re = /[^\w'-]+(?=diagnosis)/m
str = 'Some other medical terms and stuff diagnosis of R45.2 was entered for this patient. Where did Doctor Who go? Then xxx feea fdsfd
'
subst = '_'
result = str.gsub(re, subst)
# Print the result of the substitution
puts result
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Ruby, please visit: http://ruby-doc.org/core-2.2.0/Regexp.html