From: A context-blocks model for identifying clinical relationships in patient records
Relationship | Abbrev. | I2b2 Notation | Example Sentence |
---|---|---|---|
Treatment Improves Medical Problem | Improves | TrIP | Her chest pain* was controlled with morphine. |
Treatment Worsens Medical Problem | Worsens | TrWP | He was started on p.o. steroids and to CMED for management of COPD exacerbation but he appeared in more respiratory distress overnight. |
Treatment Causes Medical Problem | Causes | TrCP | During ER evaluation pt was noted to have some degree of loss of short term memory and brief unresponsive period after one dose of IV Benadryl. |
Treatment is Administered for Medical Problem | Given | TrAP | Lasix 40 mg Tablet Sig : One ( 1 ) Tablet PO once a day as needed for shortness of breath or wheezing |
Treatment is Not Administered because of Medical Problem | Not Given | TrNAP | There was some question regarding restarting of the patient 's Coumadin given her positive lupus anti-coagulant status. |
Test Reveals Medical Problem | Reveals | TeRP | Pathology was reviewed revealing invasive squamous cell carcinoma |
Test is Conducted to Investigate Medical Problem | Conducted | TeCP | There was some concern that the patient may have a partial biliary obstruction and the patient was sent for a magnetic resonance cholangiopancreatography. |
Medical Problem Indicates Medical Problem | Relates | PIP | Bilateral crackles at bases and midlungs , trace bilateral ankle edema and CXR with diffuse opacities suggest possible pulmonary edema. |