sequential.csv

index,text
0,"Demographic SUBJECT_ID: 1111, HADM_ID: 2222, ADMITTIME: 2139-06-06 00:00:00, DISCHTIME: 2139-06-09 00:00:00, GENDER: M, DOB: 2100-05-31 00:00:00, AGE: 40, LOS: 3 / D0. 40301 Hypertensive chronic kidney disease, malignant, with chronic kidney disease stage V or end stage renal disease D1. 486 Pneumonia, organism unspecified D2. 58281 Chronic glomerulonephritis in diseases classified elsewhere / P0. 5498 Peritoneal dialysis 
2139-06-06Medication:medi: Vancomycin 1.0*3  Lisinopril 10.0*3  Metformin 500.0*3  Norepinephrine 0.1*0LAB TEST:  chart:110:bpm2139-06-06 180/110:mmHg2139-06-06 30:breaths/min2139-06-06 38.5:C2139-06-06note: note: Nursing: Patient's condition is critical with unstable vitals. Immediate surgery is planned.  radiology: Findings: Enlargement of the cardiac silhouette suggesting cardiomegaly. Pulmonary edema present.
Impression: Severe cardiomegaly likely related to chronic hypertension and heart failure.
Conclusion: Urgent cardiac evaluation recommended. Potential pre-operative risk. 
 2139-06-07Medication:medi: Dobutamine 5.0*0  Meropenem 1.0*0LAB TEST:  chart:78:bpm2139-06-07 120/80:mmHg2139-06-07 36.6:C2139-06-07note: note:NAN 
 2139-06-08Medication:medi: NAN LAB TEST: chart: NAN note: note: radiology: Findings: Decreased cardiac silhouette size post valve replacement. No signs of acute congestive heart failure.
Impression: Improvement in heart size and function post-surgery.
Conclusion: No post-operative complications. Continue with routine post-surgical follow-up. 
 2139-06-09Medication:medi: Acetaminophen 1000.0*1  Warfarin 5.0*1  Amiodarone 200.0*1LAB TEST:  chart:85:bpm2139-06-09 130/80:mmHg2139-06-09 18:breaths/min2139-06-09 37:C2139-06-09note: note:NAN"
1,"Demographic SUBJECT_ID: 7777, HADM_ID: 8888, ADMITTIME: 2151-03-10 00:00:00, DISCHTIME: 2151-03-15 00:00:00, GENDER: F, DOB: 2067-09-21 00:00:00, AGE: 82, LOS: 5 / D0. 99859 Other postoperative infection D1. 5184 Acute edema of lung, unspecified D2. 42831 Acute diastolic heart failure / P0. 3523 Open and other replacement of mitral valve with tissue graft P1. 3733 Excision or destruction of other lesion or tissue of heart, open approach P2. 3961 Extracorporeal circulation auxiliary to open heart surgery P3. 8856 Coronary arteriography using two catheters 
2151-03-10Medication:medi: Morphine 10.0*1  Metoprolol 50.0*4  Furosemide 40.0*5LAB TEST: chart: NAN note: note:NAN 
 2151-03-11Medication:medi: Heparin 5000.0*2  Vancomycin 1000.0*1LAB TEST:  chart:95.09:bpm2151-03-11note: note:NAN 
 2151-03-12Medication:medi: Lisinopril 20.0*3LAB TEST:  chart:13.85:g/dL2151-03-12 180.11:cm2151-03-12note: note:NAN 
 2151-03-13Medication:medi: NAN LAB TEST:  chart:142.94:mEq/L2151-03-13 4.62:mEq/L2151-03-13note: note: radiology: Findings:
Post-operative chest X-ray shows stable mediastinal contours. Normal heart size with no pericardial effusion. Surgical changes noted in the chest, consistent with recent cardiac surgery. No pneumothorax or significant pleural effusions. Abdominal ultrasound shows post-operative changes without any acute complication. 
Impression: 
Stable post-operative chest findings. No evidence of acute complications related to recent cardiac surgery. Abdominal findings are unremarkable for any acute pathology.
Conclusion:
Post-operative imaging findings are satisfactory and within expected limits. Continued monitoring and routine post-operative care recommended. 
 2151-03-14Medication:medi: NAN LAB TEST:  chart:92.08:mmHg2151-03-14 69.45:kg2151-03-14 0.51:mg/dL2151-03-14note: note:NAN 
 2151-03-15Medication:medi: NAN LAB TEST:  chart:10.1:x10^9/L2151-03-15note: note:NAN"