Table 1 Examples of relationships between medical concepts in patient records.

Treatment Improves Medical Problem

Improves

Her chest pain^* was controlled with morphine.

Treatment Worsens Medical Problem

Worsens

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

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

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

There was some question regarding restarting of the patient 's Coumadin given her positive lupus anti-coagulant status.

Test Reveals Medical Problem

Reveals

Pathology was reviewed revealing invasive squamous cell carcinoma

Test is Conducted to Investigate Medical Problem

Conducted

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

Bilateral crackles at bases and midlungs , trace bilateral ankle edema and CXR with diffuse opacities suggest possible pulmonary edema.