Datasets:
DATEXIS
/
med_intent_classification

Dataset card Data Studio Files
xet
Community
text
stringlengths
6
3.62k
intents
listlengths
1
9
sections
listlengths
1
4
__index_level_0__
int64
0
3.89k
he said everything was okay alright and so you have n't had any chest pain or shortness of breath you're still walking around doing your activities of daily living are you exercising
[ "Acute Symptoms" ]
[ "Subjective" ]
2,600
okay thank you for sharing that with me so if it's okay with you i'd like to go ahead and do a quick physical exam
[ "Physical Examination" ]
[ "Objective" ]
2,601
doctor: hey , dragon , finalize the note .
[ "Chitchat" ]
[ "Null" ]
2,602
okay thank you i'm gon na send my nursing to see you and we'll get you out the door
[ "Chitchat" ]
[ "Null" ]
2,603
okay and does that seem to help or
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
2,604
doctor: thanks
[ "Chitchat" ]
[ "Null" ]
2,605
of course yeah we can we can get you that road to doctor harris and
[ "Discussion", "Referral" ]
[ "Plan" ]
2,606
you're doing a great job of keeping it controlled . i know you said you have n't been taking it that much on the weekends , but your blood pressure here looks good , and it's much better over the last several years . so let's go ahead . i do wan na order just , um , an echocardiogram for that murmur . hey , dragon , order an echocardiogram . and i'll just follow up with the results , and we'll go ahead and order , um , your routine blood work , and i'll be in touch with you through the patient portal , okay ?
[ "Discussion", "Follow-up", "Diagnostic Testing" ]
[ "Plan" ]
2,607
okay . so on physical examination , i do n't appreciate any carotid bruits in your neck . on your heart exam i do notice a slight 2/6 systolic ejection murmur , which we've heard in the past , so i think that's stable . your lungs in- are nice and clear , and you have some trace lower extremity edema bilaterally , so all that means is , you know , i agree , you know , maybe we should watch your diet a little bit better , okay ? but i wan na take a look at some of your results , okay ?
[ "Physical Examination" ]
[ "Objective" ]
2,608
about five minutes so you can take it up to three pills every five minutes and if it does n't go away then i would you know go to the hospital and get this checked out because i worry about with this chest pain that you're having making sure it does n't lead to a heart attack those chest pain could be a you know a a a sign that you may be having some less blood flow to your heart and we need to get that checked out pretty quickly
[ "Discussion", "Medication" ]
[ "Plan" ]
2,609
okay is there you know is there any other symptoms that you have with that
[ "Acute Symptoms", "Vegetative History" ]
[ "Subjective" ]
2,610
and you're still taking the keppra ?
[ "Therapeutic History" ]
[ "Subjective" ]
2,611
. and maybe a little weakness in your right leg . um , any other symptoms ? i know we went through a lot .
[ "Acute Symptoms" ]
[ "Subjective" ]
2,612
and what is the medication and the dosage that you are taking
[ "Therapeutic History" ]
[ "Subjective" ]
2,613
okay yeah yeah a lot of my patients you know have that that minor pain so you
[ "Acute Symptoms" ]
[ "Subjective" ]
2,614
in your chest ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,615
yeah okay well so it looks like you're still smoking a pack of cigarettes a day
[ "Drug History" ]
[ "Subjective" ]
2,616
hey , dragon , order meloxicam 15 milligrams once a day . for your next problem , your type 2 diabetes , i would like to increase your metformin to 1,000 milligrams twice daily-
[ "Medication", "Reassessment" ]
[ "Assessment", "Plan" ]
2,617
alright do you have any other question
[ "Discussion" ]
[ "Plan" ]
2,618
all right . mira- miralax will definitely help with that .
[ "Medication" ]
[ "Plan" ]
2,619
i am a big pie fan as well i know what's your favorite type of pie
[ "Chitchat" ]
[ "Null" ]
2,620
okay and how about any diarrhea and any of that or blood in your stool no
[ "Vegetative History" ]
[ "Subjective" ]
2,621
so , let me just look at some of your results , okay ? hey , dragon ? show me the labs . so , looking here at your lab results , everything looks really good . you know , your creatinine , that's your kidney function , that looks stable . everything looks good from that standpoint . hey , dragon ? show me the ekg . and , looking here at your ekg , everything , you know , looks fine . there's no evidence of any coronary artery disease . it's a nice , normal ekg , which is good .
[ "Lab Examination", "Radiology Examination" ]
[ "Objective" ]
2,622
and did you fall down or did you just kind of cut catch yourself
[ "Acute Symptoms" ]
[ "Subjective" ]
2,623
okay and then have you done any or had any injuries to that ankle before
[ "Personal History" ]
[ "Subjective" ]
2,624
okay and when when you're having trouble it's usually just around sports that is it keeping you up at night
[ "Acute Symptoms" ]
[ "Subjective" ]
2,625
weight loss . anything like that ?
[ "Vegetative History" ]
[ "Subjective" ]
2,626
okay . and can you feel me touching down here .
[ "Physical Examination" ]
[ "Objective" ]
2,627
your heart rate and your , uh , blood pressure look fine . i'm just gon na check some things out , and i'll let you know what i find , okay ?
[ "Physical Examination" ]
[ "Objective" ]
2,628
okay . all right . and , and what have you taken for the pain ?
[ "Therapeutic History" ]
[ "Subjective" ]
2,629
not a problem have you taken any medications
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
2,630
okay alright understood you've not had any fever with that pain have you
[ "Acute Symptoms", "Vegetative History" ]
[ "Subjective" ]
2,631
and did you have a vasectomy ?
[ "Personal History" ]
[ "Subjective" ]
2,632
your potassium is 3.9 so it's holding steady on the torsemide . your creatinine was .7 not .8 so you're doing well with kidney numbers . your bun may be a tiny bit elevated at 23 which is the number we look for for dehydration sometimes the kidneys , but it's not terrible . um so when i look at your numbers as a whole i think you're tolerating the torsemide okay at the current dose . i also sent out to look at the heart failure number- i sent to look at your heart failure number . there is a test called a bmp that i was monitoring and in march it was up to 3,000 and then went up to 6,000 in april before i made the change . i'm still waiting for those results .
[ "Lab Examination" ]
[ "Objective" ]
2,633
doctor: hey , dragon , finalize the note .
[ "Chitchat" ]
[ "Null" ]
2,634
okay . and after you have gone out either drinking with your friends , do you tend to have more diarrhea ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,635
okay . well , if you do get dehydrated even just a little bit it can lead to further , um , or worsening constipation issues .
[ "Discussion" ]
[ "Plan" ]
2,636
since yesterday alright
[ "Acute Symptoms" ]
[ "Subjective" ]
2,637
okay thank you abigail and i'd like i said stop out at the desk and we'll make an appointment for two weeks
[ "Follow-up" ]
[ "Plan" ]
2,638
okay . hey , dragon , order the medication and procedures we discussed . all right . and why do n't you come with me and we'll get you signed out .
[ "Chitchat" ]
[ "Null" ]
2,639
okay not a so not as effective as we would have liked did they put you on any pain medications
[ "Therapeutic History" ]
[ "Subjective" ]
2,640
okay . and do you experience any loss of sensation in your hands or fingers ?
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
2,641
okay so both both your parents your mom and your dad had your had their gallbladders taken out
[ "Family History" ]
[ "Subjective" ]
2,642
okay . can you point to the area of your chest where the pain was located ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,643
okay fair enough and how about have you noticed any weight gain or swelling in your legs or calves or anything like that
[ "Vegetative History" ]
[ "Subjective" ]
2,644
great . i also think we should go ahead and get you scheduled for a liver ultrasound . if your blood work looks good , then we can always cancel that .
[ "Diagnostic Testing" ]
[ "Plan" ]
2,645
okay now tell me a little bit about this triathlon training what do you are you are you running far are you tell me kind of how you work out for that today
[ "Other Socials" ]
[ "Subjective" ]
2,646
okay . all right . well , let's go ahead and do a quick physical exam .
[ "Physical Examination" ]
[ "Objective" ]
2,647
okay so pain on the medial side with palpation
[ "Physical Examination" ]
[ "Objective" ]
2,648
okay and any visual changes you know wavy lines in your vision spots in your vision or anything like that
[ "Acute Symptoms" ]
[ "Subjective" ]
2,649
okay yeah no i do n't think i understand completely okay so i took a look at your vitals and your blood pressure is a little elevated but honestly that's probably to do with the pain right our body can respond to pain in that way we are looking at like a hundred and forty over over seventy it's not anything crazy but something to mention i see that your heart rate is also a little elevated at like about like eighty beats a minute you are not running a fever so that's great look at ninety ninety seven . two your respiratory rate is pretty normal at like twenty so before we came in i i know that we had you do an x-ray and i'm sure that that was a bit more painful because we had to do so many manipulations but i do wan na note that you are positive for what we call a colles' fracture what that means is that the joints between your wrist like the bones between your wrist that there there is evidence of a a fracture and we are gon na have to treat it a little conservatively at first and then consider some of the options options that are available to us so for your primary diagnosis of a colles' fracture we are going to give you a thumb spica for today and that's going to
[ "Physical Examination", "Other Treatments", "Radiology Examination", "Acute Assessment" ]
[ "Objective", "Assessment", "Plan" ]
2,650
a seven out of 10 pain . um , and no other injuries while you went down this double black diamond ?
[ "Personal History" ]
[ "Subjective" ]
2,651
okay pain with flexion and extension and how about the range of motion having full range of motion here
[ "Physical Examination" ]
[ "Objective" ]
2,652
okay that's good now without any tylenol what's your pain level
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
2,653
yeah that's great i think exercise is wonderful for everything going on go ahead and walk still
[ "Discussion" ]
[ "Plan" ]
2,654
and you do n't want that , ?
[ "Discussion", "Other Treatments" ]
[ "Plan" ]
2,655
okay and then when you pull your knee back towards you does that hurt
[ "Physical Examination" ]
[ "Objective" ]
2,656
i understand that
[ "Drug History", "Vegetative History" ]
[ "Subjective" ]
2,657
okay great alright and since you had this knee pain any numbing or tingling in your foot at all
[ "Acute Symptoms" ]
[ "Subjective" ]
2,658
okay . extremities are without edema . pulses are palpable on the dorsalis pedis posterial tibial . she has thickened nails .
[ "Physical Examination" ]
[ "Objective" ]
2,659
yeah that was crazy what a what a finish what an amazing what an amazing tournament right what do you think yeah yeah that's great well we'll we'll get you feeling better and get you back out there and now are you still working a lot on the computer ac or
[ "Other Socials" ]
[ "Subjective" ]
2,660
yes so we can start with the same screening that you have had for you for all of them first okay
[ "Discussion", "Diagnostic Testing" ]
[ "Plan" ]
2,661
and how about any issues with your ankles or feet swelling ?
[ "Personal History" ]
[ "Subjective" ]
2,662
um , the american heart association has a website called heart.org , it has a lot of really good information about blood pressure to teach- to teach you about it and how to control your diet with exercise . um , if you do your treadmill routinely for 30 minutes or so most days , that could be seven to 10 points off your blood pressure .
[ "Discussion", "Other Treatments" ]
[ "Plan" ]
2,663
any questions , uh , bryan ?
[ "Chitchat" ]
[ "Null" ]
2,664
so that will help with that ice ice packs a few times a day you can take the ibuprofen up to three times a day and i'll look i'll we'll look at the dose here there are some other medicines we can try that maybe do n't have to take so often that may be easier
[ "Discussion", "Medication" ]
[ "Plan" ]
2,665
you know we can refer you to pain medicine if it really is getting that complicated but for this current period we're gon na put you on some robaxin it's gon na be fifteen hundred milligrams and you're gon na take that six to eight hours every six to eight hours and that really should help kinda relax the muscles in the area take off some of that tension and really help with that pain if you're noticing that the robaxin still is n't helping maybe then we can start we can like start using like a heat pad or maybe some icyhot the biofreeze is a really good one to kinda help with that and then we will refer you to physical therapy i think with the mri we can start evaluating maybe some additional steps so rather than you having to like take that fentanyl because i do n't want you to be in danger right like people i do n't want you to get rubbed so what we could explore are local injections right and we can refer you to pain medication and see about like locally injecting the area and that should be able to help you out hopefully with this
[ "Medication", "Referral" ]
[ "Plan" ]
2,666
okay . so this happened last saturday , you said ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,667
perfect . i will send a prescription for nexium 40 milligrams twice daily to your pharmacy on file . i'll also recommend that you have a procedure called a egd , or upper endoscopy , to look for potential causes of the gerd . we'd sedate you and then pass a small camera through your mouth , down your throat , through your stomach , and end in the small intestines . we'd look for any ulcers or signs of precancerous or cancerous conditions that we can take biopsies at the same time if we see anything .
[ "Discussion", "Medication", "Diagnostic Testing" ]
[ "Plan" ]
2,668
how are you doing ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,669
hey angela how are you
[ "Greetings" ]
[ "Subjective" ]
2,670
so what have your blood sugars been running daily
[ "Personal History" ]
[ "Subjective" ]
2,671
yeah you know what that's that's i am a biker and i know that once you get that into your you know you have loved doing that activity it's so frustrating when you ca n't it's almost like a it's almost like a dry it almost becomes a drug when you get up
[ "Chitchat" ]
[ "Null" ]
2,672
perfect . so , let me go grab your discount card for the unithroid . um , when you go in to activate it , the instructions are on this card , and then you use your insurance ... then , show them this , and ask how much it'll cost . if it's too expensive , just let me know .
[ "Discussion", "Medication" ]
[ "Plan" ]
2,673
okay thanks
[ "Chitchat" ]
[ "Null" ]
2,674
yeah , that sounds like a plan .
[ "Discussion" ]
[ "Plan" ]
2,675
i do wan na go ahead and order a a lumbar spine mri to get a a a better look at what's going on you know x-rays really just look at the bones they do n't show us any of the soft tissue so let's go ahead and order the lumbar spine mri i wan na continue with physical therapy so i'm going to refer you to a a physical therapist through our health system
[ "Diagnostic Testing", "Referral" ]
[ "Plan" ]
2,676
okay . well , we will recheck it . you're on a combination of medications . you are on the met- met- uh , metoprolol , 50 milligrams once a day , you're on the lisinopril with hydrochlorothiazide , at 20 , with 25 milligrams once a day , and you're on the amlodipine , 10 milligram once a day . are you taking all of those ?
[ "Therapeutic History" ]
[ "Subjective" ]
2,677
that sounds really nice very good
[ "Chitchat" ]
[ "Null" ]
2,678
well good morning emily how are you
[ "Greetings" ]
[ "Subjective" ]
2,679
okay . and are you spotting a lot with your periods ?
[ "Vegetative History" ]
[ "Subjective" ]
2,680
okay . so sarah is a 27-year-old female here for her annual visit . so , sarah , how have you been since the last time i saw you ?
[ "Personal History" ]
[ "Subjective" ]
2,681
all right . uh , let's review your past medical history . uh ... looks like you've got a history of anaphylaxis , is that correct ?
[ "Personal History" ]
[ "Subjective" ]
2,682
okay so is it is it a constant pain or does it come and go for you
[ "Acute Symptoms" ]
[ "Subjective" ]
2,683
alright sounds good we'll see you back in about four weeks or so and actually i am gon na follow up on your results today before i let you go but i'll check on those and and we'll we'll see how how you do and and hopefully be able to get you home today so we'll go from there i'll i'll see you shortly
[ "Follow-up" ]
[ "Plan" ]
2,684
okay alright
[ "Personal History", "Therapeutic History" ]
[ "Subjective" ]
2,685
so what did you do what happened
[ "Acute Symptoms" ]
[ "Subjective" ]
2,686
okay alright and and now are you having the pain all the time or does it come and go
[ "Acute Symptoms" ]
[ "Subjective" ]
2,687
okay . that's probably from the prednisone , it can increase bruising .
[ "Discussion" ]
[ "Plan" ]
2,688
but in saying that , you know , inflammation can do that . so , yeah , you could be backed up and inflamed .
[ "Personal History" ]
[ "Subjective" ]
2,689
now on your heart exam it sounds like it's normal sinus rhythm with no murmurs rubs or gallops so that's good as i listen i'm gon na go ahead and look here in your eyes the funduscopic exam shows papilledema and that's just some of swelling behind there in the eye and this let me do a a neurological exam this will take a few minutes you get up to follow my instructions as we go through that okay on neurological exam your cranial nerves one through twelve are intact including a normal cranial reflex and just went to watch you walk across the room here okay turn around come back and okay so on musculoskeletal exam your gait is normal
[ "Physical Examination" ]
[ "Objective" ]
2,690
okay are you having it now or is it gone right now
[ "Acute Symptoms" ]
[ "Subjective" ]
2,691
okay and you're still due for a colonoscopy , correct ?
[ "Personal History" ]
[ "Subjective" ]
2,692
okay alright how about smoking have you ever smoked
[ "Drug History" ]
[ "Subjective" ]
2,693
okay did you i did did did were you able to shoot anything did you bring anything home
[ "Chitchat" ]
[ "Null" ]
2,694
all right , take care .
[ "Chitchat" ]
[ "Null" ]
2,695
okay . so , on your physical exam , everything looks really good . um , you do n't appear in any distress at this time . i do n't appreciate any carotid bruits . your heart , on your heart exam , i do hear that slight 2/6 systolic ejection murmur , but we heard that in the past .
[ "Physical Examination" ]
[ "Objective" ]
2,696
okay , that's good . and then , you know , i know that you've had , uh , prior stenting in the past for your- for your heart , and your heart vessels .
[ "Personal History" ]
[ "Subjective" ]
2,697
you're limping okay have you taken anything for the pain
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
2,698
yeah it's it's the white one the round one so it sounds like you're not maybe not taking it as regularly as you should
[ "Therapeutic History" ]
[ "Subjective" ]
2,699