Appendix A: A sample chest X-ray report indexed by Saphire using ...
Appendix A: A sample chest X-ray report indexed by Saphire using ...
Appendix A: A sample chest X-ray report indexed by Saphire using ...
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<strong>Appendix</strong> A: A <strong>sample</strong> <strong>chest</strong> X-<strong>ray</strong> <strong>report</strong> <strong>indexed</strong> <strong>by</strong> <strong>Saphire</strong> <strong>using</strong> contextual indexing.<br />
We only show the body part of the <strong>report</strong> and the indexing results in the following XML<br />
file. Some tags were drawn from HL7 ® Clinical Document Architecture release 2.0, San<br />
Antonio draft.<br />
<br />
<br />
<br />
PROCEDURE:<br />
<br />
PA AND LEFT LATERAL CHEST:<br />
<br />
<br />
<br />
Thorax<br />
C0039992<br />
left lateral <strong>chest</strong><br />
1.000000<br />
CST95 ICD10 MSH2000 MTH PSY94 RCD99 SNM2 UWDA99 <br />
<br />
<br />
<br />
Thorax<1><br />
C0039992<br />
<strong>chest</strong><br />
<br />
<br />
<br />
<br />
FINDINGS:<br />
<br />
Comparison to the previous study. On today's exam, there is redemonstration of cardiomegaly, unchanged<br />
in size since the previous study. Also redemonstrated are numerous large pulmonary masses, presumably<br />
metastatic, also unchanged. There appears to have been development of pulmonary venous congestion as<br />
manifested <strong>by</strong> base to apex redistribution. Additionally, there is an increase in the size of the left pleural<br />
effusion, as well as development of a small right pleural effusion. Overall, the appearance of the <strong>chest</strong> has<br />
worsened since the comparison study.<br />
<br />
<br />
<br />
Base, NOS<br />
C0178499<br />
base<br />
11.000000<br />
SNMI98 <br />
<br />
Cardiomegaly<br />
C0018800<br />
cardiomegaly<br />
11.000000<br />
ICD10 ICD2000 MSH2000 RCD99 SNM2 SNMI98 <br />
<br />
SIZES<br />
C0702146<br />
size
11.000000<br />
SNMI98 <br />
<br />
Well<br />
C0392746<br />
well<br />
11.000000<br />
SNMI98 <br />
<br />
Right pleura, NOS<br />
C0225779<br />
a small right pleural effusion<br />
1.693147<br />
SNMI98 <br />
<br />
Pleural Effusion, Malignant<br />
C0080032<br />
left pleural effusion<br />
1.693147<br />
MSH2000 <br />
<br />
Pleural Effusion<br />
C0032227<br />
left pleural effusion<br />
1.693147<br />
MSH2000 <br />
<br />
Left pleura, NOS<br />
C0225784<br />
left pleural effusion<br />
1.693147<br />
SNMI98 <br />
<br />
Pulmonary phlebography<br />
C0202961<br />
pulmonary venous congestion<br />
1.693147<br />
SNMI98 <br />
<br />
Passive congestion<br />
C0333236<br />
pulmonary venous congestion<br />
1.693147<br />
SNMI98 <br />
<br />
Pleural effusion associated with pulmonary<br />
infection<br />
C0264550<br />
left pleural effusion<br />
1.693147<br />
SNMI98 <br />
<br />
Chylothorax<br />
C0008733<br />
left pleural effusion<br />
1.399075
ICD91 LCH90 MSH2000 RCD99 SNM2 SNMI98 <br />
<br />
Hydrothorax<br />
C0020312<br />
left pleural effusion<br />
1.399075<br />
ICD91 LCH90 MSH2000 RCD99 SNM2 SNMI98 <br />
<br />
Left pleural cavity<br />
C0225787<br />
left pleural effusion<br />
1.399075<br />
RCD99 SNM2 SNMI98 UWDA99 <br />
<br />
Left pleural fluid<br />
C0225788<br />
left pleural effusion<br />
1.399075<br />
SNM2 SNMI98 <br />
<br />
Pulmonary vein thrombosis<br />
C0392108<br />
pulmonary venous congestion<br />
1.399075<br />
SNMI98 <br />
<br />
Neoplastic pleural effusion<br />
C0264549<br />
left pleural effusion<br />
1.399075<br />
SNMI98 <br />
<br />
Pleurisy with effusion, NOS<br />
C0264551<br />
left pleural effusion<br />
1.399075<br />
SNMI98 <br />
<br />
Pancreatic pleural effusion<br />
C0267966<br />
left pleural effusion<br />
1.399075<br />
SNMI98 <br />
<br />
Right pleural cavity<br />
C0225782<br />
a small right pleural effusion<br />
1.399075<br />
RCD99 SNM2 SNMI98 UWDA99 <br />
<br />
Right pleural fluid<br />
C0225783<br />
a small right pleural effusion<br />
1.399075<br />
SNM2 SNMI98 <br />
Case-Control Studies<br />
C0007328<br />
comparison study<br />
1.399075<br />
MSH2000 <br />
<br />
Pulmonary hypertensive venous disease<br />
C0264933<br />
pulmonary venous congestion<br />
1.193147<br />
SNM2 SNMI98 <br />
<br />
Anomalous pulmonary venous drainage,<br />
NOS<br />
C0265916<br />
pulmonary venous congestion<br />
1.193147<br />
SNMI98 <br />
<br />
Anomalous pulmonary venous drainage to hepatic<br />
veins<br />
C0265922<br />
pulmonary venous congestion<br />
1.193147<br />
SNM2 SNMI98 <br />
<br />
small cardioactive peptide A<br />
C0074683<br />
a small right pleural effusion<br />
1.193147<br />
MSH2000 <br />
<br />
Pulmonary Venous Wedge Pressure<br />
C0034092<br />
pulmonary venous congestion<br />
1.193147<br />
MSH2000 <br />
<br />
Previous<br />
C0205156<br />
previous study<br />
1.000000<br />
SNMI98 <br />
<br />
Large<br />
C0549177<br />
numerous large pulmonary masses<br />
1.000000<br />
RCD99 SNMI98 <br />
<br />
Metastatic to<br />
C0036525<br />
presumably metastatic<br />
1.000000<br />
MTH SNMI98 <br />
Human Development<br />
C0020119<br />
development<br />
1.000000<br />
MSH2000 PSY94 <br />
<br />
Venous<br />
C0348013<br />
pulmonary venous congestion<br />
1.000000<br />
RCD99 SNMI98 <br />
<br />
Effusion, NOS<br />
C0013687<br />
left pleural effusion<br />
1.000000<br />
SNMI98 <br />
<br />
Congestion, NOS<br />
C0700148<br />
pulmonary venous congestion<br />
1.000000<br />
SNMI98 <br />
<br />
Pulmonary congestion, NOS<br />
C0242073<br />
pulmonary venous congestion<br />
1.000000<br />
SNMI98 <br />
<br />
Overall [Publication Type]<br />
C0282416<br />
overall<br />
1.000000<br />
MSH2000 <br />
<br />
Thorax<br />
C0039992<br />
<strong>chest</strong><br />
1.000000<br />
CST95 ICD10 MSH2000 MTH PSY94 RCD99 SNM2 UWDA99 <br />
<br />
Redistribution<br />
C0332620<br />
apex redistribution<br />
1.000000<br />
SNMI98 <br />
<br />
<br />
<br />
Thorax<1><br />
C0039992<br />
<strong>chest</strong><br />
<br />
Heart hypertrophy<br />
C0018800
cardiomegaly<br />
<br />
Neoplasm metastasis<br />
C0027627<br />
metastatic<br />
<br />
Venous congestion<br />
C0333236<br />
pulmonary venous congestion<br />
<br />
Pleural effusion<br />
C0032227<br />
pleural effusion<br />
<br />
<br />
<br />
<br />
IMPRESSION:<br />
<br />
WORSENED CHEST WITH LARGER LEFT PLEURAL EFFUSION, INTERVAL DEVELOPMENT<br />
OF A RIGHT PLEURAL EFFUSION AND PULMONARY VENOUS CONGESTION AS DESCRIBED<br />
ABOVE.<br />
<br />
<br />
<br />
Pleural Effusion<br />
C0032227<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.693147<br />
MSH2000 <br />
<br />
Pleural Effusion, Malignant<br />
C0080032<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.693147<br />
MSH2000 <br />
<br />
Left pleura, NOS<br />
C0225784<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.693147<br />
SNMI98 <br />
<br />
Passive congestion<br />
C0333236<br />
pulmonary venous congestion<br />
1.693147<br />
SNMI98 <br />
<br />
Right pleura, NOS<br />
C0225779<br />
a right pleural effusion<br />
1.693147<br />
SNMI98 <br />
Deciduous maxillary right second molar<br />
tooth<br />
C0227089<br />
a right pleural effusion<br />
1.693147<br />
SNM2 SNMI98 <br />
<br />
Pulmonary phlebography<br />
C0202961<br />
pulmonary venous congestion<br />
1.693147<br />
SNMI98 <br />
<br />
Chylothorax<br />
C0008733<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.399075<br />
ICD91 LCH90 MSH2000 RCD99 SNM2 SNMI98 <br />
<br />
Diagnostic radiologic examination with fluoroscopy of<br />
<strong>chest</strong><br />
C0202802<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.399075<br />
SNMI98 <br />
<br />
Left pleural cavity<br />
C0225787<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.399075<br />
RCD99 SNM2 SNMI98 UWDA99 <br />
<br />
Left pleural fluid<br />
C0225788<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.399075<br />
SNM2 SNMI98 <br />
<br />
Neoplastic pleural effusion<br />
C0264549<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.399075<br />
SNMI98 <br />
<br />
Pancreatic pleural effusion<br />
C0267966<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.399075<br />
SNMI98 <br />
<br />
Hydrothorax<br />
C0020312<br />
a right pleural effusion<br />
1.399075<br />
ICD91 LCH90 MSH2000 RCD99 SNM2 SNMI98 <br />
Right pleural cavity<br />
C0225782<br />
a right pleural effusion<br />
1.399075<br />
RCD99 SNM2 SNMI98 UWDA99 <br />
<br />
Pulmonary vein thrombosis<br />
C0392108<br />
pulmonary venous congestion<br />
1.399075<br />
SNMI98 <br />
<br />
Right pleural fluid<br />
C0225783<br />
a right pleural effusion<br />
1.399075<br />
SNM2 SNMI98 <br />
<br />
Pleurisy with effusion, NOS<br />
C0264551<br />
a right pleural effusion<br />
1.399075<br />
SNMI98 <br />
<br />
Pleural effusion associated with pulmonary<br />
infection<br />
C0264550<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.210191<br />
SNMI98 <br />
<br />
Blister of <strong>chest</strong> wall with infection<br />
C0273690<br />
worsened <strong>chest</strong> with larger left pleural effusion<br />
1.193147<br />
SNMI98 <br />
<br />
Anomalous pulmonary venous drainage to hepatic<br />
veins<br />
C0265922<br />
pulmonary venous congestion<br />
1.193147<br />
SNM2 SNMI98 <br />
<br />
Pulmonary Venous Wedge Pressure<br />
C0034092<br />
pulmonary venous congestion<br />
1.193147<br />
MSH2000 <br />
<br />
Pulmonary hypertensive venous disease<br />
C0264933<br />
pulmonary venous congestion<br />
1.193147<br />
SNM2 SNMI98 <br />
Anomalous pulmonary venous drainage,<br />
NOS<br />
C0265916<br />
pulmonary venous congestion<br />
1.193147<br />
SNMI98 <br />
<br />
Human Development<br />
C0020119<br />
interval development<br />
1.000000<br />
MSH2000 PSY94 <br />
<br />
Pulmonary congestion, NOS<br />
C0242073<br />
pulmonary venous congestion<br />
1.000000<br />
SNMI98 <br />
<br />
Venous<br />
C0348013<br />
pulmonary venous congestion<br />
1.000000<br />
RCD99 SNMI98 <br />
<br />
Congestion, NOS<br />
C0700148<br />
pulmonary venous congestion<br />
1.000000<br />
SNMI98 <br />
<br />
<br />
<br />
Thorax<1><br />
C0039992<br />
<strong>chest</strong><br />
<br />
Venous congestion<br />
C0333236<br />
pulmonary venous congestion<br />
<br />
Pleural effusion<br />
C0032227<br />
pleural effusion<br />
<br />
<br />
<br />
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