MedError/sample_data/annotation_guideline_example.yaml at main · OHNLP/MedError · GitHub

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
keywords:

  Delirium:
    definition: Clinical diagnosis or explicit mention of delirium
    examples:
      - "Patient developed acute delirium postoperatively"
      - "Delirium noted during hospital stay"
      - "Episode consistent with delirium"

  AMS:
    definition: Altered mental status indicating change in cognition or awareness
    examples:
      - "Patient presents with AMS"
      - "Acute AMS observed overnight"
      - "Mental status altered from baseline"

  Hallucination:
    definition: Perception without external stimulus
    examples:
      - "Patient reports visual hallucinations"
      - "Experiencing auditory hallucinations"
      - "Seeing things that are not there"

  Confusion:
    definition: Impaired thinking or lack of clarity
    examples:
      - "Patient appears confused"
      - "Episodes of confusion noted"
      - "Increasing confusion over the past day"

  Disoriented:
    definition: Impaired awareness of time, place, or person
    examples:
      - "Disoriented to time and place"
      - "Patient is disoriented x3"
      - "Not oriented to surroundings"

  Reoriented:
    definition: Restoration or improvement of orientation
    examples:
      - "Patient was reoriented successfully"
      - "Easily reoriented with cues"
      - "Reoriented after prompting"

  Encephalopathy:
    definition: Global brain dysfunction, often medically diagnosed
    examples:
      - "Diagnosed with metabolic encephalopathy"
      - "Hepatic encephalopathy suspected"
      - "Signs of encephalopathy present"

  Agitated:
    definition: Increased restlessness, irritability, or motor activity
    examples:
      - "Patient is agitated and pacing in the room"
      - "Episodes of agitation noted overnight"
      - "Patient shows aggression toward staff"

  Fluctuation:
    definition: Symptoms that vary or change over time
    examples:
      - "Mental status fluctuates throughout the day"
      - "Symptoms waxing and waning"
      - "Condition shows fluctuation over time"

  Inattention:
    definition: Difficulty maintaining or directing attention
    examples:
      - "Unable to focus on questions"
      - "Difficulty maintaining attention"
      - "Easily distracted during exam"

  Disorganized thinking:
    definition: Illogical or incoherent thought processes
    examples:
      - "Speech is disorganized"
      - "Thought process is incoherent"
      - "Unclear flow of ideas"

  Disconnected:
    definition: Reduced responsiveness or engagement
    examples:
      - "Minimally responsive to stimuli"
      - "Drowsy but arousable"
      - "Decreased responsiveness observed"