Datasets:

callezenwaka
/

ehr_adverse_events_phase1

id stringlengths 36 36	status stringclasses 2 values	_server_id stringlengths 36 36	text stringlengths 438 34.1k	record_id int64 0 999	ICD9_CODE stringlengths 3 70	text_length int64 438 34.1k	has_drug_mentions stringclasses 2 values	adverse_event_label.responses.status listlengths 1 1 ⌀	adverse_event_label.responses listlengths 1 1 ⌀	adverse_event_label.responses.users listlengths 1 1 ⌀
603a6a4d-de45-4c3e-9578-a346b65fbb0f	pending	66f6dabc-da9c-4388-a1cf-1dd56e2be5ad	Admission Date: [2117-9-11] Discharge Date: [2117-9-17] Date of Birth: [2082-3-21] Sex: F Service: MEDICINE Allergies: Levaquin Attending:[First Name3 (LF) 2195] Chief Complaint: nausea, vomiting Major Surgical or Invasive Procedure: none History of Present Illness:...	0	5849	8,285	true	null	null	null
f710745a-4065-4a42-bf1c-b53273230ccc	pending	ae19db9a-94b4-4f4b-a3b3-15573a221f54	Admission Date: [2150-4-17] Discharge Date: [2150-4-21] Date of Birth: [2090-5-19] Sex: M Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[First Name3 (LF) 12174] Chief Complaint: coffee ground emesis Major Surgical or Inv...	1	2851, 5715, 4019	9,981	true	null	null	null
4ef5acae-c11f-4f5e-b694-c7dedf37c668	pending	4e2c2689-75b9-4af6-ad63-b74de9509c98	Admission Date: [2108-4-6] Discharge Date: [2081-4-7] Date of Birth: [2059-5-7] Sex: F Service: O MED CHIEF COMPLAINT: Dyspnea. HISTORY OF PRESENT ILLNESS: This is a 48 year old African American female with a history of multiple myelomas being admitted for respiratory distress. The ...	2	486, 2761	5,943	true	null	null	null
fdda4765-6c8e-41af-935c-778832f83732	pending	f6be9d5d-3eae-4960-84bc-1cc7c325dd3a	Admission Date: [2145-3-31] Discharge Date: [2145-4-7] Date of Birth: [2071-6-4] Sex: F Service: SURGERY Allergies: Penicillins / Dilantin Attending:[First Name3 (LF) 301] Chief Complaint: Severe abdominal and back pain Unable to take oral intake. No flatus or bowel mo...	3	486, 4019	7,857	true	null	null	null
70cd0cfa-7432-4ab9-aa76-078e96600a18	pending	d585c343-d951-488e-be47-4fcb65c12b20	Admission Date: [2162-5-16] Discharge Date: [2162-5-21] Date of Birth: [2101-7-30] Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending:[First Name3 (LF) 1505] Chief Complaint: Angina Major Surgical or Invasive Procedure: [**...	4	4111, 2859, 4019, 2720	11,276	true	null	null	null
bae3ebca-3701-4195-86c7-4440eaf1c727	pending	7c81aa70-6b94-419f-99c8-22804c61e65b	Admission Date: [2177-8-29] Discharge Date: [2177-9-12] Date of Birth: [2156-2-27] Sex: M Service: SURGERY Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[First Name3 (LF) 2534] Chief Complaint: Helmeted motocyclist who hit tree Major Surg...	5	2851	10,192	true	null	null	null
88abafae-4937-4d73-a6fc-2af6b6bccdd0	pending	c7ba649a-e722-4619-84ff-0e0ab5033736	Admission Date: [2177-3-12] Discharge Date: [2177-3-22] Date of Birth: [2109-6-26] Sex: M Service: CARDIOTHORACIC Allergies: Shellfish Attending:[First Name3 (LF) 1505] Chief Complaint: exertional angina Major Surgical or Invasive Procedure: [2177-3-14] Coronary A...	6	4019, 2720	10,925	true	null	null	null
ea8e242d-64aa-40ec-a2de-ea4ec48f013f	pending	186bd188-56fe-4833-a2a7-df800a50273c	Admission Date: [2188-5-24] Discharge Date: [2188-5-30] Date of Birth: [2132-11-19] Sex: M Service: MEDICINE Allergies: Ampicillin / Thorazine Attending:[Last Name (NamePattern4) 290] Chief Complaint: Respiratory Failure Major Surgical or Invasive Procedure: Trach cha...	7	5070	13,711	true	null	null	null
bedab8f3-d3c7-44bc-855b-2f5f8de63c8f	pending	24e22902-c938-40c5-af91-2f71bda98a7d	Admission Date: [2176-8-29] Discharge Date: [2176-9-6] Date of Birth: [2121-2-13] Sex: M Service: MEDICINE Allergies: Penicillins / Keflex Attending:[First Name3 (LF) 1928] Chief Complaint: Upper extremity weakness Major Surgical or Invasive Procedure: C5-C6 anterior ...	8	2761, 5119, 4280, 3572, 496, 412	18,401	true	null	null	null
ec354d36-0b93-4e28-aace-e2ca215933cc	pending	457b24a5-567c-42dd-9377-df8dabc3b8d4	Admission Date: [2138-6-9] Discharge Date: [2138-6-12] Date of Birth: [2111-2-28] Sex: M Service: Cardiothoracic Surgery PREOPERATIVE DIAGNOSIS: 1. Bicuspid aortic valve. 2. Dilated aorta. 3. Aortic insufficiency. HISTORY OF PRESENT ILLNESS: The patient has had a heart murmur since chi...	9	4241	2,677	true	null	null	null
4f92f6cd-b213-436a-8f51-72ba458c2774	pending	c0338da3-2134-49ce-86fe-f82fbeb6d3a2	Admission Date: [2142-11-30] Discharge Date: [2142-12-10] Date of Birth: [2084-5-2] Sex: M Service: MEDICINE Allergies: Percocet / Bactrim Ds / Lisinopril Attending:[First Name3 (LF) 898] Chief Complaint: hypotension Major Surgical or Invasive Procedure: none History...	10	5990, 2761, 5849, 4280, 2930, 4019	16,132	true	null	null	null
2af60351-f1af-4e46-bff9-3aa09198aa70	pending	24f3e12f-3c72-4836-b908-45a198dbc96d	Admission Date: [2109-8-17] Discharge Date: [2109-10-16] Date of Birth: [2054-10-24] Sex: M Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[First Name3 (LF) 759] Chief Complaint: B/L ankle fractures, s/p fall Major Surgic...	11	4019, 2875, 5990, 5070, 5180	22,616	true	null	null	null
3b016c57-a0b1-4739-a305-8902942f8c6f	pending	1d0eb8b2-d9b1-43c2-af2a-cc6d9ace1700	Admission Date: [2170-9-19] Discharge Date: [2170-9-25] Date of Birth: [2099-5-27] Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending:[First Name3 (LF) 165] Chief Complaint: Dyspnea on exertion and fatigue Major Surgical or...	12	4111, 5119, 5180, 4019	9,552	true	null	null	null
a2c3686b-98c9-46ae-808c-38034e2d40ab	pending	52e34588-b871-462c-bfa3-2457e6b3948a	Admission Date: [2191-7-13] Discharge Date: [2191-7-15] Date of Birth: [2191-7-13] Sex: M Service: NEONATOLOGY HISTORY: Baby [Name (NI) ] [Known lastname 1661] was born at 39 weeks gestation to a 32-year-old gravida 1, para 0 now 1 woman. The mother's prenatal screens were bloo...	13	V053	3,249	true	null	null	null
34f93ecf-6f45-4f79-bb4f-423463186c48	pending	37f40439-534c-41cf-8116-0f10abde1ca3	Admission Date: [2142-12-23] Discharge Date: [2142-12-30] Date of Birth: [2070-6-15] Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending:[First Name3 (LF) 371] Chief Complaint: Right upper quadrant pain Major Surgical or Invasive P...	14	0389, 2875	13,234	true	null	null	null
71234abf-b82a-4574-acde-d74e12af2c53	pending	b616c333-ea17-42b7-9cd6-91f3a9cfe872	Admission Date: [2185-4-17] Discharge Date: [2185-5-2] Date of Birth: [2185-4-17] Sex: F Service: Neonatology HISTORY: [First Name4 (NamePattern1) 14552] [Known lastname ], twin #2, was born at 34-2/7 weeks gestation to a 40-year-old gravida 3, para 2 now four woman by spontane...	15	7742, V290	5,585	true	null	null	null
43f3d0ee-856d-4526-b8e6-baf53c261292	pending	dfe6fb01-dd12-4326-aaab-554861b76dc7	Admission Date: [2199-12-3] Discharge Date: [2199-12-19] Date of Birth: Sex: M Service: CHIEF COMPLAINT: Hypoxia HISTORY OF PRESENT ILLNESS: This is a 33 year old male with no significant past medical history who initially presented to the [Company 191] Outpatient Clinic on...	16	486, 2761, 2859	8,426	true	null	null	null

End of preview. Expand in Data Studio

Dataset Card for ehr_adverse_events_phase1

This dataset has been created with Argilla. As shown in the sections below, this dataset can be loaded into your Argilla server as explained in Load with Argilla, or used directly with the datasets library in Load with datasets.

Using this dataset with Argilla

To load with Argilla, you'll just need to install Argilla as pip install argilla --upgrade and then use the following code:

import argilla as rg

ds = rg.Dataset.from_hub("callezenwaka/ehr_adverse_events_phase1", settings="auto")

This will load the settings and records from the dataset repository and push them to you Argilla server for exploration and annotation.

Using this dataset with `datasets`

To load the records of this dataset with datasets, you'll just need to install datasets as pip install datasets --upgrade and then use the following code:

from datasets import load_dataset

ds = load_dataset("callezenwaka/ehr_adverse_events_phase1")

This will only load the records of the dataset, but not the Argilla settings.

Dataset Structure

This dataset repo contains:

Dataset records in a format compatible with HuggingFace datasets. These records will be loaded automatically when using rg.Dataset.from_hub and can be loaded independently using the datasets library via load_dataset.
The annotation guidelines that have been used for building and curating the dataset, if they've been defined in Argilla.
A dataset configuration folder conforming to the Argilla dataset format in .argilla.

The dataset is created in Argilla with: fields, questions, suggestions, metadata, vectors, and guidelines.

Fields

The fields are the features or text of a dataset's records. For example, the 'text' column of a text classification dataset of the 'prompt' column of an instruction following dataset.

Field Name	Title	Type	Required	Markdown
text	Clinical Note	text	True	False

Questions

The questions are the questions that will be asked to the annotators. They can be of different types, such as rating, text, label_selection, multi_label_selection, or ranking.

Question Name	Title	Type	Required	Description	Values/Labels
adverse_event_label	Does this note contain an adverse event?	label_selection	True	N/A	['has_adverse_event', 'no_adverse_event']

Metadata

The metadata is a dictionary that can be used to provide additional information about the dataset record.

Metadata Name	Title	Values	Visible for Annotators
record_id	record_id	None - None	True
text_length	text_length	None - None	True
has_drug_mentions	Has Drug Mentions	-	True
ICD9_CODE	ICD-9 Codes	-	True

Data Instances

An example of a dataset instance in Argilla looks as follows:

{
    "_server_id": "66f6dabc-da9c-4388-a1cf-1dd56e2be5ad",
    "fields": {
        "text": "Admission Date:  [**2117-9-11**]              Discharge Date:   [**2117-9-17**]\n\nDate of Birth:  [**2082-3-21**]             Sex:   F\n\nService: MEDICINE\n\nAllergies:\nLevaquin\n\nAttending:[**First Name3 (LF) 2195**]\nChief Complaint:\nnausea, vomiting\n\n\nMajor Surgical or Invasive Procedure:\nnone\n\nHistory of Present Illness:\n35F w/ poorly controlled Type 1 diabetes mellitus w/ neuropathy,\nnephropathy, HTN, gastroparesis, CKD and retinopathy, recently\nhospitalized for orthostatic hypotension [**2-3**] autonomic\nneuropathy [**Date range (1) 25088**]; DKA hospitalizations in [**6-12**] and [**7-12**], now\nreturning w/ 5d history of worsening nausea, vomiting with\ncoffee-ground emesis, chills, and dyspnea on exertion.  Last\nweek she had a fall and hit her right face.  she also had 1 day\nof diarrhea, which resolved early last week.  Found to be in DKA\nwith AG 30 and bicarb 11.\n.\nIn the ED inital vitals were 09:00 0 98.2 113 181/99 22 100% RA.\nK 4.7, HCO3 11, Anion Gap 30, Cr. 2.7 (baseline 1.6-2.0) She is\non her 3rd L NS. Insulin srip at 5 units/hr. On home at 22\nlevemir in am and 12 at with difficult to control sugars. BPs\nhave been high. Given 30 mtroprolol tartrate in ED.\n\nShe was started on an insulin drip at 5 units/hr and 3L NS\nboluses. Also aspirin 325mg PO and Morphine 4mg IVx1 for pain.\nCXr was clear.  EKG NAD.\n.\nReview of systems: otherwise negative.\n\nPast Medical History:\nType 1 diabetes mellitis w/ neuropathy, nephropathy, and\nretinopathy - 2 episodes of DKA in [**6-12**] and [**7-12**]\nHTN - 5 years\ngastroparesis - 1.5 years\nCKD - stage III, baseline Cr 2.4-2.5, proteinuria\nL1 vertebral fracture - [**2117-7-17**]\nSystolic ejection murmur\n\nSocial History:\nPatient lives at home in [**Location (un) **] with her 8 y/o daughter and\nboyfriend. She has no history of EtOH, tobacco, or illicit drug\nuse. She is currently unemployed and seeking disability.\n\n\nFamily History:\nBoth parents have HTN and T2DM. Grandfather had an MI in his\n40s.\n\nPhysical Exam:\nGEN: Awake, alert, and oriented\nHEENT: PERRLA. MMM. no JVD. neck supple. No cervical LAD\nCards: RRR, S1/S2 normal. II/VI systolic ejection murmur heard\nbest at the L upper sternal border.\nPulm: CTABL with no crackles or wheezes.\nAbd: BS+, soft, NT, no rebound/guarding, no HSM, no [**Doctor Last Name 515**]\nsign\nExtremities: wwp, no edema. radials, DPs, PTs 2+.\nSkin: no rashes or bruising. no skin tenting.\nNeuro: CNs II-XII intact. Upper extremities: Power [**5-6**]\nbilaterally. Le: left power: 4.5/5  right: power [**3-6**].  Bilateral\nsymmetric, reduced sensation distal LE to ankles.\n\n\nPertinent Results:\nAdmission Labs: [**2117-9-11**] 09:22AM\nWBC-11.9* RBC-4.58 HGB-13.0 HCT-36.5 MCV-80* PLT COUNT-466*\nLIPASE-22  ALT(SGPT)-10 AST(SGOT)-16 ALK PHOS-105 TOT BILI-0.5\nGLUCOSE-260* UREA N-48* CREAT-2.7* SODIUM-137 POTASSIUM-4.9\nCL-101 CO2-11*\nLACTATE-1.9\n\nDischarge Labs: [**2117-9-16**] 07:10AM\nWBC-6.8 RBC-3.67* Hgb-10.4* Hct-30.2* MCV-82 Plt Ct-298\nGlucose-118* UreaN-20 Creat-2.3* Na-137 K-3.7 Cl-104 HCO3-23\nAnGap-14\nCalcium-8.7 Phos-3.5 Mg-2.0\n\nRadiology:\nCXR: No evidence of pneumonia or other pathological\nabnormalities. No\npleural effusions. No pulmonary edema. Normal size of the\ncardiac\nsilhouette.\n\nMicrobiology: Urine culture negative, blood cultures no growth\nto date, stool for C.difficile negative\n\n\nBrief Hospital Course:\n35 yo F with HTN \u0026 poorly controlled type I DM, c/b neuropathy,\ngastroparesis, nephropathy ?????? CKD, retinopathy presents with DKA\nand hypertension SBP to 200s.\n.\n# Diabetic ketoacidosis: Patient controls diabetes at home with\nHumalog SS and long acting Levemir.  Sugars at home recently\nhave been in 250s. In the ED, glucose was 466. UA was +ve for\nketones ?????? corrected to 200s, but rose again to 300s. She was\ntreated with an insulin drip which was transitioned to subq when\nshe tolerated POs. Her electrolytes were repleted and she\nreceived aggressive volume resuscitation. [**Last Name (un) **] saw her and\ngave sliding scale recommendations which were implemented. No\nsource for DKA found, beleived to be [**2-3**] gastroparesis. Nausea\nmanaged with ativan, compazine, and promethazine. She was\ndischarged on her home Insulin and sliding scale with\ninstructions to follow-up with [**Last Name (un) **].\n\n# HTN: Hypertensive with SBP in 190s initially, attributed to\nDKA, as she has experienced in the past. As she improved her\nblood pressures normalized and she was re-started on her home\nLopressor and Midodrine regimen.\n\n# Coffee grounds emesis: Emesis started off as clear, then with\nprolonged wretching, she started having coffee-grounds vomiting.\nThis had also occurred on prior admissions for DKA with\nassociated vomiting. Her hematocrit remained stable and her\nhematemesis self-resolved, and so work-up was deferred to the\noutpatient setting.\n\n# Acute on chronic kidney disease, Stage III: Patient\u0027s Cr on\nadmission was 2.7, trending down to 2.1-2.3 following fluids,\nconsistent with her known CKD secondary to diabetic nephropathy.\n\n\nMedications on Admission:\n1. citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).\n\n2. Levemir 100 unit/mL Solution Sig: Twenty Two (22) units\nSubcutaneous every AM.\n3. Levemir 100 unit/mL Solution Sig: Twelve (12) units\nSubcutaneous at bedtime.\n4. Humalog 100 unit/mL Solution Sig: sliding scale as directed\nSubcutaneous four times a day: Please use sliding scale as\ndirected by MD [**First Name8 (NamePattern2) 767**] [**Last Name (Titles) **].\n5. metoprolol tartrate 50 mg Tablet Sig: 1.5 Tablets PO DAILY\n(Daily): take in the evening.\n6. promethazine 25 mg Tablet Sig: 0.5 Tablet PO Q8H (every 8\nhours) as needed for nausea.\n7. gabapentin 300 mg Capsule Sig: One (1) Capsule PO Q12H (every\n\n12 hours).\nDisp:*60 Capsule(s)* Refills:*2*\n8. duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: Two (2)\nCapsule, Delayed Release(E.C.) PO DAILY (Daily): Please take\nonly 1 capsule daily (30 mg) for first 2 weeks of treatment.\nDisp:*60 Capsule, Delayed Release(E.C.)(s)* Refills:*2*\n9. oxycodone 5 mg Capsule Sig: One (1) Capsule PO every eight\n(8) hours as needed for pain.\n10. midodrine 5 mg Tablet Sig: 1.5 Tablets PO every four (4)\nhours: Can hold while sleeping.\nDisp:*270 Tablet(s)* Refills:*2*\n\n\nDischarge Medications:\n1. citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).\n\n2. gabapentin 300 mg Capsule Sig: One (1) Capsule PO Q12H (every\n12 hours).\n3. duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: One (1)\nCapsule, Delayed Release(E.C.) PO DAILY (Daily).\n4. metoprolol tartrate 25 mg Tablet Sig: Three (3) Tablet PO\nOnce Daily at 6 PM.\n5. midodrine 2.5 mg Tablet Sig: Three (3) Tablet PO DAILY\n(Daily).\n6. Levemir 100 unit/mL Solution Sig: As directed by [**Last Name (un) **] units\nSubcutaneous As directed.\n\n\nDischarge Disposition:\nHome\n\nDischarge Diagnosis:\nDiabetic keotacidosis\nHematemesis (blood in your vomit)\nHypertension\nChronic renal insufficiency\n\nDischarge Condition:\nMental Status: Clear and coherent.\nLevel of Consciousness: Alert and interactive.\nActivity Status: Ambulatory - Independent.\n\nDischarge Instructions:\nYou were admitted to the hospital with DKA, hypertension, and\nblood in your vomit. You were initially treated in the ICU with\nan insulin drip, and your blood sugars improved. Your blood\npressure medications were adjusted to better control your blood\npressure while you were in DKA, but you were re-started on your\nhome regimen at discharge. The blood in your vomit was likely\nsecondary to mechanical trauma from repeated wretching, but you\nshould follow-up with your primary care doctor to discuss\nwhether you should undergo further evaluation such as an upper\nendoscopy. Given your complaints of chronic cough and heartburn,\nyou should also discuss beginning a trial of a proton pump\ninhibitor such as Nexium or Prilosec to see if this helps your\nsymptoms.\n\nYour insulin regimen was adjusted by the [**Last Name (un) **] team while you\nwere here. You should continue to follow-up with them with any\nquestions or concerns regarding your insulin management.\n\nFollowup Instructions:\nPlease call Dr.[**Last Name (STitle) 805**]\u0027 office to schedule a follow-up\nappointment within 7-10 days of discharge. Her office number is\n[**Telephone/Fax (1) 85219**].\n\nYou should also continue to follow-up with your [**Last Name (un) **] doctors\nas needed.\n\n\n"
    },
    "id": "603a6a4d-de45-4c3e-9578-a346b65fbb0f",
    "metadata": {
        "ICD9_CODE": "5849",
        "has_drug_mentions": "true",
        "record_id": 0,
        "text_length": 8285
    },
    "responses": {},
    "status": "pending",
    "suggestions": {},
    "vectors": {}
}

While the same record in HuggingFace datasets looks as follows:

{
    "ICD9_CODE": "5849",
    "_server_id": "66f6dabc-da9c-4388-a1cf-1dd56e2be5ad",
    "adverse_event_label.responses": null,
    "adverse_event_label.responses.status": null,
    "adverse_event_label.responses.users": null,
    "has_drug_mentions": "true",
    "id": "603a6a4d-de45-4c3e-9578-a346b65fbb0f",
    "record_id": 0,
    "status": "pending",
    "text": "Admission Date:  [**2117-9-11**]              Discharge Date:   [**2117-9-17**]\n\nDate of Birth:  [**2082-3-21**]             Sex:   F\n\nService: MEDICINE\n\nAllergies:\nLevaquin\n\nAttending:[**First Name3 (LF) 2195**]\nChief Complaint:\nnausea, vomiting\n\n\nMajor Surgical or Invasive Procedure:\nnone\n\nHistory of Present Illness:\n35F w/ poorly controlled Type 1 diabetes mellitus w/ neuropathy,\nnephropathy, HTN, gastroparesis, CKD and retinopathy, recently\nhospitalized for orthostatic hypotension [**2-3**] autonomic\nneuropathy [**Date range (1) 25088**]; DKA hospitalizations in [**6-12**] and [**7-12**], now\nreturning w/ 5d history of worsening nausea, vomiting with\ncoffee-ground emesis, chills, and dyspnea on exertion.  Last\nweek she had a fall and hit her right face.  she also had 1 day\nof diarrhea, which resolved early last week.  Found to be in DKA\nwith AG 30 and bicarb 11.\n.\nIn the ED inital vitals were 09:00 0 98.2 113 181/99 22 100% RA.\nK 4.7, HCO3 11, Anion Gap 30, Cr. 2.7 (baseline 1.6-2.0) She is\non her 3rd L NS. Insulin srip at 5 units/hr. On home at 22\nlevemir in am and 12 at with difficult to control sugars. BPs\nhave been high. Given 30 mtroprolol tartrate in ED.\n\nShe was started on an insulin drip at 5 units/hr and 3L NS\nboluses. Also aspirin 325mg PO and Morphine 4mg IVx1 for pain.\nCXr was clear.  EKG NAD.\n.\nReview of systems: otherwise negative.\n\nPast Medical History:\nType 1 diabetes mellitis w/ neuropathy, nephropathy, and\nretinopathy - 2 episodes of DKA in [**6-12**] and [**7-12**]\nHTN - 5 years\ngastroparesis - 1.5 years\nCKD - stage III, baseline Cr 2.4-2.5, proteinuria\nL1 vertebral fracture - [**2117-7-17**]\nSystolic ejection murmur\n\nSocial History:\nPatient lives at home in [**Location (un) **] with her 8 y/o daughter and\nboyfriend. She has no history of EtOH, tobacco, or illicit drug\nuse. She is currently unemployed and seeking disability.\n\n\nFamily History:\nBoth parents have HTN and T2DM. Grandfather had an MI in his\n40s.\n\nPhysical Exam:\nGEN: Awake, alert, and oriented\nHEENT: PERRLA. MMM. no JVD. neck supple. No cervical LAD\nCards: RRR, S1/S2 normal. II/VI systolic ejection murmur heard\nbest at the L upper sternal border.\nPulm: CTABL with no crackles or wheezes.\nAbd: BS+, soft, NT, no rebound/guarding, no HSM, no [**Doctor Last Name 515**]\nsign\nExtremities: wwp, no edema. radials, DPs, PTs 2+.\nSkin: no rashes or bruising. no skin tenting.\nNeuro: CNs II-XII intact. Upper extremities: Power [**5-6**]\nbilaterally. Le: left power: 4.5/5  right: power [**3-6**].  Bilateral\nsymmetric, reduced sensation distal LE to ankles.\n\n\nPertinent Results:\nAdmission Labs: [**2117-9-11**] 09:22AM\nWBC-11.9* RBC-4.58 HGB-13.0 HCT-36.5 MCV-80* PLT COUNT-466*\nLIPASE-22  ALT(SGPT)-10 AST(SGOT)-16 ALK PHOS-105 TOT BILI-0.5\nGLUCOSE-260* UREA N-48* CREAT-2.7* SODIUM-137 POTASSIUM-4.9\nCL-101 CO2-11*\nLACTATE-1.9\n\nDischarge Labs: [**2117-9-16**] 07:10AM\nWBC-6.8 RBC-3.67* Hgb-10.4* Hct-30.2* MCV-82 Plt Ct-298\nGlucose-118* UreaN-20 Creat-2.3* Na-137 K-3.7 Cl-104 HCO3-23\nAnGap-14\nCalcium-8.7 Phos-3.5 Mg-2.0\n\nRadiology:\nCXR: No evidence of pneumonia or other pathological\nabnormalities. No\npleural effusions. No pulmonary edema. Normal size of the\ncardiac\nsilhouette.\n\nMicrobiology: Urine culture negative, blood cultures no growth\nto date, stool for C.difficile negative\n\n\nBrief Hospital Course:\n35 yo F with HTN \u0026 poorly controlled type I DM, c/b neuropathy,\ngastroparesis, nephropathy ?????? CKD, retinopathy presents with DKA\nand hypertension SBP to 200s.\n.\n# Diabetic ketoacidosis: Patient controls diabetes at home with\nHumalog SS and long acting Levemir.  Sugars at home recently\nhave been in 250s. In the ED, glucose was 466. UA was +ve for\nketones ?????? corrected to 200s, but rose again to 300s. She was\ntreated with an insulin drip which was transitioned to subq when\nshe tolerated POs. Her electrolytes were repleted and she\nreceived aggressive volume resuscitation. [**Last Name (un) **] saw her and\ngave sliding scale recommendations which were implemented. No\nsource for DKA found, beleived to be [**2-3**] gastroparesis. Nausea\nmanaged with ativan, compazine, and promethazine. She was\ndischarged on her home Insulin and sliding scale with\ninstructions to follow-up with [**Last Name (un) **].\n\n# HTN: Hypertensive with SBP in 190s initially, attributed to\nDKA, as she has experienced in the past. As she improved her\nblood pressures normalized and she was re-started on her home\nLopressor and Midodrine regimen.\n\n# Coffee grounds emesis: Emesis started off as clear, then with\nprolonged wretching, she started having coffee-grounds vomiting.\nThis had also occurred on prior admissions for DKA with\nassociated vomiting. Her hematocrit remained stable and her\nhematemesis self-resolved, and so work-up was deferred to the\noutpatient setting.\n\n# Acute on chronic kidney disease, Stage III: Patient\u0027s Cr on\nadmission was 2.7, trending down to 2.1-2.3 following fluids,\nconsistent with her known CKD secondary to diabetic nephropathy.\n\n\nMedications on Admission:\n1. citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).\n\n2. Levemir 100 unit/mL Solution Sig: Twenty Two (22) units\nSubcutaneous every AM.\n3. Levemir 100 unit/mL Solution Sig: Twelve (12) units\nSubcutaneous at bedtime.\n4. Humalog 100 unit/mL Solution Sig: sliding scale as directed\nSubcutaneous four times a day: Please use sliding scale as\ndirected by MD [**First Name8 (NamePattern2) 767**] [**Last Name (Titles) **].\n5. metoprolol tartrate 50 mg Tablet Sig: 1.5 Tablets PO DAILY\n(Daily): take in the evening.\n6. promethazine 25 mg Tablet Sig: 0.5 Tablet PO Q8H (every 8\nhours) as needed for nausea.\n7. gabapentin 300 mg Capsule Sig: One (1) Capsule PO Q12H (every\n\n12 hours).\nDisp:*60 Capsule(s)* Refills:*2*\n8. duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: Two (2)\nCapsule, Delayed Release(E.C.) PO DAILY (Daily): Please take\nonly 1 capsule daily (30 mg) for first 2 weeks of treatment.\nDisp:*60 Capsule, Delayed Release(E.C.)(s)* Refills:*2*\n9. oxycodone 5 mg Capsule Sig: One (1) Capsule PO every eight\n(8) hours as needed for pain.\n10. midodrine 5 mg Tablet Sig: 1.5 Tablets PO every four (4)\nhours: Can hold while sleeping.\nDisp:*270 Tablet(s)* Refills:*2*\n\n\nDischarge Medications:\n1. citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).\n\n2. gabapentin 300 mg Capsule Sig: One (1) Capsule PO Q12H (every\n12 hours).\n3. duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: One (1)\nCapsule, Delayed Release(E.C.) PO DAILY (Daily).\n4. metoprolol tartrate 25 mg Tablet Sig: Three (3) Tablet PO\nOnce Daily at 6 PM.\n5. midodrine 2.5 mg Tablet Sig: Three (3) Tablet PO DAILY\n(Daily).\n6. Levemir 100 unit/mL Solution Sig: As directed by [**Last Name (un) **] units\nSubcutaneous As directed.\n\n\nDischarge Disposition:\nHome\n\nDischarge Diagnosis:\nDiabetic keotacidosis\nHematemesis (blood in your vomit)\nHypertension\nChronic renal insufficiency\n\nDischarge Condition:\nMental Status: Clear and coherent.\nLevel of Consciousness: Alert and interactive.\nActivity Status: Ambulatory - Independent.\n\nDischarge Instructions:\nYou were admitted to the hospital with DKA, hypertension, and\nblood in your vomit. You were initially treated in the ICU with\nan insulin drip, and your blood sugars improved. Your blood\npressure medications were adjusted to better control your blood\npressure while you were in DKA, but you were re-started on your\nhome regimen at discharge. The blood in your vomit was likely\nsecondary to mechanical trauma from repeated wretching, but you\nshould follow-up with your primary care doctor to discuss\nwhether you should undergo further evaluation such as an upper\nendoscopy. Given your complaints of chronic cough and heartburn,\nyou should also discuss beginning a trial of a proton pump\ninhibitor such as Nexium or Prilosec to see if this helps your\nsymptoms.\n\nYour insulin regimen was adjusted by the [**Last Name (un) **] team while you\nwere here. You should continue to follow-up with them with any\nquestions or concerns regarding your insulin management.\n\nFollowup Instructions:\nPlease call Dr.[**Last Name (STitle) 805**]\u0027 office to schedule a follow-up\nappointment within 7-10 days of discharge. Her office number is\n[**Telephone/Fax (1) 85219**].\n\nYou should also continue to follow-up with your [**Last Name (un) **] doctors\nas needed.\n\n\n",
    "text_length": 8285
}

Data Splits

The dataset contains a single split, which is train.

Dataset Creation

Curation Rationale

[More Information Needed]

Source Data

Initial Data Collection and Normalization

[More Information Needed]

Who are the source language producers?

[More Information Needed]

Annotations

Annotation guidelines

[More Information Needed]

Annotation process

[More Information Needed]

Who are the annotators?

[More Information Needed]

Personal and Sensitive Information

[More Information Needed]

Considerations for Using the Data

Social Impact of Dataset

[More Information Needed]

Discussion of Biases

[More Information Needed]

Other Known Limitations

[More Information Needed]

Additional Information

Dataset Curators

[More Information Needed]

Licensing Information

[More Information Needed]

Citation Information

[More Information Needed]

Contributions

[More Information Needed]

Downloads last month: 8

Dataset Card for ehr_adverse_events_phase1

Using this dataset with Argilla

Using this dataset with datasets

Dataset Structure

Fields

Questions

Metadata

Data Instances

Data Splits

Dataset Creation

Curation Rationale

Source Data

Initial Data Collection and Normalization

Who are the source language producers?

Annotations

Annotation guidelines

Annotation process

Who are the annotators?

Personal and Sensitive Information

Considerations for Using the Data

Social Impact of Dataset

Discussion of Biases

Other Known Limitations

Additional Information

Dataset Curators

Licensing Information

Citation Information

Contributions

Using this dataset with `datasets`