original_row_id int64 5 2.04k | annotator_id int64 5 5 | Note stringlengths 1.56k 4.37k | Dialogue stringlengths 3.13k 6.36k | ICD10 stringlengths 3 7 | ICD10_desc stringlengths 8 158 |
|---|---|---|---|---|---|
5 | 5 | #####
**1. Subjective:**
**Chief Complaint (CC):**
High-grade fever, lethargy, and severe joint pain.
**History of Present Illness (HPI):**
A 55-year-old Asian female with a history of Rheumatoid Arthritis and Chronic Hepatitis C presents with a 72-hour history of severe symptoms, including high-grade fever, rigors, ... | [doctor] Hi there, how are you feeling today?
[patient] Hi, Doctor. I'm feeling really awful, to be honest.
[doctor] I'm sorry to hear that. Can you tell me more about what's been going on?
[patient] Sure. I've had a high-grade fever for the past three days, and I'm just so tired and in a lot of pain. My joints hurt... | A4102 | SEPSIS DUE TO METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS |
15 | 5 | ### Medical Note
#### 1. Subjective:
**Chief Complaint (CC):** Severe pain in the left foot.
**History of Present Illness (HPI):**
- **Onset:** 5 months ago.
- **Location:** Left plantar surface of the foot.
- **Duration:** Constant.
- **Characteristics:** Severe pain, thickened skin, occasional itching.
- **Aggravat... | ```plaintext
[doctor] Good afternoon. How are you today?
[patient] Not so great, actually. I’ve been having a lot of pain in my left foot.
[doctor] I'm sorry to hear that. Can you tell me more about this pain?
[patient] It started about five months ago. The pain is on the bottom of my left foot, and it’s been consta... | B070 | PLANTAR WART |
25 | 5 | **Subjective:**
**Chief Complaint (CC):** Prolonged illness with high-grade fever, extreme fatigue, and severe sore throat.
**History of Present Illness (HPI):**
Maria Gonzalez is a 35-year-old Hispanic female with a past medical history significant for mild asthma and seasonal allergies, who presents today for an eme... | [doctor] Hi Maria, how are you feeling today? What brings you in?
[patient] Hi, Doctor. I'm really not feeling well. I've had this high fever, extreme fatigue, and a really bad sore throat for about three weeks now.
[doctor] Oh, I’m sorry to hear that. That sounds very uncomfortable. Have you noticed any other sympto... | B2790 | INFECTIOUS MONONUCLEOSIS, UNSPECIFIED WITHOUT COMPLICATION |
35 | 5 | **1. Subjective:**
- Chief Complaint (CC):
- The patient presents with high fever, chills, sweating, body aches, and general fatigue for the past 4 days.
- History of Present Illness (HPI):
- A 65-year-old Hispanic male named Carlos Martinez with a previous medical history of Type 2 Diabetes Mellitus, Hyperte... | [doctor]: Good morning! How are you feeling today?
[patient]: Good morning, doctor. Honestly, I’ve been feeling pretty awful for the past few days.
[doctor]: I’m sorry to hear that. Can you tell me more about what’s been going on?
[patient]: Sure. I’ve had a high fever, chills, sweating, body aches, and just overall... | B952 | ENTEROCOCCUS AS THE CAUSE OF DISEASES CLASSIFIED ELSEWHERE |
45 | 5 | ### Medical Note
#### 1. Subjective:
**Chief Complaint (CC):**
Severe pain at the base of the tongue, worse with swallowing.
**History of Present Illness (HPI):**
The patient, a 50-year-old Asian female, presents with a 6-month history of severe pain at the base of her tongue, rated 9/10, exacerbated by swallowing. ... | #### 1. Subjective:
**Chief Complaint (CC):**
Severe pain at the base of the tongue, worse with swallowing.
---
[doctor]: Hi there, how are you doing today?
[patient]: Not too well, doctor. I've been experiencing severe pain at the base of my tongue, especially when I swallow.
[doctor]: I'm sorry to hear that. How... | C01 | MALIGNANT NEOPLASM OF BASE OF TONGUE |
55 | 5 | **1. Subjective:**
**Chief Complaint (CC):**
Persistent lower abdominal pain.
**History of Present Illness (HPI):**
The patient is a 62-year-old Hispanic male named Carlos Martinez who presents for follow-up after a recent diagnosis of malignant neoplasm of the sigmoid colon. He reports having moderate to severe lowe... | [Doctor] Hi, how are you doing today?
[Patient] Hi, Doctor. I've been better, to be honest. The pain has been pretty bad.
[Doctor] I'm sorry to hear that. Can you tell me more about the pain you're experiencing?
[Patient] Sure. It's a persistent pain in my lower abdomen. It’s been going on for about four months now.... | C187 | MALIGNANT NEOPLASM OF SIGMOID COLON |
65 | 5 | #####
**1. Subjective:**
**Chief Complaint (CC):**
Patient presents for a follow-up visit regarding management of diagnosed malignant neoplasm of the upper lobe, right bronchus or lung.
**History of Present Illness (HPI):**
- Severity: Symptoms described as mild to moderate.
- Duration: Symptoms have been present for... | ```
[doctor] Hello, how are you doing today?
[patient] Hi doctor, I'm doing okay, just here for my follow-up.
[doctor] Great, so I see we're here to discuss the management of your diagnosed malignant neoplasm in the upper lobe of your right bronchus or lung. How have you been feeling?
[patient] Well, the symptoms ar... | C3411 | MALIGNANT NEOPLASM OF UPPER LOBE, RIGHT BRONCHUS OR LUNG |
75 | 5 | **1. Subjective:**
**Chief Complaint (CC):**
Lesion on the nose with occasional pain and bleeding.
**History of Present Illness (HPI):**
Ms. Lee is a 45-year-old Asian female who presents for follow-up after an initial biopsy and outpatient evaluation of a lesion on her nose. The lesion has been present for approxima... | [doctor]: Hi Ms. Lee, it's nice to see you again. How have you been feeling since your last visit?
[patient]: Hi, Doctor. I've been okay, but the lesion on my nose is still bothering me. It's been painful and occasionally bleeds.
[doctor]: I'm sorry to hear that. Let's go over everything in detail. Can you tell me wh... | C44311 | BASAL CELL CARCINOMA OF SKIN OF NOSE |
85 | 5 | #####
**1. Subjective:**
- **Chief Complaint (CC):**
Severe pain in the left breast, noticeable lump, and associated redness and swelling, with occasional bloody nipple discharge.
- **History of Present Illness (HPI):**
Mariela Santos is a 52-year-old African American female who presents today for trea... | [doctor]: Good morning, Mariela. How are you feeling today?
[patient]: Good morning, Doctor. I've been better. The pain in my left breast is just unbearable.
[doctor]: I'm sorry to hear that. How long have you been experiencing this severe pain?
[patient]: It's been about three weeks now. It's really affecting my da... | C50112 | MALIGNANT NEOPLASM OF CENTRAL PORTION OF LEFT FEMALE BREAST |
95 | 5 | ### Subjective:
#### Chief Complaint (CC):
Moderate pain in the left breast.
#### History of Present Illness (HPI):
The patient is a 65-year-old African American female presenting for an initial oncology consultation following a referral from her primary care physician due to a lump in her left breast. The patient no... | [doctor]: Good morning. How are you doing today?
[patient]: Good morning, doctor. I'm okay, but I've been having some pain in my left breast.
[doctor]: I see. Can you tell me more about this pain and when it started?
[patient]: Sure. I first noticed a lump in my left breast about a month ago. The pain started two we... | C50812 | MALIGNANT NEOPLASM OF OVERLAPPING SITES OF LEFT FEMALE BREAST |
105 | 5 | **1. Subjective:**
**Chief Complaint (CC):**
- Mild pelvic discomfort.
**History of Present Illness (HPI):**
- Patient is a 62-year-old Asian American male, retired professor, presenting with mild pelvic discomfort for the past 2 months. The discomfort is intermittent and has minimal impact on daily activities. He re... | [doctor]: Hi there, how are you today?
[patient]: Hello, I'm doing alright. Nice to meet you.
[doctor]: Nice to meet you too. I see you're here because of some mild pelvic discomfort. Can you tell me more about that?
[patient]: Sure. I've been feeling this mild discomfort in my pelvic area for the past two months. I... | C61 | MALIGNANT NEOPLASM OF PROSTATE |
115 | 5 | #####
**1. Subjective:**
**Chief Complaint (CC):**
Persistent nasal congestion, occasional nosebleeds, and facial swelling.
**History of Present Illness (HPI):**
Mr. Miguel Hernandez is a 72-year-old Hispanic male presenting via telemedicine for a routine oncology check-up. He reports a 6-week history of mild but per... | [doctor]: Hi Mr. Hernandez, how are you doing today?
[patient]: Hi doctor, I'm doing okay. Thank you.
[doctor]: Great to hear. I understand you’re having some issues with nasal congestion, occasional nosebleeds, and some facial swelling. Can you tell me more about that?
[patient]: Yes, it’s been about six weeks now.... | C760 | MALIGNANT NEOPLASM OF HEAD, FACE AND NECK |
125 | 5 | **1. Subjective:**
**Chief Complaint (CC):**
45-year-old female presenting for initial consultation regarding symptoms of nausea, anorexia, and dark urine.
**History of Present Illness (HPI):**
The patient is a 45-year-old African American female with a past medical history of primary breast cancer treated 5 years ag... | [doctor] Hello, how are you doing today?
[patient] Hi, Doctor. I'm not feeling very well, to be honest.
[doctor] I'm sorry to hear that. I'm Dr. Hartman. Let's go over what brings you in today. I see in your notes that you've been experiencing nausea, anorexia, and dark urine. Can you tell me more about these symptom... | C787 | SECONDARY MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE DUCT |
135 | 5 | #####
**1. Subjective:**
**Chief Complaint (CC):**
Severe chest discomfort and bilateral leg swelling.
**History of Present Illness (HPI):**
The patient, Ms. Angela Thompson, is a 52-year-old African American female presenting with a 3-month history of severe chest discomfort and bilateral leg swelling. The patient a... | [doctor] Hi, it's good to see you today. What brings you in?
[patient] Hi, Doctor. I've been having severe chest discomfort and my legs have been swelling a lot lately.
[doctor] Oh, that sounds concerning. How long have you been experiencing these symptoms?
[patient] It's been about three months now. The chest pain ... | C8339 | DIFFUSE LARGE B-CELL LYMPHOMA, EXTRANODAL AND SOLID ORGAN SITES |
145 | 5 | ### Medical Note
#### 1. Subjective:
**Chief Complaint (CC):**
The patient, a 60-year-old Asian male, presents for a routine check-up with complaints of severe bone pain and shortness of breath.
**History of Present Illness (HPI):**
The patient was diagnosed with Acute Myeloblastic Leukemia (AML) six months ago and h... | [doctor]: Good morning, how are you feeling today?
[patient]: Good morning, Doctor. I've been feeling quite terrible, actually. The bone pain is really severe, and I'm having trouble breathing.
[doctor]: I'm sorry to hear that. Let's go through everything systematically. I see in your records that you were diagnosed ... | C9200 | ACUTE MYELOBLASTIC LEUKEMIA, NOT HAVING ACHIEVED REMISSION |
155 | 5 | ### Medical Note
#### 1. Subjective:
**CC:**
Moderate discomfort and frequent constipation over the past 2 months.
**HPI:**
The patient, Ms. Johnson, is a 63-year-old African American female presenting for a follow-up visit concerning a benign neoplasm of the descending colon. She reports moderate discomfort, par... | [doctor]: Hello Ms. Johnson, it's great to see you again. How have you been feeling since your last visit?
[patient]: Hi, doctor. I've been okay, but I've been having some moderate discomfort and frequent constipation over the past 2 months.
[doctor]: Hmm, I see. Could you tell me more about the discomfort you're exp... | D124 | BENIGN NEOPLASM OF DESCENDING COLON |
165 | 5 | #### MEDICAL NOTE
**1. Subjective:**
**Chief Complaint (CC):**
The patient, a 55-year-old African American male, presents with a small, raised lesion on his face that he noticed 3 months ago.
**History of Present Illness (HPI):**
The patient reports that the lesion on his left cheek has been present for the past 3 m... | [doctor] Hello there, I’m Dr. Smith. What brings you in today?
[patient] Hi, Doctor. I have this small, raised spot on my face. I noticed it about three months ago.
[doctor] Hmm, alright. Can you tell me more about this spot? How did you first notice it, and has it changed in any way?
[patient] Well, it's been on my... | D2339 | OTHER BENIGN NEOPLASM OF SKIN OF OTHER PARTS OF FACE |
175 | 5 | #### MEDICAL NOTE
**1. Subjective:**
**Chief Complaint (CC):**
Persistent left-sided pelvic pain.
**History of Present Illness (HPI):**
Ms. Luisa Martinez is a 45-year-old Latina female who presents today for a follow-up visit regarding her persistent left-sided pelvic pain. She reports that the pain has been se... | [doctor]: Hi Ms. Martinez, how are you doing today?
[patient]: Hi, Doctor. Honestly, I'm struggling. The pain is just not getting any better.
[doctor]: I'm sorry to hear that. Let's talk about your pain first. How long have you been experiencing this left-sided pelvic pain?
[patient]: It's been about 6 months now. I... | D271 | BENIGN NEOPLASM OF LEFT OVARY |
185 | 5 | **1. Subjective:**
- **Chief Complaint (CC):** Unresolved fatigue and weakness despite initial treatment.
- **History of Present Illness (HPI):**
- The patient, a 68-year-old Asian female, presents for a follow-up visit to address ongoing fatigue and weakness. Despite initial treatments, symptoms have persisted fo... | [doctor] Hi there, how are you feeling today?
[patient] Hi doctor. I'm still feeling quite fatigued and weak.
[doctor] Hmm, I'm sorry to hear that. Can you tell me more about your symptoms?
[patient] Sure. I've been experiencing this fatigue and weakness for the past six months. It's moderate to severe, and it just ... | D500 | IRON DEFICIENCY ANEMIA SECONDARY TO BLOOD LOSS (CHRONIC) |
195 | 5 | **1. Subjective:**
**Chief Complaint (CC):**
Patient presents with generalized fatigue, frequent infections, bleeding gums, and shortness of breath.
**History of Present Illness (HPI):**
The 28-year-old female of Asian ethnicity reports experiencing moderate fatigue, frequent infections, bleeding gums, and shortness ... | **[doctor]** Hello, it's good to see you today. So, I understand you've been having some health issues lately. Can you tell me a bit more about what's been going on?
**[patient]** Hi, yes. For the past two months, I've been feeling really tired all the time. I've also been getting infections frequently, my gums are bl... | D61818 | OTHER PANCYTOPENIA |
205 | 5 | **1. Subjective:**
**Chief Complaint (CC):**
Swelling in the left leg.
**History of Present Illness (HPI):**
The patient, Mr. James Carter, is a 55-year-old African American male presenting for a follow-up visit regarding recent diagnosis and management of Antiphospholipid Syndrome (APS). Symptoms have persisted for... | [doctor]: Good morning! How are you doing today?
[patient]: Morning, Doctor. Not too well, honestly. My left leg is still swollen, and it’s been like this for two weeks now.
[doctor]: I see. Can you tell me more about the swelling and any other symptoms you've been experiencing?
[patient]: Sure. The swelling in my l... | D6861 | ANTIPHOSPHOLIPID SYNDROME |
215 | 5 | #### Subjective:
**CHIEF COMPLAINT**
Fatigue and frequent nosebleeds.
**HISTORY OF PRESENT ILLNESS**
The patient, named Mei Lin, is a 65-year-old Asian female who presents with moderate severity symptoms persisting for the past 4 months. She reports frequent nosebleeds, fatigue, and pruritus after hot baths, occu... | [doctor] Hi, it's nice to see you today. What brings you in?
[patient] Hi, Doctor. I've been feeling really tired and I've been getting a lot of nosebleeds lately.
[doctor] I'm sorry to hear that. How long have you been experiencing these symptoms?
[patient] It's been about 4 months now. The nosebleeds happen quite... | D751 | SECONDARY POLYCYTHEMIA |
225 | 5 | **1. Subjective:**
**Chief Complaint (CC):**
Frequent urination, excessive thirst, weight loss, and blurred vision.
**History of Present Illness (HPI):**
The patient, a 17-year-old Asian male, presents with a two-month history of severe polyuria, polydipsia, unexplained weight loss, and blurred vision. These symptoms... | **Doctor:** Hi there, how are you doing today?
**Patient:** Hi, I’m alright. I’ve been having some issues lately, though.
**Doctor:** Hmm, I see. Can you tell me more about what’s been going on?
**Patient:** Sure. I’ve been experiencing frequent urination and excessive thirst for the past two months. I’ve also lost ... | E034 | ATROPHY OF THYROID (ACQUIRED) |
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