a b/processing/MACCROBAT/28115731.ann
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T1  Age 2 13    64-year-old
2
T2  Sex 14 20   female
3
T3  Activity 63 77  binge drinking
4
E1  Activity:T3 
5
T4  Duration 48 59  10–12 hours
6
E2  Duration:T4 
7
R1  MODIFY Arg1:E2 Arg2:E1  
8
T5  Activity 31 41  lying down
9
E3  Activity:T5 
10
T6  Nonbiological_location 108 128  emergency department
11
T7  Clinical_event 87 92    taken
12
E4  Clinical_event:T7 
13
T8  Nonbiological_location 130 132  ED
14
R2  IDENTICAL Arg1:T8 Arg2:T6   
15
R3  MODIFY Arg1:T6 Arg2:E4  
16
T9  Clinical_event 152 163  transferred
17
E5  Clinical_event:T9 
18
T10 Nonbiological_location 171 179  hospital
19
R4  MODIFY Arg1:T10 Arg2:E5 
20
T11 Sign_symptom 185 206    mental status changes
21
E6  Sign_symptom:T11 
22
T12 Sign_symptom 211 231    respiratory distress
23
E7  Sign_symptom:T12 
24
T13 Sign_symptom 236 243    hypoxia
25
E8  Sign_symptom:T13 
26
T14 History 294 314 rheumatoid arthritis
27
T15 History 387 431 smoked two packs a day for the past 50 years
28
T16 Clinical_event 436 448  presentation
29
E9  Clinical_event:T16 
30
T17 Diagnostic_procedure 460 474    blood pressure
31
E10 Diagnostic_procedure:T17 
32
T18 Lab_value 478 490   176/80 mm/Hg
33
T19 Diagnostic_procedure 492 502    heart rate
34
E11 Diagnostic_procedure:T19 
35
T20 Lab_value 506 512   80 bpm
36
T21 Diagnostic_procedure 514 526    respirations
37
E12 Diagnostic_procedure:T21 
38
T22 Lab_value 527 533   24 bpm
39
R5  MODIFY Arg1:T22 Arg2:E12    
40
R6  MODIFY Arg1:T20 Arg2:E11    
41
R7  MODIFY Arg1:T18 Arg2:E10    
42
T23 Diagnostic_procedure 535 546    temperature
43
E13 Diagnostic_procedure:T23 
44
T24 Lab_value 547 551   98°F
45
R8  MODIFY Arg1:T24 Arg2:E13    
46
T25 Lab_value 553 559   36.7°C
47
R9  IDENTICAL Arg1:T25 Arg2:T24 
48
T26 Diagnostic_procedure 562 582    Arterial blood gases
49
E14 Diagnostic_procedure:T26 
50
T27 Detailed_description 586 594    room air
51
R10 MODIFY Arg1:T27 Arg2:E14    
52
T28 Diagnostic_procedure 604 606    pH
53
E15 Diagnostic_procedure:T28 
54
T29 Lab_value 610 614   7.30
55
R11 MODIFY Arg1:T29 Arg2:E15    
56
R12 SUB_PROCEDURE Arg1:E15 Arg2:E14 
57
T30 Diagnostic_procedure 616 621    PaCO2
58
E16 Diagnostic_procedure:T30 
59
T31 Diagnostic_procedure 626 630    PaO2
60
E17 Diagnostic_procedure:T31 
61
T32 Diagnostic_procedure 641 646    H−CO3
62
E18 Diagnostic_procedure:T32 
63
T33 Diagnostic_procedure 661 671    saturation
64
E19 Diagnostic_procedure:T33 
65
T34 Lab_value 622 624   60
66
R13 MODIFY Arg1:T34 Arg2:E16    
67
T35 Lab_value 631 639   61 mm/Hg
68
R14 MODIFY Arg1:T35 Arg2:E17    
69
T36 Lab_value 647 655   29 mEq/L
70
R15 MODIFY Arg1:T36 Arg2:E18    
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T37 Lab_value 672 675   92%
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R16 MODIFY Arg1:T37 Arg2:E19    
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T38 Lab_value 694 697   95%
74
R17 MODIFY Arg1:T38 Arg2:E19    
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T39 Therapeutic_procedure 703 709   oxygen
76
E20 Therapeutic_procedure:T39 
77
T40 Detailed_description 715 744    high flow non-rebreather mask
78
R18 MODIFY Arg1:T40 Arg2:E20    
79
R19 MODIFY Arg1:E20 Arg2:T38    
80
T41 Diagnostic_procedure 749 769    physical examination
81
E21 Diagnostic_procedure:T41 
82
T42 Sign_symptom 778 787    lethargic
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E22 Sign_symptom:T42 
84
T43 Sign_symptom 789 800    disoriented
85
E23 Sign_symptom:T43 
86
T44 Sign_symptom 802 814    dysarthritic
87
E24 Sign_symptom:T44 
88
#1  AnnotatorNotes E24  poor speech articulation
89
T45 Sign_symptom 828 853    neurological focalization
90
E25 Sign_symptom:T45 
91
A1  POLARITY E25 NEG
92
T46 Sign_symptom 865 883    expiratory wheezes
93
E26 Sign_symptom:T46 
94
T47 Detailed_description 855 864    Scattered
95
R20 MODIFY Arg1:T47 Arg2:E26    
96
T48 Biological_structure 895 906    bilaterally
97
R21 MODIFY Arg1:T48 Arg2:E26    
98
T49 Diagnostic_procedure 925 937    heart sounds
99
E27 Diagnostic_procedure:T49 
100
T50 Lab_value 918 924   normal
101
R22 MODIFY Arg1:T50 Arg2:E27    
102
T51 Diagnostic_procedure 1001 1019  laboratory results
103
E28 Diagnostic_procedure:T51 
104
T52 Lab_value 1025 1037 unremarkable
105
R23 MODIFY Arg1:T52 Arg2:E28    
106
T53 Diagnostic_procedure 1062 1077  leukocyte count
107
E29 Diagnostic_procedure:T53 
108
T54 Lab_value 1081 1090 14,000/dL
109
R24 MODIFY Arg1:T54 Arg2:E29    
110
T55 Lab_value 1096 1111 88% neutrophils
111
R25 MODIFY Arg1:T55 Arg2:E29    
112
T56 Diagnostic_procedure 1122 1134  vitals signs
113
E30 Diagnostic_procedure:T56 
114
T57 Diagnostic_procedure 1165 1179  blood pressure
115
E31 Diagnostic_procedure:T57 
116
T58 Lab_value 1158 1164 normal
117
R26 MODIFY Arg1:T58 Arg2:E31    
118
T59 Sign_symptom 1196 1207  tachycardia
119
E32 Sign_symptom:T59 
120
T60 Diagnostic_procedure 1233 1238  ABG’s
121
E33 Diagnostic_procedure:T60 
122
#2  AnnotatorNotes E33  arterial blood gases
123
T61 Therapeutic_procedure 1246 1265 non-rebreather mask
124
E34 Therapeutic_procedure:T61 
125
T62 Diagnostic_procedure 1274 1276  pH
126
E35 Diagnostic_procedure:T62 
127
T63 Diagnostic_procedure 1283 1288  PaCO2
128
E36 Diagnostic_procedure:T63 
129
T64 Diagnostic_procedure 1293 1297  PaO2
130
E37 Diagnostic_procedure:T64 
131
T65 Diagnostic_procedure 1309 1314  H−CO3
132
E38 Diagnostic_procedure:T65 
133
T66 Diagnostic_procedure 1329 1344  hemoglobin SaO2
134
E39 Diagnostic_procedure:T66 
135
T67 Lab_value 1345 1348 97%
136
R27 MODIFY Arg1:T67 Arg2:E39    
137
R28 SUB_PROCEDURE Arg1:E39 Arg2:E33 
138
T68 Lab_value 1315 1323 30 mEq/L
139
R29 MODIFY Arg1:T68 Arg2:E38    
140
T69 Lab_value 1298 1307 140 mm Hg
141
R30 MODIFY Arg1:T69 Arg2:E37    
142
T70 Lab_value 1289 1291 78
143
R31 MODIFY Arg1:T70 Arg2:E36    
144
T71 Lab_value 1277 1281 7.22
145
R32 MODIFY Arg1:T71 Arg2:E35    
146
R33 SUB_PROCEDURE Arg1:E38 Arg2:E33 
147
R34 SUB_PROCEDURE Arg1:E37 Arg2:E33 
148
R35 SUB_PROCEDURE Arg1:E36 Arg2:E33 
149
R36 SUB_PROCEDURE Arg1:E35 Arg2:E33 
150
T72 Nonbiological_location 1357 1359    ED
151
T73 Medication 1382 1390    steroids
152
E40 Medication:T73 
153
T74 Administration 1379 1381    IV
154
R37 MODIFY Arg1:T74 Arg2:E40    
155
T75 Medication 1395 1406    antibiotics
156
E41 Medication:T75 
157
T76 Disease_disorder 1413 1417  COPD
158
E42 Disease_disorder:T76 
159
T77 Detailed_description 1418 1430  exacerbation
160
R38 MODIFY Arg1:T77 Arg2:E42    
161
T78 Diagnostic_procedure 1447 1464  diagnostic workup
162
E43 Diagnostic_procedure:T78 
163
T79 Diagnostic_procedure 1488 1493  x ray
164
E44 Diagnostic_procedure:T79 
165
T80 Biological_structure 1482 1487  chest
166
R39 MODIFY Arg1:T80 Arg2:E44    
167
T81 Sign_symptom 1516 1527  infiltrates
168
E45 Sign_symptom:T81 
169
T82 Sign_symptom 1541 1558  abnormal findings
170
E46 Sign_symptom:T82 
171
A2  POLARITY E45 NEG
172
A3  POLARITY E46 NEG
173
R40 SUB_PROCEDURE Arg1:E44 Arg2:E43 
174
T83 Diagnostic_procedure 1564 1567  ECG
175
E47 Diagnostic_procedure:T83 
176
T84 Sign_symptom 1599 1610  tachycardia
177
E48 Sign_symptom:T84 
178
T85 Biological_structure 1593 1598  sinus
179
R41 MODIFY Arg1:T85 Arg2:E48    
180
T86 Diagnostic_procedure 1753 1755  CT
181
E49 Diagnostic_procedure:T86 
182
T87 Biological_structure 1747 1752  chest
183
T88 Detailed_description 1740 1746  spiral
184
R42 MODIFY Arg1:T88 Arg2:E49    
185
R43 MODIFY Arg1:T87 Arg2:E49    
186
T89 Detailed_description 1756 1769  with contrast
187
R44 MODIFY Arg1:T89 Arg2:E49    
188
T90 Disease_disorder 1794 1802  embolism
189
E50 Disease_disorder:T90 
190
A4  POLARITY E50 UNCERTAIN
191
T91 Biological_structure 1784 1793  pulmonary
192
R45 MODIFY Arg1:T91 Arg2:E50    
193
T92 Coreference 1811 1813   CT
194
E51 Coreference:T92 
195
R46 IDENTICAL Arg1:E51 Arg2:E49 
196
T93 Biological_structure 1877 1899  right antecubital vein
197
T94 Clinical_event 1834 1864    air was inadvertently injected
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E52 Clinical_event:T94 
199
T95 Volume 1820 1830    100–150 mL
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R47 MODIFY Arg1:T95 Arg2:E52    
201
R48 MODIFY Arg1:T93 Arg2:E52    
202
T96 Detailed_description 1908 1931  power contrast injector
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R49 MODIFY Arg1:T96 Arg2:E52    
204
T97 Diagnostic_procedure 2024 2031  imaging
205
E53 Diagnostic_procedure:T97 
206
T98 Detailed_description 2013 2023  Concurrent
207
R50 MODIFY Arg1:T98 Arg2:E53    
208
T99 Sign_symptom 2058 2071  amount of air
209
E54 Sign_symptom:T99 
210
T100    Severity 2046 2057  significant
211
R51 MODIFY Arg1:T100 Arg2:E54   
212
T101    Biological_structure 2079 2091  right atrium
213
R52 MODIFY Arg1:T101 Arg2:E54   
214
T102    Biological_structure 2096 2120  right ventricular cavity
215
R53 MODIFY Arg1:T102 Arg2:E54   
216
T103    Sign_symptom 2137 2160  air mixed with contrast
217
E55 Sign_symptom:T103 
218
#3  AnnotatorNotes E54  Not generally a symptom, except when it's a possible embolism.
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T104    Biological_structure 2168 2189  main pulmonary artery
220
T105    Biological_structure 2198 2254  proximal branches divisions of the pulmonary circulation
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R54 MODIFY Arg1:T104 Arg2:E55   
222
R55 MODIFY Arg1:T105 Arg2:E55   
223
T106    Disease_disorder 2365 2380  thromboembolism
224
E56 Disease_disorder:T106 
225
T107    Biological_structure 2355 2364  pulmonary
226
R56 MODIFY Arg1:T107 Arg2:E56   
227
T108    Sign_symptom 2283 2297  filling defect
228
E57 Sign_symptom:T108 
229
T109    Biological_structure 2315 2338  right lower lobe artery
230
R57 MODIFY Arg1:T109 Arg2:E57   
231
T110    Diagnostic_procedure 2425 2446  hemodynamic stability
232
E58 Diagnostic_procedure:T110 
233
T111    Therapeutic_procedure 2452 2465 Trendelenburg
234
E59 Therapeutic_procedure:T111 
235
#4  AnnotatorNotes E59  Trendelenburg position, the body is laid supine, or flat on the back with the feet higher than the head by 15-30 degrees.
236
T112    Therapeutic_procedure 2471 2505 left lateral decubitus positioning
237
E60 Therapeutic_procedure:T112 
238
#5  AnnotatorNotes E60  lying on the left side
239
T113    Therapeutic_procedure 2507 2524 Durant’s maneuver
240
E61 Therapeutic_procedure:T113 
241
R58 IDENTICAL Arg1:E61 Arg2:E60 
242
T114    Therapeutic_procedure 2531 2546 supportive care
243
E62 Therapeutic_procedure:T114 
244
T115    Clinical_event 2565 2576    transferred
245
E63 Clinical_event:T115 
246
T116    Nonbiological_location 2584 2603    intensive care unit
247
T117    Nonbiological_location 2605 2608    ICU
248
R59 IDENTICAL Arg1:T117 Arg2:T116   
249
T118    Sign_symptom 2631 2651  respiratory distress
250
E64 Sign_symptom:T118 
251
T119    Therapeutic_procedure 2696 2738 non-invasive positive pressure ventilation
252
E65 Therapeutic_procedure:T119 
253
T120    Therapeutic_procedure 2740 2745 NIPPV
254
E66 Therapeutic_procedure:T120 
255
R60 IDENTICAL Arg1:E66 Arg2:E65 
256
T121    Sign_symptom 2755 2766  improvement
257
E67 Sign_symptom:T121 
258
A5  POLARITY E67 NEG
259
T122    Time 2771 2788  a few hours later
260
E68 Time:T122 
261
T123    Therapeutic_procedure 2797 2806 intubated
262
E69 Therapeutic_procedure:T123 
263
T124    Therapeutic_procedure 2821 2843 mechanical ventilation
264
E70 Therapeutic_procedure:T124 
265
T125    Medication 2867 2874    heparin
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E71 Medication:T125 
267
T126    Administration 2845 2856    Intravenous
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T127    Detailed_description 2857 2866  full dose
269
R61 MODIFY Arg1:T127 Arg2:E71   
270
R62 MODIFY Arg1:T126 Arg2:E71   
271
T128    Administration 2875 2883    infusion
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R63 MODIFY Arg1:T128 Arg2:E71   
273
T129    Dosage 2885 2941    initial bolus, 80 units/kg, followed by 18 units/kg/hour
274
R64 MODIFY Arg1:T129 Arg2:E71   
275
T130    Disease_disorder 2985 3000  thromboembolism
276
E72 Disease_disorder:T130 
277
T131    Diagnostic_procedure 3002 3018  Echocardiography
278
E73 Diagnostic_procedure:T131 
279
T132    Sign_symptom 3048 3081  right or left ventricular failure
280
E74 Sign_symptom:T132 
281
A6  POLARITY E74 NEG
282
T133    Diagnostic_procedure 3094 3110  echocardiography
283
E75 Diagnostic_procedure:T133 
284
T134    Time 3116 3130  24 hours later
285
E76 Time:T134 
286
T135    Sign_symptom 3173 3176  air
287
E77 Sign_symptom:T135 
288
A7  POLARITY E77 NEG
289
T136    Biological_structure 3160 3172  intracardiac
290
R65 MODIFY Arg1:T136 Arg2:E77   
291
T137    Disease_disorder 3212 3220  embolism
292
E78 Disease_disorder:T137 
293
A8  POLARITY E78 NEG
294
T138    Duration 3222 3246  During the next 48 hours
295
E79 Duration:T138 
296
T139    Diagnostic_procedure 3261 3276  hemodynamically
297
E80 Diagnostic_procedure:T139 
298
T140    Lab_value 3277 3283 stable
299
R66 MODIFY Arg1:T140 Arg2:E80   
300
T141    Medication 3308 3325    vasoactive agents
301
E81 Medication:T141 
302
A9  POLARITY E81 NEG
303
T142    Therapeutic_procedure 3343 3352 extubated
304
E82 Therapeutic_procedure:T142 
305
T143    Date 3353 3392  48 hours after the initial presentation
306
E83 Date:T143 
307
#6  AnnotatorNotes E83  Which initial presentation? This time doesn't add up.
308
T144    Clinical_event 3408 3418    discharged
309
E84 Clinical_event:T144 
310
T145    Nonbiological_location 3419 3423    home
311
R67 MODIFY Arg1:T145 Arg2:E84   
312
T146    Medication 3427 3435    warfarin
313
E85 Medication:T146 
314
T147    Clinical_event 3463 3472    follow-up
315
E86 Clinical_event:T147 
316
R68 AFTER Arg1:E3 Arg2:E1   
317
R69 BEFORE Arg1:E1 Arg2:E4  
318
R70 BEFORE Arg1:E4 Arg2:E5  
319
*   OVERLAP E5 E6 E7 E8 E9 E10 E11 E12 E13 E14 E21 E22 E23 E24 E25 E26 E27 E28 E29
320
R71 SUB_PROCEDURE Arg1:E16 Arg2:E14 
321
R72 SUB_PROCEDURE Arg1:E17 Arg2:E14 
322
R73 SUB_PROCEDURE Arg1:E18 Arg2:E14 
323
R74 SUB_PROCEDURE Arg1:E19 Arg2:E14 
324
R75 BEFORE Arg1:E29 Arg2:E30    
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*   OVERLAP E30 E31 E32
326
R76 BEFORE Arg1:E32 Arg2:E33    
327
*   OVERLAP E33 E34
328
R77 MODIFY Arg1:T72 Arg2:E40    
329
R78 MODIFY Arg1:T72 Arg2:E41    
330
R79 MODIFY Arg1:T72 Arg2:E42    
331
R80 AFTER Arg1:E33 Arg2:E40 
332
*   OVERLAP E40 E41 E42
333
R81 BEFORE Arg1:E42 Arg2:E43    
334
*   OVERLAP E43 E45 E46 E47 E48
335
R82 BEFORE Arg1:E48 Arg2:E49    
336
*   OVERLAP E49 E50
337
R83 BEFORE Arg1:E50 Arg2:E51    
338
*   OVERLAP E51 E52 E53 E54 E55 E57 E56
339
R84 BEFORE Arg1:E56 Arg2:E58    
340
*   OVERLAP E58 E59 E60 E62
341
R85 BEFORE Arg1:E62 Arg2:E63    
342
R86 MODIFY Arg1:T116 Arg2:E63   
343
R87 BEFORE Arg1:E63 Arg2:E64    
344
*   OVERLAP E64 E65 E67
345
R88 BEFORE Arg1:E67 Arg2:E68    
346
*   OVERLAP E68 E69 E70 E71 E72 E73 E74
347
R89 BEFORE Arg1:E74 Arg2:E75    
348
*   OVERLAP E75 E76 E77 E78
349
R90 BEFORE Arg1:E78 Arg2:E79    
350
*   OVERLAP E79 E80 E81
351
R91 BEFORE Arg1:E81 Arg2:E82    
352
*   OVERLAP E82 E83
353
R92 BEFORE Arg1:E83 Arg2:E84    
354
*   OVERLAP E84 E85
355
R93 BEFORE Arg1:E85 Arg2:E86    
356
T148    History 316 340 congestive heart failure
357
T149    History 342 365 controlled hypertension
358
T150    History 371 381 alcoholism