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Mathematica Lists - Search Level Two and Return Level One?

I need to string match in the second level of a list but have true cases returned at the first level (there's information in the first level that I need to categorize the returns).

 First /@ GatherBy[#, #[[3]] &] &@
  Cases[#, x_List /;
   MemberQ[x, s_String /;
    StringMatchQ[s, ("*PHYSICAL EXAMINATION*"), 
     IgnoreCase -> True]], {2}] &@
  Cases[MemoizeTable["Diagnostic_table.txt"], {_, 
   11111, __}]

The GatherBy command at the top is just organizing all the entries by date so I don't get any duplicates. Then I ask for cases within the diagnostic table that have terms matching the string "PHYSICAL EXAMINATION".

I have to search only the second level of the lists. If I search just the first I don't return all the true cases. If I search the first and second, I get duplicates (some cases include the desired string at both the first and second levels, so the first and second levels of the list are both returned, separately).

I need to search for the string at the second level and then return ONLY the first level of the lists that contain that matched second level. I don't need to exclude the second level, I just don't want it returned separately like it is if I search levels one and two.

Any help would be much appreciated!

Maybe something like this?

list = {{a, b, c, {x, y}, d, x}, {a, b, c, d, x}, {{a, b, c, d}, x}}

Select[list, MemberQ[#, x, {2}] &]

Output:

{{a, b, c, {x, y}, d, x}}

Update

This will also work

Cases[list, _?(MemberQ[#, x, {2}] &)]

Update to @rose question (see comments)

Given the following data how can I select for entries which contain the words "PHYSICAL EXAMINATION" within a string, for example within the string "P-023 PHYSICAL EXAMINATION, TECHNICIAN, NOS", at the second level (ie only within the sublist)? (I have modified @rose's example somewhat)

rdata2={{1111113,21119,SQLDateTime[{2011,1,11,11,11,0.`}],31111,"EB/JW",1,47000,"T-510 CHEEK",{"T-510 CHEEK","No Examination, NOS"},"Text bla bla bla physical examination bla bla"},{1111114,21119,SQLDateTime[{2011,2,11,11,11,0.`}],31112,"EB/JW",1,47000,"T-510 CHEEK",{"T-510 CHEEK","P-023 PHYSICAL EXAMINATION, TECHNICIAN, NOS"},"Text bla bla bla"},
{1111115,21000,SQLDateTime[{2011,1,11,11,11,0.`}],31111,"EB/JW",1,47000,"T-510 CHEEK",{"T-510 CHEEK","P-023 physical examination, TECHNICIAN, NOS"},"Text bla bla bla physical examination bla bla"}};

(1) One way (returning only entry 1111114)

Select[rdata2, 
 MemberQ[Characters@#, 
   Flatten@{___, Characters["PHYSICAL EXAMINATION"], ___}, {2}] &]

(2) Ignore case (but still selecting within sublist)

Select[rdata2,MemberQ[ToLowerCase@Characters@#,
Flatten@{___,ToLowerCase@
Characters["PHYSICAL EXAMINATION"],___},{2}]&]

(selects for entries 1111114 & 1111115)

(3) A final example (select for entries with "No Examination" within sublist but where there may be zero or more characters between "No" and "Examination", and where case is again ignored)

Select[rdata2, 
 MemberQ[ToLowerCase@Characters@#, 
   Flatten@Riffle[
     ToLowerCase@Characters@{"No", "Examination"}, ___, {1, -1, 
      2}], {2}] &]

(selects for entry 1111113)

There are no doubt more efficient ways to proceed. I hope I have interpreted the question correctly.

If I understand your requirements, you may consider:

dat = {{1111113, 21119, SQLDateTime[{2011, 1, 11, 11, 11, 0.`}], 
    31111, "EB/JW", 1, 47000, 
    "T-510 CHEEK", {"T-510 CHEEK", "No Examination, NOS"}, 
    "Text bla bla bla physical examination bla bla"}, {1111114, 21119,
     SQLDateTime[{2011, 2, 11, 11, 11, 0.`}], 31112, "EB/JW", 1, 
    47000, "T-510 CHEEK", {"T-510 CHEEK", 
     "P-023 PHYSICAL EXAMINATION, TECHNICIAN, NOS"}, 
    "Text bla bla bla"}, {1111115, 21000, 
    SQLDateTime[{2011, 1, 11, 11, 11, 0.`}], 31111, "EB/JW", 1, 47000,
     "T-510 CHEEK", {"T-510 CHEEK", 
     "P-023 physical examination, TECHNICIAN, NOS"}, 
    "Text bla bla bla physical examination bla bla"}};

p = 
 Position[ dat,
   _String?(StringMatchQ[#, "*PHYSICAL EXAMINATION*", IgnoreCase -> True] &),
   {2, 3}
 ];

dat[[ Union[First /@ p] ]]

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