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values | clean_transcript large_stringlengths 42 13k | distracted_transcript large_stringlengths 236 13.3k | reference_note large_stringlengths 5 4.8k | distractor_conversation large_stringlengths 168 395 | insert_after_turn int64 1 86 | distractor_summary large_stringlengths 83 186 | distractor_topic large_stringlengths 32 76 | generation_model large_stringclasses 1
value |
|---|---|---|---|---|---|---|---|---|---|---|---|
aci_bench_valid | ACI-Bench | D2N077 | bystander | [doctor] hey diana it's good to see you in here so i see that you injured your wrist could you tell me a bit about what happened
[patient] yeah i was walking up and down the stairs i was doing my laundry and i slipped and i tried to catch myself and i put my arms out to catch myself and then all of a sudden i just my w... | [doctor] hey diana it's good to see you in here so i see that you injured your wrist could you tell me a bit about what happened
[patient] yeah i was walking up and down the stairs i was doing my laundry and i slipped and i tried to catch myself and i put my arms out to catch myself and then all of a sudden i just my w... | CHIEF COMPLAINT
Right wrist injury.
HISTORY OF PRESENT ILLNESS
Diana Scott is a pleasant 61-year-old female who presents to the clinic today for the evaluation of a right wrist injury. The patient sustained this injury yesterday morning, 05/12/2022, when she slipped on the stairs while carrying a laundry basket. She... | Patient: My sister has plantar fasciitis from running and now wears orthotics; she says they make her sneakers look like they have luxury suspension.
Doctor: Ha, tiny shock absorbers.
Patient: Exactly, her shoes have a better setup than my car. | 46 | The patient briefly jokes about her sister's plantar fasciitis from running and the orthotics her sister wears. | plantar fasciitis (my sister; musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N078 | bystander | [doctor] hey philip good to see you today so take a look here at my notes i see you're coming in for some right knee pain and you have a past medical history of hypertension and we will take a look at that so can you tell me what happened to your knee
[patient] yeah i was you know i was just doing some work on my prope... | [doctor] hey philip good to see you today so take a look here at my notes i see you're coming in for some right knee pain and you have a past medical history of hypertension and we will take a look at that so can you tell me what happened to your knee
[patient] yeah i was you know i was just doing some work on my prope... | CHIEF COMPLAINT
Right knee pain.
REVIEW OF SYSTEMS
Cardiovascular: Denies chest pain.
Respiratory: Denies shortness of breath.
Gastrointestinal: Denies abdominal pain.
Musculoskeletal: Reports right knee pain.
PHYSICAL EXAM
Respiratory
- Auscultation of Lungs: Clear bilaterally. No wheezes.
Cardiovascular
- Auscu... | Patient: while you're typing this up my brother has whiplash after a minor car accident and he's doing neck exercises now.
Doctor: oh wow, those fender benders can really throw a wrench in the week.
Patient: yeah, he's in good hands, just annoyed he has to keep up with the stretches.
Doctor: i bet, those routines alway... | 34 | The patient makes brief small talk about his brother, who has whiplash from a minor car accident and is doing neck exercises under his own care. | whiplash (my brother; musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N079 | bystander | [doctor] hi wayne how're you today
[patient] i'm doing okay aside from this left shoulder pain that i've been having
[doctor] okay and how long have you had this pain
[patient] about i want to say a few weeks i think it's been about three weeks now
[doctor] okay and do you remember what you were doing when the pain sta... | [doctor] hi wayne how're you today
[patient] i'm doing okay aside from this left shoulder pain that i've been having
[doctor] okay and how long have you had this pain
[patient] about i want to say a few weeks i think it's been about three weeks now
[doctor] okay and do you remember what you were doing when the pain sta... | CHIEF COMPLAINT
Left shoulder pain.
HISTORY OF PRESENT ILLNESS
Wayne Taylor is a pleasant 66-year-old male who presents to the clinic today for the evaluation of left shoulder pain. The onset of his pain began 3 weeks ago. He denies any specific injury. The patient states he is active and has been renovating his bas... | Patient: My aunt had a hip replacement and is walking with a cane for now—she says it's her new royal scepter.
Doctor: Ha, that's a good one. Is she having fun bossing people around with it?
Patient: Oh yeah, she's milking it for all it's worth. | 21 | The patient briefly jokes about his aunt, who had a hip replacement and is temporarily using a cane. | hip replacement (my aunt; musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N080 | bystander | [doctor] okay hi andrea well i
[patient] hello
[doctor] i understand you're you've come in with some right knee pain can you tell me about it what's going on
[patient] it it's not the right knee it's the left knee
[doctor] okay the left knee
[patient] and it just happens occasionally less than once a day when i'm walki... | [doctor] okay hi andrea well i
[patient] hello
[doctor] i understand you're you've come in with some right knee pain can you tell me about it what's going on
[patient] it it's not the right knee it's the left knee
[doctor] okay the left knee
[patient] and it just happens occasionally less than once a day when i'm walki... | CHIEF COMPLAINT
Left knee pain.
HISTORY OF PRESENT ILLNESS
Andrea Barnes is a 34-year-old female who presents today for evaluation of left knee pain.
The patient has been experiencing intermittent episodes of pain and sudden instability with ambulation. Her pain is localized deep in her patella and occurs less than... | Patient: Speaking of trips, my uncle tore a rotator cuff playing tennis and is waiting for surgery.
Doctor: Oh no, tennis can be rough that way.
Patient: Yeah, they said he'll probably be in a sling for a while.
Doctor: Hopefully he has some good movies lined up. | 21 | The patient briefly mentions that their uncle injured his shoulder playing tennis and is already waiting for surgery, and the doctor makes light small talk about recovery downtime. | rotator cuff tear (my uncle; musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N081 | bystander | [doctor] so beverly is a 53 -year-old female with a recent diagnosis of stage three nonsmile cell lung cancer who presents for follow-up during neo agit chemotherapy she was diagnosed with a four . four centimeter left upper lobe nodule biopsy was positive for adenocarcinoma molecular testing is pending at this time al... | [doctor] so beverly is a 53 -year-old female with a recent diagnosis of stage three nonsmile cell lung cancer who presents for follow-up during neo agit chemotherapy she was diagnosed with a four . four centimeter left upper lobe nodule biopsy was positive for adenocarcinoma molecular testing is pending at this time al... | CHIEF COMPLAINT
Follow up of stage III non-small cell lung cancer.
MEDICAL HISTORY
Patient reports history of stage III non-small cell lung cancer.
SOCIAL HISTORY
Patient reports having a good family support system and that some of her family has accompanied her to her chemotherapy sessions.
MEDICATIONS
Patient ... | Patient: My sister had nasal polyps removed and can finally breathe through the nose; she says she sounds so quiet now we barely know where she is.
Doctor: That’s funny, like the family lost its built-in foghorn.
Patient: Exactly, dinner got a lot less dramatic. | 19 | The patient briefly jokes about her sister, who had nasal polyps removed and can now breathe through her nose. | nasal polyp surgery (my sister; respiratory) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N082 | bystander | [doctor] alright
[patient] you're ready just
[doctor] ready
[patient] hi kyle how are you today
[doctor] i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today
[patient] yeah i bet that did make you nervous i i see that she referred you for a... | [doctor] alright
[patient] you're ready just
[doctor] ready
[patient] hi kyle how are you today
[doctor] i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today
[patient] yeah i bet that did make you nervous i i see that she referred you for a... | HISTORY OF PRESENT ILLNESS
Kyle Lee is a pleasant 46-year-old male who presents to the clinic today for evaluation of low immunoglobulin A level. He was referred to our offices by his primary care physician after routine labs revealed abnormalities. The patient states he has been experiencing frequent infections. Duri... | Patient: My sister donates blood every few months and always jokes she only goes for the biscuits.
Doctor: That's a pretty good rewards program.
Patient: She says the juice is just a bonus.
Doctor: Honestly, that's a solid sales pitch. | 31 | The patient briefly jokes about their sister, who donates blood regularly and teases that the biscuits are the main attraction. | blood donation (my sister; hematologic_oncologic) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N083 | bystander | [doctor] hey lawrence how're you doing
[patient] i'm doing alright aside from this elbow pain
[doctor] so it looks like here that you came in to see us today for an evaluation of that right elbow pain can you tell me can you can you tell me well first of all what do you think has been causing that pain
[patient] so i r... | [doctor] hey lawrence how're you doing
[patient] i'm doing alright aside from this elbow pain
[doctor] so it looks like here that you came in to see us today for an evaluation of that right elbow pain can you tell me can you can you tell me well first of all what do you think has been causing that pain
[patient] so i r... | CHIEF COMPLAINT
Right elbow pain.
HISTORY OF PRESENT ILLNESS
Lawrence Butler is a pleasant 45-year-old male who presents to the clinic today for the evaluation of right elbow pain.
Over the past week, the patient has developed 6/10 pain in the "inside" of his right elbow. The pain may radiate into his forearm on oc... | Patient: while you're typing, my cousin tore a meniscus and had an arthroscopy last month.
Doctor: oh wow, how's your cousin doing now?
Patient: pretty well, actually, they're already joking about the crutches.
Doctor: that's good, crutches always seem to become part of the household decor for a bit. | 31 | The patient briefly makes small talk about a cousin who tore a meniscus and had an arthroscopy last month, and the doctor responds conversationally. | meniscus tear (my cousin; musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N084 | bystander | [doctor] alright david so you were just in the emergency department hopefully you can hear me okay through the zoom meeting what happened
[patient] well it seems that i was outside and i fell down i was walking a bit and i did have a pain in my chest but i did n't think anything of it and i just kept on going and then ... | [doctor] alright david so you were just in the emergency department hopefully you can hear me okay through the zoom meeting what happened
[patient] well it seems that i was outside and i fell down i was walking a bit and i did have a pain in my chest but i did n't think anything of it and i just kept on going and then ... | CHIEF COMPLAINT
Follow up.
SOCIAL HISTORY
The patient has been trying to limit his tobacco use for 2 years. He reports smoking once every week.
MEDICATIONS
Bumex 2 mg once daily.
Cozaar 100 mg daily.
Norvasc 5 mg once daily.
REVIEW OF SYSTEMS
Constitutional: Denies problems sleeping.
Cardiovascular: Reports ches... | Patient: my sister had varicose vein surgery and wears compression stockings now she says they make her look like a superhero with very boring powers.
Doctor: ha those stockings do have a very specific look.
Patient: yeah she calls them her secret identity socks. | 31 | The patient briefly jokes about his sister's varicose vein surgery and compression stockings, which is unrelated to his own care. | varicose vein surgery (my sister; cardiovascular) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N085 | bystander | [doctor] hi russell how are you what's been going on
[patient] well i've been having this sharp pain on the right side of my abdomen below my ribs for the last several days
[doctor] i saw my doctor and they ordered a cat scan and said i had a kidney stone and sent me to see a urologist okay well does the pain move or o... | [doctor] hi russell how are you what's been going on
[patient] well i've been having this sharp pain on the right side of my abdomen below my ribs for the last several days
[doctor] i saw my doctor and they ordered a cat scan and said i had a kidney stone and sent me to see a urologist okay well does the pain move or o... | CHIEF COMPLAINT
Right-sided abdominal pain
MEDICAL HISTORY
Patient reports history of kidney stones.
FAMILY HISTORY
Patient reports his father has a history of kidney stones.
MEDICATIONS
Patient reports use of Tylenol.
REVIEW OF SYSTEMS
Gastrointestinal: Reports right-sided abdominal pain and nausea. Denies vo... | Patient: one of my coworkers had a bladder sling operation and now she jokes she's got better support than the office chairs.
Doctor: that's a pretty high bar, those chairs lose a wheel if you look at them wrong.
Patient: exactly, she says at least one thing in the building is holding up well. | 4 | The patient makes a light joke about a coworker who had a bladder sling operation, and the doctor joins in with small talk about office chairs. | bladder sling surgery (a coworker; genitourinary) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N086 | bystander | [doctor] hey nicholas nice to see you today your pcp looks like he sent you over for a nonhealing foot ulcer on your right foot can you tell me about how long you've had that
[patient] yeah i've had the boot for about six weeks i first noticed it when i put on a pair of shoes that were little bit too tight i felt some ... | [doctor] hey nicholas nice to see you today your pcp looks like he sent you over for a nonhealing foot ulcer on your right foot can you tell me about how long you've had that
[patient] yeah i've had the boot for about six weeks i first noticed it when i put on a pair of shoes that were little bit too tight i felt some ... | CHIEF COMPLAINT
Non-healing ulcer on his right foot.
HISTORY OF PRESENT ILLNESS
Nicholas Gutierrez is a pleasant 45-year-old male who presents to the clinic today for the evaluation of a non-healing ulcer on his right foot. The patient was referred from his primary care physician. The onset of his pain began 6 weeks... | Patient: This weekend we're probably stopping by my mother-in-law's place; she had a knee replacement six weeks ago and is doing physiotherapy twice a week.
Doctor: Oh wow, that makes for a busy weekend. Is she keeping everyone on schedule with those appointments?
Patient: Pretty much, and she's already joking that the... | 14 | The patient makes casual weekend small talk about visiting his mother-in-law, who had a knee replacement and is doing physiotherapy twice a week. | knee replacement (my mother-in-law; musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N087 | bystander | [doctor] hi richard how are you the medical assistant told me that you have a tick bite is that what happened
[patient] i really do n't know where i got it but i i had i do get out in the woods and i do spend a lot of time out in the yard but yeah i've got a tick bite around my knee and and it's been it's been over a w... | [doctor] hi richard how are you the medical assistant told me that you have a tick bite is that what happened
[patient] i really do n't know where i got it but i i had i do get out in the woods and i do spend a lot of time out in the yard but yeah i've got a tick bite around my knee and and it's been it's been over a w... | CHIEF COMPLAINT
Tick bite.
MEDICAL HISTORY
Patient reports a history of arthritis, hypertension, and diabetes type 2.
SOCIAL HISTORY
Patient reports he enjoys spending time outside in the woods and working in the yard. He went hunting with his grandchildren a couple of weeks ago.
MEDICATIONS
Patient reports taki... | Patient: one of my coworkers just started a new treatment for psoriasis, humira, and now he acts like he's got a VIP pass to the pharmacy.
Doctor: Ha, that's pretty good. Did he at least bring back any free pens for signing autographs?
Patient: not unless they come with a red carpet. | 52 | The patient makes a light joke about a coworker who started Humira for psoriasis, which is unrelated to the patient's care. | psoriasis treatment (a coworker; dermatological) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N106 | bystander | [doctor] hey charles i'm using this cool new recording device to help me with my documentation is that okay with you
[patient] sure
[doctor] awesome how are you doing today
[patient] well i could be better you know i moved out in the city
[doctor] about two years ago bought this big plot of land
[patient] oh
[doctor] i... | [doctor] hey charles i'm using this cool new recording device to help me with my documentation is that okay with you
[patient] sure
[doctor] awesome how are you doing today
[patient] well i could be better you know i moved out in the city
[doctor] about two years ago bought this big plot of land
[patient] oh
[doctor] i... | CHIEF COMPLAINT
Shortness of breath.
HISTORY OF PRESENT ILLNESS
Charles Sullivan is a pleasant 45-year-old male who presents to the clinic today for the evaluation of shortness of breath. The onset of his symptoms began 2 years ago. He has noticed that his breathing is not what it used to be. He describes an increase... | Patient: My brother had a collapsed lung after breaking a rib and needed a chest tube.
Doctor: Oof, that sounds rough. How's he doing now?
Patient: Better now, just said the tube was the worst part.
Doctor: I can imagine, those stories stick with you. | 45 | The patient briefly makes small talk about his brother's collapsed lung and chest tube, which concerns only the brother. | collapsed lung after rib fracture (my brother; respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N107 | bystander | [doctor] so bryan it's nice to see you again in the office today what's going on
[patient] i was in my yard yesterday and i was raking leaves and i felt fine and then when i got into my house about two hours later my back started tightening up and i started getting pins and needles in my right foot
[doctor] alright hav... | [doctor] so bryan it's nice to see you again in the office today what's going on
[patient] While I was settling in, one of my coworkers came in late this morning because he slipped on ice and broke his wrist, so now he's in a cast for six weeks.
[doctor] Oof, six weeks feels long.
[patient] Yeah, he's already joking ab... | CHIEF COMPLAINT
Low back pain.
HISTORY OF PRESENT ILLNESS
Bryan Brooks is a pleasant 39-year-old male who presents to the clinic today for the evaluation of low back pain. He is accompanied today by his partner.
Approximately 2 hours after he finished raking leaves yesterday, the patient began to feel a tightening ... | Patient: While I was settling in, one of my coworkers came in late this morning because he slipped on ice and broke his wrist, so now he's in a cast for six weeks.
Doctor: Oof, six weeks feels long.
Patient: Yeah, he's already joking about how hard typing is going to be.
Doctor: I can imagine, even buttoning a coat get... | 1 | The patient makes small talk about a coworker who slipped on ice, broke a wrist, and is in a cast for six weeks. | wrist fracture (a coworker; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N108 | bystander | [doctor] hey gregory good to see you today so take a look at my notes and i see that you're here you've had a nonhealing foot ulcer so can you tell me how you're doing how long have you had it what's going on with it
[patient] sure so i've had it for about two months now and it's recently become red and is draining so ... | [doctor] hey gregory good to see you today so take a look at my notes and i see that you're here you've had a nonhealing foot ulcer so can you tell me how you're doing how long have you had it what's going on with it
[patient] sure so i've had it for about two months now and it's recently become red and is draining so ... | CHIEF COMPLAINT
Right foot ulcer.
HISTORY OF PRESENT ILLNESS
Gregory Hernandez is a pleasant 40-year-old male who presents to the clinic today for the evaluation of a non-healing right foot ulcer. Onset of ulcer was approximately 2 months ago after walking barefoot on the beach. He reports the ulcer has recently bec... | Patient: Oh, that reminds me, my neighbour just had bunion surgery and has to wear one of those big boots now.
Doctor: Those boots are hard to miss.
Patient: Yeah, you can hear it coming down the hallway.
Doctor: Sounds like the whole building gets a heads-up. | 31 | The patient briefly makes small talk about a neighbour who had bunion surgery and is wearing a boot, which is unrelated to the patient's care. | bunion surgery (a neighbour; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N109 | bystander | [doctor] so stephanie morales is a 36 -year-old female today complaining of her ankle pain and she also has a history of diabetes and high blood pressure so stephanie tell me what's going on with your ankle
[patient] well we had a long spring and the other day we got some snow and ice i was walking to my car and i slip... | [doctor] so stephanie morales is a 36 -year-old female today complaining of her ankle pain and she also has a history of diabetes and high blood pressure so stephanie tell me what's going on with your ankle
[patient] well we had a long spring and the other day we got some snow and ice i was walking to my car and i slip... | CHIEF COMPLAINT
Left ankle pain.
MEDICAL HISTORY
Patient reports history significant for type 2 diabetes and hypertension.
MEDICATIONS
Patient reports taking metformin and Norvasc.
REVIEW OF SYSTEMS
Musculoskeletal: Reports left ankle pain and swelling.\ Denies left calf pain, lower left leg pain, or left knee p... | Patient: Funny enough, a friend of mine has been off work with sciatica and they gave her naproxen and a physio referral.
Doctor: Seems like everyone knows someone dealing with something this time of year.
Patient: Yeah, she's been bored out of her mind at home.
Doctor: I can imagine, daytime TV gets old fast. | 35 | The patient makes a passing remark about a friend who is off work with sciatica and is already being treated with naproxen and a physiotherapy referral. | sciatica (a friend; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N110 | bystander | [doctor] okay hi wayne well i understand you're here for you've got a sore on your foot that's not healing is that right
[patient] yes
[doctor] so can you tell me about that how are you doing
[patient] well i've been doing okay but i've had this wound on my right foot for a couple of weeks and it's not getting better i... | [doctor] okay hi wayne well i understand you're here for you've got a sore on your foot that's not healing is that right
[patient] yes
[doctor] so can you tell me about that how are you doing
[patient] well i've been doing okay but i've had this wound on my right foot for a couple of weeks and it's not getting better i... | HISTORY OF PRESENT ILLNESS
Wayne Jenkins is a pleasant 43-year-old male who presents to the clinic today for the evaluation of a right foot wound, onset 2 to 3 weeks ago. He was seen by his primary care physician who referred him to our office. His last visit with a podiatrist was 2 years ago, however they moved, and ... | Patient: A friend's father is getting steroid injections for a frozen shoulder; he says his calendar has become all shoulder appointments now.
Doctor: That's a pretty committed shoulder.
Patient: Yeah, apparently it's the only thing in the family that won't loosen up.
Doctor: At least he's keeping his sense of humor ab... | 31 | The patient makes a light joke about a friend's father who is already being treated with steroid injections for a frozen shoulder. | frozen shoulder (a friend's father; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N111 | bystander | [doctor] hey william so i see that you injured your knee could you tell me a bit about what happened
[patient] yeah i thought it was a good idea to go to the trampoline park with my wife and heard a snap and instant pain when i was on the trampoline
[doctor] okay alright and so do do you go to the trampoline park often... | [doctor] hey william so i see that you injured your knee could you tell me a bit about what happened
[patient] yeah i thought it was a good idea to go to the trampoline park with my wife and heard a snap and instant pain when i was on the trampoline
[doctor] okay alright and so do do you go to the trampoline park often... | CHIEF COMPLAINT
Right knee injury.
HISTORY OF PRESENT ILLNESS
William Russell is a pleasant 57-year-old male who presents to the clinic today for the evaluation of a right knee injury. He has a past medical history significant for hypertension and type 2 diabetes.
Approximately 1 week ago, the patient sustained an ... | Patient: over the weekend our mail carrier was saying he got plantar fasciitis from running and now wears orthotics.
Doctor: oof, that sounds like a rough way to spend a weekend chat. Is he still doing his route?
Patient: yeah, he was joking that the orthotics make him feel taller. | 4 | The patient makes brief weekend small talk about their mail carrier having plantar fasciitis from running and wearing orthotics. | plantar fasciitis (our mail carrier; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N112 | bystander | [doctor] hey matthew i see here that you've had some back pain for a while and your pcp sent you over to see me how're you doing today
[patient] pretty good i'm feeling pretty good do n't like the weather you know i've been sitting in the waiting area for you know thirty minutes and that definitely makes the symptoms w... | [doctor] hey matthew i see here that you've had some back pain for a while and your pcp sent you over to see me how're you doing today
[patient] pretty good i'm feeling pretty good do n't like the weather you know i've been sitting in the waiting area for you know thirty minutes and that definitely makes the symptoms w... | HISTORY OF PRESENT ILLNESS
Matthew Hill is a pleasant 44-year-old male who presents to the clinic today for the evaluation of back pain. The patient was referred from his primary care physician. The onset of his pain began 30 years ago, when he fell off of a roof. He endorses that it was very bothersome and he was una... | Patient: Speaking of random stuff, someone from my gym has whiplash after a minor car accident and is doing neck exercises with a foam collar on.
Doctor: Oof, that's a rough way to end up missing leg day.
Patient: Yeah, he was joking that the collar clashes with all his workout shirts.
Doctor: I can picture that. | 2 | The patient makes a passing remark about a person from his gym who has whiplash from a minor car accident and is already doing neck exercises. | whiplash (someone from my gym; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N113 | bystander | [doctor] hi jacqueline how are you doing today
[patient] i'm doing okay i'm just really anxious about my recent blood work that my pcp did and said that i have hepatitis c i'm just really surprised because i've been feeling fine
[doctor] okay so were you ever told in the past that you have hepatitis c
[patient] no neve... | [doctor] hi jacqueline how are you doing today
[patient] i'm doing okay i'm just really anxious about my recent blood work that my pcp did and said that i have hepatitis c i'm just really surprised because i've been feeling fine
[doctor] okay so were you ever told in the past that you have hepatitis c
[patient] no neve... | CHIEF COMPLAINT
Hepatitis C.
SOCIAL HISTORY
Patient reports personal history of intravenous drug use over 15 years ago. She is currently smoking 1-2 cigarettes per day, previously 1 to 1.5 packs per day. She also has a history of heavy alcohol use, but now drinks approximately 1 beer per day, more on the weekends.
... | Patient: My sister had an appendectomy two weeks ago, and now she says her appendix was just looking for an excuse to skip chores.
Doctor: That’s a pretty committed strategy.
Patient: Right? She even showed off the little hospital wristband like it was a VIP pass. | 35 | The patient briefly jokes about her sister's recent appendectomy and the doctor responds with light small talk; it is only about the sister. | appendectomy (my sister; gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N114 | bystander | [doctor] alright
[patient] good morning Julie how are you doing today
[doctor] i'm doing okay i'm just a little nervous about what's been going on with my headaches
[patient] okay so i know you were sent here by your your pcp what was your understanding of why you were sent here
[doctor] yeah so i actually have been so... | [doctor] alright
[patient] good morning Julie how are you doing today
[doctor] i'm doing okay i'm just a little nervous about what's been going on with my headaches
[patient] okay so i know you were sent here by your your pcp what was your understanding of why you were sent here
[doctor] yeah so i actually have been so... | CHIEF COMPLAINT
Headaches.
HISTORY OF PRESENT ILLNESS
Julie Jenkins is a pleasant 33-year-old female who presents to the clinic today for the evaluation of headaches. The patient was referred from her primary care physician. The patient states that she was seen by Dr. White a few years ago and was going to obtain an... | Patient: One of my coworkers had Bell's palsy and is slowly getting better on steroids; he says his smile is coming back one side at a time.
Doctor: That's a pretty good line.
Patient: Yeah, he's milking it for free coffee from everyone at work.
Doctor: If it works, I can't blame him. | 28 | The patient briefly jokes about a coworker whose Bell's palsy is improving with steroids, and the clinician responds with light small talk. | Bell's palsy (a coworker; neurological) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N115 | bystander | [doctor] alright so hey it's nice to see you jack i know you've been experiencing some neck pain could you tell me what happened
[patient] yeah so i was in a a car accident
[doctor] mm-hmm
[patient] and i hit in the back and like my my neck went forward and my head went forward really quick and so i've been having some... | [doctor] alright so hey it's nice to see you jack i know you've been experiencing some neck pain could you tell me what happened
[patient] Sorry, just settling in here—my barber had a hip replacement and is walking with a cane for now.
[doctor] Oh wow, hopefully he's taking it easy.
[patient] Yeah, he was in good spiri... | CHIEF COMPLAINT
Neck pain
HISTORY OF PRESENT ILLNESS
Jack Torres is a pleasant 40-year-old male who presents to the clinic today for the evaluation of neck pain. The onset of his pain began 1 week ago after he was involved in a motor vehicle accident. He states that he was hit in the back and experienced whiplash. F... | Patient: Sorry, just settling in here—my barber had a hip replacement and is walking with a cane for now.
Doctor: Oh wow, hopefully he's taking it easy.
Patient: Yeah, he was in good spirits about it.
Doctor: That's good to hear. | 1 | The patient makes small talk about his barber recovering from a hip replacement and using a cane, which is unrelated to the patient's care. | hip replacement (my barber; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N116 | bystander | [doctor] hey hi bobby how are you doing
[patient] i'm doing good how are you
[doctor] i'm doing fine so i understand you're here having some left or some right shoulder pain that you've had for a few weeks now
[patient] yeah it was i was doing some work in my backyard and a lot of different projects going on and you kn... | [doctor] hey hi bobby how are you doing
[patient] i'm doing good how are you
[patient] While I'm getting settled, a guy on my softball team tore a rotator cuff playing tennis and is waiting for surgery.
[doctor] Oof, that's rough. Tennis and softball is a busy combo.
[patient] Yeah, he's been in a sling and mostly just... | CHIEF COMPLAINT
Right shoulder pain.
HISTORY OF PRESENT ILLNESS
Bobby Flores is a 56-year-old male, right-hand-dominant, male who presents to the clinic today for the evaluation of right shoulder pain.
The onset of his pain began a few weeks ago, when he was performing different projects in his backyard. He states ... | Patient: While I'm getting settled, a guy on my softball team tore a rotator cuff playing tennis and is waiting for surgery.
Doctor: Oof, that's rough. Tennis and softball is a busy combo.
Patient: Yeah, he's been in a sling and mostly just heckling from the bench.
Doctor: At least he's keeping the team entertained. | 2 | The patient makes small talk about a softball teammate who tore a rotator cuff playing tennis and is waiting for surgery. | rotator cuff tear (a guy on my softball team; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N117 | bystander | [doctor] mister jackson is a 45 -year-old male who has a history of diabetes type two and mild intermittent asthma and he is here today with right elbow pain so hey there mark nice to see you again listen sorry you're having some elbow pain let's talk about it but i would like to record this conversation with this cool... | [doctor] mister jackson is a 45 -year-old male who has a history of diabetes type two and mild intermittent asthma and he is here today with right elbow pain so hey there mark nice to see you again listen sorry you're having some elbow pain let's talk about it but i would like to record this conversation with this cool... | CHIEF COMPLAINT
Right elbow pain.
MEDICAL HISTORY
Patient reports history of type 2 diabetes and mild intermittent asthma.
SURGICAL HISTORY
Patient reports history of cholecystectomy 10 years ago by Dr. Nelson.
SOCIAL HISTORY
Patient reports he has been playing tennis since high school.
ALLERGIES
Patient repor... | Patient: as i was sitting down i was thinking my landlord tore a meniscus and had an arthroscopy last month, so he's been hobbling around the building a bit.
Doctor: oh wow, that sounds like a rough month for him. is he at least in decent spirits about it?
Patient: yeah, he keeps joking that the crutches make him look ... | 2 | The patient makes small talk about his landlord, who tore a meniscus and had an arthroscopy last month, and the doctor responds conversationally. | meniscus tear (my landlord; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N118 | bystander | [doctor] alright so how're you doing today angela
[patient] i'm doing pretty well
[doctor] alright so looking here at your appointment notes it says you're you're here you think you have a kidney stone you had some in the past so we're gon na take a look at that and then you also have a past medical history of hyperten... | [doctor] alright so how're you doing today angela
[patient] i'm doing pretty well
[doctor] alright so looking here at your appointment notes it says you're you're here you think you have a kidney stone you had some in the past so we're gon na take a look at that and then you also have a past medical history of hyperten... | CHIEF COMPLAINT
Kidney stone.
MEDICAL HISTORY
Patient reports history of hypertension, diabetes, and kidney stones.
MEDICATIONS
Patient reports taking Norvasc 2.5 mg and metformin 500 mg.
REVIEW OF SYSTEMS
Constitutional: Reports insomnia.
Cardiovascular: Denies chest pain.
Gastrointestinal: Denies abdominal pai... | Patient: my neighbour passed a kidney stone last week after two days in agony they had to give him morphine first.
Doctor: oof that sounds miserable.
Patient: yeah he said once it finally passed he was a whole different person.
Doctor: i bet he was. | 17 | The patient briefly makes small talk about a neighbour who passed a kidney stone last week and received morphine, and the doctor responds casually. | kidney stone (a neighbour; genitourinary) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N119 | bystander | [doctor] hey betty how are you doing
[patient] i'm doing okay i just been really frustrated because with my asthma and it just seems like i can never catch a break never get better i'm always it seems like i'm always coughing and wheezing
[doctor] i'm sorry to hear that what normally triggers your asthma type symptoms
... | [doctor] hey betty how are you doing
[patient] i'm doing okay i just been really frustrated because with my asthma and it just seems like i can never catch a break never get better i'm always it seems like i'm always coughing and wheezing
[doctor] i'm sorry to hear that what normally triggers your asthma type symptoms
... | CHIEF COMPLAINT
Asthma.
MEDICAL HISTORY
Patient reports history of asthma.
SOCIAL HISTORY
The patient denies the use of any type of cigarette or tobacco product, as well as marijuana. Occasionally, she will be at a bar that allows smoking inside, which does bother the patient. She enjoys being outside and hiking.
... | Patient: My aunt had a vocal cord nodule removed and is on voice rest, which is the quietest our family group chat has ever been.
Doctor: That might be the only prescription everyone else enjoys too.
Patient: Exactly, we're all pretending not to miss the play-by-play. | 35 | The patient briefly jokes about their aunt, who had a vocal cord nodule removed and is currently on voice rest. | vocal cord nodule (my aunt; respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N120 | bystander | [doctor] hello larry how are you doing today
[patient] i've been better my primary care doctor wanted me to see you for this back pain that i've been having for a couple of years now
[doctor] okay
[patient] and i have tried so many things and just nothing seems to work
[doctor] i'm sorry to hear that now do you remembe... | [doctor] hello larry how are you doing today
[patient] i've been better my primary care doctor wanted me to see you for this back pain that i've been having for a couple of years now
[doctor] okay
[patient] and i have tried so many things and just nothing seems to work
[doctor] i'm sorry to hear that now do you remembe... | HISTORY OF PRESENT ILLNESS
Larry Garcia is a pleasant 41-year-old male who presents to the clinic today for the evaluation of back pain.
The onset of his pain began 2 years ago, after moving furniture. He denies any specific injury. The patient describes his pain as sharp and stabbing. He locates his pain to his lowe... | Patient: Busy weekend, actually—my sister had a knee replacement six weeks ago and is doing physiotherapy twice a week.
Doctor: Oh wow, that does make for a full weekend. Is she keeping everyone on schedule?
Patient: Pretty much, yeah, she's very organized about it.
Doctor: Sounds like it. | 24 | The patient makes brief weekend small talk about his sister's recent knee replacement and twice-weekly physiotherapy, which concerns only the sister. | knee replacement (my sister; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N121 | bystander | [patient] hi kenneth how are you the medical assistant told me that you had some knee pain yeah i was getting ready for the holiday weekend and i was out on my boat skiing and i i did a jump and kinda twisted when i landed and my knee has been hurting me ever since
[doctor] okay so that was about five days ago then
[pa... | [patient] hi kenneth how are you the medical assistant told me that you had some knee pain yeah i was getting ready for the holiday weekend and i was out on my boat skiing and i i did a jump and kinda twisted when i landed and my knee has been hurting me ever since
[doctor] okay so that was about five days ago then
[pa... | CHIEF COMPLAINT
Right knee pain.
MEDICAL HISTORY
Patient reports history of hypertension.
SURGICAL HISTORY
Patient reports history of tonsillectomy.
SOCIAL HISTORY
Patient reports that he has a boat on Lake Martin. He is frequent water skier.
MEDICATIONS
Patient reports taking lisinopril 20 mg once a day.
REV... | Patient: My brother slipped on some ice and broke his wrist, so now he's stuck in a cast for six weeks. He says he's finally got an excuse to avoid doing dishes.
Doctor: That's one way to make chores disappear.
Patient: Yeah, he's milking it like it's a full-time job. | 13 | The patient briefly jokes about his brother having a broken wrist from slipping on ice and wearing a cast for six weeks. | wrist fracture (my brother; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N122 | bystander | [doctor] hey kyle it's nice to see you today can you tell me a little bit about what brought you in
[patient] yeah i went to see my pcp for a cough which they diagnosed as bronchitis but then they did that chest x-ray to make sure i did n't have pneumonia and they found this lung nodule i went for a cat scan that confi... | [doctor] hey kyle it's nice to see you today can you tell me a little bit about what brought you in
[patient] yeah i went to see my pcp for a cough which they diagnosed as bronchitis but then they did that chest x-ray to make sure i did n't have pneumonia and they found this lung nodule i went for a cat scan that confi... | CHIEF COMPLAINT
Cough.
MEDICAL HISTORY
Patient reports a history of rheumatoid arthritis. He denies any previous history of lung infections or pneumonia.
SOCIAL HISTORY
Patient reports he stopped smoking tobacco 7 years ago and has felt better since doing so. He notes that he enjoys biking.
FAMILY HISTORY
Patien... | Patient: changing the subject for a second, my uncle had a deviated septum repaired and said the splints were the part he complained about most.
Doctor: oh wow, those little details are what people always remember.
Patient: yeah, he jokes about it now.
Doctor: families always keep the best post-op stories around. | 31 | The patient briefly mentions that his uncle had a deviated septum repaired and they share a little small talk about how relatives retell procedure stories. | deviated septum repair (my uncle; respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N123 | bystander | [doctor] so tyler is a 56 -year-old male who presents today complaining of difficulty swallowing and has a past medical history of diabetes and high blood pressure so tyler tell me what's going on with your swallowing problem
[patient] well it's just been something that i have noticed over the last you know four to fiv... | [doctor] so tyler is a 56 -year-old male who presents today complaining of difficulty swallowing and has a past medical history of diabetes and high blood pressure so tyler tell me what's going on with your swallowing problem
[patient] well it's just been something that i have noticed over the last you know four to fiv... | SUBJECTIVE
Difficulty swallowing. Tyler Green is a 56-year-old male who presents today complaining of difficulty swallowing.
The patient noticed the difficulty swallowing approximately 4 to 5 weeks ago. He describes it as something stuck in his throat. He states that it bothers him a little bit throughout the day as ... | Patient: while you're typing, my neighbour just had their gallbladder out laparoscopically last week and was already walking around the block.
Doctor: wow, that's a quick turnaround.
Patient: yeah, they said the tiny incisions were the strangest part.
Doctor: those little details always stick with you. | 19 | The patient makes brief small talk about a neighbour who recently had laparoscopic gallbladder surgery and is recovering. | gallbladder removal (a neighbour; gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N124 | bystander | [doctor] so jerry is a 45 -year-old male who came in today with an ankle injury jerry what happened
[patient] hey doctor michael yeah so my son sean i think you met in the past he he started playing basketball and there we do multiple seasons and so we're kinda getting ready for the next season that starts in in april ... | [doctor] so jerry is a 45 -year-old male who came in today with an ankle injury jerry what happened
[patient] hey doctor michael yeah so my son sean i think you met in the past he he started playing basketball and there we do multiple seasons and so we're kinda getting ready for the next season that starts in in april ... | CHIEF COMPLAINT
Right ankle injury.
HISTORY OF PRESENT ILLNESS
Jerry Cook is a 45-year-old male who presents today with a right ankle injury.
The patient sustained an injury to the right ankle while playing basketball with his son. He reports he landed awkwardly and twisted his right ankle after jumping to make a l... | Patient: Weekend was pretty low-key otherwise; my aunt had bunion surgery and has to wear a boot now.
Doctor: Oh wow, that makes for a slow weekend for everybody.
Patient: Yeah, she was still in good spirits about it. | 6 | The patient makes brief weekend small talk about his aunt, who had bunion surgery and is wearing a boot, and the doctor responds casually. | bunion surgery (my aunt; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N125 | bystander | [patient] miss edwards is here for evaluation of facial pain this is a 54 -year-old male
[doctor] how're you doing doctor cruz nice to see you today
[patient] good to see you mister edwards i'm doctor
[doctor] tell me what's been going on yeah so i've got this stabbing shooting pain i've had for a while you know and it... | [patient] miss edwards is here for evaluation of facial pain this is a 54 -year-old male
[doctor] how're you doing doctor cruz nice to see you today
[patient] good to see you mister edwards i'm doctor
[doctor] tell me what's been going on yeah so i've got this stabbing shooting pain i've had for a while you know and it... | CHIEF COMPLAINT
Right-sided facial pain.
REVIEW OF SYSTEMS
Eyes: Denies vision changes or weakness in right eye.
HENT: Reports right sided facial pain. Denies left sided facial pain. Neurological: Reports headaches. Denies sensory loss, numbness, or tingling in the right cheek. Denies right sided facial weakness.
P... | Patient: While you're typing, my brother's been off work with sciatica; they gave him naproxen and a physio referral.
Doctor: Oof, that can really slow someone down. Is he going stir-crazy at home?
Patient: A bit, yeah—he says daytime TV is the worst part.
Doctor: I believe that. There are only so many game shows a per... | 38 | The patient makes small talk about his brother being off work with sciatica and already treated with naproxen and a physio referral. | sciatica (my brother; neurological) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N126 | bystander | [doctor] hi michelle what's been going on the medical assistant told me that you injured your knee
[patient] yeah i'm gon na have to keep this my favorite story is that i had a sandra who injured her knee cold dancing so that would immediately came up to mine but let's try skiing so i was skiing in vermont last weekend... | [doctor] hi michelle what's been going on the medical assistant told me that you injured your knee
[patient] yeah i'm gon na have to keep this my favorite story is that i had a sandra who injured her knee cold dancing so that would immediately came up to mine but let's try skiing so i was skiing in vermont last weekend... | CHIEF COMPLAINT
Right knee injury
HISTORY OF PRESENT ILLNESS
Michelle King is a pleasant 44-year-old male who presents to the clinic today for the evaluation of a right knee injury. Her injury was sustained while skiing in Vermont last weekend after she caught her ski when coming off of the lift and fell. She report... | Patient: my uncle was off work this weekend with sciatica, so the family chat was all about that; they gave him naproxen and a physio referral.
Doctor: Oh wow, family group chats really do pick one topic and run with it.
Patient: They do, especially on weekends.
Doctor: Absolutely, mine can turn into a whole running co... | 31 | The patient makes brief weekend small talk about her uncle being off work with sciatica and already being treated with naproxen and a physio referral. | sciatica (my uncle; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N127 | bystander | [doctor] hey brandon you know glad to see you in here today i see on your chart that you're experiencing some neck pain could you tell me a bit about what happened
[patient] yeah i was in a car crash
[doctor] wow okay when was that
[patient] well which car crash
[doctor] okay so multiple car crashes alright so let's se... | [doctor] hey brandon you know glad to see you in here today i see on your chart that you're experiencing some neck pain could you tell me a bit about what happened
[patient] yeah i was in a car crash
[doctor] wow okay when was that
[patient] well which car crash
[doctor] okay so multiple car crashes alright so let's se... | CHIEF COMPLAINT
Neck pain.
HISTORY OF PRESENT ILLNESS
Brandon Green is a pleasant 46-year-old male who presents to the clinic today for the evaluation of neck pain. His pain began when he was involved in a motor vehicle accident in 02/2022 when he was on his way home from a pain clinic. The patient notes that he has... | Patient: Sorry, settling in here—my cousin is getting steroid injections for a frozen shoulder.
Doctor: Oh wow, those appointment schedules can get pretty involved.
Patient: Yeah, they've been driving across town for it.
Doctor: That's a lot of windshield time. | 14 | The patient makes brief small talk about a cousin who is being treated by their own doctors with steroid injections for a frozen shoulder. | frozen shoulder (my cousin; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N146 | bystander | [doctor] hey good morning bobby how are you
[patient] i'm doing okay i as you're aware doctor miller sent me over for this pain in my belly that i've had for several weeks they did he did an ultrasound and and said i had gallstones and they recommended i stay several way from some high fat food but i'm just still havin... | [doctor] hey good morning bobby how are you
[patient] i'm doing okay i as you're aware doctor miller sent me over for this pain in my belly that i've had for several weeks they did he did an ultrasound and and said i had gallstones and they recommended i stay several way from some high fat food but i'm just still havin... | CHIEF COMPLAINT
Abdominal pain.
MEDICAL HISTORY
Patient reports history of type 2 diabetes.
SOCIAL HISTORY
Patient reports enjoying nature photography.
FAMILY HISTORY
Patient reports family history of cholelithiasis. Both of his parents have had cholecystectomies.
REVIEW OF SYSTEMS
Constitutional: Reports low-... | Patient: a buddy of mine just got started on omeprazole for reflux and now he acts like he's got a VIP pass to spicy food again.
Doctor: that's pretty good, confidence by prescription.
Patient: yeah, he's treating that pill like a tiny bodyguard for taco night.
Doctor: taco night does bring out big personalities. | 31 | The patient makes a light joke about a friend's reflux being treated with omeprazole, and the doctor joins in with small talk. | reflux medication (a friend; gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N147 | bystander | [doctor] hi matthew how are you the medical assistant told me that you injured your shoulder
[patient] hey yeah i'm i'm hanging in there
[doctor] what happened
[patient] yeah so well when i was younger i used to be a little bit more active with my friends with the playing
[doctor] pick up football and so you know me be... | [doctor] hi matthew how are you the medical assistant told me that you injured your shoulder
[patient] hey yeah i'm i'm hanging in there
[doctor] what happened
[patient] yeah so well when i was younger i used to be a little bit more active with my friends with the playing
[doctor] pick up football and so you know me be... | CHIEF COMPLAINT
Right shoulder injury.
HISTORY OF PRESENT ILLNESS
Matthew Allen is a 67-year-old male, right-hand-dominant, male who presents to the clinic today for the evaluation of a right shoulder injury. The patient sustained this injury 4 days ago, when he was tackled a couple of times playing pick up football... | Patient: Funny enough, over the weekend a coworker was telling me he got plantar fasciitis from running and now wears orthotics.
Doctor: Oh wow, sounds like he's really committed to those weekend miles.
Patient: Yeah, he still shows up Monday talking about his route like it's a race recap. | 8 | The patient makes brief weekend small talk about a coworker who has plantar fasciitis from running and now wears orthotics. | plantar fasciitis (a coworker; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N148 | bystander | [doctor] hi jeremy how are you the medical assistant told me that you injured your back
[patient] yeah i was moving some boxes when my son was moving out of his college dorm and i really hurt my lower back
[doctor] okay how long ago did that happen
[patient] this was about four months ago
[doctor] about four months ago... | [doctor] hi jeremy how are you the medical assistant told me that you injured your back
[patient] yeah i was moving some boxes when my son was moving out of his college dorm and i really hurt my lower back
[doctor] okay how long ago did that happen
[patient] this was about four months ago
[doctor] about four months ago... | HISTORY OF PRESENT ILLNESS
Jeremy Adams is a pleasant 57-year-old male who presents to the clinic today for the evaluation of low back pain. The onset of his pain began 4 months ago, when he was moving boxes out of his son's college dorm. At that time, he noted tingling in his right toes, which resolved after approxim... | Patient: my neighbor got whiplash in a little fender bender and now he's doing these neck exercises like he's auditioning for an owl documentary.
Doctor: ha, those rehab routines can look pretty dramatic.
Patient: yeah, he says his doctor has him doing them with a heating pad first, so now he looks very official about ... | 31 | The patient makes a light joke about a neighbor recovering from whiplash after a minor car accident and doing neck exercises with a heating pad. | whiplash (a neighbour; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N149 | bystander | [doctor] so dennis is a 57 -year-old male today complaining of shortness of breath he has also got a history of diabetes high blood pressure and history of asthma so dennis tell me what's going on how're you doing
[patient] not too good
[doctor] okay how long have you been feeling not too well
[patient] about a couple ... | [doctor] so dennis is a 57 -year-old male today complaining of shortness of breath he has also got a history of diabetes high blood pressure and history of asthma so dennis tell me what's going on how're you doing
[patient] not too good
[doctor] okay how long have you been feeling not too well
[patient] about a couple ... | CHIEF COMPLAINT
Shortness of breath with hemoptysis.
MEDICAL HISTORY
Patient reports history of diabetes, hypertension, and asthma. He also has a long history of knee pain.
MEDICATIONS
Patient reports taking metformin and Norvasc.
REVIEW OF SYSTEMS
Constitutional: Denies fever.
HENT: Denies bleeding gums.
Respir... | Patient: My son's teacher just started on a CPAP machine for sleep apnoea.
Doctor: Oh wow, those masks can look pretty high-tech now.
Patient: Yeah, he said it's taking some getting used to.
Doctor: I can imagine, a lot of gadgets these days. | 39 | The patient makes small talk about his son's teacher starting CPAP treatment for sleep apnoea, and the doctor responds casually. | sleep apnoea machine (my son's teacher; respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N150 | bystander | [doctor] alright scott so so i understand that you you had some right knee injury can you tell me a little bit about what happened
[patient] yeah i was trying to go out and play some pickup soccer games over the weekend and went to go plank kick the ball and and just felt a pop in my right knee
[doctor] okay and and ho... | [doctor] alright scott so so i understand that you you had some right knee injury can you tell me a little bit about what happened
[patient] yeah i was trying to go out and play some pickup soccer games over the weekend and went to go plank kick the ball and and just felt a pop in my right knee
[doctor] okay and and ho... | CHIEF COMPLAINT
Right knee injury.
HISTORY OF PRESENT ILLNESS
Scott Miller is a pleasant 36-year-old male who presents to the clinic today for the evaluation of a right knee injury. The injury occurred 3 days ago, when he was playing pickup soccer games and felt a pop in his right knee. He reports swelling at the ti... | Patient: A friend of mine just had a hip replacement, so he's walking with a cane for now.
Doctor: Oh wow, those canes seem to become part of the outfit for a while.
Patient: Yeah, he picked one that's bright blue, so at least he's having fun with it. | 31 | The patient makes brief small talk about a friend recovering from a hip replacement and using a cane, which is unrelated to the patient's care. | hip replacement (a friend; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N151 | bystander | [doctor] alright teresa i see here in your chart that you seem to be experiencing some elbow pain could you tell me where it hurts
[patient] yeah so it's hurting on the inside of my elbow
[doctor] mm-hmm
[patient] and when i i i've been doing some pottery i've been creating you know i have a pottery wheel and i've been... | [doctor] alright teresa i see here in your chart that you seem to be experiencing some elbow pain could you tell me where it hurts
[patient] yeah so it's hurting on the inside of my elbow
[doctor] mm-hmm
[patient] and when i i i've been doing some pottery i've been creating you know i have a pottery wheel and i've been... | CHIEF COMPLAINT
Right elbow pain.
HISTORY OF PRESENT ILLNESS
Teresa Sullivan is a pleasant 33-year-old female who presents to the clinic today for the evaluation of right elbow pain. Her pain began 4 days ago, without any improvement. She denies any specific injury; however, she has recently increased her usage of a... | Patient: Over the weekend I heard my friend's father tore a rotator cuff playing tennis, and he's just waiting for surgery now.
Doctor: Oh wow, that's a rough way to spend a weekend. Tennis can be surprisingly unforgiving.
Patient: Yeah, I guess it turned into more of a watching-from-the-porch kind of weekend for him. | 53 | The patient makes small talk about a friend's father who tore a rotator cuff playing tennis and is already waiting for surgery. | rotator cuff tear (a friend's father; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N152 | bystander | [doctor] good morning noah tell me a little bit about why you are here today
[patient] hi document i'm i'm just had you know the back pain you know and i've i've had it for you know about a week and
[doctor] oh
[patient] you know i mean i tried some you know i mean medications but you know some over the counter stuff b... | [doctor] good morning noah tell me a little bit about why you are here today
[patient] hi document i'm i'm just had you know the back pain you know and i've i've had it for you know about a week and
[doctor] oh
[patient] you know i mean i tried some you know i mean medications but you know some over the counter stuff b... | CHIEF COMPLAINT
Back pain.
MEDICAL HISTORY
Patient reports history of diabetes.
SOCIAL HISTORY
The patient's family owns and runs a bakery.
MEDICATIONS
Patient reports taking metformin twice daily.
REVIEW OF SYSTEMS
Musculoskeletal: Reports back pain.
Neurological: Denies numbness or tingling in feet.
PHYSICA... | Patient: kind of changing the subject, but my son's teacher tore a meniscus and had an arthroscopy last month.
Doctor: oh wow, hopefully he's doing better now.
Patient: yeah, sounds like he's getting around a lot better already. | 57 | The patient briefly mentions that his son's teacher had a torn meniscus treated with arthroscopy last month, and the doctor makes a casual comment about it. | meniscus tear (my son's teacher; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N153 | bystander | [patient] i hope i did n't hurt it again
[doctor] hi gregory how are you i the medical assistant told me that you injured your knee
[patient] yeah yeah i heard it stepping off a curb
[doctor] how long ago did that happen
[patient] about two and a half weeks ago
[doctor] two and a half weeks ago and what what knee is bo... | [patient] i hope i did n't hurt it again
[doctor] hi gregory how are you i the medical assistant told me that you injured your knee
[patient] yeah yeah i heard it stepping off a curb
[doctor] how long ago did that happen
[patient] about two and a half weeks ago
[doctor] two and a half weeks ago and what what knee is bo... | HISTORY OF PRESENT ILLNESS
Gregory Price is a pleasant 68-year-old male who presents to the clinic today for the evaluation of a right knee injury. The onset of his pain began 2.5 weeks ago, when he stepped off of a curb and turned over his ankle. He locates his pain to the lateral aspect of his right knee. The patien... | Patient: Our mail carrier had a knee replacement six weeks ago and is doing physiotherapy twice a week. He says the mailbox route is his unofficial obstacle course now.
Doctor: That's one way to measure progress.
Patient: Yeah, if he starts timing the stairs, the neighborhood's in trouble. | 34 | The patient makes a light joke about their mail carrier, who had a knee replacement six weeks ago and is doing physiotherapy twice a week. | knee replacement (our mail carrier; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N154 | bystander | [doctor] hi dennis how are you today
[patient] good
[doctor] so what what brings you into the office i do n't believe i have ever seen you before here
[patient] the i'm training for a triathlon and the back of my heel hurts typically after a workout or when i first get up in the morning it will really hurt in the back ... | [doctor] hi dennis how are you today
[patient] good
[patient] While I was settling in, someone from my gym was saying he slipped on the ice, broke his wrist, and has a cast for six weeks.
[doctor] Oof, that's rough. Ice sneaks up on people this time of year.
[patient] Yeah, he was joking that the cast is getting more a... | HISTORY OF PRESENT ILLNESS
Dennis Martin is a pleasant 46-year-old male who presents to the clinic today for the evaluation of right heel pain. The onset of his pain began 10 days ago while training for a triathlon. He locates his pain to the posterior aspect of his heel, which radiates proximally into his calf. His p... | Patient: While I was settling in, someone from my gym was saying he slipped on the ice, broke his wrist, and has a cast for six weeks.
Doctor: Oof, that's rough. Ice sneaks up on people this time of year.
Patient: Yeah, he was joking that the cast is getting more attention than his workouts.
Doctor: I can believe that. | 2 | The patient makes small talk about a person from his gym who slipped on ice, broke a wrist, and is in a cast for six weeks. | wrist fracture (someone from my gym; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N155 | bystander | [doctor] so hey christina good to see you today i see you're here you have a nonhealing foot ulcer well also looks like in my notes that you got some you've got type two diabetes and that probably the reason for your ear but ulcer not healing so how you doing today what's going on
[patient] doing pretty good except i c... | [doctor] so hey christina good to see you today i see you're here you have a nonhealing foot ulcer well also looks like in my notes that you got some you've got type two diabetes and that probably the reason for your ear but ulcer not healing so how you doing today what's going on
[patient] doing pretty good except i c... | CHIEF COMPLAINT
Non-healing right foot ulcer.
HISTORY OF PRESENT ILLNESS
Christina Cooper is a pleasant 77-year-old female who presents to the clinic today for the evaluation of a non-healing right foot ulcer. The onset of her wound began 1 year ago with no specific injury. The patient states that it seemed like a b... | Patient: my barber had bunion surgery and has to wear a boot.
Doctor: oh wow, i bet that makes standing all day pretty awkward.
Patient: yeah, she said she's getting pretty good at balancing on that little rolling stool. | 16 | The patient makes a passing remark about their barber, who had bunion surgery and is wearing a boot, and the doctor responds with casual small talk. | bunion surgery (my barber; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N156 | bystander | [doctor] alright julia so you've been coming to see me for a while now ever since you had an rca stent placed back in twenty eighteen but i see you're here for follow-up after an interior stemi where we had to put in another stent right so like how are you doing
[patient] well i mean it was a real shock for me i though... | [doctor] alright julia so you've been coming to see me for a while now ever since you had an rca stent placed back in twenty eighteen but i see you're here for follow-up after an interior stemi where we had to put in another stent right so like how are you doing
[patient] well i mean it was a real shock for me i though... | CHIEF COMPLAINT
Follow up status post inferior STEMI.
SURGICAL HISTORY
RCA stent 2018
MEDICATIONS
aspirin 81 mg daily
Brilinta 90 mg twice daily
Lipitor 80 mg daily
Toprol 50 mg daily
lisinopril 20 mg daily
metformin
REVIEW OF SYSTEMS
Cardiovascular: Denies chest pain.
Respiratory: Denies shortness of breath.
Mu... | Patient: While you're typing, my neighbour was saying their blood pressure medication got changed to amlodipine.
Doctor: Oh really, did they say how they felt about switching it?
Patient: They just said their own doctor wanted to try something different, and they've been joking about finally remembering the name.
Docto... | 18 | The patient makes small talk about a neighbour whose own doctors changed their blood pressure medication to amlodipine. | blood pressure medication change (a neighbour; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N157 | bystander | [doctor] hey jose how are you doing it's been about you know three or four months since i last saw you what's going on
[patient] i'm doing okay i i guess the medications are helping i'm concerned about all the medications i'm taking but i think i'm doing okay
[doctor] yeah yeah you are on a fair amount of medications y... | [doctor] hey jose how are you doing it's been about you know three or four months since i last saw you what's going on
[patient] i'm doing okay i i guess the medications are helping i'm concerned about all the medications i'm taking but i think i'm doing okay
[doctor] yeah yeah you are on a fair amount of medications y... | CHIEF COMPLAINT
Follow-up.
MEDICAL HISTORY
Patient reports having a heart attack 6 months ago, coronary artery disease, diabetes.
SURGICAL HISTORY
Patient reports history of stent placement at the left anterior descending artery.
SOCIAL HISTORY
Patient reports that he is from the west coast and is a San Francisc... | Patient: a friend had an ablation for atrial fibrillation and now he says he's got more wiring than his garage door opener
Doctor: ha well hopefully he does n't start opening the neighbor's garage by accident
Patient: yeah if he does he's charging admission | 39 | The patient briefly jokes about a friend's atrial fibrillation ablation, and the doctor joins in with light small talk about the friend's procedure. | atrial fibrillation ablation (a friend; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N158 | bystander | [doctor] yeah so sorry so barbara is a 31 -year-old female and she has history of diabetes type two and asthma and she is here today with abdominal pain so barbara tell me a little more about your abdominal pain what's been going on
[patient] so i've been having this pain for the past one week and as you know i have a ... | [doctor] yeah so sorry so barbara is a 31 -year-old female and she has history of diabetes type two and asthma and she is here today with abdominal pain so barbara tell me a little more about your abdominal pain what's been going on
[patient] so i've been having this pain for the past one week and as you know i have a ... | CHIEF COMPLAINT
Abdominal pain.
MEDICAL HISTORY
Patient reports history of diabetes type 2, asthma, and gastritis.
SOCIAL HISTORY
Patient reports history of moderately heavy alcohol use. She also enjoys coffee.
MEDICATIONS
Patient reports taking metformin 500 mg twice daily, Flovent twice daily, and albuterol as... | Patient: oh, that reminds me, a friend's father just had a colonoscopy and they took out a benign polyp, so he's been milking the sympathy a little.
Doctor: ha, people do know how to make the most of a procedure story.
Patient: seriously, he keeps bringing up the prep more than anything.
Doctor: that part seems to beco... | 38 | The patient makes a passing remark about a friend's father having a colonoscopy with a benign polyp removed, and they briefly joke about how he talks about it. | colonoscopy with polyp removal (a friend's father; gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N159 | bystander | [doctor] good afternoon alexis i understand you're having some issues with your hand
[patient] yes i sit at the keyboard all day long and recently i've been having some numbness and tingling in my right hand
[doctor] okay how long has that been going on
[patient] i do n't know probably on and off for six months but ove... | [doctor] good afternoon alexis i understand you're having some issues with your hand
[patient] yes i sit at the keyboard all day long and recently i've been having some numbness and tingling in my right hand
[doctor] okay how long has that been going on
[patient] i do n't know probably on and off for six months but ove... | CHIEF COMPLAINT
Right hand pain.
HISTORY OF PRESENT ILLNESS
Alexis Gutierrez is a pleasant 33-year-old female who presents to the clinic today for the evaluation of right hand pain.
Approximately 6 months ago, the patient began experiencing intermittent episodes of numbness and tingling in the 1st, 2nd, and 3rd dig... | Patient: While you're typing, a guy on my softball team has been off work with sciatica; they gave him naproxen and a physio referral.
Doctor: Oof, that can really sideline somebody. What position does he play?
Patient: Usually first base, so the rest of us have been rotating over there.
Doctor: First base always seems... | 31 | The patient makes brief small talk about a softball teammate who is off work with sciatica and is already being treated with naproxen and a physiotherapy referral. | sciatica (a guy on my softball team; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N160 | bystander | [doctor] hey good to see you philip so i see here you're coming in you had some right elbow pain also you have a past medical history of hypertension diabetes we are gon na check up on those as well so can you tell me what happened to your elbow
[patient] sure i hurt it about a week ago playing lacrosse with my kids ju... | [doctor] hey good to see you philip so i see here you're coming in you had some right elbow pain also you have a past medical history of hypertension diabetes we are gon na check up on those as well so can you tell me what happened to your elbow
[patient] sure i hurt it about a week ago playing lacrosse with my kids ju... | CHIEF COMPLAINT
Right elbow pain.
REVIEW OF SYSTEMS
Cardiovascular: Denies chest pain.
Gastrointestinal: Denies abdominal pain.
Musculoskeletal: Reports right elbow pain.
VITALS
Blood pressure: 150/90 mmHg
PHYSICAL EXAM
Respiratory
- Auscultation of Lungs: Clear bilaterally.
Cardiovascular
Grade 2/6 systolic ej... | Patient: My landlord is getting steroid injections for a frozen shoulder, and now he talks about his calendar like he's a professional pin cushion.
Doctor: That’s a strong rebrand for a landlord.
Patient: Yeah, he says he’s collecting appointments like rent checks. | 34 | The patient makes a light joke about his landlord, who is already being treated with steroid injections for a frozen shoulder. | frozen shoulder (my landlord; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N161 | bystander | [doctor] patient is an 82 -year-old male with past medical history significant for hypertension and stage three chronic kidney disease who presents for hospital follow-up after an acute on chronic chf exacerbation alright hey hey kevin how are you doing today
[patient] hi document well i mean i thought i was doing good... | [doctor] patient is an 82 -year-old male with past medical history significant for hypertension and stage three chronic kidney disease who presents for hospital follow-up after an acute on chronic chf exacerbation alright hey hey kevin how are you doing today
[patient] hi document well i mean i thought i was doing good... | CHIEF COMPLAINT
Hospital follow-up after acute on chronic CHF exacerbation.
MEDICAL HISTORY
Patient reports history of hypertension and stage 3 chronic kidney disease.
SOCIAL HISTORY
Patient reports being a football fan.
MEDICATIONS
Patient reports taking Bumex 2 mg once daily, Cozaar 100 mg daily, and Norvasc 5... | Patient: Oh, changing the subject for a second, a friend's father just had a heart valve repaired, and he's recovering well.
Doctor: That's good to hear. Was it one of those things where they fixed it with a clip or did he have surgery?
Patient: I think it was surgery, but he's up walking around already.
Doctor: That's... | 11 | The patient briefly mentions that a friend's father had a heart valve repaired and is recovering well, and the doctor makes casual small talk about it. | heart valve repair (a friend's father; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N162 | bystander | [patient] okay
[doctor] hi gregory hi how are you doing today
[patient] good how are you
[doctor] 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
[patient] yeah so i was going out to take off the tr... | [patient] okay
[doctor] hi gregory hi how are you doing today
[patient] good how are you
[doctor] 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
[patient] yeah so i was going out to take off the tr... | CHIEF COMPLAINT
Right ankle pain and swelling.
HISTORY OF PRESENT ILLNESS
Gregory Hernandez is a pleasant 42-year-old male who presents to the clinic today for evaluation of right ankle pain and swelling. The onset of his pain began yesterday after he slipped and fell on the ice while taking out the trash. He states... | Patient: My brother has plantar fasciitis from running and now wears orthotics, so he's been joking that everyone in the family is getting sports gear.
Doctor: Sounds like your house could open a little sporting goods shop.
Patient: Pretty much, between the shin guards and all the extra shoes.
Doctor: It does add up fa... | 18 | The patient makes a passing small-talk remark about his brother's plantar fasciitis from running and the orthotics his brother wears. | plantar fasciitis (my brother; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N163 | bystander | [doctor] julie cruz is a 17 -year-old non- binary immensipated minor with no significant past medical history presents for evaluation of newly diagnosed hypercholesterolemia patient is here at the clinic hi julie how're you doing
[patient] i'm okay
[doctor] so i now i know you're worried about you know what's been happ... | [doctor] julie cruz is a 17 -year-old non- binary immensipated minor with no significant past medical history presents for evaluation of newly diagnosed hypercholesterolemia patient is here at the clinic hi julie how're you doing
[patient] i'm okay
[doctor] so i now i know you're worried about you know what's been happ... | CHIEF COMPLAINT
Hypercholesterolemia.
SOCIAL HISTORY
Patient denies any history of smoking; however, they note that their parents smoked when they lived with them. They enjoy being outside and riding their bike on trails.
FAMILY HISTORY
Patient reports a cousin who died of a heart attack in their 40's. but denies ... | Patient: My son's teacher had a stent put in last month and is on cardiac rehab now.
Doctor: Oh wow, that sounds like a big month for him.
Patient: Yeah, the kids made him a welcome-back card.
Doctor: That's really thoughtful of them. | 29 | The patient briefly makes small talk about their son's teacher having a stent placed and doing cardiac rehab, which is unrelated to the patient's care. | coronary stent (my son's teacher; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N164 | bystander | [doctor] so elizabeth is a 53 -year-old female today complaining of chest pain and she has a past medical history of diabetes and high blood pressure so elizabeth tell me what's going on with your with your chest pain
[patient] i do n't know every time i start walking i'm just having this kind of pressure and chest pai... | [doctor] so elizabeth is a 53 -year-old female today complaining of chest pain and she has a past medical history of diabetes and high blood pressure so elizabeth tell me what's going on with your with your chest pain
[patient] i do n't know every time i start walking i'm just having this kind of pressure and chest pai... | CHIEF COMPLAINT
Chest pain on exertion.
MEDICAL HISTORY
The patient has a medical history of diabetes type 2. She has not been formally diagnosed with hypertension, but her blood pressures have been trending high.
FAMILY HISTORY
Patient reports family history of heart disease.
MEDICATIONS
Patient reports taking ... | Patient: Busy weekend around our block—our mail carrier just got a pacemaker for a slow heart rhythm, so someone else covered the route.
Doctor: Oh wow, I bet that changed the timing a bit.
Patient: It did, everything showed up late Saturday.
Doctor: Weekends always seem to find a way to get shuffled around like that. | 36 | The patient makes brief weekend small talk about their mail carrier, a third party who recently got a pacemaker for a slow heart rhythm. | pacemaker (our mail carrier; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N165 | bystander | [doctor] hey sophia how are you doing today
[patient] i've been better my primary care doctor wanted me to see you because of this knee pain that i've been having for about six months now
[doctor] okay do you remember what caused the pain initially
[patient] you know i really ca n't recall any specific event that cause... | [doctor] hey sophia how are you doing today
[patient] i've been better my primary care doctor wanted me to see you because of this knee pain that i've been having for about six months now
[doctor] okay do you remember what caused the pain initially
[patient] you know i really ca n't recall any specific event that cause... | CHIEF COMPLAINT
Bilateral knee pain.
HISTORY OF PRESENT ILLNESS
Sophia Jackson is a pleasant 30-year-old female who presents to the clinic today for the evaluation of bilateral knee pain. She was referred by her primary care provider. The onset of her pain began 6 months ago. She denies any specific injury. The pati... | Patient: my aunt has whiplash after a minor car accident and is doing neck exercises.
Doctor: Oh no, that sounds like a hassle. Is she getting tired of the routine yet?
Patient: A little, but she says her physical therapist keeps her on track.
Doctor: That helps. Those little exercise sheets seem to end up on every fri... | 29 | The patient makes small talk about her aunt, who has whiplash from a minor car accident and is doing neck exercises with guidance from her own physical therapist. | whiplash (my aunt; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N166 | bystander | [doctor] hey kyle so i see here on your chart that you've been having some back pain could you tell me like how you've been doing what's going on
[patient] yeah i have this real bad low back pain it started a couple of weeks ago i was lifting something and i just felt a pop and i i do n't know what's going on
[doctor] ... | [doctor] hey kyle so i see here on your chart that you've been having some back pain could you tell me like how you've been doing what's going on
[patient] yeah i have this real bad low back pain it started a couple of weeks ago i was lifting something and i just felt a pop and i i do n't know what's going on
[doctor] ... | HISTORY OF PRESENT ILLNESS
Kyle Morales is a pleasant 58-year-old male who presents to the clinic today for the evaluation of low back pain.
Onset of his pain began 2 weeks ago, when he was lifting a box of books and felt a pop. The pain is described as aching and sharp. His pain has been increasing since the time of... | Patient: changing the subject for a second, my uncle had a hip replacement and is walking with a cane for now.
Doctor: Oh wow, those canes always seem to get decorated with stickers somehow.
Patient: Yeah, his already has a couple on it. | 47 | The patient makes a brief side remark about his uncle recovering from a hip replacement and using a cane, and the doctor responds with light small talk. | hip replacement (my uncle; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N167 | bystander | [doctor] angela good to see you today so i'm writing here in my notes that you're you're coming in you had some left knee pain so how did you hurt your knee
[patient] yeah so i hurt my knee the other day when i was running around with my niece she she is learning how to take off the training wheels for her bike
[doctor... | [doctor] angela good to see you today so i'm writing here in my notes that you're you're coming in you had some left knee pain so how did you hurt your knee
[patient] yeah so i hurt my knee the other day when i was running around with my niece she she is learning how to take off the training wheels for her bike
[doctor... | HISTORY OF PRESENT ILLNESS
Angela Powell is a pleasant 81-year-old female who presents to the clinic today for the evaluation of left knee pain. The onset of her pain began 1 week ago, when she was running around with her niece and fell. At the time of the injury, she heard a pop and believes that she twisted her knee... | Patient: my cousin tore a rotator cuff playing tennis and is waiting for surgery, so i told him our family should probably stick to board games.
Doctor: tennis can be ruthless like that.
Patient: seriously, one backhand and suddenly everybody's acting eighty.
Doctor: that's a pretty expensive match. | 7 | The patient briefly jokes about a cousin who tore a rotator cuff playing tennis and is waiting for surgery, and the doctor joins in the light humor. | rotator cuff tear (my cousin; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N186 | bystander | [doctor] hey sean nice to see you i heard you that you have some back pain
[patient] yeah it's nice to see you too it's been a while
[doctor] yeah
[patient] yeah yeah you know i had some back surgery and for some reason i always had lower
[doctor] left back pain when was your back surgery
[patient] it was in november o... | [doctor] hey sean nice to see you i heard you that you have some back pain
[patient] yeah it's nice to see you too it's been a while
[doctor] yeah
[patient] yeah yeah you know i had some back surgery and for some reason i always had lower
[doctor] left back pain when was your back surgery
[patient] it was in november o... | CHIEF COMPLAINT
Low back pain, left side.
HISTORY OF PRESENT ILLNESS
Sean Phillips is a pleasant 35-year-old male who presents to the clinic today for the evaluation of left-sided low back pain.
The patient has been experiencing pain in the left side of his low back, generally localized around the surgical site of ... | Patient: While you're typing, my mother-in-law tore a meniscus and had an arthroscopy last month.
Doctor: Oof, knee stuff can really slow people down. How's she doing with it?
Patient: Better now, she's been showing off the little bandage like a trophy. | 42 | The patient makes small talk about his mother-in-law having a torn meniscus treated with arthroscopy last month, and the doctor responds conversationally. | meniscus tear (my mother-in-law; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N187 | bystander | [doctor] well good morning emily how are you
[patient] good morning
[doctor] how are you doing
[patient] doing okay i'm okay
[doctor] i understand you're having some sudden visual distortions and some blurring of your vision is that right
[patient] it is yes
[doctor] okay so what's going on
[patient] sorry to put you o... | [doctor] well good morning emily how are you
[patient] good morning
[doctor] how are you doing
[patient] doing okay i'm okay
[doctor] i understand you're having some sudden visual distortions and some blurring of your vision is that right
[patient] it is yes
[doctor] okay so what's going on
[patient] sorry to put you o... | CHIEF COMPLAINT
Changes in vision.
SOCIAL HISTORY
Patient smokes approximately 1 pack of cigarettes per day.
REVIEW OF SYSTEMS
Eyes: Reports visual distortions and blurred vision.
PHYSICAL EXAM
Eyes
- Examination: Anterior segment examination reveals posterior chamber intraocular lenses in both eyes.
Right eye: ... | Patient: My sister had their tonsils out and lived on ice cream for a week, which honestly sounded like a pretty good deal.
Doctor: That does make it sound like the most cheerful recovery menu around.
Patient: Right, like the hospital accidentally wrote a dessert prescription.
Doctor: If only more paperwork came with t... | 28 | The patient makes a light joke about their sister recovering from a tonsil procedure by eating ice cream for a week, and the doctor joins in the small talk. | tonsillectomy (my sister; ent_ophthalmic_dental) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N188 | bystander | [doctor] hi jaqueline how are you i heard that you injured your ankle
[patient] yeah it's not going so great
[doctor] what what happened to your ankle
[patient] well i was doing something i did n't really want to be doing and i fell and now my ankle hurts
[doctor] okay well what were you doing were you hiking or biking... | [doctor] hi jaqueline how are you i heard that you injured your ankle
[patient] yeah it's not going so great
[doctor] what what happened to your ankle
[patient] well i was doing something i did n't really want to be doing and i fell and now my ankle hurts
[doctor] okay well what were you doing were you hiking or biking... | CHIEF COMPLAINT
Right ankle injury.
HISTORY OF PRESENT ILLNESS
Jacqueline Price is a pleasant 28-year-old female who presents to the clinic today for the evaluation of a right ankle injury. The patient sustained the injury when she fell while in mountain biking lessons. She states that her ankle twisted outward. The... | Patient: A coworker had a knee replacement six weeks ago and is doing physiotherapy twice a week, so at least I'm not the office champion of awkward walking.
Doctor: That's a pretty competitive title.
Patient: Yeah, I think the trophy is just an ice pack with googly eyes. | 36 | The patient makes a light joke about a coworker who had a knee replacement six weeks ago and is doing physiotherapy twice a week. | knee replacement (a coworker; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N189 | bystander | [doctor] hi betty how are you i i read in the medical records that you ended you did end up having a heart attack they ended up putting a stent in your right coronary artery how are you doing
[patient] i'm thankful to be alive but definitely struggling and definitely scary time for me
[doctor] yeah you know i'm i'm i'm... | [doctor] hi betty how are you i i read in the medical records that you ended you did end up having a heart attack they ended up putting a stent in your right coronary artery how are you doing
[patient] i'm thankful to be alive but definitely struggling and definitely scary time for me
[doctor] yeah you know i'm i'm i'm... | CHIEF COMPLAINT
Follow up.
MEDICAL HISTORY
Patient reports an myocardial infarction.
SURGICAL HISTORY
Patient reports stent placement in the right coronary artery.
SOCIAL HISTORY
Patient is a fan of the Denver Nuggets basketball team. He also enjoys swimming.
MEDICATIONS
Patient reports taking Brilinta twice a... | Patient: Sorry, I was just thinking of my neighbor—she had varicose vein surgery and now she wears those compression stockings all the time.
Doctor: Oh wow, those are hard to miss.
Patient: Yeah, she jokes they’re her fanciest socks now. | 29 | The patient makes small talk about a neighbor who had varicose vein surgery and wears compression stockings. | varicose vein surgery (a neighbour; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N190 | bystander | [patient] and good morning hi beverly
[doctor] good morning
[patient] how do you see your last name
[doctor] howard
[patient] howard nice to meet you
[doctor] you too
[patient] what can i do for you today
[doctor] well i think i like fell off of my tandem bike with my partner and my knee has been hurting ever since and... | [patient] and good morning hi beverly
[doctor] good morning
[patient] how do you see your last name
[doctor] howard
[patient] howard nice to meet you
[doctor] you too
[patient] what can i do for you today
[doctor] well i think i like fell off of my tandem bike with my partner and my knee has been hurting ever since and... | HISTORY OF PRESENT ILLNESS
Beverly Howard is a pleasant 33-year-old female who presents to the clinic today for the evaluation of right knee pain.
The patient reports that she fell off of a tandem bicycle and struck her right knee on a curb approximately 2 weeks ago. After the injury, she took ibuprofen and treated t... | Patient: While you're typing, my neighbor slipped on the ice and broke a wrist, so now they're in a cast for six weeks.
Doctor: Oof, six weeks is a long stretch. Ice really sneaks up on people.
Patient: Yeah, they said the cast is bright blue, so at least they're making it look cheerful. | 86 | The patient makes small talk about a neighbor who slipped on ice, broke a wrist, and is already being treated with a six-week cast. | wrist fracture (a neighbour; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N191 | bystander | [doctor] so hi zachary good to see you today so i'm looking at my notes i see you coming in with some right elbow pain and you also have a past medical history of hypertension diabetes we're gon na check on those so can you tell me what happened to your elbow
[patient] i just woke up one day it was hurting
[doctor] it ... | [doctor] so hi zachary good to see you today so i'm looking at my notes i see you coming in with some right elbow pain and you also have a past medical history of hypertension diabetes we're gon na check on those so can you tell me what happened to your elbow
[patient] i just woke up one day it was hurting
[doctor] it ... | CHIEF COMPLAINT
Left arm pain.
HISTORY OF PRESENT ILLNESS
Zachary Wood is a 45-year-old right-hand-dominant male who presents to the clinic today for the evaluation of left arm pain. The onset of his pain began yesterday when he woke up with pain. He denies any specific injury. The patient locates his pain from his ... | Patient: Changing the subject for a second, a guy on my softball team had their blood pressure medication changed to amlodipine.
Doctor: Oh yeah? Softball season keeping you busy?
Patient: A little, mostly just weekend games.
Doctor: Nice, weekend leagues can be a lot of fun. | 27 | The patient makes a passing remark about a softball teammate whose own doctors changed that person's blood pressure medicine to amlodipine, and they briefly chat about weekend softball. | blood pressure medication change (a guy on my softball team; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N192 | bystander | [doctor] karen is a 34 -year-old female with a history of chronic migraines and hypertension who is here today with abdominal pain so hi there karen it's nice to see you again listen i'm sorry you're not feeling well and you've got abdominal pain like to talk about that in some detail with you but hey i wan na use this... | [doctor] karen is a 34 -year-old female with a history of chronic migraines and hypertension who is here today with abdominal pain so hi there karen it's nice to see you again listen i'm sorry you're not feeling well and you've got abdominal pain like to talk about that in some detail with you but hey i wan na use this... | CHIEF COMPLAINT
Abdominal pain.
MEDICAL HISTORY
Patient reports history of chronic migraines and hypertension.
SOCIAL HISTORY
Patient reports enjoyment in traveling and notes that she has not had any big trips since visiting Europe last summer.
MEDICATIONS
Patient reports use of Excedrin Migraine when needed and... | Patient: my cousin just had an inguinal hernia repaired with mesh.
Doctor: Oh wow, hopefully they're taking it easy now.
Patient: Yeah, they're milking the no-lifting rule at home.
Doctor: I probably would too. | 39 | The patient makes brief small talk about a cousin who recently had an inguinal hernia repair with mesh, and the doctor responds casually. | hernia repair (my cousin; gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N193 | bystander | [doctor] good alright hello hannah how are you today
[patient] i'm doing well
[doctor] you're doing well
[patient] i did have this this hacking cough for about three days now
[doctor] okay tell me more about that cough
[patient] it started three days ago i was around my sister and she has been sick with the same kind o... | [doctor] good alright hello hannah how are you today
[patient] i'm doing well
[doctor] you're doing well
[patient] i did have this this hacking cough for about three days now
[doctor] okay tell me more about that cough
[patient] it started three days ago i was around my sister and she has been sick with the same kind o... | CHIEF COMPLAINT
Cough.
MEDICAL HISTORY
Patient reports history of seasonal allergies, diabetes type 2, and hypertension.
MEDICATIONS
Patient reports taking metformin 500 mg as well as hydrochlorothiazide every day.
REVIEW OF SYSTEMS
Constitutional: Denies any fever or body aches.
HENT: Reports sore throat and na... | Patient: Weekend was pretty quiet, though our mail carrier was switched to a new asthma inhaler.
Doctor: Oh wow, hopefully that makes the route a little easier for them.
Patient: Yeah, they said it's one of those dry powder ones, so we'll see how they like it. | 49 | The patient makes brief weekend small talk about their mail carrier being switched to a new asthma inhaler, which is unrelated to the patient's care. | asthma inhaler switch (our mail carrier; respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N194 | bystander | [doctor] hey betty how're you
[patient] i'm doing okay aside from this left shoulder pain that i've been having for a few weeks now
[doctor] wow well i'm sorry to hear that do you remember what you were doing when the pain started
[patient] i you know i ca n't think about anything specifically but i am very active and ... | [doctor] hey betty how're you
[patient] i'm doing okay aside from this left shoulder pain that i've been having for a few weeks now
[doctor] wow well i'm sorry to hear that do you remember what you were doing when the pain started
[patient] i you know i ca n't think about anything specifically but i am very active and ... | CHIEF COMPLAINT
Left shoulder pain.
HISTORY OF PRESENT ILLNESS
Betty Rogers is a pleasant 50-year-old female who presents to the clinic today for the evaluation of left shoulder pain.
For the past few weeks, the patient has been experiencing constant pain isolated to the left shoulder. She denies any known injury o... | Patient: while you're typing, a friend of mine just had bunion surgery and has to wear one of those big boots for a few weeks.
Doctor: oh wow, those boots are hard to miss. are they getting around okay?
Patient: yeah, slowly, but they're making jokes about decorating it.
Doctor: that's actually pretty funny. | 33 | The patient makes small talk about a friend who had bunion surgery and is wearing a boot, and the doctor responds casually. | bunion surgery (a friend; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N195 | bystander | [doctor] hey matthew how is it going good to see you today i see here in your notes you are here for some right knee pain and we are also going to check up on your hypertension and diabetes so can you tell me what happened to your knee
[patient] yes so i was playing basketball yesterday and when i went up for a rebound... | [doctor] hey matthew how is it going good to see you today i see here in your notes you are here for some right knee pain and we are also going to check up on your hypertension and diabetes so can you tell me what happened to your knee
[patient] yes so i was playing basketball yesterday and when i went up for a rebound... | CHIEF COMPLAINT
Right knee pain
HISTORY OF PRESENT ILLNESS
Matthew Allen is a pleasant 40-year-old male who presents to the clinic today for the evaluation of right knee pain. The onset of his pain began yesterday after he went up for a rebound while playing basketball and felt a pop in his knee. He states that he e... | Patient: While you're typing, a friend's dad has been off work with sciatica; his doctor gave him naproxen and a physio referral.
Doctor: Oh wow, that can really sideline somebody. Is he at least in decent spirits?
Patient: Yeah, sounds like he's hanging in there and trying to take it easy. | 35 | The patient makes small talk about a friend's father being off work with sciatica and already being treated with naproxen and a physiotherapy referral. | sciatica (a friend's father; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N196 | bystander | [doctor] mister thompson is a 67 -year-old male with a history of essential hypertension hyperlipidemia and osteoarthritis who is here today with elevated and fluctuating blood pressures so hi there mister thompson it's nice to see you again listen i understand you're having some trouble with your blood pressure contro... | [doctor] mister thompson is a 67 -year-old male with a history of essential hypertension hyperlipidemia and osteoarthritis who is here today with elevated and fluctuating blood pressures so hi there mister thompson it's nice to see you again listen i understand you're having some trouble with your blood pressure contro... | CHIEF COMPLAINT
Elevated and fluctuating blood pressures.
MEDICAL HISTORY
Patient reports history of essential hypertension, hyperlipidemia, and osteoarthritis.
SOCIAL HISTORY
Patient reports he enjoys playing golf.
MEDICATIONS
Patient reports he is taking lisinopril 20 mg twice per day, atorvastatin, and occasi... | Patient: Oh, changing the subject for a second, my landlord had an ablation for atrial fibrillation and was bragging that he's already back to doing his crossword on the porch.
Doctor: Ha, some people make recovery sound like a hobby. Is he the kind who chats with everybody in the building?
Patient: Pretty much, he kno... | 31 | The patient briefly mentions that his landlord had an ablation for atrial fibrillation, and they make small talk about the landlord being chatty. | atrial fibrillation ablation (my landlord; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N197 | bystander | [doctor] so donna is a 37 -year-old female she is here with complaint of headache she has a history of hypertension and diabetes so donna tell me what's going on
[patient] yeah lately i've just been having quite a bit of a headache and i mean every now and then i'll get it but lately it's just been getting worse and i'... | [doctor] so donna is a 37 -year-old female she is here with complaint of headache she has a history of hypertension and diabetes so donna tell me what's going on
[patient] yeah lately i've just been having quite a bit of a headache and i mean every now and then i'll get it but lately it's just been getting worse and i'... | CHIEF COMPLAINT
Headache.
MEDICAL HISTORY
Patient reports history of hypertension and diabetes. She has migraines rarely every 1 to 2 years.
SOCIAL HISTORY
Patient reports she walks for exercise.
ALLERGIES
Patient reports history of seasonal allergies.
MEDICATIONS
Patient reports taking lisinopril 20 mg once a... | Patient: One of my coworkers just had a heart valve repaired and is recovering well, so now he's milking it for the good parking spot.
Doctor: Ha, once you get premium parking, it's hard to give it up.
Patient: Exactly, I told him he'll be fully healed the day he stops mentioning it. | 28 | The patient makes a light joke about a coworker who had a heart valve repair and is recovering well. | heart valve repair (a coworker; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N198 | bystander | [doctor] okay michael so i see in here that you're here because you're experiencing some symptoms that your pcp was concerned about i also see that he ordered a ct so could you tell me what what started what happened why do you think you are here
[patient] hi doctor how are you
[doctor] hi i'm great thanks for asking
[... | [doctor] okay michael so i see in here that you're here because you're experiencing some symptoms that your pcp was concerned about i also see that he ordered a ct so could you tell me what what started what happened why do you think you are here
[patient] hi doctor how are you
[doctor] hi i'm great thanks for asking
[... | CHIEF COMPLAINT
Back pain.
MEDICAL HISTORY
Patient reports that he has a frequent history of strep throat with 4 episodes within the last 5 months.
SOCIAL HISTORY
Patient reports that he is a student. He also mentions that he rides his bike every so often and that he is in the process of switching jobs. His new jo... | Patient: My aunt had a vasectomy and took a week off, which is still the funniest sentence I've heard this month.
Doctor: That's impressive commitment to the bit.
Patient: Our family group chat has not recovered.
Doctor: I believe it, somebody's definitely saving screenshots. | 49 | The patient makes a light joke about an aunt's vasectomy and the family group chat, which is unrelated to the patient's care. | vasectomy (my aunt; genitourinary) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N199 | bystander | [doctor] hi billy how are you doing the medical assistant told me that you have a cough today
[patient] yep i'm doing pretty good you know cough started about a week ago or so you know i just started bringing up some yellow stuff and not feeling the greatest the last two days though
[doctor] okay alright so the cough s... | [doctor] hi billy how are you doing the medical assistant told me that you have a cough today
[patient] yep i'm doing pretty good you know cough started about a week ago or so you know i just started bringing up some yellow stuff and not feeling the greatest the last two days though
[doctor] okay alright so the cough s... | CHIEF COMPLAINT
Cough.
MEDICAL HISTORY
Patient reports history of hypertension and diabetes.
SOCIAL HISTORY
Patient reports that he is a teacher.
MEDICATIONS
Patient reports taking lisinopril 20 mg daily and metformin 1000 mg twice a day.
REVIEW OF SYSTEMS
Constitutional: Reports "feeling warm". Denies chills.... | Patient: while i was coming in my neighbour was telling me they had nasal polyps removed and can finally breathe through the nose.
Doctor: wow, i bet they were thrilled after that.
Patient: yeah, they said the procedure made a huge difference.
Doctor: it's always nice hearing somebody so happy about that kind of thing. | 41 | The patient makes small talk about a neighbour who had nasal polyps removed and is breathing better now; it is only about the neighbour. | nasal polyp surgery (a neighbour; respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N200 | bystander | [doctor] alright okay theresa so i understand that you're you're having a bit of some headache here and then your blood pressure has been running high can you tell me a little bit about what's happening
[patient] yeah i've had blood high blood pressure for a long time my provider gave me chlorthalidone i do n't really ... | [doctor] alright okay theresa so i understand that you're you're having a bit of some headache here and then your blood pressure has been running high can you tell me a little bit about what's happening
[patient] yeah i've had blood high blood pressure for a long time my provider gave me chlorthalidone i do n't really ... | CHIEF COMPLAINT
Headache and high blood pressure.
REVIEW OF SYSTEMS
Respiratory: Denies shortness of breath.
Cardiovascular: Denies chest pain.
Neurological: Reports blurry vision, dizziness, and headaches.
VITALS
Blood pressure today was 172/98. Oxygenation is within normal limits.
PHYSICAL EXAM
Neck
- General ... | Patient: over the weekend i ran into my neighbour, he had a stent put in last month and he's doing cardiac rehab now.
Doctor: oh wow, sounds like he's keeping busy with appointments.
Patient: yeah, he was still out watering his tomatoes and chatting with everybody.
Doctor: tomatoes always seem to take over the whole we... | 26 | The patient makes small talk about a neighbour who had a stent last month and is now in cardiac rehab, with no relation to the patient's own care. | coronary stent (a neighbour; cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N201 | bystander | [doctor] hey steven so i see that you're here and you've been experiencing some back pain for a while could you tell me a bit about that
[patient] yeah it's been back has been hurting for a while
[doctor] mm-hmm
[patient] for about a couple of years and tried a couple things but nothing seems to work
[doctor] okay so l... | [doctor] hey steven so i see that you're here and you've been experiencing some back pain for a while could you tell me a bit about that
[patient] while i'm getting settled, my son's teacher is getting steroid injections for a frozen shoulder.
[doctor] oh wow, hopefully that gives them some relief. is the teacher still... | CHIEF COMPLAINT
Back pain.
HISTORY OF PRESENT ILLNESS
Steven Reed is a pleasant 60-year-old male who presents to the clinic today for evaluation of back pain. The onset of his pain began 2 years ago after he fell and landed onto his back while playing basketball. His pain is rated at 7 out of 10 and is described a s... | Patient: while i'm getting settled, my son's teacher is getting steroid injections for a frozen shoulder.
Doctor: oh wow, hopefully that gives them some relief. is the teacher still trying to work through it?
Patient: yeah, sounds like it, just taking it day by day.
Doctor: teachers really do push through a lot. | 1 | The patient makes small talk about his son's teacher, who is being treated elsewhere with steroid injections for a frozen shoulder. | frozen shoulder (my son's teacher; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N202 | bystander | [doctor] good morning sharon how you doing
[patient] hi i'm i'm okay today i'm having some shoulder pain
[doctor] i see that i see that here in the nurse's notes it looks like you're having some right shoulder pain says here that you've guys have been remodeling your house what do you do you remember what you were doin... | [doctor] good morning sharon how you doing
[patient] hi i'm i'm okay today i'm having some shoulder pain
[doctor] i see that i see that here in the nurse's notes it looks like you're having some right shoulder pain says here that you've guys have been remodeling your house what do you do you remember what you were doin... | CHIEF COMPLAINT
Right shoulder pain.
HISTORY OF PRESENT ILLNESS
Sharon Wright is a pleasant 36-year-old female who presents to the clinic today for the evaluation of right shoulder pain. The onset of her pain began 3 weeks ago, when she was painting on a ladder when she reached out to catch herself because she fell.... | Patient: Funny enough, someone from my gym has plantar fasciitis from running and now wears orthotics.
Doctor: Oh wow, those gym conversations cover everything.
Patient: They really do, especially by the water fountain. | 20 | The patient makes a passing remark about a person from the gym who has plantar fasciitis from running and now wears orthotics, which is unrelated to the patient's care. | plantar fasciitis (someone from my gym; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N203 | bystander | [doctor] good afternoon matthew how are you
[patient] i'm okay
[doctor] it looks like here that the that you've been brought in for some vision changes and looks like you're having trouble with your right eye can you tell me a little bit about what brought you in to see me today
[patient] yeah you know i started notici... | [doctor] good afternoon matthew how are you
[patient] i'm okay
[doctor] it looks like here that the that you've been brought in for some vision changes and looks like you're having trouble with your right eye can you tell me a little bit about what brought you in to see me today
[patient] yeah you know i started notici... | CHIEF COMPLAINT
Vision changes in the right eye.
MEDICAL HISTORY
Patient reports history of high blood pressure.
SOCIAL HISTORY
Patient reports he is smoking 1 pack of cigarettes daily.
REVIEW OF SYSTEMS
Eyes: Reports right eye vision changes.
PHYSICAL EXAM
Eyes
- Examination of the right eye: Posterior chambe... | Patient: while you're typing this up, my neighbour just got fitted for hearing aids.
Doctor: oh really how's he liking them so far
Patient: he says they're tiny and sit right behind the ear, and now he can hear the birds in the morning again.
Doctor: that's pretty neat i always think those little devices are impressive... | 31 | The patient makes small talk about a neighbour who was fitted for hearing aids and says the neighbour is already using the device. | hearing aid fitting (a neighbour; ent_ophthalmic_dental) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N204 | bystander | [doctor] okay well hi joe i understand you've hurt your knee how how are you doing
[patient] i'm doing okay this feels you know definitely feels like it's swollen and kinda hurts me a little bit
[doctor] so what did you do what happened
[patient] i was i was skiing with some with some friends and i was going down it wa... | [doctor] okay well hi joe i understand you've hurt your knee how how are you doing
[patient] While I was settling in, my barber was telling me he has whiplash after a minor car accident and is doing neck exercises.
[doctor] Oh wow, that's a rough way to end up missing work for a bit.
[patient] Yeah, he said his own doc... | CHIEF COMPLAINT
Right knee injury.
HISTORY OF PRESENT ILLNESS
Joe Reed is a pleasant 42-year-old male who presents to the clinic today for the evaluation of a right knee injury. The patient sustained this injury when he was skiing with some friends. He states the front end of his skis dug into the snow and he ended ... | Patient: While I was settling in, my barber was telling me he has whiplash after a minor car accident and is doing neck exercises.
Doctor: Oh wow, that's a rough way to end up missing work for a bit.
Patient: Yeah, he said his own doctors have him on a pretty regular routine.
Doctor: Hopefully the exercises get him bac... | 1 | The patient makes small talk about his barber, who has whiplash from a minor car accident and is already being treated with neck exercises by his own doctors. | whiplash (my barber; musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N205 | bystander | [doctor] hey angela how are you
[patient] i'm good how are you
[doctor] i'm good so i see we are here you had a recent diagnosis of stage three nonsmol cell lung cancer and so we are following up on your neo adevant chemotherapy so you can you tell me how you're doing today
[patient] yeah you know i'm i'm doing okay i ... | [doctor] hey angela how are you
[patient] i'm good how are you
[doctor] i'm good so i see we are here you had a recent diagnosis of stage three nonsmol cell lung cancer and so we are following up on your neo adevant chemotherapy so you can you tell me how you're doing today
[patient] yeah you know i'm i'm doing okay i ... | CHIEF COMPLAINT
Follow-up of stage III non-small cell lung cancer.
MEDICAL HISTORY
Patient reports recent diagnosis of stage III non-small cell lung cancer.
SOCIAL HISTORY
Patient reports she was previously active taking mile long walks with her doberman. She states her husband is her support system and has been h... | Patient: changing the subject for a second, a friend of mine broke a rib, ended up with a collapsed lung, and needed a chest tube.
Doctor: Oh wow, that sounds like a rough stretch.
Patient: Yeah, he's doing better now, but it sounded pretty intense.
Doctor: I bet, those stories really stick with you. | 29 | The patient briefly mentions a friend who had a collapsed lung after a broken rib and was treated with a chest tube, and the doctor makes small talk about it. | collapsed lung after rib fracture (a friend; respiratory) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N077 | nonliteral | [doctor] hey diana it's good to see you in here so i see that you injured your wrist could you tell me a bit about what happened
[patient] yeah i was walking up and down the stairs i was doing my laundry and i slipped and i tried to catch myself and i put my arms out to catch myself and then all of a sudden i just my w... | [doctor] hey diana it's good to see you in here so i see that you injured your wrist could you tell me a bit about what happened
[patient] yeah i was walking up and down the stairs i was doing my laundry and i slipped and i tried to catch myself and i put my arms out to catch myself and then all of a sudden i just my w... | CHIEF COMPLAINT
Right wrist injury.
HISTORY OF PRESENT ILLNESS
Diana Scott is a pleasant 61-year-old female who presents to the clinic today for the evaluation of a right wrist injury. The patient sustained this injury yesterday morning, 05/12/2022, when she slipped on the stairs while carrying a laundry basket. She... | Patient: My weekend was mostly yelling at the TV; my football team's defence has a hernia, it just keeps giving way.
Doctor: That's a rough watch.
Patient: Every lead feels temporary with that bunch.
Doctor: Sounds like a long season already. | 56 | The patient makes a joking comment about their football team's weak defence over the weekend, and the doctor chats about the game. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N078 | nonliteral | [doctor] hey philip good to see you today so take a look here at my notes i see you're coming in for some right knee pain and you have a past medical history of hypertension and we will take a look at that so can you tell me what happened to your knee
[patient] yeah i was you know i was just doing some work on my prope... | [doctor] hey philip good to see you today so take a look here at my notes i see you're coming in for some right knee pain and you have a past medical history of hypertension and we will take a look at that so can you tell me what happened to your knee
[patient] Sorry, I was up too late finishing this novel with a reall... | CHIEF COMPLAINT
Right knee pain.
REVIEW OF SYSTEMS
Cardiovascular: Denies chest pain.
Respiratory: Denies shortness of breath.
Gastrointestinal: Denies abdominal pain.
Musculoskeletal: Reports right knee pain.
PHYSICAL EXAM
Respiratory
- Auscultation of Lungs: Clear bilaterally. No wheezes.
Cardiovascular
- Auscu... | Patient: Sorry, I was up too late finishing this novel with a really fractured plot, had to keep flipping back to figure out who was where.
Doctor: Those can be fun when they land, frustrating when they don't.
Patient: Yeah, this one felt like a jigsaw puzzle with half the edge pieces missing.
Doctor: That's a pretty g... | 1 | The patient makes small talk about staying up late reading a novel with a fractured plot, and the doctor chats about that book description. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N079 | nonliteral | [doctor] hi wayne how're you today
[patient] i'm doing okay aside from this left shoulder pain that i've been having
[doctor] okay and how long have you had this pain
[patient] about i want to say a few weeks i think it's been about three weeks now
[doctor] okay and do you remember what you were doing when the pain sta... | [doctor] hi wayne how're you today
[patient] Sorry, my shirt's covered in cat hair—Lupus insisted on supervising while I was getting ready.
[doctor] Lupus is a great cat name. Is he the kind who acts like he runs the whole house?
[patient] Absolutely, especially if I open the Tylenol bottle; he comes over like he's the... | CHIEF COMPLAINT
Left shoulder pain.
HISTORY OF PRESENT ILLNESS
Wayne Taylor is a pleasant 66-year-old male who presents to the clinic today for the evaluation of left shoulder pain. The onset of his pain began 3 weeks ago. He denies any specific injury. The patient states he is active and has been renovating his bas... | Patient: Sorry, my shirt's covered in cat hair—Lupus insisted on supervising while I was getting ready.
Doctor: Lupus is a great cat name. Is he the kind who acts like he runs the whole house?
Patient: Absolutely, especially if I open the Tylenol bottle; he comes over like he's the foreman.
Doctor: Sounds like he's ver... | 1 | The patient makes small talk about his cat named Lupus while settling in, and the doctor chats about the cat's personality. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N080 | nonliteral | [doctor] okay hi andrea well i
[patient] hello
[doctor] i understand you're you've come in with some right knee pain can you tell me about it what's going on
[patient] it it's not the right knee it's the left knee
[doctor] okay the left knee
[patient] and it just happens occasionally less than once a day when i'm walki... | [doctor] okay hi andrea well i
[patient] hello
[doctor] i understand you're you've come in with some right knee pain can you tell me about it what's going on
[patient] it it's not the right knee it's the left knee
[doctor] okay the left knee
[patient] and it just happens occasionally less than once a day when i'm walki... | CHIEF COMPLAINT
Left knee pain.
HISTORY OF PRESENT ILLNESS
Andrea Barnes is a 34-year-old female who presents today for evaluation of left knee pain.
The patient has been experiencing intermittent episodes of pain and sudden instability with ambulation. Her pain is localized deep in her patella and occurs less than... | Patient: That title Concussion always sounds like a football getting an attitude problem.
Doctor: Ha, right? Like the ball storms off set demanding its own trailer.
Patient: And top billing over the popcorn.
Doctor: Only if it promises not to out-act the cast. | 53 | The patient and doctor briefly joke about the movie title Concussion as if it were a dramatic football. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N081 | nonliteral | [doctor] so beverly is a 53 -year-old female with a recent diagnosis of stage three nonsmile cell lung cancer who presents for follow-up during neo agit chemotherapy she was diagnosed with a four . four centimeter left upper lobe nodule biopsy was positive for adenocarcinoma molecular testing is pending at this time al... | [doctor] so beverly is a 53 -year-old female with a recent diagnosis of stage three nonsmile cell lung cancer who presents for follow-up during neo agit chemotherapy she was diagnosed with a four . four centimeter left upper lobe nodule biopsy was positive for adenocarcinoma molecular testing is pending at this time al... | CHIEF COMPLAINT
Follow up of stage III non-small cell lung cancer.
MEDICAL HISTORY
Patient reports history of stage III non-small cell lung cancer.
SOCIAL HISTORY
Patient reports having a good family support system and that some of her family has accompanied her to her chemotherapy sessions.
MEDICATIONS
Patient ... | Patient: Over the weekend my family put on Contagion, and I kept saying that was a bold choice for movie night.
Doctor: That is a bold one for a weekend watch.
Patient: It somehow turned into the popcorn movie anyway.
Doctor: Funny how that happens. | 19 | The patient makes brief weekend small talk about watching the movie Contagion with family, and the doctor responds casually. | the film Contagion (respiratory) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N082 | nonliteral | [doctor] alright
[patient] you're ready just
[doctor] ready
[patient] hi kyle how are you today
[doctor] i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today
[patient] yeah i bet that did make you nervous i i see that she referred you for a... | [doctor] alright
[patient] you're ready just
[doctor] ready
[patient] hi kyle how are you today
[doctor] i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today
[patient] yeah i bet that did make you nervous i i see that she referred you for a... | HISTORY OF PRESENT ILLNESS
Kyle Lee is a pleasant 46-year-old male who presents to the clinic today for evaluation of low immunoglobulin A level. He was referred to our offices by his primary care physician after routine labs revealed abnormalities. The patient states he has been experiencing frequent infections. Duri... | Patient: over the weekend my friend said my plans were very Cancer, like I was hiding in my shell from yard work.
Doctor: that's a pretty good line.
Patient: yeah, I told her the stars were just protecting my Saturday.
Doctor: sounds like she had your number. | 39 | The patient makes a joking weekend comment about the zodiac sign Cancer, and the doctor chats along. | the zodiac sign Cancer (hematologic_oncologic) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N083 | nonliteral | [doctor] hey lawrence how're you doing
[patient] i'm doing alright aside from this elbow pain
[doctor] so it looks like here that you came in to see us today for an evaluation of that right elbow pain can you tell me can you can you tell me well first of all what do you think has been causing that pain
[patient] so i r... | [doctor] hey lawrence how're you doing
[patient] sorry, settling in here—my football team’s defense has a hernia, it keeps giving way.
[doctor] that’s rough. Sounds like every third down turns into a parade.
[patient] pretty much, and they still act shocked every Sunday.
[patient] i'm doing alright aside from this elbo... | CHIEF COMPLAINT
Right elbow pain.
HISTORY OF PRESENT ILLNESS
Lawrence Butler is a pleasant 45-year-old male who presents to the clinic today for the evaluation of right elbow pain.
Over the past week, the patient has developed 6/10 pain in the "inside" of his right elbow. The pain may radiate into his forearm on oc... | Patient: sorry, settling in here—my football team’s defense has a hernia, it keeps giving way.
Doctor: that’s rough. Sounds like every third down turns into a parade.
Patient: pretty much, and they still act shocked every Sunday. | 1 | The patient makes a joking comment about a football team's weak defense, and the doctor joins in with light small talk. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N084 | nonliteral | [doctor] alright david so you were just in the emergency department hopefully you can hear me okay through the zoom meeting what happened
[patient] well it seems that i was outside and i fell down i was walking a bit and i did have a pain in my chest but i did n't think anything of it and i just kept on going and then ... | [doctor] alright david so you were just in the emergency department hopefully you can hear me okay through the zoom meeting what happened
[patient] well it seems that i was outside and i fell down i was walking a bit and i did have a pain in my chest but i did n't think anything of it and i just kept on going and then ... | CHIEF COMPLAINT
Follow up.
SOCIAL HISTORY
The patient has been trying to limit his tobacco use for 2 years. He reports smoking once every week.
MEDICATIONS
Bumex 2 mg once daily.
Cozaar 100 mg daily.
Norvasc 5 mg once daily.
REVIEW OF SYSTEMS
Constitutional: Denies problems sleeping.
Cardiovascular: Reports ches... | Patient: over the weekend my garden went into shock after that late frost.
Doctor: oh no, after it looked like spring had finally won too.
Patient: yeah, the tomatoes acted personally offended.
Doctor: plants can be real drama queens sometimes. | 31 | The patient and doctor briefly make small talk about the patient's garden reacting badly to a late frost over the weekend. | a garden 'in shock' after frost (cardiovascular) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N085 | nonliteral | [doctor] hi russell how are you what's been going on
[patient] well i've been having this sharp pain on the right side of my abdomen below my ribs for the last several days
[doctor] i saw my doctor and they ordered a cat scan and said i had a kidney stone and sent me to see a urologist okay well does the pain move or o... | [doctor] hi russell how are you what's been going on
[patient] well i've been having this sharp pain on the right side of my abdomen below my ribs for the last several days
[doctor] i saw my doctor and they ordered a cat scan and said i had a kidney stone and sent me to see a urologist okay well does the pain move or o... | CHIEF COMPLAINT
Right-sided abdominal pain
MEDICAL HISTORY
Patient reports history of kidney stones.
FAMILY HISTORY
Patient reports his father has a history of kidney stones.
MEDICATIONS
Patient reports use of Tylenol.
REVIEW OF SYSTEMS
Gastrointestinal: Reports right-sided abdominal pain and nausea. Denies vo... | Patient: Funny side note, this weekend my neighbor said his garage band is called Kidney Stone, which is a pretty wild name.
Doctor: That is wild. Sounds like the kind of band that only plays in someone's driveway.
Patient: Exactly, probably louder than they are good. | 4 | The patient makes a nonliteral weekend small-talk comment about a neighbor's garage band named Kidney Stone, and the doctor jokes about the band. | a band called Kidney Stone (genitourinary) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N086 | nonliteral | [doctor] hey nicholas nice to see you today your pcp looks like he sent you over for a nonhealing foot ulcer on your right foot can you tell me about how long you've had that
[patient] yeah i've had the boot for about six weeks i first noticed it when i put on a pair of shoes that were little bit too tight i felt some ... | [doctor] hey nicholas nice to see you today your pcp looks like he sent you over for a nonhealing foot ulcer on your right foot can you tell me about how long you've had that
[patient] yeah i've had the boot for about six weeks i first noticed it when i put on a pair of shoes that were little bit too tight i felt some ... | CHIEF COMPLAINT
Non-healing ulcer on his right foot.
HISTORY OF PRESENT ILLNESS
Nicholas Gutierrez is a pleasant 45-year-old male who presents to the clinic today for the evaluation of a non-healing ulcer on his right foot. The patient was referred from his primary care physician. The onset of his pain began 6 weeks... | Patient: While you're typing, my wife started a novel with a really fractured plot, like every chapter jumps sideways.
Doctor: Those can be fun if they stick the landing. What's it called?
Patient: I can never remember the title, just that there's a train on the cover.
Doctor: That narrows it down to about half the boo... | 14 | The patient makes small talk about his wife's novel with a fractured plot, and the doctor jokes about the vague book description. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_valid | ACI-Bench | D2N087 | nonliteral | [doctor] hi richard how are you the medical assistant told me that you have a tick bite is that what happened
[patient] i really do n't know where i got it but i i had i do get out in the woods and i do spend a lot of time out in the yard but yeah i've got a tick bite around my knee and and it's been it's been over a w... | [doctor] hi richard how are you the medical assistant told me that you have a tick bite is that what happened
[patient] i really do n't know where i got it but i i had i do get out in the woods and i do spend a lot of time out in the yard but yeah i've got a tick bite around my knee and and it's been it's been over a w... | CHIEF COMPLAINT
Tick bite.
MEDICAL HISTORY
Patient reports a history of arthritis, hypertension, and diabetes type 2.
SOCIAL HISTORY
Patient reports he enjoys spending time outside in the woods and working in the yard. He went hunting with his grandchildren a couple of weeks ago.
MEDICATIONS
Patient reports taki... | Patient: My cat Lupus acts like he personally prescribed my metformin schedule.
Doctor: Sounds like Lupus runs a very strict clinic.
Patient: Only until the treat drawer opens, then his bedside manner disappears.
Doctor: Fair enough, every boss has a price. | 41 | The patient jokes with the doctor about a cat named Lupus acting like a strict boss, unrelated to the visit. | a cat named Lupus (dermatological) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N106 | nonliteral | [doctor] hey charles i'm using this cool new recording device to help me with my documentation is that okay with you
[patient] sure
[doctor] awesome how are you doing today
[patient] well i could be better you know i moved out in the city
[doctor] about two years ago bought this big plot of land
[patient] oh
[doctor] i... | [doctor] hey charles i'm using this cool new recording device to help me with my documentation is that okay with you
[patient] sure
[patient] While I was settling in, I kept thinking your new recording device looks like something from Outbreak.
[doctor] Ha, I remember that one—very dramatic menus.
[patient] Yeah, all i... | CHIEF COMPLAINT
Shortness of breath.
HISTORY OF PRESENT ILLNESS
Charles Sullivan is a pleasant 45-year-old male who presents to the clinic today for the evaluation of shortness of breath. The onset of his symptoms began 2 years ago. He has noticed that his breathing is not what it used to be. He describes an increase... | Patient: While I was settling in, I kept thinking your new recording device looks like something from Outbreak.
Doctor: Ha, I remember that one—very dramatic menus.
Patient: Yeah, all it needs is a blinking red light.
Doctor: Then I'd feel like I should narrate everything in a serious voice. | 2 | The patient makes small talk about the doctor's recording device resembling the video game Outbreak, and the doctor jokes along. | a video game called Outbreak (respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N107 | nonliteral | [doctor] so bryan it's nice to see you again in the office today what's going on
[patient] i was in my yard yesterday and i was raking leaves and i felt fine and then when i got into my house about two hours later my back started tightening up and i started getting pins and needles in my right foot
[doctor] alright hav... | [doctor] so bryan it's nice to see you again in the office today what's going on
[patient] i was in my yard yesterday and i was raking leaves and i felt fine and then when i got into my house about two hours later my back started tightening up and i started getting pins and needles in my right foot
[doctor] alright hav... | CHIEF COMPLAINT
Low back pain.
HISTORY OF PRESENT ILLNESS
Bryan Brooks is a pleasant 39-year-old male who presents to the clinic today for the evaluation of low back pain. He is accompanied today by his partner.
Approximately 2 hours after he finished raking leaves yesterday, the patient began to feel a tightening ... | Patient: Oh, changing the subject for a second, our cat Lupus has decided the meloxicam bag is his new throne.
Doctor: Lupus is a great cat name.
Patient: He acts like he owns the place.
Doctor: That sounds about right for a cat. | 37 | The patient briefly jokes about a cat named Lupus, and the doctor makes light small talk about the cat. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N108 | nonliteral | [doctor] hey gregory good to see you today so take a look at my notes and i see that you're here you've had a nonhealing foot ulcer so can you tell me how you're doing how long have you had it what's going on with it
[patient] sure so i've had it for about two months now and it's recently become red and is draining so ... | [doctor] hey gregory good to see you today so take a look at my notes and i see that you're here you've had a nonhealing foot ulcer so can you tell me how you're doing how long have you had it what's going on with it
[patient] sure so i've had it for about two months now and it's recently become red and is draining so ... | CHIEF COMPLAINT
Right foot ulcer.
HISTORY OF PRESENT ILLNESS
Gregory Hernandez is a pleasant 40-year-old male who presents to the clinic today for the evaluation of a non-healing right foot ulcer. Onset of ulcer was approximately 2 months ago after walking barefoot on the beach. He reports the ulcer has recently bec... | Patient: While I was getting settled, I kept thinking about that movie Concussion; Will Smith really committed to that role.
Doctor: He did. I remember the courtroom scenes more than anything.
Patient: Yeah, and the title sounds so intense even before anything happens.
Doctor: Definitely one of those movies that feels ... | 29 | The patient briefly chats with the doctor about the film Concussion as a movie while settling in. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N109 | nonliteral | [doctor] so stephanie morales is a 36 -year-old female today complaining of her ankle pain and she also has a history of diabetes and high blood pressure so stephanie tell me what's going on with your ankle
[patient] well we had a long spring and the other day we got some snow and ice i was walking to my car and i slip... | [doctor] so stephanie morales is a 36 -year-old female today complaining of her ankle pain and she also has a history of diabetes and high blood pressure so stephanie tell me what's going on with your ankle
[patient] well we had a long spring and the other day we got some snow and ice i was walking to my car and i slip... | CHIEF COMPLAINT
Left ankle pain.
MEDICAL HISTORY
Patient reports history significant for type 2 diabetes and hypertension.
MEDICATIONS
Patient reports taking metformin and Norvasc.
REVIEW OF SYSTEMS
Musculoskeletal: Reports left ankle pain and swelling.\ Denies left calf pain, lower left leg pain, or left knee p... | Patient: my brother says his football team's defense has a hernia, it keeps giving way.
Doctor: that's rough, sounds like every third down turns into a welcome mat.
Patient: exactly, even the air splint might hold up better than they do. | 31 | The patient makes a light joke about her brother's football team's weak defense, and the doctor plays along. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N110 | nonliteral | [doctor] okay hi wayne well i understand you're here for you've got a sore on your foot that's not healing is that right
[patient] yes
[doctor] so can you tell me about that how are you doing
[patient] well i've been doing okay but i've had this wound on my right foot for a couple of weeks and it's not getting better i... | [doctor] okay hi wayne well i understand you're here for you've got a sore on your foot that's not healing is that right
[patient] yes
[doctor] so can you tell me about that how are you doing
[patient] well i've been doing okay but i've had this wound on my right foot for a couple of weeks and it's not getting better i... | HISTORY OF PRESENT ILLNESS
Wayne Jenkins is a pleasant 43-year-old male who presents to the clinic today for the evaluation of a right foot wound, onset 2 to 3 weeks ago. He was seen by his primary care physician who referred him to our office. His last visit with a podiatrist was 2 years ago, however they moved, and ... | Patient: Oh, changing gears for a second, my wife just started a novel with a really fractured plot and keeps trying to explain it to me.
Doctor: Those can be fun if you're in the mood for a puzzle.
Patient: Yeah, every chapter sounds like a different train car.
Doctor: Ha, then the collagenase tube may be the most str... | 31 | The patient makes a brief nonliteral remark about his wife's fractured-plot novel, and the doctor responds with light small talk and a joke about the collagenase tube. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N111 | nonliteral | [doctor] hey william so i see that you injured your knee could you tell me a bit about what happened
[patient] yeah i thought it was a good idea to go to the trampoline park with my wife and heard a snap and instant pain when i was on the trampoline
[doctor] okay alright and so do do you go to the trampoline park often... | [doctor] hey william so i see that you injured your knee could you tell me a bit about what happened
[patient] yeah i thought it was a good idea to go to the trampoline park with my wife and heard a snap and instant pain when i was on the trampoline
[doctor] okay alright and so do do you go to the trampoline park often... | CHIEF COMPLAINT
Right knee injury.
HISTORY OF PRESENT ILLNESS
William Russell is a pleasant 57-year-old male who presents to the clinic today for the evaluation of a right knee injury. He has a past medical history significant for hypertension and type 2 diabetes.
Approximately 1 week ago, the patient sustained an ... | Patient: changing the subject for a second, my cat Lupus somehow learned to open the pantry door.
Doctor: No way, that's a talented cat.
Patient: Yeah, he acts like he pays the mortgage.
Doctor: Sounds like Lupus runs the whole house. | 42 | The patient briefly jokes with the doctor about his cat named Lupus being mischievous at home. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N112 | nonliteral | [doctor] hey matthew i see here that you've had some back pain for a while and your pcp sent you over to see me how're you doing today
[patient] pretty good i'm feeling pretty good do n't like the weather you know i've been sitting in the waiting area for you know thirty minutes and that definitely makes the symptoms w... | [doctor] hey matthew i see here that you've had some back pain for a while and your pcp sent you over to see me how're you doing today
[patient] pretty good i'm feeling pretty good do n't like the weather you know i've been sitting in the waiting area for you know thirty minutes and that definitely makes the symptoms w... | HISTORY OF PRESENT ILLNESS
Matthew Hill is a pleasant 44-year-old male who presents to the clinic today for the evaluation of back pain. The patient was referred from his primary care physician. The onset of his pain began 30 years ago, when he fell off of a roof. He endorses that it was very bothersome and he was una... | Patient: While you're typing, have you seen Concussion, the movie with Will Smith?
Doctor: I did a while back. He was really good in it.
Patient: Yeah, and that courtroom speech felt like it belonged in a different movie in a good way.
Doctor: Totally, it had that big dramatic-monsoon energy. | 29 | The patient and doctor briefly make small talk about the film Concussion and its dramatic tone. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N113 | nonliteral | [doctor] hi jacqueline how are you doing today
[patient] i'm doing okay i'm just really anxious about my recent blood work that my pcp did and said that i have hepatitis c i'm just really surprised because i've been feeling fine
[doctor] okay so were you ever told in the past that you have hepatitis c
[patient] no neve... | [doctor] hi jacqueline how are you doing today
[patient] i'm doing okay i'm just really anxious about my recent blood work that my pcp did and said that i have hepatitis c i'm just really surprised because i've been feeling fine
[doctor] okay so were you ever told in the past that you have hepatitis c
[patient] no neve... | CHIEF COMPLAINT
Hepatitis C.
SOCIAL HISTORY
Patient reports personal history of intravenous drug use over 15 years ago. She is currently smoking 1-2 cigarettes per day, previously 1 to 1.5 packs per day. She also has a history of heavy alcohol use, but now drinks approximately 1 beer per day, more on the weekends.
... | Patient: This weekend my sister dragged me to that plant nursery called Colic, and I left with a fern I definitely didn't plan on buying.
Doctor: Colic is a memorable name for a nursery.
Patient: Right? It sounds dramatic, but the place was actually really cute. | 19 | The patient makes brief weekend small talk about visiting a plant nursery named Colic, and the doctor comments on the unusual name. | a plant nursery called Colic (gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N114 | nonliteral | [doctor] alright
[patient] good morning Julie how are you doing today
[doctor] i'm doing okay i'm just a little nervous about what's been going on with my headaches
[patient] okay so i know you were sent here by your your pcp what was your understanding of why you were sent here
[doctor] yeah so i actually have been so... | [doctor] alright
[patient] good morning Julie how are you doing today
[doctor] i'm doing okay i'm just a little nervous about what's been going on with my headaches
[patient] okay so i know you were sent here by your your pcp what was your understanding of why you were sent here
[doctor] yeah so i actually have been so... | CHIEF COMPLAINT
Headaches.
HISTORY OF PRESENT ILLNESS
Julie Jenkins is a pleasant 33-year-old female who presents to the clinic today for the evaluation of headaches. The patient was referred from her primary care physician. The patient states that she was seen by Dr. White a few years ago and was going to obtain an... | Patient: Any fun plans this weekend, or just taking it easy? I might put on The Strokes and pretend my to-do list is a full-time job.
Doctor: Honestly, that sounds pretty solid. Which album do you usually go for?
Patient: Usually Is This It. It makes even folding laundry feel a little cinematic. | 18 | The patient makes brief weekend small talk about listening to The Strokes, and the doctor responds with a casual question about albums. | the band The Strokes (neurological) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N115 | nonliteral | [doctor] alright so hey it's nice to see you jack i know you've been experiencing some neck pain could you tell me what happened
[patient] yeah so i was in a a car accident
[doctor] mm-hmm
[patient] and i hit in the back and like my my neck went forward and my head went forward really quick and so i've been having some... | [doctor] alright so hey it's nice to see you jack i know you've been experiencing some neck pain could you tell me what happened
[patient] yeah so i was in a a car accident
[doctor] mm-hmm
[patient] and i hit in the back and like my my neck went forward and my head went forward really quick and so i've been having some... | CHIEF COMPLAINT
Neck pain
HISTORY OF PRESENT ILLNESS
Jack Torres is a pleasant 40-year-old male who presents to the clinic today for the evaluation of neck pain. The onset of his pain began 1 week ago after he was involved in a motor vehicle accident. He states that he was hit in the back and experienced whiplash. F... | Patient: Changing the subject for a second, my old football team says our defense has a hernia—it keeps giving way.
Doctor: That's a rough slogan.
Patient: Yeah, every Friday somebody would say it before kickoff.
Doctor: Sounds like a line that sticks. | 31 | The patient makes a joking remark about a football team's weak defense, and the doctor responds with light small talk. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N116 | nonliteral | [doctor] hey hi bobby how are you doing
[patient] i'm doing good how are you
[doctor] i'm doing fine so i understand you're here having some left or some right shoulder pain that you've had for a few weeks now
[patient] yeah it was i was doing some work in my backyard and a lot of different projects going on and you kn... | [doctor] hey hi bobby how are you doing
[patient] i'm doing good how are you
[doctor] i'm doing fine so i understand you're here having some left or some right shoulder pain that you've had for a few weeks now
[patient] yeah it was i was doing some work in my backyard and a lot of different projects going on and you kn... | CHIEF COMPLAINT
Right shoulder pain.
HISTORY OF PRESENT ILLNESS
Bobby Flores is a 56-year-old male, right-hand-dominant, male who presents to the clinic today for the evaluation of right shoulder pain.
The onset of his pain began a few weeks ago, when he was performing different projects in his backyard. He states ... | Patient: Oh, changing gears for a second, my wife handed me a novel with a really fractured plot last night, and I kept losing the thread.
Doctor: Those can be fun if you're in the mood, but sometimes they feel like homework.
Patient: Exactly, I made it about three chapters before the Advil kicked in and I fell asleep. | 19 | The patient makes a brief aside about struggling with a novel that has a fractured plot, and the doctor responds with a casual comment about that kind of book. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N117 | nonliteral | [doctor] mister jackson is a 45 -year-old male who has a history of diabetes type two and mild intermittent asthma and he is here today with right elbow pain so hey there mark nice to see you again listen sorry you're having some elbow pain let's talk about it but i would like to record this conversation with this cool... | [doctor] mister jackson is a 45 -year-old male who has a history of diabetes type two and mild intermittent asthma and he is here today with right elbow pain so hey there mark nice to see you again listen sorry you're having some elbow pain let's talk about it but i would like to record this conversation with this cool... | CHIEF COMPLAINT
Right elbow pain.
MEDICAL HISTORY
Patient reports history of type 2 diabetes and mild intermittent asthma.
SURGICAL HISTORY
Patient reports history of cholecystectomy 10 years ago by Dr. Nelson.
SOCIAL HISTORY
Patient reports he has been playing tennis since high school.
ALLERGIES
Patient repor... | Patient: Speaking of names, my cat is named Lupus, which makes him sound like he should be wearing a tiny cape.
Doctor: That is a tremendous cat name. Does he act dramatic enough to earn it?
Patient: Only when the Ultram bottle rattles in the bag—then he struts in like he owns the clinic. | 55 | The patient makes a light joke about his cat named Lupus, and the doctor plays along about the cat's dramatic personality. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N118 | nonliteral | [doctor] alright so how're you doing today angela
[patient] i'm doing pretty well
[doctor] alright so looking here at your appointment notes it says you're you're here you think you have a kidney stone you had some in the past so we're gon na take a look at that and then you also have a past medical history of hyperten... | [doctor] alright so how're you doing today angela
[patient] i'm doing pretty well
[patient] sorry, i was untangling my bag strap and thinking that would be a good name for a garage band, Kidney Stone.
[doctor] honestly, that sounds like they'd open for somebody loud.
[patient] right? very dramatic for a band that proba... | CHIEF COMPLAINT
Kidney stone.
MEDICAL HISTORY
Patient reports history of hypertension, diabetes, and kidney stones.
MEDICATIONS
Patient reports taking Norvasc 2.5 mg and metformin 500 mg.
REVIEW OF SYSTEMS
Constitutional: Reports insomnia.
Cardiovascular: Denies chest pain.
Gastrointestinal: Denies abdominal pai... | Patient: sorry, i was untangling my bag strap and thinking that would be a good name for a garage band, Kidney Stone.
Doctor: honestly, that sounds like they'd open for somebody loud.
Patient: right? very dramatic for a band that probably practices next to a lawn mower.
Doctor: i'd remember that name for sure. | 2 | The patient jokes about a fictional garage band called Kidney Stone, and the doctor plays along with the band-name idea. | a band called Kidney Stone (genitourinary) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N119 | nonliteral | [doctor] hey betty how are you doing
[patient] i'm doing okay i just been really frustrated because with my asthma and it just seems like i can never catch a break never get better i'm always it seems like i'm always coughing and wheezing
[doctor] i'm sorry to hear that what normally triggers your asthma type symptoms
... | [doctor] hey betty how are you doing
[patient] i'm doing okay i just been really frustrated because with my asthma and it just seems like i can never catch a break never get better i'm always it seems like i'm always coughing and wheezing
[doctor] i'm sorry to hear that what normally triggers your asthma type symptoms
... | CHIEF COMPLAINT
Asthma.
MEDICAL HISTORY
Patient reports history of asthma.
SOCIAL HISTORY
The patient denies the use of any type of cigarette or tobacco product, as well as marijuana. Occasionally, she will be at a bar that allows smoking inside, which does bother the patient. She enjoys being outside and hiking.
... | Patient: While I was getting settled, I kept thinking about that movie Contagion; it made the waiting room feel oddly cinematic.
Doctor: Oh, I remember that one. Was it your first time watching it?
Patient: Yeah, and the little inhaler prop in one scene made me laugh because it looked so dramatic.
Doctor: Movies do lov... | 37 | The patient and doctor briefly chat about the movie Contagion and how films make everyday items look dramatic. | the film Contagion (respiratory) | gpt-5.4 |
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