| [ |
| { |
| "id": "form_April_2023_18", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 18_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 18_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 18_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Ollie Doe18", |
| "Age": "66", |
| "Gender": "Female", |
| "Date of birth": "01/02/1958", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222208", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Not provided", |
| "GP declaration": "They have symptoms which may be caused by cancer", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "8", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "1 kg", |
| "duration": "3 months", |
| "O/E Weight": "69 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "160 g/dl", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "8" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "Not provided", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "160 g/dl" |
| }, |
| "Dipstick the urine": "Yes", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "160 g/dl", |
| "TTG": "", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_4", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 4_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 4_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 4_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "John Doe4", |
| "Age": "55", |
| "Gender": "M", |
| "Date of birth": "01/01/1969", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111113", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "Yes", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "123", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "123" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "", |
| "duration": "", |
| "O/E Weight": "", |
| "O/E previous weight": "" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "123", |
| "Hb": "56 g/L", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "7" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "Not provided", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "56 g/L" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "Yes", |
| "Date of iron treatment commencement": "10/2/24" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "56 g/L", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Hypertension", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_3", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 3_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 3_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 3_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "John Doe3", |
| "Age": "64", |
| "Gender": "Male", |
| "Date of birth": "01/01/1960", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111113", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic and the nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "7", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "", |
| "duration": "", |
| "O/E Weight": "", |
| "O/E previous weight": "" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "7", |
| "Hb": "90", |
| "MCV": "67", |
| "Ferritin": "4" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "Yes", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "7" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "Yes", |
| "Ferritin": "4" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "90" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "Yes", |
| "Date of iron treatment commencement": "10/02/2024" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "4", |
| "MCV": "67", |
| "Hb": "90", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Hypertension", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV10", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV10_page_1.png", |
| "images/2WW form for suspected colon cancer IOV10_page_2.png", |
| "images/2WW form for suspected colon cancer IOV10_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Isaac Test10", |
| "Age": "65", |
| "Gender": "Male", |
| "Date of birth": "01/01/1959", |
| "Address": "", |
| "Ethnicity": "Caucasian-German", |
| "Hospital number": "T10", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer; I have informed the patient: That they are being referred to the rapid access suspected cancer clinic; The nature of the tests likely to take place; I have provided the patient with a 2 week wait information leaflet", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "300", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "300" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "25kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "90kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "75 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "75 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "75 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Previously scientist who had an aneurysm repair", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV17", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV17_page_1.png", |
| "images/2WW form for suspected colon cancer IOV17_page_2.png", |
| "images/2WW form for suspected colon cancer IOV17_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Peter Test17", |
| "Age": "59", |
| "Gender": "Male", |
| "Date of birth": "01/01/1965", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T17", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "8", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "8" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "Not provided", |
| "O/E Weight": "65 kg", |
| "O/E previous weight": "65 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "145 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "8" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "145 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Slight abdominal pain after gastroenteritis.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV21", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV21_page_1.png", |
| "images/2WW form for suspected colon cancer IOV21_page_2.png", |
| "images/2WW form for suspected colon cancer IOV21_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Murray Test21", |
| "Age": "35", |
| "Gender": "M", |
| "Date of birth": "01/01/1989", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T21", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "Yes", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "399 \u00b5g HB/g", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "399 \u00b5g HB/g" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "100 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "100 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Runs a business. Family history of Lynch syndrome with multiple family members with cancer.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV26", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV26_page_1.png", |
| "images/2WW form for suspected colon cancer IOV26_page_2.png", |
| "images/2WW form for suspected colon cancer IOV26_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Nic Test26", |
| "Age": "23", |
| "Gender": "male", |
| "Date of birth": "01/01/2001", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T26", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer; I have informed the patient: That they are being referred to the rapid access suspected cancer clinic; The nature of the tests likely to take place; I have provided the patient with a 2 week wait information leaflet", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "301 \u00b5g HB/g", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "301 \u00b5g HB/g" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "119 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "119 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "119 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Multiple family history of gastric cancer. CDH1 gene mutation carrier.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV33", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV33_page_1.png", |
| "images/2WW form for suspected colon cancer IOV33_page_2.png", |
| "images/2WW form for suspected colon cancer IOV33_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Brian Test33", |
| "Age": "54", |
| "Gender": "male", |
| "Date of birth": "01/01/1970", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T33", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "7", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "7" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+1kg", |
| "duration": "", |
| "O/E Weight": "61kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "141.g/dL", |
| "MCV": "", |
| "Ferritin": "" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "7" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "141.g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "141.g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. Previous family history of reflux", |
| "Medical Hx": "Arthritis", |
| "Medications (inc anticoagulation & antiplatelets)": "Paracetamol", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV34", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV34_page_1.png", |
| "images/2WW form for suspected colon cancer IOV34_page_2.png", |
| "images/2WW form for suspected colon cancer IOV34_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Charlie Test34", |
| "Age": "55", |
| "Gender": "male", |
| "Date of birth": "01/01/1969", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T34", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "1", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "1" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+1kg", |
| "duration": "Not provided", |
| "O/E Weight": "61kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "145.g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "1" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "145.g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "145 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. Previous family history of pancreatitis", |
| "Medical Hx": "Depression", |
| "Medications (inc anticoagulation & antiplatelets)": "Paracetamol", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV16", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV16_page_1.png", |
| "images/2WW form for suspected colon cancer IOV16_page_2.png", |
| "images/2WW form for suspected colon cancer IOV16_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Olivia Test16", |
| "Age": "89", |
| "Gender": "F", |
| "Date of birth": "01/01/1935", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T16", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "6", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "6" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "65kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "145 g/dL", |
| "MCV": "", |
| "Ferritin": "" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "6" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "145 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "145 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Slight change in bowel habit after gastroenteritis.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV11", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV11_page_1.png", |
| "images/2WW form for suspected colon cancer IOV11_page_2.png", |
| "images/2WW form for suspected colon cancer IOV11_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "India Test11", |
| "Age": "69", |
| "Gender": "F", |
| "Date of birth": "01/01/1955", |
| "Address": "", |
| "Ethnicity": "South Asian", |
| "Hospital number": "T11", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "6", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "6" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "1kg", |
| "duration": "Not provided", |
| "O/E Weight": "65 kg", |
| "O/E previous weight": "66 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "135 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "6" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "135 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "135 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Previously scientist who had an aneurysm repair", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_19", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 19_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 19_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 19_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Petra Doe19", |
| "Age": "65", |
| "Gender": "Female", |
| "Date of birth": "01/02/1959", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222209", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "9", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "1 kg", |
| "duration": "3 weeks", |
| "O/E Weight": "89 kg", |
| "O/E previous weight": "90 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "150 g/dl", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "9" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "150 g/dl" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "150 g/dl", |
| "TTG": "", |
| "Urea": "3", |
| "Creatinine": "60", |
| "eGFR": "90" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_2", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 2_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 2_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 2_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "John Doe1", |
| "Age": "79", |
| "Gender": "Male", |
| "Date of birth": "01/01/1945", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111112", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer\nI have informed the patient:\nThat they are being referred to the rapid access suspected cancer clinic\nThe nature of the tests likely to take place\nI have provided the patient with a 2 week wait information leaflet", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "", |
| "duration": "", |
| "O/E Weight": "", |
| "O/E previous weight": "" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "", |
| "MCV": "", |
| "Ferritin": "" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Hypertension", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_5", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 5_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 5_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 5_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Janine Doe5", |
| "Age": "57", |
| "Gender": "Female", |
| "Date of birth": "01/01/1967", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111115", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "Yes" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "", |
| "duration": "", |
| "O/E Weight": "", |
| "O/E previous weight": "" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "400", |
| "Hb": "123", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "7" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "Not provided", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "123" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "Yes", |
| "Date of iron treatment commencement": "10/2/24" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "123", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Myocardial infarction, Inflammatory bowel disease", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV35", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV35_page_1.png", |
| "images/2WW form for suspected colon cancer IOV35_page_2.png", |
| "images/2WW form for suspected colon cancer IOV35_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Chaplin Test35", |
| "Age": "55", |
| "Gender": "male", |
| "Date of birth": "01/01/1969", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T35", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "3", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "3" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+1kg", |
| "duration": "", |
| "O/E Weight": "61kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "143 g/dL", |
| "MCV": "", |
| "Ferritin": "" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes, fit negative", |
| "FIT result": "3" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "143 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "143 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. Previous family history of TB", |
| "Medical Hx": "Depression", |
| "Medications (inc anticoagulation & antiplatelets)": "Fluoxetine", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV32", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV32_page_1.png", |
| "images/2WW form for suspected colon cancer IOV32_page_2.png", |
| "images/2WW form for suspected colon cancer IOV32_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Brin Test32", |
| "Age": "46", |
| "Gender": "male", |
| "Date of birth": "01/01/1978", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T32", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "8", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "8" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+1kg", |
| "duration": "Not provided", |
| "O/E Weight": "61kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "139 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "8" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "139 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "139 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. Previous family history of heart disease", |
| "Medical Hx": "Warfarin for DVT", |
| "Medications (inc anticoagulation & antiplatelets)": "Warfarin", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV27", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV27_page_1.png", |
| "images/2WW form for suspected colon cancer IOV27_page_2.png", |
| "images/2WW form for suspected colon cancer IOV27_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Ally Test27", |
| "Age": "25", |
| "Gender": "female", |
| "Date of birth": "01/01/1999", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T27", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "201 ", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "201 \u00b5g HB/g" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "119 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "119 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "119 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had bowel cancer surgery. Multiple family history of gastric and colon cancer. SMAD4 gene mutation carrier. Previous pan-proctocolectomy and end ileostomy 5 years ago. FIT sample from stoma bag", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV20", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV20_page_1.png", |
| "images/2WW form for suspected colon cancer IOV20_page_2.png", |
| "images/2WW form for suspected colon cancer IOV20_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Marla Test20", |
| "Age": "45", |
| "Gender": "F", |
| "Date of birth": "01/01/1979", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T20", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "2", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "2" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "Not provided", |
| "O/E Weight": "69kg", |
| "O/E previous weight": "65kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "135 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "2" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "135 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "135 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Runs excessively. Slight abdominal pain after drinking milk", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV6", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV6_page_1.png", |
| "images/2WW form for suspected colon cancer IOV6_page_2.png", |
| "images/2WW form for suspected colon cancer IOV6_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Jilly Test6", |
| "Age": "69", |
| "Gender": "M", |
| "Date of birth": "01/01/1955", |
| "Address": "", |
| "Ethnicity": "ASIAN-pakistani", |
| "Hospital number": "T6", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "Yes" |
| }, |
| "FIT result": { |
| "value": "290", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "290" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "10kg", |
| "duration": "Not provided", |
| "O/E Weight": "50kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "109 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "109 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "109 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "4", |
| "Additional History": { |
| "Last Consultation": "Frail patient", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV1", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV1_page_1.png", |
| "images/2WW form for suspected colon cancer IOV1_page_2.png", |
| "images/2WW form for suspected colon cancer IOV1_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "John Test1", |
| "Age": "51", |
| "Gender": "M", |
| "Date of birth": "01/01/1973", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T1", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "Yes" |
| }, |
| "FIT result": { |
| "value": "200", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "200" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "Not provided", |
| "duration": "Not provided", |
| "O/E Weight": "Not provided", |
| "O/E previous weight": "Not provided" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Anxiety", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV38", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV38_page_1.png", |
| "images/2WW form for suspected colon cancer IOV38_page_2.png", |
| "images/2WW form for suspected colon cancer IOV38_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Deirdrie Test38", |
| "Age": "57", |
| "Gender": "female", |
| "Date of birth": "01/01/1967", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T38", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "6 \u00b5g HB/g", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "6" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+3kg", |
| "duration": "", |
| "O/E Weight": "63 kg", |
| "O/E previous weight": "60 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "137 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "6" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "137 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "137 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. No previous family history", |
| "Medical Hx": "Femoral fracture after biking accident", |
| "Medications (inc anticoagulation & antiplatelets)": "Fluoxetine", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_14", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 14_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 14_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 14_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Lenny Doe14", |
| "Age": "69", |
| "Gender": "Male", |
| "Date of birth": "01/01/1955", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222204", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "7", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "7" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "7", |
| "amount": "1 kg", |
| "duration": "3 weeks", |
| "O/E Weight": "199 kg", |
| "O/E previous weight": "200 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "7" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "Not provided", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Not provided", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "1 U/ml", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_13", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 13_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 13_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 13_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Kyle Doe13", |
| "Age": "71", |
| "Gender": "Male", |
| "Date of birth": "01/01/1953", |
| "Address": "Not provided", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222203", |
| "Landline number:": "Not provided", |
| "Mobile number:": "Not provided", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Not provided", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "4", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "4" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "4", |
| "amount": "10 kg", |
| "duration": "3 months", |
| "O/E Weight": "190 kg", |
| "O/E previous weight": "200 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "4" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "1 U/ml", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_8", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 8_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 8_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 8_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "HeNRY Doe8", |
| "Age": "74", |
| "Gender": "M", |
| "Date of birth": "01/01/1950", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111118", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "4", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "", |
| "duration": "", |
| "O/E Weight": "", |
| "O/E previous weight": "" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "", |
| "MCV": "", |
| "Ferritin": "" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "Yes", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "4" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "Yes", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "90" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "90", |
| "TTG": "1", |
| "Urea": "3", |
| "Creatinine": "60", |
| "eGFR": "90" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "PR bleeding, Fresh blood on defacation", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV39", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV39_page_1.png", |
| "images/2WW form for suspected colon cancer IOV39_page_2.png", |
| "images/2WW form for suspected colon cancer IOV39_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Fiona Test39", |
| "Age": "61", |
| "Gender": "female", |
| "Date of birth": "01/01/1963", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T39", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "3 \u00b5g HB/g", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "3 \u00b5g HB/g" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "138 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "3 \u00b5g HB/g" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "138 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "138 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. No previous family history", |
| "Medical Hx": "Humerus fracture after horse riding accident", |
| "Medications (inc anticoagulation & antiplatelets)": "Codeine", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV7", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV7_page_1.png", |
| "images/2WW form for suspected colon cancer IOV7_page_2.png", |
| "images/2WW form for suspected colon cancer IOV7_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Bambi Test7", |
| "Age": "124", |
| "Gender": "F", |
| "Date of birth": "01/01/1900", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T7", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "10kg", |
| "duration": "Not provided", |
| "O/E Weight": "30kg", |
| "O/E previous weight": "40kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "80g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "80" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "80g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "4", |
| "Additional History": { |
| "Last Consultation": "Bed bound and very immobile, not keen to be investigated", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_12", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 12_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 12_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 12_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Jimmy Doe12", |
| "Age": "72", |
| "Gender": "Male", |
| "Date of birth": "01/01/1952", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222202", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "3", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "3" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "3", |
| "amount": "1 kg", |
| "duration": "3 weeks", |
| "O/E Weight": "69 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "3" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "1 U/ml", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_15", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 15_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 15_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 15_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Lenny Doe15", |
| "Age": "69", |
| "Gender": "Male", |
| "Date of birth": "01/02/1955", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222205", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "6", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "6" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "6", |
| "amount": "1 kg", |
| "duration": "3 weeks", |
| "O/E Weight": "69 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "6" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "Yes", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "Not provided" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "1 U/ml", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_9", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 9_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 9_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 9_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Henrietta Doe9", |
| "Age": "74", |
| "Gender": "F", |
| "Date of birth": "01/01/1950", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111119", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": 400, |
| "amount": "8 kg", |
| "duration": "3 months", |
| "O/E Weight": "62 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "Not provided", |
| "MCV": "Not provided", |
| "Hb": "Not provided", |
| "TTG": "1 U/ml", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV29", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV29_page_1.png", |
| "images/2WW form for suspected colon cancer IOV29_page_2.png", |
| "images/2WW form for suspected colon cancer IOV29_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Alison Test29", |
| "Age": "68", |
| "Gender": "female", |
| "Date of birth": "01/01/1956", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T29", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "Yes", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "20kg", |
| "duration": "Not provided", |
| "O/E Weight": "60kg", |
| "O/E previous weight": "80kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "69 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "69 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "69 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. Previous failed colonoscopy and wants to see someone in clinic before tests. Really anxious and wants to chat to doctor in hospital first.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Aspirin", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV5", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV5_page_1.png", |
| "images/2WW form for suspected colon cancer IOV5_page_2.png", |
| "images/2WW form for suspected colon cancer IOV5_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "JAMIE Test5", |
| "Age": "89", |
| "Gender": "M", |
| "Date of birth": "01/01/1935", |
| "Address": "", |
| "Ethnicity": "ASIAN-INDIAN", |
| "Hospital number": "T5", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient. That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "Yes", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "300", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "300" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "10kg", |
| "duration": "Not provided", |
| "O/E Weight": "50kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "89g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "89 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "89g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Anxiety", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV2", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV2_page_1.png", |
| "images/2WW form for suspected colon cancer IOV2_page_2.png", |
| "images/2WW form for suspected colon cancer IOV2_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "JO Test2", |
| "Age": "52", |
| "Gender": "F", |
| "Date of birth": "01/01/1972", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T2", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer; I have informed the patient:; That they are being referred to the rapid access suspected cancer clinic; The nature of the tests likely to take place; I have provided the patient with a 2 week wait information leaflet", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "Yes", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "100", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "100" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "", |
| "amount": "", |
| "duration": "", |
| "O/E Weight": "", |
| "O/E previous weight": "" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "", |
| "Hb": "95.g/dL", |
| "MCV": "", |
| "Ferritin": "" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "95 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "95 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Anxiety", |
| "Medications (inc anticoagulation & antiplatelets)": "", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV18", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV18_page_1.png", |
| "images/2WW form for suspected colon cancer IOV18_page_2.png", |
| "images/2WW form for suspected colon cancer IOV18_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Panierre Test18", |
| "Age": "39", |
| "Gender": "Male", |
| "Date of birth": "01/01/1985", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T18", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "9", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "9" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "65kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "145g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "9" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Runs marathons. Slight abdominal pain after gastroenteritis", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_17", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 17_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 17_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 17_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Nelly Doe17", |
| "Age": "67", |
| "Gender": "Female", |
| "Date of birth": "01/02/1957", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222207", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "8", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "1", |
| "duration": "3 weeks", |
| "O/E Weight": "69 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "140 g/dl", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "8" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "140 g/dl" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "Yes", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "140", |
| "TTG": "30", |
| "Urea": "3", |
| "Creatinine": "60", |
| "eGFR": "90" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_10", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 10_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 10_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 10_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Jolly Doe10", |
| "Age": "74", |
| "Gender": "M", |
| "Date of birth": "01/01/1950", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111110", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "Yes", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "120 \u00b5g HB/g", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "120 \u00b5g HB/g", |
| "amount": "10 kg", |
| "duration": "3 months", |
| "O/E Weight": "60 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "1 U/ml", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Weight loss and mass", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV3", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV3_page_1.png", |
| "images/2WW form for suspected colon cancer IOV3_page_2.png", |
| "images/2WW form for suspected colon cancer IOV3_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "JABBA Test2", |
| "Age": "51", |
| "Gender": "M", |
| "Date of birth": "01/01/1973", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T3", |
| "Landline number": "", |
| "Mobile number": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer, I have informed the patient that they are being referred to the rapid access suspected cancer clinic, The nature of the tests likely to take place, I have provided the patient with a 2 week wait information leaflet", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "10kg", |
| "duration": "Not provided", |
| "O/E Weight": "50kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "65 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "65 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "65 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Anxiety", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV4", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV4_page_1.png", |
| "images/2WW form for suspected colon cancer IOV4_page_2.png", |
| "images/2WW form for suspected colon cancer IOV4_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "JEMIMA Test4", |
| "Age": "71", |
| "Gender": "F", |
| "Date of birth": "01/01/1953", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T4", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic and the nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "Yes", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "350 \u00b5g Hb/g", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "350 \u00b5g Hb/g" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "20kg", |
| "duration": "Not provided", |
| "O/E Weight": "50kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "55 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "55 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "55 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Right hemicolectomy for cancer 2010, Lynch syndrome, MLH1 mutation", |
| "Medications (inc anticoagulation & antiplatelets)": "", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV28", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV28_page_1.png", |
| "images/2WW form for suspected colon cancer IOV28_page_2.png", |
| "images/2WW form for suspected colon cancer IOV28_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Alison Test28", |
| "Age": "27", |
| "Gender": "female", |
| "Date of birth": "01/01/1997", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T28", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400 \u00b5g Hb/g", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400 \u00b5g Hb/g" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "10kg", |
| "duration": "Not provided", |
| "O/E Weight": "60kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "109 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "109 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "109 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. SMAD4 gene mutation carrier. Previous failed colonoscopy and does not want optical colonoscopy, prefers CT colon as first test.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Aspirin", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_20", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 20_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 20_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 20_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Simon Doe20", |
| "Age": "64", |
| "Gender": "Male", |
| "Date of birth": "01/02/1960", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222210", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Not provided", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "3", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "1 kg", |
| "duration": "3 weeks", |
| "O/E Weight": "89 kg", |
| "O/E previous weight": "90 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "60 g/dl", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "3" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "60 g/dl" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "Yes", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "60 g/dl", |
| "TTG": "100 U/ml", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_11", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 11_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 11_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 11_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Jemima Doe11", |
| "Age": "73", |
| "Gender": "F", |
| "Date of birth": "01/01/1951", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222201", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "1", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "1", |
| "amount": "3 kg", |
| "duration": "3 weeks", |
| "O/E Weight": "67 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "1" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "1", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_16", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 16_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 16_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 16_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Mary Doe16", |
| "Age": "68", |
| "Gender": "Female", |
| "Date of birth": "01/02/1956", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G2222206", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "6 \u00b5g HB/g", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "1 kg", |
| "duration": "3 weeks", |
| "O/E Weight": "69 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "136 g/dl", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "6 \u00b5g HB/g" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "136 g/dl" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "136 g/dl", |
| "TTG": "1 U/ml", |
| "Urea": "3 mmol/L", |
| "Creatinine": "60 \u00b5mol/L", |
| "eGFR": "90 ml/min/1.73m^2" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Well and some weight loss", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV19", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV19_page_1.png", |
| "images/2WW form for suspected colon cancer IOV19_page_2.png", |
| "images/2WW form for suspected colon cancer IOV19_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Marietta Test19", |
| "Age": "49", |
| "Gender": "Female", |
| "Date of birth": "01/01/1975", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T19", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "9", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "9" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "Not provided", |
| "O/E Weight": "69kg", |
| "O/E previous weight": "65kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "145", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "9" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "145" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Runs marathons. Slight abdominal pain after gastroenteritis", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV13", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV13_page_1.png", |
| "images/2WW form for suspected colon cancer IOV13_page_2.png", |
| "images/2WW form for suspected colon cancer IOV13_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Davina Test13", |
| "Age": "68", |
| "Gender": "F", |
| "Date of birth": "01/01/1956", |
| "Address": "", |
| "Ethnicity": "Chinese", |
| "Hospital number": "T13", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "3", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "3" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "65kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "135 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "3" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "135 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "135 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Previously scientist who had an aneurysm repair", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV14", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV14_page_1.png", |
| "images/2WW form for suspected colon cancer IOV14_page_2.png", |
| "images/2WW form for suspected colon cancer IOV14_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Ollie Test14", |
| "Age": "78", |
| "Gender": "Male", |
| "Date of birth": "01/01/1946", |
| "Address": "", |
| "Ethnicity": "Chinese", |
| "Hospital number": "T14", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": 5, |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "5" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "65kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "145g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "5" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "145g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "145g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously scientist who had an aneurysm repair", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_7", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 7_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 7_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 7_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Helen Doe7", |
| "Age": "20", |
| "Gender": "F", |
| "Date of birth": "01/01/2004", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111117", |
| "Landline number": "", |
| "Mobile number": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "200", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "200" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "", |
| "duration": "", |
| "O/E Weight": "", |
| "O/E previous weight": "" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "", |
| "MCV": "", |
| "Ferritin": "" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "7" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "Yes", |
| "Date of iron treatment commencement": "10/2/24" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "PR bleeding, Fresh blood on defecation", |
| "Medical Hx": "Nil", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV30", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV30_page_1.png", |
| "images/2WW form for suspected colon cancer IOV30_page_2.png", |
| "images/2WW form for suspected colon cancer IOV30_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Alexander Test30", |
| "Age": "48", |
| "Gender": "female", |
| "Date of birth": "01/01/1976", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T30", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer\nI have informed the patient:\nThat they are being referred to the rapid access suspected cancer clinic\nThe nature of the tests likely to take place\nI have provided the patient with a 2 week wait information leaflet", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "Yes", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "100", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "100" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "30kg", |
| "duration": "Not provided", |
| "O/E Weight": "60kg", |
| "O/E previous weight": "80kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "79g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "79g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "79g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. Previous family history of cancer +++", |
| "Medical Hx": "Warfarin for atrial fibrillation", |
| "Medications (inc anticoagulation & antiplatelets)": "Warfarin", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV37", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV37_page_1.png", |
| "images/2WW form for suspected colon cancer IOV37_page_2.png", |
| "images/2WW form for suspected colon cancer IOV37_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Deirdrie Test37", |
| "Age": "57", |
| "Gender": "female", |
| "Date of birth": "01/01/1967", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T37", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "7", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": 7 |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+3kg", |
| "duration": "", |
| "O/E Weight": "63kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "136 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": 7 |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "136 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "136 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. No previous family history", |
| "Medical Hx": "Femoral fracture after biking accident", |
| "Medications (inc anticoagulation & antiplatelets)": "Fluoxetine", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV22", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV22_page_1.png", |
| "images/2WW form for suspected colon cancer IOV22_page_2.png", |
| "images/2WW form for suspected colon cancer IOV22_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Nick Test22", |
| "Age": "25", |
| "Gender": "Male", |
| "Date of birth": "01/01/1999", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T22", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "Yes", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "39", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "39" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "103 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "103 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "103 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Multiple family members with cancer. MLH1 mutation carrier.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV25", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV25_page_1.png", |
| "images/2WW form for suspected colon cancer IOV25_page_2.png", |
| "images/2WW form for suspected colon cancer IOV25_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Nickolas Test25", |
| "Age": "22", |
| "Gender": "male", |
| "Date of birth": "01/01/2002", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T25", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer; I have informed the patient: That they are being referred to the rapid access suspected cancer clinic; The nature of the tests likely to take place; I have provided the patient with a 2 week wait information leaflet", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "Yes", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "301 \u00b5g", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "301 \u00b5g" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65 kg", |
| "O/E previous weight": "70 kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "119 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "119 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "119 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Multiple family members with cancer and gastric cancer. EPCAM mutation carrier.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV9", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV9_page_1.png", |
| "images/2WW form for suspected colon cancer IOV9_page_2.png", |
| "images/2WW form for suspected colon cancer IOV9_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Rambo Test9", |
| "Age": "70", |
| "Gender": "M", |
| "Date of birth": "01/01/1954", |
| "Address": "", |
| "Ethnicity": "Caucasian - Italian", |
| "Hospital number": "T9", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "Yes", |
| "Unexplained rectal mass": "Yes", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "15kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "80kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "65g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "65g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "65g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Ex Boxer who now has an anorectal mass and a lump in abdomen", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_1", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 1_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 1_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 1_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "John Doe", |
| "Age": "24", |
| "Gender": "M", |
| "Date of birth": "01/01/2000", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111111", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic and the nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "Yes", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "20", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "20" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "", |
| "duration": "", |
| "O/E Weight": "", |
| "O/E previous weight": "" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "", |
| "MCV": "", |
| "Ferritin": "" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "20" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Anxiety", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_April_2023_6", |
| "images": [ |
| "images/2WW form for suspected colon cancer April 2023 6_page_1.png", |
| "images/2WW form for suspected colon cancer April 2023 6_page_2.png", |
| "images/2WW form for suspected colon cancer April 2023 6_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Jackie Doe6", |
| "Age": "90", |
| "Gender": "Female", |
| "Date of birth": "01/01/1934", |
| "Address": "Not provided", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "G111116", |
| "Landline number:": "Not provided", |
| "Mobile number:": "Not provided", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Not provided", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2-week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "Not provided", |
| "duration": "Not provided", |
| "O/E Weight": "Not provided", |
| "O/E previous weight": "Not provided" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "Not provided", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "7" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "Not provided" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "Yes", |
| "Date of iron treatment commencement": "10/2/24" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "3", |
| "Additional History": { |
| "Last Consultation": "Bed bound", |
| "Medical Hx": "Myocardial infarction, Stroke, Heart transplant", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV40", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV40_page_1.png", |
| "images/2WW form for suspected colon cancer IOV40_page_2.png", |
| "images/2WW form for suspected colon cancer IOV40_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Fiona Test40", |
| "Age": "63", |
| "Gender": "female", |
| "Date of birth": "01/01/1961", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T40", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "8", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "8" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "Not provided", |
| "O/E Weight": "70kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "130 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "8" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "130 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "130 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. No previous family history", |
| "Medical Hx": "Fit and well. Nil.", |
| "Medications (inc anticoagulation & antiplatelets)": "Not taking any medication. Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV15", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV15_page_1.png", |
| "images/2WW form for suspected colon cancer IOV15_page_2.png", |
| "images/2WW form for suspected colon cancer IOV15_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Oleaster Test15", |
| "Age": "85", |
| "Gender": "F", |
| "Date of birth": "01/01/1939", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T15", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "6", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "6" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "0kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "65kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "145", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "6" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "145" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "145", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Slight change in bowel habit after a holiday abroad where excessive food was ingested.", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV12", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV12_page_1.png", |
| "images/2WW form for suspected colon cancer IOV12_page_2.png", |
| "images/2WW form for suspected colon cancer IOV12_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Ian Test12", |
| "Age": "68", |
| "Gender": "M", |
| "Date of birth": "01/01/1956", |
| "Address": "", |
| "Ethnicity": "Afro-Caribbean", |
| "Hospital number": "T12", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "Urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": 7, |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": 7 |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "1kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "66kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "145 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": 7 |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "145 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "145 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "1", |
| "Additional History": { |
| "Last Consultation": "Previously scientist who had an aneurysm repair", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV3.1", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV3.1_page_1.png", |
| "images/2WW form for suspected colon cancer IOV3.1_page_2.png", |
| "images/2WW form for suspected colon cancer IOV3.1_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "JABBA Test3", |
| "Age": "51", |
| "Gender": "Male", |
| "Date of birth": "01/01/1973", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T3", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "10kg", |
| "duration": "Not provided", |
| "O/E Weight": "50kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "65 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "65 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "65 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "", |
| "Medical Hx": "Anxiety", |
| "Medications (inc anticoagulation & antiplatelets)": "", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV8", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV8_page_1.png", |
| "images/2WW form for suspected colon cancer IOV8_page_2.png", |
| "images/2WW form for suspected colon cancer IOV8_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Raleigh Test8", |
| "Age": "70", |
| "Gender": "M", |
| "Date of birth": "01/01/1954", |
| "Address": "", |
| "Ethnicity": "Caucasian - Scottish", |
| "Hospital number": "T8", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "Yes", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "400", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "400" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "65 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "65 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "Not provided" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "65 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well", |
| "Medical Hx": "", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV24", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV24_page_1.png", |
| "images/2WW form for suspected colon cancer IOV24_page_2.png", |
| "images/2WW form for suspected colon cancer IOV24_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Nickolas Test24", |
| "Age": "24", |
| "Gender": "male", |
| "Date of birth": "01/01/2000", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T24", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "Yes", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "30", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "30" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "119 g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "No", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "119 g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "119 g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Multiple family members with cancer. PMS2 mutation carrier.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV23", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV23_page_1.png", |
| "images/2WW form for suspected colon cancer IOV23_page_2.png", |
| "images/2WW form for suspected colon cancer IOV23_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Nicky Test23", |
| "Age": "55", |
| "Gender": "female", |
| "Date of birth": "01/01/1969", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T23", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "urdu", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "Yes", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "300", |
| "status": "Positive" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "300" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "amount": "5kg", |
| "duration": "Not provided", |
| "O/E Weight": "65kg", |
| "O/E previous weight": "70kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "Yes", |
| "FIT result": "Not provided", |
| "Hb": "69", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "No", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "Yes", |
| "Hb": "69" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "69", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously fit and well. Multiple family members with cancer. MSH6 mutation carrier.", |
| "Medical Hx": "nothing", |
| "Medications (inc anticoagulation & antiplatelets)": "Nil", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV36", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV36_page_1.png", |
| "images/2WW form for suspected colon cancer IOV36_page_2.png", |
| "images/2WW form for suspected colon cancer IOV36_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Charlize Test36", |
| "Age": "55", |
| "Gender": "female", |
| "Date of birth": "01/01/1969", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T36", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "No", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "No", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient that they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": "9", |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": "9" |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+1kg", |
| "duration": "Not provided", |
| "O/E Weight": "61kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "138.g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Fit negative", |
| "FIT result": "9" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "138.g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "138.g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. Previous family history of elhors danlos", |
| "Medical Hx": "Depression", |
| "Medications (inc anticoagulation & antiplatelets)": "Fluoxetine", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| }, |
| { |
| "id": "form_IOV31", |
| "images": [ |
| "images/2WW form for suspected colon cancer IOV31_page_1.png", |
| "images/2WW form for suspected colon cancer IOV31_page_2.png", |
| "images/2WW form for suspected colon cancer IOV31_page_3.png" |
| ], |
| "question": "Extract patient referral details from this form into JSON format.", |
| "answer": { |
| "Name": "Alexei Test31", |
| "Age": "47", |
| "Gender": "male", |
| "Date of birth": "01/01/1977", |
| "Address": "", |
| "Ethnicity": "Caucasian", |
| "Hospital number": "T31", |
| "Landline number:": "", |
| "Mobile number:": "", |
| "Patient consents to be contacted by text on the above mobile?": "Yes", |
| "Interpreter required": "No", |
| "Patient has capacity to consent?": "Yes", |
| "First Language": "english", |
| "GP declaration": "They have symptoms which may be caused by cancer. I have informed the patient: That they are being referred to the rapid access suspected cancer clinic. The nature of the tests likely to take place. I have provided the patient with a 2 week wait information leaflet.", |
| "Registered GP details": "GP Saint Road", |
| "Date of Decision to refer": "15/02/2024", |
| "Date of Referral:": "15/02/2024", |
| "Name of referring GP:": "Dr Good", |
| "Any adult (16 years or over)": { |
| "Abdominal mass": "No", |
| "Unexplained rectal mass": "No", |
| "Anal ulceration/mass": "No" |
| }, |
| "FIT result": { |
| "value": 4, |
| "status": "Negative" |
| }, |
| "FIT positive pathway results": { |
| "Rectal bleeding": { |
| "present": "Yes", |
| "FIT result": 4 |
| }, |
| "Change in bowel habit": { |
| "present": "No", |
| "FIT result": "Not provided" |
| }, |
| "Unexplained weight loss": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "amount": "+1kg", |
| "duration": "Not provided", |
| "O/E Weight": "61kg", |
| "O/E previous weight": "60kg" |
| }, |
| "Iron Deficiency Anaemia": { |
| "present": "No", |
| "FIT result": "Not provided", |
| "Hb": "137g/dL", |
| "MCV": "Not provided", |
| "Ferritin": "Not provided" |
| } |
| }, |
| "FIT negative pathway results": { |
| "Meets criteria for referral": "No", |
| "Aged 40 years or over": "Yes", |
| "FIT Negative": { |
| "status": "Yes", |
| "FIT result": "Not provided" |
| }, |
| "Ferritin \u226445 \u00b5g/L": { |
| "status": "No", |
| "Ferritin": "Not provided" |
| }, |
| "Anaemia": { |
| "status": "No", |
| "Hb": "137g/dL" |
| }, |
| "Dipstick the urine": "No", |
| "Screen for Coeliac disease": "No", |
| "Renal function (urea, creatinine, eGFR)": "No", |
| "You have commenced iron treatment": "No", |
| "Date of iron treatment commencement": "" |
| }, |
| "FIT Negative Test Results": { |
| "Ferritin": "", |
| "MCV": "", |
| "Hb": "137g/dL", |
| "TTG": "", |
| "Urea": "", |
| "Creatinine": "", |
| "eGFR": "" |
| }, |
| "WHO Performance status": "0", |
| "Additional History": { |
| "Last Consultation": "Previously had no issues. Previous family history of gallbladder disease", |
| "Medical Hx": "Warfarin for atrial fibrillation", |
| "Medications (inc anticoagulation & antiplatelets)": "Warfarin", |
| "Allergies": "", |
| "Smoking status": "", |
| "Alcohol intake": "", |
| "Recent investigations": "", |
| "Including FBC, Ferritin, U&Es (within 3 months), AND Urine dipstick, TTG if FIT negative": "" |
| } |
| } |
| } |
| ] |
