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8
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
{}
{}
[]
End of preview. Expand in Data Studio

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); variant is clean or production_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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