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Operative Report

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Surgical Documentation Intelligence

The world's best operative report extraction

Digitize surgical documentation with precision. Extract procedure details, pre-operative and post-operative diagnoses, operative findings, and technique descriptions. Support accurate coding, quality reporting, and clinical research with structured surgical data.

operative-report.pdf

Viewer

JSON

report_date

2024-03-20

facility

name: Metro Surgical Center, address: 300 Medical Plaza, Chicago, IL 60601

patient

name: Thomas J. Wilson, date_of_birth: 1965-09-12, mrn: MRN-2024-34567

surgeon

name: Dr. Elizabeth Martinez, MD, FACS, npi: 1234567890

assistant

Dr. James Park, MD

anesthesiologist

Dr. Susan Lee, MD

anesthesia_type

General endotracheal anesthesia

date_of_surgery

2024-03-20

time_start

08:30

time_end

10:15

pre_operative_diagnosis

Right inguinal hernia

post_operative_diagnosis

Right inguinal hernia, direct type

procedure_performed

Laparoscopic right inguinal hernia repair with mesh

cpt_codes

49650

icd10_codes

K40.90

findings

Direct inguinal hernia identified measuring approximately 3cm. No bowel involvement. Cord structures intact.

technique

Standard three-port laparoscopic technique. Hernia sac dissected and reduced. 10x15cm polypropylene mesh placed in preperitoneal space with tacker fixation.

specimens

None

estimated_blood_loss

Minimal, less than 10ml

complications

None

drains

None

disposition

Patient extubated and transferred to recovery in stable condition

{ "report_date": "2024-03-20", "facility": { "name": "Metro Surgical Center", "address": "300 Medical Plaza, Chicago, IL 60601"}, "patient": { "name": "Thomas J. Wilson", "date_of_birth": "1965-09-12", "mrn": "MRN-2024-34567"}, "surgeon": { "name": "Dr. Elizabeth Martinez, MD, FACS", "npi": "1234567890"}, "assistant": "Dr. James Park, MD", "anesthesiologist": "Dr. Susan Lee, MD", "anesthesia_type": "General endotracheal anesthesia", "date_of_surgery": "2024-03-20", "time_start": "08:30", "time_end": "10:15", "pre_operative_diagnosis": "Right inguinal hernia", "post_operative_diagnosis": "Right inguinal hernia, direct type", "procedure_performed": "Laparoscopic right inguinal hernia repair with mesh", "cpt_codes": [ "49650"], "icd10_codes": [ "K40.90"], "findings": "Direct inguinal hernia identified measuring approximately 3cm. No bowel involvement. Cord structures intact.", "technique": "Standard three-port laparoscopic technique. Hernia sac dissected and reduced. 10x15cm polypropylene mesh placed in preperitoneal space with tacker fixation.", "specimens": "None", "estimated_blood_loss": "Minimal, less than 10ml", "complications": "None", "drains": "None", "disposition": "Patient extubated and transferred to recovery in stable condition"}

operative-report.pdf

Viewer

JSON

report_date

2024-03-20

facility

name: Metro Surgical Center, address: 300 Medical Plaza, Chicago, IL 60601

patient

name: Thomas J. Wilson, date_of_birth: 1965-09-12, mrn: MRN-2024-34567

surgeon

name: Dr. Elizabeth Martinez, MD, FACS, npi: 1234567890

assistant

Dr. James Park, MD

anesthesiologist

Dr. Susan Lee, MD

anesthesia_type

General endotracheal anesthesia

date_of_surgery

2024-03-20

time_start

08:30

time_end

10:15

pre_operative_diagnosis

Right inguinal hernia

post_operative_diagnosis

Right inguinal hernia, direct type

procedure_performed

Laparoscopic right inguinal hernia repair with mesh

cpt_codes

49650

icd10_codes

K40.90

findings

Direct inguinal hernia identified measuring approximately 3cm. No bowel involvement. Cord structures intact.

technique

Standard three-port laparoscopic technique. Hernia sac dissected and reduced. 10x15cm polypropylene mesh placed in preperitoneal space with tacker fixation.

specimens

None

estimated_blood_loss

Minimal, less than 10ml

complications

None

drains

None

disposition

Patient extubated and transferred to recovery in stable condition

{ "report_date": "2024-03-20", "facility": { "name": "Metro Surgical Center", "address": "300 Medical Plaza, Chicago, IL 60601"}, "patient": { "name": "Thomas J. Wilson", "date_of_birth": "1965-09-12", "mrn": "MRN-2024-34567"}, "surgeon": { "name": "Dr. Elizabeth Martinez, MD, FACS", "npi": "1234567890"}, "assistant": "Dr. James Park, MD", "anesthesiologist": "Dr. Susan Lee, MD", "anesthesia_type": "General endotracheal anesthesia", "date_of_surgery": "2024-03-20", "time_start": "08:30", "time_end": "10:15", "pre_operative_diagnosis": "Right inguinal hernia", "post_operative_diagnosis": "Right inguinal hernia, direct type", "procedure_performed": "Laparoscopic right inguinal hernia repair with mesh", "cpt_codes": [ "49650"], "icd10_codes": [ "K40.90"], "findings": "Direct inguinal hernia identified measuring approximately 3cm. No bowel involvement. Cord structures intact.", "technique": "Standard three-port laparoscopic technique. Hernia sac dissected and reduced. 10x15cm polypropylene mesh placed in preperitoneal space with tacker fixation.", "specimens": "None", "estimated_blood_loss": "Minimal, less than 10ml", "complications": "None", "drains": "None", "disposition": "Patient extubated and transferred to recovery in stable condition"}

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