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values | transcript stringlengths 2.43k 8.51k | utterances listlengths 18 46 | target dict | evidence listlengths 0 17 | clinical_domain stringclasses 6
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|---|---|---|---|---|---|---|---|---|---|---|---|---|
t0651-clean | t0651 | clean | PHYSICIAN: Anthony, good to see you. How are things going since we last checked in?
PATIENT: Oh, you know, getting by. But honestly doc, I've been feeling pretty run down lately. Like, more tired than usual, and my legs have started to swell up a bit—that just happened over the weekend.
PHYSICIAN: Tell me about that fa... | [
{
"utterance_id": "t0651-u001",
"speaker_role": "physician",
"text": "Anthony, good to see you. How are things going since we last checked in?"
},
{
"utterance_id": "t0651-u002",
"speaker_role": "patient",
"text": "Oh, you know, getting by. But honestly doc, I've been feeling pretty run ... | {
"encounter_type": "routine_followup",
"chief_concerns": [
"fatigue",
"leg swelling"
],
"conditions": [
{
"name": "chronic kidney disease stage 3",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "hyperlipidemia",
"... | [
{
"fact_id": "t0651-c01",
"utterance_id": "t0651-u013",
"quote": "chronic kidney disease stage 3"
},
{
"fact_id": "t0651-c02",
"utterance_id": "t0651-u013",
"quote": "hyperlipidemia"
},
{
"fact_id": "t0651-sy01",
"utterance_id": "t0651-u003",
"quote": "fatigue"
},
{
... | chronic_care_coordination | routine_followup | hard | {} | {} | [] |
t0652-clean | t0652 | clean | NURSE: Roy? Hi, come on back. How are you feeling today?
PATIENT: Yeah, uh, okay I guess. My leg's been bugging me, honestly. Like, it's swollen a bit. Started maybe a week or so ago and it's getting worse, not better.
CARE_COORDINATOR: Let me grab that for you. So the swelling—is it in both legs or just one side?
PATI... | [
{
"utterance_id": "t0652-u001",
"speaker_role": "nurse",
"text": "Roy? Hi, come on back. How are you feeling today?"
},
{
"utterance_id": "t0652-u002",
"speaker_role": "patient",
"text": "Yeah, uh, okay I guess. My leg's been bugging me, honestly. Like, it's swollen a bit. Started maybe ... | {
"encounter_type": "medication_question_or_refill",
"chief_concerns": [
"fatigue"
],
"conditions": [
{
"name": "deep vein thrombosis",
"assertion": "suspected",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "major depressive disorder",
"asse... | [
{
"fact_id": "t0652-c01",
"utterance_id": "t0652-u011",
"quote": "deep vein thrombosis"
},
{
"fact_id": "t0652-c02",
"utterance_id": "t0652-u007",
"quote": "major depressive disorder"
},
{
"fact_id": "t0652-sy01",
"utterance_id": "t0652-u006",
"quote": "fatigue"
},
{
... | post_discharge_checkin | medication_question_or_refill | routine | {} | {} | [] |
t0653-clean | t0653 | clean | CARE_COORDINATOR: Okay Chelsea, thanks for coming in. So it sounds like you've been having some trouble catching your breath recently—tell me what's been going on with that.
PATIENT: Yeah, it's been really bad, actually. Like, I'd say it started about a month ago? And it's just... I can't even walk up the stairs withou... | [
{
"utterance_id": "t0653-u001",
"speaker_role": "care_coordinator",
"text": "Okay Chelsea, thanks for coming in. So it sounds like you've been having some trouble catching your breath recently—tell me what's been going on with that."
},
{
"utterance_id": "t0653-u002",
"speaker_role": "patien... | {
"encounter_type": "medication_adherence",
"chief_concerns": [
"shortness of breath",
"fatigue"
],
"conditions": [
{
"name": "chronic kidney disease stage 3",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
}
],
"symptoms": [
{
"n... | [
{
"fact_id": "t0653-c01",
"utterance_id": "t0653-u015",
"quote": "chronic kidney disease stage 3"
},
{
"fact_id": "t0653-sy01",
"utterance_id": "t0653-u002",
"quote": "shortness of breath"
},
{
"fact_id": "t0653-sy02",
"utterance_id": "t0653-u003",
"quote": "fatigue"
},... | chronic_care_coordination | medication_adherence | moderate | {} | {} | [] |
t0654-clean | t0654 | clean | NURSE: Alright Mary, so I see your blood pressure was running a little high last month. How are you doing today overall?
PATIENT: Oh, you know, not great, honestly. I've been so tired lately—like, really exhausted. It's been a couple weeks now and it's not getting any better. I can barely make it through the afternoon ... | [
{
"utterance_id": "t0654-u001",
"speaker_role": "nurse",
"text": "Alright Mary, so I see your blood pressure was running a little high last month. How are you doing today overall?"
},
{
"utterance_id": "t0654-u002",
"speaker_role": "patient",
"text": "Oh, you know, not great, honestly. I... | {
"encounter_type": "escalation",
"chief_concerns": [
"fatigue",
"chest tightness"
],
"conditions": [
{
"name": "obstructive sleep apnea",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
}
],
"symptoms": [
{
"name": "fatigue",
... | [
{
"fact_id": "t0654-c01",
"utterance_id": "t0654-u003",
"quote": "obstructive sleep apnea"
},
{
"fact_id": "t0654-c02",
"utterance_id": "t0654-u006",
"quote": "kidney stones"
},
{
"fact_id": "t0654-sy01",
"utterance_id": "t0654-u017",
"quote": "fatigue"
},
{
"fact... | respiratory_followup | escalation | moderate | {"conditions": ["kidney stones"]} | {} | [] |
t0655-clean | t0655 | clean | NURSE: Okay Maria, I've got you down for the post-discharge check-in—looks like it's been about a week since you left us. How are you doing at home? Any issues settling back in?
PATIENT: Oh, you know, it's been rough. I mean, I'm up and moving around, but I just feel so tired all the time. Like, I'll do the dishes and ... | [
{
"utterance_id": "t0655-u001",
"speaker_role": "nurse",
"text": "Okay Maria, I've got you down for the post-discharge check-in—looks like it's been about a week since you left us. How are you doing at home? Any issues settling back in?"
},
{
"utterance_id": "t0655-u002",
"speaker_role": "pa... | {
"encounter_type": "medication_reconciliation",
"chief_concerns": [
"fatigue"
],
"conditions": [
{
"name": "community-acquired pneumonia",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "hypertension",
"assertion": "pr... | [
{
"fact_id": "t0655-c01",
"utterance_id": "t0655-u003",
"quote": "community-acquired pneumonia"
},
{
"fact_id": "t0655-c02",
"utterance_id": "t0655-u009",
"quote": "hypertension"
},
{
"fact_id": "t0655-sy01",
"utterance_id": "t0655-u002",
"quote": "fatigue"
},
{
"... | post_discharge_checkin | medication_reconciliation | moderate | {} | {} | [] |
t0656-clean | t0656 | clean | CARE_COORDINATOR: Wayne, good to see you. So we wanted to check in since your discharge last month—how have things been going at home?
PATIENT: Oh, you know, it's been a mixed bag, honestly. I mean, the shortness of breath that was really bad when I first got home, that's actually getting better. But I've been pretty w... | [
{
"utterance_id": "t0656-u001",
"speaker_role": "care_coordinator",
"text": "Wayne, good to see you. So we wanted to check in since your discharge last month—how have things been going at home?"
},
{
"utterance_id": "t0656-u002",
"speaker_role": "patient",
"text": "Oh, you know, it's bee... | {
"encounter_type": "post_discharge_checkin",
"chief_concerns": [
"poor appetite",
"fatigue"
],
"conditions": [
{
"name": "heart failure with reduced ejection fraction",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "maj... | [
{
"fact_id": "t0656-c01",
"utterance_id": "t0656-u007",
"quote": "heart failure with reduced ejection fraction"
},
{
"fact_id": "t0656-c02",
"utterance_id": "t0656-u006",
"quote": "major depressive disorder"
},
{
"fact_id": "t0656-c03",
"utterance_id": "t0656-u013",
"quot... | chronic_care_coordination | post_discharge_checkin | routine | {"conditions": ["plantar fasciitis"]} | {} | [] |
t0657-clean | t0657 | clean | NURSE: Hey John, thanks for coming in today. I know you had to reschedule twice, so I'm glad we finally got you on the books. How are you doing?
PATIENT: Yeah, well, not great, to be honest. My legs have just been, um, really swollen. Like, the leg swelling started about a month ago, and I thought it would go away on i... | [
{
"utterance_id": "t0657-u001",
"speaker_role": "nurse",
"text": "Hey John, thanks for coming in today. I know you had to reschedule twice, so I'm glad we finally got you on the books. How are you doing?"
},
{
"utterance_id": "t0657-u002",
"speaker_role": "patient",
"text": "Yeah, well, ... | {
"encounter_type": "escalation",
"chief_concerns": [
"leg swelling"
],
"conditions": [
{
"name": "heart failure with reduced ejection fraction",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "breast cancer",
"assertio... | [
{
"fact_id": "t0657-c01",
"utterance_id": "t0657-u003",
"quote": "heart failure with reduced ejection fraction"
},
{
"fact_id": "t0657-c02",
"utterance_id": "t0657-u014",
"quote": "breast cancer"
},
{
"fact_id": "t0657-sy01",
"utterance_id": "t0657-u002",
"quote": "leg sw... | chronic_care_coordination | escalation | moderate | {} | {} | [] |
t0658-clean | t0658 | clean | PHYSICIAN: Penelope, I see here you've been having some things going on since the weekend. Walk me through what's been bothering you most.
PATIENT: Well, it's mostly my breathing. I can't, um, I can't catch my breath like I used to. Even just walking to the mailbox yesterday, I felt like I was gonna pass out. And it's ... | [
{
"utterance_id": "t0658-u001",
"speaker_role": "physician",
"text": "Penelope, I see here you've been having some things going on since the weekend. Walk me through what's been bothering you most."
},
{
"utterance_id": "t0658-u002",
"speaker_role": "patient",
"text": "Well, it's mostly ... | {
"encounter_type": "escalation",
"chief_concerns": [
"palpitations"
],
"conditions": [
{
"name": "peripheral artery disease",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
}
],
"symptoms": [
{
"name": "palpitations",
"assertio... | [
{
"fact_id": "t0658-c01",
"utterance_id": "t0658-u009",
"quote": "peripheral artery disease"
},
{
"fact_id": "t0658-c02",
"utterance_id": "t0658-u014",
"quote": "plantar fasciitis"
},
{
"fact_id": "t0658-sy01",
"utterance_id": "t0658-u008",
"quote": "palpitations"
},
... | cardiovascular_symptom | escalation | moderate | {"conditions": ["plantar fasciitis"]} | {} | [] |
t0659-clean | t0659 | clean | NURSE: Hey Katelyn, come on back—we're just gonna do a quick check-in today on how you're managing with everything.
PATIENT: Thanks. Um, honestly I've been coughing a lot the past few days, and it's kind of getting worse, which is really annoying because I thought things were better.
NURSE: Oh no, a cough that's gettin... | [
{
"utterance_id": "t0659-u001",
"speaker_role": "nurse",
"text": "Hey Katelyn, come on back—we're just gonna do a quick check-in today on how you're managing with everything."
},
{
"utterance_id": "t0659-u002",
"speaker_role": "patient",
"text": "Thanks. Um, honestly I've been coughing a... | {
"encounter_type": "followup_scheduling",
"chief_concerns": [
"cough"
],
"conditions": [
{
"name": "asthma",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "migraine",
"assertion": "present",
"temporality": "curr... | [
{
"fact_id": "t0659-c01",
"utterance_id": "t0659-u005",
"quote": "asthma"
},
{
"fact_id": "t0659-c02",
"utterance_id": "t0659-u010",
"quote": "migraine"
},
{
"fact_id": "t0659-sy01",
"utterance_id": "t0659-u002",
"quote": "cough"
},
{
"fact_id": "t0659-sy02",
... | respiratory_followup | followup_scheduling | routine | {} | {} | [] |
t0660-clean | t0660 | clean | CARE_COORDINATOR: Susan, come on back. How are you feeling today? I know you mentioned on the phone you've been having some symptoms lately.
PATIENT: Yeah, well, I'm tired. Like, really tired. I've been dragging for a few weeks now, ever since my last appointment in September. It's not normal for me. I thought maybe it... | [
{
"utterance_id": "t0660-u001",
"speaker_role": "care_coordinator",
"text": "Susan, come on back. How are you feeling today? I know you mentioned on the phone you've been having some symptoms lately."
},
{
"utterance_id": "t0660-u002",
"speaker_role": "patient",
"text": "Yeah, well, I'm ... | {
"encounter_type": "medication_question_or_refill",
"chief_concerns": [
"fatigue"
],
"conditions": [
{
"name": "hyperlipidemia",
"assertion": "suspected",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "gastroesophageal reflux disease",
"asse... | [
{
"fact_id": "t0660-c01",
"utterance_id": "t0660-u019",
"quote": "hyperlipidemia"
},
{
"fact_id": "t0660-c02",
"utterance_id": "t0660-u007",
"quote": "gastroesophageal reflux disease"
},
{
"fact_id": "t0660-sy01",
"utterance_id": "t0660-u003",
"quote": "fatigue"
},
{
... | cardiometabolic_followup | medication_question_or_refill | routine | {} | {} | [] |
t0661-clean | t0661 | clean | ADVANCED_PRACTICE_CLINICIAN: Justin, I see you woke up with something going on with your eyes today?
PATIENT: Yeah, yeah—this morning I just got up to get some coffee, you know, and my vision was all blurry vision, like really bad, honestly. I was worried for a minute there. But um, it's actually gotten a lot better si... | [
{
"utterance_id": "t0661-u001",
"speaker_role": "advanced_practice_clinician",
"text": "Justin, I see you woke up with something going on with your eyes today?"
},
{
"utterance_id": "t0661-u002",
"speaker_role": "patient",
"text": "Yeah, yeah—this morning I just got up to get some coffee... | {
"encounter_type": "symptom_report",
"chief_concerns": [
"blurred vision",
"numbness in the feet"
],
"conditions": [
{
"name": "coronary artery disease",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
}
],
"symptoms": [
{
"name":... | [
{
"fact_id": "t0661-c01",
"utterance_id": "t0661-u007",
"quote": "coronary artery disease"
},
{
"fact_id": "t0661-sy01",
"utterance_id": "t0661-u011",
"quote": "blurred vision"
},
{
"fact_id": "t0661-sy02",
"utterance_id": "t0661-u004",
"quote": "numbness in the feet"
}... | cardiometabolic_followup | symptom_report | routine | {} | {} | [] |
t0662-clean | t0662 | clean | NURSE: Sorry I'm running a couple minutes behind. So you've been having some stuff going on since last month, is that right?
PATIENT: Yeah, um, it started about a month ago. At first it was just like a little twinge, you know? But it's been getting worse, honestly. The chest pain is what worries me the most.
NURSE: Oka... | [
{
"utterance_id": "t0662-u001",
"speaker_role": "nurse",
"text": "Sorry I'm running a couple minutes behind. So you've been having some stuff going on since last month, is that right?"
},
{
"utterance_id": "t0662-u002",
"speaker_role": "patient",
"text": "Yeah, um, it started about a mon... | {
"encounter_type": "followup_scheduling",
"chief_concerns": [
"chest pain",
"shortness of breath"
],
"conditions": [
{
"name": "coronary artery disease",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "coronary artery di... | [
{
"fact_id": "t0662-c01",
"utterance_id": "t0662-u007",
"quote": "coronary artery disease"
},
{
"fact_id": "t0662-c02",
"utterance_id": "t0662-u007",
"quote": "coronary artery disease"
},
{
"fact_id": "t0662-sy01",
"utterance_id": "t0662-u002",
"quote": "chest pain"
},
... | cardiovascular_symptom | followup_scheduling | routine | {} | {"medications": ["gabapentin"]} | [] |
t0663-clean | t0663 | clean | NURSE: Alright, let me just check your vitals real quick—have a seat. Blood pressure and oxygen, then we'll get you with the care coordinator in just a minute.
PATIENT: Yeah, sure. So, um, I've been noticing my breathing's been a little off lately. Not terrible or anything, but like, when I'm doing stuff around the hou... | [
{
"utterance_id": "t0663-u001",
"speaker_role": "nurse",
"text": "Alright, let me just check your vitals real quick—have a seat. Blood pressure and oxygen, then we'll get you with the care coordinator in just a minute."
},
{
"utterance_id": "t0663-u002",
"speaker_role": "patient",
"text"... | {
"encounter_type": "routine_followup",
"chief_concerns": [
"wheezing"
],
"conditions": [],
"symptoms": [
{
"name": "wheezing",
"assertion": "present",
"severity": null,
"onset": null,
"duration": null,
"trend": "worsening",
"location": null
},
{
... | [
{
"fact_id": "t0663-sy01",
"utterance_id": "t0663-u002",
"quote": "wheezing"
},
{
"fact_id": "t0663-sy02",
"utterance_id": "t0663-u006",
"quote": "cough"
},
{
"fact_id": "t0663-m02",
"utterance_id": "t0663-u009",
"quote": "albuterol"
},
{
"fact_id": "t0663-cp01",
... | respiratory_followup | routine_followup | routine | {} | {"conditions": ["community-acquired pneumonia"], "medications": ["insulin aspart"]} | [] |
t0664-clean | t0664 | clean | NURSE: Alright Lauren, let's get your vitals here before we get started. Okay, and your temperature's coming in at 102—just slightly elevated. And your blood pressure is reading 162/78, which is a bit high for you.
PATIENT: Oh, the blood pressure again. Yeah, I've been feeling a little off, you know? That's kind of why... | [
{
"utterance_id": "t0664-u001",
"speaker_role": "nurse",
"text": "Alright Lauren, let's get your vitals here before we get started. Okay, and your temperature's coming in at 102—just slightly elevated. And your blood pressure is reading 162/78, which is a bit high for you."
},
{
"utterance_id": ... | {
"encounter_type": "post_discharge_checkin",
"chief_concerns": [
"wheezing"
],
"conditions": [
{
"name": "asthma",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
}
],
"symptoms": [
{
"name": "wheezing",
"assertion": "present",
... | [
{
"fact_id": "t0664-c01",
"utterance_id": "t0664-u008",
"quote": "asthma"
},
{
"fact_id": "t0664-sy01",
"utterance_id": "t0664-u002",
"quote": "wheezing"
},
{
"fact_id": "t0664-sy02",
"utterance_id": "t0664-u007",
"quote": "fatigue"
},
{
"fact_id": "t0664-sy03",
... | respiratory_followup | post_discharge_checkin | routine | {} | {} | [] |
t0665-clean | t0665 | clean | PHYSICIAN: So I'm looking at your chart here, Emery—sounds like you've had some muscle aches going on. When did that start?
PATIENT: Oh, yeah, it's been three days now. Really bad at first, like I could barely get out of bed, but it's getting a little better. Mostly in my shoulders and lower back, you know?
PHYSICIAN: ... | [
{
"utterance_id": "t0665-u001",
"speaker_role": "physician",
"text": "So I'm looking at your chart here, Emery—sounds like you've had some muscle aches going on. When did that start?"
},
{
"utterance_id": "t0665-u002",
"speaker_role": "patient",
"text": "Oh, yeah, it's been three days no... | {
"encounter_type": "medication_question_or_refill",
"chief_concerns": [
"headache",
"muscle aches"
],
"conditions": [
{
"name": "hyperlipidemia",
"assertion": "present",
"temporality": "current",
"experiencer": "patient"
},
{
"name": "chronic kidney disease sta... | [
{
"fact_id": "t0665-c01",
"utterance_id": "t0665-u013",
"quote": "hyperlipidemia"
},
{
"fact_id": "t0665-c02",
"utterance_id": "t0665-u015",
"quote": "chronic kidney disease stage 3"
},
{
"fact_id": "t0665-c03",
"utterance_id": "t0665-u013",
"quote": "atrial fibrillation"... | medication_management | medication_question_or_refill | routine | {} | {"symptoms": ["dizziness"]} | [] |
t0666-clean | t0666 | clean | PHYSICIAN: Come on in, Geraldine. So you were just discharged on Friday, right? How're you holding up?
PATIENT: Yeah, um, honestly I'm doing okay. The blood pressure thing seems like it's settling down now, so I'm not as worried about that anymore. I mean, I'm taking my stuff every day.
PHYSICIAN: That's great to hear.... | [
{
"utterance_id": "t0666-u001",
"speaker_role": "physician",
"text": "Come on in, Geraldine. So you were just discharged on Friday, right? How're you holding up?"
},
{
"utterance_id": "t0666-u002",
"speaker_role": "patient",
"text": "Yeah, um, honestly I'm doing okay. The blood pressure ... | {
"encounter_type": "post_discharge_checkin",
"chief_concerns": [
"dizziness"
],
"conditions": [
{
"name": "hypertension",
"assertion": "resolved",
"temporality": "historical",
"experiencer": "patient"
},
{
"name": "generalized anxiety disorder",
"assertion": ... | [
{
"fact_id": "t0666-c01",
"utterance_id": "t0666-u011",
"quote": "hypertension"
},
{
"fact_id": "t0666-c02",
"utterance_id": "t0666-u013",
"quote": "generalized anxiety disorder"
},
{
"fact_id": "t0666-c03",
"utterance_id": "t0666-u012",
"quote": "alzheimer disease"
},
... | medication_management | post_discharge_checkin | moderate | {} | {} | [] |
Synthetic Clinical Conversations
Fully synthetic English clinical conversations (care-coordination calls, telehealth visits, post-discharge check-ins) paired with structured encounter records, built for training and evaluating transcript→JSON extraction models.
Generated structure-first with Tonic Fabricate: the structured facts are authored as relational data with controlled vocabularies, the conversation is rendered from those facts, and the extraction target is a deterministic projection of them — no model ever writes a label. Every extracted fact carries an evidence quote that is an exact substring of a transcript utterance, machine-verified.
Splits
| split | records | scenarios | notes |
|---|---|---|---|
| train | 900 | 450 | clean + ASR-noisy variant per scenario |
| validation | 200 | 100 | rendered by a different model family than train |
| challenge | 100 | 50 | 25 counterfactual minimal-pair families (one clinical fact flipped per pair) |
Record fields
transcript/utterances— speaker-labeled dialogue (roles: patient, nurse, physician, advanced_practice_clinician, care_coordinator, family_caregiver);variantiscleanorproduction_like(seeded ASR-style noise).target— the extraction record: encounter_type, chief_concerns, conditions (assertion/temporality/experiencer), symptoms (assertion/severity/onset/duration/ trend/location), medications (dose/unit/route/frequency/status/action/adherence), measurements, follow_up (incl.committed), escalation_flags. Controlled vocabularies throughout; negation, family history, corrections, and distractors are designed difficulty features.evidence— per-fact{fact_id, utterance_id, quote}on clean-variant records, each quote guaranteed to be an exact substring of the referenced utterance (noisy variants share the scenario's facts; their evidence anchors the clean rendering, so the field is empty there).distractor_names/omitted_names(JSON strings) — facts intentionally excluded from the target: third-party chatter that must not be extracted, and scenario facts the dialogue never states. Useful for precision/trap metrics.
Provenance & privacy
All patients, clinicians, conversations, and identifiers are fictional and machine-generated. No real patient data, transcripts, or PHI were used anywhere in the pipeline. Realism and diversity were enforced with automated gates (template- skeleton deduplication, split-parity audits, evidence verification).
Built for the Tonic.ai cookbook: Zero-label fine-tuning with synthetic conversations (TonicAI/cookbooks).
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