DATEXIS/aci_bench_intent_annotated · Datasets at Hugging Face

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doctor: and i'm gon na go ahead and get a lipid panel and , uh , start you on crestor 20 mg , once a day , okay ? patient: okay .	D2N171	23	[ "Diagnostic Testing", "Medication" ]	[ "Plan" ]	and i'm gon na go ahead and get a lipid panel and , uh , start you on crestor 20 mg , once a day , okay ?	4,300
doctor: hey dragon , order a cardiac stress test . do you have any questions ? patient: no , that's it .	D2N171	24	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	hey dragon , order a cardiac stress test . do you have any questions ?	4,301
doctor: okay , all right . hey dragon , finalize the note . so , it was good to see you , the nurse will come in , she'll help you get your scheduled for all of those things , and i'll be in touch , okay ? patient: okay .	D2N171	25	[ "Chitchat" ]	[ "Null" ]	okay , all right . hey dragon , finalize the note . so , it was good to see you , the nurse will come in , she'll help you get your scheduled for all of those things , and i'll be in touch , okay ?	4,302
doctor: take care .	D2N171	26	[ "Chitchat" ]	[ "Null" ]	doctor: take care .	4,303
doctor: morning roy , how are you doing ? patient: hey , good to see you .	D2N172	0	[ "Greetings" ]	[ "Subjective" ]	morning roy , how are you doing ?	4,304
doctor: so , my nurse told you a little bit about dax ? so , if you do n't mind , i'm going to tell dax a little bit about you today . patient: perfect .	D2N172	1	[ "Chitchat" ]	[ "Null" ]	so , my nurse told you a little bit about dax ? so , if you do n't mind , i'm going to tell dax a little bit about you today .	4,305
doctor: great , great . so , roy is a 50-year-old male patient who comes in with a history of depression , you had some , um , high blood pressure and some hypertension . so , tell me how have you been doing? patient: sure . so it's been a , a pretty stressful winter and spring . and , uh , we've been onboarding a couple new employees and we have been pretty short-staffed in the meantime .	D2N172	2	[ "Personal History" ]	[ "Subjective" ]	great , great . so , roy is a 50-year-old male patient who comes in with a history of depression , you had some , um , high blood pressure and some hypertension . so , tell me how have you been doing?	4,306
doctor: um , any changes in , um , weight gain or anything like that ? patient: probably for the last month or so , we've been hosting some friends over vacation , and on ... you know , at the beach in the summer , so the diet is off the charts .	D2N172	3	[ "Personal History" ]	[ "Subjective" ]	um , any changes in , um , weight gain or anything like that ?	4,307
doctor: okay . okay . gotcha , gotcha . patient: out the window .	D2N172	4	[ "Vegetative History" ]	[ "Subjective" ]	okay . okay . gotcha , gotcha .	4,308
doctor: out the window . okay . and , um , now i know you've had a history of depression . you're on zoloft , uh , 50 milligrams a day . have you been doing okay with that ? patient: uh , for the most part . again , it's been kind of a challenging year-and-a-half or so .	D2N172	5	[ "Therapeutic History", "Personal History" ]	[ "Subjective" ]	out the window . okay . and , um , now i know you've had a history of depression . you're on zoloft , uh , 50 milligrams a day . have you been doing okay with that ?	4,309
doctor: okay . uh , sleeping okay at night ? patient: mm-	D2N172	7	[ "Vegetative History" ]	[ "Subjective" ]	okay . uh , sleeping okay at night ?	4,310
doctor: occasionally ? patient: i , i could use more sleep like everybody .	D2N172	8	[ "Vegetative History" ]	[ "Subjective" ]	occasionally ?	4,311
doctor: uh , no feelings of , uh , you want to hurt yourself or anybody ? patient: no , no .	D2N172	11	[ "Personal History" ]	[ "Subjective" ]	uh , no feelings of , uh , you want to hurt yourself or anybody ?	4,312
doctor: okay , good , good . and , um , your high blood pressure , um , that's been under relatively good control recently . have you found that ? your blood pressures have been okay ? patient: yes . that's why this is a little concerning to me , because of the , uh , recent , the recent readings .	D2N172	12	[ "Personal History" ]	[ "Subjective" ]	okay , good , good . and , um , your high blood pressure , um , that's been under relatively good control recently . have you found that ? your blood pressures have been okay ?	4,313
doctor: okay , gotcha . gotcha . okay . so , um , if you do n't mind , i'm going to do a quick exam . okay ? patient: sure .	D2N172	13	[ "Physical Examination" ]	[ "Objective" ]	okay , gotcha . gotcha . okay . so , um , if you do n't mind , i'm going to do a quick exam . okay ?	4,314
doctor: okay . so , um , on my physical exam , your lungs are clear . your heart is , is regular . you do have a grade two systolic ejection murmur . we've had that before , so nothing new- patient: mm-hmm .	D2N172	14	[ "Physical Examination" ]	[ "Objective" ]	okay . so , um , on my physical exam , your lungs are clear . your heart is , is regular . you do have a grade two systolic ejection murmur . we've had that before , so nothing new-	4,315
doctor: . there . um , and not clinically relevant at all . um , your extremities are normal , no edema . um , you have put on a c- a , a little bit of weight . patient: okay .	D2N172	15	[ "Physical Examination" ]	[ "Objective" ]	. there . um , and not clinically relevant at all . um , your extremities are normal , no edema . um , you have put on a c- a , a little bit of weight .	4,316
doctor: i want you to get back on that diet . patient: okay .	D2N172	16	[ "Other Treatments" ]	[ "Plan" ]	i want you to get back on that diet .	4,317
doctor: because that's the key . right ? patient: okay .	D2N172	17	[ "Chitchat" ]	[ "Null" ]	because that's the key . right ?	4,318
doctor: as far as your high blood pressure , not going to change anything there . okay ? we'll just leave you on your lisinopril 5 milligrams a day , that's good . patient: okay .	D2N172	18	[ "Reassessment", "Medication" ]	[ "Assessment", "Plan" ]	as far as your high blood pressure , not going to change anything there . okay ? we'll just leave you on your lisinopril 5 milligrams a day , that's good .	4,319
doctor: that's also good for your kidneys , so everything , everything good ... is good there . your third problem is your depression . been a rough year . some of that's just normal reactive stuff . so i think we'll just keep you where you are at . not going to change the zoloft . do you need a refill on your zoloft ? patient: uh , actually i do .	D2N172	19	[ "Reassessment", "Discussion", "Medication" ]	[ "Assessment", "Plan" ]	that's also good for your kidneys , so everything , everything good ... is good there . your third problem is your depression . been a rough year . some of that's just normal reactive stuff . so i think we'll just keep you where you are at . not going to change the zoloft . do you need a refill on your zoloft ?	4,320
doctor: okay . hey dragon , order a zoloft 50 milligrams daily . we'll get that refilled for you . okay ? so , um , i'd like to see you back in about a month , an- and then in about , uh , three months patient: okay .	D2N172	20	[ "Follow-up", "Medication" ]	[ "Plan" ]	okay . hey dragon , order a zoloft 50 milligrams daily . we'll get that refilled for you . okay ? so , um , i'd like to see you back in about a month , an- and then in about , uh , three months	4,321
doctor: a1c , if everything's getting back on track . okay ? anything else i can do for you today ? patient: no . that should do it .	D2N172	21	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	a1c , if everything's getting back on track . okay ? anything else i can do for you today ?	4,322
doctor: okay . come with me , we'll get you checked out . hey dragon , finalize the note .	D2N172	22	[ "Chitchat" ]	[ "Null" ]	doctor: okay . come with me , we'll get you checked out . hey dragon , finalize the note .	4,323
doctor: hi logan , how are you ? patient: hi . good to see you .	D2N173	0	[ "Greetings" ]	[ "Subjective" ]	hi logan , how are you ?	4,324
doctor: it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ? patient: sure .	D2N173	1	[ "Chitchat" ]	[ "Null" ]	it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ?	4,325
doctor: so logan is a 57-year-old male , with a past medical history significant for coronary artery bypass grafting , hyperlipidemia , and ocd , who presents with an upper respiratory infection . so , logan , what's going on ? patient: so , uh , about a week ago i started to get a cold . and , in the last two or three days , it seemed to move into my chest .	D2N173	2	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	so logan is a 57-year-old male , with a past medical history significant for coronary artery bypass grafting , hyperlipidemia , and ocd , who presents with an upper respiratory infection . so , logan , what's going on ?	4,326
doctor: okay . um , and , and are you having any pain in your sinuses ? or , any post nasal drip ? patient: um , i had some post nasal drip for , again , for the beginning of the week . and then , uh , it , it left my , uh , my head . it went right down to my upper , uh , chest .	D2N173	3	[ "Acute Symptoms" ]	[ "Subjective" ]	okay . um , and , and are you having any pain in your sinuses ? or , any post nasal drip ?	4,327
doctor: okay . and have you gotten vaccinated against covid ? patient: i actually have . i've , uh , gotten both vaccines .	D2N173	4	[ "Therapeutic History", "Personal History" ]	[ "Subjective" ]	okay . and have you gotten vaccinated against covid ?	4,328
doctor: okay . all right . patient: on both , both stages .	D2N173	5	[ "Chitchat" ]	[ "Null" ]	okay . all right .	4,329
doctor: okay . and anyone else sick as far as you know ? patient: no , not in my house . no .	D2N173	6	[ "Family History" ]	[ "Subjective" ]	okay . and anyone else sick as far as you know ?	4,330
doctor: okay . and have you had any fevers ? patient: uh , i thought i had a slight fever , but no .	D2N173	7	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	okay . and have you had any fevers ?	4,331
doctor: okay . and , um , any shortness of breath ? patient: no .	D2N173	8	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	okay . and , um , any shortness of breath ?	4,332
doctor: okay . all right . um , so let's just talk a little bit about your high cholesterol . how are you doing with the diet ? patient: i've been pretty good for the most part . uh , we did a little bit of travel over the last week or so , so the diet was n't great . but , for the most part it's been good .	D2N173	9	[ "Personal History" ]	[ "Subjective" ]	okay . all right . um , so let's just talk a little bit about your high cholesterol . how are you doing with the diet ?	4,333
doctor: okay , i , i know we have you on the , on the crestor 20 milligrams a day . you're doing okay with that , so tolerating it ? no muscle aches , anything like that ? patient: no muscle aches .	D2N173	10	[ "Therapeutic History", "Personal History" ]	[ "Subjective" ]	okay , i , i know we have you on the , on the crestor 20 milligrams a day . you're doing okay with that , so tolerating it ? no muscle aches , anything like that ?	4,334
doctor: okay . and i know you had the , uh , bypass grafting last year . you're doing okay ? patient: it's been great .	D2N173	11	[ "Personal History" ]	[ "Subjective" ]	okay . and i know you had the , uh , bypass grafting last year . you're doing okay ?	4,335
doctor: no chest pain ? patient: other than the congestion , no chest pain .	D2N173	12	[ "Personal History", "Vegetative History" ]	[ "Subjective" ]	no chest pain ?	4,336
doctor: okay . all right . and you're able to exercise ? patient: yes .	D2N173	13	[ "Other Socials" ]	[ "Subjective" ]	okay . all right . and you're able to exercise ?	4,337
doctor: okay . before you got sick . patient: that's correct . that's correct .	D2N173	14	[ "Other Socials" ]	[ "Subjective" ]	okay . before you got sick .	4,338
doctor: okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ? patient: you got it .	D2N173	15	[ "Physical Examination" ]	[ "Objective" ]	okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ?	4,339
doctor: hey dragon , show me the vital signs . so , here it ... your vital signs look great . your oxygenation is 96 % . so that's very good . okay ? uh , i'm just going to check out your heart and lungs , and i'll let you know what i find . okay ? patient: sure .	D2N173	16	[ "Physical Examination" ]	[ "Objective" ]	hey dragon , show me the vital signs . so , here it ... your vital signs look great . your oxygenation is 96 % . so that's very good . okay ? uh , i'm just going to check out your heart and lungs , and i'll let you know what i find . okay ?	4,340
doctor: okay . so on exam , you do have some cervical lymphadenopathy . and your lungs have bilateral ronchi in them , um , and some wheezing . so , what that means is , you know , you have a little infection . you probably have a little bit of a cold , and you have some lymph nodes that are swollen , and some congestion in your lungs , like you said . let's go ahead and take a look at some of your results . okay ? patient: mm-hmm .	D2N173	17	[ "Physical Examination", "Acute Assessment" ]	[ "Objective", "Assessment" ]	okay . so on exam , you do have some cervical lymphadenopathy . and your lungs have bilateral ronchi in them , um , and some wheezing . so , what that means is , you know , you have a little infection . you probably have a little bit of a cold , and you have some lymph nodes that are swollen , and some congestion in your lungs , like you said . let's go ahead and take a look at some of your results . okay ?	4,341
doctor: hey dragon , show me the lipid panel . so your cholesterol , for the most part , is really good . i think you're doing a good job . uh , i do n't think you have to make any changes right now . um , hey dragon , show me the covid test . turns out you're positive for ... for covid . so the results of your po- your covid test are positive . patient: okay .	D2N173	18	[ "Reassessment", "Acute Assessment", "Lab Examination" ]	[ "Objective", "Assessment" ]	hey dragon , show me the lipid panel . so your cholesterol , for the most part , is really good . i think you're doing a good job . uh , i do n't think you have to make any changes right now . um , hey dragon , show me the covid test . turns out you're positive for ... for covid . so the results of your po- your covid test are positive .	4,342
doctor: so , i know you were vaccinated . you probably have a , a , a very , um , low-level positivity . so let's talk about that . so for your first problem , uh , is your covid infection . and i think the vaccine has helped you . it seems to be very mild at this time . your oxygenation is really good . i want you to quarantine for t- for 10 days , so , uh , try to avoid your other household family members . okay ? patient: okay .	D2N173	19	[ "Therapeutic History", "Acute Assessment", "Other Treatments" ]	[ "Subjective", "Assessment", "Plan" ]	so , i know you were vaccinated . you probably have a , a , a very , um , low-level positivity . so let's talk about that . so for your first problem , uh , is your covid infection . and i think the vaccine has helped you . it seems to be very mild at this time . your oxygenation is really good . i want you to quarantine for t- for 10 days , so , uh , try to avoid your other household family members . okay ?	4,343
doctor: and you're going to have to take off work . um , if your symptoms worsen , i want you to call me . patient: okay .	D2N173	20	[ "Follow-up", "Other Treatments" ]	[ "Plan" ]	and you're going to have to take off work . um , if your symptoms worsen , i want you to call me .	4,344
doctor: it's just supportive management . uh , for your next problem , your high cholesterol , let's continue you on the crestor 20 milligrams a day , and continue to watch your ja- your , your diet and i- then i'll go ahead and order another lipid panel for six months . and , from a coronary artery bypass grafting standpoint , your coronary artery disease seems under control . you're exercising . you do n't have any chest pain . we'll do a stress test in six months as well . patient: okay .	D2N173	21	[ "Reassessment", "Diagnostic Testing", "Follow-up", "Other Treatments", "Medication" ]	[ "Assessment", "Plan" ]	it's just supportive management . uh , for your next problem , your high cholesterol , let's continue you on the crestor 20 milligrams a day , and continue to watch your ja- your , your diet and i- then i'll go ahead and order another lipid panel for six months . and , from a coronary artery bypass grafting standpoint , your coronary artery disease seems under control . you're exercising . you do n't have any chest pain . we'll do a stress test in six months as well .	4,345
doctor: okay ? any questions ? patient: no questions .	D2N173	22	[ "Discussion" ]	[ "Plan" ]	okay ? any questions ?	4,346
doctor: okay . it was good to see you . patient: same here .	D2N173	23	[ "Chitchat" ]	[ "Null" ]	okay . it was good to see you .	4,347
doctor: hey dragon , finalize the note .	D2N173	24	[ "Chitchat" ]	[ "Null" ]	doctor: hey dragon , finalize the note .	4,348
doctor: hi , james , how are you ? patient: hi , good to see you .	D2N174	0	[ "Greetings" ]	[ "Subjective" ]	hi , james , how are you ?	4,349
doctor: it's good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little bit about you . patient: sure .	D2N174	1	[ "Chitchat" ]	[ "Null" ]	it's good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little bit about you .	4,350
doctor: james is a 57 year old male with a past medical history significant for coronary artery disease and lupus , who presents today with joint pain . so james , what's what's going on ? patient: yeah . i've been putting a , a few more miles on the bike each day and , uh , my knees have been killing me , just more so in the last three or four days or so .	D2N174	2	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	james is a 57 year old male with a past medical history significant for coronary artery disease and lupus , who presents today with joint pain . so james , what's what's going on ?	4,351
doctor: okay . is it one knee versus the other , or both ? patient: both equally .	D2N174	3	[ "Acute Symptoms" ]	[ "Subjective" ]	okay . is it one knee versus the other , or both ?	4,352
doctor: okay . and , um , does it hurt more in the morning when you wake up , or does it hurt more when you're walking around and that type of thing ? patient: usually when i get up in the morning , they're pretty stiff and sore , and then by the end of the day , i start to feel that same sensation . kind of pretty much , like , uh , probably around dinner time or so .	D2N174	4	[ "Acute Symptoms" ]	[ "Subjective" ]	okay . and , um , does it hurt more in the morning when you wake up , or does it hurt more when you're walking around and that type of thing ?	4,353
doctor: okay . and any other , any other joints bothering you , your elbows , wrists , shoulders , anything like that ? patient: no , it's just the knees .	D2N174	5	[ "Acute Symptoms" ]	[ "Subjective" ]	okay . and any other , any other joints bothering you , your elbows , wrists , shoulders , anything like that ?	4,354
doctor: just the knees . and have you noticed any swelling of your knees , or any redness of your knees ? patient: uh , they look a little inflamed in the morning , and then in the afternoon , same but not as bad , not as noticeable .	D2N174	6	[ "Vegetative History" ]	[ "Subjective" ]	just the knees . and have you noticed any swelling of your knees , or any redness of your knees ?	4,355
doctor: okay . and do you have any other symptoms with this ? do you have any other associated fatigue or fever or anything like that ? patient: no , no .	D2N174	7	[ "Vegetative History" ]	[ "Subjective" ]	okay . and do you have any other symptoms with this ? do you have any other associated fatigue or fever or anything like that ?	4,356
doctor: okay . and no injury ? patient: no , no . just , uh , repetitive motion , riding the bike the everyday , it , it's part of my workout , i just probably , uh , probably doubled the miles .	D2N174	8	[ "Personal History" ]	[ "Subjective" ]	okay . and no injury ?	4,357
doctor: okay , all right . well , tell me a little bit about . uh , you know , it's been a while since i've seen you . you know , in terms of your heart disease , and i know you got the stent placed last year . patient: mm-hmm .	D2N174	9	[ "Personal History" ]	[ "Subjective" ]	okay , all right . well , tell me a little bit about . uh , you know , it's been a while since i've seen you . you know , in terms of your heart disease , and i know you got the stent placed last year .	4,358
doctor: um , i know they took you off the plavix , are you still taking your aspirin every day ? patient: i am .	D2N174	10	[ "Therapeutic History" ]	[ "Subjective" ]	um , i know they took you off the plavix , are you still taking your aspirin every day ?	4,359
doctor: okay . and how are you doing with your crestor ? any problems with that ? patient: no , none whatsoever .	D2N174	11	[ "Therapeutic History" ]	[ "Subjective" ]	okay . and how are you doing with your crestor ? any problems with that ?	4,360
doctor: okay . and any chest pain or shortness of breath ? patient: no .	D2N174	12	[ "Vegetative History" ]	[ "Subjective" ]	okay . and any chest pain or shortness of breath ?	4,361
doctor: no ? okay . okay . all right , and in terms of your lupus , we have , you know , this is something that was kinda back in the , in the background for you , and we have n't had to do a whole lot . you know , your kidney function's been really good . um , any , any issues as far as you know ? patient: no , nothing , not at least in the last year or so .	D2N174	13	[ "Personal History" ]	[ "Subjective" ]	no ? okay . okay . all right , and in terms of your lupus , we have , you know , this is something that was kinda back in the , in the background for you , and we have n't had to do a whole lot . you know , your kidney function's been really good . um , any , any issues as far as you know ?	4,362
doctor: okay . i think we , we might have to look into it a little bit further with this knee pain that you're having . patient: okay .	D2N174	14	[ "Acute Symptoms" ]	[ "Subjective" ]	okay . i think we , we might have to look into it a little bit further with this knee pain that you're having .	4,363
doctor: but i wan na go ahead and , um ... you know , i know that the nurse did a review of system sheet and we just covered a lot here . patient: mm-hmm .	D2N174	15	[ "Vegetative History" ]	[ "Subjective" ]	but i wan na go ahead and , um ... you know , i know that the nurse did a review of system sheet and we just covered a lot here .	4,364
doctor: any other symptoms , abdominal pain , nausea , vomiting ? patient: no , no .	D2N174	16	[ "Vegetative History" ]	[ "Subjective" ]	any other symptoms , abdominal pain , nausea , vomiting ?	4,365
doctor: no , just the knee pain ? patient: mm-hmm .	D2N174	17	[ "Vegetative History" ]	[ "Subjective" ]	no , just the knee pain ?	4,366
doctor: okay . all right . well , let's go ahead and do a quick physical exam . patient: okay .	D2N174	18	[ "Physical Examination" ]	[ "Objective" ]	okay . all right . well , let's go ahead and do a quick physical exam .	4,367
doctor: hey , dragon , show me the vital signs . so your vital signs here in the office look really good . patient: mm-hmm .	D2N174	19	[ "Physical Examination" ]	[ "Objective" ]	hey , dragon , show me the vital signs . so your vital signs here in the office look really good .	4,368
doctor: there's no fever , your blood pressure and your heart rate look great , so that's , that's awesome . patient: mm-hmm .	D2N174	20	[ "Physical Examination" ]	[ "Objective" ]	there's no fever , your blood pressure and your heart rate look great , so that's , that's awesome .	4,369
doctor: um , i'm just gon na check out your heart and your lungs . patient: sure .	D2N174	21	[ "Physical Examination" ]	[ "Objective" ]	um , i'm just gon na check out your heart and your lungs .	4,370
doctor: and your knees , and i'll let you know what i find , okay ? patient: okay .	D2N174	22	[ "Physical Examination" ]	[ "Objective" ]	and your knees , and i'll let you know what i find , okay ?	4,371
doctor: all right . so on physical examination of your heart , you know , i do hear that's , like , two out of six systolic ejection murmur , but we've heard that in the past . your lungs sound nice and clear . and on your knee exam , i do appreciate , you know , some bilateral , uh , edema and some slight erythema , there is a slight effusion present on the right knee . does that hurt ? patient: little bit .	D2N174	23	[ "Physical Examination" ]	[ "Objective" ]	all right . so on physical examination of your heart , you know , i do hear that's , like , two out of six systolic ejection murmur , but we've heard that in the past . your lungs sound nice and clear . and on your knee exam , i do appreciate , you know , some bilateral , uh , edema and some slight erythema , there is a slight effusion present on the right knee . does that hurt ?	4,372
doctor: all right , so pain to palpation of the right knee . um , and decreased range of motion of the knees bilaterally . so i just wan na look at some of your results , okay ? patient: mm-hmm .	D2N174	24	[ "Physical Examination" ]	[ "Objective" ]	all right , so pain to palpation of the right knee . um , and decreased range of motion of the knees bilaterally . so i just wan na look at some of your results , okay ?	4,373
doctor: hey , dragon . show me the right knee x-ray . so this is an x-ray of your right knee and in reviewing the results of that , everything looks fine , there's no boney abnormality , there's no fracture , which is not surprising , based on the history , okay ? patient: mm-hmm .	D2N174	25	[ "Radiology Examination" ]	[ "Objective" ]	hey , dragon . show me the right knee x-ray . so this is an x-ray of your right knee and in reviewing the results of that , everything looks fine , there's no boney abnormality , there's no fracture , which is not surprising , based on the history , okay ?	4,374
doctor: hey , dragon . show me the ekg . and this is your most recent ekg which we did before you came in , and that all looks really good . so , um , so no concerns from a heart standpoint . so let's talk a little bit about , you know , my assessment and my plan for you . patient: mm-hmm .	D2N174	26	[ "Radiology Examination" ]	[ "Objective" ]	hey , dragon . show me the ekg . and this is your most recent ekg which we did before you came in , and that all looks really good . so , um , so no concerns from a heart standpoint . so let's talk a little bit about , you know , my assessment and my plan for you .	4,375
doctor: so for your first problem , your , your knee pain , you know , i'm concerned that it might be from , you know , a flareup of your lupus , so i wan na go ahead and order and autoimmune panel to kinda see where we stand , okay ? patient: sure .	D2N174	27	[ "Diagnostic Testing", "Acute Assessment" ]	[ "Assessment", "Plan" ]	so for your first problem , your , your knee pain , you know , i'm concerned that it might be from , you know , a flareup of your lupus , so i wan na go ahead and order and autoimmune panel to kinda see where we stand , okay ?	4,376
doctor: hey , dragon . order an autoimmune panel . for your next problem , the coronary artery disease , i think you're doing really well , your ekg looks good , your vital signs look good . patient: mm-hmm .	D2N174	28	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	hey , dragon . order an autoimmune panel . for your next problem , the coronary artery disease , i think you're doing really well , your ekg looks good , your vital signs look good .	4,377
doctor: i'm gon na go ahead and order a lipid panel and another echocardiogram , okay ? patient: okay .	D2N174	29	[ "Diagnostic Testing" ]	[ "Plan" ]	i'm gon na go ahead and order a lipid panel and another echocardiogram , okay ?	4,378
doctor: hey , dragon . order an echocardiogram . do you have any questions ? patient: no questions .	D2N174	30	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	hey , dragon . order an echocardiogram . do you have any questions ?	4,379
doctor: all right , well , the nurse will be in soon and she'll get you checked out , okay ? patient: you got it .	D2N174	31	[ "Chitchat" ]	[ "Null" ]	all right , well , the nurse will be in soon and she'll get you checked out , okay ?	4,380
doctor: hey , dragon . finalize the note .	D2N174	32	[ "Chitchat" ]	[ "Null" ]	doctor: hey , dragon . finalize the note .	4,381
doctor: hi , natalie . how are you ? patient: good . how are you ?	D2N175	0	[ "Greetings" ]	[ "Subjective" ]	hi , natalie . how are you ?	4,382
doctor: it's good to see you . patient: good to see you , too .	D2N175	1	[ "Greetings" ]	[ "Subjective" ]	it's good to see you .	4,383
doctor: i know my nurse has already told you about dax . is it okay if i tell dax a little bit about you ? patient: go for it .	D2N175	2	[ "Chitchat" ]	[ "Null" ]	i know my nurse has already told you about dax . is it okay if i tell dax a little bit about you ?	4,384
doctor: all right . so , natalie is a 39-year-old female , here today for a check-up for an abnormal lab . she's got a history of high blood pressure , diabetes , and acl repair . so , tell me what's going on . patient: so , uh , i got some re- routine blood work done last week and , uh , they said that my blood sugars were , were high , so that i should come in , um , and talk to you and get some more work done and , and , uh , see why that is .	D2N175	3	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	all right . so , natalie is a 39-year-old female , here today for a check-up for an abnormal lab . she's got a history of high blood pressure , diabetes , and acl repair . so , tell me what's going on .	4,385
doctor: okay . well , were you having any symptoms at all or just , we had some blood work done routinely ? uh , any chest pain , shortness of breath ? any nausea , vomiting , or diarrhea ? patient: no , no symptoms . uh , so i was a little shocked when i came back high and , and elevated , so hopefully we can figure out what's going on .	D2N175	4	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	okay . well , were you having any symptoms at all or just , we had some blood work done routinely ? uh , any chest pain , shortness of breath ? any nausea , vomiting , or diarrhea ?	4,386
doctor: we've been , kind of , checking on this for a while and you've been on metformin . we actually increased your dose last time- patient: yup .	D2N175	5	[ "Therapeutic History" ]	[ "Subjective" ]	we've been , kind of , checking on this for a while and you've been on metformin . we actually increased your dose last time-	4,387
doctor: so right now you're on 100 , 1,000 milligrams a day , correct ? patient: correct . yup .	D2N175	6	[ "Therapeutic History" ]	[ "Subjective" ]	so right now you're on 100 , 1,000 milligrams a day , correct ?	4,388
doctor: okay . all right . no , uh , no difficulty urinating or burning when you urinate at all ? patient: nope .	D2N175	7	[ "Acute Symptoms" ]	[ "Subjective" ]	okay . all right . no , uh , no difficulty urinating or burning when you urinate at all ?	4,389
doctor: okay . all right . um , hey , dragon , show me the hemoglobin a1c . so in reviewing your , that's the lab that we checked after when i saw before i walked in . it says 8.1 , which is elevated , so i think we need to do a maybe a better job with adjusting your medication . how are you doing with your diet for your diabetes ? patient: my diet's been really great lately . i've been avoiding sugars , um , been really watching , uh , my weight and power walking every day , so i was a little surprised when the , the blood work came back that i- i had , um , an elevated , uh , test .	D2N175	8	[ "Acute Symptoms", "Reassessment", "Lab Examination" ]	[ "Subjective", "Objective", "Assessment" ]	okay . all right . um , hey , dragon , show me the hemoglobin a1c . so in reviewing your , that's the lab that we checked after when i saw before i walked in . it says 8.1 , which is elevated , so i think we need to do a maybe a better job with adjusting your medication . how are you doing with your diet for your diabetes ?	4,390
doctor: okay . and , uh , have you had any , uh , any other , are you checking your blood sugars in the morning or your fasting blood sugars ? patient: yes , i am .	D2N175	9	[ "Acute Symptoms" ]	[ "Subjective" ]	okay . and , uh , have you had any , uh , any other , are you checking your blood sugars in the morning or your fasting blood sugars ?	4,391
doctor: okay . all right . how are you doing with your high blood pressure ? patient: that's been good and stable . um , i've been stable on the medication , been taking that every day . um , and i have a b- a cuff at home to , to measure it myself and that , everything's been normal .	D2N175	10	[ "Acute Symptoms", "Reassessment" ]	[ "Subjective", "Assessment" ]	okay . all right . how are you doing with your high blood pressure ?	4,392
doctor: okay , great . and how's your knee doing that's the other issue we've been , kind of , following ? you had some surgery done for that ? patient: yeah . about five years ago , i had , um , an acl repair on my right knee and everything's been going well so far . i have n't had any , uh , issues with mobility . um , it's been great .	D2N175	11	[ "Personal History" ]	[ "Subjective", "Assessment" ]	okay , great . and how's your knee doing that's the other issue we've been , kind of , following ? you had some surgery done for that ?	4,393
doctor: and you're pretty physically active and doing exercises ? patient: yeah . i've been power walking about , at least 30 minutes every day .	D2N175	12	[ "Acute Symptoms", "Other Socials" ]	[ "Subjective" ]	and you're pretty physically active and doing exercises ?	4,394
doctor: okay . great . well , let's review , uh , some of your vital signs . hey , dragon , show me the vitals . all right . blood pressure looks good right now . your oxygen level's great . uh , your temperature's good . so i know you checked in with the review of systems with my assistant before coming in . uh , anything else bothering you today except for the abnormal blood work ? no chest pain ? no shortness of breath ? patient: no , nothing like that ?	D2N175	13	[ "Acute Symptoms", "Physical Examination" ]	[ "Subjective", "Objective" ]	okay . great . well , let's review , uh , some of your vital signs . hey , dragon , show me the vitals . all right . blood pressure looks good right now . your oxygen level's great . uh , your temperature's good . so i know you checked in with the review of systems with my assistant before coming in . uh , anything else bothering you today except for the abnormal blood work ? no chest pain ? no shortness of breath ?	4,395
doctor: no headaches ? no belly pain ? patient: no .	D2N175	14	[ "Acute Symptoms" ]	[ "Subjective" ]	no headaches ? no belly pain ?	4,396
doctor: good . great . well , let me examine you , okay ? patient: okay .	D2N175	15	[ "Chitchat" ]	[ "Null" ]	good . great . well , let me examine you , okay ?	4,397
doctor: alright . just gon na listen to your heart here . no belly pain ? patient: nope .	D2N175	16	[ "Physical Examination" ]	[ "Objective" ]	alright . just gon na listen to your heart here . no belly pain ?	4,398
doctor: okay . so on exam , uh , your hent or your neck exam is fine . your , uh , your eyes look fine . your lungs are clear . i do hear a systolic ejection murmur , about three over six . your belly's nice and soft . no swelling in your legs or extremities right now . so let's talk about some of the issues today . all right . for the first issue , for the diabetes , since your hemoglobin a1c is is elevated , uh , and you're already on 1,000 milligrams of metformin , i think we should add , uh , jardiance , uh , 10 milligrams a day . uh , so that's a new medication . we'll start that . i do want you to , uh follow your diet pretty , uh , aggressively . i wan na see if we can get that hemoglobin a1c down the next time . i'm also gon na add some labs today to see what that , to see a lipid panel and some other blood work . hey , dragon , order a cbc , cmp , and a lipid panel . and i'll go ahead and prescribe the jardiance , 10 milligrams a day . hey , dragon , prescribe , uh , order jardiance , 10 milligrams a day . all right . for the high blood pressure , i think you're doing great . you're on lisinopril for that , so i think that we should continue that . uh , we'll re-check it again next time and you are monitoring that at home , correct ? patient: yes , i am .	D2N175	17	[ "Physical Examination", "Discussion", "Diagnostic Testing", "Acute Assessment", "Follow-up", "Other Treatments", "Medication" ]	[ "Objective", "Assessment", "Plan" ]	okay . so on exam , uh , your hent or your neck exam is fine . your , uh , your eyes look fine . your lungs are clear . i do hear a systolic ejection murmur , about three over six . your belly's nice and soft . no swelling in your legs or extremities right now . so let's talk about some of the issues today . all right . for the first issue , for the diabetes , since your hemoglobin a1c is is elevated , uh , and you're already on 1,000 milligrams of metformin , i think we should add , uh , jardiance , uh , 10 milligrams a day . uh , so that's a new medication . we'll start that . i do want you to , uh follow your diet pretty , uh , aggressively . i wan na see if we can get that hemoglobin a1c down the next time . i'm also gon na add some labs today to see what that , to see a lipid panel and some other blood work . hey , dragon , order a cbc , cmp , and a lipid panel . and i'll go ahead and prescribe the jardiance , 10 milligrams a day . hey , dragon , prescribe , uh , order jardiance , 10 milligrams a day . all right . for the high blood pressure , i think you're doing great . you're on lisinopril for that , so i think that we should continue that . uh , we'll re-check it again next time and you are monitoring that at home , correct ?	4,399

doctor: and i'm gon na go ahead and get a lipid panel and , uh , start you on crestor 20 mg , once a day , okay ? patient: okay .

D2N171

23

[ "Diagnostic Testing", "Medication" ]

[ "Plan" ]

and i'm gon na go ahead and get a lipid panel and , uh , start you on crestor 20 mg , once a day , okay ?

4,300

doctor: hey dragon , order a cardiac stress test . do you have any questions ? patient: no , that's it .

D2N171

24

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

hey dragon , order a cardiac stress test . do you have any questions ?

4,301

doctor: okay , all right . hey dragon , finalize the note . so , it was good to see you , the nurse will come in , she'll help you get your scheduled for all of those things , and i'll be in touch , okay ? patient: okay .

D2N171

25

[ "Chitchat" ]

[ "Null" ]

okay , all right . hey dragon , finalize the note . so , it was good to see you , the nurse will come in , she'll help you get your scheduled for all of those things , and i'll be in touch , okay ?

4,302

doctor: take care .

D2N171

26

[ "Chitchat" ]

[ "Null" ]

doctor: take care .

4,303

doctor: morning roy , how are you doing ? patient: hey , good to see you .

D2N172

0

[ "Greetings" ]

[ "Subjective" ]

morning roy , how are you doing ?

4,304

doctor: so , my nurse told you a little bit about dax ? so , if you do n't mind , i'm going to tell dax a little bit about you today . patient: perfect .

D2N172

1

[ "Chitchat" ]

[ "Null" ]

so , my nurse told you a little bit about dax ? so , if you do n't mind , i'm going to tell dax a little bit about you today .

4,305

doctor: great , great . so , roy is a 50-year-old male patient who comes in with a history of depression , you had some , um , high blood pressure and some hypertension . so , tell me how have you been doing? patient: sure . so it's been a , a pretty stressful winter and spring . and , uh , we've been onboarding a couple new employees and we have been pretty short-staffed in the meantime .

D2N172

2

[ "Personal History" ]

[ "Subjective" ]

great , great . so , roy is a 50-year-old male patient who comes in with a history of depression , you had some , um , high blood pressure and some hypertension . so , tell me how have you been doing?

4,306

doctor: um , any changes in , um , weight gain or anything like that ? patient: probably for the last month or so , we've been hosting some friends over vacation , and on ... you know , at the beach in the summer , so the diet is off the charts .

D2N172

3

[ "Personal History" ]

[ "Subjective" ]

um , any changes in , um , weight gain or anything like that ?

4,307

doctor: okay . okay . gotcha , gotcha . patient: out the window .

D2N172

4

[ "Vegetative History" ]

[ "Subjective" ]

okay . okay . gotcha , gotcha .

4,308

doctor: out the window . okay . and , um , now i know you've had a history of depression . you're on zoloft , uh , 50 milligrams a day . have you been doing okay with that ? patient: uh , for the most part . again , it's been kind of a challenging year-and-a-half or so .

D2N172

5

[ "Therapeutic History", "Personal History" ]

[ "Subjective" ]

out the window . okay . and , um , now i know you've had a history of depression . you're on zoloft , uh , 50 milligrams a day . have you been doing okay with that ?

4,309

doctor: okay . uh , sleeping okay at night ? patient: mm-

D2N172

7

[ "Vegetative History" ]

[ "Subjective" ]

okay . uh , sleeping okay at night ?

4,310

doctor: occasionally ? patient: i , i could use more sleep like everybody .

D2N172

8

[ "Vegetative History" ]

[ "Subjective" ]

occasionally ?

4,311

doctor: uh , no feelings of , uh , you want to hurt yourself or anybody ? patient: no , no .

D2N172

11

[ "Personal History" ]

[ "Subjective" ]

uh , no feelings of , uh , you want to hurt yourself or anybody ?

4,312

doctor: okay , good , good . and , um , your high blood pressure , um , that's been under relatively good control recently . have you found that ? your blood pressures have been okay ? patient: yes . that's why this is a little concerning to me , because of the , uh , recent , the recent readings .

D2N172

12

[ "Personal History" ]

[ "Subjective" ]

okay , good , good . and , um , your high blood pressure , um , that's been under relatively good control recently . have you found that ? your blood pressures have been okay ?

4,313

doctor: okay , gotcha . gotcha . okay . so , um , if you do n't mind , i'm going to do a quick exam . okay ? patient: sure .

D2N172

13

[ "Physical Examination" ]

[ "Objective" ]

okay , gotcha . gotcha . okay . so , um , if you do n't mind , i'm going to do a quick exam . okay ?

4,314

doctor: okay . so , um , on my physical exam , your lungs are clear . your heart is , is regular . you do have a grade two systolic ejection murmur . we've had that before , so nothing new- patient: mm-hmm .

D2N172

14

[ "Physical Examination" ]

[ "Objective" ]

okay . so , um , on my physical exam , your lungs are clear . your heart is , is regular . you do have a grade two systolic ejection murmur . we've had that before , so nothing new-

4,315

doctor: . there . um , and not clinically relevant at all . um , your extremities are normal , no edema . um , you have put on a c- a , a little bit of weight . patient: okay .

D2N172

15

[ "Physical Examination" ]

[ "Objective" ]

. there . um , and not clinically relevant at all . um , your extremities are normal , no edema . um , you have put on a c- a , a little bit of weight .

4,316

doctor: i want you to get back on that diet . patient: okay .

D2N172

16

[ "Other Treatments" ]

[ "Plan" ]

i want you to get back on that diet .

4,317

doctor: because that's the key . right ? patient: okay .

D2N172

17

[ "Chitchat" ]

[ "Null" ]

because that's the key . right ?

4,318

doctor: as far as your high blood pressure , not going to change anything there . okay ? we'll just leave you on your lisinopril 5 milligrams a day , that's good . patient: okay .

D2N172

18

[ "Reassessment", "Medication" ]

[ "Assessment", "Plan" ]

as far as your high blood pressure , not going to change anything there . okay ? we'll just leave you on your lisinopril 5 milligrams a day , that's good .

4,319

doctor: that's also good for your kidneys , so everything , everything good ... is good there . your third problem is your depression . been a rough year . some of that's just normal reactive stuff . so i think we'll just keep you where you are at . not going to change the zoloft . do you need a refill on your zoloft ? patient: uh , actually i do .

D2N172

19

[ "Reassessment", "Discussion", "Medication" ]

[ "Assessment", "Plan" ]

that's also good for your kidneys , so everything , everything good ... is good there . your third problem is your depression . been a rough year . some of that's just normal reactive stuff . so i think we'll just keep you where you are at . not going to change the zoloft . do you need a refill on your zoloft ?

4,320

doctor: okay . hey dragon , order a zoloft 50 milligrams daily . we'll get that refilled for you . okay ? so , um , i'd like to see you back in about a month , an- and then in about , uh , three months patient: okay .

D2N172

20

[ "Follow-up", "Medication" ]

[ "Plan" ]

okay . hey dragon , order a zoloft 50 milligrams daily . we'll get that refilled for you . okay ? so , um , i'd like to see you back in about a month , an- and then in about , uh , three months

4,321

doctor: a1c , if everything's getting back on track . okay ? anything else i can do for you today ? patient: no . that should do it .

D2N172

21

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

a1c , if everything's getting back on track . okay ? anything else i can do for you today ?

4,322

doctor: okay . come with me , we'll get you checked out . hey dragon , finalize the note .

D2N172

22

[ "Chitchat" ]

[ "Null" ]

doctor: okay . come with me , we'll get you checked out . hey dragon , finalize the note .

4,323

doctor: hi logan , how are you ? patient: hi . good to see you .

D2N173

0

[ "Greetings" ]

[ "Subjective" ]

hi logan , how are you ?

4,324

doctor: it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ? patient: sure .

D2N173

1

[ "Chitchat" ]

[ "Null" ]

it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ?

4,325

doctor: so logan is a 57-year-old male , with a past medical history significant for coronary artery bypass grafting , hyperlipidemia , and ocd , who presents with an upper respiratory infection . so , logan , what's going on ? patient: so , uh , about a week ago i started to get a cold . and , in the last two or three days , it seemed to move into my chest .

D2N173

2

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

so logan is a 57-year-old male , with a past medical history significant for coronary artery bypass grafting , hyperlipidemia , and ocd , who presents with an upper respiratory infection . so , logan , what's going on ?

4,326

doctor: okay . um , and , and are you having any pain in your sinuses ? or , any post nasal drip ? patient: um , i had some post nasal drip for , again , for the beginning of the week . and then , uh , it , it left my , uh , my head . it went right down to my upper , uh , chest .

D2N173

3

[ "Acute Symptoms" ]

[ "Subjective" ]

okay . um , and , and are you having any pain in your sinuses ? or , any post nasal drip ?

4,327

doctor: okay . and have you gotten vaccinated against covid ? patient: i actually have . i've , uh , gotten both vaccines .

D2N173

4

[ "Therapeutic History", "Personal History" ]

[ "Subjective" ]

okay . and have you gotten vaccinated against covid ?

4,328

doctor: okay . all right . patient: on both , both stages .

D2N173

5

[ "Chitchat" ]

[ "Null" ]

okay . all right .

4,329

doctor: okay . and anyone else sick as far as you know ? patient: no , not in my house . no .

D2N173

6

[ "Family History" ]

[ "Subjective" ]

okay . and anyone else sick as far as you know ?

4,330

doctor: okay . and have you had any fevers ? patient: uh , i thought i had a slight fever , but no .

D2N173

7

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

okay . and have you had any fevers ?

4,331

doctor: okay . and , um , any shortness of breath ? patient: no .

D2N173

8

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

okay . and , um , any shortness of breath ?

4,332

doctor: okay . all right . um , so let's just talk a little bit about your high cholesterol . how are you doing with the diet ? patient: i've been pretty good for the most part . uh , we did a little bit of travel over the last week or so , so the diet was n't great . but , for the most part it's been good .

D2N173

9

[ "Personal History" ]

[ "Subjective" ]

okay . all right . um , so let's just talk a little bit about your high cholesterol . how are you doing with the diet ?

4,333

doctor: okay , i , i know we have you on the , on the crestor 20 milligrams a day . you're doing okay with that , so tolerating it ? no muscle aches , anything like that ? patient: no muscle aches .

D2N173

10

[ "Therapeutic History", "Personal History" ]

[ "Subjective" ]

okay , i , i know we have you on the , on the crestor 20 milligrams a day . you're doing okay with that , so tolerating it ? no muscle aches , anything like that ?

4,334

doctor: okay . and i know you had the , uh , bypass grafting last year . you're doing okay ? patient: it's been great .

D2N173

11

[ "Personal History" ]

[ "Subjective" ]

okay . and i know you had the , uh , bypass grafting last year . you're doing okay ?

4,335

doctor: no chest pain ? patient: other than the congestion , no chest pain .

D2N173

12

[ "Personal History", "Vegetative History" ]

[ "Subjective" ]

no chest pain ?

4,336

doctor: okay . all right . and you're able to exercise ? patient: yes .

D2N173

13

[ "Other Socials" ]

[ "Subjective" ]

okay . all right . and you're able to exercise ?

4,337

doctor: okay . before you got sick . patient: that's correct . that's correct .

D2N173

14

[ "Other Socials" ]

[ "Subjective" ]

okay . before you got sick .

4,338

doctor: okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ? patient: you got it .

D2N173

15

[ "Physical Examination" ]

[ "Objective" ]

okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ?

4,339

doctor: hey dragon , show me the vital signs . so , here it ... your vital signs look great . your oxygenation is 96 % . so that's very good . okay ? uh , i'm just going to check out your heart and lungs , and i'll let you know what i find . okay ? patient: sure .

D2N173

16

[ "Physical Examination" ]

[ "Objective" ]

hey dragon , show me the vital signs . so , here it ... your vital signs look great . your oxygenation is 96 % . so that's very good . okay ? uh , i'm just going to check out your heart and lungs , and i'll let you know what i find . okay ?

4,340

doctor: okay . so on exam , you do have some cervical lymphadenopathy . and your lungs have bilateral ronchi in them , um , and some wheezing . so , what that means is , you know , you have a little infection . you probably have a little bit of a cold , and you have some lymph nodes that are swollen , and some congestion in your lungs , like you said . let's go ahead and take a look at some of your results . okay ? patient: mm-hmm .

D2N173

17

[ "Physical Examination", "Acute Assessment" ]

[ "Objective", "Assessment" ]

okay . so on exam , you do have some cervical lymphadenopathy . and your lungs have bilateral ronchi in them , um , and some wheezing . so , what that means is , you know , you have a little infection . you probably have a little bit of a cold , and you have some lymph nodes that are swollen , and some congestion in your lungs , like you said . let's go ahead and take a look at some of your results . okay ?

4,341

doctor: hey dragon , show me the lipid panel . so your cholesterol , for the most part , is really good . i think you're doing a good job . uh , i do n't think you have to make any changes right now . um , hey dragon , show me the covid test . turns out you're positive for ... for covid . so the results of your po- your covid test are positive . patient: okay .

D2N173

18

[ "Reassessment", "Acute Assessment", "Lab Examination" ]

[ "Objective", "Assessment" ]

hey dragon , show me the lipid panel . so your cholesterol , for the most part , is really good . i think you're doing a good job . uh , i do n't think you have to make any changes right now . um , hey dragon , show me the covid test . turns out you're positive for ... for covid . so the results of your po- your covid test are positive .

4,342

doctor: so , i know you were vaccinated . you probably have a , a , a very , um , low-level positivity . so let's talk about that . so for your first problem , uh , is your covid infection . and i think the vaccine has helped you . it seems to be very mild at this time . your oxygenation is really good . i want you to quarantine for t- for 10 days , so , uh , try to avoid your other household family members . okay ? patient: okay .

D2N173

19

[ "Therapeutic History", "Acute Assessment", "Other Treatments" ]

[ "Subjective", "Assessment", "Plan" ]

so , i know you were vaccinated . you probably have a , a , a very , um , low-level positivity . so let's talk about that . so for your first problem , uh , is your covid infection . and i think the vaccine has helped you . it seems to be very mild at this time . your oxygenation is really good . i want you to quarantine for t- for 10 days , so , uh , try to avoid your other household family members . okay ?

4,343

doctor: and you're going to have to take off work . um , if your symptoms worsen , i want you to call me . patient: okay .

D2N173

20

[ "Follow-up", "Other Treatments" ]

[ "Plan" ]

and you're going to have to take off work . um , if your symptoms worsen , i want you to call me .

4,344

doctor: it's just supportive management . uh , for your next problem , your high cholesterol , let's continue you on the crestor 20 milligrams a day , and continue to watch your ja- your , your diet and i- then i'll go ahead and order another lipid panel for six months . and , from a coronary artery bypass grafting standpoint , your coronary artery disease seems under control . you're exercising . you do n't have any chest pain . we'll do a stress test in six months as well . patient: okay .

D2N173

21

[ "Reassessment", "Diagnostic Testing", "Follow-up", "Other Treatments", "Medication" ]

[ "Assessment", "Plan" ]

it's just supportive management . uh , for your next problem , your high cholesterol , let's continue you on the crestor 20 milligrams a day , and continue to watch your ja- your , your diet and i- then i'll go ahead and order another lipid panel for six months . and , from a coronary artery bypass grafting standpoint , your coronary artery disease seems under control . you're exercising . you do n't have any chest pain . we'll do a stress test in six months as well .

4,345

doctor: okay ? any questions ? patient: no questions .

D2N173

22

[ "Discussion" ]

[ "Plan" ]

okay ? any questions ?

4,346

doctor: okay . it was good to see you . patient: same here .

D2N173

23

[ "Chitchat" ]

[ "Null" ]

okay . it was good to see you .

4,347

doctor: hey dragon , finalize the note .

D2N173

24

[ "Chitchat" ]

[ "Null" ]

doctor: hey dragon , finalize the note .

4,348

doctor: hi , james , how are you ? patient: hi , good to see you .

D2N174

0

[ "Greetings" ]

[ "Subjective" ]

hi , james , how are you ?

4,349

doctor: it's good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little bit about you . patient: sure .

D2N174

1

[ "Chitchat" ]

[ "Null" ]

it's good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little bit about you .

4,350

doctor: james is a 57 year old male with a past medical history significant for coronary artery disease and lupus , who presents today with joint pain . so james , what's what's going on ? patient: yeah . i've been putting a , a few more miles on the bike each day and , uh , my knees have been killing me , just more so in the last three or four days or so .

D2N174

2

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

james is a 57 year old male with a past medical history significant for coronary artery disease and lupus , who presents today with joint pain . so james , what's what's going on ?

4,351

doctor: okay . is it one knee versus the other , or both ? patient: both equally .

D2N174

3

[ "Acute Symptoms" ]

[ "Subjective" ]

okay . is it one knee versus the other , or both ?

4,352

doctor: okay . and , um , does it hurt more in the morning when you wake up , or does it hurt more when you're walking around and that type of thing ? patient: usually when i get up in the morning , they're pretty stiff and sore , and then by the end of the day , i start to feel that same sensation . kind of pretty much , like , uh , probably around dinner time or so .

D2N174

4

[ "Acute Symptoms" ]

[ "Subjective" ]

okay . and , um , does it hurt more in the morning when you wake up , or does it hurt more when you're walking around and that type of thing ?

4,353

doctor: okay . and any other , any other joints bothering you , your elbows , wrists , shoulders , anything like that ? patient: no , it's just the knees .

D2N174

5

[ "Acute Symptoms" ]

[ "Subjective" ]

okay . and any other , any other joints bothering you , your elbows , wrists , shoulders , anything like that ?

4,354

doctor: just the knees . and have you noticed any swelling of your knees , or any redness of your knees ? patient: uh , they look a little inflamed in the morning , and then in the afternoon , same but not as bad , not as noticeable .

D2N174

6

[ "Vegetative History" ]

[ "Subjective" ]

just the knees . and have you noticed any swelling of your knees , or any redness of your knees ?

4,355

doctor: okay . and do you have any other symptoms with this ? do you have any other associated fatigue or fever or anything like that ? patient: no , no .

D2N174

7

[ "Vegetative History" ]

[ "Subjective" ]

okay . and do you have any other symptoms with this ? do you have any other associated fatigue or fever or anything like that ?

4,356

doctor: okay . and no injury ? patient: no , no . just , uh , repetitive motion , riding the bike the everyday , it , it's part of my workout , i just probably , uh , probably doubled the miles .

D2N174

8

[ "Personal History" ]

[ "Subjective" ]

okay . and no injury ?

4,357

doctor: okay , all right . well , tell me a little bit about . uh , you know , it's been a while since i've seen you . you know , in terms of your heart disease , and i know you got the stent placed last year . patient: mm-hmm .

D2N174

9

[ "Personal History" ]

[ "Subjective" ]

okay , all right . well , tell me a little bit about . uh , you know , it's been a while since i've seen you . you know , in terms of your heart disease , and i know you got the stent placed last year .

4,358

doctor: um , i know they took you off the plavix , are you still taking your aspirin every day ? patient: i am .

D2N174

10

[ "Therapeutic History" ]

[ "Subjective" ]

um , i know they took you off the plavix , are you still taking your aspirin every day ?

4,359

doctor: okay . and how are you doing with your crestor ? any problems with that ? patient: no , none whatsoever .

D2N174

11

[ "Therapeutic History" ]

[ "Subjective" ]

okay . and how are you doing with your crestor ? any problems with that ?

4,360

doctor: okay . and any chest pain or shortness of breath ? patient: no .

D2N174

12

[ "Vegetative History" ]

[ "Subjective" ]

okay . and any chest pain or shortness of breath ?

4,361

doctor: no ? okay . okay . all right , and in terms of your lupus , we have , you know , this is something that was kinda back in the , in the background for you , and we have n't had to do a whole lot . you know , your kidney function's been really good . um , any , any issues as far as you know ? patient: no , nothing , not at least in the last year or so .

D2N174

13

[ "Personal History" ]

[ "Subjective" ]

no ? okay . okay . all right , and in terms of your lupus , we have , you know , this is something that was kinda back in the , in the background for you , and we have n't had to do a whole lot . you know , your kidney function's been really good . um , any , any issues as far as you know ?

4,362

doctor: okay . i think we , we might have to look into it a little bit further with this knee pain that you're having . patient: okay .

D2N174

14

[ "Acute Symptoms" ]

[ "Subjective" ]

okay . i think we , we might have to look into it a little bit further with this knee pain that you're having .

4,363

doctor: but i wan na go ahead and , um ... you know , i know that the nurse did a review of system sheet and we just covered a lot here . patient: mm-hmm .

D2N174

15

[ "Vegetative History" ]

[ "Subjective" ]

but i wan na go ahead and , um ... you know , i know that the nurse did a review of system sheet and we just covered a lot here .

4,364

doctor: any other symptoms , abdominal pain , nausea , vomiting ? patient: no , no .

D2N174

16

[ "Vegetative History" ]

[ "Subjective" ]

any other symptoms , abdominal pain , nausea , vomiting ?

4,365

doctor: no , just the knee pain ? patient: mm-hmm .

D2N174

17

[ "Vegetative History" ]

[ "Subjective" ]

no , just the knee pain ?

4,366

doctor: okay . all right . well , let's go ahead and do a quick physical exam . patient: okay .

D2N174

18

[ "Physical Examination" ]

[ "Objective" ]

okay . all right . well , let's go ahead and do a quick physical exam .

4,367

doctor: hey , dragon , show me the vital signs . so your vital signs here in the office look really good . patient: mm-hmm .

D2N174

19

[ "Physical Examination" ]

[ "Objective" ]

hey , dragon , show me the vital signs . so your vital signs here in the office look really good .

4,368

doctor: there's no fever , your blood pressure and your heart rate look great , so that's , that's awesome . patient: mm-hmm .

D2N174

20

[ "Physical Examination" ]

[ "Objective" ]

there's no fever , your blood pressure and your heart rate look great , so that's , that's awesome .

4,369

doctor: um , i'm just gon na check out your heart and your lungs . patient: sure .

D2N174

21

[ "Physical Examination" ]

[ "Objective" ]

um , i'm just gon na check out your heart and your lungs .

4,370

doctor: and your knees , and i'll let you know what i find , okay ? patient: okay .

D2N174

22

[ "Physical Examination" ]

[ "Objective" ]

and your knees , and i'll let you know what i find , okay ?

4,371

doctor: all right . so on physical examination of your heart , you know , i do hear that's , like , two out of six systolic ejection murmur , but we've heard that in the past . your lungs sound nice and clear . and on your knee exam , i do appreciate , you know , some bilateral , uh , edema and some slight erythema , there is a slight effusion present on the right knee . does that hurt ? patient: little bit .

D2N174

23

[ "Physical Examination" ]

[ "Objective" ]

all right . so on physical examination of your heart , you know , i do hear that's , like , two out of six systolic ejection murmur , but we've heard that in the past . your lungs sound nice and clear . and on your knee exam , i do appreciate , you know , some bilateral , uh , edema and some slight erythema , there is a slight effusion present on the right knee . does that hurt ?

4,372

doctor: all right , so pain to palpation of the right knee . um , and decreased range of motion of the knees bilaterally . so i just wan na look at some of your results , okay ? patient: mm-hmm .

D2N174

24

[ "Physical Examination" ]

[ "Objective" ]

all right , so pain to palpation of the right knee . um , and decreased range of motion of the knees bilaterally . so i just wan na look at some of your results , okay ?

4,373

doctor: hey , dragon . show me the right knee x-ray . so this is an x-ray of your right knee and in reviewing the results of that , everything looks fine , there's no boney abnormality , there's no fracture , which is not surprising , based on the history , okay ? patient: mm-hmm .

D2N174

25

[ "Radiology Examination" ]

[ "Objective" ]

hey , dragon . show me the right knee x-ray . so this is an x-ray of your right knee and in reviewing the results of that , everything looks fine , there's no boney abnormality , there's no fracture , which is not surprising , based on the history , okay ?

4,374

doctor: hey , dragon . show me the ekg . and this is your most recent ekg which we did before you came in , and that all looks really good . so , um , so no concerns from a heart standpoint . so let's talk a little bit about , you know , my assessment and my plan for you . patient: mm-hmm .

D2N174

26

[ "Radiology Examination" ]

[ "Objective" ]

hey , dragon . show me the ekg . and this is your most recent ekg which we did before you came in , and that all looks really good . so , um , so no concerns from a heart standpoint . so let's talk a little bit about , you know , my assessment and my plan for you .

4,375

doctor: so for your first problem , your , your knee pain , you know , i'm concerned that it might be from , you know , a flareup of your lupus , so i wan na go ahead and order and autoimmune panel to kinda see where we stand , okay ? patient: sure .

D2N174

27

[ "Diagnostic Testing", "Acute Assessment" ]

[ "Assessment", "Plan" ]

so for your first problem , your , your knee pain , you know , i'm concerned that it might be from , you know , a flareup of your lupus , so i wan na go ahead and order and autoimmune panel to kinda see where we stand , okay ?

4,376

doctor: hey , dragon . order an autoimmune panel . for your next problem , the coronary artery disease , i think you're doing really well , your ekg looks good , your vital signs look good . patient: mm-hmm .

D2N174

28

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

hey , dragon . order an autoimmune panel . for your next problem , the coronary artery disease , i think you're doing really well , your ekg looks good , your vital signs look good .

4,377

doctor: i'm gon na go ahead and order a lipid panel and another echocardiogram , okay ? patient: okay .

D2N174

29

[ "Diagnostic Testing" ]

[ "Plan" ]

i'm gon na go ahead and order a lipid panel and another echocardiogram , okay ?

4,378

doctor: hey , dragon . order an echocardiogram . do you have any questions ? patient: no questions .

D2N174

30

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

hey , dragon . order an echocardiogram . do you have any questions ?

4,379

doctor: all right , well , the nurse will be in soon and she'll get you checked out , okay ? patient: you got it .

D2N174

31

[ "Chitchat" ]

[ "Null" ]

all right , well , the nurse will be in soon and she'll get you checked out , okay ?

4,380

doctor: hey , dragon . finalize the note .

D2N174

32

[ "Chitchat" ]

[ "Null" ]

doctor: hey , dragon . finalize the note .

4,381

doctor: hi , natalie . how are you ? patient: good . how are you ?

D2N175

0

[ "Greetings" ]

[ "Subjective" ]

hi , natalie . how are you ?

4,382

doctor: it's good to see you . patient: good to see you , too .

D2N175

1

[ "Greetings" ]

[ "Subjective" ]

it's good to see you .

4,383

doctor: i know my nurse has already told you about dax . is it okay if i tell dax a little bit about you ? patient: go for it .

D2N175

2

[ "Chitchat" ]

[ "Null" ]

i know my nurse has already told you about dax . is it okay if i tell dax a little bit about you ?

4,384

doctor: all right . so , natalie is a 39-year-old female , here today for a check-up for an abnormal lab . she's got a history of high blood pressure , diabetes , and acl repair . so , tell me what's going on . patient: so , uh , i got some re- routine blood work done last week and , uh , they said that my blood sugars were , were high , so that i should come in , um , and talk to you and get some more work done and , and , uh , see why that is .

D2N175

3

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

all right . so , natalie is a 39-year-old female , here today for a check-up for an abnormal lab . she's got a history of high blood pressure , diabetes , and acl repair . so , tell me what's going on .

4,385

doctor: okay . well , were you having any symptoms at all or just , we had some blood work done routinely ? uh , any chest pain , shortness of breath ? any nausea , vomiting , or diarrhea ? patient: no , no symptoms . uh , so i was a little shocked when i came back high and , and elevated , so hopefully we can figure out what's going on .

D2N175

4

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

okay . well , were you having any symptoms at all or just , we had some blood work done routinely ? uh , any chest pain , shortness of breath ? any nausea , vomiting , or diarrhea ?

4,386

doctor: we've been , kind of , checking on this for a while and you've been on metformin . we actually increased your dose last time- patient: yup .

D2N175

5

[ "Therapeutic History" ]

[ "Subjective" ]

we've been , kind of , checking on this for a while and you've been on metformin . we actually increased your dose last time-

4,387

doctor: so right now you're on 100 , 1,000 milligrams a day , correct ? patient: correct . yup .

D2N175

6

[ "Therapeutic History" ]

[ "Subjective" ]

so right now you're on 100 , 1,000 milligrams a day , correct ?

4,388

doctor: okay . all right . no , uh , no difficulty urinating or burning when you urinate at all ? patient: nope .

D2N175

7

[ "Acute Symptoms" ]

[ "Subjective" ]

okay . all right . no , uh , no difficulty urinating or burning when you urinate at all ?

4,389

doctor: okay . all right . um , hey , dragon , show me the hemoglobin a1c . so in reviewing your , that's the lab that we checked after when i saw before i walked in . it says 8.1 , which is elevated , so i think we need to do a maybe a better job with adjusting your medication . how are you doing with your diet for your diabetes ? patient: my diet's been really great lately . i've been avoiding sugars , um , been really watching , uh , my weight and power walking every day , so i was a little surprised when the , the blood work came back that i- i had , um , an elevated , uh , test .

D2N175

8

[ "Acute Symptoms", "Reassessment", "Lab Examination" ]

[ "Subjective", "Objective", "Assessment" ]

okay . all right . um , hey , dragon , show me the hemoglobin a1c . so in reviewing your , that's the lab that we checked after when i saw before i walked in . it says 8.1 , which is elevated , so i think we need to do a maybe a better job with adjusting your medication . how are you doing with your diet for your diabetes ?

4,390

doctor: okay . and , uh , have you had any , uh , any other , are you checking your blood sugars in the morning or your fasting blood sugars ? patient: yes , i am .

D2N175

9

[ "Acute Symptoms" ]

[ "Subjective" ]

okay . and , uh , have you had any , uh , any other , are you checking your blood sugars in the morning or your fasting blood sugars ?

4,391

doctor: okay . all right . how are you doing with your high blood pressure ? patient: that's been good and stable . um , i've been stable on the medication , been taking that every day . um , and i have a b- a cuff at home to , to measure it myself and that , everything's been normal .

D2N175

10

[ "Acute Symptoms", "Reassessment" ]

[ "Subjective", "Assessment" ]

okay . all right . how are you doing with your high blood pressure ?

4,392

doctor: okay , great . and how's your knee doing that's the other issue we've been , kind of , following ? you had some surgery done for that ? patient: yeah . about five years ago , i had , um , an acl repair on my right knee and everything's been going well so far . i have n't had any , uh , issues with mobility . um , it's been great .

D2N175

11

[ "Personal History" ]

[ "Subjective", "Assessment" ]

okay , great . and how's your knee doing that's the other issue we've been , kind of , following ? you had some surgery done for that ?

4,393

doctor: and you're pretty physically active and doing exercises ? patient: yeah . i've been power walking about , at least 30 minutes every day .

D2N175

12

[ "Acute Symptoms", "Other Socials" ]

[ "Subjective" ]

and you're pretty physically active and doing exercises ?

4,394

doctor: okay . great . well , let's review , uh , some of your vital signs . hey , dragon , show me the vitals . all right . blood pressure looks good right now . your oxygen level's great . uh , your temperature's good . so i know you checked in with the review of systems with my assistant before coming in . uh , anything else bothering you today except for the abnormal blood work ? no chest pain ? no shortness of breath ? patient: no , nothing like that ?

D2N175

13

[ "Acute Symptoms", "Physical Examination" ]

[ "Subjective", "Objective" ]

okay . great . well , let's review , uh , some of your vital signs . hey , dragon , show me the vitals . all right . blood pressure looks good right now . your oxygen level's great . uh , your temperature's good . so i know you checked in with the review of systems with my assistant before coming in . uh , anything else bothering you today except for the abnormal blood work ? no chest pain ? no shortness of breath ?

4,395

doctor: no headaches ? no belly pain ? patient: no .

D2N175

14

[ "Acute Symptoms" ]

[ "Subjective" ]

no headaches ? no belly pain ?

4,396

doctor: good . great . well , let me examine you , okay ? patient: okay .

D2N175

15

[ "Chitchat" ]

[ "Null" ]

good . great . well , let me examine you , okay ?

4,397

doctor: alright . just gon na listen to your heart here . no belly pain ? patient: nope .

D2N175

16

[ "Physical Examination" ]

[ "Objective" ]

alright . just gon na listen to your heart here . no belly pain ?

4,398

doctor: okay . so on exam , uh , your hent or your neck exam is fine . your , uh , your eyes look fine . your lungs are clear . i do hear a systolic ejection murmur , about three over six . your belly's nice and soft . no swelling in your legs or extremities right now . so let's talk about some of the issues today . all right . for the first issue , for the diabetes , since your hemoglobin a1c is is elevated , uh , and you're already on 1,000 milligrams of metformin , i think we should add , uh , jardiance , uh , 10 milligrams a day . uh , so that's a new medication . we'll start that . i do want you to , uh follow your diet pretty , uh , aggressively . i wan na see if we can get that hemoglobin a1c down the next time . i'm also gon na add some labs today to see what that , to see a lipid panel and some other blood work . hey , dragon , order a cbc , cmp , and a lipid panel . and i'll go ahead and prescribe the jardiance , 10 milligrams a day . hey , dragon , prescribe , uh , order jardiance , 10 milligrams a day . all right . for the high blood pressure , i think you're doing great . you're on lisinopril for that , so i think that we should continue that . uh , we'll re-check it again next time and you are monitoring that at home , correct ? patient: yes , i am .

D2N175

17

[ "Physical Examination", "Discussion", "Diagnostic Testing", "Acute Assessment", "Follow-up", "Other Treatments", "Medication" ]

[ "Objective", "Assessment", "Plan" ]

okay . so on exam , uh , your hent or your neck exam is fine . your , uh , your eyes look fine . your lungs are clear . i do hear a systolic ejection murmur , about three over six . your belly's nice and soft . no swelling in your legs or extremities right now . so let's talk about some of the issues today . all right . for the first issue , for the diabetes , since your hemoglobin a1c is is elevated , uh , and you're already on 1,000 milligrams of metformin , i think we should add , uh , jardiance , uh , 10 milligrams a day . uh , so that's a new medication . we'll start that . i do want you to , uh follow your diet pretty , uh , aggressively . i wan na see if we can get that hemoglobin a1c down the next time . i'm also gon na add some labs today to see what that , to see a lipid panel and some other blood work . hey , dragon , order a cbc , cmp , and a lipid panel . and i'll go ahead and prescribe the jardiance , 10 milligrams a day . hey , dragon , prescribe , uh , order jardiance , 10 milligrams a day . all right . for the high blood pressure , i think you're doing great . you're on lisinopril for that , so i think that we should continue that . uh , we'll re-check it again next time and you are monitoring that at home , correct ?

4,399