output
listlengths 0
91
| instruction
stringlengths 322
1.81k
| input
stringclasses 1
value |
---|---|---|
[
{
"end_pos": 28,
"label_type": "手术",
"overlap": null,
"start_pos": 16,
"text": "腹腔镜辅助左半结肠切除术"
},
{
"end_pos": 79,
"label_type": "影像检查",
"overlap": null,
"start_pos": 77,
"text": "CT"
},
{
"end_pos": 85,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 81,
"text": "左下下腹"
},
{
"end_pos": 95,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 92,
"text": "转移瘤"
},
{
"end_pos": 114,
"label_type": "影像检查",
"overlap": null,
"start_pos": 112,
"text": "CT"
},
{
"end_pos": 118,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 116,
"text": "胃窦"
},
{
"end_pos": 165,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 151,
"text": "(左半结肠)镜检为中分化腺癌"
},
{
"end_pos": 193,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 191,
"text": "阑尾"
},
{
"end_pos": 218,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 216,
"text": "腺癌"
},
{
"end_pos": 319,
"label_type": "药物",
"overlap": null,
"start_pos": 316,
"text": "爱必妥"
},
{
"end_pos": 337,
"label_type": "影像检查",
"overlap": null,
"start_pos": 335,
"text": "CT"
},
{
"end_pos": 356,
"label_type": "影像检查",
"overlap": null,
"start_pos": 354,
"text": "CT"
},
{
"end_pos": 373,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 357,
"text": "升结肠癌术后化疗后腹腔淋巴结转移"
},
{
"end_pos": 396,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 391,
"text": "结肠吻合口"
},
{
"end_pos": 405,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 403,
"text": "胃窦"
},
{
"end_pos": 425,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 420,
"text": "两侧髂血管"
},
{
"end_pos": 465,
"label_type": "手术",
"overlap": null,
"start_pos": 458,
"text": "腹腔肿物切除术"
},
{
"end_pos": 474,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 473,
"text": "胃"
},
{
"end_pos": 497,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 492,
"text": "中分化腺癌"
},
{
"end_pos": 520,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 514,
"text": "肠癌浸润转移"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2014.5.7外院行\"腹腔镜辅助左半结肠切除术\",,术后病理:分期T3N1M0 IIIB期。术后予XELOX方案化疗6周期。2016.8,复查CT示:左下下腹软组织团块影,转移瘤可能性大。2016.9.20,复查CT示:胃窦大弯侧上方结节,考虑大网膜转移与淋巴结转移相鉴别。,我院病理会诊:(左半结肠)镜检为中分化腺癌,浸润至浆膜上层,可见神经组织侵犯及脉管内癌栓;送检阑尾粘膜慢性炎;送检淋巴结(约34枚)3/34枚见腺癌转移,并可见1枚癌结节。ONCOCARTA19基因检测未发现突变位点。确定无化疗禁忌症,于2016-09-29、2016-10-15、2016-10-28、2016-11-15开始予FOLFOX+爱必妥方案化疗4程顺利,3程化疗后复查CT疗效评价SD。2016.11.,9CT:升结肠癌术后化疗后腹腔淋巴结转移复查,,对比2016-09-20片:结肠吻合口未见明确肿物。胃窦上方结节,考虑转移,较前缩小。两侧髂血管旁增大淋巴结,较前相仿,建议观察。于2016.12.14全麻上行“腹腔肿物切除术”,,病理示:(胃大弯侧结节),镜上:纤维结缔组织中见中分化腺癌浸润,结合病史及免疫组化结果,符合肠癌浸润转移。,免疫组化结果:C#,:CDX-2(+),CK20(+),VILLIN(+)。术程顺利,术后恢复可,今入院进一步治疗。患病以来,患者食欲、精神、睡眠尚可,大小便正常,术后体重上降1公斤。} | |
[
{
"end_pos": 12,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 9,
"text": "CEA"
},
{
"end_pos": 33,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 32,
"text": "腹"
},
{
"end_pos": 35,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 34,
"text": "腹"
},
{
"end_pos": 49,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 48,
"text": "腹"
},
{
"end_pos": 60,
"label_type": "影像检查",
"overlap": null,
"start_pos": 58,
"text": "CT"
},
{
"end_pos": 81,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 73,
"text": "肝及两肾多发囊肿"
},
{
"end_pos": 84,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 82,
"text": "子宫"
},
{
"end_pos": 96,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 92,
"text": "右肺上叶"
},
{
"end_pos": 109,
"label_type": "影像检查",
"overlap": null,
"start_pos": 105,
"text": "胸部CT"
},
{
"end_pos": 135,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 133,
"text": "盲肠"
},
{
"end_pos": 151,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 150,
"text": "肠"
},
{
"end_pos": 156,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 155,
"text": "肠"
},
{
"end_pos": 183,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 181,
"text": "大肠"
},
{
"end_pos": 215,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 214,
"text": "胃"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者1月前体检发现CEA升高,平素无乏力,无发热,无呕血黑便,无腹痛腹胀,无大便习惯性状改变,无腹泻,并行至我院复查CT(2012-04-20)示肝及两肾多发囊肿,子宫饱满伴小钙化灶;右肺上叶条絮影伴钙化,建议胸部CT检查,肠镜(2012-05-31)示结肠镜检查至盲肠,距肛缘70CM可见一肿块,占肠腔一圈,肠腔狭窄,无法继续进镜。活检4块,质地硬,易出血,余大肠未见异常。肛指检查无异常。病理未出。发病以来,患者精神夜眠可,胃纳可,小便正常。} | |
[
{
"end_pos": 28,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 27,
"text": "腹"
},
{
"end_pos": 62,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 60,
"text": "阴道"
},
{
"end_pos": 80,
"label_type": "手术",
"overlap": null,
"start_pos": 72,
"text": "阴道镜上宫颈活检"
},
{
"end_pos": 89,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 84,
"text": "中分化鳞癌"
},
{
"end_pos": 102,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 94,
"text": "宫颈鳞癌IIB期"
},
{
"end_pos": 139,
"label_type": "药物",
"overlap": null,
"start_pos": 135,
"text": "博来霉素"
},
{
"end_pos": 144,
"label_type": "药物",
"overlap": null,
"start_pos": 140,
"text": "依托铂苷"
},
{
"end_pos": 147,
"label_type": "药物",
"overlap": null,
"start_pos": 145,
"text": "顺铂"
},
{
"end_pos": 203,
"label_type": "手术",
"overlap": null,
"start_pos": 190,
"text": "两侧卵巢移位、淋巴结活检术"
},
{
"end_pos": 213,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 208,
"text": "髂外淋巴结"
},
{
"end_pos": 268,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 266,
"text": "鳞癌"
},
{
"end_pos": 338,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 336,
"text": "盆腔"
},
{
"end_pos": 357,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 352,
"text": "盆腔淋巴结"
},
{
"end_pos": 379,
"label_type": "药物",
"overlap": null,
"start_pos": 377,
"text": "顺铂"
},
{
"end_pos": 408,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 405,
"text": "右颈部"
},
{
"end_pos": 425,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 416,
"text": "两颈部II区淋巴结"
},
{
"end_pos": 448,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 434,
"text": "右颈部III区、IV区淋巴结"
},
{
"end_pos": 489,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 475,
"text": "宫颈癌放疗后颈部淋巴结转移癌"
},
{
"end_pos": 501,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 496,
"text": "颈部淋巴结"
},
{
"end_pos": 511,
"label_type": "药物",
"overlap": null,
"start_pos": 509,
"text": "顺铂"
},
{
"end_pos": 546,
"label_type": "药物",
"overlap": null,
"start_pos": 544,
"text": "顺铂"
},
{
"end_pos": 567,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 566,
"text": "腹"
},
{
"end_pos": 569,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 568,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者平素月经规律,呈5-6/30日型,量中等,无经期腹痛,末次月经2013年10月12日。患者2013年11月中旬因“阴道流血”就诊于我院,行阴道镜上宫颈活检病理回报中分化鳞癌,临床诊为宫颈鳞癌IIB期,于2013-11-19、2013-12-11在我院妇科行BEP(博来霉素+依托铂苷+顺铂)方案化疗2次,化疗过程顺利,化疗反应轻微,化疗后病变无明显缩小,于2014-1-6行两侧卵巢移位、淋巴结活检术(术中一个髂外淋巴结增大极化与周边组织致密粘连,锐性切除后为肿大淋巴结有坏死。),术后病理(Z0469056),:(淋巴结)见鳞癌癌巢,,A:CK(PAN)(+) KI-67(+40%) P63(+)。术后患者恢复良好,复查血尿常规正常。于2014年1月21日开始行盆腔体外放疗1.8GY*28次,盆腔淋巴结补量2GY*5次,强内后装放疗4次,同步顺铂30MG连4天化疗。放化疗结束7个月后患者无意中发现右颈部肿物,行超声检查两颈部II区淋巴结肿大,超声结构正常右颈部III区、IV区淋巴结肿大,类圆形,网格样低回声伴钙化,结构异常,临床诊断为宫颈癌放疗后颈部淋巴结转移癌,于我科门诊行颈部淋巴结放疗,放疗期间行顺铂方案化疗1周期,现末次化疗后21天,放疗17次,来诊行第二周期同步顺铂化疗,病来无发热,无恶心呕吐,无乏力,无腹胀腹痛,饮食睡眠可,二便正常。} | |
[
{
"end_pos": 11,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 8,
"text": "葡萄胎"
},
{
"end_pos": 23,
"label_type": "手术",
"overlap": null,
"start_pos": 18,
"text": "子宫全切术"
},
{
"end_pos": 37,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 33,
"text": "丙肝抗体"
},
{
"end_pos": 43,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 42,
"text": "肝"
},
{
"end_pos": 49,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 48,
"text": "肝"
},
{
"end_pos": 80,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 74,
"text": "丙肝病毒载量"
},
{
"end_pos": 106,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 105,
"text": "腹"
},
{
"end_pos": 116,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 115,
"text": "腹"
},
{
"end_pos": 145,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 137,
"text": "丙型肝炎病毒载量"
},
{
"end_pos": 169,
"label_type": "药物",
"overlap": null,
"start_pos": 166,
"text": "佩乐能"
},
{
"end_pos": 177,
"label_type": "药物",
"overlap": null,
"start_pos": 173,
"text": "利巴韦林"
},
{
"end_pos": 196,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 190,
"text": "丙肝病毒载量"
},
{
"end_pos": 229,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 228,
"text": "腹"
},
{
"end_pos": 276,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 275,
"text": "腹"
},
{
"end_pos": 279,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 278,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{27年前患者因“葡萄胎”就诊于我院行子宫全切术,术后常规复查时发现丙肝抗体阳性,并因肝功异常予保肝治疗及肿瘤化疗治疗(达2年),其后未定期复查肝功及丙肝病毒载量,未行系统诊治。1年余前患者无明显诱因自觉乏力,伴腹胀,纳差及厌油,无腹痛,无恶心及呕吐。查丙型肝炎基因分型I型。丙型肝炎病毒载量大于5.00X107国际单位/毫升。开始“佩乐能”联合“利巴韦林”抗病毒治疗。患者22周时丙肝病毒载量转阴。目前抗病毒治疗59周。患者近1周无明显诱因出现乏力,恶心及腹胀。现患者为求进一步诊治入我科,病来精神状态可,无发热及寒战,无咳嗽及咳痰,偶有牙龈出血,无腹痛及腹泻,睡眠可,饮食欠佳,二便如常,近1年体重上降约15公斤。} | |
[
{
"end_pos": 3,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 2,
"text": "腹"
},
{
"end_pos": 18,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 17,
"text": "腹"
},
{
"end_pos": 67,
"label_type": "手术",
"overlap": null,
"start_pos": 34,
"text": "空肠肿瘤切除,胃肠吻合,小肠吻合,横结肠部分切除,回肠末端两腔造口"
},
{
"end_pos": 79,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 73,
"text": "胃肠道间质瘤"
},
{
"end_pos": 107,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 106,
"text": "肠"
},
{
"end_pos": 128,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 126,
"text": "LN"
},
{
"end_pos": 168,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 167,
"text": "腹"
},
{
"end_pos": 191,
"label_type": "影像检查",
"overlap": null,
"start_pos": 187,
"text": "腹部CT"
},
{
"end_pos": 197,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 193,
"text": "腹腔术后"
},
{
"end_pos": 204,
"label_type": "影像检查",
"overlap": null,
"start_pos": 200,
"text": "腹部CT"
},
{
"end_pos": 230,
"label_type": "药物",
"overlap": null,
"start_pos": 226,
"text": "伊马替尼"
},
{
"end_pos": 273,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 272,
"text": "腹"
},
{
"end_pos": 326,
"label_type": "药物",
"overlap": null,
"start_pos": 322,
"text": "伊马替尼"
},
{
"end_pos": 385,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 382,
"text": "WBC"
},
{
"end_pos": 400,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 397,
"text": "WBC"
},
{
"end_pos": 409,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 406,
"text": "HGB"
},
{
"end_pos": 417,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 414,
"text": "NEU"
},
{
"end_pos": 435,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 432,
"text": "WBC"
},
{
"end_pos": 445,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 440,
"text": " NEUT"
},
{
"end_pos": 456,
"label_type": "药物",
"overlap": null,
"start_pos": 452,
"text": "伊马替尼"
},
{
"end_pos": 466,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 465,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,因腹胀及间断发热伴黑便。检查提示腹腔占位。2014-5-8全麻上行空肠肿瘤切除,胃肠吻合,小肠吻合,横结肠部分切除,回肠末端两腔造口。术后病理示胃肠道间质瘤,肿瘤14*7*5CM,核分裂像>5/50HPF,累及肠系膜,固有肌层及粘膜层,未见脉管瘤栓,LN 0/9。,免疫组化:CD117+,CD34-,DOG1+.术后患者出现进食后腹胀,进食后明显。2014-5-23,行腹部CT示:腹腔术后改变,腹部CT未见明确占位征象。2014-5-27开始口服伊马替尼 4粒 QD,服药后呕吐明显,自行调整为2粒 BID后恶心等症状较前稍好转,仍有间断腹痛。患者目前4-5次/日排便。肛门排出少许粘液。术前后体重上降约2KG。2014.5.26开始口服伊马替尼治疗,400MG/D,呕吐II度,无水肿、皮疹,止吐治疗后好转。,6-11C-KIT:第11外显子突变。6-22WBC 2.1。6-24血常规WBC 2.69,HGB 107,NEU 1.05。,6-30血RT:WBC4.86, NEUT2.44。暂停伊马替尼后恢复.昨日受凉后腹胀,进食差,无发热。} | |
[
{
"end_pos": 13,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 11,
"text": "阴道"
},
{
"end_pos": 25,
"label_type": "手术",
"overlap": null,
"start_pos": 22,
"text": "诊刮术"
},
{
"end_pos": 35,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 30,
"text": "内膜样腺癌"
},
{
"end_pos": 39,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 37,
"text": "阴道"
},
{
"end_pos": 45,
"label_type": "影像检查",
"overlap": null,
"start_pos": 43,
"text": "CT"
},
{
"end_pos": 56,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 46,
"text": "右侧锁骨下淋巴结转移"
},
{
"end_pos": 63,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 61,
"text": "腹腔"
},
{
"end_pos": 94,
"label_type": "手术",
"overlap": null,
"start_pos": 83,
"text": "腹腔镜子宫内膜癌分期术"
},
{
"end_pos": 105,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 102,
"text": "全子宫"
},
{
"end_pos": 109,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 106,
"text": "两附件"
},
{
"end_pos": 123,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 117,
"text": "子宫内膜样癌"
},
{
"end_pos": 215,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 213,
"text": "宫体"
},
{
"end_pos": 235,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 226,
"text": "两侧圆、主、骶韧带"
},
{
"end_pos": 253,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 249,
"text": "平滑肌瘤"
},
{
"end_pos": 268,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 257,
"text": "慢性宫颈炎及颈管内膜炎"
},
{
"end_pos": 274,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 270,
"text": "纳氏囊肿"
},
{
"end_pos": 282,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 278,
"text": "两侧卵巢"
},
{
"end_pos": 288,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 283,
"text": "两侧输卵管"
},
{
"end_pos": 307,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 303,
"text": "腹主动脉"
},
{
"end_pos": 317,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 313,
"text": "腹主动脉"
},
{
"end_pos": 329,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 323,
"text": "左侧髂总髂外"
},
{
"end_pos": 338,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 333,
"text": "左侧腹股沟"
},
{
"end_pos": 349,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 343,
"text": "左侧髂内闭孔"
},
{
"end_pos": 359,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 353,
"text": "右侧髂总髂外"
},
{
"end_pos": 368,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 363,
"text": "右侧腹股沟"
},
{
"end_pos": 379,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 373,
"text": "右侧髂内闭孔"
},
{
"end_pos": 424,
"label_type": "药物",
"overlap": null,
"start_pos": 421,
"text": "砝码新"
},
{
"end_pos": 427,
"label_type": "药物",
"overlap": null,
"start_pos": 425,
"text": "卡铂"
},
{
"end_pos": 436,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 434,
"text": "阴道"
},
{
"end_pos": 476,
"label_type": "药物",
"overlap": null,
"start_pos": 473,
"text": "法码新"
},
{
"end_pos": 479,
"label_type": "药物",
"overlap": null,
"start_pos": 477,
"text": "卡铂"
},
{
"end_pos": 501,
"label_type": "影像检查",
"overlap": null,
"start_pos": 497,
"text": "盆腹CT"
},
{
"end_pos": 512,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 504,
"text": "盆腹腔淋巴淋巴结"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,绝经2年,近半年少量阴道出血,量少,外院行诊刮术,,病理:内膜样腺癌。现阴道有出血。CT示右侧锁骨下淋巴结转移?要求拆除腹腔引流口接引流袋。2017-6-20我院行腹腔镜子宫内膜癌分期术,,术后病理:(全子宫+两附件),切除: - 子宫内膜样癌,FIGOII级,伴鳞状分化,大小5×XXX4×XXX3CM; - 可见脉管癌栓; - 癌组织浸润肌壁<1/2壁厚(浸润最深处约0.6CM,此处肌壁厚2.8CM); - 癌组织累及宫体上段; - 两侧宫旁及两侧圆、主、骶韧带断端未见癌; - 肌壁间多发平滑肌瘤; - 慢性宫颈炎及颈管内膜炎,伴纳氏囊肿; - 两侧卵巢及两侧输卵管组织; - 淋巴结未见癌转移(腹主动脉左旁0/7,腹主动脉右旁0/4,左侧髂总髂外0/5,左侧腹股沟深0/3,左侧髂内闭孔0/4,右侧髂总髂外0/6,右侧腹股沟深0/1,右侧髂内闭孔0/3); - ,肿瘤病理分期:PT1AN0。建议术后辅助化疗。2017-7-11行砝码新+卡铂化疗。诉近日有阴道出血。末次化疗2017-8-3.腹部超声未见异常。2017-8-24我院行法码新+卡铂方案化疗,共三次,2017.10复查盆腹CT,可见盆腹腔淋巴淋巴结观察。} | |
[
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "腹"
},
{
"end_pos": 39,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 38,
"text": "胃"
},
{
"end_pos": 44,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 43,
"text": "腹"
},
{
"end_pos": 68,
"label_type": "影像检查",
"overlap": null,
"start_pos": 66,
"text": "CT"
},
{
"end_pos": 71,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 69,
"text": "肝脏"
},
{
"end_pos": 88,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 84,
"text": "右肾囊肿"
},
{
"end_pos": 94,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 89,
"text": "乙状结肠癌"
},
{
"end_pos": 96,
"label_type": "影像检查",
"overlap": null,
"start_pos": 94,
"text": "CT"
},
{
"end_pos": 100,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 99,
"text": "肠"
},
{
"end_pos": 142,
"label_type": "手术",
"overlap": null,
"start_pos": 124,
"text": "乙状结肠癌切除术、远端封闭,近端造瘘"
},
{
"end_pos": 157,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 148,
"text": "肠管中段中分化腺癌"
},
{
"end_pos": 164,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "肠"
},
{
"end_pos": 176,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 175,
"text": "肠"
},
{
"end_pos": 225,
"label_type": "手术",
"overlap": null,
"start_pos": 218,
"text": "肝动脉化疗栓塞"
},
{
"end_pos": 265,
"label_type": "药物",
"overlap": null,
"start_pos": 261,
"text": "奥沙利铂"
},
{
"end_pos": 276,
"label_type": "药物",
"overlap": null,
"start_pos": 274,
"text": "CF"
},
{
"end_pos": 289,
"label_type": "药物",
"overlap": null,
"start_pos": 285,
"text": "氟尿嘧啶"
},
{
"end_pos": 363,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 360,
"text": "高血压"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者2015.12无明显诱因出现腹痛不适,呈阵发性,伴有恶心、呕吐,呕吐物为胃内容物,腹胀,有排气,大便减少,2015.12.20行CT示肝脏多发密度减低区,考虑转移;右肾囊肿;乙状结肠癌CT表现;肠胀气,考虑梗阻,于2015.12.24在全麻上行乙状结肠癌切除术、远端封闭,近端造瘘,术后病理示肠管中段中分化腺癌,侵达外膜,肠系膜脂肪内查见癌结节,肠系膜内查见淋巴结转移癌(5/10),术后给予抗炎、营养支持治疗。2016.2.18行肝动脉化疗栓塞治疗,术后无明显不适,后于我科行MFOLFOX6化疗2周期,具体药物为:奥沙利铂160MG D1+CF350MG D1+氟尿嘧啶0.75G D1+4.5G 微量泵维持46H,化疗后无明显不适,现为求化疗收入我科。患者自发病以来,饮食差,睡眠可,大便不规律,小便正常。患有高血压2年,未规范治疗。} | |
[
{
"end_pos": 16,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 13,
"text": "中下腹"
},
{
"end_pos": 47,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 46,
"text": "腹"
},
{
"end_pos": 81,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 80,
"text": "腹"
},
{
"end_pos": 109,
"label_type": "影像检查",
"overlap": null,
"start_pos": 107,
"text": "CT"
},
{
"end_pos": 114,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 113,
"text": "胃"
},
{
"end_pos": 138,
"label_type": "手术",
"overlap": null,
"start_pos": 129,
"text": "根治性远端胃切除术"
},
{
"end_pos": 149,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 146,
"text": "胃L区"
},
{
"end_pos": 153,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 152,
"text": "胃"
},
{
"end_pos": 203,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 200,
"text": "横结肠"
},
{
"end_pos": 217,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 212,
"text": "胃周淋巴结"
},
{
"end_pos": 234,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 224,
"text": "胃腺癌(中-低分化)"
},
{
"end_pos": 242,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 241,
"text": "胃"
},
{
"end_pos": 344,
"label_type": "药物",
"overlap": null,
"start_pos": 341,
"text": "紫杉醇"
},
{
"end_pos": 354,
"label_type": "药物",
"overlap": null,
"start_pos": 352,
"text": "卡铂"
},
{
"end_pos": 415,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 412,
"text": "糖尿病"
},
{
"end_pos": 424,
"label_type": "药物",
"overlap": null,
"start_pos": 420,
"text": "二甲两胍"
},
{
"end_pos": 429,
"label_type": "药物",
"overlap": null,
"start_pos": 425,
"text": "格列美脲"
},
{
"end_pos": 434,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 430,
"text": "空腹血糖"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{2014年末开始无诱因出现中下腹疼,呈隐痛,多为空腹痛或夜间痛,进食可缓解,无恶心、呕吐,无腹泻便秘,无血便,无黑便。2015年2月末开始疼痛性质及频率加重,伴腹胀,排气增多。2015年3月末就诊于医大四院,胃镜及CT检查发现胃占位病变,2015年4月1日行根治性远端胃切除术。术中见病变位于胃L区,累及胃壁环周,以小弯前、后壁为主,明显浸透浆膜,为前壁浆膜呈多彩弥漫型,大小约2.5*2CM,后壁与横结肠系膜前叶浸润粘连。胃周淋巴结肿大。术后病理胃腺癌(中-低分化),癌组织浸润至胃浆膜层,脉管内瘤栓。淋巴结转移11/54(3组3/7,1组1/9,5组5/9,6组2/13,1组0/11,7组0/4,8组0/1)。断端未见癌。患者手术刀口愈合良好,于2015年5月5日行化疗1次(紫杉醇150MGD1+卡铂200MGD1),现化疗后2周,为行进一步治疗来诊。发病以来精神状态可,无乏力,饮食、睡眠、二便正常,体重无上降。 糖尿病4年,口服二甲两胍、格列美脲,空腹血糖控制可。} | |
[
{
"end_pos": 46,
"label_type": "影像检查",
"overlap": null,
"start_pos": 44,
"text": "MR"
},
{
"end_pos": 52,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 47,
"text": "直肠中下段"
},
{
"end_pos": 58,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 53,
"text": "直乙交界区"
},
{
"end_pos": 59,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 58,
"text": "肠"
},
{
"end_pos": 73,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 70,
"text": "直肠癌"
},
{
"end_pos": 76,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 74,
"text": "骶前"
},
{
"end_pos": 80,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 78,
"text": "直肠"
},
{
"end_pos": 103,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 98,
"text": "肝S2/3"
},
{
"end_pos": 124,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 116,
"text": "肝S2、S4~8"
},
{
"end_pos": 147,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 139,
"text": "肝S6/7小囊肿"
},
{
"end_pos": 166,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 151,
"text": "直肠腺癌肝转移CT4N2M1A"
},
{
"end_pos": 185,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 183,
"text": "盆腔"
},
{
"end_pos": 240,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 238,
"text": "盆腔"
},
{
"end_pos": 347,
"label_type": "手术",
"overlap": null,
"start_pos": 321,
"text": "腹腔镜DIXON'S+肝右外叶切除+预防性回肠造口术"
},
{
"end_pos": 361,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 354,
"text": "中至低分化腺癌"
},
{
"end_pos": 371,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 369,
"text": "腺癌"
},
{
"end_pos": 375,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 374,
"text": "肝"
},
{
"end_pos": 384,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 379,
"text": "中分化腺癌"
},
{
"end_pos": 395,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 389,
"text": "肠腺癌肝转移"
},
{
"end_pos": 426,
"label_type": "影像检查",
"overlap": null,
"start_pos": 424,
"text": "CT"
},
{
"end_pos": 438,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 436,
"text": "直肠"
},
{
"end_pos": 444,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 442,
"text": "骶前"
},
{
"end_pos": 449,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 445,
"text": "腹主动脉"
},
{
"end_pos": 482,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 474,
"text": "肝转移瘤切除术后"
},
{
"end_pos": 520,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 515,
"text": "肝S4~8"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者因\"粘液血便、大便次数增加4个月\"于2015年04月到我院就诊,经完善检查,,MR:直肠中下段、直乙交界区肠壁不均匀明显增厚,符合直肠癌;骶前区、直肠周围系膜多发小淋巴结,建议随诊复查;肝S2/3结节,考虑转移瘤可能性大;肝S2、S4~8多发病变,考虑血管瘤可能性大;肝S6/7小囊肿。诊断为直肠腺癌肝转移CT4N2M1A。考虑双者均有根治性切除可能,先行盆腔肿物放化疗,缩小后争取切除原发病灶及转移瘤。排除禁忌后,遂于2015-05-13至2015-06-19起行盆腔放疗,50GY/25次,IMRT技术,同期2015-04-16、05-11、05-31、06-22行XELOX方案化疗4程,疗程顺利。2015-08-27全麻上行腹腔镜DIXON'S+肝右外叶切除+预防性回肠造口术,,术后病理:中至低分化腺癌,淋巴结2/6见腺癌转移,肝组织中见中分化腺癌浸润,符合肠腺癌肝转移。,术后分期:YPT3N1M1A。2015-9-23,复查CT示:吻合口壁稍增厚,直肠系膜区、骶前及腹主动脉右旁条索及斑片灶,考虑术后改变可能性大,建议随诊。肝转移瘤切除术后改变,术区切缘旁少量积液。大网膜类结节灶,性质待定,建议密切随诊。肝S4~8多发结节,考虑血管瘤,较前变化不明显。现按主诊教授建议收入我科行化疗。自诉大便习惯有改善,现为求进一步诊治入住我院,患者自发病以来,食欲、睡眠及精神良好,小便正常,体力无上降,体重无明显上降。} | |
[
{
"end_pos": 12,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 7,
"text": "子宫内膜癌"
},
{
"end_pos": 32,
"label_type": "手术",
"overlap": null,
"start_pos": 13,
"text": "腹式全子宫+两附件切除+盆腔淋巴清扫术"
},
{
"end_pos": 74,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 71,
"text": "右上腹"
},
{
"end_pos": 92,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 90,
"text": "阴道"
},
{
"end_pos": 97,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 96,
"text": "腹"
},
{
"end_pos": 126,
"label_type": "影像检查",
"overlap": null,
"start_pos": 121,
"text": "盆腹腔CT"
},
{
"end_pos": 130,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 126,
"text": "子宫术后"
},
{
"end_pos": 135,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 133,
"text": "盆腔"
},
{
"end_pos": 148,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 142,
"text": "两侧腹股沟区"
},
{
"end_pos": 168,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 165,
"text": "右上腹"
},
{
"end_pos": 196,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 190,
"text": "CA-199"
},
{
"end_pos": 224,
"label_type": "影像检查",
"overlap": null,
"start_pos": 219,
"text": "盆腹腔CT"
},
{
"end_pos": 244,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 238,
"text": "CA-199"
},
{
"end_pos": 269,
"label_type": "影像检查",
"overlap": null,
"start_pos": 261,
"text": "胸部及盆腹腔CT"
},
{
"end_pos": 273,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 271,
"text": "两肺"
},
{
"end_pos": 283,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 279,
"text": "肺转移瘤"
},
{
"end_pos": 306,
"label_type": "影像检查",
"overlap": null,
"start_pos": 300,
"text": "PET-CT"
},
{
"end_pos": 310,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 308,
"text": "盆腔"
},
{
"end_pos": 313,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 310,
"text": "降结肠"
},
{
"end_pos": 318,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 315,
"text": "右髂窝"
},
{
"end_pos": 321,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 320,
"text": "腹"
},
{
"end_pos": 336,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 334,
"text": "两肺"
},
{
"end_pos": 363,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 355,
"text": "复发性子宫内膜癌"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者11年前因子宫内膜癌行腹式全子宫+两附件切除+盆腔淋巴清扫术,术后诊断IC期,未行化疗及放疗。术后定期复查无异常。1年前开始无明显诱因出现右上腹痛,间歇性发作,为钝痛,无发热及阴道流血,无腹泻及便秘等,2012-9-24到我院门诊就诊,行盆腹腔CT子宫术后改变,盆腔未见明确肿物。两侧腹股沟区数个大小不等淋巴结,建议观察。患者右上腹痛未见好转,2013-4-24门诊复查发现血CA-199升高为50.46U/L,2013-4-26复查盆腹腔CT较前无明显改变,予定期复查血CA-199缓慢升高,2013-11-12复查胸部及盆腹腔CT发现两肺结节影,考虑肺转移瘤可能性大。2013年-11-27行PET-CT提示盆腔降结肠旁及右髂窝近前腹壁区病灶代谢活跃考虑转移,两肺数个结节代谢活跃,考虑转移。遂于今日以复发性子宫内膜癌收入院行进一步诊治,患者起病以来精神饮食好,大小便正常,体重无明显改变。} | |
[
{
"end_pos": 11,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 9,
"text": "胃癌"
},
{
"end_pos": 42,
"label_type": "手术",
"overlap": null,
"start_pos": 28,
"text": "胃大部分切除及食道上段切除术"
},
{
"end_pos": 55,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 49,
"text": "胃中分化腺癌"
},
{
"end_pos": 59,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 58,
"text": "胃"
},
{
"end_pos": 73,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 71,
"text": "食管"
},
{
"end_pos": 151,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 148,
"text": "CEA"
},
{
"end_pos": 163,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 160,
"text": "PET"
},
{
"end_pos": 167,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 165,
"text": "胃底"
},
{
"end_pos": 170,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 168,
"text": "食管"
},
{
"end_pos": 198,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 196,
"text": "腺癌"
},
{
"end_pos": 219,
"label_type": "药物",
"overlap": null,
"start_pos": 213,
"text": "吉奥(S1)"
},
{
"end_pos": 226,
"label_type": "药物",
"overlap": null,
"start_pos": 220,
"text": "白蛋白紫杉醇"
},
{
"end_pos": 256,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 255,
"text": "胃"
},
{
"end_pos": 261,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 260,
"text": "腹"
},
{
"end_pos": 264,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 263,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者2年余前因确诊胃癌,于2010年12月28日在外院行胃大部分切除及食道上段切除术。术后病理示“胃中分化腺癌,浸润胃壁全层至浆膜上,向下侵犯食管鳞状下皮粘膜上层,淋巴结见癌转移3/18,PT3N2 IIIA期”。术后予XELOX方案化疗3个疗程,化疗后间有呕血。定期复查,未见异常。10天前复查CEA 49NG/ML;PET示“胃底及食管后见淋巴结高代谢,考虑转移瘤可能性大”,穿刺病理提示腺癌。于2013-02-05给予替吉奥(S1)+白蛋白紫杉醇化疗第1程。现为进一步治疗,收入我科。近期以来,患者精神、胃纳可,无腹痛、腹胀,无发热、寒战、恶心、呕吐,大小便无异常,体重无明显上降。} | |
[
{
"end_pos": 45,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 39,
"text": "右侧卵巢囊肿"
},
{
"end_pos": 53,
"label_type": "手术",
"overlap": null,
"start_pos": 46,
"text": "卵巢囊肿剥除术"
},
{
"end_pos": 66,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 62,
"text": "卵巢早衰"
},
{
"end_pos": 85,
"label_type": "手术",
"overlap": null,
"start_pos": 79,
"text": "借卵胚胎种植"
},
{
"end_pos": 97,
"label_type": "影像检查",
"overlap": null,
"start_pos": 93,
"text": "产科超声"
},
{
"end_pos": 152,
"label_type": "影像检查",
"overlap": null,
"start_pos": 150,
"text": "超声"
},
{
"end_pos": 168,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 167,
"text": "心"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,孕期异常情况:患者平素月经尚规律,14 3-5/28天,经量少。2012年因右侧卵巢囊肿行卵巢囊肿剥除术,术后闭经,诊断为卵巢早衰。于2015-11-16行借卵胚胎种植。,停经7周时行产科超声检查示:单胎,胎心搏动正常。10周停服保胎药,后出现恶心等早孕反应,12周行胎心检查示正常。14+1,**超声检查示:反复扫查,未探及明显胎心搏动。胎体蜷缩,胎儿结构显像不清。患者要求药物流产入院。"。} | |
[
{
"end_pos": 15,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 13,
"text": "下腹"
},
{
"end_pos": 50,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 47,
"text": "胃溃疡"
},
{
"end_pos": 55,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 53,
"text": "胃癌"
},
{
"end_pos": 70,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 65,
"text": "低分化腺癌"
},
{
"end_pos": 93,
"label_type": "手术",
"overlap": null,
"start_pos": 82,
"text": "根治性远端胃大部切除术"
},
{
"end_pos": 110,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 105,
"text": "低分化腺癌"
},
{
"end_pos": 142,
"label_type": "药物",
"overlap": null,
"start_pos": 139,
"text": "乐沙定"
},
{
"end_pos": 150,
"label_type": "药物",
"overlap": null,
"start_pos": 143,
"text": "XELOUDA"
},
{
"end_pos": 175,
"label_type": "影像检查",
"overlap": null,
"start_pos": 171,
"text": "肝脏CT"
},
{
"end_pos": 186,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 180,
"text": "肝脏多发转移"
},
{
"end_pos": 191,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 189,
"text": "胃底"
},
{
"end_pos": 202,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 196,
"text": "腹膜后淋巴结"
},
{
"end_pos": 274,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 271,
"text": "肝动脉"
},
{
"end_pos": 277,
"label_type": "药物",
"overlap": null,
"start_pos": 274,
"text": "草酸铂"
},
{
"end_pos": 281,
"label_type": "药物",
"overlap": null,
"start_pos": 278,
"text": "5FU"
},
{
"end_pos": 301,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 297,
"text": "胃右动脉"
},
{
"end_pos": 303,
"label_type": "药物",
"overlap": null,
"start_pos": 301,
"text": "艾恒"
},
{
"end_pos": 312,
"label_type": "药物",
"overlap": null,
"start_pos": 308,
"text": "5-FU"
},
{
"end_pos": 339,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 334,
"text": "肝脏转移瘤"
},
{
"end_pos": 366,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 363,
"text": "下腹部"
},
{
"end_pos": 378,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 377,
"text": "腹"
},
{
"end_pos": 381,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 380,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2007年1月出现下腹部饱胀不适,伴有嗳气、反酸,2007-6-10,行胃镜提示:1、胃溃疡,2、胃癌不排除,,病理提示:低分化腺癌。于2007-6-19行根治性远端胃大部切除术(D2),术后病理提示:低分化腺癌侵及浆膜。,淋巴结:6+/12,术后行FOLFOX4一次,乐沙定+XELOUDA共6次,后定期复查。2011-7-27,行肝脏CT检查提示:肝脏多发转移病灶,胃底残留病灶,腹膜后淋巴结增大。2011-8-4、2011-8-25、2011-9-15、2011-10-13日、2011-11-17、2011-12-15在我科行肝动脉草酸铂+5FU灌注化疗6次,2012-2-9行胃右动脉艾恒150MG5-FU0.5G灌注化疗1次,期间行CIK回输。复查肝脏转移瘤较前有所缩小。现为进一步治疗入院。患者诉近期轻度下腹部不适,无寒战、发热,无腹胀、腹泻等不适,精神、睡眠、食欲可,大小便正常,体重无明显上降。} | |
[
{
"end_pos": 7,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 5,
"text": "上腹"
},
{
"end_pos": 25,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 22,
"text": "白细胞"
},
{
"end_pos": 33,
"label_type": "影像检查",
"overlap": null,
"start_pos": 29,
"text": "盆腔超声"
},
{
"end_pos": 41,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 36,
"text": "左侧附件区"
},
{
"end_pos": 70,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 65,
"text": "CA125"
},
{
"end_pos": 88,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 83,
"text": "CA199"
},
{
"end_pos": 105,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 102,
"text": "左附件"
},
{
"end_pos": 117,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 113,
"text": "两附件区"
},
{
"end_pos": 120,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 118,
"text": "子宫"
},
{
"end_pos": 157,
"label_type": "手术",
"overlap": null,
"start_pos": 150,
"text": "卵巢癌分期手术"
},
{
"end_pos": 174,
"label_type": "药物",
"overlap": null,
"start_pos": 172,
"text": "泰素"
},
{
"end_pos": 178,
"label_type": "药物",
"overlap": null,
"start_pos": 175,
"text": "伯尔定"
},
{
"end_pos": 203,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 201,
"text": "手脚"
},
{
"end_pos": 233,
"label_type": "影像检查",
"overlap": null,
"start_pos": 231,
"text": "CT"
},
{
"end_pos": 251,
"label_type": "影像检查",
"overlap": null,
"start_pos": 247,
"text": "盆腹超声"
},
{
"end_pos": 263,
"label_type": "影像检查",
"overlap": null,
"start_pos": 261,
"text": "超声"
},
{
"end_pos": 265,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 263,
"text": "阴道"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,9.11上腹痛,伴发热38.6度,外院检查白细胞增高,,盆腔超声提示:左侧附件区肿物,约7CM,囊实性,抗炎治疗3天后明显好转,CA125 202,侧啊16.96,CA19949.2014.9.16提示左附件肿物,考虑恶性,两附件区及子宫多发结节,转移?,分段诊刮:内膜息肉,2014.10.14行卵巢癌分期手术。术后2014.11.14开始泰素+伯尔定化疗,已6疗程,末次2015.3.11,化疗后手脚麻木,不影响生活。2015.4.10肿瘤标志物正常,复查CT正常。2015.7.30复查盆腹超声和血正常,15-10超声阴道断端下方2.2*1.3厘米结节。} | |
[
{
"end_pos": 45,
"label_type": "手术",
"overlap": null,
"start_pos": 7,
"text": "胃癌手术(全胃切除+食管空肠ROUXEN-Y吻合+右肝外叶切除+肝上引流术)"
},
{
"end_pos": 87,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 71,
"text": "胃贲门上浸润性溃疡型中低分化腺癌"
},
{
"end_pos": 117,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 115,
"text": "肝脏"
},
{
"end_pos": 214,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 213,
"text": "腹"
},
{
"end_pos": 225,
"label_type": "影像检查",
"overlap": null,
"start_pos": 219,
"text": "PET-CT"
},
{
"end_pos": 228,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 227,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,2013.3胃癌手术(全胃切除+食管空肠ROUXEN-Y吻合+右肝外叶切除+肝上引流术),术中不详(患者诉术中见肿瘤局部穿孔),,术后病理:胃贲门上浸润性溃疡型中低分化腺癌,吻合口未见癌,小弯淋巴结未见癌,大弯及网膜组织未见癌,肝脏组织见癌细胞。术后化疗6周期(具体不详)。,末次化疗时间:2013.9.27 ,目前患者稍感全身乏力,余无明显不适。拟复查。 现无明显不适,食欲可,大小便正常,体重较术前上降5KG。1月前出现腹痛,外院行PET-CT提示腹腔肿物,具体不详,进一步检查。} | |
[
{
"end_pos": 6,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 5,
"text": "腹"
},
{
"end_pos": 9,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 8,
"text": "腹"
},
{
"end_pos": 20,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 16,
"text": "结肠息肉"
},
{
"end_pos": 96,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 94,
"text": "两肺"
},
{
"end_pos": 114,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 113,
"text": "胸"
},
{
"end_pos": 120,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 119,
"text": "心"
},
{
"end_pos": 127,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 126,
"text": "心"
},
{
"end_pos": 162,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 160,
"text": "心包"
},
{
"end_pos": 168,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 166,
"text": "腹部"
},
{
"end_pos": 176,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 172,
"text": "腹壁静脉"
},
{
"end_pos": 180,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 179,
"text": "腹"
},
{
"end_pos": 186,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 182,
"text": "脐上腹部"
},
{
"end_pos": 195,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 194,
"text": "肝"
},
{
"end_pos": 196,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 195,
"text": "脾"
},
{
"end_pos": 224,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 223,
"text": "肝"
},
{
"end_pos": 225,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 224,
"text": "肾"
},
{
"end_pos": 240,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 239,
"text": "肠"
},
{
"end_pos": 248,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 245,
"text": "两上肢"
},
{
"end_pos": 290,
"label_type": "手术",
"overlap": null,
"start_pos": 280,
"text": "肠镜检查+息肉切除术"
},
{
"end_pos": 315,
"label_type": "手术",
"overlap": null,
"start_pos": 302,
"text": "结直肠多发息肉内镜上切除术"
},
{
"end_pos": 325,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 323,
"text": "直肠"
},
{
"end_pos": 330,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 326,
"text": "乙状结肠"
},
{
"end_pos": 336,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 331,
"text": "腺管状腺瘤"
},
{
"end_pos": 357,
"label_type": "药物",
"overlap": null,
"start_pos": 352,
"text": "右氧氟沙星"
},
{
"end_pos": 361,
"label_type": "药物",
"overlap": null,
"start_pos": 358,
"text": "替硝唑"
},
{
"end_pos": 409,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 408,
"text": "腹"
},
{
"end_pos": 412,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 411,
"text": "腹"
},
{
"end_pos": 446,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 440,
"text": "大肠多发息肉"
},
{
"end_pos": 454,
"label_type": "手术",
"overlap": null,
"start_pos": 449,
"text": "息肉切除术"
},
{
"end_pos": 465,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 458,
"text": "多发性大肠息肉"
},
{
"end_pos": 472,
"label_type": "手术",
"overlap": null,
"start_pos": 466,
"text": "内镜上切除术"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者因“腹痛、腹胀1年半,发现结肠息肉1月”于2011.12.5第一次入住我科,,查体:老年女性,神志清,精神可。全身皮肤粘膜无黄染、皮疹及出血点,无肝掌、蜘蛛痣。浅表淋巴结未触及肿大。两肺呼吸音清,未闻及干湿性啰音,未闻及胸膜摩擦音。心前区无隆起,心界不大,心率64次/分,律齐,各瓣膜听诊区未闻及病理性杂音,未闻及心包摩擦音。腹部饱满,无腹壁静脉曲张。腹软,脐上腹部压痛,无反跳痛,肝脾肋上未触及,未触及异常包块,MURPHY'S征(-),肝肾区无叩痛,移动性浊音(-),肠鸣音正常,两上肢无水肿。入院后完善各项辅助检查,明确病情,于2011.12.6行肠镜检查+息肉切除术,手术顺利,,内镜诊断:结直肠多发息肉内镜上切除术,,病理诊断:(直肠、乙状结肠)腺管状腺瘤,腺体呈轻度不典型增生。术后给予右氧氟沙星、替硝唑抗感染及对症支持治疗。患者未述特殊不适症状,病情好转出院。 患者自下次出院后病情稳定,偶有腹痛、腹胀,但程度较轻,今日为复查肠镜再来我院,,门诊行肠镜示:大肠多发息肉,遂行息肉切除术,并以“多发性大肠息肉,内镜上切除术”收入院。 患者自发病以来,饮食、睡眠好,大小便未见异常。体重无明显减轻。} | |
[
{
"end_pos": 14,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 11,
"text": "右小腿"
},
{
"end_pos": 30,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 29,
"text": "头"
},
{
"end_pos": 35,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 32,
"text": "右小腿"
},
{
"end_pos": 48,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 47,
"text": "头"
},
{
"end_pos": 51,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 50,
"text": "头"
},
{
"end_pos": 84,
"label_type": "影像检查",
"overlap": null,
"start_pos": 82,
"text": "X线"
},
{
"end_pos": 100,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 88,
"text": ".右胫腓骨下段粉碎性骨折"
},
{
"end_pos": 122,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 112,
"text": "右髌骨外侧缘可疑骨折"
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 125,
"text": "右第3掌指关节脱位"
},
{
"end_pos": 146,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 145,
"text": "额"
},
{
"end_pos": 148,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 147,
"text": "头"
},
{
"end_pos": 156,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 155,
"text": "颅"
},
{
"end_pos": 184,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 180,
"text": "副鼻窦炎"
},
{
"end_pos": 194,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 185,
"text": "右侧前组筛窦小骨瘤"
},
{
"end_pos": 227,
"label_type": "手术",
"overlap": null,
"start_pos": 201,
"text": "头皮撕脱伤及右胫前裂伤清创缝合术+右上肢石膏外固定术"
},
{
"end_pos": 241,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 233,
"text": "右胫腓骨下段骨折"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,缘于5小时前因外伤致右小腿疼痛、畸形、活动受限,伴颜面、头皮及右小腿多处软组织破损、出血,伴头痛、头晕,无畏寒、发热,无恶心、呕吐,无二便失禁。急来我院,,门诊拍X线片示:1.右胫腓骨下段粉碎性骨折,并周围软组织肿胀;2.右髌骨外侧缘可疑骨折;3.右第3掌指关节脱位。,头颅平扫:1.两侧额部头皮软组织肿胀,颅内未见明显血肿征象,建议随诊复查;2.所摄入部分副鼻窦炎;右侧前组筛窦小骨瘤。遂急诊予行“头皮撕脱伤及右胫前裂伤清创缝合术+右上肢石膏外固定术”,术后遂以右胫腓骨下段骨折收入院,入院来饮食、睡眠欠佳,二便未排。} | |
[
{
"end_pos": 15,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 13,
"text": "盆腔"
},
{
"end_pos": 28,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 24,
"text": "两侧附件"
},
{
"end_pos": 39,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 35,
"text": "肝左后叶"
},
{
"end_pos": 56,
"label_type": "影像检查",
"overlap": null,
"start_pos": 53,
"text": "MRI"
},
{
"end_pos": 65,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 58,
"text": "两侧卵巢囊腺癌"
},
{
"end_pos": 76,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 73,
"text": "囊腺癌"
},
{
"end_pos": 132,
"label_type": "手术",
"overlap": null,
"start_pos": 90,
"text": "卵巢癌肿瘤细胞减灭术(全子宫+两附件+大网膜切除+盆腔淋巴结活检+残余肿瘤细胞减灭)"
},
{
"end_pos": 153,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 139,
"text": "卵巢低分化浆液性乳头状囊腺癌"
},
{
"end_pos": 160,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 158,
"text": "直肠"
},
{
"end_pos": 168,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 161,
"text": "右左闭孔淋巴结"
},
{
"end_pos": 196,
"label_type": "药物",
"overlap": null,
"start_pos": 193,
"text": "力扑素"
},
{
"end_pos": 199,
"label_type": "药物",
"overlap": null,
"start_pos": 197,
"text": "卡铂"
},
{
"end_pos": 257,
"label_type": "手术",
"overlap": null,
"start_pos": 234,
"text": "“肝转移瘤微波固化术”及“肝转移瘤粒子植入术”"
},
{
"end_pos": 283,
"label_type": "影像检查",
"overlap": null,
"start_pos": 281,
"text": "CT"
},
{
"end_pos": 286,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 285,
"text": "膈"
},
{
"end_pos": 301,
"label_type": "影像检查",
"overlap": null,
"start_pos": 298,
"text": "MRI"
},
{
"end_pos": 307,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 302,
"text": "肝S1、8"
},
{
"end_pos": 325,
"label_type": "药物",
"overlap": null,
"start_pos": 322,
"text": "和美新"
},
{
"end_pos": 329,
"label_type": "药物",
"overlap": null,
"start_pos": 326,
"text": "伯尔定"
},
{
"end_pos": 348,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 340,
"text": "III°骨髓抑制"
},
{
"end_pos": 374,
"label_type": "药物",
"overlap": null,
"start_pos": 371,
"text": "和美新"
},
{
"end_pos": 378,
"label_type": "药物",
"overlap": null,
"start_pos": 375,
"text": "奈达铂"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2009-8月发现盆腔肿物,B超检查提示两侧附件区混合性包块,肝左后叶实性占位病变,考虑恶性可能,MRI提示两侧卵巢囊腺癌可能性大,不排除囊腺癌。于2009-9-2住我院行卵巢癌肿瘤细胞减灭术(全子宫+两附件+大网膜切除+盆腔淋巴结活检+残余肿瘤细胞减灭),,术后病理:卵巢低分化浆液性乳头状囊腺癌,大网膜、直肠、右左闭孔淋巴结见癌。予2010-1-6至2010-2-23号予“力扑素+卡铂”化疗8程。并于2010-1-6、2010-1-13分别在我院介入科行“肝转移瘤微波固化术”及“肝转移瘤粒子植入术”术顺。治疗后密切门诊随访。2012-7-24外院CT提示膈顶部病灶考虑恶性可能。,MRI:肝S1、8考虑转移。于2012-8-2行和美新+伯尔定方案化疗程,化疗后出现III°骨髓抑制,2012-09-13依据原主诊教授意见调整为和美新+奈达铂方案化疗1程,过程顺利。现依据原主诊教授意见入院化疗。患者一般情况可,大小便正常,体重无明显减轻。} | |
[
{
"end_pos": 46,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 39,
"text": "直肠中分化腺癌"
},
{
"end_pos": 84,
"label_type": "药物",
"overlap": null,
"start_pos": 81,
"text": "希罗达"
},
{
"end_pos": 149,
"label_type": "手术",
"overlap": null,
"start_pos": 132,
"text": "直肠癌根治术(DIXONS’术式)"
},
{
"end_pos": 161,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 157,
"text": "乙状结肠"
},
{
"end_pos": 172,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 167,
"text": "中分化腺癌"
},
{
"end_pos": 180,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 179,
"text": "肠"
},
{
"end_pos": 204,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 202,
"text": "LN"
},
{
"end_pos": 289,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 287,
"text": "手臂"
},
{
"end_pos": 292,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 290,
"text": "手足"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2015-2月因“便血6月”于外院行肠镜检查,活检病理经我院会诊确诊为“直肠中分化腺癌”。经多学科讨论,考虑患者临床分期T3N0M0,予行术前放疗加同期口服希罗达。末次放化疗时间2015-10-22。放化疗期间未见明显毒副反应。2015年12月14日在我院行直肠癌根治术(DIXONS’术式),,术后病理:(乙状结肠大体)镜检为中分化腺癌,癌组织浸润至肠壁浆膜上层;未见明确脉管内癌栓及神经束侵犯。LN 0/12(+)。,术后分期:T2N0M0 I期。术后分别于2016-01-06,01-28、2-25、3-23行XELOX方案术后辅助化疗4程。化疗后出现静脉滴注侧手臂及手足麻木。患者诉术后小便疼痛,大便次数多,8-10次/日,成形、无粘液脓血。现来院行上程化疗。患者近期精神、睡眠可,体重无明显减轻。} | |
[
{
"end_pos": 34,
"label_type": "手术",
"overlap": null,
"start_pos": 27,
"text": "远端胃癌根治术"
},
{
"end_pos": 74,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 56,
"text": "胃窦小弯溃疡型中分化腺癌伴印戒细胞癌"
},
{
"end_pos": 78,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 76,
"text": "LN"
},
{
"end_pos": 87,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 86,
"text": "胃"
},
{
"end_pos": 119,
"label_type": "影像检查",
"overlap": null,
"start_pos": 117,
"text": "CT"
},
{
"end_pos": 174,
"label_type": "药物",
"overlap": null,
"start_pos": 171,
"text": "替吉奥"
},
{
"end_pos": 194,
"label_type": "影像检查",
"overlap": null,
"start_pos": 189,
"text": "腹部,CT"
},
{
"end_pos": 246,
"label_type": "影像检查",
"overlap": null,
"start_pos": 242,
"text": "腹部CT"
},
{
"end_pos": 252,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 248,
"text": "胃癌术后"
},
{
"end_pos": 270,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 268,
"text": "肝脏"
},
{
"end_pos": 309,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 304,
"text": "CA199"
},
{
"end_pos": 321,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 316,
"text": "CA242"
},
{
"end_pos": 340,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 338,
"text": "肝脏"
},
{
"end_pos": 358,
"label_type": "药物",
"overlap": null,
"start_pos": 355,
"text": "PTX"
},
{
"end_pos": 372,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 365,
"text": "II度骨髓抑制"
},
{
"end_pos": 384,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 383,
"text": "肝"
},
{
"end_pos": 428,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 425,
"text": "WBC"
},
{
"end_pos": 444,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 441,
"text": "NE "
},
{
"end_pos": 451,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 449,
"text": "HB"
},
{
"end_pos": 484,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 481,
"text": "WBC"
},
{
"end_pos": 494,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 490,
"text": "NEUT"
},
{
"end_pos": 502,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 500,
"text": "HB"
},
{
"end_pos": 509,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 506,
"text": "PLT"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,术前新辅助FOLFOX 4CYS,2009-9-14远端胃癌根治术,术后FOLFOX 2CYS。,术后病理示:胃窦小弯溃疡型中分化腺癌伴印戒细胞癌,,LN:0/24,侵及胃壁粘膜上层,癌栓(—)切缘净 PY T1N0M0。2007因CT发现吻合口局部复发来我院行放疗,,计划:GTV55GY/CTV50GY/27F,放疗27次结束,同步口服替吉奥化疗5周,2011-10-8 腹部,CT:肿大淋巴结较前减小,原约26X26MM,现约21X15MM,余未见异常.2011-12-15,腹部CT示:胃癌术后吻合口上方不规则密度灶较前缩小,肝脏实质内新见多发大小不等结节,考虑转移。2011-12-13,肿标示:CA199 232.5,CA242 90.23.2012.1.12行肝脏穿刺,2012.1.13开始行PTX单药化疗,出现II度骨髓抑制,第8天化疗未进行。,肝穿结果:HER-2(2+),生血治疗至2012.2.1.2012.2.3,血常规:WBC 7.47X10^9/L,NE 5.54,HB 101G/L。2012.2.5行第2周期化疗,,今日查血:WBC 1.67,NEUT1.15, HB 93,PLT 82.。} | |
[
{
"end_pos": 24,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 21,
"text": "直肠癌"
},
{
"end_pos": 121,
"label_type": "药物",
"overlap": null,
"start_pos": 117,
"text": "奥沙利铂"
},
{
"end_pos": 133,
"label_type": "药物",
"overlap": null,
"start_pos": 130,
"text": "希罗达"
},
{
"end_pos": 181,
"label_type": "手术",
"overlap": null,
"start_pos": 166,
"text": "腹腔镜DIXON术+回肠造瘘术"
},
{
"end_pos": 195,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 188,
"text": "直肠中分化腺癌"
},
{
"end_pos": 224,
"label_type": "药物",
"overlap": null,
"start_pos": 220,
"text": "卡培他滨"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者因大便带血我院完善检查诊断局部进展期直肠癌,遂于2015-12-18于我院行术前同期放化疗,,剂量:GTV 50GY/25F,CTV 45GY/25F。同期2015-12-18、2015-01-08我院行XELOX方案化疗2程(奥沙利铂150MG D1+希罗达1500MG BID D1-D14),2016-03-10全麻上行腹腔镜DIXON术+回肠造瘘术,,术后病理:直肠中分化腺癌 YPT2N0M0。术后行XELOX方案化疗2程+卡培他滨单药化疗1程,现为进一步治疗入院。自起病以来,患者精神、睡眠可,食欲如常,小便正常,体重无明显上降。} | |
[
{
"end_pos": 15,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 13,
"text": "胃癌"
},
{
"end_pos": 49,
"label_type": "手术",
"overlap": null,
"start_pos": 33,
"text": "胃癌根治术\\\"(远端胃大部切除)"
},
{
"end_pos": 100,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 99,
"text": "胃"
},
{
"end_pos": 111,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 106,
"text": "低分化腺癌"
},
{
"end_pos": 207,
"label_type": "药物",
"overlap": null,
"start_pos": 205,
"text": "S1"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者3周前因在我院确诊“胃癌”于2015-09-25全麻上行\"胃癌根治术\"(远端胃大部切除),术程顺利,术后预防感染、抑制分泌、静脉营养等对症支持处理,恢复好,切口甲级愈合。,术后病理示:“(胃大体)镜检为低分化腺癌,LAUREN,分型:弥漫型,浸润至浆膜层,可见神经束侵犯,未见脉管内癌栓;网膜组织未见癌。LN+(0/36);PT3N0M0,IIA期)。”,后于10-16日行术后第一程化疗,,方案为:S1单药。化疗程中,副反应可耐受,间中复查血常规、肝肾功能结果基本正常。现为行第二程化疗收入我科。起病以来,患者精神尚可,食欲欠佳,大小便正常,身体无明显消瘦。} | |
[
{
"end_pos": 49,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 43,
"text": "PET-CT"
},
{
"end_pos": 55,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 51,
"text": "乙状结肠"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 66,
"text": "乙状结肠"
},
{
"end_pos": 79,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 77,
"text": "腺癌"
},
{
"end_pos": 98,
"label_type": "手术",
"overlap": null,
"start_pos": 92,
"text": "结肠癌根治术"
},
{
"end_pos": 110,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 106,
"text": "乙状结肠"
},
{
"end_pos": 117,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 110,
"text": ",肠系膜上动脉"
},
{
"end_pos": 123,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 119,
"text": "乙状结肠"
},
{
"end_pos": 138,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 137,
"text": "腹"
},
{
"end_pos": 160,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 154,
"text": "高中分化腺癌"
},
{
"end_pos": 164,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "肠"
},
{
"end_pos": 260,
"label_type": "药物",
"overlap": null,
"start_pos": 254,
"text": "CPT-11"
},
{
"end_pos": 264,
"label_type": "药物",
"overlap": null,
"start_pos": 261,
"text": "S-1"
},
{
"end_pos": 267,
"label_type": "药物",
"overlap": null,
"start_pos": 265,
"text": "LV"
},
{
"end_pos": 300,
"label_type": "影像检查",
"overlap": null,
"start_pos": 294,
"text": "PET-CT"
},
{
"end_pos": 303,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 301,
"text": "上腹"
},
{
"end_pos": 326,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 324,
"text": "上腹"
},
{
"end_pos": 346,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 342,
"text": "腹膜转移"
},
{
"end_pos": 384,
"label_type": "手术",
"overlap": null,
"start_pos": 360,
"text": "剖腹探查+腹腔肿物切除+阑尾切除+腹腔热灌注化疗"
},
{
"end_pos": 400,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 399,
"text": "腹"
},
{
"end_pos": 428,
"label_type": "药物",
"overlap": null,
"start_pos": 424,
"text": "5-FU"
},
{
"end_pos": 544,
"label_type": "药物",
"overlap": null,
"start_pos": 537,
"text": "AVASTIN"
},
{
"end_pos": 572,
"label_type": "药物",
"overlap": null,
"start_pos": 565,
"text": "AVASTIN"
},
{
"end_pos": 582,
"label_type": "影像检查",
"overlap": null,
"start_pos": 580,
"text": "CT"
},
{
"end_pos": 595,
"label_type": "影像检查",
"overlap": null,
"start_pos": 593,
"text": "CT"
},
{
"end_pos": 638,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 637,
"text": "胃"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2013-03开始出现便中带血,未予重视。2013-09出现排便困难,,外院查PET-CT示:乙状结肠高代谢病灶。,肠镜示:乙状结肠肿物,,病理:腺癌。于2013-10-25行结肠癌根治术,术中见肿瘤位于乙状结肠,肠系膜上动脉旁及乙状结肠系膜多个肿大淋巴结,术中未见腹腔播散。,术后病理:溃疡型肿物,高中分化腺癌,浸润肠壁全层,脂肪内见癌结节浸润,淋巴结4/7(+)。,术后分期:PT4N2M0,IIIC期。KRAS,基因突变检测:12、13密码子野生型。2013-11-13至2014-06-03行CPT-11+S-1+LV方案化疗8程,化疗评价未明。,2014-11-18复查PET-CT:上腹部大网膜局限性增厚伴多发软组织结节灶,左前上腹壁腹膜局限性增厚,代谢增高,考虑腹膜转移。后于2014-11-21行剖腹探查+腹腔肿物切除+阑尾切除+腹腔热灌注化疗,术后见大小网膜,肠系膜,壁层腹膜广泛散布结节灶新生物,部分融合成团块。术中给予5-FU腹腔热灌注治疗。术后恢复可,2014-12-31、2015-1-15、2015-2-3、2015-03-03、2015-03-20、2015-04-08、2015-04-24、2015-05-08在我院行FOLFOX+AVASTIN方案化疗8程,第一程化疗由于术后伤口未痊愈AVASTIN未使用。4程复查CT评价为SD.8程后复查CT评价为PR,化疗后出现I度乏力,I度神经毒性。今为求上阶段治疗入住我科治疗。患者精神胃纳睡眠尚可,大小便正常,体重无明显变化。} | |
[
{
"end_pos": 55,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 54,
"text": "腹"
},
{
"end_pos": 97,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 95,
"text": "腺癌"
},
{
"end_pos": 115,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 113,
"text": "腺瘤"
},
{
"end_pos": 120,
"label_type": "影像检查",
"overlap": null,
"start_pos": 116,
"text": "胸腹CT"
},
{
"end_pos": 126,
"label_type": "影像检查",
"overlap": null,
"start_pos": 121,
"text": "盆腔MRI"
},
{
"end_pos": 130,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 127,
"text": "直肠癌"
},
{
"end_pos": 145,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 142,
"text": "直肠癌"
},
{
"end_pos": 160,
"label_type": "影像检查",
"overlap": null,
"start_pos": 156,
"text": "腹盆MR"
},
{
"end_pos": 165,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "直肠"
},
{
"end_pos": 180,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 177,
"text": "直肠癌"
},
{
"end_pos": 186,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 185,
"text": "肠"
},
{
"end_pos": 200,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 198,
"text": "直肠"
},
{
"end_pos": 207,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 205,
"text": "直肠"
},
{
"end_pos": 230,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 223,
"text": "骶部皮上脂肪瘤"
},
{
"end_pos": 235,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 231,
"text": "两肾囊肿"
},
{
"end_pos": 238,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 236,
"text": "肝脏"
},
{
"end_pos": 266,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 258,
"text": "管状-绒毛状腺瘤"
},
{
"end_pos": 288,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 287,
"text": "肠"
},
{
"end_pos": 295,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 293,
"text": "直肠"
},
{
"end_pos": 332,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 329,
"text": "直肠癌"
},
{
"end_pos": 474,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 471,
"text": "直肠癌"
},
{
"end_pos": 499,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 497,
"text": "骶部"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2015年2月无明显诱因出现大便带鲜血,量少,伴大便次数增加至2-3次/天,大便成形,偶有里急后重。无腹痛、恶心、发热等不适。外院肠镜检查提示距肛门6CM肿物,肠镜能通过,活检病理提示腺癌;另见距肛18CM息肉,活检病理腺瘤。胸腹CT、盆腔MRI示直肠癌,未见远处转移。门诊以“直肠癌”收入结直肠二区,,行腹盆MR提示:直肠下段肠壁不规则增厚,符和直肠癌。病变浸润肠壁全层,并呈索条样突出于直肠系膜内,与直肠系膜筋膜分界不清,环周切缘阳性。骶部皮上脂肪瘤。两肾囊肿。肝脏未见明显病变。,我院病理会诊提示:镜检为管状-绒毛状腺瘤,腺下皮呈中至重度非典型增生。考虑病变浸润肠壁全层,与直肠系膜筋膜分界不清,环周切缘阳性,直接手术后复发转移风险较大,符合术前直肠癌放化疗指征,于2015-05-25,2015-06-18分别行XELOX方案化疗,于2015-06-24给予同步放化疗,PTV1 50GY,PTV2 45GY,2015-07-15给予XELOX方案同步化疗,2015-07-31放疗结束,无特别不适反应。现为行上一程化疗,门诊以直肠癌收入我科。起病以来,无发热、咳嗽、身目黄染,无骶部痛等,精神可,纳眠可,小便无异常,体重上降6公斤。} | |
[
{
"end_pos": 16,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 15,
"text": "腹"
},
{
"end_pos": 31,
"label_type": "手术",
"overlap": null,
"start_pos": 22,
"text": "腹腔镜检查+活检术"
},
{
"end_pos": 51,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 38,
"text": "卵巢低分化浆乳癌IIIC期"
},
{
"end_pos": 57,
"label_type": "药物",
"overlap": null,
"start_pos": 54,
"text": "紫杉醇"
},
{
"end_pos": 60,
"label_type": "药物",
"overlap": null,
"start_pos": 58,
"text": "卡铂"
},
{
"end_pos": 83,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 75,
"text": "右侧颈内静脉血栓"
},
{
"end_pos": 91,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 87,
"text": "下腔静脉"
},
{
"end_pos": 130,
"label_type": "手术",
"overlap": null,
"start_pos": 107,
"text": "开腹探查+全宫两附件大网膜切除+肿瘤细胞减灭术"
},
{
"end_pos": 146,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 138,
"text": "卵巢低分化浆乳癌"
},
{
"end_pos": 153,
"label_type": "药物",
"overlap": null,
"start_pos": 150,
"text": "紫杉醇"
},
{
"end_pos": 156,
"label_type": "药物",
"overlap": null,
"start_pos": 154,
"text": "卡铂"
},
{
"end_pos": 209,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 204,
"text": "CA125"
},
{
"end_pos": 226,
"label_type": "影像检查",
"overlap": null,
"start_pos": 221,
"text": "腹盆腔CT"
},
{
"end_pos": 229,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 228,
"text": "肠"
},
{
"end_pos": 252,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 251,
"text": "腹"
},
{
"end_pos": 265,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 264,
"text": "肝"
},
{
"end_pos": 266,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 265,
"text": "脾"
},
{
"end_pos": 289,
"label_type": "药物",
"overlap": null,
"start_pos": 286,
"text": "紫杉醇"
},
{
"end_pos": 296,
"label_type": "药物",
"overlap": null,
"start_pos": 294,
"text": "卡铂"
},
{
"end_pos": 344,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 339,
"text": "CA125"
},
{
"end_pos": 353,
"label_type": "影像检查",
"overlap": null,
"start_pos": 348,
"text": "腹盆腔CT"
},
{
"end_pos": 356,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 355,
"text": "肠"
},
{
"end_pos": 376,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 375,
"text": "腹"
},
{
"end_pos": 388,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 384,
"text": "盆腔积液"
},
{
"end_pos": 394,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 393,
"text": "肝"
},
{
"end_pos": 403,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 402,
"text": "脾"
},
{
"end_pos": 420,
"label_type": "药物",
"overlap": null,
"start_pos": 416,
"text": "依托伯苷"
},
{
"end_pos": 439,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 434,
"text": "CA125"
},
{
"end_pos": 451,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 446,
"text": "CA125"
},
{
"end_pos": 481,
"label_type": "药物",
"overlap": null,
"start_pos": 474,
"text": "多柔比星脂质体"
},
{
"end_pos": 496,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 490,
"text": "癌抗原125"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2011-2-22因“腹胀”在我院行腹腔镜检查+活检术,,术后诊断:卵巢低分化浆乳癌IIIC期。遂行紫杉醇+卡铂新辅助化疗3程(2011-3因右侧颈内静脉血栓形成进行下腔静脉静脉滤器);于2011-6-7行开腹探查+全宫两附件大网膜切除+肿瘤细胞减灭术,,术后病理示:卵巢低分化浆乳癌。术后行紫杉醇+卡铂辅助化疗6程,,末次化疗日期:2011-9-29。后随诊未见明确异常。,2012-8-1外院复查CA125:140U/ML,,我院腹盆腔CT示:肠系膜密度增高,多发淋巴结较前增多、增大,左侧腹膜结节状增厚,考虑转移;肝脾内新见结节,考虑转移。遂诊为肿瘤复发,行紫杉醇(周疗)+卡铂化疗共6程,末次化疗日期2013-1-18。后随诊未见明确异常。于2013-8再次出现CA125升高,,腹盆腔CT示:肠系膜密度较前略增高,多发结节较前增大,腹膜增厚较前加重,盆腔积液较前增多;肝内结节大致同前,脾内结节较前增大。考虑复发予依托伯苷口服化疗2程,肿瘤控制欠佳,CA125持续升高,现,CA125:156.3U/ML,于2013-10-15行多柔比星脂质体60MG单药化疗,癌抗原125 250.5(U/ML),拟进一步化疗入院。患者自发病以来精神睡眠食欲尚好,小便如常,大便如下述,体重无明显改变。} | |
[
{
"end_pos": 7,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 1,
"text": "升结肠癌术后"
},
{
"end_pos": 18,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 11,
"text": "吻合口复发术后"
},
{
"end_pos": 32,
"label_type": "手术",
"overlap": null,
"start_pos": 25,
"text": "左半结肠切除术"
},
{
"end_pos": 51,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 39,
"text": "左半结肠腺癌浸润肠壁全层"
},
{
"end_pos": 89,
"label_type": "影像检查",
"overlap": null,
"start_pos": 83,
"text": "PET-CT"
},
{
"end_pos": 106,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 91,
"text": "结肠癌术后复发伴肠系淋巴结转移"
},
{
"end_pos": 124,
"label_type": "手术",
"overlap": null,
"start_pos": 117,
"text": "左半结肠切除术"
},
{
"end_pos": 141,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 131,
"text": "溃疡型管状乳头状腺癌"
},
{
"end_pos": 180,
"label_type": "药物",
"overlap": null,
"start_pos": 176,
"text": "伊立替康"
},
{
"end_pos": 183,
"label_type": "药物",
"overlap": null,
"start_pos": 181,
"text": "S1"
},
{
"end_pos": 200,
"label_type": "药物",
"overlap": null,
"start_pos": 197,
"text": "泰欣生"
},
{
"end_pos": 205,
"label_type": "药物",
"overlap": null,
"start_pos": 201,
"text": "伊立替康"
},
{
"end_pos": 208,
"label_type": "药物",
"overlap": null,
"start_pos": 206,
"text": "S1"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,升结肠癌术后2年余,吻合口复发术后。2012年行左半结肠切除术,,术后病理:左半结肠腺癌浸润肠壁全层,淋巴结1/9,术后给予化疗6周期具体用药不详。2014-1复查PET-CT提示结肠癌术后复发伴肠系淋巴结转移。2014-1-22行左半结肠切除术,,术后病理:溃疡型管状乳头状腺癌,中-低分化伴坏死,累及全层达外膜脂肪结缔组织。2014-2-27予以伊立替康+S1化疗,2014-4-22予以泰欣生+伊立替康+S1化疗。} | |
[
{
"end_pos": 16,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 15,
"text": "舌"
},
{
"end_pos": 44,
"label_type": "手术",
"overlap": null,
"start_pos": 36,
"text": "右舌侧缘肿物切除"
},
{
"end_pos": 67,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 52,
"text": "右舌非霍奇金氏淋巴瘤 IIA期"
},
{
"end_pos": 70,
"label_type": "影像检查",
"overlap": null,
"start_pos": 68,
"text": "CT"
},
{
"end_pos": 117,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 115,
"text": "纵隔"
},
{
"end_pos": 138,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 135,
"text": "两锁下"
},
{
"end_pos": 171,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 169,
"text": "会厌"
},
{
"end_pos": 187,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 179,
"text": "非霍奇金氏淋巴瘤"
},
{
"end_pos": 207,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 206,
"text": "颈"
},
{
"end_pos": 234,
"label_type": "药物",
"overlap": null,
"start_pos": 231,
"text": "CTX"
},
{
"end_pos": 240,
"label_type": "药物",
"overlap": null,
"start_pos": 235,
"text": "VP-16"
},
{
"end_pos": 244,
"label_type": "药物",
"overlap": null,
"start_pos": 241,
"text": "VCR"
},
{
"end_pos": 249,
"label_type": "药物",
"overlap": null,
"start_pos": 245,
"text": "ARAC"
},
{
"end_pos": 310,
"label_type": "影像检查",
"overlap": null,
"start_pos": 303,
"text": "PET/,CT"
},
{
"end_pos": 316,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 311,
"text": "胸中段食管"
},
{
"end_pos": 327,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 325,
"text": "左肺"
},
{
"end_pos": 346,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 343,
"text": "两下肺"
},
{
"end_pos": 379,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 370,
"text": "食管中至低分化鳞癌"
},
{
"end_pos": 401,
"label_type": "药物",
"overlap": null,
"start_pos": 397,
"text": "C225"
},
{
"end_pos": 405,
"label_type": "药物",
"overlap": null,
"start_pos": 402,
"text": "奈达铂"
},
{
"end_pos": 412,
"label_type": "药物",
"overlap": null,
"start_pos": 406,
"text": "白蛋白紫杉醇"
},
{
"end_pos": 431,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 428,
"text": "头面部"
},
{
"end_pos": 434,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 432,
"text": "背部"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于1991年8月初发现右舌侧缘肿物。2012.8.15在**二院行右舌侧缘肿物切除,,术后病理示:右舌非霍奇金氏淋巴瘤 IIA期。CT示全身其余部位未见异常。术后行CHOP方案化疗六程。化疗后于1992.1.24~2.28行纵隔放疗 DT40GY/20次/34天,两锁下放疗DT36GY/18次/32天。1996年2月出现声嘶,发现会厌结节,活检病理示非霍奇金氏淋巴瘤,遂于1996.3.4~4.9行两侧下颈部放疗,DT52GY/26次/37天。放疗后行“CTX+VP-16+VCR+ARAC”方案化疗四程,过程顺利。随后定期复查。2012年8月初出现吞咽不畅伴咳嗽,少痰,无发热。2012.9.13PET/,CT:胸中段食管管壁增厚代谢活跃,左肺多发结节代谢活跃,考虑恶性病变。两下肺纤维增殖灶。2012.9.14,胃镜活检病理示:食管中至低分化鳞癌。于2012.9.21~9.22行“C225+奈达铂+白蛋白紫杉醇”化疗一程,过程顺利。目前患者诉头面部、背部多发皮疹,部分有脓点。现为进一步治疗入院。自起病以来,患者精神、睡眠可,食欲如常,大小便正常,体重无上降。} | |
[
{
"end_pos": 26,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 23,
"text": "右髋部"
},
{
"end_pos": 38,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 35,
"text": "髋关节"
},
{
"end_pos": 41,
"label_type": "影像检查",
"overlap": null,
"start_pos": 39,
"text": "CT"
},
{
"end_pos": 48,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 44,
"text": "右侧髂骨"
},
{
"end_pos": 51,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 49,
"text": "耻骨"
},
{
"end_pos": 54,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 53,
"text": "骨"
},
{
"end_pos": 71,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 66,
"text": "骨盆MRI"
},
{
"end_pos": 80,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 73,
"text": "右侧髂骨、髋臼"
},
{
"end_pos": 104,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 95,
"text": "右侧髋臼病理性骨折"
},
{
"end_pos": 115,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 112,
"text": "淋巴瘤"
},
{
"end_pos": 129,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 122,
"text": "小圆细胞性肿瘤"
},
{
"end_pos": 141,
"label_type": "影像检查",
"overlap": null,
"start_pos": 136,
"text": "胸部,CT"
},
{
"end_pos": 146,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 144,
"text": "两肺"
},
{
"end_pos": 163,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 160,
"text": "左颈部"
},
{
"end_pos": 184,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 182,
"text": "纵隔"
},
{
"end_pos": 201,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 196,
"text": "食管中段癌"
},
{
"end_pos": 211,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 202,
"text": "胃窦溃疡(A1期)"
},
{
"end_pos": 222,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 212,
"text": "幽门管溃疡(H2期)"
},
{
"end_pos": 230,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 223,
"text": "慢性萎缩性胃炎"
},
{
"end_pos": 255,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 253,
"text": "门齿"
},
{
"end_pos": 273,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 263,
"text": "食管低分化鳞状细胞癌"
},
{
"end_pos": 286,
"label_type": "手术",
"overlap": null,
"start_pos": 275,
"text": "左颈部淋巴结穿刺活检术"
},
{
"end_pos": 308,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 306,
"text": "左颈"
},
{
"end_pos": 353,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 342,
"text": "转移性低分化鳞状细胞癌"
},
{
"end_pos": 455,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 445,
"text": "食管癌伴全身多发转移"
},
{
"end_pos": 522,
"label_type": "药物",
"overlap": null,
"start_pos": 520,
"text": "顺铂"
},
{
"end_pos": 539,
"label_type": "药物",
"overlap": null,
"start_pos": 536,
"text": "紫杉醇"
},
{
"end_pos": 564,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 563,
"text": "胃"
},
{
"end_pos": 567,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 566,
"text": "肝"
},
{
"end_pos": 614,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 611,
"text": "食管癌"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,缘于入院前1月余(2015.06.25)因“右髋部疼痛”就诊我院,查髋关节,CT:1、右侧髂骨、耻骨多发骨质破坏,考虑恶性病变。,骨盆MRI示:右侧髂骨、髋臼及其周围软组织内浸润性病变,并右侧髋臼病理性骨折,为恶性肿瘤,以淋巴瘤可能性大,其它小圆细胞性肿瘤或转移瘤待除。胸部,CT:1、两肺多发结节影,考虑转移瘤。2、左颈部软组织肿块影,考虑淋巴结转移可能。3、纵隔内多发淋巴结影。,胃镜:食管中段癌,胃窦溃疡(A1期),幽门管溃疡(H2期),慢性萎缩性胃炎。胃镜病理(病理号201524440),:(距门齿25-30CM)食管低分化鳞状细胞癌。行左颈部淋巴结穿刺活检术,术后病理(2015.07.01),:(左颈)送检少量穿刺组织,镜上示间质见恶性肿瘤细胞巢,结合免疫组化结果考虑转移性低分化鳞状细胞癌。,免疫组化结果:TTF-1(-),NAPSIN-A(-),CK18(++),KI67(40%),CK5/6(+++),P63(+++),SY(-),CGA(-),CD56(-)。诊断食管癌伴全身多发转移,转入我科,完善相关检查,未见明显化疗禁忌症,于2015.07.03、2015.07.24行姑息一线第1、2周期全身化疗,,方案:顺铂40MGIVGTTD1-3+紫杉醇210MGIVGTTD1Q3W。辅予止吐、制酸保胃、保肝、碱化及水化等处理,过程顺利,现化疗间歇已足,患者无诉特殊不适,今为进一步治疗,门诊拟“食管癌”收住本科。发病以来饮食、睡眠、精神可,大小便正常,体重未见明显增减。} | |
[
{
"end_pos": 21,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 14,
"text": "左肝原发性肝癌"
},
{
"end_pos": 54,
"label_type": "手术",
"overlap": null,
"start_pos": 38,
"text": "腹腔镜上左肝肿物切除+胆囊切除术"
},
{
"end_pos": 67,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 59,
"text": "左肝叶第六、七段"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 69,
"text": "肝"
},
{
"end_pos": 78,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 75,
"text": "胆总管"
},
{
"end_pos": 84,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 82,
"text": "胆囊"
},
{
"end_pos": 103,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 101,
"text": "胆囊"
},
{
"end_pos": 159,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 150,
"text": "原发性高分化左肝癌"
},
{
"end_pos": 170,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 160,
"text": "胆囊结石伴慢性胆囊炎"
},
{
"end_pos": 201,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 200,
"text": "腹"
},
{
"end_pos": 204,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 203,
"text": "腹"
},
{
"end_pos": 229,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 224,
"text": "CA199"
},
{
"end_pos": 243,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 239,
"text": "癌胚抗原"
},
{
"end_pos": 257,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 253,
"text": "甲胎蛋白"
},
{
"end_pos": 287,
"label_type": "手术",
"overlap": null,
"start_pos": 283,
"text": "TACE"
},
{
"end_pos": 320,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 313,
"text": "原发性肝癌术后"
},
{
"end_pos": 379,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 375,
"text": "肝癌术后"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,缘于3个月前于我院诊断为“左肝原发性肝癌”,于2013-10-1在我院行“腹腔镜上左肝肿物切除+胆囊切除术”,术中见左肝叶第六、七段处见肝表面隆起,胆总管无扩张,胆囊约5.0×3.0×3.0CM大小,胆囊底部见腺瘤样隆起,与邻近组织稍粘连,切除后,组织送病理检查.术后病理(201331653),:原发性高分化左肝癌,胆囊结石伴慢性胆囊炎。术顺,术后无明显不适。出院后无发热、寒战,无恶心、呕吐,无腹痛、腹胀。后于入院前1个月余,返院复查,,查:CA19910.94U/ML,癌胚抗原1.81NG/ML,甲胎蛋白定量1.96NG/ML,后于2013年11月20日行TACE治疗,选择行肝动脉造影+,介入治疗:1.造影所见符合原发性肝癌术后;2.第1次介入治疗术,建议随诊复查。手术过程顺利,无不良反应。术后恢复良好。今为再次复查,复诊我院,门诊拟“肝癌术后”术后至今,睡眠可,精神可,食欲可,大小便正常,体重无明显改变。} | |
[
{
"end_pos": 28,
"label_type": "手术",
"overlap": null,
"start_pos": 14,
"text": "食管癌根治及食管胃右颈吻合术"
},
{
"end_pos": 45,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 36,
"text": "中低分化鳞状细胞癌"
},
{
"end_pos": 116,
"label_type": "影像检查",
"overlap": null,
"start_pos": 114,
"text": "CT"
},
{
"end_pos": 123,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 118,
"text": "食管癌术后"
},
{
"end_pos": 136,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 134,
"text": "两肺"
},
{
"end_pos": 154,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 149,
"text": "左上肺不张"
},
{
"end_pos": 167,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 163,
"text": "胸腔积液"
},
{
"end_pos": 176,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 175,
"text": "胸"
},
{
"end_pos": 190,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 183,
"text": "肝S2、4、6"
},
{
"end_pos": 205,
"label_type": "药物",
"overlap": null,
"start_pos": 202,
"text": "力朴素"
},
{
"end_pos": 209,
"label_type": "药物",
"overlap": null,
"start_pos": 206,
"text": "DDP"
},
{
"end_pos": 215,
"label_type": "药物",
"overlap": null,
"start_pos": 212,
"text": "力扑素"
},
{
"end_pos": 221,
"label_type": "药物",
"overlap": null,
"start_pos": 218,
"text": "奈达铂"
},
{
"end_pos": 225,
"label_type": "药物",
"overlap": null,
"start_pos": 223,
"text": "恩度"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,2010-9-21于我院行食管癌根治及食管胃右颈吻合术,,术后病理示:中低分化鳞状细胞癌,分期PT1BN1M0 IIB期。2011年10月出现声嘶,考虑局部复发,于2011-12-2在我院行放射治疗。2012-03-13,我院CT示:食管癌术后,吻合口未见明确肿物,两肺多发结节,较前增大、增多;左上肺不张并团块影,两侧少量胸腔积液,左侧明显,左侧胸膜不均匀增厚,肝S2、4、6多发结节,考虑转移。行“力朴素+DDP”及“力扑素 + 奈达铂+ 恩度”方案化疗4程,今遵主诊教授意见行上一程化疗。近1月,患者精神、饮食睡眠可,大小便正常,体重无减轻。} | |
[
{
"end_pos": 23,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 22,
"text": "腹"
},
{
"end_pos": 120,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 119,
"text": "肠"
},
{
"end_pos": 126,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 125,
"text": "肠"
},
{
"end_pos": 146,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 144,
"text": "盲肠"
},
{
"end_pos": 164,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "肠"
},
{
"end_pos": 171,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 170,
"text": "肠"
},
{
"end_pos": 333,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 323,
"text": "管状腺瘤伴下皮内瘤变"
},
{
"end_pos": 349,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 347,
"text": "腺癌"
},
{
"end_pos": 369,
"label_type": "影像检查",
"overlap": null,
"start_pos": 363,
"text": "腹部盆腔CT"
},
{
"end_pos": 379,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 371,
"text": "直肠乙状结肠交界"
},
{
"end_pos": 398,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 395,
"text": "AFP"
},
{
"end_pos": 402,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 399,
"text": "CEA"
},
{
"end_pos": 409,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 403,
"text": "CA19-9"
},
{
"end_pos": 456,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 455,
"text": "胃"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者今年年初自觉有便秘,且持续未缓解,不伴腹痛,无里急后重,自诉有时2次/天,有时1次/2-3天,大便颜色正常,大便成形,质硬,成球状,无便血,未予重视;后逐渐发现便血,且便秘持续至今,,遂于2012-11-17至我院门诊行肠镜检查见:肠道准备差,肠腔见大量粪质,影响观察,结肠镜检查至盲肠,距肛缘15CM可见菜花样肿块,占肠腔一圈,局部肠腔狭窄,勉强进镜。距肛缘60-70CM见0.8-1.0CM息肉4枚,距肛缘60CM处较大一枚予活检1块。距肛缘35CM见一枚大小约0.7CM息肉,其旁见一枚长蒂息肉,大小约1.2CM息肉,予活检1块;距肛缘12CM处另见一枚大小约0.5CM息肉。,肛指:未及肿块。,病理回示:(距肛缘60CM、35CM)管状腺瘤伴下皮内瘤变,低级别;(距肛缘15CM)腺癌,分化II级。11-30,行腹部盆腔CT示:直肠乙状结肠交界处改变,MT可能大。查肿瘤标志物AFP、CEA、CA19-9未见异常,现为求手术治疗收入我科。患者自诉既往亦有便秘,但持续时间不长;患者自发病以来精神、胃纳可,小便无异常,体重减轻5-6斤。} | |
[
{
"end_pos": 8,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 1,
"text": "结肠癌切除术后"
},
{
"end_pos": 36,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 35,
"text": "腹"
},
{
"end_pos": 44,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 43,
"text": "腹"
},
{
"end_pos": 52,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 48,
"text": "左肾囊肿"
},
{
"end_pos": 57,
"label_type": "影像检查",
"overlap": null,
"start_pos": 53,
"text": "胸,CT"
},
{
"end_pos": 64,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 58,
"text": "胸上段食管癌"
},
{
"end_pos": 74,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 65,
"text": "胃周多发淋巴结转移"
},
{
"end_pos": 86,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 75,
"text": "纵膈7,8组淋巴结转移"
},
{
"end_pos": 90,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 87,
"text": "左中叶"
},
{
"end_pos": 104,
"label_type": "影像检查",
"overlap": null,
"start_pos": 99,
"text": "消化道造影"
},
{
"end_pos": 113,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 105,
"text": "食道胸上段及腹段"
},
{
"end_pos": 121,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 118,
"text": "食管癌"
},
{
"end_pos": 132,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 130,
"text": "食管"
},
{
"end_pos": 150,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 144,
"text": "食管胃结合部"
},
{
"end_pos": 160,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 158,
"text": "门齿"
},
{
"end_pos": 183,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 175,
"text": "中分化鳞状细胞癌"
},
{
"end_pos": 191,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 188,
"text": "SCC"
},
{
"end_pos": 205,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 195,
"text": " CYFRA21-1"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,结肠癌切除术后近1年(术中,术后病理不详)术后未行化疗。2月前无诱因腹胀,就诊我院行腹部,C:左肾囊肿。胸,CT:胸上段食管癌,胃周多发淋巴结转移;纵膈7,8组淋巴结转移。左中叶微小结节,转移?,消化道造影:食道胸上段及腹段占位,考虑食管癌可能性大。,胃镜:食管上端溃疡隆起性肿物,侵及食管胃结合部。,活检病理:距门齿35-42CM肿物(活检),:中分化鳞状细胞癌。,肿标:SCC14.7 CYFRA21-1 16.2.目前饮食睡眠可,大小便正常。体重减轻5KG。2015-1-15行第3周期TP方案化疗。} | |
[
{
"end_pos": 52,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 49,
"text": "上腹部"
},
{
"end_pos": 89,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 86,
"text": "白细胞"
},
{
"end_pos": 93,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 90,
"text": "红细胞"
},
{
"end_pos": 106,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 102,
"text": "乙状结肠"
},
{
"end_pos": 137,
"label_type": "影像检查",
"overlap": null,
"start_pos": 135,
"text": "超声"
},
{
"end_pos": 149,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 147,
"text": "肛门"
},
{
"end_pos": 158,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 156,
"text": "膀胱"
},
{
"end_pos": 170,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 169,
"text": "肠"
},
{
"end_pos": 178,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 176,
"text": "膀胱"
},
{
"end_pos": 183,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 181,
"text": "直肠"
},
{
"end_pos": 201,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 199,
"text": "肛门"
},
{
"end_pos": 208,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 206,
"text": "直肠"
},
{
"end_pos": 219,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 209,
"text": "直肠-乙状结肠交界处"
},
{
"end_pos": 229,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 228,
"text": "肠"
},
{
"end_pos": 267,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 262,
"text": "中分化腺癌"
},
{
"end_pos": 289,
"label_type": "手术",
"overlap": null,
"start_pos": 280,
"text": "乙状结肠两腔造瘘术"
},
{
"end_pos": 302,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 298,
"text": "乙状结肠"
},
{
"end_pos": 311,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 309,
"text": "骶前"
},
{
"end_pos": 341,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 339,
"text": "结肠"
},
{
"end_pos": 432,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 431,
"text": "胃"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2月前无明显诱因出现大便带鲜血和粘液,量少,伴大便次数增加至10次/天,稀烂,无里急后重。伴上腹部胀痛,无恶心、发热等不适。1周前出现肉眼血尿1次,到外院查尿常规提示白细胞、红细胞阳性,肠镜检查提示乙状结肠肿物,未见报告,病理未见癌。遂于2014-10-9在我院行超声肠镜检查示“进镜至距肛门约14CM处见膀胱内不均质低回声,部分与肠壁分界不清。膀胱肿物与直肠分界不清”。,肠镜病理提示:(距肛门口约5CM直肠至直肠-乙状结肠交界处肿物活检),镜上:肠粘膜慢性炎伴腺体增生,小灶腺体呈轻度不典型增生。,膀胱镜病理提示:中分化腺癌。于10月16日全麻上行“乙状结肠两腔造瘘术”,术中见肿瘤位于乙状结肠,肿瘤巨大,与骶前,盆底壁粘连紧密,质硬,固定,大小约15CM×20CM,结肠可见梗阻扩张。术后10-23行XELOX方案化疗1程,11-13行第二程XELOX方案化疗,并行同期放疗(GTV50GY/25F CTV45GY/25F)过程顺利。起病以来无发热,胃纳可,睡眠一般,小便正常,体重上降10公斤。} | |
[
{
"end_pos": 77,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 75,
"text": "门齿"
},
{
"end_pos": 98,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 95,
"text": "食管癌"
},
{
"end_pos": 119,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 117,
"text": "食管"
},
{
"end_pos": 122,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 120,
"text": "门齿"
},
{
"end_pos": 137,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 129,
"text": "中分化鳞状细胞癌"
},
{
"end_pos": 140,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 138,
"text": "食管"
},
{
"end_pos": 143,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 141,
"text": "门齿"
},
{
"end_pos": 173,
"label_type": "影像检查",
"overlap": null,
"start_pos": 171,
"text": "CT"
},
{
"end_pos": 181,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 174,
"text": "胸中上段段食管"
},
{
"end_pos": 183,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 181,
"text": "食管"
},
{
"end_pos": 193,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 190,
"text": "食管癌"
},
{
"end_pos": 212,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 209,
"text": "门静脉"
},
{
"end_pos": 218,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 213,
"text": "门静脉主干"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者于2014年8月中旬开始出现进食哽噎感,无恶心、呕吐,进食流质后好转,当时未予重视,后哽噎感呈进行性加重,2014-11-19行电子胃镜检查提示距门齿31-37CM见环腔生长菜花样肿物,食管癌可能,活检病理经我院病理科会诊意见为:食管距门齿33CM镜检为中分化鳞状细胞癌,食管距门齿42CM镜上见鳞状下皮增生及轻度不典型增生,未见癌。我院CT示胸中上段段食管食管壁壁增厚,符合食管癌,并全身多发淋巴结转移,可疑侵犯门静脉,门静脉主干内充盈缺损灶,考虑血栓与癌栓鉴别,分期CTXNXM1,IV期。2014-12-12在我院行TPF方案化疗1程,过程顺利,现为求进一步治疗入院,现仍有吞咽哽噎感,较前改善不明显,一般情况可,流质饮食,食欲、睡眠一般,大小便正常,体重较前上降约4KG。} | |
[
{
"end_pos": 11,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 10,
"text": "腹"
},
{
"end_pos": 33,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 28,
"text": "CA125"
},
{
"end_pos": 62,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 60,
"text": "卵巢"
},
{
"end_pos": 76,
"label_type": "药物",
"overlap": null,
"start_pos": 72,
"text": "多西他赛"
},
{
"end_pos": 79,
"label_type": "药物",
"overlap": null,
"start_pos": 77,
"text": "卡铂"
},
{
"end_pos": 83,
"label_type": "药物",
"overlap": null,
"start_pos": 80,
"text": "干扰素"
},
{
"end_pos": 87,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 86,
"text": "腹"
},
{
"end_pos": 132,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 118,
"text": "全子宫、两侧卵巢输卵管切除术"
},
{
"end_pos": 171,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 160,
"text": "卵巢浆液性乳头状囊腺癌"
},
{
"end_pos": 192,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 176,
"text": "卵巢浆液性乳头状囊腺癌IIIC期"
},
{
"end_pos": 196,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 193,
"text": "两卵巢"
},
{
"end_pos": 199,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 197,
"text": "子宫"
},
{
"end_pos": 205,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 204,
"text": "肠"
},
{
"end_pos": 209,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 208,
"text": "腹"
},
{
"end_pos": 211,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 210,
"text": "腹"
},
{
"end_pos": 229,
"label_type": "药物",
"overlap": null,
"start_pos": 225,
"text": "多西他赛"
},
{
"end_pos": 232,
"label_type": "药物",
"overlap": null,
"start_pos": 230,
"text": "卡铂"
},
{
"end_pos": 251,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 249,
"text": "阴道"
},
{
"end_pos": 275,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 274,
"text": "腹"
},
{
"end_pos": 290,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 286,
"text": "右侧颈部"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者约2个月前因“腹胀2个月,加重10天”入我科;血,CA125:799U/ML;行大网膜穿刺活检病理为“转移癌,注意卵巢来源”。于8月1日行多西他赛+卡铂+干扰素静脉、腹腔联合化疗,过程顺利,化疗副反应轻微。于2011年8月30日行全子宫、两侧卵巢输卵管切除术。手术残留病灶>2CM,预后差。病理(422783),:卵巢浆液性乳头状囊腺癌。,诊断:卵巢浆液性乳头状囊腺癌IIIC期(两卵巢、子宫、大网膜、肠管、盆腹腔腹膜)。于2011年9月5日行多西他赛+卡铂静脉联合方案化疗。末次化疗出院后,阴道排出清亮液体,持续4-5日后明显减少,阵发性。腹胀缓解。约10天前自于右侧颈部触及约卵黄大及蚕豆大小结节,质硬,无明显触痛。饮食、睡眠、精神欠佳,二便正常,体重无明显上降。} | |
[
{
"end_pos": 26,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 24,
"text": "胃癌"
},
{
"end_pos": 48,
"label_type": "手术",
"overlap": null,
"start_pos": 43,
"text": "胃癌根治术"
},
{
"end_pos": 66,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 60,
"text": "胃低分化腺癌"
},
{
"end_pos": 74,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 69,
"text": "印戒细胞癌"
},
{
"end_pos": 104,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 100,
"text": "腺癌转移"
},
{
"end_pos": 223,
"label_type": "影像检查",
"overlap": null,
"start_pos": 221,
"text": "CT"
},
{
"end_pos": 228,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 224,
"text": "胃癌术后"
},
{
"end_pos": 242,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 239,
"text": "右下肺"
},
{
"end_pos": 256,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 250,
"text": "肝S7、S3"
},
{
"end_pos": 268,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 266,
"text": "盆腔"
},
{
"end_pos": 283,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 277,
"text": "盆底少量积液"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2012年9月20日体检行胃镜检查,诊断胃癌,于2012-9-29在**二院行胃癌根治术,,术后病理我院会诊示:胃低分化腺癌,部分印戒细胞癌,可见脉管内瘤栓,浸润深肌层;送检淋巴结27/56见腺癌转移。原单位,IHC:HER2(1+),VILLIN(+),CDX2(+/-),KI67(25%),P53(-),TOP02(15%+),CK(+),CD34血管(+),D2-40淋巴管(+),CEA(+),EGFR(+/-).术后我院,CT:胃癌术后,吻合口未见明确肿物;右下肺少许纤维增殖灶;肝S7、S3低密度区,考虑囊肿;盆腔未见明确占位病变,盆底少量积液。至我可就诊,于2012-10-26、11-20、12-11、2013-1-8给予SOX方案化疗4程,过程顺利无不适。病程中精神饮食好睡眠尚可,二便正常,否认恶心呕吐、食欲不振、返酸等不适,自下次出院至今体重未见明显减轻。} | |
[
{
"end_pos": 14,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 11,
"text": "CEA"
},
{
"end_pos": 27,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 20,
"text": "升结肠癌肺转移"
},
{
"end_pos": 48,
"label_type": "手术",
"overlap": null,
"start_pos": 41,
"text": "左半结肠切除术"
},
{
"end_pos": 59,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 54,
"text": "中分化腺癌"
},
{
"end_pos": 99,
"label_type": "药物",
"overlap": null,
"start_pos": 95,
"text": "C225"
},
{
"end_pos": 130,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 129,
"text": "肝"
},
{
"end_pos": 139,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 138,
"text": "肝"
},
{
"end_pos": 165,
"label_type": "药物",
"overlap": null,
"start_pos": 159,
"text": "XELODA"
},
{
"end_pos": 179,
"label_type": "影像检查",
"overlap": null,
"start_pos": 177,
"text": "CT"
},
{
"end_pos": 196,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 191,
"text": "两肺转移瘤"
},
{
"end_pos": 262,
"label_type": "药物",
"overlap": null,
"start_pos": 259,
"text": "S-1"
},
{
"end_pos": 282,
"label_type": "影像检查",
"overlap": null,
"start_pos": 280,
"text": "CT"
},
{
"end_pos": 287,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 283,
"text": "两肺转移"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者于2009.11因CEA升高检查发现升结肠癌肺转移,2009.12.2于我院行左半结肠切除术,术后病理:中分化腺癌,PT4N0M1,术后恢复可,2009.12.25始予以FOLFIRI+C225化疗12次,末次化疗2010.7.16,化疗过程顺利,曾出现肝功能轻度受损,护肝治疗后好转。后于2011-10-25起行XELODA单药维持6程。6程后复查CT(2011-4-14)示两肺转移瘤较前进展,结直肠科多学科会诊意见考虑暂时不建议强烈化疗,可口服化疗,若病灶进展,可行进一步强烈化疗。遂于2011-4-28起行S-1口服治疗至今,2011-8-18复查CT示两肺转移灶稍增大。2011-9-1、9-22行XELOX方案化疗2程,过程顺利,现为行进一步治疗入院。近来一般情况良好,精神佳,饮食睡眠好,体重无明显上降。} | |
[
{
"end_pos": 16,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 15,
"text": "脐"
},
{
"end_pos": 31,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 30,
"text": "腹"
},
{
"end_pos": 83,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 74,
"text": "慢性浅表萎缩性胃炎"
},
{
"end_pos": 89,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 84,
"text": "胃多发息肉"
},
{
"end_pos": 94,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 90,
"text": "胃黄斑瘤"
},
{
"end_pos": 101,
"label_type": "影像检查",
"overlap": null,
"start_pos": 97,
"text": "腹部CT"
},
{
"end_pos": 108,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 105,
"text": "回盲部"
},
{
"end_pos": 112,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 109,
"text": "升结肠"
},
{
"end_pos": 115,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 114,
"text": "肠"
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 131,
"text": "结肠癌"
},
{
"end_pos": 142,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 139,
"text": "淋巴瘤"
},
{
"end_pos": 154,
"label_type": "影像检查",
"overlap": null,
"start_pos": 152,
"text": "CT"
},
{
"end_pos": 164,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "腹"
},
{
"end_pos": 179,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 178,
"text": "腹"
},
{
"end_pos": 191,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 190,
"text": "胃"
},
{
"end_pos": 206,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 203,
"text": "脂肪肝"
},
{
"end_pos": 227,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 224,
"text": "升结肠"
},
{
"end_pos": 284,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 282,
"text": "结肠"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者20余天前无明显诱因出现脐下疼痛,为阵发性疼痛,伴轻度腹胀,大便2天1次,无发热,无恶心、呕吐,无脓血便等不适,遂就诊于我院,,行胃镜检查示:慢性浅表萎缩性胃炎,胃多发息肉,胃黄斑瘤,,行腹部CT平扫示:回盲部及升结肠近段肠壁明显不规则增厚,考虑恶性肿瘤,结肠癌可能性大,淋巴瘤不完全除外,建议强化CT或肠镜进一步检查,腹腔多发淋巴结肿大,考虑转移,腹膜后多发略肿大淋巴结,胃充盈欠佳,建议结合钡餐,脂肪肝,,行肠镜检查示:进境70CM,到达升结肠,见距大不规则粘膜隆起阻塞管腔,触之易出血,无法继续进境,取病理结果未回。现患者为求进一步治疗来我院,门诊以“结肠肿物”收入院。患者自发病以来,饮食睡眠可,大小便无明显异常,体重较前减轻约5KG。} | |
[
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 20,
"text": "阴道"
},
{
"end_pos": 29,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 25,
"text": "前置胎盘"
},
{
"end_pos": 39,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 30,
"text": "疤痕子宫剖宫产娩出"
},
{
"end_pos": 59,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 57,
"text": "四肢"
},
{
"end_pos": 117,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 116,
"text": "胸"
},
{
"end_pos": 191,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 189,
"text": "气管"
},
{
"end_pos": 196,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 194,
"text": "气管"
},
{
"end_pos": 206,
"label_type": "药物",
"overlap": null,
"start_pos": 199,
"text": "肺表面活性物质"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患儿系第3胎第3产,孕30+5周早产,因阴道流血、前置胎盘、疤痕子宫剖宫产娩出。宫内无窘迫,生后患儿刺激后无反应,四肢皮肤青紫,肌张力低,生后1分钟评分为4分(皮肤颜色、心率、呼吸、肌张力各1分),生后立即给予清理呼吸道、复苏气囊、胸外按压约2分钟,皮肤逐渐转红润,哭声弱,伴呻吟,5分钟评分均为8分(肌张力、反应各减1分),患儿早产,生活能力低上,为进一步观察治疗,在产科给予气管插管,气管内注入肺表面活性物质70MG后转入我科,生后未开奶,小便已排,大便未解。} | |
[
{
"end_pos": 17,
"label_type": "手术",
"overlap": null,
"start_pos": 11,
"text": "直肠癌根治术"
},
{
"end_pos": 85,
"label_type": "影像检查",
"overlap": null,
"start_pos": 82,
"text": "MRI"
},
{
"end_pos": 90,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 87,
"text": "骶尾部"
},
{
"end_pos": 119,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 116,
"text": "CEA"
},
{
"end_pos": 153,
"label_type": "手术",
"overlap": null,
"start_pos": 145,
"text": "骶尾部肿物切除术"
},
{
"end_pos": 178,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 175,
"text": "CEA"
},
{
"end_pos": 195,
"label_type": "影像检查",
"overlap": null,
"start_pos": 190,
"text": "盆腔MRI"
},
{
"end_pos": 201,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 199,
"text": "骶前"
},
{
"end_pos": 220,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 211,
"text": "右髂髂血管旁淋巴结"
},
{
"end_pos": 242,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 239,
"text": "骶尾部"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{2009.11于我院行直肠癌根治术(距肛缘10CM,T4N1CM0,脉管(+),可见癌结节),XELOX*8,2010.4结束。2010.6还纳术,2010.9复查MRI发现骶尾部占位,放疗30次,缩小,未行手术.1年后复查稳定,但CEA升高,且出现排便困难的症状,于2011.10.25行骶尾部肿物切除术。\U0004\U0004 2012.2复查CEA135.1较前明显升高,盆腔MRI再次发现骶前肿物(4*3CM),右髂髂血管旁淋巴结(2.7*2.6CM),考虑转移,目前骶尾部疼痛, .予以FOLFIRI化疗3周期,消化道反应II度,2012-4-13肿标:CEA 925,CA199 293.1,CA72.4 43.72,CA242 306.5.目前为3周期后评效就诊。\U0004\U0004。} | |
[
{
"end_pos": 18,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 15,
"text": "结肠癌"
},
{
"end_pos": 34,
"label_type": "手术",
"overlap": null,
"start_pos": 28,
"text": "结肠癌根治术"
},
{
"end_pos": 42,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 40,
"text": "腺癌"
},
{
"end_pos": 59,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 58,
"text": "腹"
},
{
"end_pos": 68,
"label_type": "影像检查",
"overlap": null,
"start_pos": 66,
"text": "B超"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 69,
"text": "肝"
},
{
"end_pos": 85,
"label_type": "影像检查",
"overlap": null,
"start_pos": 83,
"text": "CT"
},
{
"end_pos": 99,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 86,
"text": "肺、肝、腹腔多发淋巴结转移"
},
{
"end_pos": 205,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 198,
"text": "1度手足综合征"
},
{
"end_pos": 209,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 208,
"text": "腹"
},
{
"end_pos": 220,
"label_type": "影像检查",
"overlap": null,
"start_pos": 218,
"text": "CT"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者2013.7在外院行肠镜示结肠癌,2013.8.5行结肠癌根治术,术后病理示腺癌,术后未行化疗。2014.3出现腹痛,纳差,外院B超示肝多发肿块, 遂到我院就诊。CT示肺、肝、腹腔多发淋巴结转移。2014-05-06、2014-05-29、2014-06-24,2014-07-22、2014-08-26、2014-09-16在我院行XELOX方案化疗6程顺利。下次化疗后出现1度恶心、呕吐,1度手足综合征、1度腹泻。2程化疗后复查CT疗效为PR。入院前患者一般情况好,饮食睡眠可,时有便秘,小便正常,体重较前无明显减轻。} | |
[
{
"end_pos": 30,
"label_type": "手术",
"overlap": null,
"start_pos": 7,
"text": "结肠癌剖腹探查+左半结肠根根治切除术+肠减压术"
},
{
"end_pos": 41,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 35,
"text": "结肠靠近肝曲"
},
{
"end_pos": 67,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 66,
"text": "肠"
},
{
"end_pos": 83,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 76,
"text": "近端升结肠梗阻"
},
{
"end_pos": 87,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 84,
"text": "升结肠"
},
{
"end_pos": 108,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 104,
"text": "升结肠癌"
},
{
"end_pos": 122,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 120,
"text": "腺癌"
},
{
"end_pos": 179,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 178,
"text": "胃"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者于6月前行结肠癌剖腹探查+左半结肠根根治切除术+肠减压术,术中发现结肠靠近肝曲可扪及一约3.0CM*2.0CM大小质硬包块,此段肠管明显狭窄,肿瘤致近端升结肠梗阻,升结肠明显扩张,直径约10CM,术中考虑升结肠癌,术后恢复好,病理类型(腺癌),分期T4N0M0。现患者术后6月,拟行6次化疗收住入院。\U0004 患者发病以来,神志 清晰,精神可,胃纳可,大便如常,小便如常,体重未见明显上降。} | |
[
{
"end_pos": 25,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 24,
"text": "腹"
},
{
"end_pos": 46,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 38,
"text": "十二指肠乳头状癌"
},
{
"end_pos": 74,
"label_type": "手术",
"overlap": null,
"start_pos": 66,
"text": "胰十二指肠切除术"
},
{
"end_pos": 89,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 82,
"text": "十二指肠乳头部"
},
{
"end_pos": 109,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 104,
"text": "中分化腺癌"
},
{
"end_pos": 198,
"label_type": "药物",
"overlap": null,
"start_pos": 190,
"text": "奥沙利铂(齐沙)"
},
{
"end_pos": 209,
"label_type": "药物",
"overlap": null,
"start_pos": 207,
"text": "同奥"
},
{
"end_pos": 220,
"label_type": "药物",
"overlap": null,
"start_pos": 218,
"text": "方克"
},
{
"end_pos": 245,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 240,
"text": "手足综合症"
},
{
"end_pos": 251,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 248,
"text": "血小板"
},
{
"end_pos": 257,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 254,
"text": "转氨酶"
},
{
"end_pos": 284,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 283,
"text": "腹"
},
{
"end_pos": 294,
"label_type": "药物",
"overlap": null,
"start_pos": 291,
"text": "替加氟"
},
{
"end_pos": 341,
"label_type": "药物",
"overlap": null,
"start_pos": 339,
"text": "头孢"
},
{
"end_pos": 398,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 395,
"text": "两上肢"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者自述于2013-1因尿色加深伴血尿,发热,腹胀就诊于我院,行胃镜检查示十二指肠乳头状癌。后于2013年2月4日在我院肿瘤外科行胰十二指肠切除术,术中见肿物位于十二指肠乳头部,大小约3*2厘米,术后病理为中分化腺癌,浸润至浆膜层,病理号为Z0448036。,术后分期:T3N0M0,IIA期。术后不适消失。后于2013-4-11始于我科行FOLFOX方案化疗7周期,,具体为:奥沙利铂(齐沙)200MG D1,同奥300MG D1,方克5.5G D1。化疗后出现I度恶心,I度手足综合症,I度血小板降低,转氨酶轻度升高,对症治疗后好转。第5周期化疗第二日出现急性腹泻,遂停止剩余替加氟静滴,并给予补液、止泻等治疗后好转。第6周期后出现发热,最高体温38.5℃,于当地诊所静滴头孢等消炎药及退热药后好转。2013-12复查,疾病无复发转移。现为进一步治疗入我科。患者近1月来精神尚可、偶感两上肢乏力,饮食睡眠一般,二便基本正常,体重无明显变化,周身无疼痛,ECOG评分1分。} | |
[
{
"end_pos": 25,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 23,
"text": "胃癌"
},
{
"end_pos": 46,
"label_type": "手术",
"overlap": null,
"start_pos": 38,
"text": "胃远端大部切除术"
},
{
"end_pos": 55,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 54,
"text": "腹"
},
{
"end_pos": 65,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 57,
"text": "DOUGLAS腔"
},
{
"end_pos": 81,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 79,
"text": "肝脏"
},
{
"end_pos": 90,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 88,
"text": "胃窦"
},
{
"end_pos": 96,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 91,
"text": "胃及大小弯"
},
{
"end_pos": 118,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 115,
"text": "横结肠"
},
{
"end_pos": 122,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 121,
"text": "胃"
},
{
"end_pos": 151,
"label_type": "手术",
"overlap": null,
"start_pos": 130,
"text": "姑息性胃远端大部切除,部分横结肠系膜切除术"
},
{
"end_pos": 180,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 156,
"text": "进行期胃窦癌,浸润溃疡型,中低分化及少量粘液腺癌"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者于5个半月前(2014-11-24)因\"胃癌\"于我院肿瘤外科全麻上行胃远端大部切除术。术中探查见少量腹水,DOUGLAS腔可以触及数枚米粒大小硬结节,肝脏正常。病灶位于胃窦,胃及大小弯,浆膜呈腱状伴多彩弥漫型,后壁侵及部分横结肠系膜,胃内有大量潴留。行姑息性胃远端大部切除,部分横结肠系膜切除术。术后病理进行期胃窦癌,浸润溃疡型,中低分化及少量粘液腺癌,SE,淋巴结转移(5/42枚)及癌结节5枚。术后恢复良好,今为求化疗入院。病人目前无发热,饮食及睡眠可,大小便正常,体重无明显减轻。} | |
[
{
"end_pos": 17,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 10,
"text": "左肝原发性肝癌"
},
{
"end_pos": 38,
"label_type": "手术",
"overlap": null,
"start_pos": 30,
"text": "左肝后叶癌切除术"
},
{
"end_pos": 45,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 44,
"text": "腹"
},
{
"end_pos": 54,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 53,
"text": "腹"
},
{
"end_pos": 57,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 56,
"text": "腹"
},
{
"end_pos": 72,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 70,
"text": "肝脏"
},
{
"end_pos": 95,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 85,
"text": "左肝后叶S6、S7段"
},
{
"end_pos": 112,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 110,
"text": "肝脏"
},
{
"end_pos": 132,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 131,
"text": "肝"
},
{
"end_pos": 146,
"label_type": "手术",
"overlap": null,
"start_pos": 138,
"text": "胆囊及胆总管探查"
},
{
"end_pos": 175,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 166,
"text": "左肝左叶原发性肝癌"
},
{
"end_pos": 193,
"label_type": "手术",
"overlap": null,
"start_pos": 180,
"text": "胆囊切除+左肝后叶癌切除术"
},
{
"end_pos": 234,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 211,
"text": "(左肝后叶),:肝脏原发性结节型中分化肝细胞癌"
},
{
"end_pos": 244,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 243,
"text": "肝"
},
{
"end_pos": 250,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 249,
"text": "肝"
},
{
"end_pos": 259,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 253,
"text": "结节性肝硬化"
},
{
"end_pos": 277,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 276,
"text": "肝"
},
{
"end_pos": 285,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 284,
"text": "肝"
},
{
"end_pos": 297,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 291,
"text": "结节性肝硬化"
},
{
"end_pos": 314,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 312,
"text": "胆囊"
},
{
"end_pos": 322,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 315,
"text": "慢性腺性胆囊炎"
},
{
"end_pos": 346,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 337,
"text": "左肝原发性肝癌术后"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,缘于入院前1个月因左肝原发性肝癌于2014.9.3全麻上行左肝后叶癌切除术,,术中见:腹腔内无明显粘连,腹腔无腹水,网膜、盆地光滑无结节,肝脏表面满布小结节型硬化结节,左肝后叶S6、S7段交界处肿物,约5×6CM,突出肝脏脏面,与左侧肾下腺明显粘连,予分离。余肝未探及肿物,胆囊及胆总管探查未见明显异常。结合术前穿刺结果,诊断考虑左肝左叶原发性肝癌,遂予行“胆囊切除+左肝后叶癌切除术”,术后恢复好。,术后病理回报:1、(左肝后叶),:肝脏原发性结节型中分化肝细胞癌,伴大片坏死,侵及肝被膜,周边肝组织呈结节性肝硬化改变。周围见少量肾下腺组织。2、(肝结节),:送检肝组织,镜上呈结节性肝硬化改变,伴肝细胞异型增生。3、,胆囊:慢性腺性胆囊炎。今为复查,求诊我科,门诊拟“左肝原发性肝癌术后”收住入院。自发病以来,精神、睡眠、食欲可,大便如常,小便如常,体重无明显变化。} | |
[
{
"end_pos": 22,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 19,
"text": "CEA"
},
{
"end_pos": 30,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 29,
"text": "胃"
},
{
"end_pos": 50,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 47,
"text": "贲门癌"
},
{
"end_pos": 60,
"label_type": "药物",
"overlap": null,
"start_pos": 57,
"text": "赫赛汀"
},
{
"end_pos": 94,
"label_type": "手术",
"overlap": null,
"start_pos": 89,
"text": "胃癌根治术"
},
{
"end_pos": 136,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 111,
"text": "贲门癌(中分化腺癌)PT4AN3AM0,IIIC期"
},
{
"end_pos": 166,
"label_type": "影像检查",
"overlap": null,
"start_pos": 164,
"text": "CT"
},
{
"end_pos": 192,
"label_type": "影像检查",
"overlap": null,
"start_pos": 190,
"text": "CT"
},
{
"end_pos": 200,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 194,
"text": "贲门癌化疗后"
},
{
"end_pos": 219,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 214,
"text": "肝S4~8"
},
{
"end_pos": 279,
"label_type": "药物",
"overlap": null,
"start_pos": 272,
"text": "马来酸吡咯替尼"
},
{
"end_pos": 298,
"label_type": "药物",
"overlap": null,
"start_pos": 294,
"text": "多西他赛"
},
{
"end_pos": 332,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 327,
"text": "中性粒细胞"
},
{
"end_pos": 343,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 342,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2013-08底前因“体检发现CEA升高、胃镜发现胃肿物2月”入住我院胃胰科,诊断为“贲门癌”,行2个疗程赫赛汀+XELOX新辅助治疗后,于2014.03.19在我院行“胃癌根治术”;术后恢复顺利,,术后病理提示:贲门癌(中分化腺癌)PT4AN3AM0,IIIC期。术后行了6个疗程的SOX方案辅助化疗,过程顺利。后复查CT未见明显复发转移征象。,2014-12-25复查CT:,贲门癌化疗后复查:术区未见明确复发征象;肝S4~8多发结节,考虑转移瘤,较前新发。考虑肿瘤进展,2015-2-12、2015-3-9、2015-3-30参加马来酸吡咯替尼240MG POD1-D21+多西他赛87.5MG Q21D临床试验化3程。1程化疗后出现IV度中性粒细胞上降。无发热咳嗽,无腹泻,予升白治疗后升至正常。2程疗效评价PR。现为行第4程化疗入院,起病以来,患者精神可,食欲一般,二便无异常,体重减轻约3KG。} | |
[
{
"end_pos": 13,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 10,
"text": "CEA"
},
{
"end_pos": 31,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 26,
"text": "乙状结肠癌"
},
{
"end_pos": 57,
"label_type": "手术",
"overlap": null,
"start_pos": 49,
"text": "乙状结肠癌根治术"
},
{
"end_pos": 84,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 73,
"text": "乙状结肠中分化管状腺癌"
},
{
"end_pos": 110,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 104,
"text": "肠系膜淋巴结"
},
{
"end_pos": 132,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 114,
"text": "乙状结肠动脉根、肠系膜上动脉根淋巴结"
},
{
"end_pos": 191,
"label_type": "影像检查",
"overlap": null,
"start_pos": 189,
"text": "CT"
},
{
"end_pos": 194,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 193,
"text": "肝"
},
{
"end_pos": 203,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 199,
"text": "CEA "
},
{
"end_pos": 218,
"label_type": "影像检查",
"overlap": null,
"start_pos": 216,
"text": "CT"
},
{
"end_pos": 226,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 220,
"text": "肝内单发转移"
},
{
"end_pos": 237,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 234,
"text": "CEA"
},
{
"end_pos": 263,
"label_type": "手术",
"overlap": null,
"start_pos": 259,
"text": "肝切除术"
},
{
"end_pos": 271,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 270,
"text": "肝"
},
{
"end_pos": 281,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 276,
"text": "中分化腺癌"
},
{
"end_pos": 315,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 310,
"text": "结肠癌转移"
},
{
"end_pos": 331,
"label_type": "影像检查",
"overlap": null,
"start_pos": 327,
"text": "腹部核磁"
},
{
"end_pos": 337,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 332,
"text": "肝S8转移"
},
{
"end_pos": 368,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 364,
"text": " CEA"
},
{
"end_pos": 393,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 390,
"text": "CEA"
},
{
"end_pos": 416,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 412,
"text": " CEA"
},
{
"end_pos": 472,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 469,
"text": "CEA"
},
{
"end_pos": 491,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 488,
"text": "CEA"
},
{
"end_pos": 507,
"label_type": "影像检查",
"overlap": null,
"start_pos": 502,
"text": "腹部MRI"
},
{
"end_pos": 545,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 538,
"text": "周围神经炎2度"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,1年余前主因“体检CEA升高伴排便困难”就诊,诊断乙状结肠癌,2013.8.6 ***医大二院行乙状结肠癌根治术,术中未见肿瘤转移,,术后病理:乙状结肠中分化管状腺癌,侵及浆膜,癌栓-,神经侵犯+,切缘-,肠系膜淋巴结1/3,乙状结肠动脉根、肠系膜上动脉根淋巴结为脂肪组织。术后恢复好。术后XELOX方案化疗6周期,末次化疗2014-2-16。之后规律随诊,2015年1月复查CT发现肝内可疑M,CEA 8.4,2015-4-8 CT确认肝内单发转移(2.7CM),CEA 28.99 。2015年5月13日于我院行肝切除术,,术后病理:肝组织内可见中分化腺癌浸润,大小3.5×XXX3.5×XXX3CM,结合病史符合结肠癌转移。2015-6-18 ,腹部核磁:肝S8转移治疗后,边缘环周轻度强化,疗后改变?2015-6-17 CEA 5.63NG/ML。2015.7.13复查CEA5.10NG/ML。2015-7-13 CEA 5.10NG/ML;2015-7-16,基因检测:RAS/NRAS/BRAF均野生型。近3月当地复查提示CEA出现波动(2015.10.13 CEA5.28NG/ML),腹部MRI未见肿瘤征象。目前一般状况可,大小便正常,体重无明显变化。目前周围神经炎2度。} | |
[
{
"end_pos": 11,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 10,
"text": "腹"
},
{
"end_pos": 14,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 13,
"text": "腹"
},
{
"end_pos": 41,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 27,
"text": "消化道穿孔、急性弥漫性腹膜炎"
},
{
"end_pos": 103,
"label_type": "手术",
"overlap": null,
"start_pos": 60,
"text": "剖腹探查术+腹腔粘连松解+末端坏死回肠切除+回肠造瘘术+横结肠蘑菇管造瘘术+腹腔引流术"
},
{
"end_pos": 110,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 109,
"text": "腹"
},
{
"end_pos": 125,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 124,
"text": "腹"
},
{
"end_pos": 133,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 131,
"text": "小肠"
},
{
"end_pos": 135,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 134,
"text": "腹"
},
{
"end_pos": 139,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 137,
"text": "盲肠"
},
{
"end_pos": 143,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 140,
"text": "横结肠"
},
{
"end_pos": 148,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 144,
"text": "乙状结肠"
},
{
"end_pos": 156,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 154,
"text": "小肠"
},
{
"end_pos": 171,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 168,
"text": "空回肠"
},
{
"end_pos": 194,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 192,
"text": "回肠"
},
{
"end_pos": 215,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 214,
"text": "肠"
},
{
"end_pos": 223,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 221,
"text": "小肠"
},
{
"end_pos": 227,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 224,
"text": "横结肠"
},
{
"end_pos": 245,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 242,
"text": "回盲部"
},
{
"end_pos": 255,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 253,
"text": "回肠"
},
{
"end_pos": 269,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 268,
"text": "肠"
},
{
"end_pos": 289,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 286,
"text": "横结肠"
},
{
"end_pos": 312,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 311,
"text": "肠"
},
{
"end_pos": 326,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 323,
"text": "横结肠"
},
{
"end_pos": 333,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 331,
"text": "脾曲"
},
{
"end_pos": 357,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 356,
"text": "腹"
},
{
"end_pos": 362,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 359,
"text": "降结肠"
},
{
"end_pos": 367,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 363,
"text": "乙状结肠"
},
{
"end_pos": 374,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 372,
"text": "直肠"
},
{
"end_pos": 392,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 391,
"text": "腹"
},
{
"end_pos": 431,
"label_type": "手术",
"overlap": null,
"start_pos": 425,
"text": "回肠造瘘还纳"
},
{
"end_pos": 445,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 439,
"text": "回肠造瘘术后"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{1年余前由于“发热、腹痛、腹胀”就诊我院,经检查诊断“消化道穿孔、急性弥漫性腹膜炎”,于2015-11-19在全麻上行“剖腹探查术+腹腔粘连松解+末端坏死回肠切除+回肠造瘘术+横结肠蘑菇管造瘘术+腹腔引流术”,术中见:腹腔内黄色粪水约2000ML,腹腔粘连明显,小肠与腹壁、盲肠、横结肠、乙状结肠等多发粘连,小肠屈曲互相粘连明显,大部分空回肠充血、水肿较明显,表面布满脓胎及粪渣,部分回肠肠管扩张明显,较大者至5CM,予分离理顺肠管,见大部分小肠至横结肠水肿扩张明显,未及明显肿物,距回盲部10CM处一末端回肠肠壁一大小约3.0*2.0肠壁糜烂、坏死、穿孔,内见粪水溢出,横结肠中段对系膜侧见一大小1.5CM穿孔,穿孔周边肠壁组织片状糜烂、发黑,横结肠中远段及近脾曲系膜侧各见一大小约1*1CM穿孔,内见粪水溢入腹腔,降结肠、乙状结肠及部分下段直肠未见明显肿物及穿孔。术后恢复尚可,腹部造瘘排便通畅,食欲良好,无恶心、呕吐,无发热、畏冷等不适,今为“回肠造瘘还纳”入院,门诊拟“回肠造瘘术后”收住院。自下次出院以来,精神、睡眠一般,食欲尚可,大便如下述,小便正常,体重无明显增减。} | |
[
{
"end_pos": 15,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 12,
"text": "右上腹"
},
{
"end_pos": 66,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 63,
"text": "右上腹"
},
{
"end_pos": 92,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 89,
"text": "WBC"
},
{
"end_pos": 110,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 107,
"text": "NEU"
},
{
"end_pos": 175,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 167,
"text": "造口旁疝并肠梗阻"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者1天前负重劳作后于右上腹造口旁可触及一包块,约碗口大小,包块质软,可还纳,站立时突出,卧位时缓解;伴疼痛,呈持续性绞痛;右上腹造口停止排便排气。就诊于我院急诊,,查血示:,WBC:15.33*10^9/L,,NEU:93.10*10^9/L,余无明显异常。给予禁饮食、胃肠减压及抗感染等对症支持治疗,有所好转,请***会诊,考虑造口旁疝并肠梗阻可能。为行进一步治疗转入我科。患者自发病以来,未饮食,睡眠欠佳,小便未见异常,体重未见明显减轻。} | |
[
{
"end_pos": 14,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 13,
"text": "腹"
},
{
"end_pos": 26,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 25,
"text": "腹"
},
{
"end_pos": 75,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 66,
"text": "胃窦中-低分化腺癌"
},
{
"end_pos": 112,
"label_type": "手术",
"overlap": null,
"start_pos": 99,
"text": "腹腔镜探查,腹腔热灌注化疗"
},
{
"end_pos": 121,
"label_type": "药物",
"overlap": null,
"start_pos": 118,
"text": "紫杉醇"
},
{
"end_pos": 199,
"label_type": "手术",
"overlap": null,
"start_pos": 194,
"text": "腹腔镜探查"
},
{
"end_pos": 209,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 207,
"text": "胃窦"
},
{
"end_pos": 217,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 216,
"text": "腹"
},
{
"end_pos": 241,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 240,
"text": "腹"
},
{
"end_pos": 255,
"label_type": "药物",
"overlap": null,
"start_pos": 251,
"text": "奥沙利铂"
},
{
"end_pos": 259,
"label_type": "药物",
"overlap": null,
"start_pos": 256,
"text": "紫杉醇"
},
{
"end_pos": 327,
"label_type": "影像检查",
"overlap": null,
"start_pos": 322,
"text": "腹盆腔CT"
},
{
"end_pos": 335,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 330,
"text": "胃窦幽门区"
},
{
"end_pos": 336,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 335,
"text": "胃"
},
{
"end_pos": 362,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 360,
"text": "胆囊"
},
{
"end_pos": 365,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 363,
"text": "胰腺"
},
{
"end_pos": 378,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 375,
"text": "幽门管"
},
{
"end_pos": 380,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 379,
"text": "胃"
},
{
"end_pos": 384,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 382,
"text": "胰头"
},
{
"end_pos": 463,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 460,
"text": "WBC"
},
{
"end_pos": 468,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 464,
"text": "PLT "
},
{
"end_pos": 494,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 493,
"text": "腹"
},
{
"end_pos": 499,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 496,
"text": "两上肢"
},
{
"end_pos": 550,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 532,
"text": "腹腔镜探查紫杉醇并奥沙利铂腹腔化疗后"
},
{
"end_pos": 555,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 553,
"text": "手足"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2014年7月出现腹胀,伴有反酸、嗳气,无腹痛、呕血、黑便、乏力等症状。2015-1行胃镜检查提示胃窦溃疡浸润型病变,病理示胃窦中-低分化腺癌。LAUREN 肠型。2015-1-16全麻上行腹腔镜探查,腹腔热灌注化疗,方案为单药紫杉醇450MG,温度 430C,循环速度 400ML/MIN,,时间:30MIN。于2015-1-28开始行SOX方案化疗4周期。2015-5-14行腹腔镜探查,术中见肿瘤位于胃窦,侵透浆膜层,腹腔内未见明确转移灶,细胞学回报可见癌细胞,遂行腹腔热灌注化疗,方案为奥沙利铂+紫杉醇续灌。2015-5开始继续行第5-6周期SOX方案化疗,末次化疗时间为2015-5-19。6,周期后复查:2015-7-13,腹盆腔CT比较:胃窦幽门区胃壁增厚程度大致同前,较厚处现约19MM,病变区与胆囊及胰腺分界稍模糊,向上累及幽门管。胃周及胰头后方多发肿大淋巴结部分较前略增大,如较大原约17X10MM,现约24X11MM。大网膜脂肪密度略增高。2015-8-31目前放疗共25次,监测血常规提示WBC、PLT I度减少,预计2015-9-9放疗结束。目前进食后腹胀,两上肢麻木,排黄色稀便4-6次/天,小便正常。2015年10月20日再次腹腔镜探查紫杉醇并奥沙利铂腹腔化疗后,自觉手足麻木。复查血液肿瘤标志物升高。} | |
[
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "腹"
},
{
"end_pos": 29,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 28,
"text": "腹"
},
{
"end_pos": 40,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 39,
"text": "胸"
},
{
"end_pos": 54,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 53,
"text": "胸"
},
{
"end_pos": 71,
"label_type": "影像检查",
"overlap": null,
"start_pos": 69,
"text": "CT"
},
{
"end_pos": 78,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 74,
"text": "两侧附件"
},
{
"end_pos": 90,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 87,
"text": "卵巢癌"
},
{
"end_pos": 105,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 104,
"text": "腹"
},
{
"end_pos": 116,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 115,
"text": "肠"
},
{
"end_pos": 131,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 130,
"text": "肝"
},
{
"end_pos": 143,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 140,
"text": "肝转移"
},
{
"end_pos": 147,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 144,
"text": "左上肺"
},
{
"end_pos": 191,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 186,
"text": "低分化腺癌"
},
{
"end_pos": 330,
"label_type": "手术",
"overlap": null,
"start_pos": 246,
"text": "全子宫+两附件切除术+盆腔淋巴结清扫+腹主动脉旁淋巴结清扫+大网膜切除+肠粘连松解+直肠部分切除端端吻合术+阑尾切除术+腹腔热灌注化疗(卡铂600MG)+腹腔置管引流术"
},
{
"end_pos": 356,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 353,
"text": "全子宫"
},
{
"end_pos": 360,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 357,
"text": "两附件"
},
{
"end_pos": 367,
"label_type": "手术",
"overlap": null,
"start_pos": 365,
"text": "子宫"
},
{
"end_pos": 387,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 383,
"text": "两侧卵巢"
},
{
"end_pos": 390,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 388,
"text": "子宫"
},
{
"end_pos": 394,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 392,
"text": "子宫"
},
{
"end_pos": 404,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 399,
"text": "两侧输卵管"
},
{
"end_pos": 412,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 410,
"text": "宫颈"
},
{
"end_pos": 449,
"label_type": "药物",
"overlap": null,
"start_pos": 447,
"text": "泰素"
},
{
"end_pos": 453,
"label_type": "药物",
"overlap": null,
"start_pos": 450,
"text": "伯尔定"
},
{
"end_pos": 494,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 493,
"text": "胃"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2012年6月前无诱因出现腹胀,且逐渐加重,偶尔感腹痛,能忍受。近一月感胸闷,以运动及平卧示明显,无胸痛。9月10日到我院门诊就诊,CT,示:两侧附件区囊实性肿物,考虑卵巢癌可能性大,未除外种植性转移。腹膜,网膜不均匀增厚及肠系膜多发结节,考虑种植转移,肝缘虫蚀状改变,可疑肝转移,左上肺斑片灶及磨玻璃改变,2012.9.10,于B超引导上盆腔肿物穿刺活检病理提示:低分化腺癌,2012.9.21及2012.10.16给予TC方案化疗二程。无明显不适。2012.11.22于全麻上行广泛全子宫+两附件切除术+盆腔淋巴结清扫+腹主动脉旁淋巴结清扫+大网膜切除+肠粘连松解+直肠部分切除端端吻合术+阑尾切除术+腹腔热灌注化疗(卡铂600MG)+腹腔置管引流术。术程顺利,术后患者恢复较好。,术后病理提示:全子宫+两附件),镜上:子宫后壁见少量间皮细胞呈结节状增生;两侧卵巢及子宫壁见子宫内膜异位;两侧输卵管粘膜慢性炎;宫颈粘膜慢性炎;萎缩性宫内膜。2012.12.1-2013.3.13各给予泰素+伯尔定化疗3程。化疗耐受可。今日返回就诊,遵主诊教授意见入院化疗,起病以来,患者精神、胃纳、睡眠可、大小便正常。} | |
[
{
"end_pos": 21,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "后背部"
},
{
"end_pos": 76,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 74,
"text": "贲门"
},
{
"end_pos": 77,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 76,
"text": "胃"
},
{
"end_pos": 126,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 112,
"text": "慢性浅表性-萎缩性胃炎伴糜烂"
},
{
"end_pos": 133,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 127,
"text": "十二指肠球炎"
},
{
"end_pos": 162,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 142,
"text": "(胃)非霍奇金淋巴瘤,弥漫大B细胞淋巴瘤"
},
{
"end_pos": 333,
"label_type": "药物",
"overlap": null,
"start_pos": 329,
"text": "长春地辛"
},
{
"end_pos": 392,
"label_type": "药物",
"overlap": null,
"start_pos": 387,
"text": "利妥西单抗"
},
{
"end_pos": 415,
"label_type": "药物",
"overlap": null,
"start_pos": 411,
"text": "环磷酰胺"
},
{
"end_pos": 432,
"label_type": "药物",
"overlap": null,
"start_pos": 428,
"text": "吡柔比星"
},
{
"end_pos": 448,
"label_type": "药物",
"overlap": null,
"start_pos": 444,
"text": "长春地辛"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2013-01无明显诱因出现后背部酸痛,伴进食梗咽感,伴嗳气、反酸、烧心,未予诊治。2013-01-28于进食后出现梗咽感加重,行胃镜检查示贲门胃底底部可见环周状隆起,粘膜组织表面溃烂,少量出血,质脆有新鲜出血少量;慢性浅表性-萎缩性胃炎伴糜烂,十二指肠球炎。,我院病理会诊:(胃)非霍奇金淋巴瘤,弥漫大B细胞淋巴瘤。,免疫组化结果显示:BCL-6(+),CD10(+),CD20(+),CD3(-),CD5(-),CYCLIN D1(-),EBER(-),MUM1(-),CD56(-),CGA(-),CK(-),KI67(+80%),LCA(+),MAP2(-),NSE(-),SYN(-)。完善分期检查,2013-2-28至2013-3-3给予长春地辛预处理,2013-3-6开始R-CHO方案免疫化疗4周期,考虑患者年龄较大,故化疗剂量减量25%,,具体为:利妥西单抗375MG/M2 600MG(D1),环磷酰胺800MG(分D2-3),吡柔比星60MG(分D2-3),长春地辛 1MG(D2-5)。2周期评效为CRU;本次为行第5周期化疗入院,自发病以来,无发热、盗汗,精神、睡眠尚可,食欲欠佳,小便正常,大便干燥,体重上降3KG。} | |
[
{
"end_pos": 20,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "食管"
},
{
"end_pos": 23,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 21,
"text": "门齿"
},
{
"end_pos": 43,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 38,
"text": "低分化鳞癌"
},
{
"end_pos": 69,
"label_type": "影像检查",
"overlap": null,
"start_pos": 66,
"text": "胸CT"
},
{
"end_pos": 76,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 71,
"text": "食管胸上段"
},
{
"end_pos": 95,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 91,
"text": "双侧腋上"
},
{
"end_pos": 107,
"label_type": "影像检查",
"overlap": null,
"start_pos": 103,
"text": "腹部CT"
},
{
"end_pos": 113,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 109,
"text": "两肾囊肿"
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 122,
"text": "食管癌(胸中段 肿块型)"
},
{
"end_pos": 139,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 135,
"text": "胃癌术后"
},
{
"end_pos": 144,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 142,
"text": "小肠"
},
{
"end_pos": 157,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 151,
"text": "胃肠功能紊乱"
},
{
"end_pos": 166,
"label_type": "影像检查",
"overlap": null,
"start_pos": 159,
"text": "浅表淋巴结B超"
},
{
"end_pos": 172,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 169,
"text": "锁骨下"
},
{
"end_pos": 198,
"label_type": "影像检查",
"overlap": null,
"start_pos": 196,
"text": "超声"
},
{
"end_pos": 225,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 217,
"text": "低分化鳞状细胞癌"
},
{
"end_pos": 241,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 239,
"text": "食管"
},
{
"end_pos": 248,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 245,
"text": "锁骨下"
},
{
"end_pos": 276,
"label_type": "药物",
"overlap": null,
"start_pos": 273,
"text": "紫杉醇"
},
{
"end_pos": 303,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 296,
"text": "右锁骨下淋巴结"
},
{
"end_pos": 320,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 318,
"text": "食管"
},
{
"end_pos": 345,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 338,
"text": "骨髓抑制II度"
},
{
"end_pos": 358,
"label_type": "药物",
"overlap": null,
"start_pos": 355,
"text": "紫杉醇"
},
{
"end_pos": 361,
"label_type": "药物",
"overlap": null,
"start_pos": 359,
"text": "顺铂"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,4月余前患者于我院行胃镜检查时发现食管距门齿31-33CM肿物,活检病理示低分化鳞癌,患者无吞咽困难、反酸烧心、吞咽疼痛等不适,,胸CT示:食管胸上段可疑管壁增厚(较厚约8MM),双侧腋上多发小淋巴结。,腹部CT示:两肾囊肿,,全消化道钡餐:食管癌(胸中段 肿块型);胃癌术后改变;小肠功能较快,考虑胃肠功能紊乱。,浅表淋巴结B超示:右锁骨下占位(3.0×1.7×2.1CM),考虑M。行行超声引导上右锁骨下淋巴结穿刺活检,,病理:低分化鳞状细胞癌。于2009-10-12给予食管原发灶及锁骨下区域放疗,DT 66GY/33F),并予同步化疗(紫杉醇45MG/M^2/W 75MG,6W)及右锁骨下淋巴结浅部热疗(2/W,3W)。放疗食管粘膜反应II度,皮肤粘膜反应II度,骨髓抑制II度,,评效:PR。给予紫杉醇+顺铂方案化疗2周期,现为行进一步治疗入院,患者自发病以来患者精神好,进食可,二便正常,体重无明显改变。} | |
[
{
"end_pos": 20,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 16,
"text": "膀胱肿瘤"
},
{
"end_pos": 36,
"label_type": "影像检查",
"overlap": null,
"start_pos": 34,
"text": "B超"
},
{
"end_pos": 46,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 40,
"text": "前列腺左侧叶"
},
{
"end_pos": 60,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 53,
"text": ",前列腺左侧叶"
},
{
"end_pos": 75,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 71,
"text": "前列腺癌"
},
{
"end_pos": 93,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 85,
"text": "前列腺特异性抗原"
},
{
"end_pos": 99,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 95,
"text": "TPSA"
},
{
"end_pos": 116,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 111,
"text": "FPSA "
},
{
"end_pos": 156,
"label_type": "手术",
"overlap": null,
"start_pos": 140,
"text": "B超引导上经直肠前列腺穿刺活检术"
},
{
"end_pos": 167,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 162,
"text": "前列腺腺癌"
},
{
"end_pos": 207,
"label_type": "手术",
"overlap": null,
"start_pos": 197,
"text": "全麻上前列腺癌根治术"
},
{
"end_pos": 219,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 216,
"text": "前列腺"
},
{
"end_pos": 230,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 225,
"text": "前列腺腺癌"
},
{
"end_pos": 276,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 271,
"text": "前列腺双叶"
},
{
"end_pos": 284,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 281,
"text": "前列腺"
},
{
"end_pos": 296,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 291,
"text": "两侧精囊腺"
},
{
"end_pos": 305,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 300,
"text": "闭孔淋巴结"
},
{
"end_pos": 349,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 346,
"text": "腰腹部"
},
{
"end_pos": 358,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 357,
"text": "骨"
},
{
"end_pos": 373,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 366,
"text": "PSA,PSA"
},
{
"end_pos": 395,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 391,
"text": "FPSA"
},
{
"end_pos": 407,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 403,
"text": "TPSA"
},
{
"end_pos": 432,
"label_type": "影像检查",
"overlap": null,
"start_pos": 426,
"text": "PET-CT"
},
{
"end_pos": 477,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 476,
"text": "胸"
},
{
"end_pos": 480,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 479,
"text": "心"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2012年12月因体检发现膀胱肿瘤在我科住院治疗,,住院期间行B超检查示:前列腺左侧叶内腺稍高回声团,前列腺左侧叶内腺稍高回声团,未除外前列腺癌可能,建议活检。,查前列腺特异性抗原示:TPSA 11.69NG/ML,FPSA 1.54NG/ML。后于2012-12-27日行B超引导上经直肠前列腺穿刺活检术,术后病理示前列腺腺癌,GLEASON评分3+3=6分。2013-02-07我院行全麻上前列腺癌根治术,,术后病理示:(前列腺大体)镜检为前列腺腺癌,GLEASON评分3+3=6分,癌组织侵犯神经束;未见明确脉管内癌栓;癌组织侵犯前列腺双叶,并侵犯至前列腺外脂肪组织中;两侧精囊腺未见癌。闭孔淋巴结0/9未见癌。术后分期为PT3AN0M0,III期。现患者术后恢复可,近期无血尿、腰腹部胀痛等不适,无伴骨痛。术后定期复查PSA,PSA持续缓慢升高,,2014-06最高为FPSA:0.017,,TPSA:0.24.,2014-07-01复查PET-CT:未见复发。今为行放疗入院。患者发病以来,精神好,饮食睡眠佳,无发冷发热,无咳嗽、咳痰、胸痛及心慌气短,大、小便如下所述,体重无减轻。} | |
[
{
"end_pos": 30,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 28,
"text": "肛门"
},
{
"end_pos": 48,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 42,
"text": "肝脏多发转移"
},
{
"end_pos": 68,
"label_type": "手术",
"overlap": null,
"start_pos": 60,
"text": "直肠癌根治性手术"
},
{
"end_pos": 82,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 75,
"text": "直肠腺癌II级"
},
{
"end_pos": 100,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 95,
"text": "盆腔淋巴结"
},
{
"end_pos": 154,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 149,
"text": "肝多发转移"
},
{
"end_pos": 180,
"label_type": "手术",
"overlap": null,
"start_pos": 172,
"text": "肝脏病灶射频消融"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者10月前无明显诱因出现便血,,外院肠镜检查提示:距肛门8CM肿物,腹部B超提示肝脏多发转移,2009-11-12行直肠癌根治性手术,,手术病理:直肠腺癌II级,侵及浆膜外,切缘(-),盆腔淋巴结转移5/10,术后给予FOLFOX方案化疗9周期,,末次化疗:2010-6-11,,定期复查提示:肝多发转移病灶较前增大,2010-7-29给予肝脏病灶射频消融治疗,现为行复诊入院。患者自发病来,饮食睡眠可,大小便正常,体重无明显降低。} | |
[
{
"end_pos": 14,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 12,
"text": "胃癌"
},
{
"end_pos": 35,
"label_type": "手术",
"overlap": null,
"start_pos": 20,
"text": "姑息性全胃切除术+横结肠切除术"
},
{
"end_pos": 50,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 44,
"text": "胃低分化腺癌"
},
{
"end_pos": 72,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 70,
"text": "结肠"
},
{
"end_pos": 83,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 75,
"text": "转移性低分化腺癌"
},
{
"end_pos": 129,
"label_type": "药物",
"overlap": null,
"start_pos": 125,
"text": "奥沙利铂"
},
{
"end_pos": 133,
"label_type": "药物",
"overlap": null,
"start_pos": 130,
"text": "S-1"
},
{
"end_pos": 145,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 144,
"text": "腹"
},
{
"end_pos": 218,
"label_type": "手术",
"overlap": null,
"start_pos": 200,
"text": "胆管置管减压外引流、输尿管支架植入术"
},
{
"end_pos": 262,
"label_type": "药物",
"overlap": null,
"start_pos": 258,
"text": "伊立替康"
},
{
"end_pos": 266,
"label_type": "药物",
"overlap": null,
"start_pos": 263,
"text": "希罗达"
},
{
"end_pos": 287,
"label_type": "手术",
"overlap": null,
"start_pos": 282,
"text": "剖腹探查术"
},
{
"end_pos": 293,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 292,
"text": "腹"
},
{
"end_pos": 351,
"label_type": "手术",
"overlap": null,
"start_pos": 312,
"text": "肠粘连松解术+空肠-空肠侧侧吻合术+回肠-乙状结肠侧侧吻合术+空肠营养管置入术"
},
{
"end_pos": 376,
"label_type": "影像检查",
"overlap": null,
"start_pos": 370,
"text": "PET-CT"
},
{
"end_pos": 379,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 378,
"text": "腹"
},
{
"end_pos": 402,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 396,
"text": "盆腔少量积液"
},
{
"end_pos": 429,
"label_type": "药物",
"overlap": null,
"start_pos": 425,
"text": "C225"
},
{
"end_pos": 433,
"label_type": "药物",
"overlap": null,
"start_pos": 430,
"text": "奈达铂"
},
{
"end_pos": 492,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 491,
"text": "腹"
},
{
"end_pos": 508,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 505,
"text": "RBC"
},
{
"end_pos": 520,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 517,
"text": "WBC"
},
{
"end_pos": 531,
"label_type": "影像检查",
"overlap": null,
"start_pos": 528,
"text": "腹平片"
},
{
"end_pos": 538,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 533,
"text": "两侧泌尿系"
},
{
"end_pos": 583,
"label_type": "手术",
"overlap": null,
"start_pos": 575,
"text": "输尿管支架置换术"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2010年4月因“胃癌”在外院行“姑息性全胃切除术+横结肠切除术”,,术后病理示:胃低分化腺癌,侵犯至浆膜层,淋巴结2/24(+);,结肠结节:转移性低分化腺癌,,术后分期:PT4N1M1 IV期。术后于2010.5.13-2010.8.18行奥沙利铂+S-1方案化疗8程。化疗后行腹部放疗(具体不详)。2011年7月开始出现吞咽困难、呕吐、皮肤巩膜黄染,2011年12月初因肿瘤压迫,于**行胆管置管减压外引流、输尿管支架植入术”(具体不详),术后黄疸减退,但吞咽困难及呕吐逐渐加重。2011年9月—12月行伊立替康+希罗达方案化疗。2011.12.30行剖腹探查术,术中见全腹腔内广泛种植转移病灶,粘连严重,遂行“肠粘连松解术+空肠-空肠侧侧吻合术+回肠-乙状结肠侧侧吻合术+空肠营养管置入术”,术程顺利。2012.2.11,我院PET-CT示:腹膜腔条索影代谢略活跃,考虑转移瘤;盆腔少量积液。经内科会诊后于2012.2.13-4.12行C225+奈达铂+ABRAXANE方案化疗5程,过程顺利。2012.4.10前后(第5程化疗)患者出现小便色红,无尿频、尿急、尿痛及腹痛等不适,,查尿常规示:,RBC:1199UL,,WBC:186UL。,腹平片示:两侧泌尿系行程内未见明确结石。请我院泌尿科会诊建议出院后至***一院拔除D-T管,行输尿管支架置换术,患者出院后未行治疗。现为继续治疗入院,患者目前精神可,胃纳较差,睡眠尚可,二便正常,近期体重增加约0.5KG。} | |
[
{
"end_pos": 4,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 2,
"text": "下腹"
},
{
"end_pos": 21,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "右下腹"
},
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 21,
"text": "腹"
},
{
"end_pos": 37,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 32,
"text": "胰尾部肿瘤"
},
{
"end_pos": 41,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 38,
"text": "CEA"
},
{
"end_pos": 52,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 47,
"text": "CA199"
},
{
"end_pos": 80,
"label_type": "手术",
"overlap": null,
"start_pos": 68,
"text": "胰尾+脾+部分结肠切除术"
},
{
"end_pos": 95,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 93,
"text": "脾脏"
},
{
"end_pos": 100,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 96,
"text": "结肠脾曲"
},
{
"end_pos": 116,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 107,
"text": "高分化粘液性囊腺癌"
},
{
"end_pos": 120,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 119,
"text": "肠"
},
{
"end_pos": 129,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 127,
"text": "脾脏"
},
{
"end_pos": 146,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 141,
"text": "CA199"
},
{
"end_pos": 170,
"label_type": "影像检查",
"overlap": null,
"start_pos": 168,
"text": "CT"
},
{
"end_pos": 174,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 173,
"text": "腹"
},
{
"end_pos": 189,
"label_type": "药物",
"overlap": null,
"start_pos": 185,
"text": "吉西他滨"
},
{
"end_pos": 220,
"label_type": "影像检查",
"overlap": null,
"start_pos": 217,
"text": "腹CT"
},
{
"end_pos": 223,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 221,
"text": "胃底"
},
{
"end_pos": 226,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 224,
"text": "右肾"
},
{
"end_pos": 243,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 238,
"text": "CA199"
},
{
"end_pos": 250,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 249,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,“下腹不适3月”,2015.3发现右下腹腹膜后不规则软组织影,胰尾部肿瘤,CEA 8.83,CA199>1000,2015-3-19行胰尾+脾+部分结肠切除术,5X5X5CM,侵犯部分脾脏及结肠脾曲,,术后病理:高分化粘液性囊腺癌,侵犯肠壁至粘膜上层,脾脏可见受侵,1/6。术后,CA199:73,当地建议观察,渐升至>1000,未行CT,轻度腹胀,2015-7-6起吉西他滨*2,末次2015-8-03。我院会诊2015.8.17腹CT示胃底与右肾见51*33MM占位,,CA199:7304。腹胀略加重,体重术后上降约3KG。} | |
[
{
"end_pos": 16,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 13,
"text": "结肠癌"
},
{
"end_pos": 29,
"label_type": "手术",
"overlap": null,
"start_pos": 17,
"text": "腹腔镜上乙状结肠癌根治术"
},
{
"end_pos": 40,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 39,
"text": "腹"
},
{
"end_pos": 74,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 65,
"text": "乙状结肠中分化腺癌"
},
{
"end_pos": 214,
"label_type": "影像检查",
"overlap": null,
"start_pos": 212,
"text": "CT"
},
{
"end_pos": 226,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 215,
"text": "右侧髂血管旁淋巴结转移"
},
{
"end_pos": 232,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 226,
"text": ",CA199"
},
{
"end_pos": 241,
"label_type": "药物",
"overlap": null,
"start_pos": 238,
"text": "希罗达"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,2014-2-24因发现结肠癌行腹腔镜上乙状结肠癌根治术,,术中见:肿物位于腹膜返折以下,大小约2.8*5.5CM。,术后病理:乙状结肠中分化腺癌,侵透固有肌层达浆膜上脂肪组织;切缘(-);淋巴结转移10/31;未见脉管癌栓及神经侵犯。,免疫组化:MSI IHC(+);MSH-2(+);KSH(+);PMS-2(+);KRAS突变型。术后恢复可。术后XELOX方案8周期。末次化疗2014.8.定期复查,2016.2复查CT示右侧髂血管旁淋巴结转移,CA199升高。现口服希罗达化疗约2周期停药.。} | |
[
{
"end_pos": 21,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 16,
"text": "CA199"
},
{
"end_pos": 36,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 31,
"text": "CA153"
},
{
"end_pos": 49,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 46,
"text": "CEA"
},
{
"end_pos": 66,
"label_type": "影像检查",
"overlap": null,
"start_pos": 62,
"text": "胸部CT"
},
{
"end_pos": 79,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 75,
"text": "左肺上叶"
},
{
"end_pos": 89,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 84,
"text": "周围型肺癌"
},
{
"end_pos": 93,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 91,
"text": "纵隔"
},
{
"end_pos": 106,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 104,
"text": "两肺"
},
{
"end_pos": 124,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 122,
"text": "锁骨"
},
{
"end_pos": 132,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 127,
"text": "左侧锁骨头"
},
{
"end_pos": 138,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 133,
"text": "左侧肩胛骨"
},
{
"end_pos": 143,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 141,
"text": "颈椎"
},
{
"end_pos": 146,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 144,
"text": "胸椎"
},
{
"end_pos": 149,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 147,
"text": "肋骨"
},
{
"end_pos": 159,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 158,
"text": "骨"
},
{
"end_pos": 174,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 172,
"text": "两肺"
},
{
"end_pos": 189,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 187,
"text": "颈椎"
},
{
"end_pos": 193,
"label_type": "影像检查",
"overlap": null,
"start_pos": 190,
"text": "MRI"
},
{
"end_pos": 207,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 199,
"text": "颈3、4、5、7"
},
{
"end_pos": 215,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 208,
"text": "胸4椎体及附件"
},
{
"end_pos": 235,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 220,
"text": "颈3、胸4椎体病理性压缩性骨折"
},
{
"end_pos": 263,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 253,
"text": "颈椎、椎间盘退行性变"
},
{
"end_pos": 269,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 266,
"text": "椎间盘"
},
{
"end_pos": 285,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 279,
"text": "甲状腺两侧叶"
},
{
"end_pos": 304,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 298,
"text": "子宫切除术后"
},
{
"end_pos": 308,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 307,
"text": "肝"
},
{
"end_pos": 310,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 309,
"text": "胆"
},
{
"end_pos": 313,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 311,
"text": "胰腺"
},
{
"end_pos": 315,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 314,
"text": "腹"
},
{
"end_pos": 323,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 322,
"text": "脾"
},
{
"end_pos": 327,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 324,
"text": "门静脉"
},
{
"end_pos": 332,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 328,
"text": "上腔静脉"
},
{
"end_pos": 339,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 337,
"text": "两肾"
},
{
"end_pos": 344,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 340,
"text": "两输尿管"
},
{
"end_pos": 347,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 345,
"text": "膀胱"
},
{
"end_pos": 350,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 348,
"text": "盆腔"
},
{
"end_pos": 374,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 366,
"text": "腹主动脉粥样硬化"
},
{
"end_pos": 402,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 399,
"text": "胸背部"
},
{
"end_pos": 476,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 432,
"text": "左上肺周围型肺癌并两肺、右锁骨远端、左锁骨头、左肩胛骨、颈椎、胸椎、多发肋骨转移可能性大"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,缘于入院前4日天于我院体检,行CA19912.21U/ML,CA15337.22U/ML,CEA949.50NG/ML↑。胸部CT平扫+,增强:1.左肺上叶肿块,考虑周围型肺癌,并纵隔内多发肿大淋巴结;2.两肺多发小结节,考虑转移瘤;3.右侧锁骨远端、左侧锁骨头、左侧肩胛骨、多个颈椎、胸椎、肋骨多处类圆形致密影或骨质破坏,考虑转移瘤;4.余两肺慢性炎症,建议治疗后复查。颈椎,MRI:1.扫描区颈3、4、5、7、胸4椎体及附件多发病变并颈3、胸4椎体病理性压缩性骨折,为转移瘤可能,建议进一步检查;2.颈椎、椎间盘退行性变,多发椎间盘轻度膨出;3.扫描区甲状腺两侧叶稍增大。,女全腹彩超:1.子宫切除术后;2.肝、胆、胰腺及腹膜后所见部分、脾、门静脉及上腔静脉所见部分、两肾、两输尿管、膀胱及盆腔所见部分未见明显占位性病变;3.腹主动脉粥样硬化声像改变。无咳嗽、咳痰、咯血,无气促、呼吸困难,无胸背部疼痛,无恶心、呕吐等不适,今为进一步治疗,就诊我科,门诊拟“左上肺周围型肺癌并两肺、右锁骨远端、左锁骨头、左肩胛骨、颈椎、胸椎、多发肋骨转移可能性大”收住入院,发病来,患者精神尚可,睡眠尚可,食欲尚可,大小便正常,体重无明显改变。} | |
[
{
"end_pos": 21,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "右大腿"
},
{
"end_pos": 61,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 43,
"text": "浅表扩散型恶性黑色素瘤伴局灶溃疡形成"
},
{
"end_pos": 95,
"label_type": "影像检查",
"overlap": null,
"start_pos": 87,
"text": "全身PET-CT"
},
{
"end_pos": 146,
"label_type": "手术",
"overlap": null,
"start_pos": 121,
"text": "上肢皮肤肿瘤扩大切除术+右侧腹股沟前哨淋巴结活检术"
},
{
"end_pos": 160,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 152,
"text": "恶性黑色素瘤转移"
},
{
"end_pos": 174,
"label_type": "药物",
"overlap": null,
"start_pos": 171,
"text": "干扰素"
},
{
"end_pos": 179,
"label_type": "药物",
"overlap": null,
"start_pos": 175,
"text": "IL-2"
},
{
"end_pos": 206,
"label_type": "手术",
"overlap": null,
"start_pos": 195,
"text": "右侧腹股沟淋巴结清扫术"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2016-03-09因“先天性右大腿黑斑,破溃1月”行局部切除术,,术后病理示:浅表扩散型恶性黑色素瘤伴局灶溃疡形成,BRESLOW厚度约2MM。2016-03-16行全身PET-CT检查示未见明确转移征象。2016-03-31全麻上行上肢皮肤肿瘤扩大切除术+右侧腹股沟前哨淋巴结活检术,术后病理示恶性黑色素瘤转移(1/4)。后行低剂量干扰素及IL-2治疗1月。2016-05-11行右侧腹股沟淋巴结清扫术,,术后病理示:清扫淋巴结13枚,其中10枚见少量个别吞噬黑色素的组织细胞,未见肯定肿瘤转移,纤维脂肪组织内见异物肉芽肿。门诊咨询。} | |
[
{
"end_pos": 41,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 25,
"text": "胃体小弯低分化腺癌,伴印戒细胞癌"
},
{
"end_pos": 56,
"label_type": "影像检查",
"overlap": null,
"start_pos": 54,
"text": "CT"
},
{
"end_pos": 59,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 57,
"text": "胃体"
},
{
"end_pos": 80,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 78,
"text": "胃癌"
},
{
"end_pos": 82,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 81,
"text": "胃"
},
{
"end_pos": 100,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 94,
"text": "盆腔少量积液"
},
{
"end_pos": 118,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 115,
"text": "左卵巢"
},
{
"end_pos": 145,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 139,
"text": " 中性粒细胞"
},
{
"end_pos": 208,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 207,
"text": "胃"
},
{
"end_pos": 223,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 211,
"text": "低分化腺癌,伴印戒细胞癌"
},
{
"end_pos": 276,
"label_type": "药物",
"overlap": null,
"start_pos": 273,
"text": "紫杉醇"
},
{
"end_pos": 280,
"label_type": "药物",
"overlap": null,
"start_pos": 277,
"text": "替吉奥"
},
{
"end_pos": 312,
"label_type": "手术",
"overlap": null,
"start_pos": 297,
"text": "根治性全胃切除,空肠营养管置入"
},
{
"end_pos": 334,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 319,
"text": "胃低分化腺癌,部分为印戒细胞癌"
},
{
"end_pos": 352,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 351,
"text": "胃"
},
{
"end_pos": 361,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 359,
"text": "食管"
},
{
"end_pos": 397,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 396,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,因进食不畅半年,2015-07-09,外院胃镜:胃体小弯低分化腺癌,伴印戒细胞癌。2015-07-18外院CT示胃体部胃壁增厚,考虑BORRMANN 4型胃癌。胃周多发淋巴结,性质待定。盆腔少量积液。2015-07-24,超声:左卵巢可疑饱满。化验肿标正常。2015-7-23 中性粒细胞绝对值 1.23*10^9/L2015-07-29本院FISH检测HER2基因无扩增。2015-07-30,本院病理会诊:(胃活检)低分化腺癌,伴印戒细胞癌,,LAUREN:弥漫型;,免疫组化:HER2(1+),CK(+)。2015-8-7始我院消化内科行紫杉醇+替吉奥化疗4周期.2015-11-24行根治性全胃切除,空肠营养管置入.,术后病理:胃低分化腺癌,部分为印戒细胞癌,LAUREN,分型:弥漫型.侵及胃壁浆膜层,累及食管,脉管癌栓及神经侵犯,淋巴结1/17.分期PT4AN1.化疗期间曾出现腹腔感染。拟于术后3月行辅助化疗。家属代诊,现患者体质弱,夜间有饥饿感,进食偶有呕吐,乏力肢痛,引流管周围稍有红肿,偶有发热38度,睡眠、大小便可。} | |
[
{
"end_pos": 20,
"label_type": "手术",
"overlap": null,
"start_pos": 14,
"text": "直肠癌根治术"
},
{
"end_pos": 39,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 29,
"text": "直肠溃疡型中分化腺癌"
},
{
"end_pos": 69,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 61,
"text": "肠系膜淋巴结转移"
},
{
"end_pos": 129,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 127,
"text": "肛门"
},
{
"end_pos": 135,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 133,
"text": "直肠"
},
{
"end_pos": 146,
"label_type": "影像检查",
"overlap": null,
"start_pos": 142,
"text": "盆腔CT"
},
{
"end_pos": 176,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 171,
"text": "左侧髂血管"
},
{
"end_pos": 192,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 190,
"text": "肛门"
},
{
"end_pos": 219,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 214,
"text": "中分化腺癌"
},
{
"end_pos": 272,
"label_type": "药物",
"overlap": null,
"start_pos": 269,
"text": "希罗达"
},
{
"end_pos": 308,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 303,
"text": "肝多发转移"
},
{
"end_pos": 366,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 365,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,2009-10-2于外院行直肠癌根治术,,手术病理回报:直肠溃疡型中分化腺癌,侵透全层达周围脂肪组织,淋巴结转移2/9(肠系膜淋巴结转移2/4),术后给予辅助化疗6周期,未行术后放疗,此后定期复查,未见明显复发转移,3月前患者出现排便不畅,伴小便不畅,肛门指诊提示直肠肿物,固定,,盆腔CT提示:吻合口左侧壁增厚,19MM,增强后明显强化,左侧髂血管旁肿大淋巴结,,肠镜提示:距肛门5-7CM吻合口肿物,固定,,活检病理回报:中分化腺癌。2011年9月14日于我院放疗科行术前放化疗,50.6GY CTV 41.8GY/22F,同期给予希罗达825MG/M2 BID D1-D5/W。3周前于我科检查发现肝多发转移,遂行“XELOX”化疗,今为行进一步化疗入院。患者自发病来,饮食睡眠可,体重无明显减轻,小便有排不尽感,大便伴有腹胀、量少、排便不尽感。} | |
[
{
"end_pos": 24,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 22,
"text": "阴道"
},
{
"end_pos": 35,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 33,
"text": "宫颈"
},
{
"end_pos": 61,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 48,
"text": "(宫颈)中度分化鳞状细胞癌"
},
{
"end_pos": 100,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 99,
"text": "腹"
},
{
"end_pos": 102,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 101,
"text": "腹"
},
{
"end_pos": 141,
"label_type": "手术",
"overlap": null,
"start_pos": 129,
"text": "经胸腔镜上肺部肿物活检术"
},
{
"end_pos": 150,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 148,
"text": "肺部"
},
{
"end_pos": 183,
"label_type": "手术",
"overlap": null,
"start_pos": 170,
"text": "宫颈癌根治术加两附件切除术"
},
{
"end_pos": 202,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 190,
"text": "宫颈中-低分化鳞状细胞癌"
},
{
"end_pos": 207,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 205,
"text": "宫颈"
},
{
"end_pos": 211,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 208,
"text": "宫颈管"
},
{
"end_pos": 262,
"label_type": "药物",
"overlap": null,
"start_pos": 260,
"text": "泰素"
},
{
"end_pos": 300,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 299,
"text": "胃"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者平素月经规律,5年前绝经,2年前始出现阴道不规则出血,,外院宫颈活检病理结果经我院会诊示:(宫颈)中度分化鳞状细胞癌。未除外伴有腺样分化的可能。现入院进一步治疗,患者自起病以来,无恶心呕吐,无腹痛腹泻,无尿频尿急,自诉有漏尿现象。于2012-3-5日行经胸腔镜上肺部肿物活检术,术后病理提示肺部肿物非恶性肿瘤。于2012-3-15日行宫颈癌根治术加两附件切除术,,术后病理:宫颈中-低分化鳞状细胞癌,累及宫颈及宫颈管深肌层,入5010序贯放化疗组,放疗约至5月8日至5月10日。于2012-3-30予TP方案化疗(泰素270MG+DDP110MG)一程,过程顺利。今入院化疗。无畏寒发热,精神胃纳食欲可,大小便正常,体重无明显上降。,外院治疗经过:无。} | |
[
{
"end_pos": 24,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 22,
"text": "直肠"
},
{
"end_pos": 38,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 33,
"text": "中分化腺癌"
},
{
"end_pos": 134,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 133,
"text": "腹"
},
{
"end_pos": 164,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 161,
"text": "白细胞"
},
{
"end_pos": 174,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 169,
"text": "中性粒细胞"
},
{
"end_pos": 205,
"label_type": "手术",
"overlap": null,
"start_pos": 201,
"text": "回肠造瘘"
},
{
"end_pos": 209,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 207,
"text": "直肠"
},
{
"end_pos": 221,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 219,
"text": " 肠"
},
{
"end_pos": 280,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 274,
"text": "肠系膜淋巴结"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者3月前出现间断便血,,外院肠镜提示:,直肠占位活检病理会诊:中分化腺癌,完善分期检查,CT3N+M0.术前放化疗,2016-5-3至2016-5-25 GTV 51GY CTV 40.8GY/34F BID D1-D5/W,患者诉大便较次数较前增多十余次/天,腹泻2度,恶心1度,乏力1度,皮肤反应1度,泌尿系1度,白细胞减低1度,中性粒细胞减低I度。2016年7月27日行手术治疗,低位前切除,回肠造瘘。(直肠),放化疗后切除:- 肠壁内未见癌残留,- 可见间质纤维化及大量慢性炎细胞浸润,符合治疗后反应,NCCN-TRG,分级:0级;- 肠系膜淋巴结未见癌转移(0/2);-(近端)及(远端)均未见癌。} | |
[
{
"end_pos": 33,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 29,
"text": "横结肠癌"
},
{
"end_pos": 68,
"label_type": "手术",
"overlap": null,
"start_pos": 49,
"text": "横结肠癌根治术+大网膜、盆底结节切除术"
},
{
"end_pos": 90,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 82,
"text": "横结肠中分化腺癌"
},
{
"end_pos": 93,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 92,
"text": "肠"
},
{
"end_pos": 123,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 119,
"text": "乙状结肠"
},
{
"end_pos": 187,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 186,
"text": "肝"
},
{
"end_pos": 200,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 199,
"text": "肝"
},
{
"end_pos": 222,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 219,
"text": "手指尖"
},
{
"end_pos": 237,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 233,
"text": "右脚拇指"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者2012年01月因 \"便血\"收入我科,术前检查诊断横结肠癌,于2012.1.30在全麻上行横结肠癌根治术+大网膜、盆底结节切除术,术后恢复顺利。术后病理示:横结肠中分化腺癌浸润肠壁浆膜层外脂肪组织,淋巴结0/27转移,大网膜结节、乙状结肠壁结节、盆底结节中见腺癌侵润。分期PT4AN0M1A IV期。术后于2012-2-17起行XELOX方案化疗7程,过程顺利。因肝功能损害,于**三院行护肝治疗中。现为继续治疗入院。患者近来诉有手指尖麻木,局部皮肤无破溃,右脚拇指破溃愈合中,精神可,纳眠可,小便无异常,体重无明显上降。} | |
[
{
"end_pos": 38,
"label_type": "手术",
"overlap": null,
"start_pos": 15,
"text": "胃癌姑息切除术后+远端胃大部切除+淋巴结清扫术"
},
{
"end_pos": 59,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 45,
"text": "胃体胃窦小弯侧溃疡型粘液腺癌"
},
{
"end_pos": 63,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 62,
"text": "胃"
},
{
"end_pos": 122,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 121,
"text": "腹"
},
{
"end_pos": 127,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 126,
"text": "腹"
},
{
"end_pos": 136,
"label_type": "药物",
"overlap": null,
"start_pos": 133,
"text": "PTX"
},
{
"end_pos": 157,
"label_type": "药物",
"overlap": null,
"start_pos": 154,
"text": "希罗达"
},
{
"end_pos": 170,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 169,
"text": "腹"
},
{
"end_pos": 188,
"label_type": "影像检查",
"overlap": null,
"start_pos": 186,
"text": "CT"
},
{
"end_pos": 191,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 190,
"text": "腹"
},
{
"end_pos": 194,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 193,
"text": "肠"
},
{
"end_pos": 204,
"label_type": "药物",
"overlap": null,
"start_pos": 201,
"text": "PTX"
},
{
"end_pos": 211,
"label_type": "药物",
"overlap": null,
"start_pos": 205,
"text": "XELODA"
},
{
"end_pos": 240,
"label_type": "影像检查",
"overlap": null,
"start_pos": 238,
"text": "CT"
},
{
"end_pos": 243,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 242,
"text": "腹"
},
{
"end_pos": 252,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 251,
"text": "腹"
},
{
"end_pos": 286,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 283,
"text": "CEA"
},
{
"end_pos": 293,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 287,
"text": "CA72.4"
},
{
"end_pos": 305,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 300,
"text": "CA199"
},
{
"end_pos": 311,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 306,
"text": "CA242"
},
{
"end_pos": 344,
"label_type": "药物",
"overlap": null,
"start_pos": 340,
"text": "TS-1"
},
{
"end_pos": 377,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 374,
"text": "CEA"
},
{
"end_pos": 383,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 378,
"text": "CA199"
},
{
"end_pos": 390,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 384,
"text": "CA72.4"
},
{
"end_pos": 411,
"label_type": "药物",
"overlap": null,
"start_pos": 408,
"text": "PTX"
},
{
"end_pos": 415,
"label_type": "药物",
"overlap": null,
"start_pos": 412,
"text": "S-1"
},
{
"end_pos": 473,
"label_type": "影像检查",
"overlap": null,
"start_pos": 471,
"text": "CT"
},
{
"end_pos": 485,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 474,
"text": "膀胱切除回肠代膀胱术后"
},
{
"end_pos": 496,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 491,
"text": "膀胱回肠壁"
},
{
"end_pos": 503,
"label_type": "影像检查",
"overlap": null,
"start_pos": 499,
"text": "颈部B超"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,2008-1于我院胃肠外科行胃癌姑息切除术后+远端胃大部切除+淋巴结清扫术,,术后病理:胃体胃窦小弯侧溃疡型粘液腺癌,侵透胃壁全层,淋巴结13/27,术前4周期、术后3周期化疗,方案T+X。定期复查。\U0004\U0004 2011.3因腹胀,考虑腹腔复发,重复PTX+X化疗4周期,末次化疗7-1.口服希罗达维持治疗至8.1后停药。腹胀加重,肿瘤标志物明显升高,复查CT可见腹水,肠系膜增厚。已行PTX+XELODA再次化疗7周期,自觉症状好转。,AE:HFS2度,复查CT提示腹膜轻度增厚,少量腹水.\U0004\U0004 2011.10,肿瘤标志物提示CEA、CA72.4较前明显上降,CA199、CA242明显升高,患者自觉症状较前明显好转,HFS已恢复正常。口服TS-1单药化疗后1周期后肿瘤标志物上降,但第2周期后复查肿瘤标志物CEA、CA199、CA72.4均较前明显升高。2012.2.7改为PTX+S-1化疗,无明显不适。第8天化疗因血尿停药。考虑尿路感染,抗炎治疗后,复查尿常规肾功正常,2012.3.,1北大一院CT:膀胱切除回肠代膀胱术后,吻合口及带膀胱回肠壁增厚。颈部B超(-)。\U0004\U0004 现小便正常。复查血常规、生化未见特殊异常,拟行开始化疗。} | |
[
{
"end_pos": 18,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 10,
"text": "降结肠中分化腺癌"
},
{
"end_pos": 39,
"label_type": "手术",
"overlap": null,
"start_pos": 31,
"text": "乙状结肠癌根治术"
},
{
"end_pos": 54,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 40,
"text": "溃疡型中低分化腺癌伴粘液腺癌"
},
{
"end_pos": 56,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 55,
"text": "肠"
},
{
"end_pos": 137,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 136,
"text": "头"
},
{
"end_pos": 150,
"label_type": "药物",
"overlap": null,
"start_pos": 147,
"text": "希罗达"
},
{
"end_pos": 164,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 159,
"text": "CA724"
},
{
"end_pos": 210,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 207,
"text": "CEA"
},
{
"end_pos": 252,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 251,
"text": "腹"
},
{
"end_pos": 258,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 256,
"text": "左手"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{因便潜血阳性检查诊断降结肠中分化腺癌。2012-5-15我院行乙状结肠癌根治术,溃疡型中低分化腺癌伴粘液腺癌,肠壁全层,未侵透浆膜层,无脉管癌栓,1/22,切缘阴性。MLH1(+),MSH2(+)。2012-6-12始XELOX*6,末次2012-9-25。第5周期化疗因头晕、食欲差等不良反应希罗达停服4日。化疗期间CA724进行性增高(2012-7-2:12--19.54--(2012-8-9)22.86) CEA 5.08,2012-09-19 7.71。\U0004\U0004 目前患者仍有腹部隐痛,左手麻木,进食可,大小便正常,体重稳定。} | |
[
{
"end_pos": 13,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 11,
"text": "下腹"
},
{
"end_pos": 23,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 21,
"text": "食管"
},
{
"end_pos": 30,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 28,
"text": "胃窦"
},
{
"end_pos": 41,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 39,
"text": "胃窦"
},
{
"end_pos": 63,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 61,
"text": "食管"
},
{
"end_pos": 74,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 66,
"text": "高级别下皮内瘤变"
},
{
"end_pos": 96,
"label_type": "手术",
"overlap": null,
"start_pos": 85,
"text": "食管黏膜病变EPMR术"
},
{
"end_pos": 112,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 103,
"text": "(食管)鳞形细胞癌"
},
{
"end_pos": 231,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 229,
"text": "食管"
},
{
"end_pos": 281,
"label_type": "手术",
"overlap": null,
"start_pos": 273,
"text": "内镜上食管扩张术"
},
{
"end_pos": 308,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 307,
"text": "胃"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2016-10因下腹不适外院胃镜发现食管粘膜病变,胃窦隆起性病变。,病理胃窦:慢性中度浅表性炎、急性活动(中度)。,食管粘膜:高级别下皮内瘤变。2016-10-18食管黏膜病变EPMR术,,术后病理:(食管)鳞形细胞癌,分化II~III级,癌组织浸润粘膜上层,因送检组织破碎,无法评估侧切缘情况,基底切缘未见病变累及。免疫组化(2016-N20634)2+3,号蜡块:DES(粘膜肌+),KI67(60%阳性),P16(-),P53(++)。患者术后因食管狭窄,分别于2016-11-11、2016-12-6、2017-5-24于我院行三次内镜上食管扩张术,现为求进一步治疗,收入我科。患者自发病以来精神可,胃纳可,夜眠可,二便无殊,体重无明显降低。} | |
[
{
"end_pos": 6,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 5,
"text": "肝"
},
{
"end_pos": 13,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 11,
"text": "宫颈"
},
{
"end_pos": 34,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 33,
"text": "肝"
},
{
"end_pos": 54,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 53,
"text": "肝"
},
{
"end_pos": 72,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 70,
"text": "肝脏"
},
{
"end_pos": 75,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 73,
"text": "宫颈"
},
{
"end_pos": 119,
"label_type": "手术",
"overlap": null,
"start_pos": 113,
"text": "子宫动脉栓塞"
},
{
"end_pos": 149,
"label_type": "手术",
"overlap": null,
"start_pos": 135,
"text": "两附件切除+腹盆腔淋巴结清扫"
},
{
"end_pos": 160,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 155,
"text": "右附件卵巢"
},
{
"end_pos": 173,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 170,
"text": "输卵管"
},
{
"end_pos": 256,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 252,
"text": "腹盆LN"
},
{
"end_pos": 271,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 269,
"text": "外阴"
},
{
"end_pos": 333,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 331,
"text": "宫颈"
},
{
"end_pos": 340,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 338,
"text": "肝脏"
},
{
"end_pos": 360,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 357,
"text": "白细胞"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{影像学提示肝多发占位,宫颈占位考虑恶性至宫旁。2015-12-17肝穿刺病理免疫组化结果支持为低分化癌浸润肝组织,结合病史考虑妇科肿瘤转移至肝脏。宫颈肿物凝血块及纤维组织内可见腺癌伴坏死及挤压退变。2015-12-28介入科行子宫动脉栓塞,2015-12-30我院妇科行两附件切除+腹盆腔淋巴结清扫,术后病理:右附件卵巢组织内可见脉管癌栓;输卵管管壁可见脉管癌栓;淋巴结可见癌转移14/39。2016-1-15、2-5行TP化疗2程。2-29行第3周期化疗,2016-3-4至4-14行放疗,GTVND(腹盆LN)60GY/CTV(L1-外阴)45GY/25F,后装腔内放疗4次,A点剂量28GY/4F/4W。4-19和6-1行第4、5周期化疗。2016.5复查宫颈、淋巴结及肝脏病灶均明显缩小。瘤标基本降至正常。白细胞低上3度,当地升白治疗。现基本回复正常。} | |
[
{
"end_pos": 27,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 25,
"text": "阴道"
},
{
"end_pos": 56,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 54,
"text": "阴道"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 68,
"text": "阴道"
},
{
"end_pos": 82,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 80,
"text": "阴道"
},
{
"end_pos": 87,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 85,
"text": "上腹"
},
{
"end_pos": 92,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 90,
"text": "腰部"
},
{
"end_pos": 122,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 120,
"text": "宫颈"
},
{
"end_pos": 135,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 131,
"text": "阴道穹窿"
},
{
"end_pos": 165,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "宫颈"
},
{
"end_pos": 173,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 171,
"text": "鳞癌"
},
{
"end_pos": 179,
"label_type": "影像检查",
"overlap": null,
"start_pos": 175,
"text": "盆腔MR"
},
{
"end_pos": 183,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 180,
"text": "子宫颈"
},
{
"end_pos": 205,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 202,
"text": "宫颈癌"
},
{
"end_pos": 262,
"label_type": "手术",
"overlap": null,
"start_pos": 244,
"text": "腹腔镜上宫颈癌根治术+两侧卵巢悬吊术"
},
{
"end_pos": 281,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 269,
"text": "宫颈中至低分化鳞状细胞癌"
},
{
"end_pos": 286,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 284,
"text": "宫颈"
},
{
"end_pos": 290,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 287,
"text": "宫颈管"
},
{
"end_pos": 297,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 295,
"text": "阴道"
},
{
"end_pos": 323,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 321,
"text": "阴道"
},
{
"end_pos": 379,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 364,
"text": "宫颈低分化鳞状细胞癌IIA1期"
},
{
"end_pos": 407,
"label_type": "药物",
"overlap": null,
"start_pos": 404,
"text": "力扑素"
},
{
"end_pos": 415,
"label_type": "药物",
"overlap": null,
"start_pos": 413,
"text": "顺铂"
},
{
"end_pos": 448,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 445,
"text": "白细胞"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者既往月经规律。2年前无明显诱因出现间断接触性阴道出血,量不多,色鲜红,可自止,未在意未就诊。2月前出现阴道排液增多,似水样,1月前阴道排液伴腥臭,无不规则阴道出血、上腹疼痛、腰部酸痛等其他不适。2014-6-10于外院行阴道镜检查,见宫颈增大,可疑浸润癌,阴道穹窿变浅,前后穹窿消失,前穹窿及右侧穹窿顶端可及质硬结节,取宫颈活检,考虑为鳞癌。行盆腔MR示子宫颈粘膜增厚,以前唇明显,信号欠均匀,符合宫颈癌表现。未行任何治疗。于2014.6.27入住我院,病理会诊结果同前,于7.2行腹腔镜上宫颈癌根治术+两侧卵巢悬吊术。,术后病理:宫颈中至低分化鳞状细胞癌,浸润宫颈及宫颈管浅肌层;,阴道残端右:粘膜鳞状下皮重度不典型增生,原位癌变。,阴道残端前:部分下皮细胞细胞核深染,考虑有间质浸润,考虑为癌可能性大,余未见癌。诊断为宫颈低分化鳞状细胞癌IIA1期,于7月8日、7月31日予以术后辅助 化疗,方案为力扑素210MG+顺铂90MG。化疗过程顺利。末次化疗后患者未规律复查血常规,曾查白细胞低至3.5×109/L。为进一步诊治,收入我院。起病以来,患者一般情况可,睡眠、食欲稍差,二便正常,体重无明显变化。,外院治疗经过:无。} | |
[
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "腹"
},
{
"end_pos": 30,
"label_type": "影像检查",
"overlap": null,
"start_pos": 28,
"text": "CT"
},
{
"end_pos": 42,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 33,
"text": "升结肠癌,伴肝转移"
},
{
"end_pos": 47,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 44,
"text": "肠梗阻"
},
{
"end_pos": 71,
"label_type": "手术",
"overlap": null,
"start_pos": 64,
"text": "左半结肠切除术"
},
{
"end_pos": 78,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 77,
"text": "腹"
},
{
"end_pos": 87,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 86,
"text": "腹"
},
{
"end_pos": 91,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 89,
"text": "肝脏"
},
{
"end_pos": 106,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 103,
"text": "左后叶"
},
{
"end_pos": 121,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 113,
"text": "升结肠近回盲盲部"
},
{
"end_pos": 136,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 134,
"text": "小肠"
},
{
"end_pos": 139,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 138,
"text": "肠"
},
{
"end_pos": 172,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 149,
"text": "进展期回盲部癌,浸润溃疡型,高及中分化管状腺癌"
},
{
"end_pos": 218,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 217,
"text": "腹"
},
{
"end_pos": 278,
"label_type": "药物",
"overlap": null,
"start_pos": 269,
"text": "奥沙利铂(乐沙定)"
},
{
"end_pos": 290,
"label_type": "药物",
"overlap": null,
"start_pos": 286,
"text": "氟尿嘧啶"
},
{
"end_pos": 303,
"label_type": "药物",
"overlap": null,
"start_pos": 299,
"text": "亚叶酸钙"
},
{
"end_pos": 328,
"label_type": "药物",
"overlap": null,
"start_pos": 319,
"text": "贝伐单抗(安维汀)"
},
{
"end_pos": 362,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 361,
"text": "腹"
},
{
"end_pos": 380,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 379,
"text": "腹"
},
{
"end_pos": 399,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 398,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者4个月前因停止排便、排气、腹痛,,于我院行结肠镜及CT检查:升结肠癌,伴肝转移。因肠梗阻2012-9-21于我院肿瘤外科行左半结肠切除术,,术中见:腹腔内见少量浆液性腹水,肝脏可触及多发结节样肿物,以左后叶为主,肿物位于升结肠近回盲盲部,肿物巨大环周,肿物近侧全小肠扩张肠壁水肿。,术后病理:进展期回盲部癌,浸润溃疡型,高及中分化管状腺癌,断端无癌,淋巴结未见转移癌,癌结节1枚,DUKES分期D期,,病理号:142155。术后腹痛症状消失,排便及排气正常。于2012-10-22住我科后,行MFORFOX方案化疗4周期,,具体为:奥沙利铂(乐沙定)200毫克D1;氟尿嘧啶4200毫克D1;亚叶酸钙300毫克D1。第二周期开始联合贝伐单抗(安维汀)465毫克。化疗后出现I度胃肠反应。目前患者为继续治疗入我科。现无腹痛及其他部位疼痛,病来无发热,轻度腹泻,小便正常,睡眠一般,饮食一般,无腹部及其他部位疼痛,近1个月来体重减无变化,KPS评分90分。} | |
[
{
"end_pos": 8,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 7,
"text": "腹"
},
{
"end_pos": 31,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 25,
"text": "乙状结肠腺癌"
},
{
"end_pos": 34,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 32,
"text": "子宫"
},
{
"end_pos": 41,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 37,
"text": "卵巢囊肿"
},
{
"end_pos": 89,
"label_type": "手术",
"overlap": null,
"start_pos": 75,
"text": "DIXON术+子宫肌瘤剔除术"
},
{
"end_pos": 110,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 101,
"text": "乙状结肠中分化腺癌"
},
{
"end_pos": 148,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 143,
"text": "子宫腺肌症"
},
{
"end_pos": 241,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 239,
"text": "骶部"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者因“便血伴腹泻5月”入院,经肠镜及病理检查确诊乙状结肠腺癌,子宫肿物,卵巢囊肿。影像学分期为CT4N0M0,II期。2011年12月23日全麻上行DIXON术+子宫肌瘤剔除术,术后恢复良好。病理示:乙状结肠中分化腺癌,浸润至外膜层,淋巴结1/14(+),PT4AN1M0,IIIB,子宫腺肌症。免疫组化提示微卫星稳定。2012-1-11至2012-5-17予XELOX方案化疗6周期,过程顺利,无明显副反应。患者现为进一步检查入院。自出院以来,患者无发热、咳嗽、身目黄染,无骶部痛等,精神可,纳眠可,小便无异常,体重上降不明显。} | |
[
{
"end_pos": 14,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 7,
"text": "宫颈癌IIA期"
},
{
"end_pos": 38,
"label_type": "手术",
"overlap": null,
"start_pos": 18,
"text": "经腹广泛子宫+两附件切除+盆腔淋巴清扫术"
},
{
"end_pos": 64,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 49,
"text": "(宫颈)中-低分化腺癌,菜花型"
},
{
"end_pos": 85,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 83,
"text": "宫颈"
},
{
"end_pos": 94,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 92,
"text": "阴道"
},
{
"end_pos": 117,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 111,
"text": "右闭孔淋巴结"
},
{
"end_pos": 127,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 121,
"text": "左闭孔淋巴结"
},
{
"end_pos": 137,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 130,
"text": "右髂血管淋巴结"
},
{
"end_pos": 147,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 140,
"text": "左髂血管淋巴结"
},
{
"end_pos": 164,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 158,
"text": "子宫平滑肌瘤"
},
{
"end_pos": 170,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 168,
"text": "子宫"
},
{
"end_pos": 179,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 173,
"text": "(两侧)卵巢"
},
{
"end_pos": 185,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 182,
"text": "输卵管"
},
{
"end_pos": 236,
"label_type": "药物",
"overlap": null,
"start_pos": 232,
"text": "多西他赛"
},
{
"end_pos": 244,
"label_type": "药物",
"overlap": null,
"start_pos": 242,
"text": "顺铂"
},
{
"end_pos": 289,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 284,
"text": "宫颈癌术后"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者2+月前因宫颈癌IIA期在我院行经腹广泛子宫+两附件切除+盆腔淋巴清扫术。手术顺利,术后病理示(宫颈)中-低分化腺癌,菜花型,肿瘤切面积1.6*0.8CM,浸润至宫颈壁近1/2处,阴道壁断端未查见癌,右左宫旁未查见癌,右闭孔淋巴结15枚,左闭孔淋巴结9枚,右髂血管淋巴结7枚及左髂血管淋巴结4枚,其内均未查见癌。子宫平滑肌瘤;增殖期子宫内膜。(两侧)卵巢白体,输卵管粘膜慢性炎。术后恢复好,分别于2016.2.29、2016.03.19及2016.04.13行多西他赛140MG+顺铂120MG方案化疗,化疗过程顺利,副反应不重。现为求第4次化疗就诊我院,门诊以“宫颈癌术后化疗”收住院。患者自下次出院以来,饮食睡眠可,大小便正常,体重增加1.5KG。"。} | |
[
{
"end_pos": 27,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 22,
"text": "乙状结肠癌"
},
{
"end_pos": 57,
"label_type": "手术",
"overlap": null,
"start_pos": 42,
"text": "腹腔镜乙状结肠切除+肠粘连松解"
},
{
"end_pos": 69,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 68,
"text": "肠"
},
{
"end_pos": 83,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 75,
"text": "肠中至低分化腺癌"
},
{
"end_pos": 91,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 90,
"text": "肠"
},
{
"end_pos": 214,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 213,
"text": "胸"
},
{
"end_pos": 288,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 286,
"text": "心脏"
},
{
"end_pos": 307,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 305,
"text": "心脏"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,缘患者因“大便带血6月余”来我院就诊,确诊乙状结肠癌,于2017.1.6全麻上行“腹腔镜乙状结肠切除+肠粘连松解”术,,术后病理:1(肠大体)镜检为肠中至低分化腺癌,癌组织浸润至肠壁浆膜上层,可见脉管内癌栓及神经束侵犯。(近切缘)(远切缘)未见癌。LN 0/5(+)(病理科已经仔细寻找)。,免疫组化:,1A:PMMR,HER-2(2+),KI67(70%+)。术后恢复可,2017-2-13行XELOX化疗一程。近2周出现胸闷,2017-3-3,心电图:加速性房性心律,偶见窦性夺获。病人至**教授就诊,并查心肌酶,**教授示,心肌酶无明显异常,可予继续化疗,密切观察心脏情况,已向病人反复强调化疗可能加重心脏毒性,病人表示理解,仍签名要求化疗。2017-03-09、2017-03-30、2017-04-20行XELOX方案化疗3程,现为行上程化疗,按主诊教授意见收入我科。} | |
[
{
"end_pos": 30,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 28,
"text": "阴道"
},
{
"end_pos": 46,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 44,
"text": "宫颈"
},
{
"end_pos": 59,
"label_type": "手术",
"overlap": null,
"start_pos": 51,
"text": "阴道镜上宫颈活检"
},
{
"end_pos": 74,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 65,
"text": "宫颈中至低分化鳞癌"
},
{
"end_pos": 85,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 78,
"text": "宫颈癌IB2期"
},
{
"end_pos": 99,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 97,
"text": "宫颈"
},
{
"end_pos": 127,
"label_type": "手术",
"overlap": null,
"start_pos": 116,
"text": "两侧子宫动脉化疗栓塞术"
},
{
"end_pos": 136,
"label_type": "药物",
"overlap": null,
"start_pos": 132,
"text": "5-FU"
},
{
"end_pos": 143,
"label_type": "药物",
"overlap": null,
"start_pos": 141,
"text": "卡铂"
},
{
"end_pos": 155,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 149,
"text": "左侧髂内动脉"
},
{
"end_pos": 203,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 202,
"text": "腹"
},
{
"end_pos": 205,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 204,
"text": "腹"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者既往月经规则,绝经15年,2014-01-10因“阴道流血5+月”就诊外院,妇检见宫颈肿物,遂行阴道镜上宫颈活检,,病理示:宫颈中至低分化鳞癌。诊为“宫颈癌IB2期”入******健院,因宫颈出血不止于2014-01-17行“两侧子宫动脉化疗栓塞术”,术中予5-FU0.5G+卡铂0.25G行左侧髂内动脉灌注化疗。过程顺利,无明显副反应。现为进一步治疗入我院。近1月来患者无发热咳嗽,无恶心呕吐,无腹痛腹泻,精神食欲可,睡眠良好,大小便如常,体重无明显改变。,外院治疗经过:无。} | |
[
{
"end_pos": 16,
"label_type": "影像检查",
"overlap": null,
"start_pos": 14,
"text": "CT"
},
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "右肾下腺"
},
{
"end_pos": 31,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 30,
"text": "腰"
},
{
"end_pos": 52,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 50,
"text": "右腰"
},
{
"end_pos": 62,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 60,
"text": "妊娠"
},
{
"end_pos": 122,
"label_type": "手术",
"overlap": null,
"start_pos": 100,
"text": "右肾下腺巨大肿瘤切除+右肾切除+肠粘连松解术"
},
{
"end_pos": 137,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 133,
"text": "右肾下腺"
},
{
"end_pos": 144,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 140,
"text": "右肾下腺"
},
{
"end_pos": 150,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 149,
"text": "肾"
},
{
"end_pos": 156,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 153,
"text": "肾下腺"
},
{
"end_pos": 160,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 159,
"text": "肾"
},
{
"end_pos": 225,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 214,
"text": "B细胞性非霍奇金淋巴瘤"
},
{
"end_pos": 245,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 228,
"text": "弥漫性大B细胞淋巴瘤,非GCB亚型"
},
{
"end_pos": 257,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 248,
"text": "腹主动脉上段淋巴结"
},
{
"end_pos": 298,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 290,
"text": "腹主动脉旁淋巴结"
},
{
"end_pos": 493,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 486,
"text": "IV度骨髓抑制"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2016-05单位体检CT示:右肾下腺肿物,不伴发热、腰痛、血尿等症。就诊于我院泌尿科,入院后右腰痛逐渐加重,但因妊娠暂停手术治疗。2016-05终止妊娠手术后,于2016年6月2日在全麻上行“右肾下腺巨大肿瘤切除+右肾切除+肠粘连松解术”,,术后病理示:1(右肾下腺肿瘤及右肾下腺),镜上:肾组织、肾下腺组织及肾周脂肪中见肿瘤细胞大小形态较一致,核大、深染,可见核仁,胞浆丰富,核分裂像可见,结合免疫组化结合,病变诊断为B细胞性非霍奇金淋巴瘤,符合弥漫性大B细胞淋巴瘤,非GCB亚型。2(腹主动脉上段淋巴结),镜上:送检淋巴结3枚,未见肿瘤,另于脂肪组织中见肿瘤浸润。3(腹主动脉旁淋巴结),镜上:送检脂肪组织中见肿瘤浸润。,免疫组化:KI67(60%-70%+),BCL-2(+),BCL-6(+),MUM1(+),CD10(-),CYCLIND1(-),C-MYC(5%+),,原位杂交:EBERS(-)。于2016-06-23、2016-07-19、2016-8-13、2016-9-3在我科行R-CHOP方案化疗4程,2,程治疗后疗效:PR。现患者因化疗后IV度骨髓抑制,I度恶心反应,未出现发热等症状。为求进一步治疗遂收入我科行对症支持治疗。起病以来,患者精神不佳,睡眠不佳,大小便正常,体重未见明显上降。} | |
[
{
"end_pos": 43,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 42,
"text": "腹"
},
{
"end_pos": 46,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 45,
"text": "腹"
},
{
"end_pos": 63,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 61,
"text": "直肠"
},
{
"end_pos": 75,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 73,
"text": "腺瘤"
},
{
"end_pos": 125,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 117,
"text": "高级别下皮内瘤变"
},
{
"end_pos": 128,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 126,
"text": "腺癌"
},
{
"end_pos": 160,
"label_type": "药物",
"overlap": null,
"start_pos": 154,
"text": "XELODA"
},
{
"end_pos": 212,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 211,
"text": "腹"
},
{
"end_pos": 253,
"label_type": "手术",
"overlap": null,
"start_pos": 242,
"text": "腹腔镜上DIXON'S"
},
{
"end_pos": 279,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 274,
"text": "中分化腺癌"
},
{
"end_pos": 283,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 282,
"text": "肠"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者3月前出现粘液血便,色鲜红,大便最多6-7次/日,里急后重感明显,量少,无明显腹痛、腹胀,,外院检查示:入肛10CM直肠肿物,,活检病理示:腺瘤恶变。,就诊我院行超声肠镜示:入肛10CM全周肿物,UT4AN0M0,,活检病理示:高级别下皮内瘤变与腺癌鉴别。2014-3-31、2014-04-21行双程XELODA单药化疗双程,2014-04-21到2014-05-24同期行50GY/25F放疗,放化疗期间患者出现腹泻双天,对症处理后症状缓解。于2014-07-11全麻上行“腹腔镜上DIXON'S”,术顺,术后恢复可,,术后病理结果回示:中分化腺癌,浸润肠壁外膜层,局部区域伴纤维组织增生,结合病史,符合治疗后改变(TRG分级3级)。切缘及送检淋巴结0/10未见转移。术后2014-08-08、08-26、09-26、10-17、2014-11-07予CAPEOX化疗5程。为求上一步治疗入院。一般情况可。} | |
[
{
"end_pos": 16,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 15,
"text": "咽"
},
{
"end_pos": 37,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 36,
"text": "鼻"
},
{
"end_pos": 48,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 47,
"text": "胸"
},
{
"end_pos": 51,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 50,
"text": "胸"
},
{
"end_pos": 60,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 59,
"text": "腹"
},
{
"end_pos": 63,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 62,
"text": "腹"
},
{
"end_pos": 83,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 81,
"text": "尿酸"
},
{
"end_pos": 102,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 99,
"text": "电解质"
},
{
"end_pos": 105,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 104,
"text": "钠"
},
{
"end_pos": 120,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 119,
"text": "氯"
},
{
"end_pos": 143,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 139,
"text": "白细胞数"
},
{
"end_pos": 164,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 158,
"text": "血红蛋白浓度"
},
{
"end_pos": 181,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 173,
"text": "中性粒细胞百分比"
},
{
"end_pos": 199,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 192,
"text": "淋巴细胞百分比"
},
{
"end_pos": 215,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 210,
"text": "随机指血糖"
},
{
"end_pos": 234,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 231,
"text": "CRP"
},
{
"end_pos": 256,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 248,
"text": "急性下呼吸道感染"
},
{
"end_pos": 260,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 257,
"text": "糖尿病"
},
{
"end_pos": 269,
"label_type": "药物",
"overlap": null,
"start_pos": 265,
"text": "头孢呋辛"
},
{
"end_pos": 276,
"label_type": "药物",
"overlap": null,
"start_pos": 273,
"text": "痰热清"
},
{
"end_pos": 295,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 294,
"text": "咽"
},
{
"end_pos": 301,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 300,
"text": "鼻"
},
{
"end_pos": 325,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 317,
"text": "急性下呼吸道感染"
},
{
"end_pos": 329,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 326,
"text": "糖尿病"
},
{
"end_pos": 366,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 363,
"text": "糖尿病"
},
{
"end_pos": 383,
"label_type": "药物",
"overlap": null,
"start_pos": 374,
"text": "盐酸二甲两胍缓释片"
},
{
"end_pos": 389,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 387,
"text": "血糖"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前2天,患者因受凉后出现以咽痛为主要表现,伴发热(具体不详)、流涕、鼻塞、咳嗽,不伴抽搐、胸痛、胸闷、恶心、呕吐、腹痛、腹泻。1天前来我院急诊科就诊,查肾功:尿酸 447.8 μmol/l ↑,电解质1:钠 138.6 mmol/l、氯 98.6 mmol/l ↓,血常规:白细胞数 19.7×10^9/L ↑、血红蛋白浓度 171 g/L、中性粒细胞百分比 84.91 % ↑、淋巴细胞百分比 10.72 % ↓,随机指血糖: 19.3 mmol/l ↑,CRP:40 mg/l ↑,考虑“急性下呼吸道感染、糖尿病”,给予“头孢呋辛抗感染、痰热清清热解毒”等治疗,今日未在发热、仍有咽痛、咳嗽、鼻塞,今日为求进一步治疗,门诊以“急性下呼吸道感染、糖尿病”收入我科。1+年前,患者因体重上降、多饮、多食,在外院检查诊断为“糖尿病”,服用半年多“盐酸二甲两胍缓释片”降糖,血糖控制在10mmol/l右左,目前有半年未服药,未监测血糖。自患病以来,患者精神、饮食、睡眠差,体重无上降,大小便未见明显异常。} | |
[
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "心"
},
{
"end_pos": 55,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 52,
"text": "两上肢"
},
{
"end_pos": 76,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 73,
"text": "心前区"
},
{
"end_pos": 80,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 77,
"text": "下腹部"
},
{
"end_pos": 101,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 100,
"text": "心"
},
{
"end_pos": 129,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 126,
"text": "心前区"
},
{
"end_pos": 244,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 240,
"text": "白细胞数"
},
{
"end_pos": 262,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 256,
"text": "血红蛋白浓度"
},
{
"end_pos": 279,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 271,
"text": "中性粒细胞百分比"
},
{
"end_pos": 295,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 288,
"text": "淋巴细胞百分比"
},
{
"end_pos": 309,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 307,
"text": "尿素"
},
{
"end_pos": 325,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 322,
"text": "电解质"
},
{
"end_pos": 327,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 326,
"text": "钾"
},
{
"end_pos": 344,
"label_type": "影像检查",
"overlap": null,
"start_pos": 340,
"text": "腹部彩超"
},
{
"end_pos": 350,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 345,
"text": "肝多发囊肿"
},
{
"end_pos": 353,
"label_type": "影像检查",
"overlap": null,
"start_pos": 351,
"text": "胸片"
},
{
"end_pos": 363,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 356,
"text": "两上肺少许感染"
},
{
"end_pos": 376,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 371,
"text": "轻度肺气肿"
},
{
"end_pos": 385,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 379,
"text": "右侧肋膈胸膜"
},
{
"end_pos": 412,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 405,
"text": "心悸、气促待查"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前3+月,患者无明显诱因出现心悸、气促,活动后明显,感爬楼梯时症状更为明显,休息后可缓解,曾间断出现两上肢轻度浮肿,伴乏力、纳差,进食较差,感心前区及下腹部不适,未重视病情。入院前10+天,患者感心悸、气促加重,但无夜间阵发性呼吸困难、咯血,无明显心前区压榨感,当时未就诊,近3日患者感症状加重,并出现咳嗽、咳痰,咳出白色粘痰,无畏寒、发热,无恶心、呕吐,无端坐呼吸、阵发性呼吸困难,无大汗淋漓、咯血等,于昨日在外输液后无明显缓解(具体用药不详),故今日就诊我院,查“血常规:白细胞数 5.7 10^9/L、血红蛋白浓度 111 g/L、中性粒细胞百分比 73.81 %、淋巴细胞百分比 18.12 %,肾功:尿素 2.81 mmol/L,电解质:钾 2.82 mmol/l。腹部彩超示肝多发囊肿。胸片示1,两上肺少许感染,随访复查。2,轻度肺气肿。3,右侧肋膈胸膜稍增厚,随访”,为进一步治疗,急诊科以“心悸、气促待查”收入我科住院。患者自发病以来精神、食欲差,大小便未诉异常。近期体重无明显减轻。} | |
[
{
"end_pos": 76,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 75,
"text": "心"
},
{
"end_pos": 97,
"label_type": "影像检查",
"overlap": null,
"start_pos": 93,
"text": "心脏彩超"
},
{
"end_pos": 100,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 98,
"text": "右房"
},
{
"end_pos": 103,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 101,
"text": "左房"
},
{
"end_pos": 106,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 104,
"text": "左室"
},
{
"end_pos": 112,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 110,
"text": "瓣膜"
},
{
"end_pos": 122,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 115,
"text": "肺动脉重度高压"
},
{
"end_pos": 128,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 123,
"text": "心包腔积液"
},
{
"end_pos": 132,
"label_type": "影像检查",
"overlap": null,
"start_pos": 129,
"text": "心电图"
},
{
"end_pos": 138,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 134,
"text": "心房纤颤"
},
{
"end_pos": 149,
"label_type": "药物",
"overlap": null,
"start_pos": 146,
"text": "华法林"
},
{
"end_pos": 293,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 292,
"text": "咽"
},
{
"end_pos": 311,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 310,
"text": "胸"
},
{
"end_pos": 317,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 316,
"text": "心"
},
{
"end_pos": 329,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 328,
"text": "腹"
},
{
"end_pos": 331,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 330,
"text": "腹"
},
{
"end_pos": 336,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 335,
"text": "面"
},
{
"end_pos": 338,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 336,
"text": "四肢"
},
{
"end_pos": 399,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 391,
"text": "慢性阻塞性肺疾病"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前10+年患者反复出现咳嗽、咳痰,多于冬春季及受凉后发作,抗感染治疗有效,每年发作超过3个月。入院前6+年开始出现咳嗽咳痰时伴喘累,逐渐出现活动后心累,于下坡时出现,病程中曾在我院行心脏彩超示右房、左房、左室增大,多瓣膜反流,肺动脉重度高压,心包腔积液;心电图提示心房纤颤,院外长期服用“华法林”,并间断口服利尿剂及支气管解痉药物,病情稳定期可耐受平地慢步活动。近2年患者多次在*******医院及我院住院治疗,经抗感染、止咳祛痰、平喘、利尿等治疗病情好转。入院前1周患者受凉后出现咳嗽,咳痰不明显,喘累气促明显加重,不能耐受平地一般活动,伴有纳差乏力,夜间需高枕卧位休息,无明显咽痛流涕,无畏寒发热,无潮热盗汗,无胸痛咯血,无心慌胸闷,无恶心呕吐,无腹胀腹痛,无颜面四肢浮肿,无呼吸困难等不适,在家服用“止咳药物”等,咳嗽好转,喘累无缓解,今为求进一步治疗来我院就诊,门诊以“慢性阻塞性肺疾病”收入我科。本次发病以来患者精神食欲较差,大便如常,小便色黄,睡眠一般,体力明显上降,体重无明显改变。} | |
[
{
"end_pos": 76,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 75,
"text": "心"
},
{
"end_pos": 97,
"label_type": "影像检查",
"overlap": null,
"start_pos": 93,
"text": "心脏彩超"
},
{
"end_pos": 100,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 98,
"text": "右房"
},
{
"end_pos": 103,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 101,
"text": "左房"
},
{
"end_pos": 106,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 104,
"text": "左室"
},
{
"end_pos": 112,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 110,
"text": "瓣膜"
},
{
"end_pos": 122,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 115,
"text": "肺动脉重度高压"
},
{
"end_pos": 128,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 123,
"text": "心包腔积液"
},
{
"end_pos": 132,
"label_type": "影像检查",
"overlap": null,
"start_pos": 129,
"text": "心电图"
},
{
"end_pos": 138,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 134,
"text": "心房纤颤"
},
{
"end_pos": 149,
"label_type": "药物",
"overlap": null,
"start_pos": 146,
"text": "华法林"
},
{
"end_pos": 293,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 292,
"text": "鼻"
},
{
"end_pos": 303,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 302,
"text": "咽"
},
{
"end_pos": 321,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 320,
"text": "胸"
},
{
"end_pos": 328,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 327,
"text": "心"
},
{
"end_pos": 331,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 330,
"text": "胸"
},
{
"end_pos": 342,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 341,
"text": "腹"
},
{
"end_pos": 345,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 344,
"text": "腹"
},
{
"end_pos": 350,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 348,
"text": "颜面"
},
{
"end_pos": 352,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 350,
"text": "四肢"
},
{
"end_pos": 390,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 382,
"text": "慢性阻塞性肺疾病"
},
{
"end_pos": 397,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 391,
"text": "肺源性心脏病"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前10+年患者反复出现咳嗽、咳痰,多于冬春季及受凉后发作,抗感染治疗有效,每年发作超过3个月。入院前6+年开始出现咳嗽咳痰时伴喘累,逐渐出现活动后心累,于下坡时出现,病程中曾在我院行心脏彩超示右房、左房、左室增大,多瓣膜反流,肺动脉重度高压,心包腔积液;心电图提示心房纤颤,院外长期服用“华法林”,并间断口服利尿剂及支气管解痉药物,病情稳定期可耐受平地慢步活动。近2年患者多次在*******医院及我院住院治疗,经抗感染、止咳祛痰、平喘、利尿等治疗病情好转。入院前3天,患者受凉后出现咳嗽,咳痰不明显,喘累气促明显加重,不能耐受平地一般活动,伴有纳差、乏力,夜间需高枕卧位休息,伴鼻塞、流涕、喷嚏,无咽痛,无畏寒、发热,无潮热、盗汗,无胸痛、咯血,无心慌、胸闷,无恶心、呕吐,无腹胀、腹痛,无颜面四肢浮肿,无呼吸困难等不适,今为求进一步治疗来我院就诊,门诊以“慢性阻塞性肺疾病 肺源性心脏病”收入我科。本次发病以来患者精神食欲较差,大便如常,小便色黄,睡眠一般,体力明显上降,体重无明显改变。} | |
[
{
"end_pos": 45,
"label_type": "影像检查",
"overlap": null,
"start_pos": 41,
"text": "早孕彩超"
},
{
"end_pos": 61,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 56,
"text": "急性阴道炎"
},
{
"end_pos": 70,
"label_type": "药物",
"overlap": null,
"start_pos": 66,
"text": "保妇康栓"
},
{
"end_pos": 74,
"label_type": "药物",
"overlap": null,
"start_pos": 71,
"text": "定君生"
},
{
"end_pos": 76,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 74,
"text": "阴道"
},
{
"end_pos": 85,
"label_type": "药物",
"overlap": null,
"start_pos": 79,
"text": "复方黄藤洗液"
},
{
"end_pos": 92,
"label_type": "药物",
"overlap": null,
"start_pos": 88,
"text": "宫炎平片"
},
{
"end_pos": 102,
"label_type": "影像检查",
"overlap": null,
"start_pos": 97,
"text": "孕早期彩超"
},
{
"end_pos": 110,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 104,
"text": "子宫多发肌瘤"
},
{
"end_pos": 158,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 157,
"text": "头"
},
{
"end_pos": 161,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 160,
"text": "眼"
},
{
"end_pos": 165,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "皮肤"
},
{
"end_pos": 217,
"label_type": "影像检查",
"overlap": null,
"start_pos": 213,
"text": "四维彩超"
},
{
"end_pos": 239,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 235,
"text": "OGTT"
},
{
"end_pos": 245,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 241,
"text": "空腹血糖"
},
{
"end_pos": 260,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 254,
"text": "妊娠期糖尿病"
},
{
"end_pos": 273,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 271,
"text": "血糖"
},
{
"end_pos": 304,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 302,
"text": "阴道"
},
{
"end_pos": 316,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 315,
"text": "腹"
},
{
"end_pos": 347,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 346,
"text": "腹"
},
{
"end_pos": 359,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 357,
"text": "阴道"
},
{
"end_pos": 379,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 371,
"text": "胰岛素样生长因子"
},
{
"end_pos": 400,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 396,
"text": "胎膜早破"
},
{
"end_pos": 407,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 401,
"text": "妊娠期糖尿病"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{孕妇既往月经规律,末次月经:2016年07月19日,预产期:2017年4月25日,早孕彩超符合孕周。停经11天因急性阴道炎,外院给予保妇康栓及定君生阴道下药、复方黄藤洗液外用、宫炎平片口服治疗。孕早期彩超提示子宫多发肌瘤,较大约1.8cm*1.4cm,患者未诉不适,门诊予观察。孕20周自觉胎动至今。孕中晚期无明显头昏、眼花、皮肤瘙痒不适。孕期正规产检,早期唐氏筛查低风险,因孕早期用药治疗,建议行无创DNA检查,患者未采纳,四维彩超未见异常。孕期查甲功、肝功结果正常,OGTT提示空腹血糖高于正常,诊断\"妊娠期糖尿病\",予饮食控制后监测血糖大致正常。患者入院前5+小时(4:00)无明显诱因出现少量阴道流液,色清亮,伴不规律腹痛,其后出现少量血性分泌物,入院前40分钟(09:00)自觉腹痛较前加重,遂来院,阴道检查未见明显羊水流出,测胰岛素样生长因子阳性,胎监提示规律宫缩,门诊以\"胎膜早破,妊娠期糖尿病,临产\"收入院。患者孕期以来,精神食欲好,二便正常,孕期体重增长约20.5Kg。} | |
[
{
"end_pos": 27,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 26,
"text": "头"
},
{
"end_pos": 74,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 73,
"text": "腹"
},
{
"end_pos": 94,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 86,
"text": "丙肝肝硬化失代偿"
},
{
"end_pos": 105,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 95,
"text": "胃底静脉曲张破裂出血"
},
{
"end_pos": 118,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 117,
"text": "胃"
},
{
"end_pos": 169,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 167,
"text": "胃体"
},
{
"end_pos": 182,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 172,
"text": "胃底静脉曲张(轻度)"
},
{
"end_pos": 185,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 183,
"text": "胃体"
},
{
"end_pos": 198,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 188,
"text": "黏膜内癌,中-低分化"
},
{
"end_pos": 205,
"label_type": "影像检查",
"overlap": null,
"start_pos": 200,
"text": "腹部CIA"
},
{
"end_pos": 209,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 206,
"text": "肝硬化"
},
{
"end_pos": 211,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 210,
"text": "脾"
},
{
"end_pos": 217,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 213,
"text": "门脉高压"
},
{
"end_pos": 229,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 218,
"text": "食管上段、胃底静脉曲张"
},
{
"end_pos": 235,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 230,
"text": "右肾小囊肿"
},
{
"end_pos": 241,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 236,
"text": "胆囊小结石"
},
{
"end_pos": 247,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 245,
"text": "HB"
},
{
"end_pos": 316,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 314,
"text": "HB"
},
{
"end_pos": 367,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 365,
"text": "腹部"
},
{
"end_pos": 404,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 398,
"text": "下消化道出血"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{2+年前患者无明显诱因解黑便,解成形黑便1次/日,伴头昏、乏力、皮肤黏膜苍白,无反酸、嗳气、烧心,无呕血、腹痛、腹胀、腹泻,无恶心、呕吐、晕厥,无腹围增大。多次就诊,考虑“丙肝肝硬化失代偿 胃底静脉曲张破裂出血”,多次内科输血、抑酸护胃治疗。院外反复黑便,1-3次/月,住院内科保守治疗。1年前,因黑便与********医院就诊:胃镜胃体瘢痕,胃底静脉曲张(轻度);胃体活检:黏膜内癌,中-低分化。下腹部CIA:肝硬化,脾大,门脉高压,食管上段、胃底静脉曲张;右肾小囊肿,胆囊小结石;血常规HB 58G/L;给予内科止血,输血SAG 4U,抑酸保肝治疗缓解自行出院,拒绝进一步检查。1周前患者间断解成形黑便,伴血色素上降,血常规HB 51g/l,全身乏力,伴心悸,无恶心、呕吐,给予输血、止血、抑酸等治疗后解黄便出院。今晨进食后感腹部不适,随即解黑色糊状大便3次,量约400ml右左,无呕吐,已“下消化道出血”收入住院。病程中精神、睡眠欠佳,饮食尚可,大便如下述,小便正常。体重无明显减轻。} | |
[
{
"end_pos": 16,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 14,
"text": "剑突"
},
{
"end_pos": 31,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 28,
"text": "肩背部"
},
{
"end_pos": 68,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 67,
"text": "胸"
},
{
"end_pos": 71,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 70,
"text": "胸"
},
{
"end_pos": 74,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 73,
"text": "心"
},
{
"end_pos": 97,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 96,
"text": "心"
},
{
"end_pos": 162,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 159,
"text": "两上肢"
},
{
"end_pos": 169,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 166,
"text": "剑突上"
},
{
"end_pos": 173,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 172,
"text": "心"
},
{
"end_pos": 230,
"label_type": "影像检查",
"overlap": null,
"start_pos": 226,
"text": "腹部彩超"
},
{
"end_pos": 236,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 234,
"text": "胆囊"
},
{
"end_pos": 243,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 237,
"text": "两侧胸腔积液"
},
{
"end_pos": 260,
"label_type": "影像检查",
"overlap": null,
"start_pos": 257,
"text": "心电图"
},
{
"end_pos": 268,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 264,
"text": "室性早搏"
},
{
"end_pos": 288,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 282,
"text": "窦性心动过速"
},
{
"end_pos": 291,
"label_type": "影像检查",
"overlap": null,
"start_pos": 289,
"text": "胸片"
},
{
"end_pos": 299,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 294,
"text": "两上肺感染"
},
{
"end_pos": 303,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 302,
"text": "心"
},
{
"end_pos": 314,
"label_type": "影像检查",
"overlap": null,
"start_pos": 312,
"text": "CT"
},
{
"end_pos": 338,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 329,
"text": "左侧胸腔中等量积液"
},
{
"end_pos": 350,
"label_type": "影像检查",
"overlap": null,
"start_pos": 345,
"text": "腹部立卧位"
},
{
"end_pos": 364,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 359,
"text": "主动脉硬化"
},
{
"end_pos": 407,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 403,
"text": "腹痛待查"
},
{
"end_pos": 410,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 408,
"text": "心衰"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前3月患者无明显诱因出现剑突上胀痛,呈阵发性发作,无肩背部放射痛,与进食及体位无明显关系,无明显缓解方式。伴烧心、嗳气,伴纳差。无胸闷、胸痛、心累、气促。在外未予处理。入院前1月出现活动后心累、气促,以爬坡及下楼后明显,休息后可稍缓解。无夜间阵发性呼吸困难,无咯粉红色泡沫痰,无咳嗽、咳痰畏寒、发热。入院前3天出现两上肢浮肿,伴剑突上胀痛、心累、气促,伴咳嗽、咳痰,痰液较少,咯痰费力。无畏寒、发热、咯血、胸痛。于2015-07-11在我院门诊行“腹部彩超提示餐后胆囊,两侧胸腔积液,左侧较深间距11.5cm,心电图示:频发室性早搏,顺钟向转位,ST-T改变,窦性心动过速。胸片:1.两上肺感染。2.心后多发结节影,建议CT检查,了解是否转移性病变。3.左侧胸腔中等量积液,有包裹趋势。腹部立卧位未见明显异常。4.主动脉硬化。”,当时由于私人原因未予处理。今日来我院要求住院治疗,为进一步诊治,门诊以“腹痛待查,心衰”收入我科。病程中精神、饮食较差,大小便正常,体重无明显改变。} | |
[
{
"end_pos": 19,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "心"
},
{
"end_pos": 26,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 25,
"text": "胸"
},
{
"end_pos": 50,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 49,
"text": "胸"
},
{
"end_pos": 55,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 53,
"text": "胸骨"
},
{
"end_pos": 63,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 61,
"text": "上肢"
},
{
"end_pos": 96,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 93,
"text": "肺栓塞"
},
{
"end_pos": 100,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 97,
"text": "肺心病"
},
{
"end_pos": 123,
"label_type": "药物",
"overlap": null,
"start_pos": 120,
"text": "华法林"
},
{
"end_pos": 149,
"label_type": "影像检查",
"overlap": null,
"start_pos": 145,
"text": "CTPA"
},
{
"end_pos": 170,
"label_type": "影像检查",
"overlap": null,
"start_pos": 165,
"text": "肺部CTA"
},
{
"end_pos": 177,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 173,
"text": "右肺上叶"
},
{
"end_pos": 182,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 178,
"text": "左肺中叶"
},
{
"end_pos": 187,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 183,
"text": "上叶肺叶"
},
{
"end_pos": 193,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 188,
"text": "肺段肺动脉"
},
{
"end_pos": 213,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 206,
"text": "两肺轻度肺气肿"
},
{
"end_pos": 218,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 214,
"text": "两肺上叶"
},
{
"end_pos": 247,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 237,
"text": "肺动脉栓塞继发性改变"
},
{
"end_pos": 250,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 248,
"text": "心脏"
},
{
"end_pos": 259,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 253,
"text": "心包少量积液"
},
{
"end_pos": 267,
"label_type": "药物",
"overlap": null,
"start_pos": 264,
"text": "华法林"
},
{
"end_pos": 296,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 293,
"text": "INR"
},
{
"end_pos": 328,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 327,
"text": "心"
},
{
"end_pos": 347,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 345,
"text": "胸骨"
},
{
"end_pos": 355,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 353,
"text": "上肢"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前2+年无明显诱因突发活动后心累、气促,并胸闷,伴咳嗽,咳痰,咯少许白色泡沫痰,无咯血,无胸痛,无胸骨后压榨感,无上肢浮肿等不适,患者于*******医院就诊,完善辅助检查考虑“肺栓塞、肺心病”,是否溶栓治疗患者不清楚,此后规律服用华法林,并于*******医院门诊监测凝血象,复查CTPA等,2015-04-15患者复查肺部CTA提示:右肺上叶、左肺中叶级上叶肺叶及肺段肺动脉及其分支表现考虑血栓形成,两肺轻度肺气肿,两肺上叶间质改变,其内少许斑片状磨玻璃影,考虑肺动脉栓塞继发性改变,心脏增大,心包少量积液。近期服用华法林 3.75mg qd。2015-12-22查凝血象 INR 2.14。近1周患者受凉后感咳嗽,咯少许白色泡沫痰,并活动后心累、气促,休息后可好转,无胸痛,无胸骨后压榨感,无上肢浮肿,无夜间阵发性呼吸困难,无咯血,无头晕,无晕厥等不适,今日来院就诊为进一步治疗收入我科住院。病程中患者精神、饮食一般,大小便正常,体力减弱,体重无明显上降。} | |
[
{
"end_pos": 28,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 24,
"text": "高血压病"
},
{
"end_pos": 68,
"label_type": "药物",
"overlap": null,
"start_pos": 65,
"text": "施慧达"
},
{
"end_pos": 82,
"label_type": "药物",
"overlap": null,
"start_pos": 77,
"text": "坎地沙坦酯"
},
{
"end_pos": 118,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 117,
"text": "心"
},
{
"end_pos": 172,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 171,
"text": "腹"
},
{
"end_pos": 175,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 174,
"text": "腹"
},
{
"end_pos": 233,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 230,
"text": "两上肢"
},
{
"end_pos": 244,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 243,
"text": "耳"
},
{
"end_pos": 254,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 253,
"text": "胸"
},
{
"end_pos": 257,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 256,
"text": "胸"
},
{
"end_pos": 318,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 315,
"text": "RBC"
},
{
"end_pos": 334,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 332,
"text": "HB"
},
{
"end_pos": 344,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 341,
"text": "HCT"
},
{
"end_pos": 354,
"label_type": "影像检查",
"overlap": null,
"start_pos": 351,
"text": "心电图"
},
{
"end_pos": 369,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 361,
"text": "Ⅰ度房室传导阻滞"
},
{
"end_pos": 376,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 370,
"text": "偶发房性早搏"
},
{
"end_pos": 395,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 389,
"text": "贫血原因待查"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前20+年患者在外体检时发现血压高,诊断为“高血压病”,未行药物降压治疗。病程中测得最高血压收缩压:200mmHg,给予口服“施慧达2.5mg qd,坎地沙坦酯4mg bid”降压。监测血压波动在160mmHg右左。平时爬坡后出现心悸、气促,休息后可缓解。入院前半年无明显诱因出现纳差,饮食量较前减少,每次进食约50-100g,伴怕冷,无腹胀、腹痛、反酸、嗳气,无恶心、呕吐、呕血、黑便,无吞咽梗阻。在外给予输液治疗后无明显缓解。入院前半月出现全身乏力,以两上肢明显,活动量减少。伴耳鸣,无头昏、黑朦、胸闷、胸痛。未予诊治。病程中全身乏力逐渐加重,活动量较前明显减少,精神明显变差,今日为进一步诊治,遂来我院,门诊查“血常规:RBC:2.87*10^12/L,HB:85g/L,HCT:25.6%。心电图示:窦性心律,Ⅰ度房室传导阻滞,偶发房性早搏”。为进一步诊治,门诊以“贫血原因待查”收入我科。病程中精神、饮食差,大便无固定,小便正常,体重上降(具体不详)。} | |
[
{
"end_pos": 16,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 14,
"text": "血糖"
},
{
"end_pos": 82,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 77,
"text": "2型糖尿病"
},
{
"end_pos": 93,
"label_type": "药物",
"overlap": null,
"start_pos": 89,
"text": "格列吡嗪"
},
{
"end_pos": 110,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 106,
"text": "空腹血糖"
},
{
"end_pos": 140,
"label_type": "药物",
"overlap": null,
"start_pos": 138,
"text": "甘精"
},
{
"end_pos": 159,
"label_type": "药物",
"overlap": null,
"start_pos": 155,
"text": "二甲两胍"
},
{
"end_pos": 171,
"label_type": "药物",
"overlap": null,
"start_pos": 169,
"text": "甘精"
},
{
"end_pos": 204,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 198,
"text": "餐后2h血糖"
},
{
"end_pos": 228,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 225,
"text": "左下肢"
},
{
"end_pos": 249,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 246,
"text": "左下腹"
},
{
"end_pos": 285,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 282,
"text": "两上肢"
},
{
"end_pos": 312,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 311,
"text": "心"
},
{
"end_pos": 316,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 315,
"text": "头"
},
{
"end_pos": 318,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 317,
"text": "头"
},
{
"end_pos": 333,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 332,
"text": "胸"
},
{
"end_pos": 335,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 334,
"text": "胸"
},
{
"end_pos": 347,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 346,
"text": "腹"
},
{
"end_pos": 376,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 373,
"text": "糖尿病"
},
{
"end_pos": 385,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 377,
"text": "左下腹痛隐痛待查"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前16+年在院外体检发现血糖升高,但患者未引起重视未就医诊治。10+年前患者无明显诱因出现口干多饮多尿,具体量回忆不起,后于当地医院诊治,检查后诊断“2型糖尿病”,开始服用“格列吡嗪”(具体剂量不详),偶自测空腹血糖低于7.0mmol/L。7+年患者因血糖控制欠佳院外换用甘精8-10u降糖。5+年患者加服二甲两胍 每晚1颗,最近服用甘精12u 每早一次,院外自测空腹在8-10mmol/L,餐后2h血糖在15mmol/L右左,病程中有视物模糊、左下肢麻木感。入院前2+月患者无明显诱因感左下腹隐痛,与进食关系不大,与呼吸无关,常伴恶心、反酸,自行缓解,间断伴两上肢凹陷性水肿,上午或活动后显著,休息后消退,爬坡后稍感心累,无头昏头痛,无意识障碍大小便失禁,无胸闷胸痛,无呼吸困难气促,无腹胀黑便,无尿急尿痛等不适,今为进一步治疗,门诊以\"糖尿病、左下腹痛隐痛待查\"收入我科住院治疗。病程中患者精神、饮食一般,大便正常,小便色黄,尿频,体重无明显上降。} | |
[
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "颈"
},
{
"end_pos": 19,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "腰"
},
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 20,
"text": "两膝"
},
{
"end_pos": 29,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 26,
"text": "两上肢"
},
{
"end_pos": 49,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 46,
"text": "两上肢"
},
{
"end_pos": 56,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 55,
"text": "头"
},
{
"end_pos": 62,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 60,
"text": "下肢"
},
{
"end_pos": 78,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 77,
"text": "心"
},
{
"end_pos": 81,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 80,
"text": "胸"
},
{
"end_pos": 136,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 129,
"text": "重度骨质疏松症"
},
{
"end_pos": 144,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 137,
"text": "腰椎间盘突出症"
},
{
"end_pos": 154,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 145,
"text": "两膝退行性骨关节炎"
},
{
"end_pos": 159,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 155,
"text": "睡眠障碍"
},
{
"end_pos": 164,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 160,
"text": "高脂血症"
},
{
"end_pos": 170,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 165,
"text": "老年性痴呆"
},
{
"end_pos": 183,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 171,
"text": "右侧锁骨上动脉盗血综合征"
},
{
"end_pos": 190,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 184,
"text": "腔隙性脑梗死"
},
{
"end_pos": 242,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 237,
"text": "骨质疏松症"
},
{
"end_pos": 253,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 248,
"text": "2型糖尿病"
},
{
"end_pos": 267,
"label_type": "药物",
"overlap": null,
"start_pos": 262,
"text": "阿卡波糖片"
},
{
"end_pos": 272,
"label_type": "药物",
"overlap": null,
"start_pos": 268,
"text": "格列美脲"
},
{
"end_pos": 278,
"label_type": "药物",
"overlap": null,
"start_pos": 273,
"text": "甘精胰岛素"
},
{
"end_pos": 290,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 285,
"text": "糖尿病眼病"
},
{
"end_pos": 296,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 291,
"text": "糖尿病肾病"
},
{
"end_pos": 305,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 297,
"text": "糖尿病周围神经病"
},
{
"end_pos": 383,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 371,
"text": "原发性高血压3级 极高危"
},
{
"end_pos": 391,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 384,
"text": "高血压性心脏病"
},
{
"end_pos": 397,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 392,
"text": "心功能Ⅱ级"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{无明显诱因反复全身疼痛4+年,以颈、腰、两膝为主,感两上肢冷痛、麻木,时轻时重,受凉后加重,两上肢乏力,阵发性头昏痛,有下肢麻木,视物模糊,长期睡眠差,无心慌、胸闷、咳嗽、发热、盗汗等,无间歇性跛行及大小便障碍,先后在*******医院及我科住院治疗诊断为“重度骨质疏松症,腰椎间盘突出症、两膝退行性骨关节炎、睡眠障碍、高脂血症、老年性痴呆、右侧锁骨上动脉盗血综合征、腔隙性脑梗死”,经治疗后症状缓解(具体不详);无诱因以下复发加重2天,为进一步治疗,遂来我科就诊,门诊以“骨质疏松症”收治入院。2型糖尿病12+年,目前口服阿卡波糖片、格列美脲及甘精胰岛素降血糖,明确有糖尿病眼病、糖尿病肾病 糖尿病周围神经病,目前血糖控制可。既往高血压病史12+年,血压最高180/?mmHg,未规律服药降压药,自诉血压控制可,于*******医院诊断为“原发性高血压3级 极高危 高血压性心脏病 心功能Ⅱ级”。患者患病以来精神一般,食欲可,大小便正常,近期无明显体重减轻。} | |
[
{
"end_pos": 12,
"label_type": "药物",
"overlap": null,
"start_pos": 9,
"text": "头痛粉"
},
{
"end_pos": 37,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 36,
"text": "头"
},
{
"end_pos": 64,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 63,
"text": "腹"
},
{
"end_pos": 67,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 66,
"text": "腹"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 69,
"text": "腹"
},
{
"end_pos": 84,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 83,
"text": "口"
},
{
"end_pos": 88,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 87,
"text": "面"
},
{
"end_pos": 90,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 88,
"text": "肢体"
},
{
"end_pos": 94,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 93,
"text": "腹"
},
{
"end_pos": 105,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 103,
"text": "Hb"
},
{
"end_pos": 128,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 118,
"text": "消化道出血原因待查 "
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 130,
"text": "重度贫血"
},
{
"end_pos": 141,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 136,
"text": "丙肝肝硬化"
},
{
"end_pos": 202,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 196,
"text": "胃底静脉曲张"
},
{
"end_pos": 218,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 216,
"text": "胃体"
},
{
"end_pos": 237,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 231,
"text": "十二指肠球炎"
},
{
"end_pos": 247,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 239,
"text": "下消化道出血原因"
},
{
"end_pos": 266,
"label_type": "影像检查",
"overlap": null,
"start_pos": 259,
"text": "腹部血管DSA"
},
{
"end_pos": 355,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 354,
"text": "心"
},
{
"end_pos": 369,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 365,
"text": "大便隐血"
},
{
"end_pos": 386,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 381,
"text": "消化道出血"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{1+年前患者服用“头痛粉”后解黑色成形大便,共3次,量约250g/次,伴头昏、乏力、皮肤黏膜苍白,无反酸、嗳气、烧心,无呕血、腹痛、腹胀、腹泻,无恶心、呕吐、晕厥,无口干、颜面肢体水肿、腹围增大。于我院查“Hb32g/L”,诊断为“1、消化道出血原因待查 2、重度贫血3、丙肝肝硬化”,拒绝行胃镜检查,给予止血、纠正贫血、抑酸等对症治疗,未解黑便后自动出院。期间反复解成形黑便,我院无痛胃镜示胃底静脉曲张(1条),F1,红色征阴性;胃体黏膜隆起,不除外静脉曲张;十二指肠球炎”,下消化道出血原因不能明确,建议行小肠镜、腹部血管DSA检查,患者拒绝,给予止血、输血纠正贫血、抑酸等对症处理后症状好转出院,未再正规检查及治疗。1天前患者无明显诱因自觉全身乏力,再次解成形黑便,约100g,无呕血,无烧心、反酸,无心悸,无意识丧失,门诊大便隐血阳性,遂于我院就诊,拟“消化道出血”收入住院。病程中精神、睡眠欠佳,饮食尚可,大便如下述,小便正常。体重无明显减轻。} | |
[
{
"end_pos": 39,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 38,
"text": "腹"
},
{
"end_pos": 42,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 41,
"text": "腹"
},
{
"end_pos": 59,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 57,
"text": "肛缘"
},
{
"end_pos": 110,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 108,
"text": "肛门"
},
{
"end_pos": 147,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 146,
"text": "头"
},
{
"end_pos": 163,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 162,
"text": "腹"
},
{
"end_pos": 166,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 165,
"text": "腹"
},
{
"end_pos": 203,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 198,
"text": "随机指血糖"
},
{
"end_pos": 219,
"label_type": "影像检查",
"overlap": null,
"start_pos": 214,
"text": "床旁心电图"
},
{
"end_pos": 235,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 233,
"text": "UA"
},
{
"end_pos": 250,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 246,
"text": "CREA"
},
{
"end_pos": 267,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 263,
"text": "UREA"
},
{
"end_pos": 287,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 284,
"text": "EO%"
},
{
"end_pos": 297,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 294,
"text": "RBC"
},
{
"end_pos": 313,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 310,
"text": "WBC"
},
{
"end_pos": 329,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 325,
"text": "NENT"
},
{
"end_pos": 347,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 342,
"text": "LYMPH"
},
{
"end_pos": 364,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 360,
"text": "肌钙蛋白"
},
{
"end_pos": 382,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 378,
"text": "便血待查"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者于入院前3天无明显诱因出现解黑大便,每天2次,无畏寒、发热、恶心、恶心、腹胀、腹痛、呕血、头昏头晕、里急后重及肛缘包块突出等不适,患者未引起重视,1天前患者出现数次便后滴血,呈鲜红色,无脓血,每次约100ml,伴肛门坠胀,出现晕厥3次,每次持续时间约10min,醒来无法回忆起晕厥经过,伴头昏,无畏寒、发热、恶心、恶心、腹胀、腹痛、呕血等不适,今日患者为求治疗,遂到我院急诊科就诊,急诊科检查随机指血糖:7.4mmol/l,床旁心电图:窦性心律,T波低平;肾功:UA 746umol/l,CREA 150.6umol/l,UREA 15.72mmol/l;血常规:EO% 0.10%,RBC 3.57*1012/l,WBC 61.6*109/l,NENT 12.36*109/l,LYMPH 77.20%,心肌酶谱、肌钙蛋白检查未见异常,门诊检查后以“便血待查”收入我科继续治疗。患者自患病以来神清,精神、睡眠、饮食差,小便正常,体重无明显变化。。} | |
[
{
"end_pos": 37,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 36,
"text": "头"
},
{
"end_pos": 64,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 63,
"text": "腹"
},
{
"end_pos": 67,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 66,
"text": "腹"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 69,
"text": "腹"
},
{
"end_pos": 84,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 83,
"text": "口"
},
{
"end_pos": 88,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 87,
"text": "面"
},
{
"end_pos": 90,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 88,
"text": "肢体"
},
{
"end_pos": 105,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 103,
"text": "Hb"
},
{
"end_pos": 127,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 118,
"text": "消化道出血原因待查"
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 130,
"text": "重度贫血"
},
{
"end_pos": 139,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 136,
"text": "肝硬化"
},
{
"end_pos": 147,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 141,
"text": "慢性丙型肝炎"
},
{
"end_pos": 209,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 203,
"text": "胃底静脉曲张"
},
{
"end_pos": 225,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 223,
"text": "胃体"
},
{
"end_pos": 244,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 238,
"text": "十二指肠球炎"
},
{
"end_pos": 254,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 246,
"text": "下消化道出血原因"
},
{
"end_pos": 273,
"label_type": "影像检查",
"overlap": null,
"start_pos": 266,
"text": "腹部血管DSA"
},
{
"end_pos": 338,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 337,
"text": "心"
},
{
"end_pos": 342,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 341,
"text": "头"
},
{
"end_pos": 379,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 377,
"text": "贫血"
},
{
"end_pos": 385,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 380,
"text": "丙肝肝硬化"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{1+年前患者服用“头痛粉”后解黑色成形大便,共3次,量约250g/次,伴头昏、乏力、皮肤黏膜苍白,无反酸、嗳气、烧心,无呕血、腹痛、腹胀、腹泻,无恶心、呕吐、晕厥,无口干、颜面肢体水肿、腹围增大。于我院查“Hb32g/L”,诊断为“1、消化道出血原因待查 2、重度贫血3、肝硬化4、慢性丙型肝炎”,拒绝行胃镜检查,给予止血、纠正贫血、抑酸等对症治疗,未解黑便后自动出院。期间反复解成形7次余,我院无痛胃镜示胃底静脉曲张(1条),F1,红色征阴性;胃体黏膜隆起,不除外静脉曲张;十二指肠球炎”,下消化道出血原因不能明确,建议行小肠镜、腹部血管DSA检查,患者拒绝,给予止血、纠正贫血、抑酸等对症处理后症状好转出院,未再正规检查及治疗。1月前患者无明显诱因自觉全身乏力,活动后感心悸,伴头晕,自诉解黄色成形大便,否认呕血、黑便,重度贫血貌,遂于我院就诊,拟“贫血,丙肝肝硬化”收入住院。病程中精神、睡眠欠佳,饮食尚可,大便如下述,小便正常。体重无明显减轻。} | |
[
{
"end_pos": 20,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 19,
"text": "心"
},
{
"end_pos": 45,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 44,
"text": "胸"
},
{
"end_pos": 48,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 47,
"text": "胸"
},
{
"end_pos": 53,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 50,
"text": "胸前区"
},
{
"end_pos": 109,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 108,
"text": "心"
},
{
"end_pos": 119,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 116,
"text": "两上肢"
},
{
"end_pos": 169,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 166,
"text": "冠心病"
},
{
"end_pos": 172,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 170,
"text": "心衰"
},
{
"end_pos": 180,
"label_type": "影像检查",
"overlap": null,
"start_pos": 176,
"text": "心脏彩超"
},
{
"end_pos": 194,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 192,
"text": "右房"
},
{
"end_pos": 197,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 195,
"text": "右室"
},
{
"end_pos": 204,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 200,
"text": "主动脉瓣"
},
{
"end_pos": 210,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 207,
"text": "室间隔"
},
{
"end_pos": 213,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 211,
"text": "右室"
},
{
"end_pos": 229,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 220,
"text": "肺动脉瓣局限性反流"
},
{
"end_pos": 238,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 230,
"text": "主动脉瓣中度反流"
},
{
"end_pos": 250,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 239,
"text": "三尖瓣、二尖瓣重度反流"
},
{
"end_pos": 253,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 251,
"text": "右室"
},
{
"end_pos": 272,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 265,
"text": "肺动脉轻度高压"
},
{
"end_pos": 312,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 311,
"text": "心"
},
{
"end_pos": 343,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 342,
"text": "胸"
},
{
"end_pos": 346,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 345,
"text": "胸"
},
{
"end_pos": 378,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 375,
"text": "冠心病"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前10+年患者无明显诱因出现活动后心累、气促,休息后可缓解,无夜间阵发性呼吸困难,无胸闷、胸痛、胸前区压榨感,无畏寒、发热、咳嗽、咳痰、盗汗、咳血。患者可耐受,未予诊治。下述症状反复发作,逐渐出现平时一般活动即感心累、气促,否认两上肢水肿,在外口服药物后可缓解。入院前7月下述症状再发,夜间高枕卧位,曾在我院住院治疗,考虑诊断“冠心病、心衰”,并查心脏彩超(2017-1-16):右房、右室增大;主动脉瓣钙化;室间隔、右室后壁动度降低;肺动脉瓣局限性反流;主动脉瓣中度反流;三尖瓣、二尖瓣重度反流;右室收缩、舒张功能减退。估测肺动脉轻度高压,予以改善循环、减轻心脏负荷治疗后好转出院。入院前2天,患者无明显诱因再次自诉心累、气促反复出现,并逐渐加重,夜间睡眠较差,无咳嗽、咳痰,无胸闷、胸痛,无恶心、呕吐,无畏寒、发热等,今日遂再来我院就诊,以“冠心病”收入我科。本次发病以来患者精神食欲较好,食量无减少,大小便如常,睡眠如常,体重无明显上降。} | |
[
{
"end_pos": 14,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 10,
"text": "右侧肢体"
},
{
"end_pos": 34,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 31,
"text": "脑梗死"
},
{
"end_pos": 54,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 50,
"text": "右侧肢体"
},
{
"end_pos": 79,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 78,
"text": "脑"
},
{
"end_pos": 103,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 102,
"text": "头"
},
{
"end_pos": 125,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 124,
"text": "心"
},
{
"end_pos": 133,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 130,
"text": "左下肢"
},
{
"end_pos": 176,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 175,
"text": "胸"
},
{
"end_pos": 179,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 178,
"text": "胸"
},
{
"end_pos": 228,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 227,
"text": "头"
},
{
"end_pos": 256,
"label_type": "影像检查",
"overlap": null,
"start_pos": 252,
"text": "头颅CT"
},
{
"end_pos": 279,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 261,
"text": "两侧基底节区及侧脑室体旁腔隙性脑梗死"
},
{
"end_pos": 286,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 282,
"text": "右侧顶叶"
},
{
"end_pos": 300,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 292,
"text": "脑白质脱髓鞘改变"
},
{
"end_pos": 304,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 301,
"text": "脑萎缩"
},
{
"end_pos": 314,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 307,
"text": "右侧下颌窦炎症"
},
{
"end_pos": 325,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 320,
"text": "两侧筛窦炎"
},
{
"end_pos": 329,
"label_type": "影像检查",
"overlap": null,
"start_pos": 326,
"text": "心电图"
},
{
"end_pos": 381,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 376,
"text": "急性脑梗死"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前5+年,患者因右侧肢体乏力,伴口齿不清,在外院明确诊断“脑梗死”,经治疗后好转出院,出院后遗留右侧肢体活动轻度障碍及口齿稍含糊,平素生活自理,但未服用脑血管疾病二级预防用药。入院前3天,患者反复出现头昏,阵发性发作,发作时自觉乏力、站立不稳、心悸,并出现左下肢抽动,伴流涎,无恶心、呕吐,无大小便失禁、意识丧失,无畏寒、发热,偶有咳嗽、咳痰,无胸闷、胸痛,无喘累、气促,无端坐呼吸、阵发性呼吸困难,无大汗淋漓、咯血,无晕厥等,今晨患者活动后再次发作头昏,发作时伴站立不稳、流涎,故就诊我院急诊科,查头颅CT示1、考虑两侧基底节区及侧脑室体旁腔隙性脑梗死。2、右侧顶叶软化灶。3、脑白质脱髓鞘改变;脑萎缩。4、右侧下颌窦炎症或息肉。5、两侧筛窦炎。心电图示窦性心律,右室肥大。血常规、电解质、肾功、心肌酶谱、凝血试验未见明显异常。为进一步治疗,以“急性脑梗死?”收入我科住院。患者自发病以来精神、食欲一般,大小便未诉异常。近期体重无明显减轻。} | |
[
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "颈"
},
{
"end_pos": 19,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "腰"
},
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 20,
"text": "两膝"
},
{
"end_pos": 29,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 26,
"text": "两上肢"
},
{
"end_pos": 49,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 46,
"text": "两上肢"
},
{
"end_pos": 56,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 55,
"text": "头"
},
{
"end_pos": 62,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 60,
"text": "下肢"
},
{
"end_pos": 78,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 77,
"text": "心"
},
{
"end_pos": 81,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 80,
"text": "胸"
},
{
"end_pos": 136,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 129,
"text": "重度骨质疏松症"
},
{
"end_pos": 144,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 137,
"text": "腰椎间盘突出症"
},
{
"end_pos": 154,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 145,
"text": "两膝退行性骨关节炎"
},
{
"end_pos": 159,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 155,
"text": "睡眠障碍"
},
{
"end_pos": 164,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 160,
"text": "高脂血症"
},
{
"end_pos": 170,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 165,
"text": "老年性痴呆"
},
{
"end_pos": 183,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 171,
"text": "右侧锁骨上动脉盗血综合征"
},
{
"end_pos": 190,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 184,
"text": "腔隙性脑梗死"
},
{
"end_pos": 242,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 237,
"text": "骨质疏松症"
},
{
"end_pos": 253,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 248,
"text": "2型糖尿病"
},
{
"end_pos": 267,
"label_type": "药物",
"overlap": null,
"start_pos": 262,
"text": "阿卡波糖片"
},
{
"end_pos": 272,
"label_type": "药物",
"overlap": null,
"start_pos": 268,
"text": "格列美脲"
},
{
"end_pos": 278,
"label_type": "药物",
"overlap": null,
"start_pos": 273,
"text": "甘精胰岛素"
},
{
"end_pos": 290,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 285,
"text": "糖尿病眼病"
},
{
"end_pos": 296,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 291,
"text": "糖尿病肾病"
},
{
"end_pos": 305,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 297,
"text": "糖尿病周围神经病"
},
{
"end_pos": 375,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 363,
"text": "原发性高血压3级 极高危"
},
{
"end_pos": 383,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 376,
"text": "高血压性心脏病"
},
{
"end_pos": 389,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 384,
"text": "心功能Ⅱ级"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{无明显诱因反复全身疼痛4+年,以颈、腰、两膝为主,感两上肢冷痛、麻木,时轻时重,受凉后加重,两上肢乏力,阵发性头昏痛,有下肢麻木,视物模糊,长期睡眠差,无心慌、胸闷、咳嗽、发热、盗汗等,无间歇性跛行及大小便障碍,分别在*******医院及我科住院治疗诊断为“重度骨质疏松症,腰椎间盘突出症、两膝退行性骨关节炎、睡眠障碍、高脂血症、老年性痴呆、右侧锁骨上动脉盗血综合征、腔隙性脑梗死”,经治疗后症状缓解(具体不详);无诱因以下复发加重1天,为进一步治疗,遂来我科就诊,门诊以“骨质疏松症”收治入院。2型糖尿病12+年,目前口服阿卡波糖片、格列美脲及甘精胰岛素降血糖,明确有糖尿病眼病、糖尿病肾病 糖尿病周围神经病。既往高血压病史12+年,血压最高180/?mmHg,未规律服药降压药,自诉血压控制可,于*******医院诊断为“原发性高血压3级 极高危 高血压性心脏病 心功能Ⅱ级”。患者患病以来精神一般,食欲可,大小便正常,近期无明显体重减轻。} | |
[
{
"end_pos": 44,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 43,
"text": "口"
},
{
"end_pos": 57,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 56,
"text": "头"
},
{
"end_pos": 82,
"label_type": "药物",
"overlap": null,
"start_pos": 78,
"text": "格列美脲"
},
{
"end_pos": 88,
"label_type": "药物",
"overlap": null,
"start_pos": 83,
"text": "伏格列波糖"
},
{
"end_pos": 93,
"label_type": "药物",
"overlap": null,
"start_pos": 89,
"text": "罗格列酮"
},
{
"end_pos": 119,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 117,
"text": "四肢"
},
{
"end_pos": 146,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 145,
"text": "面"
},
{
"end_pos": 148,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 146,
"text": "四肢"
},
{
"end_pos": 160,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 158,
"text": "肢体"
},
{
"end_pos": 171,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 170,
"text": "腹"
},
{
"end_pos": 173,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 172,
"text": "腹"
},
{
"end_pos": 185,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 184,
"text": "心"
},
{
"end_pos": 223,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 212,
"text": "原发性高血压3级极高危"
},
{
"end_pos": 231,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 224,
"text": "高血压性心脏病"
},
{
"end_pos": 237,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 232,
"text": "2型糖尿病"
},
{
"end_pos": 247,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 238,
"text": "糖尿病周围神经病变"
},
{
"end_pos": 253,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 248,
"text": "糖尿病眼病"
},
{
"end_pos": 273,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 272,
"text": "心"
},
{
"end_pos": 275,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 274,
"text": "心"
},
{
"end_pos": 292,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 290,
"text": "肢体"
},
{
"end_pos": 304,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 302,
"text": "腰部"
},
{
"end_pos": 307,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 305,
"text": "上肢"
},
{
"end_pos": 322,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 320,
"text": "肢体"
},
{
"end_pos": 330,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 329,
"text": "面"
},
{
"end_pos": 332,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 330,
"text": "四肢"
},
{
"end_pos": 337,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 336,
"text": "胸"
},
{
"end_pos": 342,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 339,
"text": "心前区"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前13年患者检查发现血压、血糖升高,最高收缩压达180mmHg,血糖具体值不详,有口干多饮多尿等症状,无明显头昏头痛,长期降压治疗(药名不详),并服用“格列美脲、伏格列波糖、罗格列酮”等降血糖,血压血糖控制情况不详。病程中患者出现四肢麻木,视物模糊多年,并有感觉异常,自觉肢体冰凉,无颜面四肢浮肿,无皮肤瘙痒,无肢体乏力,无恶心呕吐,无腹胀腹痛,无便秘腹泻交替,无心累气促等不适,既往长期在***第三人民医院住院,诊断“原发性高血压3级极高危、高血压性心脏病、2型糖尿病、糖尿病周围神经病变、糖尿病眼病”。入院前1月患者无明显诱因出现活动后心累心悸,自觉心跳明显,偶有干咳,感肢体麻木冰凉较明显,伴有腰部及上肢疼痛,自觉健忘症状加重,无肢体活动障碍,无颜面四肢水肿,无胸痛及心前区压榨感,无夜间不能平卧,无呼吸困难。为进一步诊疗今日患者到我科住院。患者此次发病以来精神食欲可,长期睡眠差,经常服用“安眠药”,大小便正常,体力体重无明显上降。} | |
[
{
"end_pos": 72,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 66,
"text": "胃底静脉曲张"
},
{
"end_pos": 88,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 86,
"text": "胃体"
},
{
"end_pos": 107,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 101,
"text": "十二指肠球炎"
},
{
"end_pos": 131,
"label_type": "影像检查",
"overlap": null,
"start_pos": 124,
"text": "腹部血管DSA"
},
{
"end_pos": 161,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 160,
"text": "心"
},
{
"end_pos": 215,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 214,
"text": "心"
},
{
"end_pos": 241,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 238,
"text": "WBC"
},
{
"end_pos": 257,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 254,
"text": "HGB"
},
{
"end_pos": 270,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 267,
"text": "PLT"
},
{
"end_pos": 288,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 283,
"text": "NEUT%"
},
{
"end_pos": 304,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 298,
"text": "LYMPH%"
},
{
"end_pos": 317,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 314,
"text": "HCT"
},
{
"end_pos": 329,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 326,
"text": "MCV"
},
{
"end_pos": 342,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 339,
"text": "MCH"
},
{
"end_pos": 356,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 352,
"text": "MCHC"
},
{
"end_pos": 381,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 377,
"text": "重度贫血"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{1+年前患者反复黑便,成形大便,无呕血、血便,多次我院住院,均内科止血、输血、抑酸治疗好转出院。期间反复解成形8次余,我院无痛胃镜示胃底静脉曲张(1条),F1,红色征阴性;胃体黏膜隆起,不除外静脉曲张;十二指肠球炎,出血原因不能明确,建议行小肠镜、腹部血管DSA检查,患者拒绝。1月前患者无明显诱因自觉全身乏力,活动后感心悸,伴头晕,中途解2次黑色稀软大便,总量约500g,否认呕血,自服“云南白药”,自诉大便颜色转黄。感乏力、心悸症状进行性加重。今日到我院就诊查,查血常规:WBC 2.5 10^9/L↓、HGB 37 g/L↓↓、PLT 108 10^9/L↓、NEUT% 36.22 %↓、LYMPH% 57.51 %↑、HCT 14.4 %↓、MCV 64.3 fL↓、MCH 16.5 pg↓、MCHC 257 g/L↓。为进一步诊治,门诊以“重度贫血”收入我科。病程中精神、睡眠欠佳,饮食尚可,大便如下述,小便正常。体重无明显减轻。} | |
[
{
"end_pos": 58,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 56,
"text": "四肢"
},
{
"end_pos": 62,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 61,
"text": "头"
},
{
"end_pos": 91,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 90,
"text": "心"
},
{
"end_pos": 98,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 97,
"text": "胸"
},
{
"end_pos": 109,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 104,
"text": "右侧肩背部"
},
{
"end_pos": 125,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 124,
"text": "心"
},
{
"end_pos": 129,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 128,
"text": "腹"
},
{
"end_pos": 132,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 131,
"text": "腹"
},
{
"end_pos": 136,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 135,
"text": "胸"
},
{
"end_pos": 139,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 138,
"text": "胸"
},
{
"end_pos": 144,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 141,
"text": "心前区"
},
{
"end_pos": 190,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 189,
"text": "胃"
},
{
"end_pos": 275,
"label_type": "药物",
"overlap": null,
"start_pos": 269,
"text": "去甲肾下腺素"
},
{
"end_pos": 370,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 362,
"text": "急性下消化道出血"
},
{
"end_pos": 376,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 371,
"text": "失血性休克"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院6天前患者无明显诱因出现呕血,共三次(自诉约2kg),为咖啡色样物质,非喷射状,伴解黑大便(具体量不详),伴四肢乏力、头晕,伴口渴,伴咳嗽、咯痰,咯少量白色黏痰,伴稍活动后即感心累、气促,伴胸痛,可放射至右侧肩背部,为持续性胀痛,咳嗽后加重,伴心悸,无腹痛、腹胀,无胸闷、胸痛及心前区压榨感,无畏寒、发热,无呼吸困难,无意识障碍,遂入我院收入我科,予以大量输血、止血、抑酸护胃等对症治疗,消化道仍有活动性出血,遂于2017-03-17转入**医院ICU,予以输红细胞悬液8u、新鲜冰冻血浆800ml,血小板1u,目前患者血压逐渐稳定,去甲肾下腺素已减量至0.1ug/kg.min,心率波动在90-105次/分,血压波动在115-130/55-65mmhg,尿量好。家属因为经济原因今日要求转回我院,因病情危重,急诊遂以“急性下消化道出血,失血性休克”收入我科抢救治疗。患者发病以来,精神、食欲、睡眠差,小便正常,大便如下述,体重无明显变化。} | |
[
{
"end_pos": 12,
"label_type": "药物",
"overlap": null,
"start_pos": 9,
"text": "头痛粉"
},
{
"end_pos": 37,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 36,
"text": "头"
},
{
"end_pos": 64,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 63,
"text": "腹"
},
{
"end_pos": 67,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 66,
"text": "腹"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 69,
"text": "腹"
},
{
"end_pos": 84,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 83,
"text": "口"
},
{
"end_pos": 88,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 87,
"text": "面"
},
{
"end_pos": 90,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 88,
"text": "肢体"
},
{
"end_pos": 94,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 93,
"text": "腹"
},
{
"end_pos": 105,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 103,
"text": "Hb"
},
{
"end_pos": 123,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 118,
"text": "消化道出血"
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 130,
"text": "重度贫血"
},
{
"end_pos": 141,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 136,
"text": "丙肝肝硬化"
},
{
"end_pos": 202,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 196,
"text": "胃底静脉曲张"
},
{
"end_pos": 218,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 216,
"text": "胃体"
},
{
"end_pos": 237,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 231,
"text": "十二指肠球炎"
},
{
"end_pos": 247,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 239,
"text": "下消化道出血原因"
},
{
"end_pos": 266,
"label_type": "影像检查",
"overlap": null,
"start_pos": 259,
"text": "腹部血管DSA"
},
{
"end_pos": 380,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 375,
"text": "消化道出血"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{1+年前患者服用“头痛粉”后解黑色成形大便,共3次,量约250g/次,伴头昏、乏力、皮肤黏膜苍白,无反酸、嗳气、烧心,无呕血、腹痛、腹胀、腹泻,无恶心、呕吐、晕厥,无口干、颜面肢体水肿、腹围增大。于我院查“Hb32g/L”,诊断为“1、消化道出血原因待查 2、重度贫血3、丙肝肝硬化”,拒绝行胃镜检查,给予止血、纠正贫血、抑酸等对症治疗,未解黑便后自动出院。期间反复解成形黑便,我院无痛胃镜示胃底静脉曲张(1条),F1,红色征阴性;胃体黏膜隆起,不除外静脉曲张;十二指肠球炎”,下消化道出血原因不能明确,建议行小肠镜、腹部血管DSA检查,患者拒绝,给予止血、输血纠正贫血、抑酸等对症处理后症状好转出院,未再正规检查及治疗。1天前患者无明显诱因自觉全身乏力,再次解成形黑便,约100g,无呕血,无烧心、反酸,无心悸,无意识丧失,为求进一步处理,门诊以“消化道出血”收入住院。病程中精神、睡眠欠佳,饮食尚可,大便如下述,小便正常。体重无明显减轻。} | |
[
{
"end_pos": 11,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 10,
"text": "心"
},
{
"end_pos": 19,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "两上肢"
},
{
"end_pos": 30,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 28,
"text": "肌酐"
},
{
"end_pos": 47,
"label_type": "影像检查",
"overlap": null,
"start_pos": 45,
"text": "彩超"
},
{
"end_pos": 62,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 57,
"text": "肾功能不全"
},
{
"end_pos": 68,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 63,
"text": "高血压肾病"
},
{
"end_pos": 76,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 75,
"text": "肾"
},
{
"end_pos": 114,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 113,
"text": "心"
},
{
"end_pos": 139,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 136,
"text": "血肌酐"
},
{
"end_pos": 161,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 154,
"text": "慢性肾脏病5期"
},
{
"end_pos": 175,
"label_type": "手术",
"overlap": null,
"start_pos": 164,
"text": "右前臂动静脉内瘘成形术"
},
{
"end_pos": 184,
"label_type": "手术",
"overlap": null,
"start_pos": 176,
"text": "左颈内静脉置管术"
},
{
"end_pos": 212,
"label_type": "药物",
"overlap": null,
"start_pos": 208,
"text": "替米沙坦"
},
{
"end_pos": 243,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 239,
"text": "血红蛋白"
},
{
"end_pos": 261,
"label_type": "药物",
"overlap": null,
"start_pos": 258,
"text": "促红素"
},
{
"end_pos": 267,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 263,
"text": "肾性贫血"
},
{
"end_pos": 322,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 321,
"text": "心"
},
{
"end_pos": 354,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 349,
"text": "急性右心衰"
},
{
"end_pos": 366,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 355,
"text": "慢性肾衰竭(尿毒症期)"
},
{
"end_pos": 370,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 367,
"text": "高血压"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前1年余患者出现心累、乏力、两上肢水肿,入外院查得血肌酐升高、约为300umol/L,彩超示两肾缩小,诊断为“肾功能不全、高血压肾病”,予降压、保肾等治疗后好转出院(具体不详)。病程中患者未予特殊重视及治疗。3月前患者发作心累、气促、乏力,入*******医院就诊,查血肌酐约800umol/L,诊断为“慢性肾脏病5期”,行右前臂动静脉内瘘成形术及左颈内静脉置管术,后长期行3次/周规律血液透析治疗,并长期服用“替米沙坦”等药物控制血压,收缩压维持在140-160mmHg;血红蛋白逐渐上降(具体不详),长期使用促红素纠正肾性贫血。1月余前患者出现咳嗽、咳痰不适,咳黄色脓痰,易咳出,于外院抗感染等治疗后好转(具体不详)。2小时前患者突发心累、气促不适,遂入我院急诊科就诊。今为进一步诊治,以“急性右心衰、慢性肾衰竭(尿毒症期)、高血压”收入我科住院治疗。患者自患病以来,精神、食欲较差,大便正常,小便约200ml/天,体重无明显改变。} | |
[
{
"end_pos": 21,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 18,
"text": "两上肢"
},
{
"end_pos": 62,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 59,
"text": "两上肢"
},
{
"end_pos": 129,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 128,
"text": "心"
},
{
"end_pos": 131,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 130,
"text": "心"
},
{
"end_pos": 135,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 134,
"text": "头"
},
{
"end_pos": 141,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 138,
"text": "中腹部"
},
{
"end_pos": 147,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 146,
"text": "腹"
},
{
"end_pos": 162,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 161,
"text": "胸"
},
{
"end_pos": 164,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "胸"
},
{
"end_pos": 168,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 167,
"text": "腹"
},
{
"end_pos": 175,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 173,
"text": "上肢"
},
{
"end_pos": 219,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 215,
"text": "白细胞数"
},
{
"end_pos": 236,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 232,
"text": "红细胞数"
},
{
"end_pos": 256,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 250,
"text": "血红蛋白浓度"
},
{
"end_pos": 269,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 265,
"text": "血小板数"
},
{
"end_pos": 289,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 281,
"text": "中性粒细胞百分比"
},
{
"end_pos": 302,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 297,
"text": "C反应蛋白"
},
{
"end_pos": 316,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 314,
"text": "血糖"
},
{
"end_pos": 335,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 332,
"text": "葡萄糖"
},
{
"end_pos": 340,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 338,
"text": "蛋白"
},
{
"end_pos": 347,
"label_type": "影像检查",
"overlap": null,
"start_pos": 344,
"text": "心电图"
},
{
"end_pos": 352,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 348,
"text": "心房纤颤"
},
{
"end_pos": 378,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 374,
"text": "头昏待查"
},
{
"end_pos": 382,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 379,
"text": "高血压"
}
] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前10余年患者无明显诱因开始出现两上肢水肿,呈凹陷性,上午显著,休息后能缓解,未引起重视及时就医诊治,期间反复出现两上肢水肿,仍未就医,偶于院外自行购买药物服用,具体不详;入院前2+天患者受凉后出现喘累、气促,伴咳嗽咳痰,痰呈黄色粘痰,偶有痰中带血,伴心悸心慌,伴头昏,伴中腹部间断隐痛、腹胀,无意识障碍大小便失禁,无胸闷胸痛,无腹泻黑便,无上肢水肿,昨日夜间症状加重,喘累明显,躺卧、坐位均明显,今于峡口镇卫生院查:血常规:白细胞数 9.77×10^9/L、红细胞数 3.59×10^12/L、血红蛋白浓度 114 g/L、血小板数 194×10^9/L、中性粒细胞百分比 74.2 %,C反应蛋白 134.3 mg/l,血糖:17.9mmol/L,尿常规:葡萄糖+-、蛋白 2+,心电图:心房纤颤。建议转院,由家属送入我院就诊,遂门诊以\"头昏待查、高血压\"收入我科住院治疗。病程中患者精神、饮食一般,大便正常,体重无明显上降。} |