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
okay so and do you know at what age you got your period and when you started menopause
[ "Vegetative History" ]
[ "Subjective" ]
3,000
excellent . i have that you're allergic to penicillin . any other allergies ?
[ "Personal History" ]
[ "Subjective" ]
3,001
yeah yeah that's not that's not my problem though you have not do you not watch the bulls
[ "Chitchat" ]
[ "Null" ]
3,002
so your symptoms should significantly improve over a few weeks but i'd like to follow up with you and see how you're doing let's say i'll see you again in fourteen days now i do want you to go ahead and continue to take nsaids or ibuprofen as needed to help with any pain and that's also gon na help reduce that inflammation and swelling okay
[ "Follow-up", "Medication" ]
[ "Plan" ]
3,003
good very good how about have you been having any shortness of breath or problems sleeping since you've been home
[ "Vegetative History" ]
[ "Subjective" ]
3,004
so ralph is a 62-year-old male with a past medical history significant for depression and prior lobectomy as well as hypertension , who presents for his annual exam . so , ralph , it's been a while since i saw you . how are you doing ?
[ "Acute Symptoms", "Personal History" ]
[ "Subjective" ]
3,005
okay so i'm really excited that you wan na quit and i know that you probably heard this multiple times before but this really is one of the best things that you can do to help your health especially since you have the history of gout and type two diabetes this is really gon na be a great step in you having better long term health outcomes
[ "Personal History" ]
[ "Subjective" ]
3,006
yeah , and with the diarrhea and abdomal- um , abdominal pain .
[ "Acute Symptoms" ]
[ "Subjective" ]
3,007
. how were you doing with your heart failure ? i know that we've kinda talked about you being able to watch your healthy food intake and that's been kind of a struggle in the past .
[ "Personal History" ]
[ "Subjective" ]
3,008
okay , and you can take it , but before you do , we want to try to reduce the triggers . uh , so watch out for greasy or fatty foods and sugary drinks .
[ "Discussion", "Other Treatments", "Medication" ]
[ "Plan" ]
3,009
i'm gon na go ahead here i reviewed your vitals and they overall look pretty good so that's a good sign now on your musculoskeletal back exam there is no overlying erythema and that just means redness or ecchymosis and that just means bruising of the skin now there is midline tenderness at l4 l5 disk space with right-sided lumbar paravertebral tenderness so do me a favor and i'm gon na just have you you know bend forward and straighten up a bit
[ "Physical Examination" ]
[ "Objective" ]
3,010
look at the x-rays do you or just stop here you can okay okay and so what would what would happen now you would you could pause it
[ "Radiology Examination" ]
[ "Objective" ]
3,011
if there are any other questions or you're getting different instructions , feel free to reach out to me and we'll clarify , okay ?
[ "Discussion", "Follow-up" ]
[ "Plan" ]
3,012
all right-y . past medical history , review of patient's grandfather's record , we see he had posterior urethral bowels valves and obstructive neur- neuropathy . uh , he developed chronic kidney disease and was on dial ... was dialysis-dependent . he had a renal transplant which subsequently failed , died of dialysis in his 40s . , wait . is that right ?
[ "Family History" ]
[ "Subjective" ]
3,013
okay . and , um , you've been talking your medication though , right ?
[ "Therapeutic History" ]
[ "Subjective" ]
3,014
i'd like to tell dax a little bit about you , okay ?
[ "Chitchat" ]
[ "Null" ]
3,015
and how do you do you stay away from those i i got ta be honest i love i love the cakes and donuts they make those are delicious
[ "Chitchat" ]
[ "Null" ]
3,016
i think one month would be a great time to follow up
[ "Follow-up" ]
[ "Plan" ]
3,017
okay so if it's okay with you i would like to do a a quick physical exam your vitals look good and i'm gon na do a focused exam on that right elbow i'm gon na go ahead and and and press here do you do you have any pain when i press here
[ "Physical Examination" ]
[ "Objective" ]
3,018
okay alright that sounds good well congratulations again i'm very excited for you and your and and your wife that that's this is great
[ "Chitchat" ]
[ "Null" ]
3,019
okay . all right . all right . well , let's go ahead and we'll do a quick physical exam . so , looking at you , you know , i'm feeling your neck . i do feel a little enlarged thyroid here that's not tender . you have a carotid bruit on the right hand side and , uh , your lungs are clear . your heart is in a regular rate and rhythm , but i do hear a three out of six systolic ejection murmur . your abdomen is nice and soft . uh , there is the healed scar on your right knee from your prior knee surgery , and there's no lower extremity edema . so , let's look at some of your results , okay ?
[ "Physical Examination" ]
[ "Objective" ]
3,020
okay so have you had ever had any pain in that shoulder before
[ "Personal History" ]
[ "Subjective" ]
3,021
okay so there is no pain to palpation of the lumbar spine there is decreased flexion and extension of the lower back the patient does have a positive straight leg raise and there is some spasm of the paraspinal muscles of the lumbar spine on musculoskeletal exam the lower extremities strength is equal bilaterally so what does that mean jeremy that means that you have some you know maybe a some arthritis in your neck here and or maybe just a a little bit of some injury from from that from that back that back thing that you told me about
[ "Physical Examination", "Acute Assessment" ]
[ "Objective", "Assessment" ]
3,022
next patient is christine hernandez , uh , date of birth is january 13th , 1982 . hey , miss christine , how are you doing today ?
[ "Greetings" ]
[ "Subjective" ]
3,023
all right . good . i'm glad to hear that . great . all right .
[ "Acute Symptoms" ]
[ "Subjective" ]
3,024
hey , dragon ? order an echocardiogram .lastly , for your high blood pressure , it looks like you're managing it well at this time , okay ? so , i wan na go ahead and continue with the lisinopril 20 mg a day . i want you to continue to record your blood pressures at home , and report them to me in the patient portal if you see they're getting elevated , okay ?
[ "Reassessment", "Diagnostic Testing", "Medication" ]
[ "Assessment", "Plan" ]
3,025
ah man , mr . watson , i knew you were gon na ask me that one . i think at this point it's unlikely that your movement speed will improve to the level that would be needed for you to pass the driver safety evaluation . now , i will say that i do occasionally have patients who surprise me by improving over a nine to 12 month range . and that , that definitely could be you . you could definitely pass it at that point . so if you improve and we can continue to talk about that then , ya know , i think it could be possible , um , and i'd be happy to recommend it . now , you could definitely also enroll in a driver safety program without my recommendation . so you could kind of do that preemptively , and then we could continue to watch for your improvement as we go .
[ "Discussion" ]
[ "Plan" ]
3,026
all right . today i am seeing jose james . uh , date of birth 9/29/1957 . mr . james is a new patient who's having pain in his left shoulder and elbow . he fell five months ago going up a stairs , and the pain has been present since . hi mr . james , i'm doctor isabella . how are you doing ?
[ "Acute Symptoms", "Greetings" ]
[ "Subjective" ]
3,027
okay and what did you have done to your right knee
[ "Personal History" ]
[ "Subjective" ]
3,028
okay . and is ... is the pain coming and going ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,029
and i'm gon na go ahead and order a lipid panel , okay ?
[ "Diagnostic Testing" ]
[ "Plan" ]
3,030
is that in the morning when you're fasting
[ "Personal History" ]
[ "Subjective" ]
3,031
aw , that's great to hear .
[ "Therapeutic History" ]
[ "Subjective" ]
3,032
okay . all right . um , and you're still taking the metformin ?
[ "Therapeutic History" ]
[ "Subjective" ]
3,033
okay . all right , uhm , ms gomez , it looks like we're moving along with your treatment nicely . we'll stop your prednisone and continue with the methotrexate . make sure to stop by the front desk and make an appointment for the blood work , and i'll see you in three months .
[ "Follow-up", "Medication", "Diagnostic Testing", "Reassessment" ]
[ "Assessment", "Plan" ]
3,034
hey charles i'm using this cool new recording device to help me with my documentation is that okay with you
[ "Greetings" ]
[ "Subjective" ]
3,035
just in front of the big toe okay have you ever had a history of gout
[ "Personal History" ]
[ "Subjective" ]
3,036
okay how long has that been going on
[ "Acute Symptoms" ]
[ "Subjective" ]
3,037
i'm doing well . uh , so i know the nurse told you a little bit about dax . i'd like to tell dax a little bit about you .
[ "Chitchat" ]
[ "Null" ]
3,038
right .
[ "Lab Examination" ]
[ "Objective" ]
3,039
i'm doing well . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you when we get started , okay ?
[ "Chitchat" ]
[ "Null" ]
3,040
your lower back , okay . and what- what have you taken for the pain ?
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
3,041
uh , no feelings of , uh , you want to hurt yourself or anybody ?
[ "Personal History" ]
[ "Subjective" ]
3,042
okay yeah i'd also recommend while this is hurting you definitely cut back on the spices the spicy food easier said than done sometimes i know but yep yep alright sounds good well listen i'll see you back in four weeks give me a holler if if you have any questions or anything else in the meantime
[ "Discussion", "Follow-up", "Other Treatments" ]
[ "Plan" ]
3,043
okay . all right . and , and what have you taken for the pain ?
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
3,044
okay . and has there been anything like that since that experience ?
[ "Personal History" ]
[ "Subjective" ]
3,045
sorry so there is tenderness to palpation of the bilateral retinacular retinaculum and there is positive patellar grind test alright and can you are you able to squat for me
[ "Physical Examination" ]
[ "Objective" ]
3,046
so , andrea is a 52-year-old female with a past medical history significant for rheumatoid arthritis , atrial fibrillation , and reflux who presents today for her annual exam . so andrea , it's been a year since i saw you . how are you doing ?
[ "Personal History" ]
[ "Subjective" ]
3,047
about this big
[ "Discussion" ]
[ "Plan" ]
3,048
well that's cool yeah we our our youngest daughter she is almost sixteen and she plays the inner marrial soccer league they are down at the rex center did is that where you started playing or did you guys did you start playing somewhere else
[ "Chitchat" ]
[ "Null" ]
3,049
okay great and then you know i i'm i'm glad that you're taking it easy now remind me this might cause you some anxiety were the denver denver nuggets swept or did they end up winning are they still in the nba playoffs i forget i know that you are a denver nuggets fan
[ "Chitchat" ]
[ "Null" ]
3,050
okay . most insurances do limit what we can use .
[ "Other Socials" ]
[ "Subjective" ]
3,051
okay and that makes sense alright so as far as your diabetes you know and i think that's probably a a major cause of this not being able to heal how well are how well is that controlled
[ "Personal History", "Reassessment" ]
[ "Subjective", "Assessment" ]
3,052
i'm gon na take a listen to your heart and lungs
[ "Physical Examination" ]
[ "Objective" ]
3,053
okay , so , your blood pressures have been normal . you've been sleeping well ?
[ "Vegetative History" ]
[ "Subjective" ]
3,054
yes . uh , how much of it do you have ?
[ "Discussion", "Medication" ]
[ "Plan" ]
3,055
okay . and you are still on your metformin ?
[ "Therapeutic History" ]
[ "Subjective" ]
3,056
well how long have you been having it how long you've been having that foot pain
[ "Personal History" ]
[ "Subjective" ]
3,057
yeah , it does sounds kind of weird , right ? it's when your heart does n't beat with the correct rhythm , and whatever rhythm it does n't have a pattern to it . so , it's part of the atrial fibrillation .
[ "Physical Examination" ]
[ "Objective" ]
3,058
okay well are you still wearing those same shoes that cause the problem
[ "Other Socials" ]
[ "Subjective" ]
3,059
okay alright so how would you rate your pain with your knee out of out of one to ten
[ "Acute Symptoms" ]
[ "Subjective" ]
3,060
okay . uh , how are you doing with your salt intake ?
[ "Vegetative History" ]
[ "Subjective" ]
3,061
okay and it's just your arm right not not your knee
[ "Acute Symptoms" ]
[ "Subjective" ]
3,062
excellent , excellent . and , uh , washing your chest and back with the higher strength benzoyl peroxide wash , is that right ?
[ "Therapeutic History" ]
[ "Subjective" ]
3,063
okay . that's good to know . so stress from this could be , um ... could be , uh ... could be very well have contributed to your condition .
[ "Acute Assessment" ]
[ "Assessment" ]
3,064
hey hi bobby how are you doing
[ "Greetings" ]
[ "Subjective" ]
3,065
okay and how about your diet how's been thing as far as salty foods
[ "Personal History" ]
[ "Subjective" ]
3,066
techniques are fun so tell me do you do you have any history at all of you know hypercholesterol serol anemia on the like at a early age any other you know family members that that you remember that may have that problem
[ "Family History" ]
[ "Subjective" ]
3,067
okay , all right . and i know you have this history of congestive heart failure . have you noticed any recent , uh , weight gain or fluid retention ?
[ "Acute Symptoms", "Personal History", "Vegetative History" ]
[ "Subjective" ]
3,068
four or five stairs and what knee did you injure
[ "Acute Symptoms" ]
[ "Subjective" ]
3,069
okay . we might give you some of that .
[ "Medication" ]
[ "Plan" ]
3,070
hey dragon . i'm seeing miss russell . she's a 39-year-old female here for , what are you here for ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,071
okay and is it anywhere in specific is it in the middle of the back across the whole low back or on one side or the other
[ "Personal History" ]
[ "Subjective" ]
3,072
well , that's for colon cancer screening , but there are other reasons to have a colonoscopy , like unexplained abdominal pain and changes in bowel habits .
[ "Personal History" ]
[ "Subjective" ]
3,073
okay alright so we'll we'll take a look at your your arm there because it's like your entire left arm up from your shoulder to your elbow does hurt in a second we'll do an exam of that so i see you're also coming in we're gon na check on your hypertension and you came in today your blood pressure is a little bit high it was one fifty over ninety i do n't think we talked last time about us getting you a blood pressure cuff so you could take those and keep track and and and and let us know so what have your blood pressures been running lately
[ "Personal History" ]
[ "Subjective" ]
3,074
okay . how about when i bend your arm ?
[ "Physical Examination" ]
[ "Objective" ]
3,075
two days ago okay and so it's your left ankle and it kinda just twisted underneath you on the kind of on the inside
[ "Acute Symptoms" ]
[ "Subjective" ]
3,076
okay alright do you want something stronger
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
3,077
great and then for your third problem of your diabetes i wan na just go ahead and order a hemoglobin a1c and continue you on the metformin one thousand milligrams twice a day it sounds like you're doing a good job since your blood sugars are running in the one twenties i do n't think we need to make any adjustments but we'll see what the hemoglobin a1c shows that gives us a an idea of what your blood sugars are doing on a long-term basis how does that sound
[ "Reassessment", "Discussion", "Diagnostic Testing", "Medication" ]
[ "Assessment", "Plan" ]
3,078
okay do you have twins
[ "Other Socials" ]
[ "Subjective" ]
3,079
okay and have is it painful have you taken anything for for pain
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
3,080
okay so in the past have any doctors ever told you that you had hep c
[ "Personal History" ]
[ "Subjective" ]
3,081
hey betty how are you doing
[ "Greetings" ]
[ "Subjective" ]
3,082
that's perfect .
[ "Personal History" ]
[ "Subjective" ]
3,083
please use my general physical exam template . physical exam . ms. reyes is a pleasant 56-year-old woman who is five feet , six inches in height , weighing 169 pounds . blood pressure is 115 over 75 . pulse rate is 67 . ankles , no ankle edema is noted , no calf tenderness . okay , ms. reyes , can you go ahead and stand up for me please and take a couple of steps ? great .
[ "Physical Examination" ]
[ "Objective" ]
3,084
got it . all right .
[ "Vegetative History" ]
[ "Subjective" ]
3,085
okay so now i see here in your record that you have some that you're diabetic and have some diabetic neuropathy as well how's your blood sugars been running i'm i'm assuming kind of all over the place over the last i'm gon na say probably three or four weeks can you tell me about that
[ "Personal History" ]
[ "Subjective" ]
3,086
super . and it sounds like you're really smart about it .
[ "Personal History" ]
[ "Subjective" ]
3,087
i'm alright so i understand that you were having some you know right ankle pain and some swelling after you fell can you can you tell me a little bit about what happened
[ "Acute Symptoms" ]
[ "Subjective" ]
3,088
tinel sign positive at both wrists and both elbows . rest of exam is normal . all right , so what i am seeing today is bilateral carpal tunnel syndrome or , potentially , this could also be bilateral cubital tunnel syndrome . however , your symptom presentation suggests car- bilateral carpal syndrome , as the nerve in your wrists are aggravated by your past trauma . this is causing the pain and tingling you were describing to me .
[ "Physical Examination", "Acute Assessment" ]
[ "Objective", "Assessment" ]
3,089
okay . and any blood in your pee ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,090
no yeah i yeah i know you do have that diabetes i know your pcp probably would n't be excited about you you eating out and all that but you know hopefully we can we i can at least get your your foot a little bit better so your diabetes i know we talked a little bit earlier how is that going for you is it controlled you know what's your your blood sugars running
[ "Personal History" ]
[ "Subjective" ]
3,091
okay . all right . and then , your depression , you said it's ... how's that going ? i know we have you on the , on the prozac 20mg a day . are you taking that ? are you having a lot of side effects from that ?
[ "Personal History", "Therapeutic History" ]
[ "Subjective" ]
3,092
any questions ?
[ "Discussion" ]
[ "Plan" ]
3,093
okay so you work from home
[ "Other Socials" ]
[ "Subjective" ]
3,094
okay so the medial aspect of the right knee when you fell did you hear a pop
[ "Acute Symptoms" ]
[ "Subjective" ]
3,095
um , so , you know , i did see a report in the emergency room that your blood pressure was high there as well .
[ "Physical Examination" ]
[ "Objective" ]
3,096
okay , all right . and is it your lower back , your upper back ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,097
yeah that's
[ "Chitchat" ]
[ "Null" ]
3,098
okay okay just mainly up underneath your on your scalp there uh and i can i can see that man that looks really itchy and scaly have you died your hair recently or used any other chemicals you you know like a new hair spray or gel
[ "Acute Symptoms" ]
[ "Subjective" ]
3,099