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Posted to dev@ctakes.apache.org by Ab...@cognizant.com on 2020/02/21 12:19:39 UTC
Values missing for few attributes and how to populate demographic
details
Hello Team,
We are working on extracting the clinical data from medical documents and some of the attributes that I list below are critical for our profile.
Could you pls. advise on how can we get a valid values for the below attributes which is coming under every Event/EntityMention
SlNO
AttributeName
Remarks
1
conditional
Always got this as FALSE
2
originalText
Always got this as NULL
3
event
Always got this as NULL
4
alleviatingFactor
Always got this as NULL
5
associatedSignSymptom
Always got this as NULL
6
course
Always got this as NULL
7
duration
Always got this as NULL
8
endTime
Always got this as NULL
9
exacerbatingFactor
Always got this as NULL
10
startTime
Always got this as NULL
11
relativeTemporalContext
Always got this as NULL
Also we need to identify how can we extract below details regarding Patient from the document
* Demographic details - Patient Age, weight, BMI, BP, race, gender as present in the medical records
* Patient history - Patient's past medical history and social history will be displayed. Social history includes smoking, alcohol and drug and other details
* Family history - Patient's family history will also be displayed in this section
Kindly advise whether we need to add any new AE's to our existing piper file so that cTAKES will provide us the requested O/P as mentioned above. PFB the contents of AE's configured in our piper file.
// Load a simple token processing pipeline from another pipeline file
load DefaultTokenizerPipeline.piper
add ContextDependentTokenizerAnnotator
addDescription POSTagger
// Add Chunkers
load ChunkerSubPipe.piper
// Commands and parameters to create a default chunker processing sub-pipeline. This is not a full pipeline.
// Default fast dictionary //lookup
add DefaultJCasTermAnnotator
load AttributeCleartkSubPipe.piper
# Parameters for AssertionAnalysisEngine and ConceptConverterAnalysisEngine
set assertionModelResource=file: org/apache/ctakes/assertion/models/i2b2.model
set scopeModelResource=file: org/apache/ctakes/assertion/models/scope.model
set cueModelResource=file: org/apache/ctakes/assertion/models/cue.model
set enabledFeaturesResource=file: org/apache/ctakes/assertion/models/featureFile11b
set posModelResource=file: org/apache/ctakes/assertion/models/pos.model
package org.apache.ctakes.assertion.medfacts
package org.apache.ctakes.assertion.attributes
add ConceptConverterAnalysisEngine
add GenericAttributeAnalysisEngine
add SubjectAttributeAnalysisEngine
// Creates modifier annotations needed to handle the drug mentions.
add org.apache.ctakes.drugner.ae.DrugMentionAnnotator STATUS_BOUNDARY_ANN_TYPE="org.apache.ctakes.typesystem.type.textsem.MedicationMention"
add org.apache.ctakes.constituency.parser.ae.ConstituencyParser
// Modifiers. Use addLogged to log start and finish of processing. There aren't default models, so set specifically
addLogged ModifierExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/modifier_extractor/model.jar
// Degree of severity, etc.
addLogged DegreeOfRelationExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/degree_of/model.jar
// Location.
addLogged LocationOfRelationExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/location_of/model.jar
add org.apache.ctakes.template.filler.ae.TemplateFillerAnnotator
//Remaining statements not reflected in the XMI (Not checked). It is for relation extraction
// 'Generic' Events. Use addDescription and let the EventAnnotator set itself up with defaults.
//For getting the relation between the events
addDescription EventAnnotator
// Times. Use addLogged to log start and finish of processing. There aren't default models, so set specifically
add BackwardsTimeAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/timeannotator/model.jar
// DocTimeRel: the relation bin for Events to the Document Creation Time.
// add DocTimeRelAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/doctimerel/model.jar
// Event - Time binary relations.
add EventTimeRelationAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/eventtime/model.jar
// Event - Event binary relations.
add EventEventRelationAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/eventevent/model.jar
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful. Where permitted by applicable law, this e-mail and other e-mail communications sent to and from Cognizant e-mail addresses may be monitored. This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful. Where permitted by applicable law, this e-mail and other e-mail communications sent to and from Cognizant e-mail addresses may be monitored.
RE: Values missing for few attributes and how to populate demographic
details [EXTERNAL]
Posted by "Savova, Guergana" <Gu...@childrens.harvard.edu>.
Abad,
This was pointed out to you - a large portion (3-11) of these attributes have not been implemented. If you have a solution for one or all of them, we would welcome your contribution to cTAKES.
Regards,
--
Guergana Savova, PhD, FACMI
Associate Professor
PI Natural Language Processing Lab
Computational Health Informatics Program (CHIP)
Boston Children's Hospital and Harvard Medical School
401 Park, 5th floor East, 5523.3
Boston, MA 02215
Tel: (617) 919-2972
Fax: (617) 730-0817
Guergana.Savova@childrens.harvard.edu<ma...@childrens.harvard.edu>
Harvard Scholar: http://scholar.harvard.edu/guergana_k_savova
http://ctakes.apache.org<http://ctakes.apache.org/>
http://thyme.healthnlp.org<http://thyme.healthnlp.org/>
http://cancer.healthnlp.org<http://cancer.healthnlp.org/>
http://share.healthnlp.org<http://share.healthnlp.org/>
http://center.healthnlp.org<http://center.healthnlp.org/>
T<https://twitter.com/bentleyu>witter<https://twitter.com/bostonchildrens> | LinkedIn<https://www.linkedin.com/company/bostonchildrenshospital/> | Facebook<https://www.facebook.com/BostonChildrensHospital> | Instagram<https://www.instagram.com/bostonchildrens/>
[http://web2.tch.harvard.edu/homepagestories/Images/SigBlock.jpg]
From: Abad.Ayyub@cognizant.com [mailto:Abad.Ayyub@cognizant.com]
Sent: Monday, March 9, 2020 1:01 AM
To: dev@ctakes.apache.org
Subject: RE: Values missing for few attributes and how to populate demographic details [EXTERNAL]
* External Email - Caution *
Hi Team,
A gentle reminder on this. Since this is a critical data for our profile it would be of a great help if you could confirm whether these data are available in cTAKES , This is a decision making factor for us now. So kindly advice.
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
From: Ayyub, Abad (Cognizant)
Sent: Wednesday, February 26, 2020 12:28 PM
To: dev@ctakes.apache.org<ma...@ctakes.apache.org>
Subject: RE: Values missing for few attributes and how to populate demographic details
Hi Team,
A gentle reminder on this. Any advice will be of great help for us.
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
From: Ayyub, Abad (Cognizant)
Sent: Friday, February 21, 2020 5:50 PM
To: dev@ctakes.apache.org<ma...@ctakes.apache.org>
Subject: Values missing for few attributes and how to populate demographic details
Hello Team,
We are working on extracting the clinical data from medical documents and some of the attributes that I list below are critical for our profile.
Could you pls. advise on how can we get a valid values for the below attributes which is coming under every Event/EntityMention
SlNO
AttributeName
Remarks
1
conditional
Always got this as FALSE
2
originalText
Always got this as NULL
3
event
Always got this as NULL
4
alleviatingFactor
Always got this as NULL
5
associatedSignSymptom
Always got this as NULL
6
course
Always got this as NULL
7
duration
Always got this as NULL
8
endTime
Always got this as NULL
9
exacerbatingFactor
Always got this as NULL
10
startTime
Always got this as NULL
11
relativeTemporalContext
Always got this as NULL
Also we need to identify how can we extract below details regarding Patient from the document
* Demographic details - Patient Age, weight, BMI, BP, race, gender as present in the medical records
* Patient history - Patient's past medical history and social history will be displayed. Social history includes smoking, alcohol and drug and other details
* Family history - Patient's family history will also be displayed in this section
Kindly advise whether we need to add any new AE's to our existing piper file so that cTAKES will provide us the requested O/P as mentioned above. PFB the contents of AE's configured in our piper file.
// Load a simple token processing pipeline from another pipeline file
load DefaultTokenizerPipeline.piper
add ContextDependentTokenizerAnnotator
addDescription POSTagger
// Add Chunkers
load ChunkerSubPipe.piper
// Commands and parameters to create a default chunker processing sub-pipeline. This is not a full pipeline.
// Default fast dictionary //lookup
add DefaultJCasTermAnnotator
load AttributeCleartkSubPipe.piper
# Parameters for AssertionAnalysisEngine and ConceptConverterAnalysisEngine
set assertionModelResource=file: org/apache/ctakes/assertion/models/i2b2.model
set scopeModelResource=file: org/apache/ctakes/assertion/models/scope.model
set cueModelResource=file: org/apache/ctakes/assertion/models/cue.model
set enabledFeaturesResource=file: org/apache/ctakes/assertion/models/featureFile11b
set posModelResource=file: org/apache/ctakes/assertion/models/pos.model
package org.apache.ctakes.assertion.medfacts
package org.apache.ctakes.assertion.attributes
add ConceptConverterAnalysisEngine
add GenericAttributeAnalysisEngine
add SubjectAttributeAnalysisEngine
// Creates modifier annotations needed to handle the drug mentions.
add org.apache.ctakes.drugner.ae.DrugMentionAnnotator STATUS_BOUNDARY_ANN_TYPE="org.apache.ctakes.typesystem.type.textsem.MedicationMention"
add org.apache.ctakes.constituency.parser.ae.ConstituencyParser
// Modifiers. Use addLogged to log start and finish of processing. There aren't default models, so set specifically
addLogged ModifierExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/modifier_extractor/model.jar
// Degree of severity, etc.
addLogged DegreeOfRelationExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/degree_of/model.jar
// Location.
addLogged LocationOfRelationExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/location_of/model.jar
add org.apache.ctakes.template.filler.ae.TemplateFillerAnnotator
//Remaining statements not reflected in the XMI (Not checked). It is for relation extraction
// 'Generic' Events. Use addDescription and let the EventAnnotator set itself up with defaults.
//For getting the relation between the events
addDescription EventAnnotator
// Times. Use addLogged to log start and finish of processing. There aren't default models, so set specifically
add BackwardsTimeAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/timeannotator/model.jar
// DocTimeRel: the relation bin for Events to the Document Creation Time.
// add DocTimeRelAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/doctimerel/model.jar
// Event - Time binary relations.
add EventTimeRelationAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/eventtime/model.jar
// Event - Event binary relations.
add EventEventRelationAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/eventevent/model.jar
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful. Where permitted by applicable law, this e-mail and other e-mail communications sent to and from Cognizant e-mail addresses may be monitored. This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful. Where permitted by applicable law, this e-mail and other e-mail communications sent to and from Cognizant e-mail addresses may be monitored.
RE: Values missing for few attributes and how to populate demographic
details
Posted by Ab...@cognizant.com.
Hi Team,
A gentle reminder on this. Since this is a critical data for our profile it would be of a great help if you could confirm whether these data are available in cTAKES , This is a decision making factor for us now. So kindly advice.
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
From: Ayyub, Abad (Cognizant)
Sent: Wednesday, February 26, 2020 12:28 PM
To: dev@ctakes.apache.org
Subject: RE: Values missing for few attributes and how to populate demographic details
Hi Team,
A gentle reminder on this. Any advice will be of great help for us.
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
From: Ayyub, Abad (Cognizant)
Sent: Friday, February 21, 2020 5:50 PM
To: dev@ctakes.apache.org<ma...@ctakes.apache.org>
Subject: Values missing for few attributes and how to populate demographic details
Hello Team,
We are working on extracting the clinical data from medical documents and some of the attributes that I list below are critical for our profile.
Could you pls. advise on how can we get a valid values for the below attributes which is coming under every Event/EntityMention
SlNO
AttributeName
Remarks
1
conditional
Always got this as FALSE
2
originalText
Always got this as NULL
3
event
Always got this as NULL
4
alleviatingFactor
Always got this as NULL
5
associatedSignSymptom
Always got this as NULL
6
course
Always got this as NULL
7
duration
Always got this as NULL
8
endTime
Always got this as NULL
9
exacerbatingFactor
Always got this as NULL
10
startTime
Always got this as NULL
11
relativeTemporalContext
Always got this as NULL
Also we need to identify how can we extract below details regarding Patient from the document
* Demographic details - Patient Age, weight, BMI, BP, race, gender as present in the medical records
* Patient history - Patient's past medical history and social history will be displayed. Social history includes smoking, alcohol and drug and other details
* Family history - Patient's family history will also be displayed in this section
Kindly advise whether we need to add any new AE's to our existing piper file so that cTAKES will provide us the requested O/P as mentioned above. PFB the contents of AE's configured in our piper file.
// Load a simple token processing pipeline from another pipeline file
load DefaultTokenizerPipeline.piper
add ContextDependentTokenizerAnnotator
addDescription POSTagger
// Add Chunkers
load ChunkerSubPipe.piper
// Commands and parameters to create a default chunker processing sub-pipeline. This is not a full pipeline.
// Default fast dictionary //lookup
add DefaultJCasTermAnnotator
load AttributeCleartkSubPipe.piper
# Parameters for AssertionAnalysisEngine and ConceptConverterAnalysisEngine
set assertionModelResource=file: org/apache/ctakes/assertion/models/i2b2.model
set scopeModelResource=file: org/apache/ctakes/assertion/models/scope.model
set cueModelResource=file: org/apache/ctakes/assertion/models/cue.model
set enabledFeaturesResource=file: org/apache/ctakes/assertion/models/featureFile11b
set posModelResource=file: org/apache/ctakes/assertion/models/pos.model
package org.apache.ctakes.assertion.medfacts
package org.apache.ctakes.assertion.attributes
add ConceptConverterAnalysisEngine
add GenericAttributeAnalysisEngine
add SubjectAttributeAnalysisEngine
// Creates modifier annotations needed to handle the drug mentions.
add org.apache.ctakes.drugner.ae.DrugMentionAnnotator STATUS_BOUNDARY_ANN_TYPE="org.apache.ctakes.typesystem.type.textsem.MedicationMention"
add org.apache.ctakes.constituency.parser.ae.ConstituencyParser
// Modifiers. Use addLogged to log start and finish of processing. There aren't default models, so set specifically
addLogged ModifierExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/modifier_extractor/model.jar
// Degree of severity, etc.
addLogged DegreeOfRelationExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/degree_of/model.jar
// Location.
addLogged LocationOfRelationExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/location_of/model.jar
add org.apache.ctakes.template.filler.ae.TemplateFillerAnnotator
//Remaining statements not reflected in the XMI (Not checked). It is for relation extraction
// 'Generic' Events. Use addDescription and let the EventAnnotator set itself up with defaults.
//For getting the relation between the events
addDescription EventAnnotator
// Times. Use addLogged to log start and finish of processing. There aren't default models, so set specifically
add BackwardsTimeAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/timeannotator/model.jar
// DocTimeRel: the relation bin for Events to the Document Creation Time.
// add DocTimeRelAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/doctimerel/model.jar
// Event - Time binary relations.
add EventTimeRelationAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/eventtime/model.jar
// Event - Event binary relations.
add EventEventRelationAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/eventevent/model.jar
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful. Where permitted by applicable law, this e-mail and other e-mail communications sent to and from Cognizant e-mail addresses may be monitored. This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful. Where permitted by applicable law, this e-mail and other e-mail communications sent to and from Cognizant e-mail addresses may be monitored.
RE: Values missing for few attributes and how to populate demographic
details
Posted by Ab...@cognizant.com.
Hi Team,
A gentle reminder on this. Any advice will be of great help for us.
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
From: Ayyub, Abad (Cognizant)
Sent: Friday, February 21, 2020 5:50 PM
To: dev@ctakes.apache.org
Subject: Values missing for few attributes and how to populate demographic details
Hello Team,
We are working on extracting the clinical data from medical documents and some of the attributes that I list below are critical for our profile.
Could you pls. advise on how can we get a valid values for the below attributes which is coming under every Event/EntityMention
SlNO
AttributeName
Remarks
1
conditional
Always got this as FALSE
2
originalText
Always got this as NULL
3
event
Always got this as NULL
4
alleviatingFactor
Always got this as NULL
5
associatedSignSymptom
Always got this as NULL
6
course
Always got this as NULL
7
duration
Always got this as NULL
8
endTime
Always got this as NULL
9
exacerbatingFactor
Always got this as NULL
10
startTime
Always got this as NULL
11
relativeTemporalContext
Always got this as NULL
Also we need to identify how can we extract below details regarding Patient from the document
* Demographic details - Patient Age, weight, BMI, BP, race, gender as present in the medical records
* Patient history - Patient's past medical history and social history will be displayed. Social history includes smoking, alcohol and drug and other details
* Family history - Patient's family history will also be displayed in this section
Kindly advise whether we need to add any new AE's to our existing piper file so that cTAKES will provide us the requested O/P as mentioned above. PFB the contents of AE's configured in our piper file.
// Load a simple token processing pipeline from another pipeline file
load DefaultTokenizerPipeline.piper
add ContextDependentTokenizerAnnotator
addDescription POSTagger
// Add Chunkers
load ChunkerSubPipe.piper
// Commands and parameters to create a default chunker processing sub-pipeline. This is not a full pipeline.
// Default fast dictionary //lookup
add DefaultJCasTermAnnotator
load AttributeCleartkSubPipe.piper
# Parameters for AssertionAnalysisEngine and ConceptConverterAnalysisEngine
set assertionModelResource=file: org/apache/ctakes/assertion/models/i2b2.model
set scopeModelResource=file: org/apache/ctakes/assertion/models/scope.model
set cueModelResource=file: org/apache/ctakes/assertion/models/cue.model
set enabledFeaturesResource=file: org/apache/ctakes/assertion/models/featureFile11b
set posModelResource=file: org/apache/ctakes/assertion/models/pos.model
package org.apache.ctakes.assertion.medfacts
package org.apache.ctakes.assertion.attributes
add ConceptConverterAnalysisEngine
add GenericAttributeAnalysisEngine
add SubjectAttributeAnalysisEngine
// Creates modifier annotations needed to handle the drug mentions.
add org.apache.ctakes.drugner.ae.DrugMentionAnnotator STATUS_BOUNDARY_ANN_TYPE="org.apache.ctakes.typesystem.type.textsem.MedicationMention"
add org.apache.ctakes.constituency.parser.ae.ConstituencyParser
// Modifiers. Use addLogged to log start and finish of processing. There aren't default models, so set specifically
addLogged ModifierExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/modifier_extractor/model.jar
// Degree of severity, etc.
addLogged DegreeOfRelationExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/degree_of/model.jar
// Location.
addLogged LocationOfRelationExtractorAnnotator classifierJarPath=/org/apache/ctakes/relationextractor/models/location_of/model.jar
add org.apache.ctakes.template.filler.ae.TemplateFillerAnnotator
//Remaining statements not reflected in the XMI (Not checked). It is for relation extraction
// 'Generic' Events. Use addDescription and let the EventAnnotator set itself up with defaults.
//For getting the relation between the events
addDescription EventAnnotator
// Times. Use addLogged to log start and finish of processing. There aren't default models, so set specifically
add BackwardsTimeAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/timeannotator/model.jar
// DocTimeRel: the relation bin for Events to the Document Creation Time.
// add DocTimeRelAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/doctimerel/model.jar
// Event - Time binary relations.
add EventTimeRelationAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/eventtime/model.jar
// Event - Event binary relations.
add EventEventRelationAnnotator classifierJarPath=/org/apache/ctakes/temporal/ae/eventevent/model.jar
Thanks & Regards
[cid:D3145E69-CD94-48C1-877F-5134EEAFB598]
Abad Ayyub
Vnet: 406170 | Cell : +91-9447379028
This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful. Where permitted by applicable law, this e-mail and other e-mail communications sent to and from Cognizant e-mail addresses may be monitored. This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful. Where permitted by applicable law, this e-mail and other e-mail communications sent to and from Cognizant e-mail addresses may be monitored.