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acibench_D2N093_virtassist_clinicalnlp_taskB_test1
|
[
{
"speaker": "doctor",
"transcript": "hey lawrence . how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hey , good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "it's good to see you too . so , i know the nurse told you about dax .",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "i'd like to tell dax a little bit about you .",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "so , lawrence is a 62-year-old male , with a past medical history significant for type i diabetes , congestive heart failure , depression , and reflux , who presents with complaints of shortness of breath . so lawrence , what's been going on ? wh- what's wrong with your breathing ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "uh , i , i've noticed that i've been swelling up a little bit . i think a lot of it has to do with going to some house parties , eating some salty foods . i feel really lethargic .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay . all right . and when you get short of breath , are you short of breath when you're just sitting here ? do you feel short of breath when you're walking ?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "it's something like walking up a flight of stairs i'll actually feel it .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay . all right . now , um , how long has this been going on for ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "probably about 10 days .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay . all right . and you said you're noticed some swelling in your legs ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "a little bit .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay . do you have problems lying flat in bed ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "um , i'm a little uncomfortable when i wake up in the morning and i feel pretty stiff . and , and , like , it takes me a little while to adjust to walking when i get up .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay . all right . do you ever wake up acutely short of breath at night ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "um , it happened once , probably about a week ago , but it has n't happened since . so i have n't been that concerned about it .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay . all right . in terms of your , your diabetes , how are you doing with that ? i know you're on the insulin pump .",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "um , are your blood sugars okay ? have you noticed a spike in them recently ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "um , i have n't . i've been pretty good about monitoring it so i ... during the working week , i stay on top of that . but on saturdays or sundays we're so busy i forget to monitor it . but i have n't seen anything spike .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay . and i remember your affinity for chocolate bars , so ...",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "guilty as charged . i love chocolate bars .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay . all right . so , in terms of your depression , how are you doing with that ?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "uh , it's been a crazy year and a half . um , i've tried some natural solutions . in the summer i did stretches outdoors every morning , which was great , but now the weather changed and , uh , you know , i've got ta find some alternatives . i'm not ready to try any medications just yet , so-",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": ". i'm open to some suggestions .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay . we'll talk about that .",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "and then in terms of your reflux , how are you doing ? i know we had you on the omeprazole .",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "you were making some lifestyle modifications , cutting back on your red bull and caffeine .",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "alcohol intake has been ... how's that been ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "tough during the holiday season , but i'm , i'm better .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "okay . all right . and no issues with your depression ? you do n't want to hurt yourself or anyone else ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "no . no . absolutely not .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay , all right . well , let's go ahead . i know you did a review of system sheet when you checked in and you endorsed the shortness of breath .",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "any other symptoms ? chest pain , fever , chills , cough ?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "um , belly pain ?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay . let's go ahead . i want to move on to a physical exam .",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? show me the vital signs . so here in the office , you know , your vital signs look good . your , your pulse ox ... that's your oxygenation level ... looks good . so i'm encouraged by that with you just sitting here , okay ? i'm gon na go ahead and do another , uh , just check you over . i'll let you know what i find .",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "okay . all right . so , on your exam things look okay . so , i do n't appreciate any jugular venous distension or any carotid bruits on your neck exam . on your heart exam , i do appreciate a slight 3 out of 6 systolic ejection murmur . on your lung exam , i do appreciate some crackles , bilaterally , at the bases . and on your lower extremity exam i do appreciate 1+ pitting edema . so what does all that mean ? so , i do think that you're retaining some fluid . it's probably from some of the dietary indiscretion .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "but i wan na go ahead and look at some of the results , okay ? i had the nurse do a chest x-ray on you before we came in , okay ? hey , dragon ? show me the test x-ray . so i reviewed the results of your chest x-ray and it looks good . there's no e- evidence of any airspace disease , but that does n't mean that you still ca n't be retaining some fluid , okay ?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? show me the labs . and your labs look okay . you know , you do n't have an elevated white blood cell count so i'm not really concerned about infection . we saw the chest x-ray , there's no pneumonia , so that's good .",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "so , let's talk a little bit about , you know , my assessment and my plan for you . okay ? so , for your first problem of your shortness of breath i think that you are in an acute heart failure exacerbation . i want to go ahead and , uh , put you on some lasix , 40 milligrams a day . i want you to weigh yourself every day .",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "if your weight is n't going down , uh , or if it's going up i want you to call me . certainly , if you get more short of breath at rest i want you to go ahead and call me or call 911-",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": ". and go into the emergency room . you might need some intravenous diuretics .",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "okay ? for your second problem of your type i diabetes , um , let's go ahead ... i wan na order a hemoglobin a1c for , um , uh , just in a , like a month or so , just to see if we have to make any adjustments . and i want you to follow up with your endocrinologist . okay ? and i also want to make sure that you have a recent eye exam . all right ? uh , for your third problem of your depression , let's go ahead and refer you to psychiatry , just for some , um , like , talk therapy to help you through that . okay ?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "no medications . and for your fourth problem of your reflux , let's go ahead and continue you on the omeprazole , 20 milligrams a day . do you have any questions , lawrence ?",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "not at this point .",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "okay . um , uh , again , i want you to call me if you have any problems with your breathing , okay ?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? finalize the notes ...",
"turn_id": 67
}
] |
[
{
"description": "lasix 40 milligrams a day",
"order_type": "medication",
"provenance": [
126,
127
],
"reason": "hortness of breath acute heart failure exacerbation"
},
{
"description": "hemoglobin a1c",
"order_type": "lab",
"provenance": [
138
],
"reason": "type i diabetes"
}
] |
{"id": "acibench_D2N093_virtassist_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "medication", "description": "lasix 40 milligrams a day", "reason": "hortness of breath acute heart failure exacerbation", "provenance": [126, 127]}, {"order_type": "lab", "description": "hemoglobin a1c", "reason": "type i diabetes", "provenance": [138]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey lawrence . how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "hey , good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "it's good to see you too . so , i know the nurse told you about dax ."}, {"turn_id": 4, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "i'd like to tell dax a little bit about you ."}, {"turn_id": 6, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "so , lawrence is a 62-year-old male , with a past medical history significant for type i diabetes , congestive heart failure , depression , and reflux , who presents with complaints of shortness of breath . so lawrence , what's been going on ? wh- what's wrong with your breathing ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "uh , i , i've noticed that i've been swelling up a little bit . i think a lot of it has to do with going to some house parties , eating some salty foods . i feel really lethargic ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay . all right . and when you get short of breath , are you short of breath when you're just sitting here ? do you feel short of breath when you're walking ?"}, {"turn_id": 10, "speaker": "patient", "transcript": "it's something like walking up a flight of stairs i'll actually feel it ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay . all right . now , um , how long has this been going on for ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "probably about 10 days ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay . all right . and you said you're noticed some swelling in your legs ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "a little bit ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay . do you have problems lying flat in bed ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "um , i'm a little uncomfortable when i wake up in the morning and i feel pretty stiff . and , and , like , it takes me a little while to adjust to walking when i get up ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay . all right . do you ever wake up acutely short of breath at night ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "um , it happened once , probably about a week ago , but it has n't happened since . so i have n't been that concerned about it ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay . all right . in terms of your , your diabetes , how are you doing with that ? i know you're on the insulin pump ."}, {"turn_id": 20, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "um , are your blood sugars okay ? have you noticed a spike in them recently ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "um , i have n't . i've been pretty good about monitoring it so i ... during the working week , i stay on top of that . but on saturdays or sundays we're so busy i forget to monitor it . but i have n't seen anything spike ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay . and i remember your affinity for chocolate bars , so ..."}, {"turn_id": 24, "speaker": "patient", "transcript": "guilty as charged . i love chocolate bars ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay . all right . so , in terms of your depression , how are you doing with that ?"}, {"turn_id": 26, "speaker": "patient", "transcript": "uh , it's been a crazy year and a half . um , i've tried some natural solutions . in the summer i did stretches outdoors every morning , which was great , but now the weather changed and , uh , you know , i've got ta find some alternatives . i'm not ready to try any medications just yet , so-"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 28, "speaker": "patient", "transcript": ". i'm open to some suggestions ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay . we'll talk about that ."}, {"turn_id": 30, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "and then in terms of your reflux , how are you doing ? i know we had you on the omeprazole ."}, {"turn_id": 32, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "you were making some lifestyle modifications , cutting back on your red bull and caffeine ."}, {"turn_id": 34, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "alcohol intake has been ... how's that been ?"}, {"turn_id": 36, "speaker": "patient", "transcript": "tough during the holiday season , but i'm , i'm better ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "okay . all right . and no issues with your depression ? you do n't want to hurt yourself or anyone else ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "no . no . absolutely not ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay , all right . well , let's go ahead . i know you did a review of system sheet when you checked in and you endorsed the shortness of breath ."}, {"turn_id": 40, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "any other symptoms ? chest pain , fever , chills , cough ?"}, {"turn_id": 42, "speaker": "patient", "transcript": "no ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "um , belly pain ?"}, {"turn_id": 44, "speaker": "patient", "transcript": "no ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay . let's go ahead . i want to move on to a physical exam ."}, {"turn_id": 46, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "hey , dragon ? show me the vital signs . so here in the office , you know , your vital signs look good . your , your pulse ox ... that's your oxygenation level ... looks good . so i'm encouraged by that with you just sitting here , okay ? i'm gon na go ahead and do another , uh , just check you over . i'll let you know what i find ."}, {"turn_id": 48, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "okay . all right . so , on your exam things look okay . so , i do n't appreciate any jugular venous distension or any carotid bruits on your neck exam . on your heart exam , i do appreciate a slight 3 out of 6 systolic ejection murmur . on your lung exam , i do appreciate some crackles , bilaterally , at the bases . and on your lower extremity exam i do appreciate 1+ pitting edema . so what does all that mean ? so , i do think that you're retaining some fluid . it's probably from some of the dietary indiscretion ."}, {"turn_id": 50, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "but i wan na go ahead and look at some of the results , okay ? i had the nurse do a chest x-ray on you before we came in , okay ? hey , dragon ? show me the test x-ray . so i reviewed the results of your chest x-ray and it looks good . there's no e- evidence of any airspace disease , but that does n't mean that you still ca n't be retaining some fluid , okay ?"}, {"turn_id": 52, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "hey , dragon ? show me the labs . and your labs look okay . you know , you do n't have an elevated white blood cell count so i'm not really concerned about infection . we saw the chest x-ray , there's no pneumonia , so that's good ."}, {"turn_id": 54, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "so , let's talk a little bit about , you know , my assessment and my plan for you . okay ? so , for your first problem of your shortness of breath i think that you are in an acute heart failure exacerbation . i want to go ahead and , uh , put you on some lasix , 40 milligrams a day . i want you to weigh yourself every day ."}, {"turn_id": 56, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 57, "speaker": "doctor", "transcript": "if your weight is n't going down , uh , or if it's going up i want you to call me . certainly , if you get more short of breath at rest i want you to go ahead and call me or call 911-"}, {"turn_id": 58, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 59, "speaker": "doctor", "transcript": ". and go into the emergency room . you might need some intravenous diuretics ."}, {"turn_id": 60, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 61, "speaker": "doctor", "transcript": "okay ? for your second problem of your type i diabetes , um , let's go ahead ... i wan na order a hemoglobin a1c for , um , uh , just in a , like a month or so , just to see if we have to make any adjustments . and i want you to follow up with your endocrinologist . okay ? and i also want to make sure that you have a recent eye exam . all right ? uh , for your third problem of your depression , let's go ahead and refer you to psychiatry , just for some , um , like , talk therapy to help you through that . okay ?"}, {"turn_id": 62, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 63, "speaker": "doctor", "transcript": "no medications . and for your fourth problem of your reflux , let's go ahead and continue you on the omeprazole , 20 milligrams a day . do you have any questions , lawrence ?"}, {"turn_id": 64, "speaker": "patient", "transcript": "not at this point ."}, {"turn_id": 65, "speaker": "doctor", "transcript": "okay . um , uh , again , i want you to call me if you have any problems with your breathing , okay ?"}, {"turn_id": 66, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "hey , dragon ? finalize the notes ..."}]}
|
acibench_D2N122_aci_clinicalnlp_taskB_test1
|
[
{
"speaker": "doctor",
"transcript": "hey kyle it's nice to see you today can you tell me a little bit about what brought you in",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yeah i went to see my pcp for a cough which they diagnosed as bronchitis but then they did that chest x-ray to make sure i did n't have pneumonia and they found this lung nodule i went for a cat scan that confirmed it and they referred me here to you i'm really nervous document",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay well first of all i'm i'm sorry that you're nervous and what we're gon na do is we're gon na partner together okay and i'm gon na be right by your side the whole time to hopefully make you a little less nervous and and recognize the fact that we're you're gon na have a big support team around you okay",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "so let's talk a little bit about how long you've had that cough before you went to see your doctor",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "i you know off and on i've had it for about three months i first noticed it when i was loading some pay i have horses and i i bought you know four hundred bills a day and when i spent a day loading it and then it's i just started coughing a lot more i think around that time and after that i i i just got a cold so that's what sent me to my pcp now i i i do exercise i i do a lot of biking and i typically do n't get sick and my cough has gone away",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay that's good to hear you mentioned exercise and biking i love to bike myself i've got a track seventy one hundred hybrid have you been on the the new trails they opened it was the old the old rail the old rail road right away they've opened that up it's like sixty miles of trails",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i love that that road i just i i do n't like riding on the road so i prefer to do those rails the trails type",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "and it's just so phenomenal i do that a lot",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "yeah i love riding over there way we will we will get you all fixed up we will have to go for a bike ride",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "absolutely i'd love it",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "that'd be great so i see here on your medical history that you also have a history of rheumatoid arthritis is that under control at this time and and and what do you do to to take care of your ra",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "yeah it's it's it's fair you know arthritis never really goes away but i take methotrexate",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "i think it's seven and a half milligrams every week and as long as i'm keeping active my joints feel okay and if i do have any problems it's it's mostly with my hands but i have n't had any recent flares so i'm okay right now",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay that's good i also see here that you marked down that you were a previous smoker and and when when did you when did you stop smoking",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i stopped smoking probably about seven years ago",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "and i was young and should have stopped the way before that my kids were on me all the time but you know i i got a new start and finally was able to stop and i felt better after stopping",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay that's good and i'm glad to hear that you were able to to to stop and and stay tobacco free that that's great to hear do you have any pain or any shortness of breath or anything like that",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "no not at all",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay and i would like to talk about your familial history here for just a second do you have any family history of lung cancer or any other type of malignancies",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no lung cancer my mom did have breast cancer but she is doing well now",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay alright and then things like lung infections or pneumonia do you have any previous history of that",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "no no not not anything that i'm aware of",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay if it's okay with you i'm gon na do a quick physical exam your vital signs look good today blood pressure of one twenty four over seventy six heart rate of seventy respiration rate of sixteen o2 sat on room air of ninety eight percent and you are afebrile so you do n't have a fever today i'm gon na take a quick listen to your lungs here your lungs are clear and equal bilateral when i listen to them or when i auscultate your lungs now listening to your heart regular rate and rhythm no clicks rubs or murmurs and i do n't appreciate any extra beats doing a quick extremity exam your skin is pink warm and dry i do n't appreciate any edema to your lower extremities it looks like you do have a little bit of swelling to to your knuckles there on your third digit on each hand which can be normal for somebody who has ra however pulses are intact in all extremities and capillary refill is brisk so a quick review of your results now you had a chest ct before you came in to see me and the results of that chest ct do show a solitary two centimeter nodule in the lateral aspect of the right upper lobe now it appears the nodule is smooth in appearance and no evidence of any type of emphysematous disease is present which is good now for my assessment and plan for you so you do have an incidentally found right upper lobe lung nodule i'm going to order some pft which is pulmonary function test i just wan na get a check and and a baseline for your lung function i'm also going to schedule a pet ct this is gon na help to determine if that nodule is metabolically active meaning if it lights up it it can suggest that it's cancer or inflammatory i'm going to go ahead and suggest that we do remove this during or via video assisted thoracoscopy which means it's just gon na be three small incisions made on the side of your right chest i'm gon na go in with a camera and a scope and we'll remove that along with a very small portion of your lung you're gon na be under general anesthesia and it'll take about an hour and a half or so post procedure you're gon na be admitted and you will have a chest tube in until the following day and i'm gon na go ahead and take that out then at bedside most likely you're gon na be in the hospital for one night and go home the next day it could be a benign nodule but because your smoking history i really do think it's gon na be best that you have that removed now for your secondary concern of your rheumatoid arthritis i want you to continue to follow up with your rheumatologist and continue your medication therapy as has been previously outlined for you now do you have any questions comments or concerns before before we get the paperwork signed to start the the treatment process",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "no i do n't think so i think i'll be okay i'm scared",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "i i know you're scared but we'll be right here with you the whole way",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "alright we'll get some paperwork and i'll see you again in a few minutes",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "okay thank you",
"turn_id": 32
}
] |
[
{
"description": "pet ct ct",
"order_type": "imaging",
"provenance": [
27
],
"reason": "to determine if that nodule is metabolically active"
}
] |
{"id": "acibench_D2N122_aci_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "imaging", "description": "pet ct ct", "reason": "to determine if that nodule is metabolically active", "provenance": [27]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey kyle it's nice to see you today can you tell me a little bit about what brought you in"}, {"turn_id": 2, "speaker": "patient", "transcript": "yeah i went to see my pcp for a cough which they diagnosed as bronchitis but then they did that chest x-ray to make sure i did n't have pneumonia and they found this lung nodule i went for a cat scan that confirmed it and they referred me here to you i'm really nervous document"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay well first of all i'm i'm sorry that you're nervous and what we're gon na do is we're gon na partner together okay and i'm gon na be right by your side the whole time to hopefully make you a little less nervous and and recognize the fact that we're you're gon na have a big support team around you okay"}, {"turn_id": 4, "speaker": "patient", "transcript": "okay"}, {"turn_id": 5, "speaker": "doctor", "transcript": "so let's talk a little bit about how long you've had that cough before you went to see your doctor"}, {"turn_id": 6, "speaker": "patient", "transcript": "i you know off and on i've had it for about three months i first noticed it when i was loading some pay i have horses and i i bought you know four hundred bills a day and when i spent a day loading it and then it's i just started coughing a lot more i think around that time and after that i i i just got a cold so that's what sent me to my pcp now i i i do exercise i i do a lot of biking and i typically do n't get sick and my cough has gone away"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay that's good to hear you mentioned exercise and biking i love to bike myself i've got a track seventy one hundred hybrid have you been on the the new trails they opened it was the old the old rail the old rail road right away they've opened that up it's like sixty miles of trails"}, {"turn_id": 8, "speaker": "patient", "transcript": "i love that that road i just i i do n't like riding on the road so i prefer to do those rails the trails type"}, {"turn_id": 9, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 10, "speaker": "patient", "transcript": "and it's just so phenomenal i do that a lot"}, {"turn_id": 11, "speaker": "doctor", "transcript": "yeah i love riding over there way we will we will get you all fixed up we will have to go for a bike ride"}, {"turn_id": 12, "speaker": "patient", "transcript": "absolutely i'd love it"}, {"turn_id": 13, "speaker": "doctor", "transcript": "that'd be great so i see here on your medical history that you also have a history of rheumatoid arthritis is that under control at this time and and and what do you do to to take care of your ra"}, {"turn_id": 14, "speaker": "patient", "transcript": "yeah it's it's it's fair you know arthritis never really goes away but i take methotrexate"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 16, "speaker": "patient", "transcript": "i think it's seven and a half milligrams every week and as long as i'm keeping active my joints feel okay and if i do have any problems it's it's mostly with my hands but i have n't had any recent flares so i'm okay right now"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay that's good i also see here that you marked down that you were a previous smoker and and when when did you when did you stop smoking"}, {"turn_id": 18, "speaker": "patient", "transcript": "i stopped smoking probably about seven years ago"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 20, "speaker": "patient", "transcript": "and i was young and should have stopped the way before that my kids were on me all the time but you know i i got a new start and finally was able to stop and i felt better after stopping"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay that's good and i'm glad to hear that you were able to to to stop and and stay tobacco free that that's great to hear do you have any pain or any shortness of breath or anything like that"}, {"turn_id": 22, "speaker": "patient", "transcript": "no not at all"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay and i would like to talk about your familial history here for just a second do you have any family history of lung cancer or any other type of malignancies"}, {"turn_id": 24, "speaker": "patient", "transcript": "no lung cancer my mom did have breast cancer but she is doing well now"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay alright and then things like lung infections or pneumonia do you have any previous history of that"}, {"turn_id": 26, "speaker": "patient", "transcript": "no no not not anything that i'm aware of"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay if it's okay with you i'm gon na do a quick physical exam your vital signs look good today blood pressure of one twenty four over seventy six heart rate of seventy respiration rate of sixteen o2 sat on room air of ninety eight percent and you are afebrile so you do n't have a fever today i'm gon na take a quick listen to your lungs here your lungs are clear and equal bilateral when i listen to them or when i auscultate your lungs now listening to your heart regular rate and rhythm no clicks rubs or murmurs and i do n't appreciate any extra beats doing a quick extremity exam your skin is pink warm and dry i do n't appreciate any edema to your lower extremities it looks like you do have a little bit of swelling to to your knuckles there on your third digit on each hand which can be normal for somebody who has ra however pulses are intact in all extremities and capillary refill is brisk so a quick review of your results now you had a chest ct before you came in to see me and the results of that chest ct do show a solitary two centimeter nodule in the lateral aspect of the right upper lobe now it appears the nodule is smooth in appearance and no evidence of any type of emphysematous disease is present which is good now for my assessment and plan for you so you do have an incidentally found right upper lobe lung nodule i'm going to order some pft which is pulmonary function test i just wan na get a check and and a baseline for your lung function i'm also going to schedule a pet ct this is gon na help to determine if that nodule is metabolically active meaning if it lights up it it can suggest that it's cancer or inflammatory i'm going to go ahead and suggest that we do remove this during or via video assisted thoracoscopy which means it's just gon na be three small incisions made on the side of your right chest i'm gon na go in with a camera and a scope and we'll remove that along with a very small portion of your lung you're gon na be under general anesthesia and it'll take about an hour and a half or so post procedure you're gon na be admitted and you will have a chest tube in until the following day and i'm gon na go ahead and take that out then at bedside most likely you're gon na be in the hospital for one night and go home the next day it could be a benign nodule but because your smoking history i really do think it's gon na be best that you have that removed now for your secondary concern of your rheumatoid arthritis i want you to continue to follow up with your rheumatologist and continue your medication therapy as has been previously outlined for you now do you have any questions comments or concerns before before we get the paperwork signed to start the the treatment process"}, {"turn_id": 28, "speaker": "patient", "transcript": "no i do n't think so i think i'll be okay i'm scared"}, {"turn_id": 29, "speaker": "doctor", "transcript": "i i know you're scared but we'll be right here with you the whole way"}, {"turn_id": 30, "speaker": "patient", "transcript": "okay"}, {"turn_id": 31, "speaker": "doctor", "transcript": "alright we'll get some paperwork and i'll see you again in a few minutes"}, {"turn_id": 32, "speaker": "patient", "transcript": "okay thank you"}]}
|
acibench_D2N063_aci_train
|
[
{
"speaker": "doctor",
"transcript": "so gloria is a 46 -year-old female today with past medical history of diabetes and back pain and today here for shortness of breath with chf and copd also so gloria tell me what's going on",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i i i'm having a lot of trouble sleeping",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay and and how long has this been going on for",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "really just for about the past two weeks i i just ca n't ca n't get comfortable you know when i when i lay down in bed i just ca n't ca n't fall",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "is it because you're having you ca n't sleep or you're having shortness of breath or difficulty breathing or what's going on with that",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah i i feel like i'm just i'm just choking a few minutes after i i lay down to sleep i just ca n't catch my breath",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay and are you and how has your pulse ox been your oxygen level been at home i know you your oxygen level here is like ninety two right now in the office which is a little bit on the low side how is how has that been at home",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i can breathe fine",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "just when you lay down you get short of breath okay and is it worse when you have you noticed any shortness of breath during the day when you exert yourself when you climb stairs or do other stuff",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "i do n't i do n't do any of that usually i just i i sit on the couch and watch my shows",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay fair enough and how about have you noticed any weight gain or swelling in your legs or calves or anything like that",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah i i ca n't see my ankles anymore and and yeah i i do n't know what's going on with the scale i think the numbers are off because you know suddenly i gained about ten pounds",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "wow okay alright and are you taking i know you were supposed to be taking lasix and we had you on you know diet control to to prevent to limit your salt intake how is that going",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "i i i do n't know how much salt is in freedoes but you know i i i'm really enjoying those in last weekend we got this really big party and yeah which color is that lasix pill",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "yeah it's it's the white one the round one so it sounds like you're not maybe not taking it as regularly as you should",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no sir i i do n't think i am",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay alright and are you having any chest pain or tightness in your chest or anything like that or not really",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "no not really",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "just just when i ca n't breathe good at night you know",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay got it",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "so i'll examine you in a second so it's been a couple of weeks are you coughing up anything any fevers with this at all",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no no fever kinda feel like i'm just bringing a whole bunch of yuck up once in a while though especially first thing in the morning",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay alright and how have your blood sugars been doing this time i know you're taking the metformin are you checking your accu-cheks how has that been going",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "i i'm sorry what's an accu-chek",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "for your blood sugar check are you checking that or not really",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "i i i did it a couple of weeks ago",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "and it was about it i i think about two thirty it was okay",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay so your hemoglobin a1c last time was seven . five and we had talked about you know trying to improve your diet we had talked about you know we wan na avoid going to insulin but it sounds like it's been a challenge to kinda control the diet and also your blood sugars have been running a little bit high",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay alright",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "yeah it's it's been a challenge",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "alright and any nausea vomiting or diarrhea or anything like that are you peeing a whole lot or anything like that no",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "yeah i'm feeling like crazy",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "okay alright",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "ca n't figure out why because i'm not drinking very much",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "alright and how is your back then has that been okay i know you're sitting you said you're sitting on the couch a lot watching tv but",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "besides that anything else",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "yeah you know it it just it just really hurts so you know and so that's why i sit on the couch so much",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay alright no weakness or numbness in your legs right now",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "so let me examine you now gloria i'm gon na go ahead and do an exam and let's pretend i did my exam i'm just gon na verbalize some of my findings just so i can record this and put it into my my into my chart so neck exam you do have a little bit of swelling in your neck little bit of jvd no bruits your lung exam you have some crackles in both bases and some rales that i can hear and there are a little bit of intermittent wheezing as well on your heart exam you have a two over six systolic ejection murmur you've had that in the past otherwise regular rate and rhythm it does n't feel a regular your belly exam your belly's slightly distended there's no tenderness or guarding or anything like that so that does n't that looks pretty good on your leg exam you do have some one plus pitting edema or actually almost one and a half plus pitting edema in your both of your ankles no calf tenderness negative homans sign that means no blood clots otherwise neurologic exam is normal the rest of your exam is normal so what does this all mean so let me explain that so for the first problem the shortness of breath you know i think you have an exacerbation of your congestive heart failure what i'd like to do is increase your dose of lasix from twenty milligrams to sixty milligrams for the next four days i'm gon na have you check your weights everyday and also i'm gon na go ahead and have you use your albuterol and atrovent we had given you some inhalers in the past i can give you another refill if you need to help with that some of the breathing that you're having the shortness of breath so i'd like to get some of this fluid off you have you check your weights daily we'll have you increase your dose of lasix we'll have you use a breathing treatments and see if that helps your shortness of breath i'd like to have you come back in about couple days actually i wan na see how you're doing and if it does n't get better we may have to increase the dose or send you to the hospital okay",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "i do n't want to go to the hospital doctor",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "yeah so let's try to let's try to use the lasix and let's try to let's try to you know use the breathing treatments and and do that for the second problem the diabetes that we just talked about i like to go ahead and order another blood test another hemoglobin a1c i think we need to your blood sugars have been running a little bit high in the past and we've had a hard time but it's been a while since we checked your last one so i wan na check another one today to see where we are and when we have you come back in a couple days we should have the results back we can then adjust your metformin or we may have to adjust some of the you know add a different medication at that point but but right now i'm gon na order some blood tests we'll have you come back in a couple of days and then we can reassess at that point okay",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "so i had a piece of cake before i came in here is that gon na affect the the lab work",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "yeah we'll probably do a fasting blood sugar we'll we'll order the hemoglobin a1c that should n't be actually matter because that checks long term but if we need your blood sugar may be elevated today i i would n't be surprised alright and i forgot to examine your back by the way so on your back exam you do have some tenderness in the paraspinal areas of your back in the in the lower back mostly no midline tenderness you have good reflexes so i think this is all muscular pain right now for your back pain i'm gon na go ahead and put you on some naprosyn and some flexeril which is a muscle relaxer i'm gon na give you some exercises you can do to help you get off the couch it'll also help your blood sugar and why do n't we have you if that does n't work the the pain medicine and the physical we can start physical therapy and see if that helps okay",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "any questions about that",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "i do n't think so which color pills",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "i think it's a white pill and it's round",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "about this big",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "alright sounds good",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "anything else gloria",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "no that's it",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "alright thanks for coming in today",
"turn_id": 61
}
] |
[
{
"description": "come back couple days",
"order_type": "followup",
"provenance": [
48,
50
],
"reason": "exacerbation of your congestive heart failure diabetes"
},
{
"description": "bloo hemoglobin a1c today",
"order_type": "lab",
"provenance": [
50
],
"reason": "diabetes"
},
{
"description": "naprosyn",
"order_type": "medication",
"provenance": [
52
],
"reason": "back muscular pain"
},
{
"description": "flexeril",
"order_type": "medication",
"provenance": [
52
],
"reason": "back muscular pain"
},
{
"description": "lasix sixty milligrams four days pill",
"order_type": "medication",
"provenance": [
48,
56
],
"reason": "exacerbation of your congestive heart failure"
},
{
"description": "albuterol a",
"order_type": "medication",
"provenance": [
48
],
"reason": "shortness of breath"
},
{
"description": "atrovent inhalers",
"order_type": "medication",
"provenance": [
48
],
"reason": "shortness of breath"
}
] |
{"id": "acibench_D2N063_aci_train", "expected_orders": [{"order_type": "followup", "description": "come back couple days", "reason": "exacerbation of your congestive heart failure diabetes", "provenance": [48, 50]}, {"order_type": "lab", "description": "bloo hemoglobin a1c today", "reason": "diabetes", "provenance": [50]}, {"order_type": "medication", "description": "naprosyn", "reason": "back muscular pain", "provenance": [52]}, {"order_type": "medication", "description": "flexeril", "reason": "back muscular pain", "provenance": [52]}, {"order_type": "medication", "description": "lasix sixty milligrams four days pill", "reason": "exacerbation of your congestive heart failure", "provenance": [48, 56]}, {"order_type": "medication", "description": "albuterol a", "reason": "shortness of breath", "provenance": [48]}, {"order_type": "medication", "description": "atrovent inhalers", "reason": "shortness of breath", "provenance": [48]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "so gloria is a 46 -year-old female today with past medical history of diabetes and back pain and today here for shortness of breath with chf and copd also so gloria tell me what's going on"}, {"turn_id": 2, "speaker": "patient", "transcript": "i i i'm having a lot of trouble sleeping"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay and and how long has this been going on for"}, {"turn_id": 4, "speaker": "patient", "transcript": "really just for about the past two weeks i i just ca n't ca n't get comfortable you know when i when i lay down in bed i just ca n't ca n't fall"}, {"turn_id": 5, "speaker": "doctor", "transcript": "is it because you're having you ca n't sleep or you're having shortness of breath or difficulty breathing or what's going on with that"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah i i feel like i'm just i'm just choking a few minutes after i i lay down to sleep i just ca n't catch my breath"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay and are you and how has your pulse ox been your oxygen level been at home i know you your oxygen level here is like ninety two right now in the office which is a little bit on the low side how is how has that been at home"}, {"turn_id": 8, "speaker": "patient", "transcript": "i can breathe fine"}, {"turn_id": 9, "speaker": "doctor", "transcript": "just when you lay down you get short of breath okay and is it worse when you have you noticed any shortness of breath during the day when you exert yourself when you climb stairs or do other stuff"}, {"turn_id": 10, "speaker": "patient", "transcript": "i do n't i do n't do any of that usually i just i i sit on the couch and watch my shows"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay fair enough and how about have you noticed any weight gain or swelling in your legs or calves or anything like that"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah i i ca n't see my ankles anymore and and yeah i i do n't know what's going on with the scale i think the numbers are off because you know suddenly i gained about ten pounds"}, {"turn_id": 13, "speaker": "doctor", "transcript": "wow okay alright and are you taking i know you were supposed to be taking lasix and we had you on you know diet control to to prevent to limit your salt intake how is that going"}, {"turn_id": 14, "speaker": "patient", "transcript": "i i i do n't know how much salt is in freedoes but you know i i i'm really enjoying those in last weekend we got this really big party and yeah which color is that lasix pill"}, {"turn_id": 15, "speaker": "doctor", "transcript": "yeah it's it's the white one the round one so it sounds like you're not maybe not taking it as regularly as you should"}, {"turn_id": 16, "speaker": "patient", "transcript": "no sir i i do n't think i am"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay alright and are you having any chest pain or tightness in your chest or anything like that or not really"}, {"turn_id": 18, "speaker": "patient", "transcript": "no not really"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 20, "speaker": "patient", "transcript": "just just when i ca n't breathe good at night you know"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay got it"}, {"turn_id": 22, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 23, "speaker": "doctor", "transcript": "so i'll examine you in a second so it's been a couple of weeks are you coughing up anything any fevers with this at all"}, {"turn_id": 24, "speaker": "patient", "transcript": "no no fever kinda feel like i'm just bringing a whole bunch of yuck up once in a while though especially first thing in the morning"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay alright and how have your blood sugars been doing this time i know you're taking the metformin are you checking your accu-cheks how has that been going"}, {"turn_id": 26, "speaker": "patient", "transcript": "i i'm sorry what's an accu-chek"}, {"turn_id": 27, "speaker": "doctor", "transcript": "for your blood sugar check are you checking that or not really"}, {"turn_id": 28, "speaker": "patient", "transcript": "i i i did it a couple of weeks ago"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 30, "speaker": "patient", "transcript": "and it was about it i i think about two thirty it was okay"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay so your hemoglobin a1c last time was seven . five and we had talked about you know trying to improve your diet we had talked about you know we wan na avoid going to insulin but it sounds like it's been a challenge to kinda control the diet and also your blood sugars have been running a little bit high"}, {"turn_id": 32, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay alright"}, {"turn_id": 34, "speaker": "patient", "transcript": "yeah it's it's been a challenge"}, {"turn_id": 35, "speaker": "doctor", "transcript": "alright and any nausea vomiting or diarrhea or anything like that are you peeing a whole lot or anything like that no"}, {"turn_id": 36, "speaker": "patient", "transcript": "yeah i'm feeling like crazy"}, {"turn_id": 37, "speaker": "doctor", "transcript": "okay alright"}, {"turn_id": 38, "speaker": "patient", "transcript": "ca n't figure out why because i'm not drinking very much"}, {"turn_id": 39, "speaker": "doctor", "transcript": "alright and how is your back then has that been okay i know you're sitting you said you're sitting on the couch a lot watching tv but"}, {"turn_id": 40, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 41, "speaker": "doctor", "transcript": "besides that anything else"}, {"turn_id": 42, "speaker": "patient", "transcript": "yeah you know it it just it just really hurts so you know and so that's why i sit on the couch so much"}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay alright no weakness or numbness in your legs right now"}, {"turn_id": 44, "speaker": "patient", "transcript": "no"}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 46, "speaker": "patient", "transcript": "no"}, {"turn_id": 47, "speaker": "doctor", "transcript": "so let me examine you now gloria i'm gon na go ahead and do an exam and let's pretend i did my exam i'm just gon na verbalize some of my findings just so i can record this and put it into my my into my chart so neck exam you do have a little bit of swelling in your neck little bit of jvd no bruits your lung exam you have some crackles in both bases and some rales that i can hear and there are a little bit of intermittent wheezing as well on your heart exam you have a two over six systolic ejection murmur you've had that in the past otherwise regular rate and rhythm it does n't feel a regular your belly exam your belly's slightly distended there's no tenderness or guarding or anything like that so that does n't that looks pretty good on your leg exam you do have some one plus pitting edema or actually almost one and a half plus pitting edema in your both of your ankles no calf tenderness negative homans sign that means no blood clots otherwise neurologic exam is normal the rest of your exam is normal so what does this all mean so let me explain that so for the first problem the shortness of breath you know i think you have an exacerbation of your congestive heart failure what i'd like to do is increase your dose of lasix from twenty milligrams to sixty milligrams for the next four days i'm gon na have you check your weights everyday and also i'm gon na go ahead and have you use your albuterol and atrovent we had given you some inhalers in the past i can give you another refill if you need to help with that some of the breathing that you're having the shortness of breath so i'd like to get some of this fluid off you have you check your weights daily we'll have you increase your dose of lasix we'll have you use a breathing treatments and see if that helps your shortness of breath i'd like to have you come back in about couple days actually i wan na see how you're doing and if it does n't get better we may have to increase the dose or send you to the hospital okay"}, {"turn_id": 48, "speaker": "patient", "transcript": "i do n't want to go to the hospital doctor"}, {"turn_id": 49, "speaker": "doctor", "transcript": "yeah so let's try to let's try to use the lasix and let's try to let's try to you know use the breathing treatments and and do that for the second problem the diabetes that we just talked about i like to go ahead and order another blood test another hemoglobin a1c i think we need to your blood sugars have been running a little bit high in the past and we've had a hard time but it's been a while since we checked your last one so i wan na check another one today to see where we are and when we have you come back in a couple days we should have the results back we can then adjust your metformin or we may have to adjust some of the you know add a different medication at that point but but right now i'm gon na order some blood tests we'll have you come back in a couple of days and then we can reassess at that point okay"}, {"turn_id": 50, "speaker": "patient", "transcript": "so i had a piece of cake before i came in here is that gon na affect the the lab work"}, {"turn_id": 51, "speaker": "doctor", "transcript": "yeah we'll probably do a fasting blood sugar we'll we'll order the hemoglobin a1c that should n't be actually matter because that checks long term but if we need your blood sugar may be elevated today i i would n't be surprised alright and i forgot to examine your back by the way so on your back exam you do have some tenderness in the paraspinal areas of your back in the in the lower back mostly no midline tenderness you have good reflexes so i think this is all muscular pain right now for your back pain i'm gon na go ahead and put you on some naprosyn and some flexeril which is a muscle relaxer i'm gon na give you some exercises you can do to help you get off the couch it'll also help your blood sugar and why do n't we have you if that does n't work the the pain medicine and the physical we can start physical therapy and see if that helps okay"}, {"turn_id": 52, "speaker": "patient", "transcript": "okay"}, {"turn_id": 53, "speaker": "doctor", "transcript": "any questions about that"}, {"turn_id": 54, "speaker": "patient", "transcript": "i do n't think so which color pills"}, {"turn_id": 55, "speaker": "doctor", "transcript": "i think it's a white pill and it's round"}, {"turn_id": 56, "speaker": "patient", "transcript": "okay"}, {"turn_id": 57, "speaker": "doctor", "transcript": "about this big"}, {"turn_id": 58, "speaker": "patient", "transcript": "alright sounds good"}, {"turn_id": 59, "speaker": "doctor", "transcript": "anything else gloria"}, {"turn_id": 60, "speaker": "patient", "transcript": "no that's it"}, {"turn_id": 61, "speaker": "doctor", "transcript": "alright thanks for coming in today"}]}
|
acibench_D2N037_aci_train
|
[
{
"speaker": "doctor",
"transcript": "hey dylan what's going on so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore which elbow is it",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "actually it's both my elbows but my right elbow is hurting me the most",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay and you said you lift a lot of weights",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "did you play any sports when you were younger",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "no anything you can think of primarily it was basketball baseball and football",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay and did your elbows hurt at that time or is this a a new injury",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "it's new",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "when did it start",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "probably year and a half ago",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay on both elbows about a year and a half ago",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay have you taken anything for the pain",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "ibuprofen eight hundred milligrams three times a day",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay and does anything make it better or worse",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "the more i use my hands or my arms the more it hurts",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay have you tried icing",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "does that give you any relief",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "alright is it the inside or outside of your elbows",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "inside",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "inside okay let's just do a quick physical exam here i'll take a look at your right elbow first",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "if i bend it this way up does it hurt it's your left does that hurt",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "how about this",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay so pain with both flexion and extension",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "looks like you have little bit of limited range of motion on extension not on flexion though you said it hurts right here on the inside of your elbow",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay so pain on the medial side with palpation",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "alright how about the outside",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "no pain with palpation outside of the elbow you have do you have normal sensation in your fingers",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "i think so",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay great",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "good to go",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "sensation is normal to the touch",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "pulses equal in all extremities how about the left elbow same thing if i bend it this way does that hurt",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "not as much",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "how about this way",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "not as much",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "alright so little bit of pain on flexion and extension little bit of limited range of motion on extension of the arm how about if you twist like you're opening a door",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "okay so some pain with torsion and twisting supination what about pronation",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "no pain with pronation on the right side",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "same thing on the left",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "pain with supination no pain with pronation",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "correct",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "alright so dylan it took some x-rays coming in looks like you do n't have any any fractures or any bony misalignment which i expect with this kind of injury i do think that what you have is medial epicondylitis which is",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "is that golfer's elbow",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "yes same thing have you been golfing a lot",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "well not in the past year and a half i've had this for a long time",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "okay also known as pictures elbow",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "well i have n't been pitching either",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "hmmm well in any case what i'm gon na have to do is i'm gon na send you up for mri to take another look at this",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "that will be our next step so we'll get you scheduled for the mri probably get you in pretty quick here since we're a private practice",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "thank god",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "yeah and once you get the mri i'll know a little bit more what i'd like to do is something called a whole blood transfusion have you heard of that before",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "no please tell me remind me",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "yeah it should help with the healing of your elbow it's just a procedure we'll stick a needle in your elbow",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "you do a stick needle in my elbow",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "mm-hmm and help with some of the healing of your elbow",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "so it's kinda like dry needling then",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "no",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "not at all",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "what is it",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "is it is that that thing where like you take the blood out of like say my my thigh",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "mm-hmm",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "and then you literally inject it into my tendon",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "yes",
"turn_id": 81
},
{
"speaker": "patient",
"transcript": "that it activates the healing",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "yeah that's exactly what it is",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "interesting cool",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 85
},
{
"speaker": "patient",
"transcript": "maybe i have heard about that",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "we've we've had some really good responses from other patients on it so hopefully i mean that should be a good solution for you since you've been having issues with this",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "i'm excited",
"turn_id": 88
},
{
"speaker": "doctor",
"transcript": "yeah and we can hopefully get you scheduled for that in the next couple of weeks it's not not a major procedure and you should heal in the next two weeks so that wo n't be a problem especially considering that you're expecting a newborn soon we want to make sure you're all healed for that",
"turn_id": 89
},
{
"speaker": "patient",
"transcript": "wow i did n't even say that",
"turn_id": 90
},
{
"speaker": "doctor",
"transcript": "i read it in your chart",
"turn_id": 91
},
{
"speaker": "patient",
"transcript": "man you doctors are good",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "yeah anything else going on today",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "just trying to figure out how you're doing",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "very good thank you",
"turn_id": 95
},
{
"speaker": "patient",
"transcript": "you're welcome",
"turn_id": 96
},
{
"speaker": "doctor",
"transcript": "nice to see you",
"turn_id": 97
},
{
"speaker": "patient",
"transcript": "you have a good day",
"turn_id": 98
}
] |
[
{
"description": "mri",
"order_type": "imaging",
"provenance": [
59,
65
],
"reason": "medial epicondylitis"
}
] |
{"id": "acibench_D2N037_aci_train", "expected_orders": [{"order_type": "imaging", "description": "mri", "reason": "medial epicondylitis", "provenance": [59, 65]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey dylan what's going on so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore which elbow is it"}, {"turn_id": 2, "speaker": "patient", "transcript": "actually it's both my elbows but my right elbow is hurting me the most"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay and you said you lift a lot of weights"}, {"turn_id": 4, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 5, "speaker": "doctor", "transcript": "did you play any sports when you were younger"}, {"turn_id": 6, "speaker": "patient", "transcript": "no anything you can think of primarily it was basketball baseball and football"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay and did your elbows hurt at that time or is this a a new injury"}, {"turn_id": 8, "speaker": "patient", "transcript": "it's new"}, {"turn_id": 9, "speaker": "doctor", "transcript": "when did it start"}, {"turn_id": 10, "speaker": "patient", "transcript": "probably year and a half ago"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay on both elbows about a year and a half ago"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay have you taken anything for the pain"}, {"turn_id": 14, "speaker": "patient", "transcript": "ibuprofen eight hundred milligrams three times a day"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay and does anything make it better or worse"}, {"turn_id": 16, "speaker": "patient", "transcript": "the more i use my hands or my arms the more it hurts"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay have you tried icing"}, {"turn_id": 18, "speaker": "patient", "transcript": "yes"}, {"turn_id": 19, "speaker": "doctor", "transcript": "does that give you any relief"}, {"turn_id": 20, "speaker": "patient", "transcript": "no"}, {"turn_id": 21, "speaker": "doctor", "transcript": "alright is it the inside or outside of your elbows"}, {"turn_id": 22, "speaker": "patient", "transcript": "inside"}, {"turn_id": 23, "speaker": "doctor", "transcript": "inside okay let's just do a quick physical exam here i'll take a look at your right elbow first"}, {"turn_id": 24, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 25, "speaker": "doctor", "transcript": "if i bend it this way up does it hurt it's your left does that hurt"}, {"turn_id": 26, "speaker": "patient", "transcript": "yes"}, {"turn_id": 27, "speaker": "doctor", "transcript": "how about this"}, {"turn_id": 28, "speaker": "patient", "transcript": "yes"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay so pain with both flexion and extension"}, {"turn_id": 30, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 31, "speaker": "doctor", "transcript": "looks like you have little bit of limited range of motion on extension not on flexion though you said it hurts right here on the inside of your elbow"}, {"turn_id": 32, "speaker": "patient", "transcript": "yes"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay so pain on the medial side with palpation"}, {"turn_id": 34, "speaker": "patient", "transcript": "yes"}, {"turn_id": 35, "speaker": "doctor", "transcript": "alright how about the outside"}, {"turn_id": 36, "speaker": "patient", "transcript": "no"}, {"turn_id": 37, "speaker": "doctor", "transcript": "no pain with palpation outside of the elbow you have do you have normal sensation in your fingers"}, {"turn_id": 38, "speaker": "patient", "transcript": "i think so"}, {"turn_id": 39, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 40, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay great"}, {"turn_id": 42, "speaker": "patient", "transcript": "good to go"}, {"turn_id": 43, "speaker": "doctor", "transcript": "sensation is normal to the touch"}, {"turn_id": 44, "speaker": "patient", "transcript": "yes"}, {"turn_id": 45, "speaker": "doctor", "transcript": "pulses equal in all extremities how about the left elbow same thing if i bend it this way does that hurt"}, {"turn_id": 46, "speaker": "patient", "transcript": "not as much"}, {"turn_id": 47, "speaker": "doctor", "transcript": "how about this way"}, {"turn_id": 48, "speaker": "patient", "transcript": "not as much"}, {"turn_id": 49, "speaker": "doctor", "transcript": "alright so little bit of pain on flexion and extension little bit of limited range of motion on extension of the arm how about if you twist like you're opening a door"}, {"turn_id": 50, "speaker": "patient", "transcript": "yes"}, {"turn_id": 51, "speaker": "doctor", "transcript": "okay so some pain with torsion and twisting supination what about pronation"}, {"turn_id": 52, "speaker": "patient", "transcript": "no"}, {"turn_id": 53, "speaker": "doctor", "transcript": "no pain with pronation on the right side"}, {"turn_id": 54, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 55, "speaker": "doctor", "transcript": "same thing on the left"}, {"turn_id": 56, "speaker": "patient", "transcript": "yes"}, {"turn_id": 57, "speaker": "doctor", "transcript": "pain with supination no pain with pronation"}, {"turn_id": 58, "speaker": "patient", "transcript": "correct"}, {"turn_id": 59, "speaker": "doctor", "transcript": "alright so dylan it took some x-rays coming in looks like you do n't have any any fractures or any bony misalignment which i expect with this kind of injury i do think that what you have is medial epicondylitis which is"}, {"turn_id": 60, "speaker": "patient", "transcript": "is that golfer's elbow"}, {"turn_id": 61, "speaker": "doctor", "transcript": "yes same thing have you been golfing a lot"}, {"turn_id": 62, "speaker": "patient", "transcript": "well not in the past year and a half i've had this for a long time"}, {"turn_id": 63, "speaker": "doctor", "transcript": "okay also known as pictures elbow"}, {"turn_id": 64, "speaker": "patient", "transcript": "well i have n't been pitching either"}, {"turn_id": 65, "speaker": "doctor", "transcript": "hmmm well in any case what i'm gon na have to do is i'm gon na send you up for mri to take another look at this"}, {"turn_id": 66, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 67, "speaker": "doctor", "transcript": "that will be our next step so we'll get you scheduled for the mri probably get you in pretty quick here since we're a private practice"}, {"turn_id": 68, "speaker": "patient", "transcript": "thank god"}, {"turn_id": 69, "speaker": "doctor", "transcript": "yeah and once you get the mri i'll know a little bit more what i'd like to do is something called a whole blood transfusion have you heard of that before"}, {"turn_id": 70, "speaker": "patient", "transcript": "no please tell me remind me"}, {"turn_id": 71, "speaker": "doctor", "transcript": "yeah it should help with the healing of your elbow it's just a procedure we'll stick a needle in your elbow"}, {"turn_id": 72, "speaker": "patient", "transcript": "you do a stick needle in my elbow"}, {"turn_id": 73, "speaker": "doctor", "transcript": "mm-hmm and help with some of the healing of your elbow"}, {"turn_id": 74, "speaker": "patient", "transcript": "so it's kinda like dry needling then"}, {"turn_id": 75, "speaker": "doctor", "transcript": "no"}, {"turn_id": 76, "speaker": "patient", "transcript": "not at all"}, {"turn_id": 77, "speaker": "doctor", "transcript": "what is it"}, {"turn_id": 78, "speaker": "patient", "transcript": "is it is that that thing where like you take the blood out of like say my my thigh"}, {"turn_id": 79, "speaker": "doctor", "transcript": "mm-hmm"}, {"turn_id": 80, "speaker": "patient", "transcript": "and then you literally inject it into my tendon"}, {"turn_id": 81, "speaker": "doctor", "transcript": "yes"}, {"turn_id": 82, "speaker": "patient", "transcript": "that it activates the healing"}, {"turn_id": 83, "speaker": "doctor", "transcript": "yeah that's exactly what it is"}, {"turn_id": 84, "speaker": "patient", "transcript": "interesting cool"}, {"turn_id": 85, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 86, "speaker": "patient", "transcript": "maybe i have heard about that"}, {"turn_id": 87, "speaker": "doctor", "transcript": "we've we've had some really good responses from other patients on it so hopefully i mean that should be a good solution for you since you've been having issues with this"}, {"turn_id": 88, "speaker": "patient", "transcript": "i'm excited"}, {"turn_id": 89, "speaker": "doctor", "transcript": "yeah and we can hopefully get you scheduled for that in the next couple of weeks it's not not a major procedure and you should heal in the next two weeks so that wo n't be a problem especially considering that you're expecting a newborn soon we want to make sure you're all healed for that"}, {"turn_id": 90, "speaker": "patient", "transcript": "wow i did n't even say that"}, {"turn_id": 91, "speaker": "doctor", "transcript": "i read it in your chart"}, {"turn_id": 92, "speaker": "patient", "transcript": "man you doctors are good"}, {"turn_id": 93, "speaker": "doctor", "transcript": "yeah anything else going on today"}, {"turn_id": 94, "speaker": "patient", "transcript": "just trying to figure out how you're doing"}, {"turn_id": 95, "speaker": "doctor", "transcript": "very good thank you"}, {"turn_id": 96, "speaker": "patient", "transcript": "you're welcome"}, {"turn_id": 97, "speaker": "doctor", "transcript": "nice to see you"}, {"turn_id": 98, "speaker": "patient", "transcript": "you have a good day"}]}
|
acibench_D2N070_virtassist_valid
|
[
{
"speaker": "doctor",
"transcript": "hi logan . how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hey , good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "it's good to see you as well .",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "so i know the nurse told you about dax .",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "i'd like to tell dax a little bit about you .",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "so logan is a 58 year old male , with a past medical history significant for diabetes type 2 , hypertension , osteoarthritis , who presents today with some back pain .",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "so logan , what happened to your back ?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "uh , we were helping my daughter with some heavy equipment and lifted some boxes a little too quickly , and they were a little too heavy .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "okay ... and did you strain your back , did something-",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "i thought i heard a pop when i moved and i had to lie down for about an hour before it actually relieved the pain . and then it's been a little stiff ever since . and this was- what , so today's tuesday . this was saturday morning .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay , all right .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "and is it your lower back , your upper back ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "my lower back .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "your lower back , okay . and what- what have you taken for the pain ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i took some tylenol , i took some ibuprofen , i used a little bit of icy heat on the spot but it really did n't seem to help .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay . and um ... do you have any numbing or tingling in your legs ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "uh ... i felt some tingling in my toes on my right foot until about sunday afternoon . and then that seemed to go away .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay , and is there a position that you feel better in ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "uh ... it's really tough to find a comfortable spot sleeping at night . i would- i tend to lie on my right side and that seemed to help a little bit ?",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay , all right .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "well , um ... so how are you doing otherwise ? i know that , you know , we have some issues to talk-",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": ". about today . were you able to take any vacations over the summer ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "um ... some long weekends , which was great . just kind of- trying to mix it up through the summer . so lots of three day weekends .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay , well i'm glad to hear that .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "um ... so let's talk a little bit about your diabetes . how are you doing with that ? i know that- you know , i remember you have a sweet tooth . so ...",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "yeah ... i-i love peanut butter cups . um ... and i have to say that when we were helping my daughter , we were on the fly and on the go and haven't had a home cooked meal in weeks, our diets were less than stellar .",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "and uh ... i-i think i need to go clean for a couple of weeks . but other than that , it was been- it's been pretty good eating .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "okay , all right . and how about your high blood pressure ? are you monitoring your blood pressure readings at home , like i recommended ?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "i'm good about it during the week while i am at home working, but on the weekends when i'm out of the house i tend to forget . uh , and so it's not as regimented , but it's been pretty good and-and under control for the most part .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "okay , and you're you're taking your medication ?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "yes , i am .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "okay . and then lastly , i know that you had had some early arthritis in your knee . how- how are you doing with that ?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "uh ... it gets aggravated every once in a while . if i- maybe if i run too much or if i've lift boxes that are a little too heavy , i start to feel the strain . but it's been okay . not great , but it's been okay .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "okay . all right , well ... let me go ahead and- you know , i know that the nurse did a review of systems sheet with you when you- when you checked in . i know that you were endorsing the back pain .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "have you had any other symptoms , chest pain , nausea or vomiting-",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": ". fever , chills ?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "no . no none whatsoever .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "no . okay . all right , well let me go ahead , i want to do a quick physical exam .",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "hey dragon ? show me the blood pressure .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "so it's a little elevated . your blood pressure's a little elevated here in the office , but you know you could be in some pain , which could make your-",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": ". blood pressure go up . let's look at the readings .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "hey dragon ? show me the blood pressure readings .",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "yeah ... yeah you know they do run a little bit on the high side , so we'll have to address that as well .",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "okay , well . let me- i'm just going to be listening your heart and your lungs and i'll check out your back and i'll let you know what i find , okay ?",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "and kick against my hands .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "okay , good . all right .",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "okay , so ... on physical examination , you know , i-i do hear a slight 2 out of 6 s- s- systolic heart murmur .",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "on your heart exam . which you've had in the past .",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "so that sounds stable to me .",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "on your back exam , you know , you do have some pain to palpation of the lumbar spine . and you have pain with flexion and extension of the back . and you have a negative straight leg raise , which is which is good . so , let's- let's just look at some of your results , okay ?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "hey dragon ? show me the diabetes labs .",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "okay , so ... in reviewing the results of your diabetes labs , your hemoglobin a1c is a little elevated at eight . i'd like to see it a little bit better , okay ?",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "hey dragon ? show me the back x-ray .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "so in reviewing the results of your back x-ray , this looks like a normal x-ray . there's good bony alignment , there's normal uh- there's no fracture present . uh , so this is a normal x-ray of your back , which is not surprising based on-",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": ". the history , okay ?",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "so let's just go ahead and we'll- we're going to go over , you know , my assessment and my plan for you .",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "so for your first problem , your back pain . you know , i think you have a lumbar strain from the lifting . so , let's go ahead . we can prescribe you some meloxicam 15 mg once a day .",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "i want you to continue to ice it , okay . i want you to try to avoid any strenuous activity and we can go ahead and- and refer you to physical therapy-",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": ". and see how you do , okay ?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "for your next problem , your diabetes . y-you know , i think it's a little under- out of control . so i want to increase the metformin to 1000 mg twice a day . and i'm going to um ... um ... i'm going to repeat a hemoglobin a1c in about 6 months , okay ?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "hey dragon ? order a hemoglobin a1c .",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "so , for your third problem , your hypertension . uh ... i-i'd like to go ahead increase the lisinopril from 10 mg to 20 mg a day .",
"turn_id": 81
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "does that sound okay ? i think we need to get it under better control .",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "no that's fine . i agree .",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "hey dragon ? order lisinopril 20 mg daily .",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "and for your last problem , your osteoarthritis , i-i think that you were doing a really good job , in terms of you know what , monitoring your knee and uh ...",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "i do n't think we need to do any- any further , you know , work up of that at this time , okay ?",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "do you have any questions logan ?",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "not at this point .",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "okay . all right .",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "so the nurse will come in to help you get checked out , okay ?",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "hey dragon ? finalize the note .",
"turn_id": 95
}
] |
[
{
"description": "hemoglobin a1c in about 6 months",
"order_type": "lab",
"provenance": [
9,
135
],
"reason": "diabetes type 2"
},
{
"description": "lisinopril 20 mg a day",
"order_type": "medication",
"provenance": [
139,
140
],
"reason": "hypertension"
},
{
"description": "meloxicam 15 mg once a day",
"order_type": "medication",
"provenance": [
121,
124
],
"reason": "back pain"
},
{
"description": "metformin 1000 mg twice a day",
"order_type": "medication",
"provenance": [
9,
134
],
"reason": "diabetes type 2"
}
] |
{"id": "acibench_D2N070_virtassist_valid", "expected_orders": [{"order_type": "lab", "description": "hemoglobin a1c in about 6 months", "reason": "diabetes type 2", "provenance": [9, 135]}, {"order_type": "medication", "description": "lisinopril 20 mg a day", "reason": "hypertension", "provenance": [139, 140]}, {"order_type": "medication", "description": "meloxicam 15 mg once a day", "reason": "back pain", "provenance": [121, 124]}, {"order_type": "medication", "description": "metformin 1000 mg twice a day", "reason": "diabetes type 2", "provenance": [9, 134]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi logan . how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "hey , good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "it's good to see you as well ."}, {"turn_id": 4, "speaker": "doctor", "transcript": "so i know the nurse told you about dax ."}, {"turn_id": 5, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "i'd like to tell dax a little bit about you ."}, {"turn_id": 7, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "so logan is a 58 year old male , with a past medical history significant for diabetes type 2 , hypertension , osteoarthritis , who presents today with some back pain ."}, {"turn_id": 9, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "so logan , what happened to your back ?"}, {"turn_id": 11, "speaker": "patient", "transcript": "uh , we were helping my daughter with some heavy equipment and lifted some boxes a little too quickly , and they were a little too heavy ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "okay ... and did you strain your back , did something-"}, {"turn_id": 13, "speaker": "patient", "transcript": "i thought i heard a pop when i moved and i had to lie down for about an hour before it actually relieved the pain . and then it's been a little stiff ever since . and this was- what , so today's tuesday . this was saturday morning ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay , all right ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "and is it your lower back , your upper back ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "my lower back ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "your lower back , okay . and what- what have you taken for the pain ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "i took some tylenol , i took some ibuprofen , i used a little bit of icy heat on the spot but it really did n't seem to help ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay . and um ... do you have any numbing or tingling in your legs ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "uh ... i felt some tingling in my toes on my right foot until about sunday afternoon . and then that seemed to go away ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay , and is there a position that you feel better in ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "uh ... it's really tough to find a comfortable spot sleeping at night . i would- i tend to lie on my right side and that seemed to help a little bit ?"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay , all right ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "well , um ... so how are you doing otherwise ? i know that , you know , we have some issues to talk-"}, {"turn_id": 25, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 26, "speaker": "doctor", "transcript": ". about today . were you able to take any vacations over the summer ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "um ... some long weekends , which was great . just kind of- trying to mix it up through the summer . so lots of three day weekends ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay , well i'm glad to hear that ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "um ... so let's talk a little bit about your diabetes . how are you doing with that ? i know that- you know , i remember you have a sweet tooth . so ..."}, {"turn_id": 30, "speaker": "patient", "transcript": "yeah ... i-i love peanut butter cups . um ... and i have to say that when we were helping my daughter , we were on the fly and on the go and haven't had a home cooked meal in weeks, our diets were less than stellar ."}, {"turn_id": 31, "speaker": "patient", "transcript": "and uh ... i-i think i need to go clean for a couple of weeks . but other than that , it was been- it's been pretty good eating ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "okay , all right . and how about your high blood pressure ? are you monitoring your blood pressure readings at home , like i recommended ?"}, {"turn_id": 33, "speaker": "patient", "transcript": "i'm good about it during the week while i am at home working, but on the weekends when i'm out of the house i tend to forget . uh , and so it's not as regimented , but it's been pretty good and-and under control for the most part ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "okay , and you're you're taking your medication ?"}, {"turn_id": 35, "speaker": "patient", "transcript": "yes , i am ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "okay . and then lastly , i know that you had had some early arthritis in your knee . how- how are you doing with that ?"}, {"turn_id": 37, "speaker": "patient", "transcript": "uh ... it gets aggravated every once in a while . if i- maybe if i run too much or if i've lift boxes that are a little too heavy , i start to feel the strain . but it's been okay . not great , but it's been okay ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "okay . all right , well ... let me go ahead and- you know , i know that the nurse did a review of systems sheet with you when you- when you checked in . i know that you were endorsing the back pain ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "have you had any other symptoms , chest pain , nausea or vomiting-"}, {"turn_id": 40, "speaker": "patient", "transcript": "no ."}, {"turn_id": 41, "speaker": "doctor", "transcript": ". fever , chills ?"}, {"turn_id": 42, "speaker": "patient", "transcript": "no . no none whatsoever ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "no . okay . all right , well let me go ahead , i want to do a quick physical exam ."}, {"turn_id": 44, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "hey dragon ? show me the blood pressure ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "so it's a little elevated . your blood pressure's a little elevated here in the office , but you know you could be in some pain , which could make your-"}, {"turn_id": 47, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 48, "speaker": "doctor", "transcript": ". blood pressure go up . let's look at the readings ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "hey dragon ? show me the blood pressure readings ."}, {"turn_id": 50, "speaker": "doctor", "transcript": "yeah ... yeah you know they do run a little bit on the high side , so we'll have to address that as well ."}, {"turn_id": 51, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 52, "speaker": "doctor", "transcript": "okay , well . let me- i'm just going to be listening your heart and your lungs and i'll check out your back and i'll let you know what i find , okay ?"}, {"turn_id": 53, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 54, "speaker": "doctor", "transcript": "and kick against my hands ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "okay , good . all right ."}, {"turn_id": 56, "speaker": "doctor", "transcript": "okay , so ... on physical examination , you know , i-i do hear a slight 2 out of 6 s- s- systolic heart murmur ."}, {"turn_id": 57, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 58, "speaker": "doctor", "transcript": "on your heart exam . which you've had in the past ."}, {"turn_id": 59, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 60, "speaker": "doctor", "transcript": "so that sounds stable to me ."}, {"turn_id": 61, "speaker": "doctor", "transcript": "on your back exam , you know , you do have some pain to palpation of the lumbar spine . and you have pain with flexion and extension of the back . and you have a negative straight leg raise , which is which is good . so , let's- let's just look at some of your results , okay ?"}, {"turn_id": 62, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 63, "speaker": "doctor", "transcript": "hey dragon ? show me the diabetes labs ."}, {"turn_id": 64, "speaker": "doctor", "transcript": "okay , so ... in reviewing the results of your diabetes labs , your hemoglobin a1c is a little elevated at eight . i'd like to see it a little bit better , okay ?"}, {"turn_id": 65, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 66, "speaker": "doctor", "transcript": "hey dragon ? show me the back x-ray ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "so in reviewing the results of your back x-ray , this looks like a normal x-ray . there's good bony alignment , there's normal uh- there's no fracture present . uh , so this is a normal x-ray of your back , which is not surprising based on-"}, {"turn_id": 68, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 69, "speaker": "doctor", "transcript": ". the history , okay ?"}, {"turn_id": 70, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 71, "speaker": "doctor", "transcript": "so let's just go ahead and we'll- we're going to go over , you know , my assessment and my plan for you ."}, {"turn_id": 72, "speaker": "doctor", "transcript": "so for your first problem , your back pain . you know , i think you have a lumbar strain from the lifting . so , let's go ahead . we can prescribe you some meloxicam 15 mg once a day ."}, {"turn_id": 73, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 74, "speaker": "doctor", "transcript": "i want you to continue to ice it , okay . i want you to try to avoid any strenuous activity and we can go ahead and- and refer you to physical therapy-"}, {"turn_id": 75, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 76, "speaker": "doctor", "transcript": ". and see how you do , okay ?"}, {"turn_id": 77, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 78, "speaker": "doctor", "transcript": "for your next problem , your diabetes . y-you know , i think it's a little under- out of control . so i want to increase the metformin to 1000 mg twice a day . and i'm going to um ... um ... i'm going to repeat a hemoglobin a1c in about 6 months , okay ?"}, {"turn_id": 79, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 80, "speaker": "doctor", "transcript": "hey dragon ? order a hemoglobin a1c ."}, {"turn_id": 81, "speaker": "doctor", "transcript": "so , for your third problem , your hypertension . uh ... i-i'd like to go ahead increase the lisinopril from 10 mg to 20 mg a day ."}, {"turn_id": 82, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 83, "speaker": "doctor", "transcript": "does that sound okay ? i think we need to get it under better control ."}, {"turn_id": 84, "speaker": "patient", "transcript": "no that's fine . i agree ."}, {"turn_id": 85, "speaker": "doctor", "transcript": "hey dragon ? order lisinopril 20 mg daily ."}, {"turn_id": 86, "speaker": "doctor", "transcript": "and for your last problem , your osteoarthritis , i-i think that you were doing a really good job , in terms of you know what , monitoring your knee and uh ..."}, {"turn_id": 87, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 88, "speaker": "doctor", "transcript": "i do n't think we need to do any- any further , you know , work up of that at this time , okay ?"}, {"turn_id": 89, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 90, "speaker": "doctor", "transcript": "do you have any questions logan ?"}, {"turn_id": 91, "speaker": "patient", "transcript": "not at this point ."}, {"turn_id": 92, "speaker": "doctor", "transcript": "okay . all right ."}, {"turn_id": 93, "speaker": "doctor", "transcript": "so the nurse will come in to help you get checked out , okay ?"}, {"turn_id": 94, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 95, "speaker": "doctor", "transcript": "hey dragon ? finalize the note ."}]}
|
acibench_D2N205_aci_clef_taskC_test3
|
[
{
"speaker": "doctor",
"transcript": "hey angela how are you",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i'm good how are you",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "i'm good so i see we are here you had a recent diagnosis of stage three nonsmol cell lung cancer and so we are following up on your neo adevant chemotherapy so you can you tell me how you're doing today",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yeah you know i'm i'm doing okay i have a little bit of some shortness of breath that i noticed over the weekend and you know i i'm i considered myself pretty active before this i would walk my dog around the block and now i i ca n't even walk you know down the street without being short of breath",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay yeah yeah i mean that's that's definitely understandable it says you had a four point four centimeter left upper lobe nodule in there so it's kinda big but that's understandable and we're doing the chemo to try to reduce that that that tumor that you do have so how often do you normally run with your dogs",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "i mean i would i would take them for i would normally take them for like mile long walks everyday and just this weekend i could only walk down to the end of the street i had to have my husband take the dog fit walk",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "man okay what kind of dog do you have",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i have a dobrman",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "yeah they are pretty active that makes sense alright so have you been coughing have you had any phlegm",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "i've been having a dry cough no phlegm",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay have you noticed any fever",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no fever",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "no fever alright what about any other symptoms like any body aches any sore throat sinus pain",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "well i mean now that you mentioned it like every time i swallow it hurts it does n't feel like i have a cold because it hurts down here more in my chest but every time i swallow it it's really painful",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay so when you are swallowing i know some of my patients feel this do you feel like the food is getting stuck",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no the food is not getting stuck it just hurts",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay what about when you're you're taking liquids are you able to take in both hydrocort liquids",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i mean i definitely feel like over the weekend i have n't been taking it as much because it hurt so much but i i am able to i am able to drink and i've been taking ensure and things like that i had a milk shake",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay that's that's that's that's good yeah we we definitely want you to to take in as much liquid as possible best especially since you're on the chemotherapy and the radiation just so you wo n't get dehydrated because that will make you feel a lot worse if you are dehydrated okay so on a on a mental emotional standpoint i know you said you have your husband with you how you doing with that you have the support that you need you need to speak to me though",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "it's very helpful you know as you can understand i'm just like devastated when i got this diagnosis and i'm just i'm just trying to figure everything out and but he is very good and my daughter is is very helpful too and i you know i think for the most part i'm very fortunate to have them",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay so how how are you feeling on your chemo see you're on a combination of sysplatin and a topicide you had your last dose a few days ago any nausea any fatigue from that",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "i was a little nauseated and tired but i took the zofran that you prescribed and that seemed to help and you know i i got some rest it's it's it's been okay",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay that's good so let me do a quick physical exam on you just gon na check your vitals here so your vitals are normal your pulse ox is okay so everything's good with that so i'm gon na feel your neck on your neck exam i do n't appreciate any cervical lymphadenopathy no subclavicular adenopathy your heart exam regular rate and rhythm no murmur your lung exam so i do notice some crackles in your lungs bilaterally that's just a faint sound we hear when you take a deep breath so that could mean you have some fluid in there and that is to be expected due to your lung cancer diagnosis so i'm gon na look at your skin exam so on your skin exam on your chest i do see some erythema on the anterior aspect of your chest on the left side and that could be due to that radiation sometimes patients do get a radiation burn and it's it'll get better with time especially once you're done with the the radiation treatment and on your extremity it there is no lower extremity edema in your legs so prior to coming to see me you did get a chest x-ray it looks like you do have mild radiation umitis that means you have inflammation of your lungs due to the radiation so let's talk a little bit about my assessment and plan for you so your first diagnosis you know is is the lung cancer so we are gon na continue you on that chemo regimen on that you do have continue on that that current radiation doses i think you're on forty five grade yep you're on that and then when the when the regimen's complete we'll do some more testing and hopefully we can see a resection of that tumor so that has just gotten little smaller and we can go inside and and take it out so for your second diagnosis the radiation pneumonitis i'm gon na prescribe you a low dose steroid prednisone forty milligrams one tablet a day for five days have you been on on a steroids before",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no i've only ever heard bad things about them they make people jittery and gain weight",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "i mean and and i for you that's that that's for patients that you know who are on them for a a long period of time right you're only gon na be on it for five days that should n't affect you too bad you might feel when you coming off of it after the five days a few muscle aches other than that you should be fine you should n't really experience much weight gain other other than not not much at all since you're only on on it for five days so but that's gon na help you reduce some of the inflammation in your lungs help you breathe better so we can continue the radiation treatment because we definitely need to do that because our most important thing right now is to try to decrease the size of that tumor okay and then for your third issue the oddy ophagia or it come terms the painful swallowing right you said you had that from the from the radiation so that's from the inflammation of your lungs that's kinda creeping up to your esophagus that's why you're you're feeling that pain so i'm gon na prescribe you a lidocaine squishy and swallow you can do that four times a day and so you'll do it and you'll be able to eat immediately afterwards because it would do some of that pain free from swallowing and that will help you taking liquids and food because we definitely need you well off it and and and hydrated while you're going through this cancer therapy okay",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "alright so do you have any questions for me",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "alright so we will get you those medications those prescriptions and then we will see you back in two weeks",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "okay great thank you",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "thanks",
"turn_id": 31
}
] |
[
{
"description": "lidocaine squishy and swallow four times a day",
"order_type": "medication",
"provenance": [
25
],
"reason": "oddy ophagia"
},
{
"description": "see you back two weeks",
"order_type": "followup",
"provenance": [
29
],
"reason": null
},
{
"description": "prednisone forty milligrams one tablet a day five days",
"order_type": "medication",
"provenance": [
23
],
"reason": "radiation pneumonitis"
}
] |
{"id": "acibench_D2N205_aci_clef_taskC_test3", "expected_orders": [{"order_type": "medication", "description": "lidocaine squishy and swallow four times a day", "reason": "oddy ophagia", "provenance": [25]}, {"order_type": "followup", "description": "see you back two weeks", "reason": null, "provenance": [29]}, {"order_type": "medication", "description": "prednisone forty milligrams one tablet a day five days", "reason": "radiation pneumonitis", "provenance": [23]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey angela how are you"}, {"turn_id": 2, "speaker": "patient", "transcript": "i'm good how are you"}, {"turn_id": 3, "speaker": "doctor", "transcript": "i'm good so i see we are here you had a recent diagnosis of stage three nonsmol cell lung cancer and so we are following up on your neo adevant chemotherapy so you can you tell me how you're doing today"}, {"turn_id": 4, "speaker": "patient", "transcript": "yeah you know i'm i'm doing okay i have a little bit of some shortness of breath that i noticed over the weekend and you know i i'm i considered myself pretty active before this i would walk my dog around the block and now i i ca n't even walk you know down the street without being short of breath"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay yeah yeah i mean that's that's definitely understandable it says you had a four point four centimeter left upper lobe nodule in there so it's kinda big but that's understandable and we're doing the chemo to try to reduce that that that tumor that you do have so how often do you normally run with your dogs"}, {"turn_id": 6, "speaker": "patient", "transcript": "i mean i would i would take them for i would normally take them for like mile long walks everyday and just this weekend i could only walk down to the end of the street i had to have my husband take the dog fit walk"}, {"turn_id": 7, "speaker": "doctor", "transcript": "man okay what kind of dog do you have"}, {"turn_id": 8, "speaker": "patient", "transcript": "i have a dobrman"}, {"turn_id": 9, "speaker": "doctor", "transcript": "yeah they are pretty active that makes sense alright so have you been coughing have you had any phlegm"}, {"turn_id": 10, "speaker": "patient", "transcript": "i've been having a dry cough no phlegm"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay have you noticed any fever"}, {"turn_id": 12, "speaker": "patient", "transcript": "no fever"}, {"turn_id": 13, "speaker": "doctor", "transcript": "no fever alright what about any other symptoms like any body aches any sore throat sinus pain"}, {"turn_id": 14, "speaker": "patient", "transcript": "well i mean now that you mentioned it like every time i swallow it hurts it does n't feel like i have a cold because it hurts down here more in my chest but every time i swallow it it's really painful"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay so when you are swallowing i know some of my patients feel this do you feel like the food is getting stuck"}, {"turn_id": 16, "speaker": "patient", "transcript": "no the food is not getting stuck it just hurts"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay what about when you're you're taking liquids are you able to take in both hydrocort liquids"}, {"turn_id": 18, "speaker": "patient", "transcript": "i mean i definitely feel like over the weekend i have n't been taking it as much because it hurt so much but i i am able to i am able to drink and i've been taking ensure and things like that i had a milk shake"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay that's that's that's that's good yeah we we definitely want you to to take in as much liquid as possible best especially since you're on the chemotherapy and the radiation just so you wo n't get dehydrated because that will make you feel a lot worse if you are dehydrated okay so on a on a mental emotional standpoint i know you said you have your husband with you how you doing with that you have the support that you need you need to speak to me though"}, {"turn_id": 20, "speaker": "patient", "transcript": "it's very helpful you know as you can understand i'm just like devastated when i got this diagnosis and i'm just i'm just trying to figure everything out and but he is very good and my daughter is is very helpful too and i you know i think for the most part i'm very fortunate to have them"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay so how how are you feeling on your chemo see you're on a combination of sysplatin and a topicide you had your last dose a few days ago any nausea any fatigue from that"}, {"turn_id": 22, "speaker": "patient", "transcript": "i was a little nauseated and tired but i took the zofran that you prescribed and that seemed to help and you know i i got some rest it's it's it's been okay"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay that's good so let me do a quick physical exam on you just gon na check your vitals here so your vitals are normal your pulse ox is okay so everything's good with that so i'm gon na feel your neck on your neck exam i do n't appreciate any cervical lymphadenopathy no subclavicular adenopathy your heart exam regular rate and rhythm no murmur your lung exam so i do notice some crackles in your lungs bilaterally that's just a faint sound we hear when you take a deep breath so that could mean you have some fluid in there and that is to be expected due to your lung cancer diagnosis so i'm gon na look at your skin exam so on your skin exam on your chest i do see some erythema on the anterior aspect of your chest on the left side and that could be due to that radiation sometimes patients do get a radiation burn and it's it'll get better with time especially once you're done with the the radiation treatment and on your extremity it there is no lower extremity edema in your legs so prior to coming to see me you did get a chest x-ray it looks like you do have mild radiation umitis that means you have inflammation of your lungs due to the radiation so let's talk a little bit about my assessment and plan for you so your first diagnosis you know is is the lung cancer so we are gon na continue you on that chemo regimen on that you do have continue on that that current radiation doses i think you're on forty five grade yep you're on that and then when the when the regimen's complete we'll do some more testing and hopefully we can see a resection of that tumor so that has just gotten little smaller and we can go inside and and take it out so for your second diagnosis the radiation pneumonitis i'm gon na prescribe you a low dose steroid prednisone forty milligrams one tablet a day for five days have you been on on a steroids before"}, {"turn_id": 24, "speaker": "patient", "transcript": "no i've only ever heard bad things about them they make people jittery and gain weight"}, {"turn_id": 25, "speaker": "doctor", "transcript": "i mean and and i for you that's that that's for patients that you know who are on them for a a long period of time right you're only gon na be on it for five days that should n't affect you too bad you might feel when you coming off of it after the five days a few muscle aches other than that you should be fine you should n't really experience much weight gain other other than not not much at all since you're only on on it for five days so but that's gon na help you reduce some of the inflammation in your lungs help you breathe better so we can continue the radiation treatment because we definitely need to do that because our most important thing right now is to try to decrease the size of that tumor okay and then for your third issue the oddy ophagia or it come terms the painful swallowing right you said you had that from the from the radiation so that's from the inflammation of your lungs that's kinda creeping up to your esophagus that's why you're you're feeling that pain so i'm gon na prescribe you a lidocaine squishy and swallow you can do that four times a day and so you'll do it and you'll be able to eat immediately afterwards because it would do some of that pain free from swallowing and that will help you taking liquids and food because we definitely need you well off it and and and hydrated while you're going through this cancer therapy okay"}, {"turn_id": 26, "speaker": "patient", "transcript": "okay"}, {"turn_id": 27, "speaker": "doctor", "transcript": "alright so do you have any questions for me"}, {"turn_id": 28, "speaker": "patient", "transcript": "no"}, {"turn_id": 29, "speaker": "doctor", "transcript": "alright so we will get you those medications those prescriptions and then we will see you back in two weeks"}, {"turn_id": 30, "speaker": "patient", "transcript": "okay great thank you"}, {"turn_id": 31, "speaker": "doctor", "transcript": "thanks"}]}
|
primock57_4_2
|
[
{
"speaker": "doctor",
"transcript": "You have to do it, part of your training as a doctor.",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "Hello.",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "Hi.",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "Hi. Can you hear me?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": ". Yes, I can hear fine.",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "Hi. My name's Doctor Gohill, I'm one of the general practitioners, that works here. Can I check your name and date of birth please?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "Uh, I am, uh, Patrick Smith.",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "Hi.",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "Uh, thirty five years old.",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "Um, October, seventh. Uh.",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "ninety , three something.",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "Great.",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "And Patrick, are you in a, space, that's private and quiet?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "Great, and so, we're OK to chat?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "Yes, we are.",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "OK. So it says here, um, you are feeling hot, and have had severe headaches. Is that correct?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "Yeah. It's, it's really affecting my work. Uh, uh, it comes and goes. Uh.",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "Uh, I kind of, feel like, uh, it's, it's hard 'cause I, I , kinda lose my appetite.",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "Also. Uh, one thing that's kinda weird is, I just sometimes also get like some, tingling in my arms.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": ". And, like, especially if, for example when I, come into the elevator, in the morning.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "I, I can uh, of have, my heart is beating, kinda fast.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "So, those are lots of things. Are they all happening at the same time?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "Almost randomly like. Yeah, it's, it's, it's at different , times.",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "And, do they all happen at the same time? Or is it one thing one time, and one ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": ", one time, one thing at a time.",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "OK. So, let's start with the headaches. When they do come, do you have any idea the headache is going to come?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "Uh, not really but, generally during, work times.",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "So, it's normally at work?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "I'm at work, I'm in a meeting, or on my laptop.",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "OK. And, where does the headache sit in your head? Is it the front, or the back?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "Um, I can't say, so like, kind of over.",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": ". OK. And, does it else?",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "Does it go anywhere else?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": ", the headache? No, it's mostly in the front, and then yeah, it just kind of stays there.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "And, when you have the headaches, specifically, do you feel sick?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": ", not, not, not really, but it's like, making it hard. I, yeah, I kind of feel a little bit nauseous maybe. Um.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "And sometimes I also feel like.",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "Uh, yeah. It's like uh, maybe, probably, breathing or something.",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "And, do you normally get headaches, before all of this started?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "Uh, so.",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "No, I, I feel like my, like, health situation was mostly under control.",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "And then let's.",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "But it , it started roughly when I changed jobs.",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "OK. So, talk to me about your job, what do you do?",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "I'm a lawyer.",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "And, do you work in London at the moment?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "So, do you get these headaches on your commute in to work?",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "Not really. I get it, mostly when I'm, at work.",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "OK, and tell me about what you do. Do you sit in front of a computer most of the time? Or do you speak to people?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Like fifty-fifty. I go to meetings and then uh, sit in front of a computer.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "There's a lot of reading.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "And, these things have happened mostly when you're sitting at your computer?",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": ", yeah, it happens then, yeah.",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "OK, and tell me, what did you do, before being a lawyer?",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "Uh, no, I was a lawyer at previous job as well.",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "So, talk to me about the stress that you're under at the moment. If, uh, ten out of ten is, extremely stressful, and one out of ten is being on vacation. Where would moment?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "Think it's, seven, or eight.",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "And, is that normal for you?",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "Yeah, it's like, a law firm, like, there's always pressure.",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "So, you mentioned your headaches. You also mentioned your reduced appetite. So, you don't want to eat as much.",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "Have you lost weight?",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "Can you remember how much you've lost?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "Five pounds.",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "And, is that because you're going to the gym? Or is that unintentional?",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "It's not intentional, no.",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "OK. So, have you noticed your clothes feeling looser?",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": ", not really, ah, no.",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "And, have people said, or commented that you've lost weight?",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": "Great. And, another thing that you also mentioned. Is that you noticed tingling in your hand.",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "So, talk to me about that. Is it in one hand? Or both hands?",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "Both.",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "And, do you get that in your legs as well?",
"turn_id": 98
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 99
},
{
"speaker": "doctor",
"transcript": "And, what does it feel like, the tingling?",
"turn_id": 100
},
{
"speaker": "patient",
"transcript": "Quick picking, yeah.",
"turn_id": 101
},
{
"speaker": "doctor",
"transcript": "And again, is this the first time you've noticed this?",
"turn_id": 102
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "And the other two things that I've just, jotted down. Is, you're feeling hot, but you didn't mention that.",
"turn_id": 105
},
{
"speaker": "doctor",
"transcript": "Is that correct?",
"turn_id": 106
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 107
},
{
"speaker": "patient",
"transcript": "Uh, but like.",
"turn_id": 108
},
{
"speaker": "patient",
"transcript": "I would say like, I get this like, feeling of, short, like, , short of breath, sometimes.",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 110
},
{
"speaker": "patient",
"transcript": "So, like, that could be what, you we're, referring to.",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "Yes. So, do you feel short of breath while you're sitting at your desk?",
"turn_id": 112
},
{
"speaker": "patient",
"transcript": "Yeah, no. Yes. Sorry, yeah.",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": ". OK. And, how about when you're exercising?",
"turn_id": 114
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 115
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "And the last thing is. You mentioned that you noticed your heart beating?",
"turn_id": 117
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 118
},
{
"speaker": "doctor",
"transcript": "Again, how often do you get that?",
"turn_id": 119
},
{
"speaker": "patient",
"transcript": "I, I, when I like, it's maybe once a day, uh, maybe more. Uh.",
"turn_id": 120
},
{
"speaker": "patient",
"transcript": "There's one more thing that I, I think I should mention, like, I do have like, some loss of libido at home.",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "OK. How long has that been happening for?",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "Same amount of time really, like, since I changed my job.",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "Fine. And, apart from all of these things that you've told me. Do you have any other medical problems?",
"turn_id": 124
},
{
"speaker": "patient",
"transcript": "Uh, well I have, hyperthyroidism.",
"turn_id": 125
},
{
"speaker": "doctor",
"transcript": "OK. And, do you take medications for that?",
"turn_id": 126
},
{
"speaker": "patient",
"transcript": "Thyroxine.",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "And, are you remembering to take your medications?",
"turn_id": 128
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 129
},
{
"speaker": "doctor",
"transcript": "OK. And, do you drink or smoke?",
"turn_id": 130
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 131
},
{
"speaker": "doctor",
"transcript": "How much do you drink?",
"turn_id": 132
},
{
"speaker": "patient",
"transcript": "Like, once a week, couple of glasses, of wine.",
"turn_id": 133
},
{
"speaker": "doctor",
"transcript": "OK. And, how about smoking?",
"turn_id": 134
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 135
},
{
"speaker": "doctor",
"transcript": "And, uh, I need to ask this to all of my patients, but do you do anything else recreational, in terms of drugs?",
"turn_id": 136
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 137
},
{
"speaker": "doctor",
"transcript": "OK. So, you've never taken cocaine, or marijuana?",
"turn_id": 138
},
{
"speaker": "patient",
"transcript": ". No.",
"turn_id": 139
},
{
"speaker": "doctor",
"transcript": "OK, thank you. And, are you allergic to anything?",
"turn_id": 140
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 141
},
{
"speaker": "doctor",
"transcript": "Good. So, you've told me lots of things happening to you at the moment, and I can understand, they probably feel quite strange and unusual.",
"turn_id": 142
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 143
},
{
"speaker": "doctor",
"transcript": "Um, I think the best course of action is, you come and see, one of our doctors, in the clinic.",
"turn_id": 144
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 145
},
{
"speaker": "doctor",
"transcript": "We can give you an examination, and what that means is, we check your heart and your breathing.",
"turn_id": 146
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 147
},
{
"speaker": "doctor",
"transcript": "Make sure that those things are functioning correctly.",
"turn_id": 148
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 149
},
{
"speaker": "doctor",
"transcript": "And probably do some blood tests, for your thyroxine.",
"turn_id": 150
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 151
},
{
"speaker": "doctor",
"transcript": "And take it from there. How does that sound?",
"turn_id": 152
},
{
"speaker": "patient",
"transcript": "That sounds, uh, very good. Thank you.",
"turn_id": 153
},
{
"speaker": "doctor",
"transcript": "I think before we give you any medications, we should see you in person.",
"turn_id": 154
},
{
"speaker": "patient",
"transcript": "OK. .",
"turn_id": 155
},
{
"speaker": "doctor",
"transcript": "So, what we're going to do is book an appointment. Or I think you can book an appointment through the app, to come and see us clinic, and see one of my colleagues.",
"turn_id": 156
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 157
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 158
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 159
},
{
"speaker": "doctor",
"transcript": "I'll let them know what you've told me today, so you won't have to repeat exactly what you've said.",
"turn_id": 160
},
{
"speaker": "patient",
"transcript": "Thank you.",
"turn_id": 161
},
{
"speaker": "doctor",
"transcript": "Great. Do you have any questions?",
"turn_id": 162
},
{
"speaker": "patient",
"transcript": "Right.",
"turn_id": 163
},
{
"speaker": "patient",
"transcript": "No, that was it. Thank you very much.",
"turn_id": 164
},
{
"speaker": "doctor",
"transcript": "Thank you very much.",
"turn_id": 165
},
{
"speaker": "patient",
"transcript": "Yep, bye.",
"turn_id": 166
}
] |
[
{
"description": "blood tests",
"order_type": "lab",
"provenance": [
164,
192
],
"reason": "hyperthyroidism"
}
] |
{"id": "primock57_4_2", "expected_orders": [{"order_type": "lab", "description": "blood tests", "reason": "hyperthyroidism", "provenance": [164, 192]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "You have to do it, part of your training as a doctor."}, {"turn_id": 2, "speaker": "patient", "transcript": "Hello."}, {"turn_id": 3, "speaker": "doctor", "transcript": "Hi."}, {"turn_id": 4, "speaker": "doctor", "transcript": "Hi. Can you hear me?"}, {"turn_id": 5, "speaker": "patient", "transcript": ". Yes, I can hear fine."}, {"turn_id": 6, "speaker": "doctor", "transcript": "Hi. My name's Doctor Gohill, I'm one of the general practitioners, that works here. Can I check your name and date of birth please?"}, {"turn_id": 7, "speaker": "patient", "transcript": "Uh, I am, uh, Patrick Smith."}, {"turn_id": 8, "speaker": "doctor", "transcript": "Hi."}, {"turn_id": 9, "speaker": "patient", "transcript": "Uh, thirty five years old."}, {"turn_id": 10, "speaker": "patient", "transcript": "Um, October, seventh. Uh."}, {"turn_id": 11, "speaker": "patient", "transcript": "ninety , three something."}, {"turn_id": 12, "speaker": "doctor", "transcript": "Great."}, {"turn_id": 13, "speaker": "doctor", "transcript": "And Patrick, are you in a, space, that's private and quiet?"}, {"turn_id": 14, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 15, "speaker": "doctor", "transcript": "Great, and so, we're OK to chat?"}, {"turn_id": 16, "speaker": "patient", "transcript": "Yes, we are."}, {"turn_id": 17, "speaker": "doctor", "transcript": "OK. So it says here, um, you are feeling hot, and have had severe headaches. Is that correct?"}, {"turn_id": 18, "speaker": "patient", "transcript": "Yeah. It's, it's really affecting my work. Uh, uh, it comes and goes. Uh."}, {"turn_id": 19, "speaker": "patient", "transcript": "Uh, I kind of, feel like, uh, it's, it's hard 'cause I, I , kinda lose my appetite."}, {"turn_id": 20, "speaker": "patient", "transcript": "Also. Uh, one thing that's kinda weird is, I just sometimes also get like some, tingling in my arms."}, {"turn_id": 21, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 22, "speaker": "patient", "transcript": ". And, like, especially if, for example when I, come into the elevator, in the morning."}, {"turn_id": 23, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 24, "speaker": "patient", "transcript": "I, I can uh, of have, my heart is beating, kinda fast."}, {"turn_id": 25, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 26, "speaker": "doctor", "transcript": "So, those are lots of things. Are they all happening at the same time?"}, {"turn_id": 27, "speaker": "patient", "transcript": "Almost randomly like. Yeah, it's, it's, it's at different , times."}, {"turn_id": 28, "speaker": "doctor", "transcript": "And, do they all happen at the same time? Or is it one thing one time, and one ?"}, {"turn_id": 29, "speaker": "patient", "transcript": ", one time, one thing at a time."}, {"turn_id": 30, "speaker": "doctor", "transcript": "OK. So, let's start with the headaches. When they do come, do you have any idea the headache is going to come?"}, {"turn_id": 31, "speaker": "patient", "transcript": ""}, {"turn_id": 32, "speaker": "patient", "transcript": ""}, {"turn_id": 33, "speaker": "patient", "transcript": "Uh, not really but, generally during, work times."}, {"turn_id": 34, "speaker": "doctor", "transcript": "So, it's normally at work?"}, {"turn_id": 35, "speaker": "patient", "transcript": "I'm at work, I'm in a meeting, or on my laptop."}, {"turn_id": 36, "speaker": "doctor", "transcript": "OK. And, where does the headache sit in your head? Is it the front, or the back?"}, {"turn_id": 37, "speaker": "patient", "transcript": "Um, I can't say, so like, kind of over."}, {"turn_id": 38, "speaker": "doctor", "transcript": ". OK. And, does it else?"}, {"turn_id": 39, "speaker": "patient", "transcript": ""}, {"turn_id": 40, "speaker": "patient", "transcript": ""}, {"turn_id": 41, "speaker": "doctor", "transcript": "Does it go anywhere else?"}, {"turn_id": 42, "speaker": "patient", "transcript": ", the headache? No, it's mostly in the front, and then yeah, it just kind of stays there."}, {"turn_id": 43, "speaker": "doctor", "transcript": "And, when you have the headaches, specifically, do you feel sick?"}, {"turn_id": 44, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 45, "speaker": "patient", "transcript": ", not, not, not really, but it's like, making it hard. I, yeah, I kind of feel a little bit nauseous maybe. Um."}, {"turn_id": 46, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 47, "speaker": "patient", "transcript": "And sometimes I also feel like."}, {"turn_id": 48, "speaker": "patient", "transcript": "Uh, yeah. It's like uh, maybe, probably, breathing or something."}, {"turn_id": 49, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 50, "speaker": "patient", "transcript": "No."}, {"turn_id": 51, "speaker": "doctor", "transcript": "And, do you normally get headaches, before all of this started?"}, {"turn_id": 52, "speaker": "patient", "transcript": "Uh, so."}, {"turn_id": 53, "speaker": "patient", "transcript": "No, I, I feel like my, like, health situation was mostly under control."}, {"turn_id": 54, "speaker": "doctor", "transcript": ""}, {"turn_id": 55, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 56, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 57, "speaker": "doctor", "transcript": "And then let's."}, {"turn_id": 58, "speaker": "patient", "transcript": "But it , it started roughly when I changed jobs."}, {"turn_id": 59, "speaker": "doctor", "transcript": "OK. So, talk to me about your job, what do you do?"}, {"turn_id": 60, "speaker": "patient", "transcript": "I'm a lawyer."}, {"turn_id": 61, "speaker": "doctor", "transcript": "And, do you work in London at the moment?"}, {"turn_id": 62, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 63, "speaker": "doctor", "transcript": "So, do you get these headaches on your commute in to work?"}, {"turn_id": 64, "speaker": "patient", "transcript": "Not really. I get it, mostly when I'm, at work."}, {"turn_id": 65, "speaker": "doctor", "transcript": "OK, and tell me about what you do. Do you sit in front of a computer most of the time? Or do you speak to people?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Like fifty-fifty. I go to meetings and then uh, sit in front of a computer."}, {"turn_id": 67, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 68, "speaker": "patient", "transcript": "There's a lot of reading."}, {"turn_id": 69, "speaker": "doctor", "transcript": "And, these things have happened mostly when you're sitting at your computer?"}, {"turn_id": 70, "speaker": "patient", "transcript": "Um."}, {"turn_id": 71, "speaker": "patient", "transcript": ", yeah, it happens then, yeah."}, {"turn_id": 72, "speaker": "doctor", "transcript": "OK, and tell me, what did you do, before being a lawyer?"}, {"turn_id": 73, "speaker": "patient", "transcript": "Uh, no, I was a lawyer at previous job as well."}, {"turn_id": 74, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 75, "speaker": "patient", "transcript": ""}, {"turn_id": 76, "speaker": "doctor", "transcript": "So, talk to me about the stress that you're under at the moment. If, uh, ten out of ten is, extremely stressful, and one out of ten is being on vacation. Where would moment?"}, {"turn_id": 77, "speaker": "patient", "transcript": ""}, {"turn_id": 78, "speaker": "patient", "transcript": "Think it's, seven, or eight."}, {"turn_id": 79, "speaker": "doctor", "transcript": "And, is that normal for you?"}, {"turn_id": 80, "speaker": "patient", "transcript": "Yeah, it's like, a law firm, like, there's always pressure."}, {"turn_id": 81, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 82, "speaker": "doctor", "transcript": "So, you mentioned your headaches. You also mentioned your reduced appetite. So, you don't want to eat as much."}, {"turn_id": 83, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 84, "speaker": "doctor", "transcript": "Have you lost weight?"}, {"turn_id": 85, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 86, "speaker": "doctor", "transcript": "Can you remember how much you've lost?"}, {"turn_id": 87, "speaker": "patient", "transcript": "Five pounds."}, {"turn_id": 88, "speaker": "doctor", "transcript": "And, is that because you're going to the gym? Or is that unintentional?"}, {"turn_id": 89, "speaker": "patient", "transcript": "It's not intentional, no."}, {"turn_id": 90, "speaker": "doctor", "transcript": "OK. So, have you noticed your clothes feeling looser?"}, {"turn_id": 91, "speaker": "patient", "transcript": ", not really, ah, no."}, {"turn_id": 92, "speaker": "doctor", "transcript": "And, have people said, or commented that you've lost weight?"}, {"turn_id": 93, "speaker": "patient", "transcript": "No."}, {"turn_id": 94, "speaker": "doctor", "transcript": "Great. And, another thing that you also mentioned. Is that you noticed tingling in your hand."}, {"turn_id": 95, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 96, "speaker": "doctor", "transcript": "So, talk to me about that. Is it in one hand? Or both hands?"}, {"turn_id": 97, "speaker": "patient", "transcript": "Both."}, {"turn_id": 98, "speaker": "doctor", "transcript": "And, do you get that in your legs as well?"}, {"turn_id": 99, "speaker": "patient", "transcript": "No."}, {"turn_id": 100, "speaker": "doctor", "transcript": "And, what does it feel like, the tingling?"}, {"turn_id": 101, "speaker": "patient", "transcript": "Quick picking, yeah."}, {"turn_id": 102, "speaker": "doctor", "transcript": "And again, is this the first time you've noticed this?"}, {"turn_id": 103, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 104, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 105, "speaker": "doctor", "transcript": "And the other two things that I've just, jotted down. Is, you're feeling hot, but you didn't mention that."}, {"turn_id": 106, "speaker": "doctor", "transcript": "Is that correct?"}, {"turn_id": 107, "speaker": "patient", "transcript": ""}, {"turn_id": 108, "speaker": "patient", "transcript": "Uh, but like."}, {"turn_id": 109, "speaker": "patient", "transcript": "I would say like, I get this like, feeling of, short, like, , short of breath, sometimes."}, {"turn_id": 110, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 111, "speaker": "patient", "transcript": "So, like, that could be what, you we're, referring to."}, {"turn_id": 112, "speaker": "doctor", "transcript": "Yes. So, do you feel short of breath while you're sitting at your desk?"}, {"turn_id": 113, "speaker": "patient", "transcript": "Yeah, no. Yes. Sorry, yeah."}, {"turn_id": 114, "speaker": "doctor", "transcript": ". OK. And, how about when you're exercising?"}, {"turn_id": 115, "speaker": "patient", "transcript": "No."}, {"turn_id": 116, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 117, "speaker": "doctor", "transcript": "And the last thing is. You mentioned that you noticed your heart beating?"}, {"turn_id": 118, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 119, "speaker": "doctor", "transcript": "Again, how often do you get that?"}, {"turn_id": 120, "speaker": "patient", "transcript": "I, I, when I like, it's maybe once a day, uh, maybe more. Uh."}, {"turn_id": 121, "speaker": "patient", "transcript": "There's one more thing that I, I think I should mention, like, I do have like, some loss of libido at home."}, {"turn_id": 122, "speaker": "doctor", "transcript": "OK. How long has that been happening for?"}, {"turn_id": 123, "speaker": "patient", "transcript": "Same amount of time really, like, since I changed my job."}, {"turn_id": 124, "speaker": "doctor", "transcript": "Fine. And, apart from all of these things that you've told me. Do you have any other medical problems?"}, {"turn_id": 125, "speaker": "patient", "transcript": "Uh, well I have, hyperthyroidism."}, {"turn_id": 126, "speaker": "doctor", "transcript": "OK. And, do you take medications for that?"}, {"turn_id": 127, "speaker": "patient", "transcript": "Thyroxine."}, {"turn_id": 128, "speaker": "doctor", "transcript": "And, are you remembering to take your medications?"}, {"turn_id": 129, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 130, "speaker": "doctor", "transcript": "OK. And, do you drink or smoke?"}, {"turn_id": 131, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 132, "speaker": "doctor", "transcript": "How much do you drink?"}, {"turn_id": 133, "speaker": "patient", "transcript": "Like, once a week, couple of glasses, of wine."}, {"turn_id": 134, "speaker": "doctor", "transcript": "OK. And, how about smoking?"}, {"turn_id": 135, "speaker": "patient", "transcript": "No."}, {"turn_id": 136, "speaker": "doctor", "transcript": "And, uh, I need to ask this to all of my patients, but do you do anything else recreational, in terms of drugs?"}, {"turn_id": 137, "speaker": "patient", "transcript": "No."}, {"turn_id": 138, "speaker": "doctor", "transcript": "OK. So, you've never taken cocaine, or marijuana?"}, {"turn_id": 139, "speaker": "patient", "transcript": ". No."}, {"turn_id": 140, "speaker": "doctor", "transcript": "OK, thank you. And, are you allergic to anything?"}, {"turn_id": 141, "speaker": "patient", "transcript": ""}, {"turn_id": 142, "speaker": "doctor", "transcript": "Good. So, you've told me lots of things happening to you at the moment, and I can understand, they probably feel quite strange and unusual."}, {"turn_id": 143, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 144, "speaker": "doctor", "transcript": "Um, I think the best course of action is, you come and see, one of our doctors, in the clinic."}, {"turn_id": 145, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 146, "speaker": "doctor", "transcript": "We can give you an examination, and what that means is, we check your heart and your breathing."}, {"turn_id": 147, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 148, "speaker": "doctor", "transcript": "Make sure that those things are functioning correctly."}, {"turn_id": 149, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 150, "speaker": "doctor", "transcript": "And probably do some blood tests, for your thyroxine."}, {"turn_id": 151, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 152, "speaker": "doctor", "transcript": "And take it from there. How does that sound?"}, {"turn_id": 153, "speaker": "patient", "transcript": "That sounds, uh, very good. Thank you."}, {"turn_id": 154, "speaker": "doctor", "transcript": "I think before we give you any medications, we should see you in person."}, {"turn_id": 155, "speaker": "patient", "transcript": "OK. ."}, {"turn_id": 156, "speaker": "doctor", "transcript": "So, what we're going to do is book an appointment. Or I think you can book an appointment through the app, to come and see us clinic, and see one of my colleagues."}, {"turn_id": 157, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 158, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 159, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 160, "speaker": "doctor", "transcript": "I'll let them know what you've told me today, so you won't have to repeat exactly what you've said."}, {"turn_id": 161, "speaker": "patient", "transcript": "Thank you."}, {"turn_id": 162, "speaker": "doctor", "transcript": "Great. Do you have any questions?"}, {"turn_id": 163, "speaker": "patient", "transcript": "Right."}, {"turn_id": 164, "speaker": "patient", "transcript": "No, that was it. Thank you very much."}, {"turn_id": 165, "speaker": "doctor", "transcript": "Thank you very much."}, {"turn_id": 166, "speaker": "patient", "transcript": "Yep, bye."}]}
|
acibench_D2N082_aci_valid
|
[
{
"speaker": "doctor",
"transcript": "alright",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "you're ready just",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "ready",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "hi kyle how are you today",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah i bet that did make you nervous i i see that she referred you for a low immunoglobulin a level is that your understanding",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "yeah i mean i do n't even really understand what that means but yeah that's what she told me",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "yeah that's a mouthful",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "it it's the the one of the antibodies in your body and that that really makes that your body makes to fight infections it's a little bit low i'm happy to explain it a little bit more to you i just have a few more questions okay so let's start again here",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "i'll do this",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "i i think i would break that",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "yeah i just saw that",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "if you can do that",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "yeah so we'll we'll just",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "you can leave it the way it is for now i just i think break that up",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay alright so yeah that sounds fine for me",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah i do you know why she checked these levels in the first place that you've been having problems getting frequent infections",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "yeah yeah i had a recent physical and she did this as part of her my physical i do tend to get infections but i do n't know i i'm so used to it so i do n't know if this is more than usual in the wintertime i get a lot of colds and they do seem to i always say that my colds kind of linger for a long time but i do n't know if it's more than usual",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "okay how about any abdominal infections",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "diarrhea no",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "frequently",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "no not that i can not that i say can think of",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "okay what about your family are are anyone in your family that you know have immune deficiencies",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "no my family is actually pretty healthy",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "okay and how about do you have any other medical conditions",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "yeah my pcp just started me on metformin i just got diagnosed with type two diabetes",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "okay okay yeah diabetes your family your family owns that donut shop right i mean down at the end of the street",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "yes and that's probably part of the cause of my diabetes yes",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "yeah well i guess you're gon na have to watch that",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "i know i know",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "but you know everything in moderation i mean just you know you just need to be careful you ca n't does n't have to go away",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "right",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "but have you ever needed to receive a blood transfusion or blood products",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "no i actually tried to give blood but they i did n't qualify because i had recently traveled internationally",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "okay where did you go",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "i was in zambia",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "hmmm i heard that's beautiful",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "it's so beautiful it's so beautiful i had a great time",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "okay well let me let me go ahead and do a physical examination here i reviewed your vitals you know that the the assistants collected when you first came in including your weight and everything looks good there there is no fever there there is nothing that i'm concerned about there now on your heart exam you have a nice regular rate and rhythm and i do n't appreciate any murmurs that's kind of those extra sounds that i would hear and that that all sounds good on lungs lung exam your lungs are clear there's no wheezes rales or rhonchi now on your neck exam i do n't appreciate any lymph lymphadenopathy swollen lymph glands and then let me just go ahead and i wan na press on your belly a little bit is that tender anywhere that i press it does n't seem like you making any facial",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "no",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "no okay so your you know your abdominal exam is your belly is soft there is no tenderness as i i push around there now i did review the results of your recent lab work and it is consistent as as your pcp noted with an iga deficiency that's that immunoglobulin a that we talked about so let me tell you a little bit about the assessment and plan so for your first problem the that a iga deficiency is it very common immunodeficiency your your body makes many different types of antibodies in one of your z iga is just a little bit lower than normal now most of the time people live their entire life without even knowing they have that deficiency and function perfectly normal now some people may find that they get tend to get frequent respiratory tract or sinus or abdominal infections but this does n't necessarily seem to be the case for you now it can go along with other immunodeficiencies but i think there is a low likelihood hood in your case but we're gon na order some additional blood work that includes checking those other antibodies now do you have any questions on what i just told you",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "yeah so is there anything i need to do or should be watching for or should i be worried",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "no i i really do n't think you need to be worried now we're gon na check these additional studies and that will give us some more guidance but really i think this is just a finding that's common to you and you know it it's many people have have have these type of you know immunodeficiency what i want you to watch for is those infections that do n't stop you have trouble getting it under control or you know any changes to your abdominal tract you know severe diarrhea",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "anything like that then you know we may want to look at it a little bit further but for now i do n't think there is anything significant we want to do now go ahead and get your lab work and",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "bring you in for that now the only other thing that i would say is if you eat end up needing any blood products between now and when i see you next make sure you tell them that you have that iga deficiency",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "why is that",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "well there is a risk that your body can strongly react to some blood products and they just need to know that so they're prepared so anytime you get blood just make sure you say that you have a history of a an an iga deficiency",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "okay okay thank you",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "you're welcome",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 53
}
] |
[
{
"description": "blood antibodies",
"order_type": "lab",
"provenance": [
44
],
"reason": "it can go along with other immunodeficiencies"
}
] |
{"id": "acibench_D2N082_aci_valid", "expected_orders": [{"order_type": "lab", "description": "blood antibodies", "reason": "it can go along with other immunodeficiencies", "provenance": [44]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "alright"}, {"turn_id": 2, "speaker": "patient", "transcript": "you're ready just"}, {"turn_id": 3, "speaker": "doctor", "transcript": "ready"}, {"turn_id": 4, "speaker": "patient", "transcript": "hi kyle how are you today"}, {"turn_id": 5, "speaker": "doctor", "transcript": "i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah i bet that did make you nervous i i see that she referred you for a low immunoglobulin a level is that your understanding"}, {"turn_id": 7, "speaker": "doctor", "transcript": "yeah i mean i do n't even really understand what that means but yeah that's what she told me"}, {"turn_id": 8, "speaker": "patient", "transcript": "yeah that's a mouthful"}, {"turn_id": 9, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 10, "speaker": "patient", "transcript": "it it's the the one of the antibodies in your body and that that really makes that your body makes to fight infections it's a little bit low i'm happy to explain it a little bit more to you i just have a few more questions okay so let's start again here"}, {"turn_id": 11, "speaker": "doctor", "transcript": "i'll do this"}, {"turn_id": 12, "speaker": "patient", "transcript": "i i think i would break that"}, {"turn_id": 13, "speaker": "doctor", "transcript": "yeah i just saw that"}, {"turn_id": 14, "speaker": "patient", "transcript": "if you can do that"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 16, "speaker": "patient", "transcript": "yeah so we'll we'll just"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 18, "speaker": "patient", "transcript": "you can leave it the way it is for now i just i think break that up"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay alright so yeah that sounds fine for me"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah i do you know why she checked these levels in the first place that you've been having problems getting frequent infections"}, {"turn_id": 21, "speaker": "doctor", "transcript": "yeah yeah i had a recent physical and she did this as part of her my physical i do tend to get infections but i do n't know i i'm so used to it so i do n't know if this is more than usual in the wintertime i get a lot of colds and they do seem to i always say that my colds kind of linger for a long time but i do n't know if it's more than usual"}, {"turn_id": 22, "speaker": "patient", "transcript": "okay how about any abdominal infections"}, {"turn_id": 23, "speaker": "doctor", "transcript": "diarrhea no"}, {"turn_id": 24, "speaker": "patient", "transcript": "frequently"}, {"turn_id": 25, "speaker": "doctor", "transcript": "no not that i can not that i say can think of"}, {"turn_id": 26, "speaker": "patient", "transcript": "okay what about your family are are anyone in your family that you know have immune deficiencies"}, {"turn_id": 27, "speaker": "doctor", "transcript": "no my family is actually pretty healthy"}, {"turn_id": 28, "speaker": "patient", "transcript": "okay and how about do you have any other medical conditions"}, {"turn_id": 29, "speaker": "doctor", "transcript": "yeah my pcp just started me on metformin i just got diagnosed with type two diabetes"}, {"turn_id": 30, "speaker": "patient", "transcript": "okay okay yeah diabetes your family your family owns that donut shop right i mean down at the end of the street"}, {"turn_id": 31, "speaker": "doctor", "transcript": "yes and that's probably part of the cause of my diabetes yes"}, {"turn_id": 32, "speaker": "patient", "transcript": "yeah well i guess you're gon na have to watch that"}, {"turn_id": 33, "speaker": "doctor", "transcript": "i know i know"}, {"turn_id": 34, "speaker": "patient", "transcript": "but you know everything in moderation i mean just you know you just need to be careful you ca n't does n't have to go away"}, {"turn_id": 35, "speaker": "doctor", "transcript": "right"}, {"turn_id": 36, "speaker": "patient", "transcript": "but have you ever needed to receive a blood transfusion or blood products"}, {"turn_id": 37, "speaker": "doctor", "transcript": "no i actually tried to give blood but they i did n't qualify because i had recently traveled internationally"}, {"turn_id": 38, "speaker": "patient", "transcript": "okay where did you go"}, {"turn_id": 39, "speaker": "doctor", "transcript": "i was in zambia"}, {"turn_id": 40, "speaker": "patient", "transcript": "hmmm i heard that's beautiful"}, {"turn_id": 41, "speaker": "doctor", "transcript": "it's so beautiful it's so beautiful i had a great time"}, {"turn_id": 42, "speaker": "patient", "transcript": "okay well let me let me go ahead and do a physical examination here i reviewed your vitals you know that the the assistants collected when you first came in including your weight and everything looks good there there is no fever there there is nothing that i'm concerned about there now on your heart exam you have a nice regular rate and rhythm and i do n't appreciate any murmurs that's kind of those extra sounds that i would hear and that that all sounds good on lungs lung exam your lungs are clear there's no wheezes rales or rhonchi now on your neck exam i do n't appreciate any lymph lymphadenopathy swollen lymph glands and then let me just go ahead and i wan na press on your belly a little bit is that tender anywhere that i press it does n't seem like you making any facial"}, {"turn_id": 43, "speaker": "doctor", "transcript": "no"}, {"turn_id": 44, "speaker": "patient", "transcript": "no okay so your you know your abdominal exam is your belly is soft there is no tenderness as i i push around there now i did review the results of your recent lab work and it is consistent as as your pcp noted with an iga deficiency that's that immunoglobulin a that we talked about so let me tell you a little bit about the assessment and plan so for your first problem the that a iga deficiency is it very common immunodeficiency your your body makes many different types of antibodies in one of your z iga is just a little bit lower than normal now most of the time people live their entire life without even knowing they have that deficiency and function perfectly normal now some people may find that they get tend to get frequent respiratory tract or sinus or abdominal infections but this does n't necessarily seem to be the case for you now it can go along with other immunodeficiencies but i think there is a low likelihood hood in your case but we're gon na order some additional blood work that includes checking those other antibodies now do you have any questions on what i just told you"}, {"turn_id": 45, "speaker": "doctor", "transcript": "yeah so is there anything i need to do or should be watching for or should i be worried"}, {"turn_id": 46, "speaker": "patient", "transcript": "no i i really do n't think you need to be worried now we're gon na check these additional studies and that will give us some more guidance but really i think this is just a finding that's common to you and you know it it's many people have have have these type of you know immunodeficiency what i want you to watch for is those infections that do n't stop you have trouble getting it under control or you know any changes to your abdominal tract you know severe diarrhea"}, {"turn_id": 47, "speaker": "doctor", "transcript": "anything like that then you know we may want to look at it a little bit further but for now i do n't think there is anything significant we want to do now go ahead and get your lab work and"}, {"turn_id": 48, "speaker": "patient", "transcript": "bring you in for that now the only other thing that i would say is if you eat end up needing any blood products between now and when i see you next make sure you tell them that you have that iga deficiency"}, {"turn_id": 49, "speaker": "doctor", "transcript": "why is that"}, {"turn_id": 50, "speaker": "patient", "transcript": "well there is a risk that your body can strongly react to some blood products and they just need to know that so they're prepared so anytime you get blood just make sure you say that you have a history of a an an iga deficiency"}, {"turn_id": 51, "speaker": "doctor", "transcript": "okay okay thank you"}, {"turn_id": 52, "speaker": "patient", "transcript": "you're welcome"}, {"turn_id": 53, "speaker": "doctor", "transcript": "okay"}]}
|
acibench_D2N039_aci_train
| [{"speaker":"doctor","transcript":"hi virginia how are you today what brings you in","turn_id":1},{"(...TRUNCATED)
| [{"description":"stop advil","order_type":"medication","provenance":[41],"reason":null},{"descriptio(...TRUNCATED)
| "{\"id\": \"acibench_D2N039_aci_train\", \"expected_orders\": [{\"order_type\": \"medication\", \"de(...TRUNCATED)
|
acibench_D2N178_virtscribe_clef_taskC_test3
| [{"speaker":"doctor","transcript":"okay . maria martin , date of birth 03/05/1946 , has been informe(...TRUNCATED)
| [{"description":"glimepiride four milligrams twice a day pill","order_type":"medication","provenance(...TRUNCATED)
| "{\"id\": \"acibench_D2N178_virtscribe_clef_taskC_test3\", \"expected_orders\": [{\"order_type\": \"(...TRUNCATED)
|
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