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{
"medical_text": "A 62-year-old woman came to the hospital with cough, fever, and trouble breathing. Her oxygen level was low at 90% in room air. A chest x-ray showed a spot in the right lower lung. Tests for COVID-19 and flu were negative. The team started IV antibiotics, ceftriaxone and azithromycin. Her fever and breathing got better after two days. She did not have any drug allergies. She no longer needed oxygen and kept 96% on room air. Blood cultures did not grow germs. She went home on amoxicillin-clavulanate to finish five days of treatment.",
"subclaim": "The chest x-ray showed a right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 62-year-old woman came to the hospital with cough, fever, and trouble breathing. Her oxygen level was low at 90% in room air. A chest x-ray showed a spot in the right lower lung. Tests for COVID-19 and flu were negative. The team started IV antibiotics, ceftriaxone and azithromycin. Her fever and breathing got better after two days. She did not have any drug allergies. She no longer needed oxygen and kept 96% on room air. Blood cultures did not grow germs. She went home on amoxicillin-clavulanate to finish five days of treatment.",
"subclaim": "She initially received intravenous ceftriaxone plus azithromycin.",
"label": "supported"
},
{
"medical_text": "A 62-year-old woman came to the hospital with cough, fever, and trouble breathing. Her oxygen level was low at 90% in room air. A chest x-ray showed a spot in the right lower lung. Tests for COVID-19 and flu were negative. The team started IV antibiotics, ceftriaxone and azithromycin. Her fever and breathing got better after two days. She did not have any drug allergies. She no longer needed oxygen and kept 96% on room air. Blood cultures did not grow germs. She went home on amoxicillin-clavulanate to finish five days of treatment.",
"subclaim": "COVID-19 and influenza PCR tests were negative.",
"label": "supported"
},
{
"medical_text": "A 62-year-old woman came to the hospital with cough, fever, and trouble breathing. Her oxygen level was low at 90% in room air. A chest x-ray showed a spot in the right lower lung. Tests for COVID-19 and flu were negative. The team started IV antibiotics, ceftriaxone and azithromycin. Her fever and breathing got better after two days. She did not have any drug allergies. She no longer needed oxygen and kept 96% on room air. Blood cultures did not grow germs. She went home on amoxicillin-clavulanate to finish five days of treatment.",
"subclaim": "She was discharged on oral amoxicillin-clavulanate.",
"label": "supported"
},
{
"medical_text": "A 62-year-old woman came to the hospital with cough, fever, and trouble breathing. Her oxygen level was low at 90% in room air. A chest x-ray showed a spot in the right lower lung. Tests for COVID-19 and flu were negative. The team started IV antibiotics, ceftriaxone and azithromycin. Her fever and breathing got better after two days. She did not have any drug allergies. She no longer needed oxygen and kept 96% on room air. Blood cultures did not grow germs. She went home on amoxicillin-clavulanate to finish five days of treatment.",
"subclaim": "She required admission to the intensive care unit.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old woman came to the hospital with cough, fever, and trouble breathing. Her oxygen level was low at 90% in room air. A chest x-ray showed a spot in the right lower lung. Tests for COVID-19 and flu were negative. The team started IV antibiotics, ceftriaxone and azithromycin. Her fever and breathing got better after two days. She did not have any drug allergies. She no longer needed oxygen and kept 96% on room air. Blood cultures did not grow germs. She went home on amoxicillin-clavulanate to finish five days of treatment.",
"subclaim": "She is allergic to penicillin.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old woman came to the hospital with cough, fever, and trouble breathing. Her oxygen level was low at 90% in room air. A chest x-ray showed a spot in the right lower lung. Tests for COVID-19 and flu were negative. The team started IV antibiotics, ceftriaxone and azithromycin. Her fever and breathing got better after two days. She did not have any drug allergies. She no longer needed oxygen and kept 96% on room air. Blood cultures did not grow germs. She went home on amoxicillin-clavulanate to finish five days of treatment.",
"subclaim": "A pleural effusion was present on imaging.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old woman came to the hospital with cough, fever, and trouble breathing. Her oxygen level was low at 90% in room air. A chest x-ray showed a spot in the right lower lung. Tests for COVID-19 and flu were negative. The team started IV antibiotics, ceftriaxone and azithromycin. Her fever and breathing got better after two days. She did not have any drug allergies. She no longer needed oxygen and kept 96% on room air. Blood cultures did not grow germs. She went home on amoxicillin-clavulanate to finish five days of treatment.",
"subclaim": "She was treated with vancomycin during the hospitalization.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old woman with hypertension and mild asthma presented with 3 days of productive cough, dyspnea, and fever. Vitals showed T 38.6\u00b0C, HR 108, SpO2 90% on room air, improving to 95% on 2 L nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation. SARS-CoV-2 and influenza A/B PCR were negative. WBC was 14,200/\u00b5L with neutrophil predominance; CRP elevated. She received IV ceftriaxone plus azithromycin for community-acquired pneumonia. Pneumococcal urine antigen was positive; blood cultures had no growth. Over 48 hours, fevers resolved and oxygen was weaned off with SpO2 96% on room air. She had no known drug allergies. She was discharged on oral amoxicillin-clavulanate to complete a 5-day course.",
"subclaim": "The chest x-ray showed a right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 62-year-old woman with hypertension and mild asthma presented with 3 days of productive cough, dyspnea, and fever. Vitals showed T 38.6\u00b0C, HR 108, SpO2 90% on room air, improving to 95% on 2 L nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation. SARS-CoV-2 and influenza A/B PCR were negative. WBC was 14,200/\u00b5L with neutrophil predominance; CRP elevated. She received IV ceftriaxone plus azithromycin for community-acquired pneumonia. Pneumococcal urine antigen was positive; blood cultures had no growth. Over 48 hours, fevers resolved and oxygen was weaned off with SpO2 96% on room air. She had no known drug allergies. She was discharged on oral amoxicillin-clavulanate to complete a 5-day course.",
"subclaim": "She initially received intravenous ceftriaxone plus azithromycin.",
"label": "supported"
},
{
"medical_text": "A 62-year-old woman with hypertension and mild asthma presented with 3 days of productive cough, dyspnea, and fever. Vitals showed T 38.6\u00b0C, HR 108, SpO2 90% on room air, improving to 95% on 2 L nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation. SARS-CoV-2 and influenza A/B PCR were negative. WBC was 14,200/\u00b5L with neutrophil predominance; CRP elevated. She received IV ceftriaxone plus azithromycin for community-acquired pneumonia. Pneumococcal urine antigen was positive; blood cultures had no growth. Over 48 hours, fevers resolved and oxygen was weaned off with SpO2 96% on room air. She had no known drug allergies. She was discharged on oral amoxicillin-clavulanate to complete a 5-day course.",
"subclaim": "COVID-19 and influenza PCR tests were negative.",
"label": "supported"
},
{
"medical_text": "A 62-year-old woman with hypertension and mild asthma presented with 3 days of productive cough, dyspnea, and fever. Vitals showed T 38.6\u00b0C, HR 108, SpO2 90% on room air, improving to 95% on 2 L nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation. SARS-CoV-2 and influenza A/B PCR were negative. WBC was 14,200/\u00b5L with neutrophil predominance; CRP elevated. She received IV ceftriaxone plus azithromycin for community-acquired pneumonia. Pneumococcal urine antigen was positive; blood cultures had no growth. Over 48 hours, fevers resolved and oxygen was weaned off with SpO2 96% on room air. She had no known drug allergies. She was discharged on oral amoxicillin-clavulanate to complete a 5-day course.",
"subclaim": "She was discharged on oral amoxicillin-clavulanate.",
"label": "supported"
},
{
"medical_text": "A 62-year-old woman with hypertension and mild asthma presented with 3 days of productive cough, dyspnea, and fever. Vitals showed T 38.6\u00b0C, HR 108, SpO2 90% on room air, improving to 95% on 2 L nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation. SARS-CoV-2 and influenza A/B PCR were negative. WBC was 14,200/\u00b5L with neutrophil predominance; CRP elevated. She received IV ceftriaxone plus azithromycin for community-acquired pneumonia. Pneumococcal urine antigen was positive; blood cultures had no growth. Over 48 hours, fevers resolved and oxygen was weaned off with SpO2 96% on room air. She had no known drug allergies. She was discharged on oral amoxicillin-clavulanate to complete a 5-day course.",
"subclaim": "She required admission to the intensive care unit.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old woman with hypertension and mild asthma presented with 3 days of productive cough, dyspnea, and fever. Vitals showed T 38.6\u00b0C, HR 108, SpO2 90% on room air, improving to 95% on 2 L nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation. SARS-CoV-2 and influenza A/B PCR were negative. WBC was 14,200/\u00b5L with neutrophil predominance; CRP elevated. She received IV ceftriaxone plus azithromycin for community-acquired pneumonia. Pneumococcal urine antigen was positive; blood cultures had no growth. Over 48 hours, fevers resolved and oxygen was weaned off with SpO2 96% on room air. She had no known drug allergies. She was discharged on oral amoxicillin-clavulanate to complete a 5-day course.",
"subclaim": "She is allergic to penicillin.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old woman with hypertension and mild asthma presented with 3 days of productive cough, dyspnea, and fever. Vitals showed T 38.6\u00b0C, HR 108, SpO2 90% on room air, improving to 95% on 2 L nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation. SARS-CoV-2 and influenza A/B PCR were negative. WBC was 14,200/\u00b5L with neutrophil predominance; CRP elevated. She received IV ceftriaxone plus azithromycin for community-acquired pneumonia. Pneumococcal urine antigen was positive; blood cultures had no growth. Over 48 hours, fevers resolved and oxygen was weaned off with SpO2 96% on room air. She had no known drug allergies. She was discharged on oral amoxicillin-clavulanate to complete a 5-day course.",
"subclaim": "A pleural effusion was present on imaging.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old woman with hypertension and mild asthma presented with 3 days of productive cough, dyspnea, and fever. Vitals showed T 38.6\u00b0C, HR 108, SpO2 90% on room air, improving to 95% on 2 L nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation. SARS-CoV-2 and influenza A/B PCR were negative. WBC was 14,200/\u00b5L with neutrophil predominance; CRP elevated. She received IV ceftriaxone plus azithromycin for community-acquired pneumonia. Pneumococcal urine antigen was positive; blood cultures had no growth. Over 48 hours, fevers resolved and oxygen was weaned off with SpO2 96% on room air. She had no known drug allergies. She was discharged on oral amoxicillin-clavulanate to complete a 5-day course.",
"subclaim": "She was treated with vancomycin during the hospitalization.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old female with HTN and intermittent reactive airway disease presented with 72 hours of febrile cough and exertional dyspnea. On arrival: T 38.6\u00b0C, BP 126/72 mmHg, HR 108 bpm, RR 22/min, SpO2 90% RA, rising to 95% on 2 L/min nasal cannula. CXR revealed a focal right lower lobe air-space consolidation without effusion. CBC showed leukocytosis (WBC 14.2 K/\u00b5L, ANC 11.6 K/\u00b5L); CRP 112 mg/L. Multiplex respiratory PCR was negative for SARS-CoV-2 and influenza A/B. Empiric therapy with IV ceftriaxone 1 g q24h plus azithromycin 500 mg daily was initiated for nonsevere community-acquired pneumonia. Urinary Streptococcus pneumoniae antigen returned positive; two sets of blood cultures remained negative at 48 hours. Oxygen was weaned as symptoms improved; by hospital day 2 she maintained SpO2 96% on room air and was afebrile. There were no known drug allergies or recent antibiotic exposures. She was transitioned to oral amoxicillin-clavulanate to complete a total 5-day antibiotic course and discharged home on hospital day 3.",
"subclaim": "The chest x-ray showed a right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 62-year-old female with HTN and intermittent reactive airway disease presented with 72 hours of febrile cough and exertional dyspnea. On arrival: T 38.6\u00b0C, BP 126/72 mmHg, HR 108 bpm, RR 22/min, SpO2 90% RA, rising to 95% on 2 L/min nasal cannula. CXR revealed a focal right lower lobe air-space consolidation without effusion. CBC showed leukocytosis (WBC 14.2 K/\u00b5L, ANC 11.6 K/\u00b5L); CRP 112 mg/L. Multiplex respiratory PCR was negative for SARS-CoV-2 and influenza A/B. Empiric therapy with IV ceftriaxone 1 g q24h plus azithromycin 500 mg daily was initiated for nonsevere community-acquired pneumonia. Urinary Streptococcus pneumoniae antigen returned positive; two sets of blood cultures remained negative at 48 hours. Oxygen was weaned as symptoms improved; by hospital day 2 she maintained SpO2 96% on room air and was afebrile. There were no known drug allergies or recent antibiotic exposures. She was transitioned to oral amoxicillin-clavulanate to complete a total 5-day antibiotic course and discharged home on hospital day 3.",
"subclaim": "She initially received intravenous ceftriaxone plus azithromycin.",
"label": "supported"
},
{
"medical_text": "A 62-year-old female with HTN and intermittent reactive airway disease presented with 72 hours of febrile cough and exertional dyspnea. On arrival: T 38.6\u00b0C, BP 126/72 mmHg, HR 108 bpm, RR 22/min, SpO2 90% RA, rising to 95% on 2 L/min nasal cannula. CXR revealed a focal right lower lobe air-space consolidation without effusion. CBC showed leukocytosis (WBC 14.2 K/\u00b5L, ANC 11.6 K/\u00b5L); CRP 112 mg/L. Multiplex respiratory PCR was negative for SARS-CoV-2 and influenza A/B. Empiric therapy with IV ceftriaxone 1 g q24h plus azithromycin 500 mg daily was initiated for nonsevere community-acquired pneumonia. Urinary Streptococcus pneumoniae antigen returned positive; two sets of blood cultures remained negative at 48 hours. Oxygen was weaned as symptoms improved; by hospital day 2 she maintained SpO2 96% on room air and was afebrile. There were no known drug allergies or recent antibiotic exposures. She was transitioned to oral amoxicillin-clavulanate to complete a total 5-day antibiotic course and discharged home on hospital day 3.",
"subclaim": "COVID-19 and influenza PCR tests were negative.",
"label": "supported"
},
{
"medical_text": "A 62-year-old female with HTN and intermittent reactive airway disease presented with 72 hours of febrile cough and exertional dyspnea. On arrival: T 38.6\u00b0C, BP 126/72 mmHg, HR 108 bpm, RR 22/min, SpO2 90% RA, rising to 95% on 2 L/min nasal cannula. CXR revealed a focal right lower lobe air-space consolidation without effusion. CBC showed leukocytosis (WBC 14.2 K/\u00b5L, ANC 11.6 K/\u00b5L); CRP 112 mg/L. Multiplex respiratory PCR was negative for SARS-CoV-2 and influenza A/B. Empiric therapy with IV ceftriaxone 1 g q24h plus azithromycin 500 mg daily was initiated for nonsevere community-acquired pneumonia. Urinary Streptococcus pneumoniae antigen returned positive; two sets of blood cultures remained negative at 48 hours. Oxygen was weaned as symptoms improved; by hospital day 2 she maintained SpO2 96% on room air and was afebrile. There were no known drug allergies or recent antibiotic exposures. She was transitioned to oral amoxicillin-clavulanate to complete a total 5-day antibiotic course and discharged home on hospital day 3.",
"subclaim": "She was discharged on oral amoxicillin-clavulanate.",
"label": "supported"
},
{
"medical_text": "A 62-year-old female with HTN and intermittent reactive airway disease presented with 72 hours of febrile cough and exertional dyspnea. On arrival: T 38.6\u00b0C, BP 126/72 mmHg, HR 108 bpm, RR 22/min, SpO2 90% RA, rising to 95% on 2 L/min nasal cannula. CXR revealed a focal right lower lobe air-space consolidation without effusion. CBC showed leukocytosis (WBC 14.2 K/\u00b5L, ANC 11.6 K/\u00b5L); CRP 112 mg/L. Multiplex respiratory PCR was negative for SARS-CoV-2 and influenza A/B. Empiric therapy with IV ceftriaxone 1 g q24h plus azithromycin 500 mg daily was initiated for nonsevere community-acquired pneumonia. Urinary Streptococcus pneumoniae antigen returned positive; two sets of blood cultures remained negative at 48 hours. Oxygen was weaned as symptoms improved; by hospital day 2 she maintained SpO2 96% on room air and was afebrile. There were no known drug allergies or recent antibiotic exposures. She was transitioned to oral amoxicillin-clavulanate to complete a total 5-day antibiotic course and discharged home on hospital day 3.",
"subclaim": "She required admission to the intensive care unit.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old female with HTN and intermittent reactive airway disease presented with 72 hours of febrile cough and exertional dyspnea. On arrival: T 38.6\u00b0C, BP 126/72 mmHg, HR 108 bpm, RR 22/min, SpO2 90% RA, rising to 95% on 2 L/min nasal cannula. CXR revealed a focal right lower lobe air-space consolidation without effusion. CBC showed leukocytosis (WBC 14.2 K/\u00b5L, ANC 11.6 K/\u00b5L); CRP 112 mg/L. Multiplex respiratory PCR was negative for SARS-CoV-2 and influenza A/B. Empiric therapy with IV ceftriaxone 1 g q24h plus azithromycin 500 mg daily was initiated for nonsevere community-acquired pneumonia. Urinary Streptococcus pneumoniae antigen returned positive; two sets of blood cultures remained negative at 48 hours. Oxygen was weaned as symptoms improved; by hospital day 2 she maintained SpO2 96% on room air and was afebrile. There were no known drug allergies or recent antibiotic exposures. She was transitioned to oral amoxicillin-clavulanate to complete a total 5-day antibiotic course and discharged home on hospital day 3.",
"subclaim": "She is allergic to penicillin.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old female with HTN and intermittent reactive airway disease presented with 72 hours of febrile cough and exertional dyspnea. On arrival: T 38.6\u00b0C, BP 126/72 mmHg, HR 108 bpm, RR 22/min, SpO2 90% RA, rising to 95% on 2 L/min nasal cannula. CXR revealed a focal right lower lobe air-space consolidation without effusion. CBC showed leukocytosis (WBC 14.2 K/\u00b5L, ANC 11.6 K/\u00b5L); CRP 112 mg/L. Multiplex respiratory PCR was negative for SARS-CoV-2 and influenza A/B. Empiric therapy with IV ceftriaxone 1 g q24h plus azithromycin 500 mg daily was initiated for nonsevere community-acquired pneumonia. Urinary Streptococcus pneumoniae antigen returned positive; two sets of blood cultures remained negative at 48 hours. Oxygen was weaned as symptoms improved; by hospital day 2 she maintained SpO2 96% on room air and was afebrile. There were no known drug allergies or recent antibiotic exposures. She was transitioned to oral amoxicillin-clavulanate to complete a total 5-day antibiotic course and discharged home on hospital day 3.",
"subclaim": "A pleural effusion was present on imaging.",
"label": "not_supported"
},
{
"medical_text": "A 62-year-old female with HTN and intermittent reactive airway disease presented with 72 hours of febrile cough and exertional dyspnea. On arrival: T 38.6\u00b0C, BP 126/72 mmHg, HR 108 bpm, RR 22/min, SpO2 90% RA, rising to 95% on 2 L/min nasal cannula. CXR revealed a focal right lower lobe air-space consolidation without effusion. CBC showed leukocytosis (WBC 14.2 K/\u00b5L, ANC 11.6 K/\u00b5L); CRP 112 mg/L. Multiplex respiratory PCR was negative for SARS-CoV-2 and influenza A/B. Empiric therapy with IV ceftriaxone 1 g q24h plus azithromycin 500 mg daily was initiated for nonsevere community-acquired pneumonia. Urinary Streptococcus pneumoniae antigen returned positive; two sets of blood cultures remained negative at 48 hours. Oxygen was weaned as symptoms improved; by hospital day 2 she maintained SpO2 96% on room air and was afebrile. There were no known drug allergies or recent antibiotic exposures. She was transitioned to oral amoxicillin-clavulanate to complete a total 5-day antibiotic course and discharged home on hospital day 3.",
"subclaim": "She was treated with vancomycin during the hospitalization.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old woman with COPD and diabetes came to the hospital with fever and cough. She had green mucus and felt short of breath for three days. Her oxygen level was 88% on room air. A chest X-ray showed an infection in the right lower lung. She got oxygen through a nose tube, and her level rose to 94%. The team started IV antibiotics: ceftriaxone and azithromycin. Tests for flu and COVID were negative. Blood cultures were taken and have not grown any germs yet. She has no drug allergies and is being treated on the regular ward.",
"subclaim": "The chest X-ray showed a right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old woman with COPD and diabetes came to the hospital with fever and cough. She had green mucus and felt short of breath for three days. Her oxygen level was 88% on room air. A chest X-ray showed an infection in the right lower lung. She got oxygen through a nose tube, and her level rose to 94%. The team started IV antibiotics: ceftriaxone and azithromycin. Tests for flu and COVID were negative. Blood cultures were taken and have not grown any germs yet. She has no drug allergies and is being treated on the regular ward.",
"subclaim": "She received intravenous ceftriaxone and azithromycin.",
"label": "supported"
},
{
"medical_text": "A 67-year-old woman with COPD and diabetes came to the hospital with fever and cough. She had green mucus and felt short of breath for three days. Her oxygen level was 88% on room air. A chest X-ray showed an infection in the right lower lung. She got oxygen through a nose tube, and her level rose to 94%. The team started IV antibiotics: ceftriaxone and azithromycin. Tests for flu and COVID were negative. Blood cultures were taken and have not grown any germs yet. She has no drug allergies and is being treated on the regular ward.",
"subclaim": "Oxygen by nasal cannula increased her oxygen saturation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old woman with COPD and diabetes came to the hospital with fever and cough. She had green mucus and felt short of breath for three days. Her oxygen level was 88% on room air. A chest X-ray showed an infection in the right lower lung. She got oxygen through a nose tube, and her level rose to 94%. The team started IV antibiotics: ceftriaxone and azithromycin. Tests for flu and COVID were negative. Blood cultures were taken and have not grown any germs yet. She has no drug allergies and is being treated on the regular ward.",
"subclaim": "Tests for influenza and COVID-19 were negative.",
"label": "supported"
},
{
"medical_text": "A 67-year-old woman with COPD and diabetes came to the hospital with fever and cough. She had green mucus and felt short of breath for three days. Her oxygen level was 88% on room air. A chest X-ray showed an infection in the right lower lung. She got oxygen through a nose tube, and her level rose to 94%. The team started IV antibiotics: ceftriaxone and azithromycin. Tests for flu and COVID were negative. Blood cultures were taken and have not grown any germs yet. She has no drug allergies and is being treated on the regular ward.",
"subclaim": "She had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old woman with COPD and diabetes came to the hospital with fever and cough. She had green mucus and felt short of breath for three days. Her oxygen level was 88% on room air. A chest X-ray showed an infection in the right lower lung. She got oxygen through a nose tube, and her level rose to 94%. The team started IV antibiotics: ceftriaxone and azithromycin. Tests for flu and COVID were negative. Blood cultures were taken and have not grown any germs yet. She has no drug allergies and is being treated on the regular ward.",
"subclaim": "She was treated with amoxicillin-clavulanate.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old woman with COPD and diabetes came to the hospital with fever and cough. She had green mucus and felt short of breath for three days. Her oxygen level was 88% on room air. A chest X-ray showed an infection in the right lower lung. She got oxygen through a nose tube, and her level rose to 94%. The team started IV antibiotics: ceftriaxone and azithromycin. Tests for flu and COVID were negative. Blood cultures were taken and have not grown any germs yet. She has no drug allergies and is being treated on the regular ward.",
"subclaim": "The patient required admission to the ICU.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old woman with COPD and diabetes came to the hospital with fever and cough. She had green mucus and felt short of breath for three days. Her oxygen level was 88% on room air. A chest X-ray showed an infection in the right lower lung. She got oxygen through a nose tube, and her level rose to 94%. The team started IV antibiotics: ceftriaxone and azithromycin. Tests for flu and COVID were negative. Blood cultures were taken and have not grown any germs yet. She has no drug allergies and is being treated on the regular ward.",
"subclaim": "Blood cultures grew Streptococcus pneumoniae within 24 hours.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old woman with COPD and type 2 diabetes presented with three days of fever, productive green sputum, and dyspnea. On arrival, temperature was 38.6 C, respiratory rate 24, heart rate 102, and SpO2 88% on room air. After starting 2 liters of oxygen by nasal cannula, her saturation improved to 94%. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Laboratory testing showed leukocytosis, and blood and sputum cultures were obtained before antibiotics. Empiric IV ceftriaxone plus azithromycin were initiated, and scheduled bronchodilator nebulizers were given for COPD. A multiplex viral PCR was negative for influenza and SARS-CoV-2. Blood cultures show no growth at 24 hours. She has no known drug allergies and remains on the general medical floor with plans to transition to oral therapy if stable.",
"subclaim": "The chest X-ray showed a right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old woman with COPD and type 2 diabetes presented with three days of fever, productive green sputum, and dyspnea. On arrival, temperature was 38.6 C, respiratory rate 24, heart rate 102, and SpO2 88% on room air. After starting 2 liters of oxygen by nasal cannula, her saturation improved to 94%. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Laboratory testing showed leukocytosis, and blood and sputum cultures were obtained before antibiotics. Empiric IV ceftriaxone plus azithromycin were initiated, and scheduled bronchodilator nebulizers were given for COPD. A multiplex viral PCR was negative for influenza and SARS-CoV-2. Blood cultures show no growth at 24 hours. She has no known drug allergies and remains on the general medical floor with plans to transition to oral therapy if stable.",
"subclaim": "She received intravenous ceftriaxone and azithromycin.",
"label": "supported"
},
{
"medical_text": "A 67-year-old woman with COPD and type 2 diabetes presented with three days of fever, productive green sputum, and dyspnea. On arrival, temperature was 38.6 C, respiratory rate 24, heart rate 102, and SpO2 88% on room air. After starting 2 liters of oxygen by nasal cannula, her saturation improved to 94%. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Laboratory testing showed leukocytosis, and blood and sputum cultures were obtained before antibiotics. Empiric IV ceftriaxone plus azithromycin were initiated, and scheduled bronchodilator nebulizers were given for COPD. A multiplex viral PCR was negative for influenza and SARS-CoV-2. Blood cultures show no growth at 24 hours. She has no known drug allergies and remains on the general medical floor with plans to transition to oral therapy if stable.",
"subclaim": "Oxygen by nasal cannula increased her oxygen saturation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old woman with COPD and type 2 diabetes presented with three days of fever, productive green sputum, and dyspnea. On arrival, temperature was 38.6 C, respiratory rate 24, heart rate 102, and SpO2 88% on room air. After starting 2 liters of oxygen by nasal cannula, her saturation improved to 94%. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Laboratory testing showed leukocytosis, and blood and sputum cultures were obtained before antibiotics. Empiric IV ceftriaxone plus azithromycin were initiated, and scheduled bronchodilator nebulizers were given for COPD. A multiplex viral PCR was negative for influenza and SARS-CoV-2. Blood cultures show no growth at 24 hours. She has no known drug allergies and remains on the general medical floor with plans to transition to oral therapy if stable.",
"subclaim": "Tests for influenza and COVID-19 were negative.",
"label": "supported"
},
{
"medical_text": "A 67-year-old woman with COPD and type 2 diabetes presented with three days of fever, productive green sputum, and dyspnea. On arrival, temperature was 38.6 C, respiratory rate 24, heart rate 102, and SpO2 88% on room air. After starting 2 liters of oxygen by nasal cannula, her saturation improved to 94%. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Laboratory testing showed leukocytosis, and blood and sputum cultures were obtained before antibiotics. Empiric IV ceftriaxone plus azithromycin were initiated, and scheduled bronchodilator nebulizers were given for COPD. A multiplex viral PCR was negative for influenza and SARS-CoV-2. Blood cultures show no growth at 24 hours. She has no known drug allergies and remains on the general medical floor with plans to transition to oral therapy if stable.",
"subclaim": "She had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old woman with COPD and type 2 diabetes presented with three days of fever, productive green sputum, and dyspnea. On arrival, temperature was 38.6 C, respiratory rate 24, heart rate 102, and SpO2 88% on room air. After starting 2 liters of oxygen by nasal cannula, her saturation improved to 94%. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Laboratory testing showed leukocytosis, and blood and sputum cultures were obtained before antibiotics. Empiric IV ceftriaxone plus azithromycin were initiated, and scheduled bronchodilator nebulizers were given for COPD. A multiplex viral PCR was negative for influenza and SARS-CoV-2. Blood cultures show no growth at 24 hours. She has no known drug allergies and remains on the general medical floor with plans to transition to oral therapy if stable.",
"subclaim": "She was treated with amoxicillin-clavulanate.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old woman with COPD and type 2 diabetes presented with three days of fever, productive green sputum, and dyspnea. On arrival, temperature was 38.6 C, respiratory rate 24, heart rate 102, and SpO2 88% on room air. After starting 2 liters of oxygen by nasal cannula, her saturation improved to 94%. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Laboratory testing showed leukocytosis, and blood and sputum cultures were obtained before antibiotics. Empiric IV ceftriaxone plus azithromycin were initiated, and scheduled bronchodilator nebulizers were given for COPD. A multiplex viral PCR was negative for influenza and SARS-CoV-2. Blood cultures show no growth at 24 hours. She has no known drug allergies and remains on the general medical floor with plans to transition to oral therapy if stable.",
"subclaim": "The patient required admission to the ICU.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old woman with COPD and type 2 diabetes presented with three days of fever, productive green sputum, and dyspnea. On arrival, temperature was 38.6 C, respiratory rate 24, heart rate 102, and SpO2 88% on room air. After starting 2 liters of oxygen by nasal cannula, her saturation improved to 94%. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Laboratory testing showed leukocytosis, and blood and sputum cultures were obtained before antibiotics. Empiric IV ceftriaxone plus azithromycin were initiated, and scheduled bronchodilator nebulizers were given for COPD. A multiplex viral PCR was negative for influenza and SARS-CoV-2. Blood cultures show no growth at 24 hours. She has no known drug allergies and remains on the general medical floor with plans to transition to oral therapy if stable.",
"subclaim": "Blood cultures grew Streptococcus pneumoniae within 24 hours.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old female with COPD and type 2 diabetes mellitus presented with three days of fever, purulent cough, and progressive dyspnea. She was febrile to 38.6 C, tachycardic at 102 bpm, tachypneic at 24/min, and hypoxemic with SpO2 88% on ambient air. Chest radiography revealed right lower lobe air-space consolidation, and exam noted crackles over the RLL. She was diagnosed with community-acquired pneumonia complicated by acute hypoxemic respiratory failure. Supplemental oxygen via nasal cannula at 2 L/min increased SpO2 to 94%. Empiric antimicrobial therapy with IV ceftriaxone plus azithromycin was started after obtaining blood and sputum cultures. Respiratory viral panel was negative for influenza A/B and SARS-CoV-2, and initial labs showed leukocytosis. Blood cultures to date show no growth at 24 hours. She has no known drug allergies and is managed on a general medical ward with bronchodilators as needed and plan for step-down to oral agents upon clinical stabilization.",
"subclaim": "The chest X-ray showed a right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old female with COPD and type 2 diabetes mellitus presented with three days of fever, purulent cough, and progressive dyspnea. She was febrile to 38.6 C, tachycardic at 102 bpm, tachypneic at 24/min, and hypoxemic with SpO2 88% on ambient air. Chest radiography revealed right lower lobe air-space consolidation, and exam noted crackles over the RLL. She was diagnosed with community-acquired pneumonia complicated by acute hypoxemic respiratory failure. Supplemental oxygen via nasal cannula at 2 L/min increased SpO2 to 94%. Empiric antimicrobial therapy with IV ceftriaxone plus azithromycin was started after obtaining blood and sputum cultures. Respiratory viral panel was negative for influenza A/B and SARS-CoV-2, and initial labs showed leukocytosis. Blood cultures to date show no growth at 24 hours. She has no known drug allergies and is managed on a general medical ward with bronchodilators as needed and plan for step-down to oral agents upon clinical stabilization.",
"subclaim": "She received intravenous ceftriaxone and azithromycin.",
"label": "supported"
},
{
"medical_text": "A 67-year-old female with COPD and type 2 diabetes mellitus presented with three days of fever, purulent cough, and progressive dyspnea. She was febrile to 38.6 C, tachycardic at 102 bpm, tachypneic at 24/min, and hypoxemic with SpO2 88% on ambient air. Chest radiography revealed right lower lobe air-space consolidation, and exam noted crackles over the RLL. She was diagnosed with community-acquired pneumonia complicated by acute hypoxemic respiratory failure. Supplemental oxygen via nasal cannula at 2 L/min increased SpO2 to 94%. Empiric antimicrobial therapy with IV ceftriaxone plus azithromycin was started after obtaining blood and sputum cultures. Respiratory viral panel was negative for influenza A/B and SARS-CoV-2, and initial labs showed leukocytosis. Blood cultures to date show no growth at 24 hours. She has no known drug allergies and is managed on a general medical ward with bronchodilators as needed and plan for step-down to oral agents upon clinical stabilization.",
"subclaim": "Oxygen by nasal cannula increased her oxygen saturation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old female with COPD and type 2 diabetes mellitus presented with three days of fever, purulent cough, and progressive dyspnea. She was febrile to 38.6 C, tachycardic at 102 bpm, tachypneic at 24/min, and hypoxemic with SpO2 88% on ambient air. Chest radiography revealed right lower lobe air-space consolidation, and exam noted crackles over the RLL. She was diagnosed with community-acquired pneumonia complicated by acute hypoxemic respiratory failure. Supplemental oxygen via nasal cannula at 2 L/min increased SpO2 to 94%. Empiric antimicrobial therapy with IV ceftriaxone plus azithromycin was started after obtaining blood and sputum cultures. Respiratory viral panel was negative for influenza A/B and SARS-CoV-2, and initial labs showed leukocytosis. Blood cultures to date show no growth at 24 hours. She has no known drug allergies and is managed on a general medical ward with bronchodilators as needed and plan for step-down to oral agents upon clinical stabilization.",
"subclaim": "Tests for influenza and COVID-19 were negative.",
"label": "supported"
},
{
"medical_text": "A 67-year-old female with COPD and type 2 diabetes mellitus presented with three days of fever, purulent cough, and progressive dyspnea. She was febrile to 38.6 C, tachycardic at 102 bpm, tachypneic at 24/min, and hypoxemic with SpO2 88% on ambient air. Chest radiography revealed right lower lobe air-space consolidation, and exam noted crackles over the RLL. She was diagnosed with community-acquired pneumonia complicated by acute hypoxemic respiratory failure. Supplemental oxygen via nasal cannula at 2 L/min increased SpO2 to 94%. Empiric antimicrobial therapy with IV ceftriaxone plus azithromycin was started after obtaining blood and sputum cultures. Respiratory viral panel was negative for influenza A/B and SARS-CoV-2, and initial labs showed leukocytosis. Blood cultures to date show no growth at 24 hours. She has no known drug allergies and is managed on a general medical ward with bronchodilators as needed and plan for step-down to oral agents upon clinical stabilization.",
"subclaim": "She had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old female with COPD and type 2 diabetes mellitus presented with three days of fever, purulent cough, and progressive dyspnea. She was febrile to 38.6 C, tachycardic at 102 bpm, tachypneic at 24/min, and hypoxemic with SpO2 88% on ambient air. Chest radiography revealed right lower lobe air-space consolidation, and exam noted crackles over the RLL. She was diagnosed with community-acquired pneumonia complicated by acute hypoxemic respiratory failure. Supplemental oxygen via nasal cannula at 2 L/min increased SpO2 to 94%. Empiric antimicrobial therapy with IV ceftriaxone plus azithromycin was started after obtaining blood and sputum cultures. Respiratory viral panel was negative for influenza A/B and SARS-CoV-2, and initial labs showed leukocytosis. Blood cultures to date show no growth at 24 hours. She has no known drug allergies and is managed on a general medical ward with bronchodilators as needed and plan for step-down to oral agents upon clinical stabilization.",
"subclaim": "She was treated with amoxicillin-clavulanate.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old female with COPD and type 2 diabetes mellitus presented with three days of fever, purulent cough, and progressive dyspnea. She was febrile to 38.6 C, tachycardic at 102 bpm, tachypneic at 24/min, and hypoxemic with SpO2 88% on ambient air. Chest radiography revealed right lower lobe air-space consolidation, and exam noted crackles over the RLL. She was diagnosed with community-acquired pneumonia complicated by acute hypoxemic respiratory failure. Supplemental oxygen via nasal cannula at 2 L/min increased SpO2 to 94%. Empiric antimicrobial therapy with IV ceftriaxone plus azithromycin was started after obtaining blood and sputum cultures. Respiratory viral panel was negative for influenza A/B and SARS-CoV-2, and initial labs showed leukocytosis. Blood cultures to date show no growth at 24 hours. She has no known drug allergies and is managed on a general medical ward with bronchodilators as needed and plan for step-down to oral agents upon clinical stabilization.",
"subclaim": "The patient required admission to the ICU.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old female with COPD and type 2 diabetes mellitus presented with three days of fever, purulent cough, and progressive dyspnea. She was febrile to 38.6 C, tachycardic at 102 bpm, tachypneic at 24/min, and hypoxemic with SpO2 88% on ambient air. Chest radiography revealed right lower lobe air-space consolidation, and exam noted crackles over the RLL. She was diagnosed with community-acquired pneumonia complicated by acute hypoxemic respiratory failure. Supplemental oxygen via nasal cannula at 2 L/min increased SpO2 to 94%. Empiric antimicrobial therapy with IV ceftriaxone plus azithromycin was started after obtaining blood and sputum cultures. Respiratory viral panel was negative for influenza A/B and SARS-CoV-2, and initial labs showed leukocytosis. Blood cultures to date show no growth at 24 hours. She has no known drug allergies and is managed on a general medical ward with bronchodilators as needed and plan for step-down to oral agents upon clinical stabilization.",
"subclaim": "Blood cultures grew Streptococcus pneumoniae within 24 hours.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man came to the hospital with fever, cough with yellow mucus, and trouble breathing. His temperature was 38.5\u00b0C and his oxygen level was 90% on room air. A chest X-ray showed a spot in the right lower lung. The doctors said he had a lung infection from the community. They gave him oxygen through small tubes in his nose. He got two IV antibiotics: ceftriaxone and azithromycin. Blood tests and blood cultures were done before the first dose. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with pills to finish a 5-day total course, and he was offered a pneumonia shot.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man came to the hospital with fever, cough with yellow mucus, and trouble breathing. His temperature was 38.5\u00b0C and his oxygen level was 90% on room air. A chest X-ray showed a spot in the right lower lung. The doctors said he had a lung infection from the community. They gave him oxygen through small tubes in his nose. He got two IV antibiotics: ceftriaxone and azithromycin. Blood tests and blood cultures were done before the first dose. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with pills to finish a 5-day total course, and he was offered a pneumonia shot.",
"subclaim": "Oxygen was delivered through a nasal cannula.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man came to the hospital with fever, cough with yellow mucus, and trouble breathing. His temperature was 38.5\u00b0C and his oxygen level was 90% on room air. A chest X-ray showed a spot in the right lower lung. The doctors said he had a lung infection from the community. They gave him oxygen through small tubes in his nose. He got two IV antibiotics: ceftriaxone and azithromycin. Blood tests and blood cultures were done before the first dose. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with pills to finish a 5-day total course, and he was offered a pneumonia shot.",
"subclaim": "Blood cultures were drawn before starting antibiotics.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man came to the hospital with fever, cough with yellow mucus, and trouble breathing. His temperature was 38.5\u00b0C and his oxygen level was 90% on room air. A chest X-ray showed a spot in the right lower lung. The doctors said he had a lung infection from the community. They gave him oxygen through small tubes in his nose. He got two IV antibiotics: ceftriaxone and azithromycin. Blood tests and blood cultures were done before the first dose. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with pills to finish a 5-day total course, and he was offered a pneumonia shot.",
"subclaim": "A 5-day total antibiotic course was planned.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man came to the hospital with fever, cough with yellow mucus, and trouble breathing. His temperature was 38.5\u00b0C and his oxygen level was 90% on room air. A chest X-ray showed a spot in the right lower lung. The doctors said he had a lung infection from the community. They gave him oxygen through small tubes in his nose. He got two IV antibiotics: ceftriaxone and azithromycin. Blood tests and blood cultures were done before the first dose. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with pills to finish a 5-day total course, and he was offered a pneumonia shot.",
"subclaim": "The patient received vancomycin.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man came to the hospital with fever, cough with yellow mucus, and trouble breathing. His temperature was 38.5\u00b0C and his oxygen level was 90% on room air. A chest X-ray showed a spot in the right lower lung. The doctors said he had a lung infection from the community. They gave him oxygen through small tubes in his nose. He got two IV antibiotics: ceftriaxone and azithromycin. Blood tests and blood cultures were done before the first dose. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with pills to finish a 5-day total course, and he was offered a pneumonia shot.",
"subclaim": "The pneumonia involved the left upper lobe.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man came to the hospital with fever, cough with yellow mucus, and trouble breathing. His temperature was 38.5\u00b0C and his oxygen level was 90% on room air. A chest X-ray showed a spot in the right lower lung. The doctors said he had a lung infection from the community. They gave him oxygen through small tubes in his nose. He got two IV antibiotics: ceftriaxone and azithromycin. Blood tests and blood cultures were done before the first dose. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with pills to finish a 5-day total course, and he was offered a pneumonia shot.",
"subclaim": "The patient required intensive care unit admission.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man came to the hospital with fever, cough with yellow mucus, and trouble breathing. His temperature was 38.5\u00b0C and his oxygen level was 90% on room air. A chest X-ray showed a spot in the right lower lung. The doctors said he had a lung infection from the community. They gave him oxygen through small tubes in his nose. He got two IV antibiotics: ceftriaxone and azithromycin. Blood tests and blood cultures were done before the first dose. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with pills to finish a 5-day total course, and he was offered a pneumonia shot.",
"subclaim": "The patient had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man presented with 3 days of fever, productive cough, and dyspnea. On arrival, temperature was 38.5\u00b0C and oxygen saturation was 90% on room air. Lung exam revealed crackles at the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Nasal cannula oxygen was started, and saturations improved. Empiric IV ceftriaxone plus azithromycin were administered after obtaining blood tests and blood cultures. SARS-CoV-2 PCR was negative. After 48 hours, he was clinically improved and maintained 95% saturation on room air. He was transitioned to oral antibiotics to complete a 5-day total course and was offered pneumococcal vaccination prior to discharge.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man presented with 3 days of fever, productive cough, and dyspnea. On arrival, temperature was 38.5\u00b0C and oxygen saturation was 90% on room air. Lung exam revealed crackles at the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Nasal cannula oxygen was started, and saturations improved. Empiric IV ceftriaxone plus azithromycin were administered after obtaining blood tests and blood cultures. SARS-CoV-2 PCR was negative. After 48 hours, he was clinically improved and maintained 95% saturation on room air. He was transitioned to oral antibiotics to complete a 5-day total course and was offered pneumococcal vaccination prior to discharge.",
"subclaim": "Oxygen was delivered through a nasal cannula.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man presented with 3 days of fever, productive cough, and dyspnea. On arrival, temperature was 38.5\u00b0C and oxygen saturation was 90% on room air. Lung exam revealed crackles at the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Nasal cannula oxygen was started, and saturations improved. Empiric IV ceftriaxone plus azithromycin were administered after obtaining blood tests and blood cultures. SARS-CoV-2 PCR was negative. After 48 hours, he was clinically improved and maintained 95% saturation on room air. He was transitioned to oral antibiotics to complete a 5-day total course and was offered pneumococcal vaccination prior to discharge.",
"subclaim": "Blood cultures were drawn before starting antibiotics.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man presented with 3 days of fever, productive cough, and dyspnea. On arrival, temperature was 38.5\u00b0C and oxygen saturation was 90% on room air. Lung exam revealed crackles at the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Nasal cannula oxygen was started, and saturations improved. Empiric IV ceftriaxone plus azithromycin were administered after obtaining blood tests and blood cultures. SARS-CoV-2 PCR was negative. After 48 hours, he was clinically improved and maintained 95% saturation on room air. He was transitioned to oral antibiotics to complete a 5-day total course and was offered pneumococcal vaccination prior to discharge.",
"subclaim": "A 5-day total antibiotic course was planned.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man presented with 3 days of fever, productive cough, and dyspnea. On arrival, temperature was 38.5\u00b0C and oxygen saturation was 90% on room air. Lung exam revealed crackles at the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Nasal cannula oxygen was started, and saturations improved. Empiric IV ceftriaxone plus azithromycin were administered after obtaining blood tests and blood cultures. SARS-CoV-2 PCR was negative. After 48 hours, he was clinically improved and maintained 95% saturation on room air. He was transitioned to oral antibiotics to complete a 5-day total course and was offered pneumococcal vaccination prior to discharge.",
"subclaim": "The patient received vancomycin.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man presented with 3 days of fever, productive cough, and dyspnea. On arrival, temperature was 38.5\u00b0C and oxygen saturation was 90% on room air. Lung exam revealed crackles at the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Nasal cannula oxygen was started, and saturations improved. Empiric IV ceftriaxone plus azithromycin were administered after obtaining blood tests and blood cultures. SARS-CoV-2 PCR was negative. After 48 hours, he was clinically improved and maintained 95% saturation on room air. He was transitioned to oral antibiotics to complete a 5-day total course and was offered pneumococcal vaccination prior to discharge.",
"subclaim": "The pneumonia involved the left upper lobe.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man presented with 3 days of fever, productive cough, and dyspnea. On arrival, temperature was 38.5\u00b0C and oxygen saturation was 90% on room air. Lung exam revealed crackles at the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Nasal cannula oxygen was started, and saturations improved. Empiric IV ceftriaxone plus azithromycin were administered after obtaining blood tests and blood cultures. SARS-CoV-2 PCR was negative. After 48 hours, he was clinically improved and maintained 95% saturation on room air. He was transitioned to oral antibiotics to complete a 5-day total course and was offered pneumococcal vaccination prior to discharge.",
"subclaim": "The patient required intensive care unit admission.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man presented with 3 days of fever, productive cough, and dyspnea. On arrival, temperature was 38.5\u00b0C and oxygen saturation was 90% on room air. Lung exam revealed crackles at the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Nasal cannula oxygen was started, and saturations improved. Empiric IV ceftriaxone plus azithromycin were administered after obtaining blood tests and blood cultures. SARS-CoV-2 PCR was negative. After 48 hours, he was clinically improved and maintained 95% saturation on room air. He was transitioned to oral antibiotics to complete a 5-day total course and was offered pneumococcal vaccination prior to discharge.",
"subclaim": "The patient had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male with no immunosuppression presented after 3 days of fever, productive yellow sputum, and exertional dyspnea. Vitals: T 38.5\u00b0C, HR 98, BP 134/78 mmHg, RR 24, SpO2 90% on ambient air. Exam showed right basilar crackles without egophony; no signs of sepsis. WBC was 15.2 \u00d710^9/L with neutrophilic predominance; serum lactate was normal. Portable AP chest X-ray demonstrated a focal consolidation in the right lower lobe. Diagnosis: community-acquired pneumonia; nasopharyngeal SARS-CoV-2 PCR was negative. Management included 2 L/min nasal cannula oxygen, blood cultures drawn prior to antibiotics, and empiric IV ceftriaxone plus azithromycin. Antipyretics were given; no ICU indications were present. By 48 hours, the patient was afebrile, SpO2 95% on room air, and transitioned to oral therapy to complete a 5-day total antibiotic course; pneumococcal vaccination was offered at discharge.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male with no immunosuppression presented after 3 days of fever, productive yellow sputum, and exertional dyspnea. Vitals: T 38.5\u00b0C, HR 98, BP 134/78 mmHg, RR 24, SpO2 90% on ambient air. Exam showed right basilar crackles without egophony; no signs of sepsis. WBC was 15.2 \u00d710^9/L with neutrophilic predominance; serum lactate was normal. Portable AP chest X-ray demonstrated a focal consolidation in the right lower lobe. Diagnosis: community-acquired pneumonia; nasopharyngeal SARS-CoV-2 PCR was negative. Management included 2 L/min nasal cannula oxygen, blood cultures drawn prior to antibiotics, and empiric IV ceftriaxone plus azithromycin. Antipyretics were given; no ICU indications were present. By 48 hours, the patient was afebrile, SpO2 95% on room air, and transitioned to oral therapy to complete a 5-day total antibiotic course; pneumococcal vaccination was offered at discharge.",
"subclaim": "Oxygen was delivered through a nasal cannula.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male with no immunosuppression presented after 3 days of fever, productive yellow sputum, and exertional dyspnea. Vitals: T 38.5\u00b0C, HR 98, BP 134/78 mmHg, RR 24, SpO2 90% on ambient air. Exam showed right basilar crackles without egophony; no signs of sepsis. WBC was 15.2 \u00d710^9/L with neutrophilic predominance; serum lactate was normal. Portable AP chest X-ray demonstrated a focal consolidation in the right lower lobe. Diagnosis: community-acquired pneumonia; nasopharyngeal SARS-CoV-2 PCR was negative. Management included 2 L/min nasal cannula oxygen, blood cultures drawn prior to antibiotics, and empiric IV ceftriaxone plus azithromycin. Antipyretics were given; no ICU indications were present. By 48 hours, the patient was afebrile, SpO2 95% on room air, and transitioned to oral therapy to complete a 5-day total antibiotic course; pneumococcal vaccination was offered at discharge.",
"subclaim": "Blood cultures were drawn before starting antibiotics.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male with no immunosuppression presented after 3 days of fever, productive yellow sputum, and exertional dyspnea. Vitals: T 38.5\u00b0C, HR 98, BP 134/78 mmHg, RR 24, SpO2 90% on ambient air. Exam showed right basilar crackles without egophony; no signs of sepsis. WBC was 15.2 \u00d710^9/L with neutrophilic predominance; serum lactate was normal. Portable AP chest X-ray demonstrated a focal consolidation in the right lower lobe. Diagnosis: community-acquired pneumonia; nasopharyngeal SARS-CoV-2 PCR was negative. Management included 2 L/min nasal cannula oxygen, blood cultures drawn prior to antibiotics, and empiric IV ceftriaxone plus azithromycin. Antipyretics were given; no ICU indications were present. By 48 hours, the patient was afebrile, SpO2 95% on room air, and transitioned to oral therapy to complete a 5-day total antibiotic course; pneumococcal vaccination was offered at discharge.",
"subclaim": "A 5-day total antibiotic course was planned.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male with no immunosuppression presented after 3 days of fever, productive yellow sputum, and exertional dyspnea. Vitals: T 38.5\u00b0C, HR 98, BP 134/78 mmHg, RR 24, SpO2 90% on ambient air. Exam showed right basilar crackles without egophony; no signs of sepsis. WBC was 15.2 \u00d710^9/L with neutrophilic predominance; serum lactate was normal. Portable AP chest X-ray demonstrated a focal consolidation in the right lower lobe. Diagnosis: community-acquired pneumonia; nasopharyngeal SARS-CoV-2 PCR was negative. Management included 2 L/min nasal cannula oxygen, blood cultures drawn prior to antibiotics, and empiric IV ceftriaxone plus azithromycin. Antipyretics were given; no ICU indications were present. By 48 hours, the patient was afebrile, SpO2 95% on room air, and transitioned to oral therapy to complete a 5-day total antibiotic course; pneumococcal vaccination was offered at discharge.",
"subclaim": "The patient received vancomycin.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male with no immunosuppression presented after 3 days of fever, productive yellow sputum, and exertional dyspnea. Vitals: T 38.5\u00b0C, HR 98, BP 134/78 mmHg, RR 24, SpO2 90% on ambient air. Exam showed right basilar crackles without egophony; no signs of sepsis. WBC was 15.2 \u00d710^9/L with neutrophilic predominance; serum lactate was normal. Portable AP chest X-ray demonstrated a focal consolidation in the right lower lobe. Diagnosis: community-acquired pneumonia; nasopharyngeal SARS-CoV-2 PCR was negative. Management included 2 L/min nasal cannula oxygen, blood cultures drawn prior to antibiotics, and empiric IV ceftriaxone plus azithromycin. Antipyretics were given; no ICU indications were present. By 48 hours, the patient was afebrile, SpO2 95% on room air, and transitioned to oral therapy to complete a 5-day total antibiotic course; pneumococcal vaccination was offered at discharge.",
"subclaim": "The pneumonia involved the left upper lobe.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male with no immunosuppression presented after 3 days of fever, productive yellow sputum, and exertional dyspnea. Vitals: T 38.5\u00b0C, HR 98, BP 134/78 mmHg, RR 24, SpO2 90% on ambient air. Exam showed right basilar crackles without egophony; no signs of sepsis. WBC was 15.2 \u00d710^9/L with neutrophilic predominance; serum lactate was normal. Portable AP chest X-ray demonstrated a focal consolidation in the right lower lobe. Diagnosis: community-acquired pneumonia; nasopharyngeal SARS-CoV-2 PCR was negative. Management included 2 L/min nasal cannula oxygen, blood cultures drawn prior to antibiotics, and empiric IV ceftriaxone plus azithromycin. Antipyretics were given; no ICU indications were present. By 48 hours, the patient was afebrile, SpO2 95% on room air, and transitioned to oral therapy to complete a 5-day total antibiotic course; pneumococcal vaccination was offered at discharge.",
"subclaim": "The patient required intensive care unit admission.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male with no immunosuppression presented after 3 days of fever, productive yellow sputum, and exertional dyspnea. Vitals: T 38.5\u00b0C, HR 98, BP 134/78 mmHg, RR 24, SpO2 90% on ambient air. Exam showed right basilar crackles without egophony; no signs of sepsis. WBC was 15.2 \u00d710^9/L with neutrophilic predominance; serum lactate was normal. Portable AP chest X-ray demonstrated a focal consolidation in the right lower lobe. Diagnosis: community-acquired pneumonia; nasopharyngeal SARS-CoV-2 PCR was negative. Management included 2 L/min nasal cannula oxygen, blood cultures drawn prior to antibiotics, and empiric IV ceftriaxone plus azithromycin. Antipyretics were given; no ICU indications were present. By 48 hours, the patient was afebrile, SpO2 95% on room air, and transitioned to oral therapy to complete a 5-day total antibiotic course; pneumococcal vaccination was offered at discharge.",
"subclaim": "The patient had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old woman came to the ER with fever, cough with mucus, and trouble breathing for three days. She has type 2 diabetes and high blood pressure. She is allergic to penicillin; it causes a rash. Her oxygen level was low at 90% when she arrived. The doctor heard crackles on the right lower side of her chest. A chest X-ray showed an infection in the right lower lung. She got oxygen through a small tube in her nose, and her level went up to 95%. She started IV antibiotics and was admitted to the hospital.",
"subclaim": "A chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 58-year-old woman came to the ER with fever, cough with mucus, and trouble breathing for three days. She has type 2 diabetes and high blood pressure. She is allergic to penicillin; it causes a rash. Her oxygen level was low at 90% when she arrived. The doctor heard crackles on the right lower side of her chest. A chest X-ray showed an infection in the right lower lung. She got oxygen through a small tube in her nose, and her level went up to 95%. She started IV antibiotics and was admitted to the hospital.",
"subclaim": "The patient received oxygen via a nasal cannula.",
"label": "supported"
},
{
"medical_text": "A 58-year-old woman came to the ER with fever, cough with mucus, and trouble breathing for three days. She has type 2 diabetes and high blood pressure. She is allergic to penicillin; it causes a rash. Her oxygen level was low at 90% when she arrived. The doctor heard crackles on the right lower side of her chest. A chest X-ray showed an infection in the right lower lung. She got oxygen through a small tube in her nose, and her level went up to 95%. She started IV antibiotics and was admitted to the hospital.",
"subclaim": "The patient has type 2 diabetes.",
"label": "supported"
},
{
"medical_text": "A 58-year-old woman came to the ER with fever, cough with mucus, and trouble breathing for three days. She has type 2 diabetes and high blood pressure. She is allergic to penicillin; it causes a rash. Her oxygen level was low at 90% when she arrived. The doctor heard crackles on the right lower side of her chest. A chest X-ray showed an infection in the right lower lung. She got oxygen through a small tube in her nose, and her level went up to 95%. She started IV antibiotics and was admitted to the hospital.",
"subclaim": "Oxygen saturation improved after oxygen therapy.",
"label": "supported"
},
{
"medical_text": "A 58-year-old woman came to the ER with fever, cough with mucus, and trouble breathing for three days. She has type 2 diabetes and high blood pressure. She is allergic to penicillin; it causes a rash. Her oxygen level was low at 90% when she arrived. The doctor heard crackles on the right lower side of her chest. A chest X-ray showed an infection in the right lower lung. She got oxygen through a small tube in her nose, and her level went up to 95%. She started IV antibiotics and was admitted to the hospital.",
"subclaim": "She had chest pain on arrival.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old woman came to the ER with fever, cough with mucus, and trouble breathing for three days. She has type 2 diabetes and high blood pressure. She is allergic to penicillin; it causes a rash. Her oxygen level was low at 90% when she arrived. The doctor heard crackles on the right lower side of her chest. A chest X-ray showed an infection in the right lower lung. She got oxygen through a small tube in her nose, and her level went up to 95%. She started IV antibiotics and was admitted to the hospital.",
"subclaim": "She tested positive for influenza A.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old woman came to the ER with fever, cough with mucus, and trouble breathing for three days. She has type 2 diabetes and high blood pressure. She is allergic to penicillin; it causes a rash. Her oxygen level was low at 90% when she arrived. The doctor heard crackles on the right lower side of her chest. A chest X-ray showed an infection in the right lower lung. She got oxygen through a small tube in her nose, and her level went up to 95%. She started IV antibiotics and was admitted to the hospital.",
"subclaim": "She was treated with azithromycin alone.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old woman came to the ER with fever, cough with mucus, and trouble breathing for three days. She has type 2 diabetes and high blood pressure. She is allergic to penicillin; it causes a rash. Her oxygen level was low at 90% when she arrived. The doctor heard crackles on the right lower side of her chest. A chest X-ray showed an infection in the right lower lung. She got oxygen through a small tube in her nose, and her level went up to 95%. She started IV antibiotics and was admitted to the hospital.",
"subclaim": "She was discharged home from the emergency department.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old woman with type 2 diabetes, hypertension, and a penicillin allergy (rash) presented with three days of fever, productive cough, and dyspnea. She denied chest pain or leg swelling. Vitals in the ED were T 38.5\u00b0C, HR 110, RR 24, BP 128/76, and SpO2 90% on room air. Lung exam revealed crackles at the right lower lung field. Chest radiograph demonstrated right lower lobe consolidation consistent with community-acquired pneumonia. A rapid respiratory viral panel, including influenza and SARS-CoV-2 PCR, was negative. She was started on oxygen via nasal cannula at 2 L/min, with SpO2 improving to 95%. Empiric antibiotics were initiated with ceftriaxone and doxycycline, and she was admitted for hypoxemia and IV therapy.",
"subclaim": "A chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 58-year-old woman with type 2 diabetes, hypertension, and a penicillin allergy (rash) presented with three days of fever, productive cough, and dyspnea. She denied chest pain or leg swelling. Vitals in the ED were T 38.5\u00b0C, HR 110, RR 24, BP 128/76, and SpO2 90% on room air. Lung exam revealed crackles at the right lower lung field. Chest radiograph demonstrated right lower lobe consolidation consistent with community-acquired pneumonia. A rapid respiratory viral panel, including influenza and SARS-CoV-2 PCR, was negative. She was started on oxygen via nasal cannula at 2 L/min, with SpO2 improving to 95%. Empiric antibiotics were initiated with ceftriaxone and doxycycline, and she was admitted for hypoxemia and IV therapy.",
"subclaim": "The patient received oxygen via a nasal cannula.",
"label": "supported"
},
{
"medical_text": "A 58-year-old woman with type 2 diabetes, hypertension, and a penicillin allergy (rash) presented with three days of fever, productive cough, and dyspnea. She denied chest pain or leg swelling. Vitals in the ED were T 38.5\u00b0C, HR 110, RR 24, BP 128/76, and SpO2 90% on room air. Lung exam revealed crackles at the right lower lung field. Chest radiograph demonstrated right lower lobe consolidation consistent with community-acquired pneumonia. A rapid respiratory viral panel, including influenza and SARS-CoV-2 PCR, was negative. She was started on oxygen via nasal cannula at 2 L/min, with SpO2 improving to 95%. Empiric antibiotics were initiated with ceftriaxone and doxycycline, and she was admitted for hypoxemia and IV therapy.",
"subclaim": "The patient has type 2 diabetes.",
"label": "supported"
},
{
"medical_text": "A 58-year-old woman with type 2 diabetes, hypertension, and a penicillin allergy (rash) presented with three days of fever, productive cough, and dyspnea. She denied chest pain or leg swelling. Vitals in the ED were T 38.5\u00b0C, HR 110, RR 24, BP 128/76, and SpO2 90% on room air. Lung exam revealed crackles at the right lower lung field. Chest radiograph demonstrated right lower lobe consolidation consistent with community-acquired pneumonia. A rapid respiratory viral panel, including influenza and SARS-CoV-2 PCR, was negative. She was started on oxygen via nasal cannula at 2 L/min, with SpO2 improving to 95%. Empiric antibiotics were initiated with ceftriaxone and doxycycline, and she was admitted for hypoxemia and IV therapy.",
"subclaim": "Oxygen saturation improved after oxygen therapy.",
"label": "supported"
},
{
"medical_text": "A 58-year-old woman with type 2 diabetes, hypertension, and a penicillin allergy (rash) presented with three days of fever, productive cough, and dyspnea. She denied chest pain or leg swelling. Vitals in the ED were T 38.5\u00b0C, HR 110, RR 24, BP 128/76, and SpO2 90% on room air. Lung exam revealed crackles at the right lower lung field. Chest radiograph demonstrated right lower lobe consolidation consistent with community-acquired pneumonia. A rapid respiratory viral panel, including influenza and SARS-CoV-2 PCR, was negative. She was started on oxygen via nasal cannula at 2 L/min, with SpO2 improving to 95%. Empiric antibiotics were initiated with ceftriaxone and doxycycline, and she was admitted for hypoxemia and IV therapy.",
"subclaim": "She had chest pain on arrival.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old woman with type 2 diabetes, hypertension, and a penicillin allergy (rash) presented with three days of fever, productive cough, and dyspnea. She denied chest pain or leg swelling. Vitals in the ED were T 38.5\u00b0C, HR 110, RR 24, BP 128/76, and SpO2 90% on room air. Lung exam revealed crackles at the right lower lung field. Chest radiograph demonstrated right lower lobe consolidation consistent with community-acquired pneumonia. A rapid respiratory viral panel, including influenza and SARS-CoV-2 PCR, was negative. She was started on oxygen via nasal cannula at 2 L/min, with SpO2 improving to 95%. Empiric antibiotics were initiated with ceftriaxone and doxycycline, and she was admitted for hypoxemia and IV therapy.",
"subclaim": "She tested positive for influenza A.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old woman with type 2 diabetes, hypertension, and a penicillin allergy (rash) presented with three days of fever, productive cough, and dyspnea. She denied chest pain or leg swelling. Vitals in the ED were T 38.5\u00b0C, HR 110, RR 24, BP 128/76, and SpO2 90% on room air. Lung exam revealed crackles at the right lower lung field. Chest radiograph demonstrated right lower lobe consolidation consistent with community-acquired pneumonia. A rapid respiratory viral panel, including influenza and SARS-CoV-2 PCR, was negative. She was started on oxygen via nasal cannula at 2 L/min, with SpO2 improving to 95%. Empiric antibiotics were initiated with ceftriaxone and doxycycline, and she was admitted for hypoxemia and IV therapy.",
"subclaim": "She was treated with azithromycin alone.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old woman with type 2 diabetes, hypertension, and a penicillin allergy (rash) presented with three days of fever, productive cough, and dyspnea. She denied chest pain or leg swelling. Vitals in the ED were T 38.5\u00b0C, HR 110, RR 24, BP 128/76, and SpO2 90% on room air. Lung exam revealed crackles at the right lower lung field. Chest radiograph demonstrated right lower lobe consolidation consistent with community-acquired pneumonia. A rapid respiratory viral panel, including influenza and SARS-CoV-2 PCR, was negative. She was started on oxygen via nasal cannula at 2 L/min, with SpO2 improving to 95%. Empiric antibiotics were initiated with ceftriaxone and doxycycline, and she was admitted for hypoxemia and IV therapy.",
"subclaim": "She was discharged home from the emergency department.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old female with T2DM, hypertension, and a non\u2013IgE-mediated penicillin allergy (rash) presented after 3 days of fever, productive cough, and exertional dyspnea; she denied chest pain. On arrival: T 38.5\u00b0C, HR 110 bpm, RR 24/min, BP 128/76 mmHg, SpO2 90% on ambient air. Exam: inspiratory crackles over the right lower posterior lung field without wheezes; no peripheral edema. Labs: WBC 15.2 \u00d7 10^9/L (86% neutrophils), glucose 228 mg/dL, lactate 1.2 mmol/L, procalcitonin 0.8 ng/mL; BMP otherwise unremarkable. CXR showed dense right lower lobe lobar consolidation with air bronchograms. Respiratory viral PCR panel (influenza A/B, RSV, SARS-CoV-2) was negative; urine Streptococcus pneumoniae antigen was positive; blood cultures pending. She received supplemental O2 via nasal cannula at 2 L/min, increasing SpO2 to 95%. Empiric therapy with ceftriaxone 1 g IV q24h plus doxycycline 100 mg q12h was initiated. She was admitted for inpatient management due to hypoxemic community-acquired pneumonia.",
"subclaim": "A chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 58-year-old female with T2DM, hypertension, and a non\u2013IgE-mediated penicillin allergy (rash) presented after 3 days of fever, productive cough, and exertional dyspnea; she denied chest pain. On arrival: T 38.5\u00b0C, HR 110 bpm, RR 24/min, BP 128/76 mmHg, SpO2 90% on ambient air. Exam: inspiratory crackles over the right lower posterior lung field without wheezes; no peripheral edema. Labs: WBC 15.2 \u00d7 10^9/L (86% neutrophils), glucose 228 mg/dL, lactate 1.2 mmol/L, procalcitonin 0.8 ng/mL; BMP otherwise unremarkable. CXR showed dense right lower lobe lobar consolidation with air bronchograms. Respiratory viral PCR panel (influenza A/B, RSV, SARS-CoV-2) was negative; urine Streptococcus pneumoniae antigen was positive; blood cultures pending. She received supplemental O2 via nasal cannula at 2 L/min, increasing SpO2 to 95%. Empiric therapy with ceftriaxone 1 g IV q24h plus doxycycline 100 mg q12h was initiated. She was admitted for inpatient management due to hypoxemic community-acquired pneumonia.",
"subclaim": "The patient received oxygen via a nasal cannula.",
"label": "supported"
},
{
"medical_text": "A 58-year-old female with T2DM, hypertension, and a non\u2013IgE-mediated penicillin allergy (rash) presented after 3 days of fever, productive cough, and exertional dyspnea; she denied chest pain. On arrival: T 38.5\u00b0C, HR 110 bpm, RR 24/min, BP 128/76 mmHg, SpO2 90% on ambient air. Exam: inspiratory crackles over the right lower posterior lung field without wheezes; no peripheral edema. Labs: WBC 15.2 \u00d7 10^9/L (86% neutrophils), glucose 228 mg/dL, lactate 1.2 mmol/L, procalcitonin 0.8 ng/mL; BMP otherwise unremarkable. CXR showed dense right lower lobe lobar consolidation with air bronchograms. Respiratory viral PCR panel (influenza A/B, RSV, SARS-CoV-2) was negative; urine Streptococcus pneumoniae antigen was positive; blood cultures pending. She received supplemental O2 via nasal cannula at 2 L/min, increasing SpO2 to 95%. Empiric therapy with ceftriaxone 1 g IV q24h plus doxycycline 100 mg q12h was initiated. She was admitted for inpatient management due to hypoxemic community-acquired pneumonia.",
"subclaim": "The patient has type 2 diabetes.",
"label": "supported"
},
{
"medical_text": "A 58-year-old female with T2DM, hypertension, and a non\u2013IgE-mediated penicillin allergy (rash) presented after 3 days of fever, productive cough, and exertional dyspnea; she denied chest pain. On arrival: T 38.5\u00b0C, HR 110 bpm, RR 24/min, BP 128/76 mmHg, SpO2 90% on ambient air. Exam: inspiratory crackles over the right lower posterior lung field without wheezes; no peripheral edema. Labs: WBC 15.2 \u00d7 10^9/L (86% neutrophils), glucose 228 mg/dL, lactate 1.2 mmol/L, procalcitonin 0.8 ng/mL; BMP otherwise unremarkable. CXR showed dense right lower lobe lobar consolidation with air bronchograms. Respiratory viral PCR panel (influenza A/B, RSV, SARS-CoV-2) was negative; urine Streptococcus pneumoniae antigen was positive; blood cultures pending. She received supplemental O2 via nasal cannula at 2 L/min, increasing SpO2 to 95%. Empiric therapy with ceftriaxone 1 g IV q24h plus doxycycline 100 mg q12h was initiated. She was admitted for inpatient management due to hypoxemic community-acquired pneumonia.",
"subclaim": "Oxygen saturation improved after oxygen therapy.",
"label": "supported"
},
{
"medical_text": "A 58-year-old female with T2DM, hypertension, and a non\u2013IgE-mediated penicillin allergy (rash) presented after 3 days of fever, productive cough, and exertional dyspnea; she denied chest pain. On arrival: T 38.5\u00b0C, HR 110 bpm, RR 24/min, BP 128/76 mmHg, SpO2 90% on ambient air. Exam: inspiratory crackles over the right lower posterior lung field without wheezes; no peripheral edema. Labs: WBC 15.2 \u00d7 10^9/L (86% neutrophils), glucose 228 mg/dL, lactate 1.2 mmol/L, procalcitonin 0.8 ng/mL; BMP otherwise unremarkable. CXR showed dense right lower lobe lobar consolidation with air bronchograms. Respiratory viral PCR panel (influenza A/B, RSV, SARS-CoV-2) was negative; urine Streptococcus pneumoniae antigen was positive; blood cultures pending. She received supplemental O2 via nasal cannula at 2 L/min, increasing SpO2 to 95%. Empiric therapy with ceftriaxone 1 g IV q24h plus doxycycline 100 mg q12h was initiated. She was admitted for inpatient management due to hypoxemic community-acquired pneumonia.",
"subclaim": "She had chest pain on arrival.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old female with T2DM, hypertension, and a non\u2013IgE-mediated penicillin allergy (rash) presented after 3 days of fever, productive cough, and exertional dyspnea; she denied chest pain. On arrival: T 38.5\u00b0C, HR 110 bpm, RR 24/min, BP 128/76 mmHg, SpO2 90% on ambient air. Exam: inspiratory crackles over the right lower posterior lung field without wheezes; no peripheral edema. Labs: WBC 15.2 \u00d7 10^9/L (86% neutrophils), glucose 228 mg/dL, lactate 1.2 mmol/L, procalcitonin 0.8 ng/mL; BMP otherwise unremarkable. CXR showed dense right lower lobe lobar consolidation with air bronchograms. Respiratory viral PCR panel (influenza A/B, RSV, SARS-CoV-2) was negative; urine Streptococcus pneumoniae antigen was positive; blood cultures pending. She received supplemental O2 via nasal cannula at 2 L/min, increasing SpO2 to 95%. Empiric therapy with ceftriaxone 1 g IV q24h plus doxycycline 100 mg q12h was initiated. She was admitted for inpatient management due to hypoxemic community-acquired pneumonia.",
"subclaim": "She tested positive for influenza A.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old female with T2DM, hypertension, and a non\u2013IgE-mediated penicillin allergy (rash) presented after 3 days of fever, productive cough, and exertional dyspnea; she denied chest pain. On arrival: T 38.5\u00b0C, HR 110 bpm, RR 24/min, BP 128/76 mmHg, SpO2 90% on ambient air. Exam: inspiratory crackles over the right lower posterior lung field without wheezes; no peripheral edema. Labs: WBC 15.2 \u00d7 10^9/L (86% neutrophils), glucose 228 mg/dL, lactate 1.2 mmol/L, procalcitonin 0.8 ng/mL; BMP otherwise unremarkable. CXR showed dense right lower lobe lobar consolidation with air bronchograms. Respiratory viral PCR panel (influenza A/B, RSV, SARS-CoV-2) was negative; urine Streptococcus pneumoniae antigen was positive; blood cultures pending. She received supplemental O2 via nasal cannula at 2 L/min, increasing SpO2 to 95%. Empiric therapy with ceftriaxone 1 g IV q24h plus doxycycline 100 mg q12h was initiated. She was admitted for inpatient management due to hypoxemic community-acquired pneumonia.",
"subclaim": "She was treated with azithromycin alone.",
"label": "not_supported"
},
{
"medical_text": "A 58-year-old female with T2DM, hypertension, and a non\u2013IgE-mediated penicillin allergy (rash) presented after 3 days of fever, productive cough, and exertional dyspnea; she denied chest pain. On arrival: T 38.5\u00b0C, HR 110 bpm, RR 24/min, BP 128/76 mmHg, SpO2 90% on ambient air. Exam: inspiratory crackles over the right lower posterior lung field without wheezes; no peripheral edema. Labs: WBC 15.2 \u00d7 10^9/L (86% neutrophils), glucose 228 mg/dL, lactate 1.2 mmol/L, procalcitonin 0.8 ng/mL; BMP otherwise unremarkable. CXR showed dense right lower lobe lobar consolidation with air bronchograms. Respiratory viral PCR panel (influenza A/B, RSV, SARS-CoV-2) was negative; urine Streptococcus pneumoniae antigen was positive; blood cultures pending. She received supplemental O2 via nasal cannula at 2 L/min, increasing SpO2 to 95%. Empiric therapy with ceftriaxone 1 g IV q24h plus doxycycline 100 mg q12h was initiated. She was admitted for inpatient management due to hypoxemic community-acquired pneumonia.",
"subclaim": "She was discharged home from the emergency department.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old man came to the hospital with cough and fever for three days. He was short of breath and had chest pain when he breathed. The doctor heard crackles on the right. His oxygen level was 92% on room air. A chest X-ray showed an infection in the lower right lung. He has type 2 diabetes and no drug allergies, and he does not smoke. He got IV antibiotics and oxygen on a regular hospital floor. His white blood cell count was high. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with antibiotic pills for five more days and got a flu shot before leaving. Blood cultures were negative, and his mucus test showed a pneumonia germ that the antibiotics could kill.",
"subclaim": "The chest radiograph showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 54-year-old man came to the hospital with cough and fever for three days. He was short of breath and had chest pain when he breathed. The doctor heard crackles on the right. His oxygen level was 92% on room air. A chest X-ray showed an infection in the lower right lung. He has type 2 diabetes and no drug allergies, and he does not smoke. He got IV antibiotics and oxygen on a regular hospital floor. His white blood cell count was high. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with antibiotic pills for five more days and got a flu shot before leaving. Blood cultures were negative, and his mucus test showed a pneumonia germ that the antibiotics could kill.",
"subclaim": "Initial therapy included IV ceftriaxone plus azithromycin.",
"label": "supported"
},
{
"medical_text": "A 54-year-old man came to the hospital with cough and fever for three days. He was short of breath and had chest pain when he breathed. The doctor heard crackles on the right. His oxygen level was 92% on room air. A chest X-ray showed an infection in the lower right lung. He has type 2 diabetes and no drug allergies, and he does not smoke. He got IV antibiotics and oxygen on a regular hospital floor. His white blood cell count was high. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with antibiotic pills for five more days and got a flu shot before leaving. Blood cultures were negative, and his mucus test showed a pneumonia germ that the antibiotics could kill.",
"subclaim": "Blood cultures were negative at 48 hours.",
"label": "supported"
},
{
"medical_text": "A 54-year-old man came to the hospital with cough and fever for three days. He was short of breath and had chest pain when he breathed. The doctor heard crackles on the right. His oxygen level was 92% on room air. A chest X-ray showed an infection in the lower right lung. He has type 2 diabetes and no drug allergies, and he does not smoke. He got IV antibiotics and oxygen on a regular hospital floor. His white blood cell count was high. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with antibiotic pills for five more days and got a flu shot before leaving. Blood cultures were negative, and his mucus test showed a pneumonia germ that the antibiotics could kill.",
"subclaim": "The patient does not smoke.",
"label": "supported"
},
{
"medical_text": "A 54-year-old man came to the hospital with cough and fever for three days. He was short of breath and had chest pain when he breathed. The doctor heard crackles on the right. His oxygen level was 92% on room air. A chest X-ray showed an infection in the lower right lung. He has type 2 diabetes and no drug allergies, and he does not smoke. He got IV antibiotics and oxygen on a regular hospital floor. His white blood cell count was high. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with antibiotic pills for five more days and got a flu shot before leaving. Blood cultures were negative, and his mucus test showed a pneumonia germ that the antibiotics could kill.",
"subclaim": "The patient has a penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old man came to the hospital with cough and fever for three days. He was short of breath and had chest pain when he breathed. The doctor heard crackles on the right. His oxygen level was 92% on room air. A chest X-ray showed an infection in the lower right lung. He has type 2 diabetes and no drug allergies, and he does not smoke. He got IV antibiotics and oxygen on a regular hospital floor. His white blood cell count was high. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with antibiotic pills for five more days and got a flu shot before leaving. Blood cultures were negative, and his mucus test showed a pneumonia germ that the antibiotics could kill.",
"subclaim": "He was admitted to the intensive care unit.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old man came to the hospital with cough and fever for three days. He was short of breath and had chest pain when he breathed. The doctor heard crackles on the right. His oxygen level was 92% on room air. A chest X-ray showed an infection in the lower right lung. He has type 2 diabetes and no drug allergies, and he does not smoke. He got IV antibiotics and oxygen on a regular hospital floor. His white blood cell count was high. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with antibiotic pills for five more days and got a flu shot before leaving. Blood cultures were negative, and his mucus test showed a pneumonia germ that the antibiotics could kill.",
"subclaim": "The rapid influenza test was positive.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old man came to the hospital with cough and fever for three days. He was short of breath and had chest pain when he breathed. The doctor heard crackles on the right. His oxygen level was 92% on room air. A chest X-ray showed an infection in the lower right lung. He has type 2 diabetes and no drug allergies, and he does not smoke. He got IV antibiotics and oxygen on a regular hospital floor. His white blood cell count was high. After two days, he felt better and his oxygen was 95% without extra oxygen. He went home with antibiotic pills for five more days and got a flu shot before leaving. Blood cultures were negative, and his mucus test showed a pneumonia germ that the antibiotics could kill.",
"subclaim": "Vancomycin was administered empirically.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old male with type 2 diabetes presented with three days of fever, productive cough, and pleuritic chest pain. Vitals: T 38.6 C, HR 104, RR 24, SpO2 92% on room air, BP 130/78. Lung exam revealed crackles over the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Initial labs showed leukocytosis with neutrophil predominance. He was started on IV ceftriaxone plus azithromycin and 2 L/min oxygen by nasal cannula on the general ward. Blood cultures remained negative at 48 hours; sputum culture grew Streptococcus pneumoniae susceptible to beta-lactams. He improved clinically, was weaned to room air with SpO2 95%, and transitioned to oral amoxicillin-clavulanate to complete a 5-day course. He received the seasonal influenza vaccine prior to discharge and had a follow-up arranged in one week.",
"subclaim": "The chest radiograph showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 54-year-old male with type 2 diabetes presented with three days of fever, productive cough, and pleuritic chest pain. Vitals: T 38.6 C, HR 104, RR 24, SpO2 92% on room air, BP 130/78. Lung exam revealed crackles over the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Initial labs showed leukocytosis with neutrophil predominance. He was started on IV ceftriaxone plus azithromycin and 2 L/min oxygen by nasal cannula on the general ward. Blood cultures remained negative at 48 hours; sputum culture grew Streptococcus pneumoniae susceptible to beta-lactams. He improved clinically, was weaned to room air with SpO2 95%, and transitioned to oral amoxicillin-clavulanate to complete a 5-day course. He received the seasonal influenza vaccine prior to discharge and had a follow-up arranged in one week.",
"subclaim": "Initial therapy included IV ceftriaxone plus azithromycin.",
"label": "supported"
},
{
"medical_text": "A 54-year-old male with type 2 diabetes presented with three days of fever, productive cough, and pleuritic chest pain. Vitals: T 38.6 C, HR 104, RR 24, SpO2 92% on room air, BP 130/78. Lung exam revealed crackles over the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Initial labs showed leukocytosis with neutrophil predominance. He was started on IV ceftriaxone plus azithromycin and 2 L/min oxygen by nasal cannula on the general ward. Blood cultures remained negative at 48 hours; sputum culture grew Streptococcus pneumoniae susceptible to beta-lactams. He improved clinically, was weaned to room air with SpO2 95%, and transitioned to oral amoxicillin-clavulanate to complete a 5-day course. He received the seasonal influenza vaccine prior to discharge and had a follow-up arranged in one week.",
"subclaim": "Blood cultures were negative at 48 hours.",
"label": "supported"
},
{
"medical_text": "A 54-year-old male with type 2 diabetes presented with three days of fever, productive cough, and pleuritic chest pain. Vitals: T 38.6 C, HR 104, RR 24, SpO2 92% on room air, BP 130/78. Lung exam revealed crackles over the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Initial labs showed leukocytosis with neutrophil predominance. He was started on IV ceftriaxone plus azithromycin and 2 L/min oxygen by nasal cannula on the general ward. Blood cultures remained negative at 48 hours; sputum culture grew Streptococcus pneumoniae susceptible to beta-lactams. He improved clinically, was weaned to room air with SpO2 95%, and transitioned to oral amoxicillin-clavulanate to complete a 5-day course. He received the seasonal influenza vaccine prior to discharge and had a follow-up arranged in one week.",
"subclaim": "The patient does not smoke.",
"label": "supported"
},
{
"medical_text": "A 54-year-old male with type 2 diabetes presented with three days of fever, productive cough, and pleuritic chest pain. Vitals: T 38.6 C, HR 104, RR 24, SpO2 92% on room air, BP 130/78. Lung exam revealed crackles over the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Initial labs showed leukocytosis with neutrophil predominance. He was started on IV ceftriaxone plus azithromycin and 2 L/min oxygen by nasal cannula on the general ward. Blood cultures remained negative at 48 hours; sputum culture grew Streptococcus pneumoniae susceptible to beta-lactams. He improved clinically, was weaned to room air with SpO2 95%, and transitioned to oral amoxicillin-clavulanate to complete a 5-day course. He received the seasonal influenza vaccine prior to discharge and had a follow-up arranged in one week.",
"subclaim": "The patient has a penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old male with type 2 diabetes presented with three days of fever, productive cough, and pleuritic chest pain. Vitals: T 38.6 C, HR 104, RR 24, SpO2 92% on room air, BP 130/78. Lung exam revealed crackles over the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Initial labs showed leukocytosis with neutrophil predominance. He was started on IV ceftriaxone plus azithromycin and 2 L/min oxygen by nasal cannula on the general ward. Blood cultures remained negative at 48 hours; sputum culture grew Streptococcus pneumoniae susceptible to beta-lactams. He improved clinically, was weaned to room air with SpO2 95%, and transitioned to oral amoxicillin-clavulanate to complete a 5-day course. He received the seasonal influenza vaccine prior to discharge and had a follow-up arranged in one week.",
"subclaim": "He was admitted to the intensive care unit.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old male with type 2 diabetes presented with three days of fever, productive cough, and pleuritic chest pain. Vitals: T 38.6 C, HR 104, RR 24, SpO2 92% on room air, BP 130/78. Lung exam revealed crackles over the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Initial labs showed leukocytosis with neutrophil predominance. He was started on IV ceftriaxone plus azithromycin and 2 L/min oxygen by nasal cannula on the general ward. Blood cultures remained negative at 48 hours; sputum culture grew Streptococcus pneumoniae susceptible to beta-lactams. He improved clinically, was weaned to room air with SpO2 95%, and transitioned to oral amoxicillin-clavulanate to complete a 5-day course. He received the seasonal influenza vaccine prior to discharge and had a follow-up arranged in one week.",
"subclaim": "The rapid influenza test was positive.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old male with type 2 diabetes presented with three days of fever, productive cough, and pleuritic chest pain. Vitals: T 38.6 C, HR 104, RR 24, SpO2 92% on room air, BP 130/78. Lung exam revealed crackles over the right base. Chest radiograph showed right lower lobe consolidation, consistent with community-acquired pneumonia. Initial labs showed leukocytosis with neutrophil predominance. He was started on IV ceftriaxone plus azithromycin and 2 L/min oxygen by nasal cannula on the general ward. Blood cultures remained negative at 48 hours; sputum culture grew Streptococcus pneumoniae susceptible to beta-lactams. He improved clinically, was weaned to room air with SpO2 95%, and transitioned to oral amoxicillin-clavulanate to complete a 5-day course. He received the seasonal influenza vaccine prior to discharge and had a follow-up arranged in one week.",
"subclaim": "Vancomycin was administered empirically.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old man with type 2 diabetes mellitus and no drug allergies presented with 3 days of fever, productive cough, and pleuritic right-sided chest pain. On arrival: T 38.6 C, HR 104 bpm, RR 24/min, BP 130/78 mmHg, SpO2 92% on ambient air; exam showed inspiratory crackles at the right base. CBC revealed leukocytosis (WBC 15.2 x10^9/L, neutrophils 86%), CRP 112 mg/L; procalcitonin 0.48 ng/mL. Chest radiograph demonstrated a right lower lobe air-space consolidation consistent with community-acquired pneumonia; PSI class II. Empiric therapy was initiated with IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula at 2 L/min on the general medical ward. Sputum culture later grew Streptococcus pneumoniae (penicillin-susceptible); paired blood cultures showed no growth at 48 hours. By hospital day 2 he was afebrile, saturating 95% on room air, and transitioned to oral amoxicillin-clavulanate to complete 5 additional days. He received the seasonal inactivated influenza vaccine prior to discharge; PPSV23 had been administered 3 years earlier. He was discharged after 2 inpatient nights with outpatient follow-up in one week.",
"subclaim": "The chest radiograph showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 54-year-old man with type 2 diabetes mellitus and no drug allergies presented with 3 days of fever, productive cough, and pleuritic right-sided chest pain. On arrival: T 38.6 C, HR 104 bpm, RR 24/min, BP 130/78 mmHg, SpO2 92% on ambient air; exam showed inspiratory crackles at the right base. CBC revealed leukocytosis (WBC 15.2 x10^9/L, neutrophils 86%), CRP 112 mg/L; procalcitonin 0.48 ng/mL. Chest radiograph demonstrated a right lower lobe air-space consolidation consistent with community-acquired pneumonia; PSI class II. Empiric therapy was initiated with IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula at 2 L/min on the general medical ward. Sputum culture later grew Streptococcus pneumoniae (penicillin-susceptible); paired blood cultures showed no growth at 48 hours. By hospital day 2 he was afebrile, saturating 95% on room air, and transitioned to oral amoxicillin-clavulanate to complete 5 additional days. He received the seasonal inactivated influenza vaccine prior to discharge; PPSV23 had been administered 3 years earlier. He was discharged after 2 inpatient nights with outpatient follow-up in one week.",
"subclaim": "Initial therapy included IV ceftriaxone plus azithromycin.",
"label": "supported"
},
{
"medical_text": "A 54-year-old man with type 2 diabetes mellitus and no drug allergies presented with 3 days of fever, productive cough, and pleuritic right-sided chest pain. On arrival: T 38.6 C, HR 104 bpm, RR 24/min, BP 130/78 mmHg, SpO2 92% on ambient air; exam showed inspiratory crackles at the right base. CBC revealed leukocytosis (WBC 15.2 x10^9/L, neutrophils 86%), CRP 112 mg/L; procalcitonin 0.48 ng/mL. Chest radiograph demonstrated a right lower lobe air-space consolidation consistent with community-acquired pneumonia; PSI class II. Empiric therapy was initiated with IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula at 2 L/min on the general medical ward. Sputum culture later grew Streptococcus pneumoniae (penicillin-susceptible); paired blood cultures showed no growth at 48 hours. By hospital day 2 he was afebrile, saturating 95% on room air, and transitioned to oral amoxicillin-clavulanate to complete 5 additional days. He received the seasonal inactivated influenza vaccine prior to discharge; PPSV23 had been administered 3 years earlier. He was discharged after 2 inpatient nights with outpatient follow-up in one week.",
"subclaim": "Blood cultures were negative at 48 hours.",
"label": "supported"
},
{
"medical_text": "A 54-year-old man with type 2 diabetes mellitus and no drug allergies presented with 3 days of fever, productive cough, and pleuritic right-sided chest pain. On arrival: T 38.6 C, HR 104 bpm, RR 24/min, BP 130/78 mmHg, SpO2 92% on ambient air; exam showed inspiratory crackles at the right base. CBC revealed leukocytosis (WBC 15.2 x10^9/L, neutrophils 86%), CRP 112 mg/L; procalcitonin 0.48 ng/mL. Chest radiograph demonstrated a right lower lobe air-space consolidation consistent with community-acquired pneumonia; PSI class II. Empiric therapy was initiated with IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula at 2 L/min on the general medical ward. Sputum culture later grew Streptococcus pneumoniae (penicillin-susceptible); paired blood cultures showed no growth at 48 hours. By hospital day 2 he was afebrile, saturating 95% on room air, and transitioned to oral amoxicillin-clavulanate to complete 5 additional days. He received the seasonal inactivated influenza vaccine prior to discharge; PPSV23 had been administered 3 years earlier. He was discharged after 2 inpatient nights with outpatient follow-up in one week.",
"subclaim": "The patient does not smoke.",
"label": "supported"
},
{
"medical_text": "A 54-year-old man with type 2 diabetes mellitus and no drug allergies presented with 3 days of fever, productive cough, and pleuritic right-sided chest pain. On arrival: T 38.6 C, HR 104 bpm, RR 24/min, BP 130/78 mmHg, SpO2 92% on ambient air; exam showed inspiratory crackles at the right base. CBC revealed leukocytosis (WBC 15.2 x10^9/L, neutrophils 86%), CRP 112 mg/L; procalcitonin 0.48 ng/mL. Chest radiograph demonstrated a right lower lobe air-space consolidation consistent with community-acquired pneumonia; PSI class II. Empiric therapy was initiated with IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula at 2 L/min on the general medical ward. Sputum culture later grew Streptococcus pneumoniae (penicillin-susceptible); paired blood cultures showed no growth at 48 hours. By hospital day 2 he was afebrile, saturating 95% on room air, and transitioned to oral amoxicillin-clavulanate to complete 5 additional days. He received the seasonal inactivated influenza vaccine prior to discharge; PPSV23 had been administered 3 years earlier. He was discharged after 2 inpatient nights with outpatient follow-up in one week.",
"subclaim": "The patient has a penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old man with type 2 diabetes mellitus and no drug allergies presented with 3 days of fever, productive cough, and pleuritic right-sided chest pain. On arrival: T 38.6 C, HR 104 bpm, RR 24/min, BP 130/78 mmHg, SpO2 92% on ambient air; exam showed inspiratory crackles at the right base. CBC revealed leukocytosis (WBC 15.2 x10^9/L, neutrophils 86%), CRP 112 mg/L; procalcitonin 0.48 ng/mL. Chest radiograph demonstrated a right lower lobe air-space consolidation consistent with community-acquired pneumonia; PSI class II. Empiric therapy was initiated with IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula at 2 L/min on the general medical ward. Sputum culture later grew Streptococcus pneumoniae (penicillin-susceptible); paired blood cultures showed no growth at 48 hours. By hospital day 2 he was afebrile, saturating 95% on room air, and transitioned to oral amoxicillin-clavulanate to complete 5 additional days. He received the seasonal inactivated influenza vaccine prior to discharge; PPSV23 had been administered 3 years earlier. He was discharged after 2 inpatient nights with outpatient follow-up in one week.",
"subclaim": "He was admitted to the intensive care unit.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old man with type 2 diabetes mellitus and no drug allergies presented with 3 days of fever, productive cough, and pleuritic right-sided chest pain. On arrival: T 38.6 C, HR 104 bpm, RR 24/min, BP 130/78 mmHg, SpO2 92% on ambient air; exam showed inspiratory crackles at the right base. CBC revealed leukocytosis (WBC 15.2 x10^9/L, neutrophils 86%), CRP 112 mg/L; procalcitonin 0.48 ng/mL. Chest radiograph demonstrated a right lower lobe air-space consolidation consistent with community-acquired pneumonia; PSI class II. Empiric therapy was initiated with IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula at 2 L/min on the general medical ward. Sputum culture later grew Streptococcus pneumoniae (penicillin-susceptible); paired blood cultures showed no growth at 48 hours. By hospital day 2 he was afebrile, saturating 95% on room air, and transitioned to oral amoxicillin-clavulanate to complete 5 additional days. He received the seasonal inactivated influenza vaccine prior to discharge; PPSV23 had been administered 3 years earlier. He was discharged after 2 inpatient nights with outpatient follow-up in one week.",
"subclaim": "The rapid influenza test was positive.",
"label": "not_supported"
},
{
"medical_text": "A 54-year-old man with type 2 diabetes mellitus and no drug allergies presented with 3 days of fever, productive cough, and pleuritic right-sided chest pain. On arrival: T 38.6 C, HR 104 bpm, RR 24/min, BP 130/78 mmHg, SpO2 92% on ambient air; exam showed inspiratory crackles at the right base. CBC revealed leukocytosis (WBC 15.2 x10^9/L, neutrophils 86%), CRP 112 mg/L; procalcitonin 0.48 ng/mL. Chest radiograph demonstrated a right lower lobe air-space consolidation consistent with community-acquired pneumonia; PSI class II. Empiric therapy was initiated with IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula at 2 L/min on the general medical ward. Sputum culture later grew Streptococcus pneumoniae (penicillin-susceptible); paired blood cultures showed no growth at 48 hours. By hospital day 2 he was afebrile, saturating 95% on room air, and transitioned to oral amoxicillin-clavulanate to complete 5 additional days. He received the seasonal inactivated influenza vaccine prior to discharge; PPSV23 had been administered 3 years earlier. He was discharged after 2 inpatient nights with outpatient follow-up in one week.",
"subclaim": "Vancomycin was administered empirically.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man came to the emergency room with cough and fever. He was bringing up yellow mucus and felt short of breath. His temperature was 38.5\u00b0C and his oxygen level was 89% on room air. A chest X-ray showed a patch in the right lower lung. The team said he had pneumonia. He got IV antibiotics in the hospital and oxygen through a small tube in his nose. After two days, his breathing was better and his oxygen level was normal. He went home with antibiotic pills.",
"subclaim": "He was admitted to the hospital.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man came to the emergency room with cough and fever. He was bringing up yellow mucus and felt short of breath. His temperature was 38.5\u00b0C and his oxygen level was 89% on room air. A chest X-ray showed a patch in the right lower lung. The team said he had pneumonia. He got IV antibiotics in the hospital and oxygen through a small tube in his nose. After two days, his breathing was better and his oxygen level was normal. He went home with antibiotic pills.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man came to the emergency room with cough and fever. He was bringing up yellow mucus and felt short of breath. His temperature was 38.5\u00b0C and his oxygen level was 89% on room air. A chest X-ray showed a patch in the right lower lung. The team said he had pneumonia. He got IV antibiotics in the hospital and oxygen through a small tube in his nose. After two days, his breathing was better and his oxygen level was normal. He went home with antibiotic pills.",
"subclaim": "He received intravenous ceftriaxone and azithromycin.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man came to the emergency room with cough and fever. He was bringing up yellow mucus and felt short of breath. His temperature was 38.5\u00b0C and his oxygen level was 89% on room air. A chest X-ray showed a patch in the right lower lung. The team said he had pneumonia. He got IV antibiotics in the hospital and oxygen through a small tube in his nose. After two days, his breathing was better and his oxygen level was normal. He went home with antibiotic pills.",
"subclaim": "He was discharged on oral antibiotics.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man came to the emergency room with cough and fever. He was bringing up yellow mucus and felt short of breath. His temperature was 38.5\u00b0C and his oxygen level was 89% on room air. A chest X-ray showed a patch in the right lower lung. The team said he had pneumonia. He got IV antibiotics in the hospital and oxygen through a small tube in his nose. After two days, his breathing was better and his oxygen level was normal. He went home with antibiotic pills.",
"subclaim": "He has a penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man came to the emergency room with cough and fever. He was bringing up yellow mucus and felt short of breath. His temperature was 38.5\u00b0C and his oxygen level was 89% on room air. A chest X-ray showed a patch in the right lower lung. The team said he had pneumonia. He got IV antibiotics in the hospital and oxygen through a small tube in his nose. After two days, his breathing was better and his oxygen level was normal. He went home with antibiotic pills.",
"subclaim": "He tested positive for influenza.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man came to the emergency room with cough and fever. He was bringing up yellow mucus and felt short of breath. His temperature was 38.5\u00b0C and his oxygen level was 89% on room air. A chest X-ray showed a patch in the right lower lung. The team said he had pneumonia. He got IV antibiotics in the hospital and oxygen through a small tube in his nose. After two days, his breathing was better and his oxygen level was normal. He went home with antibiotic pills.",
"subclaim": "He is a current smoker.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man came to the emergency room with cough and fever. He was bringing up yellow mucus and felt short of breath. His temperature was 38.5\u00b0C and his oxygen level was 89% on room air. A chest X-ray showed a patch in the right lower lung. The team said he had pneumonia. He got IV antibiotics in the hospital and oxygen through a small tube in his nose. After two days, his breathing was better and his oxygen level was normal. He went home with antibiotic pills.",
"subclaim": "He was treated with systemic corticosteroids.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man presented with two days of fever, productive cough, and shortness of breath. On arrival, his temperature was 38.5\u00b0C, respiratory rate 24, and oxygen saturation 89% on room air. Chest radiograph showed right lower lobe consolidation. His white blood cell count was elevated and C-reactive protein was high. He was diagnosed with community-acquired pneumonia and admitted. Treatment included IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula. Blood cultures showed no growth at 48 hours, and sputum later grew Streptococcus pneumoniae susceptible to ceftriaxone. He improved, was weaned off oxygen, and was discharged on oral antibiotics.",
"subclaim": "He was admitted to the hospital.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man presented with two days of fever, productive cough, and shortness of breath. On arrival, his temperature was 38.5\u00b0C, respiratory rate 24, and oxygen saturation 89% on room air. Chest radiograph showed right lower lobe consolidation. His white blood cell count was elevated and C-reactive protein was high. He was diagnosed with community-acquired pneumonia and admitted. Treatment included IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula. Blood cultures showed no growth at 48 hours, and sputum later grew Streptococcus pneumoniae susceptible to ceftriaxone. He improved, was weaned off oxygen, and was discharged on oral antibiotics.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man presented with two days of fever, productive cough, and shortness of breath. On arrival, his temperature was 38.5\u00b0C, respiratory rate 24, and oxygen saturation 89% on room air. Chest radiograph showed right lower lobe consolidation. His white blood cell count was elevated and C-reactive protein was high. He was diagnosed with community-acquired pneumonia and admitted. Treatment included IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula. Blood cultures showed no growth at 48 hours, and sputum later grew Streptococcus pneumoniae susceptible to ceftriaxone. He improved, was weaned off oxygen, and was discharged on oral antibiotics.",
"subclaim": "He received intravenous ceftriaxone and azithromycin.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man presented with two days of fever, productive cough, and shortness of breath. On arrival, his temperature was 38.5\u00b0C, respiratory rate 24, and oxygen saturation 89% on room air. Chest radiograph showed right lower lobe consolidation. His white blood cell count was elevated and C-reactive protein was high. He was diagnosed with community-acquired pneumonia and admitted. Treatment included IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula. Blood cultures showed no growth at 48 hours, and sputum later grew Streptococcus pneumoniae susceptible to ceftriaxone. He improved, was weaned off oxygen, and was discharged on oral antibiotics.",
"subclaim": "He was discharged on oral antibiotics.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man presented with two days of fever, productive cough, and shortness of breath. On arrival, his temperature was 38.5\u00b0C, respiratory rate 24, and oxygen saturation 89% on room air. Chest radiograph showed right lower lobe consolidation. His white blood cell count was elevated and C-reactive protein was high. He was diagnosed with community-acquired pneumonia and admitted. Treatment included IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula. Blood cultures showed no growth at 48 hours, and sputum later grew Streptococcus pneumoniae susceptible to ceftriaxone. He improved, was weaned off oxygen, and was discharged on oral antibiotics.",
"subclaim": "He has a penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man presented with two days of fever, productive cough, and shortness of breath. On arrival, his temperature was 38.5\u00b0C, respiratory rate 24, and oxygen saturation 89% on room air. Chest radiograph showed right lower lobe consolidation. His white blood cell count was elevated and C-reactive protein was high. He was diagnosed with community-acquired pneumonia and admitted. Treatment included IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula. Blood cultures showed no growth at 48 hours, and sputum later grew Streptococcus pneumoniae susceptible to ceftriaxone. He improved, was weaned off oxygen, and was discharged on oral antibiotics.",
"subclaim": "He tested positive for influenza.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man presented with two days of fever, productive cough, and shortness of breath. On arrival, his temperature was 38.5\u00b0C, respiratory rate 24, and oxygen saturation 89% on room air. Chest radiograph showed right lower lobe consolidation. His white blood cell count was elevated and C-reactive protein was high. He was diagnosed with community-acquired pneumonia and admitted. Treatment included IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula. Blood cultures showed no growth at 48 hours, and sputum later grew Streptococcus pneumoniae susceptible to ceftriaxone. He improved, was weaned off oxygen, and was discharged on oral antibiotics.",
"subclaim": "He is a current smoker.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man presented with two days of fever, productive cough, and shortness of breath. On arrival, his temperature was 38.5\u00b0C, respiratory rate 24, and oxygen saturation 89% on room air. Chest radiograph showed right lower lobe consolidation. His white blood cell count was elevated and C-reactive protein was high. He was diagnosed with community-acquired pneumonia and admitted. Treatment included IV ceftriaxone plus azithromycin and supplemental oxygen via nasal cannula. Blood cultures showed no growth at 48 hours, and sputum later grew Streptococcus pneumoniae susceptible to ceftriaxone. He improved, was weaned off oxygen, and was discharged on oral antibiotics.",
"subclaim": "He was treated with systemic corticosteroids.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male presented with 48 hours of fever, purulent yellow sputum, and dyspnea. Initial vitals: T 38.5\u00b0C, RR 24/min, SpO2 89% on ambient air. Laboratory testing revealed WBC 14.2\u00d710^9/L and CRP 120 mg/L. Chest radiography demonstrated right lower lobe air-space consolidation consistent with lobar pneumonia. He was admitted with community-acquired pneumonia (PSI class III). Empiric therapy was ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV daily, with supplemental oxygen via nasal cannula. Blood cultures remained negative at 48 hours, while sputum culture yielded Streptococcus pneumoniae susceptible to beta-lactams. Within 48 hours, hypoxemia resolved and respiratory symptoms improved. He was discharged on an oral antibiotic regimen.",
"subclaim": "He was admitted to the hospital.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male presented with 48 hours of fever, purulent yellow sputum, and dyspnea. Initial vitals: T 38.5\u00b0C, RR 24/min, SpO2 89% on ambient air. Laboratory testing revealed WBC 14.2\u00d710^9/L and CRP 120 mg/L. Chest radiography demonstrated right lower lobe air-space consolidation consistent with lobar pneumonia. He was admitted with community-acquired pneumonia (PSI class III). Empiric therapy was ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV daily, with supplemental oxygen via nasal cannula. Blood cultures remained negative at 48 hours, while sputum culture yielded Streptococcus pneumoniae susceptible to beta-lactams. Within 48 hours, hypoxemia resolved and respiratory symptoms improved. He was discharged on an oral antibiotic regimen.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male presented with 48 hours of fever, purulent yellow sputum, and dyspnea. Initial vitals: T 38.5\u00b0C, RR 24/min, SpO2 89% on ambient air. Laboratory testing revealed WBC 14.2\u00d710^9/L and CRP 120 mg/L. Chest radiography demonstrated right lower lobe air-space consolidation consistent with lobar pneumonia. He was admitted with community-acquired pneumonia (PSI class III). Empiric therapy was ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV daily, with supplemental oxygen via nasal cannula. Blood cultures remained negative at 48 hours, while sputum culture yielded Streptococcus pneumoniae susceptible to beta-lactams. Within 48 hours, hypoxemia resolved and respiratory symptoms improved. He was discharged on an oral antibiotic regimen.",
"subclaim": "He received intravenous ceftriaxone and azithromycin.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male presented with 48 hours of fever, purulent yellow sputum, and dyspnea. Initial vitals: T 38.5\u00b0C, RR 24/min, SpO2 89% on ambient air. Laboratory testing revealed WBC 14.2\u00d710^9/L and CRP 120 mg/L. Chest radiography demonstrated right lower lobe air-space consolidation consistent with lobar pneumonia. He was admitted with community-acquired pneumonia (PSI class III). Empiric therapy was ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV daily, with supplemental oxygen via nasal cannula. Blood cultures remained negative at 48 hours, while sputum culture yielded Streptococcus pneumoniae susceptible to beta-lactams. Within 48 hours, hypoxemia resolved and respiratory symptoms improved. He was discharged on an oral antibiotic regimen.",
"subclaim": "He was discharged on oral antibiotics.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male presented with 48 hours of fever, purulent yellow sputum, and dyspnea. Initial vitals: T 38.5\u00b0C, RR 24/min, SpO2 89% on ambient air. Laboratory testing revealed WBC 14.2\u00d710^9/L and CRP 120 mg/L. Chest radiography demonstrated right lower lobe air-space consolidation consistent with lobar pneumonia. He was admitted with community-acquired pneumonia (PSI class III). Empiric therapy was ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV daily, with supplemental oxygen via nasal cannula. Blood cultures remained negative at 48 hours, while sputum culture yielded Streptococcus pneumoniae susceptible to beta-lactams. Within 48 hours, hypoxemia resolved and respiratory symptoms improved. He was discharged on an oral antibiotic regimen.",
"subclaim": "He has a penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male presented with 48 hours of fever, purulent yellow sputum, and dyspnea. Initial vitals: T 38.5\u00b0C, RR 24/min, SpO2 89% on ambient air. Laboratory testing revealed WBC 14.2\u00d710^9/L and CRP 120 mg/L. Chest radiography demonstrated right lower lobe air-space consolidation consistent with lobar pneumonia. He was admitted with community-acquired pneumonia (PSI class III). Empiric therapy was ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV daily, with supplemental oxygen via nasal cannula. Blood cultures remained negative at 48 hours, while sputum culture yielded Streptococcus pneumoniae susceptible to beta-lactams. Within 48 hours, hypoxemia resolved and respiratory symptoms improved. He was discharged on an oral antibiotic regimen.",
"subclaim": "He tested positive for influenza.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male presented with 48 hours of fever, purulent yellow sputum, and dyspnea. Initial vitals: T 38.5\u00b0C, RR 24/min, SpO2 89% on ambient air. Laboratory testing revealed WBC 14.2\u00d710^9/L and CRP 120 mg/L. Chest radiography demonstrated right lower lobe air-space consolidation consistent with lobar pneumonia. He was admitted with community-acquired pneumonia (PSI class III). Empiric therapy was ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV daily, with supplemental oxygen via nasal cannula. Blood cultures remained negative at 48 hours, while sputum culture yielded Streptococcus pneumoniae susceptible to beta-lactams. Within 48 hours, hypoxemia resolved and respiratory symptoms improved. He was discharged on an oral antibiotic regimen.",
"subclaim": "He is a current smoker.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male presented with 48 hours of fever, purulent yellow sputum, and dyspnea. Initial vitals: T 38.5\u00b0C, RR 24/min, SpO2 89% on ambient air. Laboratory testing revealed WBC 14.2\u00d710^9/L and CRP 120 mg/L. Chest radiography demonstrated right lower lobe air-space consolidation consistent with lobar pneumonia. He was admitted with community-acquired pneumonia (PSI class III). Empiric therapy was ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV daily, with supplemental oxygen via nasal cannula. Blood cultures remained negative at 48 hours, while sputum culture yielded Streptococcus pneumoniae susceptible to beta-lactams. Within 48 hours, hypoxemia resolved and respiratory symptoms improved. He was discharged on an oral antibiotic regimen.",
"subclaim": "He was treated with systemic corticosteroids.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old woman came to the emergency room with cough and trouble breathing for three days. She also had a fever and felt very tired. Her oxygen level was low at 90% without extra oxygen. The doctor heard crackles on the right side of her chest. A chest X-ray showed pneumonia in the lower right lung. She got oxygen through a small tube in her nose, and her level rose to 94%. She was given two antibiotics, ceftriaxone and azithromycin. Blood cultures were taken before the first dose, and she was admitted to the medical ward.",
"subclaim": "She had a fever.",
"label": "supported"
},
{
"medical_text": "A 68-year-old woman came to the emergency room with cough and trouble breathing for three days. She also had a fever and felt very tired. Her oxygen level was low at 90% without extra oxygen. The doctor heard crackles on the right side of her chest. A chest X-ray showed pneumonia in the lower right lung. She got oxygen through a small tube in her nose, and her level rose to 94%. She was given two antibiotics, ceftriaxone and azithromycin. Blood cultures were taken before the first dose, and she was admitted to the medical ward.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 68-year-old woman came to the emergency room with cough and trouble breathing for three days. She also had a fever and felt very tired. Her oxygen level was low at 90% without extra oxygen. The doctor heard crackles on the right side of her chest. A chest X-ray showed pneumonia in the lower right lung. She got oxygen through a small tube in her nose, and her level rose to 94%. She was given two antibiotics, ceftriaxone and azithromycin. Blood cultures were taken before the first dose, and she was admitted to the medical ward.",
"subclaim": "She received azithromycin.",
"label": "supported"
},
{
"medical_text": "A 68-year-old woman came to the emergency room with cough and trouble breathing for three days. She also had a fever and felt very tired. Her oxygen level was low at 90% without extra oxygen. The doctor heard crackles on the right side of her chest. A chest X-ray showed pneumonia in the lower right lung. She got oxygen through a small tube in her nose, and her level rose to 94%. She was given two antibiotics, ceftriaxone and azithromycin. Blood cultures were taken before the first dose, and she was admitted to the medical ward.",
"subclaim": "Her oxygen saturation increased after nasal cannula oxygen.",
"label": "supported"
},
{
"medical_text": "A 68-year-old woman came to the emergency room with cough and trouble breathing for three days. She also had a fever and felt very tired. Her oxygen level was low at 90% without extra oxygen. The doctor heard crackles on the right side of her chest. A chest X-ray showed pneumonia in the lower right lung. She got oxygen through a small tube in her nose, and her level rose to 94%. She was given two antibiotics, ceftriaxone and azithromycin. Blood cultures were taken before the first dose, and she was admitted to the medical ward.",
"subclaim": "She had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old woman came to the emergency room with cough and trouble breathing for three days. She also had a fever and felt very tired. Her oxygen level was low at 90% without extra oxygen. The doctor heard crackles on the right side of her chest. A chest X-ray showed pneumonia in the lower right lung. She got oxygen through a small tube in her nose, and her level rose to 94%. She was given two antibiotics, ceftriaxone and azithromycin. Blood cultures were taken before the first dose, and she was admitted to the medical ward.",
"subclaim": "She was discharged home directly from the emergency department.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old woman came to the emergency room with cough and trouble breathing for three days. She also had a fever and felt very tired. Her oxygen level was low at 90% without extra oxygen. The doctor heard crackles on the right side of her chest. A chest X-ray showed pneumonia in the lower right lung. She got oxygen through a small tube in her nose, and her level rose to 94%. She was given two antibiotics, ceftriaxone and azithromycin. Blood cultures were taken before the first dose, and she was admitted to the medical ward.",
"subclaim": "A rapid influenza A test was positive.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old woman came to the emergency room with cough and trouble breathing for three days. She also had a fever and felt very tired. Her oxygen level was low at 90% without extra oxygen. The doctor heard crackles on the right side of her chest. A chest X-ray showed pneumonia in the lower right lung. She got oxygen through a small tube in her nose, and her level rose to 94%. She was given two antibiotics, ceftriaxone and azithromycin. Blood cultures were taken before the first dose, and she was admitted to the medical ward.",
"subclaim": "CT pulmonary angiography confirmed a pulmonary embolism.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old female presented with three days of productive cough and shortness of breath. On arrival, her SpO2 was 90% on room air, respiratory rate 24, heart rate 104, and blood pressure 132/78. Lung exam revealed right basilar crackles. Chest radiograph demonstrated right lower lobe consolidation. Laboratory testing showed leukocytosis and elevated C-reactive protein. The working diagnosis was community-acquired pneumonia with hypoxemia. Oxygen via nasal cannula increased her saturation to 94%. After drawing blood cultures, ceftriaxone and azithromycin were started, and she was admitted to a general medical ward.",
"subclaim": "She had a fever.",
"label": "supported"
},
{
"medical_text": "A 68-year-old female presented with three days of productive cough and shortness of breath. On arrival, her SpO2 was 90% on room air, respiratory rate 24, heart rate 104, and blood pressure 132/78. Lung exam revealed right basilar crackles. Chest radiograph demonstrated right lower lobe consolidation. Laboratory testing showed leukocytosis and elevated C-reactive protein. The working diagnosis was community-acquired pneumonia with hypoxemia. Oxygen via nasal cannula increased her saturation to 94%. After drawing blood cultures, ceftriaxone and azithromycin were started, and she was admitted to a general medical ward.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 68-year-old female presented with three days of productive cough and shortness of breath. On arrival, her SpO2 was 90% on room air, respiratory rate 24, heart rate 104, and blood pressure 132/78. Lung exam revealed right basilar crackles. Chest radiograph demonstrated right lower lobe consolidation. Laboratory testing showed leukocytosis and elevated C-reactive protein. The working diagnosis was community-acquired pneumonia with hypoxemia. Oxygen via nasal cannula increased her saturation to 94%. After drawing blood cultures, ceftriaxone and azithromycin were started, and she was admitted to a general medical ward.",
"subclaim": "She received azithromycin.",
"label": "supported"
},
{
"medical_text": "A 68-year-old female presented with three days of productive cough and shortness of breath. On arrival, her SpO2 was 90% on room air, respiratory rate 24, heart rate 104, and blood pressure 132/78. Lung exam revealed right basilar crackles. Chest radiograph demonstrated right lower lobe consolidation. Laboratory testing showed leukocytosis and elevated C-reactive protein. The working diagnosis was community-acquired pneumonia with hypoxemia. Oxygen via nasal cannula increased her saturation to 94%. After drawing blood cultures, ceftriaxone and azithromycin were started, and she was admitted to a general medical ward.",
"subclaim": "Her oxygen saturation increased after nasal cannula oxygen.",
"label": "supported"
},
{
"medical_text": "A 68-year-old female presented with three days of productive cough and shortness of breath. On arrival, her SpO2 was 90% on room air, respiratory rate 24, heart rate 104, and blood pressure 132/78. Lung exam revealed right basilar crackles. Chest radiograph demonstrated right lower lobe consolidation. Laboratory testing showed leukocytosis and elevated C-reactive protein. The working diagnosis was community-acquired pneumonia with hypoxemia. Oxygen via nasal cannula increased her saturation to 94%. After drawing blood cultures, ceftriaxone and azithromycin were started, and she was admitted to a general medical ward.",
"subclaim": "She had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old female presented with three days of productive cough and shortness of breath. On arrival, her SpO2 was 90% on room air, respiratory rate 24, heart rate 104, and blood pressure 132/78. Lung exam revealed right basilar crackles. Chest radiograph demonstrated right lower lobe consolidation. Laboratory testing showed leukocytosis and elevated C-reactive protein. The working diagnosis was community-acquired pneumonia with hypoxemia. Oxygen via nasal cannula increased her saturation to 94%. After drawing blood cultures, ceftriaxone and azithromycin were started, and she was admitted to a general medical ward.",
"subclaim": "She was discharged home directly from the emergency department.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old female presented with three days of productive cough and shortness of breath. On arrival, her SpO2 was 90% on room air, respiratory rate 24, heart rate 104, and blood pressure 132/78. Lung exam revealed right basilar crackles. Chest radiograph demonstrated right lower lobe consolidation. Laboratory testing showed leukocytosis and elevated C-reactive protein. The working diagnosis was community-acquired pneumonia with hypoxemia. Oxygen via nasal cannula increased her saturation to 94%. After drawing blood cultures, ceftriaxone and azithromycin were started, and she was admitted to a general medical ward.",
"subclaim": "A rapid influenza A test was positive.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old female presented with three days of productive cough and shortness of breath. On arrival, her SpO2 was 90% on room air, respiratory rate 24, heart rate 104, and blood pressure 132/78. Lung exam revealed right basilar crackles. Chest radiograph demonstrated right lower lobe consolidation. Laboratory testing showed leukocytosis and elevated C-reactive protein. The working diagnosis was community-acquired pneumonia with hypoxemia. Oxygen via nasal cannula increased her saturation to 94%. After drawing blood cultures, ceftriaxone and azithromycin were started, and she was admitted to a general medical ward.",
"subclaim": "CT pulmonary angiography confirmed a pulmonary embolism.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old woman with hypertension and type 2 diabetes presented after 72 hours of cough and dyspnea. Initial vitals: HR 104 bpm, BP 132/78 mmHg, RR 24/min, SpO2 90% on ambient air. Pulmonary exam noted right lower zone crackles without wheeze. Chest X-ray revealed focal right lower lobe air-space consolidation. Labs: WBC 14,000/\u00b5L, elevated CRP, normal lactate. Impression: community-acquired pneumonia causing mild acute hypoxemic respiratory failure. Management included supplemental oxygen via nasal cannula, which increased SpO2 to 94%, and empiric IV ceftriaxone plus azithromycin. Two sets of peripheral blood cultures were obtained prior to antibiotics; she was admitted to the medical floor rather than the ICU.",
"subclaim": "She had a fever.",
"label": "supported"
},
{
"medical_text": "A 68-year-old woman with hypertension and type 2 diabetes presented after 72 hours of cough and dyspnea. Initial vitals: HR 104 bpm, BP 132/78 mmHg, RR 24/min, SpO2 90% on ambient air. Pulmonary exam noted right lower zone crackles without wheeze. Chest X-ray revealed focal right lower lobe air-space consolidation. Labs: WBC 14,000/\u00b5L, elevated CRP, normal lactate. Impression: community-acquired pneumonia causing mild acute hypoxemic respiratory failure. Management included supplemental oxygen via nasal cannula, which increased SpO2 to 94%, and empiric IV ceftriaxone plus azithromycin. Two sets of peripheral blood cultures were obtained prior to antibiotics; she was admitted to the medical floor rather than the ICU.",
"subclaim": "The chest X-ray showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 68-year-old woman with hypertension and type 2 diabetes presented after 72 hours of cough and dyspnea. Initial vitals: HR 104 bpm, BP 132/78 mmHg, RR 24/min, SpO2 90% on ambient air. Pulmonary exam noted right lower zone crackles without wheeze. Chest X-ray revealed focal right lower lobe air-space consolidation. Labs: WBC 14,000/\u00b5L, elevated CRP, normal lactate. Impression: community-acquired pneumonia causing mild acute hypoxemic respiratory failure. Management included supplemental oxygen via nasal cannula, which increased SpO2 to 94%, and empiric IV ceftriaxone plus azithromycin. Two sets of peripheral blood cultures were obtained prior to antibiotics; she was admitted to the medical floor rather than the ICU.",
"subclaim": "She received azithromycin.",
"label": "supported"
},
{
"medical_text": "A 68-year-old woman with hypertension and type 2 diabetes presented after 72 hours of cough and dyspnea. Initial vitals: HR 104 bpm, BP 132/78 mmHg, RR 24/min, SpO2 90% on ambient air. Pulmonary exam noted right lower zone crackles without wheeze. Chest X-ray revealed focal right lower lobe air-space consolidation. Labs: WBC 14,000/\u00b5L, elevated CRP, normal lactate. Impression: community-acquired pneumonia causing mild acute hypoxemic respiratory failure. Management included supplemental oxygen via nasal cannula, which increased SpO2 to 94%, and empiric IV ceftriaxone plus azithromycin. Two sets of peripheral blood cultures were obtained prior to antibiotics; she was admitted to the medical floor rather than the ICU.",
"subclaim": "Her oxygen saturation increased after nasal cannula oxygen.",
"label": "supported"
},
{
"medical_text": "A 68-year-old woman with hypertension and type 2 diabetes presented after 72 hours of cough and dyspnea. Initial vitals: HR 104 bpm, BP 132/78 mmHg, RR 24/min, SpO2 90% on ambient air. Pulmonary exam noted right lower zone crackles without wheeze. Chest X-ray revealed focal right lower lobe air-space consolidation. Labs: WBC 14,000/\u00b5L, elevated CRP, normal lactate. Impression: community-acquired pneumonia causing mild acute hypoxemic respiratory failure. Management included supplemental oxygen via nasal cannula, which increased SpO2 to 94%, and empiric IV ceftriaxone plus azithromycin. Two sets of peripheral blood cultures were obtained prior to antibiotics; she was admitted to the medical floor rather than the ICU.",
"subclaim": "She had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old woman with hypertension and type 2 diabetes presented after 72 hours of cough and dyspnea. Initial vitals: HR 104 bpm, BP 132/78 mmHg, RR 24/min, SpO2 90% on ambient air. Pulmonary exam noted right lower zone crackles without wheeze. Chest X-ray revealed focal right lower lobe air-space consolidation. Labs: WBC 14,000/\u00b5L, elevated CRP, normal lactate. Impression: community-acquired pneumonia causing mild acute hypoxemic respiratory failure. Management included supplemental oxygen via nasal cannula, which increased SpO2 to 94%, and empiric IV ceftriaxone plus azithromycin. Two sets of peripheral blood cultures were obtained prior to antibiotics; she was admitted to the medical floor rather than the ICU.",
"subclaim": "She was discharged home directly from the emergency department.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old woman with hypertension and type 2 diabetes presented after 72 hours of cough and dyspnea. Initial vitals: HR 104 bpm, BP 132/78 mmHg, RR 24/min, SpO2 90% on ambient air. Pulmonary exam noted right lower zone crackles without wheeze. Chest X-ray revealed focal right lower lobe air-space consolidation. Labs: WBC 14,000/\u00b5L, elevated CRP, normal lactate. Impression: community-acquired pneumonia causing mild acute hypoxemic respiratory failure. Management included supplemental oxygen via nasal cannula, which increased SpO2 to 94%, and empiric IV ceftriaxone plus azithromycin. Two sets of peripheral blood cultures were obtained prior to antibiotics; she was admitted to the medical floor rather than the ICU.",
"subclaim": "A rapid influenza A test was positive.",
"label": "not_supported"
},
{
"medical_text": "A 68-year-old woman with hypertension and type 2 diabetes presented after 72 hours of cough and dyspnea. Initial vitals: HR 104 bpm, BP 132/78 mmHg, RR 24/min, SpO2 90% on ambient air. Pulmonary exam noted right lower zone crackles without wheeze. Chest X-ray revealed focal right lower lobe air-space consolidation. Labs: WBC 14,000/\u00b5L, elevated CRP, normal lactate. Impression: community-acquired pneumonia causing mild acute hypoxemic respiratory failure. Management included supplemental oxygen via nasal cannula, which increased SpO2 to 94%, and empiric IV ceftriaxone plus azithromycin. Two sets of peripheral blood cultures were obtained prior to antibiotics; she was admitted to the medical floor rather than the ICU.",
"subclaim": "CT pulmonary angiography confirmed a pulmonary embolism.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old woman came to the hospital with fever and a bad cough. She brought up green mucus and felt short of breath. Her oxygen level was 90% in room air. It went to 95% with a small tube giving oxygen. A chest X-ray showed an infection in the right lower lung. She is allergic to azithromycin. It gave her a rash before. She got two IV antibiotics: ceftriaxone and doxycycline. Tests for flu and COVID were negative. She felt better after two days. Doctors planned to change to pills and send her home soon.",
"subclaim": "The chest X-ray showed a right lower lobe infiltrate.",
"label": "supported"
},
{
"medical_text": "A 72-year-old woman came to the hospital with fever and a bad cough. She brought up green mucus and felt short of breath. Her oxygen level was 90% in room air. It went to 95% with a small tube giving oxygen. A chest X-ray showed an infection in the right lower lung. She is allergic to azithromycin. It gave her a rash before. She got two IV antibiotics: ceftriaxone and doxycycline. Tests for flu and COVID were negative. She felt better after two days. Doctors planned to change to pills and send her home soon.",
"subclaim": "She received IV ceftriaxone and doxycycline.",
"label": "supported"
},
{
"medical_text": "A 72-year-old woman came to the hospital with fever and a bad cough. She brought up green mucus and felt short of breath. Her oxygen level was 90% in room air. It went to 95% with a small tube giving oxygen. A chest X-ray showed an infection in the right lower lung. She is allergic to azithromycin. It gave her a rash before. She got two IV antibiotics: ceftriaxone and doxycycline. Tests for flu and COVID were negative. She felt better after two days. Doctors planned to change to pills and send her home soon.",
"subclaim": "Her oxygen saturation improved from 90% to 95% with oxygen.",
"label": "supported"
},
{
"medical_text": "A 72-year-old woman came to the hospital with fever and a bad cough. She brought up green mucus and felt short of breath. Her oxygen level was 90% in room air. It went to 95% with a small tube giving oxygen. A chest X-ray showed an infection in the right lower lung. She is allergic to azithromycin. It gave her a rash before. She got two IV antibiotics: ceftriaxone and doxycycline. Tests for flu and COVID were negative. She felt better after two days. Doctors planned to change to pills and send her home soon.",
"subclaim": "Tests for COVID-19 and influenza were negative.",
"label": "supported"
},
{
"medical_text": "A 72-year-old woman came to the hospital with fever and a bad cough. She brought up green mucus and felt short of breath. Her oxygen level was 90% in room air. It went to 95% with a small tube giving oxygen. A chest X-ray showed an infection in the right lower lung. She is allergic to azithromycin. It gave her a rash before. She got two IV antibiotics: ceftriaxone and doxycycline. Tests for flu and COVID were negative. She felt better after two days. Doctors planned to change to pills and send her home soon.",
"subclaim": "The patient has a history of asthma.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old woman came to the hospital with fever and a bad cough. She brought up green mucus and felt short of breath. Her oxygen level was 90% in room air. It went to 95% with a small tube giving oxygen. A chest X-ray showed an infection in the right lower lung. She is allergic to azithromycin. It gave her a rash before. She got two IV antibiotics: ceftriaxone and doxycycline. Tests for flu and COVID were negative. She felt better after two days. Doctors planned to change to pills and send her home soon.",
"subclaim": "She was treated with azithromycin.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old woman came to the hospital with fever and a bad cough. She brought up green mucus and felt short of breath. Her oxygen level was 90% in room air. It went to 95% with a small tube giving oxygen. A chest X-ray showed an infection in the right lower lung. She is allergic to azithromycin. It gave her a rash before. She got two IV antibiotics: ceftriaxone and doxycycline. Tests for flu and COVID were negative. She felt better after two days. Doctors planned to change to pills and send her home soon.",
"subclaim": "She was discharged from the emergency department the same day.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old woman came to the hospital with fever and a bad cough. She brought up green mucus and felt short of breath. Her oxygen level was 90% in room air. It went to 95% with a small tube giving oxygen. A chest X-ray showed an infection in the right lower lung. She is allergic to azithromycin. It gave her a rash before. She got two IV antibiotics: ceftriaxone and doxycycline. Tests for flu and COVID were negative. She felt better after two days. Doctors planned to change to pills and send her home soon.",
"subclaim": "Her blood pressure on arrival was 80/50 mmHg.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old woman came with three days of fever, cough with green sputum, and shortness of breath. On room air her oxygen saturation was 90%, rising to 95% with 2 liters via nasal cannula. Chest X-ray showed a right lower lobe infiltrate, consistent with pneumonia. She reports an allergy to azithromycin that caused a rash in the past. Past history includes type 2 diabetes and mild chronic kidney disease. Viral PCR for COVID-19 and influenza was negative. She was admitted and treated with IV ceftriaxone plus doxycycline. She improved over two days, and the team planned a switch to oral antibiotics and discharge soon.",
"subclaim": "The chest X-ray showed a right lower lobe infiltrate.",
"label": "supported"
},
{
"medical_text": "A 72-year-old woman came with three days of fever, cough with green sputum, and shortness of breath. On room air her oxygen saturation was 90%, rising to 95% with 2 liters via nasal cannula. Chest X-ray showed a right lower lobe infiltrate, consistent with pneumonia. She reports an allergy to azithromycin that caused a rash in the past. Past history includes type 2 diabetes and mild chronic kidney disease. Viral PCR for COVID-19 and influenza was negative. She was admitted and treated with IV ceftriaxone plus doxycycline. She improved over two days, and the team planned a switch to oral antibiotics and discharge soon.",
"subclaim": "She received IV ceftriaxone and doxycycline.",
"label": "supported"
},
{
"medical_text": "A 72-year-old woman came with three days of fever, cough with green sputum, and shortness of breath. On room air her oxygen saturation was 90%, rising to 95% with 2 liters via nasal cannula. Chest X-ray showed a right lower lobe infiltrate, consistent with pneumonia. She reports an allergy to azithromycin that caused a rash in the past. Past history includes type 2 diabetes and mild chronic kidney disease. Viral PCR for COVID-19 and influenza was negative. She was admitted and treated with IV ceftriaxone plus doxycycline. She improved over two days, and the team planned a switch to oral antibiotics and discharge soon.",
"subclaim": "Her oxygen saturation improved from 90% to 95% with oxygen.",
"label": "supported"
},
{
"medical_text": "A 72-year-old woman came with three days of fever, cough with green sputum, and shortness of breath. On room air her oxygen saturation was 90%, rising to 95% with 2 liters via nasal cannula. Chest X-ray showed a right lower lobe infiltrate, consistent with pneumonia. She reports an allergy to azithromycin that caused a rash in the past. Past history includes type 2 diabetes and mild chronic kidney disease. Viral PCR for COVID-19 and influenza was negative. She was admitted and treated with IV ceftriaxone plus doxycycline. She improved over two days, and the team planned a switch to oral antibiotics and discharge soon.",
"subclaim": "Tests for COVID-19 and influenza were negative.",
"label": "supported"
},
{
"medical_text": "A 72-year-old woman came with three days of fever, cough with green sputum, and shortness of breath. On room air her oxygen saturation was 90%, rising to 95% with 2 liters via nasal cannula. Chest X-ray showed a right lower lobe infiltrate, consistent with pneumonia. She reports an allergy to azithromycin that caused a rash in the past. Past history includes type 2 diabetes and mild chronic kidney disease. Viral PCR for COVID-19 and influenza was negative. She was admitted and treated with IV ceftriaxone plus doxycycline. She improved over two days, and the team planned a switch to oral antibiotics and discharge soon.",
"subclaim": "The patient has a history of asthma.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old woman came with three days of fever, cough with green sputum, and shortness of breath. On room air her oxygen saturation was 90%, rising to 95% with 2 liters via nasal cannula. Chest X-ray showed a right lower lobe infiltrate, consistent with pneumonia. She reports an allergy to azithromycin that caused a rash in the past. Past history includes type 2 diabetes and mild chronic kidney disease. Viral PCR for COVID-19 and influenza was negative. She was admitted and treated with IV ceftriaxone plus doxycycline. She improved over two days, and the team planned a switch to oral antibiotics and discharge soon.",
"subclaim": "She was treated with azithromycin.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old woman came with three days of fever, cough with green sputum, and shortness of breath. On room air her oxygen saturation was 90%, rising to 95% with 2 liters via nasal cannula. Chest X-ray showed a right lower lobe infiltrate, consistent with pneumonia. She reports an allergy to azithromycin that caused a rash in the past. Past history includes type 2 diabetes and mild chronic kidney disease. Viral PCR for COVID-19 and influenza was negative. She was admitted and treated with IV ceftriaxone plus doxycycline. She improved over two days, and the team planned a switch to oral antibiotics and discharge soon.",
"subclaim": "She was discharged from the emergency department the same day.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old woman came with three days of fever, cough with green sputum, and shortness of breath. On room air her oxygen saturation was 90%, rising to 95% with 2 liters via nasal cannula. Chest X-ray showed a right lower lobe infiltrate, consistent with pneumonia. She reports an allergy to azithromycin that caused a rash in the past. Past history includes type 2 diabetes and mild chronic kidney disease. Viral PCR for COVID-19 and influenza was negative. She was admitted and treated with IV ceftriaxone plus doxycycline. She improved over two days, and the team planned a switch to oral antibiotics and discharge soon.",
"subclaim": "Her blood pressure on arrival was 80/50 mmHg.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old female presented with three days of fever, productive cough, and dyspnea. Past medical history includes type 2 diabetes mellitus and CKD stage 3a; medication allergy: azithromycin (urticarial rash). On arrival: T 38.6\u00b0C, HR 104 bpm, BP 128/76 mmHg, RR 22/min, SpO2 90% on room air, improving to 95% on 2 L/min nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Nasopharyngeal PCR for SARS-CoV-2 and influenza A/B was negative. Initial WBC was 14.2\u00d710^9/L and CRP 120 mg/L. She was admitted to the medical ward and started on IV ceftriaxone plus doxycycline. After 36\u201348 hours she defervesced and her oxygen requirement decreased; the plan was to transition to oral amoxicillin\u2013clavulanate and discharge within 24\u201348 hours.",
"subclaim": "The chest X-ray showed a right lower lobe infiltrate.",
"label": "supported"
},
{
"medical_text": "A 72-year-old female presented with three days of fever, productive cough, and dyspnea. Past medical history includes type 2 diabetes mellitus and CKD stage 3a; medication allergy: azithromycin (urticarial rash). On arrival: T 38.6\u00b0C, HR 104 bpm, BP 128/76 mmHg, RR 22/min, SpO2 90% on room air, improving to 95% on 2 L/min nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Nasopharyngeal PCR for SARS-CoV-2 and influenza A/B was negative. Initial WBC was 14.2\u00d710^9/L and CRP 120 mg/L. She was admitted to the medical ward and started on IV ceftriaxone plus doxycycline. After 36\u201348 hours she defervesced and her oxygen requirement decreased; the plan was to transition to oral amoxicillin\u2013clavulanate and discharge within 24\u201348 hours.",
"subclaim": "She received IV ceftriaxone and doxycycline.",
"label": "supported"
},
{
"medical_text": "A 72-year-old female presented with three days of fever, productive cough, and dyspnea. Past medical history includes type 2 diabetes mellitus and CKD stage 3a; medication allergy: azithromycin (urticarial rash). On arrival: T 38.6\u00b0C, HR 104 bpm, BP 128/76 mmHg, RR 22/min, SpO2 90% on room air, improving to 95% on 2 L/min nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Nasopharyngeal PCR for SARS-CoV-2 and influenza A/B was negative. Initial WBC was 14.2\u00d710^9/L and CRP 120 mg/L. She was admitted to the medical ward and started on IV ceftriaxone plus doxycycline. After 36\u201348 hours she defervesced and her oxygen requirement decreased; the plan was to transition to oral amoxicillin\u2013clavulanate and discharge within 24\u201348 hours.",
"subclaim": "Her oxygen saturation improved from 90% to 95% with oxygen.",
"label": "supported"
},
{
"medical_text": "A 72-year-old female presented with three days of fever, productive cough, and dyspnea. Past medical history includes type 2 diabetes mellitus and CKD stage 3a; medication allergy: azithromycin (urticarial rash). On arrival: T 38.6\u00b0C, HR 104 bpm, BP 128/76 mmHg, RR 22/min, SpO2 90% on room air, improving to 95% on 2 L/min nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Nasopharyngeal PCR for SARS-CoV-2 and influenza A/B was negative. Initial WBC was 14.2\u00d710^9/L and CRP 120 mg/L. She was admitted to the medical ward and started on IV ceftriaxone plus doxycycline. After 36\u201348 hours she defervesced and her oxygen requirement decreased; the plan was to transition to oral amoxicillin\u2013clavulanate and discharge within 24\u201348 hours.",
"subclaim": "Tests for COVID-19 and influenza were negative.",
"label": "supported"
},
{
"medical_text": "A 72-year-old female presented with three days of fever, productive cough, and dyspnea. Past medical history includes type 2 diabetes mellitus and CKD stage 3a; medication allergy: azithromycin (urticarial rash). On arrival: T 38.6\u00b0C, HR 104 bpm, BP 128/76 mmHg, RR 22/min, SpO2 90% on room air, improving to 95% on 2 L/min nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Nasopharyngeal PCR for SARS-CoV-2 and influenza A/B was negative. Initial WBC was 14.2\u00d710^9/L and CRP 120 mg/L. She was admitted to the medical ward and started on IV ceftriaxone plus doxycycline. After 36\u201348 hours she defervesced and her oxygen requirement decreased; the plan was to transition to oral amoxicillin\u2013clavulanate and discharge within 24\u201348 hours.",
"subclaim": "The patient has a history of asthma.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old female presented with three days of fever, productive cough, and dyspnea. Past medical history includes type 2 diabetes mellitus and CKD stage 3a; medication allergy: azithromycin (urticarial rash). On arrival: T 38.6\u00b0C, HR 104 bpm, BP 128/76 mmHg, RR 22/min, SpO2 90% on room air, improving to 95% on 2 L/min nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Nasopharyngeal PCR for SARS-CoV-2 and influenza A/B was negative. Initial WBC was 14.2\u00d710^9/L and CRP 120 mg/L. She was admitted to the medical ward and started on IV ceftriaxone plus doxycycline. After 36\u201348 hours she defervesced and her oxygen requirement decreased; the plan was to transition to oral amoxicillin\u2013clavulanate and discharge within 24\u201348 hours.",
"subclaim": "She was treated with azithromycin.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old female presented with three days of fever, productive cough, and dyspnea. Past medical history includes type 2 diabetes mellitus and CKD stage 3a; medication allergy: azithromycin (urticarial rash). On arrival: T 38.6\u00b0C, HR 104 bpm, BP 128/76 mmHg, RR 22/min, SpO2 90% on room air, improving to 95% on 2 L/min nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Nasopharyngeal PCR for SARS-CoV-2 and influenza A/B was negative. Initial WBC was 14.2\u00d710^9/L and CRP 120 mg/L. She was admitted to the medical ward and started on IV ceftriaxone plus doxycycline. After 36\u201348 hours she defervesced and her oxygen requirement decreased; the plan was to transition to oral amoxicillin\u2013clavulanate and discharge within 24\u201348 hours.",
"subclaim": "She was discharged from the emergency department the same day.",
"label": "not_supported"
},
{
"medical_text": "A 72-year-old female presented with three days of fever, productive cough, and dyspnea. Past medical history includes type 2 diabetes mellitus and CKD stage 3a; medication allergy: azithromycin (urticarial rash). On arrival: T 38.6\u00b0C, HR 104 bpm, BP 128/76 mmHg, RR 22/min, SpO2 90% on room air, improving to 95% on 2 L/min nasal cannula. Chest radiograph demonstrated a right lower lobe consolidation consistent with community-acquired pneumonia. Nasopharyngeal PCR for SARS-CoV-2 and influenza A/B was negative. Initial WBC was 14.2\u00d710^9/L and CRP 120 mg/L. She was admitted to the medical ward and started on IV ceftriaxone plus doxycycline. After 36\u201348 hours she defervesced and her oxygen requirement decreased; the plan was to transition to oral amoxicillin\u2013clavulanate and discharge within 24\u201348 hours.",
"subclaim": "Her blood pressure on arrival was 80/50 mmHg.",
"label": "not_supported"
},
{
"medical_text": "A 27-year-old man came to the emergency room with pain in the lower right belly. The pain started about 12 hours earlier. He felt sick to his stomach and threw up once. He had a small fever. The doctor pressed on his belly and it hurt in that spot. A blood test showed high white blood cells. A CT scan showed appendicitis. He got IV antibiotics and then had keyhole surgery to remove the appendix. He went home the next day and felt better. He has no known drug allergies.",
"subclaim": "A CT scan confirmed appendicitis.",
"label": "supported"
},
{
"medical_text": "A 27-year-old man came to the emergency room with pain in the lower right belly. The pain started about 12 hours earlier. He felt sick to his stomach and threw up once. He had a small fever. The doctor pressed on his belly and it hurt in that spot. A blood test showed high white blood cells. A CT scan showed appendicitis. He got IV antibiotics and then had keyhole surgery to remove the appendix. He went home the next day and felt better. He has no known drug allergies.",
"subclaim": "The patient underwent laparoscopic appendectomy.",
"label": "supported"
},
{
"medical_text": "A 27-year-old man came to the emergency room with pain in the lower right belly. The pain started about 12 hours earlier. He felt sick to his stomach and threw up once. He had a small fever. The doctor pressed on his belly and it hurt in that spot. A blood test showed high white blood cells. A CT scan showed appendicitis. He got IV antibiotics and then had keyhole surgery to remove the appendix. He went home the next day and felt better. He has no known drug allergies.",
"subclaim": "Preoperative intravenous antibiotics were given.",
"label": "supported"
},
{
"medical_text": "A 27-year-old man came to the emergency room with pain in the lower right belly. The pain started about 12 hours earlier. He felt sick to his stomach and threw up once. He had a small fever. The doctor pressed on his belly and it hurt in that spot. A blood test showed high white blood cells. A CT scan showed appendicitis. He got IV antibiotics and then had keyhole surgery to remove the appendix. He went home the next day and felt better. He has no known drug allergies.",
"subclaim": "The patient had no known drug allergies.",
"label": "supported"
},
{
"medical_text": "A 27-year-old man came to the emergency room with pain in the lower right belly. The pain started about 12 hours earlier. He felt sick to his stomach and threw up once. He had a small fever. The doctor pressed on his belly and it hurt in that spot. A blood test showed high white blood cells. A CT scan showed appendicitis. He got IV antibiotics and then had keyhole surgery to remove the appendix. He went home the next day and felt better. He has no known drug allergies.",
"subclaim": "The patient has diabetes mellitus.",
"label": "not_supported"
},
{
"medical_text": "A 27-year-old man came to the emergency room with pain in the lower right belly. The pain started about 12 hours earlier. He felt sick to his stomach and threw up once. He had a small fever. The doctor pressed on his belly and it hurt in that spot. A blood test showed high white blood cells. A CT scan showed appendicitis. He got IV antibiotics and then had keyhole surgery to remove the appendix. He went home the next day and felt better. He has no known drug allergies.",
"subclaim": "A urinary tract infection was diagnosed during the visit.",
"label": "not_supported"
},
{
"medical_text": "A 27-year-old man came to the emergency room with pain in the lower right belly. The pain started about 12 hours earlier. He felt sick to his stomach and threw up once. He had a small fever. The doctor pressed on his belly and it hurt in that spot. A blood test showed high white blood cells. A CT scan showed appendicitis. He got IV antibiotics and then had keyhole surgery to remove the appendix. He went home the next day and felt better. He has no known drug allergies.",
"subclaim": "A surgical drain was placed at the end of surgery.",
"label": "not_supported"
},
{
"medical_text": "A 27-year-old man came to the emergency room with pain in the lower right belly. The pain started about 12 hours earlier. He felt sick to his stomach and threw up once. He had a small fever. The doctor pressed on his belly and it hurt in that spot. A blood test showed high white blood cells. A CT scan showed appendicitis. He got IV antibiotics and then had keyhole surgery to remove the appendix. He went home the next day and felt better. He has no known drug allergies.",
"subclaim": "The patient reported a family history of appendicitis.",
"label": "not_supported"
},
{
"medical_text": "A 27-year-old male presented with 12 hours of right lower quadrant abdominal pain. He reported nausea with one episode of emesis and low-grade fever. Examination showed focal RLQ tenderness with mild guarding. Laboratory testing demonstrated leukocytosis (WBC 14,000/\u00b5L). CT of the abdomen and pelvis confirmed uncomplicated acute appendicitis. He received preoperative intravenous ceftriaxone and metronidazole. Laparoscopic appendectomy was performed without complications. He recovered well and was discharged on postoperative day 1.",
"subclaim": "A CT scan confirmed appendicitis.",
"label": "supported"
},
{
"medical_text": "A 27-year-old male presented with 12 hours of right lower quadrant abdominal pain. He reported nausea with one episode of emesis and low-grade fever. Examination showed focal RLQ tenderness with mild guarding. Laboratory testing demonstrated leukocytosis (WBC 14,000/\u00b5L). CT of the abdomen and pelvis confirmed uncomplicated acute appendicitis. He received preoperative intravenous ceftriaxone and metronidazole. Laparoscopic appendectomy was performed without complications. He recovered well and was discharged on postoperative day 1.",
"subclaim": "The patient underwent laparoscopic appendectomy.",
"label": "supported"
},
{
"medical_text": "A 27-year-old male presented with 12 hours of right lower quadrant abdominal pain. He reported nausea with one episode of emesis and low-grade fever. Examination showed focal RLQ tenderness with mild guarding. Laboratory testing demonstrated leukocytosis (WBC 14,000/\u00b5L). CT of the abdomen and pelvis confirmed uncomplicated acute appendicitis. He received preoperative intravenous ceftriaxone and metronidazole. Laparoscopic appendectomy was performed without complications. He recovered well and was discharged on postoperative day 1.",
"subclaim": "Preoperative intravenous antibiotics were given.",
"label": "supported"
},
{
"medical_text": "A 27-year-old male presented with 12 hours of right lower quadrant abdominal pain. He reported nausea with one episode of emesis and low-grade fever. Examination showed focal RLQ tenderness with mild guarding. Laboratory testing demonstrated leukocytosis (WBC 14,000/\u00b5L). CT of the abdomen and pelvis confirmed uncomplicated acute appendicitis. He received preoperative intravenous ceftriaxone and metronidazole. Laparoscopic appendectomy was performed without complications. He recovered well and was discharged on postoperative day 1.",
"subclaim": "The patient had no known drug allergies.",
"label": "supported"
},
{
"medical_text": "A 27-year-old male presented with 12 hours of right lower quadrant abdominal pain. He reported nausea with one episode of emesis and low-grade fever. Examination showed focal RLQ tenderness with mild guarding. Laboratory testing demonstrated leukocytosis (WBC 14,000/\u00b5L). CT of the abdomen and pelvis confirmed uncomplicated acute appendicitis. He received preoperative intravenous ceftriaxone and metronidazole. Laparoscopic appendectomy was performed without complications. He recovered well and was discharged on postoperative day 1.",
"subclaim": "The patient has diabetes mellitus.",
"label": "not_supported"
},
{
"medical_text": "A 27-year-old male presented with 12 hours of right lower quadrant abdominal pain. He reported nausea with one episode of emesis and low-grade fever. Examination showed focal RLQ tenderness with mild guarding. Laboratory testing demonstrated leukocytosis (WBC 14,000/\u00b5L). CT of the abdomen and pelvis confirmed uncomplicated acute appendicitis. He received preoperative intravenous ceftriaxone and metronidazole. Laparoscopic appendectomy was performed without complications. He recovered well and was discharged on postoperative day 1.",
"subclaim": "A urinary tract infection was diagnosed during the visit.",
"label": "not_supported"
},
{
"medical_text": "A 27-year-old male presented with 12 hours of right lower quadrant abdominal pain. He reported nausea with one episode of emesis and low-grade fever. Examination showed focal RLQ tenderness with mild guarding. Laboratory testing demonstrated leukocytosis (WBC 14,000/\u00b5L). CT of the abdomen and pelvis confirmed uncomplicated acute appendicitis. He received preoperative intravenous ceftriaxone and metronidazole. Laparoscopic appendectomy was performed without complications. He recovered well and was discharged on postoperative day 1.",
"subclaim": "A surgical drain was placed at the end of surgery.",
"label": "not_supported"
},
{
"medical_text": "A 27-year-old male presented with 12 hours of right lower quadrant abdominal pain. He reported nausea with one episode of emesis and low-grade fever. Examination showed focal RLQ tenderness with mild guarding. Laboratory testing demonstrated leukocytosis (WBC 14,000/\u00b5L). CT of the abdomen and pelvis confirmed uncomplicated acute appendicitis. He received preoperative intravenous ceftriaxone and metronidazole. Laparoscopic appendectomy was performed without complications. He recovered well and was discharged on postoperative day 1.",
"subclaim": "The patient reported a family history of appendicitis.",
"label": "not_supported"
},
{
"medical_text": "A previously healthy 27-year-old man presented with 12 hours of migratory periumbilical-to-RLQ pain, nausea, and a single emetic episode. Vitals showed low-grade fever; abdominal exam revealed RLQ tenderness with mild guarding and rebound. Laboratory studies demonstrated leukocytosis to 14.2 \u00d710^3/\u00b5L with left shift and elevated CRP. Contrast-enhanced CT of the abdomen/pelvis showed a 9 mm, noncompressible, hyperenhancing appendix with periappendiceal fat stranding and no evidence of perforation or abscess. Preoperative antibiotics were administered (ceftriaxone 2 g IV plus metronidazole 500 mg IV). The patient underwent uneventful laparoscopic appendectomy under general anesthesia. Postoperative course was uncomplicated with rapid diet advancement and adequate analgesia. He was discharged home on postoperative day 1; final pathology confirmed acute suppurative appendicitis without perforation.",
"subclaim": "A CT scan confirmed appendicitis.",
"label": "supported"
},
{
"medical_text": "A previously healthy 27-year-old man presented with 12 hours of migratory periumbilical-to-RLQ pain, nausea, and a single emetic episode. Vitals showed low-grade fever; abdominal exam revealed RLQ tenderness with mild guarding and rebound. Laboratory studies demonstrated leukocytosis to 14.2 \u00d710^3/\u00b5L with left shift and elevated CRP. Contrast-enhanced CT of the abdomen/pelvis showed a 9 mm, noncompressible, hyperenhancing appendix with periappendiceal fat stranding and no evidence of perforation or abscess. Preoperative antibiotics were administered (ceftriaxone 2 g IV plus metronidazole 500 mg IV). The patient underwent uneventful laparoscopic appendectomy under general anesthesia. Postoperative course was uncomplicated with rapid diet advancement and adequate analgesia. He was discharged home on postoperative day 1; final pathology confirmed acute suppurative appendicitis without perforation.",
"subclaim": "The patient underwent laparoscopic appendectomy.",
"label": "supported"
},
{
"medical_text": "A previously healthy 27-year-old man presented with 12 hours of migratory periumbilical-to-RLQ pain, nausea, and a single emetic episode. Vitals showed low-grade fever; abdominal exam revealed RLQ tenderness with mild guarding and rebound. Laboratory studies demonstrated leukocytosis to 14.2 \u00d710^3/\u00b5L with left shift and elevated CRP. Contrast-enhanced CT of the abdomen/pelvis showed a 9 mm, noncompressible, hyperenhancing appendix with periappendiceal fat stranding and no evidence of perforation or abscess. Preoperative antibiotics were administered (ceftriaxone 2 g IV plus metronidazole 500 mg IV). The patient underwent uneventful laparoscopic appendectomy under general anesthesia. Postoperative course was uncomplicated with rapid diet advancement and adequate analgesia. He was discharged home on postoperative day 1; final pathology confirmed acute suppurative appendicitis without perforation.",
"subclaim": "Preoperative intravenous antibiotics were given.",
"label": "supported"
},
{
"medical_text": "A previously healthy 27-year-old man presented with 12 hours of migratory periumbilical-to-RLQ pain, nausea, and a single emetic episode. Vitals showed low-grade fever; abdominal exam revealed RLQ tenderness with mild guarding and rebound. Laboratory studies demonstrated leukocytosis to 14.2 \u00d710^3/\u00b5L with left shift and elevated CRP. Contrast-enhanced CT of the abdomen/pelvis showed a 9 mm, noncompressible, hyperenhancing appendix with periappendiceal fat stranding and no evidence of perforation or abscess. Preoperative antibiotics were administered (ceftriaxone 2 g IV plus metronidazole 500 mg IV). The patient underwent uneventful laparoscopic appendectomy under general anesthesia. Postoperative course was uncomplicated with rapid diet advancement and adequate analgesia. He was discharged home on postoperative day 1; final pathology confirmed acute suppurative appendicitis without perforation.",
"subclaim": "The patient had no known drug allergies.",
"label": "supported"
},
{
"medical_text": "A previously healthy 27-year-old man presented with 12 hours of migratory periumbilical-to-RLQ pain, nausea, and a single emetic episode. Vitals showed low-grade fever; abdominal exam revealed RLQ tenderness with mild guarding and rebound. Laboratory studies demonstrated leukocytosis to 14.2 \u00d710^3/\u00b5L with left shift and elevated CRP. Contrast-enhanced CT of the abdomen/pelvis showed a 9 mm, noncompressible, hyperenhancing appendix with periappendiceal fat stranding and no evidence of perforation or abscess. Preoperative antibiotics were administered (ceftriaxone 2 g IV plus metronidazole 500 mg IV). The patient underwent uneventful laparoscopic appendectomy under general anesthesia. Postoperative course was uncomplicated with rapid diet advancement and adequate analgesia. He was discharged home on postoperative day 1; final pathology confirmed acute suppurative appendicitis without perforation.",
"subclaim": "The patient has diabetes mellitus.",
"label": "not_supported"
},
{
"medical_text": "A previously healthy 27-year-old man presented with 12 hours of migratory periumbilical-to-RLQ pain, nausea, and a single emetic episode. Vitals showed low-grade fever; abdominal exam revealed RLQ tenderness with mild guarding and rebound. Laboratory studies demonstrated leukocytosis to 14.2 \u00d710^3/\u00b5L with left shift and elevated CRP. Contrast-enhanced CT of the abdomen/pelvis showed a 9 mm, noncompressible, hyperenhancing appendix with periappendiceal fat stranding and no evidence of perforation or abscess. Preoperative antibiotics were administered (ceftriaxone 2 g IV plus metronidazole 500 mg IV). The patient underwent uneventful laparoscopic appendectomy under general anesthesia. Postoperative course was uncomplicated with rapid diet advancement and adequate analgesia. He was discharged home on postoperative day 1; final pathology confirmed acute suppurative appendicitis without perforation.",
"subclaim": "A urinary tract infection was diagnosed during the visit.",
"label": "not_supported"
},
{
"medical_text": "A previously healthy 27-year-old man presented with 12 hours of migratory periumbilical-to-RLQ pain, nausea, and a single emetic episode. Vitals showed low-grade fever; abdominal exam revealed RLQ tenderness with mild guarding and rebound. Laboratory studies demonstrated leukocytosis to 14.2 \u00d710^3/\u00b5L with left shift and elevated CRP. Contrast-enhanced CT of the abdomen/pelvis showed a 9 mm, noncompressible, hyperenhancing appendix with periappendiceal fat stranding and no evidence of perforation or abscess. Preoperative antibiotics were administered (ceftriaxone 2 g IV plus metronidazole 500 mg IV). The patient underwent uneventful laparoscopic appendectomy under general anesthesia. Postoperative course was uncomplicated with rapid diet advancement and adequate analgesia. He was discharged home on postoperative day 1; final pathology confirmed acute suppurative appendicitis without perforation.",
"subclaim": "A surgical drain was placed at the end of surgery.",
"label": "not_supported"
},
{
"medical_text": "A previously healthy 27-year-old man presented with 12 hours of migratory periumbilical-to-RLQ pain, nausea, and a single emetic episode. Vitals showed low-grade fever; abdominal exam revealed RLQ tenderness with mild guarding and rebound. Laboratory studies demonstrated leukocytosis to 14.2 \u00d710^3/\u00b5L with left shift and elevated CRP. Contrast-enhanced CT of the abdomen/pelvis showed a 9 mm, noncompressible, hyperenhancing appendix with periappendiceal fat stranding and no evidence of perforation or abscess. Preoperative antibiotics were administered (ceftriaxone 2 g IV plus metronidazole 500 mg IV). The patient underwent uneventful laparoscopic appendectomy under general anesthesia. Postoperative course was uncomplicated with rapid diet advancement and adequate analgesia. He was discharged home on postoperative day 1; final pathology confirmed acute suppurative appendicitis without perforation.",
"subclaim": "The patient reported a family history of appendicitis.",
"label": "not_supported"
},
{
"medical_text": "An older man came to the emergency room with fever and cough. He had chest pain when he breathed and felt short of breath. He has COPD and diabetes. A chest x-ray showed a pneumonia in the right lower lung. His blood work showed signs of infection. He got IV antibiotics and oxygen through a small tube in his nose. The sputum test grew a common germ called pneumococcus. Blood cultures did not grow any germs. After two days, his fever went away and he switched to pills. He went home on day four with more pills and a pneumonia shot.",
"subclaim": "Chest imaging showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "An older man came to the emergency room with fever and cough. He had chest pain when he breathed and felt short of breath. He has COPD and diabetes. A chest x-ray showed a pneumonia in the right lower lung. His blood work showed signs of infection. He got IV antibiotics and oxygen through a small tube in his nose. The sputum test grew a common germ called pneumococcus. Blood cultures did not grow any germs. After two days, his fever went away and he switched to pills. He went home on day four with more pills and a pneumonia shot.",
"subclaim": "Oxygen was provided via nasal cannula.",
"label": "supported"
},
{
"medical_text": "An older man came to the emergency room with fever and cough. He had chest pain when he breathed and felt short of breath. He has COPD and diabetes. A chest x-ray showed a pneumonia in the right lower lung. His blood work showed signs of infection. He got IV antibiotics and oxygen through a small tube in his nose. The sputum test grew a common germ called pneumococcus. Blood cultures did not grow any germs. After two days, his fever went away and he switched to pills. He went home on day four with more pills and a pneumonia shot.",
"subclaim": "Sputum culture grew Streptococcus pneumoniae.",
"label": "supported"
},
{
"medical_text": "An older man came to the emergency room with fever and cough. He had chest pain when he breathed and felt short of breath. He has COPD and diabetes. A chest x-ray showed a pneumonia in the right lower lung. His blood work showed signs of infection. He got IV antibiotics and oxygen through a small tube in his nose. The sputum test grew a common germ called pneumococcus. Blood cultures did not grow any germs. After two days, his fever went away and he switched to pills. He went home on day four with more pills and a pneumonia shot.",
"subclaim": "Blood cultures were negative.",
"label": "supported"
},
{
"medical_text": "An older man came to the emergency room with fever and cough. He had chest pain when he breathed and felt short of breath. He has COPD and diabetes. A chest x-ray showed a pneumonia in the right lower lung. His blood work showed signs of infection. He got IV antibiotics and oxygen through a small tube in his nose. The sputum test grew a common germ called pneumococcus. Blood cultures did not grow any germs. After two days, his fever went away and he switched to pills. He went home on day four with more pills and a pneumonia shot.",
"subclaim": "The patient required mechanical ventilation.",
"label": "not_supported"
},
{
"medical_text": "An older man came to the emergency room with fever and cough. He had chest pain when he breathed and felt short of breath. He has COPD and diabetes. A chest x-ray showed a pneumonia in the right lower lung. His blood work showed signs of infection. He got IV antibiotics and oxygen through a small tube in his nose. The sputum test grew a common germ called pneumococcus. Blood cultures did not grow any germs. After two days, his fever went away and he switched to pills. He went home on day four with more pills and a pneumonia shot.",
"subclaim": "The pneumonia was located in the left lower lobe.",
"label": "not_supported"
},
{
"medical_text": "An older man came to the emergency room with fever and cough. He had chest pain when he breathed and felt short of breath. He has COPD and diabetes. A chest x-ray showed a pneumonia in the right lower lung. His blood work showed signs of infection. He got IV antibiotics and oxygen through a small tube in his nose. The sputum test grew a common germ called pneumococcus. Blood cultures did not grow any germs. After two days, his fever went away and he switched to pills. He went home on day four with more pills and a pneumonia shot.",
"subclaim": "He had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "An older man came to the emergency room with fever and cough. He had chest pain when he breathed and felt short of breath. He has COPD and diabetes. A chest x-ray showed a pneumonia in the right lower lung. His blood work showed signs of infection. He got IV antibiotics and oxygen through a small tube in his nose. The sputum test grew a common germ called pneumococcus. Blood cultures did not grow any germs. After two days, his fever went away and he switched to pills. He went home on day four with more pills and a pneumonia shot.",
"subclaim": "A chest CT scan confirmed a lung abscess.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man with COPD and type 2 diabetes presented with two days of fever, productive cough, and pleuritic chest pain. He was tachycardic and mildly hypoxic on arrival. A chest radiograph showed consolidation in the right lower lobe. His white blood cell count and C-reactive protein were elevated. Empiric IV ceftriaxone plus azithromycin was started, along with oxygen by nasal cannula. Sputum culture later grew Streptococcus pneumoniae that was susceptible to beta-lactams, while blood cultures stayed negative. After 48 hours he defervesced and was switched to oral amoxicillin-clavulanate. He was counseled about vaccines before discharge.",
"subclaim": "Chest imaging showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man with COPD and type 2 diabetes presented with two days of fever, productive cough, and pleuritic chest pain. He was tachycardic and mildly hypoxic on arrival. A chest radiograph showed consolidation in the right lower lobe. His white blood cell count and C-reactive protein were elevated. Empiric IV ceftriaxone plus azithromycin was started, along with oxygen by nasal cannula. Sputum culture later grew Streptococcus pneumoniae that was susceptible to beta-lactams, while blood cultures stayed negative. After 48 hours he defervesced and was switched to oral amoxicillin-clavulanate. He was counseled about vaccines before discharge.",
"subclaim": "Oxygen was provided via nasal cannula.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man with COPD and type 2 diabetes presented with two days of fever, productive cough, and pleuritic chest pain. He was tachycardic and mildly hypoxic on arrival. A chest radiograph showed consolidation in the right lower lobe. His white blood cell count and C-reactive protein were elevated. Empiric IV ceftriaxone plus azithromycin was started, along with oxygen by nasal cannula. Sputum culture later grew Streptococcus pneumoniae that was susceptible to beta-lactams, while blood cultures stayed negative. After 48 hours he defervesced and was switched to oral amoxicillin-clavulanate. He was counseled about vaccines before discharge.",
"subclaim": "Sputum culture grew Streptococcus pneumoniae.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man with COPD and type 2 diabetes presented with two days of fever, productive cough, and pleuritic chest pain. He was tachycardic and mildly hypoxic on arrival. A chest radiograph showed consolidation in the right lower lobe. His white blood cell count and C-reactive protein were elevated. Empiric IV ceftriaxone plus azithromycin was started, along with oxygen by nasal cannula. Sputum culture later grew Streptococcus pneumoniae that was susceptible to beta-lactams, while blood cultures stayed negative. After 48 hours he defervesced and was switched to oral amoxicillin-clavulanate. He was counseled about vaccines before discharge.",
"subclaim": "Blood cultures were negative.",
"label": "supported"
},
{
"medical_text": "A 67-year-old man with COPD and type 2 diabetes presented with two days of fever, productive cough, and pleuritic chest pain. He was tachycardic and mildly hypoxic on arrival. A chest radiograph showed consolidation in the right lower lobe. His white blood cell count and C-reactive protein were elevated. Empiric IV ceftriaxone plus azithromycin was started, along with oxygen by nasal cannula. Sputum culture later grew Streptococcus pneumoniae that was susceptible to beta-lactams, while blood cultures stayed negative. After 48 hours he defervesced and was switched to oral amoxicillin-clavulanate. He was counseled about vaccines before discharge.",
"subclaim": "The patient required mechanical ventilation.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man with COPD and type 2 diabetes presented with two days of fever, productive cough, and pleuritic chest pain. He was tachycardic and mildly hypoxic on arrival. A chest radiograph showed consolidation in the right lower lobe. His white blood cell count and C-reactive protein were elevated. Empiric IV ceftriaxone plus azithromycin was started, along with oxygen by nasal cannula. Sputum culture later grew Streptococcus pneumoniae that was susceptible to beta-lactams, while blood cultures stayed negative. After 48 hours he defervesced and was switched to oral amoxicillin-clavulanate. He was counseled about vaccines before discharge.",
"subclaim": "The pneumonia was located in the left lower lobe.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man with COPD and type 2 diabetes presented with two days of fever, productive cough, and pleuritic chest pain. He was tachycardic and mildly hypoxic on arrival. A chest radiograph showed consolidation in the right lower lobe. His white blood cell count and C-reactive protein were elevated. Empiric IV ceftriaxone plus azithromycin was started, along with oxygen by nasal cannula. Sputum culture later grew Streptococcus pneumoniae that was susceptible to beta-lactams, while blood cultures stayed negative. After 48 hours he defervesced and was switched to oral amoxicillin-clavulanate. He was counseled about vaccines before discharge.",
"subclaim": "He had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old man with COPD and type 2 diabetes presented with two days of fever, productive cough, and pleuritic chest pain. He was tachycardic and mildly hypoxic on arrival. A chest radiograph showed consolidation in the right lower lobe. His white blood cell count and C-reactive protein were elevated. Empiric IV ceftriaxone plus azithromycin was started, along with oxygen by nasal cannula. Sputum culture later grew Streptococcus pneumoniae that was susceptible to beta-lactams, while blood cultures stayed negative. After 48 hours he defervesced and was switched to oral amoxicillin-clavulanate. He was counseled about vaccines before discharge.",
"subclaim": "A chest CT scan confirmed a lung abscess.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male with COPD and T2DM presented with 48 hours of fever, productive cough, and pleuritic chest pain. Initial vitals: temperature 38.6\u00b0C, heart rate 112 bpm, SpO2 89% on room air; improved to 94% on 2 L nasal cannula. Chest radiograph demonstrated right lower lobe lobar consolidation without pleural effusion. Laboratory studies showed leukocytosis (WBC 15.2 \u00d7 10^9/L) and elevated CRP; serum lactate was normal. Empiric therapy consisted of IV ceftriaxone plus azithromycin, with supplemental oxygen via nasal cannula. Microbiology revealed expectorated sputum culture positive for Streptococcus pneumoniae, penicillin-susceptible. Two sets of blood cultures had no growth. By 48 hours the patient defervesced and therapy was de-escalated to oral amoxicillin-clavulanate. He was discharged home on a short oral course, and pneumococcal vaccination was addressed at discharge.",
"subclaim": "Chest imaging showed right lower lobe consolidation.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male with COPD and T2DM presented with 48 hours of fever, productive cough, and pleuritic chest pain. Initial vitals: temperature 38.6\u00b0C, heart rate 112 bpm, SpO2 89% on room air; improved to 94% on 2 L nasal cannula. Chest radiograph demonstrated right lower lobe lobar consolidation without pleural effusion. Laboratory studies showed leukocytosis (WBC 15.2 \u00d7 10^9/L) and elevated CRP; serum lactate was normal. Empiric therapy consisted of IV ceftriaxone plus azithromycin, with supplemental oxygen via nasal cannula. Microbiology revealed expectorated sputum culture positive for Streptococcus pneumoniae, penicillin-susceptible. Two sets of blood cultures had no growth. By 48 hours the patient defervesced and therapy was de-escalated to oral amoxicillin-clavulanate. He was discharged home on a short oral course, and pneumococcal vaccination was addressed at discharge.",
"subclaim": "Oxygen was provided via nasal cannula.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male with COPD and T2DM presented with 48 hours of fever, productive cough, and pleuritic chest pain. Initial vitals: temperature 38.6\u00b0C, heart rate 112 bpm, SpO2 89% on room air; improved to 94% on 2 L nasal cannula. Chest radiograph demonstrated right lower lobe lobar consolidation without pleural effusion. Laboratory studies showed leukocytosis (WBC 15.2 \u00d7 10^9/L) and elevated CRP; serum lactate was normal. Empiric therapy consisted of IV ceftriaxone plus azithromycin, with supplemental oxygen via nasal cannula. Microbiology revealed expectorated sputum culture positive for Streptococcus pneumoniae, penicillin-susceptible. Two sets of blood cultures had no growth. By 48 hours the patient defervesced and therapy was de-escalated to oral amoxicillin-clavulanate. He was discharged home on a short oral course, and pneumococcal vaccination was addressed at discharge.",
"subclaim": "Sputum culture grew Streptococcus pneumoniae.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male with COPD and T2DM presented with 48 hours of fever, productive cough, and pleuritic chest pain. Initial vitals: temperature 38.6\u00b0C, heart rate 112 bpm, SpO2 89% on room air; improved to 94% on 2 L nasal cannula. Chest radiograph demonstrated right lower lobe lobar consolidation without pleural effusion. Laboratory studies showed leukocytosis (WBC 15.2 \u00d7 10^9/L) and elevated CRP; serum lactate was normal. Empiric therapy consisted of IV ceftriaxone plus azithromycin, with supplemental oxygen via nasal cannula. Microbiology revealed expectorated sputum culture positive for Streptococcus pneumoniae, penicillin-susceptible. Two sets of blood cultures had no growth. By 48 hours the patient defervesced and therapy was de-escalated to oral amoxicillin-clavulanate. He was discharged home on a short oral course, and pneumococcal vaccination was addressed at discharge.",
"subclaim": "Blood cultures were negative.",
"label": "supported"
},
{
"medical_text": "A 67-year-old male with COPD and T2DM presented with 48 hours of fever, productive cough, and pleuritic chest pain. Initial vitals: temperature 38.6\u00b0C, heart rate 112 bpm, SpO2 89% on room air; improved to 94% on 2 L nasal cannula. Chest radiograph demonstrated right lower lobe lobar consolidation without pleural effusion. Laboratory studies showed leukocytosis (WBC 15.2 \u00d7 10^9/L) and elevated CRP; serum lactate was normal. Empiric therapy consisted of IV ceftriaxone plus azithromycin, with supplemental oxygen via nasal cannula. Microbiology revealed expectorated sputum culture positive for Streptococcus pneumoniae, penicillin-susceptible. Two sets of blood cultures had no growth. By 48 hours the patient defervesced and therapy was de-escalated to oral amoxicillin-clavulanate. He was discharged home on a short oral course, and pneumococcal vaccination was addressed at discharge.",
"subclaim": "The patient required mechanical ventilation.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male with COPD and T2DM presented with 48 hours of fever, productive cough, and pleuritic chest pain. Initial vitals: temperature 38.6\u00b0C, heart rate 112 bpm, SpO2 89% on room air; improved to 94% on 2 L nasal cannula. Chest radiograph demonstrated right lower lobe lobar consolidation without pleural effusion. Laboratory studies showed leukocytosis (WBC 15.2 \u00d7 10^9/L) and elevated CRP; serum lactate was normal. Empiric therapy consisted of IV ceftriaxone plus azithromycin, with supplemental oxygen via nasal cannula. Microbiology revealed expectorated sputum culture positive for Streptococcus pneumoniae, penicillin-susceptible. Two sets of blood cultures had no growth. By 48 hours the patient defervesced and therapy was de-escalated to oral amoxicillin-clavulanate. He was discharged home on a short oral course, and pneumococcal vaccination was addressed at discharge.",
"subclaim": "The pneumonia was located in the left lower lobe.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male with COPD and T2DM presented with 48 hours of fever, productive cough, and pleuritic chest pain. Initial vitals: temperature 38.6\u00b0C, heart rate 112 bpm, SpO2 89% on room air; improved to 94% on 2 L nasal cannula. Chest radiograph demonstrated right lower lobe lobar consolidation without pleural effusion. Laboratory studies showed leukocytosis (WBC 15.2 \u00d7 10^9/L) and elevated CRP; serum lactate was normal. Empiric therapy consisted of IV ceftriaxone plus azithromycin, with supplemental oxygen via nasal cannula. Microbiology revealed expectorated sputum culture positive for Streptococcus pneumoniae, penicillin-susceptible. Two sets of blood cultures had no growth. By 48 hours the patient defervesced and therapy was de-escalated to oral amoxicillin-clavulanate. He was discharged home on a short oral course, and pneumococcal vaccination was addressed at discharge.",
"subclaim": "He had a documented penicillin allergy.",
"label": "not_supported"
},
{
"medical_text": "A 67-year-old male with COPD and T2DM presented with 48 hours of fever, productive cough, and pleuritic chest pain. Initial vitals: temperature 38.6\u00b0C, heart rate 112 bpm, SpO2 89% on room air; improved to 94% on 2 L nasal cannula. Chest radiograph demonstrated right lower lobe lobar consolidation without pleural effusion. Laboratory studies showed leukocytosis (WBC 15.2 \u00d7 10^9/L) and elevated CRP; serum lactate was normal. Empiric therapy consisted of IV ceftriaxone plus azithromycin, with supplemental oxygen via nasal cannula. Microbiology revealed expectorated sputum culture positive for Streptococcus pneumoniae, penicillin-susceptible. Two sets of blood cultures had no growth. By 48 hours the patient defervesced and therapy was de-escalated to oral amoxicillin-clavulanate. He was discharged home on a short oral course, and pneumococcal vaccination was addressed at discharge.",
"subclaim": "A chest CT scan confirmed a lung abscess.",
"label": "not_supported"
}
] |