Switch to unified view

a b/processing/MACCROBAT/21505579.ann
1
T1  Age 2 13    75–year–old
2
T2  Sex 14 20   female
3
T3  Nonbiological_location 38 105   Emergency Department of Ilfov Clinical Hospital, Bucharest, Romania
4
T4  Sign_symptom 112 119    dyspnea
5
E1  Sign_symptom:T4 
6
T5  Sign_symptom 121 130    orthopnea
7
E2  Sign_symptom:T5 
8
T6  Sign_symptom 160 172    palpitations
9
E3  Sign_symptom:T6 
10
T7  Sign_symptom 150 158    swelling
11
E4  Sign_symptom:T7 
12
T8  Biological_structure 132 149    lower extremities
13
R1  MODIFY Arg1:T8 Arg2:E4  
14
T9  Duration 184 191    3 years
15
E5  Duration:T9 
16
T10 Sign_symptom 203 222    atrial fibrillation
17
E6  Sign_symptom:T10 
18
T11 Subject 240 253 family doctor
19
T12 Duration 258 266    one-year
20
E7  Duration:T12 
21
T13 Disease_disorder 278 293    cardiac failure
22
E8  Disease_disorder:T13 
23
T14 Lab_value 294 335   NYHA (New York Heart Association) class Ⅱ
24
R2  MODIFY Arg1:T14 Arg2:E8 
25
R3  MODIFY Arg1:E7 Arg2:E8  
26
R4  MODIFY Arg1:E5 Arg2:E6  
27
T15 Diagnostic_procedure 337 357    Physical examination
28
E9  Diagnostic_procedure:T15 
29
T16 Lab_value 386 398   80 beats/min
30
T17 Sign_symptom 370 385    irregular pulse
31
E10 Sign_symptom:T17 
32
T18 Diagnostic_procedure 400 414    blood pressure
33
E11 Diagnostic_procedure:T18 
34
T19 Lab_value 418 429   100/60 mmHg
35
R5  MODIFY Arg1:T19 Arg2:E11    
36
R6  MODIFY Arg1:T16 Arg2:E10    
37
T20 Sign_symptom 431 448    bi–basal crackles
38
E12 Sign_symptom:T20 
39
T21 Diagnostic_procedure 458 470    auscultation
40
E13 Diagnostic_procedure:T21 
41
T22 Biological_structure 452 457    chest
42
R7  MODIFY Arg1:T22 Arg2:E13    
43
T23 Biological_structure 472 489    lower extremities
44
T24 Coreference 490 498 swelling
45
E14 Coreference:T24 
46
R8  IDENTICAL Arg1:E14 Arg2:E4  
47
R9  MODIFY Arg1:T23 Arg2:E14    
48
T25 Diagnostic_procedure 500 524    Heart sounds examination
49
E15 Diagnostic_procedure:T25 
50
T26 Sign_symptom 548 566    pansystolic murmur
51
E16 Sign_symptom:T26 
52
T27 Lab_value 536 547   IVth degree
53
R10 MODIFY Arg1:T27 Arg2:E16    
54
T28 Biological_structure 574 598    left border of the stern
55
R11 MODIFY Arg1:T28 Arg2:E16    
56
T29 Sign_symptom 623 630    dilated
57
E17 Sign_symptom:T29 
58
T30 Biological_structure 604 617    jugular veins
59
R12 MODIFY Arg1:T30 Arg2:E17    
60
T31 Sign_symptom 658 662    pain
61
E18 Sign_symptom:T31 
62
T32 Biological_structure 670 698    upper right abdominal region
63
R13 MODIFY Arg1:T32 Arg2:E18    
64
T33 Detailed_description 700 721    enhanced by palpation
65
R14 MODIFY Arg1:T33 Arg2:E18    
66
T34 Diagnostic_procedure 848 851    EKG
67
E19 Diagnostic_procedure:T34 
68
T35 Sign_symptom 853 872    atrial fibrillation
69
E20 Sign_symptom:T35 
70
T36 Lab_value 876 882   80/min
71
R15 MODIFY Arg1:T36 Arg2:E20    
72
T37 Sign_symptom 884 909    right bundle branch block
73
E21 Sign_symptom:T37 
74
T38 Sign_symptom 926 934    ischemia
75
E22 Sign_symptom:T38 
76
T39 Biological_structure 911 925    infero-lateral
77
R16 MODIFY Arg1:T39 Arg2:E22    
78
T40 Diagnostic_procedure 951 961    ultrasound
79
E23 Diagnostic_procedure:T40 
80
T41 Biological_structure 936 950    Transabdominal
81
R17 MODIFY Arg1:T41 Arg2:E23    
82
T42 Sign_symptom 983 997    enlarged liver
83
E24 Sign_symptom:T42 
84
T43 Detailed_description 971 981    homogenous
85
R18 MODIFY Arg1:T43 Arg2:E24    
86
T44 Sign_symptom 1027 1034  dilated
87
E25 Sign_symptom:T44 
88
T45 Biological_structure 1003 1021  suprahepatic veins
89
R19 MODIFY Arg1:T45 Arg2:E25    
90
T46 Biological_structure 1051 1069  inferior vena cava
91
R20 MODIFY Arg1:T46 Arg2:E25    
92
T47 Lab_value 1071 1076 30 mm
93
R21 MODIFY Arg1:T47 Arg2:T46    
94
T48 Diagnostic_procedure 1111 1141  Transthoracic echocardiography
95
E26 Diagnostic_procedure:T48 
96
T49 Sign_symptom 1153 1160  dilated
97
E27 Sign_symptom:T49 
98
T50 Biological_structure 1161 1173  right atrium
99
R22 MODIFY Arg1:T50 Arg2:E27    
100
T51 Lab_value 1177 1184 74,2 mm
101
T53 Diagnostic_procedure 727 739    liver margin
102
E29 Diagnostic_procedure:T53 
103
T52 Texture 744 750 tender
104
R23 MODIFY Arg1:T52 Arg2:E29    
105
T54 Shape 752 757   round
106
R24 MODIFY Arg1:T54 Arg2:E29    
107
T55 Distance 762 787    6 cm below the costal rib
108
R25 MODIFY Arg1:T55 Arg2:E29    
109
T56 Texture 796 802 smooth
110
T57 Diagnostic_procedure 803 816    liver surface
111
E28 Diagnostic_procedure:T57 
112
R26 MODIFY Arg1:T56 Arg2:E28    
113
R27 MODIFY Arg1:T51 Arg2:T50    
114
T58 Sign_symptom 1197 1204  dilated
115
E30 Sign_symptom:T58 
116
T59 Biological_structure 1205 1216  left atrium
117
T60 Lab_value 1220 1227 55,2 mm
118
R28 MODIFY Arg1:T60 Arg2:T59    
119
R29 MODIFY Arg1:T59 Arg2:E30    
120
T61 Sign_symptom 1229 1236  dilated
121
E31 Sign_symptom:T61 
122
T62 Biological_structure 1237 1251  left ventricle
123
T63 Lab_value 1255 1265 64/72,3 mm
124
R30 MODIFY Arg1:T63 Arg2:T62    
125
R31 MODIFY Arg1:T62 Arg2:E31    
126
T64 Sign_symptom 1267 1274  dilated
127
E32 Sign_symptom:T64 
128
T65 Biological_structure 1275 1290  right ventricle
129
T66 Lab_value 1294 1301 44,4 mm
130
R32 MODIFY Arg1:T66 Arg2:T65    
131
R33 MODIFY Arg1:T65 Arg2:E32    
132
T67 Disease_disorder 1471 1491  mitral insufficiency
133
E33 Disease_disorder:T67 
134
T68 Disease_disorder 1399 1422  tricuspid insufficiency
135
E34 Disease_disorder:T68 
136
T69 Disease_disorder 1303 1323  Atrial septal defect
137
E35 Disease_disorder:T69 
138
T70 Detailed_description 1324 1344  ostium secundum type
139
R34 MODIFY Arg1:T70 Arg2:E35    
140
T71 Sign_symptom 1371 1390  left–to–right shunt
141
E36 Sign_symptom:T71 
142
R35 MODIFY Arg1:E36 Arg2:E35    
143
T72 Distance 1349 1353  6 cm
144
R36 MODIFY Arg1:T72 Arg2:E35    
145
T73 Severity 1392 1398  Severe
146
R37 MODIFY Arg1:T73 Arg2:E34    
147
T74 Lab_value 1448 1458 55,4 mm Hg
148
T75 Lab_value 1460 1470 4th degree
149
R38 MODIFY Arg1:T75 Arg2:E33    
150
T76 Sign_symptom 1510 1522  hypertension
151
E37 Sign_symptom:T76 
152
T77 Biological_structure 1500 1509  pulmonary
153
R39 MODIFY Arg1:T77 Arg2:E37    
154
T78 Severity 1493 1499  Severe
155
R40 MODIFY Arg1:T78 Arg2:E37    
156
T79 Lab_value 1526 1534 75 mm Hg
157
R41 MODIFY Arg1:T79 Arg2:E37    
158
T80 Diagnostic_procedure 1540 1557  ejection fraction
159
E38 Diagnostic_procedure:T80 
160
T81 Lab_value 1561 1564 29%
161
R42 MODIFY Arg1:T81 Arg2:E38    
162
T82 Sign_symptom 1566 1585  Atrial fibrillation
163
E39 Sign_symptom:T82 
164
R43 MODIFY Arg1:T74 Arg2:E34    
165
T83 Sign_symptom 1634 1644  Flattening
166
E40 Sign_symptom:T83 
167
T84 Biological_structure 1652 1675  interventricular septum
168
R44 MODIFY Arg1:T84 Arg2:E40    
169
T85 Disease_disorder 1718 1739  chronic heart failure
170
E41 Disease_disorder:T85 
171
T86 Lab_value 1706 1717 IVth degree
172
R45 MODIFY Arg1:T86 Arg2:E41    
173
T87 Other_event 1746 1813;1814 1845;1846 1878;1879 1921;1922 1950;1951 1976 Atrial septal defect ostium secundum type with left–to–right shunt. Severe tricuspid insufficiency. 4th degree mitral insufficiency. Severe pulmonary hypertension of 75 mm Hg. Chronic atrial fibrillation. Right bundle branch block
174
E42 Other_event:T87 
175
#1  AnnotatorNotes E42  repeated earlier in the report verbatim
176
T88 Sign_symptom 1614 1632  paradoxical motion
177
E43 Sign_symptom:T88 
178
T89 Biological_structure 1587 1608  Interventricular sept
179
R46 MODIFY Arg1:T89 Arg2:E43    
180
T90 Clinical_event 21 30    presented
181
E44 Clinical_event:T90 
182
R47 MODIFY Arg1:T3 Arg2:E44 
183
*   OVERLAP E44 E1 E2 E4 E3
184
R48 AFTER Arg1:E3 Arg2:E6   
185
R49 BEFORE Arg1:E6 Arg2:E8  
186
R50 BEFORE Arg1:E8 Arg2:E9  
187
*   OVERLAP E9 E10 E11 E12 E13 E14 E15 E16 E17 E18 E29 E28 E19 E20 E21 E22 E23 E24 E25 E26 E27 E30 E31 E32 E35 E34 E33 E37 E38 E39 E43 E40 E41