrong SNOMED ID","(692, 696)","(692, 696)",pain,pain,287048003,102570003,12612379-DS-23,"ies hitting her head or LOC. She noted immediate pain in her RLE, denies any numbness or tingling in t" "Correct entity, wrong SNOMED ID","(704, 707)","(704, 707)",RLE,RLE,62175007,229042004,12612379-DS-23,"her head or LOC. She noted immediate pain in her RLE, denies any numbness or tingling in the right le" Wrong span,"(721, 741)","(721, 729)",numbness or tingling,numbness,429783005,102601005,12612379-DS-23," She noted immediate pain in her RLE, denies any numbness or tingling in the right leg. Patient is an independent ambu" "Correct entity, wrong SNOMED ID","(749, 758)","(749, 758)",right leg,right leg,32696007,213289002,12612379-DS-23," her RLE, denies any numbness or tingling in the right leg. Patient is an independent ambulator at baseline" "Correct entity, wrong SNOMED ID","(827, 835)","(827, 835)",hip pain,hip pain,49218002,12247611000119100,12612379-DS-23,"ependent ambulator at baseline, denies premorbid hip pain. She volunteers at ___. She denies any dizziness" "Correct entity, wrong SNOMED ID","(876, 885)","(876, 885)",dizziness,dizziness,404640003,1141711004,12612379-DS-23," hip pain. She volunteers at ___. She denies any dizziness, difficulties with balance, or syncope. Past " "Correct entity, wrong SNOMED ID","(887, 912)","(887, 912)",difficulties with balance,difficulties with balance,282302006,366614001,12612379-DS-23,"She volunteers at ___. She denies any dizziness, difficulties with balance, or syncope. Past Medical History: 1. Recurre" "Correct entity, wrong SNOMED ID","(918, 925)","(918, 925)",syncope,syncope,271594007,427461000,12612379-DS-23,"ies any dizziness, difficulties with balance, or syncope. Past Medical History: 1. Recurrent lymphocyte" Wrong span,"(988, 993)","(988, 1016)",right,right sided pleural effusion,73834008,1366512001,12612379-DS-23,"ical History: 1. Recurrent lymphocyte predominant right sided pleural effusion s/p pleuroscopy and pleu" Wrong span,"(1000, 1016)","(988, 1016)",pleural effusion,right sided pleural effusion,60046008,1366512001,12612379-DS-23,": 1. Recurrent lymphocyte predominant right sided pleural effusion s/p pleuroscopy and pleurX placement on ___ 2. " "Correct entity, wrong SNOMED ID","(1023, 1034)","(1023, 1034)",pleuroscopy,pleuroscopy,472818003,709983004,12612379-DS-23,"te predominant right sided pleural effusion s/p pleuroscopy and pleurX placement on ___ 2. COPD 3. Atrial fib" Wrong span,"(1046, 1055)","(1039, 1055)",placement,pleurX placement,782902008,238348007,12612379-DS-23,"ded pleural effusion s/p pleuroscopy and pleurX placement on ___ 2. COPD 3. Atrial fibrillation with RVR on" "Correct entity, wrong SNOMED ID","(1066, 1070)","(1066, 1070)",COPD,COPD,13645005,48347002,12612379-DS-23," s/p pleuroscopy and pleurX placement on ___ 2. COPD 3. Atrial fibrillation with RVR on coumadin 4. Hi" "Correct entity, wrong SNOMED ID","(1074, 1102)","(1074, 1102)",Atrial fibrillation with RVR,Atrial fibrillation with RVR,120041000119109,1010405004,12612379-DS-23,"leuroscopy and pleurX placement on ___ 2. COPD 3. Atrial fibrillation with RVR on coumadin 4. History of RML lung nodules likely" "Correct entity, wrong SNOMED ID","(1133, 1145)","(1133, 1145)",lung nodules,lung nodules,786838002,445249002,12612379-DS-23,"brillation with RVR on coumadin 4. History of RML lung nodules likely NSCLC, s/p RFA treatment in ___ PET scan " "Correct entity, wrong SNOMED ID","(1153, 1158)","(1153, 1158)",NSCLC,NSCLC,254637007,1259727001,12612379-DS-23,"on coumadin 4. History of RML lung nodules likely NSCLC, s/p RFA treatment in ___ PET scan showed FDG av" Wrong span,"(1164, 1177)","(1164, 1167)",RFA treatment,RFA,879916008,218191003,12612379-DS-23," 4. History of RML lung nodules likely NSCLC, s/p RFA treatment in ___ PET scan showed FDG avidity, biopsied und" "Correct entity, wrong SNOMED ID","(1186, 1194)","(1186, 1194)",PET scan,PET scan,82918005,300816002,12612379-DS-23,"g nodules likely NSCLC, s/p RFA treatment in ___ PET scan showed FDG avidity, biopsied under CT guidance b" Wrong span,"(1215, 1241)","(1215, 1223)",biopsied under CT guidance,biopsied,277591006,246163005,12612379-DS-23,"FA treatment in ___ PET scan showed FDG avidity, biopsied under CT guidance but cytology showed no malignancy 5. Abnormal C" Wrong span,"(1247, 1276)","(1247, 1255)",cytology showed no malignancy,cytology,309309002,310437009,12612379-DS-23,"owed FDG avidity, biopsied under CT guidance but cytology showed no malignancy 5. Abnormal CT scan with multiple stable nodules" "Correct entity, wrong SNOMED ID","(1290, 1297)","(1290, 1297)",CT scan,CT scan,1441000087100,116152004,12612379-DS-23,"e but cytology showed no malignancy 5. Abnormal CT scan with multiple stable nodules and a few areas of" "Correct entity, wrong SNOMED ID","(1319, 1326)","(1319, 1326)",nodules,nodules,27925004,21444008,12612379-DS-23,"ignancy 5. Abnormal CT scan with multiple stable nodules and a few areas of inflammatory ___ nodules. 6." "Correct entity, wrong SNOMED ID","(1348, 1360)","(1348, 1360)",inflammatory,inflammatory,128139000,103623002,12612379-DS-23,"with multiple stable nodules and a few areas of inflammatory ___ nodules. 6. History of breast cancer treated " "Correct entity, wrong SNOMED ID","(1365, 1372)","(1365, 1372)",nodules,nodules,27925004,21444008,12612379-DS-23,"ble nodules and a few areas of inflammatory ___ nodules. 6. History of breast cancer treated ___ years s/" "Correct entity, wrong SNOMED ID","(1388, 1401)","(1388, 1401)",breast cancer,breast cancer,254837009,724451007,12612379-DS-23,"reas of inflammatory ___ nodules. 6. History of breast cancer treated ___ years s/p R lumpectomy and XRT 7. Fa" "Correct entity, wrong SNOMED ID","(1424, 1436)","(1424, 1436)",R lumpectomy,R lumpectomy,735086001,392021009,12612379-DS-23,"6. History of breast cancer treated ___ years s/p R lumpectomy and XRT 7. Fat necrosis R breast 8. Hypothyroidi" "Correct entity, wrong SNOMED ID","(1442, 1445)","(1442, 1445)",XRT,XRT,169291001,312254007,12612379-DS-23,"st cancer treated ___ years s/p R lumpectomy and XRT 7. Fat necrosis R breast 8. Hypothyroidism 9. Hyp" Wrong span,"(1449, 1470)","(1449, 1461)",Fat necrosis R breast,Fat necrosis,15954341000119102,111368002,12612379-DS-23,"er treated ___ years s/p R lumpectomy and XRT 7. Fat necrosis R breast 8. Hypothyroidism 9. Hypertension 10. Osteoporosi" "Correct entity, wrong SNOMED ID","(1474, 1488)","(1474, 1488)",Hypothyroidism,Hypothyroidism,40930008,10753681000119101,12612379-DS-23,"R lumpectomy and XRT 7. Fat necrosis R breast 8. Hypothyroidism 9. Hypertension 10. Osteoporosis 11. Hyperlipidem" "Correct entity, wrong SNOMED ID","(1492, 1504)","(1492, 1504)",Hypertension,Hypertension,38341003,70995007,12612379-DS-23,"XRT 7. Fat necrosis R breast 8. Hypothyroidism 9. Hypertension 10. Osteoporosis 11. Hyperlipidemia 12. COPD 13. " "Correct entity, wrong SNOMED ID","(1509, 1521)","(1509, 1521)",Osteoporosis,Osteoporosis,64859006,102447009,12612379-DS-23,"is R breast 8. Hypothyroidism 9. Hypertension 10. Osteoporosis 11. Hyperlipidemia 12. COPD 13. Colon polyps 14. " "Correct entity, wrong SNOMED ID","(1526, 1540)","(1526, 1540)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,12612379-DS-23,"pothyroidism 9. Hypertension 10. Osteoporosis 11. Hyperlipidemia 12. COPD 13. Colon polyps 14. History of basal ce" "Correct entity, wrong SNOMED ID","(1545, 1549)","(1545, 1549)",COPD,COPD,13645005,48347002,12612379-DS-23,"ertension 10. Osteoporosis 11. Hyperlipidemia 12. COPD 13. Colon polyps 14. History of basal cell carcin" "Correct entity, wrong SNOMED ID","(1554, 1566)","(1554, 1566)",Colon polyps,Colon polyps,68496003,13025001,12612379-DS-23," 10. Osteoporosis 11. Hyperlipidemia 12. COPD 13. Colon polyps 14. History of basal cell carcinoma 15. Urinary i" "Correct entity, wrong SNOMED ID","(1582, 1602)","(1582, 1602)",basal cell carcinoma,basal cell carcinoma,1338007,399470004,12612379-DS-23,"ipidemia 12. COPD 13. Colon polyps 14. History of basal cell carcinoma 15. Urinary incontinence 16. s/p Left Total Hip R" "Correct entity, wrong SNOMED ID","(1607, 1627)","(1607, 1627)",Urinary incontinence,Urinary incontinence,165232002,22220005,12612379-DS-23,"on polyps 14. History of basal cell carcinoma 15. Urinary incontinence 16. s/p Left Total Hip Replacement 17. s/p carpal" "Correct entity, wrong SNOMED ID","(1636, 1662)","(1636, 1662)",Left Total Hip Replacement,Left Total Hip Replacement,770606008,1078541000119105,12612379-DS-23,"l cell carcinoma 15. Urinary incontinence 16. s/p Left Total Hip Replacement 17. s/p carpal tunnel repair ___ Social History" "Correct entity, wrong SNOMED ID","(1671, 1691)","(1671, 1691)",carpal tunnel repair,carpal tunnel repair,47534009,359901001,12612379-DS-23,"inence 16. s/p Left Total Hip Replacement 17. s/p carpal tunnel repair ___ Social History: ___ Family History: No hist" "Correct entity, wrong SNOMED ID","(1748, 1754)","(1748, 1754)",cancer,cancer,1240414004,128462008,12612379-DS-23,"Social History: ___ Family History: No history of cancer or heart disease Physical Exam: On admission: " "Correct entity, wrong SNOMED ID","(1758, 1771)","(1758, 1771)",heart disease,heart disease,56265001,127337006,12612379-DS-23,"tory: ___ Family History: No history of cancer or heart disease Physical Exam: On admission: In general, the p" Missed entity,"(1807, 1814)",,general,,162673000,,12612379-DS-23," heart disease Physical Exam: On admission: In general, the patient is in NAD, elderly female Vitals: " "Correct entity, wrong SNOMED ID","(1834, 1837)","(1834, 1837)",NAD,NAD,281900007,131143000,12612379-DS-23,"Exam: On admission: In general, the patient is in NAD, elderly female Vitals: VSS Right upper extre" "Correct entity, wrong SNOMED ID","(1856, 1862)","(1856, 1862)",Vitals,Vitals,118227000,260390007,12612379-DS-23," general, the patient is in NAD, elderly female Vitals: VSS Right upper extremity: Skin intact Sof" "Correct entity, wrong SNOMED ID","(1864, 1867)","(1864, 1867)",VSS,VSS,118227000,410188000,12612379-DS-23,", the patient is in NAD, elderly female Vitals: VSS Right upper extremity: Skin intact Soft, no" "Correct entity, wrong SNOMED ID","(1870, 1891)","(1870, 1891)",Right upper extremity,Right upper extremity,6921000,362728000,12612379-DS-23,"patient is in NAD, elderly female Vitals: VSS Right upper extremity: Skin intact Soft, non-tender arm and forearm" Wrong span,"(1895, 1899)","(1895, 1906)",Skin,Skin intact,271303006,710054004,12612379-DS-23,"y female Vitals: VSS Right upper extremity: Skin intact Soft, non-tender arm and forearm Full," "Correct entity, wrong SNOMED ID","(1915, 1925)","(1915, 1925)",non-tender,non-tender,43478001,298741000,12612379-DS-23,"SS Right upper extremity: Skin intact Soft, non-tender arm and forearm Full, painless PROM of shoulder" "Correct entity, wrong SNOMED ID","(1926, 1929)","(1926, 1929)",arm,arm,53120007,368208006,12612379-DS-23,"upper extremity: Skin intact Soft, non-tender arm and forearm Full, painless PROM of shoulder, el" "Correct entity, wrong SNOMED ID","(1934, 1941)","(1934, 1941)",forearm,forearm,14975008,128132009,12612379-DS-23,"tremity: Skin intact Soft, non-tender arm and forearm Full, painless PROM of shoulder, elbow, wrist, " Wrong span,"(1950, 1954)","(1950, 1958)",pain,painless,22253000,450847001,12612379-DS-23,"intact Soft, non-tender arm and forearm Full, painless PROM of shoulder, elbow, wrist, and digits " "Correct entity, wrong SNOMED ID","(1959, 1963)","(1959, 1963)",PROM,PROM,710830005,3619001,12612379-DS-23,"Soft, non-tender arm and forearm Full, painless PROM of shoulder, elbow, wrist, and digits +Motor ex" "Correct entity, wrong SNOMED ID","(1977, 1982)","(1977, 1982)",elbow,elbow,368149001,304678002,12612379-DS-23,"rm and forearm Full, painless PROM of shoulder, elbow, wrist, and digits +Motor exam grossly intact " "Correct entity, wrong SNOMED ID","(1984, 1989)","(1984, 1989)",wrist,wrist,9736006,182405008,12612379-DS-23,"forearm Full, painless PROM of shoulder, elbow, wrist, and digits +Motor exam grossly intact +sensa" "Correct entity, wrong SNOMED ID","(1995, 2001)","(1995, 2001)",digits,digits,719358001,840540008,12612379-DS-23,"ull, painless PROM of shoulder, elbow, wrist, and digits +Motor exam grossly intact +sensation grossly" "Correct entity, wrong SNOMED ID","(2005, 2015)","(2005, 2015)",Motor exam,Motor exam,34118006,89521000,12612379-DS-23,"ess PROM of shoulder, elbow, wrist, and digits +Motor exam grossly intact +sensation grossly intact +Rad" "Correct entity, wrong SNOMED ID","(2016, 2030)","(2016, 2030)",grossly intact,grossly intact,18460000,408755005,12612379-DS-23," shoulder, elbow, wrist, and digits +Motor exam grossly intact +sensation grossly intact +Radial pulse Lef" "Correct entity, wrong SNOMED ID","(2034, 2058)","(2034, 2058)",sensation grossly intact,sensation grossly intact,299956006,422015002,12612379-DS-23,"wrist, and digits +Motor exam grossly intact +sensation grossly intact +Radial pulse Left upper extremity: Skin in" "Correct entity, wrong SNOMED ID","(2062, 2074)","(2062, 2074)",Radial pulse,Radial pulse,301155005,15137004,12612379-DS-23,"xam grossly intact +sensation grossly intact +Radial pulse Left upper extremity: Skin intact Soft, non" "Correct entity, wrong SNOMED ID","(2077, 2097)","(2077, 2097)",Left upper extremity,Left upper extremity,80768000,362729008,12612379-DS-23,"act +sensation grossly intact +Radial pulse Left upper extremity: Skin intact Soft, non-tender arm and forearm" Wrong span,"(2101, 2105)","(2101, 2112)",Skin,Skin intact,271303006,710054004,12612379-DS-23," intact +Radial pulse Left upper extremity: Skin intact Soft, non-tender arm and forearm Full," "Correct entity, wrong SNOMED ID","(2121, 2131)","(2121, 2131)",non-tender,non-tender,43478001,298741000,12612379-DS-23,"lse Left upper extremity: Skin intact Soft, non-tender arm and forearm Full, painless PROM of shoulder" "Correct entity, wrong SNOMED ID","(2132, 2135)","(2132, 2135)",arm,arm,40983000,368208006,12612379-DS-23,"upper extremity: Skin intact Soft, non-tender arm and forearm Full, painless PROM of shoulder, el" "Correct entity, wrong SNOMED ID","(2140, 2147)","(2140, 2147)",forearm,forearm,14975008,128132009,12612379-DS-23,"tremity: Skin intact Soft, non-tender arm and forearm Full, painless PROM of shoulder, elbow, wrist, " Wrong span,"(2156, 2160)","(2156, 2164)",pain,painless,22253000,450847001,12612379-DS-23,"intact Soft, non-tender arm and forearm Full, painless PROM of shoulder, elbow, wrist, and digits " "Correct entity, wrong SNOMED ID","(2165, 2169)","(2165, 2169)",PROM,PROM,710830005,3619001,12612379-DS-23,"Soft, non-tender arm and forearm Full, painless PROM of shoulder, elbow, wrist, and digits +Motor ex" "Correct entity, wrong SNOMED ID","(2173, 2181)","(2173, 2181)",shoulder,shoulder,91775009,91774008,12612379-DS-23,"n-tender arm and forearm Full, painless PROM of shoulder, elbow, wrist, and digits +Motor exam grossly i" "Correct entity, wrong SNOMED ID","(2183, 2188)","(2183, 2188)",elbow,elbow,368148009,304678002,12612379-DS-23,"rm and forearm Full, painless PROM of shoulder, elbow, wrist, and digits +Motor exam grossly intact " "Correct entity, wrong SNOMED ID","(2190, 2195)","(2190, 2195)",wrist,wrist,5951000,182405008,12612379-DS-23,"forearm Full, painless PROM of shoulder, elbow, wrist, and digits +Motor exam grossly intact +sensa" "Correct entity, wrong SNOMED ID","(2201, 2207)","(2201, 2207)",digits,digits,719357006,840540008,12612379-DS-23,"ull, painless PROM of shoulder, elbow, wrist, and digits +Motor exam grossly intact +sensation grossly" "Correct entity, wrong SNOMED ID","(2211, 2221)","(2211, 2221)",Motor exam,Motor exam,34118006,89521000,12612379-DS-23,"ess PROM of shoulder, elbow, wrist, and digits +Motor exam grossly intact +sensation grossly intact +Rad" "Correct entity, wrong SNOMED ID","(2222, 2236)","(2222, 2236)",grossly intact,grossly intact,18460000,408755005,12612379-DS-23," shoulder, elbow, wrist, and digits +Motor exam grossly intact +sensation grossly intact +Radial pulse Rig" "Correct entity, wrong SNOMED ID","(2240, 2264)","(2240, 2264)",sensation grossly intact,sensation grossly intact,299956006,422015002,12612379-DS-23,"wrist, and digits +Motor exam grossly intact +sensation grossly intact +Radial pulse Right lower extremity: Skin i" Boundary error,"(2267, 2280)","(2268, 2280)",+Radial pulse,Radial pulse,301155005,15137004,12612379-DS-23,"exam grossly intact +sensation grossly intact +Radial pulse Right lower extremity: Skin intact, TTP along" "Correct entity, wrong SNOMED ID","(2283, 2304)","(2283, 2304)",Right lower extremity,Right lower extremity,62175007,362784000,12612379-DS-23,"act +sensation grossly intact +Radial pulse Right lower extremity: Skin intact, TTP along the proximal femur __" Wrong span,"(2308, 2312)","(2308, 2319)",Skin,Skin intact,271303006,710054004,12612379-DS-23,"intact +Radial pulse Right lower extremity: Skin intact, TTP along the proximal femur ___ fire " "Correct entity, wrong SNOMED ID","(2321, 2324)","(2321, 2324)",TTP,TTP,247348008,438476003,12612379-DS-23,"ial pulse Right lower extremity: Skin intact, TTP along the proximal femur ___ fire +SILT SPN/D" "Correct entity, wrong SNOMED ID","(2335, 2349)","(2335, 2349)",proximal femur,proximal femur,764827008,244696009,12612379-DS-23,"ght lower extremity: Skin intact, TTP along the proximal femur ___ fire +SILT SPN/DPN/TN/saphenous/sural dis" Missed entity,"(2363, 2368)",,+SILT,,299911004,,12612379-DS-23,"intact, TTP along the proximal femur ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pu" "Correct entity, wrong SNOMED ID","(2369, 2372)","(2369, 2372)",SPN,SPN,734410002,225761000,12612379-DS-23,", TTP along the proximal femur ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses" "Correct entity, wrong SNOMED ID","(2373, 2376)","(2373, 2376)",DPN,DPN,762885001,418288005,12612379-DS-23,"P along the proximal femur ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses, fo" "Correct entity, wrong SNOMED ID","(2377, 2379)","(2377, 2379)",TN,TN,734889003,102684000,12612379-DS-23,"ong the proximal femur ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses, foot " "Correct entity, wrong SNOMED ID","(2380, 2389)","(2380, 2389)",saphenous,saphenous,734401005,109381003,12612379-DS-23," the proximal femur ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses, foot warm and w" "Correct entity, wrong SNOMED ID","(2390, 2395)","(2390, 2395)",sural,sural,734432006,1144333001,12612379-DS-23,"mal femur ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses, foot warm and well-pe" "Correct entity, wrong SNOMED ID","(2424, 2428)","(2424, 2428)",foot,foot,7769000,1264031003,12612379-DS-23,"PN/TN/saphenous/sural distributions ___ pulses, foot warm and well-perfused Left lower extremity: " "Correct entity, wrong SNOMED ID","(2429, 2433)","(2429, 2433)",warm,warm,102599008,298256005,12612379-DS-23,"/saphenous/sural distributions ___ pulses, foot warm and well-perfused Left lower extremity: Skin " "Correct entity, wrong SNOMED ID","(2438, 2451)","(2438, 2451)",well-perfused,well-perfused,1137685003,301121007,12612379-DS-23,"s/sural distributions ___ pulses, foot warm and well-perfused Left lower extremity: Skin intact Soft, non" "Correct entity, wrong SNOMED ID","(2454, 2474)","(2454, 2474)",Left lower extremity,Left lower extremity,32153003,362785004,12612379-DS-23,"tions ___ pulses, foot warm and well-perfused Left lower extremity: Skin intact Soft, non-tender thigh and leg " Wrong span,"(2478, 2482)","(2478, 2489)",Skin,Skin intact,271303006,710054004,12612379-DS-23," warm and well-perfused Left lower extremity: Skin intact Soft, non-tender thigh and leg Full, p" "Correct entity, wrong SNOMED ID","(2498, 2508)","(2498, 2508)",non-tender,non-tender,43478001,298741000,12612379-DS-23,"sed Left lower extremity: Skin intact Soft, non-tender thigh and leg Full, painless PROM of hip, knee," "Correct entity, wrong SNOMED ID","(2509, 2514)","(2509, 2514)",thigh,thigh,61396006,21671001,12612379-DS-23,"lower extremity: Skin intact Soft, non-tender thigh and leg Full, painless PROM of hip, knee, and a" "Correct entity, wrong SNOMED ID","(2519, 2522)","(2519, 2522)",leg,leg,48979004,53840002,12612379-DS-23,"emity: Skin intact Soft, non-tender thigh and leg Full, painless PROM of hip, knee, and ankle _" Wrong span,"(2531, 2535)","(2531, 2539)",pain,painless,22253000,450847001,12612379-DS-23,"n intact Soft, non-tender thigh and leg Full, painless PROM of hip, knee, and ankle ___ fire +SI" "Correct entity, wrong SNOMED ID","(2540, 2544)","(2540, 2544)",PROM,PROM,710830005,3619001,12612379-DS-23," Soft, non-tender thigh and leg Full, painless PROM of hip, knee, and ankle ___ fire +SILT SPN/DP" "Correct entity, wrong SNOMED ID","(2553, 2557)","(2553, 2557)",knee,knee,82169009,248491001,12612379-DS-23,"ender thigh and leg Full, painless PROM of hip, knee, and ankle ___ fire +SILT SPN/DPN/TN/saphenou" "Correct entity, wrong SNOMED ID","(2563, 2568)","(2563, 2568)",ankle,ankle,51636004,267039000,12612379-DS-23,"h and leg Full, painless PROM of hip, knee, and ankle ___ fire +SILT SPN/DPN/TN/saphenous/sural dis" Missed entity,"(2582, 2587)",,+SILT,,299911004,,12612379-DS-23,"ainless PROM of hip, knee, and ankle ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pu" "Correct entity, wrong SNOMED ID","(2588, 2591)","(2588, 2591)",SPN,SPN,734411003,225761000,12612379-DS-23,"s PROM of hip, knee, and ankle ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses" "Correct entity, wrong SNOMED ID","(2592, 2595)","(2592, 2595)",DPN,DPN,762885001,418288005,12612379-DS-23,"OM of hip, knee, and ankle ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses, fo" Missed entity,"(2596, 2598)",,TN,,734888006,,12612379-DS-23,"f hip, knee, and ankle ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses, foot " Missed entity,"(2599, 2608)",,saphenous,,734400006,,12612379-DS-23,"ip, knee, and ankle ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses, foot warm and w" Missed entity,"(2609, 2614)",,sural,,734433001,,12612379-DS-23,"and ankle ___ fire +SILT SPN/DPN/TN/saphenous/sural distributions ___ pulses, foot warm and well-pe" "Correct entity, wrong SNOMED ID","(2643, 2647)","(2643, 2647)",foot,foot,22335008,1264031003,12612379-DS-23,"PN/TN/saphenous/sural distributions ___ pulses, foot warm and well-perfused At discharge: VS: 98.3 " "Correct entity, wrong SNOMED ID","(2648, 2652)","(2648, 2652)",warm,warm,102599008,298256005,12612379-DS-23,"/saphenous/sural distributions ___ pulses, foot warm and well-perfused At discharge: VS: 98.3 HR 6" "Correct entity, wrong SNOMED ID","(2657, 2670)","(2657, 2670)",well-perfused,well-perfused,1137685003,301121007,12612379-DS-23,"s/sural distributions ___ pulses, foot warm and well-perfused At discharge: VS: 98.3 HR 60-90s (afib) BP 1" "Correct entity, wrong SNOMED ID","(2688, 2690)","(2688, 2690)",VS,VS,118227000,313611000,12612379-DS-23,"ses, foot warm and well-perfused At discharge: VS: 98.3 HR 60-90s (afib) BP 100-120s/50-60s (103/" "Correct entity, wrong SNOMED ID","(2698, 2700)","(2698, 2700)",HR,HR,301113001,258702006,12612379-DS-23,"warm and well-perfused At discharge: VS: 98.3 HR 60-90s (afib) BP 100-120s/50-60s (103/49) RR 18" "Correct entity, wrong SNOMED ID","(2709, 2713)","(2709, 2713)",afib,afib,49436004,282825002,12612379-DS-23,"ll-perfused At discharge: VS: 98.3 HR 60-90s (afib) BP 100-120s/50-60s (103/49) RR 18 Sa02 100% 2" "Correct entity, wrong SNOMED ID","(2716, 2718)","(2716, 2718)",BP,BP,392570002,38341003,12612379-DS-23,"used At discharge: VS: 98.3 HR 60-90s (afib) BP 100-120s/50-60s (103/49) RR 18 Sa02 100% 2L GEN" "Correct entity, wrong SNOMED ID","(2745, 2747)","(2745, 2747)",RR,RR,301283003,229040007,12612379-DS-23,"3 HR 60-90s (afib) BP 100-120s/50-60s (103/49) RR 18 Sa02 100% 2L GEN: Lying in bed in NAD NEURO: " Missed entity,"(2752, 2756)",,Sa02,,447755005,,12612379-DS-23,"0-90s (afib) BP 100-120s/50-60s (103/49) RR 18 Sa02 100% 2L GEN: Lying in bed in NAD NEURO: Alert, an" "Correct entity, wrong SNOMED ID","(2765, 2768)","(2765, 2768)",GEN,GEN,162673000,16651008,12612379-DS-23," BP 100-120s/50-60s (103/49) RR 18 Sa02 100% 2L GEN: Lying in bed in NAD NEURO: Alert, answering ques" "Correct entity, wrong SNOMED ID","(2786, 2789)","(2786, 2789)",NAD,NAD,281900007,131143000,12612379-DS-23,"103/49) RR 18 Sa02 100% 2L GEN: Lying in bed in NAD NEURO: Alert, answering questions approriately. F" "Correct entity, wrong SNOMED ID","(2790, 2795)","(2790, 2795)",NEURO,NEURO,84728005,281247006,12612379-DS-23,"49) RR 18 Sa02 100% 2L GEN: Lying in bed in NAD NEURO: Alert, answering questions approriately. Face sy" "Correct entity, wrong SNOMED ID","(2797, 2802)","(2797, 2802)",Alert,Alert,248234008,409787004,12612379-DS-23," 18 Sa02 100% 2L GEN: Lying in bed in NAD NEURO: Alert, answering questions approriately. Face symmetric" "Correct entity, wrong SNOMED ID","(2838, 2852)","(2838, 2852)",Face symmetric,Face symmetric,248172007,299040003,12612379-DS-23,"D NEURO: Alert, answering questions approriately. Face symmetric, PERRL, EOMI. 4+ strength with wrist flexion/ext" "Correct entity, wrong SNOMED ID","(2855, 2860)","(2855, 2860)",PERRL,PERRL,386666001,431291005,12612379-DS-23,"nswering questions approriately. Face symmetric, PERRL, EOMI. 4+ strength with wrist flexion/extension, " "Correct entity, wrong SNOMED ID","(2862, 2866)","(2862, 2866)",EOMI,EOMI,103251002,67099000,12612379-DS-23,"g questions approriately. Face symmetric, PERRL, EOMI. 4+ strength with wrist flexion/extension, elbow " Wrong span,"(2885, 2890)","(2885, 2898)",wrist,wrist flexion,8205005,298947005,12612379-DS-23,"y. Face symmetric, PERRL, EOMI. 4+ strength with wrist flexion/extension, elbow flexion/extension HEENT" Wrong span,"(2891, 2898)","(2885, 2898)",flexion,wrist flexion,419196000,298947005,12612379-DS-23,"e symmetric, PERRL, EOMI. 4+ strength with wrist flexion/extension, elbow flexion/extension HEENT: Nasal " Wrong span,"(2910, 2915)","(2910, 2924)",elbow,"elbow flexion",127949000,298879000,12612379-DS-23,", EOMI. 4+ strength with wrist flexion/extension, elbow flexion/extension HEENT: Nasal canulae in place " Wrong span,"(2917, 2924)","(2910, 2924)",flexion,"elbow flexion",419196000,298879000,12612379-DS-23," 4+ strength with wrist flexion/extension, elbow flexion/extension HEENT: Nasal canulae in place CV: Irre" "Correct entity, wrong SNOMED ID","(2935, 2940)","(2935, 2940)",HEENT,HEENT,5880005,113665002,12612379-DS-23,"wrist flexion/extension, elbow flexion/extension HEENT: Nasal canulae in place CV: Irreg, normal rate, " "Correct entity, wrong SNOMED ID","(2942, 2964)","(2942, 2964)",Nasal canulae in place,Nasal canulae in place,371907003,427425005,12612379-DS-23,"lexion/extension, elbow flexion/extension HEENT: Nasal canulae in place CV: Irreg, normal rate, no murmurs or rubs PULM:" "Correct entity, wrong SNOMED ID","(2966, 2968)","(2966, 2968)",CV,CV,363003006,258773002,12612379-DS-23," flexion/extension HEENT: Nasal canulae in place CV: Irreg, normal rate, no murmurs or rubs PULM: Cle" "Correct entity, wrong SNOMED ID","(2970, 2975)","(2970, 2975)",Irreg,Irreg,361137007,80977004,12612379-DS-23,"xion/extension HEENT: Nasal canulae in place CV: Irreg, normal rate, no murmurs or rubs PULM: Clear, poo" "Correct entity, wrong SNOMED ID","(2977, 2988)","(2977, 2988)",normal rate,normal rate,76863003,20716004,12612379-DS-23,"tension HEENT: Nasal canulae in place CV: Irreg, normal rate, no murmurs or rubs PULM: Clear, poor air movemen" "Correct entity, wrong SNOMED ID","(2993, 3000)","(2993, 3000)",murmurs,murmurs,88610006,248699005,12612379-DS-23,"asal canulae in place CV: Irreg, normal rate, no murmurs or rubs PULM: Clear, poor air movement with mild " "Correct entity, wrong SNOMED ID","(3009, 3013)","(3009, 3013)",PULM,PULM,268925001,90623003,12612379-DS-23,"place CV: Irreg, normal rate, no murmurs or rubs PULM: Clear, poor air movement with mild wheezes EXT: " "Correct entity, wrong SNOMED ID","(3015, 3020)","(3015, 3020)",Clear,Clear,48348007,281278005,12612379-DS-23," CV: Irreg, normal rate, no murmurs or rubs PULM: Clear, poor air movement with mild wheezes EXT: R hip w" "Correct entity, wrong SNOMED ID","(3063, 3068)","(3063, 3068)",R hip,R hip,287579007,91776005,12612379-DS-23,": Clear, poor air movement with mild wheezes EXT: R hip with mild induration and swelling, but no large " "Correct entity, wrong SNOMED ID","(3079, 3089)","(3079, 3089)",induration,induration,45147008,95402002,12612379-DS-23,"r movement with mild wheezes EXT: R hip with mild induration and swelling, but no large ecchymosis around sur" "Correct entity, wrong SNOMED ID","(3094, 3102)","(3094, 3102)",swelling,swelling,442672001,300890009,12612379-DS-23," mild wheezes EXT: R hip with mild induration and swelling, but no large ecchymosis around surgical site; L" "Correct entity, wrong SNOMED ID","(3118, 3128)","(3118, 3128)",ecchymosis,ecchymosis,302227002,1156411007,12612379-DS-23," with mild induration and swelling, but no large ecchymosis around surgical site; L arm with medial ecchymosi" "Correct entity, wrong SNOMED ID","(3136, 3149)","(3136, 3149)",surgical site,surgical site,43526002,38931008,12612379-DS-23,"ion and swelling, but no large ecchymosis around surgical site; L arm with medial ecchymosis; 2+ L radial pulse" "Correct entity, wrong SNOMED ID","(3151, 3156)","(3151, 3156)",L arm,L arm,368208006,72098002,12612379-DS-23,"g, but no large ecchymosis around surgical site; L arm with medial ecchymosis; 2+ L radial pulse Per" "Correct entity, wrong SNOMED ID","(3169, 3179)","(3169, 3179)",ecchymosis,ecchymosis,302227002,1156411007,12612379-DS-23,"cchymosis around surgical site; L arm with medial ecchymosis; 2+ L radial pulse Pertinent Results: On admi" Wrong span,"(3182, 3199)","(3187, 3199)",2+ L radial pulse,radial pulse,39435002,15137004,12612379-DS-23,"und surgical site; L arm with medial ecchymosis; 2+ L radial pulse Pertinent Results: On admission: ___ 11:45AM B" "Correct entity, wrong SNOMED ID","(3265, 3268)","(3265, 3268)",RBC,RBC,14089001,258759006,12612379-DS-23,"sults: On admission: ___ 11:45AM BLOOD WBC-11.9*# RBC-3.74* Hgb-11.4* Hct-35.1* MCV-94 MCH-30.5 MCHC-3" "Correct entity, wrong SNOMED ID","(3275, 3278)","(3275, 3278)",Hgb,Hgb,441689006,104142005,12612379-DS-23,"admission: ___ 11:45AM BLOOD WBC-11.9*# RBC-3.74* Hgb-11.4* Hct-35.1* MCV-94 MCH-30.5 MCHC-32.6 RDW-13" "Correct entity, wrong SNOMED ID","(3285, 3288)","(3285, 3288)",Hct,Hct,28317006,282660005,12612379-DS-23," ___ 11:45AM BLOOD WBC-11.9*# RBC-3.74* Hgb-11.4* Hct-35.1* MCV-94 MCH-30.5 MCHC-32.6 RDW-13.6 Plt ___" "Correct entity, wrong SNOMED ID","(3303, 3306)","(3303, 3306)",MCH,MCH,54706004,735147002,12612379-DS-23," WBC-11.9*# RBC-3.74* Hgb-11.4* Hct-35.1* MCV-94 MCH-30.5 MCHC-32.6 RDW-13.6 Plt ___ ___ 11:45AM BLOOD" "Correct entity, wrong SNOMED ID","(3312, 3316)","(3312, 3316)",MCHC,MCHC,37254006,735147002,12612379-DS-23,"*# RBC-3.74* Hgb-11.4* Hct-35.1* MCV-94 MCH-30.5 MCHC-32.6 RDW-13.6 Plt ___ ___ 11:45AM BLOOD Neuts-93." "Correct entity, wrong SNOMED ID","(3322, 3325)","(3322, 3325)",RDW,RDW,66842004,735149004,12612379-DS-23,"4* Hgb-11.4* Hct-35.1* MCV-94 MCH-30.5 MCHC-32.6 RDW-13.6 Plt ___ ___ 11:45AM BLOOD Neuts-93.4* Lymphs" "Correct entity, wrong SNOMED ID","(3357, 3362)","(3357, 3362)",Neuts,Neuts,30630007,271035003,12612379-DS-23,"30.5 MCHC-32.6 RDW-13.6 Plt ___ ___ 11:45AM BLOOD Neuts-93.4* Lymphs-3.2* Monos-3.0 Eos-0.2 Baso-0.2 ___" "Correct entity, wrong SNOMED ID","(3369, 3375)","(3369, 3375)",Lymphs,Lymphs,74765001,79709007,12612379-DS-23,".6 RDW-13.6 Plt ___ ___ 11:45AM BLOOD Neuts-93.4* Lymphs-3.2* Monos-3.0 Eos-0.2 Baso-0.2 ___ 11:45AM BLOO" "Correct entity, wrong SNOMED ID","(3381, 3386)","(3381, 3386)",Monos,Monos,67776007,462791000124108,12612379-DS-23,"Plt ___ ___ 11:45AM BLOOD Neuts-93.4* Lymphs-3.2* Monos-3.0 Eos-0.2 Baso-0.2 ___ 11:45AM BLOOD ___ PTT-2" "Correct entity, wrong SNOMED ID","(3391, 3394)","(3391, 3394)",Eos,Eos,71960002,67099000,12612379-DS-23,"_ 11:45AM BLOOD Neuts-93.4* Lymphs-3.2* Monos-3.0 Eos-0.2 Baso-0.2 ___ 11:45AM BLOOD ___ PTT-26.1 ___ " "Correct entity, wrong SNOMED ID","(3431, 3434)","(3431, 3434)",PTT,PTT,42525009,282119004,12612379-DS-23,"Monos-3.0 Eos-0.2 Baso-0.2 ___ 11:45AM BLOOD ___ PTT-26.1 ___ ___ 11:45AM BLOOD Glucose-127* UreaN-35*" "Correct entity, wrong SNOMED ID","(3462, 3469)","(3462, 3469)",Glucose,Glucose,33747003,72191006,12612379-DS-23," 11:45AM BLOOD ___ PTT-26.1 ___ ___ 11:45AM BLOOD Glucose-127* UreaN-35* Creat-1.4* Na-139 K-3.5 Cl-91* HC" "Correct entity, wrong SNOMED ID","(3475, 3480)","(3475, 3480)",UreaN,UreaN,105011006,111108008,12612379-DS-23,"D ___ PTT-26.1 ___ ___ 11:45AM BLOOD Glucose-127* UreaN-35* Creat-1.4* Na-139 K-3.5 Cl-91* HCO3-34* AnGa" "Correct entity, wrong SNOMED ID","(3485, 3490)","(3485, 3490)",Creat,Creat,70901006,365756002,12612379-DS-23,"26.1 ___ ___ 11:45AM BLOOD Glucose-127* UreaN-35* Creat-1.4* Na-139 K-3.5 Cl-91* HCO3-34* AnGap-18 ___ 0" "Correct entity, wrong SNOMED ID","(3496, 3498)","(3496, 3498)",Na,Na,312469006,257992007,12612379-DS-23,"_ 11:45AM BLOOD Glucose-127* UreaN-35* Creat-1.4* Na-139 K-3.5 Cl-91* HCO3-34* AnGap-18 ___ 06:45AM B" "Correct entity, wrong SNOMED ID","(3510, 3512)","(3510, 3512)",Cl,Cl,104589004,311741002,12612379-DS-23,"D Glucose-127* UreaN-35* Creat-1.4* Na-139 K-3.5 Cl-91* HCO3-34* AnGap-18 ___ 06:45AM BLOOD Calcium-8" "Correct entity, wrong SNOMED ID","(3517, 3521)","(3517, 3521)",HCO3,HCO3,312471006,88645003,12612379-DS-23,"se-127* UreaN-35* Creat-1.4* Na-139 K-3.5 Cl-91* HCO3-34* AnGap-18 ___ 06:45AM BLOOD Calcium-8.4 Phos-2" "Correct entity, wrong SNOMED ID","(3526, 3531)","(3526, 3531)",AnGap,AnGap,25469001,124504004,12612379-DS-23,"reaN-35* Creat-1.4* Na-139 K-3.5 Cl-91* HCO3-34* AnGap-18 ___ 06:45AM BLOOD Calcium-8.4 Phos-2.8 Mg-1.7 " "Correct entity, wrong SNOMED ID","(3553, 3560)","(3553, 3560)",Calcium,Calcium,312472004,108601004,12612379-DS-23," K-3.5 Cl-91* HCO3-34* AnGap-18 ___ 06:45AM BLOOD Calcium-8.4 Phos-2.8 Mg-1.7 ___ 12:06PM BLOOD Lactate-2.7" "Correct entity, wrong SNOMED ID","(3565, 3569)","(3565, 3569)",Phos,Phos,104868000,168075002,12612379-DS-23,"* HCO3-34* AnGap-18 ___ 06:45AM BLOOD Calcium-8.4 Phos-2.8 Mg-1.7 ___ 12:06PM BLOOD Lactate-2.7* At dis" "Correct entity, wrong SNOMED ID","(3574, 3576)","(3574, 3576)",Mg,Mg,271285000,258684004,12612379-DS-23,"* AnGap-18 ___ 06:45AM BLOOD Calcium-8.4 Phos-2.8 Mg-1.7 ___ 12:06PM BLOOD Lactate-2.7* At discharge:" "Correct entity, wrong SNOMED ID","(3653, 3656)","(3653, 3656)",RBC,RBC,14089001,258759006,12612379-DS-23,"ate-2.7* At discharge: ___ 07:15AM BLOOD WBC-5.7 RBC-3.15* Hgb-9.7* Hct-30.2* MCV-96 MCH-30.8 MCHC-32" "Correct entity, wrong SNOMED ID","(3663, 3666)","(3663, 3666)",Hgb,Hgb,441689006,104142005,12612379-DS-23,"At discharge: ___ 07:15AM BLOOD WBC-5.7 RBC-3.15* Hgb-9.7* Hct-30.2* MCV-96 MCH-30.8 MCHC-32.1 RDW-15." "Correct entity, wrong SNOMED ID","(3672, 3675)","(3672, 3675)",Hct,Hct,28317006,282660005,12612379-DS-23,"rge: ___ 07:15AM BLOOD WBC-5.7 RBC-3.15* Hgb-9.7* Hct-30.2* MCV-96 MCH-30.8 MCHC-32.1 RDW-15.1 Plt ___" "Correct entity, wrong SNOMED ID","(3690, 3693)","(3690, 3693)",MCH,MCH,54706004,735147002,12612379-DS-23,"LOOD WBC-5.7 RBC-3.15* Hgb-9.7* Hct-30.2* MCV-96 MCH-30.8 MCHC-32.1 RDW-15.1 Plt ___ ___ 07:15AM BLOOD" "Correct entity, wrong SNOMED ID","(3699, 3703)","(3699, 3703)",MCHC,MCHC,37254006,735147002,12612379-DS-23,"5.7 RBC-3.15* Hgb-9.7* Hct-30.2* MCV-96 MCH-30.8 MCHC-32.1 RDW-15.1 Plt ___ ___ 07:15AM BLOOD ___ PTT-7" "Correct entity, wrong SNOMED ID","(3709, 3712)","(3709, 3712)",RDW,RDW,66842004,735149004,12612379-DS-23,"15* Hgb-9.7* Hct-30.2* MCV-96 MCH-30.8 MCHC-32.1 RDW-15.1 Plt ___ ___ 07:15AM BLOOD ___ PTT-71.4* ___ " "Correct entity, wrong SNOMED ID","(3748, 3751)","(3748, 3751)",PTT,PTT,42525009,282119004,12612379-DS-23," MCHC-32.1 RDW-15.1 Plt ___ ___ 07:15AM BLOOD ___ PTT-71.4* ___ ___ 06:30AM BLOOD Glucose-85 UreaN-13 C" "Correct entity, wrong SNOMED ID","(3780, 3787)","(3780, 3787)",Glucose,Glucose,33747003,72191006,12612379-DS-23,"07:15AM BLOOD ___ PTT-71.4* ___ ___ 06:30AM BLOOD Glucose-85 UreaN-13 Creat-0.6 Na-138 K-4.2 Cl-99 HCO3-37" "Correct entity, wrong SNOMED ID","(3791, 3796)","(3791, 3796)",UreaN,UreaN,105011006,111108008,12612379-DS-23,"OD ___ PTT-71.4* ___ ___ 06:30AM BLOOD Glucose-85 UreaN-13 Creat-0.6 Na-138 K-4.2 Cl-99 HCO3-37* AnGap-6" "Correct entity, wrong SNOMED ID","(3800, 3805)","(3800, 3805)",Creat,Creat,70901006,365756002,12612379-DS-23,"T-71.4* ___ ___ 06:30AM BLOOD Glucose-85 UreaN-13 Creat-0.6 Na-138 K-4.2 Cl-99 HCO3-37* AnGap-6* Microb" "Correct entity, wrong SNOMED ID","(3810, 3812)","(3810, 3812)",Na,Na,312469006,257992007,12612379-DS-23,"_ ___ 06:30AM BLOOD Glucose-85 UreaN-13 Creat-0.6 Na-138 K-4.2 Cl-99 HCO3-37* AnGap-6* Microbiology:" "Correct entity, wrong SNOMED ID","(3824, 3826)","(3824, 3826)",Cl,Cl,104589004,311741002,12612379-DS-23,"BLOOD Glucose-85 UreaN-13 Creat-0.6 Na-138 K-4.2 Cl-99 HCO3-37* AnGap-6* Microbiology: NONE Imaging" "Correct entity, wrong SNOMED ID","(3830, 3834)","(3830, 3834)",HCO3,HCO3,312471006,88645003,12612379-DS-23,"Glucose-85 UreaN-13 Creat-0.6 Na-138 K-4.2 Cl-99 HCO3-37* AnGap-6* Microbiology: NONE Imaging: CT HE" "Correct entity, wrong SNOMED ID","(3839, 3844)","(3839, 3844)",AnGap,AnGap,25469001,124504004,12612379-DS-23,"5 UreaN-13 Creat-0.6 Na-138 K-4.2 Cl-99 HCO3-37* AnGap-6* Microbiology: NONE Imaging: CT HEAD ___: IM" Wrong span,"(3930, 3942)","(3930, 3954)",intracranial,intracranial abnormality,128319008,93468003,12612379-DS-23,"T HEAD ___: IMPRESSION: No evidence for an acute intracranial abnormality. RIGHT FEMUR AP AND LATERAL ___: IMP" Wrong span,"(3943, 3954)","(3930, 3954)",abnormality,intracranial abnormality,281900007,93468003,12612379-DS-23,"MPRESSION: No evidence for an acute intracranial abnormality. RIGHT FEMUR AP AND LATERAL ___: IMPRESSION: Co" "Correct entity, wrong SNOMED ID","(4017, 4026)","(4017, 4026)",displaced,displaced,123735002,13206009,12612379-DS-23,"R AP AND LATERAL ___: IMPRESSION: Comminuted and displaced intertrochanteric fracture of the right hip with" "Correct entity, wrong SNOMED ID","(4027, 4053)","(4027, 4053)",intertrochanteric fracture,intertrochanteric fracture,127287001,26938002,12612379-DS-23,"ATERAL ___: IMPRESSION: Comminuted and displaced intertrochanteric fracture of the right hip with varus angulation. No frac" "Correct entity, wrong SNOMED ID","(4062, 4071)","(4062, 4071)",right hip,right hip,287579007,15724521000119109,12612379-DS-23," and displaced intertrochanteric fracture of the right hip with varus angulation. No fracture is identifie" "Correct entity, wrong SNOMED ID","(4077, 4093)","(4077, 4093)",varus angulation,varus angulation,257756001,299331007,12612379-DS-23,"intertrochanteric fracture of the right hip with varus angulation. No fracture is identified elsewhere. Severe o" "Correct entity, wrong SNOMED ID","(4099, 4107)","(4099, 4107)",fracture,fracture,72704001,307186006,12612379-DS-23,"ture of the right hip with varus angulation. No fracture is identified elsewhere. Severe osteopenia. C" "Correct entity, wrong SNOMED ID","(4142, 4152)","(4142, 4152)",osteopenia,osteopenia,78441005,37605006,12612379-DS-23,"n. No fracture is identified elsewhere. Severe osteopenia. CXR ___: IMPRESSION: Interval improvement of " "Correct entity, wrong SNOMED ID","(4209, 4218)","(4209, 4218)",opacities,opacities,128305008,422061002,12612379-DS-23," ___: IMPRESSION: Interval improvement of patchy opacities in the right lower lung compared with ___ ___s p" "Correct entity, wrong SNOMED ID","(4227, 4243)","(4227, 4243)",right lower lung,right lower lung,51785002,726425007,12612379-DS-23," Interval improvement of patchy opacities in the right lower lung compared with ___ ___s probable decrease in size" Missed entity,"(4277, 4285)",,decrease,,19776001,,12612379-DS-23,"right lower lung compared with ___ ___s probable decrease in size of right effusion given supine position o" "Correct entity, wrong SNOMED ID","(4297, 4302)","(4297, 4302)",right,right,51872008,225794002,12612379-DS-23,"pared with ___ ___s probable decrease in size of right effusion given supine position on the current ex" Missed entity,"(4318, 4333)",,supine position,,40199007,,12612379-DS-23,"robable decrease in size of right effusion given supine position on the current exam. Background emphysema and c" "Correct entity, wrong SNOMED ID","(4368, 4377)","(4368, 4377)",emphysema,emphysema,49158009,87433001,12612379-DS-23,"supine position on the current exam. Background emphysema and coarse interstitial markings likely related " Wrong span,"(4430, 4446)","(4430, 4438)",fibrotic changes,fibrotic,112674009,125565008,12612379-DS-23,"d coarse interstitial markings likely related to fibrotic changes. CTA HEAD & NECK ___: IMPRESSION: 1. No evide" "Correct entity, wrong SNOMED ID","(4509, 4532)","(4509, 4532)",intracranial hemorrhage,intracranial hemorrhage,1386000,35486000,12612379-DS-23,"& NECK ___: IMPRESSION: 1. No evidence of acute intracranial hemorrhage or large territorial infarction. 2. No evidenc" "Correct entity, wrong SNOMED ID","(4556, 4566)","(4556, 4566)",infarction,infarction,55641003,432504007,12612379-DS-23,"te intracranial hemorrhage or large territorial infarction. 2. No evidence of aneurysm > 3mm or dissection." "Correct entity, wrong SNOMED ID","(4587, 4595)","(4587, 4595)",aneurysm,aneurysm,85659009,22036004,12612379-DS-23,"arge territorial infarction. 2. No evidence of aneurysm > 3mm or dissection. 3. Complete occlusion of th" Wrong span,"(4621, 4639)","(4630, 4639)",Complete occlusion,occlusion,50173008,63739005,12612379-DS-23," No evidence of aneurysm > 3mm or dissection. 3. Complete occlusion of the left subclavian artery at the level of th" "Correct entity, wrong SNOMED ID","(4647, 4669)","(4647, 4669)",left subclavian artery,left subclavian artery,85235006,244245001,12612379-DS-23," 3mm or dissection. 3. Complete occlusion of the left subclavian artery at the level of the left vertebral artery origin" "Correct entity, wrong SNOMED ID","(4691, 4712)","(4691, 4712)",left vertebral artery,left vertebral artery,369355008,50291007,12612379-DS-23,"f the left subclavian artery at the level of the left vertebral artery origin. 4. Diffuse large vessel partially calcifi" "Correct entity, wrong SNOMED ID","(4732, 4744)","(4732, 4744)",large vessel,large vessel,42586008,337622005,12612379-DS-23," of the left vertebral artery origin. 4. Diffuse large vessel partially calcific atherosclerosis with severe " "Correct entity, wrong SNOMED ID","(4755, 4763)","(4755, 4763)",calcific,calcific,86502007,125369001,12612379-DS-23," artery origin. 4. Diffuse large vessel partially calcific atherosclerosis with severe stenosis of the pro" "Correct entity, wrong SNOMED ID","(4764, 4779)","(4764, 4779)",atherosclerosis,atherosclerosis,38716007,443502000,12612379-DS-23,"rigin. 4. Diffuse large vessel partially calcific atherosclerosis with severe stenosis of the proximal right subc" Wrong span,"(4794, 4842)","(4794, 4802)",stenosis of the proximal right subclavian artery,stenosis,15967341000119100,246073005,12612379-DS-23," partially calcific atherosclerosis with severe stenosis of the proximal right subclavian artery. 5. 7 mm right upper lobe pulmonary nodule, not " Wrong span,"(4853, 4879)","(4853, 4869)",right upper lobe pulmonary,right upper lobe,42400003,11339004,12612379-DS-23,"of the proximal right subclavian artery. 5. 7 mm right upper lobe pulmonary nodule, not definitively identified on the previ" Wrong span,"(4880, 4886)","(4870, 4886)",nodule,pulmonary nodule,786838002,427359005,12612379-DS-23,"avian artery. 5. 7 mm right upper lobe pulmonary nodule, not definitively identified on the previous Che" "Correct entity, wrong SNOMED ID","(4933, 4942)","(4933, 4942)",Chest CTA,Chest CTA,411251000119104,169069000,12612379-DS-23,"ule, not definitively identified on the previous Chest CTA. 6. Bilatratal lobulated pleural effusions with " Wrong span,"(4948, 4986)","(4969, 4986)",Bilatratal lobulated pleural effusions,pleural effusions,425802001,425802001,12612379-DS-23,"tively identified on the previous Chest CTA. 6. Bilatratal lobulated pleural effusions with adjacent atelectasis, bronchiectasis, airw" "Correct entity, wrong SNOMED ID","(5016, 5030)","(5016, 5030)",bronchiectasis,bronchiectasis,12295008,51068008,12612379-DS-23,"ed pleural effusions with adjacent atelectasis, bronchiectasis, airway secretions, and scattered airspace opaci" "Correct entity, wrong SNOMED ID","(5075, 5084)","(5075, 5084)",opacities,opacities,128305008,422061002,12612379-DS-23,"tasis, airway secretions, and scattered airspace opacities. ___ MRI HEAD W/O CONTRAST: MRI HEAD: There is" Wrong span,"(5115, 5123)","(5115, 5118)",MRI HEAD,MRI,241601008,1144760005,12612379-DS-23,"airspace opacities. ___ MRI HEAD W/O CONTRAST: MRI HEAD: There is no evidence of acute infarction or he" "Correct entity, wrong SNOMED ID","(5156, 5166)","(5156, 5166)",infarction,infarction,55641003,432504007,12612379-DS-23,"ONTRAST: MRI HEAD: There is no evidence of acute infarction or hemorrhage. There is no mass effect, edema, o" "Correct entity, wrong SNOMED ID","(5171, 5181)","(5171, 5181)",hemorrhage,hemorrhage,50960005,8573003,12612379-DS-23,"AD: There is no evidence of acute infarction or hemorrhage. There is no mass effect, edema, or hydrocephalus" "Correct entity, wrong SNOMED ID","(5208, 5213)","(5208, 5213)",edema,edema,267038008,102576009,12612379-DS-23,"farction or hemorrhage. There is no mass effect, edema, or hydrocephalus. Prominent ventricles and sul" "Correct entity, wrong SNOMED ID","(5218, 5231)","(5218, 5231)",hydrocephalus,hydrocephalus,230745008,253132009,12612379-DS-23,"r hemorrhage. There is no mass effect, edema, or hydrocephalus. Prominent ventricles and sulci are compatible " "Correct entity, wrong SNOMED ID","(5245, 5255)","(5245, 5255)",ventricles,ventricles,35764002,91746003,12612379-DS-23,"mass effect, edema, or hydrocephalus. Prominent ventricles and sulci are compatible with mild global age-re" "Correct entity, wrong SNOMED ID","(5260, 5265)","(5260, 5265)",sulci,sulci,72078007,432171006,12612379-DS-23,"ema, or hydrocephalus. Prominent ventricles and sulci are compatible with mild global age-related atro" "Correct entity, wrong SNOMED ID","(5311, 5318)","(5311, 5318)",atrophy,atrophy,13331008,1144432007,12612379-DS-23,"ulci are compatible with mild global age-related atrophy. FLAIR hyperintensities in the subcortical and p" Wrong span,"(5367, 5395)","(5367, 5382)",periventricular white matter,periventricular,37065005,89530008,12612379-DS-23,"y. FLAIR hyperintensities in the subcortical and periventricular white matter likely sequelae of chronic microvascular ischemi" Missed entity,"(5403, 5411)",,sequelae,,302049001,,12612379-DS-23,"cortical and periventricular white matter likely sequelae of chronic microvascular ischemic disease. Old i" Wrong span,"(5415, 5422)","(5415, 5437)",chronic,"chronic microvascular",27624003,679363171000119109,12612379-DS-23,"d periventricular white matter likely sequelae of chronic microvascular ischemic disease. Old infarct with" "Correct entity, wrong SNOMED ID","(5438, 5454)","(5438, 5454)",ischemic disease,ischemic disease,52674009,129573006,12612379-DS-23," matter likely sequelae of chronic microvascular ischemic disease. Old infarct with volume loss is noted within th" Wrong span,"(5456, 5467)","(5460, 5467)",Old infarct,infarct,71911007,55470003,12612379-DS-23,"uelae of chronic microvascular ischemic disease. Old infarct with volume loss is noted within the right tempo" "Correct entity, wrong SNOMED ID","(5473, 5484)","(5473, 5484)",volume loss,volume loss,19776001,816081007,12612379-DS-23," microvascular ischemic disease. Old infarct with volume loss is noted within the right temporal lobe. Princip" "Correct entity, wrong SNOMED ID","(5506, 5525)","(5506, 5525)",right temporal lobe,right temporal lobe,78029007,314157005,12612379-DS-23,"Old infarct with volume loss is noted within the right temporal lobe. Principal vascular flow voids are preserved. G" "Correct entity, wrong SNOMED ID","(5574, 5580)","(5574, 5580)",Globes,Globes,81745001,231791008,12612379-DS-23,"e. Principal vascular flow voids are preserved. Globes and soft tissues are unremarkable. Visualized pa" "Correct entity, wrong SNOMED ID","(5585, 5597)","(5585, 5597)",soft tissues,soft tissues,127960009,74336005,12612379-DS-23,"l vascular flow voids are preserved. Globes and soft tissues are unremarkable. Visualized paranasal sinuses a" "Correct entity, wrong SNOMED ID","(5602, 5614)","(5602, 5614)",unremarkable,unremarkable,281900007,164179004,12612379-DS-23,"voids are preserved. Globes and soft tissues are unremarkable. Visualized paranasal sinuses and mastoid air ce" "Correct entity, wrong SNOMED ID","(5628, 5645)","(5628, 5645)",paranasal sinuses,paranasal sinuses,2095001,241526005,12612379-DS-23,"es and soft tissues are unremarkable. Visualized paranasal sinuses and mastoid air cells are well aerated. IMPRE" "Correct entity, wrong SNOMED ID","(5650, 5667)","(5650, 5667)",mastoid air cells,mastoid air cells,57222008,264093007,12612379-DS-23,"e unremarkable. Visualized paranasal sinuses and mastoid air cells are well aerated. IMPRESSION: No evidence o" Wrong span,"(5725, 5735)","(5719, 5735)",infarction,acute infarction,55641003,1163440003,12612379-DS-23,"l aerated. IMPRESSION: No evidence of acute infarction or hemorrhage ___ TTE: The left atrium is elong" "Correct entity, wrong SNOMED ID","(5739, 5749)","(5739, 5749)",hemorrhage,hemorrhage,50960005,8573003,12612379-DS-23," IMPRESSION: No evidence of acute infarction or hemorrhage ___ TTE: The left atrium is elongated. No left " "Correct entity, wrong SNOMED ID","(5765, 5776)","(5765, 5776)",left atrium,left atrium,82471001,312026008,12612379-DS-23," of acute infarction or hemorrhage ___ TTE: The left atrium is elongated. No left atrial mass/thrombus seen " Wrong span,"(5794, 5805)","(5794, 5810)",left atrial,left atrial mass,82471001,233026009,12612379-DS-23,"rhage ___ TTE: The left atrium is elongated. No left atrial mass/thrombus seen (best excluded by transesopha" Wrong span,"(5806, 5810)","(5794, 5810)",mass,left atrial mass,4147007,233026009,12612379-DS-23,"TTE: The left atrium is elongated. No left atrial mass/thrombus seen (best excluded by transesophageal " "Correct entity, wrong SNOMED ID","(5811, 5819)","(5811, 5819)",thrombus,thrombus,396339007,373140001,12612379-DS-23,"The left atrium is elongated. No left atrial mass/thrombus seen (best excluded by transesophageal echocardi" "Correct entity, wrong SNOMED ID","(5844, 5876)","(5844, 5876)",transesophageal echocardiography,transesophageal echocardiography,105376000,711507002,12612379-DS-23,"left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). The right atrium is moderately dilated. The es" "Correct entity, wrong SNOMED ID","(5883, 5918)","(5883, 5918)","right atrium is moderately dilated","right atrium is moderately dilated",253350005,277743007,12612379-DS-23,"xcluded by transesophageal echocardiography). The right atrium is moderately dilated. The estimated right atrial pressure is at least" Wrong span,"(5934, 5946)","(5934, 5956)",right atrial,"right atrial pressure",73829009,276775004,12612379-DS-23,"ight atrium is moderately dilated. The estimated right atrial pressure is at least 15 mmHg. Left ventricular w" Wrong span,"(5948, 5956)","(5934, 5956)",pressure,"right atrial pressure",13543005,276775004,12612379-DS-23,"s moderately dilated. The estimated right atrial pressure is at least 15 mmHg. Left ventricular wall thickn" Wrong span,"(5978, 5999)","(5978, 6009)",Left ventricular wall,Left ventricular wall thickness,87878005,250926001,12612379-DS-23,"mated right atrial pressure is at least 15 mmHg. Left ventricular wall thickness, cavity size, and global systolic func" Wrong span,"(6000, 6009)","(5978, 6009)",thickness,Left ventricular wall thickness,36506006,250926001,12612379-DS-23,"essure is at least 15 mmHg. Left ventricular wall thickness, cavity size, and global systolic function are n" Wrong span,"(6012, 6018)","(6012, 6023)",cavity,cavity size,1259956008,250929008,12612379-DS-23," least 15 mmHg. Left ventricular wall thickness, cavity size, and global systolic function are normal (LV" Wrong span,"(6036, 6064)","(6029, 6064)",systolic function are normal,global systolic function are normal,371857005,414072005,12612379-DS-23,"tricular wall thickness, cavity size, and global systolic function are normal (LVEF>65%). The right ventricular cavity is mild" "Correct entity, wrong SNOMED ID","(6082, 6124)","(6082, 6124)",right ventricular cavity is mildly dilated,right ventricular cavity is mildly dilated,253522006,2829000,12612379-DS-23,"bal systolic function are normal (LVEF>65%). The right ventricular cavity is mildly dilated with borderline normal free wall function. The a" Wrong span,"(6154, 6158)","(6149, 6167)",wall,free wall function,272657006,275514001,12612379-DS-23,"ty is mildly dilated with borderline normal free wall function. The aortic root is mildly dilated at t" Wrong span,"(6173, 6202)","(6173, 6184)",aortic root is mildly dilated,aortic root,251036003,373132007,12612379-DS-23,"d with borderline normal free wall function. The aortic root is mildly dilated at the sinus level. The number of aortic valve l" "Correct entity, wrong SNOMED ID","(6211, 6216)","(6211, 6216)",sinus,sinus,81128002,2095001,12612379-DS-23,"nction. The aortic root is mildly dilated at the sinus level. The number of aortic valve leaflets cannot" "Correct entity, wrong SNOMED ID","(6238, 6259)","(6238, 6259)",aortic valve leaflets,aortic valve leaflets,6530003,362026005,12612379-DS-23,"mildly dilated at the sinus level. The number of aortic valve leaflets cannot be determined. The aortic valve leaflets " Wrong span,"(6287, 6308)","(6287, 6333)",aortic valve leaflets,aortic valve leaflets are moderately thickened,6530003,93237004,12612379-DS-23," aortic valve leaflets cannot be determined. The aortic valve leaflets are moderately thickened. Mild (1+) aortic regur" Wrong span,"(6324, 6333)","(6287, 6333)",thickened,aortic valve leaflets are moderately thickened,89977008,93237004,12612379-DS-23,"ermined. The aortic valve leaflets are moderately thickened. Mild (1+) aortic regurgitation is seen. The mit" "Correct entity, wrong SNOMED ID","(6336, 6366)","(6336, 6366)",Mild (1+) aortic regurgitation,Mild (1+) aortic regurgitation,838451005,838544003,12612379-DS-23," aortic valve leaflets are moderately thickened. Mild (1+) aortic regurgitation is seen. The mitral valve leaflets are mildly th" "Correct entity, wrong SNOMED ID","(6380, 6423)","(6380, 6423)","mitral valve leaflets are mildly thickened","mitral valve leaflets are mildly thickened",448820003,244355000,12612379-DS-23,"ned. Mild (1+) aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. There is no mitral valve prolapse. Trivial mitr" "Correct entity, wrong SNOMED ID","(6437, 6459)","(6437, 6459)","mitral valve prolapse","mitral valve prolapse",409712001,286031000119106,12612379-DS-23,"valve leaflets are mildly thickened. There is no mitral valve prolapse. Trivial mitral regurgitation is seen. The tricus" "Correct entity, wrong SNOMED ID","(6461, 6489)","(6461, 6489)",Trivial mitral regurgitation,Trivial mitral regurgitation,838451005,233861004,12612379-DS-23,"ly thickened. There is no mitral valve prolapse. Trivial mitral regurgitation is seen. The tricuspid valve leaflets are mildly" Wrong span,"(6503, 6528)","(6503, 6549)","tricuspid valve leaflets","tricuspid valve leaflets are mildly thickened",32427001,261090009,12612379-DS-23,"olapse. Trivial mitral regurgitation is seen. The tricuspid valve leaflets are mildly thickened. There is moderate pulmonary" "Correct entity, wrong SNOMED ID","(6569, 6608)","(6569, 6608)","pulmonary artery systolic hypertension","pulmonary artery systolic hypertension",11399002,840306007,12612379-DS-23," leaflets are mildly thickened. There is moderate pulmonary artery systolic hypertension. There is no pericardial effusion. Compared wi" "Correct entity, wrong SNOMED ID","(6622, 6642)","(6622, 6642)",pericardial effusion,pericardial effusion,373945007,1230405007,12612379-DS-23,"monary artery systolic hypertension. There is no pericardial effusion. Compared with the prior study (images reviewe" Wrong span,"(6734, 6758)","(6734, 6737)","ECG: Atrial fibrillation",ECG,164889003,75444003,12612379-DS-23," reviewed) of ___ the findings are similar. ___ ECG: Atrial fibrillation with moderate ventricular response. Modest diffu" Wrong span,"(6813, 6815)","(6813, 6830)",ST,ST-T wave changes,55930002,251144001,12612379-DS-23," moderate ventricular response. Modest diffuse ST-T wave changes that are non-specific. Poor R wave" Wrong span,"(6859, 6877)","(6859, 6865)",R wave progression,R wave,164921003,365413008,12612379-DS-23,"e ST-T wave changes that are non-specific. Poor R wave progression suggests anteroseptal myocardial infarction of " "Correct entity, wrong SNOMED ID","(6889, 6923)","(6889, 6923)",anteroseptal myocardial infarction,anteroseptal myocardial infarction,164868007,62695002,12612379-DS-23," non-specific. Poor R wave progression suggests anteroseptal myocardial infarction of indeterminate age. Compared to the previous " "Correct entity, wrong SNOMED ID","(7016, 7024)","(7016, 7024)",improved,improved,268910001,251359002,12612379-DS-23,"evious tracing of ___ wave changes appear to be improved. Otherwise, no other significant diagnostic chang" Missed entity,"(7128, 7141)",,diastolic CHF,,441530006,,12612379-DS-23," Brief Hospital Course: ___ year old woman with diastolic CHF, atrial fibrillation who presented 3 days ago wi" "Correct entity, wrong SNOMED ID","(7143, 7162)","(7143, 7162)",atrial fibrillation,atrial fibrillation,49436004,313377641000119105,12612379-DS-23,"al Course: ___ year old woman with diastolic CHF, atrial fibrillation who presented 3 days ago with R intertrochanteri" Wrong span,"(7194, 7222)","(7194, 7195)",R intertrochanteric fracture,R,761922002,420274006,12612379-DS-23,"trial fibrillation who presented 3 days ago with R intertrochanteric fracture due to mechanical fall, now status post trochant" Wrong span,"(7242, 7246)","(7231, 7246)",fall,mechanical fall,161898004,85151000119101,12612379-DS-23,"h R intertrochanteric fracture due to mechanical fall, now status post trochanteric-femoral nail whose " Wrong span,"(7252, 7263)","(7252, 7258)",status post,status,19585003,125680007,12612379-DS-23,"rochanteric fracture due to mechanical fall, now status post trochanteric-femoral nail whose post-op course w" Wrong span,"(7264, 7284)","(7264, 7289)",trochanteric-femoral,trochanteric-femoral nail,182047004,14300001000004101,12612379-DS-23,"fracture due to mechanical fall, now status post trochanteric-femoral nail whose post-op course was complicated by blo" Missed entity,"(7297, 7304)",,post-op,,19585003,,12612379-DS-23," now status post trochanteric-femoral nail whose post-op course was complicated by blood loss anemia, hyp" "Correct entity, wrong SNOMED ID","(7331, 7348)","(7331, 7348)",blood loss anemia,blood loss anemia,413532003,267530009,12612379-DS-23,"ral nail whose post-op course was complicated by blood loss anemia, hypotension, and left subclavian arterial throm" Wrong span,"(7368, 7392)","(7368, 7401)",left subclavian arterial,left subclavian arterial thrombus,85235006,1204177001,12612379-DS-23,"mplicated by blood loss anemia, hypotension, and left subclavian arterial thrombus requiring thrombectomy. #Left subclav" Wrong span,"(7393, 7401)","(7368, 7401)",thrombus,left subclavian arterial thrombus,396339007,1204177001,12612379-DS-23,"nemia, hypotension, and left subclavian arterial thrombus requiring thrombectomy. #Left subclavian arter" "Correct entity, wrong SNOMED ID","(7413, 7425)","(7413, 7425)",thrombectomy,thrombectomy,43810009,21710002,12612379-DS-23," and left subclavian arterial thrombus requiring thrombectomy. #Left subclavian arterial thrombus: Likely car" Wrong span,"(7430, 7454)","(7430, 7463)",Left subclavian arterial,Left subclavian arterial thrombus,85235006,1204177001,12612379-DS-23,"ian arterial thrombus requiring thrombectomy. #Left subclavian arterial thrombus: Likely cardioembolic source given subt" Wrong span,"(7455, 7463)","(7430, 7463)",thrombus,Left subclavian arterial thrombus,396339007,1204177001,12612379-DS-23,"uiring thrombectomy. #Left subclavian arterial thrombus: Likely cardioembolic source given subtherapeuti" Wrong span,"(7543, 7550)","(7534, 7550)",thrombi,arterial thrombi,396339007,300919005,12612379-DS-23," given subtherapeutic INR. No history of arterial thrombi in past. Thrombocytopenia of new onset may sugge" "Correct entity, wrong SNOMED ID","(7561, 7577)","(7561, 7577)",Thrombocytopenia,Thrombocytopenia,302215000,10752381000119101,12612379-DS-23,"tic INR. No history of arterial thrombi in past. Thrombocytopenia of new onset may suggest HITT, but she has clear" "Correct entity, wrong SNOMED ID","(7603, 7607)","(7603, 7607)",HITT,HITT,111588002,282660005,12612379-DS-23," past. Thrombocytopenia of new onset may suggest HITT, but she has clear other reasons and I feel that" "Correct entity, wrong SNOMED ID","(7658, 7662)","(7658, 7662)",HITT,HITT,111588002,282660005,12612379-DS-23," but she has clear other reasons and I feel that HITT would be much less likely than cardiac embolus. " "Correct entity, wrong SNOMED ID","(7695, 7710)","(7695, 7710)",cardiac embolus,cardiac embolus,1251566005,404667009,12612379-DS-23," I feel that HITT would be much less likely than cardiac embolus. Additionally, platelets rebounded while on hepa" "Correct entity, wrong SNOMED ID","(7726, 7735)","(7726, 7735)",platelets,platelets,16378004,6631009,12612379-DS-23," less likely than cardiac embolus. Additionally, platelets rebounded while on heparin. Transthoracic echo s" "Correct entity, wrong SNOMED ID","(7756, 7763)","(7756, 7763)",heparin,heparin,103746007,412201008,12612379-DS-23,"olus. Additionally, platelets rebounded while on heparin. Transthoracic echo showed no ___. A hypercoagua" Missed entity,"(7817, 7823)",,workup,,386053000,,12612379-DS-23,"ansthoracic echo showed no ___. A hypercoaguable workup was not pursued as an inpatient, thinking that i" "Correct entity, wrong SNOMED ID","(8007, 8014)","(8007, 8014)",heparin,heparin,103746007,412201008,12612379-DS-23,"liant with (admission INR 1.3), and bridged with heparin drip. Of note, in the setting of her left arm" Wrong span,"(8056, 8064)","(8056, 8082)",left arm,left arm arterial thrombus,80768000,25820001000004100,12612379-DS-23," heparin drip. Of note, in the setting of her left arm arterial thrombus, stroke evaluation was underta" Wrong span,"(8065, 8082)","(8056, 8082)",arterial thrombus,left arm arterial thrombus,65198009,25820001000004100,12612379-DS-23,"drip. Of note, in the setting of her left arm arterial thrombus, stroke evaluation was undertaken before it was " "Correct entity, wrong SNOMED ID","(8085, 8091)","(8085, 8091)",stroke,stroke,230690007,422504002,12612379-DS-23,"n the setting of her left arm arterial thrombus, stroke evaluation was undertaken before it was clear her" "Correct entity, wrong SNOMED ID","(8092, 8102)","(8092, 8102)",evaluation,evaluation,386053000,39609006,12612379-DS-23,"etting of her left arm arterial thrombus, stroke evaluation was undertaken before it was clear her arm was i" "Correct entity, wrong SNOMED ID","(8142, 8145)","(8142, 8145)",arm,arm,53120007,368208006,12612379-DS-23,"evaluation was undertaken before it was clear her arm was ischemic. She had no evidence of large vesse" "Correct entity, wrong SNOMED ID","(8151, 8159)","(8151, 8159)",ischemic,ischemic,52674009,233958001,12612379-DS-23,"n was undertaken before it was clear her arm was ischemic. She had no evidence of large vessel aneurysm or " Wrong span,"(8184, 8196)","(8184, 8205)",large vessel,large vessel aneurysm,42586008,297176007,12612379-DS-23,"ear her arm was ischemic. She had no evidence of large vessel aneurysm or dissection on CTA of head/neck and, " Wrong span,"(8197, 8205)","(8184, 8205)",aneurysm,large vessel aneurysm,85659009,297176007,12612379-DS-23,"as ischemic. She had no evidence of large vessel aneurysm or dissection on CTA of head/neck and, after her" "Correct entity, wrong SNOMED ID","(8224, 8240)","(8224, 8240)",CTA of head/neck,CTA of head/neck,702430003,429858000,12612379-DS-23,"idence of large vessel aneurysm or dissection on CTA of head/neck and, after her thrombectomy, an MRI of the head " "Correct entity, wrong SNOMED ID","(8256, 8268)","(8256, 8268)",thrombectomy,thrombectomy,43810009,731101000124107,12612379-DS-23,"or dissection on CTA of head/neck and, after her thrombectomy, an MRI of the head showed no acute infarct. #" Wrong span,"(8300, 8313)","(8297, 8305)",acute infarct,no acute,55470003,1092461000119104,12612379-DS-23,"r her thrombectomy, an MRI of the head showed no acute infarct. #R hip fracture: Suffered from a mechanical fa" "Correct entity, wrong SNOMED ID","(8318, 8332)","(8318, 8332)",R hip fracture,R hip fracture,761922002,11314601000119107,12612379-DS-23,", an MRI of the head showed no acute infarct. #R hip fracture: Suffered from a mechanical fall at home landing " "Correct entity, wrong SNOMED ID","(8361, 8365)","(8361, 8365)",fall,fall,161898004,298344006,12612379-DS-23,"ct. #R hip fracture: Suffered from a mechanical fall at home landing on her right hip. She had trocha" "Correct entity, wrong SNOMED ID","(8390, 8399)","(8390, 8399)",right hip,right hip,287579007,15724521000119109,12612379-DS-23,"ed from a mechanical fall at home landing on her right hip. She had trochanteric femoral nail placed on ___" Wrong span,"(8409, 8429)","(8409, 8441)",trochanteric femoral,trochanteric femoral nail placed,182047004,14300001000004101,12612379-DS-23,"l fall at home landing on her right hip. She had trochanteric femoral nail placed on ___. Post-op orders were for weig" Missed entity,"(8451, 8458)",,Post-op,,19585003,,12612379-DS-23,"She had trochanteric femoral nail placed on ___. Post-op orders were for weight bearing as tolerated. Phy" "Correct entity, wrong SNOMED ID","(8475, 8489)","(8475, 8489)",weight bearing,weight bearing,249981005,87731000,12612379-DS-23,"oral nail placed on ___. Post-op orders were for weight bearing as tolerated. Physical therapy saw the patient a" Missed entity,"(8596, 8605)",,follow up,,183616001,,12612379-DS-23,"mmended rehab for acute ___. She has orthopedics follow up in ~2 weeks for repeat hip imaging. #Behaviora" Wrong span,"(8629, 8632)","(8629, 8641)",hip,"hip imaging",29836001,241502008,12612379-DS-23," has orthopedics follow up in ~2 weeks for repeat hip imaging. #Behavioral Changes: The family (3 ch" Wrong span,"(8634, 8641)","(8629, 8641)",imaging,"hip imaging",363679005,241502008,12612379-DS-23,"orthopedics follow up in ~2 weeks for repeat hip imaging. #Behavioral Changes: The family (3 children) w" Missed entity,"(8785, 8792)",,chronic,,27624003,,12612379-DS-23," expressed concern over their mother's perceived chronic to subacute personality changes. She had in the " "Correct entity, wrong SNOMED ID","(8805, 8824)","(8805, 8824)",personality changes,personality changes,102943000,192498004,12612379-DS-23,"ver their mother's perceived chronic to subacute personality changes. She had in the past months to ___ years become " "Correct entity, wrong SNOMED ID","(8879, 8888)","(8879, 8888)",forgetful,forgetful,55533009,102941003,12612379-DS-23," had in the past months to ___ years become more forgetful and started not taking medications, such as warf" Missed entity,"(8913, 8924)",,medications,,18629005,,12612379-DS-23,"ars become more forgetful and started not taking medications, such as warfarin, that she had been on for year" "Correct entity, wrong SNOMED ID","(9318, 9333)","(9318, 9333)",neurologic exam,neurologic exam,84728005,163584009,12612379-DS-23,"is conversation with the family and patient. Her neurologic exam was intact, though behaviorally she demonstrated" Missed entity,"(9339, 9345)",,intact,,281900007,,12612379-DS-23," the family and patient. Her neurologic exam was intact, though behaviorally she demonstrated inability t" Missed entity,"(9429, 9442)",,hospital care,,1172821006,,12612379-DS-23,"ated inability to retain some basic facts of her hospital care. Neurocognitive evaluation was not undertaken. " Missed entity,"(9460, 9470)",,evaluation,,386053000,,12612379-DS-23,"basic facts of her hospital care. Neurocognitive evaluation was not undertaken. Reversible causes were " Missed entity,"(9683, 9693)",,Hemoglobin,,250220000,,12612379-DS-23,"out as an outpatient. #Acute blood loss anemia: Hemoglobin was 11mg/dL on admission, but was near 15 last m" "Correct entity, wrong SNOMED ID","(9772, 9789)","(9772, 9789)","acute blood loss","acute blood loss",8573003,267530009,12612379-DS-23,"ut was near 15 last month. Much of this is likely acute blood loss from hip surgery in addition to left subclavian a" Wrong span,"(9795, 9798)","(9795, 9806)",hip,hip surgery,29836001,428615006,12612379-DS-23,"th. Much of this is likely acute blood loss from hip surgery in addition to left subclavian arterial " Wrong span,"(9799, 9806)","(9795, 9806)",surgery,hip surgery,387713003,428615006,12612379-DS-23,"Much of this is likely acute blood loss from hip surgery in addition to left subclavian arterial thrombec" Wrong span,"(9822, 9846)","(9822, 9860)",left subclavian arterial,"left subclavian arterial thrombectomy",85235006,175456001,12612379-DS-23,"acute blood loss from hip surgery in addition to left subclavian arterial thrombectomy. Her MCV is normal. She had a colon" Wrong span,"(9848, 9860)","(9822, 9860)",thrombectomy,"left subclavian arterial thrombectomy",43810009,175456001,12612379-DS-23," surgery in addition to left subclavian arterial thrombectomy. Her MCV is normal. She had a colonoscopy in ___ " Missed entity,"(9866, 9879)",,MCV is normal,,165452003,,12612379-DS-23,"on to left subclavian arterial thrombectomy. Her MCV is normal. She had a colonoscopy in ___ with polyps and di" "Correct entity, wrong SNOMED ID","(9891, 9902)","(9891, 9902)",colonoscopy,colonoscopy,73761001,174158000,12612379-DS-23,"erial thrombectomy. Her MCV is normal. She had a colonoscopy in ___ with polyps and diverticuli and EGD ___ t" "Correct entity, wrong SNOMED ID","(9916, 9922)","(9916, 9922)",polyps,polyps,41329004,56331000087102,12612379-DS-23,"MCV is normal. She had a colonoscopy in ___ with polyps and diverticuli and EGD ___ that was normal. She " "Correct entity, wrong SNOMED ID","(9927, 9938)","(9927, 9938)",diverticuli,diverticuli,31113003,14011008,12612379-DS-23,"al. She had a colonoscopy in ___ with polyps and diverticuli and EGD ___ that was normal. She would benefit f" "Correct entity, wrong SNOMED ID","(9960, 9966)","(9960, 9966)",normal,normal,281900007,840673007,12612379-DS-23," with polyps and diverticuli and EGD ___ that was normal. She would benefit from serial monitoring every " "Correct entity, wrong SNOMED ID","(9999, 10009)","(9999, 10009)",monitoring,monitoring,239516002,86265008,12612379-DS-23,"_ that was normal. She would benefit from serial monitoring every month or so to demonstrate return to basel" "Correct entity, wrong SNOMED ID","(10054, 10062)","(10054, 10062)",baseline,baseline,128974000,129082007,12612379-DS-23,"oring every month or so to demonstrate return to baseline. #Thrombocytopenia: Normal at 159 on admission," "Correct entity, wrong SNOMED ID","(10067, 10083)","(10067, 10083)",Thrombocytopenia,Thrombocytopenia,302215000,10752381000119101,12612379-DS-23,"onth or so to demonstrate return to baseline. #Thrombocytopenia: Normal at 159 on admission, then dropped down t" Missed entity,"(10085, 10091)",,Normal,,165555003,,12612379-DS-23,"onstrate return to baseline. #Thrombocytopenia: Normal at 159 on admission, then dropped down to nadir " "Correct entity, wrong SNOMED ID","(10153, 10162)","(10153, 10162)",platelets,platelets,250311007,6631009,12612379-DS-23,"dmission, then dropped down to nadir of 108. Her platelets were 145 on day of discharge. Though HITT was co" Wrong span,"(10201, 10205)","(10201, 10202)",HITT,H,111588002,257988000,12612379-DS-23,"r platelets were 145 on day of discharge. Though HITT was considered and discussed extensively by Dr. _" Missed entity,"(10263, 10279)",,vascular surgery,,30904006,,12612379-DS-23,"sidered and discussed extensively by Dr. ___ ___ vascular surgery, and discussed again with Dr. ___ Dr. ___ likely" "Correct entity, wrong SNOMED ID","(10358, 10368)","(10358, 10368)",blood loss,blood loss,50960005,8573003,12612379-DS-23,". ___ Dr. ___ likely represents consumption from blood loss and surgery, with HITT being quite unlikely give" "Correct entity, wrong SNOMED ID","(10374, 10381)","(10374, 10381)",surgery,surgery,387713003,110473004,12612379-DS-23,"ikely represents consumption from blood loss and surgery, with HITT being quite unlikely given rebound of " "Correct entity, wrong SNOMED ID","(10388, 10392)","(10388, 10392)",HITT,HITT,111588002,282660005,12612379-DS-23,"ts consumption from blood loss and surgery, with HITT being quite unlikely given rebound of platelets " Wrong span,"(10462, 10469)","(10462, 10478)",heparin,heparin infusion,103746007,310636007,12612379-DS-23,"y given rebound of platelets while on continuous heparin infusion. Drop and timing of rebound is also typ" Wrong span,"(10470, 10478)","(10462, 10478)",infusion,heparin infusion,36576007,310636007,12612379-DS-23,"rebound of platelets while on continuous heparin infusion. Drop and timing of rebound is also typical of p" Missed entity,"(10584, 10593)",,monitored,,239516002,,12612379-DS-23,"ereative recovery. Have recommended that CBC be monitored at rehab for the next ___ days. #Diastolic CHF:" "Correct entity, wrong SNOMED ID","(10644, 10647)","(10644, 10647)",TTE,TTE,433236007,258691001,12612379-DS-23,"at rehab for the next ___ days. #Diastolic CHF: TTE showed findings similar to prior with normal LVE" Wrong span,"(10709, 10733)","(10700, 10733)",PA systolic hypertension,moderate PA systolic hypertension,11399002,762463000,12612379-DS-23,"ings similar to prior with normal LVEF, moderate PA systolic hypertension, and 1+ AR. She had been getting both Lasix 20mg" "Correct entity, wrong SNOMED ID","(10742, 10744)","(10742, 10744)",AR,AR,60234000,228838009,12612379-DS-23," LVEF, moderate PA systolic hypertension, and 1+ AR. She had been getting both Lasix 20mg daily and " "Correct entity, wrong SNOMED ID","(10804, 10822)","(10804, 10822)",low blood pressure,low blood pressure,45007003,472960000,12612379-DS-23,"been getting both Lasix 20mg daily and developed low blood pressure post-operatively, likely from some bleeding. The" Missed entity,"(10824, 10840)",,post-operatively,,19585003,,12612379-DS-23,"asix 20mg daily and developed low blood pressure post-operatively, likely from some bleeding. Therefore, her Lasix" "Correct entity, wrong SNOMED ID","(10859, 10867)","(10859, 10867)",bleeding,bleeding,131148009,74474003,12612379-DS-23,"lood pressure post-operatively, likely from some bleeding. Therefore, her Lasix was held. This should be g" "Correct entity, wrong SNOMED ID","(10942, 10947)","(10942, 10947)",signs,signs,72670004,86631001,12612379-DS-23,"as held. This should be given if she develops any signs of hypervolemia, worsened respiratory status, or" "Correct entity, wrong SNOMED ID","(10952, 10964)","(10952, 10964)",hypervolemia,hypervolemia,21639008,193894004,12612379-DS-23,"his should be given if she develops any signs of hypervolemia, worsened respiratory status, or elevated jugula" Wrong span,"(10975, 10986)","(10975, 10993)",respiratory,respiratory status,365852007,53617003,12612379-DS-23,"she develops any signs of hypervolemia, worsened respiratory status, or elevated jugular veins. She appeared " Wrong span,"(10998, 11006)","(10998, 11021)",elevated,"elevated jugular veins",103720008,422008005,12612379-DS-23," of hypervolemia, worsened respiratory status, or elevated jugular veins. She appeared euvolemic at dischar" Wrong span,"(11008, 11021)","(10998, 11021)",jugular veins,"elevated jugular veins",63190004,422008005,12612379-DS-23,"olemia, worsened respiratory status, or elevated jugular veins. She appeared euvolemic at discharge. #AFib with" "Correct entity, wrong SNOMED ID","(11036, 11045)","(11036, 11045)",euvolemic,euvolemic,64826008,816156006,12612379-DS-23," status, or elevated jugular veins. She appeared euvolemic at discharge. #AFib with RVR: History of atrial " "Correct entity, wrong SNOMED ID","(11062, 11075)","(11062, 11075)",AFib with RVR,AFib with RVR,120041000119109,1010405004,12612379-DS-23,"lar veins. She appeared euvolemic at discharge. #AFib with RVR: History of atrial fibrillation for years. She is" "Correct entity, wrong SNOMED ID","(11088, 11107)","(11088, 11107)",atrial fibrillation,atrial fibrillation,49436004,313377641000119105,12612379-DS-23,"volemic at discharge. #AFib with RVR: History of atrial fibrillation for years. She is on diltiazem for rate control " "Correct entity, wrong SNOMED ID","(11328, 11335)","(11328, 11335)",heparin,heparin,103746007,412201008,12612379-DS-23,"to early dementia. She was started emergently on heparin gtt for subclavian arterial thrombus. Heart rate" "Correct entity, wrong SNOMED ID","(11344, 11372)","(11344, 11372)",subclavian arterial thrombus,subclavian arterial thrombus,297154003,195339004,12612379-DS-23,"a. She was started emergently on heparin gtt for subclavian arterial thrombus. Heart rates were well controlled in 90-110s. He" Wrong span,"(11375, 11386)","(11375, 11407)",Heart rates,Heart rates were well controlled,301113001,183412008,12612379-DS-23,"on heparin gtt for subclavian arterial thrombus. Heart rates were well controlled in 90-110s. Her diltiazem ER" Wrong span,"(11392, 11407)","(11375, 11407)",well controlled,Heart rates were well controlled,1194003,183412008,12612379-DS-23,"r subclavian arterial thrombus. Heart rates were well controlled in 90-110s. Her diltiazem ER 360mg dose was lowe" Wrong span,"(11487, 11514)","(11499, 11514)","borderline blood pressures",blood pressures,314956000,12763006,12612379-DS-23," 360mg dose was lowered for a few days because of borderline blood pressures (90s-100s). This should be titrated back up to h" "Correct entity, wrong SNOMED ID","(11613, 11617)","(11613, 11617)",COPD,COPD,13645005,48347002,12612379-DS-23,"her home dose of 360 mg. CHRONIC/STABLE ISSUES: #COPD: Home 2 liters O2. Chemistries showed elevated HC" Wrong span,"(11699, 11708)","(11687, 11708)",retention,chronic CO2 retention,36850000,426896000,12612379-DS-23,"showed elevated HCO3 consistent with chronic CO2 retention. Continued home inhalers and O2. #Left pleural " Wrong span,"(11745, 11749)","(11745, 11766)",Left,Left pleural effusion,44029006,427895005,12612379-DS-23,"CO2 retention. Continued home inhalers and O2. #Left pleural effusion: Seen on imaging. Unclear etiolo" Wrong span,"(11750, 11766)","(11745, 11766)",pleural effusion,Left pleural effusion,60046008,427895005,12612379-DS-23,"etention. Continued home inhalers and O2. #Left pleural effusion: Seen on imaging. Unclear etiology. Of note she " "Correct entity, wrong SNOMED ID","(11776, 11783)","(11776, 11783)",imaging,imaging,363679005,408574004,12612379-DS-23,"nhalers and O2. #Left pleural effusion: Seen on imaging. Unclear etiology. Of note she has a history of " "Correct entity, wrong SNOMED ID","(11833, 11836)","(11833, 11836)",RML,RML,301003007,304618008,12612379-DS-23,". Unclear etiology. Of note she has a history of RML lung nodules thought to be likely ___ s/p radiof" "Correct entity, wrong SNOMED ID","(11837, 11849)","(11837, 11849)",lung nodules,lung nodules,786838002,445249002,12612379-DS-23,"clear etiology. Of note she has a history of RML lung nodules thought to be likely ___ s/p radiofrequency abla" "Correct entity, wrong SNOMED ID","(11880, 11903)","(11880, 11903)",radiofrequency ablation,radiofrequency ablation,879916008,427951003,12612379-DS-23,"of RML lung nodules thought to be likely ___ s/p radiofrequency ablation in ___. Subsequently she has had a history of bi" "Correct entity, wrong SNOMED ID","(11951, 11970)","(11951, 11970)",bilateral effusions,bilateral effusions,425802001,7271000119107,12612379-DS-23,"on in ___. Subsequently she has had a history of bilateral effusions R>L. She has had extensive workup, including ple" Boundary error,"(11999, 12005)","(11999, 12003)",workup,work,386053000,451271000124100,12612379-DS-23,"f bilateral effusions R>L. She has had extensive workup, including pleural biopsy in ___ ___s pleural cy" "Correct entity, wrong SNOMED ID","(12017, 12031)","(12017, 12031)",pleural biopsy,pleural biopsy,116025006,22148004,12612379-DS-23,"ons R>L. She has had extensive workup, including pleural biopsy in ___ ___s pleural cytology, both of which were" Wrong span,"(12045, 12052)","(12045, 12061)",pleural,pleural cytology,60046008,110915009,12612379-DS-23,"ive workup, including pleural biopsy in ___ ___s pleural cytology, both of which were negative for maligna" Wrong span,"(12053, 12061)","(12045, 12061)",cytology,pleural cytology,168440009,110915009,12612379-DS-23,"up, including pleural biopsy in ___ ___s pleural cytology, both of which were negative for malignancy. Pri" "Correct entity, wrong SNOMED ID","(12095, 12105)","(12095, 12105)",malignancy,malignancy,1240414004,47709007,12612379-DS-23,"pleural cytology, both of which were negative for malignancy. Prior to that in ___ she had work up of pleural" Wrong span,"(12137, 12161)","(12137, 12144)",work up of pleural fluid,work up,167944006,276059007,12612379-DS-23,"ive for malignancy. Prior to that in ___ she had work up of pleural fluid that was negative for lymphoma/leukemia cells. A" Wrong span,"(12194, 12202)","(12194, 12208)",leukemia,leukemia cells,1162768007,188768003,12612379-DS-23," of pleural fluid that was negative for lymphoma/leukemia cells. Additionally, she had cytology in ___ tha" Wrong span,"(12203, 12208)","(12194, 12208)",cells,leukemia cells,4421005,188768003,12612379-DS-23,"al fluid that was negative for lymphoma/leukemia cells. Additionally, she had cytology in ___ that was " "Correct entity, wrong SNOMED ID","(12280, 12297)","(12280, 12297)",Pulmonary nodules,Pulmonary nodules,786838002,445249002,12612379-DS-23,"d cytology in ___ that was likewise negative. #Pulmonary nodules: History of multiple CTs for past few years with" "Correct entity, wrong SNOMED ID","(12319, 12322)","(12319, 12322)",CTs,CTs,169069000,282108002,12612379-DS-23,"gative. #Pulmonary nodules: History of multiple CTs for past few years with multiple pulmonary nodul" Wrong span,"(12348, 12374)","(12357, 12374)",multiple pulmonary nodules,pulmonary nodules,445249002,445249002,12612379-DS-23," History of multiple CTs for past few years with multiple pulmonary nodules bilaterally. Last CTA chest in ___ showed a stab" "Correct entity, wrong SNOMED ID","(12393, 12402)","(12393, 12402)",CTA chest,CTA chest,411251000119104,169069000,12612379-DS-23,"with multiple pulmonary nodules bilaterally. Last CTA chest in ___ showed a stable 12 mm ground-glass nodule" Wrong span,"(12433, 12445)","(12433, 12452)",ground-glass,ground-glass nodule,1217294009,403359004,12612379-DS-23,"lly. Last CTA chest in ___ showed a stable 12 mm ground-glass nodule in right lower lobe since ___ and yearly " Wrong span,"(12446, 12452)","(12433, 12452)",nodule,ground-glass nodule,786838002,403359004,12612379-DS-23," chest in ___ showed a stable 12 mm ground-glass nodule in right lower lobe since ___ and yearly followu" "Correct entity, wrong SNOMED ID","(12456, 12473)","(12456, 12473)","right lower lobe","right lower lobe",266005,200384002,12612379-DS-23," ___ showed a stable 12 mm ground-glass nodule in right lower lobe since ___ and yearly followup was recommended. Th" "Correct entity, wrong SNOMED ID","(12538, 12546)","(12538, 12546)",CTA neck,CTA neck,702435008,169068008,12612379-DS-23,"yearly followup was recommended. This admission, CTA neck showed a new 7 mm, not definitively identified o" "Correct entity, wrong SNOMED ID","(12611, 12620)","(12611, 12620)",Chest CTA,Chest CTA,411251000119104,169069000,12612379-DS-23," mm, not definitively identified on the previous Chest CTA. These should be evaluated with chest CT in ___ " "Correct entity, wrong SNOMED ID","(12678, 12692)","(12678, 12692)",Hypothyroidism,Hypothyroidism,40930008,10753681000119101,12612379-DS-23,"should be evaluated with chest CT in ___ year. #Hypothyroidism - Continued levothyroxine supplement. TRANSITION" "Correct entity, wrong SNOMED ID","(12775, 12782)","(12775, 12782)",heparin,heparin,103746007,412201008,12612379-DS-23,"ment. TRANSITIONAL ISSUES: -FULL CODE []continue heparin drip until INR >2, then discontinue []check CBC e" Missed entity,"(12855, 12865)",,monitoring,,239516002,,12612379-DS-23,"n discontinue []check CBC everyday for 1 week for monitoring since on heparin drip (platelets and Hgb) []left" "Correct entity, wrong SNOMED ID","(12875, 12882)","(12875, 12882)",heparin,heparin,103746007,412201008,12612379-DS-23,"k CBC everyday for 1 week for monitoring since on heparin drip (platelets and Hgb) []left upper extremity " "Correct entity, wrong SNOMED ID","(12956, 12972)","(12956, 12972)",vascular surgery,vascular surgery,30904006,612031000124109,12612379-DS-23,"b) []left upper extremity arterial US in 1 month, vascular surgery follow up ___ []orthopedic surgery follow up ___" Missed entity,"(12974, 12983)",,follow up,,183616001,,12612379-DS-23,"tremity arterial US in 1 month, vascular surgery follow up ___ []orthopedic surgery follow up ___ []outpatie" Missed entity,"(13009, 13018)",,follow up,,183616001,,12612379-DS-23,"cular surgery follow up ___ []orthopedic surgery follow up ___ []outpatient reversible dementia workup and/o" Wrong span,"(13047, 13062)","(13047, 13055)",dementia workup,dementia,473203000,52448006,12612379-DS-23,"dic surgery follow up ___ []outpatient reversible dementia workup and/or neurocognitive evaluation []repeat chest " Wrong span,"(13086, 13096)","(13070, 13096)",evaluation,"neurocognitive evaluation",386053000,273643004,12612379-DS-23,"reversible dementia workup and/or neurocognitive evaluation []repeat chest CT ___ []consideration of home hea" Missed entity,"(13195, 13206)",,uptitration,,763779006,,12612379-DS-23,"alth aide to assist with medication compliance []uptitration of rate control agents (diltiazem) to home dose o" Missed entity,"(13844, 13846)",,mg,,271285000,,12612379-DS-23," 2 (vit C,E-Zn-coppr-lutein-zeaxan) 250-200-40-1 mg-unit-mg-mg oral daily 11. ProAir HFA (albuterol " Missed entity,"(14662, 14664)",,mg,,271285000,,12612379-DS-23," 2 (vit C,E-Zn-coppr-lutein-zeaxan) 250-200-40-1 mg-unit-mg-mg oral daily 10. ProAir HFA (albuterol " "Correct entity, wrong SNOMED ID","(15111, 15116)","(15111, 15116)",Right,Right,287579007,225794002,12612379-DS-23,"e Facility: ___ Discharge Diagnosis: Primary: Right intertrochanteric hip fracture Acute blood loss a" "Correct entity, wrong SNOMED ID","(15117, 15147)","(15117, 15147)",intertrochanteric hip fracture,intertrochanteric hip fracture,127287001,26938002,12612379-DS-23,"cility: ___ Discharge Diagnosis: Primary: Right intertrochanteric hip fracture Acute blood loss anemia Left subclavian artery th" Wrong span,"(15172, 15194)","(15172, 15203)",Left subclavian artery,Left subclavian artery thrombus,85235006,1204177001,12612379-DS-23,"trochanteric hip fracture Acute blood loss anemia Left subclavian artery thrombus Secondary: Atrial fibrillation Chronic " Wrong span,"(15195, 15203)","(15172, 15203)",thrombus,Left subclavian artery thrombus,396339007,1204177001,12612379-DS-23,"re Acute blood loss anemia Left subclavian artery thrombus Secondary: Atrial fibrillation Chronic obstructi" "Correct entity, wrong SNOMED ID","(15216, 15235)","(15216, 15235)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,12612379-DS-23,"nemia Left subclavian artery thrombus Secondary: Atrial fibrillation Chronic obstructive pulmonary disease Likely deme" "Correct entity, wrong SNOMED ID","(15236, 15273)","(15236, 15273)",Chronic obstructive pulmonary disease,Chronic obstructive pulmonary disease,13645005,313297008,12612379-DS-23,"n artery thrombus Secondary: Atrial fibrillation Chronic obstructive pulmonary disease Likely dementia Discharge Condition: Mental St" "Correct entity, wrong SNOMED ID","(15314, 15327)","(15314, 15327)",Mental Status,Mental Status,392257007,419284004,12612379-DS-23,"y disease Likely dementia Discharge Condition: Mental Status: Confused sometimes Level of Consciousness: Alert" "Correct entity, wrong SNOMED ID","(15329, 15337)","(15329, 15337)",Confused,Confused,40917007,62476001,12612379-DS-23,"y dementia Discharge Condition: Mental Status: Confused sometimes Level of Consciousness: Alert and inter" "Correct entity, wrong SNOMED ID","(15348, 15370)","(15348, 15370)",Level of Consciousness,Level of Consciousness,444714004,830285008,12612379-DS-23,"arge Condition: Mental Status: Confused sometimes Level of Consciousness: Alert and interactive. Activity Status: Out of B" "Correct entity, wrong SNOMED ID","(15372, 15377)","(15372, 15377)",Alert,Alert,248234008,409787004,12612379-DS-23,"tatus: Confused sometimes Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with" "Correct entity, wrong SNOMED ID","(15382, 15393)","(15382, 15393)",interactive,interactive,288577006,10301000202103,12612379-DS-23,"fused sometimes Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to c" "Correct entity, wrong SNOMED ID","(15395, 15410)","(15395, 15410)",Activity Status,Activity Status,129676008,397622007,12612379-DS-23,"es Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelcha" "Correct entity, wrong SNOMED ID","(15412, 15438)","(15412, 15438)",Out of Bed with assistance,Out of Bed with assistance,301679006,1075001000000104,12612379-DS-23,"iousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelchair. Discharge Instruction" "Correct entity, wrong SNOMED ID","(15622, 15626)","(15622, 15626)",fell,fell,161898004,31549006,12612379-DS-23,"to ___. As you know, you were admitted after you fell and were noted to have a hip fracture, which was" "Correct entity, wrong SNOMED ID","(15652, 15664)","(15652, 15664)",hip fracture,hip fracture,263225007,391093004,12612379-DS-23," admitted after you fell and were noted to have a hip fracture, which was repaired. You developed weakness in y" "Correct entity, wrong SNOMED ID","(15677, 15685)","(15677, 15685)",repaired,repaired,4365001,246413005,12612379-DS-23,"and were noted to have a hip fracture, which was repaired. You developed weakness in your left arm that wa" "Correct entity, wrong SNOMED ID","(15718, 15726)","(15718, 15726)",left arm,left arm,368208006,72098002,12612379-DS-23,"hich was repaired. You developed weakness in your left arm that was found to be due to a blood clot in one " "Correct entity, wrong SNOMED ID","(15758, 15768)","(15758, 15768)",blood clot,blood clot,75753009,22084008,12612379-DS-23,"s in your left arm that was found to be due to a blood clot in one of the blood vessels that supplies your a" "Correct entity, wrong SNOMED ID","(15783, 15796)","(15783, 15796)",blood vessels,blood vessels,59820001,818999009,12612379-DS-23,"was found to be due to a blood clot in one of the blood vessels that supplies your arm, prompting removal of the" "Correct entity, wrong SNOMED ID","(15817, 15820)","(15817, 15820)",arm,arm,53120007,368208006,12612379-DS-23,"t in one of the blood vessels that supplies your arm, prompting removal of the clot and improvement i" Wrong span,"(15832, 15851)","(15832, 15839)",removal of the clot,removal,287367008,246158006,12612379-DS-23," blood vessels that supplies your arm, prompting removal of the clot and improvement in your symptoms. Although there" Missed entity,"(15857, 15868)",,improvement,,268910001,,12612379-DS-23,"lies your arm, prompting removal of the clot and improvement in your symptoms. Although there was initial conc" "Correct entity, wrong SNOMED ID","(15928, 15940)","(15928, 15940)",arm weakness,arm weakness,249944006,713512009,12612379-DS-23,"ymptoms. Although there was initial concern that arm weakness was due to a stroke, MRI of your brain was ultim" "Correct entity, wrong SNOMED ID","(15954, 15960)","(15954, 15960)",stroke,stroke,230690007,422504002,12612379-DS-23,"s initial concern that arm weakness was due to a stroke, MRI of your brain was ultimately reassuring tha" "Correct entity, wrong SNOMED ID","(16031, 16037)","(16031, 16037)",stroke,stroke,230690007,422504002,12612379-DS-23,"as ultimately reassuring that you did NOT have a stroke. Nevertheless, it is very important that you tak" "Correct entity, wrong SNOMED ID","(16140, 16151)","(16140, 16151)",blood clots,blood clots,75753009,22084008,12612379-DS-23,"arfarin (Coumadin) as directed to prevent future blood clots like the one you had in your left arm. Followu" "Correct entity, wrong SNOMED ID","(16182, 16190)","(16182, 16190)",left arm,left arm,368208006,72098002,12612379-DS-23," future blood clots like the one you had in your left arm. Followup Instructions: ___ " False positive,,"(645, 660)",,post-transplant,,1303583003,12626414-DS-32," short gut syndrome, chronic metabolic acidosis, post-transplant CKD with Cr 2.2-2.3 (with DSAs) who presents at " False positive,,"(771, 775)",,mild,,162468002,12626414-DS-32,"of Dr. ___ with elevated LFTs and biopsy showing mild acute cellular rejection ___. Patient reports th" False positive,,"(938, 955)",,immunosuppressive,,161651005,12626414-DS-32,"t a month ago he missed the morning doses of his immunosuppressive medications because he thought that if he didn't" False positive,,"(1716, 1724)",,reversed,,249713005,12626414-DS-32,"y laparotomy and colostomy. ___ colostomy was reversed. ___, he had a history of small-bowel obstructi" False positive,,"(2224, 2229)",,stent,,1287503001,12626414-DS-32,"lastic/metal stents. ___ cystoscopy to remove a stent that was placed that was causing urosepsis (thi" False positive,,"(2469, 2472)",,PTC,,282119004,12626414-DS-32," ___. Hepaticojejunostomy with Roux-en-Y. ___ PTC and liver biopsy with chronic rejection. ___ Or" False positive,,"(2679, 2681)",,Ch,,395132000,12626414-DS-32,"e Short Gut Syndrome due to prior bowel resection Chronic metabolic acidosis from frequent stools i/s/" False positive,,"(2711, 2726)",,frequent stools,,64412006,12626414-DS-32,"r bowel resection Chronic metabolic acidosis from frequent stools i/s/o short gut syndrome and possible RTA from " False positive,,"(2776, 2794)",,immunosuppressants,,109955005,12626414-DS-32," i/s/o short gut syndrome and possible RTA from immunosuppressants Social History: ___ Family History: Per Prior n" False positive,,"(3685, 3698)",,PHYSICAL EXAM,,410182004,12626414-DS-32,"no excoriations or lesions, no rashes DISCHARGE PHYSICAL EXAM: ======================= VS: ___ 0020 Temp: 97.9 " False positive,,"(3841, 3846)",,HEENT,,113665002,12626414-DS-32," 99% O2 delivery: RA GENERAL: Older man in NAD HEENT: Anicteric sclera, MMM HEART: RRR, S1/S2, ___ s" False positive,,"(3989, 3990)",,S,,420952007,12626414-DS-32,": CTAB - no wheezes, rales, rhonchi ABDOMEN: +BS, S, NT, ND, multiple surgical scars on abdomen EXTRE" False positive,,"(4628, 4632)",,Iron,,406952009,12626414-DS-32,"M BLOOD Albumin-4.3 Calcium-8.2* Phos-3.3 Mg-1.7 Iron-93 ___ 08:10AM BLOOD calTIBC-281 Ferritn-76 TRF-2" False positive,,"(4657, 4661)",,TIBC,,34647003,12626414-DS-32,".2* Phos-3.3 Mg-1.7 Iron-93 ___ 08:10AM BLOOD calTIBC-281 Ferritn-76 TRF-216 ___ 11:35AM BLOOD tacroFK-" False positive,,"(4753, 4758)",,Clear,,281278005,12626414-DS-32,"tacroFK-3.9* ___ 09:04AM URINE Color-Straw Appear-Clear Sp ___ ___ 09:04AM URINE Blood-NEG Nitrite-NEG Pr" False positive,,"(4778, 4783)",,URINE,,78888000,12626414-DS-32,"URINE Color-Straw Appear-Clear Sp ___ ___ 09:04AM URINE Blood-NEG Nitrite-NEG Protein-30* Glucose-NEG Ke" False positive,,"(4819, 4826)",,Glucose,,72191006,12626414-DS-32," 09:04AM URINE Blood-NEG Nitrite-NEG Protein-30* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leu" False positive,,"(4895, 4900)",,URINE,,78888000,12626414-DS-32,"irub-NEG Urobiln-NEG pH-7.0 Leuks-NEG ___ 09:04AM URINE RBC-1 WBC-8* Bacteri-NONE Yeast-NONE Epi-0 INTE" False positive,,"(4914, 4920)",,Bacter,,762257007,12626414-DS-32,"G pH-7.0 Leuks-NEG ___ 09:04AM URINE RBC-1 WBC-8* Bacteri-NONE Yeast-NONE Epi-0 INTERVAL LABS: =========" False positive,,"(5290, 5293)",,LDH,,67568008,12626414-DS-32,"* TotBili-0.5 ___ 04:54AM BLOOD ALT-55* AST-29 LD(LDH)-164 AlkPhos-148* TotBili-0.4 ___ 04:57AM BLOOD " False positive,,"(5313, 5320)",,TotBili,,424388002,12626414-DS-32,"AM BLOOD ALT-55* AST-29 LD(LDH)-164 AlkPhos-148* TotBili-0.4 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 " False positive,,"(5361, 5364)",,LDH,,67568008,12626414-DS-32," TotBili-0.4 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 MICROBIOLOGY: ===" False positive,,"(5384, 5391)",,TotBili,,424388002,12626414-DS-32,"AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 MICROBIOLOGY: ============= ___ BCx x2: Pend" False positive,,"(5544, 5556)",,Liver Biopsy,,274325001,12626414-DS-32,"t: Negative IMAGING/STUDIES: =============== ___ Liver Biopsy PATHOLOGY: 1) Changes consistent with mild acute " False positive,,"(5600, 5605)",,acute,,255228009,12626414-DS-32,"Biopsy PATHOLOGY: 1) Changes consistent with mild acute cellular rejection demonstrating: - Focal, mild " False positive,,"(5606, 5624)",,cellular rejection,,40442005,12626414-DS-32," PATHOLOGY: 1) Changes consistent with mild acute cellular rejection demonstrating: - Focal, mild portal venous endot" False positive,,"(5693, 5699)",,portal,,279090008,12626414-DS-32,"Focal, mild portal venous endothelialitis. - Mild portal, predominately mononuclear inflammation (includin" False positive,,"(5760, 5781)",,activated lymphocytes,,259717003,12626414-DS-32,"tely mononuclear inflammation (including focally activated lymphocytes). - Focal lymphocytic cholangitis with rare, mil" False positive,,"(5908, 5910)",,in,,10828004,12626414-DS-32,"ignificant steatosis, ballooning degeneration or intracytoplasmic hyalin identified. 3) Trichrome sta" False positive,,"(5925, 5931)",,hyalin,,20894005,12626414-DS-32,"sis, ballooning degeneration or intracytoplasmic hyalin identified. 3) Trichrome stain demonstrates no de" False positive,,"(6354, 6357)",,LDH,,67568008,12626414-DS-32,"-21* AnGap-14 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 ___ 04:57AM BLOOD " False positive,,"(6377, 6384)",,TotBili,,19754005,12626414-DS-32,"AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 ___ 04:57AM BLOOD Albumin-3.7 Calcium-7.6* Ph" False positive,,"(6792, 6810)",,immunosuppressants,,109955005,12626414-DS-32,"saminitis - thought to be due to missed doses of immunosuppressants. While hospitalized, he had a steroid burst with" False positive,,"(6842, 6843)",,s,,420952007,12626414-DS-32,"immunosuppressants. While hospitalized, he had a steroid burst with high dose IV Methylprednisolone" False positive,,"(7034, 7035)",,s,,420952007,12626414-DS-32,"d in clinic. He tolerated the increased doses of steroids well. # ETOH cirrhosis c/b HRS s/p liver" False positive,,"(7144, 7160)",,liver transplant,,174425003,12626414-DS-32,"ransplant ___, c/b chronic liver rejection # S/P liver transplant ___: # Mild acute transplant rejection: Mild acut" False positive,,"(7437, 7440)",,EBV,,18045006,12626414-DS-32,"nt. Notable studies that were negative included: EBV mono spot, CMV VL, infectious work up including " False positive,,"(7452, 7455)",,CMV,,893046241000119101,12626414-DS-32,"udies that were negative included: EBV mono spot, CMV VL, infectious work up including UCx (BCx pendin" False positive,,"(7854, 7869)",,CMV prophylaxis,,408488002,12626414-DS-32,"after. He was also started on Valgancyclovir for CMV prophylaxis, as well as continued on Bactrim DS QOD for PCP/" False positive,,"(7915, 7918)",,PCP,,258735001,12626414-DS-32,"axis, as well as continued on Bactrim DS QOD for PCP/Toxo prophylaxis. He was continued on MMF 500mg " False positive,,"(7919, 7923)",,Toxo,,64822005,12626414-DS-32,", as well as continued on Bactrim DS QOD for PCP/Toxo prophylaxis. He was continued on MMF 500mg BID a" False positive,,"(7924, 7935)",,prophylaxis,,182935008,12626414-DS-32,"well as continued on Bactrim DS QOD for PCP/Toxo prophylaxis. He was continued on MMF 500mg BID and Tacrolimu" False positive,,"(8187, 8188)",,s,,420952007,12626414-DS-32,"ID. His transaminitis initially improved with the steroid burst, and at discharge were AST 36 and AL" False positive,,"(8284, 8292)",,baseline,,161033005,12626414-DS-32,"d ALT 79. # ESRD s/p liver-kidney transplant Cr baseline most recently ~2.2-2.6 with evidence of stable bu" False positive,,"(8333, 8339)",,stable,,301459008,12626414-DS-32," baseline most recently ~2.2-2.6 with evidence of stable but present DSAs. His creatinine was monitored d" False positive,,"(8363, 8373)",,creatinine,,113075003,12626414-DS-32,".6 with evidence of stable but present DSAs. His creatinine was monitored daily, and ultimately his home Los" False positive,,"(8496, 8522)",,Chronic metabolic acidosis,,687808741000119101,12626414-DS-32,"is hospitalization (as well as at discharge). #Chronic metabolic acidosis: Secondary to ongoing diarrhea due to short gut s" False positive,,"(8757, 8764)",,restart,,182837001,12626414-DS-32,"Lomotil during his hospitalization, but this was restarted at discharge. #Hypertension Held home Losart" False positive,,"(9261, 9265)",,Chem,,166312007,12626414-DS-32,".5mg BID - Post-Discharge Follow-up Labs Needed: Chem-10/LFTs/Tacrolimus on ___ and ___ (ordered) - In" False positive,,"(9269, 9273)",,LFTs,,365769003,12626414-DS-32," - Post-Discharge Follow-up Labs Needed: Chem-10/LFTs/Tacrolimus on ___ and ___ (ordered) - Incidental" False positive,,"(11764, 11768)",,Chem,,166312007,12626414-DS-32," team 18.Outpatient Lab Work Labs to collect ___: Chem-10, LFTs, Tacrolimus ICD-9 Code: V42.7 Followed u" False positive,,"(11773, 11777)",,LFTs,,365769003,12626414-DS-32,"Outpatient Lab Work Labs to collect ___: Chem-10, LFTs, Tacrolimus ICD-9 Code: V42.7 Followed up by: Liv" False positive,,"(11888, 11890)",,Ch,,395132000,12626414-DS-32," ___ 19.Outpatient Lab Work Labs to collect ___: Chem-10, LFTs, Tacrolimus ICD-9 Code: V42.7 Followed" False positive,,"(11897, 11901)",,LFTs,,365769003,12626414-DS-32,"Outpatient Lab Work Labs to collect ___: Chem-10, LFTs, Tacrolimus ICD-9 Code: V42.7 Followed up by: Liv" False positive,,"(12191, 12195)",,Disc,,73589001,12626414-DS-32,"bolic acidosis Short gut syndrome Hypertension Discharge Condition: Mental Status: Clear and coherent" False positive,,"(12281, 12292)",,interactive,,10301000202103,12626414-DS-32,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" False positive,,"(12485, 12494)",,rejection,,105412007,12626414-DS-32,"od tests were elevated and there was concern for rejection WHAT HAPPENED WHILE YOU WERE IN THE HOSPITAL? - " False positive,,"(12934, 12945)",,medications,,182837001,12626414-DS-32,"s on this upcoming ___ and ___ - Take all of your medications as prescribed (listed below) - Keep your follow u" Missed entity,"(179, 197)",,No Known Allergies,,609328004,,12626414-DS-32," Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief" "Correct entity, wrong SNOMED ID","(200, 222)","(200, 222)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,12626414-DS-32,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Transaminitis" "Correct entity, wrong SNOMED ID","(259, 272)","(259, 272)",Transaminitis,Transaminitis,160931000119108,415893001,12626414-DS-32,"rug Reactions Attending: ___ Chief Complaint: Transaminitis Major Surgical or Invasive Procedure: None H" "Correct entity, wrong SNOMED ID","(370, 384)","(370, 384)",ETOH cirrhosis,ETOH cirrhosis,420054005,1082601000119104,12626414-DS-32," History of Present Illness: Mr. ___ is a ___ h/o ETOH cirrhosis c/b HRS, s/p liver-kidney transplant in ___, cou" "Correct entity, wrong SNOMED ID","(389, 392)","(389, 392)",HRS,HRS,51292008,258702006,12626414-DS-32," Illness: Mr. ___ is a ___ h/o ETOH cirrhosis c/b HRS, s/p liver-kidney transplant in ___, course c/b " Boundary error,"(399, 404)","(399, 405)",liver,liver-,18027006,80515008,12626414-DS-32,"Mr. ___ is a ___ h/o ETOH cirrhosis c/b HRS, s/p liver-kidney transplant in ___, course c/b chronic reje" "Correct entity, wrong SNOMED ID","(405, 422)","(405, 422)",kidney transplant,kidney transplant,70536003,281112005,12626414-DS-32,"_ is a ___ h/o ETOH cirrhosis c/b HRS, s/p liver-kidney transplant in ___, course c/b chronic rejection of liver w/" Wrong span,"(442, 459)","(442, 469)",chronic rejection,"chronic rejection of liver",8729004,432908002,12626414-DS-32,", s/p liver-kidney transplant in ___, course c/b chronic rejection of liver w/ repeat liver transplant ___ on tacro" Wrong span,"(464, 469)","(442, 469)",liver,"chronic rejection of liver",70536003,432908002,12626414-DS-32,"ansplant in ___, course c/b chronic rejection of liver w/ repeat liver transplant ___ on tacro, MMF and " "Correct entity, wrong SNOMED ID","(480, 496)","(480, 496)",liver transplant,liver transplant,18027006,174425003,12626414-DS-32," course c/b chronic rejection of liver w/ repeat liver transplant ___ on tacro, MMF and prednisone, gunshot wound " "Correct entity, wrong SNOMED ID","(532, 545)","(532, 545)",gunshot wound,gunshot wound,56768003,1351922001,12626414-DS-32,"ver transplant ___ on tacro, MMF and prednisone, gunshot wound in ___ s/p multiple bowel surgeries resulting in" Wrong span,"(573, 582)","(566, 582)",surgeries,"bowel surgeries",387713003,235452007,12626414-DS-32,"dnisone, gunshot wound in ___ s/p multiple bowel surgeries resulting in short gut syndrome, chronic metaboli" Wrong span,"(624, 643)","(616, 643)","metabolic acidosis","chronic metabolic acidosis",59455009,687808741000119101,12626414-DS-32,"urgeries resulting in short gut syndrome, chronic metabolic acidosis, post-transplant CKD with Cr 2.2-2.3 (with DSAs) " "Correct entity, wrong SNOMED ID","(737, 750)","(737, 750)",elevated LFTs,elevated LFTs,863927004,399643001,12626414-DS-32,"DSAs) who presents at the advice of Dr. ___ with elevated LFTs and biopsy showing mild acute cellular rejection" "Correct entity, wrong SNOMED ID","(756, 762)","(756, 762)",biopsy,biopsy,86273004,48635004,12626414-DS-32," at the advice of Dr. ___ with elevated LFTs and biopsy showing mild acute cellular rejection ___. Patie" Missed entity,"(776, 800)",,acute cellular rejection,,40442005,,12626414-DS-32,". ___ with elevated LFTs and biopsy showing mild acute cellular rejection ___. Patient reports that he is feeling well ove" Missed entity,"(834, 846)",,feeling well,,17326005,,12626414-DS-32,"llular rejection ___. Patient reports that he is feeling well overall. He states that for 2 weeks about a mont" Wrong span,"(1098, 1120)","(1109, 1120)",denies any alcohol use,alcohol use,704198001,704198001,12626414-DS-32," at all. He has since become compliant again. He denies any alcohol use for years, no MJ use since the New Year. His only" Wrong span,"(1230, 1247)","(1230, 1233)",flu-like symptoms,flu,315642008,12463005,12626414-DS-32,"ation is losartan, started early ___. He reports flu-like symptoms a month ago but no other recent illnesses. He ha" Boundary error,"(1281, 1290)","(1281, 1288)",illnesses,illness,39104002,35489007,12626414-DS-32,"lu-like symptoms a month ago but no other recent illnesses. He has otherwise been healthy. He has not had a" Wrong span,"(1443, 1469)","(1443, 1459)","nausea, vomiting, diarrhea","nausea, vomiting",2919008,698861005,12626414-DS-32,"aking furniture and chopping wood. He denies any nausea, vomiting, diarrhea, constipation, shortness of breath, chest pain, " "Correct entity, wrong SNOMED ID","(1471, 1483)","(1471, 1483)",constipation,constipation,14760008,236069009,12626414-DS-32," wood. He denies any nausea, vomiting, diarrhea, constipation, shortness of breath, chest pain, fevers, chills" "Correct entity, wrong SNOMED ID","(1485, 1505)","(1485, 1505)","shortness of breath","shortness of breath",267036007,135833008,12626414-DS-32,"es any nausea, vomiting, diarrhea, constipation, shortness of breath, chest pain, fevers, chills, dizziness. REVIEW O" "Correct entity, wrong SNOMED ID","(1507, 1517)","(1507, 1517)",chest pain,chest pain,29857009,102589003,12626414-DS-32,"ng, diarrhea, constipation, shortness of breath, chest pain, fevers, chills, dizziness. REVIEW OF SYSTEMS: P" "Correct entity, wrong SNOMED ID","(1519, 1525)","(1519, 1525)",fevers,fevers,386661006,248444008,12626414-DS-32,", constipation, shortness of breath, chest pain, fevers, chills, dizziness. REVIEW OF SYSTEMS: Per HPI, " "Correct entity, wrong SNOMED ID","(1527, 1533)","(1527, 1533)",chills,chills,43724002,274640006,12626414-DS-32,"pation, shortness of breath, chest pain, fevers, chills, dizziness. REVIEW OF SYSTEMS: Per HPI, otherwis" "Correct entity, wrong SNOMED ID","(1535, 1544)","(1535, 1544)",dizziness,dizziness,404640003,1141711004,12626414-DS-32,"shortness of breath, chest pain, fevers, chills, dizziness. REVIEW OF SYSTEMS: Per HPI, otherwise negative " Missed entity,"(1547, 1564)",,REVIEW OF SYSTEMS,,415300000,,12626414-DS-32," breath, chest pain, fevers, chills, dizziness. REVIEW OF SYSTEMS: Per HPI, otherwise negative Past Medical Histo" "Correct entity, wrong SNOMED ID","(1622, 1636)","(1622, 1636)",gunshot wounds,gunshot wounds,56768003,1351922001,12626414-DS-32,"I, otherwise negative Past Medical History: ___ gunshot wounds in ___ status post exploratory laparotomy and c" "Correct entity, wrong SNOMED ID","(1685, 1694)","(1685, 1694)",colostomy,colostomy,398740003,180636004,12626414-DS-32,"s in ___ status post exploratory laparotomy and colostomy. ___ colostomy was reversed. ___, he had a hi" "Correct entity, wrong SNOMED ID","(1702, 1711)","(1702, 1711)",colostomy,colostomy,398740003,180636004,12626414-DS-32,"ost exploratory laparotomy and colostomy. ___ colostomy was reversed. ___, he had a history of small-bo" "Correct entity, wrong SNOMED ID","(1753, 1776)","(1753, 1776)",small-bowel obstruction,small-bowel obstruction,281255004,1197725005,12626414-DS-32,"olostomy was reversed. ___, he had a history of small-bowel obstruction with multiple surgeries that retrieved most of " "Correct entity, wrong SNOMED ID","(1793, 1802)","(1793, 1802)",surgeries,surgeries,387713003,408463005,12626414-DS-32,"istory of small-bowel obstruction with multiple surgeries that retrieved most of his small bowel. ___, la" "Correct entity, wrong SNOMED ID","(1830, 1841)","(1830, 1841)",small bowel,small bowel,30315005,174005007,12626414-DS-32,"h multiple surgeries that retrieved most of his small bowel. ___, laparotomy again had multiple surgeries a" "Correct entity, wrong SNOMED ID","(1850, 1860)","(1850, 1860)",laparotomy,laparotomy,86481000,74770008,12626414-DS-32,"es that retrieved most of his small bowel. ___, laparotomy again had multiple surgeries again for small bo" "Correct entity, wrong SNOMED ID","(1880, 1889)","(1880, 1889)",surgeries,surgeries,387713003,408463005,12626414-DS-32,"small bowel. ___, laparotomy again had multiple surgeries again for small bowel obstruction. ___, he ha" "Correct entity, wrong SNOMED ID","(1900, 1925)","(1900, 1925)","small bowel obstruction","small bowel obstruction",281255004,429196001,12626414-DS-32,"laparotomy again had multiple surgeries again for small bowel obstruction. ___, he had a right knee arthroscopy. ___, d" Wrong span,"(1943, 1948)","(1943, 1965)",right,right knee arthroscopy,368209003,4421000087107,12626414-DS-32,"in for small bowel obstruction. ___, he had a right knee arthroscopy. ___, diagnosis of cirrhosis a" Wrong span,"(1949, 1965)","(1943, 1965)",knee arthroscopy,right knee arthroscopy,309431009,4421000087107,12626414-DS-32," small bowel obstruction. ___, he had a right knee arthroscopy. ___, diagnosis of cirrhosis and bleeding varic" "Correct entity, wrong SNOMED ID","(2001, 2017)","(2001, 2017)",bleeding varices,bleeding varices,57052009,17709002,12626414-DS-32,"ee arthroscopy. ___, diagnosis of cirrhosis and bleeding varices. ___, he had hepatorenal syndrome and liver fai" "Correct entity, wrong SNOMED ID","(2033, 2053)","(2033, 2053)",hepatorenal syndrome,hepatorenal syndrome,51292008,31005002,12626414-DS-32," of cirrhosis and bleeding varices. ___, he had hepatorenal syndrome and liver failure and he had his combined live" "Correct entity, wrong SNOMED ID","(2058, 2071)","(2058, 2071)",liver failure,liver failure,59927004,197270009,12626414-DS-32,"g varices. ___, he had hepatorenal syndrome and liver failure and he had his combined liver and kidney trans" "Correct entity, wrong SNOMED ID","(2099, 2104)","(2099, 2104)",liver,liver,18027006,80515008,12626414-DS-32,"rome and liver failure and he had his combined liver and kidney transplant at ___. H/o cholangitis, " "Correct entity, wrong SNOMED ID","(2109, 2126)","(2109, 2126)",kidney transplant,kidney transplant,70536003,281112005,12626414-DS-32,"iver failure and he had his combined liver and kidney transplant at ___. H/o cholangitis, multiple ERCP with pla" "Correct entity, wrong SNOMED ID","(2141, 2152)","(2141, 2152)",cholangitis,cholangitis,82403002,26918003,12626414-DS-32,"ombined liver and kidney transplant at ___. H/o cholangitis, multiple ERCP with plastic/metal stents. ___ c" "Correct entity, wrong SNOMED ID","(2163, 2167)","(2163, 2167)",ERCP,ERCP,386718000,712470002,12626414-DS-32,"ey transplant at ___. H/o cholangitis, multiple ERCP with plastic/metal stents. ___ cystoscopy to re" "Correct entity, wrong SNOMED ID","(2265, 2274)","(2265, 2274)",urosepsis,urosepsis,721104000,5365007,12626414-DS-32,"remove a stent that was placed that was causing urosepsis (this resulted in a lawsuit against ___ ___). " "Correct entity, wrong SNOMED ID","(2344, 2362)","(2344, 2362)",lysis of adhesions,lysis of adhesions,39270003,38072008,12626414-DS-32," lawsuit against ___ ___). ___, he underwent a lysis of adhesions at ___. ___ cholangitis/ s/p ERCP and stent pla" "Correct entity, wrong SNOMED ID","(2377, 2388)","(2377, 2388)",cholangitis,cholangitis,82403002,26918003,12626414-DS-32,", he underwent a lysis of adhesions at ___. ___ cholangitis/ s/p ERCP and stent placement. ___. Hepaticojej" "Correct entity, wrong SNOMED ID","(2394, 2398)","(2394, 2398)",ERCP,ERCP,386718000,712470002,12626414-DS-32,"lysis of adhesions at ___. ___ cholangitis/ s/p ERCP and stent placement. ___. Hepaticojejunostomy w" "Correct entity, wrong SNOMED ID","(2403, 2418)","(2403, 2418)",stent placement,stent placement,103716009,232602001,12626414-DS-32,"adhesions at ___. ___ cholangitis/ s/p ERCP and stent placement. ___. Hepaticojejunostomy with Roux-en-Y. ___" Wrong span,"(2427, 2461)","(2427, 2446)",Hepaticojejunostomy with Roux-en-Y,Hepaticojejunostomy,301704008,301704008,12626414-DS-32,"cholangitis/ s/p ERCP and stent placement. ___. Hepaticojejunostomy with Roux-en-Y. ___ PTC and liver biopsy with chronic rejectio" "Correct entity, wrong SNOMED ID","(2477, 2489)","(2477, 2489)",liver biopsy,liver biopsy,86259008,274325001,12626414-DS-32,"Hepaticojejunostomy with Roux-en-Y. ___ PTC and liver biopsy with chronic rejection. ___ Orthotropic Decease" "Correct entity, wrong SNOMED ID","(2495, 2512)","(2495, 2512)",chronic rejection,chronic rejection,432908002,8729004,12626414-DS-32,"y with Roux-en-Y. ___ PTC and liver biopsy with chronic rejection. ___ Orthotropic Deceased Donor Liver Transplan" "Correct entity, wrong SNOMED ID","(2520, 2563)","(2520, 2563)",Orthotropic Deceased Donor Liver Transplant,Orthotropic Deceased Donor Liver Transplant,426356008,1332281007,12626414-DS-32,"TC and liver biopsy with chronic rejection. ___ Orthotropic Deceased Donor Liver Transplant Hepatic encephalopathy Gout Depression In" "Correct entity, wrong SNOMED ID","(2566, 2588)","(2566, 2588)",Hepatic encephalopathy,Hepatic encephalopathy,13920009,232534061000119102,12626414-DS-32,"___ Orthotropic Deceased Donor Liver Transplant Hepatic encephalopathy Gout Depression Insomnia Possible Short G" "Correct entity, wrong SNOMED ID","(2591, 2595)","(2591, 2595)",Gout,Gout,90560007,69896004,12626414-DS-32,"Donor Liver Transplant Hepatic encephalopathy Gout Depression Insomnia Possible Short Gut Synd" "Correct entity, wrong SNOMED ID","(2598, 2608)","(2598, 2608)",Depression,Depression,35489007,26141007,12626414-DS-32,"iver Transplant Hepatic encephalopathy Gout Depression Insomnia Possible Short Gut Syndrome due to p" "Correct entity, wrong SNOMED ID","(2611, 2619)","(2611, 2619)",Insomnia,Insomnia,193462001,162204000,12626414-DS-32,"nt Hepatic encephalopathy Gout Depression Insomnia Possible Short Gut Syndrome due to prior bowel " Wrong span,"(2663, 2668)","(2663, 2678)",bowel,bowel resection,113276009,107938000,12626414-DS-32,"somnia Possible Short Gut Syndrome due to prior bowel resection Chronic metabolic acidosis from frequen" Wrong span,"(2669, 2678)","(2663, 2678)",resection,bowel resection,65801008,107938000,12626414-DS-32," Possible Short Gut Syndrome due to prior bowel resection Chronic metabolic acidosis from frequent stools i" Wrong span,"(2687, 2705)","(2681, 2705)",metabolic acidosis,ronic metabolic acidosis,59455009,9635004,12626414-DS-32,"Gut Syndrome due to prior bowel resection Chronic metabolic acidosis from frequent stools i/s/o short gut syndrome a" "Correct entity, wrong SNOMED ID","(2883, 2891)","(2883, 2891)",diabetes,diabetes,73211009,9414007,12626414-DS-32,"Per Prior notes: Mother - dementia (___) Father - diabetes/prostate cancer (___) 2 Children, 3 Grandchildren" "Correct entity, wrong SNOMED ID","(2892, 2907)","(2892, 2907)",prostate cancer,prostate cancer,254900004,1259388006,12626414-DS-32," notes: Mother - dementia (___) Father - diabetes/prostate cancer (___) 2 Children, 3 Grandchildren all healthy P" "Correct entity, wrong SNOMED ID","(2981, 2994)","(2981, 2994)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,12626414-DS-32,"ndchildren all healthy Physical Exam: ADMISSION PHYSICAL EXAM: ====================== VS: 98.2 PO 134/73 R Lyin" "Correct entity, wrong SNOMED ID","(3019, 3021)","(3019, 3021)",VS,VS,118227000,313611000,12626414-DS-32,": ADMISSION PHYSICAL EXAM: ====================== VS: 98.2 PO 134/73 R Lying 76 18 99% RA GENERAL: NA" Wrong span,"(3040, 3045)","(3040, 3041)",Lying,L,17535004,420296000,12626414-DS-32,"EXAM: ====================== VS: 98.2 PO 134/73 R Lying 76 18 99% RA GENERAL: NAD HEENT: AT/NC, EOMI, " "Correct entity, wrong SNOMED ID","(3056, 3058)","(3056, 3058)",RA,RA,722742002,463051000124105,12626414-DS-32,"============ VS: 98.2 PO 134/73 R Lying 76 18 99% RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicte" "Correct entity, wrong SNOMED ID","(3060, 3067)","(3060, 3067)",GENERAL,GENERAL,162673000,252398009,12626414-DS-32,"======== VS: 98.2 PO 134/73 R Lying 76 18 99% RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric scler" "Correct entity, wrong SNOMED ID","(3069, 3072)","(3069, 3072)",NAD,NAD,281900007,131143000,12626414-DS-32,"VS: 98.2 PO 134/73 R Lying 76 18 99% RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, MM" "Correct entity, wrong SNOMED ID","(3075, 3080)","(3075, 3080)",HEENT,HEENT,5880005,113665002,12626414-DS-32,".2 PO 134/73 R Lying 76 18 99% RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, MMM NECK" "Correct entity, wrong SNOMED ID","(3085, 3087)","(3085, 3087)",NC,NC,840673007,705056007,12626414-DS-32,"73 R Lying 76 18 99% RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, MMM NECK: suppl" "Correct entity, wrong SNOMED ID","(3089, 3093)","(3089, 3093)",EOMI,EOMI,103251002,67099000,12626414-DS-32," Lying 76 18 99% RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, MMM NECK: supple, no " "Correct entity, wrong SNOMED ID","(3095, 3100)","(3095, 3100)",PERRL,PERRL,386666001,431291005,12626414-DS-32," 76 18 99% RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, MMM NECK: supple, no LAD, no" "Correct entity, wrong SNOMED ID","(3102, 3118)","(3102, 3118)",anicteric sclera,anicteric sclera,427801009,470731000124100,12626414-DS-32,"99% RA GENERAL: NAD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, MMM NECK: supple, no LAD, no JVD HEART: RRR," "Correct entity, wrong SNOMED ID","(3120, 3123)","(3120, 3123)",MMM,MMM,276398005,258673006,12626414-DS-32,"AD HEENT: AT/NC, EOMI, PERRL, anicteric sclera, MMM NECK: supple, no LAD, no JVD HEART: RRR, S1/S" "Correct entity, wrong SNOMED ID","(3126, 3130)","(3126, 3130)",NECK,NECK,5880005,840674001,12626414-DS-32,"EENT: AT/NC, EOMI, PERRL, anicteric sclera, MMM NECK: supple, no LAD, no JVD HEART: RRR, S1/S2, ___ " "Correct entity, wrong SNOMED ID","(3132, 3138)","(3132, 3138)",supple,supple,298475003,169743001,12626414-DS-32,"AT/NC, EOMI, PERRL, anicteric sclera, MMM NECK: supple, no LAD, no JVD HEART: RRR, S1/S2, ___ systolic" "Correct entity, wrong SNOMED ID","(3143, 3146)","(3143, 3146)",LAD,LAD,30746006,1010291002,12626414-DS-32,", PERRL, anicteric sclera, MMM NECK: supple, no LAD, no JVD HEART: RRR, S1/S2, ___ systolic murmur," "Correct entity, wrong SNOMED ID","(3151, 3154)","(3151, 3154)",JVD,JVD,271653008,253395003,12626414-DS-32," anicteric sclera, MMM NECK: supple, no LAD, no JVD HEART: RRR, S1/S2, ___ systolic murmur, no gall" "Correct entity, wrong SNOMED ID","(3157, 3162)","(3157, 3162)",HEART,HEART,363003006,226984005,12626414-DS-32,"eric sclera, MMM NECK: supple, no LAD, no JVD HEART: RRR, S1/S2, ___ systolic murmur, no gallops or r" "Correct entity, wrong SNOMED ID","(3164, 3167)","(3164, 3167)",RRR,RRR,76863003,129960002,12626414-DS-32,"lera, MMM NECK: supple, no LAD, no JVD HEART: RRR, S1/S2, ___ systolic murmur, no gallops or rubs " "Correct entity, wrong SNOMED ID","(3172, 3174)","(3172, 3174)",S2,S2,111974005,81170007,12626414-DS-32,"M NECK: supple, no LAD, no JVD HEART: RRR, S1/S2, ___ systolic murmur, no gallops or rubs LUNGS" "Correct entity, wrong SNOMED ID","(3189, 3195)","(3189, 3195)",murmur,murmur,414786004,373112006,12626414-DS-32," no LAD, no JVD HEART: RRR, S1/S2, ___ systolic murmur, no gallops or rubs LUNGS: CTAB, no wheezes, r" "Correct entity, wrong SNOMED ID","(3200, 3207)","(3200, 3207)",gallops,gallops,2170000,4592006,12626414-DS-32," JVD HEART: RRR, S1/S2, ___ systolic murmur, no gallops or rubs LUNGS: CTAB, no wheezes, rales, rhonch" "Correct entity, wrong SNOMED ID","(3219, 3224)","(3219, 3224)",LUNGS,LUNGS,268925001,74101002,12626414-DS-32,"S1/S2, ___ systolic murmur, no gallops or rubs LUNGS: CTAB, no wheezes, rales, rhonchi, breathing comf" "Correct entity, wrong SNOMED ID","(3226, 3230)","(3226, 3230)",CTAB,CTAB,48348007,5250008,12626414-DS-32,"___ systolic murmur, no gallops or rubs LUNGS: CTAB, no wheezes, rales, rhonchi, breathing comfortabl" "Correct entity, wrong SNOMED ID","(3235, 3242)","(3235, 3242)",wheezes,wheezes,56018004,9763007,12626414-DS-32,"lic murmur, no gallops or rubs LUNGS: CTAB, no wheezes, rales, rhonchi, breathing comfortably without u" "Correct entity, wrong SNOMED ID","(3244, 3249)","(3244, 3249)",rales,rales,48409008,31846006,12626414-DS-32,"r, no gallops or rubs LUNGS: CTAB, no wheezes, rales, rhonchi, breathing comfortably without use of a" "Correct entity, wrong SNOMED ID","(3260, 3281)","(3260, 3281)",breathing comfortably,breathing comfortably,276362002,288842000,12626414-DS-32," rubs LUNGS: CTAB, no wheezes, rales, rhonchi, breathing comfortably without use of accessory muscles ABDOMEN: nond" "Correct entity, wrong SNOMED ID","(3298, 3315)","(3298, 3315)",accessory muscles,accessory muscles,50847000,204216001,12626414-DS-32,"s, rhonchi, breathing comfortably without use of accessory muscles ABDOMEN: nondistended, nontender in all quadran" "Correct entity, wrong SNOMED ID","(3318, 3325)","(3318, 3325)",ABDOMEN,ABDOMEN,225162003,75093004,12626414-DS-32,"g comfortably without use of accessory muscles ABDOMEN: nondistended, nontender in all quadrants, no re" "Correct entity, wrong SNOMED ID","(3327, 3339)","(3327, 3339)",nondistended,nondistended,300405003,441380004,12626414-DS-32,"ably without use of accessory muscles ABDOMEN: nondistended, nontender in all quadrants, no rebound/guarding" "Correct entity, wrong SNOMED ID","(3341, 3350)","(3341, 3350)",nontender,nontender,43478001,413319007,12626414-DS-32,"use of accessory muscles ABDOMEN: nondistended, nontender in all quadrants, no rebound/guarding, multiple " "Correct entity, wrong SNOMED ID","(3373, 3380)","(3373, 3380)",rebound,rebound,35611005,844584001,12626414-DS-32,"EN: nondistended, nontender in all quadrants, no rebound/guarding, multiple surgical scars on abdomen, no " "Correct entity, wrong SNOMED ID","(3400, 3414)","(3400, 3414)",surgical scars,surgical scars,63130001,735761002,12626414-DS-32," in all quadrants, no rebound/guarding, multiple surgical scars on abdomen, no TTP over liver and transplant kid" "Correct entity, wrong SNOMED ID","(3418, 3425)","(3418, 3425)",abdomen,abdomen,818983003,75093004,12626414-DS-32," no rebound/guarding, multiple surgical scars on abdomen, no TTP over liver and transplant kidney EXTREM" "Correct entity, wrong SNOMED ID","(3430, 3433)","(3430, 3433)",TTP,TTP,247348008,438476003,12626414-DS-32,"/guarding, multiple surgical scars on abdomen, no TTP over liver and transplant kidney EXTREMITIES: n" "Correct entity, wrong SNOMED ID","(3440, 3445)","(3440, 3445)",liver,liver,18027006,80515008,12626414-DS-32," multiple surgical scars on abdomen, no TTP over liver and transplant kidney EXTREMITIES: no cyanosis, " "Correct entity, wrong SNOMED ID","(3450, 3467)","(3450, 3467)",transplant kidney,transplant kidney,70948008,281112005,12626414-DS-32,"surgical scars on abdomen, no TTP over liver and transplant kidney EXTREMITIES: no cyanosis, clubbing, or edema P" "Correct entity, wrong SNOMED ID","(3469, 3480)","(3469, 3480)",EXTREMITIES,EXTREMITIES,302773001,248416007,12626414-DS-32,"bdomen, no TTP over liver and transplant kidney EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP " "Correct entity, wrong SNOMED ID","(3485, 3493)","(3485, 3493)",cyanosis,cyanosis,3415004,57020009,12626414-DS-32,"over liver and transplant kidney EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilate" "Correct entity, wrong SNOMED ID","(3495, 3503)","(3495, 3503)",clubbing,clubbing,367004,30760008,12626414-DS-32," and transplant kidney EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilaterally NE" "Correct entity, wrong SNOMED ID","(3508, 3513)","(3508, 3513)",edema,edema,267038008,102576009,12626414-DS-32,"nt kidney EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3" "Correct entity, wrong SNOMED ID","(3516, 3522)","(3516, 3522)",PULSES,PULSES,12146004,307684005,12626414-DS-32,"y EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving " "Correct entity, wrong SNOMED ID","(3524, 3536)","(3524, 3536)",2+ DP pulses,2+ DP pulses,792832001,429784004,12626414-DS-32,"MITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving all 4 extremit" "Correct entity, wrong SNOMED ID","(3551, 3556)","(3551, 3556)",NEURO,NEURO,84728005,281247006,12626414-DS-32,"ng, or edema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving all 4 extremities with purpose S" "Correct entity, wrong SNOMED ID","(3560, 3563)","(3560, 3563)",Ox3,Ox3,426224004,396154006,12626414-DS-32,"ema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving all 4 extremities with purpose SKIN: wa" "Correct entity, wrong SNOMED ID","(3565, 3589)","(3565, 3589)",moving all 4 extremities,moving all 4 extremities,284137004,364892002,12626414-DS-32," PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving all 4 extremities with purpose SKIN: warm and well perfused, no e" "Correct entity, wrong SNOMED ID","(3605, 3609)","(3605, 3609)",SKIN,SKIN,271303006,444884003,12626414-DS-32,"O: A&Ox3, moving all 4 extremities with purpose SKIN: warm and well perfused, no excoriations or lesio" "Correct entity, wrong SNOMED ID","(3611, 3615)","(3611, 3615)",warm,warm,102599008,298256005,12626414-DS-32,"x3, moving all 4 extremities with purpose SKIN: warm and well perfused, no excoriations or lesions, no" "Correct entity, wrong SNOMED ID","(3620, 3633)","(3620, 3633)",well perfused,well perfused,1137685003,301121007,12626414-DS-32,"g all 4 extremities with purpose SKIN: warm and well perfused, no excoriations or lesions, no rashes DISCHARG" "Correct entity, wrong SNOMED ID","(3638, 3650)","(3638, 3650)",excoriations,excoriations,400048001,733924001,12626414-DS-32,"s with purpose SKIN: warm and well perfused, no excoriations or lesions, no rashes DISCHARGE PHYSICAL EXAM: " "Correct entity, wrong SNOMED ID","(3654, 3661)","(3654, 3661)",lesions,lesions,52988006,246206008,12626414-DS-32," SKIN: warm and well perfused, no excoriations or lesions, no rashes DISCHARGE PHYSICAL EXAM: ===========" "Correct entity, wrong SNOMED ID","(3667, 3673)","(3667, 3673)",rashes,rashes,271807003,247472004,12626414-DS-32,"nd well perfused, no excoriations or lesions, no rashes DISCHARGE PHYSICAL EXAM: =======================" "Correct entity, wrong SNOMED ID","(3724, 3726)","(3724, 3726)",VS,VS,118227000,313611000,12626414-DS-32," DISCHARGE PHYSICAL EXAM: ======================= VS: ___ 0020 Temp: 97.9 PO BP: 168/83 R Lying HR: 70" "Correct entity, wrong SNOMED ID","(3737, 3741)","(3737, 3741)",Temp,Temp,105723007,102496004,12626414-DS-32,"YSICAL EXAM: ======================= VS: ___ 0020 Temp: 97.9 PO BP: 168/83 R Lying HR: 70 RR: 18 O2 sat:" "Correct entity, wrong SNOMED ID","(3751, 3753)","(3751, 3753)",BP,BP,392570002,38341003,12626414-DS-32,"====================== VS: ___ 0020 Temp: 97.9 PO BP: 168/83 R Lying HR: 70 RR: 18 O2 sat: 99% O2 deli" "Correct entity, wrong SNOMED ID","(3770, 3772)","(3770, 3772)",HR,HR,301113001,258702006,12626414-DS-32,"=== VS: ___ 0020 Temp: 97.9 PO BP: 168/83 R Lying HR: 70 RR: 18 O2 sat: 99% O2 delivery: RA GENERAL: " "Correct entity, wrong SNOMED ID","(3777, 3779)","(3777, 3779)",RR,RR,301283003,229040007,12626414-DS-32," ___ 0020 Temp: 97.9 PO BP: 168/83 R Lying HR: 70 RR: 18 O2 sat: 99% O2 delivery: RA GENERAL: Older m" "Correct entity, wrong SNOMED ID","(3784, 3790)","(3784, 3790)",O2 sat,O2 sat,104847001,103228002,12626414-DS-32,"20 Temp: 97.9 PO BP: 168/83 R Lying HR: 70 RR: 18 O2 sat: 99% O2 delivery: RA GENERAL: Older man in NAD " "Correct entity, wrong SNOMED ID","(3809, 3811)","(3809, 3811)",RA,RA,722742002,463051000124105,12626414-DS-32,"83 R Lying HR: 70 RR: 18 O2 sat: 99% O2 delivery: RA GENERAL: Older man in NAD HEENT: Anicteric scl" Wrong span,"(3817, 3819)","(3813, 3820)",RA,GENERAL,722742002,252398009,12626414-DS-32,"ng HR: 70 RR: 18 O2 sat: 99% O2 delivery: RA GENERAL: Older man in NAD HEENT: Anicteric sclera, MMM" "Correct entity, wrong SNOMED ID","(3835, 3838)","(3835, 3838)",NAD,NAD,281900007,131143000,12626414-DS-32,"2 sat: 99% O2 delivery: RA GENERAL: Older man in NAD HEENT: Anicteric sclera, MMM HEART: RRR, S1/S" "Correct entity, wrong SNOMED ID","(3848, 3864)","(3848, 3864)",Anicteric sclera,Anicteric sclera,427801009,470731000124100,12626414-DS-32," delivery: RA GENERAL: Older man in NAD HEENT: Anicteric sclera, MMM HEART: RRR, S1/S2, ___ systolic murmur, no" "Correct entity, wrong SNOMED ID","(3866, 3869)","(3866, 3869)",MMM,MMM,276398005,258673006,12626414-DS-32,"ERAL: Older man in NAD HEENT: Anicteric sclera, MMM HEART: RRR, S1/S2, ___ systolic murmur, no gall" "Correct entity, wrong SNOMED ID","(3872, 3877)","(3872, 3877)",HEART,HEART,363003006,226984005,12626414-DS-32,"Older man in NAD HEENT: Anicteric sclera, MMM HEART: RRR, S1/S2, ___ systolic murmur, no gallops or r" "Correct entity, wrong SNOMED ID","(3879, 3882)","(3879, 3882)",RRR,RRR,76863003,129960002,12626414-DS-32,"an in NAD HEENT: Anicteric sclera, MMM HEART: RRR, S1/S2, ___ systolic murmur, no gallops or rubs " Wrong span,"(3884, 3889)","(3884, 3886)",S1/S2,S1,301132007,82609006,12626414-DS-32," NAD HEENT: Anicteric sclera, MMM HEART: RRR, S1/S2, ___ systolic murmur, no gallops or rubs LUNGS" Wrong span,"(3895, 3910)","(3904, 3910)",systolic murmur,murmur,31574009,373112006,12626414-DS-32,"T: Anicteric sclera, MMM HEART: RRR, S1/S2, ___ systolic murmur, no gallops or rubs LUNGS: CTAB - no wheezes, " "Correct entity, wrong SNOMED ID","(3915, 3922)","(3915, 3922)",gallops,gallops,2170000,4592006,12626414-DS-32," MMM HEART: RRR, S1/S2, ___ systolic murmur, no gallops or rubs LUNGS: CTAB - no wheezes, rales, rhonc" "Correct entity, wrong SNOMED ID","(3934, 3939)","(3934, 3939)",LUNGS,LUNGS,39607008,74101002,12626414-DS-32,"S1/S2, ___ systolic murmur, no gallops or rubs LUNGS: CTAB - no wheezes, rales, rhonchi ABDOMEN: +BS, " "Correct entity, wrong SNOMED ID","(3941, 3945)","(3941, 3945)",CTAB,CTAB,48348007,5250008,12626414-DS-32,"___ systolic murmur, no gallops or rubs LUNGS: CTAB - no wheezes, rales, rhonchi ABDOMEN: +BS, S, NT," "Correct entity, wrong SNOMED ID","(3951, 3958)","(3951, 3958)",wheezes,wheezes,56018004,9763007,12626414-DS-32,"ic murmur, no gallops or rubs LUNGS: CTAB - no wheezes, rales, rhonchi ABDOMEN: +BS, S, NT, ND, multiple" "Correct entity, wrong SNOMED ID","(3960, 3965)","(3960, 3965)",rales,rales,48409008,31846006,12626414-DS-32,", no gallops or rubs LUNGS: CTAB - no wheezes, rales, rhonchi ABDOMEN: +BS, S, NT, ND, multiple surgic" "Correct entity, wrong SNOMED ID","(3975, 3982)","(3975, 3982)",ABDOMEN,ABDOMEN,225162003,75093004,12626414-DS-32," rubs LUNGS: CTAB - no wheezes, rales, rhonchi ABDOMEN: +BS, S, NT, ND, multiple surgical scars on abdom" Boundary error,"(3985, 3987)","(3984, 3987)",BS,+BS,61539000,260347006,12626414-DS-32,"UNGS: CTAB - no wheezes, rales, rhonchi ABDOMEN: +BS, S, NT, ND, multiple surgical scars on abdomen EX" "Correct entity, wrong SNOMED ID","(3992, 3994)","(3992, 3994)",NT,NT,43478001,257992007,12626414-DS-32,"TAB - no wheezes, rales, rhonchi ABDOMEN: +BS, S, NT, ND, multiple surgical scars on abdomen EXTREMITI" "Correct entity, wrong SNOMED ID","(3996, 3998)","(3996, 3998)",ND,ND,60728008,165815009,12626414-DS-32,"- no wheezes, rales, rhonchi ABDOMEN: +BS, S, NT, ND, multiple surgical scars on abdomen EXTREMITIES: " "Correct entity, wrong SNOMED ID","(4009, 4023)","(4009, 4023)",surgical scars,surgical scars,63130001,735761002,12626414-DS-32," rales, rhonchi ABDOMEN: +BS, S, NT, ND, multiple surgical scars on abdomen EXTREMITIES: no cyanosis, clubbing, or" "Correct entity, wrong SNOMED ID","(4027, 4034)","(4027, 4034)",abdomen,abdomen,225162003,75093004,12626414-DS-32,"DOMEN: +BS, S, NT, ND, multiple surgical scars on abdomen EXTREMITIES: no cyanosis, clubbing, or edema PU" "Correct entity, wrong SNOMED ID","(4035, 4046)","(4035, 4046)",EXTREMITIES,EXTREMITIES,302773001,248416007,12626414-DS-32,"BS, S, NT, ND, multiple surgical scars on abdomen EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP " "Correct entity, wrong SNOMED ID","(4051, 4059)","(4051, 4059)",cyanosis,cyanosis,3415004,57020009,12626414-DS-32,"ultiple surgical scars on abdomen EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilate" "Correct entity, wrong SNOMED ID","(4061, 4069)","(4061, 4069)",clubbing,clubbing,367004,30760008,12626414-DS-32,"rgical scars on abdomen EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilaterally NE" "Correct entity, wrong SNOMED ID","(4074, 4079)","(4074, 4079)",edema,edema,267038008,102576009,12626414-DS-32,"on abdomen EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3" "Correct entity, wrong SNOMED ID","(4082, 4088)","(4082, 4088)",PULSES,PULSES,12146004,307684005,12626414-DS-32,"en EXTREMITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving " "Correct entity, wrong SNOMED ID","(4090, 4102)","(4090, 4102)",2+ DP pulses,2+ DP pulses,792832001,429784004,12626414-DS-32,"MITIES: no cyanosis, clubbing, or edema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving all 4 extremit" "Correct entity, wrong SNOMED ID","(4117, 4122)","(4117, 4122)",NEURO,NEURO,84728005,281247006,12626414-DS-32,"ng, or edema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving all 4 extremities with purpose S" "Correct entity, wrong SNOMED ID","(4126, 4129)","(4126, 4129)",Ox3,Ox3,426224004,396154006,12626414-DS-32,"ema PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving all 4 extremities with purpose SKIN: WW" "Correct entity, wrong SNOMED ID","(4131, 4155)","(4131, 4155)",moving all 4 extremities,moving all 4 extremities,284137004,364892002,12626414-DS-32," PULSES: 2+ DP pulses bilaterally NEURO: A&Ox3, moving all 4 extremities with purpose SKIN: WWP, no excoriations or lesi" "Correct entity, wrong SNOMED ID","(4171, 4175)","(4171, 4175)",SKIN,SKIN,271303006,444884003,12626414-DS-32,"O: A&Ox3, moving all 4 extremities with purpose SKIN: WWP, no excoriations or lesions, no rashes Per" "Correct entity, wrong SNOMED ID","(4177, 4180)","(4177, 4180)",WWP,WWP,1137685003,258001008,12626414-DS-32,"x3, moving all 4 extremities with purpose SKIN: WWP, no excoriations or lesions, no rashes Pertinen" "Correct entity, wrong SNOMED ID","(4185, 4197)","(4185, 4197)",excoriations,excoriations,400048001,733924001,12626414-DS-32,"ng all 4 extremities with purpose SKIN: WWP, no excoriations or lesions, no rashes Pertinent Results: ADMISS" "Correct entity, wrong SNOMED ID","(4201, 4208)","(4201, 4208)",lesions,lesions,95324001,246206008,12626414-DS-32,"ties with purpose SKIN: WWP, no excoriations or lesions, no rashes Pertinent Results: ADMISSION LABS: =" "Correct entity, wrong SNOMED ID","(4213, 4219)","(4213, 4219)",rashes,rashes,271807003,247472004,12626414-DS-32,"rpose SKIN: WWP, no excoriations or lesions, no rashes Pertinent Results: ADMISSION LABS: ============" "Correct entity, wrong SNOMED ID","(4291, 4294)","(4291, 4294)",WBC,WBC,767002,391558003,12626414-DS-32,"ADMISSION LABS: =============== ___ 08:10AM BLOOD WBC-4.4 RBC-3.35* Hgb-10.9* Hct-33.3* MCV-99* MCH-32" "Correct entity, wrong SNOMED ID","(4299, 4302)","(4299, 4302)",RBC,RBC,14089001,258759006,12626414-DS-32,"N LABS: =============== ___ 08:10AM BLOOD WBC-4.4 RBC-3.35* Hgb-10.9* Hct-33.3* MCV-99* MCH-32.5* MCHC" "Correct entity, wrong SNOMED ID","(4309, 4312)","(4309, 4312)",Hgb,Hgb,441689006,104142005,12626414-DS-32,"============= ___ 08:10AM BLOOD WBC-4.4 RBC-3.35* Hgb-10.9* Hct-33.3* MCV-99* MCH-32.5* MCHC-32.7 RDW-" "Correct entity, wrong SNOMED ID","(4319, 4322)","(4319, 4322)",Hct,Hct,28317006,282660005,12626414-DS-32,"=== ___ 08:10AM BLOOD WBC-4.4 RBC-3.35* Hgb-10.9* Hct-33.3* MCV-99* MCH-32.5* MCHC-32.7 RDW-11.8 RDWSD" "Correct entity, wrong SNOMED ID","(4338, 4341)","(4338, 4341)",MCH,MCH,54706004,735147002,12626414-DS-32,"OD WBC-4.4 RBC-3.35* Hgb-10.9* Hct-33.3* MCV-99* MCH-32.5* MCHC-32.7 RDW-11.8 RDWSD-42.5 Plt ___ ___ 0" "Correct entity, wrong SNOMED ID","(4348, 4352)","(4348, 4352)",MCHC,MCHC,37254006,735147002,12626414-DS-32," RBC-3.35* Hgb-10.9* Hct-33.3* MCV-99* MCH-32.5* MCHC-32.7 RDW-11.8 RDWSD-42.5 Plt ___ ___ 08:10AM BLOO" "Correct entity, wrong SNOMED ID","(4358, 4361)","(4358, 4361)",RDW,RDW,66842004,735149004,12626414-DS-32," Hgb-10.9* Hct-33.3* MCV-99* MCH-32.5* MCHC-32.7 RDW-11.8 RDWSD-42.5 Plt ___ ___ 08:10AM BLOOD ___ PTT" "Correct entity, wrong SNOMED ID","(4367, 4372)","(4367, 4372)",RDWSD,RDWSD,66842004,80328002,12626414-DS-32,"* Hct-33.3* MCV-99* MCH-32.5* MCHC-32.7 RDW-11.8 RDWSD-42.5 Plt ___ ___ 08:10AM BLOOD ___ PTT-27.5 ___ _" "Correct entity, wrong SNOMED ID","(4408, 4411)","(4408, 4411)",PTT,PTT,42525009,282119004,12626414-DS-32,"RDW-11.8 RDWSD-42.5 Plt ___ ___ 08:10AM BLOOD ___ PTT-27.5 ___ ___ 08:10AM BLOOD Glucose-89 UreaN-29* C" "Correct entity, wrong SNOMED ID","(4439, 4446)","(4439, 4446)",Glucose,Glucose,33747003,72191006,12626414-DS-32," 08:10AM BLOOD ___ PTT-27.5 ___ ___ 08:10AM BLOOD Glucose-89 UreaN-29* Creat-2.2* Na-141 K-4.8 Cl-105 HCO3" "Correct entity, wrong SNOMED ID","(4450, 4455)","(4450, 4455)",UreaN,UreaN,105011006,111108008,12626414-DS-32,"OOD ___ PTT-27.5 ___ ___ 08:10AM BLOOD Glucose-89 UreaN-29* Creat-2.2* Na-141 K-4.8 Cl-105 HCO3-24 AnGap" "Correct entity, wrong SNOMED ID","(4460, 4465)","(4460, 4465)",Creat,Creat,70901006,365756002,12626414-DS-32,"T-27.5 ___ ___ 08:10AM BLOOD Glucose-89 UreaN-29* Creat-2.2* Na-141 K-4.8 Cl-105 HCO3-24 AnGap-12 ___ 08" "Correct entity, wrong SNOMED ID","(4471, 4473)","(4471, 4473)",Na,Na,312469006,257992007,12626414-DS-32,"___ 08:10AM BLOOD Glucose-89 UreaN-29* Creat-2.2* Na-141 K-4.8 Cl-105 HCO3-24 AnGap-12 ___ 08:10AM BL" "Correct entity, wrong SNOMED ID","(4485, 4487)","(4485, 4487)",Cl,Cl,104589004,311741002,12626414-DS-32,"OOD Glucose-89 UreaN-29* Creat-2.2* Na-141 K-4.8 Cl-105 HCO3-24 AnGap-12 ___ 08:10AM BLOOD ALT-63* AS" "Correct entity, wrong SNOMED ID","(4492, 4496)","(4492, 4496)",HCO3,HCO3,312471006,88645003,12626414-DS-32,"cose-89 UreaN-29* Creat-2.2* Na-141 K-4.8 Cl-105 HCO3-24 AnGap-12 ___ 08:10AM BLOOD ALT-63* AST-43* Alk" "Correct entity, wrong SNOMED ID","(4500, 4505)","(4500, 4505)",AnGap,AnGap,25469001,124504004,12626414-DS-32,"UreaN-29* Creat-2.2* Na-141 K-4.8 Cl-105 HCO3-24 AnGap-12 ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161*" "Correct entity, wrong SNOMED ID","(4527, 4530)","(4527, 4530)",ALT,ALT,34608000,56935002,12626414-DS-32," K-4.8 Cl-105 HCO3-24 AnGap-12 ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161* TotBili-0.7 ___ 08:10AM " "Correct entity, wrong SNOMED ID","(4535, 4538)","(4535, 4538)",AST,AST,45896001,85043005,12626414-DS-32,"Cl-105 HCO3-24 AnGap-12 ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161* TotBili-0.7 ___ 08:10AM BLOOD Al" "Correct entity, wrong SNOMED ID","(4543, 4550)","(4543, 4550)",AlkPhos,AlkPhos,88810008,30703008,12626414-DS-32,"CO3-24 AnGap-12 ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161* TotBili-0.7 ___ 08:10AM BLOOD Albumin-4.3 Ca" "Correct entity, wrong SNOMED ID","(4556, 4563)","(4556, 4563)",TotBili,TotBili,359986008,424388002,12626414-DS-32,"12 ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161* TotBili-0.7 ___ 08:10AM BLOOD Albumin-4.3 Calcium-8.2* Ph" "Correct entity, wrong SNOMED ID","(4586, 4593)","(4586, 4593)",Albumin,Albumin,26758005,166804009,12626414-DS-32,"ST-43* AlkPhos-161* TotBili-0.7 ___ 08:10AM BLOOD Albumin-4.3 Calcium-8.2* Phos-3.3 Mg-1.7 Iron-93 ___ 08:" "Correct entity, wrong SNOMED ID","(4598, 4605)","(4598, 4605)",Calcium,Calcium,312472004,108601004,12626414-DS-32,"os-161* TotBili-0.7 ___ 08:10AM BLOOD Albumin-4.3 Calcium-8.2* Phos-3.3 Mg-1.7 Iron-93 ___ 08:10AM BLOOD c" "Correct entity, wrong SNOMED ID","(4611, 4615)","(4611, 4615)",Phos,Phos,104868000,168075002,12626414-DS-32,"li-0.7 ___ 08:10AM BLOOD Albumin-4.3 Calcium-8.2* Phos-3.3 Mg-1.7 Iron-93 ___ 08:10AM BLOOD calTIBC-281" "Correct entity, wrong SNOMED ID","(4620, 4622)","(4620, 4622)",Mg,Mg,271285000,258684004,12626414-DS-32,"_ 08:10AM BLOOD Albumin-4.3 Calcium-8.2* Phos-3.3 Mg-1.7 Iron-93 ___ 08:10AM BLOOD calTIBC-281 Ferrit" "Correct entity, wrong SNOMED ID","(4806, 4813)","(4806, 4813)",Protein,Protein,57378007,764892007,12626414-DS-32,"ar Sp ___ ___ 09:04AM URINE Blood-NEG Nitrite-NEG Protein-30* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-N" "Correct entity, wrong SNOMED ID","(4831, 4837)","(4831, 4837)",Ketone,Ketone,47615003,256048004,12626414-DS-32,"NE Blood-NEG Nitrite-NEG Protein-30* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-NEG ___ " "Correct entity, wrong SNOMED ID","(4866, 4868)","(4866, 4868)",pH,pH,81065003,264912003,12626414-DS-32,"* Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-NEG ___ 09:04AM URINE RBC-1 WBC-8* Bact" "Correct entity, wrong SNOMED ID","(4901, 4904)","(4901, 4904)",RBC,RBC,14089001,258759006,12626414-DS-32,"EG Urobiln-NEG pH-7.0 Leuks-NEG ___ 09:04AM URINE RBC-1 WBC-8* Bacteri-NONE Yeast-NONE Epi-0 INTERVAL" "Correct entity, wrong SNOMED ID","(4907, 4910)","(4907, 4910)",WBC,WBC,767002,391558003,12626414-DS-32,"biln-NEG pH-7.0 Leuks-NEG ___ 09:04AM URINE RBC-1 WBC-8* Bacteri-NONE Yeast-NONE Epi-0 INTERVAL LABS:" "Correct entity, wrong SNOMED ID","(5155, 5158)","(5155, 5158)",ALT,ALT,34608000,56935002,12626414-DS-32,"___ 04:57AM BLOOD tacroFK-4.2* ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161* TotBili-0.7 ___ 05:00AM " "Correct entity, wrong SNOMED ID","(5163, 5166)","(5163, 5166)",AST,AST,45896001,85043005,12626414-DS-32,"7AM BLOOD tacroFK-4.2* ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161* TotBili-0.7 ___ 05:00AM BLOOD AL" "Correct entity, wrong SNOMED ID","(5171, 5178)","(5171, 5178)",AlkPhos,AlkPhos,88810008,30703008,12626414-DS-32,"D tacroFK-4.2* ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161* TotBili-0.7 ___ 05:00AM BLOOD ALT-59* AST-35" "Correct entity, wrong SNOMED ID","(5184, 5191)","(5184, 5191)",TotBili,TotBili,359986008,424388002,12626414-DS-32,"* ___ 08:10AM BLOOD ALT-63* AST-43* AlkPhos-161* TotBili-0.7 ___ 05:00AM BLOOD ALT-59* AST-35 AlkPhos-172*" "Correct entity, wrong SNOMED ID","(5214, 5217)","(5214, 5217)",ALT,ALT,34608000,56935002,12626414-DS-32,"ST-43* AlkPhos-161* TotBili-0.7 ___ 05:00AM BLOOD ALT-59* AST-35 AlkPhos-172* TotBili-0.5 ___ 04:54AM B" "Correct entity, wrong SNOMED ID","(5222, 5225)","(5222, 5225)",AST,AST,45896001,85043005,12626414-DS-32,"lkPhos-161* TotBili-0.7 ___ 05:00AM BLOOD ALT-59* AST-35 AlkPhos-172* TotBili-0.5 ___ 04:54AM BLOOD ALT" "Correct entity, wrong SNOMED ID","(5229, 5236)","(5229, 5236)",AlkPhos,AlkPhos,88810008,30703008,12626414-DS-32,"161* TotBili-0.7 ___ 05:00AM BLOOD ALT-59* AST-35 AlkPhos-172* TotBili-0.5 ___ 04:54AM BLOOD ALT-55* AST-29" "Correct entity, wrong SNOMED ID","(5242, 5249)","(5242, 5249)",TotBili,TotBili,359986008,424388002,12626414-DS-32,"0.7 ___ 05:00AM BLOOD ALT-59* AST-35 AlkPhos-172* TotBili-0.5 ___ 04:54AM BLOOD ALT-55* AST-29 LD(LDH)-164 " "Correct entity, wrong SNOMED ID","(5272, 5275)","(5272, 5275)",ALT,ALT,34608000,56935002,12626414-DS-32,"AST-35 AlkPhos-172* TotBili-0.5 ___ 04:54AM BLOOD ALT-55* AST-29 LD(LDH)-164 AlkPhos-148* TotBili-0.4 " "Correct entity, wrong SNOMED ID","(5280, 5283)","(5280, 5283)",AST,AST,45896001,85043005,12626414-DS-32,"lkPhos-172* TotBili-0.5 ___ 04:54AM BLOOD ALT-55* AST-29 LD(LDH)-164 AlkPhos-148* TotBili-0.4 ___ 04:5" "Correct entity, wrong SNOMED ID","(5299, 5306)","(5299, 5306)",AlkPhos,AlkPhos,88810008,30703008,12626414-DS-32,"-0.5 ___ 04:54AM BLOOD ALT-55* AST-29 LD(LDH)-164 AlkPhos-148* TotBili-0.4 ___ 04:57AM BLOOD ALT-79* AST-3" "Correct entity, wrong SNOMED ID","(5343, 5346)","(5343, 5346)",ALT,ALT,34608000,56935002,12626414-DS-32,")-164 AlkPhos-148* TotBili-0.4 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 " "Correct entity, wrong SNOMED ID","(5351, 5354)","(5351, 5354)",AST,AST,45896001,85043005,12626414-DS-32,"kPhos-148* TotBili-0.4 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 MICROBI" "Correct entity, wrong SNOMED ID","(5370, 5377)","(5370, 5377)",AlkPhos,AlkPhos,88810008,30703008,12626414-DS-32,"-0.4 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 MICROBIOLOGY: ============= __" "Correct entity, wrong SNOMED ID","(5429, 5432)","(5429, 5432)",BCx,BCx,30088009,89619004,12626414-DS-32,"38* TotBili-0.4 MICROBIOLOGY: ============= ___ BCx x2: Pending, no growth to date ___ UCx: No growth" "Correct entity, wrong SNOMED ID","(5468, 5471)","(5468, 5471)",UCx,UCx,117010004,257999003,12626414-DS-32,"====== ___ BCx x2: Pending, no growth to date ___ UCx: No growth ___ Monospot: Negative IMAGING/STUDIE" Wrong span,"(5655, 5668)","(5655, 5684)",portal venous,portal venous endothelialitis,32764006,718096004,12626414-DS-32," cellular rejection demonstrating: - Focal, mild portal venous endothelialitis. - Mild portal, predominately mon" Wrong span,"(5804, 5815)","(5792, 5815)",cholangitis,lymphocytic cholangitis,82403002,9843006,12626414-DS-32,"cally activated lymphocytes). - Focal lymphocytic cholangitis with rare, mild bile duct damage. 2) No signific" Wrong span,"(5833, 5842)","(5833, 5849)",bile duct,bile duct damage,28273000,427380004,12626414-DS-32," - Focal lymphocytic cholangitis with rare, mild bile duct damage. 2) No significant steatosis, ballooning d" Wrong span,"(5843, 5849)","(5833, 5849)",damage,bile duct damage,37782003,427380004,12626414-DS-32,"ymphocytic cholangitis with rare, mild bile duct damage. 2) No significant steatosis, ballooning degenera" "Correct entity, wrong SNOMED ID","(5869, 5878)","(5869, 5878)",steatosis,steatosis,1187537008,270881008,12626414-DS-32,"th rare, mild bile duct damage. 2) No significant steatosis, ballooning degeneration or intracytoplasmic hya" Wrong span,"(5880, 5903)","(5891, 5903)",ballooning degeneration,degeneration,3139003,125344001,12626414-DS-32,"ld bile duct damage. 2) No significant steatosis, ballooning degeneration or intracytoplasmic hyalin identified. 3) Trichr" Wrong span,"(5947, 5962)","(5947, 5950)",Trichrome stain,Tri,104207001,204351007,12626414-DS-32,"ration or intracytoplasmic hyalin identified. 3) Trichrome stain demonstrates no definitive fibrosis. 4) Iron stai" "Correct entity, wrong SNOMED ID","(5990, 5998)","(5990, 5998)",fibrosis,fibrosis,112674009,125565008,12626414-DS-32,"ed. 3) Trichrome stain demonstrates no definitive fibrosis. 4) Iron stain is negative for iron deposition. " "Correct entity, wrong SNOMED ID","(6003, 6013)","(6003, 6013)",Iron stain,Iron stain,90689002,406952009,12626414-DS-32,"ome stain demonstrates no definitive fibrosis. 4) Iron stain is negative for iron deposition. DISCHARGE LABS:" Wrong span,"(6030, 6045)","(6030, 6034)",iron deposition,iron,84182002,406952009,12626414-DS-32,"efinitive fibrosis. 4) Iron stain is negative for iron deposition. DISCHARGE LABS: ============== ___ 04:57AM BLOO" "Correct entity, wrong SNOMED ID","(6097, 6100)","(6097, 6100)",WBC,WBC,767002,391558003,12626414-DS-32," DISCHARGE LABS: ============== ___ 04:57AM BLOOD WBC-5.1 RBC-3.34* Hgb-10.9* Hct-32.6* MCV-98 MCH-32." "Correct entity, wrong SNOMED ID","(6105, 6108)","(6105, 6108)",RBC,RBC,14089001,258759006,12626414-DS-32,"GE LABS: ============== ___ 04:57AM BLOOD WBC-5.1 RBC-3.34* Hgb-10.9* Hct-32.6* MCV-98 MCH-32.6* MCHC-" "Correct entity, wrong SNOMED ID","(6115, 6118)","(6115, 6118)",Hgb,Hgb,441689006,104142005,12626414-DS-32,"============= ___ 04:57AM BLOOD WBC-5.1 RBC-3.34* Hgb-10.9* Hct-32.6* MCV-98 MCH-32.6* MCHC-33.4 RDW-1" "Correct entity, wrong SNOMED ID","(6125, 6128)","(6125, 6128)",Hct,Hct,28317006,282660005,12626414-DS-32,"=== ___ 04:57AM BLOOD WBC-5.1 RBC-3.34* Hgb-10.9* Hct-32.6* MCV-98 MCH-32.6* MCHC-33.4 RDW-11.4 RDWSD-" "Correct entity, wrong SNOMED ID","(6143, 6146)","(6143, 6146)",MCH,MCH,54706004,735147002,12626414-DS-32,"OOD WBC-5.1 RBC-3.34* Hgb-10.9* Hct-32.6* MCV-98 MCH-32.6* MCHC-33.4 RDW-11.4 RDWSD-40.1 Plt ___ ___ 0" "Correct entity, wrong SNOMED ID","(6153, 6157)","(6153, 6157)",MCHC,MCHC,37254006,735147002,12626414-DS-32,"1 RBC-3.34* Hgb-10.9* Hct-32.6* MCV-98 MCH-32.6* MCHC-33.4 RDW-11.4 RDWSD-40.1 Plt ___ ___ 04:57AM BLOO" "Correct entity, wrong SNOMED ID","(6172, 6177)","(6172, 6177)",RDWSD,RDWSD,66842004,80328002,12626414-DS-32,"9* Hct-32.6* MCV-98 MCH-32.6* MCHC-33.4 RDW-11.4 RDWSD-40.1 Plt ___ ___ 04:57AM BLOOD ___ PTT-23.4* ___ " "Correct entity, wrong SNOMED ID","(6213, 6216)","(6213, 6216)",PTT,PTT,42525009,282119004,12626414-DS-32,"RDW-11.4 RDWSD-40.1 Plt ___ ___ 04:57AM BLOOD ___ PTT-23.4* ___ ___ 04:57AM BLOOD Glucose-125* UreaN-44" "Correct entity, wrong SNOMED ID","(6245, 6252)","(6245, 6252)",Glucose,Glucose,33747003,72191006,12626414-DS-32,"04:57AM BLOOD ___ PTT-23.4* ___ ___ 04:57AM BLOOD Glucose-125* UreaN-44* Creat-2.3* Na-143 K-4.5 Cl-108 HC" "Correct entity, wrong SNOMED ID","(6258, 6263)","(6258, 6263)",UreaN,UreaN,105011006,111108008,12626414-DS-32," ___ PTT-23.4* ___ ___ 04:57AM BLOOD Glucose-125* UreaN-44* Creat-2.3* Na-143 K-4.5 Cl-108 HCO3-21* AnGa" "Correct entity, wrong SNOMED ID","(6268, 6273)","(6268, 6273)",Creat,Creat,70901006,365756002,12626414-DS-32,"3.4* ___ ___ 04:57AM BLOOD Glucose-125* UreaN-44* Creat-2.3* Na-143 K-4.5 Cl-108 HCO3-21* AnGap-14 ___ 0" "Correct entity, wrong SNOMED ID","(6279, 6281)","(6279, 6281)",Na,Na,312469006,257992007,12626414-DS-32,"_ 04:57AM BLOOD Glucose-125* UreaN-44* Creat-2.3* Na-143 K-4.5 Cl-108 HCO3-21* AnGap-14 ___ 04:57AM B" "Correct entity, wrong SNOMED ID","(6293, 6295)","(6293, 6295)",Cl,Cl,104589004,311741002,12626414-DS-32,"D Glucose-125* UreaN-44* Creat-2.3* Na-143 K-4.5 Cl-108 HCO3-21* AnGap-14 ___ 04:57AM BLOOD ALT-79* A" "Correct entity, wrong SNOMED ID","(6300, 6304)","(6300, 6304)",HCO3,HCO3,312471006,88645003,12626414-DS-32,"se-125* UreaN-44* Creat-2.3* Na-143 K-4.5 Cl-108 HCO3-21* AnGap-14 ___ 04:57AM BLOOD ALT-79* AST-36 LD(" "Correct entity, wrong SNOMED ID","(6309, 6314)","(6309, 6314)",AnGap,AnGap,25469001,124504004,12626414-DS-32,"reaN-44* Creat-2.3* Na-143 K-4.5 Cl-108 HCO3-21* AnGap-14 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 A" "Correct entity, wrong SNOMED ID","(6336, 6339)","(6336, 6339)",ALT,ALT,34608000,56935002,12626414-DS-32," K-4.5 Cl-108 HCO3-21* AnGap-14 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 " "Correct entity, wrong SNOMED ID","(6344, 6347)","(6344, 6347)",AST,AST,45896001,85043005,12626414-DS-32,"l-108 HCO3-21* AnGap-14 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 ___ 04:5" "Correct entity, wrong SNOMED ID","(6363, 6370)","(6363, 6370)",AlkPhos,AlkPhos,88810008,30703008,12626414-DS-32,"p-14 ___ 04:57AM BLOOD ALT-79* AST-36 LD(LDH)-151 AlkPhos-138* TotBili-0.4 ___ 04:57AM BLOOD Albumin-3.7 C" "Correct entity, wrong SNOMED ID","(6407, 6414)","(6407, 6414)",Albumin,Albumin,26758005,102688002,12626414-DS-32,")-151 AlkPhos-138* TotBili-0.4 ___ 04:57AM BLOOD Albumin-3.7 Calcium-7.6* Phos-4.4 Mg-1.9 ___ 04:57AM BLOO" "Correct entity, wrong SNOMED ID","(6419, 6426)","(6419, 6426)",Calcium,Calcium,312472004,108601004,12626414-DS-32,"s-138* TotBili-0.4 ___ 04:57AM BLOOD Albumin-3.7 Calcium-7.6* Phos-4.4 Mg-1.9 ___ 04:57AM BLOOD tacroFK-4." "Correct entity, wrong SNOMED ID","(6432, 6436)","(6432, 6436)",Phos,Phos,104868000,168075002,12626414-DS-32,"li-0.4 ___ 04:57AM BLOOD Albumin-3.7 Calcium-7.6* Phos-4.4 Mg-1.9 ___ 04:57AM BLOOD tacroFK-4.2* Brief" "Correct entity, wrong SNOMED ID","(6441, 6443)","(6441, 6443)",Mg,Mg,271285000,258684004,12626414-DS-32,"_ 04:57AM BLOOD Albumin-3.7 Calcium-7.6* Phos-4.4 Mg-1.9 ___ 04:57AM BLOOD tacroFK-4.2* Brief Hospit" "Correct entity, wrong SNOMED ID","(6524, 6538)","(6524, 6538)",ETOH cirrhosis,ETOH cirrhosis,420054005,1082601000119104,12626414-DS-32,"4.2* Brief Hospital Course: Mr ___ is a ___ h/o ETOH cirrhosis c/b HRS s/p liver-kidney transplant ___, w/ subs" "Correct entity, wrong SNOMED ID","(6543, 6546)","(6543, 6546)",HRS,HRS,51292008,258702006,12626414-DS-32,"al Course: Mr ___ is a ___ h/o ETOH cirrhosis c/b HRS s/p liver-kidney transplant ___, w/ subsequent c" Boundary error,"(6551, 6556)","(6551, 6557)",liver,liver-,18027006,80515008,12626414-DS-32,"e: Mr ___ is a ___ h/o ETOH cirrhosis c/b HRS s/p liver-kidney transplant ___, w/ subsequent chronic liv" "Correct entity, wrong SNOMED ID","(6557, 6575)","(6557, 6575)","kidney transplant","kidney transplant",70536003,281112005,12626414-DS-32,"___ is a ___ h/o ETOH cirrhosis c/b HRS s/p liver-kidney transplant ___, w/ subsequent chronic liver rejection s/p li" Wrong span,"(6595, 6602)","(6595, 6618)",chronic,chronic liver rejection,27624003,431222008,12626414-DS-32,"S s/p liver-kidney transplant ___, w/ subsequent chronic liver rejection s/p liver transplant ___ on MMF," Wrong span,"(6603, 6618)","(6595, 6618)",liver rejection,chronic liver rejection,235911006,431222008,12626414-DS-32,"ver-kidney transplant ___, w/ subsequent chronic liver rejection s/p liver transplant ___ on MMF, tacro, and pred" "Correct entity, wrong SNOMED ID","(6623, 6640)","(6623, 6640)","liver transplant","liver transplant",18027006,698305006,12626414-DS-32,"nt ___, w/ subsequent chronic liver rejection s/p liver transplant ___ on MMF, tacro, and prednisone who was admitte" Wrong span,"(6702, 6723)","(6697, 6723)",acute liver rejection,mild acute liver rejection,431222008,236573002,12626414-DS-32," tacro, and prednisone who was admitted for mild acute liver rejection on biopsy and transaminitis - thought to be due " "Correct entity, wrong SNOMED ID","(6727, 6733)","(6727, 6733)",biopsy,biopsy,86273004,48635004,12626414-DS-32,"o was admitted for mild acute liver rejection on biopsy and transaminitis - thought to be due to missed " "Correct entity, wrong SNOMED ID","(6738, 6751)","(6738, 6751)",transaminitis,transaminitis,160931000119108,415893001,12626414-DS-32,"ted for mild acute liver rejection on biopsy and transaminitis - thought to be due to missed doses of immunosup" Missed entity,"(6871, 6873)",,IV,,386358000,,12626414-DS-32,"spitalized, he had a steroid burst with high dose IV Methylprednisolone. He was subsequently transiti" "Correct entity, wrong SNOMED ID","(7053, 7067)","(7053, 7067)",ETOH cirrhosis,ETOH cirrhosis,420054005,1082601000119104,12626414-DS-32,"lerated the increased doses of steroids well. # ETOH cirrhosis c/b HRS s/p liver-kidney transplant ___, c/b chr" "Correct entity, wrong SNOMED ID","(7072, 7075)","(7072, 7075)",HRS,HRS,51292008,258702006,12626414-DS-32,"ed doses of steroids well. # ETOH cirrhosis c/b HRS s/p liver-kidney transplant ___, c/b chronic liv" Boundary error,"(7080, 7085)","(7080, 7086)",liver,liver-,18027006,80515008,12626414-DS-32," of steroids well. # ETOH cirrhosis c/b HRS s/p liver-kidney transplant ___, c/b chronic liver rejecti" "Correct entity, wrong SNOMED ID","(7086, 7103)","(7086, 7103)",kidney transplant,kidney transplant,70536003,281112005,12626414-DS-32,"eroids well. # ETOH cirrhosis c/b HRS s/p liver-kidney transplant ___, c/b chronic liver rejection # S/P liver tra" Wrong span,"(7114, 7121)","(7114, 7137)",chronic,chronic liver rejection,27624003,431222008,12626414-DS-32,"sis c/b HRS s/p liver-kidney transplant ___, c/b chronic liver rejection # S/P liver transplant ___: # Mil" Wrong span,"(7122, 7137)","(7114, 7137)",liver rejection,chronic liver rejection,235911006,431222008,12626414-DS-32,"HRS s/p liver-kidney transplant ___, c/b chronic liver rejection # S/P liver transplant ___: # Mild acute transpla" Wrong span,"(7173, 7199)","(7168, 7199)",acute transplant rejection,Mild acute transplant rejection,431222008,236573002,12626414-DS-32,"iver rejection # S/P liver transplant ___: # Mild acute transplant rejection: Mild acute rejection on biopsy ___ with new elev" Wrong span,"(7206, 7221)","(7201, 7221)",acute rejection,Mild acute rejection,431222008,236573002,12626414-DS-32,"lant ___: # Mild acute transplant rejection: Mild acute rejection on biopsy ___ with new elevations in LFTs. No ob" "Correct entity, wrong SNOMED ID","(7225, 7231)","(7225, 7231)",biopsy,biopsy,86273004,48635004,12626414-DS-32,"ute transplant rejection: Mild acute rejection on biopsy ___ with new elevations in LFTs. No obvious trig" Wrong span,"(7245, 7263)","(7245, 7258)",elevations in LFTs,elevations in,707724006,110484006,12626414-DS-32,"tion: Mild acute rejection on biopsy ___ with new elevations in LFTs. No obvious trigger other than medication non-co" Wrong span,"(7296, 7321)","(7296, 7306)",medication non-compliance,medication,129834002,182837001,12626414-DS-32,"levations in LFTs. No obvious trigger other than medication non-compliance. Issue with timing of medications discussed at l" "Correct entity, wrong SNOMED ID","(7461, 7471)","(7461, 7471)",infectious,infectious,40733004,366971000119100,12626414-DS-32,"t were negative included: EBV mono spot, CMV VL, infectious work up including UCx (BCx pending at discharge)." Missed entity,"(7472, 7479)",,work up,,386053000,,12626414-DS-32,"tive included: EBV mono spot, CMV VL, infectious work up including UCx (BCx pending at discharge). As suc" "Correct entity, wrong SNOMED ID","(7490, 7493)","(7490, 7493)",UCx,UCx,117010004,257999003,12626414-DS-32," mono spot, CMV VL, infectious work up including UCx (BCx pending at discharge). As such, he was give" "Correct entity, wrong SNOMED ID","(7495, 7498)","(7495, 7498)",BCx,BCx,30088009,89619004,12626414-DS-32," spot, CMV VL, infectious work up including UCx (BCx pending at discharge). As such, he was given a s" "Correct entity, wrong SNOMED ID","(8145, 8158)","(8145, 8158)",transaminitis,transaminitis,160931000119108,415893001,12626414-DS-32,"d he was discharged on Tacrolimus 5.5mg BID. His transaminitis initially improved with the steroid burst, and a" "Correct entity, wrong SNOMED ID","(8169, 8177)","(8169, 8177)",improved,improved,268910001,251359002,12626414-DS-32,"acrolimus 5.5mg BID. His transaminitis initially improved with the steroid burst, and at discharge were AS" "Correct entity, wrong SNOMED ID","(8225, 8228)","(8225, 8228)",AST,AST,45896001,85043005,12626414-DS-32,"ed with the steroid burst, and at discharge were AST 36 and ALT 79. # ESRD s/p liver-kidney transpla" "Correct entity, wrong SNOMED ID","(8236, 8239)","(8236, 8239)",ALT,ALT,34608000,364571000119101,12626414-DS-32," steroid burst, and at discharge were AST 36 and ALT 79. # ESRD s/p liver-kidney transplant Cr basel" Wrong span,"(8257, 8262)","(8257, 8280)",liver,liver-kidney transplant,18027006,235458006,12626414-DS-32,"at discharge were AST 36 and ALT 79. # ESRD s/p liver-kidney transplant Cr baseline most recently ~2.2-" Wrong span,"(8263, 8280)","(8257, 8280)",kidney transplant,liver-kidney transplant,70536003,235458006,12626414-DS-32,"charge were AST 36 and ALT 79. # ESRD s/p liver-kidney transplant Cr baseline most recently ~2.2-2.6 with evidence " "Correct entity, wrong SNOMED ID","(8545, 8553)","(8545, 8553)",diarrhea,diarrhea,62315008,111843007,12626414-DS-32,"#Chronic metabolic acidosis: Secondary to ongoing diarrhea due to short gut syndrome and MMF. Continued hom" "Correct entity, wrong SNOMED ID","(8561, 8579)","(8561, 8579)",short gut syndrome,short gut syndrome,26629001,235724004,12626414-DS-32,"ic acidosis: Secondary to ongoing diarrhea due to short gut syndrome and MMF. Continued home Bicarbonate 1950mg BID s" "Correct entity, wrong SNOMED ID","(8784, 8796)","(8784, 8796)",Hypertension,Hypertension,38341003,70995007,12626414-DS-32,"lization, but this was restarted at discharge. #Hypertension Held home Losartan in the setting of ESRD, howev" Missed entity,"(9351, 9357)",,weight,,107647005,,12626414-DS-32,"(ordered) - Incidental Findings: None - Discharge weight: 69.31 kg (152.8 lb) # CODE: Presumed FULL # CO" Wrong span,"(12027, 12071)","(12022, 12071)",acute cellular rejection of liver transplant,Mild acute cellular rejection of liver transplant,431222008,431222008,12626414-DS-32,"rge Disposition: Home Discharge Diagnosis: Mild acute cellular rejection of liver transplant EtOH cirrhosis s/p transplant ESRD s/p kidney tra" "Correct entity, wrong SNOMED ID","(12072, 12086)","(12072, 12086)",EtOH cirrhosis,EtOH cirrhosis,420054005,1082601000119104,12626414-DS-32,"Mild acute cellular rejection of liver transplant EtOH cirrhosis s/p transplant ESRD s/p kidney transplant Chronic" "Correct entity, wrong SNOMED ID","(12091, 12101)","(12091, 12101)",transplant,transplant,77465005,70536003,12626414-DS-32," rejection of liver transplant EtOH cirrhosis s/p transplant ESRD s/p kidney transplant Chronic metabolic acid" "Correct entity, wrong SNOMED ID","(12111, 12128)","(12111, 12128)",kidney transplant,kidney transplant,70536003,281112005,12626414-DS-32,"transplant EtOH cirrhosis s/p transplant ESRD s/p kidney transplant Chronic metabolic acidosis Short gut syndrome Hyp" Wrong span,"(12129, 12136)","(12129, 12155)",Chronic,Chronic metabolic acidosis,27624003,687808741000119101,12626414-DS-32,"rrhosis s/p transplant ESRD s/p kidney transplant Chronic metabolic acidosis Short gut syndrome Hypertensio" Wrong span,"(12137, 12155)","(12129, 12155)",metabolic acidosis,Chronic metabolic acidosis,59455009,687808741000119101,12626414-DS-32,"s/p transplant ESRD s/p kidney transplant Chronic metabolic acidosis Short gut syndrome Hypertension Discharge Cond" "Correct entity, wrong SNOMED ID","(12175, 12187)","(12175, 12187)",Hypertension,Hypertension,38341003,70995007,12626414-DS-32,"ant Chronic metabolic acidosis Short gut syndrome Hypertension Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(12212, 12225)","(12212, 12225)",Mental Status,Mental Status,392257007,419284004,12626414-DS-32,"gut syndrome Hypertension Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(12227, 12232)","(12227, 12232)",Clear,Clear,48348007,281278005,12626414-DS-32,"pertension Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(12247, 12269)","(12247, 12269)",Level of Consciousness,Level of Consciousness,444714004,830285008,12626414-DS-32,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(12271, 12276)","(12271, 12276)",Alert,Alert,248234008,409787004,12626414-DS-32,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(12294, 12309)","(12294, 12309)",Activity Status,Activity Status,129676008,397622007,12626414-DS-32,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(12311, 12335)","(12311, 12335)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,12626414-DS-32,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, You we" Wrong span,"(12432, 12443)","(12426, 12443)",blood tests,liver blood tests,396550006,365769003,12626414-DS-32," were admitted to the hospital because your liver blood tests were elevated and there was concern for rejectio" "Correct entity, wrong SNOMED ID","(12566, 12574)","(12566, 12574)",steroids,steroids,297279009,285435007,12626414-DS-32,"YOU WERE IN THE HOSPITAL? - We gave you high dose steroids for three days, and then transitioned you to a h" "Correct entity, wrong SNOMED ID","(12661, 12669)","(12661, 12669)",improved,improved,268910001,251359002,12626414-DS-32,"ed you to a higher dose of Prednisone pills - You improved and were ready to leave the hospital. WHAT DO Y" False positive,,"(451, 453)",,DM,,258671008,12884747-DS-9,"rior CVA per epic records, depression on Prozac, DM (HBA1C 12.1% on ___ who presents to ___ ED with " False positive,,"(1791, 1808)",,opiate dependence,,191819002,12884747-DS-9,"PE, ACs, PNA, etc. It is suppose, posssible that opiate dependence is playing a role here. He was certainly quite i" False positive,,"(2305, 2307)",,RA,,463051000124105,12884747-DS-9,", initial vital signs were: 97.7 100 155/89 19 99%RA - Exam was notable for: AA&o3, nontoxic RRR; CT" False positive,,"(2312, 2314)",,Ex,,51401007,12884747-DS-9,"al vital signs were: 97.7 100 155/89 19 99%RA - Exam was notable for: AA&o3, nontoxic RRR; CTAB; abd" False positive,,"(2334, 2336)",,AA,,41932008,12884747-DS-9,"7.7 100 155/89 19 99%RA - Exam was notable for: AA&o3, nontoxic RRR; CTAB; abd s/nt/nd; no ___ edem" False positive,,"(2341, 2346)",,nonto,,294247008,12884747-DS-9," 155/89 19 99%RA - Exam was notable for: AA&o3, nontoxic RRR; CTAB; abd s/nt/nd; no ___ edema; skin + " False positive,,"(2528, 2530)",,SL,,420296000,12884747-DS-9," - Imaging: CXR clear - The patient was given: SLN x1, dilaudid 0.5 x 2; GI cocktail. As the pat" False positive,,"(2554, 2555)",,G,,258682000,12884747-DS-9," The patient was given: SLN x1, dilaudid 0.5 x 2; GI cocktail. As the patient stated in the ED tha" False positive,,"(3605, 3606)",,T,,257998006,12884747-DS-9,"coronary artery diseae Physical Exam: VITALS - Tmax 98.5 100-110s/60-70s 50-70s 16 98 %RA Weight" False positive,,"(3746, 3750)",,NECK,,840674001,12884747-DS-9,"AD, sleeping comfortably in bed. HEENT - NC/AT NECK - supple, no LAD, no thyromegaly, JVP 2 cm above " False positive,,"(4222, 4226)",,Back,,37822005,12884747-DS-9,"d patchy diffusely throughout, from head to toe. Back exam s/f midline incisional scar and red violace" False positive,,"(4264, 4279)",,"red violaceous",,29781000087107,12884747-DS-9,"to toe. Back exam s/f midline incisional scar and red violaceous rash. NEUROLOGIC - A&Ox3, CN II-XII grossly nor" False positive,,"(5050, 5057)",,CARDIAC,,71892000,12884747-DS-9,"T-<0.01 ___ 11:06PM BLOOD CK-MB-<1 cTropnT-<0.01 CARDIAC CTRESS ___ INTERPRETATION: This ___ yo NIDDM man " False positive,,"(5985, 5998)",,beta blockade,,440935004,12884747-DS-9," pressure response to exercise in the presence of beta blockade. IMPRESSION: Atypical symptoms in the absence of" False positive,,"(7414, 7423)",,unchanged,,11631000202106,12884747-DS-9," episode of chest pain overnight. EKG once again unchanged and troponin/CK-MB negative. However, given that" False positive,,"(7444, 7452)",,negative,,268375009,12884747-DS-9,"ght. EKG once again unchanged and troponin/CK-MB negative. However, given that pt endorses new DOE, concern" False positive,,"(7858, 7867)",,decreased,,182879007,12884747-DS-9,"ghtly increased left ventricular cavity size and decreased left ventricular ejection fraction of 50%, previ" False positive,,"(10776, 10779)",,PCP,,282108002,12884747-DS-9,"ophageal spasm history the best, as well as your PCP to maintain overall good health. We wish you th" "Correct entity, wrong SNOMED ID","(183, 191)","(183, 191)",Morphine,Morphine,293601001,73572009,12884747-DS-9," Sex: M Service: MEDICINE Allergies: Morphine Attending: ___. Chief Complaint: chest pain " "Correct entity, wrong SNOMED ID","(229, 239)","(229, 239)",chest pain,chest pain,29857009,102589003,12884747-DS-9,"s: Morphine Attending: ___. Chief Complaint: chest pain Major Surgical or Invasive Procedure: None " Wrong span,"(348, 354)","(340, 354)",stents,cardiac stents,408708000,449389000,12884747-DS-9,"f Present Illness: This is a ___ hx of 10 cardiac stents per pt report, esophageal spasms, HTN, HLD, prio" "Correct entity, wrong SNOMED ID","(390, 393)","(390, 393)",HTN,HTN,38341003,10725009,12884747-DS-9,"cardiac stents per pt report, esophageal spasms, HTN, HLD, prior CVA per epic records, depression on " "Correct entity, wrong SNOMED ID","(395, 398)","(395, 398)",HLD,HLD,55822004,396338004,12884747-DS-9,"ac stents per pt report, esophageal spasms, HTN, HLD, prior CVA per epic records, depression on Proza" "Correct entity, wrong SNOMED ID","(406, 409)","(406, 409)",CVA,CVA,230690007,1131000119105,12884747-DS-9,"er pt report, esophageal spasms, HTN, HLD, prior CVA per epic records, depression on Prozac, DM (HBA1" "Correct entity, wrong SNOMED ID","(429, 439)","(429, 439)",depression,depression,35489007,26141007,12884747-DS-9,"al spasms, HTN, HLD, prior CVA per epic records, depression on Prozac, DM (HBA1C 12.1% on ___ who presents to" Missed entity,"(455, 466)",,HBA1C 12.1%,,165681007,,12884747-DS-9," CVA per epic records, depression on Prozac, DM (HBA1C 12.1% on ___ who presents to ___ ED with report of che" "Correct entity, wrong SNOMED ID","(513, 523)","(513, 523)",chest pain,chest pain,29857009,102589003,12884747-DS-9,".1% on ___ who presents to ___ ED with report of chest pain. Patient states that he was sitting at his sis" "Correct entity, wrong SNOMED ID","(555, 562)","(555, 562)",sitting,sitting,33586001,282969008,12884747-DS-9,"port of chest pain. Patient states that he was sitting at his sister's home at 4pm sitting at rest, rea" Wrong span,"(592, 599)","(592, 607)",sitting,sitting at rest,33586001,282969008,12884747-DS-9," that he was sitting at his sister's home at 4pm sitting at rest, reading a screenplay, when he had subste" Wrong span,"(600, 607)","(592, 607)",at rest,sitting at rest,9267009,282969008,12884747-DS-9," was sitting at his sister's home at 4pm sitting at rest, reading a screenplay, when he had substernal sq" Missed entity,"(643, 653)",,substernal,,33547000,,12884747-DS-9,"itting at rest, reading a screenplay, when he had substernal squeezing chest pain. Sometimes he has similar p" "Correct entity, wrong SNOMED ID","(702, 706)","(702, 706)",pain,pain,22253000,102570003,12884747-DS-9,"l squeezing chest pain. Sometimes he has similar pain with esophageal spasms, but this chest pain beca" "Correct entity, wrong SNOMED ID","(741, 751)","(741, 751)",chest pain,chest pain,29857009,102589003,12884747-DS-9,"as similar pain with esophageal spasms, but this chest pain became asso with numbness in his left hand and l" "Correct entity, wrong SNOMED ID","(769, 777)","(769, 777)",numbness,numbness,44077006,102601005,12884747-DS-9,"geal spasms, but this chest pain became asso with numbness in his left hand and left jaw discomfort and pro" "Correct entity, wrong SNOMED ID","(786, 795)","(786, 795)",left hand,left hand,85151006,15746321000119106,12884747-DS-9,"this chest pain became asso with numbness in his left hand and left jaw discomfort and progressively worsen" Wrong span,"(805, 808)","(800, 808)",jaw,left jaw,661005,42141000087105,12884747-DS-9,"ame asso with numbness in his left hand and left jaw discomfort and progressively worsened. States it" "Correct entity, wrong SNOMED ID","(809, 819)","(809, 819)",discomfort,discomfort,247347003,279084009,12884747-DS-9,"asso with numbness in his left hand and left jaw discomfort and progressively worsened. States it does not f" "Correct entity, wrong SNOMED ID","(839, 847)","(839, 847)",worsened,worsened,1144586002,271299001,12884747-DS-9,"t hand and left jaw discomfort and progressively worsened. States it does not feel entirely like his esopha" Missed entity,"(960, 973)",,catherization,,41976001,,12884747-DS-9,"and that it is similar to prior angina asso with catherization albeit less pronounced. Took SLN at home with no " "Correct entity, wrong SNOMED ID","(1046, 1054)","(1046, 1054)",headache,headache,25064002,267096005,12884747-DS-9,". Took SLN at home with no effect, just SLN asso headache. No asso with nausea/vomiting/diphoreisis, but """ "Correct entity, wrong SNOMED ID","(1070, 1085)","(1070, 1085)",nausea/vomiting,nausea/vomiting,16932000,33841007,12884747-DS-9,"no effect, just SLN asso headache. No asso with nausea/vomiting/diphoreisis, but ""pronounced"" SOB per his report" "Correct entity, wrong SNOMED ID","(1086, 1097)","(1086, 1097)",diphoreisis,diphoreisis,52613005,79425001,12884747-DS-9," SLN asso headache. No asso with nausea/vomiting/diphoreisis, but ""pronounced"" SOB per his report. Denies lig" "Correct entity, wrong SNOMED ID","(1116, 1119)","(1116, 1119)",SOB,SOB,267036007,43731003,12884747-DS-9,"th nausea/vomiting/diphoreisis, but ""pronounced"" SOB per his report. Denies lightheadedness, dizzines" "Correct entity, wrong SNOMED ID","(1144, 1159)","(1144, 1159)",lightheadedness,lightheadedness,386705008,1354698007,12884747-DS-9,"sis, but ""pronounced"" SOB per his report. Denies lightheadedness, dizziness, nausea, sweats, peripheral edema, UR" "Correct entity, wrong SNOMED ID","(1161, 1170)","(1161, 1170)",dizziness,dizziness,404640003,1141711004,12884747-DS-9,"ced"" SOB per his report. Denies lightheadedness, dizziness, nausea, sweats, peripheral edema, URI sx, fever" "Correct entity, wrong SNOMED ID","(1172, 1178)","(1172, 1178)",nausea,nausea,422587007,1217125005,12884747-DS-9,"r his report. Denies lightheadedness, dizziness, nausea, sweats, peripheral edema, URI sx, fever, abdomi" "Correct entity, wrong SNOMED ID","(1180, 1186)","(1180, 1186)",sweats,sweats,415690000,42984000,12884747-DS-9,"eport. Denies lightheadedness, dizziness, nausea, sweats, peripheral edema, URI sx, fever, abdominal pain" "Correct entity, wrong SNOMED ID","(1189, 1205)","(1189, 1205)",peripheral edema,peripheral edema,271809000,1141974008,12884747-DS-9,"nies lightheadedness, dizziness, nausea, sweats, peripheral edema, URI sx, fever, abdominal pain, palpitations. He" "Correct entity, wrong SNOMED ID","(1207, 1210)","(1207, 1210)",URI,URI,54150009,7766007,12884747-DS-9,"ss, dizziness, nausea, sweats, peripheral edema, URI sx, fever, abdominal pain, palpitations. He stat" "Correct entity, wrong SNOMED ID","(1215, 1220)","(1215, 1220)",fever,fever,386661006,248430002,12884747-DS-9,"iness, nausea, sweats, peripheral edema, URI sx, fever, abdominal pain, palpitations. He states that hi" "Correct entity, wrong SNOMED ID","(1222, 1236)","(1222, 1236)",abdominal pain,abdominal pain,21522001,54586004,12884747-DS-9,"nausea, sweats, peripheral edema, URI sx, fever, abdominal pain, palpitations. He states that his chest pain did" "Correct entity, wrong SNOMED ID","(1238, 1250)","(1238, 1250)",palpitations,palpitations,80313002,161966006,12884747-DS-9," peripheral edema, URI sx, fever, abdominal pain, palpitations. He states that his chest pain did not improve u" "Correct entity, wrong SNOMED ID","(1272, 1282)","(1272, 1282)",chest pain,chest pain,29857009,102589003,12884747-DS-9,"abdominal pain, palpitations. He states that his chest pain did not improve until Dilaudid administered in t" "Correct entity, wrong SNOMED ID","(1426, 1429)","(1426, 1429)",EKG,EKG,29303009,75444003,12884747-DS-9,"initially presented on ___ to ___ ED. There, his EKG was remarkable only for SR 110 inferior/apical T" "Correct entity, wrong SNOMED ID","(1454, 1456)","(1454, 1456)",SR,SR,251150006,1370927002,12884747-DS-9,"to ___ ED. There, his EKG was remarkable only for SR 110 inferior/apical TWF similar to prior studies" Missed entity,"(1478, 1481)",,TWF,,66812002,,12884747-DS-9,"G was remarkable only for SR 110 inferior/apical TWF similar to prior studies, labs with negative tro" Missed entity,"(1499, 1506)",,studies,,386053000,,12884747-DS-9," for SR 110 inferior/apical TWF similar to prior studies, labs with negative trop x 2, transaminitis in 7" "Correct entity, wrong SNOMED ID","(1508, 1512)","(1508, 1512)",labs,labs,15220000,415259005,12884747-DS-9,"10 inferior/apical TWF similar to prior studies, labs with negative trop x 2, transaminitis in 70-80 r" Missed entity,"(1518, 1526)",,negative,,23875004,,12884747-DS-9,"or/apical TWF similar to prior studies, labs with negative trop x 2, transaminitis in 70-80 rang, c/w prior" Missed entity,"(1528, 1532)",,trop,,105000003,,12884747-DS-9,"TWF similar to prior studies, labs with negative trop x 2, transaminitis in 70-80 rang, c/w prior, CXR " "Correct entity, wrong SNOMED ID","(1538, 1551)","(1538, 1551)",transaminitis,transaminitis,160931000119108,415893001,12884747-DS-9,"r to prior studies, labs with negative trop x 2, transaminitis in 70-80 rang, c/w prior, CXR unremarkable. Per " "Correct entity, wrong SNOMED ID","(1583, 1595)","(1583, 1595)",unremarkable,unremarkable,281900007,167596001,12884747-DS-9,"x 2, transaminitis in 70-80 rang, c/w prior, CXR unremarkable. Per the ED note ""...I do not see any obvious ex" "Correct entity, wrong SNOMED ID","(1663, 1667)","(1663, 1667)",pain,pain,29857009,102570003,12884747-DS-9,"""...I do not see any obvious explanation for the pain, certainly there is nothing specific in the hist" "Correct entity, wrong SNOMED ID","(1741, 1743)","(1741, 1743)",PE,PE,59282003,20503002,12884747-DS-9,"hing specific in the history of exam to indicate PE, ACs, PNA, etc. It is suppose, posssible that op" "Correct entity, wrong SNOMED ID","(1745, 1748)","(1745, 1748)",ACs,ACs,394659003,89218003,12884747-DS-9," specific in the history of exam to indicate PE, ACs, PNA, etc. It is suppose, posssible that opiate " "Correct entity, wrong SNOMED ID","(1750, 1753)","(1750, 1753)",PNA,PNA,233604007,423257005,12884747-DS-9,"ific in the history of exam to indicate PE, ACs, PNA, etc. It is suppose, posssible that opiate depen" Missed entity,"(2097, 2107)",,cardiology,,310036006,,12884747-DS-9,"ounseled the pt in this regard. We contacted his cardiology, ___, here at the ___ to apprise her of his visi" "Correct entity, wrong SNOMED ID","(2265, 2276)","(2265, 2276)",vital signs,vital signs,118227000,72970002,12884747-DS-9," ED for further management. In the ED, initial vital signs were: 97.7 100 155/89 19 99%RA - Exam was notab" "Correct entity, wrong SNOMED ID","(2350, 2353)","(2350, 2353)",RRR,RRR,76863003,129960002,12884747-DS-9,"9 99%RA - Exam was notable for: AA&o3, nontoxic RRR; CTAB; abd s/nt/nd; no ___ edema; skin + psorias" "Correct entity, wrong SNOMED ID","(2355, 2359)","(2355, 2359)",CTAB,CTAB,48348007,1286955004,12884747-DS-9,"RA - Exam was notable for: AA&o3, nontoxic RRR; CTAB; abd s/nt/nd; no ___ edema; skin + psoriasis -" Boundary error,"(2361, 2366)","(2361, 2364)",abd s,abd,249543005,60728008,12884747-DS-9," Exam was notable for: AA&o3, nontoxic RRR; CTAB; abd s/nt/nd; no ___ edema; skin + psoriasis - Labs w" "Correct entity, wrong SNOMED ID","(2382, 2387)","(2382, 2387)",edema,edema,267038008,102576009,12884747-DS-9,": AA&o3, nontoxic RRR; CTAB; abd s/nt/nd; no ___ edema; skin + psoriasis - Labs were notable for: anem" "Correct entity, wrong SNOMED ID","(2389, 2393)","(2389, 2393)",skin,skin,271303006,444884003,12884747-DS-9,", nontoxic RRR; CTAB; abd s/nt/nd; no ___ edema; skin + psoriasis - Labs were notable for: anemia 11." "Correct entity, wrong SNOMED ID","(2396, 2405)","(2396, 2405)",psoriasis,psoriasis,9014002,111188005,12884747-DS-9,"xic RRR; CTAB; abd s/nt/nd; no ___ edema; skin + psoriasis - Labs were notable for: anemia 11.0/34.1; gluc" Missed entity,"(2410, 2414)",,Labs,,15220000,,12884747-DS-9," abd s/nt/nd; no ___ edema; skin + psoriasis - Labs were notable for: anemia 11.0/34.1; glucose 213. " "Correct entity, wrong SNOMED ID","(2433, 2439)","(2433, 2439)",anemia,anemia,271737000,87522002,12884747-DS-9,"dema; skin + psoriasis - Labs were notable for: anemia 11.0/34.1; glucose 213. Trop neg x 1 - Imaging" "Correct entity, wrong SNOMED ID","(2451, 2458)","(2451, 2458)",glucose,glucose,33747003,72191006,12884747-DS-9,"asis - Labs were notable for: anemia 11.0/34.1; glucose 213. Trop neg x 1 - Imaging: CXR clear - The" "Correct entity, wrong SNOMED ID","(2464, 2468)","(2464, 2468)",Trop,Trop,105000003,1288019004,12884747-DS-9," were notable for: anemia 11.0/34.1; glucose 213. Trop neg x 1 - Imaging: CXR clear - The patient w" "Correct entity, wrong SNOMED ID","(2482, 2489)","(2482, 2489)",Imaging,Imaging,363679005,408574004,12884747-DS-9," anemia 11.0/34.1; glucose 213. Trop neg x 1 - Imaging: CXR clear - The patient was given: SLN x1, dil" Wrong span,"(2491, 2494)","(2491, 2500)",CXR,CXR clear,399208008,48348007,12884747-DS-9,"1.0/34.1; glucose 213. Trop neg x 1 - Imaging: CXR clear - The patient was given: SLN x1, dilaudid" Wrong span,"(2495, 2500)","(2491, 2500)",clear,CXR clear,281900007,48348007,12884747-DS-9,"34.1; glucose 213. Trop neg x 1 - Imaging: CXR clear - The patient was given: SLN x1, dilaudid 0.5 x" "Correct entity, wrong SNOMED ID","(2627, 2634)","(2627, 2634)",aspirin,aspirin,431463004,25796002,12884747-DS-9,"patient stated in the ED that he had taken a full aspirin prior to arrival, he was not administerd further" Missed entity,"(2685, 2688)",,ASA,,431463004,,12884747-DS-9," prior to arrival, he was not administerd further ASA. Upon arrival to the floor, patient complainin" "Correct entity, wrong SNOMED ID","(2743, 2753)","(2743, 2753)",chest pain,chest pain,29857009,444821009,12884747-DS-9,"Upon arrival to the floor, patient complaining of chest pain, jaw discomfort and left hand tingling. Repeat E" Wrong span,"(2756, 2759)","(2756, 2770)",jaw,jaw discomfort,661005,12521000132103,12884747-DS-9,"to the floor, patient complaining of chest pain, jaw discomfort and left hand tingling. Repeat EKG on " Wrong span,"(2760, 2770)","(2756, 2770)",discomfort,jaw discomfort,247347003,12521000132103,12884747-DS-9,"he floor, patient complaining of chest pain, jaw discomfort and left hand tingling. Repeat EKG on floor unch" "Correct entity, wrong SNOMED ID","(2775, 2784)","(2775, 2784)",left hand,left hand,85151006,15746321000119106,12884747-DS-9,"nt complaining of chest pain, jaw discomfort and left hand tingling. Repeat EKG on floor unchanged from pri" "Correct entity, wrong SNOMED ID","(2785, 2793)","(2785, 2793)",tingling,tingling,62507009,274676007,12884747-DS-9,"ning of chest pain, jaw discomfort and left hand tingling. Repeat EKG on floor unchanged from prior. Trial" "Correct entity, wrong SNOMED ID","(2802, 2805)","(2802, 2805)",EKG,EKG,29303009,75444003,12884747-DS-9,"n, jaw discomfort and left hand tingling. Repeat EKG on floor unchanged from prior. Trialed another S" Missed entity,"(2863, 2877)",,no improvement,,359748005,,12884747-DS-9,"r unchanged from prior. Trialed another SLN with no improvement. Given diluadid with improvement. On medication " "Correct entity, wrong SNOMED ID","(2900, 2911)","(2900, 2911)",improvement,improvement,268910001,142016009,12884747-DS-9,"her SLN with no improvement. Given diluadid with improvement. On medication reconciliation, it was found that" Missed entity,"(2916, 2941)",,medication reconciliation,,430193006,,12884747-DS-9,"improvement. Given diluadid with improvement. On medication reconciliation, it was found that he only takes a baby ASA, and" Missed entity,"(2983, 2986)",,ASA,,431463004,,12884747-DS-9,"iliation, it was found that he only takes a baby ASA, and therefore was given a full 325mg of ASA on " Missed entity,"(3029, 3032)",,ASA,,431463004,,12884747-DS-9,"aby ASA, and therefore was given a full 325mg of ASA on arrival. In regards to his rash, he states " "Correct entity, wrong SNOMED ID","(3066, 3070)","(3066, 3070)",rash,rash,271807003,247472004,12884747-DS-9,"ull 325mg of ASA on arrival. In regards to his rash, he states that this is his baseline and attribu" "Correct entity, wrong SNOMED ID","(3099, 3107)","(3099, 3107)",baseline,baseline,128974000,161033005,12884747-DS-9,"n regards to his rash, he states that this is his baseline and attributes this to psoriasis. Has prior hist" "Correct entity, wrong SNOMED ID","(3132, 3141)","(3132, 3141)",psoriasis,psoriasis,9014002,111188005,12884747-DS-9,"that this is his baseline and attributes this to psoriasis. Has prior history of malignant melanoma and the" "Correct entity, wrong SNOMED ID","(3164, 3183)","(3164, 3183)","malignant melanoma","malignant melanoma",372244006,1162635006,12884747-DS-9,"ttributes this to psoriasis. Has prior history of malignant melanoma and therefore not a candidate for light therapy. " Missed entity,"(3218, 3231)",,light therapy,,31394004,,12884747-DS-9,"gnant melanoma and therefore not a candidate for light therapy. Not on MTX. He states that whenever he gets pai" "Correct entity, wrong SNOMED ID","(3278, 3282)","(3278, 3282)",pain,pain,22253000,102570003,12884747-DS-9,"apy. Not on MTX. He states that whenever he gets pain, his rash worsens. Slightly pruritic, but overal" "Correct entity, wrong SNOMED ID","(3288, 3292)","(3288, 3292)",rash,rash,271807003,247472004,12884747-DS-9,"n MTX. He states that whenever he gets pain, his rash worsens. Slightly pruritic, but overall the pt i" "Correct entity, wrong SNOMED ID","(3293, 3300)","(3293, 3300)",worsens,worsens,271299001,385639007,12884747-DS-9,"X. He states that whenever he gets pain, his rash worsens. Slightly pruritic, but overall the pt is not bo" "Correct entity, wrong SNOMED ID","(3312, 3320)","(3312, 3320)",pruritic,pruritic,1240423001,1256085003,12884747-DS-9,"henever he gets pain, his rash worsens. Slightly pruritic, but overall the pt is not bothered by this rash" "Correct entity, wrong SNOMED ID","(3366, 3370)","(3366, 3370)",rash,rash,271807003,247472004,12884747-DS-9,"itic, but overall the pt is not bothered by this rash. Past Medical History: HTN HLD DM CVA " "Correct entity, wrong SNOMED ID","(3398, 3401)","(3398, 3401)",HTN,HTN,38341003,10725009,12884747-DS-9,"bothered by this rash. Past Medical History: HTN HLD DM CVA Psoriasis Esophageal spasm " "Correct entity, wrong SNOMED ID","(3404, 3407)","(3404, 3407)",HLD,HLD,55822004,55731008,12884747-DS-9,"ed by this rash. Past Medical History: HTN HLD DM CVA Psoriasis Esophageal spasm s/p N" "Correct entity, wrong SNOMED ID","(3410, 3412)","(3410, 3412)",DM,DM,73211009,258671008,12884747-DS-9,"this rash. Past Medical History: HTN HLD DM CVA Psoriasis Esophageal spasm s/p Nissen" "Correct entity, wrong SNOMED ID","(3415, 3418)","(3415, 3418)",CVA,CVA,230690007,1131000119105,12884747-DS-9," rash. Past Medical History: HTN HLD DM CVA Psoriasis Esophageal spasm s/p Nissen fundo" "Correct entity, wrong SNOMED ID","(3421, 3430)","(3421, 3430)",Psoriasis,Psoriasis,9014002,111188005,12884747-DS-9," Past Medical History: HTN HLD DM CVA Psoriasis Esophageal spasm s/p Nissen fundoplication " "Correct entity, wrong SNOMED ID","(3456, 3477)","(3456, 3477)",Nissen fundoplication,Nissen fundoplication,359887003,235187003,12884747-DS-9,"D DM CVA Psoriasis Esophageal spasm s/p Nissen fundoplication s/p CCY Social History: ___ Family History" "Correct entity, wrong SNOMED ID","(3484, 3487)","(3484, 3487)",CCY,CCY,38102005,258773002,12884747-DS-9,"sophageal spasm s/p Nissen fundoplication s/p CCY Social History: ___ Family History: No signi" "Correct entity, wrong SNOMED ID","(3555, 3577)","(3555, 3577)",coronary artery diseae,coronary artery diseae,53741008,1293192009,12884747-DS-9,"ry: ___ Family History: No significant history of coronary artery diseae Physical Exam: VITALS - Tmax 98.5 100-110s/60-" "Correct entity, wrong SNOMED ID","(3596, 3602)","(3596, 3602)",VITALS,VITALS,118227000,260390007,12884747-DS-9,"story of coronary artery diseae Physical Exam: VITALS - Tmax 98.5 100-110s/60-70s 50-70s 16 98 %RA We" "Correct entity, wrong SNOMED ID","(3645, 3647)","(3645, 3647)",RA,RA,722742002,463051000124105,12884747-DS-9," VITALS - Tmax 98.5 100-110s/60-70s 50-70s 16 98 %RA Weight 111.3 kg GENERAL - Middle age male, NA" Missed entity,"(3650, 3656)",,Weight,,107647005,,12884747-DS-9,"LS - Tmax 98.5 100-110s/60-70s 50-70s 16 98 %RA Weight 111.3 kg GENERAL - Middle age male, NAD, sleepi" "Correct entity, wrong SNOMED ID","(3668, 3675)","(3668, 3675)",GENERAL,GENERAL,162673000,252398009,12884747-DS-9,"-110s/60-70s 50-70s 16 98 %RA Weight 111.3 kg GENERAL - Middle age male, NAD, sleeping comfortably in b" Missed entity,"(3678, 3688)",,Middle age,,28288005,,12884747-DS-9,"0s 50-70s 16 98 %RA Weight 111.3 kg GENERAL - Middle age male, NAD, sleeping comfortably in bed. HEENT - " "Correct entity, wrong SNOMED ID","(3695, 3698)","(3695, 3698)",NAD,NAD,281900007,131143000,12884747-DS-9,"RA Weight 111.3 kg GENERAL - Middle age male, NAD, sleeping comfortably in bed. HEENT - NC/AT NE" "Correct entity, wrong SNOMED ID","(3700, 3708)","(3700, 3708)",sleeping,sleeping,248220008,301345002,12884747-DS-9,"Weight 111.3 kg GENERAL - Middle age male, NAD, sleeping comfortably in bed. HEENT - NC/AT NECK - suppl" "Correct entity, wrong SNOMED ID","(3730, 3735)","(3730, 3735)",HEENT,HEENT,5880005,113665002,12884747-DS-9,"ddle age male, NAD, sleeping comfortably in bed. HEENT - NC/AT NECK - supple, no LAD, no thyromegaly, " Missed entity,"(3738, 3740)",,NC,,840673007,,12884747-DS-9," male, NAD, sleeping comfortably in bed. HEENT - NC/AT NECK - supple, no LAD, no thyromegaly, JVP 2" "Correct entity, wrong SNOMED ID","(3753, 3759)","(3753, 3759)",supple,supple,298475003,116121000,12884747-DS-9,"eping comfortably in bed. HEENT - NC/AT NECK - supple, no LAD, no thyromegaly, JVP 2 cm above clavicle " "Correct entity, wrong SNOMED ID","(3764, 3767)","(3764, 3767)",LAD,LAD,30746006,1010291002,12884747-DS-9,"rtably in bed. HEENT - NC/AT NECK - supple, no LAD, no thyromegaly, JVP 2 cm above clavicle at 30 d" "Correct entity, wrong SNOMED ID","(3772, 3783)","(3772, 3783)",thyromegaly,thyromegaly,3716002,280313000,12884747-DS-9,"n bed. HEENT - NC/AT NECK - supple, no LAD, no thyromegaly, JVP 2 cm above clavicle at 30 degrees. CARDIAC" "Correct entity, wrong SNOMED ID","(3785, 3788)","(3785, 3788)",JVP,JVP,366163001,369001,12884747-DS-9," - NC/AT NECK - supple, no LAD, no thyromegaly, JVP 2 cm above clavicle at 30 degrees. CARDIAC - re" "Correct entity, wrong SNOMED ID","(3800, 3808)","(3800, 3808)",clavicle,clavicle,51299004,249679006,12884747-DS-9," - supple, no LAD, no thyromegaly, JVP 2 cm above clavicle at 30 degrees. CARDIAC - regular rate & rhythm," "Correct entity, wrong SNOMED ID","(3826, 3833)","(3826, 3833)",CARDIAC,CARDIAC,363003006,71892000,12884747-DS-9,"omegaly, JVP 2 cm above clavicle at 30 degrees. CARDIAC - regular rate & rhythm, normal S1/S2, no murmurs" "Correct entity, wrong SNOMED ID","(3836, 3857)","(3836, 3857)",regular rate & rhythm,regular rate & rhythm,76863003,428919002,12884747-DS-9,"VP 2 cm above clavicle at 30 degrees. CARDIAC - regular rate & rhythm, normal S1/S2, no murmurs rubs or gallops apprec" Boundary error,"(3859, 3868)","(3859, 3869)",normal S1,normal S1/,26198000,412746008,12884747-DS-9," at 30 degrees. CARDIAC - regular rate & rhythm, normal S1/S2, no murmurs rubs or gallops appreciated PUL" "Correct entity, wrong SNOMED ID","(3869, 3871)","(3869, 3871)",S2,S2,111974005,81170007,12884747-DS-9,"rees. CARDIAC - regular rate & rhythm, normal S1/S2, no murmurs rubs or gallops appreciated PULMON" "Correct entity, wrong SNOMED ID","(3876, 3883)","(3876, 3883)",murmurs,murmurs,414786004,248699005,12884747-DS-9,"CARDIAC - regular rate & rhythm, normal S1/S2, no murmurs rubs or gallops appreciated PULMONARY - clear " "Correct entity, wrong SNOMED ID","(3893, 3900)","(3893, 3900)",gallops,gallops,2170000,4592006,12884747-DS-9," rate & rhythm, normal S1/S2, no murmurs rubs or gallops appreciated PULMONARY - clear to auscultation b" Wrong span,"(3915, 3919)","(3915, 3924)",PULM,PULMONARY,268925001,419170002,12884747-DS-9," S1/S2, no murmurs rubs or gallops appreciated PULMONARY - clear to auscultation bilaterally, without" "Correct entity, wrong SNOMED ID","(3970, 3977)","(3970, 3977)",wheezes,wheezes,56018004,9763007,12884747-DS-9,"NARY - clear to auscultation bilaterally, without wheezes or rhonchi ABDOMEN - normal bowel sounds, soft" "Correct entity, wrong SNOMED ID","(3992, 3999)","(3992, 3999)",ABDOMEN,ABDOMEN,225162003,75093004,12884747-DS-9,"tation bilaterally, without wheezes or rhonchi ABDOMEN - normal bowel sounds, soft, non-tender, non-dist" "Correct entity, wrong SNOMED ID","(4029, 4039)","(4029, 4039)",non-tender,non-tender,43478001,298741000,12884747-DS-9,"or rhonchi ABDOMEN - normal bowel sounds, soft, non-tender, non-distended, no organomegaly EXTREMITIES - " "Correct entity, wrong SNOMED ID","(4041, 4054)","(4041, 4054)",non-distended,non-distended,300405003,162069004,12884747-DS-9," ABDOMEN - normal bowel sounds, soft, non-tender, non-distended, no organomegaly EXTREMITIES - warm, well-perf" "Correct entity, wrong SNOMED ID","(4075, 4086)","(4075, 4086)",EXTREMITIES,EXTREMITIES,302773001,248416007,12884747-DS-9,"ft, non-tender, non-distended, no organomegaly EXTREMITIES - warm, well-perfused, no cyanosis, clubbing or " "Correct entity, wrong SNOMED ID","(4089, 4093)","(4089, 4093)",warm,warm,102599008,298256005,12884747-DS-9,", non-distended, no organomegaly EXTREMITIES - warm, well-perfused, no cyanosis, clubbing or edema " "Correct entity, wrong SNOMED ID","(4095, 4108)","(4095, 4108)",well-perfused,well-perfused,1137685003,301121007,12884747-DS-9,"distended, no organomegaly EXTREMITIES - warm, well-perfused, no cyanosis, clubbing or edema SKIN - diffuse" "Correct entity, wrong SNOMED ID","(4113, 4121)","(4113, 4121)",cyanosis,cyanosis,3415004,95442007,12884747-DS-9,"anomegaly EXTREMITIES - warm, well-perfused, no cyanosis, clubbing or edema SKIN - diffuse salmon color" "Correct entity, wrong SNOMED ID","(4123, 4131)","(4123, 4131)",clubbing,clubbing,367004,247519001,12884747-DS-9," EXTREMITIES - warm, well-perfused, no cyanosis, clubbing or edema SKIN - diffuse salmon colored patchy " "Correct entity, wrong SNOMED ID","(4136, 4141)","(4136, 4141)",edema,edema,267038008,102576009,12884747-DS-9," - warm, well-perfused, no cyanosis, clubbing or edema SKIN - diffuse salmon colored patchy diffusely " "Correct entity, wrong SNOMED ID","(4144, 4148)","(4144, 4148)",SKIN,SKIN,271303006,444884003,12884747-DS-9," well-perfused, no cyanosis, clubbing or edema SKIN - diffuse salmon colored patchy diffusely through" Wrong span,"(4209, 4220)","(4209, 4213)",head to toe,head,38266002,1230043004,12884747-DS-9,"salmon colored patchy diffusely throughout, from head to toe. Back exam s/f midline incisional scar and red v" "Correct entity, wrong SNOMED ID","(4280, 4284)","(4280, 4284)",rash,rash,271807003,247472004,12884747-DS-9,"m s/f midline incisional scar and red violaceous rash. NEUROLOGIC - A&Ox3, CN II-XII grossly normal, " Wrong span,"(4288, 4293)","(4288, 4298)",NEURO,NEUROLOGIC,84728005,386427000,12884747-DS-9,"dline incisional scar and red violaceous rash. NEUROLOGIC - A&Ox3, CN II-XII grossly normal, normal se" Wrong span,"(4295, 4297)","(4288, 4298)",GI,NEUROLOGIC,268937004,386427000,12884747-DS-9,"ncisional scar and red violaceous rash. NEUROLOGIC - A&Ox3, CN II-XII grossly normal, normal sensat" "Correct entity, wrong SNOMED ID","(4303, 4306)","(4303, 4306)",Ox3,Ox3,426224004,396154006,12884747-DS-9,"l scar and red violaceous rash. NEUROLOGIC - A&Ox3, CN II-XII grossly normal, normal sensation, wit" "Correct entity, wrong SNOMED ID","(4308, 4317)","(4308, 4317)",CN II-XII,CN II-XII,25238003,55386006,12884747-DS-9,"r and red violaceous rash. NEUROLOGIC - A&Ox3, CN II-XII grossly normal, normal sensation, with strength " Wrong span,"(4326, 4332)","(4318, 4332)",normal,grossly normal,281900007,167990003,12884747-DS-9,"ous rash. NEUROLOGIC - A&Ox3, CN II-XII grossly normal, normal sensation, with strength ___ throughout." "Correct entity, wrong SNOMED ID","(4334, 4350)","(4334, 4350)",normal sensation,normal sensation,299956006,422015002,12884747-DS-9,". NEUROLOGIC - A&Ox3, CN II-XII grossly normal, normal sensation, with strength ___ throughout. PSYCHIATRIC - li" Wrong span,"(4384, 4395)","(4384, 4386)",PSYCHIATRIC,PS,170679009,421542006,12884747-DS-9,"normal sensation, with strength ___ throughout. PSYCHIATRIC - listen & responds to questions appropriately " "Correct entity, wrong SNOMED ID","(4482, 4485)","(4482, 4485)",WBC,WBC,767002,391558003,12884747-DS-9,"ropriately Pertinent Results: ___ 06:15AM BLOOD WBC-5.3 RBC-4.09* Hgb-11.0* Hct-35.6* MCV-87 MCH-26." "Correct entity, wrong SNOMED ID","(4490, 4493)","(4490, 4493)",RBC,RBC,14089001,258759006,12884747-DS-9,"ly Pertinent Results: ___ 06:15AM BLOOD WBC-5.3 RBC-4.09* Hgb-11.0* Hct-35.6* MCV-87 MCH-26.9 MCHC-3" "Correct entity, wrong SNOMED ID","(4500, 4503)","(4500, 4503)",Hgb,Hgb,441689006,104142005,12884747-DS-9,"nent Results: ___ 06:15AM BLOOD WBC-5.3 RBC-4.09* Hgb-11.0* Hct-35.6* MCV-87 MCH-26.9 MCHC-30.9* RDW-1" "Correct entity, wrong SNOMED ID","(4510, 4513)","(4510, 4513)",Hct,Hct,28317006,282660005,12884747-DS-9,"ts: ___ 06:15AM BLOOD WBC-5.3 RBC-4.09* Hgb-11.0* Hct-35.6* MCV-87 MCH-26.9 MCHC-30.9* RDW-14.1 RDWSD-" Missed entity,"(4521, 4524)",,MCV,,104133003,,12884747-DS-9,"15AM BLOOD WBC-5.3 RBC-4.09* Hgb-11.0* Hct-35.6* MCV-87 MCH-26.9 MCHC-30.9* RDW-14.1 RDWSD-44.9 Plt __" "Correct entity, wrong SNOMED ID","(4537, 4541)","(4537, 4541)",MCHC,MCHC,37254006,735147002,12884747-DS-9,".3 RBC-4.09* Hgb-11.0* Hct-35.6* MCV-87 MCH-26.9 MCHC-30.9* RDW-14.1 RDWSD-44.9 Plt ___ ___ 12:50AM BLO" "Correct entity, wrong SNOMED ID","(4557, 4562)","(4557, 4562)",RDWSD,RDWSD,66842004,80328002,12884747-DS-9,"0* Hct-35.6* MCV-87 MCH-26.9 MCHC-30.9* RDW-14.1 RDWSD-44.9 Plt ___ ___ 12:50AM BLOOD Neuts-47.7 ___ Mon" "Correct entity, wrong SNOMED ID","(4594, 4599)","(4594, 4599)",Neuts,Neuts,30630007,271035003,12884747-DS-9,".9* RDW-14.1 RDWSD-44.9 Plt ___ ___ 12:50AM BLOOD Neuts-47.7 ___ Monos-7.0 Eos-5.1 Baso-0.9 Im ___ AbsNe" "Correct entity, wrong SNOMED ID","(4609, 4614)","(4609, 4614)",Monos,Monos,67776007,462791000124108,12884747-DS-9,"WSD-44.9 Plt ___ ___ 12:50AM BLOOD Neuts-47.7 ___ Monos-7.0 Eos-5.1 Baso-0.9 Im ___ AbsNeut-2.24 AbsLymp" "Correct entity, wrong SNOMED ID","(4619, 4622)","(4619, 4622)",Eos,Eos,71960002,67099000,12884747-DS-9,"lt ___ ___ 12:50AM BLOOD Neuts-47.7 ___ Monos-7.0 Eos-5.1 Baso-0.9 Im ___ AbsNeut-2.24 AbsLymp-1.84 Ab" "Correct entity, wrong SNOMED ID","(4628, 4632)","(4628, 4632)",Baso,Baso,42351005,700051010000106,12884747-DS-9,"_ 12:50AM BLOOD Neuts-47.7 ___ Monos-7.0 Eos-5.1 Baso-0.9 Im ___ AbsNeut-2.24 AbsLymp-1.84 AbsMono-0.33" "Correct entity, wrong SNOMED ID","(4731, 4734)","(4731, 4734)",PTT,PTT,42525009,282119004,12884747-DS-9,"3 AbsEos-0.24 AbsBaso-0.04 ___ 06:15AM BLOOD ___ PTT-31.1 ___ ___ 06:15AM BLOOD Glucose-216* UreaN-11" "Correct entity, wrong SNOMED ID","(4763, 4770)","(4763, 4770)",Glucose,Glucose,33747003,72191006,12884747-DS-9,"06:15AM BLOOD ___ PTT-31.1 ___ ___ 06:15AM BLOOD Glucose-216* UreaN-11 Creat-0.8 Na-136 K-3.4 Cl-98 HCO3-" "Correct entity, wrong SNOMED ID","(4776, 4781)","(4776, 4781)",UreaN,UreaN,105011006,111108008,12884747-DS-9," ___ PTT-31.1 ___ ___ 06:15AM BLOOD Glucose-216* UreaN-11 Creat-0.8 Na-136 K-3.4 Cl-98 HCO3-28 AnGap-13" "Correct entity, wrong SNOMED ID","(4785, 4790)","(4785, 4790)",Creat,Creat,70901006,365756002,12884747-DS-9,"31.1 ___ ___ 06:15AM BLOOD Glucose-216* UreaN-11 Creat-0.8 Na-136 K-3.4 Cl-98 HCO3-28 AnGap-13 ___ 06:1" "Correct entity, wrong SNOMED ID","(4795, 4797)","(4795, 4797)",Na,Na,312469006,257992007,12884747-DS-9,"___ 06:15AM BLOOD Glucose-216* UreaN-11 Creat-0.8 Na-136 K-3.4 Cl-98 HCO3-28 AnGap-13 ___ 06:15AM BLO" "Correct entity, wrong SNOMED ID","(4809, 4811)","(4809, 4811)",Cl,Cl,104589004,311741002,12884747-DS-9,"OOD Glucose-216* UreaN-11 Creat-0.8 Na-136 K-3.4 Cl-98 HCO3-28 AnGap-13 ___ 06:15AM BLOOD Calcium-8.7" "Correct entity, wrong SNOMED ID","(4815, 4819)","(4815, 4819)",HCO3,HCO3,312471006,88645003,12884747-DS-9,"ucose-216* UreaN-11 Creat-0.8 Na-136 K-3.4 Cl-98 HCO3-28 AnGap-13 ___ 06:15AM BLOOD Calcium-8.7 Phos-3." "Correct entity, wrong SNOMED ID","(4823, 4828)","(4823, 4828)",AnGap,AnGap,25469001,124504004,12884747-DS-9,"6* UreaN-11 Creat-0.8 Na-136 K-3.4 Cl-98 HCO3-28 AnGap-13 ___ 06:15AM BLOOD Calcium-8.7 Phos-3.3 Mg-2.1 " "Correct entity, wrong SNOMED ID","(4850, 4857)","(4850, 4857)",Calcium,Calcium,312472004,108601004,12884747-DS-9,"6 K-3.4 Cl-98 HCO3-28 AnGap-13 ___ 06:15AM BLOOD Calcium-8.7 Phos-3.3 Mg-2.1 ___ 06:15AM BLOOD ALT-66* AST" "Correct entity, wrong SNOMED ID","(4862, 4866)","(4862, 4866)",Phos,Phos,104868000,168075002,12884747-DS-9,"98 HCO3-28 AnGap-13 ___ 06:15AM BLOOD Calcium-8.7 Phos-3.3 Mg-2.1 ___ 06:15AM BLOOD ALT-66* AST-45* AlkP" "Correct entity, wrong SNOMED ID","(4871, 4873)","(4871, 4873)",Mg,Mg,271285000,258684004,12884747-DS-9,"8 AnGap-13 ___ 06:15AM BLOOD Calcium-8.7 Phos-3.3 Mg-2.1 ___ 06:15AM BLOOD ALT-66* AST-45* AlkPhos-67 " "Correct entity, wrong SNOMED ID","(4896, 4899)","(4896, 4899)",ALT,ALT,34608000,56935002,12884747-DS-9,"OOD Calcium-8.7 Phos-3.3 Mg-2.1 ___ 06:15AM BLOOD ALT-66* AST-45* AlkPhos-67 TotBili-0.4 ___ 12:50AM B" "Correct entity, wrong SNOMED ID","(4904, 4907)","(4904, 4907)",AST,AST,45896001,85043005,12884747-DS-9,"ium-8.7 Phos-3.3 Mg-2.1 ___ 06:15AM BLOOD ALT-66* AST-45* AlkPhos-67 TotBili-0.4 ___ 12:50AM BLOOD cTr" "Correct entity, wrong SNOMED ID","(4912, 4919)","(4912, 4919)",AlkPhos,AlkPhos,88810008,30703008,12884747-DS-9,"Phos-3.3 Mg-2.1 ___ 06:15AM BLOOD ALT-66* AST-45* AlkPhos-67 TotBili-0.4 ___ 12:50AM BLOOD cTropnT-<0.01 _" "Correct entity, wrong SNOMED ID","(4923, 4930)","(4923, 4930)",TotBili,TotBili,359986008,19754005,12884747-DS-9,"-2.1 ___ 06:15AM BLOOD ALT-66* AST-45* AlkPhos-67 TotBili-0.4 ___ 12:50AM BLOOD cTropnT-<0.01 ___ 06:23AM " "Correct entity, wrong SNOMED ID","(4954, 4961)","(4954, 4961)",cTropnT,cTropnT,105001004,442255004,12884747-DS-9,"AST-45* AlkPhos-67 TotBili-0.4 ___ 12:50AM BLOOD cTropnT-<0.01 ___ 06:23AM BLOOD CK-MB-2 cTropnT-<0.01 ___" Missed entity,"(4986, 4991)",,CK-MB,,104613001,,12884747-DS-9,"___ 12:50AM BLOOD cTropnT-<0.01 ___ 06:23AM BLOOD CK-MB-2 cTropnT-<0.01 ___ 11:06PM BLOOD CK-MB-<1 cTropn" "Correct entity, wrong SNOMED ID","(4994, 5001)","(4994, 5001)",cTropnT,cTropnT,105001004,442255004,12884747-DS-9,"0AM BLOOD cTropnT-<0.01 ___ 06:23AM BLOOD CK-MB-2 cTropnT-<0.01 ___ 11:06PM BLOOD CK-MB-<1 cTropnT-<0.01 C" "Correct entity, wrong SNOMED ID","(5026, 5031)","(5026, 5031)",CK-MB,CK-MB,104613001,259309009,12884747-DS-9,"3AM BLOOD CK-MB-2 cTropnT-<0.01 ___ 11:06PM BLOOD CK-MB-<1 cTropnT-<0.01 CARDIAC CTRESS ___ INTERPRETATI" "Correct entity, wrong SNOMED ID","(5035, 5042)","(5035, 5042)",cTropnT,cTropnT,105001004,442255004,12884747-DS-9," CK-MB-2 cTropnT-<0.01 ___ 11:06PM BLOOD CK-MB-<1 cTropnT-<0.01 CARDIAC CTRESS ___ INTERPRETATION: This __" "Correct entity, wrong SNOMED ID","(5097, 5102)","(5097, 5102)",NIDDM,NIDDM,44054006,609572000,12884747-DS-9,"1 CARDIAC CTRESS ___ INTERPRETATION: This ___ yo NIDDM man with h/o CAD, s/p multiple PCIs, was referre" "Correct entity, wrong SNOMED ID","(5116, 5119)","(5116, 5119)",CAD,CAD,53741008,84270004,12884747-DS-9,"__ INTERPRETATION: This ___ yo NIDDM man with h/o CAD, s/p multiple PCIs, was referred to the lab from" "Correct entity, wrong SNOMED ID","(5135, 5139)","(5135, 5139)",PCIs,PCIs,415070008,259015003,12884747-DS-9,"This ___ yo NIDDM man with h/o CAD, s/p multiple PCIs, was referred to the lab from the inpatient floor" "Correct entity, wrong SNOMED ID","(5238, 5248)","(5238, 5248)",evaluation,evaluation,386053000,39609006,12884747-DS-9,"r following negative serial cardiac enzymes for evaluation of chest discomfort and dyspnea on exertion. Th" "Correct entity, wrong SNOMED ID","(5252, 5269)","(5252, 5269)","chest discomfort","chest discomfort",279084009,281245003,12884747-DS-9,"negative serial cardiac enzymes for evaluation of chest discomfort and dyspnea on exertion. The patient exercised f" "Correct entity, wrong SNOMED ID","(5275, 5294)","(5275, 5294)",dyspnea on exertion,dyspnea on exertion,60845006,590365011000119106,12884747-DS-9," enzymes for evaluation of chest discomfort and dyspnea on exertion. The patient exercised for 6 minutes of a Modifi" "Correct entity, wrong SNOMED ID","(5308, 5317)","(5308, 5317)",exercised,exercised,165079009,40979000,12884747-DS-9," discomfort and dyspnea on exertion. The patient exercised for 6 minutes of a Modified ___ protocol and wa" "Correct entity, wrong SNOMED ID","(5407, 5427)","(5407, 5427)","shortness of breath","shortness of breath",267036007,135833008,12884747-DS-9,"col and was stopped at the patient's request for shortness of breath. The estimated peak MET capacity was 4.6, which " Wrong span,"(5490, 5514)","(5490, 5494)","poor exercise tolerance",poor,267044007,62476001,12884747-DS-9,"ed peak MET capacity was 4.6, which represents a poor exercise tolerance for his age. The patient presented to the lab wi" "Correct entity, wrong SNOMED ID","(5582, 5598)","(5582, 5598)",chest discomfort,chest discomfort,279084009,281245003,12884747-DS-9,"patient presented to the lab with a ___ central chest discomfort that increased to ___ in late exercise and rema" Missed entity,"(5604, 5613)",,increased,,1144586002,,12884747-DS-9,"he lab with a ___ central chest discomfort that increased to ___ in late exercise and remained at that le" "Correct entity, wrong SNOMED ID","(5630, 5638)","(5630, 5638)",exercise,exercise,165079009,102533007,12884747-DS-9,"l chest discomfort that increased to ___ in late exercise and remained at that level throughout recovery. " Missed entity,"(5678, 5686)",,recovery,,432554001,,12884747-DS-9," exercise and remained at that level throughout recovery. Progressive dyspnea was reported by the patien" Missed entity,"(5688, 5699)",,Progressive,,271299001,,12884747-DS-9," and remained at that level throughout recovery. Progressive dyspnea was reported by the patient during exer" "Correct entity, wrong SNOMED ID","(5701, 5708)","(5701, 5708)",dyspnea,dyspnea,267036007,60845006,12884747-DS-9,"d at that level throughout recovery. Progressive dyspnea was reported by the patient during exercise and " "Correct entity, wrong SNOMED ID","(5745, 5753)","(5745, 5753)",exercise,exercise,165079009,102533007,12884747-DS-9,"sive dyspnea was reported by the patient during exercise and early recovery. There were no significant S" Missed entity,"(5764, 5772)",,recovery,,432554001,,12884747-DS-9,"reported by the patient during exercise and early recovery. There were no significant ST changes noted dur" "Correct entity, wrong SNOMED ID","(5802, 5812)","(5802, 5812)",ST changes,ST changes,55930002,251144001,12884747-DS-9,"e and early recovery. There were no significant ST changes noted during exercise or recovery. Rhythm was s" "Correct entity, wrong SNOMED ID","(5826, 5834)","(5826, 5834)",exercise,exercise,165079009,102533007,12884747-DS-9,"here were no significant ST changes noted during exercise or recovery. Rhythm was sinus with one VPB in r" Missed entity,"(5838, 5846)",,recovery,,432554001,,12884747-DS-9,"o significant ST changes noted during exercise or recovery. Rhythm was sinus with one VPB in recovery. The" "Correct entity, wrong SNOMED ID","(5849, 5866)","(5849, 5866)","Rhythm was sinus","Rhythm was sinus",251150006,426783006,12884747-DS-9,"nt ST changes noted during exercise or recovery. Rhythm was sinus with one VPB in recovery. There was a blunted hea" Missed entity,"(5876, 5879)",,VPB,,164884008,,12884747-DS-9,"exercise or recovery. Rhythm was sinus with one VPB in recovery. There was a blunted heart rate and " Wrong span,"(5913, 5923)","(5905, 5923)",heart rate,blunted heart rate,301113001,870692000,12884747-DS-9,"nus with one VPB in recovery. There was a blunted heart rate and blood pressure response to exercise in the " Wrong span,"(5929, 5944)","(5929, 5953)","blood pressure","blood pressure response",392570002,427732000,12884747-DS-9," in recovery. There was a blunted heart rate and blood pressure response to exercise in the presence of beta bloc" "Correct entity, wrong SNOMED ID","(5957, 5965)","(5957, 5965)",exercise,exercise,165079009,102533007,12884747-DS-9,"unted heart rate and blood pressure response to exercise in the presence of beta blockade. IMPRESSION: At" Missed entity,"(6013, 6021)",,Atypical,,102589003,,12884747-DS-9,"se in the presence of beta blockade. IMPRESSION: Atypical symptoms in the absence of ischemic EKG changes." "Correct entity, wrong SNOMED ID","(6049, 6070)","(6049, 6070)","ischemic EKG changes","ischemic EKG changes",164861001,449735000,12884747-DS-9," IMPRESSION: Atypical symptoms in the absence of ischemic EKG changes. Poor functional capacity limited by dyspnea. Bl" "Correct entity, wrong SNOMED ID","(6109, 6116)","(6109, 6116)",dyspnea,dyspnea,267036007,60845006,12884747-DS-9,"KG changes. Poor functional capacity limited by dyspnea. Blunted hemodynamic response. Nuclear report s" "Correct entity, wrong SNOMED ID","(6126, 6137)","(6126, 6137)",hemodynamic,hemodynamic,716777001,128576006,12884747-DS-9,"r functional capacity limited by dyspnea. Blunted hemodynamic response. Nuclear report sent separately. CAR" Missed entity,"(6191, 6200)",,PERFUSION,,371863001,,12884747-DS-9,"esponse. Nuclear report sent separately. CARIAC PERFUSION ___ IMPRESSION: 1. Normal myocardial perfusion w" Missed entity,"(6292, 6300)",,exercise,,165079009,,12884747-DS-9,"usion with no reversible defects at the level of exercise achieved. 2. Slightly increased left ventricula" Missed entity,"(6325, 6334)",,increased,,15454001,,12884747-DS-9," at the level of exercise achieved. 2. Slightly increased left ventricular cavity size and decreased left " "Correct entity, wrong SNOMED ID","(6335, 6358)","(6335, 6358)",left ventricular cavity,left ventricular cavity,1259956008,1259953000,12884747-DS-9,"vel of exercise achieved. 2. Slightly increased left ventricular cavity size and decreased left ventricular ejection fra" Missed entity,"(6359, 6363)",,size,,15454001,,12884747-DS-9,". 2. Slightly increased left ventricular cavity size and decreased left ventricular ejection fraction" Wrong span,"(6368, 6413)","(6379, 6395)","decreased left ventricular ejection fraction",left ventricular,863932003,264004009,12884747-DS-9,"ightly increased left ventricular cavity size and decreased left ventricular ejection fraction of 50%, previously 59%. ECG ___ Sinus rhythm. I" "Correct entity, wrong SNOMED ID","(6440, 6443)","(6440, 6443)",ECG,ECG,29303009,75444003,12884747-DS-9,"cular ejection fraction of 50%, previously 59%. ECG ___ Sinus rhythm. Inferior wall myocardial infarc" "Correct entity, wrong SNOMED ID","(6448, 6460)","(6448, 6460)",Sinus rhythm,Sinus rhythm,251150006,64730000,12884747-DS-9,"ection fraction of 50%, previously 59%. ECG ___ Sinus rhythm. Inferior wall myocardial infarction of indeterm" Wrong span,"(6462, 6475)","(6462, 6464)",Inferior wall,In,72542009,10828004,12884747-DS-9,"n of 50%, previously 59%. ECG ___ Sinus rhythm. Inferior wall myocardial infarction of indeterminate age. Pos" Missed entity,"(6476, 6519)",,"myocardial infarction of indeterminate age",,1755008,,12884747-DS-9,"iously 59%. ECG ___ Sinus rhythm. Inferior wall myocardial infarction of indeterminate age. Possible prior anteroseptal myocardial infarcti" Wrong span,"(6537, 6549)","(6537, 6571)",anteroseptal,anteroseptal myocardial infarction,20706007,62695002,12884747-DS-9,"infarction of indeterminate age. Possible prior anteroseptal myocardial infarction of indeterminate age. Non" "Correct entity, wrong SNOMED ID","(6675, 6686)","(6675, 6686)",ventricular,ventricular,21814001,244371000,12884747-DS-9,"es. Compared to the previous tracing of ___ the ventricular rate is slower CXR ___ FINDINGS: Cardiomedia" Missed entity,"(6687, 6691)",,rate,,301113001,,12884747-DS-9," to the previous tracing of ___ the ventricular rate is slower CXR ___ FINDINGS: Cardiomediastina" "Correct entity, wrong SNOMED ID","(6725, 6742)","(6725, 6742)",Cardiomediastinal,Cardiomediastinal,72410000,83099006,12884747-DS-9,"ventricular rate is slower CXR ___ FINDINGS: Cardiomediastinal silhouette including mild cardiomegaly is unchan" "Correct entity, wrong SNOMED ID","(6769, 6781)","(6769, 6781)",cardiomegaly,cardiomegaly,8186001,275516004,12884747-DS-9,"GS: Cardiomediastinal silhouette including mild cardiomegaly is unchanged. Lungs are clear. There is no ple" "Correct entity, wrong SNOMED ID","(6798, 6813)","(6798, 6813)",Lungs are clear,Lungs are clear,827032003,48348007,12884747-DS-9,"uette including mild cardiomegaly is unchanged. Lungs are clear. There is no pleural effusion or pneumothorax. " "Correct entity, wrong SNOMED ID","(6828, 6844)","(6828, 6844)",pleural effusion,pleural effusion,60046008,1366511008,12884747-DS-9,"aly is unchanged. Lungs are clear. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable" "Correct entity, wrong SNOMED ID","(6849, 6861)","(6849, 6861)",pneumothorax,pneumothorax,36118008,109364007,12884747-DS-9,"ungs are clear. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable. IMPRESSION: No" Missed entity,"(6864, 6869)",,Bones,,272673000,,12884747-DS-9," There is no pleural effusion or pneumothorax. Bones are grossly unremarkable. IMPRESSION: No acute " "Correct entity, wrong SNOMED ID","(6882, 6894)","(6882, 6894)",unremarkable,unremarkable,281900007,167827008,12884747-DS-9,"ral effusion or pneumothorax. Bones are grossly unremarkable. IMPRESSION: No acute intrathoracic abnormality" Missed entity,"(6909, 6918)",,"No acute",,281900007,,12884747-DS-9,"ax. Bones are grossly unremarkable. IMPRESSION: No acute intrathoracic abnormality. Brief Hospital Cou" Wrong span,"(6933, 6944)","(6919, 6944)",abnormality,intrathoracic abnormality,281900007,303668008,12884747-DS-9,"nremarkable. IMPRESSION: No acute intrathoracic abnormality. Brief Hospital Course: ___ hx of HTN, HLD, D" "Correct entity, wrong SNOMED ID","(6983, 6986)","(6983, 6986)",HTN,HTN,38341003,10725009,12884747-DS-9,"abnormality. Brief Hospital Course: ___ hx of HTN, HLD, DM2 and CAD s/p PCI and esophageal spasms " "Correct entity, wrong SNOMED ID","(6988, 6991)","(6988, 6991)",HLD,HLD,55822004,55731008,12884747-DS-9,"mality. Brief Hospital Course: ___ hx of HTN, HLD, DM2 and CAD s/p PCI and esophageal spasms admit" "Correct entity, wrong SNOMED ID","(6993, 6996)","(6993, 6996)",DM2,DM2,44054006,396166000,12884747-DS-9,"y. Brief Hospital Course: ___ hx of HTN, HLD, DM2 and CAD s/p PCI and esophageal spasms admitted f" "Correct entity, wrong SNOMED ID","(7001, 7004)","(7001, 7004)",CAD,CAD,53741008,84270004,12884747-DS-9,"rief Hospital Course: ___ hx of HTN, HLD, DM2 and CAD s/p PCI and esophageal spasms admitted for ACS r" "Correct entity, wrong SNOMED ID","(7009, 7012)","(7009, 7012)",PCI,PCI,415070008,259015003,12884747-DS-9,"pital Course: ___ hx of HTN, HLD, DM2 and CAD s/p PCI and esophageal spasms admitted for ACS rule out." "Correct entity, wrong SNOMED ID","(7049, 7052)","(7049, 7052)",ACS,ACS,394659003,89218003,12884747-DS-9,"d CAD s/p PCI and esophageal spasms admitted for ACS rule out. # Chest pain: S/p ASA 325 mg x 1. Ches" Missed entity,"(7053, 7061)",,rule out,,386053000,,12884747-DS-9,"D s/p PCI and esophageal spasms admitted for ACS rule out. # Chest pain: S/p ASA 325 mg x 1. Chest pain at" "Correct entity, wrong SNOMED ID","(7066, 7076)","(7066, 7076)",Chest pain,Chest pain,29857009,102589003,12884747-DS-9," esophageal spasms admitted for ACS rule out. # Chest pain: S/p ASA 325 mg x 1. Chest pain atypical in pres" Boundary error,"(7082, 7085)","(7082, 7084)",ASA,AS,431463004,121606009,12884747-DS-9,"ms admitted for ACS rule out. # Chest pain: S/p ASA 325 mg x 1. Chest pain atypical in presentation-" Wrong span,"(7098, 7117)","(7098, 7108)",Chest pain atypical,Chest pain,102589003,102589003,12884747-DS-9," ACS rule out. # Chest pain: S/p ASA 325 mg x 1. Chest pain atypical in presentation-- did not start with exertion, n" "Correct entity, wrong SNOMED ID","(7156, 7164)","(7156, 7164)",exertion,exertion,81953000,255214003,12884747-DS-9,"in atypical in presentation-- did not start with exertion, not relieved by SLN. EKG without new ischemic c" "Correct entity, wrong SNOMED ID","(7188, 7191)","(7188, 7191)",EKG,EKG,29303009,75444003,12884747-DS-9,"id not start with exertion, not relieved by SLN. EKG without new ischemic changes and troponin negativ" "Correct entity, wrong SNOMED ID","(7204, 7220)","(7204, 7220)",ischemic changes,ischemic changes,52674009,449735000,12884747-DS-9,"h exertion, not relieved by SLN. EKG without new ischemic changes and troponin negative x 2. Of note, per Partner'" "Correct entity, wrong SNOMED ID","(7225, 7233)","(7225, 7233)",troponin,troponin,105000003,102684000,12884747-DS-9,"ved by SLN. EKG without new ischemic changes and troponin negative x 2. Of note, per Partner's ___ review," "Correct entity, wrong SNOMED ID","(7326, 7329)","(7326, 7329)",ACS,ACS,394659003,89218003,12884747-DS-9,"review, pt was seen in ED and also ruled out for ACS at ___. Aditionally, pt had repeat episode of che" "Correct entity, wrong SNOMED ID","(7376, 7387)","(7376, 7387)","chest pain","chest pain",29857009,285389008,12884747-DS-9,"ACS at ___. Aditionally, pt had repeat episode of chest pain overnight. EKG once again unchanged and troponin/" "Correct entity, wrong SNOMED ID","(7399, 7402)","(7399, 7402)",EKG,EKG,29303009,75444003,12884747-DS-9,", pt had repeat episode of chest pain overnight. EKG once again unchanged and troponin/CK-MB negative" "Correct entity, wrong SNOMED ID","(7428, 7436)","(7428, 7436)",troponin,troponin,105000003,102684000,12884747-DS-9,"est pain overnight. EKG once again unchanged and troponin/CK-MB negative. However, given that pt endorses " "Correct entity, wrong SNOMED ID","(7437, 7442)","(7437, 7442)",CK-MB,CK-MB,104613001,259309009,12884747-DS-9," overnight. EKG once again unchanged and troponin/CK-MB negative. However, given that pt endorses new DO" "Correct entity, wrong SNOMED ID","(7490, 7493)","(7490, 7493)",DOE,DOE,60845006,371151008,12884747-DS-9,"MB negative. However, given that pt endorses new DOE, concern for progression of CAD and therefore un" "Correct entity, wrong SNOMED ID","(7523, 7526)","(7523, 7526)",CAD,CAD,53741008,84270004,12884747-DS-9," pt endorses new DOE, concern for progression of CAD and therefore underwent stress/MIBI. Stress test" "Correct entity, wrong SNOMED ID","(7551, 7557)","(7551, 7557)",stress,stress,46136006,73595000,12884747-DS-9,"n for progression of CAD and therefore underwent stress/MIBI. Stress test with atypical symptoms in the " "Correct entity, wrong SNOMED ID","(7558, 7562)","(7558, 7562)",MIBI,MIBI,252432008,424299003,12884747-DS-9,"progression of CAD and therefore underwent stress/MIBI. Stress test with atypical symptoms in the absen" "Correct entity, wrong SNOMED ID","(7564, 7576)","(7564, 7576)","Stress test","Stress test",46136006,76746007,12884747-DS-9,"ssion of CAD and therefore underwent stress/MIBI. Stress test with atypical symptoms in the absence of ischemic" Wrong span,"(7582, 7590)","(7582, 7585)",atypical,aty,102589003,421755005,12884747-DS-9,"herefore underwent stress/MIBI. Stress test with atypical symptoms in the absence of ischemic EKG changes." Wrong span,"(7618, 7639)","(7618, 7626)","ischemic EKG changes",ischemic,164861001,233958001,12884747-DS-9,"ss test with atypical symptoms in the absence of ischemic EKG changes. Poor functional capacity limited by dyspnea. Ima" "Correct entity, wrong SNOMED ID","(7677, 7684)","(7677, 7684)",dyspnea,dyspnea,267036007,60845006,12884747-DS-9,"EKG changes. Poor functional capacity limited by dyspnea. Imaging notable for normal myocardial perfusion" "Correct entity, wrong SNOMED ID","(7686, 7693)","(7686, 7693)",Imaging,Imaging,363679005,408574004,12884747-DS-9,"ges. Poor functional capacity limited by dyspnea. Imaging notable for normal myocardial perfusion with no " "Correct entity, wrong SNOMED ID","(7779, 7787)","(7779, 7787)",exercise,exercise,365386006,102533007,12884747-DS-9,"usion with no reversible defects at the level of exercise achieved, though slightly increased left ventric" Missed entity,"(7815, 7824)",,increased,,15454001,,12884747-DS-9," the level of exercise achieved, though slightly increased left ventricular cavity size and decreased left " "Correct entity, wrong SNOMED ID","(7825, 7848)","(7825, 7848)",left ventricular cavity,left ventricular cavity,1259956008,1259953000,12884747-DS-9," of exercise achieved, though slightly increased left ventricular cavity size and decreased left ventricular ejection fra" Missed entity,"(7849, 7853)",,size,,15454001,,12884747-DS-9,"hough slightly increased left ventricular cavity size and decreased left ventricular ejection fraction" "Correct entity, wrong SNOMED ID","(7868, 7885)","(7868, 7885)","left ventricular","left ventricular",87878005,264004009,12884747-DS-9,"reased left ventricular cavity size and decreased left ventricular ejection fraction of 50%, previously 59%. No evi" "Correct entity, wrong SNOMED ID","(7928, 7940)","(7928, 7940)","No evidence","No evidence",281900007,41647002,12884747-DS-9,"ricular ejection fraction of 50%, previously 59%. No evidence of heart failure on exam and therefore encouraged" "Correct entity, wrong SNOMED ID","(7944, 7957)","(7944, 7957)",heart failure,heart failure,84114007,56675007,12884747-DS-9," fraction of 50%, previously 59%. No evidence of heart failure on exam and therefore encouraged to follow-up wi" "Correct entity, wrong SNOMED ID","(7961, 7965)","(7961, 7965)",exam,exam,276341003,105477005,12884747-DS-9," previously 59%. No evidence of heart failure on exam and therefore encouraged to follow-up with outpa" "Correct entity, wrong SNOMED ID","(8081, 8091)","(8081, 8091)",chest pain,chest pain,29857009,102589003,12884747-DS-9,"st. #Esophageal spasms: Likely a contributor to chest pain. CCB considered for hx of esophageal spasm, howe" Missed entity,"(8177, 8183)",,relief,,182970005,,12884747-DS-9,"al spasm, however pt has tried diltiazem without relief in past, and is already on amlodipine. Home nitr" Missed entity,"(8269, 8278)",,increased,,763779006,,12884747-DS-9,"ne. Home nitrate was uptitrated: imdur 120 mg QD increased to imdur 180 mg QD, and he was encouraged to fol" Missed entity,"(8396, 8405)",,increased,,763779006,,12884747-DS-9,"ient GI. ===transitional issues==== -IMDUR 150 increased to IMDUR 180 QD to improve esophageal spasms. -" Wrong span,"(8455, 8475)","(8455, 8459)",LFTs mildly elevated,LFTs,707724006,365769003,12884747-DS-9," to IMDUR 180 QD to improve esophageal spasms. -LFTs mildly elevated: AST 45, ALT 66. Nml alk phos and t.bili. Likely" "Correct entity, wrong SNOMED ID","(8477, 8480)","(8477, 8480)",AST,AST,45896001,85043005,12884747-DS-9,"prove esophageal spasms. -LFTs mildly elevated: AST 45, ALT 66. Nml alk phos and t.bili. Likely ___ " "Correct entity, wrong SNOMED ID","(8485, 8488)","(8485, 8488)",ALT,ALT,34608000,364571000119101,12884747-DS-9,"ophageal spasms. -LFTs mildly elevated: AST 45, ALT 66. Nml alk phos and t.bili. Likely ___ fatty li" "Correct entity, wrong SNOMED ID","(8497, 8505)","(8497, 8505)",alk phos,alk phos,88810008,365772005,12884747-DS-9,"asms. -LFTs mildly elevated: AST 45, ALT 66. Nml alk phos and t.bili. Likely ___ fatty liver. Pls continue" Missed entity,"(8510, 8516)",,t.bili,,359986008,,12884747-DS-9,"mildly elevated: AST 45, ALT 66. Nml alk phos and t.bili. Likely ___ fatty liver. Pls continue to monitor" "Correct entity, wrong SNOMED ID","(8530, 8541)","(8530, 8541)",fatty liver,fatty liver,197321007,50325005,12884747-DS-9," 45, ALT 66. Nml alk phos and t.bili. Likely ___ fatty liver. Pls continue to monitor as outpt Medications o" Missed entity,"(8570, 8575)",,outpt,,737492002,,12884747-DS-9,"ikely ___ fatty liver. Pls continue to monitor as outpt Medications on Admission: The Preadmission Medi" "Correct entity, wrong SNOMED ID","(9669, 9681)","(9669, 9681)",hypertension,hypertension,38341003,70995007,12884747-DS-9," Home Discharge Diagnosis: Atypical chest pain, hypertension, hyperlipidemia, diabetes type II, esophageal sp" "Correct entity, wrong SNOMED ID","(9683, 9697)","(9683, 9697)",hyperlipidemia,hyperlipidemia,55822004,267434003,12884747-DS-9,"rge Diagnosis: Atypical chest pain, hypertension, hyperlipidemia, diabetes type II, esophageal spasm Discharge " "Correct entity, wrong SNOMED ID","(9758, 9771)","(9758, 9771)",Mental Status,Mental Status,392257007,419284004,12884747-DS-9,"type II, esophageal spasm Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(9773, 9778)","(9773, 9778)",Clear,Clear,830123008,281278005,12884747-DS-9,"ageal spasm Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(9793, 9815)","(9793, 9815)",Level of Consciousness,Level of Consciousness,444714004,830285008,12884747-DS-9,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(9817, 9822)","(9817, 9822)",Alert,Alert,248234008,409787004,12884747-DS-9,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(9827, 9838)","(9827, 9838)",interactive,interactive,288577006,10301000202103,12884747-DS-9,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Dis" "Correct entity, wrong SNOMED ID","(9840, 9855)","(9840, 9855)",Activity Status,Activity Status,129676008,397622007,12884747-DS-9,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructio" "Correct entity, wrong SNOMED ID","(9857, 9881)","(9857, 9881)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,12884747-DS-9,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, You cam" "Correct entity, wrong SNOMED ID","(9973, 9983)","(9973, 9983)",chest pain,chest pain,29857009,102589003,12884747-DS-9," You came to the hospital because you were having chest pain. The largest thing we worry about is a heart att" "Correct entity, wrong SNOMED ID","(10024, 10036)","(10024, 10036)",heart attack,heart attack,22298006,247818001,12884747-DS-9,"hest pain. The largest thing we worry about is a heart attack, particularly in you since you have had prior st" "Correct entity, wrong SNOMED ID","(10084, 10097)","(10084, 10097)",stents placed,stents placed,415070008,79707009,12884747-DS-9,"ck, particularly in you since you have had prior stents placed in your coronary arteries before. Thankfully, yo" "Correct entity, wrong SNOMED ID","(10106, 10124)","(10106, 10124)","coronary arteries","coronary arteries",41801008,371860003,12884747-DS-9,"ou since you have had prior stents placed in your coronary arteries before. Thankfully, your EKGs did not show any ev" "Correct entity, wrong SNOMED ID","(10150, 10154)","(10150, 10154)",EKGs,EKGs,29303009,46136006,12884747-DS-9," your coronary arteries before. Thankfully, your EKGs did not show any evidence of a heart attack, nor" "Correct entity, wrong SNOMED ID","(10187, 10199)","(10187, 10199)",heart attack,heart attack,22298006,247818001,12884747-DS-9,"kfully, your EKGs did not show any evidence of a heart attack, nor did the markers for cardiac dysfunction in " Wrong span,"(10213, 10244)","(10225, 10244)",markers for cardiac dysfunction,cardiac dysfunction,391485008,281091000,12884747-DS-9,"show any evidence of a heart attack, nor did the markers for cardiac dysfunction in your blood, even after a repeated episode of " "Correct entity, wrong SNOMED ID","(10294, 10304)","(10294, 10304)",chest pain,chest pain,29857009,102589003,12884747-DS-9," in your blood, even after a repeated episode of chest pain you had overnight. Therefore, your symptoms are " "Correct entity, wrong SNOMED ID","(10365, 10378)","(10365, 10378)","heart attack","heart attack",22298006,247818001,12884747-DS-9,"vernight. Therefore, your symptoms are not from a heart attack. Unfortunately, we are unable to tell you what is" Missed entity,"(10566, 10575)",,increased,,763779006,,12884747-DS-9,"re we have uptitrated your home nitrate. We have increased the dose of your isosorbide mononitrate from 120 " Missed entity,"(10653, 10662)",,follow-up,,183616001,,12884747-DS-9," mononitrate from 120 mg to 180 mg daily. Please follow-up with your outpatient gastroenterologist since he" False positive,,"(445, 452)",,partial,,55322005,12962702-DS-14,"resent Illness: ___ reports that on ___ he had a partial loss of vision in his left eye. The top eye of hi" False positive,,"(953, 966)",,physical exam,,410182004,12962702-DS-14,"arotid stenosis first noted as a carotid bruit on physical exam. This is his first episode of vision changed and" False positive,,"(1889, 1900)",,Vital Signs,,72970002,12962702-DS-14,"ternal grandmother with tremor. Physical Exam: Vital Signs: Temp: 98.5 RR: 16 Pulse: 67 BP: 180/63 Neuro/P" False positive,,"(1920, 1925)",,Pulse,,42177007,12962702-DS-14," Physical Exam: Vital Signs: Temp: 98.5 RR: 16 Pulse: 67 BP: 180/63 Neuro/Psych: Oriented x3, Affect" False positive,,"(1943, 1948)",,Neuro,,281247006,12962702-DS-14,"l Signs: Temp: 98.5 RR: 16 Pulse: 67 BP: 180/63 Neuro/Psych: Oriented x3, Affect Normal, NAD, abnormal:" False positive,,"(1949, 1954)",,Psych,,17326005,12962702-DS-14,"s: Temp: 98.5 RR: 16 Pulse: 67 BP: 180/63 Neuro/Psych: Oriented x3, Affect Normal, NAD, abnormal: Visua" False positive,,"(1956, 1967)",,Oriented x3,,311552005,12962702-DS-14,": 98.5 RR: 16 Pulse: 67 BP: 180/63 Neuro/Psych: Oriented x3, Affect Normal, NAD, abnormal: Visual defect reso" False positive,,"(1969, 1982)",,Affect Normal,,134417007,12962702-DS-14," Pulse: 67 BP: 180/63 Neuro/Psych: Oriented x3, Affect Normal, NAD, abnormal: Visual defect resolved. Neck: No" False positive,,"(1984, 1987)",,NAD,,131143000,12962702-DS-14,"180/63 Neuro/Psych: Oriented x3, Affect Normal, NAD, abnormal: Visual defect resolved. Neck: No mass" False positive,,"(2024, 2028)",,Neck,,840674001,12962702-DS-14,"t Normal, NAD, abnormal: Visual defect resolved. Neck: No masses, Trachea midline, Thyroid normal size," False positive,,"(2160, 2165)",,Nodes,,245283006,12962702-DS-14,"s, abnormal: Bilateral carotid bruit left>right. Nodes: No clavicular/cervical adenopathy, No inguinal " False positive,,"(2170, 2180)",,clavicular,,91009005,12962702-DS-14,"l: Bilateral carotid bruit left>right. Nodes: No clavicular/cervical adenopathy, No inguinal adenopathy. Sk" False positive,,"(2228, 2232)",,Skin,,444884003,12962702-DS-14,"ar/cervical adenopathy, No inguinal adenopathy. Skin: No atypical lesions. Heart: Regular rate and rh" False positive,,"(2237, 2245)",,atypical,,1230097004,12962702-DS-14,"al adenopathy, No inguinal adenopathy. Skin: No atypical lesions. Heart: Regular rate and rhythm. Lungs:" False positive,,"(2256, 2261)",,Heart,,22298006,12962702-DS-14,"nguinal adenopathy. Skin: No atypical lesions. Heart: Regular rate and rhythm. Lungs: Clear, Normal r" False positive,,"(2289, 2294)",,Lungs,,74101002,12962702-DS-14,"ypical lesions. Heart: Regular rate and rhythm. Lungs: Clear, Normal respiratory effort. Gastrointesti" False positive,,"(2331, 2347)",,Gastrointestinal,,119292006,12962702-DS-14,"hythm. Lungs: Clear, Normal respiratory effort. Gastrointestinal: Non distended, No masses, Guarding or rebound, N" False positive,,"(2440, 2451)",,Extremities,,248416007,12962702-DS-14,"ound, No hepatosplenomegally, No hernia, No AAA. Extremities: No popiteal aneurysm, No femoral bruit/thrill, N" False positive,,"(2565, 2573)",,Pulse Ex,,248633009,12962702-DS-14,"o LLE Edema, No varicosities, No skin changes. Pulse Exam (P=Palpation, D=Dopplerable, N=None) RUE Radial" False positive,,"(2856, 2858)",,WO,,64929002,12962702-DS-14,"D. Other: Diphasic signals ___. DESCRIPTION OF WOUND: Incision C/D/I Pertinent Results: ___ 05:" False positive,,"(2961, 2964)",,MCH,,735147002,12962702-DS-14,"M WBC-7.2 RBC-4.09* HGB-13.7* HCT-39.9* MCV-98 MCH-33.4* MCHC-34.2 RDW-15.1 ___ 05:15PM GLUCOSE-11" False positive,,"(4046, 4057)",,medications,,182837001,12962702-DS-14,"dvanced the next day and he was restarted on home medications. His foley was removed on POD#1, but he develop" False positive,,"(5869, 5886)",,Surgical Incision,,278731009,12962702-DS-14,"Instructions: What to expect when you go home: 1. Surgical Incision: • It is normal to have some swelling and feel a " False positive,,"(5999, 6002)",,red,,239163008,12962702-DS-14,"ong the incision • Your incision may be slightly red and raised, it may feel irritated from the stapl" False positive,,"(6028, 6037)",,irritated,,55929007,12962702-DS-14,"sion may be slightly red and raised, it may feel irritated from the staples 2. You may have a sore throat a" False positive,,"(6125, 6131)",,throat,,267102003,12962702-DS-14,"ore throat and/or mild hoarseness • Try warm tea, throat lozenges or cool/cold beverages 3. You may have " False positive,,"(6288, 6304)",,"pain medication",,52685006,12962702-DS-14,"• Try ibuprofen, acetaminophen, or your discharge pain medication • If headache worsens, is associated with visual " False positive,,"(6754, 6762)",,appetite,,79890006,12962702-DS-14,". It is normal to have a decreased appetite, your appetite will return with time • You will probably lose y" False positive,,"(6835, 6839)",,lose,,33653009,12962702-DS-14," • You will probably lose your taste for food and lose some weight • Eat small frequent meals • It is i" False positive,,"(7040, 7054)",,"wound healing",,103681003,12962702-DS-14,"lesterol) to maintain your strength and assist in wound healing • To avoid constipation: eat a high fiber diet an" False positive,,"(7258, 7274)",,pain medications,,52685006,12962702-DS-14,"until post-op visit and you are no longer taking pain medications • No excessive head turning, lifting, pushing or " False positive,,"(8179, 8194)",,ability to move,,364833005,12962702-DS-14,"lled by pain medication • A sudden change in the ability to move or use your arm or leg or the ability to feel yo" False positive,,"(8207, 8210)",,arm,,368208006,12962702-DS-14," sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg • " False positive,,"(8214, 8217)",,leg,,53840002,12962702-DS-14," change in the ability to move or use your arm or leg or the ability to feel your arm or leg • Trouble" False positive,,"(8226, 8233)",,ability,,364811008,12962702-DS-14,"he ability to move or use your arm or leg or the ability to feel your arm or leg • Trouble swallowing, bre" False positive,,"(8247, 8250)",,arm,,368208006,12962702-DS-14," use your arm or leg or the ability to feel your arm or leg • Trouble swallowing, breathing, or talkin" False positive,,"(8254, 8257)",,leg,,53840002,12962702-DS-14,"ur arm or leg or the ability to feel your arm or leg • Trouble swallowing, breathing, or talking • Tem" Missed entity,"(179, 197)",,No Known Allergies,,609328004,,12962702-DS-14," Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chie" "Correct entity, wrong SNOMED ID","(200, 222)","(200, 222)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,12962702-DS-14,"rvice: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Left eye vis" "Correct entity, wrong SNOMED ID","(260, 280)","(260, 280)",Left eye vision loss,Left eye vision loss,274571007,337411000119105,12962702-DS-14,"ug Reactions Attending: ___. Chief Complaint: Left eye vision loss Major Surgical or Invasive Procedure: ___ - lef" Wrong span,"(327, 331)","(327, 354)",left,left carotid endarterectomy,31156008,428534000,12962702-DS-14,"oss Major Surgical or Invasive Procedure: ___ - left carotid endarterectomy History of Present Illn" Wrong span,"(332, 354)","(327, 354)",carotid endarterectomy,left carotid endarterectomy,66951008,428534000,12962702-DS-14," Major Surgical or Invasive Procedure: ___ - left carotid endarterectomy History of Present Illness: History Present Il" Wrong span,"(453, 483)","(453, 467)",loss of vision in his left eye,loss of vision,274571007,38950008,12962702-DS-14,"llness: ___ reports that on ___ he had a partial loss of vision in his left eye. The top eye of his left eye became cloudy/dark g" "Correct entity, wrong SNOMED ID","(504, 512)","(504, 512)",left eye,left eye,8966001,12241831000119103,12962702-DS-14,"oss of vision in his left eye. The top eye of his left eye became cloudy/dark grey and the bottom half was c" Wrong span,"(622, 640)","(636, 640)","assessing his eyes",eyes,36228007,1285599008,12962702-DS-14,"reports that he went to his optomotrist who after assessing his eyes referred him to an opthalmologist who, on report " Missed entity,"(700, 716)",,cotton wool spot,,39832008,,12962702-DS-14,"him to an opthalmologist who, on report noticed a cotton wool spot in the left inferotemporal retina which suggested" "Correct entity, wrong SNOMED ID","(724, 728)","(724, 728)",left,left,64237003,264745005,12962702-DS-14," who, on report noticed a cotton wool spot in the left inferotemporal retina which suggested ischemia. " Missed entity,"(744, 750)",,retina,,5665001,,12962702-DS-14,"ced a cotton wool spot in the left inferotemporal retina which suggested ischemia. The opthalmologist the" "Correct entity, wrong SNOMED ID","(767, 775)","(767, 775)",ischemia,ischemia,52674009,414795007,12962702-DS-14,"in the left inferotemporal retina which suggested ischemia. The opthalmologist then contacted his neurologi" "Correct entity, wrong SNOMED ID","(889, 901)","(889, 901)",asymptomatic,asymptomatic,84387000,5481000175101,12962702-DS-14,"d him to ___ ED. Dr. ___ been following him for asymptomatic carotid stenosis first noted as a carotid bruit o" "Correct entity, wrong SNOMED ID","(902, 918)","(902, 918)",carotid stenosis,carotid stenosis,64586002,789642001,12962702-DS-14,"ED. Dr. ___ been following him for asymptomatic carotid stenosis first noted as a carotid bruit on physical exam. " "Correct entity, wrong SNOMED ID","(936, 949)","(936, 949)",carotid bruit,carotid bruit,419642000,10857000,12962702-DS-14,"or asymptomatic carotid stenosis first noted as a carotid bruit on physical exam. This is his first episode of v" "Correct entity, wrong SNOMED ID","(998, 1012)","(998, 1012)",vision changed,vision changed,63102001,180301000119102,12962702-DS-14,"t on physical exam. This is his first episode of vision changed and he denies a previous history of CVA. The pat" "Correct entity, wrong SNOMED ID","(1049, 1052)","(1049, 1052)",CVA,CVA,230690007,1131000119105,12962702-DS-14,"ision changed and he denies a previous history of CVA. The patient reports that his vision has been al" "Correct entity, wrong SNOMED ID","(1084, 1090)","(1084, 1090)",vision,vision,63102001,366064009,12962702-DS-14,"ous history of CVA. The patient reports that his vision has been almost completely restored although he d" "Correct entity, wrong SNOMED ID","(1198, 1210)","(1198, 1210)","visual field","visual field",12184005,421640006,12962702-DS-14," a residual deficit at the superior aspect of his visual field. He denies headache, dizziness, weakness, change" "Correct entity, wrong SNOMED ID","(1223, 1231)","(1223, 1231)",headache,headache,25064002,267096005,12962702-DS-14,"e superior aspect of his visual field. He denies headache, dizziness, weakness, changes in sensorium, or p" "Correct entity, wrong SNOMED ID","(1233, 1242)","(1233, 1242)",dizziness,dizziness,404640003,1141711004,12962702-DS-14," aspect of his visual field. He denies headache, dizziness, weakness, changes in sensorium, or problems mov" Wrong span,"(1265, 1274)","(1254, 1274)",sensorium,changes in sensorium,272646001,370837004,12962702-DS-14," denies headache, dizziness, weakness, changes in sensorium, or problems moving his extremities. He also de" Wrong span,"(1280, 1288)","(1280, 1311)",problems,problems moving his extremities,55607006,249894008,12962702-DS-14,"e, dizziness, weakness, changes in sensorium, or problems moving his extremities. He also denies fevers, c" Wrong span,"(1300, 1311)","(1280, 1311)",extremities,problems moving his extremities,2592007,249894008,12962702-DS-14,"ss, changes in sensorium, or problems moving his extremities. He also denies fevers, chills, nausea, vomiting" "Correct entity, wrong SNOMED ID","(1329, 1335)","(1329, 1335)",fevers,fevers,386661006,248444008,12962702-DS-14," problems moving his extremities. He also denies fevers, chills, nausea, vomiting, diarrhea and hematoche" "Correct entity, wrong SNOMED ID","(1337, 1343)","(1337, 1343)",chills,chills,43724002,274640006,12962702-DS-14,"s moving his extremities. He also denies fevers, chills, nausea, vomiting, diarrhea and hematochezia. He " "Correct entity, wrong SNOMED ID","(1376, 1388)","(1376, 1388)",hematochezia,hematochezia,405729008,206406008,12962702-DS-14,"es fevers, chills, nausea, vomiting, diarrhea and hematochezia. He denies rest pain and claudication and is able" "Correct entity, wrong SNOMED ID","(1400, 1409)","(1400, 1409)",rest pain,rest pain,426120002,9267009,12962702-DS-14,"a, vomiting, diarrhea and hematochezia. He denies rest pain and claudication and is able to walk ~1.5 miles w" "Correct entity, wrong SNOMED ID","(1414, 1426)","(1414, 1426)",claudication,claudication,63491006,43922008,12962702-DS-14,"iarrhea and hematochezia. He denies rest pain and claudication and is able to walk ~1.5 miles without his legs t" "Correct entity, wrong SNOMED ID","(1470, 1474)","(1470, 1474)",legs,legs,61685007,40927001,12962702-DS-14,"cation and is able to walk ~1.5 miles without his legs tiring. Past Medical History: PAST MEDICAL HIS" "Correct entity, wrong SNOMED ID","(1530, 1542)","(1530, 1542)",Hypertension,Hypertension,38341003,70995007,12962702-DS-14,"g. Past Medical History: PAST MEDICAL HISTORY: Hypertension, Hyperlipidemia, MI in ___, cataracts, benign Par" "Correct entity, wrong SNOMED ID","(1544, 1558)","(1544, 1558)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,12962702-DS-14,"ical History: PAST MEDICAL HISTORY: Hypertension, Hyperlipidemia, MI in ___, cataracts, benign Parotid Tumor PAS" "Correct entity, wrong SNOMED ID","(1571, 1580)","(1571, 1580)",cataracts,cataracts,193570009,95722004,12962702-DS-14,"HISTORY: Hypertension, Hyperlipidemia, MI in ___, cataracts, benign Parotid Tumor PAST SURGICAL HISTORY: To" "Correct entity, wrong SNOMED ID","(1582, 1602)","(1582, 1602)",benign Parotid Tumor,benign Parotid Tumor,92279000,48607003,12962702-DS-14,"pertension, Hyperlipidemia, MI in ___, cataracts, benign Parotid Tumor PAST SURGICAL HISTORY: Tonsillectomy, Right hip" "Correct entity, wrong SNOMED ID","(1628, 1641)","(1628, 1641)",Tonsillectomy,Tonsillectomy,173422009,1145322008,12962702-DS-14,"ts, benign Parotid Tumor PAST SURGICAL HISTORY: Tonsillectomy, Right hip replacement, Bilateral Benign Parotid " "Correct entity, wrong SNOMED ID","(1643, 1664)","(1643, 1664)",Right hip replacement,Right hip replacement,430694001,1078501000119108,12962702-DS-14,"tid Tumor PAST SURGICAL HISTORY: Tonsillectomy, Right hip replacement, Bilateral Benign Parotid Tumor Social History" "Correct entity, wrong SNOMED ID","(1676, 1696)","(1676, 1696)",Benign Parotid Tumor,Benign Parotid Tumor,92279000,48607003,12962702-DS-14,": Tonsillectomy, Right hip replacement, Bilateral Benign Parotid Tumor Social History: ___ Family History: Mother wit" "Correct entity, wrong SNOMED ID","(1748, 1757)","(1748, 1757)",emphysema,emphysema,49158009,26680001000004102,12962702-DS-14," Social History: ___ Family History: Mother with emphysema, lung cancer, and abdominal aorta problem and tre" "Correct entity, wrong SNOMED ID","(1759, 1770)","(1759, 1770)",lung cancer,lung cancer,363358000,162573006,12962702-DS-14,"story: ___ Family History: Mother with emphysema, lung cancer, and abdominal aorta problem and tremor. Father " "Correct entity, wrong SNOMED ID","(1776, 1791)","(1776, 1791)","abdominal aorta","abdominal aorta",7832008,241668004,12962702-DS-14," History: Mother with emphysema, lung cancer, and abdominal aorta problem and tremor. Father with emphysema. Mate" "Correct entity, wrong SNOMED ID","(1792, 1799)","(1792, 1799)",problem,problem,55607006,277843001,12962702-DS-14," with emphysema, lung cancer, and abdominal aorta problem and tremor. Father with emphysema. Maternal gra" "Correct entity, wrong SNOMED ID","(1804, 1810)","(1804, 1810)",tremor,tremor,26079004,30721006,12962702-DS-14,"ema, lung cancer, and abdominal aorta problem and tremor. Father with emphysema. Maternal grandmother wi" "Correct entity, wrong SNOMED ID","(1825, 1834)","(1825, 1834)",emphysema,emphysema,49158009,87433001,12962702-DS-14," abdominal aorta problem and tremor. Father with emphysema. Maternal grandmother with tremor. Physical E" "Correct entity, wrong SNOMED ID","(1863, 1869)","(1863, 1869)",tremor,tremor,26079004,30721006,12962702-DS-14,"Father with emphysema. Maternal grandmother with tremor. Physical Exam: Vital Signs: Temp: 98.5 RR: 16" "Correct entity, wrong SNOMED ID","(1902, 1906)","(1902, 1906)",Temp,Temp,105723007,102496004,12962702-DS-14,"other with tremor. Physical Exam: Vital Signs: Temp: 98.5 RR: 16 Pulse: 67 BP: 180/63 Neuro/Psych: " "Correct entity, wrong SNOMED ID","(1913, 1915)","(1913, 1915)",RR,RR,301283003,229040007,12962702-DS-14,"tremor. Physical Exam: Vital Signs: Temp: 98.5 RR: 16 Pulse: 67 BP: 180/63 Neuro/Psych: Oriented " "Correct entity, wrong SNOMED ID","(1930, 1932)","(1930, 1932)",BP,BP,392570002,38341003,12962702-DS-14,"al Exam: Vital Signs: Temp: 98.5 RR: 16 Pulse: 67 BP: 180/63 Neuro/Psych: Oriented x3, Affect Normal" "Correct entity, wrong SNOMED ID","(1999, 2012)","(1999, 2012)",Visual defect,Visual defect,12184005,16059031000119103,12962702-DS-14,"Psych: Oriented x3, Affect Normal, NAD, abnormal: Visual defect resolved. Neck: No masses, Trachea midline, Thyr" Missed entity,"(2013, 2021)",,resolved,,413322009,,12962702-DS-14,"d x3, Affect Normal, NAD, abnormal: Visual defect resolved. Neck: No masses, Trachea midline, Thyroid norma" "Correct entity, wrong SNOMED ID","(2033, 2039)","(2033, 2039)",masses,masses,300848003,237557003,12962702-DS-14," NAD, abnormal: Visual defect resolved. Neck: No masses, Trachea midline, Thyroid normal size, non-tender" "Correct entity, wrong SNOMED ID","(2041, 2056)","(2041, 2056)",Trachea midline,Trachea midline,271629002,1255085007,12962702-DS-14,"normal: Visual defect resolved. Neck: No masses, Trachea midline, Thyroid normal size, non-tender, no masses or no" "Correct entity, wrong SNOMED ID","(2058, 2065)","(2058, 2065)",Thyroid,Thyroid,69748006,129122007,12962702-DS-14,"fect resolved. Neck: No masses, Trachea midline, Thyroid normal size, non-tender, no masses or nodules, ab" "Correct entity, wrong SNOMED ID","(2066, 2077)","(2066, 2077)",normal size,normal size,53461003,289632007,12962702-DS-14,"olved. Neck: No masses, Trachea midline, Thyroid normal size, non-tender, no masses or nodules, abnormal: Bila" "Correct entity, wrong SNOMED ID","(2079, 2089)","(2079, 2089)",non-tender,non-tender,247348008,298741000,12962702-DS-14," No masses, Trachea midline, Thyroid normal size, non-tender, no masses or nodules, abnormal: Bilateral caroti" "Correct entity, wrong SNOMED ID","(2094, 2100)","(2094, 2100)",masses,masses,300848003,237557003,12962702-DS-14,"chea midline, Thyroid normal size, non-tender, no masses or nodules, abnormal: Bilateral carotid bruit lef" "Correct entity, wrong SNOMED ID","(2104, 2111)","(2104, 2111)",nodules,nodules,27925004,21444008,12962702-DS-14,"ne, Thyroid normal size, non-tender, no masses or nodules, abnormal: Bilateral carotid bruit left>right. N" "Correct entity, wrong SNOMED ID","(2133, 2146)","(2133, 2146)","carotid bruit","carotid bruit",419642000,10857000,12962702-DS-14,"tender, no masses or nodules, abnormal: Bilateral carotid bruit left>right. Nodes: No clavicular/cervical adenop" Missed entity,"(2147, 2151)",,left,,721028001,,12962702-DS-14,"ses or nodules, abnormal: Bilateral carotid bruit left>right. Nodes: No clavicular/cervical adenopathy," "Correct entity, wrong SNOMED ID","(2152, 2157)","(2152, 2157)",right,right,721033002,264746006,12962702-DS-14,"r nodules, abnormal: Bilateral carotid bruit left>right. Nodes: No clavicular/cervical adenopathy, No in" "Correct entity, wrong SNOMED ID","(2181, 2200)","(2181, 2200)",cervical adenopathy,cervical adenopathy,127086001,127087005,12962702-DS-14,"l carotid bruit left>right. Nodes: No clavicular/cervical adenopathy, No inguinal adenopathy. Skin: No atypical lesi" "Correct entity, wrong SNOMED ID","(2205, 2225)","(2205, 2225)","inguinal adenopathy","inguinal adenopathy",127199000,127202005,12962702-DS-14,"ht. Nodes: No clavicular/cervical adenopathy, No inguinal adenopathy. Skin: No atypical lesions. Heart: Regular rate" "Correct entity, wrong SNOMED ID","(2246, 2253)","(2246, 2253)",lesions,lesions,52988006,246206008,12962702-DS-14,"athy, No inguinal adenopathy. Skin: No atypical lesions. Heart: Regular rate and rhythm. Lungs: Clear, " "Correct entity, wrong SNOMED ID","(2263, 2286)","(2263, 2286)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,12962702-DS-14," adenopathy. Skin: No atypical lesions. Heart: Regular rate and rhythm. Lungs: Clear, Normal respiratory effort. Gastr" "Correct entity, wrong SNOMED ID","(2296, 2301)","(2296, 2301)",Clear,Clear,48348007,281278005,12962702-DS-14,"lesions. Heart: Regular rate and rhythm. Lungs: Clear, Normal respiratory effort. Gastrointestinal: No" Wrong span,"(2303, 2309)","(2303, 2328)",Normal,Normal respiratory effort,386549008,1290338002,12962702-DS-14,". Heart: Regular rate and rhythm. Lungs: Clear, Normal respiratory effort. Gastrointestinal: Non disten" Wrong span,"(2310, 2328)","(2303, 2328)",respiratory effort,Normal respiratory effort,248566004,1290338002,12962702-DS-14,"t: Regular rate and rhythm. Lungs: Clear, Normal respiratory effort. Gastrointestinal: Non distended, No masses, Gua" "Correct entity, wrong SNOMED ID","(2349, 2362)","(2349, 2362)",Non distended,Non distended,60728008,162069004,12962702-DS-14,"ar, Normal respiratory effort. Gastrointestinal: Non distended, No masses, Guarding or rebound, No hepatosplenom" "Correct entity, wrong SNOMED ID","(2367, 2373)","(2367, 2373)",masses,masses,271860004,237557003,12962702-DS-14,"tory effort. Gastrointestinal: Non distended, No masses, Guarding or rebound, No hepatosplenomegally, No " "Correct entity, wrong SNOMED ID","(2387, 2394)","(2387, 2394)",rebound,rebound,35611005,844584001,12962702-DS-14,"intestinal: Non distended, No masses, Guarding or rebound, No hepatosplenomegally, No hernia, No AAA. Extr" "Correct entity, wrong SNOMED ID","(2399, 2418)","(2399, 2418)",hepatosplenomegally,hepatosplenomegally,36760000,80378000,12962702-DS-14,"Non distended, No masses, Guarding or rebound, No hepatosplenomegally, No hernia, No AAA. Extremities: No popiteal ane" "Correct entity, wrong SNOMED ID","(2423, 2429)","(2423, 2429)",hernia,hernia,52515009,84089009,12962702-DS-14,", Guarding or rebound, No hepatosplenomegally, No hernia, No AAA. Extremities: No popiteal aneurysm, No f" Wrong span,"(2456, 2464)","(2456, 2473)",popiteal,popiteal aneurysm,6902008,311798009,12962702-DS-14,"plenomegally, No hernia, No AAA. Extremities: No popiteal aneurysm, No femoral bruit/thrill, No RLE edema, " Wrong span,"(2465, 2473)","(2456, 2473)",aneurysm,popiteal aneurysm,85659009,311798009,12962702-DS-14,"lly, No hernia, No AAA. Extremities: No popiteal aneurysm, No femoral bruit/thrill, No RLE edema, No LLE Ed" "Correct entity, wrong SNOMED ID","(2478, 2491)","(2478, 2491)",femoral bruit,femoral bruit,418869005,34276006,12962702-DS-14,"a, No AAA. Extremities: No popiteal aneurysm, No femoral bruit/thrill, No RLE edema, No LLE Edema, No varicositi" "Correct entity, wrong SNOMED ID","(2492, 2498)","(2492, 2498)",thrill,thrill,1735007,27144005,12962702-DS-14,"tremities: No popiteal aneurysm, No femoral bruit/thrill, No RLE edema, No LLE Edema, No varicosities, No " Wrong span,"(2503, 2512)","(2503, 2506)",RLE edema,RLE,816183007,229042004,12962702-DS-14,"No popiteal aneurysm, No femoral bruit/thrill, No RLE edema, No LLE Edema, No varicosities, No skin changes. " Wrong span,"(2517, 2526)","(2517, 2520)",LLE Edema,LLE,816182002,420296000,12962702-DS-14,"eurysm, No femoral bruit/thrill, No RLE edema, No LLE Edema, No varicosities, No skin changes. Pulse Exam " "Correct entity, wrong SNOMED ID","(2531, 2543)","(2531, 2543)",varicosities,varicosities,128060009,402844009,12962702-DS-14,"oral bruit/thrill, No RLE edema, No LLE Edema, No varicosities, No skin changes. Pulse Exam (P=Palpation, D=D" "Correct entity, wrong SNOMED ID","(2548, 2560)","(2548, 2560)",skin changes,skin changes,225543007,246187007,12962702-DS-14,", No RLE edema, No LLE Edema, No varicosities, No skin changes. Pulse Exam (P=Palpation, D=Dopplerable, N=Non" "Correct entity, wrong SNOMED ID","(2579, 2588)","(2579, 2588)",Palpation,Palpation,113011001,51558006,12962702-DS-14,"o varicosities, No skin changes. Pulse Exam (P=Palpation, D=Dopplerable, N=None) RUE Radial: P. Ulnar: P. " "Correct entity, wrong SNOMED ID","(2613, 2616)","(2613, 2616)",RUE,RUE,6921000,40522004,12962702-DS-14," Pulse Exam (P=Palpation, D=Dopplerable, N=None) RUE Radial: P. Ulnar: P. Brachial: P. LUE Radial: P." "Correct entity, wrong SNOMED ID","(2617, 2623)","(2617, 2623)",Radial,Radial,45631007,255601005,12962702-DS-14,"lse Exam (P=Palpation, D=Dopplerable, N=None) RUE Radial: P. Ulnar: P. Brachial: P. LUE Radial: P. Ulnar:" Missed entity,"(2628, 2633)",,Ulnar,,44984001,,12962702-DS-14,"=Palpation, D=Dopplerable, N=None) RUE Radial: P. Ulnar: P. Brachial: P. LUE Radial: P. Ulnar: P. Brachi" "Correct entity, wrong SNOMED ID","(2652, 2655)","(2652, 2655)",LUE,LUE,80768000,24631000181104,12962702-DS-14,"e, N=None) RUE Radial: P. Ulnar: P. Brachial: P. LUE Radial: P. Ulnar: P. Brachial: P. RLE Femoral: P" "Correct entity, wrong SNOMED ID","(2656, 2662)","(2656, 2662)",Radial,Radial,45631007,255601005,12962702-DS-14,"=None) RUE Radial: P. Ulnar: P. Brachial: P. LUE Radial: P. Ulnar: P. Brachial: P. RLE Femoral: P. Popit" Missed entity,"(2667, 2672)",,Ulnar,,44984001,,12962702-DS-14,"Radial: P. Ulnar: P. Brachial: P. LUE Radial: P. Ulnar: P. Brachial: P. RLE Femoral: P. Popiteal: P. DP" "Correct entity, wrong SNOMED ID","(2691, 2694)","(2691, 2694)",RLE,RLE,62175007,229042004,12962702-DS-14,"chial: P. LUE Radial: P. Ulnar: P. Brachial: P. RLE Femoral: P. Popiteal: P. DP: D. ___: D. Other: Di" Boundary error,"(2695, 2702)","(2695, 2700)",Femoral,Femor,7657000,181679006,12962702-DS-14,"l: P. LUE Radial: P. Ulnar: P. Brachial: P. RLE Femoral: P. Popiteal: P. DP: D. ___: D. Other: Diphasic s" Missed entity,"(2707, 2715)",,Popiteal,,43899006,,12962702-DS-14,"adial: P. Ulnar: P. Brachial: P. RLE Femoral: P. Popiteal: P. DP: D. ___: D. Other: Diphasic signals ___. " Wrong span,"(2765, 2768)","(2765, 2774)",LLE,LLE Femor,32153003,465991000,12962702-DS-14,": P. DP: D. ___: D. Other: Diphasic signals ___. LLE Femoral: P. Popiteal: P. DP: D. ___: D. Other: Di" Wrong span,"(2769, 2776)","(2765, 2774)",Femoral,LLE Femor,7657000,465991000,12962702-DS-14," DP: D. ___: D. Other: Diphasic signals ___. LLE Femoral: P. Popiteal: P. DP: D. ___: D. Other: Diphasic s" Missed entity,"(2781, 2789)",,Popiteal,,43899006,,12962702-DS-14," D. Other: Diphasic signals ___. LLE Femoral: P. Popiteal: P. DP: D. ___: D. Other: Diphasic signals ___. " "Correct entity, wrong SNOMED ID","(2863, 2871)","(2863, 2871)",Incision,Incision,609343002,119684006,12962702-DS-14,"r: Diphasic signals ___. DESCRIPTION OF WOUND: Incision C/D/I Pertinent Results: ___ 05:15PM WBC-7." "Correct entity, wrong SNOMED ID","(2915, 2918)","(2915, 2918)",WBC,WBC,767002,391558003,12962702-DS-14,"cision C/D/I Pertinent Results: ___ 05:15PM WBC-7.2 RBC-4.09* HGB-13.7* HCT-39.9* MCV-98 MCH-33." "Correct entity, wrong SNOMED ID","(2923, 2926)","(2923, 2926)",RBC,RBC,14089001,258759006,12962702-DS-14,"/D/I Pertinent Results: ___ 05:15PM WBC-7.2 RBC-4.09* HGB-13.7* HCT-39.9* MCV-98 MCH-33.4* MCHC-" "Correct entity, wrong SNOMED ID","(2933, 2936)","(2933, 2936)",HGB,HGB,441689006,104142005,12962702-DS-14,"ertinent Results: ___ 05:15PM WBC-7.2 RBC-4.09* HGB-13.7* HCT-39.9* MCV-98 MCH-33.4* MCHC-34.2 RDW-1" "Correct entity, wrong SNOMED ID","(2943, 2946)","(2943, 2946)",HCT,HCT,28317006,282660005,12962702-DS-14,"esults: ___ 05:15PM WBC-7.2 RBC-4.09* HGB-13.7* HCT-39.9* MCV-98 MCH-33.4* MCHC-34.2 RDW-15.1 ___ 05" Missed entity,"(2953, 2956)",,MCV,,104133003,,12962702-DS-14,"_ 05:15PM WBC-7.2 RBC-4.09* HGB-13.7* HCT-39.9* MCV-98 MCH-33.4* MCHC-34.2 RDW-15.1 ___ 05:15PM GL" "Correct entity, wrong SNOMED ID","(2971, 2975)","(2971, 2975)",MCHC,MCHC,37254006,735147002,12962702-DS-14,"2 RBC-4.09* HGB-13.7* HCT-39.9* MCV-98 MCH-33.4* MCHC-34.2 RDW-15.1 ___ 05:15PM GLUCOSE-111* UREA N-4" "Correct entity, wrong SNOMED ID","(3004, 3011)","(3004, 3011)",GLUCOSE,GLUCOSE,33747003,72191006,12962702-DS-14,"CV-98 MCH-33.4* MCHC-34.2 RDW-15.1 ___ 05:15PM GLUCOSE-111* UREA N-48* CREAT-1.3* SODIUM-138 POTASSIUM-" "Correct entity, wrong SNOMED ID","(3028, 3033)","(3028, 3033)",CREAT,CREAT,70901006,413856009,12962702-DS-14,".2 RDW-15.1 ___ 05:15PM GLUCOSE-111* UREA N-48* CREAT-1.3* SODIUM-138 POTASSIUM-5.1 CHLORIDE-110* TOTA" "Correct entity, wrong SNOMED ID","(3039, 3045)","(3039, 3045)",SODIUM,SODIUM,25197003,104934005,12962702-DS-14," ___ 05:15PM GLUCOSE-111* UREA N-48* CREAT-1.3* SODIUM-138 POTASSIUM-5.1 CHLORIDE-110* TOTAL CO2-16* AN" "Correct entity, wrong SNOMED ID","(3051, 3060)","(3051, 3060)",POTASSIUM,POTASSIUM,59573005,1149432009,12962702-DS-14," GLUCOSE-111* UREA N-48* CREAT-1.3* SODIUM-138 POTASSIUM-5.1 CHLORIDE-110* TOTAL CO2-16* ANION GAP-17 ___ " "Correct entity, wrong SNOMED ID","(3065, 3073)","(3065, 3073)",CHLORIDE,CHLORIDE,104589004,108447000,12962702-DS-14,"* UREA N-48* CREAT-1.3* SODIUM-138 POTASSIUM-5.1 CHLORIDE-110* TOTAL CO2-16* ANION GAP-17 ___ 08:20PM ___" "Correct entity, wrong SNOMED ID","(3093, 3102)","(3093, 3102)",ANION GAP,ANION GAP,25469001,237854004,12962702-DS-14,"UM-138 POTASSIUM-5.1 CHLORIDE-110* TOTAL CO2-16* ANION GAP-17 ___ 08:20PM ___ PTT-20.1* ___ ___ MRI head/" "Correct entity, wrong SNOMED ID","(3124, 3127)","(3124, 3127)",PTT,PTT,42525009,282119004,12962702-DS-14,"110* TOTAL CO2-16* ANION GAP-17 ___ 08:20PM ___ PTT-20.1* ___ ___ MRI head/neck: No significant abno" Wrong span,"(3158, 3186)","(3173, 3186)",No significant abnormalities,abnormalities,281900007,107669003,12962702-DS-14,"_ 08:20PM ___ PTT-20.1* ___ ___ MRI head/neck: No significant abnormalities on MRA of the head. No acute infarct seen. A" Wrong span,"(3215, 3228)","(3212, 3220)",acute infarct,No acute,55470003,255228009,12962702-DS-14,"ificant abnormalities on MRA of the head. No acute infarct seen. Areas of low signal in the right frontal s" Wrong span,"(3262, 3275)","(3262, 3282)",right frontal,"right frontal sulci",15046008,279342009,12962702-DS-14,"No acute infarct seen. Areas of low signal in the right frontal sulci indicate of superficial siderosis from pr" Wrong span,"(3277, 3282)","(3262, 3282)",sulci,"right frontal sulci",72078007,279342009,12962702-DS-14,"t seen. Areas of low signal in the right frontal sulci indicate of superficial siderosis from previous " Wrong span,"(3296, 3317)","(3296, 3307)",superficial siderosis,superficial,733200004,288105009,12962702-DS-14,"w signal in the right frontal sulci indicate of superficial siderosis from previous subarachnoid hemorrhage. MRA of th" "Correct entity, wrong SNOMED ID","(3332, 3356)","(3332, 3356)","subarachnoid hemorrhage","subarachnoid hemorrhage",21454007,21202004,12962702-DS-14," indicate of superficial siderosis from previous subarachnoid hemorrhage. MRA of the neck demonstrates diffuse atheroscler" "Correct entity, wrong SNOMED ID","(3358, 3373)","(3358, 3373)",MRA of the neck,MRA of the neck,702726002,241665001,12962702-DS-14,"siderosis from previous subarachnoid hemorrhage. MRA of the neck demonstrates diffuse atherosclerotic disease wit" Wrong span,"(3412, 3419)","(3395, 3419)",disease,"atherosclerotic disease",64572001,724441006,12962702-DS-14,"of the neck demonstrates diffuse atherosclerotic disease with approximately 60-70% narrowing at the narrow" Wrong span,"(3446, 3507)","(3446, 3455)","narrowing at the narrowest portions in both carotid arteries",narrowing,787044009,246406005,12962702-DS-14,"therosclerotic disease with approximately 60-70% narrowing at the narrowest portions in both carotid arteries. Intracranial MRA is unremarkable. Brief Hos" "Correct entity, wrong SNOMED ID","(3510, 3526)","(3510, 3526)",Intracranial MRA,Intracranial MRA,1162758002,1366357009,12962702-DS-14,"he narrowest portions in both carotid arteries. Intracranial MRA is unremarkable. Brief Hospital Course: Mr. _" "Correct entity, wrong SNOMED ID","(3531, 3543)","(3531, 3543)",unremarkable,unremarkable,281900007,268484008,12962702-DS-14,"s in both carotid arteries. Intracranial MRA is unremarkable. Brief Hospital Course: Mr. ___ was admitted o" Wrong span,"(3613, 3633)","(3604, 3633)","visual field defect","superior visual field defect",12184005,445923001,12962702-DS-14,"Course: Mr. ___ was admitted on ___ with superior visual field defect of the left eye. MRA revealed approximately 75% " "Correct entity, wrong SNOMED ID","(3641, 3649)","(3641, 3649)",left eye,left eye,8966001,12241831000119103,12962702-DS-14," on ___ with superior visual field defect of the left eye. MRA revealed approximately 75% stenosis of his" "Correct entity, wrong SNOMED ID","(3652, 3655)","(3652, 3655)",MRA,MRA,417936006,1380161007,12962702-DS-14,"h superior visual field defect of the left eye. MRA revealed approximately 75% stenosis of his left " "Correct entity, wrong SNOMED ID","(3683, 3691)","(3683, 3691)",stenosis,stenosis,415582006,246073005,12962702-DS-14," of the left eye. MRA revealed approximately 75% stenosis of his left carotid bifurcation. He was taken t" Wrong span,"(3700, 3704)","(3700, 3724)",left,left carotid bifurcation,721028001,1220636001,12962702-DS-14," MRA revealed approximately 75% stenosis of his left carotid bifurcation. He was taken to the operati" Wrong span,"(3705, 3724)","(3700, 3724)",carotid bifurcation,left carotid bifurcation,80272002,1220636001,12962702-DS-14," revealed approximately 75% stenosis of his left carotid bifurcation. He was taken to the operating room on ___ for " Wrong span,"(3776, 3780)","(3776, 3803)",left,left carotid endarterectomy,721028001,428534000,12962702-DS-14," He was taken to the operating room on ___ for a left carotid endarterectomy. Please see operative re" Wrong span,"(3781, 3803)","(3776, 3803)",carotid endarterectomy,left carotid endarterectomy,66951008,428534000,12962702-DS-14,"as taken to the operating room on ___ for a left carotid endarterectomy. Please see operative report dictated on ___ fo" Missed entity,"(3818, 3827)",,operative,,387713003,,12962702-DS-14,"_ for a left carotid endarterectomy. Please see operative report dictated on ___ for further details of the" Missed entity,"(3879, 3888)",,operation,,387713003,,12962702-DS-14,"eport dictated on ___ for further details of the operation. The procedure was uncomplicated and he was tra" "Correct entity, wrong SNOMED ID","(3895, 3904)","(3895, 3904)",procedure,procedure,71388002,118672003,12962702-DS-14,"n ___ for further details of the operation. The procedure was uncomplicated and he was transferred to the " "Correct entity, wrong SNOMED ID","(3962, 3978)","(3962, 3978)",stable condition,stable condition,359746009,193844000,12962702-DS-14,"omplicated and he was transferred to the VICU in stable condition. His diet was advanced the next day and he was " "Correct entity, wrong SNOMED ID","(3985, 4003)","(3985, 4003)","diet was advanced","diet was advanced",422972009,386261001,12962702-DS-14,"transferred to the VICU in stable condition. His diet was advanced the next day and he was restarted on home medicat" Boundary error,"(4028, 4037)","(4028, 4035)",restarted,restart,182837001,182837001,12962702-DS-14,". His diet was advanced the next day and he was restarted on home medications. His foley was removed on P" "Correct entity, wrong SNOMED ID","(4065, 4082)","(4065, 4082)",foley was removed,foley was removed,43748006,266768004,12962702-DS-14,"y and he was restarted on home medications. His foley was removed on POD#1, but he developed urinary retention. H" "Correct entity, wrong SNOMED ID","(4110, 4128)","(4110, 4128)","urinary retention","urinary retention",267064002,236648008,12962702-DS-14," His foley was removed on POD#1, but he developed urinary retention. He was straight cathed once, but again failed t" Wrong span,"(4138, 4153)","(4147, 4153)",straight cathed,cathed,705156009,182521000,12962702-DS-14,"D#1, but he developed urinary retention. He was straight cathed once, but again failed to void, so he was starte" "Correct entity, wrong SNOMED ID","(4170, 4185)","(4170, 4185)","failed to void","failed to void",252030006,449491000124101,12962702-DS-14,"etention. He was straight cathed once, but again failed to void, so he was started on Flomax and a foley catheter" Wrong span,"(4221, 4249)","(4221, 4235)","foley catheter was replaced",foley catheter,103713001,23973005,12962702-DS-14,"ailed to void, so he was started on Flomax and a foley catheter was replaced. His wound staples and JP drain were removed in " "Correct entity, wrong SNOMED ID","(4256, 4261)","(4256, 4261)",wound,wound,416462003,35933005,12962702-DS-14,"n Flomax and a foley catheter was replaced. His wound staples and JP drain were removed in the morning" Missed entity,"(4262, 4269)",,staples,,50015006,,12962702-DS-14,"ax and a foley catheter was replaced. His wound staples and JP drain were removed in the morning of POD#" Wrong span,"(4277, 4295)","(4274, 4282)",drain were removed,JP drain,241031001,440549000,12962702-DS-14,"catheter was replaced. His wound staples and JP drain were removed in the morning of POD#2. He will be discharged " "Correct entity, wrong SNOMED ID","(5762, 5767)","(5762, 5767)",alert,alert,248234008,409787004,12962702-DS-14,"tid artery stenosis Discharge Condition: Awake alert, oriented x3 Ambulating independently Discharg" "Correct entity, wrong SNOMED ID","(5769, 5780)","(5769, 5780)",oriented x3,oriented x3,426224004,311552005,12962702-DS-14,"ery stenosis Discharge Condition: Awake alert, oriented x3 Ambulating independently Discharge Instruction" "Correct entity, wrong SNOMED ID","(5781, 5805)","(5781, 5805)",Ambulating independently,Ambulating independently,165245003,722370002,12962702-DS-14," Discharge Condition: Awake alert, oriented x3 Ambulating independently Discharge Instructions: What to expect when yo" "Correct entity, wrong SNOMED ID","(5916, 5924)","(5916, 5924)",swelling,swelling,442672001,300890009,12962702-DS-14,"1. Surgical Incision: • It is normal to have some swelling and feel a firm ridge along the incision • Your " "Correct entity, wrong SNOMED ID","(5958, 5966)","(5958, 5966)",incision,incision,609343002,119684006,12962702-DS-14,"ve some swelling and feel a firm ridge along the incision • Your incision may be slightly red and raised, i" "Correct entity, wrong SNOMED ID","(5974, 5982)","(5974, 5982)",incision,incision,609343002,119684006,12962702-DS-14," and feel a firm ridge along the incision • Your incision may be slightly red and raised, it may feel irri" Missed entity,"(6047, 6054)",,staples,,50015006,,12962702-DS-14,"y red and raised, it may feel irritated from the staples 2. You may have a sore throat and/or mild hoarse" "Correct entity, wrong SNOMED ID","(6074, 6085)","(6074, 6085)",sore throat,sore throat,267102003,43878008,12962702-DS-14,"el irritated from the staples 2. You may have a sore throat and/or mild hoarseness • Try warm tea, throat loz" Missed entity,"(6093, 6097)",,mild,,162468002,,12962702-DS-14,"the staples 2. You may have a sore throat and/or mild hoarseness • Try warm tea, throat lozenges or coo" Missed entity,"(6183, 6187)",,mild,,162468002,,12962702-DS-14,"ozenges or cool/cold beverages 3. You may have a mild headache, especially on the side of your surgery" "Correct entity, wrong SNOMED ID","(6188, 6196)","(6188, 6196)",headache,headache,25064002,267096005,12962702-DS-14,"es or cool/cold beverages 3. You may have a mild headache, especially on the side of your surgery • Try ib" "Correct entity, wrong SNOMED ID","(6230, 6237)","(6230, 6237)",surgery,surgery,387713003,110473004,12962702-DS-14," a mild headache, especially on the side of your surgery • Try ibuprofen, acetaminophen, or your discharge" "Correct entity, wrong SNOMED ID","(6310, 6318)","(6310, 6318)",headache,headache,25064002,267096005,12962702-DS-14,"minophen, or your discharge pain medication • If headache worsens, is associated with visual changes or la" "Correct entity, wrong SNOMED ID","(6319, 6326)","(6319, 6326)",worsens,worsens,271299001,385639007,12962702-DS-14," or your discharge pain medication • If headache worsens, is associated with visual changes or lasts long" "Correct entity, wrong SNOMED ID","(6347, 6361)","(6347, 6361)",visual changes,visual changes,63102001,161490000,12962702-DS-14,"ication • If headache worsens, is associated with visual changes or lasts longer than 2 hours- call vascular surg" "Correct entity, wrong SNOMED ID","(6449, 6454)","(6449, 6454)",tired,tired,224960004,161869003,12962702-DS-14,"ascular surgeon’s office 4. It is normal to feel tired, this will last for ___ weeks • You should get up" "Correct entity, wrong SNOMED ID","(6729, 6747)","(6729, 6747)",decreased appetite,decreased appetite,64379006,405788002,12962702-DS-14," too much right away! 5. It is normal to have a decreased appetite, your appetite will return with time • You will " "Correct entity, wrong SNOMED ID","(7066, 7078)","(7066, 7078)",constipation,constipation,14760008,713115004,12962702-DS-14," strength and assist in wound healing • To avoid constipation: eat a high fiber diet and use stool softener wh" Missed entity,"(7086, 7101)",,high fiber diet,,11739001,,12962702-DS-14," in wound healing • To avoid constipation: eat a high fiber diet and use stool softener while taking pain medicat" "Correct entity, wrong SNOMED ID","(7110, 7125)","(7110, 7125)","stool softener","stool softener",225948006,462864007,12962702-DS-14,"avoid constipation: eat a high fiber diet and use stool softener while taking pain medication What activities you" Wrong span,"(7126, 7154)","(7139, 7154)",while taking pain medication,pain medication,394835006,52685006,12962702-DS-14,"on: eat a high fiber diet and use stool softener while taking pain medication What activities you can and cannot do: • No driv" Missed entity,"(7385, 7395)",,may shower,,15502008,,12962702-DS-14,"reater than 5 lbs) until your post op visit • You may shower (no direct spray on incision, let the soapy wate" "Correct entity, wrong SNOMED ID","(7416, 7424)","(7416, 7424)",incision,incision,609343002,119684006,12962702-DS-14,"ost op visit • You may shower (no direct spray on incision, let the soapy water run over incision, rinse an" "Correct entity, wrong SNOMED ID","(7456, 7464)","(7456, 7464)",incision,incision,609343002,119684006,12962702-DS-14," spray on incision, let the soapy water run over incision, rinse and pat dry) • Your incision may be left u" "Correct entity, wrong SNOMED ID","(7492, 7500)","(7492, 7500)",incision,incision,609343002,119684006,12962702-DS-14,"ater run over incision, rinse and pat dry) • Your incision may be left uncovered, unless you have small amo" Missed entity,"(7540, 7545)",,small,,162468002,,12962702-DS-14,"r incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a" Wrong span,"(7558, 7581)","(7558, 7566)",drainage from the wound,drainage,239164002,56783008,12962702-DS-14,"left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is " Missed entity,"(7588, 7608)",,place a dry dressing,,3895009,,12962702-DS-14,"e small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed • Take" Missed entity,"(7631, 7639)",,draining,,239164002,,12962702-DS-14,", then place a dry dressing over the area that is draining, as needed • Take all the medications you were t" "Correct entity, wrong SNOMED ID","(7702, 7709)","(7702, 7709)",surgery,surgery,387713003,110473004,12962702-DS-14,"• Take all the medications you were taking before surgery, unless otherwise directed • Take one full stren" "Correct entity, wrong SNOMED ID","(7890, 7896)","(7890, 7896)",staple,staple,302414003,386014009,12962702-DS-14,"chedule an appointment to be seen in 2 weeks for staple/suture removal What to report to office: • Chang" "Correct entity, wrong SNOMED ID","(7941, 7958)","(7941, 7958)",Changes in vision,Changes in vision,63102001,180301000119102,12962702-DS-14,"taple/suture removal What to report to office: • Changes in vision (loss of vision, blurring, double vision, half v" "Correct entity, wrong SNOMED ID","(7960, 7974)","(7960, 7974)",loss of vision,loss of vision,313165001,38950008,12962702-DS-14,"l What to report to office: • Changes in vision (loss of vision, blurring, double vision, half vision) • Slurrin" "Correct entity, wrong SNOMED ID","(7976, 7984)","(7976, 7984)",blurring,blurring,111516008,1119528007,12962702-DS-14,"t to office: • Changes in vision (loss of vision, blurring, double vision, half vision) • Slurring of speec" "Correct entity, wrong SNOMED ID","(7986, 7999)","(7986, 7999)",double vision,double vision,24982008,251751001,12962702-DS-14,"e: • Changes in vision (loss of vision, blurring, double vision, half vision) • Slurring of speech or difficulty" "Correct entity, wrong SNOMED ID","(8002, 8013)","(8002, 8013)",half vision,half vision,63102001,251751001,12962702-DS-14,"vision (loss of vision, blurring, double vision, half vision) • Slurring of speech or difficulty finding corre" "Correct entity, wrong SNOMED ID","(8017, 8035)","(8017, 8035)",Slurring of speech,Slurring of speech,289195008,773495009,12962702-DS-14," vision, blurring, double vision, half vision) • Slurring of speech or difficulty finding correct words to use • Seve" Wrong span,"(8039, 8071)","(8039, 8057)",difficulty finding correct words,difficulty finding,286384007,229738006,12962702-DS-14,"ble vision, half vision) • Slurring of speech or difficulty finding correct words to use • Severe headache or worsening headache no" "Correct entity, wrong SNOMED ID","(8088, 8096)","(8088, 8096)",headache,headache,25064002,267096005,12962702-DS-14," difficulty finding correct words to use • Severe headache or worsening headache not controlled by pain med" Wrong span,"(8100, 8109)","(8100, 8105)",worsening,worse,1144586002,280122007,12962702-DS-14,"finding correct words to use • Severe headache or worsening headache not controlled by pain medication • A s" "Correct entity, wrong SNOMED ID","(8110, 8118)","(8110, 8118)",headache,headache,25064002,267096005,12962702-DS-14,"rrect words to use • Severe headache or worsening headache not controlled by pain medication • A sudden cha" Wrong span,"(8260, 8278)","(8268, 8278)",Trouble swallowing,swallowing,40739000,30693006,12962702-DS-14," or leg or the ability to feel your arm or leg • Trouble swallowing, breathing, or talking • Temperature greater than" "Correct entity, wrong SNOMED ID","(8280, 8289)","(8280, 8289)",breathing,breathing,230145002,271825005,12962702-DS-14,"ity to feel your arm or leg • Trouble swallowing, breathing, or talking • Temperature greater than 101.5F for" "Correct entity, wrong SNOMED ID","(8304, 8315)","(8304, 8315)",Temperature,Temperature,50177009,228018009,12962702-DS-14,"leg • Trouble swallowing, breathing, or talking • Temperature greater than 101.5F for 24 hours • Bleeding, new " "Correct entity, wrong SNOMED ID","(8351, 8359)","(8351, 8359)",Bleeding,Bleeding,131148009,74474003,12962702-DS-14," • Temperature greater than 101.5F for 24 hours • Bleeding, new or increased drainage from incision or white" "Correct entity, wrong SNOMED ID","(8378, 8386)","(8378, 8386)",drainage,drainage,239164002,56783008,12962702-DS-14," 101.5F for 24 hours • Bleeding, new or increased drainage from incision or white, yellow or green drainage" "Correct entity, wrong SNOMED ID","(8392, 8400)","(8392, 8400)",incision,incision,609343002,119684006,12962702-DS-14," hours • Bleeding, new or increased drainage from incision or white, yellow or green drainage from incision" "Correct entity, wrong SNOMED ID","(8428, 8436)","(8428, 8436)",drainage,drainage,239164002,56783008,12962702-DS-14,"drainage from incision or white, yellow or green drainage from incisions Followup Instructions: ___ " "Correct entity, wrong SNOMED ID","(8442, 8451)","(8442, 8451)",incisions,incisions,609343002,278721002,12962702-DS-14,"incision or white, yellow or green drainage from incisions Followup Instructions: ___ " False positive,,"(180, 182)",,No,,160552003,12970259-DS-4," Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attend" False positive,,"(995, 1009)",,Constitutional,,47708004,12970259-DS-4," HR: 100 BP: 219/112 Resp: 22 O(2)Sat: 100 Normal Constitutional: Patient is in obvious discomfort HEENT: Normocep" False positive,,"(1159, 1166)",,C-spine,,122495006,12970259-DS-4,"e to light, Extraocular muscles intact No midline C-spine tenderness Chest: Right lateral chest wall tender" False positive,,"(1199, 1209)",,chest wall,,448488004,12970259-DS-4,"o midline C-spine tenderness Chest: Right lateral chest wall tenderness Cardiovascular: Tachycardic Abdominal:" False positive,,"(1295, 1299)",,Back,,37822005,12970259-DS-4,"dic Abdominal: Soft, Nontender, Nondistended Extr/Back: No cyanosis, clubbing or edema Skin: No rash, Wa" False positive,,"(1494, 1495)",,A,,420512001,12970259-DS-4,"ical Exam: VS: 97.9, 188/102, 86, 17, 96 Ra GEN: A&O, mild discomfort with activity HEENT: wnl CV: H" False positive,,"(1496, 1497)",,O,,257993002,12970259-DS-4,"al Exam: VS: 97.9, 188/102, 86, 17, 96 Ra GEN: A&O, mild discomfort with activity HEENT: wnl CV: HRR" False positive,,"(2804, 2807)",,ASA,,417980006,12970259-DS-4,"7 CREAT-0.7 ___ 09:14PM LIPASE-22 ___ 09:14PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbi" False positive,,"(3507, 3515)",,CT chest,,169069000,12970259-DS-4,"iple right-sided rib fractures are present. ___ CT chest: Acute mildly displaced fx of lateral R ___, post" False positive,,"(3634, 3641)",,lateral,,1230179009,12970259-DS-4,"th rib, non-displaced fx post R8-9 ribs. Multiple lateral and posterior R sided rib fractures producing fla" False positive,,"(3896, 3901)",,right,,225794002,12970259-DS-4,"pleural effusion, small anterior and medial lower right pneumothorax are present. No thoracic aortic aneu" False positive,,"(4110, 4118)",,airspace,,64709009,12970259-DS-4,"omen/Pelvis: Extensive posterior right lung base airspace disease and moderate right pleural effusion are p" False positive,,"(4481, 4493)",,parasagittal,,727973003,12970259-DS-4,"al inferior renal cortical lesion are seen. Right parasagittal ventral hernia containing partial circumference o" False positive,,"(5427, 5436)",,ambulated,,722370002,12970259-DS-4,"low-up. During this hospitalization, the patient ambulated early and frequently, was adherent with respirat" False positive,,"(5963, 5969)",,follow,,168831000,12970259-DS-4,"ces. The patient received discharge teaching and follow-up instructions with understanding verbalized an" False positive,,"(6267, 6278)",,loose stool,,398032003,12970259-DS-4,"ild 2. Docusate Sodium 100 mg PO BID hold for loose stool 3. FoLIC Acid 1 mg PO DAILY 4. Gabapentin 3" False positive,,"(6380, 6392)",,right rib fx,,11874381000119101,12970259-DS-4," mg PO BID 5. Lidocaine 5% Patch 1 PTCH TD QAM right rib fx's 6. OxyCODONE (Immediate Release) ___ mg PO Q" False positive,,"(7713, 7717)",,heal,,18867006,12970259-DS-4,"ided rib fractures. Your scapular fracture will heal on it's own and you have an appointment in the o" False positive,,"(7834, 7838)",,heal,,18867006,12970259-DS-4,"nic for repeat imaging. Your rib fractures will heal on their own and it is important to use your inc" False positive,,"(7952, 7968)",,Physical Therapy,,183326003,12970259-DS-4,"ter to prevent pneumonia. You have worked with Physical Therapy who recommend you be discharged to rehab to rega" False positive,,"(8830, 8835)",,cough,,28743005,12970259-DS-4,"gs. * You will be more comfortable if you use a cough pillow to hold against your chest and guard your" "Correct entity, wrong SNOMED ID","(201, 223)","(201, 223)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,12970259-DS-4,"rvice: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: s/p fall M" "Correct entity, wrong SNOMED ID","(265, 269)","(265, 269)",fall,fall,161898004,298344006,12970259-DS-4,"eactions Attending: ___. Chief Complaint: s/p fall Major Surgical or Invasive Procedure: None Hi" "Correct entity, wrong SNOMED ID","(370, 383)","(370, 383)",alcohol abuse,alcohol abuse,15167005,268645007,12970259-DS-4,"tory of Present Illness: ___ male with history of alcohol abuse, aortic surgery, presenting as a trauma transfer" Wrong span,"(392, 399)","(385, 399)",surgery,aortic surgery,387713003,233372004,12970259-DS-4,"s: ___ male with history of alcohol abuse, aortic surgery, presenting as a trauma transfer from ___ for ev" "Correct entity, wrong SNOMED ID","(418, 424)","(418, 424)",trauma,trauma,417746004,39400004,12970259-DS-4,"f alcohol abuse, aortic surgery, presenting as a trauma transfer from ___ for evaluation of multiple rib" "Correct entity, wrong SNOMED ID","(447, 457)","(447, 457)",evaluation,evaluation,386053000,39609006,12970259-DS-4,"ry, presenting as a trauma transfer from ___ for evaluation of multiple rib fractures and a scapular fractur" Wrong span,"(462, 484)","(471, 484)",multiple rib fractures,rib fractures,1261007,429381000124105,12970259-DS-4," as a trauma transfer from ___ for evaluation of multiple rib fractures and a scapular fracture after a intoxicated fall" "Correct entity, wrong SNOMED ID","(491, 508)","(491, 508)",scapular fracture,scapular fracture,9682006,427803007,12970259-DS-4,"_ for evaluation of multiple rib fractures and a scapular fracture after a intoxicated fall. Patient fell in the ba" Wrong span,"(518, 529)","(518, 534)",intoxicated,intoxicated fall,25702006,430576002,12970259-DS-4,"le rib fractures and a scapular fracture after a intoxicated fall. Patient fell in the bathroom landed on the " Wrong span,"(530, 534)","(518, 534)",fall,intoxicated fall,161898004,430576002,12970259-DS-4,"ures and a scapular fracture after a intoxicated fall. Patient fell in the bathroom landed on the toile" "Correct entity, wrong SNOMED ID","(544, 548)","(544, 548)",fell,fell,161898004,31549006,12970259-DS-4,"pular fracture after a intoxicated fall. Patient fell in the bathroom landed on the toilet on his right" Missed entity,"(593, 603)",,right side,,85421007,,12970259-DS-4," fell in the bathroom landed on the toilet on his right side. He was seen at ___ where he had multiple rib fr" Wrong span,"(638, 660)","(647, 660)",multiple rib fractures,rib fractures,1261007,1261007,12970259-DS-4," his right side. He was seen at ___ where he had multiple rib fractures and concern for possible pulmonary contusion as " "Correct entity, wrong SNOMED ID","(720, 725)","(720, 725)",right,right,719628000,225794002,12970259-DS-4,"rn for possible pulmonary contusion as well as a right scapular fracture. Past Medical History: Past " "Correct entity, wrong SNOMED ID","(726, 743)","(726, 743)",scapular fracture,scapular fracture,9682006,29749002,12970259-DS-4," possible pulmonary contusion as well as a right scapular fracture. Past Medical History: Past Medical History: H" Missed entity,"(792, 808)",,High Cholesterol,,13644009,,12970259-DS-4,"e. Past Medical History: Past Medical History: High Cholesterol, HTN, ETOH, aortic surgery Social History: __" "Correct entity, wrong SNOMED ID","(810, 813)","(810, 813)",HTN,HTN,38341003,10725009,12970259-DS-4," History: Past Medical History: High Cholesterol, HTN, ETOH, aortic surgery Social History: ___ Fam" "Correct entity, wrong SNOMED ID","(815, 819)","(815, 819)",ETOH,ETOH,15167005,413966000,12970259-DS-4,"ory: Past Medical History: High Cholesterol, HTN, ETOH, aortic surgery Social History: ___ Family Hi" Wrong span,"(829, 836)","(821, 836)",surgery,"aortic surgery",387713003,31413008,12970259-DS-4,"cal History: High Cholesterol, HTN, ETOH, aortic surgery Social History: ___ Family History: Non-contri" Wrong span,"(920, 933)","(920, 928)",Physical Exam,Physical,5880005,363818006,12970259-DS-4,"tory: Non-contributory Physical Exam: Admission Physical Exam: Temp: 98.3 HR: 100 BP: 219/112 Resp: 22 O(2)Sat:" "Correct entity, wrong SNOMED ID","(935, 939)","(935, 939)",Temp,Temp,105723007,102496004,12970259-DS-4,"ibutory Physical Exam: Admission Physical Exam: Temp: 98.3 HR: 100 BP: 219/112 Resp: 22 O(2)Sat: 100 N" "Correct entity, wrong SNOMED ID","(946, 948)","(946, 948)",HR,HR,301113001,258702006,12970259-DS-4,"hysical Exam: Admission Physical Exam: Temp: 98.3 HR: 100 BP: 219/112 Resp: 22 O(2)Sat: 100 Normal Con" "Correct entity, wrong SNOMED ID","(954, 956)","(954, 956)",BP,BP,392570002,38341003,12970259-DS-4,"Exam: Admission Physical Exam: Temp: 98.3 HR: 100 BP: 219/112 Resp: 22 O(2)Sat: 100 Normal Constitutio" "Correct entity, wrong SNOMED ID","(966, 970)","(966, 970)",Resp,Resp,268925001,20139000,12970259-DS-4,"ion Physical Exam: Temp: 98.3 HR: 100 BP: 219/112 Resp: 22 O(2)Sat: 100 Normal Constitutional: Patient i" Missed entity,"(975, 982)",,O(2)Sat,,104847001,,12970259-DS-4,"cal Exam: Temp: 98.3 HR: 100 BP: 219/112 Resp: 22 O(2)Sat: 100 Normal Constitutional: Patient is in obvious" Missed entity,"(988, 994)",,Normal,,72970002,,12970259-DS-4,"p: 98.3 HR: 100 BP: 219/112 Resp: 22 O(2)Sat: 100 Normal Constitutional: Patient is in obvious discomfort " "Correct entity, wrong SNOMED ID","(1033, 1043)","(1033, 1043)",discomfort,discomfort,247347003,279084009,12970259-DS-4," 100 Normal Constitutional: Patient is in obvious discomfort HEENT: Normocephalic, atraumatic, Pupils equal, r" "Correct entity, wrong SNOMED ID","(1044, 1049)","(1044, 1049)",HEENT,HEENT,5880005,113665002,12970259-DS-4," Constitutional: Patient is in obvious discomfort HEENT: Normocephalic, atraumatic, Pupils equal, round a" "Correct entity, wrong SNOMED ID","(1051, 1064)","(1051, 1064)",Normocephalic,Normocephalic,840673007,90629004,12970259-DS-4,"tutional: Patient is in obvious discomfort HEENT: Normocephalic, atraumatic, Pupils equal, round and reactive to " "Correct entity, wrong SNOMED ID","(1066, 1076)","(1066, 1076)",atraumatic,atraumatic,224964008,294228005,12970259-DS-4,"nt is in obvious discomfort HEENT: Normocephalic, atraumatic, Pupils equal, round and reactive to light, Extra" Wrong span,"(1078, 1119)","(1078, 1090)","Pupils equal, round and reactive to light",Pupils equal,386666001,418970005,12970259-DS-4,"ious discomfort HEENT: Normocephalic, atraumatic, Pupils equal, round and reactive to light, Extraocular muscles intact No midline C-spine te" "Correct entity, wrong SNOMED ID","(1121, 1147)","(1121, 1147)",Extraocular muscles intact,Extraocular muscles intact,103251002,1144898001,12970259-DS-4,"matic, Pupils equal, round and reactive to light, Extraocular muscles intact No midline C-spine tenderness Chest: Right latera" "Correct entity, wrong SNOMED ID","(1167, 1177)","(1167, 1177)",tenderness,tenderness,247348008,43478001,12970259-DS-4,"ht, Extraocular muscles intact No midline C-spine tenderness Chest: Right lateral chest wall tenderness Cardio" "Correct entity, wrong SNOMED ID","(1178, 1183)","(1178, 1183)",Chest,Chest,268925001,169069000,12970259-DS-4,"ular muscles intact No midline C-spine tenderness Chest: Right lateral chest wall tenderness Cardiovascul" "Correct entity, wrong SNOMED ID","(1185, 1190)","(1185, 1190)",Right,Right,771319006,264746006,12970259-DS-4,"scles intact No midline C-spine tenderness Chest: Right lateral chest wall tenderness Cardiovascular: Tac" "Correct entity, wrong SNOMED ID","(1210, 1220)","(1210, 1220)",tenderness,tenderness,247348008,43478001,12970259-DS-4,"-spine tenderness Chest: Right lateral chest wall tenderness Cardiovascular: Tachycardic Abdominal: Soft, Nont" "Correct entity, wrong SNOMED ID","(1221, 1235)","(1221, 1235)",Cardiovascular,Cardiovascular,363003006,113257007,12970259-DS-4,"erness Chest: Right lateral chest wall tenderness Cardiovascular: Tachycardic Abdominal: Soft, Nontender, Nondiste" "Correct entity, wrong SNOMED ID","(1237, 1248)","(1237, 1248)",Tachycardic,Tachycardic,3424008,6456007,12970259-DS-4,"ght lateral chest wall tenderness Cardiovascular: Tachycardic Abdominal: Soft, Nontender, Nondistended Extr/Bac" Wrong span,"(1249, 1252)","(1249, 1258)",Abd,Abdominal,225162003,422314007,12970259-DS-4,"chest wall tenderness Cardiovascular: Tachycardic Abdominal: Soft, Nontender, Nondistended Extr/Back: N" Wrong span,"(1269, 1275)","(1266, 1275)",tender,Nontender,43478001,413319007,12970259-DS-4,"s Cardiovascular: Tachycardic Abdominal: Soft, Nontender, Nondistended Extr/Back: No cyanosis, clubbing or" Wrong span,"(1280, 1289)","(1277, 1289)",distended,Nondistended,60728008,441380004,12970259-DS-4,"cular: Tachycardic Abdominal: Soft, Nontender, Nondistended Extr/Back: No cyanosis, clubbing or edema Skin: N" "Correct entity, wrong SNOMED ID","(1290, 1294)","(1290, 1294)",Extr,Extr,302773001,710354007,12970259-DS-4,"hycardic Abdominal: Soft, Nontender, Nondistended Extr/Back: No cyanosis, clubbing or edema Skin: No ras" "Correct entity, wrong SNOMED ID","(1304, 1312)","(1304, 1312)",cyanosis,cyanosis,3415004,57020009,12970259-DS-4,"inal: Soft, Nontender, Nondistended Extr/Back: No cyanosis, clubbing or edema Skin: No rash, Warm and dry Ne" "Correct entity, wrong SNOMED ID","(1314, 1322)","(1314, 1322)",clubbing,clubbing,367004,30760008,12970259-DS-4,", Nontender, Nondistended Extr/Back: No cyanosis, clubbing or edema Skin: No rash, Warm and dry Neuro: Speec" "Correct entity, wrong SNOMED ID","(1326, 1331)","(1326, 1331)",edema,edema,267038008,102576009,12970259-DS-4," Nondistended Extr/Back: No cyanosis, clubbing or edema Skin: No rash, Warm and dry Neuro: Speech fluent," "Correct entity, wrong SNOMED ID","(1332, 1336)","(1332, 1336)",Skin,Skin,271303006,444884003,12970259-DS-4,"stended Extr/Back: No cyanosis, clubbing or edema Skin: No rash, Warm and dry Neuro: Speech fluent, movi" "Correct entity, wrong SNOMED ID","(1341, 1345)","(1341, 1345)",rash,rash,271807003,247472004,12970259-DS-4,"xtr/Back: No cyanosis, clubbing or edema Skin: No rash, Warm and dry Neuro: Speech fluent, moving all ex" "Correct entity, wrong SNOMED ID","(1347, 1351)","(1347, 1351)",Warm,Warm,102599008,298256005,12970259-DS-4,"ck: No cyanosis, clubbing or edema Skin: No rash, Warm and dry Neuro: Speech fluent, moving all extremit" "Correct entity, wrong SNOMED ID","(1356, 1359)","(1356, 1359)",dry,dry,52475004,881291000124102,12970259-DS-4,"anosis, clubbing or edema Skin: No rash, Warm and dry Neuro: Speech fluent, moving all extremities Psyc" "Correct entity, wrong SNOMED ID","(1360, 1365)","(1360, 1365)",Neuro,Neuro,84728005,281247006,12970259-DS-4,"is, clubbing or edema Skin: No rash, Warm and dry Neuro: Speech fluent, moving all extremities Psych: Nor" "Correct entity, wrong SNOMED ID","(1367, 1380)","(1367, 1380)",Speech fluent,Speech fluent,286402008,39423001,12970259-DS-4,"bbing or edema Skin: No rash, Warm and dry Neuro: Speech fluent, moving all extremities Psych: Normal mentation " Wrong span,"(1389, 1404)","(1382, 1404)",all extremities,moving all extremities,2592007,284138009,12970259-DS-4,"o rash, Warm and dry Neuro: Speech fluent, moving all extremities Psych: Normal mentation Discharge Physical Exam:" "Correct entity, wrong SNOMED ID","(1405, 1410)","(1405, 1410)",Psych,Psych,405783006,17326005,12970259-DS-4," dry Neuro: Speech fluent, moving all extremities Psych: Normal mentation Discharge Physical Exam: VS: 9" "Correct entity, wrong SNOMED ID","(1412, 1428)","(1412, 1428)",Normal mentation,Normal mentation,17326005,134417007,12970259-DS-4,"uro: Speech fluent, moving all extremities Psych: Normal mentation Discharge Physical Exam: VS: 97.9, 188/102, 86, " "Correct entity, wrong SNOMED ID","(1455, 1457)","(1455, 1457)",VS,VS,118227000,313611000,12970259-DS-4,"Psych: Normal mentation Discharge Physical Exam: VS: 97.9, 188/102, 86, 17, 96 Ra GEN: A&O, mild dis" Missed entity,"(1485, 1487)",,Ra,,722742002,,12970259-DS-4,"arge Physical Exam: VS: 97.9, 188/102, 86, 17, 96 Ra GEN: A&O, mild discomfort with activity HEENT: w" "Correct entity, wrong SNOMED ID","(1489, 1492)","(1489, 1492)",GEN,GEN,162673000,420208008,12970259-DS-4," Physical Exam: VS: 97.9, 188/102, 86, 17, 96 Ra GEN: A&O, mild discomfort with activity HEENT: wnl CV" "Correct entity, wrong SNOMED ID","(1504, 1514)","(1504, 1514)",discomfort,discomfort,247347003,279084009,12970259-DS-4," VS: 97.9, 188/102, 86, 17, 96 Ra GEN: A&O, mild discomfort with activity HEENT: wnl CV: HRR PULM: LS diminis" "Correct entity, wrong SNOMED ID","(1529, 1534)","(1529, 1534)",HEENT,HEENT,5880005,113665002,12970259-DS-4,"7, 96 Ra GEN: A&O, mild discomfort with activity HEENT: wnl CV: HRR PULM: LS diminished on right side, f" "Correct entity, wrong SNOMED ID","(1536, 1539)","(1536, 1539)",wnl,wnl,281900007,258001008,12970259-DS-4,"a GEN: A&O, mild discomfort with activity HEENT: wnl CV: HRR PULM: LS diminished on right side, fine c" "Correct entity, wrong SNOMED ID","(1540, 1542)","(1540, 1542)",CV,CV,363003006,258773002,12970259-DS-4,"EN: A&O, mild discomfort with activity HEENT: wnl CV: HRR PULM: LS diminished on right side, fine crac" "Correct entity, wrong SNOMED ID","(1544, 1547)","(1544, 1547)",HRR,HRR,76863003,258702006,12970259-DS-4,"A&O, mild discomfort with activity HEENT: wnl CV: HRR PULM: LS diminished on right side, fine crackles." "Correct entity, wrong SNOMED ID","(1548, 1552)","(1548, 1552)",PULM,PULM,268925001,419170002,12970259-DS-4," mild discomfort with activity HEENT: wnl CV: HRR PULM: LS diminished on right side, fine crackles. TTP " Wrong span,"(1554, 1567)","(1554, 1556)",LS diminished,LS,58840004,420296000,12970259-DS-4,"discomfort with activity HEENT: wnl CV: HRR PULM: LS diminished on right side, fine crackles. TTP over right che" "Correct entity, wrong SNOMED ID","(1571, 1581)","(1571, 1581)",right side,right side,3341006,299727004,12970259-DS-4,"ctivity HEENT: wnl CV: HRR PULM: LS diminished on right side, fine crackles. TTP over right chest wall. ABD: " "Correct entity, wrong SNOMED ID","(1598, 1601)","(1598, 1601)",TTP,TTP,102591006,438476003,12970259-DS-4,"PULM: LS diminished on right side, fine crackles. TTP over right chest wall. ABD: soft, NT/ND EXT: No " "Correct entity, wrong SNOMED ID","(1607, 1624)","(1607, 1624)","right chest wall","right chest wall",771319006,11849621000119108,12970259-DS-4,"diminished on right side, fine crackles. TTP over right chest wall. ABD: soft, NT/ND EXT: No edema Pertinent Resul" "Correct entity, wrong SNOMED ID","(1626, 1629)","(1626, 1629)",ABD,ABD,225162003,60728008,12970259-DS-4," side, fine crackles. TTP over right chest wall. ABD: soft, NT/ND EXT: No edema Pertinent Results: L" "Correct entity, wrong SNOMED ID","(1637, 1639)","(1637, 1639)",NT,NT,43478001,257992007,12970259-DS-4," crackles. TTP over right chest wall. ABD: soft, NT/ND EXT: No edema Pertinent Results: LABS: ___ 1" "Correct entity, wrong SNOMED ID","(1640, 1642)","(1640, 1642)",ND,ND,60728008,165815009,12970259-DS-4,"ackles. TTP over right chest wall. ABD: soft, NT/ND EXT: No edema Pertinent Results: LABS: ___ 11:0" "Correct entity, wrong SNOMED ID","(1643, 1646)","(1643, 1646)",EXT,EXT,302773001,1489008,12970259-DS-4,"les. TTP over right chest wall. ABD: soft, NT/ND EXT: No edema Pertinent Results: LABS: ___ 11:00PM " "Correct entity, wrong SNOMED ID","(1651, 1656)","(1651, 1656)",edema,edema,267038008,102576009,12970259-DS-4," over right chest wall. ABD: soft, NT/ND EXT: No edema Pertinent Results: LABS: ___ 11:00PM GLUCOSE-" "Correct entity, wrong SNOMED ID","(1698, 1705)","(1698, 1705)",GLUCOSE,GLUCOSE,33747003,72191006,12970259-DS-4,"No edema Pertinent Results: LABS: ___ 11:00PM GLUCOSE-131* UREA N-18 CREAT-0.7 SODIUM-125* POTASSIUM-4" Missed entity,"(1711, 1717)",,UREA N,,105011006,,12970259-DS-4,"rtinent Results: LABS: ___ 11:00PM GLUCOSE-131* UREA N-18 CREAT-0.7 SODIUM-125* POTASSIUM-4.5 CHLORIDE-" "Correct entity, wrong SNOMED ID","(1721, 1726)","(1721, 1726)",CREAT,CREAT,70901006,413856009,12970259-DS-4,"sults: LABS: ___ 11:00PM GLUCOSE-131* UREA N-18 CREAT-0.7 SODIUM-125* POTASSIUM-4.5 CHLORIDE-86* TOTAL" "Correct entity, wrong SNOMED ID","(1731, 1737)","(1731, 1737)",SODIUM,SODIUM,25197003,104934005,12970259-DS-4,"S: ___ 11:00PM GLUCOSE-131* UREA N-18 CREAT-0.7 SODIUM-125* POTASSIUM-4.5 CHLORIDE-86* TOTAL CO2-27 ANI" "Correct entity, wrong SNOMED ID","(1744, 1753)","(1744, 1753)",POTASSIUM,POTASSIUM,59573005,1149432009,12970259-DS-4,"M GLUCOSE-131* UREA N-18 CREAT-0.7 SODIUM-125* POTASSIUM-4.5 CHLORIDE-86* TOTAL CO2-27 ANION GAP-12 ___ 11" "Correct entity, wrong SNOMED ID","(1758, 1766)","(1758, 1766)",CHLORIDE,CHLORIDE,104589004,108447000,12970259-DS-4,"1* UREA N-18 CREAT-0.7 SODIUM-125* POTASSIUM-4.5 CHLORIDE-86* TOTAL CO2-27 ANION GAP-12 ___ 11:00PM CALCI" "Correct entity, wrong SNOMED ID","(1784, 1793)","(1784, 1793)",ANION GAP,ANION GAP,25469001,237854004,12970259-DS-4,"IUM-125* POTASSIUM-4.5 CHLORIDE-86* TOTAL CO2-27 ANION GAP-12 ___ 11:00PM CALCIUM-8.3* PHOSPHATE-2.9 MAGNE" "Correct entity, wrong SNOMED ID","(1811, 1818)","(1811, 1818)",CALCIUM,CALCIUM,312472004,108601004,12970259-DS-4,"ORIDE-86* TOTAL CO2-27 ANION GAP-12 ___ 11:00PM CALCIUM-8.3* PHOSPHATE-2.9 MAGNESIUM-2.2 ___ 04:10PM GL" Missed entity,"(1824, 1833)",,PHOSPHATE,,104868000,,12970259-DS-4,"AL CO2-27 ANION GAP-12 ___ 11:00PM CALCIUM-8.3* PHOSPHATE-2.9 MAGNESIUM-2.2 ___ 04:10PM GLUCOSE-137* UREA" Missed entity,"(1838, 1847)",,MAGNESIUM,,271285000,,12970259-DS-4,"N GAP-12 ___ 11:00PM CALCIUM-8.3* PHOSPHATE-2.9 MAGNESIUM-2.2 ___ 04:10PM GLUCOSE-137* UREA N-16 CREAT-0." "Correct entity, wrong SNOMED ID","(1866, 1873)","(1866, 1873)",GLUCOSE,GLUCOSE,33747003,72191006,12970259-DS-4,"UM-8.3* PHOSPHATE-2.9 MAGNESIUM-2.2 ___ 04:10PM GLUCOSE-137* UREA N-16 CREAT-0.6 SODIUM-125* POTASSIUM-4" Missed entity,"(1879, 1885)",,UREA N,,105011006,,12970259-DS-4,"HATE-2.9 MAGNESIUM-2.2 ___ 04:10PM GLUCOSE-137* UREA N-16 CREAT-0.6 SODIUM-125* POTASSIUM-4.1 CHLORIDE-" "Correct entity, wrong SNOMED ID","(1889, 1894)","(1889, 1894)",CREAT,CREAT,70901006,413856009,12970259-DS-4,"AGNESIUM-2.2 ___ 04:10PM GLUCOSE-137* UREA N-16 CREAT-0.6 SODIUM-125* POTASSIUM-4.1 CHLORIDE-84* TOTAL" "Correct entity, wrong SNOMED ID","(1899, 1905)","(1899, 1905)",SODIUM,SODIUM,25197003,104934005,12970259-DS-4,".2 ___ 04:10PM GLUCOSE-137* UREA N-16 CREAT-0.6 SODIUM-125* POTASSIUM-4.1 CHLORIDE-84* TOTAL CO2-28 ANI" "Correct entity, wrong SNOMED ID","(1912, 1921)","(1912, 1921)",POTASSIUM,POTASSIUM,59573005,1149432009,12970259-DS-4,"M GLUCOSE-137* UREA N-16 CREAT-0.6 SODIUM-125* POTASSIUM-4.1 CHLORIDE-84* TOTAL CO2-28 ANION GAP-13 ___ 04" "Correct entity, wrong SNOMED ID","(1926, 1934)","(1926, 1934)",CHLORIDE,CHLORIDE,104589004,108447000,12970259-DS-4,"7* UREA N-16 CREAT-0.6 SODIUM-125* POTASSIUM-4.1 CHLORIDE-84* TOTAL CO2-28 ANION GAP-13 ___ 04:10PM CALCI" "Correct entity, wrong SNOMED ID","(1952, 1961)","(1952, 1961)",ANION GAP,ANION GAP,25469001,237854004,12970259-DS-4,"IUM-125* POTASSIUM-4.1 CHLORIDE-84* TOTAL CO2-28 ANION GAP-13 ___ 04:10PM CALCIUM-8.8 PHOSPHATE-2.8 MAGNES" "Correct entity, wrong SNOMED ID","(1979, 1986)","(1979, 1986)",CALCIUM,CALCIUM,312472004,108601004,12970259-DS-4,"ORIDE-84* TOTAL CO2-28 ANION GAP-13 ___ 04:10PM CALCIUM-8.8 PHOSPHATE-2.8 MAGNESIUM-2.3 ___ 11:20AM COR" Missed entity,"(1991, 2000)",,PHOSPHATE,,104868000,,12970259-DS-4,"TAL CO2-28 ANION GAP-13 ___ 04:10PM CALCIUM-8.8 PHOSPHATE-2.8 MAGNESIUM-2.3 ___ 11:20AM CORTISOL-11.2 ___" Missed entity,"(2005, 2014)",,MAGNESIUM,,271285000,,12970259-DS-4,"ON GAP-13 ___ 04:10PM CALCIUM-8.8 PHOSPHATE-2.8 MAGNESIUM-2.3 ___ 11:20AM CORTISOL-11.2 ___ 09:45AM GLU" Wrong span,"(2033, 2041)","(2033, 2035)",CORTISOL,CO,62037009,422514006,12970259-DS-4,"IUM-8.8 PHOSPHATE-2.8 MAGNESIUM-2.3 ___ 11:20AM CORTISOL-11.2 ___ 09:45AM GLUCOSE-122* UREA N-13 CREAT-0" "Correct entity, wrong SNOMED ID","(2061, 2068)","(2061, 2068)",GLUCOSE,GLUCOSE,33747003,72191006,12970259-DS-4,"IUM-2.3 ___ 11:20AM CORTISOL-11.2 ___ 09:45AM GLUCOSE-122* UREA N-13 CREAT-0.7 SODIUM-124* POTASSIUM-4" Missed entity,"(2074, 2080)",,UREA N,,105011006,,12970259-DS-4,"1:20AM CORTISOL-11.2 ___ 09:45AM GLUCOSE-122* UREA N-13 CREAT-0.7 SODIUM-124* POTASSIUM-4.0 CHLORIDE-" "Correct entity, wrong SNOMED ID","(2084, 2089)","(2084, 2089)",CREAT,CREAT,70901006,413856009,12970259-DS-4,"ORTISOL-11.2 ___ 09:45AM GLUCOSE-122* UREA N-13 CREAT-0.7 SODIUM-124* POTASSIUM-4.0 CHLORIDE-84* TOTAL" "Correct entity, wrong SNOMED ID","(2094, 2100)","(2094, 2100)",SODIUM,SODIUM,25197003,104934005,12970259-DS-4,".2 ___ 09:45AM GLUCOSE-122* UREA N-13 CREAT-0.7 SODIUM-124* POTASSIUM-4.0 CHLORIDE-84* TOTAL CO2-27 ANI" "Correct entity, wrong SNOMED ID","(2107, 2116)","(2107, 2116)",POTASSIUM,POTASSIUM,59573005,1149432009,12970259-DS-4,"M GLUCOSE-122* UREA N-13 CREAT-0.7 SODIUM-124* POTASSIUM-4.0 CHLORIDE-84* TOTAL CO2-27 ANION GAP-13 ___ 09" "Correct entity, wrong SNOMED ID","(2121, 2129)","(2121, 2129)",CHLORIDE,CHLORIDE,104589004,108447000,12970259-DS-4,"2* UREA N-13 CREAT-0.7 SODIUM-124* POTASSIUM-4.0 CHLORIDE-84* TOTAL CO2-27 ANION GAP-13 ___ 09:45AM CALCI" "Correct entity, wrong SNOMED ID","(2147, 2156)","(2147, 2156)",ANION GAP,ANION GAP,25469001,237854004,12970259-DS-4,"IUM-124* POTASSIUM-4.0 CHLORIDE-84* TOTAL CO2-27 ANION GAP-13 ___ 09:45AM CALCIUM-8.3* PHOSPHATE-2.7 MAGNE" "Correct entity, wrong SNOMED ID","(2174, 2181)","(2174, 2181)",CALCIUM,CALCIUM,312472004,108601004,12970259-DS-4,"ORIDE-84* TOTAL CO2-27 ANION GAP-13 ___ 09:45AM CALCIUM-8.3* PHOSPHATE-2.7 MAGNESIUM-2.0 ___ 04:55AM GL" Missed entity,"(2187, 2196)",,PHOSPHATE,,104868000,,12970259-DS-4,"AL CO2-27 ANION GAP-13 ___ 09:45AM CALCIUM-8.3* PHOSPHATE-2.7 MAGNESIUM-2.0 ___ 04:55AM GLUCOSE-119* UREA" Missed entity,"(2201, 2210)",,MAGNESIUM,,271285000,,12970259-DS-4,"N GAP-13 ___ 09:45AM CALCIUM-8.3* PHOSPHATE-2.7 MAGNESIUM-2.0 ___ 04:55AM GLUCOSE-119* UREA N-13 CREAT-0." "Correct entity, wrong SNOMED ID","(2229, 2236)","(2229, 2236)",GLUCOSE,GLUCOSE,33747003,72191006,12970259-DS-4,"UM-8.3* PHOSPHATE-2.7 MAGNESIUM-2.0 ___ 04:55AM GLUCOSE-119* UREA N-13 CREAT-0.7 SODIUM-120* POTASSIUM-4" Missed entity,"(2242, 2248)",,UREA N,,105011006,,12970259-DS-4,"HATE-2.7 MAGNESIUM-2.0 ___ 04:55AM GLUCOSE-119* UREA N-13 CREAT-0.7 SODIUM-120* POTASSIUM-4.4 CHLORIDE-" "Correct entity, wrong SNOMED ID","(2252, 2257)","(2252, 2257)",CREAT,CREAT,70901006,413856009,12970259-DS-4,"AGNESIUM-2.0 ___ 04:55AM GLUCOSE-119* UREA N-13 CREAT-0.7 SODIUM-120* POTASSIUM-4.4 CHLORIDE-83* TOTAL" "Correct entity, wrong SNOMED ID","(2262, 2268)","(2262, 2268)",SODIUM,SODIUM,25197003,104934005,12970259-DS-4,".0 ___ 04:55AM GLUCOSE-119* UREA N-13 CREAT-0.7 SODIUM-120* POTASSIUM-4.4 CHLORIDE-83* TOTAL CO2-25 ANI" "Correct entity, wrong SNOMED ID","(2275, 2284)","(2275, 2284)",POTASSIUM,POTASSIUM,59573005,1149432009,12970259-DS-4,"M GLUCOSE-119* UREA N-13 CREAT-0.7 SODIUM-120* POTASSIUM-4.4 CHLORIDE-83* TOTAL CO2-25 ANION GAP-12 ___ 04" "Correct entity, wrong SNOMED ID","(2289, 2297)","(2289, 2297)",CHLORIDE,CHLORIDE,104589004,108447000,12970259-DS-4,"9* UREA N-13 CREAT-0.7 SODIUM-120* POTASSIUM-4.4 CHLORIDE-83* TOTAL CO2-25 ANION GAP-12 ___ 04:55AM CALCI" "Correct entity, wrong SNOMED ID","(2315, 2324)","(2315, 2324)",ANION GAP,ANION GAP,25469001,237854004,12970259-DS-4,"IUM-120* POTASSIUM-4.4 CHLORIDE-83* TOTAL CO2-25 ANION GAP-12 ___ 04:55AM CALCIUM-8.6 PHOSPHATE-3.0 MAGNES" "Correct entity, wrong SNOMED ID","(2342, 2349)","(2342, 2349)",CALCIUM,CALCIUM,312472004,108601004,12970259-DS-4,"ORIDE-83* TOTAL CO2-25 ANION GAP-12 ___ 04:55AM CALCIUM-8.6 PHOSPHATE-3.0 MAGNESIUM-1.8 ___ 04:55AM WBC" Missed entity,"(2354, 2363)",,PHOSPHATE,,104868000,,12970259-DS-4,"TAL CO2-25 ANION GAP-12 ___ 04:55AM CALCIUM-8.6 PHOSPHATE-3.0 MAGNESIUM-1.8 ___ 04:55AM WBC-10.6* RBC-3.1" Missed entity,"(2368, 2377)",,MAGNESIUM,,271285000,,12970259-DS-4,"ON GAP-12 ___ 04:55AM CALCIUM-8.6 PHOSPHATE-3.0 MAGNESIUM-1.8 ___ 04:55AM WBC-10.6* RBC-3.14* HGB-10.2* H" "Correct entity, wrong SNOMED ID","(2396, 2399)","(2396, 2399)",WBC,WBC,767002,391558003,12970259-DS-4,"IUM-8.6 PHOSPHATE-3.0 MAGNESIUM-1.8 ___ 04:55AM WBC-10.6* RBC-3.14* HGB-10.2* HCT-27.8* MCV-89 MCH-3" "Correct entity, wrong SNOMED ID","(2406, 2409)","(2406, 2409)",RBC,RBC,14089001,258759006,12970259-DS-4,"OSPHATE-3.0 MAGNESIUM-1.8 ___ 04:55AM WBC-10.6* RBC-3.14* HGB-10.2* HCT-27.8* MCV-89 MCH-32.5* MCHC-" "Correct entity, wrong SNOMED ID","(2416, 2419)","(2416, 2419)",HGB,HGB,441689006,104142005,12970259-DS-4,"0 MAGNESIUM-1.8 ___ 04:55AM WBC-10.6* RBC-3.14* HGB-10.2* HCT-27.8* MCV-89 MCH-32.5* MCHC-36.7 RDW-1" "Correct entity, wrong SNOMED ID","(2426, 2429)","(2426, 2429)",HCT,HCT,28317006,409683007,12970259-DS-4,"M-1.8 ___ 04:55AM WBC-10.6* RBC-3.14* HGB-10.2* HCT-27.8* MCV-89 MCH-32.5* MCHC-36.7 RDW-11.9 RDWSD-" Missed entity,"(2437, 2440)",,MCV,,104133003,,12970259-DS-4,"4:55AM WBC-10.6* RBC-3.14* HGB-10.2* HCT-27.8* MCV-89 MCH-32.5* MCHC-36.7 RDW-11.9 RDWSD-38.5 ___ 04" "Correct entity, wrong SNOMED ID","(2444, 2447)","(2444, 2447)",MCH,MCH,54706004,735147002,12970259-DS-4," WBC-10.6* RBC-3.14* HGB-10.2* HCT-27.8* MCV-89 MCH-32.5* MCHC-36.7 RDW-11.9 RDWSD-38.5 ___ 04:55AM " "Correct entity, wrong SNOMED ID","(2454, 2458)","(2454, 2458)",MCHC,MCHC,37254006,735147002,12970259-DS-4,"* RBC-3.14* HGB-10.2* HCT-27.8* MCV-89 MCH-32.5* MCHC-36.7 RDW-11.9 RDWSD-38.5 ___ 04:55AM PLT COUNT-" "Correct entity, wrong SNOMED ID","(2473, 2478)","(2473, 2478)",RDWSD,RDWSD,66842004,80328002,12970259-DS-4,"2* HCT-27.8* MCV-89 MCH-32.5* MCHC-36.7 RDW-11.9 RDWSD-38.5 ___ 04:55AM PLT COUNT-168 ___ 09:29PM PO" Missed entity,"(2498, 2507)",,PLT COUNT,,61928009,,12970259-DS-4,"32.5* MCHC-36.7 RDW-11.9 RDWSD-38.5 ___ 04:55AM PLT COUNT-168 ___ 09:29PM PO2-91 PCO2-40 PH-7.45 TOTAL CO" Boundary error,"(2526, 2529)","(2526, 2527)",PO2,P,250546000,421542006,12970259-DS-4,"SD-38.5 ___ 04:55AM PLT COUNT-168 ___ 09:29PM PO2-91 PCO2-40 PH-7.45 TOTAL CO2-29 BASE XS-3 ___ 09:" Boundary error,"(2533, 2537)","(2533, 2536)",PCO2,PCO,250564007,12686008,12970259-DS-4," ___ 04:55AM PLT COUNT-168 ___ 09:29PM PO2-91 PCO2-40 PH-7.45 TOTAL CO2-29 BASE XS-3 ___ 09:29PM G" "Correct entity, wrong SNOMED ID","(2541, 2543)","(2541, 2543)",PH,PH,81065003,264912003,12970259-DS-4,"55AM PLT COUNT-168 ___ 09:29PM PO2-91 PCO2-40 PH-7.45 TOTAL CO2-29 BASE XS-3 ___ 09:29PM GLUCOSE" Missed entity,"(2562, 2569)",,BASE XS,,67487000,,12970259-DS-4,"___ 09:29PM PO2-91 PCO2-40 PH-7.45 TOTAL CO2-29 BASE XS-3 ___ 09:29PM GLUCOSE-121* LACTATE-2.7* NA+-120" "Correct entity, wrong SNOMED ID","(2586, 2593)","(2586, 2593)",GLUCOSE,GLUCOSE,33747003,72191006,12970259-DS-4,"2-40 PH-7.45 TOTAL CO2-29 BASE XS-3 ___ 09:29PM GLUCOSE-121* LACTATE-2.7* NA+-120* K+-4.4 CL--77* ___ 09" Missed entity,"(2612, 2615)",,NA+,,312469006,,12970259-DS-4,"BASE XS-3 ___ 09:29PM GLUCOSE-121* LACTATE-2.7* NA+-120* K+-4.4 CL--77* ___ 09:29PM HGB-12.2* calc" Boundary error,"(2621, 2623)","(2621, 2622)",K+,K,312468003,257991000,12970259-DS-4," ___ 09:29PM GLUCOSE-121* LACTATE-2.7* NA+-120* K+-4.4 CL--77* ___ 09:29PM HGB-12.2* calcHCT-37 O" "Correct entity, wrong SNOMED ID","(2629, 2631)","(2629, 2631)",CL,CL,104589004,311741002,12970259-DS-4,"29PM GLUCOSE-121* LACTATE-2.7* NA+-120* K+-4.4 CL--77* ___ 09:29PM HGB-12.2* calcHCT-37 O2 SAT-94" "Correct entity, wrong SNOMED ID","(2651, 2654)","(2651, 2654)",HGB,HGB,441689006,104142005,12970259-DS-4,"CTATE-2.7* NA+-120* K+-4.4 CL--77* ___ 09:29PM HGB-12.2* calcHCT-37 O2 SAT-94 CARBOXYHB-2 MET HGB-0" "Correct entity, wrong SNOMED ID","(2665, 2668)","(2665, 2668)",HCT,HCT,28317006,409683007,12970259-DS-4,"-120* K+-4.4 CL--77* ___ 09:29PM HGB-12.2* calcHCT-37 O2 SAT-94 CARBOXYHB-2 MET HGB-0 ___ 09:29PM " "Correct entity, wrong SNOMED ID","(2672, 2678)","(2672, 2678)",O2 SAT,O2 SAT,443972006,103228002,12970259-DS-4,"+-4.4 CL--77* ___ 09:29PM HGB-12.2* calcHCT-37 O2 SAT-94 CARBOXYHB-2 MET HGB-0 ___ 09:29PM freeCa-0." Missed entity,"(2682, 2691)",,CARBOXYHB,,19821003,,12970259-DS-4,"-77* ___ 09:29PM HGB-12.2* calcHCT-37 O2 SAT-94 CARBOXYHB-2 MET HGB-0 ___ 09:29PM freeCa-0.97* ___ 09:14" "Correct entity, wrong SNOMED ID","(2699, 2702)","(2699, 2702)",HGB,HGB,441689006,104142005,12970259-DS-4," HGB-12.2* calcHCT-37 O2 SAT-94 CARBOXYHB-2 MET HGB-0 ___ 09:29PM freeCa-0.97* ___ 09:14PM UREA N" Missed entity,"(2746, 2752)",,UREA N,,105011006,,12970259-DS-4,"ET HGB-0 ___ 09:29PM freeCa-0.97* ___ 09:14PM UREA N-17 CREAT-0.7 ___ 09:14PM LIPASE-22 ___ 09:14PM " "Correct entity, wrong SNOMED ID","(2756, 2761)","(2756, 2761)",CREAT,CREAT,70901006,413856009,12970259-DS-4,"__ 09:29PM freeCa-0.97* ___ 09:14PM UREA N-17 CREAT-0.7 ___ 09:14PM LIPASE-22 ___ 09:14PM ASA-NEG" "Correct entity, wrong SNOMED ID","(2780, 2786)","(2780, 2786)",LIPASE,LIPASE,104988000,259322001,12970259-DS-4,"* ___ 09:14PM UREA N-17 CREAT-0.7 ___ 09:14PM LIPASE-22 ___ 09:14PM ASA-NEG ETHANOL-NEG ACETMNPHN-NE" Wrong span,"(2812, 2819)","(2812, 2814)",ETHANOL,ET,167009006,415306006,12970259-DS-4,"0.7 ___ 09:14PM LIPASE-22 ___ 09:14PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tric" Missed entity,"(2824, 2833)",,ACETMNPHN,,46093004,,12970259-DS-4,"4PM LIPASE-22 ___ 09:14PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ " Missed entity,"(2839, 2847)",,bnzodzpn,,574005,,12970259-DS-4," ___ 09:14PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:14PM WBC-" Missed entity,"(2852, 2860)",,barbitrt,,105079003,,12970259-DS-4," ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:14PM WBC-14.8* RBC-3.5" Missed entity,"(2865, 2874)",,tricyclic,,44787002,,12970259-DS-4,"ANOL-NEG ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:14PM WBC-14.8* RBC-3.53* HGB-11.4* H" "Correct entity, wrong SNOMED ID","(2893, 2896)","(2893, 2896)",WBC,WBC,767002,391558003,12970259-DS-4,"dzpn-NEG barbitrt-NEG tricyclic-NEG ___ 09:14PM WBC-14.8* RBC-3.53* HGB-11.4* HCT-31.2* MCV-88 MCH-3" "Correct entity, wrong SNOMED ID","(2903, 2906)","(2903, 2906)",RBC,RBC,14089001,258759006,12970259-DS-4,"arbitrt-NEG tricyclic-NEG ___ 09:14PM WBC-14.8* RBC-3.53* HGB-11.4* HCT-31.2* MCV-88 MCH-32.3* MCHC-" "Correct entity, wrong SNOMED ID","(2913, 2916)","(2913, 2916)",HGB,HGB,441689006,104142005,12970259-DS-4,"G tricyclic-NEG ___ 09:14PM WBC-14.8* RBC-3.53* HGB-11.4* HCT-31.2* MCV-88 MCH-32.3* MCHC-36.5 RDW-1" "Correct entity, wrong SNOMED ID","(2923, 2926)","(2923, 2926)",HCT,HCT,28317006,409683007,12970259-DS-4,"c-NEG ___ 09:14PM WBC-14.8* RBC-3.53* HGB-11.4* HCT-31.2* MCV-88 MCH-32.3* MCHC-36.5 RDW-11.9 RDWSD-" Missed entity,"(2934, 2937)",,MCV,,104133003,,12970259-DS-4,"9:14PM WBC-14.8* RBC-3.53* HGB-11.4* HCT-31.2* MCV-88 MCH-32.3* MCHC-36.5 RDW-11.9 RDWSD-38.5 ___ 09" "Correct entity, wrong SNOMED ID","(2941, 2944)","(2941, 2944)",MCH,MCH,54706004,735147002,12970259-DS-4," WBC-14.8* RBC-3.53* HGB-11.4* HCT-31.2* MCV-88 MCH-32.3* MCHC-36.5 RDW-11.9 RDWSD-38.5 ___ 09:14PM " "Correct entity, wrong SNOMED ID","(2951, 2955)","(2951, 2955)",MCHC,MCHC,37254006,735147002,12970259-DS-4,"* RBC-3.53* HGB-11.4* HCT-31.2* MCV-88 MCH-32.3* MCHC-36.5 RDW-11.9 RDWSD-38.5 ___ 09:14PM PLT COUNT-" "Correct entity, wrong SNOMED ID","(2970, 2975)","(2970, 2975)",RDWSD,RDWSD,66842004,80328002,12970259-DS-4,"4* HCT-31.2* MCV-88 MCH-32.3* MCHC-36.5 RDW-11.9 RDWSD-38.5 ___ 09:14PM PLT COUNT-208 ___ 09:14PM __" Missed entity,"(2995, 3004)",,PLT COUNT,,61928009,,12970259-DS-4,"32.3* MCHC-36.5 RDW-11.9 RDWSD-38.5 ___ 09:14PM PLT COUNT-208 ___ 09:14PM ___ PTT-25.0 ___ ___ 09:14PM " "Correct entity, wrong SNOMED ID","(3027, 3030)","(3027, 3030)",PTT,PTT,42525009,282119004,12970259-DS-4,"8.5 ___ 09:14PM PLT COUNT-208 ___ 09:14PM ___ PTT-25.0 ___ ___ 09:14PM ___ 06:36AM BLOOD WBC-8.0 " "Correct entity, wrong SNOMED ID","(3072, 3075)","(3072, 3075)",WBC,WBC,767002,391558003,12970259-DS-4," ___ PTT-25.0 ___ ___ 09:14PM ___ 06:36AM BLOOD WBC-8.0 RBC-3.35* Hgb-10.8* Hct-31.6* MCV-94 MCH-32." "Correct entity, wrong SNOMED ID","(3080, 3083)","(3080, 3083)",RBC,RBC,14089001,258759006,12970259-DS-4,"-25.0 ___ ___ 09:14PM ___ 06:36AM BLOOD WBC-8.0 RBC-3.35* Hgb-10.8* Hct-31.6* MCV-94 MCH-32.2* MCHC-" "Correct entity, wrong SNOMED ID","(3090, 3093)","(3090, 3093)",Hgb,Hgb,441689006,104142005,12970259-DS-4,"___ 09:14PM ___ 06:36AM BLOOD WBC-8.0 RBC-3.35* Hgb-10.8* Hct-31.6* MCV-94 MCH-32.2* MCHC-34.2 RDW-1" "Correct entity, wrong SNOMED ID","(3100, 3103)","(3100, 3103)",Hct,Hct,28317006,409683007,12970259-DS-4,"M ___ 06:36AM BLOOD WBC-8.0 RBC-3.35* Hgb-10.8* Hct-31.6* MCV-94 MCH-32.2* MCHC-34.2 RDW-12.1 RDWSD-" Missed entity,"(3111, 3114)",,MCV,,104133003,,12970259-DS-4,"36AM BLOOD WBC-8.0 RBC-3.35* Hgb-10.8* Hct-31.6* MCV-94 MCH-32.2* MCHC-34.2 RDW-12.1 RDWSD-41.8 Plt __" "Correct entity, wrong SNOMED ID","(3118, 3121)","(3118, 3121)",MCH,MCH,54706004,735147002,12970259-DS-4,"OOD WBC-8.0 RBC-3.35* Hgb-10.8* Hct-31.6* MCV-94 MCH-32.2* MCHC-34.2 RDW-12.1 RDWSD-41.8 Plt ___ ___ 0" "Correct entity, wrong SNOMED ID","(3128, 3132)","(3128, 3132)",MCHC,MCHC,37254006,735147002,12970259-DS-4,"0 RBC-3.35* Hgb-10.8* Hct-31.6* MCV-94 MCH-32.2* MCHC-34.2 RDW-12.1 RDWSD-41.8 Plt ___ ___ 06:36AM BLOO" "Correct entity, wrong SNOMED ID","(3147, 3152)","(3147, 3152)",RDWSD,RDWSD,66842004,80328002,12970259-DS-4,"8* Hct-31.6* MCV-94 MCH-32.2* MCHC-34.2 RDW-12.1 RDWSD-41.8 Plt ___ ___ 06:36AM BLOOD Glucose-112* UreaN" Missed entity,"(3158, 3161)",,Plt,,61928009,,12970259-DS-4,"* MCV-94 MCH-32.2* MCHC-34.2 RDW-12.1 RDWSD-41.8 Plt ___ ___ 06:36AM BLOOD Glucose-112* UreaN-13 Creat" "Correct entity, wrong SNOMED ID","(3184, 3191)","(3184, 3191)",Glucose,Glucose,33747003,72191006,12970259-DS-4,"4.2 RDW-12.1 RDWSD-41.8 Plt ___ ___ 06:36AM BLOOD Glucose-112* UreaN-13 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-" "Correct entity, wrong SNOMED ID","(3197, 3202)","(3197, 3202)",UreaN,UreaN,105011006,111108008,12970259-DS-4,"RDWSD-41.8 Plt ___ ___ 06:36AM BLOOD Glucose-112* UreaN-13 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-26 AnGap-13" "Correct entity, wrong SNOMED ID","(3206, 3211)","(3206, 3211)",Creat,Creat,70901006,413856009,12970259-DS-4,"8 Plt ___ ___ 06:36AM BLOOD Glucose-112* UreaN-13 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-26 AnGap-13 Radiolo" "Correct entity, wrong SNOMED ID","(3216, 3218)","(3216, 3218)",Na,Na,312469006,257992007,12970259-DS-4,"___ 06:36AM BLOOD Glucose-112* UreaN-13 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-26 AnGap-13 Radiology: __" Missed entity,"(3224, 3225)",,K,,312468003,,12970259-DS-4,"6AM BLOOD Glucose-112* UreaN-13 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-26 AnGap-13 Radiology: ___ R sho" "Correct entity, wrong SNOMED ID","(3230, 3232)","(3230, 3232)",Cl,Cl,104589004,311741002,12970259-DS-4,"OOD Glucose-112* UreaN-13 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-26 AnGap-13 Radiology: ___ R shoulder: " "Correct entity, wrong SNOMED ID","(3236, 3240)","(3236, 3240)",HCO3,HCO3,312471006,88645003,12970259-DS-4,"ucose-112* UreaN-13 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-26 AnGap-13 Radiology: ___ R shoulder: Mildly c" "Correct entity, wrong SNOMED ID","(3244, 3249)","(3244, 3249)",AnGap,AnGap,25469001,124504004,12970259-DS-4,"2* UreaN-13 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-26 AnGap-13 Radiology: ___ R shoulder: Mildly comminuted" Missed entity,"(3254, 3263)",,Radiology,,363679005,,12970259-DS-4,"3 Creat-0.6 Na-135 K-4.2 Cl-96 HCO3-26 AnGap-13 Radiology: ___ R shoulder: Mildly comminuted fracture late" Missed entity,"(3270, 3280)",,R shoulder,,91774008,,12970259-DS-4,"35 K-4.2 Cl-96 HCO3-26 AnGap-13 Radiology: ___ R shoulder: Mildly comminuted fracture lateral inferior righ" Wrong span,"(3317, 3346)","(3326, 3346)","inferior right scapular blade",right scapular blade,719632006,719628000,12970259-DS-4,"__ R shoulder: Mildly comminuted fracture lateral inferior right scapular blade is seen. No fracture or dislocation or signs of " "Correct entity, wrong SNOMED ID","(3359, 3367)","(3359, 3367)",fracture,fracture,72704001,307186006,12970259-DS-4,"lateral inferior right scapular blade is seen. No fracture or dislocation or signs of osteomyelitis in the " "Correct entity, wrong SNOMED ID","(3371, 3382)","(3371, 3382)",dislocation,dislocation,87642003,125171008,12970259-DS-4,"rior right scapular blade is seen. No fracture or dislocation or signs of osteomyelitis in the right glenohume" "Correct entity, wrong SNOMED ID","(3387, 3392)","(3387, 3392)",signs,signs,72670004,118227000,12970259-DS-4,"lar blade is seen. No fracture or dislocation or signs of osteomyelitis in the right glenohumeral joint " "Correct entity, wrong SNOMED ID","(3396, 3409)","(3396, 3409)",osteomyelitis,osteomyelitis,60168000,409780002,12970259-DS-4," is seen. No fracture or dislocation or signs of osteomyelitis in the right glenohumeral joint are found. Multip" "Correct entity, wrong SNOMED ID","(3417, 3441)","(3417, 3441)",right glenohumeral joint,right glenohumeral joint,720593001,733428007,12970259-DS-4," or dislocation or signs of osteomyelitis in the right glenohumeral joint are found. Multiple right-sided rib fractures are" "Correct entity, wrong SNOMED ID","(3462, 3473)","(3462, 3473)",right-sided,right-sided,724221004,448602005,12970259-DS-4," the right glenohumeral joint are found. Multiple right-sided rib fractures are present. ___ CT chest: Acute " "Correct entity, wrong SNOMED ID","(3530, 3542)","(3530, 3542)",displaced fx,displaced fx,123735002,787487000,12970259-DS-4,"actures are present. ___ CT chest: Acute mildly displaced fx of lateral R ___, posterior and lateral 7th rib, " Wrong span,"(3583, 3590)","(3583, 3586)",7th rib,7th,24915002,224910005,12970259-DS-4,"placed fx of lateral R ___, posterior and lateral 7th rib, non-displaced fx post R8-9 ribs. Multiple latera" Missed entity,"(3592, 3605)",,non-displaced,,307184009,,12970259-DS-4," of lateral R ___, posterior and lateral 7th rib, non-displaced fx post R8-9 ribs. Multiple lateral and posterior" "Correct entity, wrong SNOMED ID","(3606, 3608)","(3606, 3608)",fx,fx,1261007,421806008,12970259-DS-4,"___, posterior and lateral 7th rib, non-displaced fx post R8-9 ribs. Multiple lateral and posterior R " "Correct entity, wrong SNOMED ID","(3614, 3616)","(3614, 3616)",R8,R8,5953002,420274006,12970259-DS-4,"terior and lateral 7th rib, non-displaced fx post R8-9 ribs. Multiple lateral and posterior R sided ri" Missed entity,"(3617, 3618)",,9,,22565002,,12970259-DS-4,"ior and lateral 7th rib, non-displaced fx post R8-9 ribs. Multiple lateral and posterior R sided rib " "Correct entity, wrong SNOMED ID","(3619, 3623)","(3619, 3623)",ribs,ribs,113197003,24201007,12970259-DS-4,"r and lateral 7th rib, non-displaced fx post R8-9 ribs. Multiple lateral and posterior R sided rib fract" "Correct entity, wrong SNOMED ID","(3656, 3663)","(3656, 3663)",R sided,R sided,724221004,448602005,12970259-DS-4,"fx post R8-9 ribs. Multiple lateral and posterior R sided rib fractures producing flail chest syndrome are " Wrong span,"(3688, 3699)","(3688, 3708)",flail chest,flail chest syndrome,78011002,311409007,12970259-DS-4,"ral and posterior R sided rib fractures producing flail chest syndrome are seen. Extensive posterior right lowe" Wrong span,"(3700, 3708)","(3688, 3708)",syndrome,flail chest syndrome,64572001,311409007,12970259-DS-4,"erior R sided rib fractures producing flail chest syndrome are seen. Extensive posterior right lower lobe co" Wrong span,"(3729, 3755)","(3739, 3755)","posterior right lower lobe",right lower lobe,16057008,200384002,12970259-DS-4,"roducing flail chest syndrome are seen. Extensive posterior right lower lobe consolidation, compatible with atelectasis mixed" "Correct entity, wrong SNOMED ID","(3811, 3826)","(3811, 3826)",lung hemorrhage,lung hemorrhage,78144005,1119234001,12970259-DS-4,"lidation, compatible with atelectasis mixed with lung hemorrhage and moderate right pleural effusion, small anteri" "Correct entity, wrong SNOMED ID","(3840, 3845)","(3840, 3845)",right,right,44788007,225794002,12970259-DS-4,"lectasis mixed with lung hemorrhage and moderate right pleural effusion, small anterior and medial lower" "Correct entity, wrong SNOMED ID","(3846, 3862)","(3846, 3862)",pleural effusion,pleural effusion,60046008,1366511008,12970259-DS-4,"is mixed with lung hemorrhage and moderate right pleural effusion, small anterior and medial lower right pneumothor" "Correct entity, wrong SNOMED ID","(3902, 3914)","(3902, 3914)",pneumothorax,pneumothorax,36118008,109364007,12970259-DS-4,"l effusion, small anterior and medial lower right pneumothorax are present. No thoracic aortic aneurysm or disse" "Correct entity, wrong SNOMED ID","(3931, 3955)","(3931, 3955)",thoracic aortic aneurysm,thoracic aortic aneurysm,433068007,195258006,12970259-DS-4,"d medial lower right pneumothorax are present. No thoracic aortic aneurysm or dissection is seen. Bilateral gynecomastia, mu" "Correct entity, wrong SNOMED ID","(3959, 3969)","(3959, 3969)",dissection,dissection,233994002,710864009,12970259-DS-4,"horax are present. No thoracic aortic aneurysm or dissection is seen. Bilateral gynecomastia, much more promin" Missed entity,"(3979, 3988)",,Bilateral,,63762007,,12970259-DS-4,"o thoracic aortic aneurysm or dissection is seen. Bilateral gynecomastia, much more prominent on the right si" "Correct entity, wrong SNOMED ID","(3989, 4001)","(3989, 4001)",gynecomastia,gynecomastia,4754008,431498001,12970259-DS-4," aortic aneurysm or dissection is seen. Bilateral gynecomastia, much more prominent on the right side are seen. " Wrong span,"(4030, 4040)","(4030, 4035)",right side,right,73056007,264746006,12970259-DS-4,"ilateral gynecomastia, much more prominent on the right side are seen. ___ Abdomen/Pelvis: Extensive posteri" "Correct entity, wrong SNOMED ID","(4057, 4064)","(4057, 4064)",Abdomen,Abdomen,441987005,75093004,12970259-DS-4," more prominent on the right side are seen. ___ Abdomen/Pelvis: Extensive posterior right lung base airs" "Correct entity, wrong SNOMED ID","(4065, 4071)","(4065, 4071)",Pelvis,Pelvis,715959009,229326000,12970259-DS-4,"ominent on the right side are seen. ___ Abdomen/Pelvis: Extensive posterior right lung base airspace di" "Correct entity, wrong SNOMED ID","(4093, 4108)","(4093, 4108)",right lung base,right lung base,51785002,181416003,12970259-DS-4,"e seen. ___ Abdomen/Pelvis: Extensive posterior right lung base airspace disease and moderate right pleural effu" "Correct entity, wrong SNOMED ID","(4119, 4126)","(4119, 4126)",disease,disease,64572001,170516003,12970259-DS-4,"is: Extensive posterior right lung base airspace disease and moderate right pleural effusion are present. " "Correct entity, wrong SNOMED ID","(4140, 4145)","(4140, 4145)",right,right,44788007,225794002,12970259-DS-4,"or right lung base airspace disease and moderate right pleural effusion are present. No abdominal hemato" "Correct entity, wrong SNOMED ID","(4146, 4162)","(4146, 4162)",pleural effusion,pleural effusion,60046008,1366511008,12970259-DS-4,"ht lung base airspace disease and moderate right pleural effusion are present. No abdominal hematoma or internal or" "Correct entity, wrong SNOMED ID","(4179, 4197)","(4179, 4197)",abdominal hematoma,abdominal hematoma,447096000,235999009,12970259-DS-4,"d moderate right pleural effusion are present. No abdominal hematoma or internal organ injury could be seen. No pelvic" "Correct entity, wrong SNOMED ID","(4201, 4222)","(4201, 4222)",internal organ injury,internal organ injury,49011004,111731002,12970259-DS-4,"al effusion are present. No abdominal hematoma or internal organ injury could be seen. No pelvic hematoma or internal org" "Correct entity, wrong SNOMED ID","(4241, 4256)","(4241, 4256)",pelvic hematoma,pelvic hematoma,264558008,199993001,12970259-DS-4,"matoma or internal organ injury could be seen. No pelvic hematoma or internal organ injury could be seen. Left adre" "Correct entity, wrong SNOMED ID","(4260, 4281)","(4260, 4281)",internal organ injury,internal organ injury,269159008,111731002,12970259-DS-4,"organ injury could be seen. No pelvic hematoma or internal organ injury could be seen. Left adrenal tumor is found, follo" "Correct entity, wrong SNOMED ID","(4297, 4301)","(4297, 4301)",Left,Left,12003004,264745005,12970259-DS-4," hematoma or internal organ injury could be seen. Left adrenal tumor is found, follow-up MRI is recommen" "Correct entity, wrong SNOMED ID","(4302, 4315)","(4302, 4315)",adrenal tumor,adrenal tumor,127021009,237796007,12970259-DS-4,"toma or internal organ injury could be seen. Left adrenal tumor is found, follow-up MRI is recommended. Right mid" "Correct entity, wrong SNOMED ID","(4336, 4339)","(4336, 4339)",MRI,MRI,113091000,1144760005,12970259-DS-4,"d be seen. Left adrenal tumor is found, follow-up MRI is recommended. Right mid renal cortical simple c" Missed entity,"(4356, 4361)",,Right,,9846003,,12970259-DS-4,"nal tumor is found, follow-up MRI is recommended. Right mid renal cortical simple cyst and relatively hig" Wrong span,"(4366, 4380)","(4362, 4380)",renal cortical,"mid renal cortical",253881008,16755007,12970259-DS-4,"is found, follow-up MRI is recommended. Right mid renal cortical simple cyst and relatively high density left late" "Correct entity, wrong SNOMED ID","(4381, 4392)","(4381, 4392)",simple cyst,simple cyst,77945009,176507006,12970259-DS-4,"w-up MRI is recommended. Right mid renal cortical simple cyst and relatively high density left lateral inferior" Missed entity,"(4413, 4420)",,density,,128305008,,12970259-DS-4,"id renal cortical simple cyst and relatively high density left lateral inferior renal cortical lesion are s" Missed entity,"(4421, 4425)",,left,,18639004,,12970259-DS-4," cortical simple cyst and relatively high density left lateral inferior renal cortical lesion are seen. " Wrong span,"(4443, 4457)","(4434, 4457)",renal cortical,inferior renal cortical,50403003,243707006,12970259-DS-4,"and relatively high density left lateral inferior renal cortical lesion are seen. Right parasagittal ventral herni" "Correct entity, wrong SNOMED ID","(4458, 4464)","(4458, 4464)",lesion,lesion,52988006,120609008,12970259-DS-4,"high density left lateral inferior renal cortical lesion are seen. Right parasagittal ventral hernia conta" "Correct entity, wrong SNOMED ID","(4494, 4508)","(4494, 4508)",ventral hernia,ventral hernia,414396006,414543001,12970259-DS-4,"enal cortical lesion are seen. Right parasagittal ventral hernia containing partial circumference of transverse co" "Correct entity, wrong SNOMED ID","(4545, 4561)","(4545, 4561)",transverse colon,transverse colon,485005,362163004,12970259-DS-4,"entral hernia containing partial circumference of transverse colon, small periumbilical hernia seen. Brief Hospit" Wrong span,"(4583, 4589)","(4569, 4589)",hernia,periumbilical hernia,414403008,1343633000,12970259-DS-4,"mference of transverse colon, small periumbilical hernia seen. Brief Hospital Course: Mr. ___ is a ___ " "Correct entity, wrong SNOMED ID","(4686, 4690)","(4686, 4690)",fall,fall,161898004,298344006,12970259-DS-4,"__ y/o M who was transferred to ___ from ___ s/p fall while intoxicated, found to have multiple right-" "Correct entity, wrong SNOMED ID","(4697, 4708)","(4697, 4708)",intoxicated,intoxicated,25702006,102897001,12970259-DS-4,"o was transferred to ___ from ___ s/p fall while intoxicated, found to have multiple right-sided rib fracture" "Correct entity, wrong SNOMED ID","(4734, 4745)","(4734, 4745)",right-sided,right-sided,724221004,448602005,12970259-DS-4,"p fall while intoxicated, found to have multiple right-sided rib fractures and a right displaced scapular fra" "Correct entity, wrong SNOMED ID","(4766, 4771)","(4766, 4771)",right,right,719628000,225794002,12970259-DS-4,"to have multiple right-sided rib fractures and a right displaced scapular fracture. The patient was als" "Correct entity, wrong SNOMED ID","(4772, 4781)","(4772, 4781)",displaced,displaced,123735002,13206009,12970259-DS-4,"e multiple right-sided rib fractures and a right displaced scapular fracture. The patient was also found to" "Correct entity, wrong SNOMED ID","(4783, 4800)","(4783, 4800)",scapular fracture,scapular fracture,9682006,29749002,12970259-DS-4," right-sided rib fractures and a right displaced scapular fracture. The patient was also found to be hyponatremic w" "Correct entity, wrong SNOMED ID","(4835, 4847)","(4835, 4847)",hyponatremic,hyponatremic,89627008,307201006,12970259-DS-4,"apular fracture. The patient was also found to be hyponatremic with a sodium level of 120. The patient was adm" "Correct entity, wrong SNOMED ID","(4856, 4868)","(4856, 4868)",sodium level,sodium level,365761000,412885005,12970259-DS-4,"patient was also found to be hyponatremic with a sodium level of 120. The patient was admitted to the Trauma " Wrong span,"(4986, 5017)","(4999, 5017)",protocol for alcohol withdrawal,alcohol withdrawal,386449006,1141000161108,12970259-DS-4,"r further management. He was maintained on a ___ protocol for alcohol withdrawal. The patient received NS and salt tabs for hypo" "Correct entity, wrong SNOMED ID","(5063, 5075)","(5063, 5075)",hyponatremia,hyponatremia,89627008,307201006,12970259-DS-4,"awal. The patient received NS and salt tabs for hyponatremia. On ___, sodium was normalized to 135 and salt t" Wrong span,"(5086, 5107)","(5086, 5092)",sodium was normalized,sodium,365761000,104934005,12970259-DS-4,"eived NS and salt tabs for hyponatremia. On ___, sodium was normalized to 135 and salt tabs were discontinued. The pati" Missed entity,"(5134, 5146)",,discontinued,,304540007,,12970259-DS-4," sodium was normalized to 135 and salt tabs were discontinued. The patients home HCTZ was restarted. He worke" Missed entity,"(5176, 5185)",,restarted,,182837001,,12970259-DS-4,"bs were discontinued. The patients home HCTZ was restarted. He worked with Physical and Occupational Thera" Missed entity,"(5217, 5237)",,Occupational Therapy,,84478008,,12970259-DS-4,"HCTZ was restarted. He worked with Physical and Occupational Therapy. He was seen by social work for ___. Orthopedic" Missed entity,"(5247, 5266)",,seen by social work,,185283008,,12970259-DS-4," with Physical and Occupational Therapy. He was seen by social work for ___. Orthopedic Surgery was contacted for th" "Correct entity, wrong SNOMED ID","(5318, 5334)","(5318, 5334)",scapula fracture,scapula fracture,9682006,29749002,12970259-DS-4,"or ___. Orthopedic Surgery was contacted for the scapula fracture, they recommended WBAT and outpatient follow-up." Boundary error,"(5354, 5358)","(5354, 5357)",WBAT,WBA,229602008,258001008,12970259-DS-4,"acted for the scapula fracture, they recommended WBAT and outpatient follow-up. During this hospitaliz" Wrong span,"(5363, 5383)","(5363, 5366)",outpatient follow-up,out,737492002,60119000,12970259-DS-4," the scapula fracture, they recommended WBAT and outpatient follow-up. During this hospitalization, the patient ambula" "Correct entity, wrong SNOMED ID","(5478, 5496)","(5478, 5496)",respiratory toilet,respiratory toilet,232698006,410205005,12970259-DS-4,"mbulated early and frequently, was adherent with respiratory toilet and incentive spirometry, and actively participa" "Correct entity, wrong SNOMED ID","(5501, 5521)","(5501, 5521)",incentive spirometry,incentive spirometry,229301009,767906009,12970259-DS-4,"uently, was adherent with respiratory toilet and incentive spirometry, and actively participated in the plan of care. " "Correct entity, wrong SNOMED ID","(5593, 5613)","(5593, 5613)",subcutaneous heparin,subcutaneous heparin,312613008,769004004,12970259-DS-4,"ipated in the plan of care. The patient received subcutaneous heparin and venodyne boots were used during this stay. " "Correct entity, wrong SNOMED ID","(5717, 5725)","(5717, 5725)",afebrile,afebrile,87273009,307200007,12970259-DS-4,"he time of discharge, the patient was doing well, afebrile with stable vital signs. The patient was tolerat" "Correct entity, wrong SNOMED ID","(5732, 5750)","(5732, 5750)",stable vital signs,stable vital signs,72970002,301459008,12970259-DS-4,"harge, the patient was doing well, afebrile with stable vital signs. The patient was tolerating a regular diet, ambu" Boundary error,"(5768, 5778)","(5768, 5780)",tolerating,tolerating a,1144522003,797943003,12970259-DS-4,"febrile with stable vital signs. The patient was tolerating a regular diet, ambulating, voiding without assi" "Correct entity, wrong SNOMED ID","(5781, 5794)","(5781, 5794)","regular diet","regular diet",36823005,11816003,12970259-DS-4," stable vital signs. The patient was tolerating a regular diet, ambulating, voiding without assistance, and pain" "Correct entity, wrong SNOMED ID","(5796, 5806)","(5796, 5806)",ambulating,ambulating,160680006,722370002,12970259-DS-4,"igns. The patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well c" "Correct entity, wrong SNOMED ID","(5808, 5834)","(5808, 5834)",voiding without assistance,voiding without assistance,129023004,49650001,12970259-DS-4,"tient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. The patient was " Missed entity,"(5950, 5958)",,teaching,,311401005,,12970259-DS-4,"without services. The patient received discharge teaching and follow-up instructions with understanding ve" Missed entity,"(5974, 5986)",,instructions,,311401005,,12970259-DS-4,"atient received discharge teaching and follow-up instructions with understanding verbalized and agreement with " Missed entity,"(6041, 6055)",,discharge plan,,371754007,,12970259-DS-4," understanding verbalized and agreement with the discharge plan. Medications on Admission: atorvastatin 80, HC" Wrong span,"(7168, 7172)","(7168, 7178)",Fall,Fall while,161898004,217082002,12970259-DS-4,"d Care Facility: ___ Discharge Diagnosis: [] Fall while intoxicated [] Right displaced scapula frac" "Correct entity, wrong SNOMED ID","(7179, 7190)","(7179, 7190)",intoxicated,intoxicated,25702006,102897001,12970259-DS-4,"cility: ___ Discharge Diagnosis: [] Fall while intoxicated [] Right displaced scapula fracture [] Right-side" "Correct entity, wrong SNOMED ID","(7194, 7199)","(7194, 7199)",Right,Right,719628000,225794002,12970259-DS-4,"Discharge Diagnosis: [] Fall while intoxicated [] Right displaced scapula fracture [] Right-sided rib fra" Wrong span,"(7200, 7209)","(7200, 7226)",displaced,displaced scapula fracture,123735002,263076003,12970259-DS-4,"rge Diagnosis: [] Fall while intoxicated [] Right displaced scapula fracture [] Right-sided rib fractures ___" Wrong span,"(7210, 7226)","(7200, 7226)",scapula fracture,displaced scapula fracture,9682006,263076003,12970259-DS-4,"sis: [] Fall while intoxicated [] Right displaced scapula fracture [] Right-sided rib fractures ___ and moderate rig" Wrong span,"(7230, 7241)","(7230, 7255)",Right-sided,Right-sided rib fractures,724221004,11874381000119101,12970259-DS-4,"ntoxicated [] Right displaced scapula fracture [] Right-sided rib fractures ___ and moderate right pleural eff" Wrong span,"(7242, 7255)","(7230, 7255)",rib fractures,Right-sided rib fractures,1261007,11874381000119101,12970259-DS-4,"] Right displaced scapula fracture [] Right-sided rib fractures ___ and moderate right pleural effusion [] Alcoh" "Correct entity, wrong SNOMED ID","(7273, 7278)","(7273, 7278)",right,right,44788007,225794002,12970259-DS-4,"ure [] Right-sided rib fractures ___ and moderate right pleural effusion [] Alcohol withdrawal [] Hypona" "Correct entity, wrong SNOMED ID","(7279, 7296)","(7279, 7296)","pleural effusion","pleural effusion",60046008,1366511008,12970259-DS-4," Right-sided rib fractures ___ and moderate right pleural effusion [] Alcohol withdrawal [] Hyponatremia (resolved) " "Correct entity, wrong SNOMED ID","(7300, 7318)","(7300, 7318)",Alcohol withdrawal,Alcohol withdrawal,191480000,1141000161108,12970259-DS-4,"tures ___ and moderate right pleural effusion [] Alcohol withdrawal [] Hyponatremia (resolved) Discharge Condition" "Correct entity, wrong SNOMED ID","(7322, 7334)","(7322, 7334)",Hyponatremia,Hyponatremia,89627008,307201006,12970259-DS-4," right pleural effusion [] Alcohol withdrawal [] Hyponatremia (resolved) Discharge Condition: Mental Status:" Missed entity,"(7336, 7344)",,resolved,,413322009,,12970259-DS-4," effusion [] Alcohol withdrawal [] Hyponatremia (resolved) Discharge Condition: Mental Status: Clear and" "Correct entity, wrong SNOMED ID","(7370, 7383)","(7370, 7383)",Mental Status,Mental Status,392257007,419284004,12970259-DS-4,"] Hyponatremia (resolved) Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(7385, 7390)","(7385, 7390)",Clear,Clear,830123008,281278005,12970259-DS-4,"(resolved) Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(7405, 7427)","(7405, 7427)",Level of Consciousness,Level of Consciousness,444714004,830285008,12970259-DS-4,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(7429, 7434)","(7429, 7434)",Alert,Alert,248234008,409787004,12970259-DS-4,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(7439, 7450)","(7439, 7450)",interactive,interactive,288577006,10301000202103,12970259-DS-4,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(7452, 7467)","(7452, 7467)",Activity Status,Activity Status,129676008,397622007,12970259-DS-4,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(7469, 7493)","(7469, 7493)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,12970259-DS-4,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, You we" "Correct entity, wrong SNOMED ID","(7571, 7575)","(7571, 7575)",fall,fall,161898004,298344006,12970259-DS-4," Dear Mr. ___, You were admitted to ___ after a fall and were found to have a right scapular (shoulder" "Correct entity, wrong SNOMED ID","(7601, 7615)","(7601, 7615)",right scapular,right scapular,719628000,12107861000119109,12970259-DS-4,"ted to ___ after a fall and were found to have a right scapular (shoulder blade) fracture and multiple right-sid" Wrong span,"(7617, 7631)","(7617, 7625)",shoulder blade,shoulder,79601000,91774008,12970259-DS-4," a fall and were found to have a right scapular (shoulder blade) fracture and multiple right-sided rib fractures" Missed entity,"(7634, 7642)",,fracture,,9682006,,12970259-DS-4," found to have a right scapular (shoulder blade) fracture and multiple right-sided rib fractures. Your sca" "Correct entity, wrong SNOMED ID","(7656, 7667)","(7656, 7667)",right-sided,right-sided,724221004,448602005,12970259-DS-4," scapular (shoulder blade) fracture and multiple right-sided rib fractures. Your scapular fracture will heal" "Correct entity, wrong SNOMED ID","(7689, 7707)","(7689, 7707)","scapular fracture","scapular fracture",9682006,427803007,12970259-DS-4,"ure and multiple right-sided rib fractures. Your scapular fracture will heal on it's own and you have an appointment" "Correct entity, wrong SNOMED ID","(7799, 7806)","(7799, 7806)",imaging,imaging,363679005,408574004,12970259-DS-4,"ointment in the outpatient ___ clinic for repeat imaging. Your rib fractures will heal on their own and " Wrong span,"(7875, 7905)","(7885, 7905)","use your incentive spirometer",incentive spirometer,229301009,470221003,12970259-DS-4,"res will heal on their own and it is important to use your incentive spirometer to prevent pneumonia. You have worked with Phy" Missed entity,"(7909, 7916)",,prevent,,169443000,,12970259-DS-4,"is important to use your incentive spirometer to prevent pneumonia. You have worked with Physical Thera" "Correct entity, wrong SNOMED ID","(7917, 7926)","(7917, 7926)",pneumonia,pneumonia,233604007,415125002,12970259-DS-4,"tant to use your incentive spirometer to prevent pneumonia. You have worked with Physical Therapy who rec" "Correct entity, wrong SNOMED ID","(8152, 8158)","(8152, 8158)",injury,injury,417746004,312608009,12970259-DS-4,"ote the following discharge instructions: * Your injury caused right-sided rib fractures which can cause " "Correct entity, wrong SNOMED ID","(8166, 8177)","(8166, 8177)",right-sided,right-sided,724221004,448602005,12970259-DS-4,"ing discharge instructions: * Your injury caused right-sided rib fractures which can cause severe pain and su" "Correct entity, wrong SNOMED ID","(8209, 8220)","(8209, 8220)",severe pain,severe pain,76948002,699190008,12970259-DS-4,"caused right-sided rib fractures which can cause severe pain and subsequently cause you to take shallow breath" Missed entity,"(8238, 8271)",,cause you to take shallow breaths,,427625003,,12970259-DS-4,"res which can cause severe pain and subsequently cause you to take shallow breaths because of the pain. * You should take your pa" "Correct entity, wrong SNOMED ID","(8288, 8292)","(8288, 8292)",pain,pain,22253000,102570003,12970259-DS-4,"cause you to take shallow breaths because of the pain. * You should take your pain medication as dire" "Correct entity, wrong SNOMED ID","(8369, 8373)","(8369, 8373)",pain,pain,22253000,102570003,12970259-DS-4,"pain medication as directed to stay ahead of the pain otherwise you won't be able to take deep breaths." "Correct entity, wrong SNOMED ID","(8515, 8524)","(8515, 8524)",Pneumonia,Pneumonia,233604007,415125002,12970259-DS-4,"ake half the dose and notify your physician. * Pneumonia is a complication of rib fractures. In order to " "Correct entity, wrong SNOMED ID","(8546, 8559)","(8546, 8559)",rib fractures,rib fractures,1261007,429381000124105,12970259-DS-4,"our physician. * Pneumonia is a complication of rib fractures. In order to decrease your risk you must use yo" Missed entity,"(8575, 8593)",,decrease your risk,,169443000,,12970259-DS-4,"is a complication of rib fractures. In order to decrease your risk you must use your incentive spirometer 4 times e" Wrong span,"(8603, 8632)","(8612, 8632)",use your incentive spirometer,incentive spirometer,229301009,470221003,12970259-DS-4,"ctures. In order to decrease your risk you must use your incentive spirometer 4 times every hour while awake. This will help " Missed entity,"(8700, 8707)",,airways,,89187006,,12970259-DS-4,"ur while awake. This will help expand the small airways in your lungs and assist in coughing up secretion" "Correct entity, wrong SNOMED ID","(8716, 8721)","(8716, 8721)",lungs,lungs,39607008,169115000,12970259-DS-4," This will help expand the small airways in your lungs and assist in coughing up secretions that pool i" Wrong span,"(8736, 8758)","(8736, 8744)",coughing up secretions,coughing,370791009,52673003,12970259-DS-4,"nd the small airways in your lungs and assist in coughing up secretions that pool in the lungs. * You will be more com" "Correct entity, wrong SNOMED ID","(8777, 8782)","(8777, 8782)",lungs,lungs,39607008,169115000,12970259-DS-4,"ssist in coughing up secretions that pool in the lungs. * You will be more comfortable if you use a co" "Correct entity, wrong SNOMED ID","(8865, 8870)","(8865, 8870)",chest,chest,51185008,74160004,12970259-DS-4,"e if you use a cough pillow to hold against your chest and guard your rib cage while coughing and deep " "Correct entity, wrong SNOMED ID","(8886, 8894)","(8886, 8894)",rib cage,rib cage,60413009,113197003,12970259-DS-4,"pillow to hold against your chest and guard your rib cage while coughing and deep breathing. * Symptomat" Missed entity,"(8972, 8984)",,heating pads,,266694003,,12970259-DS-4,"eathing. * Symptomatic relief with ice packs or heating pads for short periods may ease the pain. * Narcoti" "Correct entity, wrong SNOMED ID","(9017, 9021)","(9017, 9021)",pain,pain,22253000,102570003,12970259-DS-4,"s or heating pads for short periods may ease the pain. * Narcotic pain medication can cause constipat" Wrong span,"(9027, 9061)","(9027, 9035)",Narcotic pain medication can cause,Narcotic,708652009,95914002,12970259-DS-4,"ng pads for short periods may ease the pain. * Narcotic pain medication can cause constipation therefore you should take a stool s" "Correct entity, wrong SNOMED ID","(9062, 9074)","(9062, 9074)",constipation,constipation,14760008,236069009,12970259-DS-4," the pain. * Narcotic pain medication can cause constipation therefore you should take a stool softener twice" "Correct entity, wrong SNOMED ID","(9097, 9118)","(9097, 9118)",take a stool softener,take a stool softener,225948006,249526007,12970259-DS-4,"tion can cause constipation therefore you should take a stool softener twice daily and increase your fluid and fiber in" Missed entity,"(9135, 9154)",,increase your fluid,,113148007,,12970259-DS-4,"you should take a stool softener twice daily and increase your fluid and fiber intake if possible. * Do NOT smoke " Missed entity,"(9160, 9172)",,fiber intake,,183059007,,12970259-DS-4,"softener twice daily and increase your fluid and fiber intake if possible. * Do NOT smoke * If your doctor " "Correct entity, wrong SNOMED ID","(9190, 9202)","(9190, 9202)",Do NOT smoke,Do NOT smoke,225323000,394885002,12970259-DS-4,"ase your fluid and fiber intake if possible. * Do NOT smoke * If your doctor allows, non-steroidal ___ drug" Missed entity,"(9230, 9253)",,non-steroidal ___ drugs,,713443004,,12970259-DS-4,"ible. * Do NOT smoke * If your doctor allows, non-steroidal ___ drugs are very effective in controlling pain ( ie, Ibu" Missed entity,"(9277, 9293)",,controlling pain,,225782006,,12970259-DS-4,"s, non-steroidal ___ drugs are very effective in controlling pain ( ie, Ibuprofen, Motrin, Advil, Aleve, Naprosyn)" Missed entity,"(9375, 9388)",,"side effects",,401207004,,12970259-DS-4,", Aleve, Naprosyn) but they have their own set of side effects so make sure your doctor approves. * Return to " Missed entity,"(9428, 9456)",,Return to the Emergency Room,,385868005,,12970259-DS-4,"e effects so make sure your doctor approves. * Return to the Emergency Room right away for any acute shortness of breath, in" "Correct entity, wrong SNOMED ID","(9483, 9502)","(9483, 9502)",shortness of breath,shortness of breath,267036007,135833008,12970259-DS-4,"n to the Emergency Room right away for any acute shortness of breath, increased pain or crackling sensation around yo" "Correct entity, wrong SNOMED ID","(9504, 9518)","(9504, 9518)",increased pain,increased pain,1144586002,35331000087107,12970259-DS-4,"om right away for any acute shortness of breath, increased pain or crackling sensation around your ribs (crepitu" Wrong span,"(9522, 9531)","(9522, 9541)",crackling,crackling sensation,48409008,63642005,12970259-DS-4,"any acute shortness of breath, increased pain or crackling sensation around your ribs (crepitus). Follow" "Correct entity, wrong SNOMED ID","(9555, 9559)","(9555, 9559)",ribs,ribs,113197003,249704008,12970259-DS-4,"ncreased pain or crackling sensation around your ribs (crepitus). Followup Instructions: ___ " False positive,,"(675, 680)",,L THA,,264745005,12991484-DS-15,"hospitalization & laser surgeries, shingles, s/p L THA ___, Dr. ___ Social History: ___ Family Histor" False positive,,"(1202, 1206)",,calf,,281792000,12991484-DS-15,"guinous drainage * Thigh full but soft * No calf tenderness * ___ strength * SILT, NVI dista" False positive,,"(2281, 2295)",,unable to void,,8009008,12991484-DS-15,"he following: Overnight on POD#0, the patient was unable to void and had to be straight cath'ed x1. He was able " False positive,,"(2470, 2475)",,LENIs,,1300008,12991484-DS-15,"ess. He was sent to rule out a blood clot. His LENIs were negative for blood clots. Urines were also" False positive,,"(2509, 2515)",,Urines,,78888000,12991484-DS-15,"clot. His LENIs were negative for blood clots. Urines were also collected on POD#2 when his white count" False positive,,"(4117, 4128)",,loose stool,,398032003,12991484-DS-15," Q8H 2. Docusate Sodium 100 mg PO BID Hold for loose stools 3. Enoxaparin Sodium 40 mg SC DAILY Start: __" False positive,,"(4319, 4330)",,loose stool,,398032003,12991484-DS-15,"O Q4H:PRN Pain 5. Senna 8.6 mg PO BID Hold for loose stools 6. Glargine 10 Units Bedtime 7. GlipiZIDE 10" False positive,,"(4980, 4995)",,Activity Status,,397622007,12991484-DS-15,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker " False positive,,"(5223, 5233)",,medication,,182837001,12991484-DS-15,"ny of the following: severe pain not relieved by medication, increased swelling, decreased sensation, diffic" False positive,,"(5545, 5556)",,medications,,182837001,12991484-DS-15,"y physician regarding this admission and any new medications and refills. 3. Resume your home medications un" False positive,,"(5737, 5750)",,drink alcohol,,160579004,12991484-DS-15,"Please do not drive, operate heavy machinery, or drink alcohol while taking these medications. As your pain dec" False positive,,"(6136, 6147)",,medications,,182837001,12991484-DS-15,"of medication so that it can be refilled. These medications cannot be called into your pharmacy and must be " False positive,,"(6648, 6652)",,wrap,,262015000,12991484-DS-15,". Do not place ice directly on the skin. You may wrap the knee with an ace bandage for added compressi" False positive,,"(6670, 6673)",,ace,,3150000,12991484-DS-15,"rectly on the skin. You may wrap the knee with an ace bandage for added compression. Please DO NOT tak" False positive,,"(7904, 7920)",,Physical Therapy,,183326003,12991484-DS-15,"e or heavy lifting until follow up appointment. Physical Therapy: WBAT RLE No range of motion restrictions Assisti" False positive,,"(7934, 7949)",,range of motion,,298878008,12991484-DS-15,"ow up appointment. Physical Therapy: WBAT RLE No range of motion restrictions Assistive device x 6 weeks (i.e., 2 " "Correct entity, wrong SNOMED ID","(193, 215)","(193, 215)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,12991484-DS-15,": ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: right knee os" "Correct entity, wrong SNOMED ID","(252, 277)","(252, 277)",right knee osteoarthritis,right knee osteoarthritis,323321000119100,1074361000119105,12991484-DS-15,"rug Reactions Attending: ___ Chief Complaint: right knee osteoarthritis/pain Major Surgical or Invasive Procedure: ___:" "Correct entity, wrong SNOMED ID","(278, 282)","(278, 282)",pain,pain,1003721002,102570003,12991484-DS-15," ___ Chief Complaint: right knee osteoarthritis/pain Major Surgical or Invasive Procedure: ___: righ" "Correct entity, wrong SNOMED ID","(328, 357)","(328, 357)",right total knee arthroplasty,right total knee arthroplasty,1251509000,735261001,12991484-DS-15,"pain Major Surgical or Invasive Procedure: ___: right total knee arthroplasty History of Present Illness: ___ year old male " "Correct entity, wrong SNOMED ID","(409, 433)","(409, 433)",right hip osteoarthritis,right hip osteoarthritis,323311000119107,1074331000119102,12991484-DS-15," History of Present Illness: ___ year old male w/right hip osteoarthritis/pain who failed conservative measures, now admit" "Correct entity, wrong SNOMED ID","(434, 438)","(434, 438)",pain,pain,49218002,102570003,12991484-DS-15,"ess: ___ year old male w/right hip osteoarthritis/pain who failed conservative measures, now admitted f" Boundary error,"(491, 522)","(491, 521)","right total knee arthroplasty.","right total knee arthroplasty",1251509000,735261001,12991484-DS-15,"o failed conservative measures, now admitted for right total knee arthroplasty. Past Medical History: HTN, dyslipidemia, OSA, " "Correct entity, wrong SNOMED ID","(548, 551)","(548, 551)",HTN,HTN,38341003,10725009,12991484-DS-15,"otal knee arthroplasty. Past Medical History: HTN, dyslipidemia, OSA, T2DM ___ A1C 7.1), BPH, LUE c" "Correct entity, wrong SNOMED ID","(553, 565)","(553, 565)",dyslipidemia,dyslipidemia,370992007,109041000119107,12991484-DS-15,"knee arthroplasty. Past Medical History: HTN, dyslipidemia, OSA, T2DM ___ A1C 7.1), BPH, LUE chemical burn " Wrong span,"(596, 614)","(596, 599)","LUE chemical burn",LUE,12114521000119106,40192003,12991484-DS-15,": HTN, dyslipidemia, OSA, T2DM ___ A1C 7.1), BPH, LUE chemical burn requiring hospitalization & laser surgeries, shin" "Correct entity, wrong SNOMED ID","(643, 658)","(643, 658)",laser surgeries,laser surgeries,35631009,58076004,12991484-DS-15,"H, LUE chemical burn requiring hospitalization & laser surgeries, shingles, s/p L THA ___, Dr. ___ Social Hist" "Correct entity, wrong SNOMED ID","(660, 668)","(660, 668)",shingles,shingles,4740000,1078254009,12991484-DS-15,"burn requiring hospitalization & laser surgeries, shingles, s/p L THA ___, Dr. ___ Social History: ___ F" "Correct entity, wrong SNOMED ID","(751, 753)","(751, 753)",DM,DM,73211009,258671008,12991484-DS-15,"al History: ___ Family History: Family history of DM. Physical Exam: Well appearing in no acute dis" "Correct entity, wrong SNOMED ID","(773, 787)","(773, 787)",Well appearing,Well appearing,397749000,102499006,12991484-DS-15," History: Family history of DM. Physical Exam: Well appearing in no acute distress Afebrile with stable vita" Missed entity,"(791, 799)",,no acute,,281900007,,12991484-DS-15,"istory of DM. Physical Exam: Well appearing in no acute distress Afebrile with stable vital signs P" "Correct entity, wrong SNOMED ID","(800, 808)","(800, 808)",distress,distress,69328002,271825005,12991484-DS-15," DM. Physical Exam: Well appearing in no acute distress Afebrile with stable vital signs Pain well-" Missed entity,"(812, 820)",,Afebrile,,87273009,,12991484-DS-15,"ical Exam: Well appearing in no acute distress Afebrile with stable vital signs Pain well-controlled " "Correct entity, wrong SNOMED ID","(826, 844)","(826, 844)",stable vital signs,stable vital signs,72970002,301459008,12991484-DS-15,"l appearing in no acute distress Afebrile with stable vital signs Pain well-controlled Respiratory: CTAB C" "Correct entity, wrong SNOMED ID","(885, 889)","(885, 889)",CTAB,CTAB,48348007,112188007,12991484-DS-15,"tal signs Pain well-controlled Respiratory: CTAB Cardiovascular: RRR Gastrointestinal: NT/ND" "Correct entity, wrong SNOMED ID","(893, 907)","(893, 907)",Cardiovascular,Cardiovascular,363003006,113257007,12991484-DS-15,"s Pain well-controlled Respiratory: CTAB Cardiovascular: RRR Gastrointestinal: NT/ND Genitourinary:" "Correct entity, wrong SNOMED ID","(909, 912)","(909, 912)",RRR,RRR,76863003,129960002,12991484-DS-15,"ontrolled Respiratory: CTAB Cardiovascular: RRR Gastrointestinal: NT/ND Genitourinary: Void" "Correct entity, wrong SNOMED ID","(916, 932)","(916, 932)",Gastrointestinal,Gastrointestinal,268937004,119292006,12991484-DS-15,"ed Respiratory: CTAB Cardiovascular: RRR Gastrointestinal: NT/ND Genitourinary: Voiding independently " "Correct entity, wrong SNOMED ID","(934, 936)","(934, 936)",NT,NT,43478001,257992007,12991484-DS-15," CTAB Cardiovascular: RRR Gastrointestinal: NT/ND Genitourinary: Voiding independently Neu" "Correct entity, wrong SNOMED ID","(937, 939)","(937, 939)",ND,ND,60728008,165815009,12991484-DS-15,"AB Cardiovascular: RRR Gastrointestinal: NT/ND Genitourinary: Voiding independently Neurol" Wrong span,"(943, 946)","(943, 956)",Gen,Genitourinary,162673000,268945009,12991484-DS-15,"Cardiovascular: RRR Gastrointestinal: NT/ND Genitourinary: Voiding independently Neurologic: I" Wrong span,"(958, 979)","(958, 965)",Voiding independently,Voiding,102834005,102834005,12991484-DS-15," RRR Gastrointestinal: NT/ND Genitourinary: Voiding independently Neurologic: Intact with no focal deficits P" "Correct entity, wrong SNOMED ID","(983, 993)","(983, 993)",Neurologic,Neurologic,84728005,386427000,12991484-DS-15," NT/ND Genitourinary: Voiding independently Neurologic: Intact with no focal deficits Psychiatric: Pl" "Correct entity, wrong SNOMED ID","(995, 1001)","(995, 1001)",Intact,Intact,299956006,247602005,12991484-DS-15,"nitourinary: Voiding independently Neurologic: Intact with no focal deficits Psychiatric: Pleasant, " "Correct entity, wrong SNOMED ID","(1007, 1024)","(1007, 1024)",no focal deficits,no focal deficits,18460000,66557003,12991484-DS-15," Voiding independently Neurologic: Intact with no focal deficits Psychiatric: Pleasant, A&O x3 Musculoskelet" Missed entity,"(1028, 1039)",,Psychiatric,,75864003,,12991484-DS-15,"y Neurologic: Intact with no focal deficits Psychiatric: Pleasant, A&O x3 Musculoskeletal Lower Extrem" "Correct entity, wrong SNOMED ID","(1053, 1057)","(1053, 1057)",O x3,O x3,426224004,421806008,12991484-DS-15,"ith no focal deficits Psychiatric: Pleasant, A&O x3 Musculoskeletal Lower Extremity: * Incision" "Correct entity, wrong SNOMED ID","(1061, 1076)","(1061, 1076)",Musculoskeletal,Musculoskeletal,363215001,241562006,12991484-DS-15,"ocal deficits Psychiatric: Pleasant, A&O x3 Musculoskeletal Lower Extremity: * Incision healing well with " "Correct entity, wrong SNOMED ID","(1077, 1092)","(1077, 1092)",Lower Extremity,Lower Extremity,274791003,62175007,12991484-DS-15," Psychiatric: Pleasant, A&O x3 Musculoskeletal Lower Extremity: * Incision healing well with staples * Sca" "Correct entity, wrong SNOMED ID","(1099, 1107)","(1099, 1107)",Incision,Incision,609343002,119684006,12991484-DS-15,", A&O x3 Musculoskeletal Lower Extremity: * Incision healing well with staples * Scant serosanguino" Missed entity,"(1126, 1133)",,staples,,50015006,,12991484-DS-15," Lower Extremity: * Incision healing well with staples * Scant serosanguinous drainage * Thigh ful" "Correct entity, wrong SNOMED ID","(1145, 1168)","(1145, 1168)",serosanguinous drainage,serosanguinous drainage,449756003,1162669007,12991484-DS-15," * Incision healing well with staples * Scant serosanguinous drainage * Thigh full but soft * No calf tenderness " "Correct entity, wrong SNOMED ID","(1174, 1179)","(1174, 1179)",Thigh,Thigh,68367000,21671001,12991484-DS-15,"h staples * Scant serosanguinous drainage * Thigh full but soft * No calf tenderness * ___ st" "Correct entity, wrong SNOMED ID","(1207, 1217)","(1207, 1217)",tenderness,tenderness,247348008,43478001,12991484-DS-15,"us drainage * Thigh full but soft * No calf tenderness * ___ strength * SILT, NVI distally * To" "Correct entity, wrong SNOMED ID","(1241, 1245)","(1241, 1245)",SILT,SILT,299911004,708660005,12991484-DS-15,"ft * No calf tenderness * ___ strength * SILT, NVI distally * Toes warm Pertinent Result" Boundary error,"(1247, 1259)","(1247, 1257)",NVI distally,NVI distal,1148973008,260735003,12991484-DS-15,"* No calf tenderness * ___ strength * SILT, NVI distally * Toes warm Pertinent Results: ___ 08:03AM" "Correct entity, wrong SNOMED ID","(1265, 1269)","(1265, 1269)",Toes,Toes,8671006,249819004,12991484-DS-15,"ss * ___ strength * SILT, NVI distally * Toes warm Pertinent Results: ___ 08:03AM BLOOD WBC" "Correct entity, wrong SNOMED ID","(1270, 1274)","(1270, 1274)",warm,warm,102599008,298256005,12991484-DS-15," * ___ strength * SILT, NVI distally * Toes warm Pertinent Results: ___ 08:03AM BLOOD WBC-11.9" "Correct entity, wrong SNOMED ID","(1316, 1319)","(1316, 1319)",WBC,WBC,767002,391558003,12991484-DS-15,"oes warm Pertinent Results: ___ 08:03AM BLOOD WBC-11.9* RBC-3.50* Hgb-11.3* Hct-33.0* MCV-94 MCH-3" "Correct entity, wrong SNOMED ID","(1326, 1329)","(1326, 1329)",RBC,RBC,14089001,258759006,12991484-DS-15," Pertinent Results: ___ 08:03AM BLOOD WBC-11.9* RBC-3.50* Hgb-11.3* Hct-33.0* MCV-94 MCH-32.3* MCHC-" "Correct entity, wrong SNOMED ID","(1336, 1339)","(1336, 1339)",Hgb,Hgb,441689006,104142005,12991484-DS-15,"nt Results: ___ 08:03AM BLOOD WBC-11.9* RBC-3.50* Hgb-11.3* Hct-33.0* MCV-94 MCH-32.3* MCHC-34.2 RDW-1" "Correct entity, wrong SNOMED ID","(1346, 1349)","(1346, 1349)",Hct,Hct,28317006,282660005,12991484-DS-15,": ___ 08:03AM BLOOD WBC-11.9* RBC-3.50* Hgb-11.3* Hct-33.0* MCV-94 MCH-32.3* MCHC-34.2 RDW-13.2 RDWSD-" "Correct entity, wrong SNOMED ID","(1364, 1367)","(1364, 1367)",MCH,MCH,54706004,735147002,12991484-DS-15,"D WBC-11.9* RBC-3.50* Hgb-11.3* Hct-33.0* MCV-94 MCH-32.3* MCHC-34.2 RDW-13.2 RDWSD-45.9 Plt ___ ___ 0" "Correct entity, wrong SNOMED ID","(1374, 1378)","(1374, 1378)",MCHC,MCHC,37254006,735147002,12991484-DS-15,"* RBC-3.50* Hgb-11.3* Hct-33.0* MCV-94 MCH-32.3* MCHC-34.2 RDW-13.2 RDWSD-45.9 Plt ___ ___ 07:55AM BLOO" "Correct entity, wrong SNOMED ID","(1384, 1387)","(1384, 1387)",RDW,RDW,66842004,735149004,12991484-DS-15,"* Hgb-11.3* Hct-33.0* MCV-94 MCH-32.3* MCHC-34.2 RDW-13.2 RDWSD-45.9 Plt ___ ___ 07:55AM BLOOD WBC-12." "Correct entity, wrong SNOMED ID","(1393, 1398)","(1393, 1398)",RDWSD,RDWSD,66842004,80328002,12991484-DS-15,"3* Hct-33.0* MCV-94 MCH-32.3* MCHC-34.2 RDW-13.2 RDWSD-45.9 Plt ___ ___ 07:55AM BLOOD WBC-12.7* RBC-3.80" "Correct entity, wrong SNOMED ID","(1430, 1433)","(1430, 1433)",WBC,WBC,767002,391558003,12991484-DS-15,"4.2 RDW-13.2 RDWSD-45.9 Plt ___ ___ 07:55AM BLOOD WBC-12.7* RBC-3.80* Hgb-12.4* Hct-35.4* MCV-93 MCH-3" "Correct entity, wrong SNOMED ID","(1440, 1443)","(1440, 1443)",RBC,RBC,14089001,258759006,12991484-DS-15,".2 RDWSD-45.9 Plt ___ ___ 07:55AM BLOOD WBC-12.7* RBC-3.80* Hgb-12.4* Hct-35.4* MCV-93 MCH-32.6* MCHC-" "Correct entity, wrong SNOMED ID","(1450, 1453)","(1450, 1453)",Hgb,Hgb,441689006,104142005,12991484-DS-15,"5.9 Plt ___ ___ 07:55AM BLOOD WBC-12.7* RBC-3.80* Hgb-12.4* Hct-35.4* MCV-93 MCH-32.6* MCHC-35.0 RDW-1" "Correct entity, wrong SNOMED ID","(1460, 1463)","(1460, 1463)",Hct,Hct,28317006,282660005,12991484-DS-15,"_ ___ 07:55AM BLOOD WBC-12.7* RBC-3.80* Hgb-12.4* Hct-35.4* MCV-93 MCH-32.6* MCHC-35.0 RDW-13.1 RDWSD-" "Correct entity, wrong SNOMED ID","(1478, 1481)","(1478, 1481)",MCH,MCH,54706004,735147002,12991484-DS-15,"D WBC-12.7* RBC-3.80* Hgb-12.4* Hct-35.4* MCV-93 MCH-32.6* MCHC-35.0 RDW-13.1 RDWSD-44.8 Plt ___ ___ 0" "Correct entity, wrong SNOMED ID","(1488, 1492)","(1488, 1492)",MCHC,MCHC,37254006,735147002,12991484-DS-15,"* RBC-3.80* Hgb-12.4* Hct-35.4* MCV-93 MCH-32.6* MCHC-35.0 RDW-13.1 RDWSD-44.8 Plt ___ ___ 08:02AM BLOO" "Correct entity, wrong SNOMED ID","(1498, 1501)","(1498, 1501)",RDW,RDW,66842004,735149004,12991484-DS-15,"* Hgb-12.4* Hct-35.4* MCV-93 MCH-32.6* MCHC-35.0 RDW-13.1 RDWSD-44.8 Plt ___ ___ 08:02AM BLOOD WBC-9.9" "Correct entity, wrong SNOMED ID","(1507, 1512)","(1507, 1512)",RDWSD,RDWSD,66842004,80328002,12991484-DS-15,"4* Hct-35.4* MCV-93 MCH-32.6* MCHC-35.0 RDW-13.1 RDWSD-44.8 Plt ___ ___ 08:02AM BLOOD WBC-9.9 RBC-4.00* " "Correct entity, wrong SNOMED ID","(1544, 1547)","(1544, 1547)",WBC,WBC,767002,391558003,12991484-DS-15,"5.0 RDW-13.1 RDWSD-44.8 Plt ___ ___ 08:02AM BLOOD WBC-9.9 RBC-4.00* Hgb-12.8* Hct-37.3* MCV-93 MCH-32." "Correct entity, wrong SNOMED ID","(1552, 1555)","(1552, 1555)",RBC,RBC,14089001,258759006,12991484-DS-15,"13.1 RDWSD-44.8 Plt ___ ___ 08:02AM BLOOD WBC-9.9 RBC-4.00* Hgb-12.8* Hct-37.3* MCV-93 MCH-32.0 MCHC-3" "Correct entity, wrong SNOMED ID","(1562, 1565)","(1562, 1565)",Hgb,Hgb,441689006,104142005,12991484-DS-15,"-44.8 Plt ___ ___ 08:02AM BLOOD WBC-9.9 RBC-4.00* Hgb-12.8* Hct-37.3* MCV-93 MCH-32.0 MCHC-34.3 RDW-13" "Correct entity, wrong SNOMED ID","(1572, 1575)","(1572, 1575)",Hct,Hct,28317006,282660005,12991484-DS-15,"___ ___ 08:02AM BLOOD WBC-9.9 RBC-4.00* Hgb-12.8* Hct-37.3* MCV-93 MCH-32.0 MCHC-34.3 RDW-13.0 RDWSD-4" "Correct entity, wrong SNOMED ID","(1590, 1593)","(1590, 1593)",MCH,MCH,54706004,735147002,12991484-DS-15,"OOD WBC-9.9 RBC-4.00* Hgb-12.8* Hct-37.3* MCV-93 MCH-32.0 MCHC-34.3 RDW-13.0 RDWSD-44.7 Plt ___ ___ 08" "Correct entity, wrong SNOMED ID","(1599, 1603)","(1599, 1603)",MCHC,MCHC,37254006,735147002,12991484-DS-15,".9 RBC-4.00* Hgb-12.8* Hct-37.3* MCV-93 MCH-32.0 MCHC-34.3 RDW-13.0 RDWSD-44.7 Plt ___ ___ 08:03AM BLOO" "Correct entity, wrong SNOMED ID","(1609, 1612)","(1609, 1612)",RDW,RDW,66842004,735149004,12991484-DS-15,"0* Hgb-12.8* Hct-37.3* MCV-93 MCH-32.0 MCHC-34.3 RDW-13.0 RDWSD-44.7 Plt ___ ___ 08:03AM BLOOD Plt ___" "Correct entity, wrong SNOMED ID","(1618, 1623)","(1618, 1623)",RDWSD,RDWSD,66842004,80328002,12991484-DS-15,".8* Hct-37.3* MCV-93 MCH-32.0 MCHC-34.3 RDW-13.0 RDWSD-44.7 Plt ___ ___ 08:03AM BLOOD Plt ___ ___ 07:55A" "Correct entity, wrong SNOMED ID","(1733, 1740)","(1733, 1740)",Glucose,Glucose,33747003,72191006,12991484-DS-15,"t ___ ___ 08:02AM BLOOD Plt ___ ___ 08:02AM BLOOD Glucose-149* UreaN-14 Creat-1.0 Na-135 K-4.0 Cl-102 HCO3" "Correct entity, wrong SNOMED ID","(1746, 1751)","(1746, 1751)",UreaN,UreaN,105011006,111108008,12991484-DS-15,"02AM BLOOD Plt ___ ___ 08:02AM BLOOD Glucose-149* UreaN-14 Creat-1.0 Na-135 K-4.0 Cl-102 HCO3-23 AnGap-1" "Correct entity, wrong SNOMED ID","(1755, 1760)","(1755, 1760)",Creat,Creat,70901006,365756002,12991484-DS-15,"D Plt ___ ___ 08:02AM BLOOD Glucose-149* UreaN-14 Creat-1.0 Na-135 K-4.0 Cl-102 HCO3-23 AnGap-14 ___ 08:" "Correct entity, wrong SNOMED ID","(1765, 1767)","(1765, 1767)",Na,Na,312469006,257992007,12991484-DS-15,"___ 08:02AM BLOOD Glucose-149* UreaN-14 Creat-1.0 Na-135 K-4.0 Cl-102 HCO3-23 AnGap-14 ___ 08:02AM BL" "Correct entity, wrong SNOMED ID","(1779, 1781)","(1779, 1781)",Cl,Cl,104589004,311741002,12991484-DS-15,"OOD Glucose-149* UreaN-14 Creat-1.0 Na-135 K-4.0 Cl-102 HCO3-23 AnGap-14 ___ 08:02AM BLOOD Calcium-9." "Correct entity, wrong SNOMED ID","(1786, 1790)","(1786, 1790)",HCO3,HCO3,312471006,88645003,12991484-DS-15,"cose-149* UreaN-14 Creat-1.0 Na-135 K-4.0 Cl-102 HCO3-23 AnGap-14 ___ 08:02AM BLOOD Calcium-9.1 Phos-3." "Correct entity, wrong SNOMED ID","(1794, 1799)","(1794, 1799)",AnGap,AnGap,25469001,124504004,12991484-DS-15,"* UreaN-14 Creat-1.0 Na-135 K-4.0 Cl-102 HCO3-23 AnGap-14 ___ 08:02AM BLOOD Calcium-9.1 Phos-3.5 Mg-1.6 " "Correct entity, wrong SNOMED ID","(1821, 1828)","(1821, 1828)",Calcium,Calcium,312472004,108601004,12991484-DS-15," K-4.0 Cl-102 HCO3-23 AnGap-14 ___ 08:02AM BLOOD Calcium-9.1 Phos-3.5 Mg-1.6 Brief Hospital Course: The " "Correct entity, wrong SNOMED ID","(1833, 1837)","(1833, 1837)",Phos,Phos,104868000,168075002,12991484-DS-15,"02 HCO3-23 AnGap-14 ___ 08:02AM BLOOD Calcium-9.1 Phos-3.5 Mg-1.6 Brief Hospital Course: The patient w" "Correct entity, wrong SNOMED ID","(1842, 1844)","(1842, 1844)",Mg,Mg,271285000,258684004,12991484-DS-15,"3 AnGap-14 ___ 08:02AM BLOOD Calcium-9.1 Phos-3.5 Mg-1.6 Brief Hospital Course: The patient was admi" Missed entity,"(1906, 1933)",,Orthopaedic surgery service,,305314005,,12991484-DS-15," Hospital Course: The patient was admitted to the Orthopaedic surgery service and was taken to the operating room for above de" "Correct entity, wrong SNOMED ID","(1991, 2000)","(1991, 2000)",procedure,procedure,387713003,118672003,12991484-DS-15,"s taken to the operating room for above described procedure. Please see separately dictated operative report" Missed entity,"(2034, 2043)",,operative,,387713003,,12991484-DS-15,"cribed procedure. Please see separately dictated operative report for details. The surgery was uncomplicate" "Correct entity, wrong SNOMED ID","(2069, 2076)","(2069, 2076)",surgery,surgery,387713003,110473004,12991484-DS-15,"ately dictated operative report for details. The surgery was uncomplicated and the patient tolerated the " "Correct entity, wrong SNOMED ID","(2126, 2135)","(2126, 2135)",procedure,procedure,71388002,118672003,12991484-DS-15," was uncomplicated and the patient tolerated the procedure well. Patient received perioperative IV antibioti" "Correct entity, wrong SNOMED ID","(2173, 2187)","(2173, 2187)",IV antibiotics,IV antibiotics,281790008,410573003,12991484-DS-15,"e procedure well. Patient received perioperative IV antibiotics. Postoperative course was remarkable for the fol" Missed entity,"(2320, 2324)",,cath,,410024004,,12991484-DS-15,"atient was unable to void and had to be straight cath'ed x1. He was able to void thereafter. On POD#2" "Correct entity, wrong SNOMED ID","(2340, 2352)","(2340, 2352)",able to void,able to void,102834005,449491000124101,12991484-DS-15," void and had to be straight cath'ed x1. He was able to void thereafter. On POD#2, the patient was complaini" Wrong span,"(2408, 2423)","(2408, 2412)",calf tenderness,calf,300954003,281792000,12991484-DS-15,"after. On POD#2, the patient was complaining of calf tenderness. He was sent to rule out a blood clot. His LEN" Missed entity,"(2442, 2450)",,rule out,,386053000,,12991484-DS-15," complaining of calf tenderness. He was sent to rule out a blood clot. His LENIs were negative for blood " "Correct entity, wrong SNOMED ID","(2453, 2463)","(2453, 2463)",blood clot,blood clot,75753009,22084008,12991484-DS-15,"g of calf tenderness. He was sent to rule out a blood clot. His LENIs were negative for blood clots. Urin" Missed entity,"(2481, 2489)",,negative,,281900007,,12991484-DS-15,"s sent to rule out a blood clot. His LENIs were negative for blood clots. Urines were also collected on " "Correct entity, wrong SNOMED ID","(2494, 2505)","(2494, 2505)",blood clots,blood clots,75753009,22084008,12991484-DS-15,"le out a blood clot. His LENIs were negative for blood clots. Urines were also collected on POD#2 when his w" "Correct entity, wrong SNOMED ID","(2554, 2565)","(2554, 2565)",white count,white count,165509000,391558003,12991484-DS-15,"s. Urines were also collected on POD#2 when his white count and temp were elevated. His urinalysis was nega" Wrong span,"(2571, 2589)","(2571, 2575)",temp were elevated,temp,50177009,102496004,12991484-DS-15,"also collected on POD#2 when his white count and temp were elevated. His urinalysis was negative and urine culture " "Correct entity, wrong SNOMED ID","(2596, 2606)","(2596, 2606)",urinalysis,urinalysis,27171005,127800008,12991484-DS-15,"hen his white count and temp were elevated. His urinalysis was negative and urine culture was pending at ti" "Correct entity, wrong SNOMED ID","(2611, 2619)","(2611, 2619)",negative,negative,281900007,268375009,12991484-DS-15,"ount and temp were elevated. His urinalysis was negative and urine culture was pending at time of dischar" "Correct entity, wrong SNOMED ID","(2750, 2769)","(2750, 2769)",pain was controlled,pain was controlled,225782006,370778008,12991484-DS-15,"he urine culture comes back positive. Otherwise, pain was controlled with a combination of IV and oral pain medicatio" "Correct entity, wrong SNOMED ID","(2792, 2794)","(2792, 2794)",IV,IV,386358000,258000009,12991484-DS-15,"erwise, pain was controlled with a combination of IV and oral pain medications. The patient received" "Correct entity, wrong SNOMED ID","(2799, 2803)","(2799, 2803)",oral,oral,386359008,129080004,12991484-DS-15," pain was controlled with a combination of IV and oral pain medications. The patient received Lovenox " "Correct entity, wrong SNOMED ID","(2857, 2873)","(2857, 2873)","DVT prophylaxis","DVT prophylaxis",439993001,408381007,12991484-DS-15,"in medications. The patient received Lovenox for DVT prophylaxis starting on the morning of POD#1. The surgical " Wrong span,"(2913, 2943)","(2913, 2931)","surgical dressing was changed","surgical dressing",3895009,951491000124102,12991484-DS-15,"rophylaxis starting on the morning of POD#1. The surgical dressing was changed and the SIlverlon dressing was removed on POD#2." Wrong span,"(2962, 2982)","(2975, 2982)",dressing was removed,removed,118489002,246162000,12991484-DS-15," surgical dressing was changed and the SIlverlon dressing was removed on POD#2. The surgical incision was found to be " "Correct entity, wrong SNOMED ID","(2998, 3015)","(2998, 3015)",surgical incision,surgical incision,609343002,278731009,12991484-DS-15,"the SIlverlon dressing was removed on POD#2. The surgical incision was found to be clean and intact without erythem" "Correct entity, wrong SNOMED ID","(3032, 3048)","(3032, 3048)",clean and intact,clean and intact,830130002,289869008,12991484-DS-15," on POD#2. The surgical incision was found to be clean and intact without erythema or abnormal drainage. The patie" "Correct entity, wrong SNOMED ID","(3058, 3066)","(3058, 3066)",erythema,erythema,247441003,403194002,12991484-DS-15,"ncision was found to be clean and intact without erythema or abnormal drainage. The patient was seen daily" "Correct entity, wrong SNOMED ID","(3079, 3087)","(3079, 3087)",drainage,drainage,239164002,56783008,12991484-DS-15,"be clean and intact without erythema or abnormal drainage. The patient was seen daily by physical therapy." "Correct entity, wrong SNOMED ID","(3120, 3136)","(3120, 3136)",physical therapy,physical therapy,410158009,183326003,12991484-DS-15,"abnormal drainage. The patient was seen daily by physical therapy. Labs were checked throughout the hospital cours" Missed entity,"(3138, 3142)",,Labs,,15220000,,12991484-DS-15," The patient was seen daily by physical therapy. Labs were checked throughout the hospital course and " Missed entity,"(3148, 3155)",,checked,,239516002,,12991484-DS-15,"nt was seen daily by physical therapy. Labs were checked throughout the hospital course and repleted acco" Missed entity,"(3256, 3266)",,tolerating,,1144522003,,12991484-DS-15,"dingly. At the time of discharge the patient was tolerating a regular diet and feeling well. The patient wa" "Correct entity, wrong SNOMED ID","(3269, 3281)","(3269, 3281)",regular diet,regular diet,36823005,63740007,12991484-DS-15,"e time of discharge the patient was tolerating a regular diet and feeling well. The patient was afebrile with" "Correct entity, wrong SNOMED ID","(3286, 3299)","(3286, 3299)","feeling well","feeling well",17326005,367391008,12991484-DS-15,"rge the patient was tolerating a regular diet and feeling well. The patient was afebrile with stable vital sign" "Correct entity, wrong SNOMED ID","(3318, 3326)","(3318, 3326)",afebrile,afebrile,87273009,307200007,12991484-DS-15," regular diet and feeling well. The patient was afebrile with stable vital signs. The patient's hematocr" "Correct entity, wrong SNOMED ID","(3332, 3350)","(3332, 3350)",stable vital signs,stable vital signs,72970002,301459008,12991484-DS-15,"and feeling well. The patient was afebrile with stable vital signs. The patient's hematocrit was acceptable and pa" Wrong span,"(3368, 3393)","(3368, 3378)",hematocrit was acceptable,hematocrit,409683007,409683007,12991484-DS-15,"afebrile with stable vital signs. The patient's hematocrit was acceptable and pain was adequately controlled on an oral re" "Correct entity, wrong SNOMED ID","(3398, 3429)","(3398, 3429)","pain was adequately controlled","pain was adequately controlled",1156446004,397618002,12991484-DS-15,"ns. The patient's hematocrit was acceptable and pain was adequately controlled on an oral regimen. The operative extremity was " Wrong span,"(3436, 3440)","(3436, 3448)",oral,oral regimen,386359008,445351000124103,12991484-DS-15,"eptable and pain was adequately controlled on an oral regimen. The operative extremity was neurovascul" Wrong span,"(3441, 3448)","(3436, 3448)",regimen,oral regimen,52685006,445351000124103,12991484-DS-15,"le and pain was adequately controlled on an oral regimen. The operative extremity was neurovascularly int" Wrong span,"(3454, 3463)","(3454, 3473)",operative,operative extremity,43526002,29119006,12991484-DS-15,"as adequately controlled on an oral regimen. The operative extremity was neurovascularly intact and the wou" Wrong span,"(3464, 3473)","(3454, 3473)",extremity,operative extremity,66019005,29119006,12991484-DS-15,"ely controlled on an oral regimen. The operative extremity was neurovascularly intact and the wound was ben" "Correct entity, wrong SNOMED ID","(3479, 3501)","(3479, 3501)",neurovascularly intact,neurovascularly intact,1148973008,125215000,12991484-DS-15," on an oral regimen. The operative extremity was neurovascularly intact and the wound was benign. The patient's weight-b" Wrong span,"(3510, 3526)","(3510, 3515)",wound was benign,wound,830130002,35933005,12991484-DS-15,"ive extremity was neurovascularly intact and the wound was benign. The patient's weight-bearing status is weight b" "Correct entity, wrong SNOMED ID","(3543, 3557)","(3543, 3557)",weight-bearing,weight-bearing,249981005,285680001,12991484-DS-15,"y intact and the wound was benign. The patient's weight-bearing status is weight bearing as tolerated on the ope" "Correct entity, wrong SNOMED ID","(3568, 3582)","(3568, 3582)",weight bearing,weight bearing,229602008,87731000,12991484-DS-15,"s benign. The patient's weight-bearing status is weight bearing as tolerated on the operative extremity. Please " Wrong span,"(3604, 3613)","(3604, 3623)",operative,operative extremity,387713003,118949002,12991484-DS-15,"ing status is weight bearing as tolerated on the operative extremity. Please use walker or 2 crutches at al" Wrong span,"(3614, 3623)","(3604, 3623)",extremity,operative extremity,66019005,118949002,12991484-DS-15," is weight bearing as tolerated on the operative extremity. Please use walker or 2 crutches at all times fo" Missed entity,"(3636, 3642)",,walker,,165255004,,12991484-DS-15," tolerated on the operative extremity. Please use walker or 2 crutches at all times for 6 weeks. Mr. ___" Missed entity,"(3646, 3657)",,"2 crutches",,443663000,,12991484-DS-15," on the operative extremity. Please use walker or 2 crutches at all times for 6 weeks. Mr. ___ is discharged " Missed entity,"(3715, 3728)",,with services,,385783005,,12991484-DS-15,"times for 6 weeks. Mr. ___ is discharged to home with services in stable condition. Medications on Admission:" "Correct entity, wrong SNOMED ID","(3732, 3749)","(3732, 3749)","stable condition","stable condition",359746009,193844000,12991484-DS-15,". Mr. ___ is discharged to home with services in stable condition. Medications on Admission: 1. GlipiZIDE 10 mg P" Wrong span,"(4791, 4803)","(4786, 4803)",With Service,Home With Service,385783005,710242005,12991484-DS-15," completed lovenox Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: right knee" "Correct entity, wrong SNOMED ID","(4843, 4868)","(4843, 4868)",right knee osteoarthritis,right knee osteoarthritis,323321000119100,1074361000119105,12991484-DS-15,"th Service Facility: ___ Discharge Diagnosis: right knee osteoarthritis/pain Discharge Condition: Mental Status: Clear" "Correct entity, wrong SNOMED ID","(4869, 4873)","(4869, 4873)",pain,pain,1003721002,102570003,12991484-DS-15," Discharge Diagnosis: right knee osteoarthritis/pain Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(4898, 4911)","(4898, 4911)",Mental Status,Mental Status,392257007,419284004,12991484-DS-15," knee osteoarthritis/pain Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(4913, 4918)","(4913, 4918)",Clear,Clear,830123008,281278005,12991484-DS-15,"ritis/pain Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(4933, 4955)","(4933, 4955)",Level of Consciousness,Level of Consciousness,444714004,830285008,12991484-DS-15,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(4957, 4962)","(4957, 4962)",Alert,Alert,248234008,409787004,12991484-DS-15,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - re" "Correct entity, wrong SNOMED ID","(4967, 4978)","(4967, 4978)",interactive,interactive,288577006,10301000202103,12991484-DS-15,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistanc" "Correct entity, wrong SNOMED ID","(4997, 5036)","(4997, 5036)",Ambulatory - requires assistance or aid,Ambulatory - requires assistance or aid,365112008,165252001,12991484-DS-15,"iousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: 1. " Missed entity,"(5038, 5044)",,walker,,165255004,,12991484-DS-15," Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: 1. Please r" Missed entity,"(5049, 5053)",,cane,,443320005,,12991484-DS-15,"bulatory - requires assistance or aid (walker or cane). Discharge Instructions: 1. Please return to " Missed entity,"(5093, 5116)",,return to the emergency,,385867000,,12991484-DS-15,"r or cane). Discharge Instructions: 1. Please return to the emergency department or notify your physician if you exper" Missed entity,"(5131, 5137)",,notify,,304562007,,12991484-DS-15,": 1. Please return to the emergency department or notify your physician if you experience any of the foll" "Correct entity, wrong SNOMED ID","(5194, 5205)","(5194, 5205)",severe pain,severe pain,76948002,699190008,12991484-DS-15,"physician if you experience any of the following: severe pain not relieved by medication, increased swelling, " "Correct entity, wrong SNOMED ID","(5245, 5253)","(5245, 5253)",swelling,swelling,442672001,300890009,12991484-DS-15,"evere pain not relieved by medication, increased swelling, decreased sensation, difficulty with movement, " "Correct entity, wrong SNOMED ID","(5255, 5275)","(5255, 5275)","decreased sensation","decreased sensation",247322000,251379005,12991484-DS-15," not relieved by medication, increased swelling, decreased sensation, difficulty with movement, fevers greater than 10" "Correct entity, wrong SNOMED ID","(5277, 5301)","(5277, 5301)",difficulty with movement,difficulty with movement,302002000,249894008,12991484-DS-15,"cation, increased swelling, decreased sensation, difficulty with movement, fevers greater than 101.5, shaking chills, incr" "Correct entity, wrong SNOMED ID","(5303, 5309)","(5303, 5309)",fevers,fevers,386661006,248444008,12991484-DS-15,", decreased sensation, difficulty with movement, fevers greater than 101.5, shaking chills, increasing r" "Correct entity, wrong SNOMED ID","(5331, 5338)","(5331, 5338)",shaking,shaking,26079004,247819009,12991484-DS-15,"iculty with movement, fevers greater than 101.5, shaking chills, increasing redness or drainage from the i" "Correct entity, wrong SNOMED ID","(5339, 5345)","(5339, 5345)",chills,chills,43724002,274640006,12991484-DS-15,"ith movement, fevers greater than 101.5, shaking chills, increasing redness or drainage from the incision" "Correct entity, wrong SNOMED ID","(5358, 5365)","(5358, 5365)",redness,redness,822962003,1268301006,12991484-DS-15,"s greater than 101.5, shaking chills, increasing redness or drainage from the incision site, chest pain, " "Correct entity, wrong SNOMED ID","(5369, 5377)","(5369, 5377)",drainage,drainage,239164002,56783008,12991484-DS-15,"han 101.5, shaking chills, increasing redness or drainage from the incision site, chest pain, shortness of" "Correct entity, wrong SNOMED ID","(5387, 5401)","(5387, 5401)","incision site","incision site",609343002,38931008,12991484-DS-15,"g chills, increasing redness or drainage from the incision site, chest pain, shortness of breath or any other con" "Correct entity, wrong SNOMED ID","(5403, 5413)","(5403, 5413)",chest pain,chest pain,29857009,102589003,12991484-DS-15,"sing redness or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. P" "Correct entity, wrong SNOMED ID","(5415, 5434)","(5415, 5434)",shortness of breath,shortness of breath,267036007,135833008,12991484-DS-15," or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. Please follow up with " Missed entity,"(5489, 5506)",,primary physician,,737470001,,12991484-DS-15,"ny other concerns. 2. Please follow up with your primary physician regarding this admission and any new medications" Missed entity,"(5592, 5603)",,medications,,18629005,,12991484-DS-15,"ew medications and refills. 3. Resume your home medications unless otherwise instructed. 4. You have been gi" "Correct entity, wrong SNOMED ID","(5657, 5668)","(5657, 5668)",medications,medications,18629005,129019007,12991484-DS-15,"ess otherwise instructed. 4. You have been given medications for pain control. Please do not drive, operate h" "Correct entity, wrong SNOMED ID","(5673, 5685)","(5673, 5685)",pain control,pain control,225782006,370778008,12991484-DS-15,"structed. 4. You have been given medications for pain control. Please do not drive, operate heavy machinery, o" Missed entity,"(5694, 5707)",,"do not drive",,304509000,,12991484-DS-15,"e been given medications for pain control. Please do not drive, operate heavy machinery, or drink alcohol while " Wrong span,"(5751, 5782)","(5771, 5782)","while taking these medications",medications,394835006,182837001,12991484-DS-15," drive, operate heavy machinery, or drink alcohol while taking these medications. As your pain decreases, take fewer tablets and " Wrong span,"(5870, 5891)","(5870, 5880)","medication can cause",medication,394835006,182837001,12991484-DS-15,"tablets and increase the time between doses. This medication can cause constipation, so you should drink plenty of water" "Correct entity, wrong SNOMED ID","(5892, 5904)","(5892, 5904)",constipation,constipation,14760008,236069009,12991484-DS-15,"he time between doses. This medication can cause constipation, so you should drink plenty of water daily and t" Wrong span,"(5920, 5941)","(5920, 5925)",drink plenty of water,drink,113148007,1296980001,12991484-DS-15,"medication can cause constipation, so you should drink plenty of water daily and take a stool softener (such as Colace)" Missed entity,"(5953, 5974)",,take a stool softener,,225948006,,12991484-DS-15,"n, so you should drink plenty of water daily and take a stool softener (such as Colace) as needed to prevent this side " Missed entity,"(6005, 6030)",,"prevent this side effect",,713115004,,12991484-DS-15,"ke a stool softener (such as Colace) as needed to prevent this side effect. Call your surgeons office 3 days before you ar" Missed entity,"(6033, 6051)",,Call your surgeons,,304562007,,12991484-DS-15," Colace) as needed to prevent this side effect. Call your surgeons office 3 days before you are out of medication s" Missed entity,"(6089, 6126)",,medication so that it can be refilled,,396077009,,12991484-DS-15,"our surgeons office 3 days before you are out of medication so that it can be refilled. These medications cannot be called into your p" Missed entity,"(6214, 6220)",,clinic,,737492002,,12991484-DS-15," into your pharmacy and must be picked up in the clinic or mailed to your house. Please allow an extra " Missed entity,"(6341, 6354)",,may not drive,,304673006,,12991484-DS-15,"ike your medication mailed to your home. 5. You may not drive a car until cleared to do so by your surgeon. 6" "Correct entity, wrong SNOMED ID","(6496, 6504)","(6496, 6504)",SWELLING,SWELLING,442672001,300890009,12991484-DS-15,"edule or confirm your follow-up appointment. 7. SWELLING: Ice the operative joint 20 minutes at a time, e" "Correct entity, wrong SNOMED ID","(6506, 6509)","(6506, 6509)",Ice,Ice,113152007,227712003,12991484-DS-15,"onfirm your follow-up appointment. 7. SWELLING: Ice the operative joint 20 minutes at a time, especi" "Correct entity, wrong SNOMED ID","(6514, 6529)","(6514, 6529)",operative joint,operative joint,43526002,179419004,12991484-DS-15,"our follow-up appointment. 7. SWELLING: Ice the operative joint 20 minutes at a time, especially after activity " Missed entity,"(6570, 6578)",,activity,,304673006,,12991484-DS-15,"ive joint 20 minutes at a time, especially after activity or physical therapy. Do not place ice directly o" "Correct entity, wrong SNOMED ID","(6582, 6598)","(6582, 6598)",physical therapy,physical therapy,410088003,183326003,12991484-DS-15," minutes at a time, especially after activity or physical therapy. Do not place ice directly on the skin. You may " Missed entity,"(6600, 6612)",,Do not place,,15502008,,12991484-DS-15,", especially after activity or physical therapy. Do not place ice directly on the skin. You may wrap the knee " Missed entity,"(6613, 6616)",,ice,,113152007,,12991484-DS-15," after activity or physical therapy. Do not place ice directly on the skin. You may wrap the knee with" "Correct entity, wrong SNOMED ID","(6634, 6638)","(6634, 6638)",skin,skin,39937001,7748002,12991484-DS-15,"ysical therapy. Do not place ice directly on the skin. You may wrap the knee with an ace bandage for a" "Correct entity, wrong SNOMED ID","(6657, 6661)","(6657, 6661)",knee,knee,82169009,304679005,12991484-DS-15,"place ice directly on the skin. You may wrap the knee with an ace bandage for added compression. Pleas" Missed entity,"(6674, 6681)",,bandage,,182555002,,12991484-DS-15,"ly on the skin. You may wrap the knee with an ace bandage for added compression. Please DO NOT take any no" "Correct entity, wrong SNOMED ID","(6693, 6704)","(6693, 6704)",compression,compression,373675000,234069007,12991484-DS-15," may wrap the knee with an ace bandage for added compression. Please DO NOT take any non-steroidal anti-infla" Missed entity,"(6713, 6724)",,DO NOT take,,394835006,,12991484-DS-15,"ith an ace bandage for added compression. Please DO NOT take any non-steroidal anti-inflammatory medications " Missed entity,"(6729, 6773)",,"non-steroidal anti-inflammatory medications",,713443004,,12991484-DS-15,"ge for added compression. Please DO NOT take any non-steroidal anti-inflammatory medications (NSAIDs such as Celebrex, ibuprofen, Advil, Alev" "Correct entity, wrong SNOMED ID","(6853, 6868)","(6853, 6868)",ANTICOAGULATION,ANTICOAGULATION,182764009,260678004,12991484-DS-15,"uprofen, Advil, Aleve, Motrin, naproxen etc). 8. ANTICOAGULATION: Please continue your Lovenox for four (4) week" Wrong span,"(6928, 6956)","(6936, 6956)",prevent deep vein thrombosis,deep vein thrombosis,439993001,1141709008,12991484-DS-15,"ontinue your Lovenox for four (4) weeks to help prevent deep vein thrombosis (blood clots). If you were taking Aspirin prior" "Correct entity, wrong SNOMED ID","(6958, 6969)","(6958, 6969)",blood clots,blood clots,75753009,22084008,12991484-DS-15," (4) weeks to help prevent deep vein thrombosis (blood clots). If you were taking Aspirin prior to your surg" "Correct entity, wrong SNOMED ID","(6993, 7000)","(6993, 7000)",Aspirin,Aspirin,431463004,7947003,12991484-DS-15,"in thrombosis (blood clots). If you were taking Aspirin prior to your surgery, you should hold this medi" "Correct entity, wrong SNOMED ID","(7015, 7022)","(7015, 7022)",surgery,surgery,387713003,110473004,12991484-DS-15,"lots). If you were taking Aspirin prior to your surgery, you should hold this medication while taking an" Missed entity,"(7035, 7056)",,"hold this medication",,304540007,,12991484-DS-15," taking Aspirin prior to your surgery, you should hold this medication while taking anticoagulation medication. 9. W" Wrong span,"(7070, 7085)","(7070, 7096)",anticoagulation,anticoagulation medication,182764009,260678004,12991484-DS-15,"ry, you should hold this medication while taking anticoagulation medication. 9. WOUND CARE: Please keep your i" Wrong span,"(7086, 7096)","(7070, 7096)",medication,anticoagulation medication,394835006,260678004,12991484-DS-15,"old this medication while taking anticoagulation medication. 9. WOUND CARE: Please keep your incision cle" "Correct entity, wrong SNOMED ID","(7134, 7142)","(7134, 7142)",incision,incision,609343002,119684006,12991484-DS-15,"n medication. 9. WOUND CARE: Please keep your incision clean and dry. It is okay to shower five days af" Missed entity,"(7173, 7179)",,shower,,304673006,,12991484-DS-15," keep your incision clean and dry. It is okay to shower five days after surgery but no tub baths, swimmi" Wrong span,"(7190, 7203)","(7196, 7203)",after surgery,surgery,19585003,110473004,12991484-DS-15,"on clean and dry. It is okay to shower five days after surgery but no tub baths, swimming, or submerging your i" Missed entity,"(7208, 7220)",,no tub baths,,304509000,,12991484-DS-15,"It is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until aft" "Correct entity, wrong SNOMED ID","(7252, 7260)","(7252, 7260)",incision,incision,609343002,119684006,12991484-DS-15,"y but no tub baths, swimming, or submerging your incision until after your four (4) week checkup. Please p" Missed entity,"(7309, 7337)",,place a dry sterile dressing,,58828004,,12991484-DS-15,"n until after your four (4) week checkup. Please place a dry sterile dressing on the wound each day if there is drainage, othe" "Correct entity, wrong SNOMED ID","(7345, 7350)","(7345, 7350)",wound,wound,416462003,35933005,12991484-DS-15,"eckup. Please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave i" "Correct entity, wrong SNOMED ID","(7373, 7381)","(7373, 7381)",drainage,drainage,239164002,56783008,12991484-DS-15,"erile dressing on the wound each day if there is drainage, otherwise leave it open to air. Check wound reg" "Correct entity, wrong SNOMED ID","(7422, 7427)","(7422, 7427)",wound,wound,416462003,35933005,12991484-DS-15," drainage, otherwise leave it open to air. Check wound regularly for signs of infection such as redness " "Correct entity, wrong SNOMED ID","(7442, 7460)","(7442, 7460)",signs of infection,signs of infection,370835007,397680002,12991484-DS-15," leave it open to air. Check wound regularly for signs of infection such as redness or thick yellow drainage. Staple" "Correct entity, wrong SNOMED ID","(7469, 7476)","(7469, 7476)",redness,redness,822962003,1268301006,12991484-DS-15,"ck wound regularly for signs of infection such as redness or thick yellow drainage. Staples will be remove" Wrong span,"(7494, 7502)","(7481, 7502)",drainage,thick yellow drainage,239164002,61000161101,12991484-DS-15,"gns of infection such as redness or thick yellow drainage. Staples will be removed by at follow-up appoint" Wrong span,"(7504, 7527)","(7504, 7511)",Staples will be removed,Staples,35963001,35963001,12991484-DS-15,"ection such as redness or thick yellow drainage. Staples will be removed by at follow-up appointment approximately two we" Wrong span,"(7581, 7594)","(7587, 7594)",after surgery,surgery,19585003,110473004,12991484-DS-15,"at follow-up appointment approximately two weeks after surgery. 10. ___ (once at home): Home ___, dressing cha" "Correct entity, wrong SNOMED ID","(7632, 7648)","(7632, 7648)",dressing changes,dressing changes,18949003,385948000,12991484-DS-15,"fter surgery. 10. ___ (once at home): Home ___, dressing changes as instructed, and wound checks. 11. ACTIVITY: " "Correct entity, wrong SNOMED ID","(7669, 7681)","(7669, 7681)",wound checks,wound checks,225395003,448861000124101,12991484-DS-15,"): Home ___, dressing changes as instructed, and wound checks. 11. ACTIVITY: Weight bearing as tolerated on th" "Correct entity, wrong SNOMED ID","(7688, 7696)","(7688, 7696)",ACTIVITY,ACTIVITY,304673006,280147009,12991484-DS-15,"ng changes as instructed, and wound checks. 11. ACTIVITY: Weight bearing as tolerated on the operative ex" "Correct entity, wrong SNOMED ID","(7698, 7712)","(7698, 7712)",Weight bearing,Weight bearing,249981005,87731000,12991484-DS-15," as instructed, and wound checks. 11. ACTIVITY: Weight bearing as tolerated on the operative extremity. Two cru" Wrong span,"(7733, 7742)","(7733, 7753)",operative,"operative extremity",43526002,118949002,12991484-DS-15," 11. ACTIVITY: Weight bearing as tolerated on the operative extremity. Two crutches or walker at all times f" Wrong span,"(7744, 7753)","(7733, 7753)",extremity,"operative extremity",66019005,118949002,12991484-DS-15,"TY: Weight bearing as tolerated on the operative extremity. Two crutches or walker at all times for 6 weeks." Missed entity,"(7755, 7767)",,Two crutches,,443663000,,12991484-DS-15,"bearing as tolerated on the operative extremity. Two crutches or walker at all times for 6 weeks. Mobilize. R" "Correct entity, wrong SNOMED ID","(7771, 7777)","(7771, 7777)",walker,walker,165255004,1290910004,12991484-DS-15,"ated on the operative extremity. Two crutches or walker at all times for 6 weeks. Mobilize. ROM as tole" "Correct entity, wrong SNOMED ID","(7805, 7813)","(7805, 7813)",Mobilize,Mobilize,183376001,302044006,12991484-DS-15,"Two crutches or walker at all times for 6 weeks. Mobilize. ROM as tolerated. No strenuous exercise or heav" "Correct entity, wrong SNOMED ID","(7816, 7819)","(7816, 7819)",ROM,ROM,228528009,282251006,12991484-DS-15,"s or walker at all times for 6 weeks. Mobilize. ROM as tolerated. No strenuous exercise or heavy lif" Wrong span,"(7834, 7873)","(7847, 7855)","No strenuous exercise or heavy lifting",exercise,223434003,102533007,12991484-DS-15," times for 6 weeks. Mobilize. ROM as tolerated. No strenuous exercise or heavy lifting until follow up appointment. Physical Therapy: W" "Correct entity, wrong SNOMED ID","(7922, 7926)","(7922, 7926)",WBAT,WBAT,229602008,259087003,12991484-DS-15,"g until follow up appointment. Physical Therapy: WBAT RLE No range of motion restrictions Assistive dev" "Correct entity, wrong SNOMED ID","(7927, 7930)","(7927, 7930)",RLE,RLE,62175007,229042004,12991484-DS-15,"il follow up appointment. Physical Therapy: WBAT RLE No range of motion restrictions Assistive device " Missed entity,"(7997, 8007)",,2 crutches,,443663000,,12991484-DS-15,"on restrictions Assistive device x 6 weeks (i.e., 2 crutches, walker) Mobilize frequently Treatments Frequency" "Correct entity, wrong SNOMED ID","(8009, 8015)","(8009, 8015)",walker,walker,165255004,1290910004,12991484-DS-15,"ons Assistive device x 6 weeks (i.e., 2 crutches, walker) Mobilize frequently Treatments Frequency: daily " "Correct entity, wrong SNOMED ID","(8017, 8025)","(8017, 8025)",Mobilize,Mobilize,183376001,302044006,12991484-DS-15,"stive device x 6 weeks (i.e., 2 crutches, walker) Mobilize frequently Treatments Frequency: daily dressing c" "Correct entity, wrong SNOMED ID","(8065, 8081)","(8065, 8081)",dressing changes,dressing changes,18949003,385948000,12991484-DS-15,") Mobilize frequently Treatments Frequency: daily dressing changes as needed for drainage wound checks daily ice sta" "Correct entity, wrong SNOMED ID","(8096, 8104)","(8096, 8104)",drainage,drainage,239164002,56783008,12991484-DS-15,"s Frequency: daily dressing changes as needed for drainage wound checks daily ice staple removal and replace" "Correct entity, wrong SNOMED ID","(8105, 8117)","(8105, 8117)",wound checks,wound checks,225395003,448861000124101,12991484-DS-15,"cy: daily dressing changes as needed for drainage wound checks daily ice staple removal and replace with steri-s" Missed entity,"(8124, 8127)",,ice,,113152007,,12991484-DS-15,"changes as needed for drainage wound checks daily ice staple removal and replace with steri-strips (at " Missed entity,"(8128, 8142)",,staple removal,,35963001,,12991484-DS-15,"ges as needed for drainage wound checks daily ice staple removal and replace with steri-strips (at follow up visi" Missed entity,"(8160, 8172)",,steri-strips,,225153000,,12991484-DS-15," checks daily ice staple removal and replace with steri-strips (at follow up visit) Followup Instructions: __" False positive,,"(1555, 1560)",,study,,11821000,13016981-DS-27,"tology was initially inconclusive but on followup study showed adenocarcinoma. He was referred for surg" False positive,,"(1846, 1864)",,pancreaticobiliary,,450894009,13016981-DS-27,"ic adenocarcinoma morphologically consistent with pancreaticobiliary primary. His postoperative course was complicate" False positive,,"(1971, 1979)",,systemic,,239885004,13016981-DS-27," coli bacteremia. He began gemcitabine/cisplatin systemic chemotherapy on ___. Treatment was held in ___ a" False positive,,"(2774, 2787)",,PHYSICAL EXAM,,410182004,13016981-DS-27,": ADMISSION PHYSICAL EXAM ======================= PHYSICAL EXAM: VITAL SIGNS: T 98.0 BP 108/62 HR 60 RR 18 SpO2 9" False positive,,"(2831, 2835)",,SpO2,,250551006,13016981-DS-27,"L EXAM: VITAL SIGNS: T 98.0 BP 108/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP lesions, " False positive,,"(2934, 2937)",,MRG,,1380161007,13016981-DS-27," Neck: supple, no JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD" False positive,,"(3154, 3156)",,PH,,264912003,13016981-DS-27,"ted x 4, no focal deficits appreciated DISCHARGE PHYSICAL EXAM ======================= VS: 98.0, 108/" False positive,,"(3461, 3470)",,squeaking,,713065005,13016981-DS-27,"allops/rubs. Pulm: CTAB no crackles. Bilateral squeaking wheezes in mid lung fields Abd: TTP at RUQ, with" False positive,,"(4007, 4015)",,DIR BILI,,113537007,13016981-DS-27,"PT)-61* AST(SGOT)-38 ALK PHOS-286* TOT BILI-2.8* DIR BILI-2.4* INDIR BIL-0.4 ___ 12:00AM LIPASE-19 ___ 12" False positive,,"(4049, 4055)",,LIPASE,,259322001,13016981-DS-27,"LI-2.8* DIR BILI-2.4* INDIR BIL-0.4 ___ 12:00AM LIPASE-19 ___ 12:00AM ALBUMIN-3.3* ___ 12:00AM WBC-4" False positive,,"(4147, 4150)",,MCH,,735147002,13016981-DS-27," WBC-4.7 RBC-2.81* HGB-9.4* HCT-29.1* MCV-104* MCH-33.5* MCHC-32.3 RDW-14.7 RDWSD-54.9* ___ 12:00AM " False positive,,"(6489, 6492)",,LDH,,67568008,13016981-DS-27,"GFR-Using this ___ 06:00AM BLOOD ALT-23 AST-27 LD(LDH)-263* AlkPhos-209* TotBili-0.5 ___ 06:00AM BLOOD" False positive,,"(6994, 7001)",,biliary,,266474003,13016981-DS-27,"holangitis/Drain Obstruction. RUQ Pain likely ___ biliary pathology given RUQ pain, fever, elevated Tbili," False positive,,"(7124, 7126)",,US,,258698007,13016981-DS-27,"ned gallbladder with dilated biliary duct seen on US at OSH. Found to have distal drain obstruction d" False positive,,"(8259, 8263)",,GERD,,15749591000119107,13016981-DS-27,"Continue home prochlorperazine 10 mg PO Q6 PRN #GERD: - continue home pantoprazole 40 mg PO Q12 Trans" "Correct entity, wrong SNOMED ID","(225, 233)","(225, 233)",RUQ Pain,RUQ Pain,301717006,98921000119102,13016981-DS-27,"es: Demerol Attending: ___. Chief Complaint: RUQ Pain, Fever Major Surgical or Invasive Procedure: " "Correct entity, wrong SNOMED ID","(235, 240)","(235, 240)",Fever,Fever,386661006,248430002,13016981-DS-27,"ol Attending: ___. Chief Complaint: RUQ Pain, Fever Major Surgical or Invasive Procedure: ___ per" "Correct entity, wrong SNOMED ID","(287, 313)","(287, 313)",percutaneous cholangiogram,percutaneous cholangiogram,174681004,1351772008,13016981-DS-27,"ver Major Surgical or Invasive Procedure: ___ percutaneous cholangiogram with biliary drain exchange. ___ biliary drain e" "Correct entity, wrong SNOMED ID","(319, 341)","(319, 341)",biliary drain exchange,biliary drain exchange,398219000,315031003,13016981-DS-27," Procedure: ___ percutaneous cholangiogram with biliary drain exchange. ___ biliary drain exchange, upsized to 10 ___. " "Correct entity, wrong SNOMED ID","(348, 370)","(348, 370)",biliary drain exchange,biliary drain exchange,398219000,315031003,13016981-DS-27,"s cholangiogram with biliary drain exchange. ___ biliary drain exchange, upsized to 10 ___. History of Present Illnes" "Correct entity, wrong SNOMED ID","(480, 489)","(480, 489)","RUQ pain","RUQ pain",301717006,98921000119102,13016981-DS-27,"h metastatic cholangiocarcinoma who presents with RUQ pain and fever to ___. For the past few days, the pa" "Correct entity, wrong SNOMED ID","(494, 499)","(494, 499)",fever,fever,386661006,248430002,13016981-DS-27,"holangiocarcinoma who presents with RUQ pain and fever to ___. For the past few days, the patient has " "Correct entity, wrong SNOMED ID","(561, 569)","(561, 569)",RUQ pain,RUQ pain,301717006,270477000,13016981-DS-27,"or the past few days, the patient has been having RUQ pain and fevers as high as 102.2F, along with occasio" "Correct entity, wrong SNOMED ID","(575, 581)","(575, 581)",fevers,fevers,386661006,248444008,13016981-DS-27,"w days, the patient has been having RUQ pain and fevers as high as 102.2F, along with occasional night sw" Missed entity,"(647, 654)",,chronic,,27624003,,13016981-DS-27,"2F, along with occasional night sweats. He has a chronic percutaneous biliary drain in place, however it " Wrong span,"(668, 675)","(655, 681)",biliary,percutaneous biliary drain,235566000,398219000,13016981-DS-27,"onal night sweats. He has a chronic percutaneous biliary drain in place, however it has remained capped r" Wrong span,"(676, 690)","(655, 681)",drain in place,percutaneous biliary drain,698956007,398219000,13016981-DS-27,"ht sweats. He has a chronic percutaneous biliary drain in place, however it has remained capped recently. He has" Wrong span,"(768, 774)","(760, 774)",emesis,"bloody emesis",422400008,71419002,13016981-DS-27,"apped recently. He has one episode of non-bloody emesis the day prior to admission. He also endorses a mi" Wrong span,"(827, 860)","(827, 847)","cough productive of white sputum","cough productive of",161923004,11833005,13016981-DS-27,"e day prior to admission. He also endorses a mild cough productive of white sputum which he attributes to allergies after cutting h" Wrong span,"(884, 917)","(884, 893)","allergies after cutting his lawn",allergies,418367004,370860007,13016981-DS-27,"productive of white sputum which he attributes to allergies after cutting his lawn recently. He initially presented to the ___ ED w" Wrong span,"(972, 991)","(972, 977)","Tbili was elevated",Tbili,176271000119108,313840000,13016981-DS-27,"ntly. He initially presented to the ___ ED where Tbili was elevated to 2.7, alk phos elevated to 343. RUQ US there sh" "Correct entity, wrong SNOMED ID","(1000, 1017)","(1000, 1017)",alk phos elevated,alk phos elevated,274770006,166627004,13016981-DS-27,"d to the ___ ED where Tbili was elevated to 2.7, alk phos elevated to 343. RUQ US there showed thickened gallbladde" "Correct entity, wrong SNOMED ID","(1026, 1032)","(1026, 1032)",RUQ US,RUQ US,426701000119108,276305003,13016981-DS-27,"i was elevated to 2.7, alk phos elevated to 343. RUQ US there showed thickened gallbladder and biliary d" "Correct entity, wrong SNOMED ID","(1047, 1068)","(1047, 1068)",thickened gallbladder,thickened gallbladder,300344005,47932002,13016981-DS-27,"7, alk phos elevated to 343. RUQ US there showed thickened gallbladder and biliary ductal dilation. He received IVF, va" Wrong span,"(1073, 1087)","(1073, 1096)",biliary ductal,biliary ductal dilation,28273000,1204371007,13016981-DS-27,"3. RUQ US there showed thickened gallbladder and biliary ductal dilation. He received IVF, vanc/Zosyn and was tr" Wrong span,"(1088, 1096)","(1073, 1096)",dilation,biliary ductal dilation,25322007,1204371007,13016981-DS-27," showed thickened gallbladder and biliary ductal dilation. He received IVF, vanc/Zosyn and was transferred" "Correct entity, wrong SNOMED ID","(1111, 1114)","(1111, 1114)",IVF,IVF,103744005,52637005,13016981-DS-27,"bladder and biliary ductal dilation. He received IVF, vanc/Zosyn and was transferred to the ___ ED. " Missed entity,"(1116, 1120)",,vanc,,281789004,,13016981-DS-27,"er and biliary ductal dilation. He received IVF, vanc/Zosyn and was transferred to the ___ ED. In the" "Correct entity, wrong SNOMED ID","(1179, 1183)","(1179, 1183)",ERCP,ERCP,386718000,712470002,13016981-DS-27,"d was transferred to the ___ ED. In the ___ ED, ERCP was consulted. Labs showed persistent elevation " Wrong span,"(1223, 1241)","(1223, 1232)",elevation of Tbili,elevation,176271000119108,251244006,13016981-DS-27,"_ ED, ERCP was consulted. Labs showed persistent elevation of Tbili. He was admitted to ___. Past Medical History: " "Correct entity, wrong SNOMED ID","(1340, 1348)","(1340, 1348)",diarrhea,diarrhea,62315008,111843007,13016981-DS-27," ONCOLOGIC HISTORY: ___ initially presented with diarrhea ___, but then became jaundiced in ___, prompting " "Correct entity, wrong SNOMED ID","(1370, 1379)","(1370, 1379)",jaundiced,jaundiced,18165001,371117009,13016981-DS-27,"ally presented with diarrhea ___, but then became jaundiced in ___, prompting medical evaluation. He underwe" "Correct entity, wrong SNOMED ID","(1406, 1416)","(1406, 1416)",evaluation,evaluation,386053000,39609006,13016981-DS-27,"t then became jaundiced in ___, prompting medical evaluation. He underwent two ERCP procedures at ___, at whi" Wrong span,"(1436, 1440)","(1436, 1451)",ERCP,"ERCP procedures",386718000,712470002,13016981-DS-27,", prompting medical evaluation. He underwent two ERCP procedures at ___, at which time biliary stents w" Wrong span,"(1441, 1451)","(1436, 1451)",procedures,"ERCP procedures",71388002,712470002,13016981-DS-27,"mpting medical evaluation. He underwent two ERCP procedures at ___, at which time biliary stents were placed." "Correct entity, wrong SNOMED ID","(1474, 1500)","(1474, 1500)",biliary stents were placed,biliary stents were placed,871680005,398216007,13016981-DS-27,"derwent two ERCP procedures at ___, at which time biliary stents were placed. Cytology was initially inconclusive but on foll" "Correct entity, wrong SNOMED ID","(1503, 1511)","(1503, 1511)",Cytology,Cytology,116147009,310437009,13016981-DS-27,"t ___, at which time biliary stents were placed. Cytology was initially inconclusive but on followup study " "Correct entity, wrong SNOMED ID","(1568, 1582)","(1568, 1582)",adenocarcinoma,adenocarcinoma,1187332001,82711006,13016981-DS-27,"itially inconclusive but on followup study showed adenocarcinoma. He was referred for surgical exploration and p" "Correct entity, wrong SNOMED ID","(1639, 1648)","(1639, 1648)",resection,resection,65801008,265414003,13016981-DS-27,"as referred for surgical exploration and planned resection on ___. The procedure was aborted, however, as " Wrong span,"(1663, 1684)","(1663, 1672)",procedure was aborted,procedure,764871007,118672003,13016981-DS-27,"l exploration and planned resection on ___. The procedure was aborted, however, as peritoneal metastases were identifi" "Correct entity, wrong SNOMED ID","(1698, 1719)","(1698, 1719)",peritoneal metastases,peritoneal metastases,94627008,423671006,13016981-DS-27," on ___. The procedure was aborted, however, as peritoneal metastases were identified intraoperatively. Biopsy confir" "Correct entity, wrong SNOMED ID","(1756, 1762)","(1756, 1762)",Biopsy,Biopsy,86273004,48635004,13016981-DS-27,"al metastases were identified intraoperatively. Biopsy confirmed the finding of metastatic adenocarcinom" "Correct entity, wrong SNOMED ID","(1788, 1813)","(1788, 1813)",metastatic adenocarcinoma,metastatic adenocarcinoma,4590003,708939001,13016981-DS-27,"ntraoperatively. Biopsy confirmed the finding of metastatic adenocarcinoma morphologically consistent with pancreaticobiliar" Wrong span,"(1879, 1899)","(1879, 1892)",postoperative course,postoperative,19585003,1373687003,13016981-DS-27," consistent with pancreaticobiliary primary. His postoperative course was complicated by E. coli bacteremia. He began " Wrong span,"(1919, 1926)","(1919, 1937)",E. coli,E. coli bacteremia,71057007,206379003,13016981-DS-27,"ary. His postoperative course was complicated by E. coli bacteremia. He began gemcitabine/cisplatin syste" Wrong span,"(1927, 1937)","(1919, 1937)",bacteremia,E. coli bacteremia,1162569002,206379003,13016981-DS-27,"s postoperative course was complicated by E. coli bacteremia. He began gemcitabine/cisplatin systemic chemoth" "Correct entity, wrong SNOMED ID","(1980, 1992)","(1980, 1992)",chemotherapy,chemotherapy,367336001,266719004,13016981-DS-27,"teremia. He began gemcitabine/cisplatin systemic chemotherapy on ___. Treatment was held in ___ after he was h" "Correct entity, wrong SNOMED ID","(2059, 2070)","(2059, 2070)",cholangitis,cholangitis,82403002,26918003,13016981-DS-27,"nt was held in ___ after he was hospitalized with cholangitis, and he continued off treatment until ___ when CT" "Correct entity, wrong SNOMED ID","(2118, 2120)","(2118, 2120)",CT,CT,169070004,241541005,13016981-DS-27,"is, and he continued off treatment until ___ when CT showed progression associated with increased abdo" "Correct entity, wrong SNOMED ID","(2166, 2180)","(2166, 2180)",abdominal pain,abdominal pain,21522001,54586004,13016981-DS-27,"n CT showed progression associated with increased abdominal pain. He was also diagnosed with right hydronephrosis" Wrong span,"(2210, 2215)","(2210, 2230)",right,right hydronephrosis,9846003,1082331000119102,13016981-DS-27,"eased abdominal pain. He was also diagnosed with right hydronephrosis. He resumed single agent gemcitab" Wrong span,"(2216, 2230)","(2210, 2230)",hydronephrosis,right hydronephrosis,43064006,1082331000119102,13016981-DS-27,"abdominal pain. He was also diagnosed with right hydronephrosis. He resumed single agent gemcitabine ___, and th" Missed entity,"(2257, 2268)",,gemcitabine,,367336001,,13016981-DS-27,"th right hydronephrosis. He resumed single agent gemcitabine ___, and then combination gemcitabine/cisplatin _" "Correct entity, wrong SNOMED ID","(2327, 2344)","(2327, 2344)",ureteral stenting,ureteral stenting,428817001,428316003,13016981-DS-27," then combination gemcitabine/cisplatin ___ after ureteral stenting. Past Medical History: 1. Cholangiocarcinoma," "Correct entity, wrong SNOMED ID","(2375, 2393)","(2375, 2393)",Cholangiocarcinoma,Cholangiocarcinoma,70179006,1260050006,13016981-DS-27,"r ureteral stenting. Past Medical History: 1. Cholangiocarcinoma, stage IV, as above. 2. Portal vein thrombosis " "Correct entity, wrong SNOMED ID","(2505, 2517)","(2505, 2517)",hypertension,hypertension,38341003,70995007,13016981-DS-27,"ory: ___ Family History: The patient's mother has hypertension. His father died with NASH cirrhosis at ___ yea" "Correct entity, wrong SNOMED ID","(2542, 2546)","(2542, 2546)",NASH,NASH,442685003,27189006,13016981-DS-27,"s mother has hypertension. His father died with NASH cirrhosis at ___ years. His brother has no health" "Correct entity, wrong SNOMED ID","(2644, 2668)","(2644, 2668)",irritable bowel syndrome,irritable bowel syndrome,10743008,70871000119100,13016981-DS-27,"th concerns. He has three children, a son with irritable bowel syndrome and a daughter with ___ disease. Physica" "Correct entity, wrong SNOMED ID","(2695, 2702)","(2695, 2702)",disease,disease,64572001,53619000,13016981-DS-27,"rritable bowel syndrome and a daughter with ___ disease. Physical Exam: ADMISSION PHYSICAL EXAM ==" "Correct entity, wrong SNOMED ID","(2736, 2749)","(2736, 2749)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,13016981-DS-27,"with ___ disease. Physical Exam: ADMISSION PHYSICAL EXAM ======================= PHYSICAL EXAM: VITAL SIGN" "Correct entity, wrong SNOMED ID","(2789, 2800)","(2789, 2800)",VITAL SIGNS,VITAL SIGNS,118227000,72970002,13016981-DS-27,"SICAL EXAM ======================= PHYSICAL EXAM: VITAL SIGNS: T 98.0 BP 108/62 HR 60 RR 18 SpO2 94/RA General:" "Correct entity, wrong SNOMED ID","(2809, 2811)","(2809, 2811)",BP,BP,392570002,38341003,13016981-DS-27,"============== PHYSICAL EXAM: VITAL SIGNS: T 98.0 BP 108/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT" "Correct entity, wrong SNOMED ID","(2819, 2821)","(2819, 2821)",HR,HR,301113001,258702006,13016981-DS-27,"==== PHYSICAL EXAM: VITAL SIGNS: T 98.0 BP 108/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no" "Correct entity, wrong SNOMED ID","(2825, 2827)","(2825, 2827)",RR,RR,301283003,229040007,13016981-DS-27,"HYSICAL EXAM: VITAL SIGNS: T 98.0 BP 108/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP le" "Correct entity, wrong SNOMED ID","(2839, 2841)","(2839, 2841)",RA,RA,722742002,463051000124105,13016981-DS-27,"VITAL SIGNS: T 98.0 BP 108/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP lesions, Neck: " "Correct entity, wrong SNOMED ID","(2842, 2849)","(2842, 2849)",General,General,162673000,252398009,13016981-DS-27,"AL SIGNS: T 98.0 BP 108/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP lesions, Neck: supple, " "Correct entity, wrong SNOMED ID","(2852, 2855)","(2852, 2855)",NAD,NAD,281900007,131143000,13016981-DS-27,"T 98.0 BP 108/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP lesions, Neck: supple, no JVD" "Correct entity, wrong SNOMED ID","(2856, 2861)","(2856, 2861)",HEENT,HEENT,5880005,113665002,13016981-DS-27,".0 BP 108/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP lesions, Neck: supple, no JVD CV: " "Correct entity, wrong SNOMED ID","(2864, 2867)","(2864, 2867)",MMM,MMM,276398005,258673006,13016981-DS-27,"8/62 HR 60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP lesions, Neck: supple, no JVD CV: RR, NL" Wrong span,"(2872, 2874)","(2872, 2882)",OP,OP lesions,31389004,246206008,13016981-DS-27,"60 RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP lesions, Neck: supple, no JVD CV: RR, NL S1S2 n" Wrong span,"(2875, 2882)","(2872, 2882)",lesions,OP lesions,52988006,246206008,13016981-DS-27,"RR 18 SpO2 94/RA General: NAD HEENT: MMM, no OP lesions, Neck: supple, no JVD CV: RR, NL S1S2 no S3S4 o" "Correct entity, wrong SNOMED ID","(2885, 2889)","(2885, 2889)",Neck,Neck,5880005,229320006,13016981-DS-27," 94/RA General: NAD HEENT: MMM, no OP lesions, Neck: supple, no JVD CV: RR, NL S1S2 no S3S4 or MRG P" "Correct entity, wrong SNOMED ID","(2891, 2897)","(2891, 2897)",supple,supple,298475003,116121000,13016981-DS-27," General: NAD HEENT: MMM, no OP lesions, Neck: supple, no JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CT" "Correct entity, wrong SNOMED ID","(2902, 2905)","(2902, 2905)",JVD,JVD,271653008,253395003,13016981-DS-27,"NAD HEENT: MMM, no OP lesions, Neck: supple, no JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: " "Correct entity, wrong SNOMED ID","(2906, 2908)","(2906, 2908)",CV,CV,363003006,258773002,13016981-DS-27,"HEENT: MMM, no OP lesions, Neck: supple, no JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: BS" "Correct entity, wrong SNOMED ID","(2911, 2913)","(2911, 2913)",RR,RR,301283003,229040007,13016981-DS-27,": MMM, no OP lesions, Neck: supple, no JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: BS+, so" Wrong span,"(2915, 2922)","(2915, 2919)",NL S1S2,NL S,301132007,420952007,13016981-DS-27,"MM, no OP lesions, Neck: supple, no JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: BS+, soft, TTP i" "Correct entity, wrong SNOMED ID","(2938, 2942)","(2938, 2942)",PULM,PULM,268925001,90623003,13016981-DS-27,"k: supple, no JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD in p" "Correct entity, wrong SNOMED ID","(2945, 2949)","(2945, 2949)",CTAB,CTAB,48348007,259641008,13016981-DS-27,"le, no JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD in place an" "Correct entity, wrong SNOMED ID","(2950, 2953)","(2950, 2953)",ABD,ABD,225162003,60728008,13016981-DS-27,"o JVD CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD in place and is" "Correct entity, wrong SNOMED ID","(2956, 2959)","(2956, 2959)",BS+,BS+,61539000,260347006,13016981-DS-27,"CV: RR, NL S1S2 no S3S4 or MRG PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD in place and is cappe" "Correct entity, wrong SNOMED ID","(2967, 2970)","(2967, 2970)",TTP,TTP,838411007,438476003,13016981-DS-27," S1S2 no S3S4 or MRG PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD in place and is capped EXT: war" "Correct entity, wrong SNOMED ID","(2978, 2981)","(2978, 2981)",RUQ,RUQ,50519007,65826004,13016981-DS-27,"S4 or MRG PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD in place and is capped EXT: warm well perf" Boundary error,"(2985, 2987)","(2983, 2986)",BD,PTB,235566000,282106003,13016981-DS-27,"RG PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD in place and is capped EXT: warm well perfused, " Missed entity,"(2988, 2996)",,in place,,698956007,,13016981-DS-27,"PULM: CTAB ABD: BS+, soft, TTP in the RUQ. PTBD in place and is capped EXT: warm well perfused, no edema " "Correct entity, wrong SNOMED ID","(3011, 3014)","(3011, 3014)",EXT,EXT,302773001,1489008,13016981-DS-27,"soft, TTP in the RUQ. PTBD in place and is capped EXT: warm well perfused, no edema SKIN: No rashes o" Wrong span,"(3017, 3021)","(3017, 3035)",warm,warm well perfused,102599008,298256005,13016981-DS-27,"TTP in the RUQ. PTBD in place and is capped EXT: warm well perfused, no edema SKIN: No rashes or skin " Wrong span,"(3022, 3035)","(3017, 3035)",well perfused,warm well perfused,1137685003,298256005,13016981-DS-27,"n the RUQ. PTBD in place and is capped EXT: warm well perfused, no edema SKIN: No rashes or skin breakdown NEUR" "Correct entity, wrong SNOMED ID","(3040, 3045)","(3040, 3045)",edema,edema,424372002,102576009,13016981-DS-27," place and is capped EXT: warm well perfused, no edema SKIN: No rashes or skin breakdown NEURO: alert " "Correct entity, wrong SNOMED ID","(3046, 3050)","(3046, 3050)",SKIN,SKIN,271303006,444884003,13016981-DS-27," and is capped EXT: warm well perfused, no edema SKIN: No rashes or skin breakdown NEURO: alert and o" "Correct entity, wrong SNOMED ID","(3056, 3062)","(3056, 3062)",rashes,rashes,271807003,247472004,13016981-DS-27,"pped EXT: warm well perfused, no edema SKIN: No rashes or skin breakdown NEURO: alert and oriented x 4," "Correct entity, wrong SNOMED ID","(3066, 3080)","(3066, 3080)",skin breakdown,skin breakdown,247442005,70693003,13016981-DS-27," warm well perfused, no edema SKIN: No rashes or skin breakdown NEURO: alert and oriented x 4, no focal deficits" "Correct entity, wrong SNOMED ID","(3081, 3086)","(3081, 3086)",NEURO,NEURO,84728005,281247006,13016981-DS-27,"used, no edema SKIN: No rashes or skin breakdown NEURO: alert and oriented x 4, no focal deficits appre" "Correct entity, wrong SNOMED ID","(3089, 3094)","(3089, 3094)",alert,alert,248234008,409787004,13016981-DS-27," edema SKIN: No rashes or skin breakdown NEURO: alert and oriented x 4, no focal deficits appreciated " Wrong span,"(3099, 3111)","(3099, 3107)",oriented x 4,oriented,426224004,787379002,13016981-DS-27,"N: No rashes or skin breakdown NEURO: alert and oriented x 4, no focal deficits appreciated DISCHARGE PHYSICA" Missed entity,"(3113, 3130)",,no focal deficits,,18460000,,13016981-DS-27,"or skin breakdown NEURO: alert and oriented x 4, no focal deficits appreciated DISCHARGE PHYSICAL EXAM ============" "Correct entity, wrong SNOMED ID","(3192, 3194)","(3192, 3194)",VS,VS,118227000,313611000,13016981-DS-27," DISCHARGE PHYSICAL EXAM ======================= VS: 98.0, 108/72, 49, 18, 97%/RA, TFB -875 GEN: Conv" "Correct entity, wrong SNOMED ID","(3222, 3224)","(3222, 3224)",RA,RA,722742002,463051000124105,13016981-DS-27,"=================== VS: 98.0, 108/72, 49, 18, 97%/RA, TFB -875 GEN: Conversant gentleman, frustrated. " "Correct entity, wrong SNOMED ID","(3235, 3238)","(3235, 3238)",GEN,GEN,162673000,420208008,13016981-DS-27,"====== VS: 98.0, 108/72, 49, 18, 97%/RA, TFB -875 GEN: Conversant gentleman, frustrated. HEENT: PERR" "Correct entity, wrong SNOMED ID","(3277, 3282)","(3277, 3282)",HEENT,HEENT,5880005,113665002,13016981-DS-27,"FB -875 GEN: Conversant gentleman, frustrated. HEENT: PERRLA. MMM. no LAD. no JVD. neck supple. No cer" "Correct entity, wrong SNOMED ID","(3284, 3290)","(3284, 3290)",PERRLA,PERRLA,386667005,48280007,13016981-DS-27," GEN: Conversant gentleman, frustrated. HEENT: PERRLA. MMM. no LAD. no JVD. neck supple. No cervical, " "Correct entity, wrong SNOMED ID","(3292, 3295)","(3292, 3295)",MMM,MMM,276398005,258673006,13016981-DS-27,"nversant gentleman, frustrated. HEENT: PERRLA. MMM. no LAD. no JVD. neck supple. No cervical, supra" "Correct entity, wrong SNOMED ID","(3300, 3303)","(3300, 3303)",LAD,LAD,30746006,1010291002,13016981-DS-27," gentleman, frustrated. HEENT: PERRLA. MMM. no LAD. no JVD. neck supple. No cervical, supraclavicul" "Correct entity, wrong SNOMED ID","(3308, 3311)","(3308, 3311)",JVD,JVD,271653008,253395003,13016981-DS-27,"an, frustrated. HEENT: PERRLA. MMM. no LAD. no JVD. neck supple. No cervical, supraclavicular, or a" Wrong span,"(3313, 3324)","(3313, 3317)",neck supple,neck,298475003,840674001,13016981-DS-27,"rustrated. HEENT: PERRLA. MMM. no LAD. no JVD. neck supple. No cervical, supraclavicular, or axillary LAD " "Correct entity, wrong SNOMED ID","(3329, 3337)","(3329, 3337)",cervical,cervical,127086001,304174001,13016981-DS-27,"ENT: PERRLA. MMM. no LAD. no JVD. neck supple. No cervical, supraclavicular, or axillary LAD Cards: RR S1" "Correct entity, wrong SNOMED ID","(3340, 3355)","(3340, 3355)",supraclavicular,supraclavicular,127088000,126636004,13016981-DS-27,". MMM. no LAD. no JVD. neck supple. No cervical, supraclavicular, or axillary LAD Cards: RR S1/S2 normal. no mur" "Correct entity, wrong SNOMED ID","(3360, 3368)","(3360, 3368)",axillary,axillary,68171009,20437008,13016981-DS-27,"D. neck supple. No cervical, supraclavicular, or axillary LAD Cards: RR S1/S2 normal. no murmurs/gallops/" "Correct entity, wrong SNOMED ID","(3369, 3372)","(3369, 3372)",LAD,LAD,30746006,1010291002,13016981-DS-27,"upple. No cervical, supraclavicular, or axillary LAD Cards: RR S1/S2 normal. no murmurs/gallops/rubs" "Correct entity, wrong SNOMED ID","(3375, 3380)","(3375, 3380)",Cards,Cards,363003006,400915003,13016981-DS-27," No cervical, supraclavicular, or axillary LAD Cards: RR S1/S2 normal. no murmurs/gallops/rubs. Pulm" "Correct entity, wrong SNOMED ID","(3382, 3384)","(3382, 3384)",RR,RR,271636001,229040007,13016981-DS-27,"vical, supraclavicular, or axillary LAD Cards: RR S1/S2 normal. no murmurs/gallops/rubs. Pulm: C" Wrong span,"(3385, 3397)","(3385, 3387)",S1/S2 normal,S1,301132007,82609006,13016981-DS-27,"al, supraclavicular, or axillary LAD Cards: RR S1/S2 normal. no murmurs/gallops/rubs. Pulm: CTAB no crackl" "Correct entity, wrong SNOMED ID","(3402, 3409)","(3402, 3409)",murmurs,murmurs,414786004,248699005,13016981-DS-27,"lar, or axillary LAD Cards: RR S1/S2 normal. no murmurs/gallops/rubs. Pulm: CTAB no crackles. Bilatera" "Correct entity, wrong SNOMED ID","(3410, 3417)","(3410, 3417)",gallops,gallops,2170000,4592006,13016981-DS-27,"axillary LAD Cards: RR S1/S2 normal. no murmurs/gallops/rubs. Pulm: CTAB no crackles. Bilateral squeak" "Correct entity, wrong SNOMED ID","(3426, 3430)","(3426, 3430)",Pulm,Pulm,268925001,90623003,13016981-DS-27,"ards: RR S1/S2 normal. no murmurs/gallops/rubs. Pulm: CTAB no crackles. Bilateral squeaking wheezes i" "Correct entity, wrong SNOMED ID","(3433, 3437)","(3433, 3437)",CTAB,CTAB,48348007,112188007,13016981-DS-27,"R S1/S2 normal. no murmurs/gallops/rubs. Pulm: CTAB no crackles. Bilateral squeaking wheezes in mid l" "Correct entity, wrong SNOMED ID","(3471, 3478)","(3471, 3478)",wheezes,wheezes,56018004,9763007,13016981-DS-27,"s. Pulm: CTAB no crackles. Bilateral squeaking wheezes in mid lung fields Abd: TTP at RUQ, with minimal" Missed entity,"(3482, 3498)",,"mid lung fields",,281393007,,13016981-DS-27," CTAB no crackles. Bilateral squeaking wheezes in mid lung fields Abd: TTP at RUQ, with minimal guarding. BS+, soft" "Correct entity, wrong SNOMED ID","(3499, 3502)","(3499, 3502)",Abd,Abd,225162003,60728008,13016981-DS-27,". Bilateral squeaking wheezes in mid lung fields Abd: TTP at RUQ, with minimal guarding. BS+, soft, no" "Correct entity, wrong SNOMED ID","(3504, 3507)","(3504, 3507)",TTP,TTP,838411007,78129009,13016981-DS-27,"ateral squeaking wheezes in mid lung fields Abd: TTP at RUQ, with minimal guarding. BS+, soft, no HSM," "Correct entity, wrong SNOMED ID","(3511, 3514)","(3511, 3514)",RUQ,RUQ,50519007,255481003,13016981-DS-27,"squeaking wheezes in mid lung fields Abd: TTP at RUQ, with minimal guarding. BS+, soft, no HSM, no __" "Correct entity, wrong SNOMED ID","(3539, 3542)","(3539, 3542)",BS+,BS+,61539000,260347006,13016981-DS-27,"g fields Abd: TTP at RUQ, with minimal guarding. BS+, soft, no HSM, no ___ sign. Biliary drainage dra" "Correct entity, wrong SNOMED ID","(3553, 3556)","(3553, 3556)",HSM,HSM,36760000,282140003,13016981-DS-27," TTP at RUQ, with minimal guarding. BS+, soft, no HSM, no ___ sign. Biliary drainage drain in place, c" Missed entity,"(3566, 3570)",,sign,,72670004,,13016981-DS-27,"with minimal guarding. BS+, soft, no HSM, no ___ sign. Biliary drainage drain in place, capped clean d" "Correct entity, wrong SNOMED ID","(3572, 3588)","(3572, 3588)",Biliary drainage,Biliary drainage,235566000,1162667009,13016981-DS-27,"inimal guarding. BS+, soft, no HSM, no ___ sign. Biliary drainage drain in place, capped clean dressing, no biliar" Missed entity,"(3589, 3603)",,drain in place,,698956007,,13016981-DS-27,"BS+, soft, no HSM, no ___ sign. Biliary drainage drain in place, capped clean dressing, no biliary fluid leakage" Missed entity,"(3619, 3627)",,dressing,,3895009,,13016981-DS-27,"n. Biliary drainage drain in place, capped clean dressing, no biliary fluid leakage. Extremities: WWP, PPP," "Correct entity, wrong SNOMED ID","(3632, 3653)","(3632, 3653)",biliary fluid leakage,biliary fluid leakage,235931005,12203031000119103,13016981-DS-27,"ainage drain in place, capped clean dressing, no biliary fluid leakage. Extremities: WWP, PPP, no ___ edema Skin: no ras" "Correct entity, wrong SNOMED ID","(3655, 3666)","(3655, 3666)",Extremities,Extremities,66019005,248416007,13016981-DS-27,"capped clean dressing, no biliary fluid leakage. Extremities: WWP, PPP, no ___ edema Skin: no rashes or bruisi" "Correct entity, wrong SNOMED ID","(3668, 3671)","(3668, 3671)",WWP,WWP,1137685003,258001008,13016981-DS-27," dressing, no biliary fluid leakage. Extremities: WWP, PPP, no ___ edema Skin: no rashes or bruising, n" "Correct entity, wrong SNOMED ID","(3673, 3676)","(3673, 3676)",PPP,PPP,301151001,737356002,13016981-DS-27,"sing, no biliary fluid leakage. Extremities: WWP, PPP, no ___ edema Skin: no rashes or bruising, no not" "Correct entity, wrong SNOMED ID","(3685, 3690)","(3685, 3690)",edema,edema,424372002,102576009,13016981-DS-27,"iary fluid leakage. Extremities: WWP, PPP, no ___ edema Skin: no rashes or bruising, no noticeable jaundi" "Correct entity, wrong SNOMED ID","(3691, 3695)","(3691, 3695)",Skin,Skin,271303006,444884003,13016981-DS-27,"luid leakage. Extremities: WWP, PPP, no ___ edema Skin: no rashes or bruising, no noticeable jaundice " "Correct entity, wrong SNOMED ID","(3700, 3706)","(3700, 3706)",rashes,rashes,271807003,247472004,13016981-DS-27,"age. Extremities: WWP, PPP, no ___ edema Skin: no rashes or bruising, no noticeable jaundice Pertinent " "Correct entity, wrong SNOMED ID","(3710, 3718)","(3710, 3718)",bruising,bruising,125667009,473140000,13016981-DS-27,"mities: WWP, PPP, no ___ edema Skin: no rashes or bruising, no noticeable jaundice Pertinent Results: ADM" "Correct entity, wrong SNOMED ID","(3734, 3742)","(3734, 3742)",jaundice,jaundice,18165001,371117009,13016981-DS-27," edema Skin: no rashes or bruising, no noticeable jaundice Pertinent Results: ADMISSION LABS ============" "Correct entity, wrong SNOMED ID","(3809, 3816)","(3809, 3816)",GLUCOSE,GLUCOSE,33747003,72191006,13016981-DS-27,"ults: ADMISSION LABS ============== ___ 12:00AM GLUCOSE-83 UREA N-12 CREAT-0.8 SODIUM-139 POTASSIUM-3.4 " "Correct entity, wrong SNOMED ID","(3830, 3835)","(3830, 3835)",CREAT,CREAT,70901006,413856009,13016981-DS-27,"============== ___ 12:00AM GLUCOSE-83 UREA N-12 CREAT-0.8 SODIUM-139 POTASSIUM-3.4 CHLORIDE-107 TOTAL " "Correct entity, wrong SNOMED ID","(3840, 3846)","(3840, 3846)",SODIUM,SODIUM,25197003,104934005,13016981-DS-27,"==== ___ 12:00AM GLUCOSE-83 UREA N-12 CREAT-0.8 SODIUM-139 POTASSIUM-3.4 CHLORIDE-107 TOTAL CO2-22 ANIO" "Correct entity, wrong SNOMED ID","(3852, 3861)","(3852, 3861)",POTASSIUM,POTASSIUM,59573005,1149432009,13016981-DS-27,"00AM GLUCOSE-83 UREA N-12 CREAT-0.8 SODIUM-139 POTASSIUM-3.4 CHLORIDE-107 TOTAL CO2-22 ANION GAP-13 ___ 12" "Correct entity, wrong SNOMED ID","(3866, 3874)","(3866, 3874)",CHLORIDE,CHLORIDE,104589004,108447000,13016981-DS-27,"-83 UREA N-12 CREAT-0.8 SODIUM-139 POTASSIUM-3.4 CHLORIDE-107 TOTAL CO2-22 ANION GAP-13 ___ 12:00AM estGF" "Correct entity, wrong SNOMED ID","(3892, 3901)","(3892, 3901)",ANION GAP,ANION GAP,25469001,237854004,13016981-DS-27,"DIUM-139 POTASSIUM-3.4 CHLORIDE-107 TOTAL CO2-22 ANION GAP-13 ___ 12:00AM estGFR-Using this ___ 12:00AM " "Correct entity, wrong SNOMED ID","(3951, 3954)","(3951, 3954)",ALT,ALT,34608000,56935002,13016981-DS-27,"-13 ___ 12:00AM estGFR-Using this ___ 12:00AM ALT(SGPT)-61* AST(SGOT)-38 ALK PHOS-286* TOT BILI-2." "Correct entity, wrong SNOMED ID","(3965, 3968)","(3965, 3968)",AST,AST,45896001,85043005,13016981-DS-27,"M estGFR-Using this ___ 12:00AM ALT(SGPT)-61* AST(SGOT)-38 ALK PHOS-286* TOT BILI-2.8* DIR BILI-2." "Correct entity, wrong SNOMED ID","(3982, 3986)","(3982, 3986)",PHOS,PHOS,104868000,168075002,13016981-DS-27,"this ___ 12:00AM ALT(SGPT)-61* AST(SGOT)-38 ALK PHOS-286* TOT BILI-2.8* DIR BILI-2.4* INDIR BIL-0.4 _" "Correct entity, wrong SNOMED ID","(3992, 4001)","(3992, 4001)","TOT BILI","TOT BILI",359986008,176271000119108,13016981-DS-27,"2:00AM ALT(SGPT)-61* AST(SGOT)-38 ALK PHOS-286* TOT BILI-2.8* DIR BILI-2.4* INDIR BIL-0.4 ___ 12:00AM LI" "Correct entity, wrong SNOMED ID","(4073, 4080)","(4073, 4080)",ALBUMIN,ALBUMIN,26758005,166804009,13016981-DS-27,"DIR BIL-0.4 ___ 12:00AM LIPASE-19 ___ 12:00AM ALBUMIN-3.3* ___ 12:00AM WBC-4.7 RBC-2.81* HGB-9.4* HCT" "Correct entity, wrong SNOMED ID","(4100, 4103)","(4100, 4103)",WBC,WBC,767002,391558003,13016981-DS-27,"IPASE-19 ___ 12:00AM ALBUMIN-3.3* ___ 12:00AM WBC-4.7 RBC-2.81* HGB-9.4* HCT-29.1* MCV-104* MCH-33" "Correct entity, wrong SNOMED ID","(4108, 4111)","(4108, 4111)",RBC,RBC,14089001,258759006,13016981-DS-27," ___ 12:00AM ALBUMIN-3.3* ___ 12:00AM WBC-4.7 RBC-2.81* HGB-9.4* HCT-29.1* MCV-104* MCH-33.5* MCHC" "Correct entity, wrong SNOMED ID","(4118, 4121)","(4118, 4121)",HGB,HGB,441689006,104142005,13016981-DS-27,"AM ALBUMIN-3.3* ___ 12:00AM WBC-4.7 RBC-2.81* HGB-9.4* HCT-29.1* MCV-104* MCH-33.5* MCHC-32.3 RDW-" "Correct entity, wrong SNOMED ID","(4127, 4130)","(4127, 4130)",HCT,HCT,28317006,840276005,13016981-DS-27,"MIN-3.3* ___ 12:00AM WBC-4.7 RBC-2.81* HGB-9.4* HCT-29.1* MCV-104* MCH-33.5* MCHC-32.3 RDW-14.7 RDWS" Missed entity,"(4137, 4140)",,MCV,,104133003,,13016981-DS-27,"__ 12:00AM WBC-4.7 RBC-2.81* HGB-9.4* HCT-29.1* MCV-104* MCH-33.5* MCHC-32.3 RDW-14.7 RDWSD-54.9* __" "Correct entity, wrong SNOMED ID","(4157, 4161)","(4157, 4161)",MCHC,MCHC,37254006,735147002,13016981-DS-27," RBC-2.81* HGB-9.4* HCT-29.1* MCV-104* MCH-33.5* MCHC-32.3 RDW-14.7 RDWSD-54.9* ___ 12:00AM NEUTS-50." "Correct entity, wrong SNOMED ID","(4167, 4170)","(4167, 4170)",RDW,RDW,66842004,735149004,13016981-DS-27," HGB-9.4* HCT-29.1* MCV-104* MCH-33.5* MCHC-32.3 RDW-14.7 RDWSD-54.9* ___ 12:00AM NEUTS-50.2 ___ MON" "Correct entity, wrong SNOMED ID","(4176, 4181)","(4176, 4181)",RDWSD,RDWSD,66842004,80328002,13016981-DS-27," HCT-29.1* MCV-104* MCH-33.5* MCHC-32.3 RDW-14.7 RDWSD-54.9* ___ 12:00AM NEUTS-50.2 ___ MONOS-20.1* EO" "Correct entity, wrong SNOMED ID","(4202, 4207)","(4202, 4207)",NEUTS,NEUTS,30630007,271035003,13016981-DS-27,"3.5* MCHC-32.3 RDW-14.7 RDWSD-54.9* ___ 12:00AM NEUTS-50.2 ___ MONOS-20.1* EOS-1.5 BASOS-0.2 IM ___ Ab" "Correct entity, wrong SNOMED ID","(4217, 4222)","(4217, 4222)",MONOS,MONOS,67776007,462791000124108,13016981-DS-27,"RDW-14.7 RDWSD-54.9* ___ 12:00AM NEUTS-50.2 ___ MONOS-20.1* EOS-1.5 BASOS-0.2 IM ___ AbsNeut-2.34# Abs" "Correct entity, wrong SNOMED ID","(4229, 4232)","(4229, 4232)",EOS,EOS,71960002,67099000,13016981-DS-27,"SD-54.9* ___ 12:00AM NEUTS-50.2 ___ MONOS-20.1* EOS-1.5 BASOS-0.2 IM ___ AbsNeut-2.34# AbsLymp-1.30 " "Correct entity, wrong SNOMED ID","(4487, 4490)","(4487, 4490)",PTT,PTT,42525009,282119004,13016981-DS-27,"AM PLT SMR-LOW PLT COUNT-72*# ___ 12:00AM ___ PTT-28.0 ___ MICROBIOLOGY RESULS ===================" Missed entity,"(4501, 4513)",,MICROBIOLOGY,,269934003,,13016981-DS-27,"OW PLT COUNT-72*# ___ 12:00AM ___ PTT-28.0 ___ MICROBIOLOGY RESULS =================== Blood culture ___: pen" "Correct entity, wrong SNOMED ID","(4541, 4554)","(4541, 4554)",Blood culture,Blood culture,30088009,8730001000004107,13016981-DS-27,"28.0 ___ MICROBIOLOGY RESULS =================== Blood culture ___: pending Bile culture ___: " Wrong span,"(4573, 4580)","(4568, 4580)",culture,Bile culture,61594008,235569007,13016981-DS-27,"================= Blood culture ___: pending Bile culture ___: SENSITIVITIES: MIC " "Correct entity, wrong SNOMED ID","(4611, 4624)","(4611, 4624)",SENSITIVITIES,SENSITIVITIES,14788002,252390002,13016981-DS-27,"ending Bile culture ___: SENSITIVITIES: MIC expressed in MCG/ML _" Missed entity,"(6088, 6095)",,CULTURE,,61594008,,13016981-DS-27," 1 S ANAEROBIC CULTURE (Final ___: CLOSTRIDIUM PERFRINGENS. SP" "Correct entity, wrong SNOMED ID","(6209, 6212)","(6209, 6212)",WBC,WBC,767002,391558003,13016981-DS-27," DISCHARGE LABS =============== ___ 06:00AM BLOOD WBC-9.0 RBC-3.60* Hgb-12.0* Hct-37.2* MCV-103* MCH-3" "Correct entity, wrong SNOMED ID","(6217, 6220)","(6217, 6220)",RBC,RBC,14089001,258759006,13016981-DS-27,"GE LABS =============== ___ 06:00AM BLOOD WBC-9.0 RBC-3.60* Hgb-12.0* Hct-37.2* MCV-103* MCH-33.3* MCH" "Correct entity, wrong SNOMED ID","(6227, 6230)","(6227, 6230)",Hgb,Hgb,441689006,104142005,13016981-DS-27,"============= ___ 06:00AM BLOOD WBC-9.0 RBC-3.60* Hgb-12.0* Hct-37.2* MCV-103* MCH-33.3* MCHC-32.3 RDW" "Correct entity, wrong SNOMED ID","(6237, 6240)","(6237, 6240)",Hct,Hct,28317006,282660005,13016981-DS-27,"=== ___ 06:00AM BLOOD WBC-9.0 RBC-3.60* Hgb-12.0* Hct-37.2* MCV-103* MCH-33.3* MCHC-32.3 RDW-14.3 RDWS" "Correct entity, wrong SNOMED ID","(6267, 6271)","(6267, 6271)",MCHC,MCHC,37254006,735147002,13016981-DS-27,"RBC-3.60* Hgb-12.0* Hct-37.2* MCV-103* MCH-33.3* MCHC-32.3 RDW-14.3 RDWSD-54.4* Plt ___ ___ 06:00AM BLO" "Correct entity, wrong SNOMED ID","(6286, 6291)","(6286, 6291)",RDWSD,RDWSD,66842004,80328002,13016981-DS-27," Hct-37.2* MCV-103* MCH-33.3* MCHC-32.3 RDW-14.3 RDWSD-54.4* Plt ___ ___ 06:00AM BLOOD Plt ___ ___ 06:00" "Correct entity, wrong SNOMED ID","(6350, 6357)","(6350, 6357)",Glucose,Glucose,33747003,72191006,13016981-DS-27,"t ___ ___ 06:00AM BLOOD Plt ___ ___ 06:00AM BLOOD Glucose-90 UreaN-23* Creat-1.0 Na-134 K-4.8 Cl-99 HCO3-2" "Correct entity, wrong SNOMED ID","(6361, 6366)","(6361, 6366)",UreaN,UreaN,105011006,111108008,13016981-DS-27,"6:00AM BLOOD Plt ___ ___ 06:00AM BLOOD Glucose-90 UreaN-23* Creat-1.0 Na-134 K-4.8 Cl-99 HCO3-24 AnGap-1" "Correct entity, wrong SNOMED ID","(6371, 6376)","(6371, 6376)",Creat,Creat,70901006,413856009,13016981-DS-27,"OD Plt ___ ___ 06:00AM BLOOD Glucose-90 UreaN-23* Creat-1.0 Na-134 K-4.8 Cl-99 HCO3-24 AnGap-16 ___ 06:0" "Correct entity, wrong SNOMED ID","(6381, 6383)","(6381, 6383)",Na,Na,312469006,257992007,13016981-DS-27," ___ 06:00AM BLOOD Glucose-90 UreaN-23* Creat-1.0 Na-134 K-4.8 Cl-99 HCO3-24 AnGap-16 ___ 06:00AM BLO" "Correct entity, wrong SNOMED ID","(6395, 6397)","(6395, 6397)",Cl,Cl,104589004,311741002,13016981-DS-27,"LOOD Glucose-90 UreaN-23* Creat-1.0 Na-134 K-4.8 Cl-99 HCO3-24 AnGap-16 ___ 06:00AM BLOOD estGFR-Usin" "Correct entity, wrong SNOMED ID","(6401, 6405)","(6401, 6405)",HCO3,HCO3,312471006,88645003,13016981-DS-27,"lucose-90 UreaN-23* Creat-1.0 Na-134 K-4.8 Cl-99 HCO3-24 AnGap-16 ___ 06:00AM BLOOD estGFR-Using this _" "Correct entity, wrong SNOMED ID","(6409, 6414)","(6409, 6414)",AnGap,AnGap,25469001,81660009,13016981-DS-27,"0 UreaN-23* Creat-1.0 Na-134 K-4.8 Cl-99 HCO3-24 AnGap-16 ___ 06:00AM BLOOD estGFR-Using this ___ 06:00A" "Correct entity, wrong SNOMED ID","(6472, 6475)","(6472, 6475)",ALT,ALT,34608000,56935002,13016981-DS-27,"06:00AM BLOOD estGFR-Using this ___ 06:00AM BLOOD ALT-23 AST-27 LD(LDH)-263* AlkPhos-209* TotBili-0.5 " "Correct entity, wrong SNOMED ID","(6479, 6482)","(6479, 6482)",AST,AST,45896001,85043005,13016981-DS-27," BLOOD estGFR-Using this ___ 06:00AM BLOOD ALT-23 AST-27 LD(LDH)-263* AlkPhos-209* TotBili-0.5 ___ 06:" "Correct entity, wrong SNOMED ID","(6499, 6506)","(6499, 6506)",AlkPhos,AlkPhos,88810008,30703008,13016981-DS-27,"this ___ 06:00AM BLOOD ALT-23 AST-27 LD(LDH)-263* AlkPhos-209* TotBili-0.5 ___ 06:00AM BLOOD Calcium-9.4 P" "Correct entity, wrong SNOMED ID","(6513, 6520)","(6513, 6520)",TotBili,TotBili,359986008,19754005,13016981-DS-27,"AM BLOOD ALT-23 AST-27 LD(LDH)-263* AlkPhos-209* TotBili-0.5 ___ 06:00AM BLOOD Calcium-9.4 Phos-4.4 Mg-1._" "Correct entity, wrong SNOMED ID","(6543, 6550)","(6543, 6550)",Calcium,Calcium,312472004,108601004,13016981-DS-27,"-263* AlkPhos-209* TotBili-0.5 ___ 06:00AM BLOOD Calcium-9.4 Phos-4.4 Mg-1.___SSESSMENT AND PLAN: ___ wit" "Correct entity, wrong SNOMED ID","(6555, 6559)","(6555, 6559)",Phos,Phos,104868000,168075002,13016981-DS-27,"s-209* TotBili-0.5 ___ 06:00AM BLOOD Calcium-9.4 Phos-4.4 Mg-1.___SSESSMENT AND PLAN: ___ with metasta" "Correct entity, wrong SNOMED ID","(6564, 6566)","(6564, 6566)",Mg,Mg,271285000,258684004,13016981-DS-27,"otBili-0.5 ___ 06:00AM BLOOD Calcium-9.4 Phos-4.4 Mg-1.___SSESSMENT AND PLAN: ___ with metastatic cho" Missed entity,"(6572, 6581)",,SSESSMENT,,386053000,,13016981-DS-27,".5 ___ 06:00AM BLOOD Calcium-9.4 Phos-4.4 Mg-1.___SSESSMENT AND PLAN: ___ with metastatic cholangiocarcinoma" "Correct entity, wrong SNOMED ID","(6680, 6685)","(6680, 6685)",stent,stent,103716009,1287503001,13016981-DS-27,"a (gemcitabine/cisplatin/ with internal/external stent, who p/w RUQ pain and fever to 102, found to hav" "Correct entity, wrong SNOMED ID","(6696, 6704)","(6696, 6704)",RUQ pain,RUQ pain,301717006,270477000,13016981-DS-27,"cisplatin/ with internal/external stent, who p/w RUQ pain and fever to 102, found to have elevated Tbili, A" "Correct entity, wrong SNOMED ID","(6709, 6714)","(6709, 6714)",fever,fever,386661006,102496004,13016981-DS-27,"th internal/external stent, who p/w RUQ pain and fever to 102, found to have elevated Tbili, AlkP, RUQ " "Correct entity, wrong SNOMED ID","(6737, 6751)","(6737, 6751)",elevated Tbili,elevated Tbili,176271000119108,396700001,13016981-DS-27,"who p/w RUQ pain and fever to 102, found to have elevated Tbili, AlkP, RUQ revealed thickened gallbladder and bi" Boundary error,"(6753, 6757)","(6753, 6756)",AlkP,Alk,274770006,360781002,13016981-DS-27,"n and fever to 102, found to have elevated Tbili, AlkP, RUQ revealed thickened gallbladder and biliary " "Correct entity, wrong SNOMED ID","(6760, 6763)","(6760, 6763)",RUQ,RUQ,50519007,65826004,13016981-DS-27,"ever to 102, found to have elevated Tbili, AlkP, RUQ revealed thickened gallbladder and biliary ductal" "Correct entity, wrong SNOMED ID","(6773, 6794)","(6773, 6794)",thickened gallbladder,thickened gallbladder,300344005,92913004,13016981-DS-27,"found to have elevated Tbili, AlkP, RUQ revealed thickened gallbladder and biliary ductal dilation found to have biliar" Wrong span,"(6799, 6813)","(6799, 6822)",biliary ductal,biliary ductal dilation,28273000,726613003,13016981-DS-27,"li, AlkP, RUQ revealed thickened gallbladder and biliary ductal dilation found to have biliary drain obstruction" Wrong span,"(6814, 6822)","(6799, 6822)",dilation,biliary ductal dilation,25322007,726613003,13016981-DS-27,"revealed thickened gallbladder and biliary ductal dilation found to have biliary drain obstruction during d" "Correct entity, wrong SNOMED ID","(6838, 6863)","(6838, 6863)",biliary drain obstruction,biliary drain obstruction,1162762008,8262006,13016981-DS-27,"ladder and biliary ductal dilation found to have biliary drain obstruction during drain exchange, bile culture growing mult" Missed entity,"(6871, 6885)",,drain exchange,,398219000,,13016981-DS-27,"n found to have biliary drain obstruction during drain exchange, bile culture growing multiple Acute Issues: =" Wrong span,"(6893, 6917)","(6888, 6900)",culture growing multiple,bile culture,442635007,235569007,13016981-DS-27,"ry drain obstruction during drain exchange, bile culture growing multiple Acute Issues: ======= #Cholangitis/Drain Obstru" "Correct entity, wrong SNOMED ID","(6943, 6954)","(6943, 6954)",Cholangitis,Cholangitis,82403002,26918003,13016981-DS-27,"culture growing multiple Acute Issues: ======= #Cholangitis/Drain Obstruction. RUQ Pain likely ___ biliary p" "Correct entity, wrong SNOMED ID","(6955, 6972)","(6955, 6972)",Drain Obstruction,Drain Obstruction,1162762008,1231191007,13016981-DS-27,"ing multiple Acute Issues: ======= #Cholangitis/Drain Obstruction. RUQ Pain likely ___ biliary pathology given RUQ" "Correct entity, wrong SNOMED ID","(6974, 6982)","(6974, 6982)",RUQ Pain,RUQ Pain,301717006,98921000119102,13016981-DS-27,"e Issues: ======= #Cholangitis/Drain Obstruction. RUQ Pain likely ___ biliary pathology given RUQ pain, fev" "Correct entity, wrong SNOMED ID","(7019, 7027)","(7019, 7027)",RUQ pain,RUQ pain,301717006,98921000119102,13016981-DS-27,"ion. RUQ Pain likely ___ biliary pathology given RUQ pain, fever, elevated Tbili, AlkP, ALT, and thickened" "Correct entity, wrong SNOMED ID","(7029, 7034)","(7029, 7034)",fever,fever,386661006,248430002,13016981-DS-27,"ain likely ___ biliary pathology given RUQ pain, fever, elevated Tbili, AlkP, ALT, and thickened gallbl" "Correct entity, wrong SNOMED ID","(7036, 7050)","(7036, 7050)",elevated Tbili,elevated Tbili,176271000119108,396700001,13016981-DS-27,"ely ___ biliary pathology given RUQ pain, fever, elevated Tbili, AlkP, ALT, and thickened gallbladder with dilat" Missed entity,"(7052, 7056)",,AlkP,,274770006,,13016981-DS-27," pathology given RUQ pain, fever, elevated Tbili, AlkP, ALT, and thickened gallbladder with dilated bil" "Correct entity, wrong SNOMED ID","(7058, 7061)","(7058, 7061)",ALT,ALT,34608000,364571000119101,13016981-DS-27,"logy given RUQ pain, fever, elevated Tbili, AlkP, ALT, and thickened gallbladder with dilated biliary " "Correct entity, wrong SNOMED ID","(7068, 7089)","(7068, 7089)",thickened gallbladder,thickened gallbladder,300344005,92913004,13016981-DS-27," RUQ pain, fever, elevated Tbili, AlkP, ALT, and thickened gallbladder with dilated biliary duct seen on US at OSH. Fou" Wrong span,"(7095, 7102)","(7095, 7115)",dilated,dilated biliary duct,25322007,1082431000119108,13016981-DS-27,"Tbili, AlkP, ALT, and thickened gallbladder with dilated biliary duct seen on US at OSH. Found to have di" Wrong span,"(7103, 7115)","(7095, 7115)",biliary duct,dilated biliary duct,28273000,1082431000119108,13016981-DS-27,"lkP, ALT, and thickened gallbladder with dilated biliary duct seen on US at OSH. Found to have distal drain ob" "Correct entity, wrong SNOMED ID","(7157, 7174)","(7157, 7174)",drain obstruction,drain obstruction,1162762008,1231191007,13016981-DS-27,"ary duct seen on US at OSH. Found to have distal drain obstruction during ___ drain exchange ___. C/f bile drain ob" "Correct entity, wrong SNOMED ID","(7186, 7201)","(7186, 7201)","drain exchange","drain exchange",398219000,238285002,13016981-DS-27,"Found to have distal drain obstruction during ___ drain exchange ___. C/f bile drain obstruction given increased p" "Correct entity, wrong SNOMED ID","(7211, 7233)","(7211, 7233)",bile drain obstruction,bile drain obstruction,1162762008,51038004,13016981-DS-27,"n obstruction during ___ drain exchange ___. C/f bile drain obstruction given increased pain on ___ and AlkP uptrending " Wrong span,"(7240, 7254)","(7240, 7249)",increased pain,increased,1144586002,262286000,13016981-DS-27,"n exchange ___. C/f bile drain obstruction given increased pain on ___ and AlkP uptrending to 208 iso pale stool" Missed entity,"(7267, 7282)",,AlkP uptrending,,274770006,,13016981-DS-27,"rain obstruction given increased pain on ___ and AlkP uptrending to 208 iso pale stools. On cipro/augmentin per I" "Correct entity, wrong SNOMED ID","(7294, 7305)","(7294, 7305)",pale stools,pale stools,267056008,70396004,13016981-DS-27,"eased pain on ___ and AlkP uptrending to 208 iso pale stools. On cipro/augmentin per ID consulted based on bi" Missed entity,"(7331, 7333)",,ID,,310054005,,13016981-DS-27,"g to 208 iso pale stools. On cipro/augmentin per ID consulted based on bile culture sensitivities fo" Wrong span,"(7358, 7380)","(7353, 7365)","culture sensitivities",bile culture,273973005,8730001000004107,13016981-DS-27,"n cipro/augmentin per ID consulted based on bile culture sensitivities for 14 days from first drain exchange (last day " Missed entity,"(7404, 7418)",,drain exchange,,398219000,,13016981-DS-27,"ile culture sensitivities for 14 days from first drain exchange (last day ___ second drain change and upsize to " Missed entity,"(7441, 7453)",,drain change,,398219000,,13016981-DS-27,"s from first drain exchange (last day ___ second drain change and upsize to 10 ___. #Cholangiocarcinoma. Cur" "Correct entity, wrong SNOMED ID","(7480, 7498)","(7480, 7498)",Cholangiocarcinoma,Cholangiocarcinoma,70179006,1260050006,13016981-DS-27,"___ second drain change and upsize to 10 ___. #Cholangiocarcinoma. Currently on cycle 31 of cisplatin/gemcitabine " Missed entity,"(7526, 7535)",,cisplatin,,367336001,,13016981-DS-27," #Cholangiocarcinoma. Currently on cycle 31 of cisplatin/gemcitabine - Continue home ursodiol 300 mg BID " Missed entity,"(7536, 7547)",,gemcitabine,,367336001,,13016981-DS-27,"giocarcinoma. Currently on cycle 31 of cisplatin/gemcitabine - Continue home ursodiol 300 mg BID #Portal Vein" "Correct entity, wrong SNOMED ID","(7675, 7679)","(7675, 7679)",Pain,Pain,301717006,102570003,13016981-DS-27,"in thrombosis, on lovenox. - Continue lovenox #Pain. Significant RUQ pain, improved since drain excha" Wrong span,"(7693, 7696)","(7693, 7701)",RUQ,RUQ pain,301717006,98921000119102,13016981-DS-27," lovenox. - Continue lovenox #Pain. Significant RUQ pain, improved since drain exchange and antibiot" Wrong span,"(7697, 7711)","(7693, 7701)","pain, improved",RUQ pain,816133002,98921000119102,13016981-DS-27,"enox. - Continue lovenox #Pain. Significant RUQ pain, improved since drain exchange and antibiotics. - IV dila" Missed entity,"(7718, 7732)",,drain exchange,,398219000,,13016981-DS-27,"nox #Pain. Significant RUQ pain, improved since drain exchange and antibiotics. - IV dilaudid 0.5 mg -1.0 mg Q" "Correct entity, wrong SNOMED ID","(7738, 7749)","(7738, 7749)",antibiotics,antibiotics,281789004,372599003,13016981-DS-27,"cant RUQ pain, improved since drain exchange and antibiotics. - IV dilaudid 0.5 mg -1.0 mg Q4 PRN pain - Res" "Correct entity, wrong SNOMED ID","(7754, 7756)","(7754, 7756)",IV,IV,386358000,258000009,13016981-DS-27,"mproved since drain exchange and antibiotics. - IV dilaudid 0.5 mg -1.0 mg Q4 PRN pain - Restart ho" "Correct entity, wrong SNOMED ID","(7788, 7792)","(7788, 7792)",pain,pain,22253000,102570003,13016981-DS-27,"antibiotics. - IV dilaudid 0.5 mg -1.0 mg Q4 PRN pain - Restart home oxycodone ___ ___ mg Q6 PRN pain " "Correct entity, wrong SNOMED ID","(7837, 7841)","(7837, 7841)",pain,pain,301717006,102570003,13016981-DS-27," pain - Restart home oxycodone ___ ___ mg Q6 PRN pain upon DC ___ Cyst. R knee medial popliteal ___ cy" "Correct entity, wrong SNOMED ID","(7855, 7859)","(7855, 7859)",Cyst,Cyst,367643001,110410009,13016981-DS-27,"ome oxycodone ___ ___ mg Q6 PRN pain upon DC ___ Cyst. R knee medial popliteal ___ cyst noted on physi" "Correct entity, wrong SNOMED ID","(7861, 7867)","(7861, 7867)",R knee,R knee,6757004,778055004,13016981-DS-27,"ycodone ___ ___ mg Q6 PRN pain upon DC ___ Cyst. R knee medial popliteal ___ cyst noted on physical exam" Missed entity,"(7868, 7874)",,medial,,182296000,,13016981-DS-27," ___ ___ mg Q6 PRN pain upon DC ___ Cyst. R knee medial popliteal ___ cyst noted on physical exam, confi" "Correct entity, wrong SNOMED ID","(7875, 7884)","(7875, 7884)",popliteal,popliteal,6902008,181071008,13016981-DS-27,"_ mg Q6 PRN pain upon DC ___ Cyst. R knee medial popliteal ___ cyst noted on physical exam, confirmed on U/" "Correct entity, wrong SNOMED ID","(7889, 7893)","(7889, 7893)",cyst,cyst,367643001,110410009,13016981-DS-27,"in upon DC ___ Cyst. R knee medial popliteal ___ cyst noted on physical exam, confirmed on U/S - Monit" "Correct entity, wrong SNOMED ID","(7932, 7935)","(7932, 7935)",U/S,U/S,241504009,288495006,13016981-DS-27,"al ___ cyst noted on physical exam, confirmed on U/S - Monitor #Panctyopenia. Likely ___ cis/gem chm" "Correct entity, wrong SNOMED ID","(7949, 7961)","(7949, 7961)",Panctyopenia,Panctyopenia,127034005,183005,13016981-DS-27," on physical exam, confirmed on U/S - Monitor #Panctyopenia. Likely ___ cis/gem chmtx restarted ___. - Conti" Missed entity,"(8027, 8041)",,Chronic Issues,,27624003,,13016981-DS-27,"/gem chmtx restarted ___. - Continue to monitor Chronic Issues ======== #Constipation - Continue home Colace, " "Correct entity, wrong SNOMED ID","(8054, 8066)","(8054, 8066)",Constipation,Constipation,14760008,236069009,13016981-DS-27,"- Continue to monitor Chronic Issues ======== #Constipation - Continue home Colace, senna, miralax PRN #Anxi" "Correct entity, wrong SNOMED ID","(8112, 8119)","(8112, 8119)",Anxiety,Anxiety,48694002,286644009,13016981-DS-27,"tion - Continue home Colace, senna, miralax PRN #Anxiety - Continue home lorazepam 0.5 mg Q8 PRN #Nausea " "Correct entity, wrong SNOMED ID","(8162, 8168)","(8162, 8168)",Nausea,Nausea,422587007,1217125005,13016981-DS-27,"Anxiety - Continue home lorazepam 0.5 mg Q8 PRN #Nausea - continue home Zofran 8 mg PO Q8 PRN - Continue " Missed entity,"(8393, 8407)",,drain exchange,,398219000,,13016981-DS-27,"==== - Continue Cipro/augmentin for 14 days after drain exchange (last day ___ - f/u with Dr. ___ ___ - f/u with" Missed entity,"(9206, 9208)",,mg,,271285000,,13016981-DS-27,"_ mg PO Q12H RX *amoxicillin-pot clavulanate 875 mg-125 mg 1 tablet(s) by mouth twice a day Disp #*1" Wrong span,"(10039, 10050)","(10039, 10077)",Cholangitis,"Cholangitis Biliary Drain Obstruction",82403002,1084841000119109,13016981-DS-27,": Home Discharge Diagnosis: PRIMARY DIAGNOSIS: Cholangitis Biliary Drain Obstruction SECONDARY DIAGNOSES: " Wrong span,"(10052, 10077)","(10039, 10077)",Biliary Drain Obstruction,"Cholangitis Biliary Drain Obstruction",1162762008,1084841000119109,13016981-DS-27,"harge Diagnosis: PRIMARY DIAGNOSIS: Cholangitis Biliary Drain Obstruction SECONDARY DIAGNOSES: Metastatic cholangiocarcino" "Correct entity, wrong SNOMED ID","(10178, 10191)","(10178, 10191)",Mental Status,Mental Status,392257007,419284004,13016981-DS-27,"a Portal vein thrombosis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(10193, 10198)","(10193, 10198)",Clear,Clear,830123008,281278005,13016981-DS-27,"hrombosis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(10213, 10235)","(10213, 10235)",Level of Consciousness,Level of Consciousness,444714004,830285008,13016981-DS-27,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(10237, 10242)","(10237, 10242)",Alert,Alert,248234008,409787004,13016981-DS-27,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(10247, 10258)","(10247, 10258)",interactive,interactive,288577006,10301000202103,13016981-DS-27,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(10260, 10275)","(10260, 10275)",Activity Status,Activity Status,129676008,397622007,13016981-DS-27,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(10277, 10301)","(10277, 10301)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,13016981-DS-27,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, It was" "Correct entity, wrong SNOMED ID","(10447, 10453)","(10447, 10453)",fevers,fevers,386661006,248444008,13016981-DS-27," admitted to the hospital because you were having fevers and right upper abdominal pain. You were found t" "Correct entity, wrong SNOMED ID","(10459, 10485)","(10459, 10485)",right upper abdominal pain,right upper abdominal pain,301717006,703100191000119101,13016981-DS-27," the hospital because you were having fevers and right upper abdominal pain. You were found to have an obstruction and infec" "Correct entity, wrong SNOMED ID","(10514, 10525)","(10514, 10525)",obstruction,obstruction,1162762008,50173008,13016981-DS-27," upper abdominal pain. You were found to have an obstruction and infection of your biliary drain. Your drain w" Wrong span,"(10530, 10561)","(10530, 10539)",infection of your biliary drain,infection,446340009,246083009,13016981-DS-27," pain. You were found to have an obstruction and infection of your biliary drain. Your drain was replaced and you were started on" "Correct entity, wrong SNOMED ID","(10568, 10587)","(10568, 10587)","drain was replaced","drain was replaced",398219000,241028002,13016981-DS-27,"ruction and infection of your biliary drain. Your drain was replaced and you were started on antibiotics (now ciprofl" "Correct entity, wrong SNOMED ID","(10612, 10623)","(10612, 10623)",antibiotics,antibiotics,281789004,372599003,13016981-DS-27," Your drain was replaced and you were started on antibiotics (now ciprofloxacin/augmentin) to treat your infe" Missed entity,"(10630, 10643)",,ciprofloxacin,,281789004,,13016981-DS-27,"eplaced and you were started on antibiotics (now ciprofloxacin/augmentin) to treat your infection. Later during " "Correct entity, wrong SNOMED ID","(10669, 10678)","(10669, 10678)",infection,infection,40733004,260976002,13016981-DS-27,"tics (now ciprofloxacin/augmentin) to treat your infection. Later during your stay the drain replacement wa" Wrong span,"(10708, 10760)","(10708, 10725)","drain replacement was found to be partially clogged",drain replacement,1162762008,1003708009,13016981-DS-27,"treat your infection. Later during your stay the drain replacement was found to be partially clogged, so you underwent a second drain exchange and a l" Wrong span,"(10788, 10802)","(10788, 10793)",drain exchange,drain,398219000,258551007,13016981-DS-27," be partially clogged, so you underwent a second drain exchange and a larger drain was place. Please continue " "Correct entity, wrong SNOMED ID","(10863, 10874)","(10863, 10874)",antibiotics,antibiotics,281789004,372599003,13016981-DS-27,"er drain was place. Please continue taking the antibiotics for a total 14 days (dating from your drain exch" Missed entity,"(10914, 10928)",,drain exchange,,398219000,,13016981-DS-27,"ntibiotics for a total 14 days (dating from your drain exchange), so your last day of antibiotics will be ___. " "Correct entity, wrong SNOMED ID","(10952, 10963)","(10952, 10963)",antibiotics,antibiotics,281789004,372599003,13016981-DS-27,"g from your drain exchange), so your last day of antibiotics will be ___. If you experience any further infe" "Correct entity, wrong SNOMED ID","(11009, 11019)","(11009, 11019)",infectious,infectious,40733004,366971000119100,13016981-DS-27,"tics will be ___. If you experience any further infectious symptoms such as fever or chills or any symptoms" "Correct entity, wrong SNOMED ID","(11037, 11042)","(11037, 11042)",fever,fever,386661006,248430002,13016981-DS-27,"xperience any further infectious symptoms such as fever or chills or any symptoms related to your drain " "Correct entity, wrong SNOMED ID","(11047, 11053)","(11047, 11053)",chills,chills,43724002,274640006,13016981-DS-27,"any further infectious symptoms such as fever or chills or any symptoms related to your drain site such a" "Correct entity, wrong SNOMED ID","(11086, 11096)","(11086, 11096)",drain site,drain site,386143003,258506007,13016981-DS-27," fever or chills or any symptoms related to your drain site such as redness or pus around your drain site, p" "Correct entity, wrong SNOMED ID","(11106, 11113)","(11106, 11113)",redness,redness,822962003,1268301006,13016981-DS-27," any symptoms related to your drain site such as redness or pus around your drain site, please contact you" "Correct entity, wrong SNOMED ID","(11117, 11120)","(11117, 11120)",pus,pus,367646009,271354006,13016981-DS-27,"ms related to your drain site such as redness or pus around your drain site, please contact your prim" "Correct entity, wrong SNOMED ID","(11133, 11143)","(11133, 11143)",drain site,drain site,386143003,258506007,13016981-DS-27,"ur drain site such as redness or pus around your drain site, please contact your primary doctor. It was a p" Missed entity,"(11152, 11180)",,"contact your primary doctor",,304562007,,13016981-DS-27,"as redness or pus around your drain site, please contact your primary doctor. It was a pleasure to be part of your care, Your" False positive,,"(198, 204)",,Sulfa(,,68224005,13164440-DS-18,"Service: ORTHOPAEDICS Allergies: Penicillins / Sulfa(Sulfonamide Antibiotics) / sea food Attending: _" False positive,,"(1192, 1195)",,ALL,,1336035003,13164440-DS-18,"ns MED: naproxen PRN, nexium, advair PRN, OCP's ALL: penicillin and sulfa PE: 96.8 119 119/97 18 1" False positive,,"(1272, 1279)",,Sensory,,717241000,13164440-DS-18," 96.8 119 119/97 18 100% Anxious, but in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) " False positive,,"(1351, 1352)",,R,,420274006,13164440-DS-18,"at arm) (thumb) (mid fing) (sm finger) (med arm) R intact intact intact intact " False positive,,"(1414, 1415)",,L,,420296000,13164440-DS-18," intact intact intact intact L intact intact intact intact " False positive,,"(1481, 1483)",,L1,,5699003,13164440-DS-18,"act intact intact intact T2-L1 (Trunk) intact ___ L2 L3 L4 L5 S1 " False positive,,"(1597, 1598)",,R,,420274006,13164440-DS-18,"ee) (Med Calf) (Grt Toe) (Sm Toe) (Post Thigh) R intact intact dec dec intact intact L intac" False positive,,"(1641, 1642)",,L,,420296000,13164440-DS-18,"high) R intact intact dec dec intact intact L intact intact intact intact intact intact " False positive,,"(1694, 1699)",,Motor,,312018000,13164440-DS-18,"ntact intact intact intact intact intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7) FF(C8) " False positive,,"(1720, 1722)",,WE,,1252696009,13164440-DS-18,"t intact intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7) FF(C8) FinAbd(T1) R 5 5 " False positive,,"(1735, 1736)",,W,,258001008,13164440-DS-18,"intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7) FF(C8) FinAbd(T1) R 5 5 5 5 " False positive,,"(1749, 1755)",,FinAbd,,43936003,13164440-DS-18,": UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7) FF(C8) FinAbd(T1) R 5 5 5 5 5 5 5 L " False positive,,"(1847, 1851)",,Flex,,113458004,13164440-DS-18," 5 L 5 5 5 5 5 5 5 ___ Flex(L1) Add(L2) Quad(L3) TA(L4) ___ Per(S1) ___ R " False positive,,"(1856, 1859)",,Add,,397282003,13164440-DS-18," 5 5 5 5 5 5 ___ Flex(L1) Add(L2) Quad(L3) TA(L4) ___ Per(S1) ___ R 5 5" False positive,,"(1874, 1876)",,TA,,424926009,13164440-DS-18," 5 5 5 ___ Flex(L1) Add(L2) Quad(L3) TA(L4) ___ Per(S1) ___ R 5 5 5 0 0" False positive,,"(2044, 2047)",,Ach,,26139006,13164440-DS-18," Reflexes Bic(C4-5) BR(C5-6) Tri(C6-7) Pat(L3-4) Ach(L5-S1) R 2 2 2 0 0 L 2 " False positive,,"(2934, 2935)",,U,,257999003,13164440-DS-18,"4 ___ ___ 06:45PM URINE HOURS-RANDOM ___ 06:45PM URINE HOURS-RANDOM ___ 06:45PM URINE GR HOLD-HOLD" False positive,,"(3040, 3044)",,GLUC,,128383003,13164440-DS-18,"06:45PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-10 BILIRUBIN-NEG UROBILNGN-NEG PH-5" False positive,,"(3277, 3280)",,MCH,,54706004,13164440-DS-18,"30PM WBC-7.3 RBC-4.70 HGB-13.8 HCT-41.7 MCV-89 MCH-29.4 MCHC-33.1 RDW-12.3 Brief Hospital Course: " False positive,,"(4084, 4088)",,drop,,227624001,13164440-DS-18," were consulted. AFO was used for the right foot drop. Hospital course was otherwise unremarkable. O" False positive,,"(4213, 4224)",,comfortable,,1148784009,13164440-DS-18,"he patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular die" False positive,,"(5011, 5016)",,Acute,,255228009,13164440-DS-18," L4-L, with severe neurologic compression. 3. Acute foot drop with progressive weakness. Discharge" False positive,,"(5284, 5292)",,Invasive,,22762002,13164440-DS-18,"have undergone the following operation: Minimally Invasive Microdiscectomy Immediately after the operatio" False positive,,"(5334, 5343)",,operation,,161615003,13164440-DS-18,"Invasive Microdiscectomy Immediately after the operation: - Activity: You should not lift anythin" "Correct entity, wrong SNOMED ID","(184, 195)","(184, 195)",Penicillins,Penicillins,91936005,11986009,13164440-DS-18," Sex: F Service: ORTHOPAEDICS Allergies: Penicillins / Sulfa(Sulfonamide Antibiotics) / sea food Att" "Correct entity, wrong SNOMED ID","(204, 227)","(204, 227)",Sulfonamide Antibiotics,Sulfonamide Antibiotics,429239002,372788003,13164440-DS-18,"e: ORTHOPAEDICS Allergies: Penicillins / Sulfa(Sulfonamide Antibiotics) / sea food Attending: ___. Chief Complaint: " "Correct entity, wrong SNOMED ID","(277, 286)","(277, 286)",foot drop,foot drop,6077001,308291000119105,13164440-DS-18,") / sea food Attending: ___. Chief Complaint: foot drop nd numbness right side Major Surgical or Invasi" "Correct entity, wrong SNOMED ID","(290, 298)","(290, 298)",numbness,numbness,309537005,102601005,13164440-DS-18," Attending: ___. Chief Complaint: foot drop nd numbness right side Major Surgical or Invasive Procedure" Wrong span,"(299, 304)","(299, 309)",right,right side,62175007,299727004,13164440-DS-18,"ng: ___. Chief Complaint: foot drop nd numbness right side Major Surgical or Invasive Procedure: 1. L" Wrong span,"(366, 380)","(356, 380)",hemilaminotomy,bilateral hemilaminotomy,260648008,116144002,13164440-DS-18,"r Surgical or Invasive Procedure: 1. L3 bilateral hemilaminotomy. 2. Diskectomy. History of Present Illness: HP" "Correct entity, wrong SNOMED ID","(385, 395)","(385, 395)",Diskectomy,Diskectomy,3418002,1187239007,13164440-DS-18,"ive Procedure: 1. L3 bilateral hemilaminotomy. 2. Diskectomy. History of Present Illness: HPI: ___ with h/o" "Correct entity, wrong SNOMED ID","(446, 449)","(446, 449)",LBP,LBP,279039007,413049004,13164440-DS-18," History of Present Illness: HPI: ___ with h/o LBP and RLE radicular symptoms with recent exacerbati" Wrong span,"(454, 457)","(454, 476)",RLE,RLE radicular symptoms,62175007,1258954001,13164440-DS-18,"ory of Present Illness: HPI: ___ with h/o LBP and RLE radicular symptoms with recent exacerbation. ___ " Wrong span,"(458, 476)","(454, 476)",radicular symptoms,RLE radicular symptoms,11679003,1258954001,13164440-DS-18,"of Present Illness: HPI: ___ with h/o LBP and RLE radicular symptoms with recent exacerbation. ___ years ago she had L" "Correct entity, wrong SNOMED ID","(525, 528)","(525, 528)",LBP,LBP,279039007,413049004,13164440-DS-18,"s with recent exacerbation. ___ years ago she had LBP and RLE radicular pain that improved after ___ a" Wrong span,"(533, 536)","(533, 551)",RLE,RLE radicular pain,62175007,1258954001,13164440-DS-18,"ecent exacerbation. ___ years ago she had LBP and RLE radicular pain that improved after ___ and lumba" Wrong span,"(537, 551)","(533, 551)",radicular pain,RLE radicular pain,11679003,1258954001,13164440-DS-18,"t exacerbation. ___ years ago she had LBP and RLE radicular pain that improved after ___ and lumbar steroid injec" "Correct entity, wrong SNOMED ID","(558, 566)","(558, 566)",improved,improved,268910001,251359002,13164440-DS-18,"ears ago she had LBP and RLE radicular pain that improved after ___ and lumbar steroid injections. She was " Wrong span,"(581, 606)","(581, 587)",lumbar steroid injections,lumbar,278213007,1017208001,13164440-DS-18,"d RLE radicular pain that improved after ___ and lumbar steroid injections. She was symptom free for ___ years until 1 month" "Correct entity, wrong SNOMED ID","(731, 749)","(731, 749)",steroid injections,steroid injections,296778005,285435007,13164440-DS-18,"turned. In the beginning of ___ she had a couple steroid injections that relieved her back pain and radicular pain. S" "Correct entity, wrong SNOMED ID","(768, 777)","(768, 777)",back pain,back pain,161891005,134407002,13164440-DS-18,"had a couple steroid injections that relieved her back pain and radicular pain. She continued to have subject" "Correct entity, wrong SNOMED ID","(782, 796)","(782, 796)",radicular pain,radicular pain,11679003,1258954001,13164440-DS-18,"teroid injections that relieved her back pain and radicular pain. She continued to have subjective numbness below " Wrong span,"(831, 839)","(831, 849)",numbness,numbness below the,44077006,95359001,13164440-DS-18," radicular pain. She continued to have subjective numbness below the knee on the RLE. She started ___ again " Wrong span,"(840, 854)","(831, 849)",below the knee,numbness below the,8289001,95359001,13164440-DS-18,"r pain. She continued to have subjective numbness below the knee on the RLE. She started ___ again last week and f" "Correct entity, wrong SNOMED ID","(862, 865)","(862, 865)",RLE,RLE,62175007,229042004,13164440-DS-18,"to have subjective numbness below the knee on the RLE. She started ___ again last week and following a " Wrong span,"(935, 945)","(935, 950)",right foot,"right foot drop",7769000,15630411000119102,13164440-DS-18,"ain last week and following a session developed a right foot drop 6 days ago. She has required the use of crut" Missed entity,"(984, 999)",,use of crutches,,443663000,,13164440-DS-18," right foot drop 6 days ago. She has required the use of crutches for the last 6 days to walk. She currently denies" "Correct entity, wrong SNOMED ID","(1023, 1027)","(1023, 1027)",walk,walk,719232003,282146009,13164440-DS-18,"quired the use of crutches for the last 6 days to walk. She currently denies back pain, radicular pain, " "Correct entity, wrong SNOMED ID","(1050, 1059)","(1050, 1059)",back pain,back pain,161891005,134407002,13164440-DS-18,"for the last 6 days to walk. She currently denies back pain, radicular pain, bowel/bladder problems. PMH: ki" "Correct entity, wrong SNOMED ID","(1061, 1075)","(1061, 1075)","radicular pain","radicular pain",11679003,1258954001,13164440-DS-18,"t 6 days to walk. She currently denies back pain, radicular pain, bowel/bladder problems. PMH: kidney stones, LBP" Boundary error,"(1077, 1082)","(1077, 1083)",bowel,bowel/,309615009,30315005,13164440-DS-18,". She currently denies back pain, radicular pain, bowel/bladder problems. PMH: kidney stones, LBP PSH: " "Correct entity, wrong SNOMED ID","(1107, 1120)","(1107, 1120)",kidney stones,kidney stones,95570007,275893001,13164440-DS-18,"in, radicular pain, bowel/bladder problems. PMH: kidney stones, LBP PSH: 2 c-sections MED: naproxen PRN, nexiu" "Correct entity, wrong SNOMED ID","(1122, 1125)","(1122, 1125)",LBP,LBP,279039007,413049004,13164440-DS-18,"ain, bowel/bladder problems. PMH: kidney stones, LBP PSH: 2 c-sections MED: naproxen PRN, nexium, ad" Missed entity,"(1134, 1144)",,c-sections,,11466000,,13164440-DS-18,"ladder problems. PMH: kidney stones, LBP PSH: 2 c-sections MED: naproxen PRN, nexium, advair PRN, OCP's AL" Missed entity,"(1197, 1207)",,penicillin,,91936005,,13164440-DS-18,"ED: naproxen PRN, nexium, advair PRN, OCP's ALL: penicillin and sulfa PE: 96.8 119 119/97 18 100% Anxiou" Missed entity,"(1212, 1217)",,sulfa,,429239002,,13164440-DS-18,"N, nexium, advair PRN, OCP's ALL: penicillin and sulfa PE: 96.8 119 119/97 18 100% Anxious, but in " "Correct entity, wrong SNOMED ID","(1267, 1270)","(1267, 1270)",NAD,NAD,281900007,131143000,13164440-DS-18," PE: 96.8 119 119/97 18 100% Anxious, but in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (m" Boundary error,"(1281, 1283)","(1281, 1282)",UE,U,53120007,257999003,13164440-DS-18,"19 119/97 18 100% Anxious, but in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm " Missed entity,"(1284, 1286)",,C5,,36978003,,13164440-DS-18,"119/97 18 100% Anxious, but in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm fin" Missed entity,"(1287, 1289)",,C6,,36054005,,13164440-DS-18,"/97 18 100% Anxious, but in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm finger" Missed entity,"(1290, 1292)",,C7,,87391001,,13164440-DS-18," 18 100% Anxious, but in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm finger) (" Missed entity,"(1296, 1298)",,T1,,64864005,,13164440-DS-18,"0% Anxious, but in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm finger) (med ar" Missed entity,"(1300, 1307)",,lat arm,,34894009,,13164440-DS-18," Anxious, but in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm finger) (med arm) R inta" "Correct entity, wrong SNOMED ID","(1311, 1316)","(1311, 1316)",thumb,thumb,76505004,59354007,13164440-DS-18,"ut in NAD Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm finger) (med arm) R intact i" Missed entity,"(1319, 1327)",,mid fing,,65531009,,13164440-DS-18,"D Sensory: UE C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm finger) (med arm) R intact intact " Missed entity,"(1333, 1339)",,finger,,7569003,,13164440-DS-18," C5 C6 C7 C8 T1 (lat arm) (thumb) (mid fing) (sm finger) (med arm) R intact intact intact " Missed entity,"(1342, 1349)",,med arm,,6894000,,13164440-DS-18," C8 T1 (lat arm) (thumb) (mid fing) (sm finger) (med arm) R intact intact intact intact" "Correct entity, wrong SNOMED ID","(1353, 1359)","(1353, 1359)",intact,intact,299956006,247602005,13164440-DS-18," arm) (thumb) (mid fing) (sm finger) (med arm) R intact intact intact intact in" "Correct entity, wrong SNOMED ID","(1365, 1371)","(1365, 1371)",intact,intact,299956006,247602005,13164440-DS-18,"b) (mid fing) (sm finger) (med arm) R intact intact intact intact intact L intac" Missed entity,"(1379, 1385)",,intact,,299956006,,13164440-DS-18,"(sm finger) (med arm) R intact intact intact intact intact L intact intact " Missed entity,"(1393, 1399)",,intact,,299956006,,13164440-DS-18,"ed arm) R intact intact intact intact intact L intact intact intact " Missed entity,"(1407, 1413)",,intact,,299956006,,13164440-DS-18,"ct intact intact intact intact L intact intact intact intact " "Correct entity, wrong SNOMED ID","(1416, 1422)","(1416, 1422)",intact,intact,299956006,247602005,13164440-DS-18,"ntact intact intact intact L intact intact intact intact in" "Correct entity, wrong SNOMED ID","(1428, 1434)","(1428, 1434)",intact,intact,299956006,247602005,13164440-DS-18," intact intact intact L intact intact intact intact intact T2-L1 " Missed entity,"(1442, 1448)",,intact,,299956006,,13164440-DS-18," intact intact L intact intact intact intact intact T2-L1 (Trunk) intact" Missed entity,"(1456, 1462)",,intact,,299956006,,13164440-DS-18," intact L intact intact intact intact intact T2-L1 (Trunk) intact ___ L2" Missed entity,"(1470, 1476)",,intact,,299956006,,13164440-DS-18,"ct intact intact intact intact T2-L1 (Trunk) intact ___ L2 L3 L4 " "Correct entity, wrong SNOMED ID","(1485, 1490)","(1485, 1490)",Trunk,Trunk,22943007,123960005,13164440-DS-18," intact intact intact T2-L1 (Trunk) intact ___ L2 L3 L4 L5 S1 S2 (Gro" "Correct entity, wrong SNOMED ID","(1492, 1498)","(1492, 1498)",intact,intact,299956006,247602005,13164440-DS-18,"intact intact intact T2-L1 (Trunk) intact ___ L2 L3 L4 L5 S1 S2 (Groin) (Kne" "Correct entity, wrong SNOMED ID","(1510, 1512)","(1510, 1512)",L2,L2,14293000,420296000,13164440-DS-18,"ct intact T2-L1 (Trunk) intact ___ L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Cal" Boundary error,"(1517, 1519)","(1517, 1518)",L3,L,36470004,420296000,13164440-DS-18," intact T2-L1 (Trunk) intact ___ L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt" Boundary error,"(1522, 1524)","(1522, 1523)",L4,L,11994002,420296000,13164440-DS-18,"tact T2-L1 (Trunk) intact ___ L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe)" "Correct entity, wrong SNOMED ID","(1527, 1529)","(1527, 1529)",L5,L5,49668003,728841005,13164440-DS-18," T2-L1 (Trunk) intact ___ L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe) (Sm " Boundary error,"(1530, 1532)","(1530, 1531)",S1,S,65985001,420952007,13164440-DS-18,"-L1 (Trunk) intact ___ L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe) (Sm Toe" "Correct entity, wrong SNOMED ID","(1533, 1535)","(1533, 1535)",S2,S2,11808007,733987005,13164440-DS-18," (Trunk) intact ___ L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe) (Sm Toe) (" "Correct entity, wrong SNOMED ID","(1537, 1542)","(1537, 1542)",Groin,Groin,26893007,211046002,13164440-DS-18,"unk) intact ___ L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe) (Sm Toe) (Post Th" "Correct entity, wrong SNOMED ID","(1545, 1549)","(1545, 1549)",Knee,Knee,82169009,248491001,13164440-DS-18,"act ___ L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe) (Sm Toe) (Post Thigh) R " Missed entity,"(1559, 1563)",,Calf,,53840002,,13164440-DS-18," L2 L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe) (Sm Toe) (Post Thigh) R intact intact " Missed entity,"(1566, 1573)",,Grt Toe,,78883009,,13164440-DS-18," L3 L4 L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe) (Sm Toe) (Post Thigh) R intact intact dec dec " Missed entity,"(1576, 1582)",,Sm Toe,,39915008,,13164440-DS-18," L5 S1 S2 (Groin) (Knee) (Med Calf) (Grt Toe) (Sm Toe) (Post Thigh) R intact intact dec dec intac" Missed entity,"(1585, 1595)",,Post Thigh,,90528004,,13164440-DS-18," (Groin) (Knee) (Med Calf) (Grt Toe) (Sm Toe) (Post Thigh) R intact intact dec dec intact intact L in" "Correct entity, wrong SNOMED ID","(1599, 1605)","(1599, 1605)",intact,intact,299956006,247602005,13164440-DS-18,") (Med Calf) (Grt Toe) (Sm Toe) (Post Thigh) R intact intact dec dec intact intact L intact inta" "Correct entity, wrong SNOMED ID","(1606, 1612)","(1606, 1612)",intact,intact,299956006,247602005,13164440-DS-18,"ed Calf) (Grt Toe) (Sm Toe) (Post Thigh) R intact intact dec dec intact intact L intact intact inta" Missed entity,"(1627, 1633)",,intact,,299956006,,13164440-DS-18,"m Toe) (Post Thigh) R intact intact dec dec intact intact L intact intact intact intact intac" Missed entity,"(1634, 1640)",,intact,,299956006,,13164440-DS-18,"(Post Thigh) R intact intact dec dec intact intact L intact intact intact intact intact intac" "Correct entity, wrong SNOMED ID","(1643, 1649)","(1643, 1649)",intact,intact,299956006,247602005,13164440-DS-18,"gh) R intact intact dec dec intact intact L intact intact intact intact intact intact Motor" "Correct entity, wrong SNOMED ID","(1651, 1657)","(1651, 1657)",intact,intact,299956006,247602005,13164440-DS-18,"tact intact dec dec intact intact L intact intact intact intact intact intact Motor: UE Dlt" Missed entity,"(1658, 1664)",,intact,,299956006,,13164440-DS-18,"tact dec dec intact intact L intact intact intact intact intact intact Motor: UE Dlt(C5) Bi" Missed entity,"(1665, 1671)",,intact,,299956006,,13164440-DS-18,"c dec intact intact L intact intact intact intact intact intact Motor: UE Dlt(C5) Bic(C6) W" Missed entity,"(1678, 1684)",,intact,,299956006,,13164440-DS-18,"ntact intact L intact intact intact intact intact intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7)" Missed entity,"(1685, 1691)",,intact,,299956006,,13164440-DS-18,"ntact L intact intact intact intact intact intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7)" "Correct entity, wrong SNOMED ID","(1701, 1703)","(1701, 1703)",UE,UE,53120007,257999003,13164440-DS-18,"intact intact intact intact intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7) FF(C8) FinA" "Correct entity, wrong SNOMED ID","(1704, 1707)","(1704, 1707)",Dlt,Dlt,35259002,415227003,13164440-DS-18,"act intact intact intact intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7) FF(C8) FinAbd(T" Boundary error,"(1712, 1715)","(1712, 1713)",Bic,B,16225001,257983009,13164440-DS-18,"ct intact intact intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7) FF(C8) FinAbd(T1) R " Missed entity,"(1727, 1730)",,Tri,,40284004,,13164440-DS-18," intact intact Motor: UE Dlt(C5) Bic(C6) WE(C6) Tri(C7) WF(C7) FF(C8) FinAbd(T1) R 5 5 5 " "Correct entity, wrong SNOMED ID","(1865, 1869)","(1865, 1869)",Quad,Quad,21989003,272670002,13164440-DS-18," 5 5 5 5 5 ___ Flex(L1) Add(L2) Quad(L3) TA(L4) ___ Per(S1) ___ R 5 5 5 " Wrong span,"(1995, 2003)","(1995, 2008)",Reflexes,"Reflexes Bic",106146005,102982003,13164440-DS-18," L 5 5 5 5 5 5 5 Reflexes Bic(C4-5) BR(C5-6) Tri(C6-7) Pat(L3-4) Ach(L5-S1" Wrong span,"(2005, 2008)","(1995, 2008)",Bic,"Reflexes Bic",16225001,102982003,13164440-DS-18," 5 5 5 5 5 5 Reflexes Bic(C4-5) BR(C5-6) Tri(C6-7) Pat(L3-4) Ach(L5-S1) R " Missed entity,"(2024, 2027)",,Tri,,40284004,,13164440-DS-18,"5 5 5 5 Reflexes Bic(C4-5) BR(C5-6) Tri(C6-7) Pat(L3-4) Ach(L5-S1) R 2 2 2 " Missed entity,"(2133, 2146)",,Hoffmans: neg,,299850001,,13164440-DS-18," 0 L 2 2 2 2 2 Hoffmans: neg Babinski: downgoing Clonus: ___ beats bilateral" Wrong span,"(2148, 2167)","(2148, 2156)",Babinski: downgoing,Babinski,366565002,246592003,13164440-DS-18,"2 2 2 2 Hoffmans: neg Babinski: downgoing Clonus: ___ beats bilaterally Perianal sensatio" "Correct entity, wrong SNOMED ID","(2169, 2175)","(2169, 2175)",Clonus,Clonus,36649002,39055007,13164440-DS-18," Hoffmans: neg Babinski: downgoing Clonus: ___ beats bilaterally Perianal sensation: intac" Wrong span,"(2200, 2208)","(2200, 2218)",Perianal,Perianal sensation,397158004,247337001,13164440-DS-18,"binski: downgoing Clonus: ___ beats bilaterally Perianal sensation: intact Rectal tone: intact Straight " Wrong span,"(2209, 2218)","(2200, 2218)",sensation,Perianal sensation,699697007,247337001,13164440-DS-18,"owngoing Clonus: ___ beats bilaterally Perianal sensation: intact Rectal tone: intact Straight Leg Raise:" "Correct entity, wrong SNOMED ID","(2220, 2226)","(2220, 2226)",intact,intact,299956006,247602005,13164440-DS-18,"lonus: ___ beats bilaterally Perianal sensation: intact Rectal tone: intact Straight Leg Raise: Does no" Wrong span,"(2228, 2247)","(2228, 2239)",Rectal tone: intact,Rectal tone,249645005,439927007,13164440-DS-18,"__ beats bilaterally Perianal sensation: intact Rectal tone: intact Straight Leg Raise: Does not reproduce radicular" Wrong span,"(2249, 2267)","(2258, 2261)",Straight Leg Raise,Leg,366448008,442871000124106,13164440-DS-18," Perianal sensation: intact Rectal tone: intact Straight Leg Raise: Does not reproduce radicular symptoms Estimated" Missed entity,"(2288, 2306)",,radicular symptoms,,11679003,,13164440-DS-18,"e: intact Straight Leg Raise: Does not reproduce radicular symptoms Estimated Level of Cooperation: good Estimated R" Missed entity,"(2340, 2344)",,good,,281900007,,13164440-DS-18,"dicular symptoms Estimated Level of Cooperation: good Estimated Reliability of Exam: good IMAGING:Imag" Missed entity,"(2370, 2374)",,Exam,,5880005,,13164440-DS-18,"vel of Cooperation: good Estimated Reliability of Exam: good IMAGING:Imaging: From OSH per report MRI L" Missed entity,"(2376, 2380)",,good,,281900007,,13164440-DS-18," Cooperation: good Estimated Reliability of Exam: good IMAGING:Imaging: From OSH per report MRI L-spine" Missed entity,"(2390, 2397)",,Imaging,,363679005,,13164440-DS-18,"good Estimated Reliability of Exam: good IMAGING:Imaging: From OSH per report MRI L-spine from ___ showing" Wrong span,"(2419, 2430)","(2419, 2422)",MRI L-spine,MRI,241648005,1144760005,13164440-DS-18," Exam: good IMAGING:Imaging: From OSH per report MRI L-spine from ___ showing L4-5 right paramedian disc herni" Wrong span,"(2448, 2452)","(2448, 2449)",L4-5,L,84020006,420296000,13164440-DS-18," From OSH per report MRI L-spine from ___ showing L4-5 right paramedian disc herniation with moderate fo" Wrong span,"(2453, 2458)","(2453, 2485)",right,right paramedian disc herniation,1017211000,202733008,13164440-DS-18," OSH per report MRI L-spine from ___ showing L4-5 right paramedian disc herniation with moderate foramina" Wrong span,"(2470, 2485)","(2453, 2485)",disc herniation,right paramedian disc herniation,84857004,202733008,13164440-DS-18,"RI L-spine from ___ showing L4-5 right paramedian disc herniation with moderate foraminal stenosis. This MRI, howev" "Correct entity, wrong SNOMED ID","(2500, 2518)","(2500, 2518)",foraminal stenosis,foraminal stenosis,764273002,203715007,13164440-DS-18,"-5 right paramedian disc herniation with moderate foraminal stenosis. This MRI, however, was performed before she deve" "Correct entity, wrong SNOMED ID","(2525, 2528)","(2525, 2528)",MRI,MRI,241648005,1144760005,13164440-DS-18,"herniation with moderate foraminal stenosis. This MRI, however, was performed before she developed the " "Correct entity, wrong SNOMED ID","(2578, 2587)","(2578, 2587)",foot drop,foot drop,6077001,308291000119105,13164440-DS-18,", however, was performed before she developed the foot drop. Past Medical History: see HPI Social Histor" Missed entity,"(2701, 2706)",,Preop,,72077002,,13164440-DS-18,"History: nc Physical Exam: see HPI for details Preop neurology Right side L5 root ___ S1 root ___ S" "Correct entity, wrong SNOMED ID","(2707, 2716)","(2707, 2716)",neurology,neurology,84728005,394538003,13164440-DS-18,"y: nc Physical Exam: see HPI for details Preop neurology Right side L5 root ___ S1 root ___ Sensory num" Missed entity,"(2718, 2723)",,Right,,85421007,,13164440-DS-18,"sical Exam: see HPI for details Preop neurology Right side L5 root ___ S1 root ___ Sensory numbness o" "Correct entity, wrong SNOMED ID","(2730, 2737)","(2730, 2737)",L5 root,L5 root,180993007,113310009,13164440-DS-18,"see HPI for details Preop neurology Right side L5 root ___ S1 root ___ Sensory numbness over L5 root di" Wrong span,"(2742, 2749)","(2742, 2744)",S1 root,S1,128199003,82609006,13164440-DS-18,"details Preop neurology Right side L5 root ___ S1 root ___ Sensory numbness over L5 root distribution N" Wrong span,"(2755, 2762)","(2755, 2771)",Sensory,Sensory numbness,80314008,87275002,13164440-DS-18,"p neurology Right side L5 root ___ S1 root ___ Sensory numbness over L5 root distribution No perianal nu" Wrong span,"(2763, 2771)","(2755, 2771)",numbness,Sensory numbness,44077006,87275002,13164440-DS-18,"ogy Right side L5 root ___ S1 root ___ Sensory numbness over L5 root distribution No perianal numbness Vo" "Correct entity, wrong SNOMED ID","(2777, 2784)","(2777, 2784)",L5 root,L5 root,180993007,113310009,13164440-DS-18,"e L5 root ___ S1 root ___ Sensory numbness over L5 root distribution No perianal numbness Voiding normall" Wrong span,"(2801, 2809)","(2801, 2818)",perianal,perianal numbness,397158004,399172001,13164440-DS-18,"__ Sensory numbness over L5 root distribution No perianal numbness Voiding normally. Pertinent Results: " Wrong span,"(2810, 2818)","(2801, 2818)",numbness,perianal numbness,44077006,399172001,13164440-DS-18,"ry numbness over L5 root distribution No perianal numbness Voiding normally. Pertinent Results: ___ 08:50" Wrong span,"(2819, 2835)","(2819, 2820)",Voiding normally,V,102834005,258000009,13164440-DS-18,"ss over L5 root distribution No perianal numbness Voiding normally. Pertinent Results: ___ 08:50PM ___ PTT-27.4" "Correct entity, wrong SNOMED ID","(2877, 2880)","(2877, 2880)",PTT,PTT,42525009,282119004,13164440-DS-18,"normally. Pertinent Results: ___ 08:50PM ___ PTT-27.4 ___ ___ 06:45PM URINE HOURS-RANDOM ___ 06:4" "Correct entity, wrong SNOMED ID","(3027, 3034)","(3027, 3034)",PROTEIN,PROTEIN,57378007,764892007,13164440-DS-18,"OLD-HOLD ___ 06:45PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-10 BILIRUBIN-NEG UROBILNG" "Correct entity, wrong SNOMED ID","(3052, 3058)","(3052, 3058)",KETONE,KETONE,47615003,256048004,13164440-DS-18,"E BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-10 BILIRUBIN-NEG UROBILNGN-NEG PH-5.5 LEUK-NEG _" "Correct entity, wrong SNOMED ID","(3062, 3071)","(3062, 3071)",BILIRUBIN,BILIRUBIN,359992002,359986008,13164440-DS-18,"EG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-10 BILIRUBIN-NEG UROBILNGN-NEG PH-5.5 LEUK-NEG ___ 06:30PM " "Correct entity, wrong SNOMED ID","(3090, 3092)","(3090, 3092)",PH,PH,81065003,264912003,13164440-DS-18,"GLUCOSE-NEG KETONE-10 BILIRUBIN-NEG UROBILNGN-NEG PH-5.5 LEUK-NEG ___ 06:30PM GLUCOSE-106* UREA N-1" "Correct entity, wrong SNOMED ID","(3121, 3128)","(3121, 3128)",GLUCOSE,GLUCOSE,33747003,72191006,13164440-DS-18,"-NEG UROBILNGN-NEG PH-5.5 LEUK-NEG ___ 06:30PM GLUCOSE-106* UREA N-13 CREAT-0.8 SODIUM-141 POTASSIUM-3." "Correct entity, wrong SNOMED ID","(3144, 3149)","(3144, 3149)",CREAT,CREAT,70901006,413856009,13164440-DS-18,".5 LEUK-NEG ___ 06:30PM GLUCOSE-106* UREA N-13 CREAT-0.8 SODIUM-141 POTASSIUM-3.6 CHLORIDE-105 TOTAL " "Correct entity, wrong SNOMED ID","(3154, 3160)","(3154, 3160)",SODIUM,SODIUM,25197003,104934005,13164440-DS-18,"EG ___ 06:30PM GLUCOSE-106* UREA N-13 CREAT-0.8 SODIUM-141 POTASSIUM-3.6 CHLORIDE-105 TOTAL CO2-21* ANI" "Correct entity, wrong SNOMED ID","(3166, 3175)","(3166, 3175)",POTASSIUM,POTASSIUM,59573005,1149432009,13164440-DS-18,"PM GLUCOSE-106* UREA N-13 CREAT-0.8 SODIUM-141 POTASSIUM-3.6 CHLORIDE-105 TOTAL CO2-21* ANION GAP-19 ___ 0" "Correct entity, wrong SNOMED ID","(3180, 3188)","(3180, 3188)",CHLORIDE,CHLORIDE,104589004,108447000,13164440-DS-18,"06* UREA N-13 CREAT-0.8 SODIUM-141 POTASSIUM-3.6 CHLORIDE-105 TOTAL CO2-21* ANION GAP-19 ___ 06:30PM WBC-" "Correct entity, wrong SNOMED ID","(3207, 3216)","(3207, 3216)",ANION GAP,ANION GAP,25469001,237854004,13164440-DS-18,"IUM-141 POTASSIUM-3.6 CHLORIDE-105 TOTAL CO2-21* ANION GAP-19 ___ 06:30PM WBC-7.3 RBC-4.70 HGB-13.8 HCT-41" "Correct entity, wrong SNOMED ID","(3234, 3237)","(3234, 3237)",WBC,WBC,767002,391558003,13164440-DS-18,"RIDE-105 TOTAL CO2-21* ANION GAP-19 ___ 06:30PM WBC-7.3 RBC-4.70 HGB-13.8 HCT-41.7 MCV-89 MCH-29.4 M" "Correct entity, wrong SNOMED ID","(3242, 3245)","(3242, 3245)",RBC,RBC,14089001,258759006,13164440-DS-18," TOTAL CO2-21* ANION GAP-19 ___ 06:30PM WBC-7.3 RBC-4.70 HGB-13.8 HCT-41.7 MCV-89 MCH-29.4 MCHC-33.1" "Correct entity, wrong SNOMED ID","(3251, 3254)","(3251, 3254)",HGB,HGB,441689006,104142005,13164440-DS-18,"2-21* ANION GAP-19 ___ 06:30PM WBC-7.3 RBC-4.70 HGB-13.8 HCT-41.7 MCV-89 MCH-29.4 MCHC-33.1 RDW-12.3" "Correct entity, wrong SNOMED ID","(3260, 3263)","(3260, 3263)",HCT,HCT,28317006,282660005,13164440-DS-18,"ON GAP-19 ___ 06:30PM WBC-7.3 RBC-4.70 HGB-13.8 HCT-41.7 MCV-89 MCH-29.4 MCHC-33.1 RDW-12.3 Brief " Missed entity,"(3269, 3272)",,MCV,,104133003,,13164440-DS-18," ___ 06:30PM WBC-7.3 RBC-4.70 HGB-13.8 HCT-41.7 MCV-89 MCH-29.4 MCHC-33.1 RDW-12.3 Brief Hospital " "Correct entity, wrong SNOMED ID","(3286, 3290)","(3286, 3290)",MCHC,MCHC,37254006,735147002,13164440-DS-18,"C-7.3 RBC-4.70 HGB-13.8 HCT-41.7 MCV-89 MCH-29.4 MCHC-33.1 RDW-12.3 Brief Hospital Course: Patient wa" Missed entity,"(3362, 3383)",,Spine Surgery Service,,704089001,,13164440-DS-18," Hospital Course: Patient was admitted to the ___ Spine Surgery Service and taken to the Operating Room for the above pr" "Correct entity, wrong SNOMED ID","(3431, 3440)","(3431, 3440)",procedure,procedure,387713003,118672003,13164440-DS-18,"ce and taken to the Operating Room for the above procedure. Refer to the dictated operative note for furth" Missed entity,"(3466, 3475)",,operative,,387713003,,13164440-DS-18," for the above procedure. Refer to the dictated operative note for further details. The surgery was witho" "Correct entity, wrong SNOMED ID","(3507, 3514)","(3507, 3514)",surgery,surgery,387713003,110473004,13164440-DS-18,"dictated operative note for further details. The surgery was without complication and the patient was tra" "Correct entity, wrong SNOMED ID","(3581, 3585)","(3581, 3585)",PACU,PACU,386390005,398161000,13164440-DS-18,"plication and the patient was transferred to the PACU in a stable condition. TEDs/pnemoboots were used" "Correct entity, wrong SNOMED ID","(3591, 3607)","(3591, 3607)",stable condition,stable condition,359746009,193844000,13164440-DS-18,"and the patient was transferred to the PACU in a stable condition. TEDs/pnemoboots were used for postoperative DV" Missed entity,"(3610, 3614)",,TEDs,,225420001,,13164440-DS-18," transferred to the PACU in a stable condition. TEDs/pnemoboots were used for postoperative DVT proph" "Correct entity, wrong SNOMED ID","(3641, 3654)","(3641, 3654)",postoperative,postoperative,19585003,1373687003,13164440-DS-18,"stable condition. TEDs/pnemoboots were used for postoperative DVT prophylaxis. Intravenous antibiotics were c" "Correct entity, wrong SNOMED ID","(3655, 3670)","(3655, 3670)",DVT prophylaxis,DVT prophylaxis,439993001,408381007,13164440-DS-18,"on. TEDs/pnemoboots were used for postoperative DVT prophylaxis. Intravenous antibiotics were continued for 24h" "Correct entity, wrong SNOMED ID","(3761, 3767)","(3761, 3767)",postop,postop,19585003,109226007,13164440-DS-18,"d for 24hrs postop per standard protocol. Initial postop pain was controlled with a PCA. Diet was advanc" "Correct entity, wrong SNOMED ID","(3769, 3788)","(3769, 3788)",pain was controlled,pain was controlled,1156446004,370778008,13164440-DS-18,"hrs postop per standard protocol. Initial postop pain was controlled with a PCA. Diet was advanced as tolerated. Th" "Correct entity, wrong SNOMED ID","(3796, 3799)","(3796, 3799)",PCA,PCA,241716000,1259388006,13164440-DS-18,"tocol. Initial postop pain was controlled with a PCA. Diet was advanced as tolerated. The patient w" Wrong span,"(3802, 3832)","(3802, 3819)",Diet was advanced as tolerated,Diet was advanced,422972009,386261001,13164440-DS-18," Initial postop pain was controlled with a PCA. Diet was advanced as tolerated. The patient was transitioned to oral pain medi" "Correct entity, wrong SNOMED ID","(3868, 3872)","(3868, 3872)",oral,oral,386359008,129080004,13164440-DS-18,"d as tolerated. The patient was transitioned to oral pain medication when tolerating PO diet. Foley " Missed entity,"(3909, 3913)",,diet,,36823005,,13164440-DS-18,"ioned to oral pain medication when tolerating PO diet. Foley was removed on POD#2. Physical therapy" "Correct entity, wrong SNOMED ID","(3916, 3933)","(3916, 3933)",Foley was removed,Foley was removed,43748006,266768004,13164440-DS-18,"o oral pain medication when tolerating PO diet. Foley was removed on POD#2. Physical therapy was consulted for m" "Correct entity, wrong SNOMED ID","(3947, 3963)","(3947, 3963)",Physical therapy,Physical therapy,91251008,183326003,13164440-DS-18,"lerating PO diet. Foley was removed on POD#2. Physical therapy was consulted for mobilization OOB to ambulate. " "Correct entity, wrong SNOMED ID","(3982, 3994)","(3982, 3994)",mobilization,mobilization,74923002,189834007,13164440-DS-18,"d on POD#2. Physical therapy was consulted for mobilization OOB to ambulate. Occupational therapy were cons" "Correct entity, wrong SNOMED ID","(4002, 4010)","(4002, 4010)",ambulate,ambulate,359665005,722370002,13164440-DS-18,"cal therapy was consulted for mobilization OOB to ambulate. Occupational therapy were consulted. AFO was u" "Correct entity, wrong SNOMED ID","(4014, 4034)","(4014, 4034)",Occupational therapy,Occupational therapy,84478008,160780003,13164440-DS-18,"was consulted for mobilization OOB to ambulate. Occupational therapy were consulted. AFO was used for the right foot " "Correct entity, wrong SNOMED ID","(4072, 4083)","(4072, 4083)","right foot","right foot",7769000,321821000119108,13164440-DS-18,"onal therapy were consulted. AFO was used for the right foot drop. Hospital course was otherwise unremarkabl" "Correct entity, wrong SNOMED ID","(4122, 4134)","(4122, 4134)",unremarkable,unremarkable,281900007,164179004,13164440-DS-18,"right foot drop. Hospital course was otherwise unremarkable. On the day of discharge the patient was afebri" "Correct entity, wrong SNOMED ID","(4178, 4186)","(4178, 4186)",afebrile,afebrile,386661006,307200007,13164440-DS-18,"rkable. On the day of discharge the patient was afebrile with stable vital signs, comfortable on oral pai" "Correct entity, wrong SNOMED ID","(4192, 4210)","(4192, 4210)",stable vital signs,stable vital signs,72970002,301459008,13164440-DS-18,"e day of discharge the patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating" Wrong span,"(4228, 4232)","(4228, 4245)",oral,oral pain control,386359008,1156446004,13164440-DS-18,"afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular diet. Med" Wrong span,"(4233, 4245)","(4228, 4245)",pain control,oral pain control,225782006,1156446004,13164440-DS-18,"ile with stable vital signs, comfortable on oral pain control and tolerating a regular diet. Medications on A" "Correct entity, wrong SNOMED ID","(4263, 4275)","(4263, 4275)",regular diet,regular diet,36823005,63740007,13164440-DS-18,"comfortable on oral pain control and tolerating a regular diet. Medications on Admission: naproxen PRN, nexiu" Boundary error,"(4891, 4895)","(4891, 4893)",L4-5,L4,61038002,29970001,13164440-DS-18,"harge Disposition: Home Discharge Diagnosis: 1. L4-5 herniated nucleus pulposus. 2. Large disk extrusi" "Correct entity, wrong SNOMED ID","(4896, 4922)","(4896, 4922)",herniated nucleus pulposus,herniated nucleus pulposus,84857004,89355001,13164440-DS-18," Disposition: Home Discharge Diagnosis: 1. L4-5 herniated nucleus pulposus. 2. Large disk extrusion, from L3-L to L4-L, with" Missed entity,"(4954, 4966)",,L3-L to L4-L,,62551000,,13164440-DS-18,"d nucleus pulposus. 2. Large disk extrusion, from L3-L to L4-L, with severe neurologic compression. 3. Acute" Wrong span,"(4984, 5006)","(4984, 4994)",neurologic compression,neurologic,202731005,386427000,13164440-DS-18,"isk extrusion, from L3-L to L4-L, with severe neurologic compression. 3. Acute foot drop with progressive weakness. " "Correct entity, wrong SNOMED ID","(5017, 5026)","(5017, 5026)",foot drop,foot drop,6077001,308291000119105,13164440-DS-18," with severe neurologic compression. 3. Acute foot drop with progressive weakness. Discharge Condition" "Correct entity, wrong SNOMED ID","(5044, 5052)","(5044, 5052)",weakness,weakness,26544005,13791008,13164440-DS-18," compression. 3. Acute foot drop with progressive weakness. Discharge Condition: Mental Status: Clear and" "Correct entity, wrong SNOMED ID","(5078, 5091)","(5078, 5091)",Mental Status,Mental Status,392257007,419284004,13164440-DS-18,"ith progressive weakness. Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(5093, 5098)","(5093, 5098)",Clear,Clear,281900007,281278005,13164440-DS-18," weakness. Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(5113, 5135)","(5113, 5135)",Level of Consciousness,Level of Consciousness,444714004,830285008,13164440-DS-18,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(5137, 5142)","(5137, 5142)",Alert,Alert,248234008,409787004,13164440-DS-18,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(5147, 5158)","(5147, 5158)",interactive,interactive,288577006,10301000202103,13164440-DS-18,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(5160, 5175)","(5160, 5175)",Activity Status,Activity Status,129676008,397622007,13164440-DS-18,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(5177, 5201)","(5177, 5201)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,13164440-DS-18,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: You have undergone th" Missed entity,"(5263, 5272)",,operation,,387713003,,13164440-DS-18,"ge Instructions: You have undergone the following operation: Minimally Invasive Microdiscectomy Immediatel" "Correct entity, wrong SNOMED ID","(5356, 5364)","(5356, 5364)",Activity,Activity,223434003,280147009,13164440-DS-18,"omy Immediately after the operation: - Activity: You should not lift anything greater than 10 lb" Missed entity,"(5370, 5385)",,should not lift,,223434003,,13164440-DS-18,"ely after the operation: - Activity: You should not lift anything greater than 10 lbs for 2 weeks. You wi" Missed entity,"(5542, 5574)",,Rehabilitation/ Physical Therapy,,108305003,,13164440-DS-18,"han ~45 minutes without moving around. - Rehabilitation/ Physical Therapy: o ___ times a day you should go for a walk fo" Missed entity,"(5674, 5707)",,"walk as much as you can tolerate",,710883002,,13164440-DS-18,"r ___ minutes as part of your recovery. You can walk as much as you can tolerate. o Limit any kind of lifting. - Diet: " Missed entity,"(5713, 5738)",,Limit any kind of lifting,,223434003,,13164440-DS-18,". You can walk as much as you can tolerate. o Limit any kind of lifting. - Diet: Eat a normal healthy diet. You " "Correct entity, wrong SNOMED ID","(5751, 5755)","(5751, 5755)",Diet,Diet,11816003,405106009,13164440-DS-18,"lerate. o Limit any kind of lifting. - Diet: Eat a normal healthy diet. You may have some co" "Correct entity, wrong SNOMED ID","(5763, 5782)","(5763, 5782)",normal healthy diet,normal healthy diet,699849008,449894006,13164440-DS-18,"Limit any kind of lifting. - Diet: Eat a normal healthy diet. You may have some constipation after surgery. " "Correct entity, wrong SNOMED ID","(5803, 5815)","(5803, 5815)",constipation,constipation,14760008,713115004,13164440-DS-18,"et: Eat a normal healthy diet. You may have some constipation after surgery. - Brace: You do not need " Wrong span,"(5816, 5829)","(5822, 5829)",after surgery,surgery,19585003,110473004,13164440-DS-18,"mal healthy diet. You may have some constipation after surgery. - Brace: You do not need a brace for yo" "Correct entity, wrong SNOMED ID","(5842, 5847)","(5842, 5847)",Brace,Brace,77476009,183187001,13164440-DS-18,"have some constipation after surgery. - Brace: You do not need a brace for your back. - " "Correct entity, wrong SNOMED ID","(5867, 5872)","(5867, 5872)",brace,brace,304539005,183187001,13164440-DS-18,"fter surgery. - Brace: You do not need a brace for your back. - Wound Care: Remove the " Wrong span,"(5899, 5909)","(5899, 5904)",Wound Care,Wound,15502008,35933005,13164440-DS-18,"You do not need a brace for your back. - Wound Care: Remove the dressing in 2 days. If the incision" Wrong span,"(5911, 5930)","(5922, 5930)",Remove the dressing,dressing,118489002,472948001,13164440-DS-18,"eed a brace for your back. - Wound Care: Remove the dressing in 2 days. If the incision is draining cover it" "Correct entity, wrong SNOMED ID","(5951, 5959)","(5951, 5959)",incision,incision,609343002,119684006,13164440-DS-18,"und Care: Remove the dressing in 2 days. If the incision is draining cover it with a new sterile dressing." Missed entity,"(5963, 5971)",,draining,,239164002,,13164440-DS-18,"move the dressing in 2 days. If the incision is draining cover it with a new sterile dressing. If it is " "Correct entity, wrong SNOMED ID","(6048, 6056)","(6048, 6056)",incision,incision,609343002,119684006,13164440-DS-18,"e dressing. If it is dry then you can leave the incision open to the air. Once the incision is completel" "Correct entity, wrong SNOMED ID","(6085, 6093)","(6085, 6093)",incision,incision,609343002,119684006,13164440-DS-18,"an leave the incision open to the air. Once the incision is completely dry (usually ___ days after the op" Wrong span,"(6130, 6150)","(6141, 6150)","after the operation",operation,19585003,288255006,13164440-DS-18," the incision is completely dry (usually ___ days after the operation) you may take a shower. Do not soak the incision " Missed entity,"(6156, 6173)",,may take a shower,,223415003,,13164440-DS-18,"y dry (usually ___ days after the operation) you may take a shower. Do not soak the incision in a bath or pool. If" Missed entity,"(6175, 6186)",,Do not soak,,304509000,,13164440-DS-18,"days after the operation) you may take a shower. Do not soak the incision in a bath or pool. If the incision" "Correct entity, wrong SNOMED ID","(6191, 6199)","(6191, 6199)",incision,incision,609343002,119684006,13164440-DS-18,"operation) you may take a shower. Do not soak the incision in a bath or pool. If the incision starts drain" "Correct entity, wrong SNOMED ID","(6228, 6236)","(6228, 6236)",incision,incision,609343002,119684006,13164440-DS-18,"not soak the incision in a bath or pool. If the incision starts draining at anytime after surgery, do not" "Correct entity, wrong SNOMED ID","(6244, 6252)","(6244, 6252)",draining,draining,239164002,56783008,13164440-DS-18,"ision in a bath or pool. If the incision starts draining at anytime after surgery, do not get the incisio" Wrong span,"(6264, 6278)","(6271, 6278)","after surgery",surgery,19585003,110473004,13164440-DS-18,"pool. If the incision starts draining at anytime after surgery, do not get the incision wet. Cover it with a ste" "Correct entity, wrong SNOMED ID","(6295, 6303)","(6295, 6303)",incision,incision,609343002,119684006,13164440-DS-18,"raining at anytime after surgery, do not get the incision wet. Cover it with a sterile dressing. Call the" Missed entity,"(6391, 6426)",,taking your normal home medications,,394835006,,13164440-DS-18,"g. Call the office. - You should resume taking your normal home medications. - You have also been given Additional M" Missed entity,"(6458, 6486)",,given Additional Medications,,33633005,,13164440-DS-18,"l home medications. - You have also been given Additional Medications to control your pain. Please allow 72 hours for" "Correct entity, wrong SNOMED ID","(6504, 6508)","(6504, 6508)",pain,pain,22253000,102570003,13164440-DS-18,"een given Additional Medications to control your pain. Please allow 72 hours for refill of narcotic p" Missed entity,"(6547, 6555)",,narcotic,,302748001,,13164440-DS-18,"l your pain. Please allow 72 hours for refill of narcotic prescriptions, so please plan ahead. You can ei" Missed entity,"(6557, 6570)",,prescriptions,,16076005,,13164440-DS-18,"n. Please allow 72 hours for refill of narcotic prescriptions, so please plan ahead. You can either have them " Missed entity,"(6696, 6718)",,not allowed to call in,,386465007,,13164440-DS-18,"ck them up at the clinic located on ___. We are not allowed to call in narcotic prescriptions (oxycontin, oxycodone, pe" Missed entity,"(6719, 6727)",,narcotic,,302748001,,13164440-DS-18,"c located on ___. We are not allowed to call in narcotic prescriptions (oxycontin, oxycodone, percocet) t" Missed entity,"(6728, 6741)",,prescriptions,,16076005,,13164440-DS-18," on ___. We are not allowed to call in narcotic prescriptions (oxycontin, oxycodone, percocet) to the pharmacy" Wrong span,"(6871, 6895)","(6888, 6895)",from the date of surgery,surgery,19585003,110473004,13164440-DS-18,"llowed to write for pain medications for 90 days from the date of surgery. - Follow up: o Please Call the offic" Missed entity,"(6931, 6946)",,Call the office,,304981009,,13164440-DS-18,"ate of surgery. - Follow up: o Please Call the office and make an appointment for 2 weeks after the da" Missed entity,"(6951, 6970)",,make an appointment,,183616001,,13164440-DS-18," Follow up: o Please Call the office and make an appointment for 2 weeks after the day of your operation if t" Wrong span,"(6984, 7015)","(7006, 7015)",after the day of your operation,operation,19585003,161615003,13164440-DS-18,"l the office and make an appointment for 2 weeks after the day of your operation if this has not been done already. o At the 2-" "Correct entity, wrong SNOMED ID","(7095, 7103)","(7095, 7103)",incision,incision,609343002,119684006,13164440-DS-18,"ready. o At the 2-week visit we will check your incision, take baseline X-rays and answer any questions. " "Correct entity, wrong SNOMED ID","(7111, 7119)","(7111, 7119)",baseline,baseline,128974000,129082007,13164440-DS-18,"e 2-week visit we will check your incision, take baseline X-rays and answer any questions. We may at that t" "Correct entity, wrong SNOMED ID","(7120, 7126)","(7120, 7126)",X-rays,X-rays,363680008,168537006,13164440-DS-18,"visit we will check your incision, take baseline X-rays and answer any questions. We may at that time st" "Correct entity, wrong SNOMED ID","(7180, 7196)","(7180, 7196)",physical therapy,physical therapy,91251008,183326003,13164440-DS-18," answer any questions. We may at that time start physical therapy. o We will then see you at 6 weeks from the day" Wrong span,"(7234, 7264)","(7255, 7264)","from the day of the operation",operation,19585003,161615003,13164440-DS-18,"ical therapy. o We will then see you at 6 weeks from the day of the operation and at that time release you to full activity. " Missed entity,"(7282, 7310)",,release you to full activity,,304505006,,13164440-DS-18,"s from the day of the operation and at that time release you to full activity. Please call the office if you have a fever>101" Missed entity,"(7321, 7336)",,call the office,,304981009,,13164440-DS-18," that time release you to full activity. Please call the office if you have a fever>101.5 degrees Fahrenheit and" "Correct entity, wrong SNOMED ID","(7351, 7356)","(7351, 7356)",fever,fever,386661006,248430002,13164440-DS-18," activity. Please call the office if you have a fever>101.5 degrees Fahrenheit and/or drainage from yo" Wrong span,"(7390, 7414)","(7390, 7398)",drainage from your wound,drainage,239164002,56783008,13164440-DS-18,"you have a fever>101.5 degrees Fahrenheit and/or drainage from your wound Followup Instructions: ___ " False positive,,"(212, 221)",,Oxycontin,,414984009,13227028-DS-12,"RGERY Allergies: Ms ___ / Fentanyl / Lipitor / Oxycontin / Hydrochlorothiazide / Rofecoxib Attending: _" False positive,,"(350, 355)",,Crani,,129230001,13227028-DS-12," Major Surgical or Invasive Procedure: Burr Hole/Crani for ___ evacuation History of Present Illness: " False positive,,"(675, 683)",,negative,,268375009,13227028-DS-12,"diac workup and a head CT at that time which was negative. She started having headaches in mid ___ and als" False positive,,"(837, 843)",,closed,,424464000,13227028-DS-12," she was having some diplopia with her right eye closed and has been nautious and vomitting all day toda" False positive,,"(1230, 1236)",,O2Sats,,103228002,13227028-DS-12," EXAM: T:98.1 BP:188 /73 HR: 77 R 18 O2Sats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pup" False positive,,"(1251, 1253)",,WD,,258001008,13227028-DS-12," /73 HR: 77 R 18 O2Sats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 2 to 1.5 " False positive,,"(1254, 1256)",,WN,,258001008,13227028-DS-12,"3 HR: 77 R 18 O2Sats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 2 to 1.5 " False positive,,"(1258, 1269)",,comfortable,,1148784009,13227028-DS-12," HR: 77 R 18 O2Sats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 2 to 1.5 EOMs: Intact" False positive,,"(1349, 1351)",,S1,,82609006,13227028-DS-12," EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well-perfused" False positive,,"(1531, 1539)",,Language,,289198005,13227028-DS-12,"rientation: Oriented to person, place, and date. Language: Speech fluent with good comprehension and repeti" False positive,,"(1595, 1608)",,Naming intact,,1367857008,13227028-DS-12,"ch fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Ner" False positive,,"(1647, 1648)",,C,,257984003,13227028-DS-12,"ming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tested II: Pupils equally ro" False positive,,"(1871, 1886)",,Facial strength,,105572002,13227028-DS-12,"nts intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing" False positive,,"(1912, 1921)",,symmetric,,289660009,13227028-DS-12," V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal el" False positive,,"(1958, 1959)",,X,,421806008,13227028-DS-12,"and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidom" False positive,,"(2030, 2036)",,normal,,840673007,13227028-DS-12,"ymmetrical. XI: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fascicul" False positive,,"(2102, 2113)",,Normal bulk,,289779000,13227028-DS-12,"I: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, trem" False positive,,"(2118, 2122)",,tone,,248908009,13227028-DS-12,"e without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Stre" False positive,,"(2168, 2170)",,St,,51811007,13227028-DS-12,"tone bilaterally. No abnormal movements, tremors. Strength full power ___ throughout. Slight left pro" False positive,,"(2234, 2243)",,Sensation,,276435006,13227028-DS-12,"wer ___ throughout. Slight left pronator drift. Sensation: Intact to light touch, propioception, pinprick a" False positive,,"(2543, 2546)",,MCH,,54706004,13227028-DS-12,"M WBC-11.5* RBC-4.16* HGB-13.6 HCT-38.0 MCV-91 MCH-32.7* MCHC-35.8* RDW-14.7 ___ 05:00PM GLUCOSE-1" False positive,,"(3022, 3026)",,Left,,264745005,13227028-DS-12,"ING: CT Head ___ - Bilateral Acute on Chronic SDH Left greater than right 8mm MLS. CT Head ___: Status" False positive,,"(3151, 3159)",,subdural,,1342321009,13227028-DS-12," of bilateral subdural hematomas, with bilateral subdural surgical drains and expected pneumocephalus. The" False positive,,"(3160, 3175)",,surgical drains,,431776009,13227028-DS-12,"eral subdural hematomas, with bilateral subdural surgical drains and expected pneumocephalus. The degree of mass " False positive,,"(3272, 3278)",,sulcal,,415326005,13227028-DS-12,"ss effect has somewhat decreased, with decreased sulcal effacement, particularly on the left. There is n" False positive,,"(3279, 3289)",,effacement,,65809005,13227028-DS-12,"ct has somewhat decreased, with decreased sulcal effacement, particularly on the left. There is no evidence " False positive,,"(3312, 3316)",,left,,264745005,13227028-DS-12,"decreased sulcal effacement, particularly on the left. There is no evidence for new hemorrhage, includi" False positive,,"(3581, 3587)",,stable,,301459008,13227028-DS-12," evacuation of bilateral subdural hematomas with stable-appearing residual subdural collections with res" False positive,,"(3607, 3628)",,"subdural collections",,1342321009,13227028-DS-12,"subdural hematomas with stable-appearing residual subdural collections with residual hemorrhage, bilateral surgical drai" False positive,,"(3665, 3680)",,surgical drains,,431776009,13227028-DS-12," collections with residual hemorrhage, bilateral surgical drains and mildly decreased pneumocephalus as compared " False positive,,"(3844, 3864)",,subdural collections,,281864001,13227028-DS-12," new foci of hemorrhage. CT Head ___ bilateral subdural collections overlying the frontal lobes, with unchanged appe" False positive,,"(4168, 4177)",,bilateral,,268228006,13227028-DS-12,"an evacuation of these hematomas. She underwent bilateral craniotomy for ___ evacuation and bilateral subd" False positive,,"(4223, 4251)",,"subdural drains were placed",,230815003,13227028-DS-12,"eral craniotomy for ___ evacuation and bilateral subdural drains were placed. She tolerated the prodecure well. Her right pro" False positive,,"(4333, 4342)",,procedure,,118672003,13227028-DS-12,"ll. Her right pronator drift resolved after the procedure. The subdural drains were removed on POD 2 and " False positive,,"(4531, 4540)",,ambulated,,722370002,13227028-DS-12,"he tolerated this transition well and ultimately ambulated without difficulty. Her repeat head CT on ___ wa" False positive,,"(4592, 4598)",,stable,,301459008,13227028-DS-12,"ithout difficulty. Her repeat head CT on ___ was stable. She was seen by ___, who determined that she wa" False positive,,"(6505, 6519)",,wash your hair,,444943000,13227028-DS-12,"fting, straining, or excessive bending. •You may wash your hair only after sutures and/or staples have been remo" False positive,,"(6531, 6538)",,sutures,,27065002,13227028-DS-12,"ssive bending. •You may wash your hair only after sutures and/or staples have been removed. If your wound " False positive,,"(6546, 6553)",,staples,,35963001,13227028-DS-12,"•You may wash your hair only after sutures and/or staples have been removed. If your wound closure uses di" False positive,,"(6582, 6595)",,wound closure,,1241000124107,13227028-DS-12,"utures and/or staples have been removed. If your wound closure uses dissolvable sutures, you must keep that are" False positive,,"(6784, 6792)",,narcotic,,95914002,13227028-DS-12,"ad. •Increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. We general" False positive,,"(6793, 6807)",,"pain medicine",,1365982005,13227028-DS-12,"ease your intake of fluids and fiber, as narcotic pain medicine can cause constipation. We generally recommend ta" False positive,,"(6939, 6947)",,narcotic,,95914002,13227028-DS-12,"softener, such as Docusate (Colace) while taking narcotic pain medication. •Unless directed by your doctor," False positive,,"(6948, 6963)",,pain medication,,52685006,13227028-DS-12," such as Docusate (Colace) while taking narcotic pain medication. •Unless directed by your doctor, do not take any" False positive,,"(7175, 7196)",,blood work monitoring,,17146006,13227028-DS-12," on Keppra (Levetiracetam), you will not require blood work monitoring. •Clearance to drive and return to work will be a" False positive,,"(7199, 7204)",,Clear,,281278005,13227028-DS-12,"m), you will not require blood work monitoring. •Clearance to drive and return to work will be addressed" "Correct entity, wrong SNOMED ID","(191, 199)","(191, 199)",Fentanyl,Fentanyl,293605005,1381607003,13227028-DS-12," F Service: NEUROSURGERY Allergies: Ms ___ / Fentanyl / Lipitor / Oxycontin / Hydrochlorothiazide / Ro" "Correct entity, wrong SNOMED ID","(202, 209)","(202, 209)",Lipitor,Lipitor,13221000122100,32246003,13227028-DS-12,"e: NEUROSURGERY Allergies: Ms ___ / Fentanyl / Lipitor / Oxycontin / Hydrochlorothiazide / Rofecoxib " "Correct entity, wrong SNOMED ID","(224, 243)","(224, 243)",Hydrochlorothiazide,Hydrochlorothiazide,294995009,91667005,13227028-DS-12,"rgies: Ms ___ / Fentanyl / Lipitor / Oxycontin / Hydrochlorothiazide / Rofecoxib Attending: ___. Chief Complaint:" "Correct entity, wrong SNOMED ID","(294, 299)","(294, 299)",Falls,Falls,161898004,279992002,13227028-DS-12," / Rofecoxib Attending: ___. Chief Complaint: Falls Major Surgical or Invasive Procedure: Burr Hole" "Correct entity, wrong SNOMED ID","(340, 349)","(340, 349)",Burr Hole,Burr Hole,67864003,467432002,13227028-DS-12,"nt: Falls Major Surgical or Invasive Procedure: Burr Hole/Crani for ___ evacuation History of Present Ill" "Correct entity, wrong SNOMED ID","(364, 374)","(364, 374)",evacuation,evacuation,122461007,257817003,13227028-DS-12,"al or Invasive Procedure: Burr Hole/Crani for ___ evacuation History of Present Illness: This is a ___ year " "Correct entity, wrong SNOMED ID","(475, 483)","(475, 483)",diplopia,diplopia,24982008,246655008,13227028-DS-12,"ld female who presents with a two day history of diplopia and Nausea and vomitting that. Patient is a good " Wrong span,"(488, 494)","(488, 508)",Nausea,Nausea and vomitting,422587007,16932000,13227028-DS-12," presents with a two day history of diplopia and Nausea and vomitting that. Patient is a good historian " Wrong span,"(499, 508)","(488, 508)",vomitting,Nausea and vomitting,422400008,16932000,13227028-DS-12,"ith a two day history of diplopia and Nausea and vomitting that. Patient is a good historian and provides a" Wrong span,"(572, 580)","(572, 588)",syncopal,syncopal episode,271594007,67763001,13227028-DS-12," is a good historian and provides a history of a syncopal episode on ___ for which she had a full cardiac " "Correct entity, wrong SNOMED ID","(622, 636)","(622, 636)",cardiac workup,cardiac workup,284448002,1354650003,13227028-DS-12,"syncopal episode on ___ for which she had a full cardiac workup and a head CT at that time which was negative. " "Correct entity, wrong SNOMED ID","(705, 714)","(705, 714)",headaches,headaches,25064002,267096005,13227028-DS-12,"that time which was negative. She started having headaches in mid ___ and also some ataxia, but denies fall." "Correct entity, wrong SNOMED ID","(740, 746)","(740, 746)",ataxia,ataxia,20262006,1177016002,13227028-DS-12,"started having headaches in mid ___ and also some ataxia, but denies fall. Yesturday she noticed she was " "Correct entity, wrong SNOMED ID","(759, 763)","(759, 763)",fall,fall,161898004,298344006,13227028-DS-12,"aches in mid ___ and also some ataxia, but denies fall. Yesturday she noticed she was having some diplo" "Correct entity, wrong SNOMED ID","(808, 816)","(808, 816)",diplopia,diplopia,24982008,246655008,13227028-DS-12," fall. Yesturday she noticed she was having some diplopia with her right eye closed and has been nautious " "Correct entity, wrong SNOMED ID","(827, 836)","(827, 836)",right eye,right eye,18944008,12241871000119100,13227028-DS-12,"he noticed she was having some diplopia with her right eye closed and has been nautious and vomitting all da" Wrong span,"(857, 879)","(857, 865)",nautious and vomitting,nautious,16932000,434084001,13227028-DS-12," diplopia with her right eye closed and has been nautious and vomitting all day today. Again, patient denies any head tr" "Correct entity, wrong SNOMED ID","(922, 933)","(922, 933)",head trauma,head trauma,82271004,230282000,13227028-DS-12,"mitting all day today. Again, patient denies any head trauma since ___. Past Medical History: HTN Hyperchol" "Correct entity, wrong SNOMED ID","(970, 973)","(970, 973)",HTN,HTN,38341003,10725009,13227028-DS-12,"y head trauma since ___. Past Medical History: HTN Hypercholestrolemia DDD lumbar spine Diverticulos" "Correct entity, wrong SNOMED ID","(974, 993)","(974, 993)",Hypercholestrolemia,Hypercholestrolemia,13644009,723360007,13227028-DS-12,"ad trauma since ___. Past Medical History: HTN Hypercholestrolemia DDD lumbar spine Diverticulosis IBS Alopecia Oste" Wrong span,"(994, 1010)","(998, 1010)",DDD lumbar spine,lumbar spine,26538006,297168005,13227028-DS-12," Past Medical History: HTN Hypercholestrolemia DDD lumbar spine Diverticulosis IBS Alopecia Osteoarthritis GI Ble" "Correct entity, wrong SNOMED ID","(1011, 1025)","(1011, 1025)",Diverticulosis,Diverticulosis,63532004,14011008,13227028-DS-12,"History: HTN Hypercholestrolemia DDD lumbar spine Diverticulosis IBS Alopecia Osteoarthritis GI Bleed ___ Divertic" "Correct entity, wrong SNOMED ID","(1026, 1029)","(1026, 1029)",IBS,IBS,10743008,112512007,13227028-DS-12,"percholestrolemia DDD lumbar spine Diverticulosis IBS Alopecia Osteoarthritis GI Bleed ___ Diverticulit" "Correct entity, wrong SNOMED ID","(1030, 1038)","(1030, 1038)",Alopecia,Alopecia,56317004,201133003,13227028-DS-12,"holestrolemia DDD lumbar spine Diverticulosis IBS Alopecia Osteoarthritis GI Bleed ___ Diverticulitis ___ Os" "Correct entity, wrong SNOMED ID","(1039, 1053)","(1039, 1053)",Osteoarthritis,Osteoarthritis,396275006,43829003,13227028-DS-12,"emia DDD lumbar spine Diverticulosis IBS Alopecia Osteoarthritis GI Bleed ___ Diverticulitis ___ Osteopenia RA Syn" "Correct entity, wrong SNOMED ID","(1054, 1062)","(1054, 1062)",GI Bleed,GI Bleed,74474003,307297004,13227028-DS-12," spine Diverticulosis IBS Alopecia Osteoarthritis GI Bleed ___ Diverticulitis ___ Osteopenia RA Syncope ___ " "Correct entity, wrong SNOMED ID","(1067, 1081)","(1067, 1081)",Diverticulitis,Diverticulitis,307496006,2091005,13227028-DS-12,"iculosis IBS Alopecia Osteoarthritis GI Bleed ___ Diverticulitis ___ Osteopenia RA Syncope ___ Social History: " "Correct entity, wrong SNOMED ID","(1086, 1096)","(1086, 1096)",Osteopenia,Osteopenia,78441005,37605006,13227028-DS-12,"ia Osteoarthritis GI Bleed ___ Diverticulitis ___ Osteopenia RA Syncope ___ Social History: ___ Family Hist" "Correct entity, wrong SNOMED ID","(1097, 1099)","(1097, 1099)",RA,RA,69896004,463051000124105,13227028-DS-12,"hritis GI Bleed ___ Diverticulitis ___ Osteopenia RA Syncope ___ Social History: ___ Family History" "Correct entity, wrong SNOMED ID","(1100, 1107)","(1100, 1107)",Syncope,Syncope,271594007,427461000,13227028-DS-12,"tis GI Bleed ___ Diverticulitis ___ Osteopenia RA Syncope ___ Social History: ___ Family History: n/c " "Correct entity, wrong SNOMED ID","(1172, 1185)","(1172, 1185)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,13227028-DS-12,"History: ___ Family History: n/c Physical Exam: PHYSICAL EXAM: T:98.1 BP:188 /73 HR: 77 R 18 O2Sat" Missed entity,"(1187, 1188)",,T,,105723007,,13227028-DS-12,"mily History: n/c Physical Exam: PHYSICAL EXAM: T:98.1 BP:188 /73 HR: 77 R 18 O2Sats: " "Correct entity, wrong SNOMED ID","(1195, 1197)","(1195, 1197)",BP,BP,392570002,38341003,13227028-DS-12,"tory: n/c Physical Exam: PHYSICAL EXAM: T:98.1 BP:188 /73 HR: 77 R 18 O2Sats: 100% RA G" "Correct entity, wrong SNOMED ID","(1211, 1213)","(1211, 1213)",HR,HR,301113001,258702006,13227028-DS-12,"ical Exam: PHYSICAL EXAM: T:98.1 BP:188 /73 HR: 77 R 18 O2Sats: 100% RA Gen: WD/WN, comfo" "Correct entity, wrong SNOMED ID","(1243, 1245)","(1243, 1245)",RA,RA,722742002,463051000124105,13227028-DS-12," BP:188 /73 HR: 77 R 18 O2Sats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 2 to" "Correct entity, wrong SNOMED ID","(1246, 1249)","(1246, 1249)",Gen,Gen,162673000,420208008,13227028-DS-12,"P:188 /73 HR: 77 R 18 O2Sats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 2 to 1.5" "Correct entity, wrong SNOMED ID","(1271, 1274)","(1271, 1274)",NAD,NAD,281900007,131143000,13227028-DS-12," 18 O2Sats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 2 to 1.5 EOMs: Intact Neck" "Correct entity, wrong SNOMED ID","(1276, 1281)","(1276, 1281)",HEENT,HEENT,5880005,113665002,13227028-DS-12," O2Sats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 2 to 1.5 EOMs: Intact Neck: Suppl" "Correct entity, wrong SNOMED ID","(1283, 1289)","(1283, 1289)",Pupils,Pupils,247010007,363955005,13227028-DS-12,"ats: 100% RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 2 to 1.5 EOMs: Intact Neck: Supple. Card" "Correct entity, wrong SNOMED ID","(1307, 1311)","(1307, 1311)",EOMs,EOMs,36228007,764733009,13227028-DS-12," comfortable, NAD. HEENT: Pupils: 2 to 1.5 EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: " "Correct entity, wrong SNOMED ID","(1313, 1319)","(1313, 1319)",Intact,Intact,281900007,247602005,13227028-DS-12,"rtable, NAD. HEENT: Pupils: 2 to 1.5 EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT" "Correct entity, wrong SNOMED ID","(1320, 1324)","(1320, 1324)",Neck,Neck,5880005,840674001,13227028-DS-12," NAD. HEENT: Pupils: 2 to 1.5 EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Ext" "Correct entity, wrong SNOMED ID","(1326, 1332)","(1326, 1332)",Supple,Supple,298475003,116121000,13227028-DS-12,"HEENT: Pupils: 2 to 1.5 EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: War" "Correct entity, wrong SNOMED ID","(1335, 1342)","(1335, 1342)",Cardiac,Cardiac,363003006,71892000,13227028-DS-12,"pils: 2 to 1.5 EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well" "Correct entity, wrong SNOMED ID","(1344, 1347)","(1344, 1347)",RRR,RRR,76863003,129960002,13227028-DS-12,"o 1.5 EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well-perf" "Correct entity, wrong SNOMED ID","(1352, 1354)","(1352, 1354)",S2,S2,111974005,303183002,13227028-DS-12," EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well-perfused. N" "Correct entity, wrong SNOMED ID","(1356, 1359)","(1356, 1359)",Abd,Abd,225162003,60728008,13227028-DS-12," EOMs: Intact Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well-perfused. Neuro:" "Correct entity, wrong SNOMED ID","(1367, 1369)","(1367, 1369)",NT,NT,43478001,257992007,13227028-DS-12,"ct Neck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well-perfused. Neuro: Mental st" "Correct entity, wrong SNOMED ID","(1371, 1377)","(1371, 1377)",Extrem,Extrem,302773001,102404009,13227028-DS-12,"eck: Supple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well-perfused. Neuro: Mental status: Aw" "Correct entity, wrong SNOMED ID","(1379, 1383)","(1379, 1383)",Warm,Warm,102599008,298256005,13227028-DS-12,"ple. Cardiac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well-perfused. Neuro: Mental status: Awake an" "Correct entity, wrong SNOMED ID","(1388, 1401)","(1388, 1401)",well-perfused,well-perfused,1137685003,301121007,13227028-DS-12,"diac: RRR. S1/S2. Abd: Soft, NT Extrem: Warm and well-perfused. Neuro: Mental status: Awake and alert, cooperati" "Correct entity, wrong SNOMED ID","(1403, 1408)","(1403, 1408)",Neuro,Neuro,84728005,281247006,13227028-DS-12,"2. Abd: Soft, NT Extrem: Warm and well-perfused. Neuro: Mental status: Awake and alert, cooperative with" "Correct entity, wrong SNOMED ID","(1410, 1423)","(1410, 1423)",Mental status,Mental status,392257007,419284004,13227028-DS-12," Soft, NT Extrem: Warm and well-perfused. Neuro: Mental status: Awake and alert, cooperative with exam, normal a" "Correct entity, wrong SNOMED ID","(1442, 1453)","(1442, 1453)",cooperative,cooperative,427867005,472391000124101,13227028-DS-12,"-perfused. Neuro: Mental status: Awake and alert, cooperative with exam, normal affect. Orientation: Oriented t" "Correct entity, wrong SNOMED ID","(1480, 1491)","(1480, 1491)",Orientation,Orientation,311470005,228547007,13227028-DS-12," and alert, cooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Language: " Wrong span,"(1493, 1528)","(1493, 1519)","Oriented to person, place, and date","Oriented to person, place,",426224004,311470005,13227028-DS-12,"ooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Language: Speech fluent with good comprehension" "Correct entity, wrong SNOMED ID","(1541, 1554)","(1541, 1554)",Speech fluent,Speech fluent,286402008,39423001,13227028-DS-12,": Oriented to person, place, and date. Language: Speech fluent with good comprehension and repetition. Naming in" "Correct entity, wrong SNOMED ID","(1560, 1578)","(1560, 1578)",good comprehension,good comprehension,719750006,46977006,13227028-DS-12,"n, place, and date. Language: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or p" Missed entity,"(1583, 1593)",,repetition,,25107009,,13227028-DS-12,"nguage: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic error" "Correct entity, wrong SNOMED ID","(1613, 1623)","(1613, 1623)",dysarthria,dysarthria,8011004,427926004,13227028-DS-12,"d comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tes" "Correct entity, wrong SNOMED ID","(1627, 1637)","(1627, 1637)",paraphasic,paraphasic,53096005,23869008,13227028-DS-12,"n and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tested II: Pupils" "Correct entity, wrong SNOMED ID","(1677, 1679)","(1677, 1679)",II,II,18234004,257989008,13227028-DS-12,"paraphasic errors. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light,2 to " "Correct entity, wrong SNOMED ID","(1681, 1701)","(1681, 1701)",Pupils equally round,Pupils equally round,247011006,418970005,13227028-DS-12,"phasic errors. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light,2 to 1.5 mm bilaterally. Vi" "Correct entity, wrong SNOMED ID","(1706, 1723)","(1706, 1723)",reactive to light,reactive to light,366023004,386666001,13227028-DS-12,"erves: I: Not tested II: Pupils equally round and reactive to light,2 to 1.5 mm bilaterally. Visual fields are full t" Wrong span,"(1749, 1788)","(1749, 1762)",Visual fields are full to confrontation,Visual fields,421096000,39122004,13227028-DS-12,"nd and reactive to light,2 to 1.5 mm bilaterally. Visual fields are full to confrontation. III, IV, VI: Extraocular movements intact bilate" "Correct entity, wrong SNOMED ID","(1790, 1793)","(1790, 1793)",III,III,56193007,424915003,13227028-DS-12,"terally. Visual fields are full to confrontation. III, IV, VI: Extraocular movements intact bilaterally" "Correct entity, wrong SNOMED ID","(1795, 1797)","(1795, 1797)",IV,IV,39322007,258000009,13227028-DS-12,"ly. Visual fields are full to confrontation. III, IV, VI: Extraocular movements intact bilaterally wit" "Correct entity, wrong SNOMED ID","(1799, 1801)","(1799, 1801)",VI,VI,80622005,258000009,13227028-DS-12,"Visual fields are full to confrontation. III, IV, VI: Extraocular movements intact bilaterally without" "Correct entity, wrong SNOMED ID","(1852, 1861)","(1852, 1861)",nystagmus,nystagmus,563001,285764004,13227028-DS-12," Extraocular movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and" "Correct entity, wrong SNOMED ID","(1863, 1864)","(1863, 1864)",V,V,27612005,258000009,13227028-DS-12,"r movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and sy" "Correct entity, wrong SNOMED ID","(1866, 1869)","(1866, 1869)",VII,VII,56052001,235908005,13227028-DS-12,"ovements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetr" "Correct entity, wrong SNOMED ID","(1891, 1907)","(1891, 1907)",sensation intact,sensation intact,299956006,422015002,13227028-DS-12,"ly without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX," "Correct entity, wrong SNOMED ID","(1923, 1927)","(1923, 1927)",VIII,VIII,8598002,235908005,13227028-DS-12,"cial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevatio" Wrong span,"(1929, 1943)","(1929, 1952)",Hearing intact,Hearing intact to voice,162339002,300222003,13227028-DS-12,"trength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. X" "Correct entity, wrong SNOMED ID","(1954, 1956)","(1954, 1956)",IX,IX,21161002,421806008,13227028-DS-12,"act and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. XI: Sternoclei" Wrong span,"(1961, 1978)","(1961, 1990)",Palatal elevation,Palatal elevation symmetrical,285548009,285553004,13227028-DS-12," symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidomastoid and trapeziu" "Correct entity, wrong SNOMED ID","(1992, 1994)","(1992, 1994)",XI,XI,15119000,421806008,13227028-DS-12,"t to voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidomastoid and trapezius normal bilater" "Correct entity, wrong SNOMED ID","(1996, 2015)","(1996, 2015)",Sternocleidomastoid,Sternocleidomastoid,22823000,181741009,13227028-DS-12," voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue mid" "Correct entity, wrong SNOMED ID","(2020, 2029)","(2020, 2029)",trapezius,trapezius,31764008,181740005,13227028-DS-12,"levation symmetrical. XI: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without f" "Correct entity, wrong SNOMED ID","(2050, 2053)","(2050, 2053)",XII,XII,37899009,738500000,13227028-DS-12,"nocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: N" Wrong span,"(2055, 2061)","(2055, 2069)",Tongue,Tongue midline,21974007,275397008,13227028-DS-12,"idomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bu" "Correct entity, wrong SNOMED ID","(2095, 2100)","(2095, 2100)",Motor,Motor,34118006,312018000,13227028-DS-12,"lly. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal mo" Missed entity,"(2139, 2157)",,abnormal movements,,225606002,,13227028-DS-12,"ons. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Strength full power ___ throughout. Sli" "Correct entity, wrong SNOMED ID","(2159, 2166)","(2159, 2166)",tremors,tremors,26079004,30721006,13227028-DS-12,"bulk and tone bilaterally. No abnormal movements, tremors. Strength full power ___ throughout. Slight left " "Correct entity, wrong SNOMED ID","(2211, 2215)","(2211, 2215)",left,left,85151006,264745005,13227028-DS-12,"emors. Strength full power ___ throughout. Slight left pronator drift. Sensation: Intact to light touc" "Correct entity, wrong SNOMED ID","(2245, 2266)","(2245, 2266)",Intact to light touch,Intact to light touch,299956006,299910003,13227028-DS-12,"oughout. Slight left pronator drift. Sensation: Intact to light touch, propioception, pinprick and vibration bilaterall" "Correct entity, wrong SNOMED ID","(2268, 2281)","(2268, 2281)",propioception,propioception,299943004,299936005,13227028-DS-12,"ronator drift. Sensation: Intact to light touch, propioception, pinprick and vibration bilaterally. Coordinatio" Missed entity,"(2283, 2291)",,pinprick,,299925003,,13227028-DS-12," Sensation: Intact to light touch, propioception, pinprick and vibration bilaterally. Coordination: normal " Missed entity,"(2296, 2305)",,vibration,,299935009,,13227028-DS-12,"ntact to light touch, propioception, pinprick and vibration bilaterally. Coordination: normal on finger-nose" "Correct entity, wrong SNOMED ID","(2320, 2332)","(2320, 2332)",Coordination,Coordination,298314008,302288005,13227028-DS-12,"opioception, pinprick and vibration bilaterally. Coordination: normal on finger-nose-finger ON DISCHARGE: As a" Wrong span,"(2334, 2362)","(2334, 2340)",normal on finger-nose-finger,normal,298324000,840673007,13227028-DS-12,"inprick and vibration bilaterally. Coordination: normal on finger-nose-finger ON DISCHARGE: As above - neurologically intact. " "Correct entity, wrong SNOMED ID","(2389, 2410)","(2389, 2410)",neurologically intact,neurologically intact,18460000,247602005,13227028-DS-12,"l on finger-nose-finger ON DISCHARGE: As above - neurologically intact. Incisions clean, dry and intact Pertinent Res" "Correct entity, wrong SNOMED ID","(2412, 2421)","(2412, 2421)",Incisions,Incisions,609343002,278721002,13227028-DS-12," ON DISCHARGE: As above - neurologically intact. Incisions clean, dry and intact Pertinent Results: ADMIS" Wrong span,"(2422, 2444)","(2422, 2433)","clean, dry and intact","clean, dry",830130002,286053001,13227028-DS-12,"ARGE: As above - neurologically intact. Incisions clean, dry and intact Pertinent Results: ADMISSION LABS: ___ 05:00PM" "Correct entity, wrong SNOMED ID","(2497, 2500)","(2497, 2500)",WBC,WBC,767002,391558003,13227028-DS-12,"Pertinent Results: ADMISSION LABS: ___ 05:00PM WBC-11.5* RBC-4.16* HGB-13.6 HCT-38.0 MCV-91 MCH-32." "Correct entity, wrong SNOMED ID","(2507, 2510)","(2507, 2510)",RBC,RBC,14089001,258759006,13227028-DS-12,"Results: ADMISSION LABS: ___ 05:00PM WBC-11.5* RBC-4.16* HGB-13.6 HCT-38.0 MCV-91 MCH-32.7* MCHC-35" "Correct entity, wrong SNOMED ID","(2517, 2520)","(2517, 2520)",HGB,HGB,441689006,104142005,13227028-DS-12,"DMISSION LABS: ___ 05:00PM WBC-11.5* RBC-4.16* HGB-13.6 HCT-38.0 MCV-91 MCH-32.7* MCHC-35.8* RDW-14" "Correct entity, wrong SNOMED ID","(2526, 2529)","(2526, 2529)",HCT,HCT,28317006,282660005,13227028-DS-12,"LABS: ___ 05:00PM WBC-11.5* RBC-4.16* HGB-13.6 HCT-38.0 MCV-91 MCH-32.7* MCHC-35.8* RDW-14.7 ___ 05" Missed entity,"(2535, 2538)",,MCV,,104133003,,13227028-DS-12,"_ 05:00PM WBC-11.5* RBC-4.16* HGB-13.6 HCT-38.0 MCV-91 MCH-32.7* MCHC-35.8* RDW-14.7 ___ 05:00PM G" "Correct entity, wrong SNOMED ID","(2553, 2557)","(2553, 2557)",MCHC,MCHC,37254006,735147002,13227028-DS-12,".5* RBC-4.16* HGB-13.6 HCT-38.0 MCV-91 MCH-32.7* MCHC-35.8* RDW-14.7 ___ 05:00PM GLUCOSE-107* UREA N-" "Correct entity, wrong SNOMED ID","(2587, 2594)","(2587, 2594)",GLUCOSE,GLUCOSE,33747003,72191006,13227028-DS-12,"V-91 MCH-32.7* MCHC-35.8* RDW-14.7 ___ 05:00PM GLUCOSE-107* UREA N-15 CREAT-0.6 SODIUM-133 POTASSIUM-4." "Correct entity, wrong SNOMED ID","(2610, 2615)","(2610, 2615)",CREAT,CREAT,70901006,413856009,13227028-DS-12,".8* RDW-14.7 ___ 05:00PM GLUCOSE-107* UREA N-15 CREAT-0.6 SODIUM-133 POTASSIUM-4.6 CHLORIDE-93* TOTAL " "Correct entity, wrong SNOMED ID","(2620, 2626)","(2620, 2626)",SODIUM,SODIUM,25197003,104934005,13227028-DS-12,".7 ___ 05:00PM GLUCOSE-107* UREA N-15 CREAT-0.6 SODIUM-133 POTASSIUM-4.6 CHLORIDE-93* TOTAL CO2-27 ANIO" "Correct entity, wrong SNOMED ID","(2632, 2641)","(2632, 2641)",POTASSIUM,POTASSIUM,59573005,1149432009,13227028-DS-12,"PM GLUCOSE-107* UREA N-15 CREAT-0.6 SODIUM-133 POTASSIUM-4.6 CHLORIDE-93* TOTAL CO2-27 ANION GAP-18 ___ 05" "Correct entity, wrong SNOMED ID","(2646, 2654)","(2646, 2654)",CHLORIDE,CHLORIDE,104589004,108447000,13227028-DS-12,"07* UREA N-15 CREAT-0.6 SODIUM-133 POTASSIUM-4.6 CHLORIDE-93* TOTAL CO2-27 ANION GAP-18 ___ 05:00PM ___ P" "Correct entity, wrong SNOMED ID","(2672, 2681)","(2672, 2681)",ANION GAP,ANION GAP,25469001,237854004,13227028-DS-12,"DIUM-133 POTASSIUM-4.6 CHLORIDE-93* TOTAL CO2-27 ANION GAP-18 ___ 05:00PM ___ PTT-24.6 ___ DISCHARGE LABS" "Correct entity, wrong SNOMED ID","(2703, 2706)","(2703, 2706)",PTT,PTT,42525009,282119004,13227028-DS-12,"E-93* TOTAL CO2-27 ANION GAP-18 ___ 05:00PM ___ PTT-24.6 ___ DISCHARGE LABS: ___ 06:20AM BLOOD WBC-6" "Correct entity, wrong SNOMED ID","(2751, 2754)","(2751, 2754)",WBC,WBC,767002,391558003,13227028-DS-12,"_ PTT-24.6 ___ DISCHARGE LABS: ___ 06:20AM BLOOD WBC-6.8 RBC-3.17* Hgb-10.8* Hct-31.0* MCV-98 MCH-34." "Correct entity, wrong SNOMED ID","(2759, 2762)","(2759, 2762)",RBC,RBC,14089001,258759006,13227028-DS-12,".6 ___ DISCHARGE LABS: ___ 06:20AM BLOOD WBC-6.8 RBC-3.17* Hgb-10.8* Hct-31.0* MCV-98 MCH-34.0* MCHC-" "Correct entity, wrong SNOMED ID","(2769, 2772)","(2769, 2772)",Hgb,Hgb,441689006,104142005,13227028-DS-12,"SCHARGE LABS: ___ 06:20AM BLOOD WBC-6.8 RBC-3.17* Hgb-10.8* Hct-31.0* MCV-98 MCH-34.0* MCHC-34.7 RDW-1" "Correct entity, wrong SNOMED ID","(2779, 2782)","(2779, 2782)",Hct,Hct,28317006,282660005,13227028-DS-12,"BS: ___ 06:20AM BLOOD WBC-6.8 RBC-3.17* Hgb-10.8* Hct-31.0* MCV-98 MCH-34.0* MCHC-34.7 RDW-18.2* Plt _" "Correct entity, wrong SNOMED ID","(2807, 2811)","(2807, 2811)",MCHC,MCHC,37254006,735147002,13227028-DS-12,"8 RBC-3.17* Hgb-10.8* Hct-31.0* MCV-98 MCH-34.0* MCHC-34.7 RDW-18.2* Plt ___ ___ 06:20AM BLOOD Glucose-" "Correct entity, wrong SNOMED ID","(2853, 2860)","(2853, 2860)",Glucose,Glucose,33747003,72191006,13227028-DS-12,".0* MCHC-34.7 RDW-18.2* Plt ___ ___ 06:20AM BLOOD Glucose-96 UreaN-10 Creat-0.5 Na-140 K-4.4 Cl-102 HCO3-3" "Correct entity, wrong SNOMED ID","(2864, 2869)","(2864, 2869)",UreaN,UreaN,105011006,111108008,13227028-DS-12,".7 RDW-18.2* Plt ___ ___ 06:20AM BLOOD Glucose-96 UreaN-10 Creat-0.5 Na-140 K-4.4 Cl-102 HCO3-31 AnGap-1" "Correct entity, wrong SNOMED ID","(2873, 2878)","(2873, 2878)",Creat,Creat,70901006,413856009,13227028-DS-12,".2* Plt ___ ___ 06:20AM BLOOD Glucose-96 UreaN-10 Creat-0.5 Na-140 K-4.4 Cl-102 HCO3-31 AnGap-11 ___ 06:" "Correct entity, wrong SNOMED ID","(2883, 2885)","(2883, 2885)",Na,Na,312469006,257992007,13227028-DS-12,"_ ___ 06:20AM BLOOD Glucose-96 UreaN-10 Creat-0.5 Na-140 K-4.4 Cl-102 HCO3-31 AnGap-11 ___ 06:20AM BL" "Correct entity, wrong SNOMED ID","(2897, 2899)","(2897, 2899)",Cl,Cl,104589004,311741002,13227028-DS-12,"BLOOD Glucose-96 UreaN-10 Creat-0.5 Na-140 K-4.4 Cl-102 HCO3-31 AnGap-11 ___ 06:20AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(2904, 2908)","(2904, 2908)",HCO3,HCO3,312471006,88645003,13227028-DS-12,"lucose-96 UreaN-10 Creat-0.5 Na-140 K-4.4 Cl-102 HCO3-31 AnGap-11 ___ 06:20AM BLOOD Calcium-8.6 Phos-2." "Correct entity, wrong SNOMED ID","(2912, 2917)","(2912, 2917)",AnGap,AnGap,25469001,124504004,13227028-DS-12,"6 UreaN-10 Creat-0.5 Na-140 K-4.4 Cl-102 HCO3-31 AnGap-11 ___ 06:20AM BLOOD Calcium-8.6 Phos-2.9 Mg-1.9 " "Correct entity, wrong SNOMED ID","(2939, 2946)","(2939, 2946)",Calcium,Calcium,312472004,108601004,13227028-DS-12," K-4.4 Cl-102 HCO3-31 AnGap-11 ___ 06:20AM BLOOD Calcium-8.6 Phos-2.9 Mg-1.9 IMAGING: CT Head ___ - Bilat" "Correct entity, wrong SNOMED ID","(2951, 2955)","(2951, 2955)",Phos,Phos,104868000,168075002,13227028-DS-12,"02 HCO3-31 AnGap-11 ___ 06:20AM BLOOD Calcium-8.6 Phos-2.9 Mg-1.9 IMAGING: CT Head ___ - Bilateral Acut" "Correct entity, wrong SNOMED ID","(2960, 2962)","(2960, 2962)",Mg,Mg,271285000,258684004,13227028-DS-12,"1 AnGap-11 ___ 06:20AM BLOOD Calcium-8.6 Phos-2.9 Mg-1.9 IMAGING: CT Head ___ - Bilateral Acute on Ch" "Correct entity, wrong SNOMED ID","(2977, 2984)","(2977, 2984)",CT Head,CT Head,303653007,303654001,13227028-DS-12,":20AM BLOOD Calcium-8.6 Phos-2.9 Mg-1.9 IMAGING: CT Head ___ - Bilateral Acute on Chronic SDH Left greater" "Correct entity, wrong SNOMED ID","(3018, 3021)","(3018, 3021)",SDH,SDH,35486000,124165006,13227028-DS-12,"IMAGING: CT Head ___ - Bilateral Acute on Chronic SDH Left greater than right 8mm MLS. CT Head ___: S" Missed entity,"(3057, 3064)",,CT Head,,303653007,,13227028-DS-12,"on Chronic SDH Left greater than right 8mm MLS. CT Head ___: Status post surgical evacuation of bilateral" Wrong span,"(3077, 3090)","(3082, 3090)",post surgical,surgical,19585003,274071003,13227028-DS-12,"greater than right 8mm MLS. CT Head ___: Status post surgical evacuation of bilateral subdural hematomas, with" "Correct entity, wrong SNOMED ID","(3091, 3101)","(3091, 3101)",evacuation,evacuation,122461007,257817003,13227028-DS-12,"right 8mm MLS. CT Head ___: Status post surgical evacuation of bilateral subdural hematomas, with bilateral " "Correct entity, wrong SNOMED ID","(3116, 3134)","(3116, 3134)",subdural hematomas,subdural hematomas,95453001,262952002,13227028-DS-12,"__: Status post surgical evacuation of bilateral subdural hematomas, with bilateral subdural surgical drains and exp" "Correct entity, wrong SNOMED ID","(3190, 3204)","(3190, 3204)",pneumocephalus,pneumocephalus,14415006,277340007,13227028-DS-12," bilateral subdural surgical drains and expected pneumocephalus. The degree of mass effect has somewhat decrease" "Correct entity, wrong SNOMED ID","(3347, 3357)","(3347, 3357)",hemorrhage,hemorrhage,50960005,8573003,13227028-DS-12,"ularly on the left. There is no evidence for new hemorrhage, including no intraparenchymal, subarachnoid or " Wrong span,"(3373, 3389)","(3373, 3383)",intraparenchymal,intraparen,431266005,1332499002,13227028-DS-12," is no evidence for new hemorrhage, including no intraparenchymal, subarachnoid or intraventricular blood. There i" "Correct entity, wrong SNOMED ID","(3391, 3403)","(3391, 3403)",subarachnoid,subarachnoid,21454007,171554006,13227028-DS-12,"r new hemorrhage, including no intraparenchymal, subarachnoid or intraventricular blood. There is no CT eviden" Wrong span,"(3407, 3429)","(3407, 3423)",intraventricular blood,intraventricular,23276006,428951001,13227028-DS-12,", including no intraparenchymal, subarachnoid or intraventricular blood. There is no CT evidence for acute large vascula" Wrong span,"(3444, 3446)","(3444, 3455)",CT,CT evidence,303653007,41647002,13227028-DS-12,"arachnoid or intraventricular blood. There is no CT evidence for acute large vascular territory infar" Wrong span,"(3472, 3480)","(3472, 3490)",vascular,vascular territory,59820001,421676007,13227028-DS-12,"r blood. There is no CT evidence for acute large vascular territory infarction. CT Head ___ post surgica" "Correct entity, wrong SNOMED ID","(3491, 3501)","(3491, 3501)",infarction,infarction,55641003,432504007,13227028-DS-12,"no CT evidence for acute large vascular territory infarction. CT Head ___ post surgical evacuation of bilat" "Correct entity, wrong SNOMED ID","(3506, 3513)","(3506, 3513)",CT Head,CT Head,303653007,303654001,13227028-DS-12,"for acute large vascular territory infarction. CT Head ___ post surgical evacuation of bilateral subdur" Wrong span,"(3518, 3531)","(3523, 3531)",post surgical,surgical,19585003,274071003,13227028-DS-12,"rge vascular territory infarction. CT Head ___ post surgical evacuation of bilateral subdural hematomas with " "Correct entity, wrong SNOMED ID","(3532, 3542)","(3532, 3542)",evacuation,evacuation,122461007,257817003,13227028-DS-12,"erritory infarction. CT Head ___ post surgical evacuation of bilateral subdural hematomas with stable-appe" "Correct entity, wrong SNOMED ID","(3557, 3575)","(3557, 3575)",subdural hematomas,subdural hematomas,95453001,262952002,13227028-DS-12,"T Head ___ post surgical evacuation of bilateral subdural hematomas with stable-appearing residual subdural collecti" "Correct entity, wrong SNOMED ID","(3643, 3653)","(3643, 3653)",hemorrhage,hemorrhage,50960005,8573003,13227028-DS-12,"ring residual subdural collections with residual hemorrhage, bilateral surgical drains and mildly decreased " "Correct entity, wrong SNOMED ID","(3703, 3717)","(3703, 3717)",pneumocephalus,pneumocephalus,14415006,277340007,13227028-DS-12,", bilateral surgical drains and mildly decreased pneumocephalus as compared to prior study, with about 4 mm shif" Wrong span,"(3763, 3779)","(3763, 3768)",shift of midline,shift,299728009,87361006,13227028-DS-12,"alus as compared to prior study, with about 4 mm shift of midline structures. No new foci of hemorrhage. CT Head" "Correct entity, wrong SNOMED ID","(3808, 3818)","(3808, 3818)",hemorrhage,hemorrhage,50960005,8573003,13227028-DS-12,"4 mm shift of midline structures. No new foci of hemorrhage. CT Head ___ bilateral subdural collections ove" "Correct entity, wrong SNOMED ID","(3822, 3829)","(3822, 3829)",CT Head,CT Head,303653007,303654001,13227028-DS-12,"midline structures. No new foci of hemorrhage. CT Head ___ bilateral subdural collections overlying the " "Correct entity, wrong SNOMED ID","(3880, 3893)","(3880, 3893)",frontal lobes,frontal lobes,83251001,110669009,13227028-DS-12,"___ bilateral subdural collections overlying the frontal lobes, with unchanged appearance of left SDH. no new a" "Correct entity, wrong SNOMED ID","(3924, 3928)","(3924, 3928)",left,left,72792008,264745005,13227028-DS-12," the frontal lobes, with unchanged appearance of left SDH. no new areas of acute hemorrhage. B" "Correct entity, wrong SNOMED ID","(3929, 3932)","(3929, 3932)",SDH,SDH,35486000,124165006,13227028-DS-12," frontal lobes, with unchanged appearance of left SDH. no new areas of acute hemorrhage. Brief" Wrong span,"(3951, 3967)","(3957, 3967)",acute hemorrhage,hemorrhage,8573003,8573003,13227028-DS-12,"nchanged appearance of left SDH. no new areas of acute hemorrhage. Brief Hospital Course: The patient was a" "Correct entity, wrong SNOMED ID","(4122, 4132)","(4122, 4132)",evacuation,evacuation,122461007,257817003,13227028-DS-12,"admission, she went to the operating room for an evacuation of these hematomas. She underwent bilateral cra" "Correct entity, wrong SNOMED ID","(4142, 4151)","(4142, 4151)",hematomas,hematomas,35566002,784408000,13227028-DS-12,"to the operating room for an evacuation of these hematomas. She underwent bilateral craniotomy for ___ eva" "Correct entity, wrong SNOMED ID","(4179, 4189)","(4179, 4189)",craniotomy,craniotomy,25353009,1366701003,13227028-DS-12,"ion of these hematomas. She underwent bilateral craniotomy for ___ evacuation and bilateral subdural drains " "Correct entity, wrong SNOMED ID","(4198, 4208)","(4198, 4208)",evacuation,evacuation,122461007,257817003,13227028-DS-12,"mas. She underwent bilateral craniotomy for ___ evacuation and bilateral subdural drains were placed. She t" "Correct entity, wrong SNOMED ID","(4292, 4297)","(4292, 4297)",right,right,368209003,264746006,13227028-DS-12,"e placed. She tolerated the prodecure well. Her right pronator drift resolved after the procedure. Th" Wrong span,"(4358, 4378)","(4349, 4364)","drains were removed",subdural drains,35486000,304846008,13227028-DS-12,"drift resolved after the procedure. The subdural drains were removed on POD 2 and 3. There after, her HOB was slowly r" "Correct entity, wrong SNOMED ID","(6114, 6131)","(6114, 6131)",Home With Service,Home With Service,385783005,31532004,13227028-DS-12,"eeded for pain fever. Discharge Disposition: Home With Service Facility: ___ ___ Diagnosis: bilateral subdur" "Correct entity, wrong SNOMED ID","(6175, 6193)","(6175, 6193)",subdural hematomas,subdural hematomas,95453001,262952002,13227028-DS-12,"ervice Facility: ___ ___ Diagnosis: bilateral subdural hematomas Discharge Condition: Neurologically stable " "Correct entity, wrong SNOMED ID","(6218, 6239)","(6218, 6239)",Neurologically stable,Neurologically stable,18460000,193844000,13227028-DS-12,"ateral subdural hematomas Discharge Condition: Neurologically stable Discharge Instructions: .General Instructions " "Correct entity, wrong SNOMED ID","(6330, 6338)","(6330, 6338)",incision,incision,609343002,119684006,13227028-DS-12,"ructions •Have a friend/family member check your incision daily for signs of infection. •Take your pain me" Wrong span,"(6350, 6368)","(6350, 6358)",signs of infection,signs of,370835007,86631001,13227028-DS-12,"iend/family member check your incision daily for signs of infection. •Take your pain medicine as prescribed. •Exercis" Wrong span,"(6371, 6394)","(6381, 6394)",Take your pain medicine,pain medicine,52685006,1365982005,13227028-DS-12,"eck your incision daily for signs of infection. •Take your pain medicine as prescribed. •Exercise should be limited to wal" "Correct entity, wrong SNOMED ID","(6411, 6419)","(6411, 6419)",Exercise,Exercise,226029000,102533007,13227028-DS-12,"fection. •Take your pain medicine as prescribed. •Exercise should be limited to walking; no lifting, straini" Missed entity,"(6462, 6471)",,straining,,102548001,,13227028-DS-12,"xercise should be limited to walking; no lifting, straining, or excessive bending. •You may wash your hair o" "Correct entity, wrong SNOMED ID","(6818, 6830)","(6818, 6830)",constipation,constipation,14760008,236069009,13227028-DS-12,"s and fiber, as narcotic pain medicine can cause constipation. We generally recommend taking an over the count" Missed entity,"(6883, 6897)",,stool softener,,225948006,,13227028-DS-12,"e generally recommend taking an over the counter stool softener, such as Docusate (Colace) while taking narcotic" Missed entity,"(7264, 7291)",,post-operative office visit,,439740005,,13227028-DS-12,"ive and return to work will be addressed at your post-operative office visit. •Make sure to continue to use your incentive spi" False positive,,"(639, 644)",,worse,,280122007,13272597-DS-24,"eficiency and a history of 6 PE, presenting with worsening swelling in left buttock 3 days after discha" False positive,,"(1808, 1810)",,VS,,313611000,13272597-DS-24," for further work up given her complexity. . ED: VS were 99, 104, 132/90, 98% RA. Received Dilaudid 2" False positive,,"(2567, 2572)",,fully,,248177001,13272597-DS-24,"8% on 2L NC GEN: In no acute distress. Alert and fully oriented to person /place/time. Pale complexion," False positive,,"(2771, 2773)",,S1,,82609006,13272597-DS-24," NECK: supple, JVD of 4cm, no lymphadenopathy CV: S1/S2 regular, no murmurs/rubs/gallops noted PULM: C" False positive,,"(3236, 3249)",,medial aspect,,78976001,13272597-DS-24,"s deeper reddish-purple. Incision of 1"" noted at medial aspect of left buttock, open, not actively bleeding but " False positive,,"(3267, 3271)",,open,,251722000,13272597-DS-24,"on of 1"" noted at medial aspect of left buttock, open, not actively bleeding but difficult to assess w" False positive,,"(3370, 3376)",,guauze,,433019007,13272597-DS-24,"well given a thick pressure bandage with packing guauze in place. Pedal pulses warm, 2+ bilaterally, tr" False positive,,"(3439, 3445)",,ankles,,69948000,13272597-DS-24,"Pedal pulses warm, 2+ bilaterally, trace edema at ankles noted. SKIN: pallid complexion, no rashes, lar" False positive,,"(3937, 3940)",,RBC,,258759006,13272597-DS-24," CHLORIDE-101 TOTAL CO2-28 ANION GAP-11, WBC-5.3 RBC-3.09* HGB-10.0* HCT-27.4* MCV-89 MCH-32.5* MCHC-3" False positive,,"(3996, 3999)",,RDW,,66842004,13272597-DS-24," HGB-10.0* HCT-27.4* MCV-89 MCH-32.5* MCHC-36.7* RDW-15.1 ___ 01:20PM NEUTS-69.3 ___ MONOS-7.2 EOS-2" False positive,,"(4193, 4198)",,Right,,225794002,13272597-DS-24,"he airways are patent to the subsegmental level. Right supraclavicular catheter tip is in the proximal r" False positive,,"(4679, 4686)",,nodular,,263888000,13272597-DS-24,"no pleural or pericardial effusion.A soft tissue nodular opacity in the left breast measures approximatel" False positive,,"(5308, 5312)",,EKGs,,46136006,13272597-DS-24," appreciable pleural effusion is demonstrated. . EKGs: ___ EKG: rate 84-86, sinus rhythm with low preco" False positive,,"(5323, 5327)",,rate,,258982002,13272597-DS-24,"leural effusion is demonstrated. . EKGs: ___ EKG: rate 84-86, sinus rhythm with low precordial lead QRS" False positive,,"(5435, 5439)",,rate,,258982002,13272597-DS-24,"s, nonspecific. Otherwise normal EKG. . ___ EKG: rate ___, sinus rhythm. Low precordial voltage. Since" False positive,,"(5638, 5639)",,S,,420952007,13272597-DS-24,"egative to date at time of discharge ___ 11:34 am SWAB Source: left buttock incision site. **FI" False positive,,"(5705, 5715)",,GRAM STAIN,,104200004,13272597-DS-24," left buttock incision site. **FINAL REPORT ___ GRAM STAIN (Final ___: NO POLYMORPHONUCLEAR LEUKOCYTES SEE" False positive,,"(6133, 6146)",,SENSITIVITIES,,252390002,13272597-DS-24,"esting of repeat isolates may be warranted. SENSITIVITIES: MIC expressed in MCG/ML ________________________" False positive,,"(7463, 7473)",,collection,,115680006,13272597-DS-24,"nderlying abscess after there was a questionable collection noted on ultrasound. The 1 inch incision site dr" False positive,,"(9396, 9406)",,transfused,,260791009,13272597-DS-24,"e setting of a recent I& D and bleeding the team transfused her with 2 Units of blood. After this her Hct ro" False positive,,"(9450, 9453)",,Hct,,258702006,13272597-DS-24,"sfused her with 2 Units of blood. After this her Hct rose from 24 to 33 and then stabilized to about " False positive,,"(10751, 10760)",,recovered,,177037000,13272597-DS-24,"espite SBPs in the mid to high ___ at times. She recovered gradually and by hospital day 2 she was normotens" False positive,,"(10848, 10855)",,restart,,182837001,13272597-DS-24,"as normotensive. By hospital day 3 and 4 she was restarted back on her home Lasix. The rest of her blood " False positive,,"(10876, 10881)",,Lasix,,25401000181106,13272597-DS-24,"l day 3 and 4 she was restarted back on her home Lasix. The rest of her blood pressure medications were " False positive,,"(11273, 11281)",,negative,,268375009,13272597-DS-24,"and lasted ""hours"" and sometimes days. A CTA was negative for PE/dissection and she was continued on Coumad" False positive,,"(11500, 11508)",,negative,,268375009,13272597-DS-24,"tal stay. Three sets of cardiac enzymes returned negative, so ACS essentially ruled out. Follow up EKGs an" False positive,,"(12241, 12244)",,Hct,,282660005,13272597-DS-24,"hen 24. Gave patient 2 Units of blood on ___ and Hct rose to 33 again, and was 30 at time of discharg" False positive,,"(13429, 13437)",,negative,,268375009,13272597-DS-24,"shortness of breath complaints. Moreover, CTA was negative for any pulmonary embolisms. Daily INR /___ leve" False positive,,"(14523, 14530)",,nodular,,263888000,13272597-DS-24,"ion. . #CTA breast finding : A small soft tissue nodular opacity was noted in the left breast measuring a" False positive,,"(14771, 14781)",,nodularity,,315249005,13272597-DS-24,"ft sided pathology noted. Thus, this new area of nodularity in left breast warrants follow-up with her PCP a" False positive,,"(14900, 14913)",,physical exam,,410182004,13272597-DS-24,"ied). No appreciable axillary lymphadenopathy on physical exam but full breast exam was not performed during th" False positive,,"(15242, 15253)",,Prophylaxis,,182935008,13272597-DS-24," fleeting hypotension with pain medications. . # Prophylaxis: -She was continued on Warfarin anticoagulation t" False positive,,"(16197, 16205)",,CHLORIDE,,108447000,13272597-DS-24,"RIN SL PRN OMEPRAZOLE 20 mg twice a day POTASSIUM CHLORIDE - 20 mEq Tab Sust.Rel. Particle/Crystal - 1 (One)" False positive,,"(18511, 18521)",,drowsiness,,267088000,13272597-DS-24," 10 days: Please be aware this medication causes drowsiness. Do not drive or operate any skilled equipment or" False positive,,"(19826, 19834)",,infected,,76844004,13272597-DS-24," for pain control. The area did not appear to be infected but there was a small amount of bleeding. Please" False positive,,"(20005, 20014)",,evaluated,,39609006,13272597-DS-24,"e daily. . You also had some chest pain which was evaluated with monitoring and blood tests. These lab tests" Wrong span,"(184, 196)","(184, 201)",Erythromycin,Erythromycin Base,91931000,30427009,13272597-DS-24," Sex: F Service: MEDICINE Allergies: Erythromycin Base / Cephalosporins / Sulfonamides / Latex / C" "Correct entity, wrong SNOMED ID","(204, 218)","(204, 218)",Cephalosporins,Cephalosporins,294532003,1359954007,13272597-DS-24,"rvice: MEDICINE Allergies: Erythromycin Base / Cephalosporins / Sulfonamides / Latex / Ceclor / Tegretol / Tri" Wrong span,"(221, 233)","(221, 226)",Sulfonamides,Sulfo,91939003,725559003,13272597-DS-24," Allergies: Erythromycin Base / Cephalosporins / Sulfonamides / Latex / Ceclor / Tegretol / Trileptal / Dilant" Missed entity,"(236, 241)",,Latex,,1003755004,,13272597-DS-24,"ythromycin Base / Cephalosporins / Sulfonamides / Latex / Ceclor / Tegretol / Trileptal / Dilantin / Dil" Missed entity,"(245, 251)",,Ceclor,,294532003,,13272597-DS-24,"n Base / Cephalosporins / Sulfonamides / Latex / Ceclor / Tegretol / Trileptal / Dilantin / Diltiazem / R" Missed entity,"(254, 262)",,Tegretol,,293867002,,13272597-DS-24,"Cephalosporins / Sulfonamides / Latex / Ceclor / Tegretol / Trileptal / Dilantin / Diltiazem / Reglan / Pe" Missed entity,"(277, 285)",,Dilantin,,293869004,,13272597-DS-24,"amides / Latex / Ceclor / Tegretol / Trileptal / Dilantin / Diltiazem / Reglan / Percocet / Darvocet-N 50 " Missed entity,"(288, 297)",,Diltiazem,,294003008,,13272597-DS-24,"tex / Ceclor / Tegretol / Trileptal / Dilantin / Diltiazem / Reglan / Percocet / Darvocet-N 50 / Lamictal " Missed entity,"(300, 306)",,Reglan,,293675006,,13272597-DS-24,"r / Tegretol / Trileptal / Dilantin / Diltiazem / Reglan / Percocet / Darvocet-N 50 / Lamictal Attendin" Missed entity,"(337, 345)",,Lamictal,,293859005,,13272597-DS-24," Diltiazem / Reglan / Percocet / Darvocet-N 50 / Lamictal Attending: ___. Chief Complaint: left buttock" Wrong span,"(383, 395)","(383, 400)",left buttock,left buttock pain,723979003,41841000087107,13272597-DS-24,"0 / Lamictal Attending: ___. Chief Complaint: left buttock pain Major Surgical or Invasive Procedure: Lef" Wrong span,"(396, 400)","(383, 400)",pain,left buttock pain,279043006,41841000087107,13272597-DS-24," Attending: ___. Chief Complaint: left buttock pain Major Surgical or Invasive Procedure: Left But" "Correct entity, wrong SNOMED ID","(442, 454)","(442, 454)",Left Buttock,Left Buttock,723979003,1230055005,13272597-DS-24,"ock pain Major Surgical or Invasive Procedure: Left Buttock Incision and Drainage History of Present Illnes" Wrong span,"(455, 476)","(455, 463)",Incision and Drainage,Incision,56783008,119684006,13272597-DS-24,"ajor Surgical or Invasive Procedure: Left Buttock Incision and Drainage History of Present Illness: The patient is a _" Missed entity,"(566, 598)",,common variable immunodeficiency,,23238000,,13272597-DS-24,"ent is a ___ female with extensive PMH including common variable immunodeficiency and a history of 6 PE, presenting with worsening" "Correct entity, wrong SNOMED ID","(619, 621)","(619, 621)",PE,PE,59282003,20503002,13272597-DS-24,"mon variable immunodeficiency and a history of 6 PE, presenting with worsening swelling in left butto" "Correct entity, wrong SNOMED ID","(649, 657)","(649, 657)",swelling,swelling,442672001,300890009,13272597-DS-24,"and a history of 6 PE, presenting with worsening swelling in left buttock 3 days after discharge from OSH " "Correct entity, wrong SNOMED ID","(661, 673)","(661, 673)",left buttock,left buttock,723979003,1230055005,13272597-DS-24,"y of 6 PE, presenting with worsening swelling in left buttock 3 days after discharge from OSH for large hemato" "Correct entity, wrong SNOMED ID","(717, 725)","(717, 725)",hematoma,hematoma,35566002,784408000,13272597-DS-24,"uttock 3 days after discharge from OSH for large hematoma in same site after mechanical fall and suprather" "Correct entity, wrong SNOMED ID","(757, 761)","(757, 761)",fall,fall,161898004,298344006,13272597-DS-24,"for large hematoma in same site after mechanical fall and supratherapeutic INR on ___. She presented t" "Correct entity, wrong SNOMED ID","(874, 884)","(874, 884)",cellulitis,cellulitis,128045006,109245003,13272597-DS-24,"___ today who was concerned about some overlying cellulitis so she was sent to the ED. In the ED, she was se" Missed entity,"(908, 910)",,ED,,182813001,,13272597-DS-24,"some overlying cellulitis so she was sent to the ED. In the ED, she was seen by surgery who performe" Missed entity,"(932, 947)",,seen by surgery,,305891006,,13272597-DS-24,"is so she was sent to the ED. In the ED, she was seen by surgery who performed I+D after an U/S showed a fluid c" "Correct entity, wrong SNOMED ID","(963, 966)","(963, 966)",I+D,I+D,56783008,1352511008,13272597-DS-24,"n the ED, she was seen by surgery who performed I+D after an U/S showed a fluid collection. The woun" "Correct entity, wrong SNOMED ID","(976, 979)","(976, 979)",U/S,U/S,425848005,288495006,13272597-DS-24," was seen by surgery who performed I+D after an U/S showed a fluid collection. The wound was packed " "Correct entity, wrong SNOMED ID","(990, 1006)","(990, 1006)",fluid collection,fluid collection,17672001,231061006,13272597-DS-24,"surgery who performed I+D after an U/S showed a fluid collection. The wound was packed and she was given keflex a" Wrong span,"(1012, 1017)","(1012, 1028)",wound,wound was packed,609343002,26667003,13272597-DS-24," I+D after an U/S showed a fluid collection. The wound was packed and she was given keflex and bactrim " Wrong span,"(1022, 1028)","(1012, 1028)",packed,wound was packed,241019003,26667003,13272597-DS-24," an U/S showed a fluid collection. The wound was packed and she was given keflex and bactrim with plans " Missed entity,"(1047, 1053)",,keflex,,281789004,,13272597-DS-24,"ollection. The wound was packed and she was given keflex and bactrim with plans for obs and then d/c. How" Missed entity,"(1059, 1066)",,bactrim,,281789004,,13272597-DS-24,"he wound was packed and she was given keflex and bactrim with plans for obs and then d/c. However, while i" Missed entity,"(1095, 1098)",,d/c,,13091001,,13272597-DS-24,"n keflex and bactrim with plans for obs and then d/c. However, while in obs, she developed her typica" "Correct entity, wrong SNOMED ID","(1150, 1160)","(1150, 1160)",chest pain,chest pain,29857009,102589003,13272597-DS-24,"However, while in obs, she developed her typical chest pain which has been extensively worked up in the past" Missed entity,"(1189, 1198)",,worked up,,386053000,,13272597-DS-24,"er typical chest pain which has been extensively worked up in the past. She states that she was unable to a" Boundary error,"(1299, 1308)","(1299, 1306)",restarted,restart,182837001,182837001,13272597-DS-24,"ford her medications since ___ and only recently restarted them. Since discharge from the OSH she has been " "Correct entity, wrong SNOMED ID","(1372, 1374)","(1372, 1374)",CP,CP,29857009,282108002,13272597-DS-24,"ischarge from the OSH she has been noticing more CP, up to 20 times per day, worse with exertion and" Wrong span,"(1400, 1420)","(1400, 1410)","worse with exertion",worse with,81953000,45112000,13272597-DS-24,"s been noticing more CP, up to 20 times per day, worse with exertion and alleviated by rest with mild associated SOB. " Wrong span,"(1425, 1443)","(1439, 1443)",alleviated by rest,rest,427935006,17535004,13272597-DS-24," up to 20 times per day, worse with exertion and alleviated by rest with mild associated SOB. No N/V or diaphoresis." Missed entity,"(1449, 1453)",,mild,,162468002,,13272597-DS-24," worse with exertion and alleviated by rest with mild associated SOB. No N/V or diaphoresis. The episo" "Correct entity, wrong SNOMED ID","(1465, 1468)","(1465, 1468)",SOB,SOB,267036007,43777007,13272597-DS-24,"rtion and alleviated by rest with mild associated SOB. No N/V or diaphoresis. The episodes last <5min " "Correct entity, wrong SNOMED ID","(1473, 1476)","(1473, 1476)",N/V,N/V,16932000,257992007,13272597-DS-24,"d alleviated by rest with mild associated SOB. No N/V or diaphoresis. The episodes last <5min and she " "Correct entity, wrong SNOMED ID","(1481, 1492)","(1481, 1492)",diaphoresis,diaphoresis,52613005,111980002,13272597-DS-24,"ated by rest with mild associated SOB. No N/V or diaphoresis. The episodes last <5min and she has not taken h" "Correct entity, wrong SNOMED ID","(1588, 1599)","(1588, 1599)",hypotensive,hypotensive,45007003,372740001,13272597-DS-24,"n her nitroglycerin for it. She was also briefly hypotensive to 83/41 with chest pain but responded well to 2" "Correct entity, wrong SNOMED ID","(1615, 1625)","(1615, 1625)",chest pain,chest pain,29857009,102589003,13272597-DS-24,". She was also briefly hypotensive to 83/41 with chest pain but responded well to 200cc of IVF. Her abx cove" Wrong span,"(1630, 1644)","(1630, 1639)",responded well,responded,78469002,250722009,13272597-DS-24,"briefly hypotensive to 83/41 with chest pain but responded well to 200cc of IVF. Her abx coverage was then broad" "Correct entity, wrong SNOMED ID","(1657, 1660)","(1657, 1660)",IVF,IVF,103744005,52637005,13272597-DS-24,"41 with chest pain but responded well to 200cc of IVF. Her abx coverage was then broadened to vanc/una" "Correct entity, wrong SNOMED ID","(1667, 1670)","(1667, 1670)",abx,abx,281789004,1201975007,13272597-DS-24,"est pain but responded well to 200cc of IVF. Her abx coverage was then broadened to vanc/unasyn. She w" Missed entity,"(1771, 1778)",,work up,,386053000,,13272597-DS-24,"s then moved out of obs and admitted for further work up given her complexity. . ED: VS were 99, 104, 132" "Correct entity, wrong SNOMED ID","(1837, 1839)","(1837, 1839)",RA,RA,722742002,463051000124105,13272597-DS-24,"r complexity. . ED: VS were 99, 104, 132/90, 98% RA. Received Dilaudid 2mg PO, Zofran x 3, Morphine " Wrong span,"(2004, 2016)","(2014, 2017)",Recurrent PE,PEs,438773007,278015009,13272597-DS-24," 25mcg IV x2, and 3L NS. Past Medical History: Recurrent PEs and Lupus anticoagulant Question of restrictiv" "Correct entity, wrong SNOMED ID","(2022, 2041)","(2022, 2041)",Lupus anticoagulant,Lupus anticoagulant,19267009,55464009,13272597-DS-24,"3L NS. Past Medical History: Recurrent PEs and Lupus anticoagulant Question of restrictive cardiomyopathy Common" "Correct entity, wrong SNOMED ID","(2056, 2082)","(2056, 2082)",restrictive cardiomyopathy,restrictive cardiomyopathy,415295002,233878008,13272597-DS-24,"current PEs and Lupus anticoagulant Question of restrictive cardiomyopathy Common variable immunodeficiency s/p port- a-ca" "Correct entity, wrong SNOMED ID","(2085, 2117)","(2085, 2117)",Common variable immunodeficiency,Common variable immunodeficiency,23238000,191010004,13272597-DS-24,"gulant Question of restrictive cardiomyopathy Common variable immunodeficiency s/p port- a-cath Asthma GERD Obstructive slee" "Correct entity, wrong SNOMED ID","(2122, 2134)","(2122, 2134)",port- a-cath,port- a-cath,1172566008,397958003,13272597-DS-24,"iomyopathy Common variable immunodeficiency s/p port- a-cath Asthma GERD Obstructive sleep apnea Borderl" "Correct entity, wrong SNOMED ID","(2137, 2143)","(2137, 2143)",Asthma,Asthma,195967001,281239006,13272597-DS-24,"mmon variable immunodeficiency s/p port- a-cath Asthma GERD Obstructive sleep apnea Borderline Perso" "Correct entity, wrong SNOMED ID","(2151, 2174)","(2151, 2174)",Obstructive sleep apnea,Obstructive sleep apnea,78275009,217781531000119107,13272597-DS-24,"immunodeficiency s/p port- a-cath Asthma GERD Obstructive sleep apnea Borderline Personality Disorder Somatoform Di" "Correct entity, wrong SNOMED ID","(2211, 2230)","(2211, 2230)",Somatoform Disorder,Somatoform Disorder,31297008,191962000,13272597-DS-24,"e sleep apnea Borderline Personality Disorder Somatoform Disorder Fibromyalgia Sexual abuse Posttraumatic str" "Correct entity, wrong SNOMED ID","(2233, 2245)","(2233, 2245)",Fibromyalgia,Fibromyalgia,203082005,95417003,13272597-DS-24,"line Personality Disorder Somatoform Disorder Fibromyalgia Sexual abuse Posttraumatic stress disorder. " "Correct entity, wrong SNOMED ID","(2248, 2260)","(2248, 2260)",Sexual abuse,Sexual abuse,225826001,12399051000119103,13272597-DS-24,"y Disorder Somatoform Disorder Fibromyalgia Sexual abuse Posttraumatic stress disorder. Multiple psych" "Correct entity, wrong SNOMED ID","(2263, 2292)","(2263, 2292)",Posttraumatic stress disorder,Posttraumatic stress disorder,47505003,313182004,13272597-DS-24,"matoform Disorder Fibromyalgia Sexual abuse Posttraumatic stress disorder. Multiple psychiatric hospitalizations for suic" "Correct entity, wrong SNOMED ID","(2305, 2316)","(2305, 2316)",psychiatric,psychiatric,24642003,161464003,13272597-DS-24,"abuse Posttraumatic stress disorder. Multiple psychiatric hospitalizations for suicide attempts and depres" "Correct entity, wrong SNOMED ID","(2338, 2354)","(2338, 2354)",suicide attempts,suicide attempts,304594002,461361000124105,13272597-DS-24,"rder. Multiple psychiatric hospitalizations for suicide attempts and depression. Social History: ___ Family " "Correct entity, wrong SNOMED ID","(2360, 2370)","(2360, 2370)",depression,depression,35489007,26141007,13272597-DS-24,"iatric hospitalizations for suicide attempts and depression. Social History: ___ Family History: Noncont" "Correct entity, wrong SNOMED ID","(2447, 2458)","(2447, 2458)",Vital Signs,Vital Signs,118227000,72970002,13272597-DS-24,"Family History: Noncontributory Physical Exam: Vital Signs: Temp 98.4F, HR 98, BP 106/80, RR 16, Oxygen Sat" "Correct entity, wrong SNOMED ID","(2460, 2464)","(2460, 2464)",Temp,Temp,105723007,102496004,13272597-DS-24,"y: Noncontributory Physical Exam: Vital Signs: Temp 98.4F, HR 98, BP 106/80, RR 16, Oxygen Saturatio" "Correct entity, wrong SNOMED ID","(2472, 2474)","(2472, 2474)",HR,HR,301113001,258702006,13272597-DS-24,"butory Physical Exam: Vital Signs: Temp 98.4F, HR 98, BP 106/80, RR 16, Oxygen Saturation 98% on 2" "Correct entity, wrong SNOMED ID","(2479, 2481)","(2479, 2481)",BP,BP,392570002,38341003,13272597-DS-24," Physical Exam: Vital Signs: Temp 98.4F, HR 98, BP 106/80, RR 16, Oxygen Saturation 98% on 2L NC G" "Correct entity, wrong SNOMED ID","(2490, 2492)","(2490, 2492)",RR,RR,301283003,229040007,13272597-DS-24," Exam: Vital Signs: Temp 98.4F, HR 98, BP 106/80, RR 16, Oxygen Saturation 98% on 2L NC GEN: In no a" Wrong span,"(2497, 2515)","(2497, 2498)","Oxygen Saturation",O,447755005,257993002,13272597-DS-24,"Vital Signs: Temp 98.4F, HR 98, BP 106/80, RR 16, Oxygen Saturation 98% on 2L NC GEN: In no acute distress. Alert an" "Correct entity, wrong SNOMED ID","(2526, 2528)","(2526, 2528)",NC,NC,840673007,705056007,13272597-DS-24,"8, BP 106/80, RR 16, Oxygen Saturation 98% on 2L NC GEN: In no acute distress. Alert and fully orien" "Correct entity, wrong SNOMED ID","(2530, 2533)","(2530, 2533)",GEN,GEN,162673000,16651008,13272597-DS-24,"P 106/80, RR 16, Oxygen Saturation 98% on 2L NC GEN: In no acute distress. Alert and fully oriented t" "Correct entity, wrong SNOMED ID","(2547, 2555)","(2547, 2555)",distress,distress,69328002,271825005,13272597-DS-24,"Oxygen Saturation 98% on 2L NC GEN: In no acute distress. Alert and fully oriented to person /place/time." Wrong span,"(2573, 2581)","(2573, 2591)",oriented,oriented to person,247663003,62766000,13272597-DS-24,"2L NC GEN: In no acute distress. Alert and fully oriented to person /place/time. Pale complexion, obese ha" "Correct entity, wrong SNOMED ID","(2606, 2621)","(2606, 2621)",Pale complexion,Pale complexion,398979000,75246004,13272597-DS-24," Alert and fully oriented to person /place/time. Pale complexion, obese habitus. HEENT: NC/AT, PERRLA, EOMI, ani" "Correct entity, wrong SNOMED ID","(2623, 2636)","(2623, 2636)",obese habitus,obese habitus,271590003,111036000,13272597-DS-24,"oriented to person /place/time. Pale complexion, obese habitus. HEENT: NC/AT, PERRLA, EOMI, anicteric sclerae," "Correct entity, wrong SNOMED ID","(2640, 2645)","(2640, 2645)",HEENT,HEENT,5880005,113665002,13272597-DS-24,"n /place/time. Pale complexion, obese habitus. HEENT: NC/AT, PERRLA, EOMI, anicteric sclerae, OP clear" "Correct entity, wrong SNOMED ID","(2647, 2649)","(2647, 2649)",NC,NC,840673007,705056007,13272597-DS-24,"ce/time. Pale complexion, obese habitus. HEENT: NC/AT, PERRLA, EOMI, anicteric sclerae, OP clear, mo" "Correct entity, wrong SNOMED ID","(2654, 2660)","(2654, 2660)",PERRLA,PERRLA,386667005,259037005,13272597-DS-24,". Pale complexion, obese habitus. HEENT: NC/AT, PERRLA, EOMI, anicteric sclerae, OP clear, moist mucosa" "Correct entity, wrong SNOMED ID","(2662, 2666)","(2662, 2666)",EOMI,EOMI,103251002,67099000,13272597-DS-24,"omplexion, obese habitus. HEENT: NC/AT, PERRLA, EOMI, anicteric sclerae, OP clear, moist mucosal memb" "Correct entity, wrong SNOMED ID","(2668, 2685)","(2668, 2685)",anicteric sclerae,anicteric sclerae,427801009,704978005,13272597-DS-24,"ion, obese habitus. HEENT: NC/AT, PERRLA, EOMI, anicteric sclerae, OP clear, moist mucosal membranes NECK: supple," "Correct entity, wrong SNOMED ID","(2687, 2695)","(2687, 2695)",OP clear,OP clear,300280008,271591004,13272597-DS-24," HEENT: NC/AT, PERRLA, EOMI, anicteric sclerae, OP clear, moist mucosal membranes NECK: supple, JVD of 4c" "Correct entity, wrong SNOMED ID","(2697, 2721)","(2697, 2721)","moist mucosal membranes","moist mucosal membranes",276398005,276413003,13272597-DS-24,"NC/AT, PERRLA, EOMI, anicteric sclerae, OP clear, moist mucosal membranes NECK: supple, JVD of 4cm, no lymphadenopathy CV: " "Correct entity, wrong SNOMED ID","(2722, 2726)","(2722, 2726)",NECK,NECK,5880005,840674001,13272597-DS-24,"teric sclerae, OP clear, moist mucosal membranes NECK: supple, JVD of 4cm, no lymphadenopathy CV: S1/S2" "Correct entity, wrong SNOMED ID","(2728, 2734)","(2728, 2734)",supple,supple,298475003,169743001,13272597-DS-24,"sclerae, OP clear, moist mucosal membranes NECK: supple, JVD of 4cm, no lymphadenopathy CV: S1/S2 regular" "Correct entity, wrong SNOMED ID","(2736, 2739)","(2736, 2739)",JVD,JVD,271653008,253395003,13272597-DS-24," OP clear, moist mucosal membranes NECK: supple, JVD of 4cm, no lymphadenopathy CV: S1/S2 regular, no " "Correct entity, wrong SNOMED ID","(2751, 2766)","(2751, 2766)",lymphadenopathy,lymphadenopathy,30746006,127159003,13272597-DS-24,"t mucosal membranes NECK: supple, JVD of 4cm, no lymphadenopathy CV: S1/S2 regular, no murmurs/rubs/gallops noted " "Correct entity, wrong SNOMED ID","(2767, 2769)","(2767, 2769)",CV,CV,363003006,258773002,13272597-DS-24,"anes NECK: supple, JVD of 4cm, no lymphadenopathy CV: S1/S2 regular, no murmurs/rubs/gallops noted PUL" Wrong span,"(2774, 2776)","(2774, 2784)",S2,S2 regular,111974005,57517007,13272597-DS-24,"CK: supple, JVD of 4cm, no lymphadenopathy CV: S1/S2 regular, no murmurs/rubs/gallops noted PULM: Clea" "Correct entity, wrong SNOMED ID","(2789, 2796)","(2789, 2796)",murmurs,murmurs,414786004,248699005,13272597-DS-24," of 4cm, no lymphadenopathy CV: S1/S2 regular, no murmurs/rubs/gallops noted PULM: Clear to auscultation bi" "Correct entity, wrong SNOMED ID","(2802, 2809)","(2802, 2809)",gallops,gallops,2170000,4592006,13272597-DS-24,"ymphadenopathy CV: S1/S2 regular, no murmurs/rubs/gallops noted PULM: Clear to auscultation bilaterally. A" "Correct entity, wrong SNOMED ID","(2816, 2820)","(2816, 2820)",PULM,PULM,268925001,90623003,13272597-DS-24," CV: S1/S2 regular, no murmurs/rubs/gallops noted PULM: Clear to auscultation bilaterally. ABD: (+)BS t" "Correct entity, wrong SNOMED ID","(2858, 2861)","(2858, 2861)",ABD,ABD,225162003,60728008,13272597-DS-24,"s noted PULM: Clear to auscultation bilaterally. ABD: (+)BS throughout all quadrants, soft, obese, NT/" "Correct entity, wrong SNOMED ID","(2866, 2868)","(2866, 2868)",BS,BS,61539000,257983009,13272597-DS-24,"PULM: Clear to auscultation bilaterally. ABD: (+)BS throughout all quadrants, soft, obese, NT/ND. EXT" "Correct entity, wrong SNOMED ID","(2901, 2906)","(2901, 2906)",obese,obese,249533007,415530009,13272597-DS-24,"ally. ABD: (+)BS throughout all quadrants, soft, obese, NT/ND. EXTREMITIES: left buttock dressing in pla" "Correct entity, wrong SNOMED ID","(2908, 2910)","(2908, 2910)",NT,NT,43478001,257992007,13272597-DS-24,"ABD: (+)BS throughout all quadrants, soft, obese, NT/ND. EXTREMITIES: left buttock dressing in place w" "Correct entity, wrong SNOMED ID","(2911, 2913)","(2911, 2913)",ND,ND,60728008,165815009,13272597-DS-24,": (+)BS throughout all quadrants, soft, obese, NT/ND. EXTREMITIES: left buttock dressing in place with" "Correct entity, wrong SNOMED ID","(2915, 2926)","(2915, 2926)",EXTREMITIES,EXTREMITIES,302773001,248416007,13272597-DS-24,")BS throughout all quadrants, soft, obese, NT/ND. EXTREMITIES: left buttock dressing in place with serosanguino" "Correct entity, wrong SNOMED ID","(2928, 2940)","(2928, 2940)",left buttock,left buttock,723979003,1230055005,13272597-DS-24,"t all quadrants, soft, obese, NT/ND. EXTREMITIES: left buttock dressing in place with serosanguinous stained gu" Missed entity,"(2964, 2987)",,"serosanguinous stained",,449756003,,13272597-DS-24," EXTREMITIES: left buttock dressing in place with serosanguinous stained guauze packing noted, no evidence of pus. Large h" Missed entity,"(2995, 3002)",,packing,,241019003,,13272597-DS-24,"sing in place with serosanguinous stained guauze packing noted, no evidence of pus. Large hematoma that c" "Correct entity, wrong SNOMED ID","(3010, 3021)","(3010, 3021)",no evidence,no evidence,281900007,41647002,13272597-DS-24,"ith serosanguinous stained guauze packing noted, no evidence of pus. Large hematoma that covers nearly the en" "Correct entity, wrong SNOMED ID","(3025, 3028)","(3025, 3028)",pus,pus,367646009,271354006,13272597-DS-24,"ous stained guauze packing noted, no evidence of pus. Large hematoma that covers nearly the entire bu" "Correct entity, wrong SNOMED ID","(3036, 3044)","(3036, 3044)",hematoma,hematoma,35566002,784408000,13272597-DS-24,"d guauze packing noted, no evidence of pus. Large hematoma that covers nearly the entire buttock and top of" Wrong span,"(3069, 3083)","(3076, 3083)",entire buttock,buttock,362677002,22180002,13272597-DS-24,"ce of pus. Large hematoma that covers nearly the entire buttock and top of left thigh. Edges of bruise yellowish" "Correct entity, wrong SNOMED ID","(3095, 3105)","(3095, 3105)",left thigh,left thigh,61396006,209672000,13272597-DS-24," that covers nearly the entire buttock and top of left thigh. Edges of bruise yellowish to light purple signi" "Correct entity, wrong SNOMED ID","(3117, 3123)","(3117, 3123)",bruise,bruise,125667009,281464006,13272597-DS-24,"e entire buttock and top of left thigh. Edges of bruise yellowish to light purple signifying healing but " "Correct entity, wrong SNOMED ID","(3211, 3219)","(3211, 3219)",Incision,Incision,609343002,119684006,13272597-DS-24,"healing but central areas deeper reddish-purple. Incision of 1"" noted at medial aspect of left buttock, op" "Correct entity, wrong SNOMED ID","(3253, 3265)","(3253, 3265)",left buttock,left buttock,723979003,1230055005,13272597-DS-24,"purple. Incision of 1"" noted at medial aspect of left buttock, open, not actively bleeding but difficult to as" "Correct entity, wrong SNOMED ID","(3286, 3294)","(3286, 3294)",bleeding,bleeding,131148009,74474003,13272597-DS-24,"medial aspect of left buttock, open, not actively bleeding but difficult to assess well given a thick press" "Correct entity, wrong SNOMED ID","(3362, 3369)","(3362, 3369)",packing,packing,241019003,48920003,13272597-DS-24," assess well given a thick pressure bandage with packing guauze in place. Pedal pulses warm, 2+ bilatera" Wrong span,"(3389, 3401)","(3389, 3406)",Pedal pulses,Pedal pulses warm,91161007,710994004,13272597-DS-24,"pressure bandage with packing guauze in place. Pedal pulses warm, 2+ bilaterally, trace edema at ankles noted" Wrong span,"(3402, 3406)","(3389, 3406)",warm,Pedal pulses warm,102599008,710994004,13272597-DS-24,"age with packing guauze in place. Pedal pulses warm, 2+ bilaterally, trace edema at ankles noted. " Boundary error,"(3408, 3422)","(3408, 3420)",2+ bilaterally,2+ bilateral,301160009,268228006,13272597-DS-24,"th packing guauze in place. Pedal pulses warm, 2+ bilaterally, trace edema at ankles noted. SKIN: pallid com" "Correct entity, wrong SNOMED ID","(3430, 3435)","(3430, 3435)",edema,edema,267038008,102576009,13272597-DS-24,"place. Pedal pulses warm, 2+ bilaterally, trace edema at ankles noted. SKIN: pallid complexion, no r" "Correct entity, wrong SNOMED ID","(3456, 3460)","(3456, 3460)",SKIN,SKIN,271303006,444884003,13272597-DS-24,", 2+ bilaterally, trace edema at ankles noted. SKIN: pallid complexion, no rashes, large left buttock" "Correct entity, wrong SNOMED ID","(3462, 3479)","(3462, 3479)",pallid complexion,pallid complexion,398979000,74989001,13272597-DS-24,"ilaterally, trace edema at ankles noted. SKIN: pallid complexion, no rashes, large left buttock hematoma as descr" "Correct entity, wrong SNOMED ID","(3484, 3490)","(3484, 3490)",rashes,rashes,271807003,247472004,13272597-DS-24,"a at ankles noted. SKIN: pallid complexion, no rashes, large left buttock hematoma as described above " "Correct entity, wrong SNOMED ID","(3498, 3510)","(3498, 3510)",left buttock,left buttock,723979003,1230055005,13272597-DS-24,"ted. SKIN: pallid complexion, no rashes, large left buttock hematoma as described above Pertinent Results" "Correct entity, wrong SNOMED ID","(3511, 3519)","(3511, 3519)",hematoma,hematoma,35566002,784408000,13272597-DS-24," pallid complexion, no rashes, large left buttock hematoma as described above Pertinent Results: CARDIAC" "Correct entity, wrong SNOMED ID","(3625, 3632)","(3625, 3632)",cTropnT,cTropnT,105001004,442255004,13272597-DS-24,"ES: ___ 05:12AM CK(CPK)-121 ___ 05:12AM CK-MB-2 cTropnT-<0.01 ___ 07:20PM CK(CPK)-133 ___ 07:20PM CK-MB" "Correct entity, wrong SNOMED ID","(3685, 3692)","(3685, 3692)",cTropnT,cTropnT,105001004,442255004,13272597-DS-24,".01 ___ 07:20PM CK(CPK)-133 ___ 07:20PM CK-MB-2 cTropnT-<0.01 ___ 01:20PM CK(CPK)-166* ___ 01:20PM cTro" "Correct entity, wrong SNOMED ID","(3738, 3745)","(3738, 3745)",cTropnT,cTropnT,105001004,442255004,13272597-DS-24,"opnT-<0.01 ___ 01:20PM CK(CPK)-166* ___ 01:20PM cTropnT-<0.01 ___ 01:20PM CK-MB-2 . ADMISSION LABS: ___ " "Correct entity, wrong SNOMED ID","(3831, 3838)","(3831, 3838)",GLUCOSE,GLUCOSE,33747003,72191006,13272597-DS-24,"ION LABS: ___ 03:26PM LACTATE-0.8 ___ 01:20PM GLUCOSE-85 UREA N-16 CREAT-0.8 SODIUM-136 POTASSIUM-4.1 " "Correct entity, wrong SNOMED ID","(3852, 3857)","(3852, 3857)",CREAT,CREAT,70901006,413856009,13272597-DS-24," LACTATE-0.8 ___ 01:20PM GLUCOSE-85 UREA N-16 CREAT-0.8 SODIUM-136 POTASSIUM-4.1 CHLORIDE-101 TOTAL " "Correct entity, wrong SNOMED ID","(3862, 3868)","(3862, 3868)",SODIUM,SODIUM,25197003,104934005,13272597-DS-24,"-0.8 ___ 01:20PM GLUCOSE-85 UREA N-16 CREAT-0.8 SODIUM-136 POTASSIUM-4.1 CHLORIDE-101 TOTAL CO2-28 ANIO" "Correct entity, wrong SNOMED ID","(3874, 3883)","(3874, 3883)",POTASSIUM,POTASSIUM,59573005,1149432009,13272597-DS-24,"20PM GLUCOSE-85 UREA N-16 CREAT-0.8 SODIUM-136 POTASSIUM-4.1 CHLORIDE-101 TOTAL CO2-28 ANION GAP-11, WBC-5" "Correct entity, wrong SNOMED ID","(3888, 3896)","(3888, 3896)",CHLORIDE,CHLORIDE,104589004,108447000,13272597-DS-24,"-85 UREA N-16 CREAT-0.8 SODIUM-136 POTASSIUM-4.1 CHLORIDE-101 TOTAL CO2-28 ANION GAP-11, WBC-5.3 RBC-3.09*" "Correct entity, wrong SNOMED ID","(3914, 3923)","(3914, 3923)",ANION GAP,ANION GAP,25469001,237854004,13272597-DS-24,"DIUM-136 POTASSIUM-4.1 CHLORIDE-101 TOTAL CO2-28 ANION GAP-11, WBC-5.3 RBC-3.09* HGB-10.0* HCT-27.4* MCV-89" "Correct entity, wrong SNOMED ID","(3928, 3931)","(3928, 3931)",WBC,WBC,767002,391558003,13272597-DS-24,"SSIUM-4.1 CHLORIDE-101 TOTAL CO2-28 ANION GAP-11, WBC-5.3 RBC-3.09* HGB-10.0* HCT-27.4* MCV-89 MCH-32." "Correct entity, wrong SNOMED ID","(3947, 3950)","(3947, 3950)",HGB,HGB,441689006,104142005,13272597-DS-24,"101 TOTAL CO2-28 ANION GAP-11, WBC-5.3 RBC-3.09* HGB-10.0* HCT-27.4* MCV-89 MCH-32.5* MCHC-36.7* RDW-" "Correct entity, wrong SNOMED ID","(3957, 3960)","(3957, 3960)",HCT,HCT,28317006,282660005,13272597-DS-24,"CO2-28 ANION GAP-11, WBC-5.3 RBC-3.09* HGB-10.0* HCT-27.4* MCV-89 MCH-32.5* MCHC-36.7* RDW-15.1 ___ 0" Missed entity,"(3967, 3970)",,MCV,,104133003,,13272597-DS-24,"ON GAP-11, WBC-5.3 RBC-3.09* HGB-10.0* HCT-27.4* MCV-89 MCH-32.5* MCHC-36.7* RDW-15.1 ___ 01:20PM N" "Correct entity, wrong SNOMED ID","(3984, 3988)","(3984, 3988)",MCHC,MCHC,37254006,735147002,13272597-DS-24,"3 RBC-3.09* HGB-10.0* HCT-27.4* MCV-89 MCH-32.5* MCHC-36.7* RDW-15.1 ___ 01:20PM NEUTS-69.3 ___ MONO" "Correct entity, wrong SNOMED ID","(4019, 4024)","(4019, 4024)",NEUTS,NEUTS,30630007,271035003,13272597-DS-24,"V-89 MCH-32.5* MCHC-36.7* RDW-15.1 ___ 01:20PM NEUTS-69.3 ___ MONOS-7.2 EOS-2.8 BASOS-0.6 ___ 01:20PM" "Correct entity, wrong SNOMED ID","(4034, 4039)","(4034, 4039)",MONOS,MONOS,67776007,462791000124108,13272597-DS-24,"MCHC-36.7* RDW-15.1 ___ 01:20PM NEUTS-69.3 ___ MONOS-7.2 EOS-2.8 BASOS-0.6 ___ 01:20PM PLT COUNT-26" "Correct entity, wrong SNOMED ID","(4044, 4047)","(4044, 4047)",EOS,EOS,71960002,67099000,13272597-DS-24," RDW-15.1 ___ 01:20PM NEUTS-69.3 ___ MONOS-7.2 EOS-2.8 BASOS-0.6 ___ 01:20PM PLT COUNT-265 ___ 01" "Correct entity, wrong SNOMED ID","(4109, 4112)","(4109, 4112)",PTT,PTT,42525009,282119004,13272597-DS-24,"0.6 ___ 01:20PM PLT COUNT-265 ___ 01:20PM ___ PTT-26.6 ___ . IMAGING: ___ CTA: The airways are pate" "Correct entity, wrong SNOMED ID","(4137, 4140)","(4137, 4140)",CTA,CTA,418272005,127423001,13272597-DS-24,"265 ___ 01:20PM ___ PTT-26.6 ___ . IMAGING: ___ CTA: The airways are patent to the subsegmental level" Wrong span,"(4199, 4214)","(4199, 4223)",supraclavicular,supraclavicular catheter,77621008,405430002,13272597-DS-24,"ways are patent to the subsegmental level. Right supraclavicular catheter tip is in the proximal right atrium. Th" "Correct entity, wrong SNOMED ID","(4247, 4259)","(4247, 4259)",right atrium,right atrium,73829009,128591008,13272597-DS-24,"t supraclavicular catheter tip is in the proximal right atrium. There are no filling defects to suggest pulmona" Wrong span,"(4275, 4290)","(4275, 4282)",filling defects,filling,43468004,250944009,13272597-DS-24,"ip is in the proximal right atrium. There are no filling defects to suggest pulmonary embolism. There are no enla" "Correct entity, wrong SNOMED ID","(4302, 4320)","(4302, 4320)",pulmonary embolism,pulmonary embolism,59282003,133971000119108,13272597-DS-24," atrium. There are no filling defects to suggest pulmonary embolism. There are no enlarged mediastinal, hilar, or ax" "Correct entity, wrong SNOMED ID","(4336, 4344)","(4336, 4344)",enlarged,enlarged,274744005,300344005,13272597-DS-24,"ects to suggest pulmonary embolism. There are no enlarged mediastinal, hilar, or axillary lymph nodes. Mini" "Correct entity, wrong SNOMED ID","(4345, 4356)","(4345, 4356)",mediastinal,mediastinal,62683002,363646005,13272597-DS-24,"uggest pulmonary embolism. There are no enlarged mediastinal, hilar, or axillary lymph nodes. Minimal coronary" "Correct entity, wrong SNOMED ID","(4358, 4363)","(4358, 4363)",hilar,hilar,53074004,264508001,13272597-DS-24,"ary embolism. There are no enlarged mediastinal, hilar, or axillary lymph nodes. Minimal coronary calci" "Correct entity, wrong SNOMED ID","(4368, 4388)","(4368, 4388)",axillary lymph nodes,axillary lymph nodes,68171009,245270005,13272597-DS-24,"sm. There are no enlarged mediastinal, hilar, or axillary lymph nodes. Minimal coronary calcifications are in the LAD." "Correct entity, wrong SNOMED ID","(4398, 4422)","(4398, 4422)","coronary calcifications","coronary calcifications",445512009,253725005,13272597-DS-24,"iastinal, hilar, or axillary lymph nodes. Minimal coronary calcifications are in the LAD. The aorta is normal in caliber. " "Correct entity, wrong SNOMED ID","(4434, 4437)","(4434, 4437)",LAD,LAD,846574000,1010291002,13272597-DS-24,"odes. Minimal coronary calcifications are in the LAD. The aorta is normal in caliber. 3-mm nodule in " "Correct entity, wrong SNOMED ID","(4443, 4448)","(4443, 4448)",aorta,aorta,15825003,57034009,13272597-DS-24,"imal coronary calcifications are in the LAD. The aorta is normal in caliber. 3-mm nodule in the right u" Wrong span,"(4452, 4458)","(4452, 4461)",normal,normal in,281900007,289279004,13272597-DS-24,"nary calcifications are in the LAD. The aorta is normal in caliber. 3-mm nodule in the right upper lobe " "Correct entity, wrong SNOMED ID","(4477, 4483)","(4477, 4483)",nodule,nodule,786838002,237495005,13272597-DS-24,"in the LAD. The aorta is normal in caliber. 3-mm nodule in the right upper lobe was present in ___. Scat" "Correct entity, wrong SNOMED ID","(4491, 4507)","(4491, 4507)",right upper lobe,right upper lobe,42400003,11339004,13272597-DS-24,"e aorta is normal in caliber. 3-mm nodule in the right upper lobe was present in ___. Scattered atelectases are in" "Correct entity, wrong SNOMED ID","(4562, 4579)","(4562, 4579)",right middle lobe,right middle lobe,72481006,113250009,13272597-DS-24,"present in ___. Scattered atelectases are in the right middle lobe, lingula, and lower lobes bilaterally. There is " "Correct entity, wrong SNOMED ID","(4581, 4588)","(4581, 4588)",lingula,lingula,50837003,272653005,13272597-DS-24,"attered atelectases are in the right middle lobe, lingula, and lower lobes bilaterally. There is no pleura" "Correct entity, wrong SNOMED ID","(4595, 4606)","(4595, 4606)",lower lobes,lower lobes,90572001,41224006,13272597-DS-24,"tases are in the right middle lobe, lingula, and lower lobes bilaterally. There is no pleural or pericardial " "Correct entity, wrong SNOMED ID","(4632, 4639)","(4632, 4639)",pleural,pleural,60046008,233635001,13272597-DS-24,"ingula, and lower lobes bilaterally. There is no pleural or pericardial effusion.A soft tissue nodular op" "Correct entity, wrong SNOMED ID","(4643, 4664)","(4643, 4664)","pericardial effusion","pericardial effusion",373945007,1269348003,13272597-DS-24," lower lobes bilaterally. There is no pleural or pericardial effusion.A soft tissue nodular opacity in the left breast " "Correct entity, wrong SNOMED ID","(4667, 4678)","(4667, 4678)",soft tissue,soft tissue,87784001,727285002,13272597-DS-24,"y. There is no pleural or pericardial effusion.A soft tissue nodular opacity in the left breast measures appr" "Correct entity, wrong SNOMED ID","(4687, 4694)","(4687, 4694)",opacity,opacity,128305008,193570009,13272597-DS-24,"al or pericardial effusion.A soft tissue nodular opacity in the left breast measures approximately 10 mm." "Correct entity, wrong SNOMED ID","(4702, 4713)","(4702, 4713)",left breast,left breast,80248007,1306849007,13272597-DS-24,"al effusion.A soft tissue nodular opacity in the left breast measures approximately 10 mm. There are no bone " Missed entity,"(4758, 4771)",,bone findings,,118953000,,13272597-DS-24,"reast measures approximately 10 mm. There are no bone findings of malignancy. Of note,there is mild splenomegal" "Correct entity, wrong SNOMED ID","(4776, 4786)","(4776, 4786)",malignancy,malignancy,1240414004,269475001,13272597-DS-24,"proximately 10 mm. There are no bone findings of malignancy. Of note,there is mild splenomegaly.IMPRESSION: N" "Correct entity, wrong SNOMED ID","(4810, 4822)","(4810, 4822)",splenomegaly,splenomegaly,16294009,19058002,13272597-DS-24,"ne findings of malignancy. Of note,there is mild splenomegaly.IMPRESSION: No evidence of PE.Minimal coronary c" "Correct entity, wrong SNOMED ID","(4835, 4847)","(4835, 4847)","No evidence","No evidence",281900007,41647002,13272597-DS-24,"y. Of note,there is mild splenomegaly.IMPRESSION: No evidence of PE.Minimal coronary calcification in the LAD.L" "Correct entity, wrong SNOMED ID","(4851, 4853)","(4851, 4853)",PE,PE,59282003,20503002,13272597-DS-24," is mild splenomegaly.IMPRESSION: No evidence of PE.Minimal coronary calcification in the LAD.Left b" Missed entity,"(4854, 4861)",,Minimal,,162468002,,13272597-DS-24," mild splenomegaly.IMPRESSION: No evidence of PE.Minimal coronary calcification in the LAD.Left breast no" "Correct entity, wrong SNOMED ID","(4862, 4884)","(4862, 4884)",coronary calcification,coronary calcification,445512009,253725005,13272597-DS-24,"lenomegaly.IMPRESSION: No evidence of PE.Minimal coronary calcification in the LAD.Left breast nodule should be correlat" "Correct entity, wrong SNOMED ID","(4892, 4895)","(4892, 4895)",LAD,LAD,846574000,1010291002,13272597-DS-24,"dence of PE.Minimal coronary calcification in the LAD.Left breast nodule should be correlated with mam" "Correct entity, wrong SNOMED ID","(4896, 4908)","(4896, 4908)","Left breast","Left breast",80248007,15954901000119100,13272597-DS-24,"e of PE.Minimal coronary calcification in the LAD.Left breast nodule should be correlated with mammography. Sp" "Correct entity, wrong SNOMED ID","(4909, 4915)","(4909, 4915)",nodule,nodule,27925004,237495005,13272597-DS-24,"al coronary calcification in the LAD.Left breast nodule should be correlated with mammography. Splenomeg" "Correct entity, wrong SNOMED ID","(4942, 4953)","(4942, 4953)",mammography,mammography,71651007,241056007,13272597-DS-24,"LAD.Left breast nodule should be correlated with mammography. Splenomegaly. . ___ AP CXR: Portable AP chest " "Correct entity, wrong SNOMED ID","(4956, 4968)","(4956, 4968)",Splenomegaly,Splenomegaly,16294009,19058002,13272597-DS-24,"st nodule should be correlated with mammography. Splenomegaly. . ___ AP CXR: Portable AP chest radiograph was " Missed entity,"(4977, 4983)",,AP CXR,,394421000119103,,13272597-DS-24,"orrelated with mammography. Splenomegaly. . ___ AP CXR: Portable AP chest radiograph was compared to __" Wrong span,"(4994, 5013)","(4994, 4996)",AP chest radiograph,AP,394421000119103,420512001,13272597-DS-24,"mmography. Splenomegaly. . ___ AP CXR: Portable AP chest radiograph was compared to ___ right central line tip is in" "Correct entity, wrong SNOMED ID","(5035, 5040)","(5035, 5040)",right,right,51872008,225794002,13272597-DS-24,"Portable AP chest radiograph was compared to ___ right central line tip is in mid low SVC. The radiogra" "Correct entity, wrong SNOMED ID","(5072, 5075)","(5072, 5075)",SVC,SVC,48345005,281596000,13272597-DS-24,"ared to ___ right central line tip is in mid low SVC. The radiograph was obtained in portable semi-up" "Correct entity, wrong SNOMED ID","(5201, 5206)","(5201, 5206)",heart,heart,80891009,226984005,13272597-DS-24,"ic projection, thus there is some exaggeration of heart size, although the lungs are essentially clear. " "Correct entity, wrong SNOMED ID","(5227, 5232)","(5227, 5232)",lungs,lungs,39607008,74101002,13272597-DS-24,"is some exaggeration of heart size, although the lungs are essentially clear. No appreciable pleural ef" "Correct entity, wrong SNOMED ID","(5249, 5254)","(5249, 5254)",clear,clear,281900007,281278005,13272597-DS-24,"f heart size, although the lungs are essentially clear. No appreciable pleural effusion is demonstrated" "Correct entity, wrong SNOMED ID","(5272, 5288)","(5272, 5288)",pleural effusion,pleural effusion,60046008,1366511008,13272597-DS-24," the lungs are essentially clear. No appreciable pleural effusion is demonstrated. . EKGs: ___ EKG: rate 84-86, sin" "Correct entity, wrong SNOMED ID","(5318, 5321)","(5318, 5321)",EKG,EKG,29303009,75444003,13272597-DS-24,"le pleural effusion is demonstrated. . EKGs: ___ EKG: rate 84-86, sinus rhythm with low precordial lea" "Correct entity, wrong SNOMED ID","(5335, 5347)","(5335, 5347)",sinus rhythm,sinus rhythm,251150006,64730000,13272597-DS-24,"ion is demonstrated. . EKGs: ___ EKG: rate 84-86, sinus rhythm with low precordial lead QRS voltages, nonspecif" Missed entity,"(5353, 5386)",,"low precordial lead QRS voltages",,251148003,,13272597-DS-24,"d. . EKGs: ___ EKG: rate 84-86, sinus rhythm with low precordial lead QRS voltages, nonspecific. Otherwise normal EKG. . ___ EKG: r" Wrong span,"(5411, 5421)","(5411, 5417)",normal EKG,normal,164854000,840673007,13272597-DS-24,"ordial lead QRS voltages, nonspecific. Otherwise normal EKG. . ___ EKG: rate ___, sinus rhythm. Low precordi" "Correct entity, wrong SNOMED ID","(5430, 5433)","(5430, 5433)",EKG,EKG,29303009,75444003,13272597-DS-24,"ltages, nonspecific. Otherwise normal EKG. . ___ EKG: rate ___, sinus rhythm. Low precordial voltage. " "Correct entity, wrong SNOMED ID","(5445, 5457)","(5445, 5457)",sinus rhythm,sinus rhythm,251150006,64730000,13272597-DS-24,"ific. Otherwise normal EKG. . ___ EKG: rate ___, sinus rhythm. Low precordial voltage. Since the previous trac" "Correct entity, wrong SNOMED ID","(5568, 5582)","(5568, 5582)",Blood Cultures,Blood Cultures,30088009,8730001000004107,13272597-DS-24,"ial voltage is somewhat less. . MICROBIOLOGY: ___ Blood Cultures x 2 negative to date at time of discharge ___ 11:" "Correct entity, wrong SNOMED ID","(5656, 5668)","(5656, 5668)",left buttock,left buttock,723979003,1230055005,13272597-DS-24," time of discharge ___ 11:34 am SWAB Source: left buttock incision site. **FINAL REPORT ___ GRAM STAIN (F" "Correct entity, wrong SNOMED ID","(5669, 5682)","(5669, 5682)",incision site,incision site,609343002,260847001,13272597-DS-24,"harge ___ 11:34 am SWAB Source: left buttock incision site. **FINAL REPORT ___ GRAM STAIN (Final ___: NO" "Correct entity, wrong SNOMED ID","(5796, 5809)","(5796, 5809)",WOUND CULTURE,WOUND CULTURE,401294003,241021008,13272597-DS-24,"LEAR LEUKOCYTES SEEN. NO MICROORGANISMS SEEN. WOUND CULTURE (Final ___: STAPH AUREUS COAG +. SPARSE GROWT" Missed entity,"(5926, 5933)",,therapy,,281789004,,13272597-DS-24,"s species may develop resistance during prolonged therapy with quinolones. Therefore, isolates that are " Missed entity,"(6072, 6079)",,therapy,,281789004,,13272597-DS-24,"ant within three to four days after initiation of therapy. Testing of repeat isolates may be warranted. " Wrong span,"(6519, 6536)","(6519, 6521)",ANAEROBIC CULTURE,AN,117034009,264106009,13272597-DS-24,"------ =>0.5 R TRIMETHOPRIM/SULFA---- <=0.5 S ANAEROBIC CULTURE (Final ___: NO ANAEROBES ISOLATED. Brief " Wrong span,"(6660, 6686)","(6660, 6669)",recurrent pulmonary emboli,recurrent,438773007,25173007,13272597-DS-24,"ary, the patient is a ___ female with history of recurrent pulmonary emboli, lupus anticoagulant, asthma, common variable im" "Correct entity, wrong SNOMED ID","(6688, 6707)","(6688, 6707)",lupus anticoagulant,lupus anticoagulant,19267009,238928005,13272597-DS-24,"male with history of recurrent pulmonary emboli, lupus anticoagulant, asthma, common variable immunodeficiency and lo" "Correct entity, wrong SNOMED ID","(6709, 6715)","(6709, 6715)",asthma,asthma,195967001,281239006,13272597-DS-24," recurrent pulmonary emboli, lupus anticoagulant, asthma, common variable immunodeficiency and longstandi" "Correct entity, wrong SNOMED ID","(6717, 6750)","(6717, 6750)","common variable immunodeficiency","common variable immunodeficiency",23238000,191010004,13272597-DS-24,"nt pulmonary emboli, lupus anticoagulant, asthma, common variable immunodeficiency and longstanding depression/PTSD, who was admitt" "Correct entity, wrong SNOMED ID","(6768, 6778)","(6768, 6778)",depression,depression,35489007,26141007,13272597-DS-24,"ommon variable immunodeficiency and longstanding depression/PTSD, who was admitted after having a fall off o" "Correct entity, wrong SNOMED ID","(6818, 6822)","(6818, 6822)",fall,fall,161898004,298344006,13272597-DS-24,"depression/PTSD, who was admitted after having a fall off of her desk chair with a resulting painful l" "Correct entity, wrong SNOMED ID","(6863, 6870)","(6863, 6870)",painful,painful,279043006,49650001,13272597-DS-24,"ng a fall off of her desk chair with a resulting painful left buttock hematoma. This event occurred in th" Wrong span,"(6871, 6883)","(6871, 6892)",left buttock,left buttock hematoma,723979003,29261000175100,13272597-DS-24,"l off of her desk chair with a resulting painful left buttock hematoma. This event occurred in the setting of" Wrong span,"(6884, 6892)","(6871, 6892)",hematoma,left buttock hematoma,35566002,29261000175100,13272597-DS-24,"desk chair with a resulting painful left buttock hematoma. This event occurred in the setting of a recent" Wrong span,"(7037, 7056)","(7037, 7045)",atypical chest pain,atypical,102589003,1230097004,13272597-DS-24,", the patient also complained of some additional atypical chest pain of unclear etiology. Hospital course details out" "Correct entity, wrong SNOMED ID","(7147, 7157)","(7147, 7157)",Cellulitis,Cellulitis,128045006,109245003,13272597-DS-24,"ails outlined more fully below: . # Questionable Cellulitis/Abscess: Given her MRSA history and CVID, the ED" "Correct entity, wrong SNOMED ID","(7158, 7165)","(7158, 7165)",Abscess,Abscess,128477000,196341005,13272597-DS-24,"ned more fully below: . # Questionable Cellulitis/Abscess: Given her MRSA history and CVID, the ED staff w" "Correct entity, wrong SNOMED ID","(7177, 7181)","(7177, 7181)",MRSA,MRSA,266096002,720301008,13272597-DS-24,"w: . # Questionable Cellulitis/Abscess: Given her MRSA history and CVID, the ED staff was intially conc" "Correct entity, wrong SNOMED ID","(7195, 7199)","(7195, 7199)",CVID,CVID,23238000,191010004,13272597-DS-24,"e Cellulitis/Abscess: Given her MRSA history and CVID, the ED staff was intially concerned with infecti" "Correct entity, wrong SNOMED ID","(7242, 7251)","(7242, 7251)",infection,infection,40733004,246083009,13272597-DS-24,"d CVID, the ED staff was intially concerned with infection. However, she had no leukocytosis or fevers. ED " "Correct entity, wrong SNOMED ID","(7274, 7286)","(7274, 7286)",leukocytosis,leukocytosis,111583006,65209002,13272597-DS-24,"ly concerned with infection. However, she had no leukocytosis or fevers. ED staff consulted surgery service wh" "Correct entity, wrong SNOMED ID","(7290, 7296)","(7290, 7296)",fevers,fevers,386661006,248444008,13272597-DS-24,"h infection. However, she had no leukocytosis or fevers. ED staff consulted surgery service who opted to" Missed entity,"(7307, 7333)",,"consulted surgery service",,183542009,,13272597-DS-24,"ever, she had no leukocytosis or fevers. ED staff consulted surgery service who opted to perform a left buttock I&D due to c" "Correct entity, wrong SNOMED ID","(7357, 7369)","(7357, 7369)",left buttock,left buttock,723979003,1230055005,13272597-DS-24,"consulted surgery service who opted to perform a left buttock I&D due to concerns that there may be an underly" "Correct entity, wrong SNOMED ID","(7370, 7373)","(7370, 7373)",I&D,I&D,56783008,308031009,13272597-DS-24,"rgery service who opted to perform a left buttock I&D due to concerns that there may be an underlying " "Correct entity, wrong SNOMED ID","(7423, 7430)","(7423, 7430)",abscess,abscess,64576003,196341005,13272597-DS-24," due to concerns that there may be an underlying abscess after there was a questionable collection noted " "Correct entity, wrong SNOMED ID","(7483, 7493)","(7483, 7493)",ultrasound,ultrasound,16310003,765172009,13272597-DS-24,"ter there was a questionable collection noted on ultrasound. The 1 inch incision site drained blood but no o" Wrong span,"(7507, 7520)","(7507, 7515)",incision site,incision,609343002,119684006,13272597-DS-24,"nable collection noted on ultrasound. The 1 inch incision site drained blood but no observable pus or discharge." Missed entity,"(7529, 7534)",,blood,,91369002,,13272597-DS-24," on ultrasound. The 1 inch incision site drained blood but no observable pus or discharge. Later, after" "Correct entity, wrong SNOMED ID","(7553, 7556)","(7553, 7556)",pus,pus,367646009,271354006,13272597-DS-24,"ch incision site drained blood but no observable pus or discharge. Later, after her transfer to the f" Missed entity,"(7627, 7656)",,"seen by the surgical service",,305702004,,13272597-DS-24,", after her transfer to the floor the patient was seen by the surgical service who re-dressed the wound and took a wound cultur" Wrong span,"(7661, 7681)","(7676, 7681)",re-dressed the wound,wound,18949003,241019003,13272597-DS-24,"the patient was seen by the surgical service who re-dressed the wound and took a wound culture. Because she had no fev" "Correct entity, wrong SNOMED ID","(7693, 7707)","(7693, 7707)","wound culture","wound culture",401294003,448194002,13272597-DS-24,"gical service who re-dressed the wound and took a wound culture. Because she had no fevers or WBC elevations anti" "Correct entity, wrong SNOMED ID","(7728, 7734)","(7728, 7734)",fevers,fevers,386661006,248444008,13272597-DS-24,"und and took a wound culture. Because she had no fevers or WBC elevations antibiotics were not continued" Wrong span,"(7738, 7752)","(7738, 7741)",WBC elevations,WBC,111583006,391558003,13272597-DS-24,"ok a wound culture. Because she had no fevers or WBC elevations antibiotics were not continued. Initially it was" "Correct entity, wrong SNOMED ID","(7753, 7764)","(7753, 7764)",antibiotics,antibiotics,281789004,372599003,13272597-DS-24,"ture. Because she had no fevers or WBC elevations antibiotics were not continued. Initially it was felt that s" Wrong span,"(7829, 7842)","(7834, 7842)",deep hematoma,hematoma,262559001,784408000,13272597-DS-24,"inued. Initially it was felt that she just had a deep hematoma. She was discharged with ___ and daily wound care" "Correct entity, wrong SNOMED ID","(7882, 7892)","(7882, 7892)",wound care,wound care,225358003,15502008,13272597-DS-24,"p hematoma. She was discharged with ___ and daily wound care instructions. Blood cultures at time of discharg" Missed entity,"(7894, 7906)",,instructions,,15502008,,13272597-DS-24,"She was discharged with ___ and daily wound care instructions. Blood cultures at time of discharge were negativ" "Correct entity, wrong SNOMED ID","(7908, 7922)","(7908, 7922)",Blood cultures,Blood cultures,30088009,8730001000004107,13272597-DS-24,"rged with ___ and daily wound care instructions. Blood cultures at time of discharge were negative to date. Woun" "Correct entity, wrong SNOMED ID","(7949, 7957)","(7949, 7957)",negative,negative,281900007,268375009,13272597-DS-24,"uctions. Blood cultures at time of discharge were negative to date. Wound culture final results were pendin" "Correct entity, wrong SNOMED ID","(7968, 7981)","(7968, 7981)",Wound culture,Wound culture,401294003,448194002,13272597-DS-24,"ures at time of discharge were negative to date. Wound culture final results were pending but wound gram stain " Wrong span,"(8013, 8018)","(8013, 8030)",wound,"wound gram stain",416462003,61000161101,13272597-DS-24,"ate. Wound culture final results were pending but wound gram stain showed no microorganisms, no leukocye" Wrong span,"(8019, 8030)","(8013, 8030)","gram stain","wound gram stain",62777006,61000161101,13272597-DS-24,"ound culture final results were pending but wound gram stain showed no microorganisms, no leukocyes/PMNs. Unf" "Correct entity, wrong SNOMED ID","(8148, 8152)","(8148, 8152)",MSSA,MSSA,442073005,258697002,13272597-DS-24,"y after discharge she had cultures that grew out MSSA. PCP was contacted with update as the patient has" Missed entity,"(8154, 8157)",,PCP,,737470001,,13272597-DS-24,"r discharge she had cultures that grew out MSSA. PCP was contacted with update as the patient has a s" Missed entity,"(8206, 8225)",,scheduled follow up,,183616001,,13272597-DS-24,"P was contacted with update as the patient has a scheduled follow up planned for ___. The patient may need to be plac" Wrong span,"(8284, 8294)","(8284, 8302)",antibiotic,antibiotic regimen,281789004,371070000,13272597-DS-24,"for ___. The patient may need to be placed on an antibiotic regimen, particularly given her open wound and C" Wrong span,"(8295, 8302)","(8284, 8302)",regimen,antibiotic regimen,133877004,371070000,13272597-DS-24,"e patient may need to be placed on an antibiotic regimen, particularly given her open wound and CVID hist" "Correct entity, wrong SNOMED ID","(8328, 8338)","(8328, 8338)",open wound,open wound,125643001,20012006,13272597-DS-24,"on an antibiotic regimen, particularly given her open wound and CVID history. . #Left Buttock Hematoma: The" "Correct entity, wrong SNOMED ID","(8343, 8347)","(8343, 8347)",CVID,CVID,23238000,191010004,13272597-DS-24,"c regimen, particularly given her open wound and CVID history. . #Left Buttock Hematoma: The patient " Wrong span,"(8362, 8374)","(8362, 8383)",Left Buttock,Left Buttock Hematoma,723979003,41841000087107,13272597-DS-24,"arly given her open wound and CVID history. . #Left Buttock Hematoma: The patient had been placed on long ter" Wrong span,"(8375, 8383)","(8362, 8383)",Hematoma,Left Buttock Hematoma,35566002,41841000087107,13272597-DS-24,"r open wound and CVID history. . #Left Buttock Hematoma: The patient had been placed on long term Warfar" Missed entity,"(8427, 8443)",,Warfarin therapy,,722045009,,13272597-DS-24,"matoma: The patient had been placed on long term Warfarin therapy for recurrent PE history and known lupus anticoa" Wrong span,"(8448, 8460)","(8458, 8460)",recurrent PE,PE,438773007,259037005,13272597-DS-24,"ad been placed on long term Warfarin therapy for recurrent PE history and known lupus anticoagulant. Of note, " "Correct entity, wrong SNOMED ID","(8479, 8499)","(8479, 8499)","lupus anticoagulant","lupus anticoagulant",19267009,55464009,13272597-DS-24,"rfarin therapy for recurrent PE history and known lupus anticoagulant. Of note, her most recent INR was supratherapeuti" Missed entity,"(8642, 8646)",,fell,,161898004,,13272597-DS-24,"week before her admission she explained that she fell out of her desk chair in her kitchen. She develo" Wrong span,"(8719, 8731)","(8719, 8741)",left buttock,"left buttock hematoma",723979003,29281000175106,13272597-DS-24,"in her kitchen. She developed a large, expanding left buttock hematoma soon afterwards and had a brief admissi" Wrong span,"(8733, 8741)","(8719, 8741)",hematoma,"left buttock hematoma",35566002,29281000175106,13272597-DS-24,"n. She developed a large, expanding left buttock hematoma soon afterwards and had a brief admission to ___ " Missed entity,"(8917, 8941)",,continue her daily doses,,182837001,,13272597-DS-24,"ad an INR of 1.9 so the medicine team decided to continue her daily doses while she was an inpatient. She had a decline in" Wrong span,"(8981, 8999)","(8981, 8988)",decline in her Hct,decline,165414004,386806002,13272597-DS-24,"aily doses while she was an inpatient. She had a decline in her Hct from initial 27 down to 24 range after a lot of " "Correct entity, wrong SNOMED ID","(9049, 9053)","(9049, 9053)",IVFs,IVFs,103744005,52637005,13272597-DS-24," from initial 27 down to 24 range after a lot of IVFs and bleeding in the setting of her I & D procedu" "Correct entity, wrong SNOMED ID","(9058, 9066)","(9058, 9066)",bleeding,bleeding,131148009,74474003,13272597-DS-24,"tial 27 down to 24 range after a lot of IVFs and bleeding in the setting of her I & D procedure. She also " "Correct entity, wrong SNOMED ID","(9089, 9105)","(9089, 9105)","I & D procedure","I & D procedure",56783008,363196007,13272597-DS-24," a lot of IVFs and bleeding in the setting of her I & D procedure. She also arrived to the medical floor with systo" "Correct entity, wrong SNOMED ID","(9150, 9175)","(9150, 9175)","systolic blood pressures","systolic blood pressures",135840009,716579001,13272597-DS-24,"edure. She also arrived to the medical floor with systolic blood pressures in the ___ range. She was asymptomatic despite f" "Correct entity, wrong SNOMED ID","(9202, 9214)","(9202, 9214)",asymptomatic,asymptomatic,84387000,5481000175101,13272597-DS-24,"stolic blood pressures in the ___ range. She was asymptomatic despite fleeting hypotension. This was likely be" "Correct entity, wrong SNOMED ID","(9369, 9373)","(9369, 9373)",I& D,I& D,56783008,308031009,13272597-DS-24,"d in the ED. However, in the setting of a recent I& D and bleeding the team transfused her with 2 Unit" "Correct entity, wrong SNOMED ID","(9378, 9386)","(9378, 9386)",bleeding,bleeding,131148009,74474003,13272597-DS-24,"ED. However, in the setting of a recent I& D and bleeding the team transfused her with 2 Units of blood. A" Missed entity,"(9428, 9433)",,blood,,116859006,,13272597-DS-24,"bleeding the team transfused her with 2 Units of blood. After this her Hct rose from 24 to 33 and then " "Correct entity, wrong SNOMED ID","(9483, 9493)","(9483, 9493)",stabilized,stabilized,409683007,182781000,13272597-DS-24,". After this her Hct rose from 24 to 33 and then stabilized to about 30 by the time of discharge. For pain " "Correct entity, wrong SNOMED ID","(9537, 9553)","(9537, 9553)","pain management","pain management",278414003,408951009,13272597-DS-24,"ilized to about 30 by the time of discharge. For pain management she was ultimately switched from all IV narcotics" Wrong span,"(9591, 9593)","(9591, 9603)",IV,IV narcotics,386358000,95914002,13272597-DS-24," management she was ultimately switched from all IV narcotics which were promoting bouts of hypotens" Wrong span,"(9594, 9603)","(9591, 9603)",narcotics,IV narcotics,302748001,95914002,13272597-DS-24,"anagement she was ultimately switched from all IV narcotics which were promoting bouts of hypotension to a l" Missed entity,"(9681, 9683)",,PO,,386359008,,13272597-DS-24," of hypotension to a lidocaine patch and then to PO Dilaudid by hospital day #2 which worked very we" "Correct entity, wrong SNOMED ID","(9891, 9913)","(9891, 9913)",wound dressing changed,wound dressing changed,18949003,385949008,13272597-DS-24," days of PO Dilauded upon discharge. She had her wound dressing changed BID and ice packs were given for additional comf" Missed entity,"(9923, 9932)",,ice packs,,113152007,,13272597-DS-24,"arge. She had her wound dressing changed BID and ice packs were given for additional comfort. ___ services " "Correct entity, wrong SNOMED ID","(10019, 10035)","(10019, 10035)",dressing changes,dressing changes,18949003,385948000,13272597-DS-24,"__ services were arranged for ongoing outpatient dressing changes, wound checks and INR lab draws. . # Hypotensi" "Correct entity, wrong SNOMED ID","(10037, 10050)","(10037, 10050)","wound checks","wound checks",225395003,448861000124101,13272597-DS-24,"arranged for ongoing outpatient dressing changes, wound checks and INR lab draws. . # Hypotension: The patient" Missed entity,"(10055, 10058)",,INR,,440685005,,13272597-DS-24,"ng outpatient dressing changes, wound checks and INR lab draws. . # Hypotension: The patient had som" Missed entity,"(10059, 10067)",,lab draw,,396540005,,13272597-DS-24,"utpatient dressing changes, wound checks and INR lab draws. . # Hypotension: The patient had some intermi" Missed entity,"(10189, 10201)",,"from the ED",,417119002,,13272597-DS-24,"otension soon after transfer to the medical floor from the ED. There were some initial concerns for sepsis but " "Correct entity, wrong SNOMED ID","(10240, 10246)","(10240, 10246)",sepsis,sepsis,91302008,233795005,13272597-DS-24,"rom the ED. There were some initial concerns for sepsis but in the absence of fevers, normal lactate lev" "Correct entity, wrong SNOMED ID","(10270, 10276)","(10270, 10276)",fevers,fevers,386661006,248444008,13272597-DS-24,"nitial concerns for sepsis but in the absence of fevers, normal lactate levels and no leukocytosis this " "Correct entity, wrong SNOMED ID","(10278, 10284)","(10278, 10284)",normal,normal,281900007,840673007,13272597-DS-24,"oncerns for sepsis but in the absence of fevers, normal lactate levels and no leukocytosis this seemed u" "Correct entity, wrong SNOMED ID","(10285, 10299)","(10285, 10299)",lactate levels,lactate levels,3926003,390996000,13272597-DS-24," for sepsis but in the absence of fevers, normal lactate levels and no leukocytosis this seemed unlikely. She wa" "Correct entity, wrong SNOMED ID","(10307, 10319)","(10307, 10319)",leukocytosis,leukocytosis,111583006,65209002,13272597-DS-24," absence of fevers, normal lactate levels and no leukocytosis this seemed unlikely. She was given Morphine, Fe" "Correct entity, wrong SNOMED ID","(10439, 10459)","(10439, 10459)","low blood pressures","low blood pressures",45007003,472960000,13272597-DS-24,"nd Dilaudid within hours of each other. Thus, her low blood pressures were mainly a result of multiple pain medication" Missed entity,"(10516, 10535)",,responded very well,,78469002,,13272597-DS-24,"ainly a result of multiple pain medications. She responded very well to IVFs and her blood pressure medications and I" "Correct entity, wrong SNOMED ID","(10539, 10543)","(10539, 10543)",IVFs,IVFs,103744005,52637005,13272597-DS-24,"ple pain medications. She responded very well to IVFs and her blood pressure medications and IV narcot" "Correct entity, wrong SNOMED ID","(10552, 10579)","(10552, 10579)","blood pressure medications","blood pressure medications",408497003,12569007,13272597-DS-24,"ications. She responded very well to IVFs and her blood pressure medications and IV narcotics were all held until her BP stab" Wrong span,"(10584, 10586)","(10584, 10596)",IV,IV narcotics,386358000,95914002,13272597-DS-24,"l to IVFs and her blood pressure medications and IV narcotics were all held until her BP stabilized." Wrong span,"(10587, 10596)","(10584, 10596)",narcotics,IV narcotics,302748001,95914002,13272597-DS-24,"o IVFs and her blood pressure medications and IV narcotics were all held until her BP stabilized. Fortunate" Wrong span,"(10621, 10635)","(10621, 10623)","BP stabilized",BP,271651005,38341003,13272597-DS-24,"ications and IV narcotics were all held until her BP stabilized. Fortunately, she remained asymptomatic and was i" "Correct entity, wrong SNOMED ID","(10663, 10675)","(10663, 10675)",asymptomatic,asymptomatic,84387000,5481000175101,13272597-DS-24,"til her BP stabilized. Fortunately, she remained asymptomatic and was in no distress despite SBPs in the mid t" "Correct entity, wrong SNOMED ID","(10691, 10699)","(10691, 10699)",distress,distress,69328002,271825005,13272597-DS-24,"unately, she remained asymptomatic and was in no distress despite SBPs in the mid to high ___ at times. She" Missed entity,"(10708, 10731)",,SBPs in the mid to high,,135840009,,13272597-DS-24,"ined asymptomatic and was in no distress despite SBPs in the mid to high ___ at times. She recovered gradually and by hos" "Correct entity, wrong SNOMED ID","(10801, 10813)","(10801, 10813)",normotensive,normotensive,2004005,300182006,13272597-DS-24,"recovered gradually and by hospital day 2 she was normotensive. By hospital day 3 and 4 she was restarted back " "Correct entity, wrong SNOMED ID","(10899, 10925)","(10899, 10925)",blood pressure medications,blood pressure medications,408497003,12569007,13272597-DS-24,"estarted back on her home Lasix. The rest of her blood pressure medications were restarted after discharge. . # Atypical Ch" Wrong span,"(11038, 11048)","(11038, 11057)",chest pain,chest pain syndrome,29857009,38751000087108,13272597-DS-24,"r OMR noted the patient has been noted to have a chest pain syndrome of unclear etiology. She complained of " Wrong span,"(11049, 11057)","(11038, 11057)",syndrome,chest pain syndrome,64572001,38751000087108,13272597-DS-24," the patient has been noted to have a chest pain syndrome of unclear etiology. She complained of chest pai" "Correct entity, wrong SNOMED ID","(11098, 11108)","(11098, 11108)",chest pain,chest pain,29857009,444821009,13272597-DS-24," syndrome of unclear etiology. She complained of chest pain that was at her lower sternum and radiating towa" Wrong span,"(11131, 11138)","(11125, 11138)",sternum,lower sternum,66419000,302522007,13272597-DS-24,"e complained of chest pain that was at her lower sternum and radiating towards her back that oscillated b" "Correct entity, wrong SNOMED ID","(11144, 11153)","(11144, 11153)",radiating,radiating,9972008,161892003,13272597-DS-24," of chest pain that was at her lower sternum and radiating towards her back that oscillated between sharp pa" "Correct entity, wrong SNOMED ID","(11166, 11170)","(11166, 11170)",back,back,77568009,211042000,13272597-DS-24,"s at her lower sternum and radiating towards her back that oscillated between sharp pains and dull ach" "Correct entity, wrong SNOMED ID","(11195, 11206)","(11195, 11206)",sharp pains,sharp pains,8708008,49218002,13272597-DS-24,"adiating towards her back that oscillated between sharp pains and dull aches and lasted ""hours"" and sometimes " "Correct entity, wrong SNOMED ID","(11212, 11222)","(11212, 11222)",dull aches,dull aches,83644001,82991003,13272597-DS-24,"her back that oscillated between sharp pains and dull aches and lasted ""hours"" and sometimes days. A CTA was " "Correct entity, wrong SNOMED ID","(11264, 11267)","(11264, 11267)",CTA,CTA,418272005,397005006,13272597-DS-24,"ll aches and lasted ""hours"" and sometimes days. A CTA was negative for PE/dissection and she was conti" "Correct entity, wrong SNOMED ID","(11286, 11288)","(11286, 11288)",PE,PE,59282003,20503002,13272597-DS-24,"ours"" and sometimes days. A CTA was negative for PE/dissection and she was continued on Coumadin for " "Correct entity, wrong SNOMED ID","(11289, 11299)","(11289, 11299)",dissection,dissection,308546005,710864009,13272597-DS-24,"s"" and sometimes days. A CTA was negative for PE/dissection and she was continued on Coumadin for her histor" Missed entity,"(11325, 11333)",,Coumadin,,182764009,,13272597-DS-24,"gative for PE/dissection and she was continued on Coumadin for her history of PE. She maintained healthy ox" "Correct entity, wrong SNOMED ID","(11354, 11356)","(11354, 11356)",PE,PE,59282003,20503002,13272597-DS-24,"she was continued on Coumadin for her history of PE. She maintained healthy oxygen saturation levels" "Correct entity, wrong SNOMED ID","(11381, 11398)","(11381, 11398)",oxygen saturation,oxygen saturation,447755005,449171008,13272597-DS-24,"in for her history of PE. She maintained healthy oxygen saturation levels between 93-97% on room air during her hos" Missed entity,"(11422, 11433)",,on room air,,722742002,,13272597-DS-24," healthy oxygen saturation levels between 93-97% on room air during her hospital stay. Three sets of cardiac " "Correct entity, wrong SNOMED ID","(11513, 11516)","(11513, 11516)",ACS,ACS,394659003,89218003,13272597-DS-24,"ree sets of cardiac enzymes returned negative, so ACS essentially ruled out. Follow up EKGs and teleme" Missed entity,"(11541, 11550)",,Follow up,,308273005,,13272597-DS-24,"returned negative, so ACS essentially ruled out. Follow up EKGs and telemetry were benign. CXR also unremar" "Correct entity, wrong SNOMED ID","(11551, 11555)","(11551, 11555)",EKGs,EKGs,29303009,46136006,13272597-DS-24,"egative, so ACS essentially ruled out. Follow up EKGs and telemetry were benign. CXR also unremarkable" "Correct entity, wrong SNOMED ID","(11593, 11605)","(11593, 11605)",unremarkable,unremarkable,281900007,268484008,13272597-DS-24,"llow up EKGs and telemetry were benign. CXR also unremarkable. She was written for SL nitroglycerin but had n" "Correct entity, wrong SNOMED ID","(11663, 11665)","(11663, 11665)",CP,CP,29857009,282108002,13272597-DS-24,"s written for SL nitroglycerin but had no acute CP episodes after arrival to the floor. An exercise " "Correct entity, wrong SNOMED ID","(11706, 11727)","(11706, 11727)","exercise stress test","exercise stress test",46136006,428813002,13272597-DS-24," acute CP episodes after arrival to the floor. An exercise stress test was postponed given her negative cardiac workup t" "Correct entity, wrong SNOMED ID","(11761, 11775)","(11761, 11775)",cardiac workup,cardiac workup,43038000,1354650003,13272597-DS-24,"ise stress test was postponed given her negative cardiac workup to date and her inability to exercise without a " Wrong span,"(11806, 11814)","(11793, 11814)",exercise,inability to exercise,226029000,170657004,13272597-DS-24,"tive cardiac workup to date and her inability to exercise without a lot of left buttock pain given her ext" Wrong span,"(11832, 11844)","(11832, 11850)",left buttock,"left buttock pain",723979003,41841000087107,13272597-DS-24,"te and her inability to exercise without a lot of left buttock pain given her extensive hematoma. Thus, she was" Wrong span,"(11846, 11850)","(11832, 11850)",pain,"left buttock pain",279043006,41841000087107,13272597-DS-24,"bility to exercise without a lot of left buttock pain given her extensive hematoma. Thus, she was set u" "Correct entity, wrong SNOMED ID","(11871, 11879)","(11871, 11879)",hematoma,hematoma,35566002,784408000,13272597-DS-24,"t a lot of left buttock pain given her extensive hematoma. Thus, she was set up for an outpatient cardiac " Wrong span,"(11921, 11928)","(11921, 11938)",cardiac,cardiac follow up,80891009,1354650003,13272597-DS-24,"hematoma. Thus, she was set up for an outpatient cardiac follow up with Dr. ___ at ___ in ___ who will r" Wrong span,"(11929, 11938)","(11921, 11938)",follow up,cardiac follow up,183616001,1354650003,13272597-DS-24,". Thus, she was set up for an outpatient cardiac follow up with Dr. ___ at ___ in ___ who will review her " "Correct entity, wrong SNOMED ID","(12073, 12080)","(12073, 12080)",Aspirin,Aspirin,431463004,7947003,13272597-DS-24,"utpatient setting. She was continued on her usual Aspirin and her beta blocker was eventually restarted. " "Correct entity, wrong SNOMED ID","(12134, 12140)","(12134, 12140)",Anemia,Anemia,271737000,87522002,13272597-DS-24," her beta blocker was eventually restarted. . # Anemia: Hematocrit baseline in low ___ and went to ___, " "Correct entity, wrong SNOMED ID","(12142, 12152)","(12142, 12152)",Hematocrit,Hematocrit,165414004,409683007,13272597-DS-24,"ta blocker was eventually restarted. . # Anemia: Hematocrit baseline in low ___ and went to ___, then 24. Ga" "Correct entity, wrong SNOMED ID","(12153, 12161)","(12153, 12161)",baseline,baseline,128974000,161033005,13272597-DS-24,"was eventually restarted. . # Anemia: Hematocrit baseline in low ___ and went to ___, then 24. Gave patien" Missed entity,"(12224, 12229)",,blood,,116859006,,13272597-DS-24,"nd went to ___, then 24. Gave patient 2 Units of blood on ___ and Hct rose to 33 again, and was 30 at t" "Correct entity, wrong SNOMED ID","(12297, 12307)","(12297, 12307)",Blood loss,Blood loss,50960005,8573003,13272597-DS-24,"se to 33 again, and was 30 at time of discharge. Blood loss was likely from the initial I&D of her hematoma " "Correct entity, wrong SNOMED ID","(12337, 12340)","(12337, 12340)",I&D,I&D,56783008,308031009,13272597-DS-24,"ischarge. Blood loss was likely from the initial I&D of her hematoma site. Some of her Hct drop was r" Wrong span,"(12348, 12356)","(12348, 12361)",hematoma,hematoma site,35566002,118441006,13272597-DS-24,"lood loss was likely from the initial I&D of her hematoma site. Some of her Hct drop was related to pure d" Wrong span,"(12375, 12383)","(12375, 12378)",Hct drop,Hct,165414004,840276005,13272597-DS-24,"the initial I&D of her hematoma site. Some of her Hct drop was related to pure dilutional effects with gene" "Correct entity, wrong SNOMED ID","(12438, 12442)","(12438, 12442)",IVFs,IVFs,103744005,52637005,13272597-DS-24," related to pure dilutional effects with generous IVFs given in the setting of her low BPs after a plet" "Correct entity, wrong SNOMED ID","(12472, 12479)","(12472, 12479)",low BPs,low BPs,45007003,472960000,13272597-DS-24,"s with generous IVFs given in the setting of her low BPs after a plethora of pain medications. Serial Hc" Wrong span,"(12520, 12531)","(12527, 12531)",Serial Hcts,Hcts,409681009,250314004,13272597-DS-24,"r low BPs after a plethora of pain medications. Serial Hcts were monitored, and her wound site was assessed " Missed entity,"(12537, 12546)",,monitored,,239516002,,13272597-DS-24," plethora of pain medications. Serial Hcts were monitored, and her wound site was assessed several times d" Wrong span,"(12556, 12580)","(12556, 12566)","wound site was assessed",wound site,225395003,241019003,13272597-DS-24,"medications. Serial Hcts were monitored, and her wound site was assessed several times daily for any active bleeding. . #" "Correct entity, wrong SNOMED ID","(12616, 12624)","(12616, 12624)",bleeding,bleeding,131148009,74474003,13272597-DS-24," was assessed several times daily for any active bleeding. . # Common variable immunodeficiency (CVID): Ch" Boundary error,"(12631, 12663)","(12631, 12665)",Common variable immunodeficiency,Common variable immunodeficiency (,23238000,191010004,13272597-DS-24,"several times daily for any active bleeding. . # Common variable immunodeficiency (CVID): Chronic condition. Splenomegaly noted on" Boundary error,"(12665, 12669)","(12665, 12670)",CVID,CVID),23238000,191010004,13272597-DS-24," bleeding. . # Common variable immunodeficiency (CVID): Chronic condition. Splenomegaly noted on CTA. " Missed entity,"(12672, 12679)",,Chronic,,27624003,,13272597-DS-24,"ng. . # Common variable immunodeficiency (CVID): Chronic condition. Splenomegaly noted on CTA. She has on" "Correct entity, wrong SNOMED ID","(12692, 12704)","(12692, 12704)",Splenomegaly,Splenomegaly,16294009,19058002,13272597-DS-24,"able immunodeficiency (CVID): Chronic condition. Splenomegaly noted on CTA. She has ongoing IVIG monthly infus" "Correct entity, wrong SNOMED ID","(12714, 12717)","(12714, 12717)",CTA,CTA,418272005,397005006,13272597-DS-24,"(CVID): Chronic condition. Splenomegaly noted on CTA. She has ongoing IVIG monthly infusions for mana" Wrong span,"(12735, 12758)","(12735, 12739)","IVIG monthly infusions",IVIG,116805008,116804007,13272597-DS-24,"tion. Splenomegaly noted on CTA. She has ongoing IVIG monthly infusions for managment. . # Question of diastolic CHF : I" "Correct entity, wrong SNOMED ID","(12862, 12886)","(12862, 12886)",congestive heart failure,congestive heart failure,42343007,88805009,13272597-DS-24," unclear whether patient actually has history of congestive heart failure per cardiology notes. However, she states that s" Missed entity,"(12891, 12901)",,cardiology,,310036006,,13272597-DS-24,"ually has history of congestive heart failure per cardiology notes. However, she states that she has diastoli" "Correct entity, wrong SNOMED ID","(12943, 12964)","(12943, 12964)",diastolic dysfunction,diastolic dysfunction,3545003,395704004,13272597-DS-24,"rdiology notes. However, she states that she has diastolic dysfunction. She was continued on her usual home lasix dosin" "Correct entity, wrong SNOMED ID","(13003, 13008)","(13003, 13008)",lasix,lasix,722048006,25401000181106,13272597-DS-24,"dysfunction. She was continued on her usual home lasix dosing after her blood pressures stabilized on h" Wrong span,"(13026, 13053)","(13026, 13042)","blood pressures stabilized","blood pressures",271651005,12763006,13272597-DS-24,"ontinued on her usual home lasix dosing after her blood pressures stabilized on hospital day ___. She will plan to follow up " Missed entity,"(13093, 13102)",,follow up,,183616001,,13272597-DS-24,"stabilized on hospital day ___. She will plan to follow up with her new cardiologist in a few weeks to explo" "Correct entity, wrong SNOMED ID","(13196, 13214)","(13196, 13214)",Pulmonary Embolism,Pulmonary Embolism,59282003,133971000119108,13272597-DS-24," explore additional testing and management. . # Pulmonary Embolism history: Admission INR subtherapeutic at 1.9. Sh" Wrong span,"(13293, 13309)","(13293, 13301)",Coumadin therapy,Coumadin,182764009,31011004,13272597-DS-24,"erapeutic at 1.9. She was continued on her usual Coumadin therapy. Oxygen saturations were typically >95% on room " Missed entity,"(13311, 13330)",,"Oxygen saturations",,447755005,,13272597-DS-24," She was continued on her usual Coumadin therapy. Oxygen saturations were typically >95% on room air and she had no s" Missed entity,"(13351, 13362)",,on room air,,722742002,,13272597-DS-24," therapy. Oxygen saturations were typically >95% on room air and she had no shortness of breath complaints. M" "Correct entity, wrong SNOMED ID","(13379, 13398)","(13379, 13398)",shortness of breath,shortness of breath,267036007,135833008,13272597-DS-24,"s were typically >95% on room air and she had no shortness of breath complaints. Moreover, CTA was negative for any p" "Correct entity, wrong SNOMED ID","(13421, 13424)","(13421, 13424)",CTA,CTA,418272005,397005006,13272597-DS-24,"had no shortness of breath complaints. Moreover, CTA was negative for any pulmonary embolisms. Daily " "Correct entity, wrong SNOMED ID","(13447, 13466)","(13447, 13466)",pulmonary embolisms,pulmonary embolisms,59282003,706870000,13272597-DS-24,"h complaints. Moreover, CTA was negative for any pulmonary embolisms. Daily INR /___ levels were monitored and she wa" Missed entity,"(13474, 13504)",,INR /___ levels were monitored,,439202006,,13272597-DS-24," was negative for any pulmonary embolisms. Daily INR /___ levels were monitored and she was discharged with instructions for BID" Missed entity,"(13534, 13546)",,instructions,,311401005,,13272597-DS-24,"evels were monitored and she was discharged with instructions for BID ___ checks through her home ___ services" "Correct entity, wrong SNOMED ID","(13602, 13612)","(13602, 13612)",Depression,Depression,35489007,26141007,13272597-DS-24,"ID ___ checks through her home ___ services. . #Depression: According to records the patient has a history o" "Correct entity, wrong SNOMED ID","(13665, 13677)","(13665, 13677)",sexual abuse,sexual abuse,225826001,12399051000119103,13272597-DS-24,"ccording to records the patient has a history of sexual abuse and PTSD as well as multiple psychiatric hospita" "Correct entity, wrong SNOMED ID","(13682, 13686)","(13682, 13686)",PTSD,PTSD,47505003,681161000124107,13272597-DS-24,"ds the patient has a history of sexual abuse and PTSD as well as multiple psychiatric hospitalizations" "Correct entity, wrong SNOMED ID","(13707, 13718)","(13707, 13718)",psychiatric,psychiatric,24642003,161464003,13272597-DS-24,"ory of sexual abuse and PTSD as well as multiple psychiatric hospitalizations for despression and suicide att" "Correct entity, wrong SNOMED ID","(13741, 13752)","(13741, 13752)",despression,despression,35489007,17029006,13272597-DS-24,"ell as multiple psychiatric hospitalizations for despression and suicide attempts. She denied a history of bo" "Correct entity, wrong SNOMED ID","(13757, 13773)","(13757, 13773)",suicide attempts,suicide attempts,304594002,461361000124105,13272597-DS-24,"psychiatric hospitalizations for despression and suicide attempts. She denied a history of borderline personality " Missed entity,"(13944, 13947)",,PCP,,737470001,,13272597-DS-24,"sed and she was advised to discuss this with her PCP as the medical team had limited background on th" "Correct entity, wrong SNOMED ID","(14022, 14027)","(14022, 14027)",signs,signs,72670004,86631001,13272597-DS-24," limited background on this diagnosis. She had no signs of tearfulness or labile mood changes during thi" "Correct entity, wrong SNOMED ID","(14032, 14043)","(14032, 14043)",tearfulness,tearfulness,271951008,399346004,13272597-DS-24,"ackground on this diagnosis. She had no signs of tearfulness or labile mood changes during this hospital stay." Wrong span,"(14047, 14058)","(14047, 14066)",labile mood,labile mood changes,18963009,365118007,13272597-DS-24,"is diagnosis. She had no signs of tearfulness or labile mood changes during this hospital stay. She also deni" "Correct entity, wrong SNOMED ID","(14111, 14128)","(14111, 14128)",suicidal thoughts,suicidal thoughts,6471006,134420004,13272597-DS-24,"anges during this hospital stay. She also denied suicidal thoughts. She was continued on her usual doses of fluoxet" "Correct entity, wrong SNOMED ID","(14318, 14323)","(14318, 14323)",BIPAP,BIPAP,447243000,243142003,13272597-DS-24,"rds she stated that she does not use any CPAP or BIPAP at home. Therefore she was monitored with oxygen" Wrong span,"(14352, 14384)","(14367, 14391)",monitored with oxygen saturation,oxygen saturation checks,284034009,284033003,13272597-DS-24,"use any CPAP or BIPAP at home. Therefore she was monitored with oxygen saturation checks with vital signs but otherwise no additio" "Correct entity, wrong SNOMED ID","(14398, 14409)","(14398, 14409)",vital signs,vital signs,118227000,72970002,13272597-DS-24,"was monitored with oxygen saturation checks with vital signs but otherwise no additional interventions taken o" Wrong span,"(14482, 14485)","(14482, 14492)",CTA,CTA breast,418272005,241539009,13272597-DS-24,"ional interventions taken on this admission. . #CTA breast finding : A small soft tissue nodular opac" Wrong span,"(14486, 14492)","(14482, 14492)",breast,CTA breast,76752008,241539009,13272597-DS-24,"l interventions taken on this admission. . #CTA breast finding : A small soft tissue nodular opacity was" "Correct entity, wrong SNOMED ID","(14511, 14522)","(14511, 14522)",soft tissue,soft tissue,87784001,727285002,13272597-DS-24," this admission. . #CTA breast finding : A small soft tissue nodular opacity was noted in the left breast mea" "Correct entity, wrong SNOMED ID","(14531, 14538)","(14531, 14538)",opacity,opacity,128305008,193570009,13272597-DS-24,"#CTA breast finding : A small soft tissue nodular opacity was noted in the left breast measuring approxima" "Correct entity, wrong SNOMED ID","(14557, 14568)","(14557, 14568)",left breast,left breast,80248007,1306849007,13272597-DS-24,"all soft tissue nodular opacity was noted in the left breast measuring approximately 10 mm. Prior mammogram r" "Correct entity, wrong SNOMED ID","(14641, 14652)","(14641, 14652)",right sided,right sided,73056007,125231008,13272597-DS-24,"y 10 mm. Prior mammogram reports from ___ note a right sided region that had been biopsied and fibroadenoma i" "Correct entity, wrong SNOMED ID","(14675, 14683)","(14675, 14683)",biopsied,biopsied,122548005,246163005,13272597-DS-24,"from ___ note a right sided region that had been biopsied and fibroadenoma identified but no left sided pa" "Correct entity, wrong SNOMED ID","(14688, 14700)","(14688, 14700)",fibroadenoma,fibroadenoma,254845004,1156873009,13272597-DS-24," a right sided region that had been biopsied and fibroadenoma identified but no left sided pathology noted. Th" "Correct entity, wrong SNOMED ID","(14719, 14729)","(14719, 14729)",left sided,left sided,80248007,448164008,13272597-DS-24," been biopsied and fibroadenoma identified but no left sided pathology noted. Thus, this new area of nodulari" "Correct entity, wrong SNOMED ID","(14731, 14740)","(14731, 14740)",pathology,pathology,309198006,1255736009,13272597-DS-24,"ed and fibroadenoma identified but no left sided pathology noted. Thus, this new area of nodularity in left " "Correct entity, wrong SNOMED ID","(14785, 14797)","(14785, 14797)","left breast","left breast",80248007,15954901000119100,13272597-DS-24,"ology noted. Thus, this new area of nodularity in left breast warrants follow-up with her PCP as outpatient (no" Missed entity,"(14807, 14816)",,follow-up,,308273005,,13272597-DS-24,"s new area of nodularity in left breast warrants follow-up with her PCP as outpatient (notified). No apprec" Boundary error,"(14826, 14829)","(14826, 14828)",PCP,PC,737470001,24863003,13272597-DS-24,"arity in left breast warrants follow-up with her PCP as outpatient (notified). No appreciable axillar" "Correct entity, wrong SNOMED ID","(14872, 14896)","(14872, 14896)",axillary lymphadenopathy,axillary lymphadenopathy,127189005,127190001,13272597-DS-24,"her PCP as outpatient (notified). No appreciable axillary lymphadenopathy on physical exam but full breast exam was not pe" "Correct entity, wrong SNOMED ID","(14924, 14935)","(14924, 14935)",breast exam,breast exam,46662001,13607009,13272597-DS-24,"illary lymphadenopathy on physical exam but full breast exam was not performed during this inpatient stay. ." Missed entity,"(14966, 14980)",,inpatient stay,,308540004,,13272597-DS-24,"t full breast exam was not performed during this inpatient stay. . # Fluids, Electrolytes and Nutrition: Electr" "Correct entity, wrong SNOMED ID","(14988, 14994)","(14988, 14994)",Fluids,Fluids,251839006,25670009,13272597-DS-24,"s not performed during this inpatient stay. . # Fluids, Electrolytes and Nutrition: Electrolytes were m" "Correct entity, wrong SNOMED ID","(14996, 15008)","(14996, 15008)",Electrolytes,Electrolytes,365758001,14830009,13272597-DS-24,"rformed during this inpatient stay. . # Fluids, Electrolytes and Nutrition: Electrolytes were monitored and r" "Correct entity, wrong SNOMED ID","(15013, 15022)","(15013, 15022)",Nutrition,Nutrition,300893006,1256115008,13272597-DS-24,"is inpatient stay. . # Fluids, Electrolytes and Nutrition: Electrolytes were monitored and repleted daily " Wrong span,"(15024, 15052)","(15024, 15036)","Electrolytes were monitored",Electrolytes,386275008,14830009,13272597-DS-24,"t stay. . # Fluids, Electrolytes and Nutrition: Electrolytes were monitored and repleted daily as needed, she was placed on a" Wrong span,"(15112, 15124)","(15104, 15124)",healthy diet,cardiac healthy diet,226234005,7564008,13272597-DS-24,"ted daily as needed, she was placed on a cardiac healthy diet PO, IVFs were also given for low blood pressures" "Correct entity, wrong SNOMED ID","(15129, 15133)","(15129, 15133)",IVFs,IVFs,103744005,52637005,13272597-DS-24,"ed, she was placed on a cardiac healthy diet PO, IVFs were also given for low blood pressures as neede" "Correct entity, wrong SNOMED ID","(15154, 15174)","(15154, 15174)","low blood pressures","low blood pressures",45007003,472960000,13272597-DS-24,"cardiac healthy diet PO, IVFs were also given for low blood pressures as needed for any fleeting hypotension with pain " Missed entity,"(15274, 15285)",,on Warfarin,,722045009,,13272597-DS-24," medications. . # Prophylaxis: -She was continued on Warfarin anticoagulation therapy and PE/DVT prevention -S" "Correct entity, wrong SNOMED ID","(15286, 15309)","(15286, 15309)",anticoagulation therapy,anticoagulation therapy,182764009,541471000124105,13272597-DS-24,". . # Prophylaxis: -She was continued on Warfarin anticoagulation therapy and PE/DVT prevention -She was continued on her " "Correct entity, wrong SNOMED ID","(15315, 15317)","(15315, 15317)",PE,PE,59282003,20503002,13272597-DS-24,"ontinued on Warfarin anticoagulation therapy and PE/DVT prevention -She was continued on her usual ho" Wrong span,"(15318, 15321)","(15318, 15332)",DVT,DVT prevention,128053003,725256009,13272597-DS-24,"inued on Warfarin anticoagulation therapy and PE/DVT prevention -She was continued on her usual home P" Wrong span,"(15322, 15332)","(15318, 15332)",prevention,DVT prevention,169443000,725256009,13272597-DS-24,"d on Warfarin anticoagulation therapy and PE/DVT prevention -She was continued on her usual home PPI (Omepraz" "Correct entity, wrong SNOMED ID","(15418, 15449)","(15418, 15449)",gastroesophageal reflux disease,gastroesophageal reflux disease,235595009,70861000119106,13272597-DS-24,"e PPI (Omeprazole BID)for now for her history of gastroesophageal reflux disease. -PO Dilaudid for pain control -Senna/Colace wer" "Correct entity, wrong SNOMED ID","(15469, 15481)","(15469, 15481)",pain control,pain control,225782006,370778008,13272597-DS-24,"astroesophageal reflux disease. -PO Dilaudid for pain control -Senna/Colace were provided for a bowel regimen. " Missed entity,"(15483, 15495)",,Senna/Colace,,225948006,,13272597-DS-24,"l reflux disease. -PO Dilaudid for pain control -Senna/Colace were provided for a bowel regimen. . #Code Statu" Wrong span,"(15522, 15529)","(15516, 15529)",regimen,bowel regimen,133877004,710140005,13272597-DS-24,"n control -Senna/Colace were provided for a bowel regimen. . #Code Status/Communication - Lastly, the pati" "Correct entity, wrong SNOMED ID","(18854, 18871)","(18854, 18871)",Home With Service,Home With Service,385783005,710242005,13272597-DS-24,"care physician, ___ ___ Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Primary: L" Wrong span,"(18920, 18932)","(18920, 18941)",Left Buttock,Left Buttock Hematoma,723979003,11491000087105,13272597-DS-24,"e Facility: ___ Discharge Diagnosis: Primary: Left Buttock Hematoma Atypical Chest Pain . Secondary: Common" Wrong span,"(18933, 18941)","(18920, 18941)",Hematoma,Left Buttock Hematoma,35566002,11491000087105,13272597-DS-24," ___ Discharge Diagnosis: Primary: Left Buttock Hematoma Atypical Chest Pain . Secondary: Common Variable" "Correct entity, wrong SNOMED ID","(18976, 19008)","(18976, 19008)",Common Variable Immunodeficiency,Common Variable Immunodeficiency,23238000,191010004,13272597-DS-24,"uttock Hematoma Atypical Chest Pain . Secondary: Common Variable Immunodeficiency Asthma. Obstructive Sleep Apnea Borderline " "Correct entity, wrong SNOMED ID","(19011, 19017)","(19011, 19017)",Asthma,Asthma,195967001,281239006,13272597-DS-24," . Secondary: Common Variable Immunodeficiency Asthma. Obstructive Sleep Apnea Borderline Personali" "Correct entity, wrong SNOMED ID","(19082, 19101)","(19082, 19101)",Somatoform Disorder,Somatoform Disorder,31297008,191962000,13272597-DS-24," Sleep Apnea Borderline Personality Disorder. Somatoform Disorder. Multiple PEs on chronic coumadin Lupus antic" "Correct entity, wrong SNOMED ID","(19114, 19117)","(19114, 19117)",PEs,PEs,133971000119108,278015009,13272597-DS-24,"ality Disorder. Somatoform Disorder. Multiple PEs on chronic coumadin Lupus anticoagulant. Fibr" Missed entity,"(19121, 19128)",,chronic,,266713003,,13272597-DS-24,"isorder. Somatoform Disorder. Multiple PEs on chronic coumadin Lupus anticoagulant. Fibromyalgia. " Missed entity,"(19129, 19137)",,coumadin,,182764009,,13272597-DS-24," Somatoform Disorder. Multiple PEs on chronic coumadin Lupus anticoagulant. Fibromyalgia. Sexual a" "Correct entity, wrong SNOMED ID","(19140, 19159)","(19140, 19159)",Lupus anticoagulant,Lupus anticoagulant,19267009,55464009,13272597-DS-24,"rm Disorder. Multiple PEs on chronic coumadin Lupus anticoagulant. Fibromyalgia. Sexual abuse history Posttrau" "Correct entity, wrong SNOMED ID","(19163, 19175)","(19163, 19175)",Fibromyalgia,Fibromyalgia,203082005,95417003,13272597-DS-24," PEs on chronic coumadin Lupus anticoagulant. Fibromyalgia. Sexual abuse history Posttraumatic stress dis" "Correct entity, wrong SNOMED ID","(19179, 19191)","(19179, 19191)",Sexual abuse,Sexual abuse,225826001,12399051000119103,13272597-DS-24,"coumadin Lupus anticoagulant. Fibromyalgia. Sexual abuse history Posttraumatic stress disorder. Multipl" "Correct entity, wrong SNOMED ID","(19201, 19230)","(19201, 19230)",Posttraumatic stress disorder,Posttraumatic stress disorder,47505003,313182004,13272597-DS-24,"oagulant. Fibromyalgia. Sexual abuse history Posttraumatic stress disorder. Multiple psychiatric hospitalizations for suic" "Correct entity, wrong SNOMED ID","(19243, 19254)","(19243, 19254)",psychiatric,psychiatric,24642003,161464003,13272597-DS-24,"istory Posttraumatic stress disorder. Multiple psychiatric hospitalizations for suicide attempts/depression" "Correct entity, wrong SNOMED ID","(19276, 19293)","(19276, 19293)","suicide attempts","suicide attempts",304594002,440144004,13272597-DS-24,"rder. Multiple psychiatric hospitalizations for suicide attempts/depression. Chest Pain/Dyspnea Syndrome of uncl" "Correct entity, wrong SNOMED ID","(19294, 19304)","(19294, 19304)",depression,depression,35489007,26141007,13272597-DS-24,"sychiatric hospitalizations for suicide attempts/depression. Chest Pain/Dyspnea Syndrome of unclear etiolog" "Correct entity, wrong SNOMED ID","(19308, 19318)","(19308, 19318)",Chest Pain,Chest Pain,29857009,102589003,13272597-DS-24,"pitalizations for suicide attempts/depression. Chest Pain/Dyspnea Syndrome of unclear etiology Dischar" Wrong span,"(19319, 19326)","(19319, 19335)",Dyspnea,Dyspnea Syndrome,267036007,590365011000119106,13272597-DS-24,"ns for suicide attempts/depression. Chest Pain/Dyspnea Syndrome of unclear etiology Discharge Condi" Wrong span,"(19327, 19335)","(19319, 19335)",Syndrome,Dyspnea Syndrome,64572001,590365011000119106,13272597-DS-24,"uicide attempts/depression. Chest Pain/Dyspnea Syndrome of unclear etiology Discharge Condition: Goo" Missed entity,"(19382, 19386)",,Good,,162669003,,13272597-DS-24,"ome of unclear etiology Discharge Condition: Good. At time of discharge the patient's pain was well" "Correct entity, wrong SNOMED ID","(19457, 19480)","(19457, 19480)",vital signs were stable,vital signs were stable,72970002,193844000,13272597-DS-24,"e the patient's pain was well controlled and her vital signs were stable. Discharge Instructions: It was a pleasure ta" "Correct entity, wrong SNOMED ID","(19626, 19634)","(19626, 19634)",hematoma,hematoma,35566002,784408000,13272597-DS-24,"hospitalization. . You were admitted with a large hematoma on your left buttock. The area was drained due t" "Correct entity, wrong SNOMED ID","(19643, 19655)","(19643, 19655)",left buttock,left buttock,723979003,1230055005,13272597-DS-24,". You were admitted with a large hematoma on your left buttock. The area was drained due to initial concerns ov" "Correct entity, wrong SNOMED ID","(19671, 19678)","(19671, 19678)",drained,drained,56783008,313322005,13272597-DS-24,"arge hematoma on your left buttock. The area was drained due to initial concerns over a possible abscess." "Correct entity, wrong SNOMED ID","(19720, 19727)","(19720, 19727)",abscess,abscess,128477000,196341005,13272597-DS-24," drained due to initial concerns over a possible abscess. You were given oral and intravenous medications " "Correct entity, wrong SNOMED ID","(19744, 19748)","(19744, 19748)",oral,oral,386359008,129080004,13272597-DS-24,"concerns over a possible abscess. You were given oral and intravenous medications for pain control. Th" Wrong span,"(19753, 19764)","(19753, 19776)",intravenous,intravenous medications,386358000,386358000,13272597-DS-24,"over a possible abscess. You were given oral and intravenous medications for pain control. The area did not a" Wrong span,"(19765, 19776)","(19753, 19776)",medications,intravenous medications,52685006,386358000,13272597-DS-24,"ble abscess. You were given oral and intravenous medications for pain control. The area did not appear to be " "Correct entity, wrong SNOMED ID","(19782, 19794)","(19782, 19794)",pain control,pain control,225782006,370778008,13272597-DS-24," were given oral and intravenous medications for pain control. The area did not appear to be infected but there" "Correct entity, wrong SNOMED ID","(19868, 19876)","(19868, 19876)",bleeding,bleeding,131148009,74474003,13272597-DS-24,"r to be infected but there was a small amount of bleeding. Please continue to cover the open wound site wi" Wrong span,"(19908, 19918)","(19908, 19923)",open wound,open wound site,609343002,288086009,13272597-DS-24,"amount of bleeding. Please continue to cover the open wound site with sterile dry dressings twice daily. . Yo" Missed entity,"(19929, 19949)",,sterile dry dressing,,58828004,,13272597-DS-24,"lease continue to cover the open wound site with sterile dry dressings twice daily. . You also had some chest pain whic" "Correct entity, wrong SNOMED ID","(19984, 19994)","(19984, 19994)",chest pain,chest pain,29857009,444821009,13272597-DS-24,"le dry dressings twice daily. . You also had some chest pain which was evaluated with monitoring and blood te" "Correct entity, wrong SNOMED ID","(20020, 20030)","(20020, 20030)",monitoring,monitoring,239516002,86265008,13272597-DS-24,"also had some chest pain which was evaluated with monitoring and blood tests. These lab tests showed no abnor" "Correct entity, wrong SNOMED ID","(20036, 20047)","(20036, 20047)",blood tests,blood tests,396550006,275707000,13272597-DS-24,"est pain which was evaluated with monitoring and blood tests. These lab tests showed no abnormalities consist" Wrong span,"(20075, 20088)","(20072, 20088)",abnormalities,no abnormalities,281900007,281900007,13272597-DS-24,"oring and blood tests. These lab tests showed no abnormalities consistent with a heart attack. Chest imaging wa" "Correct entity, wrong SNOMED ID","(20108, 20120)","(20108, 20120)",heart attack,heart attack,22298006,247818001,13272597-DS-24," tests showed no abnormalities consistent with a heart attack. Chest imaging was also done and showed no signs" "Correct entity, wrong SNOMED ID","(20122, 20135)","(20122, 20135)",Chest imaging,Chest imaging,413815006,432399008,13272597-DS-24,"no abnormalities consistent with a heart attack. Chest imaging was also done and showed no signs of any pulmona" Missed entity,"(20165, 20170)",,signs,,72670004,,13272597-DS-24,"ttack. Chest imaging was also done and showed no signs of any pulmonary embolisms. . Please return to t" "Correct entity, wrong SNOMED ID","(20178, 20197)","(20178, 20197)",pulmonary embolisms,pulmonary embolisms,59282003,706870000,13272597-DS-24,"imaging was also done and showed no signs of any pulmonary embolisms. . Please return to the emergency room or call y" Missed entity,"(20209, 20237)",,return to the emergency room,,385868005,,13272597-DS-24,"ed no signs of any pulmonary embolisms. . Please return to the emergency room or call your primary care doctor if you have any" Missed entity,"(20251, 20263)",,primary care,,737470001,,13272597-DS-24," Please return to the emergency room or call your primary care doctor if you have any fevers, chills, joint pai" "Correct entity, wrong SNOMED ID","(20288, 20294)","(20288, 20294)",fevers,fevers,386661006,248444008,13272597-DS-24,"or call your primary care doctor if you have any fevers, chills, joint pains, bleeding at hematoma site " "Correct entity, wrong SNOMED ID","(20296, 20302)","(20296, 20302)",chills,chills,43724002,274640006,13272597-DS-24,"your primary care doctor if you have any fevers, chills, joint pains, bleeding at hematoma site on left " "Correct entity, wrong SNOMED ID","(20304, 20315)","(20304, 20315)",joint pains,joint pains,57676002,202478007,13272597-DS-24,"mary care doctor if you have any fevers, chills, joint pains, bleeding at hematoma site on left buttock, ches" "Correct entity, wrong SNOMED ID","(20317, 20325)","(20317, 20325)",bleeding,bleeding,131148009,74474003,13272597-DS-24,"ctor if you have any fevers, chills, joint pains, bleeding at hematoma site on left buttock, chest pain, sh" Wrong span,"(20330, 20338)","(20330, 20343)",hematoma,hematoma site,35566002,95385002,13272597-DS-24,"ave any fevers, chills, joint pains, bleeding at hematoma site on left buttock, chest pain, shortness of br" "Correct entity, wrong SNOMED ID","(20347, 20359)","(20347, 20359)",left buttock,left buttock,723979003,1230055005,13272597-DS-24,"hills, joint pains, bleeding at hematoma site on left buttock, chest pain, shortness of breath, dizziness, wea" "Correct entity, wrong SNOMED ID","(20361, 20371)","(20361, 20371)",chest pain,chest pain,29857009,444821009,13272597-DS-24,"ains, bleeding at hematoma site on left buttock, chest pain, shortness of breath, dizziness, weakness or any" "Correct entity, wrong SNOMED ID","(20373, 20392)","(20373, 20392)",shortness of breath,shortness of breath,267036007,135833008,13272597-DS-24,"ng at hematoma site on left buttock, chest pain, shortness of breath, dizziness, weakness or any other health concern" "Correct entity, wrong SNOMED ID","(20395, 20404)","(20395, 20404)",dizziness,dizziness,404640003,1141711004,13272597-DS-24,"n left buttock, chest pain, shortness of breath, dizziness, weakness or any other health concerns. . F" False positive,,"(757, 765)",,clotting,,248253003,13602608-DS-6,"ating to the chest, and her PCP was ___ PE given clotting hx, so rec'd CT Chest but was not completed. Tod" False positive,,"(1500, 1502)",,co,,256526003,13602608-DS-6,"her report, had initial clot ___ yrs ago, was on coumadin for ppx, but then had CVA while INR therape" False positive,,"(1784, 1793)",,surgeries,,408463005,13602608-DS-6,"perienced a arterial thrombus in LLE requiring 6 surgeries and eventual amputation. She was then restarted " False positive,,"(2149, 2152)",,TWI,,258001008,13602608-DS-6,"air. On EKG was noted to have NSR @ 120, LAD, no TWI, 1mm ST depressions II. Labs significant for WBC" False positive,,"(2282, 2290)",,negative,,268375009,13602608-DS-6,"e 1.5, GLC 436, +Ketones in urine, but otherwise negative UA. Coags normal. CTA chest identified large cen" False positive,,"(2374, 2378)",,main,,51278002,13602608-DS-6,"tified large central pulmonary embolus within the main pulmonary artery, extending to the left main, " False positive,,"(3341, 3349)",,clotting,,248253003,13602608-DS-6,"Social History: ___ Family History: ather has had clotting issues, arterial thrombi in legs, ESRD on HD, DM" False positive,,"(3417, 3421)",,clot,,75753009,13602608-DS-6,"thrombi in legs, ESRD on HD, DM Grandmother w/ clotting issues, CVA No one with sarcoid Physica" False positive,,"(3452, 3459)",,sarcoid,,234531008,13602608-DS-6,"Grandmother w/ clotting issues, CVA No one with sarcoid Physical Exam: Admission Physical: ----------" False positive,,"(3556, 3557)",,F,,257987005,13602608-DS-6,"----------- Vitals 97.5, 134/87, P95, R20, O293RA FSG 240 GENERAL: NAD, pleasant, sitting in bed, s" False positive,,"(3772, 3774)",,S1,,82609006,13602608-DS-6,"CK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB w/ " False positive,,"(4274, 4276)",,RA,,463051000124105,13602608-DS-6,": ------------------]Vitals 98.6 145/89 52 19 04% RA ___ 205-330 GENERAL: NAD, pleasant, standing, ale" False positive,,"(4345, 4350)",,HEENT,,113665002,13602608-DS-6,"L: NAD, pleasant, standing, alert and orientated. HEENT: AT/NC, EOMI, PERRL but constricted pupils, anic" False positive,,"(4437, 4441)",,NECK,,840674001,13602608-DS-6," pupils, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S" False positive,,"(4443, 4452)",,nontender,,413319007,13602608-DS-6,"s, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmu" False positive,,"(4546, 4565)",,unlabored breathing,,424139009,13602608-DS-6," murmurs, gallops, or rubs LUNG: Bibasilar rales, unlabored breathing, no accessory muscle use. ABDOMEN: nondistended," False positive,,"(4570, 4586)",,accessory muscle,,239273004,13602608-DS-6,"bs LUNG: Bibasilar rales, unlabored breathing, no accessory muscle use. ABDOMEN: nondistended, +BS, nontender in al" False positive,,"(4602, 4614)",,nondistended,,441380004,13602608-DS-6,"red breathing, no accessory muscle use. ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/gua" False positive,,"(4621, 4630)",,nontender,,413319007,13602608-DS-6,"ccessory muscle use. ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepato" False positive,,"(5061, 5064)",,MCH,,54706004,13602608-DS-6,"0PM WBC-10.7 RBC-4.30 HGB-14.3 HCT-39.3 MCV-91 MCH-33.1* MCHC-36.3* RDW-13.1 ___ 07:20PM PLT COUNT" False positive,,"(5416, 5419)",,MCH,,54706004,13602608-DS-6,"PM WBC-12.9* RBC-4.73 HGB-15.4 HCT-43.3 MCV-91 MCH-32.6* MCHC-35.6* RDW-13.2 ___ 10:45PM NEUTS-72." False positive,,"(5614, 5617)",,WBC,,391558003,13602608-DS-6," Discharge Labs: -------------- ___ 09:10AM BLOOD WBC-16.1* RBC-4.24 Hgb-13.9 Hct-40.6 MCV-96 MCH-32.8" False positive,,"(6716, 6720)",,free,,249117000,13602608-DS-6," (LVEF >55%). Right ventricular chamber size and free wall motion are normal. The diameters of aorta at" False positive,,"(6859, 6878)",,structurally normal,,840673007,13602608-DS-6,"are normal. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenos" False positive,,"(7726, 7733)",,TotBili,,424388002,13602608-DS-6,"___ 09:10AM BLOOD ALT-129* AST-116* AlkPhos-248* TotBili-0.2 ___ 06:30AM BLOOD Calcium-10.0 Phos-4.6* Mg-1" False positive,,"(8059, 8066)",,heparin,,412201008,13602608-DS-6,"medicine for further workup. She was started on heparin drip and then bridged to warfarin with INR goal " False positive,,"(8256, 8262)",,venous,,122972007,13602608-DS-6,"t not noted on echo. Patient with history of both venous and arterial clots, with family history of multi" False positive,,"(8424, 8428)",,work,,451271000124100,13602608-DS-6,"he has not been off anticoagulation to allow for work-up of her clotting disorder. Per review of reco" False positive,,"(8491, 8498)",,clotted,,281279002,13602608-DS-6,"otting disorder. Per review of records, she has clotted through plavix and fondaparinux despite reported" False positive,,"(8566, 8573)",,clotted,,281279002,13602608-DS-6,"nd fondaparinux despite reported adherence. Also clotted through warfarin that was at goal (however, INR " False positive,,"(8583, 8586)",,war,,257874000,13602608-DS-6,"espite reported adherence. Also clotted through warfarin that was at goal (however, INR goal unknonw)" False positive,,"(8736, 8744)",,familial,,254133005,13602608-DS-6,"DM and smoking but likely patient has underlying familial clotting disorder. Given history of multiple spo" False positive,,"(8931, 8938)",,heparin,,412201008,13602608-DS-6,"al. Heme-onc was consulted. She was started on heparin and bridged to warfarin with goal INR 2.5-3.5. S" False positive,,"(9092, 9096)",,RBCs,,258759006,13602608-DS-6,"complaining of assymptomatic hematuria. U/A with RBCs but not clean catch. She will need hematuria wor" False positive,,"(9133, 9142)",,hematuria,,197940006,13602608-DS-6,"/A with RBCs but not clean catch. She will need hematuria work-up as outpatient. #Hyperglycemia/DM unco" False positive,,"(9243, 9251)",,diabetes,,82980005,13602608-DS-6,"trolled: ___ 220-225. Pt w/ difficult to control diabetes w/ recent HbA1c of ~11%, on BID lantus and large" False positive,,"(9368, 9377)",,prednison,,10312003,13602608-DS-6," ___ note. Most likely complicated by concurrent prednisone use. Given elevated AG, Ketones in Urine and Gl" False positive,,"(9453, 9456)",,VBG,,293868007,13602608-DS-6,"Ketones in Urine and Glc >400, ___ DKA but later VBG showed pH of 7.37 and HCO3 of 24. Given 8U in ED" False positive,,"(9464, 9466)",,pH,,264912003,13602608-DS-6,"Urine and Glc >400, ___ DKA but later VBG showed pH of 7.37 and HCO3 of 24. Given 8U in ED initially" False positive,,"(9479, 9483)",,HCO3,,88645003,13602608-DS-6,">400, ___ DKA but later VBG showed pH of 7.37 and HCO3 of 24. Given 8U in ED initially, then 10U therea" False positive,,"(9609, 9617)",,elevated,,50177009,13602608-DS-6," intravascular volume as above. Her ___ remained elevated 200-300 during stay. Her lantus was not changed b" False positive,,"(9770, 9788)",,negative troponins,,115822004,13602608-DS-6," held. # Chest pain: Presented with chest pain, negative troponins, stable EKG. Unclear etiology. Could be from sar" False positive,,"(9835, 9842)",,sarcoid,,234531008,13602608-DS-6,"ins, stable EKG. Unclear etiology. Could be from sarcoid. Unlikely further PEs as patient anticoagulated." False positive,,"(10480, 10487)",,preload,,457651000124103,13602608-DS-6,"ive in patient with right heart strain as she is preload dependent. #Depression Continue home meds (abili" False positive,,"(10857, 10864)",,calcium,,108601004,13602608-DS-6,"ssary. Would recommend taper in future. Consider calcium, vitamin D as an outpatient for bone health - Hy" False positive,,"(10898, 10909)",,bone health,,9723006,13602608-DS-6,"Consider calcium, vitamin D as an outpatient for bone health - Hyperglycemia continues to be issue and patient" False positive,,"(11186, 11199)",,RBCs in urine,,648131000005102,13602608-DS-6,"ns of infection, please trend CBC - Patient with RBCs in urine, should be worked up as oupatient - Patient had e" False positive,,"(11211, 11217)",,worked,,451271000124100,13602608-DS-6,"trend CBC - Patient with RBCs in urine, should be worked up as oupatient - Patient had elevated LFTs, her " False positive,,"(13200, 13203)",,AST,,85043005,13602608-DS-6," PO QHS 19. Outpatient Lab Work Please draw INR, AST, ALT, Total bilirubin, Alkaline phosphatase ICD9:" False positive,,"(13205, 13208)",,ALT,,364571000119101,13602608-DS-6,"HS 19. Outpatient Lab Work Please draw INR, AST, ALT, Total bilirubin, Alkaline phosphatase ICD9: 573." False positive,,"(13210, 13225)",,Total bilirubin,,176271000119108,13602608-DS-6,"9. Outpatient Lab Work Please draw INR, AST, ALT, Total bilirubin, Alkaline phosphatase ICD9: 573.3, 415.1 Please s" False positive,,"(13227, 13247)",,Alkaline phosphatase,,712631000,13602608-DS-6," Work Please draw INR, AST, ALT, Total bilirubin, Alkaline phosphatase ICD9: 573.3, 415.1 Please send to: Dr. ___: ___ 2" False positive,,"(13503, 13514)",,interactive,,10301000202103,13602608-DS-6,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" False positive,,"(13757, 13771)",,blood thinning,,5357009,13602608-DS-6,"ver injury. How was it treated? You were given a blood thinning medicine (heparin). We asked the hematology docto" False positive,,"(13782, 13789)",,heparin,,412201008,13602608-DS-6,"reated? You were given a blood thinning medicine (heparin). We asked the hematology doctors to make ___ on " "Correct entity, wrong SNOMED ID","(181, 192)","(181, 192)",Penicillins,Penicillins,91936005,11986009,13602608-DS-6," Sex: F Service: MEDICINE Allergies: Penicillins / latex / morphine / aspirin / eggs / shellfish " "Correct entity, wrong SNOMED ID","(195, 200)","(195, 200)",latex,latex,1003755004,1003753006,13602608-DS-6,"F Service: MEDICINE Allergies: Penicillins / latex / morphine / aspirin / eggs / shellfish derived " "Correct entity, wrong SNOMED ID","(203, 211)","(203, 211)",morphine,morphine,293601001,73572009,13602608-DS-6,"ice: MEDICINE Allergies: Penicillins / latex / morphine / aspirin / eggs / shellfish derived Attending" "Correct entity, wrong SNOMED ID","(214, 221)","(214, 221)",aspirin,aspirin,293586001,25796002,13602608-DS-6,"NE Allergies: Penicillins / latex / morphine / aspirin / eggs / shellfish derived Attending: ___. C" "Correct entity, wrong SNOMED ID","(224, 228)","(224, 228)",eggs,eggs,213020009,284716000,13602608-DS-6,"gies: Penicillins / latex / morphine / aspirin / eggs / shellfish derived Attending: ___. Chief Co" "Correct entity, wrong SNOMED ID","(231, 240)","(231, 240)",shellfish,shellfish,300913006,765097005,13602608-DS-6,"Penicillins / latex / morphine / aspirin / eggs / shellfish derived Attending: ___. Chief Complaint: che" "Correct entity, wrong SNOMED ID","(287, 297)","(287, 297)",chest pain,chest pain,29857009,102589003,13602608-DS-6,"ish derived Attending: ___. Chief Complaint: chest pain Major Surgical or Invasive Procedure: none " "Correct entity, wrong SNOMED ID","(386, 397)","(386, 397)",Sarcoidosis,Sarcoidosis,31541009,111937006,13602608-DS-6,": none History of Present Illness: ___ PMH of Sarcoidosis, Clotting Disorder (Unclear Type, c/b PEs, CVAs," "Correct entity, wrong SNOMED ID","(437, 440)","(437, 440)",PEs,PEs,59282003,278015009,13602608-DS-6,"arcoidosis, Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11." "Correct entity, wrong SNOMED ID","(442, 446)","(442, 446)",CVAs,CVAs,230690007,425010001,13602608-DS-6,"dosis, Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), wh" Wrong span,"(448, 451)","(448, 459)",LLE,LLE infarct,32153003,85844000,13602608-DS-6," Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), who pr" Wrong span,"(452, 459)","(448, 459)",infarct,LLE infarct,55641003,85844000,13602608-DS-6,"tting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), who presented " "Correct entity, wrong SNOMED ID","(464, 474)","(464, 474)",amputation,amputation,81723002,197357002,13602608-DS-6,"er (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), who presented to ED w/ pleuri" "Correct entity, wrong SNOMED ID","(477, 479)","(477, 479)",DM,DM,73211009,258671008,13602608-DS-6,"ype, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), who presented to ED w/ pleuritic C" "Correct entity, wrong SNOMED ID","(518, 530)","(518, 530)",pleuritic CP,pleuritic CP,2237002,7921000119104,13602608-DS-6,"tation), DM (HbA1c 11.8), who presented to ED w/ pleuritic CP, found to have large PE and Hyperglycemia and wa" "Correct entity, wrong SNOMED ID","(552, 554)","(552, 554)",PE,PE,59282003,20503002,13602608-DS-6,"sented to ED w/ pleuritic CP, found to have large PE and Hyperglycemia and was admitted to medicine f" "Correct entity, wrong SNOMED ID","(560, 573)","(560, 573)",Hyperglycemia,Hyperglycemia,80394007,237623001,13602608-DS-6,"o ED w/ pleuritic CP, found to have large PE and Hyperglycemia and was admitted to medicine for further workup. " Missed entity,"(615, 621)",,workup,,386053000,,13602608-DS-6,"glycemia and was admitted to medicine for further workup. In looking at pt's visit notes from ___, pt no" Wrong span,"(675, 702)","(675, 687)","right sided abdominal pain","right sided",285388000,125231008,13602608-DS-6,"In looking at pt's visit notes from ___, pt noted right sided abdominal pain radiating to the chest, and her PCP was ___ PE g" "Correct entity, wrong SNOMED ID","(703, 712)","(703, 712)",radiating,radiating,9972008,161892003,13602608-DS-6,"es from ___, pt noted right sided abdominal pain radiating to the chest, and her PCP was ___ PE given clott" Missed entity,"(720, 725)",,chest,,51185008,,13602608-DS-6,"oted right sided abdominal pain radiating to the chest, and her PCP was ___ PE given clotting hx, so re" "Correct entity, wrong SNOMED ID","(748, 750)","(748, 750)",PE,PE,59282003,20503002,13602608-DS-6,"pain radiating to the chest, and her PCP was ___ PE given clotting hx, so rec'd CT Chest but was not " "Correct entity, wrong SNOMED ID","(843, 852)","(843, 852)",pleuritic,pleuritic,2237002,314043005,13602608-DS-6,"as not completed. Today, she presented to ED c/o pleuritic left sided chest pain of sudden onset starting a" "Correct entity, wrong SNOMED ID","(912, 915)","(912, 915)",SOB,SOB,267036007,43731003,13602608-DS-6,"d chest pain of sudden onset starting at 6pm a/w SOB, left sided chest pain, diaphoresis, same as sym" "Correct entity, wrong SNOMED ID","(941, 952)","(941, 952)",diaphoresis,diaphoresis,52613005,1354698007,13602608-DS-6," starting at 6pm a/w SOB, left sided chest pain, diaphoresis, same as symptoms a/w prior PE's so was concerned" "Correct entity, wrong SNOMED ID","(981, 983)","(981, 983)",PE,PE,59282003,20503002,13602608-DS-6,"st pain, diaphoresis, same as symptoms a/w prior PE's so was concerned and came to ED. Of note, pt i" "Correct entity, wrong SNOMED ID","(1042, 1054)","(1042, 1054)",tobacco user,tobacco user,110483000,702975009,13602608-DS-6," concerned and came to ED. Of note, pt is active tobacco user, and had a recent flight from ___ to ___ 2 days " "Correct entity, wrong SNOMED ID","(1226, 1229)","(1226, 1229)",CVA,CVA,230690007,1131000119105,13602608-DS-6," and grandmother who had multiple clots including CVA/PE. She reports extensive w/u of which we dont h" "Correct entity, wrong SNOMED ID","(1230, 1232)","(1230, 1232)",PE,PE,59282003,20503002,13602608-DS-6," grandmother who had multiple clots including CVA/PE. She reports extensive w/u of which we dont have" "Correct entity, wrong SNOMED ID","(1334, 1341)","(1334, 1341)",sarcoid,sarcoid,31541009,234531008,13602608-DS-6,"ecords but said they concluded it was due to her sarcoid, despite the fact that she is the only member in" "Correct entity, wrong SNOMED ID","(1413, 1420)","(1413, 1420)",sarcoid,sarcoid,31541009,234531008,13602608-DS-6,"t she is the only member in her family with both sarcoid and clotting issues. As per her report, had init" "Correct entity, wrong SNOMED ID","(1513, 1516)","(1513, 1516)",ppx,ppx,169443000,421806008,13602608-DS-6,"ad initial clot ___ yrs ago, was on coumadin for ppx, but then had CVA while INR therapeutic so was s" "Correct entity, wrong SNOMED ID","(1531, 1534)","(1531, 1534)",CVA,CVA,230690007,1131000119105,13602608-DS-6,"_ yrs ago, was on coumadin for ppx, but then had CVA while INR therapeutic so was siwtched to lovenox" "Correct entity, wrong SNOMED ID","(1747, 1764)","(1747, 1764)",arterial thrombus,arterial thrombus,65198009,300919005,13602608-DS-6,"o events. <6 months after weaning, experienced a arterial thrombus in LLE requiring 6 surgeries and eventual amputa" "Correct entity, wrong SNOMED ID","(1768, 1771)","(1768, 1771)",LLE,LLE,32153003,420296000,13602608-DS-6,"fter weaning, experienced a arterial thrombus in LLE requiring 6 surgeries and eventual amputation. S" "Correct entity, wrong SNOMED ID","(1808, 1818)","(1808, 1818)",amputation,amputation,81723002,197357002,13602608-DS-6,"rombus in LLE requiring 6 surgeries and eventual amputation. She was then restarted on lovenox given prior s" "Correct entity, wrong SNOMED ID","(1891, 1893)","(1891, 1893)",PE,PE,59282003,20503002,13602608-DS-6,"d on lovenox given prior success but experienced PE ___ year later and had to be switched to Fondapa" "Correct entity, wrong SNOMED ID","(2017, 2019)","(2017, 2019)",VS,VS,118227000,313611000,13602608-DS-6," on the Fondaparinux until now. In ED, initial VS were: 98.3 112 126/77 28 100% 2L Nasal Cannula b" "Correct entity, wrong SNOMED ID","(2053, 2066)","(2053, 2066)",Nasal Cannula,Nasal Cannula,371907003,336623009,13602608-DS-6,"n ED, initial VS were: 98.3 112 126/77 28 100% 2L Nasal Cannula but was quickly weaned to room air. On EKG was n" "Correct entity, wrong SNOMED ID","(2107, 2110)","(2107, 2110)",EKG,EKG,29303009,75444003,13602608-DS-6,"l Cannula but was quickly weaned to room air. On EKG was noted to have NSR @ 120, LAD, no TWI, 1mm ST" "Correct entity, wrong SNOMED ID","(2129, 2132)","(2129, 2132)",NSR,NSR,64730000,258699004,13602608-DS-6,"ckly weaned to room air. On EKG was noted to have NSR @ 120, LAD, no TWI, 1mm ST depressions II. Labs " "Correct entity, wrong SNOMED ID","(2141, 2144)","(2141, 2144)",LAD,LAD,39732003,1010291002,13602608-DS-6,"to room air. On EKG was noted to have NSR @ 120, LAD, no TWI, 1mm ST depressions II. Labs significant " Missed entity,"(2173, 2175)",,II,,272730000,,13602608-DS-6," have NSR @ 120, LAD, no TWI, 1mm ST depressions II. Labs significant for WBC 12.9, HCO3 20 (AG 16)," "Correct entity, wrong SNOMED ID","(2199, 2202)","(2199, 2202)",WBC,WBC,767002,391558003,13602608-DS-6,"TWI, 1mm ST depressions II. Labs significant for WBC 12.9, HCO3 20 (AG 16), Lactate 1.5, GLC 436, +Ket" Wrong span,"(2249, 2266)","(2261, 2266)","Ketones in urine",urine,274783007,78888000,13602608-DS-6,"WBC 12.9, HCO3 20 (AG 16), Lactate 1.5, GLC 436, +Ketones in urine, but otherwise negative UA. Coags normal. CTA che" "Correct entity, wrong SNOMED ID","(2291, 2293)","(2291, 2293)",UA,UA,27171005,257999003,13602608-DS-6,"C 436, +Ketones in urine, but otherwise negative UA. Coags normal. CTA chest identified large centra" Missed entity,"(2295, 2307)",,Coags normal,,165562007,,13602608-DS-6,"6, +Ketones in urine, but otherwise negative UA. Coags normal. CTA chest identified large central pulmonary em" "Correct entity, wrong SNOMED ID","(2345, 2362)","(2345, 2362)",pulmonary embolus,pulmonary embolus,59282003,161512007,13602608-DS-6,"Coags normal. CTA chest identified large central pulmonary embolus within the main pulmonary artery, extending to" "Correct entity, wrong SNOMED ID","(2380, 2396)","(2380, 2396)",pulmonary artery,pulmonary artery,81040000,260570004,13602608-DS-6," large central pulmonary embolus within the main pulmonary artery, extending to the left main, left upper lobar, " "Correct entity, wrong SNOMED ID","(2417, 2426)","(2417, 2426)",left main,left main,50408007,362034004,13602608-DS-6,"in the main pulmonary artery, extending to the left main, left upper lobar, lingular, and left lower loba" "Correct entity, wrong SNOMED ID","(2428, 2444)","(2428, 2444)",left upper lobar,left upper lobar,44714003,361984006,13602608-DS-6," pulmonary artery, extending to the left main, left upper lobar, lingular, and left lower lobar pulmonary w/ mil" "Correct entity, wrong SNOMED ID","(2446, 2454)","(2446, 2454)",lingular,lingular,64720009,264033005,13602608-DS-6,", extending to the left main, left upper lobar, lingular, and left lower lobar pulmonary w/ mild straight" Wrong span,"(2460, 2487)","(2460, 2477)","left lower lobar pulmonary","left lower lobar",41224006,361989001,13602608-DS-6,"to the left main, left upper lobar, lingular, and left lower lobar pulmonary w/ mild straightening of the intraventricular se" "Correct entity, wrong SNOMED ID","(2517, 2541)","(2517, 2541)","intraventricular septum","intraventricular septum",589001,447923000,13602608-DS-6,"wer lobar pulmonary w/ mild straightening of the intraventricular septum ___ right heart strain, and mild pulmonary edema." Wrong span,"(2546, 2557)","(2546, 2564)",right heart,right heart strain,79561009,941791000124108,13602608-DS-6,"straightening of the intraventricular septum ___ right heart strain, and mild pulmonary edema. Given her PE," Wrong span,"(2558, 2564)","(2546, 2564)",strain,right heart strain,48532005,941791000124108,13602608-DS-6,"g of the intraventricular septum ___ right heart strain, and mild pulmonary edema. Given her PE, pt was" "Correct entity, wrong SNOMED ID","(2575, 2590)","(2575, 2590)",pulmonary edema,pulmonary edema,19242006,40541001,13602608-DS-6,"tricular septum ___ right heart strain, and mild pulmonary edema. Given her PE, pt was started on IV UFH w/ bolu" "Correct entity, wrong SNOMED ID","(2604, 2606)","(2604, 2606)",PE,PE,59282003,20503002,13602608-DS-6,"art strain, and mild pulmonary edema. Given her PE, pt was started on IV UFH w/ bolus and given 2L N" "Correct entity, wrong SNOMED ID","(2626, 2628)","(2626, 2628)",IV,IV,386340006,258000009,13602608-DS-6,"ulmonary edema. Given her PE, pt was started on IV UFH w/ bolus and given 2L NS. She was given IV d" "Correct entity, wrong SNOMED ID","(2674, 2676)","(2674, 2676)",IV,IV,386340006,258000009,13602608-DS-6,"n IV UFH w/ bolus and given 2L NS. She was given IV dilaudid for pain. For hyperglycemia, pt was giv" "Correct entity, wrong SNOMED ID","(2690, 2694)","(2690, 2694)",pain,pain,22253000,102570003,13602608-DS-6,"s and given 2L NS. She was given IV dilaudid for pain. For hyperglycemia, pt was given 8U of humalog. " "Correct entity, wrong SNOMED ID","(2700, 2713)","(2700, 2713)",hyperglycemia,hyperglycemia,80394007,237623001,13602608-DS-6,"n 2L NS. She was given IV dilaudid for pain. For hyperglycemia, pt was given 8U of humalog. Repeat Labs showed " "Correct entity, wrong SNOMED ID","(2882, 2903)","(2882, 2903)","pleuritic chest pain","pleuritic chest pain",2237002,7921000119104,13602608-DS-6,"g On the floor: pt noted that she has continued pleuritic chest pain which hurts when coughing or taking deep breath. " Wrong span,"(2910, 2929)","(2921, 2929)",hurts when coughing,coughing,427146008,52673003,13602608-DS-6,"hat she has continued pleuritic chest pain which hurts when coughing or taking deep breath. Past Medical History: D" "Correct entity, wrong SNOMED ID","(2933, 2951)","(2933, 2951)",taking deep breath,taking deep breath,426976009,289100008,13602608-DS-6,"leuritic chest pain which hurts when coughing or taking deep breath. Past Medical History: DM - Per last ___ note " "Correct entity, wrong SNOMED ID","(2978, 2980)","(2978, 2980)",DM,DM,73211009,258671008,13602608-DS-6,"g or taking deep breath. Past Medical History: DM - Per last ___ note from ___, Lantus is 55 a nigh" "Correct entity, wrong SNOMED ID","(3077, 3088)","(3077, 3088)",Sarcoidosis,Sarcoidosis,31541009,111937006,13602608-DS-6,"ight, sliding scale 12 for 100, 14 for 150 etc Sarcoidosis Seizure Disorder Clotting Disorder (Unclear T" Wrong span,"(3091, 3107)","(3091, 3127)",Seizure Disorder,"Seizure Disorder Clotting Disorder",128613002,64779008,13602608-DS-6," scale 12 for 100, 14 for 150 etc Sarcoidosis Seizure Disorder Clotting Disorder (Unclear Type, c/b PEs, CVAs," Wrong span,"(3110, 3127)","(3091, 3127)",Clotting Disorder,"Seizure Disorder Clotting Disorder",64779008,64779008,13602608-DS-6,"14 for 150 etc Sarcoidosis Seizure Disorder Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p am" "Correct entity, wrong SNOMED ID","(3147, 3150)","(3147, 3150)",PEs,PEs,59282003,278015009,13602608-DS-6,"e Disorder Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation) Depression " "Correct entity, wrong SNOMED ID","(3152, 3156)","(3152, 3156)",CVAs,CVAs,230690007,425010001,13602608-DS-6,"order Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation) Depression HTN " "Correct entity, wrong SNOMED ID","(3158, 3161)","(3158, 3161)",LLE,LLE,32153003,420296000,13602608-DS-6," Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation) Depression HTN Ast" "Correct entity, wrong SNOMED ID","(3162, 3169)","(3162, 3169)",infarct,infarct,55641003,55470003,13602608-DS-6,"otting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation) Depression HTN Asthma Ch" "Correct entity, wrong SNOMED ID","(3175, 3185)","(3175, 3185)",amputation,amputation,81723002,197357002,13602608-DS-6,"er (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation) Depression HTN Asthma Chronic Pancreatit" "Correct entity, wrong SNOMED ID","(3189, 3199)","(3189, 3199)",Depression,Depression,35489007,26141007,13602608-DS-6,"pe, c/b PEs, CVAs, LLE infarct s/p amputation) Depression HTN Asthma Chronic Pancreatitis Moderate " "Correct entity, wrong SNOMED ID","(3202, 3205)","(3202, 3205)",HTN,HTN,38341003,10725009,13602608-DS-6,"CVAs, LLE infarct s/p amputation) Depression HTN Asthma Chronic Pancreatitis Moderate Nonpro" "Correct entity, wrong SNOMED ID","(3208, 3214)","(3208, 3214)",Asthma,Asthma,195967001,281239006,13602608-DS-6,"LLE infarct s/p amputation) Depression HTN Asthma Chronic Pancreatitis Moderate Nonproliferativ" "Correct entity, wrong SNOMED ID","(3217, 3237)","(3217, 3237)",Chronic Pancreatitis,Chronic Pancreatitis,235494005,301009006,13602608-DS-6,"ct s/p amputation) Depression HTN Asthma Chronic Pancreatitis Moderate Nonproliferative Diabetic Retinopathy " Wrong span,"(3240, 3286)","(3240, 3248)",Moderate Nonproliferative Diabetic Retinopathy,Moderate,312904009,162469005,13602608-DS-6,"epression HTN Asthma Chronic Pancreatitis Moderate Nonproliferative Diabetic Retinopathy Social History: ___ Family History: ather has" Wrong span,"(3367, 3374)","(3358, 3374)",thrombi,arterial thrombi,396339007,300919005,13602608-DS-6," History: ather has had clotting issues, arterial thrombi in legs, ESRD on HD, DM Grandmother w/ clottin" "Correct entity, wrong SNOMED ID","(3378, 3382)","(3378, 3382)",legs,legs,61685007,40927001,13602608-DS-6,"ther has had clotting issues, arterial thrombi in legs, ESRD on HD, DM Grandmother w/ clotting issues" "Correct entity, wrong SNOMED ID","(3384, 3395)","(3384, 3395)","ESRD on HD","ESRD on HD",236435004,428982002,13602608-DS-6,"as had clotting issues, arterial thrombi in legs, ESRD on HD, DM Grandmother w/ clotting issues, CVA No on" "Correct entity, wrong SNOMED ID","(3397, 3399)","(3397, 3399)",DM,DM,73211009,258671008,13602608-DS-6,"ng issues, arterial thrombi in legs, ESRD on HD, DM Grandmother w/ clotting issues, CVA No one wi" "Correct entity, wrong SNOMED ID","(3434, 3437)","(3434, 3437)",CVA,CVA,230690007,1131000119105,13602608-DS-6,"ESRD on HD, DM Grandmother w/ clotting issues, CVA No one with sarcoid Physical Exam: Admissio" "Correct entity, wrong SNOMED ID","(3518, 3524)","(3518, 3524)",Vitals,Vitals,118227000,260390007,13602608-DS-6,"ical Exam: Admission Physical: ------------------ Vitals 97.5, 134/87, P95, R20, O293RA FSG 240 GENERAL:" Missed entity,"(3553, 3555)",,RA,,722742002,,13602608-DS-6,"-------------- Vitals 97.5, 134/87, P95, R20, O293RA FSG 240 GENERAL: NAD, pleasant, sitting in bed," "Correct entity, wrong SNOMED ID","(3566, 3573)","(3566, 3573)",GENERAL,GENERAL,162673000,252398009,13602608-DS-6,"- Vitals 97.5, 134/87, P95, R20, O293RA FSG 240 GENERAL: NAD, pleasant, sitting in bed, slightly lethargi" "Correct entity, wrong SNOMED ID","(3575, 3578)","(3575, 3578)",NAD,NAD,281900007,131143000,13602608-DS-6,"97.5, 134/87, P95, R20, O293RA FSG 240 GENERAL: NAD, pleasant, sitting in bed, slightly lethargic H" Wrong span,"(3590, 3597)","(3590, 3600)",sitting,sitting in,33586001,282969008,13602608-DS-6,"95, R20, O293RA FSG 240 GENERAL: NAD, pleasant, sitting in bed, slightly lethargic HEENT: AT/NC, EOMI, " "Correct entity, wrong SNOMED ID","(3615, 3624)","(3615, 3624)",lethargic,lethargic,214264003,186499007,13602608-DS-6," GENERAL: NAD, pleasant, sitting in bed, slightly lethargic HEENT: AT/NC, EOMI, PERRL but constricted pupil" "Correct entity, wrong SNOMED ID","(3627, 3632)","(3627, 3632)",HEENT,HEENT,5880005,113665002,13602608-DS-6,"D, pleasant, sitting in bed, slightly lethargic HEENT: AT/NC, EOMI, PERRL but constricted pupils, anict" Missed entity,"(3637, 3639)",,NC,,840673007,,13602608-DS-6,"t, sitting in bed, slightly lethargic HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric s" "Correct entity, wrong SNOMED ID","(3641, 3645)","(3641, 3645)",EOMI,EOMI,103251002,67099000,13602608-DS-6,"itting in bed, slightly lethargic HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sclera," "Correct entity, wrong SNOMED ID","(3647, 3652)","(3647, 3652)",PERRL,PERRL,386666001,431291005,13602608-DS-6," in bed, slightly lethargic HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sclera, pink c" "Correct entity, wrong SNOMED ID","(3657, 3675)","(3657, 3675)",constricted pupils,constricted pupils,301939004,247013009,13602608-DS-6,"lightly lethargic HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sclera, pink conjunctiva, MMM NECK:" "Correct entity, wrong SNOMED ID","(3677, 3694)","(3677, 3694)","anicteric sclera","anicteric sclera",427801009,470731000124100,13602608-DS-6,"HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple n" "Correct entity, wrong SNOMED ID","(3696, 3712)","(3696, 3712)",pink conjunctiva,pink conjunctiva,193894004,443369007,13602608-DS-6," PERRL but constricted pupils, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARD" "Correct entity, wrong SNOMED ID","(3714, 3717)","(3714, 3717)",MMM,MMM,276398005,258673006,13602608-DS-6,"cted pupils, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: " "Correct entity, wrong SNOMED ID","(3720, 3724)","(3720, 3724)",NECK,NECK,5880005,840674001,13602608-DS-6,"upils, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1" "Correct entity, wrong SNOMED ID","(3726, 3735)","(3726, 3735)",nontender,nontender,43478001,413319007,13602608-DS-6," anicteric sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no mur" "Correct entity, wrong SNOMED ID","(3736, 3742)","(3736, 3742)",supple,supple,298475003,169743001,13602608-DS-6," sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, g" "Correct entity, wrong SNOMED ID","(3743, 3747)","(3743, 3747)",neck,neck,5880005,840674001,13602608-DS-6,"a, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallop" "Correct entity, wrong SNOMED ID","(3752, 3755)","(3752, 3755)",LAD,LAD,30746006,1010291002,13602608-DS-6,"onjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or ru" "Correct entity, wrong SNOMED ID","(3758, 3765)","(3758, 3765)",CARDIAC,CARDIAC,363003006,71892000,13602608-DS-6,"tiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG:" "Correct entity, wrong SNOMED ID","(3767, 3770)","(3767, 3770)",RRR,RRR,76863003,129960002,13602608-DS-6," NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB" "Correct entity, wrong SNOMED ID","(3775, 3777)","(3775, 3777)",S2,S2,111974005,81170007,13602608-DS-6," nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB w/ exc" "Correct entity, wrong SNOMED ID","(3782, 3789)","(3782, 3789)",murmurs,murmurs,414786004,248699005,13602608-DS-6,"der supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB w/ exception of bi" "Correct entity, wrong SNOMED ID","(3791, 3798)","(3791, 3798)",gallops,gallops,2170000,4592006,13602608-DS-6,"e neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB w/ exception of bibasilar r" "Correct entity, wrong SNOMED ID","(3810, 3814)","(3810, 3814)",LUNG,LUNG,268925001,301232003,13602608-DS-6,"RDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB w/ exception of bibasilar rales, unlabored " "Correct entity, wrong SNOMED ID","(3816, 3820)","(3816, 3820)",CTAB,CTAB,48348007,112188007,13602608-DS-6," RRR, S1/S2, no murmurs, gallops, or rubs LUNG: CTAB w/ exception of bibasilar rales, unlabored breath" "Correct entity, wrong SNOMED ID","(3837, 3846)","(3837, 3846)",bibasilar,bibasilar,10024003,704915001,13602608-DS-6,"rs, gallops, or rubs LUNG: CTAB w/ exception of bibasilar rales, unlabored breathing, no accessory muscle " "Correct entity, wrong SNOMED ID","(3847, 3852)","(3847, 3852)",rales,rales,48409008,31846006,13602608-DS-6,"s, or rubs LUNG: CTAB w/ exception of bibasilar rales, unlabored breathing, no accessory muscle use. " Wrong span,"(3879, 3895)","(3879, 3899)",accessory muscle,accessory muscle use,50847000,178272006,13602608-DS-6,"tion of bibasilar rales, unlabored breathing, no accessory muscle use. ABDOMEN: nondistended, +BS, nontender in a" "Correct entity, wrong SNOMED ID","(3903, 3910)","(3903, 3910)",ABDOMEN,ABDOMEN,225162003,75093004,13602608-DS-6," unlabored breathing, no accessory muscle use. ABDOMEN: nondistended, +BS, nontender in all quadrants, n" "Correct entity, wrong SNOMED ID","(3912, 3924)","(3912, 3924)",nondistended,nondistended,300405003,441380004,13602608-DS-6,"d breathing, no accessory muscle use. ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/gua" Boundary error,"(3927, 3929)","(3926, 3929)",BS,+BS,61539000,260347006,13602608-DS-6,"o accessory muscle use. ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding" "Correct entity, wrong SNOMED ID","(3931, 3940)","(3931, 3940)",nontender,nontender,43478001,413319007,13602608-DS-6,"cessory muscle use. ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepato" "Correct entity, wrong SNOMED ID","(3963, 3970)","(3963, 3970)",rebound,rebound,35611005,844584001,13602608-DS-6,"ondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no" "Correct entity, wrong SNOMED ID","(3984, 4002)","(3984, 4002)",hepatosplenomegaly,hepatosplenomegaly,36760000,80378000,13602608-DS-6,"tender in all quadrants, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, ha" "Correct entity, wrong SNOMED ID","(4005, 4016)","(4005, 4016)",EXTREMITIES,EXTREMITIES,302773001,248416007,13602608-DS-6,"ts, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. le" "Correct entity, wrong SNOMED ID","(4021, 4029)","(4021, 4029)",cyanosis,cyanosis,3415004,95442007,13602608-DS-6,"guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. legs are symme" "Correct entity, wrong SNOMED ID","(4031, 4039)","(4031, 4039)",clubbing,clubbing,367004,247519001,13602608-DS-6,"no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. legs are symmetrical N" "Correct entity, wrong SNOMED ID","(4043, 4048)","(4043, 4048)",edema,edema,267038008,102576009,13602608-DS-6,"enomegaly EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. legs are symmetrical NEURO: CN " Wrong span,"(4054, 4058)","(4054, 4062)",left,left BKA,32153003,128980008,13602608-DS-6," EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. legs are symmetrical NEURO: CN II-XII int" Wrong span,"(4064, 4068)","(4064, 4085)",legs,"legs are symmetrical",61685007,40927001,13602608-DS-6,"ES: no cyanosis, clubbing or edema, has left BKA. legs are symmetrical NEURO: CN II-XII intact, AOx3," "Correct entity, wrong SNOMED ID","(4088, 4093)","(4088, 4093)",NEURO,NEURO,84728005,281247006,13602608-DS-6,"g or edema, has left BKA. legs are symmetrical NEURO: CN II-XII intact, AOx3, fluent speech SKIN: wa" "Correct entity, wrong SNOMED ID","(4095, 4111)","(4095, 4111)",CN II-XII intact,CN II-XII intact,830121005,408755005,13602608-DS-6,"ema, has left BKA. legs are symmetrical NEURO: CN II-XII intact, AOx3, fluent speech SKIN: warm and well perfus" "Correct entity, wrong SNOMED ID","(4113, 4117)","(4113, 4117)",AOx3,AOx3,426224004,124161002,13602608-DS-6," legs are symmetrical NEURO: CN II-XII intact, AOx3, fluent speech SKIN: warm and well perfused, no" "Correct entity, wrong SNOMED ID","(4119, 4132)","(4119, 4132)",fluent speech,fluent speech,289196009,39423001,13602608-DS-6," are symmetrical NEURO: CN II-XII intact, AOx3, fluent speech SKIN: warm and well perfused, no excoriations o" "Correct entity, wrong SNOMED ID","(4135, 4139)","(4135, 4139)",SKIN,SKIN,271303006,444884003,13602608-DS-6," NEURO: CN II-XII intact, AOx3, fluent speech SKIN: warm and well perfused, no excoriations or lesio" "Correct entity, wrong SNOMED ID","(4141, 4145)","(4141, 4145)",warm,warm,102599008,298256005,13602608-DS-6,"RO: CN II-XII intact, AOx3, fluent speech SKIN: warm and well perfused, no excoriations or lesions, no" "Correct entity, wrong SNOMED ID","(4150, 4163)","(4150, 4163)",well perfused,well perfused,1137685003,301121007,13602608-DS-6,"-XII intact, AOx3, fluent speech SKIN: warm and well perfused, no excoriations or lesions, no rashes Dischar" "Correct entity, wrong SNOMED ID","(4168, 4180)","(4168, 4180)",excoriations,excoriations,400048001,788886000,13602608-DS-6," fluent speech SKIN: warm and well perfused, no excoriations or lesions, no rashes Discharge Physical: ----" "Correct entity, wrong SNOMED ID","(4184, 4191)","(4184, 4191)",lesions,lesions,52988006,246206008,13602608-DS-6," SKIN: warm and well perfused, no excoriations or lesions, no rashes Discharge Physical: ---------------" "Correct entity, wrong SNOMED ID","(4197, 4203)","(4197, 4203)",rashes,rashes,271807003,247472004,13602608-DS-6,"nd well perfused, no excoriations or lesions, no rashes Discharge Physical: ------------------]Vitals 9" "Correct entity, wrong SNOMED ID","(4245, 4251)","(4245, 4251)",Vitals,Vitals,118227000,260390007,13602608-DS-6," rashes Discharge Physical: ------------------]Vitals 98.6 145/89 52 19 04% RA ___ 205-330 GENERAL: NAD" "Correct entity, wrong SNOMED ID","(4289, 4296)","(4289, 4296)",GENERAL,GENERAL,162673000,252398009,13602608-DS-6,"-----]Vitals 98.6 145/89 52 19 04% RA ___ 205-330 GENERAL: NAD, pleasant, standing, alert and orientated. H" "Correct entity, wrong SNOMED ID","(4298, 4301)","(4298, 4301)",NAD,NAD,281900007,131143000,13602608-DS-6,"als 98.6 145/89 52 19 04% RA ___ 205-330 GENERAL: NAD, pleasant, standing, alert and orientated. HEENT:" "Correct entity, wrong SNOMED ID","(4313, 4321)","(4313, 4321)",standing,standing,10904000,249902000,13602608-DS-6," 52 19 04% RA ___ 205-330 GENERAL: NAD, pleasant, standing, alert and orientated. HEENT: AT/NC, EOMI, PERRL" "Correct entity, wrong SNOMED ID","(4333, 4343)","(4333, 4343)",orientated,orientated,247663003,228547007,13602608-DS-6,"5-330 GENERAL: NAD, pleasant, standing, alert and orientated. HEENT: AT/NC, EOMI, PERRL but constricted pupil" "Correct entity, wrong SNOMED ID","(4356, 4358)","(4356, 4358)",NC,NC,840673007,705056007,13602608-DS-6,"asant, standing, alert and orientated. HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sc" "Correct entity, wrong SNOMED ID","(4360, 4364)","(4360, 4364)",EOMI,EOMI,103251002,67099000,13602608-DS-6,"t, standing, alert and orientated. HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sclera, " "Correct entity, wrong SNOMED ID","(4366, 4371)","(4366, 4371)",PERRL,PERRL,386666001,431291005,13602608-DS-6,"nding, alert and orientated. HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sclera, pink c" "Correct entity, wrong SNOMED ID","(4376, 4394)","(4376, 4394)",constricted pupils,constricted pupils,301939004,247013009,13602608-DS-6,"rt and orientated. HEENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sclera, pink conjunctiva, MMM NECK: n" "Correct entity, wrong SNOMED ID","(4396, 4412)","(4396, 4412)",anicteric sclera,anicteric sclera,427801009,470731000124100,13602608-DS-6,"EENT: AT/NC, EOMI, PERRL but constricted pupils, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple ne" "Correct entity, wrong SNOMED ID","(4415, 4431)","(4415, 4431)",pink conjunctiva,pink conjunctiva,301926003,111825008,13602608-DS-6," PERRL but constricted pupils, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC:" "Correct entity, wrong SNOMED ID","(4433, 4436)","(4433, 4436)",MMM,MMM,276398005,258673006,13602608-DS-6,"cted pupils, anicteric sclera, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR," Wrong span,"(4460, 4464)","(4453, 4464)",neck,supple neck,5880005,305065009,13602608-DS-6,"ra, pink conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops," "Correct entity, wrong SNOMED ID","(4469, 4472)","(4469, 4472)",LAD,LAD,30746006,1010291002,13602608-DS-6," conjunctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs" "Correct entity, wrong SNOMED ID","(4473, 4480)","(4473, 4480)",CARDIAC,CARDIAC,363003006,71892000,13602608-DS-6,"junctiva, MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: B" "Correct entity, wrong SNOMED ID","(4482, 4485)","(4482, 4485)",RRR,RRR,76863003,129960002,13602608-DS-6," MMM NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: Bibasi" Wrong span,"(4487, 4492)","(4487, 4489)",S1/S2,S1,301132007,82609006,13602608-DS-6,"NECK: nontender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: Bibasilar ral" "Correct entity, wrong SNOMED ID","(4497, 4504)","(4497, 4504)",murmurs,murmurs,88610006,248699005,13602608-DS-6,"ender supple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: Bibasilar rales, unlabore" "Correct entity, wrong SNOMED ID","(4506, 4513)","(4506, 4513)",gallops,gallops,2170000,4592006,13602608-DS-6,"ple neck, no LAD CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: Bibasilar rales, unlabored breathi" "Correct entity, wrong SNOMED ID","(4523, 4527)","(4523, 4527)",LUNG,LUNG,268925001,301232003,13602608-DS-6,"CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: Bibasilar rales, unlabored breathing, no accesso" "Correct entity, wrong SNOMED ID","(4529, 4538)","(4529, 4538)",Bibasilar,Bibasilar,10024003,704915001,13602608-DS-6,"C: RRR, S1/S2, no murmurs, gallops, or rubs LUNG: Bibasilar rales, unlabored breathing, no accessory muscle " "Correct entity, wrong SNOMED ID","(4539, 4544)","(4539, 4544)",rales,rales,48409008,31846006,13602608-DS-6,"/S2, no murmurs, gallops, or rubs LUNG: Bibasilar rales, unlabored breathing, no accessory muscle use. A" "Correct entity, wrong SNOMED ID","(4593, 4600)","(4593, 4600)",ABDOMEN,ABDOMEN,225162003,75093004,13602608-DS-6,"s, unlabored breathing, no accessory muscle use. ABDOMEN: nondistended, +BS, nontender in all quadrants, n" Boundary error,"(4617, 4619)","(4616, 4619)",BS,+BS,61539000,260347006,13602608-DS-6,"no accessory muscle use. ABDOMEN: nondistended, +BS, nontender in all quadrants, no rebound/guarding" "Correct entity, wrong SNOMED ID","(4653, 4660)","(4653, 4660)",rebound,rebound,35611005,844584001,13602608-DS-6,"ondistended, +BS, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no c" "Correct entity, wrong SNOMED ID","(4674, 4692)","(4674, 4692)",hepatosplenomegaly,hepatosplenomegaly,36760000,80378000,13602608-DS-6,"tender in all quadrants, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, has " "Correct entity, wrong SNOMED ID","(4693, 4704)","(4693, 4704)",EXTREMITIES,EXTREMITIES,302773001,248416007,13602608-DS-6,"ants, no rebound/guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. le" "Correct entity, wrong SNOMED ID","(4709, 4717)","(4709, 4717)",cyanosis,cyanosis,3415004,95442007,13602608-DS-6,"d/guarding, no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. legs are symme" "Correct entity, wrong SNOMED ID","(4719, 4727)","(4719, 4727)",clubbing,clubbing,367004,247519001,13602608-DS-6,", no hepatosplenomegaly EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. legs are symmetrical NEU" "Correct entity, wrong SNOMED ID","(4731, 4736)","(4731, 4736)",edema,edema,267038008,102576009,13602608-DS-6,"plenomegaly EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. legs are symmetrical NEURO: CN II" "Correct entity, wrong SNOMED ID","(4742, 4750)","(4742, 4750)",left BKA,left BKA,816116009,128980008,13602608-DS-6," EXTREMITIES: no cyanosis, clubbing or edema, has left BKA. legs are symmetrical NEURO: CN II-XII grossly i" Wrong span,"(4752, 4756)","(4752, 4773)",legs,"legs are symmetrical",61685007,40927001,13602608-DS-6,"ES: no cyanosis, clubbing or edema, has left BKA. legs are symmetrical NEURO: CN II-XII grossly intact," "Correct entity, wrong SNOMED ID","(4774, 4779)","(4774, 4779)",NEURO,NEURO,84728005,281247006,13602608-DS-6,"ing or edema, has left BKA. legs are symmetrical NEURO: CN II-XII grossly intact, AOx3, fluent speech SK" Wrong span,"(4781, 4805)","(4781, 4790)",CN II-XII grossly intact,CN II-XII,830121005,55386006,13602608-DS-6,"edema, has left BKA. legs are symmetrical NEURO: CN II-XII grossly intact, AOx3, fluent speech SKIN: warm and well perfused" "Correct entity, wrong SNOMED ID","(4807, 4811)","(4807, 4811)",AOx3,AOx3,426224004,124161002,13602608-DS-6," are symmetrical NEURO: CN II-XII grossly intact, AOx3, fluent speech SKIN: warm and well perfused, no e" "Correct entity, wrong SNOMED ID","(4813, 4826)","(4813, 4826)",fluent speech,fluent speech,289196009,39423001,13602608-DS-6,"ymmetrical NEURO: CN II-XII grossly intact, AOx3, fluent speech SKIN: warm and well perfused, no excoriations or " "Correct entity, wrong SNOMED ID","(4827, 4831)","(4827, 4831)",SKIN,SKIN,271303006,444884003,13602608-DS-6,"RO: CN II-XII grossly intact, AOx3, fluent speech SKIN: warm and well perfused, no excoriations or lesio" "Correct entity, wrong SNOMED ID","(4833, 4837)","(4833, 4837)",warm,warm,102599008,298256005,13602608-DS-6," II-XII grossly intact, AOx3, fluent speech SKIN: warm and well perfused, no excoriations or lesions, no" "Correct entity, wrong SNOMED ID","(4842, 4855)","(4842, 4855)",well perfused,well perfused,1137685003,301121007,13602608-DS-6,"rossly intact, AOx3, fluent speech SKIN: warm and well perfused, no excoriations or lesions, no rashes Perti" "Correct entity, wrong SNOMED ID","(4860, 4872)","(4860, 4872)",excoriations,excoriations,400048001,788886000,13602608-DS-6,"3, fluent speech SKIN: warm and well perfused, no excoriations or lesions, no rashes Pertinent Results: Adm" "Correct entity, wrong SNOMED ID","(4876, 4883)","(4876, 4883)",lesions,lesions,52988006,246206008,13602608-DS-6," SKIN: warm and well perfused, no excoriations or lesions, no rashes Pertinent Results: Admission Labs" "Correct entity, wrong SNOMED ID","(4889, 4895)","(4889, 4895)",rashes,rashes,271807003,247472004,13602608-DS-6,"nd well perfused, no excoriations or lesions, no rashes Pertinent Results: Admission Labs: ----------" "Correct entity, wrong SNOMED ID","(4964, 4967)","(4964, 4967)",PTT,PTT,42525009,282119004,13602608-DS-6,"lts: Admission Labs: -------------- ___ 09:50PM PTT-102.6* ___ 07:20PM cTropnT-<0.01 ___ 07:20PM " "Correct entity, wrong SNOMED ID","(4989, 4996)","(4989, 4996)",cTropnT,cTropnT,105001004,442255004,13602608-DS-6,"---------- ___ 09:50PM PTT-102.6* ___ 07:20PM cTropnT-<0.01 ___ 07:20PM WBC-10.7 RBC-4.30 HGB-14.3 HC" "Correct entity, wrong SNOMED ID","(5017, 5020)","(5017, 5020)",WBC,WBC,767002,391558003,13602608-DS-6,"-102.6* ___ 07:20PM cTropnT-<0.01 ___ 07:20PM WBC-10.7 RBC-4.30 HGB-14.3 HCT-39.3 MCV-91 MCH-33.1*" "Correct entity, wrong SNOMED ID","(5026, 5029)","(5026, 5029)",RBC,RBC,14089001,258759006,13602608-DS-6,"__ 07:20PM cTropnT-<0.01 ___ 07:20PM WBC-10.7 RBC-4.30 HGB-14.3 HCT-39.3 MCV-91 MCH-33.1* MCHC-36." "Correct entity, wrong SNOMED ID","(5035, 5038)","(5035, 5038)",HGB,HGB,441689006,104142005,13602608-DS-6,"M cTropnT-<0.01 ___ 07:20PM WBC-10.7 RBC-4.30 HGB-14.3 HCT-39.3 MCV-91 MCH-33.1* MCHC-36.3* RDW-13" "Correct entity, wrong SNOMED ID","(5044, 5047)","(5044, 5047)",HCT,HCT,28317006,282660005,13602608-DS-6,"nT-<0.01 ___ 07:20PM WBC-10.7 RBC-4.30 HGB-14.3 HCT-39.3 MCV-91 MCH-33.1* MCHC-36.3* RDW-13.1 ___ 07" Missed entity,"(5053, 5056)",,MCV,,104133003,,13602608-DS-6,"___ 07:20PM WBC-10.7 RBC-4.30 HGB-14.3 HCT-39.3 MCV-91 MCH-33.1* MCHC-36.3* RDW-13.1 ___ 07:20PM P" "Correct entity, wrong SNOMED ID","(5071, 5075)","(5071, 5075)",MCHC,MCHC,37254006,735147002,13602608-DS-6,"10.7 RBC-4.30 HGB-14.3 HCT-39.3 MCV-91 MCH-33.1* MCHC-36.3* RDW-13.1 ___ 07:20PM PLT COUNT-292 ___ 04" "Correct entity, wrong SNOMED ID","(5082, 5085)","(5082, 5085)",RDW,RDW,66842004,735149004,13602608-DS-6,"30 HGB-14.3 HCT-39.3 MCV-91 MCH-33.1* MCHC-36.3* RDW-13.1 ___ 07:20PM PLT COUNT-292 ___ 04:40AM GL" "Correct entity, wrong SNOMED ID","(5133, 5140)","(5133, 5140)",GLUCOSE,GLUCOSE,33747003,72191006,13602608-DS-6,"DW-13.1 ___ 07:20PM PLT COUNT-292 ___ 04:40AM GLUCOSE-329* UREA N-4* CREAT-0.5 SODIUM-134 POTASSIUM-3." "Correct entity, wrong SNOMED ID","(5156, 5161)","(5156, 5161)",CREAT,CREAT,70901006,365756002,13602608-DS-6,"LT COUNT-292 ___ 04:40AM GLUCOSE-329* UREA N-4* CREAT-0.5 SODIUM-134 POTASSIUM-3.8 CHLORIDE-102 TOTAL " "Correct entity, wrong SNOMED ID","(5166, 5172)","(5166, 5172)",SODIUM,SODIUM,25197003,104934005,13602608-DS-6,"92 ___ 04:40AM GLUCOSE-329* UREA N-4* CREAT-0.5 SODIUM-134 POTASSIUM-3.8 CHLORIDE-102 TOTAL CO2-19* ANI" "Correct entity, wrong SNOMED ID","(5178, 5187)","(5178, 5187)",POTASSIUM,POTASSIUM,59573005,1149432009,13602608-DS-6,"AM GLUCOSE-329* UREA N-4* CREAT-0.5 SODIUM-134 POTASSIUM-3.8 CHLORIDE-102 TOTAL CO2-19* ANION GAP-17 ___ 0" "Correct entity, wrong SNOMED ID","(5192, 5200)","(5192, 5200)",CHLORIDE,CHLORIDE,104589004,108447000,13602608-DS-6,"29* UREA N-4* CREAT-0.5 SODIUM-134 POTASSIUM-3.8 CHLORIDE-102 TOTAL CO2-19* ANION GAP-17 ___ 04:40AM CK(C" "Correct entity, wrong SNOMED ID","(5219, 5228)","(5219, 5228)",ANION GAP,ANION GAP,25469001,237854004,13602608-DS-6,"IUM-134 POTASSIUM-3.8 CHLORIDE-102 TOTAL CO2-19* ANION GAP-17 ___ 04:40AM CK(CPK)-31 ___ 04:40AM CK-MB-1" "Correct entity, wrong SNOMED ID","(5279, 5286)","(5279, 5286)",cTropnT,cTropnT,105001004,442255004,13602608-DS-6,"17 ___ 04:40AM CK(CPK)-31 ___ 04:40AM CK-MB-1 cTropnT-<0.01 proBNP-40 ___ 10:49PM LACTATE-1.5 ___ 10:" "Correct entity, wrong SNOMED ID","(5293, 5299)","(5293, 5299)",proBNP,proBNP,414799001,407060002,13602608-DS-6," CK(CPK)-31 ___ 04:40AM CK-MB-1 cTropnT-<0.01 proBNP-40 ___ 10:49PM LACTATE-1.5 ___ 10:45PM cTropn" "Correct entity, wrong SNOMED ID","(5343, 5350)","(5343, 5350)",cTropnT,cTropnT,105001004,442255004,13602608-DS-6,"proBNP-40 ___ 10:49PM LACTATE-1.5 ___ 10:45PM cTropnT-<0.01 ___ 10:45PM WBC-12.9* RBC-4.73 HGB-15.4 H" "Correct entity, wrong SNOMED ID","(5371, 5374)","(5371, 5374)",WBC,WBC,767002,391558003,13602608-DS-6,"ATE-1.5 ___ 10:45PM cTropnT-<0.01 ___ 10:45PM WBC-12.9* RBC-4.73 HGB-15.4 HCT-43.3 MCV-91 MCH-32.6" "Correct entity, wrong SNOMED ID","(5381, 5384)","(5381, 5384)",RBC,RBC,14089001,258759006,13602608-DS-6,"_ 10:45PM cTropnT-<0.01 ___ 10:45PM WBC-12.9* RBC-4.73 HGB-15.4 HCT-43.3 MCV-91 MCH-32.6* MCHC-35." "Correct entity, wrong SNOMED ID","(5390, 5393)","(5390, 5393)",HGB,HGB,441689006,104142005,13602608-DS-6," cTropnT-<0.01 ___ 10:45PM WBC-12.9* RBC-4.73 HGB-15.4 HCT-43.3 MCV-91 MCH-32.6* MCHC-35.6* RDW-13" "Correct entity, wrong SNOMED ID","(5399, 5402)","(5399, 5402)",HCT,HCT,28317006,282660005,13602608-DS-6,"T-<0.01 ___ 10:45PM WBC-12.9* RBC-4.73 HGB-15.4 HCT-43.3 MCV-91 MCH-32.6* MCHC-35.6* RDW-13.2 ___ 10" Missed entity,"(5408, 5411)",,MCV,,104133003,,13602608-DS-6,"__ 10:45PM WBC-12.9* RBC-4.73 HGB-15.4 HCT-43.3 MCV-91 MCH-32.6* MCHC-35.6* RDW-13.2 ___ 10:45PM N" "Correct entity, wrong SNOMED ID","(5426, 5430)","(5426, 5430)",MCHC,MCHC,37254006,735147002,13602608-DS-6,"2.9* RBC-4.73 HGB-15.4 HCT-43.3 MCV-91 MCH-32.6* MCHC-35.6* RDW-13.2 ___ 10:45PM NEUTS-72.4* ___ MONO" "Correct entity, wrong SNOMED ID","(5437, 5440)","(5437, 5440)",RDW,RDW,66842004,735149004,13602608-DS-6,"73 HGB-15.4 HCT-43.3 MCV-91 MCH-32.6* MCHC-35.6* RDW-13.2 ___ 10:45PM NEUTS-72.4* ___ MONOS-3.6 EOS-" "Correct entity, wrong SNOMED ID","(5460, 5465)","(5460, 5465)",NEUTS,NEUTS,30630007,250298004,13602608-DS-6,"V-91 MCH-32.6* MCHC-35.6* RDW-13.2 ___ 10:45PM NEUTS-72.4* ___ MONOS-3.6 EOS-1.2 BASOS-0.3 ___ 10:45P" "Correct entity, wrong SNOMED ID","(5476, 5481)","(5476, 5481)",MONOS,MONOS,67776007,462791000124108,13602608-DS-6,"MCHC-35.6* RDW-13.2 ___ 10:45PM NEUTS-72.4* ___ MONOS-3.6 EOS-1.2 BASOS-0.3 ___ 10:45PM PLT COUNT-27" "Correct entity, wrong SNOMED ID","(5486, 5489)","(5486, 5489)",EOS,EOS,71960002,67099000,13602608-DS-6," RDW-13.2 ___ 10:45PM NEUTS-72.4* ___ MONOS-3.6 EOS-1.2 BASOS-0.3 ___ 10:45PM PLT COUNT-278 ___ 10" "Correct entity, wrong SNOMED ID","(5551, 5554)","(5551, 5554)",PTT,PTT,42525009,282119004,13602608-DS-6,"0.3 ___ 10:45PM PLT COUNT-278 ___ 10:45PM ___ PTT-29.0 ___ Discharge Labs: -------------- ___ 09:1" "Correct entity, wrong SNOMED ID","(5624, 5627)","(5624, 5627)",RBC,RBC,14089001,258759006,13602608-DS-6," Labs: -------------- ___ 09:10AM BLOOD WBC-16.1* RBC-4.24 Hgb-13.9 Hct-40.6 MCV-96 MCH-32.8* MCHC-34." "Correct entity, wrong SNOMED ID","(5633, 5636)","(5633, 5636)",Hgb,Hgb,441689006,104142005,13602608-DS-6,"------------ ___ 09:10AM BLOOD WBC-16.1* RBC-4.24 Hgb-13.9 Hct-40.6 MCV-96 MCH-32.8* MCHC-34.3 RDW-14." "Correct entity, wrong SNOMED ID","(5642, 5645)","(5642, 5645)",Hct,Hct,28317006,282660005,13602608-DS-6,"--- ___ 09:10AM BLOOD WBC-16.1* RBC-4.24 Hgb-13.9 Hct-40.6 MCV-96 MCH-32.8* MCHC-34.3 RDW-14.1 Plt ___" "Correct entity, wrong SNOMED ID","(5669, 5673)","(5669, 5673)",MCHC,MCHC,37254006,735147002,13602608-DS-6,"6.1* RBC-4.24 Hgb-13.9 Hct-40.6 MCV-96 MCH-32.8* MCHC-34.3 RDW-14.1 Plt ___ ___ 06:30AM BLOOD Glucose-2" "Correct entity, wrong SNOMED ID","(5679, 5682)","(5679, 5682)",RDW,RDW,66842004,735149004,13602608-DS-6,".24 Hgb-13.9 Hct-40.6 MCV-96 MCH-32.8* MCHC-34.3 RDW-14.1 Plt ___ ___ 06:30AM BLOOD Glucose-219* UreaN" "Correct entity, wrong SNOMED ID","(5714, 5721)","(5714, 5721)",Glucose,Glucose,33747003,72191006,13602608-DS-6,"2.8* MCHC-34.3 RDW-14.1 Plt ___ ___ 06:30AM BLOOD Glucose-219* UreaN-9 Creat-0.6 Na-136 K-4.4 Cl-96 HCO3-2" "Correct entity, wrong SNOMED ID","(5727, 5732)","(5727, 5732)",UreaN,UreaN,105011006,111108008,13602608-DS-6,"3 RDW-14.1 Plt ___ ___ 06:30AM BLOOD Glucose-219* UreaN-9 Creat-0.6 Na-136 K-4.4 Cl-96 HCO3-25 AnGap-19 " "Correct entity, wrong SNOMED ID","(5735, 5740)","(5735, 5740)",Creat,Creat,70901006,365756002,13602608-DS-6,".1 Plt ___ ___ 06:30AM BLOOD Glucose-219* UreaN-9 Creat-0.6 Na-136 K-4.4 Cl-96 HCO3-25 AnGap-19 Imaging" "Correct entity, wrong SNOMED ID","(5745, 5747)","(5745, 5747)",Na,Na,312469006,257992007,13602608-DS-6," ___ 06:30AM BLOOD Glucose-219* UreaN-9 Creat-0.6 Na-136 K-4.4 Cl-96 HCO3-25 AnGap-19 Imaging: -----" "Correct entity, wrong SNOMED ID","(5759, 5761)","(5759, 5761)",Cl,Cl,104589004,311741002,13602608-DS-6,"LOOD Glucose-219* UreaN-9 Creat-0.6 Na-136 K-4.4 Cl-96 HCO3-25 AnGap-19 Imaging: ------- CTA- IMPRES" "Correct entity, wrong SNOMED ID","(5765, 5769)","(5765, 5769)",HCO3,HCO3,312471006,88645003,13602608-DS-6,"lucose-219* UreaN-9 Creat-0.6 Na-136 K-4.4 Cl-96 HCO3-25 AnGap-19 Imaging: ------- CTA- IMPRESSION: " "Correct entity, wrong SNOMED ID","(5773, 5778)","(5773, 5778)",AnGap,AnGap,25469001,124504004,13602608-DS-6,"19* UreaN-9 Creat-0.6 Na-136 K-4.4 Cl-96 HCO3-25 AnGap-19 Imaging: ------- CTA- IMPRESSION: 1. Large" Missed entity,"(5800, 5803)",,CTA,,418272005,,13602608-DS-6,"6 K-4.4 Cl-96 HCO3-25 AnGap-19 Imaging: ------- CTA- IMPRESSION: 1. Large central pulmonary embolu" "Correct entity, wrong SNOMED ID","(5837, 5854)","(5837, 5854)",pulmonary embolus,pulmonary embolus,59282003,161512007,13602608-DS-6,"ing: ------- CTA- IMPRESSION: 1. Large central pulmonary embolus within the main pulmonary artery, extending to t" Wrong span,"(5871, 5888)","(5866, 5888)","pulmonary artery","main pulmonary artery",81040000,50408007,13602608-DS-6,". Large central pulmonary embolus within the main pulmonary artery, extending to the left main, left upper lobar, li" "Correct entity, wrong SNOMED ID","(5907, 5916)","(5907, 5916)",left main,left main,50408007,362034004,13602608-DS-6,"thin the main pulmonary artery, extending to the left main, left upper lobar, lingular, and left lower loba" "Correct entity, wrong SNOMED ID","(5918, 5934)","(5918, 5934)",left upper lobar,left upper lobar,44714003,361984006,13602608-DS-6,"in pulmonary artery, extending to the left main, left upper lobar, lingular, and left lower lobar pulmonary arteri" "Correct entity, wrong SNOMED ID","(5936, 5944)","(5936, 5944)",lingular,lingular,64720009,264033005,13602608-DS-6,"ry, extending to the left main, left upper lobar, lingular, and left lower lobar pulmonary arteries. Mild s" Wrong span,"(5950, 5967)","(5950, 5986)","left lower lobar","left lower lobar pulmonary arteries",41224006,24047005,13602608-DS-6,"to the left main, left upper lobar, lingular, and left lower lobar pulmonary arteries. Mild straightening of the int" Wrong span,"(5968, 5986)","(5950, 5986)","pulmonary arteries","left lower lobar pulmonary arteries",81040000,24047005,13602608-DS-6,"left upper lobar, lingular, and left lower lobar pulmonary arteries. Mild straightening of the intraventricular septu" "Correct entity, wrong SNOMED ID","(6014, 6037)","(6014, 6037)",intraventricular septum,intraventricular septum,589001,447923000,13602608-DS-6,"bar pulmonary arteries. Mild straightening of the intraventricular septum is concerning for right heart strain. An echocar" Wrong span,"(6057, 6068)","(6057, 6075)",right heart,right heart strain,79561009,941791000124108,13602608-DS-6,"of the intraventricular septum is concerning for right heart strain. An echocardiogram may be helpful for furt" Wrong span,"(6069, 6075)","(6057, 6075)",strain,right heart strain,48532005,941791000124108,13602608-DS-6,"ventricular septum is concerning for right heart strain. An echocardiogram may be helpful for further ev" "Correct entity, wrong SNOMED ID","(6080, 6094)","(6080, 6094)",echocardiogram,echocardiogram,40701008,105376000,13602608-DS-6," septum is concerning for right heart strain. An echocardiogram may be helpful for further evaluation. 2. Mild" "Correct entity, wrong SNOMED ID","(6123, 6133)","(6123, 6133)",evaluation,evaluation,386053000,39609006,13602608-DS-6,"in. An echocardiogram may be helpful for further evaluation. 2. Mild pulmonary edema. 3. Subpleural cyst" Wrong span,"(6140, 6144)","(6140, 6160)",Mild,Mild pulmonary edema,162468002,123595002,13602608-DS-6,"gram may be helpful for further evaluation. 2. Mild pulmonary edema. 3. Subpleural cystic changes " Wrong span,"(6145, 6160)","(6140, 6160)",pulmonary edema,Mild pulmonary edema,19242006,123595002,13602608-DS-6,"may be helpful for further evaluation. 2. Mild pulmonary edema. 3. Subpleural cystic changes in an apico-basa" "Correct entity, wrong SNOMED ID","(6304, 6325)","(6304, 6325)","fibrotic lung disease","fibrotic lung disease",51615001,1163147006,13602608-DS-6,"hovascular distribution raises concern for early fibrotic lung disease such as NSIP. Recommend pulmonology consult for " "Correct entity, wrong SNOMED ID","(6334, 6338)","(6334, 6338)",NSIP,NSIP,129452008,258699004,13602608-DS-6," concern for early fibrotic lung disease such as NSIP. Recommend pulmonology consult for further eval" "Correct entity, wrong SNOMED ID","(6384, 6394)","(6384, 6394)",evaluation,evaluation,386053000,39609006,13602608-DS-6,"NSIP. Recommend pulmonology consult for further evaluation. Echo- The left atrial volume index is normal. A" Wrong span,"(6407, 6418)","(6407, 6441)",left atrial,left atrial volume index is normal,82471001,414072005,13602608-DS-6,"ology consult for further evaluation. Echo- The left atrial volume index is normal. A right-to-left shunt ac" "Correct entity, wrong SNOMED ID","(6445, 6465)","(6445, 6465)","right-to-left shunt","right-to-left shunt",441938008,66130006,13602608-DS-6," Echo- The left atrial volume index is normal. A right-to-left shunt across the interatrial septum is seen after intra" "Correct entity, wrong SNOMED ID","(6477, 6495)","(6477, 6495)",interatrial septum,interatrial septum,58095006,362016003,13602608-DS-6,"ndex is normal. A right-to-left shunt across the interatrial septum is seen after intravenous injection of agitated " "Correct entity, wrong SNOMED ID","(6510, 6532)","(6510, 6532)","intravenous injection","intravenous injection",43060002,180226000,13602608-DS-6,"shunt across the interatrial septum is seen after intravenous injection of agitated saline injection at rest. Left ventri" Wrong span,"(6571, 6593)","(6571, 6603)","Left ventricular wall","Left ventricular wall thickness",87878005,250926001,13602608-DS-6," injection of agitated saline injection at rest. Left ventricular wall thickness, cavity size and regional/global systol" Wrong span,"(6605, 6611)","(6605, 6616)",cavity,cavity size,737551008,250929008,13602608-DS-6,"ection at rest. Left ventricular wall thickness, cavity size and regional/global systolic function are n" "Correct entity, wrong SNOMED ID","(6621, 6666)","(6621, 6666)","regional/global systolic function are normal","regional/global systolic function are normal",371857005,165043001,13602608-DS-6,"Left ventricular wall thickness, cavity size and regional/global systolic function are normal (LVEF >55%). Right ventricular chamber size and " Wrong span,"(6680, 6705)","(6680, 6710)",Right ventricular chamber,Right ventricular chamber size,53085002,74193008,13602608-DS-6,"global systolic function are normal (LVEF >55%). Right ventricular chamber size and free wall motion are normal. The diamet" "Correct entity, wrong SNOMED ID","(6721, 6743)","(6721, 6743)",wall motion are normal,wall motion are normal,373122000,414072005,13602608-DS-6,"F >55%). Right ventricular chamber size and free wall motion are normal. The diameters of aorta at the sinus, ascending " Wrong span,"(6762, 6781)","(6762, 6774)","aorta at the sinus",aorta at the,81128002,81817003,13602608-DS-6,"and free wall motion are normal. The diameters of aorta at the sinus, ascending and arch levels are normal. The aortic" "Correct entity, wrong SNOMED ID","(6783, 6792)","(6783, 6792)",ascending,ascending,54247002,83711003,13602608-DS-6,"are normal. The diameters of aorta at the sinus, ascending and arch levels are normal. The aortic valve lea" "Correct entity, wrong SNOMED ID","(6825, 6847)","(6825, 6847)","aortic valve leaflets","aortic valve leaflets",6530003,232899001,13602608-DS-6," sinus, ascending and arch levels are normal. The aortic valve leaflets (3) appear structurally normal with good leaflet " "Correct entity, wrong SNOMED ID","(6889, 6896)","(6889, 6896)",leaflet,leaflet,6530003,699117005,13602608-DS-6,"leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regur" "Correct entity, wrong SNOMED ID","(6915, 6930)","(6915, 6930)",aortic stenosis,aortic stenosis,60573004,233863001,13602608-DS-6,"urally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. The mitral valve appear" "Correct entity, wrong SNOMED ID","(6934, 6954)","(6934, 6954)",aortic regurgitation,aortic regurgitation,60234000,61612001,13602608-DS-6,"good leaflet excursion and no aortic stenosis or aortic regurgitation. The mitral valve appears structurally normal wi" Wrong span,"(6961, 6973)","(6961, 7001)",mitral valve,mitral valve appears structurally normal,91134007,301100007,13602608-DS-6," no aortic stenosis or aortic regurgitation. The mitral valve appears structurally normal with trivial mitral " Wrong span,"(7015, 7036)","(7007, 7036)","mitral regurgitation","trivial mitral regurgitation",48724000,233861004,13602608-DS-6,"al valve appears structurally normal with trivial mitral regurgitation. Moderate [2+] tricuspid regurgitation is seen. " Wrong span,"(7038, 7046)","(7038, 7075)",Moderate,Moderate [2+] tricuspid regurgitation,162469005,838455001,13602608-DS-6,"urally normal with trivial mitral regurgitation. Moderate [2+] tricuspid regurgitation is seen. There is m" Wrong span,"(7052, 7075)","(7038, 7075)",tricuspid regurgitation,Moderate [2+] tricuspid regurgitation,111287006,838455001,13602608-DS-6,"with trivial mitral regurgitation. Moderate [2+] tricuspid regurgitation is seen. There is mild pulmonary artery systolic" "Correct entity, wrong SNOMED ID","(7100, 7138)","(7100, 7138)",pulmonary artery systolic hypertension,pulmonary artery systolic hypertension,11399002,840306007,13602608-DS-6,"] tricuspid regurgitation is seen. There is mild pulmonary artery systolic hypertension. There is no pericardial effusion. IMPRESSION: " "Correct entity, wrong SNOMED ID","(7153, 7173)","(7153, 7173)",pericardial effusion,pericardial effusion,373945007,1230405007,13602608-DS-6,"monary artery systolic hypertension. There is no pericardial effusion. IMPRESSION: Right-to-left shunt at rest. Mild p" Wrong span,"(7188, 7207)","(7188, 7215)",Right-to-left shunt,Right-to-left shunt at rest,441826000,66130006,13602608-DS-6,". There is no pericardial effusion. IMPRESSION: Right-to-left shunt at rest. Mild pulmonary artery systolic hyperten" Wrong span,"(7217, 7221)","(7217, 7261)",Mild,"Mild pulmonary artery systolic hypertension",162468002,840306007,13602608-DS-6,"fusion. IMPRESSION: Right-to-left shunt at rest. Mild pulmonary artery systolic hypertension. Moderate" Wrong span,"(7222, 7261)","(7217, 7261)","pulmonary artery systolic hypertension","Mild pulmonary artery systolic hypertension",11399002,840306007,13602608-DS-6,"n. IMPRESSION: Right-to-left shunt at rest. Mild pulmonary artery systolic hypertension. Moderate tricuspid regurgitation. Normal bivent" Wrong span,"(7263, 7271)","(7263, 7295)",Moderate,Moderate tricuspid regurgitation,162469005,838455001,13602608-DS-6,"st. Mild pulmonary artery systolic hypertension. Moderate tricuspid regurgitation. Normal biventricular ca" Wrong span,"(7272, 7295)","(7263, 7295)",tricuspid regurgitation,Moderate tricuspid regurgitation,111287006,838455001,13602608-DS-6,"pulmonary artery systolic hypertension. Moderate tricuspid regurgitation. Normal biventricular cavity sizes with preserve" Wrong span,"(7305, 7331)","(7305, 7318)",biventricular cavity sizes,biventricular,21814001,253276007,13602608-DS-6,"ension. Moderate tricuspid regurgitation. Normal biventricular cavity sizes with preserved regional and global biventricular" Wrong span,"(7368, 7381)","(7337, 7399)",biventricular,"preserved regional and global biventricular systolic function",21814001,472776004,13602608-DS-6," cavity sizes with preserved regional and global biventricular systolic function. CLINICAL IMPLICATIONS: Based " Wrong span,"(7442, 7454)","(7442, 7466)",endocarditis,endocarditis prophylaxis,56819008,426931009,13602608-DS-6,"unction. CLINICAL IMPLICATIONS: Based on ___ AHA endocarditis prophylaxis recommendations, the echo findings i" Wrong span,"(7455, 7466)","(7442, 7466)",prophylaxis,endocarditis prophylaxis,169443000,426931009,13602608-DS-6,"NICAL IMPLICATIONS: Based on ___ AHA endocarditis prophylaxis recommendations, the echo findings indicate prop" "Correct entity, wrong SNOMED ID","(7512, 7523)","(7512, 7523)",prophylaxis,prophylaxis,169443000,182935008,13602608-DS-6,"axis recommendations, the echo findings indicate prophylaxis is NOT recommended. Clinical decisions regarding" "Correct entity, wrong SNOMED ID","(7587, 7598)","(7587, 7598)",prophylaxis,prophylaxis,169443000,182935008,13602608-DS-6,"ended. Clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographi" "Correct entity, wrong SNOMED ID","(7632, 7649)","(7632, 7649)",echocardiographic,echocardiographic,40701008,433236007,13602608-DS-6," for prophylaxis should be based on clinical and echocardiographic data. Imaging: ------- ___ 09:10AM BLOOD ALT-1" "Correct entity, wrong SNOMED ID","(7694, 7697)","(7694, 7697)",ALT,ALT,34608000,56935002,13602608-DS-6,"aphic data. Imaging: ------- ___ 09:10AM BLOOD ALT-129* AST-116* AlkPhos-248* TotBili-0.2 ___ 06:30" "Correct entity, wrong SNOMED ID","(7703, 7706)","(7703, 7706)",AST,AST,45896001,85043005,13602608-DS-6,"a. Imaging: ------- ___ 09:10AM BLOOD ALT-129* AST-116* AlkPhos-248* TotBili-0.2 ___ 06:30AM BLOOD " "Correct entity, wrong SNOMED ID","(7712, 7719)","(7712, 7719)",AlkPhos,AlkPhos,88810008,30703008,13602608-DS-6,"ing: ------- ___ 09:10AM BLOOD ALT-129* AST-116* AlkPhos-248* TotBili-0.2 ___ 06:30AM BLOOD Calcium-10.0 " "Correct entity, wrong SNOMED ID","(7756, 7763)","(7756, 7763)",Calcium,Calcium,312472004,108601004,13602608-DS-6,"-116* AlkPhos-248* TotBili-0.2 ___ 06:30AM BLOOD Calcium-10.0 Phos-4.6* Mg-1.___ woman PMH of Sarcoidosis," "Correct entity, wrong SNOMED ID","(7769, 7773)","(7769, 7773)",Phos,Phos,104868000,168075002,13602608-DS-6,"-248* TotBili-0.2 ___ 06:30AM BLOOD Calcium-10.0 Phos-4.6* Mg-1.___ woman PMH of Sarcoidosis, Clotting " "Correct entity, wrong SNOMED ID","(7779, 7781)","(7779, 7781)",Mg,Mg,271285000,258684004,13602608-DS-6,"Bili-0.2 ___ 06:30AM BLOOD Calcium-10.0 Phos-4.6* Mg-1.___ woman PMH of Sarcoidosis, Clotting Disorder" "Correct entity, wrong SNOMED ID","(7801, 7812)","(7801, 7812)",Sarcoidosis,Sarcoidosis,31541009,111937006,13602608-DS-6,"LOOD Calcium-10.0 Phos-4.6* Mg-1.___ woman PMH of Sarcoidosis, Clotting Disorder (Unclear Type, c/b PEs, CVAs," "Correct entity, wrong SNOMED ID","(7852, 7855)","(7852, 7855)",PEs,PEs,59282003,278015009,13602608-DS-6,"arcoidosis, Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11." "Correct entity, wrong SNOMED ID","(7857, 7861)","(7857, 7861)",CVAs,CVAs,230690007,425010001,13602608-DS-6,"dosis, Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), wh" Wrong span,"(7863, 7866)","(7863, 7874)",LLE,LLE infarct,32153003,85844000,13602608-DS-6," Clotting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), who pr" Wrong span,"(7867, 7874)","(7863, 7874)",infarct,LLE infarct,55641003,85844000,13602608-DS-6,"tting Disorder (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), who presented " "Correct entity, wrong SNOMED ID","(7879, 7889)","(7879, 7889)",amputation,amputation,81723002,197357002,13602608-DS-6,"er (Unclear Type, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), who presented to ED w/ pleuri" "Correct entity, wrong SNOMED ID","(7892, 7894)","(7892, 7894)",DM,DM,73211009,258671008,13602608-DS-6,"ype, c/b PEs, CVAs, LLE infarct s/p amputation), DM (HbA1c 11.8), who presented to ED w/ pleuritic C" "Correct entity, wrong SNOMED ID","(7933, 7945)","(7933, 7945)",pleuritic CP,pleuritic CP,2237002,7921000119104,13602608-DS-6,"tation), DM (HbA1c 11.8), who presented to ED w/ pleuritic CP, found to have large PE and hyperglycemia and wa" "Correct entity, wrong SNOMED ID","(7967, 7969)","(7967, 7969)",PE,PE,59282003,20503002,13602608-DS-6,"sented to ED w/ pleuritic CP, found to have large PE and hyperglycemia and was admitted to medicine f" "Correct entity, wrong SNOMED ID","(7975, 7988)","(7975, 7988)",hyperglycemia,hyperglycemia,80394007,237623001,13602608-DS-6,"o ED w/ pleuritic CP, found to have large PE and hyperglycemia and was admitted to medicine for further workup. " Missed entity,"(8030, 8036)",,workup,,386053000,,13602608-DS-6,"glycemia and was admitted to medicine for further workup. She was started on heparin drip and then bridg" "Correct entity, wrong SNOMED ID","(8135, 8153)","(8135, 8153)",Pulmonary Embolism,Pulmonary Embolism,59282003,133971000119108,13602608-DS-6,"ged to warfarin with INR goal of 2.5 to 3.5. #Pulmonary Embolism: Submassive given right heart strain noted on CT" Wrong span,"(8172, 8183)","(8172, 8190)",right heart,right heart strain,79561009,941791000124108,13602608-DS-6," to 3.5. #Pulmonary Embolism: Submassive given right heart strain noted on CT but not noted on echo. Patien" Wrong span,"(8184, 8190)","(8172, 8190)",strain,right heart strain,48532005,941791000124108,13602608-DS-6,"#Pulmonary Embolism: Submassive given right heart strain noted on CT but not noted on echo. Patient with " "Correct entity, wrong SNOMED ID","(8201, 8203)","(8201, 8203)",CT,CT,169070004,241541005,13602608-DS-6,"sm: Submassive given right heart strain noted on CT but not noted on echo. Patient with history of bo" Wrong span,"(8277, 8282)","(8268, 8282)",clots,arterial clots,75753009,300919005,13602608-DS-6,"Patient with history of both venous and arterial clots, with family history of multiple clotting disord" "Correct entity, wrong SNOMED ID","(8395, 8410)","(8395, 8410)",anticoagulation,anticoagulation,182764009,260678004,13602608-DS-6,"ew of her work-up from ___, she has not been off anticoagulation to allow for work-up of her clotting disorder. " "Correct entity, wrong SNOMED ID","(8686, 8688)","(8686, 8688)",DM,DM,73211009,258671008,13602608-DS-6,". Patient with additional risk factors including DM and smoking but likely patient has underlying fa" "Correct entity, wrong SNOMED ID","(8693, 8700)","(8693, 8700)",smoking,smoking,77176002,160617001,13602608-DS-6,"ent with additional risk factors including DM and smoking but likely patient has underlying familial clott" Missed entity,"(8791, 8812)",,spontaneous abortions,,17369002,,13602608-DS-6,"ial clotting disorder. Given history of multiple spontaneous abortions, concominant sarcoid, anti-phospholipid syndrome" "Correct entity, wrong SNOMED ID","(8827, 8834)","(8827, 8834)",sarcoid,sarcoid,31541009,234531008,13602608-DS-6,"y of multiple spontaneous abortions, concominant sarcoid, anti-phospholipid syndrome high on differential." "Correct entity, wrong SNOMED ID","(8836, 8862)","(8836, 8862)",anti-phospholipid syndrome,anti-phospholipid syndrome,26843008,1263496006,13602608-DS-6,"iple spontaneous abortions, concominant sarcoid, anti-phospholipid syndrome high on differential. Heme-onc was consulted. " "Correct entity, wrong SNOMED ID","(9023, 9032)","(9023, 9032)",Hematuria,Hematuria,34436003,197940006,13602608-DS-6," INR 2.5-3.5. She also continued on plavix. # Hematuria: Patient complaining of assymptomatic hematuria. " "Correct entity, wrong SNOMED ID","(9057, 9070)","(9057, 9070)",assymptomatic,assymptomatic,84387000,723899008,13602608-DS-6,"n plavix. # Hematuria: Patient complaining of assymptomatic hematuria. U/A with RBCs but not clean catch. S" "Correct entity, wrong SNOMED ID","(9071, 9080)","(9071, 9080)",hematuria,hematuria,34436003,197940006,13602608-DS-6,"# Hematuria: Patient complaining of assymptomatic hematuria. U/A with RBCs but not clean catch. She will ne" "Correct entity, wrong SNOMED ID","(9082, 9085)","(9082, 9085)",U/A,U/A,27171005,257999003,13602608-DS-6,": Patient complaining of assymptomatic hematuria. U/A with RBCs but not clean catch. She will need he" "Correct entity, wrong SNOMED ID","(9171, 9184)","(9171, 9184)",Hyperglycemia,Hyperglycemia,80394007,237623001,13602608-DS-6,"e will need hematuria work-up as outpatient. #Hyperglycemia/DM uncontrolled: ___ 220-225. Pt w/ difficult to " "Correct entity, wrong SNOMED ID","(9185, 9187)","(9185, 9187)",DM,DM,73211009,258671008,13602608-DS-6,"maturia work-up as outpatient. #Hyperglycemia/DM uncontrolled: ___ 220-225. Pt w/ difficult to co" Wrong span,"(9390, 9401)","(9390, 9398)",elevated AG,elevated,237854004,50177009,13602608-DS-6," complicated by concurrent prednisone use. Given elevated AG, Ketones in Urine and Glc >400, ___ DKA but late" Missed entity,"(9403, 9419)",,Ketones in Urine,,274783007,,13602608-DS-6,"by concurrent prednisone use. Given elevated AG, Ketones in Urine and Glc >400, ___ DKA but later VBG showed pH of" "Correct entity, wrong SNOMED ID","(9731, 9741)","(9731, 9741)",Chest pain,Chest pain,29857009,102589003,13602608-DS-6,"sliding scale during stay. Januvia was held. # Chest pain: Presented with chest pain, negative troponins, " "Correct entity, wrong SNOMED ID","(9758, 9768)","(9758, 9768)",chest pain,chest pain,29857009,102589003,13602608-DS-6," Januvia was held. # Chest pain: Presented with chest pain, negative troponins, stable EKG. Unclear etiolog" "Correct entity, wrong SNOMED ID","(9791, 9801)","(9791, 9801)",stable EKG,stable EKG,164854000,301148008,13602608-DS-6,": Presented with chest pain, negative troponins, stable EKG. Unclear etiology. Could be from sarcoid. Unlikel" "Correct entity, wrong SNOMED ID","(9862, 9865)","(9862, 9865)",PEs,PEs,59282003,278015009,13602608-DS-6,"tiology. Could be from sarcoid. Unlikely further PEs as patient anticoagulated. Pain control with: -" "Correct entity, wrong SNOMED ID","(9877, 9891)","(9877, 9891)",anticoagulated,anticoagulated,182764009,122621000119109,13602608-DS-6,"be from sarcoid. Unlikely further PEs as patient anticoagulated. Pain control with: - oxycodone 5 mg q 4 PRN(wi" "Correct entity, wrong SNOMED ID","(9894, 9906)","(9894, 9906)",Pain control,Pain control,225782006,370778008,13602608-DS-6,"Unlikely further PEs as patient anticoagulated. Pain control with: - oxycodone 5 mg q 4 PRN(with hold paramet" Missed entity,"(9963, 9971)",,sedation,,72641008,,13602608-DS-6," - oxycodone 5 mg q 4 PRN(with hold parameter for sedation, RR<12) - tylenol ___ mg q 4 PRN - tramadol PRN" Missed entity,"(9974, 9976)",,RR,,301283003,,13602608-DS-6,"e 5 mg q 4 PRN(with hold parameter for sedation, RR<12) - tylenol ___ mg q 4 PRN - tramadol PRN # H" "Correct entity, wrong SNOMED ID","(10025, 10034)","(10025, 10034)",Hepatitis,Hepatitis,128241005,275847004,13602608-DS-6,"R<12) - tylenol ___ mg q 4 PRN - tramadol PRN # Hepatitis:Patient with elevated LFTs during stay. No right " Wrong span,"(10057, 10061)","(10048, 10061)",LFTs,elevated LFTs,26958001,399643001,13602608-DS-6," tramadol PRN # Hepatitis:Patient with elevated LFTs during stay. No right upper quadrant pain. RUQ d" "Correct entity, wrong SNOMED ID","(10106, 10109)","(10106, 10109)",RUQ,RUQ,301717006,65826004,13602608-DS-6," LFTs during stay. No right upper quadrant pain. RUQ deferred during stay but should be done as outpa" "Correct entity, wrong SNOMED ID","(10168, 10172)","(10168, 10172)",LFTs,LFTs,26958001,365769003,13602608-DS-6," during stay but should be done as outpatient if LFTs remain elevated. CHRONIC ISSUES: #Sarcoidosis " "Correct entity, wrong SNOMED ID","(10210, 10221)","(10210, 10221)",Sarcoidosis,Sarcoidosis,31541009,111937006,13602608-DS-6,"ient if LFTs remain elevated. CHRONIC ISSUES: #Sarcoidosis Unclear severity, previously cared for at ___, ha" "Correct entity, wrong SNOMED ID","(10397, 10400)","(10397, 10400)",HTN,HTN,38341003,10725009,13602608-DS-6,"at home dose -Continued inhalers, prn albuterol #HTN: Intially, held antihypertensive in patient with " Wrong span,"(10450, 10462)","(10450, 10469)","right heart","right heart strain",79561009,941791000124108,13602608-DS-6,": Intially, held antihypertensive in patient with right heart strain as she is preload dependent. #Depression " Wrong span,"(10463, 10469)","(10450, 10469)",strain,"right heart strain",48532005,941791000124108,13602608-DS-6,"eld antihypertensive in patient with right heart strain as she is preload dependent. #Depression Continu" "Correct entity, wrong SNOMED ID","(10501, 10511)","(10501, 10511)",Depression,Depression,35489007,26141007,13602608-DS-6,"ight heart strain as she is preload dependent. #Depression Continue home meds (abilify) #Seizure Disorder U" "Correct entity, wrong SNOMED ID","(10543, 10559)","(10543, 10559)",Seizure Disorder,Seizure Disorder,128613002,460731000124105,13602608-DS-6,"dent. #Depression Continue home meds (abilify) #Seizure Disorder Unclear etiology, outpt notes suggest that it is " "Correct entity, wrong SNOMED ID","(10613, 10624)","(10613, 10624)",sarcoidosis,sarcoidosis,31541009,111937006,13602608-DS-6,"lear etiology, outpt notes suggest that it is ___ sarcoidosis -Continued home vimpat, gabapentin TRANSITIONAL" "Correct entity, wrong SNOMED ID","(10912, 10925)","(10912, 10925)",Hyperglycemia,Hyperglycemia,80394007,237623001,13602608-DS-6,"um, vitamin D as an outpatient for bone health - Hyperglycemia continues to be issue and patient's insulin regi" "Correct entity, wrong SNOMED ID","(10962, 10978)","(10962, 10978)","insulin regimen","insulin regimen",225302006,161649006,13602608-DS-6,"Hyperglycemia continues to be issue and patient's insulin regimen may need to be further changed. - If patient cont" "Correct entity, wrong SNOMED ID","(11037, 11045)","(11037, 11045)",steroids,steroids,297279009,285435007,13602608-DS-6," to be further changed. - If patient continues on steroids, needs to be started on bactrim ppx - Patient ha" "Correct entity, wrong SNOMED ID","(11097, 11107)","(11097, 11107)",leukopenia,leukopenia,84828003,427245000,13602608-DS-6,"needs to be started on bactrim ppx - Patient had leukopenia during admission with no signs of infection, ple" Wrong span,"(11133, 11152)","(11130, 11152)","signs of infection","no signs of infection",370835007,264929000,13602608-DS-6,"- Patient had leukopenia during admission with no signs of infection, please trend CBC - Patient with RBCs in urine, s" Missed entity,"(11167, 11170)",,CBC,,26604007,,13602608-DS-6,"mission with no signs of infection, please trend CBC - Patient with RBCs in urine, should be worked up" Missed entity,"(11224, 11233)",,oupatient,,737492002,,13602608-DS-6,"atient with RBCs in urine, should be worked up as oupatient - Patient had elevated LFTs, her simvastatin was " Wrong span,"(11248, 11256)","(11248, 11261)",elevated,elevated LFTs,103720008,399643001,13602608-DS-6,"e, should be worked up as oupatient - Patient had elevated LFTs, her simvastatin was stopped. She should ha" "Correct entity, wrong SNOMED ID","(11328, 11331)","(11328, 11331)",RUQ,RUQ,50519007,65826004,13602608-DS-6," was stopped. She should have labs rechecked and RUQ and further lab testing should be performed if s" "Correct entity, wrong SNOMED ID","(13379, 13396)","(13379, 13396)",Pulmonary embolus,Pulmonary embolus,59282003,161512007,13602608-DS-6,"ischarge Disposition: Home Discharge Diagnosis: Pulmonary embolus Liver injury Discharge Condition: Mental Statu" "Correct entity, wrong SNOMED ID","(13397, 13409)","(13397, 13409)",Liver injury,Liver injury,39400004,15151004,13602608-DS-6,"on: Home Discharge Diagnosis: Pulmonary embolus Liver injury Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(13434, 13447)","(13434, 13447)",Mental Status,Mental Status,392257007,419284004,13602608-DS-6,"nary embolus Liver injury Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(13449, 13454)","(13449, 13454)",Clear,Clear,48348007,281278005,13602608-DS-6,"ver injury Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(13469, 13491)","(13469, 13491)",Level of Consciousness,Level of Consciousness,444714004,830285008,13602608-DS-6,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(13493, 13498)","(13493, 13498)",Alert,Alert,248234008,409787004,13602608-DS-6,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" Missed entity,"(13516, 13531)",,Activity Status,,129676008,,13602608-DS-6,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(13533, 13557)","(13533, 13557)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,13602608-DS-6,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, It was " "Correct entity, wrong SNOMED ID","(13672, 13682)","(13672, 13682)",blood clot,blood clot,75753009,22084008,13602608-DS-6,"ng care of you at ___. Why was I here? You had a blood clot in your lung. You had liver injury. How was it t" Missed entity,"(13691, 13695)",,lung,,39607008,,13602608-DS-6,"__. Why was I here? You had a blood clot in your lung. You had liver injury. How was it treated? You w" "Correct entity, wrong SNOMED ID","(13705, 13717)","(13705, 13717)",liver injury,liver injury,39400004,15151004,13602608-DS-6," here? You had a blood clot in your lung. You had liver injury. How was it treated? You were given a blood thin" Missed entity,"(13896, 13907)",,on Warfarin,,722045009,,13602608-DS-6,"as best to prevent future clots. You were started on Warfarin. You will go home on Warfarin. Your simvastatin w" Missed entity,"(13926, 13937)",,on Warfarin,,722045009,,13602608-DS-6,"s. You were started on Warfarin. You will go home on Warfarin. Your simvastatin was stopped as it can worsen yo" "Correct entity, wrong SNOMED ID","(13990, 13995)","(13990, 13995)",liver,liver,10200004,80515008,13602608-DS-6,"our simvastatin was stopped as it can worsen your liver. What do I need to do when I get home? Take your" Wrong span,"(14071, 14078)","(14066, 14078)",smoking,Quit smoking,77176002,394872000,13602608-DS-6,"en I get home? Take your warfarin everyday. Quit smoking. Eat the same type of foods everyday. Thank you" False positive,,"(380, 384)",,EGFR,,86960007,14055839-DS-15," Pt is a ___ Y F with ___ stage IV adenocarcinoma EGFR wild type diagnosed ___ s/p carboplatin pemetrex" False positive,,"(536, 540)",,WBRT,,454541000124108,14055839-DS-15,"the neck and chest as well as new brain mets s/p WBRT and XRT to an obstructing lung lesion presents t" False positive,,"(765, 771)",,bloody,,269909003,14055839-DS-15,"has had nausea, faticue, anorexia, vomiting (non-bloody), and generalized weakness. For the past 5 days " False positive,,"(778, 789)",,generalized,,162432007,14055839-DS-15,"a, faticue, anorexia, vomiting (non-bloody), and generalized weakness. For the past 5 days she reports a run" False positive,,"(1105, 1111)",,eating,,364646003,14055839-DS-15," few days ___ in intensity, not if it related to eating, since she has no appetite. In the ER, she re" False positive,,"(1586, 1589)",,BMs,,258697002,14055839-DS-15,"sometime this week (cannot recall which day), no BMs in the past 2 days (-) Denies chills, night sweat" False positive,,"(2511, 2525)",,paraesophageal,,1087381000119104,14055839-DS-15,"right upper lobe spiculated mass with associated paraesophageal, retrotracheal, supraclavicular, and mediastinal " False positive,,"(2527, 2540)",,retrotracheal,,127930004,14055839-DS-15," spiculated mass with associated paraesophageal, retrotracheal, supraclavicular, and mediastinal adenopathy. The" False positive,,"(2804, 2806)",,BX,,246163005,14055839-DS-15," There was no clear bony involvement. - ___ EBUS/BX: revealed non-small cell carcinoma in biopsies of" False positive,,"(3034, 3035)",,k,,257991000,14055839-DS-15,"negative for CK20, CK5/6, and P63. No evidence of keratinization is seen. - ___onfirmed multiple enl" False positive,,"(4493, 4497)",,WBRT,,454541000124108,14055839-DS-15,"yncope. Found to have new brain mets - ___ to ___ WBRT, chest XRT - ___ CT torso with progressive disea" False positive,,"(4874, 4887)",,PHYSICAL EXAM,,410182004,14055839-DS-15,"ent - Half sister: COPD Physical ___: ADMISSION PHYSICAL EXAM: VS: 98.9 bp 104/54 HR 104 RR 18 SaO2 95 RA GE" False positive,,"(4899, 4901)",,bp,,38341003,14055839-DS-15," Physical ___: ADMISSION PHYSICAL EXAM: VS: 98.9 bp 104/54 HR 104 RR 18 SaO2 95 RA GEN: Slightly te" False positive,,"(4910, 4912)",,HR,,258702006,14055839-DS-15,"__: ADMISSION PHYSICAL EXAM: VS: 98.9 bp 104/54 HR 104 RR 18 SaO2 95 RA GEN: Slightly tearful, conv" False positive,,"(5351, 5354)",,MSK,,258697002,14055839-DS-15,"SM, bowel sounds present, no rebound or guarding MSK: normal muscle tone and bulk EXT: No c/c/e, 2+ __" False positive,,"(5389, 5393)",,No c,,182851001,14055839-DS-15,"or guarding MSK: normal muscle tone and bulk EXT: No c/c/e, 2+ ___ bilaterally SKIN: No rash, warm skin " False positive,,"(5572, 5574)",,BP,,38341003,14055839-DS-15," . DISCHARGE PHYSICAL EXAM: VS: Tmax 98.5 Tc 97.4 BP 140/90 (108-140/60-90) HR 106 RR 20 O2 Sat 94% R" False positive,,"(5598, 5600)",,HR,,258702006,14055839-DS-15,": VS: Tmax 98.5 Tc 97.4 BP 140/90 (108-140/60-90) HR 106 RR 20 O2 Sat 94% RA (93-96% RA) GEN: Patient" False positive,,"(5939, 5942)",,EXT,,1489008,14055839-DS-15,"SM, bowel sounds present, no rebound or guarding EXT: No clubbing, cyanosis, or edema, 2+ DP bilateral" False positive,,"(7024, 7035)",,respiratory,,268925001,14055839-DS-15," BLOOD CULTURE PENDING VIRAL RESPIRATORY SWAB: No respiratory viruses isolated. Culture screened for Adenoviru" False positive,,"(7786, 7791)",,Blood,,405729008,14055839-DS-15,"viral illness and antibiotics were discontinued. Blood and urine cultures and nasopharyngeal swab were " False positive,,"(8061, 8075)",,EGFR wild type,,733889009,14055839-DS-15,"d home without antibiotics. . #NSCLC stage IV EGFR wild type: Treating with palliative intent. The patient la" False positive,,"(12983, 12998)",,Activity Status,,397622007,14055839-DS-15,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" False positive,,"(13980, 13987)",,alcohol,,219006,14055839-DS-15,"ion as the combination of the pain medicaion and alcohol can slow your breathing. Also, please do not driv" "Correct entity, wrong SNOMED ID","(179, 189)","(179, 189)",vancomycin,vancomycin,294475007,42082003,14055839-DS-15," Sex: F Service: MEDICINE Allergies: vancomycin / ceftriaxone Attending: ___ Chief Complaint:" Wrong span,"(192, 203)","(192, 193)",ceftriaxone,c,294551009,257984003,14055839-DS-15," F Service: MEDICINE Allergies: vancomycin / ceftriaxone Attending: ___ Chief Complaint: nausea, fatig" "Correct entity, wrong SNOMED ID","(240, 246)","(240, 246)",nausea,nausea,422587007,1217125005,14055839-DS-15,"/ ceftriaxone Attending: ___ Chief Complaint: nausea, fatigue Major Surgical or Invasive Procedure: " "Correct entity, wrong SNOMED ID","(248, 255)","(248, 255)",fatigue,fatigue,84229001,1141720008,14055839-DS-15,"axone Attending: ___ Chief Complaint: nausea, fatigue Major Surgical or Invasive Procedure: none Hi" Wrong span,"(356, 379)","(356, 364)",stage IV adenocarcinoma,stage IV,424993006,2640006,14055839-DS-15,"tory of Present Illness: Pt is a ___ Y F with ___ stage IV adenocarcinoma EGFR wild type diagnosed ___ s/p carboplatin pem" Missed entity,"(414, 436)",,carboplatin pemetrexed,,367336001,,14055839-DS-15," adenocarcinoma EGFR wild type diagnosed ___ s/p carboplatin pemetrexed x6 completed on ___ with disease progression in " Wrong span,"(463, 470)","(463, 482)",disease,disease progression,64572001,1371415000,14055839-DS-15," carboplatin pemetrexed x6 completed on ___ with disease progression in the neck and chest as well as new" Wrong span,"(490, 504)","(490, 494)",neck and chest,neck,417437006,840674001,14055839-DS-15,"completed on ___ with disease progression in the neck and chest as well as new brain mets s/p WBRT and XRT to an" "Correct entity, wrong SNOMED ID","(521, 531)","(521, 531)",brain mets,brain mets,94225005,1186813006,14055839-DS-15,"progression in the neck and chest as well as new brain mets s/p WBRT and XRT to an obstructing lung lesion p" "Correct entity, wrong SNOMED ID","(545, 548)","(545, 548)",XRT,XRT,169291001,312254007,14055839-DS-15,"and chest as well as new brain mets s/p WBRT and XRT to an obstructing lung lesion presents to the ER" "Correct entity, wrong SNOMED ID","(555, 566)","(555, 566)",obstructing,obstructing,26036001,427121008,14055839-DS-15,"as well as new brain mets s/p WBRT and XRT to an obstructing lung lesion presents to the ER with fever. She " "Correct entity, wrong SNOMED ID","(567, 578)","(567, 578)",lung lesion,lung lesion,301232003,232631002,14055839-DS-15,"new brain mets s/p WBRT and XRT to an obstructing lung lesion presents to the ER with fever. She most recentl" "Correct entity, wrong SNOMED ID","(604, 609)","(604, 609)",fever,fever,386661006,248430002,14055839-DS-15," obstructing lung lesion presents to the ER with fever. She most recently underwent taxotere infusion " "Correct entity, wrong SNOMED ID","(650, 658)","(650, 658)",infusion,infusion,36576007,14152002,14055839-DS-15,"ith fever. She most recently underwent taxotere infusion on ___ with neulasta dose on ___. Since that tim" "Correct entity, wrong SNOMED ID","(723, 729)","(723, 729)",nausea,nausea,422587007,1217125005,14055839-DS-15,"ulasta dose on ___. Since that time, she has had nausea, faticue, anorexia, vomiting (non-bloody), and g" "Correct entity, wrong SNOMED ID","(731, 738)","(731, 738)",faticue,faticue,84229001,271795006,14055839-DS-15,"ose on ___. Since that time, she has had nausea, faticue, anorexia, vomiting (non-bloody), and generalize" Boundary error,"(740, 748)","(740, 749)",anorexia,"anorexia,",79890006,161471008,14055839-DS-15,"_. Since that time, she has had nausea, faticue, anorexia, vomiting (non-bloody), and generalized weakness" "Correct entity, wrong SNOMED ID","(750, 758)","(750, 758)",vomiting,vomiting,422400008,162062008,14055839-DS-15,"that time, she has had nausea, faticue, anorexia, vomiting (non-bloody), and generalized weakness. For the" "Correct entity, wrong SNOMED ID","(836, 846)","(836, 846)",runny nose,runny nose,64531003,249347005,14055839-DS-15,"zed weakness. For the past 5 days she reports a runny nose; the day prior to admission, she had a temperatu" "Correct entity, wrong SNOMED ID","(887, 898)","(887, 898)",temperature,temperature,105723007,228018009,14055839-DS-15,"unny nose; the day prior to admission, she had a temperature of 102.7 and a cough (cannot remember if the sput" "Correct entity, wrong SNOMED ID","(914, 919)","(914, 919)",cough,cough,49727002,28743005,14055839-DS-15," admission, she had a temperature of 102.7 and a cough (cannot remember if the sputum had color) withou" Wrong span,"(944, 961)","(944, 950)","sputum had color",sputum,365445003,28743005,14055839-DS-15,"ture of 102.7 and a cough (cannot remember if the sputum had color) without sick contacts or recent travel. She als" Missed entity,"(995, 1001)",,travel,,276030007,,14055839-DS-15,"putum had color) without sick contacts or recent travel. She also reports mild, crampy abdominal pain f" Missed entity,"(1022, 1026)",,mild,,162468002,,14055839-DS-15,"ick contacts or recent travel. She also reports mild, crampy abdominal pain for a few days ___ in int" Wrong span,"(1028, 1034)","(1028, 1049)",crampy,crampy abdominal pain,51197009,102614006,14055839-DS-15,"ntacts or recent travel. She also reports mild, crampy abdominal pain for a few days ___ in intensity, " Wrong span,"(1035, 1049)","(1028, 1049)",abdominal pain,crampy abdominal pain,21522001,102614006,14055839-DS-15,"or recent travel. She also reports mild, crampy abdominal pain for a few days ___ in intensity, not if it relat" Wrong span,"(1127, 1139)","(1127, 1129)","no appetite",no,79890006,160552003,14055839-DS-15,"nsity, not if it related to eating, since she has no appetite. In the ER, she received Tylenol 1g, Levofloxa" Missed entity,"(1168, 1175)",,Tylenol,,52685006,,14055839-DS-15," she has no appetite. In the ER, she received Tylenol 1g, Levofloxacin, and Zosyn. RUQ U/S was negati" Missed entity,"(1180, 1192)",,Levofloxacin,,281789004,,14055839-DS-15," appetite. In the ER, she received Tylenol 1g, Levofloxacin, and Zosyn. RUQ U/S was negative for cholecysti" "Correct entity, wrong SNOMED ID","(1207, 1214)","(1207, 1214)",RUQ U/S,RUQ U/S,426701000119108,257999003,14055839-DS-15,"e received Tylenol 1g, Levofloxacin, and Zosyn. RUQ U/S was negative for cholecystitis. On arrival to th" "Correct entity, wrong SNOMED ID","(1219, 1227)","(1219, 1227)",negative,negative,281900007,268375009,14055839-DS-15,"ylenol 1g, Levofloxacin, and Zosyn. RUQ U/S was negative for cholecystitis. On arrival to the floor, she" "Correct entity, wrong SNOMED ID","(1232, 1245)","(1232, 1245)",cholecystitis,cholecystitis,76581006,65275009,14055839-DS-15,"vofloxacin, and Zosyn. RUQ U/S was negative for cholecystitis. On arrival to the floor, she feels tired and n" "Correct entity, wrong SNOMED ID","(1284, 1289)","(1284, 1289)",tired,tired,224960004,161869003,14055839-DS-15,"olecystitis. On arrival to the floor, she feels tired and nauseous, and depressed (no SI/HI). She sta" "Correct entity, wrong SNOMED ID","(1294, 1302)","(1294, 1302)",nauseous,nauseous,422587007,83758006,14055839-DS-15,"s. On arrival to the floor, she feels tired and nauseous, and depressed (no SI/HI). She states that she " "Correct entity, wrong SNOMED ID","(1308, 1317)","(1308, 1317)",depressed,depressed,366979004,58051000087107,14055839-DS-15," to the floor, she feels tired and nauseous, and depressed (no SI/HI). She states that she is not sure if " Missed entity,"(1322, 1324)",,SI,,6471006,,14055839-DS-15,", she feels tired and nauseous, and depressed (no SI/HI). She states that she is not sure if receivi" Missed entity,"(1325, 1327)",,HI,,225450009,,14055839-DS-15,"he feels tired and nauseous, and depressed (no SI/HI). She states that she is not sure if receiving " "Correct entity, wrong SNOMED ID","(1377, 1389)","(1377, 1389)",chemotherapy,chemotherapy,367336001,266719004,14055839-DS-15,"). She states that she is not sure if receiving chemotherapy is worth it anymore and thinks that she may have" "Correct entity, wrong SNOMED ID","(1505, 1513)","(1505, 1513)",myalgias,myalgias,68962001,1141862008,14055839-DS-15,"all this."" Review of Systems: (+) Per HPI and myalgias; diarrhea for one day sometime this week (cannot" "Correct entity, wrong SNOMED ID","(1515, 1523)","(1515, 1523)",diarrhea,diarrhea,62315008,111843007,14055839-DS-15,""" Review of Systems: (+) Per HPI and myalgias; diarrhea for one day sometime this week (cannot recall wh" "Correct entity, wrong SNOMED ID","(1620, 1626)","(1620, 1626)",chills,chills,43724002,274640006,14055839-DS-15," which day), no BMs in the past 2 days (-) Denies chills, night sweats, recent weight gain. Denies blurry" "Correct entity, wrong SNOMED ID","(1642, 1660)","(1642, 1660)",recent weight gain,recent weight gain,427572007,248348005,14055839-DS-15," the past 2 days (-) Denies chills, night sweats, recent weight gain. Denies blurry vision, diplopia, loss of vision," "Correct entity, wrong SNOMED ID","(1670, 1683)","(1670, 1683)",blurry vision,blurry vision,111516008,1119528007,14055839-DS-15,"chills, night sweats, recent weight gain. Denies blurry vision, diplopia, loss of vision, photophobia, neck sti" "Correct entity, wrong SNOMED ID","(1685, 1693)","(1685, 1693)",diplopia,diplopia,24982008,246655008,14055839-DS-15,"weats, recent weight gain. Denies blurry vision, diplopia, loss of vision, photophobia, neck stiffness. De" "Correct entity, wrong SNOMED ID","(1695, 1709)","(1695, 1709)",loss of vision,loss of vision,313165001,38950008,14055839-DS-15,"ent weight gain. Denies blurry vision, diplopia, loss of vision, photophobia, neck stiffness. Denies headache, s" "Correct entity, wrong SNOMED ID","(1711, 1722)","(1711, 1722)",photophobia,photophobia,409668002,78264005,14055839-DS-15," Denies blurry vision, diplopia, loss of vision, photophobia, neck stiffness. Denies headache, sinus tenderne" "Correct entity, wrong SNOMED ID","(1724, 1739)","(1724, 1739)","neck stiffness","neck stiffness",161882006,710134003,14055839-DS-15,"ry vision, diplopia, loss of vision, photophobia, neck stiffness. Denies headache, sinus tenderness, sore throat. " "Correct entity, wrong SNOMED ID","(1748, 1756)","(1748, 1756)",headache,headache,25064002,267096005,14055839-DS-15,"s of vision, photophobia, neck stiffness. Denies headache, sinus tenderness, sore throat. Denies chest pai" "Correct entity, wrong SNOMED ID","(1758, 1774)","(1758, 1774)",sinus tenderness,sinus tenderness,277241008,9631000119102,14055839-DS-15,"n, photophobia, neck stiffness. Denies headache, sinus tenderness, sore throat. Denies chest pain or tightness, pa" "Correct entity, wrong SNOMED ID","(1776, 1787)","(1776, 1787)",sore throat,sore throat,267102003,43878008,14055839-DS-15,"ck stiffness. Denies headache, sinus tenderness, sore throat. Denies chest pain or tightness, palpitations, l" "Correct entity, wrong SNOMED ID","(1797, 1807)","(1797, 1807)",chest pain,chest pain,29857009,102589003,14055839-DS-15," headache, sinus tenderness, sore throat. Denies chest pain or tightness, palpitations, lower extremity edem" "Correct entity, wrong SNOMED ID","(1822, 1834)","(1822, 1834)",palpitations,palpitations,80313002,161966006,14055839-DS-15,"ss, sore throat. Denies chest pain or tightness, palpitations, lower extremity edema. Denies shortness of brea" "Correct entity, wrong SNOMED ID","(1836, 1858)","(1836, 1858)","lower extremity edema","lower extremity edema",102572006,816181009,14055839-DS-15,"t. Denies chest pain or tightness, palpitations, lower extremity edema. Denies shortness of breath, or wheezes. Denies m" "Correct entity, wrong SNOMED ID","(1867, 1886)","(1867, 1886)",shortness of breath,shortness of breath,267036007,135833008,14055839-DS-15,"ess, palpitations, lower extremity edema. Denies shortness of breath, or wheezes. Denies melena, hematemesis, hematoc" "Correct entity, wrong SNOMED ID","(1891, 1898)","(1891, 1898)",wheezes,wheezes,56018004,9763007,14055839-DS-15," extremity edema. Denies shortness of breath, or wheezes. Denies melena, hematemesis, hematochezia. Denie" "Correct entity, wrong SNOMED ID","(1907, 1913)","(1907, 1913)",melena,melena,2901004,206424005,14055839-DS-15,"a. Denies shortness of breath, or wheezes. Denies melena, hematemesis, hematochezia. Denies dysuria, stoo" "Correct entity, wrong SNOMED ID","(1916, 1927)","(1916, 1927)",hematemesis,hematemesis,8765009,206423004,14055839-DS-15," shortness of breath, or wheezes. Denies melena, hematemesis, hematochezia. Denies dysuria, stool or urine in" "Correct entity, wrong SNOMED ID","(1929, 1941)","(1929, 1941)",hematochezia,hematochezia,405729008,206406008,14055839-DS-15," breath, or wheezes. Denies melena, hematemesis, hematochezia. Denies dysuria, stool or urine incontinence. De" "Correct entity, wrong SNOMED ID","(1950, 1957)","(1950, 1957)",dysuria,dysuria,49650001,16844001,14055839-DS-15,"Denies melena, hematemesis, hematochezia. Denies dysuria, stool or urine incontinence. Denies arthralgias" Wrong span,"(1959, 1987)","(1959, 1964)","stool or urine incontinence",stool,78459008,465155006,14055839-DS-15,"lena, hematemesis, hematochezia. Denies dysuria, stool or urine incontinence. Denies arthralgias. Denies rashes or skin break" "Correct entity, wrong SNOMED ID","(1996, 2007)","(1996, 2007)",arthralgias,arthralgias,57676002,277138006,14055839-DS-15,"ies dysuria, stool or urine incontinence. Denies arthralgias. Denies rashes or skin breakdown. No numbness/ti" "Correct entity, wrong SNOMED ID","(2016, 2022)","(2016, 2022)",rashes,rashes,271807003,247472004,14055839-DS-15,"r urine incontinence. Denies arthralgias. Denies rashes or skin breakdown. No numbness/tingling in extre" "Correct entity, wrong SNOMED ID","(2026, 2041)","(2026, 2041)","skin breakdown","skin breakdown",247442005,70693003,14055839-DS-15,"ncontinence. Denies arthralgias. Denies rashes or skin breakdown. No numbness/tingling in extremities. All other " "Correct entity, wrong SNOMED ID","(2046, 2063)","(2046, 2063)",numbness/tingling,numbness/tingling,101000119102,91019004,14055839-DS-15,"arthralgias. Denies rashes or skin breakdown. No numbness/tingling in extremities. All other systems negative. P" "Correct entity, wrong SNOMED ID","(2067, 2078)","(2067, 2078)",extremities,extremities,2592007,248416007,14055839-DS-15,"ashes or skin breakdown. No numbness/tingling in extremities. All other systems negative. Past Medical His" "Correct entity, wrong SNOMED ID","(2099, 2107)","(2099, 2107)",negative,negative,281900007,268375009,14055839-DS-15,"bness/tingling in extremities. All other systems negative. Past Medical History: Past Oncologic Hx: ___ " Wrong span,"(2157, 2180)","(2157, 2165)",stage IV adenocarcinoma,stage IV,424993006,2640006,14055839-DS-15,". Past Medical History: Past Oncologic Hx: ___ stage IV adenocarcinoma EGFR wild type - ___ began to experience a produc" "Correct entity, wrong SNOMED ID","(2224, 2240)","(2224, 2240)",productive cough,productive cough,28743005,11833005,14055839-DS-15,"cinoma EGFR wild type - ___ began to experience a productive cough, shortness of breath, and increased fatigue. - " "Correct entity, wrong SNOMED ID","(2243, 2262)","(2243, 2262)","shortness of breath","shortness of breath",267036007,135833008,14055839-DS-15,"pe - ___ began to experience a productive cough, shortness of breath, and increased fatigue. - ___ CXR revealed a rig" "Correct entity, wrong SNOMED ID","(2278, 2285)","(2278, 2285)",fatigue,fatigue,84229001,1141720008,14055839-DS-15,"uctive cough, shortness of breath, and increased fatigue. - ___ CXR revealed a right lung mass as well as" "Correct entity, wrong SNOMED ID","(2309, 2324)","(2309, 2324)",right lung mass,right lung mass,786838002,1079311000119106,14055839-DS-15,"ath, and increased fatigue. - ___ CXR revealed a right lung mass as well as some concern for lymphangitic spread " "Correct entity, wrong SNOMED ID","(2353, 2372)","(2353, 2372)",lymphangitic spread,lymphangitic spread,255119002,90530002,14055839-DS-15,"led a right lung mass as well as some concern for lymphangitic spread - ___ chest CT, images of which are not availabl" "Correct entity, wrong SNOMED ID","(2461, 2477)","(2461, 2477)",right upper lobe,right upper lobe,42400003,11339004,14055839-DS-15,"ot available for review, but by report revealed a right upper lobe spiculated mass with associated paraesophageal, " "Correct entity, wrong SNOMED ID","(2490, 2494)","(2490, 2494)",mass,mass,4147007,237557003,14055839-DS-15,"by report revealed a right upper lobe spiculated mass with associated paraesophageal, retrotracheal, su" "Correct entity, wrong SNOMED ID","(2542, 2557)","(2542, 2557)",supraclavicular,supraclavicular,76838003,126636004,14055839-DS-15,"ss with associated paraesophageal, retrotracheal, supraclavicular, and mediastinal adenopathy. There was narrowing " "Correct entity, wrong SNOMED ID","(2563, 2585)","(2563, 2585)",mediastinal adenopathy,mediastinal adenopathy,52324001,127109007,14055839-DS-15,"raesophageal, retrotracheal, supraclavicular, and mediastinal adenopathy. There was narrowing of the secondary bronchi in " Missed entity,"(2597, 2606)",,narrowing,,708528005,,14055839-DS-15,"clavicular, and mediastinal adenopathy. There was narrowing of the secondary bronchi in the right, but no cle" Wrong span,"(2624, 2644)","(2624, 2631)",bronchi in the right,bronchi,736638004,19568000,14055839-DS-15," adenopathy. There was narrowing of the secondary bronchi in the right, but no clear occlusion as multiple bilateral pul" "Correct entity, wrong SNOMED ID","(2659, 2668)","(2659, 2668)",occlusion,occlusion,50173008,63739005,14055839-DS-15," the secondary bronchi in the right, but no clear occlusion as multiple bilateral pulmonary nodules were note" Wrong span,"(2672, 2708)","(2691, 2708)","multiple bilateral pulmonary nodules",pulmonary nodules,445249002,445249002,14055839-DS-15,"y bronchi in the right, but no clear occlusion as multiple bilateral pulmonary nodules were noted as well as a small right effusion. The" Wrong span,"(2739, 2744)","(2739, 2753)",right,"right effusion",44788007,1366512001,14055839-DS-15,"l pulmonary nodules were noted as well as a small right effusion. There was no clear bony involvement. -" Wrong span,"(2745, 2753)","(2739, 2753)",effusion,"right effusion",60046008,1366512001,14055839-DS-15,"onary nodules were noted as well as a small right effusion. There was no clear bony involvement. - ___ EBUS" Wrong span,"(2774, 2790)","(2774, 2778)",bony involvement,bony,879976004,870248007,14055839-DS-15,"ell as a small right effusion. There was no clear bony involvement. - ___ EBUS/BX: revealed non-small cell carcinom" "Correct entity, wrong SNOMED ID","(2817, 2841)","(2817, 2841)",non-small cell carcinoma,non-small cell carcinoma,128632008,40861000146101,14055839-DS-15," clear bony involvement. - ___ EBUS/BX: revealed non-small cell carcinoma in biopsies of the 4L and station 7 lymph nodes. " "Correct entity, wrong SNOMED ID","(2845, 2853)","(2845, 2853)",biopsies,biopsies,86273004,7246002,14055839-DS-15,"___ EBUS/BX: revealed non-small cell carcinoma in biopsies of the 4L and station 7 lymph nodes. Tumor cells " Wrong span,"(2868, 2889)","(2878, 2889)",station 7 lymph nodes,lymph nodes,28330007,67022004,14055839-DS-15,"on-small cell carcinoma in biopsies of the 4L and station 7 lymph nodes. Tumor cells positive for cytokeratin cocktail (k" Wrong span,"(2891, 2896)","(2891, 2902)",Tumor,Tumor cells,108369006,167998005,14055839-DS-15," in biopsies of the 4L and station 7 lymph nodes. Tumor cells positive for cytokeratin cocktail (keratin " Wrong span,"(2897, 2902)","(2891, 2902)",cells,Tumor cells,4421005,167998005,14055839-DS-15,"opsies of the 4L and station 7 lymph nodes. Tumor cells positive for cytokeratin cocktail (keratin AE1/AE" Missed entity,"(2984, 2992)",,negative,,281900007,,14055839-DS-15,"il (keratin AE1/AE3, Cam 5.2), CK7, and TTF-1 and negative for CK20, CK5/6, and P63. No evidence of keratini" Missed entity,"(3019, 3030)",,No evidence,,281900007,,14055839-DS-15," and TTF-1 and negative for CK20, CK5/6, and P63. No evidence of keratinization is seen. - ___onfirmed multipl" "Correct entity, wrong SNOMED ID","(3082, 3090)","(3082, 3090)",enlarged,enlarged,274744005,287972005,14055839-DS-15,"f keratinization is seen. - ___onfirmed multiple enlarged FDG avid supraclavicular nodes with SUV max of 11" Missed entity,"(3091, 3099)",,FDG avid,,443271005,,14055839-DS-15,"ization is seen. - ___onfirmed multiple enlarged FDG avid supraclavicular nodes with SUV max of 11. In the " "Correct entity, wrong SNOMED ID","(3100, 3121)","(3100, 3121)",supraclavicular nodes,supraclavicular nodes,76838003,245325004,14055839-DS-15,"s seen. - ___onfirmed multiple enlarged FDG avid supraclavicular nodes with SUV max of 11. In the chest, there was exte" "Correct entity, wrong SNOMED ID","(3149, 3154)","(3149, 3154)",chest,chest,51185008,74160004,14055839-DS-15," supraclavicular nodes with SUV max of 11. In the chest, there was extensive FDG avid mediastinal adenop" Missed entity,"(3177, 3185)",,FDG avid,,443271005,,14055839-DS-15,"SUV max of 11. In the chest, there was extensive FDG avid mediastinal adenopathy with bulky nodes in the p" "Correct entity, wrong SNOMED ID","(3186, 3208)","(3186, 3208)",mediastinal adenopathy,mediastinal adenopathy,52324001,127109007,14055839-DS-15,"f 11. In the chest, there was extensive FDG avid mediastinal adenopathy with bulky nodes in the paratracheal, precarinal" "Correct entity, wrong SNOMED ID","(3220, 3225)","(3220, 3225)",nodes,nodes,76838003,245283006,14055839-DS-15,"ensive FDG avid mediastinal adenopathy with bulky nodes in the paratracheal, precarinal, and subcarinal " "Correct entity, wrong SNOMED ID","(3234, 3246)","(3234, 3246)",paratracheal,paratracheal,279818001,65690001,14055839-DS-15,"d mediastinal adenopathy with bulky nodes in the paratracheal, precarinal, and subcarinal locations with an SUV" Wrong span,"(3248, 3258)","(3248, 3251)",precarinal,pre,168460001,425371003,14055839-DS-15,"adenopathy with bulky nodes in the paratracheal, precarinal, and subcarinal locations with an SUV max up to 1" Missed entity,"(3264, 3274)",,subcarinal,,28700002,,14055839-DS-15,"bulky nodes in the paratracheal, precarinal, and subcarinal locations with an SUV max up to 11. The spiculate" "Correct entity, wrong SNOMED ID","(3326, 3342)","(3326, 3342)",right upper lobe,right upper lobe,42400003,11339004,14055839-DS-15,"ocations with an SUV max up to 11. The spiculated right upper lobe lesion had an SUV max of 5.6 ___s the multiple pu" "Correct entity, wrong SNOMED ID","(3343, 3349)","(3343, 3349)",lesion,lesion,52988006,120609008,14055839-DS-15,"SUV max up to 11. The spiculated right upper lobe lesion had an SUV max of 5.6 ___s the multiple pulmonary" Wrong span,"(3381, 3407)","(3390, 3407)",multiple pulmonary nodules,pulmonary nodules,445249002,445249002,14055839-DS-15," upper lobe lesion had an SUV max of 5.6 ___s the multiple pulmonary nodules were mildly FDG avid. There was no FDG-avid disea" Missed entity,"(3420, 3428)",,FDG avid,,443271005,,14055839-DS-15,"6 ___s the multiple pulmonary nodules were mildly FDG avid. There was no FDG-avid disease in the abdomen or " Missed entity,"(3443, 3451)",,FDG-avid,,443271005,,14055839-DS-15,"monary nodules were mildly FDG avid. There was no FDG-avid disease in the abdomen or pelvis or clear bony le" "Correct entity, wrong SNOMED ID","(3452, 3459)","(3452, 3459)",disease,disease,64572001,170516003,14055839-DS-15,"dules were mildly FDG avid. There was no FDG-avid disease in the abdomen or pelvis or clear bony lesions. " "Correct entity, wrong SNOMED ID","(3467, 3474)","(3467, 3474)",abdomen,abdomen,818983003,75093004,14055839-DS-15,"ly FDG avid. There was no FDG-avid disease in the abdomen or pelvis or clear bony lesions. - ___ MRI brain" "Correct entity, wrong SNOMED ID","(3478, 3484)","(3478, 3484)",pelvis,pelvis,12921003,25990002,14055839-DS-15,". There was no FDG-avid disease in the abdomen or pelvis or clear bony lesions. - ___ MRI brain was negat" Missed entity,"(3488, 3493)",,clear,,281900007,,14055839-DS-15,"s no FDG-avid disease in the abdomen or pelvis or clear bony lesions. - ___ MRI brain was negative for e" Wrong span,"(3494, 3506)","(3494, 3498)",bony lesions,bony,879976004,870248007,14055839-DS-15,"DG-avid disease in the abdomen or pelvis or clear bony lesions. - ___ MRI brain was negative for enhancing brai" Missed entity,"(3529, 3537)",,negative,,281900007,,14055839-DS-15,"elvis or clear bony lesions. - ___ MRI brain was negative for enhancing brain lesions and commented only o" "Correct entity, wrong SNOMED ID","(3552, 3565)","(3552, 3565)",brain lesions,brain lesions,301766008,422840005,14055839-DS-15,"ions. - ___ MRI brain was negative for enhancing brain lesions and commented only on early small vessel changes" Wrong span,"(3595, 3607)","(3595, 3615)",small vessel,small vessel changes,27915009,27915009,14055839-DS-15,"ancing brain lesions and commented only on early small vessel changes. - ___ CT Chest with further interval pr" Missed entity,"(3802, 3810)",,decrease,,19776001,,14055839-DS-15,"emetrexed 500 mg/m2 - ___ CT Chest with interval decrease in adenopathy, pulmonary masses, and resolution o" "Correct entity, wrong SNOMED ID","(3814, 3824)","(3814, 3824)",adenopathy,adenopathy,30746006,127158006,14055839-DS-15,"0 mg/m2 - ___ CT Chest with interval decrease in adenopathy, pulmonary masses, and resolution of effusion. -" "Correct entity, wrong SNOMED ID","(3826, 3842)","(3826, 3842)",pulmonary masses,pulmonary masses,786838002,427359005,14055839-DS-15,"__ CT Chest with interval decrease in adenopathy, pulmonary masses, and resolution of effusion. - ___ C3D1 Carbopla" Missed entity,"(3848, 3858)",,resolution,,413322009,,14055839-DS-15,"val decrease in adenopathy, pulmonary masses, and resolution of effusion. - ___ C3D1 Carboplatin AUC 5, Pemet" "Correct entity, wrong SNOMED ID","(3983, 3985)","(3983, 3985)",CT,CT,77477000,241541005,14055839-DS-15,"D1 Carboplatin AUC 5, Pemetrexed 500 mg/m2 - ___ CT with stable disease - ___ C5D1 Carboplatin AUC 5" "Correct entity, wrong SNOMED ID","(3991, 3997)","(3991, 3997)",stable,stable,359746009,301459008,14055839-DS-15,"platin AUC 5, Pemetrexed 500 mg/m2 - ___ CT with stable disease - ___ C5D1 Carboplatin AUC 5, Pemetrexed" "Correct entity, wrong SNOMED ID","(3998, 4005)","(3998, 4005)",disease,disease,64572001,1144929002,14055839-DS-15,"AUC 5, Pemetrexed 500 mg/m2 - ___ CT with stable disease - ___ C5D1 Carboplatin AUC 5, Pemetrexed 500 mg/" Missed entity,"(4127, 4149)",,carboplatin pemetrexed,,367336001,,14055839-DS-15,"atin AUC 5, Pemetrexed 500 mg/m2 - ___ Completed carboplatin pemetrexed x6 - ___ CT torso with possible progression of RU" "Correct entity, wrong SNOMED ID","(4159, 4167)","(4159, 4167)",CT torso,CT torso,169069000,262225004,14055839-DS-15," - ___ Completed carboplatin pemetrexed x6 - ___ CT torso with possible progression of RUL lesions but over" "Correct entity, wrong SNOMED ID","(4197, 4200)","(4197, 4200)",RUL,RUL,42400003,65826004,14055839-DS-15,"ed x6 - ___ CT torso with possible progression of RUL lesions but overall stable disease, CT neck with " "Correct entity, wrong SNOMED ID","(4201, 4208)","(4201, 4208)",lesions,lesions,52988006,246206008,14055839-DS-15,"6 - ___ CT torso with possible progression of RUL lesions but overall stable disease, CT neck with signific" "Correct entity, wrong SNOMED ID","(4221, 4227)","(4221, 4227)",stable,stable,359746009,301459008,14055839-DS-15,"h possible progression of RUL lesions but overall stable disease, CT neck with significant reduction in su" "Correct entity, wrong SNOMED ID","(4228, 4235)","(4228, 4235)",disease,disease,64572001,1144929002,14055839-DS-15,"ble progression of RUL lesions but overall stable disease, CT neck with significant reduction in supraclavi" "Correct entity, wrong SNOMED ID","(4237, 4244)","(4237, 4244)",CT neck,CT neck,169068008,718015004,14055839-DS-15,"ession of RUL lesions but overall stable disease, CT neck with significant reduction in supraclavicular dis" Wrong span,"(4275, 4290)","(4275, 4298)",supraclavicular,supraclavicular disease,76838003,126636004,14055839-DS-15,"le disease, CT neck with significant reduction in supraclavicular disease - ___ CT chest and neck showed progressiv" Wrong span,"(4291, 4298)","(4275, 4298)",disease,supraclavicular disease,64572001,126636004,14055839-DS-15,"eck with significant reduction in supraclavicular disease - ___ CT chest and neck showed progressive diseas" Wrong span,"(4305, 4322)","(4305, 4313)",CT chest and neck,CT chest,393091000119105,169069000,14055839-DS-15,"ficant reduction in supraclavicular disease - ___ CT chest and neck showed progressive disease - ___ C1D1 single agen" "Correct entity, wrong SNOMED ID","(4330, 4341)","(4330, 4341)",progressive,progressive,271299001,702322003,14055839-DS-15,"clavicular disease - ___ CT chest and neck showed progressive disease - ___ C1D1 single agent palliative pemetr" "Correct entity, wrong SNOMED ID","(4342, 4349)","(4342, 4349)",disease,disease,64572001,1144929002,14055839-DS-15,"isease - ___ CT chest and neck showed progressive disease - ___ C1D1 single agent palliative pemetrexed 500" Missed entity,"(4406, 4408)",,IV,,386340006,,14055839-DS-15,"C1D1 single agent palliative pemetrexed 500 mg/m2 IV - ___ to ___ Admission for PNA, syncope. Found t" "Correct entity, wrong SNOMED ID","(4437, 4440)","(4437, 4440)",PNA,PNA,233604007,423257005,14055839-DS-15,"metrexed 500 mg/m2 IV - ___ to ___ Admission for PNA, syncope. Found to have new brain mets - ___ to _" "Correct entity, wrong SNOMED ID","(4442, 4449)","(4442, 4449)",syncope,syncope,271594007,427461000,14055839-DS-15,"xed 500 mg/m2 IV - ___ to ___ Admission for PNA, syncope. Found to have new brain mets - ___ to ___ WBRT, " "Correct entity, wrong SNOMED ID","(4469, 4479)","(4469, 4479)",brain mets,brain mets,94225005,30057005,14055839-DS-15,"___ Admission for PNA, syncope. Found to have new brain mets - ___ to ___ WBRT, chest XRT - ___ CT torso with" Wrong span,"(4499, 4504)","(4499, 4508)",chest,chest XRT,51185008,399208008,14055839-DS-15,". Found to have new brain mets - ___ to ___ WBRT, chest XRT - ___ CT torso with progressive disease - __" Wrong span,"(4505, 4508)","(4499, 4508)",XRT,chest XRT,169291001,399208008,14055839-DS-15,"d to have new brain mets - ___ to ___ WBRT, chest XRT - ___ CT torso with progressive disease - ___ Br" "Correct entity, wrong SNOMED ID","(4516, 4524)","(4516, 4524)",CT torso,CT torso,169069000,262225004,14055839-DS-15,"ew brain mets - ___ to ___ WBRT, chest XRT - ___ CT torso with progressive disease - ___ Brain MRI with imp" "Correct entity, wrong SNOMED ID","(4530, 4541)","(4530, 4541)",progressive,progressive,271299001,702322003,14055839-DS-15,"- ___ to ___ WBRT, chest XRT - ___ CT torso with progressive disease - ___ Brain MRI with improved disease - _" "Correct entity, wrong SNOMED ID","(4542, 4549)","(4542, 4549)",disease,disease,64572001,53619000,14055839-DS-15," WBRT, chest XRT - ___ CT torso with progressive disease - ___ Brain MRI with improved disease - ___ C1D1 " "Correct entity, wrong SNOMED ID","(4571, 4579)","(4571, 4579)",improved,improved,268910001,251359002,14055839-DS-15,"rso with progressive disease - ___ Brain MRI with improved disease - ___ C1D1 docetaxel 75 mg/m2 with Neulas" "Correct entity, wrong SNOMED ID","(4580, 4587)","(4580, 4587)",disease,disease,64572001,53619000,14055839-DS-15,"progressive disease - ___ Brain MRI with improved disease - ___ C1D1 docetaxel 75 mg/m2 with Neulasta suppo" Missed entity,"(4706, 4717)",,status post,,19585003,,14055839-DS-15,"t Medical History: - History of uterine fibroids, status post embolization in ___ obesity Social History: __" "Correct entity, wrong SNOMED ID","(4718, 4730)","(4718, 4730)",embolization,embolization,122463005,448396008,14055839-DS-15,"story: - History of uterine fibroids, status post embolization in ___ obesity Social History: ___ Family Hist" "Correct entity, wrong SNOMED ID","(4738, 4745)","(4738, 4745)",obesity,obesity,414916001,111036000,14055839-DS-15,"uterine fibroids, status post embolization in ___ obesity Social History: ___ Family History: - Mother: " "Correct entity, wrong SNOMED ID","(4795, 4798)","(4795, 4798)",CVA,CVA,230690007,1131000119105,14055839-DS-15," Social History: ___ Family History: - Mother: CVA - Father: Unknown to patient - Half sister: COPD " "Correct entity, wrong SNOMED ID","(4843, 4847)","(4843, 4847)",COPD,COPD,13645005,48347002,14055839-DS-15,": CVA - Father: Unknown to patient - Half sister: COPD Physical ___: ADMISSION PHYSICAL EXAM: VS: 98.9" "Correct entity, wrong SNOMED ID","(4889, 4891)","(4889, 4891)",VS,VS,118227000,313611000,14055839-DS-15,"er: COPD Physical ___: ADMISSION PHYSICAL EXAM: VS: 98.9 bp 104/54 HR 104 RR 18 SaO2 95 RA GEN: S" "Correct entity, wrong SNOMED ID","(4917, 4919)","(4917, 4919)",RR,RR,301283003,229040007,14055839-DS-15,"ISSION PHYSICAL EXAM: VS: 98.9 bp 104/54 HR 104 RR 18 SaO2 95 RA GEN: Slightly tearful, conversant," "Correct entity, wrong SNOMED ID","(4924, 4928)","(4924, 4928)",SaO2,SaO2,447755005,449171008,14055839-DS-15,"PHYSICAL EXAM: VS: 98.9 bp 104/54 HR 104 RR 18 SaO2 95 RA GEN: Slightly tearful, conversant, awake, t" "Correct entity, wrong SNOMED ID","(4932, 4934)","(4932, 4934)",RA,RA,722742002,463051000124105,14055839-DS-15," EXAM: VS: 98.9 bp 104/54 HR 104 RR 18 SaO2 95 RA GEN: Slightly tearful, conversant, awake, tired " "Correct entity, wrong SNOMED ID","(4935, 4938)","(4935, 4938)",GEN,GEN,162673000,420208008,14055839-DS-15,"AM: VS: 98.9 bp 104/54 HR 104 RR 18 SaO2 95 RA GEN: Slightly tearful, conversant, awake, tired HEE" "Correct entity, wrong SNOMED ID","(4949, 4956)","(4949, 4956)",tearful,tearful,271951008,1345227001,14055839-DS-15,"bp 104/54 HR 104 RR 18 SaO2 95 RA GEN: Slightly tearful, conversant, awake, tired HEENT: EOMI, sclera a" "Correct entity, wrong SNOMED ID","(4985, 4990)","(4985, 4990)",HEENT,HEENT,5880005,113665002,14055839-DS-15,"GEN: Slightly tearful, conversant, awake, tired HEENT: EOMI, sclera anicteric, conjunctivae clear, OP d" "Correct entity, wrong SNOMED ID","(4992, 4996)","(4992, 4996)",EOMI,EOMI,103251002,67099000,14055839-DS-15,"ightly tearful, conversant, awake, tired HEENT: EOMI, sclera anicteric, conjunctivae clear, OP dry and" "Correct entity, wrong SNOMED ID","(4998, 5014)","(4998, 5014)",sclera anicteric,sclera anicteric,427801009,231878001,14055839-DS-15," tearful, conversant, awake, tired HEENT: EOMI, sclera anicteric, conjunctivae clear, OP dry and without lesion N" Wrong span,"(5016, 5028)","(5016, 5034)",conjunctivae,conjunctivae clear,29445007,68579001,14055839-DS-15,"nt, awake, tired HEENT: EOMI, sclera anicteric, conjunctivae clear, OP dry and without lesion NECK: Supple, n" Wrong span,"(5029, 5034)","(5016, 5034)",clear,conjunctivae clear,48348007,68579001,14055839-DS-15,"red HEENT: EOMI, sclera anicteric, conjunctivae clear, OP dry and without lesion NECK: Supple, no JVD " Wrong span,"(5036, 5038)","(5036, 5042)",OP,OP dry,31389004,881291000124102,14055839-DS-15,"EENT: EOMI, sclera anicteric, conjunctivae clear, OP dry and without lesion NECK: Supple, no JVD CV" "Correct entity, wrong SNOMED ID","(5056, 5062)","(5056, 5062)",lesion,lesion,52988006,120609008,14055839-DS-15,"nicteric, conjunctivae clear, OP dry and without lesion NECK: Supple, no JVD CV: Reg rate, normal S1, S" "Correct entity, wrong SNOMED ID","(5063, 5067)","(5063, 5067)",NECK,NECK,5880005,840674001,14055839-DS-15,"c, conjunctivae clear, OP dry and without lesion NECK: Supple, no JVD CV: Reg rate, normal S1, S2. No" "Correct entity, wrong SNOMED ID","(5069, 5075)","(5069, 5075)",Supple,Supple,298475003,169743001,14055839-DS-15,"junctivae clear, OP dry and without lesion NECK: Supple, no JVD CV: Reg rate, normal S1, S2. No m/r/g. " "Correct entity, wrong SNOMED ID","(5080, 5083)","(5080, 5083)",JVD,JVD,271653008,253395003,14055839-DS-15,"lear, OP dry and without lesion NECK: Supple, no JVD CV: Reg rate, normal S1, S2. No m/r/g. CHEST" "Correct entity, wrong SNOMED ID","(5086, 5088)","(5086, 5088)",CV,CV,363003006,258773002,14055839-DS-15,"OP dry and without lesion NECK: Supple, no JVD CV: Reg rate, normal S1, S2. No m/r/g. CHEST: Res" "Correct entity, wrong SNOMED ID","(5090, 5098)","(5090, 5098)",Reg rate,Reg rate,271636001,118528009,14055839-DS-15,"ry and without lesion NECK: Supple, no JVD CV: Reg rate, normal S1, S2. No m/r/g. CHEST: Resp unlabore" Wrong span,"(5100, 5113)","(5100, 5109)","normal S1, S2",normal S1,301132007,167242001,14055839-DS-15,"thout lesion NECK: Supple, no JVD CV: Reg rate, normal S1, S2. No m/r/g. CHEST: Resp unlabored, no accessory" "Correct entity, wrong SNOMED ID","(5115, 5123)","(5115, 5123)",No m/r/g,No m/r/g,301132007,167724007,14055839-DS-15,"CK: Supple, no JVD CV: Reg rate, normal S1, S2. No m/r/g. CHEST: Resp unlabored, no accessory muscle us" "Correct entity, wrong SNOMED ID","(5128, 5133)","(5128, 5133)",CHEST,CHEST,51185008,74160004,14055839-DS-15,"o JVD CV: Reg rate, normal S1, S2. No m/r/g. CHEST: Resp unlabored, no accessory muscle use. right-s" Wrong span,"(5135, 5139)","(5135, 5149)",Resp,Resp unlabored,268925001,866267001,14055839-DS-15," CV: Reg rate, normal S1, S2. No m/r/g. CHEST: Resp unlabored, no accessory muscle use. right-sided " "Correct entity, wrong SNOMED ID","(5154, 5174)","(5154, 5174)",accessory muscle use,accessory muscle use,271620003,178276009,14055839-DS-15,"al S1, S2. No m/r/g. CHEST: Resp unlabored, no accessory muscle use. right-sided breath sounds distant, no crackles," Wrong span,"(5176, 5181)","(5176, 5202)",right,"right-sided breath sounds",6921000,17952008,14055839-DS-15," CHEST: Resp unlabored, no accessory muscle use. right-sided breath sounds distant, no crackles, wheeze" Wrong span,"(5189, 5202)","(5176, 5202)",breath sounds,"right-sided breath sounds",366135003,17952008,14055839-DS-15," unlabored, no accessory muscle use. right-sided breath sounds distant, no crackles, wheezes or rhonchi. ABD: " "Correct entity, wrong SNOMED ID","(5225, 5232)","(5225, 5232)",wheezes,wheezes,56018004,9763007,14055839-DS-15," right-sided breath sounds distant, no crackles, wheezes or rhonchi. ABD: Soft, mildly distended and dif" "Correct entity, wrong SNOMED ID","(5247, 5250)","(5247, 5250)",ABD,ABD,225162003,60728008,14055839-DS-15,"ounds distant, no crackles, wheezes or rhonchi. ABD: Soft, mildly distended and diffusely tender, no " "Correct entity, wrong SNOMED ID","(5265, 5274)","(5265, 5274)",distended,distended,60728008,5314004,14055839-DS-15,"crackles, wheezes or rhonchi. ABD: Soft, mildly distended and diffusely tender, no HSM, bowel sounds prese" "Correct entity, wrong SNOMED ID","(5289, 5295)","(5289, 5295)",tender,tender,43478001,300821004,14055839-DS-15,"nchi. ABD: Soft, mildly distended and diffusely tender, no HSM, bowel sounds present, no rebound or gua" "Correct entity, wrong SNOMED ID","(5300, 5303)","(5300, 5303)",HSM,HSM,36760000,282140003,14055839-DS-15,": Soft, mildly distended and diffusely tender, no HSM, bowel sounds present, no rebound or guarding MS" "Correct entity, wrong SNOMED ID","(5305, 5326)","(5305, 5326)","bowel sounds present","bowel sounds present",61539000,444685004,14055839-DS-15,"t, mildly distended and diffusely tender, no HSM, bowel sounds present, no rebound or guarding MSK: normal muscle tone a" "Correct entity, wrong SNOMED ID","(5331, 5338)","(5331, 5338)",rebound,rebound,35611005,844584001,14055839-DS-15,"ffusely tender, no HSM, bowel sounds present, no rebound or guarding MSK: normal muscle tone and bulk EXT:" "Correct entity, wrong SNOMED ID","(5356, 5374)","(5356, 5374)",normal muscle tone,normal muscle tone,827065006,246723000,14055839-DS-15,"owel sounds present, no rebound or guarding MSK: normal muscle tone and bulk EXT: No c/c/e, 2+ ___ bilaterally SKIN: " "Correct entity, wrong SNOMED ID","(5384, 5387)","(5384, 5387)",EXT,EXT,302773001,1489008,14055839-DS-15,"ound or guarding MSK: normal muscle tone and bulk EXT: No c/c/e, 2+ ___ bilaterally SKIN: No rash, warm" "Correct entity, wrong SNOMED ID","(5418, 5422)","(5418, 5422)",SKIN,SKIN,271303006,444884003,14055839-DS-15,"e tone and bulk EXT: No c/c/e, 2+ ___ bilaterally SKIN: No rash, warm skin NEURO: normal attention, no f" "Correct entity, wrong SNOMED ID","(5427, 5431)","(5427, 5431)",rash,rash,271807003,247472004,14055839-DS-15,"d bulk EXT: No c/c/e, 2+ ___ bilaterally SKIN: No rash, warm skin NEURO: normal attention, no focal defi" "Correct entity, wrong SNOMED ID","(5433, 5442)","(5433, 5442)",warm skin,warm skin,102599008,822960006,14055839-DS-15," EXT: No c/c/e, 2+ ___ bilaterally SKIN: No rash, warm skin NEURO: normal attention, no focal deficits, follo" "Correct entity, wrong SNOMED ID","(5443, 5448)","(5443, 5448)",NEURO,NEURO,84728005,281247006,14055839-DS-15,"/c/e, 2+ ___ bilaterally SKIN: No rash, warm skin NEURO: normal attention, no focal deficits, follows com" Wrong span,"(5450, 5456)","(5450, 5466)",normal,normal attention,281900007,76039005,14055839-DS-15,"+ ___ bilaterally SKIN: No rash, warm skin NEURO: normal attention, no focal deficits, follows commands PS" Wrong span,"(5457, 5466)","(5450, 5466)",attention,normal attention,409083006,76039005,14055839-DS-15,"ilaterally SKIN: No rash, warm skin NEURO: normal attention, no focal deficits, follows commands PSYCH: appro" Missed entity,"(5468, 5485)",,no focal deficits,,18460000,,14055839-DS-15,"SKIN: No rash, warm skin NEURO: normal attention, no focal deficits, follows commands PSYCH: appropriate . DISCHARGE " "Correct entity, wrong SNOMED ID","(5487, 5503)","(5487, 5503)",follows commands,follows commands,298331001,363708005,14055839-DS-15," skin NEURO: normal attention, no focal deficits, follows commands PSYCH: appropriate . DISCHARGE PHYSICAL EXAM: VS:" "Correct entity, wrong SNOMED ID","(5504, 5509)","(5504, 5509)",PSYCH,PSYCH,24642003,17326005,14055839-DS-15,"al attention, no focal deficits, follows commands PSYCH: appropriate . DISCHARGE PHYSICAL EXAM: VS: Tmax " "Correct entity, wrong SNOMED ID","(5550, 5552)","(5550, 5552)",VS,VS,118227000,313611000,14055839-DS-15,"nds PSYCH: appropriate . DISCHARGE PHYSICAL EXAM: VS: Tmax 98.5 Tc 97.4 BP 140/90 (108-140/60-90) HR 1" "Correct entity, wrong SNOMED ID","(5605, 5607)","(5605, 5607)",RR,RR,301283003,229040007,14055839-DS-15,"max 98.5 Tc 97.4 BP 140/90 (108-140/60-90) HR 106 RR 20 O2 Sat 94% RA (93-96% RA) GEN: Patient sittin" Wrong span,"(5611, 5618)","(5611, 5613)","O2 Sat",O2,447755005,51776002,14055839-DS-15,".5 Tc 97.4 BP 140/90 (108-140/60-90) HR 106 RR 20 O2 Sat 94% RA (93-96% RA) GEN: Patient sitting up in bed" "Correct entity, wrong SNOMED ID","(5623, 5625)","(5623, 5625)",RA,RA,722742002,463051000124105,14055839-DS-15,"P 140/90 (108-140/60-90) HR 106 RR 20 O2 Sat 94% RA (93-96% RA) GEN: Patient sitting up in bed in NAD" "Correct entity, wrong SNOMED ID","(5634, 5636)","(5634, 5636)",RA,RA,722742002,463051000124105,14055839-DS-15,"08-140/60-90) HR 106 RR 20 O2 Sat 94% RA (93-96% RA) GEN: Patient sitting up in bed in NAD HEENT: EOM" "Correct entity, wrong SNOMED ID","(5638, 5641)","(5638, 5641)",GEN,GEN,162673000,16651008,14055839-DS-15,"40/60-90) HR 106 RR 20 O2 Sat 94% RA (93-96% RA) GEN: Patient sitting up in bed in NAD HEENT: EOMI, sc" "Correct entity, wrong SNOMED ID","(5651, 5658)","(5651, 5658)",sitting,sitting,33586001,282969008,14055839-DS-15,"106 RR 20 O2 Sat 94% RA (93-96% RA) GEN: Patient sitting up in bed in NAD HEENT: EOMI, sclera anicteric, c" "Correct entity, wrong SNOMED ID","(5672, 5675)","(5672, 5675)",NAD,NAD,281900007,131143000,14055839-DS-15," RA (93-96% RA) GEN: Patient sitting up in bed in NAD HEENT: EOMI, sclera anicteric, conjunctivae clear" "Correct entity, wrong SNOMED ID","(5676, 5681)","(5676, 5681)",HEENT,HEENT,5880005,113665002,14055839-DS-15,"(93-96% RA) GEN: Patient sitting up in bed in NAD HEENT: EOMI, sclera anicteric, conjunctivae clear NECK:" "Correct entity, wrong SNOMED ID","(5683, 5687)","(5683, 5687)",EOMI,EOMI,103251002,67099000,14055839-DS-15," RA) GEN: Patient sitting up in bed in NAD HEENT: EOMI, sclera anicteric, conjunctivae clear NECK: Suppl" "Correct entity, wrong SNOMED ID","(5689, 5705)","(5689, 5705)",sclera anicteric,sclera anicteric,427801009,231878001,14055839-DS-15,"EN: Patient sitting up in bed in NAD HEENT: EOMI, sclera anicteric, conjunctivae clear NECK: Supple. Supraclavicular" Wrong span,"(5707, 5719)","(5707, 5725)",conjunctivae,conjunctivae clear,29445007,68579001,14055839-DS-15,"g up in bed in NAD HEENT: EOMI, sclera anicteric, conjunctivae clear NECK: Supple. Supraclavicular node on the r" Wrong span,"(5720, 5725)","(5707, 5725)",clear,conjunctivae clear,48348007,68579001,14055839-DS-15,"n NAD HEENT: EOMI, sclera anicteric, conjunctivae clear NECK: Supple. Supraclavicular node on the right a" "Correct entity, wrong SNOMED ID","(5726, 5730)","(5726, 5730)",NECK,NECK,5880005,840674001,14055839-DS-15,"HEENT: EOMI, sclera anicteric, conjunctivae clear NECK: Supple. Supraclavicular node on the right apprec" "Correct entity, wrong SNOMED ID","(5732, 5738)","(5732, 5738)",Supple,Supple,298475003,169743001,14055839-DS-15," EOMI, sclera anicteric, conjunctivae clear NECK: Supple. Supraclavicular node on the right appreciated. " "Correct entity, wrong SNOMED ID","(5740, 5760)","(5740, 5760)",Supraclavicular node,Supraclavicular node,76838003,245325004,14055839-DS-15,"clera anicteric, conjunctivae clear NECK: Supple. Supraclavicular node on the right appreciated. CV: Reg rate, normal " "Correct entity, wrong SNOMED ID","(5768, 5773)","(5768, 5773)",right,right,170303002,61886005,14055839-DS-15,"e clear NECK: Supple. Supraclavicular node on the right appreciated. CV: Reg rate, normal S1, S2. No M/" "Correct entity, wrong SNOMED ID","(5789, 5791)","(5789, 5791)",CV,CV,363003006,258773002,14055839-DS-15," Supraclavicular node on the right appreciated. CV: Reg rate, normal S1, S2. No M/R/G. CHEST: BS " "Correct entity, wrong SNOMED ID","(5793, 5801)","(5793, 5801)",Reg rate,Reg rate,271636001,118528009,14055839-DS-15,"raclavicular node on the right appreciated. CV: Reg rate, normal S1, S2. No M/R/G. CHEST: BS clear b/l " Wrong span,"(5803, 5816)","(5803, 5812)","normal S1, S2",normal S1,301132007,167242001,14055839-DS-15,"ar node on the right appreciated. CV: Reg rate, normal S1, S2. No M/R/G. CHEST: BS clear b/l though distant " "Correct entity, wrong SNOMED ID","(5818, 5826)","(5818, 5826)",No M/R/G,No M/R/G,301132007,167724007,14055839-DS-15,"right appreciated. CV: Reg rate, normal S1, S2. No M/R/G. CHEST: BS clear b/l though distant ABD: Soft," "Correct entity, wrong SNOMED ID","(5831, 5836)","(5831, 5836)",CHEST,CHEST,268925001,177765008,14055839-DS-15,"ated. CV: Reg rate, normal S1, S2. No M/R/G. CHEST: BS clear b/l though distant ABD: Soft, NT, ND, n" Wrong span,"(5841, 5846)","(5838, 5846)",clear,BS clear,48348007,271591004,14055839-DS-15,": Reg rate, normal S1, S2. No M/R/G. CHEST: BS clear b/l though distant ABD: Soft, NT, ND, no HSM, bow" Missed entity,"(5847, 5850)",,b/l,,48348007,,14055839-DS-15,"rate, normal S1, S2. No M/R/G. CHEST: BS clear b/l though distant ABD: Soft, NT, ND, no HSM, bowel s" Missed entity,"(5858, 5865)",,distant,,58840004,,14055839-DS-15,"l S1, S2. No M/R/G. CHEST: BS clear b/l though distant ABD: Soft, NT, ND, no HSM, bowel sounds present, " "Correct entity, wrong SNOMED ID","(5866, 5869)","(5866, 5869)",ABD,ABD,225162003,60728008,14055839-DS-15,". No M/R/G. CHEST: BS clear b/l though distant ABD: Soft, NT, ND, no HSM, bowel sounds present, no r" "Correct entity, wrong SNOMED ID","(5877, 5879)","(5877, 5879)",NT,NT,43478001,257992007,14055839-DS-15," CHEST: BS clear b/l though distant ABD: Soft, NT, ND, no HSM, bowel sounds present, no rebound or " "Correct entity, wrong SNOMED ID","(5881, 5883)","(5881, 5883)",ND,ND,60728008,165815009,14055839-DS-15,"CHEST: BS clear b/l though distant ABD: Soft, NT, ND, no HSM, bowel sounds present, no rebound or gua" "Correct entity, wrong SNOMED ID","(5888, 5891)","(5888, 5891)",HSM,HSM,36760000,282140003,14055839-DS-15,"BS clear b/l though distant ABD: Soft, NT, ND, no HSM, bowel sounds present, no rebound or guarding EX" "Correct entity, wrong SNOMED ID","(5893, 5913)","(5893, 5913)",bowel sounds present,bowel sounds present,61539000,444685004,14055839-DS-15,"ear b/l though distant ABD: Soft, NT, ND, no HSM, bowel sounds present, no rebound or guarding EXT: No clubbing, cyanos" "Correct entity, wrong SNOMED ID","(5918, 5925)","(5918, 5925)",rebound,rebound,35611005,844584001,14055839-DS-15,"D: Soft, NT, ND, no HSM, bowel sounds present, no rebound or guarding EXT: No clubbing, cyanosis, or edema" "Correct entity, wrong SNOMED ID","(5947, 5955)","(5947, 5955)",clubbing,clubbing,367004,30760008,14055839-DS-15,"l sounds present, no rebound or guarding EXT: No clubbing, cyanosis, or edema, 2+ DP bilaterally Pertine" "Correct entity, wrong SNOMED ID","(5957, 5965)","(5957, 5965)",cyanosis,cyanosis,3415004,84260001,14055839-DS-15,"resent, no rebound or guarding EXT: No clubbing, cyanosis, or edema, 2+ DP bilaterally Pertinent Results" "Correct entity, wrong SNOMED ID","(5970, 5975)","(5970, 5975)",edema,edema,267038008,102576009,14055839-DS-15,"bound or guarding EXT: No clubbing, cyanosis, or edema, 2+ DP bilaterally Pertinent Results: ADMISSIO" Wrong span,"(5980, 5982)","(5977, 5982)",DP,2+ DP,86547008,251675006,14055839-DS-15,"guarding EXT: No clubbing, cyanosis, or edema, 2+ DP bilaterally Pertinent Results: ADMISSION LABS:" "Correct entity, wrong SNOMED ID","(6047, 6054)","(6047, 6054)",GLUCOSE,GLUCOSE,33747003,72191006,14055839-DS-15," Pertinent Results: ADMISSION LABS: ___ 07:20PM GLUCOSE-94 UREA N-14 CREAT-0.8 SODIUM-129* POTASSIUM-4.4" "Correct entity, wrong SNOMED ID","(6068, 6073)","(6068, 6073)",CREAT,CREAT,70901006,365756002,14055839-DS-15,"DMISSION LABS: ___ 07:20PM GLUCOSE-94 UREA N-14 CREAT-0.8 SODIUM-129* POTASSIUM-4.4 CHLORIDE-93* TOTAL" "Correct entity, wrong SNOMED ID","(6078, 6084)","(6078, 6084)",SODIUM,SODIUM,25197003,104934005,14055839-DS-15,"ABS: ___ 07:20PM GLUCOSE-94 UREA N-14 CREAT-0.8 SODIUM-129* POTASSIUM-4.4 CHLORIDE-93* TOTAL CO2-28 ANI" "Correct entity, wrong SNOMED ID","(6091, 6100)","(6091, 6100)",POTASSIUM,POTASSIUM,59573005,1149432009,14055839-DS-15,"0PM GLUCOSE-94 UREA N-14 CREAT-0.8 SODIUM-129* POTASSIUM-4.4 CHLORIDE-93* TOTAL CO2-28 ANION GAP-12 ___ 07" "Correct entity, wrong SNOMED ID","(6105, 6113)","(6105, 6113)",CHLORIDE,CHLORIDE,104589004,108447000,14055839-DS-15,"94 UREA N-14 CREAT-0.8 SODIUM-129* POTASSIUM-4.4 CHLORIDE-93* TOTAL CO2-28 ANION GAP-12 ___ 07:20PM ALT(S" "Correct entity, wrong SNOMED ID","(6131, 6140)","(6131, 6140)",ANION GAP,ANION GAP,25469001,237854004,14055839-DS-15,"IUM-129* POTASSIUM-4.4 CHLORIDE-93* TOTAL CO2-28 ANION GAP-12 ___ 07:20PM ALT(SGPT)-63* AST(SGOT)-41* ALK " "Correct entity, wrong SNOMED ID","(6158, 6161)","(6158, 6161)",ALT,ALT,34608000,56935002,14055839-DS-15,"ORIDE-93* TOTAL CO2-28 ANION GAP-12 ___ 07:20PM ALT(SGPT)-63* AST(SGOT)-41* ALK PHOS-104 TOT BILI-0." "Correct entity, wrong SNOMED ID","(6172, 6175)","(6172, 6175)",AST,AST,45896001,85043005,14055839-DS-15,"L CO2-28 ANION GAP-12 ___ 07:20PM ALT(SGPT)-63* AST(SGOT)-41* ALK PHOS-104 TOT BILI-0.3 ___ 07:20PM " "Correct entity, wrong SNOMED ID","(6190, 6194)","(6190, 6194)",PHOS,PHOS,104868000,168075002,14055839-DS-15,"-12 ___ 07:20PM ALT(SGPT)-63* AST(SGOT)-41* ALK PHOS-104 TOT BILI-0.3 ___ 07:20PM LIPASE-19 ___ 07:" "Correct entity, wrong SNOMED ID","(6199, 6208)","(6199, 6208)","TOT BILI","TOT BILI",359986008,176271000119108,14055839-DS-15,"7:20PM ALT(SGPT)-63* AST(SGOT)-41* ALK PHOS-104 TOT BILI-0.3 ___ 07:20PM LIPASE-19 ___ 07:20PM WBC-15." Wrong span,"(6227, 6233)","(6227, 6230)",LIPASE,LIP,104988000,64458007,14055839-DS-15,"GOT)-41* ALK PHOS-104 TOT BILI-0.3 ___ 07:20PM LIPASE-19 ___ 07:20PM WBC-15.0*# RBC-3.68* HGB-11.0* H" "Correct entity, wrong SNOMED ID","(6251, 6254)","(6251, 6254)",WBC,WBC,767002,391558003,14055839-DS-15,"T BILI-0.3 ___ 07:20PM LIPASE-19 ___ 07:20PM WBC-15.0*# RBC-3.68* HGB-11.0* HCT-32.7* MCV-89 MCH-" "Correct entity, wrong SNOMED ID","(6262, 6265)","(6262, 6265)",RBC,RBC,14089001,258759006,14055839-DS-15," ___ 07:20PM LIPASE-19 ___ 07:20PM WBC-15.0*# RBC-3.68* HGB-11.0* HCT-32.7* MCV-89 MCH-29.8 MCHC-3" "Correct entity, wrong SNOMED ID","(6272, 6275)","(6272, 6275)",HGB,HGB,441689006,104142005,14055839-DS-15,"PM LIPASE-19 ___ 07:20PM WBC-15.0*# RBC-3.68* HGB-11.0* HCT-32.7* MCV-89 MCH-29.8 MCHC-33.5 RDW-15" "Correct entity, wrong SNOMED ID","(6282, 6285)","(6282, 6285)",HCT,HCT,28317006,840276005,14055839-DS-15,"E-19 ___ 07:20PM WBC-15.0*# RBC-3.68* HGB-11.0* HCT-32.7* MCV-89 MCH-29.8 MCHC-33.5 RDW-15.0 ___ 07:" "Correct entity, wrong SNOMED ID","(6300, 6303)","(6300, 6303)",MCH,MCH,54706004,735147002,14055839-DS-15," WBC-15.0*# RBC-3.68* HGB-11.0* HCT-32.7* MCV-89 MCH-29.8 MCHC-33.5 RDW-15.0 ___ 07:20PM NEUTS-88.5*" "Correct entity, wrong SNOMED ID","(6309, 6313)","(6309, 6313)",MCHC,MCHC,37254006,735147002,14055839-DS-15,"*# RBC-3.68* HGB-11.0* HCT-32.7* MCV-89 MCH-29.8 MCHC-33.5 RDW-15.0 ___ 07:20PM NEUTS-88.5* LYMPHS-7." "Correct entity, wrong SNOMED ID","(6342, 6347)","(6342, 6347)",NEUTS,NEUTS,30630007,271035003,14055839-DS-15," MCV-89 MCH-29.8 MCHC-33.5 RDW-15.0 ___ 07:20PM NEUTS-88.5* LYMPHS-7.3* MONOS-3.7 EOS-0.3 BASOS-0.2 __" "Correct entity, wrong SNOMED ID","(6354, 6360)","(6354, 6360)",LYMPHS,LYMPHS,74765001,79709007,14055839-DS-15,"29.8 MCHC-33.5 RDW-15.0 ___ 07:20PM NEUTS-88.5* LYMPHS-7.3* MONOS-3.7 EOS-0.3 BASOS-0.2 ___ 07:20PM P" "Correct entity, wrong SNOMED ID","(6366, 6371)","(6366, 6371)",MONOS,MONOS,67776007,462791000124108,14055839-DS-15,".5 RDW-15.0 ___ 07:20PM NEUTS-88.5* LYMPHS-7.3* MONOS-3.7 EOS-0.3 BASOS-0.2 ___ 07:20PM PLT COUNT-26" "Correct entity, wrong SNOMED ID","(6376, 6379)","(6376, 6379)",EOS,EOS,71960002,67099000,14055839-DS-15,"0 ___ 07:20PM NEUTS-88.5* LYMPHS-7.3* MONOS-3.7 EOS-0.3 BASOS-0.2 ___ 07:20PM PLT COUNT-263 ___ 08" "Correct entity, wrong SNOMED ID","(6485, 6488)","(6485, 6488)",WBC,WBC,767002,391558003,14055839-DS-15," LACTATE-1.5 . DISCHARGE LABS: ___ 06:57AM BLOOD WBC-10.0 RBC-3.25* Hgb-10.0* Hct-29.2* MCV-90 MCH-30" "Correct entity, wrong SNOMED ID","(6494, 6497)","(6494, 6497)",RBC,RBC,14089001,258759006,14055839-DS-15,"-1.5 . DISCHARGE LABS: ___ 06:57AM BLOOD WBC-10.0 RBC-3.25* Hgb-10.0* Hct-29.2* MCV-90 MCH-30.9 MCHC-3" "Correct entity, wrong SNOMED ID","(6504, 6507)","(6504, 6507)",Hgb,Hgb,441689006,104142005,14055839-DS-15,"CHARGE LABS: ___ 06:57AM BLOOD WBC-10.0 RBC-3.25* Hgb-10.0* Hct-29.2* MCV-90 MCH-30.9 MCHC-34.4 RDW-15" "Correct entity, wrong SNOMED ID","(6514, 6517)","(6514, 6517)",Hct,Hct,28317006,282660005,14055839-DS-15,"S: ___ 06:57AM BLOOD WBC-10.0 RBC-3.25* Hgb-10.0* Hct-29.2* MCV-90 MCH-30.9 MCHC-34.4 RDW-15.9* Plt __" "Correct entity, wrong SNOMED ID","(6541, 6545)","(6541, 6545)",MCHC,MCHC,37254006,735147002,14055839-DS-15,".0 RBC-3.25* Hgb-10.0* Hct-29.2* MCV-90 MCH-30.9 MCHC-34.4 RDW-15.9* Plt ___ ___ 06:57AM BLOOD Glucose-" "Correct entity, wrong SNOMED ID","(6587, 6594)","(6587, 6594)",Glucose,Glucose,33747003,72191006,14055839-DS-15,"0.9 MCHC-34.4 RDW-15.9* Plt ___ ___ 06:57AM BLOOD Glucose-91 UreaN-5* Creat-0.8 Na-135 K-4.6 Cl-102 HCO3-2" "Correct entity, wrong SNOMED ID","(6598, 6603)","(6598, 6603)",UreaN,UreaN,105011006,111108008,14055839-DS-15,".4 RDW-15.9* Plt ___ ___ 06:57AM BLOOD Glucose-91 UreaN-5* Creat-0.8 Na-135 K-4.6 Cl-102 HCO3-26 AnGap-1" "Correct entity, wrong SNOMED ID","(6607, 6612)","(6607, 6612)",Creat,Creat,70901006,365756002,14055839-DS-15,".9* Plt ___ ___ 06:57AM BLOOD Glucose-91 UreaN-5* Creat-0.8 Na-135 K-4.6 Cl-102 HCO3-26 AnGap-12 ___ 06:" "Correct entity, wrong SNOMED ID","(6617, 6619)","(6617, 6619)",Na,Na,312469006,257992007,14055839-DS-15,"_ ___ 06:57AM BLOOD Glucose-91 UreaN-5* Creat-0.8 Na-135 K-4.6 Cl-102 HCO3-26 AnGap-12 ___ 06:57AM BL" "Correct entity, wrong SNOMED ID","(6631, 6633)","(6631, 6633)",Cl,Cl,104589004,311741002,14055839-DS-15,"BLOOD Glucose-91 UreaN-5* Creat-0.8 Na-135 K-4.6 Cl-102 HCO3-26 AnGap-12 ___ 06:57AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(6638, 6642)","(6638, 6642)",HCO3,HCO3,312471006,88645003,14055839-DS-15,"lucose-91 UreaN-5* Creat-0.8 Na-135 K-4.6 Cl-102 HCO3-26 AnGap-12 ___ 06:57AM BLOOD Calcium-8.8 Phos-3." "Correct entity, wrong SNOMED ID","(6646, 6651)","(6646, 6651)",AnGap,AnGap,25469001,124504004,14055839-DS-15,"1 UreaN-5* Creat-0.8 Na-135 K-4.6 Cl-102 HCO3-26 AnGap-12 ___ 06:57AM BLOOD Calcium-8.8 Phos-3.2 Mg-2.0 " "Correct entity, wrong SNOMED ID","(6673, 6680)","(6673, 6680)",Calcium,Calcium,312472004,108601004,14055839-DS-15," K-4.6 Cl-102 HCO3-26 AnGap-12 ___ 06:57AM BLOOD Calcium-8.8 Phos-3.2 Mg-2.0 . IMAGING: Gallbladder U/S We" "Correct entity, wrong SNOMED ID","(6685, 6689)","(6685, 6689)",Phos,Phos,104868000,168075002,14055839-DS-15,"02 HCO3-26 AnGap-12 ___ 06:57AM BLOOD Calcium-8.8 Phos-3.2 Mg-2.0 . IMAGING: Gallbladder U/S Wet read __" "Correct entity, wrong SNOMED ID","(6694, 6696)","(6694, 6696)",Mg,Mg,271285000,258684004,14055839-DS-15,"6 AnGap-12 ___ 06:57AM BLOOD Calcium-8.8 Phos-3.2 Mg-2.0 . IMAGING: Gallbladder U/S Wet read ___: Smal" "Correct entity, wrong SNOMED ID","(6712, 6727)","(6712, 6727)",Gallbladder U/S,Gallbladder U/S,169250003,449446003,14055839-DS-15,"57AM BLOOD Calcium-8.8 Phos-3.2 Mg-2.0 . IMAGING: Gallbladder U/S Wet read ___: Small amount of gallbladder sludge" "Correct entity, wrong SNOMED ID","(6758, 6769)","(6758, 6769)",gallbladder,gallbladder,28231008,169010007,14055839-DS-15,"NG: Gallbladder U/S Wet read ___: Small amount of gallbladder sludge. No cholecystitis CXR ___: Stable appear" "Correct entity, wrong SNOMED ID","(6771, 6777)","(6771, 6777)",sludge,sludge,27123005,19703005,14055839-DS-15,"er U/S Wet read ___: Small amount of gallbladder sludge. No cholecystitis CXR ___: Stable appearance of " "Correct entity, wrong SNOMED ID","(6782, 6795)","(6782, 6795)",cholecystitis,cholecystitis,76581006,65275009,14055839-DS-15,"read ___: Small amount of gallbladder sludge. No cholecystitis CXR ___: Stable appearance of right upper lobe o" Wrong span,"(6806, 6812)","(6806, 6808)",Stable,St,359746009,51811007,14055839-DS-15,"f gallbladder sludge. No cholecystitis CXR ___: Stable appearance of right upper lobe opacity compatibl" "Correct entity, wrong SNOMED ID","(6827, 6843)","(6827, 6843)",right upper lobe,right upper lobe,42400003,11339004,14055839-DS-15,". No cholecystitis CXR ___: Stable appearance of right upper lobe opacity compatible with known malignancy. No def" "Correct entity, wrong SNOMED ID","(6844, 6851)","(6844, 6851)",opacity,opacity,128305008,193570009,14055839-DS-15,"s CXR ___: Stable appearance of right upper lobe opacity compatible with known malignancy. No definite si" "Correct entity, wrong SNOMED ID","(6875, 6885)","(6875, 6885)",malignancy,malignancy,1240414004,269475001,14055839-DS-15,"f right upper lobe opacity compatible with known malignancy. No definite signs of superimposed pneumonia. ." "Correct entity, wrong SNOMED ID","(6899, 6904)","(6899, 6904)",signs,signs,72670004,86631001,14055839-DS-15,"ty compatible with known malignancy. No definite signs of superimposed pneumonia. . MICROBIOLOGY: URIN" "Correct entity, wrong SNOMED ID","(6922, 6931)","(6922, 6931)",pneumonia,pneumonia,233604007,415125002,14055839-DS-15,"wn malignancy. No definite signs of superimposed pneumonia. . MICROBIOLOGY: URINE CULTURE: NO GROWTH BLOOD " "Correct entity, wrong SNOMED ID","(6975, 6988)","(6975, 6988)",BLOOD CULTURE,BLOOD CULTURE,30088009,121238005,14055839-DS-15,"umonia. . MICROBIOLOGY: URINE CULTURE: NO GROWTH BLOOD CULTURE PENDING VIRAL RESPIRATORY SWAB: No respiratory vi" Wrong span,"(7003, 7014)","(6997, 7014)",RESPIRATORY,VIRAL RESPIRATORY,268925001,142941000119109,14055839-DS-15,"NE CULTURE: NO GROWTH BLOOD CULTURE PENDING VIRAL RESPIRATORY SWAB: No respiratory viruses isolated. Culture s" Wrong span,"(7076, 7086)","(7076, 7082)",Adenovirus,Adenov,25225006,13873005,14055839-DS-15,"spiratory viruses isolated. Culture screened for Adenovirus, Influenza A & B, Parainfluenza type 1,2 & 3, an" Wrong span,"(7088, 7103)","(7088, 7097)",Influenza A & B,Influenza,104310006,789775004,14055839-DS-15,"ruses isolated. Culture screened for Adenovirus, Influenza A & B, Parainfluenza type 1,2 & 3, and Respiratory Syn" "Correct entity, wrong SNOMED ID","(7105, 7118)","(7105, 7118)",Parainfluenza,Parainfluenza,12188008,51593004,14055839-DS-15,"ulture screened for Adenovirus, Influenza A & B, Parainfluenza type 1,2 & 3, and Respiratory Syncytial Virus.. " "Correct entity, wrong SNOMED ID","(7138, 7165)","(7138, 7165)",Respiratory Syncytial Virus,Respiratory Syncytial Virus,55735004,49779001,14055839-DS-15,"Influenza A & B, Parainfluenza type 1,2 & 3, and Respiratory Syncytial Virus.. Brief Hospital Course: #Viral illness - Upo" "Correct entity, wrong SNOMED ID","(7196, 7209)","(7196, 7209)",Viral illness,Viral illness,34014006,161424002,14055839-DS-15,"ory Syncytial Virus.. Brief Hospital Course: #Viral illness - Upon presentation, the patient had a fever with" "Correct entity, wrong SNOMED ID","(7249, 7254)","(7249, 7254)",fever,fever,386661006,416113008,14055839-DS-15,"al illness - Upon presentation, the patient had a fever with abdominal pain. She was initially started o" "Correct entity, wrong SNOMED ID","(7261, 7275)","(7261, 7275)",abdominal pain,abdominal pain,21522001,54586004,14055839-DS-15," Upon presentation, the patient had a fever with abdominal pain. She was initially started on Levaquin, and Falg" "Correct entity, wrong SNOMED ID","(7365, 7375)","(7365, 7375)",aspiration,aspiration,14766002,68052005,14055839-DS-15," and Falgyl was added out of nursing concern for aspiration. A RUQ ultrasound on admission did not show evid" "Correct entity, wrong SNOMED ID","(7379, 7394)","(7379, 7394)","RUQ ultrasound","RUQ ultrasound",426701000119108,770572002,14055839-DS-15,"as added out of nursing concern for aspiration. A RUQ ultrasound on admission did not show evidence of cholecystit" "Correct entity, wrong SNOMED ID","(7433, 7446)","(7433, 7446)",cholecystitis,cholecystitis,76581006,65275009,14055839-DS-15," ultrasound on admission did not show evidence of cholecystitis. During the hospitalization, she had a max tempe" "Correct entity, wrong SNOMED ID","(7491, 7502)","(7491, 7502)",temperature,temperature,105723007,228018009,14055839-DS-15,"titis. During the hospitalization, she had a max temperature of 100.3. After this peak in temperature, the pa" "Correct entity, wrong SNOMED ID","(7533, 7544)","(7533, 7544)",temperature,temperature,105723007,228018009,14055839-DS-15,"d a max temperature of 100.3. After this peak in temperature, the patient did not have any more temperature s" Wrong span,"(7581, 7599)","(7581, 7592)",temperature spikes,temperature,102496004,228018009,14055839-DS-15,"n temperature, the patient did not have any more temperature spikes. During the hospitalization, the patient noticed" Wrong span,"(7666, 7672)","(7666, 7683)",facial,facial congestion,89545001,1145130004,14055839-DS-15,"italization, the patient noticed her symptoms of facial congestion improved. Her symptoms were thought t" Wrong span,"(7673, 7683)","(7666, 7683)",congestion,facial congestion,85804007,1145130004,14055839-DS-15,"tion, the patient noticed her symptoms of facial congestion improved. Her symptoms were thought to be due to" "Correct entity, wrong SNOMED ID","(7684, 7692)","(7684, 7692)",improved,improved,268910001,251359002,14055839-DS-15,"atient noticed her symptoms of facial congestion improved. Her symptoms were thought to be due to a viral " "Correct entity, wrong SNOMED ID","(7736, 7749)","(7736, 7749)",viral illness,viral illness,34014006,161424002,14055839-DS-15,"proved. Her symptoms were thought to be due to a viral illness and antibiotics were discontinued. Blood and uri" "Correct entity, wrong SNOMED ID","(7754, 7765)","(7754, 7765)",antibiotics,antibiotics,281789004,372599003,14055839-DS-15,"ms were thought to be due to a viral illness and antibiotics were discontinued. Blood and urine cultures and " Missed entity,"(7772, 7784)",,discontinued,,304540007,,14055839-DS-15,"o be due to a viral illness and antibiotics were discontinued. Blood and urine cultures and nasopharyngeal swab" "Correct entity, wrong SNOMED ID","(7815, 7834)","(7815, 7834)",nasopharyngeal swab,nasopharyngeal swab,312882009,433801000124107,14055839-DS-15," were discontinued. Blood and urine cultures and nasopharyngeal swab were collected and followed during the admission" "Correct entity, wrong SNOMED ID","(7916, 7930)","(7916, 7930)",blood cultures,blood cultures,30088009,8730001000004107,14055839-DS-15,"ring the admission. Urine culture had no growth; blood cultures were still pending. Nasopharyngeal swab was nega" "Correct entity, wrong SNOMED ID","(7951, 7971)","(7951, 7971)","Nasopharyngeal swab","Nasopharyngeal swab",312882009,433801000124107,14055839-DS-15,"had no growth; blood cultures were still pending. Nasopharyngeal swab was negative. The patient was discharged home wit" Missed entity,"(7976, 7984)",,negative,,281900007,,14055839-DS-15,"ures were still pending. Nasopharyngeal swab was negative. The patient was discharged home without antibio" "Correct entity, wrong SNOMED ID","(8027, 8038)","(8027, 8038)",antibiotics,antibiotics,281789004,372599003,14055839-DS-15,"egative. The patient was discharged home without antibiotics. . #NSCLC stage IV EGFR wild type: Treating wi" Wrong span,"(8046, 8060)","(8046, 8051)",NSCLC stage IV,NSCLC,423121009,1259727001,14055839-DS-15,"t was discharged home without antibiotics. . #NSCLC stage IV EGFR wild type: Treating with palliative intent. " "Correct entity, wrong SNOMED ID","(8148, 8160)","(8148, 8160)",chemotherapy,chemotherapy,367336001,266719004,14055839-DS-15,"ive intent. The patient last received a cycle of chemotherapy ___ (Docetaxel) with Neulasta support on day 2. " Missed entity,"(8192, 8199)",,support,,243114000,,14055839-DS-15,"le of chemotherapy ___ (Docetaxel) with Neulasta support on day 2. The patient's folic acid was discontin" Missed entity,"(8240, 8252)",,discontinued,,304540007,,14055839-DS-15,"a support on day 2. The patient's folic acid was discontinued during this hospitalization. She met with pallia" Missed entity,"(8296, 8311)",,palliative care,,103735009,,14055839-DS-15,"tinued during this hospitalization. She met with palliative care to discuss symptom management and goals of care. " Missed entity,"(8323, 8341)",,symptom management,,713148004,,14055839-DS-15,"ization. She met with palliative care to discuss symptom management and goals of care. The patient expressed that sh" "Correct entity, wrong SNOMED ID","(8449, 8461)","(8449, 8461)",chemotherapy,chemotherapy,367336001,266719004,14055839-DS-15,"retty clearly that she is not interested in more chemotherapy. During her discussion with palliative care, the" Missed entity,"(8474, 8484)",,discussion,,223482009,,14055839-DS-15," not interested in more chemotherapy. During her discussion with palliative care, the patient acknowledged t" Missed entity,"(8491, 8506)",,palliative care,,103735009,,14055839-DS-15,"in more chemotherapy. During her discussion with palliative care, the patient acknowledged that her mood is low, " Wrong span,"(8542, 8553)","(8542, 8546)",mood is low,mood,366979004,709488003,14055839-DS-15,"alliative care, the patient acknowledged that her mood is low, but feels that she is just being honest with he" "Correct entity, wrong SNOMED ID","(8780, 8787)","(8780, 8787)",hospice,hospice,385763009,385762004,14055839-DS-15,"ient's decision. She is being discharged home on hospice. During this hospitalization, the patient was st" "Correct entity, wrong SNOMED ID","(8883, 8895)","(8883, 8895)",pain control,pain control,225782006,370778008,14055839-DS-15,"s started on Morphine SR 30mg every 12 hours for pain control. The patient was tolerating this medication well" Missed entity,"(8930, 8940)",,medication,,18629005,,14055839-DS-15,"or pain control. The patient was tolerating this medication well prior to discharge. . #Metastatic brain les" Wrong span,"(8970, 8980)","(8970, 8994)",Metastatic,Metastatic brain lesions,128462008,1259492003,14055839-DS-15,"ing this medication well prior to discharge. . #Metastatic brain lesions: Patient is status post whole brain" Wrong span,"(8981, 8994)","(8970, 8994)",brain lesions,Metastatic brain lesions,301766008,1259492003,14055839-DS-15,"edication well prior to discharge. . #Metastatic brain lesions: Patient is status post whole brain radiation th" Missed entity,"(9007, 9018)",,status post,,19585003,,14055839-DS-15,"scharge. . #Metastatic brain lesions: Patient is status post whole brain radiation therapy. Ther was no indic" Wrong span,"(9025, 9030)","(9019, 9049)",brain,"whole brain radiation therapy",94225005,454541000124108,14055839-DS-15,"tatic brain lesions: Patient is status post whole brain radiation therapy. Ther was no indication for ac" Wrong span,"(9032, 9049)","(9019, 9049)",radiation therapy,"whole brain radiation therapy",108290001,454541000124108,14055839-DS-15,"rain lesions: Patient is status post whole brain radiation therapy. Ther was no indication for acute steroids durin" "Correct entity, wrong SNOMED ID","(9084, 9092)","(9084, 9092)",steroids,steroids,297279009,285435007,14055839-DS-15,"diation therapy. Ther was no indication for acute steroids during this admission. . #Leukocytosis - The pat" "Correct entity, wrong SNOMED ID","(9120, 9132)","(9120, 9132)",Leukocytosis,Leukocytosis,111583006,65209002,14055839-DS-15,"ion for acute steroids during this admission. . #Leukocytosis - The patient leukocytosis was thought to be att" "Correct entity, wrong SNOMED ID","(9147, 9159)","(9147, 9159)",leukocytosis,leukocytosis,111583006,65209002,14055839-DS-15,"ing this admission. . #Leukocytosis - The patient leukocytosis was thought to be attributed to infection as wit" "Correct entity, wrong SNOMED ID","(9193, 9202)","(9193, 9202)",infection,infection,40733004,230595006,14055839-DS-15,"ent leukocytosis was thought to be attributed to infection as with clinical improvement of the patient's sy" Missed entity,"(9220, 9231)",,improvement,,268910001,,14055839-DS-15,"t to be attributed to infection as with clinical improvement of the patient's symptoms, her white count was t" Wrong span,"(9264, 9296)","(9264, 9275)",white count was trended downward,white count,419188005,391558003,14055839-DS-15,"nical improvement of the patient's symptoms, her white count was trended downward. . #Nausea - Patient had Zofran available to her" "Correct entity, wrong SNOMED ID","(9302, 9308)","(9302, 9308)",Nausea,Nausea,422587007,1217125005,14055839-DS-15,"mptoms, her white count was trended downward. . #Nausea - Patient had Zofran available to her during the " Missed entity,"(9467, 9479)",,instructions,,394835006,,14055839-DS-15,"ition to three times daily dosing of Reglan with instructions to stop taking Compazine as the side effect prof" Missed entity,"(9483, 9495)",,"stop taking",,304539005,,14055839-DS-15,"times daily dosing of Reglan with instructions to stop taking Compazine as the side effect profile of these two" Missed entity,"(9513, 9524)",,side effect,,401207004,,14055839-DS-15,"ith instructions to stop taking Compazine as the side effect profile of these two medications is similar. . " "Correct entity, wrong SNOMED ID","(9575, 9587)","(9575, 9587)",Constipation,Constipation,14760008,236069009,14055839-DS-15,"profile of these two medications is similar. . #Constipation - The patient was continued on scheduled senna an" "Correct entity, wrong SNOMED ID","(9698, 9710)","(9698, 9710)",constipation,constipation,14760008,236069009,14055839-DS-15,"she had lactulose available to her as needed for constipation. The patient did have a bowel movement prior to " "Correct entity, wrong SNOMED ID","(9735, 9749)","(9735, 9749)",bowel movement,bowel movement,300375001,398032003,14055839-DS-15," needed for constipation. The patient did have a bowel movement prior to discharge. . #Anemia - The patient did" "Correct entity, wrong SNOMED ID","(9775, 9781)","(9775, 9781)",Anemia,Anemia,271737000,87522002,14055839-DS-15,"id have a bowel movement prior to discharge. . #Anemia - The patient did not require any blood transfusi" "Correct entity, wrong SNOMED ID","(9862, 9874)","(9862, 9874)",Hyponatremia,Hyponatremia,89627008,307201006,14055839-DS-15,"any blood transfusions during this admission. . #Hyponatremia - This has been a chronic issue for the patient " Missed entity,"(9893, 9906)",,chronic issue,,27624003,,14055839-DS-15,"this admission. . #Hyponatremia - This has been a chronic issue for the patient with a likely component of SIADH" "Correct entity, wrong SNOMED ID","(9951, 9956)","(9951, 9956)",SIADH,SIADH,55004003,78334000,14055839-DS-15,"issue for the patient with a likely component of SIADH given the patient's known history of brain metas" "Correct entity, wrong SNOMED ID","(10016, 10029)","(10016, 10029)",Transaminitis,Transaminitis,160931000119108,415893001,14055839-DS-15," patient's known history of brain metastasis. . #Transaminitis - Unclear etiology. Transaminitis was trended and" "Correct entity, wrong SNOMED ID","(10050, 10063)","(10050, 10063)",Transaminitis,Transaminitis,160931000119108,415893001,14055839-DS-15," metastasis. . #Transaminitis - Unclear etiology. Transaminitis was trended and the patient's AST was noted to b" "Correct entity, wrong SNOMED ID","(10095, 10098)","(10095, 10098)",AST,AST,166669000,85043005,14055839-DS-15,"ogy. Transaminitis was trended and the patient's AST was noted to be trending downward on day of disc" "Correct entity, wrong SNOMED ID","(10160, 10179)","(10160, 10179)",Adjustment disorder,Adjustment disorder,17226007,215874071000119106,14055839-DS-15,"o be trending downward on day of discharge. . #Adjustment disorder with depressed features secondary to general med" "Correct entity, wrong SNOMED ID","(10185, 10194)","(10185, 10194)",depressed,depressed,35489007,58051000087107,14055839-DS-15," day of discharge. . #Adjustment disorder with depressed features secondary to general medical condition:" Wrong span,"(10488, 10500)","(10493, 10500)",home hospice,hospice,719414000,385762004,14055839-DS-15,"fort given her decision to be discharged home to home hospice. - Follow-up of pending blood cultures. Medi" Missed entity,"(10505, 10514)",,Follow-up,,119270007,,14055839-DS-15,"ecision to be discharged home to home hospice. - Follow-up of pending blood cultures. Medications on Adm" "Correct entity, wrong SNOMED ID","(10526, 10540)","(10526, 10540)",blood cultures,blood cultures,30088009,8730001000004107,14055839-DS-15,"ged home to home hospice. - Follow-up of pending blood cultures. Medications on Admission: Medications - Pres" "Correct entity, wrong SNOMED ID","(12768, 12785)","(12768, 12785)",Home With Service,Home With Service,385783005,710242005,14055839-DS-15,"isp:*30 mL* Refills:*0* Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Viral illn" "Correct entity, wrong SNOMED ID","(12825, 12838)","(12825, 12838)",Viral illness,Viral illness,34014006,161424002,14055839-DS-15,"th Service Facility: ___ Discharge Diagnosis: Viral illness Metastatic Adenocarcinoma of the Lung Discharg" "Correct entity, wrong SNOMED ID","(12839, 12876)","(12839, 12876)",Metastatic Adenocarcinoma of the Lung,Metastatic Adenocarcinoma of the Lung,15956221000119105,94391008,14055839-DS-15,"acility: ___ Discharge Diagnosis: Viral illness Metastatic Adenocarcinoma of the Lung Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(12901, 12914)","(12901, 12914)",Mental Status,Mental Status,392257007,419284004,14055839-DS-15,"denocarcinoma of the Lung Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(12916, 12921)","(12916, 12921)",Clear,Clear,48348007,281278005,14055839-DS-15,"f the Lung Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(12936, 12958)","(12936, 12958)",Level of Consciousness,Level of Consciousness,444714004,830285008,14055839-DS-15,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(12960, 12965)","(12960, 12965)",Alert,Alert,248234008,409787004,14055839-DS-15,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(12970, 12981)","(12970, 12981)",interactive,interactive,288577006,10301000202103,14055839-DS-15,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(13000, 13024)","(13000, 13024)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,14055839-DS-15,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear ___, It was a p" "Correct entity, wrong SNOMED ID","(13173, 13178)","(13173, 13178)",fever,fever,386661006,416113008,14055839-DS-15,"spitalization at ___. You were hospitalized with fever, which was thought to be due to a viral illness." "Correct entity, wrong SNOMED ID","(13214, 13227)","(13214, 13227)",viral illness,viral illness,34014006,161424002,14055839-DS-15,"zed with fever, which was thought to be due to a viral illness. Through your hospital course, your symptoms imp" "Correct entity, wrong SNOMED ID","(13274, 13282)","(13274, 13282)",improved,improved,268910001,251359002,14055839-DS-15,"ess. Through your hospital course, your symptoms improved. During this hospitalization, you and the ___ ca" "Correct entity, wrong SNOMED ID","(13420, 13427)","(13420, 13427)",hospice,hospice,385763009,170935008,14055839-DS-15,"ding your care. You have decided to go home with hospice; arrangements were made for this during your hos" Missed entity,"(13651, 13661)",,medication,,18629005,,14055839-DS-15,"ly every 12 hours. Do not miss any doses of this medication. However, you should contact your doctor if you" "Correct entity, wrong SNOMED ID","(13729, 13737)","(13729, 13737)",lethargy,lethargy,214264003,186499007,14055839-DS-15,"hould contact your doctor if you notice increased lethargy or somnelence on this medication. You have Morph" "Correct entity, wrong SNOMED ID","(13742, 13752)","(13742, 13752)",somnelence,somnelence,271782001,141000119100,14055839-DS-15," your doctor if you notice increased lethargy or somnelence on this medication. You have Morphine immediate " Missed entity,"(13761, 13771)",,medication,,18629005,,14055839-DS-15," notice increased lethargy or somnelence on this medication. You have Morphine immediate release available t" "Correct entity, wrong SNOMED ID","(13856, 13873)","(13856, 13873)",breakthrough pain,breakthrough pain,879969009,279053007,14055839-DS-15,"ase available to you every 4 hours as needed for breakthrough pain. Please do not drink alcohol while taking these " Missed entity,"(13882, 13902)",,do not drink alcohol,,281078001,,14055839-DS-15," 4 hours as needed for breakthrough pain. Please do not drink alcohol while taking these medication as the combination" Missed entity,"(13923, 13933)",,medication,,18629005,,14055839-DS-15,". Please do not drink alcohol while taking these medication as the combination of the pain medicaion and alc" Wrong span,"(13960, 13974)","(13960, 13964)",pain medicaion,pain,52685006,102570003,14055839-DS-15,"aking these medication as the combination of the pain medicaion and alcohol can slow your breathing. Also, pleas" Missed entity,"(14026, 14038)",,do not drive,,304509000,,14055839-DS-15,"nd alcohol can slow your breathing. Also, please do not drive or operate heavy machinery while first taking th" Missed entity,"(14092, 14103)",,medications,,18629005,,14055839-DS-15," operate heavy machinery while first taking these medications until you are aware of how these medications aff" Missed entity,"(14138, 14156)",,medications affect,,69449002,,14055839-DS-15,"ese medications until you are aware of how these medications affect you. Please take all medications as prescribed. " Missed entity,"(14179, 14190)",,medications,,18629005,,14055839-DS-15,"ow these medications affect you. Please take all medications as prescribed. Please note the following medicat" Missed entity,"(14290, 14298)",,by mouth,,386359008,,14055839-DS-15,"ion changes: - START morphine SR 30mg twice daily by mouth. Do not skip any doses. Notify your doctor if y" Missed entity,"(14325, 14331)",,Notify,,304562007,,14055839-DS-15,"mg twice daily by mouth. Do not skip any doses. Notify your doctor if you get increased lethargy or som" "Correct entity, wrong SNOMED ID","(14365, 14373)","(14365, 14373)",lethargy,lethargy,214264003,186499007,14055839-DS-15," doses. Notify your doctor if you get increased lethargy or somnelence with this medication. - CONTINUE m" Wrong span,"(14378, 14388)","(14378, 14380)",somnelence,so,271782001,4051000146107,14055839-DS-15,"ify your doctor if you get increased lethargy or somnelence with this medication. - CONTINUE morphine ___ 15m" Missed entity,"(14399, 14409)",,medication,,18629005,,14055839-DS-15,"u get increased lethargy or somnelence with this medication. - CONTINUE morphine ___ 15mg ___ tabs every 4 ho" Missed entity,"(14413, 14421)",,CONTINUE,,306806004,,14055839-DS-15,"d lethargy or somnelence with this medication. - CONTINUE morphine ___ 15mg ___ tabs every 4 hours as neede" "Correct entity, wrong SNOMED ID","(14478, 14495)","(14478, 14495)",breakthrough pain,breakthrough pain,879969009,279053007,14055839-DS-15,"ne ___ 15mg ___ tabs every 4 hours as needed for breakthrough pain. - START lacutlose 30mg daily as needed for consp" Missed entity,"(14540, 14553)",,consptipation,,14760008,,14055839-DS-15," pain. - START lacutlose 30mg daily as needed for consptipation - START Reglan 10mg three times daily to help wit" "Correct entity, wrong SNOMED ID","(14618, 14624)","(14618, 14624)",nausea,nausea,422587007,1217125005,14055839-DS-15," 10mg three times daily to help with symptoms of nausea - START Ranitidine 150mg twice daily for acid ind" Missed entity,"(14671, 14682)",,indigestion,,162031009,,14055839-DS-15,"sea - START Ranitidine 150mg twice daily for acid indigestion - TAKE senna and colace TWICE daily - Do NOT take" Missed entity,"(14721, 14732)",,Do NOT take,,394835006,,14055839-DS-15,"indigestion - TAKE senna and colace TWICE daily - Do NOT take compazine for symptoms of nausea when at home Pl" "Correct entity, wrong SNOMED ID","(14759, 14765)","(14759, 14765)",nausea,nausea,422587007,1217125005,14055839-DS-15,"ICE daily - Do NOT take compazine for symptoms of nausea when at home Please keep all follow-up appointme" False positive,,"(1022, 1025)",,CTX,,74470007,14102739-DS-16," notable for ? retrocardiac opacity; he was given CTX and azithromycin. He was given lactlulose (30 ml" False positive,,"(2165, 2169)",,neck,,840674001,14102739-DS-16,"A HEENT: anicteric sclera, MMM, poor dentition, neck supple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB" False positive,,"(2203, 2206)",,MRG,,1380161007,14102739-DS-16," dentition, neck supple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD: BS +, soft, NT, distended wit" False positive,,"(2280, 2285)",,LIMBS,,225610004,14102739-DS-16,"+, soft, NT, distended with evidence of ascites LIMBS: 1+ ___ edema R>L, hyperpigmented and thickened s" False positive,,"(2769, 2776)",,Amylase,,28378007,14102739-DS-16,"-16 ___ 03:57PM BLOOD ALT-42* AST-98* AlkPhos-111 Amylase-134* TotBili-1.7* ___ 06:15AM BLOOD Albumin-3.9 " False positive,,"(3287, 3293)",,Lymphs,,79709007,14102739-DS-16,"ABS: ___ 05:15PM ASCITES WBC-1500* ___ Polys-14* Lymphs-39* ___ Mesothe-21* Macroph-26* ___ 05:15PM ASCIT" False positive,,"(3314, 3321)",,Macroph,,127565009,14102739-DS-16,"C-1500* ___ Polys-14* Lymphs-39* ___ Mesothe-21* Macroph-26* ___ 05:15PM ASCITES Albumin-2.5 . IMAGING; AB" False positive,,"(3360, 3361)",,I,,257989008,14102739-DS-16,"21* Macroph-26* ___ 05:15PM ASCITES Albumin-2.5 . IMAGING; ABDOMEN U.S. (COMPLETE STUDY) Study Date o" False positive,,"(3581, 3587)",,cystic,,79883001,14102739-DS-16,"terogeneous, consistent with known cirrhosis. The cystic and solid lesion within segment IV is similar in" False positive,,"(3706, 3715)",,Echogenic,,421222001,14102739-DS-16," prior study and now measures 3.6 x 4.3 x 4.2 cm. Echogenic lesion within segment III is similar in appearan" False positive,,"(4388, 4392)",,main,,302311007,14102739-DS-16," Doppler examination demonstrates patency of the main, right and left portal veins. Within the left po" False positive,,"(4791, 4799)",,Moderate,,19391002,14102739-DS-16,"ver lesion consistent with s/p RFA treatment. 2. Moderate ascites. 3. Cholelithiasis. 4. Patent main, righ" False positive,,"(4839, 4843)",,main,,51278002,14102739-DS-16,". Moderate ascites. 3. Cholelithiasis. 4. Patent main, right and left veins. Abnormal waveform of the " False positive,,"(7058, 7065)",,decline,,386806002,14102739-DS-16,"o be likely due to DM and HTN, unclear why recent decline. Discontinued diuretics for the moment for renal" False positive,,"(7329, 7341)",,Iron studies,,250216004,14102739-DS-16,"tion of RBC from renal failure. Guaiac negative. Iron studies are essentially WNL with depressed retic count c" Missed entity,"(204, 231)",,No Known Allergies to Drugs,,609398007,,14102739-DS-16,"MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending: ___. Chief Complaint: Altered ment" "Correct entity, wrong SNOMED ID","(269, 290)","(269, 290)",Altered mental status,Altered mental status,419284004,433082007,14102739-DS-16,"ies to Drugs Attending: ___. Chief Complaint: Altered mental status Major Surgical or Invasive Procedure: Paracent" "Correct entity, wrong SNOMED ID","(332, 344)","(332, 344)",Paracentesis,Paracentesis,89305009,91602002,14102739-DS-16,"l status Major Surgical or Invasive Procedure: Paracentesis History of Present Illness: ___ with a history" "Correct entity, wrong SNOMED ID","(398, 401)","(398, 401)",HTN,HTN,38341003,10725009,14102739-DS-16,"History of Present Illness: ___ with a history of HTN, DM2, HCV cirrhosis c/b hepatocellular carcinoma" "Correct entity, wrong SNOMED ID","(403, 406)","(403, 406)",DM2,DM2,44054006,396166000,14102739-DS-16,"ry of Present Illness: ___ with a history of HTN, DM2, HCV cirrhosis c/b hepatocellular carcinomas (dx" "Correct entity, wrong SNOMED ID","(408, 421)","(408, 421)",HCV cirrhosis,HCV cirrhosis,831000119103,235897005,14102739-DS-16," Present Illness: ___ with a history of HTN, DM2, HCV cirrhosis c/b hepatocellular carcinomas (dx'd in ___ and S" Boundary error,"(426, 451)","(426, 452)","hepatocellular carcinoma","hepatocellular carcinomas",25370001,1197204009,14102739-DS-16,"___ with a history of HTN, DM2, HCV cirrhosis c/b hepatocellular carcinomas (dx'd in ___ and SBP (___), who now p/w AMS. Hi" "Correct entity, wrong SNOMED ID","(470, 473)","(470, 473)",SBP,SBP,11836002,720374004,14102739-DS-16,"s c/b hepatocellular carcinomas (dx'd in ___ and SBP (___), who now p/w AMS. His mother accompanied h" "Correct entity, wrong SNOMED ID","(493, 496)","(493, 496)",AMS,AMS,419284004,293778004,14102739-DS-16,"arcinomas (dx'd in ___ and SBP (___), who now p/w AMS. His mother accompanied him to the ED and report" Missed entity,"(533, 535)",,ED,,182813001,,14102739-DS-16,"o now p/w AMS. His mother accompanied him to the ED and reports he has slowly been declining x 5 day" "Correct entity, wrong SNOMED ID","(568, 577)","(568, 577)",declining,declining,271299001,386806002,14102739-DS-16,"ied him to the ED and reports he has slowly been declining x 5 days, and that he has had poor medication co" Missed entity,"(608, 636)",,"poor medication complicance",,400978007,,14102739-DS-16,"wly been declining x 5 days, and that he has had poor medication complicance since his recent discharge ___. He denies fevers," "Correct entity, wrong SNOMED ID","(679, 685)","(679, 685)",fevers,fevers,386661006,248444008,14102739-DS-16,"licance since his recent discharge ___. He denies fevers, abd pain, cough, URI sx, urinary sx. Of note, h" "Correct entity, wrong SNOMED ID","(688, 696)","(688, 696)",abd pain,abd pain,21522001,162039006,14102739-DS-16,"ince his recent discharge ___. He denies fevers, abd pain, cough, URI sx, urinary sx. Of note, he was recen" "Correct entity, wrong SNOMED ID","(698, 703)","(698, 703)",cough,cough,49727002,28743005,14102739-DS-16,"ecent discharge ___. He denies fevers, abd pain, cough, URI sx, urinary sx. Of note, he was recently ad" "Correct entity, wrong SNOMED ID","(705, 708)","(705, 708)",URI,URI,54150009,7766007,14102739-DS-16,"ischarge ___. He denies fevers, abd pain, cough, URI sx, urinary sx. Of note, he was recently admitte" Wrong span,"(713, 720)","(713, 723)",urinary,urinary sx,68566005,1230091003,14102739-DS-16," ___. He denies fevers, abd pain, cough, URI sx, urinary sx. Of note, he was recently admitted ___ for al" "Correct entity, wrong SNOMED ID","(768, 789)","(768, 789)",altered mental status,altered mental status,419284004,433082007,14102739-DS-16,"ry sx. Of note, he was recently admitted ___ for altered mental status after not taking lactulose and rifaxamin. . " "Correct entity, wrong SNOMED ID","(850, 856)","(850, 856)",Vitals,Vitals,118227000,260390007,14102739-DS-16," taking lactulose and rifaxamin. . In the ED: Vitals were 98.1 168/94, 63, 17 100RA. Exam was notable" Missed entity,"(885, 887)",,RA,,722742002,,14102739-DS-16,". In the ED: Vitals were 98.1 168/94, 63, 17 100RA. Exam was notable for a softly distended abd whi" "Correct entity, wrong SNOMED ID","(889, 893)","(889, 893)",Exam,Exam,5880005,105477005,14102739-DS-16,"In the ED: Vitals were 98.1 168/94, 63, 17 100RA. Exam was notable for a softly distended abd which was" "Correct entity, wrong SNOMED ID","(920, 933)","(920, 933)",distended abd,distended abd,60728008,300403005,14102739-DS-16,"/94, 63, 17 100RA. Exam was notable for a softly distended abd which was non tender. + flap. CXR was notable fo" Missed entity,"(944, 954)",,non tender,,43478001,,14102739-DS-16,"was notable for a softly distended abd which was non tender. + flap. CXR was notable for ? retrocardiac opac" "Correct entity, wrong SNOMED ID","(1000, 1007)","(1000, 1007)",opacity,opacity,128305008,193570009,14102739-DS-16,"nder. + flap. CXR was notable for ? retrocardiac opacity; he was given CTX and azithromycin. He was given" Wrong span,"(1031, 1043)","(1031, 1032)",azithromycin,a,281789004,420512001,14102739-DS-16,"for ? retrocardiac opacity; he was given CTX and azithromycin. He was given lactlulose (30 ml) and admitted to " "Correct entity, wrong SNOMED ID","(1135, 1143)","(1135, 1143)",confused,confused,40917007,62476001,14102739-DS-16,"tted to ___. . On the floor he was initially confused with asterixis but improved overnight with lactu" "Correct entity, wrong SNOMED ID","(1149, 1158)","(1149, 1158)",asterixis,asterixis,32838008,25963006,14102739-DS-16," . On the floor he was initially confused with asterixis but improved overnight with lactulose and rifaxi" "Correct entity, wrong SNOMED ID","(1164, 1172)","(1164, 1172)",improved,improved,268910001,251359002,14102739-DS-16,"oor he was initially confused with asterixis but improved overnight with lactulose and rifaximin. A long d" Missed entity,"(1221, 1231)",,discussion,,223482009,,14102739-DS-16,"d overnight with lactulose and rifaximin. A long discussion about the consquences of missing lactulose and r" "Correct entity, wrong SNOMED ID","(1355, 1373)","(1355, 1373)",gallbladder stones,gallbladder stones,235919008,235525000,14102739-DS-16,"e patient. Past Medical History: #. Multiple gallbladder stones w/o cholecystitis #. Hepatocellular Carcinoma " "Correct entity, wrong SNOMED ID","(1378, 1391)","(1378, 1391)",cholecystitis,cholecystitis,76581006,65275009,14102739-DS-16,"dical History: #. Multiple gallbladder stones w/o cholecystitis #. Hepatocellular Carcinoma - two bx lesions " "Correct entity, wrong SNOMED ID","(1397, 1421)","(1397, 1421)",Hepatocellular Carcinoma,Hepatocellular Carcinoma,25370001,1186630006,14102739-DS-16,"ultiple gallbladder stones w/o cholecystitis #. Hepatocellular Carcinoma - two bx lesions c (+) path - s/p RFA ___ #" Wrong span,"(1430, 1440)","(1430, 1432)",bx lesions,bx,235456005,246163005,14102739-DS-16,"olecystitis #. Hepatocellular Carcinoma - two bx lesions c (+) path - s/p RFA ___ #. Recent hospitaliz" "Correct entity, wrong SNOMED ID","(1460, 1463)","(1460, 1463)",RFA,RFA,448781006,218191003,14102739-DS-16,"r Carcinoma - two bx lesions c (+) path - s/p RFA ___ #. Recent hospitalization x2 over last ___ " Wrong span,"(1533, 1564)","(1533, 1543)",cellulitis of lower extremities,cellulitis,449710006,109245003,14102739-DS-16,"pitalization x2 over last ___ months for severe cellulitis of lower extremities #. Hep C Genotype 1 - Pegylated interferon, r" Wrong span,"(1570, 1587)","(1570, 1575)",Hep C Genotype 1 ,Hep C,768127002,50711007,14102739-DS-16,"for severe cellulitis of lower extremities #. Hep C Genotype 1 - Pegylated interferon, ribavirin (___): Viral r" Wrong span,"(1630, 1635)","(1630, 1643)",Viral,Viral relapse,768127002,414482001,14102739-DS-16,"type 1 - Pegylated interferon, ribavirin (___): Viral relapse - Liver bx (___): Stage 3 fibrosis, gra" "Correct entity, wrong SNOMED ID","(1648, 1656)","(1648, 1656)",Liver bx,Liver bx,86259008,274325001,14102739-DS-16,"ed interferon, ribavirin (___): Viral relapse - Liver bx (___): Stage 3 fibrosis, grade 2 inflammation -" Wrong span,"(1664, 1680)","(1672, 1680)",Stage 3 fibrosis,fibrosis,10690671000119109,125565008,14102739-DS-16,"ibavirin (___): Viral relapse - Liver bx (___): Stage 3 fibrosis, grade 2 inflammation - EGD (___): Esophagitis," "Correct entity, wrong SNOMED ID","(1690, 1702)","(1690, 1702)",inflammation,inflammation,128241005,103622007,14102739-DS-16,"pse - Liver bx (___): Stage 3 fibrosis, grade 2 inflammation - EGD (___): Esophagitis, varices - AFP 9.8 " "Correct entity, wrong SNOMED ID","(1718, 1729)","(1718, 1729)",Esophagitis,Esophagitis,16761005,13504006,14102739-DS-16,"e 3 fibrosis, grade 2 inflammation - EGD (___): Esophagitis, varices - AFP 9.8 #. Hypertension #. DMII:" "Correct entity, wrong SNOMED ID","(1731, 1738)","(1731, 1738)",varices,varices,28670008,57052009,14102739-DS-16," grade 2 inflammation - EGD (___): Esophagitis, varices - AFP 9.8 #. Hypertension #. DMII: c/b neur" Missed entity,"(1743, 1746)",,AFP,,80152001,,14102739-DS-16,"lammation - EGD (___): Esophagitis, varices - AFP 9.8 #. Hypertension #. DMII: c/b neuropathy " "Correct entity, wrong SNOMED ID","(1756, 1768)","(1756, 1768)",Hypertension,Hypertension,38341003,70995007,14102739-DS-16," EGD (___): Esophagitis, varices - AFP 9.8 #. Hypertension #. DMII: c/b neuropathy #. Psoriasis #. Anx" "Correct entity, wrong SNOMED ID","(1774, 1778)","(1774, 1778)",DMII,DMII,44054006,258671008,14102739-DS-16,"gitis, varices - AFP 9.8 #. Hypertension #. DMII: c/b neuropathy #. Psoriasis #. Anxiety #. " "Correct entity, wrong SNOMED ID","(1784, 1794)","(1784, 1794)",neuropathy,neuropathy,368581000119106,302226006,14102739-DS-16,"ices - AFP 9.8 #. Hypertension #. DMII: c/b neuropathy #. Psoriasis #. Anxiety #. GERD #. Chroni" "Correct entity, wrong SNOMED ID","(1800, 1809)","(1800, 1809)",Psoriasis,Psoriasis,9014002,111188005,14102739-DS-16," #. Hypertension #. DMII: c/b neuropathy #. Psoriasis #. Anxiety #. GERD #. Chronic anemia #. s" "Correct entity, wrong SNOMED ID","(1815, 1822)","(1815, 1822)",Anxiety,Anxiety,48694002,286644009,14102739-DS-16,"ion #. DMII: c/b neuropathy #. Psoriasis #. Anxiety #. GERD #. Chronic anemia #. s/p laminectom" "Correct entity, wrong SNOMED ID","(1838, 1852)","(1838, 1852)",Chronic anemia,Chronic anemia,191268006,291262006,14102739-DS-16,"opathy #. Psoriasis #. Anxiety #. GERD #. Chronic anemia #. s/p laminectomy (___) #. Chronic pain ___ " "Correct entity, wrong SNOMED ID","(1885, 1897)","(1885, 1897)",Chronic pain,Chronic pain,82423001,737305006,14102739-DS-16,"#. Chronic anemia #. s/p laminectomy (___) #. Chronic pain ___ laminectomy managed by methadone #. s/p rig" Wrong span,"(1944, 1955)","(1944, 1963)",right ankle,right ankle surgery,6685009,1078721000119107,14102739-DS-16,"ain ___ laminectomy managed by methadone #. s/p right ankle surgery (___) Social History: ___ Family His" Wrong span,"(1956, 1963)","(1944, 1963)",surgery,right ankle surgery,387713003,1078721000119107,14102739-DS-16,"nectomy managed by methadone #. s/p right ankle surgery (___) Social History: ___ Family History: De" "Correct entity, wrong SNOMED ID","(2021, 2023)","(2021, 2023)",Ca,Ca,363346000,258790008,14102739-DS-16," Social History: ___ Family History: Denies hx Ca, CAD, Liver Px, + DM. Physical Exam: GEN: NAD, " "Correct entity, wrong SNOMED ID","(2025, 2028)","(2025, 2028)",CAD,CAD,53741008,84270004,14102739-DS-16,"Social History: ___ Family History: Denies hx Ca, CAD, Liver Px, + DM. Physical Exam: GEN: NAD, calme" Wrong span,"(2030, 2035)","(2030, 2038)",Liver,Liver Px,235856003,95214007,14102739-DS-16,"l History: ___ Family History: Denies hx Ca, CAD, Liver Px, + DM. Physical Exam: GEN: NAD, calmer, A&Ox" "Correct entity, wrong SNOMED ID","(2042, 2044)","(2042, 2044)",DM,DM,73211009,258671008,14102739-DS-16,"__ Family History: Denies hx Ca, CAD, Liver Px, + DM. Physical Exam: GEN: NAD, calmer, A&Ox2 VS: 9" "Correct entity, wrong SNOMED ID","(2063, 2066)","(2063, 2066)",GEN,GEN,162673000,420208008,14102739-DS-16,"nies hx Ca, CAD, Liver Px, + DM. Physical Exam: GEN: NAD, calmer, A&Ox2 VS: 97.7 157/90 72 20 100RA" "Correct entity, wrong SNOMED ID","(2068, 2071)","(2068, 2071)",NAD,NAD,281900007,131143000,14102739-DS-16,"hx Ca, CAD, Liver Px, + DM. Physical Exam: GEN: NAD, calmer, A&Ox2 VS: 97.7 157/90 72 20 100RA HE" Missed entity,"(2081, 2082)",,A,,248234008,,14102739-DS-16,"iver Px, + DM. Physical Exam: GEN: NAD, calmer, A&Ox2 VS: 97.7 157/90 72 20 100RA HEENT: anicte" "Correct entity, wrong SNOMED ID","(2083, 2086)","(2083, 2086)",Ox2,Ox2,247663003,278077005,14102739-DS-16,"er Px, + DM. Physical Exam: GEN: NAD, calmer, A&Ox2 VS: 97.7 157/90 72 20 100RA HEENT: anicteric " "Correct entity, wrong SNOMED ID","(2089, 2091)","(2089, 2091)",VS,VS,118227000,313611000,14102739-DS-16," + DM. Physical Exam: GEN: NAD, calmer, A&Ox2 VS: 97.7 157/90 72 20 100RA HEENT: anicteric scler" Missed entity,"(2114, 2116)",,RA,,722742002,,14102739-DS-16,"EN: NAD, calmer, A&Ox2 VS: 97.7 157/90 72 20 100RA HEENT: anicteric sclera, MMM, poor dentition, n" "Correct entity, wrong SNOMED ID","(2119, 2124)","(2119, 2124)",HEENT,HEENT,5880005,113665002,14102739-DS-16,"AD, calmer, A&Ox2 VS: 97.7 157/90 72 20 100RA HEENT: anicteric sclera, MMM, poor dentition, neck supp" "Correct entity, wrong SNOMED ID","(2126, 2142)","(2126, 2142)",anicteric sclera,anicteric sclera,427801009,470731000124100,14102739-DS-16,"mer, A&Ox2 VS: 97.7 157/90 72 20 100RA HEENT: anicteric sclera, MMM, poor dentition, neck supple CV: RR, NL S1" "Correct entity, wrong SNOMED ID","(2144, 2147)","(2144, 2147)",MMM,MMM,276398005,258673006,14102739-DS-16,"7.7 157/90 72 20 100RA HEENT: anicteric sclera, MMM, poor dentition, neck supple CV: RR, NL S1S2 no" "Correct entity, wrong SNOMED ID","(2149, 2163)","(2149, 2163)",poor dentition,poor dentition,129904008,109439008,14102739-DS-16,"57/90 72 20 100RA HEENT: anicteric sclera, MMM, poor dentition, neck supple CV: RR, NL S1S2 no S3S4 MRG PULM" "Correct entity, wrong SNOMED ID","(2170, 2176)","(2170, 2176)",supple,supple,298475003,169743001,14102739-DS-16,"EENT: anicteric sclera, MMM, poor dentition, neck supple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD:" "Correct entity, wrong SNOMED ID","(2179, 2181)","(2179, 2181)",CV,CV,363003006,258773002,14102739-DS-16,"cteric sclera, MMM, poor dentition, neck supple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD: BS +" "Correct entity, wrong SNOMED ID","(2183, 2185)","(2183, 2185)",RR,RR,301283003,229040007,14102739-DS-16,"ic sclera, MMM, poor dentition, neck supple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD: BS +, so" Missed entity,"(2192, 2194)",,S2,,111974005,,14102739-DS-16,", MMM, poor dentition, neck supple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD: BS +, soft, NT, d" "Correct entity, wrong SNOMED ID","(2209, 2213)","(2209, 2213)",PULM,PULM,268925001,419170002,14102739-DS-16,"tion, neck supple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD: BS +, soft, NT, distended with evide" "Correct entity, wrong SNOMED ID","(2215, 2219)","(2215, 2219)",CTAB,CTAB,48348007,259641008,14102739-DS-16,"neck supple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD: BS +, soft, NT, distended with evidence of" "Correct entity, wrong SNOMED ID","(2222, 2225)","(2222, 2225)",ABD,ABD,225162003,60728008,14102739-DS-16,"pple CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD: BS +, soft, NT, distended with evidence of ascit" "Correct entity, wrong SNOMED ID","(2227, 2231)","(2227, 2231)",BS +,BS +,61539000,260347006,14102739-DS-16," CV: RR, NL S1S2 no S3S4 MRG PULM: CTAB ABD: BS +, soft, NT, distended with evidence of ascites L" "Correct entity, wrong SNOMED ID","(2239, 2241)","(2239, 2241)",NT,NT,43478001,257992007,14102739-DS-16," S1S2 no S3S4 MRG PULM: CTAB ABD: BS +, soft, NT, distended with evidence of ascites LIMBS: 1+ _" "Correct entity, wrong SNOMED ID","(2243, 2252)","(2243, 2252)",distended,distended,60728008,1204394008,14102739-DS-16,"2 no S3S4 MRG PULM: CTAB ABD: BS +, soft, NT, distended with evidence of ascites LIMBS: 1+ ___ edema R>" "Correct entity, wrong SNOMED ID","(2270, 2277)","(2270, 2277)",ascites,ascites,389026000,860638000,14102739-DS-16," ABD: BS +, soft, NT, distended with evidence of ascites LIMBS: 1+ ___ edema R>L, hyperpigmented and thi" "Correct entity, wrong SNOMED ID","(2294, 2299)","(2294, 2299)",edema,edema,267038008,102576009,14102739-DS-16,"istended with evidence of ascites LIMBS: 1+ ___ edema R>L, hyperpigmented and thickened skin consisten" Wrong span,"(2305, 2319)","(2305, 2310)",hyperpigmented,hyper,49765009,41581000,14102739-DS-16,"th evidence of ascites LIMBS: 1+ ___ edema R>L, hyperpigmented and thickened skin consistent with chronic venou" "Correct entity, wrong SNOMED ID","(2324, 2338)","(2324, 2338)",thickened skin,thickened skin,271815000,309085000,14102739-DS-16,"tes LIMBS: 1+ ___ edema R>L, hyperpigmented and thickened skin consistent with chronic venous insufficiency N" "Correct entity, wrong SNOMED ID","(2387, 2392)","(2387, 2392)",NEURO,NEURO,84728005,281247006,14102739-DS-16,"n consistent with chronic venous insufficiency NEURO: + asterixis. CN II-XII intact. A+O X name and pl" "Correct entity, wrong SNOMED ID","(2396, 2405)","(2396, 2405)",asterixis,asterixis,32838008,25963006,14102739-DS-16,"tent with chronic venous insufficiency NEURO: + asterixis. CN II-XII intact. A+O X name and place only. " "Correct entity, wrong SNOMED ID","(2407, 2423)","(2407, 2423)",CN II-XII intact,CN II-XII intact,830121005,408755005,14102739-DS-16,"hronic venous insufficiency NEURO: + asterixis. CN II-XII intact. A+O X name and place only. . Pertinent R" Missed entity,"(2425, 2426)",,A,,248234008,,14102739-DS-16,"fficiency NEURO: + asterixis. CN II-XII intact. A+O X name and place only. . Pertinent Resu" Missed entity,"(2427, 2435)",,O X name,,427645006,,14102739-DS-16,"iciency NEURO: + asterixis. CN II-XII intact. A+O X name and place only. . Pertinent Results: Admi" Missed entity,"(2440, 2445)",,place,,427161009,,14102739-DS-16,"RO: + asterixis. CN II-XII intact. A+O X name and place only. . Pertinent Results: Admission labs" "Correct entity, wrong SNOMED ID","(2515, 2518)","(2515, 2518)",WBC,WBC,767002,391558003,14102739-DS-16,"tinent Results: Admission labs: ___ 03:57PM BLOOD WBC-7.3 RBC-3.05* Hgb-9.2* Hct-28.5* MCV-93 MCH-30.0" "Correct entity, wrong SNOMED ID","(2523, 2526)","(2523, 2526)",RBC,RBC,14089001,258759006,14102739-DS-16,"esults: Admission labs: ___ 03:57PM BLOOD WBC-7.3 RBC-3.05* Hgb-9.2* Hct-28.5* MCV-93 MCH-30.0 MCHC-32" "Correct entity, wrong SNOMED ID","(2533, 2536)","(2533, 2536)",Hgb,Hgb,441689006,104142005,14102739-DS-16,"mission labs: ___ 03:57PM BLOOD WBC-7.3 RBC-3.05* Hgb-9.2* Hct-28.5* MCV-93 MCH-30.0 MCHC-32.2 RDW-16." "Correct entity, wrong SNOMED ID","(2542, 2545)","(2542, 2545)",Hct,Hct,28317006,282660005,14102739-DS-16,"abs: ___ 03:57PM BLOOD WBC-7.3 RBC-3.05* Hgb-9.2* Hct-28.5* MCV-93 MCH-30.0 MCHC-32.2 RDW-16.9* Plt __" "Correct entity, wrong SNOMED ID","(2569, 2573)","(2569, 2573)",MCHC,MCHC,37254006,735147002,14102739-DS-16,"7.3 RBC-3.05* Hgb-9.2* Hct-28.5* MCV-93 MCH-30.0 MCHC-32.2 RDW-16.9* Plt ___ ___ 03:57PM BLOOD ___ PTT-" "Correct entity, wrong SNOMED ID","(2619, 2622)","(2619, 2622)",PTT,PTT,42525009,282119004,14102739-DS-16,"MCHC-32.2 RDW-16.9* Plt ___ ___ 03:57PM BLOOD ___ PTT-32.2 ___ ___ 03:57PM BLOOD Glucose-196* UreaN-66*" "Correct entity, wrong SNOMED ID","(2650, 2657)","(2650, 2657)",Glucose,Glucose,33747003,72191006,14102739-DS-16," 03:57PM BLOOD ___ PTT-32.2 ___ ___ 03:57PM BLOOD Glucose-196* UreaN-66* Creat-4.0* Na-135 K-4.3 Cl-102 HC" "Correct entity, wrong SNOMED ID","(2663, 2668)","(2663, 2668)",UreaN,UreaN,105011006,111108008,14102739-DS-16,"D ___ PTT-32.2 ___ ___ 03:57PM BLOOD Glucose-196* UreaN-66* Creat-4.0* Na-135 K-4.3 Cl-102 HCO3-21* AnGa" "Correct entity, wrong SNOMED ID","(2673, 2678)","(2673, 2678)",Creat,Creat,70901006,413856009,14102739-DS-16,"32.2 ___ ___ 03:57PM BLOOD Glucose-196* UreaN-66* Creat-4.0* Na-135 K-4.3 Cl-102 HCO3-21* AnGap-16 ___ 0" "Correct entity, wrong SNOMED ID","(2684, 2686)","(2684, 2686)",Na,Na,312469006,257992007,14102739-DS-16,"_ 03:57PM BLOOD Glucose-196* UreaN-66* Creat-4.0* Na-135 K-4.3 Cl-102 HCO3-21* AnGap-16 ___ 03:57PM B" "Correct entity, wrong SNOMED ID","(2698, 2700)","(2698, 2700)",Cl,Cl,104589004,311741002,14102739-DS-16,"D Glucose-196* UreaN-66* Creat-4.0* Na-135 K-4.3 Cl-102 HCO3-21* AnGap-16 ___ 03:57PM BLOOD ALT-42* A" "Correct entity, wrong SNOMED ID","(2705, 2709)","(2705, 2709)",HCO3,HCO3,312471006,88645003,14102739-DS-16,"se-196* UreaN-66* Creat-4.0* Na-135 K-4.3 Cl-102 HCO3-21* AnGap-16 ___ 03:57PM BLOOD ALT-42* AST-98* Al" "Correct entity, wrong SNOMED ID","(2714, 2719)","(2714, 2719)",AnGap,AnGap,25469001,124504004,14102739-DS-16,"reaN-66* Creat-4.0* Na-135 K-4.3 Cl-102 HCO3-21* AnGap-16 ___ 03:57PM BLOOD ALT-42* AST-98* AlkPhos-111 " "Correct entity, wrong SNOMED ID","(2741, 2744)","(2741, 2744)",ALT,ALT,34608000,56935002,14102739-DS-16," K-4.3 Cl-102 HCO3-21* AnGap-16 ___ 03:57PM BLOOD ALT-42* AST-98* AlkPhos-111 Amylase-134* TotBili-1.7" "Correct entity, wrong SNOMED ID","(2749, 2752)","(2749, 2752)",AST,AST,45896001,85043005,14102739-DS-16,"l-102 HCO3-21* AnGap-16 ___ 03:57PM BLOOD ALT-42* AST-98* AlkPhos-111 Amylase-134* TotBili-1.7* ___ 06" "Correct entity, wrong SNOMED ID","(2757, 2764)","(2757, 2764)",AlkPhos,AlkPhos,88810008,30703008,14102739-DS-16,"O3-21* AnGap-16 ___ 03:57PM BLOOD ALT-42* AST-98* AlkPhos-111 Amylase-134* TotBili-1.7* ___ 06:15AM BLOOD " "Correct entity, wrong SNOMED ID","(2783, 2790)","(2783, 2790)",TotBili,TotBili,359986008,19754005,14102739-DS-16,"M BLOOD ALT-42* AST-98* AlkPhos-111 Amylase-134* TotBili-1.7* ___ 06:15AM BLOOD Albumin-3.9 Calcium-9.5 Ph" "Correct entity, wrong SNOMED ID","(2814, 2821)","(2814, 2821)",Albumin,Albumin,26758005,166804009,14102739-DS-16,"-111 Amylase-134* TotBili-1.7* ___ 06:15AM BLOOD Albumin-3.9 Calcium-9.5 Phos-3.7# Mg-1.9 . Discharge labs" "Correct entity, wrong SNOMED ID","(2826, 2833)","(2826, 2833)",Calcium,Calcium,312472004,108601004,14102739-DS-16,"-134* TotBili-1.7* ___ 06:15AM BLOOD Albumin-3.9 Calcium-9.5 Phos-3.7# Mg-1.9 . Discharge labs: ___ 06:30A" "Correct entity, wrong SNOMED ID","(2838, 2842)","(2838, 2842)",Phos,Phos,104868000,168075002,14102739-DS-16,"li-1.7* ___ 06:15AM BLOOD Albumin-3.9 Calcium-9.5 Phos-3.7# Mg-1.9 . Discharge labs: ___ 06:30AM BLOOD W" "Correct entity, wrong SNOMED ID","(2848, 2850)","(2848, 2850)",Mg,Mg,271285000,258684004,14102739-DS-16,"_ 06:15AM BLOOD Albumin-3.9 Calcium-9.5 Phos-3.7# Mg-1.9 . Discharge labs: ___ 06:30AM BLOOD WBC-8.2 R" "Correct entity, wrong SNOMED ID","(2891, 2894)","(2891, 2894)",WBC,WBC,767002,391558003,14102739-DS-16,"s-3.7# Mg-1.9 . Discharge labs: ___ 06:30AM BLOOD WBC-8.2 RBC-2.47* Hgb-7.6* Hct-23.2* MCV-94 MCH-30.8" "Correct entity, wrong SNOMED ID","(2899, 2902)","(2899, 2902)",RBC,RBC,14089001,258759006,14102739-DS-16,"g-1.9 . Discharge labs: ___ 06:30AM BLOOD WBC-8.2 RBC-2.47* Hgb-7.6* Hct-23.2* MCV-94 MCH-30.8 MCHC-32" "Correct entity, wrong SNOMED ID","(2909, 2912)","(2909, 2912)",Hgb,Hgb,441689006,104142005,14102739-DS-16,"scharge labs: ___ 06:30AM BLOOD WBC-8.2 RBC-2.47* Hgb-7.6* Hct-23.2* MCV-94 MCH-30.8 MCHC-32.7 RDW-16." "Correct entity, wrong SNOMED ID","(2918, 2921)","(2918, 2921)",Hct,Hct,28317006,282660005,14102739-DS-16,"abs: ___ 06:30AM BLOOD WBC-8.2 RBC-2.47* Hgb-7.6* Hct-23.2* MCV-94 MCH-30.8 MCHC-32.7 RDW-16.6* Plt __" "Correct entity, wrong SNOMED ID","(2945, 2949)","(2945, 2949)",MCHC,MCHC,37254006,735147002,14102739-DS-16,"8.2 RBC-2.47* Hgb-7.6* Hct-23.2* MCV-94 MCH-30.8 MCHC-32.7 RDW-16.6* Plt ___ ___ 06:30AM BLOOD ___ PTT-" "Correct entity, wrong SNOMED ID","(2995, 2998)","(2995, 2998)",PTT,PTT,42525009,282119004,14102739-DS-16,"MCHC-32.7 RDW-16.6* Plt ___ ___ 06:30AM BLOOD ___ PTT-56.7* ___ ___ 06:30AM BLOOD Glucose-192* UreaN-53" Wrong span,"(3021, 3034)","(3027, 3034)",BLOOD Glucose,Glucose,33747003,72191006,14102739-DS-16,"_ ___ 06:30AM BLOOD ___ PTT-56.7* ___ ___ 06:30AM BLOOD Glucose-192* UreaN-53* Creat-3.2* Na-134 K-4.0 Cl-101 HC" "Correct entity, wrong SNOMED ID","(3040, 3045)","(3040, 3045)",UreaN,UreaN,105011006,111108008,14102739-DS-16," ___ PTT-56.7* ___ ___ 06:30AM BLOOD Glucose-192* UreaN-53* Creat-3.2* Na-134 K-4.0 Cl-101 HCO3-23 AnGap" "Correct entity, wrong SNOMED ID","(3050, 3055)","(3050, 3055)",Creat,Creat,70901006,413856009,14102739-DS-16,"6.7* ___ ___ 06:30AM BLOOD Glucose-192* UreaN-53* Creat-3.2* Na-134 K-4.0 Cl-101 HCO3-23 AnGap-14 ___ 06" "Correct entity, wrong SNOMED ID","(3061, 3063)","(3061, 3063)",Na,Na,312469006,257992007,14102739-DS-16,"_ 06:30AM BLOOD Glucose-192* UreaN-53* Creat-3.2* Na-134 K-4.0 Cl-101 HCO3-23 AnGap-14 ___ 06:30AM BL" "Correct entity, wrong SNOMED ID","(3075, 3077)","(3075, 3077)",Cl,Cl,104589004,311741002,14102739-DS-16,"D Glucose-192* UreaN-53* Creat-3.2* Na-134 K-4.0 Cl-101 HCO3-23 AnGap-14 ___ 06:30AM BLOOD ALT-29 AST" "Correct entity, wrong SNOMED ID","(3082, 3086)","(3082, 3086)",HCO3,HCO3,312471006,88645003,14102739-DS-16,"se-192* UreaN-53* Creat-3.2* Na-134 K-4.0 Cl-101 HCO3-23 AnGap-14 ___ 06:30AM BLOOD ALT-29 AST-66* LD(L" "Correct entity, wrong SNOMED ID","(3090, 3095)","(3090, 3095)",AnGap,AnGap,25469001,124504004,14102739-DS-16,"UreaN-53* Creat-3.2* Na-134 K-4.0 Cl-101 HCO3-23 AnGap-14 ___ 06:30AM BLOOD ALT-29 AST-66* LD(LDH)-198 A" "Correct entity, wrong SNOMED ID","(3117, 3120)","(3117, 3120)",ALT,ALT,34608000,56935002,14102739-DS-16," K-4.0 Cl-101 HCO3-23 AnGap-14 ___ 06:30AM BLOOD ALT-29 AST-66* LD(LDH)-198 AlkPhos-95 TotBili-1.3 __" "Correct entity, wrong SNOMED ID","(3124, 3127)","(3124, 3127)",AST,AST,45896001,85043005,14102739-DS-16," Cl-101 HCO3-23 AnGap-14 ___ 06:30AM BLOOD ALT-29 AST-66* LD(LDH)-198 AlkPhos-95 TotBili-1.3 ___ 06:30" "Correct entity, wrong SNOMED ID","(3135, 3138)","(3135, 3138)",LDH,LDH,11274001,67568008,14102739-DS-16,"3-23 AnGap-14 ___ 06:30AM BLOOD ALT-29 AST-66* LD(LDH)-198 AlkPhos-95 TotBili-1.3 ___ 06:30AM BLOOD Al" "Correct entity, wrong SNOMED ID","(3144, 3151)","(3144, 3151)",AlkPhos,AlkPhos,88810008,30703008,14102739-DS-16,"p-14 ___ 06:30AM BLOOD ALT-29 AST-66* LD(LDH)-198 AlkPhos-95 TotBili-1.3 ___ 06:30AM BLOOD Albumin-4.4 Cal" "Correct entity, wrong SNOMED ID","(3156, 3163)","(3156, 3163)",TotBili,TotBili,359986008,19754005,14102739-DS-16,"30AM BLOOD ALT-29 AST-66* LD(LDH)-198 AlkPhos-95 TotBili-1.3 ___ 06:30AM BLOOD Albumin-4.4 Calcium-8.9 Pho" "Correct entity, wrong SNOMED ID","(3186, 3193)","(3186, 3193)",Albumin,Albumin,26758005,166804009,14102739-DS-16,"DH)-198 AlkPhos-95 TotBili-1.3 ___ 06:30AM BLOOD Albumin-4.4 Calcium-8.9 Phos-3.9 Mg-1.6 . ASCITES LABS: _" "Correct entity, wrong SNOMED ID","(3198, 3205)","(3198, 3205)",Calcium,Calcium,312472004,108601004,14102739-DS-16,"hos-95 TotBili-1.3 ___ 06:30AM BLOOD Albumin-4.4 Calcium-8.9 Phos-3.9 Mg-1.6 . ASCITES LABS: ___ 05:15PM A" "Correct entity, wrong SNOMED ID","(3210, 3214)","(3210, 3214)",Phos,Phos,104868000,168075002,14102739-DS-16,"ili-1.3 ___ 06:30AM BLOOD Albumin-4.4 Calcium-8.9 Phos-3.9 Mg-1.6 . ASCITES LABS: ___ 05:15PM ASCITES WB" "Correct entity, wrong SNOMED ID","(3219, 3221)","(3219, 3221)",Mg,Mg,271285000,258684004,14102739-DS-16,"__ 06:30AM BLOOD Albumin-4.4 Calcium-8.9 Phos-3.9 Mg-1.6 . ASCITES LABS: ___ 05:15PM ASCITES WBC-1500*" Missed entity,"(3254, 3261)",,ASCITES,,389026000,,14102739-DS-16,"m-8.9 Phos-3.9 Mg-1.6 . ASCITES LABS: ___ 05:15PM ASCITES WBC-1500* ___ Polys-14* Lymphs-39* ___ Mesothe-2" "Correct entity, wrong SNOMED ID","(3262, 3265)","(3262, 3265)",WBC,WBC,767002,391558003,14102739-DS-16,"os-3.9 Mg-1.6 . ASCITES LABS: ___ 05:15PM ASCITES WBC-1500* ___ Polys-14* Lymphs-39* ___ Mesothe-21* M" Missed entity,"(3338, 3345)",,ASCITES,,389026000,,14102739-DS-16,"ymphs-39* ___ Mesothe-21* Macroph-26* ___ 05:15PM ASCITES Albumin-2.5 . IMAGING; ABDOMEN U.S. (COMPLETE STU" "Correct entity, wrong SNOMED ID","(3346, 3353)","(3346, 3353)",Albumin,Albumin,26758005,166804009,14102739-DS-16,"* ___ Mesothe-21* Macroph-26* ___ 05:15PM ASCITES Albumin-2.5 . IMAGING; ABDOMEN U.S. (COMPLETE STUDY) Stud" Wrong span,"(3369, 3381)","(3369, 3376)",ABDOMEN U.S.,ABDOMEN,45036003,41931001,14102739-DS-16,"ph-26* ___ 05:15PM ASCITES Albumin-2.5 . IMAGING; ABDOMEN U.S. (COMPLETE STUDY) Study Date of ___ 9:23 AM COMPA" "Correct entity, wrong SNOMED ID","(3450, 3460)","(3450, 3460)",ultrasound,ultrasound,16310003,765172009,14102739-DS-16,"tudy Date of ___ 9:23 AM COMPARISON: Compared to ultrasound from ___ and MRI from ___. FINDINGS: The liver r" "Correct entity, wrong SNOMED ID","(3475, 3478)","(3475, 3478)",MRI,MRI,113091000,1144760005,14102739-DS-16," COMPARISON: Compared to ultrasound from ___ and MRI from ___. FINDINGS: The liver remains coarse and" "Correct entity, wrong SNOMED ID","(3503, 3508)","(3503, 3508)",liver,liver,10200004,80515008,14102739-DS-16,"rasound from ___ and MRI from ___. FINDINGS: The liver remains coarse and heterogeneous, consistent wit" "Correct entity, wrong SNOMED ID","(3599, 3605)","(3599, 3605)",lesion,lesion,52988006,120609008,14102739-DS-16,"stent with known cirrhosis. The cystic and solid lesion within segment IV is similar in comparison to th" Missed entity,"(3613, 3623)",,segment IV,,277958008,,14102739-DS-16,"wn cirrhosis. The cystic and solid lesion within segment IV is similar in comparison to the prior study and " "Correct entity, wrong SNOMED ID","(3717, 3723)","(3717, 3723)",lesion,lesion,52988006,120609008,14102739-DS-16,"y and now measures 3.6 x 4.3 x 4.2 cm. Echogenic lesion within segment III is similar in appearance, and " Missed entity,"(3731, 3742)",,segment III,,277957003,,14102739-DS-16,"ures 3.6 x 4.3 x 4.2 cm. Echogenic lesion within segment III is similar in appearance, and now measures 4.6 x" "Correct entity, wrong SNOMED ID","(3813, 3820)","(3813, 3820)",lesions,lesions,52988006,246206008,14102739-DS-16,"ance, and now measures 4.6 x 3.4 x 2.6 cm. These lesions were previously seen on MRI from ___, and corres" "Correct entity, wrong SNOMED ID","(3846, 3849)","(3846, 3849)",MRI,MRI,241621009,1144760005,14102739-DS-16," x 2.6 cm. These lesions were previously seen on MRI from ___, and correspond to areas of prior RFA t" Wrong span,"(3894, 3907)","(3894, 3897)",RFA treatment,RFA,448781006,218191003,14102739-DS-16,"n MRI from ___, and correspond to areas of prior RFA treatment. There is an unchanged small calcification within" "Correct entity, wrong SNOMED ID","(3963, 3992)","(3963, 3992)",right lower lobe of the liver,right lower lobe of the liver,266005,48521005,14102739-DS-16,"e is an unchanged small calcification within the right lower lobe of the liver. There are numerous gallstones layering dependen" "Correct entity, wrong SNOMED ID","(4013, 4023)","(4013, 4023)",gallstones,gallstones,235919008,390926006,14102739-DS-16,"right lower lobe of the liver. There are numerous gallstones layering dependently within the gallbladder, wit" "Correct entity, wrong SNOMED ID","(4057, 4068)","(4057, 4068)",gallbladder,gallbladder,28231008,169010007,14102739-DS-16,"erous gallstones layering dependently within the gallbladder, with no evidence of cholecystitis. There is no " "Correct entity, wrong SNOMED ID","(4075, 4086)","(4075, 4086)",no evidence,no evidence,281900007,41647002,14102739-DS-16,"layering dependently within the gallbladder, with no evidence of cholecystitis. There is no gallbladder wall e" "Correct entity, wrong SNOMED ID","(4091, 4104)","(4091, 4104)",cholecystitis,cholecystitis,76581006,65275009,14102739-DS-16,"ntly within the gallbladder, with no evidence of cholecystitis. There is no gallbladder wall edema. The common " Wrong span,"(4118, 4129)","(4118, 4134)",gallbladder,gallbladder wall,28231008,1340097002,14102739-DS-16,", with no evidence of cholecystitis. There is no gallbladder wall edema. The common bile duct measures 7 mm i" "Correct entity, wrong SNOMED ID","(4135, 4140)","(4135, 4140)",edema,edema,267038008,102576009,14102739-DS-16,"e of cholecystitis. There is no gallbladder wall edema. The common bile duct measures 7 mm in diameter." "Correct entity, wrong SNOMED ID","(4146, 4163)","(4146, 4163)","common bile duct","common bile duct",79741001,255086002,14102739-DS-16,"cystitis. There is no gallbladder wall edema. The common bile duct measures 7 mm in diameter. There is no intrahepat" Wrong span,"(4217, 4237)","(4203, 4237)",bile duct dilatation,"intrahepatic bile duct dilatation",1082431000119108,307133008,14102739-DS-16,"sures 7 mm in diameter. There is no intrahepatic bile duct dilatation. There is a moderate amount of ascites, unchange" "Correct entity, wrong SNOMED ID","(4269, 4276)","(4269, 4276)",ascites,ascites,389026000,860638000,14102739-DS-16,"le duct dilatation. There is a moderate amount of ascites, unchanged. The spleen is of normal size, measur" "Correct entity, wrong SNOMED ID","(4294, 4300)","(4294, 4300)",spleen,spleen,78961009,422025007,14102739-DS-16," is a moderate amount of ascites, unchanged. The spleen is of normal size, measuring 11.6 cm. Doppler ex" Wrong span,"(4307, 4318)","(4307, 4313)",normal size,normal,53461003,840673007,14102739-DS-16,"e amount of ascites, unchanged. The spleen is of normal size, measuring 11.6 cm. Doppler examination demonstr" "Correct entity, wrong SNOMED ID","(4340, 4359)","(4340, 4359)",Doppler examination,Doppler examination,431362005,448750002,14102739-DS-16,"The spleen is of normal size, measuring 11.6 cm. Doppler examination demonstrates patency of the main, right and left" Missed entity,"(4373, 4380)",,patency,,448094004,,14102739-DS-16,"suring 11.6 cm. Doppler examination demonstrates patency of the main, right and left portal veins. Within" "Correct entity, wrong SNOMED ID","(4394, 4399)","(4394, 4399)",right,right,73931004,225794002,14102739-DS-16,"ler examination demonstrates patency of the main, right and left portal veins. Within the left portal ve" "Correct entity, wrong SNOMED ID","(4405, 4422)","(4405, 4422)",left portal veins,left portal veins,70253006,422646002,14102739-DS-16,"tion demonstrates patency of the main, right and left portal veins. Within the left portal vein, again arterialized" "Correct entity, wrong SNOMED ID","(4435, 4451)","(4435, 4451)",left portal vein,left portal vein,70253006,304374005,14102739-DS-16,"he main, right and left portal veins. Within the left portal vein, again arterialized waveform is demonstrated, wh" "Correct entity, wrong SNOMED ID","(4524, 4545)","(4524, 4545)",arteriovenous fistula,arteriovenous fistula,439470001,111289009,14102739-DS-16,"aveform is demonstrated, which may reflect known arteriovenous fistula which was demonstrated on MRI of ___. The hepatic" "Correct entity, wrong SNOMED ID","(4572, 4575)","(4572, 4575)",MRI,MRI,113091000,1144760005,14102739-DS-16," arteriovenous fistula which was demonstrated on MRI of ___. The hepatic arteries are patent and demon" "Correct entity, wrong SNOMED ID","(4588, 4604)","(4588, 4604)",hepatic arteries,hepatic arteries,76015000,1332214005,14102739-DS-16,"fistula which was demonstrated on MRI of ___. The hepatic arteries are patent and demonstrate normal flow. Mark for" Wrong span,"(4632, 4644)","(4632, 4638)","normal flow",normal,62222003,840673007,14102739-DS-16,". The hepatic arteries are patent and demonstrate normal flow. Mark for paracentesis in the LLQ was placed by D" "Correct entity, wrong SNOMED ID","(4655, 4667)","(4655, 4667)",paracentesis,paracentesis,89305009,91602002,14102739-DS-16,"are patent and demonstrate normal flow. Mark for paracentesis in the LLQ was placed by Dr. ___ ___. IMPRESSION" "Correct entity, wrong SNOMED ID","(4675, 4678)","(4675, 4678)",LLQ,LLQ,68505006,257995009,14102739-DS-16,"strate normal flow. Mark for paracentesis in the LLQ was placed by Dr. ___ ___. IMPRESSION: 1. Cirrho" Wrong span,"(4739, 4751)","(4739, 4744)",liver lesion,liver,300331000,80515008,14102739-DS-16," by Dr. ___ ___. IMPRESSION: 1. Cirrhosis, focal liver lesion consistent with s/p RFA treatment. 2. Moderate a" Missed entity,"(4773, 4786)",,RFA treatment,,448781006,,14102739-DS-16,"irrhosis, focal liver lesion consistent with s/p RFA treatment. 2. Moderate ascites. 3. Cholelithiasis. 4. Pate" "Correct entity, wrong SNOMED ID","(4800, 4807)","(4800, 4807)",ascites,ascites,389026000,860638000,14102739-DS-16,"n consistent with s/p RFA treatment. 2. Moderate ascites. 3. Cholelithiasis. 4. Patent main, right and le" "Correct entity, wrong SNOMED ID","(4812, 4826)","(4812, 4826)",Cholelithiasis,Cholelithiasis,266474003,407637009,14102739-DS-16," with s/p RFA treatment. 2. Moderate ascites. 3. Cholelithiasis. 4. Patent main, right and left veins. Abnormal " Missed entity,"(4832, 4838)",,Patent,,448094004,,14102739-DS-16,"ment. 2. Moderate ascites. 3. Cholelithiasis. 4. Patent main, right and left veins. Abnormal waveform of " "Correct entity, wrong SNOMED ID","(4845, 4850)","(4845, 4850)",right,right,73931004,225794002,14102739-DS-16,"rate ascites. 3. Cholelithiasis. 4. Patent main, right and left veins. Abnormal waveform of the left po" "Correct entity, wrong SNOMED ID","(4855, 4865)","(4855, 4865)",left veins,left veins,70253006,1179747009,14102739-DS-16,"es. 3. Cholelithiasis. 4. Patent main, right and left veins. Abnormal waveform of the left portal vein which" "Correct entity, wrong SNOMED ID","(4893, 4909)","(4893, 4909)",left portal vein,left portal vein,70253006,304374005,14102739-DS-16,", right and left veins. Abnormal waveform of the left portal vein which suggests an arteriovenous fistula identifi" "Correct entity, wrong SNOMED ID","(4928, 4949)","(4928, 4949)",arteriovenous fistula,arteriovenous fistula,439470001,111289009,14102739-DS-16,"veform of the left portal vein which suggests an arteriovenous fistula identified on MRI of ___. Brief Hospital Cour" "Correct entity, wrong SNOMED ID","(4965, 4968)","(4965, 4968)",MRI,MRI,113091000,1144760005,14102739-DS-16," suggests an arteriovenous fistula identified on MRI of ___. Brief Hospital Course: ___ with a hist" "Correct entity, wrong SNOMED ID","(5025, 5028)","(5025, 5028)",HTN,HTN,38341003,10725009,14102739-DS-16,". Brief Hospital Course: ___ with a history of HTN, DM2, HCV cirrhosis c/b HCC (dx in ___ and ? SBP" "Correct entity, wrong SNOMED ID","(5030, 5033)","(5030, 5033)",DM2,DM2,44054006,396166000,14102739-DS-16,"Brief Hospital Course: ___ with a history of HTN, DM2, HCV cirrhosis c/b HCC (dx in ___ and ? SBP (___" "Correct entity, wrong SNOMED ID","(5035, 5048)","(5035, 5048)",HCV cirrhosis,HCV cirrhosis,831000119103,235897005,14102739-DS-16," Hospital Course: ___ with a history of HTN, DM2, HCV cirrhosis c/b HCC (dx in ___ and ? SBP (___), who presente" "Correct entity, wrong SNOMED ID","(5053, 5056)","(5053, 5056)",HCC,HCC,109841003,718290002,14102739-DS-16,"___ with a history of HTN, DM2, HCV cirrhosis c/b HCC (dx in ___ and ? SBP (___), who presented with A" "Correct entity, wrong SNOMED ID","(5075, 5078)","(5075, 5078)",SBP,SBP,11836002,720374004,14102739-DS-16,"HTN, DM2, HCV cirrhosis c/b HCC (dx in ___ and ? SBP (___), who presented with AMS. Was found to have" "Correct entity, wrong SNOMED ID","(5105, 5108)","(5105, 5108)",AMS,AMS,419284004,293778004,14102739-DS-16,"C (dx in ___ and ? SBP (___), who presented with AMS. Was found to have SBP an and was treated with a" "Correct entity, wrong SNOMED ID","(5129, 5132)","(5129, 5132)",SBP,SBP,11836002,720374004,14102739-DS-16,"(___), who presented with AMS. Was found to have SBP an and was treated with antibiotics as well as l" Wrong span,"(5144, 5168)","(5157, 5168)",treated with antibiotics,antibiotics,281789004,372599003,14102739-DS-16,"ented with AMS. Was found to have SBP an and was treated with antibiotics as well as lactulose and rifaximin. He improved " "Correct entity, wrong SNOMED ID","(5209, 5217)","(5209, 5217)",improved,improved,268910001,251359002,14102739-DS-16,"tibiotics as well as lactulose and rifaximin. He improved clinically and was discharged with close follow " Missed entity,"(5260, 5269)",,follow up,,183616001,,14102739-DS-16,"mproved clinically and was discharged with close follow up. . # Hepatic encephalopathy: In setting of med" "Correct entity, wrong SNOMED ID","(5278, 5300)","(5278, 5300)",Hepatic encephalopathy,Hepatic encephalopathy,13920009,232534061000119102,14102739-DS-16," and was discharged with close follow up. . # Hepatic encephalopathy: In setting of medication noncompliance and SBP." "Correct entity, wrong SNOMED ID","(5316, 5340)","(5316, 5340)",medication noncompliance,medication noncompliance,400978007,473057004,14102739-DS-16," up. . # Hepatic encephalopathy: In setting of medication noncompliance and SBP. Poor social supports. CXR with ? retroc" "Correct entity, wrong SNOMED ID","(5346, 5349)","(5346, 5349)",SBP,SBP,11836002,720374004,14102739-DS-16,"athy: In setting of medication noncompliance and SBP. Poor social supports. CXR with ? retrocardiac op" Missed entity,"(5351, 5371)",,Poor social supports,,425022003,,14102739-DS-16," In setting of medication noncompliance and SBP. Poor social supports. CXR with ? retrocardiac opacity per ED read, bu" "Correct entity, wrong SNOMED ID","(5397, 5404)","(5397, 5404)",opacity,opacity,128305008,193570009,14102739-DS-16,"BP. Poor social supports. CXR with ? retrocardiac opacity per ED read, but no fever, cough, leukocytosis. " "Correct entity, wrong SNOMED ID","(5426, 5431)","(5426, 5431)",fever,fever,386661006,248430002,14102739-DS-16," with ? retrocardiac opacity per ED read, but no fever, cough, leukocytosis. Received ceftriaxone and a" "Correct entity, wrong SNOMED ID","(5433, 5438)","(5433, 5438)",cough,cough,49727002,28743005,14102739-DS-16," retrocardiac opacity per ED read, but no fever, cough, leukocytosis. Received ceftriaxone and azithrom" "Correct entity, wrong SNOMED ID","(5440, 5452)","(5440, 5452)",leukocytosis,leukocytosis,111583006,65209002,14102739-DS-16,"ardiac opacity per ED read, but no fever, cough, leukocytosis. Received ceftriaxone and azithromycin x1 in ED." Missed entity,"(5480, 5492)",,azithromycin,,281789004,,14102739-DS-16,"r, cough, leukocytosis. Received ceftriaxone and azithromycin x1 in ED. This covered for SBP as well. Diagnost" "Correct entity, wrong SNOMED ID","(5520, 5523)","(5520, 5523)",SBP,SBP,11836002,720374004,14102739-DS-16,"axone and azithromycin x1 in ED. This covered for SBP as well. Diagnostic para after ABx was positive " Wrong span,"(5534, 5549)","(5545, 5549)",Diagnostic para,para,178016006,259104006,14102739-DS-16,"hromycin x1 in ED. This covered for SBP as well. Diagnostic para after ABx was positive with >200PMN. Culture is " "Correct entity, wrong SNOMED ID","(5556, 5559)","(5556, 5559)",ABx,ABx,281789004,430593002,14102739-DS-16,"s covered for SBP as well. Diagnostic para after ABx was positive with >200PMN. Culture is pending bu" "Correct entity, wrong SNOMED ID","(5665, 5676)","(5665, 5676)",antibiotics,antibiotics,281789004,372599003,14102739-DS-16,"nlikely to be positive now that already received antibiotics. UCx negative to date. BCx negative to date. Par" "Correct entity, wrong SNOMED ID","(5678, 5681)","(5678, 5681)",UCx,UCx,117010004,257999003,14102739-DS-16," positive now that already received antibiotics. UCx negative to date. BCx negative to date. ParaCx n" Missed entity,"(5682, 5690)",,negative,,281900007,,14102739-DS-16,"itive now that already received antibiotics. UCx negative to date. BCx negative to date. ParaCx negative t" "Correct entity, wrong SNOMED ID","(5700, 5703)","(5700, 5703)",BCx,BCx,30088009,89619004,14102739-DS-16,"ready received antibiotics. UCx negative to date. BCx negative to date. ParaCx negative to date. Para " Missed entity,"(5704, 5712)",,negative,,281900007,,14102739-DS-16,"y received antibiotics. UCx negative to date. BCx negative to date. ParaCx negative to date. Para fluid con" "Correct entity, wrong SNOMED ID","(5723, 5729)","(5723, 5729)",ParaCx,ParaCx,168024000,113792000,14102739-DS-16,"ics. UCx negative to date. BCx negative to date. ParaCx negative to date. Para fluid consistent with SBP" Missed entity,"(5730, 5738)",,negative,,281900007,,14102739-DS-16,"x negative to date. BCx negative to date. ParaCx negative to date. Para fluid consistent with SBP. Treated" "Correct entity, wrong SNOMED ID","(5748, 5758)","(5748, 5758)",Para fluid,Para fluid,443192000,421843005,14102739-DS-16,". BCx negative to date. ParaCx negative to date. Para fluid consistent with SBP. Treated as below. Continue " Missed entity,"(5776, 5779)",,SBP,,11836002,,14102739-DS-16,"aCx negative to date. Para fluid consistent with SBP. Treated as below. Continue Rifaximin 400 mg PO T" Missed entity,"(5914, 5926)",,azithromycin,,281789004,,14102739-DS-16," # Spontaneous bacterial peritonitis: Pt received azithromycin and ceftriaxone in the ED but did not have a dia" Missed entity,"(5973, 5997)",,"diagnostic parecentesis",,178016006,,14102739-DS-16,"cin and ceftriaxone in the ED but did not have a diagnostic parecentesis. Diagnostic para the following day was positive f" Missed entity,"(5999, 6014)",,Diagnostic para,,178016006,,14102739-DS-16,"e ED but did not have a diagnostic parecentesis. Diagnostic para the following day was positive for SBP with >200" Missed entity,"(6051, 6054)",,SBP,,11836002,,14102739-DS-16,"agnostic para the following day was positive for SBP with >200PMN per uL and 1500WBC/uL. Received ceft" Missed entity,"(6116, 6118)",,IV,,386340006,,14102739-DS-16,"N per uL and 1500WBC/uL. Received ceftriaxone 1g IV daily for 3 days (___). Received 125g albumin IV " Boundary error,"(6157, 6164)","(6157, 6162)",albumin,album,116865006,23801000181109,14102739-DS-16,"xone 1g IV daily for 3 days (___). Received 125g albumin IV x1 (1.5g/kg) on ___ and an additional 75g (1g" Missed entity,"(6165, 6167)",,IV,,386340006,,14102739-DS-16," IV daily for 3 days (___). Received 125g albumin IV x1 (1.5g/kg) on ___ and an additional 75g (1g/kg" Missed entity,"(6328, 6331)",,SBP,,11836002,,14102739-DS-16,"0 mg PO Q24H for 4 days to complete treatment of SBP. . # ESLD ___ HCV cirrhosis + HCC s/p RFA in " "Correct entity, wrong SNOMED ID","(6341, 6345)","(6341, 6345)",ESLD,ESLD,708248004,796522451000119103,14102739-DS-16," for 4 days to complete treatment of SBP. . # ESLD ___ HCV cirrhosis + HCC s/p RFA in ___: HCV s/p f" "Correct entity, wrong SNOMED ID","(6350, 6363)","(6350, 6363)",HCV cirrhosis,HCV cirrhosis,831000119103,235897005,14102739-DS-16,"ys to complete treatment of SBP. . # ESLD ___ HCV cirrhosis + HCC s/p RFA in ___: HCV s/p failed Ribavarin a" "Correct entity, wrong SNOMED ID","(6366, 6369)","(6366, 6369)",HCC,HCC,109841003,718290002,14102739-DS-16,"reatment of SBP. . # ESLD ___ HCV cirrhosis + HCC s/p RFA in ___: HCV s/p failed Ribavarin and int" "Correct entity, wrong SNOMED ID","(6374, 6377)","(6374, 6377)",RFA,RFA,448781006,218191003,14102739-DS-16," of SBP. . # ESLD ___ HCV cirrhosis + HCC s/p RFA in ___: HCV s/p failed Ribavarin and interferon " "Correct entity, wrong SNOMED ID","(6386, 6389)","(6386, 6389)",HCV,HCV,50711007,80129000,14102739-DS-16," # ESLD ___ HCV cirrhosis + HCC s/p RFA in ___: HCV s/p failed Ribavarin and interferon treatments. " "Correct entity, wrong SNOMED ID","(6461, 6468)","(6461, 6468)",varices,varices,28670008,57052009,14102739-DS-16," and interferon treatments. Has known grade I/II varices. Not a transplant candidate due to non-compliance" Missed entity,"(6504, 6518)",,non-compliance,,400978007,,14102739-DS-16," I/II varices. Not a transplant candidate due to non-compliance and inadequate social supports. Continue rifaxim" Missed entity,"(6524, 6550)",,inadequate social supports,,425022003,,14102739-DS-16,"a transplant candidate due to non-compliance and inadequate social supports. Continue rifaximin + lactulose for hepatic ence" "Correct entity, wrong SNOMED ID","(6588, 6610)","(6588, 6610)",hepatic encephalopathy,hepatic encephalopathy,13920009,232534061000119102,14102739-DS-16,"ial supports. Continue rifaximin + lactulose for hepatic encephalopathy. Continue Nadolol 40 mg PO DAILY for varices. Di" "Correct entity, wrong SNOMED ID","(6649, 6656)","(6649, 6656)",varices,varices,28670008,57052009,14102739-DS-16,"ephalopathy. Continue Nadolol 40 mg PO DAILY for varices. Discontinue ciprofloxacin 750 mg PO weekly and t" Missed entity,"(6800, 6803)",,SBP,,11836002,,14102739-DS-16,"ove. Will DC on ciprofloxacin 250mg PO daily for SBP PPx. . # Acute on chronic kidney failure: Adm" Missed entity,"(6804, 6807)",,PPx,,182929008,,14102739-DS-16," Will DC on ciprofloxacin 250mg PO daily for SBP PPx. . # Acute on chronic kidney failure: Admitte" "Correct entity, wrong SNOMED ID","(6912, 6920)","(6912, 6920)",baseline,baseline,128974000,370815006,14102739-DS-16,"h acute on chronic renal failure last admission (baseline had been 1.7, admitted at 5.6, discharged at 4.7" "Correct entity, wrong SNOMED ID","(7027, 7029)","(7027, 7029)",DM,DM,73211009,258671008,14102739-DS-16,"mitted at 4.0). CKD was felt to be likely due to DM and HTN, unclear why recent decline. Discontinue" "Correct entity, wrong SNOMED ID","(7034, 7037)","(7034, 7037)",HTN,HTN,38341003,10725009,14102739-DS-16,"at 4.0). CKD was felt to be likely due to DM and HTN, unclear why recent decline. Discontinued diuret" "Correct entity, wrong SNOMED ID","(7081, 7090)","(7081, 7090)",diuretics,diuretics,722048006,280985006,14102739-DS-16,"nd HTN, unclear why recent decline. Discontinued diuretics for the moment for renal failure. ___ restart as" "Correct entity, wrong SNOMED ID","(7110, 7123)","(7110, 7123)",renal failure,renal failure,42399005,14669001,14102739-DS-16,"cline. Discontinued diuretics for the moment for renal failure. ___ restart as an outpatient. . # Anemia/Thr" Missed entity,"(7130, 7137)",,restart,,182837001,,14102739-DS-16," diuretics for the moment for renal failure. ___ restart as an outpatient. . # Anemia/Thrombocytopenia:" "Correct entity, wrong SNOMED ID","(7163, 7169)","(7163, 7169)",Anemia,Anemia,271737000,87522002,14102739-DS-16,"al failure. ___ restart as an outpatient. . # Anemia/Thrombocytopenia: Down trending HCT this admissio" "Correct entity, wrong SNOMED ID","(7170, 7186)","(7170, 7186)",Thrombocytopenia,Thrombocytopenia,302215000,10752381000119101,14102739-DS-16,"ure. ___ restart as an outpatient. . # Anemia/Thrombocytopenia: Down trending HCT this admission likely due to " "Correct entity, wrong SNOMED ID","(7202, 7205)","(7202, 7205)",HCT,HCT,165414004,409683007,14102739-DS-16,"nt. . # Anemia/Thrombocytopenia: Down trending HCT this admission likely due to a combination of ph" "Correct entity, wrong SNOMED ID","(7253, 7263)","(7253, 7263)",phlebotomy,phlebotomy,396540005,127606004,14102739-DS-16,"CT this admission likely due to a combination of phlebotomy and poor production of RBC from renal failure. G" "Correct entity, wrong SNOMED ID","(7288, 7291)","(7288, 7291)",RBC,RBC,14089001,258759006,14102739-DS-16,"combination of phlebotomy and poor production of RBC from renal failure. Guaiac negative. Iron studies" "Correct entity, wrong SNOMED ID","(7297, 7310)","(7297, 7310)",renal failure,renal failure,42399005,14669001,14102739-DS-16,"on of phlebotomy and poor production of RBC from renal failure. Guaiac negative. Iron studies are essentially W" "Correct entity, wrong SNOMED ID","(7312, 7318)","(7312, 7318)",Guaiac,Guaiac,442554004,87174009,14102739-DS-16,"y and poor production of RBC from renal failure. Guaiac negative. Iron studies are essentially WNL with " Missed entity,"(7319, 7327)",,negative,,281900007,,14102739-DS-16,"oor production of RBC from renal failure. Guaiac negative. Iron studies are essentially WNL with depressed" Missed entity,"(7359, 7362)",,WNL,,281900007,,14102739-DS-16,"e. Guaiac negative. Iron studies are essentially WNL with depressed retic count consisdent with anemi" "Correct entity, wrong SNOMED ID","(7368, 7389)","(7368, 7389)",depressed retic count,depressed retic count,124961001,165517008,14102739-DS-16," negative. Iron studies are essentially WNL with depressed retic count consisdent with anemia of renal insufficiency. " "Correct entity, wrong SNOMED ID","(7407, 7436)","(7407, 7436)",anemia of renal insufficiency,anemia of renal insufficiency,49708008,721840000,14102739-DS-16,"y WNL with depressed retic count consisdent with anemia of renal insufficiency. . # DM2: Continue insulin regimen (Lantus 60 " "Correct entity, wrong SNOMED ID","(7445, 7448)","(7445, 7448)",DM2,DM2,44054006,396166000,14102739-DS-16,"sdent with anemia of renal insufficiency. . # DM2: Continue insulin regimen (Lantus 60 + HISS) . " "Correct entity, wrong SNOMED ID","(7459, 7474)","(7459, 7474)",insulin regimen,insulin regimen,225302006,161649006,14102739-DS-16,"emia of renal insufficiency. . # DM2: Continue insulin regimen (Lantus 60 + HISS) . # Chronic RLE pain and bac" Wrong span,"(7500, 7507)","(7500, 7516)",Chronic,Chronic RLE pain,27624003,420454001,14102739-DS-16,"Continue insulin regimen (Lantus 60 + HISS) . # Chronic RLE pain and back pain: Continue home doses of M" Wrong span,"(7508, 7516)","(7500, 7516)",RLE pain,Chronic RLE pain,287048003,420454001,14102739-DS-16," insulin regimen (Lantus 60 + HISS) . # Chronic RLE pain and back pain: Continue home doses of Methadone " "Correct entity, wrong SNOMED ID","(7521, 7530)","(7521, 7530)",back pain,back pain,161891005,134407002,14102739-DS-16,"men (Lantus 60 + HISS) . # Chronic RLE pain and back pain: Continue home doses of Methadone 40 mg PO QAM a" "Correct entity, wrong SNOMED ID","(7614, 7626)","(7614, 7626)",Hypertension,Hypertension,38341003,70995007,14102739-DS-16,"e 40 mg PO QAM and Methadone 30 mg PO QPM . # Hypertension: On dilatiazem SR 120mg PO daily at home. Receiv" Wrong span,"(9643, 9655)","(9638, 9655)",With Service,Home With Service,385783005,710242005,14102739-DS-16,"et(s)* Refills:*0* Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Spontaneou" "Correct entity, wrong SNOMED ID","(9730, 9738)","(9730, 9738)",improved,improved,268910001,251359002,14102739-DS-16,"rge Diagnosis: Spontaneous bacterial peritonitis, improved Hepatitis C cirrhosis complicated by hepatocellul" "Correct entity, wrong SNOMED ID","(9739, 9760)","(9739, 9760)",Hepatitis C cirrhosis,Hepatitis C cirrhosis,831000119103,235897005,14102739-DS-16,"osis: Spontaneous bacterial peritonitis, improved Hepatitis C cirrhosis complicated by hepatocellular carcinoma Secondar" "Correct entity, wrong SNOMED ID","(9776, 9800)","(9776, 9800)",hepatocellular carcinoma,hepatocellular carcinoma,25370001,49111000119106,14102739-DS-16,"is, improved Hepatitis C cirrhosis complicated by hepatocellular carcinoma Secondary: Diabetes mellitus Hypertension Gastro" "Correct entity, wrong SNOMED ID","(9813, 9830)","(9813, 9830)",Diabetes mellitus,Diabetes mellitus,73211009,44054006,14102739-DS-16,"mplicated by hepatocellular carcinoma Secondary: Diabetes mellitus Hypertension Gastroesophageal reflux Anemia Di" "Correct entity, wrong SNOMED ID","(9831, 9843)","(9831, 9843)",Hypertension,Hypertension,38341003,70995007,14102739-DS-16,"ocellular carcinoma Secondary: Diabetes mellitus Hypertension Gastroesophageal reflux Anemia Discharge Condi" Wrong span,"(9844, 9867)","(9844, 9874)",Gastroesophageal reflux,"Gastroesophageal reflux Anemia",235595009,15749591000119107,14102739-DS-16,"cinoma Secondary: Diabetes mellitus Hypertension Gastroesophageal reflux Anemia Discharge Condition: Afebrile, ambulati" Wrong span,"(9868, 9874)","(9844, 9874)",Anemia,"Gastroesophageal reflux Anemia",271737000,15749591000119107,14102739-DS-16,"tes mellitus Hypertension Gastroesophageal reflux Anemia Discharge Condition: Afebrile, ambulating, com" "Correct entity, wrong SNOMED ID","(9899, 9907)","(9899, 9907)",Afebrile,Afebrile,87273009,307200007,14102739-DS-16,"oesophageal reflux Anemia Discharge Condition: Afebrile, ambulating, comfortable on room air Discharge" "Correct entity, wrong SNOMED ID","(9909, 9919)","(9909, 9919)",ambulating,ambulating,160680006,722370002,14102739-DS-16,"l reflux Anemia Discharge Condition: Afebrile, ambulating, comfortable on room air Discharge Instruction" Wrong span,"(9933, 9944)","(9921, 9944)",on room air,comfortable on room air,722742002,225994009,14102739-DS-16,"arge Condition: Afebrile, ambulating, comfortable on room air Discharge Instructions: You have been evaluate" "Correct entity, wrong SNOMED ID","(10005, 10014)","(10005, 10014)",confusion,confusion,40917007,44031002,14102739-DS-16,"ge Instructions: You have been evaluated for your confusion. You were found to have an infection in the flui" "Correct entity, wrong SNOMED ID","(10043, 10052)","(10043, 10052)",infection,infection,40733004,246083009,14102739-DS-16,"ed for your confusion. You were found to have an infection in the fluid in your abdomen (ascites). You were" Wrong span,"(10060, 10065)","(10060, 10073)",fluid,fluid in your,41699000,365667008,14102739-DS-16,"sion. You were found to have an infection in the fluid in your abdomen (ascites). You were treated with" "Correct entity, wrong SNOMED ID","(10074, 10081)","(10074, 10081)",abdomen,abdomen,818983003,364449002,14102739-DS-16," found to have an infection in the fluid in your abdomen (ascites). You were treated with intravenous ant" "Correct entity, wrong SNOMED ID","(10083, 10090)","(10083, 10090)",ascites,ascites,389026000,860638000,14102739-DS-16," have an infection in the fluid in your abdomen (ascites). You were treated with intravenous antibiotics." "Correct entity, wrong SNOMED ID","(10166, 10177)","(10166, 10177)",antibiotics,antibiotics,281789004,372599003,14102739-DS-16,"intravenous antibiotics. We have changed this to antibiotics by mouth. You should continue this for four more " Missed entity,"(10178, 10186)",,by mouth,,386359008,,14102739-DS-16,"antibiotics. We have changed this to antibiotics by mouth. You should continue this for four more days and" Wrong span,"(10260, 10299)","(10289, 10299)","prophylactic (preventative) antibiotic",antibiotic,422181004,68322007,14102739-DS-16,"is for four more days and then resume your daily prophylactic (preventative) antibiotic, ciprofloxacin. Please take all of your medicati" Wrong span,"(10324, 10366)","(10341, 10352)",take all of your medications as prescribed,medications,394835006,182837001,14102739-DS-16,"preventative) antibiotic, ciprofloxacin. Please take all of your medications as prescribed. We have changed your ciprofloxacin to a daily " "Correct entity, wrong SNOMED ID","(10506, 10524)","(10506, 10524)","ascites infection","ascites infection",307311001,238310002,14102739-DS-16," Please continue cefpodoxime daily to treat your ascites infection for the next four days (to end on ___. Please co" Missed entity,"(10585, 10597)",,primary care,,737470001,,14102739-DS-16,"xt four days (to end on ___. Please contact your primary care physician or return to the emergency room should" Missed entity,"(10611, 10640)",,"return to the emergency room",,385868005,,14102739-DS-16,"_. Please contact your primary care physician or return to the emergency room should you develop any of the following symptoms:" "Correct entity, wrong SNOMED ID","(10692, 10697)","(10692, 10697)",fever,fever,386661006,248430002,14102739-DS-16,"hould you develop any of the following symptoms: fever > 101, chills, worsening abdominal pain, difficul" "Correct entity, wrong SNOMED ID","(10705, 10711)","(10705, 10711)",chills,chills,43724002,274640006,14102739-DS-16,"elop any of the following symptoms: fever > 101, chills, worsening abdominal pain, difficulty breathing," Missed entity,"(10713, 10722)",,worsening,,1144586002,,14102739-DS-16," of the following symptoms: fever > 101, chills, worsening abdominal pain, difficulty breathing, worsening " "Correct entity, wrong SNOMED ID","(10723, 10737)","(10723, 10737)",abdominal pain,abdominal pain,21522001,54586004,14102739-DS-16,"llowing symptoms: fever > 101, chills, worsening abdominal pain, difficulty breathing, worsening leg swelling, w" "Correct entity, wrong SNOMED ID","(10739, 10760)","(10739, 10760)","difficulty breathing","difficulty breathing",230145002,1023001,14102739-DS-16,": fever > 101, chills, worsening abdominal pain, difficulty breathing, worsening leg swelling, weight gain > 3 pounds, " "Correct entity, wrong SNOMED ID","(10772, 10784)","(10772, 10784)",leg swelling,leg swelling,248480008,300981003,14102739-DS-16," abdominal pain, difficulty breathing, worsening leg swelling, weight gain > 3 pounds, throwing up blood or bl" "Correct entity, wrong SNOMED ID","(10786, 10797)","(10786, 10797)",weight gain,weight gain,8943002,36440009,14102739-DS-16,"n, difficulty breathing, worsening leg swelling, weight gain > 3 pounds, throwing up blood or blood in the st" Wrong span,"(10811, 10828)","(10811, 10819)",throwing up blood,throwing,300361008,282669006,14102739-DS-16," worsening leg swelling, weight gain > 3 pounds, throwing up blood or blood in the stools, or any other concerns. " "Correct entity, wrong SNOMED ID","(10832, 10851)","(10832, 10851)",blood in the stools,blood in the stools,405729008,59614000,14102739-DS-16,"ng, weight gain > 3 pounds, throwing up blood or blood in the stools, or any other concerns. Followup Instructions: " False positive,,"(510, 521)",,progressive,,702322003,14280440-DS-8,", who presented to the ER on ___ with 2 weeks of progressive SOB with ambulation. The pt reports that she beg" False positive,,"(531, 541)",,ambulation,,722370002,14280440-DS-8,"e ER on ___ with 2 weeks of progressive SOB with ambulation. The pt reports that she began experiencing SOB " False positive,,"(681, 685)",,rest,,17535004,14280440-DS-8,"SOB starts after about 5 mins, and resolves with rest. She denies any CP, palpitations, dizziness, diap" False positive,,"(771, 776)",,trops,,74025007,14280440-DS-8,"izziness, diaphoresis, or nausea. In the ER, her trops were neg x 2 and her CXR was normal. On ___, she" False positive,,"(839, 842)",,ETT,,415306006,14280440-DS-8," and her CXR was normal. On ___, she underwent a ETT, which was notable for 1.___levation in avR and V" False positive,,"(957, 958)",,V,,258000009,14280440-DS-8,"al 1-1.5 mm ST segment depression in leads I,II, V5-6. She was brought to the ___ holding area fo" False positive,,"(1646, 1650)",,asym,,415093002,14280440-DS-8,"uro: Alert and oriented x 3. No focal deficits or asymmetries noted Discharge Exam: General: sitting on" False positive,,"(1690, 1697)",,sitting,,282969008,14280440-DS-8,"ts or asymmetries noted Discharge Exam: General: sitting on side of bed ready to eat breakfast VS: 98.4, B" False positive,,"(1771, 1777)",,02 sat,,170092006,14280440-DS-8," eat breakfast VS: 98.4, BP 112/69, HR 75, RR 16, 02 sat 100%RA, (SBP range 101-138, HR range 75-99) Orth" False positive,,"(1995, 1996)",,+,,260347006,14280440-DS-8," regular, noted systolic murmur Neck: No JVD Abd: + bowel sounds,soft, non-tender PV: Radial pulses: " False positive,,"(2046, 2048)",,2+,,260347006,14280440-DS-8," bowel sounds,soft, non-tender PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema " False positive,,"(2150, 2161)",,asymmetries,,422949007,14280440-DS-8,"uro: Alert and oriented x 3. No focal deficits or asymmetries noted Pertinent Results: Cath report: ___ Coro" False positive,,"(2374, 2378)",,TIMI,,417280000,14280440-DS-8,"al LAD tapered gradually to an 80% stenosis with TIMI 2 pulsatile flow beyond. The mid-distal LAD was v" False positive,,"(2663, 2666)",,pro,,439505007,14280440-DS-8,"1 (functionally a ramus intermedius branch). The proximal and mid AV groove CX had mild plaquing to 20" False positive,,"(3174, 3183)",,angulated,,249247007,14280440-DS-8,"f a very early RV branch arising from a slightly angulated segment. The RPDA appeared to be stump occluded " False positive,,"(5264, 5268)",,Baso,,700051010000106,14280440-DS-8,"_ 03:35PM BLOOD Neuts-62.2 ___ Monos-5.2 Eos-1.9 Baso-0.5 Im ___ AbsNeut-5.28 AbsLymp-2.53 AbsMono-0.44" False positive,,"(5397, 5401)",,Baso,,700051010000106,14280440-DS-8,"_ 08:48PM BLOOD Neuts-57.3 ___ Monos-5.5 Eos-1.7 Baso-0.5 Im ___ AbsNeut-4.34 AbsLymp-2.63 AbsMono-0.42" False positive,,"(6208, 6213)",,HbA1c,,43396009,14280440-DS-8,"itB12-585 Folate-15.2 TRF-250 ___ 06:40AM BLOOD %HbA1c-12.0* eAG-298* ___ 03:35PM BLOOD %HbA1c-12.2* eAG" False positive,,"(6371, 6377)",,normal,,840673007,14280440-DS-8,"iogram. Cath showed a right dominant system with normal left main, ___ LAD 80%, normal circumflex, right" False positive,,"(6402, 6408)",,normal,,840673007,14280440-DS-8,"minant system with normal left main, ___ LAD 80%, normal circumflex, right PDA likely chronically occlude" False positive,,"(6410, 6420)",,circumflex,,54742007,14280440-DS-8,"ystem with normal left main, ___ LAD 80%, normal circumflex, right PDA likely chronically occluded with left" False positive,,"(6759, 6760)",,l,,420296000,14280440-DS-8,"r. She tolerated these new medications well. Her lisinopril dose was decreased to 10mg QHS. She rem" False positive,,"(8155, 8160)",,Clear,,281278005,14280440-DS-8,"rlipidemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" False positive,,"(8741, 8747)",,pre-op,,6862005,14280440-DS-8,"y decided to proceed with heart surgery. You had pre-op testing done when you were in the hospital. You w" False positive,,"(8748, 8755)",,testing,,34118006,14280440-DS-8,"ed to proceed with heart surgery. You had pre-op testing done when you were in the hospital. You will be " False positive,,"(8827, 8835)",,surgical,,274071003,14280440-DS-8," the hospital. You will be called at home when a surgical date has been decided. The following medication" "Correct entity, wrong SNOMED ID","(194, 216)","(194, 216)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,14280440-DS-8,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: shortness of" "Correct entity, wrong SNOMED ID","(254, 273)","(254, 273)",shortness of breath,shortness of breath,267036007,135833008,14280440-DS-8,"ug Reactions Attending: ___. Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: ___ Coron" "Correct entity, wrong SNOMED ID","(318, 336)","(318, 336)",Coronary angiogram,Coronary angiogram,33367005,287597004,14280440-DS-8,"reath Major Surgical or Invasive Procedure: ___ Coronary angiogram History of Present Illness: ___ yr old woman wi" "Correct entity, wrong SNOMED ID","(398, 425)","(398, 425)",poorly controlled Type 2 DM,poorly controlled Type 2 DM,443694000,201000119106,14280440-DS-8,"f Present Illness: ___ yr old woman with a PMH of poorly controlled Type 2 DM, hypertension and hyperlipidemia, who presented" "Correct entity, wrong SNOMED ID","(429, 441)","(429, 441)",hypertension,hypertension,38341003,70995007,14280440-DS-8,"oman with a PMH of poorly controlled Type 2 DM, hypertension and hyperlipidemia, who presented to the ER on _" "Correct entity, wrong SNOMED ID","(446, 460)","(446, 460)",hyperlipidemia,hyperlipidemia,55822004,267434003,14280440-DS-8,"f poorly controlled Type 2 DM, hypertension and hyperlipidemia, who presented to the ER on ___ with 2 weeks of " Wrong span,"(522, 525)","(522, 530)",SOB,SOB with,267036007,763225003,14280440-DS-8,"ted to the ER on ___ with 2 weeks of progressive SOB with ambulation. The pt reports that she began e" "Correct entity, wrong SNOMED ID","(587, 590)","(587, 590)",SOB,SOB,267036007,43731003,14280440-DS-8,"tion. The pt reports that she began experiencing SOB while walking her child to school. The SOB start" Missed entity,"(597, 604)",,walking,,282146009,,14280440-DS-8,"pt reports that she began experiencing SOB while walking her child to school. The SOB starts after about " "Correct entity, wrong SNOMED ID","(631, 634)","(631, 634)",SOB,SOB,267036007,43731003,14280440-DS-8,"ncing SOB while walking her child to school. The SOB starts after about 5 mins, and resolves with res" "Correct entity, wrong SNOMED ID","(702, 704)","(702, 704)",CP,CP,29857009,282108002,14280440-DS-8,"t 5 mins, and resolves with rest. She denies any CP, palpitations, dizziness, diaphoresis, or nausea" "Correct entity, wrong SNOMED ID","(706, 718)","(706, 718)",palpitations,palpitations,80313002,161966006,14280440-DS-8,"mins, and resolves with rest. She denies any CP, palpitations, dizziness, diaphoresis, or nausea. In the ER, h" "Correct entity, wrong SNOMED ID","(720, 729)","(720, 729)",dizziness,dizziness,404640003,1141711004,14280440-DS-8,"lves with rest. She denies any CP, palpitations, dizziness, diaphoresis, or nausea. In the ER, her trops we" "Correct entity, wrong SNOMED ID","(731, 742)","(731, 742)",diaphoresis,diaphoresis,52613005,1354698007,14280440-DS-8,"rest. She denies any CP, palpitations, dizziness, diaphoresis, or nausea. In the ER, her trops were neg x 2 an" "Correct entity, wrong SNOMED ID","(748, 754)","(748, 754)",nausea,nausea,422587007,1217125005,14280440-DS-8,"any CP, palpitations, dizziness, diaphoresis, or nausea. In the ER, her trops were neg x 2 and her CXR wa" Wrong span,"(798, 813)","(798, 801)","CXR was normal",CXR,168733007,399208008,14280440-DS-8,"nausea. In the ER, her trops were neg x 2 and her CXR was normal. On ___, she underwent a ETT, which was notable f" Missed entity,"(871, 879)",,levation,,103720008,,14280440-DS-8,", she underwent a ETT, which was notable for 1.___levation in avR and V1 with reciprocal 1-1.5 mm ST segmen" "Correct entity, wrong SNOMED ID","(883, 886)","(883, 886)",avR,avR,257474006,61279008,14280440-DS-8,"ent a ETT, which was notable for 1.___levation in avR and V1 with reciprocal 1-1.5 mm ST segment depre" "Correct entity, wrong SNOMED ID","(891, 893)","(891, 893)",V1,V1,257475007,258000009,14280440-DS-8,"T, which was notable for 1.___levation in avR and V1 with reciprocal 1-1.5 mm ST segment depression i" Missed entity,"(945, 952)",,leads I,,272729005,,14280440-DS-8,"ith reciprocal 1-1.5 mm ST segment depression in leads I,II, V5-6. She was brought to the ___ holding ar" "Correct entity, wrong SNOMED ID","(953, 955)","(953, 955)",II,II,272730000,257989008,14280440-DS-8,"procal 1-1.5 mm ST segment depression in leads I,II, V5-6. She was brought to the ___ holding area " "Correct entity, wrong SNOMED ID","(1012, 1030)","(1012, 1030)",coronary angiogram,coronary angiogram,33367005,287597004,14280440-DS-8," She was brought to the ___ holding area for a coronary angiogram. She is in stable condition. Past Medical His" "Correct entity, wrong SNOMED ID","(1042, 1059)","(1042, 1059)","stable condition","stable condition",359746009,193844000,14280440-DS-8,"holding area for a coronary angiogram. She is in stable condition. Past Medical History: Poorly controlled Type " "Correct entity, wrong SNOMED ID","(1086, 1113)","(1086, 1113)",Poorly controlled Type 2 DM,Poorly controlled Type 2 DM,443694000,201000119106,14280440-DS-8,"is in stable condition. Past Medical History: Poorly controlled Type 2 DM Hypertension Hyperlipidemia Social History: __" "Correct entity, wrong SNOMED ID","(1114, 1126)","(1114, 1126)",Hypertension,Hypertension,38341003,70995007,14280440-DS-8,"Past Medical History: Poorly controlled Type 2 DM Hypertension Hyperlipidemia Social History: ___ Family Hist" "Correct entity, wrong SNOMED ID","(1127, 1141)","(1127, 1141)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,14280440-DS-8,"History: Poorly controlled Type 2 DM Hypertension Hyperlipidemia Social History: ___ Family History: Mother: __" "Correct entity, wrong SNOMED ID","(1294, 1301)","(1294, 1301)",General,General,162673000,252398009,14280440-DS-8,"een and examined upon arrival to ___ Holding area General: ___ yr old woman in NAD VS: 140/75 85 NSR 18 99%" "Correct entity, wrong SNOMED ID","(1323, 1326)","(1323, 1326)",NAD,NAD,281900007,131143000,14280440-DS-8," to ___ Holding area General: ___ yr old woman in NAD VS: 140/75 85 NSR 18 99% RA EKG: NSR 85, Symmetri" "Correct entity, wrong SNOMED ID","(1327, 1329)","(1327, 1329)",VS,VS,118227000,313611000,14280440-DS-8,"___ Holding area General: ___ yr old woman in NAD VS: 140/75 85 NSR 18 99% RA EKG: NSR 85, Symmetrical" "Correct entity, wrong SNOMED ID","(1341, 1344)","(1341, 1344)",NSR,NSR,64730000,258699004,14280440-DS-8,"ea General: ___ yr old woman in NAD VS: 140/75 85 NSR 18 99% RA EKG: NSR 85, Symmetrical TWI V2, non-sy" "Correct entity, wrong SNOMED ID","(1352, 1354)","(1352, 1354)",RA,RA,722742002,463051000124105,14280440-DS-8," ___ yr old woman in NAD VS: 140/75 85 NSR 18 99% RA EKG: NSR 85, Symmetrical TWI V2, non-sym TWI AVL " "Correct entity, wrong SNOMED ID","(1355, 1358)","(1355, 1358)",EKG,EKG,29303009,75444003,14280440-DS-8,"_ yr old woman in NAD VS: 140/75 85 NSR 18 99% RA EKG: NSR 85, Symmetrical TWI V2, non-sym TWI AVL Lung" "Correct entity, wrong SNOMED ID","(1360, 1363)","(1360, 1363)",NSR,NSR,64730000,258699004,14280440-DS-8,"old woman in NAD VS: 140/75 85 NSR 18 99% RA EKG: NSR 85, Symmetrical TWI V2, non-sym TWI AVL Lungs: CT" "Correct entity, wrong SNOMED ID","(1380, 1383)","(1380, 1383)",TWI,TWI,59931005,258001008,14280440-DS-8," 140/75 85 NSR 18 99% RA EKG: NSR 85, Symmetrical TWI V2, non-sym TWI AVL Lungs: CTAb, no wheezing, rho" Missed entity,"(1384, 1386)",,V2,,257476008,,14280440-DS-8,"/75 85 NSR 18 99% RA EKG: NSR 85, Symmetrical TWI V2, non-sym TWI AVL Lungs: CTAb, no wheezing, rhonch" "Correct entity, wrong SNOMED ID","(1396, 1399)","(1396, 1399)",TWI,TWI,59931005,258001008,14280440-DS-8,"8 99% RA EKG: NSR 85, Symmetrical TWI V2, non-sym TWI AVL Lungs: CTAb, no wheezing, rhonchi Heart: S1S2" "Correct entity, wrong SNOMED ID","(1400, 1403)","(1400, 1403)",AVL,AVL,257473000,234141001,14280440-DS-8,"% RA EKG: NSR 85, Symmetrical TWI V2, non-sym TWI AVL Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 reg" "Correct entity, wrong SNOMED ID","(1404, 1409)","(1404, 1409)",Lungs,Lungs,268925001,74101002,14280440-DS-8," EKG: NSR 85, Symmetrical TWI V2, non-sym TWI AVL Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, " "Correct entity, wrong SNOMED ID","(1411, 1415)","(1411, 1415)",CTAb,CTAb,48348007,112188007,14280440-DS-8,"SR 85, Symmetrical TWI V2, non-sym TWI AVL Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted " "Correct entity, wrong SNOMED ID","(1420, 1428)","(1420, 1428)",wheezing,wheezing,56018004,9763007,14280440-DS-8,"mmetrical TWI V2, non-sym TWI AVL Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted systolic murm" "Correct entity, wrong SNOMED ID","(1438, 1443)","(1438, 1443)",Heart,Heart,363003006,226984005,14280440-DS-8,"non-sym TWI AVL Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD" Boundary error,"(1447, 1449)","(1445, 1449)",S2,S1S2,111974005,271663000,14280440-DS-8,"WI AVL Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD Abd: " "Correct entity, wrong SNOMED ID","(1450, 1457)","(1450, 1457)",regular,regular,76863003,271636001,14280440-DS-8,"AVL Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD Abd: soft, no" "Correct entity, wrong SNOMED ID","(1474, 1480)","(1474, 1480)",murmur,murmur,414786004,248699005,14280440-DS-8,"zing, rhonchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD Abd: soft, non-tender, BS + PV: Rad" "Correct entity, wrong SNOMED ID","(1481, 1485)","(1481, 1485)",Neck,Neck,5880005,840674001,14280440-DS-8,"honchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD Abd: soft, non-tender, BS + PV: Radial p" "Correct entity, wrong SNOMED ID","(1490, 1493)","(1490, 1493)",JVD,JVD,271653008,253395003,14280440-DS-8,"art: S1S2 regular, noted systolic murmur Neck: No JVD Abd: soft, non-tender, BS + PV: Radial pulses: 2" "Correct entity, wrong SNOMED ID","(1494, 1497)","(1494, 1497)",Abd,Abd,225162003,60728008,14280440-DS-8," S1S2 regular, noted systolic murmur Neck: No JVD Abd: soft, non-tender, BS + PV: Radial pulses: 2+ b/" "Correct entity, wrong SNOMED ID","(1505, 1515)","(1505, 1515)",non-tender,non-tender,43478001,298741000,14280440-DS-8,"ar, noted systolic murmur Neck: No JVD Abd: soft, non-tender, BS + PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No" Boundary error,"(1517, 1519)","(1517, 1521)",BS,BS +,61539000,260347006,14280440-DS-8,"stolic murmur Neck: No JVD Abd: soft, non-tender, BS + PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clu" "Correct entity, wrong SNOMED ID","(1523, 1525)","(1523, 1525)",PV,PV,39057004,258000009,14280440-DS-8," murmur Neck: No JVD Abd: soft, non-tender, BS + PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing," "Correct entity, wrong SNOMED ID","(1527, 1540)","(1527, 1540)",Radial pulses,Radial pulses,301155005,39435002,14280440-DS-8,"mur Neck: No JVD Abd: soft, non-tender, BS + PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or ed" Wrong span,"(1545, 1548)","(1542, 1548)",b/l,2+ b/l,48348007,257983009,14280440-DS-8,"bd: soft, non-tender, BS + PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neur" Wrong span,"(1558, 1561)","(1555, 1561)",b/l,2+ b/l,48348007,257983009,14280440-DS-8,"-tender, BS + PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and " "Correct entity, wrong SNOMED ID","(1566, 1574)","(1566, 1574)",clubbing,clubbing,367004,30760008,14280440-DS-8," BS + PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3." "Correct entity, wrong SNOMED ID","(1576, 1584)","(1576, 1584)",cyanosis,cyanosis,3415004,84260001,14280440-DS-8," Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal " "Correct entity, wrong SNOMED ID","(1588, 1593)","(1588, 1593)",edema,edema,267038008,102576009,14280440-DS-8,"es: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits " "Correct entity, wrong SNOMED ID","(1594, 1599)","(1594, 1599)",Neuro,Neuro,84728005,281247006,14280440-DS-8," b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits or asy" "Correct entity, wrong SNOMED ID","(1601, 1606)","(1601, 1606)",Alert,Alert,248234008,409787004,14280440-DS-8,"__: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits or asymmetrie" "Correct entity, wrong SNOMED ID","(1611, 1619)","(1611, 1619)",oriented,oriented,247663003,787379002,14280440-DS-8,". No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits or asymmetries noted Disc" Missed entity,"(1625, 1642)",,No focal deficits,,18460000,,14280440-DS-8," cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits or asymmetries noted Discharge Exam: General: si" "Correct entity, wrong SNOMED ID","(1681, 1688)","(1681, 1688)",General,General,162673000,252398009,14280440-DS-8,"al deficits or asymmetries noted Discharge Exam: General: sitting on side of bed ready to eat breakfast VS" "Correct entity, wrong SNOMED ID","(1736, 1738)","(1736, 1738)",VS,VS,118227000,313611000,14280440-DS-8,"al: sitting on side of bed ready to eat breakfast VS: 98.4, BP 112/69, HR 75, RR 16, 02 sat 100%RA, (S" "Correct entity, wrong SNOMED ID","(1746, 1748)","(1746, 1748)",BP,BP,392570002,38341003,14280440-DS-8,"g on side of bed ready to eat breakfast VS: 98.4, BP 112/69, HR 75, RR 16, 02 sat 100%RA, (SBP range " "Correct entity, wrong SNOMED ID","(1757, 1759)","(1757, 1759)",HR,HR,301113001,258702006,14280440-DS-8,"f bed ready to eat breakfast VS: 98.4, BP 112/69, HR 75, RR 16, 02 sat 100%RA, (SBP range 101-138, HR" "Correct entity, wrong SNOMED ID","(1764, 1766)","(1764, 1766)",RR,RR,301283003,229040007,14280440-DS-8,"eady to eat breakfast VS: 98.4, BP 112/69, HR 75, RR 16, 02 sat 100%RA, (SBP range 101-138, HR range " "Correct entity, wrong SNOMED ID","(1782, 1784)","(1782, 1784)",RA,RA,722742002,463051000124105,14280440-DS-8,"ast VS: 98.4, BP 112/69, HR 75, RR 16, 02 sat 100%RA, (SBP range 101-138, HR range 75-99) Orthostatic" "Correct entity, wrong SNOMED ID","(1807, 1809)","(1807, 1809)",HR,HR,301113001,258702006,14280440-DS-8,"HR 75, RR 16, 02 sat 100%RA, (SBP range 101-138, HR range 75-99) Orthostatics done: 112/69,75 lying; " Wrong span,"(1823, 1835)","(1823, 1825)",Orthostatics,Or,10904000,409425005,14280440-DS-8," sat 100%RA, (SBP range 101-138, HR range 75-99) Orthostatics done: 112/69,75 lying; 111/67, 89 sitting; 121/76" Missed entity,"(1852, 1857)",,lying,,102538003,,14280440-DS-8,"138, HR range 75-99) Orthostatics done: 112/69,75 lying; 111/67, 89 sitting; 121/76, 99 standing Lungs: " "Correct entity, wrong SNOMED ID","(1870, 1877)","(1870, 1877)",sitting,sitting,33586001,282969008,14280440-DS-8,"9) Orthostatics done: 112/69,75 lying; 111/67, 89 sitting; 121/76, 99 standing Lungs: CTAb, no wheezing, r" "Correct entity, wrong SNOMED ID","(1891, 1899)","(1891, 1899)",standing,standing,10904000,249902000,14280440-DS-8," 112/69,75 lying; 111/67, 89 sitting; 121/76, 99 standing Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 reg" "Correct entity, wrong SNOMED ID","(1900, 1905)","(1900, 1905)",Lungs,Lungs,268925001,74101002,14280440-DS-8,"5 lying; 111/67, 89 sitting; 121/76, 99 standing Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, " "Correct entity, wrong SNOMED ID","(1907, 1911)","(1907, 1911)",CTAb,CTAb,48348007,112188007,14280440-DS-8,"; 111/67, 89 sitting; 121/76, 99 standing Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted " "Correct entity, wrong SNOMED ID","(1916, 1924)","(1916, 1924)",wheezing,wheezing,56018004,9763007,14280440-DS-8," 89 sitting; 121/76, 99 standing Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted systolic murm" "Correct entity, wrong SNOMED ID","(1934, 1939)","(1934, 1939)",Heart,Heart,363003006,226984005,14280440-DS-8,"6, 99 standing Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD" "Correct entity, wrong SNOMED ID","(1941, 1945)","(1941, 1945)",S1S2,S1S2,301132007,271663000,14280440-DS-8,"standing Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD Abd: " "Correct entity, wrong SNOMED ID","(1946, 1953)","(1946, 1953)",regular,regular,76863003,271636001,14280440-DS-8,"ing Lungs: CTAb, no wheezing, rhonchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD Abd: + bowel " Wrong span,"(1961, 1976)","(1970, 1976)",systolic murmur,murmur,31574009,373112006,14280440-DS-8,", no wheezing, rhonchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD Abd: + bowel sounds,soft, non-tender" "Correct entity, wrong SNOMED ID","(1977, 1981)","(1977, 1981)",Neck,Neck,45048000,840674001,14280440-DS-8,"honchi Heart: S1S2 regular, noted systolic murmur Neck: No JVD Abd: + bowel sounds,soft, non-tender PV: " "Correct entity, wrong SNOMED ID","(1986, 1989)","(1986, 1989)",JVD,JVD,271653008,253395003,14280440-DS-8,"art: S1S2 regular, noted systolic murmur Neck: No JVD Abd: + bowel sounds,soft, non-tender PV: Radial p" "Correct entity, wrong SNOMED ID","(1990, 1993)","(1990, 1993)",Abd,Abd,225162003,60728008,14280440-DS-8," S1S2 regular, noted systolic murmur Neck: No JVD Abd: + bowel sounds,soft, non-tender PV: Radial pulse" "Correct entity, wrong SNOMED ID","(2016, 2026)","(2016, 2026)",non-tender,non-tender,43478001,298741000,14280440-DS-8,"lic murmur Neck: No JVD Abd: + bowel sounds,soft, non-tender PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbi" "Correct entity, wrong SNOMED ID","(2027, 2029)","(2027, 2029)",PV,PV,39057004,258000009,14280440-DS-8,"Neck: No JVD Abd: + bowel sounds,soft, non-tender PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing," "Correct entity, wrong SNOMED ID","(2031, 2044)","(2031, 2044)",Radial pulses,Radial pulses,301155005,39435002,14280440-DS-8,": No JVD Abd: + bowel sounds,soft, non-tender PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or ed" Missed entity,"(2049, 2052)",,b/l,,48348007,,14280440-DS-8,"wel sounds,soft, non-tender PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neur" Wrong span,"(2062, 2065)","(2059, 2063)",b/l,2+ b,48348007,257983009,14280440-DS-8,"ft, non-tender PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and " "Correct entity, wrong SNOMED ID","(2070, 2078)","(2070, 2078)",clubbing,clubbing,367004,30760008,14280440-DS-8,"tender PV: Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3." "Correct entity, wrong SNOMED ID","(2080, 2088)","(2080, 2088)",cyanosis,cyanosis,3415004,84260001,14280440-DS-8," Radial pulses: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal " "Correct entity, wrong SNOMED ID","(2092, 2097)","(2092, 2097)",edema,edema,267038008,102576009,14280440-DS-8,"es: 2+ b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits " "Correct entity, wrong SNOMED ID","(2098, 2103)","(2098, 2103)",Neuro,Neuro,84728005,281247006,14280440-DS-8," b/l. ___: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits or asy" "Correct entity, wrong SNOMED ID","(2105, 2110)","(2105, 2110)",Alert,Alert,248234008,409787004,14280440-DS-8,"__: 2+ b/l. No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits or asymmetrie" Wrong span,"(2115, 2127)","(2115, 2123)",oriented x 3,oriented,426224004,787379002,14280440-DS-8,". No clubbing, cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits or asymmetries noted Pertin" Missed entity,"(2129, 2146)",,No focal deficits,,18460000,,14280440-DS-8," cyanosis or edema Neuro: Alert and oriented x 3. No focal deficits or asymmetries noted Pertinent Results: Cath r" "Correct entity, wrong SNOMED ID","(2190, 2194)","(2190, 2194)",Cath,Cath,41976001,28309003,14280440-DS-8,"ficits or asymmetries noted Pertinent Results: Cath report: ___ Coronary Anatomy Dominance: Right LMC" Wrong span,"(2207, 2223)","(2207, 2215)",Coronary Anatomy,Coronary,251015000,398274000,14280440-DS-8,"ries noted Pertinent Results: Cath report: ___ Coronary Anatomy Dominance: Right LMCA: The LMCA was long with mil" "Correct entity, wrong SNOMED ID","(2292, 2295)","(2292, 2295)",LAD,LAD,59438005,1010291002,14280440-DS-8,"MCA: The LMCA was long with mild ostial plaquing. LAD: The mildly calcified proximal LAD tapered gradua" "Correct entity, wrong SNOMED ID","(2308, 2317)","(2308, 2317)",calcified,calcified,18115005,249174002,14280440-DS-8,"s long with mild ostial plaquing. LAD: The mildly calcified proximal LAD tapered gradually to an 80% stenosi" Wrong span,"(2318, 2330)","(2318, 2326)",proximal LAD,proximal,68787002,260739009,14280440-DS-8,"h mild ostial plaquing. LAD: The mildly calcified proximal LAD tapered gradually to an 80% stenosis with TIMI 2" "Correct entity, wrong SNOMED ID","(2360, 2368)","(2360, 2368)",stenosis,stenosis,415582006,246073005,14280440-DS-8,"lcified proximal LAD tapered gradually to an 80% stenosis with TIMI 2 pulsatile flow beyond. The mid-distal" Missed entity,"(2408, 2411)",,mid,,91753007,,14280440-DS-8,"% stenosis with TIMI 2 pulsatile flow beyond. The mid-distal LAD was very straight, but did not appear " Wrong span,"(2412, 2422)","(2419, 2422)",distal LAD,LAD,36672000,1010291002,14280440-DS-8,"enosis with TIMI 2 pulsatile flow beyond. The mid-distal LAD was very straight, but did not appear on a pseud" Missed entity,"(2510, 2512)",,D1,,91750005,,14280440-DS-8," on a pseudo-lateral view to be intramyocardial. D1 had mild proximal disease. D2 was another large " Missed entity,"(2517, 2521)",,mild,,162468002,,14280440-DS-8,"pseudo-lateral view to be intramyocardial. D1 had mild proximal disease. D2 was another large branch. L" "Correct entity, wrong SNOMED ID","(2532, 2539)","(2532, 2539)",disease,disease,64572001,102915009,14280440-DS-8,"view to be intramyocardial. D1 had mild proximal disease. D2 was another large branch. LCX: The CX gave o" Missed entity,"(2541, 2543)",,D2,,91751009,,14280440-DS-8,"e intramyocardial. D1 had mild proximal disease. D2 was another large branch. LCX: The CX gave off a" "Correct entity, wrong SNOMED ID","(2570, 2573)","(2570, 2573)",LCX,LCX,57396003,421806008,14280440-DS-8,"d proximal disease. D2 was another large branch. LCX: The CX gave off a patent very high OM1 (functio" "Correct entity, wrong SNOMED ID","(2579, 2581)","(2579, 2581)",CX,CX,57396003,421806008,14280440-DS-8,"al disease. D2 was another large branch. LCX: The CX gave off a patent very high OM1 (functionally a " "Correct entity, wrong SNOMED ID","(2611, 2614)","(2611, 2614)",OM1,OM1,91754001,282140003,14280440-DS-8," branch. LCX: The CX gave off a patent very high OM1 (functionally a ramus intermedius branch). The p" "Correct entity, wrong SNOMED ID","(2631, 2648)","(2631, 2648)",ramus intermedius,ramus intermedius,244252004,846684007,14280440-DS-8," gave off a patent very high OM1 (functionally a ramus intermedius branch). The proximal and mid AV groove CX had m" Missed entity,"(2676, 2679)",,mid,,91753007,,14280440-DS-8,"ly a ramus intermedius branch). The proximal and mid AV groove CX had mild plaquing to 20%. The termin" "Correct entity, wrong SNOMED ID","(2680, 2689)","(2680, 2689)",AV groove,AV groove,277707001,22093009,14280440-DS-8," ramus intermedius branch). The proximal and mid AV groove CX had mild plaquing to 20%. The terminal segmen" "Correct entity, wrong SNOMED ID","(2690, 2692)","(2690, 2692)",CX,CX,57396003,421806008,14280440-DS-8,"ermedius branch). The proximal and mid AV groove CX had mild plaquing to 20%. The terminal segments " "Correct entity, wrong SNOMED ID","(2753, 2756)","(2753, 2756)",OMs,OMs,51815003,725166005,14280440-DS-8,"laquing to 20%. The terminal segments of all the OMs were tortuous, suggestive of hypertensive heart " Missed entity,"(2762, 2770)",,tortuous,,15690004,,14280440-DS-8,"o 20%. The terminal segments of all the OMs were tortuous, suggestive of hypertensive heart disease. OM2 w" Wrong span,"(2806, 2813)","(2787, 2813)",disease,hypertensive heart disease,64572001,36221001,14280440-DS-8," were tortuous, suggestive of hypertensive heart disease. OM2 was small and OM3 was of modest caliber. OM" "Correct entity, wrong SNOMED ID","(2815, 2818)","(2815, 2818)",OM2,OM2,91755000,278077005,14280440-DS-8,"tuous, suggestive of hypertensive heart disease. OM2 was small and OM3 was of modest caliber. OM4/LPL" "Correct entity, wrong SNOMED ID","(2833, 2836)","(2833, 2836)",OM3,OM3,91756004,396154006,14280440-DS-8,"of hypertensive heart disease. OM2 was small and OM3 was of modest caliber. OM4/LPL had a hairpin tur" "Correct entity, wrong SNOMED ID","(2861, 2864)","(2861, 2864)",OM4,OM4,51815003,725165009,14280440-DS-8,"se. OM2 was small and OM3 was of modest caliber. OM4/LPL had a hairpin turn prior to its terminal tor" "Correct entity, wrong SNOMED ID","(2865, 2868)","(2865, 2868)",LPL,LPL,57823005,259322001,14280440-DS-8,"OM2 was small and OM3 was of modest caliber. OM4/LPL had a hairpin turn prior to its terminal tortuos" Missed entity,"(2911, 2921)",,tortuosity,,15690004,,14280440-DS-8,"OM4/LPL had a hairpin turn prior to its terminal tortuosity. The distal CX provided collaterals to a bifurcat" Missed entity,"(2927, 2933)",,distal,,6511003,,14280440-DS-8,"irpin turn prior to its terminal tortuosity. The distal CX provided collaterals to a bifurcation that wa" Boundary error,"(2934, 2936)","(2934, 2935)",CX,C,57396003,257984003,14280440-DS-8,"urn prior to its terminal tortuosity. The distal CX provided collaterals to a bifurcation that was l" Missed entity,"(2963, 2974)",,bifurcation,,68689009,,14280440-DS-8,"rtuosity. The distal CX provided collaterals to a bifurcation that was likely the distal AV groove RCA and a R" Missed entity,"(2996, 3002)",,distal,,6511003,,14280440-DS-8,"collaterals to a bifurcation that was likely the distal AV groove RCA and a RPL2. Flow in the OMs was pu" "Correct entity, wrong SNOMED ID","(3003, 3012)","(3003, 3012)",AV groove,AV groove,277707001,22093009,14280440-DS-8,"rals to a bifurcation that was likely the distal AV groove RCA and a RPL2. Flow in the OMs was pulsatile, c" "Correct entity, wrong SNOMED ID","(3013, 3016)","(3013, 3016)",RCA,RCA,13647002,244257005,14280440-DS-8,"bifurcation that was likely the distal AV groove RCA and a RPL2. Flow in the OMs was pulsatile, consi" "Correct entity, wrong SNOMED ID","(3023, 3027)","(3023, 3027)",RPL2,RPL2,17269004,725581008,14280440-DS-8,"n that was likely the distal AV groove RCA and a RPL2. Flow in the OMs was pulsatile, consistent with " "Correct entity, wrong SNOMED ID","(3042, 3045)","(3042, 3045)",OMs,OMs,51815003,725166005,14280440-DS-8,"the distal AV groove RCA and a RPL2. Flow in the OMs was pulsatile, consistent with microvascular dysf" Wrong span,"(3077, 3090)","(3077, 3102)",microvascular,microvascular dysfunction,27915009,697976003,14280440-DS-8,". Flow in the OMs was pulsatile, consistent with microvascular dysfunction. RCA: The RCA gave off a very early R" Wrong span,"(3091, 3102)","(3077, 3102)",dysfunction,microvascular dysfunction,386585008,697976003,14280440-DS-8," OMs was pulsatile, consistent with microvascular dysfunction. RCA: The RCA gave off a very early RV branch ari" "Correct entity, wrong SNOMED ID","(3104, 3107)","(3104, 3107)",RCA,RCA,13647002,244257005,14280440-DS-8,"atile, consistent with microvascular dysfunction. RCA: The RCA gave off a very early RV branch arising " "Correct entity, wrong SNOMED ID","(3113, 3116)","(3113, 3116)",RCA,RCA,13647002,244257005,14280440-DS-8,"nsistent with microvascular dysfunction. RCA: The RCA gave off a very early RV branch arising from a s" "Correct entity, wrong SNOMED ID","(3139, 3141)","(3139, 3141)",RV,RV,53085002,301097002,14280440-DS-8,"r dysfunction. RCA: The RCA gave off a very early RV branch arising from a slightly angulated segment" "Correct entity, wrong SNOMED ID","(3197, 3201)","(3197, 3201)",RPDA,RPDA,53655008,91763004,14280440-DS-8,"h arising from a slightly angulated segment. The RPDA appeared to be stump occluded with filling of th" "Correct entity, wrong SNOMED ID","(3217, 3222)","(3217, 3222)",stump,stump,38033009,279490003,14280440-DS-8,"ightly angulated segment. The RPDA appeared to be stump occluded with filling of the apical segment via " "Correct entity, wrong SNOMED ID","(3224, 3232)","(3224, 3232)",occluded,occluded,50173008,172310003,14280440-DS-8,"angulated segment. The RPDA appeared to be stump occluded with filling of the apical segment via the high e" "Correct entity, wrong SNOMED ID","(3288, 3290)","(3288, 3290)",RV,RV,53085002,301097002,14280440-DS-8,"filling of the apical segment via the high early RV branch. RPL1 appeared to be a branching vessel wi" Missed entity,"(3299, 3303)",,RPL1,,17269004,,14280440-DS-8,"the apical segment via the high early RV branch. RPL1 appeared to be a branching vessel with its first " Missed entity,"(3331, 3337)",,vessel,,59820001,,14280440-DS-8,"early RV branch. RPL1 appeared to be a branching vessel with its first two bifurcating sidebranches runn" Missed entity,"(3444, 3450)",,absent,,248227006,,14280440-DS-8,"erally and the main pole running parallel to the absent RPDA. The distal AV groove RCA beyond this RPL a" "Correct entity, wrong SNOMED ID","(3451, 3455)","(3451, 3455)",RPDA,RPDA,53655008,91763004,14280440-DS-8,"and the main pole running parallel to the absent RPDA. The distal AV groove RCA beyond this RPL appear" Missed entity,"(3461, 3467)",,distal,,6511003,,14280440-DS-8,"in pole running parallel to the absent RPDA. The distal AV groove RCA beyond this RPL appeared to be occ" "Correct entity, wrong SNOMED ID","(3468, 3477)","(3468, 3477)",AV groove,AV groove,277707001,22093009,14280440-DS-8," running parallel to the absent RPDA. The distal AV groove RCA beyond this RPL appeared to be occluded, fil" "Correct entity, wrong SNOMED ID","(3478, 3481)","(3478, 3481)",RCA,RCA,13647002,244257005,14280440-DS-8,"parallel to the absent RPDA. The distal AV groove RCA beyond this RPL appeared to be occluded, filling" "Correct entity, wrong SNOMED ID","(3495, 3498)","(3495, 3498)",RPL,RPL,17269004,131007009,14280440-DS-8,"bsent RPDA. The distal AV groove RCA beyond this RPL appeared to be occluded, filling via left-to-rig" "Correct entity, wrong SNOMED ID","(3514, 3522)","(3514, 3522)",occluded,occluded,50173008,172310003,14280440-DS-8,"tal AV groove RCA beyond this RPL appeared to be occluded, filling via left-to-right collaterals. Intra-pr" Missed entity,"(3537, 3541)",,left,,17398003,,14280440-DS-8,"nd this RPL appeared to be occluded, filling via left-to-right collaterals. Intra-procedural Complicati" Missed entity,"(3545, 3550)",,right,,79561009,,14280440-DS-8,"RPL appeared to be occluded, filling via left-to-right collaterals. Intra-procedural Complications: None" Wrong span,"(3624, 3636)","(3624, 3632)",proximal LAD,proximal,68787002,260739009,14280440-DS-8,"edural Complications: None Impressions: 1. Severe proximal LAD and likely totally occluded distal RCA disease (" Wrong span,"(3656, 3664)","(3648, 3664)",occluded,totally occluded,50173008,63739005,14280440-DS-8,"ssions: 1. Severe proximal LAD and likely totally occluded distal RCA disease (terminal AV groove RCA and R" Wrong span,"(3665, 3675)","(3665, 3671)",distal RCA,distal,41879009,260735003,14280440-DS-8,". Severe proximal LAD and likely totally occluded distal RCA disease (terminal AV groove RCA and RPDA proper)" Wrong span,"(3677, 3684)","(3672, 3684)",disease,"RCA disease",64572001,12246008,14280440-DS-8,"ximal LAD and likely totally occluded distal RCA disease (terminal AV groove RCA and RPDA proper) in a you" Wrong span,"(3695, 3704)","(3695, 3697)",AV groove,AV,277707001,258000009,14280440-DS-8,"ly totally occluded distal RCA disease (terminal AV groove RCA and RPDA proper) in a young woman with poorly" "Correct entity, wrong SNOMED ID","(3705, 3708)","(3705, 3708)",RCA,RCA,13647002,244257005,14280440-DS-8," occluded distal RCA disease (terminal AV groove RCA and RPDA proper) in a young woman with poorly con" "Correct entity, wrong SNOMED ID","(3713, 3717)","(3713, 3717)",RPDA,RPDA,53655008,91763004,14280440-DS-8,"d distal RCA disease (terminal AV groove RCA and RPDA proper) in a young woman with poorly controlled d" Wrong span,"(3766, 3784)","(3748, 3784)","diabetes mellitus","poorly controlled diabetes mellitus",73211009,443694000,14280440-DS-8,"A proper) in a young woman with poorly controlled diabetes mellitus. 2. Normal left ventricular diastolic pressures. " Wrong span,"(3796, 3812)","(3796, 3832)",left ventricular,left ventricular diastolic pressures,87878005,276773006,14280440-DS-8,"h poorly controlled diabetes mellitus. 2. Normal left ventricular diastolic pressures. ECHO ___ The left atrium an" "Correct entity, wrong SNOMED ID","(3848, 3859)","(3848, 3859)",left atrium,left atrium,82471001,312026008,14280440-DS-8,"ft ventricular diastolic pressures. ECHO ___ The left atrium and right atrium are normal in cavity size. The " "Correct entity, wrong SNOMED ID","(3864, 3876)","(3864, 3876)",right atrium,right atrium,73829009,128591008,14280440-DS-8,"iastolic pressures. ECHO ___ The left atrium and right atrium are normal in cavity size. The estimated right a" "Correct entity, wrong SNOMED ID","(3881, 3902)","(3881, 3902)",normal in cavity size,normal in cavity size,53461003,162010006,14280440-DS-8,"s. ECHO ___ The left atrium and right atrium are normal in cavity size. The estimated right atrial pressure is ___ mmHg" Wrong span,"(3919, 3931)","(3919, 3940)",right atrial,right atrial pressure,73829009,276775004,14280440-DS-8," atrium are normal in cavity size. The estimated right atrial pressure is ___ mmHg. Mild symmetric left ventri" Wrong span,"(3932, 3940)","(3919, 3940)",pressure,right atrial pressure,13543005,276775004,14280440-DS-8,"ormal in cavity size. The estimated right atrial pressure is ___ mmHg. Mild symmetric left ventricular hyp" "Correct entity, wrong SNOMED ID","(4004, 4022)","(4004, 4022)",normal cavity size,normal cavity size,53461003,456261000124102,14280440-DS-8,"Mild symmetric left ventricular hypertrophy with normal cavity size, and regional/global systolic function (biplane " "Correct entity, wrong SNOMED ID","(4029, 4062)","(4029, 4062)",regional/global systolic function,regional/global systolic function,371857005,153931000119109,14280440-DS-8,"ricular hypertrophy with normal cavity size, and regional/global systolic function (biplane LVEF = 68 %). The estimated cardiac ind" Wrong span,"(4101, 4124)","(4101, 4108)",cardiac index is normal,cardiac,72399002,71892000,14280440-DS-8,"ic function (biplane LVEF = 68 %). The estimated cardiac index is normal (>=2.5L/min/m2). Right ventricular chamber size " Wrong span,"(4142, 4168)","(4142, 4173)","Right ventricular chamber","Right ventricular chamber size",53085002,74193008,14280440-DS-8,"stimated cardiac index is normal (>=2.5L/min/m2). Right ventricular chamber size and free wall motion are normal. The aortic" "Correct entity, wrong SNOMED ID","(4183, 4205)","(4183, 4205)",wall motion are normal,wall motion are normal,373122000,414072005,14280440-DS-8,"min/m2). Right ventricular chamber size and free wall motion are normal. The aortic arch is mildly dilated. The aortic v" "Correct entity, wrong SNOMED ID","(4212, 4223)","(4212, 4223)",aortic arch,aortic arch,57034009,244230008,14280440-DS-8,"hamber size and free wall motion are normal. The aortic arch is mildly dilated. The aortic valve leaflets (3) " Wrong span,"(4234, 4241)","(4227, 4241)",dilated,mildly dilated,25322007,62472004,14280440-DS-8,"all motion are normal. The aortic arch is mildly dilated. The aortic valve leaflets (3) appear structural" "Correct entity, wrong SNOMED ID","(4281, 4300)","(4281, 4300)",structurally normal,structurally normal,301100007,840673007,14280440-DS-8,"ly dilated. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenos" "Correct entity, wrong SNOMED ID","(4311, 4318)","(4311, 4318)",leaflet,leaflet,6530003,699117005,14280440-DS-8,"eaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regur" "Correct entity, wrong SNOMED ID","(4337, 4352)","(4337, 4352)",aortic stenosis,aortic stenosis,60573004,233863001,14280440-DS-8,"urally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. The mitral valve appear" "Correct entity, wrong SNOMED ID","(4356, 4376)","(4356, 4376)",aortic regurgitation,aortic regurgitation,60234000,61612001,14280440-DS-8,"good leaflet excursion and no aortic stenosis or aortic regurgitation. The mitral valve appears structurally normal wi" "Correct entity, wrong SNOMED ID","(4382, 4423)","(4382, 4423)","mitral valve appears structurally normal","mitral valve appears structurally normal",301103009,301100007,14280440-DS-8," no aortic stenosis or aortic regurgitation. The mitral valve appears structurally normal with trivial mitral regurgitation. There is no m" Wrong span,"(4437, 4457)","(4429, 4457)",mitral regurgitation,trivial mitral regurgitation,48724000,233861004,14280440-DS-8,"l valve appears structurally normal with trivial mitral regurgitation. There is no mitral valve prolapse. The estimate" "Correct entity, wrong SNOMED ID","(4472, 4493)","(4472, 4493)",mitral valve prolapse,mitral valve prolapse,409712001,286031000119106,14280440-DS-8,"l with trivial mitral regurgitation. There is no mitral valve prolapse. The estimated pulmonary artery systolic pressur" Wrong span,"(4509, 4526)","(4509, 4554)","pulmonary artery","pulmonary artery systolic pressure is normal",81040000,167712000,14280440-DS-8," There is no mitral valve prolapse. The estimated pulmonary artery systolic pressure is normal. There is a trivial/" Wrong span,"(4527, 4554)","(4509, 4554)",systolic pressure is normal,"pulmonary artery systolic pressure is normal",12929001,167712000,14280440-DS-8,"l valve prolapse. The estimated pulmonary artery systolic pressure is normal. There is a trivial/physiologic pericardial effu" "Correct entity, wrong SNOMED ID","(4588, 4608)","(4588, 4608)",pericardial effusion,pericardial effusion,373945007,1230405007,14280440-DS-8,"essure is normal. There is a trivial/physiologic pericardial effusion. IMPRESSION: Mild symmetric left ventricular h" Wrong span,"(4705, 4718)","(4675, 4736)",biventricular,preserved regional and global biventricular systolic function,21814001,134401001,14280440-DS-8,"r hypertrophy with preserved regional and global biventricular systolic function. No valvular pathology or path" Missed entity,"(4742, 4750)",,valvular,,17401000,,14280440-DS-8,"l and global biventricular systolic function. No valvular pathology or pathologic flow identified. Compar" "Correct entity, wrong SNOMED ID","(4896, 4899)","(4896, 4899)",WBC,WBC,767002,391558003,14280440-DS-8,"__, the findings are similar. ___ 06:40AM BLOOD WBC-7.3 RBC-4.71 Hgb-11.9 Hct-37.1 MCV-79* MCH-25.3*" "Correct entity, wrong SNOMED ID","(4904, 4907)","(4904, 4907)",RBC,RBC,14089001,258759006,14280440-DS-8," findings are similar. ___ 06:40AM BLOOD WBC-7.3 RBC-4.71 Hgb-11.9 Hct-37.1 MCV-79* MCH-25.3* MCHC-32" "Correct entity, wrong SNOMED ID","(4913, 4916)","(4913, 4916)",Hgb,Hgb,441689006,104142005,14280440-DS-8," are similar. ___ 06:40AM BLOOD WBC-7.3 RBC-4.71 Hgb-11.9 Hct-37.1 MCV-79* MCH-25.3* MCHC-32.1 RDW-14" "Correct entity, wrong SNOMED ID","(4922, 4925)","(4922, 4925)",Hct,Hct,28317006,282660005,14280440-DS-8,"lar. ___ 06:40AM BLOOD WBC-7.3 RBC-4.71 Hgb-11.9 Hct-37.1 MCV-79* MCH-25.3* MCHC-32.1 RDW-14.6 RDWSD-" "Correct entity, wrong SNOMED ID","(4950, 4954)","(4950, 4954)",MCHC,MCHC,37254006,735147002,14280440-DS-8,"7.3 RBC-4.71 Hgb-11.9 Hct-37.1 MCV-79* MCH-25.3* MCHC-32.1 RDW-14.6 RDWSD-40.9 Plt ___ ___ 03:35PM BLOO" "Correct entity, wrong SNOMED ID","(4969, 4974)","(4969, 4974)",RDWSD,RDWSD,66842004,80328002,14280440-DS-8,".9 Hct-37.1 MCV-79* MCH-25.3* MCHC-32.1 RDW-14.6 RDWSD-40.9 Plt ___ ___ 03:35PM BLOOD WBC-8.5 RBC-4.14 H" "Correct entity, wrong SNOMED ID","(5006, 5009)","(5006, 5009)",WBC,WBC,767002,391558003,14280440-DS-8,"2.1 RDW-14.6 RDWSD-40.9 Plt ___ ___ 03:35PM BLOOD WBC-8.5 RBC-4.14 Hgb-10.2* Hct-33.0* MCV-80* MCH-24." "Correct entity, wrong SNOMED ID","(5014, 5017)","(5014, 5017)",RBC,RBC,14089001,258759006,14280440-DS-8,"14.6 RDWSD-40.9 Plt ___ ___ 03:35PM BLOOD WBC-8.5 RBC-4.14 Hgb-10.2* Hct-33.0* MCV-80* MCH-24.6* MCHC-" "Correct entity, wrong SNOMED ID","(5023, 5026)","(5023, 5026)",Hgb,Hgb,441689006,104142005,14280440-DS-8,"D-40.9 Plt ___ ___ 03:35PM BLOOD WBC-8.5 RBC-4.14 Hgb-10.2* Hct-33.0* MCV-80* MCH-24.6* MCHC-30.9* RDW" "Correct entity, wrong SNOMED ID","(5033, 5036)","(5033, 5036)",Hct,Hct,28317006,282660005,14280440-DS-8," ___ ___ 03:35PM BLOOD WBC-8.5 RBC-4.14 Hgb-10.2* Hct-33.0* MCV-80* MCH-24.6* MCHC-30.9* RDW-14.4 RDWS" "Correct entity, wrong SNOMED ID","(5062, 5066)","(5062, 5066)",MCHC,MCHC,37254006,735147002,14280440-DS-8,"5 RBC-4.14 Hgb-10.2* Hct-33.0* MCV-80* MCH-24.6* MCHC-30.9* RDW-14.4 RDWSD-41.2 Plt ___ ___ 08:48PM BLO" "Correct entity, wrong SNOMED ID","(5082, 5087)","(5082, 5087)",RDWSD,RDWSD,66842004,80328002,14280440-DS-8," Hct-33.0* MCV-80* MCH-24.6* MCHC-30.9* RDW-14.4 RDWSD-41.2 Plt ___ ___ 08:48PM BLOOD WBC-7.6 RBC-4.59 H" "Correct entity, wrong SNOMED ID","(5119, 5122)","(5119, 5122)",WBC,WBC,767002,391558003,14280440-DS-8,".9* RDW-14.4 RDWSD-41.2 Plt ___ ___ 08:48PM BLOOD WBC-7.6 RBC-4.59 Hgb-11.6 Hct-36.4 MCV-79* MCH-25.3*" "Correct entity, wrong SNOMED ID","(5127, 5130)","(5127, 5130)",RBC,RBC,14089001,258759006,14280440-DS-8,"14.4 RDWSD-41.2 Plt ___ ___ 08:48PM BLOOD WBC-7.6 RBC-4.59 Hgb-11.6 Hct-36.4 MCV-79* MCH-25.3* MCHC-31" "Correct entity, wrong SNOMED ID","(5136, 5139)","(5136, 5139)",Hgb,Hgb,441689006,104142005,14280440-DS-8,"D-41.2 Plt ___ ___ 08:48PM BLOOD WBC-7.6 RBC-4.59 Hgb-11.6 Hct-36.4 MCV-79* MCH-25.3* MCHC-31.9* RDW-1" "Correct entity, wrong SNOMED ID","(5145, 5148)","(5145, 5148)",Hct,Hct,28317006,282660005,14280440-DS-8,"t ___ ___ 08:48PM BLOOD WBC-7.6 RBC-4.59 Hgb-11.6 Hct-36.4 MCV-79* MCH-25.3* MCHC-31.9* RDW-14.6 RDWSD" "Correct entity, wrong SNOMED ID","(5173, 5177)","(5173, 5177)",MCHC,MCHC,37254006,735147002,14280440-DS-8,"7.6 RBC-4.59 Hgb-11.6 Hct-36.4 MCV-79* MCH-25.3* MCHC-31.9* RDW-14.6 RDWSD-41.4 Plt ___ ___ 03:35PM BLO" "Correct entity, wrong SNOMED ID","(5193, 5198)","(5193, 5198)",RDWSD,RDWSD,66842004,80328002,14280440-DS-8,"6 Hct-36.4 MCV-79* MCH-25.3* MCHC-31.9* RDW-14.6 RDWSD-41.4 Plt ___ ___ 03:35PM BLOOD Neuts-62.2 ___ Mon" "Correct entity, wrong SNOMED ID","(5230, 5235)","(5230, 5235)",Neuts,Neuts,30630007,271035003,14280440-DS-8,".9* RDW-14.6 RDWSD-41.4 Plt ___ ___ 03:35PM BLOOD Neuts-62.2 ___ Monos-5.2 Eos-1.9 Baso-0.5 Im ___ AbsNe" "Correct entity, wrong SNOMED ID","(5245, 5250)","(5245, 5250)",Monos,Monos,67776007,462791000124108,14280440-DS-8,"WSD-41.4 Plt ___ ___ 03:35PM BLOOD Neuts-62.2 ___ Monos-5.2 Eos-1.9 Baso-0.5 Im ___ AbsNeut-5.28 AbsLymp" "Correct entity, wrong SNOMED ID","(5255, 5258)","(5255, 5258)",Eos,Eos,71960002,67099000,14280440-DS-8,"lt ___ ___ 03:35PM BLOOD Neuts-62.2 ___ Monos-5.2 Eos-1.9 Baso-0.5 Im ___ AbsNeut-5.28 AbsLymp-2.53 Ab" "Correct entity, wrong SNOMED ID","(5363, 5368)","(5363, 5368)",Neuts,Neuts,30630007,271035003,14280440-DS-8,"-0.44 AbsEos-0.16 AbsBaso-0.04 ___ 08:48PM BLOOD Neuts-57.3 ___ Monos-5.5 Eos-1.7 Baso-0.5 Im ___ AbsNe" "Correct entity, wrong SNOMED ID","(5378, 5383)","(5378, 5383)",Monos,Monos,67776007,462791000124108,14280440-DS-8,".16 AbsBaso-0.04 ___ 08:48PM BLOOD Neuts-57.3 ___ Monos-5.5 Eos-1.7 Baso-0.5 Im ___ AbsNeut-4.34 AbsLymp" Missed entity,"(5388, 5391)",,Eos,,71960002,,14280440-DS-8,"o-0.04 ___ 08:48PM BLOOD Neuts-57.3 ___ Monos-5.5 Eos-1.7 Baso-0.5 Im ___ AbsNeut-4.34 AbsLymp-2.63 Ab" "Correct entity, wrong SNOMED ID","(5500, 5503)","(5500, 5503)",PTT,PTT,42525009,282119004,14280440-DS-8,"2 AbsEos-0.13 AbsBaso-0.04 ___ 06:40AM BLOOD ___ PTT-26.1 ___ ___ 06:40AM BLOOD Ret Aut-1.3 Abs Ret-0." Wrong span,"(5568, 5581)","(5574, 5581)",BLOOD Glucose,Glucose,33747003,72191006,14280440-DS-8,"6:40AM BLOOD Ret Aut-1.3 Abs Ret-0.06 ___ 06:40AM BLOOD Glucose-171* UreaN-8 Creat-0.4 Na-134 K-4.4 Cl-100 HCO3-" "Correct entity, wrong SNOMED ID","(5587, 5592)","(5587, 5592)",UreaN,UreaN,105011006,111108008,14280440-DS-8,"t-1.3 Abs Ret-0.06 ___ 06:40AM BLOOD Glucose-171* UreaN-8 Creat-0.4 Na-134 K-4.4 Cl-100 HCO3-24 AnGap-14" "Correct entity, wrong SNOMED ID","(5595, 5600)","(5595, 5600)",Creat,Creat,70901006,413856009,14280440-DS-8,"s Ret-0.06 ___ 06:40AM BLOOD Glucose-171* UreaN-8 Creat-0.4 Na-134 K-4.4 Cl-100 HCO3-24 AnGap-14 ___ 03:" "Correct entity, wrong SNOMED ID","(5605, 5607)","(5605, 5607)",Na,Na,312469006,257992007,14280440-DS-8," ___ 06:40AM BLOOD Glucose-171* UreaN-8 Creat-0.4 Na-134 K-4.4 Cl-100 HCO3-24 AnGap-14 ___ 03:35PM BL" "Correct entity, wrong SNOMED ID","(5619, 5621)","(5619, 5621)",Cl,Cl,104589004,311741002,14280440-DS-8,"LOOD Glucose-171* UreaN-8 Creat-0.4 Na-134 K-4.4 Cl-100 HCO3-24 AnGap-14 ___ 03:35PM BLOOD Glucose-20" "Correct entity, wrong SNOMED ID","(5626, 5630)","(5626, 5630)",HCO3,HCO3,312471006,88645003,14280440-DS-8,"ucose-171* UreaN-8 Creat-0.4 Na-134 K-4.4 Cl-100 HCO3-24 AnGap-14 ___ 03:35PM BLOOD Glucose-208* UreaN-" "Correct entity, wrong SNOMED ID","(5634, 5639)","(5634, 5639)",AnGap,AnGap,25469001,124504004,14280440-DS-8,"1* UreaN-8 Creat-0.4 Na-134 K-4.4 Cl-100 HCO3-24 AnGap-14 ___ 03:35PM BLOOD Glucose-208* UreaN-7 Creat-0" Wrong span,"(5655, 5668)","(5661, 5668)",BLOOD Glucose,Glucose,33747003,72191006,14280440-DS-8,"Na-134 K-4.4 Cl-100 HCO3-24 AnGap-14 ___ 03:35PM BLOOD Glucose-208* UreaN-7 Creat-0.4 Na-135 K-3.7 Cl-101 HCO3-" "Correct entity, wrong SNOMED ID","(5674, 5679)","(5674, 5679)",UreaN,UreaN,105011006,111108008,14280440-DS-8,"0 HCO3-24 AnGap-14 ___ 03:35PM BLOOD Glucose-208* UreaN-7 Creat-0.4 Na-135 K-3.7 Cl-101 HCO3-21* AnGap-1" "Correct entity, wrong SNOMED ID","(5682, 5687)","(5682, 5687)",Creat,Creat,70901006,413856009,14280440-DS-8,"4 AnGap-14 ___ 03:35PM BLOOD Glucose-208* UreaN-7 Creat-0.4 Na-135 K-3.7 Cl-101 HCO3-21* AnGap-17 ___ 08" "Correct entity, wrong SNOMED ID","(5692, 5694)","(5692, 5694)",Na,Na,312469006,257992007,14280440-DS-8," ___ 03:35PM BLOOD Glucose-208* UreaN-7 Creat-0.4 Na-135 K-3.7 Cl-101 HCO3-21* AnGap-17 ___ 08:48PM B" "Correct entity, wrong SNOMED ID","(5706, 5708)","(5706, 5708)",Cl,Cl,104589004,311741002,14280440-DS-8,"LOOD Glucose-208* UreaN-7 Creat-0.4 Na-135 K-3.7 Cl-101 HCO3-21* AnGap-17 ___ 08:48PM BLOOD Glucose-3" "Correct entity, wrong SNOMED ID","(5713, 5717)","(5713, 5717)",HCO3,HCO3,312471006,88645003,14280440-DS-8,"ucose-208* UreaN-7 Creat-0.4 Na-135 K-3.7 Cl-101 HCO3-21* AnGap-17 ___ 08:48PM BLOOD Glucose-316* UreaN" "Correct entity, wrong SNOMED ID","(5722, 5727)","(5722, 5727)",AnGap,AnGap,25469001,124504004,14280440-DS-8,"* UreaN-7 Creat-0.4 Na-135 K-3.7 Cl-101 HCO3-21* AnGap-17 ___ 08:48PM BLOOD Glucose-316* UreaN-9 Creat-0" Wrong span,"(5743, 5756)","(5749, 5756)",BLOOD Glucose,Glucose,33747003,72191006,14280440-DS-8,"a-135 K-3.7 Cl-101 HCO3-21* AnGap-17 ___ 08:48PM BLOOD Glucose-316* UreaN-9 Creat-0.7 Na-132* K-4.1 Cl-96 HCO3-" "Correct entity, wrong SNOMED ID","(5762, 5767)","(5762, 5767)",UreaN,UreaN,105011006,111108008,14280440-DS-8," HCO3-21* AnGap-17 ___ 08:48PM BLOOD Glucose-316* UreaN-9 Creat-0.7 Na-132* K-4.1 Cl-96 HCO3-24 AnGap-16" "Correct entity, wrong SNOMED ID","(5770, 5775)","(5770, 5775)",Creat,Creat,70901006,413856009,14280440-DS-8,"* AnGap-17 ___ 08:48PM BLOOD Glucose-316* UreaN-9 Creat-0.7 Na-132* K-4.1 Cl-96 HCO3-24 AnGap-16 ___ 08:" "Correct entity, wrong SNOMED ID","(5780, 5782)","(5780, 5782)",Na,Na,312469006,257992007,14280440-DS-8," ___ 08:48PM BLOOD Glucose-316* UreaN-9 Creat-0.7 Na-132* K-4.1 Cl-96 HCO3-24 AnGap-16 ___ 08:48PM BL" "Correct entity, wrong SNOMED ID","(5795, 5797)","(5795, 5797)",Cl,Cl,104589004,311741002,14280440-DS-8,"OOD Glucose-316* UreaN-9 Creat-0.7 Na-132* K-4.1 Cl-96 HCO3-24 AnGap-16 ___ 08:48PM BLOOD estGFR-Usin" "Correct entity, wrong SNOMED ID","(5801, 5805)","(5801, 5805)",HCO3,HCO3,312471006,88645003,14280440-DS-8,"ucose-316* UreaN-9 Creat-0.7 Na-132* K-4.1 Cl-96 HCO3-24 AnGap-16 ___ 08:48PM BLOOD estGFR-Using this _" "Correct entity, wrong SNOMED ID","(5809, 5814)","(5809, 5814)",AnGap,AnGap,25469001,124504004,14280440-DS-8,"6* UreaN-9 Creat-0.7 Na-132* K-4.1 Cl-96 HCO3-24 AnGap-16 ___ 08:48PM BLOOD estGFR-Using this ___ 06:40A" "Correct entity, wrong SNOMED ID","(5872, 5875)","(5872, 5875)",ALT,ALT,34608000,56935002,14280440-DS-8,"08:48PM BLOOD estGFR-Using this ___ 06:40AM BLOOD ALT-8 AST-12 LD(LDH)-169 AlkPhos-95 TotBili-0.4 ___ " "Correct entity, wrong SNOMED ID","(5878, 5881)","(5878, 5881)",AST,AST,45896001,85043005,14280440-DS-8,"M BLOOD estGFR-Using this ___ 06:40AM BLOOD ALT-8 AST-12 LD(LDH)-169 AlkPhos-95 TotBili-0.4 ___ 03:04A" "Correct entity, wrong SNOMED ID","(5888, 5891)","(5888, 5891)",LDH,LDH,396697000,67568008,14280440-DS-8,"tGFR-Using this ___ 06:40AM BLOOD ALT-8 AST-12 LD(LDH)-169 AlkPhos-95 TotBili-0.4 ___ 03:04AM BLOOD cT" "Correct entity, wrong SNOMED ID","(5897, 5904)","(5897, 5904)",AlkPhos,AlkPhos,88810008,30703008,14280440-DS-8,"g this ___ 06:40AM BLOOD ALT-8 AST-12 LD(LDH)-169 AlkPhos-95 TotBili-0.4 ___ 03:04AM BLOOD cTropnT-<0.01 _" "Correct entity, wrong SNOMED ID","(5909, 5916)","(5909, 5916)",TotBili,TotBili,359986008,19754005,14280440-DS-8,"6:40AM BLOOD ALT-8 AST-12 LD(LDH)-169 AlkPhos-95 TotBili-0.4 ___ 03:04AM BLOOD cTropnT-<0.01 ___ 08:48PM B" "Correct entity, wrong SNOMED ID","(5939, 5946)","(5939, 5946)",cTropnT,cTropnT,105001004,442255004,14280440-DS-8,"DH)-169 AlkPhos-95 TotBili-0.4 ___ 03:04AM BLOOD cTropnT-<0.01 ___ 08:48PM BLOOD cTropnT-<0.01 ___ 08:48PM" "Correct entity, wrong SNOMED ID","(5971, 5978)","(5971, 5978)",cTropnT,cTropnT,105001004,442255004,14280440-DS-8,"___ 03:04AM BLOOD cTropnT-<0.01 ___ 08:48PM BLOOD cTropnT-<0.01 ___ 08:48PM BLOOD proBNP-29 ___ 06:40AM BLO" "Correct entity, wrong SNOMED ID","(6003, 6009)","(6003, 6009)",proBNP,proBNP,414799001,407060002,14280440-DS-8,"___ 08:48PM BLOOD cTropnT-<0.01 ___ 08:48PM BLOOD proBNP-29 ___ 06:40AM BLOOD Albumin-3.9 Calcium-9.2 Phos" "Correct entity, wrong SNOMED ID","(6031, 6038)","(6031, 6038)",Albumin,Albumin,26758005,102688002,14280440-DS-8,".01 ___ 08:48PM BLOOD proBNP-29 ___ 06:40AM BLOOD Albumin-3.9 Calcium-9.2 Phos-4.5 Mg-2.0 Iron-34 ___ 08:4" "Correct entity, wrong SNOMED ID","(6043, 6050)","(6043, 6050)",Calcium,Calcium,312472004,108601004,14280440-DS-8,"8PM BLOOD proBNP-29 ___ 06:40AM BLOOD Albumin-3.9 Calcium-9.2 Phos-4.5 Mg-2.0 Iron-34 ___ 08:48PM BLOOD Ca" "Correct entity, wrong SNOMED ID","(6055, 6059)","(6055, 6059)",Phos,Phos,104868000,168075002,14280440-DS-8,"oBNP-29 ___ 06:40AM BLOOD Albumin-3.9 Calcium-9.2 Phos-4.5 Mg-2.0 Iron-34 ___ 08:48PM BLOOD Calcium-10." "Correct entity, wrong SNOMED ID","(6064, 6066)","(6064, 6066)",Mg,Mg,271285000,258684004,14280440-DS-8,"__ 06:40AM BLOOD Albumin-3.9 Calcium-9.2 Phos-4.5 Mg-2.0 Iron-34 ___ 08:48PM BLOOD Calcium-10.0 Phos-" "Correct entity, wrong SNOMED ID","(6098, 6105)","(6098, 6105)",Calcium,Calcium,312472004,108601004,14280440-DS-8,"um-9.2 Phos-4.5 Mg-2.0 Iron-34 ___ 08:48PM BLOOD Calcium-10.0 Phos-3.4 Mg-2.2 ___ 06:40AM BLOOD calTIBC-32" "Correct entity, wrong SNOMED ID","(6111, 6115)","(6111, 6115)",Phos,Phos,104868000,168075002,14280440-DS-8,".5 Mg-2.0 Iron-34 ___ 08:48PM BLOOD Calcium-10.0 Phos-3.4 Mg-2.2 ___ 06:40AM BLOOD calTIBC-325 VitB12-5" "Correct entity, wrong SNOMED ID","(6120, 6122)","(6120, 6122)",Mg,Mg,271285000,258684004,14280440-DS-8," Iron-34 ___ 08:48PM BLOOD Calcium-10.0 Phos-3.4 Mg-2.2 ___ 06:40AM BLOOD calTIBC-325 VitB12-585 Fola" Missed entity,"(6220, 6223)",,eAG,,117346004,,14280440-DS-8,"late-15.2 TRF-250 ___ 06:40AM BLOOD %HbA1c-12.0* eAG-298* ___ 03:35PM BLOOD %HbA1c-12.2* eAG-303* ___ " Missed entity,"(6260, 6263)",,eAG,,117346004,,14280440-DS-8,"A1c-12.0* eAG-298* ___ 03:35PM BLOOD %HbA1c-12.2* eAG-303* ___ 06:40AM BLOOD TSH-0.___dmit ___ for coro" "Correct entity, wrong SNOMED ID","(6287, 6290)","(6287, 6290)",TSH,TSH,61167004,412520006,14280440-DS-8,"5PM BLOOD %HbA1c-12.2* eAG-303* ___ 06:40AM BLOOD TSH-0.___dmit ___ for coronary angiogram. Cath showed" "Correct entity, wrong SNOMED ID","(6309, 6327)","(6309, 6327)",coronary angiogram,coronary angiogram,33367005,287597004,14280440-DS-8," eAG-303* ___ 06:40AM BLOOD TSH-0.___dmit ___ for coronary angiogram. Cath showed a right dominant system with normal" "Correct entity, wrong SNOMED ID","(6329, 6333)","(6329, 6333)",Cath,Cath,41976001,28309003,14280440-DS-8,"M BLOOD TSH-0.___dmit ___ for coronary angiogram. Cath showed a right dominant system with normal left " "Correct entity, wrong SNOMED ID","(6343, 6348)","(6343, 6348)",right,right,13647002,225794002,14280440-DS-8,"___dmit ___ for coronary angiogram. Cath showed a right dominant system with normal left main, ___ LAD 8" "Correct entity, wrong SNOMED ID","(6378, 6387)","(6378, 6387)",left main,left main,3227004,362034004,14280440-DS-8," Cath showed a right dominant system with normal left main, ___ LAD 80%, normal circumflex, right PDA likel" "Correct entity, wrong SNOMED ID","(6393, 6396)","(6393, 6396)",LAD,LAD,59438005,1010291002,14280440-DS-8,"right dominant system with normal left main, ___ LAD 80%, normal circumflex, right PDA likely chronic" "Correct entity, wrong SNOMED ID","(6422, 6427)","(6422, 6427)",right,right,13647002,225794002,14280440-DS-8,"ormal left main, ___ LAD 80%, normal circumflex, right PDA likely chronically occluded with left-right " "Correct entity, wrong SNOMED ID","(6428, 6431)","(6428, 6431)",PDA,PDA,443113009,1179298002,14280440-DS-8,"left main, ___ LAD 80%, normal circumflex, right PDA likely chronically occluded with left-right coll" "Correct entity, wrong SNOMED ID","(6451, 6459)","(6451, 6459)",occluded,occluded,50173008,172310003,14280440-DS-8," normal circumflex, right PDA likely chronically occluded with left-right collaterals, and a likely occlud" Missed entity,"(6466, 6470)",,left,,17398003,,14280440-DS-8,"flex, right PDA likely chronically occluded with left-right collaterals, and a likely occluded small p" "Correct entity, wrong SNOMED ID","(6471, 6476)","(6471, 6476)",right,right,79561009,225794002,14280440-DS-8," right PDA likely chronically occluded with left-right collaterals, and a likely occluded small postero" Missed entity,"(6503, 6511)",,occluded,,50173008,,14280440-DS-8,"cluded with left-right collaterals, and a likely occluded small posterolateral branch. Cardiac surgery con" Wrong span,"(6542, 6549)","(6542, 6557)",Cardiac,Cardiac surgery,80891009,161625008,14280440-DS-8,"d a likely occluded small posterolateral branch. Cardiac surgery consulted and will follow up as outpatie" Wrong span,"(6550, 6557)","(6542, 6557)",surgery,Cardiac surgery,387713003,161625008,14280440-DS-8,"ly occluded small posterolateral branch. Cardiac surgery consulted and will follow up as outpatient. Her " Missed entity,"(6737, 6748)",,medications,,394835006,,14280440-DS-8,"lol succinate and imdur. She tolerated these new medications well. Her lisinopril dose was decreased to 10mg " Wrong span,"(6816, 6826)","(6816, 6831)",chest pain,chest pain free,29857009,59021001,14280440-DS-8,"ril dose was decreased to 10mg QHS. She remained chest pain free and denied any shortness of breathe while a" "Correct entity, wrong SNOMED ID","(6848, 6868)","(6848, 6868)",shortness of breathe,shortness of breathe,267036007,161938003,14280440-DS-8,"QHS. She remained chest pain free and denied any shortness of breathe while admitted. ___ did consult for uncontrolled" "Correct entity, wrong SNOMED ID","(6919, 6921)","(6919, 6921)",DM,DM,73211009,258671008,14280440-DS-8,"while admitted. ___ did consult for uncontrolled DM. They recommended to continue lantus 40 units QH" Missed entity,"(7030, 7043)",,sliding scale,,225301004,,14280440-DS-8,"ed doses of Humalog 10units with meals. Adding a sliding scale as an outpatient was deferred to endocrinology a" "Correct entity, wrong SNOMED ID","(8061, 8064)","(8061, 8064)",CAD,CAD,53741008,84270004,14280440-DS-8,"ischarge Disposition: Home Discharge Diagnosis: CAD Uncontrolled Type 2 DM Hypertension Hyperlipidemi" Missed entity,"(8065, 8087)",,Uncontrolled Type 2 DM,,443694000,,14280440-DS-8,"arge Disposition: Home Discharge Diagnosis: CAD Uncontrolled Type 2 DM Hypertension Hyperlipidemia Discharge Conditio" "Correct entity, wrong SNOMED ID","(8088, 8100)","(8088, 8100)",Hypertension,Hypertension,38341003,70995007,14280440-DS-8," Discharge Diagnosis: CAD Uncontrolled Type 2 DM Hypertension Hyperlipidemia Discharge Condition: Mental Sta" "Correct entity, wrong SNOMED ID","(8101, 8115)","(8101, 8115)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,14280440-DS-8,"iagnosis: CAD Uncontrolled Type 2 DM Hypertension Hyperlipidemia Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(8140, 8153)","(8140, 8153)",Mental Status,Mental Status,392257007,419284004,14280440-DS-8,"pertension Hyperlipidemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(8175, 8197)","(8175, 8197)",Level of Consciousness,Level of Consciousness,444714004,830285008,14280440-DS-8,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(8199, 8204)","(8199, 8204)",Alert,Alert,248234008,409787004,14280440-DS-8,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(8209, 8220)","(8209, 8220)",interactive,interactive,288577006,10301000202103,14280440-DS-8,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(8222, 8237)","(8222, 8237)",Activity Status,Activity Status,129676008,397622007,14280440-DS-8,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(8239, 8263)","(8239, 8263)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,14280440-DS-8,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: You were admitted to " Wrong span,"(8332, 8337)","(8332, 8353)",heart,heart catheterization,80891009,40403005,14280440-DS-8,"ructions: You were admitted to the hospital for a heart catheterization to evaluate your shortness of br" Wrong span,"(8338, 8353)","(8332, 8353)",catheterization,heart catheterization,45211000,40403005,14280440-DS-8,"ns: You were admitted to the hospital for a heart catheterization to evaluate your shortness of breath and your ab" "Correct entity, wrong SNOMED ID","(8372, 8391)","(8372, 8391)",shortness of breath,shortness of breath,267036007,135833008,14280440-DS-8,"tal for a heart catheterization to evaluate your shortness of breath and your abnormal stress test. You were found to" Wrong span,"(8401, 8421)","(8401, 8409)",abnormal stress test,abnormal,439590007,309198006,14280440-DS-8,"on to evaluate your shortness of breath and your abnormal stress test. You were found to have blockages in your left a" "Correct entity, wrong SNOMED ID","(8447, 8456)","(8447, 8456)",blockages,blockages,2929001,246077006,14280440-DS-8,"our abnormal stress test. You were found to have blockages in your left anterior descending artery and righ" "Correct entity, wrong SNOMED ID","(8502, 8523)","(8502, 8523)",right coronary artery,right coronary artery,13647002,362037006,14280440-DS-8,"ages in your left anterior descending artery and right coronary artery. You were given a choice to consider having sten" "Correct entity, wrong SNOMED ID","(8569, 8582)","(8569, 8582)",stents placed,stents placed,428488008,235554006,14280440-DS-8,"tery. You were given a choice to consider having stents placed to open the blockages, or to have bypass surgery" "Correct entity, wrong SNOMED ID","(8595, 8604)","(8595, 8604)",blockages,blockages,2929001,246077006,14280440-DS-8,"oice to consider having stents placed to open the blockages, or to have bypass surgery. You were seen by Car" Wrong span,"(8625, 8632)","(8618, 8632)",surgery,bypass surgery,387713003,11127003,14280440-DS-8," placed to open the blockages, or to have bypass surgery. You were seen by Cardiac Surgery, and you and y" "Correct entity, wrong SNOMED ID","(8651, 8666)","(8651, 8666)",Cardiac Surgery,Cardiac Surgery,64915003,161625008,14280440-DS-8,"ges, or to have bypass surgery. You were seen by Cardiac Surgery, and you and your family decided to proceed with" "Correct entity, wrong SNOMED ID","(8717, 8730)","(8717, 8730)",heart surgery,heart surgery,64915003,2598006,14280440-DS-8," and you and your family decided to proceed with heart surgery. You had pre-op testing done when you were in th" Missed entity,"(8951, 8959)",,improved,,268910001,,14280440-DS-8,"ged: -Pravastatin was changed to Atorvastatin for improved treatment of your heart disease. Sent to pharmac" "Correct entity, wrong SNOMED ID","(8979, 8992)","(8979, 8992)",heart disease,heart disease,56265001,127337006,14280440-DS-8,"d to Atorvastatin for improved treatment of your heart disease. Sent to pharmacy -Lisinopril dose was decreased " "Correct entity, wrong SNOMED ID","(9159, 9164)","(9159, 9164)",heart,heart,80891009,226984005,14280440-DS-8,"succinate 75mg twice a day. (this will help your heart relax) Sent to pharmacy! -Started on imdur (isoso" Wrong span,"(9244, 9264)","(9244, 9246)","dilate your vessels",di,248493003,11038000,14280440-DS-8,"rted on imdur (isosorbide) 30mg daily (this helps dilate your vessels, and may alleviate your shortness of breath cause" "Correct entity, wrong SNOMED ID","(9289, 9308)","(9289, 9308)",shortness of breath,shortness of breath,267036007,135833008,14280440-DS-8,"elps dilate your vessels, and may alleviate your shortness of breath caused by your blocked coronary arteries.)Sent t" Wrong span,"(9325, 9350)","(9325, 9332)",blocked coronary arteries,blocked,63739005,277173008,14280440-DS-8,"lleviate your shortness of breath caused by your blocked coronary arteries.)Sent to pharmacy! -**5 days prior to surgery, st" "Correct entity, wrong SNOMED ID","(9389, 9396)","(9389, 9396)",surgery,surgery,387713003,110473004,14280440-DS-8,"ry arteries.)Sent to pharmacy! -**5 days prior to surgery, start mupirocin topical ointment,1 smear nasal " Missed entity,"(9440, 9445)",,nasal,,45206002,,14280440-DS-8,"urgery, start mupirocin topical ointment,1 smear nasal twice a day.** Sent to pharmacy. Your echocardio" "Correct entity, wrong SNOMED ID","(9485, 9499)","(9485, 9499)",echocardiogram,echocardiogram,40701008,105376000,14280440-DS-8,"mear nasal twice a day.** Sent to pharmacy. Your echocardiogram was similar to previous imaging done in ___ and " "Correct entity, wrong SNOMED ID","(9524, 9531)","(9524, 9531)",imaging,imaging,363679005,408574004,14280440-DS-8,"acy. Your echocardiogram was similar to previous imaging done in ___ and your heart valves were working f" "Correct entity, wrong SNOMED ID","(9554, 9566)","(9554, 9566)",heart valves,heart valves,17401000,41244000,14280440-DS-8,"similar to previous imaging done in ___ and your heart valves were working fine. It is very important to follo" "Correct entity, wrong SNOMED ID","(9628, 9636)","(9628, 9636)",Diabetes,Diabetes,73211009,9414007,14280440-DS-8,"g fine. It is very important to follow up at ___ Diabetes ___ with Dr. ___ tomorrow at 8:30AM I gave you " "Correct entity, wrong SNOMED ID","(9796, 9817)","(9796, 9817)",Activity restrictions,Activity restrictions,304673006,223434003,14280440-DS-8,"he Cardiac Surgery Team for additional time off. Activity restrictions and care of your wrist site will be included in " "Correct entity, wrong SNOMED ID","(9835, 9840)","(9835, 9840)",wrist,wrist,8205005,182405008,14280440-DS-8,"time off. Activity restrictions and care of your wrist site will be included in your discharge instruct" False positive,,"(314, 337)",,RIJ central line placed,,175852005,14631997-DS-13,"potension Major Surgical or Invasive Procedure: RIJ central line placed ___ ___ central line removed ___ History of Pr" False positive,,"(346, 366)",,central line removed,,10989301000119100,14631997-DS-13,"vasive Procedure: RIJ central line placed ___ ___ central line removed ___ History of Present Illness: ___ with pmhx " False positive,,"(416, 419)",,HIV,,19030005,14631997-DS-13," ___ History of Present Illness: ___ with pmhx HIV (CD4 362, VL<20 ___, chronic abdominal pain on o" False positive,,"(593, 602)",,systolics,,255236000,14631997-DS-13,"tension. At ___ noted found to be hypotensive to systolics in ___-70s. He was pallid in appearance and state" False positive,,"(716, 723)",,feeling,,439151001,14631997-DS-13,"t very poorly at that time. The patient endorsed feeling poorly, and said he had several falls which he a" False positive,,"(756, 761)",,falls,,279992002,14631997-DS-13,"endorsed feeling poorly, and said he had several falls which he attributes to the low BP. He has a hist" False positive,,"(790, 796)",,low BP,,472960000,14631997-DS-13," he had several falls which he attributes to the low BP. He has a history of many falls. Before the fall" False positive,,"(823, 828)",,falls,,279992002,14631997-DS-13,"ttributes to the low BP. He has a history of many falls. Before the falls yesterday there were no prodro" False positive,,"(842, 847)",,falls,,279992002,14631997-DS-13,"w BP. He has a history of many falls. Before the falls yesterday there were no prodromal symptoms. At ot" False positive,,"(972, 976)",,fall,,298344006,14631997-DS-13,"headed but this does not necessarily result in a fall. He has also had a cough and felt chills with low" False positive,,"(1023, 1046)",,"low grade temperatures",,762455001,14631997-DS-13,"all. He has also had a cough and felt chills with low grade temperatures of 99-100. He has chronic intermittent diarrhea/" False positive,,"(1212, 1219)",,low BPs,,472960000,14631997-DS-13,"o changes recently. The patient reports having low BPs, sometimes ___, without many symptoms. During mu" False positive,,"(1895, 1897)",,VS,,313611000,14631997-DS-13,"nsion and EtOH abuse treatment In ED initial VS: 97.5 88 82/59 16 96% RA. He was initially fluid" False positive,,"(1920, 1922)",,RA,,463051000124105,14631997-DS-13,"tment In ED initial VS: 97.5 88 82/59 16 96% RA. He was initially fluid responsive after 2L, tho" False positive,,"(1942, 1947)",,fluid,,25670009,14631997-DS-13,"al VS: 97.5 88 82/59 16 96% RA. He was initially fluid responsive after 2L, though became hypotensive ag" False positive,,"(2077, 2081)",,levo,,205769006,14631997-DS-13,"y due to oxycodone He as given 4L NS, peripheral levophed, vancomycin, cefepime. IJ CVL was placed. Im" False positive,,"(2087, 2097)",,vancomycin,,42082003,14631997-DS-13,"xycodone He as given 4L NS, peripheral levophed, vancomycin, cefepime. IJ CVL was placed. Imaging notable fo" False positive,,"(2112, 2115)",,CVL,,361736007,14631997-DS-13,"S, peripheral levophed, vancomycin, cefepime. IJ CVL was placed. Imaging notable for CXR showing hype" False positive,,"(2149, 2152)",,CXR,,399208008,14631997-DS-13,"cefepime. IJ CVL was placed. Imaging notable for CXR showing hyperinflated lungs without acute proces" False positive,,"(2309, 2312)",,HIV,,19030005,14631997-DS-13,"with vital signs WNL. Past Medical History: HIV ___ CD4 362 VL <20) ___ CD4 116) history of syphi" False positive,,"(2378, 2391)",,HSV genitalis,,402894005,14631997-DS-13,"<20) ___ CD4 116) history of syphilis, chlamydia, HSV genitalis, shingles history of c.diff colitis chronic pain" False positive,,"(2562, 2565)",,SBO,,727496008,14631997-DS-13,"ic constipation/diarrhea urinary retention recent SBO ___ diverticulosis cholelithiasis COPD right ingu" False positive,,"(2570, 2584)",,diverticulosis,,14011008,14631997-DS-13,"ipation/diarrhea urinary retention recent SBO ___ diverticulosis cholelithiasis COPD right inguinal hernia HTN his" False positive,,"(2932, 2945)",,postoperative,,1373687003,14631997-DS-13,"to probable CAD at age ___ mother died at age ___ postoperative after a brain surgery. Physical Exam: ADMISSIO" False positive,,"(3037, 3043)",,VITALS,,260390007,14631997-DS-13,"ADMISSION PHYSICAL EXAM: ======================== VITALS: Reviewed in Metavision GENERAL: Tremulous, ly" False positive,,"(3080, 3089)",,Tremulous,,247051009,14631997-DS-13,"====== VITALS: Reviewed in Metavision GENERAL: Tremulous, lying flat in bed, conversing easily, intermitt" False positive,,"(3091, 3108)",,lying flat in bed,,62744007,14631997-DS-13,"LS: Reviewed in Metavision GENERAL: Tremulous, lying flat in bed, conversing easily, intermittently wincing in pa" False positive,,"(3110, 3120)",,conversing,,288728001,14631997-DS-13,"avision GENERAL: Tremulous, lying flat in bed, conversing easily, intermittently wincing in pain HEENT:" False positive,,"(3145, 3148)",,win,,5127009,14631997-DS-13,"g flat in bed, conversing easily, intermittently wincing in pain HEENT: Sclera anicteric, MMM, orop" False positive,,"(3235, 3242)",,palpate,,1363582004,14631997-DS-13,"ic, MMM, oropharynx clear NECK: supple, no LAD palpated but tenderness to palpation in submandibular ch" False positive,,"(3276, 3289)",,submandibular,,5713008,14631997-DS-13,", no LAD palpated but tenderness to palpation in submandibular chain LUNGS: Clear to auscultation bilaterally" False positive,,"(3413, 3420)",,audible,,300199007,14631997-DS-13,"onchi CV: Very diminished heart sounds, barely audible to auscultation, no murmurs ABD: soft, diffus" False positive,,"(3510, 3513)",,LUQ,,816053001,14631997-DS-13,"ft, diffusely tender to palpation particularly in LUQ where area of mild ecchymosis is present, NABS " False positive,,"(3570, 3574)",,Cool,,298257001,14631997-DS-13," area of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossl" False positive,,"(3697, 3700)",,ACC,,243254006,14631997-DS-13,"ut, moving all extremities with purpose, PERRL ACCESS: R IJ, PIVs DISCHARGE PHYSICAL EXAM: ======" False positive,,"(3705, 3709)",,R IJ,,420274006,14631997-DS-13,"ng all extremities with purpose, PERRL ACCESS: R IJ, PIVs DISCHARGE PHYSICAL EXAM: ===============" False positive,,"(3711, 3715)",,PIVs,,406529000,14631997-DS-13," extremities with purpose, PERRL ACCESS: R IJ, PIVs DISCHARGE PHYSICAL EXAM: =====================" False positive,,"(3769, 3771)",,VS,,313611000,14631997-DS-13,"DISCHARGE PHYSICAL EXAM: ======================== VS: 98.7 101/56 65 18 96%RA GENERAL: pale gentlem" False positive,,"(3809, 3813)",,pale,,167234002,14631997-DS-13,"========= VS: 98.7 101/56 65 18 96%RA GENERAL: pale gentleman in NAD, lying flat in bed, conversing " False positive,,"(3827, 3830)",,NAD,,131143000,14631997-DS-13," 101/56 65 18 96%RA GENERAL: pale gentleman in NAD, lying flat in bed, conversing easily HEENT: " False positive,,"(3832, 3837)",,lying,,32185000,14631997-DS-13,"56 65 18 96%RA GENERAL: pale gentleman in NAD, lying flat in bed, conversing easily HEENT: Sclera " False positive,,"(3873, 3878)",,HEENT,,113665002,14631997-DS-13," in NAD, lying flat in bed, conversing easily HEENT: Sclera anicteric, MMM, oropharynx clear NECK:" False positive,,"(3898, 3901)",,MMM,,258673006,14631997-DS-13,"d, conversing easily HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD palpate" False positive,,"(3923, 3927)",,NECK,,229320006,14631997-DS-13,"HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD palpated but tenderness to palpat" False positive,,"(3929, 3935)",,supple,,169743001,14631997-DS-13," Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD palpated but tenderness to palpation in " False positive,,"(3985, 3998)",,submandibular,,5713008,14631997-DS-13,", no LAD palpated but tenderness to palpation in submandibular chain LUNGS: Clear to auscultation bilaterally" False positive,,"(4070, 4077)",,rhonchi,,24612001,14631997-DS-13," to auscultation bilaterally, no wheezes, rales, rhonchi CV: RRR, nl s1/s2 without m/r/g ABD: soft, " False positive,,"(4081, 4083)",,CV,,258773002,14631997-DS-13,"ation bilaterally, no wheezes, rales, rhonchi CV: RRR, nl s1/s2 without m/r/g ABD: soft, diffus" False positive,,"(4090, 4095)",,nl s1,,27273002,14631997-DS-13,"aterally, no wheezes, rales, rhonchi CV: RRR, nl s1/s2 without m/r/g ABD: soft, diffusely tender t" False positive,,"(4220, 4224)",,NABS,,7992005,14631997-DS-13,"in LUQ where area of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema " False positive,,"(4233, 4237)",,Cool,,298257001,14631997-DS-13," area of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossl" False positive,,"(4581, 4585)",,Baso,,386561000,14631997-DS-13,"_ 03:35PM BLOOD Neuts-42.0 ___ Monos-6.0 Eos-3.8 Baso-0.5 Im ___ AbsNeut-1.75 AbsLymp-1.98 AbsMono-0.25" False positive,,"(5367, 5368)",,R,,420274006,14631997-DS-13,"Y {YEAST} INPATIENT ___ SPUTUM GRAM STAIN-FINAL; RESPIRATORY CULTURE-FINAL INPATIENT ___ BLOOD CUL" False positive,,"(5473, 5478)",,URINE,,78888000,14631997-DS-13,"Blood Culture, Routine-FINAL EMERGENCY WARD ___ URINE URINE CULTURE-FINAL {ESCHERICHIA COLI} EMERGENCY" False positive,,"(5763, 5764)",,B,,257983009,14631997-DS-13,"& LAT) No acute cardiopulmonary abnormality. ___BD & PELVIS WITH CO 1. No specific evidence of inf" False positive,,"(5920, 5939)",,fluid resuscitation,,281800008,14631997-DS-13," of the mesentery without ascites is likely from fluid resuscitation. 3. Two gallstones in a nondistended gallbladder" False positive,,"(5996, 6008)",,"no evidence",,41647002,14631997-DS-13,"wo gallstones in a nondistended gallbladder, with no evidence of cholecystitis. ___ Imaging DX CHEST PORT LI" False positive,,"(6061, 6062)",,T,,257998006,14631997-DS-13," cholecystitis. ___ Imaging DX CHEST PORT LINE/TUBE Interval placement of a right internal jugula" False positive,,"(6091, 6096)",,right,,225794002,14631997-DS-13," DX CHEST PORT LINE/TUBE Interval placement of a right internal jugular venous catheter, its tip termi" False positive,,"(6213, 6227)",,Cardiovascular,,113257007,14631997-DS-13,"pper superior vena cava. No pneumothorax. ___ Cardiovascular ECHO Normal biventricular cavity sizes with pres" False positive,,"(6228, 6232)",,ECHO,,40701008,14631997-DS-13,"ena cava. No pneumothorax. ___ Cardiovascular ECHO Normal biventricular cavity sizes with preserved" False positive,,"(6273, 6335)",,"preserved regional and global biventricular systolic function",,472776004,14631997-DS-13,"ular ECHO Normal biventricular cavity sizes with preserved regional and global biventricular systolic function. Mildly dilated ascending aorta. No valvular pat" False positive,,"(6337, 6339)",,Mi,,22298006,14631997-DS-13,"onal and global biventricular systolic function. Mildly dilated ascending aorta. No valvular patholo" False positive,,"(6373, 6381)",,valvular,,10337008,14631997-DS-13,"lic function. Mildly dilated ascending aorta. No valvular pathology or pathologic flow identified. Compared" False positive,,"(6395, 6399)",,path,,1162554003,14631997-DS-13,"ilated ascending aorta. No valvular pathology or pathologic flow identified. Compared with the prior st" False positive,,"(6626, 6634)",,vascular,,238460009,14631997-DS-13," there is little interval change. No pneumonia, vascular congestion, or pleural effusion. Right IJ cathe" False positive,,"(6670, 6687)",,Right IJ catheter,,40403005,14631997-DS-13,"onia, vascular congestion, or pleural effusion. Right IJ catheter again extends to the midportion of the SVC. DI" False positive,,"(6728, 6731)",,SVC,,281596000,14631997-DS-13," catheter again extends to the midportion of the SVC. DISCAHRGE LABS: =============== ___ 05:41AM BL" False positive,,"(6785, 6788)",,WBC,,391558003,14631997-DS-13,"DISCAHRGE LABS: =============== ___ 05:41AM BLOOD WBC-5.7 RBC-2.87* Hgb-9.8* Hct-29.3* MCV-102* MCH-34" False positive,,"(6942, 6944)",,Cl,,311741002,14631997-DS-13," BLOOD Glucose-87 UreaN-8 Creat-1.0 Na-143 K-3.5 Cl-109* HCO3-24 AnGap-14 ___ 04:22AM BLOOD ALT-11 AS" False positive,,"(7002, 7005)",,LDH,,67568008,14631997-DS-13,"O3-24 AnGap-14 ___ 04:22AM BLOOD ALT-11 AST-26 LD(LDH)-164 AlkPhos-67 TotBili-0.3 ___ 05:41AM BLOOD Ca" False positive,,"(7023, 7030)",,TotBili,,424388002,14631997-DS-13,":22AM BLOOD ALT-11 AST-26 LD(LDH)-164 AlkPhos-67 TotBili-0.3 ___ 05:41AM BLOOD Calcium-8.8 Phos-2.8 Mg-2._" False positive,,"(7093, 7096)",,HIV,,19030005,14631997-DS-13,"1AM BLOOD Calcium-8.8 Phos-2.8 Mg-2.___ with pmhx HIV (CD4 362, VL<20 ___, chronic abdominal pain on o" False positive,,"(7315, 7322)",,alcohol,,219006,14631997-DS-13,"ted to medication side effect in combination with alcohol vs. underlying autonomic dysfunction. MICU Cou" False positive,,"(7616, 7622)",,stable,,301459008,14631997-DS-13,"sers immediately after coming to the MICU and was stable. After taking his medications in the morning he " False positive,,"(7642, 7653)",,medications,,182837001,14631997-DS-13,"ing to the MICU and was stable. After taking his medications in the morning he did drop his blood pressures a" False positive,,"(7728, 7739)",,fluid bolus,,431393006,14631997-DS-13,"op his blood pressures and was ultimately needed fluid bolus and the restarting of pressers. Pressors were ag" False positive,,"(7749, 7756)",,restart,,182837001,14631997-DS-13,"es and was ultimately needed fluid bolus and the restarting of pressers. Pressors were again switched off " False positive,,"(7823, 7829)",,stable,,301459008,14631997-DS-13,"Pressors were again switched off and he remained stable. He was called out and discharged to the floor o" False positive,,"(7962, 7967)",,neuro,,281247006,14631997-DS-13,"s hypotensive episodes are more likely autonomic/neurologic or medication related or cardiac and unlike" False positive,,"(7976, 7986)",,medication,,182837001,14631997-DS-13,"episodes are more likely autonomic/neurologic or medication related or cardiac and unlikely related to infec" False positive,,"(7999, 8006)",,cardiac,,71892000,14631997-DS-13,"ly autonomic/neurologic or medication related or cardiac and unlikely related to infection. Upon transfer" False positive,,"(8180, 8196)",,pain medications,,52685006,14631997-DS-13,"e regimen, and suggested patient resume his home pain medications. Patient was monitored on this regimen, and rema" False positive,,"(8229, 8236)",,regimen,,55053003,14631997-DS-13," pain medications. Patient was monitored on this regimen, and remained stable hemodynamically. # Hypotens" False positive,,"(8251, 8257)",,stable,,301459008,14631997-DS-13,"ient was monitored on this regimen, and remained stable hemodynamically. # Hypotension: Intermittent hy" False positive,,"(8258, 8273)",,hemodynamically,,128576006,14631997-DS-13,"s monitored on this regimen, and remained stable hemodynamically. # Hypotension: Intermittent hypotension most l" False positive,,"(8427, 8437)",,infectious,,366971000119100,14631997-DS-13," dysfunction in the setting of HIV infection. No infectious symptoms, though treated for UTI given E. coli b" False positive,,"(8467, 8470)",,UTI,,4009004,14631997-DS-13,"ction. No infectious symptoms, though treated for UTI given E. coli becteruria. Patient completed a 3 " False positive,,"(8486, 8496)",,becteruria,,25688001,14631997-DS-13,"s symptoms, though treated for UTI given E. coli becteruria. Patient completed a 3 day course of ceftriaxone" False positive,,"(8551, 8554)",,UTI,,4009004,14631997-DS-13,"ient completed a 3 day course of ceftriaxone for UTI. Patient was initially treated for possible CAP " False positive,,"(8600, 8603)",,CAP,,6982005,14631997-DS-13," UTI. Patient was initially treated for possible CAP with ctx/azithro, though no evidence of infiltrat" False positive,,"(8629, 8640)",,no evidence,,41647002,14631997-DS-13,"reated for possible CAP with ctx/azithro, though no evidence of infiltrate on CXR, and CAP course was abbrevi" False positive,,"(8658, 8661)",,CXR,,399208008,14631997-DS-13," ctx/azithro, though no evidence of infiltrate on CXR, and CAP course was abbreviated. Endocrine worku" False positive,,"(8668, 8671)",,CAP,,6982005,14631997-DS-13,"ro, though no evidence of infiltrate on CXR, and CAP course was abbreviated. Endocrine workup negative" False positive,,"(8696, 8705)",,Endocrine,,447241003,14631997-DS-13,"filtrate on CXR, and CAP course was abbreviated. Endocrine workup negative for adrenal insufficiency. Patie" False positive,,"(8944, 8947)",,HIV,,19030005,14631997-DS-13,"e hypotension. Autonomic neuropathy is common in HIV, and occurs more commonly with increasing burden" False positive,,"(9104, 9116)",,Chronic pain,,737305006,14631997-DS-13,"up to address possible autonomic dysfunction. # Chronic pain/opioid use: Upon admission, many of home pain med" False positive,,"(9117, 9127)",,opioid use,,1336051006,14631997-DS-13," possible autonomic dysfunction. # Chronic pain/opioid use: Upon admission, many of home pain medications we" False positive,,"(9158, 9174)",,pain medications,,52685006,14631997-DS-13,"nic pain/opioid use: Upon admission, many of home pain medications were held out of concern for contribution to hyp" False positive,,"(9351, 9363)",,chronic pain,,737305006,14631997-DS-13,"h did not provide adequate analgesia. Spoke with chronic pain, who noted that home opioids, tizanidine, and ly" False positive,,"(9507, 9514)",,regimen,,405117005,14631997-DS-13,"o cause hypotension. Patient was resumed on home regimen without new prescriptions. Upon review of records" False positive,,"(9547, 9553)",,review,,107728002,14631997-DS-13," on home regimen without new prescriptions. Upon review of records, PCP was reluctant to continue to pre" False positive,,"(9651, 9662)",,alcohol use,,713127001,14631997-DS-13,"rescribe opioids going forward, given concurrent alcohol use. Patient was encouraged to abstain from alcohol," False positive,,"(9704, 9711)",,alcohol,,219006,14631997-DS-13,"ohol use. Patient was encouraged to abstain from alcohol, and expressed understanding. He has follow-up a" False positive,,"(9789, 9808)",,chronic pain clinic,,702840008,14631997-DS-13,"g. He has follow-up arranged with PCP as well as chronic pain clinic next week. # Alcohol use: Last drink AM ___. N" False positive,,"(9824, 9835)",,Alcohol use,,704198001,14631997-DS-13,"PCP as well as chronic pain clinic next week. # Alcohol use: Last drink AM ___. No history of withdrawal sei" False positive,,"(9871, 9890)",,withdrawal seizures,,1363255006,14631997-DS-13," # Alcohol use: Last drink AM ___. No history of withdrawal seizures. Patient was monitored on CIWA scale, and was co" False positive,,"(9918, 9928)",,CIWA scale,,273931002,14631997-DS-13,"of withdrawal seizures. Patient was monitored on CIWA scale, and was continue on home clonazepam for anxiety" False positive,,"(9999, 10002)",,HIV,,19030005,14631997-DS-13," home clonazepam for anxiety. CHRONIC ISSUES # HIV: continued Triumeq (abacavir-dolutegravir-lamivud" False positive,,"(10168, 10178)",,lisinopril,,108575001,14631997-DS-13,"nued miralax, bisacodyl, senna # HTN: Held home lisinopril and Lasix # Anxiety: Continue ClonazePAM 0.5 mg " False positive,,"(10183, 10188)",,Lasix,,25401000181106,14631997-DS-13,"isacodyl, senna # HTN: Held home lisinopril and Lasix # Anxiety: Continue ClonazePAM 0.5 mg PO/NG TID:" False positive,,"(10319, 10324)",,Lasix,,25401000181106,14631997-DS-13,"NSITIONAL ISSUES: ===================== [ ] HELD: Lasix, lisinopril, and tamsulosin during admission(and " False positive,,"(10326, 10327)",,l,,420296000,14631997-DS-13,"AL ISSUES: ===================== [ ] HELD: Lasix, lisinopril, and tamsulosin during admission(and DI" False positive,,"(10657, 10664)",,alcohol,,219006,14631997-DS-13,"[ ] Continue to encourage patient to abstain from alcohol [ ] Autonomics testing with neurology [ ] Encoura" False positive,,"(10669, 10679)",,Autonomics,,24637006,14631997-DS-13," to encourage patient to abstain from alcohol [ ] Autonomics testing with neurology [ ] Encourage patient to c" False positive,,"(10751, 10771)",,"chronic pain clinic",,702840008,14631997-DS-13,"y [ ] Encourage patient to continue being seen in chronic pain clinic Medications on Admission: The Preadmission Medi" False positive,,"(12756, 12766)",,opioid use,,1336051006,14631997-DS-13,"n Secondary Diagnoses: Chronic pain Chronic pain/opioid use Alcohol use HIV Chronic constipation/diarrhea hyp" False positive,,"(12767, 12778)",,Alcohol use,,704198001,14631997-DS-13,"y Diagnoses: Chronic pain Chronic pain/opioid use Alcohol use HIV Chronic constipation/diarrhea hypertension an" False positive,,"(12779, 12782)",,HIV,,19030005,14631997-DS-13," Chronic pain Chronic pain/opioid use Alcohol use HIV Chronic constipation/diarrhea hypertension anxiet" False positive,,"(12873, 12878)",,Clear,,281278005,14631997-DS-13,"on anxiety Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" False positive,,"(12940, 12955)",,Activity Status,,397622007,14631997-DS-13,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" False positive,,"(13352, 13368)",,pain medications,,52685006,14631997-DS-13,"or this urinary infection. We also reviewed your pain medications, and ultimately resumed your home doses, but enc" False positive,,"(13516, 13535)",,chronic pain clinic,,702840008,14631997-DS-13,"up with your primary care doctor as well as your chronic pain clinic. Another possible cause of your low blood press" False positive,,"(13611, 13632)",,autonomic dysfunction,,230659005,14631997-DS-13," of your low blood pressure is something called ""autonomic dysfunction."" This can occur in people with HIV, and it is c" False positive,,"(13666, 13669)",,HIV,,19030005,14631997-DS-13,"omic dysfunction."" This can occur in people with HIV, and it is caused by a problem with the nerves th" False positive,,"(13827, 13834)",,testing,,34118006,14631997-DS-13," are recommending that you see a neurologist for testing to further evaluate this. It was a pleasure ca" "Correct entity, wrong SNOMED ID","(202, 224)","(202, 224)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,14631997-DS-13,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: hypotension " "Correct entity, wrong SNOMED ID","(441, 464)","(441, 464)","chronic abdominal pain","chronic abdominal pain",111985007,444746004,14631997-DS-13,"t Illness: ___ with pmhx HIV (CD4 362, VL<20 ___, chronic abdominal pain on opiates and EtOH abuse who presents from ___ o" "Correct entity, wrong SNOMED ID","(480, 490)","(480, 490)",EtOH abuse,EtOH abuse,15167005,268645007,14631997-DS-13,"VL<20 ___, chronic abdominal pain on opiates and EtOH abuse who presents from ___ office for evaluation of h" "Correct entity, wrong SNOMED ID","(525, 535)","(525, 535)",evaluation,evaluation,386053000,39609006,14631997-DS-13," and EtOH abuse who presents from ___ office for evaluation of hypotension. At ___ noted found to be hypotens" "Correct entity, wrong SNOMED ID","(577, 588)","(577, 588)",hypotensive,hypotensive,45007003,372740001,14631997-DS-13,"aluation of hypotension. At ___ noted found to be hypotensive to systolics in ___-70s. He was pallid in appear" "Correct entity, wrong SNOMED ID","(917, 928)","(917, 928)",lightheaded,lightheaded,386705008,1354698007,14631997-DS-13,"e no prodromal symptoms. At other times he feels lightheaded but this does not necessarily result in a fall. " "Correct entity, wrong SNOMED ID","(996, 1001)","(996, 1001)",cough,cough,49727002,28743005,14631997-DS-13," necessarily result in a fall. He has also had a cough and felt chills with low grade temperatures of 9" "Correct entity, wrong SNOMED ID","(1011, 1017)","(1011, 1017)",chills,chills,43724002,274640006,14631997-DS-13,"sult in a fall. He has also had a cough and felt chills with low grade temperatures of 99-100. He has ch" Missed entity,"(1087, 1095)",,diarrhea,,62315008,,14631997-DS-13,"peratures of 99-100. He has chronic intermittent diarrhea/constipation, and urinary frequency/retention bot" "Correct entity, wrong SNOMED ID","(1096, 1108)","(1096, 1108)",constipation,constipation,14760008,236069009,14631997-DS-13," of 99-100. He has chronic intermittent diarrhea/constipation, and urinary frequency/retention both of which h" Missed entity,"(1132, 1141)",,retention,,267064002,,14631997-DS-13,"ent diarrhea/constipation, and urinary frequency/retention both of which had no changes recently. The pa" Wrong span,"(1314, 1326)","(1314, 1338)",asymptomatic,asymptomatic hypotension,84387000,408667000,14631997-DS-13,"ng multiple prior admissions he has had bouts of asymptomatic hypotension without signs of tissue hypoperfusio" Wrong span,"(1327, 1338)","(1314, 1338)",hypotension,asymptomatic hypotension,45007003,408667000,14631997-DS-13,"rior admissions he has had bouts of asymptomatic hypotension without signs of tissue hypoperfusion that was n" "Correct entity, wrong SNOMED ID","(1347, 1352)","(1347, 1352)",signs,signs,72670004,86631001,14631997-DS-13,"as had bouts of asymptomatic hypotension without signs of tissue hypoperfusion that was not thought to " Wrong span,"(1356, 1362)","(1356, 1377)",tissue,"tissue hypoperfusion",85756007,5006002,14631997-DS-13,"uts of asymptomatic hypotension without signs of tissue hypoperfusion that was not thought to be in shoc" "Correct entity, wrong SNOMED ID","(1408, 1413)","(1408, 1413)",shock,shock,27942005,76571007,14631997-DS-13,"ssue hypoperfusion that was not thought to be in shock of any etiology. Etiology was attributed to medi" Wrong span,"(1459, 1482)","(1459, 1469)",medication side effects,medication,401207004,182837001,14631997-DS-13,"hock of any etiology. Etiology was attributed to medication side effects. Chart review shows inpatient BPs at the last ad" Missed entity,"(1485, 1497)",,Chart review,,107728002,,14631997-DS-13,"ology was attributed to medication side effects. Chart review shows inpatient BPs at the last admission ranging" "Correct entity, wrong SNOMED ID","(1688, 1692)","(1688, 1692)",pain,pain,22253000,102570003,14631997-DS-13,"lease morphine at home which has not treated his pain adequately, so he has been supplementing with 50" "Correct entity, wrong SNOMED ID","(1855, 1865)","(1855, 1865)",EtOH abuse,EtOH abuse,15167005,268645007,14631997-DS-13," by PCP to ___ for management of hypotension and EtOH abuse treatment In ED initial VS: 97.5 88 82/59 16" "Correct entity, wrong SNOMED ID","(1983, 1994)","(1983, 1994)",hypotensive,hypotensive,45007003,372740001,14631997-DS-13,"itially fluid responsive after 2L, though became hypotensive again. ED staff thought possibly due to oxycodon" "Correct entity, wrong SNOMED ID","(2129, 2136)","(2129, 2136)",Imaging,Imaging,363679005,408574004,14631997-DS-13,"vophed, vancomycin, cefepime. IJ CVL was placed. Imaging notable for CXR showing hyperinflated lungs witho" Wrong span,"(2175, 2180)","(2161, 2180)",lungs,hyperinflated lungs,39607008,249674001,14631997-DS-13,"d. Imaging notable for CXR showing hyperinflated lungs without acute process. On arrival to the MI" "Correct entity, wrong SNOMED ID","(2264, 2276)","(2264, 2276)","vital signs","vital signs",118227000,410189008,14631997-DS-13,"rrival to the MICU, he was still on levophed with vital signs WNL. Past Medical History: HIV ___ CD4 362 V" "Correct entity, wrong SNOMED ID","(2357, 2365)","(2357, 2365)",syphilis,syphilis,76272004,232313005,14631997-DS-13,": HIV ___ CD4 362 VL <20) ___ CD4 116) history of syphilis, chlamydia, HSV genitalis, shingles history of c." "Correct entity, wrong SNOMED ID","(2367, 2376)","(2367, 2376)",chlamydia,chlamydia,105629000,264405000,14631997-DS-13,"CD4 362 VL <20) ___ CD4 116) history of syphilis, chlamydia, HSV genitalis, shingles history of c.diff coliti" "Correct entity, wrong SNOMED ID","(2393, 2401)","(2393, 2401)",shingles,shingles,4740000,1078254009,14631997-DS-13,"6) history of syphilis, chlamydia, HSV genitalis, shingles history of c.diff colitis chronic pain syndrome " "Correct entity, wrong SNOMED ID","(2429, 2450)","(2429, 2450)",chronic pain syndrome,chronic pain syndrome,373621006,115491000119105,14631997-DS-13,"SV genitalis, shingles history of c.diff colitis chronic pain syndrome essential tremor Anxiety chronic insomnia ?fibrom" "Correct entity, wrong SNOMED ID","(2451, 2467)","(2451, 2467)",essential tremor,essential tremor,609558009,609559001,14631997-DS-13," history of c.diff colitis chronic pain syndrome essential tremor Anxiety chronic insomnia ?fibromyalgia chronic co" "Correct entity, wrong SNOMED ID","(2468, 2475)","(2468, 2475)",Anxiety,Anxiety,48694002,286644009,14631997-DS-13,"f colitis chronic pain syndrome essential tremor Anxiety chronic insomnia ?fibromyalgia chronic constipati" "Correct entity, wrong SNOMED ID","(2494, 2506)","(2494, 2506)",fibromyalgia,fibromyalgia,203082005,95417003,14631997-DS-13,"ndrome essential tremor Anxiety chronic insomnia ?fibromyalgia chronic constipation/diarrhea urinary retention r" "Correct entity, wrong SNOMED ID","(2528, 2536)","(2528, 2536)",diarrhea,diarrhea,236071009,111843007,14631997-DS-13,"ronic insomnia ?fibromyalgia chronic constipation/diarrhea urinary retention recent SBO ___ diverticulosis c" "Correct entity, wrong SNOMED ID","(2537, 2554)","(2537, 2554)",urinary retention,urinary retention,267064002,236648008,14631997-DS-13,"omnia ?fibromyalgia chronic constipation/diarrhea urinary retention recent SBO ___ diverticulosis cholelithiasis COPD" "Correct entity, wrong SNOMED ID","(2585, 2599)","(2585, 2599)",cholelithiasis,cholelithiasis,266474003,407637009,14631997-DS-13,"a urinary retention recent SBO ___ diverticulosis cholelithiasis COPD right inguinal hernia HTN history of chronic" "Correct entity, wrong SNOMED ID","(2600, 2604)","(2600, 2604)",COPD,COPD,13645005,48347002,14631997-DS-13,"tion recent SBO ___ diverticulosis cholelithiasis COPD right inguinal hernia HTN history of chronic bowe" "Correct entity, wrong SNOMED ID","(2605, 2626)","(2605, 2626)",right inguinal hernia,right inguinal hernia,236021006,15971901000119100,14631997-DS-13,"recent SBO ___ diverticulosis cholelithiasis COPD right inguinal hernia HTN history of chronic bowel discomfort, constipa" "Correct entity, wrong SNOMED ID","(2627, 2630)","(2627, 2630)",HTN,HTN,38341003,10725009,14631997-DS-13,"culosis cholelithiasis COPD right inguinal hernia HTN history of chronic bowel discomfort, constipation" Wrong span,"(2650, 2655)","(2642, 2666)",bowel,chronic bowel discomfort,113276009,197120000,14631997-DS-13,"COPD right inguinal hernia HTN history of chronic bowel discomfort, constipation/diarrhea, currently und" Wrong span,"(2656, 2666)","(2642, 2666)",discomfort,chronic bowel discomfort,247347003,197120000,14631997-DS-13,"ight inguinal hernia HTN history of chronic bowel discomfort, constipation/diarrhea, currently undergoing out" "Correct entity, wrong SNOMED ID","(2668, 2680)","(2668, 2680)",constipation,constipation,14760008,713115004,14631997-DS-13,"l hernia HTN history of chronic bowel discomfort, constipation/diarrhea, currently undergoing outpatient work u" "Correct entity, wrong SNOMED ID","(2681, 2689)","(2681, 2689)",diarrhea,diarrhea,62315008,111843007,14631997-DS-13,"history of chronic bowel discomfort, constipation/diarrhea, currently undergoing outpatient work up in ___ " Missed entity,"(2751, 2759)",,SURGICAL,,387713003,,14631997-DS-13," undergoing outpatient work up in ___ clinic PAST SURGICAL HISTORY: Remarkable for appendectomy and testicul" "Correct entity, wrong SNOMED ID","(2784, 2796)","(2784, 2796)",appendectomy,appendectomy,80146002,6025007,14631997-DS-13," ___ clinic PAST SURGICAL HISTORY: Remarkable for appendectomy and testicular surgery. Social History: ___ Fam" "Correct entity, wrong SNOMED ID","(2801, 2819)","(2801, 2819)",testicular surgery,testicular surgery,71657006,176397001,14631997-DS-13,"SURGICAL HISTORY: Remarkable for appendectomy and testicular surgery. Social History: ___ Family History: father hav" "Correct entity, wrong SNOMED ID","(2894, 2897)","(2894, 2897)",CAD,CAD,53741008,84270004,14631997-DS-13,"amily History: father having died due to probable CAD at age ___ mother died at age ___ postoperative a" "Correct entity, wrong SNOMED ID","(2954, 2967)","(2954, 2967)",brain surgery,brain surgery,1417002,62446008,14631997-DS-13," ___ mother died at age ___ postoperative after a brain surgery. Physical Exam: ADMISSION PHYSICAL EXAM: =====" "Correct entity, wrong SNOMED ID","(2997, 3010)","(2997, 3010)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,14631997-DS-13,"fter a brain surgery. Physical Exam: ADMISSION PHYSICAL EXAM: ======================== VITALS: Reviewed in Met" "Correct entity, wrong SNOMED ID","(3071, 3078)","(3071, 3078)",GENERAL,GENERAL,162673000,252398009,14631997-DS-13,"=============== VITALS: Reviewed in Metavision GENERAL: Tremulous, lying flat in bed, conversing easily," "Correct entity, wrong SNOMED ID","(3156, 3160)","(3156, 3160)",pain,pain,22253000,102570003,14631997-DS-13,"ed, conversing easily, intermittently wincing in pain HEENT: Sclera anicteric, MMM, oropharynx clear" "Correct entity, wrong SNOMED ID","(3164, 3169)","(3164, 3169)",HEENT,HEENT,5880005,113665002,14631997-DS-13,"ersing easily, intermittently wincing in pain HEENT: Sclera anicteric, MMM, oropharynx clear NECK:" "Correct entity, wrong SNOMED ID","(3171, 3187)","(3171, 3187)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,14631997-DS-13,"easily, intermittently wincing in pain HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD pa" "Correct entity, wrong SNOMED ID","(3189, 3192)","(3189, 3192)",MMM,MMM,276398005,258673006,14631997-DS-13,"ently wincing in pain HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD palpate" Wrong span,"(3194, 3204)","(3194, 3210)",oropharynx,oropharynx clear,300280008,426547004,14631997-DS-13," wincing in pain HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD palpated but tender" "Correct entity, wrong SNOMED ID","(3214, 3218)","(3214, 3218)",NECK,NECK,5880005,229320006,14631997-DS-13,"HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD palpated but tenderness to palpat" "Correct entity, wrong SNOMED ID","(3220, 3226)","(3220, 3226)",supple,supple,298475003,169743001,14631997-DS-13," Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD palpated but tenderness to palpation in " "Correct entity, wrong SNOMED ID","(3231, 3234)","(3231, 3234)",LAD,LAD,30746006,1010291002,14631997-DS-13,"cteric, MMM, oropharynx clear NECK: supple, no LAD palpated but tenderness to palpation in submandi" "Correct entity, wrong SNOMED ID","(3248, 3258)","(3248, 3258)",tenderness,tenderness,247348008,43478001,14631997-DS-13,"harynx clear NECK: supple, no LAD palpated but tenderness to palpation in submandibular chain LUNGS: Cl" "Correct entity, wrong SNOMED ID","(3262, 3271)","(3262, 3271)",palpation,palpation,113011001,51558006,14631997-DS-13," NECK: supple, no LAD palpated but tenderness to palpation in submandibular chain LUNGS: Clear to auscul" "Correct entity, wrong SNOMED ID","(3299, 3304)","(3299, 3304)",LUNGS,LUNGS,268925001,74101002,14631997-DS-13,"enderness to palpation in submandibular chain LUNGS: Clear to auscultation bilaterally, no wheezes, r" "Correct entity, wrong SNOMED ID","(3344, 3351)","(3344, 3351)",wheezes,wheezes,56018004,9763007,14631997-DS-13,"n LUNGS: Clear to auscultation bilaterally, no wheezes, rales, rhonchi CV: Very diminished heart sou" "Correct entity, wrong SNOMED ID","(3353, 3358)","(3353, 3358)",rales,rales,48409008,31846006,14631997-DS-13,"S: Clear to auscultation bilaterally, no wheezes, rales, rhonchi CV: Very diminished heart sounds, ba" "Correct entity, wrong SNOMED ID","(3372, 3374)","(3372, 3374)",CV,CV,363003006,258773002,14631997-DS-13,"ation bilaterally, no wheezes, rales, rhonchi CV: Very diminished heart sounds, barely audible to " Missed entity,"(3425, 3437)",,auscultation,,37931006,,14631997-DS-13," Very diminished heart sounds, barely audible to auscultation, no murmurs ABD: soft, diffusely tender to pal" "Correct entity, wrong SNOMED ID","(3442, 3449)","(3442, 3449)",murmurs,murmurs,414786004,248699005,14631997-DS-13,"heart sounds, barely audible to auscultation, no murmurs ABD: soft, diffusely tender to palpation parti" "Correct entity, wrong SNOMED ID","(3453, 3456)","(3453, 3456)",ABD,ABD,225162003,60728008,14631997-DS-13,"s, barely audible to auscultation, no murmurs ABD: soft, diffusely tender to palpation particularly" "Correct entity, wrong SNOMED ID","(3474, 3480)","(3474, 3480)",tender,tender,43478001,300821004,14631997-DS-13," auscultation, no murmurs ABD: soft, diffusely tender to palpation particularly in LUQ where area of m" "Correct entity, wrong SNOMED ID","(3484, 3493)","(3484, 3493)",palpation,palpation,113011001,51558006,14631997-DS-13,"ion, no murmurs ABD: soft, diffusely tender to palpation particularly in LUQ where area of mild ecchymosi" "Correct entity, wrong SNOMED ID","(3534, 3544)","(3534, 3544)",ecchymosis,ecchymosis,302227002,1156411007,14631997-DS-13,"palpation particularly in LUQ where area of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyan" "Correct entity, wrong SNOMED ID","(3557, 3561)","(3557, 3561)",NABS,NABS,61539000,7992005,14631997-DS-13,"in LUQ where area of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema " "Correct entity, wrong SNOMED ID","(3565, 3568)","(3565, 3568)",EXT,EXT,302773001,1489008,14631997-DS-13,"where area of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: " "Correct entity, wrong SNOMED ID","(3576, 3585)","(3576, 3585)",2+ pulses,2+ pulses,40969002,429784004,14631997-DS-13,"of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossly ___ stren" "Correct entity, wrong SNOMED ID","(3590, 3598)","(3590, 3598)",cyanosis,cyanosis,3415004,95442007,14631997-DS-13,"osis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossly ___ strength throughou" "Correct entity, wrong SNOMED ID","(3602, 3607)","(3602, 3607)",edema,edema,267038008,102576009,14631997-DS-13,"ent, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossly ___ strength throughout, moving" "Correct entity, wrong SNOMED ID","(3611, 3616)","(3611, 3616)",NEURO,NEURO,84728005,281247006,14631997-DS-13," EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossly ___ strength throughout, moving all extr" Wrong span,"(3658, 3673)","(3651, 3673)",all extremities,moving all extremities,2592007,284138009,14631997-DS-13," NEURO: Grossly ___ strength throughout, moving all extremities with purpose, PERRL ACCESS: R IJ, PIVs DISC" "Correct entity, wrong SNOMED ID","(3689, 3694)","(3689, 3694)",PERRL,PERRL,386666001,431291005,14631997-DS-13,"throughout, moving all extremities with purpose, PERRL ACCESS: R IJ, PIVs DISCHARGE PHYSICAL EXAM: " "Correct entity, wrong SNOMED ID","(3794, 3796)","(3794, 3796)",RA,RA,722742002,463051000124105,14631997-DS-13,"======================== VS: 98.7 101/56 65 18 96%RA GENERAL: pale gentleman in NAD, lying flat in " Wrong span,"(3804, 3806)","(3800, 3807)",RA,GENERAL,722742002,252398009,14631997-DS-13,"============== VS: 98.7 101/56 65 18 96%RA GENERAL: pale gentleman in NAD, lying flat in bed, conve" "Correct entity, wrong SNOMED ID","(3880, 3896)","(3880, 3896)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,14631997-DS-13,", lying flat in bed, conversing easily HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD pa" Wrong span,"(3903, 3913)","(3903, 3919)",oropharynx,oropharynx clear,31389004,426547004,14631997-DS-13,"nversing easily HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, no LAD palpated but tender" "Correct entity, wrong SNOMED ID","(3940, 3943)","(3940, 3943)",LAD,LAD,30746006,1010291002,14631997-DS-13,"cteric, MMM, oropharynx clear NECK: supple, no LAD palpated but tenderness to palpation in submandi" "Correct entity, wrong SNOMED ID","(3957, 3967)","(3957, 3967)",tenderness,tenderness,309522006,43478001,14631997-DS-13,"harynx clear NECK: supple, no LAD palpated but tenderness to palpation in submandibular chain LUNGS: Cl" "Correct entity, wrong SNOMED ID","(3971, 3980)","(3971, 3980)",palpation,palpation,113011001,51558006,14631997-DS-13," NECK: supple, no LAD palpated but tenderness to palpation in submandibular chain LUNGS: Clear to auscul" "Correct entity, wrong SNOMED ID","(4008, 4013)","(4008, 4013)",LUNGS,LUNGS,39607008,74101002,14631997-DS-13,"enderness to palpation in submandibular chain LUNGS: Clear to auscultation bilaterally, no wheezes, r" "Correct entity, wrong SNOMED ID","(4053, 4060)","(4053, 4060)",wheezes,wheezes,56018004,9763007,14631997-DS-13,"n LUNGS: Clear to auscultation bilaterally, no wheezes, rales, rhonchi CV: RRR, nl s1/s2 without m/r" "Correct entity, wrong SNOMED ID","(4062, 4067)","(4062, 4067)",rales,rales,48409008,31846006,14631997-DS-13,"S: Clear to auscultation bilaterally, no wheezes, rales, rhonchi CV: RRR, nl s1/s2 without m/r/g A" "Correct entity, wrong SNOMED ID","(4085, 4088)","(4085, 4088)",RRR,RRR,76863003,129960002,14631997-DS-13,"n bilaterally, no wheezes, rales, rhonchi CV: RRR, nl s1/s2 without m/r/g ABD: soft, diffusely t" "Correct entity, wrong SNOMED ID","(4116, 4119)","(4116, 4119)",ABD,ABD,225162003,60728008,14631997-DS-13,"s, rhonchi CV: RRR, nl s1/s2 without m/r/g ABD: soft, diffusely tender to palpation particularly" Wrong span,"(4137, 4176)","(4137, 4143)",tender to palpation particularly in LUQ,tender,448660000,300821004,14631997-DS-13,"R, nl s1/s2 without m/r/g ABD: soft, diffusely tender to palpation particularly in LUQ where area of mild ecchymosis is present, NABS " "Correct entity, wrong SNOMED ID","(4197, 4207)","(4197, 4207)",ecchymosis,ecchymosis,302227002,1156411007,14631997-DS-13,"palpation particularly in LUQ where area of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyan" "Correct entity, wrong SNOMED ID","(4228, 4231)","(4228, 4231)",EXT,EXT,302773001,1489008,14631997-DS-13,"where area of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: " "Correct entity, wrong SNOMED ID","(4239, 4248)","(4239, 4248)",2+ pulses,2+ pulses,40969002,429784004,14631997-DS-13,"of mild ecchymosis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossly ___ stren" "Correct entity, wrong SNOMED ID","(4253, 4261)","(4253, 4261)",cyanosis,cyanosis,3415004,95442007,14631997-DS-13,"osis is present, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossly ___ strength throughou" "Correct entity, wrong SNOMED ID","(4265, 4270)","(4265, 4270)",edema,edema,267038008,102576009,14631997-DS-13,"ent, NABS EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossly ___ strength throughout, moving" "Correct entity, wrong SNOMED ID","(4274, 4279)","(4274, 4279)",NEURO,NEURO,84728005,281247006,14631997-DS-13," EXT: Cool, 2+ pulses, no cyanosis or edema NEURO: Grossly ___ strength throughout, moving all extr" Wrong span,"(4321, 4336)","(4314, 4336)",all extremities,moving all extremities,2592007,284138009,14631997-DS-13," NEURO: Grossly ___ strength throughout, moving all extremities with purpose, PERRL Pertinent Results: ADMI" "Correct entity, wrong SNOMED ID","(4352, 4357)","(4352, 4357)",PERRL,PERRL,386666001,431291005,14631997-DS-13,"throughout, moving all extremities with purpose, PERRL Pertinent Results: ADMISSION LABS: =========" "Correct entity, wrong SNOMED ID","(4432, 4435)","(4432, 4435)",WBC,WBC,767002,391558003,14631997-DS-13,"ADMISSION LABS: =============== ___ 03:35PM BLOOD WBC-4.2 RBC-3.34* Hgb-11.6* Hct-33.3* MCV-100* MCH-3" "Correct entity, wrong SNOMED ID","(4440, 4443)","(4440, 4443)",RBC,RBC,14089001,258759006,14631997-DS-13,"N LABS: =============== ___ 03:35PM BLOOD WBC-4.2 RBC-3.34* Hgb-11.6* Hct-33.3* MCV-100* MCH-34.7* MCH" "Correct entity, wrong SNOMED ID","(4450, 4453)","(4450, 4453)",Hgb,Hgb,441689006,104142005,14631997-DS-13,"============= ___ 03:35PM BLOOD WBC-4.2 RBC-3.34* Hgb-11.6* Hct-33.3* MCV-100* MCH-34.7* MCHC-34.8 RDW" "Correct entity, wrong SNOMED ID","(4460, 4463)","(4460, 4463)",Hct,Hct,28317006,840276005,14631997-DS-13,"=== ___ 03:35PM BLOOD WBC-4.2 RBC-3.34* Hgb-11.6* Hct-33.3* MCV-100* MCH-34.7* MCHC-34.8 RDW-14.6 RDWS" "Correct entity, wrong SNOMED ID","(4480, 4483)","(4480, 4483)",MCH,MCH,54706004,735147002,14631997-DS-13,"D WBC-4.2 RBC-3.34* Hgb-11.6* Hct-33.3* MCV-100* MCH-34.7* MCHC-34.8 RDW-14.6 RDWSD-53.5* Plt ___ ___ " "Correct entity, wrong SNOMED ID","(4490, 4494)","(4490, 4494)",MCHC,MCHC,37254006,735147002,14631997-DS-13,"RBC-3.34* Hgb-11.6* Hct-33.3* MCV-100* MCH-34.7* MCHC-34.8 RDW-14.6 RDWSD-53.5* Plt ___ ___ 03:35PM BLO" "Correct entity, wrong SNOMED ID","(4500, 4503)","(4500, 4503)",RDW,RDW,66842004,735149004,14631997-DS-13,"Hgb-11.6* Hct-33.3* MCV-100* MCH-34.7* MCHC-34.8 RDW-14.6 RDWSD-53.5* Plt ___ ___ 03:35PM BLOOD Neuts-" "Correct entity, wrong SNOMED ID","(4509, 4514)","(4509, 4514)",RDWSD,RDWSD,66842004,80328002,14631997-DS-13," Hct-33.3* MCV-100* MCH-34.7* MCHC-34.8 RDW-14.6 RDWSD-53.5* Plt ___ ___ 03:35PM BLOOD Neuts-42.0 ___ Mo" "Correct entity, wrong SNOMED ID","(4547, 4552)","(4547, 4552)",Neuts,Neuts,30630007,271035003,14631997-DS-13,".8 RDW-14.6 RDWSD-53.5* Plt ___ ___ 03:35PM BLOOD Neuts-42.0 ___ Monos-6.0 Eos-3.8 Baso-0.5 Im ___ AbsNe" "Correct entity, wrong SNOMED ID","(4562, 4567)","(4562, 4567)",Monos,Monos,67776007,462791000124108,14631997-DS-13,"SD-53.5* Plt ___ ___ 03:35PM BLOOD Neuts-42.0 ___ Monos-6.0 Eos-3.8 Baso-0.5 Im ___ AbsNeut-1.75 AbsLymp" Missed entity,"(4572, 4575)",,Eos,,71960002,,14631997-DS-13,"lt ___ ___ 03:35PM BLOOD Neuts-42.0 ___ Monos-6.0 Eos-3.8 Baso-0.5 Im ___ AbsNeut-1.75 AbsLymp-1.98 Ab" "Correct entity, wrong SNOMED ID","(4684, 4687)","(4684, 4687)",PTT,PTT,42525009,282119004,14631997-DS-13,"5 AbsEos-0.16 AbsBaso-0.02 ___ 04:22AM BLOOD ___ PTT-32.0 ___ ___ 03:35PM BLOOD Glucose-82 UreaN-5* Cr" "Correct entity, wrong SNOMED ID","(4715, 4722)","(4715, 4722)",Glucose,Glucose,33747003,72191006,14631997-DS-13," 04:22AM BLOOD ___ PTT-32.0 ___ ___ 03:35PM BLOOD Glucose-82 UreaN-5* Creat-1.6* Na-137 K-4.4 Cl-96 HCO3-2" "Correct entity, wrong SNOMED ID","(4726, 4731)","(4726, 4731)",UreaN,UreaN,105011006,111108008,14631997-DS-13,"OOD ___ PTT-32.0 ___ ___ 03:35PM BLOOD Glucose-82 UreaN-5* Creat-1.6* Na-137 K-4.4 Cl-96 HCO3-26 AnGap-1" "Correct entity, wrong SNOMED ID","(4735, 4740)","(4735, 4740)",Creat,Creat,70901006,365756002,14631997-DS-13,"TT-32.0 ___ ___ 03:35PM BLOOD Glucose-82 UreaN-5* Creat-1.6* Na-137 K-4.4 Cl-96 HCO3-26 AnGap-19 ___ 03:" "Correct entity, wrong SNOMED ID","(4746, 4748)","(4746, 4748)",Na,Na,312469006,257992007,14631997-DS-13," ___ 03:35PM BLOOD Glucose-82 UreaN-5* Creat-1.6* Na-137 K-4.4 Cl-96 HCO3-26 AnGap-19 ___ 03:35PM BLO" "Correct entity, wrong SNOMED ID","(4760, 4762)","(4760, 4762)",Cl,Cl,104589004,311741002,14631997-DS-13,"LOOD Glucose-82 UreaN-5* Creat-1.6* Na-137 K-4.4 Cl-96 HCO3-26 AnGap-19 ___ 03:35PM BLOOD ALT-17 AST-" "Correct entity, wrong SNOMED ID","(4766, 4770)","(4766, 4770)",HCO3,HCO3,312471006,88645003,14631997-DS-13,"lucose-82 UreaN-5* Creat-1.6* Na-137 K-4.4 Cl-96 HCO3-26 AnGap-19 ___ 03:35PM BLOOD ALT-17 AST-59* AlkP" "Correct entity, wrong SNOMED ID","(4774, 4779)","(4774, 4779)",AnGap,AnGap,25469001,124504004,14631997-DS-13,"2 UreaN-5* Creat-1.6* Na-137 K-4.4 Cl-96 HCO3-26 AnGap-19 ___ 03:35PM BLOOD ALT-17 AST-59* AlkPhos-76 To" "Correct entity, wrong SNOMED ID","(4801, 4804)","(4801, 4804)",ALT,ALT,34608000,364571000119101,14631997-DS-13,"7 K-4.4 Cl-96 HCO3-26 AnGap-19 ___ 03:35PM BLOOD ALT-17 AST-59* AlkPhos-76 TotBili-0.3 ___ 04:22AM BLO" "Correct entity, wrong SNOMED ID","(4808, 4811)","(4808, 4811)",AST,AST,45896001,85043005,14631997-DS-13,"4 Cl-96 HCO3-26 AnGap-19 ___ 03:35PM BLOOD ALT-17 AST-59* AlkPhos-76 TotBili-0.3 ___ 04:22AM BLOOD Albu" "Correct entity, wrong SNOMED ID","(4816, 4823)","(4816, 4823)",AlkPhos,AlkPhos,88810008,30703008,14631997-DS-13,"HCO3-26 AnGap-19 ___ 03:35PM BLOOD ALT-17 AST-59* AlkPhos-76 TotBili-0.3 ___ 04:22AM BLOOD Albumin-3.3* Cal" "Correct entity, wrong SNOMED ID","(4827, 4834)","(4827, 4834)",TotBili,TotBili,359986008,424388002,14631997-DS-13,"ap-19 ___ 03:35PM BLOOD ALT-17 AST-59* AlkPhos-76 TotBili-0.3 ___ 04:22AM BLOOD Albumin-3.3* Calcium-8.5 Ph" "Correct entity, wrong SNOMED ID","(4857, 4864)","(4857, 4864)",Albumin,Albumin,26758005,166804009,14631997-DS-13," AST-59* AlkPhos-76 TotBili-0.3 ___ 04:22AM BLOOD Albumin-3.3* Calcium-8.5 Phos-3.4 Mg-1.6 ___ 04:22AM BLOO" "Correct entity, wrong SNOMED ID","(4870, 4877)","(4870, 4877)",Calcium,Calcium,312472004,108601004,14631997-DS-13,"hos-76 TotBili-0.3 ___ 04:22AM BLOOD Albumin-3.3* Calcium-8.5 Phos-3.4 Mg-1.6 ___ 04:22AM BLOOD Cortsol-16." "Correct entity, wrong SNOMED ID","(4882, 4886)","(4882, 4886)",Phos,Phos,104868000,168075002,14631997-DS-13,"li-0.3 ___ 04:22AM BLOOD Albumin-3.3* Calcium-8.5 Phos-3.4 Mg-1.6 ___ 04:22AM BLOOD Cortsol-16.3 ___ 12:" "Correct entity, wrong SNOMED ID","(4891, 4893)","(4891, 4893)",Mg,Mg,271285000,258684004,14631997-DS-13,"_ 04:22AM BLOOD Albumin-3.3* Calcium-8.5 Phos-3.4 Mg-1.6 ___ 04:22AM BLOOD Cortsol-16.3 ___ 12:00PM BL" "Correct entity, wrong SNOMED ID","(5041, 5044)","(5041, 5044)",TSH,TSH,61167004,412520006,14631997-DS-13,"___ 01:00PM BLOOD Cortsol-22.1* ___ 02:00AM BLOOD TSH-1.2 ___ 04:10PM BLOOD Lactate-2.2* ___ 04:44AM BL" "Correct entity, wrong SNOMED ID","(5145, 5155)","(5145, 5155)",GRAM STAIN,GRAM STAIN,168002000,104200004,14631997-DS-13,"OD Lactate-0.8 MICRO: =============== ___ SPUTUM GRAM STAIN-FINAL; RESPIRATORY CULTURE-FINAL; LEGIONELLA CUL" Wrong span,"(5202, 5209)","(5191, 5209)",CULTURE,LEGIONELLA CULTURE,61594008,170531007,14631997-DS-13,"AIN-FINAL; RESPIRATORY CULTURE-FINAL; LEGIONELLA CULTURE-PRELIMINARY; Immunoflourescent test for Pneumocy" "Correct entity, wrong SNOMED ID","(5349, 5359)","(5349, 5359)",GRAM STAIN,GRAM STAIN,168002000,104200004,14631997-DS-13,"CULTURE-PRELIMINARY {YEAST} INPATIENT ___ SPUTUM GRAM STAIN-FINAL; RESPIRATORY CULTURE-FINAL INPATIENT ___ " Wrong span,"(5409, 5422)","(5415, 5422)",BLOOD CULTURE,CULTURE,30088009,61594008,14631997-DS-13,"-FINAL; RESPIRATORY CULTURE-FINAL INPATIENT ___ BLOOD CULTURE Blood Culture, Routine-FINAL EMERGENCY WARD ___" "Correct entity, wrong SNOMED ID","(5423, 5436)","(5423, 5436)",Blood Culture,Blood Culture,30088009,8730001000004107,14631997-DS-13,"ATORY CULTURE-FINAL INPATIENT ___ BLOOD CULTURE Blood Culture, Routine-FINAL EMERGENCY WARD ___ URINE URINE C" Wrong span,"(5539, 5552)","(5545, 5552)",BLOOD CULTURE,CULTURE,30088009,61594008,14631997-DS-13,"URE-FINAL {ESCHERICHIA COLI} EMERGENCY WARD ___ BLOOD CULTURE Blood Culture, Routine-FINAL EMERGENCY WARD ___" "Correct entity, wrong SNOMED ID","(5553, 5566)","(5553, 5566)",Blood Culture,Blood Culture,30088009,8730001000004107,14631997-DS-13,"HERICHIA COLI} EMERGENCY WARD ___ BLOOD CULTURE Blood Culture, Routine-FINAL EMERGENCY WARD ___ URINE URINE C" Missed entity,"(5609, 5622)",,URINE CULTURE,,117010004,,14631997-DS-13,"Culture, Routine-FINAL EMERGENCY WARD ___ URINE URINE CULTURE-FINAL {ESCHERICHIA COLI} EMERGENCY WARD STUDIE" Wrong span,"(5695, 5719)","(5695, 5702)",Imaging CHEST (PA & LAT),Imaging,42869005,408574004,14631997-DS-13,"I} EMERGENCY WARD STUDIES: =============== ___ Imaging CHEST (PA & LAT) No acute cardiopulmonary abnormality. ___BD & P" Boundary error,"(5768, 5774)","(5768, 5773)",PELVIS,PELVI,12921003,36551000087102,14631997-DS-13,") No acute cardiopulmonary abnormality. ___BD & PELVIS WITH CO 1. No specific evidence of infection in " "Correct entity, wrong SNOMED ID","(5811, 5820)","(5811, 5820)",infection,infection,40733004,246083009,14631997-DS-13,"__BD & PELVIS WITH CO 1. No specific evidence of infection in the abdomen or pelvis. 2. Moderate congestion" "Correct entity, wrong SNOMED ID","(5828, 5835)","(5828, 5835)",abdomen,abdomen,818983003,225162003,14631997-DS-13,"H CO 1. No specific evidence of infection in the abdomen or pelvis. 2. Moderate congestion of the mesente" "Correct entity, wrong SNOMED ID","(5839, 5845)","(5839, 5845)",pelvis,pelvis,12921003,25990002,14631997-DS-13," specific evidence of infection in the abdomen or pelvis. 2. Moderate congestion of the mesentery without" "Correct entity, wrong SNOMED ID","(5860, 5870)","(5860, 5870)",congestion,congestion,85804007,68235000,14631997-DS-13," infection in the abdomen or pelvis. 2. Moderate congestion of the mesentery without ascites is likely from " "Correct entity, wrong SNOMED ID","(5878, 5887)","(5878, 5887)",mesentery,mesentery,89679009,44980005,14631997-DS-13,"abdomen or pelvis. 2. Moderate congestion of the mesentery without ascites is likely from fluid resuscitati" "Correct entity, wrong SNOMED ID","(5896, 5903)","(5896, 5903)",ascites,ascites,389026000,860638000,14631997-DS-13," 2. Moderate congestion of the mesentery without ascites is likely from fluid resuscitation. 3. Two gall" "Correct entity, wrong SNOMED ID","(5949, 5959)","(5949, 5959)",gallstones,gallstones,235919008,390926006,14631997-DS-13,"ites is likely from fluid resuscitation. 3. Two gallstones in a nondistended gallbladder, with no evidence " "Correct entity, wrong SNOMED ID","(5978, 5989)","(5978, 5989)",gallbladder,gallbladder,28231008,169010007,14631997-DS-13,"suscitation. 3. Two gallstones in a nondistended gallbladder, with no evidence of cholecystitis. ___ Imagi" "Correct entity, wrong SNOMED ID","(6013, 6026)","(6013, 6026)",cholecystitis,cholecystitis,76581006,65275009,14631997-DS-13,"a nondistended gallbladder, with no evidence of cholecystitis. ___ Imaging DX CHEST PORT LINE/TUBE Interval " Missed entity,"(6034, 6041)",,Imaging,,363679005,,14631997-DS-13,"adder, with no evidence of cholecystitis. ___ Imaging DX CHEST PORT LINE/TUBE Interval placement of a " Wrong span,"(6045, 6050)","(6045, 6055)",CHEST,CHEST PORT,51185008,714713007,14631997-DS-13," no evidence of cholecystitis. ___ Imaging DX CHEST PORT LINE/TUBE Interval placement of a right int" Missed entity,"(6076, 6085)",,placement,,782902008,,14631997-DS-13,". ___ Imaging DX CHEST PORT LINE/TUBE Interval placement of a right internal jugular venous catheter, its" Wrong span,"(6168, 6186)","(6162, 6186)",superior vena cava,upper superior vena cava,48345005,181368006,14631997-DS-13,"us catheter, its tip terminating over the upper superior vena cava. No pneumothorax. ___ Cardiovascular ECHO No" "Correct entity, wrong SNOMED ID","(6192, 6204)","(6192, 6204)",pneumothorax,pneumothorax,36118008,109364007,14631997-DS-13,"erminating over the upper superior vena cava. No pneumothorax. ___ Cardiovascular ECHO Normal biventricular" "Correct entity, wrong SNOMED ID","(6241, 6267)","(6241, 6267)",biventricular cavity sizes,biventricular cavity sizes,21814001,250964004,14631997-DS-13," pneumothorax. ___ Cardiovascular ECHO Normal biventricular cavity sizes with preserved regional and global biventricular" "Correct entity, wrong SNOMED ID","(6344, 6368)","(6344, 6368)","dilated ascending aorta","dilated ascending aorta",253645007,445176007,14631997-DS-13,"d global biventricular systolic function. Mildly dilated ascending aorta. No valvular pathology or pathologic flow identif" "Correct entity, wrong SNOMED ID","(6511, 6518)","(6511, 6518)",Imaging,Imaging,363679005,408574004,14631997-DS-13,"reviewed) of ___, the findings are similar. ___ Imaging CHEST (PORTABLE AP) In comparison with the study" Wrong span,"(6519, 6524)","(6519, 6537)",CHEST,CHEST (PORTABLE AP,51185008,169037009,14631997-DS-13,") of ___, the findings are similar. ___ Imaging CHEST (PORTABLE AP) In comparison with the study of __" "Correct entity, wrong SNOMED ID","(6615, 6624)","(6615, 6624)",pneumonia,pneumonia,233604007,415125002,14631997-DS-13,"udy of ___, there is little interval change. No pneumonia, vascular congestion, or pleural effusion. Righ" "Correct entity, wrong SNOMED ID","(6635, 6645)","(6635, 6645)",congestion,congestion,85804007,68235000,14631997-DS-13," little interval change. No pneumonia, vascular congestion, or pleural effusion. Right IJ catheter again e" "Correct entity, wrong SNOMED ID","(6650, 6667)","(6650, 6667)","pleural effusion","pleural effusion",60046008,1366511008,14631997-DS-13,"al change. No pneumonia, vascular congestion, or pleural effusion. Right IJ catheter again extends to the midporti" "Correct entity, wrong SNOMED ID","(6793, 6796)","(6793, 6796)",RBC,RBC,14089001,258759006,14631997-DS-13,"E LABS: =============== ___ 05:41AM BLOOD WBC-5.7 RBC-2.87* Hgb-9.8* Hct-29.3* MCV-102* MCH-34.1* MCHC" "Correct entity, wrong SNOMED ID","(6803, 6806)","(6803, 6806)",Hgb,Hgb,441689006,104142005,14631997-DS-13,"============= ___ 05:41AM BLOOD WBC-5.7 RBC-2.87* Hgb-9.8* Hct-29.3* MCV-102* MCH-34.1* MCHC-33.4 RDW-" "Correct entity, wrong SNOMED ID","(6812, 6815)","(6812, 6815)",Hct,Hct,28317006,282660005,14631997-DS-13,"==== ___ 05:41AM BLOOD WBC-5.7 RBC-2.87* Hgb-9.8* Hct-29.3* MCV-102* MCH-34.1* MCHC-33.4 RDW-15.0 RDWS" "Correct entity, wrong SNOMED ID","(6842, 6846)","(6842, 6846)",MCHC,MCHC,37254006,735147002,14631997-DS-13," RBC-2.87* Hgb-9.8* Hct-29.3* MCV-102* MCH-34.1* MCHC-33.4 RDW-15.0 RDWSD-56.3* Plt ___ ___ 05:41AM BLO" "Correct entity, wrong SNOMED ID","(6861, 6866)","(6861, 6866)",RDWSD,RDWSD,66842004,80328002,14631997-DS-13," Hct-29.3* MCV-102* MCH-34.1* MCHC-33.4 RDW-15.0 RDWSD-56.3* Plt ___ ___ 05:41AM BLOOD Glucose-87 UreaN-" "Correct entity, wrong SNOMED ID","(6899, 6906)","(6899, 6906)",Glucose,Glucose,33747003,72191006,14631997-DS-13,".4 RDW-15.0 RDWSD-56.3* Plt ___ ___ 05:41AM BLOOD Glucose-87 UreaN-8 Creat-1.0 Na-143 K-3.5 Cl-109* HCO3-2" "Correct entity, wrong SNOMED ID","(6910, 6915)","(6910, 6915)",UreaN,UreaN,105011006,111108008,14631997-DS-13," RDWSD-56.3* Plt ___ ___ 05:41AM BLOOD Glucose-87 UreaN-8 Creat-1.0 Na-143 K-3.5 Cl-109* HCO3-24 AnGap-1" "Correct entity, wrong SNOMED ID","(6918, 6923)","(6918, 6923)",Creat,Creat,70901006,413856009,14631997-DS-13,"6.3* Plt ___ ___ 05:41AM BLOOD Glucose-87 UreaN-8 Creat-1.0 Na-143 K-3.5 Cl-109* HCO3-24 AnGap-14 ___ 04" "Correct entity, wrong SNOMED ID","(6928, 6930)","(6928, 6930)",Na,Na,312469006,257992007,14631997-DS-13,"__ ___ 05:41AM BLOOD Glucose-87 UreaN-8 Creat-1.0 Na-143 K-3.5 Cl-109* HCO3-24 AnGap-14 ___ 04:22AM B" Missed entity,"(6935, 6936)",,K,,312468003,,14631997-DS-13,"05:41AM BLOOD Glucose-87 UreaN-8 Creat-1.0 Na-143 K-3.5 Cl-109* HCO3-24 AnGap-14 ___ 04:22AM BLOOD A" "Correct entity, wrong SNOMED ID","(6950, 6954)","(6950, 6954)",HCO3,HCO3,312471006,88645003,14631997-DS-13,"lucose-87 UreaN-8 Creat-1.0 Na-143 K-3.5 Cl-109* HCO3-24 AnGap-14 ___ 04:22AM BLOOD ALT-11 AST-26 LD(LD" "Correct entity, wrong SNOMED ID","(6958, 6963)","(6958, 6963)",AnGap,AnGap,25469001,124504004,14631997-DS-13,"7 UreaN-8 Creat-1.0 Na-143 K-3.5 Cl-109* HCO3-24 AnGap-14 ___ 04:22AM BLOOD ALT-11 AST-26 LD(LDH)-164 Al" "Correct entity, wrong SNOMED ID","(6985, 6988)","(6985, 6988)",ALT,ALT,34608000,56935002,14631997-DS-13,"K-3.5 Cl-109* HCO3-24 AnGap-14 ___ 04:22AM BLOOD ALT-11 AST-26 LD(LDH)-164 AlkPhos-67 TotBili-0.3 ___" "Correct entity, wrong SNOMED ID","(6992, 6995)","(6992, 6995)",AST,AST,45896001,85043005,14631997-DS-13,"Cl-109* HCO3-24 AnGap-14 ___ 04:22AM BLOOD ALT-11 AST-26 LD(LDH)-164 AlkPhos-67 TotBili-0.3 ___ 05:41A" "Correct entity, wrong SNOMED ID","(7011, 7018)","(7011, 7018)",AlkPhos,AlkPhos,88810008,30703008,14631997-DS-13,"ap-14 ___ 04:22AM BLOOD ALT-11 AST-26 LD(LDH)-164 AlkPhos-67 TotBili-0.3 ___ 05:41AM BLOOD Calcium-8.8 Pho" "Correct entity, wrong SNOMED ID","(7053, 7060)","(7053, 7060)",Calcium,Calcium,312472004,108601004,14631997-DS-13,"DH)-164 AlkPhos-67 TotBili-0.3 ___ 05:41AM BLOOD Calcium-8.8 Phos-2.8 Mg-2.___ with pmhx HIV (CD4 362, VL<" "Correct entity, wrong SNOMED ID","(7065, 7069)","(7065, 7069)",Phos,Phos,104868000,168075002,14631997-DS-13,"hos-67 TotBili-0.3 ___ 05:41AM BLOOD Calcium-8.8 Phos-2.8 Mg-2.___ with pmhx HIV (CD4 362, VL<20 ___, c" "Correct entity, wrong SNOMED ID","(7074, 7076)","(7074, 7076)",Mg,Mg,271285000,258684004,14631997-DS-13,"otBili-0.3 ___ 05:41AM BLOOD Calcium-8.8 Phos-2.8 Mg-2.___ with pmhx HIV (CD4 362, VL<20 ___, chronic " "Correct entity, wrong SNOMED ID","(7118, 7141)","(7118, 7141)","chronic abdominal pain","chronic abdominal pain",111985007,444746004,14631997-DS-13,"s-2.8 Mg-2.___ with pmhx HIV (CD4 362, VL<20 ___, chronic abdominal pain on opiates and EtOH abuse who presented with inte" "Correct entity, wrong SNOMED ID","(7157, 7167)","(7157, 7167)",EtOH abuse,EtOH abuse,15167005,268645007,14631997-DS-13,"VL<20 ___, chronic abdominal pain on opiates and EtOH abuse who presented with intermittent hypotension requ" Missed entity,"(7236, 7251)",,pressor support,,870386000,,14631997-DS-13," intermittent hypotension requiring intermittent pressor support, likely related to medication side effect in com" Wrong span,"(7272, 7294)","(7272, 7282)",medication side effect,medication,401207004,129019007,14631997-DS-13," intermittent pressor support, likely related to medication side effect in combination with alcohol vs. underlying auton" "Correct entity, wrong SNOMED ID","(7487, 7498)","(7487, 7498)",antibiotics,antibiotics,281789004,372599003,14631997-DS-13,"quired pressers. He was placed on broad spectrum antibiotics (Vancomycin, Cefepime, and Azithromycin). He was" Missed entity,"(7686, 7701)",,blood pressures,,392570002,,14631997-DS-13,"g his medications in the morning he did drop his blood pressures and was ultimately needed fluid bolus and the re" Wrong span,"(7914, 7934)","(7914, 7925)",hypotensive episodes,hypotensive,67763001,88887003,14631997-DS-13,"to the floor on ___. At this time we believe his hypotensive episodes are more likely autonomic/neurologic or medicati" "Correct entity, wrong SNOMED ID","(8031, 8040)","(8031, 8040)",infection,infection,40733004,260976002,14631997-DS-13,"ation related or cardiac and unlikely related to infection. Upon transfer to the medical floor on ___, chro" Missed entity,"(8086, 8116)",,"chronic pain service reviewed",,1811000124107,,14631997-DS-13,"tion. Upon transfer to the medical floor on ___, chronic pain service reviewed patient's home regimen, and suggested patient res" Wrong span,"(8340, 8363)","(8340, 8350)","medication side effect",medication,401207004,182837001,14631997-DS-13," Intermittent hypotension most likely related to medication side effect vs. autonomic dysfunction in the setting of HIV " "Correct entity, wrong SNOMED ID","(8408, 8422)","(8408, 8422)","HIV infection","HIV infection",86406008,62479008,14631997-DS-13,"ffect vs. autonomic dysfunction in the setting of HIV infection. No infectious symptoms, though treated for UTI g" "Correct entity, wrong SNOMED ID","(8644, 8654)","(8644, 8654)",infiltrate,infiltrate,231287002,26246006,14631997-DS-13,"ible CAP with ctx/azithro, though no evidence of infiltrate on CXR, and CAP course was abbreviated. Endocrin" "Correct entity, wrong SNOMED ID","(8727, 8748)","(8727, 8748)",adrenal insufficiency,adrenal insufficiency,386584007,16685009,14631997-DS-13,"e was abbreviated. Endocrine workup negative for adrenal insufficiency. Patient is on multiple medications that can con" "Correct entity, wrong SNOMED ID","(8809, 8819)","(8809, 8819)",somnolence,somnolence,271782001,141000119100,14631997-DS-13,"s on multiple medications that can contribute to somnolence, including opioids, benzodiazepines, and tizanid" Wrong span,"(8910, 8930)","(8920, 8930)",Autonomic neuropathy,neuropathy,277879009,302226006,14631997-DS-13,"d tizanidine, but none should cause hypotension. Autonomic neuropathy is common in HIV, and occurs more commonly with " Missed entity,"(9001, 9008)",,disease,,64572001,,14631997-DS-13,"d occurs more commonly with increasing burden of disease. Patient was arranged with neurology follow-up t" Wrong span,"(9037, 9056)","(9037, 9046)",neurology follow-up,neurology,170693002,394538003,14631997-DS-13,"ing burden of disease. Patient was arranged with neurology follow-up to address possible autonomic dysfunction. # Ch" Missed entity,"(9329, 9338)",,analgesia,,103005006,,14631997-DS-13,"home medications, which did not provide adequate analgesia. Spoke with chronic pain, who noted that home op" Missed entity,"(9527, 9540)",,prescriptions,,16076005,,14631997-DS-13," Patient was resumed on home regimen without new prescriptions. Upon review of records, PCP was reluctant to co" Missed entity,"(9749, 9768)",,"follow-up arranged",,183616001,,14631997-DS-13,"from alcohol, and expressed understanding. He has follow-up arranged with PCP as well as chronic pain clinic next week" "Correct entity, wrong SNOMED ID","(9971, 9978)","(9971, 9978)",anxiety,anxiety,48694002,286644009,14631997-DS-13,"A scale, and was continue on home clonazepam for anxiety. CHRONIC ISSUES # HIV: continued Triumeq (abaca" Wrong span,"(10082, 10102)","(10082, 10111)",Chronic constipation,Chronic constipation/diarrhea,236069009,773579007,14631997-DS-13,"dolutegravir-lamivud) 600-50-300 mg oral daily # Chronic constipation/diarrhea: continued miralax, bisacodyl, senna #" Wrong span,"(10103, 10111)","(10082, 10111)",diarrhea,Chronic constipation/diarrhea,62315008,773579007,14631997-DS-13," 600-50-300 mg oral daily # Chronic constipation/diarrhea: continued miralax, bisacodyl, senna # HTN: Hel" "Correct entity, wrong SNOMED ID","(10153, 10156)","(10153, 10156)",HTN,HTN,38341003,10725009,14631997-DS-13,"diarrhea: continued miralax, bisacodyl, senna # HTN: Held home lisinopril and Lasix # Anxiety: Conti" "Correct entity, wrong SNOMED ID","(10192, 10199)","(10192, 10199)",Anxiety,Anxiety,48694002,10756431000119109,14631997-DS-13," senna # HTN: Held home lisinopril and Lasix # Anxiety: Continue ClonazePAM 0.5 mg PO/NG TID:PRN =====" "Correct entity, wrong SNOMED ID","(10591, 10605)","(10591, 10605)",blood pressure,blood pressure,392570002,50723001,14631997-DS-13,"ide rather than tamsulosin, given less effect on blood pressure. [ ] Continue to encourage patient to abstain fro" "Correct entity, wrong SNOMED ID","(12730, 12742)","(12730, 12742)",Chronic pain,Chronic pain,82423001,737305006,14631997-DS-13,"sible autonomic dysfunction Secondary Diagnoses: Chronic pain Chronic pain/opioid use Alcohol use HIV Chronic c" "Correct entity, wrong SNOMED ID","(12743, 12755)","(12743, 12755)",Chronic pain,Chronic pain,82423001,737305006,14631997-DS-13,"ic dysfunction Secondary Diagnoses: Chronic pain Chronic pain/opioid use Alcohol use HIV Chronic constipation/d" Missed entity,"(12804, 12812)",,diarrhea,,62315008,,14631997-DS-13,"n/opioid use Alcohol use HIV Chronic constipation/diarrhea hypertension anxiety Discharge Condition: Ment" "Correct entity, wrong SNOMED ID","(12813, 12825)","(12813, 12825)",hypertension,hypertension,38341003,70995007,14631997-DS-13,"use Alcohol use HIV Chronic constipation/diarrhea hypertension anxiety Discharge Condition: Mental Status: Cl" "Correct entity, wrong SNOMED ID","(12826, 12833)","(12826, 12833)",anxiety,anxiety,48694002,286644009,14631997-DS-13,"se HIV Chronic constipation/diarrhea hypertension anxiety Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(12858, 12871)","(12858, 12871)",Mental Status,Mental Status,392257007,419284004,14631997-DS-13,"rhea hypertension anxiety Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(12893, 12915)","(12893, 12915)",Level of Consciousness,Level of Consciousness,444714004,830285008,14631997-DS-13,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(12917, 12922)","(12917, 12922)",Alert,Alert,248234008,409787004,14631997-DS-13,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(12957, 12981)","(12957, 12981)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,14631997-DS-13,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, You we" "Correct entity, wrong SNOMED ID","(13091, 13109)","(13091, 13109)",low blood pressure,low blood pressure,45007003,472960000,14631997-DS-13,"d to ___ because you were having periods of very low blood pressure. We looked into many possible causes of your low" "Correct entity, wrong SNOMED ID","(13156, 13174)","(13156, 13174)",low blood pressure,low blood pressure,45007003,472960000,14631997-DS-13,"ure. We looked into many possible causes of your low blood pressure. One thing that may have contributed to your low" "Correct entity, wrong SNOMED ID","(13221, 13239)","(13221, 13239)",low blood pressure,low blood pressure,45007003,472960000,14631997-DS-13,"ure. One thing that may have contributed to your low blood pressure was an infection in your urine. We started you o" Wrong span,"(13248, 13257)","(13248, 13271)",infection,infection in your urine,40733004,1469007,14631997-DS-13,"ve contributed to your low blood pressure was an infection in your urine. We started you on treatment for th" Wrong span,"(13319, 13328)","(13311, 13328)",infection,urinary infection,40733004,312124009,14631997-DS-13,"ne. We started you on treatment for this urinary infection. We also reviewed your pain medications, and ult" Wrong span,"(13459, 13468)","(13459, 13465)",follow up,follow,308273005,230125005,14631997-DS-13,", but encourage you to stop drinking alcohol and follow up with your primary care doctor as well as your ch" "Correct entity, wrong SNOMED ID","(13570, 13588)","(13570, 13588)",low blood pressure,low blood pressure,45007003,472960000,14631997-DS-13,"nic pain clinic. Another possible cause of your low blood pressure is something called ""autonomic dysfunction."" Thi" Missed entity,"(13693, 13700)",,problem,,55607006,,14631997-DS-13," occur in people with HIV, and it is caused by a problem with the nerves that control your blood vessels " Missed entity,"(13710, 13716)",,nerves,,3057000,,14631997-DS-13,"with HIV, and it is caused by a problem with the nerves that control your blood vessels and your blood p" "Correct entity, wrong SNOMED ID","(13736, 13749)","(13736, 13749)",blood vessels,blood vessels,59820001,818999009,14631997-DS-13,"d by a problem with the nerves that control your blood vessels and your blood pressure. We are recommending tha" "Correct entity, wrong SNOMED ID","(13759, 13773)","(13759, 13773)",blood pressure,blood pressure,392570002,50723001,14631997-DS-13," nerves that control your blood vessels and your blood pressure. We are recommending that you see a neurologist " False positive,,"(596, 604)",,ligation,,86749008,14719866-DS-37," recent AVR w/ 21mm Trifecta tissue valve and ___ ligation on ___. Prior to her surgery pt. endorsed frequ" False positive,,"(627, 634)",,surgery,,110473004,14719866-DS-37,"ssue valve and ___ ligation on ___. Prior to her surgery pt. endorsed frequent lightheadedness, dyspnea o" False positive,,"(864, 869)",,decon,,257986001,14719866-DS-37,"n at home working with ___. She continues to be deconditioned, experiencing DOE, but is improving as h" False positive,,"(1071, 1076)",,stood,,170094007,14719866-DS-37,"esentation, pt. was feeling well in the AM. She stood from a seated position and felt lightheaded. She" False positive,,"(1455, 1463)",,baseline,,129082007,14719866-DS-37," Per report, her HR were in the ___ and SBP 80 (baseline per pt. 100-120). At this time, her PCP was con" False positive,,"(1720, 1723)",,WBC,,391558003,14719866-DS-37," 82 121/66 18 94%. - Labs were significant for: WBC 6.1, Hgb 9.7, Plt 230, INR 2.3, Na 135, K 3.9, C" False positive,,"(1804, 1812)",,baseline,,129082007,14719866-DS-37,", Na 135, K 3.9, CL 98, HCO3 25, BUN 19, Cr 1.2 (baseline 0.9), U/A with few bacteria, small leuk esterace" False positive,,"(1907, 1909)",,no,,160552003,14719866-DS-37,"erace, 2 WBCs, 3 epithelial cells - CXR showed no acute process - ECG showed normal sinus rhythm " False positive,,"(2448, 2456)",,ligation,,86749008,14719866-DS-37,"rcine AVR (w/ 21mm Trifecta tissue valve and ___ ligation on ___ - Coronary artery disease * ___: s/p 3 o" False positive,,"(2662, 2670)",,in-stent,,1366616006,14719866-DS-37,"e (3x12 and 3x23) stents for proximal & mid-RCA in-stent restenosis * ___: s/p PTCA & stenting of mid RC" False positive,,"(2780, 2783)",,DES,,9985006,14719866-DS-37,"enosis was performed w/ a 3.0 x 12 Taxus Liberte DES which was postdilated using a 3.5 mm balloon *" False positive,,"(3110, 3113)",,lap,,272583005,14719866-DS-37," Hysterectomy & appendectomy - Cholecystectomy, lap - Bilateral cataract surgery Social History" False positive,,"(3351, 3364)",,PHYSICAL EXAM,,410182004,14719866-DS-37,"No hx. of arrhythmia. Physical Exam: ADMISSION PHYSICAL EXAM: ============================ Vitals: T 98.9 BP 1" False positive,,"(3544, 3549)",,HEENT,,113665002,14719866-DS-37," Pleasant elderly woman in no apparent distress HEENT: EOMI NECK: No JVD CARDIAC: Regular, with cou" False positive,,"(3558, 3562)",,NECK,,840674001,14719866-DS-37,"rly woman in no apparent distress HEENT: EOMI NECK: No JVD CARDIAC: Regular, with coupled heartbea" False positive,,"(3582, 3589)",,Regular,,271636001,14719866-DS-37," distress HEENT: EOMI NECK: No JVD CARDIAC: Regular, with coupled heartbeats. Second of paired heart" False positive,,"(3673, 3681)",,No m/r/g,,167724007,14719866-DS-37,"of paired heartbeats demonstrate cannon A waves. No m/r/g. LUNG: CTAB ABDOMEN: Soft, nontender EXT: T" False positive,,"(3763, 3764)",,A,,420512001,14719866-DS-37,"nontender EXT: Trace edema bilaterally NEURO: A&Ox3. Able to do serial 7s. Nonfocal ADMISSION " False positive,,"(3814, 3827)",,PHYSICAL EXAM,,410182004,14719866-DS-37,"&Ox3. Able to do serial 7s. Nonfocal ADMISSION PHYSICAL EXAM: ============================ Unchanged Perti" False positive,,"(4077, 4081)",,Baso,,700051010000106,14719866-DS-37,"_ 03:00PM BLOOD Neuts-65.4 ___ Monos-8.4 Eos-3.5 Baso-0.4 ___ 03:00PM BLOOD ___ PTT-33.3 ___ ___ 03:00P" False positive,,"(5135, 5139)",,free,,249117000,14719866-DS-37,"n (LVEF 70%). Right ventricular chamber size and free wall motion are normal. A bioprosthetic aortic v" False positive,,"(5272, 5278)",,normal,,840673007,14719866-DS-37,"ortic valve prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients." False positive,,"(5527, 5539)",,aortic valve,,60573004,14719866-DS-37,"r study (images reviewed) of ___ a bioprosthetic aortic valve is now present. It is functioning normally. Ther" False positive,,"(5820, 5826)",,stents,,440271000124109,14719866-DS-37,"__ is an ___ year old female with ___ CAD (s/p 6 stents), HTN, paroxysmal afib on coumadin and dronedaro" False positive,,"(6124, 6131)",,lisinop,,108575001,14719866-DS-37,"peat episodes of bradycardia or hypotension. Her lisinopril was held given low-normal BPs. She was noted t" False positive,,"(6150, 6164)",,low-normal BPs,,472960000,14719866-DS-37,"ia or hypotension. Her lisinopril was held given low-normal BPs. She was noted to be in nearly continuous APC bi" False positive,,"(6278, 6286)",,pre-load,,395058002,14719866-DS-37,"ny pattern. It was thought that pt. was possibly pre-load dependent, may have been mildly hypovolemic resu" False positive,,"(6404, 6417)",,beta blockade,,440935004,14719866-DS-37,"ic lightheadedness. We attempted to start pt. on beta blockade with metoprolol, however she refused given prior" False positive,,"(6948, 6952)",,EKGs,,46136006,14719866-DS-37,"cardia and hypotensive. There were no available EKGs or strips documenting bradycardia. Pt. with rec" False positive,,"(7180, 7188)",,bigeminy,,251168009,14719866-DS-37,"telemtry on admission. Pt. was noted to be in a bigeminy pattern with periods of trigeminy possibly trigg" False positive,,"(7752, 7755)",,MAT,,462973000,14719866-DS-37,"chycardia: Pt. noted to have infrequent runs of MAT. This possibly was contributing to pt's symptom" False positive,,"(7895, 7905)",,creatinine,,113075003,14719866-DS-37,"zem. #) Acute Kidney Injury: Pt. presented with creatinine to 1.2 up from baseline 0.9. Likely pre-renal a" False positive,,"(7922, 7930)",,baseline,,129082007,14719866-DS-37,"y: Pt. presented with creatinine to 1.2 up from baseline 0.9. Likely pre-renal azotemia in the setting of" False positive,,"(7944, 7962)",,pre-renal azotemia,,445646001,14719866-DS-37," creatinine to 1.2 up from baseline 0.9. Likely pre-renal azotemia in the setting of slight volume depletion. Her " False positive,,"(7989, 8005)",,volume depletion,,816081007,14719866-DS-37,"kely pre-renal azotemia in the setting of slight volume depletion. Her orthostatics were negative. Creatinine re" False positive,,"(8012, 8024)",,orthostatics,,57251000087104,14719866-DS-37," in the setting of slight volume depletion. Her orthostatics were negative. Creatinine returned to baseline." False positive,,"(8042, 8052)",,Creatinine,,113075003,14719866-DS-37,"ume depletion. Her orthostatics were negative. Creatinine returned to baseline. #) Anemia: Pt. noted to h" False positive,,"(8065, 8073)",,baseline,,129082007,14719866-DS-37,"hostatics were negative. Creatinine returned to baseline. #) Anemia: Pt. noted to have a normocytic anem" False positive,,"(8141, 8148)",,surgery,,110473004,14719866-DS-37," noted to have a normocytic anemia since time of surgery. Anemia work-up with iron was unrevealing. Woul" False positive,,"(8290, 8301)",,retic count,,313639004,14719866-DS-37," acute/sub-acute blood loss. - anemia work-up - retic count Normocytic anemia since time of surgery. Possib" False positive,,"(8335, 8342)",,surgery,,110473004,14719866-DS-37,"up - retic count Normocytic anemia since time of surgery. Possibly related to anemia of acute/sub-acute " False positive,,"(8430, 8436)",,normal,,840673007,14719866-DS-37,"e/sub-acute blood loss. Anemia work-up revealed normal iron studies, normal B12 and folate levels. CHRO" False positive,,"(8437, 8449)",,iron studies,,250216004,14719866-DS-37,"cute blood loss. Anemia work-up revealed normal iron studies, normal B12 and folate levels. CHRONIC ISSUES ==" False positive,,"(8451, 8461)",,normal B12,,165655008,14719866-DS-37,"s. Anemia work-up revealed normal iron studies, normal B12 and folate levels. CHRONIC ISSUES ==============" False positive,,"(8466, 8472)",,folate,,250212002,14719866-DS-37,"-up revealed normal iron studies, normal B12 and folate levels. CHRONIC ISSUES ================== #) Atr" False positive,,"(8541, 8547)",,Stable,,301459008,14719866-DS-37,"SSUES ================== #) Atrial Fibrillation: Stable in sinus rhythm. Continued on dronaderone. War" False positive,,"(8752, 8759)",,aspirin,,25796002,14719866-DS-37,"rvastatin #) Coronary Artery Disease: Continued aspirin, atorvastatin. TRANSITIONAL ISSUES =============" False positive,,"(8902, 8905)",,MAT,,462973000,14719866-DS-37,"ltiazem ER to possibly help with control of both MAT and ventricular bigeminy. # Lisinopril held on " False positive,,"(8969, 8983)",,low normal BPs,,472960000,14719866-DS-37,"ar bigeminy. # Lisinopril held on admission for low normal BPs in the setting of lightheadedness. If BP tolerat" False positive,,"(9345, 9356)",,symptomatic,,185345009,14719866-DS-37,"tion of Bradycardia: Pt. sent to ___ for eval of symptomatic bradycardia. Not witnessed on hospitalization. D" False positive,,"(9669, 9682)",,beta blockade,,440935004,14719866-DS-37," pt. refused ___ previous side effects. Consider beta blockade as outpatient to decrease occurrence of bigemeny" False positive,,"(9894, 9901)",,surgery,,110473004,14719866-DS-37,"IBC 346 (all normal). Possibly related to recent surgery. Recommend outpt. follow-up in ___ weeks. # IN" False positive,,"(9920, 9929)",,follow-up,,71040008,14719866-DS-37,"sibly related to recent surgery. Recommend outpt. follow-up in ___ weeks. # INR: Please do not take coumad" False positive,,"(11394, 11398)",,PRIM,,70291006,14719866-DS-37,"th Service Facility: ___ Discharge Diagnosis: PRIMARY DIAGNOSES ====================== # Multifocal " False positive,,"(12439, 12449)",,lisinopril,,108575001,14719866-DS-37,"ur abnormal heart beat conditions. In case your lisinopril was making your blood pressure too low, we stoppe" False positive,,"(12507, 12517)",,medication,,182837001,14719866-DS-37,"ing your blood pressure too low, we stopped this medication at this time. You were given ___ of Heart's Mo" False positive,,"(12766, 12783)",,heart medications,,1371351008,14719866-DS-37,"ll be seen by Dr. ___ to continue to manage your heart medications. All the best, Your ___ Care Team Followup In" Missed entity,"(185, 190)",,Cipro,,294487000,,14719866-DS-37,"x: F Service: MEDICINE Allergies: Ambien / Cipro Attending: ___. Chief Complaint: Lightheadedn" "Correct entity, wrong SNOMED ID","(228, 243)","(228, 243)",Lightheadedness,Lightheadedness,386705008,1354698007,14719866-DS-37,"bien / Cipro Attending: ___. Chief Complaint: Lightheadedness Major Surgical or Invasive Procedure: None H" "Correct entity, wrong SNOMED ID","(363, 366)","(363, 366)",CAD,CAD,53741008,84270004,14719866-DS-37,"lness: Ms. ___ is an ___ year old female with PMH CAD (s/p 6 stents), HTN, paroxysmal afib on coumadin" "Correct entity, wrong SNOMED ID","(375, 381)","(375, 381)",stents,stents,233404000,440271000124109,14719866-DS-37,"__ is an ___ year old female with PMH CAD (s/p 6 stents), HTN, paroxysmal afib on coumadin and dronedaron" "Correct entity, wrong SNOMED ID","(384, 387)","(384, 387)",HTN,HTN,38341003,10725009,14719866-DS-37,"___ year old female with PMH CAD (s/p 6 stents), HTN, paroxysmal afib on coumadin and dronedarone, and" "Correct entity, wrong SNOMED ID","(439, 454)","(439, 454)",aortic stenosis,aortic stenosis,60573004,233863001,14719866-DS-37,"paroxysmal afib on coumadin and dronedarone, and aortic stenosis s/p porcine AVR ___ who presents with an episode" Wrong span,"(459, 470)","(459, 460)",porcine AVR,p,308663002,421542006,14719866-DS-37,"oumadin and dronedarone, and aortic stenosis s/p porcine AVR ___ who presents with an episode from lightheade" "Correct entity, wrong SNOMED ID","(510, 525)","(510, 525)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37,"orcine AVR ___ who presents with an episode from lightheadedness. Of note, pt. had recent AVR w/ 21mm Trifecta " "Correct entity, wrong SNOMED ID","(554, 557)","(554, 557)",AVR,AVR,26212005,61279008,14719866-DS-37," from lightheadedness. Of note, pt. had recent AVR w/ 21mm Trifecta tissue valve and ___ ligation on" "Correct entity, wrong SNOMED ID","(658, 673)","(658, 673)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37,"___. Prior to her surgery pt. endorsed frequent lightheadedness, dyspnea on exertion, and orthopnea. She has to" "Correct entity, wrong SNOMED ID","(675, 694)","(675, 694)",dyspnea on exertion,dyspnea on exertion,60845006,590365011000119106,14719866-DS-37,"r surgery pt. endorsed frequent lightheadedness, dyspnea on exertion, and orthopnea. She has tolerated the post-proc" "Correct entity, wrong SNOMED ID","(700, 709)","(700, 709)",orthopnea,orthopnea,62744007,435931000124105,14719866-DS-37,"requent lightheadedness, dyspnea on exertion, and orthopnea. She has tolerated the post-procedure course ve" "Correct entity, wrong SNOMED ID","(892, 895)","(892, 895)",DOE,DOE,60845006,371151008,14719866-DS-37," She continues to be deconditioned, experiencing DOE, but is improving as her rehab progresses. Over" "Correct entity, wrong SNOMED ID","(905, 914)","(905, 914)",improving,improving,268910001,170596004,14719866-DS-37,"es to be deconditioned, experiencing DOE, but is improving as her rehab progresses. Overall, she has been " "Correct entity, wrong SNOMED ID","(964, 976)","(964, 976)",asymptomatic,asymptomatic,84387000,5481000175101,14719866-DS-37," as her rehab progresses. Overall, she has been asymptomatic until the day of presentation. On day of present" Missed entity,"(1041, 1053)",,feeling well,,17326005,,14719866-DS-37,"of presentation. On day of presentation, pt. was feeling well in the AM. She stood from a seated position and" Missed entity,"(1084, 1090)",,seated,,33586001,,14719866-DS-37,"t. was feeling well in the AM. She stood from a seated position and felt lightheaded. She sat back dow" "Correct entity, wrong SNOMED ID","(1109, 1120)","(1109, 1120)",lightheaded,lightheaded,386705008,1354698007,14719866-DS-37,"e AM. She stood from a seated position and felt lightheaded. She sat back down and felt better. She denies" "Correct entity, wrong SNOMED ID","(1181, 1190)","(1181, 1190)",dizziness,dizziness,404640003,1141711004,14719866-DS-37,"back down and felt better. She denies any frank dizziness, chest pain, palpitations, worsening SOB, abdomi" "Correct entity, wrong SNOMED ID","(1192, 1203)","(1192, 1203)","chest pain","chest pain",29857009,285389008,14719866-DS-37,"and felt better. She denies any frank dizziness, chest pain, palpitations, worsening SOB, abdominal pain, N/V" "Correct entity, wrong SNOMED ID","(1205, 1217)","(1205, 1217)",palpitations,palpitations,80313002,161966006,14719866-DS-37,"er. She denies any frank dizziness, chest pain, palpitations, worsening SOB, abdominal pain, N/V/D, changes i" "Correct entity, wrong SNOMED ID","(1229, 1232)","(1229, 1232)",SOB,SOB,267036007,43731003,14719866-DS-37,"k dizziness, chest pain, palpitations, worsening SOB, abdominal pain, N/V/D, changes in voiding or st" "Correct entity, wrong SNOMED ID","(1234, 1248)","(1234, 1248)",abdominal pain,abdominal pain,21522001,54586004,14719866-DS-37,"ziness, chest pain, palpitations, worsening SOB, abdominal pain, N/V/D, changes in voiding or stooling patterns," "Correct entity, wrong SNOMED ID","(1250, 1255)","(1250, 1255)",N/V/D,N/V/D,2919008,282380000,14719866-DS-37,"ain, palpitations, worsening SOB, abdominal pain, N/V/D, changes in voiding or stooling patterns, numbn" Wrong span,"(1269, 1276)","(1258, 1276)",voiding,changes in voiding,102834005,236632007,14719866-DS-37,"worsening SOB, abdominal pain, N/V/D, changes in voiding or stooling patterns, numbness/tingling/weakness" Missed entity,"(1280, 1288)",,stooling,,1141824005,,14719866-DS-37,"OB, abdominal pain, N/V/D, changes in voiding or stooling patterns, numbness/tingling/weakness of the extr" "Correct entity, wrong SNOMED ID","(1300, 1317)","(1300, 1317)",numbness/tingling,numbness/tingling,101000119102,91019004,14719866-DS-37,"N/V/D, changes in voiding or stooling patterns, numbness/tingling/weakness of the extremities. Later in the day, " Wrong span,"(1318, 1326)","(1318, 1345)",weakness,weakness of the extremities,13791008,735542004,14719866-DS-37," voiding or stooling patterns, numbness/tingling/weakness of the extremities. Later in the day, ___. arri" Wrong span,"(1334, 1345)","(1318, 1345)",extremities,weakness of the extremities,2592007,735542004,14719866-DS-37,"ling patterns, numbness/tingling/weakness of the extremities. Later in the day, ___. arrived and took her vi" Wrong span,"(1384, 1404)","(1393, 1404)",took her vital signs,vital signs,61746007,72970002,14719866-DS-37,"extremities. Later in the day, ___. arrived and took her vital signs. Per report, her HR were in the ___ and SBP 80 " Missed entity,"(1423, 1425)",,HR,,301113001,,14719866-DS-37,"rrived and took her vital signs. Per report, her HR were in the ___ and SBP 80 (baseline per pt. 100" Missed entity,"(1447, 1450)",,SBP,,81010002,,14719866-DS-37,"l signs. Per report, her HR were in the ___ and SBP 80 (baseline per pt. 100-120). At this time, he" "Correct entity, wrong SNOMED ID","(1584, 1595)","(1584, 1595)",vital signs,vital signs,118227000,72970002,14719866-DS-37,"d pt. call ___. EMS arrived and confirmed above vital signs. She was then transferred to the ___ ED. In th" "Correct entity, wrong SNOMED ID","(1659, 1665)","(1659, 1665)",vitals,vitals,118227000,260390007,14719866-DS-37,"n transferred to the ___ ED. In the ED, initial vitals 97.2 82 121/66 18 94%. - Labs were significant " "Correct entity, wrong SNOMED ID","(1820, 1823)","(1820, 1823)",U/A,U/A,27171005,257999003,14719866-DS-37,", CL 98, HCO3 25, BUN 19, Cr 1.2 (baseline 0.9), U/A with few bacteria, small leuk esterace, 2 WBCs, 3" "Correct entity, wrong SNOMED ID","(1833, 1841)","(1833, 1841)",bacteria,bacteria,61373006,409793007,14719866-DS-37," 25, BUN 19, Cr 1.2 (baseline 0.9), U/A with few bacteria, small leuk esterace, 2 WBCs, 3 epithelial cells" "Correct entity, wrong SNOMED ID","(1928, 1931)","(1928, 1931)",ECG,ECG,29303009,75444003,14719866-DS-37,"helial cells - CXR showed no acute process - ECG showed normal sinus rhythm at a rate in the ___ i" "Correct entity, wrong SNOMED ID","(1939, 1958)","(1939, 1958)",normal sinus rhythm,normal sinus rhythm,64730000,426285000,14719866-DS-37,"ls - CXR showed no acute process - ECG showed normal sinus rhythm at a rate in the ___ in ventricular bigeminy wit" Missed entity,"(1964, 1968)",,rate,,301113001,,14719866-DS-37,"e process - ECG showed normal sinus rhythm at a rate in the ___ in ventricular bigeminy without ische" "Correct entity, wrong SNOMED ID","(2013, 2029)","(2013, 2029)",ischemic changes,ischemic changes,164861001,449735000,14719866-DS-37," rate in the ___ in ventricular bigeminy without ischemic changes or evidence of AV block QTC calculated at 408 ma" "Correct entity, wrong SNOMED ID","(2045, 2054)","(2045, 2054)","AV block","AV block",164899008,27885002,14719866-DS-37," bigeminy without ischemic changes or evidence of AV block QTC calculated at 408 manually - She continued " Missed entity,"(2055, 2058)",,QTC,,365417009,,14719866-DS-37,"without ischemic changes or evidence of AV block QTC calculated at 408 manually - She continued to b" "Correct entity, wrong SNOMED ID","(2110, 2121)","(2110, 2121)",lightheaded,lightheaded,386705008,1354698007,14719866-DS-37,"alculated at 408 manually - She continued to be lightheaded. Her heart rates and blood pressures remained st" "Correct entity, wrong SNOMED ID","(2127, 2138)","(2127, 2138)",heart rates,heart rates,301113001,76863003,14719866-DS-37,"manually - She continued to be lightheaded. Her heart rates and blood pressures remained stable, and she was" Wrong span,"(2143, 2175)","(2143, 2159)","blood pressures remained stable","blood pressures",271651005,12763006,14719866-DS-37," continued to be lightheaded. Her heart rates and blood pressures remained stable, and she was admitted to the CMED service. Vit" "Correct entity, wrong SNOMED ID","(2222, 2228)","(2222, 2228)",Vitals,Vitals,118227000,260390007,14719866-DS-37,"ble, and she was admitted to the CMED service. Vitals prior to transfer were 75 114/88 18 99% RA. On" "Correct entity, wrong SNOMED ID","(2269, 2271)","(2269, 2271)",RA,RA,722742002,463051000124105,14719866-DS-37," Vitals prior to transfer were 75 114/88 18 99% RA. On the floor, she reports feeling well and no" "Correct entity, wrong SNOMED ID","(2302, 2314)","(2302, 2314)",feeling well,feeling well,17326005,367391008,14719866-DS-37,"75 114/88 18 99% RA. On the floor, she reports feeling well and no longer feels lightheaded. Past Medical" "Correct entity, wrong SNOMED ID","(2336, 2347)","(2336, 2347)",lightheaded,lightheaded,386705008,1354698007,14719866-DS-37,"or, she reports feeling well and no longer feels lightheaded. Past Medical History: - Aortic Stenosis s/p p" "Correct entity, wrong SNOMED ID","(2376, 2391)","(2376, 2391)",Aortic Stenosis,Aortic Stenosis,60573004,233863001,14719866-DS-37,"er feels lightheaded. Past Medical History: - Aortic Stenosis s/p porcine AVR (w/ 21mm Trifecta tissue valve a" Wrong span,"(2396, 2407)","(2396, 2397)",porcine AVR,p,308663002,421542006,14719866-DS-37,"d. Past Medical History: - Aortic Stenosis s/p porcine AVR (w/ 21mm Trifecta tissue valve and ___ ligation " "Correct entity, wrong SNOMED ID","(2466, 2489)","(2466, 2489)",Coronary artery disease,Coronary artery disease,53741008,1293192009,14719866-DS-37," Trifecta tissue valve and ___ ligation on ___ - Coronary artery disease * ___: s/p 3 overlapping Endeavour stents (3x12" "Correct entity, wrong SNOMED ID","(2527, 2533)","(2527, 2533)",stents,stents,233404000,440271000124109,14719866-DS-37,"tery disease * ___: s/p 3 overlapping Endeavour stents (3x12, 3x24, 3x30) to the proximal, mid and dist" "Correct entity, wrong SNOMED ID","(2561, 2569)","(2561, 2569)",proximal,proximal,91083009,260739009,14719866-DS-37,"pping Endeavour stents (3x12, 3x24, 3x30) to the proximal, mid and distal RCA * ___: s/p two Xience (3x12" "Correct entity, wrong SNOMED ID","(2571, 2574)","(2571, 2574)",mid,mid,450960006,43130005,14719866-DS-37,"avour stents (3x12, 3x24, 3x30) to the proximal, mid and distal RCA * ___: s/p two Xience (3x12 and " "Correct entity, wrong SNOMED ID","(2630, 2636)","(2630, 2636)",stents,stents,103716009,440271000124109,14719866-DS-37,"istal RCA * ___: s/p two Xience (3x12 and 3x23) stents for proximal & mid-RCA in-stent restenosis * " "Correct entity, wrong SNOMED ID","(2641, 2649)","(2641, 2649)",proximal,proximal,91083009,260739009,14719866-DS-37," * ___: s/p two Xience (3x12 and 3x23) stents for proximal & mid-RCA in-stent restenosis * ___: s/p PTCA" Wrong span,"(2654, 2661)","(2654, 2658)",mid-RCA,mid-,450960006,289785007,14719866-DS-37,"wo Xience (3x12 and 3x23) stents for proximal & mid-RCA in-stent restenosis * ___: s/p PTCA & stenting " "Correct entity, wrong SNOMED ID","(2671, 2681)","(2671, 2681)",restenosis,restenosis,43026009,233856001,14719866-DS-37,"nd 3x23) stents for proximal & mid-RCA in-stent restenosis * ___: s/p PTCA & stenting of mid RCA ___ reste" "Correct entity, wrong SNOMED ID","(2695, 2699)","(2695, 2699)",PTCA,PTCA,11101003,371822007,14719866-DS-37,"imal & mid-RCA in-stent restenosis * ___: s/p PTCA & stenting of mid RCA ___ restenosis was perform" "Correct entity, wrong SNOMED ID","(2726, 2736)","(2726, 2736)",restenosis,restenosis,43026009,233856001,14719866-DS-37,"nosis * ___: s/p PTCA & stenting of mid RCA ___ restenosis was performed w/ a 3.0 x 12 Taxus Liberte DES wh" "Correct entity, wrong SNOMED ID","(2838, 2842)","(2838, 2842)",cath,cath,41976001,28309003,14719866-DS-37,"h was postdilated using a 3.5 mm balloon * ___ cath showed patent stents * ___ cath showed no obstr" Wrong span,"(2850, 2863)","(2857, 2863)",patent stents,stents,251029004,440271000124109,14719866-DS-37,"ilated using a 3.5 mm balloon * ___ cath showed patent stents * ___ cath showed no obstructive disease & pate" "Correct entity, wrong SNOMED ID","(2872, 2876)","(2872, 2876)",cath,cath,41976001,28309003,14719866-DS-37,"balloon * ___ cath showed patent stents * ___ cath showed no obstructive disease & patent stents -" Wrong span,"(2887, 2898)","(2887, 2906)",obstructive,obstructive disease,26036001,13645005,14719866-DS-37," cath showed patent stents * ___ cath showed no obstructive disease & patent stents - Hypertension - Paro" Wrong span,"(2899, 2906)","(2887, 2906)",disease,obstructive disease,64572001,13645005,14719866-DS-37," patent stents * ___ cath showed no obstructive disease & patent stents - Hypertension - Paroxysmal a" Wrong span,"(2909, 2922)","(2916, 2922)",patent stents,stents,251029004,440271000124109,14719866-DS-37,"ents * ___ cath showed no obstructive disease & patent stents - Hypertension - Paroxysmal atrial fibrillati" "Correct entity, wrong SNOMED ID","(2927, 2939)","(2927, 2939)",Hypertension,Hypertension,38341003,70995007,14719866-DS-37,"showed no obstructive disease & patent stents - Hypertension - Paroxysmal atrial fibrillation on dronaderone" "Correct entity, wrong SNOMED ID","(2993, 3005)","(2993, 3005)",sinus rhythm,sinus rhythm,251150006,64730000,14719866-DS-37," Paroxysmal atrial fibrillation on dronaderone in sinus rhythm; on warfarin - Mixed dyslipidemia - Anxiet" Missed entity,"(3008, 3021)",,"on warfarin",,722045009,,14719866-DS-37,"ial fibrillation on dronaderone in sinus rhythm; on warfarin - Mixed dyslipidemia - Anxiety - Hysterecto" Wrong span,"(3032, 3044)","(3026, 3044)",dyslipidemia,Mixed dyslipidemia,370992007,238088006,14719866-DS-37,"aderone in sinus rhythm; on warfarin - Mixed dyslipidemia - Anxiety - Hysterectomy & appendectomy - C" "Correct entity, wrong SNOMED ID","(3049, 3056)","(3049, 3056)",Anxiety,Anxiety,48694002,10756431000119109,14719866-DS-37,"rhythm; on warfarin - Mixed dyslipidemia - Anxiety - Hysterectomy & appendectomy - Cholecystecto" "Correct entity, wrong SNOMED ID","(3061, 3073)","(3061, 3073)",Hysterectomy,Hysterectomy,236886002,161800001,14719866-DS-37," warfarin - Mixed dyslipidemia - Anxiety - Hysterectomy & appendectomy - Cholecystectomy, lap - Bilat" "Correct entity, wrong SNOMED ID","(3076, 3088)","(3076, 3088)",appendectomy,appendectomy,80146002,6025007,14719866-DS-37,"Mixed dyslipidemia - Anxiety - Hysterectomy & appendectomy - Cholecystectomy, lap - Bilateral cataract s" "Correct entity, wrong SNOMED ID","(3093, 3108)","(3093, 3108)",Cholecystectomy,Cholecystectomy,38102005,45595009,14719866-DS-37,"a - Anxiety - Hysterectomy & appendectomy - Cholecystectomy, lap - Bilateral cataract surgery Social Hi" "Correct entity, wrong SNOMED ID","(3118, 3144)","(3118, 3144)",Bilateral cataract surgery,Bilateral cataract surgery,1236928007,1345053003,14719866-DS-37,"ctomy & appendectomy - Cholecystectomy, lap - Bilateral cataract surgery Social History: ___ Family History: Brother h" "Correct entity, wrong SNOMED ID","(3206, 3209)","(3206, 3209)",CVA,CVA,230690007,1131000119105,14719866-DS-37,"History: ___ Family History: Brother has ___, had CVA in his ___. Mother lived until age ___, father " "Correct entity, wrong SNOMED ID","(3278, 3298)","(3278, 3298)",ruptured gallbladder,ruptured gallbladder,22788004,174508003,14719866-DS-37," lived until age ___, father died in his ___ of ruptured gallbladder. No hx. of arrhythmia. Physical Exam: ADMISSI" "Correct entity, wrong SNOMED ID","(3395, 3401)","(3395, 3401)",Vitals,Vitals,118227000,260390007,14719866-DS-37,"SSION PHYSICAL EXAM: ============================ Vitals: T 98.9 BP 120/62 HR 82 RR 18 SaO2 99% onRA Wei" "Correct entity, wrong SNOMED ID","(3410, 3412)","(3410, 3412)",BP,BP,392570002,38341003,14719866-DS-37,"EXAM: ============================ Vitals: T 98.9 BP 120/62 HR 82 RR 18 SaO2 99% onRA Weight 70.9 " "Correct entity, wrong SNOMED ID","(3420, 3422)","(3420, 3422)",HR,HR,301113001,258702006,14719866-DS-37,"======================== Vitals: T 98.9 BP 120/62 HR 82 RR 18 SaO2 99% onRA Weight 70.9 Orthostati" "Correct entity, wrong SNOMED ID","(3426, 3428)","(3426, 3428)",RR,RR,301283003,229040007,14719866-DS-37,"================== Vitals: T 98.9 BP 120/62 HR 82 RR 18 SaO2 99% onRA Weight 70.9 Orthostatics: pe" "Correct entity, wrong SNOMED ID","(3432, 3436)","(3432, 3436)",SaO2,SaO2,447755005,449171008,14719866-DS-37,"============ Vitals: T 98.9 BP 120/62 HR 82 RR 18 SaO2 99% onRA Weight 70.9 Orthostatics: pending " "Correct entity, wrong SNOMED ID","(3448, 3454)","(3448, 3454)",Weight,Weight,107647005,43664005,14719866-DS-37,"als: T 98.9 BP 120/62 HR 82 RR 18 SaO2 99% onRA Weight 70.9 Orthostatics: pending GENERAL: Pleasant " "Correct entity, wrong SNOMED ID","(3486, 3493)","(3486, 3493)",GENERAL,GENERAL,162673000,252398009,14719866-DS-37," 99% onRA Weight 70.9 Orthostatics: pending GENERAL: Pleasant elderly woman in no apparent distress " "Correct entity, wrong SNOMED ID","(3533, 3541)","(3533, 3541)",distress,distress,69328002,271825005,14719866-DS-37," GENERAL: Pleasant elderly woman in no apparent distress HEENT: EOMI NECK: No JVD CARDIAC: Regular, " "Correct entity, wrong SNOMED ID","(3551, 3555)","(3551, 3555)",EOMI,EOMI,103251002,67099000,14719866-DS-37,"nt elderly woman in no apparent distress HEENT: EOMI NECK: No JVD CARDIAC: Regular, with coupled h" "Correct entity, wrong SNOMED ID","(3567, 3570)","(3567, 3570)",JVD,JVD,271653008,253395003,14719866-DS-37," in no apparent distress HEENT: EOMI NECK: No JVD CARDIAC: Regular, with coupled heartbeats. Seco" "Correct entity, wrong SNOMED ID","(3573, 3580)","(3573, 3580)",CARDIAC,CARDIAC,363003006,71892000,14719866-DS-37," apparent distress HEENT: EOMI NECK: No JVD CARDIAC: Regular, with coupled heartbeats. Second of pair" "Correct entity, wrong SNOMED ID","(3685, 3689)","(3685, 3689)",LUNG,LUNG,268925001,301232003,14719866-DS-37,"eartbeats demonstrate cannon A waves. No m/r/g. LUNG: CTAB ABDOMEN: Soft, nontender EXT: Trace ede" "Correct entity, wrong SNOMED ID","(3691, 3695)","(3691, 3695)",CTAB,CTAB,48348007,1286955004,14719866-DS-37,"ats demonstrate cannon A waves. No m/r/g. LUNG: CTAB ABDOMEN: Soft, nontender EXT: Trace edema bil" "Correct entity, wrong SNOMED ID","(3698, 3705)","(3698, 3705)",ABDOMEN,ABDOMEN,225162003,75093004,14719866-DS-37,"onstrate cannon A waves. No m/r/g. LUNG: CTAB ABDOMEN: Soft, nontender EXT: Trace edema bilaterally " "Correct entity, wrong SNOMED ID","(3713, 3722)","(3713, 3722)",nontender,nontender,43478001,413319007,14719866-DS-37," A waves. No m/r/g. LUNG: CTAB ABDOMEN: Soft, nontender EXT: Trace edema bilaterally NEURO: A&Ox3. Ab" "Correct entity, wrong SNOMED ID","(3725, 3728)","(3725, 3728)",EXT,EXT,302773001,1489008,14719866-DS-37," m/r/g. LUNG: CTAB ABDOMEN: Soft, nontender EXT: Trace edema bilaterally NEURO: A&Ox3. Able to " "Correct entity, wrong SNOMED ID","(3736, 3741)","(3736, 3741)",edema,edema,267038008,102576009,14719866-DS-37,"UNG: CTAB ABDOMEN: Soft, nontender EXT: Trace edema bilaterally NEURO: A&Ox3. Able to do serial 7s." "Correct entity, wrong SNOMED ID","(3756, 3761)","(3756, 3761)",NEURO,NEURO,84728005,281247006,14719866-DS-37," Soft, nontender EXT: Trace edema bilaterally NEURO: A&Ox3. Able to do serial 7s. Nonfocal ADMISSI" "Correct entity, wrong SNOMED ID","(3765, 3768)","(3765, 3768)",Ox3,Ox3,426224004,396154006,14719866-DS-37,"ntender EXT: Trace edema bilaterally NEURO: A&Ox3. Able to do serial 7s. Nonfocal ADMISSION PHYS" "Correct entity, wrong SNOMED ID","(3943, 3946)","(3943, 3946)",WBC,WBC,767002,391558003,14719866-DS-37,"MISSION LABS ================= ___ 03:00PM BLOOD WBC-6.1 RBC-3.35* Hgb-9.7* Hct-31.9* MCV-95 MCH-28.9" "Correct entity, wrong SNOMED ID","(3951, 3954)","(3951, 3954)",RBC,RBC,14089001,258759006,14719866-DS-37,"LABS ================= ___ 03:00PM BLOOD WBC-6.1 RBC-3.35* Hgb-9.7* Hct-31.9* MCV-95 MCH-28.9 MCHC-30" "Correct entity, wrong SNOMED ID","(3961, 3964)","(3961, 3964)",Hgb,Hgb,441689006,104142005,14719866-DS-37,"============ ___ 03:00PM BLOOD WBC-6.1 RBC-3.35* Hgb-9.7* Hct-31.9* MCV-95 MCH-28.9 MCHC-30.5* RDW-14" "Correct entity, wrong SNOMED ID","(3970, 3973)","(3970, 3973)",Hct,Hct,28317006,282660005,14719866-DS-37,"=== ___ 03:00PM BLOOD WBC-6.1 RBC-3.35* Hgb-9.7* Hct-31.9* MCV-95 MCH-28.9 MCHC-30.5* RDW-14.3 Plt __" "Correct entity, wrong SNOMED ID","(3997, 4001)","(3997, 4001)",MCHC,MCHC,37254006,735147002,14719866-DS-37,"6.1 RBC-3.35* Hgb-9.7* Hct-31.9* MCV-95 MCH-28.9 MCHC-30.5* RDW-14.3 Plt ___ ___ 03:00PM BLOOD Neuts-65" "Correct entity, wrong SNOMED ID","(4008, 4011)","(4008, 4011)",RDW,RDW,66842004,735149004,14719866-DS-37,"5* Hgb-9.7* Hct-31.9* MCV-95 MCH-28.9 MCHC-30.5* RDW-14.3 Plt ___ ___ 03:00PM BLOOD Neuts-65.4 ___ Mon" "Correct entity, wrong SNOMED ID","(4043, 4048)","(4043, 4048)",Neuts,Neuts,30630007,271035003,14719866-DS-37,"8.9 MCHC-30.5* RDW-14.3 Plt ___ ___ 03:00PM BLOOD Neuts-65.4 ___ Monos-8.4 Eos-3.5 Baso-0.4 ___ 03:00PM " "Correct entity, wrong SNOMED ID","(4058, 4063)","(4058, 4063)",Monos,Monos,67776007,462791000124108,14719866-DS-37,"RDW-14.3 Plt ___ ___ 03:00PM BLOOD Neuts-65.4 ___ Monos-8.4 Eos-3.5 Baso-0.4 ___ 03:00PM BLOOD ___ PTT-3" "Correct entity, wrong SNOMED ID","(4068, 4071)","(4068, 4071)",Eos,Eos,71960002,67099000,14719866-DS-37,"lt ___ ___ 03:00PM BLOOD Neuts-65.4 ___ Monos-8.4 Eos-3.5 Baso-0.4 ___ 03:00PM BLOOD ___ PTT-33.3 ___ " "Correct entity, wrong SNOMED ID","(4108, 4111)","(4108, 4111)",PTT,PTT,42525009,282119004,14719866-DS-37,"Monos-8.4 Eos-3.5 Baso-0.4 ___ 03:00PM BLOOD ___ PTT-33.3 ___ ___ 03:00PM BLOOD Glucose-98 UreaN-19 Cr" "Correct entity, wrong SNOMED ID","(4139, 4146)","(4139, 4146)",Glucose,Glucose,33747003,72191006,14719866-DS-37," 03:00PM BLOOD ___ PTT-33.3 ___ ___ 03:00PM BLOOD Glucose-98 UreaN-19 Creat-1.2* Na-135 K-3.9 Cl-98 HCO3-2" "Correct entity, wrong SNOMED ID","(4150, 4155)","(4150, 4155)",UreaN,UreaN,105011006,111108008,14719866-DS-37,"OOD ___ PTT-33.3 ___ ___ 03:00PM BLOOD Glucose-98 UreaN-19 Creat-1.2* Na-135 K-3.9 Cl-98 HCO3-25 AnGap-1" "Correct entity, wrong SNOMED ID","(4159, 4164)","(4159, 4164)",Creat,Creat,70901006,413856009,14719866-DS-37,"TT-33.3 ___ ___ 03:00PM BLOOD Glucose-98 UreaN-19 Creat-1.2* Na-135 K-3.9 Cl-98 HCO3-25 AnGap-16 ___ 03:" "Correct entity, wrong SNOMED ID","(4170, 4172)","(4170, 4172)",Na,Na,312469006,257992007,14719866-DS-37," ___ 03:00PM BLOOD Glucose-98 UreaN-19 Creat-1.2* Na-135 K-3.9 Cl-98 HCO3-25 AnGap-16 ___ 03:00PM BLO" "Correct entity, wrong SNOMED ID","(4184, 4186)","(4184, 4186)",Cl,Cl,104589004,311741002,14719866-DS-37,"LOOD Glucose-98 UreaN-19 Creat-1.2* Na-135 K-3.9 Cl-98 HCO3-25 AnGap-16 ___ 03:00PM BLOOD Calcium-9.3" "Correct entity, wrong SNOMED ID","(4190, 4194)","(4190, 4194)",HCO3,HCO3,312471006,88645003,14719866-DS-37,"lucose-98 UreaN-19 Creat-1.2* Na-135 K-3.9 Cl-98 HCO3-25 AnGap-16 ___ 03:00PM BLOOD Calcium-9.3 Phos-4." "Correct entity, wrong SNOMED ID","(4198, 4203)","(4198, 4203)",AnGap,AnGap,25469001,124504004,14719866-DS-37,"8 UreaN-19 Creat-1.2* Na-135 K-3.9 Cl-98 HCO3-25 AnGap-16 ___ 03:00PM BLOOD Calcium-9.3 Phos-4.1 Mg-2.0 " "Correct entity, wrong SNOMED ID","(4225, 4232)","(4225, 4232)",Calcium,Calcium,312472004,108601004,14719866-DS-37,"5 K-3.9 Cl-98 HCO3-25 AnGap-16 ___ 03:00PM BLOOD Calcium-9.3 Phos-4.1 Mg-2.0 ___ 03:26PM BLOOD Lactate-1.6" "Correct entity, wrong SNOMED ID","(4237, 4241)","(4237, 4241)",Phos,Phos,104868000,168075002,14719866-DS-37,"98 HCO3-25 AnGap-16 ___ 03:00PM BLOOD Calcium-9.3 Phos-4.1 Mg-2.0 ___ 03:26PM BLOOD Lactate-1.6 NOTABLE" "Correct entity, wrong SNOMED ID","(4246, 4248)","(4246, 4248)",Mg,Mg,271285000,258684004,14719866-DS-37,"5 AnGap-16 ___ 03:00PM BLOOD Calcium-9.3 Phos-4.1 Mg-2.0 ___ 03:26PM BLOOD Lactate-1.6 NOTABLE LABS =" "Correct entity, wrong SNOMED ID","(4337, 4340)","(4337, 4340)",PTT,PTT,42525009,282119004,14719866-DS-37,"ABLE LABS ================ ___ 07:27AM BLOOD ___ PTT-33.9 ___ ___ 05:14AM BLOOD ___ PTT-34.9 ___ DISC" "Correct entity, wrong SNOMED ID","(4372, 4375)","(4372, 4375)",PTT,PTT,42525009,282119004,14719866-DS-37,"27AM BLOOD ___ PTT-33.9 ___ ___ 05:14AM BLOOD ___ PTT-34.9 ___ DISCHARGE LABS =================== ___" "Correct entity, wrong SNOMED ID","(4440, 4443)","(4440, 4443)",WBC,WBC,767002,391558003,14719866-DS-37,"HARGE LABS =================== ___ 06:50AM BLOOD WBC-8.9 RBC-3.27* Hgb-9.8* Hct-30.5* MCV-93 MCH-29.8" "Correct entity, wrong SNOMED ID","(4448, 4451)","(4448, 4451)",RBC,RBC,14089001,258759006,14719866-DS-37,"BS =================== ___ 06:50AM BLOOD WBC-8.9 RBC-3.27* Hgb-9.8* Hct-30.5* MCV-93 MCH-29.8 MCHC-32" "Correct entity, wrong SNOMED ID","(4458, 4461)","(4458, 4461)",Hgb,Hgb,441689006,104142005,14719866-DS-37,"============ ___ 06:50AM BLOOD WBC-8.9 RBC-3.27* Hgb-9.8* Hct-30.5* MCV-93 MCH-29.8 MCHC-32.0 RDW-14." "Correct entity, wrong SNOMED ID","(4467, 4470)","(4467, 4470)",Hct,Hct,28317006,282660005,14719866-DS-37,"=== ___ 06:50AM BLOOD WBC-8.9 RBC-3.27* Hgb-9.8* Hct-30.5* MCV-93 MCH-29.8 MCHC-32.0 RDW-14.0 Plt ___" "Correct entity, wrong SNOMED ID","(4494, 4498)","(4494, 4498)",MCHC,MCHC,37254006,735147002,14719866-DS-37,"8.9 RBC-3.27* Hgb-9.8* Hct-30.5* MCV-93 MCH-29.8 MCHC-32.0 RDW-14.0 Plt ___ ___ 06:50AM BLOOD ___ PTT-3" "Correct entity, wrong SNOMED ID","(4504, 4507)","(4504, 4507)",RDW,RDW,66842004,735149004,14719866-DS-37,"27* Hgb-9.8* Hct-30.5* MCV-93 MCH-29.8 MCHC-32.0 RDW-14.0 Plt ___ ___ 06:50AM BLOOD ___ PTT-36.9* ___ " "Correct entity, wrong SNOMED ID","(4543, 4546)","(4543, 4546)",PTT,PTT,42525009,282119004,14719866-DS-37," MCHC-32.0 RDW-14.0 Plt ___ ___ 06:50AM BLOOD ___ PTT-36.9* ___ ___ 06:50AM BLOOD Glucose-96 UreaN-14 C" "Correct entity, wrong SNOMED ID","(4575, 4582)","(4575, 4582)",Glucose,Glucose,33747003,72191006,14719866-DS-37,"06:50AM BLOOD ___ PTT-36.9* ___ ___ 06:50AM BLOOD Glucose-96 UreaN-14 Creat-1.0 Na-141 K-4.7 Cl-104 HCO3-2" "Correct entity, wrong SNOMED ID","(4586, 4591)","(4586, 4591)",UreaN,UreaN,105011006,111108008,14719866-DS-37,"OD ___ PTT-36.9* ___ ___ 06:50AM BLOOD Glucose-96 UreaN-14 Creat-1.0 Na-141 K-4.7 Cl-104 HCO3-26 AnGap-1" "Correct entity, wrong SNOMED ID","(4595, 4600)","(4595, 4600)",Creat,Creat,70901006,413856009,14719866-DS-37,"T-36.9* ___ ___ 06:50AM BLOOD Glucose-96 UreaN-14 Creat-1.0 Na-141 K-4.7 Cl-104 HCO3-26 AnGap-16 STUDIE" "Correct entity, wrong SNOMED ID","(4605, 4607)","(4605, 4607)",Na,Na,312469006,257992007,14719866-DS-37,"_ ___ 06:50AM BLOOD Glucose-96 UreaN-14 Creat-1.0 Na-141 K-4.7 Cl-104 HCO3-26 AnGap-16 STUDIES =====" "Correct entity, wrong SNOMED ID","(4619, 4621)","(4619, 4621)",Cl,Cl,104589004,311741002,14719866-DS-37,"BLOOD Glucose-96 UreaN-14 Creat-1.0 Na-141 K-4.7 Cl-104 HCO3-26 AnGap-16 STUDIES ============ ECG (_" "Correct entity, wrong SNOMED ID","(4626, 4630)","(4626, 4630)",HCO3,HCO3,312471006,88645003,14719866-DS-37,"lucose-96 UreaN-14 Creat-1.0 Na-141 K-4.7 Cl-104 HCO3-26 AnGap-16 STUDIES ============ ECG (___): Sin" "Correct entity, wrong SNOMED ID","(4634, 4639)","(4634, 4639)",AnGap,AnGap,25469001,124504004,14719866-DS-37,"6 UreaN-14 Creat-1.0 Na-141 K-4.7 Cl-104 HCO3-26 AnGap-16 STUDIES ============ ECG (___): Sinus rhythm" "Correct entity, wrong SNOMED ID","(4665, 4668)","(4665, 4668)",ECG,ECG,29303009,75444003,14719866-DS-37,"4.7 Cl-104 HCO3-26 AnGap-16 STUDIES ============ ECG (___): Sinus rhythm with ventricular bigeminy. C" "Correct entity, wrong SNOMED ID","(4677, 4689)","(4677, 4689)",Sinus rhythm,Sinus rhythm,251150006,64730000,14719866-DS-37,"CO3-26 AnGap-16 STUDIES ============ ECG (___): Sinus rhythm with ventricular bigeminy. Compared to the previ" "Correct entity, wrong SNOMED ID","(4762, 4780)","(4762, 4780)",ventricular ectopy,ventricular ectopy,251175005,251176006,14719866-DS-37,"iny. Compared to the previous tracing of ___ the ventricular ectopy is new. CXR (___): IMPRESSION: No acute cardi" "Correct entity, wrong SNOMED ID","(4791, 4794)","(4791, 4794)",CXR,CXR,399208008,55106003,14719866-DS-37,"s tracing of ___ the ventricular ectopy is new. CXR (___): IMPRESSION: No acute cardiopulmonary pro" "Correct entity, wrong SNOMED ID","(4860, 4872)","(4860, 4872)",cardiomegaly,cardiomegaly,8186001,275516004,14719866-DS-37,"ION: No acute cardiopulmonary process, moderate cardiomegaly. ECHO (___): The left atrium is moderately di" "Correct entity, wrong SNOMED ID","(4894, 4927)","(4894, 4927)",left atrium is moderately dilated,left atrium is moderately dilated,253361002,448320008,14719866-DS-37,"cess, moderate cardiomegaly. ECHO (___): The left atrium is moderately dilated. The right atrium is moderately dilated. There i" "Correct entity, wrong SNOMED ID","(4934, 4968)","(4934, 4968)",right atrium is moderately dilated,right atrium is moderately dilated,253350005,716773002,14719866-DS-37,"__): The left atrium is moderately dilated. The right atrium is moderately dilated. There is mild symmetric left ventricular hypert" "Correct entity, wrong SNOMED ID","(5029, 5047)","(5029, 5047)",normal cavity size,normal cavity size,53461003,162010006,14719866-DS-37,"mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (LVEF 70%)" "Correct entity, wrong SNOMED ID","(5053, 5086)","(5053, 5086)",regional/global systolic function,regional/global systolic function,371857005,153931000119109,14719866-DS-37,"tricular hypertrophy with normal cavity size and regional/global systolic function (LVEF 70%). Right ventricular chamber size and f" Wrong span,"(5099, 5125)","(5099, 5130)","Right ventricular chamber","Right ventricular chamber size",53085002,74193008,14719866-DS-37,"nd regional/global systolic function (LVEF 70%). Right ventricular chamber size and free wall motion are normal. A bioprosth" "Correct entity, wrong SNOMED ID","(5140, 5162)","(5140, 5162)",wall motion are normal,wall motion are normal,373122000,414072005,14719866-DS-37,"EF 70%). Right ventricular chamber size and free wall motion are normal. A bioprosthetic aortic valve prosthesis is pres" Wrong span,"(5181, 5193)","(5181, 5204)",aortic valve,aortic valve prosthesis,34202007,782703006,14719866-DS-37,"and free wall motion are normal. A bioprosthetic aortic valve prosthesis is present. The aortic valve prosthesi" Wrong span,"(5221, 5233)","(5221, 5244)",aortic valve,aortic valve prosthesis,34202007,782703006,14719866-DS-37,"osthetic aortic valve prosthesis is present. The aortic valve prosthesis appears well seated, with normal leaf" Missed entity,"(5279, 5286)",,leaflet,,6530003,,14719866-DS-37,"alve prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. The mit" "Correct entity, wrong SNOMED ID","(5333, 5376)","(5333, 5376)","mitral valve leaflets are mildly thickened","mitral valve leaflets are mildly thickened",448820003,244355000,14719866-DS-37,"let/disc motion and transvalvular gradients. The mitral valve leaflets are mildly thickened. Mild (1+) mitral regurgitation is seen. There is" "Correct entity, wrong SNOMED ID","(5378, 5408)","(5378, 5408)",Mild (1+) mitral regurgitation,Mild (1+) mitral regurgitation,838451005,373116009,14719866-DS-37," The mitral valve leaflets are mildly thickened. Mild (1+) mitral regurgitation is seen. There is no pericardial effusion. Com" "Correct entity, wrong SNOMED ID","(5431, 5451)","(5431, 5451)",pericardial effusion,pericardial effusion,373945007,1230405007,14719866-DS-37,"d (1+) mitral regurgitation is seen. There is no pericardial effusion. Compared with the prior study (images reviewed" "Correct entity, wrong SNOMED ID","(5608, 5628)","(5608, 5628)",mitral regurgitation,mitral regurgitation,48724000,373116009,14719866-DS-37," is functioning normally. There is slightly more mitral regurgitation. The pulmonary artery pressures are slightly hig" Wrong span,"(5635, 5681)","(5635, 5661)",pulmonary artery pressures are slightly higher,pulmonary artery pressures,863928009,364097007,14719866-DS-37,"There is slightly more mitral regurgitation. The pulmonary artery pressures are slightly higher. Other findings are similar. Brief Hospital " "Correct entity, wrong SNOMED ID","(5809, 5812)","(5809, 5812)",CAD,CAD,53741008,84270004,14719866-DS-37,"ENT: Ms. ___ is an ___ year old female with ___ CAD (s/p 6 stents), HTN, paroxysmal afib on coumadin " "Correct entity, wrong SNOMED ID","(5829, 5832)","(5829, 5832)",HTN,HTN,38341003,10725009,14719866-DS-37,"___ year old female with ___ CAD (s/p 6 stents), HTN, paroxysmal afib on coumadin and dronedarone, an" "Correct entity, wrong SNOMED ID","(5884, 5899)","(5884, 5899)",aortic stenosis,aortic stenosis,60573004,233863001,14719866-DS-37,"paroxysmal afib on coumadin and dronedarone, and aortic stenosis s/p porcine AVR ___ who presents with an episode" Wrong span,"(5904, 5915)","(5912, 5915)",porcine AVR,AVR,308663002,61279008,14719866-DS-37,"oumadin and dronedarone, and aortic stenosis s/p porcine AVR ___ who presents with an episode from lightheade" "Correct entity, wrong SNOMED ID","(5955, 5970)","(5955, 5970)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37,"orcine AVR ___ who presents with an episode from lightheadedness who was found (per report) to be with symptomati" Missed entity,"(6022, 6033)",,bradycardia,,48867003,,14719866-DS-37,"ho was found (per report) to be with symptomatic bradycardia and hypotension. Pt. was without any repeat epis" "Correct entity, wrong SNOMED ID","(6091, 6102)","(6091, 6102)",bradycardia,bradycardia,48867003,690461000119106,14719866-DS-37,"otension. Pt. was without any repeat episodes of bradycardia or hypotension. Her lisinopril was held given lo" Missed entity,"(6208, 6211)",,APC,,287057009,,14719866-DS-37,"al BPs. She was noted to be in nearly continuous APC bigeminy/trigeminy pattern. It was thought that " Missed entity,"(6212, 6220)",,bigeminy,,11157007,,14719866-DS-37,"Ps. She was noted to be in nearly continuous APC bigeminy/trigeminy pattern. It was thought that pt. was p" Wrong span,"(6221, 6230)","(6221, 6227)",trigeminy,trigem,251180001,29036000,14719866-DS-37,"as noted to be in nearly continuous APC bigeminy/trigeminy pattern. It was thought that pt. was possibly pr" "Correct entity, wrong SNOMED ID","(6320, 6331)","(6320, 6331)",hypovolemic,hypovolemic,816082000,816156006,14719866-DS-37,"ossibly pre-load dependent, may have been mildly hypovolemic resulting in symptomatic lightheadedness. We att" "Correct entity, wrong SNOMED ID","(6357, 6372)","(6357, 6372)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37,"been mildly hypovolemic resulting in symptomatic lightheadedness. We attempted to start pt. on beta blockade with" Wrong span,"(6527, 6576)","(6557, 6576)","paroxysmal runs of multifocal atrial tachycardia","atrial tachycardia",195069001,233894001,14719866-DS-37," issues. We also noted pt. to be with infrequent paroxysmal runs of multifocal atrial tachycardia. For this, we began the pt. on low dose diltiazem" Wrong span,"(6738, 6747)","(6727, 6747)",follow-up,cardiology follow-up,183616001,72427008,14719866-DS-37,"th a ___ of Heart's monitor and close cardiology follow-up. ACTIVE ISSUES ================ # Bigeminy/Trig" "Correct entity, wrong SNOMED ID","(6784, 6792)","(6784, 6792)",Bigeminy,Bigeminy,11157007,251168009,14719866-DS-37,"ogy follow-up. ACTIVE ISSUES ================ # Bigeminy/Trigeminy: Pt. presented with lightheadedness. " "Correct entity, wrong SNOMED ID","(6793, 6802)","(6793, 6802)",Trigeminy,Trigeminy,251180001,251174009,14719866-DS-37,"w-up. ACTIVE ISSUES ================ # Bigeminy/Trigeminy: Pt. presented with lightheadedness. According" "Correct entity, wrong SNOMED ID","(6824, 6839)","(6824, 6839)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37,"====== # Bigeminy/Trigeminy: Pt. presented with lightheadedness. According to her home healthcare workers, pt. " "Correct entity, wrong SNOMED ID","(6893, 6904)","(6893, 6904)",bradycardia,bradycardia,48867003,49710005,14719866-DS-37,"According to her home healthcare workers, pt. was bradycardia and hypotensive. There were no available EKGs o" "Correct entity, wrong SNOMED ID","(6910, 6921)","(6910, 6921)",hypotensive,hypotensive,45007003,88887003,14719866-DS-37,"home healthcare workers, pt. was bradycardia and hypotensive. There were no available EKGs or strips documen" "Correct entity, wrong SNOMED ID","(6976, 6987)","(6976, 6987)",bradycardia,bradycardia,48867003,49710005,14719866-DS-37,"ere were no available EKGs or strips documenting bradycardia. Pt. with recent AVR on ___ with ___. Pt. had " "Correct entity, wrong SNOMED ID","(7006, 7009)","(7006, 7009)",AVR,AVR,26212005,61279008,14719866-DS-37,"strips documenting bradycardia. Pt. with recent AVR on ___ with ___. Pt. had TTE on admission which" "Correct entity, wrong SNOMED ID","(7037, 7040)","(7037, 7040)",TTE,TTE,433236007,186378005,14719866-DS-37,". Pt. with recent AVR on ___ with ___. Pt. had TTE on admission which revealed a well-seated AVR. " "Correct entity, wrong SNOMED ID","(7083, 7086)","(7083, 7086)",AVR,AVR,26212005,61279008,14719866-DS-37,"had TTE on admission which revealed a well-seated AVR. There was no evidence of bradycardia on telemt" "Correct entity, wrong SNOMED ID","(7100, 7111)","(7100, 7111)",no evidence,no evidence,281900007,41647002,14719866-DS-37,"ion which revealed a well-seated AVR. There was no evidence of bradycardia on telemtry on admission. Pt. wa" "Correct entity, wrong SNOMED ID","(7115, 7126)","(7115, 7126)",bradycardia,bradycardia,48867003,690461000119106,14719866-DS-37,"led a well-seated AVR. There was no evidence of bradycardia on telemtry on admission. Pt. was noted to be i" "Correct entity, wrong SNOMED ID","(7214, 7223)","(7214, 7223)",trigeminy,trigeminy,29036000,251174009,14719866-DS-37,"oted to be in a bigeminy pattern with periods of trigeminy possibly triggered by an APC. Her lightheadednes" Missed entity,"(7249, 7252)",,APC,,287057009,,14719866-DS-37,"th periods of trigeminy possibly triggered by an APC. Her lightheadedness was attributed to hypovole" "Correct entity, wrong SNOMED ID","(7259, 7274)","(7259, 7274)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37," of trigeminy possibly triggered by an APC. Her lightheadedness was attributed to hypovolemia in the setting of " "Correct entity, wrong SNOMED ID","(7294, 7305)","(7294, 7305)",hypovolemia,hypovolemia,816082000,816156006,14719866-DS-37,"y an APC. Her lightheadedness was attributed to hypovolemia in the setting of ventricular bigeminy/trigeminy" Wrong span,"(7324, 7345)","(7324, 7335)","ventricular bigeminy",ventricular,11157007,244371000,14719866-DS-37," was attributed to hypovolemia in the setting of ventricular bigeminy/trigeminy. She remained asymptomatic on admissio" "Correct entity, wrong SNOMED ID","(7346, 7355)","(7346, 7355)",trigeminy,trigeminy,251180001,251174009,14719866-DS-37,"povolemia in the setting of ventricular bigeminy/trigeminy. She remained asymptomatic on admission. Pt. r" "Correct entity, wrong SNOMED ID","(7371, 7383)","(7371, 7383)",asymptomatic,asymptomatic,84387000,280428001,14719866-DS-37,"of ventricular bigeminy/trigeminy. She remained asymptomatic on admission. Pt. refused metoprolol as she rep" "Correct entity, wrong SNOMED ID","(7563, 7575)","(7563, 7575)",sinus rhythm,sinus rhythm,251150006,64730000,14719866-DS-37,"n her home dronaderone and diltiazem to maintain sinus rhythm and reduce the frequency of bigeminy. She also " Missed entity,"(7605, 7613)",,bigeminy,,11157007,,14719866-DS-37,"aintain sinus rhythm and reduce the frequency of bigeminy. She also was sent with ___ of hearts monitor. " Missed entity,"(7647, 7661)",,hearts monitor,,23852006,,14719866-DS-37,"ency of bigeminy. She also was sent with ___ of hearts monitor. #) Paroxysmal Multifocal atrial tachycardia" "Correct entity, wrong SNOMED ID","(7671, 7681)","(7671, 7681)",Paroxysmal,Paroxysmal,195069001,251473007,14719866-DS-37,"lso was sent with ___ of hearts monitor. #) Paroxysmal Multifocal atrial tachycardia: Pt. noted to have" Wrong span,"(7682, 7711)","(7693, 7711)",Multifocal atrial tachycardia,atrial tachycardia,49982000,233892002,14719866-DS-37,"t with ___ of hearts monitor. #) Paroxysmal Multifocal atrial tachycardia: Pt. noted to have infrequent runs of MAT. Thi" "Correct entity, wrong SNOMED ID","(8079, 8085)","(8079, 8085)",Anemia,Anemia,271737000,87522002,14719866-DS-37," negative. Creatinine returned to baseline. #) Anemia: Pt. noted to have a normocytic anemia since tim" "Correct entity, wrong SNOMED ID","(8108, 8125)","(8108, 8125)",normocytic anemia,normocytic anemia,300980002,46737006,14719866-DS-37,"ned to baseline. #) Anemia: Pt. noted to have a normocytic anemia since time of surgery. Anemia work-up with iron" "Correct entity, wrong SNOMED ID","(8151, 8157)","(8151, 8157)",Anemia,Anemia,271737000,87522002,14719866-DS-37,"have a normocytic anemia since time of surgery. Anemia work-up with iron was unrevealing. Would contin" Missed entity,"(8158, 8165)",,work-up,,386053000,,14719866-DS-37,"normocytic anemia since time of surgery. Anemia work-up with iron was unrevealing. Would continue Poss" "Correct entity, wrong SNOMED ID","(8231, 8237)","(8231, 8237)",anemia,anemia,267530009,87522002,14719866-DS-37,"nrevealing. Would continue Possibly related to anemia of acute/sub-acute blood loss. - anemia work-up" Missed entity,"(8251, 8268)",,"acute blood loss",,8573003,,14719866-DS-37,"continue Possibly related to anemia of acute/sub-acute blood loss. - anemia work-up - retic count Normocytic anem" "Correct entity, wrong SNOMED ID","(8273, 8279)","(8273, 8279)",anemia,anemia,271737000,87522002,14719866-DS-37,"ated to anemia of acute/sub-acute blood loss. - anemia work-up - retic count Normocytic anemia since ti" Missed entity,"(8280, 8287)",,work-up,,386053000,,14719866-DS-37," anemia of acute/sub-acute blood loss. - anemia work-up - retic count Normocytic anemia since time of su" "Correct entity, wrong SNOMED ID","(8303, 8320)","(8303, 8320)",Normocytic anemia,Normocytic anemia,300980002,46737006,14719866-DS-37,"ute blood loss. - anemia work-up - retic count Normocytic anemia since time of surgery. Possibly related to anem" "Correct entity, wrong SNOMED ID","(8366, 8372)","(8366, 8372)",anemia,anemia,267530009,87522002,14719866-DS-37,"emia since time of surgery. Possibly related to anemia of acute/sub-acute blood loss. Anemia work-up re" Missed entity,"(8386, 8402)",,acute blood loss,,8573003,,14719866-DS-37,"urgery. Possibly related to anemia of acute/sub-acute blood loss. Anemia work-up revealed normal iron studies, n" "Correct entity, wrong SNOMED ID","(8405, 8411)","(8405, 8411)",Anemia,Anemia,271737000,87522002,14719866-DS-37,"elated to anemia of acute/sub-acute blood loss. Anemia work-up revealed normal iron studies, normal B12" Missed entity,"(8412, 8419)",,work-up,,386053000,,14719866-DS-37,"to anemia of acute/sub-acute blood loss. Anemia work-up revealed normal iron studies, normal B12 and fol" "Correct entity, wrong SNOMED ID","(8519, 8538)","(8519, 8538)",Atrial Fibrillation,Atrial Fibrillation,49436004,313377641000119105,14719866-DS-37,"ate levels. CHRONIC ISSUES ================== #) Atrial Fibrillation: Stable in sinus rhythm. Continued on dronader" Missed entity,"(8551, 8563)",,sinus rhythm,,251150006,,14719866-DS-37,"============== #) Atrial Fibrillation: Stable in sinus rhythm. Continued on dronaderone. Warfarin held in th" "Correct entity, wrong SNOMED ID","(8675, 8687)","(8675, 8687)",Dyslipidemia,Dyslipidemia,370992007,109041000119107,14719866-DS-37," supratherapeutic INR on day of discharge. #) Dyslipidemia: Continued atorvastatin #) Coronary Artery Disea" "Correct entity, wrong SNOMED ID","(8716, 8739)","(8716, 8739)",Coronary Artery Disease,Coronary Artery Disease,53741008,1293192009,14719866-DS-37,"e. #) Dyslipidemia: Continued atorvastatin #) Coronary Artery Disease: Continued aspirin, atorvastatin. TRANSITIONAL " Wrong span,"(8910, 8930)","(8910, 8921)",ventricular bigeminy,ventricular,11157007,244371000,14719866-DS-37,"ER to possibly help with control of both MAT and ventricular bigeminy. # Lisinopril held on admission for low normal " "Correct entity, wrong SNOMED ID","(9003, 9018)","(9003, 9018)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37,"n admission for low normal BPs in the setting of lightheadedness. If BP tolerate, can resume. However, her lighth" "Correct entity, wrong SNOMED ID","(9062, 9077)","(9062, 9077)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37,"edness. If BP tolerate, can resume. However, her lightheadedness may be related to hypotension. # Multifocal Atri" Wrong span,"(9112, 9141)","(9123, 9141)",Multifocal Atrial Tachycardia,Atrial Tachycardia,49982000,233892002,14719866-DS-37,"lightheadedness may be related to hypotension. # Multifocal Atrial Tachycardia: Pt. noted to have brief asymptomatic runs of mu" Missed entity,"(9168, 9180)",,asymptomatic,,84387000,,14719866-DS-37,"ocal Atrial Tachycardia: Pt. noted to have brief asymptomatic runs of multifocal atrial tachycardia. Given not " Wrong span,"(9189, 9218)","(9200, 9218)",multifocal atrial tachycardia,atrial tachycardia,49982000,233892002,14719866-DS-37,"ia: Pt. noted to have brief asymptomatic runs of multifocal atrial tachycardia. Given not related to symptoms, unlikely cause o" "Correct entity, wrong SNOMED ID","(9303, 9314)","(9303, 9314)",Bradycardia,Bradycardia,48867003,74615001,14719866-DS-37,"nlikely cause of her presentation. # Question of Bradycardia: Pt. sent to ___ for eval of symptomatic bradyca" "Correct entity, wrong SNOMED ID","(9357, 9368)","(9357, 9368)",bradycardia,bradycardia,48867003,49710005,14719866-DS-37,"ycardia: Pt. sent to ___ for eval of symptomatic bradycardia. Not witnessed on hospitalization. Discharged wi" "Correct entity, wrong SNOMED ID","(9451, 9459)","(9451, 9459)",Bigeminy,Bigeminy,11157007,251168009,14719866-DS-37,"n. Discharged with ___ to be sent to Dr. ___. # Bigeminy/Trigeminy triggered by APCs: ___ result in pre-lo" "Correct entity, wrong SNOMED ID","(9460, 9469)","(9460, 9469)",Trigeminy,Trigeminy,251180001,251174009,14719866-DS-37,"arged with ___ to be sent to Dr. ___. # Bigeminy/Trigeminy triggered by APCs: ___ result in pre-load depend" Missed entity,"(9483, 9487)",,APCs,,287057009,,14719866-DS-37,"nt to Dr. ___. # Bigeminy/Trigeminy triggered by APCs: ___ result in pre-load dependent state resultin" "Correct entity, wrong SNOMED ID","(9542, 9557)","(9542, 9557)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37," result in pre-load dependent state resulting in lightheadedness. Pt. recommended metoprolol but not started on a" Missed entity,"(9646, 9658)",,side effects,,401207004,,14719866-DS-37,"tarted on admission bc/ pt. refused ___ previous side effects. Consider beta blockade as outpatient to decreas" "Correct entity, wrong SNOMED ID","(9737, 9743)","(9737, 9743)",Anemia,Anemia,271737000,87522002,14719866-DS-37,"utpatient to decrease occurrence of bigemeny. # Anemia: Pt. with normocytic anemia. Vit B12 550 (nl), fo" "Correct entity, wrong SNOMED ID","(9754, 9771)","(9754, 9771)",normocytic anemia,normocytic anemia,300980002,46737006,14719866-DS-37,"rease occurrence of bigemeny. # Anemia: Pt. with normocytic anemia. Vit B12 550 (nl), folate > than assay, ferritin" "Correct entity, wrong SNOMED ID","(11337, 11354)","(11337, 11354)",Home With Service,Home With Service,385783005,710242005,14719866-DS-37,"#*60 Capsule Refills:*0 Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: PRIMARY DI" Wrong span,"(11437, 11466)","(11448, 11466)",Multifocal Atrial Tachycardia,Atrial Tachycardia,49982000,233892002,14719866-DS-37,"nosis: PRIMARY DIAGNOSES ====================== # Multifocal Atrial Tachycardia # Ventricular Bigeminy # Acute Kidney Injury # An" "Correct entity, wrong SNOMED ID","(11514, 11520)","(11514, 11520)",Anemia,Anemia,271737000,87522002,14719866-DS-37,"ia # Ventricular Bigeminy # Acute Kidney Injury # Anemia SECONDARY DIAGNOSES ======================= # At" "Correct entity, wrong SNOMED ID","(11568, 11587)","(11568, 11587)",Atrial Fibrillation,Atrial Fibrillation,49436004,313377641000119105,14719866-DS-37,"ia SECONDARY DIAGNOSES ======================= # Atrial Fibrillation # Dyslipidemia # Coronary Artery Disease Disch" "Correct entity, wrong SNOMED ID","(11590, 11602)","(11590, 11602)",Dyslipidemia,Dyslipidemia,370992007,109041000119107,14719866-DS-37,"S ======================= # Atrial Fibrillation # Dyslipidemia # Coronary Artery Disease Discharge Condition:" "Correct entity, wrong SNOMED ID","(11605, 11628)","(11605, 11628)",Coronary Artery Disease,Coronary Artery Disease,53741008,1293192009,14719866-DS-37,"========== # Atrial Fibrillation # Dyslipidemia # Coronary Artery Disease Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(11653, 11666)","(11653, 11666)",Mental Status,Mental Status,392257007,419284004,14719866-DS-37,"# Coronary Artery Disease Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(11668, 11673)","(11668, 11673)",Clear,Clear,830123008,281278005,14719866-DS-37,"ry Disease Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(11688, 11710)","(11688, 11710)",Level of Consciousness,Level of Consciousness,444714004,830285008,14719866-DS-37,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(11712, 11717)","(11712, 11717)",Alert,Alert,248234008,409787004,14719866-DS-37,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(11722, 11733)","(11722, 11733)",interactive,interactive,288577006,10301000202103,14719866-DS-37,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(11735, 11750)","(11735, 11750)",Activity Status,Activity Status,129676008,397622007,14719866-DS-37,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(11752, 11776)","(11752, 11776)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,14719866-DS-37,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Ms. ___, It was a pl" "Correct entity, wrong SNOMED ID","(11914, 11929)","(11914, 11929)",lightheadedness,lightheadedness,386705008,1354698007,14719866-DS-37,"ng your hospitalization. You were admitted with lightheadedness and slow heart rate. The slow heart rate was su" "Correct entity, wrong SNOMED ID","(12140, 12151)","(12140, 12151)",dehydration,dehydration,34095006,1611000119108,14719866-DS-37,"tay. We felt that your symptoms were related to dehydration and an ongoing abnormal heart rhythm called ""ven" "Correct entity, wrong SNOMED ID","(12167, 12188)","(12167, 12188)",abnormal heart rhythm,abnormal heart rhythm,361136003,49260003,14719866-DS-37,"ptoms were related to dehydration and an ongoing abnormal heart rhythm called ""ventricular bigeminy."" This is not a da" Wrong span,"(12308, 12330)","(12303, 12330)","abnormal heart rhythm","fast abnormal heart rhythm",361136003,16818451000119104,14719866-DS-37,"u were also noted to have short periods of a fast abnormal heart rhythm. You were started on a medication, diltiazem, to" "Correct entity, wrong SNOMED ID","(12392, 12411)","(12392, 12411)",abnormal heart beat,abnormal heart beat,361136003,206267000,14719866-DS-37,"started on a medication, diltiazem, to help your abnormal heart beat conditions. In case your lisinopril was making " Wrong span,"(12466, 12488)","(12466, 12480)",blood pressure too low,blood pressure,45007003,50723001,14719866-DS-37,"itions. In case your lisinopril was making your blood pressure too low, we stopped this medication at this time. You" False positive,,"(1081, 1087)",,travel,,161098003,14975962-DS-19,"has been doing ___ in debris filled buildings. No travel (including to any areas where coccidiomyocosis or" False positive,,"(3097, 3114)",,REVIEW OF SYSTEMS,,415300000,14975962-DS-19,"ing on his right arm has improved after Toradol. REVIEW OF SYSTEMS: ================== Complete ROS obtained and is " False positive,,"(3385, 3394)",,Exercised,,40979000,14975962-DS-19,"acture, -broke his back in ___ -Stress test ___. Exercised 9:45, max hr 176. normal -Colonoscopy ___ normal." False positive,,"(3667, 3669)",,Po,,414593002,14975962-DS-19,"ystolic function. -Sleep apnea on homestudy ___. Positive. -low B12 ___ started 1000 mcg daily Soci" False positive,,"(3956, 3957)",,R,,420274006,14975962-DS-19,"=============== ___ 1703 Temp: 99.5 PO BP: 164/95 R Sitting HR: 99 RR: 16 O2 sat: 94% O2 delivery: R" False positive,,"(4283, 4286)",,BS+,,260347006,14975962-DS-19,", no murmurs Abd: soft, nontender, nondistended, BS+, no hepatosplenomegaly Skin: Multiple tender, ery" False positive,,"(4557, 4567)",,SICAL EXAM,,84728005,14975962-DS-19,"y strength. Symmetric ___ reflexes. DISCHARGE PHYSICAL EXAM: ======================== Vitals: 24 HR Data (las" False positive,,"(4594, 4600)",,Vitals,,260390007,14975962-DS-19,"DISCHARGE PHYSICAL EXAM: ======================== Vitals: 24 HR Data (last updated ___ @ 2309) Temp: 9" False positive,,"(4665, 4667)",,BP,,38341003,14975962-DS-19,"ast updated ___ @ 2309) Temp: 98.7 (Tm 99.6), BP: 132/79 (107-153/69-92), HR: 99 (90-107), RR: 16 " False positive,,"(4693, 4695)",,HR,,258702006,14975962-DS-19,"Temp: 98.7 (Tm 99.6), BP: 132/79 (107-153/69-92), HR: 99 (90-107), RR: 16 (___), O2 sat: 96% (91-97), " False positive,,"(4710, 4712)",,RR,,229040007,14975962-DS-19,".6), BP: 132/79 (107-153/69-92), HR: 99 (90-107), RR: 16 (___), O2 sat: 96% (91-97), O2 delivery: RA " False positive,,"(5242, 5258)",,bony prominences,,449754000,14975962-DS-19,"s, and feet (mostly over the heel, toes and other bony prominences). Slightly tender to palpation. No bleeding or ac" False positive,,"(6033, 6037)",,ANCA,,90720009,14975962-DS-19,"D HBsAg-NEG HBsAb-NEG HBcAb-NEG ___ 09:15PM BLOOD ANCA-NEGATIVE B ___ 09:15PM BLOOD ___ Titer-1:40* ___ " False positive,,"(6616, 6621)",,signs,,86631001,14975962-DS-19,"dation, effusion, or pneumothorax. There are no signs of congestion or edema. The cardiomediastinal s" False positive,,"(7245, 7254)",,bilateral,,268228006,14975962-DS-19,"t later spread to the left arm, bilateral knees, bilateral shins, and bilateral bony prominences of the fee" False positive,,"(7276, 7293)",,"bony prominences",,449754000,14975962-DS-19,", bilateral knees, bilateral shins, and bilateral bony prominences of the feet. The appearance of the rash is consi" False positive,,"(7758, 7761)",,EBV,,18045006,14975962-DS-19,"egative Monospot, negative RPR, and unremarkable EBV serologies. Of note, Strep was pending at discha" False positive,,"(7817, 7825)",,rheumato,,419472004,14975962-DS-19,"ogies. Of note, Strep was pending at discharge a rheumatologic workup was also performed and was notable f" False positive,,"(8550, 8559)",,breathing,,271825005,14975962-DS-19," discharge, his sore throat was improved and his breathing remained at baseline. Etiology of the sore throa" False positive,,"(9005, 9014)",,Bilateral,,268228006,14975962-DS-19,"k of streptococcal pharyngitis given his age. # Bilateral leg weakness He has long-standing weakness that h" False positive,,"(9122, 9138)",,physical therapy,,183326003,14975962-DS-19,"s is from previous back injuries. He was seen by physical therapy he felt that he was safe to go home without any " False positive,,"(9226, 9238)",,Hypertension,,70995007,14975962-DS-19,"without any more needs. ====CHRONIC ISSUES==== # Hypertension: Continued on home metoprolol and amlodipine. # " False positive,,"(9288, 9302)",,Celiac disease,,91867008,14975962-DS-19,": Continued on home metoprolol and amlodipine. # Celiac disease: Continued on a gluten-free diet. # Psoriasis: B" False positive,,"(9340, 9349)",,Psoriasis,,111188005,14975962-DS-19,"liac disease: Continued on a gluten-free diet. # Psoriasis: Betamethasone cream as needed. # GERD: Continue" False positive,,"(9385, 9389)",,GERD,,15749591000119107,14975962-DS-19,". # Psoriasis: Betamethasone cream as needed. # GERD: Continued on home omeprazole. # Depression: Con" False positive,,"(9424, 9434)",,Depression,,26141007,14975962-DS-19,"needed. # GERD: Continued on home omeprazole. # Depression: Continued on home Celexa and amitriptyline. ===" False positive,,"(9617, 9622)",,acute,,255228009,14975962-DS-19,"the biopsy. [] Elevated CRP likely in setting of acute infectious illness and erythema nodosum. [] ASO" False positive,,"(11346, 11362)",,physical therapy,,183326003,14975962-DS-19," which were unremarkable.***** - You were seen by physical therapy for your leg weakness. WHAT SHOULD I DO AFTER I " "Correct entity, wrong SNOMED ID","(178, 189)","(178, 189)",Penicillins,Penicillins,91936005,11986009,14975962-DS-19," Sex: M Service: MEDICINE Allergies: Penicillins / Gluten Attending: ___. Chief Complaint: Sor" "Correct entity, wrong SNOMED ID","(192, 198)","(192, 198)",Gluten,Gluten,1269425007,444101000124101,14975962-DS-19,"M Service: MEDICINE Allergies: Penicillins / Gluten Attending: ___. Chief Complaint: Sore throat " "Correct entity, wrong SNOMED ID","(236, 247)","(236, 247)",Sore throat,Sore throat,267102003,43878008,14975962-DS-19,"ins / Gluten Attending: ___. Chief Complaint: Sore throat Rash Major Surgical or Invasive Procedure: Skin" "Correct entity, wrong SNOMED ID","(248, 252)","(248, 252)",Rash,Rash,271807003,247472004,14975962-DS-19," Attending: ___. Chief Complaint: Sore throat Rash Major Surgical or Invasive Procedure: Skin biop" "Correct entity, wrong SNOMED ID","(293, 304)","(293, 304)",Skin biopsy,Skin biopsy,240977001,287538006,14975962-DS-19,"roat Rash Major Surgical or Invasive Procedure: Skin biopsy History of Present Illness: This is a ___ Year" "Correct entity, wrong SNOMED ID","(380, 394)","(380, 394)",celiac disease,celiac disease,396331005,91867008,14975962-DS-19,"ness: This is a ___ Year old male with history of celiac disease, psoriasis, and HTN who presented to the ED with " "Correct entity, wrong SNOMED ID","(396, 405)","(396, 405)",psoriasis,psoriasis,9014002,111188005,14975962-DS-19,"___ Year old male with history of celiac disease, psoriasis, and HTN who presented to the ED with multiple pa" "Correct entity, wrong SNOMED ID","(411, 414)","(411, 414)",HTN,HTN,38341003,10725009,14975962-DS-19,"le with history of celiac disease, psoriasis, and HTN who presented to the ED with multiple painful & e" "Correct entity, wrong SNOMED ID","(453, 460)","(453, 460)",painful,painful,301364008,49650001,14975962-DS-19,"is, and HTN who presented to the ED with multiple painful & erythematous cutaneous lesions that began on __" Wrong span,"(463, 475)","(463, 493)",erythematous,erythematous cutaneous lesions,247441003,723166008,14975962-DS-19,"N who presented to the ED with multiple painful & erythematous cutaneous lesions that began on ___. He also had " Wrong span,"(476, 493)","(463, 493)",cutaneous lesions,erythematous cutaneous lesions,95324001,723166008,14975962-DS-19,"ed to the ED with multiple painful & erythematous cutaneous lesions that began on ___. He also had a severe sore thro" Missed entity,"(527, 533)",,severe,,76948002,,14975962-DS-19,"utaneous lesions that began on ___. He also had a severe sore throat as well as a cough. His other pain co" "Correct entity, wrong SNOMED ID","(534, 545)","(534, 545)",sore throat,sore throat,267102003,43878008,14975962-DS-19,"s lesions that began on ___. He also had a severe sore throat as well as a cough. His other pain complaint is p" "Correct entity, wrong SNOMED ID","(559, 564)","(559, 564)",cough,cough,49727002,28743005,14975962-DS-19,"__. He also had a severe sore throat as well as a cough. His other pain complaint is profound lower extre" Missed entity,"(576, 580)",,pain,,22253000,,14975962-DS-19," severe sore throat as well as a cough. His other pain complaint is profound lower extremity weakness wh" "Correct entity, wrong SNOMED ID","(653, 657)","(653, 657)",fall,fall,161898004,298344006,14975962-DS-19,"lower extremity weakness which has resulted in a fall and him being afraid to walk. The patient repor" Missed entity,"(672, 686)",,afraid to walk,,225625004,,14975962-DS-19,"kness which has resulted in a fall and him being afraid to walk. The patient reported the sudden onset of a red" "Correct entity, wrong SNOMED ID","(733, 736)","(733, 736)",red,red,822962003,239163008,14975962-DS-19,"alk. The patient reported the sudden onset of a red painful indurated nodule on his extensor forearm " Missed entity,"(737, 744)",,painful,,22253000,,14975962-DS-19," The patient reported the sudden onset of a red painful indurated nodule on his extensor forearm two days" "Correct entity, wrong SNOMED ID","(745, 754)","(745, 754)",indurated,indurated,45147008,95402002,14975962-DS-19,"atient reported the sudden onset of a red painful indurated nodule on his extensor forearm two days prior to " "Correct entity, wrong SNOMED ID","(755, 761)","(755, 761)",nodule,nodule,27925004,237495005,14975962-DS-19,"orted the sudden onset of a red painful indurated nodule on his extensor forearm two days prior to present" "Correct entity, wrong SNOMED ID","(769, 785)","(769, 785)",extensor forearm,extensor forearm,41550009,423512000,14975962-DS-19,"en onset of a red painful indurated nodule on his extensor forearm two days prior to presentation. Shortly thereafte" "Correct entity, wrong SNOMED ID","(854, 861)","(854, 861)",lesions,lesions,52988006,246206008,14975962-DS-19,"presentation. Shortly thereafter he noted similar lesions developing on his left arm, left knee and left an" "Correct entity, wrong SNOMED ID","(880, 888)","(880, 888)",left arm,left arm,368208006,72098002,14975962-DS-19,"eafter he noted similar lesions developing on his left arm, left knee and left ankle. He had no associated f" "Correct entity, wrong SNOMED ID","(890, 899)","(890, 899)",left knee,left knee,82169009,1075571000119106,14975962-DS-19,"noted similar lesions developing on his left arm, left knee and left ankle. He had no associated fevers or ch" "Correct entity, wrong SNOMED ID","(904, 914)","(904, 914)",left ankle,left ankle,51636004,241784008,14975962-DS-19,"lesions developing on his left arm, left knee and left ankle. He had no associated fevers or chills. Of note, " "Correct entity, wrong SNOMED ID","(937, 943)","(937, 943)",fevers,fevers,386661006,248444008,14975962-DS-19,"m, left knee and left ankle. He had no associated fevers or chills. Of note, the patient has had no known " "Correct entity, wrong SNOMED ID","(947, 953)","(947, 953)",chills,chills,43724002,274640006,14975962-DS-19,"ee and left ankle. He had no associated fevers or chills. Of note, the patient has had no known exposures," "Correct entity, wrong SNOMED ID","(1118, 1134)","(1118, 1134)",coccidiomyocosis,coccidiomyocosis,60826002,417405005,14975962-DS-19,"uildings. No travel (including to any areas where coccidiomyocosis or histoplasmosis is endemic). No antibiotics. No" "Correct entity, wrong SNOMED ID","(1138, 1152)","(1138, 1152)",histoplasmosis,histoplasmosis,12962009,240744005,14975962-DS-19,"(including to any areas where coccidiomyocosis or histoplasmosis is endemic). No antibiotics. No new medications, " "Correct entity, wrong SNOMED ID","(1169, 1180)","(1169, 1180)",antibiotics,antibiotics,281789004,372599003,14975962-DS-19,"occidiomyocosis or histoplasmosis is endemic). No antibiotics. No new medications, detergents, soaps, etc. Mono" Missed entity,"(1185, 1200)",,new medications,,266712008,,14975962-DS-19,"or histoplasmosis is endemic). No antibiotics. No new medications, detergents, soaps, etc. Monogamous with his wife" Wrong span,"(1226, 1236)","(1226, 1232)",Monogamous,Monoga,225520003,763200007,14975962-DS-19,"tics. No new medications, detergents, soaps, etc. Monogamous with his wife, no hx or risk factors for STIs inc" "Correct entity, wrong SNOMED ID","(1278, 1282)","(1278, 1282)",STIs,STIs,8098009,38186005,14975962-DS-19,"nogamous with his wife, no hx or risk factors for STIs including syphilis, HIV, GC, or chlamydia. The p" "Correct entity, wrong SNOMED ID","(1293, 1301)","(1293, 1301)",syphilis,syphilis,76272004,444380003,14975962-DS-19,"is wife, no hx or risk factors for STIs including syphilis, HIV, GC, or chlamydia. The patient does have a " "Correct entity, wrong SNOMED ID","(1303, 1306)","(1303, 1306)",HIV,HIV,86406008,19030005,14975962-DS-19,"o hx or risk factors for STIs including syphilis, HIV, GC, or chlamydia. The patient does have a dog (" "Correct entity, wrong SNOMED ID","(1309, 1311)","(1309, 1311)",GC,GC,15628003,396156008,14975962-DS-19,"r risk factors for STIs including syphilis, HIV, GC, or chlamydia. The patient does have a dog (has h" "Correct entity, wrong SNOMED ID","(1316, 1325)","(1316, 1325)",chlamydia,chlamydia,105629000,264405000,14975962-DS-19,"factors for STIs including syphilis, HIV, GC, or chlamydia. The patient does have a dog (has had for ___ yea" "Correct entity, wrong SNOMED ID","(1401, 1406)","(1401, 1406)",bites,bites,3404009,262551003,14975962-DS-19,"dog (has had for ___ years) and denies any recent bites or scratches. No exposures to birds, cattle, cats" Boundary error,"(1410, 1419)","(1410, 1417)",scratches,scratch,283111009,217719006,14975962-DS-19,"had for ___ years) and denies any recent bites or scratches. No exposures to birds, cattle, cats, rabbits or " "Correct entity, wrong SNOMED ID","(1507, 1511)","(1507, 1511)",rash,rash,271807003,247472004,14975962-DS-19," rabbits or other wildlife. He states that this rash has also been associated with a sore throat and c" "Correct entity, wrong SNOMED ID","(1544, 1555)","(1544, 1555)","sore throat","sore throat",267102003,43878008,14975962-DS-19,"es that this rash has also been associated with a sore throat and cough that developed over this time period. T" "Correct entity, wrong SNOMED ID","(1560, 1565)","(1560, 1565)",cough,cough,49727002,28743005,14975962-DS-19,"h has also been associated with a sore throat and cough that developed over this time period. The cough i" Wrong span,"(1608, 1631)","(1608, 1613)","cough is non-productive",cough,11833005,28743005,14975962-DS-19,"d cough that developed over this time period. The cough is non-productive, but he reports that it feels ""very deep"" and tha" "Correct entity, wrong SNOMED ID","(1700, 1715)","(1700, 1715)",short of breath,short of breath,267036007,161938003,14975962-DS-19,"at it feels ""very deep"" and that he has been more short of breath over the past week. Additionally, on the morning" "Correct entity, wrong SNOMED ID","(1823, 1827)","(1823, 1827)",legs,legs,61685007,40927001,14975962-DS-19,"entation, he reports that he was so weak that his legs gave out from under him as he was standing up. Si" "Correct entity, wrong SNOMED ID","(1862, 1870)","(1862, 1870)",standing,standing,10904000,249902000,14975962-DS-19,"k that his legs gave out from under him as he was standing up. Since the initial fall, he has been ambulatin" "Correct entity, wrong SNOMED ID","(1893, 1897)","(1893, 1897)",fall,fall,161898004,298344006,14975962-DS-19,"nder him as he was standing up. Since the initial fall, he has been ambulating without assistance, but c" "Correct entity, wrong SNOMED ID","(1911, 1940)","(1911, 1940)","ambulating without assistance","ambulating without assistance",165245003,443285000,14975962-DS-19," standing up. Since the initial fall, he has been ambulating without assistance, but continues to report profound weakness and i" "Correct entity, wrong SNOMED ID","(1992, 2006)","(1992, 2006)",afraid to walk,afraid to walk,225625004,282208007,14975962-DS-19,"but continues to report profound weakness and is afraid to walk. He had a fall years ago where he ""fractured"" his" "Correct entity, wrong SNOMED ID","(2017, 2021)","(2017, 2021)",fall,fall,161898004,298344006,14975962-DS-19,"rofound weakness and is afraid to walk. He had a fall years ago where he ""fractured"" his spine and need" Wrong span,"(2041, 2062)","(2042, 2051)","""fractured"" his spine",fractured,50448004,110016007,14975962-DS-19," afraid to walk. He had a fall years ago where he ""fractured"" his spine and needed to have back surgery. Since then he ha" "Correct entity, wrong SNOMED ID","(2082, 2094)","(2082, 2094)",back surgery,back surgery,129152004,428310009,14975962-DS-19,"where he ""fractured"" his spine and needed to have back surgery. Since then he has had chronic pain which has bee" "Correct entity, wrong SNOMED ID","(2118, 2130)","(2118, 2130)",chronic pain,chronic pain,82423001,737305006,14975962-DS-19,"eeded to have back surgery. Since then he has had chronic pain which has been getting progressively worse over t" "Correct entity, wrong SNOMED ID","(2168, 2173)","(2168, 2173)",worse,worse,1144586002,280122007,14975962-DS-19,"chronic pain which has been getting progressively worse over the past 6 weeks. No new trauma to his back/" "Correct entity, wrong SNOMED ID","(2204, 2210)","(2204, 2210)",trauma,trauma,417746004,25809009,14975962-DS-19,"progressively worse over the past 6 weeks. No new trauma to his back/legs. Denies bowel incontinence, urin" "Correct entity, wrong SNOMED ID","(2218, 2222)","(2218, 2222)",back,back,77568009,37822005,14975962-DS-19,"worse over the past 6 weeks. No new trauma to his back/legs. Denies bowel incontinence, urinary retentio" "Correct entity, wrong SNOMED ID","(2223, 2227)","(2223, 2227)",legs,legs,61685007,274791003,14975962-DS-19," over the past 6 weeks. No new trauma to his back/legs. Denies bowel incontinence, urinary retention or " "Correct entity, wrong SNOMED ID","(2256, 2273)","(2256, 2273)",urinary retention,urinary retention,267064002,236648008,14975962-DS-19,"auma to his back/legs. Denies bowel incontinence, urinary retention or incontinence, or genital numbness. ED COURSE:" Wrong span,"(2294, 2301)","(2294, 2310)",genital,"genital numbness",71934003,95041000119101,14975962-DS-19,"continence, urinary retention or incontinence, or genital numbness. ED COURSE: In the ED his exam showed " Wrong span,"(2302, 2310)","(2294, 2310)",numbness,"genital numbness",44077006,95041000119101,14975962-DS-19,"ce, urinary retention or incontinence, or genital numbness. ED COURSE: In the ED his exam showed multiple " Missed entity,"(2339, 2343)",,exam,,5880005,,14975962-DS-19,", or genital numbness. ED COURSE: In the ED his exam showed multiple palpable erythematous tender and " Missed entity,"(2360, 2368)",,palpable,,113011001,,14975962-DS-19,". ED COURSE: In the ED his exam showed multiple palpable erythematous tender and warm lesions on the extre" "Correct entity, wrong SNOMED ID","(2369, 2381)","(2369, 2381)",erythematous,erythematous,247441003,723166008,14975962-DS-19,"RSE: In the ED his exam showed multiple palpable erythematous tender and warm lesions on the extremities. The p" "Correct entity, wrong SNOMED ID","(2382, 2388)","(2382, 2388)",tender,tender,247348008,300821004,14975962-DS-19,"ED his exam showed multiple palpable erythematous tender and warm lesions on the extremities. The patient " "Correct entity, wrong SNOMED ID","(2413, 2424)","(2413, 2424)",extremities,extremities,302773001,248416007,14975962-DS-19,"pable erythematous tender and warm lesions on the extremities. The patient was also tachycardic to 117 on prese" "Correct entity, wrong SNOMED ID","(2447, 2458)","(2447, 2458)",tachycardic,tachycardic,3424008,6456007,14975962-DS-19," lesions on the extremities. The patient was also tachycardic to 117 on presentation but otherwise without feve" "Correct entity, wrong SNOMED ID","(2504, 2510)","(2504, 2510)",fevers,fevers,386661006,248444008,14975962-DS-19,"rdic to 117 on presentation but otherwise without fevers or signs of systemic illness. His lab work was no" Wrong span,"(2514, 2539)","(2514, 2519)",signs of systemic illness,signs,56019007,86631001,14975962-DS-19,"7 on presentation but otherwise without fevers or signs of systemic illness. His lab work was notable for an elevated CRP >10" Missed entity,"(2545, 2553)",,lab work,,15220000,,14975962-DS-19," without fevers or signs of systemic illness. His lab work was notable for an elevated CRP >100, WBC 11.4, a" "Correct entity, wrong SNOMED ID","(2573, 2585)","(2573, 2585)",elevated CRP,elevated CRP,119971000119104,50177009,14975962-DS-19,"systemic illness. His lab work was notable for an elevated CRP >100, WBC 11.4, and a lactate of 2.3, but was oth" "Correct entity, wrong SNOMED ID","(2592, 2595)","(2592, 2595)",WBC,WBC,767002,391558003,14975962-DS-19,"is lab work was notable for an elevated CRP >100, WBC 11.4, and a lactate of 2.3, but was otherwise unr" "Correct entity, wrong SNOMED ID","(2608, 2615)","(2608, 2615)",lactate,lactate,3926003,10133003,14975962-DS-19,"notable for an elevated CRP >100, WBC 11.4, and a lactate of 2.3, but was otherwise unremarkable. UA was un" "Correct entity, wrong SNOMED ID","(2642, 2654)","(2642, 2654)",unremarkable,unremarkable,281900007,167703002,14975962-DS-19,"WBC 11.4, and a lactate of 2.3, but was otherwise unremarkable. UA was unremarkable. He had blood cultures drawn" "Correct entity, wrong SNOMED ID","(2656, 2658)","(2656, 2658)",UA,UA,27171005,257999003,14975962-DS-19,"a lactate of 2.3, but was otherwise unremarkable. UA was unremarkable. He had blood cultures drawn. De" "Correct entity, wrong SNOMED ID","(2663, 2675)","(2663, 2675)",unremarkable,unremarkable,281900007,268484008,14975962-DS-19,"te of 2.3, but was otherwise unremarkable. UA was unremarkable. He had blood cultures drawn. Dermatology was con" "Correct entity, wrong SNOMED ID","(2684, 2698)","(2684, 2698)","blood cultures","blood cultures",30088009,8730001000004107,14975962-DS-19,"herwise unremarkable. UA was unremarkable. He had blood cultures drawn. Dermatology was consulted and per conversa" "Correct entity, wrong SNOMED ID","(2796, 2808)","(2796, 2808)",strep throat,strep throat,43878008,1296672005,14975962-DS-19,"sation with ED resident they were concerned about strep throat causing erythema nodosum. They recommended biopsy" "Correct entity, wrong SNOMED ID","(2817, 2833)","(2817, 2833)",erythema nodosum,erythema nodosum,32861005,961007,14975962-DS-19,"nt they were concerned about strep throat causing erythema nodosum. They recommended biopsy (they will do), CTX, and" "Correct entity, wrong SNOMED ID","(2852, 2858)","(2852, 2858)",biopsy,biopsy,86273004,48635004,14975962-DS-19,"throat causing erythema nodosum. They recommended biopsy (they will do), CTX, and cultures. The patient re" "Correct entity, wrong SNOMED ID","(2875, 2878)","(2875, 2878)",CTX,CTX,367336001,396156008,14975962-DS-19," nodosum. They recommended biopsy (they will do), CTX, and cultures. The patient received CTX, Ketorola" Missed entity,"(2915, 2918)",,CTX,,367336001,,14975962-DS-19,"will do), CTX, and cultures. The patient received CTX, Ketorolac, 1L IVF. On arrival to the floor, the" "Correct entity, wrong SNOMED ID","(2934, 2937)","(2934, 2937)",IVF,IVF,103744005,52637005,14975962-DS-19,"cultures. The patient received CTX, Ketorolac, 1L IVF. On arrival to the floor, the patient confirms t" "Correct entity, wrong SNOMED ID","(3014, 3018)","(3014, 3018)",pain,pain,22253000,102570003,14975962-DS-19," the patient confirms the above history. Says his pain and the size of nodule swelling on his right arm " "Correct entity, wrong SNOMED ID","(3035, 3041)","(3035, 3041)",nodule,nodule,27925004,246120007,14975962-DS-19," the above history. Says his pain and the size of nodule swelling on his right arm has improved after Tora" "Correct entity, wrong SNOMED ID","(3042, 3050)","(3042, 3050)",swelling,swelling,442672001,300890009,14975962-DS-19,"ove history. Says his pain and the size of nodule swelling on his right arm has improved after Toradol. REV" "Correct entity, wrong SNOMED ID","(3058, 3067)","(3058, 3067)",right arm,right arm,368209003,59126009,14975962-DS-19,"s his pain and the size of nodule swelling on his right arm has improved after Toradol. REVIEW OF SYSTEMS: =" "Correct entity, wrong SNOMED ID","(3072, 3080)","(3072, 3080)",improved,improved,268910001,251359002,14975962-DS-19," the size of nodule swelling on his right arm has improved after Toradol. REVIEW OF SYSTEMS: ==============" Missed entity,"(3144, 3147)",,ROS,,415300000,,14975962-DS-19,". REVIEW OF SYSTEMS: ================== Complete ROS obtained and is otherwise negative. Past Medica" Missed entity,"(3174, 3182)",,negative,,23875004,,14975962-DS-19,"========== Complete ROS obtained and is otherwise negative. Past Medical History: -Celiac disease, EGD ___" "Correct entity, wrong SNOMED ID","(3209, 3223)","(3209, 3223)",Celiac disease,Celiac disease,396331005,91867008,14975962-DS-19,"d is otherwise negative. Past Medical History: -Celiac disease, EGD ___ biopsies showed active celiac disease. -" "Correct entity, wrong SNOMED ID","(3233, 3241)","(3233, 3241)",biopsies,biopsies,86273004,7246002,14975962-DS-19," Past Medical History: -Celiac disease, EGD ___ biopsies showed active celiac disease. -psoriasis -hand su" "Correct entity, wrong SNOMED ID","(3256, 3270)","(3256, 3270)","celiac disease","celiac disease",396331005,91867008,14975962-DS-19,": -Celiac disease, EGD ___ biopsies showed active celiac disease. -psoriasis -hand surgery, -previous surgery to " "Correct entity, wrong SNOMED ID","(3273, 3282)","(3273, 3282)",psoriasis,psoriasis,9014002,111188005,14975962-DS-19,", EGD ___ biopsies showed active celiac disease. -psoriasis -hand surgery, -previous surgery to his nose for" "Correct entity, wrong SNOMED ID","(3284, 3296)","(3284, 3296)",hand surgery,hand surgery,306929006,305892004,14975962-DS-19,"iopsies showed active celiac disease. -psoriasis -hand surgery, -previous surgery to his nose for fracture, -br" "Correct entity, wrong SNOMED ID","(3309, 3316)","(3309, 3316)",surgery,surgery,387713003,110473004,14975962-DS-19,"iac disease. -psoriasis -hand surgery, -previous surgery to his nose for fracture, -broke his back in ___ " Wrong span,"(3324, 3341)","(3324, 3328)",nose for fracture,nose,263171005,181195007,14975962-DS-19,"soriasis -hand surgery, -previous surgery to his nose for fracture, -broke his back in ___ -Stress test ___. Exerci" Missed entity,"(3344, 3358)",,broke his back,,50448004,,14975962-DS-19,"ry, -previous surgery to his nose for fracture, -broke his back in ___ -Stress test ___. Exercised 9:45, max hr " "Correct entity, wrong SNOMED ID","(3367, 3378)","(3367, 3378)",Stress test,Stress test,46136006,1231717004,14975962-DS-19,"to his nose for fracture, -broke his back in ___ -Stress test ___. Exercised 9:45, max hr 176. normal -Colonos" Missed entity,"(3413, 3419)",,normal,,281900007,,14975962-DS-19,"__ -Stress test ___. Exercised 9:45, max hr 176. normal -Colonoscopy ___ normal. -Neck pain advised to ha" "Correct entity, wrong SNOMED ID","(3421, 3432)","(3421, 3432)",Colonoscopy,Colonoscopy,73761001,174158000,14975962-DS-19,"ss test ___. Exercised 9:45, max hr 176. normal -Colonoscopy ___ normal. -Neck pain advised to have surgery bu" Missed entity,"(3437, 3443)",,normal,,281900007,,14975962-DS-19,"ercised 9:45, max hr 176. normal -Colonoscopy ___ normal. -Neck pain advised to have surgery but livable -" "Correct entity, wrong SNOMED ID","(3446, 3455)","(3446, 3455)",Neck pain,Neck pain,81680005,1121000119107,14975962-DS-19,":45, max hr 176. normal -Colonoscopy ___ normal. -Neck pain advised to have surgery but livable -foreign body" "Correct entity, wrong SNOMED ID","(3472, 3479)","(3472, 3479)",surgery,surgery,387713003,110473004,14975962-DS-19,"olonoscopy ___ normal. -Neck pain advised to have surgery but livable -foreign body excision of upper lip _" "Correct entity, wrong SNOMED ID","(3493, 3514)","(3493, 3514)",foreign body excision,foreign body excision,10849003,128992008,14975962-DS-19,". -Neck pain advised to have surgery but livable -foreign body excision of upper lip ___. -Chest pain cardiac catheteriza" "Correct entity, wrong SNOMED ID","(3518, 3527)","(3518, 3527)",upper lip,upper lip,11681001,1092901000119107,14975962-DS-19,"ave surgery but livable -foreign body excision of upper lip ___. -Chest pain cardiac catheterization ___: 1. " "Correct entity, wrong SNOMED ID","(3534, 3544)","(3534, 3544)",Chest pain,Chest pain,29857009,102589003,14975962-DS-19,"livable -foreign body excision of upper lip ___. -Chest pain cardiac catheterization ___: 1. Normal coronary a" "Correct entity, wrong SNOMED ID","(3545, 3568)","(3545, 3568)",cardiac catheterization,cardiac catheterization,41976001,59261000119100,14975962-DS-19,"reign body excision of upper lip ___. -Chest pain cardiac catheterization ___: 1. Normal coronary arteries and normal LV sy" Wrong span,"(3577, 3601)","(3577, 3583)","Normal coronary arteries",Normal,371860003,840673007,14975962-DS-19," ___. -Chest pain cardiac catheterization ___: 1. Normal coronary arteries and normal LV systolic function. -Sleep apnea on " Wrong span,"(3606, 3612)","(3606, 3633)",normal,normal LV systolic function,281900007,414072005,14975962-DS-19,"heterization ___: 1. Normal coronary arteries and normal LV systolic function. -Sleep apnea on homestudy _" Wrong span,"(3613, 3633)","(3606, 3633)",LV systolic function,normal LV systolic function,371857005,414072005,14975962-DS-19,"ation ___: 1. Normal coronary arteries and normal LV systolic function. -Sleep apnea on homestudy ___. Positive. -low B" "Correct entity, wrong SNOMED ID","(3636, 3647)","(3636, 3647)",Sleep apnea,Sleep apnea,73430006,78275009,14975962-DS-19,"ronary arteries and normal LV systolic function. -Sleep apnea on homestudy ___. Positive. -low B12 ___ started" Missed entity,"(3678, 3685)",,low B12,,190634004,,14975962-DS-19,"ction. -Sleep apnea on homestudy ___. Positive. -low B12 ___ started 1000 mcg daily Social History: ___ " "Correct entity, wrong SNOMED ID","(3762, 3775)","(3762, 3775)",breast cancer,breast cancer,254837009,134405005,14975962-DS-19," Social History: ___ Family History: His mother(breast cancer) and father (stomach cancer) both had MI/CABG's. " "Correct entity, wrong SNOMED ID","(3789, 3803)","(3789, 3803)",stomach cancer,stomach cancer,363349007,94606003,14975962-DS-19,"ly History: His mother(breast cancer) and father (stomach cancer) both had MI/CABG's. Sister with RA and diabetes" "Correct entity, wrong SNOMED ID","(3817, 3821)","(3817, 3821)",CABG,CABG,232717009,232719007,14975962-DS-19,"t cancer) and father (stomach cancer) both had MI/CABG's. Sister with RA and diabetes. Physical Exam:" "Correct entity, wrong SNOMED ID","(3838, 3840)","(3838, 3840)",RA,RA,69896004,463051000124105,14975962-DS-19,"(stomach cancer) both had MI/CABG's. Sister with RA and diabetes. Physical Exam: ADMISSION PHYSICAL" "Correct entity, wrong SNOMED ID","(3845, 3853)","(3845, 3853)",diabetes,diabetes,73211009,9414007,14975962-DS-19,"h cancer) both had MI/CABG's. Sister with RA and diabetes. Physical Exam: ADMISSION PHYSICAL EXAM: ======" "Correct entity, wrong SNOMED ID","(3882, 3895)","(3882, 3895)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,14975962-DS-19," with RA and diabetes. Physical Exam: ADMISSION PHYSICAL EXAM: ======================== ___ 1703 Temp: 99.5 PO " "Correct entity, wrong SNOMED ID","(3931, 3935)","(3931, 3935)",Temp,Temp,105723007,102496004,14975962-DS-19," PHYSICAL EXAM: ======================== ___ 1703 Temp: 99.5 PO BP: 164/95 R Sitting HR: 99 RR: 16 O2 s" "Correct entity, wrong SNOMED ID","(3945, 3947)","(3945, 3947)",BP,BP,392570002,38341003,14975962-DS-19,": ======================== ___ 1703 Temp: 99.5 PO BP: 164/95 R Sitting HR: 99 RR: 16 O2 sat: 94% O2 d" "Correct entity, wrong SNOMED ID","(3966, 3968)","(3966, 3968)",HR,HR,301113001,258702006,14975962-DS-19,"===== ___ 1703 Temp: 99.5 PO BP: 164/95 R Sitting HR: 99 RR: 16 O2 sat: 94% O2 delivery: Ra Gen: Wel" "Correct entity, wrong SNOMED ID","(3973, 3975)","(3973, 3975)",RR,RR,301283003,229040007,14975962-DS-19,"__ 1703 Temp: 99.5 PO BP: 164/95 R Sitting HR: 99 RR: 16 O2 sat: 94% O2 delivery: Ra Gen: Well-appea" "Correct entity, wrong SNOMED ID","(3981, 3987)","(3981, 3987)","O2 sat","O2 sat",104847001,103228002,14975962-DS-19,"Temp: 99.5 PO BP: 164/95 R Sitting HR: 99 RR: 16 O2 sat: 94% O2 delivery: Ra Gen: Well-appearing, NAD HE" Wrong span,"(3993, 4008)","(3993, 3995)",O2 delivery: Ra,O2,722742002,51776002,14975962-DS-19,"O BP: 164/95 R Sitting HR: 99 RR: 16 O2 sat: 94% O2 delivery: Ra Gen: Well-appearing, NAD HEENT: mallampati 4. Di" "Correct entity, wrong SNOMED ID","(4010, 4013)","(4010, 4013)",Gen,Gen,162673000,420208008,14975962-DS-19,"tting HR: 99 RR: 16 O2 sat: 94% O2 delivery: Ra Gen: Well-appearing, NAD HEENT: mallampati 4. Difficu" "Correct entity, wrong SNOMED ID","(4015, 4029)","(4015, 4029)",Well-appearing,Well-appearing,397749000,167827008,14975962-DS-19," HR: 99 RR: 16 O2 sat: 94% O2 delivery: Ra Gen: Well-appearing, NAD HEENT: mallampati 4. Difficult to assess ton" "Correct entity, wrong SNOMED ID","(4031, 4034)","(4031, 4034)",NAD,NAD,281900007,131143000,14975962-DS-19,"O2 sat: 94% O2 delivery: Ra Gen: Well-appearing, NAD HEENT: mallampati 4. Difficult to assess tonsils/" "Correct entity, wrong SNOMED ID","(4035, 4040)","(4035, 4040)",HEENT,HEENT,5880005,113665002,14975962-DS-19,"at: 94% O2 delivery: Ra Gen: Well-appearing, NAD HEENT: mallampati 4. Difficult to assess tonsils/poster" Wrong span,"(4042, 4054)","(4042, 4046)",mallampati 4,mall,424397003,284441008,14975962-DS-19," O2 delivery: Ra Gen: Well-appearing, NAD HEENT: mallampati 4. Difficult to assess tonsils/posterior pharynx, b" "Correct entity, wrong SNOMED ID","(4076, 4083)","(4076, 4083)",tonsils,tonsils,75573002,249395001,14975962-DS-19,"ing, NAD HEENT: mallampati 4. Difficult to assess tonsils/posterior pharynx, but did appear erythematous. " "Correct entity, wrong SNOMED ID","(4094, 4101)","(4094, 4101)",pharynx,pharynx,54066008,29632002,14975962-DS-19,"llampati 4. Difficult to assess tonsils/posterior pharynx, but did appear erythematous. Neck: Tender left " Wrong span,"(4118, 4126)","(4118, 4130)",erythema,erythematous,247441003,723166008,14975962-DS-19," assess tonsils/posterior pharynx, but did appear erythematous. Neck: Tender left sided anterior cervical l" "Correct entity, wrong SNOMED ID","(4133, 4137)","(4133, 4137)",Neck,Neck,5880005,840674001,14975962-DS-19,"/posterior pharynx, but did appear erythematous. Neck: Tender left sided anterior cervical lyphadenopat" "Correct entity, wrong SNOMED ID","(4139, 4145)","(4139, 4145)",Tender,Tender,247348008,300821004,14975962-DS-19,"rior pharynx, but did appear erythematous. Neck: Tender left sided anterior cervical lyphadenopathy. Pulm" "Correct entity, wrong SNOMED ID","(4146, 4156)","(4146, 4156)",left sided,left sided,170583000,448164008,14975962-DS-19,"arynx, but did appear erythematous. Neck: Tender left sided anterior cervical lyphadenopathy. Pulm: CTAB, no " Wrong span,"(4157, 4189)","(4166, 4174)",anterior cervical lyphadenopathy,cervical,127090004,304174001,14975962-DS-19,"did appear erythematous. Neck: Tender left sided anterior cervical lyphadenopathy. Pulm: CTAB, no wheezes or crackles CV: RRR, no m" "Correct entity, wrong SNOMED ID","(4191, 4195)","(4191, 4195)",Pulm,Pulm,268925001,90623003,14975962-DS-19,"nder left sided anterior cervical lyphadenopathy. Pulm: CTAB, no wheezes or crackles CV: RRR, no murmurs" "Correct entity, wrong SNOMED ID","(4197, 4201)","(4197, 4201)",CTAB,CTAB,48348007,1286955004,14975962-DS-19,"eft sided anterior cervical lyphadenopathy. Pulm: CTAB, no wheezes or crackles CV: RRR, no murmurs Abd:" "Correct entity, wrong SNOMED ID","(4206, 4213)","(4206, 4213)",wheezes,wheezes,56018004,9763007,14975962-DS-19," anterior cervical lyphadenopathy. Pulm: CTAB, no wheezes or crackles CV: RRR, no murmurs Abd: soft, nonte" "Correct entity, wrong SNOMED ID","(4226, 4228)","(4226, 4228)",CV,CV,363003006,258773002,14975962-DS-19,"yphadenopathy. Pulm: CTAB, no wheezes or crackles CV: RRR, no murmurs Abd: soft, nontender, nondisten" "Correct entity, wrong SNOMED ID","(4230, 4233)","(4230, 4233)",RRR,RRR,76863003,129960002,14975962-DS-19,"denopathy. Pulm: CTAB, no wheezes or crackles CV: RRR, no murmurs Abd: soft, nontender, nondistended, " "Correct entity, wrong SNOMED ID","(4238, 4245)","(4238, 4245)",murmurs,murmurs,414786004,248699005,14975962-DS-19,"y. Pulm: CTAB, no wheezes or crackles CV: RRR, no murmurs Abd: soft, nontender, nondistended, BS+, no hepa" "Correct entity, wrong SNOMED ID","(4247, 4250)","(4247, 4250)",Abd,Abd,225162003,60728008,14975962-DS-19,"CTAB, no wheezes or crackles CV: RRR, no murmurs Abd: soft, nontender, nondistended, BS+, no hepatospl" "Correct entity, wrong SNOMED ID","(4258, 4267)","(4258, 4267)",nontender,nontender,43478001,413319007,14975962-DS-19,"eezes or crackles CV: RRR, no murmurs Abd: soft, nontender, nondistended, BS+, no hepatosplenomegaly Skin: M" "Correct entity, wrong SNOMED ID","(4269, 4281)","(4269, 4281)",nondistended,nondistended,300405003,441380004,14975962-DS-19,"ackles CV: RRR, no murmurs Abd: soft, nontender, nondistended, BS+, no hepatosplenomegaly Skin: Multiple tender" "Correct entity, wrong SNOMED ID","(4291, 4309)","(4291, 4309)",hepatosplenomegaly,hepatosplenomegaly,36760000,80378000,14975962-DS-19,"murs Abd: soft, nontender, nondistended, BS+, no hepatosplenomegaly Skin: Multiple tender, erythematous nodules on bi" "Correct entity, wrong SNOMED ID","(4310, 4314)","(4310, 4314)",Skin,Skin,271303006,7748002,14975962-DS-19,"ntender, nondistended, BS+, no hepatosplenomegaly Skin: Multiple tender, erythematous nodules on bilater" "Correct entity, wrong SNOMED ID","(4325, 4331)","(4325, 4331)",tender,tender,43478001,278999000,14975962-DS-19,"tended, BS+, no hepatosplenomegaly Skin: Multiple tender, erythematous nodules on bilateral upper and lowe" Wrong span,"(4333, 4341)","(4333, 4345)",erythema,erythematous,247441003,723166008,14975962-DS-19,"BS+, no hepatosplenomegaly Skin: Multiple tender, erythematous nodules on bilateral upper and lower extremit" "Correct entity, wrong SNOMED ID","(4346, 4353)","(4346, 4353)",nodules,nodules,27925004,21444008,14975962-DS-19,"osplenomegaly Skin: Multiple tender, erythematous nodules on bilateral upper and lower extremities, includi" Wrong span,"(4357, 4372)","(4357, 4366)",bilateral upper,bilateral,88650009,268228006,14975962-DS-19,"ly Skin: Multiple tender, erythematous nodules on bilateral upper and lower extremities, including hands/feet (palm" "Correct entity, wrong SNOMED ID","(4377, 4394)","(4377, 4394)",lower extremities,lower extremities,61685007,58517005,14975962-DS-19,"nder, erythematous nodules on bilateral upper and lower extremities, including hands/feet (palms and soles). Neuro: A" "Correct entity, wrong SNOMED ID","(4406, 4411)","(4406, 4411)",hands,hands,85562004,12861001,14975962-DS-19," bilateral upper and lower extremities, including hands/feet (palms and soles). Neuro: A&O x3, CN II-XII " "Correct entity, wrong SNOMED ID","(4412, 4416)","(4412, 4416)",feet,feet,56459004,259051005,14975962-DS-19,"eral upper and lower extremities, including hands/feet (palms and soles). Neuro: A&O x3, CN II-XII intac" "Correct entity, wrong SNOMED ID","(4418, 4423)","(4418, 4423)",palms,palms,21547004,303090009,14975962-DS-19,"pper and lower extremities, including hands/feet (palms and soles). Neuro: A&O x3, CN II-XII intact. ___ " "Correct entity, wrong SNOMED ID","(4428, 4433)","(4428, 4433)",soles,soles,57999000,710175005,14975962-DS-19,"ower extremities, including hands/feet (palms and soles). Neuro: A&O x3, CN II-XII intact. ___ bilateral " "Correct entity, wrong SNOMED ID","(4436, 4441)","(4436, 4441)",Neuro,Neuro,84728005,281247006,14975962-DS-19,"remities, including hands/feet (palms and soles). Neuro: A&O x3, CN II-XII intact. ___ bilateral upper an" Missed entity,"(4443, 4444)",,A,,248234008,,14975962-DS-19,"s, including hands/feet (palms and soles). Neuro: A&O x3, CN II-XII intact. ___ bilateral upper and l" "Correct entity, wrong SNOMED ID","(4445, 4449)","(4445, 4449)",O x3,O x3,426224004,421806008,14975962-DS-19," including hands/feet (palms and soles). Neuro: A&O x3, CN II-XII intact. ___ bilateral upper and lower " "Correct entity, wrong SNOMED ID","(4451, 4467)","(4451, 4467)",CN II-XII intact,CN II-XII intact,830121005,408755005,14975962-DS-19,"ding hands/feet (palms and soles). Neuro: A&O x3, CN II-XII intact. ___ bilateral upper and lower extremity strength" "Correct entity, wrong SNOMED ID","(4483, 4488)","(4483, 4488)",upper,upper,53120007,102558002,14975962-DS-19,"). Neuro: A&O x3, CN II-XII intact. ___ bilateral upper and lower extremity strength. Symmetric ___ refle" Wrong span,"(4493, 4508)","(4493, 4517)","lower extremity","lower extremity strength",61685007,429783005,14975962-DS-19,"A&O x3, CN II-XII intact. ___ bilateral upper and lower extremity strength. Symmetric ___ reflexes. DISCHARGE PHYS" "Correct entity, wrong SNOMED ID","(4533, 4541)","(4533, 4541)",reflexes,reflexes,102981005,102982003,14975962-DS-19,"upper and lower extremity strength. Symmetric ___ reflexes. DISCHARGE PHYSICAL EXAM: ======================" "Correct entity, wrong SNOMED ID","(4643, 4647)","(4643, 4647)",Temp,Temp,105723007,102496004,14975962-DS-19," Vitals: 24 HR Data (last updated ___ @ 2309) Temp: 98.7 (Tm 99.6), BP: 132/79 (107-153/69-92), HR: " "Correct entity, wrong SNOMED ID","(4724, 4730)","(4724, 4730)",O2 sat,O2 sat,104847001,103228002,14975962-DS-19,"9 (107-153/69-92), HR: 99 (90-107), RR: 16 (___), O2 sat: 96% (91-97), O2 delivery: RA General: comforta" Wrong span,"(4745, 4760)","(4758, 4760)",O2 delivery: RA,RA,722742002,463051000124105,14975962-DS-19,": 99 (90-107), RR: 16 (___), O2 sat: 96% (91-97), O2 delivery: RA General: comfortable, not in acute distress HEE" "Correct entity, wrong SNOMED ID","(4763, 4770)","(4763, 4770)",General,General,162673000,252398009,14975962-DS-19," 16 (___), O2 sat: 96% (91-97), O2 delivery: RA General: comfortable, not in acute distress HEENT: clear " "Correct entity, wrong SNOMED ID","(4772, 4783)","(4772, 4783)",comfortable,comfortable,304530009,1148784009,14975962-DS-19,", O2 sat: 96% (91-97), O2 delivery: RA General: comfortable, not in acute distress HEENT: clear oropharynx wi" "Correct entity, wrong SNOMED ID","(4798, 4806)","(4798, 4806)",distress,distress,69328002,271825005,14975962-DS-19,"delivery: RA General: comfortable, not in acute distress HEENT: clear oropharynx with moist mucosae. Neck:" "Correct entity, wrong SNOMED ID","(4807, 4812)","(4807, 4812)",HEENT,HEENT,5880005,113665002,14975962-DS-19," RA General: comfortable, not in acute distress HEENT: clear oropharynx with moist mucosae. Neck: Suppl" "Correct entity, wrong SNOMED ID","(4814, 4830)","(4814, 4830)",clear oropharynx,clear oropharynx,300280008,426547004,14975962-DS-19,"eneral: comfortable, not in acute distress HEENT: clear oropharynx with moist mucosae. Neck: Supple Lungs: CTAB wit" "Correct entity, wrong SNOMED ID","(4836, 4849)","(4836, 4849)",moist mucosae,moist mucosae,276398005,276413003,14975962-DS-19,"ot in acute distress HEENT: clear oropharynx with moist mucosae. Neck: Supple Lungs: CTAB with no wheezes or cra" "Correct entity, wrong SNOMED ID","(4851, 4855)","(4851, 4855)",Neck,Neck,5880005,840674001,14975962-DS-19,"tress HEENT: clear oropharynx with moist mucosae. Neck: Supple Lungs: CTAB with no wheezes or crackles." "Correct entity, wrong SNOMED ID","(4857, 4863)","(4857, 4863)",Supple,Supple,298475003,169743001,14975962-DS-19,"HEENT: clear oropharynx with moist mucosae. Neck: Supple Lungs: CTAB with no wheezes or crackles. CV: RR" "Correct entity, wrong SNOMED ID","(4864, 4869)","(4864, 4869)",Lungs,Lungs,268925001,169115000,14975962-DS-19,"clear oropharynx with moist mucosae. Neck: Supple Lungs: CTAB with no wheezes or crackles. CV: RRR, no " "Correct entity, wrong SNOMED ID","(4872, 4876)","(4872, 4876)",CTAB,CTAB,48348007,112188007,14975962-DS-19,"opharynx with moist mucosae. Neck: Supple Lungs: CTAB with no wheezes or crackles. CV: RRR, no m/r/g. " "Correct entity, wrong SNOMED ID","(4885, 4892)","(4885, 4892)",wheezes,wheezes,56018004,9763007,14975962-DS-19," moist mucosae. Neck: Supple Lungs: CTAB with no wheezes or crackles. CV: RRR, no m/r/g. Radial pulses 2+" "Correct entity, wrong SNOMED ID","(4907, 4909)","(4907, 4909)",CV,CV,363003006,258773002,14975962-DS-19,"Supple Lungs: CTAB with no wheezes or crackles. CV: RRR, no m/r/g. Radial pulses 2+ bilaterally. GI:" "Correct entity, wrong SNOMED ID","(4911, 4914)","(4911, 4914)",RRR,RRR,76863003,129960002,14975962-DS-19,"le Lungs: CTAB with no wheezes or crackles. CV: RRR, no m/r/g. Radial pulses 2+ bilaterally. GI: soft" "Correct entity, wrong SNOMED ID","(4916, 4924)","(4916, 4924)",no m/r/g,no m/r/g,301132007,167724007,14975962-DS-19,"ngs: CTAB with no wheezes or crackles. CV: RRR, no m/r/g. Radial pulses 2+ bilaterally. GI: soft, non-dist" Wrong span,"(4926, 4954)","(4926, 4942)",Radial pulses 2+ bilaterally,Radial pulses 2+,15137004,792832001,14975962-DS-19," with no wheezes or crackles. CV: RRR, no m/r/g. Radial pulses 2+ bilaterally. GI: soft, non-distended, non-tender. Bowel sound" "Correct entity, wrong SNOMED ID","(4956, 4958)","(4956, 4958)",GI,GI,268937004,1142285003,14975962-DS-19," CV: RRR, no m/r/g. Radial pulses 2+ bilaterally. GI: soft, non-distended, non-tender. Bowel sounds pr" "Correct entity, wrong SNOMED ID","(4966, 4979)","(4966, 4979)",non-distended,non-distended,300405003,162069004,14975962-DS-19,"no m/r/g. Radial pulses 2+ bilaterally. GI: soft, non-distended, non-tender. Bowel sounds present. No peritoneal " "Correct entity, wrong SNOMED ID","(4981, 4991)","(4981, 4991)",non-tender,non-tender,43478001,298741000,14975962-DS-19,"l pulses 2+ bilaterally. GI: soft, non-distended, non-tender. Bowel sounds present. No peritoneal signs. Ext: " "Correct entity, wrong SNOMED ID","(4993, 5013)","(4993, 5013)",Bowel sounds present,Bowel sounds present,61539000,444685004,14975962-DS-19,"bilaterally. GI: soft, non-distended, non-tender. Bowel sounds present. No peritoneal signs. Ext: warm, well-perfused, n" "Correct entity, wrong SNOMED ID","(5018, 5034)","(5018, 5034)",peritoneal signs,peritoneal signs,66579008,271861000,14975962-DS-19,"n-distended, non-tender. Bowel sounds present. No peritoneal signs. Ext: warm, well-perfused, no edema. Skin: multi" "Correct entity, wrong SNOMED ID","(5036, 5039)","(5036, 5039)",Ext,Ext,302773001,1489008,14975962-DS-19,"ender. Bowel sounds present. No peritoneal signs. Ext: warm, well-perfused, no edema. Skin: multiple b" "Correct entity, wrong SNOMED ID","(5041, 5045)","(5041, 5045)",warm,warm,102599008,298256005,14975962-DS-19,". Bowel sounds present. No peritoneal signs. Ext: warm, well-perfused, no edema. Skin: multiple blanchi" "Correct entity, wrong SNOMED ID","(5047, 5060)","(5047, 5060)",well-perfused,well-perfused,1137685003,301121007,14975962-DS-19,"l sounds present. No peritoneal signs. Ext: warm, well-perfused, no edema. Skin: multiple blanching erythematous" "Correct entity, wrong SNOMED ID","(5065, 5070)","(5065, 5070)",edema,edema,267038008,102576009,14975962-DS-19,"No peritoneal signs. Ext: warm, well-perfused, no edema. Skin: multiple blanching erythematous nodules s" "Correct entity, wrong SNOMED ID","(5073, 5077)","(5073, 5077)",Skin,Skin,271303006,7748002,14975962-DS-19,"oneal signs. Ext: warm, well-perfused, no edema. Skin: multiple blanching erythematous nodules scattere" "Correct entity, wrong SNOMED ID","(5098, 5110)","(5098, 5110)",erythematous,erythematous,271303006,723166008,14975962-DS-19,"ell-perfused, no edema. Skin: multiple blanching erythematous nodules scattered on the left and right forearms," "Correct entity, wrong SNOMED ID","(5111, 5118)","(5111, 5118)",nodules,nodules,27925004,21444008,14975962-DS-19," no edema. Skin: multiple blanching erythematous nodules scattered on the left and right forearms, bilater" "Correct entity, wrong SNOMED ID","(5136, 5140)","(5136, 5140)",left,left,66480008,264745005,14975962-DS-19,"e blanching erythematous nodules scattered on the left and right forearms, bilateral knees, bilateral sh" "Correct entity, wrong SNOMED ID","(5145, 5159)","(5145, 5159)",right forearms,right forearms,64262003,368224007,14975962-DS-19,"ng erythematous nodules scattered on the left and right forearms, bilateral knees, bilateral shins, and feet (most" "Correct entity, wrong SNOMED ID","(5171, 5176)","(5171, 5176)",knees,knees,82169009,36701003,14975962-DS-19,"attered on the left and right forearms, bilateral knees, bilateral shins, and feet (mostly over the heel," "Correct entity, wrong SNOMED ID","(5188, 5193)","(5188, 5193)",shins,shins,78234002,283388003,14975962-DS-19,"ft and right forearms, bilateral knees, bilateral shins, and feet (mostly over the heel, toes and other b" "Correct entity, wrong SNOMED ID","(5199, 5203)","(5199, 5203)",feet,feet,56459004,259051005,14975962-DS-19,"t forearms, bilateral knees, bilateral shins, and feet (mostly over the heel, toes and other bony promin" "Correct entity, wrong SNOMED ID","(5221, 5225)","(5221, 5225)",heel,heel,76853006,362804005,14975962-DS-19,"knees, bilateral shins, and feet (mostly over the heel, toes and other bony prominences). Slightly tende" "Correct entity, wrong SNOMED ID","(5227, 5231)","(5227, 5231)",toes,toes,8671006,249819004,14975962-DS-19," bilateral shins, and feet (mostly over the heel, toes and other bony prominences). Slightly tender to p" Wrong span,"(5270, 5289)","(5270, 5279)",tender to palpation,tender to,247348008,298729007,14975962-DS-19," heel, toes and other bony prominences). Slightly tender to palpation. No bleeding or active drainage, no fluctuance. " "Correct entity, wrong SNOMED ID","(5294, 5302)","(5294, 5302)",bleeding,bleeding,131148009,74474003,14975962-DS-19,"ny prominences). Slightly tender to palpation. No bleeding or active drainage, no fluctuance. Neuro: A&Ox3." "Correct entity, wrong SNOMED ID","(5313, 5321)","(5313, 5321)",drainage,drainage,239164002,56783008,14975962-DS-19,"ightly tender to palpation. No bleeding or active drainage, no fluctuance. Neuro: A&Ox3. Normal speech and " Missed entity,"(5326, 5336)",,fluctuance,,300583006,,14975962-DS-19," to palpation. No bleeding or active drainage, no fluctuance. Neuro: A&Ox3. Normal speech and mentation. Movi" "Correct entity, wrong SNOMED ID","(5339, 5344)","(5339, 5344)",Neuro,Neuro,84728005,281247006,14975962-DS-19,". No bleeding or active drainage, no fluctuance. Neuro: A&Ox3. Normal speech and mentation. Moving all " Wrong span,"(5346, 5351)","(5346, 5347)",A&Ox3,A,426224004,420512001,14975962-DS-19,"eeding or active drainage, no fluctuance. Neuro: A&Ox3. Normal speech and mentation. Moving all extremi" Wrong span,"(5353, 5359)","(5353, 5366)",Normal,Normal speech,281900007,286414000,14975962-DS-19,"or active drainage, no fluctuance. Neuro: A&Ox3. Normal speech and mentation. Moving all extremities equ" Wrong span,"(5360, 5366)","(5353, 5366)",speech,Normal speech,106132005,286414000,14975962-DS-19,"ve drainage, no fluctuance. Neuro: A&Ox3. Normal speech and mentation. Moving all extremities equally. " "Correct entity, wrong SNOMED ID","(5371, 5380)","(5371, 5380)",mentation,mentation,17326005,247571009,14975962-DS-19,", no fluctuance. Neuro: A&Ox3. Normal speech and mentation. Moving all extremities equally. Pertinent Res" Wrong span,"(5382, 5405)","(5382, 5388)","Moving all extremities",Moving,284137004,302002000,14975962-DS-19,"ance. Neuro: A&Ox3. Normal speech and mentation. Moving all extremities equally. Pertinent Results: ====ADMISSION LABS=" "Correct entity, wrong SNOMED ID","(5473, 5476)","(5473, 5476)",WBC,WBC,767002,391558003,14975962-DS-19,"ent Results: ====ADMISSION LABS==== ___ 12:00PM WBC-11.0* RBC-6.02 HGB-16.6 HCT-51.4* MCV-85 MCH-27." "Correct entity, wrong SNOMED ID","(5483, 5486)","(5483, 5486)",RBC,RBC,14089001,258759006,14975962-DS-19,"s: ====ADMISSION LABS==== ___ 12:00PM WBC-11.0* RBC-6.02 HGB-16.6 HCT-51.4* MCV-85 MCH-27.6 MCHC-32." "Correct entity, wrong SNOMED ID","(5492, 5495)","(5492, 5495)",HGB,HGB,441689006,104142005,14975962-DS-19,"MISSION LABS==== ___ 12:00PM WBC-11.0* RBC-6.02 HGB-16.6 HCT-51.4* MCV-85 MCH-27.6 MCHC-32.3 RDW-13." "Correct entity, wrong SNOMED ID","(5501, 5504)","(5501, 5504)",HCT,HCT,28317006,282660005,14975962-DS-19,"ABS==== ___ 12:00PM WBC-11.0* RBC-6.02 HGB-16.6 HCT-51.4* MCV-85 MCH-27.6 MCHC-32.3 RDW-13.2 RDWSD-4" Missed entity,"(5511, 5514)",,MCV,,104133003,,14975962-DS-19,"_ 12:00PM WBC-11.0* RBC-6.02 HGB-16.6 HCT-51.4* MCV-85 MCH-27.6 MCHC-32.3 RDW-13.2 RDWSD-40.4 ___ 12" "Correct entity, wrong SNOMED ID","(5528, 5532)","(5528, 5532)",MCHC,MCHC,37254006,735147002,14975962-DS-19,"1.0* RBC-6.02 HGB-16.6 HCT-51.4* MCV-85 MCH-27.6 MCHC-32.3 RDW-13.2 RDWSD-40.4 ___ 12:00PM NEUTS-78.1" "Correct entity, wrong SNOMED ID","(5547, 5552)","(5547, 5552)",RDWSD,RDWSD,66842004,80328002,14975962-DS-19,"6.6 HCT-51.4* MCV-85 MCH-27.6 MCHC-32.3 RDW-13.2 RDWSD-40.4 ___ 12:00PM NEUTS-78.1* LYMPHS-10.9* MONOS" "Correct entity, wrong SNOMED ID","(5572, 5577)","(5572, 5577)",NEUTS,NEUTS,30630007,271035003,14975962-DS-19,"-27.6 MCHC-32.3 RDW-13.2 RDWSD-40.4 ___ 12:00PM NEUTS-78.1* LYMPHS-10.9* MONOS-9.2 EOS-1.0 BASOS-0.3 I" "Correct entity, wrong SNOMED ID","(5584, 5590)","(5584, 5590)",LYMPHS,LYMPHS,74765001,79709007,14975962-DS-19,"2.3 RDW-13.2 RDWSD-40.4 ___ 12:00PM NEUTS-78.1* LYMPHS-10.9* MONOS-9.2 EOS-1.0 BASOS-0.3 IM ___ AbsNeut" "Correct entity, wrong SNOMED ID","(5597, 5602)","(5597, 5602)",MONOS,MONOS,67776007,462791000124108,14975962-DS-19,"RDWSD-40.4 ___ 12:00PM NEUTS-78.1* LYMPHS-10.9* MONOS-9.2 EOS-1.0 BASOS-0.3 IM ___ AbsNeut-8.57* AbsLy" "Correct entity, wrong SNOMED ID","(5607, 5610)","(5607, 5610)",EOS,EOS,71960002,67099000,14975962-DS-19," ___ 12:00PM NEUTS-78.1* LYMPHS-10.9* MONOS-9.2 EOS-1.0 BASOS-0.3 IM ___ AbsNeut-8.57* AbsLymp-1.20 " Missed entity,"(5616, 5621)",,BASOS,,42351005,,14975962-DS-19,"0PM NEUTS-78.1* LYMPHS-10.9* MONOS-9.2 EOS-1.0 BASOS-0.3 IM ___ AbsNeut-8.57* AbsLymp-1.20 AbsMono-1.0" "Correct entity, wrong SNOMED ID","(5714, 5717)","(5714, 5717)",CRP,CRP,55235003,61425002,14975962-DS-19,"ono-1.01* AbsEos-0.11 AbsBaso-0.03 ___ 12:00PM CRP-100.3* ___ 12:00PM ALT(SGPT)-16 AST(SGOT)-20 CK" "Correct entity, wrong SNOMED ID","(5739, 5742)","(5739, 5742)",ALT,ALT,34608000,56935002,14975962-DS-19,"sBaso-0.03 ___ 12:00PM CRP-100.3* ___ 12:00PM ALT(SGPT)-16 AST(SGOT)-20 CK(CPK)-75 ALK PHOS-76 TOT" "Correct entity, wrong SNOMED ID","(5752, 5755)","(5752, 5755)",AST,AST,45896001,85043005,14975962-DS-19,"_ 12:00PM CRP-100.3* ___ 12:00PM ALT(SGPT)-16 AST(SGOT)-20 CK(CPK)-75 ALK PHOS-76 TOT BILI-0.6 ___" Missed entity,"(5765, 5771)",,CK(CPK,,397798009,,14975962-DS-19,"RP-100.3* ___ 12:00PM ALT(SGPT)-16 AST(SGOT)-20 CK(CPK)-75 ALK PHOS-76 TOT BILI-0.6 ___ 12:00PM GLUCO" Wrong span,"(5776, 5785)","(5781, 5785)","ALK PHOS",PHOS,88810008,168075002,14975962-DS-19,"__ 12:00PM ALT(SGPT)-16 AST(SGOT)-20 CK(CPK)-75 ALK PHOS-76 TOT BILI-0.6 ___ 12:00PM GLUCOSE-117* UREA N" "Correct entity, wrong SNOMED ID","(5789, 5797)","(5789, 5797)",TOT BILI,TOT BILI,359986008,113537007,14975962-DS-19,"ALT(SGPT)-16 AST(SGOT)-20 CK(CPK)-75 ALK PHOS-76 TOT BILI-0.6 ___ 12:00PM GLUCOSE-117* UREA N-14 CREAT-1." "Correct entity, wrong SNOMED ID","(5816, 5823)","(5816, 5823)",GLUCOSE,GLUCOSE,33747003,72191006,14975962-DS-19,"K(CPK)-75 ALK PHOS-76 TOT BILI-0.6 ___ 12:00PM GLUCOSE-117* UREA N-14 CREAT-1.1 SODIUM-136 POTASSIUM-4." Missed entity,"(5829, 5835)",,UREA N,,105011006,,14975962-DS-19," PHOS-76 TOT BILI-0.6 ___ 12:00PM GLUCOSE-117* UREA N-14 CREAT-1.1 SODIUM-136 POTASSIUM-4.9 CHLORIDE-1" "Correct entity, wrong SNOMED ID","(5839, 5844)","(5839, 5844)",CREAT,CREAT,70901006,413856009,14975962-DS-19,"TOT BILI-0.6 ___ 12:00PM GLUCOSE-117* UREA N-14 CREAT-1.1 SODIUM-136 POTASSIUM-4.9 CHLORIDE-100 TOTAL " "Correct entity, wrong SNOMED ID","(5849, 5855)","(5849, 5855)",SODIUM,SODIUM,25197003,104934005,14975962-DS-19,".6 ___ 12:00PM GLUCOSE-117* UREA N-14 CREAT-1.1 SODIUM-136 POTASSIUM-4.9 CHLORIDE-100 TOTAL CO2-21* ANI" "Correct entity, wrong SNOMED ID","(5861, 5870)","(5861, 5870)",POTASSIUM,POTASSIUM,59573005,1149432009,14975962-DS-19,"PM GLUCOSE-117* UREA N-14 CREAT-1.1 SODIUM-136 POTASSIUM-4.9 CHLORIDE-100 TOTAL CO2-21* ANION GAP-15 ___ 1" "Correct entity, wrong SNOMED ID","(5875, 5883)","(5875, 5883)",CHLORIDE,CHLORIDE,104589004,108447000,14975962-DS-19,"17* UREA N-14 CREAT-1.1 SODIUM-136 POTASSIUM-4.9 CHLORIDE-100 TOTAL CO2-21* ANION GAP-15 ___ 12:06PM LACT" "Correct entity, wrong SNOMED ID","(5902, 5911)","(5902, 5911)",ANION GAP,ANION GAP,25469001,237854004,14975962-DS-19,"IUM-136 POTASSIUM-4.9 CHLORIDE-100 TOTAL CO2-21* ANION GAP-15 ___ 12:06PM LACTATE-2.3* ====PERTINENT LABS" Missed entity,"(5991, 5994)",,NEG,,281900007,,14975962-DS-19," ====PERTINENT LABS==== ___ 02:28PM BLOOD HBsAg-NEG HBsAb-NEG HBcAb-NEG ___ 09:15PM BLOOD ANCA-NEGATI" Missed entity,"(6001, 6004)",,NEG,,281900007,,14975962-DS-19,"INENT LABS==== ___ 02:28PM BLOOD HBsAg-NEG HBsAb-NEG HBcAb-NEG ___ 09:15PM BLOOD ANCA-NEGATIVE B ___ 0" Missed entity,"(6011, 6014)",,NEG,,281900007,,14975962-DS-19,"==== ___ 02:28PM BLOOD HBsAg-NEG HBsAb-NEG HBcAb-NEG ___ 09:15PM BLOOD ANCA-NEGATIVE B ___ 09:15PM BLO" Missed entity,"(6038, 6046)",,NEGATIVE,,23875004,,14975962-DS-19,"Ag-NEG HBsAb-NEG HBcAb-NEG ___ 09:15PM BLOOD ANCA-NEGATIVE B ___ 09:15PM BLOOD ___ Titer-1:40* ___ 12:00PM B" "Correct entity, wrong SNOMED ID","(6101, 6104)","(6101, 6104)",CRP,CRP,55235003,61425002,14975962-DS-19,"_ 09:15PM BLOOD ___ Titer-1:40* ___ 12:00PM BLOOD CRP-100.3* ___ 09:15PM BLOOD HIV Ab-NEG ___ 02:28PM B" Missed entity,"(6130, 6136)",,HIV Ab,,165813002,,14975962-DS-19,"0* ___ 12:00PM BLOOD CRP-100.3* ___ 09:15PM BLOOD HIV Ab-NEG ___ 02:28PM BLOOD HCV Ab-NEG ====DISCHARGE L" Missed entity,"(6137, 6140)",,NEG,,281900007,,14975962-DS-19,"12:00PM BLOOD CRP-100.3* ___ 09:15PM BLOOD HIV Ab-NEG ___ 02:28PM BLOOD HCV Ab-NEG ====DISCHARGE LABS=" Boundary error,"(6159, 6162)","(6159, 6161)",HCV,HC,50711007,259344006,14975962-DS-19,"3* ___ 09:15PM BLOOD HIV Ab-NEG ___ 02:28PM BLOOD HCV Ab-NEG ====DISCHARGE LABS==== ___ 05:57AM BLOOD " Missed entity,"(6166, 6169)",,NEG,,281900007,,14975962-DS-19,"09:15PM BLOOD HIV Ab-NEG ___ 02:28PM BLOOD HCV Ab-NEG ====DISCHARGE LABS==== ___ 05:57AM BLOOD WBC-9.1" "Correct entity, wrong SNOMED ID","(6212, 6215)","(6212, 6215)",WBC,WBC,767002,391558003,14975962-DS-19," Ab-NEG ====DISCHARGE LABS==== ___ 05:57AM BLOOD WBC-9.1 RBC-5.21 Hgb-14.5 Hct-45.0 MCV-86 MCH-27.8 M" "Correct entity, wrong SNOMED ID","(6220, 6223)","(6220, 6223)",RBC,RBC,14089001,258759006,14975962-DS-19," ====DISCHARGE LABS==== ___ 05:57AM BLOOD WBC-9.1 RBC-5.21 Hgb-14.5 Hct-45.0 MCV-86 MCH-27.8 MCHC-32.2" "Correct entity, wrong SNOMED ID","(6229, 6232)","(6229, 6232)",Hgb,Hgb,441689006,104142005,14975962-DS-19,"HARGE LABS==== ___ 05:57AM BLOOD WBC-9.1 RBC-5.21 Hgb-14.5 Hct-45.0 MCV-86 MCH-27.8 MCHC-32.2 RDW-13.0" "Correct entity, wrong SNOMED ID","(6238, 6241)","(6238, 6241)",Hct,Hct,28317006,282660005,14975962-DS-19,"S==== ___ 05:57AM BLOOD WBC-9.1 RBC-5.21 Hgb-14.5 Hct-45.0 MCV-86 MCH-27.8 MCHC-32.2 RDW-13.0 RDWSD-40" Missed entity,"(6247, 6250)",,MCV,,104133003,,14975962-DS-19," 05:57AM BLOOD WBC-9.1 RBC-5.21 Hgb-14.5 Hct-45.0 MCV-86 MCH-27.8 MCHC-32.2 RDW-13.0 RDWSD-40.3 Plt __" "Correct entity, wrong SNOMED ID","(6264, 6268)","(6264, 6268)",MCHC,MCHC,37254006,735147002,14975962-DS-19,"C-9.1 RBC-5.21 Hgb-14.5 Hct-45.0 MCV-86 MCH-27.8 MCHC-32.2 RDW-13.0 RDWSD-40.3 Plt ___ ___ 05:57AM BLOO" "Correct entity, wrong SNOMED ID","(6283, 6288)","(6283, 6288)",RDWSD,RDWSD,66842004,80328002,14975962-DS-19,"14.5 Hct-45.0 MCV-86 MCH-27.8 MCHC-32.2 RDW-13.0 RDWSD-40.3 Plt ___ ___ 05:57AM BLOOD Glucose-112* UreaN" "Correct entity, wrong SNOMED ID","(6320, 6327)","(6320, 6327)",Glucose,Glucose,33747003,72191006,14975962-DS-19,"2.2 RDW-13.0 RDWSD-40.3 Plt ___ ___ 05:57AM BLOOD Glucose-112* UreaN-17 Creat-1.0 Na-138 K-4.3 Cl-100 HCO3" "Correct entity, wrong SNOMED ID","(6333, 6338)","(6333, 6338)",UreaN,UreaN,105011006,111108008,14975962-DS-19,"RDWSD-40.3 Plt ___ ___ 05:57AM BLOOD Glucose-112* UreaN-17 Creat-1.0 Na-138 K-4.3 Cl-100 HCO3-24 AnGap-1" "Correct entity, wrong SNOMED ID","(6342, 6347)","(6342, 6347)",Creat,Creat,70901006,413856009,14975962-DS-19,"3 Plt ___ ___ 05:57AM BLOOD Glucose-112* UreaN-17 Creat-1.0 Na-138 K-4.3 Cl-100 HCO3-24 AnGap-14 ___ 05:" "Correct entity, wrong SNOMED ID","(6352, 6354)","(6352, 6354)",Na,Na,312469006,257992007,14975962-DS-19,"___ 05:57AM BLOOD Glucose-112* UreaN-17 Creat-1.0 Na-138 K-4.3 Cl-100 HCO3-24 AnGap-14 ___ 05:57AM BL" "Correct entity, wrong SNOMED ID","(6366, 6368)","(6366, 6368)",Cl,Cl,104589004,311741002,14975962-DS-19,"OOD Glucose-112* UreaN-17 Creat-1.0 Na-138 K-4.3 Cl-100 HCO3-24 AnGap-14 ___ 05:57AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(6373, 6377)","(6373, 6377)",HCO3,HCO3,312471006,88645003,14975962-DS-19,"cose-112* UreaN-17 Creat-1.0 Na-138 K-4.3 Cl-100 HCO3-24 AnGap-14 ___ 05:57AM BLOOD Calcium-8.7 Phos-3." "Correct entity, wrong SNOMED ID","(6381, 6386)","(6381, 6386)",AnGap,AnGap,25469001,124504004,14975962-DS-19,"* UreaN-17 Creat-1.0 Na-138 K-4.3 Cl-100 HCO3-24 AnGap-14 ___ 05:57AM BLOOD Calcium-8.7 Phos-3.9 Mg-2.2 " "Correct entity, wrong SNOMED ID","(6408, 6415)","(6408, 6415)",Calcium,Calcium,312472004,108601004,14975962-DS-19," K-4.3 Cl-100 HCO3-24 AnGap-14 ___ 05:57AM BLOOD Calcium-8.7 Phos-3.9 Mg-2.2 ====IMAGING==== ##CXR ___ FI" "Correct entity, wrong SNOMED ID","(6420, 6424)","(6420, 6424)",Phos,Phos,104868000,168075002,14975962-DS-19,"00 HCO3-24 AnGap-14 ___ 05:57AM BLOOD Calcium-8.7 Phos-3.9 Mg-2.2 ====IMAGING==== ##CXR ___ FINDINGS: " "Correct entity, wrong SNOMED ID","(6429, 6431)","(6429, 6431)",Mg,Mg,271285000,258684004,14975962-DS-19,"4 AnGap-14 ___ 05:57AM BLOOD Calcium-8.7 Phos-3.9 Mg-2.2 ====IMAGING==== ##CXR ___ FINDINGS: PA and " Missed entity,"(6441, 6448)",,IMAGING,,363679005,,14975962-DS-19,"__ 05:57AM BLOOD Calcium-8.7 Phos-3.9 Mg-2.2 ====IMAGING==== ##CXR ___ FINDINGS: PA and lateral views of " Wrong span,"(6474, 6507)","(6502, 6507)",PA and lateral views of the chest,chest,42869005,74160004,14975962-DS-19,"-3.9 Mg-2.2 ====IMAGING==== ##CXR ___ FINDINGS: PA and lateral views of the chest provided. The lungs are clear. There is no foca" Wrong span,"(6523, 6539)","(6523, 6528)","lungs are clear",lungs,827032003,169115000,14975962-DS-19," PA and lateral views of the chest provided. The lungs are clear. There is no focal consolidation, effusion, or pn" "Correct entity, wrong SNOMED ID","(6559, 6572)","(6559, 6572)",consolidation,consolidation,9656002,95436008,14975962-DS-19,"rovided. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. There are no signs " "Correct entity, wrong SNOMED ID","(6587, 6599)","(6587, 6599)",pneumothorax,pneumothorax,36118008,109364007,14975962-DS-19,"ar. There is no focal consolidation, effusion, or pneumothorax. There are no signs of congestion or edema. Th" "Correct entity, wrong SNOMED ID","(6625, 6635)","(6625, 6635)",congestion,congestion,85804007,68235000,14975962-DS-19,"ffusion, or pneumothorax. There are no signs of congestion or edema. The cardiomediastinal silhouette is n" "Correct entity, wrong SNOMED ID","(6639, 6644)","(6639, 6644)",edema,edema,267038008,102576009,14975962-DS-19,"eumothorax. There are no signs of congestion or edema. The cardiomediastinal silhouette is normal. Im" "Correct entity, wrong SNOMED ID","(6652, 6669)","(6652, 6669)",cardiomediastinal,cardiomediastinal,72410000,83099006,14975962-DS-19," There are no signs of congestion or edema. The cardiomediastinal silhouette is normal. Imaged osseous structures " "Correct entity, wrong SNOMED ID","(6684, 6690)","(6684, 6690)",normal,normal,281900007,840673007,14975962-DS-19,"n or edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free " "Correct entity, wrong SNOMED ID","(6699, 6718)","(6699, 6718)","osseous structures","osseous structures",272673000,128530007,14975962-DS-19,"e cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidia" Missed entity,"(6723, 6729)",,intact,,281900007,,14975962-DS-19,"houette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is s" "Correct entity, wrong SNOMED ID","(6754, 6774)","(6754, 6774)","right hemidiaphragm","right hemidiaphragm",416398005,10591000087100,14975962-DS-19,"us structures are intact. No free air below the right hemidiaphragm is seen. IMPRESSION: No acute intrathoracic pr" Wrong span,"(6799, 6829)","(6799, 6801)",No acute intrathoracic process,No,281900007,160552003,14975962-DS-19," the right hemidiaphragm is seen. IMPRESSION: No acute intrathoracic process. Brief Hospital Course: ___ male with a histor" "Correct entity, wrong SNOMED ID","(6884, 6898)","(6884, 6898)",celiac disease,celiac disease,396331005,91867008,14975962-DS-19,"Brief Hospital Course: ___ male with a history of celiac disease, psoriasis, and hypertension who presents with s" "Correct entity, wrong SNOMED ID","(6900, 6909)","(6900, 6909)",psoriasis,psoriasis,9014002,111188005,14975962-DS-19,"ourse: ___ male with a history of celiac disease, psoriasis, and hypertension who presents with sore throat " "Correct entity, wrong SNOMED ID","(6916, 6928)","(6916, 6928)",hypertension,hypertension,38341003,70995007,14975962-DS-19,"with a history of celiac disease, psoriasis, and hypertension who presents with sore throat for 1.5 weeks and " "Correct entity, wrong SNOMED ID","(6947, 6958)","(6947, 6958)",sore throat,sore throat,267102003,43878008,14975962-DS-19,"e, psoriasis, and hypertension who presents with sore throat for 1.5 weeks and painful rash for 4 days. # Su" "Correct entity, wrong SNOMED ID","(6978, 6985)","(6978, 6985)",painful,painful,22253000,49650001,14975962-DS-19," who presents with sore throat for 1.5 weeks and painful rash for 4 days. # Suspected erythema nodosum Th" "Correct entity, wrong SNOMED ID","(6986, 6990)","(6986, 6990)",rash,rash,271807003,247472004,14975962-DS-19,"sents with sore throat for 1.5 weeks and painful rash for 4 days. # Suspected erythema nodosum The pat" "Correct entity, wrong SNOMED ID","(7016, 7032)","(7016, 7032)",erythema nodosum,erythema nodosum,32861005,961007,14975962-DS-19," weeks and painful rash for 4 days. # Suspected erythema nodosum The patient reported that on ___, he had new onse" Missed entity,"(7090, 7097)",,painful,,22253000,,14975962-DS-19,"ient reported that on ___, he had new onset of a painful, nodular, erythematous rash. The rash first began" "Correct entity, wrong SNOMED ID","(7099, 7106)","(7099, 7106)",nodular,nodular,27925004,263888000,14975962-DS-19,"rted that on ___, he had new onset of a painful, nodular, erythematous rash. The rash first began on his " Wrong span,"(7108, 7125)","(7108, 7120)",erythematous rash,erythematous,827160004,723166008,14975962-DS-19," on ___, he had new onset of a painful, nodular, erythematous rash. The rash first began on his right arm with a pa" "Correct entity, wrong SNOMED ID","(7131, 7135)","(7131, 7135)",rash,rash,271807003,247472004,14975962-DS-19,"et of a painful, nodular, erythematous rash. The rash first began on his right arm with a painful red " "Correct entity, wrong SNOMED ID","(7156, 7165)","(7156, 7165)",right arm,right arm,368209003,59126009,14975962-DS-19,", erythematous rash. The rash first began on his right arm with a painful red nodule that later spread to th" Missed entity,"(7173, 7180)",,painful,,22253000,,14975962-DS-19,"sh. The rash first began on his right arm with a painful red nodule that later spread to the left arm, bi" "Correct entity, wrong SNOMED ID","(7181, 7184)","(7181, 7184)",red,red,822962003,239163008,14975962-DS-19,"rash first began on his right arm with a painful red nodule that later spread to the left arm, bilate" "Correct entity, wrong SNOMED ID","(7185, 7191)","(7185, 7191)",nodule,nodule,27925004,237495005,14975962-DS-19," first began on his right arm with a painful red nodule that later spread to the left arm, bilateral kne" "Correct entity, wrong SNOMED ID","(7218, 7226)","(7218, 7226)",left arm,left arm,368208006,72098002,14975962-DS-19,"th a painful red nodule that later spread to the left arm, bilateral knees, bilateral shins, and bilateral " "Correct entity, wrong SNOMED ID","(7238, 7243)","(7238, 7243)",knees,knees,72696002,36701003,14975962-DS-19,"ule that later spread to the left arm, bilateral knees, bilateral shins, and bilateral bony prominences" "Correct entity, wrong SNOMED ID","(7255, 7260)","(7255, 7260)",shins,shins,78234002,283388003,14975962-DS-19,"read to the left arm, bilateral knees, bilateral shins, and bilateral bony prominences of the feet. The" "Correct entity, wrong SNOMED ID","(7301, 7305)","(7301, 7305)",feet,feet,56459004,259051005,14975962-DS-19,"ral shins, and bilateral bony prominences of the feet. The appearance of the rash is consistent with e" "Correct entity, wrong SNOMED ID","(7329, 7333)","(7329, 7333)",rash,rash,271807003,247472004,14975962-DS-19,"y prominences of the feet. The appearance of the rash is consistent with erythema nodosum, however, th" "Correct entity, wrong SNOMED ID","(7354, 7370)","(7354, 7370)",erythema nodosum,erythema nodosum,32861005,961007,14975962-DS-19,"t. The appearance of the rash is consistent with erythema nodosum, however, the presence of nodules on the arms wa" "Correct entity, wrong SNOMED ID","(7398, 7405)","(7398, 7405)",nodules,nodules,27925004,21444008,14975962-DS-19," with erythema nodosum, however, the presence of nodules on the arms was atypical. As a result, dermatolog" "Correct entity, wrong SNOMED ID","(7413, 7417)","(7413, 7417)",arms,arms,53120007,69273007,14975962-DS-19,"nodosum, however, the presence of nodules on the arms was atypical. As a result, dermatology was consu" "Correct entity, wrong SNOMED ID","(7488, 7501)","(7488, 7501)",tissue biopsy,tissue biopsy,75016008,309074002,14975962-DS-19,"esult, dermatology was consulted and performed a tissue biopsy, which showed findings consistent with erythema " "Correct entity, wrong SNOMED ID","(7542, 7558)","(7542, 7558)",erythema nodosum,erythema nodosum,32861005,961007,14975962-DS-19,"ue biopsy, which showed findings consistent with erythema nodosum. Infectious workup was notable for negative hepa" "Correct entity, wrong SNOMED ID","(7560, 7570)","(7560, 7570)",Infectious,Infectious,40733004,366971000119100,14975962-DS-19,"howed findings consistent with erythema nodosum. Infectious workup was notable for negative hepatitis B sero" Missed entity,"(7571, 7577)",,workup,,386053000,,14975962-DS-19,"ngs consistent with erythema nodosum. Infectious workup was notable for negative hepatitis B serologies," Missed entity,"(7595, 7603)",,negative,,23875004,,14975962-DS-19,"thema nodosum. Infectious workup was notable for negative hepatitis B serologies, negative HIV antibody, n" "Correct entity, wrong SNOMED ID","(7604, 7615)","(7604, 7615)",hepatitis B,hepatitis B,66071002,60498001,14975962-DS-19,"osum. Infectious workup was notable for negative hepatitis B serologies, negative HIV antibody, negative hepa" Missed entity,"(7628, 7636)",,negative,,23875004,,14975962-DS-19,"was notable for negative hepatitis B serologies, negative HIV antibody, negative hepatitis C antibody, neg" "Correct entity, wrong SNOMED ID","(7637, 7649)","(7637, 7649)",HIV antibody,HIV antibody,165813002,259855002,14975962-DS-19,"le for negative hepatitis B serologies, negative HIV antibody, negative hepatitis C antibody, negative urine c" Missed entity,"(7652, 7660)",,negative,,23875004,,14975962-DS-19,"e hepatitis B serologies, negative HIV antibody, negative hepatitis C antibody, negative urine culture, neg" Wrong span,"(7661, 7672)","(7661, 7681)",hepatitis C,hepatitis C antibody,50711007,106188001,14975962-DS-19,"is B serologies, negative HIV antibody, negative hepatitis C antibody, negative urine culture, negative Monos" Missed entity,"(7683, 7691)",,negative,,23875004,,14975962-DS-19,"ive HIV antibody, negative hepatitis C antibody, negative urine culture, negative Monospot, negative RPR, " Missed entity,"(7707, 7725)",,"negative Monospot",,302786005,,14975962-DS-19,"ive hepatitis C antibody, negative urine culture, negative Monospot, negative RPR, and unremarkable EBV serologies. O" Missed entity,"(7727, 7735)",,negative,,23875004,,14975962-DS-19,"body, negative urine culture, negative Monospot, negative RPR, and unremarkable EBV serologies. Of note, S" Missed entity,"(7736, 7739)",,RPR,,19869000,,14975962-DS-19,"ative urine culture, negative Monospot, negative RPR, and unremarkable EBV serologies. Of note, Strep" "Correct entity, wrong SNOMED ID","(7745, 7757)","(7745, 7757)",unremarkable,unremarkable,281900007,167703002,14975962-DS-19,"ne culture, negative Monospot, negative RPR, and unremarkable EBV serologies. Of note, Strep was pending at di" Missed entity,"(7831, 7837)",,workup,,386053000,,14975962-DS-19,"e, Strep was pending at discharge a rheumatologic workup was also performed and was notable for a CRP of " "Correct entity, wrong SNOMED ID","(7880, 7883)","(7880, 7883)",CRP,CRP,55235003,61425002,14975962-DS-19," workup was also performed and was notable for a CRP of 100.3, borderline positive ___ (1: 40), negat" Missed entity,"(7928, 7936)",,negative,,23875004,,14975962-DS-19,"a CRP of 100.3, borderline positive ___ (1: 40), negative ANCA. At the time of discharge, the patient's ra" "Correct entity, wrong SNOMED ID","(7984, 7988)","(7984, 7988)",rash,rash,271807003,247472004,14975962-DS-19,"ve ANCA. At the time of discharge, the patient's rash improved, and the pain from the rash was well-co" "Correct entity, wrong SNOMED ID","(7989, 7997)","(7989, 7997)",improved,improved,268910001,251359002,14975962-DS-19,"CA. At the time of discharge, the patient's rash improved, and the pain from the rash was well-controlled " "Correct entity, wrong SNOMED ID","(8007, 8011)","(8007, 8011)",pain,pain,22253000,102570003,14975962-DS-19," discharge, the patient's rash improved, and the pain from the rash was well-controlled with over-the-" "Correct entity, wrong SNOMED ID","(8021, 8025)","(8021, 8025)",rash,rash,271807003,247472004,14975962-DS-19,"he patient's rash improved, and the pain from the rash was well-controlled with over-the-counter NSAIDs" Missed entity,"(8031, 8046)",,well-controlled,,1194003,,14975962-DS-19,"'s rash improved, and the pain from the rash was well-controlled with over-the-counter NSAIDs and acetaminophen. " "Correct entity, wrong SNOMED ID","(8178, 8191)","(8178, 8191)",tissue biopsy,tissue biopsy,75016008,309074002,14975962-DS-19,"ons to follow-up with dermatology pending formal tissue biopsy results. # Sore throat # Cough The patient repor" "Correct entity, wrong SNOMED ID","(8204, 8215)","(8204, 8215)",Sore throat,Sore throat,267102003,275488008,14975962-DS-19,"matology pending formal tissue biopsy results. # Sore throat # Cough The patient reported having about 2 weeks" "Correct entity, wrong SNOMED ID","(8218, 8223)","(8218, 8223)",Cough,Cough,49727002,28743005,14975962-DS-19,"ng formal tissue biopsy results. # Sore throat # Cough The patient reported having about 2 weeks of sore" "Correct entity, wrong SNOMED ID","(8269, 8280)","(8269, 8280)",sore throat,sore throat,267102003,275488008,14975962-DS-19,"ough The patient reported having about 2 weeks of sore throat associated with non-productive cough. Throughout" Wrong span,"(8369, 8390)","(8369, 8403)",normal O2 saturations,"normal O2 saturations on room air",448225001,167019000,14975962-DS-19," Throughout his hospitalization, the patient had normal O2 saturations on room air. A chest x-ray performed in the emer" Wrong span,"(8391, 8403)","(8369, 8403)","on room air","normal O2 saturations on room air",722742002,167019000,14975962-DS-19,"talization, the patient had normal O2 saturations on room air. A chest x-ray performed in the emergency departm" Missed entity,"(8436, 8445)",,emergency,,385868005,,14975962-DS-19,"ions on room air. A chest x-ray performed in the emergency department did not show any evidence of pneumoni" "Correct entity, wrong SNOMED ID","(8487, 8496)","(8487, 8496)",pneumonia,pneumonia,233604007,415125002,14975962-DS-19,"mergency department did not show any evidence of pneumonia. On discharge, his sore throat was improved and " "Correct entity, wrong SNOMED ID","(8516, 8527)","(8516, 8527)",sore throat,sore throat,267102003,43878008,14975962-DS-19,"show any evidence of pneumonia. On discharge, his sore throat was improved and his breathing remained at basel" "Correct entity, wrong SNOMED ID","(8533, 8541)","(8533, 8541)",improved,improved,268910001,251359002,14975962-DS-19," of pneumonia. On discharge, his sore throat was improved and his breathing remained at baseline. Etiology " "Correct entity, wrong SNOMED ID","(8572, 8580)","(8572, 8580)",baseline,baseline,128974000,129082007,14975962-DS-19,"hroat was improved and his breathing remained at baseline. Etiology of the sore throat is most likely vira" "Correct entity, wrong SNOMED ID","(8599, 8610)","(8599, 8610)",sore throat,sore throat,267102003,43878008,14975962-DS-19," breathing remained at baseline. Etiology of the sore throat is most likely viral. Given that the sore throat " "Correct entity, wrong SNOMED ID","(8626, 8631)","(8626, 8631)",viral,viral,34014006,34476008,14975962-DS-19,"line. Etiology of the sore throat is most likely viral. Given that the sore throat preceded erythema no" "Correct entity, wrong SNOMED ID","(8648, 8659)","(8648, 8659)",sore throat,sore throat,267102003,43878008,14975962-DS-19," sore throat is most likely viral. Given that the sore throat preceded erythema nodosum, there was concern tha" "Correct entity, wrong SNOMED ID","(8670, 8686)","(8670, 8686)",erythema nodosum,erythema nodosum,32861005,961007,14975962-DS-19,"ikely viral. Given that the sore throat preceded erythema nodosum, there was concern that the sore throat was caus" "Correct entity, wrong SNOMED ID","(8715, 8727)","(8715, 8727)","sore throat","sore throat",267102003,43878008,14975962-DS-19,"eded erythema nodosum, there was concern that the sore throat was caused by streptococcal pharyngitis. As a res" "Correct entity, wrong SNOMED ID","(8742, 8767)","(8742, 8767)",streptococcal pharyngitis,streptococcal pharyngitis,43878008,1296672005,14975962-DS-19,"e was concern that the sore throat was caused by streptococcal pharyngitis. As a result, the patient received 2 g of ceftri" Missed entity,"(8885, 8897)",,discontinued,,304540007,,14975962-DS-19,"ospitalization. However, on ___, ceftriaxone was discontinued as it was determined that the patient had a very" Wrong span,"(8960, 8986)","(8960, 8961)","streptococcal pharyngitis",s,43878008,420952007,14975962-DS-19,"etermined that the patient had a very low risk of streptococcal pharyngitis given his age. # Bilateral leg weakness He has l" "Correct entity, wrong SNOMED ID","(9015, 9027)","(9015, 9027)",leg weakness,leg weakness,249945007,691011000124106,14975962-DS-19,"tococcal pharyngitis given his age. # Bilateral leg weakness He has long-standing weakness that he reports is " Missed entity,"(9040, 9048)",,standing,,10904000,,14975962-DS-19,"en his age. # Bilateral leg weakness He has long-standing weakness that he reports is from previous back i" "Correct entity, wrong SNOMED ID","(9092, 9105)","(9092, 9105)",back injuries,back injuries,712893003,424270008,14975962-DS-19,"anding weakness that he reports is from previous back injuries. He was seen by physical therapy he felt that he " "Correct entity, wrong SNOMED ID","(9319, 9335)","(9319, 9335)",gluten-free diet,gluten-free diet,160671006,404919001,14975962-DS-19,"and amlodipine. # Celiac disease: Continued on a gluten-free diet. # Psoriasis: Betamethasone cream as needed. # " "Correct entity, wrong SNOMED ID","(9572, 9578)","(9572, 9578)",biopsy,biopsy,86273004,48635004,14975962-DS-19,"low-up with dermatology following results of the biopsy. [] Elevated CRP likely in setting of acute infec" "Correct entity, wrong SNOMED ID","(9583, 9595)","(9583, 9595)",Elevated CRP,Elevated CRP,119971000119104,50177009,14975962-DS-19," dermatology following results of the biopsy. [] Elevated CRP likely in setting of acute infectious illness an" "Correct entity, wrong SNOMED ID","(9623, 9641)","(9623, 9641)",infectious illness,infectious illness,40733004,789116000,14975962-DS-19,"iopsy. [] Elevated CRP likely in setting of acute infectious illness and erythema nodosum. [] ASO pending at time of" "Correct entity, wrong SNOMED ID","(9647, 9663)","(9647, 9663)",erythema nodosum,erythema nodosum,32861005,961007,14975962-DS-19,"ikely in setting of acute infectious illness and erythema nodosum. [] ASO pending at time of discharge. Medicat" "Correct entity, wrong SNOMED ID","(10624, 10640)","(10624, 10640)",Erythema nodosum,Erythema nodosum,32861005,961007,14975962-DS-19,"ischarge Disposition: Home Discharge Diagnosis: Erythema nodosum Sore throat Discharge Condition: Mental Status" "Correct entity, wrong SNOMED ID","(10641, 10652)","(10641, 10652)",Sore throat,Sore throat,267102003,43878008,14975962-DS-19,"ion: Home Discharge Diagnosis: Erythema nodosum Sore throat Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(10677, 10690)","(10677, 10690)",Mental Status,Mental Status,392257007,419284004,14975962-DS-19,"thema nodosum Sore throat Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(10692, 10697)","(10692, 10697)",Clear,Clear,830123008,281278005,14975962-DS-19,"ore throat Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(10712, 10734)","(10712, 10734)",Level of Consciousness,Level of Consciousness,444714004,830285008,14975962-DS-19,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(10736, 10741)","(10736, 10741)",Alert,Alert,248234008,409787004,14975962-DS-19,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(10746, 10757)","(10746, 10757)",interactive,interactive,288577006,10301000202103,14975962-DS-19,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(10759, 10774)","(10759, 10774)",Activity Status,Activity Status,129676008,397622007,14975962-DS-19,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(10776, 10800)","(10776, 10800)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,14975962-DS-19,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: =====================" "Correct entity, wrong SNOMED ID","(11033, 11044)","(11033, 11044)",sore throat,sore throat,267102003,43878008,14975962-DS-19,"E HOSPITAL? - You were seen in the hospital for sore throat and a new rash. WHAT HAPPENED TO ME IN THE HOSPI" "Correct entity, wrong SNOMED ID","(11055, 11059)","(11055, 11059)",rash,rash,271807003,247472004,14975962-DS-19,"re seen in the hospital for sore throat and a new rash. WHAT HAPPENED TO ME IN THE HOSPITAL? - You ha" "Correct entity, wrong SNOMED ID","(11113, 11119)","(11113, 11119)",biopsy,biopsy,86273004,48635004,14975962-DS-19,"HAT HAPPENED TO ME IN THE HOSPITAL? - You had a biopsy performed of the rash which showed erythema nodo" "Correct entity, wrong SNOMED ID","(11137, 11141)","(11137, 11141)",rash,rash,271807003,247472004,14975962-DS-19,"E HOSPITAL? - You had a biopsy performed of the rash which showed erythema nodosum. – You had lab tes" "Correct entity, wrong SNOMED ID","(11155, 11172)","(11155, 11172)","erythema nodosum","erythema nodosum",32861005,240360007,14975962-DS-19,"u had a biopsy performed of the rash which showed erythema nodosum. – You had lab tests performed to evaluate for po" "Correct entity, wrong SNOMED ID","(11230, 11240)","(11230, 11240)",infectious,infectious,40733004,123976001,14975962-DS-19,"had lab tests performed to evaluate for possible infectious sources of sore throat, including strep throat, a" "Correct entity, wrong SNOMED ID","(11252, 11263)","(11252, 11263)",sore throat,sore throat,267102003,43878008,14975962-DS-19,"d to evaluate for possible infectious sources of sore throat, including strep throat, all of which were unrem" "Correct entity, wrong SNOMED ID","(11275, 11287)","(11275, 11287)",strep throat,strep throat,43878008,1296672005,14975962-DS-19,"ble infectious sources of sore throat, including strep throat, all of which were unremarkable.***** - You were" "Correct entity, wrong SNOMED ID","(11308, 11320)","(11308, 11320)",unremarkable,unremarkable,281900007,164179004,14975962-DS-19,"hroat, including strep throat, all of which were unremarkable.***** - You were seen by physical therapy for you" "Correct entity, wrong SNOMED ID","(11372, 11384)","(11372, 11384)",leg weakness,leg weakness,249945007,691011000124106,14975962-DS-19,"**** - You were seen by physical therapy for your leg weakness. WHAT SHOULD I DO AFTER I LEAVE THE HOSPITAL? - " False positive,,"(193, 199)",,Imuran,,75652008,15259244-DS-19,"F Service: MEDICINE Allergies: Penicillins / Imuran / Cephalosporins / Sulfonamides / Reglan / Latex" False positive,,"(265, 272)",,Lactose,,104775006,15259244-DS-19,"s / Sulfonamides / Reglan / Latex / Ampicillin / Lactose Attending: ___ Chief Complaint: fevers, rigor" False positive,,"(1685, 1687)",,VS,,313611000,15259244-DS-19,"returned negative. . In the ED, the patient's VS were: T-98.7 (not febrile in ED), HR - 82, BP - " False positive,,"(1722, 1724)",,HR,,258702006,15259244-DS-19,"he patient's VS were: T-98.7 (not febrile in ED), HR - 82, BP - 186/83-->165/74, RR- 16, 100% on RA. " False positive,,"(1732, 1734)",,BP,,38341003,15259244-DS-19,"'s VS were: T-98.7 (not febrile in ED), HR - 82, BP - 186/83-->165/74, RR- 16, 100% on RA. The patien" False positive,,"(1754, 1756)",,RR,,229040007,15259244-DS-19,"t febrile in ED), HR - 82, BP - 186/83-->165/74, RR- 16, 100% on RA. The patient was given Vancomyci" False positive,,"(1978, 1980)",,VS,,313611000,15259244-DS-19,"hypertension. . On arrival to the floor, pt's VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA. " False positive,,"(1991, 1993)",,BP,,38341003,15259244-DS-19," . On arrival to the floor, pt's VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA. She complaine" False positive,,"(2002, 2004)",,HR,,258702006,15259244-DS-19,"rrival to the floor, pt's VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA. She complained of shakin" False positive,,"(2011, 2013)",,RR,,229040007,15259244-DS-19," the floor, pt's VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA. She complained of shaking chills," False positive,,"(2356, 2361)",,worse,,280122007,15259244-DS-19,"o stated that her chronic ___ edema was slightly worse as she had not taken any Lasix recently. She den" False positive,,"(2749, 2756)",,chronic,,255212004,15259244-DS-19,"lant - s/p renal transplant ___ and ___ (due to chronic rejection). Baseline creatinine 1.3-1.5 as of __" False positive,,"(2757, 2766)",,rejection,,105412007,15259244-DS-19," s/p renal transplant ___ and ___ (due to chronic rejection). Baseline creatinine 1.3-1.5 as of ___ - s/p " False positive,,"(3241, 3254)",,Uncomfortable,,250893000,15259244-DS-19,"ia, DM II, hypothyroidism Physical Exam: GEN: Uncomfortable appearing with rigors and dyspnea VS: T: 101.2 " False positive,,"(3428, 3432)",,neck,,840674001,15259244-DS-19,"ra, dry MM, OP clear without evidence of thrush, neck supple, no LAD. JVP 12cm CV: Tachycardic, NL S1" False positive,,"(3629, 3630)",,B,,257983009,15259244-DS-19,"with no wheezes or ronchi ABD: BS+, soft, NTND. Bilat graft sites non-tender, No HSM LIMBS: Very " False positive,,"(3760, 3767)",,chronic,,255212004,15259244-DS-19,"laterally L>R with skin hyperpigmentation due to chronic edema more prominent on the LLE. No thigh or cal" False positive,,"(3880, 3881)",,A,,420512001,15259244-DS-19," No evidence of erythema or cellulitis. NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Preserve" False positive,,"(3887, 3898)",,Appropriate,,225919000,15259244-DS-19,"dence of erythema or cellulitis. NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Preserved sensation thro" False positive,,"(4669, 4675)",,Bacter,,716340006,15259244-DS-19,"rapmycn-7.6 . Admission UA: ___ 05:05PM URINE ___ Bacteri-MOD Yeast-NONE ___ 05:05PM URINE Blood-NEG Nitr" False positive,,"(4721, 4728)",,Nitrite,,167585009,15259244-DS-19,"cteri-MOD Yeast-NONE ___ 05:05PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NE" False positive,,"(4817, 4819)",,UA,,257999003,15259244-DS-19," Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-TR . Repeat UA after treatment: ___ 11:18PM URINE ___ Bacteri-FE" False positive,,"(4859, 4861)",,Ba,,257983009,15259244-DS-19," Repeat UA after treatment: ___ 11:18PM URINE ___ Bacteri-FEW Yeast-FEW ___ 11:18PM URINE Blood-NEG N" False positive,,"(5983, 5985)",,di,,11038000,15259244-DS-19,"effusion or pneumothorax is noted. The bones are diffusely osteopenic but otherwise unremarkable. IMP" False positive,,"(6054, 6063)",,pulmonary,,419170002,15259244-DS-19,"but otherwise unremarkable. IMPRESSION: No acute pulmonary process. . TTE (Complete) Done ___ at 11:55:56 AM" False positive,,"(6265, 6269)",,free,,249117000,15259244-DS-19," cavity size. Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets" False positive,,"(6788, 6792)",,mild,,162468002,15259244-DS-19,"Mild (1+) mitral regurgitation is seen. There is mild pulmonary artery systolic hypertension. There is" False positive,,"(7466, 7474)",,superior,,415670009,15259244-DS-19,"osis, renal stones, or perinephric fluid. In the superior pole of the left lower quadrant transplant kidne" False positive,,"(7662, 7667)",,inter,,309613002,15259244-DS-19," ___. Normal color and waveforms are seen in the interlobular renal arteries in the upper, mid and lowe" False positive,,"(7705, 7708)",,mid,,17408006,15259244-DS-19,"in the interlobular renal arteries in the upper, mid and lower poles of the transplanted left lower q" False positive,,"(7732, 7744)",,transplanted,,60656008,15259244-DS-19,"rteries in the upper, mid and lower poles of the transplanted left lower quadrant kidney. The resistive indice" False positive,,"(7847, 7851)",,main,,51278002,15259244-DS-19,"re mildly elevated and range from 0.65-0.78. The main renal artery and main renal vein are patent with" False positive,,"(8985, 8995)",,recurrence,,25173007,15259244-DS-19,"ly it seems that the present illness is due to a recurrence of pyelonephritis. She was discharged on a prolo" False positive,,"(9325, 9334)",,pulmonary,,419170002,15259244-DS-19,"e cardiopulmonary process and the patient has no pulmonary symptoms at present. CBC showed no leukocytosis " False positive,,"(9388, 9396)",,elevated,,50177009,15259244-DS-19,"ptoms at present. CBC showed no leukocytosis but elevated compared to baseline on tripple agent immune sup" False positive,,"(9436, 9454)",,immune suppression,,7447008,15259244-DS-19,"t elevated compared to baseline on tripple agent immune suppression. On acyclovir prophylactically. On physical exam" False positive,,"(9491, 9504)",,physical exam,,410182004,15259244-DS-19,"e suppression. On acyclovir prophylactically. On physical exam she had no obvious localizing symptoms or tender" False positive,,"(9645, 9649)",,exam,,105477005,15259244-DS-19," she was found to have a loud systolic murmur on exam not previously noted in OMR. The patient does st" False positive,,"(10423, 10424)",,u,,257999003,15259244-DS-19,"urse of Macrobid with close follow up. Will need urologic workup if infection recurs. . # Renal/P" False positive,,"(10643, 10649)",,Ulytes,,113603007,15259244-DS-19,"as a baseline and back on captopril at discharge. Ulytes pre-renal. Continue PredniSONE 5 mg PO DAILY. Co" "Correct entity, wrong SNOMED ID","(179, 190)","(179, 190)",Penicillins,Penicillins,91936005,11986009,15259244-DS-19," Sex: F Service: MEDICINE Allergies: Penicillins / Imuran / Cephalosporins / Sulfonamides / Reglan" "Correct entity, wrong SNOMED ID","(202, 216)","(202, 216)",Cephalosporins,Cephalosporins,294532003,1359954007,15259244-DS-19,"ce: MEDICINE Allergies: Penicillins / Imuran / Cephalosporins / Sulfonamides / Reglan / Latex / Ampicillin / L" "Correct entity, wrong SNOMED ID","(234, 240)","(234, 240)",Reglan,Reglan,293675006,45598006,15259244-DS-19,"illins / Imuran / Cephalosporins / Sulfonamides / Reglan / Latex / Ampicillin / Lactose Attending: ___ " Boundary error,"(244, 249)","(244, 248)",Latex,Late,1003755004,463111000124108,15259244-DS-19,"muran / Cephalosporins / Sulfonamides / Reglan / Latex / Ampicillin / Lactose Attending: ___ Chief C" "Correct entity, wrong SNOMED ID","(252, 262)","(252, 262)",Ampicillin,Ampicillin,294506009,455951000221101,15259244-DS-19,"Cephalosporins / Sulfonamides / Reglan / Latex / Ampicillin / Lactose Attending: ___ Chief Complaint: fev" "Correct entity, wrong SNOMED ID","(309, 315)","(309, 315)",fevers,fevers,386661006,248444008,15259244-DS-19,"lin / Lactose Attending: ___ Chief Complaint: fevers, rigors Major Surgical or Invasive Procedure: N" "Correct entity, wrong SNOMED ID","(317, 323)","(317, 323)",rigors,rigors,38880002,274640006,15259244-DS-19,"ctose Attending: ___ Chief Complaint: fevers, rigors Major Surgical or Invasive Procedure: None H" "Correct entity, wrong SNOMED ID","(408, 435)","(408, 435)",cadaveric kidney transplant,cadaveric kidney transplant,175902000,420970005,15259244-DS-19,"dure: None History of Present Illness: ___ s/p cadaveric kidney transplant in ___ and pancreas transplant in ___ who presen" "Correct entity, wrong SNOMED ID","(447, 467)","(447, 467)","pancreas transplant","pancreas transplant",62438007,431506006,15259244-DS-19,"s: ___ s/p cadaveric kidney transplant in ___ and pancreas transplant in ___ who presented to the ED with with fatigue," "Correct entity, wrong SNOMED ID","(509, 516)","(509, 516)",fatigue,fatigue,84229001,1141720008,15259244-DS-19,"ansplant in ___ who presented to the ED with with fatigue, fever at home to ___, and chills. The patient s" "Correct entity, wrong SNOMED ID","(519, 524)","(519, 524)",fever,fever,386661006,248430002,15259244-DS-19,"n ___ who presented to the ED with with fatigue, fever at home to ___, and chills. The patient states th" "Correct entity, wrong SNOMED ID","(545, 551)","(545, 551)",chills,chills,43724002,274640006,15259244-DS-19," ED with with fatigue, fever at home to ___, and chills. The patient states that she initially felt chil" "Correct entity, wrong SNOMED ID","(597, 603)","(597, 603)",chills,chills,43724002,274640006,15259244-DS-19,"ills. The patient states that she initially felt chills the evening PTA, then had a fever up to ___ the " "Correct entity, wrong SNOMED ID","(632, 637)","(632, 637)",fever,fever,386661006,248430002,15259244-DS-19,"initially felt chills the evening PTA, then had a fever up to ___ the morning PTA. She had been feeling " Wrong span,"(687, 703)","(697, 703)",generally unwell,unwell,213257006,367391008,15259244-DS-19," up to ___ the morning PTA. She had been feeling generally unwell at home for ___ days, with symptoms of lethargy " "Correct entity, wrong SNOMED ID","(744, 752)","(744, 752)",lethargy,lethargy,214264003,186499007,15259244-DS-19,"ly unwell at home for ___ days, with symptoms of lethargy and fatigue. Given her symptoms, she took Macrob" "Correct entity, wrong SNOMED ID","(757, 764)","(757, 764)",fatigue,fatigue,84229001,1141720008,15259244-DS-19," home for ___ days, with symptoms of lethargy and fatigue. Given her symptoms, she took Macrobid as she ha" "Correct entity, wrong SNOMED ID","(935, 940)","(935, 940)",fever,fever,386661006,102496004,15259244-DS-19,"e morning of PTA she still felt ill and spiked a fever. She is currently on rapamune, prograf and predn" "Correct entity, wrong SNOMED ID","(1000, 1017)","(1000, 1017)",immunosuppression,immunosuppression,38013005,7447008,15259244-DS-19,"urrently on rapamune, prograf and prednisone for immunosuppression for her kidney/pancreas transplants. . Of no" Boundary error,"(1027, 1033)","(1027, 1034)",kidney,kidney/,70536003,1351917001,15259244-DS-19,"raf and prednisone for immunosuppression for her kidney/pancreas transplants. . Of note, a month ago " "Correct entity, wrong SNOMED ID","(1034, 1054)","(1034, 1054)",pancreas transplants,pancreas transplants,62438007,698362007,15259244-DS-19," prednisone for immunosuppression for her kidney/pancreas transplants. . Of note, a month ago the patient was admit" "Correct entity, wrong SNOMED ID","(1160, 1174)","(1160, 1174)",pyelonephritis,pyelonephritis,45816000,123754002,15259244-DS-19," ___ with similar symptoms and was found to have pyelonephritis and treated with Macrobid per UCx sensitivities " Boundary error,"(1206, 1209)","(1206, 1208)",UCx,UC,117010004,64766004,15259244-DS-19,"ave pyelonephritis and treated with Macrobid per UCx sensitivities and her allergy profile (EColi res" Missed entity,"(1210, 1223)",,sensitivities,,14788002,,15259244-DS-19,"pyelonephritis and treated with Macrobid per UCx sensitivities and her allergy profile (EColi resistant to FQ, " Wrong span,"(1232, 1248)","(1232, 1237)","allergy profile",aller,252380005,830212002,15259244-DS-19,"eated with Macrobid per UCx sensitivities and her allergy profile (EColi resistant to FQ, Bactrim, and PCN). Howeve" "Correct entity, wrong SNOMED ID","(1341, 1354)","(1341, 1354)",decreased UOP,decreased UOP,718403007,86318000,15259244-DS-19," However, this admission she denies noticing any decreased UOP or flank pain which she had experienced with her" "Correct entity, wrong SNOMED ID","(1358, 1368)","(1358, 1368)",flank pain,flank pain,247355005,162050009,15259244-DS-19,"dmission she denies noticing any decreased UOP or flank pain which she had experienced with her pyelonephriti" "Correct entity, wrong SNOMED ID","(1405, 1419)","(1405, 1419)",pyelonephritis,pyelonephritis,45816000,123754002,15259244-DS-19,"or flank pain which she had experienced with her pyelonephritis. She does admit to noticing a urinary odor. Appr" "Correct entity, wrong SNOMED ID","(1451, 1463)","(1451, 1463)",urinary odor,urinary odor,690701000119101,10579003,15259244-DS-19,"her pyelonephritis. She does admit to noticing a urinary odor. Approximately one week ago, the patient was see" Missed entity,"(1522, 1528)",,clinic,,737492002,,15259244-DS-19,"mately one week ago, the patient was seen in ___ clinic and a repeat UA/UCx was sent to confirm that her" "Correct entity, wrong SNOMED ID","(1542, 1544)","(1542, 1544)",UA,UA,27171005,257999003,15259244-DS-19," the patient was seen in ___ clinic and a repeat UA/UCx was sent to confirm that her recent UTI had " "Correct entity, wrong SNOMED ID","(1545, 1548)","(1545, 1548)",UCx,UCx,117010004,257999003,15259244-DS-19,"he patient was seen in ___ clinic and a repeat UA/UCx was sent to confirm that her recent UTI had been" "Correct entity, wrong SNOMED ID","(1586, 1589)","(1586, 1589)",UTI,UTI,68566005,4009004,15259244-DS-19,"epeat UA/UCx was sent to confirm that her recent UTI had been adequately treated. The UCx on ___ retu" "Correct entity, wrong SNOMED ID","(1624, 1627)","(1624, 1627)",UCx,UCx,117010004,257999003,15259244-DS-19," her recent UTI had been adequately treated. The UCx on ___ returned negative. . In the ED, the pa" "Correct entity, wrong SNOMED ID","(1644, 1652)","(1644, 1652)",negative,negative,281900007,268375009,15259244-DS-19,"been adequately treated. The UCx on ___ returned negative. . In the ED, the patient's VS were: T-98.7 (" "Correct entity, wrong SNOMED ID","(1706, 1713)","(1706, 1713)",febrile,febrile,386661006,307200007,15259244-DS-19,". In the ED, the patient's VS were: T-98.7 (not febrile in ED), HR - 82, BP - 186/83-->165/74, RR- 16, 1" "Correct entity, wrong SNOMED ID","(1770, 1772)","(1770, 1772)",RA,RA,722742002,463051000124105,15259244-DS-19,", HR - 82, BP - 186/83-->165/74, RR- 16, 100% on RA. The patient was given Vancomycin, Flagyl, and L" Missed entity,"(1797, 1807)",,Vancomycin,,281789004,,15259244-DS-19,"65/74, RR- 16, 100% on RA. The patient was given Vancomycin, Flagyl, and Levaquin given as well as 1L NS for" "Correct entity, wrong SNOMED ID","(1862, 1868)","(1862, 1868)",fevers,fevers,386661006,248444008,15259244-DS-19,"gyl, and Levaquin given as well as 1L NS for her fevers in the ED. She was also given 6.25mg of Captopril" "Correct entity, wrong SNOMED ID","(1928, 1940)","(1928, 1940)",hypertension,hypertension,38341003,70995007,15259244-DS-19,". She was also given 6.25mg of Captopril for her hypertension. . On arrival to the floor, pt's VS: T: 101.2" "Correct entity, wrong SNOMED ID","(2026, 2028)","(2026, 2028)",RA,RA,722742002,463051000124105,15259244-DS-19,"s VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA. She complained of shaking chills, nausea, but n" "Correct entity, wrong SNOMED ID","(2048, 2055)","(2048, 2055)",shaking,shaking,26079004,247819009,15259244-DS-19,"/70 HR: 106 RR: 12 O2 97 % RA. She complained of shaking chills, nausea, but no vomiting. She denied any " "Correct entity, wrong SNOMED ID","(2056, 2062)","(2056, 2062)",chills,chills,43724002,274640006,15259244-DS-19,"106 RR: 12 O2 97 % RA. She complained of shaking chills, nausea, but no vomiting. She denied any shortne" "Correct entity, wrong SNOMED ID","(2064, 2070)","(2064, 2070)",nausea,nausea,422587007,1217125005,15259244-DS-19," 12 O2 97 % RA. She complained of shaking chills, nausea, but no vomiting. She denied any shortness of br" "Correct entity, wrong SNOMED ID","(2080, 2088)","(2080, 2088)",vomiting,vomiting,422400008,162062008,15259244-DS-19,"She complained of shaking chills, nausea, but no vomiting. She denied any shortness of breath, cough, chest" "Correct entity, wrong SNOMED ID","(2105, 2124)","(2105, 2124)",shortness of breath,shortness of breath,267036007,135833008,15259244-DS-19," chills, nausea, but no vomiting. She denied any shortness of breath, cough, chest pain, or symptoms of a URI. She de" "Correct entity, wrong SNOMED ID","(2126, 2131)","(2126, 2131)",cough,cough,49727002,28743005,15259244-DS-19," no vomiting. She denied any shortness of breath, cough, chest pain, or symptoms of a URI. She denied ab" "Correct entity, wrong SNOMED ID","(2133, 2144)","(2133, 2144)","chest pain","chest pain",29857009,285389008,15259244-DS-19,"iting. She denied any shortness of breath, cough, chest pain, or symptoms of a URI. She denied abdominal pain," "Correct entity, wrong SNOMED ID","(2163, 2166)","(2163, 2166)",URI,URI,54150009,7766007,15259244-DS-19,"s of breath, cough, chest pain, or symptoms of a URI. She denied abdominal pain, diarrhea, melenea, o" "Correct entity, wrong SNOMED ID","(2179, 2193)","(2179, 2193)",abdominal pain,abdominal pain,21522001,54586004,15259244-DS-19,"gh, chest pain, or symptoms of a URI. She denied abdominal pain, diarrhea, melenea, or BRBPR. She complained of " "Correct entity, wrong SNOMED ID","(2195, 2203)","(2195, 2203)",diarrhea,diarrhea,62315008,111843007,15259244-DS-19," or symptoms of a URI. She denied abdominal pain, diarrhea, melenea, or BRBPR. She complained of mild myalg" "Correct entity, wrong SNOMED ID","(2206, 2213)","(2206, 2213)",melenea,melenea,2901004,206424005,15259244-DS-19,"s of a URI. She denied abdominal pain, diarrhea, melenea, or BRBPR. She complained of mild myalgias in her" "Correct entity, wrong SNOMED ID","(2218, 2223)","(2218, 2223)",BRBPR,BRBPR,405729008,106195005,15259244-DS-19,"She denied abdominal pain, diarrhea, melenea, or BRBPR. She complained of mild myalgias in her thighs a" Missed entity,"(2243, 2247)",,mild,,162468002,,15259244-DS-19,", diarrhea, melenea, or BRBPR. She complained of mild myalgias in her thighs and lower back bilaterall" "Correct entity, wrong SNOMED ID","(2248, 2256)","(2248, 2256)",myalgias,myalgias,68962001,1141862008,15259244-DS-19,"rrhea, melenea, or BRBPR. She complained of mild myalgias in her thighs and lower back bilaterally and als" "Correct entity, wrong SNOMED ID","(2264, 2270)","(2264, 2270)",thighs,thighs,68367000,57172001,15259244-DS-19," or BRBPR. She complained of mild myalgias in her thighs and lower back bilaterally and also stated that " "Correct entity, wrong SNOMED ID","(2276, 2286)","(2276, 2286)",lower back,lower back,37822005,113182001,15259244-DS-19,"he complained of mild myalgias in her thighs and lower back bilaterally and also stated that her chronic ___ " Missed entity,"(2324, 2331)",,chronic,,27624003,,15259244-DS-19,"d lower back bilaterally and also stated that her chronic ___ edema was slightly worse as she had not take" "Correct entity, wrong SNOMED ID","(2337, 2342)","(2337, 2342)",edema,edema,267038008,102576009,15259244-DS-19,"bilaterally and also stated that her chronic ___ edema was slightly worse as she had not taken any Lasix" "Correct entity, wrong SNOMED ID","(2387, 2392)","(2387, 2392)",Lasix,Lasix,722048006,25401000181106,15259244-DS-19,"edema was slightly worse as she had not taken any Lasix recently. She denied any skin rashes or erythema" "Correct entity, wrong SNOMED ID","(2434, 2442)","(2434, 2442)",erythema,erythema,247441003,403194002,15259244-DS-19,"ny Lasix recently. She denied any skin rashes or erythema and mainly complained of feeling fatigued and ex" "Correct entity, wrong SNOMED ID","(2477, 2485)","(2477, 2485)",fatigued,fatigued,84229001,22171002,15259244-DS-19,"hes or erythema and mainly complained of feeling fatigued and extremely drowsy. . REVIEW OF SYSTEMS: Pe" Missed entity,"(2514, 2531)",,REVIEW OF SYSTEMS,,415300000,,15259244-DS-19,"d of feeling fatigued and extremely drowsy. . REVIEW OF SYSTEMS: Per HPI, all other ROS negative. Past Medic" Missed entity,"(2556, 2564)",,negative,,281900007,,15259244-DS-19,". . REVIEW OF SYSTEMS: Per HPI, all other ROS negative. Past Medical History: - Diabetes mellitus, " "Correct entity, wrong SNOMED ID","(2595, 2620)","(2595, 2620)","Diabetes mellitus, type 1","Diabetes mellitus, type 1",46635009,1290118005,15259244-DS-19," other ROS negative. Past Medical History: - Diabetes mellitus, type 1 c/b neuropathy, retinopathy, and nephropathy on " "Correct entity, wrong SNOMED ID","(2625, 2635)","(2625, 2635)",neuropathy,neuropathy,386033004,302226006,15259244-DS-19," Medical History: - Diabetes mellitus, type 1 c/b neuropathy, retinopathy, and nephropathy on no meds since p" "Correct entity, wrong SNOMED ID","(2637, 2648)","(2637, 2648)",retinopathy,retinopathy,29555009,421460008,15259244-DS-19,"tory: - Diabetes mellitus, type 1 c/b neuropathy, retinopathy, and nephropathy on no meds since pancreas trans" "Correct entity, wrong SNOMED ID","(2655, 2666)","(2655, 2666)",nephropathy,nephropathy,90708001,236411009,15259244-DS-19,"ellitus, type 1 c/b neuropathy, retinopathy, and nephropathy on no meds since pancreas transplant - s/p rena" "Correct entity, wrong SNOMED ID","(2684, 2703)","(2684, 2703)",pancreas transplant,pancreas transplant,62438007,431506006,15259244-DS-19,"y, retinopathy, and nephropathy on no meds since pancreas transplant - s/p renal transplant ___ and ___ (due to chro" "Correct entity, wrong SNOMED ID","(2712, 2728)","(2712, 2728)",renal transplant,renal transplant,70536003,236583003,15259244-DS-19,"athy on no meds since pancreas transplant - s/p renal transplant ___ and ___ (due to chronic rejection). Baseline" Missed entity,"(2770, 2778)",,Baseline,,128974000,,15259244-DS-19,"ansplant ___ and ___ (due to chronic rejection). Baseline creatinine 1.3-1.5 as of ___ - s/p pancreatic t" "Correct entity, wrong SNOMED ID","(2779, 2789)","(2779, 2789)",creatinine,creatinine,70901006,113075003,15259244-DS-19,"___ and ___ (due to chronic rejection). Baseline creatinine 1.3-1.5 as of ___ - s/p pancreatic transplant _" "Correct entity, wrong SNOMED ID","(2816, 2837)","(2816, 2837)",pancreatic transplant,pancreatic transplant,62438007,174692003,15259244-DS-19,"). Baseline creatinine 1.3-1.5 as of ___ - s/p pancreatic transplant ___ c/b hyperacute rejection and repeat pancrea" Wrong span,"(2846, 2866)","(2857, 2866)",hyperacute rejection,rejection,434202008,105412007,15259244-DS-19,"5 as of ___ - s/p pancreatic transplant ___ c/b hyperacute rejection and repeat pancreatic transplant ___ - Osteop" "Correct entity, wrong SNOMED ID","(2880, 2901)","(2880, 2901)",pancreatic transplant,pancreatic transplant,62438007,174692003,15259244-DS-19,"nsplant ___ c/b hyperacute rejection and repeat pancreatic transplant ___ - Osteoporosis - Hypothyroidism - Perni" "Correct entity, wrong SNOMED ID","(2910, 2922)","(2910, 2922)",Osteoporosis,Osteoporosis,64859006,102447009,15259244-DS-19,"ection and repeat pancreatic transplant ___ - Osteoporosis - Hypothyroidism - Pernicious anemia - Cata" "Correct entity, wrong SNOMED ID","(2927, 2941)","(2927, 2941)",Hypothyroidism,Hypothyroidism,40930008,10753681000119101,15259244-DS-19,"at pancreatic transplant ___ - Osteoporosis - Hypothyroidism - Pernicious anemia - Cataracts and glaucoma " "Correct entity, wrong SNOMED ID","(2968, 2977)","(2968, 2977)",Cataracts,Cataracts,193570009,95722004,15259244-DS-19,"osis - Hypothyroidism - Pernicious anemia - Cataracts and glaucoma - Colonic adenoma - Right foot f" "Correct entity, wrong SNOMED ID","(2982, 2990)","(2982, 2990)",glaucoma,glaucoma,23986001,111514006,15259244-DS-19,"hyroidism - Pernicious anemia - Cataracts and glaucoma - Colonic adenoma - Right foot fracture c/b R" "Correct entity, wrong SNOMED ID","(2995, 3010)","(2995, 3010)",Colonic adenoma,Colonic adenoma,399432003,1344660001,15259244-DS-19," Pernicious anemia - Cataracts and glaucoma - Colonic adenoma - Right foot fracture c/b RLE DVT - Chronic _" "Correct entity, wrong SNOMED ID","(3015, 3034)","(3015, 3034)",Right foot fracture,Right foot fracture,38961000087108,10932121000119108,15259244-DS-19," - Cataracts and glaucoma - Colonic adenoma - Right foot fracture c/b RLE DVT - Chronic ___ edema, L>R - Recurr" "Correct entity, wrong SNOMED ID","(3039, 3042)","(3039, 3042)",RLE,RLE,62175007,229042004,15259244-DS-19,"a - Colonic adenoma - Right foot fracture c/b RLE DVT - Chronic ___ edema, L>R - Recurrent Eco" "Correct entity, wrong SNOMED ID","(3043, 3046)","(3043, 3046)",DVT,DVT,128053003,49956009,15259244-DS-19,"- Colonic adenoma - Right foot fracture c/b RLE DVT - Chronic ___ edema, L>R - Recurrent Ecoli p" Wrong span,"(3051, 3068)","(3051, 3058)",Chronic ___ edema,Chronic,85628007,255212004,15259244-DS-19,"c adenoma - Right foot fracture c/b RLE DVT - Chronic ___ edema, L>R - Recurrent Ecoli pyelonephritis Social" "Correct entity, wrong SNOMED ID","(3078, 3087)","(3078, 3087)",Recurrent,Recurrent,58184002,25173007,15259244-DS-19,"acture c/b RLE DVT - Chronic ___ edema, L>R - Recurrent Ecoli pyelonephritis Social History: ___ Famil" Wrong span,"(3095, 3109)","(3089, 3109)",pyelonephritis,Ecoli pyelonephritis,45816000,197764002,15259244-DS-19,"T - Chronic ___ edema, L>R - Recurrent Ecoli pyelonephritis Social History: ___ Family History: Father with" "Correct entity, wrong SNOMED ID","(3160, 3171)","(3160, 3171)",lung cancer,lung cancer,363358000,162573006,15259244-DS-19," Social History: ___ Family History: Father with lung cancer, mother with leukemia, DM II, hypothyroidism " "Correct entity, wrong SNOMED ID","(3185, 3193)","(3185, 3193)",leukemia,leukemia,1162768007,110006004,15259244-DS-19,"ily History: Father with lung cancer, mother with leukemia, DM II, hypothyroidism Physical Exam: GEN: Un" "Correct entity, wrong SNOMED ID","(3195, 3200)","(3195, 3200)",DM II,DM II,44054006,396166000,15259244-DS-19,"y: Father with lung cancer, mother with leukemia, DM II, hypothyroidism Physical Exam: GEN: Uncomfort" "Correct entity, wrong SNOMED ID","(3203, 3217)","(3203, 3217)",hypothyroidism,hypothyroidism,40930008,10753681000119101,15259244-DS-19,"r with lung cancer, mother with leukemia, DM II, hypothyroidism Physical Exam: GEN: Uncomfortable appearing wi" "Correct entity, wrong SNOMED ID","(3236, 3239)","(3236, 3239)",GEN,GEN,162673000,420208008,15259244-DS-19,"eukemia, DM II, hypothyroidism Physical Exam: GEN: Uncomfortable appearing with rigors and dyspnea " "Correct entity, wrong SNOMED ID","(3270, 3276)","(3270, 3276)",rigors,rigors,38880002,274640006,15259244-DS-19," Physical Exam: GEN: Uncomfortable appearing with rigors and dyspnea VS: T: 101.2 BP: 162/70 HR: 106 RR:" "Correct entity, wrong SNOMED ID","(3281, 3288)","(3281, 3288)",dyspnea,dyspnea,267036007,60845006,15259244-DS-19,"xam: GEN: Uncomfortable appearing with rigors and dyspnea VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % " "Correct entity, wrong SNOMED ID","(3291, 3293)","(3291, 3293)",VS,VS,118227000,313611000,15259244-DS-19,"Uncomfortable appearing with rigors and dyspnea VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA " "Correct entity, wrong SNOMED ID","(3304, 3306)","(3304, 3306)",BP,BP,392570002,38341003,15259244-DS-19," appearing with rigors and dyspnea VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA HEENT: Exopht" "Correct entity, wrong SNOMED ID","(3315, 3317)","(3315, 3317)",HR,HR,301113001,258702006,15259244-DS-19,"with rigors and dyspnea VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA HEENT: Exophthalmus, ani" "Correct entity, wrong SNOMED ID","(3323, 3325)","(3323, 3325)",RR,RR,301283003,229040007,15259244-DS-19,"ors and dyspnea VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA HEENT: Exophthalmus, anicteric s" "Correct entity, wrong SNOMED ID","(3338, 3340)","(3338, 3340)",RA,RA,722742002,463051000124105,15259244-DS-19," VS: T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA HEENT: Exophthalmus, anicteric sclera, dry MM, " "Correct entity, wrong SNOMED ID","(3343, 3348)","(3343, 3348)",HEENT,HEENT,5880005,113665002,15259244-DS-19,": T: 101.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA HEENT: Exophthalmus, anicteric sclera, dry MM, OP clear" "Correct entity, wrong SNOMED ID","(3350, 3362)","(3350, 3362)",Exophthalmus,Exophthalmus,18265008,276177000,15259244-DS-19,"1.2 BP: 162/70 HR: 106 RR: 12 O2 97 % RA HEENT: Exophthalmus, anicteric sclera, dry MM, OP clear without evid" "Correct entity, wrong SNOMED ID","(3364, 3380)","(3364, 3380)",anicteric sclera,anicteric sclera,427801009,470731000124100,15259244-DS-19," HR: 106 RR: 12 O2 97 % RA HEENT: Exophthalmus, anicteric sclera, dry MM, OP clear without evidence of thrush, ne" "Correct entity, wrong SNOMED ID","(3382, 3388)","(3382, 3388)",dry MM,dry MM,123640000,289873006,15259244-DS-19," 97 % RA HEENT: Exophthalmus, anicteric sclera, dry MM, OP clear without evidence of thrush, neck suppl" "Correct entity, wrong SNOMED ID","(3390, 3398)","(3390, 3398)",OP clear,OP clear,300280008,271591004,15259244-DS-19," HEENT: Exophthalmus, anicteric sclera, dry MM, OP clear without evidence of thrush, neck supple, no LAD." "Correct entity, wrong SNOMED ID","(3420, 3426)","(3420, 3426)",thrush,thrush,78048006,20639004,15259244-DS-19,"ric sclera, dry MM, OP clear without evidence of thrush, neck supple, no LAD. JVP 12cm CV: Tachycardic," "Correct entity, wrong SNOMED ID","(3433, 3439)","(3433, 3439)",supple,supple,298475003,169743001,15259244-DS-19,"ry MM, OP clear without evidence of thrush, neck supple, no LAD. JVP 12cm CV: Tachycardic, NL S1S2, III" "Correct entity, wrong SNOMED ID","(3444, 3447)","(3444, 3447)",LAD,LAD,30746006,1010291002,15259244-DS-19,"lear without evidence of thrush, neck supple, no LAD. JVP 12cm CV: Tachycardic, NL S1S2, III/VI holo" "Correct entity, wrong SNOMED ID","(3449, 3452)","(3449, 3452)",JVP,JVP,366163001,369001,15259244-DS-19,"without evidence of thrush, neck supple, no LAD. JVP 12cm CV: Tachycardic, NL S1S2, III/VI holosysto" "Correct entity, wrong SNOMED ID","(3460, 3462)","(3460, 3462)",CV,CV,363003006,258773002,15259244-DS-19,"idence of thrush, neck supple, no LAD. JVP 12cm CV: Tachycardic, NL S1S2, III/VI holosystolic murmur" "Correct entity, wrong SNOMED ID","(3464, 3475)","(3464, 3475)",Tachycardic,Tachycardic,3424008,6456007,15259244-DS-19,"ce of thrush, neck supple, no LAD. JVP 12cm CV: Tachycardic, NL S1S2, III/VI holosystolic murmur best at LLS" Missed entity,"(3482, 3484)",,S2,,111974005,,15259244-DS-19," supple, no LAD. JVP 12cm CV: Tachycardic, NL S1S2, III/VI holosystolic murmur best at LLSB without" "Correct entity, wrong SNOMED ID","(3506, 3512)","(3506, 3512)",murmur,murmur,414786004,373112006,15259244-DS-19,"m CV: Tachycardic, NL S1S2, III/VI holosystolic murmur best at LLSB without rubs. LUNGS: Bilat crackl" "Correct entity, wrong SNOMED ID","(3522, 3526)","(3522, 3526)",LLSB,LLSB,367893000,258693003,15259244-DS-19,"dic, NL S1S2, III/VI holosystolic murmur best at LLSB without rubs. LUNGS: Bilat crackles to the apic" "Correct entity, wrong SNOMED ID","(3543, 3548)","(3543, 3548)",LUNGS,LUNGS,268925001,169115000,15259244-DS-19,"holosystolic murmur best at LLSB without rubs. LUNGS: Bilat crackles to the apices with no wheezes or " "Correct entity, wrong SNOMED ID","(3572, 3578)","(3572, 3578)",apices,apices,13383001,815972006,15259244-DS-19,"LLSB without rubs. LUNGS: Bilat crackles to the apices with no wheezes or ronchi ABD: BS+, soft, NTND." "Correct entity, wrong SNOMED ID","(3587, 3594)","(3587, 3594)",wheezes,wheezes,56018004,9763007,15259244-DS-19,"bs. LUNGS: Bilat crackles to the apices with no wheezes or ronchi ABD: BS+, soft, NTND. Bilat graft sit" "Correct entity, wrong SNOMED ID","(3598, 3604)","(3598, 3604)",ronchi,ronchi,24612001,25905002,15259244-DS-19,": Bilat crackles to the apices with no wheezes or ronchi ABD: BS+, soft, NTND. Bilat graft sites non-ten" "Correct entity, wrong SNOMED ID","(3607, 3610)","(3607, 3610)",ABD,ABD,225162003,60728008,15259244-DS-19,"rackles to the apices with no wheezes or ronchi ABD: BS+, soft, NTND. Bilat graft sites non-tender, N" "Correct entity, wrong SNOMED ID","(3612, 3615)","(3612, 3615)",BS+,BS+,61539000,260347006,15259244-DS-19,"es to the apices with no wheezes or ronchi ABD: BS+, soft, NTND. Bilat graft sites non-tender, No HSM" "Correct entity, wrong SNOMED ID","(3625, 3627)","(3625, 3627)",ND,ND,60728008,165815009,15259244-DS-19,"ces with no wheezes or ronchi ABD: BS+, soft, NTND. Bilat graft sites non-tender, No HSM LIMBS: Ve" "Correct entity, wrong SNOMED ID","(3635, 3640)","(3635, 3640)",graft,graft,312317000,431895007,15259244-DS-19,"o wheezes or ronchi ABD: BS+, soft, NTND. Bilat graft sites non-tender, No HSM LIMBS: Very warm skin," "Correct entity, wrong SNOMED ID","(3647, 3657)","(3647, 3657)",non-tender,non-tender,43478001,298741000,15259244-DS-19," ronchi ABD: BS+, soft, NTND. Bilat graft sites non-tender, No HSM LIMBS: Very warm skin, 1+ pitting edema" "Correct entity, wrong SNOMED ID","(3662, 3665)","(3662, 3665)",HSM,HSM,36760000,282140003,15259244-DS-19,"BS+, soft, NTND. Bilat graft sites non-tender, No HSM LIMBS: Very warm skin, 1+ pitting edema bilater" "Correct entity, wrong SNOMED ID","(3668, 3673)","(3668, 3673)",LIMBS,LIMBS,302773001,225610004,15259244-DS-19,"oft, NTND. Bilat graft sites non-tender, No HSM LIMBS: Very warm skin, 1+ pitting edema bilaterally L>R" Wrong span,"(3680, 3684)","(3680, 3689)",warm,warm skin,102599008,822960006,15259244-DS-19,"ilat graft sites non-tender, No HSM LIMBS: Very warm skin, 1+ pitting edema bilaterally L>R with skin" "Correct entity, wrong SNOMED ID","(3702, 3707)","(3702, 3707)",edema,edema,267038008,102576009,15259244-DS-19,"ender, No HSM LIMBS: Very warm skin, 1+ pitting edema bilaterally L>R with skin hyperpigmentation due " Wrong span,"(3730, 3752)","(3730, 3734)",skin hyperpigmentation,skin,49765009,7748002,15259244-DS-19,"warm skin, 1+ pitting edema bilaterally L>R with skin hyperpigmentation due to chronic edema more prominent on the LLE. " "Correct entity, wrong SNOMED ID","(3768, 3773)","(3768, 3773)",edema,edema,267038008,102576009,15259244-DS-19,"y L>R with skin hyperpigmentation due to chronic edema more prominent on the LLE. No thigh or calf tend" "Correct entity, wrong SNOMED ID","(3797, 3800)","(3797, 3800)",LLE,LLE,32153003,420296000,15259244-DS-19,"ation due to chronic edema more prominent on the LLE. No thigh or calf tenderness. No evidence of eryt" "Correct entity, wrong SNOMED ID","(3805, 3810)","(3805, 3810)",thigh,thigh,68367000,84416003,15259244-DS-19,"e to chronic edema more prominent on the LLE. No thigh or calf tenderness. No evidence of erythema or c" "Correct entity, wrong SNOMED ID","(3814, 3818)","(3814, 3818)",calf,calf,53840002,281792000,15259244-DS-19,"nic edema more prominent on the LLE. No thigh or calf tenderness. No evidence of erythema or celluliti" "Correct entity, wrong SNOMED ID","(3819, 3829)","(3819, 3829)",tenderness,tenderness,247348008,43478001,15259244-DS-19,"dema more prominent on the LLE. No thigh or calf tenderness. No evidence of erythema or cellulitis. NEURO:" "Correct entity, wrong SNOMED ID","(3831, 3842)","(3831, 3842)",No evidence,No evidence,281900007,41647002,15259244-DS-19,"ominent on the LLE. No thigh or calf tenderness. No evidence of erythema or cellulitis. NEURO: A&Ox3. Appro" "Correct entity, wrong SNOMED ID","(3846, 3854)","(3846, 3854)",erythema,erythema,247441003,403194002,15259244-DS-19," LLE. No thigh or calf tenderness. No evidence of erythema or cellulitis. NEURO: A&Ox3. Appropriate. CN _" "Correct entity, wrong SNOMED ID","(3859, 3869)","(3859, 3869)",cellulitis,cellulitis,128045006,109245003,15259244-DS-19,"h or calf tenderness. No evidence of erythema or cellulitis. NEURO: A&Ox3. Appropriate. CN ___ grossly inta" "Correct entity, wrong SNOMED ID","(3873, 3878)","(3873, 3878)",NEURO,NEURO,84728005,281247006,15259244-DS-19,"erness. No evidence of erythema or cellulitis. NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Prese" "Correct entity, wrong SNOMED ID","(3882, 3885)","(3882, 3885)",Ox3,Ox3,426224004,396154006,15259244-DS-19,"o evidence of erythema or cellulitis. NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Preserved s" "Correct entity, wrong SNOMED ID","(3900, 3902)","(3900, 3902)",CN,CN,274786004,223697002,15259244-DS-19,"hema or cellulitis. NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Preserved sensation througho" "Correct entity, wrong SNOMED ID","(3907, 3921)","(3907, 3921)",grossly intact,grossly intact,18460000,408658000,15259244-DS-19," cellulitis. NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Preserved sensation throughout. ___ strength th" Wrong span,"(3923, 3943)","(3934, 3943)","Preserved sensation",sensation,299956006,276435006,15259244-DS-19,"NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Preserved sensation throughout. ___ strength throughout. Pertine" "Correct entity, wrong SNOMED ID","(4039, 4042)","(4039, 4042)",WBC,WBC,767002,391558003,15259244-DS-19,"tinent Results: Admission labs: ___ 03:45PM BLOOD WBC-5.2 RBC-2.97* Hgb-9.2* Hct-28.6* MCV-96 MCH-30.9" "Correct entity, wrong SNOMED ID","(4047, 4050)","(4047, 4050)",RBC,RBC,14089001,258759006,15259244-DS-19,"esults: Admission labs: ___ 03:45PM BLOOD WBC-5.2 RBC-2.97* Hgb-9.2* Hct-28.6* MCV-96 MCH-30.9 MCHC-32" "Correct entity, wrong SNOMED ID","(4057, 4060)","(4057, 4060)",Hgb,Hgb,441689006,104142005,15259244-DS-19,"mission labs: ___ 03:45PM BLOOD WBC-5.2 RBC-2.97* Hgb-9.2* Hct-28.6* MCV-96 MCH-30.9 MCHC-32.0 RDW-15." "Correct entity, wrong SNOMED ID","(4066, 4069)","(4066, 4069)",Hct,Hct,28317006,282660005,15259244-DS-19,"abs: ___ 03:45PM BLOOD WBC-5.2 RBC-2.97* Hgb-9.2* Hct-28.6* MCV-96 MCH-30.9 MCHC-32.0 RDW-15.4 Plt ___" "Correct entity, wrong SNOMED ID","(4093, 4097)","(4093, 4097)",MCHC,MCHC,37254006,735147002,15259244-DS-19,"5.2 RBC-2.97* Hgb-9.2* Hct-28.6* MCV-96 MCH-30.9 MCHC-32.0 RDW-15.4 Plt ___ ___ 03:45PM BLOOD ___ PTT-2" "Correct entity, wrong SNOMED ID","(4142, 4145)","(4142, 4145)",PTT,PTT,42525009,282119004,15259244-DS-19," MCHC-32.0 RDW-15.4 Plt ___ ___ 03:45PM BLOOD ___ PTT-29.4 ___ ___ 03:45PM BLOOD Glucose-117* UreaN-66*" "Correct entity, wrong SNOMED ID","(4173, 4180)","(4173, 4180)",Glucose,Glucose,33747003,72191006,15259244-DS-19," 03:45PM BLOOD ___ PTT-29.4 ___ ___ 03:45PM BLOOD Glucose-117* UreaN-66* Creat-1.9* Na-144 K-4.1 Cl-105 HC" "Correct entity, wrong SNOMED ID","(4186, 4191)","(4186, 4191)",UreaN,UreaN,105011006,111108008,15259244-DS-19,"D ___ PTT-29.4 ___ ___ 03:45PM BLOOD Glucose-117* UreaN-66* Creat-1.9* Na-144 K-4.1 Cl-105 HCO3-29 AnGap" "Correct entity, wrong SNOMED ID","(4196, 4201)","(4196, 4201)",Creat,Creat,70901006,413856009,15259244-DS-19,"29.4 ___ ___ 03:45PM BLOOD Glucose-117* UreaN-66* Creat-1.9* Na-144 K-4.1 Cl-105 HCO3-29 AnGap-14 ___ 06" "Correct entity, wrong SNOMED ID","(4207, 4209)","(4207, 4209)",Na,Na,312469006,257992007,15259244-DS-19,"_ 03:45PM BLOOD Glucose-117* UreaN-66* Creat-1.9* Na-144 K-4.1 Cl-105 HCO3-29 AnGap-14 ___ 06:15AM BL" "Correct entity, wrong SNOMED ID","(4221, 4223)","(4221, 4223)",Cl,Cl,104589004,311741002,15259244-DS-19,"D Glucose-117* UreaN-66* Creat-1.9* Na-144 K-4.1 Cl-105 HCO3-29 AnGap-14 ___ 06:15AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(4228, 4232)","(4228, 4232)",HCO3,HCO3,312471006,88645003,15259244-DS-19,"se-117* UreaN-66* Creat-1.9* Na-144 K-4.1 Cl-105 HCO3-29 AnGap-14 ___ 06:15AM BLOOD Calcium-8.4 Phos-3." "Correct entity, wrong SNOMED ID","(4236, 4241)","(4236, 4241)",AnGap,AnGap,25469001,124504004,15259244-DS-19,"UreaN-66* Creat-1.9* Na-144 K-4.1 Cl-105 HCO3-29 AnGap-14 ___ 06:15AM BLOOD Calcium-8.4 Phos-3.2 Mg-1.9 " "Correct entity, wrong SNOMED ID","(4263, 4270)","(4263, 4270)",Calcium,Calcium,312472004,108601004,15259244-DS-19," K-4.1 Cl-105 HCO3-29 AnGap-14 ___ 06:15AM BLOOD Calcium-8.4 Phos-3.2 Mg-1.9 ___ 06:15AM BLOOD tacroFK-4.0" "Correct entity, wrong SNOMED ID","(4275, 4279)","(4275, 4279)",Phos,Phos,104868000,168075002,15259244-DS-19,"05 HCO3-29 AnGap-14 ___ 06:15AM BLOOD Calcium-8.4 Phos-3.2 Mg-1.9 ___ 06:15AM BLOOD tacroFK-4.0* rapmycn" "Correct entity, wrong SNOMED ID","(4284, 4286)","(4284, 4286)",Mg,Mg,271285000,258684004,15259244-DS-19,"9 AnGap-14 ___ 06:15AM BLOOD Calcium-8.4 Phos-3.2 Mg-1.9 ___ 06:15AM BLOOD tacroFK-4.0* rapmycn-4.2* ." "Correct entity, wrong SNOMED ID","(4371, 4374)","(4371, 4374)",WBC,WBC,767002,391558003,15259244-DS-19," rapmycn-4.2* . Discharge labs: ___ 06:25AM BLOOD WBC-3.1* RBC-3.16* Hgb-9.7* Hct-30.3* MCV-96 MCH-30." "Correct entity, wrong SNOMED ID","(4380, 4383)","(4380, 4383)",RBC,RBC,14089001,258759006,15259244-DS-19,"4.2* . Discharge labs: ___ 06:25AM BLOOD WBC-3.1* RBC-3.16* Hgb-9.7* Hct-30.3* MCV-96 MCH-30.8 MCHC-32" "Correct entity, wrong SNOMED ID","(4390, 4393)","(4390, 4393)",Hgb,Hgb,441689006,104142005,15259244-DS-19,"charge labs: ___ 06:25AM BLOOD WBC-3.1* RBC-3.16* Hgb-9.7* Hct-30.3* MCV-96 MCH-30.8 MCHC-32.0 RDW-15." "Correct entity, wrong SNOMED ID","(4399, 4402)","(4399, 4402)",Hct,Hct,28317006,282660005,15259244-DS-19,"bs: ___ 06:25AM BLOOD WBC-3.1* RBC-3.16* Hgb-9.7* Hct-30.3* MCV-96 MCH-30.8 MCHC-32.0 RDW-15.1 Plt ___" "Correct entity, wrong SNOMED ID","(4417, 4420)","(4417, 4420)",MCH,MCH,54706004,735147002,15259244-DS-19,"OOD WBC-3.1* RBC-3.16* Hgb-9.7* Hct-30.3* MCV-96 MCH-30.8 MCHC-32.0 RDW-15.1 Plt ___ ___ 06:25AM BLOOD" "Correct entity, wrong SNOMED ID","(4426, 4430)","(4426, 4430)",MCHC,MCHC,37254006,735147002,15259244-DS-19,".1* RBC-3.16* Hgb-9.7* Hct-30.3* MCV-96 MCH-30.8 MCHC-32.0 RDW-15.1 Plt ___ ___ 06:25AM BLOOD Glucose-8" Wrong span,"(4465, 4478)","(4471, 4478)",BLOOD Glucose,Glucose,33747003,72191006,15259244-DS-19,"6 MCH-30.8 MCHC-32.0 RDW-15.1 Plt ___ ___ 06:25AM BLOOD Glucose-87 UreaN-39* Creat-1.3* Na-145 K-3.9 Cl-113* HCO" "Correct entity, wrong SNOMED ID","(4482, 4487)","(4482, 4487)",UreaN,UreaN,105011006,111108008,15259244-DS-19,"2.0 RDW-15.1 Plt ___ ___ 06:25AM BLOOD Glucose-87 UreaN-39* Creat-1.3* Na-145 K-3.9 Cl-113* HCO3-24 AnGa" "Correct entity, wrong SNOMED ID","(4492, 4497)","(4492, 4497)",Creat,Creat,70901006,413856009,15259244-DS-19,".1 Plt ___ ___ 06:25AM BLOOD Glucose-87 UreaN-39* Creat-1.3* Na-145 K-3.9 Cl-113* HCO3-24 AnGap-12 ___ 0" "Correct entity, wrong SNOMED ID","(4503, 4505)","(4503, 4505)",Na,Na,312469006,257992007,15259244-DS-19,"___ 06:25AM BLOOD Glucose-87 UreaN-39* Creat-1.3* Na-145 K-3.9 Cl-113* HCO3-24 AnGap-12 ___ 06:25AM B" "Correct entity, wrong SNOMED ID","(4517, 4519)","(4517, 4519)",Cl,Cl,104589004,311741002,15259244-DS-19,"OOD Glucose-87 UreaN-39* Creat-1.3* Na-145 K-3.9 Cl-113* HCO3-24 AnGap-12 ___ 06:25AM BLOOD Calcium-8" "Correct entity, wrong SNOMED ID","(4525, 4529)","(4525, 4529)",HCO3,HCO3,312471006,88645003,15259244-DS-19,"ose-87 UreaN-39* Creat-1.3* Na-145 K-3.9 Cl-113* HCO3-24 AnGap-12 ___ 06:25AM BLOOD Calcium-8.7 Phos-2." "Correct entity, wrong SNOMED ID","(4533, 4538)","(4533, 4538)",AnGap,AnGap,25469001,124504004,15259244-DS-19,"reaN-39* Creat-1.3* Na-145 K-3.9 Cl-113* HCO3-24 AnGap-12 ___ 06:25AM BLOOD Calcium-8.7 Phos-2.9 Mg-1.9 " "Correct entity, wrong SNOMED ID","(4560, 4567)","(4560, 4567)",Calcium,Calcium,312472004,108601004,15259244-DS-19," K-3.9 Cl-113* HCO3-24 AnGap-12 ___ 06:25AM BLOOD Calcium-8.7 Phos-2.9 Mg-1.9 ___ 06:25AM BLOOD tacroFK-2.4" "Correct entity, wrong SNOMED ID","(4572, 4576)","(4572, 4576)",Phos,Phos,104868000,168075002,15259244-DS-19,"3* HCO3-24 AnGap-12 ___ 06:25AM BLOOD Calcium-8.7 Phos-2.9 Mg-1.9 ___ 06:25AM BLOOD tacroFK-2.4* rapmycn" "Correct entity, wrong SNOMED ID","(4581, 4583)","(4581, 4583)",Mg,Mg,271285000,258684004,15259244-DS-19,"4 AnGap-12 ___ 06:25AM BLOOD Calcium-8.7 Phos-2.9 Mg-1.9 ___ 06:25AM BLOOD tacroFK-2.4* rapmycn-7.6 . " "Correct entity, wrong SNOMED ID","(4659, 4664)","(4659, 4664)",URINE,URINE,27171005,78888000,15259244-DS-19,"roFK-2.4* rapmycn-7.6 . Admission UA: ___ 05:05PM URINE ___ Bacteri-MOD Yeast-NONE ___ 05:05PM URINE Blo" Wrong span,"(4705, 4716)","(4705, 4710)",URINE Blood,URINE,307821001,78888000,15259244-DS-19,"5PM URINE ___ Bacteri-MOD Yeast-NONE ___ 05:05PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NE" "Correct entity, wrong SNOMED ID","(4733, 4740)","(4733, 4740)",Protein,Protein,57378007,764892007,15259244-DS-19,"ast-NONE ___ 05:05PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NE" Wrong span,"(4757, 4763)","(4757, 4759)",Ketone,Ke,47615003,112466001,15259244-DS-19,"INE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-TR . Rep" "Correct entity, wrong SNOMED ID","(4792, 4794)","(4792, 4794)",pH,pH,81065003,264912003,15259244-DS-19,"R Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-TR . Repeat UA after treatment: ___ 11:" "Correct entity, wrong SNOMED ID","(4849, 4854)","(4849, 4854)",URINE,URINE,27171005,78888000,15259244-DS-19,"Leuks-TR . Repeat UA after treatment: ___ 11:18PM URINE ___ Bacteri-FEW Yeast-FEW ___ 11:18PM URINE Bloo" Wrong span,"(4894, 4905)","(4894, 4899)",URINE Blood,URINE,307821001,78888000,15259244-DS-19,"18PM URINE ___ Bacteri-FEW Yeast-FEW ___ 11:18PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-TR" "Correct entity, wrong SNOMED ID","(4922, 4929)","(4922, 4929)",Protein,Protein,57378007,764892007,15259244-DS-19,"east-FEW ___ 11:18PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-TR Bilirub-NEG Urobiln-NEG" "Correct entity, wrong SNOMED ID","(4946, 4952)","(4946, 4952)",Ketone,Ketone,47615003,256048004,15259244-DS-19,"INE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-TR Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-TR . MICR" "Correct entity, wrong SNOMED ID","(4980, 4982)","(4980, 4982)",pH,pH,81065003,264912003,15259244-DS-19,"TR Glucose-NEG Ketone-TR Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-TR . MICROBIOLOGY: ___ 5:05 pm URINE " Missed entity,"(5024, 5029)",,URINE,,117010004,,15259244-DS-19,"n-NEG pH-6.0 Leuks-TR . MICROBIOLOGY: ___ 5:05 pm URINE Site: CLEAN CATCH URINE CULTURE (Final ___: " Missed entity,"(5046, 5051)",,CATCH,,73416001,,15259244-DS-19,". MICROBIOLOGY: ___ 5:05 pm URINE Site: CLEAN CATCH URINE CULTURE (Final ___: ESCHERICHIA COLI. 1" Missed entity,"(5161, 5174)",,SENSITIVITIES,,14788002,,15259244-DS-19,"000 ORGANISMS/ML OF TWO COLONIAL MORPHOLOGIES. SENSITIVITIES: MIC expressed in MCG/ML " Missed entity,"(5677, 5684)",,IMAGING,,363679005,,15259244-DS-19,"-------- <=1 S TRIMETHOPRIM/SULFA---- =>16 R . IMAGING: CHEST (PA & LAT) Study Date of ___ 4:33 ___ COM" "Correct entity, wrong SNOMED ID","(5687, 5702)","(5687, 5702)",CHEST (PA & LAT,CHEST (PA & LAT,42869005,169037009,15259244-DS-19," <=1 S TRIMETHOPRIM/SULFA---- =>16 R . IMAGING: CHEST (PA & LAT) Study Date of ___ 4:33 ___ COMPARISON: Multiple" Missed entity,"(5704, 5709)",,Study,,386053000,,15259244-DS-19,"IM/SULFA---- =>16 R . IMAGING: CHEST (PA & LAT) Study Date of ___ 4:33 ___ COMPARISON: Multiple priors" "Correct entity, wrong SNOMED ID","(5803, 5808)","(5803, 5808)",lungs,lungs,39607008,74101002,15259244-DS-19,"priors, the most recent dated ___. FINDINGS: The lungs are well expanded and clear. The mediastinum is " "Correct entity, wrong SNOMED ID","(5831, 5836)","(5831, 5836)",clear,clear,281900007,167236000,15259244-DS-19,"d ___. FINDINGS: The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac si" "Correct entity, wrong SNOMED ID","(5842, 5853)","(5842, 5853)",mediastinum,mediastinum,72410000,363646005,15259244-DS-19,"DINGS: The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is withi" "Correct entity, wrong SNOMED ID","(5858, 5870)","(5858, 5870)",unremarkable,unremarkable,281900007,164179004,15259244-DS-19," are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits " "Correct entity, wrong SNOMED ID","(5876, 5883)","(5876, 5883)",cardiac,cardiac,80891009,71892000,15259244-DS-19," and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No " "Correct entity, wrong SNOMED ID","(5905, 5911)","(5905, 5911)",normal,normal,281900007,840673007,15259244-DS-19,"is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is " "Correct entity, wrong SNOMED ID","(5945, 5957)","(5945, 5957)",pneumothorax,pneumothorax,36118008,109364007,15259244-DS-19,"is within normal limits for size. No effusion or pneumothorax is noted. The bones are diffusely osteopenic but" "Correct entity, wrong SNOMED ID","(5972, 5977)","(5972, 5977)",bones,bones,272673000,128530007,15259244-DS-19,"r size. No effusion or pneumothorax is noted. The bones are diffusely osteopenic but otherwise unremarka" "Correct entity, wrong SNOMED ID","(5993, 6003)","(5993, 6003)",osteopenic,osteopenic,78441005,391061007,15259244-DS-19,"r pneumothorax is noted. The bones are diffusely osteopenic but otherwise unremarkable. IMPRESSION: No acute" "Correct entity, wrong SNOMED ID","(6018, 6030)","(6018, 6030)",unremarkable,unremarkable,281900007,268484008,15259244-DS-19,"The bones are diffusely osteopenic but otherwise unremarkable. IMPRESSION: No acute pulmonary process. . TTE (" Missed entity,"(6044, 6053)",,"No acute",,281900007,,15259244-DS-19,"steopenic but otherwise unremarkable. IMPRESSION: No acute pulmonary process. . TTE (Complete) Done ___ at 1" "Correct entity, wrong SNOMED ID","(6075, 6078)","(6075, 6078)",TTE,TTE,105376000,258691001,15259244-DS-19,"kable. IMPRESSION: No acute pulmonary process. . TTE (Complete) Done ___ at 11:55:56 AM The left atriu" "Correct entity, wrong SNOMED ID","(6118, 6129)","(6118, 6129)",left atrium,left atrium,82471001,312026008,15259244-DS-19,"ess. . TTE (Complete) Done ___ at 11:55:56 AM The left atrium is normal in size. There is mild symmetric left " "Correct entity, wrong SNOMED ID","(6134, 6148)","(6134, 6148)",normal in size,normal in size,53461003,289632007,15259244-DS-19,"lete) Done ___ at 11:55:56 AM The left atrium is normal in size. There is mild symmetric left ventricular hypert" Wrong span,"(6209, 6222)","(6209, 6227)",normal cavity,normal cavity size,373124004,162010006,15259244-DS-19,"mild symmetric left ventricular hypertrophy with normal cavity size. Right ventricular chamber size and free wa" Wrong span,"(6229, 6254)","(6229, 6260)",Right ventricular chamber,"Right ventricular chamber size",53085002,74193008,15259244-DS-19,"ventricular hypertrophy with normal cavity size. Right ventricular chamber size and free wall motion are normal. The aortic" Wrong span,"(6270, 6281)","(6270, 6292)",wall motion,wall motion are normal,366195000,414072005,15259244-DS-19,"ty size. Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets (3) are mi" "Correct entity, wrong SNOMED ID","(6298, 6319)","(6298, 6319)",aortic valve leaflets,aortic valve leaflets,6530003,232899001,15259244-DS-19,"hamber size and free wall motion are normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is " "Correct entity, wrong SNOMED ID","(6329, 6345)","(6329, 6345)",mildly thickened,mildly thickened,89977008,309085000,15259244-DS-19,"on are normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. No masses or" "Correct entity, wrong SNOMED ID","(6350, 6365)","(6350, 6365)",aortic stenosis,aortic stenosis,60573004,233863001,15259244-DS-19,"rtic valve leaflets (3) are mildly thickened but aortic stenosis is not present. No masses or vegetations are see" "Correct entity, wrong SNOMED ID","(6386, 6392)","(6386, 6392)",masses,masses,4147007,237557003,15259244-DS-19,"thickened but aortic stenosis is not present. No masses or vegetations are seen on the aortic valve, but " "Correct entity, wrong SNOMED ID","(6396, 6407)","(6396, 6407)",vegetations,vegetations,363564008,63998007,15259244-DS-19,"but aortic stenosis is not present. No masses or vegetations are seen on the aortic valve, but cannot be full" "Correct entity, wrong SNOMED ID","(6424, 6436)","(6424, 6436)",aortic valve,aortic valve,34202007,60573004,15259244-DS-19,"resent. No masses or vegetations are seen on the aortic valve, but cannot be fully excluded due to suboptimal " "Correct entity, wrong SNOMED ID","(6504, 6525)","(6504, 6525)","aortic regurgitation","aortic regurgitation",60234000,61612001,15259244-DS-19,"ully excluded due to suboptimal image quality. No aortic regurgitation is seen. The mitral valve leaflets are mildly th" Wrong span,"(6539, 6560)","(6539, 6582)",mitral valve leaflets,"mitral valve leaflets are mildly thickened",46807008,244355000,15259244-DS-19,"ge quality. No aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. There is no mitral valve p" "Correct entity, wrong SNOMED ID","(6596, 6617)","(6596, 6617)",mitral valve prolapse,mitral valve prolapse,409712001,286031000119106,15259244-DS-19,"valve leaflets are mildly thickened. There is no mitral valve prolapse. No masses or vegetations are seen on the mitral" "Correct entity, wrong SNOMED ID","(6622, 6628)","(6622, 6628)",masses,masses,4147007,237557003,15259244-DS-19," thickened. There is no mitral valve prolapse. No masses or vegetations are seen on the mitral valve, but" "Correct entity, wrong SNOMED ID","(6633, 6644)","(6633, 6644)",vegetations,vegetations,363564008,63998007,15259244-DS-19," There is no mitral valve prolapse. No masses or vegetations are seen on the mitral valve, but cannot be fully" "Correct entity, wrong SNOMED ID","(6661, 6673)","(6661, 6673)",mitral valve,mitral valve,91134007,78196008,15259244-DS-19,"olapse. No masses or vegetations are seen on the mitral valve, but cannot be fully excluded due to suboptimal " "Correct entity, wrong SNOMED ID","(6738, 6769)","(6738, 6769)","Mild (1+) mitral regurgitation","Mild (1+) mitral regurgitation",838451005,373116009,15259244-DS-19," fully excluded due to suboptimal image quality. Mild (1+) mitral regurgitation is seen. There is mild pulmonary artery systolic " "Correct entity, wrong SNOMED ID","(6793, 6832)","(6793, 6832)","pulmonary artery systolic hypertension","pulmonary artery systolic hypertension",11399002,840306007,15259244-DS-19,"(1+) mitral regurgitation is seen. There is mild pulmonary artery systolic hypertension. There is a trivial/physiologic pericardial effu" "Correct entity, wrong SNOMED ID","(6865, 6886)","(6865, 6886)","pericardial effusion","pericardial effusion",373945007,1269348003,15259244-DS-19,"lic hypertension. There is a trivial/physiologic pericardial effusion. IMPRESSION: no echo evidence of vegetation or ab" Missed entity,"(6903, 6907)",,echo,,40701008,,15259244-DS-19,"physiologic pericardial effusion. IMPRESSION: no echo evidence of vegetation or abscess. Mild mitral r" "Correct entity, wrong SNOMED ID","(6920, 6930)","(6920, 6930)",vegetation,vegetation,363564008,459055004,15259244-DS-19,"ardial effusion. IMPRESSION: no echo evidence of vegetation or abscess. Mild mitral regurgitation. Mild symm" "Correct entity, wrong SNOMED ID","(6934, 6941)","(6934, 6941)",abscess,abscess,128477000,196341005,15259244-DS-19,"on. IMPRESSION: no echo evidence of vegetation or abscess. Mild mitral regurgitation. Mild symmetric LVH w" Wrong span,"(6995, 7001)","(6995, 7045)",normal,"normal regional and global biventricular function",281900007,412746008,15259244-DS-19,"ild mitral regurgitation. Mild symmetric LVH with normal regional and global biventricular function.If cl" Wrong span,"(7023, 7036)","(6995, 7045)",biventricular,"normal regional and global biventricular function",21814001,412746008,15259244-DS-19,"ld symmetric LVH with normal regional and global biventricular function.If clinically suggested, the absence of" "Correct entity, wrong SNOMED ID","(7089, 7099)","(7089, 7099)",vegetation,vegetation,363564008,459055004,15259244-DS-19,"nction.If clinically suggested, the absence of a vegetation by 2D echocardiography does not exclude endocard" Wrong span,"(7106, 7122)","(7103, 7122)",echocardiography,2D echocardiography,40701008,51469006,15259244-DS-19,"lly suggested, the absence of a vegetation by 2D echocardiography does not exclude endocarditis. Compared with the" "Correct entity, wrong SNOMED ID","(7141, 7153)","(7141, 7153)",endocarditis,endocarditis,56819008,186318004,15259244-DS-19,"getation by 2D echocardiography does not exclude endocarditis. Compared with the report of the prior study (im" Missed entity,"(7194, 7199)",,study,,386053000,,15259244-DS-19,"ocarditis. Compared with the report of the prior study (images unavailable for review) of ___, the find" "Correct entity, wrong SNOMED ID","(7335, 7354)","(7335, 7354)",left lower quadrant,left lower quadrant,68505006,255480002,15259244-DS-19,"NT ___. Study Date of ___ 1:11 ___ FINDINGS: The left lower quadrant renal transplant measures 11.3 cm. No evidence o" "Correct entity, wrong SNOMED ID","(7355, 7371)","(7355, 7371)",renal transplant,renal transplant,70948008,236583003,15259244-DS-19,"f ___ 1:11 ___ FINDINGS: The left lower quadrant renal transplant measures 11.3 cm. No evidence of hydronephrosis," "Correct entity, wrong SNOMED ID","(7390, 7402)","(7390, 7402)","No evidence","No evidence",281900007,41647002,15259244-DS-19,"lower quadrant renal transplant measures 11.3 cm. No evidence of hydronephrosis, renal stones, or perinephric f" "Correct entity, wrong SNOMED ID","(7406, 7420)","(7406, 7420)",hydronephrosis,hydronephrosis,43064006,1255620003,15259244-DS-19,"enal transplant measures 11.3 cm. No evidence of hydronephrosis, renal stones, or perinephric fluid. In the supe" "Correct entity, wrong SNOMED ID","(7422, 7434)","(7422, 7434)",renal stones,renal stones,95570007,236708007,15259244-DS-19,"measures 11.3 cm. No evidence of hydronephrosis, renal stones, or perinephric fluid. In the superior pole of t" Wrong span,"(7439, 7450)","(7439, 7456)",perinephric,perinephric fluid,243986007,733101007,15259244-DS-19," No evidence of hydronephrosis, renal stones, or perinephric fluid. In the superior pole of the left lower qu" Wrong span,"(7451, 7456)","(7439, 7456)",fluid,perinephric fluid,17672001,733101007,15259244-DS-19,"e of hydronephrosis, renal stones, or perinephric fluid. In the superior pole of the left lower quadrant" "Correct entity, wrong SNOMED ID","(7487, 7506)","(7487, 7506)",left lower quadrant,left lower quadrant,68505006,255480002,15259244-DS-19,"r perinephric fluid. In the superior pole of the left lower quadrant transplant kidney, there is a prominent calix wh" "Correct entity, wrong SNOMED ID","(7507, 7525)","(7507, 7525)","transplant kidney","transplant kidney",70948008,281112005,15259244-DS-19," In the superior pole of the left lower quadrant transplant kidney, there is a prominent calix which is unchanged wh" Missed entity,"(7601, 7606)",,study,,386053000,,15259244-DS-19,"ix which is unchanged when compared to the prior study dated ___. Normal color and waveforms are seen i" Missed entity,"(7618, 7631)",,"Normal color",,77775007,,15259244-DS-19,"nged when compared to the prior study dated ___. Normal color and waveforms are seen in the interlobular renal " Missed entity,"(7675, 7689)",,renal arteries,,2841007,,15259244-DS-19," color and waveforms are seen in the interlobular renal arteries in the upper, mid and lower poles of the transpl" "Correct entity, wrong SNOMED ID","(7698, 7703)","(7698, 7703)",upper,upper,119277005,102558002,15259244-DS-19,"e seen in the interlobular renal arteries in the upper, mid and lower poles of the transplanted left low" Wrong span,"(7745, 7765)","(7745, 7772)","left lower quadrant","left lower quadrant kidney",68505006,68505006,15259244-DS-19,"he upper, mid and lower poles of the transplanted left lower quadrant kidney. The resistive indices are mildly elevated" Wrong span,"(7766, 7772)","(7745, 7772)",kidney,"left lower quadrant kidney",70948008,68505006,15259244-DS-19,"er poles of the transplanted left lower quadrant kidney. The resistive indices are mildly elevated and r" "Correct entity, wrong SNOMED ID","(7852, 7864)","(7852, 7864)",renal artery,renal artery,2841007,275309004,15259244-DS-19,"ldly elevated and range from 0.65-0.78. The main renal artery and main renal vein are patent with appropriate " Wrong span,"(7874, 7884)","(7869, 7884)",renal vein,main renal vein,56400007,1252750008,15259244-DS-19,"ge from 0.65-0.78. The main renal artery and main renal vein are patent with appropriate waveforms. The bladd" "Correct entity, wrong SNOMED ID","(7929, 7936)","(7929, 7936)",bladder,bladder,89837001,364189003,15259244-DS-19," vein are patent with appropriate waveforms. The bladder is partially distended and is grossly unremarkab" "Correct entity, wrong SNOMED ID","(7951, 7960)","(7951, 7960)",distended,distended,60728008,1204394008,15259244-DS-19," appropriate waveforms. The bladder is partially distended and is grossly unremarkable. IMPRESSION: 1. No e" "Correct entity, wrong SNOMED ID","(7976, 7988)","(7976, 7988)",unremarkable,unremarkable,281900007,268484008,15259244-DS-19,"he bladder is partially distended and is grossly unremarkable. IMPRESSION: 1. No evidence of hydronephrosis, r" "Correct entity, wrong SNOMED ID","(8005, 8017)","(8005, 8017)","No evidence","No evidence",281900007,41647002,15259244-DS-19,"ended and is grossly unremarkable. IMPRESSION: 1. No evidence of hydronephrosis, renal stones, or perinephric f" "Correct entity, wrong SNOMED ID","(8021, 8035)","(8021, 8035)",hydronephrosis,hydronephrosis,43064006,1255620003,15259244-DS-19,"ssly unremarkable. IMPRESSION: 1. No evidence of hydronephrosis, renal stones, or perinephric fluid collections." "Correct entity, wrong SNOMED ID","(8037, 8049)","(8037, 8049)",renal stones,renal stones,95570007,236708007,15259244-DS-19,"e. IMPRESSION: 1. No evidence of hydronephrosis, renal stones, or perinephric fluid collections. 2. Mildly ele" "Correct entity, wrong SNOMED ID","(8054, 8065)","(8054, 8065)",perinephric,perinephric,243986007,733101007,15259244-DS-19," No evidence of hydronephrosis, renal stones, or perinephric fluid collections. 2. Mildly elevated resistive " "Correct entity, wrong SNOMED ID","(8066, 8084)","(8066, 8084)","fluid collections","fluid collections",17672001,231061006,15259244-DS-19,"e of hydronephrosis, renal stones, or perinephric fluid collections. 2. Mildly elevated resistive indices (0.65-0.78)" "Correct entity, wrong SNOMED ID","(8143, 8160)","(8143, 8160)",transplant kidney,transplant kidney,70948008,281112005,15259244-DS-19,"ly elevated resistive indices (0.65-0.78) of the transplant kidney in the left lower quadrant. This finding is not " "Correct entity, wrong SNOMED ID","(8168, 8187)","(8168, 8187)",left lower quadrant,left lower quadrant,68505006,255480002,15259244-DS-19,"ices (0.65-0.78) of the transplant kidney in the left lower quadrant. This finding is not significantly changed since" Missed entity,"(8248, 8253)",,study,,386053000,,15259244-DS-19,"ing is not significantly changed since the prior study dated ___. Brief Hospital Course: ___ s/p rena" "Correct entity, wrong SNOMED ID","(8299, 8304)","(8299, 8304)",renal,renal,70536003,63893004,15259244-DS-19,"tudy dated ___. Brief Hospital Course: ___ s/p renal & pancreas transplants on ___, prednisone, and P" "Correct entity, wrong SNOMED ID","(8307, 8327)","(8307, 8327)",pancreas transplants,pancreas transplants,62438007,698362007,15259244-DS-19,"ed ___. Brief Hospital Course: ___ s/p renal & pancreas transplants on ___, prednisone, and Prograf who presented to" "Correct entity, wrong SNOMED ID","(8390, 8396)","(8390, 8396)",fevers,fevers,386661006,248444008,15259244-DS-19,"nisone, and Prograf who presented to the ED with fevers, chills, and fatigue. She was recently treated f" "Correct entity, wrong SNOMED ID","(8398, 8404)","(8398, 8404)",chills,chills,43724002,274640006,15259244-DS-19," and Prograf who presented to the ED with fevers, chills, and fatigue. She was recently treated for pyelo" "Correct entity, wrong SNOMED ID","(8411, 8418)","(8411, 8418)",fatigue,fatigue,84229001,1141720008,15259244-DS-19,"who presented to the ED with fevers, chills, and fatigue. She was recently treated for pyelonephritis but " "Correct entity, wrong SNOMED ID","(8449, 8463)","(8449, 8463)",pyelonephritis,pyelonephritis,45816000,123754002,15259244-DS-19,"hills, and fatigue. She was recently treated for pyelonephritis but seems to have cleared that infection based o" "Correct entity, wrong SNOMED ID","(8496, 8505)","(8496, 8505)",infection,infection,40733004,260976002,15259244-DS-19,"or pyelonephritis but seems to have cleared that infection based on follow up culture. On admission she had" Missed entity,"(8515, 8524)",,follow up,,308273005,,15259244-DS-19,"ut seems to have cleared that infection based on follow up culture. On admission she had a positive UA and " Wrong span,"(8567, 8569)","(8558, 8569)",UA,positive UA,27171005,1263644001,15259244-DS-19,"llow up culture. On admission she had a positive UA and a new systolic murmur. Initially there was c" "Correct entity, wrong SNOMED ID","(8580, 8595)","(8580, 8595)",systolic murmur,systolic murmur,31574009,68494000,15259244-DS-19,"re. On admission she had a positive UA and a new systolic murmur. Initially there was concern for endocarditis bu" "Correct entity, wrong SNOMED ID","(8630, 8642)","(8630, 8642)",endocarditis,endocarditis,56819008,186318004,15259244-DS-19,"systolic murmur. Initially there was concern for endocarditis but her fevers quickly resolved with antibiotics" "Correct entity, wrong SNOMED ID","(8651, 8657)","(8651, 8657)",fevers,fevers,386661006,248444008,15259244-DS-19,"tially there was concern for endocarditis but her fevers quickly resolved with antibiotics, a UCx was pos" "Correct entity, wrong SNOMED ID","(8681, 8692)","(8681, 8692)",antibiotics,antibiotics,281789004,372599003,15259244-DS-19,"ndocarditis but her fevers quickly resolved with antibiotics, a UCx was positive for the same strain of Ecoli" "Correct entity, wrong SNOMED ID","(8696, 8699)","(8696, 8699)",UCx,UCx,117010004,257999003,15259244-DS-19," her fevers quickly resolved with antibiotics, a UCx was positive for the same strain of Ecoli as her" "Correct entity, wrong SNOMED ID","(8757, 8760)","(8757, 8760)",UTI,UTI,68566005,4009004,15259244-DS-19,"itive for the same strain of Ecoli as her recent UTI, and no blood cultures were positive. Once the h" "Correct entity, wrong SNOMED ID","(8769, 8783)","(8769, 8783)",blood cultures,blood cultures,30088009,8730001000004107,15259244-DS-19,"e same strain of Ecoli as her recent UTI, and no blood cultures were positive. Once the hyperdynamic state of he" Wrong span,"(8835, 8851)","(8842, 8851)","acute infection",infection,63171007,260976002,15259244-DS-19,"were positive. Once the hyperdynamic state of her acute infection resolved her cardiac murmur improved. A TTE was " "Correct entity, wrong SNOMED ID","(8865, 8879)","(8865, 8879)",cardiac murmur,cardiac murmur,88610006,722920009,15259244-DS-19,"ynamic state of her acute infection resolved her cardiac murmur improved. A TTE was negative for vegetations. Ul" "Correct entity, wrong SNOMED ID","(8880, 8888)","(8880, 8888)",improved,improved,268910001,251359002,15259244-DS-19," her acute infection resolved her cardiac murmur improved. A TTE was negative for vegetations. Ultimately " "Correct entity, wrong SNOMED ID","(8892, 8895)","(8892, 8895)",TTE,TTE,105376000,258691001,15259244-DS-19,"infection resolved her cardiac murmur improved. A TTE was negative for vegetations. Ultimately it seem" Missed entity,"(8901, 8909)",,negative,,281900007,,15259244-DS-19," resolved her cardiac murmur improved. A TTE was negative for vegetations. Ultimately it seems that the pre" "Correct entity, wrong SNOMED ID","(8914, 8925)","(8914, 8925)",vegetations,vegetations,363564008,63998007,15259244-DS-19," cardiac murmur improved. A TTE was negative for vegetations. Ultimately it seems that the present illness is" "Correct entity, wrong SNOMED ID","(8999, 9013)","(8999, 9013)",pyelonephritis,pyelonephritis,45816000,123754002,15259244-DS-19,"at the present illness is due to a recurrence of pyelonephritis. She was discharged on a prolonged course of Mac" "Correct entity, wrong SNOMED ID","(9118, 9132)","(9118, 9132)",Pyelonephritis,Pyelonephritis,45816000,123754002,15259244-DS-19," for a total of three weeks of treatment. . # Pyelonephritis: Likely source of fevers is pyelonephritis. A UA" "Correct entity, wrong SNOMED ID","(9151, 9157)","(9151, 9157)",fevers,fevers,386661006,248444008,15259244-DS-19,"reatment. . # Pyelonephritis: Likely source of fevers is pyelonephritis. A UA on admission showed ___," "Correct entity, wrong SNOMED ID","(9161, 9175)","(9161, 9175)",pyelonephritis,pyelonephritis,45816000,123754002,15259244-DS-19," . # Pyelonephritis: Likely source of fevers is pyelonephritis. A UA on admission showed ___, with UCx pending." "Correct entity, wrong SNOMED ID","(9180, 9182)","(9180, 9182)",UA,UA,27171005,257999003,15259244-DS-19,"is: Likely source of fevers is pyelonephritis. A UA on admission showed ___, with UCx pending. BCx al" "Correct entity, wrong SNOMED ID","(9213, 9216)","(9213, 9216)",UCx,UCx,117010004,257999003,15259244-DS-19,"elonephritis. A UA on admission showed ___, with UCx pending. BCx also pending. CXR showed no evidenc" "Correct entity, wrong SNOMED ID","(9226, 9229)","(9226, 9229)",BCx,BCx,30088009,89619004,15259244-DS-19," A UA on admission showed ___, with UCx pending. BCx also pending. CXR showed no evidence of acute ca" "Correct entity, wrong SNOMED ID","(9256, 9267)","(9256, 9267)",no evidence,no evidence,281900007,41647002,15259244-DS-19,", with UCx pending. BCx also pending. CXR showed no evidence of acute cardiopulmonary process and the patient" "Correct entity, wrong SNOMED ID","(9371, 9383)","(9371, 9383)",leukocytosis,leukocytosis,111583006,65209002,15259244-DS-19," no pulmonary symptoms at present. CBC showed no leukocytosis but elevated compared to baseline on tripple age" "Correct entity, wrong SNOMED ID","(9409, 9417)","(9409, 9417)",baseline,baseline,128974000,161033005,15259244-DS-19," showed no leukocytosis but elevated compared to baseline on tripple agent immune suppression. On acyclovi" "Correct entity, wrong SNOMED ID","(9548, 9558)","(9548, 9558)",tenderness,tenderness,247348008,43478001,15259244-DS-19,"l exam she had no obvious localizing symptoms or tenderness over her kidney graft site. However, she was foun" Wrong span,"(9568, 9580)","(9568, 9585)",kidney graft,kidney graft site,70948008,426136000,15259244-DS-19,"vious localizing symptoms or tenderness over her kidney graft site. However, she was found to have a loud syst" "Correct entity, wrong SNOMED ID","(9621, 9625)","(9621, 9625)",loud,loud,271661003,80035002,15259244-DS-19,"ney graft site. However, she was found to have a loud systolic murmur on exam not previously noted in O" Wrong span,"(9626, 9641)","(9635, 9641)",systolic murmur,murmur,31574009,373112006,15259244-DS-19,"raft site. However, she was found to have a loud systolic murmur on exam not previously noted in OMR. The patient" "Correct entity, wrong SNOMED ID","(9726, 9732)","(9726, 9732)",murmur,murmur,88610006,373112006,15259244-DS-19,"R. The patient does state she has been told of a murmur in the past. Given this, the most likely source " "Correct entity, wrong SNOMED ID","(9785, 9790)","(9785, 9790)",fever,fever,386661006,248430002,15259244-DS-19," the past. Given this, the most likely source of fever is a UTI/pyelo. Nevertheless, she was also worke" "Correct entity, wrong SNOMED ID","(9797, 9800)","(9797, 9800)",UTI,UTI,68566005,314940005,15259244-DS-19,"Given this, the most likely source of fever is a UTI/pyelo. Nevertheless, she was also worked up for " Wrong span,"(9801, 9806)","(9801, 9802)",pyelo,p,45816000,421542006,15259244-DS-19,"n this, the most likely source of fever is a UTI/pyelo. Nevertheless, she was also worked up for endoca" Wrong span,"(9835, 9844)","(9835, 9841)",worked up,worked,386053000,451271000124100,15259244-DS-19,"fever is a UTI/pyelo. Nevertheless, she was also worked up for endocarditis. Of note, the Pt have multiple " "Correct entity, wrong SNOMED ID","(9850, 9862)","(9850, 9862)",endocarditis,endocarditis,56819008,186318004,15259244-DS-19,"/pyelo. Nevertheless, she was also worked up for endocarditis. Of note, the Pt have multiple drug allergies whi" "Correct entity, wrong SNOMED ID","(9894, 9908)","(9894, 9908)",drug allergies,drug allergies,416098002,293740001,15259244-DS-19," for endocarditis. Of note, the Pt have multiple drug allergies which complicate antibiotic choice. Initial UA p" "Correct entity, wrong SNOMED ID","(9927, 9937)","(9927, 9937)",antibiotic,antibiotic,281789004,68322007,15259244-DS-19,"Pt have multiple drug allergies which complicate antibiotic choice. Initial UA positive with ___. UCx grew E" "Correct entity, wrong SNOMED ID","(9954, 9956)","(9954, 9956)",UA,UA,27171005,257999003,15259244-DS-19,"gies which complicate antibiotic choice. Initial UA positive with ___. UCx grew Ecoli similar to her" "Correct entity, wrong SNOMED ID","(9976, 9979)","(9976, 9979)",UCx,UCx,117010004,257999003,15259244-DS-19," antibiotic choice. Initial UA positive with ___. UCx grew Ecoli similar to her last UTI. BCx were neg" "Correct entity, wrong SNOMED ID","(10012, 10015)","(10012, 10015)",UTI,UTI,68566005,314940005,15259244-DS-19,"ive with ___. UCx grew Ecoli similar to her last UTI. BCx were negative. CXR with no evidence of PNA." "Correct entity, wrong SNOMED ID","(10017, 10020)","(10017, 10020)",BCx,BCx,30088009,89619004,15259244-DS-19,"ith ___. UCx grew Ecoli similar to her last UTI. BCx were negative. CXR with no evidence of PNA. TTE " "Correct entity, wrong SNOMED ID","(10026, 10034)","(10026, 10034)",negative,negative,281900007,268375009,15259244-DS-19,"UCx grew Ecoli similar to her last UTI. BCx were negative. CXR with no evidence of PNA. TTE showed no evid" "Correct entity, wrong SNOMED ID","(10036, 10039)","(10036, 10039)",CXR,CXR,399208008,363680008,15259244-DS-19,"Ecoli similar to her last UTI. BCx were negative. CXR with no evidence of PNA. TTE showed no evidence " "Correct entity, wrong SNOMED ID","(10046, 10057)","(10046, 10057)",no evidence,no evidence,281900007,41647002,15259244-DS-19,"lar to her last UTI. BCx were negative. CXR with no evidence of PNA. TTE showed no evidence of vegetations. I" "Correct entity, wrong SNOMED ID","(10061, 10064)","(10061, 10064)",PNA,PNA,233604007,423257005,15259244-DS-19," UTI. BCx were negative. CXR with no evidence of PNA. TTE showed no evidence of vegetations. Intially" "Correct entity, wrong SNOMED ID","(10066, 10069)","(10066, 10069)",TTE,TTE,433236007,258691001,15259244-DS-19," BCx were negative. CXR with no evidence of PNA. TTE showed no evidence of vegetations. Intially she " "Correct entity, wrong SNOMED ID","(10077, 10088)","(10077, 10088)",no evidence,no evidence,281900007,41647002,15259244-DS-19,"egative. CXR with no evidence of PNA. TTE showed no evidence of vegetations. Intially she was treated with br" "Correct entity, wrong SNOMED ID","(10092, 10103)","(10092, 10103)",vegetations,vegetations,363564008,63998007,15259244-DS-19,"th no evidence of PNA. TTE showed no evidence of vegetations. Intially she was treated with broad spectrum an" Missed entity,"(10151, 10162)",,antibiotics,,281789004,,15259244-DS-19,"ns. Intially she was treated with broad spectrum antibiotics with aztreonam for Gram negatives, vancomycin fo" Wrong span,"(10199, 10209)","(10199, 10206)",vancomycin,vancomy,281789004,294475007,15259244-DS-19,"m antibiotics with aztreonam for Gram negatives, vancomycin for Gram positives, and metronidazole for anaero" "Correct entity, wrong SNOMED ID","(10289, 10292)","(10289, 10292)",UCx,UCx,117010004,257999003,15259244-DS-19,"onidazole for anaerobes starting on ___. Once the UCx grew the same Ecoli as the previous infection sh" "Correct entity, wrong SNOMED ID","(10330, 10339)","(10330, 10339)",infection,infection,40733004,260976002,15259244-DS-19,"Once the UCx grew the same Ecoli as the previous infection she was DCed home on a 3 week course of Macrobid" Missed entity,"(10401, 10410)",,follow up,,183616001,,15259244-DS-19,"d home on a 3 week course of Macrobid with close follow up. Will need urologic workup if infection recurs. " Missed entity,"(10432, 10438)",,workup,,386053000,,15259244-DS-19,"acrobid with close follow up. Will need urologic workup if infection recurs. . # Renal/Pancreatic tran" "Correct entity, wrong SNOMED ID","(10442, 10451)","(10442, 10451)",infection,infection,40733004,260976002,15259244-DS-19,"th close follow up. Will need urologic workup if infection recurs. . # Renal/Pancreatic transplant: Basel" Boundary error,"(10467, 10472)","(10467, 10473)",Renal,Renal/,70536003,63893004,15259244-DS-19,"need urologic workup if infection recurs. . # Renal/Pancreatic transplant: Baseline Cr 1.3-1.5, but " "Correct entity, wrong SNOMED ID","(10473, 10494)","(10473, 10494)",Pancreatic transplant,Pancreatic transplant,62438007,174692003,15259244-DS-19,"urologic workup if infection recurs. . # Renal/Pancreatic transplant: Baseline Cr 1.3-1.5, but admission Cr 1.9. Impr" Missed entity,"(10496, 10504)",,Baseline,,128974000,,15259244-DS-19,"ction recurs. . # Renal/Pancreatic transplant: Baseline Cr 1.3-1.5, but admission Cr 1.9. Improved with " "Correct entity, wrong SNOMED ID","(10540, 10548)","(10540, 10548)",Improved,Improved,268910001,251359002,15259244-DS-19,"lant: Baseline Cr 1.3-1.5, but admission Cr 1.9. Improved with hydration and holding captopril. She was a " Missed entity,"(10554, 10563)",,hydration,,711133000,,15259244-DS-19," Cr 1.3-1.5, but admission Cr 1.9. Improved with hydration and holding captopril. She was a baseline and ba" "Correct entity, wrong SNOMED ID","(10598, 10606)","(10598, 10606)",baseline,baseline,128974000,129082007,15259244-DS-19," with hydration and holding captopril. She was a baseline and back on captopril at discharge. Ulytes pre-r" "Correct entity, wrong SNOMED ID","(10895, 10907)","(10895, 10907)",Hypertension,Hypertension,38341003,70995007,15259244-DS-19,"00mg). Continue furosimide 20 mg PO DAILY. . # Hypertension: Pt on captopril 6.25 mg BID with an additional " "Correct entity, wrong SNOMED ID","(10977, 10980)","(10977, 10980)",HTN,HTN,38341003,10725009,15259244-DS-19,"25 mg BID with an additional 3.125mg QHS:PRN for HTN at home. . # Hypothyroidism: Continue Levothyro" "Correct entity, wrong SNOMED ID","(10996, 11010)","(10996, 11010)",Hypothyroidism,Hypothyroidism,40930008,10753681000119101,15259244-DS-19,"dditional 3.125mg QHS:PRN for HTN at home. . # Hypothyroidism: Continue Levothyroxine Sodium 100 mcg PO QOD at" "Correct entity, wrong SNOMED ID","(11087, 11090)","(11087, 11090)",TSH,TSH,61167004,412520006,15259244-DS-19,"dium 100 mcg PO QOD at home dose. Will not check TSH in the setting of an acute infection. . # Hy" Wrong span,"(11112, 11128)","(11119, 11128)","acute infection",infection,63171007,260976002,15259244-DS-19,"ome dose. Will not check TSH in the setting of an acute infection. . # Hyperlipidemia: Continue Atorvastatin 10" "Correct entity, wrong SNOMED ID","(11138, 11152)","(11138, 11152)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,15259244-DS-19,"SH in the setting of an acute infection. . # Hyperlipidemia: Continue Atorvastatin 10 mg PO DAILY at home do" "Correct entity, wrong SNOMED ID","(11213, 11219)","(11213, 11219)",Anemia,Anemia,271737000,87522002,15259244-DS-19,"Atorvastatin 10 mg PO DAILY at home dose . # Anemia: Patient has been on Vitamin B12 and Epo injectio" Missed entity,"(11261, 11271)",,injections,,59108006,,15259244-DS-19,"# Anemia: Patient has been on Vitamin B12 and Epo injections for her anemia of chronic disease with stable Hc" "Correct entity, wrong SNOMED ID","(11281, 11306)","(11281, 11306)",anemia of chronic disease,anemia of chronic disease,234347009,191244003,15259244-DS-19,"s been on Vitamin B12 and Epo injections for her anemia of chronic disease with stable Hct within range for her. Continue F" Wrong span,"(11312, 11318)","(11312, 11322)",stable,stable Hct,359746009,301148008,15259244-DS-19,"njections for her anemia of chronic disease with stable Hct within range for her. Continue Folic acid da" Missed entity,"(11409, 11416)",,regimen,,133877004,,15259244-DS-19,"c acid daily and Vitamin B12, Epo per outpatient regimen . # Cataracts and glaucoma: continue travopro" "Correct entity, wrong SNOMED ID","(11425, 11434)","(11425, 11434)",Cataracts,Cataracts,193570009,95722004,15259244-DS-19," Vitamin B12, Epo per outpatient regimen . # Cataracts and glaucoma: continue travoprost, dorzolamide/t" "Correct entity, wrong SNOMED ID","(11439, 11447)","(11439, 11447)",glaucoma,glaucoma,23986001,111514006,15259244-DS-19,"Epo per outpatient regimen . # Cataracts and glaucoma: continue travoprost, dorzolamide/timolol, Pred-" "Correct entity, wrong SNOMED ID","(11552, 11564)","(11552, 11564)",Osteoporosis,Osteoporosis,64859006,102447009,15259244-DS-19," and Alphegan brimonidine at home doses. . # Osteoporosis: Continue home vitamin D and calcium. Medicat" Missed entity,"(14169, 14171)",,mg,,271285000,,15259244-DS-19," PO once a day. 20. Calcium 600 + D(3) 600-400 mg-unit Tablet Sig: One (1) Tablet PO once a day. " "Correct entity, wrong SNOMED ID","(15048, 15065)","(15048, 15065)",Home With Service,Home With Service,385783005,710242005,15259244-DS-19,"Capsule(s)* Refills:*0* Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: E. coli py" "Correct entity, wrong SNOMED ID","(15105, 15112)","(15105, 15112)",E. coli,E. coli,71057007,112283007,15259244-DS-19,"th Service Facility: ___ Discharge Diagnosis: E. coli pyelonephritis Secondary: Type I diabetes mellit" "Correct entity, wrong SNOMED ID","(15113, 15127)","(15113, 15127)",pyelonephritis,pyelonephritis,45816000,123754002,15259244-DS-19,"ce Facility: ___ Discharge Diagnosis: E. coli pyelonephritis Secondary: Type I diabetes mellitus status post " Missed entity,"(15165, 15176)",,status post,,19585003,,15259244-DS-19,"elonephritis Secondary: Type I diabetes mellitus status post pancreatic transplant Osteoporosis Hypothyroidism" Missed entity,"(15177, 15198)",,pancreatic transplant,,62438007,,15259244-DS-19," Secondary: Type I diabetes mellitus status post pancreatic transplant Osteoporosis Hypothyroidism Pernicious anemia Chr" "Correct entity, wrong SNOMED ID","(15199, 15211)","(15199, 15211)",Osteoporosis,Osteoporosis,64859006,1306597004,15259244-DS-19,"abetes mellitus status post pancreatic transplant Osteoporosis Hypothyroidism Pernicious anemia Chronic lower ex" "Correct entity, wrong SNOMED ID","(15212, 15226)","(15212, 15226)",Hypothyroidism,Hypothyroidism,40930008,161443002,15259244-DS-19,"us status post pancreatic transplant Osteoporosis Hypothyroidism Pernicious anemia Chronic lower extremity edema C" Wrong span,"(15245, 15252)","(15245, 15274)",Chronic,Chronic lower extremity edema,27624003,399864000,15259244-DS-19,"ant Osteoporosis Hypothyroidism Pernicious anemia Chronic lower extremity edema Chronic renal insufficiency" Wrong span,"(15253, 15274)","(15245, 15274)",lower extremity edema,Chronic lower extremity edema,102572006,399864000,15259244-DS-19,"oporosis Hypothyroidism Pernicious anemia Chronic lower extremity edema Chronic renal insufficiency following renal trans" "Correct entity, wrong SNOMED ID","(15275, 15302)","(15275, 15302)",Chronic renal insufficiency,Chronic renal insufficiency,723190009,49708008,15259244-DS-19,"m Pernicious anemia Chronic lower extremity edema Chronic renal insufficiency following renal transplant Hypertension Discha" "Correct entity, wrong SNOMED ID","(15313, 15329)","(15313, 15329)",renal transplant,renal transplant,70536003,236583003,15259244-DS-19,"emity edema Chronic renal insufficiency following renal transplant Hypertension Discharge Condition: Afebrile, co" "Correct entity, wrong SNOMED ID","(15330, 15342)","(15330, 15342)",Hypertension,Hypertension,38341003,70995007,15259244-DS-19,"ic renal insufficiency following renal transplant Hypertension Discharge Condition: Afebrile, comfortable on " "Correct entity, wrong SNOMED ID","(15367, 15375)","(15367, 15375)",Afebrile,Afebrile,87273009,307200007,15259244-DS-19,"l transplant Hypertension Discharge Condition: Afebrile, comfortable on room air, ambulating Discharge" Wrong span,"(15389, 15400)","(15377, 15400)",on room air,comfortable on room air,722742002,225994009,15259244-DS-19,"ion Discharge Condition: Afebrile, comfortable on room air, ambulating Discharge Instructions: You have b" "Correct entity, wrong SNOMED ID","(15402, 15412)","(15402, 15412)",ambulating,ambulating,160680006,722370002,15259244-DS-19,"rge Condition: Afebrile, comfortable on room air, ambulating Discharge Instructions: You have been evaluate" Missed entity,"(15454, 15463)",,evaluated,,386053000,,15259244-DS-19,"bulating Discharge Instructions: You have been evaluated for your fever and fatigue. You were again found" "Correct entity, wrong SNOMED ID","(15473, 15478)","(15473, 15478)",fever,fever,386661006,248430002,15259244-DS-19,"ge Instructions: You have been evaluated for your fever and fatigue. You were again found to have a bact" "Correct entity, wrong SNOMED ID","(15483, 15490)","(15483, 15490)",fatigue,fatigue,84229001,1141720008,15259244-DS-19,"tions: You have been evaluated for your fever and fatigue. You were again found to have a bacterial urinar" Wrong span,"(15524, 15533)","(15524, 15557)",bacterial,bacterial urinary tract infection,87628006,1148870007,15259244-DS-19,"ever and fatigue. You were again found to have a bacterial urinary tract infection. This was treated with I" Wrong span,"(15534, 15557)","(15524, 15557)",urinary tract infection,bacterial urinary tract infection,68566005,1148870007,15259244-DS-19,"atigue. You were again found to have a bacterial urinary tract infection. This was treated with IV antibiotics which were" "Correct entity, wrong SNOMED ID","(15582, 15596)","(15582, 15596)",IV antibiotics,IV antibiotics,281790008,410573003,15259244-DS-19,"l urinary tract infection. This was treated with IV antibiotics which were converted to antibiotics to take by m" Wrong span,"(15622, 15650)","(15622, 15633)",antibiotics to take by mouth,antibiotics,281791007,372599003,15259244-DS-19,"ated with IV antibiotics which were converted to antibiotics to take by mouth to complete a 3-week course. You will continue a" "Correct entity, wrong SNOMED ID","(15699, 15710)","(15699, 15710)",antibiotics,antibiotics,281789004,372599003,15259244-DS-19,"h to complete a 3-week course. You will continue antibiotics until ___. Please take your medications as pres" Missed entity,"(15731, 15766)",,take your medications as prescribed,,394835006,,15259244-DS-19,"ou will continue antibiotics until ___. Please take your medications as prescribed. You will continue on nitro Followup Instructi" False positive,,"(470, 480)",,neuroendoc,,1297184004,15531886-DS-12,"a ___ year old female, with h/o stage IV SCLC of neuroendocrine origin, known to be metastatic to liver and " False positive,,"(878, 883)",,worse,,280122007,15531886-DS-12,"er epigastrium and bilateral shoulders, which is worse with deep breaths, and feels like a pressure sen" False positive,,"(921, 939)",,pressure sensation,,162403009,15531886-DS-12,"ich is worse with deep breaths, and feels like a pressure sensation. She continues to have a cough, not changed fro" False positive,,"(1300, 1305)",,worse,,280122007,15531886-DS-12,"derwent a CT angiogram of the chest which showed worsening of a known right upper lobe cancer. There wa" False positive,,"(1720, 1722)",,PA,,421542006,15531886-DS-12,"on. CT chest done which showed RUL mass encasing PA, with extensive LAD and possible liver mets. __" False positive,,"(1845, 1852)",,staging,,386261001,15531886-DS-12,"ith IP. Scheduled for PET scan and MRI brain for staging. ___: MRI brain showed no evidence of bony lesi" False positive,,"(1953, 1957)",,mass,,237557003,15531886-DS-12,"ns or brain mets. PET scan showed suprahilar RUL mass, innumerable liver mets with porta-hepatic and r" False positive,,"(1988, 2001)",,porta-hepatic,,245379008,15531886-DS-12,"suprahilar RUL mass, innumerable liver mets with porta-hepatic and retroperitoneal ___ and widespread osseous l" False positive,,"(2315, 2319)",,mets,,15244003,15531886-DS-12,"tion of chemotherapy (palliative given extent of mets). PAST MEDICAL HISTORY: GERD IBS Hiatal " False positive,,"(2408, 2418)",,hemophilia,,128105004,15531886-DS-12,"S Hiatal hernia L4-5 disc issues Carrier of hemophilia s/p CCY s/p TAH Social History: ___ Fami" False positive,,"(2607, 2615)",,afebrile,,307200007,15531886-DS-12," Physical Exam: ADMISSION PHYSICAL EXAM: Vitals: afebrile, BP 130s/80s, HR ___, saturation 95% RA GENERAL: " False positive,,"(2638, 2648)",,saturation,,165730006,15531886-DS-12,"ICAL EXAM: Vitals: afebrile, BP 130s/80s, HR ___, saturation 95% RA GENERAL: NAD, sitting in bed, normal conve" False positive,,"(2686, 2705)",,normal conversation,,288663001,15531886-DS-12,", saturation 95% RA GENERAL: NAD, sitting in bed, normal conversation without conversational dyspnea CARDIAC: RRR, no " False positive,,"(2888, 2890)",,2+,,260347006,15531886-DS-12,"MEN: soft, NT, ND EXTREMITIES: no edema PULSES: 2+ bilateral lower extremities NEURO: CN ___ intact" False positive,,"(2934, 2940)",,intact,,247602005,15531886-DS-12,"ES: 2+ bilateral lower extremities NEURO: CN ___ intact, ___ strength in bilateral upper and lower extre" False positive,,"(3703, 3709)",,bronch,,287430001,15531886-DS-12,"Mg-1.7 No microbiology data. Pathology from ___ bronch with FNA and biopsy PENDING IMAGING: ___ CT ABD/" False positive,,"(4021, 4029)",,enlarged,,300344005,15531886-DS-12,"seous metastases with a new lesion at T10 and an enlarged lesion involving T12. 3. Right hilar/ infrahilar" False positive,,"(4209, 4212)",,CXR,,399208008,15531886-DS-12,"ncreased in size from the recent chest CT. ___ CXR AFTER BRONCH AND STENT PLACEMENT: FINDINGS: In c" False positive,,"(4219, 4225)",,BRONCH,,287430001,15531886-DS-12,"n size from the recent chest CT. ___ CXR AFTER BRONCH AND STENT PLACEMENT: FINDINGS: In comparison wit" False positive,,"(4547, 4552)",,clear,,281278005,15531886-DS-12,"tatic changes. The left lung remains essentially clear. BRONCHOSCOPY REPORT: ___ Airways examined with" False positive,,"(4603, 4624)",,flexible bronchoscope,,257225008,15531886-DS-12," BRONCHOSCOPY REPORT: ___ Airways examined with flexible bronchoscope revealing moderate-severe compression of distal " False positive,,"(4775, 4783)",,flexible,,262064008,15531886-DS-12,"tely occluded. Flexible bronchoscope removed and flexible scope with EBUS inserted and advanced to paratra" False positive,,"(4859, 4863)",,TBNA,,67900009,15531886-DS-12,"and advanced to paratracheal mass where multiple TBNA were performed using 21gauge and 18 gauge needle" False positive,,"(5279, 5287)",,stage IV,,2640006,15531886-DS-12,"ef Hospital Course: ___ year old female, with h/o stage IV SCLC of neuroendocrine origin, known to be metas" False positive,,"(6058, 6068)",,secretions,,10031004,15531886-DS-12,"ylcysteine nebulizers BID for 1 week to help her secretions get out past the new stent. # GERD: continued h" False positive,,"(6090, 6095)",,stent,,1287503001,15531886-DS-12," week to help her secretions get out past the new stent. # GERD: continued home PPI # Lumbar disc dis" False positive,,"(6346, 6350)",,EGFR,,86960007,15531886-DS-12,"ITIONAL ISSUES: - Needs to start on erlotinib for EGFR+ lung cancer. Medications on Admission: The P" False positive,,"(9512, 9519)",,alcohol,,219006,15531886-DS-12," take these medications if you feel sleepy, with alcohol, or when operating any machinery. Because these" False positive,,"(9570, 9586)",,pain medications,,52685006,15531886-DS-12," or when operating any machinery. Because these pain medications can cause constipation, you will also need to co" "Correct entity, wrong SNOMED ID","(201, 223)","(201, 223)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,15531886-DS-12,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: shortness of " "Correct entity, wrong SNOMED ID","(260, 279)","(260, 279)",shortness of breath,shortness of breath,267036007,135833008,15531886-DS-12,"rug Reactions Attending: ___ Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: flexible " Wrong span,"(320, 372)","(320, 341)",flexible bronchoscopy with EBUS guided tissue biopsy,flexible bronchoscopy,87387006,69621000052107,15531886-DS-12,"of breath Major Surgical or Invasive Procedure: flexible bronchoscopy with EBUS guided tissue biopsy ___ History of Present Illness: Mrs. ___ is a " "Correct entity, wrong SNOMED ID","(461, 465)","(461, 465)",SCLC,SCLC,254632001,254637007,15531886-DS-12,". ___ is a ___ year old female, with h/o stage IV SCLC of neuroendocrine origin, known to be metastatic" Wrong span,"(505, 524)","(505, 515)",metastatic to liver,metastatic,1251486007,264860004,15531886-DS-12,"ge IV SCLC of neuroendocrine origin, known to be metastatic to liver and abdominal LN, s/p 6 cycles of carboplatin/et" Wrong span,"(530, 539)","(530, 542)",abdominal,abdominal LN,818983003,234255004,15531886-DS-12,"rine origin, known to be metastatic to liver and abdominal LN, s/p 6 cycles of carboplatin/etoposide (last d" "Correct entity, wrong SNOMED ID","(616, 623)","(616, 623)",dyspnea,dyspnea,267036007,60845006,15531886-DS-12,"latin/etoposide (last dose ___ who presents with dyspnea. She describes predominantly orthopnea symptoms" "Correct entity, wrong SNOMED ID","(655, 664)","(655, 664)",orthopnea,orthopnea,62744007,435931000124105,15531886-DS-12,"sents with dyspnea. She describes predominantly orthopnea symptoms but also progressive exertional shortnes" Wrong span,"(695, 726)","(695, 705)","exertional shortness of breath",exertional,60845006,60845006,15531886-DS-12,"minantly orthopnea symptoms but also progressive exertional shortness of breath, and generalized fatigue. This started pretty ac" "Correct entity, wrong SNOMED ID","(744, 751)","(744, 751)",fatigue,fatigue,84229001,1141720008,15531886-DS-12," exertional shortness of breath, and generalized fatigue. This started pretty acutely on ___ night. She" Wrong span,"(819, 842)","(819, 823)",pain in her epigastrium,pain,79922009,102570003,15531886-DS-12,"etty acutely on ___ night. She also describes a pain in her epigastrium and bilateral shoulders, which is worse with dee" Wrong span,"(848, 868)","(848, 857)","bilateral shoulders,",bilateral,15743681000119106,268228006,15531886-DS-12,"She also describes a pain in her epigastrium and bilateral shoulders, which is worse with deep breaths, and feels like" "Correct entity, wrong SNOMED ID","(889, 901)","(889, 901)",deep breaths,deep breaths,289123006,289098008,15531886-DS-12,"ium and bilateral shoulders, which is worse with deep breaths, and feels like a pressure sensation. She conti" "Correct entity, wrong SNOMED ID","(966, 971)","(966, 971)",cough,cough,49727002,28743005,15531886-DS-12,"ke a pressure sensation. She continues to have a cough, not changed from prior, nonproductive. She has" "Correct entity, wrong SNOMED ID","(998, 1011)","(998, 1011)",nonproductive,nonproductive,11833005,276314008,15531886-DS-12,"ntinues to have a cough, not changed from prior, nonproductive. She has a poor appetite but has not lost weigh" "Correct entity, wrong SNOMED ID","(1024, 1037)","(1024, 1037)",poor appetite,poor appetite,64379006,405788002,15531886-DS-12,"not changed from prior, nonproductive. She has a poor appetite but has not lost weight. The patient otherwise " "Correct entity, wrong SNOMED ID","(1051, 1062)","(1051, 1062)",lost weight,lost weight,89362005,267024001,15531886-DS-12,"productive. She has a poor appetite but has not lost weight. The patient otherwise denies any fevers or chi" "Correct entity, wrong SNOMED ID","(1099, 1105)","(1099, 1105)",fevers,fevers,386661006,248444008,15531886-DS-12,"t lost weight. The patient otherwise denies any fevers or chills, no lower extremity swelling. The pati" "Correct entity, wrong SNOMED ID","(1109, 1115)","(1109, 1115)",chills,chills,43724002,274640006,15531886-DS-12,"ght. The patient otherwise denies any fevers or chills, no lower extremity swelling. The patient was se" "Correct entity, wrong SNOMED ID","(1120, 1144)","(1120, 1144)",lower extremity swelling,lower extremity swelling,449614009,10678591000119104,15531886-DS-12,"atient otherwise denies any fevers or chills, no lower extremity swelling. The patient was seen at an outside hospital eme" Wrong span,"(1321, 1337)","(1321, 1345)",right upper lobe,"right upper lobe cancer",42400003,94524008,15531886-DS-12,"m of the chest which showed worsening of a known right upper lobe cancer. There was no pulmonary embolism. In ED," Wrong span,"(1339, 1345)","(1321, 1345)",cancer,"right upper lobe cancer",1240414004,94524008,15531886-DS-12,"ich showed worsening of a known right upper lobe cancer. There was no pulmonary embolism. In ED, initial" "Correct entity, wrong SNOMED ID","(1360, 1378)","(1360, 1378)",pulmonary embolism,pulmonary embolism,59282003,133971000119108,15531886-DS-12,"of a known right upper lobe cancer. There was no pulmonary embolism. In ED, initial vitals were: 97.6 76 155/74 16 " "Correct entity, wrong SNOMED ID","(1396, 1402)","(1396, 1402)",vitals,vitals,118227000,260390007,15531886-DS-12," There was no pulmonary embolism. In ED, initial vitals were: 97.6 76 155/74 16 95% RA. Labs were norma" "Correct entity, wrong SNOMED ID","(1432, 1434)","(1432, 1434)",RA,RA,722742002,463051000124105,15531886-DS-12,"n ED, initial vitals were: 97.6 76 155/74 16 95% RA. Labs were normal. Patient was not given any me" "Correct entity, wrong SNOMED ID","(1437, 1441)","(1437, 1441)",Labs,Labs,15220000,415259005,15531886-DS-12," initial vitals were: 97.6 76 155/74 16 95% RA. Labs were normal. Patient was not given any medicatio" "Correct entity, wrong SNOMED ID","(1584, 1605)","(1584, 1605)","pleuritic chest pain","pleuritic chest pain",2237002,7921000119104,15531886-DS-12,"IC HISTORY: ___: Presents to ___ complaining of pleuritic chest pain, chest film done which showed right sided lung p" "Correct entity, wrong SNOMED ID","(1607, 1617)","(1607, 1617)",chest film,chest film,399208008,1290958008,15531886-DS-12,"ents to ___ complaining of pleuritic chest pain, chest film done which showed right sided lung parenchymal l" "Correct entity, wrong SNOMED ID","(1636, 1647)","(1636, 1647)",right sided,right sided,3341006,448602005,15531886-DS-12,"euritic chest pain, chest film done which showed right sided lung parenchymal lesion. CT chest done which sho" Wrong span,"(1648, 1652)","(1648, 1665)",lung,"lung parenchymal",94391008,113255004,15531886-DS-12,"st pain, chest film done which showed right sided lung parenchymal lesion. CT chest done which showed R" "Correct entity, wrong SNOMED ID","(1666, 1672)","(1666, 1672)",lesion,lesion,52988006,120609008,15531886-DS-12,"m done which showed right sided lung parenchymal lesion. CT chest done which showed RUL mass encasing PA" "Correct entity, wrong SNOMED ID","(1701, 1704)","(1701, 1704)",RUL,RUL,42400003,65826004,15531886-DS-12,"g parenchymal lesion. CT chest done which showed RUL mass encasing PA, with extensive LAD and possibl" "Correct entity, wrong SNOMED ID","(1705, 1709)","(1705, 1709)",mass,mass,786838002,237557003,15531886-DS-12,"arenchymal lesion. CT chest done which showed RUL mass encasing PA, with extensive LAD and possible liv" "Correct entity, wrong SNOMED ID","(1739, 1742)","(1739, 1742)",LAD,LAD,59438005,1010291002,15531886-DS-12,"hich showed RUL mass encasing PA, with extensive LAD and possible liver mets. ___: Intake appointmen" "Correct entity, wrong SNOMED ID","(1756, 1766)","(1756, 1766)",liver mets,liver mets,94381002,426989003,15531886-DS-12,"ass encasing PA, with extensive LAD and possible liver mets. ___: Intake appointment with IP. Scheduled for" "Correct entity, wrong SNOMED ID","(1817, 1825)","(1817, 1825)",PET scan,PET scan,82918005,300816002,15531886-DS-12," ___: Intake appointment with IP. Scheduled for PET scan and MRI brain for staging. ___: MRI brain show" "Correct entity, wrong SNOMED ID","(1878, 1889)","(1878, 1889)",no evidence,no evidence,281900007,41647002,15531886-DS-12,"d MRI brain for staging. ___: MRI brain showed no evidence of bony lesions or brain mets. PET scan showed s" Wrong span,"(1893, 1905)","(1893, 1897)",bony lesions,bony,879976004,870248007,15531886-DS-12,"r staging. ___: MRI brain showed no evidence of bony lesions or brain mets. PET scan showed suprahilar RUL ma" "Correct entity, wrong SNOMED ID","(1909, 1920)","(1909, 1920)","brain mets","brain mets",94225005,30057005,15531886-DS-12,": MRI brain showed no evidence of bony lesions or brain mets. PET scan showed suprahilar RUL mass, innumerable" "Correct entity, wrong SNOMED ID","(1922, 1930)","(1922, 1930)",PET scan,PET scan,82918005,300816002,15531886-DS-12,"howed no evidence of bony lesions or brain mets. PET scan showed suprahilar RUL mass, innumerable liver me" "Correct entity, wrong SNOMED ID","(1949, 1952)","(1949, 1952)",RUL,RUL,42400003,65826004,15531886-DS-12,"esions or brain mets. PET scan showed suprahilar RUL mass, innumerable liver mets with porta-hepatic " "Correct entity, wrong SNOMED ID","(1971, 1982)","(1971, 1982)","liver mets","liver mets",94381002,426989003,15531886-DS-12," PET scan showed suprahilar RUL mass, innumerable liver mets with porta-hepatic and retroperitoneal ___ and wi" "Correct entity, wrong SNOMED ID","(2006, 2021)","(2006, 2021)",retroperitoneal,retroperitoneal,127154008,69559004,15531886-DS-12,"s, innumerable liver mets with porta-hepatic and retroperitoneal ___ and widespread osseous lesions concerning fo" "Correct entity, wrong SNOMED ID","(2042, 2057)","(2042, 2057)",osseous lesions,osseous lesions,879976004,62149008,15531886-DS-12,"a-hepatic and retroperitoneal ___ and widespread osseous lesions concerning for mets in the axial and appendicula" "Correct entity, wrong SNOMED ID","(2073, 2077)","(2073, 2077)",mets,mets,94222008,258697002,15531886-DS-12,"__ and widespread osseous lesions concerning for mets in the axial and appendicular skeleton. ___: S" "Correct entity, wrong SNOMED ID","(2085, 2090)","(2085, 2090)",axial,axial,6834003,399270002,15531886-DS-12,"pread osseous lesions concerning for mets in the axial and appendicular skeleton. ___: Seen again in " "Correct entity, wrong SNOMED ID","(2096, 2117)","(2096, 2117)",appendicular skeleton,appendicular skeleton,38781007,322050006,15531886-DS-12,"ous lesions concerning for mets in the axial and appendicular skeleton. ___: Seen again in IP suite to discuss prognos" Missed entity,"(2160, 2169)",,prognosis,,20481000,,15531886-DS-12,"keleton. ___: Seen again in IP suite to discuss prognosis and treatment options. Patient sent directly fro" "Correct entity, wrong SNOMED ID","(2273, 2285)","(2273, 2285)",chemotherapy,chemotherapy,367336001,266719004,15531886-DS-12,"inic to inpatient OMED service for initiation of chemotherapy (palliative given extent of mets). PAST MEDIC" "Correct entity, wrong SNOMED ID","(2349, 2353)","(2349, 2353)",GERD,GERD,235595009,15749591000119107,15531886-DS-12,"given extent of mets). PAST MEDICAL HISTORY: GERD IBS Hiatal hernia L4-5 disc issues Carrie" "Correct entity, wrong SNOMED ID","(2356, 2359)","(2356, 2359)",IBS,IBS,10743008,112512007,15531886-DS-12,"xtent of mets). PAST MEDICAL HISTORY: GERD IBS Hiatal hernia L4-5 disc issues Carrier of h" Wrong span,"(2378, 2387)","(2378, 2380)",L4-5 disc,L4,84020006,29970001,15531886-DS-12,"T MEDICAL HISTORY: GERD IBS Hiatal hernia L4-5 disc issues Carrier of hemophilia s/p CCY s/p TA" "Correct entity, wrong SNOMED ID","(2397, 2404)","(2397, 2404)",Carrier,Carrier,29679002,170483003,15531886-DS-12," GERD IBS Hiatal hernia L4-5 disc issues Carrier of hemophilia s/p CCY s/p TAH Social His" "Correct entity, wrong SNOMED ID","(2425, 2428)","(2425, 2428)",CCY,CCY,38102005,258773002,15531886-DS-12," L4-5 disc issues Carrier of hemophilia s/p CCY s/p TAH Social History: ___ Family History" "Correct entity, wrong SNOMED ID","(2435, 2438)","(2435, 2438)",TAH,TAH,116143008,424926009,15531886-DS-12,"sc issues Carrier of hemophilia s/p CCY s/p TAH Social History: ___ Family History: Son, hem" "Correct entity, wrong SNOMED ID","(2485, 2495)","(2485, 2495)",hemophilia,hemophilia,90935002,128105004,15531886-DS-12,"TAH Social History: ___ Family History: Son, hemophilia, Sister, SLE ___ grandmother, deceased, breas" "Correct entity, wrong SNOMED ID","(2507, 2510)","(2507, 2510)",SLE,SLE,55464009,308751000119106,15531886-DS-12,"y: ___ Family History: Son, hemophilia, Sister, SLE ___ grandmother, deceased, breast cancer P" Missed entity,"(2530, 2538)",,deceased,,419099009,,15531886-DS-12,"Son, hemophilia, Sister, SLE ___ grandmother, deceased, breast cancer Physical Exam: ADMISSION PHYS" "Correct entity, wrong SNOMED ID","(2540, 2553)","(2540, 2553)",breast cancer,breast cancer,254837009,134405005,15531886-DS-12,"hilia, Sister, SLE ___ grandmother, deceased, breast cancer Physical Exam: ADMISSION PHYSICAL EXAM: Vita" "Correct entity, wrong SNOMED ID","(2584, 2597)","(2584, 2597)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,15531886-DS-12,"ased, breast cancer Physical Exam: ADMISSION PHYSICAL EXAM: Vitals: afebrile, BP 130s/80s, HR ___, saturatio" "Correct entity, wrong SNOMED ID","(2599, 2605)","(2599, 2605)",Vitals,Vitals,118227000,260390007,15531886-DS-12,"ncer Physical Exam: ADMISSION PHYSICAL EXAM: Vitals: afebrile, BP 130s/80s, HR ___, saturation 95% RA" "Correct entity, wrong SNOMED ID","(2617, 2619)","(2617, 2619)",BP,BP,392570002,38341003,15531886-DS-12," Exam: ADMISSION PHYSICAL EXAM: Vitals: afebrile, BP 130s/80s, HR ___, saturation 95% RA GENERAL: NAD," "Correct entity, wrong SNOMED ID","(2630, 2632)","(2630, 2632)",HR,HR,301113001,258702006,15531886-DS-12,"ION PHYSICAL EXAM: Vitals: afebrile, BP 130s/80s, HR ___, saturation 95% RA GENERAL: NAD, sitting in b" "Correct entity, wrong SNOMED ID","(2653, 2655)","(2653, 2655)",RA,RA,722742002,463051000124105,15531886-DS-12,"ls: afebrile, BP 130s/80s, HR ___, saturation 95% RA GENERAL: NAD, sitting in bed, normal conversation" "Correct entity, wrong SNOMED ID","(2656, 2663)","(2656, 2663)",GENERAL,GENERAL,162673000,252398009,15531886-DS-12," afebrile, BP 130s/80s, HR ___, saturation 95% RA GENERAL: NAD, sitting in bed, normal conversation without" "Correct entity, wrong SNOMED ID","(2665, 2668)","(2665, 2668)",NAD,NAD,281900007,131143000,15531886-DS-12,", BP 130s/80s, HR ___, saturation 95% RA GENERAL: NAD, sitting in bed, normal conversation without con" Wrong span,"(2670, 2677)","(2670, 2684)",sitting,sitting in bed,33586001,282969008,15531886-DS-12,"130s/80s, HR ___, saturation 95% RA GENERAL: NAD, sitting in bed, normal conversation without conversation" "Correct entity, wrong SNOMED ID","(2730, 2737)","(2730, 2737)",dyspnea,dyspnea,267036007,60845006,15531886-DS-12," bed, normal conversation without conversational dyspnea CARDIAC: RRR, no m/r/g LUNG: decreased breath sou" "Correct entity, wrong SNOMED ID","(2738, 2745)","(2738, 2745)",CARDIAC,CARDIAC,363003006,71892000,15531886-DS-12,"rmal conversation without conversational dyspnea CARDIAC: RRR, no m/r/g LUNG: decreased breath sounds on t" "Correct entity, wrong SNOMED ID","(2747, 2750)","(2747, 2750)",RRR,RRR,76863003,129960002,15531886-DS-12,"ersation without conversational dyspnea CARDIAC: RRR, no m/r/g LUNG: decreased breath sounds on the ri" "Correct entity, wrong SNOMED ID","(2752, 2760)","(2752, 2760)",no m/r/g,no m/r/g,301132007,5481000175101,15531886-DS-12,"ion without conversational dyspnea CARDIAC: RRR, no m/r/g LUNG: decreased breath sounds on the right lung, " "Correct entity, wrong SNOMED ID","(2761, 2765)","(2761, 2765)",LUNG,LUNG,268925001,301232003,15531886-DS-12,"ut conversational dyspnea CARDIAC: RRR, no m/r/g LUNG: decreased breath sounds on the right lung, no cr" "Correct entity, wrong SNOMED ID","(2767, 2790)","(2767, 2790)",decreased breath sounds,decreased breath sounds,58840004,161938003,15531886-DS-12,"nversational dyspnea CARDIAC: RRR, no m/r/g LUNG: decreased breath sounds on the right lung, no crackles or wheezes ABDOME" "Correct entity, wrong SNOMED ID","(2798, 2808)","(2798, 2808)",right lung,right lung,3341006,1332247001,15531886-DS-12,"RR, no m/r/g LUNG: decreased breath sounds on the right lung, no crackles or wheezes ABDOMEN: soft, NT, ND " "Correct entity, wrong SNOMED ID","(2826, 2833)","(2826, 2833)",wheezes,wheezes,56018004,9763007,15531886-DS-12," breath sounds on the right lung, no crackles or wheezes ABDOMEN: soft, NT, ND EXTREMITIES: no edema PUL" "Correct entity, wrong SNOMED ID","(2834, 2841)","(2834, 2841)",ABDOMEN,ABDOMEN,225162003,302553009,15531886-DS-12,"sounds on the right lung, no crackles or wheezes ABDOMEN: soft, NT, ND EXTREMITIES: no edema PULSES: 2+ " "Correct entity, wrong SNOMED ID","(2849, 2851)","(2849, 2851)",NT,NT,43478001,257992007,15531886-DS-12,"ight lung, no crackles or wheezes ABDOMEN: soft, NT, ND EXTREMITIES: no edema PULSES: 2+ bilateral " "Correct entity, wrong SNOMED ID","(2853, 2855)","(2853, 2855)",ND,ND,60728008,165815009,15531886-DS-12," lung, no crackles or wheezes ABDOMEN: soft, NT, ND EXTREMITIES: no edema PULSES: 2+ bilateral lowe" "Correct entity, wrong SNOMED ID","(2858, 2869)","(2858, 2869)",EXTREMITIES,EXTREMITIES,302773001,248416007,15531886-DS-12,", no crackles or wheezes ABDOMEN: soft, NT, ND EXTREMITIES: no edema PULSES: 2+ bilateral lower extremities " "Correct entity, wrong SNOMED ID","(2874, 2879)","(2874, 2879)",edema,edema,267038008,102576009,15531886-DS-12," wheezes ABDOMEN: soft, NT, ND EXTREMITIES: no edema PULSES: 2+ bilateral lower extremities NEURO: CN" "Correct entity, wrong SNOMED ID","(2880, 2886)","(2880, 2886)",PULSES,PULSES,366199006,307684005,15531886-DS-12,"zes ABDOMEN: soft, NT, ND EXTREMITIES: no edema PULSES: 2+ bilateral lower extremities NEURO: CN ___ in" Wrong span,"(2901, 2918)","(2891, 2918)",lower extremities,bilateral lower extremities,61685007,816181009,15531886-DS-12,", ND EXTREMITIES: no edema PULSES: 2+ bilateral lower extremities NEURO: CN ___ intact, ___ strength in bilateral " "Correct entity, wrong SNOMED ID","(2919, 2924)","(2919, 2924)",NEURO,NEURO,84728005,281247006,15531886-DS-12,": no edema PULSES: 2+ bilateral lower extremities NEURO: CN ___ intact, ___ strength in bilateral upper " "Correct entity, wrong SNOMED ID","(2927, 2929)","(2927, 2929)",CN,CN,25238003,223697002,15531886-DS-12,"ma PULSES: 2+ bilateral lower extremities NEURO: CN ___ intact, ___ strength in bilateral upper and " "Correct entity, wrong SNOMED ID","(2968, 2973)","(2968, 2973)",upper,upper,53120007,102558002,15531886-DS-12," NEURO: CN ___ intact, ___ strength in bilateral upper and lower extremities SKIN: + roseacea, no othe" "Correct entity, wrong SNOMED ID","(2979, 2996)","(2979, 2996)",lower extremities,lower extremities,61685007,58517005,15531886-DS-12," ___ intact, ___ strength in bilateral upper and lower extremities SKIN: + roseacea, no other rashes DISCHARGE PHY" "Correct entity, wrong SNOMED ID","(2997, 3001)","(2997, 3001)",SKIN,SKIN,271303006,444884003,15531886-DS-12,"trength in bilateral upper and lower extremities SKIN: + roseacea, no other rashes DISCHARGE PHYSICAL" "Correct entity, wrong SNOMED ID","(3006, 3014)","(3006, 3014)",roseacea,roseacea,398909004,83363008,15531886-DS-12,"n bilateral upper and lower extremities SKIN: + roseacea, no other rashes DISCHARGE PHYSICAL EXAM: VS 98." "Correct entity, wrong SNOMED ID","(3025, 3031)","(3025, 3031)",rashes,rashes,271807003,247472004,15531886-DS-12,"nd lower extremities SKIN: + roseacea, no other rashes DISCHARGE PHYSICAL EXAM: VS 98.1, 124/90, 88, 18" "Correct entity, wrong SNOMED ID","(3058, 3060)","(3058, 3060)",VS,VS,118227000,313611000,15531886-DS-12,"seacea, no other rashes DISCHARGE PHYSICAL EXAM: VS 98.1, 124/90, 88, 18, 93% on RA exam unchanged " "Correct entity, wrong SNOMED ID","(3090, 3092)","(3090, 3092)",RA,RA,722742002,463051000124105,15531886-DS-12,"GE PHYSICAL EXAM: VS 98.1, 124/90, 88, 18, 93% on RA exam unchanged Pertinent Results: ADMISSION LAB" "Correct entity, wrong SNOMED ID","(3162, 3165)","(3162, 3165)",WBC,WBC,767002,391558003,15531886-DS-12,"rtinent Results: ADMISSION LABS ___ 03:00PM BLOOD WBC-7.8 RBC-3.67* Hgb-11.6* Hct-35.9* MCV-98 MCH-31." "Correct entity, wrong SNOMED ID","(3170, 3173)","(3170, 3173)",RBC,RBC,14089001,258759006,15531886-DS-12,"Results: ADMISSION LABS ___ 03:00PM BLOOD WBC-7.8 RBC-3.67* Hgb-11.6* Hct-35.9* MCV-98 MCH-31.7 MCHC-3" "Correct entity, wrong SNOMED ID","(3180, 3183)","(3180, 3183)",Hgb,Hgb,441689006,104142005,15531886-DS-12,"DMISSION LABS ___ 03:00PM BLOOD WBC-7.8 RBC-3.67* Hgb-11.6* Hct-35.9* MCV-98 MCH-31.7 MCHC-32.4 RDW-13" "Correct entity, wrong SNOMED ID","(3190, 3193)","(3190, 3193)",Hct,Hct,28317006,282660005,15531886-DS-12,"ABS ___ 03:00PM BLOOD WBC-7.8 RBC-3.67* Hgb-11.6* Hct-35.9* MCV-98 MCH-31.7 MCHC-32.4 RDW-13.9 Plt ___" "Correct entity, wrong SNOMED ID","(3208, 3211)","(3208, 3211)",MCH,MCH,54706004,735147002,15531886-DS-12,"OOD WBC-7.8 RBC-3.67* Hgb-11.6* Hct-35.9* MCV-98 MCH-31.7 MCHC-32.4 RDW-13.9 Plt ___ ___ 03:00PM BLOOD" "Correct entity, wrong SNOMED ID","(3217, 3221)","(3217, 3221)",MCHC,MCHC,37254006,735147002,15531886-DS-12,".8 RBC-3.67* Hgb-11.6* Hct-35.9* MCV-98 MCH-31.7 MCHC-32.4 RDW-13.9 Plt ___ ___ 03:00PM BLOOD ___ PTT-3" "Correct entity, wrong SNOMED ID","(3227, 3230)","(3227, 3230)",RDW,RDW,66842004,735149004,15531886-DS-12,"7* Hgb-11.6* Hct-35.9* MCV-98 MCH-31.7 MCHC-32.4 RDW-13.9 Plt ___ ___ 03:00PM BLOOD ___ PTT-32.6 ___ _" "Correct entity, wrong SNOMED ID","(3266, 3269)","(3266, 3269)",PTT,PTT,42525009,282119004,15531886-DS-12," MCHC-32.4 RDW-13.9 Plt ___ ___ 03:00PM BLOOD ___ PTT-32.6 ___ ___ 03:00PM BLOOD Glucose-88 UreaN-15 Cr" "Correct entity, wrong SNOMED ID","(3297, 3304)","(3297, 3304)",Glucose,Glucose,33747003,72191006,15531886-DS-12," 03:00PM BLOOD ___ PTT-32.6 ___ ___ 03:00PM BLOOD Glucose-88 UreaN-15 Creat-0.6 Na-134 K-4.1 Cl-98 HCO3-29" "Correct entity, wrong SNOMED ID","(3308, 3313)","(3308, 3313)",UreaN,UreaN,105011006,111108008,15531886-DS-12,"OOD ___ PTT-32.6 ___ ___ 03:00PM BLOOD Glucose-88 UreaN-15 Creat-0.6 Na-134 K-4.1 Cl-98 HCO3-29 AnGap-11" "Correct entity, wrong SNOMED ID","(3317, 3322)","(3317, 3322)",Creat,Creat,70901006,365756002,15531886-DS-12,"TT-32.6 ___ ___ 03:00PM BLOOD Glucose-88 UreaN-15 Creat-0.6 Na-134 K-4.1 Cl-98 HCO3-29 AnGap-11 ___ 03:0" "Correct entity, wrong SNOMED ID","(3327, 3329)","(3327, 3329)",Na,Na,312469006,257992007,15531886-DS-12,"_ ___ 03:00PM BLOOD Glucose-88 UreaN-15 Creat-0.6 Na-134 K-4.1 Cl-98 HCO3-29 AnGap-11 ___ 03:00PM BLO" "Correct entity, wrong SNOMED ID","(3341, 3343)","(3341, 3343)",Cl,Cl,104589004,311741002,15531886-DS-12,"BLOOD Glucose-88 UreaN-15 Creat-0.6 Na-134 K-4.1 Cl-98 HCO3-29 AnGap-11 ___ 03:00PM BLOOD Calcium-9.2" "Correct entity, wrong SNOMED ID","(3347, 3351)","(3347, 3351)",HCO3,HCO3,312471006,88645003,15531886-DS-12,"Glucose-88 UreaN-15 Creat-0.6 Na-134 K-4.1 Cl-98 HCO3-29 AnGap-11 ___ 03:00PM BLOOD Calcium-9.2 Phos-3." "Correct entity, wrong SNOMED ID","(3355, 3360)","(3355, 3360)",AnGap,AnGap,25469001,124504004,15531886-DS-12,"88 UreaN-15 Creat-0.6 Na-134 K-4.1 Cl-98 HCO3-29 AnGap-11 ___ 03:00PM BLOOD Calcium-9.2 Phos-3.5 Mg-2.1 " "Correct entity, wrong SNOMED ID","(3382, 3389)","(3382, 3389)",Calcium,Calcium,312472004,108601004,15531886-DS-12,"4 K-4.1 Cl-98 HCO3-29 AnGap-11 ___ 03:00PM BLOOD Calcium-9.2 Phos-3.5 Mg-2.1 DISCHARGE LABS ___ 08:40AM B" "Correct entity, wrong SNOMED ID","(3394, 3398)","(3394, 3398)",Phos,Phos,104868000,168075002,15531886-DS-12,"98 HCO3-29 AnGap-11 ___ 03:00PM BLOOD Calcium-9.2 Phos-3.5 Mg-2.1 DISCHARGE LABS ___ 08:40AM BLOOD WBC-" "Correct entity, wrong SNOMED ID","(3403, 3405)","(3403, 3405)",Mg,Mg,271285000,258684004,15531886-DS-12,"9 AnGap-11 ___ 03:00PM BLOOD Calcium-9.2 Phos-3.5 Mg-2.1 DISCHARGE LABS ___ 08:40AM BLOOD WBC-7.6 RBC" "Correct entity, wrong SNOMED ID","(3444, 3447)","(3444, 3447)",WBC,WBC,767002,391558003,15531886-DS-12,"Phos-3.5 Mg-2.1 DISCHARGE LABS ___ 08:40AM BLOOD WBC-7.6 RBC-3.49* Hgb-10.9* Hct-33.7* MCV-97 MCH-31." "Correct entity, wrong SNOMED ID","(3452, 3455)","(3452, 3455)",RBC,RBC,14089001,258759006,15531886-DS-12," Mg-2.1 DISCHARGE LABS ___ 08:40AM BLOOD WBC-7.6 RBC-3.49* Hgb-10.9* Hct-33.7* MCV-97 MCH-31.3 MCHC-3" "Correct entity, wrong SNOMED ID","(3462, 3465)","(3462, 3465)",Hgb,Hgb,441689006,104142005,15531886-DS-12,"ISCHARGE LABS ___ 08:40AM BLOOD WBC-7.6 RBC-3.49* Hgb-10.9* Hct-33.7* MCV-97 MCH-31.3 MCHC-32.4 RDW-13" "Correct entity, wrong SNOMED ID","(3472, 3475)","(3472, 3475)",Hct,Hct,28317006,282660005,15531886-DS-12,"ABS ___ 08:40AM BLOOD WBC-7.6 RBC-3.49* Hgb-10.9* Hct-33.7* MCV-97 MCH-31.3 MCHC-32.4 RDW-13.7 Plt ___" "Correct entity, wrong SNOMED ID","(3490, 3493)","(3490, 3493)",MCH,MCH,54706004,735147002,15531886-DS-12,"OOD WBC-7.6 RBC-3.49* Hgb-10.9* Hct-33.7* MCV-97 MCH-31.3 MCHC-32.4 RDW-13.7 Plt ___ ___ 08:40AM BLOOD" "Correct entity, wrong SNOMED ID","(3499, 3503)","(3499, 3503)",MCHC,MCHC,37254006,735147002,15531886-DS-12,".6 RBC-3.49* Hgb-10.9* Hct-33.7* MCV-97 MCH-31.3 MCHC-32.4 RDW-13.7 Plt ___ ___ 08:40AM BLOOD Glucose-1" "Correct entity, wrong SNOMED ID","(3509, 3512)","(3509, 3512)",RDW,RDW,66842004,735149004,15531886-DS-12,"9* Hgb-10.9* Hct-33.7* MCV-97 MCH-31.3 MCHC-32.4 RDW-13.7 Plt ___ ___ 08:40AM BLOOD Glucose-102* UreaN" "Correct entity, wrong SNOMED ID","(3544, 3551)","(3544, 3551)",Glucose,Glucose,33747003,72191006,15531886-DS-12,"31.3 MCHC-32.4 RDW-13.7 Plt ___ ___ 08:40AM BLOOD Glucose-102* UreaN-15 Creat-0.5 Na-133 K-3.8 Cl-95* HCO3" "Correct entity, wrong SNOMED ID","(3557, 3562)","(3557, 3562)",UreaN,UreaN,105011006,111108008,15531886-DS-12,"4 RDW-13.7 Plt ___ ___ 08:40AM BLOOD Glucose-102* UreaN-15 Creat-0.5 Na-133 K-3.8 Cl-95* HCO3-30 AnGap-1" "Correct entity, wrong SNOMED ID","(3566, 3571)","(3566, 3571)",Creat,Creat,70901006,365756002,15531886-DS-12,"7 Plt ___ ___ 08:40AM BLOOD Glucose-102* UreaN-15 Creat-0.5 Na-133 K-3.8 Cl-95* HCO3-30 AnGap-12 ___ 08:" "Correct entity, wrong SNOMED ID","(3576, 3578)","(3576, 3578)",Na,Na,312469006,257992007,15531886-DS-12,"___ 08:40AM BLOOD Glucose-102* UreaN-15 Creat-0.5 Na-133 K-3.8 Cl-95* HCO3-30 AnGap-12 ___ 08:40AM BL" "Correct entity, wrong SNOMED ID","(3590, 3592)","(3590, 3592)",Cl,Cl,104589004,311741002,15531886-DS-12,"OOD Glucose-102* UreaN-15 Creat-0.5 Na-133 K-3.8 Cl-95* HCO3-30 AnGap-12 ___ 08:40AM BLOOD Calcium-9." "Correct entity, wrong SNOMED ID","(3597, 3601)","(3597, 3601)",HCO3,HCO3,312471006,88645003,15531886-DS-12,"cose-102* UreaN-15 Creat-0.5 Na-133 K-3.8 Cl-95* HCO3-30 AnGap-12 ___ 08:40AM BLOOD Calcium-9.4 Phos-3." "Correct entity, wrong SNOMED ID","(3605, 3610)","(3605, 3610)",AnGap,AnGap,25469001,124504004,15531886-DS-12,"* UreaN-15 Creat-0.5 Na-133 K-3.8 Cl-95* HCO3-30 AnGap-12 ___ 08:40AM BLOOD Calcium-9.4 Phos-3.4 Mg-1.7 " "Correct entity, wrong SNOMED ID","(3632, 3639)","(3632, 3639)",Calcium,Calcium,312472004,108601004,15531886-DS-12," K-3.8 Cl-95* HCO3-30 AnGap-12 ___ 08:40AM BLOOD Calcium-9.4 Phos-3.4 Mg-1.7 No microbiology data. Patho" "Correct entity, wrong SNOMED ID","(3644, 3648)","(3644, 3648)",Phos,Phos,104868000,168075002,15531886-DS-12,"5* HCO3-30 AnGap-12 ___ 08:40AM BLOOD Calcium-9.4 Phos-3.4 Mg-1.7 No microbiology data. Pathology from" "Correct entity, wrong SNOMED ID","(3653, 3655)","(3653, 3655)",Mg,Mg,271285000,258684004,15531886-DS-12,"0 AnGap-12 ___ 08:40AM BLOOD Calcium-9.4 Phos-3.4 Mg-1.7 No microbiology data. Pathology from ___ br" Missed entity,"(3664, 3676)",,microbiology,,269934003,,15531886-DS-12,"___ 08:40AM BLOOD Calcium-9.4 Phos-3.4 Mg-1.7 No microbiology data. Pathology from ___ bronch with FNA and bio" Wrong span,"(3715, 3729)","(3715, 3718)",FNA and biopsy,FNA,48635004,257759008,15531886-DS-12,"icrobiology data. Pathology from ___ bronch with FNA and biopsy PENDING IMAGING: ___ CT ABD/PELVIS FOR RE-STAGIN" Wrong span,"(3752, 3765)","(3759, 3765)",CT ABD/PELVIS,PELVIS,419394006,229326000,15531886-DS-12," bronch with FNA and biopsy PENDING IMAGING: ___ CT ABD/PELVIS FOR RE-STAGING: IMPRESSION: 1. Multiple hepatic" "Correct entity, wrong SNOMED ID","(3808, 3823)","(3808, 3823)",hepatic lesions,hepatic lesions,300331000,449404007,15531886-DS-12,"/PELVIS FOR RE-STAGING: IMPRESSION: 1. Multiple hepatic lesions have increased in size and number from the prior" Missed entity,"(3829, 3846)",,increased in size,,15454001,,15531886-DS-12,"G: IMPRESSION: 1. Multiple hepatic lesions have increased in size and number from the prior study consistent with " "Correct entity, wrong SNOMED ID","(3906, 3925)","(3906, 3925)","metastatic disease","metastatic disease",128462008,1279908003,15531886-DS-12,"r from the prior study consistent with worsening metastatic disease 2. There has been interval progression of osseou" "Correct entity, wrong SNOMED ID","(3969, 3987)","(3969, 3987)",osseous metastases,osseous metastases,94222008,409745001,15531886-DS-12,"isease 2. There has been interval progression of osseous metastases with a new lesion at T10 and an enlarged lesion " "Correct entity, wrong SNOMED ID","(4000, 4006)","(4000, 4006)",lesion,lesion,52988006,120609008,15531886-DS-12,"val progression of osseous metastases with a new lesion at T10 and an enlarged lesion involving T12. 3. " Missed entity,"(4010, 4013)",,T10,,7610001,,15531886-DS-12,"ssion of osseous metastases with a new lesion at T10 and an enlarged lesion involving T12. 3. Right h" "Correct entity, wrong SNOMED ID","(4030, 4036)","(4030, 4036)",lesion,lesion,52988006,120609008,15531886-DS-12,"astases with a new lesion at T10 and an enlarged lesion involving T12. 3. Right hilar/ infrahilar mass a" Missed entity,"(4047, 4050)",,T12,,23215003,,15531886-DS-12,"ew lesion at T10 and an enlarged lesion involving T12. 3. Right hilar/ infrahilar mass adjacent to the" Wrong span,"(4056, 4078)","(4056, 4061)",Right hilar/ infrahila,Right,88838000,225794002,15531886-DS-12," at T10 and an enlarged lesion involving T12. 3. Right hilar/ infrahilar mass adjacent to the right heart border is only" "Correct entity, wrong SNOMED ID","(4080, 4084)","(4080, 4084)",mass,mass,786838002,237557003,15531886-DS-12,"lesion involving T12. 3. Right hilar/ infrahilar mass adjacent to the right heart border is only parti" "Correct entity, wrong SNOMED ID","(4101, 4112)","(4101, 4112)",right heart,right heart,79561009,40403005,15531886-DS-12," 3. Right hilar/ infrahilar mass adjacent to the right heart border is only partially imaged but appears incr" Missed entity,"(4158, 4175)",,increased in size,,15454001,,15531886-DS-12,"eart border is only partially imaged but appears increased in size from the recent chest CT. ___ CXR AFTER BRONCH" "Correct entity, wrong SNOMED ID","(4348, 4357)","(4348, 4357)",perihilar,perihilar,63907008,201508005,15531886-DS-12,"s little overall change. Again there is a large perihilar mass with extension along the right paratracheal" "Correct entity, wrong SNOMED ID","(4358, 4362)","(4358, 4362)",mass,mass,4147007,237557003,15531886-DS-12,"overall change. Again there is a large perihilar mass with extension along the right paratracheal regi" Wrong span,"(4395, 4407)","(4389, 4407)",paratracheal,right paratracheal,279818001,1268787005,15531886-DS-12,"ge perihilar mass with extension along the right paratracheal region. Continued elevation of the right hemidi" Wrong span,"(4445, 4450)","(4445, 4468)",right,right hemidiaphragmatic,3341006,417458000,15531886-DS-12,"paratracheal region. Continued elevation of the right hemidiaphragmatic contour with minimal atelectat" Wrong span,"(4491, 4502)","(4491, 4510)",atelectatic,atelectatic changes,46621007,67782005,15531886-DS-12,"the right hemidiaphragmatic contour with minimal atelectatic changes. The left lung remains essentially clear" "Correct entity, wrong SNOMED ID","(4517, 4526)","(4517, 4526)",left lung,left lung,44029006,10631000,15531886-DS-12,"c contour with minimal atelectatic changes. The left lung remains essentially clear. BRONCHOSCOPY REPORT:" Missed entity,"(4556, 4568)",,BRONCHOSCOPY,,10847001,,15531886-DS-12,"nges. The left lung remains essentially clear. BRONCHOSCOPY REPORT: ___ Airways examined with flexible bronch" "Correct entity, wrong SNOMED ID","(4652, 4663)","(4652, 4663)",compression,compression,71173004,234069007,15531886-DS-12," flexible bronchoscope revealing moderate-severe compression of distal trachea and proximal LMSB and RMSB. RU" "Correct entity, wrong SNOMED ID","(4674, 4681)","(4674, 4681)",trachea,trachea,44567001,35555009,15531886-DS-12," revealing moderate-severe compression of distal trachea and proximal LMSB and RMSB. RUL was completely o" "Correct entity, wrong SNOMED ID","(4695, 4699)","(4695, 4699)",LMSB,LMSB,75245000,264663000,15531886-DS-12,"severe compression of distal trachea and proximal LMSB and RMSB. RUL was completely occluded. Flexible " "Correct entity, wrong SNOMED ID","(4705, 4709)","(4705, 4709)",RMSB,RMSB,70074004,14269005,15531886-DS-12,"pression of distal trachea and proximal LMSB and RMSB. RUL was completely occluded. Flexible bronchosco" "Correct entity, wrong SNOMED ID","(4711, 4714)","(4711, 4714)",RUL,RUL,42400003,65826004,15531886-DS-12,"on of distal trachea and proximal LMSB and RMSB. RUL was completely occluded. Flexible bronchoscope r" Wrong span,"(4719, 4738)","(4730, 4738)",completely occluded,occluded,50173008,172310003,15531886-DS-12,"stal trachea and proximal LMSB and RMSB. RUL was completely occluded. Flexible bronchoscope removed and flexible scop" "Correct entity, wrong SNOMED ID","(4826, 4838)","(4826, 4838)",paratracheal,paratracheal,279818001,65690001,15531886-DS-12,"lexible scope with EBUS inserted and advanced to paratracheal mass where multiple TBNA were performed using 21" "Correct entity, wrong SNOMED ID","(4839, 4843)","(4839, 4843)",mass,mass,4147007,237557003,15531886-DS-12," with EBUS inserted and advanced to paratracheal mass where multiple TBNA were performed using 21gauge" "Correct entity, wrong SNOMED ID","(4930, 4938)","(4930, 4938)",tracheal,tracheal,44567001,303417002,15531886-DS-12,"sing 21gauge and 18 gauge needles. Next proximal tracheal and distal RMSB borders of mass were marked usin" "Correct entity, wrong SNOMED ID","(4951, 4955)","(4951, 4955)",RMSB,RMSB,70074004,14269005,15531886-DS-12,"gauge needles. Next proximal tracheal and distal RMSB borders of mass were marked using TBNA needle via" "Correct entity, wrong SNOMED ID","(4967, 4971)","(4967, 4971)",mass,mass,4147007,237557003,15531886-DS-12,"ext proximal tracheal and distal RMSB borders of mass were marked using TBNA needle via EBUS scope. Fi" Missed entity,"(5051, 5056)",,stent,,103716009,,15531886-DS-12," via EBUS scope. Finally a 16X13X13mm silicone Y stent was deployed with following ___ - tracheal limb " "Correct entity, wrong SNOMED ID","(5092, 5100)","(5092, 5100)",tracheal,tracheal,44567001,35555009,15531886-DS-12,"licone Y stent was deployed with following ___ - tracheal limb = 4cm, LMSB limb = 2.5cm, RMSb limb = 3.5cm" Missed entity,"(5113, 5117)",,LMSB,,75245000,,15531886-DS-12,"ployed with following ___ - tracheal limb = 4cm, LMSB limb = 2.5cm, RMSb limb = 3.5cm with RUL take of" Wrong span,"(5133, 5137)","(5133, 5134)",RMSb,R,70074004,420274006,15531886-DS-12,"ng ___ - tracheal limb = 4cm, LMSB limb = 2.5cm, RMSb limb = 3.5cm with RUL take off @ 2.5cm. Rigid sco" Boundary error,"(5156, 5159)","(5156, 5157)",RUL,R,42400003,420274006,15531886-DS-12,"= 4cm, LMSB limb = 2.5cm, RMSb limb = 3.5cm with RUL take off @ 2.5cm. Rigid scope removed and exchan" "Correct entity, wrong SNOMED ID","(5288, 5292)","(5288, 5292)",SCLC,SCLC,254632001,254637007,15531886-DS-12,"al Course: ___ year old female, with h/o stage IV SCLC of neuroendocrine origin, known to be metastatic" Wrong span,"(5332, 5351)","(5332, 5342)",metastatic to liver,metastatic,1251486007,264860004,15531886-DS-12,"ge IV SCLC of neuroendocrine origin, known to be metastatic to liver and abdominal LN, s/p 6 cycles of carboplatin/et" Wrong span,"(5356, 5365)","(5356, 5368)",abdominal,abdominal LN,818983003,234255004,15531886-DS-12,"rine origin, known to be metastatic to liver and abdominal LN, s/p 6 cycles of carboplatin/etoposide (last " "Correct entity, wrong SNOMED ID","(5444, 5451)","(5444, 5451)",dyspnea,dyspnea,267036007,60845006,15531886-DS-12,"atin/etoposide (last dose ___ who presented with dyspnea and cancer progression. # Dyspnea: Likely rela" Wrong span,"(5456, 5462)","(5456, 5474)",cancer,cancer progression,1240414004,1371415000,15531886-DS-12,"de (last dose ___ who presented with dyspnea and cancer progression. # Dyspnea: Likely related to prog" "Correct entity, wrong SNOMED ID","(5481, 5488)","(5481, 5488)",Dyspnea,Dyspnea,267036007,60845006,15531886-DS-12,"sented with dyspnea and cancer progression. # Dyspnea: Likely related to progression of her lung cancer" "Correct entity, wrong SNOMED ID","(5527, 5538)","(5527, 5538)",lung cancer,lung cancer,363358000,162573006,15531886-DS-12," # Dyspnea: Likely related to progression of her lung cancer, since it appears to be larger on ___ CT chest a" Wrong span,"(5602, 5613)","(5602, 5610)",obstructing,obstruct,26036001,125219006,15531886-DS-12,"pears to be larger on ___ CT chest and partially obstructing the upper airways/trachea. She underwent bronch" "Correct entity, wrong SNOMED ID","(5618, 5631)","(5618, 5631)",upper airways,upper airways,58675001,201060008,15531886-DS-12,"er on ___ CT chest and partially obstructing the upper airways/trachea. She underwent bronchoscopy on ___ and " "Correct entity, wrong SNOMED ID","(5632, 5639)","(5632, 5639)",trachea,trachea,44567001,35555009,15531886-DS-12,"hest and partially obstructing the upper airways/trachea. She underwent bronchoscopy on ___ and they pla" "Correct entity, wrong SNOMED ID","(5657, 5669)","(5657, 5669)",bronchoscopy,bronchoscopy,10847001,69621000052107,15531886-DS-12,"ucting the upper airways/trachea. She underwent bronchoscopy on ___ and they placed a stent in her trachea to" Wrong span,"(5686, 5700)","(5695, 5700)",placed a stent,stent,103716009,1287503001,15531886-DS-12,"hea. She underwent bronchoscopy on ___ and they placed a stent in her trachea to relieve the compression. Re-s" "Correct entity, wrong SNOMED ID","(5708, 5715)","(5708, 5715)",trachea,trachea,44567001,35555009,15531886-DS-12,"ronchoscopy on ___ and they placed a stent in her trachea to relieve the compression. Re-staging CT abdom" "Correct entity, wrong SNOMED ID","(5732, 5743)","(5732, 5743)",compression,compression,71173004,234069007,15531886-DS-12,"hey placed a stent in her trachea to relieve the compression. Re-staging CT abdomen/pelvis showed increased " Wrong span,"(5757, 5774)","(5757, 5767)",CT abdomen/pelvis,CT abdomen,419394006,169070004,15531886-DS-12," trachea to relieve the compression. Re-staging CT abdomen/pelvis showed increased size and new liver mets and add" Missed entity,"(5783, 5797)",,increased size,,15454001,,15531886-DS-12,"ompression. Re-staging CT abdomen/pelvis showed increased size and new liver mets and additional new mets in the" "Correct entity, wrong SNOMED ID","(5806, 5816)","(5806, 5816)",liver mets,liver mets,1251486007,426989003,15531886-DS-12," CT abdomen/pelvis showed increased size and new liver mets and additional new mets in the vertebra as well." Wrong span,"(5836, 5857)","(5836, 5840)","mets in the vertebra",mets,94602001,15244003,15531886-DS-12,"reased size and new liver mets and additional new mets in the vertebra as well. Given the progression of her cancer, sh" "Correct entity, wrong SNOMED ID","(5897, 5903)","(5897, 5903)",cancer,cancer,1240414004,870711002,15531886-DS-12," vertebra as well. Given the progression of her cancer, she was set up to start erlotinib with her loca" Missed entity,"(6019, 6029)",,nebulizers,,56251003,,15531886-DS-12,". ___. She was discharged with n-acetylcysteine nebulizers BID for 1 week to help her secretions get out pa" "Correct entity, wrong SNOMED ID","(6130, 6149)","(6130, 6149)",Lumbar disc disease,Lumbar disc disease,443700006,311211000119105,15531886-DS-12,"t the new stent. # GERD: continued home PPI # Lumbar disc disease: continued home pain control regimen with ultra" Wrong span,"(6167, 6179)","(6167, 6187)",pain control,pain control regimen,225782006,408957008,15531886-DS-12,"home PPI # Lumbar disc disease: continued home pain control regimen with ultram prn # Anxiety: continued ho" Wrong span,"(6180, 6187)","(6167, 6187)",regimen,pain control regimen,133877004,408957008,15531886-DS-12,"Lumbar disc disease: continued home pain control regimen with ultram prn # Anxiety: continued home sertr" "Correct entity, wrong SNOMED ID","(6208, 6215)","(6208, 6215)",Anxiety,Anxiety,48694002,286644009,15531886-DS-12,"ued home pain control regimen with ultram prn # Anxiety: continued home sertraline # constipation: contin" "Correct entity, wrong SNOMED ID","(6245, 6257)","(6245, 6257)",constipation,constipation,14760008,236069009,15531886-DS-12,"ltram prn # Anxiety: continued home sertraline # constipation: continued docusate, senna, MOM TRANSITIONAL ISS" "Correct entity, wrong SNOMED ID","(6352, 6363)","(6352, 6363)",lung cancer,lung cancer,363358000,162573006,15531886-DS-12,"L ISSUES: - Needs to start on erlotinib for EGFR+ lung cancer. Medications on Admission: The Preadmission M" Wrong span,"(8603, 8605)","(8597, 8605)",IV,stage IV,386340006,2640006,15531886-DS-12,"ge Disposition: Home Discharge Diagnosis: stage IV small cell lung cancer Discharge Condition: Me" "Correct entity, wrong SNOMED ID","(8606, 8628)","(8606, 8628)",small cell lung cancer,small cell lung cancer,254632001,254637007,15531886-DS-12,"Disposition: Home Discharge Diagnosis: stage IV small cell lung cancer Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(8653, 8666)","(8653, 8666)",Mental Status,Mental Status,392257007,419284004,15531886-DS-12,"IV small cell lung cancer Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(8668, 8673)","(8668, 8673)",Clear,Clear,830123008,281278005,15531886-DS-12,"ung cancer Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(8688, 8710)","(8688, 8710)",Level of Consciousness,Level of Consciousness,444714004,830285008,15531886-DS-12,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(8712, 8717)","(8712, 8717)",Alert,Alert,248234008,409787004,15531886-DS-12,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(8722, 8733)","(8722, 8733)",interactive,interactive,288577006,10301000202103,15531886-DS-12,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(8735, 8750)","(8735, 8750)",Activity Status,Activity Status,129676008,397622007,15531886-DS-12,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(8752, 8776)","(8752, 8776)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,15531886-DS-12,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, It was" "Correct entity, wrong SNOMED ID","(8913, 8922)","(8913, 8922)",worsening,worsening,271299001,170597008,15531886-DS-12,"_. You were admitted to the hospital because of worsening shortness of breath. Your labs and chest x-ray s" "Correct entity, wrong SNOMED ID","(8923, 8942)","(8923, 8942)",shortness of breath,shortness of breath,267036007,135833008,15531886-DS-12,"re admitted to the hospital because of worsening shortness of breath. Your labs and chest x-ray showed no evidence o" "Correct entity, wrong SNOMED ID","(8950, 8954)","(8950, 8954)",labs,labs,15220000,415259005,15531886-DS-12," because of worsening shortness of breath. Your labs and chest x-ray showed no evidence of infection." "Correct entity, wrong SNOMED ID","(8979, 8990)","(8979, 8990)",no evidence,no evidence,281900007,41647002,15531886-DS-12,"ess of breath. Your labs and chest x-ray showed no evidence of infection. Your last CT image showed progress" "Correct entity, wrong SNOMED ID","(8994, 9003)","(8994, 9003)",infection,infection,40733004,102919003,15531886-DS-12," Your labs and chest x-ray showed no evidence of infection. Your last CT image showed progression of your " Wrong span,"(9016, 9018)","(9016, 9024)",CT,CT image,77477000,312251004,15531886-DS-12,"-ray showed no evidence of infection. Your last CT image showed progression of your lung mass and o" "Correct entity, wrong SNOMED ID","(9053, 9062)","(9053, 9062)",lung mass,lung mass,309529002,232631002,15531886-DS-12,". Your last CT image showed progression of your lung mass and obstruction of your airway. You were evalua" Wrong span,"(9067, 9078)","(9067, 9093)",obstruction,obstruction of your airway,26036001,248553004,15531886-DS-12,"T image showed progression of your lung mass and obstruction of your airway. You were evaluated by the Inter" Wrong span,"(9087, 9093)","(9067, 9093)",airway,obstruction of your airway,89187006,248553004,15531886-DS-12,"ession of your lung mass and obstruction of your airway. You were evaluated by the Interventional Pulmo" "Correct entity, wrong SNOMED ID","(9106, 9115)","(9106, 9115)",evaluated,evaluated,386053000,39609006,15531886-DS-12,"g mass and obstruction of your airway. You were evaluated by the Interventional Pulmonary team who placed a" Wrong span,"(9157, 9172)","(9167, 9172)","placed a stent",stent,103716009,1287503001,15531886-DS-12,"valuated by the Interventional Pulmonary team who placed a stent in your airway and performed a biopsy. You will " "Correct entity, wrong SNOMED ID","(9204, 9210)","(9204, 9210)",biopsy,biopsy,86273004,48635004,15531886-DS-12,"ho placed a stent in your airway and performed a biopsy. You will be going home with inhaled mucomyst. " Missed entity,"(9329, 9347)",,"take deep breaths",,289098008,,15531886-DS-12,"o do each treatment for as long as you can and to take deep breaths in and out during each treatment. We also starte" "Correct entity, wrong SNOMED ID","(9499, 9505)","(9499, 9505)",sleepy,sleepy,271782001,248262001,15531886-DS-12,"ou should not take these medications if you feel sleepy, with alcohol, or when operating any machinery. " "Correct entity, wrong SNOMED ID","(9598, 9610)","(9598, 9610)",constipation,constipation,14760008,236069009,15531886-DS-12,"inery. Because these pain medications can cause constipation, you will also need to continue stool softeners " "Correct entity, wrong SNOMED ID","(9643, 9659)","(9643, 9659)","stool softeners","stool softeners",225948006,702118001,15531886-DS-12,"ause constipation, you will also need to continue stool softeners when you return home. Please follow-up with your" False positive,,"(603, 611)",,worsened,,271299001,15807359-DS-28," for posterior neck pain/headache. The pain has worsened over one week and radiates down both shoulders. " False positive,,"(668, 676)",,worsened,,271299001,15807359-DS-28,"ne week and radiates down both shoulders. It is worsened by movement including sneezing or coughing. The" False positive,,"(680, 688)",,movement,,249040004,15807359-DS-28,"radiates down both shoulders. It is worsened by movement including sneezing or coughing. The pain has fa" False positive,,"(837, 853)",,difficulty going,,289084000,15807359-DS-28,"ofen, and low doses of oxycodone. He denies any difficulty going to the bathroom other than chronic urinary hesit" False positive,,"(1077, 1082)",,worse,,280122007,15807359-DS-28,"s concerning for progression. He notes a subtle worsening of diplopia due to a VI nerve palsy. He is a" False positive,,"(1137, 1145)",,unsteady,,67374007,15807359-DS-28,"of diplopia due to a VI nerve palsy. He is also unsteady, but this is chronic. He is no longer taking ste" False positive,,"(1351, 1353)",,IV,,258000009,15807359-DS-28,"g, morphine 5mg IV, hydromorphone 1mg IV, and 1L IV normal saline. CT head showed unchanged extracr" False positive,,"(1354, 1367)",,normal saline,,5421000124103,15807359-DS-28,"morphine 5mg IV, hydromorphone 1mg IV, and 1L IV normal saline. CT head showed unchanged extracranial occipita" False positive,,"(2527, 2534)",,reddish,,20181000284101,15807359-DS-28,"ue to insurance reasons. ___ Colonoscopy showed a reddish lesion distal to the anastomosis; biopsy could no" False positive,,"(3146, 3154)",,WoundVac,,225121009,15807359-DS-28,"fection (Bacteroides, GBS) requiring antibiotics, WoundVac, debridement on ___, and eventually reconstructiv" False positive,,"(3724, 3732)",,solitary,,248105008,15807359-DS-28,"__: Underwent RLL lobectomy, by Dr. ___. A 1.8cm solitary metastasis was removed with negative margins. At" False positive,,"(4338, 4347)",,enhancing,,386416002,15807359-DS-28,"cc total tumor volume. ___: Brain MRI: small ring-enhancing lesion in the left cerebellar hemisphere and lept" False positive,,"(4393, 4407)",,leptomeningeal,,362303006,15807359-DS-28,"cing lesion in the left cerebellar hemisphere and leptomeningeal enhancement, suspicious for leptomeningeal carcin" False positive,,"(4472, 4477)",,WBXRT,,248353000,15807359-DS-28,"uspicious for leptomeningeal carcinomatosis. ___: WBXRT to a total dose of 3000cGy ___: CK treatment to n" False positive,,"(4589, 4592)",,neo,,1148754001,15807359-DS-28," lesion . Other PMHx: - Rectal adenocarcinoma s/p neoadjuvant chemoXRT followed by proctectomy then AP" False positive,,"(4601, 4609)",,chemoXRT,,161653008,15807359-DS-28,"her PMHx: - Rectal adenocarcinoma s/p neoadjuvant chemoXRT followed by proctectomy then APR for recurrence," False positive,,"(4648, 4658)",,recurrence,,25173007,15807359-DS-28,"nt chemoXRT followed by proctectomy then APR for recurrence, cyberknife to chest. - Bilateral myringostomy, u" False positive,,"(4819, 4825)",,passed,,289574008,15807359-DS-28,"mily history of colorectal carcinoma. His mother passed away of liver disease, alcohol related, and an u" False positive,,"(5220, 5227)",,C-spine,,122495006,15807359-DS-28,"s in place. Neck: Supple, no JVD, no thyromegaly, C-spine non-tender. Lymph nodes: No cervical, supraclavic" False positive,,"(5286, 5294)",,inguinal,,186946009,15807359-DS-28,"er. Lymph nodes: No cervical, supraclavicular, or inguinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP:" False positive,,"(5304, 5306)",,S1,,82609006,15807359-DS-28,"o cervical, supraclavicular, or inguinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Good air mo" False positive,,"(5345, 5349)",,Good,,247663003,15807359-DS-28,"LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Good air movement bilaterally, diffuse wheezing. BACK:" False positive,,"(5394, 5398)",,BACK,,211042000,15807359-DS-28," Good air movement bilaterally, diffuse wheezing. BACK: No spine, rib, or iliac tenderness. ABD: Soft, N" False positive,,"(5508, 5517)",,lower leg,,75144006,15807359-DS-28,"HSM, + bowel sounds, colostomy in place. EXTR: No lower leg edema, no calf tenderness. DERM: No rash. Neuro: " False positive,,"(5528, 5532)",,calf,,281792000,15807359-DS-28," colostomy in place. EXTR: No lower leg edema, no calf tenderness. DERM: No rash. Neuro: Strength ___ th" False positive,,"(5567, 5569)",,St,,51811007,15807359-DS-28," edema, no calf tenderness. DERM: No rash. Neuro: Strength ___ throughout, sensation normal to touch, " False positive,,"(5962, 5966)",,back,,37822005,15807359-DS-28,"ar. Right eye CN6 deficit. Neck with incision on back c/d/i CARDIAC: RRR, normal S1/S2 LUNG: CTAB, no " False positive,,"(6070, 6079)",,portacath,,433790003,15807359-DS-28,"zes, rales, rhonchi, breathing comfortably. Left portacath visible with no signs of infection. ABDOMEN: Nont" False positive,,"(6203, 6209)",,weaker,,13791008,15807359-DS-28,", left colostomy bag with gas EXTREMITIES: RUE weaker than LUE. RLE and LLE appear similar in strength" False positive,,"(6536, 6539)",,MCH,,735147002,15807359-DS-28," BLOOD WBC-7.9 RBC-4.60 Hgb-14.9 Hct-43.6 MCV-95 MCH-32.3* MCHC-34.1 RDW-13.5 Plt ___ ___ 06:45AM BLOO" False positive,,"(6627, 6630)",,Eos,,67099000,15807359-DS-28,"06:45AM BLOOD Neuts-76.4* Lymphs-13.9* Monos-6.6 Eos-2.3 Baso-0.8 ___ 06:45AM BLOOD ___ PTT-39.7* ___ " False positive,,"(6803, 6806)",,MRI,,1144760005,15807359-DS-28,"21* AnGap-22* ___ 06:55AM BLOOD Lactate-1.9 . ___ MRI BRAIN: IMPRESSION: 1. Patient with known history" False positive,,"(6942, 6949)",,nodular,,263888000,15807359-DS-28,"s post resection of a left cerebellar metastasis, nodular meningeal-based enhancing soft tissue in the res" False positive,,"(7122, 7131)",,enhancing,,386416002,15807359-DS-28,"repontine cisternal and upper cervical intradural enhancing lesions have slightly increased in size, compare" False positive,,"(7985, 7994)",,posterior,,289784006,15807359-DS-28,"Intradural extramedullary C2-C3 lesion along the posterior aspect of the spinal canal, causing mass effect " False positive,,"(8270, 8289)",,cavoatrial junction,,726335002,15807359-DS-28,"left Port-A-Cath catheter tip is at the level of cavoatrial junction. Heart size and mediastinum are grossly unchang" False positive,,"(8566, 8573)",,lateral,,1230179009,15807359-DS-28,"limited intraoperative fluoroscopic image of the lateral cervical spine is submitted for review. Only th" False positive,,"(8835, 8838)",,CXR,,399208008,15807359-DS-28," details, please see the operative report. ___ CXR: FINDINGS: Interval placement of endotracheal tu" False positive,,"(9060, 9063)",,gas,,111132001,15807359-DS-28," recent cervical spine surgery with extension of gas from the lower neck into the mediastinum. The h" False positive,,"(9172, 9180)",,surgical,,274071003,15807359-DS-28," is normal. Within the lungs, a note is made of surgical clips in the right mid lung region as well as mi" False positive,,"(9534, 9541)",,lateral,,1230179009,15807359-DS-28,"limited intraoperative fluoroscopic image of the lateral cervical spine is submitted for review. Only the" False positive,,"(10068, 10071)",,Dec,,259042002,15807359-DS-28,"se. ___ NON CONTRAST HEAD CT: IMPRESSION: 1. Decreased postsurgical pneumocephalus. 2. No evidenc" False positive,,"(10274, 10276)",,di,,11038000,15807359-DS-28,"stable right prepontine mass. 3. Unchanged mild diffuse ventriculomegaly. ___: CXR The Port-A-Ca" False positive,,"(10429, 10437)",,elevated,,50177009,15807359-DS-28,"Heart size and mediastinum are unremarkable. The elevated right hemidiaphragm is unchanged. Lungs are ess" False positive,,"(11058, 11062)",,left,,264745005,15807359-DS-28,"nocarcinoma to lung and CNS diagnosed in ___ s/p left suboccipital craniectomy in ___, cyberknife, and" False positive,,"(11142, 11151)",,posterior,,289784006,15807359-DS-28,"___, cyberknife, and whole brain XRT admitted for posterior neck pain, headaches, bilateral UE weakness righ" False positive,,"(11298, 11306)",,negative,,268375009,15807359-DS-28,"fingers. Repeat brain MRI ___ this admission was negative for progression. On ___ the patient developed ra" False positive,,"(11498, 11500)",,C2,,81170007,15807359-DS-28,"cord compression. A C spine MRI confirmed large C2-3 posterior epidural lesion with significant can" False positive,,"(11503, 11512)",,posterior,,289784006,15807359-DS-28,"compression. A C spine MRI confirmed large C2-3 posterior epidural lesion with significant canal stenosis." False positive,,"(12327, 12340)",,deterioration,,225581002,15807359-DS-28," and C2/C3 cord compression: Patient had worsened deterioration on ___ which was worrisome for cord compression" False positive,,"(12465, 12473)",,worsened,,271299001,15807359-DS-28,"I ___ shows cord compression C2/C3. RUE weakness worsened with new LUE pain and weakness over the next days" False positive,,"(13670, 13678)",,no acute,,1092461000119104,15807359-DS-28,"y retention on ___. MRI of thoracic spine showed no acute changes and urinary retention self resolved with" False positive,,"(14743, 14755)",,chemotherapy,,266719004,15807359-DS-28,"Y Please take 4 mg on morning of appointment for chemotherapy (___) 11. Hydrocortisone 25 mg IT Days 1, 8, 15" False positive,,"(15322, 15332)",,wheelchair,,386428005,15807359-DS-28,"y Status: Out of Bed with assistance to chair or wheelchair. Discharge Instructions: Dear Mr. ___, It was" False positive,,"(15485, 15497)",,back of your,,424476000,15807359-DS-28,"ospitalization. You were admitted for pain at the back of your head and neck. A brain MRI showed no change in " False positive,,"(15499, 15503)",,head,,1230043004,15807359-DS-28,". You were admitted for pain at the back of your head and neck. A brain MRI showed no change in your p" False positive,,"(15534, 15536)",,no,,160552003,15807359-DS-28," back of your head and neck. A brain MRI showed no change in your previously treated brain metastas" "Correct entity, wrong SNOMED ID","(183, 192)","(183, 192)",Ibuprofen,Ibuprofen,293619005,38268001,15807359-DS-28," Sex: M Service: NEUROLOGY Allergies: Ibuprofen / Aleve / Naprosyn Attending: ___. Chief Comp" "Correct entity, wrong SNOMED ID","(195, 200)","(195, 200)",Aleve,Aleve,293625009,226501009,15807359-DS-28," M Service: NEUROLOGY Allergies: Ibuprofen / Aleve / Naprosyn Attending: ___. Chief Complaint: P" Missed entity,"(203, 211)",,Naprosyn,,293625009,,15807359-DS-28,"vice: NEUROLOGY Allergies: Ibuprofen / Aleve / Naprosyn Attending: ___. Chief Complaint: Posterior ne" Wrong span,"(259, 268)","(249, 268)",neck pain,Posterior neck pain,81680005,1162314004,15807359-DS-28,"yn Attending: ___. Chief Complaint: Posterior neck pain/headache, metastatic rectal cancer. Major Surgi" "Correct entity, wrong SNOMED ID","(269, 277)","(269, 277)",headache,headache,25064002,267096005,15807359-DS-28,"ding: ___. Chief Complaint: Posterior neck pain/headache, metastatic rectal cancer. Major Surgical or In" Wrong span,"(279, 289)","(279, 303)",metastatic,metastatic rectal cancer,128462008,94513006,15807359-DS-28," Chief Complaint: Posterior neck pain/headache, metastatic rectal cancer. Major Surgical or Invasive Proce" Wrong span,"(290, 303)","(279, 303)",rectal cancer,metastatic rectal cancer,363351006,94513006,15807359-DS-28,"mplaint: Posterior neck pain/headache, metastatic rectal cancer. Major Surgical or Invasive Procedure: C2-C5 La" Wrong span,"(345, 362)","(345, 347)",C2-C5 Laminectomy,C2,445429009,81170007,15807359-DS-28,"l cancer. Major Surgical or Invasive Procedure: C2-C5 Laminectomy with tumor decompression ___ Omaya placement for " Wrong span,"(368, 373)","(368, 387)",tumor,tumor decompression,230995000,712999003,15807359-DS-28,"cal or Invasive Procedure: C2-C5 Laminectomy with tumor decompression ___ Omaya placement for intrathecal" Wrong span,"(374, 387)","(368, 387)",decompression,tumor decompression,10836008,712999003,15807359-DS-28," Invasive Procedure: C2-C5 Laminectomy with tumor decompression ___ Omaya placement for intrathecal chemotherapy." "Correct entity, wrong SNOMED ID","(392, 407)","(392, 407)",Omaya placement,Omaya placement,4213001,414611008,15807359-DS-28,"e: C2-C5 Laminectomy with tumor decompression ___ Omaya placement for intrathecal chemotherapy. History of Prese" Wrong span,"(412, 436)","(412, 423)",intrathecal chemotherapy,intrathecal,171765004,406188003,15807359-DS-28," with tumor decompression ___ Omaya placement for intrathecal chemotherapy. History of Present Illness: Mr. ___ is a ___ " Wrong span,"(505, 515)","(505, 525)",metastatic,metastatic rectal CA,128462008,94513006,15807359-DS-28,"sent Illness: Mr. ___ is a ___ year old male with metastatic rectal CA to brain and lung admitted for posteri" Wrong span,"(516, 525)","(505, 525)",rectal CA,metastatic rectal CA,363351006,94513006,15807359-DS-28,"s: Mr. ___ is a ___ year old male with metastatic rectal CA to brain and lung admitted for posterior neck pa" "Correct entity, wrong SNOMED ID","(530, 535)","(530, 535)",brain,brain,94225005,256860004,15807359-DS-28,"a ___ year old male with metastatic rectal CA to brain and lung admitted for posterior neck pain/headach" "Correct entity, wrong SNOMED ID","(540, 544)","(540, 544)",lung,lung,94391008,301232003,15807359-DS-28," old male with metastatic rectal CA to brain and lung admitted for posterior neck pain/headache. The " "Correct entity, wrong SNOMED ID","(568, 577)","(568, 577)",neck pain,neck pain,81680005,1121000119107,15807359-DS-28,"ctal CA to brain and lung admitted for posterior neck pain/headache. The pain has worsened over one week a" "Correct entity, wrong SNOMED ID","(578, 586)","(578, 586)",headache,headache,25064002,267096005,15807359-DS-28," brain and lung admitted for posterior neck pain/headache. The pain has worsened over one week and radiat" "Correct entity, wrong SNOMED ID","(594, 598)","(594, 598)",pain,pain,22253000,102570003,15807359-DS-28," admitted for posterior neck pain/headache. The pain has worsened over one week and radiates down both" "Correct entity, wrong SNOMED ID","(630, 638)","(630, 638)",radiates,radiates,9972008,161892003,15807359-DS-28,"adache. The pain has worsened over one week and radiates down both shoulders. It is worsened by movement" Missed entity,"(650, 659)",,shoulders,,16982005,,15807359-DS-28,"as worsened over one week and radiates down both shoulders. It is worsened by movement including sneezing o" "Correct entity, wrong SNOMED ID","(699, 707)","(699, 707)",sneezing,sneezing,76067001,129894004,15807359-DS-28," shoulders. It is worsened by movement including sneezing or coughing. The pain has failed to respond to " "Correct entity, wrong SNOMED ID","(712, 720)","(712, 720)",coughing,coughing,49727002,52673003,15807359-DS-28,"It is worsened by movement including sneezing or coughing. The pain has failed to respond to acetaminophen" "Correct entity, wrong SNOMED ID","(727, 731)","(727, 731)",pain,pain,22253000,102570003,15807359-DS-28,"by movement including sneezing or coughing. The pain has failed to respond to acetaminophen, aspirin," Missed entity,"(736, 753)",,failed to respond,,84190002,,15807359-DS-28,"nt including sneezing or coughing. The pain has failed to respond to acetaminophen, aspirin, ibuprofen, and low do" "Correct entity, wrong SNOMED ID","(773, 780)","(773, 780)",aspirin,aspirin,431463004,25796002,15807359-DS-28,"The pain has failed to respond to acetaminophen, aspirin, ibuprofen, and low doses of oxycodone. He denie" Wrong span,"(881, 888)","(881, 907)",chronic,"chronic urinary hesitancy",27624003,236650000,15807359-DS-28," any difficulty going to the bathroom other than chronic urinary hesitancy. Past brain mets have been tr" Wrong span,"(889, 907)","(881, 907)","urinary hesitancy","chronic urinary hesitancy",5972002,236650000,15807359-DS-28,"fficulty going to the bathroom other than chronic urinary hesitancy. Past brain mets have been treated with resectio" "Correct entity, wrong SNOMED ID","(915, 925)","(915, 925)",brain mets,brain mets,94225005,30057005,15807359-DS-28,"room other than chronic urinary hesitancy. Past brain mets have been treated with resection, cyberknife, an" "Correct entity, wrong SNOMED ID","(949, 958)","(949, 958)",resection,resection,1201979001,265414003,15807359-DS-28,"esitancy. Past brain mets have been treated with resection, cyberknife, and whole brain radiation. The las" Missed entity,"(961, 971)",,cyberknife,,429584001,,15807359-DS-28,"ast brain mets have been treated with resection, cyberknife, and whole brain radiation. The last MRI brain " Wrong span,"(983, 998)","(977, 998)",brain radiation,whole brain radiation,428412000,454541000124108,15807359-DS-28,"en treated with resection, cyberknife, and whole brain radiation. The last MRI brain ___ was concerning for prog" "Correct entity, wrong SNOMED ID","(1090, 1098)","(1090, 1098)",diplopia,diplopia,24982008,246655008,15807359-DS-28,"for progression. He notes a subtle worsening of diplopia due to a VI nerve palsy. He is also unsteady, b" "Correct entity, wrong SNOMED ID","(1159, 1166)","(1159, 1166)",chronic,chronic,27624003,234347009,15807359-DS-28,"I nerve palsy. He is also unsteady, but this is chronic. He is no longer taking steroids. In the ED, h" "Correct entity, wrong SNOMED ID","(1192, 1200)","(1192, 1200)",steroids,steroids,297279009,285435007,15807359-DS-28,"ady, but this is chronic. He is no longer taking steroids. In the ED, he was afebrile, HR 139-->85, 121/9" "Correct entity, wrong SNOMED ID","(1222, 1230)","(1222, 1230)",afebrile,afebrile,386661006,307200007,15807359-DS-28,"is no longer taking steroids. In the ED, he was afebrile, HR 139-->85, 121/90, RR 18, O2 sat 99%. He was" "Correct entity, wrong SNOMED ID","(1232, 1234)","(1232, 1234)",HR,HR,301113001,258702006,15807359-DS-28,"er taking steroids. In the ED, he was afebrile, HR 139-->85, 121/90, RR 18, O2 sat 99%. He was giv" "Correct entity, wrong SNOMED ID","(1253, 1255)","(1253, 1255)",RR,RR,301283003,229040007,15807359-DS-28," In the ED, he was afebrile, HR 139-->85, 121/90, RR 18, O2 sat 99%. He was given ondansetron 2mg, m" "Correct entity, wrong SNOMED ID","(1260, 1266)","(1260, 1266)",O2 sat,O2 sat,104847001,103228002,15807359-DS-28," ED, he was afebrile, HR 139-->85, 121/90, RR 18, O2 sat 99%. He was given ondansetron 2mg, morphine 5mg" "Correct entity, wrong SNOMED ID","(1370, 1377)","(1370, 1377)",CT head,CT head,303653007,303654001,15807359-DS-28," hydromorphone 1mg IV, and 1L IV normal saline. CT head showed unchanged extracranial occipital soft tis" Wrong span,"(1409, 1418)","(1396, 1430)",occipital,extracranial occipital soft tissue,43631005,36591009,15807359-DS-28,"l saline. CT head showed unchanged extracranial occipital soft tissue and pre-pontine cistern masses consi" Wrong span,"(1419, 1430)","(1396, 1430)",soft tissue,extracranial occipital soft tissue,87784001,36591009,15807359-DS-28," CT head showed unchanged extracranial occipital soft tissue and pre-pontine cistern masses consistent with m" Wrong span,"(1435, 1455)","(1435, 1462)","pre-pontine cistern","pre-pontine cistern masses",369387006,1144229006,15807359-DS-28," unchanged extracranial occipital soft tissue and pre-pontine cistern masses consistent with metastatic disease and no " Wrong span,"(1456, 1462)","(1435, 1462)",masses,"pre-pontine cistern masses",4147007,1144229006,15807359-DS-28,"al occipital soft tissue and pre-pontine cistern masses consistent with metastatic disease and no eviden" "Correct entity, wrong SNOMED ID","(1479, 1497)","(1479, 1497)",metastatic disease,metastatic disease,94225005,1279908003,15807359-DS-28,"e and pre-pontine cistern masses consistent with metastatic disease and no evidence for new metastatic disease. . RO" Missed entity,"(1502, 1514)",,"no evidence",,281900007,,15807359-DS-28,"ern masses consistent with metastatic disease and no evidence for new metastatic disease. . ROS: He denies F/C/" "Correct entity, wrong SNOMED ID","(1523, 1541)","(1523, 1541)",metastatic disease,metastatic disease,128462008,1279908003,15807359-DS-28," with metastatic disease and no evidence for new metastatic disease. . ROS: He denies F/C/S, dizziness, hearing chang" "Correct entity, wrong SNOMED ID","(1560, 1563)","(1560, 1563)",F/C,F/C,274640006,257987005,15807359-DS-28,"ence for new metastatic disease. . ROS: He denies F/C/S, dizziness, hearing changes, nasal congestion," Missed entity,"(1564, 1565)",,S,,415690000,,15807359-DS-28," for new metastatic disease. . ROS: He denies F/C/S, dizziness, hearing changes, nasal congestion, r" "Correct entity, wrong SNOMED ID","(1567, 1576)","(1567, 1576)",dizziness,dizziness,404640003,1141711004,15807359-DS-28,"r new metastatic disease. . ROS: He denies F/C/S, dizziness, hearing changes, nasal congestion, rhinorrhea, " "Correct entity, wrong SNOMED ID","(1578, 1593)","(1578, 1593)",hearing changes,hearing changes,251358005,95827002,15807359-DS-28,"tatic disease. . ROS: He denies F/C/S, dizziness, hearing changes, nasal congestion, rhinorrhea, sore throat, dysp" "Correct entity, wrong SNOMED ID","(1614, 1624)","(1614, 1624)",rhinorrhea,rhinorrhea,64531003,75803007,15807359-DS-28,"S, dizziness, hearing changes, nasal congestion, rhinorrhea, sore throat, dysphagia, chest pain, dyspnea, co" "Correct entity, wrong SNOMED ID","(1626, 1637)","(1626, 1637)",sore throat,sore throat,267102003,43878008,15807359-DS-28,", hearing changes, nasal congestion, rhinorrhea, sore throat, dysphagia, chest pain, dyspnea, cough, abdomina" "Correct entity, wrong SNOMED ID","(1639, 1648)","(1639, 1648)",dysphagia,dysphagia,40739000,21101000119105,15807359-DS-28,"nges, nasal congestion, rhinorrhea, sore throat, dysphagia, chest pain, dyspnea, cough, abdominal pain, con" "Correct entity, wrong SNOMED ID","(1650, 1660)","(1650, 1660)",chest pain,chest pain,29857009,102589003,15807359-DS-28," congestion, rhinorrhea, sore throat, dysphagia, chest pain, dyspnea, cough, abdominal pain, constipation, d" "Correct entity, wrong SNOMED ID","(1663, 1670)","(1663, 1670)",dyspnea,dyspnea,267036007,60845006,15807359-DS-28," rhinorrhea, sore throat, dysphagia, chest pain, dyspnea, cough, abdominal pain, constipation, diarrhea, " "Correct entity, wrong SNOMED ID","(1672, 1677)","(1672, 1677)",cough,cough,49727002,28743005,15807359-DS-28,"ea, sore throat, dysphagia, chest pain, dyspnea, cough, abdominal pain, constipation, diarrhea, hematoc" "Correct entity, wrong SNOMED ID","(1679, 1693)","(1679, 1693)",abdominal pain,abdominal pain,21522001,54586004,15807359-DS-28,"e throat, dysphagia, chest pain, dyspnea, cough, abdominal pain, constipation, diarrhea, hematochezia, melena, h" "Correct entity, wrong SNOMED ID","(1695, 1707)","(1695, 1707)",constipation,constipation,14760008,236069009,15807359-DS-28,"gia, chest pain, dyspnea, cough, abdominal pain, constipation, diarrhea, hematochezia, melena, hematuria, othe" "Correct entity, wrong SNOMED ID","(1709, 1717)","(1709, 1717)",diarrhea,diarrhea,62315008,111843007,15807359-DS-28,"n, dyspnea, cough, abdominal pain, constipation, diarrhea, hematochezia, melena, hematuria, other urinary " "Correct entity, wrong SNOMED ID","(1720, 1732)","(1720, 1732)",hematochezia,hematochezia,405729008,206406008,15807359-DS-28,", cough, abdominal pain, constipation, diarrhea, hematochezia, melena, hematuria, other urinary symptoms (besid" "Correct entity, wrong SNOMED ID","(1734, 1740)","(1734, 1740)",melena,melena,2901004,206424005,15807359-DS-28,"inal pain, constipation, diarrhea, hematochezia, melena, hematuria, other urinary symptoms (besides urin" "Correct entity, wrong SNOMED ID","(1742, 1751)","(1742, 1751)",hematuria,hematuria,34436003,197940006,15807359-DS-28,"n, constipation, diarrhea, hematochezia, melena, hematuria, other urinary symptoms (besides urinary hesitan" "Correct entity, wrong SNOMED ID","(1759, 1775)","(1759, 1775)",urinary symptoms,urinary symptoms,249274008,307541003,15807359-DS-28,"diarrhea, hematochezia, melena, hematuria, other urinary symptoms (besides urinary hesitancy), paresthesias (excep" "Correct entity, wrong SNOMED ID","(1786, 1803)","(1786, 1803)",urinary hesitancy,urinary hesitancy,5972002,249291007,15807359-DS-28,"lena, hematuria, other urinary symptoms (besides urinary hesitancy), paresthesias (except slight numbness on ___ tw" "Correct entity, wrong SNOMED ID","(1806, 1818)","(1806, 1818)",paresthesias,paresthesias,91019004,95358009,15807359-DS-28,"er urinary symptoms (besides urinary hesitancy), paresthesias (except slight numbness on ___ two finger tips f" "Correct entity, wrong SNOMED ID","(1834, 1842)","(1834, 1842)",numbness,numbness,309536001,102601005,15807359-DS-28," urinary hesitancy), paresthesias (except slight numbness on ___ two finger tips from chemo), or rash. A " Missed entity,"(1855, 1866)",,finger tips,,312543003,,15807359-DS-28," paresthesias (except slight numbness on ___ two finger tips from chemo), or rash. A full review of systems " "Correct entity, wrong SNOMED ID","(1872, 1877)","(1872, 1877)",chemo,chemo,367336001,161653008,15807359-DS-28,"cept slight numbness on ___ two finger tips from chemo), or rash. A full review of systems was perform" "Correct entity, wrong SNOMED ID","(1883, 1887)","(1883, 1887)",rash,rash,271807003,247472004,15807359-DS-28," numbness on ___ two finger tips from chemo), or rash. A full review of systems was performed and is " "Correct entity, wrong SNOMED ID","(1897, 1914)","(1897, 1914)",review of systems,review of systems,415300000,423374008,15807359-DS-28,"__ two finger tips from chemo), or rash. A full review of systems was performed and is otherwise unremarkable exce" "Correct entity, wrong SNOMED ID","(1947, 1959)","(1947, 1959)",unremarkable,unremarkable,281900007,164179004,15807359-DS-28,"review of systems was performed and is otherwise unremarkable except as noted above. Past Medical History: O" "Correct entity, wrong SNOMED ID","(2031, 2042)","(2031, 2042)",Colonoscopy,Colonoscopy,73761001,174158000,15807359-DS-28,"e. Past Medical History: ONCOLOGIC HISTORY: ___ Colonoscopy showed a circumferential mass extending from 2cm " "Correct entity, wrong SNOMED ID","(2068, 2072)","(2068, 2072)",mass,mass,4147007,237557003,15807359-DS-28,"HISTORY: ___ Colonoscopy showed a circumferential mass extending from 2cm from the anal verge to 15cm. " "Correct entity, wrong SNOMED ID","(2101, 2111)","(2101, 2111)",anal verge,anal verge,1251500001,249630003,15807359-DS-28," circumferential mass extending from 2cm from the anal verge to 15cm. Biopsy of this mass was consistent with" "Correct entity, wrong SNOMED ID","(2122, 2128)","(2122, 2128)",Biopsy,Biopsy,174384000,48635004,15807359-DS-28," extending from 2cm from the anal verge to 15cm. Biopsy of this mass was consistent with adenocarcinoma. " "Correct entity, wrong SNOMED ID","(2137, 2141)","(2137, 2141)",mass,mass,4147007,237557003,15807359-DS-28," 2cm from the anal verge to 15cm. Biopsy of this mass was consistent with adenocarcinoma. His tumor is" "Correct entity, wrong SNOMED ID","(2162, 2176)","(2162, 2176)",adenocarcinoma,adenocarcinoma,1187332001,82711006,15807359-DS-28,"to 15cm. Biopsy of this mass was consistent with adenocarcinoma. His tumor is T3N2 by MRI staging. ___ Started c" "Correct entity, wrong SNOMED ID","(2183, 2188)","(2183, 2188)",tumor,tumor,363352004,246463000,15807359-DS-28,"his mass was consistent with adenocarcinoma. His tumor is T3N2 by MRI staging. ___ Started concurrent __" "Correct entity, wrong SNOMED ID","(2200, 2203)","(2200, 2203)",MRI,MRI,113091000,1144760005,15807359-DS-28,"istent with adenocarcinoma. His tumor is T3N2 by MRI staging. ___ Started concurrent ___ and XRT. ___ " "Correct entity, wrong SNOMED ID","(2244, 2247)","(2244, 2247)",XRT,XRT,108290001,312254007,15807359-DS-28,"N2 by MRI staging. ___ Started concurrent ___ and XRT. ___ Underwent resection of the mass. Pathology f" Wrong span,"(2263, 2284)","(2263, 2272)",resection of the mass,resection,49264007,265414003,15807359-DS-28,"___ Started concurrent ___ and XRT. ___ Underwent resection of the mass. Pathology from the resection demonstrated a T3 N" "Correct entity, wrong SNOMED ID","(2286, 2295)","(2286, 2295)",Pathology,Pathology,309198006,1255736009,15807359-DS-28,"___ and XRT. ___ Underwent resection of the mass. Pathology from the resection demonstrated a T3 N0 low grade" "Correct entity, wrong SNOMED ID","(2305, 2314)","(2305, 2314)",resection,resection,65801008,265414003,15807359-DS-28,"derwent resection of the mass. Pathology from the resection demonstrated a T3 N0 low grade adenocarcinoma. __" Wrong span,"(2336, 2360)","(2336, 2345)",low grade adenocarcinoma,low grade,1187330009,1157041008,15807359-DS-28,"Pathology from the resection demonstrated a T3 N0 low grade adenocarcinoma. ___ Started adjuvant FOLFOX. He completed six cy" Missed entity,"(2383, 2389)",,FOLFOX,,385786002,,15807359-DS-28,"N0 low grade adenocarcinoma. ___ Started adjuvant FOLFOX. He completed six cycles (12 infusions) with infu" Missed entity,"(2419, 2428)",,infusions,,38216008,,15807359-DS-28,"rted adjuvant FOLFOX. He completed six cycles (12 infusions) with infusional ___ omitted in the last cycle du" "Correct entity, wrong SNOMED ID","(2506, 2517)","(2506, 2517)",Colonoscopy,Colonoscopy,73761001,174158000,15807359-DS-28,"d in the last cycle due to insurance reasons. ___ Colonoscopy showed a reddish lesion distal to the anastomosis" "Correct entity, wrong SNOMED ID","(2535, 2541)","(2535, 2541)",lesion,lesion,52988006,120609008,15807359-DS-28,"surance reasons. ___ Colonoscopy showed a reddish lesion distal to the anastomosis; biopsy could not be ob" "Correct entity, wrong SNOMED ID","(2556, 2567)","(2556, 2567)",anastomosis,anastomosis,41796003,86642005,15807359-DS-28,"Colonoscopy showed a reddish lesion distal to the anastomosis; biopsy could not be obtained because he was taki" "Correct entity, wrong SNOMED ID","(2569, 2575)","(2569, 2575)",biopsy,biopsy,86273004,48635004,15807359-DS-28,"howed a reddish lesion distal to the anastomosis; biopsy could not be obtained because he was taking Couma" Missed entity,"(2620, 2628)",,Coumadin,,182764009,,15807359-DS-28,"iopsy could not be obtained because he was taking Coumadin. ___ Sigmoidoscopy disclosed a large ulcerated le" "Correct entity, wrong SNOMED ID","(2634, 2647)","(2634, 2647)",Sigmoidoscopy,Sigmoidoscopy,396225009,235153008,15807359-DS-28,"t be obtained because he was taking Coumadin. ___ Sigmoidoscopy disclosed a large ulcerated lesion; multiple bio" Wrong span,"(2666, 2682)","(2666, 2675)",ulcerated lesion,ulcerated,429040005,15498001,15807359-DS-28,"ing Coumadin. ___ Sigmoidoscopy disclosed a large ulcerated lesion; multiple biopsies were taken and were consisten" "Correct entity, wrong SNOMED ID","(2694, 2702)","(2694, 2702)",biopsies,biopsies,396225009,7246002,15807359-DS-28,"opy disclosed a large ulcerated lesion; multiple biopsies were taken and were consistent with recurrent ade" Missed entity,"(2739, 2748)",,recurrent,,1259237005,,15807359-DS-28,"iple biopsies were taken and were consistent with recurrent adenocarcinoma. A full body PET-CT revealed two " "Correct entity, wrong SNOMED ID","(2749, 2763)","(2749, 2763)",adenocarcinoma,adenocarcinoma,301756000,82711006,15807359-DS-28,"ies were taken and were consistent with recurrent adenocarcinoma. A full body PET-CT revealed two FDG-avid lung l" "Correct entity, wrong SNOMED ID","(2778, 2784)","(2778, 2784)",PET-CT,PET-CT,82918005,300816002,15807359-DS-28,"stent with recurrent adenocarcinoma. A full body PET-CT revealed two FDG-avid lung lesions, as well. ___:" Missed entity,"(2798, 2806)",,FDG-avid,,443271005,,15807359-DS-28," adenocarcinoma. A full body PET-CT revealed two FDG-avid lung lesions, as well. ___: EBUS/FNA of 12R lymph" "Correct entity, wrong SNOMED ID","(2807, 2819)","(2807, 2819)","lung lesions","lung lesions",301232003,450608000,15807359-DS-28,"cinoma. A full body PET-CT revealed two FDG-avid lung lesions, as well. ___: EBUS/FNA of 12R lymph node non-dia" "Correct entity, wrong SNOMED ID","(2840, 2843)","(2840, 2843)",FNA,FNA,48635004,257759008,15807359-DS-28,"led two FDG-avid lung lesions, as well. ___: EBUS/FNA of 12R lymph node non-diagnostic. ___: EBUS/FNA o" "Correct entity, wrong SNOMED ID","(2851, 2861)","(2851, 2861)",lymph node,lymph node,59441001,67022004,15807359-DS-28,"-avid lung lesions, as well. ___: EBUS/FNA of 12R lymph node non-diagnostic. ___: EBUS/FNA of 12R lymph node p" Missed entity,"(2888, 2891)",,FNA,,48635004,,15807359-DS-28,"S/FNA of 12R lymph node non-diagnostic. ___: EBUS/FNA of 12R lymph node positive for metastatic rectal " "Correct entity, wrong SNOMED ID","(2899, 2909)","(2899, 2909)",lymph node,lymph node,59441001,67022004,15807359-DS-28,"R lymph node non-diagnostic. ___: EBUS/FNA of 12R lymph node positive for metastatic rectal carcinoma. ___: Re" Wrong span,"(2923, 2933)","(2923, 2950)",metastatic,"metastatic rectal carcinoma",128462008,94513006,15807359-DS-28,"tic. ___: EBUS/FNA of 12R lymph node positive for metastatic rectal carcinoma. ___: Re-excision of neo-rectum " Wrong span,"(2934, 2950)","(2923, 2950)",rectal carcinoma,"metastatic rectal carcinoma",363351006,94513006,15807359-DS-28,"BUS/FNA of 12R lymph node positive for metastatic rectal carcinoma. ___: Re-excision of neo-rectum and anus revealed" Wrong span,"(2957, 2968)","(2957, 2960)",Re-excision,Re-,65854006,74914000,15807359-DS-28,"de positive for metastatic rectal carcinoma. ___: Re-excision of neo-rectum and anus revealed local recurrence " Wrong span,"(2976, 2982)","(2972, 2982)",rectum,neo-rectum,87677003,1290068000,15807359-DS-28,"astatic rectal carcinoma. ___: Re-excision of neo-rectum and anus revealed local recurrence with a positiv" "Correct entity, wrong SNOMED ID","(2987, 2991)","(2987, 2991)",anus,anus,53505006,181262009,15807359-DS-28,"tal carcinoma. ___: Re-excision of neo-rectum and anus revealed local recurrence with a positive posteri" Missed entity,"(3001, 3017)",,"local recurrence",,314966008,,15807359-DS-28," ___: Re-excision of neo-rectum and anus revealed local recurrence with a positive posterior margin. This was compl" "Correct entity, wrong SNOMED ID","(3077, 3093)","(3077, 3093)",wound dehiscence,wound dehiscence,410723003,314948003,15807359-DS-28,"sitive posterior margin. This was complicated by wound dehiscence/infection (Bacteroides, GBS) requiring antibiotic" "Correct entity, wrong SNOMED ID","(3094, 3103)","(3094, 3103)",infection,infection,58126003,260976002,15807359-DS-28,"margin. This was complicated by wound dehiscence/infection (Bacteroides, GBS) requiring antibiotics, WoundVa" Missed entity,"(3105, 3116)",,Bacteroides,,2918000,,15807359-DS-28,"is was complicated by wound dehiscence/infection (Bacteroides, GBS) requiring antibiotics, WoundVac, debridemen" "Correct entity, wrong SNOMED ID","(3118, 3121)","(3118, 3121)",GBS,GBS,426933007,405633009,15807359-DS-28,"cated by wound dehiscence/infection (Bacteroides, GBS) requiring antibiotics, WoundVac, debridement on " "Correct entity, wrong SNOMED ID","(3133, 3144)","(3133, 3144)",antibiotics,antibiotics,281789004,372599003,15807359-DS-28,"dehiscence/infection (Bacteroides, GBS) requiring antibiotics, WoundVac, debridement on ___, and eventually rec" "Correct entity, wrong SNOMED ID","(3156, 3167)","(3156, 3167)",debridement,debridement,36777000,373195007,15807359-DS-28,"acteroides, GBS) requiring antibiotics, WoundVac, debridement on ___, and eventually reconstructive surgery, on" "Correct entity, wrong SNOMED ID","(3206, 3213)","(3206, 3213)",surgery,surgery,387713003,110473004,15807359-DS-28,"debridement on ___, and eventually reconstructive surgery, on ___: C1D1 FOLFIRI ___: C2D1 FOLRIRI with be" Missed entity,"(3331, 3341)",,Cyberknife,,395096001,,15807359-DS-28,"dded. Did not receive d15 doses of either due to Cyberknife x 5 given from ___. ___: C3D1 FOLFIRI (Avastin h" "Correct entity, wrong SNOMED ID","(3439, 3446)","(3439, 3446)",CT scan,CT scan,77477000,116152004,15807359-DS-28," held until day 15) ___: C4D1 FOLFIRI + Avastin. CT scan after this cycle showed a partial response. ___:" "Correct entity, wrong SNOMED ID","(3559, 3569)","(3559, 3569)",neuropathy,neuropathy,386033004,302226006,15807359-DS-28," + Avastin ___: C6D1 FOLFIRI; Avastin held due to neuropathy. ___: C7D1 FOLFIRI; Avastin held due to neuropath" "Correct entity, wrong SNOMED ID","(3610, 3620)","(3610, 3620)",neuropathy,neuropathy,386033004,302226006,15807359-DS-28,"europathy. ___: C7D1 FOLFIRI; Avastin held due to neuropathy. ___: C8D1 FOLFIRI; Avastin held due to neuropath" "Correct entity, wrong SNOMED ID","(3661, 3671)","(3661, 3671)",neuropathy,neuropathy,386033004,302226006,15807359-DS-28,"europathy. ___: C8D1 FOLFIRI; Avastin held due to neuropathy. ___: Underwent RLL lobectomy, by Dr. ___. A 1.8" "Correct entity, wrong SNOMED ID","(3688, 3701)","(3688, 3701)",RLL lobectomy,RLL lobectomy,726425007,10997971000119103,15807359-DS-28,"I; Avastin held due to neuropathy. ___: Underwent RLL lobectomy, by Dr. ___. A 1.8cm solitary metastasis was rem" "Correct entity, wrong SNOMED ID","(3733, 3743)","(3733, 3743)",metastasis,metastasis,94391008,128462008,15807359-DS-28,"went RLL lobectomy, by Dr. ___. A 1.8cm solitary metastasis was removed with negative margins. At the time a" "Correct entity, wrong SNOMED ID","(3748, 3755)","(3748, 3755)",removed,removed,118292001,246162000,15807359-DS-28,"omy, by Dr. ___. A 1.8cm solitary metastasis was removed with negative margins. At the time a small nodul" "Correct entity, wrong SNOMED ID","(3800, 3806)","(3800, 3806)",nodule,nodule,27925004,237495005,15807359-DS-28,"moved with negative margins. At the time a small nodule was palpated in the RUL and fiducials were placed" "Correct entity, wrong SNOMED ID","(3811, 3819)","(3811, 3819)",palpated,palpated,113011001,70158006,15807359-DS-28,"negative margins. At the time a small nodule was palpated in the RUL and fiducials were placed in this for " "Correct entity, wrong SNOMED ID","(3827, 3830)","(3827, 3830)",RUL,RUL,42400003,65826004,15807359-DS-28,". At the time a small nodule was palpated in the RUL and fiducials were placed in this for subsequent " "Correct entity, wrong SNOMED ID","(3923, 3931)","(3923, 3931)",headache,headache,25064002,267096005,15807359-DS-28,"equent CyberKnife x5, completed on ___ developed headache and was found to have a large solitary metastasi" Wrong span,"(3972, 4000)","(3972, 3982)",metastasis in the cerebellum,metastasis,94245002,128462008,15807359-DS-28," headache and was found to have a large solitary metastasis in the cerebellum with obstructive hydrocephalus. He was subsequent" "Correct entity, wrong SNOMED ID","(4006, 4031)","(4006, 4031)",obstructive hydrocephalus,obstructive hydrocephalus,230746009,762295002,15807359-DS-28,"large solitary metastasis in the cerebellum with obstructive hydrocephalus. He was subsequently admitted and underwent urgen" "Correct entity, wrong SNOMED ID","(4083, 4092)","(4083, 4092)",resection,resection,171451000,265414003,15807359-DS-28,"He was subsequently admitted and underwent urgent resection, which disclosed metastatic rectal adenocarcinoma" Wrong span,"(4110, 4120)","(4110, 4142)",metastatic,metastatic rectal adenocarcinoma,128462008,94513006,15807359-DS-28,"d and underwent urgent resection, which disclosed metastatic rectal adenocarcinoma ___: Completed CyberKnife " Wrong span,"(4121, 4142)","(4110, 4142)",rectal adenocarcinoma,metastatic rectal adenocarcinoma,254582000,94513006,15807359-DS-28,"went urgent resection, which disclosed metastatic rectal adenocarcinoma ___: Completed CyberKnife radiosurgery to the le" Wrong span,"(4159, 4182)","(4170, 4182)",CyberKnife radiosurgery,radiosurgery,429584001,115959002,15807359-DS-28," metastatic rectal adenocarcinoma ___: Completed CyberKnife radiosurgery to the left cerebellar resection cavity 500 cGy x" "Correct entity, wrong SNOMED ID","(4190, 4205)","(4190, 4205)","left cerebellar","left cerebellar",1010600003,1010465001,15807359-DS-28,"ma ___: Completed CyberKnife radiosurgery to the left cerebellar resection cavity 500 cGy x5 fractions at 2500 cGy" Wrong span,"(4206, 4215)","(4206, 4222)",resection,resection cavity,171451000,116164007,15807359-DS-28,"ed CyberKnife radiosurgery to the left cerebellar resection cavity 500 cGy x5 fractions at 2500 cGy total of " Wrong span,"(4216, 4222)","(4206, 4222)",cavity,resection cavity,2483006,116164007,15807359-DS-28,"ife radiosurgery to the left cerebellar resection cavity 500 cGy x5 fractions at 2500 cGy total of 96% iso" Missed entity,"(4297, 4309)",,tumor volume,,399375005,,15807359-DS-28,"2500 cGy total of 96% isodose line 63.33 cc total tumor volume. ___: Brain MRI: small ring-enhancing lesion in t" "Correct entity, wrong SNOMED ID","(4348, 4354)","(4348, 4354)",lesion,lesion,52988006,120609008,15807359-DS-28,"umor volume. ___: Brain MRI: small ring-enhancing lesion in the left cerebellar hemisphere and leptomening" "Correct entity, wrong SNOMED ID","(4362, 4388)","(4362, 4388)","left cerebellar hemisphere","left cerebellar hemisphere",1010600003,1010601004,15807359-DS-28,"__: Brain MRI: small ring-enhancing lesion in the left cerebellar hemisphere and leptomeningeal enhancement, suspicious for le" "Correct entity, wrong SNOMED ID","(4408, 4419)","(4408, 4419)",enhancement,enhancement,418393006,386416002,15807359-DS-28,"the left cerebellar hemisphere and leptomeningeal enhancement, suspicious for leptomeningeal carcinomatosis. __" "Correct entity, wrong SNOMED ID","(4436, 4465)","(4436, 4465)",leptomeningeal carcinomatosis,leptomeningeal carcinomatosis,722671009,79801002,15807359-DS-28,"re and leptomeningeal enhancement, suspicious for leptomeningeal carcinomatosis. ___: WBXRT to a total dose of 3000cGy ___: CK tr" Boundary error,"(4510, 4512)","(4510, 4511)",CK,C,395096001,257984003,15807359-DS-28,"tosis. ___: WBXRT to a total dose of 3000cGy ___: CK treatment to new brainstem lesion . Other PMHx: -" Wrong span,"(4530, 4546)","(4530, 4539)",brainstem lesion,brainstem,762355002,180925009,15807359-DS-28," a total dose of 3000cGy ___: CK treatment to new brainstem lesion . Other PMHx: - Rectal adenocarcinoma s/p neoadju" "Correct entity, wrong SNOMED ID","(4563, 4584)","(4563, 4584)",Rectal adenocarcinoma,Rectal adenocarcinoma,254582000,1268633007,15807359-DS-28,"treatment to new brainstem lesion . Other PMHx: - Rectal adenocarcinoma s/p neoadjuvant chemoXRT followed by proctectomy" "Correct entity, wrong SNOMED ID","(4623, 4634)","(4623, 4634)",proctectomy,proctectomy,87677003,12827003,15807359-DS-28,"nocarcinoma s/p neoadjuvant chemoXRT followed by proctectomy then APR for recurrence, cyberknife to chest. - B" Missed entity,"(4640, 4643)",,APR,,265414003,,15807359-DS-28,"eoadjuvant chemoXRT followed by proctectomy then APR for recurrence, cyberknife to chest. - Bilateral " Missed entity,"(4660, 4670)",,cyberknife,,395096001,,15807359-DS-28,"followed by proctectomy then APR for recurrence, cyberknife to chest. - Bilateral myringostomy, uses hearing " "Correct entity, wrong SNOMED ID","(4674, 4679)","(4674, 4679)",chest,chest,51185008,74160004,15807359-DS-28,"roctectomy then APR for recurrence, cyberknife to chest. - Bilateral myringostomy, uses hearing aids. S" "Correct entity, wrong SNOMED ID","(4693, 4705)","(4693, 4705)",myringostomy,myringostomy,397862008,284532000,15807359-DS-28," for recurrence, cyberknife to chest. - Bilateral myringostomy, uses hearing aids. Social History: ___ Family " "Correct entity, wrong SNOMED ID","(4712, 4724)","(4712, 4724)",hearing aids,hearing aids,285055002,225678000,15807359-DS-28,"berknife to chest. - Bilateral myringostomy, uses hearing aids. Social History: ___ Family History: No family " Wrong span,"(4785, 4795)","(4785, 4805)",colorectal,colorectal carcinoma,1279755003,1197359006,15807359-DS-28,"History: ___ Family History: No family history of colorectal carcinoma. His mother passed away of liver dise" Wrong span,"(4796, 4805)","(4785, 4805)",carcinoma,colorectal carcinoma,1187425009,1197359006,15807359-DS-28,"_ Family History: No family history of colorectal carcinoma. His mother passed away of liver disease, alcoh" Wrong span,"(4835, 4865)","(4835, 4848)","liver disease, alcohol related",liver disease,41309000,270881008,15807359-DS-28,"colorectal carcinoma. His mother passed away of liver disease, alcohol related, and an uncle passed away of an MI at age ___. " Missed entity,"(4941, 4954)",,Physical Exam,,5880005,,15807359-DS-28," of an MI at age ___. Physical Exam: Admission Physical Examination: VS: T 98.1F, BP 104/82, HR 98, RR 16, O2 " "Correct entity, wrong SNOMED ID","(4963, 4965)","(4963, 4965)",VS,VS,118227000,313611000,15807359-DS-28," Physical Exam: Admission Physical Examination: VS: T 98.1F, BP 104/82, HR 98, RR 16, O2 sat 100% RA" "Correct entity, wrong SNOMED ID","(4976, 4978)","(4976, 4978)",BP,BP,392570002,38341003,15807359-DS-28,"xam: Admission Physical Examination: VS: T 98.1F, BP 104/82, HR 98, RR 16, O2 sat 100% RA, wght 168.9 " "Correct entity, wrong SNOMED ID","(4987, 4989)","(4987, 4989)",HR,HR,301113001,258702006,15807359-DS-28,"ion Physical Examination: VS: T 98.1F, BP 104/82, HR 98, RR 16, O2 sat 100% RA, wght 168.9 lbs, ht 67" "Correct entity, wrong SNOMED ID","(4994, 4996)","(4994, 4996)",RR,RR,301283003,229040007,15807359-DS-28,"sical Examination: VS: T 98.1F, BP 104/82, HR 98, RR 16, O2 sat 100% RA, wght 168.9 lbs, ht 67in, Ins" "Correct entity, wrong SNOMED ID","(5001, 5007)","(5001, 5007)",O2 sat,O2 sat,104847001,103228002,15807359-DS-28,"xamination: VS: T 98.1F, BP 104/82, HR 98, RR 16, O2 sat 100% RA, wght 168.9 lbs, ht 67in, Ins/Outs . GEN" "Correct entity, wrong SNOMED ID","(5013, 5015)","(5013, 5015)",RA,RA,722742002,463051000124105,15807359-DS-28,"VS: T 98.1F, BP 104/82, HR 98, RR 16, O2 sat 100% RA, wght 168.9 lbs, ht 67in, Ins/Outs . GEN: A&O, N" "Correct entity, wrong SNOMED ID","(5054, 5057)","(5054, 5057)",GEN,GEN,162673000,131424009,15807359-DS-28,"sat 100% RA, wght 168.9 lbs, ht 67in, Ins/Outs . GEN: A&O, NAD. HEENT: Sclerae anicteric, PEARLA, righ" Missed entity,"(5059, 5060)",,A,,248234008,,15807359-DS-28,"00% RA, wght 168.9 lbs, ht 67in, Ins/Outs . GEN: A&O, NAD. HEENT: Sclerae anicteric, PEARLA, right _" Missed entity,"(5061, 5062)",,O,,247663003,,15807359-DS-28,"% RA, wght 168.9 lbs, ht 67in, Ins/Outs . GEN: A&O, NAD. HEENT: Sclerae anicteric, PEARLA, right ___" "Correct entity, wrong SNOMED ID","(5064, 5067)","(5064, 5067)",NAD,NAD,281900007,131143000,15807359-DS-28,"A, wght 168.9 lbs, ht 67in, Ins/Outs . GEN: A&O, NAD. HEENT: Sclerae anicteric, PEARLA, right ___ CN p" "Correct entity, wrong SNOMED ID","(5069, 5074)","(5069, 5074)",HEENT,HEENT,5880005,113665002,15807359-DS-28,"ht 168.9 lbs, ht 67in, Ins/Outs . GEN: A&O, NAD. HEENT: Sclerae anicteric, PEARLA, right ___ CN palsy, l" "Correct entity, wrong SNOMED ID","(5076, 5093)","(5076, 5093)",Sclerae anicteric,Sclerae anicteric,427801009,704978005,15807359-DS-28,"9 lbs, ht 67in, Ins/Outs . GEN: A&O, NAD. HEENT: Sclerae anicteric, PEARLA, right ___ CN palsy, left facial palsy, " "Correct entity, wrong SNOMED ID","(5095, 5101)","(5095, 5101)",PEARLA,PEARLA,386667005,363668000,15807359-DS-28,"s/Outs . GEN: A&O, NAD. HEENT: Sclerae anicteric, PEARLA, right ___ CN palsy, left facial palsy, o/p clea" Missed entity,"(5103, 5108)",,right,,424431000,,15807359-DS-28," GEN: A&O, NAD. HEENT: Sclerae anicteric, PEARLA, right ___ CN palsy, left facial palsy, o/p clear, MMM," Wrong span,"(5113, 5115)","(5113, 5121)",CN,CN palsy,25238003,1231624007,15807359-DS-28," NAD. HEENT: Sclerae anicteric, PEARLA, right ___ CN palsy, left facial palsy, o/p clear, MMM, hearin" Wrong span,"(5129, 5141)","(5123, 5141)",facial palsy,"left facial palsy",280816001,12239621000119103,15807359-DS-28,"erae anicteric, PEARLA, right ___ CN palsy, left facial palsy, o/p clear, MMM, hearing aids in place. Neck: Sup" Wrong span,"(5143, 5152)","(5147, 5152)",o/p clear,clear,300280008,281278005,15807359-DS-28,", PEARLA, right ___ CN palsy, left facial palsy, o/p clear, MMM, hearing aids in place. Neck: Supple, no JVD" "Correct entity, wrong SNOMED ID","(5154, 5157)","(5154, 5157)",MMM,MMM,276398005,258673006,15807359-DS-28,"ight ___ CN palsy, left facial palsy, o/p clear, MMM, hearing aids in place. Neck: Supple, no JVD, no " Wrong span,"(5159, 5180)","(5159, 5171)",hearing aids in place,hearing aids,285055002,705320003,15807359-DS-28,"___ CN palsy, left facial palsy, o/p clear, MMM, hearing aids in place. Neck: Supple, no JVD, no thyromegaly, C-spine no" "Correct entity, wrong SNOMED ID","(5182, 5186)","(5182, 5186)",Neck,Neck,5880005,229320006,15807359-DS-28,"ial palsy, o/p clear, MMM, hearing aids in place. Neck: Supple, no JVD, no thyromegaly, C-spine non-tend" "Correct entity, wrong SNOMED ID","(5188, 5194)","(5188, 5194)",Supple,Supple,298475003,116121000,15807359-DS-28,"lsy, o/p clear, MMM, hearing aids in place. Neck: Supple, no JVD, no thyromegaly, C-spine non-tender. Lymp" "Correct entity, wrong SNOMED ID","(5199, 5202)","(5199, 5202)",JVD,JVD,271653008,253395003,15807359-DS-28,"ear, MMM, hearing aids in place. Neck: Supple, no JVD, no thyromegaly, C-spine non-tender. Lymph nodes:" "Correct entity, wrong SNOMED ID","(5207, 5218)","(5207, 5218)",thyromegaly,thyromegaly,3716002,92978002,15807359-DS-28,", hearing aids in place. Neck: Supple, no JVD, no thyromegaly, C-spine non-tender. Lymph nodes: No cervical, su" "Correct entity, wrong SNOMED ID","(5228, 5238)","(5228, 5238)",non-tender,non-tender,43478001,298741000,15807359-DS-28,"ce. Neck: Supple, no JVD, no thyromegaly, C-spine non-tender. Lymph nodes: No cervical, supraclavicular, or in" "Correct entity, wrong SNOMED ID","(5240, 5251)","(5240, 5251)",Lymph nodes,Lymph nodes,284427004,67022004,15807359-DS-28,"pple, no JVD, no thyromegaly, C-spine non-tender. Lymph nodes: No cervical, supraclavicular, or inguinal LAD. C" "Correct entity, wrong SNOMED ID","(5256, 5264)","(5256, 5264)",cervical,cervical,127086001,202744000,15807359-DS-28," thyromegaly, C-spine non-tender. Lymph nodes: No cervical, supraclavicular, or inguinal LAD. CV: S1S2, reg " "Correct entity, wrong SNOMED ID","(5266, 5281)","(5266, 5281)",supraclavicular,supraclavicular,127088000,126636004,15807359-DS-28,"ly, C-spine non-tender. Lymph nodes: No cervical, supraclavicular, or inguinal LAD. CV: S1S2, reg rate and rhythm, " "Correct entity, wrong SNOMED ID","(5295, 5298)","(5295, 5298)",LAD,LAD,30746006,1010291002,15807359-DS-28," nodes: No cervical, supraclavicular, or inguinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Goo" "Correct entity, wrong SNOMED ID","(5300, 5302)","(5300, 5302)",CV,CV,363003006,258773002,15807359-DS-28,"s: No cervical, supraclavicular, or inguinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Good ai" Missed entity,"(5306, 5308)",,S2,,111974005,,15807359-DS-28,"cervical, supraclavicular, or inguinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Good air move" Wrong span,"(5310, 5318)","(5310, 5312)",reg rate,re,271636001,424690006,15807359-DS-28,"ical, supraclavicular, or inguinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Good air movement bilat" Missed entity,"(5323, 5329)",,rhythm,,64730000,,15807359-DS-28,"avicular, or inguinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Good air movement bilaterally, dif" Wrong span,"(5331, 5337)","(5334, 5337)",no MRG,MRG,301132007,1380161007,15807359-DS-28,", or inguinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Good air movement bilaterally, diffuse whe" "Correct entity, wrong SNOMED ID","(5339, 5343)","(5339, 5343)",RESP,RESP,268925001,20139000,15807359-DS-28,"uinal LAD. CV: S1S2, reg rate and rhythm, no MRG. RESP: Good air movement bilaterally, diffuse wheezing." "Correct entity, wrong SNOMED ID","(5384, 5392)","(5384, 5392)",wheezing,wheezing,56018004,9763007,15807359-DS-28,"MRG. RESP: Good air movement bilaterally, diffuse wheezing. BACK: No spine, rib, or iliac tenderness. ABD: S" "Correct entity, wrong SNOMED ID","(5403, 5408)","(5403, 5408)",spine,spine,421060004,51282000,15807359-DS-28," movement bilaterally, diffuse wheezing. BACK: No spine, rib, or iliac tenderness. ABD: Soft, NT, ND, no " "Correct entity, wrong SNOMED ID","(5410, 5413)","(5410, 5413)",rib,rib,113197003,43993008,15807359-DS-28,"nt bilaterally, diffuse wheezing. BACK: No spine, rib, or iliac tenderness. ABD: Soft, NT, ND, no HSM, " "Correct entity, wrong SNOMED ID","(5418, 5423)","(5418, 5423)",iliac,iliac,22356005,244956009,15807359-DS-28,"erally, diffuse wheezing. BACK: No spine, rib, or iliac tenderness. ABD: Soft, NT, ND, no HSM, + bowel so" "Correct entity, wrong SNOMED ID","(5424, 5434)","(5424, 5434)",tenderness,tenderness,247348008,43478001,15807359-DS-28,", diffuse wheezing. BACK: No spine, rib, or iliac tenderness. ABD: Soft, NT, ND, no HSM, + bowel sounds, colos" "Correct entity, wrong SNOMED ID","(5436, 5439)","(5436, 5439)",ABD,ABD,225162003,60728008,15807359-DS-28,"eezing. BACK: No spine, rib, or iliac tenderness. ABD: Soft, NT, ND, no HSM, + bowel sounds, colostomy " "Correct entity, wrong SNOMED ID","(5447, 5449)","(5447, 5449)",NT,NT,43478001,257992007,15807359-DS-28,"K: No spine, rib, or iliac tenderness. ABD: Soft, NT, ND, no HSM, + bowel sounds, colostomy in place. " "Correct entity, wrong SNOMED ID","(5451, 5453)","(5451, 5453)",ND,ND,60728008,165815009,15807359-DS-28,"o spine, rib, or iliac tenderness. ABD: Soft, NT, ND, no HSM, + bowel sounds, colostomy in place. EXTR" "Correct entity, wrong SNOMED ID","(5458, 5461)","(5458, 5461)",HSM,HSM,36760000,282140003,15807359-DS-28,", rib, or iliac tenderness. ABD: Soft, NT, ND, no HSM, + bowel sounds, colostomy in place. EXTR: No low" Boundary error,"(5463, 5477)","(5465, 5477)",+ bowel sounds,bowel sounds,61539000,61539000,15807359-DS-28,", or iliac tenderness. ABD: Soft, NT, ND, no HSM, + bowel sounds, colostomy in place. EXTR: No lower leg edema, no" Wrong span,"(5479, 5497)","(5479, 5488)",colostomy in place,colostomy,302112009,180636004,15807359-DS-28,"rness. ABD: Soft, NT, ND, no HSM, + bowel sounds, colostomy in place. EXTR: No lower leg edema, no calf tenderness. DE" "Correct entity, wrong SNOMED ID","(5499, 5503)","(5499, 5503)",EXTR,EXTR,302773001,710354007,15807359-DS-28,", ND, no HSM, + bowel sounds, colostomy in place. EXTR: No lower leg edema, no calf tenderness. DERM: No" "Correct entity, wrong SNOMED ID","(5518, 5523)","(5518, 5523)",edema,edema,267038008,102576009,15807359-DS-28,"el sounds, colostomy in place. EXTR: No lower leg edema, no calf tenderness. DERM: No rash. Neuro: Streng" "Correct entity, wrong SNOMED ID","(5533, 5543)","(5533, 5543)",tenderness,tenderness,247348008,43478001,15807359-DS-28,"stomy in place. EXTR: No lower leg edema, no calf tenderness. DERM: No rash. Neuro: Strength ___ throughout, s" "Correct entity, wrong SNOMED ID","(5545, 5549)","(5545, 5549)",DERM,DERM,271303006,237825005,15807359-DS-28,"ce. EXTR: No lower leg edema, no calf tenderness. DERM: No rash. Neuro: Strength ___ throughout, sensati" "Correct entity, wrong SNOMED ID","(5554, 5558)","(5554, 5558)",rash,rash,271807003,247472004,15807359-DS-28," No lower leg edema, no calf tenderness. DERM: No rash. Neuro: Strength ___ throughout, sensation normal" "Correct entity, wrong SNOMED ID","(5560, 5565)","(5560, 5565)",Neuro,Neuro,84728005,284186002,15807359-DS-28,"wer leg edema, no calf tenderness. DERM: No rash. Neuro: Strength ___ throughout, sensation normal to tou" "Correct entity, wrong SNOMED ID","(5592, 5617)","(5592, 5617)",sensation normal to touch,sensation normal to touch,827086006,422015002,15807359-DS-28,"s. DERM: No rash. Neuro: Strength ___ throughout, sensation normal to touch, hyper-reflexive +3 throughout especially petell" Wrong span,"(5620, 5678)","(5620, 5625)",hyper-reflexive +3 throughout especially petellar reflexes,hyper,816124004,41581000,15807359-DS-28,"ength ___ throughout, sensation normal to touch, hyper-reflexive +3 throughout especially petellar reflexes, positive right Babinski, down-going left planta" Missed entity,"(5681, 5704)",,positive right Babinski,,299892006,,15807359-DS-28,"xive +3 throughout especially petellar reflexes, positive right Babinski, down-going left plantar reflex, non-focal. PSYC" Wrong span,"(5706, 5736)","(5717, 5736)",down-going left plantar reflex,left plantar reflex,274609004,299891004,15807359-DS-28,"ally petellar reflexes, positive right Babinski, down-going left plantar reflex, non-focal. PSYCH: Appropriate and calm. Discha" "Correct entity, wrong SNOMED ID","(5750, 5755)","(5750, 5755)",PSYCH,PSYCH,108311000,17326005,15807359-DS-28,"nski, down-going left plantar reflex, non-focal. PSYCH: Appropriate and calm. Discharge: T:98.8 BP:98-" "Correct entity, wrong SNOMED ID","(5799, 5801)","(5799, 5801)",BP,BP,392570002,38341003,15807359-DS-28," PSYCH: Appropriate and calm. Discharge: T:98.8 BP:98-110/66-74 HR:86-116 RR:18 02 sat:99% RA GENE" "Correct entity, wrong SNOMED ID","(5815, 5817)","(5815, 5817)",HR,HR,301113001,258702006,15807359-DS-28,"ate and calm. Discharge: T:98.8 BP:98-110/66-74 HR:86-116 RR:18 02 sat:99% RA GENERAL: NAD. Lying " "Correct entity, wrong SNOMED ID","(5825, 5827)","(5825, 5827)",RR,RR,301283003,229040007,15807359-DS-28,"lm. Discharge: T:98.8 BP:98-110/66-74 HR:86-116 RR:18 02 sat:99% RA GENERAL: NAD. Lying in bed com" "Correct entity, wrong SNOMED ID","(5831, 5837)","(5831, 5837)",02 sat,02 sat,104847001,170092006,15807359-DS-28,"ischarge: T:98.8 BP:98-110/66-74 HR:86-116 RR:18 02 sat:99% RA GENERAL: NAD. Lying in bed comfortably. " "Correct entity, wrong SNOMED ID","(5842, 5844)","(5842, 5844)",RA,RA,722742002,463051000124105,15807359-DS-28,"T:98.8 BP:98-110/66-74 HR:86-116 RR:18 02 sat:99% RA GENERAL: NAD. Lying in bed comfortably. HEENT: " "Correct entity, wrong SNOMED ID","(5847, 5854)","(5847, 5854)",GENERAL,GENERAL,162673000,252398009,15807359-DS-28,"8 BP:98-110/66-74 HR:86-116 RR:18 02 sat:99% RA GENERAL: NAD. Lying in bed comfortably. HEENT: AT/NC, MMM" "Correct entity, wrong SNOMED ID","(5856, 5859)","(5856, 5859)",NAD,NAD,281900007,131143000,15807359-DS-28,"10/66-74 HR:86-116 RR:18 02 sat:99% RA GENERAL: NAD. Lying in bed comfortably. HEENT: AT/NC, MMM. OP " "Correct entity, wrong SNOMED ID","(5887, 5892)","(5887, 5892)",HEENT,HEENT,5880005,113665002,15807359-DS-28,":99% RA GENERAL: NAD. Lying in bed comfortably. HEENT: AT/NC, MMM. OP clear. Right eye CN6 deficit. Nec" "Correct entity, wrong SNOMED ID","(5897, 5899)","(5897, 5899)",NC,NC,840673007,705056007,15807359-DS-28,"GENERAL: NAD. Lying in bed comfortably. HEENT: AT/NC, MMM. OP clear. Right eye CN6 deficit. Neck with " "Correct entity, wrong SNOMED ID","(5901, 5904)","(5901, 5904)",MMM,MMM,276398005,258673006,15807359-DS-28,"RAL: NAD. Lying in bed comfortably. HEENT: AT/NC, MMM. OP clear. Right eye CN6 deficit. Neck with inci" "Correct entity, wrong SNOMED ID","(5906, 5914)","(5906, 5914)",OP clear,OP clear,300280008,271591004,15807359-DS-28,"NAD. Lying in bed comfortably. HEENT: AT/NC, MMM. OP clear. Right eye CN6 deficit. Neck with incision on ba" "Correct entity, wrong SNOMED ID","(5916, 5925)","(5916, 5925)",Right eye,Right eye,18944008,12241871000119100,15807359-DS-28," in bed comfortably. HEENT: AT/NC, MMM. OP clear. Right eye CN6 deficit. Neck with incision on back c/d/i CA" Missed entity,"(5926, 5937)",,CN6 deficit,,398963001,,15807359-DS-28,"mfortably. HEENT: AT/NC, MMM. OP clear. Right eye CN6 deficit. Neck with incision on back c/d/i CARDIAC: RRR, " "Correct entity, wrong SNOMED ID","(5939, 5943)","(5939, 5943)",Neck,Neck,304036007,840674001,15807359-DS-28,"ENT: AT/NC, MMM. OP clear. Right eye CN6 deficit. Neck with incision on back c/d/i CARDIAC: RRR, normal" "Correct entity, wrong SNOMED ID","(5950, 5958)","(5950, 5958)",incision,incision,609343002,119684006,15807359-DS-28," MMM. OP clear. Right eye CN6 deficit. Neck with incision on back c/d/i CARDIAC: RRR, normal S1/S2 LUNG: C" "Correct entity, wrong SNOMED ID","(5973, 5980)","(5973, 5980)",CARDIAC,CARDIAC,363003006,71892000,15807359-DS-28,"ye CN6 deficit. Neck with incision on back c/d/i CARDIAC: RRR, normal S1/S2 LUNG: CTAB, no wheezes, rales" "Correct entity, wrong SNOMED ID","(5982, 5985)","(5982, 5985)",RRR,RRR,76863003,129960002,15807359-DS-28,"ficit. Neck with incision on back c/d/i CARDIAC: RRR, normal S1/S2 LUNG: CTAB, no wheezes, rales, rho" Wrong span,"(5987, 6000)","(5987, 5997)",normal S1/S2,normal S1,301132007,426792009,15807359-DS-28,". Neck with incision on back c/d/i CARDIAC: RRR, normal S1/S2 LUNG: CTAB, no wheezes, rales, rhonchi, breathing" "Correct entity, wrong SNOMED ID","(6001, 6005)","(6001, 6005)",LUNG,LUNG,268925001,301232003,15807359-DS-28,"ncision on back c/d/i CARDIAC: RRR, normal S1/S2 LUNG: CTAB, no wheezes, rales, rhonchi, breathing comf" "Correct entity, wrong SNOMED ID","(6007, 6011)","(6007, 6011)",CTAB,CTAB,48348007,112188007,15807359-DS-28,"n on back c/d/i CARDIAC: RRR, normal S1/S2 LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortabl" "Correct entity, wrong SNOMED ID","(6016, 6023)","(6016, 6023)",wheezes,wheezes,56018004,9763007,15807359-DS-28," c/d/i CARDIAC: RRR, normal S1/S2 LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably. Left por" "Correct entity, wrong SNOMED ID","(6025, 6030)","(6025, 6030)",rales,rales,48409008,31846006,15807359-DS-28,"RDIAC: RRR, normal S1/S2 LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably. Left portacath " "Correct entity, wrong SNOMED ID","(6041, 6062)","(6041, 6062)",breathing comfortably,breathing comfortably,276362002,229299002,15807359-DS-28,"al S1/S2 LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably. Left portacath visible with no signs of infecti" Missed entity,"(6065, 6069)",,Left,,771318003,,15807359-DS-28," wheezes, rales, rhonchi, breathing comfortably. Left portacath visible with no signs of infection. ABD" Wrong span,"(6096, 6114)","(6096, 6101)",signs of infection,signs,370835007,86631001,15807359-DS-28,"hing comfortably. Left portacath visible with no signs of infection. ABDOMEN: Nontender. Nondistended, +BS, left colo" "Correct entity, wrong SNOMED ID","(6116, 6123)","(6116, 6123)",ABDOMEN,ABDOMEN,225162003,41931001,15807359-DS-28,"eft portacath visible with no signs of infection. ABDOMEN: Nontender. Nondistended, +BS, left colostomy bag" "Correct entity, wrong SNOMED ID","(6125, 6134)","(6125, 6134)",Nontender,Nontender,43478001,413319007,15807359-DS-28,"cath visible with no signs of infection. ABDOMEN: Nontender. Nondistended, +BS, left colostomy bag with gas " "Correct entity, wrong SNOMED ID","(6136, 6148)","(6136, 6148)",Nondistended,Nondistended,300405003,441380004,15807359-DS-28,"e with no signs of infection. ABDOMEN: Nontender. Nondistended, +BS, left colostomy bag with gas EXTREMITIES:" "Correct entity, wrong SNOMED ID","(6150, 6153)","(6150, 6153)",+BS,+BS,61539000,260347006,15807359-DS-28,"s of infection. ABDOMEN: Nontender. Nondistended, +BS, left colostomy bag with gas EXTREMITIES: RUE " Wrong span,"(6155, 6159)","(6155, 6169)",left,left colostomy,416011007,10491000119106,15807359-DS-28,"infection. ABDOMEN: Nontender. Nondistended, +BS, left colostomy bag with gas EXTREMITIES: RUE weaker" Wrong span,"(6160, 6169)","(6155, 6169)",colostomy,left colostomy,302112009,10491000119106,15807359-DS-28,"tion. ABDOMEN: Nontender. Nondistended, +BS, left colostomy bag with gas EXTREMITIES: RUE weaker than LUE." "Correct entity, wrong SNOMED ID","(6180, 6183)","(6180, 6183)",gas,gas,249504006,111132001,15807359-DS-28,"nder. Nondistended, +BS, left colostomy bag with gas EXTREMITIES: RUE weaker than LUE. RLE and LLE a" "Correct entity, wrong SNOMED ID","(6186, 6197)","(6186, 6197)",EXTREMITIES,EXTREMITIES,302773001,248416007,15807359-DS-28,"Nondistended, +BS, left colostomy bag with gas EXTREMITIES: RUE weaker than LUE. RLE and LLE appear similar " "Correct entity, wrong SNOMED ID","(6199, 6202)","(6199, 6202)",RUE,RUE,6921000,40522004,15807359-DS-28," +BS, left colostomy bag with gas EXTREMITIES: RUE weaker than LUE. RLE and LLE appear similar in s" "Correct entity, wrong SNOMED ID","(6215, 6218)","(6215, 6218)",LUE,LUE,80768000,24631000181104,15807359-DS-28,"tomy bag with gas EXTREMITIES: RUE weaker than LUE. RLE and LLE appear similar in strength. Moving " "Correct entity, wrong SNOMED ID","(6220, 6223)","(6220, 6223)",RLE,RLE,62175007,229042004,15807359-DS-28,"bag with gas EXTREMITIES: RUE weaker than LUE. RLE and LLE appear similar in strength. Moving all e" "Correct entity, wrong SNOMED ID","(6228, 6231)","(6228, 6231)",LLE,LLE,32153003,420296000,15807359-DS-28," gas EXTREMITIES: RUE weaker than LUE. RLE and LLE appear similar in strength. Moving all extremiti" Wrong span,"(6261, 6283)","(6261, 6288)",Moving all extremities,Moving all extremities well,284137004,364892002,15807359-DS-28,"han LUE. RLE and LLE appear similar in strength. Moving all extremities well, no cyanosis, clubbing or edema PULSES: 2+" "Correct entity, wrong SNOMED ID","(6293, 6301)","(6293, 6301)",cyanosis,cyanosis,3415004,84260001,15807359-DS-28,"lar in strength. Moving all extremities well, no cyanosis, clubbing or edema PULSES: 2+ DP pulses bilater" "Correct entity, wrong SNOMED ID","(6303, 6311)","(6303, 6311)",clubbing,clubbing,367004,30760008,15807359-DS-28,"rength. Moving all extremities well, no cyanosis, clubbing or edema PULSES: 2+ DP pulses bilaterally NEU" "Correct entity, wrong SNOMED ID","(6316, 6321)","(6316, 6321)",edema,edema,267038008,102576009,15807359-DS-28,"g all extremities well, no cyanosis, clubbing or edema PULSES: 2+ DP pulses bilaterally NEURO: R Cran" "Correct entity, wrong SNOMED ID","(6323, 6329)","(6323, 6329)",PULSES,PULSES,366199006,307684005,15807359-DS-28,"xtremities well, no cyanosis, clubbing or edema PULSES: 2+ DP pulses bilaterally NEURO: R Cranial Nerv" "Correct entity, wrong SNOMED ID","(6331, 6343)","(6331, 6343)",2+ DP pulses,2+ DP pulses,301160009,429784004,15807359-DS-28,"es well, no cyanosis, clubbing or edema PULSES: 2+ DP pulses bilaterally NEURO: R Cranial Nerve 6 deficit. " "Correct entity, wrong SNOMED ID","(6358, 6363)","(6358, 6363)",NEURO,NEURO,84728005,284186002,15807359-DS-28,"ing or edema PULSES: 2+ DP pulses bilaterally NEURO: R Cranial Nerve 6 deficit. SKIN: warm and well" Wrong span,"(6367, 6391)","(6367, 6380)",Cranial Nerve 6 deficit.,Cranial Nerve,398963001,56193007,15807359-DS-28,"dema PULSES: 2+ DP pulses bilaterally NEURO: R Cranial Nerve 6 deficit. SKIN: warm and well perfused, no rashes P" "Correct entity, wrong SNOMED ID","(6394, 6398)","(6394, 6398)",SKIN,SKIN,271303006,444884003,15807359-DS-28,"bilaterally NEURO: R Cranial Nerve 6 deficit. SKIN: warm and well perfused, no rashes Pertinen" "Correct entity, wrong SNOMED ID","(6400, 6404)","(6400, 6404)",warm,warm,102599008,298256005,15807359-DS-28,"rally NEURO: R Cranial Nerve 6 deficit. SKIN: warm and well perfused, no rashes Pertinent Resu" "Correct entity, wrong SNOMED ID","(6409, 6422)","(6409, 6422)",well perfused,well perfused,1137685003,301121007,15807359-DS-28,"EURO: R Cranial Nerve 6 deficit. SKIN: warm and well perfused, no rashes Pertinent Results: ADMISSION LAB" "Correct entity, wrong SNOMED ID","(6428, 6434)","(6428, 6434)",rashes,rashes,271807003,247472004,15807359-DS-28,"ve 6 deficit. SKIN: warm and well perfused, no rashes Pertinent Results: ADMISSION LABS: ___ 06:45" "Correct entity, wrong SNOMED ID","(6493, 6496)","(6493, 6496)",WBC,WBC,767002,391558003,15807359-DS-28,"tinent Results: ADMISSION LABS: ___ 06:45AM BLOOD WBC-7.9 RBC-4.60 Hgb-14.9 Hct-43.6 MCV-95 MCH-32.3* " "Correct entity, wrong SNOMED ID","(6501, 6504)","(6501, 6504)",RBC,RBC,14089001,258759006,15807359-DS-28,"esults: ADMISSION LABS: ___ 06:45AM BLOOD WBC-7.9 RBC-4.60 Hgb-14.9 Hct-43.6 MCV-95 MCH-32.3* MCHC-34." "Correct entity, wrong SNOMED ID","(6510, 6513)","(6510, 6513)",Hgb,Hgb,441689006,104142005,15807359-DS-28,"DMISSION LABS: ___ 06:45AM BLOOD WBC-7.9 RBC-4.60 Hgb-14.9 Hct-43.6 MCV-95 MCH-32.3* MCHC-34.1 RDW-13." "Correct entity, wrong SNOMED ID","(6519, 6522)","(6519, 6522)",Hct,Hct,28317006,840276005,15807359-DS-28,"LABS: ___ 06:45AM BLOOD WBC-7.9 RBC-4.60 Hgb-14.9 Hct-43.6 MCV-95 MCH-32.3* MCHC-34.1 RDW-13.5 Plt ___" Missed entity,"(6528, 6531)",,MCV,,104133003,,15807359-DS-28," 06:45AM BLOOD WBC-7.9 RBC-4.60 Hgb-14.9 Hct-43.6 MCV-95 MCH-32.3* MCHC-34.1 RDW-13.5 Plt ___ ___ 06:4" "Correct entity, wrong SNOMED ID","(6546, 6550)","(6546, 6550)",MCHC,MCHC,37254006,735147002,15807359-DS-28,"-7.9 RBC-4.60 Hgb-14.9 Hct-43.6 MCV-95 MCH-32.3* MCHC-34.1 RDW-13.5 Plt ___ ___ 06:45AM BLOOD Neuts-76." "Correct entity, wrong SNOMED ID","(6556, 6559)","(6556, 6559)",RDW,RDW,66842004,735149004,15807359-DS-28,".60 Hgb-14.9 Hct-43.6 MCV-95 MCH-32.3* MCHC-34.1 RDW-13.5 Plt ___ ___ 06:45AM BLOOD Neuts-76.4* Lymphs" "Correct entity, wrong SNOMED ID","(6591, 6596)","(6591, 6596)",Neuts,Neuts,30630007,271035003,15807359-DS-28,"2.3* MCHC-34.1 RDW-13.5 Plt ___ ___ 06:45AM BLOOD Neuts-76.4* Lymphs-13.9* Monos-6.6 Eos-2.3 Baso-0.8 __" "Correct entity, wrong SNOMED ID","(6603, 6609)","(6603, 6609)",Lymphs,Lymphs,74765001,79709007,15807359-DS-28,".1 RDW-13.5 Plt ___ ___ 06:45AM BLOOD Neuts-76.4* Lymphs-13.9* Monos-6.6 Eos-2.3 Baso-0.8 ___ 06:45AM BLO" "Correct entity, wrong SNOMED ID","(6616, 6621)","(6616, 6621)",Monos,Monos,67776007,462791000124108,15807359-DS-28,"lt ___ ___ 06:45AM BLOOD Neuts-76.4* Lymphs-13.9* Monos-6.6 Eos-2.3 Baso-0.8 ___ 06:45AM BLOOD ___ PTT-3" "Correct entity, wrong SNOMED ID","(6635, 6639)","(6635, 6639)",Baso,Baso,42351005,68106000,15807359-DS-28,"BLOOD Neuts-76.4* Lymphs-13.9* Monos-6.6 Eos-2.3 Baso-0.8 ___ 06:45AM BLOOD ___ PTT-39.7* ___ ___ 06:45" "Correct entity, wrong SNOMED ID","(6666, 6669)","(6666, 6669)",PTT,PTT,42525009,282119004,15807359-DS-28,"Monos-6.6 Eos-2.3 Baso-0.8 ___ 06:45AM BLOOD ___ PTT-39.7* ___ ___ 06:45AM BLOOD Glucose-99 UreaN-14 C" "Correct entity, wrong SNOMED ID","(6698, 6705)","(6698, 6705)",Glucose,Glucose,33747003,72191006,15807359-DS-28,"06:45AM BLOOD ___ PTT-39.7* ___ ___ 06:45AM BLOOD Glucose-99 UreaN-14 Creat-0.8 Na-137 K-3.5 Cl-98 HCO3-21" "Correct entity, wrong SNOMED ID","(6709, 6714)","(6709, 6714)",UreaN,UreaN,105011006,111108008,15807359-DS-28,"OD ___ PTT-39.7* ___ ___ 06:45AM BLOOD Glucose-99 UreaN-14 Creat-0.8 Na-137 K-3.5 Cl-98 HCO3-21* AnGap-2" "Correct entity, wrong SNOMED ID","(6718, 6723)","(6718, 6723)",Creat,Creat,70901006,365756002,15807359-DS-28,"T-39.7* ___ ___ 06:45AM BLOOD Glucose-99 UreaN-14 Creat-0.8 Na-137 K-3.5 Cl-98 HCO3-21* AnGap-22* ___ 06" "Correct entity, wrong SNOMED ID","(6728, 6730)","(6728, 6730)",Na,Na,312469006,257992007,15807359-DS-28,"_ ___ 06:45AM BLOOD Glucose-99 UreaN-14 Creat-0.8 Na-137 K-3.5 Cl-98 HCO3-21* AnGap-22* ___ 06:55AM B" "Correct entity, wrong SNOMED ID","(6742, 6744)","(6742, 6744)",Cl,Cl,104589004,311741002,15807359-DS-28,"BLOOD Glucose-99 UreaN-14 Creat-0.8 Na-137 K-3.5 Cl-98 HCO3-21* AnGap-22* ___ 06:55AM BLOOD Lactate-1" "Correct entity, wrong SNOMED ID","(6748, 6752)","(6748, 6752)",HCO3,HCO3,312471006,88645003,15807359-DS-28,"Glucose-99 UreaN-14 Creat-0.8 Na-137 K-3.5 Cl-98 HCO3-21* AnGap-22* ___ 06:55AM BLOOD Lactate-1.9 . ___" "Correct entity, wrong SNOMED ID","(6757, 6762)","(6757, 6762)",AnGap,AnGap,25469001,124504004,15807359-DS-28,"9 UreaN-14 Creat-0.8 Na-137 K-3.5 Cl-98 HCO3-21* AnGap-22* ___ 06:55AM BLOOD Lactate-1.9 . ___ MRI BRAIN" Wrong span,"(6860, 6870)","(6860, 6884)",metastatic,metastatic rectal cancer,128462008,94513006,15807359-DS-28,"IN: IMPRESSION: 1. Patient with known history of metastatic rectal cancer, status post resection of a left c" Wrong span,"(6871, 6884)","(6860, 6884)",rectal cancer,metastatic rectal cancer,363351006,94513006,15807359-DS-28,"ION: 1. Patient with known history of metastatic rectal cancer, status post resection of a left cerebellar meta" Missed entity,"(6887, 6898)",,status post,,19585003,,15807359-DS-28," with known history of metastatic rectal cancer, status post resection of a left cerebellar metastasis, nodula" Wrong span,"(6899, 6908)","(6899, 6911)",resection,resection of,65801008,119746007,15807359-DS-28,"history of metastatic rectal cancer, status post resection of a left cerebellar metastasis, nodular meninge" Wrong span,"(6914, 6929)","(6914, 6940)",left cerebellar,left cerebellar metastasis,1010600003,762632005,15807359-DS-28,"static rectal cancer, status post resection of a left cerebellar metastasis, nodular meningeal-based enhancing so" Wrong span,"(6930, 6940)","(6914, 6940)",metastasis,left cerebellar metastasis,128462008,762632005,15807359-DS-28,"ncer, status post resection of a left cerebellar metastasis, nodular meningeal-based enhancing soft tissue i" "Correct entity, wrong SNOMED ID","(6951, 6960)","(6951, 6960)",meningeal,meningeal,1231004,180950007,15807359-DS-28,"section of a left cerebellar metastasis, nodular meningeal-based enhancing soft tissue in the resection bed " "Correct entity, wrong SNOMED ID","(6977, 6988)","(6977, 6988)",soft tissue,soft tissue,87784001,74336005,15807359-DS-28,"ar metastasis, nodular meningeal-based enhancing soft tissue in the resection bed consistent with recurrent t" Wrong span,"(6996, 7009)","(6996, 7005)",resection bed,resection,16227691000119107,265414003,15807359-DS-28,"lar meningeal-based enhancing soft tissue in the resection bed consistent with recurrent tumor is unchanged sin" Wrong span,"(7027, 7042)","(7027, 7036)",recurrent tumor,recurrent,1259237005,25173007,15807359-DS-28,"soft tissue in the resection bed consistent with recurrent tumor is unchanged since ___. 2. Prepontine cisternal " Wrong span,"(7071, 7091)","(7071, 7081)",Prepontine cisternal,Prepontine,369387006,223506007,15807359-DS-28," with recurrent tumor is unchanged since ___. 2. Prepontine cisternal and upper cervical intradural enhancing lesions " Wrong span,"(7102, 7110)","(7096, 7110)",cervical,upper cervical,122494005,13334000,15807359-DS-28,"ged since ___. 2. Prepontine cisternal and upper cervical intradural enhancing lesions have slightly incre" "Correct entity, wrong SNOMED ID","(7111, 7121)","(7111, 7121)",intradural,intradural,37554007,189016009,15807359-DS-28," ___. 2. Prepontine cisternal and upper cervical intradural enhancing lesions have slightly increased in siz" "Correct entity, wrong SNOMED ID","(7133, 7140)","(7133, 7140)",lesions,lesions,52988006,246206008,15807359-DS-28,"isternal and upper cervical intradural enhancing lesions have slightly increased in size, compared to the " Missed entity,"(7155, 7172)",,increased in size,,15454001,,15807359-DS-28,"vical intradural enhancing lesions have slightly increased in size, compared to the prior study, with no new lesion" "Correct entity, wrong SNOMED ID","(7216, 7222)","(7216, 7222)",lesion,lesion,52988006,120609008,15807359-DS-28,"n size, compared to the prior study, with no new lesion. . ___ CT HEAD: IMPRESSION: 1) Unchanged extracra" Wrong span,"(7277, 7286)","(7264, 7286)",occipital,extracranial occipital,43631005,79951008,15807359-DS-28,"__ CT HEAD: IMPRESSION: 1) Unchanged extracranial occipital soft tissue and pre-pontine cistern masses consi" "Correct entity, wrong SNOMED ID","(7287, 7298)","(7287, 7298)",soft tissue,soft tissue,87784001,74336005,15807359-DS-28,": IMPRESSION: 1) Unchanged extracranial occipital soft tissue and pre-pontine cistern masses consistent with m" Wrong span,"(7303, 7323)","(7303, 7314)","pre-pontine cistern",pre-pontine,369387006,304942009,15807359-DS-28," Unchanged extracranial occipital soft tissue and pre-pontine cistern masses consistent with metastatic disease. 2) No " Wrong span,"(7324, 7330)","(7316, 7330)",masses,cistern masses,4147007,46538004,15807359-DS-28,"al occipital soft tissue and pre-pontine cistern masses consistent with metastatic disease. 2) No evidenc" "Correct entity, wrong SNOMED ID","(7347, 7365)","(7347, 7365)",metastatic disease,metastatic disease,128462008,372152003,15807359-DS-28,"e and pre-pontine cistern masses consistent with metastatic disease. 2) No evidence for new metastatic disease on thi" Wrong span,"(7370, 7381)","(7370, 7372)",No evidence,No,281900007,165815009,15807359-DS-28,"ern masses consistent with metastatic disease. 2) No evidence for new metastatic disease on this nonenhanced s" "Correct entity, wrong SNOMED ID","(7390, 7408)","(7390, 7408)",metastatic disease,metastatic disease,128462008,1279908003,15807359-DS-28,"t with metastatic disease. 2) No evidence for new metastatic disease on this nonenhanced study. . ___ MRI Head: IMPRE" "Correct entity, wrong SNOMED ID","(7559, 7571)","(7559, 7571)",intracranial,intracranial,128319008,731998000,15807359-DS-28,"st-contrast MP-RAGE sequence, with: 1. No acute intracranial abnormality; there is no evidence of acute intra" "Correct entity, wrong SNOMED ID","(7572, 7583)","(7572, 7583)",abnormality,abnormality,281900007,22325002,15807359-DS-28,"P-RAGE sequence, with: 1. No acute intracranial abnormality; there is no evidence of acute intra- or extra-a" "Correct entity, wrong SNOMED ID","(7594, 7605)","(7594, 7605)",no evidence,no evidence,281900007,41647002,15807359-DS-28," 1. No acute intracranial abnormality; there is no evidence of acute intra- or extra-axial hemorrhage. 2. " Boundary error,"(7616, 7621)","(7616, 7622)",intra,intra-,449020009,263688002,15807359-DS-28,"anial abnormality; there is no evidence of acute intra- or extra-axial hemorrhage. 2. Relatively uncha" Wrong span,"(7626, 7631)","(7626, 7648)",extra,extra-axial hemorrhage,1386000,1263933007,15807359-DS-28,"rmality; there is no evidence of acute intra- or extra-axial hemorrhage. 2. Relatively unchanged appea" Wrong span,"(7638, 7648)","(7626, 7648)",hemorrhage,extra-axial hemorrhage,50960005,1263933007,15807359-DS-28,"re is no evidence of acute intra- or extra-axial hemorrhage. 2. Relatively unchanged appearance to the know" "Correct entity, wrong SNOMED ID","(7700, 7712)","(7700, 7712)",intracranial,intracranial,128319008,731998000,15807359-DS-28," 2. Relatively unchanged appearance to the known intracranial metastatic disease, including in the left cerebe" "Correct entity, wrong SNOMED ID","(7714, 7732)","(7714, 7732)",metastatic disease,metastatic disease,128462008,1279908003,15807359-DS-28,"y unchanged appearance to the known intracranial metastatic disease, including in the left cerebellar hemispheric re" "Correct entity, wrong SNOMED ID","(7751, 7778)","(7751, 7778)",left cerebellar hemispheric,left cerebellar hemispheric,1010600003,1010601004,15807359-DS-28,"ntracranial metastatic disease, including in the left cerebellar hemispheric resection bed, with no new metastatic lesion ide" Wrong span,"(7780, 7793)","(7780, 7789)",resection bed,resection,16227691000119107,265414003,15807359-DS-28,"se, including in the left cerebellar hemispheric resection bed, with no new metastatic lesion identified. 3. E" "Correct entity, wrong SNOMED ID","(7807, 7817)","(7807, 7817)",metastatic,metastatic,128462008,264860004,15807359-DS-28,"erebellar hemispheric resection bed, with no new metastatic lesion identified. 3. Evidence of radiotherapy-" "Correct entity, wrong SNOMED ID","(7818, 7824)","(7818, 7824)",lesion,lesion,52988006,120609008,15807359-DS-28,"emispheric resection bed, with no new metastatic lesion identified. 3. Evidence of radiotherapy-related" "Correct entity, wrong SNOMED ID","(7854, 7866)","(7854, 7866)",radiotherapy,radiotherapy,108290001,229028007,15807359-DS-28,"ew metastatic lesion identified. 3. Evidence of radiotherapy-related change. . ___ C spine MRI w & w/o cont" Wrong span,"(7892, 7905)","(7892, 7899)",C spine MRI w,C spine,60443006,122495006,15807359-DS-28,"Evidence of radiotherapy-related change. . ___ C spine MRI w & w/o contrast: IMPRESSION: Intradural extramed" Missed entity,"(7906, 7920)",,& w/o contrast,,571891000119109,,15807359-DS-28,"diotherapy-related change. . ___ C spine MRI w & w/o contrast: IMPRESSION: Intradural extramedullary C2-C3 le" Wrong span,"(7935, 7961)","(7935, 7945)","Intradural extramedullary",Intradural,7712004,189016009,15807359-DS-28," ___ C spine MRI w & w/o contrast: IMPRESSION: Intradural extramedullary C2-C3 lesion along the posterior aspect of the s" "Correct entity, wrong SNOMED ID","(7962, 7964)","(7962, 7964)",C2,C2,39976000,81170007,15807359-DS-28,"contrast: IMPRESSION: Intradural extramedullary C2-C3 lesion along the posterior aspect of the spin" "Correct entity, wrong SNOMED ID","(7968, 7974)","(7968, 7974)",lesion,lesion,52988006,120609008,15807359-DS-28,"st: IMPRESSION: Intradural extramedullary C2-C3 lesion along the posterior aspect of the spinal canal, " "Correct entity, wrong SNOMED ID","(8010, 8022)","(8010, 8022)",spinal canal,spinal canal,61853006,11537001,15807359-DS-28,"y C2-C3 lesion along the posterior aspect of the spinal canal, causing mass effect and compressing the spinal " Wrong span,"(8032, 8036)","(8032, 8043)",mass,mass effect,299736000,112652003,15807359-DS-28,"he posterior aspect of the spinal canal, causing mass effect and compressing the spinal cord, which ap" Wrong span,"(8048, 8076)","(8064, 8076)","compressing the spinal cord","spinal cord",1156266006,445308004,15807359-DS-28,"ect of the spinal canal, causing mass effect and compressing the spinal cord, which appears anteriorly displaced. Signal with" Missed entity,"(8092, 8112)",,anteriorly displaced,,76093008,,15807359-DS-28,"t and compressing the spinal cord, which appears anteriorly displaced. Signal within the cord is difficult to evaluat" Missed entity,"(8198, 8202)",,pCXR,,399208008,,15807359-DS-28,"ult to evaluate due to significant motion. . ___ pCXR: Impression: The left Port-A-Cath catheter tip is" Missed entity,"(8220, 8224)",,left,,44029006,,15807359-DS-28," significant motion. . ___ pCXR: Impression: The left Port-A-Cath catheter tip is at the level of cavo" Missed entity,"(8225, 8236)",,Port-A-Cath,,1172566008,,15807359-DS-28,"ificant motion. . ___ pCXR: Impression: The left Port-A-Cath catheter tip is at the level of cavoatrial junct" "Correct entity, wrong SNOMED ID","(8292, 8297)","(8292, 8297)",Heart,Heart,80891009,226984005,15807359-DS-28,"ter tip is at the level of cavoatrial junction. Heart size and mediastinum are grossly unchanged. Lun" "Correct entity, wrong SNOMED ID","(8307, 8318)","(8307, 8318)",mediastinum,mediastinum,72410000,363646005,15807359-DS-28,"the level of cavoatrial junction. Heart size and mediastinum are grossly unchanged. Lungs are essentially we" "Correct entity, wrong SNOMED ID","(8344, 8349)","(8344, 8349)",Lungs,Lungs,39607008,74101002,15807359-DS-28,"art size and mediastinum are grossly unchanged. Lungs are essentially well aerated with no evidence of" Wrong span,"(8385, 8396)","(8385, 8387)",no evidence,no,281900007,160552003,15807359-DS-28,"hanged. Lungs are essentially well aerated with no evidence of consolidative process. Surgical clips are pr" Missed entity,"(8400, 8413)",,consolidative,,95436008,,15807359-DS-28,"are essentially well aerated with no evidence of consolidative process. Surgical clips are projecting over the" Missed entity,"(8424, 8432)",,Surgical,,387713003,,15807359-DS-28,"ated with no evidence of consolidative process. Surgical clips are projecting over the right hemithorax. " Wrong span,"(8464, 8480)","(8464, 8469)",right hemithorax,right,51872008,225794002,15807359-DS-28,"process. Surgical clips are projecting over the right hemithorax. . ___ x-ray C-spine: A single limited intrao" Wrong span,"(8489, 8502)","(8489, 8494)",x-ray C-spine,x-ray,66769009,312254007,15807359-DS-28,"are projecting over the right hemithorax. . ___ x-ray C-spine: A single limited intraoperative fluoroscopic " Missed entity,"(8524, 8538)",,intraoperative,,73443006,,15807359-DS-28,"thorax. . ___ x-ray C-spine: A single limited intraoperative fluoroscopic image of the lateral cervical spin" "Correct entity, wrong SNOMED ID","(8539, 8551)","(8539, 8551)",fluoroscopic,fluoroscopic,168999000,711486006,15807359-DS-28,"x-ray C-spine: A single limited intraoperative fluoroscopic image of the lateral cervical spine is submitte" "Correct entity, wrong SNOMED ID","(8574, 8589)","(8574, 8589)","cervical spine","cervical spine",122494005,361684008,15807359-DS-28,"intraoperative fluoroscopic image of the lateral cervical spine is submitted for review. Only the C2 and C3 vert" "Correct entity, wrong SNOMED ID","(8625, 8627)","(8625, 8627)",C2,C2,420367004,81170007,15807359-DS-28,"ervical spine is submitted for review. Only the C2 and C3 vertebral bodies are imaged in their enti" Wrong span,"(8632, 8652)","(8632, 8634)","C3 vertebral bodies",C3,91116008,10473000,15807359-DS-28," spine is submitted for review. Only the C2 and C3 vertebral bodies are imaged in their entirety. A localizing devic" "Correct entity, wrong SNOMED ID","(8756, 8758)","(8756, 8758)",C2,C2,39976000,81170007,15807359-DS-28," present overlying the posterior elements at the C2-C3 level. For procedural details, please see th" Missed entity,"(8759, 8761)",,C3,,113205007,,15807359-DS-28,"resent overlying the posterior elements at the C2-C3 level. For procedural details, please see the o" Missed entity,"(8810, 8819)",,operative,,387713003,,15807359-DS-28,"3 level. For procedural details, please see the operative report. ___ CXR: FINDINGS: Interval placement" Wrong span,"(8860, 8890)","(8873, 8890)",placement of endotracheal tube,endotracheal tube,419991009,405492008,15807359-DS-28,"operative report. ___ CXR: FINDINGS: Interval placement of endotracheal tube, with tip terminating approximately 5.5 cm abov" "Correct entity, wrong SNOMED ID","(8946, 8952)","(8946, 8952)",carina,carina,28700002,181214003,15807359-DS-28," tip terminating approximately 5.5 cm above the carina. Small amount of pneumomediastinum is likely re" "Correct entity, wrong SNOMED ID","(8972, 8989)","(8972, 8989)",pneumomediastinum,pneumomediastinum,16838000,427445002,15807359-DS-28,"mately 5.5 cm above the carina. Small amount of pneumomediastinum is likely related to recent cervical spine surge" "Correct entity, wrong SNOMED ID","(9018, 9041)","(9018, 9041)","cervical spine surgery","cervical spine surgery",428490009,429149009,15807359-DS-28,"of pneumomediastinum is likely related to recent cervical spine surgery with extension of gas from the lower neck into th" Wrong span,"(9079, 9083)","(9073, 9083)",neck,lower neck,45048000,362651005,15807359-DS-28,"ine surgery with extension of gas from the lower neck into the mediastinum. The heart size is normal." "Correct entity, wrong SNOMED ID","(9094, 9105)","(9094, 9105)",mediastinum,mediastinum,72410000,363646005,15807359-DS-28,"th extension of gas from the lower neck into the mediastinum. The heart size is normal. Within the lungs, a " "Correct entity, wrong SNOMED ID","(9112, 9117)","(9112, 9117)",heart,heart,80891009,22298006,15807359-DS-28,"s from the lower neck into the mediastinum. The heart size is normal. Within the lungs, a note is mad" Wrong span,"(9118, 9132)","(9126, 9132)",size is normal,normal,53461003,840673007,15807359-DS-28," the lower neck into the mediastinum. The heart size is normal. Within the lungs, a note is made of surgical c" "Correct entity, wrong SNOMED ID","(9146, 9151)","(9146, 9151)",lungs,lungs,39607008,74101002,15807359-DS-28,"diastinum. The heart size is normal. Within the lungs, a note is made of surgical clips in the right m" Wrong span,"(9194, 9199)","(9194, 9215)",right,right mid lung region,3341006,739139005,15807359-DS-28,"e lungs, a note is made of surgical clips in the right mid lung region as well as mild right-sided volu" Wrong span,"(9200, 9215)","(9194, 9215)",mid lung region,right mid lung region,281393007,739139005,15807359-DS-28,"s, a note is made of surgical clips in the right mid lung region as well as mild right-sided volume loss, likely " Missed entity,"(9228, 9232)",,mild,,162468002,,15807359-DS-28,"al clips in the right mid lung region as well as mild right-sided volume loss, likely postoperative. " "Correct entity, wrong SNOMED ID","(9233, 9244)","(9233, 9244)",right-sided,right-sided,3341006,448602005,15807359-DS-28,"ips in the right mid lung region as well as mild right-sided volume loss, likely postoperative. Right costop" "Correct entity, wrong SNOMED ID","(9245, 9256)","(9245, 9256)",volume loss,volume loss,19776001,816081007,15807359-DS-28,"ight mid lung region as well as mild right-sided volume loss, likely postoperative. Right costophrenic sulcu" "Correct entity, wrong SNOMED ID","(9265, 9278)","(9265, 9278)",postoperative,postoperative,19585003,1373687003,15807359-DS-28," as well as mild right-sided volume loss, likely postoperative. Right costophrenic sulcus is less well demonst" "Correct entity, wrong SNOMED ID","(9282, 9287)","(9282, 9287)",Right,Right,51872008,264746006,15807359-DS-28," right-sided volume loss, likely postoperative. Right costophrenic sulcus is less well demonstrated and" "Correct entity, wrong SNOMED ID","(9288, 9307)","(9288, 9307)",costophrenic sulcus,costophrenic sulcus,46297007,1297172001,15807359-DS-28,"-sided volume loss, likely postoperative. Right costophrenic sulcus is less well demonstrated and could reflect a sm" "Correct entity, wrong SNOMED ID","(9361, 9366)","(9361, 9366)",right,right,44788007,264746006,15807359-DS-28,"less well demonstrated and could reflect a small right pleural effusion. The left lung and pleural sur" "Correct entity, wrong SNOMED ID","(9367, 9383)","(9367, 9383)",pleural effusion,pleural effusion,60046008,1366511008,15807359-DS-28,"ell demonstrated and could reflect a small right pleural effusion. The left lung and pleural surfaces are grossly" "Correct entity, wrong SNOMED ID","(9390, 9399)","(9390, 9399)",left lung,left lung,44029006,361982005,15807359-DS-28,"uld reflect a small right pleural effusion. The left lung and pleural surfaces are grossly clear. ___ MR" "Correct entity, wrong SNOMED ID","(9405, 9412)","(9405, 9412)",pleural,pleural,53727004,278296000,15807359-DS-28,"small right pleural effusion. The left lung and pleural surfaces are grossly clear. ___ MRI C-SPINE W/W" Missed entity,"(9434, 9439)",,clear,,281900007,,15807359-DS-28," The left lung and pleural surfaces are grossly clear. ___ MRI C-SPINE W/WO CONTRAST: A single limit" Wrong span,"(9447, 9460)","(9447, 9450)",MRI C-SPINE W,MRI,60443006,305882007,15807359-DS-28,"ng and pleural surfaces are grossly clear. ___ MRI C-SPINE W/WO CONTRAST: A single limited intraoperative flu" Missed entity,"(9461, 9472)",,WO CONTRAST,,571891000119109,,15807359-DS-28,"l surfaces are grossly clear. ___ MRI C-SPINE W/WO CONTRAST: A single limited intraoperative fluoroscopic im" Missed entity,"(9492, 9506)",,intraoperative,,73443006,,15807359-DS-28," ___ MRI C-SPINE W/WO CONTRAST: A single limited intraoperative fluoroscopic image of the lateral cervical spine" "Correct entity, wrong SNOMED ID","(9507, 9519)","(9507, 9519)",fluoroscopic,fluoroscopic,168999000,1363177002,15807359-DS-28,"E W/WO CONTRAST: A single limited intraoperative fluoroscopic image of the lateral cervical spine is submitted" "Correct entity, wrong SNOMED ID","(9542, 9556)","(9542, 9556)",cervical spine,cervical spine,122494005,178778006,15807359-DS-28,"intraoperative fluoroscopic image of the lateral cervical spine is submitted for review. Only the C2 and C3 ver" "Correct entity, wrong SNOMED ID","(9592, 9594)","(9592, 9594)",C2,C2,420367004,81170007,15807359-DS-28,"cervical spine is submitted for review. Only the C2 and C3 vertebral bodies are imaged in their enti" Wrong span,"(9600, 9619)","(9600, 9602)",C3 vertebral bodies,C3,91116008,10473000,15807359-DS-28," spine is submitted for review. Only the C2 and C3 vertebral bodies are imaged in their entirety. A localizing devi" "Correct entity, wrong SNOMED ID","(9723, 9725)","(9723, 9725)",C2,C2,39976000,81170007,15807359-DS-28,"s present overlying the posterior elements at the C2-C3 level. ___ NON CONTRAST HEAD CT: IMPRESSI" Missed entity,"(9726, 9728)",,C3,,113205007,,15807359-DS-28,"resent overlying the posterior elements at the C2-C3 level. ___ NON CONTRAST HEAD CT: IMPRESSION:" "Correct entity, wrong SNOMED ID","(9791, 9805)","(9791, 9805)",pneumocephalus,pneumocephalus,14415006,277340007,15807359-DS-28,"___ NON CONTRAST HEAD CT: IMPRESSION: 1. New pneumocephalus, likely post-operative in the setting of recent " "Correct entity, wrong SNOMED ID","(9814, 9828)","(9814, 9828)",post-operative,post-operative,19585003,456361000124107,15807359-DS-28,"T: IMPRESSION: 1. New pneumocephalus, likely post-operative in the setting of recent cervical spine intradu" "Correct entity, wrong SNOMED ID","(9856, 9870)","(9856, 9870)",cervical spine,cervical spine,122494005,178778006,15807359-DS-28," likely post-operative in the setting of recent cervical spine intradural tumor resection. 2. Prepontine " "Correct entity, wrong SNOMED ID","(9871, 9897)","(9871, 9897)",intradural tumor resection,intradural tumor resection,230995000,438572004,15807359-DS-28,"erative in the setting of recent cervical spine intradural tumor resection. 2. Prepontine cisternal and extracranial " Wrong span,"(9909, 9929)","(9909, 9919)",Prepontine cisternal,Prepontine,369387006,223506007,15807359-DS-28,"vical spine intradural tumor resection. 2. Prepontine cisternal and extracranial occipital soft tissue lesions, " Wrong span,"(9947, 9956)","(9934, 9956)",occipital,extracranial occipital,43631005,79951008,15807359-DS-28,". 2. Prepontine cisternal and extracranial occipital soft tissue lesions, consistent with known meta" "Correct entity, wrong SNOMED ID","(9957, 9977)","(9957, 9977)","soft tissue lesions","soft tissue lesions",239953001,48219004,15807359-DS-28," Prepontine cisternal and extracranial occipital soft tissue lesions, consistent with known metastatic disease. _" "Correct entity, wrong SNOMED ID","(10002, 10020)","(10002, 10020)",metastatic disease,metastatic disease,128462008,1279908003,15807359-DS-28,"ital soft tissue lesions, consistent with known metastatic disease. ___ NON CONTRAST HEAD CT: IMPRESSION: 1. De" Missed entity,"(10030, 10050)",,NON CONTRAST HEAD CT,,383371000119108,,15807359-DS-28,"consistent with known metastatic disease. ___ NON CONTRAST HEAD CT: IMPRESSION: 1. Decreased postsurgical pneumocep" Missed entity,"(10078, 10090)",,postsurgical,,19585003,,15807359-DS-28,"_ NON CONTRAST HEAD CT: IMPRESSION: 1. Decreased postsurgical pneumocephalus. 2. No evidence of acute abnormal" "Correct entity, wrong SNOMED ID","(10091, 10105)","(10091, 10105)",pneumocephalus,pneumocephalus,14415006,277340007,15807359-DS-28,"T HEAD CT: IMPRESSION: 1. Decreased postsurgical pneumocephalus. 2. No evidence of acute abnormalities. Grossly " "Correct entity, wrong SNOMED ID","(10111, 10122)","(10111, 10122)",No evidence,No evidence,281900007,41647002,15807359-DS-28,"N: 1. Decreased postsurgical pneumocephalus. 2. No evidence of acute abnormalities. Grossly stable mild left " "Correct entity, wrong SNOMED ID","(10132, 10145)","(10132, 10145)",abnormalities,abnormalities,281900007,107669003,15807359-DS-28,"surgical pneumocephalus. 2. No evidence of acute abnormalities. Grossly stable mild left cerebellar edema rela" "Correct entity, wrong SNOMED ID","(10155, 10161)","(10155, 10161)",stable,stable,359746009,301459008,15807359-DS-28,". 2. No evidence of acute abnormalities. Grossly stable mild left cerebellar edema related to known met" Missed entity,"(10162, 10166)",,mild,,162468002,,15807359-DS-28,"o evidence of acute abnormalities. Grossly stable mild left cerebellar edema related to known metastas" Wrong span,"(10167, 10183)","(10167, 10171)","left cerebellar",left,1010600003,264745005,15807359-DS-28,"dence of acute abnormalities. Grossly stable mild left cerebellar edema related to known metastases, and stable ri" "Correct entity, wrong SNOMED ID","(10185, 10190)","(10185, 10190)",edema,edema,267038008,102576009,15807359-DS-28,"ormalities. Grossly stable mild left cerebellar edema related to known metastases, and stable right pre" "Correct entity, wrong SNOMED ID","(10208, 10218)","(10208, 10218)",metastases,metastases,128462008,261731003,15807359-DS-28,"ble mild left cerebellar edema related to known metastases, and stable right prepontine mass. 3. Unchanged" Missed entity,"(10224, 10230)",,stable,,359746009,,15807359-DS-28,"erebellar edema related to known metastases, and stable right prepontine mass. 3. Unchanged mild diffus" Wrong span,"(10235, 10247)","(10231, 10236)",t prepontine,right,369387006,225794002,15807359-DS-28,"edema related to known metastases, and stable right prepontine mass. 3. Unchanged mild diffuse ventriculomegal" Wrong span,"(10249, 10253)","(10237, 10253)",mass,"prepontine mass",4147007,32040001000004102,15807359-DS-28,"to known metastases, and stable right prepontine mass. 3. Unchanged mild diffuse ventriculomegaly. _" Missed entity,"(10269, 10273)",,mild,,162468002,,15807359-DS-28," and stable right prepontine mass. 3. Unchanged mild diffuse ventriculomegaly. ___: CXR The Port-A" "Correct entity, wrong SNOMED ID","(10282, 10298)","(10282, 10298)",ventriculomegaly,ventriculomegaly,413808003,1363482001,15807359-DS-28,"ight prepontine mass. 3. Unchanged mild diffuse ventriculomegaly. ___: CXR The Port-A-Cath catheter tip is at " "Correct entity, wrong SNOMED ID","(10372, 10375)","(10372, 10375)",SVC,SVC,48345005,281596000,15807359-DS-28,"A-Cath catheter tip is at the level of mid-to-low SVC. Heart size and mediastinum are unremarkable. " "Correct entity, wrong SNOMED ID","(10379, 10384)","(10379, 10384)",Heart,Heart,80891009,226984005,15807359-DS-28,"catheter tip is at the level of mid-to-low SVC. Heart size and mediastinum are unremarkable. The eleva" "Correct entity, wrong SNOMED ID","(10394, 10405)","(10394, 10405)",mediastinum,mediastinum,72410000,363646005,15807359-DS-28," at the level of mid-to-low SVC. Heart size and mediastinum are unremarkable. The elevated right hemidiaphr" "Correct entity, wrong SNOMED ID","(10410, 10422)","(10410, 10422)",unremarkable,unremarkable,281900007,164179004,15807359-DS-28," mid-to-low SVC. Heart size and mediastinum are unremarkable. The elevated right hemidiaphragm is unchanged." "Correct entity, wrong SNOMED ID","(10438, 10458)","(10438, 10458)","right hemidiaphragm","right hemidiaphragm",416398005,10591000087100,15807359-DS-28,"e and mediastinum are unremarkable. The elevated right hemidiaphragm is unchanged. Lungs are essentially clear. The " "Correct entity, wrong SNOMED ID","(10474, 10479)","(10474, 10479)",Lungs,Lungs,39607008,169115000,15807359-DS-28," The elevated right hemidiaphragm is unchanged. Lungs are essentially clear. The patient was extubate" Missed entity,"(10496, 10501)",,clear,,281900007,,15807359-DS-28,"emidiaphragm is unchanged. Lungs are essentially clear. The patient was extubated in the meantime inte" "Correct entity, wrong SNOMED ID","(10521, 10530)","(10521, 10530)",extubated,extubated,271280005,309812005,15807359-DS-28,". Lungs are essentially clear. The patient was extubated in the meantime interval. No apparent pneumotho" "Correct entity, wrong SNOMED ID","(10571, 10583)","(10571, 10583)",pneumothorax,pneumothorax,36118008,109364007,15807359-DS-28,"extubated in the meantime interval. No apparent pneumothorax is demonstrated. ___ CT Head Interval placem" "Correct entity, wrong SNOMED ID","(10607, 10614)","(10607, 10614)",CT Head,CT Head,303653007,303654001,15807359-DS-28," No apparent pneumothorax is demonstrated. ___ CT Head Interval placement of a shunt with its tip te" Missed entity,"(10627, 10636)",,placement,,782902008,,15807359-DS-28,"thorax is demonstrated. ___ CT Head Interval placement of a shunt with its tip terminating in the righ" Missed entity,"(10642, 10647)",,shunt,,125319009,,15807359-DS-28,"strated. ___ CT Head Interval placement of a shunt with its tip terminating in the right lateral v" "Correct entity, wrong SNOMED ID","(10682, 10705)","(10682, 10705)",right lateral ventricle,right lateral ventricle,71689002,368571000,15807359-DS-28,"ment of a shunt with its tip terminating in the right lateral ventricle at the level of the foramen of ___. No other si" Missed entity,"(10822, 10833)",,No evidence,,281900007,,15807359-DS-28," compared to the prior study. ___ MRI T Spine No evidence of metastatic disease or cord compression. No a" "Correct entity, wrong SNOMED ID","(10837, 10855)","(10837, 10855)",metastatic disease,metastatic disease,128462008,1279908003,15807359-DS-28,"e prior study. ___ MRI T Spine No evidence of metastatic disease or cord compression. No abnormal enhancement. " Missed entity,"(10905, 10909)",,Mild,,162468002,,15807359-DS-28," or cord compression. No abnormal enhancement. Mild degenerative changes. Brief Hospital Course: " "Correct entity, wrong SNOMED ID","(10910, 10930)","(10910, 10930)",degenerative changes,degenerative changes,762305005,708529002,15807359-DS-28,"ord compression. No abnormal enhancement. Mild degenerative changes. Brief Hospital Course: A/P: ___ man with rec" Missed entity,"(10977, 10986)",,recurrent,,314966008,,15807359-DS-28,"ges. Brief Hospital Course: A/P: ___ man with recurrent metastatic rectal adenocarcinoma to lung and CNS" Wrong span,"(10987, 10997)","(10987, 11019)",metastatic,metastatic rectal adenocarcinoma,128462008,94513006,15807359-DS-28,"rief Hospital Course: A/P: ___ man with recurrent metastatic rectal adenocarcinoma to lung and CNS diagnosed " Wrong span,"(10998, 11019)","(10987, 11019)",rectal adenocarcinoma,metastatic rectal adenocarcinoma,254582000,94513006,15807359-DS-28,"al Course: A/P: ___ man with recurrent metastatic rectal adenocarcinoma to lung and CNS diagnosed in ___ s/p left subocc" "Correct entity, wrong SNOMED ID","(11024, 11028)","(11024, 11028)",lung,lung,94391008,301232003,15807359-DS-28,"th recurrent metastatic rectal adenocarcinoma to lung and CNS diagnosed in ___ s/p left suboccipital cr" "Correct entity, wrong SNOMED ID","(11033, 11036)","(11033, 11036)",CNS,CNS,94243009,830121005,15807359-DS-28,"ent metastatic rectal adenocarcinoma to lung and CNS diagnosed in ___ s/p left suboccipital craniectom" "Correct entity, wrong SNOMED ID","(11063, 11075)","(11063, 11075)",suboccipital,suboccipital,53966003,362619009,15807359-DS-28,"cinoma to lung and CNS diagnosed in ___ s/p left suboccipital craniectomy in ___, cyberknife, and whole brain " "Correct entity, wrong SNOMED ID","(11076, 11087)","(11076, 11087)",craniectomy,craniectomy,36910002,239335001,15807359-DS-28,"ng and CNS diagnosed in ___ s/p left suboccipital craniectomy in ___, cyberknife, and whole brain XRT admitted" Missed entity,"(11097, 11107)",,cyberknife,,429584001,,15807359-DS-28,"in ___ s/p left suboccipital craniectomy in ___, cyberknife, and whole brain XRT admitted for posterior neck" Wrong span,"(11119, 11124)","(11113, 11128)",brain,whole brain XRT,12738006,454541000124108,15807359-DS-28,"ipital craniectomy in ___, cyberknife, and whole brain XRT admitted for posterior neck pain, headaches," Wrong span,"(11125, 11128)","(11113, 11128)",XRT,whole brain XRT,169291001,454541000124108,15807359-DS-28," craniectomy in ___, cyberknife, and whole brain XRT admitted for posterior neck pain, headaches, bil" "Correct entity, wrong SNOMED ID","(11153, 11162)","(11153, 11162)",neck pain,neck pain,81680005,1121000119107,15807359-DS-28,"nife, and whole brain XRT admitted for posterior neck pain, headaches, bilateral UE weakness right greater t" "Correct entity, wrong SNOMED ID","(11164, 11173)","(11164, 11173)",headaches,headaches,25064002,267096005,15807359-DS-28,"hole brain XRT admitted for posterior neck pain, headaches, bilateral UE weakness right greater than left, " "Correct entity, wrong SNOMED ID","(11175, 11196)","(11175, 11196)",bilateral UE weakness,bilateral UE weakness,15634971000119107,450081000124103,15807359-DS-28,"XRT admitted for posterior neck pain, headaches, bilateral UE weakness right greater than left, and paresthesias in bot" "Correct entity, wrong SNOMED ID","(11197, 11202)","(11197, 11202)",right,right,6921000,225794002,15807359-DS-28,"rior neck pain, headaches, bilateral UE weakness right greater than left, and paresthesias in both fing" "Correct entity, wrong SNOMED ID","(11217, 11221)","(11217, 11221)",left,left,80768000,264745005,15807359-DS-28,"daches, bilateral UE weakness right greater than left, and paresthesias in both fingers. Repeat brain M" "Correct entity, wrong SNOMED ID","(11227, 11239)","(11227, 11239)",paresthesias,paresthesias,91019004,95358009,15807359-DS-28,"lateral UE weakness right greater than left, and paresthesias in both fingers. Repeat brain MRI ___ this admis" Wrong span,"(11248, 11255)","(11243, 11255)",fingers,both fingers,7569003,890366006,15807359-DS-28,"ight greater than left, and paresthesias in both fingers. Repeat brain MRI ___ this admission was negativ" Wrong span,"(11374, 11377)","(11374, 11386)",RUE,RUE weakness,6921000,248278004,15807359-DS-28,"On ___ the patient developed rapidly progressive RUE weakness and was started on empiric dexamethason" Wrong span,"(11378, 11386)","(11374, 11386)",weakness,RUE weakness,13791008,248278004,15807359-DS-28,"__ the patient developed rapidly progressive RUE weakness and was started on empiric dexamethasone out of " "Correct entity, wrong SNOMED ID","(11448, 11464)","(11448, 11464)",cord compression,cord compression,1156266006,71286001,15807359-DS-28,"rted on empiric dexamethasone out of concern for cord compression. A C spine MRI confirmed large C2-3 posterior e" Wrong span,"(11468, 11480)","(11468, 11476)","C spine MRI","C spine",241646009,18074002,15807359-DS-28,"amethasone out of concern for cord compression. A C spine MRI confirmed large C2-3 posterior epidural lesion w" "Correct entity, wrong SNOMED ID","(11513, 11521)","(11513, 11521)",epidural,epidural,54092001,180886007,15807359-DS-28,"n. A C spine MRI confirmed large C2-3 posterior epidural lesion with significant canal stenosis. On ___ h" "Correct entity, wrong SNOMED ID","(11522, 11528)","(11522, 11528)",lesion,lesion,52988006,120609008,15807359-DS-28,"pine MRI confirmed large C2-3 posterior epidural lesion with significant canal stenosis. On ___ had C2-C" "Correct entity, wrong SNOMED ID","(11547, 11561)","(11547, 11561)",canal stenosis,canal stenosis,83561009,306963008,15807359-DS-28," C2-3 posterior epidural lesion with significant canal stenosis. On ___ had C2-C5 laminectomy with tumor decompr" Wrong span,"(11574, 11591)","(11574, 11576)",C2-C5 laminectomy,C2,445429009,81170007,15807359-DS-28,"sion with significant canal stenosis. On ___ had C2-C5 laminectomy with tumor decompression. On ___ patient had oma" "Correct entity, wrong SNOMED ID","(11598, 11603)","(11598, 11603)",tumor,tumor,230995000,237810005,15807359-DS-28,"anal stenosis. On ___ had C2-C5 laminectomy with tumor decompression. On ___ patient had omaya placement" "Correct entity, wrong SNOMED ID","(11604, 11617)","(11604, 11617)",decompression,decompression,10836008,182515004,15807359-DS-28,"tenosis. On ___ had C2-C5 laminectomy with tumor decompression. On ___ patient had omaya placement for intrathe" Missed entity,"(11638, 11653)",,omaya placement,,4213001,,15807359-DS-28,"omy with tumor decompression. On ___ patient had omaya placement for intrathecal chemotherapy. Patient subsequent" Wrong span,"(11659, 11683)","(11659, 11667)",intrathecal chemotherapy,intrathe,171765004,40051009,15807359-DS-28,"pression. On ___ patient had omaya placement for intrathecal chemotherapy. Patient subsequently started C1D1 of Cytarabine" "Correct entity, wrong SNOMED ID","(11801, 11810)","(11801, 11810)",Recurrent,Recurrent,314966008,25173007,15807359-DS-28,"ital course is summarized by problems below: #. Recurrent Rectal adenocarcinoma metastatic to lungs and br" "Correct entity, wrong SNOMED ID","(11811, 11832)","(11811, 11832)",Rectal adenocarcinoma,Rectal adenocarcinoma,254582000,184881000119106,15807359-DS-28,"e is summarized by problems below: #. Recurrent Rectal adenocarcinoma metastatic to lungs and brain: Patient had omaya" Wrong span,"(11833, 11852)","(11833, 11846)",metastatic to lungs,metastatic to,94391008,77879006,15807359-DS-28,"oblems below: #. Recurrent Rectal adenocarcinoma metastatic to lungs and brain: Patient had omaya placed on ___ and s" "Correct entity, wrong SNOMED ID","(11858, 11863)","(11858, 11863)",brain,brain,94225005,258335003,15807359-DS-28,"nt Rectal adenocarcinoma metastatic to lungs and brain: Patient had omaya placed on ___ and started C1D1" Missed entity,"(11877, 11889)",,omaya placed,,4213001,,15807359-DS-28,"inoma metastatic to lungs and brain: Patient had omaya placed on ___ and started C1D1 of cytarabine on ___. Pa" "Correct entity, wrong SNOMED ID","(11985, 12015)","(11985, 12015)",pain was adequately controlled,pain was adequately controlled,1156446004,424482002,15807359-DS-28,". Patient was started on dexamethasone taper. His pain was adequately controlled with: acetaminophen 650 q8, fentanyl patch 25 mc" "Correct entity, wrong SNOMED ID","(12124, 12128)","(12124, 12128)",pain,pain,22253000,102570003,15807359-DS-28,"bapentin 100 TID, and oxycodone ___ mg po q 3prn pain. Patient will be discharged home on steroid tape" Missed entity,"(12166, 12173)",,steroid,,297279009,,15807359-DS-28," q 3prn pain. Patient will be discharged home on steroid taper and continue cytarabine therapy. # Poster" Missed entity,"(12193, 12212)",,"cytarabine therapy",,367336001,,15807359-DS-28,"be discharged home on steroid taper and continue cytarabine therapy. # Posterior neck pain/headache with RUE weaknes" Wrong span,"(12227, 12236)","(12217, 12236)",neck pain,Posterior neck pain,81680005,1162314004,15807359-DS-28,"er and continue cytarabine therapy. # Posterior neck pain/headache with RUE weakness/RLE weakness and C2/C" "Correct entity, wrong SNOMED ID","(12237, 12245)","(12237, 12245)",headache,headache,25064002,267096005,15807359-DS-28,"tinue cytarabine therapy. # Posterior neck pain/headache with RUE weakness/RLE weakness and C2/C3 cord co" Wrong span,"(12251, 12254)","(12251, 12263)",RUE,RUE weakness,6921000,248278004,15807359-DS-28,"ne therapy. # Posterior neck pain/headache with RUE weakness/RLE weakness and C2/C3 cord compression" Wrong span,"(12255, 12263)","(12251, 12263)",weakness,RUE weakness,713512009,248278004,15807359-DS-28,"therapy. # Posterior neck pain/headache with RUE weakness/RLE weakness and C2/C3 cord compression: Patient" Wrong span,"(12264, 12267)","(12264, 12276)",RLE,RLE weakness,62175007,249940002,15807359-DS-28," # Posterior neck pain/headache with RUE weakness/RLE weakness and C2/C3 cord compression: Patient had" Wrong span,"(12268, 12276)","(12264, 12276)",weakness,RLE weakness,713514005,249940002,15807359-DS-28,"osterior neck pain/headache with RUE weakness/RLE weakness and C2/C3 cord compression: Patient had worsened" Wrong span,"(12282, 12304)","(12282, 12284)",C2/C3 cord compression,C2,1156266006,81170007,15807359-DS-28,"pain/headache with RUE weakness/RLE weakness and C2/C3 cord compression: Patient had worsened deterioration on ___ which" "Correct entity, wrong SNOMED ID","(12374, 12390)","(12374, 12390)",cord compression,cord compression,1156266006,71286001,15807359-DS-28,"ed deterioration on ___ which was worrisome for cord compression at level of C spine. MRI ___ shows cord compress" "Correct entity, wrong SNOMED ID","(12403, 12411)","(12403, 12411)","C spine","C spine",122494005,18074002,15807359-DS-28,"h was worrisome for cord compression at level of C spine. MRI ___ shows cord compression C2/C3. RUE weakne" "Correct entity, wrong SNOMED ID","(12413, 12416)","(12413, 12416)",MRI,MRI,241646009,1144760005,15807359-DS-28,"risome for cord compression at level of C spine. MRI ___ shows cord compression C2/C3. RUE weakness w" "Correct entity, wrong SNOMED ID","(12427, 12443)","(12427, 12443)",cord compression,cord compression,1156266006,71286001,15807359-DS-28,"d compression at level of C spine. MRI ___ shows cord compression C2/C3. RUE weakness worsened with new LUE pain a" Wrong span,"(12451, 12454)","(12451, 12463)",RUE,RUE weakness,6921000,248278004,15807359-DS-28,"f C spine. MRI ___ shows cord compression C2/C3. RUE weakness worsened with new LUE pain and weakness" Wrong span,"(12455, 12463)","(12451, 12463)",weakness,RUE weakness,713514005,248278004,15807359-DS-28," spine. MRI ___ shows cord compression C2/C3. RUE weakness worsened with new LUE pain and weakness over the" Wrong span,"(12483, 12486)","(12483, 12491)",LUE,LUE pain,80768000,43548008,15807359-DS-28,"ompression C2/C3. RUE weakness worsened with new LUE pain and weakness over the next days despite ste" "Correct entity, wrong SNOMED ID","(12496, 12504)","(12496, 12504)",weakness,weakness,713514005,13791008,15807359-DS-28,"/C3. RUE weakness worsened with new LUE pain and weakness over the next days despite steroids while a trea" "Correct entity, wrong SNOMED ID","(12533, 12541)","(12533, 12541)",steroids,steroids,297279009,285435007,15807359-DS-28,"LUE pain and weakness over the next days despite steroids while a treatment plan was developed. Radiation " Missed entity,"(12580, 12589)",,Radiation,,108290001,,15807359-DS-28,"te steroids while a treatment plan was developed. Radiation oncology advised that THERE WAS NO ROLE FOR XRT." "Correct entity, wrong SNOMED ID","(12635, 12638)","(12635, 12638)",XRT,XRT,108290001,312254007,15807359-DS-28,"tion oncology advised that THERE WAS NO ROLE FOR XRT. Surgical decompression remained the only option" Wrong span,"(12640, 12648)","(12640, 12643)",Surgical,Sur,387713003,11571005,15807359-DS-28," oncology advised that THERE WAS NO ROLE FOR XRT. Surgical decompression remained the only option but was e" Wrong span,"(12650, 12663)","(12643, 12663)",decompression,"gical decompression",10836008,182515004,15807359-DS-28,"advised that THERE WAS NO ROLE FOR XRT. Surgical decompression remained the only option but was extremely high " "Correct entity, wrong SNOMED ID","(12722, 12727)","(12722, 12727)",tumor,tumor,108369006,237810005,15807359-DS-28," the only option but was extremely high risk AND tumor was likely to recur rapidly. After full discussi" Missed entity,"(12769, 12779)",,discussion,,223482009,,15807359-DS-28,"ND tumor was likely to recur rapidly. After full discussion of risks, patient proceeded with surgery on ___. " "Correct entity, wrong SNOMED ID","(12813, 12820)","(12813, 12820)",surgery,surgery,387713003,110473004,15807359-DS-28,"full discussion of risks, patient proceeded with surgery on ___. On ___ the patient went to the OR with D" Wrong span,"(12879, 12908)","(12885, 12894)","C2-5 posterior decompression",posterior,178586009,289784006,15807359-DS-28," On ___ the patient went to the OR with Dr. ___ a C2-5 posterior decompression of intradural tumor. The patient tolaterated the" "Correct entity, wrong SNOMED ID","(12912, 12928)","(12912, 12928)",intradural tumor,intradural tumor,230995000,429691007,15807359-DS-28,"R with Dr. ___ a C2-5 posterior decompression of intradural tumor. The patient tolaterated the procedure well. He " "Correct entity, wrong SNOMED ID","(12959, 12968)","(12959, 12968)",procedure,procedure,387713003,118672003,15807359-DS-28,"of intradural tumor. The patient tolaterated the procedure well. He was taken to ___ following the operatio" Wrong span,"(12995, 13019)","(13010, 13019)","following the operation",operation,19585003,161615003,15807359-DS-28,"laterated the procedure well. He was taken to ___ following the operation for observation. On post operative exam the pati" Wrong span,"(13040, 13054)","(13040, 13059)",post operative,post operative exam,19585003,110466009,15807359-DS-28," ___ following the operation for observation. On post operative exam the patient had right tricep weakness but w" Wrong span,"(13055, 13059)","(13040, 13059)",exam,post operative exam,5880005,110466009,15807359-DS-28," the operation for observation. On post operative exam the patient had right tricep weakness but was ot" Wrong span,"(13077, 13089)","(13077, 13098)",right tricep,right tricep weakness,771248002,11777131000119105,15807359-DS-28,"ervation. On post operative exam the patient had right tricep weakness but was otherwise full motor strength t" Wrong span,"(13090, 13098)","(13077, 13098)",weakness,right tricep weakness,713514005,11777131000119105,15807359-DS-28,"post operative exam the patient had right tricep weakness but was otherwise full motor strength to all ext" Missed entity,"(13122, 13127)",,motor,,34118006,,15807359-DS-28," had right tricep weakness but was otherwise full motor strength to all extremities. The patient was con" "Correct entity, wrong SNOMED ID","(13174, 13182)","(13174, 13182)",confused,confused,40917007,225439006,15807359-DS-28,"tor strength to all extremities. The patient was confused following the procedure, head CT scan showed no " Wrong span,"(13183, 13207)","(13198, 13207)","following the procedure",procedure,19585003,118672003,15807359-DS-28,"ngth to all extremities. The patient was confused following the procedure, head CT scan showed no new intracranial abnorma" Wrong span,"(13209, 13216)","(13209, 13221)",head CT,head CT scan,303653007,303654001,15807359-DS-28,"he patient was confused following the procedure, head CT scan showed no new intracranial abnormailities. " "Correct entity, wrong SNOMED ID","(13236, 13248)","(13236, 13248)",intracranial,intracranial,128319008,731998000,15807359-DS-28,"lowing the procedure, head CT scan showed no new intracranial abnormailities. He was started on steriod taper " Missed entity,"(13250, 13264)",,abnormailities,,281900007,,15807359-DS-28,"ocedure, head CT scan showed no new intracranial abnormailities. He was started on steriod taper and transferred " Missed entity,"(13284, 13291)",,steriod,,297279009,,15807359-DS-28,"w intracranial abnormailities. He was started on steriod taper and transferred to SDU. On ___ the patient" "Correct entity, wrong SNOMED ID","(13426, 13443)","(13426, 13443)","physical therapy","physical therapy",91251008,183326003,15807359-DS-28,"sferred to the floor. Patient will need continued physical therapy as an outpatient. #UTI:Patient was found to have" "Correct entity, wrong SNOMED ID","(13464, 13467)","(13464, 13467)",UTI,UTI,68566005,4009004,15807359-DS-28,"d continued physical therapy as an outpatient. #UTI:Patient was found to have a positive urinalysis o" Wrong span,"(13505, 13515)","(13496, 13515)",urinalysis,positive urinalysis,27171005,1263644001,15807359-DS-28,"tient. #UTI:Patient was found to have a positive urinalysis on ___ and completed 7 day course of ciprofloxac" Missed entity,"(13554, 13567)",,ciprofloxacin,,281789004,,15807359-DS-28," urinalysis on ___ and completed 7 day course of ciprofloxacin. #Urinary retention: Patient had episode of uri" "Correct entity, wrong SNOMED ID","(13572, 13589)","(13572, 13589)",Urinary retention,Urinary retention,267064002,236648008,15807359-DS-28," and completed 7 day course of ciprofloxacin. #Urinary retention: Patient had episode of urinary retention on ___" "Correct entity, wrong SNOMED ID","(13614, 13631)","(13614, 13631)",urinary retention,urinary retention,267064002,236648008,15807359-DS-28,"cin. #Urinary retention: Patient had episode of urinary retention on ___. MRI of thoracic spine showed no acute ch" Wrong span,"(13641, 13662)","(13641, 13647)",MRI of thoracic spine,MRI of,241647000,816077007,15807359-DS-28,"Patient had episode of urinary retention on ___. MRI of thoracic spine showed no acute changes and urinary retention se" "Correct entity, wrong SNOMED ID","(13692, 13709)","(13692, 13709)",urinary retention,urinary retention,267064002,236648008,15807359-DS-28,"RI of thoracic spine showed no acute changes and urinary retention self resolved with patient being able to void we" Missed entity,"(13715, 13723)",,resolved,,413322009,,15807359-DS-28,"owed no acute changes and urinary retention self resolved with patient being able to void well on his own." Wrong span,"(13743, 13755)","(13743, 13761)",able to void,"able to void well",102834005,251973002,15807359-DS-28,"rinary retention self resolved with patient being able to void well on his own. Chronic Issues: #Disposition:" Wrong span,"(13818, 13847)","(13831, 13847)",evaluated by physical therapy,physical therapy,410158009,183326003,15807359-DS-28," own. Chronic Issues: #Disposition: Patient was evaluated by physical therapy and will be discharged to rehabilitation physica" Wrong span,"(13875, 13906)","(13890, 13906)",rehabilitation physical therapy,physical therapy,108305003,183326003,15807359-DS-28,"ed by physical therapy and will be discharged to rehabilitation physical therapy to include: balance in sitting and standing, coo" Wrong span,"(13920, 13951)","(13920, 13938)",balance in sitting and standing,balance in sitting,359665005,282306009,15807359-DS-28,"d to rehabilitation physical therapy to include: balance in sitting and standing, coordination exercises, gait training with RW a" "Correct entity, wrong SNOMED ID","(13953, 13975)","(13953, 13975)",coordination exercises,coordination exercises,83439001,7334004,15807359-DS-28,"apy to include: balance in sitting and standing, coordination exercises, gait training with RW and 2 assist. Medicat" "Correct entity, wrong SNOMED ID","(13977, 13991)","(13977, 13991)","gait training","gait training",74914000,229251002,15807359-DS-28," in sitting and standing, coordination exercises, gait training with RW and 2 assist. Medications on Admissio" Missed entity,"(14004, 14012)",,2 assist,,427512004,,15807359-DS-28,"oordination exercises, gait training with RW and 2 assist. Medications on Admission: The Preadmission M" "Correct entity, wrong SNOMED ID","(14995, 15020)","(14995, 15020)",Cervical cord compression,Cervical cord compression,1156266006,1156963006,15807359-DS-28,"ended Care Facility: ___ Discharge Diagnosis: Cervical cord compression, resected C2-C3 mass, rectal cancer, left cerebel" Wrong span,"(15022, 15041)","(15022, 15030)",resected C2-C3 mass,resected,178793005,20418004,15807359-DS-28," Discharge Diagnosis: Cervical cord compression, resected C2-C3 mass, rectal cancer, left cerebellar metastasis, right" "Correct entity, wrong SNOMED ID","(15043, 15056)","(15043, 15056)","rectal cancer","rectal cancer",363351006,276822007,15807359-DS-28,": Cervical cord compression, resected C2-C3 mass, rectal cancer, left cerebellar metastasis, right prepontine cis" Wrong span,"(15058, 15073)","(15058, 15084)",left cerebellar,left cerebellar metastasis,1010600003,762632005,15807359-DS-28," compression, resected C2-C3 mass, rectal cancer, left cerebellar metastasis, right prepontine cistern mass, right " Wrong span,"(15074, 15084)","(15058, 15084)",metastasis,left cerebellar metastasis,128462008,762632005,15807359-DS-28,"sected C2-C3 mass, rectal cancer, left cerebellar metastasis, right prepontine cistern mass, right CN6 palsy, " "Correct entity, wrong SNOMED ID","(15086, 15091)","(15086, 15091)",right,right,29624005,225794002,15807359-DS-28," mass, rectal cancer, left cerebellar metastasis, right prepontine cistern mass, right CN6 palsy, intrath" Wrong span,"(15092, 15110)","(15092, 15115)",prepontine cistern,"prepontine cistern mass",369387006,1144230001,15807359-DS-28," rectal cancer, left cerebellar metastasis, right prepontine cistern mass, right CN6 palsy, intrathecal chemotherapy " Wrong span,"(15111, 15115)","(15092, 15115)",mass,"prepontine cistern mass",4147007,1144230001,15807359-DS-28,"t cerebellar metastasis, right prepontine cistern mass, right CN6 palsy, intrathecal chemotherapy Dis" "Correct entity, wrong SNOMED ID","(15117, 15122)","(15117, 15122)",right,right,771205008,225794002,15807359-DS-28,"bellar metastasis, right prepontine cistern mass, right CN6 palsy, intrathecal chemotherapy Discharge " Wrong span,"(15123, 15132)","(15123, 15126)",CN6 palsy,CN6,398760006,1380365008,15807359-DS-28," metastasis, right prepontine cistern mass, right CN6 palsy, intrathecal chemotherapy Discharge Condition:" "Correct entity, wrong SNOMED ID","(15146, 15158)","(15146, 15158)",chemotherapy,chemotherapy,367336001,266719004,15807359-DS-28,"ontine cistern mass, right CN6 palsy, intrathecal chemotherapy Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(15183, 15196)","(15183, 15196)",Mental Status,Mental Status,392257007,419284004,15807359-DS-28," intrathecal chemotherapy Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(15198, 15203)","(15198, 15203)",Clear,Clear,48348007,281278005,15807359-DS-28,"emotherapy Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(15218, 15240)","(15218, 15240)",Level of Consciousness,Level of Consciousness,444714004,830285008,15807359-DS-28,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of B" "Correct entity, wrong SNOMED ID","(15242, 15247)","(15242, 15247)",Alert,Alert,248234008,409787004,15807359-DS-28,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with" "Correct entity, wrong SNOMED ID","(15252, 15263)","(15252, 15263)",interactive,interactive,288577006,10301000202103,15807359-DS-28,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to c" "Correct entity, wrong SNOMED ID","(15265, 15280)","(15265, 15280)",Activity Status,Activity Status,129676008,397622007,15807359-DS-28,"t. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelcha" Wrong span,"(15282, 15308)","(15282, 15311)",Out of Bed with assistance,Out of Bed with assistance to,301679006,129050009,15807359-DS-28,"iousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelchair. Discharge Instruction" "Correct entity, wrong SNOMED ID","(15473, 15477)","(15473, 15477)",pain,pain,22253000,102570003,15807359-DS-28,"st recent hospitalization. You were admitted for pain at the back of your head and neck. A brain MRI " "Correct entity, wrong SNOMED ID","(15508, 15512)","(15508, 15512)",neck,neck,304036007,840674001,15807359-DS-28,"e admitted for pain at the back of your head and neck. A brain MRI showed no change in your previously" "Correct entity, wrong SNOMED ID","(15572, 15588)","(15572, 15588)",brain metastases,brain metastases,94225005,1259492003,15807359-DS-28," MRI showed no change in your previously treated brain metastases. You developed partial paralysis of your right a" Wrong span,"(15612, 15621)","(15604, 15621)",paralysis,partial paralysis,44695005,846715009,15807359-DS-28," treated brain metastases. You developed partial paralysis of your right arm, left arm, and right leg. An M" "Correct entity, wrong SNOMED ID","(15631, 15640)","(15631, 15640)",right arm,right arm,368209003,59126009,15807359-DS-28,"astases. You developed partial paralysis of your right arm, left arm, and right leg. An MRI of your spine s" "Correct entity, wrong SNOMED ID","(15642, 15650)","(15642, 15650)",left arm,left arm,368208006,72098002,15807359-DS-28,"u developed partial paralysis of your right arm, left arm, and right leg. An MRI of your spine showed this" "Correct entity, wrong SNOMED ID","(15656, 15665)","(15656, 15665)",right leg,right leg,32696007,213289002,15807359-DS-28,"rtial paralysis of your right arm, left arm, and right leg. An MRI of your spine showed this was caused by " "Correct entity, wrong SNOMED ID","(15715, 15721)","(15715, 15721)",cancer,cancer,1240414004,870711002,15807359-DS-28,". An MRI of your spine showed this was caused by cancer pressing on your spinal cord. You were treated i" Wrong span,"(15722, 15750)","(15739, 15750)",pressing on your spinal cord,spinal cord,71286001,11478001,15807359-DS-28,"I of your spine showed this was caused by cancer pressing on your spinal cord. You were treated initially with dexamethasone (" Wrong span,"(15830, 15845)","(15830, 15832)",C2-C5 posterior,C2,178586009,81170007,15807359-DS-28,"with dexamethasone (decadron) and then underwent C2-C5 posterior laminectomy for decompression with resection of " Wrong span,"(15846, 15857)","(15836, 15857)",laminectomy,posterior laminectomy,445429009,178772007,15807359-DS-28,"ne (decadron) and then underwent C2-C5 posterior laminectomy for decompression with resection of intradural e" "Correct entity, wrong SNOMED ID","(15862, 15875)","(15862, 15875)",decompression,decompression,178586009,182515004,15807359-DS-28,"d then underwent C2-C5 posterior laminectomy for decompression with resection of intradural extramedullar tumor" Wrong span,"(15882, 15925)","(15882, 15891)",resection of intradural extramedullar tumor,resection,230995000,265414003,15807359-DS-28,"-C5 posterior laminectomy for decompression with resection of intradural extramedullar tumor. On ___ you underwent placement of right frontal" Wrong span,"(15949, 15984)","(15949, 15958)",placement of right frontal resovior,placement,4213001,228647003,15807359-DS-28,"adural extramedullar tumor. On ___ you underwent placement of right frontal resovior for intra-thecal chemotherapy and on ___ started" Wrong span,"(15987, 16001)","(15989, 15994)",r intra-thecal,intra,406188003,113851002,15807359-DS-28," underwent placement of right frontal resovior for intra-thecal chemotherapy and on ___ started intrathecal chem" "Correct entity, wrong SNOMED ID","(16003, 16015)","(16003, 16015)",chemotherapy,chemotherapy,367336001,266719004,15807359-DS-28,"ement of right frontal resovior for intra-thecal chemotherapy and on ___ started intrathecal chemotherapy trea" Wrong span,"(16035, 16046)","(16035, 16037)",intrathecal,in,406188003,10828004,15807359-DS-28,"for intra-thecal chemotherapy and on ___ started intrathecal chemotherapy treatment. Please take all of your" "Correct entity, wrong SNOMED ID","(16047, 16059)","(16047, 16059)",chemotherapy,chemotherapy,367336001,266719004,15807359-DS-28,"ecal chemotherapy and on ___ started intrathecal chemotherapy treatment. Please take all of your medications " Wrong span,"(16080, 16122)","(16097, 16108)",take all of your medications as prescribed,medications,394835006,182837001,15807359-DS-28,"rted intrathecal chemotherapy treatment. Please take all of your medications as prescribed. Please followup with your physician ___. Fol" False positive,,"(177, 179)",,Ty,,24471000181104,15853461-DS-4," Sex: F Service: MEDICINE Allergies: Tylenol-Codeine #3 / NSAIDS (Non-Steroidal Anti-Infl" False positive,,"(519, 533)",,Open treatment,,243209005,15853461-DS-4,"7. 2. Posterior instrumentation T5 through T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, poste" False positive,,"(562, 576)",,Open treatment,,243209005,15853461-DS-4,"T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incis" False positive,,"(1105, 1111)",,sweaty,,373939004,15853461-DS-4,"e and when she stood up from the toilet she felt sweaty, lightheaded and then fell. She does not remembe" False positive,,"(1493, 1509)",,normal chemistry,,166315009,15853461-DS-4,"8 100% RA Labs notable for anemia at baseline, normal chemistry, negative UA, negative troponin, ECG with poor b" False positive,,"(1511, 1519)",,negative,,268375009,15853461-DS-4,"notable for anemia at baseline, normal chemistry, negative UA, negative troponin, ECG with poor baseline bu" False positive,,"(1525, 1542)",,negative troponin,,167323003,15853461-DS-4,"emia at baseline, normal chemistry, negative UA, negative troponin, ECG with poor baseline but no ischemic changes " False positive,,"(1553, 1557)",,poor,,62476001,15853461-DS-4,"mistry, negative UA, negative troponin, ECG with poor baseline but no ischemic changes Imaging nota" False positive,,"(2075, 2083)",,thoracic,,202748002,15853461-DS-4,"ic fracture identified. 2. DISH throughout the thoracic ___. 3. Probable scarring at the left lung ape" False positive,,"(2246, 2252)",,lumbar,,1017208001,15853461-DS-4,"suring 5 mm is not calcified. CT L ___: No lumbar ___ fracture or malalignment Patient was given" False positive,,"(2437, 2442)",,brace,,228599009,15853461-DS-4,"atient was seen by ortho ___ who recommended TLSO brace, logroll precautions at all times, NO intubation" False positive,,"(2445, 2452)",,logroll,,72350001,15853461-DS-4,"as seen by ortho ___ who recommended TLSO brace, logroll precautions at all times, NO intubation without " False positive,,"(2453, 2464)",,precautions,,386812007,15853461-DS-4,"by ortho ___ who recommended TLSO brace, logroll precautions at all times, NO intubation without discussing w" False positive,,"(2540, 2543)",,NPO,,47773007,15853461-DS-4,"on without discussing with ___ (if needed), keep NPO pending MRI, and MRI T ___ without contrast give" False positive,,"(2843, 2848)",,worse,,280122007,15853461-DS-4,"the floor, she complains of ___ pain in her back, worse with movement. No decreased sensation in arms, l" False positive,,"(2855, 2863)",,movement,,225606002,15853461-DS-4,"he complains of ___ pain in her back, worse with movement. No decreased sensation in arms, legs. No fecal o" False positive,,"(3706, 3715)",,DIASTOLIC,,23154005,15853461-DS-4," Past Medical History: ASTHMA BACK PAIN DIASTOLIC CONGESTIVE HEART FAILURE DIABETES TYPE II G" False positive,,"(3716, 3740)",,CONGESTIVE HEART FAILURE,,88805009,15853461-DS-4,"edical History: ASTHMA BACK PAIN DIASTOLIC CONGESTIVE HEART FAILURE DIABETES TYPE II GASTROESOPHAGEAL REFLUX " False positive,,"(4333, 4335)",,S1,,82609006,15853461-DS-4," HEENT: PERRL, MMM, no scleral icterus CV: RRR, S1, S2 with holosystolic murmur, no rubs or gallops " False positive,,"(4665, 4672)",,deficit,,264552009,15853461-DS-4,"t and oriented, moving all 4 extremities without deficit, ___ strength upper and lower extremities, sensat" False positive,,"(4941, 4946)",,holos,,40564004,15853461-DS-4," HEENT: PERRL, MMM, no scleral icterus CV: RRR, holosystolic murmur noted throughout Pulm: anterior ex" False positive,,"(5236, 5243)",,deficit,,264552009,15853461-DS-4,"t and oriented, moving all 4 extremities without deficit, ___ strength upper and lower extremities, sensat" False positive,,"(5618, 5621)",,Eos,,67099000,15853461-DS-4,"4:44PM BLOOD Neuts-80.2* Lymphs-15.5* Monos-3.7* Eos-0.1* Baso-0.1 Im ___ AbsNeut-5.39 AbsLymp-1.04* " False positive,,"(6391, 6398)",,Nitrite,,167585009,15853461-DS-4,"w Appear-Clear Sp ___ ___ 03:30PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NE" False positive,,"(6403, 6410)",,Protein,,764892007,15853461-DS-4,"ar Sp ___ ___ 03:30PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NE" False positive,,"(6415, 6422)",,Glucose,,72191006,15853461-DS-4,"_ 03:30PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leu" False positive,,"(6450, 6451)",,U,,257999003,15853461-DS-4,"EG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-TR ___ 03:30PM URINE RBC-1" False positive,,"(6508, 6514)",,Bacter,,716340006,15853461-DS-4,"NEG pH-6.0 Leuks-TR ___ 03:30PM URINE RBC-1 WBC-2 Bacteri-NONE Yeast-NONE Epi-<1 TransE-<1 ___ 03:30PM UR" False positive,,"(7097, 7105)",,thoracic,,202748002,15853461-DS-4,"racic fracture identified. 2. DISH throughout the thoracic ___. 3. Probable scarring at the left lung apex " False positive,,"(7964, 7966)",,St,,51811007,15853461-DS-4," 1. Examination is mildly limited by motion. 2. Stable obliquely oriented fracture of the T7 vertebr" False positive,,"(8139, 8144)",,ebral,,463601000124102,15853461-DS-4,"dinal ligament rupture and mild associated prevertebral soft tissue edema, and with no definite extensio" False positive,,"(8407, 8416)",,alignment,,313088003,15853461-DS-4,"rtebral canal narrowing. 4. No other fracture or alignment abnormality. 5. No cord signal abnormality. 6. " False positive,,"(9329, 9337)",,moderate,,162469005,15853461-DS-4,"e [2+] tricuspid regurgitation is seen. There is moderate pulmonary artery systolic hypertension. There is" False positive,,"(9492, 9505)",,normal global,,164722000,15853461-DS-4,"ardiac cause of syncope seen. Symmetric LVH with normal global and regional biventricular systolic function. Mo" False positive,,"(9890, 9913)",,ligamentous instability,,298372004,15853461-DS-4,"erventions: # Oblique T7 fracture: s/p fall, with ligamentous instability (MRI on ___ showed anterior longitudinal ligamen" False positive,,"(9995, 10007)",,prevertebral,,36813001,15853461-DS-4,"ngitudinal ligament rupture with mild associated prevertebral soft tissue edema). Patient went to OR ___ for t" False positive,,"(10172, 10186)",,Open treatment,,243209005,15853461-DS-4,"7. 2. Posterior instrumentation T5 through T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, poste" False positive,,"(10215, 10229)",,Open treatment,,243209005,15853461-DS-4,"T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incis" False positive,,"(11555, 11556)",,I,,257989008,15853461-DS-4,"ould be followed at rehab with daily weights and I/O with uptitration of torsemide as needed. # T" False positive,,"(12784, 12799)",,chemistry panel,,43782000,15853461-DS-4,"mbulating. -patient should have repeat CBC and chemistry panel on ___ for evaluation of creatinine and H/H give" False positive,,"(13114, 13121)",,changes,,275258002,15853461-DS-4,"imaging to document stability of the left apical changes and nodules suggested. If not available, follow" False positive,,"(15624, 15629)",,Clear,,281278005,15853461-DS-4,"Type II DM Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" False positive,,"(15678, 15689)",,interactive,,10301000202103,15853461-DS-4,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistanc" False positive,,"(16571, 16580)",,operation,,161615003,15853461-DS-4," Decompression With Fusion Immediately after the operation: • Activity: You should not lift anything greater" False positive,,"(17129, 17134)",,brace,,228599009,15853461-DS-4,"p with this issue. • Brace:You have been given a brace,this brace is to be worn when you are walking or" False positive,,"(17140, 17145)",,brace,,228599009,15853461-DS-4," issue. • Brace:You have been given a brace,this brace is to be worn when you are walking or out of bed" "Correct entity, wrong SNOMED ID","(185, 192)","(185, 192)",Codeine,Codeine,293597001,1381986007,15853461-DS-4,"ex: F Service: MEDICINE Allergies: Tylenol-Codeine #3 / NSAIDS (Non-Steroidal Anti-Inflammatory Dru" Missed entity,"(198, 243)",,"NSAIDS (Non-Steroidal Anti-Inflammatory Drug",,293610009,,15853461-DS-4,"vice: MEDICINE Allergies: Tylenol-Codeine #3 / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / Elavil / trazodone / Spiriva with HandiHaler /" Missed entity,"(247, 253)",,Elavil,,293829000,,15853461-DS-4," NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / Elavil / trazodone / Spiriva with HandiHaler / aspirin /" Missed entity,"(256, 265)",,trazodone,,293855004,,15853461-DS-4,"Non-Steroidal Anti-Inflammatory Drug) / Elavil / trazodone / Spiriva with HandiHaler / aspirin / lisinopril" "Correct entity, wrong SNOMED ID","(294, 301)","(294, 301)",aspirin,aspirin,293586001,25796002,15853461-DS-4," / Elavil / trazodone / Spiriva with HandiHaler / aspirin / lisinopril / any sedating Rx Attending: ___." "Correct entity, wrong SNOMED ID","(305, 315)","(305, 315)",lisinopril,lisinopril,609537003,108575001,15853461-DS-4," trazodone / Spiriva with HandiHaler / aspirin / lisinopril / any sedating Rx Attending: ___. Chief Compl" "Correct entity, wrong SNOMED ID","(375, 379)","(375, 379)",Fall,Fall,161898004,298344006,15853461-DS-4,"ating Rx Attending: ___. Chief Complaint: s/p Fall, Back Pain Major Surgical or Invasive Procedur" "Correct entity, wrong SNOMED ID","(381, 390)","(381, 390)",Back Pain,Back Pain,161891005,134407002,15853461-DS-4,"Rx Attending: ___. Chief Complaint: s/p Fall, Back Pain Major Surgical or Invasive Procedure: 1. Poste" Wrong span,"(435, 500)","(435, 456)","Posterior arthrodesis T5 through T7. 2. Posterior instrumentation",Posterior arthrodesis,447900003,90417000,15853461-DS-4," Pain Major Surgical or Invasive Procedure: 1. Posterior arthrodesis T5 through T7. 2. Posterior instrumentation T5 through T7. 3. Open treatment, posterior fract" Missed entity,"(501, 503)",,T5,,56401006,,15853461-DS-4,"desis T5 through T7. 2. Posterior instrumentation T5 through T7. 3. Open treatment, posterior fracture" Missed entity,"(512, 514)",,T7,,62487009,,15853461-DS-4,"rough T7. 2. Posterior instrumentation T5 through T7. 3. Open treatment, posterior fracture, T8. 4. Op" Wrong span,"(545, 553)","(535, 553)",fracture,posterior fracture,125607007,208324004,15853461-DS-4,"ation T5 through T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, posterior fracture, T7. 5" Missed entity,"(555, 557)",,T8,,11068009,,15853461-DS-4,"hrough T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, posterior fracture, T7. 5. Au" Wrong span,"(588, 596)","(578, 596)",fracture,posterior fracture,125607007,208324004,15853461-DS-4,"terior fracture, T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incision. 6. Allograft, m" Missed entity,"(598, 600)",,T7,,62487009,,15853461-DS-4,"cture, T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incision. 6. Allograft, morse" "Correct entity, wrong SNOMED ID","(605, 614)","(605, 614)",Autograft,Autograft,116371009,1290295003,15853461-DS-4,"T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incision. 6. Allograft, morselized. 7. Lami" "Correct entity, wrong SNOMED ID","(621, 629)","(621, 629)",incision,incision,609343002,119684006,15853461-DS-4,"tment, posterior fracture, T7. 5. Autograft, same incision. 6. Allograft, morselized. 7. Laminectomy T6-T7, " Missed entity,"(634, 643)",,Allograft,,116372002,,15853461-DS-4,"ior fracture, T7. 5. Autograft, same incision. 6. Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. Hist" Missed entity,"(672, 674)",,T6,,45296009,,15853461-DS-4,"ncision. 6. Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. History of Present Illness: Ms. __" Missed entity,"(675, 677)",,T7,,62487009,,15853461-DS-4,"sion. 6. Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. History of Present Illness: Ms. ___ i" Missed entity,"(679, 681)",,T7,,62487009,,15853461-DS-4,". 6. Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. History of Present Illness: Ms. ___ is a " Missed entity,"(682, 684)",,T8,,11068009,,15853461-DS-4,". Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. History of Present Illness: Ms. ___ is a ___" "Correct entity, wrong SNOMED ID","(766, 780)","(766, 780)","diastolic CHF","diastolic CHF",446221000,441530006,15853461-DS-4," Ms. ___ is a ___ year old woman with history of diastolic CHF, DM2, GERD, pulm hypertension, memory loss, fibro" "Correct entity, wrong SNOMED ID","(782, 785)","(782, 785)",DM2,DM2,44054006,396166000,15853461-DS-4,"__ year old woman with history of diastolic CHF, DM2, GERD, pulm hypertension, memory loss, fibromyalg" "Correct entity, wrong SNOMED ID","(787, 791)","(787, 791)",GERD,GERD,235595009,717847008,15853461-DS-4,"ar old woman with history of diastolic CHF, DM2, GERD, pulm hypertension, memory loss, fibromyalgia, m" "Correct entity, wrong SNOMED ID","(793, 810)","(793, 810)",pulm hypertension,pulm hypertension,70995007,840307003,15853461-DS-4," woman with history of diastolic CHF, DM2, GERD, pulm hypertension, memory loss, fibromyalgia, migraines, who prese" "Correct entity, wrong SNOMED ID","(812, 823)","(812, 823)",memory loss,memory loss,48167000,162200009,15853461-DS-4," of diastolic CHF, DM2, GERD, pulm hypertension, memory loss, fibromyalgia, migraines, who presents with ligh" "Correct entity, wrong SNOMED ID","(825, 837)","(825, 837)",fibromyalgia,fibromyalgia,203082005,95417003,15853461-DS-4," CHF, DM2, GERD, pulm hypertension, memory loss, fibromyalgia, migraines, who presents with lightheadedness an" "Correct entity, wrong SNOMED ID","(840, 849)","(840, 849)",migraines,migraines,37796009,193039006,15853461-DS-4,"D, pulm hypertension, memory loss, fibromyalgia, migraines, who presents with lightheadedness and fall. P" "Correct entity, wrong SNOMED ID","(869, 884)","(869, 884)",lightheadedness,lightheadedness,386705008,1354698007,15853461-DS-4,"loss, fibromyalgia, migraines, who presents with lightheadedness and fall. Patient reports while going out with" "Correct entity, wrong SNOMED ID","(889, 893)","(889, 893)",fall,fall,161898004,298344006,15853461-DS-4," migraines, who presents with lightheadedness and fall. Patient reports while going out with friends " "Correct entity, wrong SNOMED ID","(972, 976)","(972, 976)",fall,fall,161898004,298344006,15853461-DS-4,"ing out with friends earlier this week she had a fall on the way to bingo, no headstrike, no LOC. This " "Correct entity, wrong SNOMED ID","(1001, 1011)","(1001, 1011)",headstrike,headstrike,82271004,463039004,15853461-DS-4,"this week she had a fall on the way to bingo, no headstrike, no LOC. This morning she got up to urinate and " "Correct entity, wrong SNOMED ID","(1016, 1019)","(1016, 1019)",LOC,LOC,419045004,249213009,15853461-DS-4,"had a fall on the way to bingo, no headstrike, no LOC. This morning she got up to urinate and when she" Missed entity,"(1070, 1095)",,"stood up from the toilet",,282884000,,15853461-DS-4," This morning she got up to urinate and when she stood up from the toilet she felt sweaty, lightheaded and then fell. She d" "Correct entity, wrong SNOMED ID","(1113, 1124)","(1113, 1124)",lightheaded,lightheaded,386705008,1354698007,15853461-DS-4,"en she stood up from the toilet she felt sweaty, lightheaded and then fell. She does not remember the events " "Correct entity, wrong SNOMED ID","(1134, 1138)","(1134, 1138)",fell,fell,161898004,31549006,15853461-DS-4,"the toilet she felt sweaty, lightheaded and then fell. She does not remember the events surrounding th" "Correct entity, wrong SNOMED ID","(1190, 1194)","(1190, 1194)",fall,fall,161898004,298344006,15853461-DS-4,"She does not remember the events surrounding the fall, and is unclear if she hit her head or had LOC. " "Correct entity, wrong SNOMED ID","(1219, 1231)","(1219, 1231)",hit her head,hit her head,248070001,230282000,15853461-DS-4,"ents surrounding the fall, and is unclear if she hit her head or had LOC. She was found by her son, who lives o" "Correct entity, wrong SNOMED ID","(1239, 1242)","(1239, 1242)",LOC,LOC,419045004,249213009,15853461-DS-4," fall, and is unclear if she hit her head or had LOC. She was found by her son, who lives on the firs" "Correct entity, wrong SNOMED ID","(1378, 1388)","(1378, 1388)",evaluation,evaluation,386053000,39609006,15853461-DS-4,"alled EMS and she was sent to ___ for further evaluation In the ED, initial vitals were: 96.7 56 156" "Correct entity, wrong SNOMED ID","(1411, 1417)","(1411, 1417)",vitals,vitals,118227000,260390007,15853461-DS-4," ___ for further evaluation In the ED, initial vitals were: 96.7 56 156/77 18 100% RA Labs notabl" "Correct entity, wrong SNOMED ID","(1450, 1452)","(1450, 1452)",RA,RA,722742002,463051000124105,15853461-DS-4,"D, initial vitals were: 96.7 56 156/77 18 100% RA Labs notable for anemia at baseline, normal ch" "Correct entity, wrong SNOMED ID","(1473, 1479)","(1473, 1479)",anemia,anemia,271737000,87522002,15853461-DS-4," 96.7 56 156/77 18 100% RA Labs notable for anemia at baseline, normal chemistry, negative UA, nega" "Correct entity, wrong SNOMED ID","(1483, 1491)","(1483, 1491)",baseline,baseline,128974000,129082007,15853461-DS-4,"6 156/77 18 100% RA Labs notable for anemia at baseline, normal chemistry, negative UA, negative troponi" "Correct entity, wrong SNOMED ID","(1521, 1523)","(1521, 1523)",UA,UA,27171005,257999003,15853461-DS-4,"r anemia at baseline, normal chemistry, negative UA, negative troponin, ECG with poor baseline but no" "Correct entity, wrong SNOMED ID","(1544, 1547)","(1544, 1547)",ECG,ECG,29303009,75444003,15853461-DS-4,"ormal chemistry, negative UA, negative troponin, ECG with poor baseline but no ischemic changes Im" "Correct entity, wrong SNOMED ID","(1558, 1566)","(1558, 1566)",baseline,baseline,128974000,129082007,15853461-DS-4,"y, negative UA, negative troponin, ECG with poor baseline but no ischemic changes Imaging notable for " Wrong span,"(1571, 1591)","(1574, 1591)","no ischemic changes","ischemic changes",164862008,449735000,15853461-DS-4,"UA, negative troponin, ECG with poor baseline but no ischemic changes Imaging notable for CXR:Moderate cardiomega" Missed entity,"(1595, 1602)",,Imaging,,363679005,,15853461-DS-4,"CG with poor baseline but no ischemic changes Imaging notable for CXR:Moderate cardiomegaly unchange" "Correct entity, wrong SNOMED ID","(1618, 1621)","(1618, 1621)",CXR,CXR,399208008,55106003,15853461-DS-4,"ut no ischemic changes Imaging notable for CXR:Moderate cardiomegaly unchanged from ___. No foca" "Correct entity, wrong SNOMED ID","(1631, 1643)","(1631, 1643)",cardiomegaly,cardiomegaly,8186001,275516004,15853461-DS-4,"c changes Imaging notable for CXR:Moderate cardiomegaly unchanged from ___. No focal airspace opacity. " "Correct entity, wrong SNOMED ID","(1683, 1690)","(1683, 1690)",opacity,opacity,128305008,193570009,15853461-DS-4,"rdiomegaly unchanged from ___. No focal airspace opacity. CT Head: No acute intracranial abnormality" "Correct entity, wrong SNOMED ID","(1695, 1702)","(1695, 1702)",CT Head,CT Head,303653007,303654001,15853461-DS-4,"nchanged from ___. No focal airspace opacity. CT Head: No acute intracranial abnormality. CT C __" Wrong span,"(1716, 1728)","(1716, 1740)",intracranial,intracranial abnormality,128319008,93468003,15853461-DS-4," focal airspace opacity. CT Head: No acute intracranial abnormality. CT C ___: 1. No fracture or tr" Wrong span,"(1729, 1740)","(1716, 1740)",abnormality,intracranial abnormality,281900007,93468003,15853461-DS-4,"ace opacity. CT Head: No acute intracranial abnormality. CT C ___: 1. No fracture or traumatic mala" Missed entity,"(1745, 1749)",,CT C,,241578008,,15853461-DS-4,"CT Head: No acute intracranial abnormality. CT C ___: 1. No fracture or traumatic malalignment." "Correct entity, wrong SNOMED ID","(1764, 1772)","(1764, 1772)",fracture,fracture,72704001,307186006,15853461-DS-4,"e intracranial abnormality. CT C ___: 1. No fracture or traumatic malalignment. 2. Right-sided thyr" Wrong span,"(1776, 1785)","(1776, 1798)",traumatic,traumatic malalignment,417746004,277371003,15853461-DS-4,"al abnormality. CT C ___: 1. No fracture or traumatic malalignment. 2. Right-sided thyroid nodule me" Wrong span,"(1786, 1798)","(1776, 1798)",malalignment,traumatic malalignment,399898009,277371003,15853461-DS-4,"lity. CT C ___: 1. No fracture or traumatic malalignment. 2. Right-sided thyroid nodule measuring up to" "Correct entity, wrong SNOMED ID","(1806, 1817)","(1806, 1817)",Right-sided,Right-sided,29565003,448602005,15853461-DS-4," 1. No fracture or traumatic malalignment. 2. Right-sided thyroid nodule measuring up to 2.5 cm. CT T __" "Correct entity, wrong SNOMED ID","(1818, 1832)","(1818, 1832)",thyroid nodule,thyroid nodule,237495005,73869005,15853461-DS-4,"ture or traumatic malalignment. 2. Right-sided thyroid nodule measuring up to 2.5 cm. CT T ___: 1. Minima" Missed entity,"(1860, 1864)",,CT T,,241579000,,15853461-DS-4,"t-sided thyroid nodule measuring up to 2.5 cm. CT T ___: 1. Minimally displaced, fracture of the a" Wrong span,"(1886, 1905)","(1897, 1905)","displaced, fracture",fracture,123735002,307186006,15853461-DS-4,"suring up to 2.5 cm. CT T ___: 1. Minimally displaced, fracture of the anterior two columns of the T7 vertebral " Wrong span,"(1942, 1959)","(1942, 1944)",T7 vertebral body,T7,16126006,1157148000,15853461-DS-4,"ced, fracture of the anterior two columns of the T7 vertebral body without evidence of spinal canal narrowing. No a" Wrong span,"(1980, 2003)","(1980, 1992)","spinal canal narrowing",spinal canal,83561009,11537001,15853461-DS-4,"mns of the T7 vertebral body without evidence of spinal canal narrowing. No additional thoracic fracture identified. 2" "Correct entity, wrong SNOMED ID","(2019, 2036)","(2019, 2036)",thoracic fracture,thoracic fracture,125607007,207938004,15853461-DS-4,"vidence of spinal canal narrowing. No additional thoracic fracture identified. 2. DISH throughout the thoracic __" "Correct entity, wrong SNOMED ID","(2055, 2059)","(2055, 2059)",DISH,DISH,31487001,409990004,15853461-DS-4,"No additional thoracic fracture identified. 2. DISH throughout the thoracic ___. 3. Probable scarr" "Correct entity, wrong SNOMED ID","(2104, 2112)","(2104, 2112)",scarring,scarring,48677004,301005000,15853461-DS-4," DISH throughout the thoracic ___. 3. Probable scarring at the left lung apex and several calcified gran" "Correct entity, wrong SNOMED ID","(2120, 2134)","(2120, 2134)",left lung apex,left lung apex,14559000,184508008,15853461-DS-4," the thoracic ___. 3. Probable scarring at the left lung apex and several calcified granulomas. 1 nodule in pa" "Correct entity, wrong SNOMED ID","(2148, 2168)","(2148, 2168)",calcified granulomas,calcified granulomas,48391002,16163002,15853461-DS-4,"bable scarring at the left lung apex and several calcified granulomas. 1 nodule in particular measuring 5 mm is not ca" "Correct entity, wrong SNOMED ID","(2172, 2178)","(2172, 2178)",nodule,nodule,27925004,246120007,15853461-DS-4,"ft lung apex and several calcified granulomas. 1 nodule in particular measuring 5 mm is not calcified. " "Correct entity, wrong SNOMED ID","(2216, 2225)","(2216, 2225)",calcified,calcified,18115005,249174002,15853461-DS-4,"as. 1 nodule in particular measuring 5 mm is not calcified. CT L ___: No lumbar ___ fracture or malali" Missed entity,"(2230, 2234)",,CT L,,241580002,,15853461-DS-4,"n particular measuring 5 mm is not calcified. CT L ___: No lumbar ___ fracture or malalignment " "Correct entity, wrong SNOMED ID","(2257, 2265)","(2257, 2265)",fracture,fracture,72704001,307186006,15853461-DS-4," is not calcified. CT L ___: No lumbar ___ fracture or malalignment Patient was given 17:18 PO " "Correct entity, wrong SNOMED ID","(2269, 2281)","(2269, 2281)",malalignment,malalignment,399898009,277371003,15853461-DS-4,"cified. CT L ___: No lumbar ___ fracture or malalignment Patient was given 17:18 PO Acetaminophen 65" "Correct entity, wrong SNOMED ID","(2482, 2492)","(2482, 2492)",intubation,intubation,52765003,112798008,15853461-DS-4,"TLSO brace, logroll precautions at all times, NO intubation without discussing with ___ (if needed), keep NP" "Correct entity, wrong SNOMED ID","(2552, 2555)","(2552, 2555)",MRI,MRI,113091000,305882007,15853461-DS-4,"discussing with ___ (if needed), keep NPO pending MRI, and MRI T ___ without contrast given evidence o" Wrong span,"(2561, 2567)","(2561, 2564)","MRI T",MRI,241647000,305882007,15853461-DS-4,"g with ___ (if needed), keep NPO pending MRI, and MRI T ___ without contrast given evidence of DISH on CT" "Correct entity, wrong SNOMED ID","(2607, 2611)","(2607, 2611)",DISH,DISH,31487001,409990004,15853461-DS-4,"and MRI T ___ without contrast given evidence of DISH on CT. Decision was made to admit to medicine " "Correct entity, wrong SNOMED ID","(2615, 2617)","(2615, 2617)",CT,CT,77477000,439101006,15853461-DS-4," T ___ without contrast given evidence of DISH on CT. Decision was made to admit to medicine for wo" "Correct entity, wrong SNOMED ID","(2665, 2671)","(2665, 2671)",workup,workup,386053000,118669005,15853461-DS-4,"CT. Decision was made to admit to medicine for workup for syncope as well as pain control, treatment o" "Correct entity, wrong SNOMED ID","(2676, 2683)","(2676, 2683)",syncope,syncope,271594007,427461000,15853461-DS-4,"sion was made to admit to medicine for workup for syncope as well as pain control, treatment of T7 fractur" "Correct entity, wrong SNOMED ID","(2696, 2708)","(2696, 2708)",pain control,pain control,225782006,370778008,15853461-DS-4,"it to medicine for workup for syncope as well as pain control, treatment of T7 fracture Vitals on transfer " Wrong span,"(2723, 2734)","(2723, 2725)",T7 fracture,T7,721421002,392381003,15853461-DS-4,"or syncope as well as pain control, treatment of T7 fracture Vitals on transfer 97.8 63 158/64 18 98% RA" "Correct entity, wrong SNOMED ID","(2738, 2744)","(2738, 2744)",Vitals,Vitals,118227000,260390007,15853461-DS-4,"well as pain control, treatment of T7 fracture Vitals on transfer 97.8 63 158/64 18 98% RA On t" "Correct entity, wrong SNOMED ID","(2782, 2784)","(2782, 2784)",RA,RA,722742002,463051000124105,15853461-DS-4,"re Vitals on transfer 97.8 63 158/64 18 98% RA On the floor, she complains of ___ pain in h" Wrong span,"(2825, 2841)","(2825, 2829)",pain in her back,pain,161891005,102570003,15853461-DS-4,"18 98% RA On the floor, she complains of ___ pain in her back, worse with movement. No decreased sensation in " "Correct entity, wrong SNOMED ID","(2868, 2887)","(2868, 2887)",decreased sensation,decreased sensation,247322000,299905002,15853461-DS-4,"of ___ pain in her back, worse with movement. No decreased sensation in arms, legs. No fecal or urinary incontinence." "Correct entity, wrong SNOMED ID","(2891, 2895)","(2891, 2895)",arms,arms,53120007,69273007,15853461-DS-4,", worse with movement. No decreased sensation in arms, legs. No fecal or urinary incontinence. Aside f" "Correct entity, wrong SNOMED ID","(2897, 2901)","(2897, 2901)",legs,legs,61685007,274791003,15853461-DS-4,"e with movement. No decreased sensation in arms, legs. No fecal or urinary incontinence. Aside from fa" Wrong span,"(2903, 2911)","(2906, 2911)",No fecal,fecal,72042002,134021000119105,15853461-DS-4,"h movement. No decreased sensation in arms, legs. No fecal or urinary incontinence. Aside from fall earlier" "Correct entity, wrong SNOMED ID","(2916, 2936)","(2916, 2936)",urinary incontinence,urinary incontinence,165232002,22220005,15853461-DS-4,"o decreased sensation in arms, legs. No fecal or urinary incontinence. Aside from fall earlier this week she has not h" "Correct entity, wrong SNOMED ID","(2949, 2953)","(2949, 2953)",fall,fall,161898004,298344006,15853461-DS-4,"gs. No fecal or urinary incontinence. Aside from fall earlier this week she has not had any falls. She" "Correct entity, wrong SNOMED ID","(2993, 2998)","(2993, 2998)",falls,falls,161898004,279992002,15853461-DS-4," from fall earlier this week she has not had any falls. She walks with a cane at baseline. She has been" Wrong span,"(3004, 3021)","(3004, 3009)",walks with a cane,walks,443320005,282146009,15853461-DS-4,"earlier this week she has not had any falls. She walks with a cane at baseline. She has been taking only torsemide " "Correct entity, wrong SNOMED ID","(3025, 3033)","(3025, 3033)",baseline,baseline,128974000,161033005,15853461-DS-4," has not had any falls. She walks with a cane at baseline. She has been taking only torsemide 20mg daily i" "Correct entity, wrong SNOMED ID","(3115, 3122)","(3115, 3122)",urinate,urinate,252041008,249277001,15853461-DS-4,"emide 20mg daily instead of 40mg as it makes her urinate too much. She is hoping to leave tomorrow to cel" Missed entity,"(3230, 3247)",,Review of systems,,415300000,,15853461-DS-4,"ew Years at home with her 17 family members. Review of systems: (+) Per HPI (-) Denies fever, chills, nigh" "Correct entity, wrong SNOMED ID","(3278, 3283)","(3278, 3283)",fever,fever,386661006,248430002,15853461-DS-4," Review of systems: (+) Per HPI (-) Denies fever, chills, night sweats, recent weight loss or gai" "Correct entity, wrong SNOMED ID","(3285, 3291)","(3285, 3291)",chills,chills,43724002,274640006,15853461-DS-4,"w of systems: (+) Per HPI (-) Denies fever, chills, night sweats, recent weight loss or gain. Denie" "Correct entity, wrong SNOMED ID","(3307, 3325)","(3307, 3325)",recent weight loss,recent weight loss,426977000,248349002,15853461-DS-4,"er HPI (-) Denies fever, chills, night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhin" "Correct entity, wrong SNOMED ID","(3330, 3334)","(3330, 3334)",gain,gain,427572007,262286000,15853461-DS-4,"ver, chills, night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or" "Correct entity, wrong SNOMED ID","(3343, 3351)","(3343, 3351)",headache,headache,25064002,267096005,15853461-DS-4,"night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Rep" Wrong span,"(3353, 3358)","(3353, 3369)",sinus,sinus tenderness,2095001,9631000119102,15853461-DS-4,"ts, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Reports ch" Wrong span,"(3359, 3369)","(3353, 3369)",tenderness,sinus tenderness,247348008,9631000119102,15853461-DS-4,"cent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Reports chronic cough" "Correct entity, wrong SNOMED ID","(3371, 3381)","(3371, 3381)",rhinorrhea,rhinorrhea,64531003,75803007,15853461-DS-4,"loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Reports chronic cough which she t" "Correct entity, wrong SNOMED ID","(3406, 3419)","(3406, 3419)",chronic cough,chronic cough,68154008,1204369007,15853461-DS-4,"us tenderness, rhinorrhea or congestion. Reports chronic cough which she takes albuterol for. Denies chest pain" "Correct entity, wrong SNOMED ID","(3459, 3469)","(3459, 3469)",chest pain,chest pain,29857009,102589003,15853461-DS-4,"onic cough which she takes albuterol for. Denies chest pain or tightness, palpitations. Denies nausea, vomit" "Correct entity, wrong SNOMED ID","(3484, 3496)","(3484, 3496)",palpitations,palpitations,80313002,161966006,15853461-DS-4,"s albuterol for. Denies chest pain or tightness, palpitations. Denies nausea, vomiting, diarrhea, constipation" "Correct entity, wrong SNOMED ID","(3534, 3546)","(3534, 3546)",constipation,constipation,14760008,236069009,15853461-DS-4,"palpitations. Denies nausea, vomiting, diarrhea, constipation or abdominal pain. No recent change in bowel or " "Correct entity, wrong SNOMED ID","(3550, 3564)","(3550, 3564)",abdominal pain,abdominal pain,21522001,54586004,15853461-DS-4,"nies nausea, vomiting, diarrhea, constipation or abdominal pain. No recent change in bowel or bladder habits. No" "Correct entity, wrong SNOMED ID","(3596, 3610)","(3596, 3610)",bladder habits,bladder habits,47252008,444702007,15853461-DS-4," or abdominal pain. No recent change in bowel or bladder habits. No dysuria. Denies arthralgias or myalgias. " "Correct entity, wrong SNOMED ID","(3615, 3622)","(3615, 3622)",dysuria,dysuria,49650001,16844001,15853461-DS-4," No recent change in bowel or bladder habits. No dysuria. Denies arthralgias or myalgias. Past Medical" "Correct entity, wrong SNOMED ID","(3632, 3643)","(3632, 3643)",arthralgias,arthralgias,57676002,277138006,15853461-DS-4,"e in bowel or bladder habits. No dysuria. Denies arthralgias or myalgias. Past Medical History: ASTHMA " "Correct entity, wrong SNOMED ID","(3647, 3655)","(3647, 3655)",myalgias,myalgias,68962001,1141862008,15853461-DS-4,"ladder habits. No dysuria. Denies arthralgias or myalgias. Past Medical History: ASTHMA BACK PAIN " Wrong span,"(3683, 3689)","(3683, 3702)",ASTHMA,"ASTHMA BACK PAIN",195967001,1290026000,15853461-DS-4,"rthralgias or myalgias. Past Medical History: ASTHMA BACK PAIN DIASTOLIC CONGESTIVE HEART FAILUR" Wrong span,"(3693, 3702)","(3683, 3702)",BACK PAIN,"ASTHMA BACK PAIN",161891005,1290026000,15853461-DS-4," or myalgias. Past Medical History: ASTHMA BACK PAIN DIASTOLIC CONGESTIVE HEART FAILURE DIABETES" "Correct entity, wrong SNOMED ID","(3764, 3787)","(3764, 3787)",GASTROESOPHAGEAL REFLUX,GASTROESOPHAGEAL REFLUX,235595009,15749591000119107,15853461-DS-4,"C CONGESTIVE HEART FAILURE DIABETES TYPE II GASTROESOPHAGEAL REFLUX HYPERTENSION MIGRAINES PAIN MANAGEMENT " "Correct entity, wrong SNOMED ID","(3791, 3803)","(3791, 3803)",HYPERTENSION,HYPERTENSION,38341003,70995007,15853461-DS-4," DIABETES TYPE II GASTROESOPHAGEAL REFLUX HYPERTENSION MIGRAINES PAIN MANAGEMENT ANEMIA SLEE" "Correct entity, wrong SNOMED ID","(3807, 3816)","(3807, 3816)",MIGRAINES,MIGRAINES,37796009,193039006,15853461-DS-4," II GASTROESOPHAGEAL REFLUX HYPERTENSION MIGRAINES PAIN MANAGEMENT ANEMIA SLEEP APNEA MI" Wrong span,"(3820, 3835)","(3820, 3824)",PAIN MANAGEMENT,PAIN,278414003,102570003,15853461-DS-4,"ESOPHAGEAL REFLUX HYPERTENSION MIGRAINES PAIN MANAGEMENT ANEMIA SLEEP APNEA MICROALBUMINURIA P" "Correct entity, wrong SNOMED ID","(3839, 3845)","(3839, 3845)",ANEMIA,ANEMIA,271737000,87522002,15853461-DS-4," HYPERTENSION MIGRAINES PAIN MANAGEMENT ANEMIA SLEEP APNEA MICROALBUMINURIA PULMONARY H" Wrong span,"(3849, 3860)","(3849, 3854)",SLEEP APNEA,SLEEP,73430006,301345002,15853461-DS-4,"SION MIGRAINES PAIN MANAGEMENT ANEMIA SLEEP APNEA MICROALBUMINURIA PULMONARY HYPERTENSION " "Correct entity, wrong SNOMED ID","(3864, 3880)","(3864, 3880)",MICROALBUMINURIA,MICROALBUMINURIA,312975006,473111003,15853461-DS-4,"ES PAIN MANAGEMENT ANEMIA SLEEP APNEA MICROALBUMINURIA PULMONARY HYPERTENSION OSTEOPENIA DIABET" Wrong span,"(3884, 3906)","(3884, 3893)",PULMONARY HYPERTENSION,PULMONARY,70995007,419170002,15853461-DS-4,"T ANEMIA SLEEP APNEA MICROALBUMINURIA PULMONARY HYPERTENSION OSTEOPENIA DIABETIC NEUROPATHY MEMORY LO" "Correct entity, wrong SNOMED ID","(3910, 3920)","(3910, 3920)",OSTEOPENIA,OSTEOPENIA,78441005,37605006,15853461-DS-4," MICROALBUMINURIA PULMONARY HYPERTENSION OSTEOPENIA DIABETIC NEUROPATHY MEMORY LOSS Social " "Correct entity, wrong SNOMED ID","(3924, 3943)","(3924, 3943)",DIABETIC NEUROPATHY,DIABETIC NEUROPATHY,230572002,193185007,15853461-DS-4,"INURIA PULMONARY HYPERTENSION OSTEOPENIA DIABETIC NEUROPATHY MEMORY LOSS Social History: ___ Family His" Wrong span,"(3947, 3958)","(3947, 3953)",MEMORY LOSS,MEMORY,48167000,247602005,15853461-DS-4,"ERTENSION OSTEOPENIA DIABETIC NEUROPATHY MEMORY LOSS Social History: ___ Family History: Grandson" Missed entity,"(4009, 4017)",,deceased,,419099009,,15853461-DS-4," Social History: ___ Family History: Grandson deceased, homicide, ___, GSW/drive-by/mistaken ID no ne" Boundary error,"(4034, 4037)","(4034, 4035)",GSW,G,56768003,258682000,15853461-DS-4,"amily History: Grandson deceased, homicide, ___, GSW/drive-by/mistaken ID no neurodegenerative diso" Missed entity,"(4056, 4058)",,ID,,310054005,,15853461-DS-4,"on deceased, homicide, ___, GSW/drive-by/mistaken ID no neurodegenerative disorders Physical Ex" Wrong span,"(4083, 4092)","(4065, 4092)",disorders,neurodegenerative disorders,64572001,724813004,15853461-DS-4," GSW/drive-by/mistaken ID no neurodegenerative disorders Physical Exam: ADMISSION PHYSICAL EXAM ======" "Correct entity, wrong SNOMED ID","(4122, 4135)","(4122, 4135)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,15853461-DS-4,"generative disorders Physical Exam: ADMISSION PHYSICAL EXAM ======================= VS: 98.2 PO 175 / 81 L Ly" "Correct entity, wrong SNOMED ID","(4160, 4162)","(4160, 4162)",VS,VS,118227000,313611000,15853461-DS-4,": ADMISSION PHYSICAL EXAM ======================= VS: 98.2 PO 175 / 81 L Lying 70 20 99 RA Gen: very" Missed entity,"(4183, 4188)",,Lying,,17535004,,15853461-DS-4,"AM ======================= VS: 98.2 PO 175 / 81 L Lying 70 20 99 RA Gen: very pleasant older woman lyin" "Correct entity, wrong SNOMED ID","(4198, 4200)","(4198, 4200)",RA,RA,722742002,463051000124105,15853461-DS-4,"=========== VS: 98.2 PO 175 / 81 L Lying 70 20 99 RA Gen: very pleasant older woman lying in bed spe" "Correct entity, wrong SNOMED ID","(4203, 4206)","(4203, 4206)",Gen,Gen,162673000,420208008,15853461-DS-4,"====== VS: 98.2 PO 175 / 81 L Lying 70 20 99 RA Gen: very pleasant older woman lying in bed speaking " "Correct entity, wrong SNOMED ID","(4278, 4281)","(4278, 4281)",NAD,NAD,281900007,131143000,15853461-DS-4,"woman lying in bed speaking in full sentences in NAD HEENT: PERRL, MMM, no scleral icterus CV: RRR" "Correct entity, wrong SNOMED ID","(4284, 4289)","(4284, 4289)",HEENT,HEENT,5880005,113665002,15853461-DS-4,"lying in bed speaking in full sentences in NAD HEENT: PERRL, MMM, no scleral icterus CV: RRR, S1, S2" "Correct entity, wrong SNOMED ID","(4291, 4296)","(4291, 4296)",PERRL,PERRL,386666001,431291005,15853461-DS-4,"n bed speaking in full sentences in NAD HEENT: PERRL, MMM, no scleral icterus CV: RRR, S1, S2 with h" "Correct entity, wrong SNOMED ID","(4298, 4301)","(4298, 4301)",MMM,MMM,276398005,258673006,15853461-DS-4,"peaking in full sentences in NAD HEENT: PERRL, MMM, no scleral icterus CV: RRR, S1, S2 with holosy" "Correct entity, wrong SNOMED ID","(4324, 4326)","(4324, 4326)",CV,CV,363003006,258773002,15853461-DS-4," in NAD HEENT: PERRL, MMM, no scleral icterus CV: RRR, S1, S2 with holosystolic murmur, no rubs or" "Correct entity, wrong SNOMED ID","(4328, 4331)","(4328, 4331)",RRR,RRR,76863003,129960002,15853461-DS-4,"NAD HEENT: PERRL, MMM, no scleral icterus CV: RRR, S1, S2 with holosystolic murmur, no rubs or gall" "Correct entity, wrong SNOMED ID","(4337, 4339)","(4337, 4339)",S2,S2,111974005,81170007,15853461-DS-4,"NT: PERRL, MMM, no scleral icterus CV: RRR, S1, S2 with holosystolic murmur, no rubs or gallops Pu" "Correct entity, wrong SNOMED ID","(4358, 4364)","(4358, 4364)",murmur,murmur,414786004,373112006,15853461-DS-4,"leral icterus CV: RRR, S1, S2 with holosystolic murmur, no rubs or gallops Pulm: anterior exam, scatte" "Correct entity, wrong SNOMED ID","(4377, 4384)","(4377, 4384)",gallops,gallops,2170000,4592006,15853461-DS-4," RRR, S1, S2 with holosystolic murmur, no rubs or gallops Pulm: anterior exam, scattered wheezing, no cra" "Correct entity, wrong SNOMED ID","(4387, 4391)","(4387, 4391)",Pulm,Pulm,268925001,90623003,15853461-DS-4,"S2 with holosystolic murmur, no rubs or gallops Pulm: anterior exam, scattered wheezing, no crackles o" Missed entity,"(4402, 4406)",,exam,,5880005,,15853461-DS-4,"tolic murmur, no rubs or gallops Pulm: anterior exam, scattered wheezing, no crackles or rhonchi Ab" "Correct entity, wrong SNOMED ID","(4418, 4426)","(4418, 4426)",wheezing,wheezing,56018004,9763007,15853461-DS-4," rubs or gallops Pulm: anterior exam, scattered wheezing, no crackles or rhonchi Abd: obese, soft, non " "Correct entity, wrong SNOMED ID","(4454, 4457)","(4454, 4457)",Abd,Abd,225162003,60728008,15853461-DS-4,"am, scattered wheezing, no crackles or rhonchi Abd: obese, soft, non distended, non tender +BS GU:" "Correct entity, wrong SNOMED ID","(4459, 4464)","(4459, 4464)",obese,obese,249533007,415530009,15853461-DS-4,"cattered wheezing, no crackles or rhonchi Abd: obese, soft, non distended, non tender +BS GU: no fol" "Correct entity, wrong SNOMED ID","(4472, 4485)","(4472, 4485)",non distended,non distended,60728008,162069004,15853461-DS-4,"zing, no crackles or rhonchi Abd: obese, soft, non distended, non tender +BS GU: no foleu Ext: warm, well " "Correct entity, wrong SNOMED ID","(4487, 4497)","(4487, 4497)",non tender,non tender,43478001,289668002,15853461-DS-4,"es or rhonchi Abd: obese, soft, non distended, non tender +BS GU: no foleu Ext: warm, well perfused, 1+" Boundary error,"(4498, 4501)","(4499, 4501)",+BS,BS,61539000,257983009,15853461-DS-4,"hi Abd: obese, soft, non distended, non tender +BS GU: no foleu Ext: warm, well perfused, 1+ ede" "Correct entity, wrong SNOMED ID","(4504, 4506)","(4504, 4506)",GU,GU,268945009,77618006,15853461-DS-4,"Abd: obese, soft, non distended, non tender +BS GU: no foleu Ext: warm, well perfused, 1+ edema to" Missed entity,"(4511, 4516)",,foleu,,439053001,,15853461-DS-4,"ese, soft, non distended, non tender +BS GU: no foleu Ext: warm, well perfused, 1+ edema to shins S" "Correct entity, wrong SNOMED ID","(4519, 4522)","(4519, 4522)",Ext,Ext,302773001,1489008,15853461-DS-4,"t, non distended, non tender +BS GU: no foleu Ext: warm, well perfused, 1+ edema to shins Skin: w" "Correct entity, wrong SNOMED ID","(4524, 4528)","(4524, 4528)",warm,warm,102599008,298256005,15853461-DS-4,"n distended, non tender +BS GU: no foleu Ext: warm, well perfused, 1+ edema to shins Skin: warm. w" "Correct entity, wrong SNOMED ID","(4530, 4543)","(4530, 4543)",well perfused,well perfused,1137685003,301121007,15853461-DS-4,"ended, non tender +BS GU: no foleu Ext: warm, well perfused, 1+ edema to shins Skin: warm. well perfused, n" "Correct entity, wrong SNOMED ID","(4548, 4553)","(4548, 4553)",edema,edema,267038008,102576009,15853461-DS-4,"+BS GU: no foleu Ext: warm, well perfused, 1+ edema to shins Skin: warm. well perfused, no rashes " "Correct entity, wrong SNOMED ID","(4557, 4562)","(4557, 4562)",shins,shins,78234002,47381006,15853461-DS-4," no foleu Ext: warm, well perfused, 1+ edema to shins Skin: warm. well perfused, no rashes Neuro: a" "Correct entity, wrong SNOMED ID","(4565, 4569)","(4565, 4569)",Skin,Skin,271303006,444884003,15853461-DS-4,"u Ext: warm, well perfused, 1+ edema to shins Skin: warm. well perfused, no rashes Neuro: alert an" "Correct entity, wrong SNOMED ID","(4571, 4575)","(4571, 4575)",warm,warm,102599008,298256005,15853461-DS-4,"t: warm, well perfused, 1+ edema to shins Skin: warm. well perfused, no rashes Neuro: alert and orie" "Correct entity, wrong SNOMED ID","(4577, 4590)","(4577, 4590)",well perfused,well perfused,1137685003,301121007,15853461-DS-4,"m, well perfused, 1+ edema to shins Skin: warm. well perfused, no rashes Neuro: alert and oriented, moving al" "Correct entity, wrong SNOMED ID","(4595, 4601)","(4595, 4601)",rashes,rashes,271807003,247472004,15853461-DS-4,"1+ edema to shins Skin: warm. well perfused, no rashes Neuro: alert and oriented, moving all 4 extremi" "Correct entity, wrong SNOMED ID","(4604, 4609)","(4604, 4609)",Neuro,Neuro,84728005,281247006,15853461-DS-4,"to shins Skin: warm. well perfused, no rashes Neuro: alert and oriented, moving all 4 extremities wit" "Correct entity, wrong SNOMED ID","(4621, 4629)","(4621, 4629)",oriented,oriented,247663003,787379002,15853461-DS-4,"warm. well perfused, no rashes Neuro: alert and oriented, moving all 4 extremities without deficit, ___ s" "Correct entity, wrong SNOMED ID","(4631, 4655)","(4631, 4655)",moving all 4 extremities,moving all 4 extremities,284137004,364892002,15853461-DS-4," perfused, no rashes Neuro: alert and oriented, moving all 4 extremities without deficit, ___ strength upper and lower ex" "Correct entity, wrong SNOMED ID","(4687, 4692)","(4687, 4692)",upper,upper,53120007,102558002,15853461-DS-4," all 4 extremities without deficit, ___ strength upper and lower extremities, sensation to light touch " "Correct entity, wrong SNOMED ID","(4697, 4714)","(4697, 4714)",lower extremities,lower extremities,61685007,58517005,15853461-DS-4,"remities without deficit, ___ strength upper and lower extremities, sensation to light touch intact DISCHARGE PH" "Correct entity, wrong SNOMED ID","(4716, 4748)","(4716, 4748)","sensation to light touch intact","sensation to light touch intact",299911004,422015002,15853461-DS-4,"eficit, ___ strength upper and lower extremities, sensation to light touch intact DISCHARGE PHYSICAL EXAM ======================" "Correct entity, wrong SNOMED ID","(4762, 4775)","(4762, 4775)",PHYSICAL EXAM,PHYSICAL EXAM,5880005,410182004,15853461-DS-4,"es, sensation to light touch intact DISCHARGE PHYSICAL EXAM ======================= Vitals 98.5-99.3, 128-151" "Correct entity, wrong SNOMED ID","(4800, 4806)","(4800, 4806)",Vitals,Vitals,118227000,260390007,15853461-DS-4," DISCHARGE PHYSICAL EXAM ======================= Vitals 98.5-99.3, 128-151/67-73, 62-85, 18, 96-98% on 1L" "Correct entity, wrong SNOMED ID","(4859, 4862)","(4859, 4862)",Gen,Gen,162673000,16651008,15853461-DS-4,".5-99.3, 128-151/67-73, 62-85, 18, 96-98% on 1L. Gen: Laying in bed comfortably. HEENT: PERRL, MMM, n" Missed entity,"(4864, 4877)",,Laying in bed,,17535004,,15853461-DS-4,".3, 128-151/67-73, 62-85, 18, 96-98% on 1L. Gen: Laying in bed comfortably. HEENT: PERRL, MMM, no scleral icter" "Correct entity, wrong SNOMED ID","(4892, 4897)","(4892, 4897)",HEENT,HEENT,5880005,113665002,15853461-DS-4,", 96-98% on 1L. Gen: Laying in bed comfortably. HEENT: PERRL, MMM, no scleral icterus CV: RRR, holosy" "Correct entity, wrong SNOMED ID","(4899, 4904)","(4899, 4904)",PERRL,PERRL,386666001,431291005,15853461-DS-4,"% on 1L. Gen: Laying in bed comfortably. HEENT: PERRL, MMM, no scleral icterus CV: RRR, holosystolic " "Correct entity, wrong SNOMED ID","(4906, 4909)","(4906, 4909)",MMM,MMM,276398005,258673006,15853461-DS-4,". Gen: Laying in bed comfortably. HEENT: PERRL, MMM, no scleral icterus CV: RRR, holosystolic murmu" "Correct entity, wrong SNOMED ID","(4932, 4934)","(4932, 4934)",CV,CV,363003006,258773002,15853461-DS-4,"ortably. HEENT: PERRL, MMM, no scleral icterus CV: RRR, holosystolic murmur noted throughout Pulm:" "Correct entity, wrong SNOMED ID","(4936, 4939)","(4936, 4939)",RRR,RRR,76863003,129960002,15853461-DS-4,"bly. HEENT: PERRL, MMM, no scleral icterus CV: RRR, holosystolic murmur noted throughout Pulm: ante" "Correct entity, wrong SNOMED ID","(4954, 4960)","(4954, 4960)",murmur,murmur,414786004,248699005,15853461-DS-4,", MMM, no scleral icterus CV: RRR, holosystolic murmur noted throughout Pulm: anterior exam, bibasilar " "Correct entity, wrong SNOMED ID","(4979, 4983)","(4979, 4983)",Pulm,Pulm,268925001,83291003,15853461-DS-4," CV: RRR, holosystolic murmur noted throughout Pulm: anterior exam, bibasilar crackles. Abd: obese," Missed entity,"(4994, 4998)",,exam,,5880005,,15853461-DS-4,"osystolic murmur noted throughout Pulm: anterior exam, bibasilar crackles. Abd: obese, soft, non dist" "Correct entity, wrong SNOMED ID","(5000, 5009)","(5000, 5009)",bibasilar,bibasilar,10024003,704915001,15853461-DS-4,"lic murmur noted throughout Pulm: anterior exam, bibasilar crackles. Abd: obese, soft, non distended, non " "Correct entity, wrong SNOMED ID","(5022, 5025)","(5022, 5025)",Abd,Abd,225162003,60728008,15853461-DS-4,"ghout Pulm: anterior exam, bibasilar crackles. Abd: obese, soft, non distended, non tender, normoact" "Correct entity, wrong SNOMED ID","(5027, 5032)","(5027, 5032)",obese,obese,249533007,415530009,15853461-DS-4," Pulm: anterior exam, bibasilar crackles. Abd: obese, soft, non distended, non tender, normoactive bow" "Correct entity, wrong SNOMED ID","(5040, 5053)","(5040, 5053)",non distended,non distended,60728008,162069004,15853461-DS-4,"ior exam, bibasilar crackles. Abd: obese, soft, non distended, non tender, normoactive bowel sounds. Ext: wa" Missed entity,"(5055, 5065)",,non tender,,43478001,,15853461-DS-4,"ilar crackles. Abd: obese, soft, non distended, non tender, normoactive bowel sounds. Ext: warm, well per" "Correct entity, wrong SNOMED ID","(5067, 5092)","(5067, 5092)","normoactive bowel sounds","normoactive bowel sounds",61539000,15280003,15853461-DS-4,"s. Abd: obese, soft, non distended, non tender, normoactive bowel sounds. Ext: warm, well perfused, no edema Skin: no " "Correct entity, wrong SNOMED ID","(5096, 5099)","(5096, 5099)",Ext,Ext,302773001,1489008,15853461-DS-4,"stended, non tender, normoactive bowel sounds. Ext: warm, well perfused, no edema Skin: no rashes," "Correct entity, wrong SNOMED ID","(5101, 5105)","(5101, 5105)",warm,warm,102599008,298256005,15853461-DS-4,"ed, non tender, normoactive bowel sounds. Ext: warm, well perfused, no edema Skin: no rashes, spina" "Correct entity, wrong SNOMED ID","(5107, 5120)","(5107, 5120)",well perfused,well perfused,1137685003,301121007,15853461-DS-4,"n tender, normoactive bowel sounds. Ext: warm, well perfused, no edema Skin: no rashes, spinal drain removed" "Correct entity, wrong SNOMED ID","(5125, 5130)","(5125, 5130)",edema,edema,267038008,102576009,15853461-DS-4,"ive bowel sounds. Ext: warm, well perfused, no edema Skin: no rashes, spinal drain removed. Neuro" "Correct entity, wrong SNOMED ID","(5133, 5137)","(5133, 5137)",Skin,Skin,271303006,7748002,15853461-DS-4,"l sounds. Ext: warm, well perfused, no edema Skin: no rashes, spinal drain removed. Neuro: alert" "Correct entity, wrong SNOMED ID","(5142, 5148)","(5142, 5148)",rashes,rashes,271807003,247472004,15853461-DS-4,". Ext: warm, well perfused, no edema Skin: no rashes, spinal drain removed. Neuro: alert and orient" Wrong span,"(5150, 5156)","(5150, 5170)",spinal,spinal drain removed,421060004,406155005,15853461-DS-4," warm, well perfused, no edema Skin: no rashes, spinal drain removed. Neuro: alert and oriented, movi" Wrong span,"(5157, 5170)","(5150, 5170)",drain removed,spinal drain removed,241031001,406155005,15853461-DS-4,"well perfused, no edema Skin: no rashes, spinal drain removed. Neuro: alert and oriented, moving all 4 extre" "Correct entity, wrong SNOMED ID","(5175, 5180)","(5175, 5180)",Neuro,Neuro,84728005,284186002,15853461-DS-4,"edema Skin: no rashes, spinal drain removed. Neuro: alert and oriented, moving all 4 extremities wit" "Correct entity, wrong SNOMED ID","(5192, 5200)","(5192, 5200)",oriented,oriented,247663003,787379002,15853461-DS-4,"rashes, spinal drain removed. Neuro: alert and oriented, moving all 4 extremities without deficit, ___ s" "Correct entity, wrong SNOMED ID","(5202, 5226)","(5202, 5226)",moving all 4 extremities,moving all 4 extremities,284137004,364892002,15853461-DS-4,"inal drain removed. Neuro: alert and oriented, moving all 4 extremities without deficit, ___ strength upper and lower ex" Wrong span,"(5258, 5263)","(5249, 5267)",upper,strength upper and,53120007,411117005,15853461-DS-4," all 4 extremities without deficit, ___ strength upper and lower extremities, sensation to light touch " "Correct entity, wrong SNOMED ID","(5268, 5285)","(5268, 5285)",lower extremities,lower extremities,61685007,58517005,15853461-DS-4,"remities without deficit, ___ strength upper and lower extremities, sensation to light touch intact. Alert and orie" "Correct entity, wrong SNOMED ID","(5287, 5319)","(5287, 5319)","sensation to light touch intact","sensation to light touch intact",299911004,422015002,15853461-DS-4,"eficit, ___ strength upper and lower extremities, sensation to light touch intact. Alert and oriented to person place and time whi" Wrong span,"(5331, 5339)","(5331, 5355)",oriented,oriented to person place,247663003,62766000,15853461-DS-4,"ties, sensation to light touch intact. Alert and oriented to person place and time which is improved from " Wrong span,"(5350, 5355)","(5331, 5355)",place,oriented to person place,427161009,62766000,15853461-DS-4," light touch intact. Alert and oriented to person place and time which is improved from day prior. Per" Missed entity,"(5360, 5364)",,time,,426794005,,15853461-DS-4,"ch intact. Alert and oriented to person place and time which is improved from day prior. Pertinent Re" "Correct entity, wrong SNOMED ID","(5375, 5383)","(5375, 5383)",improved,improved,268910001,251359002,15853461-DS-4,"t and oriented to person place and time which is improved from day prior. Pertinent Results: ADMISSION LA" "Correct entity, wrong SNOMED ID","(5469, 5472)","(5469, 5472)",WBC,WBC,767002,391558003,15853461-DS-4,": ADMISSION LABS ============== ___ 04:44PM BLOOD WBC-6.7 RBC-4.10 Hgb-10.8* Hct-34.0 MCV-83 MCH-26.3 " "Correct entity, wrong SNOMED ID","(5477, 5480)","(5477, 5480)",RBC,RBC,14089001,258759006,15853461-DS-4,"ION LABS ============== ___ 04:44PM BLOOD WBC-6.7 RBC-4.10 Hgb-10.8* Hct-34.0 MCV-83 MCH-26.3 MCHC-31." "Correct entity, wrong SNOMED ID","(5486, 5489)","(5486, 5489)",Hgb,Hgb,441689006,104142005,15853461-DS-4,"============== ___ 04:44PM BLOOD WBC-6.7 RBC-4.10 Hgb-10.8* Hct-34.0 MCV-83 MCH-26.3 MCHC-31.8* RDW-16" "Correct entity, wrong SNOMED ID","(5496, 5499)","(5496, 5499)",Hct,Hct,28317006,282660005,15853461-DS-4,"==== ___ 04:44PM BLOOD WBC-6.7 RBC-4.10 Hgb-10.8* Hct-34.0 MCV-83 MCH-26.3 MCHC-31.8* RDW-16.0* RDWSD-" "Correct entity, wrong SNOMED ID","(5522, 5526)","(5522, 5526)",MCHC,MCHC,37254006,735147002,15853461-DS-4,"-6.7 RBC-4.10 Hgb-10.8* Hct-34.0 MCV-83 MCH-26.3 MCHC-31.8* RDW-16.0* RDWSD-49.1* Plt ___ ___ 04:44PM B" "Correct entity, wrong SNOMED ID","(5543, 5548)","(5543, 5548)",RDWSD,RDWSD,66842004,80328002,15853461-DS-4,"8* Hct-34.0 MCV-83 MCH-26.3 MCHC-31.8* RDW-16.0* RDWSD-49.1* Plt ___ ___ 04:44PM BLOOD Neuts-80.2* Lymph" "Correct entity, wrong SNOMED ID","(5581, 5586)","(5581, 5586)",Neuts,Neuts,30630007,271035003,15853461-DS-4,"* RDW-16.0* RDWSD-49.1* Plt ___ ___ 04:44PM BLOOD Neuts-80.2* Lymphs-15.5* Monos-3.7* Eos-0.1* Baso-0.1 " "Correct entity, wrong SNOMED ID","(5593, 5599)","(5593, 5599)",Lymphs,Lymphs,74765001,79709007,15853461-DS-4,"RDWSD-49.1* Plt ___ ___ 04:44PM BLOOD Neuts-80.2* Lymphs-15.5* Monos-3.7* Eos-0.1* Baso-0.1 Im ___ AbsNeu" "Correct entity, wrong SNOMED ID","(5606, 5611)","(5606, 5611)",Monos,Monos,67776007,462791000124108,15853461-DS-4,"lt ___ ___ 04:44PM BLOOD Neuts-80.2* Lymphs-15.5* Monos-3.7* Eos-0.1* Baso-0.1 Im ___ AbsNeut-5.39 AbsLy" "Correct entity, wrong SNOMED ID","(5627, 5631)","(5627, 5631)",Baso,Baso,42351005,700051010000106,15853461-DS-4,"OOD Neuts-80.2* Lymphs-15.5* Monos-3.7* Eos-0.1* Baso-0.1 Im ___ AbsNeut-5.39 AbsLymp-1.04* AbsMono-0." "Correct entity, wrong SNOMED ID","(5758, 5761)","(5758, 5761)",PTT,PTT,42525009,282119004,15853461-DS-4,"1 ___ 04:44PM BLOOD Plt ___ ___ 04:44AM BLOOD ___ PTT-29.7 ___ ___ 04:44PM BLOOD Glucose-135* UreaN-16 " "Correct entity, wrong SNOMED ID","(5789, 5796)","(5789, 5796)",Glucose,Glucose,33747003,72191006,15853461-DS-4," 04:44AM BLOOD ___ PTT-29.7 ___ ___ 04:44PM BLOOD Glucose-135* UreaN-16 Creat-1.0 Na-143 K-3.7 Cl-100 HCO3" "Correct entity, wrong SNOMED ID","(5802, 5807)","(5802, 5807)",UreaN,UreaN,105011006,111108008,15853461-DS-4,"D ___ PTT-29.7 ___ ___ 04:44PM BLOOD Glucose-135* UreaN-16 Creat-1.0 Na-143 K-3.7 Cl-100 HCO3-29 AnGap-1" "Correct entity, wrong SNOMED ID","(5811, 5816)","(5811, 5816)",Creat,Creat,70901006,413856009,15853461-DS-4,"-29.7 ___ ___ 04:44PM BLOOD Glucose-135* UreaN-16 Creat-1.0 Na-143 K-3.7 Cl-100 HCO3-29 AnGap-18 ___ 04:" "Correct entity, wrong SNOMED ID","(5821, 5823)","(5821, 5823)",Na,Na,312469006,257992007,15853461-DS-4,"___ 04:44PM BLOOD Glucose-135* UreaN-16 Creat-1.0 Na-143 K-3.7 Cl-100 HCO3-29 AnGap-18 ___ 04:44AM BL" "Correct entity, wrong SNOMED ID","(5835, 5837)","(5835, 5837)",Cl,Cl,104589004,311741002,15853461-DS-4,"OOD Glucose-135* UreaN-16 Creat-1.0 Na-143 K-3.7 Cl-100 HCO3-29 AnGap-18 ___ 04:44AM BLOOD Calcium-9." "Correct entity, wrong SNOMED ID","(5842, 5846)","(5842, 5846)",HCO3,HCO3,312471006,88645003,15853461-DS-4,"cose-135* UreaN-16 Creat-1.0 Na-143 K-3.7 Cl-100 HCO3-29 AnGap-18 ___ 04:44AM BLOOD Calcium-9.1 Phos-4." "Correct entity, wrong SNOMED ID","(5850, 5855)","(5850, 5855)",AnGap,AnGap,25469001,124504004,15853461-DS-4,"* UreaN-16 Creat-1.0 Na-143 K-3.7 Cl-100 HCO3-29 AnGap-18 ___ 04:44AM BLOOD Calcium-9.1 Phos-4.0 Mg-1.9 " "Correct entity, wrong SNOMED ID","(5877, 5884)","(5877, 5884)",Calcium,Calcium,312472004,108601004,15853461-DS-4," K-3.7 Cl-100 HCO3-29 AnGap-18 ___ 04:44AM BLOOD Calcium-9.1 Phos-4.0 Mg-1.9 DISCHARGE LABS =============" "Correct entity, wrong SNOMED ID","(5889, 5893)","(5889, 5893)",Phos,Phos,104868000,168075002,15853461-DS-4,"00 HCO3-29 AnGap-18 ___ 04:44AM BLOOD Calcium-9.1 Phos-4.0 Mg-1.9 DISCHARGE LABS ============== ___ 06:" "Correct entity, wrong SNOMED ID","(5898, 5900)","(5898, 5900)",Mg,Mg,271285000,258684004,15853461-DS-4,"9 AnGap-18 ___ 04:44AM BLOOD Calcium-9.1 Phos-4.0 Mg-1.9 DISCHARGE LABS ============== ___ 06:10AM BL" "Correct entity, wrong SNOMED ID","(5954, 5957)","(5954, 5957)",WBC,WBC,767002,391558003,15853461-DS-4," DISCHARGE LABS ============== ___ 06:10AM BLOOD WBC-8.1 RBC-2.96* Hgb-7.8* Hct-24.2* MCV-82 MCH-26.4" "Correct entity, wrong SNOMED ID","(5962, 5965)","(5962, 5965)",RBC,RBC,14089001,258759006,15853461-DS-4,"RGE LABS ============== ___ 06:10AM BLOOD WBC-8.1 RBC-2.96* Hgb-7.8* Hct-24.2* MCV-82 MCH-26.4 MCHC-32" "Correct entity, wrong SNOMED ID","(5972, 5975)","(5972, 5975)",Hgb,Hgb,441689006,104142005,15853461-DS-4,"============= ___ 06:10AM BLOOD WBC-8.1 RBC-2.96* Hgb-7.8* Hct-24.2* MCV-82 MCH-26.4 MCHC-32.2 RDW-15." "Correct entity, wrong SNOMED ID","(5981, 5984)","(5981, 5984)",Hct,Hct,28317006,282660005,15853461-DS-4,"==== ___ 06:10AM BLOOD WBC-8.1 RBC-2.96* Hgb-7.8* Hct-24.2* MCV-82 MCH-26.4 MCHC-32.2 RDW-15.5 RDWSD-4" "Correct entity, wrong SNOMED ID","(6008, 6012)","(6008, 6012)",MCHC,MCHC,37254006,735147002,15853461-DS-4,"8.1 RBC-2.96* Hgb-7.8* Hct-24.2* MCV-82 MCH-26.4 MCHC-32.2 RDW-15.5 RDWSD-46.3 Plt ___ ___ 06:10AM BLOO" "Correct entity, wrong SNOMED ID","(6027, 6032)","(6027, 6032)",RDWSD,RDWSD,66842004,80328002,15853461-DS-4,".8* Hct-24.2* MCV-82 MCH-26.4 MCHC-32.2 RDW-15.5 RDWSD-46.3 Plt ___ ___ 06:10AM BLOOD Glucose-141* UreaN" "Correct entity, wrong SNOMED ID","(6064, 6071)","(6064, 6071)",Glucose,Glucose,33747003,72191006,15853461-DS-4,"2.2 RDW-15.5 RDWSD-46.3 Plt ___ ___ 06:10AM BLOOD Glucose-141* UreaN-7 Creat-0.7 Na-141 K-4.1 Cl-101 HCO3-" "Correct entity, wrong SNOMED ID","(6077, 6082)","(6077, 6082)",UreaN,UreaN,105011006,111108008,15853461-DS-4,"RDWSD-46.3 Plt ___ ___ 06:10AM BLOOD Glucose-141* UreaN-7 Creat-0.7 Na-141 K-4.1 Cl-101 HCO3-27 AnGap-17" "Correct entity, wrong SNOMED ID","(6085, 6090)","(6085, 6090)",Creat,Creat,70901006,413856009,15853461-DS-4,".3 Plt ___ ___ 06:10AM BLOOD Glucose-141* UreaN-7 Creat-0.7 Na-141 K-4.1 Cl-101 HCO3-27 AnGap-17 ___ 06:" "Correct entity, wrong SNOMED ID","(6095, 6097)","(6095, 6097)",Na,Na,312469006,257992007,15853461-DS-4," ___ 06:10AM BLOOD Glucose-141* UreaN-7 Creat-0.7 Na-141 K-4.1 Cl-101 HCO3-27 AnGap-17 ___ 06:10AM BL" "Correct entity, wrong SNOMED ID","(6109, 6111)","(6109, 6111)",Cl,Cl,104589004,311741002,15853461-DS-4,"LOOD Glucose-141* UreaN-7 Creat-0.7 Na-141 K-4.1 Cl-101 HCO3-27 AnGap-17 ___ 06:10AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(6116, 6120)","(6116, 6120)",HCO3,HCO3,312471006,88645003,15853461-DS-4,"ucose-141* UreaN-7 Creat-0.7 Na-141 K-4.1 Cl-101 HCO3-27 AnGap-17 ___ 06:10AM BLOOD Calcium-8.7 Phos-3." "Correct entity, wrong SNOMED ID","(6124, 6129)","(6124, 6129)",AnGap,AnGap,25469001,124504004,15853461-DS-4,"1* UreaN-7 Creat-0.7 Na-141 K-4.1 Cl-101 HCO3-27 AnGap-17 ___ 06:10AM BLOOD Calcium-8.7 Phos-3.6 Mg-2.2 " "Correct entity, wrong SNOMED ID","(6151, 6158)","(6151, 6158)",Calcium,Calcium,312472004,108601004,15853461-DS-4," K-4.1 Cl-101 HCO3-27 AnGap-17 ___ 06:10AM BLOOD Calcium-8.7 Phos-3.6 Mg-2.2 CARDIOLOGY LABS ============" "Correct entity, wrong SNOMED ID","(6163, 6167)","(6163, 6167)",Phos,Phos,104868000,168075002,15853461-DS-4,"01 HCO3-27 AnGap-17 ___ 06:10AM BLOOD Calcium-8.7 Phos-3.6 Mg-2.2 CARDIOLOGY LABS =============== ___ 0" "Correct entity, wrong SNOMED ID","(6172, 6174)","(6172, 6174)",Mg,Mg,271285000,258684004,15853461-DS-4,"7 AnGap-17 ___ 06:10AM BLOOD Calcium-8.7 Phos-3.6 Mg-2.2 CARDIOLOGY LABS =============== ___ 04:44PM " "Correct entity, wrong SNOMED ID","(6230, 6237)","(6230, 6237)",cTropnT,cTropnT,105001004,442255004,15853461-DS-4,"CARDIOLOGY LABS =============== ___ 04:44PM BLOOD cTropnT-<0.01 ___ 04:44AM BLOOD CK-MB-2 cTropnT-<0.01 UR" "Correct entity, wrong SNOMED ID","(6270, 6277)","(6270, 6277)",cTropnT,cTropnT,105001004,442255004,15853461-DS-4,"4PM BLOOD cTropnT-<0.01 ___ 04:44AM BLOOD CK-MB-2 cTropnT-<0.01 URINE STUDIES ============= ___ 03:30PM UR" "Correct entity, wrong SNOMED ID","(6285, 6290)","(6285, 6290)",URINE,URINE,117010004,78888000,15853461-DS-4,"nT-<0.01 ___ 04:44AM BLOOD CK-MB-2 cTropnT-<0.01 URINE STUDIES ============= ___ 03:30PM URINE Color-Str" Missed entity,"(6343, 6355)",,Appear-Clear,,167236000,,15853461-DS-4,"UDIES ============= ___ 03:30PM URINE Color-Straw Appear-Clear Sp ___ ___ 03:30PM URINE Blood-NEG Nitrite-NEG Pr" Wrong span,"(6375, 6386)","(6375, 6380)",URINE Blood,URINE,34436003,78888000,15853461-DS-4,"URINE Color-Straw Appear-Clear Sp ___ ___ 03:30PM URINE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NE" "Correct entity, wrong SNOMED ID","(6427, 6433)","(6427, 6433)",Ketone,Ketone,47615003,256048004,15853461-DS-4,"INE Blood-NEG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-TR ___ 0" "Correct entity, wrong SNOMED ID","(6462, 6464)","(6462, 6464)",pH,pH,81065003,264912003,15853461-DS-4,"R Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-TR ___ 03:30PM URINE RBC-1 WBC-2 Bacter" "Correct entity, wrong SNOMED ID","(6490, 6495)","(6490, 6495)",URINE,URINE,442564008,78888000,15853461-DS-4,"lirub-NEG Urobiln-NEG pH-6.0 Leuks-TR ___ 03:30PM URINE RBC-1 WBC-2 Bacteri-NONE Yeast-NONE Epi-<1 Trans" "Correct entity, wrong SNOMED ID","(6496, 6499)","(6496, 6499)",RBC,RBC,14089001,258759006,15853461-DS-4,"NEG Urobiln-NEG pH-6.0 Leuks-TR ___ 03:30PM URINE RBC-1 WBC-2 Bacteri-NONE Yeast-NONE Epi-<1 TransE-<1" "Correct entity, wrong SNOMED ID","(6502, 6505)","(6502, 6505)",WBC,WBC,767002,391558003,15853461-DS-4,"obiln-NEG pH-6.0 Leuks-TR ___ 03:30PM URINE RBC-1 WBC-2 Bacteri-NONE Yeast-NONE Epi-<1 TransE-<1 ___ 0" "Correct entity, wrong SNOMED ID","(6562, 6567)","(6562, 6567)",URINE,URINE,442564008,78888000,15853461-DS-4,"eri-NONE Yeast-NONE Epi-<1 TransE-<1 ___ 03:30PM URINE CastHy-14* MICROBIOLOGY ============ ___ 3:30 pm" "Correct entity, wrong SNOMED ID","(6580, 6592)","(6580, 6592)",MICROBIOLOGY,MICROBIOLOGY,269934003,394820005,15853461-DS-4,"E Epi-<1 TransE-<1 ___ 03:30PM URINE CastHy-14* MICROBIOLOGY ============ ___ 3:30 pm URINE " "Correct entity, wrong SNOMED ID","(6618, 6623)","(6618, 6623)",URINE,URINE,117010004,78888000,15853461-DS-4,"CastHy-14* MICROBIOLOGY ============ ___ 3:30 pm URINE **FINAL REPORT ___ UR" "Correct entity, wrong SNOMED ID","(6719, 6726)","(6719, 6726)",IMAGING,IMAGING,363679005,408574004,15853461-DS-4,"_ URINE CULTURE (Final ___: < 10,000 CFU/mL. IMAGING ======= ___: CHEST X-RAY (PA AND LATERAL) IMPRESS" Missed entity,"(6753, 6755)",,PA,,486261000119109,,15853461-DS-4,"0,000 CFU/mL. IMAGING ======= ___: CHEST X-RAY (PA AND LATERAL) IMPRESSION: Moderate cardiomegaly un" Missed entity,"(6760, 6767)",,LATERAL,,113094008,,15853461-DS-4,"FU/mL. IMAGING ======= ___: CHEST X-RAY (PA AND LATERAL) IMPRESSION: Moderate cardiomegaly unchanged from" "Correct entity, wrong SNOMED ID","(6790, 6802)","(6790, 6802)",cardiomegaly,cardiomegaly,8186001,275516004,15853461-DS-4,"CHEST X-RAY (PA AND LATERAL) IMPRESSION: Moderate cardiomegaly unchanged from ___. No focal airspace opacity. " "Correct entity, wrong SNOMED ID","(6843, 6850)","(6843, 6850)",opacity,opacity,128305008,193570009,15853461-DS-4,"diomegaly unchanged from ___. No focal airspace opacity. ___: CT ___ WITHOUT CONTRAST IMPRESSION: 1. Mi" Wrong span,"(6908, 6927)","(6919, 6927)","displaced, fracture",fracture,123735002,307186006,15853461-DS-4," CT ___ WITHOUT CONTRAST IMPRESSION: 1. Minimally displaced, fracture of the anterior two columns of the T7 vertebral" Wrong span,"(6960, 6982)","(6964, 6966)","the T7 vertebral body",T7,16126006,1157148000,15853461-DS-4,"splaced, fracture of the anterior two columns of the T7 vertebral body without evidence of spinal canal narrowing. No " Wrong span,"(7003, 7025)","(7003, 7015)",spinal canal narrowing,spinal canal,41341006,11537001,15853461-DS-4,"ns of the T7 vertebral body without evidence of spinal canal narrowing. No additional thoracic fracture identified. 2" "Correct entity, wrong SNOMED ID","(7044, 7061)","(7044, 7061)",thoracic fracture,thoracic fracture,125607007,207938004,15853461-DS-4,"dence of spinal canal narrowing. No additional thoracic fracture identified. 2. DISH throughout the thoracic ___. " Missed entity,"(7077, 7081)",,DISH,,31487001,,15853461-DS-4," No additional thoracic fracture identified. 2. DISH throughout the thoracic ___. 3. Probable scarrin" "Correct entity, wrong SNOMED ID","(7124, 7132)","(7124, 7132)",scarring,scarring,48677004,301005000,15853461-DS-4,"2. DISH throughout the thoracic ___. 3. Probable scarring at the left lung apex and several calcified gran" "Correct entity, wrong SNOMED ID","(7140, 7154)","(7140, 7154)",left lung apex,left lung apex,14559000,184508008,15853461-DS-4,"ut the thoracic ___. 3. Probable scarring at the left lung apex and several calcified granulomas. 1 nodule in pa" Wrong span,"(7167, 7188)","(7167, 7176)","calcified granulomas",calcified,48391002,249174002,15853461-DS-4,"obable scarring at the left lung apex and several calcified granulomas. 1 nodule in particular measuring 5 mm is not ca" "Correct entity, wrong SNOMED ID","(7192, 7198)","(7192, 7198)",nodule,nodule,786838002,246120007,15853461-DS-4,"ft lung apex and several calcified granulomas. 1 nodule in particular measuring 5 mm is not calcified. " "Correct entity, wrong SNOMED ID","(7236, 7245)","(7236, 7245)",calcified,calcified,18115005,249174002,15853461-DS-4,"as. 1 nodule in particular measuring 5 mm is not calcified. RECOMMENDATION(S): Correlation with prior c" "Correct entity, wrong SNOMED ID","(7294, 7307)","(7294, 7307)",chest imaging,chest imaging,413815006,432399008,15853461-DS-4,"d. RECOMMENDATION(S): Correlation with prior chest imaging to document stability of the left apical changes" Wrong span,"(7338, 7349)","(7338, 7342)",left apical,left,14559000,264745005,15853461-DS-4,"prior chest imaging to document stability of the left apical changes and nodules suggested. If not available," "Correct entity, wrong SNOMED ID","(7362, 7369)","(7362, 7369)",nodules,nodules,786838002,21444008,15853461-DS-4,"document stability of the left apical changes and nodules suggested. If not available, followup is suggest" Missed entity,"(7400, 7408)",,followup,,363679005,,15853461-DS-4,"changes and nodules suggested. If not available, followup is suggested and can be performed in 6 months. " "Correct entity, wrong SNOMED ID","(7506, 7514)","(7506, 7514)",fracture,fracture,72704001,307186006,15853461-DS-4," ___: CT ___ WITHOUT CONTRAST IMPRESSION: 1. No fracture or traumatic malalignment. 2. Right-sided thyroi" Wrong span,"(7518, 7527)","(7518, 7540)",traumatic,traumatic malalignment,417746004,277371003,15853461-DS-4,"_ WITHOUT CONTRAST IMPRESSION: 1. No fracture or traumatic malalignment. 2. Right-sided thyroid nodule meas" Wrong span,"(7528, 7540)","(7518, 7540)",malalignment,traumatic malalignment,399898009,277371003,15853461-DS-4,"CONTRAST IMPRESSION: 1. No fracture or traumatic malalignment. 2. Right-sided thyroid nodule measuring up to 2" "Correct entity, wrong SNOMED ID","(7546, 7557)","(7546, 7557)",Right-sided,Right-sided,29565003,448602005,15853461-DS-4,"N: 1. No fracture or traumatic malalignment. 2. Right-sided thyroid nodule measuring up to 2.5 cm. RECOMM" "Correct entity, wrong SNOMED ID","(7558, 7572)","(7558, 7572)",thyroid nodule,thyroid nodule,237495005,73869005,15853461-DS-4,"acture or traumatic malalignment. 2. Right-sided thyroid nodule measuring up to 2.5 cm. RECOMMENDATION(S): N" "Correct entity, wrong SNOMED ID","(7633, 7651)","(7633, 7651)",thyroid ultrasound,thyroid ultrasound,241455000,385443001,15853461-DS-4,"up to 2.5 cm. RECOMMENDATION(S): Nonemergent thyroid ultrasound is recommended for thyroid nodule evaluation. " "Correct entity, wrong SNOMED ID","(7672, 7686)","(7672, 7686)",thyroid nodule,thyroid nodule,237495005,73869005,15853461-DS-4,"onemergent thyroid ultrasound is recommended for thyroid nodule evaluation. ___: CT HEAD WITHOUT CONTRAST IMPRE" "Correct entity, wrong SNOMED ID","(7687, 7697)","(7687, 7697)",evaluation,evaluation,386053000,39609006,15853461-DS-4,"oid ultrasound is recommended for thyroid nodule evaluation. ___: CT HEAD WITHOUT CONTRAST IMPRESSION: No a" Missed entity,"(7706, 7730)",,CT HEAD WITHOUT CONTRAST,,383371000119108,,15853461-DS-4,"recommended for thyroid nodule evaluation. ___: CT HEAD WITHOUT CONTRAST IMPRESSION: No acute intracranial abnormality. " "Correct entity, wrong SNOMED ID","(7752, 7764)","(7752, 7764)",intracranial,intracranial,128319008,731998000,15853461-DS-4,"__: CT HEAD WITHOUT CONTRAST IMPRESSION: No acute intracranial abnormality. ___: CT ___ WITHOUT CONTRAST IMPRE" "Correct entity, wrong SNOMED ID","(7765, 7776)","(7765, 7776)",abnormality,abnormality,281900007,22325002,15853461-DS-4,"ITHOUT CONTRAST IMPRESSION: No acute intracranial abnormality. ___: CT ___ WITHOUT CONTRAST IMPRESSION: No lu" Wrong span,"(7824, 7843)","(7824, 7830)",lumbar ___ fracture,lumbar,125608002,1017208001,15853461-DS-4,"ty. ___: CT ___ WITHOUT CONTRAST IMPRESSION: No lumbar ___ fracture or malalignment. ___: MR THORACIC ___ WITHOUT C" "Correct entity, wrong SNOMED ID","(7847, 7859)","(7847, 7859)",malalignment,malalignment,399898009,277371003,15853461-DS-4,"UT CONTRAST IMPRESSION: No lumbar ___ fracture or malalignment. ___: MR THORACIC ___ WITHOUT CONTRAST IMPRESSI" Missed entity,"(7868, 7900)",,MR THORACIC ___ WITHOUT CONTRAST,,396171000119100,,15853461-DS-4,"N: No lumbar ___ fracture or malalignment. ___: MR THORACIC ___ WITHOUT CONTRAST IMPRESSION: 1. Examination is mildly limited b" Wrong span,"(7971, 7998)","(7990, 7998)",obliquely oriented fracture,fracture,7905002,307186006,15853461-DS-4,"amination is mildly limited by motion. 2. Stable obliquely oriented fracture of the T7 vertebral body involving the anterior " Wrong span,"(8006, 8023)","(8006, 8008)",T7 vertebral body,T7,71737002,712695007,15853461-DS-4,"on. 2. Stable obliquely oriented fracture of the T7 vertebral body involving the anterior 2 columns with adjacent a" Wrong span,"(8072, 8103)","(8072, 8111)","anterior longitudinal ligament","anterior longitudinal ligament rupture",41933003,1297040002,15853461-DS-4,"y involving the anterior 2 columns with adjacent anterior longitudinal ligament rupture and mild associated prevertebral soft ti" Wrong span,"(8104, 8111)","(8072, 8111)",rupture,"anterior longitudinal ligament rupture",125671007,1297040002,15853461-DS-4,"mns with adjacent anterior longitudinal ligament rupture and mild associated prevertebral soft tissue ede" Missed entity,"(8116, 8120)",,mild,,162468002,,15853461-DS-4,"acent anterior longitudinal ligament rupture and mild associated prevertebral soft tissue edema, and w" "Correct entity, wrong SNOMED ID","(8146, 8157)","(8146, 8157)",soft tissue,soft tissue,87784001,110543005,15853461-DS-4,"igament rupture and mild associated prevertebral soft tissue edema, and with no definite extension to the pos" "Correct entity, wrong SNOMED ID","(8158, 8163)","(8158, 8163)",edema,edema,267038008,102576009,15853461-DS-4,"ure and mild associated prevertebral soft tissue edema, and with no definite extension to the posterior" "Correct entity, wrong SNOMED ID","(8238, 8246)","(8238, 8246)",epidural,epidural,54092001,277335004,15853461-DS-4,"tension to the posterior column. 3. Nonspecific epidural fat prominence at T5 through T9 levels, most pr" Wrong span,"(8247, 8250)","(8247, 8261)",fat,fat prominence,55603005,248313003,15853461-DS-4,"o the posterior column. 3. Nonspecific epidural fat prominence at T5 through T9 levels, most pronou" Missed entity,"(8265, 8267)",,T5,,56401006,,15853461-DS-4,"olumn. 3. Nonspecific epidural fat prominence at T5 through T9 levels, most pronounced posterior T7" Missed entity,"(8276, 8278)",,T9,,82687006,,15853461-DS-4,"Nonspecific epidural fat prominence at T5 through T9 levels, most pronounced posterior T7, where fat" Missed entity,"(8315, 8317)",,T7,,62487009,,15853461-DS-4,"T5 through T9 levels, most pronounced posterior T7, where fat results in at least mild vertebral ca" "Correct entity, wrong SNOMED ID","(8325, 8328)","(8325, 8328)",fat,fat,55603005,42267001,15853461-DS-4," T9 levels, most pronounced posterior T7, where fat results in at least mild vertebral canal narrowi" Wrong span,"(8355, 8380)","(8355, 8370)",vertebral canal narrowing,vertebral canal,41341006,361746009,15853461-DS-4,"posterior T7, where fat results in at least mild vertebral canal narrowing. 4. No other fracture or alignment abnormality. " "Correct entity, wrong SNOMED ID","(8395, 8403)","(8395, 8403)",fracture,fracture,72704001,307186006,15853461-DS-4,"ast mild vertebral canal narrowing. 4. No other fracture or alignment abnormality. 5. No cord signal abno" Missed entity,"(8417, 8428)",,abnormality,,281900007,,15853461-DS-4,"nal narrowing. 4. No other fracture or alignment abnormality. 5. No cord signal abnormality. 6. No definite " Wrong span,"(8437, 8441)","(8437, 8460)",cord,cord signal abnormality,2748008,70534000,15853461-DS-4,"o other fracture or alignment abnormality. 5. No cord signal abnormality. 6. No definite moderate to s" Wrong span,"(8449, 8460)","(8437, 8460)",abnormality,cord signal abnormality,281900007,70534000,15853461-DS-4,"ture or alignment abnormality. 5. No cord signal abnormality. 6. No definite moderate to severe spinal canal " Missed entity,"(8478, 8486)",,moderate,,50415004,,15853461-DS-4,". 5. No cord signal abnormality. 6. No definite moderate to severe spinal canal or neural foraminal narro" "Correct entity, wrong SNOMED ID","(8497, 8509)","(8497, 8509)",spinal canal,spinal canal,61853006,11537001,15853461-DS-4,"l abnormality. 6. No definite moderate to severe spinal canal or neural foraminal narrowing. 7. Trace bilater" Wrong span,"(8513, 8540)","(8513, 8530)","neural foraminal narrowing","neural foraminal",371000119109,371000119109,15853461-DS-4,"6. No definite moderate to severe spinal canal or neural foraminal narrowing. 7. Trace bilateral pleural effusions. ___: TR" Wrong span,"(8552, 8579)","(8552, 8561)",bilateral pleural effusions,bilateral,425802001,268228006,15853461-DS-4,"l canal or neural foraminal narrowing. 7. Trace bilateral pleural effusions. ___: TRANSTHORACIC ECHOCARDIOGRAM The left atr" Missed entity,"(8588, 8616)",,TRANSTHORACIC ECHOCARDIOGRAM,,433236007,,15853461-DS-4,"ng. 7. Trace bilateral pleural effusions. ___: TRANSTHORACIC ECHOCARDIOGRAM The left atrial volume index is normal. The estim" Wrong span,"(8621, 8632)","(8621, 8655)",left atrial,left atrial volume index is normal,82471001,414072005,15853461-DS-4,"ffusions. ___: TRANSTHORACIC ECHOCARDIOGRAM The left atrial volume index is normal. The estimated right atri" Wrong span,"(8633, 8655)","(8621, 8655)",volume index is normal,left atrial volume index is normal,373124004,414072005,15853461-DS-4,"___: TRANSTHORACIC ECHOCARDIOGRAM The left atrial volume index is normal. The estimated right atrial pressure is ___ mmHg" Wrong span,"(8671, 8684)","(8671, 8693)","right atrial","right atrial pressure",73829009,276775004,15853461-DS-4,"left atrial volume index is normal. The estimated right atrial pressure is ___ mmHg. There is mild symmetric lef" Wrong span,"(8685, 8693)","(8671, 8693)",pressure,"right atrial pressure",13543005,276775004,15853461-DS-4,"lume index is normal. The estimated right atrial pressure is ___ mmHg. There is mild symmetric left ventri" Wrong span,"(8766, 8779)","(8766, 8784)",normal cavity,normal cavity size,373124004,456261000124102,15853461-DS-4,"mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (LVEF" "Correct entity, wrong SNOMED ID","(8790, 8823)","(8790, 8823)",regional/global systolic function,regional/global systolic function,371857005,153931000119109,15853461-DS-4,"tricular hypertrophy with normal cavity size and regional/global systolic function (LVEF>55%). There is no left ventricular outflow" "Correct entity, wrong SNOMED ID","(8848, 8885)","(8848, 8885)","left ventricular outflow obstruction","left ventricular outflow obstruction",253546004,880054006,15853461-DS-4,"/global systolic function (LVEF>55%). There is no left ventricular outflow obstruction at rest or with Valsalva. Right ventricular cham" Boundary error,"(8902, 8910)","(8902, 8908)",Valsalva,Valsal,36371001,396005002,15853461-DS-4," ventricular outflow obstruction at rest or with Valsalva. Right ventricular chamber size and free wall mo" Wrong span,"(8927, 8943)","(8912, 8943)",lar chamber size,"Right ventricular chamber size",373124004,74193008,15853461-DS-4,"truction at rest or with Valsalva. Right ventricular chamber size and free wall motion are normal. The ascending a" "Correct entity, wrong SNOMED ID","(8953, 8975)","(8953, 8975)",wall motion are normal,wall motion are normal,373122000,414072005,15853461-DS-4,"alsalva. Right ventricular chamber size and free wall motion are normal. The ascending aorta is mildly dilated. The aort" Wrong span,"(8982, 9015)","(8982, 8997)",ascending aorta is mildly dilated,ascending aorta,253645007,181299009,15853461-DS-4,"hamber size and free wall motion are normal. The ascending aorta is mildly dilated. The aortic valve leaflets (3) are mildly thicke" "Correct entity, wrong SNOMED ID","(9021, 9042)","(9021, 9042)",aortic valve leaflets,aortic valve leaflets,6530003,232899001,15853461-DS-4,"rmal. The ascending aorta is mildly dilated. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is " "Correct entity, wrong SNOMED ID","(9052, 9068)","(9052, 9068)",mildly thickened,mildly thickened,89977008,309085000,15853461-DS-4,"ildly dilated. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. No aortic re" "Correct entity, wrong SNOMED ID","(9073, 9088)","(9073, 9088)",aortic stenosis,aortic stenosis,60573004,233863001,15853461-DS-4,"rtic valve leaflets (3) are mildly thickened but aortic stenosis is not present. No aortic regurgitation is seen." "Correct entity, wrong SNOMED ID","(9109, 9129)","(9109, 9129)",aortic regurgitation,aortic regurgitation,60234000,61612001,15853461-DS-4,"thickened but aortic stenosis is not present. No aortic regurgitation is seen. The mitral valve appears structurally n" Wrong span,"(9143, 9184)","(9143, 9163)","mitral valve appears structurally normal",mitral valve appears,301103009,430616003,15853461-DS-4,"ot present. No aortic regurgitation is seen. The mitral valve appears structurally normal with trivial mitral regurgitation. The tricuspid" "Correct entity, wrong SNOMED ID","(9190, 9218)","(9190, 9218)",trivial mitral regurgitation,trivial mitral regurgitation,838451005,233861004,15853461-DS-4,"he mitral valve appears structurally normal with trivial mitral regurgitation. The tricuspid valve leaflets are mildly thicken" "Correct entity, wrong SNOMED ID","(9225, 9270)","(9225, 9270)",tricuspid valve leaflets are mildly thickened,tricuspid valve leaflets are mildly thickened,446633003,261090009,15853461-DS-4,"ly normal with trivial mitral regurgitation. The tricuspid valve leaflets are mildly thickened. Moderate [2+] tricuspid regurgitation is seen. " Missed entity,"(9272, 9280)",,Moderate,,50415004,,15853461-DS-4,"e tricuspid valve leaflets are mildly thickened. Moderate [2+] tricuspid regurgitation is seen. There is m" Missed entity,"(9287, 9310)",,tricuspid regurgitation,,111287006,,15853461-DS-4,"lve leaflets are mildly thickened. Moderate [2+] tricuspid regurgitation is seen. There is moderate pulmonary artery syst" "Correct entity, wrong SNOMED ID","(9338, 9377)","(9338, 9377)","pulmonary artery systolic hypertension","pulmonary artery systolic hypertension",11399002,840306007,15853461-DS-4,"ricuspid regurgitation is seen. There is moderate pulmonary artery systolic hypertension. There is no pericardial effusion. IMPRESSION: " "Correct entity, wrong SNOMED ID","(9391, 9411)","(9391, 9411)",pericardial effusion,pericardial effusion,373945007,1230405007,15853461-DS-4,"monary artery systolic hypertension. There is no pericardial effusion. IMPRESSION: No structural cardiac cause of syn" "Correct entity, wrong SNOMED ID","(9441, 9448)","(9441, 9448)",cardiac,cardiac,80891009,71892000,15853461-DS-4,"pericardial effusion. IMPRESSION: No structural cardiac cause of syncope seen. Symmetric LVH with normal" "Correct entity, wrong SNOMED ID","(9458, 9465)","(9458, 9465)",syncope,syncope,271594007,427461000,15853461-DS-4,"ion. IMPRESSION: No structural cardiac cause of syncope seen. Symmetric LVH with normal global and regio" "Correct entity, wrong SNOMED ID","(9483, 9486)","(9483, 9486)",LVH,LVH,55827005,1217058003,15853461-DS-4,"uctural cardiac cause of syncope seen. Symmetric LVH with normal global and regional biventricular sy" Wrong span,"(9519, 9532)","(9510, 9551)",biventricular,"regional biventricular systolic function",21814001,941791000124108,15853461-DS-4,"n. Symmetric LVH with normal global and regional biventricular systolic function. Moderate functional tricuspid" Missed entity,"(9562, 9596)",,functional tricuspid regurgitation,,233865008,,15853461-DS-4,"gional biventricular systolic function. Moderate functional tricuspid regurgitation. Moderate pulmonary hypertension. Brief Hospi" Missed entity,"(9599, 9630)",,Moderate pulmonary hypertension,,840307003,,15853461-DS-4,"on. Moderate functional tricuspid regurgitation. Moderate pulmonary hypertension. Brief Hospital Course: ___ yo F with history " "Correct entity, wrong SNOMED ID","(9683, 9704)","(9683, 9704)",chronic diastolic CHF,chronic diastolic CHF,446221000,443344007,15853461-DS-4," Brief Hospital Course: ___ yo F with history of chronic diastolic CHF, T2DM, pulm hypertension who presents s/p fall a" Wrong span,"(9712, 9716)","(9712, 9730)",pulm,"pulm hypertension",268925001,840307003,15853461-DS-4,"yo F with history of chronic diastolic CHF, T2DM, pulm hypertension who presents s/p fall and found to " Wrong span,"(9718, 9730)","(9712, 9730)",hypertension,"pulm hypertension",38341003,840307003,15853461-DS-4,"ith history of chronic diastolic CHF, T2DM, pulm hypertension who presents s/p fall and found to have oblique " "Correct entity, wrong SNOMED ID","(9748, 9752)","(9748, 9752)",fall,fall,161898004,298344006,15853461-DS-4,"ic CHF, T2DM, pulm hypertension who presents s/p fall and found to have oblique fracture through the T" "Correct entity, wrong SNOMED ID","(9771, 9788)","(9771, 9788)","oblique fracture","oblique fracture",7905002,14797003,15853461-DS-4,"ertension who presents s/p fall and found to have oblique fracture through the T7 vertebral body. Investigations/I" Wrong span,"(9801, 9818)","(9801, 9803)",T7 vertebral body,T7,71737002,1157148000,15853461-DS-4,"l and found to have oblique fracture through the T7 vertebral body. Investigations/Interventions: # Oblique T7 fra" Missed entity,"(9854, 9861)",,Oblique,,7905002,,15853461-DS-4,"vertebral body. Investigations/Interventions: # Oblique T7 fracture: s/p fall, with ligamentous instabili" "Correct entity, wrong SNOMED ID","(9862, 9873)","(9862, 9873)",T7 fracture,T7 fracture,721421002,1371087007,15853461-DS-4,"l body. Investigations/Interventions: # Oblique T7 fracture: s/p fall, with ligamentous instability (MRI on " "Correct entity, wrong SNOMED ID","(9879, 9883)","(9879, 9883)",fall,fall,161898004,298344006,15853461-DS-4,"gations/Interventions: # Oblique T7 fracture: s/p fall, with ligamentous instability (MRI on ___ showed" "Correct entity, wrong SNOMED ID","(9916, 9919)","(9916, 9919)",MRI,MRI,241601008,1144760005,15853461-DS-4,"racture: s/p fall, with ligamentous instability (MRI on ___ showed anterior longitudinal ligament rupt" Wrong span,"(9934, 9964)","(9934, 9972)",anterior longitudinal ligament,anterior longitudinal ligament rupture,41933003,209559008,15853461-DS-4," with ligamentous instability (MRI on ___ showed anterior longitudinal ligament rupture with mild associated prevertebral soft t" Wrong span,"(9965, 9972)","(9934, 9972)",rupture,anterior longitudinal ligament rupture,125671007,209559008,15853461-DS-4,"(MRI on ___ showed anterior longitudinal ligament rupture with mild associated prevertebral soft tissue ed" Missed entity,"(9979, 9983)",,mild,,162468002,,15853461-DS-4,"owed anterior longitudinal ligament rupture with mild associated prevertebral soft tissue edema). Patie" Wrong span,"(10008, 10019)","(10008, 10025)",soft tissue,soft tissue edema,87784001,5008001,15853461-DS-4,"gament rupture with mild associated prevertebral soft tissue edema). Patient went to OR ___ for the following" Wrong span,"(10020, 10025)","(10008, 10025)",edema,soft tissue edema,267038008,5008001,15853461-DS-4,"re with mild associated prevertebral soft tissue edema). Patient went to OR ___ for the following inter" Wrong span,"(10088, 10153)","(10088, 10109)","Posterior arthrodesis T5 through T7. 2. Posterior instrumentation",Posterior arthrodesis,447900003,90417000,15853461-DS-4,"nt to OR ___ for the following interventions: 1. Posterior arthrodesis T5 through T7. 2. Posterior instrumentation T5 through T7. 3. Open treatment, posterior fract" Missed entity,"(10154, 10156)",,T5,,56401006,,15853461-DS-4,"desis T5 through T7. 2. Posterior instrumentation T5 through T7. 3. Open treatment, posterior fracture" Missed entity,"(10165, 10167)",,T7,,62487009,,15853461-DS-4,"rough T7. 2. Posterior instrumentation T5 through T7. 3. Open treatment, posterior fracture, T8. 4. Op" Wrong span,"(10188, 10197)","(10188, 10206)",posterior,posterior fracture,304036007,208324004,15853461-DS-4,"instrumentation T5 through T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, posterior fractu" Wrong span,"(10198, 10206)","(10188, 10206)",fracture,posterior fracture,72704001,208324004,15853461-DS-4,"ation T5 through T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, posterior fracture, T7. 5" Missed entity,"(10208, 10210)",,T8,,11068009,,15853461-DS-4,"hrough T7. 3. Open treatment, posterior fracture, T8. 4. Open treatment, posterior fracture, T7. 5. Au" Wrong span,"(10231, 10240)","(10231, 10249)",posterior,posterior fracture,304036007,208324004,15853461-DS-4,"tment, posterior fracture, T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incision. 6. All" Wrong span,"(10241, 10249)","(10231, 10249)",fracture,posterior fracture,72704001,208324004,15853461-DS-4,"terior fracture, T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incision. 6. Allograft, m" Missed entity,"(10251, 10253)",,T7,,62487009,,15853461-DS-4,"cture, T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incision. 6. Allograft, morse" "Correct entity, wrong SNOMED ID","(10258, 10267)","(10258, 10267)",Autograft,Autograft,116371009,1290295003,15853461-DS-4,"T8. 4. Open treatment, posterior fracture, T7. 5. Autograft, same incision. 6. Allograft, morselized. 7. Lami" "Correct entity, wrong SNOMED ID","(10274, 10282)","(10274, 10282)",incision,incision,609343002,119684006,15853461-DS-4,"tment, posterior fracture, T7. 5. Autograft, same incision. 6. Allograft, morselized. 7. Laminectomy T6-T7, " Wrong span,"(10287, 10296)","(10287, 10290)",Allograft,All,116372002,1336035003,15853461-DS-4,"ior fracture, T7. 5. Autograft, same incision. 6. Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. Post-o" Missed entity,"(10325, 10327)",,T6,,45296009,,15853461-DS-4,"ncision. 6. Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. Post-operatively, pain was controlled" Missed entity,"(10328, 10330)",,T7,,62487009,,15853461-DS-4,"sion. 6. Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. Post-operatively, pain was controlled wi" Missed entity,"(10332, 10334)",,T7,,62487009,,15853461-DS-4,". 6. Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. Post-operatively, pain was controlled with o" Missed entity,"(10335, 10337)",,T8,,11068009,,15853461-DS-4,". Allograft, morselized. 7. Laminectomy T6-T7, T7-T8. Post-operatively, pain was controlled with oxyc" "Correct entity, wrong SNOMED ID","(10340, 10356)","(10340, 10356)",Post-operatively,Post-operatively,19585003,1373687003,15853461-DS-4,"ograft, morselized. 7. Laminectomy T6-T7, T7-T8. Post-operatively, pain was controlled with oxycodone 7.5 mg PO Q4" Wrong span,"(10358, 10377)","(10358, 10366)",pain was controlled,pain was,225782006,279114001,15853461-DS-4,". 7. Laminectomy T6-T7, T7-T8. Post-operatively, pain was controlled with oxycodone 7.5 mg PO Q4H:PRN and she worked " "Correct entity, wrong SNOMED ID","(10488, 10500)","(10488, 10500)",spinal drain,spinal drain,171753003,14019005,15853461-DS-4,"o recommended discharge to rehab. She also had a spinal drain that drained less than 40 cc and was removed on " "Correct entity, wrong SNOMED ID","(10539, 10546)","(10539, 10546)",removed,removed,241031001,246162000,15853461-DS-4,"pinal drain that drained less than 40 cc and was removed on ___. The provided TLSO brace is required when " Wrong span,"(10568, 10578)","(10573, 10578)",TLSO brace,brace,424794007,228599009,15853461-DS-4," than 40 cc and was removed on ___. The provided TLSO brace is required when seated, standing, or ambulating" Missed entity,"(10597, 10603)",,seated,,33586001,,15853461-DS-4,"on ___. The provided TLSO brace is required when seated, standing, or ambulating. She will have follow-up" "Correct entity, wrong SNOMED ID","(10605, 10613)","(10605, 10613)",standing,standing,10904000,249902000,15853461-DS-4,"The provided TLSO brace is required when seated, standing, or ambulating. She will have follow-up with Ort" "Correct entity, wrong SNOMED ID","(10618, 10628)","(10618, 10628)",ambulating,ambulating,160680006,722370002,15853461-DS-4,"TLSO brace is required when seated, standing, or ambulating. She will have follow-up with Ortho ___ within t" Missed entity,"(10801, 10809)",,dressing,,3895009,,15853461-DS-4,"es removed. She should be continued with Mepilex dressing which should stay on (can shower with it) until " Missed entity,"(10836, 10842)",,shower,,284792004,,15853461-DS-4,"d with Mepilex dressing which should stay on (can shower with it) until follow up appointment. # Fall" "Correct entity, wrong SNOMED ID","(10888, 10892)","(10888, 10892)",Fall,Fall,161898004,298344006,15853461-DS-4,"ower with it) until follow up appointment. # Fall: most likely vasovagal given symptoms started rig" "Correct entity, wrong SNOMED ID","(10906, 10915)","(10906, 10915)",vasovagal,vasovagal,398665005,234164004,15853461-DS-4,"il follow up appointment. # Fall: most likely vasovagal given symptoms started right after urination. E" "Correct entity, wrong SNOMED ID","(10952, 10961)","(10952, 10961)",urination,urination,252041008,75088002,15853461-DS-4,"ely vasovagal given symptoms started right after urination. EKG, tele, troponin unremarkable. She did have" "Correct entity, wrong SNOMED ID","(10964, 10967)","(10964, 10967)",EKG,EKG,29303009,75444003,15853461-DS-4,"l given symptoms started right after urination. EKG, tele, troponin unremarkable. She did have a mu" "Correct entity, wrong SNOMED ID","(10969, 10973)","(10969, 10973)",tele,tele,422952004,129013008,15853461-DS-4,"en symptoms started right after urination. EKG, tele, troponin unremarkable. She did have a murmur o" "Correct entity, wrong SNOMED ID","(10975, 10983)","(10975, 10983)",troponin,troponin,105000003,102684000,15853461-DS-4,"ptoms started right after urination. EKG, tele, troponin unremarkable. She did have a murmur on exam wit" "Correct entity, wrong SNOMED ID","(10984, 10996)","(10984, 10996)",unremarkable,unremarkable,281900007,167703002,15853461-DS-4,"rted right after urination. EKG, tele, troponin unremarkable. She did have a murmur on exam without previous" "Correct entity, wrong SNOMED ID","(11015, 11021)","(11015, 11021)",murmur,murmur,414786004,373112006,15853461-DS-4,"KG, tele, troponin unremarkable. She did have a murmur on exam without previous documentation on OMR. An" "Correct entity, wrong SNOMED ID","(11025, 11029)","(11025, 11029)",exam,exam,5880005,105477005,15853461-DS-4,"troponin unremarkable. She did have a murmur on exam without previous documentation on OMR. An echo w" "Correct entity, wrong SNOMED ID","(11114, 11117)","(11114, 11117)",TTE,TTE,433236007,186378005,15853461-DS-4,"OMR. An echo was obtained on ___. Results of the TTE showed ""no structural cardiac cause of syncope. " "Correct entity, wrong SNOMED ID","(11141, 11148)","(11141, 11148)",cardiac,cardiac,80891009,71892000,15853461-DS-4,"on ___. Results of the TTE showed ""no structural cardiac cause of syncope. There was symmetric LVH with n" "Correct entity, wrong SNOMED ID","(11158, 11165)","(11158, 11165)",syncope,syncope,271594007,427461000,15853461-DS-4,"f the TTE showed ""no structural cardiac cause of syncope. There was symmetric LVH with normal global and " Wrong span,"(11187, 11190)","(11177, 11190)",LVH,symmetric LVH,55827005,360473004,15853461-DS-4,"ral cardiac cause of syncope. There was symmetric LVH with normal global and regional biventricular sy" Wrong span,"(11197, 11255)","(11197, 11214)",normal global and regional biventricular systolic function,normal global and,371857005,301198009,15853461-DS-4,"c cause of syncope. There was symmetric LVH with normal global and regional biventricular systolic function. Moderate tricuspid regurgitation. Moderate pulm" Missed entity,"(11258, 11290)",,Moderate tricuspid regurgitation,,838455001,,15853461-DS-4,"al and regional biventricular systolic function. Moderate tricuspid regurgitation. Moderate pulmonary hypertension."" # Chronic D" Wrong span,"(11292, 11324)","(11292, 11296)","Moderate pulmonary hypertension",Mode,840307003,399264008,15853461-DS-4,"olic function. Moderate tricuspid regurgitation. Moderate pulmonary hypertension."" # Chronic Diastolic CHF: Was not volume overl" "Correct entity, wrong SNOMED ID","(11331, 11352)","(11331, 11352)",Chronic Diastolic CHF,Chronic Diastolic CHF,446221000,443344007,15853461-DS-4,"rgitation. Moderate pulmonary hypertension."" # Chronic Diastolic CHF: Was not volume overloaded throughout hospitaliz" Wrong span,"(11362, 11368)","(11362, 11379)",volume,volume overloaded,91744000,457651000124103,15853461-DS-4,"hypertension."" # Chronic Diastolic CHF: Was not volume overloaded throughout hospitalization. Her torse" "Correct entity, wrong SNOMED ID","(11543, 11550)","(11543, 11550)",weights,weights,107647005,43664005,15853461-DS-4,"mide. She should be followed at rehab with daily weights and I/O with uptitration of torsemide as needed." Missed entity,"(11564, 11575)",,uptitration,,763779006,,15853461-DS-4,"ollowed at rehab with daily weights and I/O with uptitration of torsemide as needed. # Type II DM: held met" "Correct entity, wrong SNOMED ID","(11605, 11615)","(11605, 11615)",Type II DM,Type II DM,44054006,237604008,15853461-DS-4,"I/O with uptitration of torsemide as needed. # Type II DM: held metformin while inpatient and started on H" Missed entity,"(11672, 11685)",,sliding scale,,225301004,,15853461-DS-4,"metformin while inpatient and started on Humalog sliding scale. She was re-started on metformin at the time of " "Correct entity, wrong SNOMED ID","(11750, 11756)","(11750, 11756)",Asthma,Asthma,195967001,281239006,15853461-DS-4,"arted on metformin at the time of discharge. # Asthma: continued on albuterol inhaler, fluticasone-salm" "Correct entity, wrong SNOMED ID","(11890, 11902)","(11890, 11902)",Hypertension,Hypertension,38341003,70995007,15853461-DS-4,"nate 1 spray BID, cetirizine 10 mg PO daily. # Hypertension: Continued on amlodipine 10 mg PO daily. Continu" "Correct entity, wrong SNOMED ID","(11996, 12010)","(11996, 12010)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,15853461-DS-4,"ontinued metoprolol succinate 200 mg PO daily. # Hyperlipidemia: Continued on atorvastatin 40 mg PO QPM. # Demen" "Correct entity, wrong SNOMED ID","(12105, 12117)","(12105, 12117)",Fibromyalgia,Fibromyalgia,203082005,95417003,15853461-DS-4,"Dementia: continued on donepezil 10 mg PO QHS. # Fibromyalgia: continued on duloxetine 40 mg PO daily. Continu" Missed entity,"(12202, 12216)",,Rehabilitation,,52052004,,15853461-DS-4,"daily. Continued pregabalin 75 mg PO BID. # Rehabilitation: Anticipated length of rehab stay will be less t" "Correct entity, wrong SNOMED ID","(12378, 12385)","(12378, 12385)",surgery,surgery,387713003,110473004,15853461-DS-4," schedule appointment with ___ 2 weeks following surgery (please schedule for ___. Please schedule with D" Wrong span,"(12499, 12522)","(12499, 12506)",Staples will be removed,Staples,35963001,35963001,15853461-DS-4,". Please call ___ to schedule this appointment. -Staples will be removed at the follow-up appointment with ___. -Please c" Missed entity,"(12593, 12601)",,dressing,,3895009,,15853461-DS-4,"ointment with ___. -Please continue with Mepilex dressing which should stay on (can shower with it) until " Missed entity,"(12629, 12635)",,shower,,284792004,,15853461-DS-4," with Mepilex dressing which should stay on (can shower with it) until follow up appointment. -Need" Missed entity,"(12692, 12697)",,brace,,424794007,,15853461-DS-4,"t) until follow up appointment. -Needs TLSO brace required when seated, standing, or ambulating. " Missed entity,"(12712, 12718)",,seated,,33586001,,15853461-DS-4,"ppointment. -Needs TLSO brace required when seated, standing, or ambulating. -patient should have" "Correct entity, wrong SNOMED ID","(12720, 12728)","(12720, 12728)",standing,standing,10904000,249902000,15853461-DS-4,"nt. -Needs TLSO brace required when seated, standing, or ambulating. -patient should have repeat CB" "Correct entity, wrong SNOMED ID","(12733, 12743)","(12733, 12743)",ambulating,ambulating,160680006,722370002,15853461-DS-4,"eds TLSO brace required when seated, standing, or ambulating. -patient should have repeat CBC and chemistry" "Correct entity, wrong SNOMED ID","(12812, 12822)","(12812, 12822)",evaluation,evaluation,386053000,39609006,15853461-DS-4,"d have repeat CBC and chemistry panel on ___ for evaluation of creatinine and H/H given that she was re-start" "Correct entity, wrong SNOMED ID","(12826, 12836)","(12826, 12836)",creatinine,creatinine,70901006,113075003,15853461-DS-4,"CBC and chemistry panel on ___ for evaluation of creatinine and H/H given that she was re-started on torsemi" Missed entity,"(12841, 12844)",,H/H,,68994006,,15853461-DS-4,"ry panel on ___ for evaluation of creatinine and H/H given that she was re-started on torsemide at di" "Correct entity, wrong SNOMED ID","(12910, 12916)","(12910, 12916)",anemia,anemia,271737000,87522002,15853461-DS-4,"was re-started on torsemide at discharge and had anemia following the procedure. -please follow up fina" "Correct entity, wrong SNOMED ID","(12932, 12941)","(12932, 12941)",procedure,procedure,71388002,118672003,15853461-DS-4,"semide at discharge and had anemia following the procedure. -please follow up final read of ___ X-ray. -CT" "Correct entity, wrong SNOMED ID","(12980, 12985)","(12980, 12985)",X-ray,X-ray,363680008,312254007,15853461-DS-4," procedure. -please follow up final read of ___ X-ray. -CT ___ without contrast. RECOMMENDATION(S): C" "Correct entity, wrong SNOMED ID","(12989, 12991)","(12989, 12991)",CT,CT,77477000,241541005,15853461-DS-4,"re. -please follow up final read of ___ X-ray. -CT ___ without contrast. RECOMMENDATION(S): Correla" "Correct entity, wrong SNOMED ID","(13058, 13071)","(13058, 13071)",chest imaging,chest imaging,413815006,432399008,15853461-DS-4,"rast. RECOMMENDATION(S): Correlation with prior chest imaging to document stability of the left apical changes" Wrong span,"(13101, 13113)","(13101, 13105)","left apical",left,14559000,264745005,15853461-DS-4," prior chest imaging to document stability of the left apical changes and nodules suggested. If not available," "Correct entity, wrong SNOMED ID","(13126, 13133)","(13126, 13133)",nodules,nodules,786838002,21444008,15853461-DS-4,"ocument stability of the left apical changes and nodules suggested. If not available, followup is sugges" Missed entity,"(13165, 13173)",,followup,,363679005,,15853461-DS-4,"hanges and nodules suggested. If not available, followup is suggested and can be performed in 6 months. -C" "Correct entity, wrong SNOMED ID","(13222, 13224)","(13222, 13224)",CT,CT,77477000,241541005,15853461-DS-4,"p is suggested and can be performed in 6 months. -CT ___ without contrast. RECOMMENDATION(S): Nonemer" "Correct entity, wrong SNOMED ID","(13280, 13298)","(13280, 13298)",thyroid ultrasound,thyroid ultrasound,241455000,385443001,15853461-DS-4,"ithout contrast. RECOMMENDATION(S): Nonemergent thyroid ultrasound is recommended for thyroid nodule evaluation. #CO" "Correct entity, wrong SNOMED ID","(13318, 13332)","(13318, 13332)",thyroid nodule,thyroid nodule,237495005,73869005,15853461-DS-4,"onemergent thyroid ultrasound is recommended for thyroid nodule evaluation. #CODE: full, confirmed #CONTACT: da" "Correct entity, wrong SNOMED ID","(13333, 13343)","(13333, 13343)",evaluation,evaluation,386053000,39609006,15853461-DS-4,"roid ultrasound is recommended for thyroid nodule evaluation. #CODE: full, confirmed #CONTACT: daughter ___ " Missed entity,"(13435, 13445)",,Medication,,394835006,,15853461-DS-4,"ter ___ ___ ___ on Admission: The Preadmission Medication list is accurate and complete. 1. Albuterol Inhal" Missed entity,"(13518, 13521)",,sob,,267036007,,15853461-DS-4,"omplete. 1. Albuterol Inhaler ___ PUFF IH Q4H:PRN sob, wheeze 2. amLODIPine 10 mg PO DAILY 3. Atorvas" Missed entity,"(13523, 13529)",,wheeze,,56018004,,15853461-DS-4,"te. 1. Albuterol Inhaler ___ PUFF IH Q4H:PRN sob, wheeze 2. amLODIPine 10 mg PO DAILY 3. Atorvastatin 40" Missed entity,"(13674, 13679)",,NASAL,,45206002,,15853461-DS-4,"oxetine 40 mg PO DAILY 6. Fluticasone Propionate NASAL 2 SPRY NU DAILY 7. Lidocaine 5% Ointment 1 Appl " Missed entity,"(14069, 14081)",,constipation,,14760008,,15853461-DS-4," DAILY 16. Magnesium Citrate 300 mL PO DAILY:PRN constipation 17. Vitamin E 1000 UNIT PO DAILY 18. fluticason" Wrong span,"(15390, 15406)","(15390, 15397)",Oblique fracture,Oblique,7905002,7905002,15853461-DS-4,"e Diagnosis: PRIMARY DIAGNOSIS ================= -Oblique fracture of T7 -Fall SECONDARY DIAGNOSIS ================" "Correct entity, wrong SNOMED ID","(15410, 15412)","(15410, 15412)",T7,T7,62487009,1157148000,15853461-DS-4," DIAGNOSIS ================= -Oblique fracture of T7 -Fall SECONDARY DIAGNOSIS =================== -C" "Correct entity, wrong SNOMED ID","(15414, 15418)","(15414, 15418)",Fall,Fall,161898004,298344006,15853461-DS-4,"GNOSIS ================= -Oblique fracture of T7 -Fall SECONDARY DIAGNOSIS =================== -Chronic" Missed entity,"(15420, 15429)",,SECONDARY,,128462008,,15853461-DS-4," ================= -Oblique fracture of T7 -Fall SECONDARY DIAGNOSIS =================== -Chronic Diastolic " Wrong span,"(15469, 15492)","(15461, 15492)",Diastolic Heart Failure,Chronic Diastolic Heart Failure,446221000,441530006,15853461-DS-4," SECONDARY DIAGNOSIS =================== -Chronic Diastolic Heart Failure -Asthma/Allergic Rhinitis -Hypertension -Hyperlip" "Correct entity, wrong SNOMED ID","(15494, 15500)","(15494, 15500)",Asthma,Asthma,195967001,281239006,15853461-DS-4,"=============== -Chronic Diastolic Heart Failure -Asthma/Allergic Rhinitis -Hypertension -Hyperlipidemia -" "Correct entity, wrong SNOMED ID","(15501, 15518)","(15501, 15518)",Allergic Rhinitis,Allergic Rhinitis,61582004,367498001,15853461-DS-4,"======== -Chronic Diastolic Heart Failure -Asthma/Allergic Rhinitis -Hypertension -Hyperlipidemia -Dementia -Fibromya" "Correct entity, wrong SNOMED ID","(15520, 15532)","(15520, 15532)",Hypertension,Hypertension,38341003,70995007,15853461-DS-4,"iastolic Heart Failure -Asthma/Allergic Rhinitis -Hypertension -Hyperlipidemia -Dementia -Fibromyalgia -Type II " "Correct entity, wrong SNOMED ID","(15534, 15548)","(15534, 15548)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,15853461-DS-4," Failure -Asthma/Allergic Rhinitis -Hypertension -Hyperlipidemia -Dementia -Fibromyalgia -Type II DM Discharge " "Correct entity, wrong SNOMED ID","(15560, 15572)","(15560, 15572)",Fibromyalgia,Fibromyalgia,203082005,95417003,15853461-DS-4,"Rhinitis -Hypertension -Hyperlipidemia -Dementia -Fibromyalgia -Type II DM Discharge Condition: Mental Status" "Correct entity, wrong SNOMED ID","(15609, 15622)","(15609, 15622)",Mental Status,Mental Status,392257007,419284004,15853461-DS-4,"-Fibromyalgia -Type II DM Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(15644, 15666)","(15644, 15666)",Level of Consciousness,Level of Consciousness,444714004,830285008,15853461-DS-4,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(15668, 15673)","(15668, 15673)",Alert,Alert,248234008,409787004,15853461-DS-4,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - re" Wrong span,"(15691, 15706)","(15691, 15694)",Activity Status,Act,129676008,70256003,15853461-DS-4,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker " "Correct entity, wrong SNOMED ID","(15708, 15747)","(15708, 15747)",Ambulatory - requires assistance or aid,Ambulatory - requires assistance or aid,365112008,165252001,15853461-DS-4,"iousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: Ms." "Correct entity, wrong SNOMED ID","(15834, 15838)","(15834, 15838)",fall,fall,161898004,298344006,15853461-DS-4,"ructions: Ms. ___, You were hospitalized after a fall. You were admitted to the medicine service to e" "Correct entity, wrong SNOMED ID","(15909, 15913)","(15909, 15913)",fall,fall,161898004,298344006,15853461-DS-4,"to the medicine service to evaluate cause of the fall, and workup revealed that you most likely had a " Boundary error,"(15919, 15925)","(15919, 15923)",workup,work,386053000,451271000124100,15853461-DS-4,"dicine service to evaluate cause of the fall, and workup revealed that you most likely had a very common " "Correct entity, wrong SNOMED ID","(15992, 16009)","(15992, 16009)",vasovagal syncope,vasovagal syncope,398665005,234164004,15853461-DS-4,"ou most likely had a very common reaction called vasovagal syncope that can occur after using the bathroom. In the" Wrong span,"(16075, 16083)","(16075, 16080)",stand up,stand,282873007,282972001,15853461-DS-4,"after using the bathroom. In the future, please stand up slowly to avoid this happening again. Because o" "Correct entity, wrong SNOMED ID","(16139, 16143)","(16139, 16143)",fall,fall,161898004,298344006,15853461-DS-4,"y to avoid this happening again. Because of the fall you sustained a spinal injury that required surg" "Correct entity, wrong SNOMED ID","(16160, 16173)","(16160, 16173)",spinal injury,spinal injury,1156538002,34011000087104,15853461-DS-4,"ning again. Because of the fall you sustained a spinal injury that required surgery with our orthopedics team." "Correct entity, wrong SNOMED ID","(16189, 16196)","(16189, 16196)",surgery,surgery,387713003,110473004,15853461-DS-4,"fall you sustained a spinal injury that required surgery with our orthopedics team. You will follow up wi" Missed entity,"(16365, 16387)",,discharge instructions,,83362003,,15853461-DS-4,"rom the hospital. Please see below regarding the discharge instructions from the ___ Surgeons. ___ D/C Instructions: " Wrong span,"(16437, 16457)","(16437, 16462)",Lumbar Decompression,Lumbar Decompression With,302129007,1366070007,15853461-DS-4," from the ___ Surgeons. ___ D/C Instructions: Lumbar Decompression With Fusion: You have undergone the following ope" "Correct entity, wrong SNOMED ID","(16463, 16469)","(16463, 16469)",Fusion,Fusion,50172003,55705006,15853461-DS-4," ___ D/C Instructions: Lumbar Decompression With Fusion: You have undergone the following operation: Lumb" Missed entity,"(16504, 16513)",,operation,,387713003,,15853461-DS-4,"ion With Fusion: You have undergone the following operation: Lumbar Decompression With Fusion Immediately af" Wrong span,"(16515, 16535)","(16515, 16541)",Lumbar Decompression,"Lumbar Decompression With",302129007,1366070007,15853461-DS-4,"sion: You have undergone the following operation: Lumbar Decompression With Fusion Immediately after the operation: • A" "Correct entity, wrong SNOMED ID","(16542, 16548)","(16542, 16548)",Fusion,Fusion,50172003,55705006,15853461-DS-4,"e following operation: Lumbar Decompression With Fusion Immediately after the operation: • Activity: You " Wrong span,"(16584, 16592)","(16584, 16587)",Activity,Act,304673006,70256003,15853461-DS-4,"n With Fusion Immediately after the operation: • Activity: You should not lift anything greater than 10 lbs" Missed entity,"(16609, 16613)",,lift,,288333000,,15853461-DS-4,"y after the operation: • Activity: You should not lift anything greater than 10 lbs for 2 weeks.You wil" Missed entity,"(16699, 16702)",,sit,,282967005,,15853461-DS-4," weeks.You will be more comfortable if you do not sit or stand more than~45 minutes without getting up" Missed entity,"(16757, 16764)",,walking,,282146009,,15853461-DS-4,"tand more than~45 minutes without getting up and walking around. • Rehabilitation/ Physical Therapy: ___ t" Missed entity,"(16775, 16807)",,Rehabilitation/ Physical Therapy,,108305003,,15853461-DS-4," minutes without getting up and walking around. • Rehabilitation/ Physical Therapy: ___ times a day you should go for a walk for __" Missed entity,"(16901, 16905)",,walk,,282146009,,15853461-DS-4,"for ___ minutes as part of your recovery.You can walk as much as you can tolerate. Limit any kind of li" Missed entity,"(16953, 16960)",,lifting,,288333000,,15853461-DS-4,"lk as much as you can tolerate. Limit any kind of lifting. • Diet: Eat a normal healthy diet.You may have s" "Correct entity, wrong SNOMED ID","(16964, 16968)","(16964, 16968)",Diet,Diet,41829006,405106009,15853461-DS-4,"as you can tolerate. Limit any kind of lifting. • Diet: Eat a normal healthy diet.You may have some cons" Missed entity,"(16983, 16995)",,healthy diet,,226234005,,15853461-DS-4,". Limit any kind of lifting. • Diet: Eat a normal healthy diet.You may have some constipation after surgery.You" "Correct entity, wrong SNOMED ID","(17014, 17026)","(17014, 17026)",constipation,constipation,14760008,236069009,15853461-DS-4,"Diet: Eat a normal healthy diet.You may have some constipation after surgery.You have been given medication to " Wrong span,"(17028, 17041)","(17034, 17041)",after surgery,surgery,19585003,110473004,15853461-DS-4,"rmal healthy diet.You may have some constipation after surgery.You have been given medication to help with this " Missed entity,"(17062, 17072)",,medication,,33633005,,15853461-DS-4,"e constipation after surgery.You have been given medication to help with this issue. • Brace:You have been g" "Correct entity, wrong SNOMED ID","(17101, 17106)","(17101, 17106)",Brace,Brace,424794007,228599009,15853461-DS-4,"been given medication to help with this issue. • Brace:You have been given a brace,this brace is to be w" Missed entity,"(17174, 17181)",,walking,,282146009,,15853461-DS-4,"en a brace,this brace is to be worn when you are walking or out of bed. You may take it off while lying i" "Correct entity, wrong SNOMED ID","(17240, 17250)","(17240, 17250)",Wound Care,Wound Care,225358003,15502008,15853461-DS-4,"f bed. You may take it off while lying in bed. • Wound Care:Keep the dressing in place until your follow up " Wrong span,"(17260, 17277)","(17260, 17268)",dressing in place,dressing,3895009,3895009,15853461-DS-4,"it off while lying in bed. • Wound Care:Keep the dressing in place until your follow up appointment. You may take a" Missed entity,"(17328, 17334)",,shower,,284792004,,15853461-DS-4,"until your follow up appointment. You may take a shower with this dressing. Please do not soak the incis" Missed entity,"(17345, 17353)",,dressing,,3895009,,15853461-DS-4," up appointment. You may take a shower with this dressing. Please do not soak the incision in a bath or po" Missed entity,"(17370, 17374)",,soak,,42691000,,15853461-DS-4," take a shower with this dressing. Please do not soak the incision in a bath or pool. If the incision b" "Correct entity, wrong SNOMED ID","(17379, 17387)","(17379, 17387)",incision,incision,609343002,119684006,15853461-DS-4,"hower with this dressing. Please do not soak the incision in a bath or pool. If the incision begins to dra" "Correct entity, wrong SNOMED ID","(17414, 17422)","(17414, 17422)",incision,incision,609343002,119684006,15853461-DS-4," not soak the incision in a bath or pool. If the incision begins to drain at any time, please call the ___" Missed entity,"(17434, 17439)",,drain,,239164002,,15853461-DS-4,"ion in a bath or pool. If the incision begins to drain at any time, please call the ___. •Follow up: Pl" Missed entity,"(17514, 17533)",,make an appointment,,183616001,,15853461-DS-4," the ___. •Follow up: Please Call the office and make an appointment for 2 weeks after the day of your operation if t" "Correct entity, wrong SNOMED ID","(17569, 17578)","(17569, 17578)",operation,operation,387713003,161615003,15853461-DS-4,"an appointment for 2 weeks after the day of your operation if this has not been done already. At the 2-week" "Correct entity, wrong SNOMED ID","(17654, 17662)","(17654, 17662)",incision,incision,609343002,119684006,15853461-DS-4," already. At the 2-week visit we will check your incision,take baseline X-rays and answer any questions.We" "Correct entity, wrong SNOMED ID","(17669, 17677)","(17669, 17677)",baseline,baseline,128974000,129082007,15853461-DS-4,"he 2-week visit we will check your incision,take baseline X-rays and answer any questions.We may at that ti" "Correct entity, wrong SNOMED ID","(17678, 17684)","(17678, 17684)",X-rays,X-rays,363680008,168537006,15853461-DS-4," visit we will check your incision,take baseline X-rays and answer any questions.We may at that time sta" "Correct entity, wrong SNOMED ID","(17737, 17753)","(17737, 17753)",physical therapy,physical therapy,91251008,183326003,15853461-DS-4,"d answer any questions.We may at that time start physical therapy. We will then see you at 6 weeks from the day of" "Correct entity, wrong SNOMED ID","(17808, 17817)","(17808, 17817)",operation,operation,387713003,161615003,15853461-DS-4,"will then see you at 6 weeks from the day of the operation and at that time release you to full activity. " Missed entity,"(17835, 17864)",,"release you to full activity",,304505006,,15853461-DS-4,"s from the day of the operation and at that time release you to full activity. Please call the office if you have a fever>101." "Correct entity, wrong SNOMED ID","(17904, 17909)","(17904, 17909)",fever,fever,386661006,248430002,15853461-DS-4," activity. Please call the office if you have a fever>101.5 degrees Fahrenheit and/or drainage from yo" Wrong span,"(17943, 17967)","(17943, 17951)",drainage from your wound,drainage,239164002,56783008,15853461-DS-4,"you have a fever>101.5 degrees Fahrenheit and/or drainage from your wound. It was a pleasure taking care of you during you" False positive,,"(191, 198)",,Norvasc,,323368009,16345916-DS-17,"x: F Service: SURGERY Allergies: Maxzide / Norvasc / Erythromycin Base / Amoxicillin Attending: __" False positive,,"(619, 631)",,intervention,,85614001,16345916-DS-17,"ight lower extremity. She has undergone previous intervention and revascularization to include, Right ___ meta" False positive,,"(768, 776)",,proximal,,260739009,16345916-DS-17,"ght lower extremity angiogram and angioplasty of proximal anterior tibial artery, and right below the knee " False positive,,"(1273, 1278)",,foley,,411381006,16345916-DS-17,"te chole, chronic urinary retention - indwelling foley ___ diagnostic angio,R fem bypass (___), chole" False positive,,"(1302, 1303)",,R,,420274006,16345916-DS-17,"tention - indwelling foley ___ diagnostic angio,R fem bypass (___), cholestostectomy ___ , R iliof" False positive,,"(1684, 1689)",,scars,,403193008,16345916-DS-17,"p: Lungs clear Abd: Soft, non tender, well healed scars Ext: Pulses: Left Femoral p , DP ___ d Left fo" False positive,,"(2597, 2598)",,E,,257985002,16345916-DS-17,"02:25PM BLOOD Neuts-81.1* Lymphs-12.4* Monos-4.2 Eos-2.1 Baso-0.3 ___ 05:40AM BLOOD Plt ___ ___ 06:4" False positive,,"(3188, 3210)",,packed red blood cells,,71493000,16345916-DS-17,"was seen by a nutritionist, was given 2 units of packed red blood cells for a HCT of 2100. The patient was brought to th" False positive,,"(3217, 3219)",,HC,,259344006,16345916-DS-17,"as given 2 units of packed red blood cells for a HCT of 2100. The patient was brought to the operati" False positive,,"(3551, 3555)",,diet,,1217196000,16345916-DS-17,"e remained hemodynamically stable. The patient's diet was gradually advanced. She worked with physical " False positive,,"(3596, 3613)",,"physical therapy",,183326003,16345916-DS-17,"nt's diet was gradually advanced. She worked with physical therapy and occupational therapy who recommended continue" False positive,,"(4169, 4178)",,rest pain,,9267009,16345916-DS-17," Boniva 150 mg qmo; hydromorphone ___ q4prn (for rest pain in foot) Discharge Medications: 1. Aspirin 81 " False positive,,"(4182, 4186)",,foot,,1264031003,16345916-DS-17,"g qmo; hydromorphone ___ q4prn (for rest pain in foot) Discharge Medications: 1. Aspirin 81 mg PO DA" False positive,,"(5204, 5215)",,interactive,,10301000202103,16345916-DS-17,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to c" False positive,,"(5426, 5436)",,amputation,,197357002,16345916-DS-17,"RGE INSTRUCTIONS ACTIVITY: •On the side of your amputation you are non weight bearing for ___ weeks. •You " False positive,,"(5445, 5463)",,non weight bearing,,87731000,16345916-DS-17,"CTIVITY: •On the side of your amputation you are non weight bearing for ___ weeks. •You should keep this amputation" False positive,,"(5503, 5513)",,amputation,,197357002,16345916-DS-17,"ht bearing for ___ weeks. •You should keep this amputation site elevated when ever possible. •You may use " False positive,,"(5585, 5594)",,transfers,,107724000,16345916-DS-17,"er possible. •You may use the opposite foot for transfers and pivots. •No heavy lifting greater than 20 pou" False positive,,"(5804, 5811)",,surgery,,110473004,16345916-DS-17,"not soak your foot for 4 weeks from your date of surgery WOUND CARE: •Sutures / Staples may have been rem" False positive,,"(5813, 5823)",,WOUND CARE,,15502008,16345916-DS-17,"your foot for 4 weeks from your date of surgery WOUND CARE: •Sutures / Staples may have been removed before " False positive,,"(5836, 5843)",,Staples,,35963001,16345916-DS-17,"rom your date of surgery WOUND CARE: •Sutures / Staples may have been removed before discharge. If they " False positive,,"(5980, 5987)",,sutures,,27065002,16345916-DS-17,"for you to return for staple removal. •When the sutures are removed the doctor may or may not place piec" False positive,,"(6077, 6085)",,incision,,119684006,16345916-DS-17,"lace pieces of tape called steri-strips over the incision. These will stay on about a week and you may sho" False positive,,"(6275, 6280)",,smoke,,102408007,16345916-DS-17," water and soap in the shower. CAUTIONS: •If you smoke, please make every attempt to quit. Your primary" False positive,,"(6368, 6375)",,Smoking,,160617001,16345916-DS-17,"Your primary care physician can help with this. Smoking causes narrowing of your blood vessels which in " False positive,,"(6383, 6392)",,narrowing,,246406005,16345916-DS-17,"are physician can help with this. Smoking causes narrowing of your blood vessels which in turn decreases ci" False positive,,"(6402, 6415)",,blood vessels,,818999009,16345916-DS-17,"elp with this. Smoking causes narrowing of your blood vessels which in turn decreases circulation. DIET: •Low" False positive,,"(6462, 6465)",,Low,,165439008,16345916-DS-17,"els which in turn decreases circulation. DIET: •Low fat, low cholesterol / if you are diabetic – foll" False positive,,"(6471, 6486)",,low cholesterol,,166828006,16345916-DS-17," in turn decreases circulation. DIET: •Low fat, low cholesterol / if you are diabetic – follow your dietary rest" False positive,,"(6500, 6508)",,diabetic,,161445009,16345916-DS-17,"n. DIET: •Low fat, low cholesterol / if you are diabetic – follow your dietary restrictions as before " False positive,,"(6524, 6544)",,dietary restrictions,,289166004,16345916-DS-17," cholesterol / if you are diabetic – follow your dietary restrictions as before Followup Instructions: ___ " Wrong span,"(201, 213)","(201, 218)",Erythromycin,Erythromycin Base,91931000,30427009,16345916-DS-17,"ervice: SURGERY Allergies: Maxzide / Norvasc / Erythromycin Base / Amoxicillin Attending: ___. Chief Comp" "Correct entity, wrong SNOMED ID","(221, 232)","(221, 232)",Amoxicillin,Amoxicillin,294505008,27658006,16345916-DS-17,"lergies: Maxzide / Norvasc / Erythromycin Base / Amoxicillin Attending: ___. Chief Complaint: Non-healing " Wrong span,"(270, 281)","(270, 273)",Non-healing,Non,781187003,900000000000495008,16345916-DS-17," Amoxicillin Attending: ___. Chief Complaint: Non-healing below the knee amputation incsion with pain and " Wrong span,"(282, 296)","(282, 307)",below the knee,below the knee amputation,8289001,723689001,16345916-DS-17," Attending: ___. Chief Complaint: Non-healing below the knee amputation incsion with pain and contracture. " Wrong span,"(297, 315)","(282, 307)",amputation incsion,below the knee amputation,278743005,723689001,16345916-DS-17,"__. Chief Complaint: Non-healing below the knee amputation incsion with pain and contracture. Major Surgical or " "Correct entity, wrong SNOMED ID","(321, 325)","(321, 325)",pain,pain,29857009,102570003,16345916-DS-17,"on-healing below the knee amputation incsion with pain and contracture. Major Surgical or Invasive P" "Correct entity, wrong SNOMED ID","(331, 342)","(331, 342)",contracture,contracture,57048009,111247001,16345916-DS-17," below the knee amputation incsion with pain and contracture. Major Surgical or Invasive Procedure: Right l" "Correct entity, wrong SNOMED ID","(385, 406)","(385, 406)",Right lower extremity,Right lower extremity,62175007,362784000,16345916-DS-17,"racture. Major Surgical or Invasive Procedure: Right lower extremity above the knee amputation History of Present I" "Correct entity, wrong SNOMED ID","(407, 432)","(407, 432)",above the knee amputation,above the knee amputation,79733001,608846005,16345916-DS-17,"ical or Invasive Procedure: Right lower extremity above the knee amputation History of Present Illness: The patient is an " "Correct entity, wrong SNOMED ID","(523, 539)","(523, 539)",vascular disease,vascular disease,27550009,1367897006,16345916-DS-17,"nt is an elderly ___ year-old female with severe vascular disease presenting with pain of the right lower extremit" "Correct entity, wrong SNOMED ID","(556, 560)","(556, 560)",pain,pain,29857009,102570003,16345916-DS-17,"ale with severe vascular disease presenting with pain of the right lower extremity. She has undergone " "Correct entity, wrong SNOMED ID","(568, 590)","(568, 590)","right lower extremity","right lower extremity",62175007,362784000,16345916-DS-17,"ere vascular disease presenting with pain of the right lower extremity. She has undergone previous intervention and rev" "Correct entity, wrong SNOMED ID","(637, 654)","(637, 654)",revascularization,revascularization,233497001,81266008,16345916-DS-17,"ity. She has undergone previous intervention and revascularization to include, Right ___ metatarsal head excision a" "Correct entity, wrong SNOMED ID","(677, 701)","(677, 701)",metatarsal head excision,metatarsal head excision,302485005,443522001,16345916-DS-17,"tion and revascularization to include, Right ___ metatarsal head excision and closure, right lower extremity angiogram and" "Correct entity, wrong SNOMED ID","(707, 714)","(707, 714)",closure,closure,112695004,120021006,16345916-DS-17," include, Right ___ metatarsal head excision and closure, right lower extremity angiogram and angioplasty " Wrong span,"(716, 737)","(716, 747)",right lower extremity,right lower extremity angiogram,62175007,741000087106,16345916-DS-17," Right ___ metatarsal head excision and closure, right lower extremity angiogram and angioplasty of proximal anterior t" Wrong span,"(738, 747)","(716, 747)",angiogram,right lower extremity angiogram,77343006,741000087106,16345916-DS-17,"head excision and closure, right lower extremity angiogram and angioplasty of proximal anterior tibial arte" "Correct entity, wrong SNOMED ID","(752, 763)","(752, 763)",angioplasty,angioplasty,418285008,233258006,16345916-DS-17," and closure, right lower extremity angiogram and angioplasty of proximal anterior tibial artery, and right be" "Correct entity, wrong SNOMED ID","(777, 799)","(777, 799)",anterior tibial artery,anterior tibial artery,68053000,181357006,16345916-DS-17," extremity angiogram and angioplasty of proximal anterior tibial artery, and right below the knee amputation. Despite ou" Wrong span,"(811, 837)","(805, 837)","below the knee amputation","right below the knee amputation",88312006,144711000119101,16345916-DS-17,"ty of proximal anterior tibial artery, and right below the knee amputation. Despite our best efforts the patient has been un" Missed entity,"(885, 900)",,"unable to heal",,781187003,,16345916-DS-17,"on. Despite our best efforts the patient has been unable to heal her below-knee amputation. At this point she has" "Correct entity, wrong SNOMED ID","(977, 993)","(977, 993)",revasculaization,revasculaization,233497001,456321000124101,16345916-DS-17," At this point she has no additional options of revasculaization. The patient, family and practitioner agree have" "Correct entity, wrong SNOMED ID","(1068, 1090)","(1068, 1090)","above-knee amputation","above-knee amputation",79733001,405449003,16345916-DS-17," practitioner agree have decided to proceed with above-knee amputation. Past Medical History: PMH: PVD, Ovarian cance" "Correct entity, wrong SNOMED ID","(1122, 1125)","(1122, 1125)",PVD,PVD,400047006,68237008,16345916-DS-17,"e-knee amputation. Past Medical History: PMH: PVD, Ovarian cancer, endometrial cancer, breast cance" "Correct entity, wrong SNOMED ID","(1127, 1141)","(1127, 1141)",Ovarian cancer,Ovarian cancer,363443007,254856004,16345916-DS-17,"e amputation. Past Medical History: PMH: PVD, Ovarian cancer, endometrial cancer, breast cancer, HTN, HL, hy" "Correct entity, wrong SNOMED ID","(1143, 1161)","(1143, 1161)",endometrial cancer,endometrial cancer,254878006,315267003,16345916-DS-17," Past Medical History: PMH: PVD, Ovarian cancer, endometrial cancer, breast cancer, HTN, HL, hypothyroid, pulmHTN, " "Correct entity, wrong SNOMED ID","(1163, 1176)","(1163, 1176)",breast cancer,breast cancer,254837009,134405005,16345916-DS-17,"ry: PMH: PVD, Ovarian cancer, endometrial cancer, breast cancer, HTN, HL, hypothyroid, pulmHTN, DM, CKD, acute " "Correct entity, wrong SNOMED ID","(1180, 1183)","(1180, 1183)",HTN,HTN,38341003,10725009,16345916-DS-17,"rian cancer, endometrial cancer, breast cancer, HTN, HL, hypothyroid, pulmHTN, DM, CKD, acute chole, " "Correct entity, wrong SNOMED ID","(1185, 1187)","(1185, 1187)",HL,HL,55822004,257988000,16345916-DS-17,"cancer, endometrial cancer, breast cancer, HTN, HL, hypothyroid, pulmHTN, DM, CKD, acute chole, chro" "Correct entity, wrong SNOMED ID","(1189, 1200)","(1189, 1200)",hypothyroid,hypothyroid,40930008,10753681000119101,16345916-DS-17,"er, endometrial cancer, breast cancer, HTN, HL, hypothyroid, pulmHTN, DM, CKD, acute chole, chronic urinary " "Correct entity, wrong SNOMED ID","(1202, 1209)","(1202, 1209)",pulmHTN,pulmHTN,70995007,233945002,16345916-DS-17,"al cancer, breast cancer, HTN, HL, hypothyroid, pulmHTN, DM, CKD, acute chole, chronic urinary retention" "Correct entity, wrong SNOMED ID","(1211, 1213)","(1211, 1213)",DM,DM,73211009,258671008,16345916-DS-17,", breast cancer, HTN, HL, hypothyroid, pulmHTN, DM, CKD, acute chole, chronic urinary retention - i" "Correct entity, wrong SNOMED ID","(1220, 1231)","(1220, 1231)",acute chole,acute chole,65275009,89251007,16345916-DS-17,"cancer, HTN, HL, hypothyroid, pulmHTN, DM, CKD, acute chole, chronic urinary retention - indwelling foley " "Correct entity, wrong SNOMED ID","(1233, 1259)","(1233, 1259)","chronic urinary retention","chronic urinary retention",236650000,236648008,16345916-DS-17,", HL, hypothyroid, pulmHTN, DM, CKD, acute chole, chronic urinary retention - indwelling foley ___ diagnostic angio,R fem b" "Correct entity, wrong SNOMED ID","(1304, 1314)","(1304, 1314)",fem bypass,fem bypass,405463009,405482000,16345916-DS-17,"ntion - indwelling foley ___ diagnostic angio,R fem bypass (___), cholestostectomy ___ , R iliofemoral enda" "Correct entity, wrong SNOMED ID","(1323, 1339)","(1323, 1339)",cholestostectomy,cholestostectomy,38102005,235531002,16345916-DS-17,"foley ___ diagnostic angio,R fem bypass (___), cholestostectomy ___ , R iliofemoral endarterectomy w patch angi" Wrong span,"(1360, 1374)","(1348, 1374)",endarterectomy,iliofemoral endarterectomy,392031002,276939005,16345916-DS-17,"pass (___), cholestostectomy ___ , R iliofemoral endarterectomy w patch angioplasty ___, R ___ toe amp (___), ," "Correct entity, wrong SNOMED ID","(1385, 1396)","(1385, 1396)",angioplasty,angioplasty,418285008,233258006,16345916-DS-17,"tomy ___ , R iliofemoral endarterectomy w patch angioplasty ___, R ___ toe amp (___), , L patella ORIF ___," "Correct entity, wrong SNOMED ID","(1408, 1415)","(1408, 1415)",toe amp,toe amp,371186005,86380000,16345916-DS-17,"l endarterectomy w patch angioplasty ___, R ___ toe amp (___), , L patella ORIF ___, Social History:" "Correct entity, wrong SNOMED ID","(1437, 1441)","(1437, 1441)",ORIF,ORIF,20701002,3382006,16345916-DS-17,"gioplasty ___, R ___ toe amp (___), , L patella ORIF ___, Social History: ___ Family History: Nonco" Wrong span,"(1519, 1532)","(1519, 1527)",Physical Exam,Physical,5880005,363818006,16345916-DS-17," Family History: Noncontributory Physical Exam: Physical Exam: Alert and oriented x 3 VS:BP 150/62 HR 75 " "Correct entity, wrong SNOMED ID","(1534, 1539)","(1534, 1539)",Alert,Alert,248234008,409787004,16345916-DS-17,": Noncontributory Physical Exam: Physical Exam: Alert and oriented x 3 VS:BP 150/62 HR 75 RR 1" "Correct entity, wrong SNOMED ID","(1544, 1552)","(1544, 1552)",oriented,oriented,247663003,787379002,16345916-DS-17,"ibutory Physical Exam: Physical Exam: Alert and oriented x 3 VS:BP 150/62 HR 75 RR 16 96%RA Ca" "Correct entity, wrong SNOMED ID","(1558, 1560)","(1558, 1560)",VS,VS,118227000,313611000,16345916-DS-17,"ical Exam: Physical Exam: Alert and oriented x 3 VS:BP 150/62 HR 75 RR 16 96%RA Carotids: " "Correct entity, wrong SNOMED ID","(1561, 1563)","(1561, 1563)",BP,BP,392570002,38341003,16345916-DS-17,"l Exam: Physical Exam: Alert and oriented x 3 VS:BP 150/62 HR 75 RR 16 96%RA Carotids: 2+," "Correct entity, wrong SNOMED ID","(1573, 1575)","(1573, 1575)",HR,HR,301113001,258702006,16345916-DS-17,"ical Exam: Alert and oriented x 3 VS:BP 150/62 HR 75 RR 16 96%RA Carotids: 2+, no bruits o" "Correct entity, wrong SNOMED ID","(1583, 1585)","(1583, 1585)",RR,RR,301283003,229040007,16345916-DS-17," Alert and oriented x 3 VS:BP 150/62 HR 75 RR 16 96%RA Carotids: 2+, no bruits or JVD Resp" "Correct entity, wrong SNOMED ID","(1596, 1598)","(1596, 1598)",RA,RA,722742002,463051000124105,16345916-DS-17,"iented x 3 VS:BP 150/62 HR 75 RR 16 96%RA Carotids: 2+, no bruits or JVD Resp: Lungs clear" "Correct entity, wrong SNOMED ID","(1600, 1608)","(1600, 1608)",Carotids,Carotids,69105007,58920005,16345916-DS-17,"ed x 3 VS:BP 150/62 HR 75 RR 16 96%RA Carotids: 2+, no bruits or JVD Resp: Lungs clear Abd: Soft" "Correct entity, wrong SNOMED ID","(1610, 1612)","(1610, 1612)",2+,2+,54908008,260347006,16345916-DS-17,":BP 150/62 HR 75 RR 16 96%RA Carotids: 2+, no bruits or JVD Resp: Lungs clear Abd: Soft, no" "Correct entity, wrong SNOMED ID","(1617, 1623)","(1617, 1623)",bruits,bruits,70466008,161887000,16345916-DS-17,"0/62 HR 75 RR 16 96%RA Carotids: 2+, no bruits or JVD Resp: Lungs clear Abd: Soft, non tender, w" "Correct entity, wrong SNOMED ID","(1627, 1630)","(1627, 1630)",JVD,JVD,271653008,253395003,16345916-DS-17," 75 RR 16 96%RA Carotids: 2+, no bruits or JVD Resp: Lungs clear Abd: Soft, non tender, well hea" "Correct entity, wrong SNOMED ID","(1631, 1635)","(1631, 1635)",Resp,Resp,268925001,20139000,16345916-DS-17," RR 16 96%RA Carotids: 2+, no bruits or JVD Resp: Lungs clear Abd: Soft, non tender, well healed s" Wrong span,"(1637, 1642)","(1637, 1648)",Lungs,Lungs clear,268925001,241541005,16345916-DS-17," 16 96%RA Carotids: 2+, no bruits or JVD Resp: Lungs clear Abd: Soft, non tender, well healed scars Ex" "Correct entity, wrong SNOMED ID","(1649, 1652)","(1649, 1652)",Abd,Abd,225162003,60728008,16345916-DS-17," Carotids: 2+, no bruits or JVD Resp: Lungs clear Abd: Soft, non tender, well healed scars Ext: Pulses:" Wrong span,"(1664, 1670)","(1660, 1670)",tender,non tender,43478001,289668002,16345916-DS-17,"no bruits or JVD Resp: Lungs clear Abd: Soft, non tender, well healed scars Ext: Pulses: Left Femoral p " "Correct entity, wrong SNOMED ID","(1672, 1683)","(1672, 1683)",well healed,well healed,298006005,830130002,16345916-DS-17,"s or JVD Resp: Lungs clear Abd: Soft, non tender, well healed scars Ext: Pulses: Left Femoral p , DP ___ d L" "Correct entity, wrong SNOMED ID","(1690, 1693)","(1690, 1693)",Ext,Ext,302773001,1489008,16345916-DS-17,"gs clear Abd: Soft, non tender, well healed scars Ext: Pulses: Left Femoral p , DP ___ d Left foot w" "Correct entity, wrong SNOMED ID","(1695, 1701)","(1695, 1701)",Pulses,Pulses,12146004,307684005,16345916-DS-17,"ear Abd: Soft, non tender, well healed scars Ext: Pulses: Left Femoral p , DP ___ d Left foot warm, wel" Wrong span,"(1710, 1719)","(1704, 1717)",Femoral p,Left Femoral,792820000,368109009,16345916-DS-17,"non tender, well healed scars Ext: Pulses: Left Femoral p , DP ___ d Left foot warm, well perfused. No op" "Correct entity, wrong SNOMED ID","(1722, 1724)","(1722, 1724)",DP,DP,86547008,418288005,16345916-DS-17,"well healed scars Ext: Pulses: Left Femoral p , DP ___ d Left foot warm, well perfused. No open ar" "Correct entity, wrong SNOMED ID","(1732, 1741)","(1732, 1741)",Left foot,Left foot,22335008,239919000,16345916-DS-17,"d scars Ext: Pulses: Left Femoral p , DP ___ d Left foot warm, well perfused. No open areas Right stump w" "Correct entity, wrong SNOMED ID","(1742, 1746)","(1742, 1746)",warm,warm,102599008,298256005,16345916-DS-17,"t: Pulses: Left Femoral p , DP ___ d Left foot warm, well perfused. No open areas Right stump warm a" "Correct entity, wrong SNOMED ID","(1748, 1761)","(1748, 1761)",well perfused,well perfused,1137685003,301121007,16345916-DS-17,"ses: Left Femoral p , DP ___ d Left foot warm, well perfused. No open areas Right stump warm and well perfuse" Wrong span,"(1784, 1789)","(1778, 1789)",stump,Right stump,38033009,771365009,16345916-DS-17,"ft foot warm, well perfused. No open areas Right stump warm and well perfused, with incision clean dry a" "Correct entity, wrong SNOMED ID","(1790, 1794)","(1790, 1794)",warm,warm,102599008,298256005,16345916-DS-17,"t warm, well perfused. No open areas Right stump warm and well perfused, with incision clean dry and i" "Correct entity, wrong SNOMED ID","(1799, 1812)","(1799, 1812)",well perfused,well perfused,1137685003,301121007,16345916-DS-17,"ell perfused. No open areas Right stump warm and well perfused, with incision clean dry and intact Pertinent" "Correct entity, wrong SNOMED ID","(1819, 1827)","(1819, 1827)",incision,incision,609343002,119684006,16345916-DS-17,"en areas Right stump warm and well perfused, with incision clean dry and intact Pertinent Results: ___ 0" "Correct entity, wrong SNOMED ID","(1890, 1893)","(1890, 1893)",WBC,WBC,767002,391558003,16345916-DS-17,"d intact Pertinent Results: ___ 02:25PM BLOOD WBC-18.3* RBC-2.85* Hgb-8.9* Hct-28.6* MCV-100* MCH-" "Correct entity, wrong SNOMED ID","(1900, 1903)","(1900, 1903)",RBC,RBC,14089001,258759006,16345916-DS-17," Pertinent Results: ___ 02:25PM BLOOD WBC-18.3* RBC-2.85* Hgb-8.9* Hct-28.6* MCV-100* MCH-31.1 MCHC-" "Correct entity, wrong SNOMED ID","(1910, 1913)","(1910, 1913)",Hgb,Hgb,441689006,104142005,16345916-DS-17,"nt Results: ___ 02:25PM BLOOD WBC-18.3* RBC-2.85* Hgb-8.9* Hct-28.6* MCV-100* MCH-31.1 MCHC-31.1 RDW-2" "Correct entity, wrong SNOMED ID","(1919, 1922)","(1919, 1922)",Hct,Hct,28317006,282660005,16345916-DS-17,"s: ___ 02:25PM BLOOD WBC-18.3* RBC-2.85* Hgb-8.9* Hct-28.6* MCV-100* MCH-31.1 MCHC-31.1 RDW-23.1* Plt " "Correct entity, wrong SNOMED ID","(1939, 1942)","(1939, 1942)",MCH,MCH,54706004,735147002,16345916-DS-17," WBC-18.3* RBC-2.85* Hgb-8.9* Hct-28.6* MCV-100* MCH-31.1 MCHC-31.1 RDW-23.1* Plt ___ ___ 05:50AM BLOO" "Correct entity, wrong SNOMED ID","(1948, 1952)","(1948, 1952)",MCHC,MCHC,37254006,735147002,16345916-DS-17,"* RBC-2.85* Hgb-8.9* Hct-28.6* MCV-100* MCH-31.1 MCHC-31.1 RDW-23.1* Plt ___ ___ 05:50AM BLOOD WBC-10.4" "Correct entity, wrong SNOMED ID","(1958, 1961)","(1958, 1961)",RDW,RDW,66842004,735149004,16345916-DS-17,"* Hgb-8.9* Hct-28.6* MCV-100* MCH-31.1 MCHC-31.1 RDW-23.1* Plt ___ ___ 05:50AM BLOOD WBC-10.4 RBC-2.33" "Correct entity, wrong SNOMED ID","(1994, 1997)","(1994, 1997)",WBC,WBC,767002,391558003,16345916-DS-17,"1.1 MCHC-31.1 RDW-23.1* Plt ___ ___ 05:50AM BLOOD WBC-10.4 RBC-2.33* Hgb-7.2* Hct-23.5* MCV-101* MCH-3" "Correct entity, wrong SNOMED ID","(2003, 2006)","(2003, 2006)",RBC,RBC,14089001,258759006,16345916-DS-17,"31.1 RDW-23.1* Plt ___ ___ 05:50AM BLOOD WBC-10.4 RBC-2.33* Hgb-7.2* Hct-23.5* MCV-101* MCH-30.9 MCHC-" "Correct entity, wrong SNOMED ID","(2013, 2016)","(2013, 2016)",Hgb,Hgb,441689006,104142005,16345916-DS-17,"3.1* Plt ___ ___ 05:50AM BLOOD WBC-10.4 RBC-2.33* Hgb-7.2* Hct-23.5* MCV-101* MCH-30.9 MCHC-30.6* RDW-" "Correct entity, wrong SNOMED ID","(2022, 2025)","(2022, 2025)",Hct,Hct,28317006,282660005,16345916-DS-17,"___ ___ 05:50AM BLOOD WBC-10.4 RBC-2.33* Hgb-7.2* Hct-23.5* MCV-101* MCH-30.9 MCHC-30.6* RDW-23.1* Plt" "Correct entity, wrong SNOMED ID","(2042, 2045)","(2042, 2045)",MCH,MCH,54706004,735147002,16345916-DS-17,"D WBC-10.4 RBC-2.33* Hgb-7.2* Hct-23.5* MCV-101* MCH-30.9 MCHC-30.6* RDW-23.1* Plt ___ ___ 05:10AM BLO" "Correct entity, wrong SNOMED ID","(2051, 2055)","(2051, 2055)",MCHC,MCHC,37254006,735147002,16345916-DS-17,"4 RBC-2.33* Hgb-7.2* Hct-23.5* MCV-101* MCH-30.9 MCHC-30.6* RDW-23.1* Plt ___ ___ 05:10AM BLOOD WBC-8.0" "Correct entity, wrong SNOMED ID","(2062, 2065)","(2062, 2065)",RDW,RDW,66842004,735149004,16345916-DS-17," Hgb-7.2* Hct-23.5* MCV-101* MCH-30.9 MCHC-30.6* RDW-23.1* Plt ___ ___ 05:10AM BLOOD WBC-8.0 RBC-2.30*" "Correct entity, wrong SNOMED ID","(2098, 2101)","(2098, 2101)",WBC,WBC,767002,391558003,16345916-DS-17,".9 MCHC-30.6* RDW-23.1* Plt ___ ___ 05:10AM BLOOD WBC-8.0 RBC-2.30* Hgb-7.1* Hct-23.1* MCV-100* MCH-30" "Correct entity, wrong SNOMED ID","(2106, 2109)","(2106, 2109)",RBC,RBC,14089001,258759006,16345916-DS-17,"30.6* RDW-23.1* Plt ___ ___ 05:10AM BLOOD WBC-8.0 RBC-2.30* Hgb-7.1* Hct-23.1* MCV-100* MCH-30.8 MCHC-" "Correct entity, wrong SNOMED ID","(2116, 2119)","(2116, 2119)",Hgb,Hgb,441689006,104142005,16345916-DS-17,"23.1* Plt ___ ___ 05:10AM BLOOD WBC-8.0 RBC-2.30* Hgb-7.1* Hct-23.1* MCV-100* MCH-30.8 MCHC-30.7* RDW-" "Correct entity, wrong SNOMED ID","(2125, 2128)","(2125, 2128)",Hct,Hct,28317006,282660005,16345916-DS-17," ___ ___ 05:10AM BLOOD WBC-8.0 RBC-2.30* Hgb-7.1* Hct-23.1* MCV-100* MCH-30.8 MCHC-30.7* RDW-22.4* Plt" "Correct entity, wrong SNOMED ID","(2145, 2148)","(2145, 2148)",MCH,MCH,54706004,735147002,16345916-DS-17,"OD WBC-8.0 RBC-2.30* Hgb-7.1* Hct-23.1* MCV-100* MCH-30.8 MCHC-30.7* RDW-22.4* Plt ___ ___ 12:34AM BLO" "Correct entity, wrong SNOMED ID","(2154, 2158)","(2154, 2158)",MCHC,MCHC,37254006,735147002,16345916-DS-17,"0 RBC-2.30* Hgb-7.1* Hct-23.1* MCV-100* MCH-30.8 MCHC-30.7* RDW-22.4* Plt ___ ___ 12:34AM BLOOD Hct-30." "Correct entity, wrong SNOMED ID","(2165, 2168)","(2165, 2168)",RDW,RDW,66842004,735149004,16345916-DS-17," Hgb-7.1* Hct-23.1* MCV-100* MCH-30.8 MCHC-30.7* RDW-22.4* Plt ___ ___ 12:34AM BLOOD Hct-30.5*# ___ 05" "Correct entity, wrong SNOMED ID","(2201, 2204)","(2201, 2204)",Hct,Hct,28317006,282660005,16345916-DS-17,".8 MCHC-30.7* RDW-22.4* Plt ___ ___ 12:34AM BLOOD Hct-30.5*# ___ 05:05AM BLOOD WBC-8.3 RBC-3.29*# Hgb-1" "Correct entity, wrong SNOMED ID","(2230, 2233)","(2230, 2233)",WBC,WBC,767002,391558003,16345916-DS-17,"__ ___ 12:34AM BLOOD Hct-30.5*# ___ 05:05AM BLOOD WBC-8.3 RBC-3.29*# Hgb-10.3*# Hct-31.4* MCV-96 MCH-3" "Correct entity, wrong SNOMED ID","(2238, 2241)","(2238, 2241)",RBC,RBC,14089001,258759006,16345916-DS-17,"2:34AM BLOOD Hct-30.5*# ___ 05:05AM BLOOD WBC-8.3 RBC-3.29*# Hgb-10.3*# Hct-31.4* MCV-96 MCH-31.3 MCHC" "Correct entity, wrong SNOMED ID","(2249, 2252)","(2249, 2252)",Hgb,Hgb,441689006,104142005,16345916-DS-17,"D Hct-30.5*# ___ 05:05AM BLOOD WBC-8.3 RBC-3.29*# Hgb-10.3*# Hct-31.4* MCV-96 MCH-31.3 MCHC-32.8 RDW-2" "Correct entity, wrong SNOMED ID","(2260, 2263)","(2260, 2263)",Hct,Hct,28317006,282660005,16345916-DS-17,"# ___ 05:05AM BLOOD WBC-8.3 RBC-3.29*# Hgb-10.3*# Hct-31.4* MCV-96 MCH-31.3 MCHC-32.8 RDW-21.0* Plt __" "Correct entity, wrong SNOMED ID","(2278, 2281)","(2278, 2281)",MCH,MCH,54706004,735147002,16345916-DS-17,"D WBC-8.3 RBC-3.29*# Hgb-10.3*# Hct-31.4* MCV-96 MCH-31.3 MCHC-32.8 RDW-21.0* Plt ___ ___ 05:10PM BLOO" "Correct entity, wrong SNOMED ID","(2287, 2291)","(2287, 2291)",MCHC,MCHC,37254006,735147002,16345916-DS-17," RBC-3.29*# Hgb-10.3*# Hct-31.4* MCV-96 MCH-31.3 MCHC-32.8 RDW-21.0* Plt ___ ___ 05:10PM BLOOD Hct-29.0" "Correct entity, wrong SNOMED ID","(2297, 2300)","(2297, 2300)",RDW,RDW,66842004,735149004,16345916-DS-17,"# Hgb-10.3*# Hct-31.4* MCV-96 MCH-31.3 MCHC-32.8 RDW-21.0* Plt ___ ___ 05:10PM BLOOD Hct-29.0* ___ 07:" "Correct entity, wrong SNOMED ID","(2333, 2336)","(2333, 2336)",Hct,Hct,28317006,282660005,16345916-DS-17,"1.3 MCHC-32.8 RDW-21.0* Plt ___ ___ 05:10PM BLOOD Hct-29.0* ___ 07:30AM BLOOD WBC-9.5 RBC-3.16* Hgb-9.8" "Correct entity, wrong SNOMED ID","(2361, 2364)","(2361, 2364)",WBC,WBC,767002,391558003,16345916-DS-17,"___ ___ 05:10PM BLOOD Hct-29.0* ___ 07:30AM BLOOD WBC-9.5 RBC-3.16* Hgb-9.8* Hct-31.0* MCV-98 MCH-30.9" "Correct entity, wrong SNOMED ID","(2369, 2372)","(2369, 2372)",RBC,RBC,14089001,258759006,16345916-DS-17,"05:10PM BLOOD Hct-29.0* ___ 07:30AM BLOOD WBC-9.5 RBC-3.16* Hgb-9.8* Hct-31.0* MCV-98 MCH-30.9 MCHC-31" "Correct entity, wrong SNOMED ID","(2379, 2382)","(2379, 2382)",Hgb,Hgb,441689006,104142005,16345916-DS-17,"OOD Hct-29.0* ___ 07:30AM BLOOD WBC-9.5 RBC-3.16* Hgb-9.8* Hct-31.0* MCV-98 MCH-30.9 MCHC-31.6 RDW-20." "Correct entity, wrong SNOMED ID","(2388, 2391)","(2388, 2391)",Hct,Hct,28317006,282660005,16345916-DS-17,"9.0* ___ 07:30AM BLOOD WBC-9.5 RBC-3.16* Hgb-9.8* Hct-31.0* MCV-98 MCH-30.9 MCHC-31.6 RDW-20.9* Plt __" "Correct entity, wrong SNOMED ID","(2406, 2409)","(2406, 2409)",MCH,MCH,54706004,735147002,16345916-DS-17,"LOOD WBC-9.5 RBC-3.16* Hgb-9.8* Hct-31.0* MCV-98 MCH-30.9 MCHC-31.6 RDW-20.9* Plt ___ ___ 06:45AM BLOO" "Correct entity, wrong SNOMED ID","(2415, 2419)","(2415, 2419)",MCHC,MCHC,37254006,735147002,16345916-DS-17,"9.5 RBC-3.16* Hgb-9.8* Hct-31.0* MCV-98 MCH-30.9 MCHC-31.6 RDW-20.9* Plt ___ ___ 06:45AM BLOOD WBC-7.9 " "Correct entity, wrong SNOMED ID","(2425, 2428)","(2425, 2428)",RDW,RDW,66842004,735149004,16345916-DS-17,"16* Hgb-9.8* Hct-31.0* MCV-98 MCH-30.9 MCHC-31.6 RDW-20.9* Plt ___ ___ 06:45AM BLOOD WBC-7.9 RBC-3.01*" "Correct entity, wrong SNOMED ID","(2461, 2464)","(2461, 2464)",WBC,WBC,767002,391558003,16345916-DS-17,"0.9 MCHC-31.6 RDW-20.9* Plt ___ ___ 06:45AM BLOOD WBC-7.9 RBC-3.01* Hgb-9.1* Hct-29.3* MCV-98 MCH-30.4" "Correct entity, wrong SNOMED ID","(2469, 2472)","(2469, 2472)",RBC,RBC,14089001,258759006,16345916-DS-17,"-31.6 RDW-20.9* Plt ___ ___ 06:45AM BLOOD WBC-7.9 RBC-3.01* Hgb-9.1* Hct-29.3* MCV-98 MCH-30.4 MCHC-31" "Correct entity, wrong SNOMED ID","(2479, 2482)","(2479, 2482)",Hgb,Hgb,441689006,104142005,16345916-DS-17,"20.9* Plt ___ ___ 06:45AM BLOOD WBC-7.9 RBC-3.01* Hgb-9.1* Hct-29.3* MCV-98 MCH-30.4 MCHC-31.1 RDW-21." "Correct entity, wrong SNOMED ID","(2488, 2491)","(2488, 2491)",Hct,Hct,28317006,282660005,16345916-DS-17," ___ ___ 06:45AM BLOOD WBC-7.9 RBC-3.01* Hgb-9.1* Hct-29.3* MCV-98 MCH-30.4 MCHC-31.1 RDW-21.2* Plt __" "Correct entity, wrong SNOMED ID","(2506, 2509)","(2506, 2509)",MCH,MCH,54706004,735147002,16345916-DS-17,"LOOD WBC-7.9 RBC-3.01* Hgb-9.1* Hct-29.3* MCV-98 MCH-30.4 MCHC-31.1 RDW-21.2* Plt ___ ___ 02:25PM BLOO" "Correct entity, wrong SNOMED ID","(2515, 2519)","(2515, 2519)",MCHC,MCHC,37254006,735147002,16345916-DS-17,"7.9 RBC-3.01* Hgb-9.1* Hct-29.3* MCV-98 MCH-30.4 MCHC-31.1 RDW-21.2* Plt ___ ___ 02:25PM BLOOD Neuts-81" "Correct entity, wrong SNOMED ID","(2525, 2528)","(2525, 2528)",RDW,RDW,66842004,735149004,16345916-DS-17,"01* Hgb-9.1* Hct-29.3* MCV-98 MCH-30.4 MCHC-31.1 RDW-21.2* Plt ___ ___ 02:25PM BLOOD Neuts-81.1* Lymph" "Correct entity, wrong SNOMED ID","(2561, 2566)","(2561, 2566)",Neuts,Neuts,30630007,271035003,16345916-DS-17,"0.4 MCHC-31.1 RDW-21.2* Plt ___ ___ 02:25PM BLOOD Neuts-81.1* Lymphs-12.4* Monos-4.2 Eos-2.1 Baso-0.3 __" "Correct entity, wrong SNOMED ID","(2573, 2579)","(2573, 2579)",Lymphs,Lymphs,74765001,79709007,16345916-DS-17,"1 RDW-21.2* Plt ___ ___ 02:25PM BLOOD Neuts-81.1* Lymphs-12.4* Monos-4.2 Eos-2.1 Baso-0.3 ___ 05:40AM BLO" "Correct entity, wrong SNOMED ID","(2586, 2591)","(2586, 2591)",Monos,Monos,67776007,462791000124108,16345916-DS-17,"lt ___ ___ 02:25PM BLOOD Neuts-81.1* Lymphs-12.4* Monos-4.2 Eos-2.1 Baso-0.3 ___ 05:40AM BLOOD Plt ___ _" "Correct entity, wrong SNOMED ID","(2605, 2609)","(2605, 2609)",Baso,Baso,42351005,68106000,16345916-DS-17,"BLOOD Neuts-81.1* Lymphs-12.4* Monos-4.2 Eos-2.1 Baso-0.3 ___ 05:40AM BLOOD Plt ___ ___ 06:45AM BLOOD P" "Correct entity, wrong SNOMED ID","(2688, 2691)","(2688, 2691)",PTT,PTT,42525009,282119004,16345916-DS-17,"_ ___ 06:45AM BLOOD Plt ___ ___ 05:05AM BLOOD ___ PTT-29.8 ___ ___ 05:40AM BLOOD Glucose-102* UreaN-11 " "Correct entity, wrong SNOMED ID","(2719, 2726)","(2719, 2726)",Glucose,Glucose,33747003,72191006,16345916-DS-17," 05:05AM BLOOD ___ PTT-29.8 ___ ___ 05:40AM BLOOD Glucose-102* UreaN-11 Creat-0.4 Na-139 K-4.3 Cl-102 HCO3" "Correct entity, wrong SNOMED ID","(2732, 2737)","(2732, 2737)",UreaN,UreaN,105011006,111108008,16345916-DS-17,"D ___ PTT-29.8 ___ ___ 05:40AM BLOOD Glucose-102* UreaN-11 Creat-0.4 Na-139 K-4.3 Cl-102 HCO3-27 AnGap-1" "Correct entity, wrong SNOMED ID","(2741, 2746)","(2741, 2746)",Creat,Creat,70901006,365756002,16345916-DS-17,"-29.8 ___ ___ 05:40AM BLOOD Glucose-102* UreaN-11 Creat-0.4 Na-139 K-4.3 Cl-102 HCO3-27 AnGap-14 ___ 05:" "Correct entity, wrong SNOMED ID","(2751, 2753)","(2751, 2753)",Na,Na,312469006,257992007,16345916-DS-17,"___ 05:40AM BLOOD Glucose-102* UreaN-11 Creat-0.4 Na-139 K-4.3 Cl-102 HCO3-27 AnGap-14 ___ 05:05AM BL" "Correct entity, wrong SNOMED ID","(2765, 2767)","(2765, 2767)",Cl,Cl,104589004,311741002,16345916-DS-17,"OOD Glucose-102* UreaN-11 Creat-0.4 Na-139 K-4.3 Cl-102 HCO3-27 AnGap-14 ___ 05:05AM BLOOD Glucose-98" "Correct entity, wrong SNOMED ID","(2772, 2776)","(2772, 2776)",HCO3,HCO3,312471006,88645003,16345916-DS-17,"cose-102* UreaN-11 Creat-0.4 Na-139 K-4.3 Cl-102 HCO3-27 AnGap-14 ___ 05:05AM BLOOD Glucose-98 UreaN-10" "Correct entity, wrong SNOMED ID","(2780, 2785)","(2780, 2785)",AnGap,AnGap,25469001,124504004,16345916-DS-17,"* UreaN-11 Creat-0.4 Na-139 K-4.3 Cl-102 HCO3-27 AnGap-14 ___ 05:05AM BLOOD Glucose-98 UreaN-10 Creat-0." "Correct entity, wrong SNOMED ID","(2807, 2814)","(2807, 2814)",Glucose,Glucose,33747003,72191006,16345916-DS-17," K-4.3 Cl-102 HCO3-27 AnGap-14 ___ 05:05AM BLOOD Glucose-98 UreaN-10 Creat-0.4 Na-139 K-3.7 Cl-103 HCO3-2" "Correct entity, wrong SNOMED ID","(2818, 2823)","(2818, 2823)",UreaN,UreaN,105011006,111108008,16345916-DS-17,"102 HCO3-27 AnGap-14 ___ 05:05AM BLOOD Glucose-98 UreaN-10 Creat-0.4 Na-139 K-3.7 Cl-103 HCO3-26 AnGap-1" "Correct entity, wrong SNOMED ID","(2827, 2832)","(2827, 2832)",Creat,Creat,70901006,365756002,16345916-DS-17,"27 AnGap-14 ___ 05:05AM BLOOD Glucose-98 UreaN-10 Creat-0.4 Na-139 K-3.7 Cl-103 HCO3-26 AnGap-14 ___ 05:" "Correct entity, wrong SNOMED ID","(2837, 2839)","(2837, 2839)",Na,Na,312469006,257992007,16345916-DS-17,"4 ___ 05:05AM BLOOD Glucose-98 UreaN-10 Creat-0.4 Na-139 K-3.7 Cl-103 HCO3-26 AnGap-14 ___ 05:40AM BL" "Correct entity, wrong SNOMED ID","(2851, 2853)","(2851, 2853)",Cl,Cl,104589004,311741002,16345916-DS-17,"BLOOD Glucose-98 UreaN-10 Creat-0.4 Na-139 K-3.7 Cl-103 HCO3-26 AnGap-14 ___ 05:40AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(2858, 2862)","(2858, 2862)",HCO3,HCO3,312471006,88645003,16345916-DS-17,"lucose-98 UreaN-10 Creat-0.4 Na-139 K-3.7 Cl-103 HCO3-26 AnGap-14 ___ 05:40AM BLOOD Calcium-8.6 Phos-2." "Correct entity, wrong SNOMED ID","(2866, 2871)","(2866, 2871)",AnGap,AnGap,25469001,124504004,16345916-DS-17,"8 UreaN-10 Creat-0.4 Na-139 K-3.7 Cl-103 HCO3-26 AnGap-14 ___ 05:40AM BLOOD Calcium-8.6 Phos-2.8 Mg-2.0 " "Correct entity, wrong SNOMED ID","(2893, 2900)","(2893, 2900)",Calcium,Calcium,312472004,108601004,16345916-DS-17," K-3.7 Cl-103 HCO3-26 AnGap-14 ___ 05:40AM BLOOD Calcium-8.6 Phos-2.8 Mg-2.0 ___ 07:30AM BLOOD Calcium-8.4" "Correct entity, wrong SNOMED ID","(2905, 2909)","(2905, 2909)",Phos,Phos,104868000,168075002,16345916-DS-17,"03 HCO3-26 AnGap-14 ___ 05:40AM BLOOD Calcium-8.6 Phos-2.8 Mg-2.0 ___ 07:30AM BLOOD Calcium-8.4 Phos-2.5" "Correct entity, wrong SNOMED ID","(2914, 2916)","(2914, 2916)",Mg,Mg,271285000,258684004,16345916-DS-17,"6 AnGap-14 ___ 05:40AM BLOOD Calcium-8.6 Phos-2.8 Mg-2.0 ___ 07:30AM BLOOD Calcium-8.4 Phos-2.5* Mg-1." "Correct entity, wrong SNOMED ID","(2939, 2946)","(2939, 2946)",Calcium,Calcium,312472004,108601004,16345916-DS-17,"OOD Calcium-8.6 Phos-2.8 Mg-2.0 ___ 07:30AM BLOOD Calcium-8.4 Phos-2.5* Mg-1.8 Brief Hospital Course: Ms." "Correct entity, wrong SNOMED ID","(2951, 2955)","(2951, 2955)",Phos,Phos,104868000,168075002,16345916-DS-17,"8.6 Phos-2.8 Mg-2.0 ___ 07:30AM BLOOD Calcium-8.4 Phos-2.5* Mg-1.8 Brief Hospital Course: Ms. ___ was " "Correct entity, wrong SNOMED ID","(2961, 2963)","(2961, 2963)",Mg,Mg,271285000,258684004,16345916-DS-17,".8 Mg-2.0 ___ 07:30AM BLOOD Calcium-8.4 Phos-2.5* Mg-1.8 Brief Hospital Course: Ms. ___ was admitted" "Correct entity, wrong SNOMED ID","(3032, 3036)","(3032, 3036)",pain,pain,29857009,102570003,16345916-DS-17,"al Course: Ms. ___ was admitted to ___ on ___ for pain, contracture and gangrene of a previous right BK" "Correct entity, wrong SNOMED ID","(3038, 3049)","(3038, 3049)",contracture,contracture,57048009,111247001,16345916-DS-17,"rse: Ms. ___ was admitted to ___ on ___ for pain, contracture and gangrene of a previous right BKA the patient" "Correct entity, wrong SNOMED ID","(3055, 3063)","(3055, 3063)",gangrene,gangrene,36024000,1217064005,16345916-DS-17,"admitted to ___ on ___ for pain, contracture and gangrene of a previous right BKA the patient underwent on " Wrong span,"(3084, 3087)","(3078, 3087)",BKA,right BKA,88312006,11815981000119107,16345916-DS-17,"in, contracture and gangrene of a previous right BKA the patient underwent on ___. On ___ the patient" Wrong span,"(3299, 3320)","(3299, 3346)",right lower extremity,right lower extremity below the knee amputation,62175007,144711000119101,16345916-DS-17,"ought to the operating room on ___ and underwent right lower extremity below the knee amputation. The procedure was wi" Wrong span,"(3321, 3346)","(3299, 3346)",below the knee amputation,right lower extremity below the knee amputation,88312006,144711000119101,16345916-DS-17," room on ___ and underwent right lower extremity below the knee amputation. The procedure was without complications. The p" "Correct entity, wrong SNOMED ID","(3354, 3363)","(3354, 3363)",procedure,procedure,71388002,118672003,16345916-DS-17," lower extremity below the knee amputation. The procedure was without complications. The patient was closel" "Correct entity, wrong SNOMED ID","(3476, 3492)","(3476, 3492)",stable condition,stable condition,359746009,193844000,16345916-DS-17,"in the PACU and then transferred to the floor in stable condition where she remained hemodynamically stable. The p" "Correct entity, wrong SNOMED ID","(3757, 3773)","(3757, 3773)",stable condition,stable condition,359746009,193844000,16345916-DS-17,"y. She was discharged to rehab on ___, POD #3 in stable condition. Follow-up to be arranged with Dr. ___ office i" "Correct entity, wrong SNOMED ID","(3860, 3873)","(3860, 3873)",incision site,incision site,609343002,38931008,16345916-DS-17," ___ office in approximately 1 month to have her incision site evaluated and possible staple removal. Med" Missed entity,"(3874, 3883)",,evaluated,,386053000,,16345916-DS-17," approximately 1 month to have her incision site evaluated and possible staple removal. Medications o" "Correct entity, wrong SNOMED ID","(3964, 3969)","(3964, 3969)",lasix,lasix,722048006,25401000181106,16345916-DS-17," Medications on Admission: atorvastatin 10', lasix 20', gabapentin 300', levothyroxine 88 mcg'; lis" "Correct entity, wrong SNOMED ID","(5135, 5148)","(5135, 5148)",Mental Status,Mental Status,392257007,419284004,16345916-DS-17,"ripheral Arterial Disease Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(5150, 5155)","(5150, 5155)",Clear,Clear,48348007,281278005,16345916-DS-17,"al Disease Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(5170, 5192)","(5170, 5192)",Level of Consciousness,Level of Consciousness,444714004,830285008,16345916-DS-17,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of B" "Correct entity, wrong SNOMED ID","(5194, 5199)","(5194, 5199)",Alert,Alert,248234008,409787004,16345916-DS-17,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with" "Correct entity, wrong SNOMED ID","(5217, 5232)","(5217, 5232)",Activity Status,Activity Status,129676008,397622007,16345916-DS-17,"t. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelcha" Wrong span,"(5234, 5260)","(5234, 5244)",Out of Bed with assistance,Out of Bed,301679006,704073004,16345916-DS-17,"iousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelchair. Discharge Instruction" "Correct entity, wrong SNOMED ID","(5826, 5833)","(5826, 5833)",Sutures,Sutures,30549001,27065002,16345916-DS-17," 4 weeks from your date of surgery WOUND CARE: •Sutures / Staples may have been removed before discharge." Missed entity,"(5858, 5865)",,removed,,118292001,,16345916-DS-17,"ery WOUND CARE: •Sutures / Staples may have been removed before discharge. If they are not, an appointmen" Wrong span,"(5953, 5967)","(5960, 5967)",staple removal,removal,35963001,246158006,16345916-DS-17,"n appointment will be made for you to return for staple removal. •When the sutures are removed the doctor may or" False positive,,"(1162, 1174)",,feeding tube,,1269124002,16393593-DS-5,"d by stroke, deep vein thrombosis and need for a feeding tube. He had been recovering well over the last few w" False positive,,"(1289, 1295)",,fluid-,,1351680009,16393593-DS-5," ___ morning (___) he developed a small, raised, fluid-filled pocket towards mid portion of his incision " False positive,,"(1387, 1398)",,temperature,,228018009,16393593-DS-5,"ncision just above the prior infection site. His temperature orally at the time was 99.7F. He denies any curr" False positive,,"(1610, 1622)",,feeding tube,,1269124002,16393593-DS-5,"the last few days. He also notes that his former feeding tube site has begun draining. He presents for surgical" False positive,,"(2949, 2962)",,deconditioned,,31031000119102,16393593-DS-5,"t: 171lb General: Appears pale, frail and mildly deconditioned. Skin: Warm, dry and intact Sternotomy: Small op" False positive,,"(2977, 2980)",,dry,,881291000124102,16393593-DS-5,"ale, frail and mildly deconditioned. Skin: Warm, dry and intact Sternotomy: Small opening at mid/upper" False positive,,"(3021, 3024)",,mid,,43130005,16393593-DS-5,"Warm, dry and intact Sternotomy: Small opening at mid/upper sternotomy measuring 2cm x 1.5cm. There is" False positive,,"(3124, 3128)",,Bone,,421663001,16393593-DS-5," yellow/shite thickened discharge. Mild erythema. Bone feels relatively stable but there is an appreciab" False positive,,"(3146, 3152)",,stable,,301459008,16393593-DS-5,"d discharge. Mild erythema. Bone feels relatively stable but there is an appreciable void superiorly. HEE" False positive,,"(3199, 3204)",,HEENT,,113665002,16393593-DS-5,"ble but there is an appreciable void superiorly. HEENT: NCAT, PERRL, sclera anicteric, OP benign. Neck:" False positive,,"(3237, 3239)",,OP,,406520001,16393593-DS-5,"uperiorly. HEENT: NCAT, PERRL, sclera anicteric, OP benign. Neck: Supple [X] Full ROM [X] Chest: Lu" False positive,,"(3249, 3253)",,Neck,,840674001,16393593-DS-5,"HEENT: NCAT, PERRL, sclera anicteric, OP benign. Neck: Supple [X] Full ROM [X] Chest: Lung sounds decr" False positive,,"(3458, 3470)",,feeding tube,,1269124002,16393593-DS-5,"el sounds +[X] There is mild drainage from former feeding tube site. No significant erythema. Extremities: Warm" False positive,,"(3581, 3586)",,right,,225794002,16393593-DS-5,"perfused [X] ___ ___ Edema Varicosities: None on right, Left EVH Neuro: Grossly intact [X] A+Ox3, no foc" False positive,,"(3588, 3592)",,Left,,264745005,16393593-DS-5,"d [X] ___ ___ Edema Varicosities: None on right, Left EVH Neuro: Grossly intact [X] A+Ox3, no focal def" False positive,,"(3623, 3624)",,A,,420512001,16393593-DS-5,"None on right, Left EVH Neuro: Grossly intact [X] A+Ox3, no focal deficits noted. Using a walker to " False positive,,"(3680, 3686)",,Pulses,,307684005,16393593-DS-5,"no focal deficits noted. Using a walker to walk. Pulses: Femoral Right:2 Left:2 DP Right" False positive,,"(3701, 3706)",,Right,,264746006,16393593-DS-5,"ed. Using a walker to walk. Pulses: Femoral Right:2 Left:2 DP Right:1 Left:1 ___ " False positive,,"(3711, 3715)",,Left,,264745005,16393593-DS-5," a walker to walk. Pulses: Femoral Right:2 Left:2 DP Right:1 Left:1 ___ Rig" False positive,,"(3731, 3736)",,Right,,264746006,16393593-DS-5,"ulses: Femoral Right:2 Left:2 DP Right:1 Left:1 ___ Right:1 Left:1 Radial " False positive,,"(3741, 3745)",,Left,,264745005,16393593-DS-5,"oral Right:2 Left:2 DP Right:1 Left:1 ___ Right:1 Left:1 Radial Rig" False positive,,"(3762, 3767)",,Right,,264746006,16393593-DS-5,"eft:2 DP Right:1 Left:1 ___ Right:1 Left:1 Radial Right:2 Left:2 Carotid" False positive,,"(3772, 3776)",,Left,,264745005,16393593-DS-5," Right:1 Left:1 ___ Right:1 Left:1 Radial Right:2 Left:2 Carotid Bruit: " False positive,,"(3792, 3797)",,Right,,264746006,16393593-DS-5,"eft:1 ___ Right:1 Left:1 Radial Right:2 Left:2 Carotid Bruit: Did not appreciat" False positive,,"(3802, 3806)",,Left,,264745005,16393593-DS-5," Right:1 Left:1 Radial Right:2 Left:2 Carotid Bruit: Did not appreciate Pert" False positive,,"(4151, 4157)",,CK(CPK,,432352001,16393593-DS-5,"6* AnGap-32* ___ 05:13PM BLOOD ALT-562* AST-3780* CK(CPK)-408* AlkPhos-255* Amylase-9 TotBili-0.8 ___ 05:" False positive,,"(4165, 4172)",,AlkPhos,,30703008,16393593-DS-5,"__ 05:13PM BLOOD ALT-562* AST-3780* CK(CPK)-408* AlkPhos-255* Amylase-9 TotBili-0.8 ___ 05:13PM BLOOD CK-M" False positive,,"(4178, 4185)",,Amylase,,28378007,16393593-DS-5,"OOD ALT-562* AST-3780* CK(CPK)-408* AlkPhos-255* Amylase-9 TotBili-0.8 ___ 05:13PM BLOOD CK-MB-50* MB Indx" False positive,,"(4218, 4223)",,CK-MB,,259309009,16393593-DS-5,"Phos-255* Amylase-9 TotBili-0.8 ___ 05:13PM BLOOD CK-MB-50* MB Indx-12.3* cTropnT-3.12* ___ 05:13PM BLOOD" False positive,,"(4501, 4507)",,Stroke,,422504002,16393593-DS-5,"action: 45% to 50% >= 55% Left Ventricle - Stroke Volume: 53 ml/beat Left Ventricle - Peak" False positive,,"(4553, 4557)",,Peak,,1348299005,16393593-DS-5,"roke Volume: 53 ml/beat Left Ventricle - Peak Resting LVOT gradient: 2 mm Hg <= 10 mm Hg " False positive,,"(4566, 4570)",,LVOT,,109426009,16393593-DS-5," 53 ml/beat Left Ventricle - Peak Resting LVOT gradient: 2 mm Hg <= 10 mm Hg Left Ventri" False positive,,"(4641, 4654)",,LVOT gradient,,251083001,16393593-DS-5," <= 10 mm Hg Left Ventricle - Peak Inducible LVOT gradient: 1 mm Hg Aortic Valve - Peak Velocity: " False positive,,"(4852, 4856)",,LVOT,,109426009,16393593-DS-5," - Mean Gradient: 7 mm Hg Aortic Valve - LVOT VTI: 17 Aortic Valve - LVOT diam: 2.0 " False positive,,"(4889, 4893)",,LVOT,,109426009,16393593-DS-5,"rtic Valve - LVOT VTI: 17 Aortic Valve - LVOT diam: 2.0 cm Mitral Valve - Peak Velocit" False positive,,"(5513, 5522)",,Depressed,,58051000087107,16393593-DS-5,": Moderate ___. No mass/thrombus in the ___ ___. Depressed ___ emptying velocity (<0.2m/s) RIGHT ATRIUM/IN" False positive,,"(5557, 5569)",,RIGHT ATRIUM,,128591008,16393593-DS-5," ___. Depressed ___ emptying velocity (<0.2m/s) RIGHT ATRIUM/INTERATRIAL SEPTUM: Normal RA size. No ASD by 2D " False positive,,"(5570, 5588)",,INTERATRIAL SEPTUM,,362016003,16393593-DS-5,"ed ___ emptying velocity (<0.2m/s) RIGHT ATRIUM/INTERATRIAL SEPTUM: Normal RA size. No ASD by 2D or color Doppler. " False positive,,"(5640, 5654)",,LEFT VENTRICLE,,250921006,16393593-DS-5,"Normal RA size. No ASD by 2D or color Doppler. LEFT VENTRICLE: Low normal LVEF. RIGHT VENTRICLE: Normal RV ch" False positive,,"(5656, 5659)",,Low,,165439008,16393593-DS-5,"No ASD by 2D or color Doppler. LEFT VENTRICLE: Low normal LVEF. RIGHT VENTRICLE: Normal RV chamber" False positive,,"(5675, 5690)",,RIGHT VENTRICLE,,109425008,16393593-DS-5,"lor Doppler. LEFT VENTRICLE: Low normal LVEF. RIGHT VENTRICLE: Normal RV chamber size and free wall motion. A" False positive,,"(5970, 5993)",,aortic valve prosthesis,,782703006,16393593-DS-5,"aortic dissection. AORTIC VALVE: Bioprosthetic aortic valve prosthesis (AVR). No AS. No AR. MITRAL VALVE: Moderate mi" False positive,,"(6018, 6030)",,MITRAL VALVE,,78196008,16393593-DS-5,"c aortic valve prosthesis (AVR). No AS. No AR. MITRAL VALVE: Moderate mitral annular calcification. No MS. _" False positive,,"(6032, 6036)",,Mode,,399264008,16393593-DS-5," prosthesis (AVR). No AS. No AR. MITRAL VALVE: Moderate mitral annular calcification. No MS. ___ (2+" False positive,,"(6098, 6100)",,VA,,258000009,16393593-DS-5,"annular calcification. No MS. ___ (2+) MR. ___ VALVE: Normal tricuspid valve leaflets with trivial " False positive,,"(6260, 6263)",,Tri,,204351007,16393593-DS-5,"e leaflet. No PS. Physiologic PR. PERICARDIUM: Trivial/physiologic pericardial effusion. GENERAL C" False positive,,"(6639, 6640)",,L,,420296000,16393593-DS-5,"ered. No TEE related complications. REGIONAL LEFT VENTRICULAR WALL MOTION: Basal Inferosepta" False positive,,"(6955, 6966)",,Hypokinetic,,95633009,16393593-DS-5,"r ApexLateral Apex Apex N = Normal, H = Hypokinetic, A = Akinetic, D = Dyskinetic Conclusions " False positive,,"(6972, 6980)",,Akinetic,,250910002,16393593-DS-5,"x Apex N = Normal, H = Hypokinetic, A = Akinetic, D = Dyskinetic Conclusions Echo probe pla" False positive,,"(6986, 6996)",,Dyskinetic,,406506008,16393593-DS-5," N = Normal, H = Hypokinetic, A = Akinetic, D = Dyskinetic Conclusions Echo probe placed in the setti" False positive,,"(7016, 7020)",,Echo,,40701008,16393593-DS-5,", A = Akinetic, D = Dyskinetic Conclusions Echo probe placed in the setting of possible LIMA inju" False positive,,"(7312, 7313)",,I,,257989008,16393593-DS-5,"dage emptying velocity is depressed (<0.2m/s). IAS: No atrial septal defect is seen by 2D or colo" False positive,,"(7377, 7379)",,LV,,109426009,16393593-DS-5," septal defect is seen by 2D or color Doppler. LV: The LV has borderline normal function with EF 5" False positive,,"(7505, 7507)",,RV,,301097002,16393593-DS-5,"septal function was normal throughout the exam. RV: Right ventricular chamber size and free wall mo" False positive,,"(7654, 7660)",,normal,,840673007,16393593-DS-5,"orta at the sinus, ascending and arch levels are normal. There are simple atheroma in the ascending aorta" False positive,,"(7824, 7826)",,AV,,258000009,16393593-DS-5," aorta. No thoracic aortic dissection is seen. AV: A bioprosthetic aortic valve prosthesis is pres" False positive,,"(7953, 7955)",,MV,,1186620002,16393593-DS-5,"lve stenosis. No aortic regurgitation is seen. MV: Moderate (2+) mitral regurgitation is seen. The" False positive,,"(8028, 8030)",,TV,,13621006,16393593-DS-5," regurgitation is seen. There is moderate MAC. TV: Normal leaflets, trivial TR. Pericardium: Th" False positive,,"(8033, 8039)",,Normal,,840673007,16393593-DS-5,"rgitation is seen. There is moderate MAC. TV: Normal leaflets, trivial TR. Pericardium: There is a " False positive,,"(8167, 8173)",,normal,,840673007,16393593-DS-5,"ial effusion. CONCLUSION: echo ___: There is normal left ventricular wall thickness with a normal ca" False positive,,"(8213, 8219)",,normal,,840673007,16393593-DS-5," is normal left ventricular wall thickness with a normal cavity size. There is SEVERE regional left ventr" False positive,,"(8472, 8480)",,anterior,,261123004,16393593-DS-5,"t other segments with the exception of the basal anterior, septal and lateral walls (see schematic). No th" False positive,,"(8643, 8645)",,Mi,,22298006,16393593-DS-5,"tricular systolic function is severely depressed. Mildly dilated right ventricular cavity with mild g" False positive,,"(8728, 8740)",,aortic valve,,60573004,16393593-DS-5,"avity with mild global free wall hypokinesis. An aortic valve bioprosthesis is present. The prosthesis is well " False positive,,"(9381, 9389)",,regional,,57438004,16393593-DS-5,": Suboptimal image quality. Severe and extensive regional wall motion abnormalities c/w multivessel CAD. MI" False positive,,"(9437, 9439)",,MI,,22298006,16393593-DS-5,"al wall motion abnormalities c/w multivessel CAD. MIld right ventricular dilation with mild global hy" False positive,,"(9626, 9629)",,AVR,,61279008,16393593-DS-5,"ll seated and normally functioning bioprosthetic AVR. Compared with the prior TTE ___, extensive regio" False positive,,"(9674, 9682)",,regional,,57438004,16393593-DS-5,"c AVR. Compared with the prior TTE ___, extensive regional left ventricular dysfunction is new. The severit" False positive,,"(10054, 10062)",,Effusion,,60046008,16393593-DS-5,"V) Basal Diameter: 4.3cm (nl<4.2) PERICARDIUM Max Effusion: 0.4cm (<0.3) AORTIC VALVE (AV) Peak Velocity: 2." False positive,,"(10260, 10266)",,Normal,,840673007,16393593-DS-5," CAVA (IVC): Catheter in RA LEFT VENTRICLE (LV): Normal wall thicknesses. Normal cavity size. Severe foc" False positive,,"(10440, 10444)",,Mild,,162468002,16393593-DS-5,"pressed ejection fraction. RIGHT VENTRICLE (RV): Mild cavity enlargement. Mild global free wall hypoki" False positive,,"(10465, 10467)",,Mi,,22298006,16393593-DS-5,"n. RIGHT VENTRICLE (RV): Mild cavity enlargement. Mild global free wall hypokinesis. AORTIC VALVE (AV" False positive,,"(10520, 10521)",,B,,257983009,16393593-DS-5,"global free wall hypokinesis. AORTIC VALVE (AV): Bioprosthesis. Well seated prosthesis. Normal pros" False positive,,"(10547, 10557)",,prosthesis,,102303004,16393593-DS-5,"is. AORTIC VALVE (AV): Bioprosthesis. Well seated prosthesis. Normal prosthesis gradient. Minimal stenosis. N" False positive,,"(10567, 10572)",,prost,,36081005,16393593-DS-5,"): Bioprosthesis. Well seated prosthesis. Normal prosthesis gradient. Minimal stenosis. No regurgitation" False positive,,"(11038, 11048)",,transected,,860794005,16393593-DS-5,"ebridement and during the procedure the LIMA was transected. The sternum was left open and the patient went " False positive,,"(11117, 11121)",,cath,,28309003,16393593-DS-5,"left open and the patient went immediately to the cath lab from the OR. He was found to have native LA" False positive,,"(11162, 11168)",,native,,24023003,16393593-DS-5," the cath lab from the OR. He was found to have native LAD disease but he was not stented because he wa" False positive,,"(11268, 11284)",,pectoralis flaps,,256762000,16393593-DS-5,"s going to need further OR procedures, including pectoralis flaps, and it would have been problematic to have the " False positive,,"(11610, 11618)",,acidotic,,420422005,16393593-DS-5," with Lido and Amiodorone. He was progressively acidotic over the day and had a rising lactate. He was se" False positive,,"(11642, 11648)",,rising,,717315008,16393593-DS-5,"as progressively acidotic over the day and had a rising lactate. He was seen by EP and the interventiona" False positive,,"(11649, 11656)",,lactate,,10133003,16393593-DS-5,"gressively acidotic over the day and had a rising lactate. He was seen by EP and the interventional cardio" False positive,,"(11754, 11761)",,lactate,,10133003,16393593-DS-5,"iologists. ___ he required a bicarb gtt and his lactate was rising despite volume. He underwent an explo" False positive,,"(11839, 11847)",,negative,,268375009,16393593-DS-5," He underwent an exploratory laparotomy which was negative. When he was being moved from the OR table to th" False positive,,"(11968, 11972)",,cath,,28309003,16393593-DS-5,"s shocked and had ROSC. He was then taken to the cath lab and had a stent placed to the LAD. He again" False positive,,"(12046, 12050)",,cath,,28309003,16393593-DS-5,"aced to the LAD. He again became unstable in the cath lab and had VT which resolved with epi. He was t" False positive,,"(12073, 12081)",,resolved,,413322009,16393593-DS-5,"became unstable in the cath lab and had VT which resolved with epi. He was transferred back to the CVICU an" False positive,,"(12123, 12128)",,CVICU,,309910001,16393593-DS-5,"resolved with epi. He was transferred back to the CVICU and continued to deteriorate. He required increa" False positive,,"(12147, 12158)",,deteriorate,,409053002,16393593-DS-5,"s transferred back to the CVICU and continued to deteriorate. He required increased pressors and went up to 0." False positive,,"(12453, 12457)",,cath,,28309003,16393593-DS-5,"T was started. He did not improve and since the cath lab his pupils were fixed and dilated. He became" False positive,,"(12508, 12517)",,asystolic,,427485008,16393593-DS-5,"lab his pupils were fixed and dilated. He became asystolic at 3:35 on ___ and had no blood pressure. The fa" False positive,,"(14598, 14602)",,Left,,264745005,16393593-DS-5,"roke ___ - Memory issues as a residual DVT ___ - Left ITP ?Empyema drained by chest tube Past Surgic" Missed entity,"(186, 204)",,No Known Allergies,,609328004,,16393593-DS-5," Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief" "Correct entity, wrong SNOMED ID","(207, 229)","(207, 229)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,16393593-DS-5,"CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: sternal drain" Wrong span,"(266, 273)","(266, 282)",sternal,sternal drainage,56873002,63314003,16393593-DS-5,"rug Reactions Attending: ___ Chief Complaint: sternal drainage Major Surgical or Invasive Procedure: " Wrong span,"(274, 282)","(266, 282)",drainage,sternal drainage,75823008,63314003,16393593-DS-5,"tions Attending: ___ Chief Complaint: sternal drainage Major Surgical or Invasive Procedure: sternal d" Wrong span,"(323, 342)","(323, 330)",sternal debridement,sternal,67549005,367766006,16393593-DS-5," drainage Major Surgical or Invasive Procedure: sternal debridement and washout ___ cardiac cath ___ and cath with st" "Correct entity, wrong SNOMED ID","(347, 354)","(347, 354)",washout,washout,225116006,176193005,16393593-DS-5,"al or Invasive Procedure: sternal debridement and washout ___ cardiac cath ___ and cath with stent to LAD o" "Correct entity, wrong SNOMED ID","(359, 371)","(359, 371)",cardiac cath,cardiac cath,41976001,59261000119100,16393593-DS-5,"ve Procedure: sternal debridement and washout ___ cardiac cath ___ and cath with stent to LAD on ___ exploratory" "Correct entity, wrong SNOMED ID","(380, 384)","(380, 384)",cath,cath,41976001,28309003,16393593-DS-5," debridement and washout ___ cardiac cath ___ and cath with stent to LAD on ___ exploratory lap ___ Hi" "Correct entity, wrong SNOMED ID","(390, 395)","(390, 395)",stent,stent,103716009,1287503001,16393593-DS-5,"nt and washout ___ cardiac cath ___ and cath with stent to LAD on ___ exploratory lap ___ History of Pr" "Correct entity, wrong SNOMED ID","(399, 402)","(399, 402)",LAD,LAD,59438005,1010291002,16393593-DS-5,"shout ___ cardiac cath ___ and cath with stent to LAD on ___ exploratory lap ___ History of Present I" "Correct entity, wrong SNOMED ID","(410, 425)","(410, 425)",exploratory lap,exploratory lap,74770008,446805001,16393593-DS-5,"ardiac cath ___ and cath with stent to LAD on ___ exploratory lap ___ History of Present Illness: Very nice ___ y" "Correct entity, wrong SNOMED ID","(498, 513)","(498, 513)",type 2 diabetes,type 2 diabetes,44054006,443694000,16393593-DS-5,"nt Illness: Very nice ___ year old gentleman with type 2 diabetes on an insulin pump, hypertension, stroke, atrial" "Correct entity, wrong SNOMED ID","(521, 533)","(521, 533)",insulin pump,insulin pump,225302006,12215961000119109,16393593-DS-5,"__ year old gentleman with type 2 diabetes on an insulin pump, hypertension, stroke, atrial fibrillation, hype" "Correct entity, wrong SNOMED ID","(535, 547)","(535, 547)",hypertension,hypertension,38341003,70995007,16393593-DS-5,"ntleman with type 2 diabetes on an insulin pump, hypertension, stroke, atrial fibrillation, hyperlipidemia and" "Correct entity, wrong SNOMED ID","(549, 555)","(549, 555)",stroke,stroke,230690007,422504002,16393593-DS-5,"ype 2 diabetes on an insulin pump, hypertension, stroke, atrial fibrillation, hyperlipidemia and idiopat" "Correct entity, wrong SNOMED ID","(557, 576)","(557, 576)",atrial fibrillation,atrial fibrillation,49436004,313377641000119105,16393593-DS-5,"abetes on an insulin pump, hypertension, stroke, atrial fibrillation, hyperlipidemia and idiopathic thrombocytopenia " "Correct entity, wrong SNOMED ID","(579, 593)","(579, 593)",hyperlipidemia,hyperlipidemia,55822004,267434003,16393593-DS-5,"pump, hypertension, stroke, atrial fibrillation, hyperlipidemia and idiopathic thrombocytopenia purpura who deve" "Correct entity, wrong SNOMED ID","(660, 668)","(660, 668)",drainage,drainage,239164002,56783008,16393593-DS-5,"hrombocytopenia purpura who developed an area of drainage along his sternotomy this past ___. He was seen " "Correct entity, wrong SNOMED ID","(679, 689)","(679, 689)",sternotomy,sternotomy,27779004,359672006,16393593-DS-5,"pura who developed an area of drainage along his sternotomy this past ___. He was seen by his primary who pr" Wrong span,"(770, 788)","(770, 777)",cultured the wound,culture,401294003,61594008,16393593-DS-5," his primary who promptly referred him to Dr. ___ cultured the wound and involved Dr. ___ in his evaluation. Mr. ___ " "Correct entity, wrong SNOMED ID","(818, 828)","(818, 828)",evaluation,evaluation,386053000,39609006,16393593-DS-5,"_ cultured the wound and involved Dr. ___ in his evaluation. Mr. ___ underwent CABGx3 and redo aortic valve " "Correct entity, wrong SNOMED ID","(848, 854)","(848, 854)",CABGx3,CABGx3,232721002,232719007,16393593-DS-5,"ved Dr. ___ in his evaluation. Mr. ___ underwent CABGx3 and redo aortic valve replacement in ___ at ___ " "Correct entity, wrong SNOMED ID","(864, 889)","(864, 889)","aortic valve replacement","aortic valve replacement",26212005,174927000,16393593-DS-5,"is evaluation. Mr. ___ underwent CABGx3 and redo aortic valve replacement in ___ at ___ in ___, ___. He had a complicated" Missed entity,"(928, 954)",,complicated post-op course,,385486001,,16393593-DS-5,"replacement in ___ at ___ in ___, ___. He had a complicated post-op course, including sternotomy wound dehiscence and infec" "Correct entity, wrong SNOMED ID","(966, 976)","(966, 976)",sternotomy,sternotomy,27779004,359672006,16393593-DS-5,". He had a complicated post-op course, including sternotomy wound dehiscence and infection which was treated" "Correct entity, wrong SNOMED ID","(978, 994)","(978, 994)",wound dehiscence,wound dehiscence,410723003,314948003,16393593-DS-5,"complicated post-op course, including sternotomy wound dehiscence and infection which was treated with IV antibioti" "Correct entity, wrong SNOMED ID","(999, 1008)","(999, 1008)",infection,infection,58126003,260976002,16393593-DS-5,"ourse, including sternotomy wound dehiscence and infection which was treated with IV antibiotics and wet to " "Correct entity, wrong SNOMED ID","(1032, 1046)","(1032, 1046)","IV antibiotics","IV antibiotics",281790008,410573003,16393593-DS-5,"d dehiscence and infection which was treated with IV antibiotics and wet to dry dressing changes. His surgery was " Missed entity,"(1062, 1078)",,dressing changes,,18949003,,16393593-DS-5,"ch was treated with IV antibiotics and wet to dry dressing changes. His surgery was also complicated by stroke, dee" "Correct entity, wrong SNOMED ID","(1084, 1091)","(1084, 1091)",surgery,surgery,387713003,110473004,16393593-DS-5," antibiotics and wet to dry dressing changes. His surgery was also complicated by stroke, deep vein thromb" "Correct entity, wrong SNOMED ID","(1117, 1123)","(1117, 1123)",stroke,stroke,230690007,422504002,16393593-DS-5,"ing changes. His surgery was also complicated by stroke, deep vein thrombosis and need for a feeding tub" "Correct entity, wrong SNOMED ID","(1125, 1145)","(1125, 1145)",deep vein thrombosis,deep vein thrombosis,128053003,1141709008,16393593-DS-5,"ges. His surgery was also complicated by stroke, deep vein thrombosis and need for a feeding tube. He had been recover" "Correct entity, wrong SNOMED ID","(1336, 1344)","(1336, 1344)",incision,incision,34896006,119684006,16393593-DS-5,"d, fluid-filled pocket towards mid portion of his incision just above the prior infection site. His tempera" Wrong span,"(1367, 1381)","(1367, 1376)",infection site,infection,76844004,260976002,16393593-DS-5,"mid portion of his incision just above the prior infection site. His temperature orally at the time was 99.7F. H" "Correct entity, wrong SNOMED ID","(1452, 1457)","(1452, 1457)",fever,fever,386661006,248430002,16393593-DS-5,"lly at the time was 99.7F. He denies any current fever/chills but does note pain over the area, dyspnea" "Correct entity, wrong SNOMED ID","(1458, 1464)","(1458, 1464)",chills,chills,43724002,274640006,16393593-DS-5," the time was 99.7F. He denies any current fever/chills but does note pain over the area, dyspnea and fa" "Correct entity, wrong SNOMED ID","(1480, 1484)","(1480, 1484)",pain,pain,22253000,102570003,16393593-DS-5,"He denies any current fever/chills but does note pain over the area, dyspnea and fatigue. He reports no" "Correct entity, wrong SNOMED ID","(1500, 1507)","(1500, 1507)",dyspnea,dyspnea,267036007,60845006,16393593-DS-5,"t fever/chills but does note pain over the area, dyspnea and fatigue. He reports no trauma to the area ov" "Correct entity, wrong SNOMED ID","(1512, 1519)","(1512, 1519)",fatigue,fatigue,84229001,1141720008,16393593-DS-5,"ls but does note pain over the area, dyspnea and fatigue. He reports no trauma to the area over the last " "Correct entity, wrong SNOMED ID","(1535, 1541)","(1535, 1541)",trauma,trauma,417746004,25809009,16393593-DS-5,"over the area, dyspnea and fatigue. He reports no trauma to the area over the last few days. He also note" Missed entity,"(1638, 1646)",,draining,,239164002,,16393593-DS-5,"otes that his former feeding tube site has begun draining. He presents for surgical evaluation. Past Me" Wrong span,"(1664, 1672)","(1664, 1684)",surgical,"surgical evaluation",387713003,110466009,16393593-DS-5,"ing tube site has begun draining. He presents for surgical evaluation. Past Medical History: AORTIC STEN" Wrong span,"(1674, 1684)","(1664, 1684)",evaluation,"surgical evaluation",386053000,110466009,16393593-DS-5,"ite has begun draining. He presents for surgical evaluation. Past Medical History: AORTIC STENOSIS s/p AVR" "Correct entity, wrong SNOMED ID","(1711, 1726)","(1711, 1726)",AORTIC STENOSIS,AORTIC STENOSIS,60573004,233863001,16393593-DS-5,"or surgical evaluation. Past Medical History: AORTIC STENOSIS s/p AVR bioprosthetic " Wrong span,"(1731, 1748)","(1731, 1734)",AVR bioprosthetic,AVR,174929002,61279008,16393593-DS-5,"ion. Past Medical History: AORTIC STENOSIS s/p AVR bioprosthetic BASAL CELL CARCINOM" "Correct entity, wrong SNOMED ID","(1779, 1799)","(1779, 1799)",BASAL CELL CARCINOMA,BASAL CELL CARCINOMA,1338007,399470004,16393593-DS-5,"p AVR bioprosthetic BASAL CELL CARCINOMA DIABE" "Correct entity, wrong SNOMED ID","(1844, 1861)","(1844, 1861)",DIABETES MELLITUS,DIABETES MELLITUS,73211009,44054006,16393593-DS-5,"INOMA DIABETES MELLITUS EO" "Correct entity, wrong SNOMED ID","(1909, 1921)","(1909, 1921)",EOSINOPHILIA,EOSINOPHILIA,386789004,278484009,16393593-DS-5,"US EOSINOPHILIA " "Correct entity, wrong SNOMED ID","(1974, 1986)","(1974, 1986)",HYPERTENSION,HYPERTENSION,38341003,70995007,16393593-DS-5," HYPERTENSION " "Correct entity, wrong SNOMED ID","(2039, 2050)","(2039, 2050)",SARCOIDOSIS,SARCOIDOSIS,31541009,111937006,16393593-DS-5," SARCOIDOSIS " "Correct entity, wrong SNOMED ID","(2170, 2178)","(2170, 2178)",SHINGLES,SHINGLES,4740000,1078254009,16393593-DS-5,"s SHINGLES " "Correct entity, wrong SNOMED ID","(2235, 2246)","(2235, 2246)",SLEEP APNEA,SLEEP APNEA,73430006,78275009,16393593-DS-5," SLEEP APNEA " Wrong span,"(2300, 2311)","(2300, 2373)",STEATORRHEA,"STEATORRHEA RHINITIS",66187002,195768000,16393593-DS-5," STEATORRHEA " Wrong span,"(2365, 2373)","(2300, 2373)",RHINITIS,"STEATORRHEA RHINITIS",70076002,195768000,16393593-DS-5," RHINITIS " "Correct entity, wrong SNOMED ID","(2430, 2443)","(2430, 2443)",LOW BACK PAIN,LOW BACK PAIN,279039007,278862001,16393593-DS-5," LOW BACK PAIN " "Correct entity, wrong SNOMED ID","(2495, 2510)","(2495, 2510)",LYMPHADENOPATHY,LYMPHADENOPATHY,30746006,127159003,16393593-DS-5," LYMPHADENOPATHY " Wrong span,"(2560, 2583)","(2560, 2568)",SQUAMOUS CELL CARCINOMA,SQUAMOUS,402815007,82049002,16393593-DS-5," SQUAMOUS CELL CARCINOMA PSH Trigger finger release surgery on righ" "Correct entity, wrong SNOMED ID","(2595, 2625)","(2595, 2625)",Trigger finger release surgery,Trigger finger release surgery,239267000,200017006,16393593-DS-5," SQUAMOUS CELL CARCINOMA PSH Trigger finger release surgery on right hand ___ Knee arthroscopy ___ Cholecyste" "Correct entity, wrong SNOMED ID","(2629, 2639)","(2629, 2639)",right hand,right hand,78791008,368455003,16393593-DS-5,"NOMA PSH Trigger finger release surgery on right hand ___ Knee arthroscopy ___ Cholecystectomy Socia" "Correct entity, wrong SNOMED ID","(2644, 2660)","(2644, 2660)",Knee arthroscopy,Knee arthroscopy,309431009,1303595003,16393593-DS-5," Trigger finger release surgery on right hand ___ Knee arthroscopy ___ Cholecystectomy Social History: ___ Family" "Correct entity, wrong SNOMED ID","(2665, 2680)","(2665, 2680)",Cholecystectomy,Cholecystectomy,38102005,45595009,16393593-DS-5,"se surgery on right hand ___ Knee arthroscopy ___ Cholecystectomy Social History: ___ Family History: Family His" "Correct entity, wrong SNOMED ID","(2746, 2754)","(2746, 2754)",melanoma,melanoma,93655004,177281002,16393593-DS-5,"ry: ___ Family History: Family History: Mother : melanoma Father: unknown Sister: diabetes Physical ___: " "Correct entity, wrong SNOMED ID","(2779, 2787)","(2779, 2787)",diabetes,diabetes,73211009,9414007,16393593-DS-5,"story: Mother : melanoma Father: unknown Sister: diabetes Physical ___: BP: 112/52. Heart Rate: 69. Weigh" "Correct entity, wrong SNOMED ID","(2804, 2806)","(2804, 2806)",BP,BP,392570002,38341003,16393593-DS-5," Father: unknown Sister: diabetes Physical ___: BP: 112/52. Heart Rate: 69. Weight: 171.2. BMI: 23.9" "Correct entity, wrong SNOMED ID","(2816, 2826)","(2816, 2826)",Heart Rate,Heart Rate,301113001,428420003,16393593-DS-5,"nown Sister: diabetes Physical ___: BP: 112/52. Heart Rate: 69. Weight: 171.2. BMI: 23.9. Temperature: 97.6." "Correct entity, wrong SNOMED ID","(2832, 2838)","(2832, 2838)",Weight,Weight,107647005,43664005,16393593-DS-5,"betes Physical ___: BP: 112/52. Heart Rate: 69. Weight: 171.2. BMI: 23.9. Temperature: 97.6. Height: 71" Missed entity,"(2847, 2850)",,BMI,,301331008,,16393593-DS-5,"l ___: BP: 112/52. Heart Rate: 69. Weight: 171.2. BMI: 23.9. Temperature: 97.6. Height: 71"" Weight" "Correct entity, wrong SNOMED ID","(2858, 2869)","(2858, 2869)",Temperature,Temperature,105723007,228018009,16393593-DS-5,"112/52. Heart Rate: 69. Weight: 171.2. BMI: 23.9. Temperature: 97.6. Height: 71"" Weight: 171lb General: A" "Correct entity, wrong SNOMED ID","(2878, 2884)","(2878, 2884)",Height,Height,365714001,18779001,16393593-DS-5,"69. Weight: 171.2. BMI: 23.9. Temperature: 97.6. Height: 71"" Weight: 171lb General: Appears pale, fr" "Correct entity, wrong SNOMED ID","(2894, 2900)","(2894, 2900)",Weight,Weight,107647005,43664005,16393593-DS-5,"2. BMI: 23.9. Temperature: 97.6. Height: 71"" Weight: 171lb General: Appears pale, frail and mildly d" "Correct entity, wrong SNOMED ID","(2909, 2916)","(2909, 2916)",General,General,162673000,112262001,16393593-DS-5,"emperature: 97.6. Height: 71"" Weight: 171lb General: Appears pale, frail and mildly deconditioned. S" "Correct entity, wrong SNOMED ID","(2926, 2930)","(2926, 2930)",pale,pale,398979000,167234002,16393593-DS-5," Height: 71"" Weight: 171lb General: Appears pale, frail and mildly deconditioned. Skin: Warm, dry" "Correct entity, wrong SNOMED ID","(2932, 2937)","(2932, 2937)",frail,frail,248279007,1375957009,16393593-DS-5,"ht: 71"" Weight: 171lb General: Appears pale, frail and mildly deconditioned. Skin: Warm, dry and in" "Correct entity, wrong SNOMED ID","(2965, 2969)","(2965, 2969)",Skin,Skin,271303006,444884003,16393593-DS-5,"l: Appears pale, frail and mildly deconditioned. Skin: Warm, dry and intact Sternotomy: Small opening a" "Correct entity, wrong SNOMED ID","(2971, 2975)","(2971, 2975)",Warm,Warm,102599008,298256005,16393593-DS-5,"ears pale, frail and mildly deconditioned. Skin: Warm, dry and intact Sternotomy: Small opening at mid/" "Correct entity, wrong SNOMED ID","(2985, 2991)","(2985, 2991)",intact,intact,299956006,247602005,16393593-DS-5,"il and mildly deconditioned. Skin: Warm, dry and intact Sternotomy: Small opening at mid/upper sternotomy" "Correct entity, wrong SNOMED ID","(2992, 3002)","(2992, 3002)",Sternotomy,Sternotomy,27779004,359672006,16393593-DS-5,"mildly deconditioned. Skin: Warm, dry and intact Sternotomy: Small opening at mid/upper sternotomy measuring " Wrong span,"(3031, 3041)","(3025, 3041)",sternotomy,upper sternotomy,27779004,180618004,16393593-DS-5,"and intact Sternotomy: Small opening at mid/upper sternotomy measuring 2cm x 1.5cm. There is yellow/shite thi" "Correct entity, wrong SNOMED ID","(3088, 3097)","(3088, 3097)",thickened,thickened,89977008,309085000,16393593-DS-5,"omy measuring 2cm x 1.5cm. There is yellow/shite thickened discharge. Mild erythema. Bone feels relatively s" "Correct entity, wrong SNOMED ID","(3114, 3122)","(3114, 3122)",erythema,erythema,247441003,403194002,16393593-DS-5,". There is yellow/shite thickened discharge. Mild erythema. Bone feels relatively stable but there is an app" "Correct entity, wrong SNOMED ID","(3206, 3210)","(3206, 3210)",NCAT,NCAT,840673007,32752003,16393593-DS-5," there is an appreciable void superiorly. HEENT: NCAT, PERRL, sclera anicteric, OP benign. Neck: Supp" "Correct entity, wrong SNOMED ID","(3212, 3217)","(3212, 3217)",PERRL,PERRL,386666001,259037005,16393593-DS-5," is an appreciable void superiorly. HEENT: NCAT, PERRL, sclera anicteric, OP benign. Neck: Supple [X] " "Correct entity, wrong SNOMED ID","(3219, 3235)","(3219, 3235)",sclera anicteric,sclera anicteric,427801009,231878001,16393593-DS-5,"appreciable void superiorly. HEENT: NCAT, PERRL, sclera anicteric, OP benign. Neck: Supple [X] Full ROM [X] Chest" "Correct entity, wrong SNOMED ID","(3256, 3262)","(3256, 3262)",Supple,Supple,298475003,169743001,16393593-DS-5,"NCAT, PERRL, sclera anicteric, OP benign. Neck: Supple [X] Full ROM [X] Chest: Lung sounds decreased at " "Correct entity, wrong SNOMED ID","(3267, 3275)","(3267, 3275)",Full ROM,Full ROM,304342003,404922004,16393593-DS-5,", sclera anicteric, OP benign. Neck: Supple [X] Full ROM [X] Chest: Lung sounds decreased at bases Heart: " "Correct entity, wrong SNOMED ID","(3280, 3285)","(3280, 3285)",Chest,Chest,268925001,177765008,16393593-DS-5,"teric, OP benign. Neck: Supple [X] Full ROM [X] Chest: Lung sounds decreased at bases Heart: Irregular " "Correct entity, wrong SNOMED ID","(3287, 3308)","(3287, 3308)",Lung sounds decreased,Lung sounds decreased,58840004,271662005,16393593-DS-5,"OP benign. Neck: Supple [X] Full ROM [X] Chest: Lung sounds decreased at bases Heart: Irregular rhythm, no m/r/g Abdom" "Correct entity, wrong SNOMED ID","(3312, 3317)","(3312, 3317)",bases,bases,10024003,417082000,16393593-DS-5," [X] Full ROM [X] Chest: Lung sounds decreased at bases Heart: Irregular rhythm, no m/r/g Abdomen: Soft " "Correct entity, wrong SNOMED ID","(3318, 3323)","(3318, 3323)",Heart,Heart,363003006,22298006,16393593-DS-5,"ull ROM [X] Chest: Lung sounds decreased at bases Heart: Irregular rhythm, no m/r/g Abdomen: Soft [X] no" "Correct entity, wrong SNOMED ID","(3325, 3341)","(3325, 3341)",Irregular rhythm,Irregular rhythm,361137007,248652003,16393593-DS-5," [X] Chest: Lung sounds decreased at bases Heart: Irregular rhythm, no m/r/g Abdomen: Soft [X] non-distended [X] no" Wrong span,"(3346, 3347)","(3343, 3351)",m,no m/r/g,414786004,315221003,16393593-DS-5,"ds decreased at bases Heart: Irregular rhythm, no m/r/g Abdomen: Soft [X] non-distended [X] non-tend" Wrong span,"(3348, 3349)","(3343, 3351)",r,no m/r/g,7036007,315221003,16393593-DS-5," decreased at bases Heart: Irregular rhythm, no m/r/g Abdomen: Soft [X] non-distended [X] non-tender" "Correct entity, wrong SNOMED ID","(3371, 3384)","(3371, 3384)",non-distended,non-distended,300405003,162069004,16393593-DS-5,"rt: Irregular rhythm, no m/r/g Abdomen: Soft [X] non-distended [X] non-tender [X] bowel sounds +[X] There is mi" "Correct entity, wrong SNOMED ID","(3389, 3399)","(3389, 3399)",non-tender,non-tender,43478001,298741000,16393593-DS-5,"hm, no m/r/g Abdomen: Soft [X] non-distended [X] non-tender [X] bowel sounds +[X] There is mild drainage fro" Boundary error,"(3405, 3419)","(3405, 3417)","bowel sounds +",bowel sounds,61539000,61539000,16393593-DS-5,"domen: Soft [X] non-distended [X] non-tender [X] bowel sounds +[X] There is mild drainage from former feeding tub" "Correct entity, wrong SNOMED ID","(3437, 3445)","(3437, 3445)",drainage,drainage,239164002,56783008,16393593-DS-5,"] non-tender [X] bowel sounds +[X] There is mild drainage from former feeding tube site. No significant ery" "Correct entity, wrong SNOMED ID","(3492, 3500)","(3492, 3500)",erythema,erythema,247441003,403194002,16393593-DS-5,"age from former feeding tube site. No significant erythema. Extremities: Warm [X], well-perfused [X] ___ __" "Correct entity, wrong SNOMED ID","(3503, 3514)","(3503, 3514)",Extremities,Extremities,302773001,248416007,16393593-DS-5,"rmer feeding tube site. No significant erythema. Extremities: Warm [X], well-perfused [X] ___ ___ Edema Varic" "Correct entity, wrong SNOMED ID","(3516, 3520)","(3516, 3520)",Warm,Warm,102599008,298256005,16393593-DS-5,"tube site. No significant erythema. Extremities: Warm [X], well-perfused [X] ___ ___ Edema Varicositie" "Correct entity, wrong SNOMED ID","(3526, 3539)","(3526, 3539)",well-perfused,well-perfused,1137685003,301121007,16393593-DS-5," No significant erythema. Extremities: Warm [X], well-perfused [X] ___ ___ Edema Varicosities: None on right, L" "Correct entity, wrong SNOMED ID","(3552, 3557)","(3552, 3557)",Edema,Edema,267038008,102576009,16393593-DS-5," Extremities: Warm [X], well-perfused [X] ___ ___ Edema Varicosities: None on right, Left EVH Neuro: Gro" "Correct entity, wrong SNOMED ID","(3559, 3571)","(3559, 3571)",Varicosities,Varicosities,128060009,402844009,16393593-DS-5,"ities: Warm [X], well-perfused [X] ___ ___ Edema Varicosities: None on right, Left EVH Neuro: Grossly intact [X" "Correct entity, wrong SNOMED ID","(3593, 3596)","(3593, 3596)",EVH,EVH,712982004,423048008,16393593-DS-5," ___ ___ Edema Varicosities: None on right, Left EVH Neuro: Grossly intact [X] A+Ox3, no focal deficit" "Correct entity, wrong SNOMED ID","(3597, 3602)","(3597, 3602)",Neuro,Neuro,84728005,281247006,16393593-DS-5," ___ Edema Varicosities: None on right, Left EVH Neuro: Grossly intact [X] A+Ox3, no focal deficits note" "Correct entity, wrong SNOMED ID","(3604, 3618)","(3604, 3618)",Grossly intact,Grossly intact,18460000,1367857008,16393593-DS-5,"ema Varicosities: None on right, Left EVH Neuro: Grossly intact [X] A+Ox3, no focal deficits noted. Using a walk" "Correct entity, wrong SNOMED ID","(3625, 3628)","(3625, 3628)",Ox3,Ox3,426224004,396154006,16393593-DS-5,"ne on right, Left EVH Neuro: Grossly intact [X] A+Ox3, no focal deficits noted. Using a walker to walk" "Correct entity, wrong SNOMED ID","(3630, 3647)","(3630, 3647)",no focal deficits,no focal deficits,18460000,66557003,16393593-DS-5," right, Left EVH Neuro: Grossly intact [X] A+Ox3, no focal deficits noted. Using a walker to walk. Pulses: Femoral " Missed entity,"(3664, 3678)",,walker to walk,,427512004,,16393593-DS-5,"tact [X] A+Ox3, no focal deficits noted. Using a walker to walk. Pulses: Femoral Right:2 Left:2 DP " "Correct entity, wrong SNOMED ID","(3688, 3695)","(3688, 3695)",Femoral,Femoral,7657000,45689001,16393593-DS-5," deficits noted. Using a walker to walk. Pulses: Femoral Right:2 Left:2 DP Right:1 Left" "Correct entity, wrong SNOMED ID","(3718, 3720)","(3718, 3720)",DP,DP,86547008,418288005,16393593-DS-5,"er to walk. Pulses: Femoral Right:2 Left:2 DP Right:1 Left:1 ___ Right:1 " "Correct entity, wrong SNOMED ID","(3779, 3785)","(3779, 3785)",Radial,Radial,45631007,255601005,16393593-DS-5," Right:1 Left:1 ___ Right:1 Left:1 Radial Right:2 Left:2 Carotid Bruit: Did n" "Correct entity, wrong SNOMED ID","(3810, 3823)","(3810, 3823)",Carotid Bruit,Carotid Bruit,419642000,10857000,16393593-DS-5," Right:1 Left:1 Radial Right:2 Left:2 Carotid Bruit: Did not appreciate Pertinent Results: __" "Correct entity, wrong SNOMED ID","(3889, 3892)","(3889, 3892)",WBC,WBC,767002,391558003,16393593-DS-5,"ppreciate Pertinent Results: ___ 05:13PM BLOOD WBC-13.5* RBC-3.15* Hgb-9.4* Hct-30.6* MCV-97 MCH-29" "Correct entity, wrong SNOMED ID","(3899, 3902)","(3899, 3902)",RBC,RBC,14089001,258759006,16393593-DS-5," Pertinent Results: ___ 05:13PM BLOOD WBC-13.5* RBC-3.15* Hgb-9.4* Hct-30.6* MCV-97 MCH-29.8 MCHC-30" "Correct entity, wrong SNOMED ID","(3909, 3912)","(3909, 3912)",Hgb,Hgb,441689006,104142005,16393593-DS-5,"nt Results: ___ 05:13PM BLOOD WBC-13.5* RBC-3.15* Hgb-9.4* Hct-30.6* MCV-97 MCH-29.8 MCHC-30.7* RDW-15" "Correct entity, wrong SNOMED ID","(3918, 3921)","(3918, 3921)",Hct,Hct,28317006,282660005,16393593-DS-5,"s: ___ 05:13PM BLOOD WBC-13.5* RBC-3.15* Hgb-9.4* Hct-30.6* MCV-97 MCH-29.8 MCHC-30.7* RDW-15.7* RDWSD" "Correct entity, wrong SNOMED ID","(3945, 3949)","(3945, 3949)",MCHC,MCHC,37254006,735147002,16393593-DS-5,".5* RBC-3.15* Hgb-9.4* Hct-30.6* MCV-97 MCH-29.8 MCHC-30.7* RDW-15.7* RDWSD-55.0* Plt ___ ___ 06:24PM B" "Correct entity, wrong SNOMED ID","(3966, 3971)","(3966, 3971)",RDWSD,RDWSD,66842004,80328002,16393593-DS-5,"* Hct-30.6* MCV-97 MCH-29.8 MCHC-30.7* RDW-15.7* RDWSD-55.0* Plt ___ ___ 06:24PM BLOOD ___ PTT-114.0* __" "Correct entity, wrong SNOMED ID","(4008, 4011)","(4008, 4011)",PTT,PTT,42525009,282119004,16393593-DS-5,"W-15.7* RDWSD-55.0* Plt ___ ___ 06:24PM BLOOD ___ PTT-114.0* ___ ___ 05:13PM BLOOD Glucose-124* UreaN-1" "Correct entity, wrong SNOMED ID","(4041, 4048)","(4041, 4048)",Glucose,Glucose,33747003,72191006,16393593-DS-5,"6:24PM BLOOD ___ PTT-114.0* ___ ___ 05:13PM BLOOD Glucose-124* UreaN-16 Creat-1.5* Na-146 K-6.0* Cl-108 HC" "Correct entity, wrong SNOMED ID","(4054, 4059)","(4054, 4059)",UreaN,UreaN,105011006,111108008,16393593-DS-5,"___ PTT-114.0* ___ ___ 05:13PM BLOOD Glucose-124* UreaN-16 Creat-1.5* Na-146 K-6.0* Cl-108 HCO3-6* AnGap" "Correct entity, wrong SNOMED ID","(4063, 4068)","(4063, 4068)",Creat,Creat,70901006,413856009,16393593-DS-5,"14.0* ___ ___ 05:13PM BLOOD Glucose-124* UreaN-16 Creat-1.5* Na-146 K-6.0* Cl-108 HCO3-6* AnGap-32* ___ " "Correct entity, wrong SNOMED ID","(4074, 4076)","(4074, 4076)",Na,Na,312469006,257992007,16393593-DS-5,"__ 05:13PM BLOOD Glucose-124* UreaN-16 Creat-1.5* Na-146 K-6.0* Cl-108 HCO3-6* AnGap-32* ___ 05:13PM " "Correct entity, wrong SNOMED ID","(4089, 4091)","(4089, 4091)",Cl,Cl,104589004,311741002,16393593-DS-5,"D Glucose-124* UreaN-16 Creat-1.5* Na-146 K-6.0* Cl-108 HCO3-6* AnGap-32* ___ 05:13PM BLOOD ALT-562* " "Correct entity, wrong SNOMED ID","(4096, 4100)","(4096, 4100)",HCO3,HCO3,312471006,88645003,16393593-DS-5,"se-124* UreaN-16 Creat-1.5* Na-146 K-6.0* Cl-108 HCO3-6* AnGap-32* ___ 05:13PM BLOOD ALT-562* AST-3780*" "Correct entity, wrong SNOMED ID","(4104, 4109)","(4104, 4109)",AnGap,AnGap,25469001,124504004,16393593-DS-5,"UreaN-16 Creat-1.5* Na-146 K-6.0* Cl-108 HCO3-6* AnGap-32* ___ 05:13PM BLOOD ALT-562* AST-3780* CK(CPK)-" "Correct entity, wrong SNOMED ID","(4132, 4135)","(4132, 4135)",ALT,ALT,34608000,56935002,16393593-DS-5,"K-6.0* Cl-108 HCO3-6* AnGap-32* ___ 05:13PM BLOOD ALT-562* AST-3780* CK(CPK)-408* AlkPhos-255* Amylase" "Correct entity, wrong SNOMED ID","(4141, 4144)","(4141, 4144)",AST,AST,45896001,85043005,16393593-DS-5,"-108 HCO3-6* AnGap-32* ___ 05:13PM BLOOD ALT-562* AST-3780* CK(CPK)-408* AlkPhos-255* Amylase-9 TotBil" "Correct entity, wrong SNOMED ID","(4188, 4195)","(4188, 4195)",TotBili,TotBili,359986008,19754005,16393593-DS-5,"2* AST-3780* CK(CPK)-408* AlkPhos-255* Amylase-9 TotBili-0.8 ___ 05:13PM BLOOD CK-MB-50* MB Indx-12.3* cTr" "Correct entity, wrong SNOMED ID","(4242, 4249)","(4242, 4249)",cTropnT,cTropnT,105001004,442255004,16393593-DS-5,"ili-0.8 ___ 05:13PM BLOOD CK-MB-50* MB Indx-12.3* cTropnT-3.12* ___ 05:13PM BLOOD Calcium-13.7* Phos-9.4* M" "Correct entity, wrong SNOMED ID","(4274, 4281)","(4274, 4281)",Calcium,Calcium,312472004,108601004,16393593-DS-5,"50* MB Indx-12.3* cTropnT-3.12* ___ 05:13PM BLOOD Calcium-13.7* Phos-9.4* Mg-2.3 ___ 11:15PM BLOOD Type-ART" "Correct entity, wrong SNOMED ID","(4288, 4292)","(4288, 4292)",Phos,Phos,104868000,168075002,16393593-DS-5,".3* cTropnT-3.12* ___ 05:13PM BLOOD Calcium-13.7* Phos-9.4* Mg-2.3 ___ 11:15PM BLOOD Type-ART pO2-101 pC" "Correct entity, wrong SNOMED ID","(4298, 4300)","(4298, 4300)",Mg,Mg,271285000,258684004,16393593-DS-5,"T-3.12* ___ 05:13PM BLOOD Calcium-13.7* Phos-9.4* Mg-2.3 ___ 11:15PM BLOOD Type-ART pO2-101 pCO2-32* p" "Correct entity, wrong SNOMED ID","(4349, 4351)","(4349, 4351)",pH,pH,81065003,264912003,16393593-DS-5,"g-2.3 ___ 11:15PM BLOOD Type-ART pO2-101 pCO2-32* pH-7.13* calTCO2-11* Base XS--17 Echocardiographic" Missed entity,"(4384, 4401)",,Echocardiographic,,40701008,,16393593-DS-5,"2-101 pCO2-32* pH-7.13* calTCO2-11* Base XS--17 Echocardiographic Measurements ___: Left Ventricle - Ejection Fr" "Correct entity, wrong SNOMED ID","(4423, 4437)","(4423, 4437)",Left Ventricle,Left Ventricle,87878005,244385005,16393593-DS-5,"se XS--17 Echocardiographic Measurements ___: Left Ventricle - Ejection Fraction: 45% to 50% >= 55% Lef" "Correct entity, wrong SNOMED ID","(4484, 4498)","(4484, 4498)",Left Ventricle,Left Ventricle,87878005,244385005,16393593-DS-5,"cle - Ejection Fraction: 45% to 50% >= 55% Left Ventricle - Stroke Volume: 53 ml/beat Left Ventric" "Correct entity, wrong SNOMED ID","(4536, 4550)","(4536, 4550)",Left Ventricle,Left Ventricle,87878005,244385005,16393593-DS-5,"ft Ventricle - Stroke Volume: 53 ml/beat Left Ventricle - Peak Resting LVOT gradient: 2 mm Hg <= 10 " "Correct entity, wrong SNOMED ID","(4609, 4623)","(4609, 4623)",Left Ventricle,Left Ventricle,87878005,244385005,16393593-DS-5,"esting LVOT gradient: 2 mm Hg <= 10 mm Hg Left Ventricle - Peak Inducible LVOT gradient: 1 mm Hg " "Correct entity, wrong SNOMED ID","(4673, 4685)","(4673, 4685)",Aortic Valve,Aortic Valve,34202007,60573004,16393593-DS-5," - Peak Inducible LVOT gradient: 1 mm Hg Aortic Valve - Peak Velocity: 1.3 m/sec <= 2.0 m/sec Ao" "Correct entity, wrong SNOMED ID","(4733, 4745)","(4733, 4745)",Aortic Valve,Aortic Valve,34202007,60573004,16393593-DS-5,"ve - Peak Velocity: 1.3 m/sec <= 2.0 m/sec Aortic Valve - Peak Gradient: 14 mm Hg < 20 mm Hg Aorti" "Correct entity, wrong SNOMED ID","(4790, 4802)","(4790, 4802)",Aortic Valve,Aortic Valve,34202007,60573004,16393593-DS-5,"Valve - Peak Gradient: 14 mm Hg < 20 mm Hg Aortic Valve - Mean Gradient: 7 mm Hg Aortic Valve - " "Correct entity, wrong SNOMED ID","(4837, 4849)","(4837, 4849)",Aortic Valve,Aortic Valve,34202007,60573004,16393593-DS-5," Aortic Valve - Mean Gradient: 7 mm Hg Aortic Valve - LVOT VTI: 17 Aortic Valve - LVOT diam:" "Correct entity, wrong SNOMED ID","(4874, 4886)","(4874, 4886)",Aortic Valve,Aortic Valve,34202007,60573004,16393593-DS-5,"mm Hg Aortic Valve - LVOT VTI: 17 Aortic Valve - LVOT diam: 2.0 cm Mitral Valve - Peak " "Correct entity, wrong SNOMED ID","(4916, 4928)","(4916, 4928)",Mitral Valve,Mitral Valve,91134007,78196008,16393593-DS-5," Aortic Valve - LVOT diam: 2.0 cm Mitral Valve - Peak Velocity: 1.2 m/sec Mitral Valve " "Correct entity, wrong SNOMED ID","(4965, 4977)","(4965, 4977)",Mitral Valve,Mitral Valve,91134007,78196008,16393593-DS-5," Mitral Valve - Peak Velocity: 1.2 m/sec Mitral Valve - Mean Gradient: 2 mm Hg Mitral Valve - " Boundary error,"(5012, 5024)","(5012, 5022)",Mitral Valve,Mitral Val,91134007,384641003,16393593-DS-5," Mitral Valve - Mean Gradient: 2 mm Hg Mitral Valve - Pressure Half Time: 70 ms Mitral Valve" "Correct entity, wrong SNOMED ID","(5062, 5074)","(5062, 5074)",Mitral Valve,Mitral Valve,91134007,78196008,16393593-DS-5,"Mitral Valve - Pressure Half Time: 70 ms Mitral Valve - MVA (P ___ T): 3.1 cm2 Mitral Valve - " "Correct entity, wrong SNOMED ID","(5109, 5121)","(5109, 5121)",Mitral Valve,Mitral Valve,91134007,78196008,16393593-DS-5," Mitral Valve - MVA (P ___ T): 3.1 cm2 Mitral Valve - MVA (2D): 3.1 cm2 Mitral Valve - E Wav" "Correct entity, wrong SNOMED ID","(5151, 5163)","(5151, 5163)",Mitral Valve,Mitral Valve,91134007,78196008,16393593-DS-5," Mitral Valve - MVA (2D): 3.1 cm2 Mitral Valve - E Wave: 0.9 m/sec Mitral Valve - A Wav" "Correct entity, wrong SNOMED ID","(5193, 5205)","(5193, 5205)",Mitral Valve,Mitral Valve,91134007,78196008,16393593-DS-5," Mitral Valve - E Wave: 0.9 m/sec Mitral Valve - A Wave: 0.2 m/sec Mitral Valve - E/A r" Missed entity,"(5235, 5247)",,Mitral Valve,,91134007,,16393593-DS-5," Mitral Valve - A Wave: 0.2 m/sec Mitral Valve - E/A ratio: 4.50 Mitral Valve - E Wave " Boundary error,"(5275, 5287)","(5275, 5285)",Mitral Valve,Mitral Val,91134007,384641003,16393593-DS-5,"ec Mitral Valve - E/A ratio: 4.50 Mitral Valve - E Wave deceleration time: *373 ms 140-250 m" "Correct entity, wrong SNOMED ID","(5482, 5486)","(5482, 5486)",mass,mass,4147007,237557003,16393593-DS-5,"nt workstation. LEFT ATRIUM: Moderate ___. No mass/thrombus in the ___ ___. Depressed ___ emptying " "Correct entity, wrong SNOMED ID","(5487, 5495)","(5487, 5495)",thrombus,thrombus,396339007,373140001,16393593-DS-5,"rkstation. LEFT ATRIUM: Moderate ___. No mass/thrombus in the ___ ___. Depressed ___ emptying velocity " Missed entity,"(5597, 5599)",,RA,,73829009,,16393593-DS-5,"0.2m/s) RIGHT ATRIUM/INTERATRIAL SEPTUM: Normal RA size. No ASD by 2D or color Doppler. LEFT VENT" "Correct entity, wrong SNOMED ID","(5609, 5612)","(5609, 5612)",ASD,ASD,70142008,53333005,16393593-DS-5,"GHT ATRIUM/INTERATRIAL SEPTUM: Normal RA size. No ASD by 2D or color Doppler. LEFT VENTRICLE: Low no" "Correct entity, wrong SNOMED ID","(5623, 5636)","(5623, 5636)",color Doppler,color Doppler,423736003,261197005,16393593-DS-5,"ERATRIAL SEPTUM: Normal RA size. No ASD by 2D or color Doppler. LEFT VENTRICLE: Low normal LVEF. RIGHT VENTR" Wrong span,"(5699, 5701)","(5699, 5709)",RV,RV chamber,53085002,253524007,16393593-DS-5,"RICLE: Low normal LVEF. RIGHT VENTRICLE: Normal RV chamber size and free wall motion. AORTA: Norma" Wrong span,"(5702, 5714)","(5699, 5709)",chamber size,RV chamber,373124004,253524007,16393593-DS-5,"LE: Low normal LVEF. RIGHT VENTRICLE: Normal RV chamber size and free wall motion. AORTA: Normal diameter of" Wrong span,"(5719, 5735)","(5724, 5735)",free wall motion,wall motion,373122000,250909007,16393593-DS-5,"EF. RIGHT VENTRICLE: Normal RV chamber size and free wall motion. AORTA: Normal diameter of aorta at the sinus, " "Correct entity, wrong SNOMED ID","(5739, 5744)","(5739, 5744)",AORTA,AORTA,15825003,181298001,16393593-DS-5,"E: Normal RV chamber size and free wall motion. AORTA: Normal diameter of aorta at the sinus, ascending" Wrong span,"(5765, 5783)","(5765, 5770)",aorta at the sinus,aorta,81128002,181298001,16393593-DS-5,"and free wall motion. AORTA: Normal diameter of aorta at the sinus, ascending and arch levels. Simple atheroma in a" "Correct entity, wrong SNOMED ID","(5785, 5794)","(5785, 5794)",ascending,ascending,54247002,83711003,16393593-DS-5,". AORTA: Normal diameter of aorta at the sinus, ascending and arch levels. Simple atheroma in ascending ao" "Correct entity, wrong SNOMED ID","(5820, 5828)","(5820, 5828)",atheroma,atheroma,48434008,29483008,16393593-DS-5," at the sinus, ascending and arch levels. Simple atheroma in ascending aorta. Complex (>4mm) atheroma in t" "Correct entity, wrong SNOMED ID","(5832, 5847)","(5832, 5847)",ascending aorta,ascending aorta,54247002,181299009,16393593-DS-5,"s, ascending and arch levels. Simple atheroma in ascending aorta. Complex (>4mm) atheroma in the descending thora" "Correct entity, wrong SNOMED ID","(5865, 5873)","(5865, 5873)",atheroma,atheroma,48434008,29483008,16393593-DS-5,"mple atheroma in ascending aorta. Complex (>4mm) atheroma in the descending thoracic aorta. No thoracic aor" "Correct entity, wrong SNOMED ID","(5881, 5906)","(5881, 5906)",descending thoracic aorta,descending thoracic aorta,32672002,2831000119107,16393593-DS-5," ascending aorta. Complex (>4mm) atheroma in the descending thoracic aorta. No thoracic aortic dissection. AORTIC VALVE: " Wrong span,"(5911, 5926)","(5911, 5938)",thoracic aortic,"thoracic aortic dissection",113262008,405577005,16393593-DS-5,"m) atheroma in the descending thoracic aorta. No thoracic aortic dissection. AORTIC VALVE: Bioprosthetic aortic" Wrong span,"(5928, 5938)","(5911, 5938)",dissection,"thoracic aortic dissection",710864009,405577005,16393593-DS-5,"he descending thoracic aorta. No thoracic aortic dissection. AORTIC VALVE: Bioprosthetic aortic valve prost" "Correct entity, wrong SNOMED ID","(5942, 5954)","(5942, 5954)",AORTIC VALVE,AORTIC VALVE,34202007,181287002,16393593-DS-5,"thoracic aorta. No thoracic aortic dissection. AORTIC VALVE: Bioprosthetic aortic valve prosthesis (AVR). No " "Correct entity, wrong SNOMED ID","(6005, 6007)","(6005, 6007)",AS,AS,60573004,121606009,16393593-DS-5," Bioprosthetic aortic valve prosthesis (AVR). No AS. No AR. MITRAL VALVE: Moderate mitral annular c" "Correct entity, wrong SNOMED ID","(6012, 6014)","(6012, 6014)",AR,AR,60234000,228838009,16393593-DS-5,"sthetic aortic valve prosthesis (AVR). No AS. No AR. MITRAL VALVE: Moderate mitral annular calcific" "Correct entity, wrong SNOMED ID","(6041, 6069)","(6041, 6069)",mitral annular calcification,mitral annular calcification,251002009,286011000119101,16393593-DS-5,"is (AVR). No AS. No AR. MITRAL VALVE: Moderate mitral annular calcification. No MS. ___ (2+) MR. ___ VALVE: Normal tricusp" "Correct entity, wrong SNOMED ID","(6074, 6076)","(6074, 6076)",MS,MS,79619009,258697002,16393593-DS-5," VALVE: Moderate mitral annular calcification. No MS. ___ (2+) MR. ___ VALVE: Normal tricuspid valv" "Correct entity, wrong SNOMED ID","(6088, 6090)","(6088, 6090)",MR,MR,48724000,1380161007,16393593-DS-5,"te mitral annular calcification. No MS. ___ (2+) MR. ___ VALVE: Normal tricuspid valve leaflets wit" "Correct entity, wrong SNOMED ID","(6112, 6136)","(6112, 6136)",tricuspid valve leaflets,tricuspid valve leaflets,32427001,473375006,16393593-DS-5,"ication. No MS. ___ (2+) MR. ___ VALVE: Normal tricuspid valve leaflets with trivial TR. PULMONIC VALVE/PULMONARY ARTE" "Correct entity, wrong SNOMED ID","(6157, 6171)","(6157, 6171)",PULMONIC VALVE,PULMONIC VALVE,39057004,31689007,16393593-DS-5,"rmal tricuspid valve leaflets with trivial TR. PULMONIC VALVE/PULMONARY ARTERY: Normal pulmonic valve leaflet. " "Correct entity, wrong SNOMED ID","(6172, 6188)","(6172, 6188)",PULMONARY ARTERY,PULMONARY ARTERY,81040000,260570004,16393593-DS-5,"valve leaflets with trivial TR. PULMONIC VALVE/PULMONARY ARTERY: Normal pulmonic valve leaflet. No PS. Physiolog" Wrong span,"(6197, 6211)","(6197, 6219)",pulmonic valve,pulmonic valve leaflet,39057004,192664000,16393593-DS-5,"al TR. PULMONIC VALVE/PULMONARY ARTERY: Normal pulmonic valve leaflet. No PS. Physiologic PR. PERICARDIUM: T" Wrong span,"(6212, 6219)","(6197, 6219)",leaflet,pulmonic valve leaflet,6530003,192664000,16393593-DS-5,"NIC VALVE/PULMONARY ARTERY: Normal pulmonic valve leaflet. No PS. Physiologic PR. PERICARDIUM: Trivial/p" "Correct entity, wrong SNOMED ID","(6225, 6227)","(6225, 6227)",PS,PS,56786000,421542006,16393593-DS-5,"MONARY ARTERY: Normal pulmonic valve leaflet. No PS. Physiologic PR. PERICARDIUM: Trivial/physiolog" Wrong span,"(6229, 6243)","(6241, 6243)",Physiologic PR,PR,233866009,225761000,16393593-DS-5,"RY ARTERY: Normal pulmonic valve leaflet. No PS. Physiologic PR. PERICARDIUM: Trivial/physiologic pericardial e" Wrong span,"(6247, 6258)","(6247, 6248)",PERICARDIUM,P,76848001,421542006,16393593-DS-5,"pulmonic valve leaflet. No PS. Physiologic PR. PERICARDIUM: Trivial/physiologic pericardial effusion. GENE" "Correct entity, wrong SNOMED ID","(6280, 6300)","(6280, 6300)",pericardial effusion,pericardial effusion,373945007,1230405007,16393593-DS-5,"hysiologic PR. PERICARDIUM: Trivial/physiologic pericardial effusion. GENERAL COMMENTS: Written informed consent was" "Correct entity, wrong SNOMED ID","(6381, 6384)","(6381, 6384)",TEE,TEE,105376000,257985002,16393593-DS-5,"nformed consent was obtained from the patient. A TEE was performed in the location listed above. I ce" Missed entity,"(6513, 6531)",,general anesthesia,,50697003,,16393593-DS-5,"ance with ___ regulations. The patient was under general anesthesia throughout the procedure. No glycopyrrolate was " Missed entity,"(6547, 6556)",,procedure,,71388002,,16393593-DS-5,"tient was under general anesthesia throughout the procedure. No glycopyrrolate was administered. No TEE rela" Boundary error,"(6598, 6601)","(6598, 6599)",TEE,T,105376000,257998006,16393593-DS-5,"rocedure. No glycopyrrolate was administered. No TEE related complications. REGIONAL LEFT VENTRIC" Missed entity,"(6872, 6878)",,Septal,,10746000,,16393593-DS-5,"r Mid InferiorMid InferolateralMid Anterolateral Septal ApexAnterior Apex Inferior ApexLateral Apex Ape" Missed entity,"(6924, 6929)",, Apex,,13383001,,16393593-DS-5,"ptal ApexAnterior Apex Inferior ApexLateral Apex Apex N = Normal, H = Hypokinetic, A = Akineti" "Correct entity, wrong SNOMED ID","(7061, 7065)","(7061, 7065)",LIMA,LIMA,261402001,11752006,16393593-DS-5,"s Echo probe placed in the setting of possible LIMA injury to assess LV function given history of by" "Correct entity, wrong SNOMED ID","(7066, 7072)","(7066, 7072)",injury,injury,417163006,312608009,16393593-DS-5,"Echo probe placed in the setting of possible LIMA injury to assess LV function given history of bypass. " Wrong span,"(7084, 7086)","(7084, 7095)",LV,LV function,87878005,275514001,16393593-DS-5,"in the setting of possible LIMA injury to assess LV function given history of bypass. ___: The le" "Correct entity, wrong SNOMED ID","(7113, 7119)","(7113, 7119)",bypass,bypass,67166004,281343008,16393593-DS-5,"MA injury to assess LV function given history of bypass. ___: The left atrium is moderately dilated. " Wrong span,"(7134, 7167)","(7134, 7145)",left atrium is moderately dilated,left atrium,253361002,312026008,16393593-DS-5,"LV function given history of bypass. ___: The left atrium is moderately dilated. No mass/thrombus is seen in the left atrium or " "Correct entity, wrong SNOMED ID","(7172, 7176)","(7172, 7176)",mass,mass,4147007,237557003,16393593-DS-5," ___: The left atrium is moderately dilated. No mass/thrombus is seen in the left atrium or left atri" "Correct entity, wrong SNOMED ID","(7177, 7185)","(7177, 7185)",thrombus,thrombus,396339007,373140001,16393593-DS-5,": The left atrium is moderately dilated. No mass/thrombus is seen in the left atrium or left atrial append" "Correct entity, wrong SNOMED ID","(7202, 7213)","(7202, 7213)",left atrium,left atrium,82471001,312026008,16393593-DS-5,"erately dilated. No mass/thrombus is seen in the left atrium or left atrial appendage. The left atrial append" Missed entity,"(7267, 7297)",,emptying velocity is depressed,,21762000,,16393593-DS-5,"left atrial appendage. The left atrial appendage emptying velocity is depressed (<0.2m/s). IAS: No atrial septal defect is se" "Correct entity, wrong SNOMED ID","(7321, 7341)","(7321, 7341)",atrial septal defect,atrial septal defect,70142008,204315000,16393593-DS-5,"ying velocity is depressed (<0.2m/s). IAS: No atrial septal defect is seen by 2D or color Doppler. LV: The LV ha" "Correct entity, wrong SNOMED ID","(7359, 7372)","(7359, 7372)",color Doppler,color Doppler,423736003,261197005,16393593-DS-5," IAS: No atrial septal defect is seen by 2D or color Doppler. LV: The LV has borderline normal function wi" "Correct entity, wrong SNOMED ID","(7386, 7388)","(7386, 7388)",LV,LV,87878005,109426009,16393593-DS-5,"efect is seen by 2D or color Doppler. LV: The LV has borderline normal function with EF 50-55%. An" "Correct entity, wrong SNOMED ID","(7446, 7450)","(7446, 7450)",wall,wall,272657006,263943000,16393593-DS-5,"derline normal function with EF 50-55%. Anterior wall and septal function was normal throughout the exa" Wrong span,"(7453, 7461)","(7455, 7470)",d septal,septal function,10746000,308846003,16393593-DS-5," normal function with EF 50-55%. Anterior wall and septal function was normal throughout the exam. RV: R" Wrong span,"(7510, 7535)","(7510, 7540)",Right ventricular chamber,Right ventricular chamber size,53085002,74193008,16393593-DS-5,"l function was normal throughout the exam. RV: Right ventricular chamber size and free wall motion are normal. Aorta: " "Correct entity, wrong SNOMED ID","(7550, 7572)","(7550, 7572)",wall motion are normal,wall motion are normal,366195000,414072005,16393593-DS-5,"m. RV: Right ventricular chamber size and free wall motion are normal. Aorta: The diameters of aorta at the sinus," "Correct entity, wrong SNOMED ID","(7578, 7583)","(7578, 7583)",Aorta,Aorta,15825003,57034009,16393593-DS-5,"chamber size and free wall motion are normal. Aorta: The diameters of aorta at the sinus, ascending " Wrong span,"(7603, 7621)","(7603, 7608)",aorta at the sinus,aorta,81128002,57034009,16393593-DS-5,"l motion are normal. Aorta: The diameters of aorta at the sinus, ascending and arch levels are normal. There are" "Correct entity, wrong SNOMED ID","(7623, 7632)","(7623, 7632)",ascending,ascending,54247002,83711003,16393593-DS-5," Aorta: The diameters of aorta at the sinus, ascending and arch levels are normal. There are simple ath" "Correct entity, wrong SNOMED ID","(7679, 7687)","(7679, 7687)",atheroma,atheroma,48434008,29483008,16393593-DS-5,"ing and arch levels are normal. There are simple atheroma in the ascending aorta. There are complex (>4mm)" "Correct entity, wrong SNOMED ID","(7695, 7710)","(7695, 7710)",ascending aorta,ascending aorta,54247002,181299009,16393593-DS-5,"els are normal. There are simple atheroma in the ascending aorta. There are complex (>4mm) atheroma in the descen" "Correct entity, wrong SNOMED ID","(7738, 7746)","(7738, 7746)",atheroma,atheroma,48434008,29483008,16393593-DS-5,"in the ascending aorta. There are complex (>4mm) atheroma in the descending thoracic aorta. No thoracic ao" "Correct entity, wrong SNOMED ID","(7754, 7780)","(7754, 7780)","descending thoracic aorta","descending thoracic aorta",32672002,2831000119107,16393593-DS-5," aorta. There are complex (>4mm) atheroma in the descending thoracic aorta. No thoracic aortic dissection is seen. AV: A" Wrong span,"(7785, 7800)","(7785, 7811)",thoracic aortic,thoracic aortic dissection,113262008,405577005,16393593-DS-5,"m) atheroma in the descending thoracic aorta. No thoracic aortic dissection is seen. AV: A bioprosthetic aorti" Wrong span,"(7801, 7811)","(7785, 7811)",dissection,thoracic aortic dissection,710864009,405577005,16393593-DS-5,"he descending thoracic aorta. No thoracic aortic dissection is seen. AV: A bioprosthetic aortic valve pro" Wrong span,"(7845, 7857)","(7845, 7868)",aortic valve,aortic valve prosthesis,34202007,782703006,16393593-DS-5,"ortic dissection is seen. AV: A bioprosthetic aortic valve prosthesis is present. There is no aortic valve " "Correct entity, wrong SNOMED ID","(7894, 7915)","(7894, 7915)",aortic valve stenosis,aortic valve stenosis,60573004,836480008,16393593-DS-5," aortic valve prosthesis is present. There is no aortic valve stenosis. No aortic regurgitation is seen. MV: Moderat" "Correct entity, wrong SNOMED ID","(7920, 7940)","(7920, 7940)",aortic regurgitation,aortic regurgitation,60234000,61612001,16393593-DS-5,"s present. There is no aortic valve stenosis. No aortic regurgitation is seen. MV: Moderate (2+) mitral regurgitati" "Correct entity, wrong SNOMED ID","(8021, 8024)","(8021, 8024)",MAC,MAC,251002009,70972003,16393593-DS-5," mitral regurgitation is seen. There is moderate MAC. TV: Normal leaflets, trivial TR. Pericardiu" "Correct entity, wrong SNOMED ID","(8040, 8048)","(8040, 8048)",leaflets,leaflets,6530003,699117005,16393593-DS-5,"on is seen. There is moderate MAC. TV: Normal leaflets, trivial TR. Pericardium: There is a trivial/p" Missed entity,"(8050, 8060)",,trivial TR,,111287006,,16393593-DS-5,". There is moderate MAC. TV: Normal leaflets, trivial TR. Pericardium: There is a trivial/physiologic p" Missed entity,"(8064, 8075)",,Pericardium,,76848001,,16393593-DS-5,"erate MAC. TV: Normal leaflets, trivial TR. Pericardium: There is a trivial/physiologic pericardial effu" "Correct entity, wrong SNOMED ID","(8109, 8129)","(8109, 8129)",pericardial effusion,pericardial effusion,373945007,1230405007,16393593-DS-5,"R. Pericardium: There is a trivial/physiologic pericardial effusion. CONCLUSION: echo ___: There is normal left " Wrong span,"(8174, 8195)","(8174, 8205)",left ventricular wall,left ventricular wall thickness,87878005,250926001,16393593-DS-5,"usion. CONCLUSION: echo ___: There is normal left ventricular wall thickness with a normal cavity size. There is SE" Wrong span,"(8196, 8205)","(8174, 8205)",thickness,left ventricular wall thickness,36506006,250926001,16393593-DS-5," echo ___: There is normal left ventricular wall thickness with a normal cavity size. There is SEVERE regio" Wrong span,"(8221, 8227)","(8221, 8232)",cavity,cavity size,737551008,250929008,16393593-DS-5,"al left ventricular wall thickness with a normal cavity size. There is SEVERE regional left ventricular s" "Correct entity, wrong SNOMED ID","(8259, 8297)","(8259, 8297)","left ventricular systolic dysfunction","left ventricular systolic dysfunction",134401001,430396006,16393593-DS-5,"h a normal cavity size. There is SEVERE regional left ventricular systolic dysfunction with akinesis of the mid and distal anteroseptal " "Correct entity, wrong SNOMED ID","(8303, 8311)","(8303, 8311)",akinesis,akinesis,33994004,195675009,16393593-DS-5,"ional left ventricular systolic dysfunction with akinesis of the mid and distal anteroseptal wall, the dis" Missed entity,"(8348, 8352)",,wall,,272657006,,16393593-DS-5,"with akinesis of the mid and distal anteroseptal wall, the distal ___ of the left ventricle, and severe" "Correct entity, wrong SNOMED ID","(8376, 8390)","(8376, 8390)",left ventricle,left ventricle,87878005,244385005,16393593-DS-5," distal anteroseptal wall, the distal ___ of the left ventricle, and severe hypokinesis of most other segments w" "Correct entity, wrong SNOMED ID","(8404, 8415)","(8404, 8415)",hypokinesis,hypokinesis,43994002,95633009,16393593-DS-5,"the distal ___ of the left ventricle, and severe hypokinesis of most other segments with the exception of the " "Correct entity, wrong SNOMED ID","(8482, 8488)","(8482, 8488)",septal,septal,10746000,308846003,16393593-DS-5,"gments with the exception of the basal anterior, septal and lateral walls (see schematic). No thrombus o" Wrong span,"(8501, 8506)","(8493, 8506)",walls,lateral walls,272657006,264067000,16393593-DS-5,"eption of the basal anterior, septal and lateral walls (see schematic). No thrombus or mass is seen in " "Correct entity, wrong SNOMED ID","(8528, 8536)","(8528, 8536)",thrombus,thrombus,396339007,373140001,16393593-DS-5,"or, septal and lateral walls (see schematic). No thrombus or mass is seen in the left ventricle. Overall le" "Correct entity, wrong SNOMED ID","(8540, 8544)","(8540, 8544)",mass,mass,4147007,237557003,16393593-DS-5,"nd lateral walls (see schematic). No thrombus or mass is seen in the left ventricle. Overall left vent" "Correct entity, wrong SNOMED ID","(8560, 8574)","(8560, 8574)",left ventricle,left ventricle,87878005,250921006,16393593-DS-5,"e schematic). No thrombus or mass is seen in the left ventricle. Overall left ventricular systolic function is s" Wrong span,"(8584, 8601)","(8584, 8641)","left ventricular","left ventricular systolic function is severely depressed",87878005,991000124109,16393593-DS-5,"us or mass is seen in the left ventricle. Overall left ventricular systolic function is severely depressed. Mildly " "Correct entity, wrong SNOMED ID","(8651, 8658)","(8651, 8658)",dilated,dilated,25322007,37125009,16393593-DS-5," systolic function is severely depressed. Mildly dilated right ventricular cavity with mild global free wa" "Correct entity, wrong SNOMED ID","(8659, 8683)","(8659, 8683)",right ventricular cavity,right ventricular cavity,1259955007,1259954006,16393593-DS-5,"c function is severely depressed. Mildly dilated right ventricular cavity with mild global free wall hypokinesis. An aorti" Wrong span,"(8706, 8710)","(8701, 8723)",wall,"free wall hypokinesis",272657006,371869002,16393593-DS-5,"ed right ventricular cavity with mild global free wall hypokinesis. An aortic valve bioprosthesis is pr" Wrong span,"(8712, 8723)","(8701, 8723)",hypokinesis,"free wall hypokinesis",43994002,371869002,16393593-DS-5,"ht ventricular cavity with mild global free wall hypokinesis. An aortic valve bioprosthesis is present. The pr" Wrong span,"(8829, 8859)","(8837, 8859)","minimal aortic valve stenosis","aortic valve stenosis",836480008,703170006,16393593-DS-5,"is is well seated with normal gradient. There is minimal aortic valve stenosis. There is no aortic regurgitation. The mitral val" "Correct entity, wrong SNOMED ID","(8873, 8893)","(8873, 8893)",aortic regurgitation,aortic regurgitation,60234000,61612001,16393593-DS-5,"re is minimal aortic valve stenosis. There is no aortic regurgitation. The mitral valve leaflets are severely thickene" Wrong span,"(8899, 8921)","(8899, 8944)","mitral valve leaflets","mitral valve leaflets are severely thickened",46807008,251003004,16393593-DS-5," stenosis. There is no aortic regurgitation. The mitral valve leaflets are severely thickened. There is moderate [2+] mi" Wrong span,"(8935, 8944)","(8899, 8944)",thickened,"mitral valve leaflets are severely thickened",89977008,251003004,16393593-DS-5,"gitation. The mitral valve leaflets are severely thickened. There is moderate [2+] mitral regurgitation. Du" "Correct entity, wrong SNOMED ID","(9035, 9056)","(9035, 9056)","mitral regurgitation","mitral regurgitation",48724000,233861004,16393593-DS-5,"ation. Due to acoustic shadowing, the severity of mitral regurgitation could be UNDERestimated. There is an eccentric, " Missed entity,"(9140, 9144)",,mild,,838454002,,16393593-DS-5," an eccentric, interatrial sepal directed jet of mild to moderate [___] tricuspid regurgitation. Due t" Missed entity,"(9148, 9156)",,moderate,,838455001,,16393593-DS-5,"ntric, interatrial sepal directed jet of mild to moderate [___] tricuspid regurgitation. Due to acoustic s" Missed entity,"(9164, 9187)",,tricuspid regurgitation,,111287006,,16393593-DS-5,"ial sepal directed jet of mild to moderate [___] tricuspid regurgitation. Due to acoustic shadowing, the severity of tric" "Correct entity, wrong SNOMED ID","(9233, 9256)","(9233, 9256)",tricuspid regurgitation,tricuspid regurgitation,111287006,83119008,16393593-DS-5,"tion. Due to acoustic shadowing, the severity of tricuspid regurgitation may be UNDERestimated. There is a trivial pericar" "Correct entity, wrong SNOMED ID","(9299, 9319)","(9299, 9319)",pericardial effusion,pericardial effusion,373945007,1230405007,16393593-DS-5,"itation may be UNDERestimated. There is a trivial pericardial effusion. IMPRESSION: Suboptimal image quality. Severe and" Wrong span,"(9390, 9394)","(9390, 9415)",wall,wall motion abnormalities,272657006,429750003,16393593-DS-5,"mal image quality. Severe and extensive regional wall motion abnormalities c/w multivessel CAD. MIld r" "Correct entity, wrong SNOMED ID","(9432, 9435)","(9432, 9435)",CAD,CAD,414024009,84270004,16393593-DS-5,"egional wall motion abnormalities c/w multivessel CAD. MIld right ventricular dilation with mild globa" "Correct entity, wrong SNOMED ID","(9443, 9469)","(9443, 9469)",right ventricular dilation,right ventricular dilation,253522006,1268523009,16393593-DS-5,"l motion abnormalities c/w multivessel CAD. MIld right ventricular dilation with mild global hypokinesis. Mild to moderate t" Wrong span,"(9487, 9498)","(9475, 9498)",hypokinesis,mild global hypokinesis,43994002,77702009,16393593-DS-5,"MIld right ventricular dilation with mild global hypokinesis. Mild to moderate tricuspid regurgitation. Moder" Wrong span,"(9500, 9504)","(9500, 9541)",Mild,"Mild to moderate tricuspid regurgitation",838454002,838455001,16393593-DS-5,"entricular dilation with mild global hypokinesis. Mild to moderate tricuspid regurgitation. Moderate mi" Wrong span,"(9509, 9541)","(9500, 9541)","moderate tricuspid regurgitation","Mild to moderate tricuspid regurgitation",838455001,838455001,16393593-DS-5,"r dilation with mild global hypokinesis. Mild to moderate tricuspid regurgitation. Moderate mitral regurgitation. Well seated and " "Correct entity, wrong SNOMED ID","(9655, 9658)","(9655, 9658)",TTE,TTE,433236007,258691001,16393593-DS-5,"ioning bioprosthetic AVR. Compared with the prior TTE ___, extensive regional left ventricular dysfunc" "Correct entity, wrong SNOMED ID","(9683, 9712)","(9683, 9712)","left ventricular dysfunction","left ventricular dysfunction",429589006,472775000,16393593-DS-5,"mpared with the prior TTE ___, extensive regional left ventricular dysfunction is new. The severity of valvular regurgitation h" "Correct entity, wrong SNOMED ID","(9737, 9760)","(9737, 9760)","valvular regurgitation","valvular regurgitation",10337008,1131009,16393593-DS-5," ventricular dysfunction is new. The severity of valvular regurgitation has increased. MEASUREMENTS: LEFT VENTRICLE (LV) " "Correct entity, wrong SNOMED ID","(9790, 9804)","(9790, 9804)",LEFT VENTRICLE,LEFT VENTRICLE,87878005,244385005,16393593-DS-5,"vular regurgitation has increased. MEASUREMENTS: LEFT VENTRICLE (LV) Septal Thickness: 1.0cm (nl M<1.1;F<1.0) Inf" "Correct entity, wrong SNOMED ID","(9806, 9808)","(9806, 9808)",LV,LV,87878005,49848007,16393593-DS-5,"tion has increased. MEASUREMENTS: LEFT VENTRICLE (LV) Septal Thickness: 1.0cm (nl M<1.1;F<1.0) Inferol" Wrong span,"(9810, 9816)","(9810, 9826)",Septal,Septal Thickness,10746000,250926001,16393593-DS-5," has increased. MEASUREMENTS: LEFT VENTRICLE (LV) Septal Thickness: 1.0cm (nl M<1.1;F<1.0) Inferolateral T" "Correct entity, wrong SNOMED ID","(9986, 10001)","(9986, 10001)",RIGHT VENTRICLE,RIGHT VENTRICLE,53085002,109425008,16393593-DS-5,"nl M<5.9;F<5.3) Resting Visual Ejection Fraction: RIGHT VENTRICLE (RV) Basal Diameter: 4.3cm (nl<4.2) PERICARDIUM M" "Correct entity, wrong SNOMED ID","(10003, 10005)","(10003, 10005)",RV,RV,53085002,301097002,16393593-DS-5,"esting Visual Ejection Fraction: RIGHT VENTRICLE (RV) Basal Diameter: 4.3cm (nl<4.2) PERICARDIUM Max E" Wrong span,"(10038, 10049)","(10038, 10041)",PERICARDIUM,PER,76848001,259037005,16393593-DS-5,"GHT VENTRICLE (RV) Basal Diameter: 4.3cm (nl<4.2) PERICARDIUM Max Effusion: 0.4cm (<0.3) AORTIC VALVE (AV) Peak" "Correct entity, wrong SNOMED ID","(10077, 10089)","(10077, 10089)",AORTIC VALVE,AORTIC VALVE,34202007,60573004,16393593-DS-5,"m (nl<4.2) PERICARDIUM Max Effusion: 0.4cm (<0.3) AORTIC VALVE (AV) Peak Velocity: 2.1m/sec (nl<=2.0) Peak Gradi" "Correct entity, wrong SNOMED ID","(10091, 10093)","(10091, 10093)",AV,AV,34202007,258000009,16393593-DS-5,"ICARDIUM Max Effusion: 0.4cm (<0.3) AORTIC VALVE (AV) Peak Velocity: 2.1m/sec (nl<=2.0) Peak Gradient:" Wrong span,"(10160, 10172)","(10166, 10172)",RIGHT ATRIUM,ATRIUM,73829009,82471001,16393593-DS-5,"2.1m/sec (nl<=2.0) Peak Gradient:18mmHg FINDINGS: RIGHT ATRIUM (RA)/INTERATRIAL SEPTUM/INFERIOR VENA CAVA (IVC):" "Correct entity, wrong SNOMED ID","(10174, 10176)","(10174, 10176)",RA,RA,73829009,463051000124105,16393593-DS-5,"2.0) Peak Gradient:18mmHg FINDINGS: RIGHT ATRIUM (RA)/INTERATRIAL SEPTUM/INFERIOR VENA CAVA (IVC): Ca" Missed entity,"(10178, 10196)",,INTERATRIAL SEPTUM,,58095006,,16393593-DS-5," Peak Gradient:18mmHg FINDINGS: RIGHT ATRIUM (RA)/INTERATRIAL SEPTUM/INFERIOR VENA CAVA (IVC): Catheter in RA LEFT VE" Missed entity,"(10197, 10215)",,INFERIOR VENA CAVA,,64131007,,16393593-DS-5,"Hg FINDINGS: RIGHT ATRIUM (RA)/INTERATRIAL SEPTUM/INFERIOR VENA CAVA (IVC): Catheter in RA LEFT VENTRICLE (LV): Norma" Boundary error,"(10217, 10220)","(10217, 10219)",IVC,IV,64131007,258000009,16393593-DS-5,"TRIUM (RA)/INTERATRIAL SEPTUM/INFERIOR VENA CAVA (IVC): Catheter in RA LEFT VENTRICLE (LV): Normal wal" "Correct entity, wrong SNOMED ID","(10236, 10238)","(10236, 10238)",RA,RA,73829009,463051000124105,16393593-DS-5,"IAL SEPTUM/INFERIOR VENA CAVA (IVC): Catheter in RA LEFT VENTRICLE (LV): Normal wall thicknesses. Nor" "Correct entity, wrong SNOMED ID","(10239, 10253)","(10239, 10253)",LEFT VENTRICLE,LEFT VENTRICLE,87878005,244385005,16393593-DS-5," SEPTUM/INFERIOR VENA CAVA (IVC): Catheter in RA LEFT VENTRICLE (LV): Normal wall thicknesses. Normal cavity siz" "Correct entity, wrong SNOMED ID","(10255, 10257)","(10255, 10257)",LV,LV,87878005,49848007,16393593-DS-5," VENA CAVA (IVC): Catheter in RA LEFT VENTRICLE (LV): Normal wall thicknesses. Normal cavity size. S" Wrong span,"(10267, 10271)","(10267, 10283)",wall,wall thicknesses,272657006,250926001,16393593-DS-5,"IVC): Catheter in RA LEFT VENTRICLE (LV): Normal wall thicknesses. Normal cavity size. Severe focal sy" Wrong span,"(10272, 10283)","(10267, 10283)",thicknesses,wall thicknesses,36506006,250926001,16393593-DS-5," Catheter in RA LEFT VENTRICLE (LV): Normal wall thicknesses. Normal cavity size. Severe focal systolic dysrf" Wrong span,"(10285, 10298)","(10292, 10298)",Normal cavity,cavity,373124004,123627005,16393593-DS-5," RA LEFT VENTRICLE (LV): Normal wall thicknesses. Normal cavity size. Severe focal systolic dysrfunction (see sc" "Correct entity, wrong SNOMED ID","(10319, 10340)","(10319, 10340)",systolic dysrfunction,systolic dysrfunction,371037005,134401001,16393593-DS-5,"ll thicknesses. Normal cavity size. Severe focal systolic dysrfunction (see schematic). No LV thrombus/mass. SEVERELY de" "Correct entity, wrong SNOMED ID","(10361, 10363)","(10361, 10363)",LV,LV,87878005,109426009,16393593-DS-5,"e focal systolic dysrfunction (see schematic). No LV thrombus/mass. SEVERELY depressed ejection fract" "Correct entity, wrong SNOMED ID","(10364, 10372)","(10364, 10372)",thrombus,thrombus,396339007,373140001,16393593-DS-5,"ocal systolic dysrfunction (see schematic). No LV thrombus/mass. SEVERELY depressed ejection fraction. RIGH" "Correct entity, wrong SNOMED ID","(10373, 10377)","(10373, 10377)",mass,mass,4147007,237557003,16393593-DS-5,"olic dysrfunction (see schematic). No LV thrombus/mass. SEVERELY depressed ejection fraction. RIGHT VEN" "Correct entity, wrong SNOMED ID","(10418, 10433)","(10418, 10433)",RIGHT VENTRICLE,RIGHT VENTRICLE,53085002,109425008,16393593-DS-5,"mbus/mass. SEVERELY depressed ejection fraction. RIGHT VENTRICLE (RV): Mild cavity enlargement. Mild global free " "Correct entity, wrong SNOMED ID","(10435, 10437)","(10435, 10437)",RV,RV,53085002,301097002,16393593-DS-5,"LY depressed ejection fraction. RIGHT VENTRICLE (RV): Mild cavity enlargement. Mild global free wall" Wrong span,"(10445, 10451)","(10445, 10463)",cavity,cavity enlargement,737551008,125520004,16393593-DS-5,"ed ejection fraction. RIGHT VENTRICLE (RV): Mild cavity enlargement. Mild global free wall hypokinesis. " Wrong span,"(10452, 10463)","(10445, 10463)",enlargement,cavity enlargement,442021009,125520004,16393593-DS-5,"tion fraction. RIGHT VENTRICLE (RV): Mild cavity enlargement. Mild global free wall hypokinesis. AORTIC VALVE" Wrong span,"(10483, 10487)","(10477, 10487)",wall,"free wall",272657006,450707002,16393593-DS-5," (RV): Mild cavity enlargement. Mild global free wall hypokinesis. AORTIC VALVE (AV): Bioprosthesis. We" "Correct entity, wrong SNOMED ID","(10488, 10499)","(10488, 10499)",hypokinesis,hypokinesis,43994002,95633009,16393593-DS-5,": Mild cavity enlargement. Mild global free wall hypokinesis. AORTIC VALVE (AV): Bioprosthesis. Well seated pr" "Correct entity, wrong SNOMED ID","(10501, 10513)","(10501, 10513)",AORTIC VALVE,AORTIC VALVE,34202007,181287002,16393593-DS-5," enlargement. Mild global free wall hypokinesis. AORTIC VALVE (AV): Bioprosthesis. Well seated prosthesis. Norm" "Correct entity, wrong SNOMED ID","(10515, 10517)","(10515, 10517)",AV,AV,34202007,258000009,16393593-DS-5,"Mild global free wall hypokinesis. AORTIC VALVE (AV): Bioprosthesis. Well seated prosthesis. Normal " Wrong span,"(10588, 10604)","(10588, 10595)",Minimal stenosis,Minimal,836480008,289582008,16393593-DS-5,"l seated prosthesis. Normal prosthesis gradient. Minimal stenosis. No regurgitation. MITRAL VALVE (MV): Severely th" Missed entity,"(10609, 10622)",,regurgitation,,48724000,,16393593-DS-5,"Normal prosthesis gradient. Minimal stenosis. No regurgitation. MITRAL VALVE (MV): Severely thickened leaflets. " "Correct entity, wrong SNOMED ID","(10624, 10636)","(10624, 10636)",MITRAL VALVE,MITRAL VALVE,91134007,181286006,16393593-DS-5,"sis gradient. Minimal stenosis. No regurgitation. MITRAL VALVE (MV): Severely thickened leaflets. Moderate [2+] " Missed entity,"(10638, 10640)",,MV,,91134007,,16393593-DS-5,"Minimal stenosis. No regurgitation. MITRAL VALVE (MV): Severely thickened leaflets. Moderate [2+] reg" Missed entity,"(10652, 10661)",,thickened,,89977008,,16393593-DS-5,"is. No regurgitation. MITRAL VALVE (MV): Severely thickened leaflets. Moderate [2+] regurgitation. Regurgita" "Correct entity, wrong SNOMED ID","(10662, 10670)","(10662, 10670)",leaflets,leaflets,6530003,699117005,16393593-DS-5,"urgitation. MITRAL VALVE (MV): Severely thickened leaflets. Moderate [2+] regurgitation. Regurgitation seve" "Correct entity, wrong SNOMED ID","(10672, 10700)","(10672, 10700)","Moderate [2+] regurgitation","Moderate [2+] regurgitation",838452003,263577000,16393593-DS-5,". MITRAL VALVE (MV): Severely thickened leaflets. Moderate [2+] regurgitation. Regurgitation severity could be UNDERestimated d" "Correct entity, wrong SNOMED ID","(10702, 10715)","(10702, 10715)",Regurgitation,Regurgitation,48724000,85023004,16393593-DS-5,"thickened leaflets. Moderate [2+] regurgitation. Regurgitation severity could be UNDERestimated due to acoustic " Missed entity,"(10765, 10774)",,shadowing,,225863005,,16393593-DS-5," severity could be UNDERestimated due to acoustic shadowing. PULMONIC VALVE (PV): PV not well seen TRICUSPID " "Correct entity, wrong SNOMED ID","(10776, 10790)","(10776, 10790)",PULMONIC VALVE,PULMONIC VALVE,39057004,31689007,16393593-DS-5,"ould be UNDERestimated due to acoustic shadowing. PULMONIC VALVE (PV): PV not well seen TRICUSPID VALVE (TV): Mild" "Correct entity, wrong SNOMED ID","(10792, 10794)","(10792, 10794)",PV,PV,39057004,258000009,16393593-DS-5,"imated due to acoustic shadowing. PULMONIC VALVE (PV): PV not well seen TRICUSPID VALVE (TV): Mild-mod" "Correct entity, wrong SNOMED ID","(10797, 10799)","(10797, 10799)",PV,PV,39057004,258000009,16393593-DS-5,"d due to acoustic shadowing. PULMONIC VALVE (PV): PV not well seen TRICUSPID VALVE (TV): Mild-moderate" "Correct entity, wrong SNOMED ID","(10814, 10829)","(10814, 10829)",TRICUSPID VALVE,TRICUSPID VALVE,46030003,253378006,16393593-DS-5," shadowing. PULMONIC VALVE (PV): PV not well seen TRICUSPID VALVE (TV): Mild-moderate [___] regurg Brief Hospita" "Correct entity, wrong SNOMED ID","(10831, 10833)","(10831, 10833)",TV,TV,46030003,13621006,16393593-DS-5,"NIC VALVE (PV): PV not well seen TRICUSPID VALVE (TV): Mild-moderate [___] regurg Brief Hospital Co" "Correct entity, wrong SNOMED ID","(10836, 10840)","(10836, 10840)",Mild,Mild,838454002,162468002,16393593-DS-5,"ALVE (PV): PV not well seen TRICUSPID VALVE (TV): Mild-moderate [___] regurg Brief Hospital Course: T" Missed entity,"(10841, 10849)",,moderate,,838455001,,16393593-DS-5,"(PV): PV not well seen TRICUSPID VALVE (TV): Mild-moderate [___] regurg Brief Hospital Course: The patien" Missed entity,"(10856, 10862)",,regurg,,111287006,,16393593-DS-5,"ll seen TRICUSPID VALVE (TV): Mild-moderate [___] regurg Brief Hospital Course: The patient was seen in" Wrong span,"(10937, 10957)","(10937, 10944)","sternal debridement",sternal,67549005,66419000,16393593-DS-5,": The patient was seen in clinic and admitted for sternal debridement. On ___ he underwent sternal debridement and dur" "Correct entity, wrong SNOMED ID","(10979, 10998)","(10979, 10998)",sternal debridement,sternal debridement,67549005,238343003,16393593-DS-5,"ted for sternal debridement. On ___ he underwent sternal debridement and during the procedure the LIMA was transected" "Correct entity, wrong SNOMED ID","(11015, 11024)","(11015, 11024)",procedure,procedure,71388002,118672003,16393593-DS-5," he underwent sternal debridement and during the procedure the LIMA was transected. The sternum was left op" Wrong span,"(11029, 11033)","(11029, 11037)",LIMA,LIMA was,261402001,425034006,16393593-DS-5,"sternal debridement and during the procedure the LIMA was transected. The sternum was left open and th" "Correct entity, wrong SNOMED ID","(11054, 11061)","(11054, 11061)",sternum,sternum,56873002,249692009,16393593-DS-5,"during the procedure the LIMA was transected. The sternum was left open and the patient went immediately t" Wrong span,"(11169, 11172)","(11169, 11180)",LAD,LAD disease,59438005,1293192009,16393593-DS-5,"th lab from the OR. He was found to have native LAD disease but he was not stented because he was go" "Correct entity, wrong SNOMED ID","(11197, 11204)","(11197, 11204)",stented,stented,103716009,257362008,16393593-DS-5," found to have native LAD disease but he was not stented because he was going to need further OR procedure" Missed entity,"(11245, 11255)",,procedures,,71388002,,16393593-DS-5," stented because he was going to need further OR procedures, including pectoralis flaps, and it would have b" "Correct entity, wrong SNOMED ID","(11428, 11435)","(11428, 11435)",sternal,sternal,56873002,66419000,16393593-DS-5,"ropenem/Micafungin and Tobramycin. He went for a sternal washout on ___ and required some PRBC after the " "Correct entity, wrong SNOMED ID","(11436, 11443)","(11436, 11443)",washout,washout,225116006,176193005,16393593-DS-5,"Micafungin and Tobramycin. He went for a sternal washout on ___ and required some PRBC after the procedur" Wrong span,"(11455, 11473)","(11469, 11473)",required some PRBC,PRBC,71493000,258759006,16393593-DS-5,"amycin. He went for a sternal washout on ___ and required some PRBC after the procedure. On ___ he was having ventri" "Correct entity, wrong SNOMED ID","(11485, 11494)","(11485, 11494)",procedure,procedure,71388002,118672003,16393593-DS-5," washout on ___ and required some PRBC after the procedure. On ___ he was having ventricular arrhythmias wh" "Correct entity, wrong SNOMED ID","(11517, 11541)","(11517, 11541)","ventricular arrhythmias","ventricular arrhythmias",44103008,164893009,16393593-DS-5,"e PRBC after the procedure. On ___ he was having ventricular arrhythmias which were treated with Lido and Amiodorone. He " "Correct entity, wrong SNOMED ID","(11921, 11928)","(11921, 11928)",shocked,shocked,27942005,76571007,16393593-DS-5,"ed from the OR table to the bed he coded and was shocked and had ROSC. He was then taken to the cath lab a" Missed entity,"(11937, 11941)",,ROSC,,711410007,,16393593-DS-5,"able to the bed he coded and was shocked and had ROSC. He was then taken to the cath lab and had a ste" Wrong span,"(11988, 12011)","(11988, 12000)",stent placed to the LAD,stent placed,428488008,232602001,16393593-DS-5,"OSC. He was then taken to the cath lab and had a stent placed to the LAD. He again became unstable in the cath lab and h" "Correct entity, wrong SNOMED ID","(12030, 12038)","(12030, 12038)",unstable,unstable,162668006,278630001,16393593-DS-5," had a stent placed to the LAD. He again became unstable in the cath lab and had VT which resolved with e" Missed entity,"(12182, 12190)",,pressors,,408497003,,16393593-DS-5," continued to deteriorate. He required increased pressors and went up to 0.6 of levo, 0.2 of epi, and was " "Correct entity, wrong SNOMED ID","(12400, 12404)","(12400, 12404)",CRRT,CRRT,714749008,111070004,16393593-DS-5,"fully informed. He remained on multiple drips and CRRT was started. He did not improve and since the c" Wrong span,"(12466, 12496)","(12466, 12472)","pupils were fixed and dilated",pupils,297262003,13045009,16393593-DS-5,"d. He did not improve and since the cath lab his pupils were fixed and dilated. He became asystolic at 3:35 on ___ and had no bl" Wrong span,"(12541, 12558)","(12544, 12558)",no blood pressure,blood pressure,271645000,50723001,16393593-DS-5,"lated. He became asystolic at 3:35 on ___ and had no blood pressure. The family and Dr. ___ informed of the patient'" Missed entity,"(12610, 12616)",,demise,,419099009,,16393593-DS-5," The family and Dr. ___ informed of the patient's demise. The family did not want an autopsy and the medi" Missed entity,"(12646, 12653)",,autopsy,,29240004,,16393593-DS-5,"the patient's demise. The family did not want an autopsy and the medical examiner declined the case. Me" Missed entity,"(14147, 14149)",,mg,,271285000,,16393593-DS-5,"LYCOPENE [ONE-A-DAY MEN'S] - One-A-Day Men's 0.4 mg-600 mcg tablet. Tablet(s) by mouth - (OTC) D" "Correct entity, wrong SNOMED ID","(14292, 14298)","(14292, 14298)",Sepsis,Sepsis,91302008,233795005,16393593-DS-5,"osition: Expired Discharge Diagnosis: Primary: Sepsis sternal wound infection NSTEMI Secondary: A" Wrong span,"(14300, 14307)","(14300, 14323)",sternal,sternal wound infection,56873002,63314003,16393593-DS-5," Expired Discharge Diagnosis: Primary: Sepsis sternal wound infection NSTEMI Secondary: Aortic ste" Wrong span,"(14308, 14323)","(14300, 14323)",wound infection,sternal wound infection,76844004,63314003,16393593-DS-5," Discharge Diagnosis: Primary: Sepsis sternal wound infection NSTEMI Secondary: Aortic stenosis s/p AVR in" "Correct entity, wrong SNOMED ID","(14325, 14331)","(14325, 14331)",NSTEMI,NSTEMI,401314000,1204155000,16393593-DS-5,"nosis: Primary: Sepsis sternal wound infection NSTEMI Secondary: Aortic stenosis s/p AVR in ___ and" "Correct entity, wrong SNOMED ID","(14347, 14362)","(14347, 14362)",Aortic stenosis,Aortic stenosis,60573004,233863001,16393593-DS-5,"s sternal wound infection NSTEMI Secondary: Aortic stenosis s/p AVR in ___ and ___ CAD Myocardial infarctio" "Correct entity, wrong SNOMED ID","(14367, 14370)","(14367, 14370)",AVR,AVR,26212005,61279008,16393593-DS-5,"ection NSTEMI Secondary: Aortic stenosis s/p AVR in ___ and ___ CAD Myocardial infarction Basal" "Correct entity, wrong SNOMED ID","(14387, 14390)","(14387, 14390)",CAD,CAD,53741008,84270004,16393593-DS-5,"condary: Aortic stenosis s/p AVR in ___ and ___ CAD Myocardial infarction Basal cell and squamous c" "Correct entity, wrong SNOMED ID","(14392, 14413)","(14392, 14413)",Myocardial infarction,Myocardial infarction,22298006,57054005,16393593-DS-5,"ry: Aortic stenosis s/p AVR in ___ and ___ CAD Myocardial infarction Basal cell and squamous cell carcinoma Diabetes" Wrong span,"(14415, 14425)","(14415, 14429)",Basal cell,Basal cell and,1338007,402520003,16393593-DS-5,"p AVR in ___ and ___ CAD Myocardial infarction Basal cell and squamous cell carcinoma Diabetes - Insulin p" "Correct entity, wrong SNOMED ID","(14430, 14453)","(14430, 14453)",squamous cell carcinoma,squamous cell carcinoma,402815007,1162767002,16393593-DS-5,"d ___ CAD Myocardial infarction Basal cell and squamous cell carcinoma Diabetes - Insulin pump Hypertension Hyperlipi" "Correct entity, wrong SNOMED ID","(14455, 14463)","(14455, 14463)",Diabetes,Diabetes,73211009,9414007,16393593-DS-5,"farction Basal cell and squamous cell carcinoma Diabetes - Insulin pump Hypertension Hyperlipidemia Sar" "Correct entity, wrong SNOMED ID","(14480, 14492)","(14480, 14492)",Hypertension,Hypertension,38341003,70995007,16393593-DS-5,"squamous cell carcinoma Diabetes - Insulin pump Hypertension Hyperlipidemia Sarcoidosis Shingles Sleep apn" "Correct entity, wrong SNOMED ID","(14494, 14508)","(14494, 14508)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,16393593-DS-5,"carcinoma Diabetes - Insulin pump Hypertension Hyperlipidemia Sarcoidosis Shingles Sleep apnea Stroke ___ -" "Correct entity, wrong SNOMED ID","(14510, 14521)","(14510, 14521)",Sarcoidosis,Sarcoidosis,31541009,111937006,16393593-DS-5,"tes - Insulin pump Hypertension Hyperlipidemia Sarcoidosis Shingles Sleep apnea Stroke ___ - Memory issue" "Correct entity, wrong SNOMED ID","(14523, 14531)","(14523, 14531)",Shingles,Shingles,4740000,1078254009,16393593-DS-5," pump Hypertension Hyperlipidemia Sarcoidosis Shingles Sleep apnea Stroke ___ - Memory issues as a res" "Correct entity, wrong SNOMED ID","(14533, 14544)","(14533, 14544)",Sleep apnea,Sleep apnea,73430006,78275009,16393593-DS-5,"ertension Hyperlipidemia Sarcoidosis Shingles Sleep apnea Stroke ___ - Memory issues as a residual DVT __" "Correct entity, wrong SNOMED ID","(14546, 14552)","(14546, 14552)",Stroke,Stroke,230690007,422504002,16393593-DS-5,"perlipidemia Sarcoidosis Shingles Sleep apnea Stroke ___ - Memory issues as a residual DVT ___ - Left" "Correct entity, wrong SNOMED ID","(14588, 14591)","(14588, 14591)",DVT,DVT,128053003,49956009,16393593-DS-5," apnea Stroke ___ - Memory issues as a residual DVT ___ - Left ITP ?Empyema drained by chest tube " "Correct entity, wrong SNOMED ID","(14604, 14607)","(14604, 14607)",ITP,ITP,13172003,277125003,16393593-DS-5,"__ - Memory issues as a residual DVT ___ - Left ITP ?Empyema drained by chest tube Past Surgical Hi" "Correct entity, wrong SNOMED ID","(14610, 14617)","(14610, 14617)",Empyema,Empyema,312682007,1342321009,16393593-DS-5,"emory issues as a residual DVT ___ - Left ITP ?Empyema drained by chest tube Past Surgical History: CA" Wrong span,"(14618, 14639)","(14629, 14639)",drained by chest tube,chest tube,264957007,55628002,16393593-DS-5,"sues as a residual DVT ___ - Left ITP ?Empyema drained by chest tube Past Surgical History: CABG X 3 and AVR ___ in " Boundary error,"(14665, 14673)","(14665, 14671)",CABG X 3,CABG X,232721002,232719007,16393593-DS-5,"ma drained by chest tube Past Surgical History: CABG X 3 and AVR ___ in ___ Surgery scheduled with: Dr. " "Correct entity, wrong SNOMED ID","(14678, 14681)","(14678, 14681)",AVR,AVR,26212005,61279008,16393593-DS-5," chest tube Past Surgical History: CABG X 3 and AVR ___ in ___ Surgery scheduled with: Dr. ___ ___" "Correct entity, wrong SNOMED ID","(14733, 14736)","(14733, 14736)",AVR,AVR,26212005,61279008,16393593-DS-5,"__ in ___ Surgery scheduled with: Dr. ___ ___ AVR ___ Dr. ___ ___ cholecystectomy ___ - Also compl" "Correct entity, wrong SNOMED ID","(14754, 14769)","(14754, 14769)",cholecystectomy,cholecystectomy,38102005,428882003,16393593-DS-5,"cheduled with: Dr. ___ ___ AVR ___ Dr. ___ ___ cholecystectomy ___ - Also complicated by infection Feeding tube" "Correct entity, wrong SNOMED ID","(14796, 14805)","(14796, 14805)",infection,infection,58126003,260976002,16393593-DS-5,"__ ___ cholecystectomy ___ - Also complicated by infection Feeding tube placement Back surgery x2 Dis" "Correct entity, wrong SNOMED ID","(14807, 14829)","(14807, 14829)",Feeding tube placement,Feeding tube placement,698507004,1156692008,16393593-DS-5,"lecystectomy ___ - Also complicated by infection Feeding tube placement Back surgery x2 Discharge Condition: expire" Wrong span,"(14831, 14835)","(14831, 14843)",Back,Back surgery,77568009,428310009,16393593-DS-5,"complicated by infection Feeding tube placement Back surgery x2 Discharge Condition: expired D" Wrong span,"(14836, 14843)","(14831, 14843)",surgery,Back surgery,387713003,428310009,16393593-DS-5,"icated by infection Feeding tube placement Back surgery x2 Discharge Condition: expired Discharge" False positive,,"(986, 989)",,FSG,,258688001,16867446-DS-13,"in gtt started and Vanc, Zosyn IV received. Last FSG 328 mg/dL. His lipase was nearly 1100. He was t" False positive,,"(2180, 2181)",,E,,257985002,16867446-DS-13,"history of iron overload. Physical Exam: MICU EXAM T 37.7 HR: 104 BP: 132/66 RR: 25 SpO2: 96% Ge" False positive,,"(2218, 2222)",,SpO2,,431314004,16867446-DS-13," Exam: MICU EXAM T 37.7 HR: 104 BP: 132/66 RR: 25 SpO2: 96% General: Alert, oriented, no acute distress" False positive,,"(2699, 2700)",,r,,420274006,16867446-DS-13,"erally Discharge Exam: VS: 98.8 117/97 90 18 100 ra General: Sitting up in bed, NAD, aoX3 HEENT: " False positive,,"(2743, 2748)",,HEENT,,113665002,16867446-DS-13,"8 100 ra General: Sitting up in bed, NAD, aoX3 HEENT: Sclera anicteric, PERRL, OP clear Neck: supple" False positive,,"(2786, 2790)",,Neck,,840674001,16867446-DS-13,"aoX3 HEENT: Sclera anicteric, PERRL, OP clear Neck: supple, no JVD CV: RRR, no murmurs, rubs, gall" False positive,,"(3009, 3011)",,2+,,260347006,16867446-DS-13," rebound/guarding, no CVA tenderness Ext: WWP, 2+ ___, no edema, psoriasis patches on wrists, and " False positive,,"(3389, 3393)",,Baso,,700051010000106,16867446-DS-13," BLOOD Neuts-90.6* Lymphs-4.6* Monos-4.5 Eos-0.2 Baso-0.1 ___ 11:55PM BLOOD ___ PTT-26.6 ___ ___ 11:55P" False positive,,"(3570, 3577)",,Amylase,,28378007,16867446-DS-13,"-22* ___ 02:50AM BLOOD ALT-61* AST-96* AlkPhos-55 Amylase-511* TotBili-1.8* ___ 02:50AM BLOOD Lipase-1251*" False positive,,"(4058, 4063)",,URINE,,78888000,16867446-DS-13,"URINE Color-Yellow Appear-Hazy Sp ___ ___ 11:55PM URINE Blood-TR Nitrite-NEG Protein-30 Glucose-300 Keto" False positive,,"(4097, 4104)",,Glucose,,72191006,16867446-DS-13,"__ 11:55PM URINE Blood-TR Nitrite-NEG Protein-30 Glucose-300 Ketone-80 Bilirub-NEG Urobiln-2* pH-5.5 Leuks" False positive,,"(4843, 4850)",,Amylase,,28378007,16867446-DS-13,"-53* AST-72* LD(LDH)-251* CK(CPK)-104 AlkPhos-62 Amylase-517* TotBili-1.0 ___ 04:17AM BLOOD ALT-57* AST-86" False positive,,"(5532, 5534)",,QT,,257995009,16867446-DS-13,"ious tracing available for comparison. Rate 114, QTc 424 CXR ___: Lung volumes are low and there a" False positive,,"(5879, 5882)",,Per,,259037005,16867446-DS-13,"abnormality appreciated. CT abd/pelvis ___: 1. Peripancreatic fluid and fat stranding suggestive of" False positive,,"(5904, 5907)",,fat,,42267001,16867446-DS-13," CT abd/pelvis ___: 1. Peripancreatic fluid and fat stranding suggestive of pancreatitis. No eviden" False positive,,"(6256, 6263)",,glucose,,72191006,16867446-DS-13,"d EtOH withdrawal #DKA- came in with gap of 18, glucose of 230s. Patient endorse medication non-complia" False positive,,"(6470, 6477)",,insulin,,412210000,16867446-DS-13,"ulin, with good response. ___ was consulted. His insulin drip was stopped on ___. He was called out to th" False positive,,"(7569, 7573)",,CIWA,,30974007,16867446-DS-13,"is substance abuse, as well. He did not score on CIWA after transfer to floor. #Anemia: HCT has remai" False positive,,"(7869, 7877)",,serum Cr,,2181000119100,16867446-DS-13," on folate supplementation. ___- Presented with serum Cr of 1.9 on admission, which is elevated from base" "Correct entity, wrong SNOMED ID","(207, 229)","(207, 229)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,16867446-DS-13,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Nausea, vomi" "Correct entity, wrong SNOMED ID","(267, 283)","(267, 283)","Nausea, vomiting","Nausea, vomiting",16932000,698861005,16867446-DS-13,"ug Reactions Attending: ___. Chief Complaint: Nausea, vomiting, abdominal pain Major Surgical or Invasive Proc" "Correct entity, wrong SNOMED ID","(285, 299)","(285, 299)",abdominal pain,abdominal pain,21522001,54586004,16867446-DS-13,"ending: ___. Chief Complaint: Nausea, vomiting, abdominal pain Major Surgical or Invasive Procedure: none Hi" "Correct entity, wrong SNOMED ID","(386, 390)","(386, 390)",IDDM,IDDM,46635009,530558861000132104,16867446-DS-13,"re: none History of Present Illness: ___ w/PMHx IDDM, heavy EtOH use who presented to ___ with nausea" Wrong span,"(392, 402)","(398, 406)",heavy EtOH,EtOH use,228279004,160592001,16867446-DS-13,"ne History of Present Illness: ___ w/PMHx IDDM, heavy EtOH use who presented to ___ with nausea, emesis and" Boundary error,"(434, 440)","(434, 441)",nausea,"nausea,",422587007,1217125005,16867446-DS-13,"x IDDM, heavy EtOH use who presented to ___ with nausea, emesis and abdominal pain found to be in DKA. H" "Correct entity, wrong SNOMED ID","(442, 448)","(442, 448)",emesis,emesis,422400008,71419002,16867446-DS-13,"heavy EtOH use who presented to ___ with nausea, emesis and abdominal pain found to be in DKA. He repor" "Correct entity, wrong SNOMED ID","(453, 467)","(453, 467)",abdominal pain,abdominal pain,21522001,54586004,16867446-DS-13,"use who presented to ___ with nausea, emesis and abdominal pain found to be in DKA. He reported that he develop" "Correct entity, wrong SNOMED ID","(520, 526)","(520, 526)",nausea,nausea,422587007,1217125005,16867446-DS-13,"und to be in DKA. He reported that he developed nausea after eating a sandwich on his night shift 1.5 d" "Correct entity, wrong SNOMED ID","(605, 612)","(605, 612)",vomited,vomited,422400008,271352005,16867446-DS-13,"is night shift 1.5 days ago. Subsquently he has vomited >15 producing nb/nb emesis. He denies fevers. " Missed entity,"(634, 640)",,emesis,,422400008,,16867446-DS-13," Subsquently he has vomited >15 producing nb/nb emesis. He denies fevers. He reports suprapubic abdom" "Correct entity, wrong SNOMED ID","(653, 659)","(653, 659)",fevers,fevers,386661006,248444008,16867446-DS-13,"s vomited >15 producing nb/nb emesis. He denies fevers. He reports suprapubic abdominal pain that was " Wrong span,"(674, 684)","(674, 699)",suprapubic,suprapubic abdominal pain,162053006,203508001,16867446-DS-13,"ing nb/nb emesis. He denies fevers. He reports suprapubic abdominal pain that was well controled with advil" Wrong span,"(685, 699)","(674, 699)",abdominal pain,suprapubic abdominal pain,21522001,203508001,16867446-DS-13,"mesis. He denies fevers. He reports suprapubic abdominal pain that was well controled with advil. He denies c" Wrong span,"(763, 769)","(748, 769)",bowels,changes in his bowels,366256008,277818007,16867446-DS-13," controled with advil. He denies changes in his bowels or bladder habbits. After arriving to ___, init" Wrong span,"(773, 780)","(773, 788)",bladder,bladder habbits,89837001,205024005,16867446-DS-13," with advil. He denies changes in his bowels or bladder habbits. After arriving to ___, initially had a" Wrong span,"(781, 788)","(773, 788)",habbits,bladder habbits,90275003,205024005,16867446-DS-13,"vil. He denies changes in his bowels or bladder habbits. After arriving to ___, initially had a lactate" "Correct entity, wrong SNOMED ID","(831, 838)","(831, 838)",lactate,lactate,3926003,10133003,16867446-DS-13,"habbits. After arriving to ___, initially had a lactate of 15, WBC 15.8 with potassium of 5.7 and AG met" "Correct entity, wrong SNOMED ID","(846, 849)","(846, 849)",WBC,WBC,767002,391558003,16867446-DS-13," arriving to ___, initially had a lactate of 15, WBC 15.8 with potassium of 5.7 and AG metabolic acid" "Correct entity, wrong SNOMED ID","(861, 870)","(861, 870)",potassium,potassium,59573005,1149432009,16867446-DS-13,"__, initially had a lactate of 15, WBC 15.8 with potassium of 5.7 and AG metabolic acidosis of 39. Received" "Correct entity, wrong SNOMED ID","(885, 903)","(885, 903)",metabolic acidosis,metabolic acidosis,59455009,687808741000119101,16867446-DS-13,"ate of 15, WBC 15.8 with potassium of 5.7 and AG metabolic acidosis of 39. Received 3L IV NS, Insulin gtt started an" "Correct entity, wrong SNOMED ID","(924, 926)","(924, 926)",IV,IV,386340006,258000009,16867446-DS-13,"5.7 and AG metabolic acidosis of 39. Received 3L IV NS, Insulin gtt started and Vanc, Zosyn IV recei" Missed entity,"(955, 959)",,Vanc,,281789004,,16867446-DS-13,"f 39. Received 3L IV NS, Insulin gtt started and Vanc, Zosyn IV received. Last FSG 328 mg/dL. His lip" Missed entity,"(967, 969)",,IV,,386340006,,16867446-DS-13,"ved 3L IV NS, Insulin gtt started and Vanc, Zosyn IV received. Last FSG 328 mg/dL. His lipase was ne" Missed entity,"(1174, 1200)",,electrolytes were repleted,,47451004,,16867446-DS-13," Insulin gtt per ___ protocol, D5 NS +40 mEq and electrolytes were repleted. He was quickly transfer to the MICU for futher" "Correct entity, wrong SNOMED ID","(1283, 1295)","(1283, 1295)",pancreatitis,pancreatitis,75694006,95563007,16867446-DS-13,"e MICU for futher managmenet of his DKA, presume pancreatitis, and alcohol withdrawal. His inital vitals in th" "Correct entity, wrong SNOMED ID","(1301, 1319)","(1301, 1319)",alcohol withdrawal,alcohol withdrawal,191480000,1141000161108,16867446-DS-13,"managmenet of his DKA, presume pancreatitis, and alcohol withdrawal. His inital vitals in the ED were 99.8 110 138/7" "Correct entity, wrong SNOMED ID","(1332, 1338)","(1332, 1338)",vitals,vitals,118227000,260390007,16867446-DS-13," pancreatitis, and alcohol withdrawal. His inital vitals in the ED were 99.8 110 138/78 18 98% RA. Past" "Correct entity, wrong SNOMED ID","(1378, 1380)","(1378, 1380)",RA,RA,722742002,463051000124105,16867446-DS-13,"tal vitals in the ED were 99.8 110 138/78 18 98% RA. Past Medical History: 1. Diabetes mellitus ty" "Correct entity, wrong SNOMED ID","(1440, 1452)","(1440, 1452)",Dyslipidemia,Dyslipidemia,370992007,109041000119107,16867446-DS-13,"edical History: 1. Diabetes mellitus type 2. 2. Dyslipidemia. 3. Psoriasis. 4. Gout. 5. Elevated transamina" "Correct entity, wrong SNOMED ID","(1458, 1467)","(1458, 1467)",Psoriasis,Psoriasis,9014002,111188005,16867446-DS-13," Diabetes mellitus type 2. 2. Dyslipidemia. 3. Psoriasis. 4. Gout. 5. Elevated transaminases. 6. Anemia" "Correct entity, wrong SNOMED ID","(1473, 1477)","(1473, 1477)",Gout,Gout,90560007,69896004,16867446-DS-13,"itus type 2. 2. Dyslipidemia. 3. Psoriasis. 4. Gout. 5. Elevated transaminases. 6. Anemia (macrocyt" "Correct entity, wrong SNOMED ID","(1483, 1505)","(1483, 1505)",Elevated transaminases,Elevated transaminases,707724006,160931000119108,16867446-DS-13,"2. 2. Dyslipidemia. 3. Psoriasis. 4. Gout. 5. Elevated transaminases. 6. Anemia (macrocytic) 7. Vitamin D deficiency" Wrong span,"(1511, 1530)","(1511, 1517)",Anemia (macrocytic),Anemia,83414005,87522002,16867446-DS-13,"riasis. 4. Gout. 5. Elevated transaminases. 6. Anemia (macrocytic) 7. Vitamin D deficiency. 8. History of right ro" "Correct entity, wrong SNOMED ID","(1535, 1555)","(1535, 1555)",Vitamin D deficiency,Vitamin D deficiency,34713006,4039009,16867446-DS-13,"evated transaminases. 6. Anemia (macrocytic) 7. Vitamin D deficiency. 8. History of right rotator cuff injury. 9. Hi" "Correct entity, wrong SNOMED ID","(1572, 1597)","(1572, 1597)",right rotator cuff injury,right rotator cuff injury,11815781000119105,1076451000119107,16867446-DS-13,"rocytic) 7. Vitamin D deficiency. 8. History of right rotator cuff injury. 9. History of carpal tunnel syndrome. 10. Last " "Correct entity, wrong SNOMED ID","(1614, 1636)","(1614, 1636)",carpal tunnel syndrome,carpal tunnel syndrome,57406009,12265501000119101,16867446-DS-13,"tory of right rotator cuff injury. 9. History of carpal tunnel syndrome. 10. Last colonoscopy in ___ at which time the pa" "Correct entity, wrong SNOMED ID","(1647, 1658)","(1647, 1658)",colonoscopy,colonoscopy,73761001,174158000,16867446-DS-13,". 9. History of carpal tunnel syndrome. 10. Last colonoscopy in ___ at which time the patient was noted to ha" "Correct entity, wrong SNOMED ID","(1713, 1724)","(1713, 1724)",colon polyp,colon polyp,68496003,712728006,16867446-DS-13,"__ at which time the patient was noted to have a colon polyp and diverticulosis. Pathology was consistent wi" "Correct entity, wrong SNOMED ID","(1729, 1743)","(1729, 1743)",diverticulosis,diverticulosis,724538004,14011008,16867446-DS-13," the patient was noted to have a colon polyp and diverticulosis. Pathology was consistent with a hyperplastic p" "Correct entity, wrong SNOMED ID","(1779, 1797)","(1779, 1797)",hyperplastic polyp,hyperplastic polyp,62047007,1055281007,16867446-DS-13,"diverticulosis. Pathology was consistent with a hyperplastic polyp. 11. Status post right and left inguinal h" Missed entity,"(1810, 1821)",,Status post,,19585003,,16867446-DS-13," consistent with a hyperplastic polyp. 11. Status post right and left inguinal hernia repairs. Social " Wrong span,"(1822, 1860)","(1822, 1827)",right and left inguinal hernia repairs,right,177866001,225794002,16867446-DS-13,"with a hyperplastic polyp. 11. Status post right and left inguinal hernia repairs. Social History: ___ Family History: The patien" "Correct entity, wrong SNOMED ID","(1931, 1945)","(1931, 1945)",ovarian cancer,ovarian cancer,363443007,254856004,16867446-DS-13,"__ Family History: The patient's mother died from ovarian cancer he believes in her early ___. The patient's fat" "Correct entity, wrong SNOMED ID","(2009, 2022)","(2009, 2022)",heart disease,heart disease,56265001,127337006,16867446-DS-13,"n her early ___. The patient's father died from heart disease in his ___. The patient has 4 sisters who he be" "Correct entity, wrong SNOMED ID","(2141, 2155)","(2141, 2155)","iron overload","iron overload",60737008,1142071000,16867446-DS-13,"health. He is not aware of any family history of iron overload. Physical Exam: MICU EXAM T 37.7 HR: 104 BP: 1" "Correct entity, wrong SNOMED ID","(2192, 2194)","(2192, 2194)",HR,HR,301113001,258702006,16867446-DS-13,"ron overload. Physical Exam: MICU EXAM T 37.7 HR: 104 BP: 132/66 RR: 25 SpO2: 96% General: Alert," "Correct entity, wrong SNOMED ID","(2200, 2202)","(2200, 2202)",BP,BP,392570002,38341003,16867446-DS-13,"rload. Physical Exam: MICU EXAM T 37.7 HR: 104 BP: 132/66 RR: 25 SpO2: 96% General: Alert, oriente" "Correct entity, wrong SNOMED ID","(2211, 2213)","(2211, 2213)",RR,RR,301283003,258702006,16867446-DS-13,"hysical Exam: MICU EXAM T 37.7 HR: 104 BP: 132/66 RR: 25 SpO2: 96% General: Alert, oriented, no acute" "Correct entity, wrong SNOMED ID","(2229, 2236)","(2229, 2236)",General,General,162673000,252398009,16867446-DS-13," EXAM T 37.7 HR: 104 BP: 132/66 RR: 25 SpO2: 96% General: Alert, oriented, no acute distress HEENT: Scler" "Correct entity, wrong SNOMED ID","(2245, 2253)","(2245, 2253)",oriented,oriented,247663003,787379002,16867446-DS-13," 104 BP: 132/66 RR: 25 SpO2: 96% General: Alert, oriented, no acute distress HEENT: Sclera anicteric, hori" Wrong span,"(2255, 2263)","(2255, 2257)",no acute,no,281900007,160552003,16867446-DS-13,"32/66 RR: 25 SpO2: 96% General: Alert, oriented, no acute distress HEENT: Sclera anicteric, horizontal nys" "Correct entity, wrong SNOMED ID","(2264, 2272)","(2264, 2272)",distress,distress,69328002,271825005,16867446-DS-13," 25 SpO2: 96% General: Alert, oriented, no acute distress HEENT: Sclera anicteric, horizontal nystamus MMM" "Correct entity, wrong SNOMED ID","(2274, 2279)","(2274, 2279)",HEENT,HEENT,5880005,113665002,16867446-DS-13,"96% General: Alert, oriented, no acute distress HEENT: Sclera anicteric, horizontal nystamus MMM, oroph" "Correct entity, wrong SNOMED ID","(2281, 2297)","(2281, 2297)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,16867446-DS-13,"neral: Alert, oriented, no acute distress HEENT: Sclera anicteric, horizontal nystamus MMM, oropharynx clear Neck" Wrong span,"(2299, 2318)","(2310, 2318)",horizontal nystamus,nystamus,81756001,278465006,16867446-DS-13,"nted, no acute distress HEENT: Sclera anicteric, horizontal nystamus MMM, oropharynx clear Neck: supple CV: Regular" "Correct entity, wrong SNOMED ID","(2319, 2322)","(2319, 2322)",MMM,MMM,276398005,258673006,16867446-DS-13,"ess HEENT: Sclera anicteric, horizontal nystamus MMM, oropharynx clear Neck: supple CV: Regular rat" Wrong span,"(2324, 2334)","(2324, 2341)",oropharynx,"oropharynx clear",31389004,426547004,16867446-DS-13,"HEENT: Sclera anicteric, horizontal nystamus MMM, oropharynx clear Neck: supple CV: Regular rate normal S1 " "Correct entity, wrong SNOMED ID","(2343, 2347)","(2343, 2347)",Neck,Neck,5880005,840674001,16867446-DS-13,"eric, horizontal nystamus MMM, oropharynx clear Neck: supple CV: Regular rate normal S1 + S2, no murm" "Correct entity, wrong SNOMED ID","(2349, 2355)","(2349, 2355)",supple,supple,298475003,169743001,16867446-DS-13,"horizontal nystamus MMM, oropharynx clear Neck: supple CV: Regular rate normal S1 + S2, no murmurs, rub" "Correct entity, wrong SNOMED ID","(2357, 2359)","(2357, 2359)",CV,CV,363003006,258773002,16867446-DS-13,"al nystamus MMM, oropharynx clear Neck: supple CV: Regular rate normal S1 + S2, no murmurs, rubs, g" Wrong span,"(2361, 2373)","(2361, 2383)",Regular rate,Regular rate normal S1,76863003,8072003,16867446-DS-13,"ystamus MMM, oropharynx clear Neck: supple CV: Regular rate normal S1 + S2, no murmurs, rubs, gallops Lungs" Wrong span,"(2374, 2383)","(2361, 2383)",normal S1,Regular rate normal S1,26198000,8072003,16867446-DS-13,"oropharynx clear Neck: supple CV: Regular rate normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to" "Correct entity, wrong SNOMED ID","(2386, 2388)","(2386, 2388)",S2,S2,111974005,81170007,16867446-DS-13,"clear Neck: supple CV: Regular rate normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to ausc" "Correct entity, wrong SNOMED ID","(2393, 2400)","(2393, 2400)",murmurs,murmurs,414786004,248699005,16867446-DS-13,"Neck: supple CV: Regular rate normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to auscultation bil" "Correct entity, wrong SNOMED ID","(2408, 2415)","(2408, 2415)",gallops,gallops,2170000,4592006,16867446-DS-13,"V: Regular rate normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to auscultation bilaterally, no wh" "Correct entity, wrong SNOMED ID","(2418, 2423)","(2418, 2423)",Lungs,Lungs,268925001,74101002,16867446-DS-13," rate normal S1 + S2, no murmurs, rubs, gallops Lungs: Clear to auscultation bilaterally, no wheezes, r" "Correct entity, wrong SNOMED ID","(2463, 2470)","(2463, 2470)",wheezes,wheezes,56018004,9763007,16867446-DS-13,"ps Lungs: Clear to auscultation bilaterally, no wheezes, rales, ronchi Abdomen: soft, ttp suprapubic, " "Correct entity, wrong SNOMED ID","(2472, 2477)","(2472, 2477)",rales,rales,48409008,31846006,16867446-DS-13,"s: Clear to auscultation bilaterally, no wheezes, rales, ronchi Abdomen: soft, ttp suprapubic, non-dis" "Correct entity, wrong SNOMED ID","(2480, 2486)","(2480, 2486)",ronchi,ronchi,24612001,465646007,16867446-DS-13," to auscultation bilaterally, no wheezes, rales, ronchi Abdomen: soft, ttp suprapubic, non-distended, b" "Correct entity, wrong SNOMED ID","(2489, 2496)","(2489, 2496)",Abdomen,Abdomen,225162003,41931001,16867446-DS-13,"ltation bilaterally, no wheezes, rales, ronchi Abdomen: soft, ttp suprapubic, non-distended, bowel sound" Missed entity,"(2504, 2507)",,ttp,,43478001,,16867446-DS-13,"ally, no wheezes, rales, ronchi Abdomen: soft, ttp suprapubic, non-distended, bowel sounds present," "Correct entity, wrong SNOMED ID","(2508, 2518)","(2508, 2518)",suprapubic,suprapubic,11708003,42531000087106,16867446-DS-13,", no wheezes, rales, ronchi Abdomen: soft, ttp suprapubic, non-distended, bowel sounds present, no organom" "Correct entity, wrong SNOMED ID","(2520, 2533)","(2520, 2533)",non-distended,non-distended,300405003,162069004,16867446-DS-13,", rales, ronchi Abdomen: soft, ttp suprapubic, non-distended, bowel sounds present, no organomegaly GU: no " "Correct entity, wrong SNOMED ID","(2535, 2556)","(2535, 2556)","bowel sounds present","bowel sounds present",61539000,444685004,16867446-DS-13,"i Abdomen: soft, ttp suprapubic, non-distended, bowel sounds present, no organomegaly GU: no foley Ext: warm, well" "Correct entity, wrong SNOMED ID","(2576, 2578)","(2576, 2578)",GU,GU,268945009,77618006,16867446-DS-13,"stended, bowel sounds present, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, " "Correct entity, wrong SNOMED ID","(2583, 2588)","(2583, 2588)",foley,foley,439053001,411381006,16867446-DS-13,", bowel sounds present, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, tremor in " "Correct entity, wrong SNOMED ID","(2591, 2594)","(2591, 2594)",Ext,Ext,302773001,1489008,16867446-DS-13,"sounds present, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, tremor in hands " "Correct entity, wrong SNOMED ID","(2596, 2600)","(2596, 2600)",warm,warm,102599008,298256005,16867446-DS-13,"s present, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, tremor in hands bilate" "Correct entity, wrong SNOMED ID","(2602, 2615)","(2602, 2615)",well perfused,well perfused,1137685003,301121007,16867446-DS-13,"sent, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, tremor in hands bilaterally Discharg" "Correct entity, wrong SNOMED ID","(2617, 2626)","(2617, 2626)",2+ pulses,2+ pulses,40969002,429784004,16867446-DS-13,"megaly GU: no foley Ext: warm, well perfused, 2+ pulses, tremor in hands bilaterally Discharge Exam: VS:" Wrong span,"(2628, 2655)","(2628, 2634)",tremor in hands bilaterally,tremor,829991004,30721006,16867446-DS-13,": no foley Ext: warm, well perfused, 2+ pulses, tremor in hands bilaterally Discharge Exam: VS: 98.8 117/97 90 18 100 ra Ge" "Correct entity, wrong SNOMED ID","(2673, 2675)","(2673, 2675)",VS,VS,118227000,313611000,16867446-DS-13,"ses, tremor in hands bilaterally Discharge Exam: VS: 98.8 117/97 90 18 100 ra General: Sitting up in" "Correct entity, wrong SNOMED ID","(2703, 2710)","(2703, 2710)",General,General,162673000,252398009,16867446-DS-13,"ly Discharge Exam: VS: 98.8 117/97 90 18 100 ra General: Sitting up in bed, NAD, aoX3 HEENT: Sclera ani" "Correct entity, wrong SNOMED ID","(2712, 2719)","(2712, 2719)",Sitting,Sitting,33586001,282969008,16867446-DS-13,"arge Exam: VS: 98.8 117/97 90 18 100 ra General: Sitting up in bed, NAD, aoX3 HEENT: Sclera anicteric, P" "Correct entity, wrong SNOMED ID","(2731, 2734)","(2731, 2734)",NAD,NAD,281900007,131143000,16867446-DS-13," 117/97 90 18 100 ra General: Sitting up in bed, NAD, aoX3 HEENT: Sclera anicteric, PERRL, OP clear " "Correct entity, wrong SNOMED ID","(2736, 2740)","(2736, 2740)",aoX3,aoX3,426224004,124161002,16867446-DS-13,"97 90 18 100 ra General: Sitting up in bed, NAD, aoX3 HEENT: Sclera anicteric, PERRL, OP clear Neck" "Correct entity, wrong SNOMED ID","(2750, 2766)","(2750, 2766)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,16867446-DS-13,"a General: Sitting up in bed, NAD, aoX3 HEENT: Sclera anicteric, PERRL, OP clear Neck: supple, no JVD CV: RRR" "Correct entity, wrong SNOMED ID","(2768, 2773)","(2768, 2773)",PERRL,PERRL,386666001,431291005,16867446-DS-13,"g up in bed, NAD, aoX3 HEENT: Sclera anicteric, PERRL, OP clear Neck: supple, no JVD CV: RRR, no mu" "Correct entity, wrong SNOMED ID","(2775, 2783)","(2775, 2783)",OP clear,OP clear,300280008,271591004,16867446-DS-13," bed, NAD, aoX3 HEENT: Sclera anicteric, PERRL, OP clear Neck: supple, no JVD CV: RRR, no murmurs, rub" "Correct entity, wrong SNOMED ID","(2792, 2798)","(2792, 2798)",supple,supple,298475003,169743001,16867446-DS-13," HEENT: Sclera anicteric, PERRL, OP clear Neck: supple, no JVD CV: RRR, no murmurs, rubs, gallops Lu" "Correct entity, wrong SNOMED ID","(2803, 2806)","(2803, 2806)",JVD,JVD,271653008,253395003,16867446-DS-13,"era anicteric, PERRL, OP clear Neck: supple, no JVD CV: RRR, no murmurs, rubs, gallops Lungs: Cle" "Correct entity, wrong SNOMED ID","(2809, 2811)","(2809, 2811)",CV,CV,363003006,258773002,16867446-DS-13,"icteric, PERRL, OP clear Neck: supple, no JVD CV: RRR, no murmurs, rubs, gallops Lungs: Clear to" "Correct entity, wrong SNOMED ID","(2813, 2816)","(2813, 2816)",RRR,RRR,76863003,129960002,16867446-DS-13,"ric, PERRL, OP clear Neck: supple, no JVD CV: RRR, no murmurs, rubs, gallops Lungs: Clear to ausc" "Correct entity, wrong SNOMED ID","(2821, 2828)","(2821, 2828)",murmurs,murmurs,88610006,248699005,16867446-DS-13,"RL, OP clear Neck: supple, no JVD CV: RRR, no murmurs, rubs, gallops Lungs: Clear to auscultation bil" "Correct entity, wrong SNOMED ID","(2836, 2843)","(2836, 2843)",gallops,gallops,2170000,4592006,16867446-DS-13,"Neck: supple, no JVD CV: RRR, no murmurs, rubs, gallops Lungs: Clear to auscultation bilaterally, no wh" "Correct entity, wrong SNOMED ID","(2846, 2851)","(2846, 2851)",Lungs,Lungs,268925001,74101002,16867446-DS-13,"le, no JVD CV: RRR, no murmurs, rubs, gallops Lungs: Clear to auscultation bilaterally, no wheezes, r" "Correct entity, wrong SNOMED ID","(2891, 2898)","(2891, 2898)",wheezes,wheezes,56018004,9763007,16867446-DS-13,"ps Lungs: Clear to auscultation bilaterally, no wheezes, rales, ronchi Abdomen: soft, nontender, nondi" "Correct entity, wrong SNOMED ID","(2900, 2905)","(2900, 2905)",rales,rales,48409008,31846006,16867446-DS-13,"s: Clear to auscultation bilaterally, no wheezes, rales, ronchi Abdomen: soft, nontender, nondistended" "Correct entity, wrong SNOMED ID","(2908, 2914)","(2908, 2914)",ronchi,ronchi,24612001,465646007,16867446-DS-13," to auscultation bilaterally, no wheezes, rales, ronchi Abdomen: soft, nontender, nondistended, no rebo" "Correct entity, wrong SNOMED ID","(2917, 2924)","(2917, 2924)",Abdomen,Abdomen,225162003,41931001,16867446-DS-13,"ltation bilaterally, no wheezes, rales, ronchi Abdomen: soft, nontender, nondistended, no rebound/guardi" "Correct entity, wrong SNOMED ID","(2932, 2941)","(2932, 2941)",nontender,nontender,43478001,413319007,16867446-DS-13,"ally, no wheezes, rales, ronchi Abdomen: soft, nontender, nondistended, no rebound/guarding, no CVA tende" "Correct entity, wrong SNOMED ID","(2943, 2955)","(2943, 2955)",nondistended,nondistended,300405003,441380004,16867446-DS-13,"eezes, rales, ronchi Abdomen: soft, nontender, nondistended, no rebound/guarding, no CVA tenderness Ext: W" "Correct entity, wrong SNOMED ID","(2960, 2967)","(2960, 2967)",rebound,rebound,35611005,844584001,16867446-DS-13,"nchi Abdomen: soft, nontender, nondistended, no rebound/guarding, no CVA tenderness Ext: WWP, 2+ ___, " Wrong span,"(2982, 2996)","(2982, 2985)",CVA tenderness,CVA,102830001,1131000119105,16867446-DS-13,"nontender, nondistended, no rebound/guarding, no CVA tenderness Ext: WWP, 2+ ___, no edema, psoriasis patches o" "Correct entity, wrong SNOMED ID","(2999, 3002)","(2999, 3002)",Ext,Ext,302773001,1489008,16867446-DS-13,"tended, no rebound/guarding, no CVA tenderness Ext: WWP, 2+ ___, no edema, psoriasis patches on wri" "Correct entity, wrong SNOMED ID","(3004, 3007)","(3004, 3007)",WWP,WWP,1137685003,258001008,16867446-DS-13,"d, no rebound/guarding, no CVA tenderness Ext: WWP, 2+ ___, no edema, psoriasis patches on wrists, " "Correct entity, wrong SNOMED ID","(3020, 3025)","(3020, 3025)",edema,edema,267038008,102576009,16867446-DS-13,"arding, no CVA tenderness Ext: WWP, 2+ ___, no edema, psoriasis patches on wrists, and left calf, no " Wrong span,"(3027, 3036)","(3027, 3044)",psoriasis,psoriasis patches,9014002,161562002,16867446-DS-13," no CVA tenderness Ext: WWP, 2+ ___, no edema, psoriasis patches on wrists, and left calf, no asterixis " Wrong span,"(3037, 3044)","(3027, 3044)",patches,psoriasis patches,1522000,161562002,16867446-DS-13,"enderness Ext: WWP, 2+ ___, no edema, psoriasis patches on wrists, and left calf, no asterixis Neuro: " "Correct entity, wrong SNOMED ID","(3049, 3055)","(3049, 3055)",wrists,wrists,5951000,48123002,16867446-DS-13,"Ext: WWP, 2+ ___, no edema, psoriasis patches on wrists, and left calf, no asterixis Neuro: CNII-XII in" "Correct entity, wrong SNOMED ID","(3061, 3070)","(3061, 3070)",left calf,left calf,722115008,1234838003,16867446-DS-13," ___, no edema, psoriasis patches on wrists, and left calf, no asterixis Neuro: CNII-XII intact, moving al" "Correct entity, wrong SNOMED ID","(3075, 3084)","(3075, 3084)",asterixis,asterixis,32838008,25963006,16867446-DS-13,", psoriasis patches on wrists, and left calf, no asterixis Neuro: CNII-XII intact, moving all extremities," "Correct entity, wrong SNOMED ID","(3087, 3092)","(3087, 3092)",Neuro,Neuro,84728005,281247006,16867446-DS-13,"patches on wrists, and left calf, no asterixis Neuro: CNII-XII intact, moving all extremities, no aste" Wrong span,"(3094, 3098)","(3094, 3109)",CNII,CNII-XII intact,18234004,408755005,16867446-DS-13," on wrists, and left calf, no asterixis Neuro: CNII-XII intact, moving all extremities, no asterixis," Wrong span,"(3099, 3109)","(3094, 3109)",XII intact,CNII-XII intact,823978007,408755005,16867446-DS-13,"wrists, and left calf, no asterixis Neuro: CNII-XII intact, moving all extremities, no asterixis, AOx3, ___" "Correct entity, wrong SNOMED ID","(3111, 3133)","(3111, 3133)",moving all extremities,moving all extremities,284137004,284138009,16867446-DS-13,"left calf, no asterixis Neuro: CNII-XII intact, moving all extremities, no asterixis, AOx3, ___ recall, gait not observ" "Correct entity, wrong SNOMED ID","(3138, 3147)","(3138, 3147)",asterixis,asterixis,32838008,25963006,16867446-DS-13,"euro: CNII-XII intact, moving all extremities, no asterixis, AOx3, ___ recall, gait not observed Pertin" "Correct entity, wrong SNOMED ID","(3150, 3154)","(3150, 3154)",AOx3,AOx3,426224004,124161002,16867446-DS-13,"II intact, moving all extremities, no asterixis, AOx3, ___ recall, gait not observed Pertinent Res" Wrong span,"(3168, 3172)","(3168, 3176)",gait,gait not,298302000,22325002,16867446-DS-13,"all extremities, no asterixis, AOx3, ___ recall, gait not observed Pertinent Results: Admission La" "Correct entity, wrong SNOMED ID","(3244, 3247)","(3244, 3247)",WBC,WBC,767002,391558003,16867446-DS-13,"tinent Results: Admission Labs: ___ 11:55PM BLOOD WBC-5.5 RBC-2.30* Hgb-7.8* Hct-23.8* MCV-104* MCH-34" "Correct entity, wrong SNOMED ID","(3252, 3255)","(3252, 3255)",RBC,RBC,14089001,258759006,16867446-DS-13,"esults: Admission Labs: ___ 11:55PM BLOOD WBC-5.5 RBC-2.30* Hgb-7.8* Hct-23.8* MCV-104* MCH-34.0* MCHC" "Correct entity, wrong SNOMED ID","(3262, 3265)","(3262, 3265)",Hgb,Hgb,441689006,104142005,16867446-DS-13,"mission Labs: ___ 11:55PM BLOOD WBC-5.5 RBC-2.30* Hgb-7.8* Hct-23.8* MCV-104* MCH-34.0* MCHC-32.8 RDW-" "Correct entity, wrong SNOMED ID","(3271, 3274)","(3271, 3274)",Hct,Hct,28317006,258702006,16867446-DS-13,"abs: ___ 11:55PM BLOOD WBC-5.5 RBC-2.30* Hgb-7.8* Hct-23.8* MCV-104* MCH-34.0* MCHC-32.8 RDW-12.8 Plt " "Correct entity, wrong SNOMED ID","(3291, 3294)","(3291, 3294)",MCH,MCH,54706004,735147002,16867446-DS-13,"OD WBC-5.5 RBC-2.30* Hgb-7.8* Hct-23.8* MCV-104* MCH-34.0* MCHC-32.8 RDW-12.8 Plt ___ ___ 11:55PM BLOO" "Correct entity, wrong SNOMED ID","(3301, 3305)","(3301, 3305)",MCHC,MCHC,37254006,735147002,16867446-DS-13," RBC-2.30* Hgb-7.8* Hct-23.8* MCV-104* MCH-34.0* MCHC-32.8 RDW-12.8 Plt ___ ___ 11:55PM BLOOD Neuts-90." "Correct entity, wrong SNOMED ID","(3311, 3314)","(3311, 3314)",RDW,RDW,66842004,735149004,16867446-DS-13," Hgb-7.8* Hct-23.8* MCV-104* MCH-34.0* MCHC-32.8 RDW-12.8 Plt ___ ___ 11:55PM BLOOD Neuts-90.6* Lymphs" "Correct entity, wrong SNOMED ID","(3346, 3351)","(3346, 3351)",Neuts,Neuts,30630007,271035003,16867446-DS-13,"4.0* MCHC-32.8 RDW-12.8 Plt ___ ___ 11:55PM BLOOD Neuts-90.6* Lymphs-4.6* Monos-4.5 Eos-0.2 Baso-0.1 ___" "Correct entity, wrong SNOMED ID","(3358, 3364)","(3358, 3364)",Lymphs,Lymphs,74765001,79709007,16867446-DS-13,".8 RDW-12.8 Plt ___ ___ 11:55PM BLOOD Neuts-90.6* Lymphs-4.6* Monos-4.5 Eos-0.2 Baso-0.1 ___ 11:55PM BLOO" "Correct entity, wrong SNOMED ID","(3370, 3375)","(3370, 3375)",Monos,Monos,67776007,462791000124108,16867446-DS-13,"Plt ___ ___ 11:55PM BLOOD Neuts-90.6* Lymphs-4.6* Monos-4.5 Eos-0.2 Baso-0.1 ___ 11:55PM BLOOD ___ PTT-2" "Correct entity, wrong SNOMED ID","(3380, 3383)","(3380, 3383)",Eos,Eos,71960002,67099000,16867446-DS-13,"_ 11:55PM BLOOD Neuts-90.6* Lymphs-4.6* Monos-4.5 Eos-0.2 Baso-0.1 ___ 11:55PM BLOOD ___ PTT-26.6 ___ " "Correct entity, wrong SNOMED ID","(3420, 3423)","(3420, 3423)",PTT,PTT,42525009,282119004,16867446-DS-13,"Monos-4.5 Eos-0.2 Baso-0.1 ___ 11:55PM BLOOD ___ PTT-26.6 ___ ___ 11:55PM BLOOD Glucose-236* UreaN-29*" "Correct entity, wrong SNOMED ID","(3451, 3458)","(3451, 3458)",Glucose,Glucose,33747003,72191006,16867446-DS-13," 11:55PM BLOOD ___ PTT-26.6 ___ ___ 11:55PM BLOOD Glucose-236* UreaN-29* Creat-1.7* Na-138 K-4.0 Cl-103 HC" "Correct entity, wrong SNOMED ID","(3464, 3469)","(3464, 3469)",UreaN,UreaN,105011006,111108008,16867446-DS-13,"D ___ PTT-26.6 ___ ___ 11:55PM BLOOD Glucose-236* UreaN-29* Creat-1.7* Na-138 K-4.0 Cl-103 HCO3-17* AnGa" "Correct entity, wrong SNOMED ID","(3474, 3479)","(3474, 3479)",Creat,Creat,70901006,365756002,16867446-DS-13,"26.6 ___ ___ 11:55PM BLOOD Glucose-236* UreaN-29* Creat-1.7* Na-138 K-4.0 Cl-103 HCO3-17* AnGap-22* ___ " "Correct entity, wrong SNOMED ID","(3485, 3487)","(3485, 3487)",Na,Na,312469006,257992007,16867446-DS-13,"_ 11:55PM BLOOD Glucose-236* UreaN-29* Creat-1.7* Na-138 K-4.0 Cl-103 HCO3-17* AnGap-22* ___ 02:50AM " "Correct entity, wrong SNOMED ID","(3499, 3501)","(3499, 3501)",Cl,Cl,104589004,311741002,16867446-DS-13,"D Glucose-236* UreaN-29* Creat-1.7* Na-138 K-4.0 Cl-103 HCO3-17* AnGap-22* ___ 02:50AM BLOOD ALT-61* " "Correct entity, wrong SNOMED ID","(3506, 3510)","(3506, 3510)",HCO3,HCO3,312471006,88645003,16867446-DS-13,"se-236* UreaN-29* Creat-1.7* Na-138 K-4.0 Cl-103 HCO3-17* AnGap-22* ___ 02:50AM BLOOD ALT-61* AST-96* A" "Correct entity, wrong SNOMED ID","(3515, 3520)","(3515, 3520)",AnGap,AnGap,25469001,124504004,16867446-DS-13,"reaN-29* Creat-1.7* Na-138 K-4.0 Cl-103 HCO3-17* AnGap-22* ___ 02:50AM BLOOD ALT-61* AST-96* AlkPhos-55 " "Correct entity, wrong SNOMED ID","(3543, 3546)","(3543, 3546)",ALT,ALT,34608000,56935002,16867446-DS-13,"K-4.0 Cl-103 HCO3-17* AnGap-22* ___ 02:50AM BLOOD ALT-61* AST-96* AlkPhos-55 Amylase-511* TotBili-1.8*" "Correct entity, wrong SNOMED ID","(3551, 3554)","(3551, 3554)",AST,AST,45896001,85043005,16867446-DS-13,"-103 HCO3-17* AnGap-22* ___ 02:50AM BLOOD ALT-61* AST-96* AlkPhos-55 Amylase-511* TotBili-1.8* ___ 02:" "Correct entity, wrong SNOMED ID","(3559, 3566)","(3559, 3566)",AlkPhos,AlkPhos,88810008,30703008,16867446-DS-13,"3-17* AnGap-22* ___ 02:50AM BLOOD ALT-61* AST-96* AlkPhos-55 Amylase-511* TotBili-1.8* ___ 02:50AM BLOOD L" "Correct entity, wrong SNOMED ID","(3584, 3591)","(3584, 3591)",TotBili,TotBili,359986008,19754005,16867446-DS-13,"AM BLOOD ALT-61* AST-96* AlkPhos-55 Amylase-511* TotBili-1.8* ___ 02:50AM BLOOD Lipase-1251* ___ 06:39AM B" Missed entity,"(3615, 3621)",,Lipase,,104988000,,16867446-DS-13,"s-55 Amylase-511* TotBili-1.8* ___ 02:50AM BLOOD Lipase-1251* ___ 06:39AM BLOOD CK-MB-3 cTropnT-<0.01 ___" "Correct entity, wrong SNOMED ID","(3654, 3661)","(3654, 3661)",cTropnT,cTropnT,105001004,442255004,16867446-DS-13,"50AM BLOOD Lipase-1251* ___ 06:39AM BLOOD CK-MB-3 cTropnT-<0.01 ___ 11:55PM BLOOD Calcium-5.9* Phos-1.6* Mg" "Correct entity, wrong SNOMED ID","(3686, 3693)","(3686, 3693)",Calcium,Calcium,312472004,108601004,16867446-DS-13,"9AM BLOOD CK-MB-3 cTropnT-<0.01 ___ 11:55PM BLOOD Calcium-5.9* Phos-1.6* Mg-1.1* ___ 02:50AM BLOOD VitB12-1" "Correct entity, wrong SNOMED ID","(3699, 3703)","(3699, 3703)",Phos,Phos,104868000,168075002,16867446-DS-13,"MB-3 cTropnT-<0.01 ___ 11:55PM BLOOD Calcium-5.9* Phos-1.6* Mg-1.1* ___ 02:50AM BLOOD VitB12-1273* ___ 0" "Correct entity, wrong SNOMED ID","(3709, 3711)","(3709, 3711)",Mg,Mg,271285000,258684004,16867446-DS-13,"nT-<0.01 ___ 11:55PM BLOOD Calcium-5.9* Phos-1.6* Mg-1.1* ___ 02:50AM BLOOD VitB12-1273* ___ 02:50AM B" "Correct entity, wrong SNOMED ID","(3766, 3773)","(3766, 3773)",Triglyc,Triglyc,14740000,365795001,16867446-DS-13," ___ 02:50AM BLOOD VitB12-1273* ___ 02:50AM BLOOD Triglyc-77 ___ 12:12AM BLOOD ___ Temp-37.1 O2 Flow-2 pO2-" "Correct entity, wrong SNOMED ID","(3799, 3803)","(3799, 3803)",Temp,Temp,105723007,102496004,16867446-DS-13,"__ 02:50AM BLOOD Triglyc-77 ___ 12:12AM BLOOD ___ Temp-37.1 O2 Flow-2 pO2-35* pCO2-30* pH-7.39 calTCO2-" "Correct entity, wrong SNOMED ID","(3837, 3839)","(3837, 3839)",pH,pH,81065003,264912003,16867446-DS-13,"M BLOOD ___ Temp-37.1 O2 Flow-2 pO2-35* pCO2-30* pH-7.39 calTCO2-19* Base XS--5 Intubat-NOT INTUBA V" Missed entity,"(3922, 3929)",,Lactate,,3926003,,16867446-DS-13,"bat-NOT INTUBA Vent-SPONTANEOU ___ 12:02AM BLOOD Lactate-3.6* ___ 03:07AM BLOOD Lactate-2.2* ___ 04:33AM B" Missed entity,"(3953, 3960)",,Lactate,,3926003,,16867446-DS-13," ___ 12:02AM BLOOD Lactate-3.6* ___ 03:07AM BLOOD Lactate-2.2* ___ 04:33AM BLOOD Lactate-1.1 ___ 11:55PM UR" Missed entity,"(3984, 3991)",,Lactate,,3926003,,16867446-DS-13," ___ 03:07AM BLOOD Lactate-2.2* ___ 04:33AM BLOOD Lactate-1.1 ___ 11:55PM URINE Color-Yellow Appear-Hazy Sp" "Correct entity, wrong SNOMED ID","(4008, 4013)","(4008, 4013)",URINE,URINE,27171005,78888000,16867446-DS-13,"te-2.2* ___ 04:33AM BLOOD Lactate-1.1 ___ 11:55PM URINE Color-Yellow Appear-Hazy Sp ___ ___ 11:55PM URINE" Missed entity,"(4014, 4019)",,Color,,107650008,,16867446-DS-13,"* ___ 04:33AM BLOOD Lactate-1.1 ___ 11:55PM URINE Color-Yellow Appear-Hazy Sp ___ ___ 11:55PM URINE Blood" "Correct entity, wrong SNOMED ID","(4085, 4092)","(4085, 4092)",Protein,Protein,57378007,764892007,16867446-DS-13,"azy Sp ___ ___ 11:55PM URINE Blood-TR Nitrite-NEG Protein-30 Glucose-300 Ketone-80 Bilirub-NEG Urobiln-2* " "Correct entity, wrong SNOMED ID","(4109, 4115)","(4109, 4115)",Ketone,Ketone,47615003,256048004,16867446-DS-13,"RINE Blood-TR Nitrite-NEG Protein-30 Glucose-300 Ketone-80 Bilirub-NEG Urobiln-2* pH-5.5 Leuks-NEG ___ 11" "Correct entity, wrong SNOMED ID","(4142, 4144)","(4142, 4144)",pH,pH,81065003,264912003,16867446-DS-13,"-30 Glucose-300 Ketone-80 Bilirub-NEG Urobiln-2* pH-5.5 Leuks-NEG ___ 11:55PM URINE RBC-1 WBC-6* Bact" Missed entity,"(4171, 4176)",,URINE,,27171005,,16867446-DS-13,"lirub-NEG Urobiln-2* pH-5.5 Leuks-NEG ___ 11:55PM URINE RBC-1 WBC-6* Bacteri-FEW Yeast-NONE Epi-1 ___ 11:" "Correct entity, wrong SNOMED ID","(4177, 4180)","(4177, 4180)",RBC,RBC,14089001,258759006,16867446-DS-13,"NEG Urobiln-2* pH-5.5 Leuks-NEG ___ 11:55PM URINE RBC-1 WBC-6* Bacteri-FEW Yeast-NONE Epi-1 ___ 11:55PM" "Correct entity, wrong SNOMED ID","(4183, 4186)","(4183, 4186)",WBC,WBC,767002,391558003,16867446-DS-13,"obiln-2* pH-5.5 Leuks-NEG ___ 11:55PM URINE RBC-1 WBC-6* Bacteri-FEW Yeast-NONE Epi-1 ___ 11:55PM URINE" Missed entity,"(4190, 4197)",,Bacteri,,61373006,,16867446-DS-13,"* pH-5.5 Leuks-NEG ___ 11:55PM URINE RBC-1 WBC-6* Bacteri-FEW Yeast-NONE Epi-1 ___ 11:55PM URINE CastHy-17*" Missed entity,"(4231, 4236)",,URINE,,27171005,,16867446-DS-13,"1 WBC-6* Bacteri-FEW Yeast-NONE Epi-1 ___ 11:55PM URINE CastHy-17* Relevent MICU Labs: ___ 03:55AM BLOOD" "Correct entity, wrong SNOMED ID","(4287, 4290)","(4287, 4290)",WBC,WBC,767002,391558003,16867446-DS-13,"CastHy-17* Relevent MICU Labs: ___ 03:55AM BLOOD WBC-5.2 RBC-2.97* Hgb-10.4* Hct-30.2* MCV-102* MCH-3" "Correct entity, wrong SNOMED ID","(4295, 4298)","(4295, 4298)",RBC,RBC,14089001,258759006,16867446-DS-13,"7* Relevent MICU Labs: ___ 03:55AM BLOOD WBC-5.2 RBC-2.97* Hgb-10.4* Hct-30.2* MCV-102* MCH-34.8* MCH" "Correct entity, wrong SNOMED ID","(4305, 4308)","(4305, 4308)",Hgb,Hgb,441689006,104142005,16867446-DS-13,"nt MICU Labs: ___ 03:55AM BLOOD WBC-5.2 RBC-2.97* Hgb-10.4* Hct-30.2* MCV-102* MCH-34.8* MCHC-34.3 RDW" "Correct entity, wrong SNOMED ID","(4315, 4318)","(4315, 4318)",Hct,Hct,28317006,258702006,16867446-DS-13,"bs: ___ 03:55AM BLOOD WBC-5.2 RBC-2.97* Hgb-10.4* Hct-30.2* MCV-102* MCH-34.8* MCHC-34.3 RDW-13.0 Plt " "Correct entity, wrong SNOMED ID","(4335, 4338)","(4335, 4338)",MCH,MCH,54706004,735147002,16867446-DS-13,"D WBC-5.2 RBC-2.97* Hgb-10.4* Hct-30.2* MCV-102* MCH-34.8* MCHC-34.3 RDW-13.0 Plt ___ ___ 04:17AM BLOO" "Correct entity, wrong SNOMED ID","(4345, 4349)","(4345, 4349)",MCHC,MCHC,37254006,735147002,16867446-DS-13,"RBC-2.97* Hgb-10.4* Hct-30.2* MCV-102* MCH-34.8* MCHC-34.3 RDW-13.0 Plt ___ ___ 04:17AM BLOOD WBC-3.8* " "Correct entity, wrong SNOMED ID","(4355, 4358)","(4355, 4358)",RDW,RDW,66842004,735149004,16867446-DS-13,"Hgb-10.4* Hct-30.2* MCV-102* MCH-34.8* MCHC-34.3 RDW-13.0 Plt ___ ___ 04:17AM BLOOD WBC-3.8* RBC-2.60*" "Correct entity, wrong SNOMED ID","(4390, 4393)","(4390, 4393)",WBC,WBC,767002,391558003,16867446-DS-13,"4.8* MCHC-34.3 RDW-13.0 Plt ___ ___ 04:17AM BLOOD WBC-3.8* RBC-2.60* Hgb-8.8* Hct-28.0* MCV-107* MCH-3" "Correct entity, wrong SNOMED ID","(4399, 4402)","(4399, 4402)",RBC,RBC,14089001,258759006,16867446-DS-13,"-34.3 RDW-13.0 Plt ___ ___ 04:17AM BLOOD WBC-3.8* RBC-2.60* Hgb-8.8* Hct-28.0* MCV-107* MCH-33.7* MCHC" "Correct entity, wrong SNOMED ID","(4409, 4412)","(4409, 4412)",Hgb,Hgb,441689006,104142005,16867446-DS-13,"13.0 Plt ___ ___ 04:17AM BLOOD WBC-3.8* RBC-2.60* Hgb-8.8* Hct-28.0* MCV-107* MCH-33.7* MCHC-31.4 RDW-" "Correct entity, wrong SNOMED ID","(4418, 4421)","(4418, 4421)",Hct,Hct,28317006,258702006,16867446-DS-13,"___ ___ 04:17AM BLOOD WBC-3.8* RBC-2.60* Hgb-8.8* Hct-28.0* MCV-107* MCH-33.7* MCHC-31.4 RDW-12.7 Plt " "Correct entity, wrong SNOMED ID","(4438, 4441)","(4438, 4441)",MCH,MCH,54706004,735147002,16867446-DS-13,"D WBC-3.8* RBC-2.60* Hgb-8.8* Hct-28.0* MCV-107* MCH-33.7* MCHC-31.4 RDW-12.7 Plt ___ ___ 03:55AM BLOO" "Correct entity, wrong SNOMED ID","(4448, 4452)","(4448, 4452)",MCHC,MCHC,37254006,735147002,16867446-DS-13," RBC-2.60* Hgb-8.8* Hct-28.0* MCV-107* MCH-33.7* MCHC-31.4 RDW-12.7 Plt ___ ___ 03:55AM BLOOD ___ PTT-2" "Correct entity, wrong SNOMED ID","(4458, 4461)","(4458, 4461)",RDW,RDW,66842004,735149004,16867446-DS-13," Hgb-8.8* Hct-28.0* MCV-107* MCH-33.7* MCHC-31.4 RDW-12.7 Plt ___ ___ 03:55AM BLOOD ___ PTT-27.7 ___ _" "Correct entity, wrong SNOMED ID","(4497, 4500)","(4497, 4500)",PTT,PTT,42525009,282119004,16867446-DS-13," MCHC-31.4 RDW-12.7 Plt ___ ___ 03:55AM BLOOD ___ PTT-27.7 ___ ___ 03:55AM BLOOD Plt ___ ___ 04:17AM BL" "Correct entity, wrong SNOMED ID","(4558, 4561)","(4558, 4561)",PTT,PTT,42525009,282119004,16867446-DS-13,"_ ___ 03:55AM BLOOD Plt ___ ___ 04:17AM BLOOD ___ PTT-30.3 ___ ___ 04:17AM BLOOD Plt ___ ___ 03:55AM BL" Wrong span,"(4609, 4622)","(4615, 4622)",BLOOD Glucose,Glucose,33747003,72191006,16867446-DS-13,"TT-30.3 ___ ___ 04:17AM BLOOD Plt ___ ___ 03:55AM BLOOD Glucose-152* UreaN-18 Creat-1.1 Na-135 K-3.8 Cl-98 HCO3-" "Correct entity, wrong SNOMED ID","(4628, 4633)","(4628, 4633)",UreaN,UreaN,105011006,111108008,16867446-DS-13,"17AM BLOOD Plt ___ ___ 03:55AM BLOOD Glucose-152* UreaN-18 Creat-1.1 Na-135 K-3.8 Cl-98 HCO3-23 AnGap-18" "Correct entity, wrong SNOMED ID","(4637, 4642)","(4637, 4642)",Creat,Creat,70901006,365756002,16867446-DS-13,"D Plt ___ ___ 03:55AM BLOOD Glucose-152* UreaN-18 Creat-1.1 Na-135 K-3.8 Cl-98 HCO3-23 AnGap-18 ___ 04:1" "Correct entity, wrong SNOMED ID","(4647, 4649)","(4647, 4649)",Na,Na,312469006,257992007,16867446-DS-13,"___ 03:55AM BLOOD Glucose-152* UreaN-18 Creat-1.1 Na-135 K-3.8 Cl-98 HCO3-23 AnGap-18 ___ 04:17AM BLO" "Correct entity, wrong SNOMED ID","(4661, 4663)","(4661, 4663)",Cl,Cl,104589004,311741002,16867446-DS-13,"OOD Glucose-152* UreaN-18 Creat-1.1 Na-135 K-3.8 Cl-98 HCO3-23 AnGap-18 ___ 04:17AM BLOOD Glucose-546" "Correct entity, wrong SNOMED ID","(4667, 4671)","(4667, 4671)",HCO3,HCO3,312471006,88645003,16867446-DS-13,"ucose-152* UreaN-18 Creat-1.1 Na-135 K-3.8 Cl-98 HCO3-23 AnGap-18 ___ 04:17AM BLOOD Glucose-546* UreaN-" "Correct entity, wrong SNOMED ID","(4675, 4680)","(4675, 4680)",AnGap,AnGap,25469001,124504004,16867446-DS-13,"2* UreaN-18 Creat-1.1 Na-135 K-3.8 Cl-98 HCO3-23 AnGap-18 ___ 04:17AM BLOOD Glucose-546* UreaN-9 Creat-1" Wrong span,"(4696, 4709)","(4702, 4709)",BLOOD Glucose,Glucose,33747003,72191006,16867446-DS-13," Na-135 K-3.8 Cl-98 HCO3-23 AnGap-18 ___ 04:17AM BLOOD Glucose-546* UreaN-9 Creat-1.0 Na-132* K-3.1* Cl-97 HCO3" "Correct entity, wrong SNOMED ID","(4715, 4720)","(4715, 4720)",UreaN,UreaN,105011006,111108008,16867446-DS-13,"8 HCO3-23 AnGap-18 ___ 04:17AM BLOOD Glucose-546* UreaN-9 Creat-1.0 Na-132* K-3.1* Cl-97 HCO3-25 AnGap-1" "Correct entity, wrong SNOMED ID","(4723, 4728)","(4723, 4728)",Creat,Creat,70901006,365756002,16867446-DS-13,"3 AnGap-18 ___ 04:17AM BLOOD Glucose-546* UreaN-9 Creat-1.0 Na-132* K-3.1* Cl-97 HCO3-25 AnGap-13 ___ 03" "Correct entity, wrong SNOMED ID","(4733, 4735)","(4733, 4735)",Na,Na,312469006,257992007,16867446-DS-13," ___ 04:17AM BLOOD Glucose-546* UreaN-9 Creat-1.0 Na-132* K-3.1* Cl-97 HCO3-25 AnGap-13 ___ 03:55AM B" "Correct entity, wrong SNOMED ID","(4749, 4751)","(4749, 4751)",Cl,Cl,104589004,311741002,16867446-DS-13,"OD Glucose-546* UreaN-9 Creat-1.0 Na-132* K-3.1* Cl-97 HCO3-25 AnGap-13 ___ 03:55AM BLOOD ALT-53* AST" "Correct entity, wrong SNOMED ID","(4755, 4759)","(4755, 4759)",HCO3,HCO3,312471006,88645003,16867446-DS-13,"cose-546* UreaN-9 Creat-1.0 Na-132* K-3.1* Cl-97 HCO3-25 AnGap-13 ___ 03:55AM BLOOD ALT-53* AST-72* LD(" "Correct entity, wrong SNOMED ID","(4763, 4768)","(4763, 4768)",AnGap,AnGap,25469001,124504004,16867446-DS-13,"* UreaN-9 Creat-1.0 Na-132* K-3.1* Cl-97 HCO3-25 AnGap-13 ___ 03:55AM BLOOD ALT-53* AST-72* LD(LDH)-251*" "Correct entity, wrong SNOMED ID","(4790, 4793)","(4790, 4793)",ALT,ALT,34608000,56935002,16867446-DS-13," K-3.1* Cl-97 HCO3-25 AnGap-13 ___ 03:55AM BLOOD ALT-53* AST-72* LD(LDH)-251* CK(CPK)-104 AlkPhos-62 " "Correct entity, wrong SNOMED ID","(4798, 4801)","(4798, 4801)",AST,AST,45896001,85043005,16867446-DS-13," Cl-97 HCO3-25 AnGap-13 ___ 03:55AM BLOOD ALT-53* AST-72* LD(LDH)-251* CK(CPK)-104 AlkPhos-62 Amylase-" "Correct entity, wrong SNOMED ID","(4809, 4812)","(4809, 4812)",LDH,LDH,11274001,67568008,16867446-DS-13,"-25 AnGap-13 ___ 03:55AM BLOOD ALT-53* AST-72* LD(LDH)-251* CK(CPK)-104 AlkPhos-62 Amylase-517* TotBil" "Correct entity, wrong SNOMED ID","(4832, 4839)","(4832, 4839)",AlkPhos,AlkPhos,88810008,30703008,16867446-DS-13,"M BLOOD ALT-53* AST-72* LD(LDH)-251* CK(CPK)-104 AlkPhos-62 Amylase-517* TotBili-1.0 ___ 04:17AM BLOOD ALT" "Correct entity, wrong SNOMED ID","(4856, 4863)","(4856, 4863)",TotBili,TotBili,359986008,19754005,16867446-DS-13,"LD(LDH)-251* CK(CPK)-104 AlkPhos-62 Amylase-517* TotBili-1.0 ___ 04:17AM BLOOD ALT-57* AST-86* LD(___)-218" "Correct entity, wrong SNOMED ID","(4886, 4889)","(4886, 4889)",ALT,ALT,34608000,56935002,16867446-DS-13,"hos-62 Amylase-517* TotBili-1.0 ___ 04:17AM BLOOD ALT-57* AST-86* LD(___)-218 AlkPhos-75 TotBili-1.0 _" "Correct entity, wrong SNOMED ID","(4894, 4897)","(4894, 4897)",AST,AST,45896001,85043005,16867446-DS-13,"mylase-517* TotBili-1.0 ___ 04:17AM BLOOD ALT-57* AST-86* LD(___)-218 AlkPhos-75 TotBili-1.0 ___ 03:55" "Correct entity, wrong SNOMED ID","(4914, 4921)","(4914, 4921)",AlkPhos,AlkPhos,88810008,30703008,16867446-DS-13,"1.0 ___ 04:17AM BLOOD ALT-57* AST-86* LD(___)-218 AlkPhos-75 TotBili-1.0 ___ 03:55AM BLOOD Lipase-1303* __" "Correct entity, wrong SNOMED ID","(4926, 4933)","(4926, 4933)",TotBili,TotBili,359986008,19754005,16867446-DS-13,"7AM BLOOD ALT-57* AST-86* LD(___)-218 AlkPhos-75 TotBili-1.0 ___ 03:55AM BLOOD Lipase-1303* ___ 04:17AM BL" Missed entity,"(4987, 4993)",,Lipase,,104988000,,16867446-DS-13," ___ 03:55AM BLOOD Lipase-1303* ___ 04:17AM BLOOD Lipase-1337* Discharge Labs; ___ 08:00AM BLOOD WBC-4.2 " "Correct entity, wrong SNOMED ID","(5035, 5038)","(5035, 5038)",WBC,WBC,767002,391558003,16867446-DS-13,"D Lipase-1337* Discharge Labs; ___ 08:00AM BLOOD WBC-4.2 RBC-2.99* Hgb-10.2* Hct-30.5* MCV-102* MCH-3" "Correct entity, wrong SNOMED ID","(5043, 5046)","(5043, 5046)",RBC,RBC,14089001,258759006,16867446-DS-13,"-1337* Discharge Labs; ___ 08:00AM BLOOD WBC-4.2 RBC-2.99* Hgb-10.2* Hct-30.5* MCV-102* MCH-34.0* MCH" "Correct entity, wrong SNOMED ID","(5053, 5056)","(5053, 5056)",Hgb,Hgb,441689006,104142005,16867446-DS-13,"scharge Labs; ___ 08:00AM BLOOD WBC-4.2 RBC-2.99* Hgb-10.2* Hct-30.5* MCV-102* MCH-34.0* MCHC-33.3 RDW" "Correct entity, wrong SNOMED ID","(5063, 5066)","(5063, 5066)",Hct,Hct,28317006,258702006,16867446-DS-13,"bs; ___ 08:00AM BLOOD WBC-4.2 RBC-2.99* Hgb-10.2* Hct-30.5* MCV-102* MCH-34.0* MCHC-33.3 RDW-13.1 Plt " "Correct entity, wrong SNOMED ID","(5083, 5086)","(5083, 5086)",MCH,MCH,54706004,735147002,16867446-DS-13,"D WBC-4.2 RBC-2.99* Hgb-10.2* Hct-30.5* MCV-102* MCH-34.0* MCHC-33.3 RDW-13.1 Plt ___ ___ 08:00AM BLOO" "Correct entity, wrong SNOMED ID","(5093, 5097)","(5093, 5097)",MCHC,MCHC,37254006,735147002,16867446-DS-13,"RBC-2.99* Hgb-10.2* Hct-30.5* MCV-102* MCH-34.0* MCHC-33.3 RDW-13.1 Plt ___ ___ 08:00AM BLOOD Glucose-1" "Correct entity, wrong SNOMED ID","(5103, 5106)","(5103, 5106)",RDW,RDW,66842004,735149004,16867446-DS-13,"Hgb-10.2* Hct-30.5* MCV-102* MCH-34.0* MCHC-33.3 RDW-13.1 Plt ___ ___ 08:00AM BLOOD Glucose-176* UreaN" Wrong span,"(5132, 5145)","(5138, 5145)",BLOOD Glucose,Glucose,33747003,72191006,16867446-DS-13," MCH-34.0* MCHC-33.3 RDW-13.1 Plt ___ ___ 08:00AM BLOOD Glucose-176* UreaN-16 Creat-1.0 Na-137 K-3.4 Cl-103 HCO3" "Correct entity, wrong SNOMED ID","(5151, 5156)","(5151, 5156)",UreaN,UreaN,105011006,111108008,16867446-DS-13,"3 RDW-13.1 Plt ___ ___ 08:00AM BLOOD Glucose-176* UreaN-16 Creat-1.0 Na-137 K-3.4 Cl-103 HCO3-25 AnGap-1" "Correct entity, wrong SNOMED ID","(5160, 5165)","(5160, 5165)",Creat,Creat,70901006,365756002,16867446-DS-13,"1 Plt ___ ___ 08:00AM BLOOD Glucose-176* UreaN-16 Creat-1.0 Na-137 K-3.4 Cl-103 HCO3-25 AnGap-12 ___ 08:" "Correct entity, wrong SNOMED ID","(5170, 5172)","(5170, 5172)",Na,Na,312469006,257992007,16867446-DS-13,"___ 08:00AM BLOOD Glucose-176* UreaN-16 Creat-1.0 Na-137 K-3.4 Cl-103 HCO3-25 AnGap-12 ___ 08:00AM BL" "Correct entity, wrong SNOMED ID","(5184, 5186)","(5184, 5186)",Cl,Cl,104589004,311741002,16867446-DS-13,"OOD Glucose-176* UreaN-16 Creat-1.0 Na-137 K-3.4 Cl-103 HCO3-25 AnGap-12 ___ 08:00AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(5191, 5195)","(5191, 5195)",HCO3,HCO3,312471006,88645003,16867446-DS-13,"cose-176* UreaN-16 Creat-1.0 Na-137 K-3.4 Cl-103 HCO3-25 AnGap-12 ___ 08:00AM BLOOD Calcium-8.1* Phos-2" "Correct entity, wrong SNOMED ID","(5199, 5204)","(5199, 5204)",AnGap,AnGap,25469001,124504004,16867446-DS-13,"* UreaN-16 Creat-1.0 Na-137 K-3.4 Cl-103 HCO3-25 AnGap-12 ___ 08:00AM BLOOD Calcium-8.1* Phos-2.7 Mg-1.6" "Correct entity, wrong SNOMED ID","(5226, 5233)","(5226, 5233)",Calcium,Calcium,312472004,108601004,16867446-DS-13," K-3.4 Cl-103 HCO3-25 AnGap-12 ___ 08:00AM BLOOD Calcium-8.1* Phos-2.7 Mg-1.6 ___ 07:00AM BLOOD %HbA1c-8.3" "Correct entity, wrong SNOMED ID","(5239, 5243)","(5239, 5243)",Phos,Phos,104868000,168075002,16867446-DS-13,"3 HCO3-25 AnGap-12 ___ 08:00AM BLOOD Calcium-8.1* Phos-2.7 Mg-1.6 ___ 07:00AM BLOOD %HbA1c-8.3* eAG-192*" "Correct entity, wrong SNOMED ID","(5248, 5250)","(5248, 5250)",Mg,Mg,271285000,258684004,16867446-DS-13," AnGap-12 ___ 08:00AM BLOOD Calcium-8.1* Phos-2.7 Mg-1.6 ___ 07:00AM BLOOD %HbA1c-8.3* eAG-192* Micro" "Correct entity, wrong SNOMED ID","(5285, 5288)","(5285, 5288)",eAG,eAG,117346004,361444006,16867446-DS-13,".1* Phos-2.7 Mg-1.6 ___ 07:00AM BLOOD %HbA1c-8.3* eAG-192* Micro: Blood culture ___- PENDING x 2 Im" "Correct entity, wrong SNOMED ID","(5304, 5317)","(5304, 5317)",Blood culture,Blood culture,30088009,8730001000004107,16867446-DS-13," ___ 07:00AM BLOOD %HbA1c-8.3* eAG-192* Micro: Blood culture ___- PENDING x 2 Imaging: EKG ___: Sinus tachyca" "Correct entity, wrong SNOMED ID","(5345, 5348)","(5345, 5348)",EKG,EKG,29303009,75444003,16867446-DS-13,"Micro: Blood culture ___- PENDING x 2 Imaging: EKG ___: Sinus tachycardia. RSR' pattern in lead V1 (" "Correct entity, wrong SNOMED ID","(5354, 5371)","(5354, 5371)",Sinus tachycardia,Sinus tachycardia,11092001,425582007,16867446-DS-13,"Blood culture ___- PENDING x 2 Imaging: EKG ___: Sinus tachycardia. RSR' pattern in lead V1 (normal variant). Left " Wrong span,"(5373, 5396)","(5373, 5376)",RSR' pattern in lead V1,RSR,251126009,6304003,16867446-DS-13,"PENDING x 2 Imaging: EKG ___: Sinus tachycardia. RSR' pattern in lead V1 (normal variant). Left atrial abnormality. Non-s" Missed entity,"(5398, 5404)",,normal,,281900007,,16867446-DS-13," ___: Sinus tachycardia. RSR' pattern in lead V1 (normal variant). Left atrial abnormality. Non-specific " "Correct entity, wrong SNOMED ID","(5454, 5473)","(5454, 5473)","ST segment changes","ST segment changes",365416000,55930002,16867446-DS-13," variant). Left atrial abnormality. Non-specific ST segment changes. No previous tracing available for comparison. Ra" Missed entity,"(5521, 5525)",,Rate,,301113001,,16867446-DS-13,"es. No previous tracing available for comparison. Rate 114, QTc 424 CXR ___: Lung volumes are low an" "Correct entity, wrong SNOMED ID","(5552, 5564)","(5552, 5564)",Lung volumes,Lung volumes,366148004,366149007,16867446-DS-13,"le for comparison. Rate 114, QTc 424 CXR ___: Lung volumes are low and there are patchy bibasilar opacities" "Correct entity, wrong SNOMED ID","(5594, 5603)","(5594, 5603)",bibasilar,bibasilar,10024003,704915001,16867446-DS-13,"XR ___: Lung volumes are low and there are patchy bibasilar opacities which may reflect patchy lower lobe at" "Correct entity, wrong SNOMED ID","(5605, 5614)","(5605, 5614)",opacities,opacities,128305008,422061002,16867446-DS-13,"g volumes are low and there are patchy bibasilar opacities which may reflect patchy lower lobe atelectasis, " "Correct entity, wrong SNOMED ID","(5640, 5650)","(5640, 5650)",lower lobe,lower lobe,90572001,41224006,16867446-DS-13,"chy bibasilar opacities which may reflect patchy lower lobe atelectasis, although aspiration or pneumonia ca" "Correct entity, wrong SNOMED ID","(5674, 5684)","(5674, 5684)",aspiration,aspiration,422588002,68052005,16867446-DS-13," reflect patchy lower lobe atelectasis, although aspiration or pneumonia cannot be entirely excluded. Clini" "Correct entity, wrong SNOMED ID","(5688, 5697)","(5688, 5697)",pneumonia,pneumonia,233604007,415125002,16867446-DS-13,"y lower lobe atelectasis, although aspiration or pneumonia cannot be entirely excluded. Clinical correlati" "Correct entity, wrong SNOMED ID","(5766, 5778)","(5766, 5778)",pneumothorax,pneumothorax,36118008,109364007,16867446-DS-13," excluded. Clinical correlation is advised. No pneumothorax. No evidence of pulmonary edema. No acute bone" "Correct entity, wrong SNOMED ID","(5781, 5792)","(5781, 5792)",No evidence,No evidence,281900007,41647002,16867446-DS-13,"inical correlation is advised. No pneumothorax. No evidence of pulmonary edema. No acute bone abnormality a" "Correct entity, wrong SNOMED ID","(5797, 5812)","(5797, 5812)",pulmonary edema,pulmonary edema,19242006,40541001,16867446-DS-13,"on is advised. No pneumothorax. No evidence of pulmonary edema. No acute bone abnormality appreciated. CT abd" "Correct entity, wrong SNOMED ID","(5824, 5840)","(5824, 5840)",bone abnormality,bone abnormality,36123008,860716008,16867446-DS-13,"orax. No evidence of pulmonary edema. No acute bone abnormality appreciated. CT abd/pelvis ___: 1. Peripancrea" Missed entity,"(5894, 5899)",,fluid,,17672001,,16867446-DS-13,"reciated. CT abd/pelvis ___: 1. Peripancreatic fluid and fat stranding suggestive of pancreatitis. N" Missed entity,"(5909, 5918)",,stranding,,89977008,,16867446-DS-13,"abd/pelvis ___: 1. Peripancreatic fluid and fat stranding suggestive of pancreatitis. No evidence of organ" "Correct entity, wrong SNOMED ID","(5933, 5945)","(5933, 5945)",pancreatitis,pancreatitis,75694006,95563007,16867446-DS-13,"pancreatic fluid and fat stranding suggestive of pancreatitis. No evidence of organized fluid collection. 2." "Correct entity, wrong SNOMED ID","(5948, 5959)","(5948, 5959)",No evidence,No evidence,281900007,41647002,16867446-DS-13,"d and fat stranding suggestive of pancreatitis. No evidence of organized fluid collection. 2. Hepatic stea" Wrong span,"(5974, 5979)","(5974, 5990)",fluid,fluid collection,473358000,231061006,16867446-DS-13,"stive of pancreatitis. No evidence of organized fluid collection. 2. Hepatic steatosis. 3. Diverticu" "Correct entity, wrong SNOMED ID","(5997, 6014)","(5997, 6014)",Hepatic steatosis,Hepatic steatosis,197321007,40725000,16867446-DS-13," No evidence of organized fluid collection. 2. Hepatic steatosis. 3. Diverticulosis without evidence of divertic" "Correct entity, wrong SNOMED ID","(6020, 6034)","(6020, 6034)",Diverticulosis,Diverticulosis,724538004,14011008,16867446-DS-13,"ed fluid collection. 2. Hepatic steatosis. 3. Diverticulosis without evidence of diverticulitis Brief Hosp" "Correct entity, wrong SNOMED ID","(6056, 6070)","(6056, 6070)",diverticulitis,diverticulitis,307496006,2091005,16867446-DS-13,"teatosis. 3. Diverticulosis without evidence of diverticulitis Brief Hospital Course: ___ yo Male with histor" "Correct entity, wrong SNOMED ID","(6125, 6145)","(6125, 6145)",poorly controlled DM,poorly controlled DM,268519009,443694000,16867446-DS-13,"rief Hospital Course: ___ yo Male with history of poorly controlled DM, transferred from ___ for managment of DKA, panc" "Correct entity, wrong SNOMED ID","(6191, 6203)","(6191, 6203)",pancreatitis,pancreatitis,75694006,95563007,16867446-DS-13,"d DM, transferred from ___ for managment of DKA, pancreatitis and EtOH withdrawal #DKA- came in with gap of 1" "Correct entity, wrong SNOMED ID","(6208, 6224)","(6208, 6224)","EtOH withdrawal","EtOH withdrawal",191480000,1141000161108,16867446-DS-13," from ___ for managment of DKA, pancreatitis and EtOH withdrawal #DKA- came in with gap of 18, glucose of 230s. " "Correct entity, wrong SNOMED ID","(6291, 6316)","(6291, 6316)",medication non-compliance,medication non-compliance,129834002,702566000,16867446-DS-13,"ith gap of 18, glucose of 230s. Patient endorse medication non-compliance. While in the ICU, patient was treated with flu" Missed entity,"(6332, 6335)",,ICU,,305351004,,16867446-DS-13,"endorse medication non-compliance. While in the ICU, patient was treated with fluid and electrolyte " "Correct entity, wrong SNOMED ID","(6363, 6368)","(6363, 6368)",fluid,fluid,103744005,25670009,16867446-DS-13,"nce. While in the ICU, patient was treated with fluid and electrolyte resuscitation and subcutaneous i" "Correct entity, wrong SNOMED ID","(6373, 6398)","(6373, 6398)",electrolyte resuscitation,electrolyte resuscitation,47451004,370784006,16867446-DS-13,"e in the ICU, patient was treated with fluid and electrolyte resuscitation and subcutaneous insulin, with good response. __" "Correct entity, wrong SNOMED ID","(6404, 6424)","(6404, 6424)",subcutaneous insulin,subcutaneous insulin,308755006,180178009,16867446-DS-13,"ted with fluid and electrolyte resuscitation and subcutaneous insulin, with good response. ___ was consulted. His insu" Missed entity,"(6431, 6435)",,good,,78469002,,16867446-DS-13,"yte resuscitation and subcutaneous insulin, with good response. ___ was consulted. His insulin drip wa" "Correct entity, wrong SNOMED ID","(6568, 6574)","(6568, 6574)",stable,stable,359746009,301459008,16867446-DS-13,"out to the medicine floor where he remained quite stable. He was seen by ___ on whose recommendation he w" "Correct entity, wrong SNOMED ID","(6648, 6666)","(6648, 6666)",Acute pancreatitis,Acute pancreatitis,197456007,235946003,16867446-DS-13," whose recommendation he was dc-ed to rehab. # Acute pancreatitis- Nausea and abdominal pain were present on admis" "Correct entity, wrong SNOMED ID","(6668, 6674)","(6668, 6674)",Nausea,Nausea,422587007,1217125005,16867446-DS-13,"n he was dc-ed to rehab. # Acute pancreatitis- Nausea and abdominal pain were present on admission, as" "Correct entity, wrong SNOMED ID","(6679, 6693)","(6679, 6693)",abdominal pain,abdominal pain,21522001,54586004,16867446-DS-13,"-ed to rehab. # Acute pancreatitis- Nausea and abdominal pain were present on admission, as well as a lipase t" "Correct entity, wrong SNOMED ID","(6735, 6741)","(6735, 6741)",lipase,lipase,271232007,104988000,16867446-DS-13,"nal pain were present on admission, as well as a lipase to 1098 at ___ 1251 at ___. He was treated conse" Wrong span,"(6806, 6809)","(6806, 6814)",NPO,NPO diet,182923009,226196004,16867446-DS-13," 1251 at ___. He was treated conservatively with NPO diet, pain control with tylenol. A CT abdomen s" "Correct entity, wrong SNOMED ID","(6816, 6828)","(6816, 6828)",pain control,pain control,225782006,370778008,16867446-DS-13,"___. He was treated conservatively with NPO diet, pain control with tylenol. A CT abdomen showed uncomplicated" Missed entity,"(6835, 6842)",,tylenol,,52685006,,16867446-DS-13," conservatively with NPO diet, pain control with tylenol. A CT abdomen showed uncomplicated pancreatitis," "Correct entity, wrong SNOMED ID","(6879, 6891)","(6879, 6891)",pancreatitis,pancreatitis,75694006,95563007,16867446-DS-13," with tylenol. A CT abdomen showed uncomplicated pancreatitis, without pseudocyst, necrosis, or fluid collecti" "Correct entity, wrong SNOMED ID","(6902, 6912)","(6902, 6912)",pseudocyst,pseudocyst,13467000,111374002,16867446-DS-13,"domen showed uncomplicated pancreatitis, without pseudocyst, necrosis, or fluid collection. Pt improved quic" "Correct entity, wrong SNOMED ID","(6914, 6922)","(6914, 6922)",necrosis,necrosis,6574001,1835003,16867446-DS-13," uncomplicated pancreatitis, without pseudocyst, necrosis, or fluid collection. Pt improved quickly and wa" "Correct entity, wrong SNOMED ID","(6927, 6943)","(6927, 6943)",fluid collection,fluid collection,17672001,231061006,16867446-DS-13,"d pancreatitis, without pseudocyst, necrosis, or fluid collection. Pt improved quickly and was toelrating regular " "Correct entity, wrong SNOMED ID","(6948, 6956)","(6948, 6956)",improved,improved,268910001,251359002,16867446-DS-13,"out pseudocyst, necrosis, or fluid collection. Pt improved quickly and was toelrating regular diet, with pa" "Correct entity, wrong SNOMED ID","(6985, 6997)","(6985, 6997)",regular diet,regular diet,36823005,63740007,16867446-DS-13,"llection. Pt improved quickly and was toelrating regular diet, with pain controlled on tylenol at ___ to rehab" Wrong span,"(7004, 7008)","(7004, 7019)",pain,pain controlled,22253000,370778008,16867446-DS-13,"ed quickly and was toelrating regular diet, with pain controlled on tylenol at ___ to rehab. # Alcoh" Missed entity,"(7024, 7031)",,tylenol,,52685006,,16867446-DS-13,"toelrating regular diet, with pain controlled on tylenol at ___ to rehab. # Alcohol withdrawal- Patient " "Correct entity, wrong SNOMED ID","(7053, 7071)","(7053, 7071)",Alcohol withdrawal,Alcohol withdrawal,191480000,1141000161108,16867446-DS-13," pain controlled on tylenol at ___ to rehab. # Alcohol withdrawal- Patient reports his last drink was on ___ morni" "Correct entity, wrong SNOMED ID","(7098, 7103)","(7098, 7103)",drink,drink,365967005,366357001,16867446-DS-13," # Alcohol withdrawal- Patient reports his last drink was on ___ morning before admission. Patient re" Missed entity,"(7167, 7206)",,"drinks ___ hard alcoholic drinks daily",,228319007,,16867446-DS-13,"orning before admission. Patient reports that he drinks ___ hard alcoholic drinks daily. He denies any withdrawal symptoms in the past, " "Correct entity, wrong SNOMED ID","(7222, 7242)","(7222, 7242)","withdrawal symptoms","withdrawal symptoms",720822008,710059009,16867446-DS-13,"s ___ hard alcoholic drinks daily. He denies any withdrawal symptoms in the past, however while in the ICU he required" Missed entity,"(7277, 7280)",,ICU,,305351004,,16867446-DS-13,"rawal symptoms in the past, however while in the ICU he required more than 100mg of PRN Diazepam on a" "Correct entity, wrong SNOMED ID","(7331, 7341)","(7331, 7341)",CIWA scale,CIWA scale,445628007,273931002,16867446-DS-13,"he required more than 100mg of PRN Diazepam on a CIWA scale. He was treated with Diazepam and breakthrough " "Correct entity, wrong SNOMED ID","(7522, 7537)","(7522, 7537)",substance abuse,substance abuse,66214007,91388009,16867446-DS-13," A social work consult was placed regarding his substance abuse, as well. He did not score on CIWA after transfe" "Correct entity, wrong SNOMED ID","(7602, 7608)","(7602, 7608)",Anemia,Anemia,271737000,87522002,16867446-DS-13,"did not score on CIWA after transfer to floor. #Anemia: HCT has remained stable throughout MICU stay. H" "Correct entity, wrong SNOMED ID","(7610, 7613)","(7610, 7613)",HCT,HCT,365618006,409683007,16867446-DS-13,"score on CIWA after transfer to floor. #Anemia: HCT has remained stable throughout MICU stay. Has m" "Correct entity, wrong SNOMED ID","(7627, 7633)","(7627, 7633)",stable,stable,359746009,301459008,16867446-DS-13,"er transfer to floor. #Anemia: HCT has remained stable throughout MICU stay. Has macrocytic anemia con" "Correct entity, wrong SNOMED ID","(7662, 7679)","(7662, 7679)",macrocytic anemia,macrocytic anemia,83414005,31206006,16867446-DS-13,"T has remained stable throughout MICU stay. Has macrocytic anemia consistent with history of alcohol abuse. He did" "Correct entity, wrong SNOMED ID","(7707, 7720)","(7707, 7720)",alcohol abuse,alcohol abuse,15167005,268645007,16867446-DS-13,"Has macrocytic anemia consistent with history of alcohol abuse. He did not require transfusion, and had guaiac " "Correct entity, wrong SNOMED ID","(7742, 7753)","(7742, 7753)",transfusion,transfusion,5447007,116859006,16867446-DS-13,"ith history of alcohol abuse. He did not require transfusion, and had guaiac negative stools. We continued ho" Wrong span,"(7763, 7769)","(7763, 7785)",guaiac,guaiac negative stools,442554004,736692000,16867446-DS-13,"l abuse. He did not require transfusion, and had guaiac negative stools. We continued home b12 and added" Wrong span,"(7770, 7778)","(7763, 7785)",negative,guaiac negative stools,281900007,736692000,16867446-DS-13,". He did not require transfusion, and had guaiac negative stools. We continued home b12 and added on folat" "Correct entity, wrong SNOMED ID","(7909, 7917)","(7909, 7917)",elevated,elevated,166717003,50177009,16867446-DS-13,"nted with serum Cr of 1.9 on admission, which is elevated from baseline. Was given aggressive fluid resus" "Correct entity, wrong SNOMED ID","(7923, 7931)","(7923, 7931)",baseline,baseline,128974000,129082007,16867446-DS-13,"m Cr of 1.9 on admission, which is elevated from baseline. Was given aggressive fluid resuscitation and r" "Correct entity, wrong SNOMED ID","(7955, 7975)","(7955, 7975)","fluid resuscitation","fluid resuscitation",430701006,711133000,16867446-DS-13,"is elevated from baseline. Was given aggressive fluid resuscitation and responded well with normalization of serum Cr" Missed entity,"(7980, 7994)",,responded well,,78469002,,16867446-DS-13,"e. Was given aggressive fluid resuscitation and responded well with normalization of serum Cr. Normalised at ti" "Correct entity, wrong SNOMED ID","(8091, 8101)","(8091, 8101)",ETOH abuse,ETOH abuse,15167005,268645007,16867446-DS-13," time of dc. Transitional Issues: - Will need ETOH abuse council if amenable - f/u with ___ as outpt-set" Missed entity,"(8142, 8147)",,outpt,,737492002,,16867446-DS-13,"TOH abuse council if amenable - f/u with ___ as outpt-set up as high risk through care connection seen" Missed entity,"(8262, 8265)",,PCP,,737470001,,16867446-DS-13," discharge; decision to refer to ___ deferred to PCP ___ on ___: Lisinopril 10 mg daily simvastat" Missed entity,"(8281, 8291)",,Lisinopril,,410682003,,16867446-DS-13,"n to refer to ___ deferred to PCP ___ on ___: Lisinopril 10 mg daily simvastatin 40 mg daily Levemir F" "Correct entity, wrong SNOMED ID","(8780, 8798)","(8780, 8798)",ACUTE PANCREATITIS,ACUTE PANCREATITIS,197456007,235946003,16867446-DS-13," ___ Discharge Diagnosis: PRIMARY DIAGNOSIS: 1. ACUTE PANCREATITIS 2. DIABETIC KETOACIDOSIS SECONDARY DIAGNOSIS: 1." Wrong span,"(8802, 8823)","(8802, 8810)",DIABETIC KETOACIDOSIS,DIABETIC,420422005,9414007,16867446-DS-13,"osis: PRIMARY DIAGNOSIS: 1. ACUTE PANCREATITIS 2. DIABETIC KETOACIDOSIS SECONDARY DIAGNOSIS: 1. TYPE 2 DIABETES MELLITUS" Wrong span,"(8849, 8873)","(8856, 8873)",TYPE 2 DIABETES MELLITUS,DIABETES MELLITUS,44054006,44054006,16867446-DS-13,"2. DIABETIC KETOACIDOSIS SECONDARY DIAGNOSIS: 1. TYPE 2 DIABETES MELLITUS 2. HYPERLIPIDEMIA 3. PSORIASIS Discharge Condi" "Correct entity, wrong SNOMED ID","(8877, 8891)","(8877, 8891)",HYPERLIPIDEMIA,HYPERLIPIDEMIA,55822004,267434003,16867446-DS-13,"CONDARY DIAGNOSIS: 1. TYPE 2 DIABETES MELLITUS 2. HYPERLIPIDEMIA 3. PSORIASIS Discharge Condition: Mental Statu" "Correct entity, wrong SNOMED ID","(8895, 8904)","(8895, 8904)",PSORIASIS,PSORIASIS,9014002,111188005,16867446-DS-13," 1. TYPE 2 DIABETES MELLITUS 2. HYPERLIPIDEMIA 3. PSORIASIS Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(8929, 8942)","(8929, 8942)",Mental Status,Mental Status,392257007,419284004,16867446-DS-13,"PERLIPIDEMIA 3. PSORIASIS Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(8944, 8949)","(8944, 8949)",Clear,Clear,48348007,281278005,16867446-DS-13," PSORIASIS Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(8964, 8986)","(8964, 8986)",Level of Consciousness,Level of Consciousness,444714004,830285008,16867446-DS-13,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(8988, 8993)","(8988, 8993)",Alert,Alert,248234008,409787004,16867446-DS-13,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(8998, 9009)","(8998, 9009)",interactive,interactive,288577006,10301000202103,16867446-DS-13,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(9028, 9052)","(9028, 9052)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,16867446-DS-13,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Mr ___, It was a ple" "Correct entity, wrong SNOMED ID","(9229, 9243)","(9229, 9243)",abdominal pain,abdominal pain,21522001,54586004,16867446-DS-13," you were admitted because you were experiencing abdominal pain and were ultimately found to have pancreatitis. " "Correct entity, wrong SNOMED ID","(9279, 9291)","(9279, 9291)",pancreatitis,pancreatitis,75694006,95563007,16867446-DS-13,"abdominal pain and were ultimately found to have pancreatitis. This was caused by drinking too much alcohol an" Missed entity,"(9331, 9338)",,alcohol,,15167005,,16867446-DS-13,"ncreatitis. This was caused by drinking too much alcohol and it is very important that you decrease the a" Missed entity,"(9374, 9382)",,decrease,,1255671001,,16867446-DS-13,"o much alcohol and it is very important that you decrease the amount you are drinking. Your blood sugars w" "Correct entity, wrong SNOMED ID","(9418, 9430)","(9418, 9430)",blood sugars,blood sugars,33747003,104686004,16867446-DS-13," you decrease the amount you are drinking. Your blood sugars were also extremely high and you develop a condi" False positive,,"(179, 186)",,Corgard,,396718003,16867779-DS-14," Sex: M Service: MEDICINE Allergies: Corgard / Lasix Attending: ___. Chief Complaint: Scro" False positive,,"(189, 194)",,Lasix,,25401000181106,16867779-DS-14,": M Service: MEDICINE Allergies: Corgard / Lasix Attending: ___. Chief Complaint: Scrotal swel" False positive,,"(725, 745)",,genitourinary issues,,118674002,16867779-DS-14,"___ reports that for the past 2 weeks he has had genitourinary issues. 2 weeks ago he noted a sore on his penis for wh" False positive,,"(914, 922)",,resolved,,413322009,16867779-DS-14,"e. Patient reports that this seems to have since resolved over the weekend. In what appears to be an unrela" False positive,,"(1090, 1093)",,non,,900000000000495008,16867779-DS-14," and pain. He describes his pain as 12 out of 10, non-radiating and worsened with movement. He has nev" False positive,,"(1109, 1117)",,worsened,,271299001,16867779-DS-14,"ibes his pain as 12 out of 10, non-radiating and worsened with movement. He has never had these symptoms b" False positive,,"(1766, 1774)",,deceased,,739678005,16867779-DS-14,"ory: Father deceased at age ___ from ___. Brother deceased of ___ in ___ Physical Exam: ON ADMISSION: VS:" False positive,,"(2090, 2096)",,nl S1-,,27273002,16867779-DS-14,"y, no JVD, no carotid bruits. HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, good air movemen" False positive,,"(2118, 2126)",,no r/rh/,,30828007,16867779-DS-14,". HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, good air movement, resp unlabored. ABDOMEN: So" False positive,,"(2126, 2128)",,wh,,258001008,16867779-DS-14," RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, good air movement, resp unlabored. ABDOMEN: Soft" False positive,,"(2130, 2147)",,good air movement,,2521009,16867779-DS-14,", no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, good air movement, resp unlabored. ABDOMEN: Soft/NT/ND, no masses o" False positive,,"(2288, 2298)",,difficulty,,22325002,16867779-DS-14,"WWP, no c/c/e, 2+ peripheral pulses. GU: No CVAT, difficulty to retract foreskin, scrotum TTP, erythematous, " False positive,,"(2475, 2483)",,cervical,,304174001,16867779-DS-14,"s papules over bilateral medial thighs. LYMPH: No cervical LAD. ON DISCHARGE: Exam unchanged except for dec" False positive,,"(2530, 2539)",,decreased,,182879007,16867779-DS-14,"cal LAD. ON DISCHARGE: Exam unchanged except for decreased scrotal tenderness to palpation as well as an im" False positive,,"(2587, 2598)",,improvement,,142016009,16867779-DS-14,"ed scrotal tenderness to palpation as well as an improvement in degree of scrotal eythema Pertinent Results:" False positive,,"(2868, 2871)",,WBC,,391558003,16867779-DS-14,".1 Phos-2.8 Mg-1.9 Hematology: ___ 09:00PM BLOOD WBC-11.1* RBC-3.44* Hgb-11.3* Hct-32.0* MCV-93 MCH-3" False positive,,"(3211, 3214)",,WBC,,391558003,16867779-DS-14,"7 HCO3-26 AnGap-12 Hematology: ___ 05:25AM BLOOD WBC-10.0 RBC-3.56* Hgb-11.8* Hct-33.5* MCV-94 MCH-33" False positive,,"(3444, 3449)",,fluid,,109192009,16867779-DS-14," testicle is noted and there is a mild amount of fluid within the scrotal sac, however, no subcutaneous " False positive,,"(3486, 3492)",,subcut,,10683351000119102,16867779-DS-14,"unt of fluid within the scrotal sac, however, no subcutaneous gas or significant skin thickening is pres" False positive,,"(3704, 3715)",,intravenous,,386358000,16867779-DS-14," different sequences after the administration of intravenous contrast. Included solid organs within the pelv" False positive,,"(3860, 3868)",,enlarged,,287972005,16867779-DS-14," prostate appear unremarkable. No pathologically enlarged lymph nodes are seen. Mild atherosclerotic calci" False positive,,"(3891, 3893)",,Mi,,22298006,16867779-DS-14,"No pathologically enlarged lymph nodes are seen. Mild atherosclerotic calcification is present withi" False positive,,"(3949, 3960)",,vasculature,,51833009,16867779-DS-14,"herosclerotic calcification is present within the vasculature with no flow-limiting stenosis noted. BONE WIN" False positive,,"(4340, 4342)",,CT,,241541005,16867779-DS-14,"in the visualized lumbar spine. IMPRESSION: No CT findings to suggest necrotizing fasciitis. **PEN" False positive,,"(4915, 4923)",,afebrile,,307200007,16867779-DS-14,"ked scrotal tenderness and erythema. Patient was afebrile with stable vital signs. His exam showed erythem" False positive,,"(4954, 4958)",,exam,,105477005,16867779-DS-14,"atient was afebrile with stable vital signs. His exam showed erythema over scrotal skin as well as ery" False positive,,"(5059, 5062)",,WBC,,391558003,16867779-DS-14,"hematous skin within his groin folds bilaterally. WBC was 11.1. There was concern for a deeper perinea" False positive,,"(5286, 5296)",,vancomycin,,42082003,16867779-DS-14,"ially started on empiric antibiotic therapy with vancomycin, zosyn, & clindamycin. However, a CT pelvis show" False positive,,"(5779, 5790)",,improvement,,142016009,16867779-DS-14,"bly an associated cellulitis. Given the clinical improvement, we discharged the patient home on PO bactrim DS" False positive,,"(5999, 6004)",,Blood,,405729008,16867779-DS-14," take tylenol for potential perineal discomfort. Blood and urine cultures are negative to date. He will " False positive,,"(6155, 6177)",,hemodynamic compromise,,51147005,16867779-DS-14,"inty of infection and possible susceptibility to hemodynamic compromise home antihypertensives was initially held. Patie" False positive,,"(6183, 6200)",,antihypertensives,,372740001,16867779-DS-14,"le susceptibility to hemodynamic compromise home antihypertensives was initially held. Patient remained normotensiv" False positive,,"(6458, 6471)",,finger sticks,,283619007,16867779-DS-14,"_ and ___ glargine at home. In the hospital, his finger sticks ranged from 140s to low 200s. . #. HLD: We cont" False positive,,"(6704, 6705)",,I,,257989008,16867779-DS-14,"h could not exclude leukocytoclastic vasculitis. Improving without intervention per patient and can " "Correct entity, wrong SNOMED ID","(232, 248)","(232, 248)",Scrotal swelling,Scrotal swelling,271687003,236784006,16867779-DS-14,"gard / Lasix Attending: ___. Chief Complaint: Scrotal swelling and tenderness Major Surgical or Invasive Proce" "Correct entity, wrong SNOMED ID","(253, 263)","(253, 263)",tenderness,tenderness,247348008,43478001,16867779-DS-14,"ing: ___. Chief Complaint: Scrotal swelling and tenderness Major Surgical or Invasive Procedure: None Hi" "Correct entity, wrong SNOMED ID","(414, 426)","(414, 426)",Hypertension,Hypertension,38341003,70995007,16867779-DS-14,"eman with a past medical history significant for Hypertension, Diabetes Mellitus Type 2 (last A1c-13), mild ch" Wrong span,"(474, 496)","(469, 496)",chronic kidney disease,mild chronic kidney disease,709044004,691381000119104,16867779-DS-14,"on, Diabetes Mellitus Type 2 (last A1c-13), mild chronic kidney disease, Hyperlipidemia, Coronary Artery Disease s/p dru" "Correct entity, wrong SNOMED ID","(498, 512)","(498, 512)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,16867779-DS-14,"pe 2 (last A1c-13), mild chronic kidney disease, Hyperlipidemia, Coronary Artery Disease s/p drug eluting stent " "Correct entity, wrong SNOMED ID","(514, 538)","(514, 538)","Coronary Artery Disease","Coronary Artery Disease",53741008,1293192009,16867779-DS-14,"13), mild chronic kidney disease, Hyperlipidemia, Coronary Artery Disease s/p drug eluting stent to right coronary and left" Wrong span,"(556, 579)","(543, 561)",stent to right coronary,drug eluting stent,868248007,411191007,16867779-DS-14,"idemia, Coronary Artery Disease s/p drug eluting stent to right coronary and left circumflex who comes in with 4 day hist" "Correct entity, wrong SNOMED ID","(584, 600)","(584, 600)","left circumflex","left circumflex",868247002,19830001000004106,16867779-DS-14,"ease s/p drug eluting stent to right coronary and left circumflex who comes in with 4 day history of scrotal pain a" "Correct entity, wrong SNOMED ID","(636, 648)","(636, 648)",scrotal pain,scrotal pain,20502007,722829006,16867779-DS-14,"ft circumflex who comes in with 4 day history of scrotal pain and tenderness. . Mr ___ reports that for th" "Correct entity, wrong SNOMED ID","(654, 664)","(654, 664)",tenderness,tenderness,247348008,43478001,16867779-DS-14," comes in with 4 day history of scrotal pain and tenderness. . Mr ___ reports that for the past 2 weeks h" Wrong span,"(770, 774)","(770, 781)",sore,sore on his,71393004,17087005,16867779-DS-14,"had genitourinary issues. 2 weeks ago he noted a sore on his penis for which he was seen and his PCP t" "Correct entity, wrong SNOMED ID","(782, 787)","(782, 787)",penis,penis,18911002,211048001,16867779-DS-14,"rinary issues. 2 weeks ago he noted a sore on his penis for which he was seen and his PCP treated him wi" Wrong span,"(1021, 1028)","(1021, 1039)",scrotal,scrotal tenderness,20233005,284424006,16867779-DS-14,"ated process, patient notes that he began having scrotal tenderness and pain. He describes his pain as 12" Wrong span,"(1029, 1039)","(1021, 1039)",tenderness,scrotal tenderness,247348008,284424006,16867779-DS-14,"ocess, patient notes that he began having scrotal tenderness and pain. He describes his pain as 12 out of 10," "Correct entity, wrong SNOMED ID","(1045, 1049)","(1045, 1049)",pain,pain,20502007,102570003,16867779-DS-14,"otes that he began having scrotal tenderness and pain. He describes his pain as 12 out of 10, non-radia" "Correct entity, wrong SNOMED ID","(1068, 1072)","(1068, 1072)",pain,pain,20502007,102570003,16867779-DS-14,"ng scrotal tenderness and pain. He describes his pain as 12 out of 10, non-radiating and worsened with" Missed entity,"(1094, 1103)",,radiating,,9972008,,16867779-DS-14," pain. He describes his pain as 12 out of 10, non-radiating and worsened with movement. He has never had the" "Correct entity, wrong SNOMED ID","(1217, 1223)","(1217, 1223)",fevers,fevers,386661006,248444008,16867779-DS-14,"efore. . Patient denies having any associated fevers, chills, night sweats or penile discharge during" "Correct entity, wrong SNOMED ID","(1225, 1231)","(1225, 1231)",chills,chills,43724002,274640006,16867779-DS-14," . Patient denies having any associated fevers, chills, night sweats or penile discharge during this pe" Missed entity,"(1250, 1266)",,penile discharge,,2910007,,16867779-DS-14,"g any associated fevers, chills, night sweats or penile discharge during this period. He also denies any sexual co" "Correct entity, wrong SNOMED ID","(1432, 1444)","(1432, 1444)",Hypertension,Hypertension,38341003,70995007,16867779-DS-14,"Past Medical History: Diabetes Mellitus type II Hypertension Hyperlipedemia History of Skin Cancers Coro" "Correct entity, wrong SNOMED ID","(1447, 1461)","(1447, 1461)",Hyperlipedemia,Hyperlipedemia,55822004,129589009,16867779-DS-14,"story: Diabetes Mellitus type II Hypertension Hyperlipedemia History of Skin Cancers Coronary Artery Disea" "Correct entity, wrong SNOMED ID","(1475, 1487)","(1475, 1487)",Skin Cancers,Skin Cancers,372130007,315276005,16867779-DS-14,"e II Hypertension Hyperlipedemia History of Skin Cancers Coronary Artery Disease s/p drug eluting stent " "Correct entity, wrong SNOMED ID","(1490, 1513)","(1490, 1513)",Coronary Artery Disease,Coronary Artery Disease,53741008,1293192009,16867779-DS-14,"sion Hyperlipedemia History of Skin Cancers Coronary Artery Disease s/p drug eluting stent to right coronary artery " Wrong span,"(1531, 1562)","(1518, 1536)","stent to right coronary artery",drug eluting stent,868248007,411191007,16867779-DS-14,"ancers Coronary Artery Disease s/p drug eluting stent to right coronary artery and Left Circumflex Anemia Diabetic periphera" "Correct entity, wrong SNOMED ID","(1567, 1582)","(1567, 1582)",Left Circumflex,Left Circumflex,868247002,19830001000004106,16867779-DS-14," drug eluting stent to right coronary artery and Left Circumflex Anemia Diabetic peripheral neuropathy ___ D" "Correct entity, wrong SNOMED ID","(1585, 1591)","(1585, 1591)",Anemia,Anemia,271737000,87522002,16867779-DS-14,"t to right coronary artery and Left Circumflex Anemia Diabetic peripheral neuropathy ___ Disease " "Correct entity, wrong SNOMED ID","(1594, 1624)","(1594, 1624)",Diabetic peripheral neuropathy,Diabetic peripheral neuropathy,424736006,1344906007,16867779-DS-14,"t coronary artery and Left Circumflex Anemia Diabetic peripheral neuropathy ___ Disease Chronic Back pain Polyclonal Ga" "Correct entity, wrong SNOMED ID","(1631, 1638)","(1631, 1638)",Disease,Disease,64572001,1144929002,16867779-DS-14,"x Anemia Diabetic peripheral neuropathy ___ Disease Chronic Back pain Polyclonal Gammopathy Soc" "Correct entity, wrong SNOMED ID","(1641, 1658)","(1641, 1658)",Chronic Back pain,Chronic Back pain,134407002,278860009,16867779-DS-14," Diabetic peripheral neuropathy ___ Disease Chronic Back pain Polyclonal Gammopathy Social History: ___ Fam" "Correct entity, wrong SNOMED ID","(1728, 1736)","(1728, 1736)",deceased,deceased,419099009,739678005,16867779-DS-14,"athy Social History: ___ Family History: Father deceased at age ___ from ___. Brother deceased of ___ in _" "Correct entity, wrong SNOMED ID","(1821, 1823)","(1821, 1823)",VS,VS,118227000,313611000,16867779-DS-14,"sed of ___ in ___ Physical Exam: ON ADMISSION: VS: T 97.6, BP 128/64, HR 92, RR 18, 97% RA, ___ 277" "Correct entity, wrong SNOMED ID","(1833, 1835)","(1833, 1835)",BP,BP,392570002,38341003,16867779-DS-14,"n ___ Physical Exam: ON ADMISSION: VS: T 97.6, BP 128/64, HR 92, RR 18, 97% RA, ___ 277 GENERAL: We" "Correct entity, wrong SNOMED ID","(1844, 1846)","(1844, 1846)",HR,HR,301113001,258702006,16867779-DS-14,"sical Exam: ON ADMISSION: VS: T 97.6, BP 128/64, HR 92, RR 18, 97% RA, ___ 277 GENERAL: Well-appearin" "Correct entity, wrong SNOMED ID","(1851, 1853)","(1851, 1853)",RR,RR,301283003,229040007,16867779-DS-14,"xam: ON ADMISSION: VS: T 97.6, BP 128/64, HR 92, RR 18, 97% RA, ___ 277 GENERAL: Well-appearing man i" "Correct entity, wrong SNOMED ID","(1862, 1864)","(1862, 1864)",RA,RA,722742002,463051000124105,16867779-DS-14,"ISSION: VS: T 97.6, BP 128/64, HR 92, RR 18, 97% RA, ___ 277 GENERAL: Well-appearing man in NAD, comp" "Correct entity, wrong SNOMED ID","(1874, 1881)","(1874, 1881)",GENERAL,GENERAL,162673000,252398009,16867779-DS-14," T 97.6, BP 128/64, HR 92, RR 18, 97% RA, ___ 277 GENERAL: Well-appearing man in NAD, complains of testicul" "Correct entity, wrong SNOMED ID","(1883, 1897)","(1883, 1897)",Well-appearing,Well-appearing,397749000,167827008,16867779-DS-14,"BP 128/64, HR 92, RR 18, 97% RA, ___ 277 GENERAL: Well-appearing man in NAD, complains of testicular pain, laying" "Correct entity, wrong SNOMED ID","(1905, 1908)","(1905, 1908)",NAD,NAD,281900007,131143000,16867779-DS-14,"8, 97% RA, ___ 277 GENERAL: Well-appearing man in NAD, complains of testicular pain, laying in bed. HE" Wrong span,"(1935, 1939)","(1923, 1939)",pain,"testicular pain",22253000,16675201000119107,16867779-DS-14,"ll-appearing man in NAD, complains of testicular pain, laying in bed. HEENT: NC/AT, PERRLA, EOMI, scler" Wrong span,"(1941, 1954)","(1941, 1947)",laying in bed,laying,17535004,388002008,16867779-DS-14,"earing man in NAD, complains of testicular pain, laying in bed. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, O" "Correct entity, wrong SNOMED ID","(1956, 1961)","(1956, 1961)",HEENT,HEENT,5880005,113665002,16867779-DS-14,"AD, complains of testicular pain, laying in bed. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, OP clear" Missed entity,"(1963, 1965)",,NC,,840673007,,16867779-DS-14,"plains of testicular pain, laying in bed. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, OP clear. NE" "Correct entity, wrong SNOMED ID","(1970, 1976)","(1970, 1976)",PERRLA,PERRLA,386667005,48280007,16867779-DS-14,"of testicular pain, laying in bed. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, OP clear. NECK: Supple," "Correct entity, wrong SNOMED ID","(1978, 1982)","(1978, 1982)",EOMI,EOMI,103251002,67099000,16867779-DS-14,"cular pain, laying in bed. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, OP clear. NECK: Supple, no th" "Correct entity, wrong SNOMED ID","(1984, 2001)","(1984, 2001)",sclerae anicteric,sclerae anicteric,427801009,704978005,16867779-DS-14," pain, laying in bed. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, OP clear. NECK: Supple, no thyromegaly, no JVD, " "Correct entity, wrong SNOMED ID","(2003, 2011)","(2003, 2011)",OP clear,OP clear,300280008,271591004,16867779-DS-14,"d. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, OP clear. NECK: Supple, no thyromegaly, no JVD, no carotid" "Correct entity, wrong SNOMED ID","(2013, 2017)","(2013, 2017)",NECK,NECK,5880005,840674001,16867779-DS-14,"NC/AT, PERRLA, EOMI, sclerae anicteric, OP clear. NECK: Supple, no thyromegaly, no JVD, no carotid bruit" "Correct entity, wrong SNOMED ID","(2019, 2025)","(2019, 2025)",Supple,Supple,298475003,116121000,16867779-DS-14," PERRLA, EOMI, sclerae anicteric, OP clear. NECK: Supple, no thyromegaly, no JVD, no carotid bruits. HEART" "Correct entity, wrong SNOMED ID","(2030, 2041)","(2030, 2041)",thyromegaly,thyromegaly,3716002,92978002,16867779-DS-14,"MI, sclerae anicteric, OP clear. NECK: Supple, no thyromegaly, no JVD, no carotid bruits. HEART: RRR, no MRG, n" "Correct entity, wrong SNOMED ID","(2046, 2049)","(2046, 2049)",JVD,JVD,271653008,253395003,16867779-DS-14,"teric, OP clear. NECK: Supple, no thyromegaly, no JVD, no carotid bruits. HEART: RRR, no MRG, nl S1-S2." "Correct entity, wrong SNOMED ID","(2054, 2068)","(2054, 2068)",carotid bruits,carotid bruits,419642000,10857000,16867779-DS-14,"P clear. NECK: Supple, no thyromegaly, no JVD, no carotid bruits. HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, " "Correct entity, wrong SNOMED ID","(2070, 2075)","(2070, 2075)",HEART,HEART,363003006,226984005,16867779-DS-14,"upple, no thyromegaly, no JVD, no carotid bruits. HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh" "Correct entity, wrong SNOMED ID","(2077, 2080)","(2077, 2080)",RRR,RRR,76863003,129960002,16867779-DS-14,"no thyromegaly, no JVD, no carotid bruits. HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, " "Correct entity, wrong SNOMED ID","(2082, 2088)","(2082, 2088)",no MRG,no MRG,301132007,787132008,16867779-DS-14,"yromegaly, no JVD, no carotid bruits. HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, good air" "Correct entity, wrong SNOMED ID","(2096, 2098)","(2096, 2098)",S2,S2,111974005,81170007,16867779-DS-14,"JVD, no carotid bruits. HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, good air movement," "Correct entity, wrong SNOMED ID","(2100, 2105)","(2100, 2105)",LUNGS,LUNGS,268925001,74101002,16867779-DS-14," no carotid bruits. HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, good air movement, resp u" "Correct entity, wrong SNOMED ID","(2107, 2110)","(2107, 2110)",CTA,CTA,48348007,397005006,16867779-DS-14,"otid bruits. HEART: RRR, no MRG, nl S1-S2. LUNGS: CTA bilat, no r/rh/wh, good air movement, resp unlabo" Wrong span,"(2149, 2163)","(2149, 2158)",resp unlabored,resp unla,248549001,95026005,16867779-DS-14," LUNGS: CTA bilat, no r/rh/wh, good air movement, resp unlabored. ABDOMEN: Soft/NT/ND, no masses or HSM, no reboun" "Correct entity, wrong SNOMED ID","(2165, 2172)","(2165, 2172)",ABDOMEN,ABDOMEN,225162003,41931001,16867779-DS-14,"t, no r/rh/wh, good air movement, resp unlabored. ABDOMEN: Soft/NT/ND, no masses or HSM, no rebound/guardin" "Correct entity, wrong SNOMED ID","(2179, 2181)","(2179, 2181)",NT,NT,43478001,257992007,16867779-DS-14," good air movement, resp unlabored. ABDOMEN: Soft/NT/ND, no masses or HSM, no rebound/guarding. EXTREM" "Correct entity, wrong SNOMED ID","(2182, 2184)","(2182, 2184)",ND,ND,60728008,165815009,16867779-DS-14,"od air movement, resp unlabored. ABDOMEN: Soft/NT/ND, no masses or HSM, no rebound/guarding. EXTREMITI" "Correct entity, wrong SNOMED ID","(2189, 2195)","(2189, 2195)",masses,masses,271860004,237557003,16867779-DS-14,"movement, resp unlabored. ABDOMEN: Soft/NT/ND, no masses or HSM, no rebound/guarding. EXTREMITIES: WWP, no" "Correct entity, wrong SNOMED ID","(2199, 2202)","(2199, 2202)",HSM,HSM,36760000,282140003,16867779-DS-14,"resp unlabored. ABDOMEN: Soft/NT/ND, no masses or HSM, no rebound/guarding. EXTREMITIES: WWP, no c/c/e," "Correct entity, wrong SNOMED ID","(2207, 2214)","(2207, 2214)",rebound,rebound,35611005,844584001,16867779-DS-14,"abored. ABDOMEN: Soft/NT/ND, no masses or HSM, no rebound/guarding. EXTREMITIES: WWP, no c/c/e, 2+ peripher" "Correct entity, wrong SNOMED ID","(2225, 2236)","(2225, 2236)",EXTREMITIES,EXTREMITIES,302773001,248416007,16867779-DS-14,"oft/NT/ND, no masses or HSM, no rebound/guarding. EXTREMITIES: WWP, no c/c/e, 2+ peripheral pulses. GU: No CVAT" "Correct entity, wrong SNOMED ID","(2238, 2241)","(2238, 2241)",WWP,WWP,1137685003,258001008,16867779-DS-14," masses or HSM, no rebound/guarding. EXTREMITIES: WWP, no c/c/e, 2+ peripheral pulses. GU: No CVAT, dif" "Correct entity, wrong SNOMED ID","(2253, 2273)","(2253, 2273)",2+ peripheral pulses,2+ peripheral pulses,40969002,301145006,16867779-DS-14," no rebound/guarding. EXTREMITIES: WWP, no c/c/e, 2+ peripheral pulses. GU: No CVAT, difficulty to retract foreskin, scr" "Correct entity, wrong SNOMED ID","(2275, 2277)","(2275, 2277)",GU,GU,268945009,112505003,16867779-DS-14,"EXTREMITIES: WWP, no c/c/e, 2+ peripheral pulses. GU: No CVAT, difficulty to retract foreskin, scrotum" Boundary error,"(2282, 2284)","(2282, 2286)",CV,CVAT,363003006,143491000146106,16867779-DS-14,"TIES: WWP, no c/c/e, 2+ peripheral pulses. GU: No CVAT, difficulty to retract foreskin, scrotum TTP, " Missed entity,"(2310, 2318)",,foreskin,,17880006,,16867779-DS-14,"pheral pulses. GU: No CVAT, difficulty to retract foreskin, scrotum TTP, erythematous, no fluctuance. Also " "Correct entity, wrong SNOMED ID","(2320, 2327)","(2320, 2327)",scrotum,scrotum,20233005,81992007,16867779-DS-14,"ses. GU: No CVAT, difficulty to retract foreskin, scrotum TTP, erythematous, no fluctuance. Also erythema " "Correct entity, wrong SNOMED ID","(2328, 2331)","(2328, 2331)",TTP,TTP,247348008,438476003,16867779-DS-14," No CVAT, difficulty to retract foreskin, scrotum TTP, erythematous, no fluctuance. Also erythema over" Wrong span,"(2334, 2342)","(2334, 2346)",erythema,erythematous,247441003,723166008,16867779-DS-14,"AT, difficulty to retract foreskin, scrotum TTP, erythematous, no fluctuance. Also erythema over groin fold" Missed entity,"(2351, 2361)",,fluctuance,,300583006,,16867779-DS-14," retract foreskin, scrotum TTP, erythematous, no fluctuance. Also erythema over groin folds bilaterally. SKI" "Correct entity, wrong SNOMED ID","(2368, 2376)","(2368, 2376)",erythema,erythema,247441003,403194002,16867779-DS-14,", scrotum TTP, erythematous, no fluctuance. Also erythema over groin folds bilaterally. SKIN: Erythematous" Wrong span,"(2382, 2387)","(2382, 2393)",groin,groin folds,26893007,283382002,16867779-DS-14," erythematous, no fluctuance. Also erythema over groin folds bilaterally. SKIN: Erythematous papules ov" "Correct entity, wrong SNOMED ID","(2408, 2412)","(2408, 2412)",SKIN,SKIN,271303006,7748002,16867779-DS-14,"nce. Also erythema over groin folds bilaterally. SKIN: Erythematous papules over bilateral medial thigh" "Correct entity, wrong SNOMED ID","(2414, 2426)","(2414, 2426)",Erythematous,Erythematous,271303006,723166008,16867779-DS-14,"lso erythema over groin folds bilaterally. SKIN: Erythematous papules over bilateral medial thighs. LYMPH: No c" "Correct entity, wrong SNOMED ID","(2427, 2434)","(2427, 2434)",papules,papules,25694009,247455006,16867779-DS-14,"over groin folds bilaterally. SKIN: Erythematous papules over bilateral medial thighs. LYMPH: No cervical " Missed entity,"(2450, 2463)",,medial thighs,,45180001,,16867779-DS-14,"erally. SKIN: Erythematous papules over bilateral medial thighs. LYMPH: No cervical LAD. ON DISCHARGE: Exam unch" "Correct entity, wrong SNOMED ID","(2465, 2470)","(2465, 2470)",LYMPH,LYMPH,363193004,79709007,16867779-DS-14,"rythematous papules over bilateral medial thighs. LYMPH: No cervical LAD. ON DISCHARGE: Exam unchanged e" "Correct entity, wrong SNOMED ID","(2484, 2487)","(2484, 2487)",LAD,LAD,30746006,1010291002,16867779-DS-14," over bilateral medial thighs. LYMPH: No cervical LAD. ON DISCHARGE: Exam unchanged except for decreas" "Correct entity, wrong SNOMED ID","(2540, 2547)","(2540, 2547)",scrotal,scrotal,20233005,81992007,16867779-DS-14,"ON DISCHARGE: Exam unchanged except for decreased scrotal tenderness to palpation as well as an improvemen" "Correct entity, wrong SNOMED ID","(2548, 2558)","(2548, 2558)",tenderness,tenderness,247348008,43478001,16867779-DS-14,"ARGE: Exam unchanged except for decreased scrotal tenderness to palpation as well as an improvement in degree" "Correct entity, wrong SNOMED ID","(2563, 2572)","(2563, 2572)",palpation,palpation,113011001,51558006,16867779-DS-14,"anged except for decreased scrotal tenderness to palpation as well as an improvement in degree of scrotal ey" Wrong span,"(2612, 2619)","(2612, 2627)",scrotal,scrotal eythema,20233005,287770009,16867779-DS-14," palpation as well as an improvement in degree of scrotal eythema Pertinent Results: ON ADMISSION: Chemi" Wrong span,"(2620, 2627)","(2612, 2627)",eythema,scrotal eythema,247441003,287770009,16867779-DS-14,"on as well as an improvement in degree of scrotal eythema Pertinent Results: ON ADMISSION: Chemistries: " "Correct entity, wrong SNOMED ID","(2692, 2699)","(2692, 2699)",GLUCOSE,GLUCOSE,33747003,72191006,16867779-DS-14,"sults: ON ADMISSION: Chemistries: ___ 09:00PM GLUCOSE-276* UREA N-18 CREAT-1.0 SODIUM-131* POTASSIUM-4" "Correct entity, wrong SNOMED ID","(2715, 2720)","(2715, 2720)",CREAT,CREAT,70901006,365756002,16867779-DS-14,"hemistries: ___ 09:00PM GLUCOSE-276* UREA N-18 CREAT-1.0 SODIUM-131* POTASSIUM-4.3 CHLORIDE-95* TOTAL" "Correct entity, wrong SNOMED ID","(2725, 2731)","(2725, 2731)",SODIUM,SODIUM,25197003,104934005,16867779-DS-14,": ___ 09:00PM GLUCOSE-276* UREA N-18 CREAT-1.0 SODIUM-131* POTASSIUM-4.3 CHLORIDE-95* TOTAL CO2-26 ANI" "Correct entity, wrong SNOMED ID","(2738, 2747)","(2738, 2747)",POTASSIUM,POTASSIUM,59573005,1149432009,16867779-DS-14,"M GLUCOSE-276* UREA N-18 CREAT-1.0 SODIUM-131* POTASSIUM-4.3 CHLORIDE-95* TOTAL CO2-26 ANION GAP-14 ___ 09" "Correct entity, wrong SNOMED ID","(2752, 2760)","(2752, 2760)",CHLORIDE,CHLORIDE,104589004,108447000,16867779-DS-14,"6* UREA N-18 CREAT-1.0 SODIUM-131* POTASSIUM-4.3 CHLORIDE-95* TOTAL CO2-26 ANION GAP-14 ___ 09:00PM BLOOD C" "Correct entity, wrong SNOMED ID","(2778, 2787)","(2778, 2787)",ANION GAP,ANION GAP,25469001,237854004,16867779-DS-14,"IUM-131* POTASSIUM-4.3 CHLORIDE-95* TOTAL CO2-26 ANION GAP-14 ___ 09:00PM BLOOD Calcium-9.1 Phos-2.8 Mg-1.9 " "Correct entity, wrong SNOMED ID","(2809, 2816)","(2809, 2816)",Calcium,Calcium,312472004,108601004,16867779-DS-14,"E-95* TOTAL CO2-26 ANION GAP-14 ___ 09:00PM BLOOD Calcium-9.1 Phos-2.8 Mg-1.9 Hematology: ___ 09:00PM BLOO" "Correct entity, wrong SNOMED ID","(2821, 2825)","(2821, 2825)",Phos,Phos,104868000,168075002,16867779-DS-14,"CO2-26 ANION GAP-14 ___ 09:00PM BLOOD Calcium-9.1 Phos-2.8 Mg-1.9 Hematology: ___ 09:00PM BLOOD WBC-11." "Correct entity, wrong SNOMED ID","(2830, 2832)","(2830, 2832)",Mg,Mg,271285000,258684004,16867779-DS-14,"ION GAP-14 ___ 09:00PM BLOOD Calcium-9.1 Phos-2.8 Mg-1.9 Hematology: ___ 09:00PM BLOOD WBC-11.1* RBC-" "Correct entity, wrong SNOMED ID","(2878, 2881)","(2878, 2881)",RBC,RBC,14089001,258759006,16867779-DS-14,"8 Mg-1.9 Hematology: ___ 09:00PM BLOOD WBC-11.1* RBC-3.44* Hgb-11.3* Hct-32.0* MCV-93 MCH-33.0* MCHC-" "Correct entity, wrong SNOMED ID","(2888, 2891)","(2888, 2891)",Hgb,Hgb,441689006,104142005,16867779-DS-14,"Hematology: ___ 09:00PM BLOOD WBC-11.1* RBC-3.44* Hgb-11.3* Hct-32.0* MCV-93 MCH-33.0* MCHC-35.5* RDW-" "Correct entity, wrong SNOMED ID","(2898, 2901)","(2898, 2901)",Hct,Hct,28317006,840276005,16867779-DS-14,": ___ 09:00PM BLOOD WBC-11.1* RBC-3.44* Hgb-11.3* Hct-32.0* MCV-93 MCH-33.0* MCHC-35.5* RDW-13.9 Plt _" "Correct entity, wrong SNOMED ID","(2916, 2919)","(2916, 2919)",MCH,MCH,54706004,735147002,16867779-DS-14,"D WBC-11.1* RBC-3.44* Hgb-11.3* Hct-32.0* MCV-93 MCH-33.0* MCHC-35.5* RDW-13.9 Plt ___ ___ 09:00PM BLO" "Correct entity, wrong SNOMED ID","(2926, 2930)","(2926, 2930)",MCHC,MCHC,37254006,735147002,16867779-DS-14,"* RBC-3.44* Hgb-11.3* Hct-32.0* MCV-93 MCH-33.0* MCHC-35.5* RDW-13.9 Plt ___ ___ 09:00PM BLOOD Neuts-50" "Correct entity, wrong SNOMED ID","(2937, 2940)","(2937, 2940)",RDW,RDW,66842004,735149004,16867779-DS-14," Hgb-11.3* Hct-32.0* MCV-93 MCH-33.0* MCHC-35.5* RDW-13.9 Plt ___ ___ 09:00PM BLOOD Neuts-50 Bands-0 _" "Correct entity, wrong SNOMED ID","(2972, 2977)","(2972, 2977)",Neuts,Neuts,30630007,271035003,16867779-DS-14,".0* MCHC-35.5* RDW-13.9 Plt ___ ___ 09:00PM BLOOD Neuts-50 Bands-0 ___ Monos-5 Eos-3 Baso-0 ___ Myelos-0" "Correct entity, wrong SNOMED ID","(2993, 2998)","(2993, 2998)",Monos,Monos,67776007,462791000124108,16867779-DS-14,".9 Plt ___ ___ 09:00PM BLOOD Neuts-50 Bands-0 ___ Monos-5 Eos-3 Baso-0 ___ Myelos-0 ___ 09:00PM BLOOD __" Missed entity,"(3001, 3004)",,Eos,,71960002,,16867779-DS-14,"__ ___ 09:00PM BLOOD Neuts-50 Bands-0 ___ Monos-5 Eos-3 Baso-0 ___ Myelos-0 ___ 09:00PM BLOOD ___ PTT-" "Correct entity, wrong SNOMED ID","(3050, 3053)","(3050, 3053)",PTT,PTT,42525009,282119004,16867779-DS-14," Eos-3 Baso-0 ___ Myelos-0 ___ 09:00PM BLOOD ___ PTT-25.8 ___ ON DISCHARGE: Chemistries: ___ 05:25AM" "Correct entity, wrong SNOMED ID","(3110, 3117)","(3110, 3117)",Glucose,Glucose,33747003,72191006,16867779-DS-14,"__ ON DISCHARGE: Chemistries: ___ 05:25AM BLOOD Glucose-135* UreaN-16 Creat-0.9 Na-131* K-3.8 Cl-97 HCO3" "Correct entity, wrong SNOMED ID","(3123, 3128)","(3123, 3128)",UreaN,UreaN,105011006,111108008,16867779-DS-14,"RGE: Chemistries: ___ 05:25AM BLOOD Glucose-135* UreaN-16 Creat-0.9 Na-131* K-3.8 Cl-97 HCO3-26 AnGap-1" "Correct entity, wrong SNOMED ID","(3132, 3137)","(3132, 3137)",Creat,Creat,70901006,365756002,16867779-DS-14,"mistries: ___ 05:25AM BLOOD Glucose-135* UreaN-16 Creat-0.9 Na-131* K-3.8 Cl-97 HCO3-26 AnGap-12 Hemato" "Correct entity, wrong SNOMED ID","(3142, 3144)","(3142, 3144)",Na,Na,312469006,257992007,16867779-DS-14,"___ 05:25AM BLOOD Glucose-135* UreaN-16 Creat-0.9 Na-131* K-3.8 Cl-97 HCO3-26 AnGap-12 Hematology: _" "Correct entity, wrong SNOMED ID","(3157, 3159)","(3157, 3159)",Cl,Cl,104589004,311741002,16867779-DS-14,"OD Glucose-135* UreaN-16 Creat-0.9 Na-131* K-3.8 Cl-97 HCO3-26 AnGap-12 Hematology: ___ 05:25AM BLOO" "Correct entity, wrong SNOMED ID","(3163, 3167)","(3163, 3167)",HCO3,HCO3,312471006,88645003,16867779-DS-14,"cose-135* UreaN-16 Creat-0.9 Na-131* K-3.8 Cl-97 HCO3-26 AnGap-12 Hematology: ___ 05:25AM BLOOD WBC-10" "Correct entity, wrong SNOMED ID","(3171, 3176)","(3171, 3176)",AnGap,AnGap,25469001,28176003,16867779-DS-14,"* UreaN-16 Creat-0.9 Na-131* K-3.8 Cl-97 HCO3-26 AnGap-12 Hematology: ___ 05:25AM BLOOD WBC-10.0 RBC-3." "Correct entity, wrong SNOMED ID","(3220, 3223)","(3220, 3223)",RBC,RBC,14089001,258759006,16867779-DS-14," AnGap-12 Hematology: ___ 05:25AM BLOOD WBC-10.0 RBC-3.56* Hgb-11.8* Hct-33.5* MCV-94 MCH-33.2* MCHC-" "Correct entity, wrong SNOMED ID","(3230, 3233)","(3230, 3233)",Hgb,Hgb,441689006,104142005,16867779-DS-14," Hematology: ___ 05:25AM BLOOD WBC-10.0 RBC-3.56* Hgb-11.8* Hct-33.5* MCV-94 MCH-33.2* MCHC-35.2* RDW-" "Correct entity, wrong SNOMED ID","(3240, 3243)","(3240, 3243)",Hct,Hct,28317006,840276005,16867779-DS-14,"y: ___ 05:25AM BLOOD WBC-10.0 RBC-3.56* Hgb-11.8* Hct-33.5* MCV-94 MCH-33.2* MCHC-35.2* RDW-14.2 Plt _" "Correct entity, wrong SNOMED ID","(3258, 3261)","(3258, 3261)",MCH,MCH,54706004,735147002,16867779-DS-14,"OD WBC-10.0 RBC-3.56* Hgb-11.8* Hct-33.5* MCV-94 MCH-33.2* MCHC-35.2* RDW-14.2 Plt ___ CT PELVIS WITH" "Correct entity, wrong SNOMED ID","(3268, 3272)","(3268, 3272)",MCHC,MCHC,37254006,735147002,16867779-DS-14,"0 RBC-3.56* Hgb-11.8* Hct-33.5* MCV-94 MCH-33.2* MCHC-35.2* RDW-14.2 Plt ___ CT PELVIS WITH ___: Proba" "Correct entity, wrong SNOMED ID","(3279, 3282)","(3279, 3282)",RDW,RDW,66842004,735149004,16867779-DS-14," Hgb-11.8* Hct-33.5* MCV-94 MCH-33.2* MCHC-35.2* RDW-14.2 Plt ___ CT PELVIS WITH ___: Probable small " "Correct entity, wrong SNOMED ID","(3343, 3356)","(3343, 3356)",calcification,calcification,6595006,18115005,16867779-DS-14,"__ CT PELVIS WITH ___: Probable small peripheral calcification vs. residual contrast along the left testicle is" "Correct entity, wrong SNOMED ID","(3390, 3403)","(3390, 3403)",left testicle,left testicle,63239009,1354655008,16867779-DS-14,"al calcification vs. residual contrast along the left testicle is noted and there is a mild amount of fluid wit" Wrong span,"(3461, 3468)","(3461, 3472)",scrotal,scrotal sac,20233005,284424006,16867779-DS-14,"d and there is a mild amount of fluid within the scrotal sac, however, no subcutaneous gas or significant" Wrong span,"(3519, 3534)","(3519, 3523)",skin thickening,skin,17417006,444884003,16867779-DS-14,"sac, however, no subcutaneous gas or significant skin thickening is present to suggest early necrotizing fasciiti" Wrong span,"(3564, 3585)","(3564, 3575)",necrotizing fasciitis,necrotizing,52486002,37585003,16867779-DS-14,"cant skin thickening is present to suggest early necrotizing fasciitis. Please note, the images of the scrotal region w" Wrong span,"(3618, 3625)","(3618, 3633)",scrotal,"scrotal region",20233005,262133009,16867779-DS-14,"otizing fasciitis. Please note, the images of the scrotal region were obtained in the different sequences " "Correct entity, wrong SNOMED ID","(3761, 3767)","(3761, 3767)",pelvis,pelvis,12921003,229326000,16867779-DS-14,"nous contrast. Included solid organs within the pelvis including the bladder and large bowel and prosta" "Correct entity, wrong SNOMED ID","(3782, 3789)","(3782, 3789)",bladder,bladder,89837001,398064005,16867779-DS-14,"uded solid organs within the pelvis including the bladder and large bowel and prostate appear unremarkable" "Correct entity, wrong SNOMED ID","(3795, 3806)","(3795, 3806)",large bowel,large bowel,14742008,32091001,16867779-DS-14,"gans within the pelvis including the bladder and large bowel and prostate appear unremarkable. No pathologica" "Correct entity, wrong SNOMED ID","(3811, 3819)","(3811, 3819)",prostate,prostate,41216001,254900004,16867779-DS-14,"pelvis including the bladder and large bowel and prostate appear unremarkable. No pathologically enlarged " "Correct entity, wrong SNOMED ID","(3827, 3839)","(3827, 3839)",unremarkable,unremarkable,281900007,164179004,16867779-DS-14," the bladder and large bowel and prostate appear unremarkable. No pathologically enlarged lymph nodes are seen" "Correct entity, wrong SNOMED ID","(3869, 3880)","(3869, 3880)",lymph nodes,lymph nodes,59441001,67022004,16867779-DS-14," appear unremarkable. No pathologically enlarged lymph nodes are seen. Mild atherosclerotic calcification is " Wrong span,"(3913, 3926)","(3897, 3926)",calcification,atherosclerotic calcification,18115005,396779001,16867779-DS-14,"arged lymph nodes are seen. Mild atherosclerotic calcification is present within the vasculature with no flow-l" "Correct entity, wrong SNOMED ID","(3984, 3992)","(3984, 3992)",stenosis,stenosis,415582006,246073005,16867779-DS-14,"ent within the vasculature with no flow-limiting stenosis noted. BONE WINDOWS: Osteoarthritic changes inv" Wrong span,"(4016, 4030)","(4016, 4038)",Osteoarthritic,Osteoarthritic changes,396275006,43829003,16867779-DS-14," no flow-limiting stenosis noted. BONE WINDOWS: Osteoarthritic changes involving both hips, slightly greater on" "Correct entity, wrong SNOMED ID","(4049, 4058)","(4049, 4058)",both hips,both hips,304909008,15630931000119100,16867779-DS-14," BONE WINDOWS: Osteoarthritic changes involving both hips, slightly greater on the left side is noted with" "Correct entity, wrong SNOMED ID","(4085, 4089)","(4085, 4089)",left,left,287679003,264745005,16867779-DS-14,"ges involving both hips, slightly greater on the left side is noted with some lucencies within the rig" "Correct entity, wrong SNOMED ID","(4164, 4172)","(4164, 4172)",SI joint,SI joint,39723000,182199004,16867779-DS-14,"lucencies within the right ilium adjacent to the SI joint, likely related to focal osteopenia. No aggressi" "Correct entity, wrong SNOMED ID","(4199, 4209)","(4199, 4209)",osteopenia,osteopenia,78441005,37605006,16867779-DS-14,"djacent to the SI joint, likely related to focal osteopenia. No aggressive osseous lesions are present. Dege" "Correct entity, wrong SNOMED ID","(4225, 4240)","(4225, 4240)",osseous lesions,osseous lesions,879976004,62149008,16867779-DS-14,"ikely related to focal osteopenia. No aggressive osseous lesions are present. Degenerative changes are noted with" "Correct entity, wrong SNOMED ID","(4255, 4275)","(4255, 4275)",Degenerative changes,Degenerative changes,762305005,708529002,16867779-DS-14,"enia. No aggressive osseous lesions are present. Degenerative changes are noted within the visualized lumbar spine. " "Correct entity, wrong SNOMED ID","(4308, 4321)","(4308, 4321)","lumbar spine","lumbar spine",122496007,241580002,16867779-DS-14,"enerative changes are noted within the visualized lumbar spine. IMPRESSION: No CT findings to suggest necrotiz" "Correct entity, wrong SNOMED ID","(4363, 4384)","(4363, 4384)",necrotizing fasciitis,necrotizing fasciitis,52486002,402926000,16867779-DS-14,"r spine. IMPRESSION: No CT findings to suggest necrotizing fasciitis. **PENDING ON DISCHARGE** ___ blood cultures x 2" "Correct entity, wrong SNOMED ID","(4416, 4430)","(4416, 4430)",blood cultures,blood cultures,30088009,8730001000004107,16867779-DS-14,"rotizing fasciitis. **PENDING ON DISCHARGE** ___ blood cultures x 2, urine culture Brief Hospital Course: ___ y" "Correct entity, wrong SNOMED ID","(4538, 4550)","(4538, 4550)",Hypertension,Hypertension,38341003,70995007,16867779-DS-14,"eman with a past medical history significant for Hypertension, Diabetes Mellitus Type 2 (last A1c-13), mild ch" Wrong span,"(4598, 4620)","(4592, 4620)",chronic kidney disease,"mild chronic kidney disease",709044004,691381000119104,16867779-DS-14,"on, Diabetes Mellitus Type 2 (last A1c-13), mild chronic kidney disease, Hyperlipidemia, Coronary Artery Disease s/p dru" "Correct entity, wrong SNOMED ID","(4622, 4636)","(4622, 4636)",Hyperlipidemia,Hyperlipidemia,55822004,267434003,16867779-DS-14,"pe 2 (last A1c-13), mild chronic kidney disease, Hyperlipidemia, Coronary Artery Disease s/p drug eluting stent " "Correct entity, wrong SNOMED ID","(4638, 4661)","(4638, 4661)",Coronary Artery Disease,Coronary Artery Disease,53741008,1293192009,16867779-DS-14,"3), mild chronic kidney disease, Hyperlipidemia, Coronary Artery Disease s/p drug eluting stent to right coronary and lef" Wrong span,"(4680, 4703)","(4667, 4685)",stent to right coronary,drug eluting stent,868248007,411191007,16867779-DS-14,"idemia, Coronary Artery Disease s/p drug eluting stent to right coronary and left circumflex who comes in with 4 day hist" "Correct entity, wrong SNOMED ID","(4708, 4723)","(4708, 4723)",left circumflex,left circumflex,868247002,19830001000004106,16867779-DS-14,"ase s/p drug eluting stent to right coronary and left circumflex who comes in with 4 day history of scrotal pain " "Correct entity, wrong SNOMED ID","(4760, 4772)","(4760, 4772)",scrotal pain,scrotal pain,20502007,722829006,16867779-DS-14,"ft circumflex who comes in with 4 day history of scrotal pain and tenderness. . #Testicular pain/swelling Admit" "Correct entity, wrong SNOMED ID","(4777, 4787)","(4777, 4787)",tenderness,tenderness,247348008,43478001,16867779-DS-14," comes in with 4 day history of scrotal pain and tenderness. . #Testicular pain/swelling Admitted overnight o" "Correct entity, wrong SNOMED ID","(4792, 4807)","(4792, 4807)",Testicular pain,Testicular pain,63901009,16675201000119107,16867779-DS-14," 4 day history of scrotal pain and tenderness. . #Testicular pain/swelling Admitted overnight on ___ with complaint" "Correct entity, wrong SNOMED ID","(4808, 4816)","(4808, 4816)",swelling,swelling,438457000,300890009,16867779-DS-14,"f scrotal pain and tenderness. . #Testicular pain/swelling Admitted overnight on ___ with complaints of mark" Wrong span,"(4869, 4876)","(4869, 4888)",scrotal,"scrotal tenderness",20233005,284424006,16867779-DS-14,"mitted overnight on ___ with complaints of marked scrotal tenderness and erythema. Patient was afebrile wi" Wrong span,"(4878, 4888)","(4869, 4888)",tenderness,"scrotal tenderness",247348008,284424006,16867779-DS-14,"ernight on ___ with complaints of marked scrotal tenderness and erythema. Patient was afebrile with stable vi" "Correct entity, wrong SNOMED ID","(4893, 4901)","(4893, 4901)",erythema,erythema,247441003,403194002,16867779-DS-14,"with complaints of marked scrotal tenderness and erythema. Patient was afebrile with stable vital signs. H" "Correct entity, wrong SNOMED ID","(4929, 4948)","(4929, 4948)","stable vital signs","stable vital signs",72970002,301459008,16867779-DS-14,"enderness and erythema. Patient was afebrile with stable vital signs. His exam showed erythema over scrotal skin as we" "Correct entity, wrong SNOMED ID","(4966, 4974)","(4966, 4974)",erythema,erythema,247441003,403194002,16867779-DS-14,"febrile with stable vital signs. His exam showed erythema over scrotal skin as well as erythematous skin w" "Correct entity, wrong SNOMED ID","(4980, 4992)","(4980, 4992)",scrotal skin,scrotal skin,81992007,449309003,16867779-DS-14,"table vital signs. His exam showed erythema over scrotal skin as well as erythematous skin within his groin fo" "Correct entity, wrong SNOMED ID","(5005, 5022)","(5005, 5022)",erythematous skin,erythematous skin,444827008,723166008,16867779-DS-14,"xam showed erythema over scrotal skin as well as erythematous skin within his groin folds bilaterally. WBC was 11.1" Wrong span,"(5034, 5039)","(5034, 5045)",groin,groin folds,26893007,283382002,16867779-DS-14,"tal skin as well as erythematous skin within his groin folds bilaterally. WBC was 11.1. There was conce" Wrong span,"(5105, 5113)","(5105, 5123)",perineal,perineal infection,38864007,23021006,16867779-DS-14,"ly. WBC was 11.1. There was concern for a deeper perineal infection, so General Surgery and Urology were c" Wrong span,"(5114, 5123)","(5105, 5123)",infection,perineal infection,40733004,23021006,16867779-DS-14,"as 11.1. There was concern for a deeper perineal infection, so General Surgery and Urology were consulted. " "Correct entity, wrong SNOMED ID","(5262, 5280)","(5262, 5280)",antibiotic therapy,antibiotic therapy,281789004,281791007,16867779-DS-14,"ns, the patient was initially started on empiric antibiotic therapy with vancomycin, zosyn, & clindamycin. However, " "Correct entity, wrong SNOMED ID","(5332, 5341)","(5332, 5341)",CT pelvis,CT pelvis,169071000,718003003,16867779-DS-14,"ith vancomycin, zosyn, & clindamycin. However, a CT pelvis showed no signs of necrotizing fascitis, and wit" Wrong span,"(5352, 5357)","(5349, 5357)",signs,no signs,72670004,5481000175101,16867779-DS-14,"n, & clindamycin. However, a CT pelvis showed no signs of necrotizing fascitis, and with low suspicion " "Correct entity, wrong SNOMED ID","(5361, 5382)","(5361, 5382)","necrotizing fascitis","necrotizing fascitis",52486002,449900006,16867779-DS-14,"ndamycin. However, a CT pelvis showed no signs of necrotizing fascitis, and with low suspicion for fournier's gangrene, " Missed entity,"(5512, 5514)",,IV,,386340006,,16867779-DS-14,"e discontinued. He received a 1 time dose of 2mg IV morphine for pain control, but by the following " "Correct entity, wrong SNOMED ID","(5528, 5540)","(5528, 5540)",pain control,pain control,225782006,370778008,16867779-DS-14,"He received a 1 time dose of 2mg IV morphine for pain control, but by the following morning, was no longer hav" "Correct entity, wrong SNOMED ID","(5598, 5602)","(5598, 5602)",pain,pain,22253000,102570003,16867779-DS-14," the following morning, was no longer having any pain or tenderness to palpation. Further, his WBC cou" Wrong span,"(5606, 5616)","(5606, 5630)",tenderness,"tenderness to palpation",247348008,278997003,16867779-DS-14,"lowing morning, was no longer having any pain or tenderness to palpation. Further, his WBC count had normali" Wrong span,"(5621, 5630)","(5606, 5630)",palpation,"tenderness to palpation",113011001,278997003,16867779-DS-14,", was no longer having any pain or tenderness to palpation. Further, his WBC count had normalized. He was fe" Wrong span,"(5645, 5669)","(5645, 5654)",WBC count had normalized,WBC count,165507003,116708001,16867779-DS-14,"ny pain or tenderness to palpation. Further, his WBC count had normalized. He was felt to have a topical fungal infection " "Correct entity, wrong SNOMED ID","(5702, 5718)","(5702, 5718)",fungal infection,fungal infection,3218000,110276005,16867779-DS-14,"nt had normalized. He was felt to have a topical fungal infection with possibly an associated cellulitis. Given th" "Correct entity, wrong SNOMED ID","(5748, 5758)","(5748, 5758)",cellulitis,cellulitis,128045006,109245003,16867779-DS-14,"cal fungal infection with possibly an associated cellulitis. Given the clinical improvement, we discharged th" Wrong span,"(5925, 5933)","(5925, 5942)",perineal,"perineal hygiene",38864007,364299000,16867779-DS-14,"ream bid. Patient was encouraged to maintain good perineal hygiene and to take tylenol for potential perine" Wrong span,"(5977, 5985)","(5977, 5996)",perineal,perineal discomfort,38864007,274671002,16867779-DS-14,"rineal hygiene and to take tylenol for potential perineal discomfort. Blood and urine cultures are negativ" Wrong span,"(5986, 5996)","(5977, 5996)",discomfort,perineal discomfort,247347003,274671002,16867779-DS-14,"ygiene and to take tylenol for potential perineal discomfort. Blood and urine cultures are negative to date. " "Correct entity, wrong SNOMED ID","(6086, 6089)","(6086, 6089)",HTN,HTN,38341003,10725009,16867779-DS-14," to date. He will f/u in ___ clinic on ___. . #. HTN: Given uncertainty of infection and possible sus" "Correct entity, wrong SNOMED ID","(6113, 6122)","(6113, 6122)",infection,infection,40733004,260976002,16867779-DS-14,"__ clinic on ___. . #. HTN: Given uncertainty of infection and possible susceptibility to hemodynamic compr" "Correct entity, wrong SNOMED ID","(6239, 6251)","(6239, 6251)",normotensive,normotensive,2004005,167712000,16867779-DS-14,"pertensives was initially held. Patient remained normotensive throughout hospital course. . #. DM2/Hyperglycem" "Correct entity, wrong SNOMED ID","(6286, 6289)","(6286, 6289)",DM2,DM2,44054006,396166000,16867779-DS-14,"ed normotensive throughout hospital course. . #. DM2/Hyperglycemia: Patient reports a recent hospital" "Correct entity, wrong SNOMED ID","(6290, 6303)","(6290, 6303)",Hyperglycemia,Hyperglycemia,80394007,237623001,16867779-DS-14,"ormotensive throughout hospital course. . #. DM2/Hyperglycemia: Patient reports a recent hospitalization at ___" "Correct entity, wrong SNOMED ID","(6358, 6375)","(6358, 6375)","elevated glucose","elevated glucose",68256003,167741009,16867779-DS-14,"tient reports a recent hospitalization at ___ for elevated glucose to 800. He is followed at the ___ and ___ glargin" "Correct entity, wrong SNOMED ID","(6508, 6511)","(6508, 6511)",HLD,HLD,55822004,396338004,16867779-DS-14,"finger sticks ranged from 140s to low 200s. . #. HLD: We continued his home regimen of Lipitor. . #. " Wrong span,"(6561, 6566)","(6561, 6571)",Thigh,Thigh rash,68367000,81094005,16867779-DS-14,": We continued his home regimen of Lipitor. . #. Thigh rash: Previously noted by PCP and felt to be hea" Wrong span,"(6567, 6571)","(6561, 6571)",rash,Thigh rash,271807003,81094005,16867779-DS-14,"continued his home regimen of Lipitor. . #. Thigh rash: Previously noted by PCP and felt to be heat ras" "Correct entity, wrong SNOMED ID","(6613, 6622)","(6613, 6622)",heat rash,heat rash,72658003,385514007,16867779-DS-14,"igh rash: Previously noted by PCP and felt to be heat rash or excoriation-related although could not exclud" Boundary error,"(6627, 6638)","(6627, 6639)",excoriation,excoriation-,400048001,723016004,16867779-DS-14,"viously noted by PCP and felt to be heat rash or excoriation-related although could not exclude leukocytoclast" "Correct entity, wrong SNOMED ID","(6674, 6702)","(6674, 6702)","leukocytoclastic vasculitis","leukocytoclastic vasculitis",60555002,718217000,16867779-DS-14,"r excoriation-related although could not exclude leukocytoclastic vasculitis. Improving without intervention per patient and c" "Correct entity, wrong SNOMED ID","(6814, 6828)","(6814, 6828)",Blood cultures,Blood cultures,30088009,8730001000004107,16867779-DS-14,"wed up as outpatient. . #. Pending results: - ___ Blood cultures x ___ Urine culture Medications on Admission: A" Missed entity,"(6943, 6945)",,mg,,271285000,,16867779-DS-14,"PITOR] 10mg daily CARBIDOPA-LEVODOPA [SINEMET] 10 mg-100 mg Tablet 1 tablet tid GABAPENTIN 300mg prn d" "Correct entity, wrong SNOMED ID","(8423, 8433)","(8423, 8433)",cellulitis,cellulitis,128045006,109245003,16867779-DS-14,"n: Home Discharge Diagnosis: PRIMARY: Possible cellulitis ___ intertrigo SECONDARY: Hypertension Diab" Missed entity,"(8439, 8449)",,intertrigo,,58759008,,16867779-DS-14,"rge Diagnosis: PRIMARY: Possible cellulitis ___ intertrigo SECONDARY: Hypertension Diabetes Mellitus Ty" "Correct entity, wrong SNOMED ID","(8465, 8477)","(8465, 8477)",Hypertension,Hypertension,38341003,70995007,16867779-DS-14,"ossible cellulitis ___ intertrigo SECONDARY: Hypertension Diabetes Mellitus Type 2 ___ Disease Dischar" Missed entity,"(8509, 8516)",,Disease,,64572001,,16867779-DS-14,"ARY: Hypertension Diabetes Mellitus Type 2 ___ Disease Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(8541, 8554)","(8541, 8554)",Mental Status,Mental Status,392257007,419284004,16867779-DS-14,"litus Type 2 ___ Disease Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(8576, 8598)","(8576, 8598)",Level of Consciousness,Level of Consciousness,444714004,830285008,16867779-DS-14,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(8600, 8605)","(8600, 8605)",Alert,Alert,248234008,409787004,16867779-DS-14,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(8610, 8621)","(8610, 8621)",interactive,interactive,288577006,10301000202103,16867779-DS-14,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(8623, 8638)","(8623, 8638)",Activity Status,Activity Status,129676008,397622007,16867779-DS-14,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(8640, 8664)","(8640, 8664)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,16867779-DS-14,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: It was a pleasure tak" "Correct entity, wrong SNOMED ID","(8777, 8781)","(8777, 8781)",pain,pain,22253000,102570003,16867779-DS-14,"ou at the ___. You were admitted because you had pain and redness in your groin and scrotum. We gave y" "Correct entity, wrong SNOMED ID","(8786, 8793)","(8786, 8793)",redness,redness,822962003,1268301006,16867779-DS-14," ___. You were admitted because you had pain and redness in your groin and scrotum. We gave you broad cov" "Correct entity, wrong SNOMED ID","(8802, 8807)","(8802, 8807)",groin,groin,26893007,211046002,16867779-DS-14,"admitted because you had pain and redness in your groin and scrotum. We gave you broad coverage antibiot" "Correct entity, wrong SNOMED ID","(8813, 8820)","(8813, 8820)",scrotum,scrotum,20233005,81992007,16867779-DS-14,"cause you had pain and redness in your groin and scrotum. We gave you broad coverage antibiotics overnight" "Correct entity, wrong SNOMED ID","(8849, 8860)","(8849, 8860)",antibiotics,antibiotics,281789004,372599003,16867779-DS-14,"ur groin and scrotum. We gave you broad coverage antibiotics overnight in case you had a deeper infection, bu" "Correct entity, wrong SNOMED ID","(8897, 8906)","(8897, 8906)",infection,infection,40733004,260976002,16867779-DS-14,"e antibiotics overnight in case you had a deeper infection, but this was not seen on the CT scan of your pe" Wrong span,"(8937, 8960)","(8937, 8948)","CT scan of your pelvis","CT scan of",169071000,116152004,16867779-DS-14," a deeper infection, but this was not seen on the CT scan of your pelvis. While here with us overnight your pain improved" Wrong span,"(8996, 9010)","(8996, 9000)","pain improved",pain,816133002,102570003,16867779-DS-14,"of your pelvis. While here with us overnight your pain improved considerably. We will discharge you on oral antib" "Correct entity, wrong SNOMED ID","(9050, 9066)","(9050, 9066)",oral antibiotics,oral antibiotics,281791007,371070000,16867779-DS-14," improved considerably. We will discharge you on oral antibiotics to treat a skin infection. We think that you als" "Correct entity, wrong SNOMED ID","(9079, 9093)","(9079, 9093)",skin infection,skin infection,19824006,206554002,16867779-DS-14,"ill discharge you on oral antibiotics to treat a skin infection. We think that you also have a fungal infection " "Correct entity, wrong SNOMED ID","(9125, 9142)","(9125, 9142)","fungal infection","fungal infection",3218000,110276005,16867779-DS-14,"t a skin infection. We think that you also have a fungal infection in your groin and scrotum. It is important that y" "Correct entity, wrong SNOMED ID","(9151, 9156)","(9151, 9156)",groin,groin,26893007,211046002,16867779-DS-14,"nk that you also have a fungal infection in your groin and scrotum. It is important that you take the m" "Correct entity, wrong SNOMED ID","(9161, 9168)","(9161, 9168)",scrotum,scrotum,20233005,81992007,16867779-DS-14,"u also have a fungal infection in your groin and scrotum. It is important that you take the medications l" Wrong span,"(9270, 9275)","(9270, 9280)",groin,groin area,26893007,189000007,16867779-DS-14,"ted below and also maintain good hygiene in your groin area. We made the following changes to your medi" "Correct entity, wrong SNOMED ID","(9398, 9403)","(9398, 9403)",groin,groin,26893007,211046002,16867779-DS-14,"y Miconazole 2% Cream 1 Appl twice a day to your groin folds and scrotum. 2. Please take Bactrim DS 1 Ta" "Correct entity, wrong SNOMED ID","(9414, 9421)","(9414, 9421)",scrotum,scrotum,20233005,81992007,16867779-DS-14,"Cream 1 Appl twice a day to your groin folds and scrotum. 2. Please take Bactrim DS 1 Tab twice a day by m" False positive,,"(2550, 2551)",,N,,257992007,16991646-DS-11,"rinalysis were negative. An EKG showed NSR @ 81, NA/NI, concern for LVH without ST-changes or evide" False positive,,"(3164, 3165)",,R,,420274006,16991646-DS-11,"eck and shoulder spasm improved with Diazepam. . ROS: Denies vision changes. No cough or upper respi" False positive,,"(4079, 4081)",,MI,,22298006,16991646-DS-11,"n circumstance. No cardiac dysrrhythmia or early MIs of note. Physical Exam: ADMISSION EXAM: . VIT" False positive,,"(4128, 4134)",,VITALS,,260390007,16991646-DS-11," MIs of note. Physical Exam: ADMISSION EXAM: . VITALS: 80 154/101 17 96% RA GENERAL: Appears in no " False positive,,"(4430, 4432)",,S1,,82609006,16991646-DS-11,"te and rhythm, without murmurs, rubs or gallops. S1 and S2 normal. No carotid bruits. RESP: Clear to " False positive,,"(4440, 4446)",,normal,,840673007,16991646-DS-11,"thm, without murmurs, rubs or gallops. S1 and S2 normal. No carotid bruits. RESP: Clear to auscultation b" False positive,,"(4738, 4742)",,EXTR,,413725009,16991646-DS-11,"or peritoneal signs. No audible abdominal bruit. EXTR: no cyanosis, clubbing or edema, 2+ peripheral pu" False positive,,"(5074, 5077)",,MCH,,54706004,16991646-DS-11," BLOOD WBC-7.7 RBC-4.98 Hgb-15.5 Hct-44.0 MCV-88 MCH-31.2 MCHC-35.3* RDW-12.8 Plt ___ ___ 09:50AM BLOO" False positive,,"(5165, 5168)",,Eos,,67099000,16991646-DS-11,"09:50AM BLOOD Neuts-79.3* Lymphs-13.9* Monos-3.7 Eos-1.8 Baso-1.3 ___ 09:50AM BLOOD Glucose-101* UreaN" False positive,,"(5479, 5486)",,LDLcalc,,395065005,16991646-DS-11,"___ 09:50AM BLOOD Triglyc-100 HDL-89 CHOL/HD-2.7 LDLcalc-133* ___ 09:50AM BLOOD ASA-NEG Acetmnp-NEG Bnzodz" False positive,,"(5669, 5671)",,Ni,,241966002,16991646-DS-11,"w Appear-Clear Sp ___ ___ 09:50AM URINE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-NEG Bili" False positive,,"(5694, 5701)",,Glucose,,72191006,16991646-DS-11," 09:50AM URINE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leu" False positive,,"(5961, 5964)",,MCH,,54706004,16991646-DS-11," BLOOD WBC-6.8 RBC-4.41 Hgb-13.4 Hct-40.1 MCV-91 MCH-30.4 MCHC-33.4 RDW-13.1 Plt ___ ___ 04:29AM BLOOD" False positive,,"(6232, 6243)",,CT evidence,,41647002,16991646-DS-11,"AGING STUDIES: . ___ CTA HEAD W&W/O C & RECO - No CT evidence of acute intracranial process. Aerosolized secre" False positive,,"(6288, 6297)",,secretion,,102798002,16991646-DS-11,"dence of acute intracranial process. Aerosolized secretion in the left sphenoidal sinus suggest sinusitis. " False positive,,"(6603, 6610)",,smaller,,26098002,16991646-DS-11,"s are patent. Left cavernous carotid is slightly smaller than right. Mild degenerative changes with disc " False positive,,"(6906, 6916)",,secretions,,10031004,16991646-DS-11,"on. Fluid in the sphenoid sinus with aerosolized secretions consistent with acute sinusitis. . ___ CHEST (PA" False positive,,"(8031, 8037)",,vision,,111516008,16991646-DS-11,"y parathesias and twitching as well as transient vision concerns - despite normal renal function, no car" False positive,,"(8930, 8943)",,physical exam,,410182004,16991646-DS-11," that has occurred before, per her daughter. The physical exam findings and clinical history indicate a primary" False positive,,"(9589, 9595)",,flares,,770924008,16991646-DS-11," predominant diagnosed in ___. She has had prior flares a few times yearly with rectal bleeding and last " False positive,,"(10699, 10712)",,Mental Status,,419284004,16991646-DS-11,"ion 3. Migraine headaches Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" False positive,,"(10734, 10756)",,Level of Consciousness,,830285008,16991646-DS-11,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" False positive,,"(10781, 10796)",,Activity Status,,397622007,16991646-DS-11,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" False positive,,"(11294, 11300)",,follow,,429545006,16991646-DS-11,"isinopril for blood pressure management and will follow-up with your primary care physician ___ 1-week wi" False positive,,"(11650, 11661)",,medications,,129019007,16991646-DS-11,"re vomiting and cannot keep down fluids, or your medications. * If you are getting dehydrated due to continued" Missed entity,"(184, 202)",,No Known Allergies,,609328004,,16991646-DS-11," Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chie" "Correct entity, wrong SNOMED ID","(205, 227)","(205, 227)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,16991646-DS-11,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: headache, bl" "Correct entity, wrong SNOMED ID","(265, 273)","(265, 273)",headache,headache,25064002,267096005,16991646-DS-11,"ug Reactions Attending: ___. Chief Complaint: headache, blurred vision, hypertension Major Surgical o" "Correct entity, wrong SNOMED ID","(275, 289)","(275, 289)",blurred vision,blurred vision,111516008,1119528007,16991646-DS-11,"ns Attending: ___. Chief Complaint: headache, blurred vision, hypertension Major Surgical or Invasive Proce" "Correct entity, wrong SNOMED ID","(291, 303)","(291, 303)",hypertension,hypertension,38341003,70995007,16991646-DS-11,"___. Chief Complaint: headache, blurred vision, hypertension Major Surgical or Invasive Procedure: None thi" "Correct entity, wrong SNOMED ID","(460, 478)","(460, 478)",ulcerative colitis,ulcerative colitis,64766004,128600008,16991646-DS-11,"a ___ year-old Female with a PMH significant for ulcerative colitis and remote history of migraine headache who pres" "Correct entity, wrong SNOMED ID","(501, 518)","(501, 518)",migraine headache,migraine headache,37796009,423683008,16991646-DS-11,"ant for ulcerative colitis and remote history of migraine headache who presented with 1-day of headache and right-s" "Correct entity, wrong SNOMED ID","(548, 556)","(548, 556)",headache,headache,25064002,267096005,16991646-DS-11,"of migraine headache who presented with 1-day of headache and right-sided neck pain that progressed gradua" Wrong span,"(561, 577)","(561, 582)",right-sided neck,right-sided neck pain,170303002,81680005,16991646-DS-11,"eadache who presented with 1-day of headache and right-sided neck pain that progressed gradually starting the afte" "Correct entity, wrong SNOMED ID","(653, 665)","(653, 665)",hypertensive,hypertensive,38341003,70995007,16991646-DS-11,"dually starting the afternoon of ___ found to be hypertensive. . The patient notes the headache pain was bilate" Wrong span,"(691, 718)","(691, 704)",headache pain was bilateral,headache pain,162301005,267096005,16991646-DS-11,"ound to be hypertensive. . The patient notes the headache pain was bilateral and constant with a throbbing quality that gradu" "Correct entity, wrong SNOMED ID","(723, 731)","(723, 731)",constant,constant,426206001,225658008,16991646-DS-11,"patient notes the headache pain was bilateral and constant with a throbbing quality that gradually progress" Wrong span,"(740, 757)","(740, 749)",throbbing quality,throbbing,29695002,282669006,16991646-DS-11," headache pain was bilateral and constant with a throbbing quality that gradually progressed since the afternoon of" "Correct entity, wrong SNOMED ID","(899, 907)","(899, 907)",headache,headache,25064002,267096005,16991646-DS-11,"rofen without significant benefit, and while her headache failed to worsen, it remained into the evening. " "Correct entity, wrong SNOMED ID","(1004, 1009)","(1004, 1009)",right,right,170303002,264746006,16991646-DS-11,"g. The patient awoke the day of admission with a right, posterior neck and shoulder pain that radiating" "Correct entity, wrong SNOMED ID","(1011, 1020)","(1011, 1020)",posterior,posterior,304036007,289784006,16991646-DS-11,"patient awoke the day of admission with a right, posterior neck and shoulder pain that radiating anteriorly" "Correct entity, wrong SNOMED ID","(1021, 1025)","(1021, 1025)",neck,neck,81680005,840674001,16991646-DS-11,"oke the day of admission with a right, posterior neck and shoulder pain that radiating anteriorly. She" "Correct entity, wrong SNOMED ID","(1030, 1043)","(1030, 1043)",shoulder pain,shoulder pain,1260146002,1260145003,16991646-DS-11,"ay of admission with a right, posterior neck and shoulder pain that radiating anteriorly. She checked her blood" "Correct entity, wrong SNOMED ID","(1050, 1059)","(1050, 1059)",radiating,radiating,9972008,161892003,16991646-DS-11,"h a right, posterior neck and shoulder pain that radiating anteriorly. She checked her blood pressure at hom" "Correct entity, wrong SNOMED ID","(1088, 1102)","(1088, 1102)",blood pressure,blood pressure,135840009,50723001,16991646-DS-11," pain that radiating anteriorly. She checked her blood pressure at home and it was 180/112 mmHg so she called he" Missed entity,"(1154, 1166)",,primary care,,737470001,,16991646-DS-11,"t home and it was 180/112 mmHg so she called her primary care physician. This was associated with a transient " "Correct entity, wrong SNOMED ID","(1216, 1229)","(1216, 1229)",blurry vision,blurry vision,111516008,1119528007,16991646-DS-11," physician. This was associated with a transient blurry vision which resolved within minutes. She was referred " Missed entity,"(1270, 1288)",,referred to the ED,,306104004,,16991646-DS-11,"ry vision which resolved within minutes. She was referred to the ED given her hypertension and vision concerns. . S" "Correct entity, wrong SNOMED ID","(1300, 1312)","(1300, 1312)",hypertension,hypertension,38341003,70995007,16991646-DS-11,"in minutes. She was referred to the ED given her hypertension and vision concerns. . She has no documented his" Wrong span,"(1317, 1332)","(1317, 1323)",vision concerns,vision,111516008,366064009,16991646-DS-11,"as referred to the ED given her hypertension and vision concerns. . She has no documented history of hypertension" "Correct entity, wrong SNOMED ID","(1370, 1382)","(1370, 1382)",hypertension,hypertension,38341003,70995007,16991646-DS-11,"ion concerns. . She has no documented history of hypertension but did have a blood pressure of 150/90 mmHg on " "Correct entity, wrong SNOMED ID","(1399, 1413)","(1399, 1413)",blood pressure,blood pressure,135840009,50723001,16991646-DS-11,"ocumented history of hypertension but did have a blood pressure of 150/90 mmHg on routine PCP ___ 1-month ago. G" "Correct entity, wrong SNOMED ID","(1440, 1443)","(1440, 1443)",PCP,PCP,737470001,258731005,16991646-DS-11," have a blood pressure of 150/90 mmHg on routine PCP ___ 1-month ago. Given that finding, she was tol" "Correct entity, wrong SNOMED ID","(1574, 1586)","(1574, 1586)",dysmenorrhea,dysmenorrhea,266599000,191977008,16991646-DS-11,"e) medication (which she has been on for ___ for dysmenorrhea). She takes no other medications and no anti-hyp" "Correct entity, wrong SNOMED ID","(1628, 1646)","(1628, 1646)",anti-hypertensives,anti-hypertensives,302192008,372740001,16991646-DS-11,"enorrhea). She takes no other medications and no anti-hypertensives. She denies meningismus, fevers or chills. No cu" "Correct entity, wrong SNOMED ID","(1660, 1671)","(1660, 1671)",meningismus,meningismus,70784009,866090003,16991646-DS-11,"edications and no anti-hypertensives. She denies meningismus, fevers or chills. No current vision changes or " "Correct entity, wrong SNOMED ID","(1673, 1679)","(1673, 1679)",fevers,fevers,386661006,248444008,16991646-DS-11,"d no anti-hypertensives. She denies meningismus, fevers or chills. No current vision changes or diplopia" "Correct entity, wrong SNOMED ID","(1683, 1689)","(1683, 1689)",chills,chills,43724002,274640006,16991646-DS-11,"hypertensives. She denies meningismus, fevers or chills. No current vision changes or diplopia. She deni" Wrong span,"(1691, 1716)","(1702, 1716)",No current vision changes,vision changes,45089002,180301000119102,16991646-DS-11,"sives. She denies meningismus, fevers or chills. No current vision changes or diplopia. She denies chest pain or shortness " "Correct entity, wrong SNOMED ID","(1721, 1729)","(1721, 1729)",diplopia,diplopia,24982008,246655008,16991646-DS-11,", fevers or chills. No current vision changes or diplopia. She denies chest pain or shortness of breath. Sh" "Correct entity, wrong SNOMED ID","(1742, 1752)","(1742, 1752)",chest pain,chest pain,29857009,102589003,16991646-DS-11,"o current vision changes or diplopia. She denies chest pain or shortness of breath. She has no leg swelling." "Correct entity, wrong SNOMED ID","(1756, 1775)","(1756, 1775)",shortness of breath,shortness of breath,267036007,135833008,16991646-DS-11,"on changes or diplopia. She denies chest pain or shortness of breath. She has no leg swelling. She denies dysuria or " "Correct entity, wrong SNOMED ID","(1789, 1801)","(1789, 1801)",leg swelling,leg swelling,248480008,300981003,16991646-DS-11,"es chest pain or shortness of breath. She has no leg swelling. She denies dysuria or hematuria. She has no nau" "Correct entity, wrong SNOMED ID","(1814, 1821)","(1814, 1821)",dysuria,dysuria,49650001,16844001,16991646-DS-11,"s of breath. She has no leg swelling. She denies dysuria or hematuria. She has no nausea, emesis or abdom" "Correct entity, wrong SNOMED ID","(1825, 1834)","(1825, 1834)",hematuria,hematuria,34436003,197940006,16991646-DS-11,". She has no leg swelling. She denies dysuria or hematuria. She has no nausea, emesis or abdominal pain and" "Correct entity, wrong SNOMED ID","(1848, 1854)","(1848, 1854)",nausea,nausea,422587007,1217125005,16991646-DS-11,"ing. She denies dysuria or hematuria. She has no nausea, emesis or abdominal pain and denies decreased ap" "Correct entity, wrong SNOMED ID","(1856, 1862)","(1856, 1862)",emesis,emesis,422400008,71419002,16991646-DS-11," denies dysuria or hematuria. She has no nausea, emesis or abdominal pain and denies decreased appetite. " "Correct entity, wrong SNOMED ID","(1866, 1880)","(1866, 1880)",abdominal pain,abdominal pain,21522001,54586004,16991646-DS-11,"suria or hematuria. She has no nausea, emesis or abdominal pain and denies decreased appetite. She has no numbne" "Correct entity, wrong SNOMED ID","(1892, 1910)","(1892, 1910)",decreased appetite,decreased appetite,64379006,405788002,16991646-DS-11,"s no nausea, emesis or abdominal pain and denies decreased appetite. She has no numbness, weakness or tingling. She " "Correct entity, wrong SNOMED ID","(1924, 1932)","(1924, 1932)",numbness,numbness,44077006,102601005,16991646-DS-11,"l pain and denies decreased appetite. She has no numbness, weakness or tingling. She also denies seziure h" "Correct entity, wrong SNOMED ID","(1934, 1942)","(1934, 1942)",weakness,weakness,13791008,248278004,16991646-DS-11," denies decreased appetite. She has no numbness, weakness or tingling. She also denies seziure history, bu" "Correct entity, wrong SNOMED ID","(1946, 1954)","(1946, 1954)",tingling,tingling,62507009,274676007,16991646-DS-11,"eased appetite. She has no numbness, weakness or tingling. She also denies seziure history, but has a nota" "Correct entity, wrong SNOMED ID","(1973, 1980)","(1973, 1980)",seziure,seziure,91175000,294135005,16991646-DS-11," numbness, weakness or tingling. She also denies seziure history, but has a notable history of remote migr" "Correct entity, wrong SNOMED ID","(2026, 2045)","(2026, 2045)","migraine headaches","migraine headaches",37796009,423683008,16991646-DS-11,"iure history, but has a notable history of remote migraine headaches without episodes for many years. . On arrival to " "Correct entity, wrong SNOMED ID","(2111, 2113)","(2111, 2113)",VS,VS,118227000,313611000,16991646-DS-11,"s for many years. . On arrival to the ED, initial VS 98.6 88 ___ RA. Her exam was notable for TTP ove" "Correct entity, wrong SNOMED ID","(2126, 2128)","(2126, 2128)",RA,RA,722742002,463051000124105,16991646-DS-11,"s. . On arrival to the ED, initial VS 98.6 88 ___ RA. Her exam was notable for TTP over the right tra" "Correct entity, wrong SNOMED ID","(2135, 2139)","(2135, 2139)",exam,exam,5880005,105477005,16991646-DS-11,"rrival to the ED, initial VS 98.6 88 ___ RA. Her exam was notable for TTP over the right trapezius musc" "Correct entity, wrong SNOMED ID","(2156, 2159)","(2156, 2159)",TTP,TTP,247348008,438476003,16991646-DS-11,"tial VS 98.6 88 ___ RA. Her exam was notable for TTP over the right trapezius muscle with normal fund" "Correct entity, wrong SNOMED ID","(2169, 2191)","(2169, 2191)",right trapezius muscle,right trapezius muscle,1263762000,11778361000119100,16991646-DS-11,"88 ___ RA. Her exam was notable for TTP over the right trapezius muscle with normal fundoscopic exam and no papilledema." Wrong span,"(2198, 2221)","(2198, 2204)",normal fundoscopic exam,normal,164734008,840673007,16991646-DS-11,"ble for TTP over the right trapezius muscle with normal fundoscopic exam and no papilledema. She had no visual field defi" "Correct entity, wrong SNOMED ID","(2229, 2240)","(2229, 2240)",papilledema,papilledema,423341008,15731361000119106,16991646-DS-11,"ezius muscle with normal fundoscopic exam and no papilledema. She had no visual field deficits and her neurol" "Correct entity, wrong SNOMED ID","(2253, 2275)","(2253, 2275)","visual field deficits","visual field deficits",12184005,24370009,16991646-DS-11,"l fundoscopic exam and no papilledema. She had no visual field deficits and her neurologic exam was non-focal. She was h" "Correct entity, wrong SNOMED ID","(2284, 2299)","(2284, 2299)",neurologic exam,neurologic exam,84728005,163584009,16991646-DS-11,"ledema. She had no visual field deficits and her neurologic exam was non-focal. She was having some restlessness " Wrong span,"(2369, 2378)","(2362, 2378)",twitching,muscle twitching,249966004,60238002,16991646-DS-11,"was having some restlessness and reported muscle twitching of her neck and right shoulder. Her laboratory d" "Correct entity, wrong SNOMED ID","(2387, 2391)","(2387, 2391)",neck,neck,45048000,840674001,16991646-DS-11,"estlessness and reported muscle twitching of her neck and right shoulder. Her laboratory data were nota" "Correct entity, wrong SNOMED ID","(2396, 2410)","(2396, 2410)",right shoulder,right shoulder,91774008,771102004,16991646-DS-11,"ss and reported muscle twitching of her neck and right shoulder. Her laboratory data were notable for WBC 7.7, H" "Correct entity, wrong SNOMED ID","(2450, 2453)","(2450, 2453)",WBC,WBC,767002,391558003,16991646-DS-11,"t shoulder. Her laboratory data were notable for WBC 7.7, HCT 44.0. Creatinine 0.8. Urine hCG and urin" "Correct entity, wrong SNOMED ID","(2459, 2462)","(2459, 2462)",HCT,HCT,28317006,258702006,16991646-DS-11,"r. Her laboratory data were notable for WBC 7.7, HCT 44.0. Creatinine 0.8. Urine hCG and urinalysis we" "Correct entity, wrong SNOMED ID","(2469, 2479)","(2469, 2479)",Creatinine,Creatinine,70901006,113075003,16991646-DS-11,"oratory data were notable for WBC 7.7, HCT 44.0. Creatinine 0.8. Urine hCG and urinalysis were negative. An " Wrong span,"(2485, 2494)","(2485, 2490)",Urine hCG,Urine,167254001,78888000,16991646-DS-11,"e notable for WBC 7.7, HCT 44.0. Creatinine 0.8. Urine hCG and urinalysis were negative. An EKG showed NSR " Wrong span,"(2499, 2524)","(2499, 2509)","urinalysis were negative",urinalysis,167221003,127800008,16991646-DS-11," WBC 7.7, HCT 44.0. Creatinine 0.8. Urine hCG and urinalysis were negative. An EKG showed NSR @ 81, NA/NI, concern for LVH w" "Correct entity, wrong SNOMED ID","(2529, 2532)","(2529, 2532)",EKG,EKG,29303009,75444003,16991646-DS-11," 0.8. Urine hCG and urinalysis were negative. An EKG showed NSR @ 81, NA/NI, concern for LVH without " "Correct entity, wrong SNOMED ID","(2540, 2543)","(2540, 2543)",NSR,NSR,64730000,258699004,16991646-DS-11," hCG and urinalysis were negative. An EKG showed NSR @ 81, NA/NI, concern for LVH without ST-changes " "Correct entity, wrong SNOMED ID","(2569, 2572)","(2569, 2572)",LVH,LVH,55827005,1217058003,16991646-DS-11,"ative. An EKG showed NSR @ 81, NA/NI, concern for LVH without ST-changes or evidence of ischemia. A CT" "Correct entity, wrong SNOMED ID","(2582, 2592)","(2582, 2592)",ST-changes,ST-changes,55930002,251144001,16991646-DS-11," showed NSR @ 81, NA/NI, concern for LVH without ST-changes or evidence of ischemia. A CTA of the head and ne" "Correct entity, wrong SNOMED ID","(2608, 2616)","(2608, 2616)",ischemia,ischemia,52674009,414795007,16991646-DS-11,"oncern for LVH without ST-changes or evidence of ischemia. A CTA of the head and neck demonstrated no acut" Wrong span,"(2620, 2644)","(2620, 2626)",CTA of the head and neck,CTA of,702430003,426099006,16991646-DS-11,"VH without ST-changes or evidence of ischemia. A CTA of the head and neck demonstrated no acute intracranial process, with" Missed entity,"(2659, 2667)",,no acute,,281900007,,16991646-DS-11,"schemia. A CTA of the head and neck demonstrated no acute intracranial process, with the exception of left" "Correct entity, wrong SNOMED ID","(2668, 2680)","(2668, 2680)",intracranial,intracranial,128319008,731998000,16991646-DS-11,"A CTA of the head and neck demonstrated no acute intracranial process, with the exception of left sphenoidal s" Wrong span,"(2713, 2717)","(2713, 2742)",left,left sphenoidal sinus disease,64237003,368585005,16991646-DS-11,"cute intracranial process, with the exception of left sphenoidal sinus disease. There was no evidence o" Wrong span,"(2718, 2742)","(2713, 2742)",sphenoidal sinus disease,left sphenoidal sinus disease,105975006,368585005,16991646-DS-11,"intracranial process, with the exception of left sphenoidal sinus disease. There was no evidence of dissection, aneurysm o" "Correct entity, wrong SNOMED ID","(2754, 2765)","(2754, 2765)",no evidence,no evidence,281900007,41647002,16991646-DS-11,"tion of left sphenoidal sinus disease. There was no evidence of dissection, aneurysm or vascular malformation" "Correct entity, wrong SNOMED ID","(2782, 2790)","(2782, 2790)",aneurysm,aneurysm,85659009,22036004,16991646-DS-11,"us disease. There was no evidence of dissection, aneurysm or vascular malformation. She was started on a L" "Correct entity, wrong SNOMED ID","(2794, 2815)","(2794, 2815)",vascular malformation,vascular malformation,783806000,109558001,16991646-DS-11,"There was no evidence of dissection, aneurysm or vascular malformation. She was started on a Labetalol infusion and giv" "Correct entity, wrong SNOMED ID","(2849, 2857)","(2849, 2857)",infusion,infusion,36576007,14152002,16991646-DS-11,"lar malformation. She was started on a Labetalol infusion and given Diazepam 5 mg PO x 1 for twitching and" "Correct entity, wrong SNOMED ID","(2894, 2903)","(2894, 2903)",twitching,twitching,249966004,249652007,16991646-DS-11,"alol infusion and given Diazepam 5 mg PO x 1 for twitching and her BP improved to 179/111 mmHg with a HR of " "Correct entity, wrong SNOMED ID","(2912, 2914)","(2912, 2914)",BP,BP,135840009,38341003,16991646-DS-11,"given Diazepam 5 mg PO x 1 for twitching and her BP improved to 179/111 mmHg with a HR of 80 and imp" "Correct entity, wrong SNOMED ID","(2915, 2923)","(2915, 2923)",improved,improved,268910001,251359002,16991646-DS-11,"en Diazepam 5 mg PO x 1 for twitching and her BP improved to 179/111 mmHg with a HR of 80 and improvement " "Correct entity, wrong SNOMED ID","(2947, 2949)","(2947, 2949)",HR,HR,301113001,258702006,16991646-DS-11,"tching and her BP improved to 179/111 mmHg with a HR of 80 and improvement in her headache. . On arri" "Correct entity, wrong SNOMED ID","(2961, 2972)","(2961, 2972)",improvement,improvement,268910001,142016009,16991646-DS-11," BP improved to 179/111 mmHg with a HR of 80 and improvement in her headache. . On arrival to the FICU, she ha" "Correct entity, wrong SNOMED ID","(2980, 2988)","(2980, 2988)",headache,headache,25064002,267096005,16991646-DS-11,"/111 mmHg with a HR of 80 and improvement in her headache. . On arrival to the FICU, she had no chest pain " "Correct entity, wrong SNOMED ID","(3027, 3037)","(3027, 3037)",chest pain,chest pain,29857009,102589003,16991646-DS-11,"er headache. . On arrival to the FICU, she had no chest pain or shortness of breath. She has no vision change" "Correct entity, wrong SNOMED ID","(3041, 3061)","(3041, 3061)","shortness of breath","shortness of breath",267036007,135833008,16991646-DS-11," On arrival to the FICU, she had no chest pain or shortness of breath. She has no vision changes or headaches. Her righ" Wrong span,"(3071, 3088)","(3074, 3088)",no vision changes,vision changes,45089002,180301000119102,16991646-DS-11,"ad no chest pain or shortness of breath. She has no vision changes or headaches. Her right neck and shoulder spasm " "Correct entity, wrong SNOMED ID","(3092, 3101)","(3092, 3101)",headaches,headaches,25064002,267096005,16991646-DS-11,"hortness of breath. She has no vision changes or headaches. Her right neck and shoulder spasm improved with" "Correct entity, wrong SNOMED ID","(3107, 3117)","(3107, 3117)",right neck,right neck,170303002,19801004,16991646-DS-11,"eath. She has no vision changes or headaches. Her right neck and shoulder spasm improved with Diazepam. . ROS" Wrong span,"(3123, 3131)","(3123, 3137)",shoulder,shoulder spasm,16982005,16097481000119107,16991646-DS-11," vision changes or headaches. Her right neck and shoulder spasm improved with Diazepam. . ROS: Denies visio" Wrong span,"(3132, 3137)","(3123, 3137)",spasm,shoulder spasm,45352006,16097481000119107,16991646-DS-11,"hanges or headaches. Her right neck and shoulder spasm improved with Diazepam. . ROS: Denies vision chan" "Correct entity, wrong SNOMED ID","(3138, 3146)","(3138, 3146)",improved,improved,268910001,251359002,16991646-DS-11," or headaches. Her right neck and shoulder spasm improved with Diazepam. . ROS: Denies vision changes. No c" "Correct entity, wrong SNOMED ID","(3176, 3190)","(3176, 3190)",vision changes,vision changes,63102001,180301000119102,16991646-DS-11,"ulder spasm improved with Diazepam. . ROS: Denies vision changes. No cough or upper respiratory symptoms. Denies " "Correct entity, wrong SNOMED ID","(3195, 3200)","(3195, 3200)",cough,cough,49727002,28743005,16991646-DS-11,"d with Diazepam. . ROS: Denies vision changes. No cough or upper respiratory symptoms. Denies chest pain" Wrong span,"(3204, 3221)","(3204, 3231)",upper respiratory,"upper respiratory symptoms",58675001,161962008,16991646-DS-11,"azepam. . ROS: Denies vision changes. No cough or upper respiratory symptoms. Denies chest pain, dizziness or lighth" "Correct entity, wrong SNOMED ID","(3240, 3250)","(3240, 3250)",chest pain,chest pain,29857009,102589003,16991646-DS-11,". No cough or upper respiratory symptoms. Denies chest pain, dizziness or lightheadedness; no palpitations. " "Correct entity, wrong SNOMED ID","(3252, 3261)","(3252, 3261)",dizziness,dizziness,404640003,1141711004,16991646-DS-11,"r upper respiratory symptoms. Denies chest pain, dizziness or lightheadedness; no palpitations. Denies shor" "Correct entity, wrong SNOMED ID","(3265, 3280)","(3265, 3280)",lightheadedness,lightheadedness,386705008,1354698007,16991646-DS-11,"ratory symptoms. Denies chest pain, dizziness or lightheadedness; no palpitations. Denies shortness of breath. No" "Correct entity, wrong SNOMED ID","(3286, 3298)","(3286, 3298)",palpitations,palpitations,80313002,161966006,16991646-DS-11,"ies chest pain, dizziness or lightheadedness; no palpitations. Denies shortness of breath. No nausea or vomitin" "Correct entity, wrong SNOMED ID","(3307, 3326)","(3307, 3326)",shortness of breath,shortness of breath,267036007,135833008,16991646-DS-11,"ness or lightheadedness; no palpitations. Denies shortness of breath. No nausea or vomiting, denies abdominal pain. N" "Correct entity, wrong SNOMED ID","(3331, 3337)","(3331, 3337)",nausea,nausea,422587007,1217125005,16991646-DS-11," no palpitations. Denies shortness of breath. No nausea or vomiting, denies abdominal pain. No dysuria o" Missed entity,"(3341, 3349)",,vomiting,,422400008,,16991646-DS-11,"tations. Denies shortness of breath. No nausea or vomiting, denies abdominal pain. No dysuria or hematuria." "Correct entity, wrong SNOMED ID","(3359, 3373)","(3359, 3373)",abdominal pain,abdominal pain,21522001,54586004,16991646-DS-11,"ortness of breath. No nausea or vomiting, denies abdominal pain. No dysuria or hematuria. Denies muscle weakness" "Correct entity, wrong SNOMED ID","(3378, 3385)","(3378, 3385)",dysuria,dysuria,49650001,16844001,16991646-DS-11,"No nausea or vomiting, denies abdominal pain. No dysuria or hematuria. Denies muscle weakness, myalgias o" "Correct entity, wrong SNOMED ID","(3389, 3398)","(3389, 3398)",hematuria,hematuria,34436003,197940006,16991646-DS-11,"r vomiting, denies abdominal pain. No dysuria or hematuria. Denies muscle weakness, myalgias or neurologic " "Correct entity, wrong SNOMED ID","(3407, 3423)","(3407, 3423)","muscle weakness","muscle weakness",26544005,249937002,16991646-DS-11,"s abdominal pain. No dysuria or hematuria. Denies muscle weakness, myalgias or neurologic complaints. Past Medic" "Correct entity, wrong SNOMED ID","(3425, 3433)","(3425, 3433)",myalgias,myalgias,68962001,1141862008,16991646-DS-11,"No dysuria or hematuria. Denies muscle weakness, myalgias or neurologic complaints. Past Medical History" Wrong span,"(3437, 3458)","(3437, 3447)",neurologic complaints,neurologic,308921004,386427000,16991646-DS-11,"r hematuria. Denies muscle weakness, myalgias or neurologic complaints. Past Medical History: 1. Ulcerative colitis (" "Correct entity, wrong SNOMED ID","(3488, 3506)","(3488, 3506)",Ulcerative colitis,Ulcerative colitis,64766004,128600008,16991646-DS-11,"eurologic complaints. Past Medical History: 1. Ulcerative colitis (diagnosed in ___, few episodic flares; sigmoido" "Correct entity, wrong SNOMED ID","(3548, 3561)","(3548, 3561)",sigmoidoscopy,sigmoidoscopy,24420007,235153008,16991646-DS-11," colitis (diagnosed in ___, few episodic flares; sigmoidoscopy in ___ showing only left-sided colitis) 2. Spasmo" "Correct entity, wrong SNOMED ID","(3582, 3600)","(3582, 3600)",left-sided colitis,left-sided colitis,445243001,441971007,16991646-DS-11,"isodic flares; sigmoidoscopy in ___ showing only left-sided colitis) 2. Spasmodic dysphonia (requiring Botox injectio" "Correct entity, wrong SNOMED ID","(3605, 3624)","(3605, 3624)",Spasmodic dysphonia,Spasmodic dysphonia,29003001,19903002,16991646-DS-11,"oscopy in ___ showing only left-sided colitis) 2. Spasmodic dysphonia (requiring Botox injections, followed by Dr. ___" Missed entity,"(3636, 3652)",,Botox injections,,404909007,,16991646-DS-11,"-sided colitis) 2. Spasmodic dysphonia (requiring Botox injections, followed by Dr. ___ ENT surgery) 3. Migraine he" Missed entity,"(3675, 3686)",,ENT surgery,,305710003,,16991646-DS-11,"(requiring Botox injections, followed by Dr. ___ ENT surgery) 3. Migraine headache with aura (remote history, " "Correct entity, wrong SNOMED ID","(3691, 3718)","(3691, 3718)",Migraine headache with aura,Migraine headache with aura,4473006,608837004,16991646-DS-11," injections, followed by Dr. ___ ENT surgery) 3. Migraine headache with aura (remote history, no recent episodes) 4. Endoveno" Wrong span,"(3771, 3820)","(3760, 3788)",laser ablation of the left greater saphenous vein,Endovenous laser ablation of,429017006,448881002,16991646-DS-11,"emote history, no recent episodes) 4. Endovenous laser ablation of the left greater saphenous vein (___) Social History: ___ Family History: Fat" "Correct entity, wrong SNOMED ID","(3874, 3882)","(3874, 3882)",deceased,deceased,419099009,739678005,16991646-DS-11,"__) Social History: ___ Family History: Father deceased from esophageal cancer; mother with lung cancer " "Correct entity, wrong SNOMED ID","(3888, 3905)","(3888, 3905)",esophageal cancer,esophageal cancer,363402007,783704005,16991646-DS-11,"History: ___ Family History: Father deceased from esophageal cancer; mother with lung cancer and breast cancer is st" "Correct entity, wrong SNOMED ID","(3919, 3930)","(3919, 3930)",lung cancer,lung cancer,363358000,162573006,16991646-DS-11,"ther deceased from esophageal cancer; mother with lung cancer and breast cancer is still living. Maternal side" "Correct entity, wrong SNOMED ID","(3936, 3949)","(3936, 3949)",breast cancer,breast cancer,254837009,134405005,16991646-DS-11,"m esophageal cancer; mother with lung cancer and breast cancer is still living. Maternal side with early cardia" Wrong span,"(3993, 4000)","(3993, 4006)",cardiac,cardiac death,56265001,95281009,16991646-DS-11,"cancer is still living. Maternal side with early cardiac death in two males of unknown circumstance. No ca" Wrong span,"(4001, 4006)","(3993, 4006)",death,cardiac death,419099009,95281009,16991646-DS-11,"s still living. Maternal side with early cardiac death in two males of unknown circumstance. No cardiac " "Correct entity, wrong SNOMED ID","(4158, 4160)","(4158, 4160)",RA,RA,722742002,463051000124105,16991646-DS-11,": ADMISSION EXAM: . VITALS: 80 154/101 17 96% RA GENERAL: Appears in no acute distress. Alert and " "Correct entity, wrong SNOMED ID","(4161, 4168)","(4161, 4168)",GENERAL,GENERAL,162673000,252398009,16991646-DS-11,"DMISSION EXAM: . VITALS: 80 154/101 17 96% RA GENERAL: Appears in no acute distress. Alert and interact" "Correct entity, wrong SNOMED ID","(4190, 4198)","(4190, 4198)",distress,distress,69328002,271825005,16991646-DS-11," 154/101 17 96% RA GENERAL: Appears in no acute distress. Alert and interactive. HEENT: Normocephalic, atr" "Correct entity, wrong SNOMED ID","(4200, 4205)","(4200, 4205)",Alert,Alert,248234008,409787004,16991646-DS-11,"17 96% RA GENERAL: Appears in no acute distress. Alert and interactive. HEENT: Normocephalic, atraumatic" "Correct entity, wrong SNOMED ID","(4210, 4221)","(4210, 4221)",interactive,interactive,288577006,10301000202103,16991646-DS-11," GENERAL: Appears in no acute distress. Alert and interactive. HEENT: Normocephalic, atraumatic. EOMI. PERRL. N" "Correct entity, wrong SNOMED ID","(4223, 4228)","(4223, 4228)",HEENT,HEENT,5880005,113665002,16991646-DS-11,"ears in no acute distress. Alert and interactive. HEENT: Normocephalic, atraumatic. EOMI. PERRL. Nares cl" "Correct entity, wrong SNOMED ID","(4230, 4243)","(4230, 4243)",Normocephalic,Normocephalic,840673007,30470009,16991646-DS-11," no acute distress. Alert and interactive. HEENT: Normocephalic, atraumatic. EOMI. PERRL. Nares clear. Mucous me" "Correct entity, wrong SNOMED ID","(4245, 4255)","(4245, 4255)",atraumatic,atraumatic,224964008,294228005,16991646-DS-11,"ess. Alert and interactive. HEENT: Normocephalic, atraumatic. EOMI. PERRL. Nares clear. Mucous membranes mois" "Correct entity, wrong SNOMED ID","(4257, 4261)","(4257, 4261)",EOMI,EOMI,103251002,67099000,16991646-DS-11,"nd interactive. HEENT: Normocephalic, atraumatic. EOMI. PERRL. Nares clear. Mucous membranes moist. NE" "Correct entity, wrong SNOMED ID","(4263, 4268)","(4263, 4268)",PERRL,PERRL,386666001,431291005,16991646-DS-11,"eractive. HEENT: Normocephalic, atraumatic. EOMI. PERRL. Nares clear. Mucous membranes moist. NECK: sup" Wrong span,"(4270, 4275)","(4270, 4281)",Nares,Nares clear,1797002,249349008,16991646-DS-11,"e. HEENT: Normocephalic, atraumatic. EOMI. PERRL. Nares clear. Mucous membranes moist. NECK: supple wit" Wrong span,"(4276, 4281)","(4270, 4281)",clear,Nares clear,281900007,249349008,16991646-DS-11,"NT: Normocephalic, atraumatic. EOMI. PERRL. Nares clear. Mucous membranes moist. NECK: supple without l" "Correct entity, wrong SNOMED ID","(4284, 4306)","(4284, 4306)",Mucous membranes moist,Mucous membranes moist,276398005,276402001,16991646-DS-11,"ocephalic, atraumatic. EOMI. PERRL. Nares clear. Mucous membranes moist. NECK: supple without lymphadenopathy. JVD not e" "Correct entity, wrong SNOMED ID","(4309, 4313)","(4309, 4313)",NECK,NECK,5880005,229320006,16991646-DS-11,"MI. PERRL. Nares clear. Mucous membranes moist. NECK: supple without lymphadenopathy. JVD not elevated" "Correct entity, wrong SNOMED ID","(4315, 4321)","(4315, 4321)",supple,supple,298475003,116121000,16991646-DS-11,"RRL. Nares clear. Mucous membranes moist. NECK: supple without lymphadenopathy. JVD not elevated. ___: R" "Correct entity, wrong SNOMED ID","(4330, 4345)","(4330, 4345)",lymphadenopathy,lymphadenopathy,30746006,127159003,16991646-DS-11,"r. Mucous membranes moist. NECK: supple without lymphadenopathy. JVD not elevated. ___: Regular rate and rhythm, " Wrong span,"(4347, 4350)","(4347, 4363)",JVD,JVD not elevated,271653008,164874007,16991646-DS-11,"nes moist. NECK: supple without lymphadenopathy. JVD not elevated. ___: Regular rate and rhythm, witho" "Correct entity, wrong SNOMED ID","(4370, 4393)","(4370, 4393)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,16991646-DS-11,"e without lymphadenopathy. JVD not elevated. ___: Regular rate and rhythm, without murmurs, rubs or gallops. S1 and S2 nor" "Correct entity, wrong SNOMED ID","(4403, 4410)","(4403, 4410)",murmurs,murmurs,414786004,248699005,16991646-DS-11,"t elevated. ___: Regular rate and rhythm, without murmurs, rubs or gallops. S1 and S2 normal. No carotid b" "Correct entity, wrong SNOMED ID","(4420, 4427)","(4420, 4427)",gallops,gallops,2170000,4592006,16991646-DS-11,"Regular rate and rhythm, without murmurs, rubs or gallops. S1 and S2 normal. No carotid bruits. RESP: Clea" "Correct entity, wrong SNOMED ID","(4437, 4439)","(4437, 4439)",S2,S2,111974005,81170007,16991646-DS-11,"rhythm, without murmurs, rubs or gallops. S1 and S2 normal. No carotid bruits. RESP: Clear to auscult" "Correct entity, wrong SNOMED ID","(4451, 4465)","(4451, 4465)",carotid bruits,carotid bruits,419642000,10857000,16991646-DS-11,"t murmurs, rubs or gallops. S1 and S2 normal. No carotid bruits. RESP: Clear to auscultation bilaterally without " "Correct entity, wrong SNOMED ID","(4467, 4471)","(4467, 4471)",RESP,RESP,268925001,20139000,16991646-DS-11,"or gallops. S1 and S2 normal. No carotid bruits. RESP: Clear to auscultation bilaterally without advent" "Correct entity, wrong SNOMED ID","(4515, 4535)","(4515, 4535)","adventitious sounds","adventitious sounds",53972003,846754005,16991646-DS-11,". RESP: Clear to auscultation bilaterally without adventitious sounds. No wheezing, rhonchi or crackles. Stable inspira" "Correct entity, wrong SNOMED ID","(4540, 4548)","(4540, 4548)",wheezing,wheezing,56018004,9763007,16991646-DS-11,"tion bilaterally without adventitious sounds. No wheezing, rhonchi or crackles. Stable inspiratory effort." Wrong span,"(4571, 4577)","(4571, 4573)",Stable,St,359746009,51811007,16991646-DS-11,"itious sounds. No wheezing, rhonchi or crackles. Stable inspiratory effort. ABD: soft, non-tender, non-d" "Correct entity, wrong SNOMED ID","(4599, 4602)","(4599, 4602)",ABD,ABD,225162003,60728008,16991646-DS-11," rhonchi or crackles. Stable inspiratory effort. ABD: soft, non-tender, non-distended, with normoactiv" "Correct entity, wrong SNOMED ID","(4610, 4620)","(4610, 4620)",non-tender,non-tender,43478001,298741000,16991646-DS-11," crackles. Stable inspiratory effort. ABD: soft, non-tender, non-distended, with normoactive bowel sounds. N" "Correct entity, wrong SNOMED ID","(4622, 4635)","(4622, 4635)",non-distended,non-distended,300405003,162069004,16991646-DS-11,"table inspiratory effort. ABD: soft, non-tender, non-distended, with normoactive bowel sounds. No palpable mass" "Correct entity, wrong SNOMED ID","(4642, 4667)","(4642, 4667)","normoactive bowel sounds","normoactive bowel sounds",61539000,15280003,16991646-DS-11,"ffort. ABD: soft, non-tender, non-distended, with normoactive bowel sounds. No palpable masses or peritoneal signs. No audib" Wrong span,"(4672, 4687)","(4672, 4680)",palpable masses,palpable,443607001,163210008,16991646-DS-11,"non-distended, with normoactive bowel sounds. No palpable masses or peritoneal signs. No audible abdominal bruit." "Correct entity, wrong SNOMED ID","(4691, 4707)","(4691, 4707)",peritoneal signs,peritoneal signs,66579008,271861000,16991646-DS-11," normoactive bowel sounds. No palpable masses or peritoneal signs. No audible abdominal bruit. EXTR: no cyanosis, " "Correct entity, wrong SNOMED ID","(4721, 4736)","(4721, 4736)",abdominal bruit,abdominal bruit,249590007,249550009,16991646-DS-11," palpable masses or peritoneal signs. No audible abdominal bruit. EXTR: no cyanosis, clubbing or edema, 2+ periphe" "Correct entity, wrong SNOMED ID","(4747, 4755)","(4747, 4755)",cyanosis,cyanosis,3415004,84260001,16991646-DS-11,"neal signs. No audible abdominal bruit. EXTR: no cyanosis, clubbing or edema, 2+ peripheral pulses NEURO: C" "Correct entity, wrong SNOMED ID","(4757, 4765)","(4757, 4765)",clubbing,clubbing,367004,247519001,16991646-DS-11,". No audible abdominal bruit. EXTR: no cyanosis, clubbing or edema, 2+ peripheral pulses NEURO: CN II-XII i" "Correct entity, wrong SNOMED ID","(4769, 4774)","(4769, 4774)",edema,edema,267038008,102576009,16991646-DS-11," abdominal bruit. EXTR: no cyanosis, clubbing or edema, 2+ peripheral pulses NEURO: CN II-XII intact thr" "Correct entity, wrong SNOMED ID","(4776, 4796)","(4776, 4796)",2+ peripheral pulses,2+ peripheral pulses,40969002,792832001,16991646-DS-11,"inal bruit. EXTR: no cyanosis, clubbing or edema, 2+ peripheral pulses NEURO: CN II-XII intact throughout. Alert and ori" "Correct entity, wrong SNOMED ID","(4797, 4802)","(4797, 4802)",NEURO,NEURO,84728005,284186002,16991646-DS-11,"cyanosis, clubbing or edema, 2+ peripheral pulses NEURO: CN II-XII intact throughout. Alert and oriented " "Correct entity, wrong SNOMED ID","(4804, 4820)","(4804, 4820)",CN II-XII intact,CN II-XII intact,830121005,408755005,16991646-DS-11,"s, clubbing or edema, 2+ peripheral pulses NEURO: CN II-XII intact throughout. Alert and oriented x 3. DTRs 2+ thro" "Correct entity, wrong SNOMED ID","(4833, 4838)","(4833, 4838)",Alert,Alert,248234008,409787004,16991646-DS-11,"pheral pulses NEURO: CN II-XII intact throughout. Alert and oriented x 3. DTRs 2+ throughout, strength _" "Correct entity, wrong SNOMED ID","(4843, 4851)","(4843, 4851)",oriented,oriented,247663003,787379002,16991646-DS-11,"ses NEURO: CN II-XII intact throughout. Alert and oriented x 3. DTRs 2+ throughout, strength ___ bilaterall" Boundary error,"(4857, 4865)","(4857, 4864)","DTRs 2+","DTRs 2",49051001,702383005,16991646-DS-11,"II-XII intact throughout. Alert and oriented x 3. DTRs 2+ throughout, strength ___ bilaterally, sensation g" "Correct entity, wrong SNOMED ID","(4904, 4929)","(4904, 4929)","sensation grossly intact","sensation grossly intact",299956006,422015002,16991646-DS-11,"3. DTRs 2+ throughout, strength ___ bilaterally, sensation grossly intact. Gait deferred. . DISCHARGE EXAM: unchanged Per" "Correct entity, wrong SNOMED ID","(4931, 4935)","(4931, 4935)",Gait,Gait,274787008,22325002,16991646-DS-11,"ength ___ bilaterally, sensation grossly intact. Gait deferred. . DISCHARGE EXAM: unchanged Pertinent" "Correct entity, wrong SNOMED ID","(5031, 5034)","(5031, 5034)",WBC,WBC,767002,391558003,16991646-DS-11,"nent Results: ADMISSION LABS: . ___ 09:50AM BLOOD WBC-7.7 RBC-4.98 Hgb-15.5 Hct-44.0 MCV-88 MCH-31.2 M" "Correct entity, wrong SNOMED ID","(5039, 5042)","(5039, 5042)",RBC,RBC,14089001,258759006,16991646-DS-11,"ults: ADMISSION LABS: . ___ 09:50AM BLOOD WBC-7.7 RBC-4.98 Hgb-15.5 Hct-44.0 MCV-88 MCH-31.2 MCHC-35.3" "Correct entity, wrong SNOMED ID","(5048, 5051)","(5048, 5051)",Hgb,Hgb,441689006,104142005,16991646-DS-11,"ISSION LABS: . ___ 09:50AM BLOOD WBC-7.7 RBC-4.98 Hgb-15.5 Hct-44.0 MCV-88 MCH-31.2 MCHC-35.3* RDW-12." "Correct entity, wrong SNOMED ID","(5057, 5060)","(5057, 5060)",Hct,Hct,28317006,282660005,16991646-DS-11,"BS: . ___ 09:50AM BLOOD WBC-7.7 RBC-4.98 Hgb-15.5 Hct-44.0 MCV-88 MCH-31.2 MCHC-35.3* RDW-12.8 Plt ___" Missed entity,"(5066, 5069)",,MCV,,104133003,,16991646-DS-11," 09:50AM BLOOD WBC-7.7 RBC-4.98 Hgb-15.5 Hct-44.0 MCV-88 MCH-31.2 MCHC-35.3* RDW-12.8 Plt ___ ___ 09:5" "Correct entity, wrong SNOMED ID","(5083, 5087)","(5083, 5087)",MCHC,MCHC,37254006,735147002,16991646-DS-11,"C-7.7 RBC-4.98 Hgb-15.5 Hct-44.0 MCV-88 MCH-31.2 MCHC-35.3* RDW-12.8 Plt ___ ___ 09:50AM BLOOD Neuts-79" "Correct entity, wrong SNOMED ID","(5129, 5134)","(5129, 5134)",Neuts,Neuts,30630007,271035003,16991646-DS-11,"1.2 MCHC-35.3* RDW-12.8 Plt ___ ___ 09:50AM BLOOD Neuts-79.3* Lymphs-13.9* Monos-3.7 Eos-1.8 Baso-1.3 __" "Correct entity, wrong SNOMED ID","(5141, 5147)","(5141, 5147)",Lymphs,Lymphs,74765001,79709007,16991646-DS-11,"3* RDW-12.8 Plt ___ ___ 09:50AM BLOOD Neuts-79.3* Lymphs-13.9* Monos-3.7 Eos-1.8 Baso-1.3 ___ 09:50AM BLO" "Correct entity, wrong SNOMED ID","(5154, 5159)","(5154, 5159)",Monos,Monos,67776007,462791000124108,16991646-DS-11,"lt ___ ___ 09:50AM BLOOD Neuts-79.3* Lymphs-13.9* Monos-3.7 Eos-1.8 Baso-1.3 ___ 09:50AM BLOOD Glucose-1" "Correct entity, wrong SNOMED ID","(5173, 5177)","(5173, 5177)",Baso,Baso,42351005,700051010000106,16991646-DS-11,"BLOOD Neuts-79.3* Lymphs-13.9* Monos-3.7 Eos-1.8 Baso-1.3 ___ 09:50AM BLOOD Glucose-101* UreaN-13 Creat" "Correct entity, wrong SNOMED ID","(5200, 5207)","(5200, 5207)",Glucose,Glucose,33747003,72191006,16991646-DS-11,".9* Monos-3.7 Eos-1.8 Baso-1.3 ___ 09:50AM BLOOD Glucose-101* UreaN-13 Creat-0.8 Na-138 K-6.2* Cl-102 HCO" "Correct entity, wrong SNOMED ID","(5213, 5218)","(5213, 5218)",UreaN,UreaN,105011006,111108008,16991646-DS-11," Eos-1.8 Baso-1.3 ___ 09:50AM BLOOD Glucose-101* UreaN-13 Creat-0.8 Na-138 K-6.2* Cl-102 HCO3-22 AnGap-" "Correct entity, wrong SNOMED ID","(5222, 5227)","(5222, 5227)",Creat,Creat,70901006,413856009,16991646-DS-11," Baso-1.3 ___ 09:50AM BLOOD Glucose-101* UreaN-13 Creat-0.8 Na-138 K-6.2* Cl-102 HCO3-22 AnGap-20 ___ 09" "Correct entity, wrong SNOMED ID","(5232, 5234)","(5232, 5234)",Na,Na,312469006,257992007,16991646-DS-11,"___ 09:50AM BLOOD Glucose-101* UreaN-13 Creat-0.8 Na-138 K-6.2* Cl-102 HCO3-22 AnGap-20 ___ 09:50AM B" "Correct entity, wrong SNOMED ID","(5247, 5249)","(5247, 5249)",Cl,Cl,104589004,311741002,16991646-DS-11,"OD Glucose-101* UreaN-13 Creat-0.8 Na-138 K-6.2* Cl-102 HCO3-22 AnGap-20 ___ 09:50AM BLOOD CK(CPK)-15" "Correct entity, wrong SNOMED ID","(5254, 5258)","(5254, 5258)",HCO3,HCO3,312471006,88645003,16991646-DS-11,"ose-101* UreaN-13 Creat-0.8 Na-138 K-6.2* Cl-102 HCO3-22 AnGap-20 ___ 09:50AM BLOOD CK(CPK)-155 ___ 09:" "Correct entity, wrong SNOMED ID","(5262, 5267)","(5262, 5267)",AnGap,AnGap,25469001,124504004,16991646-DS-11," UreaN-13 Creat-0.8 Na-138 K-6.2* Cl-102 HCO3-22 AnGap-20 ___ 09:50AM BLOOD CK(CPK)-155 ___ 09:50AM BLOO" "Correct entity, wrong SNOMED ID","(5327, 5334)","(5327, 5334)",cTropnT,cTropnT,105001004,442255004,16991646-DS-11,":50AM BLOOD CK(CPK)-155 ___ 09:50AM BLOOD CK-MB-3 cTropnT-<0.01 ___ 09:50AM BLOOD Calcium-9.3 Phos-3.2 Mg-2" "Correct entity, wrong SNOMED ID","(5359, 5366)","(5359, 5366)",Calcium,Calcium,312472004,108601004,16991646-DS-11,"0AM BLOOD CK-MB-3 cTropnT-<0.01 ___ 09:50AM BLOOD Calcium-9.3 Phos-3.2 Mg-2.2 Cholest-242* ___ 02:59PM BLOO" "Correct entity, wrong SNOMED ID","(5371, 5375)","(5371, 5375)",Phos,Phos,104868000,168075002,16991646-DS-11,"-MB-3 cTropnT-<0.01 ___ 09:50AM BLOOD Calcium-9.3 Phos-3.2 Mg-2.2 Cholest-242* ___ 02:59PM BLOOD %HbA1c-" "Correct entity, wrong SNOMED ID","(5380, 5382)","(5380, 5382)",Mg,Mg,271285000,258684004,16991646-DS-11,"opnT-<0.01 ___ 09:50AM BLOOD Calcium-9.3 Phos-3.2 Mg-2.2 Cholest-242* ___ 02:59PM BLOOD %HbA1c-PND ___" "Correct entity, wrong SNOMED ID","(5387, 5394)","(5387, 5394)",Cholest,Cholest,77068002,13644009,16991646-DS-11,".01 ___ 09:50AM BLOOD Calcium-9.3 Phos-3.2 Mg-2.2 Cholest-242* ___ 02:59PM BLOOD %HbA1c-PND ___ 09:50AM BLO" "Correct entity, wrong SNOMED ID","(5447, 5454)","(5447, 5454)",Triglyc,Triglyc,14740000,167082000,16991646-DS-11,"2* ___ 02:59PM BLOOD %HbA1c-PND ___ 09:50AM BLOOD Triglyc-100 HDL-89 CHOL/HD-2.7 LDLcalc-133* ___ 09:50AM " "Correct entity, wrong SNOMED ID","(5459, 5462)","(5459, 5462)",HDL,HDL,17888004,9422000,16991646-DS-11,"PM BLOOD %HbA1c-PND ___ 09:50AM BLOOD Triglyc-100 HDL-89 CHOL/HD-2.7 LDLcalc-133* ___ 09:50AM BLOOD AS" "Correct entity, wrong SNOMED ID","(5466, 5473)","(5466, 5473)",CHOL/HD,CHOL/HD,313811003,439953004,16991646-DS-11,"D %HbA1c-PND ___ 09:50AM BLOOD Triglyc-100 HDL-89 CHOL/HD-2.7 LDLcalc-133* ___ 09:50AM BLOOD ASA-NEG Acetm" Missed entity,"(5585, 5586)",,K,,312468003,,16991646-DS-11,"zp-NEG Barbitr-NEG Tricycl-NEG ___ 11:38AM BLOOD K-3.7 ___ 09:50AM URINE Color-Straw Appear-Clear Sp" Missed entity,"(5628, 5633)",,Clear,,48348007,,16991646-DS-11," BLOOD K-3.7 ___ 09:50AM URINE Color-Straw Appear-Clear Sp ___ ___ 09:50AM URINE Blood-NEG Nitrite-NEG Pr" "Correct entity, wrong SNOMED ID","(5653, 5664)","(5653, 5664)",URINE Blood,URINE Blood,307821001,1284890008,16991646-DS-11,"URINE Color-Straw Appear-Clear Sp ___ ___ 09:50AM URINE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-N" "Correct entity, wrong SNOMED ID","(5681, 5688)","(5681, 5688)",Protein,Protein,57378007,764892007,16991646-DS-11,"ar Sp ___ ___ 09:50AM URINE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-N" "Correct entity, wrong SNOMED ID","(5706, 5712)","(5706, 5712)",Ketone,Ketone,47615003,256048004,16991646-DS-11,"NE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ " "Correct entity, wrong SNOMED ID","(5741, 5743)","(5741, 5743)",pH,pH,81065003,264912003,16991646-DS-11,"G Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ 09:50AM URINE UCG-NEGATIVE ___ " "Correct entity, wrong SNOMED ID","(5770, 5775)","(5770, 5775)",URINE,URINE,442564008,78888000,16991646-DS-11,"irub-NEG Urobiln-NEG pH-6.0 Leuks-NEG ___ 09:50AM URINE UCG-NEGATIVE ___ 09:50AM URINE bnzodzp-NEG barbit" Missed entity,"(5776, 5788)",,UCG-NEGATIVE,,167254001,,16991646-DS-11,"EG Urobiln-NEG pH-6.0 Leuks-NEG ___ 09:50AM URINE UCG-NEGATIVE ___ 09:50AM URINE bnzodzp-NEG barbitr-NEG opiates" Missed entity,"(5801, 5806)",,URINE,,442564008,,16991646-DS-11,"ks-NEG ___ 09:50AM URINE UCG-NEGATIVE ___ 09:50AM URINE bnzodzp-NEG barbitr-NEG opiates-NEG cocaine-NEG " "Correct entity, wrong SNOMED ID","(5918, 5921)","(5918, 5921)",WBC,WBC,767002,391558003,16991646-DS-11,"mthdone-NEG . DISCHARGE LABS: . ___ 04:29AM BLOOD WBC-6.8 RBC-4.41 Hgb-13.4 Hct-40.1 MCV-91 MCH-30.4 M" "Correct entity, wrong SNOMED ID","(5926, 5929)","(5926, 5929)",RBC,RBC,14089001,258759006,16991646-DS-11,"NEG . DISCHARGE LABS: . ___ 04:29AM BLOOD WBC-6.8 RBC-4.41 Hgb-13.4 Hct-40.1 MCV-91 MCH-30.4 MCHC-33.4" "Correct entity, wrong SNOMED ID","(5935, 5938)","(5935, 5938)",Hgb,Hgb,441689006,104142005,16991646-DS-11,"CHARGE LABS: . ___ 04:29AM BLOOD WBC-6.8 RBC-4.41 Hgb-13.4 Hct-40.1 MCV-91 MCH-30.4 MCHC-33.4 RDW-13.1" "Correct entity, wrong SNOMED ID","(5944, 5947)","(5944, 5947)",Hct,Hct,28317006,282660005,16991646-DS-11,"BS: . ___ 04:29AM BLOOD WBC-6.8 RBC-4.41 Hgb-13.4 Hct-40.1 MCV-91 MCH-30.4 MCHC-33.4 RDW-13.1 Plt ___ " Missed entity,"(5953, 5956)",,MCV,,104133003,,16991646-DS-11," 04:29AM BLOOD WBC-6.8 RBC-4.41 Hgb-13.4 Hct-40.1 MCV-91 MCH-30.4 MCHC-33.4 RDW-13.1 Plt ___ ___ 04:29" "Correct entity, wrong SNOMED ID","(5970, 5974)","(5970, 5974)",MCHC,MCHC,37254006,735147002,16991646-DS-11,"C-6.8 RBC-4.41 Hgb-13.4 Hct-40.1 MCV-91 MCH-30.4 MCHC-33.4 RDW-13.1 Plt ___ ___ 04:29AM BLOOD Glucose-9" "Correct entity, wrong SNOMED ID","(6015, 6022)","(6015, 6022)",Glucose,Glucose,33747003,72191006,16991646-DS-11,"30.4 MCHC-33.4 RDW-13.1 Plt ___ ___ 04:29AM BLOOD Glucose-99 UreaN-19 Creat-0.8 Na-139 K-3.9 Cl-106 HCO3-2" "Correct entity, wrong SNOMED ID","(6026, 6031)","(6026, 6031)",UreaN,UreaN,105011006,111108008,16991646-DS-11,"3.4 RDW-13.1 Plt ___ ___ 04:29AM BLOOD Glucose-99 UreaN-19 Creat-0.8 Na-139 K-3.9 Cl-106 HCO3-24 AnGap-1" "Correct entity, wrong SNOMED ID","(6035, 6040)","(6035, 6040)",Creat,Creat,70901006,365756002,16991646-DS-11,"3.1 Plt ___ ___ 04:29AM BLOOD Glucose-99 UreaN-19 Creat-0.8 Na-139 K-3.9 Cl-106 HCO3-24 AnGap-13 ___ 04:" "Correct entity, wrong SNOMED ID","(6045, 6047)","(6045, 6047)",Na,Na,312469006,257992007,16991646-DS-11,"_ ___ 04:29AM BLOOD Glucose-99 UreaN-19 Creat-0.8 Na-139 K-3.9 Cl-106 HCO3-24 AnGap-13 ___ 04:29AM BL" "Correct entity, wrong SNOMED ID","(6059, 6061)","(6059, 6061)",Cl,Cl,104589004,311741002,16991646-DS-11,"BLOOD Glucose-99 UreaN-19 Creat-0.8 Na-139 K-3.9 Cl-106 HCO3-24 AnGap-13 ___ 04:29AM BLOOD Calcium-8." "Correct entity, wrong SNOMED ID","(6066, 6070)","(6066, 6070)",HCO3,HCO3,312471006,88645003,16991646-DS-11,"lucose-99 UreaN-19 Creat-0.8 Na-139 K-3.9 Cl-106 HCO3-24 AnGap-13 ___ 04:29AM BLOOD Calcium-8.7 Phos-3." "Correct entity, wrong SNOMED ID","(6074, 6079)","(6074, 6079)",AnGap,AnGap,25469001,124504004,16991646-DS-11,"9 UreaN-19 Creat-0.8 Na-139 K-3.9 Cl-106 HCO3-24 AnGap-13 ___ 04:29AM BLOOD Calcium-8.7 Phos-3.5 Mg-2.1 " "Correct entity, wrong SNOMED ID","(6101, 6108)","(6101, 6108)",Calcium,Calcium,312472004,108601004,16991646-DS-11," K-3.9 Cl-106 HCO3-24 AnGap-13 ___ 04:29AM BLOOD Calcium-8.7 Phos-3.5 Mg-2.1 . MICROBIOLOGIC DATA: ___ MR" "Correct entity, wrong SNOMED ID","(6113, 6117)","(6113, 6117)",Phos,Phos,104868000,168075002,16991646-DS-11,"06 HCO3-24 AnGap-13 ___ 04:29AM BLOOD Calcium-8.7 Phos-3.5 Mg-2.1 . MICROBIOLOGIC DATA: ___ MRSA screen" "Correct entity, wrong SNOMED ID","(6122, 6124)","(6122, 6124)",Mg,Mg,271285000,258684004,16991646-DS-11,"4 AnGap-13 ___ 04:29AM BLOOD Calcium-8.7 Phos-3.5 Mg-2.1 . MICROBIOLOGIC DATA: ___ MRSA screen - pend" Wrong span,"(6156, 6167)","(6156, 6160)",MRSA screen,MRSA,301786007,720301008,16991646-DS-11,"um-8.7 Phos-3.5 Mg-2.1 . MICROBIOLOGIC DATA: ___ MRSA screen - pending . IMAGING STUDIES: . ___ CTA HEAD W&W/O" Wrong span,"(6203, 6219)","(6203, 6206)",CTA HEAD W&W/O C,CTA,582101000119108,127423001,16991646-DS-11,"__ MRSA screen - pending . IMAGING STUDIES: . ___ CTA HEAD W&W/O C & RECO - No CT evidence of acute intracranial pr" "Correct entity, wrong SNOMED ID","(6254, 6266)","(6254, 6266)",intracranial,intracranial,128319008,731998000,16991646-DS-11,"TA HEAD W&W/O C & RECO - No CT evidence of acute intracranial process. Aerosolized secretion in the left sphen" "Correct entity, wrong SNOMED ID","(6305, 6327)","(6305, 6327)","left sphenoidal sinus","left sphenoidal sinus",48498009,368585005,16991646-DS-11,"ntracranial process. Aerosolized secretion in the left sphenoidal sinus suggest sinusitis. Futher details to be provided" "Correct entity, wrong SNOMED ID","(6336, 6345)","(6336, 6345)",sinusitis,sinusitis,13266007,371127003,16991646-DS-11,"d secretion in the left sphenoidal sinus suggest sinusitis. Futher details to be provided with CTA report. " "Correct entity, wrong SNOMED ID","(6383, 6386)","(6383, 6386)",CTA,CTA,582101000119108,397005006,16991646-DS-11,"st sinusitis. Futher details to be provided with CTA report. CTA: No evidence of dissection, aneurysm" "Correct entity, wrong SNOMED ID","(6395, 6398)","(6395, 6398)",CTA,CTA,582101000119108,397005006,16991646-DS-11,". Futher details to be provided with CTA report. CTA: No evidence of dissection, aneurysm, vascular m" Missed entity,"(6400, 6411)",,No evidence,,281900007,,16991646-DS-11,"her details to be provided with CTA report. CTA: No evidence of dissection, aneurysm, vascular malformation o" "Correct entity, wrong SNOMED ID","(6428, 6436)","(6428, 6436)",aneurysm,aneurysm,85659009,277196008,16991646-DS-11,"with CTA report. CTA: No evidence of dissection, aneurysm, vascular malformation or flow-limiting stenosis." "Correct entity, wrong SNOMED ID","(6438, 6459)","(6438, 6459)",vascular malformation,vascular malformation,783806000,109558001,16991646-DS-11,"eport. CTA: No evidence of dissection, aneurysm, vascular malformation or flow-limiting stenosis. Intra and extracrania" "Correct entity, wrong SNOMED ID","(6477, 6485)","(6477, 6485)",stenosis,stenosis,415582006,246073005,16991646-DS-11," aneurysm, vascular malformation or flow-limiting stenosis. Intra and extracranial anterior and posterior c" Wrong span,"(6487, 6554)","(6487, 6492)","Intra and extracranial anterior and posterior circulation arteries",Intra,119567009,277712000,16991646-DS-11," vascular malformation or flow-limiting stenosis. Intra and extracranial anterior and posterior circulation arteries are patent. Left cavernous carotid is slightly s" Wrong span,"(6568, 6590)","(6568, 6572)",Left cavernous carotid,Left,735187007,264745005,16991646-DS-11,"r and posterior circulation arteries are patent. Left cavernous carotid is slightly smaller than right. Mild degenerativ" "Correct entity, wrong SNOMED ID","(6616, 6621)","(6616, 6621)",right,right,735188002,264746006,16991646-DS-11,". Left cavernous carotid is slightly smaller than right. Mild degenerative changes with disc space narro" Missed entity,"(6624, 6628)",,Mild,,162468002,,16991646-DS-11,"avernous carotid is slightly smaller than right. Mild degenerative changes with disc space narrowing an" Wrong span,"(6629, 6706)","(6629, 6649)","degenerative changes with disc space narrowing and disc-osteophyte complexes",degenerative changes,735605000,708529002,16991646-DS-11,"ous carotid is slightly smaller than right. Mild degenerative changes with disc space narrowing and disc-osteophyte complexes at C4/5, ___, and ___. No significant spinal can" Missed entity,"(6710, 6714)",,C4/5,,84667006,,16991646-DS-11,"space narrowing and disc-osteophyte complexes at C4/5, ___, and ___. No significant spinal canal narr" Wrong span,"(6746, 6769)","(6746, 6758)","spinal canal narrowing",spinal canal,83561009,11537001,16991646-DS-11," complexes at C4/5, ___, and ___. No significant spinal canal narrowing. Awaiting 3D reformations. . ___ MR HEAD W/O CON" "Correct entity, wrong SNOMED ID","(6827, 6838)","(6827, 6838)",No evidence,No evidence,281900007,41647002,16991646-DS-11,"ng 3D reformations. . ___ MR HEAD W/O CONTRAST - No evidence of acute infarction. Fluid in the sphenoid sinus" "Correct entity, wrong SNOMED ID","(6848, 6858)","(6848, 6858)",infarction,infarction,55641003,432504007,16991646-DS-11,". ___ MR HEAD W/O CONTRAST - No evidence of acute infarction. Fluid in the sphenoid sinus with aerosolized se" "Correct entity, wrong SNOMED ID","(6861, 6866)","(6861, 6866)",Fluid,Fluid,17672001,109192009,16991646-DS-11," W/O CONTRAST - No evidence of acute infarction. Fluid in the sphenoid sinus with aerosolized secretions" "Correct entity, wrong SNOMED ID","(6874, 6888)","(6874, 6888)",sphenoid sinus,sphenoid sinus,24999009,54702002,16991646-DS-11," - No evidence of acute infarction. Fluid in the sphenoid sinus with aerosolized secretions consistent with acut" Wrong span,"(6934, 6949)","(6934, 6939)",acute sinusitis,acute,77919000,255228009,16991646-DS-11,"inus with aerosolized secretions consistent with acute sinusitis. . ___ CHEST (PA & LAT) - No acute findings. No m" "Correct entity, wrong SNOMED ID","(6957, 6973)","(6957, 6973)",CHEST (PA & LAT),CHEST (PA & LAT),42869005,10321000087109,16991646-DS-11,"ecretions consistent with acute sinusitis. . ___ CHEST (PA & LAT) - No acute findings. No mediastinal widening. " Wrong span,"(6998, 7019)","(6998, 7009)","mediastinal widening",mediastinal,363646005,363646005,16991646-DS-11,"s. . ___ CHEST (PA & LAT) - No acute findings. No mediastinal widening. Brief Hospital Course: IMPRESSION: ___ wit" "Correct entity, wrong SNOMED ID","(7093, 7111)","(7093, 7111)",ulcerative colitis,ulcerative colitis,64766004,128600008,16991646-DS-11,"ourse: IMPRESSION: ___ with a PMH significant for ulcerative colitis and remote history of migraine headache who pres" "Correct entity, wrong SNOMED ID","(7135, 7152)","(7135, 7152)",migraine headache,migraine headache,37796009,423683008,16991646-DS-11,"ant for ulcerative colitis and remote history of migraine headache who presented with headache and transient vision" "Correct entity, wrong SNOMED ID","(7173, 7181)","(7173, 7181)",headache,headache,25064002,267096005,16991646-DS-11," history of migraine headache who presented with headache and transient vision changes found to be hyperten" "Correct entity, wrong SNOMED ID","(7196, 7210)","(7196, 7210)",vision changes,vision changes,63102001,180301000119102,16991646-DS-11,"adache who presented with headache and transient vision changes found to be hypertensive to 200/100 mmHg with re" "Correct entity, wrong SNOMED ID","(7223, 7235)","(7223, 7235)",hypertensive,hypertensive,38341003,70995007,16991646-DS-11,"headache and transient vision changes found to be hypertensive to 200/100 mmHg with reassuring CTA head and nec" Missed entity,"(7258, 7268)",,reassuring,,23875004,,16991646-DS-11,"es found to be hypertensive to 200/100 mmHg with reassuring CTA head and neck imaging concerning for hyperte" Wrong span,"(7269, 7294)","(7269, 7272)",CTA head and neck imaging,CTA,702430003,397005006,16991646-DS-11," be hypertensive to 200/100 mmHg with reassuring CTA head and neck imaging concerning for hypertensive urgency vs. emergenc" "Correct entity, wrong SNOMED ID","(7311, 7331)","(7311, 7331)",hypertensive urgency,hypertensive urgency,443482000,117511000119107,16991646-DS-11,"ssuring CTA head and neck imaging concerning for hypertensive urgency vs. emergency. . # HYPERTENSIVE URGENCY VS. EMERG" Missed entity,"(7376, 7385)",,EMERGENCY,,132721000119104,,16991646-DS-11,"gency vs. emergency. . # HYPERTENSIVE URGENCY VS. EMERGENCY - The patient presented with a blood pressure of" "Correct entity, wrong SNOMED ID","(7418, 7432)","(7418, 7432)",blood pressure,blood pressure,135840009,50723001,16991646-DS-11,"NCY VS. EMERGENCY - The patient presented with a blood pressure of 150/90 mmHg on routine PCP ___ 1-month ago wi" "Correct entity, wrong SNOMED ID","(7459, 7462)","(7459, 7462)",PCP,PCP,737470001,282108002,16991646-DS-11," with a blood pressure of 150/90 mmHg on routine PCP ___ 1-month ago with no prior history of hyperte" "Correct entity, wrong SNOMED ID","(7505, 7517)","(7505, 7517)",hypertension,hypertension,38341003,70995007,16991646-DS-11,"ine PCP ___ 1-month ago with no prior history of hypertension, certainly a prior history of uncontrolled essen" "Correct entity, wrong SNOMED ID","(7562, 7584)","(7562, 7584)",essential hypertension,essential hypertension,59621000,371125006,16991646-DS-11,"nsion, certainly a prior history of uncontrolled essential hypertension is plausible. She has few modifiable risk factor" "Correct entity, wrong SNOMED ID","(7649, 7654)","(7649, 7654)",obese,obese,414915002,415530009,16991646-DS-11," She has few modifiable risk factors, she is not obese, denies excessive alcohol intake, and is physical" "Correct entity, wrong SNOMED ID","(7663, 7687)","(7663, 7687)",excessive alcohol intake,excessive alcohol intake,160592001,286599008,16991646-DS-11,"odifiable risk factors, she is not obese, denies excessive alcohol intake, and is physically active with aerobic activity." Missed entity,"(7696, 7713)",,physically active,,228447005,,16991646-DS-11,"t obese, denies excessive alcohol intake, and is physically active with aerobic activity. She is not on anti-hypert" Missed entity,"(7728, 7736)",,activity,,248536006,,16991646-DS-11,"ol intake, and is physically active with aerobic activity. She is not on anti-hypertensive medications and" Wrong span,"(7752, 7769)","(7752, 7782)",anti-hypertensive,"anti-hypertensive medications",302192008,372740001,16991646-DS-11,"ally active with aerobic activity. She is not on anti-hypertensive medications and recently discontinued her OCP (A" "Correct entity, wrong SNOMED ID","(7832, 7846)","(7832, 7846)",blood pressure,blood pressure,135840009,50723001,16991646-DS-11," and recently discontinued her OCP (Aviane). Her blood pressure has ranged from ___ mmHg over 2-days with sympto" "Correct entity, wrong SNOMED ID","(7912, 7920)","(7912, 7920)",headache,headache,25064002,267096005,16991646-DS-11," ___ mmHg over 2-days with symptoms of posterior headache and neck pain, involuntary muscle spasm vs. dist" "Correct entity, wrong SNOMED ID","(7925, 7934)","(7925, 7934)",neck pain,neck pain,81680005,1121000119107,16991646-DS-11,"r 2-days with symptoms of posterior headache and neck pain, involuntary muscle spasm vs. distal extremity p" "Correct entity, wrong SNOMED ID","(7949, 7961)","(7949, 7961)",muscle spasm,muscle spasm,45352006,30069002,16991646-DS-11,"of posterior headache and neck pain, involuntary muscle spasm vs. distal extremity parathesias and twitching as" Wrong span,"(7973, 7994)","(7966, 7994)",extremity parathesias,distal extremity parathesias,429783005,205371009,16991646-DS-11,"d neck pain, involuntary muscle spasm vs. distal extremity parathesias and twitching as well as transient vision concer" "Correct entity, wrong SNOMED ID","(7999, 8008)","(7999, 8008)",twitching,twitching,249966004,249652007,16991646-DS-11,"muscle spasm vs. distal extremity parathesias and twitching as well as transient vision concerns - despite n" Wrong span,"(8084, 8108)","(8084, 8091)",cardiac ischemic changes,cardiac,413444003,71892000,16991646-DS-11,"ion concerns - despite normal renal function, no cardiac ischemic changes on EKG, encephalopathy, papilledema or retinal h" "Correct entity, wrong SNOMED ID","(8112, 8115)","(8112, 8115)",EKG,EKG,29303009,75444003,16991646-DS-11,"l renal function, no cardiac ischemic changes on EKG, encephalopathy, papilledema or retinal hemorrha" "Correct entity, wrong SNOMED ID","(8117, 8131)","(8117, 8131)",encephalopathy,encephalopathy,81308009,230357002,16991646-DS-11,"al function, no cardiac ischemic changes on EKG, encephalopathy, papilledema or retinal hemorrhaging. Given this" "Correct entity, wrong SNOMED ID","(8134, 8145)","(8134, 8145)",papilledema,papilledema,423341008,15731361000119106,16991646-DS-11,"cardiac ischemic changes on EKG, encephalopathy, papilledema or retinal hemorrhaging. Given this symptomatolog" "Correct entity, wrong SNOMED ID","(8149, 8169)","(8149, 8169)",retinal hemorrhaging,retinal hemorrhaging,28998008,11547003,16991646-DS-11,"c changes on EKG, encephalopathy, papilledema or retinal hemorrhaging. Given this symptomatology, hypertensive emergen" "Correct entity, wrong SNOMED ID","(8199, 8221)","(8199, 8221)",hypertensive emergency,hypertensive emergency,132721000119104,697930002,16991646-DS-11,"retinal hemorrhaging. Given this symptomatology, hypertensive emergency was the concern. Overall her work-up was reassur" Missed entity,"(8251, 8258)",,work-up,,386053000,,16991646-DS-11,"pertensive emergency was the concern. Overall her work-up was reassuring with a negative head and neck CTA" Missed entity,"(8264, 8274)",,reassuring,,23875004,,16991646-DS-11,"ergency was the concern. Overall her work-up was reassuring with a negative head and neck CTA and negative he" Missed entity,"(8282, 8290)",,negative,,281900007,,16991646-DS-11,"ncern. Overall her work-up was reassuring with a negative head and neck CTA and negative head MR imaging. " Wrong span,"(8291, 8308)","(8291, 8299)",head and neck CTA,head and,702430003,66787007,16991646-DS-11,"erall her work-up was reassuring with a negative head and neck CTA and negative head MR imaging. She also had a rea" Missed entity,"(8313, 8321)",,negative,,281900007,,16991646-DS-11," reassuring with a negative head and neck CTA and negative head MR imaging. She also had a reasurring labor" Missed entity,"(8366, 8376)",,laboratory,,15220000,,16991646-DS-11,"ative head MR imaging. She also had a reasurring laboratory work-up, although her EKG did show some chronic " Missed entity,"(8377, 8384)",,work-up,,386053000,,16991646-DS-11," MR imaging. She also had a reasurring laboratory work-up, although her EKG did show some chronic LVH chan" "Correct entity, wrong SNOMED ID","(8400, 8403)","(8400, 8403)",EKG,EKG,29303009,75444003,16991646-DS-11,"ad a reasurring laboratory work-up, although her EKG did show some chronic LVH changes and ultimately" "Correct entity, wrong SNOMED ID","(8418, 8425)","(8418, 8425)",chronic,chronic,27624003,234347009,16991646-DS-11,"boratory work-up, although her EKG did show some chronic LVH changes and ultimately we attributed her con" Wrong span,"(8426, 8429)","(8426, 8437)",LVH,LVH changes,55827005,55827005,16991646-DS-11," work-up, although her EKG did show some chronic LVH changes and ultimately we attributed her conditi" "Correct entity, wrong SNOMED ID","(8515, 8537)","(8515, 8537)",essential hypertension,essential hypertension,59621000,371125006,16991646-DS-11,"ed her condition to undiagnosed and uncontrolled essential hypertension. A Labetalol gtt was started in the ED and she w" Missed entity,"(8639, 8649)",,Lisinopril,,410682003,,16991646-DS-11," quickly weaned to PO Labetalol and then started Lisinopril 10 mg PO daily which will continue as an outpati" Missed entity,"(8713, 8722)",,follow-up,,183616001,,16991646-DS-11,"y which will continue as an outpatient. She will follow-up with her PCP ___ 1-week for electrolyte monitori" "Correct entity, wrong SNOMED ID","(8732, 8735)","(8732, 8735)",PCP,PCP,737470001,258735001,16991646-DS-11,"ue as an outpatient. She will follow-up with her PCP ___ 1-week for electrolyte monitoring. . # NECK " "Correct entity, wrong SNOMED ID","(8752, 8774)","(8752, 8774)",electrolyte monitoring,electrolyte monitoring,386275008,312474003,16991646-DS-11,". She will follow-up with her PCP ___ 1-week for electrolyte monitoring. . # NECK SPASM, CERVICAL DYSTONIA - The patient " "Correct entity, wrong SNOMED ID","(8792, 8809)","(8792, 8809)",CERVICAL DYSTONIA,CERVICAL DYSTONIA,74333002,230322000,16991646-DS-11,"week for electrolyte monitoring. . # NECK SPASM, CERVICAL DYSTONIA - The patient presented with features of right n" "Correct entity, wrong SNOMED ID","(8852, 8862)","(8852, 8862)",right neck,right neck,170303002,19801004,16991646-DS-11,"YSTONIA - The patient presented with features of right neck and shoulder pain that has occurred before, per " "Correct entity, wrong SNOMED ID","(8867, 8880)","(8867, 8880)",shoulder pain,shoulder pain,45326000,1260145003,16991646-DS-11,"atient presented with features of right neck and shoulder pain that has occurred before, per her daughter. The " Wrong span,"(8994, 9008)","(9000, 9008)",focal dystonia,dystonia,445006008,425492002,16991646-DS-11,"findings and clinical history indicate a primary focal dystonia or cervical dystonia. Half of patients describe " "Correct entity, wrong SNOMED ID","(9012, 9030)","(9012, 9030)","cervical dystonia","cervical dystonia",74333002,230322000,16991646-DS-11,"ical history indicate a primary focal dystonia or cervical dystonia. Half of patients describe pain in the setting of" "Correct entity, wrong SNOMED ID","(9058, 9062)","(9058, 9062)",pain,pain,22253000,102570003,16991646-DS-11," or cervical dystonia. Half of patients describe pain in the setting of these findings. Her CTA did no" "Correct entity, wrong SNOMED ID","(9102, 9105)","(9102, 9105)",CTA,CTA,418272005,397005006,16991646-DS-11,"cribe pain in the setting of these findings. Her CTA did note some degenerative changes with disc spa" Wrong span,"(9120, 9197)","(9120, 9140)","degenerative changes with disc space narrowing and disc-osteophyte complexes",degenerative changes,735605000,708529002,16991646-DS-11,"setting of these findings. Her CTA did note some degenerative changes with disc space narrowing and disc-osteophyte complexes at C4/5, ___, and ___ but the symptomatology see" "Correct entity, wrong SNOMED ID","(9314, 9334)","(9314, 9334)",hypertensive urgency,hypertensive urgency,443482000,117511000119107,16991646-DS-11,"is likely represents a separate process from her hypertensive urgency and there is no evidence of a medication-induced" Missed entity,"(9349, 9360)",,no evidence,,281900007,,16991646-DS-11,"ocess from her hypertensive urgency and there is no evidence of a medication-induced effect. She responded to" Wrong span,"(9366, 9391)","(9366, 9384)",medication-induced effect,medication-induced,47362003,1148696006,16991646-DS-11,"pertensive urgency and there is no evidence of a medication-induced effect. She responded to Tylenol and PRN Valium with sy" Missed entity,"(9451, 9457)",,relief,,370996005,,16991646-DS-11,"ponded to Tylenol and PRN Valium with symptomatic relief. . # ULCERATIVE COLITIS - History of ulcerative c" "Correct entity, wrong SNOMED ID","(9463, 9481)","(9463, 9481)",ULCERATIVE COLITIS,ULCERATIVE COLITIS,64766004,128600008,16991646-DS-11,"lenol and PRN Valium with symptomatic relief. . # ULCERATIVE COLITIS - History of ulcerative colitis that has been le" Wrong span,"(9495, 9551)","(9495, 9513)","ulcerative colitis that has been left-colon predominant",ulcerative colitis,445243001,128600008,16991646-DS-11,"matic relief. . # ULCERATIVE COLITIS - History of ulcerative colitis that has been left-colon predominant diagnosed in ___. She has had prior flares a few" "Correct entity, wrong SNOMED ID","(9620, 9635)","(9620, 9635)",rectal bleeding,rectal bleeding,12063002,414991007,16991646-DS-11,"She has had prior flares a few times yearly with rectal bleeding and last sigmoidoscopy in ___ showed left-sided " Wrong span,"(9646, 9659)","(9646, 9649)",sigmoidoscopy,sig,24420007,22014002,16991646-DS-11,"a few times yearly with rectal bleeding and last sigmoidoscopy in ___ showed left-sided colitis only. She has n" "Correct entity, wrong SNOMED ID","(9674, 9692)","(9674, 9692)",left-sided colitis,left-sided colitis,445243001,969688801000119108,16991646-DS-11,"al bleeding and last sigmoidoscopy in ___ showed left-sided colitis only. She has never been on corticosteroid treat" Missed entity,"(9786, 9793)",,therapy,,276239002,,16991646-DS-11," treatment. She was previously on 5-ASA (Rewasa) therapy only intermittently. She has no active rectal bl" "Correct entity, wrong SNOMED ID","(9834, 9849)","(9834, 9849)",rectal bleeding,rectal bleeding,12063002,414991007,16991646-DS-11,") therapy only intermittently. She has no active rectal bleeding or abdominal pain symptoms to suggest active fla" "Correct entity, wrong SNOMED ID","(9853, 9867)","(9853, 9867)",abdominal pain,abdominal pain,21522001,54586004,16991646-DS-11,"rmittently. She has no active rectal bleeding or abdominal pain symptoms to suggest active flare. . TRANSITION O" Missed entity,"(9935, 9954)",,Follow-up scheduled,,183616001,,16991646-DS-11,"st active flare. . TRANSITION OF CARE ISSUES: 1. Follow-up scheduled with PCP ___ 1-week with electrolyte monitoring." "Correct entity, wrong SNOMED ID","(9960, 9963)","(9960, 9963)",PCP,PCP,737470001,258735001,16991646-DS-11,"ITION OF CARE ISSUES: 1. Follow-up scheduled with PCP ___ 1-week with electrolyte monitoring. Medic" "Correct entity, wrong SNOMED ID","(9980, 10003)","(9980, 10003)","electrolyte monitoring","electrolyte monitoring",386275008,312474003,16991646-DS-11,": 1. Follow-up scheduled with PCP ___ 1-week with electrolyte monitoring. Medications on Admission: None Discharge Me" Wrong span,"(10551, 10568)","(10551, 10577)",Cervical dystonic,Cervical dystonic reaction,74333002,783242003,16991646-DS-11,"agnoses: 1. Hypertensive urgency vs. emergency 2. Cervical dystonic reaction, muscle spasm . Secondary Diagnoses: 1. " "Correct entity, wrong SNOMED ID","(10579, 10591)","(10579, 10591)",muscle spasm,muscle spasm,301000119104,30069002,16991646-DS-11,"ency vs. emergency 2. Cervical dystonic reaction, muscle spasm . Secondary Diagnoses: 1. Ulcerative colitis 2. H" "Correct entity, wrong SNOMED ID","(10618, 10636)","(10618, 10636)",Ulcerative colitis,Ulcerative colitis,64766004,128600008,16991646-DS-11," reaction, muscle spasm . Secondary Diagnoses: 1. Ulcerative colitis 2. Hypertension 3. Migraine headaches Discharg" "Correct entity, wrong SNOMED ID","(10640, 10652)","(10640, 10652)",Hypertension,Hypertension,38341003,70995007,16991646-DS-11,"m . Secondary Diagnoses: 1. Ulcerative colitis 2. Hypertension 3. Migraine headaches Discharge Condition: Men" "Correct entity, wrong SNOMED ID","(10656, 10674)","(10656, 10674)",Migraine headaches,Migraine headaches,37796009,423279000,16991646-DS-11,"agnoses: 1. Ulcerative colitis 2. Hypertension 3. Migraine headaches Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(10714, 10719)","(10714, 10719)",Clear,Clear,281900007,281278005,16991646-DS-11," headaches Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(10758, 10763)","(10758, 10763)",Alert,Alert,248234008,409787004,16991646-DS-11,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(10768, 10779)","(10768, 10779)",interactive,interactive,288577006,10301000202103,16991646-DS-11,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(10798, 10822)","(10798, 10822)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,16991646-DS-11,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Patient Discharge Ins" Missed entity,"(10910, 10923)",,Critical Care,,133903000,,16991646-DS-11,"ischarge Instructions: . You were admitted to the Critical Care Unit service at ___ ___ on the ___ floor of the " "Correct entity, wrong SNOMED ID","(11031, 11051)","(11031, 11051)","high blood pressure","high blood pressure",38341003,10725009,16991646-DS-11," Care Unit regarding management of you critically high blood pressure, headache and neck pain. You were treated with IV" "Correct entity, wrong SNOMED ID","(11053, 11061)","(11053, 11061)",headache,headache,25064002,267096005,16991646-DS-11,"anagement of you critically high blood pressure, headache and neck pain. You were treated with IV blood pr" "Correct entity, wrong SNOMED ID","(11066, 11075)","(11066, 11075)",neck pain,neck pain,81680005,1121000119107,16991646-DS-11,"you critically high blood pressure, headache and neck pain. You were treated with IV blood pressure medicat" "Correct entity, wrong SNOMED ID","(11099, 11101)","(11099, 11101)",IV,IV,386340006,258000009,16991646-DS-11,"re, headache and neck pain. You were treated with IV blood pressure medications, pain medications and" "Correct entity, wrong SNOMED ID","(11103, 11129)","(11103, 11129)",blood pressure medications,blood pressure medications,308116003,12569007,16991646-DS-11,"headache and neck pain. You were treated with IV blood pressure medications, pain medications and muscle relaxants with impr" "Correct entity, wrong SNOMED ID","(11175, 11186)","(11175, 11186)",improvement,improvement,268910001,142016009,16991646-DS-11,"ions, pain medications and muscle relaxants with improvement in your symptoms. You were discharged on a low d" Missed entity,"(11243, 11253)",,Lisinopril,,410682003,,16991646-DS-11,"r symptoms. You were discharged on a low dose of Lisinopril for blood pressure management and will follow-up" "Correct entity, wrong SNOMED ID","(11258, 11283)","(11258, 11283)",blood pressure management,blood pressure management,135840009,385846000,16991646-DS-11," were discharged on a low dose of Lisinopril for blood pressure management and will follow-up with your primary care physic" Missed entity,"(11314, 11326)",,primary care,,737470001,,16991646-DS-11,"pressure management and will follow-up with your primary care physician ___ 1-week with electrolyte monitoring" "Correct entity, wrong SNOMED ID","(11354, 11376)","(11354, 11376)",electrolyte monitoring,electrolyte monitoring,386275008,312474003,16991646-DS-11,"with your primary care physician ___ 1-week with electrolyte monitoring in clinic. . Please call your doctor or go to the" Missed entity,"(11380, 11386)",,clinic,,737492002,,16991646-DS-11,"sician ___ 1-week with electrolyte monitoring in clinic. . Please call your doctor or go to the emergency" "Correct entity, wrong SNOMED ID","(11473, 11483)","(11473, 11483)",chest pain,chest pain,29857009,102589003,16991646-DS-11,"the emergency department if: * You experience new chest pain, pressure, squeezing or tightness. * You develop" "Correct entity, wrong SNOMED ID","(11485, 11493)","(11485, 11493)",pressure,pressure,23924001,1264052006,16991646-DS-11,"y department if: * You experience new chest pain, pressure, squeezing or tightness. * You develop new or wo" "Correct entity, wrong SNOMED ID","(11495, 11504)","(11495, 11504)",squeezing,squeezing,371030007,242002003,16991646-DS-11,"nt if: * You experience new chest pain, pressure, squeezing or tightness. * You develop new or worsening cou" "Correct entity, wrong SNOMED ID","(11551, 11556)","(11551, 11556)",cough,cough,49727002,28743005,16991646-DS-11,"ing or tightness. * You develop new or worsening cough, shortness of breath, or wheezing. * You are vom" "Correct entity, wrong SNOMED ID","(11558, 11577)","(11558, 11577)",shortness of breath,shortness of breath,267036007,135833008,16991646-DS-11," tightness. * You develop new or worsening cough, shortness of breath, or wheezing. * You are vomiting and cannot keep" "Correct entity, wrong SNOMED ID","(11583, 11591)","(11583, 11591)",wheezing,wheezing,56018004,9763007,16991646-DS-11," new or worsening cough, shortness of breath, or wheezing. * You are vomiting and cannot keep down fluids, " "Correct entity, wrong SNOMED ID","(11603, 11611)","(11603, 11611)",vomiting,vomiting,422400008,162062008,16991646-DS-11,"ugh, shortness of breath, or wheezing. * You are vomiting and cannot keep down fluids, or your medications" Wrong span,"(11623, 11639)","(11616, 11639)",keep down fluids,cannot keep down fluids,473358000,288950005,16991646-DS-11,"eath, or wheezing. * You are vomiting and cannot keep down fluids, or your medications. * If you are getting dehyd" "Correct entity, wrong SNOMED ID","(11684, 11694)","(11684, 11694)",dehydrated,dehydrated,34095006,190894003,16991646-DS-11,"luids, or your medications. * If you are getting dehydrated due to continued vomiting, diarrhea, or other re" "Correct entity, wrong SNOMED ID","(11712, 11720)","(11712, 11720)",vomiting,vomiting,422400008,162062008,16991646-DS-11," * If you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. Signs of dehydratio" "Correct entity, wrong SNOMED ID","(11723, 11731)","(11723, 11731)",diarrhea,diarrhea,62315008,111843007,16991646-DS-11,"re getting dehydrated due to continued vomiting, diarrhea, or other reasons. Signs of dehydration include: " Wrong span,"(11751, 11756)","(11751, 11759)",Signs,Signs of,72670004,86631001,16991646-DS-11," continued vomiting, diarrhea, or other reasons. Signs of dehydration include: dry mouth, rapid heartbe" "Correct entity, wrong SNOMED ID","(11760, 11771)","(11760, 11771)",dehydration,dehydration,34095006,1611000119108,16991646-DS-11,"d vomiting, diarrhea, or other reasons. Signs of dehydration include: dry mouth, rapid heartbeat, or feeling " "Correct entity, wrong SNOMED ID","(11781, 11791)","(11781, 11791)","dry mouth","dry mouth",87715008,881291000124102,16991646-DS-11,", or other reasons. Signs of dehydration include: dry mouth, rapid heartbeat, or feeling dizzy or faint when " "Correct entity, wrong SNOMED ID","(11793, 11808)","(11793, 11808)",rapid heartbeat,rapid heartbeat,3424008,361134000,16991646-DS-11,"easons. Signs of dehydration include: dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. * You s" "Correct entity, wrong SNOMED ID","(11821, 11826)","(11821, 11826)",dizzy,dizzy,404640003,1141711004,16991646-DS-11," include: dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. * You see blood or dark/b" "Correct entity, wrong SNOMED ID","(11841, 11849)","(11841, 11849)",standing,standing,10904000,249902000,16991646-DS-11,", rapid heartbeat, or feeling dizzy or faint when standing. * You see blood or dark/black material when you " Wrong span,"(11861, 11904)","(11861, 11866)",blood or dark/black material when you vomit,blood,300361008,8765009,16991646-DS-11,"r feeling dizzy or faint when standing. * You see blood or dark/black material when you vomit, or have a bowel movement. * You experience burn" "Correct entity, wrong SNOMED ID","(11917, 11931)","(11917, 11931)",bowel movement,bowel movement,405729008,398032003,16991646-DS-11,"or dark/black material when you vomit, or have a bowel movement. * You experience burning when you urinate, have " "Correct entity, wrong SNOMED ID","(11950, 11957)","(11950, 11957)",burning,burning,90673000,213897004,16991646-DS-11,"omit, or have a bowel movement. * You experience burning when you urinate, have blood in your urine, or e" "Correct entity, wrong SNOMED ID","(11967, 11974)","(11967, 11974)",urinate,urinate,252041008,249277001,16991646-DS-11,"bowel movement. * You experience burning when you urinate, have blood in your urine, or experience an unus" "Correct entity, wrong SNOMED ID","(11981, 12001)","(11981, 12001)","blood in your urine","blood in your urine",34436003,1284890008,16991646-DS-11,". * You experience burning when you urinate, have blood in your urine, or experience an unusual discharge. * Your pain " "Correct entity, wrong SNOMED ID","(12046, 12050)","(12046, 12050)",pain,pain,22253000,102570003,16991646-DS-11,"urine, or experience an unusual discharge. * Your pain is not improving within 12 hours or is not under " "Correct entity, wrong SNOMED ID","(12058, 12067)","(12058, 12067)",improving,improving,268910001,170596004,16991646-DS-11,"perience an unusual discharge. * Your pain is not improving within 12 hours or is not under control within 2" Wrong span,"(12133, 12137)","(12133, 12145)",pain,pain worsens,22253000,71850005,16991646-DS-11," or is not under control within 24 hours. * Your pain worsens or changes location. * You have shaking c" "Correct entity, wrong SNOMED ID","(12178, 12185)","(12178, 12185)",shaking,shaking,26079004,247819009,16991646-DS-11,"Your pain worsens or changes location. * You have shaking chills, or fever greater than 101.5 degrees Fahr" "Correct entity, wrong SNOMED ID","(12186, 12192)","(12186, 12192)",chills,chills,43724002,274640006,16991646-DS-11,"n worsens or changes location. * You have shaking chills, or fever greater than 101.5 degrees Fahrenheit " "Correct entity, wrong SNOMED ID","(12197, 12202)","(12197, 12202)",fever,fever,386661006,248430002,16991646-DS-11,"r changes location. * You have shaking chills, or fever greater than 101.5 degrees Fahrenheit or 38 degr" "Correct entity, wrong SNOMED ID","(12496, 12500)","(12496, 12500)",pain,pain,22253000,102570003,16991646-DS-11,"25-650 mg by mouth every ___ hours as needed for pain or headache . * The following medications were DI" "Correct entity, wrong SNOMED ID","(12504, 12512)","(12504, 12512)",headache,headache,25064002,267096005,16991646-DS-11,"g by mouth every ___ hours as needed for pain or headache . * The following medications were DISCONTINUED o" Missed entity,"(12622, 12680)",,"continue all of your other home medications as prescribed",,394835006,,16991646-DS-11,"n and you should NOT resume: NONE . * You should continue all of your other home medications as prescribed, unless otherwise directed above. Followup Inst" False positive,,"(1040, 1054)",,Non-Rebreather,,427591007,17348831-DS-20,"O2 84%. In the ___ ED: T 100.2, 99, 138/78, 98% Non-Rebreather-> 94% on 3L NC Exam described as: Lungs CTAB, abd" False positive,,"(1194, 1200)",,proBNP,,407060002,17348831-DS-20,"s notable for WBC 12.0, Hb 12.9, Cr 1.0, INR 2.6, proBNP 2387, TnT<0.01, lactate 2.0, Ddimer 226, VBG 7.4" False positive,,"(1625, 1632)",,Chronic,,255212004,17348831-DS-20,"d inferior wall motion abnormality on echo). 3. Chronic right bundle-branch block. 4. Hypertension. 5. " False positive,,"(1700, 1719)",,Glucose intolerance,,251403008,17348831-DS-20,"ch block. 4. Hypertension. 5. Dyslipidemia. 6. Glucose intolerance 7. Obesity. 8. Depression 9. Anxiety 10. Hypoth" False positive,,"(2201, 2209)",,nontoxic,,238960002,17348831-DS-20,".4 PO 136 / 87 95 18 93 2 LNC GEN: elderly male, nontoxic appearing, sleeping comfortably, then alert and " False positive,,"(2272, 2274)",,no,,160552003,17348831-DS-20,"leeping comfortably, then alert and interactive, no acute distress HEENT: PERRL, anicteric with copio" False positive,,"(2435, 2440)",,LYMPH,,79709007,17348831-DS-20," without lesion or exudate, moist mucus membranes LYMPH: no anterior/posterior cervical, supraclavicular " False positive,,"(2445, 2453)",,anterior,,261123004,17348831-DS-20,"esion or exudate, moist mucus membranes LYMPH: no anterior/posterior cervical, supraclavicular adenopathy C" False positive,,"(2502, 2516)",,CARDIOVASCULAR,,113257007,17348831-DS-20,"r/posterior cervical, supraclavicular adenopathy CARDIOVASCULAR: Irregularly irregular without murmurs, rubs, or " False positive,,"(2940, 2945)",,PSYCH,,17326005,17348831-DS-20,"chymoses; warm to palpation NEURO: grossly intact PSYCH: blunted affect Discharge physical exam: VITALS:" False positive,,"(3026, 3040)",,ambulatory sat,,273509002,17348831-DS-20,"sical exam: VITALS: 97.4 120/77 102 20 94% on 2L (ambulatory sat with ___ down to 90% on 1L) GEN: elderly male, n" False positive,,"(3070, 3073)",,GEN,,16651008,17348831-DS-20,"n 2L (ambulatory sat with ___ down to 90% on 1L) GEN: elderly male, nontoxic appearing, alert and inte" False positive,,"(3167, 3172)",,HEENT,,113665002,17348831-DS-20,"d interactive, no acute distress sitting in chair HEENT: PERRL, anicteric with no/resolved yellow dischar" False positive,,"(3351, 3356)",,LYMPH,,79709007,17348831-DS-20," without lesion or exudate, moist mucus membranes LYMPH: no anterior/posterior cervical, supraclavicular " False positive,,"(3361, 3369)",,anterior,,261123004,17348831-DS-20,"esion or exudate, moist mucus membranes LYMPH: no anterior/posterior cervical, supraclavicular adenopathy C" False positive,,"(3418, 3432)",,CARDIOVASCULAR,,113257007,17348831-DS-20,"r/posterior cervical, supraclavicular adenopathy CARDIOVASCULAR: Irregularly irregular without murmurs, rubs, or " False positive,,"(3490, 3495)",,LUNGS,,74101002,17348831-DS-20,"larly irregular without murmurs, rubs, or gallops LUNGS: CTAB, no crackles or rhonchi. GI: soft, without " False positive,,"(3527, 3529)",,GI,,1142285003,17348831-DS-20,", or gallops LUNGS: CTAB, no crackles or rhonchi. GI: soft, without rebounding or guarding, nondistend" False positive,,"(3643, 3654)",,EXTREMITIES,,248416007,17348831-DS-20," active bowel sounds, no hepatomegaly appreciated EXTREMITIES: no clubbing, cyanosis, LLE slightly larger than " False positive,,"(3748, 3750)",,GU,,77618006,17348831-DS-20," than RLE (baseline per patient with trace edema) GU: no foley SKIN: no rashes, petechia, lesions, or " False positive,,"(3761, 3765)",,SKIN,,444884003,17348831-DS-20,"seline per patient with trace edema) GU: no foley SKIN: no rashes, petechia, lesions, or echymoses; warm" False positive,,"(3829, 3834)",,NEURO,,281247006,17348831-DS-20,"etechia, lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: pleasant and appropriate a" False positive,,"(3851, 3856)",,PSYCH,,17326005,17348831-DS-20,"chymoses; warm to palpation NEURO: grossly intact PSYCH: pleasant and appropriate affect Pertinent Res" False positive,,"(4911, 4928)",,Cardiomediastinal,,83099006,17348831-DS-20,". Mild hilar congestion difficult to exclude. Cardiomediastinal silhouette appears stable. Bony structures are " False positive,,"(5293, 5294)",,T,,257998006,17348831-DS-20,"IMEN. RESPIRATORY CULTURE (Final ___: TEST CANCELLED, PATIENT CREDITED. Brief Hospita" False positive,,"(5568, 5573)",,Cough,,28743005,17348831-DS-20,"ion likely consistent with COPD exacerbation. # Cough: # Dyspnea: # Acute exacerbation of COPD: Symptom" False positive,,"(5671, 5683)",,azithromycin,,96034006,17348831-DS-20,"oms improved after treatment with Prednisone and azithromycin (day 1- ___, end date ___. He was briefly on 2L" False positive,,"(5845, 5855)",,ambulatory,,273509002,17348831-DS-20,"discharge on steroid and albuterol inhalers. His ambulatory O2 on day of discharge was 90% on 1L. His O2 sat" False positive,,"(6025, 6033)",,negative,,268375009,17348831-DS-20," tolerate O2 sat between 88%-92%. Workup done was negative for PE (low d-dimer), CHF (BNP stable from prior" False positive,,"(6448, 6452)",,Afib,,71908006,17348831-DS-20,"nfection. Discharged on erythromycin ointment. # Afib: Continued home metoprolol with holding parameter" False positive,,"(6863, 6865)",,AS,,121606009,17348831-DS-20,"r other sxs of ACS. Continued home Atorvastatin, ASA # Hypothyroid: Continued home Synthroid #" False positive,,"(7025, 7028)",,OSA,,78275009,17348831-DS-20," # BPH: stable. Continued home Finasteride # OSA: Continued bipap TRANSITIONAL ISSUES =========" False positive,,"(9937, 9959)",,Level of Consciousness,,830285008,17348831-DS-20,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" False positive,,"(9984, 9999)",,Activity Status,,397622007,17348831-DS-20,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" False positive,,"(10305, 10311)",,inhale,,465148009,17348831-DS-20,"d and were discharged back to your facility with inhalers to use in the event of future symptoms of shor" "Correct entity, wrong SNOMED ID","(202, 224)","(202, 224)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,17348831-DS-20,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Shortness of " "Correct entity, wrong SNOMED ID","(261, 280)","(261, 280)",Shortness of breath,Shortness of breath,267036007,135833008,17348831-DS-20,"rug Reactions Attending: ___ Chief Complaint: Shortness of breath and cough Major Surgical or Invasive Procedure:" "Correct entity, wrong SNOMED ID","(285, 290)","(285, 290)",cough,cough,49727002,28743005,17348831-DS-20,"g: ___ Chief Complaint: Shortness of breath and cough Major Surgical or Invasive Procedure: None H" "Correct entity, wrong SNOMED ID","(382, 406)","(382, 406)",schizoaffective disorder,schizoaffective disorder,68890003,191569002,17348831-DS-20,"one History of Present Illness: ___ with hx of schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, s" "Correct entity, wrong SNOMED ID","(408, 412)","(408, 412)",afib,afib,49436004,312442005,17348831-DS-20,"Illness: ___ with hx of schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure" Missed entity,"(413, 424)",,on warfarin,,722045009,,17348831-DS-20,"ss: ___ with hx of schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, O" "Correct entity, wrong SNOMED ID","(426, 429)","(426, 429)",htn,htn,38341003,10725009,17348831-DS-20,"hx of schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, OSA pr" "Correct entity, wrong SNOMED ID","(431, 437)","(431, 437)",NIDDM2,NIDDM2,44054006,237604008,17348831-DS-20," schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, OSA presenting" "Correct entity, wrong SNOMED ID","(439, 453)","(439, 453)",hypothyroidism,hypothyroidism,40930008,10753681000119101,17348831-DS-20,"ffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, OSA presenting from ___ with S" "Correct entity, wrong SNOMED ID","(455, 471)","(455, 471)",seizure disorder,seizure disorder,128613002,460731000124105,17348831-DS-20,"r, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, OSA presenting from ___ with SOB, cough x2 weeks" "Correct entity, wrong SNOMED ID","(502, 505)","(502, 505)",SOB,SOB,267036007,43731003,17348831-DS-20,"m, seizure disorder, OSA presenting from ___ with SOB, cough x2 weeks. History is obtained from review " "Correct entity, wrong SNOMED ID","(507, 512)","(507, 512)",cough,cough,49727002,28743005,17348831-DS-20,"izure disorder, OSA presenting from ___ with SOB, cough x2 weeks. History is obtained from review of reco" "Correct entity, wrong SNOMED ID","(749, 753)","(749, 753)",cold,cold,82272006,80585000,17348831-DS-20,"o presentation, which he attributes to getting a ""cold"" from his AC unit. He denies chest pain, F/C, nau" "Correct entity, wrong SNOMED ID","(783, 793)","(783, 793)",chest pain,chest pain,29857009,102589003,17348831-DS-20,"s to getting a ""cold"" from his AC unit. He denies chest pain, F/C, nausea, vomiting, diarrhea, but endorses oc" "Correct entity, wrong SNOMED ID","(795, 798)","(795, 798)",F/C,F/C,274640006,257987005,17348831-DS-20," a ""cold"" from his AC unit. He denies chest pain, F/C, nausea, vomiting, diarrhea, but endorses occasio" "Correct entity, wrong SNOMED ID","(853, 865)","(853, 865)",constipation,constipation,14760008,236069009,17348831-DS-20,"sea, vomiting, diarrhea, but endorses occasional constipation. He is not aware of having any sick contacts. He " "Correct entity, wrong SNOMED ID","(923, 932)","(923, 932)",orthopnea,orthopnea,62744007,435931000124105,17348831-DS-20,"not aware of having any sick contacts. He denies orthopnea, ___ edema. Pt was brought to ED by EMS for rep" "Correct entity, wrong SNOMED ID","(938, 943)","(938, 943)",edema,edema,267038008,102576009,17348831-DS-20,"ving any sick contacts. He denies orthopnea, ___ edema. Pt was brought to ED by EMS for reported SaO2 " "Correct entity, wrong SNOMED ID","(988, 992)","(988, 992)",SaO2,SaO2,447755005,449171008,17348831-DS-20,"edema. Pt was brought to ED by EMS for reported SaO2 84%. In the ___ ED: T 100.2, 99, 138/78, 98% No" Wrong span,"(1064, 1069)","(1067, 1069)",3L NC,NC,371907003,705056007,17348831-DS-20," T 100.2, 99, 138/78, 98% Non-Rebreather-> 94% on 3L NC Exam described as: Lungs CTAB, abdomen soft, NT, " Wrong span,"(1089, 1099)","(1089, 1094)",Lungs CTAB,Lungs,48348007,74101002,17348831-DS-20," Non-Rebreather-> 94% on 3L NC Exam described as: Lungs CTAB, abdomen soft, NT, ND, negative ___ sign Labs not" "Correct entity, wrong SNOMED ID","(1101, 1113)","(1101, 1113)",abdomen soft,abdomen soft,249543005,126611005,17348831-DS-20,"her-> 94% on 3L NC Exam described as: Lungs CTAB, abdomen soft, NT, ND, negative ___ sign Labs notable for WBC 1" "Correct entity, wrong SNOMED ID","(1115, 1117)","(1115, 1117)",NT,NT,43478001,257992007,17348831-DS-20,"L NC Exam described as: Lungs CTAB, abdomen soft, NT, ND, negative ___ sign Labs notable for WBC 12.0," "Correct entity, wrong SNOMED ID","(1119, 1121)","(1119, 1121)",ND,ND,300405003,165815009,17348831-DS-20," Exam described as: Lungs CTAB, abdomen soft, NT, ND, negative ___ sign Labs notable for WBC 12.0, Hb " "Correct entity, wrong SNOMED ID","(1158, 1161)","(1158, 1161)",WBC,WBC,767002,391558003,17348831-DS-20," soft, NT, ND, negative ___ sign Labs notable for WBC 12.0, Hb 12.9, Cr 1.0, INR 2.6, proBNP 2387, TnT" "Correct entity, wrong SNOMED ID","(1185, 1188)","(1185, 1188)",INR,INR,440685005,390792008,17348831-DS-20," sign Labs notable for WBC 12.0, Hb 12.9, Cr 1.0, INR 2.6, proBNP 2387, TnT<0.01, lactate 2.0, Ddimer " Missed entity,"(1218, 1225)",,lactate,,3926003,,17348831-DS-20,"Hb 12.9, Cr 1.0, INR 2.6, proBNP 2387, TnT<0.01, lactate 2.0, Ddimer 226, VBG 7.42/42 No medications were" "Correct entity, wrong SNOMED ID","(1321, 1329)","(1321, 1329)",sleeping,sleeping,248220008,301345002,17348831-DS-20,"were administered On arrival to the floor, pt is sleeping comfortably, easily arouses to verbal stimuli, de" "Correct entity, wrong SNOMED ID","(1350, 1375)","(1350, 1375)",arouses to verbal stimuli,arouses to verbal stimuli,300202002,451491000124100,17348831-DS-20," to the floor, pt is sleeping comfortably, easily arouses to verbal stimuli, denies chest pain. He endorses persistent produc" "Correct entity, wrong SNOMED ID","(1384, 1394)","(1384, 1394)",chest pain,chest pain,29857009,102589003,17348831-DS-20,"ortably, easily arouses to verbal stimuli, denies chest pain. He endorses persistent productive cough. Past" "Correct entity, wrong SNOMED ID","(1419, 1435)","(1419, 1435)",productive cough,productive cough,28743005,11833005,17348831-DS-20,"timuli, denies chest pain. He endorses persistent productive cough. Past Medical History: 1. Atrial fibrillation" "Correct entity, wrong SNOMED ID","(1466, 1485)","(1466, 1485)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,17348831-DS-20,"nt productive cough. Past Medical History: 1. Atrial fibrillation, in sinus rhythm since ___. 2. Probable CAD (pro" Missed entity,"(1490, 1502)",,sinus rhythm,,251150006,,17348831-DS-20,"Past Medical History: 1. Atrial fibrillation, in sinus rhythm since ___. 2. Probable CAD (probable prior IMI w" "Correct entity, wrong SNOMED ID","(1527, 1530)","(1527, 1530)",CAD,CAD,53741008,84270004,17348831-DS-20,"illation, in sinus rhythm since ___. 2. Probable CAD (probable prior IMI with inferior Q-waves and in" Wrong span,"(1541, 1550)","(1547, 1550)",prior IMI,IMI,233840006,41472009,17348831-DS-20,"inus rhythm since ___. 2. Probable CAD (probable prior IMI with inferior Q-waves and inferior wall motion a" Wrong span,"(1578, 1618)","(1578, 1610)",inferior wall motion abnormality on echo,inferior wall motion abnormality,366189001,38201000087100,17348831-DS-20,"AD (probable prior IMI with inferior Q-waves and inferior wall motion abnormality on echo). 3. Chronic right bundle-branch block. 4. Hype" "Correct entity, wrong SNOMED ID","(1633, 1658)","(1633, 1658)",right bundle-branch block,right bundle-branch block,59118001,164907000,17348831-DS-20,"ior wall motion abnormality on echo). 3. Chronic right bundle-branch block. 4. Hypertension. 5. Dyslipidemia. 6. Glucose " "Correct entity, wrong SNOMED ID","(1664, 1676)","(1664, 1676)",Hypertension,Hypertension,38341003,70995007,17348831-DS-20,"echo). 3. Chronic right bundle-branch block. 4. Hypertension. 5. Dyslipidemia. 6. Glucose intolerance 7. Ob" "Correct entity, wrong SNOMED ID","(1682, 1694)","(1682, 1694)",Dyslipidemia,Dyslipidemia,370992007,109041000119107,17348831-DS-20," right bundle-branch block. 4. Hypertension. 5. Dyslipidemia. 6. Glucose intolerance 7. Obesity. 8. Depressi" "Correct entity, wrong SNOMED ID","(1724, 1731)","(1724, 1731)",Obesity,Obesity,414916001,111036000,17348831-DS-20,"on. 5. Dyslipidemia. 6. Glucose intolerance 7. Obesity. 8. Depression 9. Anxiety 10. Hypothyroidism 11." "Correct entity, wrong SNOMED ID","(1736, 1746)","(1736, 1746)",Depression,Depression,35489007,26141007,17348831-DS-20,"ipidemia. 6. Glucose intolerance 7. Obesity. 8. Depression 9. Anxiety 10. Hypothyroidism 11. Obstructive sl" "Correct entity, wrong SNOMED ID","(1751, 1758)","(1751, 1758)",Anxiety,Anxiety,48694002,286644009,17348831-DS-20,"lucose intolerance 7. Obesity. 8. Depression 9. Anxiety 10. Hypothyroidism 11. Obstructive sleep apnea (n" "Correct entity, wrong SNOMED ID","(1763, 1777)","(1763, 1777)",Hypothyroidism,Hypothyroidism,40930008,10753681000119101,17348831-DS-20,"erance 7. Obesity. 8. Depression 9. Anxiety 10. Hypothyroidism 11. Obstructive sleep apnea (non compliant with B" "Correct entity, wrong SNOMED ID","(1782, 1805)","(1782, 1805)",Obstructive sleep apnea,Obstructive sleep apnea,78275009,217781531000119107,17348831-DS-20," 8. Depression 9. Anxiety 10. Hypothyroidism 11. Obstructive sleep apnea (non compliant with BIPAP) 12. BPH 13. Schizophre" "Correct entity, wrong SNOMED ID","(1826, 1831)","(1826, 1831)",BIPAP,BIPAP,447243000,243142003,17348831-DS-20,"m 11. Obstructive sleep apnea (non compliant with BIPAP) 12. BPH 13. Schizophrenia/schizoaffective disord" "Correct entity, wrong SNOMED ID","(1845, 1858)","(1845, 1858)",Schizophrenia,Schizophrenia,58214004,111484002,17348831-DS-20,"leep apnea (non compliant with BIPAP) 12. BPH 13. Schizophrenia/schizoaffective disorder, depressive type 14. Imp" Wrong span,"(1859, 1900)","(1859, 1883)","schizoaffective disorder, depressive type",schizoaffective disorder,84760002,191569002,17348831-DS-20,"n compliant with BIPAP) 12. BPH 13. Schizophrenia/schizoaffective disorder, depressive type 14. Impaired cognitive state 15. Former tobacco u" Wrong span,"(1905, 1913)","(1905, 1929)",Impaired,Impaired cognitive state,8684002,702955000,17348831-DS-20,"nia/schizoaffective disorder, depressive type 14. Impaired cognitive state 15. Former tobacco use 16. h/o GI" "Correct entity, wrong SNOMED ID","(1941, 1952)","(1941, 1952)",tobacco use,tobacco use,110483000,191887008,17348831-DS-20,"sive type 14. Impaired cognitive state 15. Former tobacco use 16. h/o GI bleed Social History: ___ Family Hi" "Correct entity, wrong SNOMED ID","(1961, 1969)","(1961, 1969)",GI bleed,GI bleed,74474003,307297004,17348831-DS-20,"ed cognitive state 15. Former tobacco use 16. h/o GI bleed Social History: ___ Family History: Father wit" "Correct entity, wrong SNOMED ID","(2021, 2034)","(2021, 2034)",alcohol abuse,alcohol abuse,15167005,268645007,17348831-DS-20," Social History: ___ Family History: Father with alcohol abuse. Pt reported history of MI in his mother around " "Correct entity, wrong SNOMED ID","(2145, 2147)","(2145, 2147)",VS,VS,118227000,313611000,17348831-DS-20,"f age. Physical Exam: Admission physical exam: VS: 97.4 PO 136 / 87 95 18 93 2 LNC GEN: elderly ma" Missed entity,"(2177, 2180)",,LNC,,840673007,,17348831-DS-20,"on physical exam: VS: 97.4 PO 136 / 87 95 18 93 2 LNC GEN: elderly male, nontoxic appearing, sleeping " "Correct entity, wrong SNOMED ID","(2182, 2185)","(2182, 2185)",GEN,GEN,162673000,16651008,17348831-DS-20,"ysical exam: VS: 97.4 PO 136 / 87 95 18 93 2 LNC GEN: elderly male, nontoxic appearing, sleeping comfo" "Correct entity, wrong SNOMED ID","(2221, 2229)","(2221, 2229)",sleeping,sleeping,248220008,301345002,17348831-DS-20," 93 2 LNC GEN: elderly male, nontoxic appearing, sleeping comfortably, then alert and interactive, no acut" "Correct entity, wrong SNOMED ID","(2249, 2254)","(2249, 2254)",alert,alert,248234008,409787004,17348831-DS-20,", nontoxic appearing, sleeping comfortably, then alert and interactive, no acute distress HEENT: PERRL, " "Correct entity, wrong SNOMED ID","(2259, 2270)","(2259, 2270)",interactive,interactive,288577006,10301000202103,17348831-DS-20," appearing, sleeping comfortably, then alert and interactive, no acute distress HEENT: PERRL, anicteric with c" "Correct entity, wrong SNOMED ID","(2281, 2289)","(2281, 2289)",distress,distress,69328002,271825005,17348831-DS-20,"omfortably, then alert and interactive, no acute distress HEENT: PERRL, anicteric with copious yellow disch" "Correct entity, wrong SNOMED ID","(2290, 2295)","(2290, 2295)",HEENT,HEENT,5880005,113665002,17348831-DS-20,"y, then alert and interactive, no acute distress HEENT: PERRL, anicteric with copious yellow discharge f" "Correct entity, wrong SNOMED ID","(2297, 2302)","(2297, 2302)",PERRL,PERRL,386666001,431291005,17348831-DS-20,"n alert and interactive, no acute distress HEENT: PERRL, anicteric with copious yellow discharge from R " "Correct entity, wrong SNOMED ID","(2304, 2313)","(2304, 2313)",anicteric,anicteric,427801009,230421008,17348831-DS-20," and interactive, no acute distress HEENT: PERRL, anicteric with copious yellow discharge from R eye, conjun" Wrong span,"(2334, 2355)","(2349, 2355)","discharge from R eye","R eye",246679005,12241871000119100,17348831-DS-20,"tress HEENT: PERRL, anicteric with copious yellow discharge from R eye, conjunctiva pink, oropharynx without lesion or e" "Correct entity, wrong SNOMED ID","(2357, 2373)","(2357, 2373)",conjunctiva pink,conjunctiva pink,193894004,443369007,17348831-DS-20,"cteric with copious yellow discharge from R eye, conjunctiva pink, oropharynx without lesion or exudate, moist mucu" "Correct entity, wrong SNOMED ID","(2375, 2385)","(2375, 2385)",oropharynx,oropharynx,31389004,263376008,17348831-DS-20,"s yellow discharge from R eye, conjunctiva pink, oropharynx without lesion or exudate, moist mucus membranes " "Correct entity, wrong SNOMED ID","(2394, 2400)","(2394, 2400)",lesion,lesion,52988006,120609008,17348831-DS-20,"from R eye, conjunctiva pink, oropharynx without lesion or exudate, moist mucus membranes LYMPH: no anter" "Correct entity, wrong SNOMED ID","(2404, 2411)","(2404, 2411)",exudate,exudate,42142007,247156002,17348831-DS-20,"e, conjunctiva pink, oropharynx without lesion or exudate, moist mucus membranes LYMPH: no anterior/posteri" "Correct entity, wrong SNOMED ID","(2413, 2434)","(2413, 2434)","moist mucus membranes","moist mucus membranes",276398005,16159009,17348831-DS-20,"ctiva pink, oropharynx without lesion or exudate, moist mucus membranes LYMPH: no anterior/posterior cervical, supraclavi" "Correct entity, wrong SNOMED ID","(2464, 2472)","(2464, 2472)",cervical,cervical,127086001,304174001,17348831-DS-20,"oist mucus membranes LYMPH: no anterior/posterior cervical, supraclavicular adenopathy CARDIOVASCULAR: Irre" Wrong span,"(2474, 2501)","(2474, 2489)","supraclavicular adenopathy",supraclavicular,127088000,126636004,17348831-DS-20," membranes LYMPH: no anterior/posterior cervical, supraclavicular adenopathy CARDIOVASCULAR: Irregularly irregular without mur" "Correct entity, wrong SNOMED ID","(2548, 2555)","(2548, 2555)",murmurs,murmurs,414786004,248699005,17348831-DS-20,"thy CARDIOVASCULAR: Irregularly irregular without murmurs, rubs, or gallops LUNGS: clear to auscultation bi" "Correct entity, wrong SNOMED ID","(2566, 2573)","(2566, 2573)",gallops,gallops,2170000,4592006,17348831-DS-20,": Irregularly irregular without murmurs, rubs, or gallops LUNGS: clear to auscultation bilaterally without " "Correct entity, wrong SNOMED ID","(2574, 2579)","(2574, 2579)",LUNGS,LUNGS,268925001,74101002,17348831-DS-20,"larly irregular without murmurs, rubs, or gallops LUNGS: clear to auscultation bilaterally without rhonch" "Correct entity, wrong SNOMED ID","(2632, 2639)","(2632, 2639)",wheezes,wheezes,56018004,9763007,17348831-DS-20,"lear to auscultation bilaterally without rhonchi, wheezes, or crackles GI: soft, trace TTP at LLQ only, wit" "Correct entity, wrong SNOMED ID","(2653, 2655)","(2653, 2655)",GI,GI,268937004,1142285003,17348831-DS-20,"bilaterally without rhonchi, wheezes, or crackles GI: soft, trace TTP at LLQ only, without rebounding " "Correct entity, wrong SNOMED ID","(2669, 2672)","(2669, 2672)",TTP,TTP,247348008,438476003,17348831-DS-20,"out rhonchi, wheezes, or crackles GI: soft, trace TTP at LLQ only, without rebounding or guarding, nond" Wrong span,"(2673, 2679)","(2676, 2679)",at LLQ,LLQ,301716002,257995009,17348831-DS-20,"rhonchi, wheezes, or crackles GI: soft, trace TTP at LLQ only, without rebounding or guarding, nondistende" Wrong span,"(2694, 2701)","(2694, 2704)",rebound,rebounding,35611005,844584001,17348831-DS-20,"crackles GI: soft, trace TTP at LLQ only, without rebounding or guarding, nondistended with normal active b" Missed entity,"(2718, 2730)",,nondistended,,300405003,,17348831-DS-20," TTP at LLQ only, without rebounding or guarding, nondistended with normal active bowel sounds, no hepatomegaly " Wrong span,"(2750, 2762)","(2736, 2762)",bowel sounds,normal active bowel sounds,61539000,61539000,17348831-DS-20,"ding or guarding, nondistended with normal active bowel sounds, no hepatomegaly appreciated EXTREMITIES: no club" "Correct entity, wrong SNOMED ID","(2767, 2779)","(2767, 2779)",hepatomegaly,hepatomegaly,80515008,240790002,17348831-DS-20," nondistended with normal active bowel sounds, no hepatomegaly appreciated EXTREMITIES: no clubbing, cyanosis, o" "Correct entity, wrong SNOMED ID","(2792, 2803)","(2792, 2803)",EXTREMITIES,EXTREMITIES,302773001,248416007,17348831-DS-20," active bowel sounds, no hepatomegaly appreciated EXTREMITIES: no clubbing, cyanosis, or edema GU: no foley SKI" "Correct entity, wrong SNOMED ID","(2808, 2816)","(2808, 2816)",clubbing,clubbing,367004,30760008,17348831-DS-20,"unds, no hepatomegaly appreciated EXTREMITIES: no clubbing, cyanosis, or edema GU: no foley SKIN: no rashes," "Correct entity, wrong SNOMED ID","(2818, 2826)","(2818, 2826)",cyanosis,cyanosis,3415004,95442007,17348831-DS-20,"epatomegaly appreciated EXTREMITIES: no clubbing, cyanosis, or edema GU: no foley SKIN: no rashes, petechia," "Correct entity, wrong SNOMED ID","(2831, 2836)","(2831, 2836)",edema,edema,267038008,102576009,17348831-DS-20,"ppreciated EXTREMITIES: no clubbing, cyanosis, or edema GU: no foley SKIN: no rashes, petechia, lesions, " "Correct entity, wrong SNOMED ID","(2837, 2839)","(2837, 2839)",GU,GU,268945009,77618006,17348831-DS-20,"ated EXTREMITIES: no clubbing, cyanosis, or edema GU: no foley SKIN: no rashes, petechia, lesions, or " Missed entity,"(2844, 2849)",,foley,,439053001,,17348831-DS-20,"TREMITIES: no clubbing, cyanosis, or edema GU: no foley SKIN: no rashes, petechia, lesions, or echymoses;" "Correct entity, wrong SNOMED ID","(2850, 2854)","(2850, 2854)",SKIN,SKIN,271303006,444884003,17348831-DS-20,"IES: no clubbing, cyanosis, or edema GU: no foley SKIN: no rashes, petechia, lesions, or echymoses; warm" "Correct entity, wrong SNOMED ID","(2859, 2865)","(2859, 2865)",rashes,rashes,271807003,247472004,17348831-DS-20,"lubbing, cyanosis, or edema GU: no foley SKIN: no rashes, petechia, lesions, or echymoses; warm to palpati" "Correct entity, wrong SNOMED ID","(2867, 2875)","(2867, 2875)",petechia,petechia,423716004,21143006,17348831-DS-20," cyanosis, or edema GU: no foley SKIN: no rashes, petechia, lesions, or echymoses; warm to palpation NEURO: " "Correct entity, wrong SNOMED ID","(2877, 2884)","(2877, 2884)",lesions,lesions,52988006,246206008,17348831-DS-20," or edema GU: no foley SKIN: no rashes, petechia, lesions, or echymoses; warm to palpation NEURO: grossly i" "Correct entity, wrong SNOMED ID","(2889, 2898)","(2889, 2898)",echymoses,echymoses,302227002,465581000124106,17348831-DS-20,": no foley SKIN: no rashes, petechia, lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: b" "Correct entity, wrong SNOMED ID","(2900, 2904)","(2900, 2904)",warm,warm,102599008,298256005,17348831-DS-20,"SKIN: no rashes, petechia, lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: blunted" "Correct entity, wrong SNOMED ID","(2908, 2917)","(2908, 2917)",palpation,palpation,113011001,51558006,17348831-DS-20," rashes, petechia, lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: blunted affect Disc" "Correct entity, wrong SNOMED ID","(2918, 2923)","(2918, 2923)",NEURO,NEURO,84728005,281247006,17348831-DS-20,"etechia, lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: blunted affect Discharge " "Correct entity, wrong SNOMED ID","(2925, 2939)","(2925, 2939)",grossly intact,grossly intact,18460000,408658000,17348831-DS-20,", lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: blunted affect Discharge physical exam: V" Wrong span,"(2955, 2961)","(2947, 2961)",affect,blunted affect,106131003,286717006,17348831-DS-20,"to palpation NEURO: grossly intact PSYCH: blunted affect Discharge physical exam: VITALS: 97.4 120/77 102" "Correct entity, wrong SNOMED ID","(2988, 2994)","(2988, 2994)",VITALS,VITALS,118227000,260390007,17348831-DS-20,"t PSYCH: blunted affect Discharge physical exam: VITALS: 97.4 120/77 102 20 94% on 2L (ambulatory sat wit" "Correct entity, wrong SNOMED ID","(3109, 3114)","(3109, 3114)",alert,alert,248234008,409787004,17348831-DS-20,"90% on 1L) GEN: elderly male, nontoxic appearing, alert and interactive, no acute distress sitting in cha" "Correct entity, wrong SNOMED ID","(3119, 3130)","(3119, 3130)",interactive,interactive,288577006,10301000202103,17348831-DS-20," GEN: elderly male, nontoxic appearing, alert and interactive, no acute distress sitting in chair HEENT: PERRL," "Correct entity, wrong SNOMED ID","(3141, 3149)","(3141, 3149)",distress,distress,69328002,271825005,17348831-DS-20,"ntoxic appearing, alert and interactive, no acute distress sitting in chair HEENT: PERRL, anicteric with no/" "Correct entity, wrong SNOMED ID","(3150, 3157)","(3150, 3157)",sitting,sitting,33586001,282969008,17348831-DS-20,"pearing, alert and interactive, no acute distress sitting in chair HEENT: PERRL, anicteric with no/resolved" "Correct entity, wrong SNOMED ID","(3174, 3179)","(3174, 3179)",PERRL,PERRL,386666001,431291005,17348831-DS-20,"active, no acute distress sitting in chair HEENT: PERRL, anicteric with no/resolved yellow discharge from" "Correct entity, wrong SNOMED ID","(3181, 3190)","(3181, 3190)",anicteric,anicteric,427801009,230421008,17348831-DS-20," no acute distress sitting in chair HEENT: PERRL, anicteric with no/resolved yellow discharge from R eye, con" Wrong span,"(3215, 3235)","(3230, 3235)","discharge from R eye","R eye",246679005,12241871000119100,17348831-DS-20,"r HEENT: PERRL, anicteric with no/resolved yellow discharge from R eye, conjunctiva pink on R eye (improved from day pr" Wrong span,"(3237, 3263)","(3237, 3248)",conjunctiva pink on R eye,conjunctiva,335771000119102,719640000,17348831-DS-20,"ric with no/resolved yellow discharge from R eye, conjunctiva pink on R eye (improved from day prior), oropharynx without les" "Correct entity, wrong SNOMED ID","(3265, 3273)","(3265, 3273)",improved,improved,268910001,251359002,17348831-DS-20,"discharge from R eye, conjunctiva pink on R eye (improved from day prior), oropharynx without lesion or exu" "Correct entity, wrong SNOMED ID","(3291, 3301)","(3291, 3301)",oropharynx,oropharynx,31389004,263376008,17348831-DS-20,"unctiva pink on R eye (improved from day prior), oropharynx without lesion or exudate, moist mucus membranes " "Correct entity, wrong SNOMED ID","(3310, 3316)","(3310, 3316)",lesion,lesion,52988006,120609008,17348831-DS-20,"eye (improved from day prior), oropharynx without lesion or exudate, moist mucus membranes LYMPH: no anter" "Correct entity, wrong SNOMED ID","(3320, 3327)","(3320, 3327)",exudate,exudate,42142007,247156002,17348831-DS-20,"ved from day prior), oropharynx without lesion or exudate, moist mucus membranes LYMPH: no anterior/posteri" "Correct entity, wrong SNOMED ID","(3329, 3350)","(3329, 3350)",moist mucus membranes,moist mucus membranes,276398005,16159009,17348831-DS-20,"day prior), oropharynx without lesion or exudate, moist mucus membranes LYMPH: no anterior/posterior cervical, supraclavi" "Correct entity, wrong SNOMED ID","(3380, 3388)","(3380, 3388)",cervical,cervical,127086001,304174001,17348831-DS-20,"oist mucus membranes LYMPH: no anterior/posterior cervical, supraclavicular adenopathy CARDIOVASCULAR: Irre" "Correct entity, wrong SNOMED ID","(3390, 3417)","(3390, 3417)","supraclavicular adenopathy","supraclavicular adenopathy",127088000,126636004,17348831-DS-20," membranes LYMPH: no anterior/posterior cervical, supraclavicular adenopathy CARDIOVASCULAR: Irregularly irregular without mur" "Correct entity, wrong SNOMED ID","(3464, 3471)","(3464, 3471)",murmurs,murmurs,414786004,248699005,17348831-DS-20,"thy CARDIOVASCULAR: Irregularly irregular without murmurs, rubs, or gallops LUNGS: CTAB, no crackles or rho" "Correct entity, wrong SNOMED ID","(3482, 3489)","(3482, 3489)",gallops,gallops,2170000,4592006,17348831-DS-20,": Irregularly irregular without murmurs, rubs, or gallops LUNGS: CTAB, no crackles or rhonchi. GI: soft, wi" "Correct entity, wrong SNOMED ID","(3497, 3501)","(3497, 3501)",CTAB,CTAB,48348007,112188007,17348831-DS-20,"rregular without murmurs, rubs, or gallops LUNGS: CTAB, no crackles or rhonchi. GI: soft, without reboun" "Correct entity, wrong SNOMED ID","(3545, 3555)","(3545, 3555)",rebounding,rebounding,35611005,844584001,17348831-DS-20,": CTAB, no crackles or rhonchi. GI: soft, without rebounding or guarding, nondistended with normal active bowe" Wrong span,"(3569, 3581)","(3569, 3572)",nondistended,non,300405003,900000000000495008,17348831-DS-20,"honchi. GI: soft, without rebounding or guarding, nondistended with normal active bowel sounds, no hepatomegaly " Wrong span,"(3601, 3613)","(3587, 3613)",bowel sounds,normal active bowel sounds,61539000,61539000,17348831-DS-20,"ding or guarding, nondistended with normal active bowel sounds, no hepatomegaly appreciated EXTREMITIES: no club" "Correct entity, wrong SNOMED ID","(3618, 3630)","(3618, 3630)",hepatomegaly,hepatomegaly,80515008,240790002,17348831-DS-20," nondistended with normal active bowel sounds, no hepatomegaly appreciated EXTREMITIES: no clubbing, cyanosis, L" "Correct entity, wrong SNOMED ID","(3659, 3667)","(3659, 3667)",clubbing,clubbing,367004,247519001,17348831-DS-20,"unds, no hepatomegaly appreciated EXTREMITIES: no clubbing, cyanosis, LLE slightly larger than RLE (baseline" "Correct entity, wrong SNOMED ID","(3669, 3677)","(3669, 3677)",cyanosis,cyanosis,3415004,95442007,17348831-DS-20,"epatomegaly appreciated EXTREMITIES: no clubbing, cyanosis, LLE slightly larger than RLE (baseline per patie" "Correct entity, wrong SNOMED ID","(3679, 3682)","(3679, 3682)",LLE,LLE,32153003,420296000,17348831-DS-20,"y appreciated EXTREMITIES: no clubbing, cyanosis, LLE slightly larger than RLE (baseline per patient wi" "Correct entity, wrong SNOMED ID","(3704, 3707)","(3704, 3707)",RLE,RLE,62175007,53541006,17348831-DS-20,": no clubbing, cyanosis, LLE slightly larger than RLE (baseline per patient with trace edema) GU: no fo" "Correct entity, wrong SNOMED ID","(3709, 3717)","(3709, 3717)",baseline,baseline,128974000,129082007,17348831-DS-20,"clubbing, cyanosis, LLE slightly larger than RLE (baseline per patient with trace edema) GU: no foley SKIN: " "Correct entity, wrong SNOMED ID","(3741, 3746)","(3741, 3746)",edema,edema,267038008,102576009,17348831-DS-20," larger than RLE (baseline per patient with trace edema) GU: no foley SKIN: no rashes, petechia, lesions," "Correct entity, wrong SNOMED ID","(3755, 3760)","(3755, 3760)",foley,foley,439053001,411381006,17348831-DS-20,"LE (baseline per patient with trace edema) GU: no foley SKIN: no rashes, petechia, lesions, or echymoses;" "Correct entity, wrong SNOMED ID","(3770, 3776)","(3770, 3776)",rashes,rashes,271807003,247472004,17348831-DS-20,"r patient with trace edema) GU: no foley SKIN: no rashes, petechia, lesions, or echymoses; warm to palpati" "Correct entity, wrong SNOMED ID","(3778, 3786)","(3778, 3786)",petechia,petechia,423716004,21143006,17348831-DS-20,"t with trace edema) GU: no foley SKIN: no rashes, petechia, lesions, or echymoses; warm to palpation NEURO: " "Correct entity, wrong SNOMED ID","(3788, 3795)","(3788, 3795)",lesions,lesions,95324001,246206008,17348831-DS-20,"ce edema) GU: no foley SKIN: no rashes, petechia, lesions, or echymoses; warm to palpation NEURO: grossly i" "Correct entity, wrong SNOMED ID","(3800, 3809)","(3800, 3809)",echymoses,echymoses,302227002,465581000124106,17348831-DS-20,": no foley SKIN: no rashes, petechia, lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: p" "Correct entity, wrong SNOMED ID","(3811, 3815)","(3811, 3815)",warm,warm,102599008,298256005,17348831-DS-20,"SKIN: no rashes, petechia, lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: pleasan" "Correct entity, wrong SNOMED ID","(3819, 3828)","(3819, 3828)",palpation,palpation,113011001,51558006,17348831-DS-20," rashes, petechia, lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: pleasant and appropr" "Correct entity, wrong SNOMED ID","(3836, 3850)","(3836, 3850)",grossly intact,grossly intact,18460000,408658000,17348831-DS-20,", lesions, or echymoses; warm to palpation NEURO: grossly intact PSYCH: pleasant and appropriate affect Pertine" Missed entity,"(3871, 3889)",,appropriate affect,,80608005,,17348831-DS-20,"lpation NEURO: grossly intact PSYCH: pleasant and appropriate affect Pertinent Results: Admission labs ___ 08:42PM " "Correct entity, wrong SNOMED ID","(3945, 3948)","(3945, 3948)",WBC,WBC,767002,391558003,17348831-DS-20,"rtinent Results: Admission labs ___ 08:42PM BLOOD WBC-12.0*# RBC-4.27* Hgb-12.9* Hct-39.5* MCV-93 MCH-" "Correct entity, wrong SNOMED ID","(3956, 3959)","(3956, 3959)",RBC,RBC,14089001,258759006,17348831-DS-20,"ults: Admission labs ___ 08:42PM BLOOD WBC-12.0*# RBC-4.27* Hgb-12.9* Hct-39.5* MCV-93 MCH-30.2 MCHC-3" "Correct entity, wrong SNOMED ID","(3966, 3969)","(3966, 3969)",Hgb,Hgb,441689006,104142005,17348831-DS-20,"ssion labs ___ 08:42PM BLOOD WBC-12.0*# RBC-4.27* Hgb-12.9* Hct-39.5* MCV-93 MCH-30.2 MCHC-32.7 RDW-13" "Correct entity, wrong SNOMED ID","(3976, 3979)","(3976, 3979)",Hct,Hct,28317006,840276005,17348831-DS-20," ___ 08:42PM BLOOD WBC-12.0*# RBC-4.27* Hgb-12.9* Hct-39.5* MCV-93 MCH-30.2 MCHC-32.7 RDW-13.2 RDWSD-4" "Correct entity, wrong SNOMED ID","(3994, 3997)","(3994, 3997)",MCH,MCH,54706004,735147002,17348831-DS-20," WBC-12.0*# RBC-4.27* Hgb-12.9* Hct-39.5* MCV-93 MCH-30.2 MCHC-32.7 RDW-13.2 RDWSD-44.5 Plt ___ ___ 08" "Correct entity, wrong SNOMED ID","(4003, 4007)","(4003, 4007)",MCHC,MCHC,37254006,735147002,17348831-DS-20,"*# RBC-4.27* Hgb-12.9* Hct-39.5* MCV-93 MCH-30.2 MCHC-32.7 RDW-13.2 RDWSD-44.5 Plt ___ ___ 08:42PM BLOO" "Correct entity, wrong SNOMED ID","(4013, 4016)","(4013, 4016)",RDW,RDW,66842004,735149004,17348831-DS-20,"7* Hgb-12.9* Hct-39.5* MCV-93 MCH-30.2 MCHC-32.7 RDW-13.2 RDWSD-44.5 Plt ___ ___ 08:42PM BLOOD ___ PTT" "Correct entity, wrong SNOMED ID","(4022, 4027)","(4022, 4027)",RDWSD,RDWSD,66842004,80328002,17348831-DS-20,".9* Hct-39.5* MCV-93 MCH-30.2 MCHC-32.7 RDW-13.2 RDWSD-44.5 Plt ___ ___ 08:42PM BLOOD ___ PTT-41.3* ___ " "Correct entity, wrong SNOMED ID","(4063, 4066)","(4063, 4066)",PTT,PTT,42525009,282119004,17348831-DS-20,"RDW-13.2 RDWSD-44.5 Plt ___ ___ 08:42PM BLOOD ___ PTT-41.3* ___ ___ 08:42PM BLOOD Glucose-153* UreaN-22" "Correct entity, wrong SNOMED ID","(4095, 4102)","(4095, 4102)",Glucose,Glucose,33747003,72191006,17348831-DS-20,"08:42PM BLOOD ___ PTT-41.3* ___ ___ 08:42PM BLOOD Glucose-153* UreaN-22* Creat-1.0 Na-139 K-4.1 Cl-100 HCO" "Correct entity, wrong SNOMED ID","(4108, 4113)","(4108, 4113)",UreaN,UreaN,105011006,111108008,17348831-DS-20," ___ PTT-41.3* ___ ___ 08:42PM BLOOD Glucose-153* UreaN-22* Creat-1.0 Na-139 K-4.1 Cl-100 HCO3-22 AnGap-" "Correct entity, wrong SNOMED ID","(4118, 4123)","(4118, 4123)",Creat,Creat,70901006,365756002,17348831-DS-20,"1.3* ___ ___ 08:42PM BLOOD Glucose-153* UreaN-22* Creat-1.0 Na-139 K-4.1 Cl-100 HCO3-22 AnGap-21* ___ 08" "Correct entity, wrong SNOMED ID","(4128, 4130)","(4128, 4130)",Na,Na,312469006,257992007,17348831-DS-20,"__ 08:42PM BLOOD Glucose-153* UreaN-22* Creat-1.0 Na-139 K-4.1 Cl-100 HCO3-22 AnGap-21* ___ 08:42PM B" "Correct entity, wrong SNOMED ID","(4142, 4144)","(4142, 4144)",Cl,Cl,104589004,311741002,17348831-DS-20,"OD Glucose-153* UreaN-22* Creat-1.0 Na-139 K-4.1 Cl-100 HCO3-22 AnGap-21* ___ 08:42PM BLOOD proBNP-__" "Correct entity, wrong SNOMED ID","(4149, 4153)","(4149, 4153)",HCO3,HCO3,312471006,88645003,17348831-DS-20,"ose-153* UreaN-22* Creat-1.0 Na-139 K-4.1 Cl-100 HCO3-22 AnGap-21* ___ 08:42PM BLOOD proBNP-___* ___ 08" "Correct entity, wrong SNOMED ID","(4157, 4162)","(4157, 4162)",AnGap,AnGap,25469001,124504004,17348831-DS-20," UreaN-22* Creat-1.0 Na-139 K-4.1 Cl-100 HCO3-22 AnGap-21* ___ 08:42PM BLOOD proBNP-___* ___ 08:42PM BLO" "Correct entity, wrong SNOMED ID","(4185, 4191)","(4185, 4191)",proBNP,proBNP,414799001,407060002,17348831-DS-20," K-4.1 Cl-100 HCO3-22 AnGap-21* ___ 08:42PM BLOOD proBNP-___* ___ 08:42PM BLOOD cTropnT-<0.01 ___ 06:38AM " "Correct entity, wrong SNOMED ID","(4215, 4222)","(4215, 4222)",cTropnT,cTropnT,105001004,442255004,17348831-DS-20,"* ___ 08:42PM BLOOD proBNP-___* ___ 08:42PM BLOOD cTropnT-<0.01 ___ 06:38AM BLOOD Calcium-9.0 Phos-3.0 Mg-1" "Correct entity, wrong SNOMED ID","(4247, 4254)","(4247, 4254)",Calcium,Calcium,312472004,108601004,17348831-DS-20,"___ 08:42PM BLOOD cTropnT-<0.01 ___ 06:38AM BLOOD Calcium-9.0 Phos-3.0 Mg-1.8 ___ 02:38AM BLOOD %HbA1c-6.1*" "Correct entity, wrong SNOMED ID","(4259, 4263)","(4259, 4263)",Phos,Phos,104868000,168075002,17348831-DS-20,"BLOOD cTropnT-<0.01 ___ 06:38AM BLOOD Calcium-9.0 Phos-3.0 Mg-1.8 ___ 02:38AM BLOOD %HbA1c-6.1* eAG-128*" "Correct entity, wrong SNOMED ID","(4268, 4270)","(4268, 4270)",Mg,Mg,271285000,258684004,17348831-DS-20,"opnT-<0.01 ___ 06:38AM BLOOD Calcium-9.0 Phos-3.0 Mg-1.8 ___ 02:38AM BLOOD %HbA1c-6.1* eAG-128* Disch" "Correct entity, wrong SNOMED ID","(4305, 4308)","(4305, 4308)",eAG,eAG,117346004,361444006,17348831-DS-20,"9.0 Phos-3.0 Mg-1.8 ___ 02:38AM BLOOD %HbA1c-6.1* eAG-128* Discharge labs: ___ 06:20AM BLOOD WBC-13.4*" "Correct entity, wrong SNOMED ID","(4349, 4352)","(4349, 4352)",WBC,WBC,767002,391558003,17348831-DS-20,"-6.1* eAG-128* Discharge labs: ___ 06:20AM BLOOD WBC-13.4* RBC-4.13* Hgb-12.8* Hct-39.3* MCV-95 MCH-3" "Correct entity, wrong SNOMED ID","(4359, 4362)","(4359, 4362)",RBC,RBC,14089001,258759006,17348831-DS-20,"128* Discharge labs: ___ 06:20AM BLOOD WBC-13.4* RBC-4.13* Hgb-12.8* Hct-39.3* MCV-95 MCH-31.0 MCHC-3" "Correct entity, wrong SNOMED ID","(4369, 4372)","(4369, 4372)",Hgb,Hgb,441689006,104142005,17348831-DS-20,"harge labs: ___ 06:20AM BLOOD WBC-13.4* RBC-4.13* Hgb-12.8* Hct-39.3* MCV-95 MCH-31.0 MCHC-32.6 RDW-12" "Correct entity, wrong SNOMED ID","(4379, 4382)","(4379, 4382)",Hct,Hct,28317006,840276005,17348831-DS-20,": ___ 06:20AM BLOOD WBC-13.4* RBC-4.13* Hgb-12.8* Hct-39.3* MCV-95 MCH-31.0 MCHC-32.6 RDW-12.8 RDWSD-4" "Correct entity, wrong SNOMED ID","(4397, 4400)","(4397, 4400)",MCH,MCH,54706004,735147002,17348831-DS-20,"D WBC-13.4* RBC-4.13* Hgb-12.8* Hct-39.3* MCV-95 MCH-31.0 MCHC-32.6 RDW-12.8 RDWSD-44.0 Plt ___ ___ 06" "Correct entity, wrong SNOMED ID","(4406, 4410)","(4406, 4410)",MCHC,MCHC,37254006,735147002,17348831-DS-20,"4* RBC-4.13* Hgb-12.8* Hct-39.3* MCV-95 MCH-31.0 MCHC-32.6 RDW-12.8 RDWSD-44.0 Plt ___ ___ 06:20AM BLOO" "Correct entity, wrong SNOMED ID","(4416, 4419)","(4416, 4419)",RDW,RDW,66842004,735149004,17348831-DS-20,"3* Hgb-12.8* Hct-39.3* MCV-95 MCH-31.0 MCHC-32.6 RDW-12.8 RDWSD-44.0 Plt ___ ___ 06:20AM BLOOD Glucose" "Correct entity, wrong SNOMED ID","(4425, 4430)","(4425, 4430)",RDWSD,RDWSD,66842004,80328002,17348831-DS-20,".8* Hct-39.3* MCV-95 MCH-31.0 MCHC-32.6 RDW-12.8 RDWSD-44.0 Plt ___ ___ 06:20AM BLOOD Glucose-132* UreaN" Wrong span,"(4456, 4469)","(4462, 4469)",BLOOD Glucose,Glucose,33747003,72191006,17348831-DS-20,"MCHC-32.6 RDW-12.8 RDWSD-44.0 Plt ___ ___ 06:20AM BLOOD Glucose-132* UreaN-34* Creat-0.9 Na-139 K-4.5 Cl-100 HCO" "Correct entity, wrong SNOMED ID","(4475, 4480)","(4475, 4480)",UreaN,UreaN,105011006,111108008,17348831-DS-20,"RDWSD-44.0 Plt ___ ___ 06:20AM BLOOD Glucose-132* UreaN-34* Creat-0.9 Na-139 K-4.5 Cl-100 HCO3-23 AnGap-" "Correct entity, wrong SNOMED ID","(4485, 4490)","(4485, 4490)",Creat,Creat,70901006,365756002,17348831-DS-20," Plt ___ ___ 06:20AM BLOOD Glucose-132* UreaN-34* Creat-0.9 Na-139 K-4.5 Cl-100 HCO3-23 AnGap-21* ___ 06" "Correct entity, wrong SNOMED ID","(4495, 4497)","(4495, 4497)",Na,Na,312469006,257992007,17348831-DS-20,"__ 06:20AM BLOOD Glucose-132* UreaN-34* Creat-0.9 Na-139 K-4.5 Cl-100 HCO3-23 AnGap-21* ___ 06:38AM B" "Correct entity, wrong SNOMED ID","(4509, 4511)","(4509, 4511)",Cl,Cl,104589004,311741002,17348831-DS-20,"OD Glucose-132* UreaN-34* Creat-0.9 Na-139 K-4.5 Cl-100 HCO3-23 AnGap-21* ___ 06:38AM BLOOD ___ PTT-4" "Correct entity, wrong SNOMED ID","(4516, 4520)","(4516, 4520)",HCO3,HCO3,312471006,88645003,17348831-DS-20,"ose-132* UreaN-34* Creat-0.9 Na-139 K-4.5 Cl-100 HCO3-23 AnGap-21* ___ 06:38AM BLOOD ___ PTT-44.7* ___ " "Correct entity, wrong SNOMED ID","(4524, 4529)","(4524, 4529)",AnGap,AnGap,25469001,124504004,17348831-DS-20," UreaN-34* Creat-0.9 Na-139 K-4.5 Cl-100 HCO3-23 AnGap-21* ___ 06:38AM BLOOD ___ PTT-44.7* ___ ___ 06:20" "Correct entity, wrong SNOMED ID","(4556, 4559)","(4556, 4559)",PTT,PTT,42525009,282119004,17348831-DS-20,".5 Cl-100 HCO3-23 AnGap-21* ___ 06:38AM BLOOD ___ PTT-44.7* ___ ___ 06:20AM BLOOD Calcium-8.8 Phos-4.3 " "Correct entity, wrong SNOMED ID","(4588, 4595)","(4588, 4595)",Calcium,Calcium,312472004,108601004,17348831-DS-20,"06:38AM BLOOD ___ PTT-44.7* ___ ___ 06:20AM BLOOD Calcium-8.8 Phos-4.3 Mg-2.1 ___ 08:45PM BLOOD Lactate-2.0" "Correct entity, wrong SNOMED ID","(4600, 4604)","(4600, 4604)",Phos,Phos,104868000,168075002,17348831-DS-20,"D ___ PTT-44.7* ___ ___ 06:20AM BLOOD Calcium-8.8 Phos-4.3 Mg-2.1 ___ 08:45PM BLOOD Lactate-2.0 Imaging" "Correct entity, wrong SNOMED ID","(4609, 4611)","(4609, 4611)",Mg,Mg,271285000,258684004,17348831-DS-20,"-44.7* ___ ___ 06:20AM BLOOD Calcium-8.8 Phos-4.3 Mg-2.1 ___ 08:45PM BLOOD Lactate-2.0 Imaging: Cxray" Missed entity,"(4634, 4641)",,Lactate,,3926003,,17348831-DS-20,"OOD Calcium-8.8 Phos-4.3 Mg-2.1 ___ 08:45PM BLOOD Lactate-2.0 Imaging: Cxray ___ FINDINGS: PA and latera" "Correct entity, wrong SNOMED ID","(4656, 4661)","(4656, 4661)",Cxray,Cxray,399208008,103488002,17348831-DS-20,".3 Mg-2.1 ___ 08:45PM BLOOD Lactate-2.0 Imaging: Cxray ___ FINDINGS: PA and lateral views of the chest" Wrong span,"(4678, 4711)","(4706, 4711)",PA and lateral views of the chest,chest,42869005,74160004,17348831-DS-20,"BLOOD Lactate-2.0 Imaging: Cxray ___ FINDINGS: PA and lateral views of the chest provided. Overlying EKG leads are present. The " "Correct entity, wrong SNOMED ID","(4733, 4736)","(4733, 4736)",EKG,EKG,29303009,75444003,17348831-DS-20,"d lateral views of the chest provided. Overlying EKG leads are present. The lungs are clear bilateral" Wrong span,"(4761, 4776)","(4761, 4766)",lungs are clear,lungs,827032003,74101002,17348831-DS-20," provided. Overlying EKG leads are present. The lungs are clear bilaterally. No evidence of pneumonia or edema." Missed entity,"(4791, 4802)",,No evidence,,281900007,,17348831-DS-20,"s are present. The lungs are clear bilaterally. No evidence of pneumonia or edema. No large effusion or pne" "Correct entity, wrong SNOMED ID","(4807, 4816)","(4807, 4816)",pneumonia,pneumonia,233604007,415125002,17348831-DS-20,"The lungs are clear bilaterally. No evidence of pneumonia or edema. No large effusion or pneumothorax. Mi" "Correct entity, wrong SNOMED ID","(4820, 4825)","(4820, 4825)",edema,edema,267038008,102576009,17348831-DS-20," clear bilaterally. No evidence of pneumonia or edema. No large effusion or pneumothorax. Mild hilar" "Correct entity, wrong SNOMED ID","(4849, 4861)","(4849, 4861)",pneumothorax,pneumothorax,36118008,109364007,17348831-DS-20,"nce of pneumonia or edema. No large effusion or pneumothorax. Mild hilar congestion difficult to exclude. " "Correct entity, wrong SNOMED ID","(4870, 4875)","(4870, 4875)",hilar,hilar,46750007,264508001,17348831-DS-20,"edema. No large effusion or pneumothorax. Mild hilar congestion difficult to exclude. Cardiomediasti" "Correct entity, wrong SNOMED ID","(4876, 4886)","(4876, 4886)",congestion,congestion,67599009,68235000,17348831-DS-20," No large effusion or pneumothorax. Mild hilar congestion difficult to exclude. Cardiomediastinal silhoue" "Correct entity, wrong SNOMED ID","(4948, 4954)","(4948, 4954)",stable,stable,359746009,301459008,17348831-DS-20,"o exclude. Cardiomediastinal silhouette appears stable. Bony structures are intact Micro Sputum GRA" Missed entity,"(4994, 5000)",,Sputum,,104173009,,17348831-DS-20,"ars stable. Bony structures are intact Micro Sputum GRAM STAIN (Final ___: ___ PMNs and >10 ep" Missed entity,"(5001, 5011)",,GRAM STAIN,,62777006,,17348831-DS-20,"ble. Bony structures are intact Micro Sputum GRAM STAIN (Final ___: ___ PMNs and >10 epithelial ce" Missed entity,"(5048, 5064)",,epithelial cells,,250441008,,17348831-DS-20,"um GRAM STAIN (Final ___: ___ PMNs and >10 epithelial cells/100X field. Gram stain indicates extensive" "Correct entity, wrong SNOMED ID","(5084, 5094)","(5084, 5094)",Gram stain,Gram stain,62777006,104200004,17348831-DS-20," PMNs and >10 epithelial cells/100X field. Gram stain indicates extensive contamination with upper res" Wrong span,"(5134, 5152)","(5134, 5169)","upper respiratory","upper respiratory secretions",58675001,427391006,17348831-DS-20,"Gram stain indicates extensive contamination with upper respiratory secretions. Bacterial culture results are i" "Correct entity, wrong SNOMED ID","(5171, 5188)","(5171, 5188)",Bacterial culture,Bacterial culture,104178000,34215003,17348831-DS-20,"ination with upper respiratory secretions. Bacterial culture results are invalid. PLEASE SUBMIT ANOTHER" "Correct entity, wrong SNOMED ID","(5254, 5273)","(5254, 5273)",RESPIRATORY CULTURE,RESPIRATORY CULTURE,117056007,122398007,17348831-DS-20,"alid. PLEASE SUBMIT ANOTHER SPECIMEN. RESPIRATORY CULTURE (Final ___: TEST CANCELLED, PATIENT CREDIT" "Correct entity, wrong SNOMED ID","(5369, 5393)","(5369, 5393)",schizoaffective disorder,schizoaffective disorder,68890003,191569002,17348831-DS-20,"EDITED. Brief Hospital Course: ___ with hx of schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, " "Correct entity, wrong SNOMED ID","(5395, 5399)","(5395, 5399)",afib,afib,49436004,312442005,17348831-DS-20," Course: ___ with hx of schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizur" Missed entity,"(5400, 5411)",,on warfarin,,722045009,,17348831-DS-20,"se: ___ with hx of schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, " "Correct entity, wrong SNOMED ID","(5413, 5416)","(5413, 5416)",htn,htn,38341003,10725009,17348831-DS-20,"hx of schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, OSA p" "Correct entity, wrong SNOMED ID","(5419, 5425)","(5419, 5425)",NIDDM2,NIDDM2,44054006,237604008,17348831-DS-20,"schizoaffective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, OSA presenting" "Correct entity, wrong SNOMED ID","(5427, 5441)","(5427, 5441)",hypothyroidism,hypothyroidism,40930008,10753681000119101,17348831-DS-20,"fective disorder, afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, OSA presenting from ___ with " "Correct entity, wrong SNOMED ID","(5443, 5459)","(5443, 5459)",seizure disorder,seizure disorder,128613002,460731000124105,17348831-DS-20,", afib on warfarin, htn, NIDDM2, hypothyroidism, seizure disorder, OSA presenting from ___ with coughx2 weeks and " "Correct entity, wrong SNOMED ID","(5491, 5496)","(5491, 5496)",cough,cough,49727002,28743005,17348831-DS-20,", seizure disorder, OSA presenting from ___ with coughx2 weeks and presentation likely consistent with " "Correct entity, wrong SNOMED ID","(5577, 5584)","(5577, 5584)",Dyspnea,Dyspnea,267036007,60845006,17348831-DS-20,"y consistent with COPD exacerbation. # Cough: # Dyspnea: # Acute exacerbation of COPD: Symptoms improved " Wrong span,"(5588, 5614)","(5588, 5609)",Acute exacerbation of COPD,Acute exacerbation of,195951007,734905008,17348831-DS-20,"t with COPD exacerbation. # Cough: # Dyspnea: # Acute exacerbation of COPD: Symptoms improved after treatment with Predniso" "Correct entity, wrong SNOMED ID","(5625, 5633)","(5625, 5633)",improved,improved,268910001,251359002,17348831-DS-20,"# Dyspnea: # Acute exacerbation of COPD: Symptoms improved after treatment with Prednisone and azithromycin" "Correct entity, wrong SNOMED ID","(5766, 5770)","(5766, 5770)",COPD,COPD,13645005,48347002,17348831-DS-20,"was briefly on 2L of oxygen. He has a history of COPD from prior PFTS. He was discharge on steroid and " "Correct entity, wrong SNOMED ID","(5808, 5815)","(5808, 5815)",steroid,steroid,297279009,296778005,17348831-DS-20,"ory of COPD from prior PFTS. He was discharge on steroid and albuterol inhalers. His ambulatory O2 on day" Wrong span,"(5899, 5905)","(5899, 5917)",O2 sat,O2 sat on room air,104847001,931000119107,17348831-DS-20,"latory O2 on day of discharge was 90% on 1L. His O2 sat on room air was 94% on RA prior to discharge. For" Wrong span,"(5906, 5917)","(5899, 5917)",on room air,O2 sat on room air,722742002,931000119107,17348831-DS-20,"O2 on day of discharge was 90% on 1L. His O2 sat on room air was 94% on RA prior to discharge. For his COPD, " "Correct entity, wrong SNOMED ID","(5929, 5931)","(5929, 5931)",RA,RA,722742002,463051000124105,17348831-DS-20,"was 90% on 1L. His O2 sat on room air was 94% on RA prior to discharge. For his COPD, we would toler" "Correct entity, wrong SNOMED ID","(5961, 5965)","(5961, 5965)",COPD,COPD,13645005,48347002,17348831-DS-20,"om air was 94% on RA prior to discharge. For his COPD, we would tolerate O2 sat between 88%-92%. Workup" "Correct entity, wrong SNOMED ID","(5985, 5991)","(5985, 5991)",O2 sat,O2 sat,104847001,103228002,17348831-DS-20,"or to discharge. For his COPD, we would tolerate O2 sat between 88%-92%. Workup done was negative for PE " Missed entity,"(6009, 6015)",,Workup,,386053000,,17348831-DS-20," COPD, we would tolerate O2 sat between 88%-92%. Workup done was negative for PE (low d-dimer), CHF (BNP " "Correct entity, wrong SNOMED ID","(6038, 6040)","(6038, 6040)",PE,PE,59282003,20503002,17348831-DS-20,"sat between 88%-92%. Workup done was negative for PE (low d-dimer), CHF (BNP stable from prior), Pneu" "Correct entity, wrong SNOMED ID","(6056, 6059)","(6056, 6059)",CHF,CHF,42343007,48447003,17348831-DS-20,"%. Workup done was negative for PE (low d-dimer), CHF (BNP stable from prior), Pneumonia (no fevers). " Wrong span,"(6061, 6064)","(6061, 6071)",BNP,BNP stable,390917008,301148008,17348831-DS-20,"rkup done was negative for PE (low d-dimer), CHF (BNP stable from prior), Pneumonia (no fevers). Cxray" Wrong span,"(6065, 6071)","(6061, 6071)",stable,BNP stable,359746009,301148008,17348831-DS-20," done was negative for PE (low d-dimer), CHF (BNP stable from prior), Pneumonia (no fevers). Cxray was re" "Correct entity, wrong SNOMED ID","(6086, 6095)","(6086, 6095)",Pneumonia,Pneumonia,233604007,415125002,17348831-DS-20,"r PE (low d-dimer), CHF (BNP stable from prior), Pneumonia (no fevers). Cxray was reassuring. # R eye disch" "Correct entity, wrong SNOMED ID","(6100, 6106)","(6100, 6106)",fevers,fevers,386661006,248444008,17348831-DS-20,"mer), CHF (BNP stable from prior), Pneumonia (no fevers). Cxray was reassuring. # R eye discharge: Signi" "Correct entity, wrong SNOMED ID","(6109, 6114)","(6109, 6114)",Cxray,Cxray,399208008,103488002,17348831-DS-20," (BNP stable from prior), Pneumonia (no fevers). Cxray was reassuring. # R eye discharge: Significantly" Missed entity,"(6119, 6129)",,reassuring,,23875004,,17348831-DS-20,"le from prior), Pneumonia (no fevers). Cxray was reassuring. # R eye discharge: Significantly improved prior" Boundary error,"(6136, 6149)","(6134, 6149)",eye discharge,R eye discharge,246679005,246679005,17348831-DS-20,"Pneumonia (no fevers). Cxray was reassuring. # R eye discharge: Significantly improved prior to discharge with " "Correct entity, wrong SNOMED ID","(6165, 6173)","(6165, 6173)",improved,improved,268910001,251359002,17348831-DS-20,"was reassuring. # R eye discharge: Significantly improved prior to discharge with resolution of thick disc" "Correct entity, wrong SNOMED ID","(6233, 6241)","(6233, 6241)",pruritus,pruritus,74776002,10676911000119100,17348831-DS-20,"discharge with resolution of thick discharge. No pruritus or eye pain. Though likely started as viral etio" "Correct entity, wrong SNOMED ID","(6245, 6253)","(6245, 6253)",eye pain,eye pain,41652007,16442141000119109,17348831-DS-20,"ith resolution of thick discharge. No pruritus or eye pain. Though likely started as viral etiology, given " Wrong span,"(6281, 6295)","(6281, 6286)",viral etiology,viral,312132001,34476008,17348831-DS-20,"o pruritus or eye pain. Though likely started as viral etiology, given presentation and chronicity with increased" Missed entity,"(6346, 6355)",,discharge,,75823008,,17348831-DS-20," given presentation and chronicity with increased discharge during admission will treat as bacterial infectio" "Correct entity, wrong SNOMED ID","(6387, 6406)","(6387, 6406)",bacterial infection,bacterial infection,87628006,1300178001,17348831-DS-20,"ncreased discharge during admission will treat as bacterial infection. Discharged on erythromycin ointment. # Afib: Co" Missed entity,"(6533, 6547)",,INR monitoring,,439202006,,17348831-DS-20,"h holding parameters Continued home warfarin with INR monitoring. INR on ___ was 2.8 # Seizures: Stable. no evide" Missed entity,"(6549, 6552)",,INR,,440685005,,17348831-DS-20,"ters Continued home warfarin with INR monitoring. INR on ___ was 2.8 # Seizures: Stable. no evidence o" "Correct entity, wrong SNOMED ID","(6571, 6579)","(6571, 6579)",Seizures,Seizures,91175000,1366362005,17348831-DS-20,"rfarin with INR monitoring. INR on ___ was 2.8 # Seizures: Stable. no evidence of seizure activity. Contin" "Correct entity, wrong SNOMED ID","(6581, 6587)","(6581, 6587)",Stable,Stable,359746009,301459008,17348831-DS-20,"h INR monitoring. INR on ___ was 2.8 # Seizures: Stable. no evidence of seizure activity. Continued home" "Correct entity, wrong SNOMED ID","(6589, 6600)","(6589, 6600)",no evidence,no evidence,281900007,41647002,17348831-DS-20,"nitoring. INR on ___ was 2.8 # Seizures: Stable. no evidence of seizure activity. Continued home Keppra. " Wrong span,"(6604, 6611)","(6604, 6620)",seizure,seizure activity,91175000,192981006,17348831-DS-20,"n ___ was 2.8 # Seizures: Stable. no evidence of seizure activity. Continued home Keppra. # Schizoaff" "Correct entity, wrong SNOMED ID","(6652, 6676)","(6652, 6676)",Schizoaffective Disorder,Schizoaffective Disorder,68890003,191569002,17348831-DS-20,"f seizure activity. Continued home Keppra. # Schizoaffective Disorder: stable. Continued home risperdol, duloxetine, a" "Correct entity, wrong SNOMED ID","(6678, 6684)","(6678, 6684)",stable,stable,359746009,301459008,17348831-DS-20,"nued home Keppra. # Schizoaffective Disorder: stable. Continued home risperdol, duloxetine, ativan " "Correct entity, wrong SNOMED ID","(6737, 6740)","(6737, 6740)",HTN,HTN,38341003,10725009,17348831-DS-20,"Continued home risperdol, duloxetine, ativan # HTN: stable. Continued home Lisinopril with hold par" "Correct entity, wrong SNOMED ID","(6742, 6748)","(6742, 6748)",stable,stable,359746009,301459008,17348831-DS-20,"nued home risperdol, duloxetine, ativan # HTN: stable. Continued home Lisinopril with hold parameters " Missed entity,"(6766, 6776)",,Lisinopril,,410682003,,17348831-DS-20,"oxetine, ativan # HTN: stable. Continued home Lisinopril with hold parameters # CAD: No CP or other sxs o" "Correct entity, wrong SNOMED ID","(6801, 6804)","(6801, 6804)",CAD,CAD,53741008,84270004,17348831-DS-20,"Continued home Lisinopril with hold parameters # CAD: No CP or other sxs of ACS. Continued home Atorv" "Correct entity, wrong SNOMED ID","(6809, 6811)","(6809, 6811)",CP,CP,29857009,282108002,17348831-DS-20,"d home Lisinopril with hold parameters # CAD: No CP or other sxs of ACS. Continued home Atorvastatin" "Correct entity, wrong SNOMED ID","(6828, 6831)","(6828, 6831)",ACS,ACS,394659003,89218003,17348831-DS-20,"ith hold parameters # CAD: No CP or other sxs of ACS. Continued home Atorvastatin, ASA # Hypothyro" "Correct entity, wrong SNOMED ID","(6872, 6883)","(6872, 6883)",Hypothyroid,Hypothyroid,40930008,10753681000119101,17348831-DS-20,"xs of ACS. Continued home Atorvastatin, ASA # Hypothyroid: Continued home Synthroid # DM: Recent A1c 6." "Correct entity, wrong SNOMED ID","(6916, 6918)","(6916, 6918)",DM,DM,73211009,258671008,17348831-DS-20," # Hypothyroid: Continued home Synthroid # DM: Recent A1c 6.1 (pre-diabetes). Continued home Me" Wrong span,"(6940, 6948)","(6936, 6948)",diabetes,pre-diabetes,73211009,85487008,17348831-DS-20,"inued home Synthroid # DM: Recent A1c 6.1 (pre-diabetes). Continued home Metformin # BPH: stable. Conti" "Correct entity, wrong SNOMED ID","(6984, 6990)","(6984, 6990)",stable,stable,359746009,301459008,17348831-DS-20," (pre-diabetes). Continued home Metformin # BPH: stable. Continued home Finasteride # OSA: Continued " "Correct entity, wrong SNOMED ID","(7040, 7045)","(7040, 7045)",bipap,bipap,447243000,243142003,17348831-DS-20,". Continued home Finasteride # OSA: Continued bipap TRANSITIONAL ISSUES =================== # New " "Correct entity, wrong SNOMED ID","(7295, 7304)","(7295, 7304)",Pulmonary,Pulmonary,310039004,419170002,17348831-DS-20,"ications - None To dos: =========== - Ensure has Pulmonary follow up - Discharged with inhalers (fluticasone" Wrong span,"(9777, 9800)","(9777, 9782)",Acute COPD exacerbation,Acute,195951007,255228009,17348831-DS-20,"ty: ___ Discharge Diagnosis: Primary diagnosis: Acute COPD exacerbation Bronchitis Bacterial conjunctivitis Secondary di" "Correct entity, wrong SNOMED ID","(9801, 9811)","(9801, 9811)",Bronchitis,Bronchitis,32398004,16146001,17348831-DS-20,"nosis: Primary diagnosis: Acute COPD exacerbation Bronchitis Bacterial conjunctivitis Secondary diagnosis Atr" "Correct entity, wrong SNOMED ID","(9812, 9836)","(9812, 9836)",Bacterial conjunctivitis,Bacterial conjunctivitis,128350005,15680561000119109,17348831-DS-20,"ary diagnosis: Acute COPD exacerbation Bronchitis Bacterial conjunctivitis Secondary diagnosis Atrial fibrillation Disch" "Correct entity, wrong SNOMED ID","(9858, 9877)","(9858, 9877)",Atrial fibrillation,Atrial fibrillation,49436004,313377641000119105,17348831-DS-20,"tis Bacterial conjunctivitis Secondary diagnosis Atrial fibrillation Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(9902, 9915)","(9902, 9915)",Mental Status,Mental Status,392257007,419284004,17348831-DS-20,"nosis Atrial fibrillation Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(9917, 9922)","(9917, 9922)",Clear,Clear,830123008,281278005,17348831-DS-20,"brillation Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(9961, 9966)","(9961, 9966)",Alert,Alert,248234008,409787004,17348831-DS-20,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(9971, 9982)","(9971, 9982)",interactive,interactive,288577006,10301000202103,17348831-DS-20,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(10001, 10025)","(10001, 10025)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,17348831-DS-20,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr ___, You wer" "Correct entity, wrong SNOMED ID","(10093, 10098)","(10093, 10098)",cough,cough,49727002,28743005,17348831-DS-20,"tructions: Dear Mr ___, You were admitted due to cough and shortness of breath which has improved. We f" "Correct entity, wrong SNOMED ID","(10103, 10122)","(10103, 10122)",shortness of breath,shortness of breath,267036007,135833008,17348831-DS-20," Dear Mr ___, You were admitted due to cough and shortness of breath which has improved. We felt this was likely a CO" "Correct entity, wrong SNOMED ID","(10134, 10142)","(10134, 10142)",improved,improved,268910001,251359002,17348831-DS-20,"d due to cough and shortness of breath which has improved. We felt this was likely a COPD exacerbation due " "Correct entity, wrong SNOMED ID","(10198, 10213)","(10198, 10213)",viral infection,viral infection,312133006,74050005,17348831-DS-20,"elt this was likely a COPD exacerbation due to a viral infection or bronchitis. You significantly improved and we" "Correct entity, wrong SNOMED ID","(10217, 10227)","(10217, 10227)",bronchitis,bronchitis,32398004,275528007,17348831-DS-20," a COPD exacerbation due to a viral infection or bronchitis. You significantly improved and were discharged " "Correct entity, wrong SNOMED ID","(10248, 10256)","(10248, 10256)",improved,improved,268910001,251359002,17348831-DS-20,"viral infection or bronchitis. You significantly improved and were discharged back to your facility with i" "Correct entity, wrong SNOMED ID","(10357, 10376)","(10357, 10376)",shortness of breath,shortness of breath,267036007,135833008,17348831-DS-20,"halers to use in the event of future symptoms of shortness of breath. It was a pleasure being part of your care Your " False positive,,"(651, 655)",,exam,,105477005,17692355-DS-9,"ring several times a day, lasting ___ hours. Her exam was remarkable for tenderness in LLQ, however no " False positive,,"(823, 831)",,negative,,268375009,17692355-DS-9," a normal white count of 7.6 with no left shift, negative UA, GC/chlamydia, BV and uhCG, and sent to OBGYN" False positive,,"(1248, 1261)",,uncomfortable,,250893000,17692355-DS-9,"g ___. Per clinic note, she was tearful, visibly uncomfortable, and had tenderness to palpation in left lower q" False positive,,"(1495, 1496)",,t,,257998006,17692355-DS-9,"sized ovaries and no free fluid, and was sent to triage. In OBGYN triage on ___, patient reports " False positive,,"(1629, 1637)",,movement,,249040004,17692355-DS-9,"tant. She reports the pain is ___ ___nd ___ with movement. Patient states that she has been taking Ibuprof" False positive,,"(2189, 2204)",,bowel movements,,398032003,17692355-DS-9," constipation, blood in stool. She reports daily bowel movements this past week that are unchanged in consistency" False positive,,"(2303, 2318)",,sexual partners,,225516002,17692355-DS-9,"y and frequency. Denies trauma, recent fall, new sexual partners. Past Medical History: PMH: - anxiety - pyelone" False positive,,"(2765, 2778)",,abnormal paps,,164951009,17692355-DS-9,"ossible PID in ___ denies other STIs - Denies h/o abnormal paps Social History: ___ Family History: noncontribu" False positive,,"(3116, 3120)",,non-,,900000000000495008,17692355-DS-9,"active bowel sounds, tender to palpation in LLQ, non-radiating, no rebound or guarding Musculoskeletal" False positive,,"(3172, 3179)",,grossly,,281288006,17692355-DS-9,"diating, no rebound or guarding Musculoskeletal: grossly normal Extremities: good perfusion, no edema, c" False positive,,"(3267, 3273)",,Pelvic,,239992008,17692355-DS-9," no edema, calves nontender Neuro: grossly wnl Pelvic: - External Genitalia: normal, no lesions or cys" False positive,,"(3298, 3304)",,normal,,840673007,17692355-DS-9,"uro: grossly wnl Pelvic: - External Genitalia: normal, no lesions or cysts - Urethra: meatus < 5mm, no" False positive,,"(3338, 3344)",,meatus,,87528003,17692355-DS-9,"enitalia: normal, no lesions or cysts - Urethra: meatus < 5mm, no lesions - Vagina: normal mucosa, no di" False positive,,"(3392, 3401)",,discharge,,2311000175105,17692355-DS-9,"us < 5mm, no lesions - Vagina: normal mucosa, no discharge, or lesions - Cervix: no CMT, discharge, lesions" False positive,,"(3428, 3431)",,CMT,,763798008,17692355-DS-9,"al mucosa, no discharge, or lesions - Cervix: no CMT, discharge, lesions or bleeding. nulliparous, IU" False positive,,"(3433, 3442)",,discharge,,2311000175105,17692355-DS-9,"cosa, no discharge, or lesions - Cervix: no CMT, discharge, lesions or bleeding. nulliparous, IUD strings i" False positive,,"(3659, 3676)",,normal appearance,,225544001,17692355-DS-9,"palpation of left adnexal space - Anus/Perineum: normal appearance, no lesions OBGYN TRIAGE ___: Vitals: 98.7, HR 8" False positive,,"(3854, 3867)",,uncomfortable,,250893000,17692355-DS-9,"conversation throughout history without appearing uncomfortable Abd: soft, NTTP, mildly TTP in LLQ, no rebound/gu" False positive,,"(3987, 3993)",,normal,,840673007,17692355-DS-9," as this was performed in clinic and found to be normal SVE: no CMT, +TTP in LLQ though not palpably over" False positive,,"(3994, 3997)",,SVE,,58874000,17692355-DS-9,"s was performed in clinic and found to be normal SVE: no CMT, +TTP in LLQ though not palpably over the" False positive,,"(4002, 4003)",,C,,257984003,17692355-DS-9,"rformed in clinic and found to be normal SVE: no CMT, +TTP in LLQ though not palpably over the adnex" False positive,,"(4166, 4172)",,Mirena,,434011004,17692355-DS-9,"8 (With Clothes), Height: 68, BMI: 30.1, LMP: # (Mirena) Gen: tearful, visibly uncomfortable Abdomen: sof" False positive,,"(4196, 4209)",,uncomfortable,,250893000,17692355-DS-9,"BMI: 30.1, LMP: # (Mirena) Gen: tearful, visibly uncomfortable Abdomen: soft, TTP in the LLQ, no rebound, volunt" False positive,,"(4272, 4275)",,SSE,,258698007,17692355-DS-9,"t, TTP in the LLQ, no rebound, voluntary guarding SSE: normal, IUD strings in placed SVE: no CMT, +TTP " False positive,,"(4277, 4283)",,normal,,840673007,17692355-DS-9,"P in the LLQ, no rebound, voluntary guarding SSE: normal, IUD strings in placed SVE: no CMT, +TTP in the L" False positive,,"(4307, 4309)",,SV,,733499007,17692355-DS-9,"ntary guarding SSE: normal, IUD strings in placed SVE: no CMT, +TTP in the LLQ, no RLQ pain, no fundal" False positive,,"(4315, 4316)",,C,,257984003,17692355-DS-9,"arding SSE: normal, IUD strings in placed SVE: no CMT, +TTP in the LLQ, no RLQ pain, no fundal tender" False positive,,"(4448, 4452)",,Pain,,102570003,17692355-DS-9,"kable OBGYN TRIAGE ___: T99.1, BP 110/51, HR 80, Pain score ___ Gen: lying in bed, appears mildly uncom" False positive,,"(4497, 4510)",,uncomfortable,,250893000,17692355-DS-9," Pain score ___ Gen: lying in bed, appears mildly uncomfortable CV: RRR Pulm: LCTAB Abdomen: soft, +BS, nontender" False positive,,"(4892, 4903)",,comfortable,,1148784009,17692355-DS-9,", HOSPITAL DAY 2, ___: Gen: lying in bed, appears comfortable on approach by provider ___: RRR, no murmurs, rub" False positive,,"(5321, 5324)",,CRP,,61425002,17692355-DS-9,"0.8 ___ 05:40PM estGFR-Using this ___ 05:40PM CRP-0.8 ___ 05:40PM WBC-7.6 RBC-4.04 HGB-12.1 HCT-3" False positive,,"(5386, 5389)",,MCH,,735147002,17692355-DS-9,"40PM WBC-7.6 RBC-4.04 HGB-12.1 HCT-36.5 MCV-90 MCH-30.0 MCHC-33.2 RDW-12.8 RDWSD-42.4 ___ 05:40PM " False positive,,"(6089, 6092)",,uhC,,20724009,17692355-DS-9,"no left shift, negative UA, GC/chlamydia, BV and uhCG. She was ordered for a pelvic US which showed o" False positive,,"(6295, 6297)",,IV,,258000009,17692355-DS-9,". In triage on ___, her pain was controlled with IV Dilaudid. She had normal vitals and a normal rep" False positive,,"(6672, 6677)",,slept,,252731002,17692355-DS-9,"servation the evening of ___. Overnight, patient slept comfortably overnight per nursing report. On hos" False positive,,"(7137, 7150)",,physical exam,,410182004,17692355-DS-9," vomiting. She had normal vital signs and benign physical exam with soft abdomen and voluntary guarding in left" False positive,,"(7373, 7387)",,intraabdominal,,123872000,17692355-DS-9,"for CT abdomen/pelvis was negative for any acute intraabdominal process. Patient had normal vital signs and stab" False positive,,"(7433, 7439)",,stable,,301459008,17692355-DS-9,"inal process. Patient had normal vital signs and stable physical exam >24 hours total in ___/triage/hosp" False positive,,"(7440, 7453)",,physical exam,,410182004,17692355-DS-9,"ocess. Patient had normal vital signs and stable physical exam >24 hours total in ___/triage/hospital floor wit" False positive,,"(7594, 7598)",,pain,,102570003,17692355-DS-9,"ow concern for ovarian torsion and GYN source of pain, and no clear acute GI or MSK etiology for pain, " False positive,,"(7642, 7646)",,pain,,102570003,17692355-DS-9,"f pain, and no clear acute GI or MSK etiology for pain, patient was discharged home in stable condition" False positive,,"(7766, 7773)",,primary,,263909009,17692355-DS-9,"N follow up appointment scheduled and recommended primary care followup for additional workup of pain, sho" False positive,,"(7804, 7810)",,workup,,118669005,17692355-DS-9,"recommended primary care followup for additional workup of pain, should it persist. Medications on Admi" False positive,,"(7814, 7818)",,pain,,102570003,17692355-DS-9,"d primary care followup for additional workup of pain, should it persist. Medications on Admission: S" False positive,,"(8726, 8735)",,recovered,,177037000,17692355-DS-9,"nce of ovarian torsion or appendicitis. You have recovered well and the team believes you are ready to be d" False positive,,"(8980, 8991)",,medications,,182837001,17692355-DS-9,"ease follow the instructions below. * Take your medications as prescribed. * Do not take more than 4000mg ace" "Correct entity, wrong SNOMED ID","(194, 198)","(194, 198)",Nuts,Nuts,91934008,227505005,17692355-DS-9," F Service: OBSTETRICS/GYNECOLOGY Allergies: Nuts-pistachio and cashew only Attending: ___ Chi" Missed entity,"(213, 219)",,cashew,,712838009,,17692355-DS-9,"TRICS/GYNECOLOGY Allergies: Nuts-pistachio and cashew only Attending: ___ Chief Complaint: increas" Wrong span,"(273, 283)","(273, 295)",left sided,left sided pelvic pain,1204373005,707597009,17692355-DS-9,"y Attending: ___ Chief Complaint: increasing left sided pelvic pain Major Surgical or Invasive Procedur" Wrong span,"(284, 295)","(273, 295)",pelvic pain,left sided pelvic pain,30473006,707597009,17692355-DS-9,"ing: ___ Chief Complaint: increasing left sided pelvic pain Major Surgical or Invasive Procedure: none H" Missed entity,"(453, 462)",,worsening,,1144586002,,17692355-DS-9,"tially evaluated on ___ in clinic for 3 weeks of worsening intermittent sharp nonradiating left lower quadr" "Correct entity, wrong SNOMED ID","(477, 482)","(477, 482)",sharp,sharp,8708008,465145007,17692355-DS-9," in clinic for 3 weeks of worsening intermittent sharp nonradiating left lower quadrant pain. Patient s" Missed entity,"(483, 495)",,nonradiating,,9972008,,17692355-DS-9,"inic for 3 weeks of worsening intermittent sharp nonradiating left lower quadrant pain. Patient states that fo" "Correct entity, wrong SNOMED ID","(591, 595)","(591, 595)",pain,pain,22253000,102570003,17692355-DS-9,"t for the past week she has experienced this ___ pain occurring several times a day, lasting ___ hours." Wrong span,"(675, 692)","(675, 685)",tenderness in LLQ,tenderness,439774009,43478001,17692355-DS-9,", lasting ___ hours. Her exam was remarkable for tenderness in LLQ, however no rebound or guarding and a normal pel" "Correct entity, wrong SNOMED ID","(705, 712)","(705, 712)",rebound,rebound,35611005,844584001,17692355-DS-9," was remarkable for tenderness in LLQ, however no rebound or guarding and a normal pelvic exam. She was fo" "Correct entity, wrong SNOMED ID","(732, 738)","(732, 738)",normal,normal,281900007,840673007,17692355-DS-9,"ess in LLQ, however no rebound or guarding and a normal pelvic exam. She was found to have a normal whit" Wrong span,"(739, 745)","(739, 750)",pelvic,pelvic exam,35025007,35025007,17692355-DS-9,"LLQ, however no rebound or guarding and a normal pelvic exam. She was found to have a normal white count" Wrong span,"(746, 750)","(739, 750)",exam,pelvic exam,5880005,35025007,17692355-DS-9,"wever no rebound or guarding and a normal pelvic exam. She was found to have a normal white count of 7" Wrong span,"(777, 795)","(777, 783)",normal white count,normal,165507003,840673007,17692355-DS-9,"nd a normal pelvic exam. She was found to have a normal white count of 7.6 with no left shift, negative UA, GC/chlam" "Correct entity, wrong SNOMED ID","(832, 834)","(832, 834)",UA,UA,27171005,257999003,17692355-DS-9,"l white count of 7.6 with no left shift, negative UA, GC/chlamydia, BV and uhCG, and sent to OBGYN tr" "Correct entity, wrong SNOMED ID","(837, 839)","(837, 839)",GC,GC,15628003,396156008,17692355-DS-9,"te count of 7.6 with no left shift, negative UA, GC/chlamydia, BV and uhCG, and sent to OBGYN triage " Wrong span,"(840, 849)","(840, 842)",chlamydia,ch,105629000,395132000,17692355-DS-9,"count of 7.6 with no left shift, negative UA, GC/chlamydia, BV and uhCG, and sent to OBGYN triage for furthe" Boundary error,"(851, 853)","(851, 852)",BV,B,419760006,257983009,17692355-DS-9,"6 with no left shift, negative UA, GC/chlamydia, BV and uhCG, and sent to OBGYN triage for further e" Boundary error,"(858, 862)","(858, 860)",uhCG,uh,167376008,257999003,17692355-DS-9,"no left shift, negative UA, GC/chlamydia, BV and uhCG, and sent to OBGYN triage for further evaluation" "Correct entity, wrong SNOMED ID","(902, 912)","(902, 912)",evaluation,evaluation,386053000,39609006,17692355-DS-9,"V and uhCG, and sent to OBGYN triage for further evaluation after imaging. In OBGYN triage, she was afebrile " "Correct entity, wrong SNOMED ID","(919, 926)","(919, 926)",imaging,imaging,363679005,408574004,17692355-DS-9,"ent to OBGYN triage for further evaluation after imaging. In OBGYN triage, she was afebrile with normal H" Missed entity,"(953, 961)",,afebrile,,87273009,,17692355-DS-9,"valuation after imaging. In OBGYN triage, she was afebrile with normal HR 81. She had a pelvic US which sho" Wrong span,"(968, 977)","(968, 974)",normal HR,normal,76863003,840673007,17692355-DS-9," imaging. In OBGYN triage, she was afebrile with normal HR 81. She had a pelvic US which showed ovaries norm" "Correct entity, wrong SNOMED ID","(992, 1001)","(992, 1001)",pelvic US,pelvic US,24848001,711554003,17692355-DS-9,"e, she was afebrile with normal HR 81. She had a pelvic US which showed ovaries normal in size with normal " "Correct entity, wrong SNOMED ID","(1015, 1022)","(1015, 1022)",ovaries,ovaries,15497006,83238006,17692355-DS-9,"h normal HR 81. She had a pelvic US which showed ovaries normal in size with normal Doppler flow, no free" "Correct entity, wrong SNOMED ID","(1023, 1038)","(1023, 1038)","normal in size","normal in size",53461003,289632007,17692355-DS-9,"l HR 81. She had a pelvic US which showed ovaries normal in size with normal Doppler flow, no free fluid, and appr" Wrong span,"(1044, 1063)","(1044, 1058)",normal Doppler flow,normal Doppler,312369005,310253005,17692355-DS-9,"lvic US which showed ovaries normal in size with normal Doppler flow, no free fluid, and appropriately positioned Mir" "Correct entity, wrong SNOMED ID","(1068, 1078)","(1068, 1078)",free fluid,free fluid,41699000,17672001,17692355-DS-9,"ries normal in size with normal Doppler flow, no free fluid, and appropriately positioned Mirena IUD, and wa" Missed entity,"(1231, 1238)",,tearful,,271951008,,17692355-DS-9," following morning ___. Per clinic note, she was tearful, visibly uncomfortable, and had tenderness to pa" Wrong span,"(1272, 1318)","(1272, 1285)",tenderness to palpation in left lower quadrant,tenderness to,439774009,43478001,17692355-DS-9," she was tearful, visibly uncomfortable, and had tenderness to palpation in left lower quadrant with voluntary guarding but without rebound tend" Wrong span,"(1356, 1374)","(1356, 1363)",rebound tenderness,rebound,35611005,844584001,17692355-DS-9,"wer quadrant with voluntary guarding but without rebound tenderness. She had a repeat pelvic ultrasound at this time" "Correct entity, wrong SNOMED ID","(1393, 1411)","(1393, 1411)","pelvic ultrasound","pelvic ultrasound",24848001,1381843006,17692355-DS-9," but without rebound tenderness. She had a repeat pelvic ultrasound at this time which showed normal sized ovaries an" Wrong span,"(1438, 1450)","(1438, 1444)",normal sized,normal,53461003,840673007,17692355-DS-9,"peat pelvic ultrasound at this time which showed normal sized ovaries and no free fluid, and was sent to triag" "Correct entity, wrong SNOMED ID","(1451, 1458)","(1451, 1458)",ovaries,ovaries,15497006,83238006,17692355-DS-9,"ultrasound at this time which showed normal sized ovaries and no free fluid, and was sent to triage. In " "Correct entity, wrong SNOMED ID","(1467, 1477)","(1467, 1477)",free fluid,free fluid,41699000,17672001,17692355-DS-9,"is time which showed normal sized ovaries and no free fluid, and was sent to triage. In OBGYN triage on ___" "Correct entity, wrong SNOMED ID","(1556, 1560)","(1556, 1560)",pain,pain,22253000,102570003,17692355-DS-9,"n OBGYN triage on ___, patient reports that this pain has now been constant. She reports the pain is _" "Correct entity, wrong SNOMED ID","(1575, 1583)","(1575, 1583)",constant,constant,426206001,225658008,17692355-DS-9,"__, patient reports that this pain has now been constant. She reports the pain is ___ ___nd ___ with move" "Correct entity, wrong SNOMED ID","(1601, 1605)","(1601, 1605)",pain,pain,22253000,102570003,17692355-DS-9,"this pain has now been constant. She reports the pain is ___ ___nd ___ with movement. Patient states t" Missed entity,"(1738, 1746)",,improved,,268910001,,17692355-DS-9,"n and Tylenol ""a few times a day,"" which has not improved her pain. She reports 2 episodes of emesis this m" "Correct entity, wrong SNOMED ID","(1751, 1755)","(1751, 1755)",pain,pain,22253000,102570003,17692355-DS-9," ""a few times a day,"" which has not improved her pain. She reports 2 episodes of emesis this morning i" "Correct entity, wrong SNOMED ID","(1783, 1789)","(1783, 1789)",emesis,emesis,422400008,71419002,17692355-DS-9,"not improved her pain. She reports 2 episodes of emesis this morning in the context of ___ pain and cont" "Correct entity, wrong SNOMED ID","(1826, 1830)","(1826, 1830)",pain,pain,22253000,102570003,17692355-DS-9,"des of emesis this morning in the context of ___ pain and continued nausea throughout the day. Denies " "Correct entity, wrong SNOMED ID","(1845, 1851)","(1845, 1851)",nausea,nausea,422587007,1217125005,17692355-DS-9,"morning in the context of ___ pain and continued nausea throughout the day. Denies further episodes of e" "Correct entity, wrong SNOMED ID","(1900, 1906)","(1900, 1906)",emesis,emesis,422400008,71419002,17692355-DS-9,"a throughout the day. Denies further episodes of emesis. She reports decreased PO intake today due to na" "Correct entity, wrong SNOMED ID","(1920, 1940)","(1920, 1940)","decreased PO intake","decreased PO intake",440321000124101,23800005,17692355-DS-9,"y. Denies further episodes of emesis. She reports decreased PO intake today due to nausea and pain. Last ate at 9am. S" "Correct entity, wrong SNOMED ID","(1954, 1960)","(1954, 1960)",nausea,nausea,422587007,1217125005,17692355-DS-9,"is. She reports decreased PO intake today due to nausea and pain. Last ate at 9am. She denies fevers/chi" "Correct entity, wrong SNOMED ID","(1965, 1969)","(1965, 1969)",pain,pain,22253000,102570003,17692355-DS-9,"orts decreased PO intake today due to nausea and pain. Last ate at 9am. She denies fevers/chills, HA, " "Correct entity, wrong SNOMED ID","(2000, 2006)","(2000, 2006)",fevers,fevers,386661006,248444008,17692355-DS-9," to nausea and pain. Last ate at 9am. She denies fevers/chills, HA, CP, SOB, dizziness with ambulation. " "Correct entity, wrong SNOMED ID","(2007, 2013)","(2007, 2013)",chills,chills,43724002,274640006,17692355-DS-9,"sea and pain. Last ate at 9am. She denies fevers/chills, HA, CP, SOB, dizziness with ambulation. She den" "Correct entity, wrong SNOMED ID","(2015, 2017)","(2015, 2017)",HA,HA,25064002,226933009,17692355-DS-9,"pain. Last ate at 9am. She denies fevers/chills, HA, CP, SOB, dizziness with ambulation. She denies " "Correct entity, wrong SNOMED ID","(2019, 2021)","(2019, 2021)",CP,CP,29857009,282108002,17692355-DS-9,". Last ate at 9am. She denies fevers/chills, HA, CP, SOB, dizziness with ambulation. She denies dysu" "Correct entity, wrong SNOMED ID","(2023, 2026)","(2023, 2026)",SOB,SOB,267036007,43731003,17692355-DS-9,"st ate at 9am. She denies fevers/chills, HA, CP, SOB, dizziness with ambulation. She denies dysuria, " "Correct entity, wrong SNOMED ID","(2028, 2037)","(2028, 2037)",dizziness,dizziness,404640003,1141711004,17692355-DS-9,"e at 9am. She denies fevers/chills, HA, CP, SOB, dizziness with ambulation. She denies dysuria, abnormal ma" "Correct entity, wrong SNOMED ID","(2067, 2074)","(2067, 2074)",dysuria,dysuria,49650001,16844001,17692355-DS-9,", CP, SOB, dizziness with ambulation. She denies dysuria, abnormal malodorous discharge, and hematuria. D" "Correct entity, wrong SNOMED ID","(2112, 2121)","(2112, 2121)",hematuria,hematuria,34436003,197940006,17692355-DS-9,"nies dysuria, abnormal malodorous discharge, and hematuria. Denies diarrhea, constipation, blood in stool. " "Correct entity, wrong SNOMED ID","(2130, 2138)","(2130, 2138)",diarrhea,diarrhea,62315008,111843007,17692355-DS-9,"rmal malodorous discharge, and hematuria. Denies diarrhea, constipation, blood in stool. She reports daily" "Correct entity, wrong SNOMED ID","(2140, 2152)","(2140, 2152)",constipation,constipation,14760008,236069009,17692355-DS-9,"orous discharge, and hematuria. Denies diarrhea, constipation, blood in stool. She reports daily bowel movemen" "Correct entity, wrong SNOMED ID","(2154, 2168)","(2154, 2168)",blood in stool,blood in stool,405729008,2901004,17692355-DS-9,"e, and hematuria. Denies diarrhea, constipation, blood in stool. She reports daily bowel movements this past wee" Missed entity,"(2230, 2254)",,unchanged in consistency,,167614006,,17692355-DS-9,"ts daily bowel movements this past week that are unchanged in consistency and frequency. Denies trauma, recent fall, new s" Missed entity,"(2259, 2268)",,frequency,,55019002,,17692355-DS-9," past week that are unchanged in consistency and frequency. Denies trauma, recent fall, new sexual partners" "Correct entity, wrong SNOMED ID","(2277, 2283)","(2277, 2283)",trauma,trauma,417746004,39400004,17692355-DS-9,"e unchanged in consistency and frequency. Denies trauma, recent fall, new sexual partners. Past Medica" "Correct entity, wrong SNOMED ID","(2293, 2297)","(2293, 2297)",fall,fall,161898004,298344006,17692355-DS-9,"consistency and frequency. Denies trauma, recent fall, new sexual partners. Past Medical History: PMH" "Correct entity, wrong SNOMED ID","(2351, 2358)","(2351, 2358)",anxiety,anxiety,48694002,286644009,17692355-DS-9,"w sexual partners. Past Medical History: PMH: - anxiety - pyelonephritis ___ PSH: - LSC appendectomy at " "Correct entity, wrong SNOMED ID","(2361, 2375)","(2361, 2375)",pyelonephritis,pyelonephritis,45816000,123754002,17692355-DS-9,"artners. Past Medical History: PMH: - anxiety - pyelonephritis ___ PSH: - LSC appendectomy at ___ c/b SBO, cons" "Correct entity, wrong SNOMED ID","(2388, 2404)","(2388, 2404)",LSC appendectomy,LSC appendectomy,6025007,307581005,17692355-DS-9,"tory: PMH: - anxiety - pyelonephritis ___ PSH: - LSC appendectomy at ___ c/b SBO, conservatively managed - LSC R o" "Correct entity, wrong SNOMED ID","(2416, 2419)","(2416, 2419)",SBO,SBO,281255004,727496008,17692355-DS-9,"nephritis ___ PSH: - LSC appendectomy at ___ c/b SBO, conservatively managed - LSC R ovarian cystecto" Wrong span,"(2447, 2471)","(2447, 2450)",LSC R ovarian cystectomy,LSC,608892008,264675005,17692355-DS-9,"dectomy at ___ c/b SBO, conservatively managed - LSC R ovarian cystectomy, ___ - Left triceps tendon repair ___ OB Hx: G0 " Wrong span,"(2479, 2498)","(2479, 2505)",Left triceps tendon,Left triceps tendon repair,771249005,16052071000119107,17692355-DS-9,"tively managed - LSC R ovarian cystectomy, ___ - Left triceps tendon repair ___ OB Hx: G0 GYN h/x: - menarche age __" Wrong span,"(2499, 2505)","(2479, 2505)",repair,Left triceps tendon repair,4365001,16052071000119107,17692355-DS-9,"C R ovarian cystectomy, ___ - Left triceps tendon repair ___ OB Hx: G0 GYN h/x: - menarche age ___ - Ame" Missed entity,"(2518, 2520)",,G0,,53881005,,17692355-DS-9,"omy, ___ - Left triceps tendon repair ___ OB Hx: G0 GYN h/x: - menarche age ___ - Amenorrheic since " Wrong span,"(2533, 2541)","(2533, 2545)",menarche,menarche age,20016009,398700009,17692355-DS-9," triceps tendon repair ___ OB Hx: G0 GYN h/x: - menarche age ___ - Amenorrheic since Mirena placed in ___ " "Correct entity, wrong SNOMED ID","(2552, 2563)","(2552, 2563)",Amenorrheic,Amenorrheic,14302001,1217062009,17692355-DS-9,"air ___ OB Hx: G0 GYN h/x: - menarche age ___ - Amenorrheic since Mirena placed in ___ - Denies menorrhagia, " "Correct entity, wrong SNOMED ID","(2600, 2611)","(2600, 2611)",menorrhagia,menorrhagia,386692008,237125007,17692355-DS-9,"- Amenorrheic since Mirena placed in ___ - Denies menorrhagia, dysmenorrhea - H/o 4cm hemorrhagic cyst ___ s/p " "Correct entity, wrong SNOMED ID","(2613, 2625)","(2613, 2625)",dysmenorrhea,dysmenorrhea,266599000,191977008,17692355-DS-9," since Mirena placed in ___ - Denies menorrhagia, dysmenorrhea - H/o 4cm hemorrhagic cyst ___ s/p LSC R ovarian " "Correct entity, wrong SNOMED ID","(2636, 2652)","(2636, 2652)",hemorrhagic cyst,hemorrhagic cyst,52321009,41173008,17692355-DS-9," ___ - Denies menorrhagia, dysmenorrhea - H/o 4cm hemorrhagic cyst ___ s/p LSC R ovarian cystectomy - Sexually activ" Wrong span,"(2661, 2685)","(2661, 2664)",LSC R ovarian cystectomy,LSC,608892008,264675005,17692355-DS-9,", dysmenorrhea - H/o 4cm hemorrhagic cyst ___ s/p LSC R ovarian cystectomy - Sexually active - Reports possible PID in ___ d" Missed entity,"(2688, 2703)",,Sexually active,,228453005,,17692355-DS-9,"morrhagic cyst ___ s/p LSC R ovarian cystectomy - Sexually active - Reports possible PID in ___ denies other STIs -" "Correct entity, wrong SNOMED ID","(2723, 2726)","(2723, 2726)",PID,PID,198130006,86458002,17692355-DS-9,"n cystectomy - Sexually active - Reports possible PID in ___ denies other STIs - Denies h/o abnormal pa" "Correct entity, wrong SNOMED ID","(2747, 2751)","(2747, 2751)",STIs,STIs,8098009,38186005,17692355-DS-9,"active - Reports possible PID in ___ denies other STIs - Denies h/o abnormal paps Social History: ___ " Wrong span,"(2859, 2864)","(2850, 2864)",EXAMS,PHYSICAL EXAMS,5880005,410182004,17692355-DS-9,"istory: noncontributory Physical Exam: PHYSICAL EXAMS: ___ ___: Gen: tearful in pain, presents alone " "Correct entity, wrong SNOMED ID","(2876, 2879)","(2876, 2879)",Gen,Gen,162673000,420208008,17692355-DS-9,"butory Physical Exam: PHYSICAL EXAMS: ___ ___: Gen: tearful in pain, presents alone HEENT: normal " "Correct entity, wrong SNOMED ID","(2881, 2888)","(2881, 2888)",tearful,tearful,304534000,1345227001,17692355-DS-9,"y Physical Exam: PHYSICAL EXAMS: ___ ___: Gen: tearful in pain, presents alone HEENT: normal Thyroid:" "Correct entity, wrong SNOMED ID","(2892, 2896)","(2892, 2896)",pain,pain,22253000,102570003,17692355-DS-9,"l Exam: PHYSICAL EXAMS: ___ ___: Gen: tearful in pain, presents alone HEENT: normal Thyroid: no thy" "Correct entity, wrong SNOMED ID","(2914, 2919)","(2914, 2919)",HEENT,HEENT,5880005,113665002,17692355-DS-9,": ___ ___: Gen: tearful in pain, presents alone HEENT: normal Thyroid: no thyromegaly, no nodules R" "Correct entity, wrong SNOMED ID","(2922, 2928)","(2922, 2928)",normal,normal,281900007,840673007,17692355-DS-9,"__: Gen: tearful in pain, presents alone HEENT: normal Thyroid: no thyromegaly, no nodules Resp: CTA" "Correct entity, wrong SNOMED ID","(2930, 2937)","(2930, 2937)",Thyroid,Thyroid,69748006,129122007,17692355-DS-9," tearful in pain, presents alone HEENT: normal Thyroid: no thyromegaly, no nodules Resp: CTABL no cra" "Correct entity, wrong SNOMED ID","(2943, 2954)","(2943, 2954)",thyromegaly,thyromegaly,3716002,92978002,17692355-DS-9,"ain, presents alone HEENT: normal Thyroid: no thyromegaly, no nodules Resp: CTABL no crackles or wheezes " "Correct entity, wrong SNOMED ID","(2959, 2966)","(2959, 2966)",nodules,nodules,27925004,21444008,17692355-DS-9,"one HEENT: normal Thyroid: no thyromegaly, no nodules Resp: CTABL no crackles or wheezes appreciated " "Correct entity, wrong SNOMED ID","(2968, 2972)","(2968, 2972)",Resp,Resp,268925001,20139000,17692355-DS-9,"T: normal Thyroid: no thyromegaly, no nodules Resp: CTABL no crackles or wheezes appreciated CV: " "Correct entity, wrong SNOMED ID","(2975, 2980)","(2975, 2980)",CTABL,CTABL,48348007,103089002,17692355-DS-9,"mal Thyroid: no thyromegaly, no nodules Resp: CTABL no crackles or wheezes appreciated CV: RRR, no " "Correct entity, wrong SNOMED ID","(2996, 3003)","(2996, 3003)",wheezes,wheezes,56018004,9763007,17692355-DS-9,"romegaly, no nodules Resp: CTABL no crackles or wheezes appreciated CV: RRR, no murmurs, rubs, gallops " "Correct entity, wrong SNOMED ID","(3017, 3019)","(3017, 3019)",CV,CV,363003006,258773002,17692355-DS-9," Resp: CTABL no crackles or wheezes appreciated CV: RRR, no murmurs, rubs, gallops Abd: soft, act" "Correct entity, wrong SNOMED ID","(3022, 3025)","(3022, 3025)",RRR,RRR,76863003,129960002,17692355-DS-9,": CTABL no crackles or wheezes appreciated CV: RRR, no murmurs, rubs, gallops Abd: soft, active bo" "Correct entity, wrong SNOMED ID","(3030, 3037)","(3030, 3037)",murmurs,murmurs,88610006,248699005,17692355-DS-9," no crackles or wheezes appreciated CV: RRR, no murmurs, rubs, gallops Abd: soft, active bowel sounds, " "Correct entity, wrong SNOMED ID","(3045, 3052)","(3045, 3052)",gallops,gallops,2170000,4592006,17692355-DS-9," wheezes appreciated CV: RRR, no murmurs, rubs, gallops Abd: soft, active bowel sounds, tender to palpa" "Correct entity, wrong SNOMED ID","(3054, 3057)","(3054, 3057)",Abd,Abd,225162003,60728008,17692355-DS-9,"appreciated CV: RRR, no murmurs, rubs, gallops Abd: soft, active bowel sounds, tender to palpation " "Correct entity, wrong SNOMED ID","(3066, 3085)","(3066, 3085)",active bowel sounds,active bowel sounds,61539000,15280003,17692355-DS-9," CV: RRR, no murmurs, rubs, gallops Abd: soft, active bowel sounds, tender to palpation in LLQ, non-radiating, no r" Wrong span,"(3087, 3113)","(3087, 3093)",tender to palpation in LLQ,tender,439774009,300821004,17692355-DS-9,", rubs, gallops Abd: soft, active bowel sounds, tender to palpation in LLQ, non-radiating, no rebound or guarding Musculos" "Correct entity, wrong SNOMED ID","(3120, 3129)","(3120, 3129)",radiating,radiating,9972008,161892003,17692355-DS-9,"ve bowel sounds, tender to palpation in LLQ, non-radiating, no rebound or guarding Musculoskeletal: grossly" "Correct entity, wrong SNOMED ID","(3134, 3141)","(3134, 3141)",rebound,rebound,35611005,844584001,17692355-DS-9,"s, tender to palpation in LLQ, non-radiating, no rebound or guarding Musculoskeletal: grossly normal Ext" "Correct entity, wrong SNOMED ID","(3155, 3170)","(3155, 3170)",Musculoskeletal,Musculoskeletal,363215001,241562006,17692355-DS-9,"n in LLQ, non-radiating, no rebound or guarding Musculoskeletal: grossly normal Extremities: good perfusion, no" "Correct entity, wrong SNOMED ID","(3180, 3186)","(3180, 3186)",normal,normal,281900007,840673007,17692355-DS-9," no rebound or guarding Musculoskeletal: grossly normal Extremities: good perfusion, no edema, calves n" "Correct entity, wrong SNOMED ID","(3188, 3199)","(3188, 3199)",Extremities,Extremities,302773001,248416007,17692355-DS-9,"und or guarding Musculoskeletal: grossly normal Extremities: good perfusion, no edema, calves nontender Neu" "Correct entity, wrong SNOMED ID","(3202, 3216)","(3202, 3216)",good perfusion,good perfusion,1137685003,66354006,17692355-DS-9,"g Musculoskeletal: grossly normal Extremities: good perfusion, no edema, calves nontender Neuro: grossly wnl " "Correct entity, wrong SNOMED ID","(3221, 3226)","(3221, 3226)",edema,edema,267038008,102576009,17692355-DS-9," grossly normal Extremities: good perfusion, no edema, calves nontender Neuro: grossly wnl Pelvic: " "Correct entity, wrong SNOMED ID","(3228, 3234)","(3228, 3234)",calves,calves,53840002,15634471000119104,17692355-DS-9,"y normal Extremities: good perfusion, no edema, calves nontender Neuro: grossly wnl Pelvic: - Extern" "Correct entity, wrong SNOMED ID","(3235, 3244)","(3235, 3244)",nontender,nontender,247348008,413319007,17692355-DS-9,"l Extremities: good perfusion, no edema, calves nontender Neuro: grossly wnl Pelvic: - External Genital" "Correct entity, wrong SNOMED ID","(3246, 3251)","(3246, 3251)",Neuro,Neuro,84728005,281247006,17692355-DS-9,"ies: good perfusion, no edema, calves nontender Neuro: grossly wnl Pelvic: - External Genitalia: nor" Missed entity,"(3254, 3265)",,grossly wnl,,18460000,,17692355-DS-9,"od perfusion, no edema, calves nontender Neuro: grossly wnl Pelvic: - External Genitalia: normal, no lesion" Wrong span,"(3278, 3296)","(3287, 3296)",External Genitalia,Genitalia,77142006,21321009,17692355-DS-9,"calves nontender Neuro: grossly wnl Pelvic: - External Genitalia: normal, no lesions or cysts - Urethra: meatus <" "Correct entity, wrong SNOMED ID","(3309, 3316)","(3309, 3316)",lesions,lesions,52988006,246206008,17692355-DS-9,"ly wnl Pelvic: - External Genitalia: normal, no lesions or cysts - Urethra: meatus < 5mm, no lesions - " "Correct entity, wrong SNOMED ID","(3320, 3325)","(3320, 3325)",cysts,cysts,367643001,125291005,17692355-DS-9,"vic: - External Genitalia: normal, no lesions or cysts - Urethra: meatus < 5mm, no lesions - Vagina: n" "Correct entity, wrong SNOMED ID","(3329, 3336)","(3329, 3336)",Urethra,Urethra,13648007,422637008,17692355-DS-9,"xternal Genitalia: normal, no lesions or cysts - Urethra: meatus < 5mm, no lesions - Vagina: normal mucos" "Correct entity, wrong SNOMED ID","(3355, 3362)","(3355, 3362)",lesions,lesions,52988006,246206008,17692355-DS-9," no lesions or cysts - Urethra: meatus < 5mm, no lesions - Vagina: normal mucosa, no discharge, or lesion" "Correct entity, wrong SNOMED ID","(3366, 3372)","(3366, 3372)",Vagina,Vagina,76784001,181441005,17692355-DS-9," or cysts - Urethra: meatus < 5mm, no lesions - Vagina: normal mucosa, no discharge, or lesions - Cervi" Wrong span,"(3381, 3387)","(3374, 3387)",mucosa,normal mucosa,56508003,454821000124103,17692355-DS-9,"ethra: meatus < 5mm, no lesions - Vagina: normal mucosa, no discharge, or lesions - Cervix: no CMT, disc" "Correct entity, wrong SNOMED ID","(3406, 3413)","(3406, 3413)",lesions,lesions,52988006,246206008,17692355-DS-9,"esions - Vagina: normal mucosa, no discharge, or lesions - Cervix: no CMT, discharge, lesions or bleeding" "Correct entity, wrong SNOMED ID","(3417, 3423)","(3417, 3423)",Cervix,Cervix,71252005,110631004,17692355-DS-9,"agina: normal mucosa, no discharge, or lesions - Cervix: no CMT, discharge, lesions or bleeding. nullipar" "Correct entity, wrong SNOMED ID","(3444, 3451)","(3444, 3451)",lesions,lesions,52988006,246206008,17692355-DS-9,"scharge, or lesions - Cervix: no CMT, discharge, lesions or bleeding. nulliparous, IUD strings in place " "Correct entity, wrong SNOMED ID","(3455, 3463)","(3455, 3463)",bleeding,bleeding,131148009,74474003,17692355-DS-9," lesions - Cervix: no CMT, discharge, lesions or bleeding. nulliparous, IUD strings in place - Uterus: an" "Correct entity, wrong SNOMED ID","(3465, 3476)","(3465, 3476)",nulliparous,nulliparous,102877006,274125008,17692355-DS-9,"- Cervix: no CMT, discharge, lesions or bleeding. nulliparous, IUD strings in place - Uterus: antevertex, sma" Wrong span,"(3479, 3499)","(3479, 3490)",IUD strings in place,IUD strings,737288007,268460000,17692355-DS-9,"MT, discharge, lesions or bleeding. nulliparous, IUD strings in place - Uterus: antevertex, small, non tender, mobile " "Correct entity, wrong SNOMED ID","(3503, 3509)","(3503, 3509)",Uterus,Uterus,35039007,1372004,17692355-DS-9,"r bleeding. nulliparous, IUD strings in place - Uterus: antevertex, small, non tender, mobile - Adnexa:" "Correct entity, wrong SNOMED ID","(3511, 3521)","(3511, 3521)",antevertex,antevertex,271688008,22526000,17692355-DS-9,"ng. nulliparous, IUD strings in place - Uterus: antevertex, small, non tender, mobile - Adnexa: no palpable" "Correct entity, wrong SNOMED ID","(3523, 3528)","(3523, 3528)",small,small,289624004,26098002,17692355-DS-9,"ous, IUD strings in place - Uterus: antevertex, small, non tender, mobile - Adnexa: no palpable masses" Wrong span,"(3530, 3540)","(3530, 3533)",non tender,non,43478001,900000000000495008,17692355-DS-9,"UD strings in place - Uterus: antevertex, small, non tender, mobile - Adnexa: no palpable masses bilaterally" Missed entity,"(3542, 3548)",,mobile,,276366004,,17692355-DS-9,"n place - Uterus: antevertex, small, non tender, mobile - Adnexa: no palpable masses bilaterally, tender" Wrong span,"(3563, 3578)","(3563, 3566)",palpable masses,pal,443607001,43933006,17692355-DS-9,"tevertex, small, non tender, mobile - Adnexa: no palpable masses bilaterally, tenderness with palpation of left a" "Correct entity, wrong SNOMED ID","(3592, 3602)","(3592, 3602)",tenderness,tenderness,247348008,43478001,17692355-DS-9,"mobile - Adnexa: no palpable masses bilaterally, tenderness with palpation of left adnexal space - Anus/Per" "Correct entity, wrong SNOMED ID","(3609, 3618)","(3609, 3618)",palpation,palpation,113011001,51558006,17692355-DS-9," no palpable masses bilaterally, tenderness with palpation of left adnexal space - Anus/Perineum: normal ap" Wrong span,"(3622, 3634)","(3622, 3626)",left adnexal,left,110635008,264745005,17692355-DS-9,"masses bilaterally, tenderness with palpation of left adnexal space - Anus/Perineum: normal appearance, no les" "Correct entity, wrong SNOMED ID","(3644, 3648)","(3644, 3648)",Anus,Anus,53505006,181262009,17692355-DS-9,"nderness with palpation of left adnexal space - Anus/Perineum: normal appearance, no lesions OBGYN TR" "Correct entity, wrong SNOMED ID","(3649, 3657)","(3649, 3657)",Perineum,Perineum,38864007,115983005,17692355-DS-9,"ess with palpation of left adnexal space - Anus/Perineum: normal appearance, no lesions OBGYN TRIAGE ___:" "Correct entity, wrong SNOMED ID","(3681, 3688)","(3681, 3688)",lesions,lesions,52988006,246206008,17692355-DS-9,"xal space - Anus/Perineum: normal appearance, no lesions OBGYN TRIAGE ___: Vitals: 98.7, HR 81, BP 143/70" "Correct entity, wrong SNOMED ID","(3708, 3714)","(3708, 3714)",Vitals,Vitals,118227000,260390007,17692355-DS-9," normal appearance, no lesions OBGYN TRIAGE ___: Vitals: 98.7, HR 81, BP 143/70, RR 18 Gen: NAD, sitting " "Correct entity, wrong SNOMED ID","(3722, 3724)","(3722, 3724)",HR,HR,301113001,258702006,17692355-DS-9,"ance, no lesions OBGYN TRIAGE ___: Vitals: 98.7, HR 81, BP 143/70, RR 18 Gen: NAD, sitting comfortabl" "Correct entity, wrong SNOMED ID","(3729, 3731)","(3729, 3731)",BP,BP,392570002,38341003,17692355-DS-9,"o lesions OBGYN TRIAGE ___: Vitals: 98.7, HR 81, BP 143/70, RR 18 Gen: NAD, sitting comfortably in th" "Correct entity, wrong SNOMED ID","(3740, 3742)","(3740, 3742)",RR,RR,301283003,229040007,17692355-DS-9,"OBGYN TRIAGE ___: Vitals: 98.7, HR 81, BP 143/70, RR 18 Gen: NAD, sitting comfortably in the bed and a" "Correct entity, wrong SNOMED ID","(3746, 3749)","(3746, 3749)",Gen,Gen,162673000,16651008,17692355-DS-9,"TRIAGE ___: Vitals: 98.7, HR 81, BP 143/70, RR 18 Gen: NAD, sitting comfortably in the bed and able to " "Correct entity, wrong SNOMED ID","(3751, 3754)","(3751, 3754)",NAD,NAD,281900007,131143000,17692355-DS-9,"E ___: Vitals: 98.7, HR 81, BP 143/70, RR 18 Gen: NAD, sitting comfortably in the bed and able to hold " "Correct entity, wrong SNOMED ID","(3756, 3763)","(3756, 3763)",sitting,sitting,33586001,282969008,17692355-DS-9,": Vitals: 98.7, HR 81, BP 143/70, RR 18 Gen: NAD, sitting comfortably in the bed and able to hold conversat" "Correct entity, wrong SNOMED ID","(3868, 3871)","(3868, 3871)",Abd,Abd,225162003,60728008,17692355-DS-9,"hroughout history without appearing uncomfortable Abd: soft, NTTP, mildly TTP in LLQ, no rebound/guardi" "Correct entity, wrong SNOMED ID","(3879, 3883)","(3879, 3883)",NTTP,NTTP,838411007,259523005,17692355-DS-9,"istory without appearing uncomfortable Abd: soft, NTTP, mildly TTP in LLQ, no rebound/guarding SSE: defe" Wrong span,"(3892, 3902)","(3892, 3895)",TTP in LLQ,TTP,439774009,438476003,17692355-DS-9,"t appearing uncomfortable Abd: soft, NTTP, mildly TTP in LLQ, no rebound/guarding SSE: deferred as this was pe" "Correct entity, wrong SNOMED ID","(3907, 3914)","(3907, 3914)",rebound,rebound,35611005,844584001,17692355-DS-9,"omfortable Abd: soft, NTTP, mildly TTP in LLQ, no rebound/guarding SSE: deferred as this was performed in c" Wrong span,"(4008, 4018)","(4008, 4011)",TTP in LLQ,TTP,439774009,438476003,17692355-DS-9,"d in clinic and found to be normal SVE: no CMT, +TTP in LLQ though not palpably over the adnexa. no fundal T" "Correct entity, wrong SNOMED ID","(4060, 4066)","(4060, 4066)",fundal,fundal,27485007,40745008,17692355-DS-9,"P in LLQ though not palpably over the adnexa. no fundal TTP or RLQ pain. TCC8 ___ BP: 122/74, Weight: 19" "Correct entity, wrong SNOMED ID","(4067, 4070)","(4067, 4070)",TTP,TTP,247348008,438476003,17692355-DS-9,"Q though not palpably over the adnexa. no fundal TTP or RLQ pain. TCC8 ___ BP: 122/74, Weight: 198 (W" "Correct entity, wrong SNOMED ID","(4094, 4096)","(4094, 4096)",BP,BP,392570002,38341003,17692355-DS-9,"the adnexa. no fundal TTP or RLQ pain. TCC8 ___ BP: 122/74, Weight: 198 (With Clothes), Height: 68, " "Correct entity, wrong SNOMED ID","(4106, 4112)","(4106, 4112)",Weight,Weight,107647005,43664005,17692355-DS-9,"no fundal TTP or RLQ pain. TCC8 ___ BP: 122/74, Weight: 198 (With Clothes), Height: 68, BMI: 30.1, LMP:" "Correct entity, wrong SNOMED ID","(4134, 4140)","(4134, 4140)",Height,Height,365714001,18779001,17692355-DS-9," TCC8 ___ BP: 122/74, Weight: 198 (With Clothes), Height: 68, BMI: 30.1, LMP: # (Mirena) Gen: tearful, vi" Missed entity,"(4146, 4149)",,BMI,,301331008,,17692355-DS-9,": 122/74, Weight: 198 (With Clothes), Height: 68, BMI: 30.1, LMP: # (Mirena) Gen: tearful, visibly unc" "Correct entity, wrong SNOMED ID","(4174, 4177)","(4174, 4177)",Gen,Gen,162673000,16651008,17692355-DS-9,"Clothes), Height: 68, BMI: 30.1, LMP: # (Mirena) Gen: tearful, visibly uncomfortable Abdomen: soft, TT" "Correct entity, wrong SNOMED ID","(4179, 4186)","(4179, 4186)",tearful,tearful,271951008,1345227001,17692355-DS-9,"es), Height: 68, BMI: 30.1, LMP: # (Mirena) Gen: tearful, visibly uncomfortable Abdomen: soft, TTP in the " "Correct entity, wrong SNOMED ID","(4210, 4217)","(4210, 4217)",Abdomen,Abdomen,225162003,41931001,17692355-DS-9,"P: # (Mirena) Gen: tearful, visibly uncomfortable Abdomen: soft, TTP in the LLQ, no rebound, voluntary guar" Wrong span,"(4225, 4239)","(4225, 4228)",TTP in the LLQ,TTP,439774009,438476003,17692355-DS-9,"en: tearful, visibly uncomfortable Abdomen: soft, TTP in the LLQ, no rebound, voluntary guarding SSE: normal, IUD " "Correct entity, wrong SNOMED ID","(4244, 4251)","(4244, 4251)",rebound,rebound,35611005,844584001,17692355-DS-9,"y uncomfortable Abdomen: soft, TTP in the LLQ, no rebound, voluntary guarding SSE: normal, IUD strings in p" Missed entity,"(4285, 4306)",,IUD strings in placed,,737288007,,17692355-DS-9," LLQ, no rebound, voluntary guarding SSE: normal, IUD strings in placed SVE: no CMT, +TTP in the LLQ, no RLQ pain, no fun" Wrong span,"(4321, 4335)","(4321, 4324)",TTP in the LLQ,TTP,439774009,438476003,17692355-DS-9," SSE: normal, IUD strings in placed SVE: no CMT, +TTP in the LLQ, no RLQ pain, no fundal tenderness, rectovaginal" "Correct entity, wrong SNOMED ID","(4353, 4359)","(4353, 4359)",fundal,fundal,27485007,40745008,17692355-DS-9,"ced SVE: no CMT, +TTP in the LLQ, no RLQ pain, no fundal tenderness, rectovaginal exam unremarkable OBGY" "Correct entity, wrong SNOMED ID","(4360, 4370)","(4360, 4370)",tenderness,tenderness,247348008,43478001,17692355-DS-9,": no CMT, +TTP in the LLQ, no RLQ pain, no fundal tenderness, rectovaginal exam unremarkable OBGYN TRIAGE __" Wrong span,"(4373, 4390)","(4373, 4377)",rectovaginal exam,rect,409995009,62629000,17692355-DS-9,"P in the LLQ, no RLQ pain, no fundal tenderness, rectovaginal exam unremarkable OBGYN TRIAGE ___: T99.1, BP 110/51," "Correct entity, wrong SNOMED ID","(4391, 4403)","(4391, 4403)",unremarkable,unremarkable,281900007,167703002,17692355-DS-9,"LQ pain, no fundal tenderness, rectovaginal exam unremarkable OBGYN TRIAGE ___: T99.1, BP 110/51, HR 80, Pain " "Correct entity, wrong SNOMED ID","(4430, 4432)","(4430, 4432)",BP,BP,392570002,38341003,17692355-DS-9,"ginal exam unremarkable OBGYN TRIAGE ___: T99.1, BP 110/51, HR 80, Pain score ___ Gen: lying in bed, " "Correct entity, wrong SNOMED ID","(4441, 4443)","(4441, 4443)",HR,HR,301113001,258702006,17692355-DS-9,"unremarkable OBGYN TRIAGE ___: T99.1, BP 110/51, HR 80, Pain score ___ Gen: lying in bed, appears mil" "Correct entity, wrong SNOMED ID","(4463, 4466)","(4463, 4466)",Gen,Gen,162673000,16651008,17692355-DS-9,"IAGE ___: T99.1, BP 110/51, HR 80, Pain score ___ Gen: lying in bed, appears mildly uncomfortable CV: R" "Correct entity, wrong SNOMED ID","(4468, 4480)","(4468, 4480)",lying in bed,lying in bed,17535004,1230176002,17692355-DS-9,"___: T99.1, BP 110/51, HR 80, Pain score ___ Gen: lying in bed, appears mildly uncomfortable CV: RRR Pulm: LCTAB" "Correct entity, wrong SNOMED ID","(4511, 4513)","(4511, 4513)",CV,CV,363003006,258773002,17692355-DS-9,"_ Gen: lying in bed, appears mildly uncomfortable CV: RRR Pulm: LCTAB Abdomen: soft, +BS, nontender in" "Correct entity, wrong SNOMED ID","(4515, 4518)","(4515, 4518)",RRR,RRR,76863003,129960002,17692355-DS-9,"n: lying in bed, appears mildly uncomfortable CV: RRR Pulm: LCTAB Abdomen: soft, +BS, nontender in LUQ," "Correct entity, wrong SNOMED ID","(4519, 4523)","(4519, 4523)",Pulm,Pulm,268925001,419170002,17692355-DS-9,"ying in bed, appears mildly uncomfortable CV: RRR Pulm: LCTAB Abdomen: soft, +BS, nontender in LUQ, RUQ " "Correct entity, wrong SNOMED ID","(4525, 4530)","(4525, 4530)",LCTAB,LCTAB,48348007,37959007,17692355-DS-9,"n bed, appears mildly uncomfortable CV: RRR Pulm: LCTAB Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ" "Correct entity, wrong SNOMED ID","(4531, 4538)","(4531, 4538)",Abdomen,Abdomen,225162003,41931001,17692355-DS-9," appears mildly uncomfortable CV: RRR Pulm: LCTAB Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Report" "Correct entity, wrong SNOMED ID","(4546, 4549)","(4546, 4549)",+BS,+BS,61539000,260347006,17692355-DS-9," uncomfortable CV: RRR Pulm: LCTAB Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Reports severe t" Wrong span,"(4554, 4567)","(4551, 4560)",tender in LUQ,nontender,448660000,413319007,17692355-DS-9,"rtable CV: RRR Pulm: LCTAB Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Reports severe tenderness focally " "Correct entity, wrong SNOMED ID","(4569, 4572)","(4569, 4572)",RUQ,RUQ,448265002,65826004,17692355-DS-9,"Pulm: LCTAB Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Reports severe tenderness focally in LL" "Correct entity, wrong SNOMED ID","(4577, 4580)","(4577, 4580)",RLQ,RLQ,448661001,255480002,17692355-DS-9,"TAB Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Reports severe tenderness focally in LLQ, howev" Wrong span,"(4598, 4623)","(4598, 4608)",tenderness focally in LLQ,tenderness,439774009,43478001,17692355-DS-9,"S, nontender in LUQ, RUQ and RLQ. Reports severe tenderness focally in LLQ, however is able to speak through exam. No rebou" Wrong span,"(4636, 4649)","(4636, 4643)",able to speak,able to,286368006,371153006,17692355-DS-9,"rts severe tenderness focally in LLQ, however is able to speak through exam. No rebound or guarding. No left fl" Missed entity,"(4659, 4663)",,exam,,225162003,,17692355-DS-9,"focally in LLQ, however is able to speak through exam. No rebound or guarding. No left flank pain or CV" "Correct entity, wrong SNOMED ID","(4668, 4675)","(4668, 4675)",rebound,rebound,35611005,844584001,17692355-DS-9,"n LLQ, however is able to speak through exam. No rebound or guarding. No left flank pain or CVA tendernes" Wrong span,"(4711, 4726)","(4711, 4714)","CVA tenderness",CVA,102830001,1131000119105,17692355-DS-9,"am. No rebound or guarding. No left flank pain or CVA tenderness. Pelvic: deferred given lack of symptoms and two " "Correct entity, wrong SNOMED ID","(4728, 4734)","(4728, 4734)",Pelvic,Pelvic,35025007,239992008,17692355-DS-9," guarding. No left flank pain or CVA tenderness. Pelvic: deferred given lack of symptoms and two recent n" "Correct entity, wrong SNOMED ID","(4865, 4868)","(4865, 4868)",Gen,Gen,162673000,16651008,17692355-DS-9," 24 hours DAY OF DISCHARGE, HOSPITAL DAY 2, ___: Gen: lying in bed, appears comfortable on approach by" "Correct entity, wrong SNOMED ID","(4870, 4882)","(4870, 4882)",lying in bed,lying in bed,17535004,301695006,17692355-DS-9,"ours DAY OF DISCHARGE, HOSPITAL DAY 2, ___: Gen: lying in bed, appears comfortable on approach by provider ___:" "Correct entity, wrong SNOMED ID","(4933, 4936)","(4933, 4936)",RRR,RRR,76863003,129960002,17692355-DS-9," appears comfortable on approach by provider ___: RRR, no murmurs, rubs, or gallops Pulm: LCTAB, no whe" "Correct entity, wrong SNOMED ID","(4941, 4948)","(4941, 4948)",murmurs,murmurs,88610006,248699005,17692355-DS-9," comfortable on approach by provider ___: RRR, no murmurs, rubs, or gallops Pulm: LCTAB, no wheezes or crac" "Correct entity, wrong SNOMED ID","(4959, 4966)","(4959, 4966)",gallops,gallops,2170000,4592006,17692355-DS-9,"proach by provider ___: RRR, no murmurs, rubs, or gallops Pulm: LCTAB, no wheezes or crackles appreciated A" "Correct entity, wrong SNOMED ID","(4967, 4971)","(4967, 4971)",Pulm,Pulm,268925001,419170002,17692355-DS-9,"y provider ___: RRR, no murmurs, rubs, or gallops Pulm: LCTAB, no wheezes or crackles appreciated Abdome" "Correct entity, wrong SNOMED ID","(4973, 4978)","(4973, 4978)",LCTAB,LCTAB,48348007,124261008,17692355-DS-9,"ider ___: RRR, no murmurs, rubs, or gallops Pulm: LCTAB, no wheezes or crackles appreciated Abdomen: soft" "Correct entity, wrong SNOMED ID","(4983, 4990)","(4983, 4990)",wheezes,wheezes,56018004,9763007,17692355-DS-9,"RRR, no murmurs, rubs, or gallops Pulm: LCTAB, no wheezes or crackles appreciated Abdomen: soft, +BS, nonte" "Correct entity, wrong SNOMED ID","(5030, 5033)","(5030, 5033)",+BS,+BS,61539000,260347006,17692355-DS-9,"no wheezes or crackles appreciated Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Reports severe t" Wrong span,"(5038, 5051)","(5035, 5044)",tender in LUQ,nontender,448660000,413319007,17692355-DS-9,"es or crackles appreciated Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Reports severe tenderness focally " "Correct entity, wrong SNOMED ID","(5053, 5056)","(5053, 5056)",RUQ,RUQ,448265002,65826004,17692355-DS-9,"appreciated Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Reports severe tenderness focally in LL" "Correct entity, wrong SNOMED ID","(5061, 5064)","(5061, 5064)",RLQ,RLQ,448661001,255480002,17692355-DS-9,"ted Abdomen: soft, +BS, nontender in LUQ, RUQ and RLQ. Reports severe tenderness focally in LLQ, howev" Wrong span,"(5082, 5107)","(5082, 5092)",tenderness focally in LLQ,tenderness,439774009,43478001,17692355-DS-9,"S, nontender in LUQ, RUQ and RLQ. Reports severe tenderness focally in LLQ, however is able to speak through exam. Voluntar" "Correct entity, wrong SNOMED ID","(5120, 5133)","(5120, 5133)",able to speak,able to speak,286368006,365039003,17692355-DS-9,"rts severe tenderness focally in LLQ, however is able to speak through exam. Voluntary guarding. No rebound. No" Missed entity,"(5143, 5147)",,exam,,225162003,,17692355-DS-9,"focally in LLQ, however is able to speak through exam. Voluntary guarding. No rebound. No left flank pa" Wrong span,"(5149, 5167)","(5159, 5167)",Voluntary guarding,guarding,82708005,249545003,17692355-DS-9,"y in LLQ, however is able to speak through exam. Voluntary guarding. No rebound. No left flank pain or CVA tendernes" "Correct entity, wrong SNOMED ID","(5172, 5179)","(5172, 5179)",rebound,rebound,35611005,844584001,17692355-DS-9,"le to speak through exam. Voluntary guarding. No rebound. No left flank pain or CVA tenderness. Pertine" Wrong span,"(5204, 5218)","(5204, 5207)",CVA tenderness,CVA,102830001,1131000119105,17692355-DS-9,"tary guarding. No rebound. No left flank pain or CVA tenderness. Pertinent Results: ___ 05:40PM UREA N-13 CRE" "Correct entity, wrong SNOMED ID","(5265, 5270)","(5265, 5270)",CREAT,CREAT,70901006,365756002,17692355-DS-9,"ess. Pertinent Results: ___ 05:40PM UREA N-13 CREAT-0.8 ___ 05:40PM estGFR-Using this ___ 05:40PM " "Correct entity, wrong SNOMED ID","(5343, 5346)","(5343, 5346)",WBC,WBC,767002,391558003,17692355-DS-9,"FR-Using this ___ 05:40PM CRP-0.8 ___ 05:40PM WBC-7.6 RBC-4.04 HGB-12.1 HCT-36.5 MCV-90 MCH-30.0 M" "Correct entity, wrong SNOMED ID","(5351, 5354)","(5351, 5354)",RBC,RBC,14089001,258759006,17692355-DS-9," this ___ 05:40PM CRP-0.8 ___ 05:40PM WBC-7.6 RBC-4.04 HGB-12.1 HCT-36.5 MCV-90 MCH-30.0 MCHC-33.2" "Correct entity, wrong SNOMED ID","(5360, 5363)","(5360, 5363)",HGB,HGB,441689006,104142005,17692355-DS-9," 05:40PM CRP-0.8 ___ 05:40PM WBC-7.6 RBC-4.04 HGB-12.1 HCT-36.5 MCV-90 MCH-30.0 MCHC-33.2 RDW-12.8" "Correct entity, wrong SNOMED ID","(5369, 5372)","(5369, 5372)",HCT,HCT,28317006,840276005,17692355-DS-9," CRP-0.8 ___ 05:40PM WBC-7.6 RBC-4.04 HGB-12.1 HCT-36.5 MCV-90 MCH-30.0 MCHC-33.2 RDW-12.8 RDWSD-42" Missed entity,"(5378, 5381)",,MCV,,104133003,,17692355-DS-9," ___ 05:40PM WBC-7.6 RBC-4.04 HGB-12.1 HCT-36.5 MCV-90 MCH-30.0 MCHC-33.2 RDW-12.8 RDWSD-42.4 ___ 05" "Correct entity, wrong SNOMED ID","(5395, 5399)","(5395, 5399)",MCHC,MCHC,37254006,735147002,17692355-DS-9,"C-7.6 RBC-4.04 HGB-12.1 HCT-36.5 MCV-90 MCH-30.0 MCHC-33.2 RDW-12.8 RDWSD-42.4 ___ 05:40PM PLT COUNT-" "Correct entity, wrong SNOMED ID","(5405, 5408)","(5405, 5408)",RDW,RDW,66842004,735149004,17692355-DS-9,"4.04 HGB-12.1 HCT-36.5 MCV-90 MCH-30.0 MCHC-33.2 RDW-12.8 RDWSD-42.4 ___ 05:40PM PLT COUNT-226 Bri" "Correct entity, wrong SNOMED ID","(5414, 5419)","(5414, 5419)",RDWSD,RDWSD,66842004,80328002,17692355-DS-9,"12.1 HCT-36.5 MCV-90 MCH-30.0 MCHC-33.2 RDW-12.8 RDWSD-42.4 ___ 05:40PM PLT COUNT-226 Brief Hospital" Wrong span,"(5507, 5535)","(5511, 5535)",lsc right ovarian cystectomy,right ovarian cystectomy,608892008,608892008,17692355-DS-9,"ief Hospital Course: Ms. ___ is a ___ G0 with h/o lsc right ovarian cystectomy and questionable PID in ___, ___ IUD in place, w" Missed entity,"(5554, 5557)",,PID,,198130006,,17692355-DS-9,"/o lsc right ovarian cystectomy and questionable PID in ___, ___ IUD in place, who presented to OBGYN" Wrong span,"(5570, 5582)","(5570, 5573)",IUD in place,IUD,737288007,271973001,17692355-DS-9,"rian cystectomy and questionable PID in ___, ___ IUD in place, who presented to OBGYN triage on ___ with 3 wee" "Correct entity, wrong SNOMED ID","(5691, 5697)","(5691, 5697)",nausea,nausea,422587007,1217125005,17692355-DS-9,"ermittent left lower quadrant pain and new onset nausea and isolated episode of emesis who was admitted " "Correct entity, wrong SNOMED ID","(5723, 5729)","(5723, 5729)",emesis,emesis,422400008,71419002,17692355-DS-9,"ain and new onset nausea and isolated episode of emesis who was admitted for observation. Of note, she w" Missed entity,"(5782, 5791)",,evaluated,,386053000,,17692355-DS-9,"o was admitted for observation. Of note, she was evaluated in ___ clinic on ___ for this pain. She was afeb" "Correct entity, wrong SNOMED ID","(5823, 5827)","(5823, 5827)",pain,pain,21522001,102570003,17692355-DS-9," she was evaluated in ___ clinic on ___ for this pain. She was afebrile with normal vital signs. had an" "Correct entity, wrong SNOMED ID","(5837, 5845)","(5837, 5845)",afebrile,afebrile,87273009,307200007,17692355-DS-9,"ated in ___ clinic on ___ for this pain. She was afebrile with normal vital signs. had an abdominal exam r" "Correct entity, wrong SNOMED ID","(5878, 5893)","(5878, 5893)","abdominal exam","abdominal exam",225162003,5506006,17692355-DS-9," She was afebrile with normal vital signs. had an abdominal exam remarkable for tenderness in LLQ without rebound " Wrong span,"(5909, 5926)","(5909, 5919)",tenderness in LLQ,tenderness,439774009,43478001,17692355-DS-9,"ital signs. had an abdominal exam remarkable for tenderness in LLQ without rebound or guarding, and a normal pelvic" "Correct entity, wrong SNOMED ID","(5935, 5942)","(5935, 5942)",rebound,rebound,35611005,844584001,17692355-DS-9,"al exam remarkable for tenderness in LLQ without rebound or guarding, and a normal pelvic exam. She was f" "Correct entity, wrong SNOMED ID","(5963, 5969)","(5963, 5969)",normal,normal,281900007,840673007,17692355-DS-9,"erness in LLQ without rebound or guarding, and a normal pelvic exam. She was found to have a normal whit" Wrong span,"(6008, 6026)","(6008, 6014)",normal white count,normal,165507003,840673007,17692355-DS-9,"nd a normal pelvic exam. She was found to have a normal white count of 7.6 with no left shift, negative UA, GC/chlam" "Correct entity, wrong SNOMED ID","(6054, 6062)","(6054, 6062)",negative,negative,281900007,268375009,17692355-DS-9," a normal white count of 7.6 with no left shift, negative UA, GC/chlamydia, BV and uhCG. She was ordered f" "Correct entity, wrong SNOMED ID","(6063, 6065)","(6063, 6065)",UA,UA,27171005,257999003,17692355-DS-9,"l white count of 7.6 with no left shift, negative UA, GC/chlamydia, BV and uhCG. She was ordered for " "Correct entity, wrong SNOMED ID","(6068, 6070)","(6068, 6070)",GC,GC,15628003,396156008,17692355-DS-9,"te count of 7.6 with no left shift, negative UA, GC/chlamydia, BV and uhCG. She was ordered for a pel" "Correct entity, wrong SNOMED ID","(6071, 6080)","(6071, 6080)",chlamydia,chlamydia,105629000,264405000,17692355-DS-9,"count of 7.6 with no left shift, negative UA, GC/chlamydia, BV and uhCG. She was ordered for a pelvic US whi" Boundary error,"(6082, 6084)","(6082, 6083)",BV,B,419760006,257983009,17692355-DS-9,"6 with no left shift, negative UA, GC/chlamydia, BV and uhCG. She was ordered for a pelvic US which " "Correct entity, wrong SNOMED ID","(6117, 6126)","(6117, 6126)",pelvic US,pelvic US,24848001,711554003,17692355-DS-9," GC/chlamydia, BV and uhCG. She was ordered for a pelvic US which showed ovaries normal in size with normal " "Correct entity, wrong SNOMED ID","(6141, 6148)","(6141, 6148)",ovaries,ovaries,15497006,83238006,17692355-DS-9,"CG. She was ordered for a pelvic US which showed ovaries normal in size with normal Doppler flow, no free " "Correct entity, wrong SNOMED ID","(6149, 6163)","(6149, 6163)",normal in size,normal in size,53461003,289632007,17692355-DS-9,"was ordered for a pelvic US which showed ovaries normal in size with normal Doppler flow, no free fluid, and app" Wrong span,"(6169, 6188)","(6169, 6183)",normal Doppler flow,normal Doppler,312369005,310253005,17692355-DS-9,"lvic US which showed ovaries normal in size with normal Doppler flow, no free fluid, and appropriately positioned Mir" "Correct entity, wrong SNOMED ID","(6193, 6204)","(6193, 6204)","free fluid","free fluid",41699000,17672001,17692355-DS-9,"aries normal in size with normal Doppler flow, no free fluid, and appropriately positioned Mirena IUD. In tri" Wrong span,"(6270, 6289)","(6270, 6274)",pain was controlled,pain,225782006,102570003,17692355-DS-9,"ely positioned Mirena IUD. In triage on ___, her pain was controlled with IV Dilaudid. She had normal vitals and a no" "Correct entity, wrong SNOMED ID","(6317, 6330)","(6317, 6330)",normal vitals,normal vitals,72970002,165039000,17692355-DS-9,"er pain was controlled with IV Dilaudid. She had normal vitals and a normal repeat pelvic ultrasound which show" Missed entity,"(6337, 6343)",,normal,,281900007,,17692355-DS-9,"ed with IV Dilaudid. She had normal vitals and a normal repeat pelvic ultrasound which showed ovaries no" "Correct entity, wrong SNOMED ID","(6351, 6368)","(6351, 6368)",pelvic ultrasound,pelvic ultrasound,24848001,1381843006,17692355-DS-9,"audid. She had normal vitals and a normal repeat pelvic ultrasound which showed ovaries normal in size and appearan" "Correct entity, wrong SNOMED ID","(6383, 6390)","(6383, 6390)",ovaries,ovaries,15497006,83238006,17692355-DS-9,"d a normal repeat pelvic ultrasound which showed ovaries normal in size and appearance, no ovarian cysts " "Correct entity, wrong SNOMED ID","(6391, 6405)","(6391, 6405)",normal in size,normal in size,53461003,289632007,17692355-DS-9,"al repeat pelvic ultrasound which showed ovaries normal in size and appearance, no ovarian cysts or evidence of " "Correct entity, wrong SNOMED ID","(6425, 6439)","(6425, 6439)","ovarian cysts","ovarian cysts",79883001,1144234005,17692355-DS-9," showed ovaries normal in size and appearance, no ovarian cysts or evidence of torsion, and IUD properly position" "Correct entity, wrong SNOMED ID","(6455, 6462)","(6455, 6462)",torsion,torsion,13595002,81996005,17692355-DS-9," and appearance, no ovarian cysts or evidence of torsion, and IUD properly positioned. Repeat CBC/differe" "Correct entity, wrong SNOMED ID","(6501, 6504)","(6501, 6504)",CBC,CBC,165406005,26604007,17692355-DS-9," of torsion, and IUD properly positioned. Repeat CBC/differential and CRP were normal. Given worsening" Missed entity,"(6505, 6517)",,differential,,165512002,,17692355-DS-9,"torsion, and IUD properly positioned. Repeat CBC/differential and CRP were normal. Given worsening abdominal p" Missed entity,"(6522, 6537)",,CRP were normal,,166583007,,17692355-DS-9,"properly positioned. Repeat CBC/differential and CRP were normal. Given worsening abdominal pain with unclear eti" Wrong span,"(6545, 6554)","(6545, 6550)",worsening,worse,1144586002,280122007,17692355-DS-9,"epeat CBC/differential and CRP were normal. Given worsening abdominal pain with unclear etiology, patient wa" "Correct entity, wrong SNOMED ID","(6556, 6570)","(6556, 6570)",abdominal pain,abdominal pain,21522001,54586004,17692355-DS-9,"ifferential and CRP were normal. Given worsening abdominal pain with unclear etiology, patient was admitted for " Wrong span,"(6758, 6766)","(6758, 6786)",sleeping,"sleeping comfortably in bed",248220008,160685001,17692355-DS-9,"ing report. On hospital day 1 (___), patient was sleeping comfortably in bed when approached by provider. " "Correct entity, wrong SNOMED ID","(6873, 6888)","(6873, 6888)",left lower pain,left lower pain,301716002,707597009,17692355-DS-9,"wakening from sleep, she reported persistent ___ left lower pain. Upon medication review, patient had received, 1" Wrong span,"(6896, 6913)","(6896, 6906)",medication review,medication,182836005,182837001,17692355-DS-9,"he reported persistent ___ left lower pain. Upon medication review, patient had received, 1 dose of IV Dilaudid, 1 " Wrong span,"(6998, 7004)","(6998, 7008)",nausea,nausea was,422587007,422587007,17692355-DS-9,"V Dilaudid, 1 Tylenol and 1 since admission. Her nausea was controlled with Zofran, and she was tolerati" "Correct entity, wrong SNOMED ID","(7046, 7056)","(7046, 7056)",tolerating,tolerating,1144522003,424184006,17692355-DS-9,"r nausea was controlled with Zofran, and she was tolerating regular diet without nausea or vomiting. She had" "Correct entity, wrong SNOMED ID","(7057, 7069)","(7057, 7069)",regular diet,regular diet,36823005,63740007,17692355-DS-9,"s controlled with Zofran, and she was tolerating regular diet without nausea or vomiting. She had normal vital" "Correct entity, wrong SNOMED ID","(7078, 7084)","(7078, 7084)",nausea,nausea,422587007,1217125005,17692355-DS-9,"fran, and she was tolerating regular diet without nausea or vomiting. She had normal vital signs and beni" "Correct entity, wrong SNOMED ID","(7089, 7097)","(7089, 7097)",vomiting,vomiting,422400008,162062008,17692355-DS-9,"he was tolerating regular diet without nausea or vomiting. She had normal vital signs and benign physical e" "Correct entity, wrong SNOMED ID","(7157, 7169)","(7157, 7169)",soft abdomen,soft abdomen,249543005,126611005,17692355-DS-9,"normal vital signs and benign physical exam with soft abdomen and voluntary guarding in left lower quadrant. S" Missed entity,"(7174, 7183)",,voluntary,,82708005,,17692355-DS-9,"s and benign physical exam with soft abdomen and voluntary guarding in left lower quadrant. She reported se" "Correct entity, wrong SNOMED ID","(7196, 7215)","(7196, 7215)",left lower quadrant,left lower quadrant,68505006,255480002,17692355-DS-9,"exam with soft abdomen and voluntary guarding in left lower quadrant. She reported severe tenderness focally in LLQ, " Wrong span,"(7238, 7263)","(7238, 7248)",tenderness focally in LLQ,tenderness,439774009,43478001,17692355-DS-9,"ding in left lower quadrant. She reported severe tenderness focally in LLQ, however was able to speak through exam. Prelimi" Wrong span,"(7277, 7291)","(7277, 7285)","able to speak","able to",286368006,371153006,17692355-DS-9,"ted severe tenderness focally in LLQ, however was able to speak through exam. Preliminary read for CT abdomen/pel" Wrong span,"(7327, 7344)","(7327, 7337)",CT abdomen/pelvis,CT abdomen,419394006,169070004,17692355-DS-9,"able to speak through exam. Preliminary read for CT abdomen/pelvis was negative for any acute intraabdominal proces" Missed entity,"(7350, 7358)",,negative,,281900007,,17692355-DS-9,"exam. Preliminary read for CT abdomen/pelvis was negative for any acute intraabdominal process. Patient ha" Wrong span,"(7505, 7513)","(7505, 7518)",negative,negative labs,281900007,168383004,17692355-DS-9,"24 hours total in ___/triage/hospital floor with negative labs and imaging. Given the low concern for ovar" Wrong span,"(7514, 7518)","(7505, 7518)",labs,negative labs,15220000,168383004,17692355-DS-9," total in ___/triage/hospital floor with negative labs and imaging. Given the low concern for ovarian t" "Correct entity, wrong SNOMED ID","(7524, 7531)","(7524, 7531)",imaging,imaging,363679005,408574004,17692355-DS-9,"___/triage/hospital floor with negative labs and imaging. Given the low concern for ovarian torsion and GY" "Correct entity, wrong SNOMED ID","(7559, 7574)","(7559, 7574)",ovarian torsion,ovarian torsion,13595002,61473007,17692355-DS-9,"tive labs and imaging. Given the low concern for ovarian torsion and GYN source of pain, and no clear acute GI or" Missed entity,"(7579, 7582)",,GYN,,127882003,,17692355-DS-9,"ng. Given the low concern for ovarian torsion and GYN source of pain, and no clear acute GI or MSK eti" Missed entity,"(7619, 7621)",,GI,,86762007,,17692355-DS-9,"rsion and GYN source of pain, and no clear acute GI or MSK etiology for pain, patient was discharged" Missed entity,"(7625, 7628)",,MSK,,26107004,,17692355-DS-9,"and GYN source of pain, and no clear acute GI or MSK etiology for pain, patient was discharged home i" "Correct entity, wrong SNOMED ID","(7680, 7696)","(7680, 7696)",stable condition,stable condition,359746009,193844000,17692355-DS-9,"tiology for pain, patient was discharged home in stable condition with outpatient GYN follow up appointment schedu" "Correct entity, wrong SNOMED ID","(8309, 8324)","(8309, 8324)",abdoiminal pain,abdoiminal pain,21522001,162039006,17692355-DS-9,"ischarge Disposition: Home Discharge Diagnosis: abdoiminal pain Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(8349, 8362)","(8349, 8362)",Mental Status,Mental Status,392257007,419284004,17692355-DS-9,"iagnosis: abdoiminal pain Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" Missed entity,"(8364, 8369)",,Clear,,830123008,,17692355-DS-9,"minal pain Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(8384, 8406)","(8384, 8406)",Level of Consciousness,Level of Consciousness,444714004,830285008,17692355-DS-9,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(8408, 8413)","(8408, 8413)",Alert,Alert,248234008,409787004,17692355-DS-9,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(8418, 8429)","(8418, 8429)",interactive,interactive,288577006,10301000202103,17692355-DS-9,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(8431, 8446)","(8431, 8446)",Activity Status,Activity Status,129676008,397622007,17692355-DS-9,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(8448, 8472)","(8448, 8472)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,17692355-DS-9,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Ms. ___, You we" "Correct entity, wrong SNOMED ID","(8583, 8597)","(8583, 8597)",abdominal pain,abdominal pain,21522001,54586004,17692355-DS-9," to the gynecology service after presenting with abdominal pain concerning for ovarian torsion. You underwent im" "Correct entity, wrong SNOMED ID","(8613, 8628)","(8613, 8628)",ovarian torsion,ovarian torsion,13595002,253822004,17692355-DS-9,"er presenting with abdominal pain concerning for ovarian torsion. You underwent imagine that has shown no evidenc" "Correct entity, wrong SNOMED ID","(8668, 8679)","(8668, 8679)",no evidence,no evidence,281900007,41647002,17692355-DS-9,"an torsion. You underwent imagine that has shown no evidence of ovarian torsion or appendicitis. You have rec" "Correct entity, wrong SNOMED ID","(8683, 8698)","(8683, 8698)",ovarian torsion,ovarian torsion,13595002,253822004,17692355-DS-9," underwent imagine that has shown no evidence of ovarian torsion or appendicitis. You have recovered well and the" "Correct entity, wrong SNOMED ID","(8703, 8715)","(8703, 8715)",appendicitis,appendicitis,74400008,85189001,17692355-DS-9,"that has shown no evidence of ovarian torsion or appendicitis. You have recovered well and the team believes y" Missed entity,"(8859, 8871)",,primary care,,737470001,,17692355-DS-9,"all schedule an outpatient appointment with your primary care doctor for further evaluation of your abdominal " "Correct entity, wrong SNOMED ID","(8892, 8902)","(8892, 8902)",evaluation,evaluation,386053000,39609006,17692355-DS-9,"ntment with your primary care doctor for further evaluation of your abdominal pain. Please follow the instr" "Correct entity, wrong SNOMED ID","(8911, 8925)","(8911, 8925)",abdominal pain,abdominal pain,21522001,54586004,17692355-DS-9,"imary care doctor for further evaluation of your abdominal pain. Please follow the instructions below. * Take " False positive,,"(654, 660)",,voided,,449491000124101,17739994-DS-31,"d has been unable to hold anything down. She has voided ""all day"" despite persisitent vomiting after try" False positive,,"(1276, 1279)",,LMP,,21840007,17739994-DS-31,"ast Medical History: PRENATAL COURSE - EDC ___ by LMP c/w first trimester u/s - O+/Ab-/RPRNR/RI/HBsAg-/" False positive,,"(1342, 1345)",,UCx,,257999003,17739994-DS-31,"imester u/s - O+/Ab-/RPRNR/RI/HBsAg-/HIV-/TSH 2.4/UCx- - CF negative, nl hgb electrophoresis ___ OBSTE" False positive,,"(1759, 1769)",,megacystis,,253904001,17739994-DS-31,"bolism on Lovenox; complicated by SAB s/p ___ for megacystis G5 current GYNECOLOGIC HISTORY - Did not resume " False positive,,"(1819, 1833)",,regular menses,,302757007,17739994-DS-31," G5 current GYNECOLOGIC HISTORY - Did not resume regular menses after her D&E ___ - Irregular menses - History of" False positive,,"(2052, 2060)",,anterior,,261123004,17739994-DS-31,"l vaccine - Remote history of chlamydia - 5 x 3cm anterior fibroid noted PMH: Pulmonary embolism, diagnosed" False positive,,"(2157, 2159)",,co,,422514006,17739994-DS-31,"sed ___. Was on lovenox and then transitioned to coumadin which was discontinued prior to conception" False positive,,"(2504, 2507)",,+BS,,260347006,17739994-DS-31,"tenderness in upper abdomen, no rebound/guarding, +BS, fundus 4cm below umbilicus Pelvic: Deferred Ext:" False positive,,"(2526, 2535)",,umbilicus,,249539006,17739994-DS-31,"domen, no rebound/guarding, +BS, fundus 4cm below umbilicus Pelvic: Deferred Ext: NT, NE TAUS: SIUP with FHR" False positive,,"(2632, 2636)",,Post,,109226007,17739994-DS-31,"FHR 158. Subjectively normal fluid and movement. Posterior placenta. Pertinent Results: ___ WBC-10.2 " False positive,,"(2733, 2736)",,Glu,,433835001,17739994-DS-31,".2 RBC-3.75 Hgb-10.5 Hct-30.9 MCV-82 Plt-286 ___ Glu-79 BUN-7 Creat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 __" False positive,,"(2740, 2743)",,BUN,,226679001,17739994-DS-31,"3.75 Hgb-10.5 Hct-30.9 MCV-82 Plt-286 ___ Glu-79 BUN-7 Creat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 ___ Lipas" False positive,,"(2788, 2794)",,Lipase,,259322001,17739994-DS-31,"9 BUN-7 Creat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 ___ Lipase-32 Calcium-9.4 Phos-4.3 Mg-1.___ G5P0 admitted at" False positive,,"(2948, 2959)",,antiemetics,,1373564001,17739994-DS-31,"in triage for quite some time and given IVFs and antiemetics. Electrolytes were normal. Although she felt som" False positive,,"(3194, 3200)",,fluids,,25670009,17739994-DS-31,"her symptoms improved and she was tolerating both fluids and solids. She was discharged home in stable co" False positive,,"(3206, 3212)",,solids,,248127004,17739994-DS-31," improved and she was tolerating both fluids and solids. She was discharged home in stable condition and " False positive,,"(3885, 3900)",,Activity Status,,397622007,17739994-DS-31,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructio" "Correct entity, wrong SNOMED ID","(191, 202)","(191, 202)",Penicillins,Penicillins,91936005,11986009,17739994-DS-31," F Service: OBSTETRICS/GYNECOLOGY Allergies: Penicillins / Reglan / Phenergan / Prochlorperazine Attendi" "Correct entity, wrong SNOMED ID","(205, 211)","(205, 211)",Reglan,Reglan,293675006,45598006,17739994-DS-31,"OBSTETRICS/GYNECOLOGY Allergies: Penicillins / Reglan / Phenergan / Prochlorperazine Attending: ___. " "Correct entity, wrong SNOMED ID","(214, 223)","(214, 223)",Phenergan,Phenergan,293928009,431166001,17739994-DS-31,"S/GYNECOLOGY Allergies: Penicillins / Reglan / Phenergan / Prochlorperazine Attending: ___. Chief Comp" "Correct entity, wrong SNOMED ID","(226, 242)","(226, 242)",Prochlorperazine,Prochlorperazine,293940009,79129001,17739994-DS-31," Allergies: Penicillins / Reglan / Phenergan / Prochlorperazine Attending: ___. Chief Complaint: nausea, vomi" "Correct entity, wrong SNOMED ID","(280, 296)","(280, 296)","nausea, vomiting","nausea, vomiting",16932000,698861005,17739994-DS-31,"hlorperazine Attending: ___. Chief Complaint: nausea, vomiting, abdominal pain Major Surgical or Invasive Proc" "Correct entity, wrong SNOMED ID","(298, 312)","(298, 312)",abdominal pain,abdominal pain,21522001,54586004,17739994-DS-31,"ending: ___. Chief Complaint: nausea, vomiting, abdominal pain Major Surgical or Invasive Procedure: none Hi" "Correct entity, wrong SNOMED ID","(412, 434)","(412, 434)",hyperemesis gravidarum,hyperemesis gravidarum,14094001,19569008,17739994-DS-31,"story of Present Illness: ___ yo G5P0 at ___ with hyperemesis gravidarum who presented to GYN triage with nausea and vomi" Missed entity,"(457, 463)",,triage,,225390008,,17739994-DS-31,"with hyperemesis gravidarum who presented to GYN triage with nausea and vomiting. Her emesis is non-blood" "Correct entity, wrong SNOMED ID","(469, 488)","(469, 488)",nausea and vomiting,nausea and vomiting,16932000,698861005,17739994-DS-31,"esis gravidarum who presented to GYN triage with nausea and vomiting. Her emesis is non-bloody, non-bilious. She has " "Correct entity, wrong SNOMED ID","(494, 500)","(494, 500)",emesis,emesis,422400008,71419002,17739994-DS-31,"nted to GYN triage with nausea and vomiting. Her emesis is non-bloody, non-bilious. She has had multiple" "Correct entity, wrong SNOMED ID","(563, 571)","(563, 571)",vomiting,vomiting,422400008,162062008,17739994-DS-31,"y, non-bilious. She has had multiple episodes of vomiting since waking up this morning and has been unable" Wrong span,"(679, 699)","(691, 699)",persisitent vomiting,vomiting,14094001,162062008,17739994-DS-31," anything down. She has voided ""all day"" despite persisitent vomiting after trying foods and liquids. From a hypere" Missed entity,"(714, 719)",,foods,,288886005,,17739994-DS-31,"l day"" despite persisitent vomiting after trying foods and liquids. From a hyperemesis standpoint, sh" Missed entity,"(724, 731)",,liquids,,225578007,,17739994-DS-31,"pite persisitent vomiting after trying foods and liquids. From a hyperemesis standpoint, she had been d" "Correct entity, wrong SNOMED ID","(743, 754)","(743, 754)",hyperemesis,hyperemesis,444673007,129597002,17739994-DS-31,"miting after trying foods and liquids. From a hyperemesis standpoint, she had been doing well for 2 weeks " "Correct entity, wrong SNOMED ID","(854, 865)","(854, 865)",hyperemesis,hyperemesis,444673007,129597002,17739994-DS-31,"after her discharge from the ___ service ___ for hyperemesis. Her nausea and vomiting then worsened significan" "Correct entity, wrong SNOMED ID","(871, 890)","(871, 890)",nausea and vomiting,nausea and vomiting,16932000,698861005,17739994-DS-31,"ge from the ___ service ___ for hyperemesis. Her nausea and vomiting then worsened significantly on ___ and improved " "Correct entity, wrong SNOMED ID","(931, 939)","(931, 939)",improved,improved,268910001,251359002,17739994-DS-31," vomiting then worsened significantly on ___ and improved somewhat on ___. However, she has been vomiting " "Correct entity, wrong SNOMED ID","(980, 988)","(980, 988)",vomiting,vomiting,422400008,162062008,17739994-DS-31," improved somewhat on ___. However, she has been vomiting since then even when drinking tea, which usually " Missed entity,"(1010, 1018)",,drinking,,288855004,,17739994-DS-31,"ever, she has been vomiting since then even when drinking tea, which usually helps, and using her Zofran t" "Correct entity, wrong SNOMED ID","(1095, 1120)","(1095, 1120)",epigastric abdominal pain,epigastric abdominal pain,79922009,21005005,17739994-DS-31," and using her Zofran three times a day. She c/o epigastric abdominal pain and reflux pain. No CP/SOB. No HA. No fevers/chi" Wrong span,"(1125, 1131)","(1125, 1136)",reflux,reflux pain,225587003,235595009,17739994-DS-31,"mes a day. She c/o epigastric abdominal pain and reflux pain. No CP/SOB. No HA. No fevers/chills. + cons" Wrong span,"(1132, 1136)","(1125, 1136)",pain,reflux pain,22253000,235595009,17739994-DS-31,"ay. She c/o epigastric abdominal pain and reflux pain. No CP/SOB. No HA. No fevers/chills. + constipat" "Correct entity, wrong SNOMED ID","(1141, 1143)","(1141, 1143)",CP,CP,29857009,413913003,17739994-DS-31,"c/o epigastric abdominal pain and reflux pain. No CP/SOB. No HA. No fevers/chills. + constipation. No" "Correct entity, wrong SNOMED ID","(1144, 1147)","(1144, 1147)",SOB,SOB,267036007,43731003,17739994-DS-31," epigastric abdominal pain and reflux pain. No CP/SOB. No HA. No fevers/chills. + constipation. No VB " "Correct entity, wrong SNOMED ID","(1153, 1155)","(1153, 1155)",HA,HA,25064002,226933009,17739994-DS-31,"ic abdominal pain and reflux pain. No CP/SOB. No HA. No fevers/chills. + constipation. No VB or LOF. " "Correct entity, wrong SNOMED ID","(1160, 1166)","(1160, 1166)",fevers,fevers,386661006,248444008,17739994-DS-31,"minal pain and reflux pain. No CP/SOB. No HA. No fevers/chills. + constipation. No VB or LOF. No contrac" "Correct entity, wrong SNOMED ID","(1167, 1173)","(1167, 1173)",chills,chills,43724002,274640006,17739994-DS-31,"ain and reflux pain. No CP/SOB. No HA. No fevers/chills. + constipation. No VB or LOF. No contractions. " "Correct entity, wrong SNOMED ID","(1177, 1189)","(1177, 1189)",constipation,constipation,14760008,236069009,17739994-DS-31,"flux pain. No CP/SOB. No HA. No fevers/chills. + constipation. No VB or LOF. No contractions. Past Medical H" Missed entity,"(1194, 1196)",,VB,,289530006,,17739994-DS-31,"SOB. No HA. No fevers/chills. + constipation. No VB or LOF. No contractions. Past Medical History:" Missed entity,"(1200, 1203)",,LOF,,371380006,,17739994-DS-31,"o HA. No fevers/chills. + constipation. No VB or LOF. No contractions. Past Medical History: PRENAT" Wrong span,"(1205, 1221)","(1209, 1221)","No contractions",contractions,289701001,26158002,17739994-DS-31,". No fevers/chills. + constipation. No VB or LOF. No contractions. Past Medical History: PRENATAL COURSE - EDC __" Missed entity,"(1284, 1303)",,first trimester u/s,,446522006,,17739994-DS-31,"cal History: PRENATAL COURSE - EDC ___ by LMP c/w first trimester u/s - O+/Ab-/RPRNR/RI/HBsAg-/HIV-/TSH 2.4/UCx- - CF n" "Correct entity, wrong SNOMED ID","(1329, 1332)","(1329, 1332)",HIV,HIV,86406008,19030005,17739994-DS-31," c/w first trimester u/s - O+/Ab-/RPRNR/RI/HBsAg-/HIV-/TSH 2.4/UCx- - CF negative, nl hgb electrophores" "Correct entity, wrong SNOMED ID","(1334, 1337)","(1334, 1337)",TSH,TSH,61167004,412520006,17739994-DS-31,"first trimester u/s - O+/Ab-/RPRNR/RI/HBsAg-/HIV-/TSH 2.4/UCx- - CF negative, nl hgb electrophoresis __" Missed entity,"(1352, 1360)",,negative,,281900007,,17739994-DS-31,"s - O+/Ab-/RPRNR/RI/HBsAg-/HIV-/TSH 2.4/UCx- - CF negative, nl hgb electrophoresis ___ OBSTETRIC HISTORY G5" "Correct entity, wrong SNOMED ID","(1369, 1384)","(1369, 1384)",electrophoresis,electrophoresis,814007,167753008,17739994-DS-31,"RI/HBsAg-/HIV-/TSH 2.4/UCx- - CF negative, nl hgb electrophoresis ___ OBSTETRIC HISTORY G5P0 G1-G3 TAB x3, all com" "Correct entity, wrong SNOMED ID","(1419, 1422)","(1419, 1422)",TAB,TAB,386641000,43655000,17739994-DS-31,"electrophoresis ___ OBSTETRIC HISTORY G5P0 G1-G3 TAB x3, all complicated by severe hyperemesis, requir" Wrong span,"(1446, 1464)","(1453, 1464)",severe hyperemesis,hyperemesis,129598007,129597002,17739994-DS-31,"RIC HISTORY G5P0 G1-G3 TAB x3, all complicated by severe hyperemesis, requiring multiple hospitalizations, resulting " Missed entity,"(1517, 1537)",,elective termination,,18391007,,17739994-DS-31,"equiring multiple hospitalizations, resulting in elective termination due to intolerable hyperemesis. Most recent at " "Correct entity, wrong SNOMED ID","(1559, 1570)","(1559, 1570)",hyperemesis,hyperemesis,444673007,129597002,17739994-DS-31,"ting in elective termination due to intolerable hyperemesis. Most recent at 18wga. G4 SAB x1, complicated by " "Correct entity, wrong SNOMED ID","(1597, 1600)","(1597, 1600)",SAB,SAB,17369002,16807001,17739994-DS-31,"intolerable hyperemesis. Most recent at 18wga. G4 SAB x1, complicated by severe hyperemesis, with multi" Wrong span,"(1620, 1638)","(1627, 1638)",severe hyperemesis,hyperemesis,129598007,129597002,17739994-DS-31,". Most recent at 18wga. G4 SAB x1, complicated by severe hyperemesis, with multiple hospitalizations, PICC/TPN; compli" "Correct entity, wrong SNOMED ID","(1672, 1676)","(1672, 1676)",PICC,PICC,1021000119106,422380005,17739994-DS-31,"vere hyperemesis, with multiple hospitalizations, PICC/TPN; complicated by pulmonary embolism on Lovenox" "Correct entity, wrong SNOMED ID","(1677, 1680)","(1677, 1680)",TPN,TPN,225372007,789708003,17739994-DS-31,"hyperemesis, with multiple hospitalizations, PICC/TPN; complicated by pulmonary embolism on Lovenox; co" "Correct entity, wrong SNOMED ID","(1697, 1715)","(1697, 1715)",pulmonary embolism,pulmonary embolism,59282003,133971000119108,17739994-DS-31,"ltiple hospitalizations, PICC/TPN; complicated by pulmonary embolism on Lovenox; complicated by SAB s/p ___ for megacy" "Correct entity, wrong SNOMED ID","(1743, 1746)","(1743, 1746)",SAB,SAB,17369002,16807001,17739994-DS-31," by pulmonary embolism on Lovenox; complicated by SAB s/p ___ for megacystis G5 current GYNECOLOGIC HI" Boundary error,"(1844, 1847)","(1844, 1845)",D&E,D,11401008,257986001,17739994-DS-31,"HISTORY - Did not resume regular menses after her D&E ___ - Irregular menses - History of abnl Pap: LSI" "Correct entity, wrong SNOMED ID","(1854, 1870)","(1854, 1870)",Irregular menses,Irregular menses,80182007,788919002,17739994-DS-31,"Did not resume regular menses after her D&E ___ - Irregular menses - History of abnl Pap: LSIL Pap ___, had colpo __" Wrong span,"(1884, 1892)","(1884, 1886)",abnl Pap,ab,309081009,260840004,17739994-DS-31,"after her D&E ___ - Irregular menses - History of abnl Pap: LSIL Pap ___, had colpo ___ showing squamous met" Wrong span,"(1894, 1898)","(1894, 1902)",LSIL,LSIL Pap,112662005,420849000,17739994-DS-31,"D&E ___ - Irregular menses - History of abnl Pap: LSIL Pap ___, had colpo ___ showing squamous metaplasi" Missed entity,"(1912, 1917)",,colpo,,392003006,,17739994-DS-31,"r menses - History of abnl Pap: LSIL Pap ___, had colpo ___ showing squamous metaplasia. She is schedule" "Correct entity, wrong SNOMED ID","(1930, 1949)","(1930, 1949)",squamous metaplasia,squamous metaplasia,83577005,63114009,17739994-DS-31," of abnl Pap: LSIL Pap ___, had colpo ___ showing squamous metaplasia. She is scheduled for repeat postpartum s/p Gard" "Correct entity, wrong SNOMED ID","(2032, 2041)","(2032, 2041)",chlamydia,chlamydia,105629000,264405000,17739994-DS-31,"stpartum s/p Gardasil vaccine - Remote history of chlamydia - 5 x 3cm anterior fibroid noted PMH: Pulmonary " "Correct entity, wrong SNOMED ID","(2081, 2099)","(2081, 2099)",Pulmonary embolism,Pulmonary embolism,59282003,133971000119108,17739994-DS-31," chlamydia - 5 x 3cm anterior fibroid noted PMH: Pulmonary embolism, diagnosed ___. Was on lovenox and then transiti" Missed entity,"(2176, 2188)",,discontinued,,304540007,,17739994-DS-31,"enox and then transitioned to coumadin which was discontinued prior to conception. She is now on prophylactic " Boundary error,"(2253, 2256)","(2253, 2254)",D&E,D,11401008,257986001,17739994-DS-31,"eption. She is now on prophylactic lovenox. PSH: D&E x 4 Social History: ___ Family History: non-con" "Correct entity, wrong SNOMED ID","(2348, 2350)","(2348, 2350)",VS,VS,118227000,313611000,17739994-DS-31," non-contributory Physical Exam: (on admission) VS: 98.3 ___ 18 Gen: Uncomfortable in bed, spitting " "Correct entity, wrong SNOMED ID","(2364, 2367)","(2364, 2367)",Gen,Gen,162673000,16651008,17739994-DS-31,"y Physical Exam: (on admission) VS: 98.3 ___ 18 Gen: Uncomfortable in bed, spitting in basin Card: RR" Wrong span,"(2369, 2389)","(2369, 2382)",Uncomfortable in bed,Uncomfortable,301666002,250893000,17739994-DS-31,"hysical Exam: (on admission) VS: 98.3 ___ 18 Gen: Uncomfortable in bed, spitting in basin Card: RRR Resp: CTAB Abd: Soft" "Correct entity, wrong SNOMED ID","(2409, 2413)","(2409, 2413)",Card,Card,363003006,315012009,17739994-DS-31,"_ 18 Gen: Uncomfortable in bed, spitting in basin Card: RRR Resp: CTAB Abd: Soft, mild diffuse tendernes" "Correct entity, wrong SNOMED ID","(2415, 2418)","(2415, 2418)",RRR,RRR,76863003,129960002,17739994-DS-31,"en: Uncomfortable in bed, spitting in basin Card: RRR Resp: CTAB Abd: Soft, mild diffuse tenderness in " "Correct entity, wrong SNOMED ID","(2419, 2423)","(2419, 2423)",Resp,Resp,268925001,20139000,17739994-DS-31,"Uncomfortable in bed, spitting in basin Card: RRR Resp: CTAB Abd: Soft, mild diffuse tenderness in upper" "Correct entity, wrong SNOMED ID","(2425, 2429)","(2425, 2429)",CTAB,CTAB,48348007,112188007,17739994-DS-31,"ortable in bed, spitting in basin Card: RRR Resp: CTAB Abd: Soft, mild diffuse tenderness in upper abdom" "Correct entity, wrong SNOMED ID","(2430, 2433)","(2430, 2433)",Abd,Abd,225162003,60728008,17739994-DS-31,"le in bed, spitting in basin Card: RRR Resp: CTAB Abd: Soft, mild diffuse tenderness in upper abdomen, " Missed entity,"(2441, 2445)",,mild,,162468002,,17739994-DS-31,"spitting in basin Card: RRR Resp: CTAB Abd: Soft, mild diffuse tenderness in upper abdomen, no rebound/g" "Correct entity, wrong SNOMED ID","(2454, 2464)","(2454, 2464)",tenderness,tenderness,247348008,43478001,17739994-DS-31,"asin Card: RRR Resp: CTAB Abd: Soft, mild diffuse tenderness in upper abdomen, no rebound/guarding, +BS, fundu" "Correct entity, wrong SNOMED ID","(2468, 2481)","(2468, 2481)",upper abdomen,upper abdomen,80581009,420102002,17739994-DS-31," Resp: CTAB Abd: Soft, mild diffuse tenderness in upper abdomen, no rebound/guarding, +BS, fundus 4cm below umbil" "Correct entity, wrong SNOMED ID","(2486, 2493)","(2486, 2493)",rebound,rebound,35611005,844584001,17739994-DS-31,"oft, mild diffuse tenderness in upper abdomen, no rebound/guarding, +BS, fundus 4cm below umbilicus Pelvic:" "Correct entity, wrong SNOMED ID","(2509, 2515)","(2509, 2515)",fundus,fundus,65784005,414003,17739994-DS-31,"rness in upper abdomen, no rebound/guarding, +BS, fundus 4cm below umbilicus Pelvic: Deferred Ext: NT, NE " "Correct entity, wrong SNOMED ID","(2536, 2542)","(2536, 2542)",Pelvic,Pelvic,35025007,239992008,17739994-DS-31,"rebound/guarding, +BS, fundus 4cm below umbilicus Pelvic: Deferred Ext: NT, NE TAUS: SIUP with FHR 158. S" "Correct entity, wrong SNOMED ID","(2553, 2556)","(2553, 2556)",Ext,Ext,302773001,1489008,17739994-DS-31," +BS, fundus 4cm below umbilicus Pelvic: Deferred Ext: NT, NE TAUS: SIUP with FHR 158. Subjectively no" "Correct entity, wrong SNOMED ID","(2558, 2560)","(2558, 2560)",NT,NT,43478001,257992007,17739994-DS-31," fundus 4cm below umbilicus Pelvic: Deferred Ext: NT, NE TAUS: SIUP with FHR 158. Subjectively normal" Missed entity,"(2566, 2570)",,TAUS,,45036003,,17739994-DS-31,"4cm below umbilicus Pelvic: Deferred Ext: NT, NE TAUS: SIUP with FHR 158. Subjectively normal fluid and" Missed entity,"(2582, 2585)",,FHR,,301113001,,17739994-DS-31,"cus Pelvic: Deferred Ext: NT, NE TAUS: SIUP with FHR 158. Subjectively normal fluid and movement. Pos" Missed entity,"(2642, 2650)",,placenta,,78067005,,17739994-DS-31,"ubjectively normal fluid and movement. Posterior placenta. Pertinent Results: ___ WBC-10.2 RBC-3.75 Hgb-1" "Correct entity, wrong SNOMED ID","(2677, 2680)","(2677, 2680)",WBC,WBC,767002,391558003,17739994-DS-31,"nt. Posterior placenta. Pertinent Results: ___ WBC-10.2 RBC-3.75 Hgb-10.5 Hct-30.9 MCV-82 Plt-286 _" "Correct entity, wrong SNOMED ID","(2686, 2689)","(2686, 2689)",RBC,RBC,14089001,258759006,17739994-DS-31,"erior placenta. Pertinent Results: ___ WBC-10.2 RBC-3.75 Hgb-10.5 Hct-30.9 MCV-82 Plt-286 ___ Glu-79" "Correct entity, wrong SNOMED ID","(2695, 2698)","(2695, 2698)",Hgb,Hgb,441689006,104142005,17739994-DS-31,"centa. Pertinent Results: ___ WBC-10.2 RBC-3.75 Hgb-10.5 Hct-30.9 MCV-82 Plt-286 ___ Glu-79 BUN-7 Cr" "Correct entity, wrong SNOMED ID","(2704, 2707)","(2704, 2707)",Hct,Hct,28317006,840276005,17739994-DS-31,"Pertinent Results: ___ WBC-10.2 RBC-3.75 Hgb-10.5 Hct-30.9 MCV-82 Plt-286 ___ Glu-79 BUN-7 Creat-0.5 N" Boundary error,"(2713, 2716)","(2713, 2715)",MCV,MC,104133003,414721007,17739994-DS-31," Results: ___ WBC-10.2 RBC-3.75 Hgb-10.5 Hct-30.9 MCV-82 Plt-286 ___ Glu-79 BUN-7 Creat-0.5 Na-138 K-3" "Correct entity, wrong SNOMED ID","(2746, 2751)","(2746, 2751)",Creat,Creat,70901006,365756002,17739994-DS-31,"gb-10.5 Hct-30.9 MCV-82 Plt-286 ___ Glu-79 BUN-7 Creat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 ___ Lipase-32 Cal" "Correct entity, wrong SNOMED ID","(2756, 2758)","(2756, 2758)",Na,Na,312469006,257992007,17739994-DS-31,"t-30.9 MCV-82 Plt-286 ___ Glu-79 BUN-7 Creat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 ___ Lipase-32 Calcium-9." Missed entity,"(2763, 2764)",,K,,312468003,,17739994-DS-31,"MCV-82 Plt-286 ___ Glu-79 BUN-7 Creat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 ___ Lipase-32 Calcium-9.4 Phos" "Correct entity, wrong SNOMED ID","(2769, 2771)","(2769, 2771)",Cl,Cl,104589004,311741002,17739994-DS-31," Plt-286 ___ Glu-79 BUN-7 Creat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 ___ Lipase-32 Calcium-9.4 Phos-4.3 Mg" "Correct entity, wrong SNOMED ID","(2776, 2780)","(2776, 2780)",HCO3,HCO3,312471006,88645003,17739994-DS-31,"6 ___ Glu-79 BUN-7 Creat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 ___ Lipase-32 Calcium-9.4 Phos-4.3 Mg-1.___ G5" "Correct entity, wrong SNOMED ID","(2798, 2805)","(2798, 2805)",Calcium,Calcium,312472004,108601004,17739994-DS-31,"eat-0.5 Na-138 K-3.8 Cl-106 HCO3-22 ___ Lipase-32 Calcium-9.4 Phos-4.3 Mg-1.___ G5P0 admitted at 16w3d with" "Correct entity, wrong SNOMED ID","(2810, 2814)","(2810, 2814)",Phos,Phos,104868000,168075002,17739994-DS-31,"38 K-3.8 Cl-106 HCO3-22 ___ Lipase-32 Calcium-9.4 Phos-4.3 Mg-1.___ G5P0 admitted at 16w3d with hypereme" "Correct entity, wrong SNOMED ID","(2819, 2821)","(2819, 2821)",Mg,Mg,271285000,258684004,17739994-DS-31,"Cl-106 HCO3-22 ___ Lipase-32 Calcium-9.4 Phos-4.3 Mg-1.___ G5P0 admitted at 16w3d with hyperemesis gra" Wrong span,"(2856, 2878)","(2856, 2867)",hyperemesis gravidarum,hyperemesis,14094001,129597002,17739994-DS-31,"9.4 Phos-4.3 Mg-1.___ G5P0 admitted at 16w3d with hyperemesis gravidarum. She was observed in triage for quite some time " Missed entity,"(2901, 2907)",,triage,,225390008,,17739994-DS-31,"with hyperemesis gravidarum. She was observed in triage for quite some time and given IVFs and antiemeti" "Correct entity, wrong SNOMED ID","(2938, 2942)","(2938, 2942)",IVFs,IVFs,103744005,52637005,17739994-DS-31," observed in triage for quite some time and given IVFs and antiemetics. Electrolytes were normal. Altho" Wrong span,"(2961, 2973)","(2961, 2985)",Electrolytes,Electrolytes were normal,365758001,167425009,17739994-DS-31," quite some time and given IVFs and antiemetics. Electrolytes were normal. Although she felt somewhat better, " "Correct entity, wrong SNOMED ID","(3063, 3069)","(3063, 3069)",nausea,nausea,422587007,1217125005,17739994-DS-31,"t better, she continued to complain of persistent nausea and the decision was made to observe her overnig" "Correct entity, wrong SNOMED ID","(3157, 3165)","(3157, 3165)",improved,improved,268910001,251359002,17739994-DS-31," her overnight. On hospital day #2, her symptoms improved and she was tolerating both fluids and solids. S" Missed entity,"(3178, 3188)",,tolerating,,1144522003,,17739994-DS-31,"spital day #2, her symptoms improved and she was tolerating both fluids and solids. She was discharged home " Wrong span,"(3241, 3247)","(3241, 3257)",stable,stable condition,359746009,193844000,17739994-DS-31,"th fluids and solids. She was discharged home in stable condition and will have close outpatient followu" Boundary error,"(3751, 3757)","(3751, 3758)",nausea,"nausea,",422587007,1217125005,17739994-DS-31,"ischarge Disposition: Home Discharge Diagnosis: nausea, vomitting, pregnancy Discharge Condition: Ment" "Correct entity, wrong SNOMED ID","(3759, 3768)","(3759, 3768)",vomitting,vomitting,422400008,300361008,17739994-DS-31," Disposition: Home Discharge Diagnosis: nausea, vomitting, pregnancy Discharge Condition: Mental Status: " "Correct entity, wrong SNOMED ID","(3770, 3779)","(3770, 3779)",pregnancy,pregnancy,77386006,127364007,17739994-DS-31,"n: Home Discharge Diagnosis: nausea, vomitting, pregnancy Discharge Condition: Mental Status: Clear and c" "Correct entity, wrong SNOMED ID","(3803, 3816)","(3803, 3816)",Mental Status,Mental Status,392257007,419284004,17739994-DS-31,"usea, vomitting, pregnancy Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" Missed entity,"(3818, 3823)",,Clear,,830123008,,17739994-DS-31,", pregnancy Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(3838, 3860)","(3838, 3860)",Level of Consciousness,Level of Consciousness,444714004,830285008,17739994-DS-31,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(3862, 3867)","(3862, 3867)",Alert,Alert,248234008,409787004,17739994-DS-31,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(3872, 3883)","(3872, 3883)",interactive,interactive,288577006,10301000202103,17739994-DS-31,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Dis" "Correct entity, wrong SNOMED ID","(3902, 3926)","(3902, 3926)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,17739994-DS-31,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Please continue eating" Missed entity,"(3979, 3989)",,bland diet,,38226001,,17739994-DS-31," Discharge Instructions: Please continue eating a bland diet (bananas, apple sauce, rice, toast). Call our of" Missed entity,"(4055, 4076)",,unable to hold fluids,,16932000,,17739994-DS-31," sauce, rice, toast). Call our office if you are unable to hold fluids or food down or if you have any other concerning" False positive,,"(187, 194)",,Orencia,,434578007,18046197-DS-13,"x: M Service: MEDICINE Allergies: Keflex / Orencia / Remicade Attending: ___. Chief Complaint: h" False positive,,"(197, 205)",,Remicade,,46350009,18046197-DS-13,"ervice: MEDICINE Allergies: Keflex / Orencia / Remicade Attending: ___. Chief Complaint: headache M" False positive,,"(1236, 1245)",,prednison,,10312003,18046197-DS-13," photophobia. He is now on imuran 100 mg bid and prednisone 50 mg daily (has been on prednisone for over on" False positive,,"(4695, 4709)",,plantarflexion,,1285248002,18046197-DS-13," bilateral leg hip flexion, ankle dorsiflexion & plantarflexion and left intrinsic hand muscles, wrist extension" False positive,,"(5036, 5039)",,MCH,,735147002,18046197-DS-13,"5PM WBC-9.9 RBC-4.69 HGB-13.7* HCT-40.3 MCV-86 MCH-29.3 MCHC-34.0 RDW-14.2 ___ 07:35PM GLUCOSE-188" False positive,,"(5188, 5193)",,URINE,,78888000,18046197-DS-13,"HLORIDE-103 TOTAL CO2-23 ANION GAP-17 ___ 08:20PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG K" False positive,,"(5230, 5237)",,GLUCOSE,,72191006,18046197-DS-13,"08:20PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0" False positive,,"(6348, 6353)",,point,,279229007,18046197-DS-13,"t from chronic steroids. No mechanical trauma or point tenderness. Patient transitioned from IV morphin" False positive,,"(7075, 7076)",,s,,420952007,18046197-DS-13,"icated process unfortunately. Currently somewhat symptomatic with some joint pain and swollen hands " False positive,,"(7354, 7357)",,ppx,,421806008,18046197-DS-13," PPx against AEs from steroids should have PCP ppx with ___ SS daily. Continue home regimen of azat" False positive,,"(10639, 10651)",,exacerbation,,77461000119109,18046197-DS-13," Discharge Instructions: You were admitted for exacerbation of your headache. You were intially treated with" False positive,,"(11440, 11443)",,rhe,,391481004,18046197-DS-13,"ot appear to be significantly influenced by your rheumatologic condition. Followup Instructions: ___" "Correct entity, wrong SNOMED ID","(178, 184)","(178, 184)",Keflex,Keflex,294532003,54887004,18046197-DS-13," Sex: M Service: MEDICINE Allergies: Keflex / Orencia / Remicade Attending: ___. Chief Co" "Correct entity, wrong SNOMED ID","(243, 251)","(243, 251)",headache,headache,25064002,267096005,18046197-DS-13,"a / Remicade Attending: ___. Chief Complaint: headache Major Surgical or Invasive Procedure: Procedure" Missed entity,"(292, 301)",,Procedure,,71388002,,18046197-DS-13," headache Major Surgical or Invasive Procedure: Procedure this AM: informed consent obtained, proper timeou" Missed entity,"(311, 327)",,informed consent,,182771004,,18046197-DS-13,"urgical or Invasive Procedure: Procedure this AM: informed consent obtained, proper timeout taken, sterile etoh pre" Wrong span,"(361, 378)","(369, 373)",sterile etoh prep,etoh,28792004,413966000,18046197-DS-13,"informed consent obtained, proper timeout taken, sterile etoh prep and technique, Bilateral GONB and TPI to Bilater" Missed entity,"(404, 408)",,GONB,,90454009,,18046197-DS-13,"taken, sterile etoh prep and technique, Bilateral GONB and TPI to Bilateral splenius capitis and occipi" Missed entity,"(413, 416)",,TPI,,1217321007,,18046197-DS-13,"erile etoh prep and technique, Bilateral GONB and TPI to Bilateral splenius capitis and occipitalis wi" "Correct entity, wrong SNOMED ID","(431, 447)","(431, 447)",splenius capitis,splenius capitis,1600003,244850004,18046197-DS-13,"d technique, Bilateral GONB and TPI to Bilateral splenius capitis and occipitalis with 14 cc 0.25% bupivicaine PF " "Correct entity, wrong SNOMED ID","(452, 463)","(452, 463)",occipitalis,occipitalis,21405000,422698000,18046197-DS-13,"l GONB and TPI to Bilateral splenius capitis and occipitalis with 14 cc 0.25% bupivicaine PF and 10 mg MPA wi" "Correct entity, wrong SNOMED ID","(604, 623)","(604, 623)",psoriatic arthritis,psoriatic arthritis,156370009,239802003,18046197-DS-13," Illness: Mr. ___ is a ___ year old male with h/o psoriatic arthritis and spondylitis involving his neck/back who pres" "Correct entity, wrong SNOMED ID","(629, 640)","(629, 640)",spondylitis,spondylitis,84172003,200956002,18046197-DS-13,"_ year old male with h/o psoriatic arthritis and spondylitis involving his neck/back who presents with headac" "Correct entity, wrong SNOMED ID","(655, 659)","(655, 659)",neck,neck,45048000,840674001,18046197-DS-13,"soriatic arthritis and spondylitis involving his neck/back who presents with headache. Notes headache " "Correct entity, wrong SNOMED ID","(660, 664)","(660, 664)",back,back,77568009,37822005,18046197-DS-13,"tic arthritis and spondylitis involving his neck/back who presents with headache. Notes headache came " "Correct entity, wrong SNOMED ID","(684, 692)","(684, 692)",headache,headache,25064002,267096005,18046197-DS-13,"ylitis involving his neck/back who presents with headache. Notes headache came on ___ afternoon at which po" "Correct entity, wrong SNOMED ID","(700, 708)","(700, 708)",headache,headache,25064002,267096005,18046197-DS-13," his neck/back who presents with headache. Notes headache came on ___ afternoon at which point he tried to" "Correct entity, wrong SNOMED ID","(861, 865)","(861, 865)",pain,pain,22253000,102570003,18046197-DS-13," SR 30 mg po (took X 2 on ___. He notes that the pain is the same as multiple prior episodes that occu" "Correct entity, wrong SNOMED ID","(926, 933)","(926, 933)",disease,disease,22253000,246165003,18046197-DS-13,"me as multiple prior episodes that occur when his disease flares, usually when he is on less immunosuppres" "Correct entity, wrong SNOMED ID","(970, 987)","(970, 987)",immunosuppression,immunosuppression,38013005,7447008,18046197-DS-13,"n his disease flares, usually when he is on less immunosuppression. He has been treated with remicade, enbrel, and " Missed entity,"(1073, 1085)",,side effects,,401207004,,18046197-DS-13,", enbrel, and orencia in the past but either had side effects or found the medication to be unhelpful after a " Missed entity,"(1099, 1109)",,medication,,18629005,,18046197-DS-13,"he past but either had side effects or found the medication to be unhelpful after a time. He reports no feve" "Correct entity, wrong SNOMED ID","(1155, 1161)","(1155, 1161)",fevers,fevers,386661006,248444008,18046197-DS-13,"tion to be unhelpful after a time. He reports no fevers or neck stiffness and no photophobia. He is now " "Correct entity, wrong SNOMED ID","(1188, 1199)","(1188, 1199)",photophobia,photophobia,409668002,78264005,18046197-DS-13,"e. He reports no fevers or neck stiffness and no photophobia. He is now on imuran 100 mg bid and prednisone 50" "Correct entity, wrong SNOMED ID","(1412, 1418)","(1412, 1418)",relief,relief,224978009,182970005,18046197-DS-13," ___ and morphine ___ 15 mg X 2 but did not have relief of pain; he contacted the rheumatology attending" "Correct entity, wrong SNOMED ID","(1422, 1426)","(1422, 1426)",pain,pain,22253000,102570003,18046197-DS-13,"morphine ___ 15 mg X 2 but did not have relief of pain; he contacted the rheumatology attending on call" "Correct entity, wrong SNOMED ID","(1507, 1517)","(1507, 1517)",evaluation,evaluation,386053000,39609006,18046197-DS-13,"y attending on call at that point who advised ED evaluation. He denies any visual changes, nausea, or vomiti" "Correct entity, wrong SNOMED ID","(1533, 1547)","(1533, 1547)",visual changes,visual changes,63102001,162279009,18046197-DS-13,"t point who advised ED evaluation. He denies any visual changes, nausea, or vomiting. Pain started in occipital " Boundary error,"(1549, 1555)","(1549, 1556)",nausea,"nausea,",422587007,1217125005,18046197-DS-13,"ised ED evaluation. He denies any visual changes, nausea, or vomiting. Pain started in occipital region y" "Correct entity, wrong SNOMED ID","(1561, 1569)","(1561, 1569)",vomiting,vomiting,422400008,162062008,18046197-DS-13,"uation. He denies any visual changes, nausea, or vomiting. Pain started in occipital region yesterday but n" "Correct entity, wrong SNOMED ID","(1571, 1575)","(1571, 1575)",Pain,Pain,21522001,102570003,18046197-DS-13," denies any visual changes, nausea, or vomiting. Pain started in occipital region yesterday but now ge" "Correct entity, wrong SNOMED ID","(1587, 1603)","(1587, 1603)",occipital region,occipital region,43631005,362618001,18046197-DS-13,"al changes, nausea, or vomiting. Pain started in occipital region yesterday but now generalized over entire head (" Wrong span,"(1640, 1651)","(1647, 1651)",entire head,head,302548004,1230043004,18046197-DS-13,"ipital region yesterday but now generalized over entire head (his usual pattern). He denies any slurred speec" "Correct entity, wrong SNOMED ID","(1688, 1702)","(1688, 1702)",slurred speech,slurred speech,289195008,773495009,18046197-DS-13,"r entire head (his usual pattern). He denies any slurred speech, seizures, syncope, or numbness in either arm or " "Correct entity, wrong SNOMED ID","(1704, 1712)","(1704, 1712)",seizures,seizures,91175000,1366362005,18046197-DS-13,"is usual pattern). He denies any slurred speech, seizures, syncope, or numbness in either arm or leg. He r" "Correct entity, wrong SNOMED ID","(1714, 1721)","(1714, 1721)",syncope,syncope,271594007,263545003,18046197-DS-13,"attern). He denies any slurred speech, seizures, syncope, or numbness in either arm or leg. He reports ch" "Correct entity, wrong SNOMED ID","(1726, 1734)","(1726, 1734)",numbness,numbness,44077006,102601005,18046197-DS-13,"denies any slurred speech, seizures, syncope, or numbness in either arm or leg. He reports chronic weaknes" Missed entity,"(1745, 1748)",,arm,,53120007,,18046197-DS-13," speech, seizures, syncope, or numbness in either arm or leg. He reports chronic weakness in the right" "Correct entity, wrong SNOMED ID","(1753, 1756)","(1753, 1756)",leg,leg,61685007,53840002,18046197-DS-13," seizures, syncope, or numbness in either arm or leg. He reports chronic weakness in the right hand. " Wrong span,"(1769, 1776)","(1769, 1785)",chronic,chronic weakness,27624003,735542004,18046197-DS-13,"pe, or numbness in either arm or leg. He reports chronic weakness in the right hand. . He has also not" Wrong span,"(1777, 1785)","(1769, 1785)",weakness,chronic weakness,13791008,735542004,18046197-DS-13,"umbness in either arm or leg. He reports chronic weakness in the right hand. . He has also noted increa" "Correct entity, wrong SNOMED ID","(1793, 1803)","(1793, 1803)",right hand,right hand,78791008,1177083004,18046197-DS-13,"r arm or leg. He reports chronic weakness in the right hand. . He has also noted increased swelling in hi" "Correct entity, wrong SNOMED ID","(1839, 1847)","(1839, 1847)",swelling,swelling,442672001,300890009,18046197-DS-13,"the right hand. . He has also noted increased swelling in his hands and feet, which also happens when h" "Correct entity, wrong SNOMED ID","(1855, 1860)","(1855, 1860)",hands,hands,299037003,12861001,18046197-DS-13," . He has also noted increased swelling in his hands and feet, which also happens when his immunosupp" "Correct entity, wrong SNOMED ID","(1865, 1869)","(1865, 1869)",feet,feet,56459004,259051005,18046197-DS-13,"as also noted increased swelling in his hands and feet, which also happens when his immunosuppression i" "Correct entity, wrong SNOMED ID","(1900, 1917)","(1900, 1917)",immunosuppression,immunosuppression,38013005,7447008,18046197-DS-13," his hands and feet, which also happens when his immunosuppression is lowered. He is awaiting approval for humira b" "Correct entity, wrong SNOMED ID","(2016, 2020)","(2016, 2020)",pain,pain,22253000,102570003,18046197-DS-13,"but this has not yet been done. He also sees the pain clinic for potential botox injections but this h" Missed entity,"(2021, 2027)",,clinic,,737492002,,18046197-DS-13,"his has not yet been done. He also sees the pain clinic for potential botox injections but this has not " "Correct entity, wrong SNOMED ID","(2042, 2058)","(2042, 2058)",botox injections,botox injections,404909007,1258881000,18046197-DS-13,"done. He also sees the pain clinic for potential botox injections but this has not yet been approved either. Of no" Missed entity,"(2123, 2132)",,augmentin,,281789004,,18046197-DS-13,"not yet been approved either. Of note he started augmentin 875 mg bid for axillary abscess (happens recurren" "Correct entity, wrong SNOMED ID","(2148, 2164)","(2148, 2164)",axillary abscess,axillary abscess,13802001,10631911000119108,18046197-DS-13,"her. Of note he started augmentin 875 mg bid for axillary abscess (happens recurrently per his report) on ___. ." "Correct entity, wrong SNOMED ID","(2236, 2242)","(2236, 2242)",vitals,vitals,118227000,260390007,18046197-DS-13," per his report) on ___. . In the ED, initial vitals T 98.8, HR 85, BP 144/63, RR 18, 99% on RA. He w" "Correct entity, wrong SNOMED ID","(2251, 2253)","(2251, 2253)",HR,HR,301113001,258702006,18046197-DS-13,") on ___. . In the ED, initial vitals T 98.8, HR 85, BP 144/63, RR 18, 99% on RA. He was treatd w" "Correct entity, wrong SNOMED ID","(2258, 2260)","(2258, 2260)",BP,BP,392570002,38341003,18046197-DS-13,"_. . In the ED, initial vitals T 98.8, HR 85, BP 144/63, RR 18, 99% on RA. He was treatd with mor" "Correct entity, wrong SNOMED ID","(2269, 2271)","(2269, 2271)",RR,RR,301283003,229040007,18046197-DS-13," the ED, initial vitals T 98.8, HR 85, BP 144/63, RR 18, 99% on RA. He was treatd with morphine 4 mg " "Correct entity, wrong SNOMED ID","(2284, 2286)","(2284, 2286)",RA,RA,722742002,463051000124105,18046197-DS-13,"l vitals T 98.8, HR 85, BP 144/63, RR 18, 99% on RA. He was treatd with morphine 4 mg IV X 2 for pain" Missed entity,"(2321, 2323)",,IV,,386340006,,18046197-DS-13," 18, 99% on RA. He was treatd with morphine 4 mg IV X 2 for pain relief with good result. He also re" Missed entity,"(2350, 2354)",,good,,78469002,,18046197-DS-13,"d with morphine 4 mg IV X 2 for pain relief with good result. He also received 125 mg IV solumedrol due" Missed entity,"(2387, 2389)",,IV,,386340006,,18046197-DS-13,"relief with good result. He also received 125 mg IV solumedrol due to concern for worsening joint di" Missed entity,"(2421, 2430)",,worsening,,1144586002,,18046197-DS-13,"received 125 mg IV solumedrol due to concern for worsening joint disease. He also received humalog 19 U SC " "Correct entity, wrong SNOMED ID","(2431, 2444)","(2431, 2444)",joint disease,joint disease,399269003,396275006,18046197-DS-13,"25 mg IV solumedrol due to concern for worsening joint disease. He also received humalog 19 U SC X 1 and azathi" "Correct entity, wrong SNOMED ID","(2542, 2549)","(2542, 2549)",lactate,lactate,3926003,10133003,18046197-DS-13,"hioprine 100 mg PO X 1. Labs were remarkable for lactate 2.7. . Of note, the patient was last admitted" "Correct entity, wrong SNOMED ID","(2609, 2617)","(2609, 2617)",headache,headache,25064002,267096005,18046197-DS-13," Of note, the patient was last admitted ___ for headache. His headache was attributed in the past to his " "Correct entity, wrong SNOMED ID","(2623, 2631)","(2623, 2631)",headache,headache,25064002,267096005,18046197-DS-13," patient was last admitted ___ for headache. His headache was attributed in the past to his cervical spine" "Correct entity, wrong SNOMED ID","(2667, 2681)","(2667, 2681)",cervical spine,cervical spine,122494005,178778006,18046197-DS-13,". His headache was attributed in the past to his cervical spine psoriatic arthritis, which was initially treated " "Correct entity, wrong SNOMED ID","(2682, 2701)","(2682, 2701)",psoriatic arthritis,psoriatic arthritis,156370009,239802003,18046197-DS-13,"was attributed in the past to his cervical spine psoriatic arthritis, which was initially treated with Botox injectio" Wrong span,"(2737, 2753)","(2743, 2753)",Botox injections,injections,404909007,279926005,18046197-DS-13,"atic arthritis, which was initially treated with Botox injections by Dr. ___ in the pain clinic, but subsequently " "Correct entity, wrong SNOMED ID","(2772, 2776)","(2772, 2776)",pain,pain,22253000,102570003,18046197-DS-13," treated with Botox injections by Dr. ___ in the pain clinic, but subsequently completely resolved wit" Missed entity,"(2777, 2783)",,clinic,,737492002,,18046197-DS-13,"ted with Botox injections by Dr. ___ in the pain clinic, but subsequently completely resolved with the i" "Correct entity, wrong SNOMED ID","(2883, 2890)","(2883, 2890)",allergy,allergy,609328004,293675006,18046197-DS-13,"nitiation of Remicade, which he has developed an allergy to. Last admission the patient was treated initi" Wrong span,"(2950, 2952)","(2950, 2962)",IV,IV narcotics,386340006,95914002,18046197-DS-13,"admission the patient was treated initially with IV narcotics and then discharged with PO morphine S" Wrong span,"(2953, 2962)","(2950, 2962)",narcotics,IV narcotics,302748001,95914002,18046197-DS-13,"ission the patient was treated initially with IV narcotics and then discharged with PO morphine SR and ___ " "Correct entity, wrong SNOMED ID","(3026, 3030)","(3026, 3030)",pain,pain,22253000,102570003,18046197-DS-13,"charged with PO morphine SR and ___ as needed for pain, and scheduled for pain consult as an outpatient" Wrong span,"(3047, 3055)","(3051, 3063)",for pain,pain consult,182970005,420454001,18046197-DS-13,"ine SR and ___ as needed for pain, and scheduled for pain consult as an outpatient for consideration of Bo" Missed entity,"(3103, 3119)",,Botox injections,,404909007,,18046197-DS-13,"in consult as an outpatient for consideration of Botox injections. In the interim, he did not need the morphine __" "Correct entity, wrong SNOMED ID","(3270, 3277)","(3270, 3277)",abscess,abscess,80483009,196341005,18046197-DS-13," had a recent admission for salivary obstruction/abscess and completed a course of clindamycin ___. . " "Correct entity, wrong SNOMED ID","(3376, 3380)","(3376, 3380)",pain,pain,29857009,102570003,18046197-DS-13," On arrival to the floor, the patient states the pain is improved but still present. Denies fever, chi" "Correct entity, wrong SNOMED ID","(3384, 3392)","(3384, 3392)",improved,improved,268910001,251359002,18046197-DS-13,"ival to the floor, the patient states the pain is improved but still present. Denies fever, chills, visual " "Correct entity, wrong SNOMED ID","(3420, 3425)","(3420, 3425)",fever,fever,386661006,416113008,18046197-DS-13,"s the pain is improved but still present. Denies fever, chills, visual changes, dysphagia, abdominal pa" "Correct entity, wrong SNOMED ID","(3427, 3433)","(3427, 3433)",chills,chills,43724002,274640006,18046197-DS-13,"ain is improved but still present. Denies fever, chills, visual changes, dysphagia, abdominal pain, naus" "Correct entity, wrong SNOMED ID","(3435, 3449)","(3435, 3449)",visual changes,visual changes,63102001,162279009,18046197-DS-13,"mproved but still present. Denies fever, chills, visual changes, dysphagia, abdominal pain, nausea, vomiting, dy" "Correct entity, wrong SNOMED ID","(3452, 3461)","(3452, 3461)",dysphagia,dysphagia,40739000,21101000119105,18046197-DS-13,"l present. Denies fever, chills, visual changes, dysphagia, abdominal pain, nausea, vomiting, dysuria, leg " "Correct entity, wrong SNOMED ID","(3463, 3477)","(3463, 3477)",abdominal pain,abdominal pain,21522001,54586004,18046197-DS-13,"Denies fever, chills, visual changes, dysphagia, abdominal pain, nausea, vomiting, dysuria, leg swelling, dyspne" "Correct entity, wrong SNOMED ID","(3479, 3495)","(3479, 3495)","nausea, vomiting","nausea, vomiting",16932000,698861005,18046197-DS-13,"ills, visual changes, dysphagia, abdominal pain, nausea, vomiting, dysuria, leg swelling, dyspnea, or chest pain. " "Correct entity, wrong SNOMED ID","(3497, 3504)","(3497, 3504)",dysuria,dysuria,49650001,16844001,18046197-DS-13,"es, dysphagia, abdominal pain, nausea, vomiting, dysuria, leg swelling, dyspnea, or chest pain. Past" "Correct entity, wrong SNOMED ID","(3506, 3519)","(3506, 3519)","leg swelling","leg swelling",449614009,300981003,18046197-DS-13,"hagia, abdominal pain, nausea, vomiting, dysuria, leg swelling, dyspnea, or chest pain. Past Medical Histor" "Correct entity, wrong SNOMED ID","(3521, 3528)","(3521, 3528)",dyspnea,dyspnea,267036007,60845006,18046197-DS-13,"l pain, nausea, vomiting, dysuria, leg swelling, dyspnea, or chest pain. Past Medical History: 1. Pso" "Correct entity, wrong SNOMED ID","(3533, 3543)","(3533, 3543)",chest pain,chest pain,29857009,102589003,18046197-DS-13,"ea, vomiting, dysuria, leg swelling, dyspnea, or chest pain. Past Medical History: 1. Psoriatic arthriti" "Correct entity, wrong SNOMED ID","(3575, 3594)","(3575, 3594)",Psoriatic arthritis,Psoriatic arthritis,156370009,239802003,18046197-DS-13,"nea, or chest pain. Past Medical History: 1. Psoriatic arthritis 2. Inflammatory bowel disease 3. HTN 4. DM2 5. Pe" "Correct entity, wrong SNOMED ID","(3628, 3631)","(3628, 3631)",HTN,HTN,38341003,10725009,18046197-DS-13,"riatic arthritis 2. Inflammatory bowel disease 3. HTN 4. DM2 5. Peripheral neuropathy 6. bilateral corn" "Correct entity, wrong SNOMED ID","(3635, 3638)","(3635, 3638)",DM2,DM2,44054006,396166000,18046197-DS-13,"arthritis 2. Inflammatory bowel disease 3. HTN 4. DM2 5. Peripheral neuropathy 6. bilateral corneal tra" "Correct entity, wrong SNOMED ID","(3642, 3663)","(3642, 3663)",Peripheral neuropathy,Peripheral neuropathy,302226006,129611009,18046197-DS-13,"is 2. Inflammatory bowel disease 3. HTN 4. DM2 5. Peripheral neuropathy 6. bilateral corneal transplant Social History:" Wrong span,"(3667, 3676)","(3667, 3695)",bilateral,bilateral corneal transplant,40638003,1269145009,18046197-DS-13,"disease 3. HTN 4. DM2 5. Peripheral neuropathy 6. bilateral corneal transplant Social History: ___ Family H" Wrong span,"(3677, 3695)","(3667, 3695)",corneal transplant,bilateral corneal transplant,60656008,1269145009,18046197-DS-13," HTN 4. DM2 5. Peripheral neuropathy 6. bilateral corneal transplant Social History: ___ Family History: Mother who " "Correct entity, wrong SNOMED ID","(3749, 3761)","(3749, 3761)",hypertension,hypertension,38341003,70995007,18046197-DS-13,"ocial History: ___ Family History: Mother who has hypertension, elevated cholesterol and ulcerative colitis. Hi" "Correct entity, wrong SNOMED ID","(3763, 3783)","(3763, 3783)",elevated cholesterol,elevated cholesterol,13644009,166830008,18046197-DS-13," ___ Family History: Mother who has hypertension, elevated cholesterol and ulcerative colitis. His father has hypertens" "Correct entity, wrong SNOMED ID","(3788, 3807)","(3788, 3807)","ulcerative colitis","ulcerative colitis",64766004,128600008,18046197-DS-13,"er who has hypertension, elevated cholesterol and ulcerative colitis. His father has hypertension and asthma. He has a" "Correct entity, wrong SNOMED ID","(3824, 3836)","(3824, 3836)",hypertension,hypertension,38341003,70995007,18046197-DS-13,"olesterol and ulcerative colitis. His father has hypertension and asthma. He has a male sibling with ulcerativ" "Correct entity, wrong SNOMED ID","(3841, 3847)","(3841, 3847)",asthma,asthma,195967001,281239006,18046197-DS-13,"erative colitis. His father has hypertension and asthma. He has a male sibling with ulcerative colitis a" "Correct entity, wrong SNOMED ID","(3877, 3895)","(3877, 3895)",ulcerative colitis,ulcerative colitis,64766004,128600008,18046197-DS-13,"ertension and asthma. He has a male sibling with ulcerative colitis and psoriasis and a female sibling who is alive " "Correct entity, wrong SNOMED ID","(3900, 3909)","(3900, 3909)",psoriasis,psoriasis,9014002,111188005,18046197-DS-13,"e has a male sibling with ulcerative colitis and psoriasis and a female sibling who is alive and well. Ph" Missed entity,"(3939, 3953)",,alive and well,,81323004,,18046197-DS-13,"olitis and psoriasis and a female sibling who is alive and well. Physical Exam: VS: T 98.6 BP 152/92 HR 84 RR 1" "Correct entity, wrong SNOMED ID","(3972, 3974)","(3972, 3974)",VS,VS,118227000,313611000,18046197-DS-13," sibling who is alive and well. Physical Exam: VS: T 98.6 BP 152/92 HR 84 RR 18 97% on RA FSBS 168 " "Correct entity, wrong SNOMED ID","(3983, 3985)","(3983, 3985)",BP,BP,392570002,38341003,18046197-DS-13,"ho is alive and well. Physical Exam: VS: T 98.6 BP 152/92 HR 84 RR 18 97% on RA FSBS 168 GEN: NAD," "Correct entity, wrong SNOMED ID","(3993, 3995)","(3993, 3995)",HR,HR,301113001,258702006,18046197-DS-13,"e and well. Physical Exam: VS: T 98.6 BP 152/92 HR 84 RR 18 97% on RA FSBS 168 GEN: NAD, comfortab" "Correct entity, wrong SNOMED ID","(3999, 4001)","(3999, 4001)",RR,RR,301283003,229040007,18046197-DS-13,"well. Physical Exam: VS: T 98.6 BP 152/92 HR 84 RR 18 97% on RA FSBS 168 GEN: NAD, comfortable and" "Correct entity, wrong SNOMED ID","(4012, 4014)","(4012, 4014)",RA,RA,722742002,463051000124105,18046197-DS-13,"cal Exam: VS: T 98.6 BP 152/92 HR 84 RR 18 97% on RA FSBS 168 GEN: NAD, comfortable and conversant, " "Correct entity, wrong SNOMED ID","(4015, 4019)","(4015, 4019)",FSBS,FSBS,104686004,1365717002,18046197-DS-13," Exam: VS: T 98.6 BP 152/92 HR 84 RR 18 97% on RA FSBS 168 GEN: NAD, comfortable and conversant, obese" "Correct entity, wrong SNOMED ID","(4026, 4029)","(4026, 4029)",GEN,GEN,162673000,16651008,18046197-DS-13,"T 98.6 BP 152/92 HR 84 RR 18 97% on RA FSBS 168 GEN: NAD, comfortable and conversant, obese + moon fa" "Correct entity, wrong SNOMED ID","(4031, 4034)","(4031, 4034)",NAD,NAD,281900007,131143000,18046197-DS-13,"6 BP 152/92 HR 84 RR 18 97% on RA FSBS 168 GEN: NAD, comfortable and conversant, obese + moon facies " "Correct entity, wrong SNOMED ID","(4064, 4069)","(4064, 4069)",obese,obese,414915002,415530009,18046197-DS-13," FSBS 168 GEN: NAD, comfortable and conversant, obese + moon facies HEENT: MMM, anicteric sclera, no " "Correct entity, wrong SNOMED ID","(4072, 4083)","(4072, 4083)",moon facies,moon facies,67967009,302019003,18046197-DS-13,"8 GEN: NAD, comfortable and conversant, obese + moon facies HEENT: MMM, anicteric sclera, no OP lesions, ne" "Correct entity, wrong SNOMED ID","(4086, 4091)","(4086, 4091)",HEENT,HEENT,5880005,113665002,18046197-DS-13,"comfortable and conversant, obese + moon facies HEENT: MMM, anicteric sclera, no OP lesions, neck is su" "Correct entity, wrong SNOMED ID","(4093, 4096)","(4093, 4096)",MMM,MMM,276398005,258673006,18046197-DS-13,"able and conversant, obese + moon facies HEENT: MMM, anicteric sclera, no OP lesions, neck is supple," "Correct entity, wrong SNOMED ID","(4098, 4114)","(4098, 4114)",anicteric sclera,anicteric sclera,427801009,470731000124100,18046197-DS-13,"and conversant, obese + moon facies HEENT: MMM, anicteric sclera, no OP lesions, neck is supple, no LAD or thyrom" Wrong span,"(4119, 4121)","(4119, 4129)",OP,OP lesions,31389004,246206008,18046197-DS-13," + moon facies HEENT: MMM, anicteric sclera, no OP lesions, neck is supple, no LAD or thyromegaly, " Wrong span,"(4122, 4129)","(4119, 4129)",lesions,OP lesions,52988006,246206008,18046197-DS-13,"moon facies HEENT: MMM, anicteric sclera, no OP lesions, neck is supple, no LAD or thyromegaly, + poster" "Correct entity, wrong SNOMED ID","(4131, 4135)","(4131, 4135)",neck,neck,5880005,840674001,18046197-DS-13,"es HEENT: MMM, anicteric sclera, no OP lesions, neck is supple, no LAD or thyromegaly, + posterior ce" "Correct entity, wrong SNOMED ID","(4139, 4145)","(4139, 4145)",supple,supple,298475003,169743001,18046197-DS-13,"NT: MMM, anicteric sclera, no OP lesions, neck is supple, no LAD or thyromegaly, + posterior cervicodorsa" "Correct entity, wrong SNOMED ID","(4151, 4154)","(4151, 4154)",LAD,LAD,30746006,1010291002,18046197-DS-13,"cteric sclera, no OP lesions, neck is supple, no LAD or thyromegaly, + posterior cervicodorsal fat pad" "Correct entity, wrong SNOMED ID","(4158, 4169)","(4158, 4169)",thyromegaly,thyromegaly,3716002,92978002,18046197-DS-13,"sclera, no OP lesions, neck is supple, no LAD or thyromegaly, + posterior cervicodorsal fat pad CV: distant," Wrong span,"(4173, 4196)","(4183, 4196)",posterior cervicodorsal,cervicodorsal,304036007,246011001,18046197-DS-13,"esions, neck is supple, no LAD or thyromegaly, + posterior cervicodorsal fat pad CV: distant, RRR, no appreciable murmur" "Correct entity, wrong SNOMED ID","(4207, 4209)","(4207, 4209)",CV,CV,363003006,258773002,18046197-DS-13," thyromegaly, + posterior cervicodorsal fat pad CV: distant, RRR, no appreciable murmur PULM: dist" "Correct entity, wrong SNOMED ID","(4220, 4223)","(4220, 4223)",RRR,RRR,76863003,129960002,18046197-DS-13," + posterior cervicodorsal fat pad CV: distant, RRR, no appreciable murmur PULM: distant but no cra" "Correct entity, wrong SNOMED ID","(4240, 4246)","(4240, 4246)",murmur,murmur,414786004,248699005,18046197-DS-13,"dorsal fat pad CV: distant, RRR, no appreciable murmur PULM: distant but no crackles or wheezing ABD" "Correct entity, wrong SNOMED ID","(4249, 4253)","(4249, 4253)",PULM,PULM,268925001,419170002,18046197-DS-13,"t pad CV: distant, RRR, no appreciable murmur PULM: distant but no crackles or wheezing ABD: Obese" "Correct entity, wrong SNOMED ID","(4282, 4290)","(4282, 4290)",wheezing,wheezing,56018004,9763007,18046197-DS-13,"eciable murmur PULM: distant but no crackles or wheezing ABD: Obese, BS+, nontender to palpation through" "Correct entity, wrong SNOMED ID","(4293, 4296)","(4293, 4296)",ABD,ABD,225162003,60728008,18046197-DS-13,"mur PULM: distant but no crackles or wheezing ABD: Obese, BS+, nontender to palpation throughout " "Correct entity, wrong SNOMED ID","(4298, 4303)","(4298, 4303)",Obese,Obese,414915002,415530009,18046197-DS-13," PULM: distant but no crackles or wheezing ABD: Obese, BS+, nontender to palpation throughout EXT: No" "Correct entity, wrong SNOMED ID","(4305, 4308)","(4305, 4308)",BS+,BS+,61539000,260347006,18046197-DS-13,"distant but no crackles or wheezing ABD: Obese, BS+, nontender to palpation throughout EXT: No club" "Correct entity, wrong SNOMED ID","(4310, 4319)","(4310, 4319)",nontender,nontender,43478001,413319007,18046197-DS-13,"nt but no crackles or wheezing ABD: Obese, BS+, nontender to palpation throughout EXT: No clubbing, tremo" "Correct entity, wrong SNOMED ID","(4323, 4332)","(4323, 4332)",palpation,palpation,113011001,51558006,18046197-DS-13,"ckles or wheezing ABD: Obese, BS+, nontender to palpation throughout EXT: No clubbing, tremor, or edema, " "Correct entity, wrong SNOMED ID","(4346, 4349)","(4346, 4349)",EXT,EXT,302773001,1489008,18046197-DS-13,": Obese, BS+, nontender to palpation throughout EXT: No clubbing, tremor, or edema, some mild edema o" "Correct entity, wrong SNOMED ID","(4354, 4362)","(4354, 4362)",clubbing,clubbing,367004,30760008,18046197-DS-13," BS+, nontender to palpation throughout EXT: No clubbing, tremor, or edema, some mild edema of the DIP, P" "Correct entity, wrong SNOMED ID","(4364, 4370)","(4364, 4370)",tremor,tremor,26079004,30721006,18046197-DS-13,"ender to palpation throughout EXT: No clubbing, tremor, or edema, some mild edema of the DIP, PIP and M" "Correct entity, wrong SNOMED ID","(4375, 4380)","(4375, 4380)",edema,edema,267038008,102576009,18046197-DS-13,"lpation throughout EXT: No clubbing, tremor, or edema, some mild edema of the DIP, PIP and MCP joints " Missed entity,"(4387, 4391)",,mild,,162468002,,18046197-DS-13,"ughout EXT: No clubbing, tremor, or edema, some mild edema of the DIP, PIP and MCP joints bilaterally" "Correct entity, wrong SNOMED ID","(4392, 4397)","(4392, 4397)",edema,edema,267038008,102576009,18046197-DS-13,"t EXT: No clubbing, tremor, or edema, some mild edema of the DIP, PIP and MCP joints bilaterally on th" "Correct entity, wrong SNOMED ID","(4405, 4408)","(4405, 4408)",DIP,DIP,725412007,311723005,18046197-DS-13,"lubbing, tremor, or edema, some mild edema of the DIP, PIP and MCP joints bilaterally on the hand, IP " "Correct entity, wrong SNOMED ID","(4411, 4414)","(4411, 4414)",PIP,PIP,871489002,277125003,18046197-DS-13,"g, tremor, or edema, some mild edema of the DIP, PIP and MCP joints bilaterally on the hand, IP joints" "Correct entity, wrong SNOMED ID","(4419, 4429)","(4419, 4429)",MCP joints,MCP joints,70420003,280995004,18046197-DS-13,"r, or edema, some mild edema of the DIP, PIP and MCP joints bilaterally on the hand, IP joints of feet with " "Correct entity, wrong SNOMED ID","(4449, 4453)","(4449, 4453)",hand,hand,85562004,53057004,18046197-DS-13,"f the DIP, PIP and MCP joints bilaterally on the hand, IP joints of feet with slight swelling, abrasio" Wrong span,"(4455, 4472)","(4455, 4464)",IP joints of feet,IP joints,105584000,19290004,18046197-DS-13,"DIP, PIP and MCP joints bilaterally on the hand, IP joints of feet with slight swelling, abrasion over r knee NEU" "Correct entity, wrong SNOMED ID","(4486, 4494)","(4486, 4494)",swelling,swelling,248491001,300890009,18046197-DS-13,"rally on the hand, IP joints of feet with slight swelling, abrasion over r knee NEURO: CN II-XII intact, " "Correct entity, wrong SNOMED ID","(4496, 4504)","(4496, 4504)",abrasion,abrasion,11809901000119104,1162526005,18046197-DS-13,"he hand, IP joints of feet with slight swelling, abrasion over r knee NEURO: CN II-XII intact, strength _" Missed entity,"(4510, 4516)",,r knee,,6757004,,18046197-DS-13,"ints of feet with slight swelling, abrasion over r knee NEURO: CN II-XII intact, strength ___ in right " "Correct entity, wrong SNOMED ID","(4519, 4524)","(4519, 4524)",NEURO,NEURO,84728005,281247006,18046197-DS-13,"eet with slight swelling, abrasion over r knee NEURO: CN II-XII intact, strength ___ in right intrinsi" Wrong span,"(4526, 4535)","(4526, 4542)",CN II-XII,CN II-XII intact,830121005,408755005,18046197-DS-13,"th slight swelling, abrasion over r knee NEURO: CN II-XII intact, strength ___ in right intrinsic hand mus" Wrong span,"(4560, 4589)","(4576, 4589)","right intrinsic hand muscles","hand muscles",771096006,88229007,18046197-DS-13,"r knee NEURO: CN II-XII intact, strength ___ in right intrinsic hand muscles, shoulder shrug, and wrist extension; otherwise, " Wrong span,"(4611, 4616)","(4611, 4626)",wrist,wrist extension,9736006,298958001,18046197-DS-13,"ight intrinsic hand muscles, shoulder shrug, and wrist extension; otherwise, ___ in bilateral leg hip f" Wrong span,"(4617, 4626)","(4611, 4626)",extension,wrist extension,19212008,298958001,18046197-DS-13,"ntrinsic hand muscles, shoulder shrug, and wrist extension; otherwise, ___ in bilateral leg hip flexion, an" "Correct entity, wrong SNOMED ID","(4657, 4660)","(4657, 4660)",leg,leg,48979004,53840002,18046197-DS-13,"and wrist extension; otherwise, ___ in bilateral leg hip flexion, ankle dorsiflexion & plantarflexion " Wrong span,"(4661, 4664)","(4661, 4672)",hip,hip flexion,287679003,299239006,18046197-DS-13,"wrist extension; otherwise, ___ in bilateral leg hip flexion, ankle dorsiflexion & plantarflexion and" Wrong span,"(4665, 4672)","(4661, 4672)",flexion,hip flexion,419196000,299239006,18046197-DS-13,"t extension; otherwise, ___ in bilateral leg hip flexion, ankle dorsiflexion & plantarflexion and left in" Wrong span,"(4674, 4679)","(4674, 4692)",ankle,ankle dorsiflexion,51636004,1285241008,18046197-DS-13,"on; otherwise, ___ in bilateral leg hip flexion, ankle dorsiflexion & plantarflexion and left intrinsic" Wrong span,"(4680, 4692)","(4674, 4692)",dorsiflexion,ankle dorsiflexion,19876005,1285241008,18046197-DS-13,"herwise, ___ in bilateral leg hip flexion, ankle dorsiflexion & plantarflexion and left intrinsic hand muscles" Wrong span,"(4715, 4742)","(4715, 4719)",left intrinsic hand muscles,left,771095005,264745005,18046197-DS-13,"flexion, ankle dorsiflexion & plantarflexion and left intrinsic hand muscles, wrist extension and shoulder shrug; sensation i" Wrong span,"(4744, 4749)","(4744, 4759)",wrist,wrist extension,5951000,298958001,18046197-DS-13," plantarflexion and left intrinsic hand muscles, wrist extension and shoulder shrug; sensation intact t" Wrong span,"(4750, 4759)","(4744, 4759)",extension,wrist extension,304303003,298958001,18046197-DS-13,"arflexion and left intrinsic hand muscles, wrist extension and shoulder shrug; sensation intact to light to" Wrong span,"(4764, 4772)","(4764, 4779)",shoulder,"shoulder shrug",91775009,249928002,18046197-DS-13," left intrinsic hand muscles, wrist extension and shoulder shrug; sensation intact to light touch bilateral" "Correct entity, wrong SNOMED ID","(4781, 4812)","(4781, 4812)",sensation intact to light touch,sensation intact to light touch,299911004,422015002,18046197-DS-13,"and muscles, wrist extension and shoulder shrug; sensation intact to light touch bilaterally on arms & legs, reflexes 2+ at bilat" "Correct entity, wrong SNOMED ID","(4828, 4832)","(4828, 4832)",arms,arms,53120007,69273007,18046197-DS-13,"g; sensation intact to light touch bilaterally on arms & legs, reflexes 2+ at bilateral patellae and bi" "Correct entity, wrong SNOMED ID","(4836, 4840)","(4836, 4840)",legs,legs,61685007,40927001,18046197-DS-13,"tion intact to light touch bilaterally on arms & legs, reflexes 2+ at bilateral patellae and biceps " Boundary error,"(4842, 4850)","(4842, 4852)",reflexes,reflexes 2,102981005,86854008,18046197-DS-13,"ntact to light touch bilaterally on arms & legs, reflexes 2+ at bilateral patellae and biceps Pertinent" Missed entity,"(4867, 4875)",,patellae,,64234005,,18046197-DS-13,"terally on arms & legs, reflexes 2+ at bilateral patellae and biceps Pertinent Results: ___ 07:35PM N" "Correct entity, wrong SNOMED ID","(4880, 4886)","(4880, 4886)",biceps,biceps,16225001,1197044005,18046197-DS-13,"ms & legs, reflexes 2+ at bilateral patellae and biceps Pertinent Results: ___ 07:35PM NEUTS-89.6* " "Correct entity, wrong SNOMED ID","(4924, 4929)","(4924, 4929)",NEUTS,NEUTS,30630007,250298004,18046197-DS-13,"e and biceps Pertinent Results: ___ 07:35PM NEUTS-89.6* LYMPHS-8.2* MONOS-1.6* EOS-0.4 BASOS-0.2 _" "Correct entity, wrong SNOMED ID","(4936, 4942)","(4936, 4942)",LYMPHS,LYMPHS,74765001,79709007,18046197-DS-13," Pertinent Results: ___ 07:35PM NEUTS-89.6* LYMPHS-8.2* MONOS-1.6* EOS-0.4 BASOS-0.2 ___ 07:35PM " "Correct entity, wrong SNOMED ID","(4948, 4953)","(4948, 4953)",MONOS,MONOS,67776007,462791000124108,18046197-DS-13,"nt Results: ___ 07:35PM NEUTS-89.6* LYMPHS-8.2* MONOS-1.6* EOS-0.4 BASOS-0.2 ___ 07:35PM WBC-9.9 RBC" "Correct entity, wrong SNOMED ID","(4959, 4962)","(4959, 4962)",EOS,EOS,71960002,67099000,18046197-DS-13," ___ 07:35PM NEUTS-89.6* LYMPHS-8.2* MONOS-1.6* EOS-0.4 BASOS-0.2 ___ 07:35PM WBC-9.9 RBC-4.69 HGB" "Correct entity, wrong SNOMED ID","(4992, 4995)","(4992, 4995)",WBC,WBC,767002,391558003,18046197-DS-13,"-8.2* MONOS-1.6* EOS-0.4 BASOS-0.2 ___ 07:35PM WBC-9.9 RBC-4.69 HGB-13.7* HCT-40.3 MCV-86 MCH-29.3 " "Correct entity, wrong SNOMED ID","(5000, 5003)","(5000, 5003)",RBC,RBC,14089001,258759006,18046197-DS-13,"NOS-1.6* EOS-0.4 BASOS-0.2 ___ 07:35PM WBC-9.9 RBC-4.69 HGB-13.7* HCT-40.3 MCV-86 MCH-29.3 MCHC-34." "Correct entity, wrong SNOMED ID","(5009, 5012)","(5009, 5012)",HGB,HGB,441689006,104142005,18046197-DS-13,"EOS-0.4 BASOS-0.2 ___ 07:35PM WBC-9.9 RBC-4.69 HGB-13.7* HCT-40.3 MCV-86 MCH-29.3 MCHC-34.0 RDW-14." "Correct entity, wrong SNOMED ID","(5019, 5022)","(5019, 5022)",HCT,HCT,28317006,840276005,18046197-DS-13,"ASOS-0.2 ___ 07:35PM WBC-9.9 RBC-4.69 HGB-13.7* HCT-40.3 MCV-86 MCH-29.3 MCHC-34.0 RDW-14.2 ___ 07:3" Missed entity,"(5028, 5031)",,MCV,,104133003,,18046197-DS-13,"___ 07:35PM WBC-9.9 RBC-4.69 HGB-13.7* HCT-40.3 MCV-86 MCH-29.3 MCHC-34.0 RDW-14.2 ___ 07:35PM GLU" "Correct entity, wrong SNOMED ID","(5045, 5049)","(5045, 5049)",MCHC,MCHC,37254006,735147002,18046197-DS-13,"-9.9 RBC-4.69 HGB-13.7* HCT-40.3 MCV-86 MCH-29.3 MCHC-34.0 RDW-14.2 ___ 07:35PM GLUCOSE-188* UREA N-1" "Correct entity, wrong SNOMED ID","(5078, 5085)","(5078, 5085)",GLUCOSE,GLUCOSE,33747003,72191006,18046197-DS-13,"MCV-86 MCH-29.3 MCHC-34.0 RDW-14.2 ___ 07:35PM GLUCOSE-188* UREA N-19 CREAT-0.9 SODIUM-139 POTASSIUM-4." "Correct entity, wrong SNOMED ID","(5101, 5106)","(5101, 5106)",CREAT,CREAT,70901006,365756002,18046197-DS-13,"4.0 RDW-14.2 ___ 07:35PM GLUCOSE-188* UREA N-19 CREAT-0.9 SODIUM-139 POTASSIUM-4.2 CHLORIDE-103 TOTAL " "Correct entity, wrong SNOMED ID","(5111, 5117)","(5111, 5117)",SODIUM,SODIUM,25197003,104934005,18046197-DS-13,".2 ___ 07:35PM GLUCOSE-188* UREA N-19 CREAT-0.9 SODIUM-139 POTASSIUM-4.2 CHLORIDE-103 TOTAL CO2-23 ANIO" "Correct entity, wrong SNOMED ID","(5123, 5132)","(5123, 5132)",POTASSIUM,POTASSIUM,59573005,1149432009,18046197-DS-13,"PM GLUCOSE-188* UREA N-19 CREAT-0.9 SODIUM-139 POTASSIUM-4.2 CHLORIDE-103 TOTAL CO2-23 ANION GAP-17 ___ 08" "Correct entity, wrong SNOMED ID","(5137, 5145)","(5137, 5145)",CHLORIDE,CHLORIDE,104589004,108447000,18046197-DS-13,"88* UREA N-19 CREAT-0.9 SODIUM-139 POTASSIUM-4.2 CHLORIDE-103 TOTAL CO2-23 ANION GAP-17 ___ 08:20PM URINE " "Correct entity, wrong SNOMED ID","(5163, 5172)","(5163, 5172)",ANION GAP,ANION GAP,25469001,237854004,18046197-DS-13,"DIUM-139 POTASSIUM-4.2 CHLORIDE-103 TOTAL CO2-23 ANION GAP-17 ___ 08:20PM URINE BLOOD-NEG NITRITE-NEG PROTE" "Correct entity, wrong SNOMED ID","(5217, 5224)","(5217, 5224)",PROTEIN,PROTEIN,57378007,764892007,18046197-DS-13,"N GAP-17 ___ 08:20PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILN" "Correct entity, wrong SNOMED ID","(5242, 5248)","(5242, 5248)",KETONE,KETONE,47615003,256048004,18046197-DS-13,"E BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG " "Correct entity, wrong SNOMED ID","(5253, 5262)","(5253, 5262)",BILIRUBIN,BILIRUBIN,359992002,359986008,18046197-DS-13,"G NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG Brief Hospi" "Correct entity, wrong SNOMED ID","(5281, 5283)","(5281, 5283)",PH,PH,81065003,264912003,18046197-DS-13,"LUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG Brief Hospital Course: Patient i" "Correct entity, wrong SNOMED ID","(5371, 5391)","(5371, 5391)","psoriatic arthritis","psoriatic arthritis",156370009,239802003,18046197-DS-13,"e: Patient is a ___ year old male with history of psoriatic arthritis and IBD presenting with exacerbation of cervicoge" "Correct entity, wrong SNOMED ID","(5432, 5454)","(5432, 5454)","cervicogenic headache","cervicogenic headache",279016001,122731000119104,18046197-DS-13,"arthritis and IBD presenting with exacerbation of cervicogenic headache. . #. Cervicogenic headache, acute on chronic" "Correct entity, wrong SNOMED ID","(5465, 5486)","(5465, 5486)",Cervicogenic headache,Cervicogenic headache,279016001,122731000119104,18046197-DS-13," exacerbation of cervicogenic headache. . #. Cervicogenic headache, acute on chronic: Patient has a history of thes" Missed entity,"(5497, 5504)",,chronic,,431237007,,18046197-DS-13,"eadache. . #. Cervicogenic headache, acute on chronic: Patient has a history of these headaches which " "Correct entity, wrong SNOMED ID","(5538, 5547)","(5538, 5547)",headaches,headaches,25064002,267096005,18046197-DS-13,"acute on chronic: Patient has a history of these headaches which he describes as chronic daily headaches, f" Missed entity,"(5570, 5577)",,chronic,,431237007,,18046197-DS-13," history of these headaches which he describes as chronic daily headaches, from bilateral occipital region" Wrong span,"(5578, 5594)","(5585, 5594)","daily headaches",headaches,571000119103,267096005,18046197-DS-13," of these headaches which he describes as chronic daily headaches, from bilateral occipital region radiating to tem" "Correct entity, wrong SNOMED ID","(5611, 5627)","(5611, 5627)",occipital region,occipital region,43631005,362618001,18046197-DS-13,"ribes as chronic daily headaches, from bilateral occipital region radiating to temporal and frontal areas, lasting " "Correct entity, wrong SNOMED ID","(5628, 5637)","(5628, 5637)",radiating,radiating,9972008,161892003,18046197-DS-13,"daily headaches, from bilateral occipital region radiating to temporal and frontal areas, lasting from hours" "Correct entity, wrong SNOMED ID","(5641, 5649)","(5641, 5649)",temporal,temporal,450721000,16621002,18046197-DS-13,"hes, from bilateral occipital region radiating to temporal and frontal areas, lasting from hours to days, w" "Correct entity, wrong SNOMED ID","(5654, 5667)","(5654, 5667)",frontal areas,frontal areas,700036009,304850001,18046197-DS-13,"ateral occipital region radiating to temporal and frontal areas, lasting from hours to days, with some visual bl" "Correct entity, wrong SNOMED ID","(5708, 5723)","(5708, 5723)",visual blurring,visual blurring,111516008,1119528007,18046197-DS-13,"tal areas, lasting from hours to days, with some visual blurring, without mitigating factors. He has a history of" Wrong span,"(5783, 5793)","(5783, 5805)",tenderness,tenderness on pressure,247348008,301424008,18046197-DS-13,"mitigating factors. He has a history of positive tenderness on pressure over the greater occipital nerve reg" Wrong span,"(5797, 5805)","(5783, 5805)",pressure,tenderness on pressure,13543005,301424008,18046197-DS-13,"tors. He has a history of positive tenderness on pressure over the greater occipital nerve region as well " Wrong span,"(5816, 5839)","(5824, 5846)",greater occipital nerve,occipital nerve region,86690003,86690003,18046197-DS-13,"tory of positive tenderness on pressure over the greater occipital nerve region as well as over the temporal region. Pati" Wrong span,"(5840, 5846)","(5824, 5846)",region,occipital nerve region,43631005,86690003,18046197-DS-13,"ess on pressure over the greater occipital nerve region as well as over the temporal region. Patient was" "Correct entity, wrong SNOMED ID","(5867, 5883)","(5867, 5883)","temporal region","temporal region",450721000,362620003,18046197-DS-13,"reater occipital nerve region as well as over the temporal region. Patient was diagnosed with cerviogenic headache " "Correct entity, wrong SNOMED ID","(5912, 5932)","(5912, 5932)",cerviogenic headache,cerviogenic headache,279016001,445322004,18046197-DS-13," the temporal region. Patient was diagnosed with cerviogenic headache and myofascial pain, with question of his psoria" "Correct entity, wrong SNOMED ID","(5938, 5953)","(5938, 5953)",myofascial pain,myofascial pain,279062009,726531007,18046197-DS-13,"ient was diagnosed with cerviogenic headache and myofascial pain, with question of his psoriatic arthritis affect" "Correct entity, wrong SNOMED ID","(5976, 5995)","(5976, 5995)",psoriatic arthritis,psoriatic arthritis,156370009,239802003,18046197-DS-13,"adache and myofascial pain, with question of his psoriatic arthritis affecting his cervical spine as part of the etio" "Correct entity, wrong SNOMED ID","(6011, 6025)","(6011, 6025)",cervical spine,cervical spine,122494005,178778006,18046197-DS-13,"uestion of his psoriatic arthritis affecting his cervical spine as part of the etiology. Patient reports this hea" "Correct entity, wrong SNOMED ID","(6072, 6080)","(6072, 6080)",headache,headache,25064002,267096005,18046197-DS-13,"ine as part of the etiology. Patient reports this headache has the same characteristics of prior headaches " "Correct entity, wrong SNOMED ID","(6120, 6129)","(6120, 6129)",headaches,headaches,25064002,267096005,18046197-DS-13,"s headache has the same characteristics of prior headaches and unfortunately, he has as yet been unable to " "Correct entity, wrong SNOMED ID","(6222, 6233)","(6222, 6233)",meningismus,meningismus,70784009,866090003,18046197-DS-13,"ble to obtain humeria on an outpatient basis. No meningismus, fever or altered mental status to suggest infec" "Correct entity, wrong SNOMED ID","(6235, 6240)","(6235, 6240)",fever,fever,386661006,416113008,18046197-DS-13," humeria on an outpatient basis. No meningismus, fever or altered mental status to suggest infection. L" "Correct entity, wrong SNOMED ID","(6244, 6265)","(6244, 6265)",altered mental status,altered mental status,419284004,433082007,18046197-DS-13,"on an outpatient basis. No meningismus, fever or altered mental status to suggest infection. Left shift from chronic st" "Correct entity, wrong SNOMED ID","(6278, 6287)","(6278, 6287)",infection,infection,40733004,246083009,18046197-DS-13,"ismus, fever or altered mental status to suggest infection. Left shift from chronic steroids. No mechanical " Missed entity,"(6305, 6312)",,chronic,,27624003,,18046197-DS-13,"tal status to suggest infection. Left shift from chronic steroids. No mechanical trauma or point tenderne" "Correct entity, wrong SNOMED ID","(6313, 6321)","(6313, 6321)",steroids,steroids,297279009,285435007,18046197-DS-13,"us to suggest infection. Left shift from chronic steroids. No mechanical trauma or point tenderness. Patie" Wrong span,"(6338, 6344)","(6326, 6344)",trauma,"mechanical trauma",417746004,258136009,18046197-DS-13," Left shift from chronic steroids. No mechanical trauma or point tenderness. Patient transitioned from IV" "Correct entity, wrong SNOMED ID","(6354, 6364)","(6354, 6364)",tenderness,tenderness,247348008,43478001,18046197-DS-13," chronic steroids. No mechanical trauma or point tenderness. Patient transitioned from IV morphine back to _" "Correct entity, wrong SNOMED ID","(6392, 6394)","(6392, 6394)",IV,IV,386340006,258000009,18046197-DS-13,"ma or point tenderness. Patient transitioned from IV morphine back to ___ morphine + Ms ___. Given so" Missed entity,"(6456, 6458)",,IV,,386340006,,18046197-DS-13,"ack to ___ morphine + Ms ___. Given solumedrol x1 IV in ED, prednisone 50mg PO on the floor. Patient " Missed entity,"(6521, 6533)",,rheumatology,,310059000,,18046197-DS-13,"nisone 50mg PO on the floor. Patient was seen by rheumatology who felt that increasing the steroids would not b" Missed entity,"(6548, 6558)",,increasing,,309633003,,18046197-DS-13,". Patient was seen by rheumatology who felt that increasing the steroids would not be an effective intervent" "Correct entity, wrong SNOMED ID","(6563, 6571)","(6563, 6571)",steroids,steroids,297279009,285435007,18046197-DS-13,"een by rheumatology who felt that increasing the steroids would not be an effective intervention. Patient " Missed entity,"(6625, 6634)",,evaluated,,386053000,,18046197-DS-13,"ld not be an effective intervention. Patient was evaluated by pain service and an occipital nerve block was" Missed entity,"(6638, 6650)",,pain service,,305799001,,18046197-DS-13," effective intervention. Patient was evaluated by pain service and an occipital nerve block was done. Bilateral" Wrong span,"(6659, 6674)","(6659, 6680)",occipital nerve,occipital nerve block,360991004,231127006,18046197-DS-13,"on. Patient was evaluated by pain service and an occipital nerve block was done. Bilateral GONB and TPI to Bilate" Wrong span,"(6675, 6680)","(6659, 6680)",block,occipital nerve block,26036001,231127006,18046197-DS-13,"evaluated by pain service and an occipital nerve block was done. Bilateral GONB and TPI to Bilateral sp" Missed entity,"(6701, 6705)",,GONB,,90454009,,18046197-DS-13," and an occipital nerve block was done. Bilateral GONB and TPI to Bilateral splenius capitis and occipi" Missed entity,"(6710, 6713)",,TPI,,1217321007,,18046197-DS-13,"ccipital nerve block was done. Bilateral GONB and TPI to Bilateral splenius capitis and occipitalis wi" "Correct entity, wrong SNOMED ID","(6728, 6744)","(6728, 6744)",splenius capitis,splenius capitis,1600003,244850004,18046197-DS-13,"ck was done. Bilateral GONB and TPI to Bilateral splenius capitis and occipitalis with 14 cc 0.25% bupivicaine PF " "Correct entity, wrong SNOMED ID","(6749, 6760)","(6749, 6760)",occipitalis,occipitalis,21405000,422698000,18046197-DS-13,"l GONB and TPI to Bilateral splenius capitis and occipitalis with 14 cc 0.25% bupivicaine PF and 10 mg MPA wi" "Correct entity, wrong SNOMED ID","(6838, 6857)","(6838, 6857)",PSORIATIC ARTHRITIS,PSORIATIC ARTHRITIS,156370009,239802003,18046197-DS-13,"ne PF and 10 mg MPA without complications . #. PSORIATIC ARTHRITIS: The patient has disease which seems to worsen o" "Correct entity, wrong SNOMED ID","(6875, 6882)","(6875, 6882)",disease,disease,156370009,246165003,18046197-DS-13,"ions . #. PSORIATIC ARTHRITIS: The patient has disease which seems to worsen on his current regimen of " Boundary error,"(6899, 6905)","(6899, 6904)",worsen,worse,271299001,280122007,18046197-DS-13,"RTHRITIS: The patient has disease which seems to worsen on his current regimen of imuran and prednisone. " Boundary error,"(6921, 6928)","(6921, 6927)",regimen,regime,133877004,225302006,18046197-DS-13,"has disease which seems to worsen on his current regimen of imuran and prednisone. Awaiting humira as abo" "Correct entity, wrong SNOMED ID","(7097, 7107)","(7097, 7107)",joint pain,joint pain,57676002,1348356003,18046197-DS-13,"nately. Currently somewhat symptomatic with some joint pain and swollen hands and knees. Rheumatology felt t" "Correct entity, wrong SNOMED ID","(7112, 7125)","(7112, 7125)",swollen hands,swollen hands,299037003,10678951000119103,18046197-DS-13,"ly somewhat symptomatic with some joint pain and swollen hands and knees. Rheumatology felt that the headache e" "Correct entity, wrong SNOMED ID","(7130, 7135)","(7130, 7135)",knees,knees,82169009,36701003,18046197-DS-13,"omatic with some joint pain and swollen hands and knees. Rheumatology felt that the headache exacerbatio" Missed entity,"(7138, 7150)",,Rheumatology,,310059000,,18046197-DS-13,"ith some joint pain and swollen hands and knees. Rheumatology felt that the headache exacerbation was not relat" Wrong span,"(7165, 7173)","(7165, 7186)",headache,headache exacerbation,25064002,230474003,18046197-DS-13,"llen hands and knees. Rheumatology felt that the headache exacerbation was not related to the arthitis. Th" "Correct entity, wrong SNOMED ID","(7211, 7219)","(7211, 7219)",arthitis,arthitis,3723001,1297064001,18046197-DS-13,"the headache exacerbation was not related to the arthitis. They did not recommend any change in management" Missed entity,"(7294, 7301)",,Bactrim,,281789004,,18046197-DS-13,"any change in management. Continue Ca, VitD, and Bactrim as PPx against AEs from steroids should have P" Missed entity,"(7305, 7308)",,PPx,,422181004,,18046197-DS-13,"in management. Continue Ca, VitD, and Bactrim as PPx against AEs from steroids should have PCP ppx " "Correct entity, wrong SNOMED ID","(7327, 7335)","(7327, 7335)",steroids,steroids,297279009,285435007,18046197-DS-13,"ue Ca, VitD, and Bactrim as PPx against AEs from steroids should have PCP ppx with ___ SS daily. Continue" "Correct entity, wrong SNOMED ID","(7350, 7353)","(7350, 7353)",PCP,PCP,737470001,282108002,18046197-DS-13,"m as PPx against AEs from steroids should have PCP ppx with ___ SS daily. Continue home regimen of " Missed entity,"(7391, 7398)",,regimen,,133877004,,18046197-DS-13,"uld have PCP ppx with ___ SS daily. Continue home regimen of azathioprine 100mg PO BID. . #. DIABETES: H" "Correct entity, wrong SNOMED ID","(7437, 7445)","(7437, 7445)",DIABETES,DIABETES,73211009,9414007,18046197-DS-13,"ome regimen of azathioprine 100mg PO BID. . #. DIABETES: Hold glyburide for now. Continue outpatient gla" Wrong span,"(7567, 7575)","(7567, 7580)",Axillary,Axillary cyst,68171009,1144232009,18046197-DS-13,"s 30 U QHS, fingersticks four times daily. . # Axillary cyst: Continue augmentin 875 mg bid for 7d ending" Wrong span,"(7576, 7580)","(7567, 7580)",cyst,Axillary cyst,367643001,1144232009,18046197-DS-13,"S, fingersticks four times daily. . # Axillary cyst: Continue augmentin 875 mg bid for 7d ending ___" Missed entity,"(7591, 7600)",,augmentin,,281789004,,18046197-DS-13," four times daily. . # Axillary cyst: Continue augmentin 875 mg bid for 7d ending ___ . # Peripheral neur" "Correct entity, wrong SNOMED ID","(7635, 7656)","(7635, 7656)",Peripheral neuropathy,Peripheral neuropathy,302226006,129611009,18046197-DS-13,"tinue augmentin 875 mg bid for 7d ending ___ . # Peripheral neuropathy but no new neuro symptoms . #. HTN: Continue ho" Wrong span,"(7668, 7682)","(7668, 7673)",neuro symptoms,neuro,308921004,284186002,18046197-DS-13," ending ___ . # Peripheral neuropathy but no new neuro symptoms . #. HTN: Continue home regimen with HCTZ, Topr" "Correct entity, wrong SNOMED ID","(7690, 7693)","(7690, 7693)",HTN,HTN,38341003,10725009,18046197-DS-13,"heral neuropathy but no new neuro symptoms . #. HTN: Continue home regimen with HCTZ, Toprol XL and " Missed entity,"(7709, 7716)",,regimen,,133877004,,18046197-DS-13,"t no new neuro symptoms . #. HTN: Continue home regimen with HCTZ, Toprol XL and lisinopril. . #. HY" Missed entity,"(7743, 7753)",,lisinopril,,410682003,,18046197-DS-13,": Continue home regimen with HCTZ, Toprol XL and lisinopril. . #. HYPERLIPIDEMIA: Continue home regimen o" "Correct entity, wrong SNOMED ID","(7764, 7778)","(7764, 7778)",HYPERLIPIDEMIA,HYPERLIPIDEMIA,55822004,267434003,18046197-DS-13,"en with HCTZ, Toprol XL and lisinopril. . #. HYPERLIPIDEMIA: Continue home regimen of pravastatin. . # s/" Missed entity,"(7794, 7801)",,regimen,,133877004,,18046197-DS-13,"isinopril. . #. HYPERLIPIDEMIA: Continue home regimen of pravastatin. . # s/p submandibular siaload" "Correct entity, wrong SNOMED ID","(7830, 7857)","(7830, 7857)",submandibular sialoadenitis,submandibular sialoadenitis,196485006,240527008,18046197-DS-13,"Continue home regimen of pravastatin. . # s/p submandibular sialoadenitis- completed clida course - continue lemon drops . " "Correct entity, wrong SNOMED ID","(10355, 10375)","(10355, 10375)",cerviogenic headache,cerviogenic headache,279016001,1119236004,18046197-DS-13,"Disposition: Home Discharge Diagnosis: Primary: cerviogenic headache s/p occipital nerve block Psoriatic arthritis . " Wrong span,"(10380, 10395)","(10380, 10401)",occipital nerve,occipital nerve block,360991004,231127006,18046197-DS-13,"arge Diagnosis: Primary: cerviogenic headache s/p occipital nerve block Psoriatic arthritis . Secondary: Inflammat" Wrong span,"(10396, 10401)","(10380, 10401)",block,occipital nerve block,26036001,231127006,18046197-DS-13,"Primary: cerviogenic headache s/p occipital nerve block Psoriatic arthritis . Secondary: Inflammatory bo" "Correct entity, wrong SNOMED ID","(10402, 10421)","(10402, 10421)",Psoriatic arthritis,Psoriatic arthritis,156370009,239802003,18046197-DS-13,"y: cerviogenic headache s/p occipital nerve block Psoriatic arthritis . Secondary: Inflammatory bowel disease HTN " "Correct entity, wrong SNOMED ID","(10436, 10462)","(10436, 10462)",Inflammatory bowel disease,Inflammatory bowel disease,24526004,608844008,18046197-DS-13,"tal nerve block Psoriatic arthritis . Secondary: Inflammatory bowel disease HTN DM2 Peripheral neuropathy Discharg" "Correct entity, wrong SNOMED ID","(10465, 10468)","(10465, 10468)",HTN,HTN,38341003,10725009,18046197-DS-13,"hritis . Secondary: Inflammatory bowel disease HTN DM2 Peripheral neuropathy Discharge Cond" "Correct entity, wrong SNOMED ID","(10471, 10474)","(10471, 10474)",DM2,DM2,44054006,396166000,18046197-DS-13," . Secondary: Inflammatory bowel disease HTN DM2 Peripheral neuropathy Discharge Condition:" "Correct entity, wrong SNOMED ID","(10477, 10498)","(10477, 10498)",Peripheral neuropathy,Peripheral neuropathy,302226006,129611009,18046197-DS-13,"condary: Inflammatory bowel disease HTN DM2 Peripheral neuropathy Discharge Condition: stable, pain well contr" "Correct entity, wrong SNOMED ID","(10525, 10531)","(10525, 10531)",stable,stable,359746009,301459008,18046197-DS-13," Peripheral neuropathy Discharge Condition: stable, pain well controlled on PO meds at the time of d" Missed entity,"(10557, 10559)",,PO,,386359008,,18046197-DS-13,"charge Condition: stable, pain well controlled on PO meds at the time of discharge Discharge Instru" Missed entity,"(10560, 10564)",,meds,,52685006,,18046197-DS-13,"rge Condition: stable, pain well controlled on PO meds at the time of discharge Discharge Instruction" "Correct entity, wrong SNOMED ID","(10660, 10668)","(10660, 10668)",headache,headache,25064002,267096005,18046197-DS-13,"tions: You were admitted for exacerbation of your headache. You were intially treated with IV steroids and " "Correct entity, wrong SNOMED ID","(10702, 10704)","(10702, 10704)",IV,IV,386358000,258000009,18046197-DS-13,"of your headache. You were intially treated with IV steroids and IV morphine. Your pain was better c" "Correct entity, wrong SNOMED ID","(10705, 10713)","(10705, 10713)",steroids,steroids,297279009,285435007,18046197-DS-13,"your headache. You were intially treated with IV steroids and IV morphine. Your pain was better controlled" "Correct entity, wrong SNOMED ID","(10718, 10720)","(10718, 10720)",IV,IV,386358000,258000009,18046197-DS-13,". You were intially treated with IV steroids and IV morphine. Your pain was better controlled and yo" "Correct entity, wrong SNOMED ID","(10736, 10763)","(10736, 10763)","pain was better controlled","pain was better controlled",1156446004,408950005,18046197-DS-13,"ly treated with IV steroids and IV morphine. Your pain was better controlled and you were transitioned to PO medications. You" Missed entity,"(10793, 10795)",,PO,,386359008,,18046197-DS-13,"s better controlled and you were transitioned to PO medications. You were evaluated by rheumatology " Missed entity,"(10796, 10807)",,medications,,52685006,,18046197-DS-13,"better controlled and you were transitioned to PO medications. You were evaluated by rheumatology and no chang" "Correct entity, wrong SNOMED ID","(10819, 10828)","(10819, 10828)",evaluated,evaluated,386053000,39609006,18046197-DS-13,"ou were transitioned to PO medications. You were evaluated by rheumatology and no change in management was " Missed entity,"(10832, 10844)",,rheumatology,,310059000,,18046197-DS-13,"itioned to PO medications. You were evaluated by rheumatology and no change in management was recommended in r" "Correct entity, wrong SNOMED ID","(10909, 10916)","(10909, 10916)",steroid,steroid,297279009,296778005,18046197-DS-13,"in management was recommended in regards to your steroid dose. You underwent an occipital nerve block by " Wrong span,"(10941, 10956)","(10941, 10962)",occipital nerve,occipital nerve block,360991004,231127006,18046197-DS-13,"n regards to your steroid dose. You underwent an occipital nerve block by the pain service. . Your dose of morphin" Wrong span,"(10957, 10962)","(10941, 10962)",block,occipital nerve block,26036001,231127006,18046197-DS-13,"r steroid dose. You underwent an occipital nerve block by the pain service. . Your dose of morphine ___ " Missed entity,"(10970, 10982)",,pain service,,305799001,,18046197-DS-13,"e. You underwent an occipital nerve block by the pain service. . Your dose of morphine ___ was increased to ach" Wrong span,"(11044, 11057)","(11044, 11048)","pain control",pain,225782006,102570003,18046197-DS-13,"e of morphine ___ was increased to achieve better pain control. Please take all medications as prescribed and do" Missed entity,"(11059, 11100)",,Please take all medications as prescribed,,394835006,,18046197-DS-13,"__ was increased to achieve better pain control. Please take all medications as prescribed and do not drive while taking pain medication as" Missed entity,"(11105, 11118)",,"do not drive",,304509000,,18046197-DS-13,"ol. Please take all medications as prescribed and do not drive while taking pain medication as they have sedatin" Wrong span,"(11119, 11147)","(11132, 11147)",while taking pain medication,pain medication,394835006,52685006,18046197-DS-13,"e all medications as prescribed and do not drive while taking pain medication as they have sedating effects. Please go to all " "Correct entity, wrong SNOMED ID","(11275, 11284)","(11275, 11284)",headaches,headaches,25064002,267096005,18046197-DS-13,"ents. . Please contact your physician if you have headaches that are not controlled with your PO medication." Missed entity,"(11320, 11322)",,PO,,386359008,,18046197-DS-13,"have headaches that are not controlled with your PO medication. Please follow up in pain clinic as y" Missed entity,"(11323, 11333)",,medication,,18629005,,18046197-DS-13,"e headaches that are not controlled with your PO medication. Please follow up in pain clinic as your headach" "Correct entity, wrong SNOMED ID","(11355, 11359)","(11355, 11359)",pain,pain,22253000,102570003,18046197-DS-13,"lled with your PO medication. Please follow up in pain clinic as your headaches do not appear to be sig" Missed entity,"(11361, 11367)",,clinic,,737492002,,18046197-DS-13,"ith your PO medication. Please follow up in pain clinic as your headaches do not appear to be significant" "Correct entity, wrong SNOMED ID","(11376, 11385)","(11376, 11385)",headaches,headaches,25064002,267096005,18046197-DS-13,"ication. Please follow up in pain clinic as your headaches do not appear to be significantly influenced by " False positive,,"(1865, 1873)",,strenght,,361438007,18059545-DS-17,"palpation of calf/thigh, Full ROM of extremity; strenght/sensation intact and equal b/l; ___ pulses palpa" False positive,,"(1895, 1904)",,equal b/l,,258865000,18059545-DS-17,"ROM of extremity; strenght/sensation intact and equal b/l; ___ pulses palpable b/l Pertinent Results: A" False positive,,"(2031, 2034)",,RDW,,66842004,18059545-DS-17,"5.17 Hgb-14.7 Hct-42.8 MCV-83 MCH-28.4 MCHC-34.3 RDW-13.4 Plt ___ PTT-33.5 ___ Glucose-99 UreaN-13 Cre" False positive,,"(2061, 2068)",,Glucose,,72191006,18059545-DS-17,"MCH-28.4 MCHC-34.3 RDW-13.4 Plt ___ PTT-33.5 ___ Glucose-99 UreaN-13 Creat-1.0 Na-140 K-4.3 Cl-103 HCO3-29" False positive,,"(2120, 2125)",,AnGap,,124504004,18059545-DS-17,"9 UreaN-13 Creat-1.0 Na-140 K-4.3 Cl-103 HCO3-29 AnGap-12 Discharge Labs: ___ 07:20AM BLOOD WBC-4.9 RB" False positive,,"(2208, 2211)",,MCH,,735147002,18059545-DS-17," BLOOD WBC-4.9 RBC-4.95 Hgb-14.1 Hct-41.6 MCV-84 MCH-28.5 MCHC-33.8 RDW-13.1 Plt ___ ___ 07:20AM BLOOD" False positive,,"(2384, 2391)",,Glucose,,72191006,18059545-DS-17," 01:35PM URINE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-0.2 pH-7.0 Leu" False positive,,"(2675, 2678)",,DVT,,49956009,18059545-DS-17," from ___, with extensive right lower extremity DVT in thigh and calf by outside hospital ultrasound " False positive,,"(3372, 3380)",,enlarged,,300344005,18059545-DS-17,"eys and ureters are unremarkable. The spleen is enlarged, measuring 14.6 cm, without focal lesion. The no" False positive,,"(3600, 3606)",,normal,,840673007,18059545-DS-17,"oted by size criteria. The abdominal aorta is of normal caliber. No filling defect is seen in the spleni" False positive,,"(3862, 3870)",,enlarged,,300344005,18059545-DS-17,"l ureters are unremarkable. The prostate is not enlarged. Note is made of a 9-mm utricle cyst in the midl" False positive,,"(4007, 4012)",,fluid,,109192009,18059545-DS-17," 1.3 x 2.5 cm left seminal vesicle cyst. Trace fluid is noted in the pelvis (2:141), of indeterminate " False positive,,"(4217, 4222)",,lower,,128995005,18059545-DS-17," no free air or adenopathy within the pelvis. The lower IVC and bilateral common, internal, and externa" False positive,,"(5044, 5055)",,no evidence,,41647002,18059545-DS-17,"the greater saphenous vein are patent. There is no evidence of left lower extremity deep venous thrombosis. " False positive,,"(6018, 6025)",,heparin,,412201008,18059545-DS-17,"ry team on ___. He was started on a therapeutic heparin drip and a ___ stocking placed on his right leg " False positive,,"(6338, 6345)",,heparin,,412201008,18059545-DS-17,"teal vein and through the right calf veins. The heparin gtt was continued and coumadin therapy initiated" False positive,,"(6766, 6768)",,co,,422514006,18059545-DS-17," therapeutic lovenox injections and continued on coumadin. He was out of bed, ambulating short dista" False positive,,"(7396, 7417)",,right lower extremity,,362784000,18059545-DS-17," 4 pronged cane use as needed for stability Dx: right lower extremity DVT 4. Percocet ___ mg Tablet Sig: ___ Tablets PO" False positive,,"(7418, 7421)",,DVT,,49956009,18059545-DS-17," needed for stability Dx: right lower extremity DVT 4. Percocet ___ mg Tablet Sig: ___ Tablets PO eve" False positive,,"(8015, 8020)",,Clear,,281278005,18059545-DS-17,"remity DVT Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" False positive,,"(8082, 8097)",,Activity Status,,397622007,18059545-DS-17,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" False positive,,"(8277, 8290)",,physical exam,,410182004,18059545-DS-17,"extremity. It was determined that based on your physical exam and ct scan, a surgical thrombolytic therapy woul" False positive,,"(8608, 8610)",,PC,,24863003,18059545-DS-17," the INR (international normalized ratio). Your PCP, ___ be following this for you and adjust your " False positive,,"(8819, 8821)",,co,,422514006,18059545-DS-17," The goal INR is 2.0-3.0 . You should take your coumadin at the same time every day and tell your PC" False positive,,"(8869, 8871)",,PC,,24863003,18059545-DS-17,"coumadin at the same time every day and tell your PCP if you take antibiotics at any time during the " False positive,,"(9160, 9167)",,walking,,165245003,18059545-DS-17," You may resume normal daily activities such as walking, and driving. Do not drive while taking narcotic" False positive,,"(9249, 9256)",,elevate,,50177009,18059545-DS-17,"le taking narcotic medications. You will need to elevate your right leg, above the level of your heart as" False positive,,"(9586, 9597)",,medications,,129019007,18059545-DS-17,"u are vomiting and cannot keep in fluids or your medications. * You are getting dehydrated due to continued vo" False positive,,"(9939, 9948)",,improving,,170596004,18059545-DS-17,"es of your eyes become yellow. * Your pain is not improving within ___ hours or not gone within 24 hours. Ca" "Correct entity, wrong SNOMED ID","(181, 189)","(181, 189)",Morphine,Morphine,293601001,73572009,18059545-DS-17," Sex: M Service: SURGERY Allergies: Morphine Attending: ___. Chief Complaint: Right lower " Wrong span,"(233, 252)","(227, 252)",lower extremity DVT,Right lower extremity DVT,404223003,350311000119101,18059545-DS-17,"rphine Attending: ___. Chief Complaint: Right lower extremity DVT Major Surgical or Invasive Procedure: none H" Wrong span,"(413, 434)","(413, 438)",right lower extremity,right lower extremity DVT,62175007,350311000119101,18059545-DS-17,"ented to the ___ ER after being diagnosed with a right lower extremity DVT at an outside hospital. He states last week" Wrong span,"(435, 438)","(413, 438)",DVT,right lower extremity DVT,128053003,350311000119101,18059545-DS-17,"ter being diagnosed with a right lower extremity DVT at an outside hospital. He states last weekend " Wrong span,"(588, 609)","(588, 592)",pain in his right leg,pain,287048003,102570003,18059545-DS-17,"he next few days afterward he began to experience pain in his right leg. Initially the pain was in the right thigh and " "Correct entity, wrong SNOMED ID","(627, 631)","(627, 631)",pain,pain,22253000,102570003,18059545-DS-17,"experience pain in his right leg. Initially the pain was in the right thigh and has now become most s" "Correct entity, wrong SNOMED ID","(643, 654)","(643, 654)",right thigh,right thigh,11207009,209570001,18059545-DS-17,"in his right leg. Initially the pain was in the right thigh and has now become most severe in the calf. He " "Correct entity, wrong SNOMED ID","(694, 698)","(694, 698)",calf,calf,722116009,281792000,18059545-DS-17,"ight thigh and has now become most severe in the calf. He noted a moderate amount of swelling as well" "Correct entity, wrong SNOMED ID","(731, 739)","(731, 739)",swelling,swelling,762897000,300890009,18059545-DS-17,"evere in the calf. He noted a moderate amount of swelling as well. For this reason he presented to his lo" "Correct entity, wrong SNOMED ID","(845, 848)","(845, 848)",DVT,DVT,128053003,161508001,18059545-DS-17,"ergency department where he was diagnosed with a DVT. Per reports the thrombus extends from his calf" "Correct entity, wrong SNOMED ID","(868, 876)","(868, 876)",thrombus,thrombus,396339007,373140001,18059545-DS-17,"re he was diagnosed with a DVT. Per reports the thrombus extends from his calf up to his groin. He was st" "Correct entity, wrong SNOMED ID","(894, 898)","(894, 898)",calf,calf,53840002,281792000,18059545-DS-17," DVT. Per reports the thrombus extends from his calf up to his groin. He was started on lovenox BID " "Correct entity, wrong SNOMED ID","(909, 914)","(909, 914)",groin,groin,26893007,211046002,18059545-DS-17,"rts the thrombus extends from his calf up to his groin. He was started on lovenox BID and discharged t" "Correct entity, wrong SNOMED ID","(1008, 1020)","(1008, 1020)",thrombolysis,thrombolysis,233428003,240929001,18059545-DS-17,"rged to home, with the plan to return on ___ for thrombolysis. However the patient reports he was uncomfortab" "Correct entity, wrong SNOMED ID","(1336, 1350)","(1336, 1350)",right leg pain,right leg pain,287048003,291791000119100,18059545-DS-17,"tes he is feeling fine with the exception of his right leg pain. He denies chest pain, shortness of breath, fev" "Correct entity, wrong SNOMED ID","(1364, 1374)","(1364, 1374)",chest pain,chest pain,29857009,102589003,18059545-DS-17," the exception of his right leg pain. He denies chest pain, shortness of breath, fevers, chills, nausea or " "Correct entity, wrong SNOMED ID","(1376, 1395)","(1376, 1395)",shortness of breath,shortness of breath,267036007,135833008,18059545-DS-17,"on of his right leg pain. He denies chest pain, shortness of breath, fevers, chills, nausea or vomiting. Past Med" "Correct entity, wrong SNOMED ID","(1397, 1403)","(1397, 1403)",fevers,fevers,386661006,248444008,18059545-DS-17,"ain. He denies chest pain, shortness of breath, fevers, chills, nausea or vomiting. Past Medical His" "Correct entity, wrong SNOMED ID","(1405, 1411)","(1405, 1411)",chills,chills,43724002,274640006,18059545-DS-17," denies chest pain, shortness of breath, fevers, chills, nausea or vomiting. Past Medical History: pa" Wrong span,"(1413, 1419)","(1413, 1432)",nausea,"nausea or vomiting",422587007,70790008,18059545-DS-17," chest pain, shortness of breath, fevers, chills, nausea or vomiting. Past Medical History: paroxysmal" Wrong span,"(1424, 1432)","(1413, 1432)",vomiting,"nausea or vomiting",422400008,70790008,18059545-DS-17,", shortness of breath, fevers, chills, nausea or vomiting. Past Medical History: paroxysmal SVT diagnose" Wrong span,"(1459, 1473)","(1459, 1469)",paroxysmal SVT,paroxysmal,67198005,251473007,18059545-DS-17,"ls, nausea or vomiting. Past Medical History: paroxysmal SVT diagnosed many years ago and never treated Soci" "Correct entity, wrong SNOMED ID","(1627, 1630)","(1627, 1630)",VSS,VSS,118227000,410188000,18059545-DS-17," ___, sister with ___ in her ___ Physical Exam: VSS, Afebrile GEN WDWN male in NAD CV RRR no M/R/G C" "Correct entity, wrong SNOMED ID","(1632, 1640)","(1632, 1640)",Afebrile,Afebrile,87273009,307200007,18059545-DS-17," sister with ___ in her ___ Physical Exam: VSS, Afebrile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB " "Correct entity, wrong SNOMED ID","(1642, 1645)","(1642, 1645)",GEN,GEN,162673000,16651008,18059545-DS-17,"th ___ in her ___ Physical Exam: VSS, Afebrile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD s" "Correct entity, wrong SNOMED ID","(1646, 1650)","(1646, 1650)",WDWN,WDWN,248324001,258001008,18059545-DS-17,"__ in her ___ Physical Exam: VSS, Afebrile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/n" "Correct entity, wrong SNOMED ID","(1659, 1662)","(1659, 1662)",NAD,NAD,281900007,131143000,18059545-DS-17," Physical Exam: VSS, Afebrile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, no" "Correct entity, wrong SNOMED ID","(1663, 1665)","(1663, 1665)",CV,CV,363003006,258773002,18059545-DS-17,"hysical Exam: VSS, Afebrile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, nondi" "Correct entity, wrong SNOMED ID","(1666, 1669)","(1666, 1669)",RRR,RRR,76863003,129960002,18059545-DS-17,"ical Exam: VSS, Afebrile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, nondisten" "Correct entity, wrong SNOMED ID","(1670, 1678)","(1670, 1678)",no M/R/G,no M/R/G,301132007,315221003,18059545-DS-17," Exam: VSS, Afebrile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, nondistended EXT W" "Correct entity, wrong SNOMED ID","(1679, 1684)","(1679, 1684)",CHEST,CHEST,268925001,74160004,18059545-DS-17,"S, Afebrile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, nondistended EXT WWP; RL" "Correct entity, wrong SNOMED ID","(1685, 1689)","(1685, 1689)",CTAB,CTAB,48348007,112188007,18059545-DS-17,"brile GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, nondistended EXT WWP; RLE wit" "Correct entity, wrong SNOMED ID","(1690, 1693)","(1690, 1693)",ABD,ABD,225162003,60728008,18059545-DS-17," GEN WDWN male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, nondistended EXT WWP; RLE with __" "Correct entity, wrong SNOMED ID","(1699, 1708)","(1699, 1708)",nontender,nontender,43478001,413319007,18059545-DS-17,"N male in NAD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, nondistended EXT WWP; RLE with ___ stocking on, " "Correct entity, wrong SNOMED ID","(1710, 1722)","(1710, 1722)",nondistended,nondistended,300405003,441380004,18059545-DS-17,"AD CV RRR no M/R/G CHEST CTAB ABD soft/nontender, nondistended EXT WWP; RLE with ___ stocking on, skin without e" "Correct entity, wrong SNOMED ID","(1723, 1726)","(1723, 1726)",EXT,EXT,302773001,1489008,18059545-DS-17,"M/R/G CHEST CTAB ABD soft/nontender, nondistended EXT WWP; RLE with ___ stocking on, skin without erryt" "Correct entity, wrong SNOMED ID","(1727, 1730)","(1727, 1730)",WWP,WWP,1137685003,258001008,18059545-DS-17,"G CHEST CTAB ABD soft/nontender, nondistended EXT WWP; RLE with ___ stocking on, skin without errythema" "Correct entity, wrong SNOMED ID","(1732, 1735)","(1732, 1735)",RLE,RLE,62175007,53541006,18059545-DS-17,"ST CTAB ABD soft/nontender, nondistended EXT WWP; RLE with ___ stocking on, skin without errythema, no " Missed entity,"(1736, 1756)",,with ___ stocking on,,225420001,,18059545-DS-17,"TAB ABD soft/nontender, nondistended EXT WWP; RLE with ___ stocking on, skin without errythema, no edema, minimal tende" "Correct entity, wrong SNOMED ID","(1758, 1762)","(1758, 1762)",skin,skin,271303006,444884003,18059545-DS-17,", nondistended EXT WWP; RLE with ___ stocking on, skin without errythema, no edema, minimal tenderness " "Correct entity, wrong SNOMED ID","(1771, 1780)","(1771, 1780)",errythema,errythema,247441003,698247007,18059545-DS-17,"d EXT WWP; RLE with ___ stocking on, skin without errythema, no edema, minimal tenderness to palpation of ca" "Correct entity, wrong SNOMED ID","(1786, 1791)","(1786, 1791)",edema,edema,267038008,102576009,18059545-DS-17,"with ___ stocking on, skin without errythema, no edema, minimal tenderness to palpation of calf/thigh, F" "Correct entity, wrong SNOMED ID","(1801, 1811)","(1801, 1811)",tenderness,tenderness,247348008,43478001,18059545-DS-17,"ng on, skin without errythema, no edema, minimal tenderness to palpation of calf/thigh, Full ROM of extremit" "Correct entity, wrong SNOMED ID","(1815, 1824)","(1815, 1824)",palpation,palpation,113011001,51558006,18059545-DS-17,"thout errythema, no edema, minimal tenderness to palpation of calf/thigh, Full ROM of extremity; strenght/" "Correct entity, wrong SNOMED ID","(1828, 1832)","(1828, 1832)",calf,calf,53840002,281792000,18059545-DS-17,"ma, no edema, minimal tenderness to palpation of calf/thigh, Full ROM of extremity; strenght/sensatio" "Correct entity, wrong SNOMED ID","(1833, 1838)","(1833, 1838)",thigh,thigh,68367000,371305003,18059545-DS-17,"o edema, minimal tenderness to palpation of calf/thigh, Full ROM of extremity; strenght/sensation inta" "Correct entity, wrong SNOMED ID","(1840, 1848)","(1840, 1848)",Full ROM,Full ROM,298228000,404922004,18059545-DS-17,"a, minimal tenderness to palpation of calf/thigh, Full ROM of extremity; strenght/sensation intact and equ" Missed entity,"(1853, 1862)",,extremity,,302773001,,18059545-DS-17,"nderness to palpation of calf/thigh, Full ROM of extremity; strenght/sensation intact and equal b/l; ___ p" "Correct entity, wrong SNOMED ID","(1874, 1890)","(1874, 1890)",sensation intact,sensation intact,299956006,422015002,18059545-DS-17," of calf/thigh, Full ROM of extremity; strenght/sensation intact and equal b/l; ___ pulses palpable b/l Pertin" Wrong span,"(1911, 1926)","(1911, 1917)",pulses palpable,pulses,301146007,307684005,18059545-DS-17,"y; strenght/sensation intact and equal b/l; ___ pulses palpable b/l Pertinent Results: Admission Labs: WBC-5.9" "Correct entity, wrong SNOMED ID","(1969, 1972)","(1969, 1972)",WBC,WBC,767002,391558003,18059545-DS-17,"alpable b/l Pertinent Results: Admission Labs: WBC-5.9 RBC-5.17 Hgb-14.7 Hct-42.8 MCV-83 MCH-28.4 MC" "Correct entity, wrong SNOMED ID","(1977, 1980)","(1977, 1980)",RBC,RBC,14089001,258759006,18059545-DS-17,"b/l Pertinent Results: Admission Labs: WBC-5.9 RBC-5.17 Hgb-14.7 Hct-42.8 MCV-83 MCH-28.4 MCHC-34.3 " "Correct entity, wrong SNOMED ID","(1986, 1989)","(1986, 1989)",Hgb,Hgb,441689006,104142005,18059545-DS-17,"rtinent Results: Admission Labs: WBC-5.9 RBC-5.17 Hgb-14.7 Hct-42.8 MCV-83 MCH-28.4 MCHC-34.3 RDW-13.4" "Correct entity, wrong SNOMED ID","(1995, 1998)","(1995, 1998)",Hct,Hct,28317006,282660005,18059545-DS-17,"esults: Admission Labs: WBC-5.9 RBC-5.17 Hgb-14.7 Hct-42.8 MCV-83 MCH-28.4 MCHC-34.3 RDW-13.4 Plt ___ " Missed entity,"(2004, 2007)",,MCV,,104133003,,18059545-DS-17,"dmission Labs: WBC-5.9 RBC-5.17 Hgb-14.7 Hct-42.8 MCV-83 MCH-28.4 MCHC-34.3 RDW-13.4 Plt ___ PTT-33.5 " "Correct entity, wrong SNOMED ID","(2011, 2014)","(2011, 2014)",MCH,MCH,54706004,735147002,18059545-DS-17,"n Labs: WBC-5.9 RBC-5.17 Hgb-14.7 Hct-42.8 MCV-83 MCH-28.4 MCHC-34.3 RDW-13.4 Plt ___ PTT-33.5 ___ Glu" "Correct entity, wrong SNOMED ID","(2020, 2024)","(2020, 2024)",MCHC,MCHC,37254006,735147002,18059545-DS-17,"BC-5.9 RBC-5.17 Hgb-14.7 Hct-42.8 MCV-83 MCH-28.4 MCHC-34.3 RDW-13.4 Plt ___ PTT-33.5 ___ Glucose-99 Ur" "Correct entity, wrong SNOMED ID","(2048, 2051)","(2048, 2051)",PTT,PTT,42525009,282119004,18059545-DS-17,"-42.8 MCV-83 MCH-28.4 MCHC-34.3 RDW-13.4 Plt ___ PTT-33.5 ___ Glucose-99 UreaN-13 Creat-1.0 Na-140 K-4" "Correct entity, wrong SNOMED ID","(2072, 2077)","(2072, 2077)",UreaN,UreaN,105011006,111108008,18059545-DS-17,"HC-34.3 RDW-13.4 Plt ___ PTT-33.5 ___ Glucose-99 UreaN-13 Creat-1.0 Na-140 K-4.3 Cl-103 HCO3-29 AnGap-1" "Correct entity, wrong SNOMED ID","(2081, 2086)","(2081, 2086)",Creat,Creat,70901006,365756002,18059545-DS-17,"RDW-13.4 Plt ___ PTT-33.5 ___ Glucose-99 UreaN-13 Creat-1.0 Na-140 K-4.3 Cl-103 HCO3-29 AnGap-12 Discha" "Correct entity, wrong SNOMED ID","(2091, 2093)","(2091, 2093)",Na,Na,312469006,257992007,18059545-DS-17,"lt ___ PTT-33.5 ___ Glucose-99 UreaN-13 Creat-1.0 Na-140 K-4.3 Cl-103 HCO3-29 AnGap-12 Discharge Lab" Missed entity,"(2098, 2099)",,K,,312468003,,18059545-DS-17,"PTT-33.5 ___ Glucose-99 UreaN-13 Creat-1.0 Na-140 K-4.3 Cl-103 HCO3-29 AnGap-12 Discharge Labs: __" "Correct entity, wrong SNOMED ID","(2104, 2106)","(2104, 2106)",Cl,Cl,104589004,311741002,18059545-DS-17,".5 ___ Glucose-99 UreaN-13 Creat-1.0 Na-140 K-4.3 Cl-103 HCO3-29 AnGap-12 Discharge Labs: ___ 07:20" "Correct entity, wrong SNOMED ID","(2111, 2115)","(2111, 2115)",HCO3,HCO3,312471006,88645003,18059545-DS-17,"Glucose-99 UreaN-13 Creat-1.0 Na-140 K-4.3 Cl-103 HCO3-29 AnGap-12 Discharge Labs: ___ 07:20AM BLOOD " "Correct entity, wrong SNOMED ID","(2165, 2168)","(2165, 2168)",WBC,WBC,767002,391558003,18059545-DS-17,"-29 AnGap-12 Discharge Labs: ___ 07:20AM BLOOD WBC-4.9 RBC-4.95 Hgb-14.1 Hct-41.6 MCV-84 MCH-28.5 M" "Correct entity, wrong SNOMED ID","(2173, 2176)","(2173, 2176)",RBC,RBC,14089001,258759006,18059545-DS-17,"ap-12 Discharge Labs: ___ 07:20AM BLOOD WBC-4.9 RBC-4.95 Hgb-14.1 Hct-41.6 MCV-84 MCH-28.5 MCHC-33.8" "Correct entity, wrong SNOMED ID","(2182, 2185)","(2182, 2185)",Hgb,Hgb,441689006,104142005,18059545-DS-17,"scharge Labs: ___ 07:20AM BLOOD WBC-4.9 RBC-4.95 Hgb-14.1 Hct-41.6 MCV-84 MCH-28.5 MCHC-33.8 RDW-13.1" "Correct entity, wrong SNOMED ID","(2191, 2194)","(2191, 2194)",Hct,Hct,28317006,282660005,18059545-DS-17,"abs: ___ 07:20AM BLOOD WBC-4.9 RBC-4.95 Hgb-14.1 Hct-41.6 MCV-84 MCH-28.5 MCHC-33.8 RDW-13.1 Plt ___ " Missed entity,"(2200, 2203)",,MCV,,104133003,,18059545-DS-17," 07:20AM BLOOD WBC-4.9 RBC-4.95 Hgb-14.1 Hct-41.6 MCV-84 MCH-28.5 MCHC-33.8 RDW-13.1 Plt ___ ___ 07:20" "Correct entity, wrong SNOMED ID","(2217, 2221)","(2217, 2221)",MCHC,MCHC,37254006,735147002,18059545-DS-17,"C-4.9 RBC-4.95 Hgb-14.1 Hct-41.6 MCV-84 MCH-28.5 MCHC-33.8 RDW-13.1 Plt ___ ___ 07:20AM BLOOD ___ PTT-4" "Correct entity, wrong SNOMED ID","(2266, 2269)","(2266, 2269)",PTT,PTT,42525009,282119004,18059545-DS-17," MCHC-33.8 RDW-13.1 Plt ___ ___ 07:20AM BLOOD ___ PTT-49.7* ___ ___ 01:35PM URINE Color-Yellow Appear-C" "Correct entity, wrong SNOMED ID","(2292, 2297)","(2292, 2297)",URINE,URINE,442564008,386099003,18059545-DS-17,"_ ___ 07:20AM BLOOD ___ PTT-49.7* ___ ___ 01:35PM URINE Color-Yellow Appear-Clear Sp ___ ___ 01:35PM URIN" Missed entity,"(2298, 2303)",,Color,,107650008,,18059545-DS-17,"07:20AM BLOOD ___ PTT-49.7* ___ ___ 01:35PM URINE Color-Yellow Appear-Clear Sp ___ ___ 01:35PM URINE Bloo" Missed entity,"(2318, 2323)",,Clear,,167236000,,18059545-DS-17,"T-49.7* ___ ___ 01:35PM URINE Color-Yellow Appear-Clear Sp ___ ___ 01:35PM URINE Blood-NEG Nitrite-NEG Pr" "Correct entity, wrong SNOMED ID","(2343, 2354)","(2343, 2354)",URINE Blood,URINE Blood,34436003,1284890008,18059545-DS-17,"RINE Color-Yellow Appear-Clear Sp ___ ___ 01:35PM URINE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-N" "Correct entity, wrong SNOMED ID","(2371, 2378)","(2371, 2378)",Protein,Protein,57378007,365799007,18059545-DS-17,"ar Sp ___ ___ 01:35PM URINE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-0" "Correct entity, wrong SNOMED ID","(2396, 2402)","(2396, 2402)",Ketone,Ketone,47615003,256048004,18059545-DS-17,"NE Blood-NEG Nitrite-NEG Protein-NEG Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-0.2 pH-7.0 Leuks-NEG Rad" "Correct entity, wrong SNOMED ID","(2431, 2433)","(2431, 2433)",pH,pH,81065003,264912003,18059545-DS-17,"G Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-0.2 pH-7.0 Leuks-NEG Radiology Report CTA LOWER EXT W/&" Missed entity,"(2464, 2479)",,t CTA LOWER EXT,,241570001,,18059545-DS-17,"-NEG Urobiln-0.2 pH-7.0 Leuks-NEG Radiology Report CTA LOWER EXT W/&W/O C & RECONS BILAT Study Date of ___ 12:08 " "Correct entity, wrong SNOMED ID","(2597, 2612)","(2597, 2612)","right leg pain","right leg pain",287048003,291791000119100,18059545-DS-17," male who had presented to outside hospital with right leg pain after travel from ___, with extensive right lowe" "Correct entity, wrong SNOMED ID","(2651, 2673)","(2651, 2673)","right lower extremity","right lower extremity",62175007,362784000,18059545-DS-17,"t leg pain after travel from ___, with extensive right lower extremity DVT in thigh and calf by outside hospital ultras" "Correct entity, wrong SNOMED ID","(2682, 2687)","(2682, 2687)",thigh,thigh,68367000,371305003,18059545-DS-17,"__, with extensive right lower extremity DVT in thigh and calf by outside hospital ultrasound yesterday" "Correct entity, wrong SNOMED ID","(2692, 2696)","(2692, 2696)",calf,calf,722116009,281792000,18059545-DS-17,"xtensive right lower extremity DVT in thigh and calf by outside hospital ultrasound yesterday. Here t" "Correct entity, wrong SNOMED ID","(2717, 2727)","(2717, 2727)",ultrasound,ultrasound,16310003,765172009,18059545-DS-17,"remity DVT in thigh and calf by outside hospital ultrasound yesterday. Here to assess extent of DVT in the " "Correct entity, wrong SNOMED ID","(2766, 2769)","(2766, 2769)",DVT,DVT,128053003,161508001,18059545-DS-17," ultrasound yesterday. Here to assess extent of DVT in the IVC and lower extremity prior to possible" "Correct entity, wrong SNOMED ID","(2777, 2780)","(2777, 2780)",IVC,IVC,64131007,232998008,18059545-DS-17," yesterday. Here to assess extent of DVT in the IVC and lower extremity prior to possible thrombect" "Correct entity, wrong SNOMED ID","(2785, 2800)","(2785, 2800)",lower extremity,lower extremity,61685007,62175007,18059545-DS-17,"ay. Here to assess extent of DVT in the IVC and lower extremity prior to possible thrombectomy. COMPARISON:" "Correct entity, wrong SNOMED ID","(2821, 2833)","(2821, 2833)",thrombectomy,thrombectomy,43810009,731101000124107,18059545-DS-17,"n the IVC and lower extremity prior to possible thrombectomy. COMPARISON: None available. TECHNIQUE: M" Missed entity,"(2893, 2900)",,imaging,,363679005,,18059545-DS-17,"ARISON: None available. TECHNIQUE: MDCT axial imaging was performed through the abdomen, pelvis and b" "Correct entity, wrong SNOMED ID","(2927, 2934)","(2927, 2934)",abdomen,abdomen,818983003,225162003,18059545-DS-17,"QUE: MDCT axial imaging was performed through the abdomen, pelvis and bilateral lower extremities includi" "Correct entity, wrong SNOMED ID","(2937, 2943)","(2937, 2943)",pelvis,pelvis,12921003,25990002,18059545-DS-17,"axial imaging was performed through the abdomen, pelvis and bilateral lower extremities including the In" Wrong span,"(2949, 2976)","(2949, 2958)",bilateral lower extremities,bilateral,4180000,268228006,18059545-DS-17,"g was performed through the abdomen, pelvis and bilateral lower extremities including the Inferior Vena Cava to the veins of" Wrong span,"(2991, 3009)","(3000, 3004)",Inferior Vena Cava,Vena,64131007,71758008,18059545-DS-17,"is and bilateral lower extremities including the Inferior Vena Cava to the veins of the ankles after administration" Wrong span,"(3018, 3038)","(3018, 3023)","veins of the ankles",veins,1236859008,71758008,18059545-DS-17,"remities including the Inferior Vena Cava to the veins of the ankles after administration of 150 mL of IV Optiray 350." Boundary error,"(3146, 3149)","(3146, 3148)",CTV,CT,431676002,241541005,18059545-DS-17,"lanar reformatted images were then obtained. CTV ABDOMEN: Dependent atelectatic changes are noted " "Correct entity, wrong SNOMED ID","(3150, 3157)","(3150, 3157)",ABDOMEN,ABDOMEN,818983003,75093004,18059545-DS-17,"r reformatted images were then obtained. CTV ABDOMEN: Dependent atelectatic changes are noted in the l" Wrong span,"(3169, 3180)","(3169, 3188)",atelectatic,atelectatic changes,46621007,67782005,18059545-DS-17,"es were then obtained. CTV ABDOMEN: Dependent atelectatic changes are noted in the lung bases. There is " "Correct entity, wrong SNOMED ID","(3206, 3217)","(3206, 3217)","lung bases","lung bases",10024003,314791004,18059545-DS-17,"N: Dependent atelectatic changes are noted in the lung bases. There is no pleural or pericardial effusion. T" "Correct entity, wrong SNOMED ID","(3233, 3240)","(3233, 3240)",pleural,pleural,60046008,278296000,18059545-DS-17,"anges are noted in the lung bases. There is no pleural or pericardial effusion. The liver, gallbladder," "Correct entity, wrong SNOMED ID","(3244, 3264)","(3244, 3264)",pericardial effusion,pericardial effusion,373945007,1230405007,18059545-DS-17,"oted in the lung bases. There is no pleural or pericardial effusion. The liver, gallbladder, pancreas, adrenal glan" "Correct entity, wrong SNOMED ID","(3270, 3275)","(3270, 3275)",liver,liver,10200004,80515008,18059545-DS-17," There is no pleural or pericardial effusion. The liver, gallbladder, pancreas, adrenal glands, kidneys" "Correct entity, wrong SNOMED ID","(3278, 3289)","(3278, 3289)",gallbladder,gallbladder,28231008,110809005,18059545-DS-17,"s no pleural or pericardial effusion. The liver, gallbladder, pancreas, adrenal glands, kidneys and ureters a" "Correct entity, wrong SNOMED ID","(3292, 3300)","(3292, 3300)",pancreas,pancreas,15776009,64163001,18059545-DS-17,"r pericardial effusion. The liver, gallbladder, pancreas, adrenal glands, kidneys and ureters are unremark" "Correct entity, wrong SNOMED ID","(3318, 3325)","(3318, 3325)",kidneys,kidneys,64033007,17373004,18059545-DS-17,"e liver, gallbladder, pancreas, adrenal glands, kidneys and ureters are unremarkable. The spleen is enl" "Correct entity, wrong SNOMED ID","(3330, 3337)","(3330, 3337)",ureters,ureters,87953007,65364008,18059545-DS-17,"llbladder, pancreas, adrenal glands, kidneys and ureters are unremarkable. The spleen is enlarged, measu" "Correct entity, wrong SNOMED ID","(3342, 3354)","(3342, 3354)",unremarkable,unremarkable,281900007,164179004,18059545-DS-17,"pancreas, adrenal glands, kidneys and ureters are unremarkable. The spleen is enlarged, measuring 14.6 cm, wit" "Correct entity, wrong SNOMED ID","(3361, 3367)","(3361, 3367)",spleen,spleen,78961009,16294009,18059545-DS-17,"lands, kidneys and ureters are unremarkable. The spleen is enlarged, measuring 14.6 cm, without focal le" "Correct entity, wrong SNOMED ID","(3415, 3421)","(3415, 3421)",lesion,lesion,52988006,425170006,18059545-DS-17,"en is enlarged, measuring 14.6 cm, without focal lesion. The non-opacified stomach, small bowel, colon," "Correct entity, wrong SNOMED ID","(3442, 3449)","(3442, 3449)",stomach,stomach,69695003,788636008,18059545-DS-17,"14.6 cm, without focal lesion. The non-opacified stomach, small bowel, colon, and appendix appear unremar" "Correct entity, wrong SNOMED ID","(3452, 3463)","(3452, 3463)",small bowel,small bowel,30315005,174005007,18059545-DS-17,"ithout focal lesion. The non-opacified stomach, small bowel, colon, and appendix appear unremarkable. No free" "Correct entity, wrong SNOMED ID","(3465, 3470)","(3465, 3470)",colon,colon,71854001,269533000,18059545-DS-17,"lesion. The non-opacified stomach, small bowel, colon, and appendix appear unremarkable. No free air, " "Correct entity, wrong SNOMED ID","(3492, 3504)","(3492, 3504)",unremarkable,unremarkable,281900007,164179004,18059545-DS-17,"stomach, small bowel, colon, and appendix appear unremarkable. No free air, free fluid or adenopathy is noted" "Correct entity, wrong SNOMED ID","(3520, 3530)","(3520, 3530)",free fluid,free fluid,41699000,17672001,18059545-DS-17,", and appendix appear unremarkable. No free air, free fluid or adenopathy is noted by size criteria. The abd" "Correct entity, wrong SNOMED ID","(3535, 3545)","(3535, 3545)",adenopathy,adenopathy,30746006,127158006,18059545-DS-17,"appear unremarkable. No free air, free fluid or adenopathy is noted by size criteria. The abdominal aorta is" "Correct entity, wrong SNOMED ID","(3577, 3592)","(3577, 3592)",abdominal aorta,abdominal aorta,7832008,241668004,18059545-DS-17,"uid or adenopathy is noted by size criteria. The abdominal aorta is of normal caliber. No filling defect is seen" "Correct entity, wrong SNOMED ID","(3620, 3634)","(3620, 3634)",filling defect,filling defect,43468004,274730004,18059545-DS-17,"a. The abdominal aorta is of normal caliber. No filling defect is seen in the splenic, superior mesenteric, or " "Correct entity, wrong SNOMED ID","(3650, 3657)","(3650, 3657)",splenic,splenic,35819009,23914009,18059545-DS-17,"normal caliber. No filling defect is seen in the splenic, superior mesenteric, or portal veins. Also no " "Correct entity, wrong SNOMED ID","(3659, 3679)","(3659, 3679)","superior mesenteric","superior mesenteric",90771006,233272002,18059545-DS-17,"aliber. No filling defect is seen in the splenic, superior mesenteric, or portal veins. Also no filling defect is seen" "Correct entity, wrong SNOMED ID","(3685, 3697)","(3685, 3697)",portal veins,portal veins,32764006,1332215006,18059545-DS-17,"is seen in the splenic, superior mesenteric, or portal veins. Also no filling defect is seen in the IVC to su" "Correct entity, wrong SNOMED ID","(3707, 3721)","(3707, 3721)",filling defect,filling defect,43468004,274730004,18059545-DS-17,", superior mesenteric, or portal veins. Also no filling defect is seen in the IVC to suggest thrombus. CTV " "Correct entity, wrong SNOMED ID","(3737, 3740)","(3737, 3740)",IVC,IVC,64131007,232998008,18059545-DS-17,"rtal veins. Also no filling defect is seen in the IVC to suggest thrombus. CTV PELVIS: The urinary" "Correct entity, wrong SNOMED ID","(3753, 3761)","(3753, 3761)",thrombus,thrombus,396339007,373140001,18059545-DS-17," no filling defect is seen in the IVC to suggest thrombus. CTV PELVIS: The urinary bladder and the dist" Missed entity,"(3767, 3770)",,CTV,,431676002,,18059545-DS-17,"fect is seen in the IVC to suggest thrombus. CTV PELVIS: The urinary bladder and the distal ureter" Missed entity,"(3771, 3777)",,PELVIS,,12921003,,18059545-DS-17," is seen in the IVC to suggest thrombus. CTV PELVIS: The urinary bladder and the distal ureters are " "Correct entity, wrong SNOMED ID","(3783, 3798)","(3783, 3798)",urinary bladder,urinary bladder,89837001,103344008,18059545-DS-17,"the IVC to suggest thrombus. CTV PELVIS: The urinary bladder and the distal ureters are unremarkable. The pr" Wrong span,"(3814, 3821)","(3807, 3821)",ureters,distal ureters,87953007,65364008,18059545-DS-17," CTV PELVIS: The urinary bladder and the distal ureters are unremarkable. The prostate is not enlarged." "Correct entity, wrong SNOMED ID","(3827, 3839)","(3827, 3839)",unremarkable,unremarkable,281900007,164179004,18059545-DS-17,": The urinary bladder and the distal ureters are unremarkable. The prostate is not enlarged. Note is made of a" "Correct entity, wrong SNOMED ID","(3846, 3854)","(3846, 3854)",prostate,prostate,41216001,254900004,18059545-DS-17,"er and the distal ureters are unremarkable. The prostate is not enlarged. Note is made of a 9-mm utricle c" Wrong span,"(3895, 3902)","(3895, 3907)",utricle,utricle cyst,84140001,729135008,18059545-DS-17," prostate is not enlarged. Note is made of a 9-mm utricle cyst in the midline prostate. Additionally, the" Wrong span,"(3903, 3933)","(3895, 3907)","cyst in the midline prostate",utricle cyst,409658007,729135008,18059545-DS-17,"e is not enlarged. Note is made of a 9-mm utricle cyst in the midline prostate. Additionally, there is 1.3 x 2.5 cm left seminal" Wrong span,"(3971, 3992)","(3971, 3997)","left seminal vesicle","left seminal vesicle cyst",42320003,252166005,18059545-DS-17,"ne prostate. Additionally, there is 1.3 x 2.5 cm left seminal vesicle cyst. Trace fluid is noted in the pelvis (2:141" Wrong span,"(3993, 3997)","(3971, 3997)",cyst,"left seminal vesicle cyst",367643001,252166005,18059545-DS-17,"ally, there is 1.3 x 2.5 cm left seminal vesicle cyst. Trace fluid is noted in the pelvis (2:141), of" "Correct entity, wrong SNOMED ID","(4029, 4035)","(4029, 4035)",pelvis,pelvis,12921003,25990002,18059545-DS-17,"inal vesicle cyst. Trace fluid is noted in the pelvis (2:141), of indeterminate significance. Non-op" "Correct entity, wrong SNOMED ID","(4093, 4099)","(4093, 4099)",pelvic,pelvic,12921003,239992008,18059545-DS-17,", of indeterminate significance. Non-opacified pelvic loops of bowel and rectosigmoid colon are unrema" Missed entity,"(4109, 4114)",,bowel,,113276009,,18059545-DS-17,"te significance. Non-opacified pelvic loops of bowel and rectosigmoid colon are unremarkable. There" "Correct entity, wrong SNOMED ID","(4119, 4137)","(4119, 4137)",rectosigmoid colon,rectosigmoid colon,81922002,118841000,18059545-DS-17,"icance. Non-opacified pelvic loops of bowel and rectosigmoid colon are unremarkable. There is no free air or aden" "Correct entity, wrong SNOMED ID","(4143, 4155)","(4143, 4155)",unremarkable,unremarkable,281900007,167703002,18059545-DS-17,"pelvic loops of bowel and rectosigmoid colon are unremarkable. There is no free air or adenopathy within the " "Correct entity, wrong SNOMED ID","(4183, 4193)","(4183, 4193)",adenopathy,adenopathy,30746006,127158006,18059545-DS-17,"olon are unremarkable. There is no free air or adenopathy within the pelvis. The lower IVC and bilateral " "Correct entity, wrong SNOMED ID","(4205, 4211)","(4205, 4211)",pelvis,pelvis,12921003,229326000,18059545-DS-17,". There is no free air or adenopathy within the pelvis. The lower IVC and bilateral common, internal, " "Correct entity, wrong SNOMED ID","(4224, 4227)","(4224, 4227)",IVC,IVC,64131007,232998008,18059545-DS-17,"e air or adenopathy within the pelvis. The lower IVC and bilateral common, internal, and external vei" "Correct entity, wrong SNOMED ID","(4243, 4249)","(4243, 4249)",common,common,46027005,430511001,18059545-DS-17," within the pelvis. The lower IVC and bilateral common, internal, and external veins are patent, with n" "Correct entity, wrong SNOMED ID","(4251, 4259)","(4251, 4259)",internal,internal,40300007,277712000,18059545-DS-17,"the pelvis. The lower IVC and bilateral common, internal, and external veins are patent, with no filling " "Correct entity, wrong SNOMED ID","(4265, 4279)","(4265, 4279)",external veins,external veins,63507001,730155007,18059545-DS-17,"e lower IVC and bilateral common, internal, and external veins are patent, with no filling defect to suggest t" Wrong span,"(4301, 4316)","(4301, 4308)","filling defect",filling,43468004,250944009,18059545-DS-17,"internal, and external veins are patent, with no filling defect to suggest thrombosis. CTV BILATERAL LOWER EX" "Correct entity, wrong SNOMED ID","(4328, 4338)","(4328, 4338)",thrombosis,thrombosis,439127006,111293003,18059545-DS-17,"s are patent, with no filling defect to suggest thrombosis. CTV BILATERAL LOWER EXTREMITIES: There is ne" Missed entity,"(4348, 4375)",,BILATERAL LOWER EXTREMITIES,,4180000,,18059545-DS-17,"no filling defect to suggest thrombosis. CTV BILATERAL LOWER EXTREMITIES: There is nearly occlusive thrombus seen in the" Wrong span,"(4393, 4412)","(4393, 4402)","occlusive thrombus",occlusive,78195007,2929001,18059545-DS-17," CTV BILATERAL LOWER EXTREMITIES: There is nearly occlusive thrombus seen in the right superficial femoral vein, whic" Wrong span,"(4432, 4456)","(4426, 4456)",superficial femoral vein,right superficial femoral vein,397364003,767174009,18059545-DS-17," is nearly occlusive thrombus seen in the right superficial femoral vein, which is expanded and has surrounding strandin" Wrong span,"(4524, 4540)","(4530, 4540)",acute thrombosis,thrombosis,651000119108,111293003,18059545-DS-17,"d and has surrounding stranding consistent with acute thrombosis. The superior extent of the thrombus is seen in" "Correct entity, wrong SNOMED ID","(4571, 4579)","(4571, 4579)",thrombus,thrombus,396339007,373140001,18059545-DS-17,"th acute thrombosis. The superior extent of the thrombus is seen in the right common femoral vein, extendi" "Correct entity, wrong SNOMED ID","(4595, 4620)","(4595, 4620)",right common femoral vein,right common femoral vein,767174009,16011991000119109,18059545-DS-17," superior extent of the thrombus is seen in the right common femoral vein, extending just above the confluence with the g" "Correct entity, wrong SNOMED ID","(4669, 4691)","(4669, 4691)",greater saphenous vein,greater saphenous vein,60734001,1303672003,18059545-DS-17,"n, extending just above the confluence with the greater saphenous vein. Thrombus extends contiguously into the poplite" "Correct entity, wrong SNOMED ID","(4693, 4701)","(4693, 4701)",Thrombus,Thrombus,396339007,373140001,18059545-DS-17," the confluence with the greater saphenous vein. Thrombus extends contiguously into the popliteal vein an" "Correct entity, wrong SNOMED ID","(4734, 4748)","(4734, 4748)",popliteal vein,popliteal vein,879812006,281065001,18059545-DS-17,"us vein. Thrombus extends contiguously into the popliteal vein and into the proximal anterior tibial, posterior" "Correct entity, wrong SNOMED ID","(4771, 4786)","(4771, 4786)",anterior tibial,anterior tibial,26703007,181696007,18059545-DS-17,"ly into the popliteal vein and into the proximal anterior tibial, posterior tibial and peroneal veins. Nonvisual" "Correct entity, wrong SNOMED ID","(4789, 4806)","(4789, 4806)","posterior tibial","posterior tibial",4258007,203078008,18059545-DS-17,"teal vein and into the proximal anterior tibial, posterior tibial and peroneal veins. Nonvisualization of these vei" "Correct entity, wrong SNOMED ID","(4811, 4825)","(4811, 4825)",peroneal veins,peroneal veins,879864000,302629006,18059545-DS-17," proximal anterior tibial, posterior tibial and peroneal veins. Nonvisualization of these veins more distally i" "Correct entity, wrong SNOMED ID","(4853, 4858)","(4853, 4858)",veins,veins,29092000,71758008,18059545-DS-17,"ial and peroneal veins. Nonvisualization of these veins more distally in the calf, when compared with t" "Correct entity, wrong SNOMED ID","(4882, 4886)","(4882, 4886)",calf,calf,722116009,281792000,18059545-DS-17,"sualization of these veins more distally in the calf, when compared with the normal left side, is cons" "Correct entity, wrong SNOMED ID","(4918, 4922)","(4918, 4922)",left,left,32153003,264745005,18059545-DS-17,"tally in the calf, when compared with the normal left side, is consistent with thrombosis. The right " "Correct entity, wrong SNOMED ID","(4950, 4960)","(4950, 4960)",thrombosis,thrombosis,439127006,111293003,18059545-DS-17,"d with the normal left side, is consistent with thrombosis. The right deep femoral vein and the greater sap" "Correct entity, wrong SNOMED ID","(4966, 4989)","(4966, 4989)",right deep femoral vein,right deep femoral vein,723295008,16012111000119108,18059545-DS-17,"l left side, is consistent with thrombosis. The right deep femoral vein and the greater saphenous vein are patent. Ther" "Correct entity, wrong SNOMED ID","(4998, 5021)","(4998, 5021)","greater saphenous vein","greater saphenous vein",60734001,1303672003,18059545-DS-17," thrombosis. The right deep femoral vein and the greater saphenous vein are patent. There is no evidence of left lower e" "Correct entity, wrong SNOMED ID","(5059, 5079)","(5059, 5079)",left lower extremity,left lower extremity,32153003,362785004,18059545-DS-17,"phenous vein are patent. There is no evidence of left lower extremity deep venous thrombosis. Note is made of tiny r" "Correct entity, wrong SNOMED ID","(5080, 5103)","(5080, 5103)","deep venous thrombosis","deep venous thrombosis",128053003,132281000119108,18059545-DS-17,"ent. There is no evidence of left lower extremity deep venous thrombosis. Note is made of tiny right ___ cyst (2:337). " "Correct entity, wrong SNOMED ID","(5138, 5142)","(5138, 5142)",cyst,cyst,367643001,110410009,18059545-DS-17,"ous thrombosis. Note is made of tiny right ___ cyst (2:337). OSSEOUS STRUCTURES: No region of bon" Missed entity,"(5156, 5174)",,OSSEOUS STRUCTURES,,272673000,,18059545-DS-17," Note is made of tiny right ___ cyst (2:337). OSSEOUS STRUCTURES: No region of bony destruction or acute fracture" Wrong span,"(5189, 5205)","(5189, 5193)",bony destruction,bony,879976004,870248007,18059545-DS-17,"yst (2:337). OSSEOUS STRUCTURES: No region of bony destruction or acute fracture is seen in the visualized oss" "Correct entity, wrong SNOMED ID","(5216, 5224)","(5216, 5224)",fracture,fracture,72704001,307186006,18059545-DS-17,"RUCTURES: No region of bony destruction or acute fracture is seen in the visualized osseous structures. De" "Correct entity, wrong SNOMED ID","(5252, 5270)","(5252, 5270)",osseous structures,osseous structures,272673000,62149008,18059545-DS-17,"ion or acute fracture is seen in the visualized osseous structures. Degenerative endplate changes are noted along " "Correct entity, wrong SNOMED ID","(5272, 5284)","(5272, 5284)",Degenerative,Degenerative,107669003,708529002,18059545-DS-17,"re is seen in the visualized osseous structures. Degenerative endplate changes are noted along the visualized" Wrong span,"(5335, 5348)","(5335, 5354)",thoracolumbar,thoracolumbar spine,6989001,702487007,18059545-DS-17,"endplate changes are noted along the visualized thoracolumbar spine, without spondylolisthesis. Lucent lesion" Wrong span,"(5349, 5354)","(5335, 5354)",spine,thoracolumbar spine,421060004,702487007,18059545-DS-17,"ges are noted along the visualized thoracolumbar spine, without spondylolisthesis. Lucent lesion with " "Correct entity, wrong SNOMED ID","(5365, 5382)","(5365, 5382)",spondylolisthesis,spondylolisthesis,274152003,321171000119102,18059545-DS-17,"long the visualized thoracolumbar spine, without spondylolisthesis. Lucent lesion with surrounding sclerosis along " "Correct entity, wrong SNOMED ID","(5392, 5398)","(5392, 5398)",lesion,lesion,52988006,120609008,18059545-DS-17,"lumbar spine, without spondylolisthesis. Lucent lesion with surrounding sclerosis along the inferior ili" "Correct entity, wrong SNOMED ID","(5416, 5425)","(5416, 5425)",sclerosis,sclerosis,43846000,53741008,18059545-DS-17,"pondylolisthesis. Lucent lesion with surrounding sclerosis along the inferior iliac aspect of the right sa" Wrong span,"(5434, 5450)","(5436, 5458)",e inferior iliac,"inferior iliac aspect",20650001,182033003,18059545-DS-17,"Lucent lesion with surrounding sclerosis along the inferior iliac aspect of the right sacroiliac joint may repres" "Correct entity, wrong SNOMED ID","(5466, 5489)","(5466, 5489)","right sacroiliac joint","right sacroiliac joint",722778007,52241000087100,18059545-DS-17,"sclerosis along the inferior iliac aspect of the right sacroiliac joint may represent degenerative change (2:141). IM" "Correct entity, wrong SNOMED ID","(5504, 5523)","(5504, 5523)",degenerative change,degenerative change,107669003,708529002,18059545-DS-17,"pect of the right sacroiliac joint may represent degenerative change (2:141). IMPRESSION: 1. Acute right lower" Wrong span,"(5568, 5631)","(5562, 5583)","lower extremity DVT extends from the right common femoral vein",right lower extremity,132291000119106,362784000,18059545-DS-17,"hange (2:141). IMPRESSION: 1. Acute right lower extremity DVT extends from the right common femoral vein through the superficial femoral vein, popliteal " "Correct entity, wrong SNOMED ID","(5645, 5669)","(5645, 5669)",superficial femoral vein,superficial femoral vein,767174009,732147009,18059545-DS-17," from the right common femoral vein through the superficial femoral vein, popliteal vein and through the right calf vein" "Correct entity, wrong SNOMED ID","(5671, 5685)","(5671, 5685)",popliteal vein,popliteal vein,879812006,281065001,18059545-DS-17,"moral vein through the superficial femoral vein, popliteal vein and through the right calf veins. 2. Tiny " Wrong span,"(5710, 5720)","(5703, 5720)",calf veins,"right calf veins",1236849007,1237559005,18059545-DS-17,"oral vein, popliteal vein and through the right calf veins. 2. Tiny right ___ cyst. 3. Splenomegaly" "Correct entity, wrong SNOMED ID","(5745, 5749)","(5745, 5749)",cyst,cyst,367643001,110410009,18059545-DS-17,"gh the right calf veins. 2. Tiny right ___ cyst. 3. Splenomegaly. 4. Trace pelvic fluid, " "Correct entity, wrong SNOMED ID","(5758, 5770)","(5758, 5770)",Splenomegaly,Splenomegaly,16294009,19058002,18059545-DS-17," calf veins. 2. Tiny right ___ cyst. 3. Splenomegaly. 4. Trace pelvic fluid, of indeterminate etio" Wrong span,"(5785, 5791)","(5785, 5797)",pelvic,pelvic fluid,12921003,258472008,18059545-DS-17,"right ___ cyst. 3. Splenomegaly. 4. Trace pelvic fluid, of indeterminate etiology. 5. Incident" Wrong span,"(5852, 5859)","(5852, 5864)",utricle,utricle cyst,84140001,125701000119100,18059545-DS-17,"indeterminate etiology. 5. Incidentally noted utricle cyst and left seminal vesicle cyst. Brief" Wrong span,"(5860, 5864)","(5852, 5864)",cyst,utricle cyst,367643001,125701000119100,18059545-DS-17,"inate etiology. 5. Incidentally noted utricle cyst and left seminal vesicle cyst. Brief Hosp" Wrong span,"(5869, 5889)","(5869, 5895)",left seminal vesicle,"left seminal vesicle cyst",42320003,252166005,18059545-DS-17,"ology. 5. Incidentally noted utricle cyst and left seminal vesicle cyst. Brief Hospital Course: Mr ___ was a" Wrong span,"(5891, 5895)","(5869, 5895)",cyst,"left seminal vesicle cyst",367643001,252166005,18059545-DS-17,"ally noted utricle cyst and left seminal vesicle cyst. Brief Hospital Course: Mr ___ was admitte" Missed entity,"(5954, 5975)",,vascular surgery team,,305730004,,18059545-DS-17,"Brief Hospital Course: Mr ___ was admitted to the vascular surgery team on ___. He was started on a therapeutic heparin" Missed entity,"(6041, 6057)",,"stocking placed",,225420001,,18059545-DS-17,"s started on a therapeutic heparin drip and a ___ stocking placed on his right leg with right lower extremity eleva" "Correct entity, wrong SNOMED ID","(6065, 6074)","(6065, 6074)",right leg,right leg,32696007,213289002,18059545-DS-17,"ic heparin drip and a ___ stocking placed on his right leg with right lower extremity elevation. A CT-V wa" Wrong span,"(6080, 6085)","(6080, 6101)",right,right lower extremity,62175007,362784000,18059545-DS-17," and a ___ stocking placed on his right leg with right lower extremity elevation. A CT-V was obtained " Wrong span,"(6086, 6111)","(6080, 6101)",lower extremity elevation,right lower extremity,449695009,362784000,18059545-DS-17," ___ stocking placed on his right leg with right lower extremity elevation. A CT-V was obtained upon admission. This showe" "Correct entity, wrong SNOMED ID","(6117, 6121)","(6117, 6121)",CT-V,CT-V,772247005,258000009,18059545-DS-17,"ght leg with right lower extremity elevation. A CT-V was obtained upon admission. This showed an acute" Wrong span,"(6179, 6198)","(6172, 6194)",lower extremity DVT,"right lower extremity",404223003,362784000,18059545-DS-17,"ained upon admission. This showed an acute right lower extremity DVT extending from the right common femoral vein thr" Wrong span,"(6224, 6243)","(6218, 6243)",common femoral vein,right common femoral vein,397363009,16011991000119109,18059545-DS-17,"ght lower extremity DVT extending from the right common femoral vein through the superficial femoral vein, popliteal " "Correct entity, wrong SNOMED ID","(6257, 6281)","(6257, 6281)",superficial femoral vein,superficial femoral vein,397364003,732147009,18059545-DS-17,"g from the right common femoral vein through the superficial femoral vein, popliteal vein and through the right calf veins" "Correct entity, wrong SNOMED ID","(6283, 6297)","(6283, 6297)",popliteal vein,popliteal vein,879812006,281065001,18059545-DS-17,"moral vein through the superficial femoral vein, popliteal vein and through the right calf veins. The heparin g" Wrong span,"(6321, 6331)","(6315, 6331)",calf veins,right calf veins,1236849007,1237559005,18059545-DS-17,"moral vein, popliteal vein and through the right calf veins. The heparin gtt was continued and coumadin the" Wrong span,"(6369, 6385)","(6369, 6377)",coumadin therapy,coumadin,182764009,76346005,18059545-DS-17,"t calf veins. The heparin gtt was continued and coumadin therapy initiated. Mr. ___ did well and remained stable" "Correct entity, wrong SNOMED ID","(6429, 6435)","(6429, 6435)",stable,stable,359746009,301459008,18059545-DS-17,"herapy initiated. Mr. ___ did well and remained stable throughout his hospital course. On ___ his right " "Correct entity, wrong SNOMED ID","(6479, 6501)","(6479, 6501)","right lower extremity","right lower extremity",62175007,362784000,18059545-DS-17,"stable throughout his hospital course. On ___ his right lower extremity had no swelling and minimal tenderness. Given th" "Correct entity, wrong SNOMED ID","(6509, 6517)","(6509, 6517)",swelling,swelling,442672001,300890009,18059545-DS-17," course. On ___ his right lower extremity had no swelling and minimal tenderness. Given the location of t" "Correct entity, wrong SNOMED ID","(6530, 6540)","(6530, 6540)",tenderness,tenderness,247348008,43478001,18059545-DS-17,"ight lower extremity had no swelling and minimal tenderness. Given the location of the dvt, and the patient" Missed entity,"(6570, 6573)",,dvt,,128053003,,18059545-DS-17,"d minimal tenderness. Given the location of the dvt, and the patients physical exam, Dr. ___ ___ tha" Missed entity,"(6592, 6605)",,physical exam,,5880005,,18059545-DS-17," Given the location of the dvt, and the patients physical exam, Dr. ___ ___ that operative thrombolysis was not" Missed entity,"(6625, 6634)",,operative,,387713003,,18059545-DS-17,"and the patients physical exam, Dr. ___ ___ that operative thrombolysis was not neccessary. Mr. ___ was tr" "Correct entity, wrong SNOMED ID","(6635, 6647)","(6635, 6647)",thrombolysis,thrombolysis,233428003,240929001,18059545-DS-17,"tients physical exam, Dr. ___ ___ that operative thrombolysis was not neccessary. Mr. ___ was transitioned fr" Wrong span,"(6702, 6748)","(6702, 6709)","heparin gtt to therapeutic lovenox injections",heparin,182764009,412201008,18059545-DS-17,"not neccessary. Mr. ___ was transitioned from a heparin gtt to therapeutic lovenox injections and continued on coumadin. He was out of bed, am" "Correct entity, wrong SNOMED ID","(6796, 6806)","(6796, 6806)",ambulating,ambulating,160680006,722370002,18059545-DS-17,"ns and continued on coumadin. He was out of bed, ambulating short distances in his room. He did have quite a " Wrong span,"(6864, 6884)","(6864, 6868)",pain with ambulation,pain,426899007,102570003,18059545-DS-17,"istances in his room. He did have quite a bit of pain with ambulation, but said oxycodone was helping. He was dischar" Wrong span,"(6950, 6974)","(6950, 6960)",ambulating independently,ambulating,165245003,722370002,18059545-DS-17,"done was helping. He was discharged on ___ once ambulating independently and adequate pain control had been achieved. M" Wrong span,"(6979, 7001)","(6989, 7001)","adequate pain control",pain control,1156446004,370778008,18059545-DS-17,"scharged on ___ once ambulating independently and adequate pain control had been achieved. Medications on Admission: Lo" Wrong span,"(7950, 7971)","(7950, 7975)",Right Lower Extremity,Right Lower Extremity DVT,62175007,350311000119101,18059545-DS-17,"ischarge Disposition: Home Discharge Diagnosis: Right Lower Extremity DVT Discharge Condition: Mental Status: Clear " "Correct entity, wrong SNOMED ID","(8000, 8013)","(8000, 8013)",Mental Status,Mental Status,392257007,419284004,18059545-DS-17,"Right Lower Extremity DVT Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(8035, 8057)","(8035, 8057)",Level of Consciousness,Level of Consciousness,444714004,830285008,18059545-DS-17,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(8059, 8064)","(8059, 8064)",Alert,Alert,248234008,409787004,18059545-DS-17,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(8069, 8080)","(8069, 8080)",interactive,interactive,288577006,10301000202103,18059545-DS-17,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(8099, 8123)","(8099, 8123)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,18059545-DS-17,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: You were admitted wit" "Correct entity, wrong SNOMED ID","(8177, 8180)","(8177, 8180)",DVT,DVT,128053003,49956009,18059545-DS-17," Discharge Instructions: You were admitted with a DVT (deep venous thrombosis) of your right lower ext" "Correct entity, wrong SNOMED ID","(8182, 8204)","(8182, 8204)",deep venous thrombosis,deep venous thrombosis,128053003,132281000119108,18059545-DS-17,"harge Instructions: You were admitted with a DVT (deep venous thrombosis) of your right lower extremity. It was determin" "Correct entity, wrong SNOMED ID","(8215, 8236)","(8215, 8236)",right lower extremity,right lower extremity,62175007,362784000,18059545-DS-17,"tted with a DVT (deep venous thrombosis) of your right lower extremity. It was determined that based on your physical " "Correct entity, wrong SNOMED ID","(8295, 8302)","(8295, 8302)",ct scan,ct scan,77477000,116152004,18059545-DS-17," determined that based on your physical exam and ct scan, a surgical thrombolytic therapy would not be be" Wrong span,"(8306, 8314)","(8306, 8335)",surgical,surgical thrombolytic therapy,387713003,430192001,18059545-DS-17," that based on your physical exam and ct scan, a surgical thrombolytic therapy would not be beneficial at " Wrong span,"(8315, 8335)","(8306, 8335)",thrombolytic therapy,surgical thrombolytic therapy,426347000,430192001,18059545-DS-17,"ed on your physical exam and ct scan, a surgical thrombolytic therapy would not be beneficial at this time. You wil" "Correct entity, wrong SNOMED ID","(8404, 8419)","(8404, 8419)",anticoagulation,anticoagulation,182764009,260678004,18059545-DS-17,"ficial at this time. You will be discharged on anticoagulation for 6 months. You will go home on Lovenox inject" Missed entity,"(8463, 8473)",,injections,,59108006,,18059545-DS-17,"lation for 6 months. You will go home on Lovenox injections and oral coumadin therapy. Coumadin therapy req" "Correct entity, wrong SNOMED ID","(8478, 8482)","(8478, 8482)",oral,oral,386359008,129080004,18059545-DS-17,"nths. You will go home on Lovenox injections and oral coumadin therapy. Coumadin therapy required fre" "Correct entity, wrong SNOMED ID","(8503, 8519)","(8503, 8519)",Coumadin therapy,Coumadin therapy,182764009,541471000124105,18059545-DS-17,"n Lovenox injections and oral coumadin therapy. Coumadin therapy required frequent blood draws to check the INR (" "Correct entity, wrong SNOMED ID","(8538, 8549)","(8538, 8549)",blood draws,blood draws,396550006,396540005,18059545-DS-17,"din therapy. Coumadin therapy required frequent blood draws to check the INR (international normalized ratio" Missed entity,"(8757, 8767)",,injections,,59108006,,18059545-DS-17,"or greater you will be able to stop your lovenox injections. The goal INR is 2.0-3.0 . You should take you" "Correct entity, wrong SNOMED ID","(8886, 8897)","(8886, 8897)",antibiotics,antibiotics,281789004,372599003,18059545-DS-17,"ame time every day and tell your PCP if you take antibiotics at any time during the course of therapy. You h" "Correct entity, wrong SNOMED ID","(8931, 8938)","(8931, 8938)",therapy,therapy,276239002,261773006,18059545-DS-17,"take antibiotics at any time during the course of therapy. You have also been given a thigh high ___ stoc" Missed entity,"(8969, 8974)",,thigh,,68367000,,18059545-DS-17,"e course of therapy. You have also been given a thigh high ___ stocking to wear on your right leg. Yo" Missed entity,"(8982, 8992)",,_ stocking,,225420001,,18059545-DS-17,"herapy. You have also been given a thigh high ___ stocking to wear on your right leg. You should wear this" "Correct entity, wrong SNOMED ID","(9010, 9019)","(9010, 9019)",right leg,right leg,32696007,213289002,18059545-DS-17," given a thigh high ___ stocking to wear on your right leg. You should wear this daily until your follow up" "Correct entity, wrong SNOMED ID","(9262, 9271)","(9262, 9271)",right leg,right leg,32696007,213289002,18059545-DS-17,"cotic medications. You will need to elevate your right leg, above the level of your heart as much as possib" "Correct entity, wrong SNOMED ID","(9298, 9303)","(9298, 9303)",heart,heart,80891009,226984005,18059545-DS-17," elevate your right leg, above the level of your heart as much as possible over the next few weeks. P" "Correct entity, wrong SNOMED ID","(9444, 9454)","(9444, 9454)",chest pain,chest pain,29857009,102589003,18059545-DS-17,"R for any of the following: * You experience new chest pain, pressure, squeezing or tightness. * New or wors" "Correct entity, wrong SNOMED ID","(9456, 9464)","(9456, 9464)",pressure,pressure,51590001,1264052006,18059545-DS-17," the following: * You experience new chest pain, pressure, squeezing or tightness. * New or worsening coug" "Correct entity, wrong SNOMED ID","(9466, 9475)","(9466, 9475)",squeezing,squeezing,371030007,242002003,18059545-DS-17,"owing: * You experience new chest pain, pressure, squeezing or tightness. * New or worsening cough or wheezi" "Correct entity, wrong SNOMED ID","(9510, 9515)","(9510, 9515)",cough,cough,49727002,28743005,18059545-DS-17,"sure, squeezing or tightness. * New or worsening cough or wheezing. * If you are vomiting and cannot kee" "Correct entity, wrong SNOMED ID","(9519, 9527)","(9519, 9527)",wheezing,wheezing,56018004,9763007,18059545-DS-17,"eezing or tightness. * New or worsening cough or wheezing. * If you are vomiting and cannot keep in fluids " "Correct entity, wrong SNOMED ID","(9542, 9550)","(9542, 9550)",vomiting,vomiting,422400008,162062008,18059545-DS-17," New or worsening cough or wheezing. * If you are vomiting and cannot keep in fluids or your medications. *" "Correct entity, wrong SNOMED ID","(9617, 9627)","(9617, 9627)",dehydrated,dehydrated,34095006,190894003,18059545-DS-17,"in fluids or your medications. * You are getting dehydrated due to continued vomiting, diarrhea or other rea" Boundary error,"(9645, 9653)","(9645, 9654)",vomiting,"vomiting,",422400008,111843007,18059545-DS-17,"ns. * You are getting dehydrated due to continued vomiting, diarrhea or other reasons. * Signs of dehydrat" "Correct entity, wrong SNOMED ID","(9656, 9664)","(9656, 9664)",diarrhea,diarrhea,62315008,111843007,18059545-DS-17,"re getting dehydrated due to continued vomiting, diarrhea or other reasons. * Signs of dehydration include" Wrong span,"(9686, 9691)","(9686, 9694)",Signs,Signs of,72670004,86631001,18059545-DS-17,"ontinued vomiting, diarrhea or other reasons. * Signs of dehydration include dry mouth, rapid heartbeat" "Correct entity, wrong SNOMED ID","(9695, 9706)","(9695, 9706)",dehydration,dehydration,34095006,1611000119108,18059545-DS-17,"vomiting, diarrhea or other reasons. * Signs of dehydration include dry mouth, rapid heartbeat or feeling di" "Correct entity, wrong SNOMED ID","(9715, 9724)","(9715, 9724)",dry mouth,dry mouth,87715008,881291000124102,18059545-DS-17,"or other reasons. * Signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when " "Correct entity, wrong SNOMED ID","(9726, 9741)","(9726, 9741)",rapid heartbeat,rapid heartbeat,3424008,361134000,18059545-DS-17,"asons. * Signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * You s" "Correct entity, wrong SNOMED ID","(9754, 9759)","(9754, 9759)",dizzy,dizzy,404640003,1141711004,18059545-DS-17,"on include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * You see blood or dark/b" "Correct entity, wrong SNOMED ID","(9774, 9782)","(9774, 9782)",standing,standing,10904000,249902000,18059545-DS-17,", rapid heartbeat or feeling dizzy or faint when standing. * You see blood or dark/black material when you " Wrong span,"(9794, 9837)","(9794, 9799)",blood or dark/black material when you vomit,blood,300361008,8765009,18059545-DS-17," feeling dizzy or faint when standing. * You see blood or dark/black material when you vomit or have a bowel movement. * Your skin, or the wh" "Correct entity, wrong SNOMED ID","(9849, 9863)","(9849, 9863)",bowel movement,bowel movement,405729008,398032003,18059545-DS-17," or dark/black material when you vomit or have a bowel movement. * Your skin, or the whites of your eyes become y" "Correct entity, wrong SNOMED ID","(9872, 9876)","(9872, 9876)",skin,skin,39937001,7748002,18059545-DS-17," when you vomit or have a bowel movement. * Your skin, or the whites of your eyes become yellow. * Your" Wrong span,"(9885, 9904)","(9900, 9904)",whites of your eyes,eyes,18619003,1285599008,18059545-DS-17,"it or have a bowel movement. * Your skin, or the whites of your eyes become yellow. * Your pain is not improving withi" "Correct entity, wrong SNOMED ID","(9927, 9931)","(9927, 9931)",pain,pain,22253000,102570003,18059545-DS-17," or the whites of your eyes become yellow. * Your pain is not improving within ___ hours or not gone wi" "Correct entity, wrong SNOMED ID","(10031, 10035)","(10031, 10035)",pain,pain,22253000,102570003,18059545-DS-17,"thin 24 hours. Call or return immediately if your pain is getting worse or is changing location or movi" "Correct entity, wrong SNOMED ID","(10096, 10101)","(10096, 10101)",chest,chest,51185008,177765008,18059545-DS-17,"g worse or is changing location or moving to your chest or back. * You have shaking chills, or a fever " "Correct entity, wrong SNOMED ID","(10124, 10131)","(10124, 10131)",shaking,shaking,26079004,247819009,18059545-DS-17,"ion or moving to your chest or back. * You have shaking chills, or a fever greater than 101.5 (F) degree" "Correct entity, wrong SNOMED ID","(10132, 10138)","(10132, 10138)",chills,chills,43724002,274640006,18059545-DS-17,"oving to your chest or back. * You have shaking chills, or a fever greater than 101.5 (F) degrees or 38" "Correct entity, wrong SNOMED ID","(10145, 10150)","(10145, 10150)",fever,fever,386661006,248430002,18059545-DS-17," chest or back. * You have shaking chills, or a fever greater than 101.5 (F) degrees or 38(C) degrees." Wrong span,"(10410, 10446)","(10422, 10430)","taking any narcotic pain medication",narcotic,708652009,95914002,18059545-DS-17," * Do not drive or operate heavy machinery while taking any narcotic pain medication. You may have constipation when taking narcotic" "Correct entity, wrong SNOMED ID","(10462, 10474)","(10462, 10474)",constipation,constipation,14760008,236069009,18059545-DS-17,"king any narcotic pain medication. You may have constipation when taking narcotic pain medications (oxycodone" Wrong span,"(10480, 10513)","(10488, 10496)","taking narcotic pain medications",narcotic,708652009,95914002,18059545-DS-17," pain medication. You may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dila" Missed entity,"(10622, 10642)",,take stool softeners,,225948006,,18059545-DS-17,".); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. " False positive,,"(2588, 2591)",,osp,,443209008,18454624-DS-16," adjusting of medication. Past Medical History: ospitalizations: Multiple prior, most recently ___ ye" False positive,,"(3456, 3458)",,nl,,257992007,18454624-DS-16,"Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normo" False positive,,"(4067, 4078)",,Normal bulk,,289779000,18454624-DS-16,"rally. XII: Tongue protrudes in midline. *Motor- Normal bulk and tone bilaterally. No abnormal movements, trem" False positive,,"(4133, 4141)",,Strength,,251433001,18454624-DS-16,"tone bilaterally. No abnormal movements, tremors. Strength full power ___ throughout. No pronator drift. " False positive,,"(4281, 4286)",,equal,,301943000,18454624-DS-16,"bration bilaterally. *Reflexes- 2+ throughout and equal b/l. *Coordination- Normal on finger-nose-finger," False positive,,"(4650, 4653)",,MCH,,54706004,18454624-DS-16,"5PM WBC-10.9 RBC-4.81 HGB-14.6 HCT-43.9 MCV-91 MCH-30.4 MCHC-33.4 RDW-12.3 ___ 01:55PM NEUTS-60.0 " False positive,,"(4904, 4906)",,VI,,258000009,18454624-DS-16," AST-20 ALK PHOS-72 TotBili-0.5 ___ 11:00AM VITB12-720 FOLATE- Greater TH1 Brief Hospital Cou" False positive,,"(5006, 5018)",,disorganized,,286817002,18454624-DS-16,"rse: Legal: ___ Psychiatric: Patient presented in disorganized state, exhibiting symptoms of pressured speech, " False positive,,"(6086, 6091)",,sleep,,301345002,18454624-DS-16,"od effect and subsequent dramatic improvement in sleep. With medication adjustments and individual, gro" False positive,,"(6427, 6432)",,sleep,,301345002,18454624-DS-16,"tly improved. Her panic attacks resolved and her sleep also greatly improved. At no point during her h" False positive,,"(6971, 6988)",,"safety awareness",,385872009,18454624-DS-16,"sion. By time of discharge, she demonstrated good safety awareness and care when changing positions. She was not or" False positive,,"(7776, 7785)",,Nutrition,,2492009,18454624-DS-16," +WBC but no nitrates. #) Nutrition/Weight Loss: Nutrition consult revealed patient is low nutrition risk. " False positive,,"(7886, 7892)",,follow,,168831000,18454624-DS-16,"iet supplemented with ensure in unit. Patient to follow up with PCP for further evaluation for medical c" False positive,,"(8306, 8312)",,follow,,168831000,18454624-DS-16,"ss during hospitalization. Patient instructed to follow-up with her PCP for further ___ of her hair loss" False positive,,"(8325, 8327)",,PC,,24863003,18454624-DS-16,"zation. Patient instructed to follow-up with her PCP for further ___ of her hair loss. #) Fall ris" False positive,,"(8419, 8422)",,low,,165439008,18454624-DS-16,"Fall risk: ___ assessment determined patient is a low fall risk but encouraged patient to use cane at " False positive,,"(8937, 8944)",,picking,,102908001,18454624-DS-16,"rse evaluation, does not appear to be related to picking behavior or prolonged sitting. The patient remai" False positive,,"(9085, 9088)",,PCP,,258735001,18454624-DS-16,"gh out hospitaization. Patient to follow-up with PCP. #) Borderline UA: Urine culture was likely cont" False positive,,"(9094, 9104)",,Borderline,,86251006,18454624-DS-16,"ospitaization. Patient to follow-up with PCP. #) Borderline UA: Urine culture was likely contaminated but po" False positive,,"(12531, 12542)",,Normal rate,,20716004,18454624-DS-16,"o psychomotor retardation or agitation. Speech: Normal rate, normal rhythm, normal volume. Mood: 'Good' Affec" False positive,,"(12544, 12557)",,normal rhythm,,428919002,18454624-DS-16," retardation or agitation. Speech: Normal rate, normal rhythm, normal volume. Mood: 'Good' Affect: Full range. " False positive,,"(12559, 12572)",,normal volume,,165027008,18454624-DS-16," agitation. Speech: Normal rate, normal rhythm, normal volume. Mood: 'Good' Affect: Full range. Euthymic. Laugh" False positive,,"(12856, 12862)",,Safety,,386458004,18454624-DS-16,"with person's she doesn't like. No AVH; no SI. Safety: does not voice any concerns Perceptions: No AVH " False positive,,"(12991, 13006)",,Activity Status,,397622007,18454624-DS-16," Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker " "Correct entity, wrong SNOMED ID","(200, 222)","(200, 222)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,18454624-DS-16,"ce: PSYCHIATRY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: ""I am fine"" " "Correct entity, wrong SNOMED ID","(413, 425)","(413, 425)",Bipolar do I,Bipolar do I,371596008,416422002,18454624-DS-16,"___, ___: This is ___ yo resident of ___, w/ hx.o Bipolar do I, dementive process, p/w fall from house. Psychiat" "Correct entity, wrong SNOMED ID","(427, 444)","(427, 444)",dementive process,dementive process,52448006,1055212009,18454624-DS-16," is ___ yo resident of ___, w/ hx.o Bipolar do I, dementive process, p/w fall from house. Psychiatry is consulted per" "Correct entity, wrong SNOMED ID","(450, 454)","(450, 454)",fall,fall,161898004,298344006,18454624-DS-16,"___, w/ hx.o Bipolar do I, dementive process, p/w fall from house. Psychiatry is consulted per request o" "Correct entity, wrong SNOMED ID","(576, 581)","(576, 581)",manic,manic,231494001,21071000119101,18454624-DS-16,"ist Dr. ___, who is concerned that patient may be manic, and medication adjustment has been difficult in " Wrong span,"(587, 608)","(587, 597)",medication adjustment,medication,413143000,182837001,18454624-DS-16,", who is concerned that patient may be manic, and medication adjustment has been difficult in the ___ setting. The patien" "Correct entity, wrong SNOMED ID","(773, 781)","(773, 781)","Low mood","Low mood",366979004,58051000087107,18454624-DS-16,"provide further information about how. She denies Low mood/SI/HI/AH/VH/IOR/anxiety. She confirms her memory " "Correct entity, wrong SNOMED ID","(782, 784)","(782, 784)",SI,SI,6471006,259015003,18454624-DS-16,"urther information about how. She denies Low mood/SI/HI/AH/VH/IOR/anxiety. She confirms her memory ""is" Missed entity,"(785, 787)",,HI,,225450009,,18454624-DS-16,"her information about how. She denies Low mood/SI/HI/AH/VH/IOR/anxiety. She confirms her memory ""is no" "Correct entity, wrong SNOMED ID","(788, 790)","(788, 790)",AH,AH,45150006,442133001,18454624-DS-16," information about how. She denies Low mood/SI/HI/AH/VH/IOR/anxiety. She confirms her memory ""is not w" "Correct entity, wrong SNOMED ID","(791, 793)","(791, 793)",VH,VH,64269007,257988000,18454624-DS-16,"formation about how. She denies Low mood/SI/HI/AH/VH/IOR/anxiety. She confirms her memory ""is not what" "Correct entity, wrong SNOMED ID","(794, 797)","(794, 797)",IOR,IOR,41189006,422816002,18454624-DS-16,"mation about how. She denies Low mood/SI/HI/AH/VH/IOR/anxiety. She confirms her memory ""is not what it " "Correct entity, wrong SNOMED ID","(798, 805)","(798, 805)",anxiety,anxiety,48694002,10756431000119109,18454624-DS-16,"on about how. She denies Low mood/SI/HI/AH/VH/IOR/anxiety. She confirms her memory ""is not what it used to " "Correct entity, wrong SNOMED ID","(824, 830)","(824, 830)",memory,memory,106136008,247602005,18454624-DS-16,"ow mood/SI/HI/AH/VH/IOR/anxiety. She confirms her memory ""is not what it used to be"". She confirms a histo" "Correct entity, wrong SNOMED ID","(886, 896)","(886, 896)",Bipolar dx,Bipolar dx,13746004,416422002,18454624-DS-16,"ot what it used to be"". She confirms a history of Bipolar dx., denies feeling manic ""that is more when you are" "Correct entity, wrong SNOMED ID","(914, 919)","(914, 919)",manic,manic,231494001,191658009,18454624-DS-16,"confirms a history of Bipolar dx., denies feeling manic ""that is more when you are energic in a bad way. " "Correct entity, wrong SNOMED ID","(984, 986)","(984, 986)",Cp,Cp,29857009,282108002,18454624-DS-16,"when you are energic in a bad way. I am not."" No Cp, sob. Denies HA. Per Dr. ___, RN, she recently" "Correct entity, wrong SNOMED ID","(988, 991)","(988, 991)",sob,sob,267036007,43731003,18454624-DS-16," you are energic in a bad way. I am not."" No Cp, sob. Denies HA. Per Dr. ___, RN, she recently has " "Correct entity, wrong SNOMED ID","(1000, 1002)","(1000, 1002)",HA,HA,25064002,226933009,18454624-DS-16,"rgic in a bad way. I am not."" No Cp, sob. Denies HA. Per Dr. ___, RN, she recently has been underg" Missed entity,"(1057, 1075)",,congnitive decline,,386806002,,18454624-DS-16,"Per Dr. ___, RN, she recently has been undergoing congnitive decline. Over the past severeal months has been more agit" "Correct entity, wrong SNOMED ID","(1131, 1142)","(1131, 1142)",hypersexual,hypersexual,73744004,268724009,18454624-DS-16," the past severeal months has been more agitated, hypersexual, making inappropriate comments, intermittent SIB " Missed entity,"(1144, 1173)",,making inappropriate comments,,297265001,,18454624-DS-16,"ereal months has been more agitated, hypersexual, making inappropriate comments, intermittent SIB (Slapping self, punching self, " "Correct entity, wrong SNOMED ID","(1188, 1191)","(1188, 1191)",SIB,SIB,248062006,433960002,18454624-DS-16,"xual, making inappropriate comments, intermittent SIB (Slapping self, punching self, pulling hair), dec" Missed entity,"(1193, 1206)",,Slapping self,,284758002,,18454624-DS-16," making inappropriate comments, intermittent SIB (Slapping self, punching self, pulling hair), decreased po intak" Wrong span,"(1208, 1221)","(1208, 1216)",punching self,punching,284757007,1141812003,18454624-DS-16,"priate comments, intermittent SIB (Slapping self, punching self, pulling hair), decreased po intake, losing weigh" Wrong span,"(1223, 1236)","(1223, 1230)",pulling hair),pulling,285131005,303372004,18454624-DS-16,", intermittent SIB (Slapping self, punching self, pulling hair), decreased po intake, losing weight, approximatel" "Correct entity, wrong SNOMED ID","(1238, 1257)","(1238, 1257)",decreased po intake,decreased po intake,102610002,1354598004,18454624-DS-16,"SIB (Slapping self, punching self, pulling hair), decreased po intake, losing weight, approximately 12 lbs. There is a " "Correct entity, wrong SNOMED ID","(1259, 1272)","(1259, 1272)",losing weight,losing weight,161832001,267024001,18454624-DS-16,"unching self, pulling hair), decreased po intake, losing weight, approximately 12 lbs. There is a some concern th" "Correct entity, wrong SNOMED ID","(1332, 1337)","(1332, 1337)",manic,manic,231494001,191658009,18454624-DS-16,"ately 12 lbs. There is a some concern that she is manic, rather than solely disinhibited. No episodes of " "Correct entity, wrong SNOMED ID","(1358, 1370)","(1358, 1370)",disinhibited,disinhibited,247973004,225533009,18454624-DS-16,"ome concern that she is manic, rather than solely disinhibited. No episodes of suicidality or homicidality. Sev" "Correct entity, wrong SNOMED ID","(1387, 1398)","(1387, 1398)",suicidality,suicidality,425104003,429451000124109,18454624-DS-16,", rather than solely disinhibited. No episodes of suicidality or homicidality. Several days ago, had a discret" "Correct entity, wrong SNOMED ID","(1402, 1414)","(1402, 1414)",homicidality,homicidality,424241004,1351812008,18454624-DS-16,"olely disinhibited. No episodes of suicidality or homicidality. Several days ago, had a discrete episode of agi" "Correct entity, wrong SNOMED ID","(1461, 1470)","(1461, 1470)",agitation,agitation,24199005,16997008,18454624-DS-16,"ity. Several days ago, had a discrete episode of agitation in her room, but was not sectioned, situation was" Missed entity,"(1538, 1557)",,"verbal intervention",,225219005,,18454624-DS-16,"was not sectioned, situation was de-escalated w/o verbal intervention by staff. Spoke with Daughter, ___, ___. Who i" "Correct entity, wrong SNOMED ID","(1631, 1642)","(1631, 1642)",weight loss,weight loss,89362005,267024001,18454624-DS-16," Daughter, ___, ___. Who is concerned for notable weight loss, over the past 6 mo, increased confusional behavi" Wrong span,"(1674, 1685)","(1674, 1694)",confusional,confusional behavior,40917007,2776000,18454624-DS-16,"otable weight loss, over the past 6 mo, increased confusional behavior, calling daughter ___ daily, increased i" Wrong span,"(1686, 1694)","(1674, 1694)",behavior,confusional behavior,844005,2776000,18454624-DS-16,"t loss, over the past 6 mo, increased confusional behavior, calling daughter ___ daily, increased irritabili" "Correct entity, wrong SNOMED ID","(1734, 1746)","(1734, 1746)",irritability,irritability,55929007,404220000,18454624-DS-16,"l behavior, calling daughter ___ daily, increased irritability. She has multiple prior psychiatric hospitalizati" "Correct entity, wrong SNOMED ID","(1771, 1782)","(1771, 1782)",psychiatric,psychiatric,24642003,161464003,18454624-DS-16,"y, increased irritability. She has multiple prior psychiatric hospitalizations, most recently ___ years ago. No" Missed entity,"(1830, 1838)",,No acute,,281900007,,18454624-DS-16,"ic hospitalizations, most recently ___ years ago. No acute safety concerns. Last time manic episode ___ year" Missed entity,"(1839, 1845)",,safety,,410353007,,18454624-DS-16,"alizations, most recently ___ years ago. No acute safety concerns. Last time manic episode ___ years ago, " "Correct entity, wrong SNOMED ID","(1866, 1871)","(1866, 1871)",manic,manic,231494001,191658009,18454624-DS-16,"__ years ago. No acute safety concerns. Last time manic episode ___ years ago, screaming, led to hospita" "Correct entity, wrong SNOMED ID","(1895, 1904)","(1895, 1904)",screaming,screaming,81916006,246408006,18454624-DS-16," concerns. Last time manic episode ___ years ago, screaming, led to hospitalization. Medication adjustmen" Wrong span,"(1934, 1955)","(1934, 1936)",Medication adjustment,Me,413143000,258669008,18454624-DS-16,"years ago, screaming, led to hospitalization. Medication adjustment has have been difficult, she came to Dr. ___ on E" Missed entity,"(2107, 2126)",,"medication changes",,182838006,,18454624-DS-16,"and effexor slowly tapered. During the process of medication changes, pt. had a fall (___). As a result, staff has kep" "Correct entity, wrong SNOMED ID","(2138, 2142)","(2138, 2142)",fall,fall,161898004,298344006,18454624-DS-16,"ing the process of medication changes, pt. had a fall (___). As a result, staff has kept pt. bound to h" "Correct entity, wrong SNOMED ID","(2226, 2235)","(2226, 2235)",agitation,agitation,24199005,16997008,18454624-DS-16,"t pt. bound to house, which in turn has increased agitation in patient. Dr. ___ is concerned that it is diffi" Missed entity,"(2300, 2311)",,medications,,18629005,,18454624-DS-16,". ___ is concerned that it is difficult to adjust medications in the resting home context d/t risk of fall, li" "Correct entity, wrong SNOMED ID","(2353, 2357)","(2353, 2357)",fall,fall,161898004,298344006,18454624-DS-16,"ications in the resting home context d/t risk of fall, limited staff support. As result of increased a" Missed entity,"(2374, 2381)",,support,,243114000,,18454624-DS-16,"ing home context d/t risk of fall, limited staff support. As result of increased agitation and agression a" "Correct entity, wrong SNOMED ID","(2406, 2415)","(2406, 2415)",agitation,agitation,24199005,16997008,18454624-DS-16,"l, limited staff support. As result of increased agitation and agression and difficulty in changing medicati" Missed entity,"(2420, 2429)",,agression,,61372001,,18454624-DS-16,"ff support. As result of increased agitation and agression and difficulty in changing medication in her curr" Missed entity,"(2552, 2562)",,medication,,18629005,,18454624-DS-16,"for her to be admitted, with plan of adjusting of medication. Past Medical History: ospitalizations: Multipl" Missed entity,"(2729, 2739)",,Medication,,33633005,,18454624-DS-16,"__, Director of Nursing of ___ ___ Dr. ___ ___. Medication and ECT trials: Clonazepam, effexor (now being do" Missed entity,"(2744, 2747)",,ECT,,23835007,,18454624-DS-16," Nursing of ___ ___ Dr. ___ ___. Medication and ECT trials: Clonazepam, effexor (now being downtitrat" "Correct entity, wrong SNOMED ID","(2823, 2834)","(2823, 2834)",Self-injury,Self-injury,248062006,40083003,18454624-DS-16,"or (now being downtitrated, with goal of dc'ing) Self-injury: when agitated has been slapping her legs, pullin" Missed entity,"(2859, 2867)",,slapping,,284758002,,18454624-DS-16,"l of dc'ing) Self-injury: when agitated has been slapping her legs, pulling at hair. Harm to others: Deni" "Correct entity, wrong SNOMED ID","(2872, 2876)","(2872, 2876)",legs,legs,61685007,40927001,18454624-DS-16," Self-injury: when agitated has been slapping her legs, pulling at hair. Harm to others: Denies Access" Wrong span,"(2890, 2894)","(2878, 2894)",hair,"pulling at hair",386045008,1204391000,18454624-DS-16," agitated has been slapping her legs, pulling at hair. Harm to others: Denies Access to weapons: denie" "Correct entity, wrong SNOMED ID","(3015, 3023)","(3015, 3023)",deceased,deceased,419099009,739678005,18454624-DS-16," ___ Family History: Reports mother with ___, now deceased. Denies history of bipolar d/o, schizophrenia, su" "Correct entity, wrong SNOMED ID","(3043, 3054)","(3043, 3054)",bipolar d/o,bipolar d/o,13746004,160331005,18454624-DS-16," mother with ___, now deceased. Denies history of bipolar d/o, schizophrenia, substance abuse in the family. " "Correct entity, wrong SNOMED ID","(3056, 3069)","(3056, 3069)",schizophrenia,schizophrenia,58214004,111484002,18454624-DS-16,"___, now deceased. Denies history of bipolar d/o, schizophrenia, substance abuse in the family. Physical Exam" "Correct entity, wrong SNOMED ID","(3071, 3086)","(3071, 3086)",substance abuse,substance abuse,66214007,91388009,18454624-DS-16,"ed. Denies history of bipolar d/o, schizophrenia, substance abuse in the family. Physical Exam: BP:112/72 HR:80" "Correct entity, wrong SNOMED ID","(3121, 3123)","(3121, 3123)",BP,BP,392570002,38341003,18454624-DS-16,"substance abuse in the family. Physical Exam: BP:112/72 HR:80 temp:98.0 resp:16 O2 sat:99% ht:5'5" "Correct entity, wrong SNOMED ID","(3131, 3133)","(3131, 3133)",HR,HR,301113001,258702006,18454624-DS-16,"abuse in the family. Physical Exam: BP:112/72 HR:80 temp:98.0 resp:16 O2 sat:99% ht:5'5"" wt: 146." "Correct entity, wrong SNOMED ID","(3137, 3141)","(3137, 3141)",temp,temp,105723007,102496004,18454624-DS-16,"in the family. Physical Exam: BP:112/72 HR:80 temp:98.0 resp:16 O2 sat:99% ht:5'5"" wt: 146.6 Gener" "Correct entity, wrong SNOMED ID","(3147, 3151)","(3147, 3151)",resp,resp,268925001,20139000,18454624-DS-16,"ily. Physical Exam: BP:112/72 HR:80 temp:98.0 resp:16 O2 sat:99% ht:5'5"" wt: 146.6 General: Awake," "Correct entity, wrong SNOMED ID","(3156, 3162)","(3156, 3162)",O2 sat,O2 sat,104847001,103228002,18454624-DS-16,"Physical Exam: BP:112/72 HR:80 temp:98.0 resp:16 O2 sat:99% ht:5'5"" wt: 146.6 General: Awake, cooperativ" Missed entity,"(3167, 3169)",,ht,,14456009,,18454624-DS-16,"am: BP:112/72 HR:80 temp:98.0 resp:16 O2 sat:99% ht:5'5"" wt: 146.6 General: Awake, cooperative, NAD." Missed entity,"(3175, 3177)",,wt,,39857003,,18454624-DS-16,"12/72 HR:80 temp:98.0 resp:16 O2 sat:99% ht:5'5"" wt: 146.6 General: Awake, cooperative, NAD. HEENT: " "Correct entity, wrong SNOMED ID","(3186, 3193)","(3186, 3193)",General,General,162673000,252398009,18454624-DS-16," temp:98.0 resp:16 O2 sat:99% ht:5'5"" wt: 146.6 General: Awake, cooperative, NAD. HEENT: Laceration from " "Correct entity, wrong SNOMED ID","(3202, 3213)","(3202, 3213)",cooperative,cooperative,427867005,472391000124101,18454624-DS-16,"16 O2 sat:99% ht:5'5"" wt: 146.6 General: Awake, cooperative, NAD. HEENT: Laceration from fall on nose, no scl" "Correct entity, wrong SNOMED ID","(3215, 3218)","(3215, 3218)",NAD,NAD,281900007,131143000,18454624-DS-16,"% ht:5'5"" wt: 146.6 General: Awake, cooperative, NAD. HEENT: Laceration from fall on nose, no scleral " "Correct entity, wrong SNOMED ID","(3220, 3225)","(3220, 3225)",HEENT,HEENT,5880005,113665002,18454624-DS-16,"5'5"" wt: 146.6 General: Awake, cooperative, NAD. HEENT: Laceration from fall on nose, no scleral icterus" "Correct entity, wrong SNOMED ID","(3227, 3237)","(3227, 3237)",Laceration,Laceration,35933005,1237440006,18454624-DS-16,": 146.6 General: Awake, cooperative, NAD. HEENT: Laceration from fall on nose, no scleral icterus noted, MMM," "Correct entity, wrong SNOMED ID","(3243, 3247)","(3243, 3247)",fall,fall,161898004,298344006,18454624-DS-16,": Awake, cooperative, NAD. HEENT: Laceration from fall on nose, no scleral icterus noted, MMM, edentulou" "Correct entity, wrong SNOMED ID","(3251, 3255)","(3251, 3255)",nose,nose,45206002,1156816005,18454624-DS-16," cooperative, NAD. HEENT: Laceration from fall on nose, no scleral icterus noted, MMM, edentulous, no le" "Correct entity, wrong SNOMED ID","(3283, 3286)","(3283, 3286)",MMM,MMM,276398005,258673006,18454624-DS-16,"tion from fall on nose, no scleral icterus noted, MMM, edentulous, no lesions noted in oropharynx Neck:" "Correct entity, wrong SNOMED ID","(3288, 3298)","(3288, 3298)",edentulous,edentulous,278650002,263176000,18454624-DS-16,"from fall on nose, no scleral icterus noted, MMM, edentulous, no lesions noted in oropharynx Neck: Supple, no " "Correct entity, wrong SNOMED ID","(3303, 3310)","(3303, 3310)",lesions,lesions,52988006,246206008,18454624-DS-16,"se, no scleral icterus noted, MMM, edentulous, no lesions noted in oropharynx Neck: Supple, no carotid brui" "Correct entity, wrong SNOMED ID","(3320, 3330)","(3320, 3330)",oropharynx,oropharynx,31389004,263376008,18454624-DS-16,"terus noted, MMM, edentulous, no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No n" "Correct entity, wrong SNOMED ID","(3331, 3335)","(3331, 3335)",Neck,Neck,5880005,840674001,18454624-DS-16,", MMM, edentulous, no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No nuchal" "Correct entity, wrong SNOMED ID","(3337, 3343)","(3337, 3343)",Supple,Supple,298475003,116121000,18454624-DS-16," edentulous, no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No nuchal rigidit" "Correct entity, wrong SNOMED ID","(3348, 3362)","(3348, 3362)",carotid bruits,carotid bruits,419642000,10857000,18454624-DS-16,", no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No nuchal rigidity Pulmonary: Lungs " Wrong span,"(3395, 3399)","(3395, 3404)",Pulm,Pulmonary,268925001,419170002,18454624-DS-16,"no carotid bruits appreciated. No nuchal rigidity Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac" "Correct entity, wrong SNOMED ID","(3406, 3411)","(3406, 3411)",Lungs,Lungs,268925001,74101002,18454624-DS-16,"bruits appreciated. No nuchal rigidity Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S" "Correct entity, wrong SNOMED ID","(3412, 3415)","(3412, 3415)",CTA,CTA,48348007,397005006,18454624-DS-16," appreciated. No nuchal rigidity Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2," Wrong span,"(3428, 3441)","(3436, 3441)",without R/R/W,R/R/W,281900007,420274006,18454624-DS-16," nuchal rigidity Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: s" "Correct entity, wrong SNOMED ID","(3442, 3449)","(3442, 3449)",Cardiac,Cardiac,363003006,71892000,18454624-DS-16,"ty Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/" "Correct entity, wrong SNOMED ID","(3451, 3454)","(3451, 3454)",RRR,RRR,76863003,129960002,18454624-DS-16,"ary: Lungs CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, n" Missed entity,"(3462, 3464)",,S2,,111974005,,18454624-DS-16,"CTA bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive" "Correct entity, wrong SNOMED ID","(3466, 3474)","(3466, 3474)",no M/R/G,no M/R/G,301132007,315221003,18454624-DS-16,"bilaterally without R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sou" "Correct entity, wrong SNOMED ID","(3481, 3488)","(3481, 3488)",Abdomen,Abdomen,225162003,41931001,18454624-DS-16,"hout R/R/W Cardiac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sounds Extremitie" "Correct entity, wrong SNOMED ID","(3496, 3498)","(3496, 3498)",NT,NT,43478001,257992007,18454624-DS-16,"iac: RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sounds Extremities: No C/C/" "Correct entity, wrong SNOMED ID","(3499, 3501)","(3499, 3501)",ND,ND,60728008,165815009,18454624-DS-16,": RRR, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sounds Extremities: No C/C/E b" "Correct entity, wrong SNOMED ID","(3503, 3527)","(3503, 3527)",normoactive bowel sounds,normoactive bowel sounds,61539000,15280003,18454624-DS-16,"R, nl. S1S2, no M/R/G noted Abdomen: soft, NT/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP " "Correct entity, wrong SNOMED ID","(3528, 3539)","(3528, 3539)",Extremities,Extremities,302773001,248416007,18454624-DS-16,"ed Abdomen: soft, NT/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilat" Missed entity,"(3544, 3545)",,C,,3415004,,18454624-DS-16,", NT/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally" Missed entity,"(3546, 3547)",,C,,30760008,,18454624-DS-16,"NT/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. " Missed entity,"(3548, 3549)",,E,,267038008,,18454624-DS-16,"/ND, normoactive bowel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. Sk" Wrong span,"(3566, 3572)","(3563, 3572)",radial,2+ radial,45631007,15137004,18454624-DS-16,"owel sounds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. Skin: Lac as mentioned ab" "Correct entity, wrong SNOMED ID","(3574, 3583)","(3574, 3583)",DP pulses,DP pulses,301160009,429784004,18454624-DS-16,"nds Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. Skin: Lac as mentioned above. Ecchym" "Correct entity, wrong SNOMED ID","(3597, 3601)","(3597, 3601)",Skin,Skin,271303006,444884003,18454624-DS-16,"/E bilaterally, 2+ radial, DP pulses bilaterally. Skin: Lac as mentioned above. Ecchymoses on ___ knee c" Missed entity,"(3603, 3606)",,Lac,,312608009,,18454624-DS-16,"aterally, 2+ radial, DP pulses bilaterally. Skin: Lac as mentioned above. Ecchymoses on ___ knee caps. " "Correct entity, wrong SNOMED ID","(3627, 3637)","(3627, 3637)",Ecchymoses,Ecchymoses,302227002,1263930005,18454624-DS-16,"pulses bilaterally. Skin: Lac as mentioned above. Ecchymoses on ___ knee caps. Neurologic: -Cranial Nerves: " Wrong span,"(3645, 3654)","(3645, 3649)",knee caps,knee,64234005,248491001,18454624-DS-16,". Skin: Lac as mentioned above. Ecchymoses on ___ knee caps. Neurologic: -Cranial Nerves: II: PERRL 3 to 2m" Wrong span,"(3658, 3668)","(3658, 3662)",Neurologic,Neur,84728005,32909009,18454624-DS-16,"s mentioned above. Ecchymoses on ___ knee caps. Neurologic: -Cranial Nerves: II: PERRL 3 to 2mm and brisk. V" Wrong span,"(3671, 3685)","(3671, 3676)",Cranial Nerves,Crani,25238003,129230001,18454624-DS-16,"bove. Ecchymoses on ___ knee caps. Neurologic: -Cranial Nerves: II: PERRL 3 to 2mm and brisk. VFF to confrontati" "Correct entity, wrong SNOMED ID","(3687, 3689)","(3687, 3689)",II,II,18234004,257989008,18454624-DS-16," on ___ knee caps. Neurologic: -Cranial Nerves: II: PERRL 3 to 2mm and brisk. VFF to confrontation. " "Correct entity, wrong SNOMED ID","(3691, 3696)","(3691, 3696)",PERRL,PERRL,386666001,431291005,18454624-DS-16,"___ knee caps. Neurologic: -Cranial Nerves: II: PERRL 3 to 2mm and brisk. VFF to confrontation. III, IV" Missed entity,"(3710, 3715)",,brisk,,421352006,,18454624-DS-16,"urologic: -Cranial Nerves: II: PERRL 3 to 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without " Wrong span,"(3717, 3737)","(3717, 3718)",VFF to confrontation,V,830129007,258000009,18454624-DS-16,"c: -Cranial Nerves: II: PERRL 3 to 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal sacc" "Correct entity, wrong SNOMED ID","(3739, 3742)","(3739, 3742)",III,III,56193007,1003684003,18454624-DS-16,": PERRL 3 to 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades." "Correct entity, wrong SNOMED ID","(3744, 3746)","(3744, 3746)",IV,IV,39322007,258000009,18454624-DS-16,"RL 3 to 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: " "Correct entity, wrong SNOMED ID","(3748, 3750)","(3748, 3750)",VI,VI,80622005,258000009,18454624-DS-16," to 2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: Faci" "Correct entity, wrong SNOMED ID","(3752, 3756)","(3752, 3756)",EOMI,EOMI,103251002,67099000,18454624-DS-16,"2mm and brisk. VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: Facial sen" "Correct entity, wrong SNOMED ID","(3765, 3774)","(3765, 3774)",nystagmus,nystagmus,563001,285764004,18454624-DS-16,". VFF to confrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: Facial sensation intact to l" "Correct entity, wrong SNOMED ID","(3776, 3791)","(3776, 3791)",Normal saccades,Normal saccades,103251002,307683004,18454624-DS-16,"nfrontation. III, IV, VI: EOMI without nystagmus. Normal saccades. V: Facial sensation intact to light touch. VII: " "Correct entity, wrong SNOMED ID","(3793, 3794)","(3793, 3794)",V,V,27612005,258000009,18454624-DS-16," IV, VI: EOMI without nystagmus. Normal saccades. V: Facial sensation intact to light touch. VII: No " Wrong span,"(3796, 3802)","(3796, 3834)",Facial,Facial sensation intact to light touch,89545001,422015002,18454624-DS-16,", VI: EOMI without nystagmus. Normal saccades. V: Facial sensation intact to light touch. VII: No facial d" Wrong span,"(3803, 3834)","(3796, 3834)",sensation intact to light touch,Facial sensation intact to light touch,299911004,422015002,18454624-DS-16,"OMI without nystagmus. Normal saccades. V: Facial sensation intact to light touch. VII: No facial droop, facial musculature symmetr" "Correct entity, wrong SNOMED ID","(3836, 3839)","(3836, 3839)",VII,VII,56052001,235908005,18454624-DS-16,"cades. V: Facial sensation intact to light touch. VII: No facial droop, facial musculature symmetric. V" "Correct entity, wrong SNOMED ID","(3844, 3856)","(3844, 3856)",facial droop,facial droop,95666008,248204003,18454624-DS-16,": Facial sensation intact to light touch. VII: No facial droop, facial musculature symmetric. VIII: Hearing inta" "Correct entity, wrong SNOMED ID","(3858, 3886)","(3858, 3886)",facial musculature symmetric,facial musculature symmetric,248172007,734532009,18454624-DS-16,"tion intact to light touch. VII: No facial droop, facial musculature symmetric. VIII: Hearing intact to finger-rub bilaterally. " "Correct entity, wrong SNOMED ID","(3888, 3892)","(3888, 3892)",VIII,VIII,8598002,235908005,18454624-DS-16,"I: No facial droop, facial musculature symmetric. VIII: Hearing intact to finger-rub bilaterally. IX, X:" "Correct entity, wrong SNOMED ID","(3894, 3908)","(3894, 3908)",Hearing intact,Hearing intact,162339002,1367857008,18454624-DS-16,"facial droop, facial musculature symmetric. VIII: Hearing intact to finger-rub bilaterally. IX, X: Palate elevates" Wrong span,"(3912, 3918)","(3912, 3922)",finger,finger-rub,7569003,78393008,18454624-DS-16,"al musculature symmetric. VIII: Hearing intact to finger-rub bilaterally. IX, X: Palate elevates symmetric" "Correct entity, wrong SNOMED ID","(3936, 3938)","(3936, 3938)",IX,IX,21161002,421806008,18454624-DS-16,". VIII: Hearing intact to finger-rub bilaterally. IX, X: Palate elevates symmetrically. XI: ___ streng" "Correct entity, wrong SNOMED ID","(3940, 3941)","(3940, 3941)",X,X,88882009,421806008,18454624-DS-16,"II: Hearing intact to finger-rub bilaterally. IX, X: Palate elevates symmetrically. XI: ___ strength " Wrong span,"(3943, 3958)","(3943, 3970)",Palate elevates,Palate elevates symmetrical,285548009,285552009,18454624-DS-16," Hearing intact to finger-rub bilaterally. IX, X: Palate elevates symmetrically. XI: ___ strength in trapezii and S" "Correct entity, wrong SNOMED ID","(3974, 3976)","(3974, 3976)",XI,XI,15119000,421806008,18454624-DS-16,"ilaterally. IX, X: Palate elevates symmetrically. XI: ___ strength in trapezii and SCM bilaterally. XI" "Correct entity, wrong SNOMED ID","(3994, 4002)","(3994, 4002)",trapezii,trapezii,31764008,181740005,18454624-DS-16,"alate elevates symmetrically. XI: ___ strength in trapezii and SCM bilaterally. XII: Tongue protrudes in mid" "Correct entity, wrong SNOMED ID","(4007, 4010)","(4007, 4010)",SCM,SCM,22823000,258672001,18454624-DS-16,"s symmetrically. XI: ___ strength in trapezii and SCM bilaterally. XII: Tongue protrudes in midline. *" "Correct entity, wrong SNOMED ID","(4024, 4027)","(4024, 4027)",XII,XII,37899009,738500000,18454624-DS-16,"XI: ___ strength in trapezii and SCM bilaterally. XII: Tongue protrudes in midline. *Motor- Normal bul" Wrong span,"(4029, 4056)","(4029, 4045)",Tongue protrudes in midline,Tongue protrudes,285507006,285505003,18454624-DS-16,"__ strength in trapezii and SCM bilaterally. XII: Tongue protrudes in midline. *Motor- Normal bulk and tone bilaterally. No ab" "Correct entity, wrong SNOMED ID","(4060, 4065)","(4060, 4065)",Motor,Motor,34118006,312018000,18454624-DS-16," bilaterally. XII: Tongue protrudes in midline. *Motor- Normal bulk and tone bilaterally. No abnormal mo" Missed entity,"(4083, 4087)",,tone,,56731001,,18454624-DS-16,"ue protrudes in midline. *Motor- Normal bulk and tone bilaterally. No abnormal movements, tremors. Stre" Missed entity,"(4104, 4122)",,abnormal movements,,225606002,,18454624-DS-16,"ne. *Motor- Normal bulk and tone bilaterally. No abnormal movements, tremors. Strength full power ___ throughout. No " "Correct entity, wrong SNOMED ID","(4124, 4131)","(4124, 4131)",tremors,tremors,26079004,30721006,18454624-DS-16,"bulk and tone bilaterally. No abnormal movements, tremors. Strength full power ___ throughout. No pronator " "Correct entity, wrong SNOMED ID","(4172, 4186)","(4172, 4186)",pronator drift,pronator drift,428334004,302514000,18454624-DS-16,", tremors. Strength full power ___ throughout. No pronator drift. *Sensation- Intact to light touch and vibrati" Wrong span,"(4192, 4224)","(4192, 4201)",Sensation- Intact to light touch,Sensation,299911004,276435006,18454624-DS-16,"full power ___ throughout. No pronator drift. *Sensation- Intact to light touch and vibration bilaterally. *Reflexes- 2+ througho" Missed entity,"(4229, 4238)",,vibration,,299935009,,18454624-DS-16,"r drift. *Sensation- Intact to light touch and vibration bilaterally. *Reflexes- 2+ throughout and equal b" "Correct entity, wrong SNOMED ID","(4253, 4261)","(4253, 4261)",Reflexes,Reflexes,106146005,102982003,18454624-DS-16,"Intact to light touch and vibration bilaterally. *Reflexes- 2+ throughout and equal b/l. *Coordination- Norm" "Correct entity, wrong SNOMED ID","(4293, 4305)","(4293, 4305)",Coordination,Coordination,298314008,302288005,18454624-DS-16,"terally. *Reflexes- 2+ throughout and equal b/l. *Coordination- Normal on finger-nose-finger, rapid alternating " Wrong span,"(4307, 4335)","(4317, 4335)",Normal on finger-nose-finger,finger-nose-finger,298324000,238455005,18454624-DS-16,"exes- 2+ throughout and equal b/l. *Coordination- Normal on finger-nose-finger, rapid alternating movements, heel to shin. Unste" Wrong span,"(4366, 4370)","(4366, 4378)",heel,heel to shin,76853006,723606006,18454624-DS-16," finger-nose-finger, rapid alternating movements, heel to shin. Unsteady gait; +Romberg, unable to tande" Wrong span,"(4374, 4378)","(4366, 4378)",shin,heel to shin,78234002,723606006,18454624-DS-16,"nose-finger, rapid alternating movements, heel to shin. Unsteady gait; +Romberg, unable to tandem gait, " "Correct entity, wrong SNOMED ID","(4380, 4393)","(4380, 4393)",Unsteady gait,Unsteady gait,22631008,78691002,18454624-DS-16,"inger, rapid alternating movements, heel to shin. Unsteady gait; +Romberg, unable to tandem gait, walk on toes, o" "Correct entity, wrong SNOMED ID","(4396, 4403)","(4396, 4403)",Romberg,Romberg,373676004,715487005,18454624-DS-16,"ernating movements, heel to shin. Unsteady gait; +Romberg, unable to tandem gait, walk on toes, or walk on " Missed entity,"(4415, 4426)",,tandem gait,,8461001,,18454624-DS-16," heel to shin. Unsteady gait; +Romberg, unable to tandem gait, walk on toes, or walk on heels. Pertinent Resu" Wrong span,"(4428, 4440)","(4428, 4432)",walk on toes,walk,250018006,282146009,18454624-DS-16,". Unsteady gait; +Romberg, unable to tandem gait, walk on toes, or walk on heels. Pertinent Results: ___ 01:55" "Correct entity, wrong SNOMED ID","(4453, 4458)","(4453, 4458)",heels,heels,76853006,21143006,18454624-DS-16,", unable to tandem gait, walk on toes, or walk on heels. Pertinent Results: ___ 01:55PM GLUCOSE-125* " "Correct entity, wrong SNOMED ID","(4495, 4502)","(4495, 4502)",GLUCOSE,GLUCOSE,33747003,72191006,18454624-DS-16,"walk on heels. Pertinent Results: ___ 01:55PM GLUCOSE-125* UREA N-9 CREAT-0.7 SODIUM-143 POTASSIUM-4.3" "Correct entity, wrong SNOMED ID","(4517, 4522)","(4517, 4522)",CREAT,CREAT,70901006,413856009,18454624-DS-16,"nent Results: ___ 01:55PM GLUCOSE-125* UREA N-9 CREAT-0.7 SODIUM-143 POTASSIUM-4.3 CHLORIDE-104 TOTAL " "Correct entity, wrong SNOMED ID","(4527, 4533)","(4527, 4533)",SODIUM,SODIUM,25197003,104934005,18454624-DS-16,"ts: ___ 01:55PM GLUCOSE-125* UREA N-9 CREAT-0.7 SODIUM-143 POTASSIUM-4.3 CHLORIDE-104 TOTAL CO2-26 ANIO" "Correct entity, wrong SNOMED ID","(4539, 4548)","(4539, 4548)",POTASSIUM,POTASSIUM,59573005,1149432009,18454624-DS-16,"5PM GLUCOSE-125* UREA N-9 CREAT-0.7 SODIUM-143 POTASSIUM-4.3 CHLORIDE-104 TOTAL CO2-26 ANION GAP-17 ___ 01" "Correct entity, wrong SNOMED ID","(4553, 4561)","(4553, 4561)",CHLORIDE,CHLORIDE,104589004,108447000,18454624-DS-16,"125* UREA N-9 CREAT-0.7 SODIUM-143 POTASSIUM-4.3 CHLORIDE-104 TOTAL CO2-26 ANION GAP-17 ___ 01:55PM WBC-1" "Correct entity, wrong SNOMED ID","(4579, 4588)","(4579, 4588)",ANION GAP,ANION GAP,25469001,237854004,18454624-DS-16,"DIUM-143 POTASSIUM-4.3 CHLORIDE-104 TOTAL CO2-26 ANION GAP-17 ___ 01:55PM WBC-10.9 RBC-4.81 HGB-14.6 HCT-4" "Correct entity, wrong SNOMED ID","(4606, 4609)","(4606, 4609)",WBC,WBC,767002,391558003,18454624-DS-16,"ORIDE-104 TOTAL CO2-26 ANION GAP-17 ___ 01:55PM WBC-10.9 RBC-4.81 HGB-14.6 HCT-43.9 MCV-91 MCH-30.4 " "Correct entity, wrong SNOMED ID","(4615, 4618)","(4615, 4618)",RBC,RBC,14089001,258759006,18454624-DS-16," TOTAL CO2-26 ANION GAP-17 ___ 01:55PM WBC-10.9 RBC-4.81 HGB-14.6 HCT-43.9 MCV-91 MCH-30.4 MCHC-33.4" "Correct entity, wrong SNOMED ID","(4624, 4627)","(4624, 4627)",HGB,HGB,441689006,104142005,18454624-DS-16,"2-26 ANION GAP-17 ___ 01:55PM WBC-10.9 RBC-4.81 HGB-14.6 HCT-43.9 MCV-91 MCH-30.4 MCHC-33.4 RDW-12.3" "Correct entity, wrong SNOMED ID","(4633, 4636)","(4633, 4636)",HCT,HCT,28317006,282660005,18454624-DS-16,"N GAP-17 ___ 01:55PM WBC-10.9 RBC-4.81 HGB-14.6 HCT-43.9 MCV-91 MCH-30.4 MCHC-33.4 RDW-12.3 ___ 01:5" Missed entity,"(4642, 4645)",,MCV,,104133003,,18454624-DS-16,"___ 01:55PM WBC-10.9 RBC-4.81 HGB-14.6 HCT-43.9 MCV-91 MCH-30.4 MCHC-33.4 RDW-12.3 ___ 01:55PM NEU" "Correct entity, wrong SNOMED ID","(4659, 4663)","(4659, 4663)",MCHC,MCHC,37254006,735147002,18454624-DS-16,"-10.9 RBC-4.81 HGB-14.6 HCT-43.9 MCV-91 MCH-30.4 MCHC-33.4 RDW-12.3 ___ 01:55PM NEUTS-60.0 ___ MONOS-" "Correct entity, wrong SNOMED ID","(4692, 4697)","(4692, 4697)",NEUTS,NEUTS,30630007,271035003,18454624-DS-16,"MCV-91 MCH-30.4 MCHC-33.4 RDW-12.3 ___ 01:55PM NEUTS-60.0 ___ MONOS-4.7 EOS-3.0 BASOS-1.4 ___ 01:55PM" "Correct entity, wrong SNOMED ID","(4707, 4712)","(4707, 4712)",MONOS,MONOS,67776007,462791000124108,18454624-DS-16,"4 MCHC-33.4 RDW-12.3 ___ 01:55PM NEUTS-60.0 ___ MONOS-4.7 EOS-3.0 BASOS-1.4 ___ 01:55PM PLT COUNT-29" "Correct entity, wrong SNOMED ID","(4717, 4720)","(4717, 4720)",EOS,EOS,71960002,67099000,18454624-DS-16,"4 RDW-12.3 ___ 01:55PM NEUTS-60.0 ___ MONOS-4.7 EOS-3.0 BASOS-1.4 ___ 01:55PM PLT COUNT-297 ___ 01" "Correct entity, wrong SNOMED ID","(4778, 4781)","(4778, 4781)",TSH,TSH,61167004,412520006,18454624-DS-16,"SOS-1.4 ___ 01:55PM PLT COUNT-297 ___ 01:55PM TSH-3.8 ___ 22:14PM URINE WBC 17, NEG Nitrites, Leu" Missed entity,"(4800, 4805)",,URINE,,307821001,,18454624-DS-16,"PLT COUNT-297 ___ 01:55PM TSH-3.8 ___ 22:14PM URINE WBC 17, NEG Nitrites, Leuks ___ 11:00AM ALT-11 " "Correct entity, wrong SNOMED ID","(4806, 4809)","(4806, 4809)",WBC,WBC,767002,391558003,18454624-DS-16,"UNT-297 ___ 01:55PM TSH-3.8 ___ 22:14PM URINE WBC 17, NEG Nitrites, Leuks ___ 11:00AM ALT-11 AST" "Correct entity, wrong SNOMED ID","(4848, 4851)","(4848, 4851)",ALT,ALT,34608000,56935002,18454624-DS-16," URINE WBC 17, NEG Nitrites, Leuks ___ 11:00AM ALT-11 AST-20 ALK PHOS-72 TotBili-0.5 ___ 11:00AM" "Correct entity, wrong SNOMED ID","(4856, 4859)","(4856, 4859)",AST,AST,45896001,85043005,18454624-DS-16,"WBC 17, NEG Nitrites, Leuks ___ 11:00AM ALT-11 AST-20 ALK PHOS-72 TotBili-0.5 ___ 11:00AM VITB1" "Correct entity, wrong SNOMED ID","(4868, 4872)","(4868, 4872)",PHOS,PHOS,104868000,168075002,18454624-DS-16,"Nitrites, Leuks ___ 11:00AM ALT-11 AST-20 ALK PHOS-72 TotBili-0.5 ___ 11:00AM VITB12-720 FOLATE-" "Correct entity, wrong SNOMED ID","(4878, 4885)","(4878, 4885)",TotBili,TotBili,359986008,19754005,18454624-DS-16,"Leuks ___ 11:00AM ALT-11 AST-20 ALK PHOS-72 TotBili-0.5 ___ 11:00AM VITB12-720 FOLATE- Greater TH1 " Missed entity,"(4972, 4983)",,Psychiatric,,75864003,,18454624-DS-16," Greater TH1 Brief Hospital Course: Legal: ___ Psychiatric: Patient presented in disorganized state, exhibit" "Correct entity, wrong SNOMED ID","(5050, 5066)","(5050, 5066)",pressured speech,pressured speech,53890003,43094000,18454624-DS-16,"ed in disorganized state, exhibiting symptoms of pressured speech, tangential behavior, elevated mood, SIB (slappe" "Correct entity, wrong SNOMED ID","(5068, 5087)","(5068, 5087)",tangential behavior,tangential behavior,74396008,370110004,18454624-DS-16," state, exhibiting symptoms of pressured speech, tangential behavior, elevated mood, SIB (slapped self), and hypersex" "Correct entity, wrong SNOMED ID","(5089, 5102)","(5089, 5102)",elevated mood,elevated mood,81548002,16681000202103,18454624-DS-16,"mptoms of pressured speech, tangential behavior, elevated mood, SIB (slapped self), and hypersexuality. Patient" "Correct entity, wrong SNOMED ID","(5104, 5107)","(5104, 5107)",SIB,SIB,248062006,31114009,18454624-DS-16,"sured speech, tangential behavior, elevated mood, SIB (slapped self), and hypersexuality. Patient also" Missed entity,"(5110, 5122)",,slapped self,,284758002,,18454624-DS-16,"speech, tangential behavior, elevated mood, SIB (slapped self), and hypersexuality. Patient also had notable c" "Correct entity, wrong SNOMED ID","(5129, 5143)","(5129, 5143)",hypersexuality,hypersexuality,73744004,118201000,18454624-DS-16,"behavior, elevated mood, SIB (slapped self), and hypersexuality. Patient also had notable cognitive deficits, pa" "Correct entity, wrong SNOMED ID","(5171, 5189)","(5171, 5189)",cognitive deficits,cognitive deficits,386806002,110352000,18454624-DS-16,"f), and hypersexuality. Patient also had notable cognitive deficits, particularly in memory (note patient has alread" "Correct entity, wrong SNOMED ID","(5207, 5213)","(5207, 5213)",memory,memory,106136008,386807006,18454624-DS-16," had notable cognitive deficits, particularly in memory (note patient has already had formal Neuro-Psych" Boundary error,"(5252, 5257)","(5252, 5258)",Neuro,Neuro-,310057003,281829005,18454624-DS-16,"y in memory (note patient has already had formal Neuro-Psych testing in ___ which showed gross executiv" Missed entity,"(5258, 5263)",,Psych,,24642003,,18454624-DS-16,"emory (note patient has already had formal Neuro-Psych testing in ___ which showed gross executive func" Missed entity,"(5299, 5330)",,executive functional impairment,,736317001,,18454624-DS-16,"al Neuro-Psych testing in ___ which showed gross executive functional impairment of unknown etiology). Patient evaluated medicall" "Correct entity, wrong SNOMED ID","(5362, 5371)","(5362, 5371)",evaluated,evaluated,386053000,39609006,18454624-DS-16,"ctional impairment of unknown etiology). Patient evaluated medically in the unit for other underlying organ" Missed entity,"(5514, 5525)",,medications,,18629005,,18454624-DS-16,"rganic explanation of symptoms. Upon admission medications were: Clonezepam 0.5 mg QHS, Lamotrigine 200 mg " Missed entity,"(5708, 5720)",,discontinued,,304540007,,18454624-DS-16,"g PO HS. We continued Lamotrigine 200 mg PO QHS, discontinued the trazadone and zolpidem tartarate and discont" Missed entity,"(5763, 5775)",,discontinued,,304540007,,18454624-DS-16,"ntinued the trazadone and zolpidem tartarate and discontinued venlafaxine via a gradual taper. We initiated an" Missed entity,"(5919, 5931)",,discontinued,,304540007,,18454624-DS-16,"eld steady at this dose. We initially tapered and discontinued Clonezepam but due to patient report nightly pan" "Correct entity, wrong SNOMED ID","(5978, 5991)","(5978, 5991)",panic attacks,panic attacks,225624000,231503000,18454624-DS-16,"ued Clonezepam but due to patient report nightly panic attacks we restarted Clonezepam 0.5 mg QHS, with good ef" Missed entity,"(5996, 6005)",,restarted,,182837001,,18454624-DS-16,"t due to patient report nightly panic attacks we restarted Clonezepam 0.5 mg QHS, with good effect and subse" Missed entity,"(6034, 6045)",,good effect,,78469002,,18454624-DS-16,"attacks we restarted Clonezepam 0.5 mg QHS, with good effect and subsequent dramatic improvement in sleep. W" "Correct entity, wrong SNOMED ID","(6071, 6082)","(6071, 6082)",improvement,improvement,268910001,142016009,18454624-DS-16,"mg QHS, with good effect and subsequent dramatic improvement in sleep. With medication adjustments and indivi" Missed entity,"(6099, 6109)",,medication,,18629005,,18454624-DS-16," subsequent dramatic improvement in sleep. With medication adjustments and individual, group, and milieu th" Missed entity,"(6149, 6164)",,"milieu therapy",,85614001,,18454624-DS-16,"medication adjustments and individual, group, and milieu therapy, the patient slowly and steadily improved. With a" "Correct entity, wrong SNOMED ID","(6198, 6206)","(6198, 6206)",improved,improved,268910001,251359002,18454624-DS-16," milieu therapy, the patient slowly and steadily improved. With a significant improvement in her degree of" Missed entity,"(6228, 6239)",,improvement,,268910001,,18454624-DS-16,"slowly and steadily improved. With a significant improvement in her degree of mood lability, organization, an" "Correct entity, wrong SNOMED ID","(6257, 6270)","(6257, 6270)",mood lability,mood lability,18963009,1344924009,18454624-DS-16," With a significant improvement in her degree of mood lability, organization, and degree of disinhibition. Her " "Correct entity, wrong SNOMED ID","(6273, 6285)","(6273, 6285)",organization,organization,21139007,716757008,18454624-DS-16,"cant improvement in her degree of mood lability, organization, and degree of disinhibition. Her insight into he" "Correct entity, wrong SNOMED ID","(6301, 6314)","(6301, 6314)",disinhibition,disinhibition,247973004,225533009,18454624-DS-16,"ee of mood lability, organization, and degree of disinhibition. Her insight into her condition and judgement al" Missed entity,"(6320, 6327)",,insight,,385337002,,18454624-DS-16,", organization, and degree of disinhibition. Her insight into her condition and judgement also significan" Missed entity,"(6352, 6361)",,judgement,,365837000,,18454624-DS-16,"isinhibition. Her insight into her condition and judgement also significantly improved. Her panic attacks r" "Correct entity, wrong SNOMED ID","(6381, 6389)","(6381, 6389)",improved,improved,268910001,251359002,18454624-DS-16,"o her condition and judgement also significantly improved. Her panic attacks resolved and her sleep also g" "Correct entity, wrong SNOMED ID","(6395, 6409)","(6395, 6409)","panic attacks","panic attacks",225624000,231503000,18454624-DS-16,"on and judgement also significantly improved. Her panic attacks resolved and her sleep also greatly improved. At" Missed entity,"(6410, 6418)",,resolved,,413322009,,18454624-DS-16,"t also significantly improved. Her panic attacks resolved and her sleep also greatly improved. At no poin" "Correct entity, wrong SNOMED ID","(6446, 6454)","(6446, 6454)",improved,improved,268910001,251359002,18454624-DS-16,"anic attacks resolved and her sleep also greatly improved. At no point during her hospitalization did she" "Correct entity, wrong SNOMED ID","(6517, 6535)","(6517, 6535)","suicidal thoughts","suicidal thoughts",6471006,134420004,18454624-DS-16,"nt during her hospitalization did she demonstrate suicidal thoughts or self injury. She was always cooperative and he" "Correct entity, wrong SNOMED ID","(6539, 6550)","(6539, 6550)",self injury,self injury,248062006,735642007,18454624-DS-16,"ization did she demonstrate suicidal thoughts or self injury. She was always cooperative and help seeking. " "Correct entity, wrong SNOMED ID","(6567, 6578)","(6567, 6578)",cooperative,cooperative,427867005,472391000124101,18454624-DS-16,"suicidal thoughts or self injury. She was always cooperative and help seeking. By the time of discharge the" "Correct entity, wrong SNOMED ID","(6645, 6650)","(6645, 6650)",mania,mania,231494001,458501000124102,18454624-DS-16,"g. By the time of discharge the patient's acute mania resolved and appeared close to her baseline. She" Missed entity,"(6651, 6659)",,resolved,,413322009,,18454624-DS-16,"y the time of discharge the patient's acute mania resolved and appeared close to her baseline. She particip" "Correct entity, wrong SNOMED ID","(6687, 6695)","(6687, 6695)",baseline,baseline,128974000,161033005,18454624-DS-16,"s acute mania resolved and appeared close to her baseline. She participated appropriately with her peers a" Wrong span,"(6767, 6780)","(6767, 6774)",able to dress,able to,284973007,371153006,18454624-DS-16,"ropriately with her peers and in groups. She is able to dress herself, groom, and take regular showers. Her ga" Missed entity,"(6815, 6822)",,showers,,284792004,,18454624-DS-16,"s able to dress herself, groom, and take regular showers. Her gait has improved dramatically, at times ne" "Correct entity, wrong SNOMED ID","(6828, 6832)","(6828, 6832)",gait,gait,8117002,22325002,18454624-DS-16,"ss herself, groom, and take regular showers. Her gait has improved dramatically, at times needed remin" "Correct entity, wrong SNOMED ID","(6837, 6845)","(6837, 6845)",improved,improved,268910001,251359002,18454624-DS-16,"f, groom, and take regular showers. Her gait has improved dramatically, at times needed reminders to use h" Missed entity,"(6898, 6902)",,cane,,443320005,,18454624-DS-16,"ramatically, at times needed reminders to use her cane early on in admission. By time of discharge, she" "Correct entity, wrong SNOMED ID","(7036, 7047)","(7036, 7047)",orthostatic,orthostatic,10904000,425058005,18454624-DS-16,"ss and care when changing positions. She was not orthostatic by frequent vital sign checks. The patient exhibi" Wrong span,"(7060, 7070)","(7060, 7077)",vital sign,vital sign checks,118227000,432371000124100,18454624-DS-16,"g positions. She was not orthostatic by frequent vital sign checks. The patient exhibited no self-injurious " Missed entity,"(7105, 7128)",,self-injurious behavior,,248062006,,18454624-DS-16,"uent vital sign checks. The patient exhibited no self-injurious behavior while hospitalized nor did she voice any intent " Missed entity,"(7171, 7177)",,intent,,304594002,,18454624-DS-16,"ehavior while hospitalized nor did she voice any intent to harm herself during this hospitalization. Ms. " Missed entity,"(7181, 7193)",,harm herself,,248062006,,18454624-DS-16,"ile hospitalized nor did she voice any intent to harm herself during this hospitalization. Ms. ___ is stable t" Missed entity,"(7235, 7241)",,stable,,359746009,,18454624-DS-16," herself during this hospitalization. Ms. ___ is stable to go home to a supervised environment that ___ " "Correct entity, wrong SNOMED ID","(7461, 7473)","(7461, 7473)",Neurological,Neurological,84728005,133893008,18454624-DS-16,"by her outpatient providers. Medical: #) Neurological workup: CT Head ordered by team showed enlarged " Missed entity,"(7474, 7480)",,workup,,386053000,,18454624-DS-16,"ient providers. Medical: #) Neurological workup: CT Head ordered by team showed enlarged ventric" "Correct entity, wrong SNOMED ID","(7482, 7489)","(7482, 7489)",CT Head,CT Head,303653007,303654001,18454624-DS-16,"viders. Medical: #) Neurological workup: CT Head ordered by team showed enlarged ventricles and e" Wrong span,"(7523, 7533)","(7513, 7533)",ventricles,"enlarged ventricles",35764002,47032000,18454624-DS-16," workup: CT Head ordered by team showed enlarged ventricles and evidence of hypodensities indicating some sma" "Correct entity, wrong SNOMED ID","(7580, 7593)","(7580, 7593)","small vessel","small vessel",27915009,340264000,18454624-DS-16,"les and evidence of hypodensities indicating some small vessel ischemic disease but no gross abnormality. Patien" Wrong span,"(7615, 7635)","(7624, 7635)",no gross abnormality,abnormality,281900007,22325002,18454624-DS-16,"ndicating some small vessel ischemic disease but no gross abnormality. Patient had laboratories (CBC, electrolytes) wh" Missed entity,"(7650, 7662)",,laboratories,,15220000,,18454624-DS-16,"ic disease but no gross abnormality. Patient had laboratories (CBC, electrolytes) which were within normal lim" "Correct entity, wrong SNOMED ID","(7669, 7681)","(7669, 7681)",electrolytes,electrolytes,79301008,14830009,18454624-DS-16,"ross abnormality. Patient had laboratories (CBC, electrolytes) which were within normal limits. UA showed +WBC" Missed entity,"(7701, 7707)",,normal,,281900007,,18454624-DS-16,"aboratories (CBC, electrolytes) which were within normal limits. UA showed +WBC but no nitrates. #) Nutr" "Correct entity, wrong SNOMED ID","(7717, 7719)","(7717, 7719)",UA,UA,27171005,257999003,18454624-DS-16,", electrolytes) which were within normal limits. UA showed +WBC but no nitrates. #) Nutrition/Weight" "Correct entity, wrong SNOMED ID","(7728, 7731)","(7728, 7731)",WBC,WBC,767002,391558003,18454624-DS-16,"tes) which were within normal limits. UA showed +WBC but no nitrates. #) Nutrition/Weight Loss: Nutri" "Correct entity, wrong SNOMED ID","(7753, 7762)","(7753, 7762)",Nutrition,Nutrition,300893006,2492009,18454624-DS-16,"rmal limits. UA showed +WBC but no nitrates. #) Nutrition/Weight Loss: Nutrition consult revealed patient i" "Correct entity, wrong SNOMED ID","(7763, 7774)","(7763, 7774)",Weight Loss,Weight Loss,89362005,267024001,18454624-DS-16,"ts. UA showed +WBC but no nitrates. #) Nutrition/Weight Loss: Nutrition consult revealed patient is low nutri" Wrong span,"(7819, 7828)","(7815, 7833)",nutrition,low nutrition risk,300893006,129845004,18454624-DS-16," Loss: Nutrition consult revealed patient is low nutrition risk. Diet supplemented with ensure in unit. Pat" Missed entity,"(7835, 7839)",,Diet,,41829006,,18454624-DS-16," consult revealed patient is low nutrition risk. Diet supplemented with ensure in unit. Patient to fol" Missed entity,"(7858, 7864)",,ensure,,709542007,,18454624-DS-16,"nt is low nutrition risk. Diet supplemented with ensure in unit. Patient to follow up with PCP for furth" "Correct entity, wrong SNOMED ID","(7901, 7904)","(7901, 7904)",PCP,PCP,737470001,258735001,18454624-DS-16,"d with ensure in unit. Patient to follow up with PCP for further evaluation for medical causes of wei" "Correct entity, wrong SNOMED ID","(7917, 7927)","(7917, 7927)",evaluation,evaluation,386053000,39609006,18454624-DS-16," unit. Patient to follow up with PCP for further evaluation for medical causes of weight loss. Patient ate a" "Correct entity, wrong SNOMED ID","(7951, 7962)","(7951, 7962)",weight loss,weight loss,89362005,267024001,18454624-DS-16,"PCP for further evaluation for medical causes of weight loss. Patient ate all of her meals during her hospita" "Correct entity, wrong SNOMED ID","(8046, 8055)","(8046, 8055)",Hair loss,Hair loss,278040002,247541001,18454624-DS-16,"ing her hospitalization without difficulty. #) Hair loss: Patient reported hair loss over the past ~6 mon" "Correct entity, wrong SNOMED ID","(8074, 8083)","(8074, 8083)",hair loss,hair loss,278040002,247541001,18454624-DS-16,"hout difficulty. #) Hair loss: Patient reported hair loss over the past ~6 months. Initial ___ including C" Missed entity,"(8137, 8140)",,BMP,,866146005,,18454624-DS-16,"r the past ~6 months. Initial ___ including CBC, BMP, TSH, B12, Folate was negative for a revealing e" Missed entity,"(8142, 8145)",,TSH,,61167004,,18454624-DS-16," past ~6 months. Initial ___ including CBC, BMP, TSH, B12, Folate was negative for a revealing etiolo" Missed entity,"(8164, 8172)",,negative,,281900007,,18454624-DS-16,"ial ___ including CBC, BMP, TSH, B12, Folate was negative for a revealing etiology. The patient showed no " "Correct entity, wrong SNOMED ID","(8218, 8230)","(8218, 8230)","no evidence","no evidence",281900007,41647002,18454624-DS-16,"tive for a revealing etiology. The patient showed no evidence of self inflicted hair loss during hospitalizatio" Wrong span,"(8249, 8258)","(8234, 8258)",hair loss,self inflicted hair loss,278040002,307092002,18454624-DS-16,"The patient showed no evidence of self inflicted hair loss during hospitalization. Patient instructed to fo" "Correct entity, wrong SNOMED ID","(8353, 8362)","(8353, 8362)",hair loss,hair loss,278040002,247541001,18454624-DS-16,"to follow-up with her PCP for further ___ of her hair loss. #) Fall risk: ___ assessment determined patien" "Correct entity, wrong SNOMED ID","(8369, 8378)","(8369, 8378)",Fall risk,Fall risk,129839007,711002000,18454624-DS-16,"h her PCP for further ___ of her hair loss. #) Fall risk: ___ assessment determined patient is a low fall " Missed entity,"(8384, 8394)",,assessment,,386053000,,18454624-DS-16,"urther ___ of her hair loss. #) Fall risk: ___ assessment determined patient is a low fall risk but encour" "Correct entity, wrong SNOMED ID","(8423, 8433)","(8423, 8433)","fall risk","fall risk",129839007,711002000,18454624-DS-16," risk: ___ assessment determined patient is a low fall risk but encouraged patient to use cane at all times f" Missed entity,"(8464, 8468)",,cane,,443320005,,18454624-DS-16,"is a low fall risk but encouraged patient to use cane at all times for safety. Patient was able to fol" "Correct entity, wrong SNOMED ID","(8589, 8600)","(8589, 8600)",Orthostasis,Orthostasis,10904000,466078009,18454624-DS-16,"ions well by the end of her hospitalization #) Orthostasis: Patient initially experienced orthostasis early " "Correct entity, wrong SNOMED ID","(8632, 8643)","(8632, 8643)",orthostasis,orthostasis,10904000,466078009,18454624-DS-16,"n #) Orthostasis: Patient initially experienced orthostasis early on during hospitalization when her seroque" Missed entity,"(8721, 8729)",,resolved,,413322009,,18454624-DS-16,"ation when her seroquel was being titrated, this resolved and she tolerated 150mg seroquel well by time of " Wrong span,"(8798, 8804)","(8798, 8817)",Sacral,Sacral Folliculitis,46452000,402921005,18454624-DS-16,"150mg seroquel well by time of dischagre. . #) Sacral Folliculitis: Evaluated by wound nurse in hospita" Wrong span,"(8805, 8817)","(8798, 8817)",Folliculitis,Sacral Folliculitis,13600006,402921005,18454624-DS-16,"eroquel well by time of dischagre. . #) Sacral Folliculitis: Evaluated by wound nurse in hospital. Dressing " Missed entity,"(8819, 8828)",,Evaluated,,386053000,,18454624-DS-16,"y time of dischagre. . #) Sacral Folliculitis: Evaluated by wound nurse in hospital. Dressing placed. Per" Wrong span,"(8858, 8866)","(8858, 8873)",Dressing,Dressing placed,3895009,58828004,18454624-DS-16,"liculitis: Evaluated by wound nurse in hospital. Dressing placed. Per wound nurse evaluation, does not appe" "Correct entity, wrong SNOMED ID","(8891, 8901)","(8891, 8901)",evaluation,evaluation,386053000,39609006,18454624-DS-16,"se in hospital. Dressing placed. Per wound nurse evaluation, does not appear to be related to picking behavi" Missed entity,"(8945, 8953)",,behavior,,844005,,18454624-DS-16,"uation, does not appear to be related to picking behavior or prolonged sitting. The patient remained appro" Missed entity,"(8957, 8974)",,prolonged sitting,,272547001,,18454624-DS-16," not appear to be related to picking behavior or prolonged sitting. The patient remained appropriately mobile and a" "Correct entity, wrong SNOMED ID","(9105, 9107)","(9105, 9107)",UA,UA,27171005,257999003,18454624-DS-16,"on. Patient to follow-up with PCP. #) Borderline UA: Urine culture was likely contaminated but posit" Missed entity,"(9152, 9175)",,positive for gardinella,,419468003,,18454624-DS-16,"ne UA: Urine culture was likely contaminated but positive for gardinella. Patient denied any symptoms of vaginal discharg" "Correct entity, wrong SNOMED ID","(9208, 9226)","(9208, 9226)","vaginal discharge","vaginal discharge",271939006,289567003,18454624-DS-16,"ve for gardinella. Patient denied any symptoms of vaginal discharge or pain. No symptoms of dysuria. As a result, the" "Correct entity, wrong SNOMED ID","(9230, 9234)","(9230, 9234)",pain,pain,22253000,102570003,18454624-DS-16,"ient denied any symptoms of vaginal discharge or pain. No symptoms of dysuria. As a result, there was " "Correct entity, wrong SNOMED ID","(9251, 9258)","(9251, 9258)",dysuria,dysuria,49650001,16844001,18454624-DS-16,"oms of vaginal discharge or pain. No symptoms of dysuria. As a result, there was no further follow-up or " Missed entity,"(9790, 9796)",,Milieu,,85614001,,18454624-DS-16,"ly accepting her transfer back to them. Groups/Milieu: Patient enjoyed attending groups, particularly " "Correct entity, wrong SNOMED ID","(9846, 9859)","(9846, 9859)",music therapy,music therapy,21065008,305595009,18454624-DS-16,": Patient enjoyed attending groups, particularly music therapy. Adjusted well to milieu. Risk Assessment: At n" Missed entity,"(9878, 9884)",,milieu,,85614001,,18454624-DS-16,"ps, particularly music therapy. Adjusted well to milieu. Risk Assessment: At no point during her hospit" Missed entity,"(9888, 9903)",,Risk Assessment,,225338004,,18454624-DS-16,"ularly music therapy. Adjusted well to milieu. Risk Assessment: At no point during her hospitalization was self " "Correct entity, wrong SNOMED ID","(9948, 9960)","(9948, 9960)","self injury","self injury",248062006,418420002,18454624-DS-16,"sment: At no point during her hospitalization was self injury or suicidality an active clinical concern. The pa" "Correct entity, wrong SNOMED ID","(9964, 9975)","(9964, 9975)",suicidality,suicidality,425104003,429451000124109,18454624-DS-16,"nt during her hospitalization was self injury or suicidality an active clinical concern. The patient always e" "Correct entity, wrong SNOMED ID","(10096, 10112)","(10096, 10112)",bipolar disorder,bipolar disorder,13746004,13313007,18454624-DS-16,"or her life and her family. Given her history of bipolar disorder, there is some chronic risk through time of suic" "Correct entity, wrong SNOMED ID","(10158, 10169)","(10158, 10169)",suicidality,suicidality,425104003,429451000124109,18454624-DS-16,"rder, there is some chronic risk through time of suicidality or self injury. However this risk is reduced now" Wrong span,"(10178, 10184)","(10173, 10184)",injury,self injury,417163006,418420002,18454624-DS-16,"chronic risk through time of suicidality or self injury. However this risk is reduced now that her mood " "Correct entity, wrong SNOMED ID","(10229, 10233)","(10229, 10233)",mood,mood,18963009,709488003,18454624-DS-16,"njury. However this risk is reduced now that her mood has been stabilized and she continues to have on" Wrong span,"(10380, 10389)","(10380, 10384)",fall risk,fall,129839007,298344006,18454624-DS-16,"ital. Currently the patient is a low to moderate fall risk due to her history of orthostasis and recent fal" "Correct entity, wrong SNOMED ID","(10413, 10424)","(10413, 10424)",orthostasis,orthostasis,10904000,466078009,18454624-DS-16," low to moderate fall risk due to her history of orthostasis and recent falls prior to her hospitalization, h" "Correct entity, wrong SNOMED ID","(10436, 10441)","(10436, 10441)",falls,falls,161898004,279992002,18454624-DS-16,"isk due to her history of orthostasis and recent falls prior to her hospitalization, however she is cur" "Correct entity, wrong SNOMED ID","(10499, 10509)","(10499, 10509)",ambulating,ambulating,160680006,722370002,18454624-DS-16,"o her hospitalization, however she is currently ambulating well with a w cane and is conscious of need to t" Missed entity,"(10525, 10529)",,cane,,443320005,,18454624-DS-16,"wever she is currently ambulating well with a w cane and is conscious of need to take her time in stan" Missed entity,"(10575, 10583)",,standing,,10904000,,18454624-DS-16,"cane and is conscious of need to take her time in standing up and adjust from dizziness. She demonstated a " "Correct entity, wrong SNOMED ID","(10604, 10613)","(10604, 10613)",dizziness,dizziness,404640003,1141711004,18454624-DS-16," to take her time in standing up and adjust from dizziness. She demonstated a good awareness of this throug" Missed entity,"(10710, 10722)",,"no evidence",,281900007,,18454624-DS-16,"ough out her hospitalization. Currently, there is no evidence of inability to care for herself in her current " "Correct entity, wrong SNOMED ID","(12208, 12234)","(12208, 12234)",Bipolar Affective Disorder,Bipolar Affective Disorder,13746004,191636007,18454624-DS-16,"ended Care Facility: ___ Discharge Diagnosis: Bipolar Affective Disorder; Cognitive disorder NOS Discharge Condition: V" "Correct entity, wrong SNOMED ID","(12236, 12254)","(12236, 12254)",Cognitive disorder,Cognitive disorder,443265004,386805003,18454624-DS-16," Discharge Diagnosis: Bipolar Affective Disorder; Cognitive disorder NOS Discharge Condition: VS: T 98.2, BP 147/77" "Correct entity, wrong SNOMED ID","(12283, 12285)","(12283, 12285)",VS,VS,118227000,313611000,18454624-DS-16,"r; Cognitive disorder NOS Discharge Condition: VS: T 98.2, BP 147/77, HR 93, RR 16, O2 SAT 98% MSE" Missed entity,"(12295, 12297)",,BP,,392570002,,18454624-DS-16," disorder NOS Discharge Condition: VS: T 98.2, BP 147/77, HR 93, RR 16, O2 SAT 98% MSE: Appearance" "Correct entity, wrong SNOMED ID","(12306, 12308)","(12306, 12308)",HR,HR,301113001,258702006,18454624-DS-16,"OS Discharge Condition: VS: T 98.2, BP 147/77, HR 93, RR 16, O2 SAT 98% MSE: Appearance: Thin cauc" "Correct entity, wrong SNOMED ID","(12313, 12315)","(12313, 12315)",RR,RR,271636001,229040007,18454624-DS-16,"ischarge Condition: VS: T 98.2, BP 147/77, HR 93, RR 16, O2 SAT 98% MSE: Appearance: Thin caucasian f" "Correct entity, wrong SNOMED ID","(12320, 12326)","(12320, 12326)",O2 SAT,O2 SAT,104847001,103228002,18454624-DS-16,"e Condition: VS: T 98.2, BP 147/77, HR 93, RR 16, O2 SAT 98% MSE: Appearance: Thin caucasian female appea" Missed entity,"(12337, 12347)",,Appearance,,301305006,,18454624-DS-16,"T 98.2, BP 147/77, HR 93, RR 16, O2 SAT 98% MSE: Appearance: Thin caucasian female appearing approximately st" Missed entity,"(12349, 12353)",,Thin,,61294007,,18454624-DS-16,"47/77, HR 93, RR 16, O2 SAT 98% MSE: Appearance: Thin caucasian female appearing approximately stated a" Wrong span,"(12407, 12422)","(12407, 12414)",sitting upright,sitting,249862003,282969008,18454624-DS-16,"casian female appearing approximately stated age, sitting upright in chair. Behavior/motor: Cooperative, good eye c" Missed entity,"(12433, 12441)",,Behavior,,844005,,18454624-DS-16,"proximately stated age, sitting upright in chair. Behavior/motor: Cooperative, good eye contact. No psychomo" Missed entity,"(12442, 12447)",,motor,,34118006,,18454624-DS-16,"ly stated age, sitting upright in chair. Behavior/motor: Cooperative, good eye contact. No psychomotor re" "Correct entity, wrong SNOMED ID","(12449, 12460)","(12449, 12460)",Cooperative,Cooperative,427867005,472391000124101,18454624-DS-16,"ed age, sitting upright in chair. Behavior/motor: Cooperative, good eye contact. No psychomotor retardation or " "Correct entity, wrong SNOMED ID","(12483, 12506)","(12483, 12506)","psychomotor retardation","psychomotor retardation",1144814003,392731005,18454624-DS-16,"Behavior/motor: Cooperative, good eye contact. No psychomotor retardation or agitation. Speech: Normal rate, normal rhyth" "Correct entity, wrong SNOMED ID","(12510, 12519)","(12510, 12519)",agitation,agitation,24199005,16997008,18454624-DS-16,", good eye contact. No psychomotor retardation or agitation. Speech: Normal rate, normal rhythm, normal vol" "Correct entity, wrong SNOMED ID","(12523, 12529)","(12523, 12529)",Speech,Speech,106132005,311645001,18454624-DS-16,"ntact. No psychomotor retardation or agitation. Speech: Normal rate, normal rhythm, normal volume. Mood:" "Correct entity, wrong SNOMED ID","(12587, 12593)","(12587, 12593)",Affect,Affect,134417007,80608005,18454624-DS-16," rate, normal rhythm, normal volume. Mood: 'Good' Affect: Full range. Euthymic. Laughs appropriately. Thou" "Correct entity, wrong SNOMED ID","(12607, 12615)","(12607, 12615)",Euthymic,Euthymic,82248001,54823002,18454624-DS-16,", normal volume. Mood: 'Good' Affect: Full range. Euthymic. Laughs appropriately. Thought Process: mostly li" Wrong span,"(12639, 12654)","(12639, 12646)",Thought Process,Thought,365252004,365252004,18454624-DS-16,"fect: Full range. Euthymic. Laughs appropriately. Thought Process: mostly linear, at times tangential. Thought Cont" Missed entity,"(12692, 12707)",,Thought Content,,83507006,,18454624-DS-16,"ught Process: mostly linear, at times tangential. Thought Content: Appropriately concerned with regard to where sh" Missed entity,"(12841, 12844)",,AVH,,247730001,,18454624-DS-16,"e about coping with person's she doesn't like. No AVH; no SI. Safety: does not voice any concerns Pe" Missed entity,"(12849, 12851)",,SI,,6471006,,18454624-DS-16,"coping with person's she doesn't like. No AVH; no SI. Safety: does not voice any concerns Perceptio" Missed entity,"(12892, 12903)",,Perceptions,,247699008,,18454624-DS-16,"VH; no SI. Safety: does not voice any concerns Perceptions: No AVH Insight: Fair Judgement: Fair Level of " Missed entity,"(12908, 12911)",,AVH,,247730001,,18454624-DS-16,"fety: does not voice any concerns Perceptions: No AVH Insight: Fair Judgement: Fair Level of Consciou" Missed entity,"(12912, 12919)",,Insight,,385337002,,18454624-DS-16,": does not voice any concerns Perceptions: No AVH Insight: Fair Judgement: Fair Level of Consciousness: A" Missed entity,"(12926, 12935)",,Judgement,,365837000,,18454624-DS-16,"ce any concerns Perceptions: No AVH Insight: Fair Judgement: Fair Level of Consciousness: Alert and interac" "Correct entity, wrong SNOMED ID","(12944, 12966)","(12944, 12966)",Level of Consciousness,Level of Consciousness,444714004,443371007,18454624-DS-16,"rceptions: No AVH Insight: Fair Judgement: Fair Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(12968, 12973)","(12968, 12973)",Alert,Alert,248234008,409787004,18454624-DS-16,"t: Fair Judgement: Fair Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - re" "Correct entity, wrong SNOMED ID","(12978, 12989)","(12978, 12989)",interactive,interactive,288577006,10301000202103,18454624-DS-16,"dgement: Fair Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistanc" "Correct entity, wrong SNOMED ID","(13008, 13047)","(13008, 13047)",Ambulatory - requires assistance or aid,Ambulatory - requires assistance or aid,365112008,165252001,18454624-DS-16,"iousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: -Pl" Missed entity,"(13049, 13055)",,walker,,165255004,,18454624-DS-16," Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: -Please fol" Missed entity,"(13060, 13064)",,cane,,443320005,,18454624-DS-16,"bulatory - requires assistance or aid (walker or cane). Discharge Instructions: -Please follow up wi" Missed entity,"(13218, 13242)",,continue all medications,,306806004,,18454624-DS-16,"discharge paperwork to your appointments. -Please continue all medications as directed. -Please avoid abusing alcohol and an" "Correct entity, wrong SNOMED ID","(13270, 13285)","(13270, 13285)",abusing alcohol,abusing alcohol,15167005,268645007,18454624-DS-16,"ntinue all medications as directed. -Please avoid abusing alcohol and any drugs--whether prescription drugs or ill" Missed entity,"(13294, 13299)",,drugs,,26416006,,18454624-DS-16,"s directed. -Please avoid abusing alcohol and any drugs--whether prescription drugs or illegal drugs--as" Wrong span,"(13310, 13322)","(13310, 13328)",prescription,prescription drugs,16076005,591301000124101,18454624-DS-16,"ase avoid abusing alcohol and any drugs--whether prescription drugs or illegal drugs--as this can further worse" Missed entity,"(13332, 13345)",,illegal drugs,,26416006,,18454624-DS-16,"hol and any drugs--whether prescription drugs or illegal drugs--as this can further worsen your medical and psy" "Correct entity, wrong SNOMED ID","(13392, 13413)","(13392, 13413)",psychiatric illnesses,psychiatric illnesses,74732009,160324006,18454624-DS-16,"ugs--as this can further worsen your medical and psychiatric illnesses. -Please contact your outpatient psychiatrist or " Missed entity,"(13447, 13459)",,psychiatrist,,88848003,,18454624-DS-16,"iatric illnesses. -Please contact your outpatient psychiatrist or other providers if you have any concerns. -Pl" Missed entity,"(13545, 13554)",,emergency,,182813001,,18454624-DS-16," concerns. -Please call ___ or go to your nearest emergency room if you feel unsafe in any way and are unabl" False positive,,"(698, 706)",,relieved,,162483007,18570237-DS-10,"ric, sharp, ___ pain, radiating to her back that relieved with food. She also noted significant belching. " False positive,,"(1503, 1507)",,food,,311918000,18570237-DS-10,"t few days. These typically were precipitated by food and relieved with Vicodin. On ___, her pain was " False positive,,"(1893, 1899)",,lipase,,104988000,18570237-DS-10,".1, ALT 61, AST 97, Alk Phos 97, total bili 0.4, lipase 53, and a RUQ ultrasound that revealed a 10mm com" False positive,,"(2427, 2435)",,negative,,268375009,18570237-DS-10,"her systems reviewed in detail and all otherwise negative. Past Medical History: - tonsillectomy at age" False positive,,"(2500, 2522)",,motor vehicle accident,,418399005,18570237-DS-10,"al History: - tonsillectomy at age ___ - severe motor vehicle accident in ___ with a concussion and hospitalization - " False positive,,"(2537, 2547)",,concussion,,110030002,18570237-DS-10,"__ - severe motor vehicle accident in ___ with a concussion and hospitalization - resection of a pilonidal " False positive,,"(4034, 4040)",,SODIUM,,104934005,18570237-DS-10,"- ___ 11:45AM GLUCOSE-108* UREA N-18 CREAT-0.6 SODIUM-144 POTASSIUM-4.3 CHLORIDE-107 TOTAL CO2-25 ANION" False positive,,"(4203, 4208)",,NEUTS,,271035003,18570237-DS-10,"T BILI-0.4 LIPASE-53 - ___ 11:45AM WBC-11.1* (NEUTS-86.2* LYMPHS-11.0* MONOS-1.7* EOS-0.7 BASOS-0.4)" False positive,,"(4229, 4234)",,MONOS,,462791000124108,18570237-DS-10,"__ 11:45AM WBC-11.1* (NEUTS-86.2* LYMPHS-11.0* MONOS-1.7* EOS-0.7 BASOS-0.4) RBC-3.85* HGB-12.2 HCT-36" False positive,,"(4295, 4298)",,MCH,,54706004,18570237-DS-10,".7 BASOS-0.4) RBC-3.85* HGB-12.2 HCT-36.1 MCV-94 MCH-31.6 MCHC-33.7 RDW-13.9 PLT COUNT-287 ___ 08:20AM" False positive,,"(4564, 4576)",,sinus rhythm,,64730000,18570237-DS-10,"-75 TotBili-0.4 ___ 08:20AM BLOOD Lipase-34 ECG: sinus rhythm at 52 with normal axis and intervals. She has no" False positive,,"(5202, 5208)",,normal,,840673007,18570237-DS-10,"ary to overlying bowel gas. The pancreas appears normal; however, evaluation is limited secondary to ove" False positive,,"(6260, 6269)",,occlusion,,63739005,18570237-DS-10,"cted successfully using a balloon catheter Final occlusion cholangiogram did not reveal any further filling " False positive,,"(6850, 6858)",,worsened,,271299001,18570237-DS-10,"ent fevers or nausea vomiting. Warning signs of worsened pain, pain lasting more than 2 hours or fevers o" False positive,,"(7143, 7151)",,evaluate,,39609006,18570237-DS-10,"d outpt f/u with Dr. ___ days after discharge to evaluate for cholecystectomy which she will likely require" Missed entity,"(207, 234)",,No Known Allergies to Drugs,,609398007,,18570237-DS-10,"MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending: ___. Chief Complaint: PCP: Dr. ___" "Correct entity, wrong SNOMED ID","(272, 275)","(272, 275)",PCP,PCP,737470001,258731005,18570237-DS-10,"ies to Drugs Attending: ___. Chief Complaint: PCP: Dr. ___ (___) CC: ___ pain Major Surgical or " "Correct entity, wrong SNOMED ID","(300, 304)","(300, 304)",pain,pain,22253000,102570003,18570237-DS-10,"_. Chief Complaint: PCP: Dr. ___ (___) CC: ___ pain Major Surgical or Invasive Procedure: ERCP on _" "Correct entity, wrong SNOMED ID","(345, 349)","(345, 349)",ERCP,ERCP,386718000,712470002,18570237-DS-10," ___ pain Major Surgical or Invasive Procedure: ERCP on ___ History of Present Illness: Ms. ___ is " Missed entity,"(474, 476)",,ED,,182813001,,18570237-DS-10,"icant past medical history. She presented to the ED today for intermittent epigastric pain since ___" "Correct entity, wrong SNOMED ID","(501, 516)","(501, 516)",epigastric pain,epigastric pain,79922009,21005005,18570237-DS-10,". She presented to the ED today for intermittent epigastric pain since ___. She first noted pain while at work (s" "Correct entity, wrong SNOMED ID","(545, 549)","(545, 549)",pain,pain,22253000,102570003,18570237-DS-10,"tent epigastric pain since ___. She first noted pain while at work (she works in the ___ lab) on ___ " "Correct entity, wrong SNOMED ID","(630, 640)","(630, 640)",substernal,substernal,33547000,204811001,18570237-DS-10,"e ___ lab) on ___ (___). She specifically noted substernal/epigastric, sharp, ___ pain, radiating to her bac" "Correct entity, wrong SNOMED ID","(641, 651)","(641, 651)",epigastric,epigastric,79922009,7722005,18570237-DS-10," on ___ (___). She specifically noted substernal/epigastric, sharp, ___ pain, radiating to her back that rel" "Correct entity, wrong SNOMED ID","(653, 658)","(653, 658)",sharp,sharp,8708008,465145007,18570237-DS-10,"). She specifically noted substernal/epigastric, sharp, ___ pain, radiating to her back that relieved w" "Correct entity, wrong SNOMED ID","(664, 668)","(664, 668)",pain,pain,22253000,102570003,18570237-DS-10,"ifically noted substernal/epigastric, sharp, ___ pain, radiating to her back that relieved with food. " Wrong span,"(670, 679)","(670, 691)",radiating,radiating to her back,9972008,427475007,18570237-DS-10,"ly noted substernal/epigastric, sharp, ___ pain, radiating to her back that relieved with food. She also no" Wrong span,"(687, 691)","(670, 691)",back,radiating to her back,77568009,427475007,18570237-DS-10,"nal/epigastric, sharp, ___ pain, radiating to her back that relieved with food. She also noted signific" "Correct entity, wrong SNOMED ID","(745, 753)","(745, 753)",belching,belching,271834000,162077000,18570237-DS-10,"at relieved with food. She also noted significant belching. She had no fevers, chills, nausea, vomitting, o" "Correct entity, wrong SNOMED ID","(767, 773)","(767, 773)",fevers,fevers,386661006,248444008,18570237-DS-10," She also noted significant belching. She had no fevers, chills, nausea, vomitting, or change in bowel m" "Correct entity, wrong SNOMED ID","(775, 781)","(775, 781)",chills,chills,43724002,274640006,18570237-DS-10,"o noted significant belching. She had no fevers, chills, nausea, vomitting, or change in bowel movements" Wrong span,"(783, 789)","(783, 800)",nausea,"nausea, vomitting",422587007,33841007,18570237-DS-10,"significant belching. She had no fevers, chills, nausea, vomitting, or change in bowel movements. The a" Wrong span,"(791, 800)","(783, 800)",vomitting,"nausea, vomitting",422400008,33841007,18570237-DS-10,"ant belching. She had no fevers, chills, nausea, vomitting, or change in bowel movements. The above sympto" "Correct entity, wrong SNOMED ID","(805, 831)","(805, 831)","change in bowel movements","change in bowel movements",88111009,440544005,18570237-DS-10," She had no fevers, chills, nausea, vomitting, or change in bowel movements. The above symptoms returned on ___ and she pres" "Correct entity, wrong SNOMED ID","(919, 930)","(919, 930)",normal LFTs,normal LFTs,166602006,167652007,18570237-DS-10,"and she presented to ___ ___. She reports having normal LFTs, normal cardiac biomarkers x 1, and a normal ECG" "Correct entity, wrong SNOMED ID","(932, 958)","(932, 958)","normal cardiac biomarkers","normal cardiac biomarkers",166662009,164778004,18570237-DS-10,"nted to ___ ___. She reports having normal LFTs, normal cardiac biomarkers x 1, and a normal ECG. She was discharged to home" "Correct entity, wrong SNOMED ID","(970, 980)","(970, 980)",normal ECG,normal ECG,164854000,251135002,18570237-DS-10,"ormal LFTs, normal cardiac biomarkers x 1, and a normal ECG. She was discharged to home from the ___ ED with" Missed entity,"(1010, 1025)",,from the ___ ED,,417119002,,18570237-DS-10," 1, and a normal ECG. She was discharged to home from the ___ ED with a new prescription for oral Dilaudid. The p" Missed entity,"(1037, 1049)",,prescription,,33633005,,18570237-DS-10,"as discharged to home from the ___ ED with a new prescription for oral Dilaudid. The pain returned in the midd" Missed entity,"(1054, 1058)",,oral,,386359008,,18570237-DS-10,"home from the ___ ED with a new prescription for oral Dilaudid. The pain returned in the middle of the" "Correct entity, wrong SNOMED ID","(1074, 1078)","(1074, 1078)",pain,pain,22253000,102570003,18570237-DS-10,"D with a new prescription for oral Dilaudid. The pain returned in the middle of the night on ___ and s" "Correct entity, wrong SNOMED ID","(1159, 1173)","(1159, 1173)",RUQ ultrasound,RUQ ultrasound,426701000119108,770572002,18570237-DS-10,"night on ___ and she re-presented to ___ where a RUQ ultrasound revealed cholelithiasis with no cholecystitis , " "Correct entity, wrong SNOMED ID","(1184, 1198)","(1184, 1198)",cholelithiasis,cholelithiasis,266474003,407637009,18570237-DS-10,"presented to ___ where a RUQ ultrasound revealed cholelithiasis with no cholecystitis , a stone in the common bi" "Correct entity, wrong SNOMED ID","(1207, 1220)","(1207, 1220)",cholecystitis,cholecystitis,76581006,65275009,18570237-DS-10,"a RUQ ultrasound revealed cholelithiasis with no cholecystitis , a stone in the common bile duct at the level o" "Correct entity, wrong SNOMED ID","(1225, 1230)","(1225, 1230)",stone,stone,56381008,246117004,18570237-DS-10,"revealed cholelithiasis with no cholecystitis , a stone in the common bile duct at the level of pancreat" "Correct entity, wrong SNOMED ID","(1239, 1255)","(1239, 1255)",common bile duct,common bile duct,79741001,255086002,18570237-DS-10,"lithiasis with no cholecystitis , a stone in the common bile duct at the level of pancreatic head, and her CBD was" "Correct entity, wrong SNOMED ID","(1272, 1287)","(1272, 1287)",pancreatic head,pancreatic head,64163001,362201006,18570237-DS-10," a stone in the common bile duct at the level of pancreatic head, and her CBD was 0.6 cm diameter. She was disch" "Correct entity, wrong SNOMED ID","(1297, 1300)","(1297, 1300)",CBD,CBD,79741001,771981005,18570237-DS-10,"ile duct at the level of pancreatic head, and her CBD was 0.6 cm diameter. She was discharged to home" Missed entity,"(1365, 1374)",,follow-up,,183616001,,18570237-DS-10,"ameter. She was discharged to home with plan to follow-up with a surgeon as an outpatient. She had repeat " "Correct entity, wrong SNOMED ID","(1436, 1440)","(1436, 1440)",pain,pain,22253000,102570003,18570237-DS-10,"eon as an outpatient. She had repeat episodes of pain over the next few days. These typically were pre" "Correct entity, wrong SNOMED ID","(1548, 1552)","(1548, 1552)",pain,pain,21522001,102570003,18570237-DS-10,"d by food and relieved with Vicodin. On ___, her pain was ___ while at work. She felt dizzy, reportedl" "Correct entity, wrong SNOMED ID","(1585, 1590)","(1585, 1590)",dizzy,dizzy,404640003,1141711004,18570237-DS-10," On ___, her pain was ___ while at work. She felt dizzy, reportedly looked pale, and had to lay on the f" "Correct entity, wrong SNOMED ID","(1611, 1615)","(1611, 1615)",pale,pale,1237486008,167234002,18570237-DS-10,"while at work. She felt dizzy, reportedly looked pale, and had to lay on the floor to keep from passin" Missed entity,"(1659, 1670)",,passing out,,271594007,,18570237-DS-10,"d pale, and had to lay on the floor to keep from passing out. She presented to the ___ ED. In the ___ ED, ini" "Correct entity, wrong SNOMED ID","(1725, 1731)","(1725, 1731)",vitals,vitals,118227000,260390007,18570237-DS-10," presented to the ___ ED. In the ___ ED, initial vitals were: T 98.2, P 58, BP 91/42, 97% on RA. Her eva" "Correct entity, wrong SNOMED ID","(1752, 1754)","(1752, 1754)",BP,BP,392570002,38341003,18570237-DS-10,"In the ___ ED, initial vitals were: T 98.2, P 58, BP 91/42, 97% on RA. Her evaluation was notable for" "Correct entity, wrong SNOMED ID","(1770, 1772)","(1770, 1772)",RA,RA,722742002,463051000124105,18570237-DS-10,"tial vitals were: T 98.2, P 58, BP 91/42, 97% on RA. Her evaluation was notable for a guaiac negative" "Correct entity, wrong SNOMED ID","(1778, 1788)","(1778, 1788)",evaluation,evaluation,386053000,39609006,18570237-DS-10,"als were: T 98.2, P 58, BP 91/42, 97% on RA. Her evaluation was notable for a guaiac negative rectal exam, W" Missed entity,"(1807, 1813)",,guaiac,,442554004,,18570237-DS-10,"/42, 97% on RA. Her evaluation was notable for a guaiac negative rectal exam, WBC 11.1, ALT 61, AST 97, " Wrong span,"(1814, 1835)","(1824, 1835)","negative rectal exam",rectal exam,167667006,410006001,18570237-DS-10,"7% on RA. Her evaluation was notable for a guaiac negative rectal exam, WBC 11.1, ALT 61, AST 97, Alk Phos 97, total bil" "Correct entity, wrong SNOMED ID","(1837, 1840)","(1837, 1840)",WBC,WBC,767002,391558003,18570237-DS-10,"n was notable for a guaiac negative rectal exam, WBC 11.1, ALT 61, AST 97, Alk Phos 97, total bili 0." "Correct entity, wrong SNOMED ID","(1847, 1850)","(1847, 1850)",ALT,ALT,34608000,56935002,18570237-DS-10,"ble for a guaiac negative rectal exam, WBC 11.1, ALT 61, AST 97, Alk Phos 97, total bili 0.4, lipase " "Correct entity, wrong SNOMED ID","(1855, 1858)","(1855, 1858)",AST,AST,45896001,85043005,18570237-DS-10,"a guaiac negative rectal exam, WBC 11.1, ALT 61, AST 97, Alk Phos 97, total bili 0.4, lipase 53, and " Missed entity,"(1876, 1886)",,total bili,,359986008,,18570237-DS-10,"ctal exam, WBC 11.1, ALT 61, AST 97, Alk Phos 97, total bili 0.4, lipase 53, and a RUQ ultrasound that reveal" Wrong span,"(1910, 1913)","(1910, 1924)",RUQ,RUQ ultrasound,50519007,770572002,18570237-DS-10,"7, Alk Phos 97, total bili 0.4, lipase 53, and a RUQ ultrasound that revealed a 10mm common bile duct" Wrong span,"(1914, 1924)","(1910, 1924)",ultrasound,RUQ ultrasound,45036003,770572002,18570237-DS-10,"lk Phos 97, total bili 0.4, lipase 53, and a RUQ ultrasound that revealed a 10mm common bile duct and a cont" "Correct entity, wrong SNOMED ID","(1946, 1963)","(1946, 1963)","common bile duct","common bile duct",79741001,255086002,18570237-DS-10,"ase 53, and a RUQ ultrasound that revealed a 10mm common bile duct and a contracted gall bladder with no evidence of" "Correct entity, wrong SNOMED ID","(1981, 1993)","(1981, 1993)",gall bladder,gall bladder,28231008,128399009,18570237-DS-10,"evealed a 10mm common bile duct and a contracted gall bladder with no evidence of cholecystitis. In the ED she" "Correct entity, wrong SNOMED ID","(1999, 2010)","(1999, 2010)",no evidence,no evidence,281900007,41647002,18570237-DS-10,"mon bile duct and a contracted gall bladder with no evidence of cholecystitis. In the ED she received ciprofl" "Correct entity, wrong SNOMED ID","(2015, 2028)","(2015, 2028)",cholecystitis,cholecystitis,76581006,65275009,18570237-DS-10,"nd a contracted gall bladder with no evidence of cholecystitis. In the ED she received ciprofloxacin and Flagyl." Missed entity,"(2053, 2066)",,ciprofloxacin,,281789004,,18570237-DS-10,"vidence of cholecystitis. In the ED she received ciprofloxacin and Flagyl. Currently her pain is a ___. She con" "Correct entity, wrong SNOMED ID","(2094, 2098)","(2094, 2098)",pain,pain,21522001,102570003,18570237-DS-10,"received ciprofloxacin and Flagyl. Currently her pain is a ___. She continues to have a lot of belchin" "Correct entity, wrong SNOMED ID","(2141, 2149)","(2141, 2149)",belching,belching,271834000,162077000,18570237-DS-10,"er pain is a ___. She continues to have a lot of belching. Review of Systems: No recent illnesses though s" Boundary error,"(2181, 2190)","(2181, 2188)",illnesses,illness,39104002,35489007,18570237-DS-10,"a lot of belching. Review of Systems: No recent illnesses though she did have a prolonged course of diarrh" "Correct entity, wrong SNOMED ID","(2234, 2242)","(2234, 2242)",diarrhea,diarrhea,62315008,111843007,18570237-DS-10,"nesses though she did have a prolonged course of diarrhea in the ___. No jaundice. No fevers, chills, or n" "Correct entity, wrong SNOMED ID","(2258, 2266)","(2258, 2266)",jaundice,jaundice,18165001,371117009,18570237-DS-10,"ve a prolonged course of diarrhea in the ___. No jaundice. No fevers, chills, or night sweats. Appetite is" "Correct entity, wrong SNOMED ID","(2272, 2278)","(2272, 2278)",fevers,fevers,386661006,248444008,18570237-DS-10,"d course of diarrhea in the ___. No jaundice. No fevers, chills, or night sweats. Appetite is good. No SO" "Correct entity, wrong SNOMED ID","(2280, 2286)","(2280, 2286)",chills,chills,43724002,274640006,18570237-DS-10," of diarrhea in the ___. No jaundice. No fevers, chills, or night sweats. Appetite is good. No SOB, coug" "Correct entity, wrong SNOMED ID","(2305, 2321)","(2305, 2321)",Appetite is good,Appetite is good,161825005,79890006,18570237-DS-10,"No jaundice. No fevers, chills, or night sweats. Appetite is good. No SOB, cough, or chest pain. No urinary sympto" "Correct entity, wrong SNOMED ID","(2326, 2329)","(2326, 2329)",SOB,SOB,267036007,43731003,18570237-DS-10,"rs, chills, or night sweats. Appetite is good. No SOB, cough, or chest pain. No urinary symptoms. Othe" "Correct entity, wrong SNOMED ID","(2332, 2337)","(2332, 2337)",cough,cough,49727002,28743005,18570237-DS-10,"ills, or night sweats. Appetite is good. No SOB, cough, or chest pain. No urinary symptoms. Other system" "Correct entity, wrong SNOMED ID","(2342, 2352)","(2342, 2352)",chest pain,chest pain,29857009,102589003,18570237-DS-10,"ight sweats. Appetite is good. No SOB, cough, or chest pain. No urinary symptoms. Other systems reviewed in " "Correct entity, wrong SNOMED ID","(2357, 2373)","(2357, 2373)",urinary symptoms,urinary symptoms,249274008,307541003,18570237-DS-10,"petite is good. No SOB, cough, or chest pain. No urinary symptoms. Other systems reviewed in detail and all otherw" "Correct entity, wrong SNOMED ID","(2465, 2478)","(2465, 2478)",tonsillectomy,tonsillectomy,173422009,1145322008,18570237-DS-10,"l otherwise negative. Past Medical History: - tonsillectomy at age ___ - severe motor vehicle accident in __" Wrong span,"(2572, 2601)","(2572, 2584)",resection of a pilonidal cyst,resection of,702643008,119746007,18570237-DS-10," in ___ with a concussion and hospitalization - resection of a pilonidal cyst in ___ - chronic bilateral knee pain after a fal" Missed entity,"(2612, 2619)",,chronic,,27624003,,18570237-DS-10,"zation - resection of a pilonidal cyst in ___ - chronic bilateral knee pain after a fall; she uses a cane" Wrong span,"(2620, 2629)","(2620, 2639)",bilateral,bilateral knee pain,304913001,15683321000119104,18570237-DS-10,"- resection of a pilonidal cyst in ___ - chronic bilateral knee pain after a fall; she uses a cane to ambul" Wrong span,"(2630, 2639)","(2620, 2639)",knee pain,bilateral knee pain,1003722009,15683321000119104,18570237-DS-10,"n of a pilonidal cyst in ___ - chronic bilateral knee pain after a fall; she uses a cane to ambulate up sta" "Correct entity, wrong SNOMED ID","(2648, 2652)","(2648, 2652)",fall,fall,161898004,298344006,18570237-DS-10,"yst in ___ - chronic bilateral knee pain after a fall; she uses a cane to ambulate up stairs - season" Missed entity,"(2658, 2692)",,"uses a cane to ambulate up stairs",,282195009,,18570237-DS-10," - chronic bilateral knee pain after a fall; she uses a cane to ambulate up stairs - seasonal allergies - esophagitis in ___ thoug" "Correct entity, wrong SNOMED ID","(2696, 2714)","(2696, 2714)",seasonal allergies,seasonal allergies,444316004,232353008,18570237-DS-10,"a fall; she uses a cane to ambulate up stairs - seasonal allergies - esophagitis in ___ thought to be from high-dos" "Correct entity, wrong SNOMED ID","(2718, 2729)","(2718, 2729)",esophagitis,esophagitis,16761005,13504006,18570237-DS-10,"e to ambulate up stairs - seasonal allergies - esophagitis in ___ thought to be from high-dose NSAID use; s" "Correct entity, wrong SNOMED ID","(2789, 2798)","(2789, 2798)",endoscopy,endoscopy,423827005,10847001,18570237-DS-10,"ought to be from high-dose NSAID use; she had no endoscopy at that time Social History: ___ Family History" "Correct entity, wrong SNOMED ID","(2871, 2881)","(2871, 2881)",gallstones,gallstones,235919008,390926006,18570237-DS-10,"History: ___ Family History: No family history of gallstones or gall bladder disorders. Physical Exam: Vital" "Correct entity, wrong SNOMED ID","(2885, 2907)","(2885, 2907)",gall bladder disorders,gall bladder disorders,39621005,275550008,18570237-DS-10,"amily History: No family history of gallstones or gall bladder disorders. Physical Exam: Vital Signs: T 97.1, P 75, BP 1" "Correct entity, wrong SNOMED ID","(2926, 2937)","(2926, 2937)",Vital Signs,Vital Signs,118227000,72970002,18570237-DS-10,"tones or gall bladder disorders. Physical Exam: Vital Signs: T 97.1, P 75, BP 127/74, and 98% on RA. Physica" "Correct entity, wrong SNOMED ID","(2953, 2955)","(2953, 2955)",BP,BP,392570002,38341003,18570237-DS-10,"ders. Physical Exam: Vital Signs: T 97.1, P 75, BP 127/74, and 98% on RA. Physical examination: - G" "Correct entity, wrong SNOMED ID","(2975, 2977)","(2975, 2977)",RA,RA,722742002,463051000124105,18570237-DS-10," Vital Signs: T 97.1, P 75, BP 127/74, and 98% on RA. Physical examination: - Gen: Well-appearing in " "Correct entity, wrong SNOMED ID","(3004, 3007)","(3004, 3007)",Gen,Gen,162673000,420208008,18570237-DS-10,"P 127/74, and 98% on RA. Physical examination: - Gen: Well-appearing in NAD. - HEENT: Conj/sclera/lids" "Correct entity, wrong SNOMED ID","(3009, 3023)","(3009, 3023)",Well-appearing,Well-appearing,397749000,167827008,18570237-DS-10,"/74, and 98% on RA. Physical examination: - Gen: Well-appearing in NAD. - HEENT: Conj/sclera/lids normal without " "Correct entity, wrong SNOMED ID","(3027, 3030)","(3027, 3030)",NAD,NAD,281900007,131143000,18570237-DS-10,". Physical examination: - Gen: Well-appearing in NAD. - HEENT: Conj/sclera/lids normal without icterus" "Correct entity, wrong SNOMED ID","(3034, 3039)","(3034, 3039)",HEENT,HEENT,5880005,113665002,18570237-DS-10,"ical examination: - Gen: Well-appearing in NAD. - HEENT: Conj/sclera/lids normal without icterus, PERRL, " "Correct entity, wrong SNOMED ID","(3041, 3045)","(3041, 3045)",Conj,Conj,29445007,74519001,18570237-DS-10,"amination: - Gen: Well-appearing in NAD. - HEENT: Conj/sclera/lids normal without icterus, PERRL, EOM f" "Correct entity, wrong SNOMED ID","(3046, 3052)","(3046, 3052)",sclera,sclera,18619003,427801009,18570237-DS-10,"tion: - Gen: Well-appearing in NAD. - HEENT: Conj/sclera/lids normal without icterus, PERRL, EOM full, an" Missed entity,"(3053, 3057)",,lids,,80243003,,18570237-DS-10," Gen: Well-appearing in NAD. - HEENT: Conj/sclera/lids normal without icterus, PERRL, EOM full, and no " "Correct entity, wrong SNOMED ID","(3073, 3080)","(3073, 3080)",icterus,icterus,18165001,246975001,18570237-DS-10," in NAD. - HEENT: Conj/sclera/lids normal without icterus, PERRL, EOM full, and no nystagmus. Hearing gros" "Correct entity, wrong SNOMED ID","(3082, 3087)","(3082, 3087)",PERRL,PERRL,386666001,431291005,18570237-DS-10,"- HEENT: Conj/sclera/lids normal without icterus, PERRL, EOM full, and no nystagmus. Hearing grossly nor" "Correct entity, wrong SNOMED ID","(3089, 3098)","(3089, 3098)","EOM full","EOM full",103251002,248177001,18570237-DS-10,": Conj/sclera/lids normal without icterus, PERRL, EOM full, and no nystagmus. Hearing grossly normal bilater" "Correct entity, wrong SNOMED ID","(3107, 3116)","(3107, 3116)",nystagmus,nystagmus,563001,285764004,18570237-DS-10," normal without icterus, PERRL, EOM full, and no nystagmus. Hearing grossly normal bilaterally. Sinuses non" Wrong span,"(3118, 3140)","(3118, 3152)",Hearing grossly normal,Hearing grossly normal bilaterally,162339002,15188001,18570237-DS-10,"hout icterus, PERRL, EOM full, and no nystagmus. Hearing grossly normal bilaterally. Sinuses non-tender. Nasal mucosa an" Wrong span,"(3155, 3162)","(3155, 3173)",Sinuses,Sinuses non-tender,2095001,233222004,18570237-DS-10,"o nystagmus. Hearing grossly normal bilaterally. Sinuses non-tender. Nasal mucosa and turbinates normal. " Wrong span,"(3163, 3173)","(3155, 3173)",non-tender,Sinuses non-tender,247348008,233222004,18570237-DS-10,"mus. Hearing grossly normal bilaterally. Sinuses non-tender. Nasal mucosa and turbinates normal. Oropharynx " "Correct entity, wrong SNOMED ID","(3175, 3187)","(3175, 3187)",Nasal mucosa,Nasal mucosa,34508005,277222005,18570237-DS-10," grossly normal bilaterally. Sinuses non-tender. Nasal mucosa and turbinates normal. Oropharynx clear w/out le" Wrong span,"(3192, 3202)","(3192, 3209)",turbinates,turbinates normal,46607005,1293061005,18570237-DS-10,"ilaterally. Sinuses non-tender. Nasal mucosa and turbinates normal. Oropharynx clear w/out lesions. - Neck: " "Correct entity, wrong SNOMED ID","(3212, 3228)","(3212, 3228)",Oropharynx clear,Oropharynx clear,300280008,303292009,18570237-DS-10," non-tender. Nasal mucosa and turbinates normal. Oropharynx clear w/out lesions. - Neck: Supple. - Chest: Normal re" "Correct entity, wrong SNOMED ID","(3235, 3242)","(3235, 3242)",lesions,lesions,1071000119107,246206008,18570237-DS-10,"sa and turbinates normal. Oropharynx clear w/out lesions. - Neck: Supple. - Chest: Normal respirations and" "Correct entity, wrong SNOMED ID","(3246, 3250)","(3246, 3250)",Neck,Neck,5880005,840674001,18570237-DS-10,"inates normal. Oropharynx clear w/out lesions. - Neck: Supple. - Chest: Normal respirations and breathi" "Correct entity, wrong SNOMED ID","(3252, 3258)","(3252, 3258)",Supple,Supple,298475003,116121000,18570237-DS-10," normal. Oropharynx clear w/out lesions. - Neck: Supple. - Chest: Normal respirations and breathing comfo" "Correct entity, wrong SNOMED ID","(3262, 3267)","(3262, 3267)",Chest,Chest,268925001,74160004,18570237-DS-10,"Oropharynx clear w/out lesions. - Neck: Supple. - Chest: Normal respirations and breathing comfortably on" "Correct entity, wrong SNOMED ID","(3269, 3288)","(3269, 3288)",Normal respirations,Normal respirations,22803001,276888009,18570237-DS-10,"ynx clear w/out lesions. - Neck: Supple. - Chest: Normal respirations and breathing comfortably on room air. Lungs cle" "Correct entity, wrong SNOMED ID","(3293, 3327)","(3293, 3327)","breathing comfortably on room air","breathing comfortably on room air",22803001,722742002,18570237-DS-10," - Neck: Supple. - Chest: Normal respirations and breathing comfortably on room air. Lungs clear to auscultation bilaterally. - CV: R" Wrong span,"(3329, 3334)","(3329, 3368)",Lungs,Lungs clear to auscultation bilaterally,268925001,48348007,18570237-DS-10,"pirations and breathing comfortably on room air. Lungs clear to auscultation bilaterally. - CV: Regular " Wrong span,"(3335, 3368)","(3329, 3368)",clear to auscultation bilaterally,Lungs clear to auscultation bilaterally,48348007,48348007,18570237-DS-10,"ons and breathing comfortably on room air. Lungs clear to auscultation bilaterally. - CV: Regular rhythm. Normal S1, S2. No murmurs " "Correct entity, wrong SNOMED ID","(3372, 3374)","(3372, 3374)",CV,CV,363003006,258773002,18570237-DS-10," air. Lungs clear to auscultation bilaterally. - CV: Regular rhythm. Normal S1, S2. No murmurs or gal" "Correct entity, wrong SNOMED ID","(3376, 3390)","(3376, 3390)",Regular rhythm,Regular rhythm,64730000,428919002,18570237-DS-10,"r. Lungs clear to auscultation bilaterally. - CV: Regular rhythm. Normal S1, S2. No murmurs or gallops. JVP <5 cm" Wrong span,"(3392, 3405)","(3392, 3401)","Normal S1, S2",Normal S1,301132007,167242001,18570237-DS-10,"o auscultation bilaterally. - CV: Regular rhythm. Normal S1, S2. No murmurs or gallops. JVP <5 cm. - Abdomen: N" "Correct entity, wrong SNOMED ID","(3410, 3417)","(3410, 3417)",murmurs,murmurs,414786004,248699005,18570237-DS-10,"aterally. - CV: Regular rhythm. Normal S1, S2. No murmurs or gallops. JVP <5 cm. - Abdomen: Normal bowel " "Correct entity, wrong SNOMED ID","(3421, 3428)","(3421, 3428)",gallops,gallops,2170000,4592006,18570237-DS-10," CV: Regular rhythm. Normal S1, S2. No murmurs or gallops. JVP <5 cm. - Abdomen: Normal bowel sounds. She" "Correct entity, wrong SNOMED ID","(3430, 3433)","(3430, 3433)",JVP,JVP,366163001,369001,18570237-DS-10,"lar rhythm. Normal S1, S2. No murmurs or gallops. JVP <5 cm. - Abdomen: Normal bowel sounds. She had " "Correct entity, wrong SNOMED ID","(3445, 3452)","(3445, 3452)",Abdomen,Abdomen,225162003,41931001,18570237-DS-10,"mal S1, S2. No murmurs or gallops. JVP <5 cm. - Abdomen: Normal bowel sounds. She had mild epigastric and" Missed entity,"(3483, 3487)",,mild,,162468002,,18570237-DS-10," <5 cm. - Abdomen: Normal bowel sounds. She had mild epigastric and RUQ tenderness with deep paplatio" "Correct entity, wrong SNOMED ID","(3488, 3498)","(3488, 3498)",epigastric,epigastric,27947004,301403003,18570237-DS-10,"cm. - Abdomen: Normal bowel sounds. She had mild epigastric and RUQ tenderness with deep paplation. Negative" Wrong span,"(3503, 3518)","(3503, 3506)","RUQ tenderness",RUQ,448265002,65826004,18570237-DS-10," Normal bowel sounds. She had mild epigastric and RUQ tenderness with deep paplation. Negative ___ sign. - Extremi" Missed entity,"(3524, 3538)",,deep paplation,,51558006,,18570237-DS-10," She had mild epigastric and RUQ tenderness with deep paplation. Negative ___ sign. - Extremities: No ankle edema" Missed entity,"(3553, 3557)",,sign,,72670004,,18570237-DS-10,"RUQ tenderness with deep paplation. Negative ___ sign. - Extremities: No ankle edema. - MSK: Joints wit" "Correct entity, wrong SNOMED ID","(3561, 3572)","(3561, 3572)",Extremities,Extremities,302773001,248416007,18570237-DS-10,"derness with deep paplation. Negative ___ sign. - Extremities: No ankle edema. - MSK: Joints with no redness, s" Wrong span,"(3577, 3588)","(3577, 3582)",ankle edema,ankle,26237000,361292008,18570237-DS-10,"p paplation. Negative ___ sign. - Extremities: No ankle edema. - MSK: Joints with no redness, swelling, warmth," "Correct entity, wrong SNOMED ID","(3592, 3595)","(3592, 3595)",MSK,MSK,363215001,258697002,18570237-DS-10,"gative ___ sign. - Extremities: No ankle edema. - MSK: Joints with no redness, swelling, warmth, tender" "Correct entity, wrong SNOMED ID","(3597, 3603)","(3597, 3603)",Joints,Joints,39352004,263616008,18570237-DS-10,"e ___ sign. - Extremities: No ankle edema. - MSK: Joints with no redness, swelling, warmth, tenderness. N" "Correct entity, wrong SNOMED ID","(3612, 3619)","(3612, 3619)",redness,redness,822962003,1268301006,18570237-DS-10,"xtremities: No ankle edema. - MSK: Joints with no redness, swelling, warmth, tenderness. Normal ROM in all" "Correct entity, wrong SNOMED ID","(3621, 3629)","(3621, 3629)",swelling,swelling,271771009,300890009,18570237-DS-10,"s: No ankle edema. - MSK: Joints with no redness, swelling, warmth, tenderness. Normal ROM in all major joi" "Correct entity, wrong SNOMED ID","(3631, 3637)","(3631, 3637)",warmth,warmth,298256005,1371354000,18570237-DS-10,"e edema. - MSK: Joints with no redness, swelling, warmth, tenderness. Normal ROM in all major joints. - S" "Correct entity, wrong SNOMED ID","(3639, 3649)","(3639, 3649)",tenderness,tenderness,110288007,43478001,18570237-DS-10," - MSK: Joints with no redness, swelling, warmth, tenderness. Normal ROM in all major joints. - Skin: No lesi" "Correct entity, wrong SNOMED ID","(3652, 3662)","(3652, 3662)",Normal ROM,Normal ROM,298228000,298229008,18570237-DS-10,"s with no redness, swelling, warmth, tenderness. Normal ROM in all major joints. - Skin: No lesions, bruises," "Correct entity, wrong SNOMED ID","(3676, 3682)","(3676, 3682)",joints,joints,39352004,19290004,18570237-DS-10,"ing, warmth, tenderness. Normal ROM in all major joints. - Skin: No lesions, bruises, rashes. - Neuro: Al" "Correct entity, wrong SNOMED ID","(3686, 3690)","(3686, 3690)",Skin,Skin,271303006,7748002,18570237-DS-10,"h, tenderness. Normal ROM in all major joints. - Skin: No lesions, bruises, rashes. - Neuro: Alert, ori" "Correct entity, wrong SNOMED ID","(3695, 3702)","(3695, 3702)",lesions,lesions,95324001,246206008,18570237-DS-10,"ness. Normal ROM in all major joints. - Skin: No lesions, bruises, rashes. - Neuro: Alert, oriented x3. Go" "Correct entity, wrong SNOMED ID","(3704, 3711)","(3704, 3711)",bruises,bruises,125667009,281464006,18570237-DS-10,"rmal ROM in all major joints. - Skin: No lesions, bruises, rashes. - Neuro: Alert, oriented x3. Good fund o" "Correct entity, wrong SNOMED ID","(3713, 3719)","(3713, 3719)",rashes,rashes,271807003,247472004,18570237-DS-10,"in all major joints. - Skin: No lesions, bruises, rashes. - Neuro: Alert, oriented x3. Good fund of knowle" "Correct entity, wrong SNOMED ID","(3723, 3728)","(3723, 3728)",Neuro,Neuro,84728005,281247006,18570237-DS-10,"or joints. - Skin: No lesions, bruises, rashes. - Neuro: Alert, oriented x3. Good fund of knowledge. Able" "Correct entity, wrong SNOMED ID","(3730, 3735)","(3730, 3735)",Alert,Alert,248234008,409787004,18570237-DS-10,"ts. - Skin: No lesions, bruises, rashes. - Neuro: Alert, oriented x3. Good fund of knowledge. Able to di" "Correct entity, wrong SNOMED ID","(3737, 3748)","(3737, 3748)",oriented x3,oriented x3,426224004,311552005,18570237-DS-10,"kin: No lesions, bruises, rashes. - Neuro: Alert, oriented x3. Good fund of knowledge. Able to discuss current" "Correct entity, wrong SNOMED ID","(3810, 3826)","(3810, 3826)",memory is intact,memory is intact,247602005,247587007,18570237-DS-10,"of knowledge. Able to discuss current events and memory is intact. CN ___ intact. Speech and language are normal. " "Correct entity, wrong SNOMED ID","(3828, 3830)","(3828, 3830)",CN,CN,25238003,223697002,18570237-DS-10," to discuss current events and memory is intact. CN ___ intact. Speech and language are normal. - P" "Correct entity, wrong SNOMED ID","(3835, 3841)","(3835, 3841)",intact,intact,281900007,247602005,18570237-DS-10,"scuss current events and memory is intact. CN ___ intact. Speech and language are normal. - Psych: Appea" Wrong span,"(3844, 3863)","(3844, 3850)",Speech and language,Speech,286832009,311656001,18570237-DS-10,"rent events and memory is intact. CN ___ intact. Speech and language are normal. - Psych: Appearance, behavior, and a" "Correct entity, wrong SNOMED ID","(3879, 3884)","(3879, 3884)",Psych,Psych,24642003,17326005,18570237-DS-10,"N ___ intact. Speech and language are normal. - Psych: Appearance, behavior, and affect all normal. " "Correct entity, wrong SNOMED ID","(3886, 3896)","(3886, 3896)",Appearance,Appearance,386549008,80670004,18570237-DS-10,"ntact. Speech and language are normal. - Psych: Appearance, behavior, and affect all normal. Pertinent Re" "Correct entity, wrong SNOMED ID","(3898, 3906)","(3898, 3906)",behavior,behavior,51746009,304526006,18570237-DS-10,"ch and language are normal. - Psych: Appearance, behavior, and affect all normal. Pertinent Results: ADM" "Correct entity, wrong SNOMED ID","(3912, 3918)","(3912, 3918)",affect,affect,106131003,80608005,18570237-DS-10,"e are normal. - Psych: Appearance, behavior, and affect all normal. Pertinent Results: ADMISSION LABOR" "Correct entity, wrong SNOMED ID","(4000, 4007)","(4000, 4007)",GLUCOSE,GLUCOSE,33747003,72191006,18570237-DS-10,"s: ADMISSION LABORATORY STUDIES: - ___ 11:45AM GLUCOSE-108* UREA N-18 CREAT-0.6 SODIUM-144 POTASSIUM-4." "Correct entity, wrong SNOMED ID","(4023, 4028)","(4023, 4028)",CREAT,CREAT,70901006,413856009,18570237-DS-10," STUDIES: - ___ 11:45AM GLUCOSE-108* UREA N-18 CREAT-0.6 SODIUM-144 POTASSIUM-4.3 CHLORIDE-107 TOTAL " "Correct entity, wrong SNOMED ID","(4045, 4054)","(4045, 4054)",POTASSIUM,POTASSIUM,59573005,1149432009,18570237-DS-10,"AM GLUCOSE-108* UREA N-18 CREAT-0.6 SODIUM-144 POTASSIUM-4.3 CHLORIDE-107 TOTAL CO2-25 ANION GAP-16 LACTA" "Correct entity, wrong SNOMED ID","(4059, 4067)","(4059, 4067)",CHLORIDE,CHLORIDE,104589004,108447000,18570237-DS-10,"08* UREA N-18 CREAT-0.6 SODIUM-144 POTASSIUM-4.3 CHLORIDE-107 TOTAL CO2-25 ANION GAP-16 LACTATE-1.1 ALT(SG" "Correct entity, wrong SNOMED ID","(4085, 4094)","(4085, 4094)",ANION GAP,ANION GAP,25469001,237854004,18570237-DS-10,"ODIUM-144 POTASSIUM-4.3 CHLORIDE-107 TOTAL CO2-25 ANION GAP-16 LACTATE-1.1 ALT(SGPT)-61* AST(SGOT)-97* ALK P" "Correct entity, wrong SNOMED ID","(4111, 4114)","(4111, 4114)",ALT,ALT,34608000,56935002,18570237-DS-10,"LORIDE-107 TOTAL CO2-25 ANION GAP-16 LACTATE-1.1 ALT(SGPT)-61* AST(SGOT)-97* ALK PHOS-97 TOT BILI-0.4 " "Correct entity, wrong SNOMED ID","(4125, 4128)","(4125, 4128)",AST,AST,45896001,85043005,18570237-DS-10,"AL CO2-25 ANION GAP-16 LACTATE-1.1 ALT(SGPT)-61* AST(SGOT)-97* ALK PHOS-97 TOT BILI-0.4 LIPASE-53 - " "Correct entity, wrong SNOMED ID","(4143, 4147)","(4143, 4147)",PHOS,PHOS,104868000,168075002,18570237-DS-10,"P-16 LACTATE-1.1 ALT(SGPT)-61* AST(SGOT)-97* ALK PHOS-97 TOT BILI-0.4 LIPASE-53 - ___ 11:45AM WBC-1" "Correct entity, wrong SNOMED ID","(4151, 4159)","(4151, 4159)",TOT BILI,TOT BILI,359986008,113537007,18570237-DS-10,"CTATE-1.1 ALT(SGPT)-61* AST(SGOT)-97* ALK PHOS-97 TOT BILI-0.4 LIPASE-53 - ___ 11:45AM WBC-11.1* (NEUTS-" "Correct entity, wrong SNOMED ID","(4192, 4195)","(4192, 4195)",WBC,WBC,767002,391558003,18570237-DS-10," PHOS-97 TOT BILI-0.4 LIPASE-53 - ___ 11:45AM WBC-11.1* (NEUTS-86.2* LYMPHS-11.0* MONOS-1.7* EOS-0" "Correct entity, wrong SNOMED ID","(4215, 4221)","(4215, 4221)",LYMPHS,LYMPHS,74765001,79709007,18570237-DS-10,"LIPASE-53 - ___ 11:45AM WBC-11.1* (NEUTS-86.2* LYMPHS-11.0* MONOS-1.7* EOS-0.7 BASOS-0.4) RBC-3.85* HG" "Correct entity, wrong SNOMED ID","(4240, 4243)","(4240, 4243)",EOS,EOS,71960002,67099000,18570237-DS-10," WBC-11.1* (NEUTS-86.2* LYMPHS-11.0* MONOS-1.7* EOS-0.7 BASOS-0.4) RBC-3.85* HGB-12.2 HCT-36.1 MCV-94" Missed entity,"(4248, 4253)",,BASOS,,42351005,,18570237-DS-10,".1* (NEUTS-86.2* LYMPHS-11.0* MONOS-1.7* EOS-0.7 BASOS-0.4) RBC-3.85* HGB-12.2 HCT-36.1 MCV-94 MCH-31.6" "Correct entity, wrong SNOMED ID","(4259, 4262)","(4259, 4262)",RBC,RBC,14089001,258759006,18570237-DS-10,"86.2* LYMPHS-11.0* MONOS-1.7* EOS-0.7 BASOS-0.4) RBC-3.85* HGB-12.2 HCT-36.1 MCV-94 MCH-31.6 MCHC-33." "Correct entity, wrong SNOMED ID","(4269, 4272)","(4269, 4272)",HGB,HGB,441689006,104142005,18570237-DS-10,"HS-11.0* MONOS-1.7* EOS-0.7 BASOS-0.4) RBC-3.85* HGB-12.2 HCT-36.1 MCV-94 MCH-31.6 MCHC-33.7 RDW-13.9" "Correct entity, wrong SNOMED ID","(4278, 4281)","(4278, 4281)",HCT,HCT,28317006,282660005,18570237-DS-10," MONOS-1.7* EOS-0.7 BASOS-0.4) RBC-3.85* HGB-12.2 HCT-36.1 MCV-94 MCH-31.6 MCHC-33.7 RDW-13.9 PLT COUN" Missed entity,"(4287, 4290)",,MCV,,104133003,,18570237-DS-10,"7* EOS-0.7 BASOS-0.4) RBC-3.85* HGB-12.2 HCT-36.1 MCV-94 MCH-31.6 MCHC-33.7 RDW-13.9 PLT COUNT-287 ___" "Correct entity, wrong SNOMED ID","(4304, 4308)","(4304, 4308)",MCHC,MCHC,37254006,735147002,18570237-DS-10,"0.4) RBC-3.85* HGB-12.2 HCT-36.1 MCV-94 MCH-31.6 MCHC-33.7 RDW-13.9 PLT COUNT-287 ___ 08:20AM BLOOD WBC" "Correct entity, wrong SNOMED ID","(4355, 4358)","(4355, 4358)",WBC,WBC,767002,391558003,18570237-DS-10,"CHC-33.7 RDW-13.9 PLT COUNT-287 ___ 08:20AM BLOOD WBC-5.1# RBC-3.56* Hgb-11.1* Hct-32.1* MCV-90 MCH-31" "Correct entity, wrong SNOMED ID","(4364, 4367)","(4364, 4367)",RBC,RBC,14089001,258759006,18570237-DS-10,"RDW-13.9 PLT COUNT-287 ___ 08:20AM BLOOD WBC-5.1# RBC-3.56* Hgb-11.1* Hct-32.1* MCV-90 MCH-31.2 MCHC-3" "Correct entity, wrong SNOMED ID","(4374, 4377)","(4374, 4377)",Hgb,Hgb,441689006,104142005,18570237-DS-10,"LT COUNT-287 ___ 08:20AM BLOOD WBC-5.1# RBC-3.56* Hgb-11.1* Hct-32.1* MCV-90 MCH-31.2 MCHC-34.6 RDW-13" "Correct entity, wrong SNOMED ID","(4384, 4387)","(4384, 4387)",Hct,Hct,28317006,282660005,18570237-DS-10,"87 ___ 08:20AM BLOOD WBC-5.1# RBC-3.56* Hgb-11.1* Hct-32.1* MCV-90 MCH-31.2 MCHC-34.6 RDW-13.6 Plt ___" "Correct entity, wrong SNOMED ID","(4411, 4415)","(4411, 4415)",MCHC,MCHC,37254006,735147002,18570237-DS-10,"1# RBC-3.56* Hgb-11.1* Hct-32.1* MCV-90 MCH-31.2 MCHC-34.6 RDW-13.6 Plt ___ ___ 07:00AM BLOOD UreaN-10 " "Correct entity, wrong SNOMED ID","(4456, 4461)","(4456, 4461)",UreaN,UreaN,105011006,111108008,18570237-DS-10,"31.2 MCHC-34.6 RDW-13.6 Plt ___ ___ 07:00AM BLOOD UreaN-10 Creat-0.6 ___ 08:20AM BLOOD ALT-28 AST-25 AlkP" "Correct entity, wrong SNOMED ID","(4465, 4470)","(4465, 4470)",Creat,Creat,70901006,413856009,18570237-DS-10,"-34.6 RDW-13.6 Plt ___ ___ 07:00AM BLOOD UreaN-10 Creat-0.6 ___ 08:20AM BLOOD ALT-28 AST-25 AlkPhos-75 To" "Correct entity, wrong SNOMED ID","(4493, 4496)","(4493, 4496)",ALT,ALT,34608000,56935002,18570237-DS-10,"7:00AM BLOOD UreaN-10 Creat-0.6 ___ 08:20AM BLOOD ALT-28 AST-25 AlkPhos-75 TotBili-0.4 ___ 08:20AM BLOO" "Correct entity, wrong SNOMED ID","(4500, 4503)","(4500, 4503)",AST,AST,45896001,85043005,18570237-DS-10,"BLOOD UreaN-10 Creat-0.6 ___ 08:20AM BLOOD ALT-28 AST-25 AlkPhos-75 TotBili-0.4 ___ 08:20AM BLOOD Lipas" "Correct entity, wrong SNOMED ID","(4507, 4514)","(4507, 4514)",AlkPhos,AlkPhos,88810008,30703008,18570237-DS-10,"reaN-10 Creat-0.6 ___ 08:20AM BLOOD ALT-28 AST-25 AlkPhos-75 TotBili-0.4 ___ 08:20AM BLOOD Lipase-34 ECG: " "Correct entity, wrong SNOMED ID","(4518, 4525)","(4518, 4525)",TotBili,TotBili,359986008,19754005,18570237-DS-10,"at-0.6 ___ 08:20AM BLOOD ALT-28 AST-25 AlkPhos-75 TotBili-0.4 ___ 08:20AM BLOOD Lipase-34 ECG: sinus rhyth" "Correct entity, wrong SNOMED ID","(4559, 4562)","(4559, 4562)",ECG,ECG,29303009,75444003,18570237-DS-10,"kPhos-75 TotBili-0.4 ___ 08:20AM BLOOD Lipase-34 ECG: sinus rhythm at 52 with normal axis and interval" Wrong span,"(4595, 4599)","(4588, 4599)",axis,normal axis,5177007,14419000,18570237-DS-10,"OD Lipase-34 ECG: sinus rhythm at 52 with normal axis and intervals. She has no old or new ischemic ch" "Correct entity, wrong SNOMED ID","(4604, 4613)","(4604, 4613)",intervals,intervals,365408009,40602005,18570237-DS-10,"-34 ECG: sinus rhythm at 52 with normal axis and intervals. She has no old or new ischemic changes. No ECG " Wrong span,"(4624, 4646)","(4638, 4654)",no old or new ischemic,ischemic changes,164862008,449735000,18570237-DS-10,"hm at 52 with normal axis and intervals. She has no old or new ischemic changes. No ECG available for comparison. RUQ UL" "Correct entity, wrong SNOMED ID","(4659, 4662)","(4659, 4662)",ECG,ECG,29303009,75444003,18570237-DS-10,"vals. She has no old or new ischemic changes. No ECG available for comparison. RUQ ULTRASOUND: - FIN" "Correct entity, wrong SNOMED ID","(4741, 4747)","(4741, 4747)",lesion,lesion,52988006,120609008,18570237-DS-10,"UQ ULTRASOUND: - FINDINGS: 3 x 2.1 cm hypoechoic lesion in the anterior right liver lobe is consistent w" Wrong span,"(4755, 4781)","(4764, 4781)","anterior right liver lobe","right liver lobe",76919008,362182008,18570237-DS-10," - FINDINGS: 3 x 2.1 cm hypoechoic lesion in the anterior right liver lobe is consistent with a simple cyst. 1 x 1 cm heter" Wrong span,"(4803, 4814)","(4810, 4814)",simple cyst,cyst,367644007,110410009,18570237-DS-10,"e anterior right liver lobe is consistent with a simple cyst. 1 x 1 cm heterogenous lesion in the anterior ri" "Correct entity, wrong SNOMED ID","(4839, 4845)","(4839, 4845)",lesion,lesion,52988006,120609008,18570237-DS-10,"istent with a simple cyst. 1 x 1 cm heterogenous lesion in the anterior right lobe, too small to charact" Wrong span,"(4853, 4872)","(4853, 4861)",anterior right lobe,anterior,76919008,261123004,18570237-DS-10,"simple cyst. 1 x 1 cm heterogenous lesion in the anterior right lobe, too small to characterize. The gallbladder is c" Missed entity,"(4878, 4883)",,small,,30315005,,18570237-DS-10,"terogenous lesion in the anterior right lobe, too small to characterize. The gallbladder is contracted a" "Correct entity, wrong SNOMED ID","(4906, 4917)","(4906, 4917)",gallbladder,gallbladder,28231008,169010007,18570237-DS-10,"erior right lobe, too small to characterize. The gallbladder is contracted and contains shadowing stones. No " "Correct entity, wrong SNOMED ID","(4956, 4962)","(4956, 4962)",stones,stones,235919008,246433009,18570237-DS-10,"gallbladder is contracted and contains shadowing stones. No intrahepatic biliary duct dilation. The comm" Wrong span,"(4967, 4992)","(4967, 5001)",intrahepatic biliary duct,intrahepatic biliary duct dilation,90140006,111331000,18570237-DS-10," is contracted and contains shadowing stones. No intrahepatic biliary duct dilation. The common bile duct is dilated measur" Wrong span,"(4993, 5001)","(4967, 5001)",dilation,intrahepatic biliary duct dilation,25322007,111331000,18570237-DS-10,"s shadowing stones. No intrahepatic biliary duct dilation. The common bile duct is dilated measuring 1 cm " "Correct entity, wrong SNOMED ID","(5008, 5024)","(5008, 5024)",common bile duct,common bile duct,79741001,255086002,18570237-DS-10,"ones. No intrahepatic biliary duct dilation. The common bile duct is dilated measuring 1 cm at the porta hepatis. " "Correct entity, wrong SNOMED ID","(5028, 5035)","(5028, 5035)",dilated,dilated,25322007,37125009,18570237-DS-10,"c biliary duct dilation. The common bile duct is dilated measuring 1 cm at the porta hepatis. No evidence" "Correct entity, wrong SNOMED ID","(5058, 5071)","(5058, 5071)",porta hepatis,porta hepatis,11204002,245379008,18570237-DS-10,"common bile duct is dilated measuring 1 cm at the porta hepatis. No evidence of proximal CBD stones. The distal " Missed entity,"(5074, 5085)",,No evidence,,281900007,,18570237-DS-10," is dilated measuring 1 cm at the porta hepatis. No evidence of proximal CBD stones. The distal CBD cannot be " Wrong span,"(5089, 5101)","(5098, 5101)",proximal CBD,CBD,370099000,771981005,18570237-DS-10,"suring 1 cm at the porta hepatis. No evidence of proximal CBD stones. The distal CBD cannot be evaluated secon" "Correct entity, wrong SNOMED ID","(5102, 5108)","(5102, 5108)",stones,stones,307132003,246433009,18570237-DS-10,"t the porta hepatis. No evidence of proximal CBD stones. The distal CBD cannot be evaluated secondary to" Wrong span,"(5114, 5124)","(5121, 5124)",distal CBD,CBD,370101007,771981005,18570237-DS-10,"hepatis. No evidence of proximal CBD stones. The distal CBD cannot be evaluated secondary to overlying bowel" Wrong span,"(5169, 5178)","(5169, 5174)",bowel gas,bowel,300369005,30315005,18570237-DS-10,"l CBD cannot be evaluated secondary to overlying bowel gas. The pancreas appears normal; however, evaluati" "Correct entity, wrong SNOMED ID","(5184, 5192)","(5184, 5192)",pancreas,pancreas,15776009,64163001,18570237-DS-10," evaluated secondary to overlying bowel gas. The pancreas appears normal; however, evaluation is limited " Missed entity,"(5220, 5230)",,evaluation,,386053000,,18570237-DS-10,"owel gas. The pancreas appears normal; however, evaluation is limited secondary to overlying bowel gas. The" Wrong span,"(5265, 5274)","(5265, 5270)",bowel gas,bowel,300369005,30315005,18570237-DS-10,"ver, evaluation is limited secondary to overlying bowel gas. The portal vein is patent with normal hepatopet" "Correct entity, wrong SNOMED ID","(5281, 5292)","(5281, 5292)",portal vein,portal vein,32764006,70253006,18570237-DS-10,"is limited secondary to overlying bowel gas. The portal vein is patent with normal hepatopetal flow. No evide" Missed entity,"(5333, 5345)",,"No evidence",,281900007,,18570237-DS-10,"rtal vein is patent with normal hepatopetal flow. No evidence of right upper quadrant ascites. - IMPRESSION:" Wrong span,"(5349, 5370)","(5349, 5378)","right upper quadrant","right upper quadrant ascites",50519007,1237214003,18570237-DS-10,"ent with normal hepatopetal flow. No evidence of right upper quadrant ascites. - IMPRESSION: 1. Contracted gallbladde" Wrong span,"(5371, 5378)","(5349, 5378)",ascites,"right upper quadrant ascites",389026000,1237214003,18570237-DS-10,"petal flow. No evidence of right upper quadrant ascites. - IMPRESSION: 1. Contracted gallbladder with g" "Correct entity, wrong SNOMED ID","(5410, 5421)","(5410, 5421)",gallbladder,gallbladder,28231008,169010007,18570237-DS-10,"r quadrant ascites. - IMPRESSION: 1. Contracted gallbladder with gallstones. 2. Dilated common bile duct wit" "Correct entity, wrong SNOMED ID","(5427, 5437)","(5427, 5437)",gallstones,gallstones,235919008,390926006,18570237-DS-10,"s. - IMPRESSION: 1. Contracted gallbladder with gallstones. 2. Dilated common bile duct without evidence of" "Correct entity, wrong SNOMED ID","(5443, 5450)","(5443, 5450)",Dilated,Dilated,25322007,37125009,18570237-DS-10,"N: 1. Contracted gallbladder with gallstones. 2. Dilated common bile duct without evidence of proximal CBD" "Correct entity, wrong SNOMED ID","(5451, 5467)","(5451, 5467)",common bile duct,common bile duct,79741001,255086002,18570237-DS-10,"ntracted gallbladder with gallstones. 2. Dilated common bile duct without evidence of proximal CBD stone. The CBD " Wrong span,"(5488, 5500)","(5497, 5506)",proximal CBD,CBD stone,370099000,1162565008,18570237-DS-10," 2. Dilated common bile duct without evidence of proximal CBD stone. The CBD is difficult to evaluate, and if " Wrong span,"(5501, 5506)","(5497, 5506)",stone,CBD stone,56381008,1162565008,18570237-DS-10,"common bile duct without evidence of proximal CBD stone. The CBD is difficult to evaluate, and if clinic" "Correct entity, wrong SNOMED ID","(5513, 5516)","(5513, 5516)",CBD,CBD,79741001,771981005,18570237-DS-10,"duct without evidence of proximal CBD stone. The CBD is difficult to evaluate, and if clinically indic" "Correct entity, wrong SNOMED ID","(5573, 5575)","(5573, 5575)",CT,CT,169070004,241541005,18570237-DS-10,"ficult to evaluate, and if clinically indicated, CT or MRCP might be considered. 3. 1 x 1 cm indeter" Wrong span,"(5632, 5644)","(5632, 5637)",liver lesion,liver,300331000,80515008,18570237-DS-10,"P might be considered. 3. 1 x 1 cm indeterminate liver lesion. Liver MRI is recommmended for further work-up. " Missed entity,"(5685, 5692)",,work-up,,386053000,,18570237-DS-10,"er lesion. Liver MRI is recommmended for further work-up. ERCP ___: Cannulation of the biliary duct was" "Correct entity, wrong SNOMED ID","(5696, 5700)","(5696, 5700)",ERCP,ERCP,386718000,712470002,18570237-DS-10,"Liver MRI is recommmended for further work-up. ERCP ___: Cannulation of the biliary duct was perform" "Correct entity, wrong SNOMED ID","(5707, 5718)","(5707, 5718)",Cannulation,Cannulation,42825003,392231009,18570237-DS-10,"s recommmended for further work-up. ERCP ___: Cannulation of the biliary duct was performed with a sphinct" "Correct entity, wrong SNOMED ID","(5726, 5738)","(5726, 5738)",biliary duct,biliary duct,28273000,16014003,18570237-DS-10," further work-up. ERCP ___: Cannulation of the biliary duct was performed with a sphincterotome using a free" Missed entity,"(5761, 5775)",,sphincterotome,,174613007,,18570237-DS-10,"ulation of the biliary duct was performed with a sphincterotome using a free-hand technique A moderate diffuse d" Missed entity,"(5807, 5815)",,moderate,,162469005,,18570237-DS-10," a sphincterotome using a free-hand technique A moderate diffuse dilation was seen at the CBD with the CBD" "Correct entity, wrong SNOMED ID","(5824, 5832)","(5824, 5832)",dilation,dilation,25322007,37125009,18570237-DS-10,"e using a free-hand technique A moderate diffuse dilation was seen at the CBD with the CBD measuring 11 mm" "Correct entity, wrong SNOMED ID","(5849, 5852)","(5849, 5852)",CBD,CBD,79741001,771981005,18570237-DS-10,"ique A moderate diffuse dilation was seen at the CBD with the CBD measuring 11 mm. The gallbladder " "Correct entity, wrong SNOMED ID","(5862, 5865)","(5862, 5865)",CBD,CBD,79741001,771981005,18570237-DS-10,"ate diffuse dilation was seen at the CBD with the CBD measuring 11 mm. The gallbladder was filled wi" "Correct entity, wrong SNOMED ID","(5890, 5901)","(5890, 5901)",gallbladder,gallbladder,28231008,169010007,18570237-DS-10,"n at the CBD with the CBD measuring 11 mm. The gallbladder was filled with contrast and numerous stones wer" "Correct entity, wrong SNOMED ID","(5940, 5946)","(5940, 5946)",stones,stones,235919008,246433009,18570237-DS-10,"gallbladder was filled with contrast and numerous stones were noted within the gallbladder A single 7 mm" "Correct entity, wrong SNOMED ID","(5970, 5981)","(5970, 5981)",gallbladder,gallbladder,28231008,169010007,18570237-DS-10,"ntrast and numerous stones were noted within the gallbladder A single 7 mm round stone that was causing parti" "Correct entity, wrong SNOMED ID","(6003, 6008)","(6003, 6008)",stone,stone,56381008,246117004,18570237-DS-10,"noted within the gallbladder A single 7 mm round stone that was causing partial obstruction was seen at" Wrong span,"(6026, 6045)","(6026, 6033)",partial obstruction,partial,13705009,55322005,18570237-DS-10,"adder A single 7 mm round stone that was causing partial obstruction was seen at the biliary tree. A sphincterotomy" "Correct entity, wrong SNOMED ID","(6063, 6075)","(6063, 6075)",biliary tree,biliary tree,235918000,90140006,18570237-DS-10," was causing partial obstruction was seen at the biliary tree. A sphincterotomy was performed in the 12 o'clo" "Correct entity, wrong SNOMED ID","(6081, 6095)","(6081, 6095)",sphincterotomy,sphincterotomy,174613007,89770003,18570237-DS-10,"al obstruction was seen at the biliary tree. A sphincterotomy was performed in the 12 o'clock position using a" Missed entity,"(6146, 6160)",,sphincterotome,,174613007,,18570237-DS-10,"was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. The stone was extra" Wrong span,"(6195, 6214)","(6195, 6200)",stone was extracted,stone,708800006,246117004,18570237-DS-10," sphincterotome over an existing guidewire. The stone was extracted successfully using a balloon catheter Final occl" "Correct entity, wrong SNOMED ID","(6270, 6283)","(6270, 6283)",cholangiogram,cholangiogram,28367004,1351823007,18570237-DS-10,"ssfully using a balloon catheter Final occlusion cholangiogram did not reveal any further filling defects Othe" Missed entity,"(6311, 6327)",,"filling defects",,43468004,,18570237-DS-10,"cclusion cholangiogram did not reveal any further filling defects Otherwise normal ercp to third part of the duode" Missed entity,"(6339, 6345)",,normal,,281900007,,18570237-DS-10,"ot reveal any further filling defects Otherwise normal ercp to third part of the duodenum Brief Hospi" Missed entity,"(6346, 6350)",,ercp,,386718000,,18570237-DS-10,"al any further filling defects Otherwise normal ercp to third part of the duodenum Brief Hospital C" Wrong span,"(6354, 6380)","(6354, 6364)",third part of the duodenum,third part,72793003,272428001,18570237-DS-10,"urther filling defects Otherwise normal ercp to third part of the duodenum Brief Hospital Course: CHOLELITHIASIS/CHOLEDOC" "Correct entity, wrong SNOMED ID","(6407, 6421)","(6407, 6421)",CHOLELITHIASIS,CHOLELITHIASIS,266474003,407637009,18570237-DS-10,"rd part of the duodenum Brief Hospital Course: CHOLELITHIASIS/CHOLEDOCHOLITHIASIS WITH POSSIBLE LOW GRADE CHOL" Wrong span,"(6422, 6441)","(6422, 6424)",CHOLEDOCHOLITHIASIS,CH,307132003,395132000,18570237-DS-10,"duodenum Brief Hospital Course: CHOLELITHIASIS/CHOLEDOCHOLITHIASIS WITH POSSIBLE LOW GRADE CHOLANGITIS: treated wit" Wrong span,"(6467, 6478)","(6447, 6478)",CHOLANGITIS,"POSSIBLE LOW GRADE CHOLANGITIS",82403002,246181008,18570237-DS-10,"ASIS/CHOLEDOCHOLITHIASIS WITH POSSIBLE LOW GRADE CHOLANGITIS: treated with cipro/flagyl and ERCP with sphinct" Missed entity,"(6493, 6505)",,cipro/flagyl,,281789004,,18570237-DS-10,"ITH POSSIBLE LOW GRADE CHOLANGITIS: treated with cipro/flagyl and ERCP with sphincterotomy. Common duct stone" Wrong span,"(6510, 6535)","(6510, 6514)","ERCP with sphincterotomy",ERCP,174613007,449395004,18570237-DS-10,"GRADE CHOLANGITIS: treated with cipro/flagyl and ERCP with sphincterotomy. Common duct stone removed and the patient was " Wrong span,"(6538, 6555)","(6538, 6563)",Common duct stone,Common duct stone removed,307132003,65313007,18570237-DS-10,"with cipro/flagyl and ERCP with sphincterotomy. Common duct stone removed and the patient was noted to have signif" Wrong span,"(6556, 6563)","(6538, 6563)",removed,Common duct stone removed,384647004,65313007,18570237-DS-10,"and ERCP with sphincterotomy. Common duct stone removed and the patient was noted to have significant ch" "Correct entity, wrong SNOMED ID","(6611, 6625)","(6611, 6625)",cholelithiasis,cholelithiasis,266474003,407637009,18570237-DS-10,"ed and the patient was noted to have significant cholelithiasis. Symptoms initially resolved but had minimal pa" Missed entity,"(6665, 6672)",,minimal,,162468002,,18570237-DS-10,"elithiasis. Symptoms initially resolved but had minimal pain in her epigastrium 60 minutes post prandial" Wrong span,"(6673, 6696)","(6673, 6677)",pain in her epigastrium,pain,79922009,102570003,18570237-DS-10,"is. Symptoms initially resolved but had minimal pain in her epigastrium 60 minutes post prandial which was short lived. " "Correct entity, wrong SNOMED ID","(6774, 6788)","(6774, 6788)",cholelithiasis,cholelithiasis,266474003,407637009,18570237-DS-10,"hich was short lived. This is likely related to cholelithiasis. no recurrent fevers or nausea vomiting. Warni" "Correct entity, wrong SNOMED ID","(6804, 6810)","(6804, 6810)",fevers,fevers,386661006,248444008,18570237-DS-10," likely related to cholelithiasis. no recurrent fevers or nausea vomiting. Warning signs of worsened p" "Correct entity, wrong SNOMED ID","(6814, 6829)","(6814, 6829)",nausea vomiting,nausea vomiting,16932000,698861005,18570237-DS-10,"lated to cholelithiasis. no recurrent fevers or nausea vomiting. Warning signs of worsened pain, pain lasting m" "Correct entity, wrong SNOMED ID","(6841, 6846)","(6841, 6846)",signs,signs,72670004,86631001,18570237-DS-10,"no recurrent fevers or nausea vomiting. Warning signs of worsened pain, pain lasting more than 2 hours " "Correct entity, wrong SNOMED ID","(6859, 6863)","(6859, 6863)",pain,pain,21522001,102570003,18570237-DS-10,"s or nausea vomiting. Warning signs of worsened pain, pain lasting more than 2 hours or fevers or any" "Correct entity, wrong SNOMED ID","(6865, 6869)","(6865, 6869)",pain,pain,21522001,102570003,18570237-DS-10,"ausea vomiting. Warning signs of worsened pain, pain lasting more than 2 hours or fevers or any other" "Correct entity, wrong SNOMED ID","(6900, 6906)","(6900, 6906)",fevers,fevers,386661006,248444008,18570237-DS-10,"worsened pain, pain lasting more than 2 hours or fevers or any other concerning symptoms (vomiting, fever" "Correct entity, wrong SNOMED ID","(6941, 6949)","(6941, 6949)",vomiting,vomiting,422400008,162062008,18570237-DS-10,"ours or fevers or any other concerning symptoms (vomiting, fevers, abdominal swelling, etc) and she was to" "Correct entity, wrong SNOMED ID","(6951, 6957)","(6951, 6957)",fevers,fevers,386661006,248444008,18570237-DS-10,"evers or any other concerning symptoms (vomiting, fevers, abdominal swelling, etc) and she was told to re" "Correct entity, wrong SNOMED ID","(6960, 6978)","(6960, 6978)",abdominal swelling,abdominal swelling,60728008,10677871000119101,18570237-DS-10,"any other concerning symptoms (vomiting, fevers, abdominal swelling, etc) and she was told to return if these should" Missed entity,"(7095, 7104)",,outpt f/u,,737492002,,18570237-DS-10,"general surgery consult inpatient who recommened outpt f/u with Dr. ___ days after discharge to evaluate fo" "Correct entity, wrong SNOMED ID","(7156, 7171)","(7156, 7171)",cholecystectomy,cholecystectomy,38102005,428882003,18570237-DS-10,"ith Dr. ___ days after discharge to evaluate for cholecystectomy which she will likely require. She was discharge" "Correct entity, wrong SNOMED ID","(7252, 7263)","(7252, 7263)",antibiotics,antibiotics,281789004,372599003,18570237-DS-10," She was discharged with an additional 5 days of antibiotics for a total 7 day course. Medications on Adm" "Correct entity, wrong SNOMED ID","(7983, 8002)","(7983, 8002)",Choledocholithiasis,Choledocholithiasis,307132003,1084931000119109,18570237-DS-10,"n: Home Discharge Diagnosis: Primary Diagnosis: Choledocholithiasis Cholelithiasis Discharge Condition: Mental Sta" "Correct entity, wrong SNOMED ID","(8003, 8017)","(8003, 8017)",Cholelithiasis,Cholelithiasis,266474003,407637009,18570237-DS-10,"Diagnosis: Primary Diagnosis: Choledocholithiasis Cholelithiasis Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(8042, 8055)","(8042, 8055)",Mental Status,Mental Status,392257007,419284004,18570237-DS-10,"olithiasis Cholelithiasis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(8057, 8062)","(8057, 8062)",Clear,Clear,830123008,281278005,18570237-DS-10,"elithiasis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(8077, 8099)","(8077, 8099)",Level of Consciousness,Level of Consciousness,444714004,830285008,18570237-DS-10,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(8101, 8106)","(8101, 8106)",Alert,Alert,248234008,409787004,18570237-DS-10,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(8111, 8122)","(8111, 8122)",interactive,interactive,288577006,10301000202103,18570237-DS-10,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(8124, 8139)","(8124, 8139)",Activity Status,Activity Status,129676008,397622007,18570237-DS-10,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(8141, 8165)","(8141, 8165)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,18570237-DS-10,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: You were admitted to " Wrong span,"(8233, 8250)","(8233, 8242)",pain your abdomen,pain your,21522001,301373000,18570237-DS-10,"tructions: You were admitted to the hospital with pain your abdomen and found to have gallstones. You will need to h" "Correct entity, wrong SNOMED ID","(8270, 8280)","(8270, 8280)",gallstones,gallstones,235919008,390926006,18570237-DS-10,"ospital with pain your abdomen and found to have gallstones. You will need to have your gallbladder removed " "Correct entity, wrong SNOMED ID","(8309, 8329)","(8309, 8329)","gallbladder removed","gallbladder removed",38102005,89967006,18570237-DS-10,"nd to have gallstones. You will need to have your gallbladder removed surgically. Please make your scheduled appointme" Wrong span,"(8387, 8423)","(8398, 8409)","take your medications as prescribed",medications,394835006,395170001,18570237-DS-10,"lly. Please make your scheduled appointments and take your medications as prescribed. DO NOT take any ibuprofen, motrin, aleve, advil" Missed entity,"(8426, 8437)",,DO NOT take,,394835006,,18570237-DS-10,"tments and take your medications as prescribed. DO NOT take any ibuprofen, motrin, aleve, advil or aspirin fo" Missed entity,"(8477, 8484)",,aspirin,,431463004,,18570237-DS-10,"O NOT take any ibuprofen, motrin, aleve, advil or aspirin for the next 5 days. Followup Instructions: __" False positive,,"(178, 185)",,Tetanus,,13766008,18752997-DS-9," Sex: M Service: SURGERY Allergies: Tetanus / Morphine / Dilaudid Attending: ___. Chief C" False positive,,"(199, 207)",,Dilaudid,,66941007,18752997-DS-9,"rvice: SURGERY Allergies: Tetanus / Morphine / Dilaudid Attending: ___. Chief Complaint: abdominal pa" False positive,,"(641, 645)",,body,,125670008,18752997-DS-9,"representing 60% excess weight loss). His current body mass index is 33.2 kg per meter squared. He unfor" False positive,,"(1403, 1410)",,insight,,12200008,18752997-DS-9,"ert and oriented x3. His mood, affect, judgment, insight, and memory are within normal limits. Eyes: His" False positive,,"(1678, 1682)",,pink,,1004165009,18752997-DS-9,"ng, normal nose, normal mouth, and oropharynx was pink and moist. Tongue is midline. Neck: There are " False positive,,"(1687, 1692)",,moist,,289598001,18752997-DS-9,"l nose, normal mouth, and oropharynx was pink and moist. Tongue is midline. Neck: There are no masses." False positive,,"(1829, 1835)",,S1 and,,1827001,18752997-DS-9,"o auscultation. Heart: Regular rate and rhythm, S1 and S2 are normal. Abdomen: Soft, nontender, nondis" False positive,,"(1950, 1963)",,"upper midline",,3471002,18752997-DS-9,"is a large easily reducible midline hernia in the upper midline. Several defects are appreciated upon palpation." False positive,,"(1974, 1981)",,defects,,15462009,18752997-DS-9,"ble midline hernia in the upper midline. Several defects are appreciated upon palpation. They are all red" False positive,,"(2040, 2045)",,Shaft,,37111008,18752997-DS-9,"eciated upon palpation. They are all reducible. Shaft and testes are within normal limits. No inguinal" False positive,,"(4666, 4677)",,blood sugar,,271065008,18752997-DS-9,"ns: 1. glyburide Please hold glyburide until your blood sugar stabilizes. 2. Oxycodone-Acetaminophen ___ mg/5 m" False positive,,"(5953, 5959)",,cannot,,369712006,18752997-DS-9,"ng cough or wheezing. * If you are vomiting and cannot keep in fluids or your medications. * You are" False positive,,"(5985, 5996)",,medications,,129019007,18752997-DS-9," are vomiting and cannot keep in fluids or your medications. * You are getting dehydrated due to continued " False positive,,"(6667, 6677)",,Wound Care,,15502008,18752997-DS-9,"cise at your discretion, no abdominal exercises. Wound Care: You may shower, no tub baths or swimming. If th" False positive,,"(7016, 7018)",,JP,,257990004,18752997-DS-9,", redness, or drainage from the incision sites. JP Drain Care: *Please look at the site every day f" False positive,,"(7135, 7141)",,yellow,,111101002,18752997-DS-9,"tion (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *Ma" False positive,,"(7198, 7205)",,suction,,129112001,18752997-DS-9,"ody discharge, warm to touch, fever). *Maintain suction of the bulb. *Note color, consistency, and amoun" False positive,,"(7260, 7265)",,fluid,,109192009,18752997-DS-9,"he bulb. *Note color, consistency, and amount of fluid in the drain. Call the doctor, ___, or ___ nurse" False positive,,"(7273, 7278)",,drain,,258551007,18752997-DS-9,"te color, consistency, and amount of fluid in the drain. Call the doctor, ___, or ___ nurse if the amoun" False positive,,"(7674, 7679)",,drain,,258551007,18752997-DS-9,"merge yourself in water. *Make sure to keep the drain attached securely to your body to prevent pullin" False positive,,"(7723, 7730)",,pulling,,303372004,18752997-DS-9," drain attached securely to your body to prevent pulling or dislocation. General Drain Care: *Please loo" False positive,,"(7734, 7745)",,dislocation,,125171008,18752997-DS-9,"ched securely to your body to prevent pulling or dislocation. General Drain Care: *Please look at the site e" False positive,,"(7872, 7878)",,yellow,,111101002,18752997-DS-9,"tion (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *If" False positive,,"(8483, 8486)",,dis,,246082004,18752997-DS-9,"ched securely to your body to prevent pulling or dislocation. Followup Instructions: ___ " "Correct entity, wrong SNOMED ID","(188, 196)","(188, 196)",Morphine,Morphine,293601001,73572009,18752997-DS-9,"x: M Service: SURGERY Allergies: Tetanus / Morphine / Dilaudid Attending: ___. Chief Complaint: a" "Correct entity, wrong SNOMED ID","(245, 259)","(245, 259)",abdominal pain,abdominal pain,21522001,54586004,18752997-DS-9,"e / Dilaudid Attending: ___. Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: Status Po" Wrong span,"(312, 343)","(312, 333)",Ventral Hernia Repair with mesh,Ventral Hernia Repair,719283003,703945007,18752997-DS-9,"Major Surgical or Invasive Procedure: Status Post Ventral Hernia Repair with mesh and Panniculectomy Excision of umbilical stalk a" "Correct entity, wrong SNOMED ID","(348, 362)","(348, 362)",Panniculectomy,Panniculectomy,82839004,442399006,18752997-DS-9,": Status Post Ventral Hernia Repair with mesh and Panniculectomy Excision of umbilical stalk and skin. History" "Correct entity, wrong SNOMED ID","(364, 372)","(364, 372)",Excision,Excision,65801008,246159003,18752997-DS-9,"ntral Hernia Repair with mesh and Panniculectomy Excision of umbilical stalk and skin. History of Presen" Wrong span,"(376, 385)","(376, 391)",umbilical,umbilical stalk,90290004,1348261003,18752997-DS-9," Repair with mesh and Panniculectomy Excision of umbilical stalk and skin. History of Present Illness: Mr" "Correct entity, wrong SNOMED ID","(396, 400)","(396, 400)",skin,skin,39937001,444884003,18752997-DS-9,"d Panniculectomy Excision of umbilical stalk and skin. History of Present Illness: Mr. ___ is a ___ " Missed entity,"(467, 478)",,status post,,19585003,,18752997-DS-9,"resent Illness: Mr. ___ is a ___ gentleman who is status post open Roux-en-Y gastric bypass in ___. He subseque" Missed entity,"(533, 560)",,lost a great deal of weight,,309257005,,18752997-DS-9," Roux-en-Y gastric bypass in ___. He subsequently lost a great deal of weight total (a total of 86.3 pounds representing 60% ex" Missed entity,"(615, 626)",,weight loss,,89362005,,18752997-DS-9,"l (a total of 86.3 pounds representing 60% excess weight loss). His current body mass index is 33.2 kg per mete" "Correct entity, wrong SNOMED ID","(717, 734)","(717, 734)",incisional hernia,incisional hernia,236037000,414474001,18752997-DS-9," per meter squared. He unfortunately developed an incisional hernia as well as some excess skin. The risks and benefi" Wrong span,"(758, 762)","(751, 762)",skin,excess skin,39937001,13175001,18752997-DS-9,"loped an incisional hernia as well as some excess skin. The risks and benefits of surgery were Past M" "Correct entity, wrong SNOMED ID","(790, 797)","(790, 797)",surgery,surgery,387713003,110473004,18752997-DS-9,"ll as some excess skin. The risks and benefits of surgery were Past Medical History: HTN Diabetes PE s/p" "Correct entity, wrong SNOMED ID","(828, 831)","(828, 831)",HTN,HTN,38341003,10725009,18752997-DS-9,"benefits of surgery were Past Medical History: HTN Diabetes PE s/p gastric bypass ___ PE, on Coumadi" "Correct entity, wrong SNOMED ID","(832, 840)","(832, 840)",Diabetes,Diabetes,73211009,9414007,18752997-DS-9,"fits of surgery were Past Medical History: HTN Diabetes PE s/p gastric bypass ___ PE, on Coumadin for 6 m" "Correct entity, wrong SNOMED ID","(841, 843)","(841, 843)",PE,PE,59282003,20503002,18752997-DS-9,"urgery were Past Medical History: HTN Diabetes PE s/p gastric bypass ___ PE, on Coumadin for 6 mont" "Correct entity, wrong SNOMED ID","(848, 862)","(848, 862)",gastric bypass,gastric bypass,442338001,30803004,18752997-DS-9,"were Past Medical History: HTN Diabetes PE s/p gastric bypass ___ PE, on Coumadin for 6 months thereafter S/p " "Correct entity, wrong SNOMED ID","(867, 869)","(867, 869)",PE,PE,59282003,20503002,18752997-DS-9,"l History: HTN Diabetes PE s/p gastric bypass ___ PE, on Coumadin for 6 months thereafter S/p colon p" Wrong span,"(912, 923)","(912, 931)",colon polyp,colon polyp surgery,68496003,446472006,18752997-DS-9," ___ PE, on Coumadin for 6 months thereafter S/p colon polyp surgery / partial colonectomy S/p carpal tunnel r" Wrong span,"(924, 931)","(912, 931)",surgery,colon polyp surgery,387713003,446472006,18752997-DS-9,"Coumadin for 6 months thereafter S/p colon polyp surgery / partial colonectomy S/p carpal tunnel release b" "Correct entity, wrong SNOMED ID","(934, 953)","(934, 953)",partial colonectomy,partial colonectomy,43075005,428305005,18752997-DS-9,"or 6 months thereafter S/p colon polyp surgery / partial colonectomy S/p carpal tunnel release bilat Migraines ALLERG" "Correct entity, wrong SNOMED ID","(958, 979)","(958, 979)",carpal tunnel release,carpal tunnel release,47534009,1303622000,18752997-DS-9,"S/p colon polyp surgery / partial colonectomy S/p carpal tunnel release bilat Migraines ALLERGY: Horse tetanus serum S" "Correct entity, wrong SNOMED ID","(986, 995)","(986, 995)",Migraines,Migraines,37796009,193039006,18752997-DS-9,"rtial colonectomy S/p carpal tunnel release bilat Migraines ALLERGY: Horse tetanus serum Social History: _" Missed entity,"(997, 1004)",,ALLERGY,,609328004,,18752997-DS-9,"ectomy S/p carpal tunnel release bilat Migraines ALLERGY: Horse tetanus serum Social History: ___ Family" Wrong span,"(1012, 1025)","(1012, 1019)",tetanus serum,tetanus,294638006,13766008,18752997-DS-9,"al tunnel release bilat Migraines ALLERGY: Horse tetanus serum Social History: ___ Family History: Mother: ___" "Correct entity, wrong SNOMED ID","(1100, 1110)","(1100, 1110)",heart rate,heart rate,301113001,76863003,18752997-DS-9,"mily History: Mother: ___ bilat Physical Exam: heart rate is 61, blood pressure is 122/84, saturation 98% o" "Correct entity, wrong SNOMED ID","(1118, 1132)","(1118, 1132)",blood pressure,blood pressure,392570002,50723001,18752997-DS-9,"er: ___ bilat Physical Exam: heart rate is 61, blood pressure is 122/84, saturation 98% on room air. He curren" Wrong span,"(1144, 1170)","(1144, 1154)",saturation 98% on room air,saturation,448225001,165730006,18752997-DS-9,"xam: heart rate is 61, blood pressure is 122/84, saturation 98% on room air. He currently weighs 238 pounds, which represent" "Correct entity, wrong SNOMED ID","(1323, 1330)","(1323, 1330)",surgery,surgery,387713003,110473004,18752997-DS-9,"s ago but overall, about 80 pounds lost since his surgery. In general, he is alert and oriented x3. His m" Wrong span,"(1361, 1369)","(1361, 1372)",oriented,oriented x3,247663003,311552005,18752997-DS-9,"t since his surgery. In general, he is alert and oriented x3. His mood, affect, judgment, insight, and mem" "Correct entity, wrong SNOMED ID","(1379, 1383)","(1379, 1383)",mood,mood,134417007,709488003,18752997-DS-9,"y. In general, he is alert and oriented x3. His mood, affect, judgment, insight, and memory are within" "Correct entity, wrong SNOMED ID","(1385, 1391)","(1385, 1391)",affect,affect,106131003,80608005,18752997-DS-9," general, he is alert and oriented x3. His mood, affect, judgment, insight, and memory are within normal " "Correct entity, wrong SNOMED ID","(1393, 1401)","(1393, 1401)",judgment,judgment,709134004,162327005,18752997-DS-9,", he is alert and oriented x3. His mood, affect, judgment, insight, and memory are within normal limits. E" Wrong span,"(1416, 1447)","(1416, 1422)",memory are within normal limits,memory,247602005,386807006,18752997-DS-9,"ted x3. His mood, affect, judgment, insight, and memory are within normal limits. Eyes: His conjunctivae are pink. His sclerae " "Correct entity, wrong SNOMED ID","(1450, 1454)","(1450, 1454)",Eyes,Eyes,36228007,1285599008,18752997-DS-9,"t, insight, and memory are within normal limits. Eyes: His conjunctivae are pink. His sclerae are ani" "Correct entity, wrong SNOMED ID","(1461, 1473)","(1461, 1473)",conjunctivae,conjunctivae,29445007,68579001,18752997-DS-9," and memory are within normal limits. Eyes: His conjunctivae are pink. His sclerae are anicteric. His pupils" Wrong span,"(1489, 1510)","(1489, 1496)",sclerae are anicteric,sclerae,427801009,427801009,18752997-DS-9,"l limits. Eyes: His conjunctivae are pink. His sclerae are anicteric. His pupils are equal, round and reactive to lig" Wrong span,"(1517, 1580)","(1517, 1523)","pupils are equal, round and reactive to light and accommodation",pupils,386667005,363955005,18752997-DS-9,"ctivae are pink. His sclerae are anicteric. His pupils are equal, round and reactive to light and accommodation. Ears, nose, mouth, and throat: Normal hearing" "Correct entity, wrong SNOMED ID","(1584, 1588)","(1584, 1588)",Ears,Ears,117590005,300088007,18752997-DS-9," round and reactive to light and accommodation. Ears, nose, mouth, and throat: Normal hearing, normal" Boundary error,"(1590, 1594)","(1590, 1595)",nose,"nose,",45206002,60897004,18752997-DS-9," and reactive to light and accommodation. Ears, nose, mouth, and throat: Normal hearing, normal nose," Wrong span,"(1596, 1601)","(1596, 1606)",mouth,"mouth, and",123851003,59611000087105,18752997-DS-9,"eactive to light and accommodation. Ears, nose, mouth, and throat: Normal hearing, normal nose, normal" "Correct entity, wrong SNOMED ID","(1607, 1613)","(1607, 1613)",throat,throat,49928004,267102003,18752997-DS-9,"light and accommodation. Ears, nose, mouth, and throat: Normal hearing, normal nose, normal mouth, and " "Correct entity, wrong SNOMED ID","(1616, 1630)","(1616, 1630)",Normal hearing,Normal hearing,162339002,425091001,18752997-DS-9," accommodation. Ears, nose, mouth, and throat: Normal hearing, normal nose, normal mouth, and oropharynx was pi" Wrong span,"(1639, 1643)","(1632, 1643)",nose,normal nose,45206002,168562006,18752997-DS-9," nose, mouth, and throat: Normal hearing, normal nose, normal mouth, and oropharynx was pink and moist." Wrong span,"(1652, 1657)","(1645, 1657)",mouth,normal mouth,123851003,299901006,18752997-DS-9," and throat: Normal hearing, normal nose, normal mouth, and oropharynx was pink and moist. Tongue is mi" "Correct entity, wrong SNOMED ID","(1663, 1673)","(1663, 1673)",oropharynx,oropharynx,31389004,263376008,18752997-DS-9,": Normal hearing, normal nose, normal mouth, and oropharynx was pink and moist. Tongue is midline. Neck: T" Wrong span,"(1695, 1701)","(1695, 1712)",Tongue,"Tongue is midline",21974007,275397008,18752997-DS-9,"normal mouth, and oropharynx was pink and moist. Tongue is midline. Neck: There are no masses. Respira" "Correct entity, wrong SNOMED ID","(1715, 1719)","(1715, 1719)",Neck,Neck,5880005,229320006,18752997-DS-9,"opharynx was pink and moist. Tongue is midline. Neck: There are no masses. Respiratory: Breath soun" "Correct entity, wrong SNOMED ID","(1735, 1741)","(1735, 1741)",masses,masses,299703001,237557003,18752997-DS-9,"d moist. Tongue is midline. Neck: There are no masses. Respiratory: Breath sounds clear to auscultati" "Correct entity, wrong SNOMED ID","(1796, 1801)","(1796, 1801)",Heart,Heart,363003006,22298006,18752997-DS-9,"spiratory: Breath sounds clear to auscultation. Heart: Regular rate and rhythm, S1 and S2 are normal. " "Correct entity, wrong SNOMED ID","(1804, 1827)","(1804, 1827)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,18752997-DS-9,"y: Breath sounds clear to auscultation. Heart: Regular rate and rhythm, S1 and S2 are normal. Abdomen: Soft, nontender" Wrong span,"(1836, 1838)","(1836, 1849)",S2,S2 are normal,111974005,165467004,18752997-DS-9,"ltation. Heart: Regular rate and rhythm, S1 and S2 are normal. Abdomen: Soft, nontender, nondisten" "Correct entity, wrong SNOMED ID","(1852, 1859)","(1852, 1859)",Abdomen,Abdomen,225162003,75093004,18752997-DS-9," Regular rate and rhythm, S1 and S2 are normal. Abdomen: Soft, nontender, nondistended. There is a larg" "Correct entity, wrong SNOMED ID","(1868, 1877)","(1868, 1877)",nontender,nontender,43478001,413319007,18752997-DS-9,"nd rhythm, S1 and S2 are normal. Abdomen: Soft, nontender, nondistended. There is a large easily reducible" "Correct entity, wrong SNOMED ID","(1879, 1891)","(1879, 1891)",nondistended,nondistended,300405003,441380004,18752997-DS-9,"S1 and S2 are normal. Abdomen: Soft, nontender, nondistended. There is a large easily reducible midline herni" Wrong span,"(1918, 1942)","(1936, 1942)",reducible midline hernia,hernia,125262007,84089009,18752997-DS-9,"nontender, nondistended. There is a large easily reducible midline hernia in the upper midline. Several defects are apprec" "Correct entity, wrong SNOMED ID","(2003, 2012)","(2003, 2012)",palpation,palpation,113011001,51558006,18752997-DS-9,"er midline. Several defects are appreciated upon palpation. They are all reducible. Shaft and testes are w" "Correct entity, wrong SNOMED ID","(2050, 2056)","(2050, 2056)",testes,testes,40689003,63901009,18752997-DS-9,"on palpation. They are all reducible. Shaft and testes are within normal limits. No inguinal hernias ar" "Correct entity, wrong SNOMED ID","(2087, 2103)","(2087, 2103)",inguinal hernias,inguinal hernias,396232000,1171000119108,18752997-DS-9,". Shaft and testes are within normal limits. No inguinal hernias are noted. He has a large amount of redundant sk" Wrong span,"(2141, 2155)","(2141, 2150)",redundant skin,redundant,201093004,105498005,18752997-DS-9,"inal hernias are noted. He has a large amount of redundant skin overhanging his waistline. There is no obvious e" "Correct entity, wrong SNOMED ID","(2216, 2231)","(2216, 2231)",skin irritation,skin irritation,367466007,897286005,18752997-DS-9,"g his waistline. There is no obvious evidence of skin irritation. Cranial nerves II through XII are grossly intac" "Correct entity, wrong SNOMED ID","(2234, 2251)","(2234, 2251)",Cranial nerves II,Cranial nerves II,18234004,24777009,18752997-DS-9,"There is no obvious evidence of skin irritation. Cranial nerves II through XII are grossly intact. Musculoskeletal:" "Correct entity, wrong SNOMED ID","(2260, 2263)","(2260, 2263)",XII,XII,37899009,738500000,18752997-DS-9,"ce of skin irritation. Cranial nerves II through XII are grossly intact. Musculoskeletal: He has ful" "Correct entity, wrong SNOMED ID","(2268, 2282)","(2268, 2282)",grossly intact,grossly intact,18460000,125215000,18752997-DS-9,"in irritation. Cranial nerves II through XII are grossly intact. Musculoskeletal: He has full range of motion " "Correct entity, wrong SNOMED ID","(2285, 2300)","(2285, 2300)",Musculoskeletal,Musculoskeletal,363215001,241562006,18752997-DS-9,"ranial nerves II through XII are grossly intact. Musculoskeletal: He has full range of motion in his upper extre" "Correct entity, wrong SNOMED ID","(2339, 2356)","(2339, 2356)",upper extremities,upper extremities,53120007,90909003,18752997-DS-9,"uloskeletal: He has full range of motion in his upper extremities, lower extremities, head, neck, spine, ribs, and " "Correct entity, wrong SNOMED ID","(2358, 2375)","(2358, 2375)",lower extremities,lower extremities,61685007,58517005,18752997-DS-9,"s full range of motion in his upper extremities, lower extremities, head, neck, spine, ribs, and pelvis. His gait i" "Correct entity, wrong SNOMED ID","(2377, 2381)","(2377, 2381)",head,head,69536005,1230043004,18752997-DS-9,"ion in his upper extremities, lower extremities, head, neck, spine, ribs, and pelvis. His gait is norm" "Correct entity, wrong SNOMED ID","(2383, 2387)","(2383, 2387)",neck,neck,45048000,840674001,18752997-DS-9,"n his upper extremities, lower extremities, head, neck, spine, ribs, and pelvis. His gait is normal. S" "Correct entity, wrong SNOMED ID","(2389, 2394)","(2389, 2394)",spine,spine,421060004,51282000,18752997-DS-9,"upper extremities, lower extremities, head, neck, spine, ribs, and pelvis. His gait is normal. Skin: T" "Correct entity, wrong SNOMED ID","(2396, 2400)","(2396, 2400)",ribs,ribs,113197003,249704008,18752997-DS-9,"xtremities, lower extremities, head, neck, spine, ribs, and pelvis. His gait is normal. Skin: There a" "Correct entity, wrong SNOMED ID","(2406, 2412)","(2406, 2412)",pelvis,pelvis,12921003,25990002,18752997-DS-9,", lower extremities, head, neck, spine, ribs, and pelvis. His gait is normal. Skin: There are no rashes" "Correct entity, wrong SNOMED ID","(2419, 2433)","(2419, 2433)",gait is normal,gait is normal,8117002,401210006,18752997-DS-9,"mities, head, neck, spine, ribs, and pelvis. His gait is normal. Skin: There are no rashes. There is no eviden" "Correct entity, wrong SNOMED ID","(2436, 2440)","(2436, 2440)",Skin,Skin,271303006,444884003,18752997-DS-9,"k, spine, ribs, and pelvis. His gait is normal. Skin: There are no rashes. There is no evidence of a" "Correct entity, wrong SNOMED ID","(2456, 2462)","(2456, 2462)",rashes,rashes,271807003,247472004,18752997-DS-9,"pelvis. His gait is normal. Skin: There are no rashes. There is no evidence of abnormality. Pertine" Wrong span,"(2474, 2500)","(2474, 2485)",no evidence of abnormality,no evidence,281900007,41647002,18752997-DS-9,"is normal. Skin: There are no rashes. There is no evidence of abnormality. Pertinent Results: ___ 03:40PM BLOOD Hct-34.6" "Correct entity, wrong SNOMED ID","(2542, 2545)","(2542, 2545)",Hct,Hct,28317006,282660005,18752997-DS-9,"ormality. Pertinent Results: ___ 03:40PM BLOOD Hct-34.6* ___ 07:30AM BLOOD WBC-6.4 RBC-3.53* Hgb-10." "Correct entity, wrong SNOMED ID","(2570, 2573)","(2570, 2573)",WBC,WBC,767002,391558003,18752997-DS-9,"ts: ___ 03:40PM BLOOD Hct-34.6* ___ 07:30AM BLOOD WBC-6.4 RBC-3.53* Hgb-10.4* Hct-31.3* MCV-88 MCH-29." "Correct entity, wrong SNOMED ID","(2578, 2581)","(2578, 2581)",RBC,RBC,14089001,258759006,18752997-DS-9,"03:40PM BLOOD Hct-34.6* ___ 07:30AM BLOOD WBC-6.4 RBC-3.53* Hgb-10.4* Hct-31.3* MCV-88 MCH-29.6 MCHC-3" "Correct entity, wrong SNOMED ID","(2588, 2591)","(2588, 2591)",Hgb,Hgb,441689006,104142005,18752997-DS-9,"OOD Hct-34.6* ___ 07:30AM BLOOD WBC-6.4 RBC-3.53* Hgb-10.4* Hct-31.3* MCV-88 MCH-29.6 MCHC-33.4 RDW-13" "Correct entity, wrong SNOMED ID","(2598, 2601)","(2598, 2601)",Hct,Hct,28317006,282660005,18752997-DS-9,".6* ___ 07:30AM BLOOD WBC-6.4 RBC-3.53* Hgb-10.4* Hct-31.3* MCV-88 MCH-29.6 MCHC-33.4 RDW-13.1 Plt ___" "Correct entity, wrong SNOMED ID","(2625, 2629)","(2625, 2629)",MCHC,MCHC,37254006,735147002,18752997-DS-9,".4 RBC-3.53* Hgb-10.4* Hct-31.3* MCV-88 MCH-29.6 MCHC-33.4 RDW-13.1 Plt ___ ___ 07:30AM BLOOD Glucose-1" "Correct entity, wrong SNOMED ID","(2670, 2677)","(2670, 2677)",Glucose,Glucose,33747003,72191006,18752997-DS-9,"29.6 MCHC-33.4 RDW-13.1 Plt ___ ___ 07:30AM BLOOD Glucose-138* UreaN-15 Creat-1.2 Na-136 K-4.4 Cl-97 HCO3-" "Correct entity, wrong SNOMED ID","(2683, 2688)","(2683, 2688)",UreaN,UreaN,105011006,111108008,18752997-DS-9,"4 RDW-13.1 Plt ___ ___ 07:30AM BLOOD Glucose-138* UreaN-15 Creat-1.2 Na-136 K-4.4 Cl-97 HCO3-26 AnGap-17" "Correct entity, wrong SNOMED ID","(2692, 2697)","(2692, 2697)",Creat,Creat,70901006,413856009,18752997-DS-9,"1 Plt ___ ___ 07:30AM BLOOD Glucose-138* UreaN-15 Creat-1.2 Na-136 K-4.4 Cl-97 HCO3-26 AnGap-17 ___ 07:3" "Correct entity, wrong SNOMED ID","(2702, 2704)","(2702, 2704)",Na,Na,312469006,257992007,18752997-DS-9,"___ 07:30AM BLOOD Glucose-138* UreaN-15 Creat-1.2 Na-136 K-4.4 Cl-97 HCO3-26 AnGap-17 ___ 07:30AM BLO" "Correct entity, wrong SNOMED ID","(2716, 2718)","(2716, 2718)",Cl,Cl,104589004,311741002,18752997-DS-9,"OOD Glucose-138* UreaN-15 Creat-1.2 Na-136 K-4.4 Cl-97 HCO3-26 AnGap-17 ___ 07:30AM BLOOD Calcium-8.6" "Correct entity, wrong SNOMED ID","(2722, 2726)","(2722, 2726)",HCO3,HCO3,312471006,88645003,18752997-DS-9,"ucose-138* UreaN-15 Creat-1.2 Na-136 K-4.4 Cl-97 HCO3-26 AnGap-17 ___ 07:30AM BLOOD Calcium-8.6 Phos-1." "Correct entity, wrong SNOMED ID","(2730, 2735)","(2730, 2735)",AnGap,AnGap,25469001,124504004,18752997-DS-9,"8* UreaN-15 Creat-1.2 Na-136 K-4.4 Cl-97 HCO3-26 AnGap-17 ___ 07:30AM BLOOD Calcium-8.6 Phos-1.4*# Mg-1." "Correct entity, wrong SNOMED ID","(2757, 2764)","(2757, 2764)",Calcium,Calcium,312472004,108601004,18752997-DS-9,"6 K-4.4 Cl-97 HCO3-26 AnGap-17 ___ 07:30AM BLOOD Calcium-8.6 Phos-1.4*# Mg-1.7 Brief Hospital Course: Pa" "Correct entity, wrong SNOMED ID","(2769, 2773)","(2769, 2773)",Phos,Phos,104868000,168075002,18752997-DS-9,"97 HCO3-26 AnGap-17 ___ 07:30AM BLOOD Calcium-8.6 Phos-1.4*# Mg-1.7 Brief Hospital Course: Patient adm" "Correct entity, wrong SNOMED ID","(2780, 2782)","(2780, 2782)",Mg,Mg,271285000,258684004,18752997-DS-9,"AnGap-17 ___ 07:30AM BLOOD Calcium-8.6 Phos-1.4*# Mg-1.7 Brief Hospital Course: Patient admitted and" Wrong span,"(2846, 2881)","(2846, 2870)","incisional hernia repair with mesh",incisional hernia repair,771856008,238189001,18752997-DS-9,"ospital Course: Patient admitted and underwent an incisional hernia repair with mesh, Abdominal panniculectomy, and Repair of internal" Wrong span,"(2893, 2907)","(2883, 2907)",panniculectomy,Abdominal panniculectomy,82839004,442399006,18752997-DS-9,"an incisional hernia repair with mesh, Abdominal panniculectomy, and Repair of internal hernia at the jejunojeju" Wrong span,"(2913, 2919)","(2913, 2922)",Repair,Repair of,4365001,4365001,18752997-DS-9," repair with mesh, Abdominal panniculectomy, and Repair of internal hernia at the jejunojejunostomy anas" "Correct entity, wrong SNOMED ID","(2923, 2938)","(2923, 2938)",internal hernia,internal hernia,30477007,236042008,18752997-DS-9,"th mesh, Abdominal panniculectomy, and Repair of internal hernia at the jejunojejunostomy anastomosis. Postoperat" "Correct entity, wrong SNOMED ID","(2947, 2976)","(2947, 2976)",jejunojejunostomy anastomosis,jejunojejunostomy anastomosis,60892005,304116008,18752997-DS-9,"iculectomy, and Repair of internal hernia at the jejunojejunostomy anastomosis. Postoperatively patient's umbilicus became very" "Correct entity, wrong SNOMED ID","(3005, 3014)","(3005, 3014)",umbilicus,umbilicus,78220002,315003,18752997-DS-9,"junostomy anastomosis. Postoperatively patient's umbilicus became very dark and patient was taken back to th" "Correct entity, wrong SNOMED ID","(3120, 3127)","(3120, 3127)",removed,removed,118292001,246162000,18752997-DS-9,"rating room on postoperative day one to have that removed. Patient did well with progression to a bariatri" Missed entity,"(3167, 3178)",,a bariatric,,430715008,,18752997-DS-9,"at removed. Patient did well with progression to a bariatric stage 5 diet. He will be discharged today with f" "Correct entity, wrong SNOMED ID","(3187, 3191)","(3187, 3191)",diet,diet,41829006,1217196000,18752997-DS-9," did well with progression to a bariatric stage 5 diet. He will be discharged today with follow up appo" Missed entity,"(3301, 3320)",,"jp drains in place",,705084002,,18752997-DS-9,"th Dr. ___ in one week. He will go home with his jp drains in place with monitoring from ___. Recommended that patien" Missed entity,"(3372, 3382)",,"follow up",,406151001,,18752997-DS-9,"ith monitoring from ___. Recommended that patient follow up with his endocrinologist regarding decreasing his" Wrong span,"(3418, 3461)","(3433, 3453)","decreasing his diabetic medication regimen","diabetic medication",394725008,237599002,18752997-DS-9,"ent follow up with his endocrinologist regarding decreasing his diabetic medication regimen. He will hold his glyburide for now. Also discus" Wrong span,"(3581, 3635)","(3594, 3605)","decrease his cholesterol and hypertensive medications",cholesterol,473225006,13644009,18752997-DS-9,"d to follow up with his primary care provider to decrease his cholesterol and hypertensive medications. Medications on Admission: GLYBURIDE - (Presc" Missed entity,"(4262, 4264)",,mg,,271285000,,18752997-DS-9,"ITRATE +] - (Prescribed by Other Provider) - 315 mg-200 unit Tablet - 2 Tablet(s) by mouth daily CYAN" "Correct entity, wrong SNOMED ID","(5271, 5288)","(5271, 5288)",Home With Service,Home With Service,385783005,710242005,18752997-DS-9,"utaneous at bedtime. Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: Ventral he" "Correct entity, wrong SNOMED ID","(5328, 5349)","(5328, 5349)",Ventral hernia repair,Ventral hernia repair,238192002,703945007,18752997-DS-9,"th Service Facility: ___ Discharge Diagnosis: Ventral hernia repair with panniculectomy Ischemic umbilicus Dischar" "Correct entity, wrong SNOMED ID","(5355, 5369)","(5355, 5369)",panniculectomy,panniculectomy,82839004,442399006,18752997-DS-9," Discharge Diagnosis: Ventral hernia repair with panniculectomy Ischemic umbilicus Discharge Condition: Stable" Wrong span,"(5370, 5378)","(5370, 5388)",Ischemic,Ischemic umbilicus,52674009,200660001,18752997-DS-9,"gnosis: Ventral hernia repair with panniculectomy Ischemic umbilicus Discharge Condition: Stable Disch" Wrong span,"(5379, 5388)","(5370, 5388)",umbilicus,Ischemic umbilicus,78220002,200660001,18752997-DS-9,"entral hernia repair with panniculectomy Ischemic umbilicus Discharge Condition: Stable Discharge Instr" "Correct entity, wrong SNOMED ID","(5413, 5419)","(5413, 5419)",Stable,Stable,359746009,301459008,18752997-DS-9,"ectomy Ischemic umbilicus Discharge Condition: Stable Discharge Instructions: You are being discharg" "Correct entity, wrong SNOMED ID","(5500, 5504)","(5500, 5504)",pain,pain,22253000,102570003,18752997-DS-9," are being discharged on medications to treat the pain from your operation. These medications will make" "Correct entity, wrong SNOMED ID","(5516, 5525)","(5516, 5525)",operation,operation,387713003,161615003,18752997-DS-9,"arged on medications to treat the pain from your operation. These medications will make you drowsy and impa" Wrong span,"(5571, 5644)","(5571, 5615)","impair your ability to drive a motor vehicle or operate machinery safely",impair your ability to drive a motor vehicle,426786003,300638003,18752997-DS-9,"tion. These medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. You MUST refrain from such activities while ta" "Correct entity, wrong SNOMED ID","(5837, 5847)","(5837, 5847)",chest pain,chest pain,29857009,102589003,18752997-DS-9,"ave any of the following: * You experience new chest pain, pressure, squeezing or tightness. * New or w" "Correct entity, wrong SNOMED ID","(5849, 5857)","(5849, 5857)",pressure,pressure,23924001,1264052006,18752997-DS-9,"he following: * You experience new chest pain, pressure, squeezing or tightness. * New or worsening c" "Correct entity, wrong SNOMED ID","(5859, 5868)","(5859, 5868)",squeezing,squeezing,371030007,242002003,18752997-DS-9,"ng: * You experience new chest pain, pressure, squeezing or tightness. * New or worsening cough or whe" "Correct entity, wrong SNOMED ID","(5906, 5911)","(5906, 5911)",cough,cough,49727002,28743005,18752997-DS-9,"e, squeezing or tightness. * New or worsening cough or wheezing. * If you are vomiting and cannot k" "Correct entity, wrong SNOMED ID","(5915, 5923)","(5915, 5923)",wheezing,wheezing,56018004,9763007,18752997-DS-9,"ing or tightness. * New or worsening cough or wheezing. * If you are vomiting and cannot keep in fluid" "Correct entity, wrong SNOMED ID","(5940, 5948)","(5940, 5948)",vomiting,vomiting,422400008,162062008,18752997-DS-9,"ew or worsening cough or wheezing. * If you are vomiting and cannot keep in fluids or your medications. " "Correct entity, wrong SNOMED ID","(6018, 6028)","(6018, 6028)",dehydrated,dehydrated,34095006,190894003,18752997-DS-9,"fluids or your medications. * You are getting dehydrated due to continued vomiting, diarrhea or other re" "Correct entity, wrong SNOMED ID","(6046, 6054)","(6046, 6054)",vomiting,vomiting,422400008,162062008,18752997-DS-9,". * You are getting dehydrated due to continued vomiting, diarrhea or other reasons. Signs of dehydratio" "Correct entity, wrong SNOMED ID","(6058, 6066)","(6058, 6066)",diarrhea,diarrhea,62315008,111843007,18752997-DS-9,"e getting dehydrated due to continued vomiting, diarrhea or other reasons. Signs of dehydration include dr" "Correct entity, wrong SNOMED ID","(6085, 6090)","(6085, 6090)",Signs,Signs,72670004,86631001,18752997-DS-9," continued vomiting, diarrhea or other reasons. Signs of dehydration include dry mouth, rapid heartbe" "Correct entity, wrong SNOMED ID","(6094, 6105)","(6094, 6105)",dehydration,dehydration,34095006,1611000119108,18752997-DS-9,"d vomiting, diarrhea or other reasons. Signs of dehydration include dry mouth, rapid heartbeat or feeling d" "Correct entity, wrong SNOMED ID","(6114, 6125)","(6114, 6125)","dry mouth","dry mouth",87715008,284831000,18752997-DS-9,"ea or other reasons. Signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when s" "Correct entity, wrong SNOMED ID","(6127, 6142)","(6127, 6142)",rapid heartbeat,rapid heartbeat,3424008,361134000,18752997-DS-9,"easons. Signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * You " "Correct entity, wrong SNOMED ID","(6154, 6159)","(6154, 6159)",dizzy,dizzy,404640003,1141711004,18752997-DS-9,"n include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * You see blood or dark" "Correct entity, wrong SNOMED ID","(6174, 6182)","(6174, 6182)",standing,standing,10904000,249902000,18752997-DS-9,"h, rapid heartbeat or feeling dizzy or faint when standing. * You see blood or dark/black material when yo" Wrong span,"(6196, 6239)","(6196, 6201)",blood or dark/black material when you vomit,blood,300361008,8765009,18752997-DS-9,"feeling dizzy or faint when standing. * You see blood or dark/black material when you vomit or have a bowel movement. * You have shaking" "Correct entity, wrong SNOMED ID","(6252, 6266)","(6252, 6266)",bowel movement,bowel movement,405729008,398032003,18752997-DS-9,"or dark/black material when you vomit or have a bowel movement. * You have shaking chills, or a fever greater" "Correct entity, wrong SNOMED ID","(6282, 6289)","(6282, 6289)",shaking,shaking,26079004,247819009,18752997-DS-9,"u vomit or have a bowel movement. * You have shaking chills, or a fever greater than 101.5 (F) degre" "Correct entity, wrong SNOMED ID","(6290, 6296)","(6290, 6296)",chills,chills,43724002,274640006,18752997-DS-9,"or have a bowel movement. * You have shaking chills, or a fever greater than 101.5 (F) degrees or 3" "Correct entity, wrong SNOMED ID","(6303, 6308)","(6303, 6308)",fever,fever,386661006,248430002,18752997-DS-9,"owel movement. * You have shaking chills, or a fever greater than 101.5 (F) degrees or 38(C) degrees" "Correct entity, wrong SNOMED ID","(6613, 6621)","(6613, 6621)",exercise,exercise,226029000,102533007,18752997-DS-9," ___ pounds for 6 weeks. You may resume moderate exercise at your discretion, no abdominal exercises. Woun" "Correct entity, wrong SNOMED ID","(6645, 6664)","(6645, 6664)",abdominal exercises,abdominal exercises,229144001,229145000,18752997-DS-9," resume moderate exercise at your discretion, no abdominal exercises. Wound Care: You may shower, no tub baths or swi" "Correct entity, wrong SNOMED ID","(6740, 6748)","(6740, 6748)",drainage,drainage,75823008,56783008,18752997-DS-9,"wer, no tub baths or swimming. If there is clear drainage from your incisions, cover with clean, dry gauze" "Correct entity, wrong SNOMED ID","(6759, 6768)","(6759, 6768)",incisions,incisions,34896006,278721002,18752997-DS-9,"r swimming. If there is clear drainage from your incisions, cover with clean, dry gauze. Your steri-strips" Missed entity,"(6770, 6798)",,"cover with clean, dry gauze",,3895009,,18752997-DS-9," If there is clear drainage from your incisions, cover with clean, dry gauze. Your steri-strips will fall off on their own. P" "Correct entity, wrong SNOMED ID","(6898, 6905)","(6898, 6905)",surgery,surgery,387713003,110473004,18752997-DS-9,"lease remove any remaining strips ___ days after surgery. Please call the doctor if you have increased pai" Wrong span,"(6942, 6956)","(6952, 6956)",increased pain,pain,1144586002,102570003,18752997-DS-9,"after surgery. Please call the doctor if you have increased pain, swelling, redness, or drainage from the incisio" "Correct entity, wrong SNOMED ID","(6958, 6966)","(6958, 6966)",swelling,swelling,442672001,300890009,18752997-DS-9,"lease call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. " "Correct entity, wrong SNOMED ID","(6969, 6976)","(6969, 6976)",redness,redness,822962003,1268301006,18752997-DS-9,"the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. JP Drain C" "Correct entity, wrong SNOMED ID","(6981, 6989)","(6981, 6989)",drainage,drainage,75823008,56783008,18752997-DS-9,"f you have increased pain, swelling, redness, or drainage from the incision sites. JP Drain Care: *Please" "Correct entity, wrong SNOMED ID","(6999, 7013)","(6999, 7013)",incision sites,incision sites,609343002,246402007,18752997-DS-9,"ed pain, swelling, redness, or drainage from the incision sites. JP Drain Care: *Please look at the site every " Wrong span,"(7040, 7089)","(7071, 7079)",look at the site every day for signs of infection,signs of,370835007,86631001,18752997-DS-9,"from the incision sites. JP Drain Care: *Please look at the site every day for signs of infection (increased redness or pain, swelling, odor, yell" "Correct entity, wrong SNOMED ID","(7102, 7109)","(7102, 7109)",redness,redness,822962003,1268301006,18752997-DS-9,"site every day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discha" "Correct entity, wrong SNOMED ID","(7113, 7117)","(7113, 7117)",pain,pain,22253000,102570003,18752997-DS-9,"day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, war" "Correct entity, wrong SNOMED ID","(7119, 7127)","(7119, 7127)",swelling,swelling,442672001,300890009,18752997-DS-9,"r signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch" "Correct entity, wrong SNOMED ID","(7129, 7133)","(7129, 7133)",odor,odor,445916002,365670007,18752997-DS-9," infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, feve" "Correct entity, wrong SNOMED ID","(7164, 7177)","(7164, 7177)",warm to touch,warm to touch,102599008,724232004,18752997-DS-9,"ain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *Maintain suction of the bulb. *Note c" "Correct entity, wrong SNOMED ID","(7179, 7184)","(7179, 7184)",fever,fever,386661006,416113008,18752997-DS-9,"odor, yellow or bloody discharge, warm to touch, fever). *Maintain suction of the bulb. *Note color, c" Missed entity,"(7226, 7231)",,color,,107650008,,18752997-DS-9,"h, fever). *Maintain suction of the bulb. *Note color, consistency, and amount of fluid in the drain. C" Missed entity,"(7233, 7244)",,consistency,,107646001,,18752997-DS-9,"r). *Maintain suction of the bulb. *Note color, consistency, and amount of fluid in the drain. Call the doct" Missed entity,"(7421, 7438)",,Record the output,,223493006,,18752997-DS-9,"aracter. *Be sure to empty the drain frequently. Record the output, if instructed to do so. *You may shower; wash " Missed entity,"(7539, 7553)",,insertion site,,386141001,,18752997-DS-9,"he area gently with warm, soapy water. *Keep the insertion site clean and dry otherwise. *Avoid swimming, baths," Wrong span,"(7777, 7826)","(7808, 7816)",look at the site every day for signs of infection,signs of,370835007,86631001,18752997-DS-9,"ing or dislocation. General Drain Care: *Please look at the site every day for signs of infection (increased redness or pain, swelling, odor, yell" "Correct entity, wrong SNOMED ID","(7839, 7846)","(7839, 7846)",redness,redness,822962003,1268301006,18752997-DS-9,"site every day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discha" "Correct entity, wrong SNOMED ID","(7850, 7854)","(7850, 7854)",pain,pain,22253000,102570003,18752997-DS-9,"day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, war" "Correct entity, wrong SNOMED ID","(7856, 7864)","(7856, 7864)",swelling,swelling,442672001,300890009,18752997-DS-9,"r signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch" "Correct entity, wrong SNOMED ID","(7866, 7870)","(7866, 7870)",odor,odor,445916002,365670007,18752997-DS-9," infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, feve" "Correct entity, wrong SNOMED ID","(7901, 7914)","(7901, 7914)",warm to touch,warm to touch,102599008,724232004,18752997-DS-9,"ain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *If the drain is connected to a collect" "Correct entity, wrong SNOMED ID","(7916, 7921)","(7916, 7921)",fever,fever,386661006,416113008,18752997-DS-9,"odor, yellow or bloody discharge, warm to touch, fever). *If the drain is connected to a collection con" Missed entity,"(7992, 7997)",,color,,107650008,,18752997-DS-9,"connected to a collection container, please note color, consistency, and amount of fluid in the drain. C" Missed entity,"(7999, 8010)",,consistency,,107646001,,18752997-DS-9,"ed to a collection container, please note color, consistency, and amount of fluid in the drain. Call the doct" Missed entity,"(8186, 8203)",,Record the output,,223493006,,18752997-DS-9,"haracter. Be sure to empty the drain frequently. Record the output, if instructed to do so. *Wash the area gently " Missed entity,"(8288, 8302)",,insertion site,,386141001,,18752997-DS-9,"he area gently with warm, soapy water. *Keep the insertion site clean and dry otherwise. *Avoid swimming, baths," False positive,,"(1454, 1468)",,bowel movement,,398032003,18847983-DS-6," stable. In the ED, patient was seen to have one bowel movement with mixed bright red blood. Again, patient deni" False positive,,"(1723, 1725)",,Cx,,421806008,18847983-DS-6,"SEASE S/P CABG three vessels in ___, stent ___ L Cx # CHOLELITHIASIS, asymptomatic # NEPHROLITHIAS" False positive,,"(1784, 1785)",,S,,420952007,18847983-DS-6,"LELITHIASIS, asymptomatic # NEPHROLITHIASIS # ___ SYNDROME # GASTROESOPHAGEAL REFLUX # PEPTIC ULCE" False positive,,"(2526, 2528)",,O2,,51776002,18847983-DS-6,"sical Exam: Vitals: T: 98.7 BP: 142/62 P:69 R:18 O2:99%RA General: Alert, oriented, pleasant elderl" False positive,,"(3013, 3018)",,stool,,27731006,18847983-DS-6,"rding, no organomegaly Rectal: deferred; but no stool, no blood on exam per night float and no blood i" False positive,,"(3023, 3028)",,blood,,8765009,18847983-DS-6,"organomegaly Rectal: deferred; but no stool, no blood on exam per night float and no blood in vault, g" False positive,,"(3061, 3066)",,blood,,8765009,18847983-DS-6,"o stool, no blood on exam per night float and no blood in vault, guaiac positive in ED. Ext: Warm, well" False positive,,"(3190, 3205)",,normal strength,,738762008,18847983-DS-6," clubbing, cyanosis or edema Neuro: CNs intact, normal strength throughout. Gait not assessed. Pertinent Resu" False positive,,"(3218, 3222)",,Gait,,22325002,18847983-DS-6,"a Neuro: CNs intact, normal strength throughout. Gait not assessed. Pertinent Results: LABS ON ADMI" False positive,,"(3355, 3360)",,URINE,,78888000,18847983-DS-6,"ANDOM ___ 08:20PM URINE GR HOLD-HOLD ___ 08:20PM URINE COLOR-Straw APPEAR-Clear SP ___ ___ 08:20PM URIN" False positive,,"(3406, 3411)",,URINE,,78888000,18847983-DS-6,"RINE COLOR-Straw APPEAR-Clear SP ___ ___ 08:20PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG K" False positive,,"(3542, 3544)",,K+,,257991000,18847983-DS-6,"GN-NEG PH-7.0 LEUK-NEG ___ 07:29PM LACTATE-1.3 K+-4.7 ___ 07:29PM HGB-9.3* calcHCT-28 ___ 07:20PM" False positive,,"(3755, 3758)",,MCH,,735147002,18847983-DS-6,"PM WBC-4.5 RBC-2.91* HGB-8.5* HCT-24.9* MCV-86 MCH-29.2 MCHC-34.0 RDW-16.2* ___ 07:20PM NEUTS-74.0" False positive,,"(4112, 4115)",,MCH,,735147002,18847983-DS-6,"PM WBC-5.7 RBC-3.15* HGB-9.4* HCT-27.6* MCV-88 MCH-29.7 MCHC-33.9 RDW-16.2* ___ 04:25PM NEUTS-76.3" False positive,,"(4317, 4324)",,DirBili,,45229005,18847983-DS-6,"AM BLOOD ALT-90* AST-67* AlkPhos-117 TotBili-1.4 DirBili-0.4* IndBili-1.0 ___ 06:48AM BLOOD PSA-0.1 ___ 06" False positive,,"(4386, 4389)",,HCV,,80129000,18847983-DS-6,"i-1.0 ___ 06:48AM BLOOD PSA-0.1 ___ 06:48AM BLOOD HCV Ab-PND ___ 06:48AM BLOOD WBC-4.6 RBC-3.11* Hgb-9." False positive,,"(4877, 4890)",,cephalization,,240278000,18847983-DS-6,"abnormality is present. Mild upper lobe vascular cephalization slightly more pronounced, but no edema or pleura" False positive,,"(5347, 5353)",,oozing,,239164002,18847983-DS-6,"nare. The polyps were completely removed. Minimal oozing was noted at the polypectomy site at one of the " False positive,,"(5466, 5476)",,hemostasis,,71269007,18847983-DS-6," ascending colon. A single clip was attached and hemostasis was achieved. Impression: Polyps in the ascend" False positive,,"(5760, 5768)",,advanced,,288068006,18847983-DS-6,"iltration. Other forms of liver disease and more advanced liver disease including significant hepatic fibr" False positive,,"(6373, 6402)",,"antihypertensive medications",,372740001,18847983-DS-6," was given IV fluid on the day of admission. His antihypertensive medications were held. He was evaluated by Gastrointestinal " False positive,,"(6421, 6430)",,evaluated,,39609006,18847983-DS-6,"s antihypertensive medications were held. He was evaluated by Gastrointestinal service who recommended colo" False positive,,"(6658, 6661)",,ben,,1871000181109,18847983-DS-6,"ry of chronic anemia. Colonoscopy revealed three benign-appearing, non-bleeding polyps, one in the tr" False positive,,"(7129, 7157)",,antihypertensive medications,,372740001,18847983-DS-6,"BID was resumed on the day of disposition. Other antihypertensive medications were stopped. The patient is to be followed up b" False positive,,"(7409, 7421)",,Iron studies,,250216004,18847983-DS-6,"ared. His B12 and folate levels were both normal. Iron studies suggested that there may be a component of anemi" False positive,,"(7602, 7607)",,blood,,8765009,18847983-DS-6,"lly given that only a small to moderate amount of blood was noted with his bowel movements. The plan to " False positive,,"(7665, 7673)",,evaluate,,39609006,18847983-DS-6,"ted with his bowel movements. The plan to further evaluate GI bleeding is capsule endoscopy as discussed ab" False positive,,"(7939, 7947)",,negative,,268375009,18847983-DS-6,"y Levofloxacin). His urinalysis on admission was negative. He remained afebrile. His blood culture had NGT" False positive,,"(8075, 8078)",,CRP,,61425002,18847983-DS-6," ESR and CRP: ESR is 108 (was 60 in ___ and ___, CRP 89.8 (CRP was 4 in ___. Differential diagnoses of" False positive,,"(8085, 8087)",,CR,,111070004,18847983-DS-6,"RP: ESR is 108 (was 60 in ___ and ___, CRP 89.8 (CRP was 4 in ___. Differential diagnoses of elevated" False positive,,"(8239, 8249)",,autoimmune,,263680009,18847983-DS-6,"ignancy. Causes could be recent UTI, bacteremia, autoimmune processes or malignancy. PSA level was checked a" False positive,,"(8389, 8402)",,Transaminitis,,415893001,18847983-DS-6," be repeated at follow-up visit with Dr. ___. . # Transaminitis: AST 81-82, ALT 52-56. Last ALT in ___ was norma" False positive,,"(8640, 8652)",,levofloxacin,,96087006,18847983-DS-6,"time of disposition. His only new medication was levofloxacin, which may cause transaminis, but less likely in " False positive,,"(8670, 8681)",,transaminis,,450387001,18847983-DS-6,"new medication was levofloxacin, which may cause transaminis, but less likely in this case because AST and AL" False positive,,"(9159, 9163)",,exam,,105477005,18847983-DS-6," of 0.4, concerning for cholestatic proceses. On exam, he was afebrile and there was no RUQ or abdomina" False positive,,"(9523, 9551)",,Antihypertensive medications,,372740001,18847983-DS-6,"ntrolled during this admission. . # Hypertension: Antihypertensive medications were held on the day of admission for GI bleedin" False positive,,"(10310, 10314)",,exam,,105477005,18847983-DS-6," on the bottom of his feet several years ago. On exam, he was afebrile. There was minimal erythema over" False positive,,"(11619, 11632)",,Transaminitis,,415893001,18847983-DS-6,"sis: Primary diagnosis: 1. GI bleed 2. Anemia 3. Transaminitis Secondary diagnosis: 1. Hypertension 2. Sciatic " False positive,,"(11729, 11734)",,Clear,,281278005,18847983-DS-6,"ic 3. GERD Discharge Condition: Mental Status: Clear and coherent Level of Consciousness: Alert and in" False positive,,"(11919, 11928)",,blood per,,270031000,18847983-DS-6," Discharge Instructions: You were admitted with blood per your rectum. You had no further episodes of blee" Wrong span,"(268, 295)","(268, 284)",Bright red blood per rectum,Bright red blood,405729008,167235001,18847983-DS-6,"ies to Drugs Attending: ___. Chief Complaint: Bright red blood per rectum Major Surgical or Invasive Procedure: Colonosco" "Correct entity, wrong SNOMED ID","(336, 347)","(336, 347)",Colonoscopy,Colonoscopy,73761001,174158000,18847983-DS-6,"er rectum Major Surgical or Invasive Procedure: Colonoscopy and EGD, ___ History of Present Illness: Mr. __" "Correct entity, wrong SNOMED ID","(425, 441)","(425, 441)","prostate cancer","prostate cancer",254900004,1259388006,18847983-DS-6,"resent Illness: Mr. ___ is a ___ male with hx of prostate cancer s/p brachytherapy and resection, who presented to" "Correct entity, wrong SNOMED ID","(446, 459)","(446, 459)",brachytherapy,brachytherapy,152198000,113120007,18847983-DS-6,"__ is a ___ male with hx of prostate cancer s/p brachytherapy and resection, who presented to ED after having " "Correct entity, wrong SNOMED ID","(464, 473)","(464, 473)",resection,resection,65801008,265414003,18847983-DS-6,"with hx of prostate cancer s/p brachytherapy and resection, who presented to ED after having a bloody, loos" "Correct entity, wrong SNOMED ID","(511, 517)","(511, 517)",bloody,bloody,405729008,269909003,18847983-DS-6,"nd resection, who presented to ED after having a bloody, loose bowel movement in the morning of ___, whi" "Correct entity, wrong SNOMED ID","(519, 539)","(519, 539)",loose bowel movement,loose bowel movement,398032003,247338006,18847983-DS-6,"tion, who presented to ED after having a bloody, loose bowel movement in the morning of ___, which was described as br" "Correct entity, wrong SNOMED ID","(587, 597)","(587, 597)",bright red,bright red,405729008,1284801004,18847983-DS-6,"nt in the morning of ___, which was described as bright red, no melena, and not associated with abdominal pa" "Correct entity, wrong SNOMED ID","(602, 608)","(602, 608)",melena,melena,2901004,206424005,18847983-DS-6,"ng of ___, which was described as bright red, no melena, and not associated with abdominal pain or cramp" "Correct entity, wrong SNOMED ID","(635, 649)","(635, 649)",abdominal pain,abdominal pain,21522001,54586004,18847983-DS-6,"s bright red, no melena, and not associated with abdominal pain or cramping. He has never had similar episodes i" "Correct entity, wrong SNOMED ID","(653, 661)","(653, 661)",cramping,cramping,51197009,41581000,18847983-DS-6,"elena, and not associated with abdominal pain or cramping. He has never had similar episodes in the past. " "Correct entity, wrong SNOMED ID","(726, 741)","(726, 741)",lightheadedness,lightheadedness,386705008,1354698007,18847983-DS-6,"had similar episodes in the past. He also denies lightheadedness or dizziness. No history of hemorrhoids. Patient" "Correct entity, wrong SNOMED ID","(746, 755)","(746, 755)",dizziness,dizziness,404640003,1141711004,18847983-DS-6,"s in the past. He also denies lightheadedness or dizziness. No history of hemorrhoids. Patient denies taking" "Correct entity, wrong SNOMED ID","(771, 782)","(771, 782)",hemorrhoids,hemorrhoids,70153002,46276006,18847983-DS-6,"nies lightheadedness or dizziness. No history of hemorrhoids. Patient denies taking NSAID and aspirin. He has" "Correct entity, wrong SNOMED ID","(817, 824)","(817, 824)",aspirin,aspirin,431463004,25796002,18847983-DS-6," of hemorrhoids. Patient denies taking NSAID and aspirin. He has never had colonoscopy in the past. . Ov" "Correct entity, wrong SNOMED ID","(843, 854)","(843, 854)",colonoscopy,colonoscopy,73761001,174158000,18847983-DS-6,"enies taking NSAID and aspirin. He has never had colonoscopy in the past. . Over the last several weeks pati" Wrong span,"(939, 949)","(931, 949)",discomfort,urinary discomfort,247347003,16580691000119107,18847983-DS-6,"eral weeks patient has been experiencing urinary discomfort and urinary retention, as well as fevers, chills" "Correct entity, wrong SNOMED ID","(954, 971)","(954, 971)",urinary retention,urinary retention,267064002,236648008,18847983-DS-6,"ent has been experiencing urinary discomfort and urinary retention, as well as fevers, chills and sweats. He was se" "Correct entity, wrong SNOMED ID","(984, 990)","(984, 990)",fevers,fevers,386661006,248444008,18847983-DS-6,"nary discomfort and urinary retention, as well as fevers, chills and sweats. He was seen in the ED on ___" "Correct entity, wrong SNOMED ID","(993, 999)","(993, 999)",chills,chills,43724002,274640006,18847983-DS-6,"omfort and urinary retention, as well as fevers, chills and sweats. He was seen in the ED on ___ for urin" "Correct entity, wrong SNOMED ID","(1004, 1010)","(1004, 1010)",sweats,sweats,415690000,42984000,18847983-DS-6,"urinary retention, as well as fevers, chills and sweats. He was seen in the ED on ___ for urinary retent" "Correct entity, wrong SNOMED ID","(1045, 1063)","(1045, 1063)","urinary retention","urinary retention",267064002,236648008,18847983-DS-6,"ills and sweats. He was seen in the ED on ___ for urinary retention and was found to have urinary tract infection. He" "Correct entity, wrong SNOMED ID","(1086, 1109)","(1086, 1109)",urinary tract infection,urinary tract infection,68566005,197928006,18847983-DS-6," ___ for urinary retention and was found to have urinary tract infection. He was prescribed Ciprofloxacin and Foley was p" Wrong span,"(1148, 1164)","(1148, 1153)",Foley was placed,Foley,410024004,411381006,18847983-DS-6,"t infection. He was prescribed Ciprofloxacin and Foley was placed. He was seen by a urologist on ___ who changed t" "Correct entity, wrong SNOMED ID","(1217, 1227)","(1217, 1227)",antibiotic,antibiotic,281789004,68322007,18847983-DS-6,"e was seen by a urologist on ___ who changed the antibiotic from Ciprofloxacin to Levofloxacin given culture" Wrong span,"(1352, 1359)","(1352, 1365)",voiding,voiding trial,252041008,225366007,18847983-DS-6,"aph aureus. At that time, he successfully passed voiding trial. . In the ED, initial vital signs were stab" Wrong span,"(1388, 1411)","(1388, 1399)",vital signs were stable,vital signs,72970002,72970002,18847983-DS-6,"sfully passed voiding trial. . In the ED, initial vital signs were stable. In the ED, patient was seen to have one bowel m" Missed entity,"(1480, 1496)",,bright red blood,,405729008,,18847983-DS-6,"t was seen to have one bowel movement with mixed bright red blood. Again, patient denied abdominal pain or crampin" "Correct entity, wrong SNOMED ID","(1521, 1535)","(1521, 1535)",abdominal pain,abdominal pain,21522001,54586004,18847983-DS-6,"th mixed bright red blood. Again, patient denied abdominal pain or cramping. Past Medical History: # PROSTATE" "Correct entity, wrong SNOMED ID","(1539, 1547)","(1539, 1547)",cramping,cramping,51197009,41581000,18847983-DS-6,"d blood. Again, patient denied abdominal pain or cramping. Past Medical History: # PROSTATE CANCER ___," "Correct entity, wrong SNOMED ID","(1577, 1592)","(1577, 1592)",PROSTATE CANCER,PROSTATE CANCER,254900004,1259388006,18847983-DS-6,"nal pain or cramping. Past Medical History: # PROSTATE CANCER ___, s/p brachytherapy # URINARY RETENTION, s/p T" "Correct entity, wrong SNOMED ID","(1602, 1615)","(1602, 1615)",brachytherapy,brachytherapy,152198000,113120007,18847983-DS-6," Past Medical History: # PROSTATE CANCER ___, s/p brachytherapy # URINARY RETENTION, s/p TURP in ___ # CORONARY A" "Correct entity, wrong SNOMED ID","(1618, 1635)","(1618, 1635)",URINARY RETENTION,URINARY RETENTION,267064002,236648008,18847983-DS-6,"story: # PROSTATE CANCER ___, s/p brachytherapy # URINARY RETENTION, s/p TURP in ___ # CORONARY ARTERY DISEASE S/P CA" "Correct entity, wrong SNOMED ID","(1641, 1645)","(1641, 1645)",TURP,TURP,90199006,425251009,18847983-DS-6,"R ___, s/p brachytherapy # URINARY RETENTION, s/p TURP in ___ # CORONARY ARTERY DISEASE S/P CABG three v" "Correct entity, wrong SNOMED ID","(1655, 1678)","(1655, 1678)",CORONARY ARTERY DISEASE,CORONARY ARTERY DISEASE,53741008,1293192009,18847983-DS-6,"chytherapy # URINARY RETENTION, s/p TURP in ___ # CORONARY ARTERY DISEASE S/P CABG three vessels in ___, stent ___ L Cx " "Correct entity, wrong SNOMED ID","(1683, 1687)","(1683, 1687)",CABG,CABG,232717009,312692004,18847983-DS-6,"ON, s/p TURP in ___ # CORONARY ARTERY DISEASE S/P CABG three vessels in ___, stent ___ L Cx # CHOLEL" "Correct entity, wrong SNOMED ID","(1710, 1715)","(1710, 1715)",stent,stent,103716009,1287503001,18847983-DS-6,"ARY ARTERY DISEASE S/P CABG three vessels in ___, stent ___ L Cx # CHOLELITHIASIS, asymptomatic # NEP" "Correct entity, wrong SNOMED ID","(1731, 1745)","(1731, 1745)",CHOLELITHIASIS,CHOLELITHIASIS,266474003,407637009,18847983-DS-6,"P CABG three vessels in ___, stent ___ L Cx # CHOLELITHIASIS, asymptomatic # NEPHROLITHIASIS # ___ SYNDROME " "Correct entity, wrong SNOMED ID","(1747, 1759)","(1747, 1759)",asymptomatic,asymptomatic,84387000,5481000175101,18847983-DS-6,"sels in ___, stent ___ L Cx # CHOLELITHIASIS, asymptomatic # NEPHROLITHIASIS # ___ SYNDROME # GASTROESOPH" Wrong span,"(1762, 1777)","(1762, 1764)",NEPHROLITHIASIS,NE,95570007,257992007,18847983-DS-6,"ent ___ L Cx # CHOLELITHIASIS, asymptomatic # NEPHROLITHIASIS # ___ SYNDROME # GASTROESOPHAGEAL REFLUX # PEP" "Correct entity, wrong SNOMED ID","(1798, 1821)","(1798, 1821)",GASTROESOPHAGEAL REFLUX,GASTROESOPHAGEAL REFLUX,235595009,15749591000119107,18847983-DS-6,"symptomatic # NEPHROLITHIASIS # ___ SYNDROME # GASTROESOPHAGEAL REFLUX # PEPTIC ULCER DISEASE with GI bleeding over ___" "Correct entity, wrong SNOMED ID","(1851, 1862)","(1851, 1862)",GI bleeding,GI bleeding,74474003,37372002,18847983-DS-6,"TROESOPHAGEAL REFLUX # PEPTIC ULCER DISEASE with GI bleeding over ___ years ago, received transfusion at that" "Correct entity, wrong SNOMED ID","(1893, 1904)","(1893, 1904)",transfusion,transfusion,5447007,116859006,18847983-DS-6,"E with GI bleeding over ___ years ago, received transfusion at that time, was treated medically, Patient uns" "Correct entity, wrong SNOMED ID","(1977, 1986)","(1977, 1986)",H. pylori,H. pylori,721730009,80774000,18847983-DS-6,"ted medically, Patient unsure if associated with H. pylori. # ANXIETY # HYPERTENSION, patient reports hom" "Correct entity, wrong SNOMED ID","(1990, 1997)","(1990, 1997)",ANXIETY,ANXIETY,48694002,286644009,18847983-DS-6,", Patient unsure if associated with H. pylori. # ANXIETY # HYPERTENSION, patient reports home BP is in " "Correct entity, wrong SNOMED ID","(2003, 2015)","(2003, 2015)",HYPERTENSION,HYPERTENSION,38341003,70995007,18847983-DS-6,"sure if associated with H. pylori. # ANXIETY # HYPERTENSION, patient reports home BP is in 130-140/60-70 # HY" "Correct entity, wrong SNOMED ID","(2038, 2040)","(2038, 2040)",BP,BP,392570002,38341003,18847983-DS-6,"# ANXIETY # HYPERTENSION, patient reports home BP is in 130-140/60-70 # HYPERCHOLESTEROLEMIA # LUMB" "Correct entity, wrong SNOMED ID","(2063, 2083)","(2063, 2083)",HYPERCHOLESTEROLEMIA,HYPERCHOLESTEROLEMIA,13644009,238076009,18847983-DS-6,"ON, patient reports home BP is in 130-140/60-70 # HYPERCHOLESTEROLEMIA # LUMBAR RADICULOPATHY ___ # SCIATICA, bilateral " "Correct entity, wrong SNOMED ID","(2086, 2106)","(2086, 2106)",LUMBAR RADICULOPATHY,LUMBAR RADICULOPATHY,128196005,789021004,18847983-DS-6,"e BP is in 130-140/60-70 # HYPERCHOLESTEROLEMIA # LUMBAR RADICULOPATHY ___ # SCIATICA, bilateral leg pain, patient feels" "Correct entity, wrong SNOMED ID","(2113, 2121)","(2113, 2121)",SCIATICA,SCIATICA,23056005,111237004,18847983-DS-6,"HYPERCHOLESTEROLEMIA # LUMBAR RADICULOPATHY ___ # SCIATICA, bilateral leg pain, patient feels pain is well-" "Correct entity, wrong SNOMED ID","(2123, 2141)","(2123, 2141)",bilateral leg pain,bilateral leg pain,12247531000119106,16058471000119101,18847983-DS-6,"STEROLEMIA # LUMBAR RADICULOPATHY ___ # SCIATICA, bilateral leg pain, patient feels pain is well-controlled on dilaud" Wrong span,"(2157, 2181)","(2157, 2170)","pain is well-controlled","pain is well",1156446004,1156446004,18847983-DS-6,"___ # SCIATICA, bilateral leg pain, patient feels pain is well-controlled on dilaudid # AORTIC ULCERATION ___ # NORMOCYTIC" Wrong span,"(2196, 2202)","(2196, 2213)",AORTIC,AORTIC ULCERATION,15825003,690791000119107,18847983-DS-6,"ient feels pain is well-controlled on dilaudid # AORTIC ULCERATION ___ # NORMOCYTIC ANEMIA, has never be" Wrong span,"(2203, 2213)","(2196, 2213)",ULCERATION,AORTIC ULCERATION,429040005,690791000119107,18847983-DS-6,"els pain is well-controlled on dilaudid # AORTIC ULCERATION ___ # NORMOCYTIC ANEMIA, has never been worked u" "Correct entity, wrong SNOMED ID","(2221, 2238)","(2221, 2238)",NORMOCYTIC ANEMIA,NORMOCYTIC ANEMIA,300980002,46737006,18847983-DS-6,"controlled on dilaudid # AORTIC ULCERATION ___ # NORMOCYTIC ANEMIA, has never been worked up as far as the patient'" "Correct entity, wrong SNOMED ID","(2334, 2347)","(2334, 2347)",Heart disease,Heart disease,56265001,127337006,18847983-DS-6,"ent's aware Social History: ___ Family History: Heart disease on Father's side of the family. No history of su" "Correct entity, wrong SNOMED ID","(2438, 2450)","(2438, 2450)",colon cancer,colon cancer,363406005,363408006,18847983-DS-6,"ry of sudden cardiac death. No family history of colon cancer or other cancers. Physical Exam: Vitals: T: 9" "Correct entity, wrong SNOMED ID","(2461, 2468)","(2461, 2468)",cancers,cancers,1240414004,870711002,18847983-DS-6,"eath. No family history of colon cancer or other cancers. Physical Exam: Vitals: T: 98.7 BP: 142/62 P:6" "Correct entity, wrong SNOMED ID","(2488, 2494)","(2488, 2494)",Vitals,Vitals,118227000,260390007,18847983-DS-6,"colon cancer or other cancers. Physical Exam: Vitals: T: 98.7 BP: 142/62 P:69 R:18 O2:99%RA General" "Correct entity, wrong SNOMED ID","(2504, 2506)","(2504, 2506)",BP,BP,392570002,38341003,18847983-DS-6,"other cancers. Physical Exam: Vitals: T: 98.7 BP: 142/62 P:69 R:18 O2:99%RA General: Alert, ori" "Correct entity, wrong SNOMED ID","(2532, 2534)","(2532, 2534)",RA,RA,722742002,109511000146106,18847983-DS-6,"Exam: Vitals: T: 98.7 BP: 142/62 P:69 R:18 O2:99%RA General: Alert, oriented, pleasant elderly in n" "Correct entity, wrong SNOMED ID","(2537, 2544)","(2537, 2544)",General,General,162673000,252398009,18847983-DS-6," Vitals: T: 98.7 BP: 142/62 P:69 R:18 O2:99%RA General: Alert, oriented, pleasant elderly in no acute di" "Correct entity, wrong SNOMED ID","(2553, 2561)","(2553, 2561)",oriented,oriented,247663003,787379002,18847983-DS-6," BP: 142/62 P:69 R:18 O2:99%RA General: Alert, oriented, pleasant elderly in no acute distress, affect i" "Correct entity, wrong SNOMED ID","(2592, 2600)","(2592, 2600)",distress,distress,69328002,271825005,18847983-DS-6,"al: Alert, oriented, pleasant elderly in no acute distress, affect is euthymic. HEENT: Sclera anicteric, " Missed entity,"(2603, 2609)",,affect,,106131003,,18847983-DS-6,"oriented, pleasant elderly in no acute distress, affect is euthymic. HEENT: Sclera anicteric, but pale," "Correct entity, wrong SNOMED ID","(2613, 2621)","(2613, 2621)",euthymic,euthymic,82248001,54823002,18847983-DS-6,"pleasant elderly in no acute distress, affect is euthymic. HEENT: Sclera anicteric, but pale, MMM, oropha" "Correct entity, wrong SNOMED ID","(2625, 2630)","(2625, 2630)",HEENT,HEENT,5880005,113665002,18847983-DS-6,"erly in no acute distress, affect is euthymic. HEENT: Sclera anicteric, but pale, MMM, oropharynx clea" "Correct entity, wrong SNOMED ID","(2632, 2648)","(2632, 2648)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,18847983-DS-6," no acute distress, affect is euthymic. HEENT: Sclera anicteric, but pale, MMM, oropharynx clear Neck: supple, " "Correct entity, wrong SNOMED ID","(2654, 2658)","(2654, 2658)",pale,pale,398979000,167234002,18847983-DS-6,"ffect is euthymic. HEENT: Sclera anicteric, but pale, MMM, oropharynx clear Neck: supple, JVP not el" "Correct entity, wrong SNOMED ID","(2660, 2663)","(2660, 2663)",MMM,MMM,276398005,258673006,18847983-DS-6,"is euthymic. HEENT: Sclera anicteric, but pale, MMM, oropharynx clear Neck: supple, JVP not elevate" "Correct entity, wrong SNOMED ID","(2665, 2681)","(2665, 2681)",oropharynx clear,oropharynx clear,300280008,426547004,18847983-DS-6,"thymic. HEENT: Sclera anicteric, but pale, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs:" "Correct entity, wrong SNOMED ID","(2684, 2688)","(2684, 2688)",Neck,Neck,5880005,840674001,18847983-DS-6,"lera anicteric, but pale, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: Clear " "Correct entity, wrong SNOMED ID","(2690, 2696)","(2690, 2696)",supple,supple,298475003,169743001,18847983-DS-6,"nicteric, but pale, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscu" "Correct entity, wrong SNOMED ID","(2698, 2714)","(2698, 2714)",JVP not elevated,JVP not elevated,369001,248729008,18847983-DS-6,", but pale, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterall" "Correct entity, wrong SNOMED ID","(2719, 2722)","(2719, 2722)",LAD,LAD,30746006,1010291002,18847983-DS-6,"harynx clear Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterally, no wh" "Correct entity, wrong SNOMED ID","(2725, 2730)","(2725, 2730)",Lungs,Lungs,268925001,74101002,18847983-DS-6," clear Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterally, no wheezes, r" "Correct entity, wrong SNOMED ID","(2770, 2777)","(2770, 2777)",wheezes,wheezes,56018004,9763007,18847983-DS-6,"AD Lungs: Clear to auscultation bilaterally, no wheezes, rales, ronchi CV: Regular rate and rhythm, no" "Correct entity, wrong SNOMED ID","(2779, 2784)","(2779, 2784)",rales,rales,48409008,31846006,18847983-DS-6,"s: Clear to auscultation bilaterally, no wheezes, rales, ronchi CV: Regular rate and rhythm, normal S1" "Correct entity, wrong SNOMED ID","(2787, 2793)","(2787, 2793)",ronchi,ronchi,24612001,465646007,18847983-DS-6," to auscultation bilaterally, no wheezes, rales, ronchi CV: Regular rate and rhythm, normal S1 + S2, no" "Correct entity, wrong SNOMED ID","(2796, 2798)","(2796, 2798)",CV,CV,363003006,258773002,18847983-DS-6,"ltation bilaterally, no wheezes, rales, ronchi CV: Regular rate and rhythm, normal S1 + S2, no murm" "Correct entity, wrong SNOMED ID","(2800, 2823)","(2800, 2823)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,18847983-DS-6,"ion bilaterally, no wheezes, rales, ronchi CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abd" "Correct entity, wrong SNOMED ID","(2825, 2834)","(2825, 2834)",normal S1,normal S1,26198000,167242001,18847983-DS-6,"es, rales, ronchi CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft," "Correct entity, wrong SNOMED ID","(2837, 2839)","(2837, 2839)",S2,S2,111974005,81170007,18847983-DS-6,"ronchi CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-" "Correct entity, wrong SNOMED ID","(2844, 2851)","(2844, 2851)",murmurs,murmurs,414786004,248699005,18847983-DS-6," CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-" "Correct entity, wrong SNOMED ID","(2860, 2867)","(2860, 2867)",gallops,gallops,2170000,4592006,18847983-DS-6,"te and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel" "Correct entity, wrong SNOMED ID","(2870, 2877)","(2870, 2877)",Abdomen,Abdomen,225162003,41931001,18847983-DS-6,"thm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds pr" "Correct entity, wrong SNOMED ID","(2885, 2895)","(2885, 2895)",non-tender,non-tender,43478001,298741000,18847983-DS-6,"+ S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound" "Correct entity, wrong SNOMED ID","(2897, 2910)","(2897, 2910)",non-distended,non-distended,300405003,162069004,18847983-DS-6,"murs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or " "Correct entity, wrong SNOMED ID","(2912, 2932)","(2912, 2932)",bowel sounds present,bowel sounds present,61539000,444685004,18847983-DS-6,"llops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomeg" "Correct entity, wrong SNOMED ID","(2938, 2945)","(2938, 2945)",rebound,rebound,35611005,844584001,18847983-DS-6,"-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Rectal:" "Correct entity, wrong SNOMED ID","(2946, 2956)","(2946, 2956)",tenderness,tenderness,247348008,43478001,18847983-DS-6," non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Rectal: deferred; " "Correct entity, wrong SNOMED ID","(2988, 2994)","(2988, 2994)",Rectal,Rectal,410007005,719908001,18847983-DS-6,"rebound tenderness or guarding, no organomegaly Rectal: deferred; but no stool, no blood on exam per nig" Wrong span,"(3077, 3083)","(3077, 3092)",guaiac,guaiac positive,442554004,165816005,18847983-DS-6,"d on exam per night float and no blood in vault, guaiac positive in ED. Ext: Warm, well perfused, 2+ pul" "Correct entity, wrong SNOMED ID","(3101, 3104)","(3101, 3104)",Ext,Ext,302773001,1489008,18847983-DS-6,"t and no blood in vault, guaiac positive in ED. Ext: Warm, well perfused, 2+ pulses, no clubbing, cya" "Correct entity, wrong SNOMED ID","(3106, 3110)","(3106, 3110)",Warm,Warm,102599008,298256005,18847983-DS-6,"d no blood in vault, guaiac positive in ED. Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis " "Correct entity, wrong SNOMED ID","(3112, 3125)","(3112, 3125)",well perfused,well perfused,1137685003,301121007,18847983-DS-6,"lood in vault, guaiac positive in ED. Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neur" "Correct entity, wrong SNOMED ID","(3127, 3136)","(3127, 3136)",2+ pulses,2+ pulses,40969002,429784004,18847983-DS-6,"guaiac positive in ED. Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs inta" "Correct entity, wrong SNOMED ID","(3141, 3149)","(3141, 3149)",clubbing,clubbing,367004,30760008,18847983-DS-6,"e in ED. Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs intact, normal st" "Correct entity, wrong SNOMED ID","(3151, 3159)","(3151, 3159)",cyanosis,cyanosis,3415004,95442007,18847983-DS-6,"Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs intact, normal strength thr" "Correct entity, wrong SNOMED ID","(3164, 3169)","(3164, 3169)",edema,edema,267038008,102576009,18847983-DS-6,"ll perfused, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs intact, normal strength throughout. G" "Correct entity, wrong SNOMED ID","(3171, 3176)","(3171, 3176)",Neuro,Neuro,84728005,281247006,18847983-DS-6,"used, 2+ pulses, no clubbing, cyanosis or edema Neuro: CNs intact, normal strength throughout. Gait not" "Correct entity, wrong SNOMED ID","(3178, 3188)","(3178, 3188)",CNs intact,CNs intact,830121005,1367857008,18847983-DS-6,"+ pulses, no clubbing, cyanosis or edema Neuro: CNs intact, normal strength throughout. Gait not assessed. " "Correct entity, wrong SNOMED ID","(3291, 3296)","(3291, 3296)",URINE,URINE,442564008,78888000,18847983-DS-6,"Pertinent Results: LABS ON ADMISSION: ___ 08:20PM URINE HOURS-RANDOM ___ 08:20PM URINE GR HOLD-HOLD ___" "Correct entity, wrong SNOMED ID","(3323, 3328)","(3323, 3328)",URINE,URINE,442564008,78888000,18847983-DS-6,"SION: ___ 08:20PM URINE HOURS-RANDOM ___ 08:20PM URINE GR HOLD-HOLD ___ 08:20PM URINE COLOR-Straw APPE" "Correct entity, wrong SNOMED ID","(3362, 3367)","(3362, 3367)",COLOR,COLOR,107650008,1004164008,18847983-DS-6,"__ 08:20PM URINE GR HOLD-HOLD ___ 08:20PM URINE COLOR-Straw APPEAR-Clear SP ___ ___ 08:20PM URINE BLOO" "Correct entity, wrong SNOMED ID","(3435, 3442)","(3435, 3442)",PROTEIN,PROTEIN,57378007,764892007,18847983-DS-6,"r SP ___ ___ 08:20PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILN" "Correct entity, wrong SNOMED ID","(3460, 3466)","(3460, 3466)",KETONE,KETONE,47615003,256048004,18847983-DS-6,"E BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG " "Correct entity, wrong SNOMED ID","(3471, 3480)","(3471, 3480)",BILIRUBIN,BILIRUBIN,359992002,359986008,18847983-DS-6,"G NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG ___ 07:29PM " "Correct entity, wrong SNOMED ID","(3499, 3501)","(3499, 3501)",PH,PH,81065003,264912003,18847983-DS-6,"LUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG ___ 07:29PM LACTATE-1.3 K+-4.7 __" "Correct entity, wrong SNOMED ID","(3563, 3566)","(3563, 3566)",HGB,HGB,441689006,104142005,18847983-DS-6,"EG ___ 07:29PM LACTATE-1.3 K+-4.7 ___ 07:29PM HGB-9.3* calcHCT-28 ___ 07:20PM GLUCOSE-125* UREA N" Missed entity,"(3576, 3579)",,HCT,,28317006,,18847983-DS-6,"M LACTATE-1.3 K+-4.7 ___ 07:29PM HGB-9.3* calcHCT-28 ___ 07:20PM GLUCOSE-125* UREA N-18 CREAT-1.3" "Correct entity, wrong SNOMED ID","(3597, 3604)","(3597, 3604)",GLUCOSE,GLUCOSE,33747003,72191006,18847983-DS-6,"7 ___ 07:29PM HGB-9.3* calcHCT-28 ___ 07:20PM GLUCOSE-125* UREA N-18 CREAT-1.3* SODIUM-138 POTASSIUM-4" "Correct entity, wrong SNOMED ID","(3620, 3625)","(3620, 3625)",CREAT,CREAT,70901006,413856009,18847983-DS-6,"* calcHCT-28 ___ 07:20PM GLUCOSE-125* UREA N-18 CREAT-1.3* SODIUM-138 POTASSIUM-4.0 CHLORIDE-102 TOTAL" "Correct entity, wrong SNOMED ID","(3631, 3637)","(3631, 3637)",SODIUM,SODIUM,25197003,104934005,18847983-DS-6,"8 ___ 07:20PM GLUCOSE-125* UREA N-18 CREAT-1.3* SODIUM-138 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-26 ANIO" "Correct entity, wrong SNOMED ID","(3643, 3652)","(3643, 3652)",POTASSIUM,POTASSIUM,59573005,1149432009,18847983-DS-6,"M GLUCOSE-125* UREA N-18 CREAT-1.3* SODIUM-138 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-26 ANION GAP-14 ___ 07" "Correct entity, wrong SNOMED ID","(3657, 3665)","(3657, 3665)",CHLORIDE,CHLORIDE,104589004,108447000,18847983-DS-6,"5* UREA N-18 CREAT-1.3* SODIUM-138 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-26 ANION GAP-14 ___ 07:20PM WBC-4" "Correct entity, wrong SNOMED ID","(3683, 3692)","(3683, 3692)",ANION GAP,ANION GAP,25469001,237854004,18847983-DS-6,"DIUM-138 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-26 ANION GAP-14 ___ 07:20PM WBC-4.5 RBC-2.91* HGB-8.5* HCT-2" "Correct entity, wrong SNOMED ID","(3710, 3713)","(3710, 3713)",WBC,WBC,767002,391558003,18847983-DS-6,"ORIDE-102 TOTAL CO2-26 ANION GAP-14 ___ 07:20PM WBC-4.5 RBC-2.91* HGB-8.5* HCT-24.9* MCV-86 MCH-29.2" "Correct entity, wrong SNOMED ID","(3718, 3721)","(3718, 3721)",RBC,RBC,14089001,258759006,18847983-DS-6,"2 TOTAL CO2-26 ANION GAP-14 ___ 07:20PM WBC-4.5 RBC-2.91* HGB-8.5* HCT-24.9* MCV-86 MCH-29.2 MCHC-34" "Correct entity, wrong SNOMED ID","(3728, 3731)","(3728, 3731)",HGB,HGB,441689006,104142005,18847983-DS-6,"2-26 ANION GAP-14 ___ 07:20PM WBC-4.5 RBC-2.91* HGB-8.5* HCT-24.9* MCV-86 MCH-29.2 MCHC-34.0 RDW-16." "Correct entity, wrong SNOMED ID","(3737, 3740)","(3737, 3740)",HCT,HCT,28317006,282660005,18847983-DS-6,"N GAP-14 ___ 07:20PM WBC-4.5 RBC-2.91* HGB-8.5* HCT-24.9* MCV-86 MCH-29.2 MCHC-34.0 RDW-16.2* ___ 07" Missed entity,"(3747, 3750)",,MCV,,104133003,,18847983-DS-6,"__ 07:20PM WBC-4.5 RBC-2.91* HGB-8.5* HCT-24.9* MCV-86 MCH-29.2 MCHC-34.0 RDW-16.2* ___ 07:20PM NE" "Correct entity, wrong SNOMED ID","(3764, 3768)","(3764, 3768)",MCHC,MCHC,37254006,735147002,18847983-DS-6,"4.5 RBC-2.91* HGB-8.5* HCT-24.9* MCV-86 MCH-29.2 MCHC-34.0 RDW-16.2* ___ 07:20PM NEUTS-74.0* LYMPHS-1" "Correct entity, wrong SNOMED ID","(3798, 3803)","(3798, 3803)",NEUTS,NEUTS,30630007,271035003,18847983-DS-6,"CV-86 MCH-29.2 MCHC-34.0 RDW-16.2* ___ 07:20PM NEUTS-74.0* LYMPHS-17.5* MONOS-8.2 EOS-0 BASOS-0.2 ___" "Correct entity, wrong SNOMED ID","(3810, 3816)","(3810, 3816)",LYMPHS,LYMPHS,74765001,79709007,18847983-DS-6,"9.2 MCHC-34.0 RDW-16.2* ___ 07:20PM NEUTS-74.0* LYMPHS-17.5* MONOS-8.2 EOS-0 BASOS-0.2 ___ 07:20PM PL" "Correct entity, wrong SNOMED ID","(3823, 3828)","(3823, 3828)",MONOS,MONOS,67776007,462791000124108,18847983-DS-6," RDW-16.2* ___ 07:20PM NEUTS-74.0* LYMPHS-17.5* MONOS-8.2 EOS-0 BASOS-0.2 ___ 07:20PM PLT COUNT-184 " "Correct entity, wrong SNOMED ID","(3833, 3836)","(3833, 3836)",EOS,EOS,71960002,67099000,18847983-DS-6," ___ 07:20PM NEUTS-74.0* LYMPHS-17.5* MONOS-8.2 EOS-0 BASOS-0.2 ___ 07:20PM PLT COUNT-184 ___ 07:2" "Correct entity, wrong SNOMED ID","(3896, 3899)","(3896, 3899)",PTT,PTT,42525009,282119004,18847983-DS-6,"0.2 ___ 07:20PM PLT COUNT-184 ___ 07:20PM ___ PTT-29.0 ___ ___ 04:25PM GLUCOSE-112* UREA N-17 CRE" "Correct entity, wrong SNOMED ID","(3923, 3930)","(3923, 3930)",GLUCOSE,GLUCOSE,33747003,72191006,18847983-DS-6,"-184 ___ 07:20PM ___ PTT-29.0 ___ ___ 04:25PM GLUCOSE-112* UREA N-17 CREAT-1.2 SODIUM-138 POTASSIUM-3." "Correct entity, wrong SNOMED ID","(3946, 3951)","(3946, 3951)",CREAT,CREAT,70901006,413856009,18847983-DS-6,"PTT-29.0 ___ ___ 04:25PM GLUCOSE-112* UREA N-17 CREAT-1.2 SODIUM-138 POTASSIUM-3.8 CHLORIDE-101 TOTAL " "Correct entity, wrong SNOMED ID","(3956, 3962)","(3956, 3962)",SODIUM,SODIUM,25197003,104934005,18847983-DS-6,"__ ___ 04:25PM GLUCOSE-112* UREA N-17 CREAT-1.2 SODIUM-138 POTASSIUM-3.8 CHLORIDE-101 TOTAL CO2-26 ANIO" "Correct entity, wrong SNOMED ID","(3968, 3977)","(3968, 3977)",POTASSIUM,POTASSIUM,59573005,1149432009,18847983-DS-6,"PM GLUCOSE-112* UREA N-17 CREAT-1.2 SODIUM-138 POTASSIUM-3.8 CHLORIDE-101 TOTAL CO2-26 ANION GAP-15 ___ 04" "Correct entity, wrong SNOMED ID","(3982, 3990)","(3982, 3990)",CHLORIDE,CHLORIDE,104589004,108447000,18847983-DS-6,"12* UREA N-17 CREAT-1.2 SODIUM-138 POTASSIUM-3.8 CHLORIDE-101 TOTAL CO2-26 ANION GAP-15 ___ 04:25PM estGF" "Correct entity, wrong SNOMED ID","(4008, 4017)","(4008, 4017)",ANION GAP,ANION GAP,25469001,237854004,18847983-DS-6,"DIUM-138 POTASSIUM-3.8 CHLORIDE-101 TOTAL CO2-26 ANION GAP-15 ___ 04:25PM estGFR-Using this ___ 04:25PM " "Correct entity, wrong SNOMED ID","(4067, 4070)","(4067, 4070)",WBC,WBC,767002,391558003,18847983-DS-6,"-15 ___ 04:25PM estGFR-Using this ___ 04:25PM WBC-5.7 RBC-3.15* HGB-9.4* HCT-27.6* MCV-88 MCH-29.7" "Correct entity, wrong SNOMED ID","(4075, 4078)","(4075, 4078)",RBC,RBC,14089001,258759006,18847983-DS-6,"04:25PM estGFR-Using this ___ 04:25PM WBC-5.7 RBC-3.15* HGB-9.4* HCT-27.6* MCV-88 MCH-29.7 MCHC-33" "Correct entity, wrong SNOMED ID","(4085, 4088)","(4085, 4088)",HGB,HGB,441689006,104142005,18847983-DS-6,"estGFR-Using this ___ 04:25PM WBC-5.7 RBC-3.15* HGB-9.4* HCT-27.6* MCV-88 MCH-29.7 MCHC-33.9 RDW-16." "Correct entity, wrong SNOMED ID","(4094, 4097)","(4094, 4097)",HCT,HCT,28317006,282660005,18847983-DS-6,"ing this ___ 04:25PM WBC-5.7 RBC-3.15* HGB-9.4* HCT-27.6* MCV-88 MCH-29.7 MCHC-33.9 RDW-16.2* ___ 04" Missed entity,"(4104, 4107)",,MCV,,104133003,,18847983-DS-6,"__ 04:25PM WBC-5.7 RBC-3.15* HGB-9.4* HCT-27.6* MCV-88 MCH-29.7 MCHC-33.9 RDW-16.2* ___ 04:25PM NE" "Correct entity, wrong SNOMED ID","(4121, 4125)","(4121, 4125)",MCHC,MCHC,37254006,735147002,18847983-DS-6,"5.7 RBC-3.15* HGB-9.4* HCT-27.6* MCV-88 MCH-29.7 MCHC-33.9 RDW-16.2* ___ 04:25PM NEUTS-76.3* LYMPHS-1" "Correct entity, wrong SNOMED ID","(4155, 4160)","(4155, 4160)",NEUTS,NEUTS,30630007,271035003,18847983-DS-6,"CV-88 MCH-29.7 MCHC-33.9 RDW-16.2* ___ 04:25PM NEUTS-76.3* LYMPHS-14.9* MONOS-7.9 EOS-0.6 BASOS-0.2 _" "Correct entity, wrong SNOMED ID","(4167, 4173)","(4167, 4173)",LYMPHS,LYMPHS,74765001,79709007,18847983-DS-6,"9.7 MCHC-33.9 RDW-16.2* ___ 04:25PM NEUTS-76.3* LYMPHS-14.9* MONOS-7.9 EOS-0.6 BASOS-0.2 ___ 04:25PM " "Correct entity, wrong SNOMED ID","(4180, 4185)","(4180, 4185)",MONOS,MONOS,67776007,462791000124108,18847983-DS-6," RDW-16.2* ___ 04:25PM NEUTS-76.3* LYMPHS-14.9* MONOS-7.9 EOS-0.6 BASOS-0.2 ___ 04:25PM PLT COUNT-22" "Correct entity, wrong SNOMED ID","(4190, 4193)","(4190, 4193)",EOS,EOS,71960002,67099000,18847983-DS-6," ___ 04:25PM NEUTS-76.3* LYMPHS-14.9* MONOS-7.9 EOS-0.6 BASOS-0.2 ___ 04:25PM PLT COUNT-225# LABS " "Correct entity, wrong SNOMED ID","(4276, 4279)","(4276, 4279)",ALT,ALT,34608000,56935002,18847983-DS-6," COUNT-225# LABS ON DISPOSITION ___ 10:30AM BLOOD ALT-90* AST-67* AlkPhos-117 TotBili-1.4 DirBili-0.4*" "Correct entity, wrong SNOMED ID","(4284, 4287)","(4284, 4287)",AST,AST,45896001,85043005,18847983-DS-6,"25# LABS ON DISPOSITION ___ 10:30AM BLOOD ALT-90* AST-67* AlkPhos-117 TotBili-1.4 DirBili-0.4* IndBili" "Correct entity, wrong SNOMED ID","(4292, 4299)","(4292, 4299)",AlkPhos,AlkPhos,88810008,30703008,18847983-DS-6," ON DISPOSITION ___ 10:30AM BLOOD ALT-90* AST-67* AlkPhos-117 TotBili-1.4 DirBili-0.4* IndBili-1.0 ___ 06:" "Correct entity, wrong SNOMED ID","(4304, 4311)","(4304, 4311)",TotBili,TotBili,359986008,19754005,18847983-DS-6,"ION ___ 10:30AM BLOOD ALT-90* AST-67* AlkPhos-117 TotBili-1.4 DirBili-0.4* IndBili-1.0 ___ 06:48AM BLOOD P" "Correct entity, wrong SNOMED ID","(4415, 4418)","(4415, 4418)",WBC,WBC,767002,391558003,18847983-DS-6,".1 ___ 06:48AM BLOOD HCV Ab-PND ___ 06:48AM BLOOD WBC-4.6 RBC-3.11* Hgb-9.5* Hct-27.6* MCV-89 MCH-30.4" "Correct entity, wrong SNOMED ID","(4423, 4426)","(4423, 4426)",RBC,RBC,14089001,258759006,18847983-DS-6,"6:48AM BLOOD HCV Ab-PND ___ 06:48AM BLOOD WBC-4.6 RBC-3.11* Hgb-9.5* Hct-27.6* MCV-89 MCH-30.4 MCHC-34" "Correct entity, wrong SNOMED ID","(4433, 4436)","(4433, 4436)",Hgb,Hgb,441689006,104142005,18847983-DS-6,"OD HCV Ab-PND ___ 06:48AM BLOOD WBC-4.6 RBC-3.11* Hgb-9.5* Hct-27.6* MCV-89 MCH-30.4 MCHC-34.3 RDW-16." "Correct entity, wrong SNOMED ID","(4442, 4445)","(4442, 4445)",Hct,Hct,28317006,282660005,18847983-DS-6,"-PND ___ 06:48AM BLOOD WBC-4.6 RBC-3.11* Hgb-9.5* Hct-27.6* MCV-89 MCH-30.4 MCHC-34.3 RDW-16.0* Plt __" "Correct entity, wrong SNOMED ID","(4460, 4463)","(4460, 4463)",MCH,MCH,54706004,735147002,18847983-DS-6,"LOOD WBC-4.6 RBC-3.11* Hgb-9.5* Hct-27.6* MCV-89 MCH-30.4 MCHC-34.3 RDW-16.0* Plt ___ ___ 06:48AM BLOO" "Correct entity, wrong SNOMED ID","(4469, 4473)","(4469, 4473)",MCHC,MCHC,37254006,735147002,18847983-DS-6,"4.6 RBC-3.11* Hgb-9.5* Hct-27.6* MCV-89 MCH-30.4 MCHC-34.3 RDW-16.0* Plt ___ ___ 06:48AM BLOOD Plt ___ " "Correct entity, wrong SNOMED ID","(4541, 4548)","(4541, 4548)",Glucose,Glucose,33747003,72191006,18847983-DS-6,"t ___ ___ 06:48AM BLOOD Plt ___ ___ 06:48AM BLOOD Glucose-110* UreaN-11 Creat-1.1 Na-141 K-4.2 Cl-105 HCO3" "Correct entity, wrong SNOMED ID","(4554, 4559)","(4554, 4559)",UreaN,UreaN,105011006,111108008,18847983-DS-6,"48AM BLOOD Plt ___ ___ 06:48AM BLOOD Glucose-110* UreaN-11 Creat-1.1 Na-141 K-4.2 Cl-105 HCO3-26 AnGap-1" "Correct entity, wrong SNOMED ID","(4563, 4568)","(4563, 4568)",Creat,Creat,70901006,413856009,18847983-DS-6,"D Plt ___ ___ 06:48AM BLOOD Glucose-110* UreaN-11 Creat-1.1 Na-141 K-4.2 Cl-105 HCO3-26 AnGap-14 STUDIE" "Correct entity, wrong SNOMED ID","(4573, 4575)","(4573, 4575)",Na,Na,312469006,257992007,18847983-DS-6,"___ 06:48AM BLOOD Glucose-110* UreaN-11 Creat-1.1 Na-141 K-4.2 Cl-105 HCO3-26 AnGap-14 STUDIES AP ch" "Correct entity, wrong SNOMED ID","(4587, 4589)","(4587, 4589)",Cl,Cl,104589004,311741002,18847983-DS-6,"OOD Glucose-110* UreaN-11 Creat-1.1 Na-141 K-4.2 Cl-105 HCO3-26 AnGap-14 STUDIES AP chest radiograph" "Correct entity, wrong SNOMED ID","(4594, 4598)","(4594, 4598)",HCO3,HCO3,312471006,88645003,18847983-DS-6,"cose-110* UreaN-11 Creat-1.1 Na-141 K-4.2 Cl-105 HCO3-26 AnGap-14 STUDIES AP chest radiograph (___), c" "Correct entity, wrong SNOMED ID","(4602, 4607)","(4602, 4607)",AnGap,AnGap,25469001,124504004,18847983-DS-6,"* UreaN-11 Creat-1.1 Na-141 K-4.2 Cl-105 HCO3-26 AnGap-14 STUDIES AP chest radiograph (___), compared t" Wrong span,"(4620, 4639)","(4623, 4639)",AP chest radiograph,chest radiograph,394421000119103,171229005,18847983-DS-6,".1 Na-141 K-4.2 Cl-105 HCO3-26 AnGap-14 STUDIES AP chest radiograph (___), compared to ___: Impression: Borderline c" "Correct entity, wrong SNOMED ID","(4688, 4700)","(4688, 4700)",cardiomegaly,cardiomegaly,8186001,275516004,18847983-DS-6,"h (___), compared to ___: Impression: Borderline cardiomegaly is unchanged. Linear scar at the right lung base" "Correct entity, wrong SNOMED ID","(4735, 4750)","(4735, 4750)",right lung base,right lung base,51785002,181416003,18847983-DS-6,"ne cardiomegaly is unchanged. Linear scar at the right lung base is slightly more extensive today than previously" Wrong span,"(4817, 4826)","(4817, 4838)",pulmonary,pulmonary abnormality,268925001,1381861002,18847983-DS-6," extensive today than previously. No other focal pulmonary abnormality is present. Mild upper lobe vascular" Wrong span,"(4827, 4838)","(4817, 4838)",abnormality,pulmonary abnormality,281900007,1381861002,18847983-DS-6," today than previously. No other focal pulmonary abnormality is present. Mild upper lobe vascular cephalizati" Missed entity,"(4852, 4856)",,Mild,,162468002,,18847983-DS-6,"No other focal pulmonary abnormality is present. Mild upper lobe vascular cephalization slightly more p" "Correct entity, wrong SNOMED ID","(4857, 4867)","(4857, 4867)",upper lobe,upper lobe,45653009,42400003,18847983-DS-6,"her focal pulmonary abnormality is present. Mild upper lobe vascular cephalization slightly more pronounced, " "Correct entity, wrong SNOMED ID","(4868, 4876)","(4868, 4876)",vascular,vascular,59820001,238460009,18847983-DS-6,"ulmonary abnormality is present. Mild upper lobe vascular cephalization slightly more pronounced, but no e" "Correct entity, wrong SNOMED ID","(4925, 4930)","(4925, 4930)",edema,edema,267038008,102576009,18847983-DS-6,"r cephalization slightly more pronounced, but no edema or pleural effusion is present. Colonoscopy, (_" "Correct entity, wrong SNOMED ID","(4934, 4950)","(4934, 4950)",pleural effusion,pleural effusion,60046008,1366511008,18847983-DS-6,"zation slightly more pronounced, but no edema or pleural effusion is present. Colonoscopy, (___): Findings: Norma" "Correct entity, wrong SNOMED ID","(4965, 4976)","(4965, 4976)",Colonoscopy,Colonoscopy,73761001,174158000,18847983-DS-6,", but no edema or pleural effusion is present. Colonoscopy, (___): Findings: Normal mucosa was noted. Protru" Wrong span,"(5002, 5008)","(4995, 5008)",mucosa,Normal mucosa,414781009,454821000124103,18847983-DS-6,"s present. Colonoscopy, (___): Findings: Normal mucosa was noted. Protruding Lesions Three polyps of be" "Correct entity, wrong SNOMED ID","(5031, 5038)","(5031, 5038)",Lesions,Lesions,52988006,246206008,18847983-DS-6,"_): Findings: Normal mucosa was noted. Protruding Lesions Three polyps of benign appearance were found. On" "Correct entity, wrong SNOMED ID","(5046, 5052)","(5046, 5052)",polyps,polyps,41329004,9499001,18847983-DS-6,"ormal mucosa was noted. Protruding Lesions Three polyps of benign appearance were found. One sessile and " Missed entity,"(5063, 5073)",,appearance,,301305006,,18847983-DS-6,"noted. Protruding Lesions Three polyps of benign appearance were found. One sessile and one pedunculated pol" Missed entity,"(5090, 5097)",,sessile,,103679000,,18847983-DS-6,"hree polyps of benign appearance were found. One sessile and one pedunculated polyp in the ascending colo" Wrong span,"(5107, 5125)","(5120, 5125)",pedunculated polyp,polyp,103680002,1237359009,18847983-DS-6,"enign appearance were found. One sessile and one pedunculated polyp in the ascending colon and one pedunculated poly" "Correct entity, wrong SNOMED ID","(5133, 5148)","(5133, 5148)",ascending colon,ascending colon,9040008,362162009,18847983-DS-6,"d. One sessile and one pedunculated polyp in the ascending colon and one pedunculated polyp in the transverse col" Wrong span,"(5157, 5176)","(5171, 5176)","pedunculated polyp",polyp,103680002,1237359009,18847983-DS-6,"pedunculated polyp in the ascending colon and one pedunculated polyp in the transverse colon. The polyps ranged from 0" "Correct entity, wrong SNOMED ID","(5184, 5200)","(5184, 5200)",transverse colon,transverse colon,485005,362163004,18847983-DS-6,"scending colon and one pedunculated polyp in the transverse colon. The polyps ranged from 0.5 cm to 0.8 cm Single-" "Correct entity, wrong SNOMED ID","(5206, 5212)","(5206, 5212)",polyps,polyps,41329004,9499001,18847983-DS-6," pedunculated polyp in the transverse colon. The polyps ranged from 0.5 cm to 0.8 cm Single-piece polype" "Correct entity, wrong SNOMED ID","(5256, 5267)","(5256, 5267)",polypectomy,polypectomy,82035006,174334007,18847983-DS-6,"polyps ranged from 0.5 cm to 0.8 cm Single-piece polypectomy was performed using a cold snare. The polyps wer" "Correct entity, wrong SNOMED ID","(5307, 5313)","(5307, 5313)",polyps,polyps,41329004,56331000087102,18847983-DS-6,"olypectomy was performed using a cold snare. The polyps were completely removed. Minimal oozing was note" "Correct entity, wrong SNOMED ID","(5330, 5337)","(5330, 5337)",removed,removed,118292001,246162000,18847983-DS-6,"d using a cold snare. The polyps were completely removed. Minimal oozing was noted at the polypectomy sit" Missed entity,"(5339, 5346)",,Minimal,,162468002,,18847983-DS-6," cold snare. The polyps were completely removed. Minimal oozing was noted at the polypectomy site at one " "Correct entity, wrong SNOMED ID","(5372, 5383)","(5372, 5383)",polypectomy,polypectomy,82035006,174334007,18847983-DS-6,"pletely removed. Minimal oozing was noted at the polypectomy site at one of the polyps in the ascending colon" "Correct entity, wrong SNOMED ID","(5403, 5409)","(5403, 5409)",polyps,polyps,41329004,9499001,18847983-DS-6," was noted at the polypectomy site at one of the polyps in the ascending colon. A single clip was attach" "Correct entity, wrong SNOMED ID","(5418, 5433)","(5418, 5433)",ascending colon,ascending colon,9040008,362162009,18847983-DS-6,"the polypectomy site at one of the polyps in the ascending colon. A single clip was attached and hemostasis was a" "Correct entity, wrong SNOMED ID","(5506, 5512)","(5506, 5512)",Polyps,Polyps,41329004,56331000087102,18847983-DS-6,"ached and hemostasis was achieved. Impression: Polyps in the ascending colon and transverse colon (pol" "Correct entity, wrong SNOMED ID","(5520, 5535)","(5520, 5535)",ascending colon,ascending colon,9040008,362162009,18847983-DS-6,"stasis was achieved. Impression: Polyps in the ascending colon and transverse colon (polypectomy). Normal mucos" "Correct entity, wrong SNOMED ID","(5540, 5556)","(5540, 5556)",transverse colon,transverse colon,485005,362163004,18847983-DS-6,". Impression: Polyps in the ascending colon and transverse colon (polypectomy). Normal mucosa in the colon. Other" "Correct entity, wrong SNOMED ID","(5559, 5570)","(5559, 5570)",polypectomy,polypectomy,82035006,174334007,18847983-DS-6,"yps in the ascending colon and transverse colon (polypectomy). Normal mucosa in the colon. Otherwise normal c" Wrong span,"(5580, 5586)","(5573, 5586)",mucosa,Normal mucosa,414781009,454821000124103,18847983-DS-6,"colon and transverse colon (polypectomy). Normal mucosa in the colon. Otherwise normal colonoscopy to ce" "Correct entity, wrong SNOMED ID","(5594, 5599)","(5594, 5599)",colon,colon,71854001,269533000,18847983-DS-6,"sverse colon (polypectomy). Normal mucosa in the colon. Otherwise normal colonoscopy to cecum. RUQ ul" "Correct entity, wrong SNOMED ID","(5619, 5630)","(5619, 5630)",colonoscopy,colonoscopy,73761001,174158000,18847983-DS-6,"y). Normal mucosa in the colon. Otherwise normal colonoscopy to cecum. RUQ ultrasound, (___): 1. Echogenic l" "Correct entity, wrong SNOMED ID","(5634, 5639)","(5634, 5639)",cecum,cecum,32713005,54694004,18847983-DS-6,"sa in the colon. Otherwise normal colonoscopy to cecum. RUQ ultrasound, (___): 1. Echogenic liver cons" Wrong span,"(5647, 5657)","(5643, 5657)",ultrasound,RUQ ultrasound,16310003,770572002,18847983-DS-6,"on. Otherwise normal colonoscopy to cecum. RUQ ultrasound, (___): 1. Echogenic liver consistent with fatty " Wrong span,"(5679, 5684)","(5669, 5684)",liver,Echogenic liver,10200004,249559005,18847983-DS-6,"y to cecum. RUQ ultrasound, (___): 1. Echogenic liver consistent with fatty infiltration. Other forms " "Correct entity, wrong SNOMED ID","(5701, 5719)","(5701, 5719)",fatty infiltration,fatty infiltration,45752008,719846009,18847983-DS-6,"asound, (___): 1. Echogenic liver consistent with fatty infiltration. Other forms of liver disease and more advanced " "Correct entity, wrong SNOMED ID","(5737, 5750)","(5737, 5750)",liver disease,liver disease,235856003,161535005,18847983-DS-6,"nsistent with fatty infiltration. Other forms of liver disease and more advanced liver disease including signif" "Correct entity, wrong SNOMED ID","(5769, 5782)","(5769, 5782)",liver disease,liver disease,235856003,161535005,18847983-DS-6,". Other forms of liver disease and more advanced liver disease including significant hepatic fibrosis/cirrhosis" "Correct entity, wrong SNOMED ID","(5806, 5822)","(5806, 5822)",hepatic fibrosis,hepatic fibrosis,62484002,79607001,18847983-DS-6,"ore advanced liver disease including significant hepatic fibrosis/cirrhosis cannot be excluded on this study. 2. G" "Correct entity, wrong SNOMED ID","(5871, 5881)","(5871, 5881)",Gallstones,Gallstones,235919008,390926006,18847983-DS-6,"s/cirrhosis cannot be excluded on this study. 2. Gallstones with no signs of cholecystitis. 3. Simple bilate" Wrong span,"(5890, 5895)","(5887, 5895)",signs,no signs,72670004,5481000175101,18847983-DS-6,"be excluded on this study. 2. Gallstones with no signs of cholecystitis. 3. Simple bilateral renal cyst" "Correct entity, wrong SNOMED ID","(5899, 5912)","(5899, 5912)",cholecystitis,cholecystitis,76581006,65275009,18847983-DS-6,"ed on this study. 2. Gallstones with no signs of cholecystitis. 3. Simple bilateral renal cysts. Small left ren" Wrong span,"(5935, 5946)","(5925, 5946)",renal cysts,bilateral renal cysts,722223000,71716005,18847983-DS-6,"h no signs of cholecystitis. 3. Simple bilateral renal cysts. Small left renal crystal within a calyceal dive" Wrong span,"(5954, 5964)","(5954, 5972)",left renal,left renal crystal,18639004,473368005,18847983-DS-6,"cystitis. 3. Simple bilateral renal cysts. Small left renal crystal within a calyceal diverticulum. Brief" Wrong span,"(5965, 5972)","(5954, 5972)",crystal,left renal crystal,95570007,473368005,18847983-DS-6,". Simple bilateral renal cysts. Small left renal crystal within a calyceal diverticulum. Brief Hospita" "Correct entity, wrong SNOMED ID","(5983, 6004)","(5983, 6004)",calyceal diverticulum,calyceal diverticulum,433036004,298127003,18847983-DS-6,"l renal cysts. Small left renal crystal within a calyceal diverticulum. Brief Hospital Course: Mr. ___ was admitted t" Wrong span,"(6103, 6130)","(6103, 6119)",bright red blood per rectum,bright red blood,405729008,167235001,18847983-DS-6,"to Medicine service after having two episodes of bright red blood per rectum. . # GI bleeding: This bleeding was thought to be" "Correct entity, wrong SNOMED ID","(6136, 6147)","(6136, 6147)",GI bleeding,GI bleeding,74474003,37372002,18847983-DS-6," two episodes of bright red blood per rectum. . # GI bleeding: This bleeding was thought to be most likely from" Missed entity,"(6210, 6218)",,GI tract,,122865005,,18847983-DS-6,"ng was thought to be most likely from the distal GI tract given the description of bright red blood and th" "Correct entity, wrong SNOMED ID","(6244, 6260)","(6244, 6260)",bright red blood,bright red blood,405729008,167235001,18847983-DS-6,"rom the distal GI tract given the description of bright red blood and the absence of epigastric pain, nausea or he" "Correct entity, wrong SNOMED ID","(6281, 6296)","(6281, 6296)",epigastric pain,epigastric pain,79922009,21005005,18847983-DS-6,"scription of bright red blood and the absence of epigastric pain, nausea or hematemesis. He was given IV fluid on" "Correct entity, wrong SNOMED ID","(6298, 6304)","(6298, 6304)",nausea,nausea,422587007,1217125005,18847983-DS-6,"ht red blood and the absence of epigastric pain, nausea or hematemesis. He was given IV fluid on the day" "Correct entity, wrong SNOMED ID","(6308, 6319)","(6308, 6319)",hematemesis,hematemesis,8765009,206423004,18847983-DS-6,"od and the absence of epigastric pain, nausea or hematemesis. He was given IV fluid on the day of admission. " Wrong span,"(6329, 6343)","(6335, 6343)",given IV fluid,IV fluid,103744005,261512006,18847983-DS-6,"f epigastric pain, nausea or hematemesis. He was given IV fluid on the day of admission. His antihypertensive me" "Correct entity, wrong SNOMED ID","(6476, 6487)","(6476, 6487)",colonoscopy,colonoscopy,73761001,174158000,18847983-DS-6,"ated by Gastrointestinal service who recommended colonoscopy and esophagogastroduodenoscopy especially becaus" "Correct entity, wrong SNOMED ID","(6493, 6519)","(6493, 6519)",esophagogastroduodenoscopy,esophagogastroduodenoscopy,76009000,60139001,18847983-DS-6,"estinal service who recommended colonoscopy and esophagogastroduodenoscopy especially because the patient has never had col" "Correct entity, wrong SNOMED ID","(6566, 6577)","(6566, 6577)",colonoscopy,colonoscopy,73761001,174158000,18847983-DS-6,"opy especially because the patient has never had colonoscopy in the past and he has a history of chronic anem" "Correct entity, wrong SNOMED ID","(6615, 6629)","(6615, 6629)",chronic anemia,chronic anemia,191268006,291262006,18847983-DS-6," colonoscopy in the past and he has a history of chronic anemia. Colonoscopy revealed three benign-appearing, no" "Correct entity, wrong SNOMED ID","(6631, 6642)","(6631, 6642)",Colonoscopy,Colonoscopy,73761001,174158000,18847983-DS-6,"the past and he has a history of chronic anemia. Colonoscopy revealed three benign-appearing, non-bleeding po" Missed entity,"(6681, 6689)",,bleeding,,131148009,,18847983-DS-6,"Colonoscopy revealed three benign-appearing, non-bleeding polyps, one in the transverse colon, and two in t" Missed entity,"(6690, 6696)",,polyps,,41329004,,18847983-DS-6,"py revealed three benign-appearing, non-bleeding polyps, one in the transverse colon, and two in the asc" "Correct entity, wrong SNOMED ID","(6709, 6725)","(6709, 6725)",transverse colon,transverse colon,485005,362163004,18847983-DS-6,"enign-appearing, non-bleeding polyps, one in the transverse colon, and two in the ascending colon. There was no ev" "Correct entity, wrong SNOMED ID","(6743, 6758)","(6743, 6758)",ascending colon,ascending colon,9040008,362162009,18847983-DS-6,"yps, one in the transverse colon, and two in the ascending colon. There was no evidence of new or recent bleeding" "Correct entity, wrong SNOMED ID","(6770, 6781)","(6770, 6781)",no evidence,no evidence,281900007,41647002,18847983-DS-6,"colon, and two in the ascending colon. There was no evidence of new or recent bleeding. Capsule endoscopy is " "Correct entity, wrong SNOMED ID","(6800, 6808)","(6800, 6808)",bleeding,bleeding,131148009,74474003,18847983-DS-6,"ng colon. There was no evidence of new or recent bleeding. Capsule endoscopy is recommended as further work" Wrong span,"(6810, 6827)","(6818, 6827)",Capsule endoscopy,endoscopy,427595003,10847001,18847983-DS-6,"There was no evidence of new or recent bleeding. Capsule endoscopy is recommended as further work up, to be done by" "Correct entity, wrong SNOMED ID","(6951, 6959)","(6951, 6959)",bleeding,bleeding,131148009,74474003,18847983-DS-6,"tpatient.He did not have any further episodes of bleeding after he was admitted to Medicine survice. His h" "Correct entity, wrong SNOMED ID","(7008, 7018)","(7008, 7018)",hematocrit,hematocrit,28317006,409683007,18847983-DS-6,"g after he was admitted to Medicine survice. His hematocrit remained stable during this admission. Metroprol" Missed entity,"(7028, 7034)",,stable,,359746009,,18847983-DS-6,"ted to Medicine survice. His hematocrit remained stable during this admission. Metroprolol 12.5 mg BID w" "Correct entity, wrong SNOMED ID","(7235, 7252)","(7235, 7252)",Normocytic anemia,Normocytic anemia,300980002,46737006,18847983-DS-6,"is to be followed up by his PCP, ___ on ___. . # Normocytic anemia: The patient was found to have chronic anemia wh" "Correct entity, wrong SNOMED ID","(7284, 7299)","(7284, 7299)","chronic anemia","chronic anemia",191268006,291262006,18847983-DS-6," Normocytic anemia: The patient was found to have chronic anemia which has not been investigated as far as the pat" Missed entity,"(7369, 7372)",,B12,,165644008,,18847983-DS-6,"investigated as far as the patient's awared. His B12 and folate levels were both normal. Iron studies " Wrong span,"(7377, 7407)","(7401, 7407)",folate levels were both normal,normal,165649003,840673007,18847983-DS-6,"ated as far as the patient's awared. His B12 and folate levels were both normal. Iron studies suggested that there may be a comp" "Correct entity, wrong SNOMED ID","(7466, 7492)","(7466, 7492)","anemia of chronic disease","anemia of chronic disease",234347009,191244003,18847983-DS-6,"udies suggested that there may be a component of anemia of chronic disease. Acute bleeding would not totally account for thi" Wrong span,"(7628, 7643)","(7628, 7633)",bowel movements,bowel,405729008,30315005,18847983-DS-6,"l to moderate amount of blood was noted with his bowel movements. The plan to further evaluate GI bleeding is cap" "Correct entity, wrong SNOMED ID","(7675, 7686)","(7675, 7686)",GI bleeding,GI bleeding,74474003,37372002,18847983-DS-6,"is bowel movements. The plan to further evaluate GI bleeding is capsule endoscopy as discussed above. . # Co" Wrong span,"(7690, 7707)","(7690, 7697)",capsule endoscopy,capsule,427595003,466958003,18847983-DS-6,"nts. The plan to further evaluate GI bleeding is capsule endoscopy as discussed above. . # Coag-positive S. aureus" Missed entity,"(7758, 7761)",,UTI,,68566005,,18847983-DS-6,"as discussed above. . # Coag-positive S. aureus UTI: Prior to this admission, the patient has alread" "Correct entity, wrong SNOMED ID","(7911, 7921)","(7911, 7921)",urinalysis,urinalysis,27171005,127800008,18847983-DS-6,"ne (Ciprofloxacin followed by Levofloxacin). His urinalysis on admission was negative. He remained afebrile. " "Correct entity, wrong SNOMED ID","(7961, 7969)","(7961, 7969)",afebrile,afebrile,386661006,307200007,18847983-DS-6,"urinalysis on admission was negative. He remained afebrile. His blood culture had NGTD at discharge. . # El" "Correct entity, wrong SNOMED ID","(7976, 7989)","(7976, 7989)",blood culture,blood culture,30088009,8730001000004107,18847983-DS-6,"dmission was negative. He remained afebrile. His blood culture had NGTD at discharge. . # Elevated ESR and CRP: " "Correct entity, wrong SNOMED ID","(8017, 8029)","(8017, 8029)",Elevated ESR,Elevated ESR,165468009,50177009,18847983-DS-6,"le. His blood culture had NGTD at discharge. . # Elevated ESR and CRP: ESR is 108 (was 60 in ___ and ___, CRP " "Correct entity, wrong SNOMED ID","(8034, 8037)","(8034, 8037)",CRP,CRP,119971000119104,61425002,18847983-DS-6,"lture had NGTD at discharge. . # Elevated ESR and CRP: ESR is 108 (was 60 in ___ and ___, CRP 89.8 (CR" "Correct entity, wrong SNOMED ID","(8039, 8042)","(8039, 8042)",ESR,ESR,365649001,416838001,18847983-DS-6," had NGTD at discharge. . # Elevated ESR and CRP: ESR is 108 (was 60 in ___ and ___, CRP 89.8 (CRP was" "Correct entity, wrong SNOMED ID","(8129, 8142)","(8129, 8142)","elevated ESR","elevated ESR",165468009,50177009,18847983-DS-6,"89.8 (CRP was 4 in ___. Differential diagnoses of elevated ESR and CRP include inflammation, infection or malign" "Correct entity, wrong SNOMED ID","(8147, 8150)","(8147, 8150)",CRP,CRP,119971000119104,61425002,18847983-DS-6," ___. Differential diagnoses of elevated ESR and CRP include inflammation, infection or malignancy. C" "Correct entity, wrong SNOMED ID","(8159, 8171)","(8159, 8171)",inflammation,inflammation,128139000,103622007,18847983-DS-6,"ential diagnoses of elevated ESR and CRP include inflammation, infection or malignancy. Causes could be recent" "Correct entity, wrong SNOMED ID","(8173, 8182)","(8173, 8182)",infection,infection,40733004,260976002,18847983-DS-6,"es of elevated ESR and CRP include inflammation, infection or malignancy. Causes could be recent UTI, bacte" "Correct entity, wrong SNOMED ID","(8186, 8196)","(8186, 8196)",malignancy,malignancy,1240414004,269475001,18847983-DS-6,"d ESR and CRP include inflammation, infection or malignancy. Causes could be recent UTI, bacteremia, autoimm" "Correct entity, wrong SNOMED ID","(8222, 8225)","(8222, 8225)",UTI,UTI,68566005,4009004,18847983-DS-6," infection or malignancy. Causes could be recent UTI, bacteremia, autoimmune processes or malignancy." "Correct entity, wrong SNOMED ID","(8227, 8237)","(8227, 8237)",bacteremia,bacteremia,5758002,1162569002,18847983-DS-6,"ction or malignancy. Causes could be recent UTI, bacteremia, autoimmune processes or malignancy. PSA level w" "Correct entity, wrong SNOMED ID","(8264, 8274)","(8264, 8274)",malignancy,malignancy,1240414004,1381294008,18847983-DS-6," recent UTI, bacteremia, autoimmune processes or malignancy. PSA level was checked and was normal (0.1). ESR " Missed entity,"(8276, 8312)",,PSA level was checked and was normal,,166159005,,18847983-DS-6," bacteremia, autoimmune processes or malignancy. PSA level was checked and was normal (0.1). ESR and CRP should be repeated at follow-" Boundary error,"(8320, 8323)","(8320, 8321)",ESR,E,416838001,257985002,18847983-DS-6,"ancy. PSA level was checked and was normal (0.1). ESR and CRP should be repeated at follow-up visit wi" "Correct entity, wrong SNOMED ID","(8329, 8332)","(8329, 8332)",CRP,CRP,55235003,61425002,18847983-DS-6," level was checked and was normal (0.1). ESR and CRP should be repeated at follow-up visit with Dr. __" "Correct entity, wrong SNOMED ID","(8404, 8407)","(8404, 8407)",AST,AST,45896001,85043005,18847983-DS-6," follow-up visit with Dr. ___. . # Transaminitis: AST 81-82, ALT 52-56. Last ALT in ___ was normal. Si" "Correct entity, wrong SNOMED ID","(8415, 8418)","(8415, 8418)",ALT,ALT,34608000,56935002,18847983-DS-6,"visit with Dr. ___. . # Transaminitis: AST 81-82, ALT 52-56. Last ALT in ___ was normal. Simvastatin w" "Correct entity, wrong SNOMED ID","(8431, 8434)","(8431, 8434)",ALT,ALT,34608000,56935002,18847983-DS-6,"__. . # Transaminitis: AST 81-82, ALT 52-56. Last ALT in ___ was normal. Simvastatin was held on the d" "Correct entity, wrong SNOMED ID","(8549, 8558)","(8549, 8558)",Hepatitis,Hepatitis,128241005,275847004,18847983-DS-6,". Tylenol level was checked, which was negative. Hepatitis serologies are pending at the time of dispositio" "Correct entity, wrong SNOMED ID","(8721, 8724)","(8721, 8724)",AST,AST,166669000,85043005,18847983-DS-6,"ransaminis, but less likely in this case because AST and ALT levels remained elevated after he finish" Wrong span,"(8729, 8757)","(8729, 8732)",ALT levels remained elevated,ALT,409673008,56935002,18847983-DS-6,"is, but less likely in this case because AST and ALT levels remained elevated after he finished the course of antibiotic. The " "Correct entity, wrong SNOMED ID","(8791, 8801)","(8791, 8801)",antibiotic,antibiotic,281789004,372723005,18847983-DS-6,"emained elevated after he finished the course of antibiotic. The patient denied recent alcohol use. Other di" "Correct entity, wrong SNOMED ID","(8830, 8841)","(8830, 8841)",alcohol use,alcohol use,219006,704198001,18847983-DS-6," course of antibiotic. The patient denied recent alcohol use. Other differential diagnoses include non-alcohol" Wrong span,"(8880, 8914)","(8880, 8884)","non-alcoholic fatty liver disease",non-,1231824009,238960002,18847983-DS-6,"alcohol use. Other differential diagnoses include non-alcoholic fatty liver disease, infectious, malignant or metastatic processes. " "Correct entity, wrong SNOMED ID","(8916, 8926)","(8916, 8926)",infectious,infectious,40733004,366971000119100,18847983-DS-6,"noses include non-alcoholic fatty liver disease, infectious, malignant or metastatic processes. LFTs should " "Correct entity, wrong SNOMED ID","(8928, 8937)","(8928, 8937)",malignant,malignant,1240414004,128643000,18847983-DS-6,"e non-alcoholic fatty liver disease, infectious, malignant or metastatic processes. LFTs should be repeated" "Correct entity, wrong SNOMED ID","(8941, 8951)","(8941, 8951)",metastatic,metastatic,128462008,264860004,18847983-DS-6,"ic fatty liver disease, infectious, malignant or metastatic processes. LFTs should be repeated in ~1 week by" "Correct entity, wrong SNOMED ID","(8964, 8968)","(8964, 8968)",LFTs,LFTs,26958001,365769003,18847983-DS-6,", infectious, malignant or metastatic processes. LFTs should be repeated in ~1 week by his PCP as outp" "Correct entity, wrong SNOMED ID","(9030, 9055)","(9030, 9055)",Elevated direct bilirubin,Elevated direct bilirubin,863931005,176271000119108,18847983-DS-6,"epeated in ~1 week by his PCP as outpatient. . # Elevated direct bilirubin: Patient was found to have elevated direct bilir" "Correct entity, wrong SNOMED ID","(9083, 9109)","(9083, 9109)","elevated direct bilirubin","elevated direct bilirubin",863931005,176271000119108,18847983-DS-6,"vated direct bilirubin: Patient was found to have elevated direct bilirubin of 0.4, concerning for cholestatic proceses. On " "Correct entity, wrong SNOMED ID","(9133, 9144)","(9133, 9144)",cholestatic,cholestatic,33688009,15770003,18847983-DS-6,"elevated direct bilirubin of 0.4, concerning for cholestatic proceses. On exam, he was afebrile and there was" "Correct entity, wrong SNOMED ID","(9172, 9180)","(9172, 9180)",afebrile,afebrile,386661006,307200007,18847983-DS-6,"erning for cholestatic proceses. On exam, he was afebrile and there was no RUQ or abdominal tenderness to " "Correct entity, wrong SNOMED ID","(9198, 9201)","(9198, 9201)",RUQ,RUQ,50519007,65826004,18847983-DS-6,"ceses. On exam, he was afebrile and there was no RUQ or abdominal tenderness to palpation. No jaundic" Wrong span,"(9205, 9226)","(9205, 9214)","abdominal tenderness",abdominal,43478001,422314007,18847983-DS-6,"On exam, he was afebrile and there was no RUQ or abdominal tenderness to palpation. No jaundice noted. RUQ ultrasound w" "Correct entity, wrong SNOMED ID","(9230, 9239)","(9230, 9239)",palpation,palpation,113011001,51558006,18847983-DS-6," and there was no RUQ or abdominal tenderness to palpation. No jaundice noted. RUQ ultrasound was obtained " "Correct entity, wrong SNOMED ID","(9244, 9252)","(9244, 9252)",jaundice,jaundice,18165001,371117009,18847983-DS-6," no RUQ or abdominal tenderness to palpation. No jaundice noted. RUQ ultrasound was obtained which showed " "Correct entity, wrong SNOMED ID","(9260, 9274)","(9260, 9274)",RUQ ultrasound,RUQ ultrasound,426701000119108,770572002,18847983-DS-6,"inal tenderness to palpation. No jaundice noted. RUQ ultrasound was obtained which showed fatty liver and gallst" "Correct entity, wrong SNOMED ID","(9302, 9313)","(9302, 9313)",fatty liver,fatty liver,197321007,50325005,18847983-DS-6," noted. RUQ ultrasound was obtained which showed fatty liver and gallstones but no evidence of inflammation o" "Correct entity, wrong SNOMED ID","(9318, 9328)","(9318, 9328)",gallstones,gallstones,235919008,390926006,18847983-DS-6,"asound was obtained which showed fatty liver and gallstones but no evidence of inflammation or cholestasis. " "Correct entity, wrong SNOMED ID","(9333, 9344)","(9333, 9344)",no evidence,no evidence,281900007,41647002,18847983-DS-6,"ained which showed fatty liver and gallstones but no evidence of inflammation or cholestasis. . # Bilateral l" "Correct entity, wrong SNOMED ID","(9349, 9361)","(9349, 9361)",inflammation,inflammation,128139000,103622007,18847983-DS-6,"ed fatty liver and gallstones but no evidence of inflammation or cholestasis. . # Bilateral leg pain: Chronic " "Correct entity, wrong SNOMED ID","(9365, 9376)","(9365, 9376)",cholestasis,cholestasis,33688009,10753141000119100,18847983-DS-6,"nd gallstones but no evidence of inflammation or cholestasis. . # Bilateral leg pain: Chronic issue. He was k" "Correct entity, wrong SNOMED ID","(9383, 9401)","(9383, 9401)",Bilateral leg pain,Bilateral leg pain,12247531000119106,15677281000119105,18847983-DS-6,"no evidence of inflammation or cholestasis. . # Bilateral leg pain: Chronic issue. He was kept on dilaudid prn pain" Missed entity,"(9403, 9416)",,Chronic issue,,27624003,,18847983-DS-6,"ammation or cholestasis. . # Bilateral leg pain: Chronic issue. He was kept on dilaudid prn pain. His pain was " "Correct entity, wrong SNOMED ID","(9447, 9451)","(9447, 9451)",pain,pain,22253000,102570003,18847983-DS-6,"pain: Chronic issue. He was kept on dilaudid prn pain. His pain was well-controlled during this admissi" "Correct entity, wrong SNOMED ID","(9509, 9521)","(9509, 9521)",Hypertension,Hypertension,38341003,70995007,18847983-DS-6,"in was well-controlled during this admission. . # Hypertension: Antihypertensive medications were held on the d" "Correct entity, wrong SNOMED ID","(9591, 9602)","(9591, 9602)",GI bleeding,GI bleeding,74474003,37372002,18847983-DS-6,"edications were held on the day of admission for GI bleeding and because patient was normotensive. His blood " "Correct entity, wrong SNOMED ID","(9628, 9640)","(9628, 9640)",normotensive,normotensive,2004005,167712000,18847983-DS-6,"dmission for GI bleeding and because patient was normotensive. His blood pressures during this admission ranged" "Correct entity, wrong SNOMED ID","(9646, 9661)","(9646, 9661)",blood pressures,blood pressures,135840009,12763006,18847983-DS-6,"eeding and because patient was normotensive. His blood pressures during this admission ranged from 120-140's/60-7" Wrong span,"(9801, 9812)","(9801, 9817)",Right ankle,Right ankle pain,6685009,16002871000119105,18847983-DS-6," resumed with dose changed to 12.5 mg BID. . # Right ankle pain: The patient developed ankle pain over the " Wrong span,"(9813, 9817)","(9801, 9817)",pain,Right ankle pain,29857009,16002871000119105,18847983-DS-6,"th dose changed to 12.5 mg BID. . # Right ankle pain: The patient developed ankle pain over the right" "Correct entity, wrong SNOMED ID","(9841, 9851)","(9841, 9851)",ankle pain,ankle pain,247373008,51741000119105,18847983-DS-6,"ID. . # Right ankle pain: The patient developed ankle pain over the right medial malleolus. He reported tha" "Correct entity, wrong SNOMED ID","(9862, 9884)","(9862, 9884)",right medial malleolus,right medial malleolus,719549009,40081000087100,18847983-DS-6," pain: The patient developed ankle pain over the right medial malleolus. He reported that he has had many episodes of ac" Wrong span,"(9932, 9952)","(9939, 9952)","acute ""gout"" attacks","gout"" attacks",770924008,446995005,18847983-DS-6,"us. He reported that he has had many episodes of acute ""gout"" attacks in the past that lasted about ___ days, the last" "Correct entity, wrong SNOMED ID","(10062, 10076)","(10062, 10076)",arthrocentesis,arthrocentesis,90131007,91602002,18847983-DS-6,"append about ___ years ago. He denied having had arthrocentesis. He reported that he went to the ED last time he" "Correct entity, wrong SNOMED ID","(10144, 10148)","(10144, 10148)",pain,pain,22253000,102570003,18847983-DS-6," he went to the ED last time he had this type of pain but was told there was no treatment for his cond" "Correct entity, wrong SNOMED ID","(10236, 10240)","(10236, 10240)",pain,pain,22253000,102570003,18847983-DS-6,"for his condition. He reported having had similar pain in both ankles and on the bottom of his feet sev" Missed entity,"(10245, 10256)",,both ankles,,69948000,,18847983-DS-6,"ondition. He reported having had similar pain in both ankles and on the bottom of his feet several years ago. " "Correct entity, wrong SNOMED ID","(10282, 10286)","(10282, 10286)",feet,feet,56459004,259051005,18847983-DS-6,"lar pain in both ankles and on the bottom of his feet several years ago. On exam, he was afebrile. The" "Correct entity, wrong SNOMED ID","(10323, 10331)","(10323, 10331)",afebrile,afebrile,386661006,307200007,18847983-DS-6,"m of his feet several years ago. On exam, he was afebrile. There was minimal erythema over the right media" "Correct entity, wrong SNOMED ID","(10351, 10359)","(10351, 10359)",erythema,erythema,247441003,403194002,18847983-DS-6,"ago. On exam, he was afebrile. There was minimal erythema over the right medial malleolus that was moderat" "Correct entity, wrong SNOMED ID","(10370, 10392)","(10370, 10392)",right medial malleolus,right medial malleolus,719549009,40081000087100,18847983-DS-6,"as afebrile. There was minimal erythema over the right medial malleolus that was moderately tender to palpation and with" Wrong span,"(10413, 10432)","(10413, 10419)",tender to palpation,tender,247348008,300821004,18847983-DS-6,"r the right medial malleolus that was moderately tender to palpation and with passive range of movement. No swelling " "Correct entity, wrong SNOMED ID","(10473, 10481)","(10473, 10481)",swelling,swelling,442672001,300890009,18847983-DS-6,"palpation and with passive range of movement. No swelling appreciated. Gout in differential. Patient alrea" "Correct entity, wrong SNOMED ID","(10496, 10500)","(10496, 10500)",Gout,Gout,90560007,69896004,18847983-DS-6,"sive range of movement. No swelling appreciated. Gout in differential. Patient already has a follow-up " "Correct entity, wrong SNOMED ID","(10646, 10658)","(10646, 10658)",pain regimen,pain regimen,278414003,370823008,18847983-DS-6,"ition. In the meantime, he is instructed to take pain regimen as prescribed and to apply ice pack as needed. " Missed entity,"(10687, 10690)",,ice,,113152007,,18847983-DS-6," to take pain regimen as prescribed and to apply ice pack as needed. Medications on Admission: Amlod" "Correct entity, wrong SNOMED ID","(11597, 11605)","(11597, 11605)",GI bleed,GI bleed,74474003,307297004,18847983-DS-6,"ome Discharge Diagnosis: Primary diagnosis: 1. GI bleed 2. Anemia 3. Transaminitis Secondary diagnosis: " "Correct entity, wrong SNOMED ID","(11609, 11615)","(11609, 11615)",Anemia,Anemia,271737000,87522002,18847983-DS-6,"rge Diagnosis: Primary diagnosis: 1. GI bleed 2. Anemia 3. Transaminitis Secondary diagnosis: 1. Hyperte" "Correct entity, wrong SNOMED ID","(11658, 11670)","(11658, 11670)",Hypertension,Hypertension,38341003,70995007,18847983-DS-6," Anemia 3. Transaminitis Secondary diagnosis: 1. Hypertension 2. Sciatic 3. GERD Discharge Condition: Mental" "Correct entity, wrong SNOMED ID","(11674, 11681)","(11674, 11681)",Sciatic,Sciatic,23056005,10658007,18847983-DS-6,"aminitis Secondary diagnosis: 1. Hypertension 2. Sciatic 3. GERD Discharge Condition: Mental Status: Cl" "Correct entity, wrong SNOMED ID","(11685, 11689)","(11685, 11689)",GERD,GERD,235595009,15749591000119107,18847983-DS-6,"econdary diagnosis: 1. Hypertension 2. Sciatic 3. GERD Discharge Condition: Mental Status: Clear and " "Correct entity, wrong SNOMED ID","(11714, 11727)","(11714, 11727)",Mental Status,Mental Status,392257007,419284004,18847983-DS-6,"ension 2. Sciatic 3. GERD Discharge Condition: Mental Status: Clear and coherent Level of Consciousness: Alert" "Correct entity, wrong SNOMED ID","(11748, 11770)","(11748, 11770)",Level of Consciousness,Level of Consciousness,444714004,365931003,18847983-DS-6,"arge Condition: Mental Status: Clear and coherent Level of Consciousness: Alert and interactive Activity Status: Ambulator" "Correct entity, wrong SNOMED ID","(11772, 11777)","(11772, 11777)",Alert,Alert,248234008,409787004,18847983-DS-6,"tatus: Clear and coherent Level of Consciousness: Alert and interactive Activity Status: Ambulatory - req" "Correct entity, wrong SNOMED ID","(11782, 11793)","(11782, 11793)",interactive,interactive,288577006,10301000202103,18847983-DS-6,"ar and coherent Level of Consciousness: Alert and interactive Activity Status: Ambulatory - requires assistance" "Correct entity, wrong SNOMED ID","(11794, 11809)","(11794, 11809)",Activity Status,Activity Status,129676008,397622007,18847983-DS-6,"ent Level of Consciousness: Alert and interactive Activity Status: Ambulatory - requires assistance or aid (walker " "Correct entity, wrong SNOMED ID","(11811, 11850)","(11811, 11850)",Ambulatory - requires assistance or aid,Ambulatory - requires assistance or aid,365112008,165252001,18847983-DS-6,"ciousness: Alert and interactive Activity Status: Ambulatory - requires assistance or aid (walker or cane) Discharge Instructions: You " "Correct entity, wrong SNOMED ID","(11934, 11940)","(11934, 11940)",rectum,rectum,34402009,37161004,18847983-DS-6,"structions: You were admitted with blood per your rectum. You had no further episodes of bleeding while y" "Correct entity, wrong SNOMED ID","(11974, 11982)","(11974, 11982)",bleeding,bleeding,131148009,74474003,18847983-DS-6," per your rectum. You had no further episodes of bleeding while you were in the hospital. Your red blood c" Wrong span,"(12020, 12051)","(12020, 12041)","red blood cell count increased","red blood cell count",165424007,165426009,18847983-DS-6," of bleeding while you were in the hospital. Your red blood cell count increased indicating that the bleeding has stopped. You ha" "Correct entity, wrong SNOMED ID","(12072, 12080)","(12072, 12080)",bleeding,bleeding,131148009,74474003,18847983-DS-6,"d blood cell count increased indicating that the bleeding has stopped. You had a colonoscopy to evaluate f" "Correct entity, wrong SNOMED ID","(12105, 12116)","(12105, 12116)",colonoscopy,colonoscopy,73761001,174158000,18847983-DS-6,"icating that the bleeding has stopped. You had a colonoscopy to evaluate for the source of the bleed. They fo" "Correct entity, wrong SNOMED ID","(12152, 12157)","(12152, 12157)",bleed,bleed,50960005,74474003,18847983-DS-6," a colonoscopy to evaluate for the source of the bleed. They found a polyp which was removed, however, t" "Correct entity, wrong SNOMED ID","(12172, 12177)","(12172, 12177)",polyp,polyp,41329004,1237359009,18847983-DS-6,"aluate for the source of the bleed. They found a polyp which was removed, however, they did not see any" "Correct entity, wrong SNOMED ID","(12188, 12195)","(12188, 12195)",removed,removed,118292001,246162000,18847983-DS-6,"ource of the bleed. They found a polyp which was removed, however, they did not see any signs of new or r" "Correct entity, wrong SNOMED ID","(12228, 12233)","(12228, 12233)",signs,signs,72670004,86631001,18847983-DS-6,"which was removed, however, they did not see any signs of new or recent bleeding. You will need to foll" "Correct entity, wrong SNOMED ID","(12251, 12259)","(12251, 12259)",bleeding,bleeding,131148009,74474003,18847983-DS-6,"ver, they did not see any signs of new or recent bleeding. You will need to follow up with your primary ca" "Correct entity, wrong SNOMED ID","(12330, 12348)","(12330, 12348)","capsule endoscopy","capsule endoscopy",427595003,466507007,18847983-DS-6,"ollow up with your primary care physician for ___ capsule endoscopy. Also, some of your lab work was abnormal. Your l" "Correct entity, wrong SNOMED ID","(12397, 12409)","(12397, 12409)","liver tests","liver tests",26958001,365769003,18847983-DS-6,"y. Also, some of your lab work was abnormal. Your liver tests and inflammation tests were elevated and your red" Wrong span,"(12414, 12426)","(12414, 12432)",inflammation,inflammation tests,128139000,720528002,18847983-DS-6,"your lab work was abnormal. Your liver tests and inflammation tests were elevated and your red blood cell coun" Missed entity,"(12438, 12446)",,elevated,,103720008,,18847983-DS-6,"al. Your liver tests and inflammation tests were elevated and your red blood cell count was low and need t" Wrong span,"(12456, 12485)","(12456, 12477)","red blood cell count was low","red blood cell count",165423001,165426009,18847983-DS-6,"sts and inflammation tests were elevated and your red blood cell count was low and need to be followed closely by your primary " "Correct entity, wrong SNOMED ID","(12566, 12572)","(12566, 12572)",biopsy,biopsy,86273004,48635004,18847983-DS-6,"y by your primary care physician. You also had a biopsy of the polyp which will need to be followed by y" "Correct entity, wrong SNOMED ID","(12580, 12585)","(12580, 12585)",polyp,polyp,41329004,1237359009,18847983-DS-6,"mary care physician. You also had a biopsy of the polyp which will need to be followed by your primary c" "Correct entity, wrong SNOMED ID","(12662, 12672)","(12662, 12672)",ultrasound,ultrasound,45036003,765172009,18847983-DS-6,"lowed by your primary care physician. You had an ultrasound which showed evidence of ""fatty liver"" and galls" "Correct entity, wrong SNOMED ID","(12699, 12710)","(12699, 12710)",fatty liver,fatty liver,197321007,50325005,18847983-DS-6," You had an ultrasound which showed evidence of ""fatty liver"" and gallstones but no signs of inflammation of " "Correct entity, wrong SNOMED ID","(12717, 12727)","(12717, 12727)",gallstones,gallstones,235919008,390926006,18847983-DS-6,"sound which showed evidence of ""fatty liver"" and gallstones but no signs of inflammation of cholestasis. As f" "Correct entity, wrong SNOMED ID","(12735, 12740)","(12735, 12740)",signs,signs,72670004,86631001,18847983-DS-6," evidence of ""fatty liver"" and gallstones but no signs of inflammation of cholestasis. As far as your a" "Correct entity, wrong SNOMED ID","(12744, 12756)","(12744, 12756)",inflammation,inflammation,128139000,103622007,18847983-DS-6," of ""fatty liver"" and gallstones but no signs of inflammation of cholestasis. As far as your ankle pain you sh" "Correct entity, wrong SNOMED ID","(12760, 12771)","(12760, 12771)",cholestasis,cholestasis,33688009,10753141000119100,18847983-DS-6,""" and gallstones but no signs of inflammation of cholestasis. As far as your ankle pain you should take your " Wrong span,"(12789, 12799)","(12789, 12794)",ankle pain,ankle,247373008,267039000,18847983-DS-6,"s of inflammation of cholestasis. As far as your ankle pain you should take your pain regimen as previously " "Correct entity, wrong SNOMED ID","(12821, 12833)","(12821, 12833)",pain regimen,pain regimen,278414003,370823008,18847983-DS-6,". As far as your ankle pain you should take your pain regimen as previously prescribed and use ice packs as ne" Wrong span,"(12868, 12871)","(12868, 12877)",ice,ice packs,113152007,113152007,18847983-DS-6,"ur pain regimen as previously prescribed and use ice packs as needed. Please discuss this pain tomorr" "Correct entity, wrong SNOMED ID","(12910, 12914)","(12910, 12914)",pain,pain,22253000,102570003,18847983-DS-6,"and use ice packs as needed. Please discuss this pain tomorrow with Dr. ___. An appointment was made f" Missed entity,"(13089, 13097)",,by mouth,,386359008,,18847983-DS-6,"e changed: 1. DECREASE metoprolol tartrate 12.5mg by mouth twice a day 2. STOP amlodipine - please discuss t" False positive,,"(260, 265)",,Post-,,109226007,19297319-DS-11,"ug Reactions Attending: ___. Chief Complaint: Post-RFA ablation Major Surgical or Invasive Proced" False positive,,"(483, 487)",,post,,109226007,19297319-DS-11,"omplicated by HCC, admitted after RFA on ___ for post-procedure monitoring. The procedure went well, bu" False positive,,"(1807, 1808)",,s,,420952007,19297319-DS-11,": Supple, JVP not elevated, no LAD CV: RRR, ___ systolic murmur Lungs: CTAB Abdomen: obese, sof" False positive,,"(2483, 2486)",,RUQ,,65826004,19297319-DS-11,"s, gallops Abdomen: Protuberant abdomen, soft. RUQ with minimal tenderness to palpation. No guardin" False positive,,"(2635, 2638)",,CN2,,278077005,19297319-DS-11,"perfused, 1+ pitting edema to mid shin. Neuro: CN2-12 grossly intact. Movement of upper and lower e" False positive,,"(2658, 2669)",,Movement of,,66059008,19297319-DS-11,"ema to mid shin. Neuro: CN2-12 grossly intact. Movement of upper and lower extremities bilaterally grossly " False positive,,"(3276, 3282)",,Bacter,,716340006,19297319-DS-11,"================== ___ 01:59AM URINE RBC-7* WBC-1 Bacteri-FEW Yeast-NONE Epi-0 ___ 01:59AM URINE Blood-TR " False positive,,"(3344, 3351)",,Protein,,764892007,19297319-DS-11,"NONE Epi-0 ___ 01:59AM URINE Blood-TR Nitrite-NEG Protein-TR Glucose-TR Ketone-NEG Bilirub-NEG Urobiln-NEG" False positive,,"(4414, 4416)",,CT,,241541005,19297319-DS-11,"utine (Pending): ======== Imaging: ======== ___ CT interventional procedure: Technically-successful " False positive,,"(7203, 7206)",,RFA,,218191003,19297319-DS-11,"of asymptomatic bradycardia during and after the RFA procedure per ___ report. He experienced this in" False positive,,"(7334, 7349)",,"vagal response",,167195007,19297319-DS-11,"re, which was evaluated by EP who felt this was a vagal response in setting of the procedure. Patient felt improve" False positive,,"(8309, 8312)",,RFA,,218191003,19297319-DS-11,"ention: Restarted Aspirin 81 mg PO/NG DAILY post RFA; was holding for past few weeks for procedure. Co" False positive,,"(8831, 8839)",,resolved,,413322009,19297319-DS-11," furosemide held during hospital stay due to ___ resolved (discharge Creatinine was 1.8, baseline 1.6-1.8)" False positive,,"(11323, 11332)",,urinating,,102834005,19297319-DS-11,"pain control. At the time of discharge, you were urinating on your own without difficulty. You additionall" "Correct entity, wrong SNOMED ID","(200, 222)","(200, 222)",Adverse Drug Reactions,Adverse Drug Reactions,419511003,396079007,19297319-DS-11,"vice: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Post-RFA abl" Wrong span,"(265, 277)","(265, 268)",RFA ablation,RFA,448781006,218191003,19297319-DS-11,"actions Attending: ___. Chief Complaint: Post-RFA ablation Major Surgical or Invasive Procedure: Radiofr" "Correct entity, wrong SNOMED ID","(320, 343)","(320, 343)",Radiofrequency Ablation,Radiofrequency Ablation,879916008,427951003,19297319-DS-11,"blation Major Surgical or Invasive Procedure: Radiofrequency Ablation History of Present Illness: ___ year old man " "Correct entity, wrong SNOMED ID","(398, 400)","(398, 400)",DM,DM,73211009,258671008,19297319-DS-11,"History of Present Illness: ___ year old man with DM, HTN, and NASH/ETOH cirrhosis complicated by HCC" "Correct entity, wrong SNOMED ID","(402, 405)","(402, 405)",HTN,HTN,38341003,10725009,19297319-DS-11,"ory of Present Illness: ___ year old man with DM, HTN, and NASH/ETOH cirrhosis complicated by HCC, adm" "Correct entity, wrong SNOMED ID","(411, 415)","(411, 415)",NASH,NASH,442685003,27189006,19297319-DS-11,"esent Illness: ___ year old man with DM, HTN, and NASH/ETOH cirrhosis complicated by HCC, admitted afte" "Correct entity, wrong SNOMED ID","(416, 430)","(416, 430)",ETOH cirrhosis,ETOH cirrhosis,420054005,1082601000119104,19297319-DS-11," Illness: ___ year old man with DM, HTN, and NASH/ETOH cirrhosis complicated by HCC, admitted after RFA on ___ fo" "Correct entity, wrong SNOMED ID","(447, 450)","(447, 450)",HCC,HCC,109841003,718290002,19297319-DS-11," DM, HTN, and NASH/ETOH cirrhosis complicated by HCC, admitted after RFA on ___ for post-procedure mo" "Correct entity, wrong SNOMED ID","(467, 470)","(467, 470)",RFA,RFA,448781006,218191003,19297319-DS-11,"TOH cirrhosis complicated by HCC, admitted after RFA on ___ for post-procedure monitoring. The proced" "Correct entity, wrong SNOMED ID","(498, 508)","(498, 508)",monitoring,monitoring,710993005,86265008,19297319-DS-11,"CC, admitted after RFA on ___ for post-procedure monitoring. The procedure went well, but he was bradycardic" "Correct entity, wrong SNOMED ID","(514, 523)","(514, 523)",procedure,procedure,71388002,118672003,19297319-DS-11,"er RFA on ___ for post-procedure monitoring. The procedure went well, but he was bradycardic during the pro" "Correct entity, wrong SNOMED ID","(547, 558)","(547, 558)",bradycardic,bradycardic,48867003,74615001,19297319-DS-11," monitoring. The procedure went well, but he was bradycardic during the procedure as well as in the PACU, and " "Correct entity, wrong SNOMED ID","(570, 579)","(570, 579)",procedure,procedure,71388002,118672003,19297319-DS-11,"ure went well, but he was bradycardic during the procedure as well as in the PACU, and so was admitted for " Boundary error,"(598, 602)","(598, 600)",PACU,PA,386390005,421542006,19297319-DS-11,"radycardic during the procedure as well as in the PACU, and so was admitted for observation. He was asy" "Correct entity, wrong SNOMED ID","(649, 661)","(649, 661)",asymptomatic,asymptomatic,84387000,5481000175101,19297319-DS-11,"ACU, and so was admitted for observation. He was asymptomatic during these episodes, and had similar bradycard" "Correct entity, wrong SNOMED ID","(702, 713)","(702, 713)",bradycardia,bradycardia,48867003,49710005,19297319-DS-11,"mptomatic during these episodes, and had similar bradycardia during a prior TACE procedure, evaluated by EP a" "Correct entity, wrong SNOMED ID","(729, 733)","(729, 733)",TACE,TACE,448396008,360709003,19297319-DS-11,"sodes, and had similar bradycardia during a prior TACE procedure, evaluated by EP at that time who felt" "Correct entity, wrong SNOMED ID","(735, 744)","(735, 744)",procedure,procedure,71388002,118672003,19297319-DS-11," and had similar bradycardia during a prior TACE procedure, evaluated by EP at that time who felt it was va" Missed entity,"(759, 761)",,EP,,252425004,,19297319-DS-11,"rdia during a prior TACE procedure, evaluated by EP at that time who felt it was vaso-vagal. His HCC" Missed entity,"(792, 802)",,vaso-vagal,,398665005,,19297319-DS-11,"re, evaluated by EP at that time who felt it was vaso-vagal. His HCC was first diagnosed ___ by MRI. He unde" "Correct entity, wrong SNOMED ID","(808, 811)","(808, 811)",HCC,HCC,109841003,718290002,19297319-DS-11," EP at that time who felt it was vaso-vagal. His HCC was first diagnosed ___ by MRI. He underwent TAC" "Correct entity, wrong SNOMED ID","(839, 842)","(839, 842)",MRI,MRI,113091000,1144760005,19297319-DS-11,"s vaso-vagal. His HCC was first diagnosed ___ by MRI. He underwent TACE on ___ to the segment 4 lesio" "Correct entity, wrong SNOMED ID","(858, 862)","(858, 862)",TACE,TACE,448396008,124463009,19297319-DS-11,"HCC was first diagnosed ___ by MRI. He underwent TACE on ___ to the segment 4 lesion, however subseque" Missed entity,"(877, 886)",,segment 4,,277958008,,19297319-DS-11,"osed ___ by MRI. He underwent TACE on ___ to the segment 4 lesion, however subsequent follow-up imaging in " "Correct entity, wrong SNOMED ID","(887, 893)","(887, 893)",lesion,lesion,300331000,120609008,19297319-DS-11,"y MRI. He underwent TACE on ___ to the segment 4 lesion, however subsequent follow-up imaging in ___ sho" "Correct entity, wrong SNOMED ID","(925, 932)","(925, 932)",imaging,imaging,363679005,408574004,19297319-DS-11,"e segment 4 lesion, however subsequent follow-up imaging in ___ showed a 2.2 cm segment 8 lesion and 1.8 " Missed entity,"(956, 966)",,"segment 8",,277962002,,19297319-DS-11,"bsequent follow-up imaging in ___ showed a 2.2 cm segment 8 lesion and 1.8 cm segment 3 lesion, both meeting " "Correct entity, wrong SNOMED ID","(967, 973)","(967, 973)",lesion,lesion,300331000,120609008,19297319-DS-11,"llow-up imaging in ___ showed a 2.2 cm segment 8 lesion and 1.8 cm segment 3 lesion, both meeting OPTN cr" Missed entity,"(985, 994)",,segment 3,,277957003,,19297319-DS-11," ___ showed a 2.2 cm segment 8 lesion and 1.8 cm segment 3 lesion, both meeting OPTN criteria for HCC. O" "Correct entity, wrong SNOMED ID","(995, 1001)","(995, 1001)",lesion,lesion,300331000,120609008,19297319-DS-11,"d a 2.2 cm segment 8 lesion and 1.8 cm segment 3 lesion, both meeting OPTN criteria for HCC. On the f" "Correct entity, wrong SNOMED ID","(1035, 1038)","(1035, 1038)",HCC,HCC,109841003,718290002,19297319-DS-11,"segment 3 lesion, both meeting OPTN criteria for HCC. On the floor, pt is tired/sleeping, with mini" "Correct entity, wrong SNOMED ID","(1063, 1068)","(1063, 1068)",tired,tired,224960004,161869003,19297319-DS-11,"ng OPTN criteria for HCC. On the floor, pt is tired/sleeping, with minimal pain, no dizziness, no ch" "Correct entity, wrong SNOMED ID","(1069, 1077)","(1069, 1077)",sleeping,sleeping,248220008,301345002,19297319-DS-11,"N criteria for HCC. On the floor, pt is tired/sleeping, with minimal pain, no dizziness, no chest pain," Missed entity,"(1084, 1091)",,minimal,,162468002,,19297319-DS-11," HCC. On the floor, pt is tired/sleeping, with minimal pain, no dizziness, no chest pain, no nausea. " "Correct entity, wrong SNOMED ID","(1092, 1096)","(1092, 1096)",pain,pain,21522001,102570003,19297319-DS-11," On the floor, pt is tired/sleeping, with minimal pain, no dizziness, no chest pain, no nausea. Rev" "Correct entity, wrong SNOMED ID","(1102, 1111)","(1102, 1111)",dizziness,dizziness,404640003,1141711004,19297319-DS-11,"oor, pt is tired/sleeping, with minimal pain, no dizziness, no chest pain, no nausea. Review of systems:" "Correct entity, wrong SNOMED ID","(1116, 1126)","(1116, 1126)",chest pain,chest pain,29857009,102589003,19297319-DS-11,"ed/sleeping, with minimal pain, no dizziness, no chest pain, no nausea. Review of systems: (+) Per HPI. " "Correct entity, wrong SNOMED ID","(1131, 1137)","(1131, 1137)",nausea,nausea,422587007,1217125005,19297319-DS-11,"th minimal pain, no dizziness, no chest pain, no nausea. Review of systems: (+) Per HPI. Past Medic" Missed entity,"(1143, 1160)",,Review of systems,,415300000,,19297319-DS-11,"ain, no dizziness, no chest pain, no nausea. Review of systems: (+) Per HPI. Past Medical History: Diabetes me" "Correct entity, wrong SNOMED ID","(1199, 1216)","(1199, 1216)",Diabetes mellitus,Diabetes mellitus,73211009,931000172106,19297319-DS-11," of systems: (+) Per HPI. Past Medical History: Diabetes mellitus Hypertension Prior alcohol abuse (sober for the l" "Correct entity, wrong SNOMED ID","(1217, 1229)","(1217, 1229)",Hypertension,Hypertension,38341003,70995007,19297319-DS-11,"er HPI. Past Medical History: Diabetes mellitus Hypertension Prior alcohol abuse (sober for the last ___ years" "Correct entity, wrong SNOMED ID","(1236, 1249)","(1236, 1249)",alcohol abuse,alcohol abuse,15167005,268645007,19297319-DS-11,"cal History: Diabetes mellitus Hypertension Prior alcohol abuse (sober for the last ___ years, since diagnosis of" "Correct entity, wrong SNOMED ID","(1311, 1326)","(1311, 1326)",Liver cirrhosis,Liver cirrhosis,19943007,725416005,19297319-DS-11,"the last ___ years, since diagnosis of cirrhosis) Liver cirrhosis complicated by HCC. Peripheral neuropathy Squamou" "Correct entity, wrong SNOMED ID","(1342, 1345)","(1342, 1345)",HCC,HCC,109841003,718290002,19297319-DS-11,"osis of cirrhosis) Liver cirrhosis complicated by HCC. Peripheral neuropathy Squamous cell skin ca, rec" "Correct entity, wrong SNOMED ID","(1347, 1368)","(1347, 1368)",Peripheral neuropathy,Peripheral neuropathy,302226006,129611009,19297319-DS-11,"of cirrhosis) Liver cirrhosis complicated by HCC. Peripheral neuropathy Squamous cell skin ca, recent resection"" Social" "Correct entity, wrong SNOMED ID","(1369, 1390)","(1369, 1390)",Squamous cell skin ca,Squamous cell skin ca,254651007,429024007,19297319-DS-11,"rrhosis complicated by HCC. Peripheral neuropathy Squamous cell skin ca, recent resection"" Social History: ___ Family H" "Correct entity, wrong SNOMED ID","(1399, 1408)","(1399, 1408)",resection,resection,450434000,265414003,19297319-DS-11,"ripheral neuropathy Squamous cell skin ca, recent resection"" Social History: ___ Family History: Mother wit" "Correct entity, wrong SNOMED ID","(1460, 1471)","(1460, 1471)",lung cancer,lung cancer,363358000,162573006,19297319-DS-11," Social History: ___ Family History: Mother with lung cancer. Father died of heart disease at the age of ___." "Correct entity, wrong SNOMED ID","(1488, 1501)","(1488, 1501)",heart disease,heart disease,56265001,127337006,19297319-DS-11," History: Mother with lung cancer. Father died of heart disease at the age of ___. Physical Exam: ============" Missed entity,"(1524, 1537)",,Physical Exam,,5880005,,19297319-DS-11,"ather died of heart disease at the age of ___. Physical Exam: ======================== Admission Physical Exam" "Correct entity, wrong SNOMED ID","(1574, 1587)","(1574, 1587)",Physical Exam,Physical Exam,5880005,410182004,19297319-DS-11,"Physical Exam: ======================== Admission Physical Exam: ======================== Vitals: 98.3 126/69 87" "Correct entity, wrong SNOMED ID","(1615, 1621)","(1615, 1621)",Vitals,Vitals,118227000,260390007,19297319-DS-11,"dmission Physical Exam: ======================== Vitals: 98.3 126/69 87 16 98% RA General: initially sl" "Correct entity, wrong SNOMED ID","(1645, 1647)","(1645, 1647)",RA,RA,722742002,463051000124105,19297319-DS-11,"=================== Vitals: 98.3 126/69 87 16 98% RA General: initially sleeping, then very pleasant" "Correct entity, wrong SNOMED ID","(1650, 1657)","(1650, 1657)",General,General,162673000,252398009,19297319-DS-11,"============== Vitals: 98.3 126/69 87 16 98% RA General: initially sleeping, then very pleasant, A+Ox3, N" "Correct entity, wrong SNOMED ID","(1669, 1677)","(1669, 1677)",sleeping,sleeping,248220008,301345002,19297319-DS-11,"ls: 98.3 126/69 87 16 98% RA General: initially sleeping, then very pleasant, A+Ox3, NAD HEENT: PERLL, a" "Correct entity, wrong SNOMED ID","(1701, 1704)","(1701, 1704)",Ox3,Ox3,426224004,396154006,19297319-DS-11,"eneral: initially sleeping, then very pleasant, A+Ox3, NAD HEENT: PERLL, anicteric sclera, dry MM N" "Correct entity, wrong SNOMED ID","(1706, 1709)","(1706, 1709)",NAD,NAD,281900007,131143000,19297319-DS-11,"l: initially sleeping, then very pleasant, A+Ox3, NAD HEENT: PERLL, anicteric sclera, dry MM Neck: " "Correct entity, wrong SNOMED ID","(1712, 1717)","(1712, 1717)",HEENT,HEENT,5880005,113665002,19297319-DS-11,"tially sleeping, then very pleasant, A+Ox3, NAD HEENT: PERLL, anicteric sclera, dry MM Neck: Supple, " "Correct entity, wrong SNOMED ID","(1719, 1724)","(1719, 1724)",PERLL,PERLL,386667005,56126005,19297319-DS-11,"sleeping, then very pleasant, A+Ox3, NAD HEENT: PERLL, anicteric sclera, dry MM Neck: Supple, JVP not" "Correct entity, wrong SNOMED ID","(1726, 1742)","(1726, 1742)",anicteric sclera,anicteric sclera,427801009,470731000124100,19297319-DS-11,"g, then very pleasant, A+Ox3, NAD HEENT: PERLL, anicteric sclera, dry MM Neck: Supple, JVP not elevated, no LAD " "Correct entity, wrong SNOMED ID","(1744, 1750)","(1744, 1750)",dry MM,dry MM,123640000,289873006,19297319-DS-11,"ant, A+Ox3, NAD HEENT: PERLL, anicteric sclera, dry MM Neck: Supple, JVP not elevated, no LAD CV: RR" "Correct entity, wrong SNOMED ID","(1753, 1757)","(1753, 1757)",Neck,Neck,5880005,840674001,19297319-DS-11,"3, NAD HEENT: PERLL, anicteric sclera, dry MM Neck: Supple, JVP not elevated, no LAD CV: RRR, ___ " "Correct entity, wrong SNOMED ID","(1759, 1765)","(1759, 1765)",Supple,Supple,298475003,169743001,19297319-DS-11," HEENT: PERLL, anicteric sclera, dry MM Neck: Supple, JVP not elevated, no LAD CV: RRR, ___ systolic" "Correct entity, wrong SNOMED ID","(1767, 1783)","(1767, 1783)",JVP not elevated,JVP not elevated,369001,248729008,19297319-DS-11,": PERLL, anicteric sclera, dry MM Neck: Supple, JVP not elevated, no LAD CV: RRR, ___ systolic murmur Lungs: C" "Correct entity, wrong SNOMED ID","(1788, 1791)","(1788, 1791)",LAD,LAD,30746006,1010291002,19297319-DS-11,"lera, dry MM Neck: Supple, JVP not elevated, no LAD CV: RRR, ___ systolic murmur Lungs: CTAB Ab" "Correct entity, wrong SNOMED ID","(1794, 1796)","(1794, 1796)",CV,CV,363003006,258773002,19297319-DS-11,"dry MM Neck: Supple, JVP not elevated, no LAD CV: RRR, ___ systolic murmur Lungs: CTAB Abdomen" "Correct entity, wrong SNOMED ID","(1798, 1801)","(1798, 1801)",RRR,RRR,76863003,129960002,19297319-DS-11,"MM Neck: Supple, JVP not elevated, no LAD CV: RRR, ___ systolic murmur Lungs: CTAB Abdomen: obe" "Correct entity, wrong SNOMED ID","(1816, 1822)","(1816, 1822)",murmur,murmur,414786004,248699005,19297319-DS-11," JVP not elevated, no LAD CV: RRR, ___ systolic murmur Lungs: CTAB Abdomen: obese, soft, mild tender" "Correct entity, wrong SNOMED ID","(1825, 1830)","(1825, 1830)",Lungs,Lungs,268925001,74101002,19297319-DS-11,"elevated, no LAD CV: RRR, ___ systolic murmur Lungs: CTAB Abdomen: obese, soft, mild tenderness in " "Correct entity, wrong SNOMED ID","(1832, 1836)","(1832, 1836)",CTAB,CTAB,48348007,1286955004,19297319-DS-11,"d, no LAD CV: RRR, ___ systolic murmur Lungs: CTAB Abdomen: obese, soft, mild tenderness in RLQ (w" "Correct entity, wrong SNOMED ID","(1839, 1846)","(1839, 1846)",Abdomen,Abdomen,225162003,75093004,19297319-DS-11,"AD CV: RRR, ___ systolic murmur Lungs: CTAB Abdomen: obese, soft, mild tenderness in RLQ (where proce" "Correct entity, wrong SNOMED ID","(1848, 1853)","(1848, 1853)",obese,obese,414915002,415530009,19297319-DS-11,"RRR, ___ systolic murmur Lungs: CTAB Abdomen: obese, soft, mild tenderness in RLQ (where procedure o" Missed entity,"(1861, 1865)",,mild,,162468002,,19297319-DS-11,"olic murmur Lungs: CTAB Abdomen: obese, soft, mild tenderness in RLQ (where procedure occurred), + " "Correct entity, wrong SNOMED ID","(1866, 1876)","(1866, 1876)",tenderness,tenderness,247348008,43478001,19297319-DS-11,"murmur Lungs: CTAB Abdomen: obese, soft, mild tenderness in RLQ (where procedure occurred), + BS, no rebo" "Correct entity, wrong SNOMED ID","(1880, 1883)","(1880, 1883)",RLQ,RLQ,48544008,255480002,19297319-DS-11,": CTAB Abdomen: obese, soft, mild tenderness in RLQ (where procedure occurred), + BS, no rebound, no" Missed entity,"(1891, 1900)",,procedure,,71388002,,19297319-DS-11,"domen: obese, soft, mild tenderness in RLQ (where procedure occurred), + BS, no rebound, no guarding Ext: " "Correct entity, wrong SNOMED ID","(1915, 1917)","(1915, 1917)",BS,BS,61539000,257983009,19297319-DS-11," tenderness in RLQ (where procedure occurred), + BS, no rebound, no guarding Ext: WWP, trace edema " "Correct entity, wrong SNOMED ID","(1922, 1929)","(1922, 1929)",rebound,rebound,35611005,844584001,19297319-DS-11,"ness in RLQ (where procedure occurred), + BS, no rebound, no guarding Ext: WWP, trace edema to mid-shin " "Correct entity, wrong SNOMED ID","(1945, 1948)","(1945, 1948)",Ext,Ext,302773001,1489008,19297319-DS-11,"edure occurred), + BS, no rebound, no guarding Ext: WWP, trace edema to mid-shin Neuro: symmetrica" "Correct entity, wrong SNOMED ID","(1950, 1953)","(1950, 1953)",WWP,WWP,1137685003,258001008,19297319-DS-11," occurred), + BS, no rebound, no guarding Ext: WWP, trace edema to mid-shin Neuro: symmetrical fac" "Correct entity, wrong SNOMED ID","(1961, 1966)","(1961, 1966)",edema,edema,267038008,102576009,19297319-DS-11,", + BS, no rebound, no guarding Ext: WWP, trace edema to mid-shin Neuro: symmetrical facial features," Wrong span,"(1974, 1978)","(1970, 1978)",shin,mid-shin,78234002,110470001,19297319-DS-11,"bound, no guarding Ext: WWP, trace edema to mid-shin Neuro: symmetrical facial features, clear speec" "Correct entity, wrong SNOMED ID","(1981, 1986)","(1981, 1986)",Neuro,Neuro,84728005,281247006,19297319-DS-11,"no guarding Ext: WWP, trace edema to mid-shin Neuro: symmetrical facial features, clear speech, movin" Wrong span,"(2000, 2006)","(1988, 2015)",facial,symmetrical facial features,89545001,298713004,19297319-DS-11,"WWP, trace edema to mid-shin Neuro: symmetrical facial features, clear speech, moving all limbs appropr" "Correct entity, wrong SNOMED ID","(2017, 2029)","(2017, 2029)",clear speech,clear speech,286402008,424650008,19297319-DS-11,"to mid-shin Neuro: symmetrical facial features, clear speech, moving all limbs appropriately (gait deferred) " "Correct entity, wrong SNOMED ID","(2031, 2048)","(2031, 2048)","moving all limbs","moving all limbs",284137004,284138009,19297319-DS-11,"Neuro: symmetrical facial features, clear speech, moving all limbs appropriately (gait deferred) ==================" Wrong span,"(2064, 2077)","(2064, 2068)",gait deferred,gait,22325002,22325002,19297319-DS-11,"s, clear speech, moving all limbs appropriately (gait deferred) ======================== Discharge Physical Exa" "Correct entity, wrong SNOMED ID","(2115, 2128)","(2115, 2128)",Physical Exam,Physical Exam,5880005,410182004,19297319-DS-11,"ait deferred) ======================== Discharge Physical Exam: ======================== Vitals: 98.2 BP 135/6" "Correct entity, wrong SNOMED ID","(2156, 2162)","(2156, 2162)",Vitals,Vitals,118227000,260390007,19297319-DS-11,"ischarge Physical Exam: ======================== Vitals: 98.2 BP 135/60 HR 87 RR 18 96% RA General: A" "Correct entity, wrong SNOMED ID","(2170, 2172)","(2170, 2172)",BP,BP,392570002,38341003,19297319-DS-11,"cal Exam: ======================== Vitals: 98.2 BP 135/60 HR 87 RR 18 96% RA General: Alert, orie" "Correct entity, wrong SNOMED ID","(2181, 2183)","(2181, 2183)",HR,HR,301113001,258702006,19297319-DS-11,"======================== Vitals: 98.2 BP 135/60 HR 87 RR 18 96% RA General: Alert, oriented. Appro" "Correct entity, wrong SNOMED ID","(2188, 2190)","(2188, 2190)",RR,RR,301283003,229040007,19297319-DS-11,"================= Vitals: 98.2 BP 135/60 HR 87 RR 18 96% RA General: Alert, oriented. Appropriate " "Correct entity, wrong SNOMED ID","(2199, 2201)","(2199, 2201)",RA,RA,722742002,463051000124105,19297319-DS-11,"====== Vitals: 98.2 BP 135/60 HR 87 RR 18 96% RA General: Alert, oriented. Appropriate mood and af" "Correct entity, wrong SNOMED ID","(2202, 2209)","(2202, 2209)",General,General,162673000,252398009,19297319-DS-11,"=== Vitals: 98.2 BP 135/60 HR 87 RR 18 96% RA General: Alert, oriented. Appropriate mood and affect. H" "Correct entity, wrong SNOMED ID","(2211, 2216)","(2211, 2216)",Alert,Alert,248234008,409787004,19297319-DS-11,"s: 98.2 BP 135/60 HR 87 RR 18 96% RA General: Alert, oriented. Appropriate mood and affect. HEENT: S" "Correct entity, wrong SNOMED ID","(2218, 2226)","(2218, 2226)",oriented,oriented,247663003,787379002,19297319-DS-11," BP 135/60 HR 87 RR 18 96% RA General: Alert, oriented. Appropriate mood and affect. HEENT: Sclera anic" "Correct entity, wrong SNOMED ID","(2240, 2244)","(2240, 2244)",mood,mood,134417007,709488003,19297319-DS-11," 18 96% RA General: Alert, oriented. Appropriate mood and affect. HEENT: Sclera anicteric, MMM, PERRL." Missed entity,"(2249, 2255)",,affect,,106131003,,19297319-DS-11,"RA General: Alert, oriented. Appropriate mood and affect. HEENT: Sclera anicteric, MMM, PERRL. Lungs:" "Correct entity, wrong SNOMED ID","(2258, 2263)","(2258, 2263)",HEENT,HEENT,5880005,113665002,19297319-DS-11,"l: Alert, oriented. Appropriate mood and affect. HEENT: Sclera anicteric, MMM, PERRL. Lungs: crackle" "Correct entity, wrong SNOMED ID","(2265, 2281)","(2265, 2281)",Sclera anicteric,Sclera anicteric,427801009,470731000124100,19297319-DS-11,"t, oriented. Appropriate mood and affect. HEENT: Sclera anicteric, MMM, PERRL. Lungs: crackles at R lung base, " "Correct entity, wrong SNOMED ID","(2283, 2286)","(2283, 2286)",MMM,MMM,276398005,258673006,19297319-DS-11,"priate mood and affect. HEENT: Sclera anicteric, MMM, PERRL. Lungs: crackles at R lung base, other" "Correct entity, wrong SNOMED ID","(2288, 2293)","(2288, 2293)",PERRL,PERRL,386666001,431291005,19297319-DS-11,"e mood and affect. HEENT: Sclera anicteric, MMM, PERRL. Lungs: crackles at R lung base, otherwise cl" "Correct entity, wrong SNOMED ID","(2299, 2304)","(2299, 2304)",Lungs,Lungs,268925001,169115000,19297319-DS-11,"affect. HEENT: Sclera anicteric, MMM, PERRL. Lungs: crackles at R lung base, otherwise clear, no whe" "Correct entity, wrong SNOMED ID","(2341, 2346)","(2341, 2346)",clear,clear,48348007,281278005,19297319-DS-11,"RL. Lungs: crackles at R lung base, otherwise clear, no wheezes or rhonchi CV: Regular rate and rh" "Correct entity, wrong SNOMED ID","(2351, 2358)","(2351, 2358)",wheezes,wheezes,56018004,9763007,19297319-DS-11,"ngs: crackles at R lung base, otherwise clear, no wheezes or rhonchi CV: Regular rate and rhythm, normal" "Correct entity, wrong SNOMED ID","(2373, 2375)","(2373, 2375)",CV,CV,363003006,258773002,19297319-DS-11,"g base, otherwise clear, no wheezes or rhonchi CV: Regular rate and rhythm, normal S1 + S2, no murm" "Correct entity, wrong SNOMED ID","(2377, 2400)","(2377, 2400)",Regular rate and rhythm,Regular rate and rhythm,76863003,428919002,19297319-DS-11,"se, otherwise clear, no wheezes or rhonchi CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abd" "Correct entity, wrong SNOMED ID","(2402, 2411)","(2402, 2411)",normal S1,normal S1,26198000,164911006,19297319-DS-11,"heezes or rhonchi CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: Protu" "Correct entity, wrong SNOMED ID","(2414, 2416)","(2414, 2416)",S2,S2,111974005,81170007,19297319-DS-11,"honchi CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: Protuberan" "Correct entity, wrong SNOMED ID","(2421, 2428)","(2421, 2428)",murmurs,murmurs,414786004,248699005,19297319-DS-11," CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: Protuberant abdomen, s" "Correct entity, wrong SNOMED ID","(2437, 2444)","(2437, 2444)",gallops,gallops,2170000,4592006,19297319-DS-11,"te and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: Protuberant abdomen, soft. RUQ with mi" "Correct entity, wrong SNOMED ID","(2447, 2454)","(2447, 2454)",Abdomen,Abdomen,225162003,41931001,19297319-DS-11,"thm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: Protuberant abdomen, soft. RUQ with minimal tend" Wrong span,"(2456, 2475)","(2456, 2462)",Protuberant abdomen,Protub,60728008,767622007,19297319-DS-11,"al S1 + S2, no murmurs, rubs, gallops Abdomen: Protuberant abdomen, soft. RUQ with minimal tenderness to palpation." "Correct entity, wrong SNOMED ID","(2500, 2510)","(2500, 2510)",tenderness,tenderness,247348008,43478001,19297319-DS-11,"omen: Protuberant abdomen, soft. RUQ with minimal tenderness to palpation. No guarding or rebound tenderness." "Correct entity, wrong SNOMED ID","(2515, 2524)","(2515, 2524)",palpation,palpation,113011001,51558006,19297319-DS-11,"nt abdomen, soft. RUQ with minimal tenderness to palpation. No guarding or rebound tenderness. +BS. Ext: " "Correct entity, wrong SNOMED ID","(2541, 2548)","(2541, 2548)",rebound,rebound,35611005,844584001,19297319-DS-11," minimal tenderness to palpation. No guarding or rebound tenderness. +BS. Ext: Warm, well perfused, 1+ " "Correct entity, wrong SNOMED ID","(2549, 2559)","(2549, 2559)",tenderness,tenderness,247348008,43478001,19297319-DS-11," tenderness to palpation. No guarding or rebound tenderness. +BS. Ext: Warm, well perfused, 1+ pitting ede" "Correct entity, wrong SNOMED ID","(2562, 2564)","(2562, 2564)",BS,BS,61539000,257983009,19297319-DS-11,"to palpation. No guarding or rebound tenderness. +BS. Ext: Warm, well perfused, 1+ pitting edema to" "Correct entity, wrong SNOMED ID","(2569, 2572)","(2569, 2572)",Ext,Ext,302773001,1489008,19297319-DS-11,"ation. No guarding or rebound tenderness. +BS. Ext: Warm, well perfused, 1+ pitting edema to mid shi" "Correct entity, wrong SNOMED ID","(2574, 2578)","(2574, 2578)",Warm,Warm,102599008,298256005,19297319-DS-11,". No guarding or rebound tenderness. +BS. Ext: Warm, well perfused, 1+ pitting edema to mid shin. " "Correct entity, wrong SNOMED ID","(2580, 2593)","(2580, 2593)",well perfused,well perfused,1137685003,301121007,19297319-DS-11,"uarding or rebound tenderness. +BS. Ext: Warm, well perfused, 1+ pitting edema to mid shin. Neuro: CN2-12 g" "Correct entity, wrong SNOMED ID","(2606, 2611)","(2606, 2611)",edema,edema,267038008,102576009,19297319-DS-11,"ess. +BS. Ext: Warm, well perfused, 1+ pitting edema to mid shin. Neuro: CN2-12 grossly intact. Mov" Wrong span,"(2619, 2623)","(2615, 2623)",shin,mid shin,78234002,283388003,19297319-DS-11,"Ext: Warm, well perfused, 1+ pitting edema to mid shin. Neuro: CN2-12 grossly intact. Movement of upp" "Correct entity, wrong SNOMED ID","(2628, 2633)","(2628, 2633)",Neuro,Neuro,84728005,281247006,19297319-DS-11,", well perfused, 1+ pitting edema to mid shin. Neuro: CN2-12 grossly intact. Movement of upper and low" Missed entity,"(2639, 2641)",,12,,37899009,,19297319-DS-11,"used, 1+ pitting edema to mid shin. Neuro: CN2-12 grossly intact. Movement of upper and lower extr" "Correct entity, wrong SNOMED ID","(2642, 2656)","(2642, 2656)",grossly intact,grossly intact,18460000,1367857008,19297319-DS-11,"d, 1+ pitting edema to mid shin. Neuro: CN2-12 grossly intact. Movement of upper and lower extremities bilater" "Correct entity, wrong SNOMED ID","(2670, 2675)","(2670, 2675)",upper,upper,53120007,102558002,19297319-DS-11,"hin. Neuro: CN2-12 grossly intact. Movement of upper and lower extremities bilaterally grossly intact" Wrong span,"(2680, 2698)","(2680, 2725)","lower extremities","lower extremities bilaterally grossly intact",61685007,109294003,19297319-DS-11,"uro: CN2-12 grossly intact. Movement of upper and lower extremities bilaterally grossly intact. Sensation grossly int" Wrong span,"(2711, 2725)","(2680, 2725)",grossly intact,"lower extremities bilaterally grossly intact",18460000,109294003,19297319-DS-11,"ement of upper and lower extremities bilaterally grossly intact. Sensation grossly intact Pertinent Results: ==" Wrong span,"(2737, 2751)","(2727, 2751)",grossly intact,Sensation grossly intact,18460000,422015002,19297319-DS-11,"extremities bilaterally grossly intact. Sensation grossly intact Pertinent Results: =============== Admission La" "Correct entity, wrong SNOMED ID","(2840, 2843)","(2840, 2843)",WBC,WBC,767002,391558003,19297319-DS-11,"dmission Labs: =============== ___ 07:54AM BLOOD WBC-8.1 RBC-4.44* Hgb-13.5* Hct-42.0 MCV-95 MCH-30.4" "Correct entity, wrong SNOMED ID","(2848, 2851)","(2848, 2851)",RBC,RBC,14089001,258759006,19297319-DS-11," Labs: =============== ___ 07:54AM BLOOD WBC-8.1 RBC-4.44* Hgb-13.5* Hct-42.0 MCV-95 MCH-30.4 MCHC-32" "Correct entity, wrong SNOMED ID","(2858, 2861)","(2858, 2861)",Hgb,Hgb,441689006,104142005,19297319-DS-11,"============= ___ 07:54AM BLOOD WBC-8.1 RBC-4.44* Hgb-13.5* Hct-42.0 MCV-95 MCH-30.4 MCHC-32.1 RDW-13." "Correct entity, wrong SNOMED ID","(2868, 2871)","(2868, 2871)",Hct,Hct,28317006,282660005,19297319-DS-11,"=== ___ 07:54AM BLOOD WBC-8.1 RBC-4.44* Hgb-13.5* Hct-42.0 MCV-95 MCH-30.4 MCHC-32.1 RDW-13.2 RDWSD-45" "Correct entity, wrong SNOMED ID","(2885, 2888)","(2885, 2888)",MCH,MCH,54706004,735147002,19297319-DS-11,"LOOD WBC-8.1 RBC-4.44* Hgb-13.5* Hct-42.0 MCV-95 MCH-30.4 MCHC-32.1 RDW-13.2 RDWSD-45.4 Plt Ct-76* ___" "Correct entity, wrong SNOMED ID","(2894, 2898)","(2894, 2898)",MCHC,MCHC,37254006,735147002,19297319-DS-11,"8.1 RBC-4.44* Hgb-13.5* Hct-42.0 MCV-95 MCH-30.4 MCHC-32.1 RDW-13.2 RDWSD-45.4 Plt Ct-76* ___ 07:54AM B" "Correct entity, wrong SNOMED ID","(2904, 2907)","(2904, 2907)",RDW,RDW,66842004,735149004,19297319-DS-11,"44* Hgb-13.5* Hct-42.0 MCV-95 MCH-30.4 MCHC-32.1 RDW-13.2 RDWSD-45.4 Plt Ct-76* ___ 07:54AM BLOOD Gluc" "Correct entity, wrong SNOMED ID","(2913, 2918)","(2913, 2918)",RDWSD,RDWSD,66842004,80328002,19297319-DS-11,"3.5* Hct-42.0 MCV-95 MCH-30.4 MCHC-32.1 RDW-13.2 RDWSD-45.4 Plt Ct-76* ___ 07:54AM BLOOD Glucose-263* Ur" "Correct entity, wrong SNOMED ID","(2953, 2960)","(2953, 2960)",Glucose,Glucose,33747003,72191006,19297319-DS-11," RDW-13.2 RDWSD-45.4 Plt Ct-76* ___ 07:54AM BLOOD Glucose-263* UreaN-50* Creat-1.7* Na-140 K-5.3* Cl-107 H" "Correct entity, wrong SNOMED ID","(2966, 2971)","(2966, 2971)",UreaN,UreaN,105011006,111108008,19297319-DS-11,"SD-45.4 Plt Ct-76* ___ 07:54AM BLOOD Glucose-263* UreaN-50* Creat-1.7* Na-140 K-5.3* Cl-107 HCO3-24 AnGa" "Correct entity, wrong SNOMED ID","(2976, 2981)","(2976, 2981)",Creat,Creat,70901006,413856009,19297319-DS-11,"t Ct-76* ___ 07:54AM BLOOD Glucose-263* UreaN-50* Creat-1.7* Na-140 K-5.3* Cl-107 HCO3-24 AnGap-14 ___ 0" "Correct entity, wrong SNOMED ID","(2987, 2989)","(2987, 2989)",Na,Na,312469006,257992007,19297319-DS-11,"_ 07:54AM BLOOD Glucose-263* UreaN-50* Creat-1.7* Na-140 K-5.3* Cl-107 HCO3-24 AnGap-14 ___ 07:54AM B" "Correct entity, wrong SNOMED ID","(3002, 3004)","(3002, 3004)",Cl,Cl,104589004,311741002,19297319-DS-11," Glucose-263* UreaN-50* Creat-1.7* Na-140 K-5.3* Cl-107 HCO3-24 AnGap-14 ___ 07:54AM BLOOD ALT-135* A" "Correct entity, wrong SNOMED ID","(3009, 3013)","(3009, 3013)",HCO3,HCO3,312471006,88645003,19297319-DS-11,"e-263* UreaN-50* Creat-1.7* Na-140 K-5.3* Cl-107 HCO3-24 AnGap-14 ___ 07:54AM BLOOD ALT-135* AST-253* A" "Correct entity, wrong SNOMED ID","(3017, 3022)","(3017, 3022)",AnGap,AnGap,25469001,124504004,19297319-DS-11,"reaN-50* Creat-1.7* Na-140 K-5.3* Cl-107 HCO3-24 AnGap-14 ___ 07:54AM BLOOD ALT-135* AST-253* AlkPhos-68" "Correct entity, wrong SNOMED ID","(3044, 3047)","(3044, 3047)",ALT,ALT,34608000,56935002,19297319-DS-11," K-5.3* Cl-107 HCO3-24 AnGap-14 ___ 07:54AM BLOOD ALT-135* AST-253* AlkPhos-68 TotBili-1.4 ___ 07:54AM " "Correct entity, wrong SNOMED ID","(3053, 3056)","(3053, 3056)",AST,AST,45896001,85043005,19297319-DS-11,"l-107 HCO3-24 AnGap-14 ___ 07:54AM BLOOD ALT-135* AST-253* AlkPhos-68 TotBili-1.4 ___ 07:54AM BLOOD Cal" "Correct entity, wrong SNOMED ID","(3062, 3069)","(3062, 3069)",AlkPhos,AlkPhos,88810008,30703008,19297319-DS-11,"3-24 AnGap-14 ___ 07:54AM BLOOD ALT-135* AST-253* AlkPhos-68 TotBili-1.4 ___ 07:54AM BLOOD Calcium-8.7 Phos" "Correct entity, wrong SNOMED ID","(3073, 3080)","(3073, 3080)",TotBili,TotBili,359986008,19754005,19297319-DS-11,"14 ___ 07:54AM BLOOD ALT-135* AST-253* AlkPhos-68 TotBili-1.4 ___ 07:54AM BLOOD Calcium-8.7 Phos-3.3 Mg-1.6" "Correct entity, wrong SNOMED ID","(3103, 3110)","(3103, 3110)",Calcium,Calcium,312472004,108601004,19297319-DS-11,"AST-253* AlkPhos-68 TotBili-1.4 ___ 07:54AM BLOOD Calcium-8.7 Phos-3.3 Mg-1.6 =============================" "Correct entity, wrong SNOMED ID","(3115, 3119)","(3115, 3119)",Phos,Phos,104868000,168075002,19297319-DS-11,"Phos-68 TotBili-1.4 ___ 07:54AM BLOOD Calcium-8.7 Phos-3.3 Mg-1.6 ===================================== " "Correct entity, wrong SNOMED ID","(3124, 3126)","(3124, 3126)",Mg,Mg,271285000,258684004,19297319-DS-11,"otBili-1.4 ___ 07:54AM BLOOD Calcium-8.7 Phos-3.3 Mg-1.6 ===================================== Pertine" "Correct entity, wrong SNOMED ID","(3257, 3262)","(3257, 3262)",URINE,URINE,442564008,78888000,19297319-DS-11,"===================================== ___ 01:59AM URINE RBC-7* WBC-1 Bacteri-FEW Yeast-NONE Epi-0 ___ 01:" "Correct entity, wrong SNOMED ID","(3263, 3266)","(3263, 3266)",RBC,RBC,14089001,258759006,19297319-DS-11,"=============================== ___ 01:59AM URINE RBC-7* WBC-1 Bacteri-FEW Yeast-NONE Epi-0 ___ 01:59AM" "Correct entity, wrong SNOMED ID","(3270, 3273)","(3270, 3273)",WBC,WBC,767002,391558003,19297319-DS-11,"======================== ___ 01:59AM URINE RBC-7* WBC-1 Bacteri-FEW Yeast-NONE Epi-0 ___ 01:59AM URINE " Wrong span,"(3317, 3328)","(3317, 3322)",URINE Blood,URINE,307821001,78888000,19297319-DS-11,"7* WBC-1 Bacteri-FEW Yeast-NONE Epi-0 ___ 01:59AM URINE Blood-TR Nitrite-NEG Protein-TR Glucose-TR Ketone-NEG " "Correct entity, wrong SNOMED ID","(3367, 3373)","(3367, 3373)",Ketone,Ketone,47615003,256048004,19297319-DS-11,"URINE Blood-TR Nitrite-NEG Protein-TR Glucose-TR Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.5 Leuks-NEG ___ " "Correct entity, wrong SNOMED ID","(3402, 3404)","(3402, 3404)",pH,pH,81065003,264912003,19297319-DS-11,"TR Glucose-TR Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.5 Leuks-NEG ___ 01:59AM URINE Color-Yellow Appe" "Correct entity, wrong SNOMED ID","(3431, 3436)","(3431, 3436)",URINE,URINE,442564008,78888000,19297319-DS-11,"irub-NEG Urobiln-NEG pH-5.5 Leuks-NEG ___ 01:59AM URINE Color-Yellow Appear-Clear Sp ___ ___ 02:30PM URIN" "Correct entity, wrong SNOMED ID","(3437, 3442)","(3437, 3442)",Color,Color,107650008,1004164008,19297319-DS-11,"EG Urobiln-NEG pH-5.5 Leuks-NEG ___ 01:59AM URINE Color-Yellow Appear-Clear Sp ___ ___ 02:30PM URINE Hour" "Correct entity, wrong SNOMED ID","(3482, 3487)","(3482, 3487)",URINE,URINE,442564008,78888000,19297319-DS-11,"RINE Color-Yellow Appear-Clear Sp ___ ___ 02:30PM URINE Hours-RANDOM Creat-122 Na-18 K-33 Cl-19 ___ 12:02" "Correct entity, wrong SNOMED ID","(3501, 3506)","(3501, 3506)",Creat,Creat,70901006,413856009,19297319-DS-11,"ppear-Clear Sp ___ ___ 02:30PM URINE Hours-RANDOM Creat-122 Na-18 K-33 Cl-19 ___ 12:02PM URINE Hours-RAND" "Correct entity, wrong SNOMED ID","(3511, 3513)","(3511, 3513)",Na,Na,312469006,257992007,19297319-DS-11,"r Sp ___ ___ 02:30PM URINE Hours-RANDOM Creat-122 Na-18 K-33 Cl-19 ___ 12:02PM URINE Hours-RANDOM Urea" Missed entity,"(3517, 3518)",,K,,312468003,,19297319-DS-11,"__ ___ 02:30PM URINE Hours-RANDOM Creat-122 Na-18 K-33 Cl-19 ___ 12:02PM URINE Hours-RANDOM UreaN-803" "Correct entity, wrong SNOMED ID","(3522, 3524)","(3522, 3524)",Cl,Cl,104589004,311741002,19297319-DS-11,"_ 02:30PM URINE Hours-RANDOM Creat-122 Na-18 K-33 Cl-19 ___ 12:02PM URINE Hours-RANDOM UreaN-803 Creat" "Correct entity, wrong SNOMED ID","(3540, 3545)","(3540, 3545)",URINE,URINE,442564008,78888000,19297319-DS-11,"urs-RANDOM Creat-122 Na-18 K-33 Cl-19 ___ 12:02PM URINE Hours-RANDOM UreaN-803 Creat-119 Na-26 K-26 Cl-1" "Correct entity, wrong SNOMED ID","(3559, 3564)","(3559, 3564)",UreaN,UreaN,105011006,111108008,19297319-DS-11,"2 Na-18 K-33 Cl-19 ___ 12:02PM URINE Hours-RANDOM UreaN-803 Creat-119 Na-26 K-26 Cl-10 ___ 02:30PM URINE" "Correct entity, wrong SNOMED ID","(3569, 3574)","(3569, 3574)",Creat,Creat,70901006,413856009,19297319-DS-11,"33 Cl-19 ___ 12:02PM URINE Hours-RANDOM UreaN-803 Creat-119 Na-26 K-26 Cl-10 ___ 02:30PM URINE Osmolal-4" "Correct entity, wrong SNOMED ID","(3579, 3581)","(3579, 3581)",Na,Na,312469006,257992007,19297319-DS-11,"__ 12:02PM URINE Hours-RANDOM UreaN-803 Creat-119 Na-26 K-26 Cl-10 ___ 02:30PM URINE Osmolal-473 ___ " "Correct entity, wrong SNOMED ID","(3591, 3593)","(3591, 3593)",Cl,Cl,104589004,311741002,19297319-DS-11,"RINE Hours-RANDOM UreaN-803 Creat-119 Na-26 K-26 Cl-10 ___ 02:30PM URINE Osmolal-473 ___ 12:02PM URIN" "Correct entity, wrong SNOMED ID","(3609, 3614)","(3609, 3614)",URINE,URINE,442564008,78888000,19297319-DS-11,"UreaN-803 Creat-119 Na-26 K-26 Cl-10 ___ 02:30PM URINE Osmolal-473 ___ 12:02PM URINE Osmolal-466 =======" Missed entity,"(3639, 3644)",,URINE,,442564008,,19297319-DS-11,"6 Cl-10 ___ 02:30PM URINE Osmolal-473 ___ 12:02PM URINE Osmolal-466 =============== Discharge Labs: ====" "Correct entity, wrong SNOMED ID","(3724, 3727)","(3724, 3727)",WBC,WBC,767002,391558003,19297319-DS-11,"ischarge Labs: =============== ___ 07:50AM BLOOD WBC-5.2 RBC-4.03* Hgb-12.3* Hct-37.3* MCV-93 MCH-30." "Correct entity, wrong SNOMED ID","(3732, 3735)","(3732, 3735)",RBC,RBC,14089001,258759006,19297319-DS-11," Labs: =============== ___ 07:50AM BLOOD WBC-5.2 RBC-4.03* Hgb-12.3* Hct-37.3* MCV-93 MCH-30.5 MCHC-3" "Correct entity, wrong SNOMED ID","(3742, 3745)","(3742, 3745)",Hgb,Hgb,441689006,104142005,19297319-DS-11,"============= ___ 07:50AM BLOOD WBC-5.2 RBC-4.03* Hgb-12.3* Hct-37.3* MCV-93 MCH-30.5 MCHC-33.0 RDW-13" "Correct entity, wrong SNOMED ID","(3752, 3755)","(3752, 3755)",Hct,Hct,28317006,282660005,19297319-DS-11,"=== ___ 07:50AM BLOOD WBC-5.2 RBC-4.03* Hgb-12.3* Hct-37.3* MCV-93 MCH-30.5 MCHC-33.0 RDW-13.2 RDWSD-4" "Correct entity, wrong SNOMED ID","(3770, 3773)","(3770, 3773)",MCH,MCH,54706004,735147002,19297319-DS-11,"OOD WBC-5.2 RBC-4.03* Hgb-12.3* Hct-37.3* MCV-93 MCH-30.5 MCHC-33.0 RDW-13.2 RDWSD-44.6 Plt Ct-69* ___" "Correct entity, wrong SNOMED ID","(3779, 3783)","(3779, 3783)",MCHC,MCHC,37254006,735147002,19297319-DS-11,".2 RBC-4.03* Hgb-12.3* Hct-37.3* MCV-93 MCH-30.5 MCHC-33.0 RDW-13.2 RDWSD-44.6 Plt Ct-69* ___ 07:50AM B" "Correct entity, wrong SNOMED ID","(3789, 3792)","(3789, 3792)",RDW,RDW,66842004,735149004,19297319-DS-11,"3* Hgb-12.3* Hct-37.3* MCV-93 MCH-30.5 MCHC-33.0 RDW-13.2 RDWSD-44.6 Plt Ct-69* ___ 07:50AM BLOOD Plt " "Correct entity, wrong SNOMED ID","(3798, 3803)","(3798, 3803)",RDWSD,RDWSD,66842004,80328002,19297319-DS-11,".3* Hct-37.3* MCV-93 MCH-30.5 MCHC-33.0 RDW-13.2 RDWSD-44.6 Plt Ct-69* ___ 07:50AM BLOOD Plt Ct-69* ___ " "Correct entity, wrong SNOMED ID","(3871, 3874)","(3871, 3874)",PTT,PTT,42525009,282119004,19297319-DS-11,"__ 07:50AM BLOOD Plt Ct-69* ___ 07:50AM BLOOD ___ PTT-30.6 ___ ___ 07:50AM BLOOD Glucose-150* UreaN-56*" "Correct entity, wrong SNOMED ID","(3902, 3909)","(3902, 3909)",Glucose,Glucose,33747003,72191006,19297319-DS-11," 07:50AM BLOOD ___ PTT-30.6 ___ ___ 07:50AM BLOOD Glucose-150* UreaN-56* Creat-1.8* Na-137 K-4.7 Cl-104 HC" "Correct entity, wrong SNOMED ID","(3915, 3920)","(3915, 3920)",UreaN,UreaN,105011006,111108008,19297319-DS-11,"D ___ PTT-30.6 ___ ___ 07:50AM BLOOD Glucose-150* UreaN-56* Creat-1.8* Na-137 K-4.7 Cl-104 HCO3-23 AnGap" "Correct entity, wrong SNOMED ID","(3925, 3930)","(3925, 3930)",Creat,Creat,70901006,413856009,19297319-DS-11,"30.6 ___ ___ 07:50AM BLOOD Glucose-150* UreaN-56* Creat-1.8* Na-137 K-4.7 Cl-104 HCO3-23 AnGap-15 ___ 07" "Correct entity, wrong SNOMED ID","(3936, 3938)","(3936, 3938)",Na,Na,312469006,257992007,19297319-DS-11,"_ 07:50AM BLOOD Glucose-150* UreaN-56* Creat-1.8* Na-137 K-4.7 Cl-104 HCO3-23 AnGap-15 ___ 07:50AM BL" "Correct entity, wrong SNOMED ID","(3950, 3952)","(3950, 3952)",Cl,Cl,104589004,311741002,19297319-DS-11,"D Glucose-150* UreaN-56* Creat-1.8* Na-137 K-4.7 Cl-104 HCO3-23 AnGap-15 ___ 07:50AM BLOOD ALT-105* A" "Correct entity, wrong SNOMED ID","(3957, 3961)","(3957, 3961)",HCO3,HCO3,312471006,88645003,19297319-DS-11,"se-150* UreaN-56* Creat-1.8* Na-137 K-4.7 Cl-104 HCO3-23 AnGap-15 ___ 07:50AM BLOOD ALT-105* AST-77* Al" "Correct entity, wrong SNOMED ID","(3965, 3970)","(3965, 3970)",AnGap,AnGap,25469001,124504004,19297319-DS-11,"UreaN-56* Creat-1.8* Na-137 K-4.7 Cl-104 HCO3-23 AnGap-15 ___ 07:50AM BLOOD ALT-105* AST-77* AlkPhos-92 " "Correct entity, wrong SNOMED ID","(3992, 3995)","(3992, 3995)",ALT,ALT,34608000,56935002,19297319-DS-11," K-4.7 Cl-104 HCO3-23 AnGap-15 ___ 07:50AM BLOOD ALT-105* AST-77* AlkPhos-92 TotBili-1.2 ___ 07:50AM B" "Correct entity, wrong SNOMED ID","(4001, 4004)","(4001, 4004)",AST,AST,45896001,85043005,19297319-DS-11,"l-104 HCO3-23 AnGap-15 ___ 07:50AM BLOOD ALT-105* AST-77* AlkPhos-92 TotBili-1.2 ___ 07:50AM BLOOD Calc" "Correct entity, wrong SNOMED ID","(4009, 4016)","(4009, 4016)",AlkPhos,AlkPhos,88810008,30703008,19297319-DS-11,"O3-23 AnGap-15 ___ 07:50AM BLOOD ALT-105* AST-77* AlkPhos-92 TotBili-1.2 ___ 07:50AM BLOOD Calcium-8.5 Phos" "Correct entity, wrong SNOMED ID","(4020, 4027)","(4020, 4027)",TotBili,TotBili,359986008,19754005,19297319-DS-11,"-15 ___ 07:50AM BLOOD ALT-105* AST-77* AlkPhos-92 TotBili-1.2 ___ 07:50AM BLOOD Calcium-8.5 Phos-2.0* Mg-2." "Correct entity, wrong SNOMED ID","(4050, 4057)","(4050, 4057)",Calcium,Calcium,312472004,108601004,19297319-DS-11," AST-77* AlkPhos-92 TotBili-1.2 ___ 07:50AM BLOOD Calcium-8.5 Phos-2.0* Mg-2.3 ============= Microbiology: " "Correct entity, wrong SNOMED ID","(4062, 4066)","(4062, 4066)",Phos,Phos,104868000,168075002,19297319-DS-11,"Phos-92 TotBili-1.2 ___ 07:50AM BLOOD Calcium-8.5 Phos-2.0* Mg-2.3 ============= Microbiology: =========" "Correct entity, wrong SNOMED ID","(4072, 4074)","(4072, 4074)",Mg,Mg,271285000,258684004,19297319-DS-11,"tBili-1.2 ___ 07:50AM BLOOD Calcium-8.5 Phos-2.0* Mg-2.3 ============= Microbiology: ============= ___" Missed entity,"(4093, 4105)",,Microbiology,,269934003,,19297319-DS-11," BLOOD Calcium-8.5 Phos-2.0* Mg-2.3 ============= Microbiology: ============= ___ 2:12 am BLOOD CULTURE Bloo" Wrong span,"(4133, 4146)","(4139, 4146)",BLOOD CULTURE,CULTURE,30088009,61594008,19297319-DS-11,"========= Microbiology: ============= ___ 2:12 am BLOOD CULTURE Blood Culture, Routine (Pending): ___ 1:59 " "Correct entity, wrong SNOMED ID","(4151, 4164)","(4151, 4164)",Blood Culture,Blood Culture,30088009,8730001000004107,19297319-DS-11,"logy: ============= ___ 2:12 am BLOOD CULTURE Blood Culture, Routine (Pending): ___ 1:59 am URINE Sour" "Correct entity, wrong SNOMED ID","(4199, 4204)","(4199, 4204)",URINE,URINE,442564008,78888000,19297319-DS-11," Blood Culture, Routine (Pending): ___ 1:59 am URINE Source: ___. *" Missed entity,"(4329, 4342)",,BLOOD CULTURE,,30088009,,19297319-DS-11,"NE CULTURE (Final ___: NO GROWTH. ___ 8:00 am BLOOD CULTURE Blood Culture, Routine (Pending): ======== I" "Correct entity, wrong SNOMED ID","(4347, 4360)","(4347, 4360)",Blood Culture,Blood Culture,30088009,8730001000004107,19297319-DS-11,"___: NO GROWTH. ___ 8:00 am BLOOD CULTURE Blood Culture, Routine (Pending): ======== Imaging: ======== " "Correct entity, wrong SNOMED ID","(4391, 4398)","(4391, 4398)",Imaging,Imaging,363679005,408574004,19297319-DS-11,"E Blood Culture, Routine (Pending): ======== Imaging: ======== ___ CT interventional procedure: Techn" Missed entity,"(4432, 4441)",,procedure,,71388002,,19297319-DS-11,"======== Imaging: ======== ___ CT interventional procedure: Technically-successful radiofrequency ablation " Wrong span,"(4467, 4490)","(4482, 4490)",radiofrequency ablation,ablation,879916008,65659003,19297319-DS-11,"interventional procedure: Technically-successful radiofrequency ablation of segment III and segment VIII concerning hepat" Missed entity,"(4494, 4505)",,segment III,,277957003,,19297319-DS-11,"echnically-successful radiofrequency ablation of segment III and segment VIII concerning hepatic lesions. _" Missed entity,"(4510, 4522)",,segment VIII,,277962002,,19297319-DS-11,"ssful radiofrequency ablation of segment III and segment VIII concerning hepatic lesions. ___ LIVER OR GALLB" "Correct entity, wrong SNOMED ID","(4535, 4550)","(4535, 4550)",hepatic lesions,hepatic lesions,300331000,449404007,19297319-DS-11,"ation of segment III and segment VIII concerning hepatic lesions. ___ LIVER OR GALLBLADDER US (SINGLE ORGAN) + D" Missed entity,"(4558, 4563)",,LIVER,,105377009,,19297319-DS-11,"d segment VIII concerning hepatic lesions. ___ LIVER OR GALLBLADDER US (SINGLE ORGAN) + DUPLEX 1. Pat" Missed entity,"(4567, 4581)",,GALLBLADDER US,,169250003,,19297319-DS-11," VIII concerning hepatic lesions. ___ LIVER OR GALLBLADDER US (SINGLE ORGAN) + DUPLEX 1. Patent hepatic vascul" "Correct entity, wrong SNOMED ID","(4617, 4636)","(4617, 4636)",hepatic vasculature,hepatic vasculature,303410000,1197040001,19297319-DS-11,"GALLBLADDER US (SINGLE ORGAN) + DUPLEX 1. Patent hepatic vasculature with appropriate waveforms. 2. Cirrhotic liver w" "Correct entity, wrong SNOMED ID","(4669, 4684)","(4669, 4684)",Cirrhotic liver,Cirrhotic liver,19943007,725416005,19297319-DS-11,"patic vasculature with appropriate waveforms. 2. Cirrhotic liver with hypoechoic lesion in segment III which corr" "Correct entity, wrong SNOMED ID","(4701, 4707)","(4701, 4707)",lesion,lesion,52988006,120609008,19297319-DS-11,"te waveforms. 2. Cirrhotic liver with hypoechoic lesion in segment III which correlates to patient's rec" Missed entity,"(4711, 4722)",,segment III,,277957003,,19297319-DS-11,"ms. 2. Cirrhotic liver with hypoechoic lesion in segment III which correlates to patient's recent RFA site. " "Correct entity, wrong SNOMED ID","(4761, 4764)","(4761, 4764)",RFA,RFA,448781006,218191003,19297319-DS-11,"segment III which correlates to patient's recent RFA site. 3. Sequela of portal hypertension includin" "Correct entity, wrong SNOMED ID","(4786, 4805)","(4786, 4805)",portal hypertension,portal hypertension,34742003,1197664001,19297319-DS-11,"ates to patient's recent RFA site. 3. Sequela of portal hypertension including splenomegaly and trace ascites. Br" "Correct entity, wrong SNOMED ID","(4816, 4828)","(4816, 4828)",splenomegaly,splenomegaly,16294009,19058002,19297319-DS-11,"ite. 3. Sequela of portal hypertension including splenomegaly and trace ascites. Brief Hospital Course: ==" "Correct entity, wrong SNOMED ID","(4840, 4847)","(4840, 4847)",ascites,ascites,389026000,860638000,19297319-DS-11,"al hypertension including splenomegaly and trace ascites. Brief Hospital Course: ========= Summary: =" "Correct entity, wrong SNOMED ID","(4928, 4932)","(4928, 4932)",EtOH,EtOH,420054005,413966000,19297319-DS-11,"======= Summary: ========= ___ year old man with EtOH/NASH cirrhosis complicated by ___, admitted for " "Correct entity, wrong SNOMED ID","(4933, 4937)","(4933, 4937)",NASH,NASH,442685003,27189006,19297319-DS-11,"== Summary: ========= ___ year old man with EtOH/NASH cirrhosis complicated by ___, admitted for monit" "Correct entity, wrong SNOMED ID","(4982, 4992)","(4982, 4992)",monitoring,monitoring,239516002,86265008,19297319-DS-11,"/NASH cirrhosis complicated by ___, admitted for monitoring after elective RFA procedure on ___. Subsequentl" Wrong span,"(5008, 5011)","(5008, 5021)",RFA,RFA procedure,448781006,218191003,19297319-DS-11,"d by ___, admitted for monitoring after elective RFA procedure on ___. Subsequently complicated by br" Wrong span,"(5012, 5021)","(5008, 5021)",procedure,RFA procedure,71388002,218191003,19297319-DS-11," ___, admitted for monitoring after elective RFA procedure on ___. Subsequently complicated by bradycardia," "Correct entity, wrong SNOMED ID","(5059, 5070)","(5059, 5070)",bradycardia,bradycardia,48867003,49710005,19297319-DS-11,"FA procedure on ___. Subsequently complicated by bradycardia, urinary retention, leukocytosis/fever, and acut" "Correct entity, wrong SNOMED ID","(5072, 5089)","(5072, 5089)",urinary retention,urinary retention,267064002,236648008,19297319-DS-11,"on ___. Subsequently complicated by bradycardia, urinary retention, leukocytosis/fever, and acute kidney injury. " "Correct entity, wrong SNOMED ID","(5092, 5104)","(5092, 5104)",leukocytosis,leukocytosis,111583006,65209002,19297319-DS-11,"y complicated by bradycardia, urinary retention, leukocytosis/fever, and acute kidney injury. ============== " "Correct entity, wrong SNOMED ID","(5105, 5110)","(5105, 5110)",fever,fever,386661006,416113008,19297319-DS-11," by bradycardia, urinary retention, leukocytosis/fever, and acute kidney injury. ============== Acute " "Correct entity, wrong SNOMED ID","(5185, 5215)","(5185, 5215)",Acute on chronic kidney injury,Acute on chronic kidney injury,236433006,1285574007,19297319-DS-11,". ============== Acute Issues: ============== #Acute on chronic kidney injury: Patient with baseline creatinine of ~1.5. Was 1" "Correct entity, wrong SNOMED ID","(5231, 5239)","(5231, 5239)",baseline,baseline,128974000,161033005,19297319-DS-11,"== #Acute on chronic kidney injury: Patient with baseline creatinine of ~1.5. Was 1.7 post procedure on __" "Correct entity, wrong SNOMED ID","(5240, 5250)","(5240, 5250)",creatinine,creatinine,70901006,113075003,19297319-DS-11," on chronic kidney injury: Patient with baseline creatinine of ~1.5. Was 1.7 post procedure on ___ AM and bu" "Correct entity, wrong SNOMED ID","(5273, 5282)","(5273, 5282)",procedure,procedure,71388002,118672003,19297319-DS-11,"nt with baseline creatinine of ~1.5. Was 1.7 post procedure on ___ AM and bumped to 2.1 on ___ AM. Acute kid" Wrong span,"(5366, 5371)","(5362, 5371)",renal,pre-renal,64033007,63893004,19297319-DS-11,"__ AM. Acute kidney injury was thought to be pre-renal in etiology given FeNa calculated to 0.23%. Held" Wrong span,"(5462, 5476)","(5462, 5467)","fluid boluses",fluid,43060002,25670009,19297319-DS-11,"23%. Held home furosemide and enalapril. Received fluid boluses with NS and administration of Albumin 25% (12.5g " Missed entity,"(5489, 5514)",,administration of Albumin,,116865006,,19297319-DS-11,"nd enalapril. Received fluid boluses with NS and administration of Albumin 25% (12.5g / 50mL) 50 g IV. Improved to 1.8 at t" Missed entity,"(5540, 5542)",,IV,,386340006,,19297319-DS-11,"dministration of Albumin 25% (12.5g / 50mL) 50 g IV. Improved to 1.8 at time of discharge. # Tempe" Wrong span,"(5544, 5552)","(5544, 5547)",Improved,Imp,268910001,44026004,19297319-DS-11,"istration of Albumin 25% (12.5g / 50mL) 50 g IV. Improved to 1.8 at time of discharge. # Temperature: Pa" "Correct entity, wrong SNOMED ID","(5587, 5598)","(5587, 5598)",Temperature,Temperature,105723007,228018009,19297319-DS-11," g IV. Improved to 1.8 at time of discharge. # Temperature: Patient spiked temperature to 102.1 on ___ ___ " Wrong span,"(5608, 5626)","(5608, 5613)",spiked temperature,spike,386661006,49173005,19297319-DS-11,"8 at time of discharge. # Temperature: Patient spiked temperature to 102.1 on ___ ___ with associated leukocytosis" "Correct entity, wrong SNOMED ID","(5664, 5676)","(5664, 5676)",leukocytosis,leukocytosis,111583006,65209002,19297319-DS-11," temperature to 102.1 on ___ ___ with associated leukocytosis to 13.5 in AM ___. No localizing signs or sympto" Missed entity,"(5711, 5716)",,signs,,72670004,,19297319-DS-11,"ed leukocytosis to 13.5 in AM ___. No localizing signs or symptoms and patient denied cough/dysuria. UA " "Correct entity, wrong SNOMED ID","(5748, 5753)","(5748, 5753)",cough,cough,49727002,28743005,19297319-DS-11," localizing signs or symptoms and patient denied cough/dysuria. UA with few bacteria and negative leuk " "Correct entity, wrong SNOMED ID","(5754, 5761)","(5754, 5761)",dysuria,dysuria,49650001,16844001,19297319-DS-11,"izing signs or symptoms and patient denied cough/dysuria. UA with few bacteria and negative leuk esterase" "Correct entity, wrong SNOMED ID","(5763, 5765)","(5763, 5765)",UA,UA,27171005,257999003,19297319-DS-11,"gns or symptoms and patient denied cough/dysuria. UA with few bacteria and negative leuk esterase/nit" "Correct entity, wrong SNOMED ID","(5776, 5784)","(5776, 5784)",bacteria,bacteria,61373006,409793007,19297319-DS-11,"ms and patient denied cough/dysuria. UA with few bacteria and negative leuk esterase/nitrites and was felt " Missed entity,"(5789, 5797)",,negative,,281900007,,19297319-DS-11,"t denied cough/dysuria. UA with few bacteria and negative leuk esterase/nitrites and was felt to be asympt" Wrong span,"(5841, 5864)","(5841, 5853)",asymptomatic bacteruria,asymptomatic,720406004,5481000175101,19297319-DS-11,"gative leuk esterase/nitrites and was felt to be asymptomatic bacteruria. Differential diagnosis included post-op atelect" "Correct entity, wrong SNOMED ID","(5898, 5905)","(5898, 5905)",post-op,post-op,19585003,1373687003,19297319-DS-11,"matic bacteruria. Differential diagnosis included post-op atelectasis versus RFA post ablation syndrome ve" Wrong span,"(5926, 5929)","(5926, 5952)",RFA,RFA post ablation syndrome,448781006,16715371000119107,19297319-DS-11,"al diagnosis included post-op atelectasis versus RFA post ablation syndrome versus portal vein thromb" Wrong span,"(5935, 5943)","(5926, 5952)",ablation,RFA post ablation syndrome,448781006,16715371000119107,19297319-DS-11,"sis included post-op atelectasis versus RFA post ablation syndrome versus portal vein thrombosis given con" Wrong span,"(5944, 5952)","(5926, 5952)",syndrome,RFA post ablation syndrome,64572001,16715371000119107,19297319-DS-11,"ded post-op atelectasis versus RFA post ablation syndrome versus portal vein thrombosis given concomitant " Boundary error,"(6002, 6018)","(6002, 6019)",elevation in LFT,elevation in LFTs,166603001,409673008,19297319-DS-11," versus portal vein thrombosis given concomitant elevation in LFTs and ___ (described above). RUQ Doppler US perfo" Wrong span,"(6048, 6051)","(6048, 6062)",RUQ,RUQ Doppler US,50519007,14461000087100,19297319-DS-11,"ant elevation in LFTs and ___ (described above). RUQ Doppler US performed with no evidence of portal " Wrong span,"(6052, 6062)","(6048, 6062)",Doppler US,RUQ Doppler US,1187106001,14461000087100,19297319-DS-11,"elevation in LFTs and ___ (described above). RUQ Doppler US performed with no evidence of portal vein thromb" "Correct entity, wrong SNOMED ID","(6078, 6089)","(6078, 6089)",no evidence,no evidence,281900007,41647002,19297319-DS-11," (described above). RUQ Doppler US performed with no evidence of portal vein thrombosis. No further febrile ep" "Correct entity, wrong SNOMED ID","(6129, 6136)","(6129, 6136)",febrile,febrile,386661006,307200007,19297319-DS-11,"o evidence of portal vein thrombosis. No further febrile episodes and leukocytosis resolved ___ thus like" "Correct entity, wrong SNOMED ID","(6151, 6163)","(6151, 6163)",leukocytosis,leukocytosis,111583006,65209002,19297319-DS-11,"vein thrombosis. No further febrile episodes and leukocytosis resolved ___ thus likely secondary to resolving " "Correct entity, wrong SNOMED ID","(6202, 6211)","(6202, 6211)",resolving,resolving,268910001,413322009,19297319-DS-11,"eukocytosis resolved ___ thus likely secondary to resolving atelectasis versus RFA post ablation syndrome. " Wrong span,"(6232, 6235)","(6232, 6258)",RFA,RFA post ablation syndrome,448781006,427951003,19297319-DS-11,"likely secondary to resolving atelectasis versus RFA post ablation syndrome. # Urinary retention: Pat" Wrong span,"(6241, 6249)","(6232, 6258)",ablation,RFA post ablation syndrome,448781006,427951003,19297319-DS-11,"condary to resolving atelectasis versus RFA post ablation syndrome. # Urinary retention: Patient with urin" Wrong span,"(6250, 6258)","(6232, 6258)",syndrome,RFA post ablation syndrome,64572001,427951003,19297319-DS-11,"o resolving atelectasis versus RFA post ablation syndrome. # Urinary retention: Patient with urinary reten" "Correct entity, wrong SNOMED ID","(6263, 6280)","(6263, 6280)",Urinary retention,Urinary retention,267064002,236648008,19297319-DS-11,"atelectasis versus RFA post ablation syndrome. # Urinary retention: Patient with urinary retention following proced" "Correct entity, wrong SNOMED ID","(6295, 6312)","(6295, 6312)",urinary retention,urinary retention,267064002,236648008,19297319-DS-11,"tion syndrome. # Urinary retention: Patient with urinary retention following procedure on ___. Felt to be secondary" "Correct entity, wrong SNOMED ID","(6324, 6333)","(6324, 6333)",procedure,procedure,71388002,118672003,19297319-DS-11,"ention: Patient with urinary retention following procedure on ___. Felt to be secondary to anesthetic/opioid" Missed entity,"(6423, 6427)",,cath,,410024004,,19297319-DS-11,"tic/opioid (oxycodone) effect. Required straight cath for 800 cc 1AM ___ and was straight cath'd for a" Wrong span,"(6465, 6469)","(6456, 6469)",cath,straight cath,410024004,16221251000119108,19297319-DS-11,"traight cath for 800 cc 1AM ___ and was straight cath'd for another 550cc at 3PM ___. Tamsulosin 0.4 m" "Correct entity, wrong SNOMED ID","(6592, 6605)","(6592, 6605)",liver disease,liver disease,235856003,270881008,19297319-DS-11,"and low dose Tylenol added prn (max 2g/day given liver disease) to try to reduce amount of oxycodone required. " Wrong span,"(6673, 6681)","(6673, 6692)",improved,"improved urination",268910001,300473009,19297319-DS-11," amount of oxycodone required. Subsequently with improved urination on his own. Discharged on Tamsulosin. " Wrong span,"(6683, 6692)","(6673, 6692)",urination,"improved urination",252041008,300473009,19297319-DS-11,"f oxycodone required. Subsequently with improved urination on his own. Discharged on Tamsulosin. # ___ s/p" "Correct entity, wrong SNOMED ID","(6743, 6746)","(6743, 6746)",RFA,RFA,448781006,218191003,19297319-DS-11,"on his own. Discharged on Tamsulosin. # ___ s/p RFA: Per ___, procedure itself went well but was sub" "Correct entity, wrong SNOMED ID","(6757, 6766)","(6757, 6766)",procedure,procedure,71388002,118672003,19297319-DS-11,"scharged on Tamsulosin. # ___ s/p RFA: Per ___, procedure itself went well but was subsequently complicate" "Correct entity, wrong SNOMED ID","(6898, 6902)","(6898, 6902)",TACE,TACE,448396008,124463009,19297319-DS-11,"dycardia. Patient with similar episode following TACE in ___. During that admission, patient was evalu" Missed entity,"(6947, 6956)",,evaluated,,386053000,,19297319-DS-11," TACE in ___. During that admission, patient was evaluated by EP who felt vasovagal in etiology. Was monito" Missed entity,"(6960, 6962)",,EP,,252425004,,19297319-DS-11," During that admission, patient was evaluated by EP who felt vasovagal in etiology. Was monitored on" Missed entity,"(6972, 6981)",,vasovagal,,398665005,,19297319-DS-11,"t admission, patient was evaluated by EP who felt vasovagal in etiology. Was monitored on telemetry with no " Missed entity,"(7000, 7009)",,monitored,,239516002,,19297319-DS-11,"luated by EP who felt vasovagal in etiology. Was monitored on telemetry with no alarms for bradycardia. Pai" "Correct entity, wrong SNOMED ID","(7043, 7054)","(7043, 7054)",bradycardia,bradycardia,48867003,690461000119106,19297319-DS-11,"y. Was monitored on telemetry with no alarms for bradycardia. Pain controlled with Tylenol and oxycodone. # " Wrong span,"(7056, 7060)","(7056, 7071)",Pain,Pain controlled,22253000,370778008,19297319-DS-11,"red on telemetry with no alarms for bradycardia. Pain controlled with Tylenol and oxycodone. # Sinus " "Correct entity, wrong SNOMED ID","(7104, 7121)","(7104, 7121)",Sinus bradycardia,Sinus bradycardia,49710005,49044005,19297319-DS-11,". Pain controlled with Tylenol and oxycodone. # Sinus bradycardia: Patient with several episodes of asymptomatic b" Missed entity,"(7207, 7216)",,procedure,,71388002,,19297319-DS-11,"asymptomatic bradycardia during and after the RFA procedure per ___ report. He experienced this in ___ after" "Correct entity, wrong SNOMED ID","(7271, 7275)","(7271, 7275)",TACE,TACE,448396008,124463009,19297319-DS-11," ___ report. He experienced this in ___ after his TACE procedure, which was evaluated by EP who felt th" Missed entity,"(7277, 7286)",,procedure,,71388002,,19297319-DS-11,"eport. He experienced this in ___ after his TACE procedure, which was evaluated by EP who felt this was a va" Missed entity,"(7298, 7307)",,evaluated,,386053000,,19297319-DS-11," this in ___ after his TACE procedure, which was evaluated by EP who felt this was a vagal response in sett" Missed entity,"(7311, 7313)",,EP,,252425004,,19297319-DS-11,"after his TACE procedure, which was evaluated by EP who felt this was a vagal response in setting of" "Correct entity, wrong SNOMED ID","(7368, 7377)","(7368, 7377)",procedure,procedure,71388002,116224001,19297319-DS-11,"felt this was a vagal response in setting of the procedure. Patient felt improved with no bradycardia on te" "Correct entity, wrong SNOMED ID","(7392, 7400)","(7392, 7400)",improved,improved,268910001,251359002,19297319-DS-11,"esponse in setting of the procedure. Patient felt improved with no bradycardia on telemetry during hospital" "Correct entity, wrong SNOMED ID","(7410, 7421)","(7410, 7421)",bradycardia,bradycardia,48867003,49710005,19297319-DS-11," of the procedure. Patient felt improved with no bradycardia on telemetry during hospital stay. # EtOH/NASH c" "Correct entity, wrong SNOMED ID","(7460, 7464)","(7460, 7464)",EtOH,EtOH,420054005,413966000,19297319-DS-11,"bradycardia on telemetry during hospital stay. # EtOH/NASH cirrhosis: Complicated by grade I varices on" Wrong span,"(7465, 7469)","(7465, 7479)",NASH,NASH cirrhosis,442685003,235897005,19297319-DS-11,"cardia on telemetry during hospital stay. # EtOH/NASH cirrhosis: Complicated by grade I varices on EGD " Wrong span,"(7470, 7479)","(7465, 7479)",cirrhosis,NASH cirrhosis,19943007,235897005,19297319-DS-11,"a on telemetry during hospital stay. # EtOH/NASH cirrhosis: Complicated by grade I varices on EGD in ___ an" "Correct entity, wrong SNOMED ID","(7504, 7511)","(7504, 7511)",varices,varices,28670008,57052009,19297319-DS-11,"y. # EtOH/NASH cirrhosis: Complicated by grade I varices on EGD in ___ and HCC as above. Patient to follo" "Correct entity, wrong SNOMED ID","(7531, 7534)","(7531, 7534)",HCC,HCC,109841003,718290002,19297319-DS-11,"Complicated by grade I varices on EGD in ___ and HCC as above. Patient to follow up in the ___ after " Missed entity,"(7556, 7565)",,follow up,,183616001,,19297319-DS-11,"rices on EGD in ___ and HCC as above. Patient to follow up in the ___ after discharge. Limited acetaminophe" "Correct entity, wrong SNOMED ID","(7632, 7635)","(7632, 7635)",HTN,HTN,38341003,10725009,19297319-DS-11,"r discharge. Limited acetaminophen to 2g/day. # HTN: Patient on enalapril, amlodipine and furosemide " Missed entity,"(7701, 7712)",,medications,,18629005,,19297319-DS-11,"lapril, amlodipine and furosemide at home. These medications were held prior to procedure and subsequently re" "Correct entity, wrong SNOMED ID","(7732, 7741)","(7732, 7741)",procedure,procedure,71388002,118672003,19297319-DS-11,"de at home. These medications were held prior to procedure and subsequently restarted. Enalapril and furose" Boundary error,"(7760, 7769)","(7760, 7767)",restarted,restart,182837001,182837001,19297319-DS-11,"ns were held prior to procedure and subsequently restarted. Enalapril and furosemide subsequently held due t" Missed entity,"(7922, 7929)",,restart,,182837001,,19297319-DS-11,"harged off enalapril and furosemide with plan to restart as outpatient. # DM: Complicated by neuropathy." "Correct entity, wrong SNOMED ID","(7949, 7951)","(7949, 7951)",DM,DM,73211009,258671008,19297319-DS-11,"urosemide with plan to restart as outpatient. # DM: Complicated by neuropathy. Patient on glyburide," "Correct entity, wrong SNOMED ID","(7968, 7978)","(7968, 7978)",neuropathy,neuropathy,230572002,302226006,19297319-DS-11," to restart as outpatient. # DM: Complicated by neuropathy. Patient on glyburide, 36 units of glargine QHS " Missed entity,"(8247, 8265)",,Primary prevention,,315233008,,19297319-DS-11,"n D: Continued Vitamin D ___ UNIT PO/NG DAILY # Primary prevention: Restarted Aspirin 81 mg PO/NG DAILY post RFA; w" Missed entity,"(8267, 8276)",,Restarted,,182837001,,19297319-DS-11,"in D ___ UNIT PO/NG DAILY # Primary prevention: Restarted Aspirin 81 mg PO/NG DAILY post RFA; was holding " Missed entity,"(8277, 8284)",,Aspirin,,431463004,,19297319-DS-11,"NIT PO/NG DAILY # Primary prevention: Restarted Aspirin 81 mg PO/NG DAILY post RFA; was holding for past" "Correct entity, wrong SNOMED ID","(8349, 8358)","(8349, 8358)",procedure,procedure,71388002,118672003,19297319-DS-11,"ILY post RFA; was holding for past few weeks for procedure. Continued simvastatin. ===================== " "Correct entity, wrong SNOMED ID","(8476, 8493)","(8476, 8493)",urinary retention,urinary retention,267064002,236648008,19297319-DS-11,"s: ===================== - Started on Flomax for urinary retention. Please follow up as outpatient and titrate as c" Missed entity,"(8502, 8511)",,follow up,,183616001,,19297319-DS-11,"- Started on Flomax for urinary retention. Please follow up as outpatient and titrate as clinically warrante" "Correct entity, wrong SNOMED ID","(8632, 8644)","(8632, 8644)",pain control,pain control,225782006,370778008,19297319-DS-11," oxycodone and prn Tylenol (max dose 2g/day) for pain control. DO NOT TAKE MORE THAN 2 GRAMS PER DAY. - Blood " "Correct entity, wrong SNOMED ID","(8688, 8702)","(8688, 8702)",Blood cultures,Blood cultures,30088009,8730001000004107,19297319-DS-11,"ontrol. DO NOT TAKE MORE THAN 2 GRAMS PER DAY. - Blood cultures pending at time of discharge. Please follow up r" Missed entity,"(8740, 8758)",,"follow up results",,363109007,,19297319-DS-11,"ood cultures pending at time of discharge. Please follow up results. - Home enalapril and furosemide held during hos" "Correct entity, wrong SNOMED ID","(8851, 8861)","(8851, 8861)",Creatinine,Creatinine,70901006,113075003,19297319-DS-11,"ing hospital stay due to ___ resolved (discharge Creatinine was 1.8, baseline 1.6-1.8). Enalapril and Furose" "Correct entity, wrong SNOMED ID","(8871, 8879)","(8871, 8879)",baseline,baseline,128974000,129082007,19297319-DS-11,"e to ___ resolved (discharge Creatinine was 1.8, baseline 1.6-1.8). Enalapril and Furosemide were held on " Missed entity,"(8951, 8961)",,restarting,,182837001,,19297319-DS-11,"and Furosemide were held on discharge, recommend restarting pending lab check upon dc follow up appointment " "Correct entity, wrong SNOMED ID","(9016, 9019)","(9016, 9019)",PCP,PCP,737470001,282108002,19297319-DS-11,"ing lab check upon dc follow up appointment with PCP on ___. - Will require follow up with PCP and ___" Wrong span,"(9035, 9052)","(9043, 9052)",require follow up,follow up,1157303009,1354473003,19297319-DS-11,"dc follow up appointment with PCP on ___. - Will require follow up with PCP and ___ Medications on Admission: The " "Correct entity, wrong SNOMED ID","(9058, 9061)","(9058, 9061)",PCP,PCP,737470001,282108002,19297319-DS-11,"nt with PCP on ___. - Will require follow up with PCP and ___ Medications on Admission: The Preadmiss" "Correct entity, wrong SNOMED ID","(10148, 10171)","(10148, 10171)",Radiofrequency ablation,Radiofrequency ablation,448781006,427951003,19297319-DS-11,"Disposition: Home Discharge Diagnosis: Primary: Radiofrequency ablation Sinus bradycardia Urinary retention Acute Kidn" "Correct entity, wrong SNOMED ID","(10173, 10190)","(10173, 10190)",Sinus bradycardia,Sinus bradycardia,49710005,49044005,19297319-DS-11,"arge Diagnosis: Primary: Radiofrequency ablation Sinus bradycardia Urinary retention Acute Kidney Injury Seconda" "Correct entity, wrong SNOMED ID","(10192, 10209)","(10192, 10209)",Urinary retention,Urinary retention,267064002,236648008,19297319-DS-11,"mary: Radiofrequency ablation Sinus bradycardia Urinary retention Acute Kidney Injury Secondary: Hepatocellular" "Correct entity, wrong SNOMED ID","(10245, 10269)","(10245, 10269)",Hepatocellular carcinoma,Hepatocellular carcinoma,25370001,1186630006,19297319-DS-11,"nary retention Acute Kidney Injury Secondary: Hepatocellular carcinoma Cirrhosis Chronic Kidney Disease Hypertension D" "Correct entity, wrong SNOMED ID","(10304, 10316)","(10304, 10316)",Hypertension,Hypertension,38341003,70995007,19297319-DS-11,"lular carcinoma Cirrhosis Chronic Kidney Disease Hypertension Diabetes Mellitus Discharge Condition: Ment" "Correct entity, wrong SNOMED ID","(10318, 10335)","(10318, 10335)",Diabetes Mellitus,Diabetes Mellitus,73211009,44054006,19297319-DS-11,"a Cirrhosis Chronic Kidney Disease Hypertension Diabetes Mellitus Discharge Condition: Mental Status: Clear an" "Correct entity, wrong SNOMED ID","(10362, 10375)","(10362, 10375)",Mental Status,Mental Status,392257007,419284004,19297319-DS-11,"sion Diabetes Mellitus Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Aler" "Correct entity, wrong SNOMED ID","(10377, 10382)","(10377, 10382)",Clear,Clear,830123008,281278005,19297319-DS-11,"Mellitus Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and i" "Correct entity, wrong SNOMED ID","(10397, 10419)","(10397, 10419)",Level of Consciousness,Level of Consciousness,444714004,830285008,19297319-DS-11,"rge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulato" "Correct entity, wrong SNOMED ID","(10421, 10426)","(10421, 10426)",Alert,Alert,248234008,409787004,19297319-DS-11,"atus: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - In" "Correct entity, wrong SNOMED ID","(10431, 10442)","(10431, 10442)",interactive,interactive,288577006,10301000202103,19297319-DS-11,"r and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Di" "Correct entity, wrong SNOMED ID","(10444, 10459)","(10444, 10459)",Activity Status,Activity Status,129676008,397622007,19297319-DS-11,"t. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructi" "Correct entity, wrong SNOMED ID","(10461, 10485)","(10461, 10485)",Ambulatory - Independent,Ambulatory - Independent,165245003,273531005,19297319-DS-11,"iousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. ___, It wa" Wrong span,"(10647, 10650)","(10647, 10660)",RFA,RFA procedure,448781006,218191003,19297319-DS-11,"_. You were admitted to the hospital after your RFA procedure due to some episodes of low heart rate" "Correct entity, wrong SNOMED ID","(10686, 10701)","(10686, 10701)",low heart rates,low heart rates,48867003,289439005,19297319-DS-11,"after your RFA procedure due to some episodes of low heart rates during the procedure and because you were feelin" "Correct entity, wrong SNOMED ID","(10713, 10722)","(10713, 10722)",procedure,procedure,71388002,116224001,19297319-DS-11,"e to some episodes of low heart rates during the procedure and because you were feeling dizzy after the pro" "Correct entity, wrong SNOMED ID","(10753, 10758)","(10753, 10758)",dizzy,dizzy,404640003,1141711004,19297319-DS-11,"uring the procedure and because you were feeling dizzy after the procedure. We monitored you on the car" "Correct entity, wrong SNOMED ID","(10769, 10778)","(10769, 10778)",procedure,procedure,71388002,116224001,19297319-DS-11,"ure and because you were feeling dizzy after the procedure. We monitored you on the cardiac monitor and not" "Correct entity, wrong SNOMED ID","(10805, 10820)","(10805, 10820)",cardiac monitor,cardiac monitor,23852006,470085003,19297319-DS-11,"zzy after the procedure. We monitored you on the cardiac monitor and noted no additional periods of low heart rat" "Correct entity, wrong SNOMED ID","(10857, 10872)","(10857, 10872)",low heart rates,low heart rates,48867003,289439005,19297319-DS-11,"rdiac monitor and noted no additional periods of low heart rates. You had some difficulty urinating after the pr" "Correct entity, wrong SNOMED ID","(10920, 10929)","(10920, 10929)",procedure,procedure,71388002,118672003,19297319-DS-11,"es. You had some difficulty urinating after the procedure that we think was due to a combination of the an" "Correct entity, wrong SNOMED ID","(10977, 10987)","(10977, 10987)",anesthesia,anesthesia,399097000,18946005,19297319-DS-11,"re that we think was due to a combination of the anesthesia and the pain killers (oxycodone) you were receiv" "Correct entity, wrong SNOMED ID","(10996, 11000)","(10996, 11000)",pain,pain,22253000,102570003,19297319-DS-11,"as due to a combination of the anesthesia and the pain killers (oxycodone) you were receiving. We start" Missed entity,"(11067, 11077)",,medication,,18629005,,19297319-DS-11,"one) you were receiving. We started you on a new medication called tamsulosin that can help with difficulty " "Correct entity, wrong SNOMED ID","(11273, 11285)","(11273, 11285)",pain control,pain control,225782006,370778008,19297319-DS-11,"ecrease the amount of oxycodone you required for pain control. At the time of discharge, you were urinating on" "Correct entity, wrong SNOMED ID","(11393, 11404)","(11393, 11404)",temperature,temperature,105723007,228018009,19297319-DS-11,"n without difficulty. You additionally spiked a temperature while you were in the hospital but we did not de" Wrong span,"(11463, 11481)","(11463, 11468)",signs of infection,signs,370835007,86631001,19297319-DS-11,"u were in the hospital but we did not detect any signs of infection. We think that the temperature may have been due" "Correct entity, wrong SNOMED ID","(11502, 11513)","(11502, 11513)",temperature,temperature,105723007,228018009,19297319-DS-11,"detect any signs of infection. We think that the temperature may have been due to ""atelectasis"" or improper i" Missed entity,"(11562, 11571)",,inflation,,119268003,,19297319-DS-11,"e may have been due to ""atelectasis"" or improper inflation of portions of your lung (a normal occurrence af" "Correct entity, wrong SNOMED ID","(11592, 11596)","(11592, 11596)",lung,lung,39607008,301232003,19297319-DS-11,"tasis"" or improper inflation of portions of your lung (a normal occurrence after procedures requiring " "Correct entity, wrong SNOMED ID","(11625, 11635)","(11625, 11635)",procedures,procedures,71388002,118672003,19297319-DS-11,"portions of your lung (a normal occurrence after procedures requiring anesthesia) or potentially due to the " "Correct entity, wrong SNOMED ID","(11646, 11656)","(11646, 11656)",anesthesia,anesthesia,399097000,18946005,19297319-DS-11," (a normal occurrence after procedures requiring anesthesia) or potentially due to the inflammation caused b" "Correct entity, wrong SNOMED ID","(11685, 11697)","(11685, 11697)",inflammation,inflammation,128139000,103622007,19297319-DS-11," requiring anesthesia) or potentially due to the inflammation caused by the RFA procedure. We performed an ult" Wrong span,"(11712, 11715)","(11712, 11725)",RFA,RFA procedure,448781006,218191003,19297319-DS-11,"otentially due to the inflammation caused by the RFA procedure. We performed an ultrasound of your li" Wrong span,"(11716, 11725)","(11712, 11725)",procedure,RFA procedure,71388002,218191003,19297319-DS-11,"tially due to the inflammation caused by the RFA procedure. We performed an ultrasound of your liver and we" "Correct entity, wrong SNOMED ID","(11744, 11768)","(11744, 11768)",ultrasound of your liver,ultrasound of your liver,105377009,427108001,19297319-DS-11,"ion caused by the RFA procedure. We performed an ultrasound of your liver and we did not see anything concerning. You had " "Correct entity, wrong SNOMED ID","(11821, 11832)","(11821, 11832)",temperature,temperature,105723007,228018009,19297319-DS-11,"d we did not see anything concerning. You had no temperature and were breathing well on room air at the time " Wrong span,"(11842, 11856)","(11842, 11851)",breathing well,breathing,22803001,271825005,19297319-DS-11,"hing concerning. You had no temperature and were breathing well on room air at the time of your discharge. Fin" Missed entity,"(11857, 11868)",,on room air,,722742002,,19297319-DS-11,". You had no temperature and were breathing well on room air at the time of your discharge. Finally, your k" "Correct entity, wrong SNOMED ID","(11917, 11932)","(11917, 11932)",kidney function,kidney function,182809008,76114004,19297319-DS-11,"r at the time of your discharge. Finally, your kidney function was a little worse following the procedure. We t" "Correct entity, wrong SNOMED ID","(11946, 11951)","(11946, 11951)",worse,worse,271299001,280122007,19297319-DS-11,"rge. Finally, your kidney function was a little worse following the procedure. We think that this was " Wrong span,"(11952, 11976)","(11967, 11976)","following the procedure",procedure,19585003,118672003,19297319-DS-11," Finally, your kidney function was a little worse following the procedure. We think that this was due to dehydration and it" "Correct entity, wrong SNOMED ID","(12008, 12019)","(12008, 12019)",dehydration,dehydration,34095006,1611000119108,19297319-DS-11,"ing the procedure. We think that this was due to dehydration and it improved with the fluids and albumin we g" "Correct entity, wrong SNOMED ID","(12028, 12036)","(12028, 12036)",improved,improved,268910001,251359002,19297319-DS-11,"We think that this was due to dehydration and it improved with the fluids and albumin we gave you. We held" "Correct entity, wrong SNOMED ID","(12046, 12052)","(12046, 12052)",fluids,fluids,711133000,25670009,19297319-DS-11," was due to dehydration and it improved with the fluids and albumin we gave you. We held your home Enal" "Correct entity, wrong SNOMED ID","(12057, 12064)","(12057, 12064)",albumin,albumin,116865006,166804009,19297319-DS-11," dehydration and it improved with the fluids and albumin we gave you. We held your home Enalapril and Fu" "Correct entity, wrong SNOMED ID","(12157, 12172)","(12157, 12172)",kidney function,kidney function,182809008,76114004,19297319-DS-11," and Furosemide (Lasix) as these can affect your kidney function. You should not restart these until you have yo" Missed entity,"(12190, 12197)",,restart,,182837001,,19297319-DS-11,"can affect your kidney function. You should not restart these until you have your labs checked by your p" Missed entity,"(12277, 12294)",,"next appointment",,390840006,,19297319-DS-11,"bs checked by your primary care physician at your next appointment. You should follow up with your primary care phy"