id stringlengths 13 50 | transcript listlengths 21 166 | expected_orders listlengths 0 8 | raw stringlengths 5.18k 18.7k |
|---|---|---|---|
acibench_D2N093_virtassist_clinicalnlp_taskB_test1 | [
{
"speaker": "doctor",
"transcript": "hey lawrence . how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hey , good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "it's good to see you too . so , i know the nurse told you about dax .",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "i'd like to tell dax a little bit about you .",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "so , lawrence is a 62-year-old male , with a past medical history significant for type i diabetes , congestive heart failure , depression , and reflux , who presents with complaints of shortness of breath . so lawrence , what's been going on ? wh- what's wrong with your breathing ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "uh , i , i've noticed that i've been swelling up a little bit . i think a lot of it has to do with going to some house parties , eating some salty foods . i feel really lethargic .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay . all right . and when you get short of breath , are you short of breath when you're just sitting here ? do you feel short of breath when you're walking ?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "it's something like walking up a flight of stairs i'll actually feel it .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay . all right . now , um , how long has this been going on for ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "probably about 10 days .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay . all right . and you said you're noticed some swelling in your legs ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "a little bit .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay . do you have problems lying flat in bed ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "um , i'm a little uncomfortable when i wake up in the morning and i feel pretty stiff . and , and , like , it takes me a little while to adjust to walking when i get up .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay . all right . do you ever wake up acutely short of breath at night ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "um , it happened once , probably about a week ago , but it has n't happened since . so i have n't been that concerned about it .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay . all right . in terms of your , your diabetes , how are you doing with that ? i know you're on the insulin pump .",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "um , are your blood sugars okay ? have you noticed a spike in them recently ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "um , i have n't . i've been pretty good about monitoring it so i ... during the working week , i stay on top of that . but on saturdays or sundays we're so busy i forget to monitor it . but i have n't seen anything spike .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay . and i remember your affinity for chocolate bars , so ...",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "guilty as charged . i love chocolate bars .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay . all right . so , in terms of your depression , how are you doing with that ?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "uh , it's been a crazy year and a half . um , i've tried some natural solutions . in the summer i did stretches outdoors every morning , which was great , but now the weather changed and , uh , you know , i've got ta find some alternatives . i'm not ready to try any medications just yet , so-",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": ". i'm open to some suggestions .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay . we'll talk about that .",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "and then in terms of your reflux , how are you doing ? i know we had you on the omeprazole .",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "you were making some lifestyle modifications , cutting back on your red bull and caffeine .",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "alcohol intake has been ... how's that been ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "tough during the holiday season , but i'm , i'm better .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "okay . all right . and no issues with your depression ? you do n't want to hurt yourself or anyone else ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "no . no . absolutely not .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay , all right . well , let's go ahead . i know you did a review of system sheet when you checked in and you endorsed the shortness of breath .",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "any other symptoms ? chest pain , fever , chills , cough ?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "um , belly pain ?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay . let's go ahead . i want to move on to a physical exam .",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? show me the vital signs . so here in the office , you know , your vital signs look good . your , your pulse ox ... that's your oxygenation level ... looks good . so i'm encouraged by that with you just sitting here , okay ? i'm gon na go ahead and do another , uh , just check you over . i'll let you know what i find .",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "okay . all right . so , on your exam things look okay . so , i do n't appreciate any jugular venous distension or any carotid bruits on your neck exam . on your heart exam , i do appreciate a slight 3 out of 6 systolic ejection murmur . on your lung exam , i do appreciate some crackles , bilaterally , at the bases . and on your lower extremity exam i do appreciate 1+ pitting edema . so what does all that mean ? so , i do think that you're retaining some fluid . it's probably from some of the dietary indiscretion .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "but i wan na go ahead and look at some of the results , okay ? i had the nurse do a chest x-ray on you before we came in , okay ? hey , dragon ? show me the test x-ray . so i reviewed the results of your chest x-ray and it looks good . there's no e- evidence of any airspace disease , but that does n't mean that you still ca n't be retaining some fluid , okay ?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? show me the labs . and your labs look okay . you know , you do n't have an elevated white blood cell count so i'm not really concerned about infection . we saw the chest x-ray , there's no pneumonia , so that's good .",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "so , let's talk a little bit about , you know , my assessment and my plan for you . okay ? so , for your first problem of your shortness of breath i think that you are in an acute heart failure exacerbation . i want to go ahead and , uh , put you on some lasix , 40 milligrams a day . i want you to weigh yourself every day .",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "if your weight is n't going down , uh , or if it's going up i want you to call me . certainly , if you get more short of breath at rest i want you to go ahead and call me or call 911-",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": ". and go into the emergency room . you might need some intravenous diuretics .",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "okay ? for your second problem of your type i diabetes , um , let's go ahead ... i wan na order a hemoglobin a1c for , um , uh , just in a , like a month or so , just to see if we have to make any adjustments . and i want you to follow up with your endocrinologist . okay ? and i also want to make sure that you have a recent eye exam . all right ? uh , for your third problem of your depression , let's go ahead and refer you to psychiatry , just for some , um , like , talk therapy to help you through that . okay ?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "no medications . and for your fourth problem of your reflux , let's go ahead and continue you on the omeprazole , 20 milligrams a day . do you have any questions , lawrence ?",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "not at this point .",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "okay . um , uh , again , i want you to call me if you have any problems with your breathing , okay ?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? finalize the notes ...",
"turn_id": 67
}
] | [
{
"description": "lasix 40 milligrams a day",
"order_type": "medication",
"provenance": [
126,
127
],
"reason": "hortness of breath acute heart failure exacerbation"
},
{
"description": "hemoglobin a1c",
"order_type": "lab",
"provenance": [
138
],
"reason": "type i diabetes"
}
] | {"id": "acibench_D2N093_virtassist_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "medication", "description": "lasix 40 milligrams a day", "reason": "hortness of breath acute heart failure exacerbation", "provenance": [126, 127]}, {"order_type": "lab", "description": "hemoglobin a1c", "reason": "type i diabetes", "provenance": [138]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey lawrence . how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "hey , good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "it's good to see you too . so , i know the nurse told you about dax ."}, {"turn_id": 4, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "i'd like to tell dax a little bit about you ."}, {"turn_id": 6, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "so , lawrence is a 62-year-old male , with a past medical history significant for type i diabetes , congestive heart failure , depression , and reflux , who presents with complaints of shortness of breath . so lawrence , what's been going on ? wh- what's wrong with your breathing ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "uh , i , i've noticed that i've been swelling up a little bit . i think a lot of it has to do with going to some house parties , eating some salty foods . i feel really lethargic ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay . all right . and when you get short of breath , are you short of breath when you're just sitting here ? do you feel short of breath when you're walking ?"}, {"turn_id": 10, "speaker": "patient", "transcript": "it's something like walking up a flight of stairs i'll actually feel it ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay . all right . now , um , how long has this been going on for ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "probably about 10 days ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay . all right . and you said you're noticed some swelling in your legs ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "a little bit ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay . do you have problems lying flat in bed ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "um , i'm a little uncomfortable when i wake up in the morning and i feel pretty stiff . and , and , like , it takes me a little while to adjust to walking when i get up ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay . all right . do you ever wake up acutely short of breath at night ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "um , it happened once , probably about a week ago , but it has n't happened since . so i have n't been that concerned about it ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay . all right . in terms of your , your diabetes , how are you doing with that ? i know you're on the insulin pump ."}, {"turn_id": 20, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "um , are your blood sugars okay ? have you noticed a spike in them recently ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "um , i have n't . i've been pretty good about monitoring it so i ... during the working week , i stay on top of that . but on saturdays or sundays we're so busy i forget to monitor it . but i have n't seen anything spike ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay . and i remember your affinity for chocolate bars , so ..."}, {"turn_id": 24, "speaker": "patient", "transcript": "guilty as charged . i love chocolate bars ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay . all right . so , in terms of your depression , how are you doing with that ?"}, {"turn_id": 26, "speaker": "patient", "transcript": "uh , it's been a crazy year and a half . um , i've tried some natural solutions . in the summer i did stretches outdoors every morning , which was great , but now the weather changed and , uh , you know , i've got ta find some alternatives . i'm not ready to try any medications just yet , so-"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 28, "speaker": "patient", "transcript": ". i'm open to some suggestions ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay . we'll talk about that ."}, {"turn_id": 30, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "and then in terms of your reflux , how are you doing ? i know we had you on the omeprazole ."}, {"turn_id": 32, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "you were making some lifestyle modifications , cutting back on your red bull and caffeine ."}, {"turn_id": 34, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "alcohol intake has been ... how's that been ?"}, {"turn_id": 36, "speaker": "patient", "transcript": "tough during the holiday season , but i'm , i'm better ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "okay . all right . and no issues with your depression ? you do n't want to hurt yourself or anyone else ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "no . no . absolutely not ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay , all right . well , let's go ahead . i know you did a review of system sheet when you checked in and you endorsed the shortness of breath ."}, {"turn_id": 40, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "any other symptoms ? chest pain , fever , chills , cough ?"}, {"turn_id": 42, "speaker": "patient", "transcript": "no ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "um , belly pain ?"}, {"turn_id": 44, "speaker": "patient", "transcript": "no ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay . let's go ahead . i want to move on to a physical exam ."}, {"turn_id": 46, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "hey , dragon ? show me the vital signs . so here in the office , you know , your vital signs look good . your , your pulse ox ... that's your oxygenation level ... looks good . so i'm encouraged by that with you just sitting here , okay ? i'm gon na go ahead and do another , uh , just check you over . i'll let you know what i find ."}, {"turn_id": 48, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "okay . all right . so , on your exam things look okay . so , i do n't appreciate any jugular venous distension or any carotid bruits on your neck exam . on your heart exam , i do appreciate a slight 3 out of 6 systolic ejection murmur . on your lung exam , i do appreciate some crackles , bilaterally , at the bases . and on your lower extremity exam i do appreciate 1+ pitting edema . so what does all that mean ? so , i do think that you're retaining some fluid . it's probably from some of the dietary indiscretion ."}, {"turn_id": 50, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "but i wan na go ahead and look at some of the results , okay ? i had the nurse do a chest x-ray on you before we came in , okay ? hey , dragon ? show me the test x-ray . so i reviewed the results of your chest x-ray and it looks good . there's no e- evidence of any airspace disease , but that does n't mean that you still ca n't be retaining some fluid , okay ?"}, {"turn_id": 52, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "hey , dragon ? show me the labs . and your labs look okay . you know , you do n't have an elevated white blood cell count so i'm not really concerned about infection . we saw the chest x-ray , there's no pneumonia , so that's good ."}, {"turn_id": 54, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "so , let's talk a little bit about , you know , my assessment and my plan for you . okay ? so , for your first problem of your shortness of breath i think that you are in an acute heart failure exacerbation . i want to go ahead and , uh , put you on some lasix , 40 milligrams a day . i want you to weigh yourself every day ."}, {"turn_id": 56, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 57, "speaker": "doctor", "transcript": "if your weight is n't going down , uh , or if it's going up i want you to call me . certainly , if you get more short of breath at rest i want you to go ahead and call me or call 911-"}, {"turn_id": 58, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 59, "speaker": "doctor", "transcript": ". and go into the emergency room . you might need some intravenous diuretics ."}, {"turn_id": 60, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 61, "speaker": "doctor", "transcript": "okay ? for your second problem of your type i diabetes , um , let's go ahead ... i wan na order a hemoglobin a1c for , um , uh , just in a , like a month or so , just to see if we have to make any adjustments . and i want you to follow up with your endocrinologist . okay ? and i also want to make sure that you have a recent eye exam . all right ? uh , for your third problem of your depression , let's go ahead and refer you to psychiatry , just for some , um , like , talk therapy to help you through that . okay ?"}, {"turn_id": 62, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 63, "speaker": "doctor", "transcript": "no medications . and for your fourth problem of your reflux , let's go ahead and continue you on the omeprazole , 20 milligrams a day . do you have any questions , lawrence ?"}, {"turn_id": 64, "speaker": "patient", "transcript": "not at this point ."}, {"turn_id": 65, "speaker": "doctor", "transcript": "okay . um , uh , again , i want you to call me if you have any problems with your breathing , okay ?"}, {"turn_id": 66, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "hey , dragon ? finalize the notes ..."}]} |
acibench_D2N122_aci_clinicalnlp_taskB_test1 | [
{
"speaker": "doctor",
"transcript": "hey kyle it's nice to see you today can you tell me a little bit about what brought you in",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yeah i went to see my pcp for a cough which they diagnosed as bronchitis but then they did that chest x-ray to make sure i did n't have pneumonia and they found this lung nodule i went for a cat scan that confirmed it and they referred me here to you i'm really nervous document",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay well first of all i'm i'm sorry that you're nervous and what we're gon na do is we're gon na partner together okay and i'm gon na be right by your side the whole time to hopefully make you a little less nervous and and recognize the fact that we're you're gon na have a big support team around you okay",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "so let's talk a little bit about how long you've had that cough before you went to see your doctor",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "i you know off and on i've had it for about three months i first noticed it when i was loading some pay i have horses and i i bought you know four hundred bills a day and when i spent a day loading it and then it's i just started coughing a lot more i think around that time and after that i i i just got a cold so that's what sent me to my pcp now i i i do exercise i i do a lot of biking and i typically do n't get sick and my cough has gone away",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay that's good to hear you mentioned exercise and biking i love to bike myself i've got a track seventy one hundred hybrid have you been on the the new trails they opened it was the old the old rail the old rail road right away they've opened that up it's like sixty miles of trails",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i love that that road i just i i do n't like riding on the road so i prefer to do those rails the trails type",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "and it's just so phenomenal i do that a lot",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "yeah i love riding over there way we will we will get you all fixed up we will have to go for a bike ride",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "absolutely i'd love it",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "that'd be great so i see here on your medical history that you also have a history of rheumatoid arthritis is that under control at this time and and and what do you do to to take care of your ra",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "yeah it's it's it's fair you know arthritis never really goes away but i take methotrexate",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "i think it's seven and a half milligrams every week and as long as i'm keeping active my joints feel okay and if i do have any problems it's it's mostly with my hands but i have n't had any recent flares so i'm okay right now",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay that's good i also see here that you marked down that you were a previous smoker and and when when did you when did you stop smoking",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i stopped smoking probably about seven years ago",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "and i was young and should have stopped the way before that my kids were on me all the time but you know i i got a new start and finally was able to stop and i felt better after stopping",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay that's good and i'm glad to hear that you were able to to to stop and and stay tobacco free that that's great to hear do you have any pain or any shortness of breath or anything like that",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "no not at all",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay and i would like to talk about your familial history here for just a second do you have any family history of lung cancer or any other type of malignancies",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no lung cancer my mom did have breast cancer but she is doing well now",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay alright and then things like lung infections or pneumonia do you have any previous history of that",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "no no not not anything that i'm aware of",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay if it's okay with you i'm gon na do a quick physical exam your vital signs look good today blood pressure of one twenty four over seventy six heart rate of seventy respiration rate of sixteen o2 sat on room air of ninety eight percent and you are afebrile so you do n't have a fever today i'm gon na take a quick listen to your lungs here your lungs are clear and equal bilateral when i listen to them or when i auscultate your lungs now listening to your heart regular rate and rhythm no clicks rubs or murmurs and i do n't appreciate any extra beats doing a quick extremity exam your skin is pink warm and dry i do n't appreciate any edema to your lower extremities it looks like you do have a little bit of swelling to to your knuckles there on your third digit on each hand which can be normal for somebody who has ra however pulses are intact in all extremities and capillary refill is brisk so a quick review of your results now you had a chest ct before you came in to see me and the results of that chest ct do show a solitary two centimeter nodule in the lateral aspect of the right upper lobe now it appears the nodule is smooth in appearance and no evidence of any type of emphysematous disease is present which is good now for my assessment and plan for you so you do have an incidentally found right upper lobe lung nodule i'm going to order some pft which is pulmonary function test i just wan na get a check and and a baseline for your lung function i'm also going to schedule a pet ct this is gon na help to determine if that nodule is metabolically active meaning if it lights up it it can suggest that it's cancer or inflammatory i'm going to go ahead and suggest that we do remove this during or via video assisted thoracoscopy which means it's just gon na be three small incisions made on the side of your right chest i'm gon na go in with a camera and a scope and we'll remove that along with a very small portion of your lung you're gon na be under general anesthesia and it'll take about an hour and a half or so post procedure you're gon na be admitted and you will have a chest tube in until the following day and i'm gon na go ahead and take that out then at bedside most likely you're gon na be in the hospital for one night and go home the next day it could be a benign nodule but because your smoking history i really do think it's gon na be best that you have that removed now for your secondary concern of your rheumatoid arthritis i want you to continue to follow up with your rheumatologist and continue your medication therapy as has been previously outlined for you now do you have any questions comments or concerns before before we get the paperwork signed to start the the treatment process",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "no i do n't think so i think i'll be okay i'm scared",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "i i know you're scared but we'll be right here with you the whole way",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "alright we'll get some paperwork and i'll see you again in a few minutes",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "okay thank you",
"turn_id": 32
}
] | [
{
"description": "pet ct ct",
"order_type": "imaging",
"provenance": [
27
],
"reason": "to determine if that nodule is metabolically active"
}
] | {"id": "acibench_D2N122_aci_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "imaging", "description": "pet ct ct", "reason": "to determine if that nodule is metabolically active", "provenance": [27]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey kyle it's nice to see you today can you tell me a little bit about what brought you in"}, {"turn_id": 2, "speaker": "patient", "transcript": "yeah i went to see my pcp for a cough which they diagnosed as bronchitis but then they did that chest x-ray to make sure i did n't have pneumonia and they found this lung nodule i went for a cat scan that confirmed it and they referred me here to you i'm really nervous document"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay well first of all i'm i'm sorry that you're nervous and what we're gon na do is we're gon na partner together okay and i'm gon na be right by your side the whole time to hopefully make you a little less nervous and and recognize the fact that we're you're gon na have a big support team around you okay"}, {"turn_id": 4, "speaker": "patient", "transcript": "okay"}, {"turn_id": 5, "speaker": "doctor", "transcript": "so let's talk a little bit about how long you've had that cough before you went to see your doctor"}, {"turn_id": 6, "speaker": "patient", "transcript": "i you know off and on i've had it for about three months i first noticed it when i was loading some pay i have horses and i i bought you know four hundred bills a day and when i spent a day loading it and then it's i just started coughing a lot more i think around that time and after that i i i just got a cold so that's what sent me to my pcp now i i i do exercise i i do a lot of biking and i typically do n't get sick and my cough has gone away"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay that's good to hear you mentioned exercise and biking i love to bike myself i've got a track seventy one hundred hybrid have you been on the the new trails they opened it was the old the old rail the old rail road right away they've opened that up it's like sixty miles of trails"}, {"turn_id": 8, "speaker": "patient", "transcript": "i love that that road i just i i do n't like riding on the road so i prefer to do those rails the trails type"}, {"turn_id": 9, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 10, "speaker": "patient", "transcript": "and it's just so phenomenal i do that a lot"}, {"turn_id": 11, "speaker": "doctor", "transcript": "yeah i love riding over there way we will we will get you all fixed up we will have to go for a bike ride"}, {"turn_id": 12, "speaker": "patient", "transcript": "absolutely i'd love it"}, {"turn_id": 13, "speaker": "doctor", "transcript": "that'd be great so i see here on your medical history that you also have a history of rheumatoid arthritis is that under control at this time and and and what do you do to to take care of your ra"}, {"turn_id": 14, "speaker": "patient", "transcript": "yeah it's it's it's fair you know arthritis never really goes away but i take methotrexate"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 16, "speaker": "patient", "transcript": "i think it's seven and a half milligrams every week and as long as i'm keeping active my joints feel okay and if i do have any problems it's it's mostly with my hands but i have n't had any recent flares so i'm okay right now"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay that's good i also see here that you marked down that you were a previous smoker and and when when did you when did you stop smoking"}, {"turn_id": 18, "speaker": "patient", "transcript": "i stopped smoking probably about seven years ago"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 20, "speaker": "patient", "transcript": "and i was young and should have stopped the way before that my kids were on me all the time but you know i i got a new start and finally was able to stop and i felt better after stopping"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay that's good and i'm glad to hear that you were able to to to stop and and stay tobacco free that that's great to hear do you have any pain or any shortness of breath or anything like that"}, {"turn_id": 22, "speaker": "patient", "transcript": "no not at all"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay and i would like to talk about your familial history here for just a second do you have any family history of lung cancer or any other type of malignancies"}, {"turn_id": 24, "speaker": "patient", "transcript": "no lung cancer my mom did have breast cancer but she is doing well now"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay alright and then things like lung infections or pneumonia do you have any previous history of that"}, {"turn_id": 26, "speaker": "patient", "transcript": "no no not not anything that i'm aware of"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay if it's okay with you i'm gon na do a quick physical exam your vital signs look good today blood pressure of one twenty four over seventy six heart rate of seventy respiration rate of sixteen o2 sat on room air of ninety eight percent and you are afebrile so you do n't have a fever today i'm gon na take a quick listen to your lungs here your lungs are clear and equal bilateral when i listen to them or when i auscultate your lungs now listening to your heart regular rate and rhythm no clicks rubs or murmurs and i do n't appreciate any extra beats doing a quick extremity exam your skin is pink warm and dry i do n't appreciate any edema to your lower extremities it looks like you do have a little bit of swelling to to your knuckles there on your third digit on each hand which can be normal for somebody who has ra however pulses are intact in all extremities and capillary refill is brisk so a quick review of your results now you had a chest ct before you came in to see me and the results of that chest ct do show a solitary two centimeter nodule in the lateral aspect of the right upper lobe now it appears the nodule is smooth in appearance and no evidence of any type of emphysematous disease is present which is good now for my assessment and plan for you so you do have an incidentally found right upper lobe lung nodule i'm going to order some pft which is pulmonary function test i just wan na get a check and and a baseline for your lung function i'm also going to schedule a pet ct this is gon na help to determine if that nodule is metabolically active meaning if it lights up it it can suggest that it's cancer or inflammatory i'm going to go ahead and suggest that we do remove this during or via video assisted thoracoscopy which means it's just gon na be three small incisions made on the side of your right chest i'm gon na go in with a camera and a scope and we'll remove that along with a very small portion of your lung you're gon na be under general anesthesia and it'll take about an hour and a half or so post procedure you're gon na be admitted and you will have a chest tube in until the following day and i'm gon na go ahead and take that out then at bedside most likely you're gon na be in the hospital for one night and go home the next day it could be a benign nodule but because your smoking history i really do think it's gon na be best that you have that removed now for your secondary concern of your rheumatoid arthritis i want you to continue to follow up with your rheumatologist and continue your medication therapy as has been previously outlined for you now do you have any questions comments or concerns before before we get the paperwork signed to start the the treatment process"}, {"turn_id": 28, "speaker": "patient", "transcript": "no i do n't think so i think i'll be okay i'm scared"}, {"turn_id": 29, "speaker": "doctor", "transcript": "i i know you're scared but we'll be right here with you the whole way"}, {"turn_id": 30, "speaker": "patient", "transcript": "okay"}, {"turn_id": 31, "speaker": "doctor", "transcript": "alright we'll get some paperwork and i'll see you again in a few minutes"}, {"turn_id": 32, "speaker": "patient", "transcript": "okay thank you"}]} |
acibench_D2N063_aci_train | [
{
"speaker": "doctor",
"transcript": "so gloria is a 46 -year-old female today with past medical history of diabetes and back pain and today here for shortness of breath with chf and copd also so gloria tell me what's going on",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i i i'm having a lot of trouble sleeping",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay and and how long has this been going on for",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "really just for about the past two weeks i i just ca n't ca n't get comfortable you know when i when i lay down in bed i just ca n't ca n't fall",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "is it because you're having you ca n't sleep or you're having shortness of breath or difficulty breathing or what's going on with that",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah i i feel like i'm just i'm just choking a few minutes after i i lay down to sleep i just ca n't catch my breath",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay and are you and how has your pulse ox been your oxygen level been at home i know you your oxygen level here is like ninety two right now in the office which is a little bit on the low side how is how has that been at home",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i can breathe fine",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "just when you lay down you get short of breath okay and is it worse when you have you noticed any shortness of breath during the day when you exert yourself when you climb stairs or do other stuff",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "i do n't i do n't do any of that usually i just i i sit on the couch and watch my shows",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay fair enough and how about have you noticed any weight gain or swelling in your legs or calves or anything like that",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah i i ca n't see my ankles anymore and and yeah i i do n't know what's going on with the scale i think the numbers are off because you know suddenly i gained about ten pounds",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "wow okay alright and are you taking i know you were supposed to be taking lasix and we had you on you know diet control to to prevent to limit your salt intake how is that going",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "i i i do n't know how much salt is in freedoes but you know i i i'm really enjoying those in last weekend we got this really big party and yeah which color is that lasix pill",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "yeah it's it's the white one the round one so it sounds like you're not maybe not taking it as regularly as you should",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no sir i i do n't think i am",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay alright and are you having any chest pain or tightness in your chest or anything like that or not really",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "no not really",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "just just when i ca n't breathe good at night you know",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay got it",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "so i'll examine you in a second so it's been a couple of weeks are you coughing up anything any fevers with this at all",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no no fever kinda feel like i'm just bringing a whole bunch of yuck up once in a while though especially first thing in the morning",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay alright and how have your blood sugars been doing this time i know you're taking the metformin are you checking your accu-cheks how has that been going",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "i i'm sorry what's an accu-chek",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "for your blood sugar check are you checking that or not really",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "i i i did it a couple of weeks ago",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "and it was about it i i think about two thirty it was okay",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay so your hemoglobin a1c last time was seven . five and we had talked about you know trying to improve your diet we had talked about you know we wan na avoid going to insulin but it sounds like it's been a challenge to kinda control the diet and also your blood sugars have been running a little bit high",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay alright",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "yeah it's it's been a challenge",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "alright and any nausea vomiting or diarrhea or anything like that are you peeing a whole lot or anything like that no",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "yeah i'm feeling like crazy",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "okay alright",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "ca n't figure out why because i'm not drinking very much",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "alright and how is your back then has that been okay i know you're sitting you said you're sitting on the couch a lot watching tv but",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "besides that anything else",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "yeah you know it it just it just really hurts so you know and so that's why i sit on the couch so much",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay alright no weakness or numbness in your legs right now",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "so let me examine you now gloria i'm gon na go ahead and do an exam and let's pretend i did my exam i'm just gon na verbalize some of my findings just so i can record this and put it into my my into my chart so neck exam you do have a little bit of swelling in your neck little bit of jvd no bruits your lung exam you have some crackles in both bases and some rales that i can hear and there are a little bit of intermittent wheezing as well on your heart exam you have a two over six systolic ejection murmur you've had that in the past otherwise regular rate and rhythm it does n't feel a regular your belly exam your belly's slightly distended there's no tenderness or guarding or anything like that so that does n't that looks pretty good on your leg exam you do have some one plus pitting edema or actually almost one and a half plus pitting edema in your both of your ankles no calf tenderness negative homans sign that means no blood clots otherwise neurologic exam is normal the rest of your exam is normal so what does this all mean so let me explain that so for the first problem the shortness of breath you know i think you have an exacerbation of your congestive heart failure what i'd like to do is increase your dose of lasix from twenty milligrams to sixty milligrams for the next four days i'm gon na have you check your weights everyday and also i'm gon na go ahead and have you use your albuterol and atrovent we had given you some inhalers in the past i can give you another refill if you need to help with that some of the breathing that you're having the shortness of breath so i'd like to get some of this fluid off you have you check your weights daily we'll have you increase your dose of lasix we'll have you use a breathing treatments and see if that helps your shortness of breath i'd like to have you come back in about couple days actually i wan na see how you're doing and if it does n't get better we may have to increase the dose or send you to the hospital okay",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "i do n't want to go to the hospital doctor",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "yeah so let's try to let's try to use the lasix and let's try to let's try to you know use the breathing treatments and and do that for the second problem the diabetes that we just talked about i like to go ahead and order another blood test another hemoglobin a1c i think we need to your blood sugars have been running a little bit high in the past and we've had a hard time but it's been a while since we checked your last one so i wan na check another one today to see where we are and when we have you come back in a couple days we should have the results back we can then adjust your metformin or we may have to adjust some of the you know add a different medication at that point but but right now i'm gon na order some blood tests we'll have you come back in a couple of days and then we can reassess at that point okay",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "so i had a piece of cake before i came in here is that gon na affect the the lab work",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "yeah we'll probably do a fasting blood sugar we'll we'll order the hemoglobin a1c that should n't be actually matter because that checks long term but if we need your blood sugar may be elevated today i i would n't be surprised alright and i forgot to examine your back by the way so on your back exam you do have some tenderness in the paraspinal areas of your back in the in the lower back mostly no midline tenderness you have good reflexes so i think this is all muscular pain right now for your back pain i'm gon na go ahead and put you on some naprosyn and some flexeril which is a muscle relaxer i'm gon na give you some exercises you can do to help you get off the couch it'll also help your blood sugar and why do n't we have you if that does n't work the the pain medicine and the physical we can start physical therapy and see if that helps okay",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "any questions about that",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "i do n't think so which color pills",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "i think it's a white pill and it's round",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "about this big",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "alright sounds good",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "anything else gloria",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "no that's it",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "alright thanks for coming in today",
"turn_id": 61
}
] | [
{
"description": "come back couple days",
"order_type": "followup",
"provenance": [
48,
50
],
"reason": "exacerbation of your congestive heart failure diabetes"
},
{
"description": "bloo hemoglobin a1c today",
"order_type": "lab",
"provenance": [
50
],
"reason": "diabetes"
},
{
"description": "naprosyn",
"order_type": "medication",
"provenance": [
52
],
"reason": "back muscular pain"
},
{
"description": "flexeril",
"order_type": "medication",
"provenance": [
52
],
"reason": "back muscular pain"
},
{
"description": "lasix sixty milligrams four days pill",
"order_type": "medication",
"provenance": [
48,
56
],
"reason": "exacerbation of your congestive heart failure"
},
{
"description": "albuterol a",
"order_type": "medication",
"provenance": [
48
],
"reason": "shortness of breath"
},
{
"description": "atrovent inhalers",
"order_type": "medication",
"provenance": [
48
],
"reason": "shortness of breath"
}
] | {"id": "acibench_D2N063_aci_train", "expected_orders": [{"order_type": "followup", "description": "come back couple days", "reason": "exacerbation of your congestive heart failure diabetes", "provenance": [48, 50]}, {"order_type": "lab", "description": "bloo hemoglobin a1c today", "reason": "diabetes", "provenance": [50]}, {"order_type": "medication", "description": "naprosyn", "reason": "back muscular pain", "provenance": [52]}, {"order_type": "medication", "description": "flexeril", "reason": "back muscular pain", "provenance": [52]}, {"order_type": "medication", "description": "lasix sixty milligrams four days pill", "reason": "exacerbation of your congestive heart failure", "provenance": [48, 56]}, {"order_type": "medication", "description": "albuterol a", "reason": "shortness of breath", "provenance": [48]}, {"order_type": "medication", "description": "atrovent inhalers", "reason": "shortness of breath", "provenance": [48]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "so gloria is a 46 -year-old female today with past medical history of diabetes and back pain and today here for shortness of breath with chf and copd also so gloria tell me what's going on"}, {"turn_id": 2, "speaker": "patient", "transcript": "i i i'm having a lot of trouble sleeping"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay and and how long has this been going on for"}, {"turn_id": 4, "speaker": "patient", "transcript": "really just for about the past two weeks i i just ca n't ca n't get comfortable you know when i when i lay down in bed i just ca n't ca n't fall"}, {"turn_id": 5, "speaker": "doctor", "transcript": "is it because you're having you ca n't sleep or you're having shortness of breath or difficulty breathing or what's going on with that"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah i i feel like i'm just i'm just choking a few minutes after i i lay down to sleep i just ca n't catch my breath"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay and are you and how has your pulse ox been your oxygen level been at home i know you your oxygen level here is like ninety two right now in the office which is a little bit on the low side how is how has that been at home"}, {"turn_id": 8, "speaker": "patient", "transcript": "i can breathe fine"}, {"turn_id": 9, "speaker": "doctor", "transcript": "just when you lay down you get short of breath okay and is it worse when you have you noticed any shortness of breath during the day when you exert yourself when you climb stairs or do other stuff"}, {"turn_id": 10, "speaker": "patient", "transcript": "i do n't i do n't do any of that usually i just i i sit on the couch and watch my shows"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay fair enough and how about have you noticed any weight gain or swelling in your legs or calves or anything like that"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah i i ca n't see my ankles anymore and and yeah i i do n't know what's going on with the scale i think the numbers are off because you know suddenly i gained about ten pounds"}, {"turn_id": 13, "speaker": "doctor", "transcript": "wow okay alright and are you taking i know you were supposed to be taking lasix and we had you on you know diet control to to prevent to limit your salt intake how is that going"}, {"turn_id": 14, "speaker": "patient", "transcript": "i i i do n't know how much salt is in freedoes but you know i i i'm really enjoying those in last weekend we got this really big party and yeah which color is that lasix pill"}, {"turn_id": 15, "speaker": "doctor", "transcript": "yeah it's it's the white one the round one so it sounds like you're not maybe not taking it as regularly as you should"}, {"turn_id": 16, "speaker": "patient", "transcript": "no sir i i do n't think i am"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay alright and are you having any chest pain or tightness in your chest or anything like that or not really"}, {"turn_id": 18, "speaker": "patient", "transcript": "no not really"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 20, "speaker": "patient", "transcript": "just just when i ca n't breathe good at night you know"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay got it"}, {"turn_id": 22, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 23, "speaker": "doctor", "transcript": "so i'll examine you in a second so it's been a couple of weeks are you coughing up anything any fevers with this at all"}, {"turn_id": 24, "speaker": "patient", "transcript": "no no fever kinda feel like i'm just bringing a whole bunch of yuck up once in a while though especially first thing in the morning"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay alright and how have your blood sugars been doing this time i know you're taking the metformin are you checking your accu-cheks how has that been going"}, {"turn_id": 26, "speaker": "patient", "transcript": "i i'm sorry what's an accu-chek"}, {"turn_id": 27, "speaker": "doctor", "transcript": "for your blood sugar check are you checking that or not really"}, {"turn_id": 28, "speaker": "patient", "transcript": "i i i did it a couple of weeks ago"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 30, "speaker": "patient", "transcript": "and it was about it i i think about two thirty it was okay"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay so your hemoglobin a1c last time was seven . five and we had talked about you know trying to improve your diet we had talked about you know we wan na avoid going to insulin but it sounds like it's been a challenge to kinda control the diet and also your blood sugars have been running a little bit high"}, {"turn_id": 32, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay alright"}, {"turn_id": 34, "speaker": "patient", "transcript": "yeah it's it's been a challenge"}, {"turn_id": 35, "speaker": "doctor", "transcript": "alright and any nausea vomiting or diarrhea or anything like that are you peeing a whole lot or anything like that no"}, {"turn_id": 36, "speaker": "patient", "transcript": "yeah i'm feeling like crazy"}, {"turn_id": 37, "speaker": "doctor", "transcript": "okay alright"}, {"turn_id": 38, "speaker": "patient", "transcript": "ca n't figure out why because i'm not drinking very much"}, {"turn_id": 39, "speaker": "doctor", "transcript": "alright and how is your back then has that been okay i know you're sitting you said you're sitting on the couch a lot watching tv but"}, {"turn_id": 40, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 41, "speaker": "doctor", "transcript": "besides that anything else"}, {"turn_id": 42, "speaker": "patient", "transcript": "yeah you know it it just it just really hurts so you know and so that's why i sit on the couch so much"}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay alright no weakness or numbness in your legs right now"}, {"turn_id": 44, "speaker": "patient", "transcript": "no"}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 46, "speaker": "patient", "transcript": "no"}, {"turn_id": 47, "speaker": "doctor", "transcript": "so let me examine you now gloria i'm gon na go ahead and do an exam and let's pretend i did my exam i'm just gon na verbalize some of my findings just so i can record this and put it into my my into my chart so neck exam you do have a little bit of swelling in your neck little bit of jvd no bruits your lung exam you have some crackles in both bases and some rales that i can hear and there are a little bit of intermittent wheezing as well on your heart exam you have a two over six systolic ejection murmur you've had that in the past otherwise regular rate and rhythm it does n't feel a regular your belly exam your belly's slightly distended there's no tenderness or guarding or anything like that so that does n't that looks pretty good on your leg exam you do have some one plus pitting edema or actually almost one and a half plus pitting edema in your both of your ankles no calf tenderness negative homans sign that means no blood clots otherwise neurologic exam is normal the rest of your exam is normal so what does this all mean so let me explain that so for the first problem the shortness of breath you know i think you have an exacerbation of your congestive heart failure what i'd like to do is increase your dose of lasix from twenty milligrams to sixty milligrams for the next four days i'm gon na have you check your weights everyday and also i'm gon na go ahead and have you use your albuterol and atrovent we had given you some inhalers in the past i can give you another refill if you need to help with that some of the breathing that you're having the shortness of breath so i'd like to get some of this fluid off you have you check your weights daily we'll have you increase your dose of lasix we'll have you use a breathing treatments and see if that helps your shortness of breath i'd like to have you come back in about couple days actually i wan na see how you're doing and if it does n't get better we may have to increase the dose or send you to the hospital okay"}, {"turn_id": 48, "speaker": "patient", "transcript": "i do n't want to go to the hospital doctor"}, {"turn_id": 49, "speaker": "doctor", "transcript": "yeah so let's try to let's try to use the lasix and let's try to let's try to you know use the breathing treatments and and do that for the second problem the diabetes that we just talked about i like to go ahead and order another blood test another hemoglobin a1c i think we need to your blood sugars have been running a little bit high in the past and we've had a hard time but it's been a while since we checked your last one so i wan na check another one today to see where we are and when we have you come back in a couple days we should have the results back we can then adjust your metformin or we may have to adjust some of the you know add a different medication at that point but but right now i'm gon na order some blood tests we'll have you come back in a couple of days and then we can reassess at that point okay"}, {"turn_id": 50, "speaker": "patient", "transcript": "so i had a piece of cake before i came in here is that gon na affect the the lab work"}, {"turn_id": 51, "speaker": "doctor", "transcript": "yeah we'll probably do a fasting blood sugar we'll we'll order the hemoglobin a1c that should n't be actually matter because that checks long term but if we need your blood sugar may be elevated today i i would n't be surprised alright and i forgot to examine your back by the way so on your back exam you do have some tenderness in the paraspinal areas of your back in the in the lower back mostly no midline tenderness you have good reflexes so i think this is all muscular pain right now for your back pain i'm gon na go ahead and put you on some naprosyn and some flexeril which is a muscle relaxer i'm gon na give you some exercises you can do to help you get off the couch it'll also help your blood sugar and why do n't we have you if that does n't work the the pain medicine and the physical we can start physical therapy and see if that helps okay"}, {"turn_id": 52, "speaker": "patient", "transcript": "okay"}, {"turn_id": 53, "speaker": "doctor", "transcript": "any questions about that"}, {"turn_id": 54, "speaker": "patient", "transcript": "i do n't think so which color pills"}, {"turn_id": 55, "speaker": "doctor", "transcript": "i think it's a white pill and it's round"}, {"turn_id": 56, "speaker": "patient", "transcript": "okay"}, {"turn_id": 57, "speaker": "doctor", "transcript": "about this big"}, {"turn_id": 58, "speaker": "patient", "transcript": "alright sounds good"}, {"turn_id": 59, "speaker": "doctor", "transcript": "anything else gloria"}, {"turn_id": 60, "speaker": "patient", "transcript": "no that's it"}, {"turn_id": 61, "speaker": "doctor", "transcript": "alright thanks for coming in today"}]} |
acibench_D2N037_aci_train | [
{
"speaker": "doctor",
"transcript": "hey dylan what's going on so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore which elbow is it",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "actually it's both my elbows but my right elbow is hurting me the most",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay and you said you lift a lot of weights",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "did you play any sports when you were younger",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "no anything you can think of primarily it was basketball baseball and football",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay and did your elbows hurt at that time or is this a a new injury",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "it's new",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "when did it start",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "probably year and a half ago",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay on both elbows about a year and a half ago",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay have you taken anything for the pain",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "ibuprofen eight hundred milligrams three times a day",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay and does anything make it better or worse",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "the more i use my hands or my arms the more it hurts",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay have you tried icing",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "does that give you any relief",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "alright is it the inside or outside of your elbows",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "inside",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "inside okay let's just do a quick physical exam here i'll take a look at your right elbow first",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "if i bend it this way up does it hurt it's your left does that hurt",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "how about this",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay so pain with both flexion and extension",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "looks like you have little bit of limited range of motion on extension not on flexion though you said it hurts right here on the inside of your elbow",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay so pain on the medial side with palpation",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "alright how about the outside",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "no pain with palpation outside of the elbow you have do you have normal sensation in your fingers",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "i think so",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay great",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "good to go",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "sensation is normal to the touch",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "pulses equal in all extremities how about the left elbow same thing if i bend it this way does that hurt",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "not as much",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "how about this way",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "not as much",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "alright so little bit of pain on flexion and extension little bit of limited range of motion on extension of the arm how about if you twist like you're opening a door",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "okay so some pain with torsion and twisting supination what about pronation",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "no pain with pronation on the right side",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "same thing on the left",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "pain with supination no pain with pronation",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "correct",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "alright so dylan it took some x-rays coming in looks like you do n't have any any fractures or any bony misalignment which i expect with this kind of injury i do think that what you have is medial epicondylitis which is",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "is that golfer's elbow",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "yes same thing have you been golfing a lot",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "well not in the past year and a half i've had this for a long time",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "okay also known as pictures elbow",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "well i have n't been pitching either",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "hmmm well in any case what i'm gon na have to do is i'm gon na send you up for mri to take another look at this",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "that will be our next step so we'll get you scheduled for the mri probably get you in pretty quick here since we're a private practice",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "thank god",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "yeah and once you get the mri i'll know a little bit more what i'd like to do is something called a whole blood transfusion have you heard of that before",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "no please tell me remind me",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "yeah it should help with the healing of your elbow it's just a procedure we'll stick a needle in your elbow",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "you do a stick needle in my elbow",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "mm-hmm and help with some of the healing of your elbow",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "so it's kinda like dry needling then",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "no",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "not at all",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "what is it",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "is it is that that thing where like you take the blood out of like say my my thigh",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "mm-hmm",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "and then you literally inject it into my tendon",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "yes",
"turn_id": 81
},
{
"speaker": "patient",
"transcript": "that it activates the healing",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "yeah that's exactly what it is",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "interesting cool",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 85
},
{
"speaker": "patient",
"transcript": "maybe i have heard about that",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "we've we've had some really good responses from other patients on it so hopefully i mean that should be a good solution for you since you've been having issues with this",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "i'm excited",
"turn_id": 88
},
{
"speaker": "doctor",
"transcript": "yeah and we can hopefully get you scheduled for that in the next couple of weeks it's not not a major procedure and you should heal in the next two weeks so that wo n't be a problem especially considering that you're expecting a newborn soon we want to make sure you're all healed for that",
"turn_id": 89
},
{
"speaker": "patient",
"transcript": "wow i did n't even say that",
"turn_id": 90
},
{
"speaker": "doctor",
"transcript": "i read it in your chart",
"turn_id": 91
},
{
"speaker": "patient",
"transcript": "man you doctors are good",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "yeah anything else going on today",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "just trying to figure out how you're doing",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "very good thank you",
"turn_id": 95
},
{
"speaker": "patient",
"transcript": "you're welcome",
"turn_id": 96
},
{
"speaker": "doctor",
"transcript": "nice to see you",
"turn_id": 97
},
{
"speaker": "patient",
"transcript": "you have a good day",
"turn_id": 98
}
] | [
{
"description": "mri",
"order_type": "imaging",
"provenance": [
59,
65
],
"reason": "medial epicondylitis"
}
] | {"id": "acibench_D2N037_aci_train", "expected_orders": [{"order_type": "imaging", "description": "mri", "reason": "medial epicondylitis", "provenance": [59, 65]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey dylan what's going on so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore which elbow is it"}, {"turn_id": 2, "speaker": "patient", "transcript": "actually it's both my elbows but my right elbow is hurting me the most"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay and you said you lift a lot of weights"}, {"turn_id": 4, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 5, "speaker": "doctor", "transcript": "did you play any sports when you were younger"}, {"turn_id": 6, "speaker": "patient", "transcript": "no anything you can think of primarily it was basketball baseball and football"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay and did your elbows hurt at that time or is this a a new injury"}, {"turn_id": 8, "speaker": "patient", "transcript": "it's new"}, {"turn_id": 9, "speaker": "doctor", "transcript": "when did it start"}, {"turn_id": 10, "speaker": "patient", "transcript": "probably year and a half ago"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay on both elbows about a year and a half ago"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay have you taken anything for the pain"}, {"turn_id": 14, "speaker": "patient", "transcript": "ibuprofen eight hundred milligrams three times a day"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay and does anything make it better or worse"}, {"turn_id": 16, "speaker": "patient", "transcript": "the more i use my hands or my arms the more it hurts"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay have you tried icing"}, {"turn_id": 18, "speaker": "patient", "transcript": "yes"}, {"turn_id": 19, "speaker": "doctor", "transcript": "does that give you any relief"}, {"turn_id": 20, "speaker": "patient", "transcript": "no"}, {"turn_id": 21, "speaker": "doctor", "transcript": "alright is it the inside or outside of your elbows"}, {"turn_id": 22, "speaker": "patient", "transcript": "inside"}, {"turn_id": 23, "speaker": "doctor", "transcript": "inside okay let's just do a quick physical exam here i'll take a look at your right elbow first"}, {"turn_id": 24, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 25, "speaker": "doctor", "transcript": "if i bend it this way up does it hurt it's your left does that hurt"}, {"turn_id": 26, "speaker": "patient", "transcript": "yes"}, {"turn_id": 27, "speaker": "doctor", "transcript": "how about this"}, {"turn_id": 28, "speaker": "patient", "transcript": "yes"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay so pain with both flexion and extension"}, {"turn_id": 30, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 31, "speaker": "doctor", "transcript": "looks like you have little bit of limited range of motion on extension not on flexion though you said it hurts right here on the inside of your elbow"}, {"turn_id": 32, "speaker": "patient", "transcript": "yes"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay so pain on the medial side with palpation"}, {"turn_id": 34, "speaker": "patient", "transcript": "yes"}, {"turn_id": 35, "speaker": "doctor", "transcript": "alright how about the outside"}, {"turn_id": 36, "speaker": "patient", "transcript": "no"}, {"turn_id": 37, "speaker": "doctor", "transcript": "no pain with palpation outside of the elbow you have do you have normal sensation in your fingers"}, {"turn_id": 38, "speaker": "patient", "transcript": "i think so"}, {"turn_id": 39, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 40, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay great"}, {"turn_id": 42, "speaker": "patient", "transcript": "good to go"}, {"turn_id": 43, "speaker": "doctor", "transcript": "sensation is normal to the touch"}, {"turn_id": 44, "speaker": "patient", "transcript": "yes"}, {"turn_id": 45, "speaker": "doctor", "transcript": "pulses equal in all extremities how about the left elbow same thing if i bend it this way does that hurt"}, {"turn_id": 46, "speaker": "patient", "transcript": "not as much"}, {"turn_id": 47, "speaker": "doctor", "transcript": "how about this way"}, {"turn_id": 48, "speaker": "patient", "transcript": "not as much"}, {"turn_id": 49, "speaker": "doctor", "transcript": "alright so little bit of pain on flexion and extension little bit of limited range of motion on extension of the arm how about if you twist like you're opening a door"}, {"turn_id": 50, "speaker": "patient", "transcript": "yes"}, {"turn_id": 51, "speaker": "doctor", "transcript": "okay so some pain with torsion and twisting supination what about pronation"}, {"turn_id": 52, "speaker": "patient", "transcript": "no"}, {"turn_id": 53, "speaker": "doctor", "transcript": "no pain with pronation on the right side"}, {"turn_id": 54, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 55, "speaker": "doctor", "transcript": "same thing on the left"}, {"turn_id": 56, "speaker": "patient", "transcript": "yes"}, {"turn_id": 57, "speaker": "doctor", "transcript": "pain with supination no pain with pronation"}, {"turn_id": 58, "speaker": "patient", "transcript": "correct"}, {"turn_id": 59, "speaker": "doctor", "transcript": "alright so dylan it took some x-rays coming in looks like you do n't have any any fractures or any bony misalignment which i expect with this kind of injury i do think that what you have is medial epicondylitis which is"}, {"turn_id": 60, "speaker": "patient", "transcript": "is that golfer's elbow"}, {"turn_id": 61, "speaker": "doctor", "transcript": "yes same thing have you been golfing a lot"}, {"turn_id": 62, "speaker": "patient", "transcript": "well not in the past year and a half i've had this for a long time"}, {"turn_id": 63, "speaker": "doctor", "transcript": "okay also known as pictures elbow"}, {"turn_id": 64, "speaker": "patient", "transcript": "well i have n't been pitching either"}, {"turn_id": 65, "speaker": "doctor", "transcript": "hmmm well in any case what i'm gon na have to do is i'm gon na send you up for mri to take another look at this"}, {"turn_id": 66, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 67, "speaker": "doctor", "transcript": "that will be our next step so we'll get you scheduled for the mri probably get you in pretty quick here since we're a private practice"}, {"turn_id": 68, "speaker": "patient", "transcript": "thank god"}, {"turn_id": 69, "speaker": "doctor", "transcript": "yeah and once you get the mri i'll know a little bit more what i'd like to do is something called a whole blood transfusion have you heard of that before"}, {"turn_id": 70, "speaker": "patient", "transcript": "no please tell me remind me"}, {"turn_id": 71, "speaker": "doctor", "transcript": "yeah it should help with the healing of your elbow it's just a procedure we'll stick a needle in your elbow"}, {"turn_id": 72, "speaker": "patient", "transcript": "you do a stick needle in my elbow"}, {"turn_id": 73, "speaker": "doctor", "transcript": "mm-hmm and help with some of the healing of your elbow"}, {"turn_id": 74, "speaker": "patient", "transcript": "so it's kinda like dry needling then"}, {"turn_id": 75, "speaker": "doctor", "transcript": "no"}, {"turn_id": 76, "speaker": "patient", "transcript": "not at all"}, {"turn_id": 77, "speaker": "doctor", "transcript": "what is it"}, {"turn_id": 78, "speaker": "patient", "transcript": "is it is that that thing where like you take the blood out of like say my my thigh"}, {"turn_id": 79, "speaker": "doctor", "transcript": "mm-hmm"}, {"turn_id": 80, "speaker": "patient", "transcript": "and then you literally inject it into my tendon"}, {"turn_id": 81, "speaker": "doctor", "transcript": "yes"}, {"turn_id": 82, "speaker": "patient", "transcript": "that it activates the healing"}, {"turn_id": 83, "speaker": "doctor", "transcript": "yeah that's exactly what it is"}, {"turn_id": 84, "speaker": "patient", "transcript": "interesting cool"}, {"turn_id": 85, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 86, "speaker": "patient", "transcript": "maybe i have heard about that"}, {"turn_id": 87, "speaker": "doctor", "transcript": "we've we've had some really good responses from other patients on it so hopefully i mean that should be a good solution for you since you've been having issues with this"}, {"turn_id": 88, "speaker": "patient", "transcript": "i'm excited"}, {"turn_id": 89, "speaker": "doctor", "transcript": "yeah and we can hopefully get you scheduled for that in the next couple of weeks it's not not a major procedure and you should heal in the next two weeks so that wo n't be a problem especially considering that you're expecting a newborn soon we want to make sure you're all healed for that"}, {"turn_id": 90, "speaker": "patient", "transcript": "wow i did n't even say that"}, {"turn_id": 91, "speaker": "doctor", "transcript": "i read it in your chart"}, {"turn_id": 92, "speaker": "patient", "transcript": "man you doctors are good"}, {"turn_id": 93, "speaker": "doctor", "transcript": "yeah anything else going on today"}, {"turn_id": 94, "speaker": "patient", "transcript": "just trying to figure out how you're doing"}, {"turn_id": 95, "speaker": "doctor", "transcript": "very good thank you"}, {"turn_id": 96, "speaker": "patient", "transcript": "you're welcome"}, {"turn_id": 97, "speaker": "doctor", "transcript": "nice to see you"}, {"turn_id": 98, "speaker": "patient", "transcript": "you have a good day"}]} |
acibench_D2N070_virtassist_valid | [
{
"speaker": "doctor",
"transcript": "hi logan . how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hey , good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "it's good to see you as well .",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "so i know the nurse told you about dax .",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "i'd like to tell dax a little bit about you .",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "so logan is a 58 year old male , with a past medical history significant for diabetes type 2 , hypertension , osteoarthritis , who presents today with some back pain .",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "so logan , what happened to your back ?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "uh , we were helping my daughter with some heavy equipment and lifted some boxes a little too quickly , and they were a little too heavy .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "okay ... and did you strain your back , did something-",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "i thought i heard a pop when i moved and i had to lie down for about an hour before it actually relieved the pain . and then it's been a little stiff ever since . and this was- what , so today's tuesday . this was saturday morning .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay , all right .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "and is it your lower back , your upper back ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "my lower back .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "your lower back , okay . and what- what have you taken for the pain ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i took some tylenol , i took some ibuprofen , i used a little bit of icy heat on the spot but it really did n't seem to help .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay . and um ... do you have any numbing or tingling in your legs ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "uh ... i felt some tingling in my toes on my right foot until about sunday afternoon . and then that seemed to go away .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay , and is there a position that you feel better in ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "uh ... it's really tough to find a comfortable spot sleeping at night . i would- i tend to lie on my right side and that seemed to help a little bit ?",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay , all right .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "well , um ... so how are you doing otherwise ? i know that , you know , we have some issues to talk-",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": ". about today . were you able to take any vacations over the summer ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "um ... some long weekends , which was great . just kind of- trying to mix it up through the summer . so lots of three day weekends .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay , well i'm glad to hear that .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "um ... so let's talk a little bit about your diabetes . how are you doing with that ? i know that- you know , i remember you have a sweet tooth . so ...",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "yeah ... i-i love peanut butter cups . um ... and i have to say that when we were helping my daughter , we were on the fly and on the go and haven't had a home cooked meal in weeks, our diets were less than stellar .",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "and uh ... i-i think i need to go clean for a couple of weeks . but other than that , it was been- it's been pretty good eating .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "okay , all right . and how about your high blood pressure ? are you monitoring your blood pressure readings at home , like i recommended ?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "i'm good about it during the week while i am at home working, but on the weekends when i'm out of the house i tend to forget . uh , and so it's not as regimented , but it's been pretty good and-and under control for the most part .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "okay , and you're you're taking your medication ?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "yes , i am .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "okay . and then lastly , i know that you had had some early arthritis in your knee . how- how are you doing with that ?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "uh ... it gets aggravated every once in a while . if i- maybe if i run too much or if i've lift boxes that are a little too heavy , i start to feel the strain . but it's been okay . not great , but it's been okay .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "okay . all right , well ... let me go ahead and- you know , i know that the nurse did a review of systems sheet with you when you- when you checked in . i know that you were endorsing the back pain .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "have you had any other symptoms , chest pain , nausea or vomiting-",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": ". fever , chills ?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "no . no none whatsoever .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "no . okay . all right , well let me go ahead , i want to do a quick physical exam .",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "hey dragon ? show me the blood pressure .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "so it's a little elevated . your blood pressure's a little elevated here in the office , but you know you could be in some pain , which could make your-",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": ". blood pressure go up . let's look at the readings .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "hey dragon ? show me the blood pressure readings .",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "yeah ... yeah you know they do run a little bit on the high side , so we'll have to address that as well .",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "okay , well . let me- i'm just going to be listening your heart and your lungs and i'll check out your back and i'll let you know what i find , okay ?",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "and kick against my hands .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "okay , good . all right .",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "okay , so ... on physical examination , you know , i-i do hear a slight 2 out of 6 s- s- systolic heart murmur .",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "on your heart exam . which you've had in the past .",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "so that sounds stable to me .",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "on your back exam , you know , you do have some pain to palpation of the lumbar spine . and you have pain with flexion and extension of the back . and you have a negative straight leg raise , which is which is good . so , let's- let's just look at some of your results , okay ?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "hey dragon ? show me the diabetes labs .",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "okay , so ... in reviewing the results of your diabetes labs , your hemoglobin a1c is a little elevated at eight . i'd like to see it a little bit better , okay ?",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "hey dragon ? show me the back x-ray .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "so in reviewing the results of your back x-ray , this looks like a normal x-ray . there's good bony alignment , there's normal uh- there's no fracture present . uh , so this is a normal x-ray of your back , which is not surprising based on-",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": ". the history , okay ?",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "so let's just go ahead and we'll- we're going to go over , you know , my assessment and my plan for you .",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "so for your first problem , your back pain . you know , i think you have a lumbar strain from the lifting . so , let's go ahead . we can prescribe you some meloxicam 15 mg once a day .",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "i want you to continue to ice it , okay . i want you to try to avoid any strenuous activity and we can go ahead and- and refer you to physical therapy-",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": ". and see how you do , okay ?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "for your next problem , your diabetes . y-you know , i think it's a little under- out of control . so i want to increase the metformin to 1000 mg twice a day . and i'm going to um ... um ... i'm going to repeat a hemoglobin a1c in about 6 months , okay ?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "hey dragon ? order a hemoglobin a1c .",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "so , for your third problem , your hypertension . uh ... i-i'd like to go ahead increase the lisinopril from 10 mg to 20 mg a day .",
"turn_id": 81
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "does that sound okay ? i think we need to get it under better control .",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "no that's fine . i agree .",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "hey dragon ? order lisinopril 20 mg daily .",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "and for your last problem , your osteoarthritis , i-i think that you were doing a really good job , in terms of you know what , monitoring your knee and uh ...",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "i do n't think we need to do any- any further , you know , work up of that at this time , okay ?",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "do you have any questions logan ?",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "not at this point .",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "okay . all right .",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "so the nurse will come in to help you get checked out , okay ?",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "hey dragon ? finalize the note .",
"turn_id": 95
}
] | [
{
"description": "hemoglobin a1c in about 6 months",
"order_type": "lab",
"provenance": [
9,
135
],
"reason": "diabetes type 2"
},
{
"description": "lisinopril 20 mg a day",
"order_type": "medication",
"provenance": [
139,
140
],
"reason": "hypertension"
},
{
"description": "meloxicam 15 mg once a day",
"order_type": "medication",
"provenance": [
121,
124
],
"reason": "back pain"
},
{
"description": "metformin 1000 mg twice a day",
"order_type": "medication",
"provenance": [
9,
134
],
"reason": "diabetes type 2"
}
] | {"id": "acibench_D2N070_virtassist_valid", "expected_orders": [{"order_type": "lab", "description": "hemoglobin a1c in about 6 months", "reason": "diabetes type 2", "provenance": [9, 135]}, {"order_type": "medication", "description": "lisinopril 20 mg a day", "reason": "hypertension", "provenance": [139, 140]}, {"order_type": "medication", "description": "meloxicam 15 mg once a day", "reason": "back pain", "provenance": [121, 124]}, {"order_type": "medication", "description": "metformin 1000 mg twice a day", "reason": "diabetes type 2", "provenance": [9, 134]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi logan . how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "hey , good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "it's good to see you as well ."}, {"turn_id": 4, "speaker": "doctor", "transcript": "so i know the nurse told you about dax ."}, {"turn_id": 5, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "i'd like to tell dax a little bit about you ."}, {"turn_id": 7, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "so logan is a 58 year old male , with a past medical history significant for diabetes type 2 , hypertension , osteoarthritis , who presents today with some back pain ."}, {"turn_id": 9, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "so logan , what happened to your back ?"}, {"turn_id": 11, "speaker": "patient", "transcript": "uh , we were helping my daughter with some heavy equipment and lifted some boxes a little too quickly , and they were a little too heavy ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "okay ... and did you strain your back , did something-"}, {"turn_id": 13, "speaker": "patient", "transcript": "i thought i heard a pop when i moved and i had to lie down for about an hour before it actually relieved the pain . and then it's been a little stiff ever since . and this was- what , so today's tuesday . this was saturday morning ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay , all right ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "and is it your lower back , your upper back ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "my lower back ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "your lower back , okay . and what- what have you taken for the pain ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "i took some tylenol , i took some ibuprofen , i used a little bit of icy heat on the spot but it really did n't seem to help ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay . and um ... do you have any numbing or tingling in your legs ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "uh ... i felt some tingling in my toes on my right foot until about sunday afternoon . and then that seemed to go away ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay , and is there a position that you feel better in ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "uh ... it's really tough to find a comfortable spot sleeping at night . i would- i tend to lie on my right side and that seemed to help a little bit ?"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay , all right ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "well , um ... so how are you doing otherwise ? i know that , you know , we have some issues to talk-"}, {"turn_id": 25, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 26, "speaker": "doctor", "transcript": ". about today . were you able to take any vacations over the summer ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "um ... some long weekends , which was great . just kind of- trying to mix it up through the summer . so lots of three day weekends ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay , well i'm glad to hear that ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "um ... so let's talk a little bit about your diabetes . how are you doing with that ? i know that- you know , i remember you have a sweet tooth . so ..."}, {"turn_id": 30, "speaker": "patient", "transcript": "yeah ... i-i love peanut butter cups . um ... and i have to say that when we were helping my daughter , we were on the fly and on the go and haven't had a home cooked meal in weeks, our diets were less than stellar ."}, {"turn_id": 31, "speaker": "patient", "transcript": "and uh ... i-i think i need to go clean for a couple of weeks . but other than that , it was been- it's been pretty good eating ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "okay , all right . and how about your high blood pressure ? are you monitoring your blood pressure readings at home , like i recommended ?"}, {"turn_id": 33, "speaker": "patient", "transcript": "i'm good about it during the week while i am at home working, but on the weekends when i'm out of the house i tend to forget . uh , and so it's not as regimented , but it's been pretty good and-and under control for the most part ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "okay , and you're you're taking your medication ?"}, {"turn_id": 35, "speaker": "patient", "transcript": "yes , i am ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "okay . and then lastly , i know that you had had some early arthritis in your knee . how- how are you doing with that ?"}, {"turn_id": 37, "speaker": "patient", "transcript": "uh ... it gets aggravated every once in a while . if i- maybe if i run too much or if i've lift boxes that are a little too heavy , i start to feel the strain . but it's been okay . not great , but it's been okay ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "okay . all right , well ... let me go ahead and- you know , i know that the nurse did a review of systems sheet with you when you- when you checked in . i know that you were endorsing the back pain ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "have you had any other symptoms , chest pain , nausea or vomiting-"}, {"turn_id": 40, "speaker": "patient", "transcript": "no ."}, {"turn_id": 41, "speaker": "doctor", "transcript": ". fever , chills ?"}, {"turn_id": 42, "speaker": "patient", "transcript": "no . no none whatsoever ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "no . okay . all right , well let me go ahead , i want to do a quick physical exam ."}, {"turn_id": 44, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "hey dragon ? show me the blood pressure ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "so it's a little elevated . your blood pressure's a little elevated here in the office , but you know you could be in some pain , which could make your-"}, {"turn_id": 47, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 48, "speaker": "doctor", "transcript": ". blood pressure go up . let's look at the readings ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "hey dragon ? show me the blood pressure readings ."}, {"turn_id": 50, "speaker": "doctor", "transcript": "yeah ... yeah you know they do run a little bit on the high side , so we'll have to address that as well ."}, {"turn_id": 51, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 52, "speaker": "doctor", "transcript": "okay , well . let me- i'm just going to be listening your heart and your lungs and i'll check out your back and i'll let you know what i find , okay ?"}, {"turn_id": 53, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 54, "speaker": "doctor", "transcript": "and kick against my hands ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "okay , good . all right ."}, {"turn_id": 56, "speaker": "doctor", "transcript": "okay , so ... on physical examination , you know , i-i do hear a slight 2 out of 6 s- s- systolic heart murmur ."}, {"turn_id": 57, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 58, "speaker": "doctor", "transcript": "on your heart exam . which you've had in the past ."}, {"turn_id": 59, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 60, "speaker": "doctor", "transcript": "so that sounds stable to me ."}, {"turn_id": 61, "speaker": "doctor", "transcript": "on your back exam , you know , you do have some pain to palpation of the lumbar spine . and you have pain with flexion and extension of the back . and you have a negative straight leg raise , which is which is good . so , let's- let's just look at some of your results , okay ?"}, {"turn_id": 62, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 63, "speaker": "doctor", "transcript": "hey dragon ? show me the diabetes labs ."}, {"turn_id": 64, "speaker": "doctor", "transcript": "okay , so ... in reviewing the results of your diabetes labs , your hemoglobin a1c is a little elevated at eight . i'd like to see it a little bit better , okay ?"}, {"turn_id": 65, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 66, "speaker": "doctor", "transcript": "hey dragon ? show me the back x-ray ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "so in reviewing the results of your back x-ray , this looks like a normal x-ray . there's good bony alignment , there's normal uh- there's no fracture present . uh , so this is a normal x-ray of your back , which is not surprising based on-"}, {"turn_id": 68, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 69, "speaker": "doctor", "transcript": ". the history , okay ?"}, {"turn_id": 70, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 71, "speaker": "doctor", "transcript": "so let's just go ahead and we'll- we're going to go over , you know , my assessment and my plan for you ."}, {"turn_id": 72, "speaker": "doctor", "transcript": "so for your first problem , your back pain . you know , i think you have a lumbar strain from the lifting . so , let's go ahead . we can prescribe you some meloxicam 15 mg once a day ."}, {"turn_id": 73, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 74, "speaker": "doctor", "transcript": "i want you to continue to ice it , okay . i want you to try to avoid any strenuous activity and we can go ahead and- and refer you to physical therapy-"}, {"turn_id": 75, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 76, "speaker": "doctor", "transcript": ". and see how you do , okay ?"}, {"turn_id": 77, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 78, "speaker": "doctor", "transcript": "for your next problem , your diabetes . y-you know , i think it's a little under- out of control . so i want to increase the metformin to 1000 mg twice a day . and i'm going to um ... um ... i'm going to repeat a hemoglobin a1c in about 6 months , okay ?"}, {"turn_id": 79, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 80, "speaker": "doctor", "transcript": "hey dragon ? order a hemoglobin a1c ."}, {"turn_id": 81, "speaker": "doctor", "transcript": "so , for your third problem , your hypertension . uh ... i-i'd like to go ahead increase the lisinopril from 10 mg to 20 mg a day ."}, {"turn_id": 82, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 83, "speaker": "doctor", "transcript": "does that sound okay ? i think we need to get it under better control ."}, {"turn_id": 84, "speaker": "patient", "transcript": "no that's fine . i agree ."}, {"turn_id": 85, "speaker": "doctor", "transcript": "hey dragon ? order lisinopril 20 mg daily ."}, {"turn_id": 86, "speaker": "doctor", "transcript": "and for your last problem , your osteoarthritis , i-i think that you were doing a really good job , in terms of you know what , monitoring your knee and uh ..."}, {"turn_id": 87, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 88, "speaker": "doctor", "transcript": "i do n't think we need to do any- any further , you know , work up of that at this time , okay ?"}, {"turn_id": 89, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 90, "speaker": "doctor", "transcript": "do you have any questions logan ?"}, {"turn_id": 91, "speaker": "patient", "transcript": "not at this point ."}, {"turn_id": 92, "speaker": "doctor", "transcript": "okay . all right ."}, {"turn_id": 93, "speaker": "doctor", "transcript": "so the nurse will come in to help you get checked out , okay ?"}, {"turn_id": 94, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 95, "speaker": "doctor", "transcript": "hey dragon ? finalize the note ."}]} |
acibench_D2N205_aci_clef_taskC_test3 | [
{
"speaker": "doctor",
"transcript": "hey angela how are you",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i'm good how are you",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "i'm good so i see we are here you had a recent diagnosis of stage three nonsmol cell lung cancer and so we are following up on your neo adevant chemotherapy so you can you tell me how you're doing today",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yeah you know i'm i'm doing okay i have a little bit of some shortness of breath that i noticed over the weekend and you know i i'm i considered myself pretty active before this i would walk my dog around the block and now i i ca n't even walk you know down the street without being short of breath",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay yeah yeah i mean that's that's definitely understandable it says you had a four point four centimeter left upper lobe nodule in there so it's kinda big but that's understandable and we're doing the chemo to try to reduce that that that tumor that you do have so how often do you normally run with your dogs",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "i mean i would i would take them for i would normally take them for like mile long walks everyday and just this weekend i could only walk down to the end of the street i had to have my husband take the dog fit walk",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "man okay what kind of dog do you have",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i have a dobrman",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "yeah they are pretty active that makes sense alright so have you been coughing have you had any phlegm",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "i've been having a dry cough no phlegm",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay have you noticed any fever",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no fever",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "no fever alright what about any other symptoms like any body aches any sore throat sinus pain",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "well i mean now that you mentioned it like every time i swallow it hurts it does n't feel like i have a cold because it hurts down here more in my chest but every time i swallow it it's really painful",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay so when you are swallowing i know some of my patients feel this do you feel like the food is getting stuck",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no the food is not getting stuck it just hurts",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay what about when you're you're taking liquids are you able to take in both hydrocort liquids",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i mean i definitely feel like over the weekend i have n't been taking it as much because it hurt so much but i i am able to i am able to drink and i've been taking ensure and things like that i had a milk shake",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay that's that's that's that's good yeah we we definitely want you to to take in as much liquid as possible best especially since you're on the chemotherapy and the radiation just so you wo n't get dehydrated because that will make you feel a lot worse if you are dehydrated okay so on a on a mental emotional standpoint i know you said you have your husband with you how you doing with that you have the support that you need you need to speak to me though",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "it's very helpful you know as you can understand i'm just like devastated when i got this diagnosis and i'm just i'm just trying to figure everything out and but he is very good and my daughter is is very helpful too and i you know i think for the most part i'm very fortunate to have them",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay so how how are you feeling on your chemo see you're on a combination of sysplatin and a topicide you had your last dose a few days ago any nausea any fatigue from that",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "i was a little nauseated and tired but i took the zofran that you prescribed and that seemed to help and you know i i got some rest it's it's it's been okay",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay that's good so let me do a quick physical exam on you just gon na check your vitals here so your vitals are normal your pulse ox is okay so everything's good with that so i'm gon na feel your neck on your neck exam i do n't appreciate any cervical lymphadenopathy no subclavicular adenopathy your heart exam regular rate and rhythm no murmur your lung exam so i do notice some crackles in your lungs bilaterally that's just a faint sound we hear when you take a deep breath so that could mean you have some fluid in there and that is to be expected due to your lung cancer diagnosis so i'm gon na look at your skin exam so on your skin exam on your chest i do see some erythema on the anterior aspect of your chest on the left side and that could be due to that radiation sometimes patients do get a radiation burn and it's it'll get better with time especially once you're done with the the radiation treatment and on your extremity it there is no lower extremity edema in your legs so prior to coming to see me you did get a chest x-ray it looks like you do have mild radiation umitis that means you have inflammation of your lungs due to the radiation so let's talk a little bit about my assessment and plan for you so your first diagnosis you know is is the lung cancer so we are gon na continue you on that chemo regimen on that you do have continue on that that current radiation doses i think you're on forty five grade yep you're on that and then when the when the regimen's complete we'll do some more testing and hopefully we can see a resection of that tumor so that has just gotten little smaller and we can go inside and and take it out so for your second diagnosis the radiation pneumonitis i'm gon na prescribe you a low dose steroid prednisone forty milligrams one tablet a day for five days have you been on on a steroids before",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no i've only ever heard bad things about them they make people jittery and gain weight",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "i mean and and i for you that's that that's for patients that you know who are on them for a a long period of time right you're only gon na be on it for five days that should n't affect you too bad you might feel when you coming off of it after the five days a few muscle aches other than that you should be fine you should n't really experience much weight gain other other than not not much at all since you're only on on it for five days so but that's gon na help you reduce some of the inflammation in your lungs help you breathe better so we can continue the radiation treatment because we definitely need to do that because our most important thing right now is to try to decrease the size of that tumor okay and then for your third issue the oddy ophagia or it come terms the painful swallowing right you said you had that from the from the radiation so that's from the inflammation of your lungs that's kinda creeping up to your esophagus that's why you're you're feeling that pain so i'm gon na prescribe you a lidocaine squishy and swallow you can do that four times a day and so you'll do it and you'll be able to eat immediately afterwards because it would do some of that pain free from swallowing and that will help you taking liquids and food because we definitely need you well off it and and and hydrated while you're going through this cancer therapy okay",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "alright so do you have any questions for me",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "alright so we will get you those medications those prescriptions and then we will see you back in two weeks",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "okay great thank you",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "thanks",
"turn_id": 31
}
] | [
{
"description": "lidocaine squishy and swallow four times a day",
"order_type": "medication",
"provenance": [
25
],
"reason": "oddy ophagia"
},
{
"description": "see you back two weeks",
"order_type": "followup",
"provenance": [
29
],
"reason": null
},
{
"description": "prednisone forty milligrams one tablet a day five days",
"order_type": "medication",
"provenance": [
23
],
"reason": "radiation pneumonitis"
}
] | {"id": "acibench_D2N205_aci_clef_taskC_test3", "expected_orders": [{"order_type": "medication", "description": "lidocaine squishy and swallow four times a day", "reason": "oddy ophagia", "provenance": [25]}, {"order_type": "followup", "description": "see you back two weeks", "reason": null, "provenance": [29]}, {"order_type": "medication", "description": "prednisone forty milligrams one tablet a day five days", "reason": "radiation pneumonitis", "provenance": [23]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey angela how are you"}, {"turn_id": 2, "speaker": "patient", "transcript": "i'm good how are you"}, {"turn_id": 3, "speaker": "doctor", "transcript": "i'm good so i see we are here you had a recent diagnosis of stage three nonsmol cell lung cancer and so we are following up on your neo adevant chemotherapy so you can you tell me how you're doing today"}, {"turn_id": 4, "speaker": "patient", "transcript": "yeah you know i'm i'm doing okay i have a little bit of some shortness of breath that i noticed over the weekend and you know i i'm i considered myself pretty active before this i would walk my dog around the block and now i i ca n't even walk you know down the street without being short of breath"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay yeah yeah i mean that's that's definitely understandable it says you had a four point four centimeter left upper lobe nodule in there so it's kinda big but that's understandable and we're doing the chemo to try to reduce that that that tumor that you do have so how often do you normally run with your dogs"}, {"turn_id": 6, "speaker": "patient", "transcript": "i mean i would i would take them for i would normally take them for like mile long walks everyday and just this weekend i could only walk down to the end of the street i had to have my husband take the dog fit walk"}, {"turn_id": 7, "speaker": "doctor", "transcript": "man okay what kind of dog do you have"}, {"turn_id": 8, "speaker": "patient", "transcript": "i have a dobrman"}, {"turn_id": 9, "speaker": "doctor", "transcript": "yeah they are pretty active that makes sense alright so have you been coughing have you had any phlegm"}, {"turn_id": 10, "speaker": "patient", "transcript": "i've been having a dry cough no phlegm"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay have you noticed any fever"}, {"turn_id": 12, "speaker": "patient", "transcript": "no fever"}, {"turn_id": 13, "speaker": "doctor", "transcript": "no fever alright what about any other symptoms like any body aches any sore throat sinus pain"}, {"turn_id": 14, "speaker": "patient", "transcript": "well i mean now that you mentioned it like every time i swallow it hurts it does n't feel like i have a cold because it hurts down here more in my chest but every time i swallow it it's really painful"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay so when you are swallowing i know some of my patients feel this do you feel like the food is getting stuck"}, {"turn_id": 16, "speaker": "patient", "transcript": "no the food is not getting stuck it just hurts"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay what about when you're you're taking liquids are you able to take in both hydrocort liquids"}, {"turn_id": 18, "speaker": "patient", "transcript": "i mean i definitely feel like over the weekend i have n't been taking it as much because it hurt so much but i i am able to i am able to drink and i've been taking ensure and things like that i had a milk shake"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay that's that's that's that's good yeah we we definitely want you to to take in as much liquid as possible best especially since you're on the chemotherapy and the radiation just so you wo n't get dehydrated because that will make you feel a lot worse if you are dehydrated okay so on a on a mental emotional standpoint i know you said you have your husband with you how you doing with that you have the support that you need you need to speak to me though"}, {"turn_id": 20, "speaker": "patient", "transcript": "it's very helpful you know as you can understand i'm just like devastated when i got this diagnosis and i'm just i'm just trying to figure everything out and but he is very good and my daughter is is very helpful too and i you know i think for the most part i'm very fortunate to have them"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay so how how are you feeling on your chemo see you're on a combination of sysplatin and a topicide you had your last dose a few days ago any nausea any fatigue from that"}, {"turn_id": 22, "speaker": "patient", "transcript": "i was a little nauseated and tired but i took the zofran that you prescribed and that seemed to help and you know i i got some rest it's it's it's been okay"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay that's good so let me do a quick physical exam on you just gon na check your vitals here so your vitals are normal your pulse ox is okay so everything's good with that so i'm gon na feel your neck on your neck exam i do n't appreciate any cervical lymphadenopathy no subclavicular adenopathy your heart exam regular rate and rhythm no murmur your lung exam so i do notice some crackles in your lungs bilaterally that's just a faint sound we hear when you take a deep breath so that could mean you have some fluid in there and that is to be expected due to your lung cancer diagnosis so i'm gon na look at your skin exam so on your skin exam on your chest i do see some erythema on the anterior aspect of your chest on the left side and that could be due to that radiation sometimes patients do get a radiation burn and it's it'll get better with time especially once you're done with the the radiation treatment and on your extremity it there is no lower extremity edema in your legs so prior to coming to see me you did get a chest x-ray it looks like you do have mild radiation umitis that means you have inflammation of your lungs due to the radiation so let's talk a little bit about my assessment and plan for you so your first diagnosis you know is is the lung cancer so we are gon na continue you on that chemo regimen on that you do have continue on that that current radiation doses i think you're on forty five grade yep you're on that and then when the when the regimen's complete we'll do some more testing and hopefully we can see a resection of that tumor so that has just gotten little smaller and we can go inside and and take it out so for your second diagnosis the radiation pneumonitis i'm gon na prescribe you a low dose steroid prednisone forty milligrams one tablet a day for five days have you been on on a steroids before"}, {"turn_id": 24, "speaker": "patient", "transcript": "no i've only ever heard bad things about them they make people jittery and gain weight"}, {"turn_id": 25, "speaker": "doctor", "transcript": "i mean and and i for you that's that that's for patients that you know who are on them for a a long period of time right you're only gon na be on it for five days that should n't affect you too bad you might feel when you coming off of it after the five days a few muscle aches other than that you should be fine you should n't really experience much weight gain other other than not not much at all since you're only on on it for five days so but that's gon na help you reduce some of the inflammation in your lungs help you breathe better so we can continue the radiation treatment because we definitely need to do that because our most important thing right now is to try to decrease the size of that tumor okay and then for your third issue the oddy ophagia or it come terms the painful swallowing right you said you had that from the from the radiation so that's from the inflammation of your lungs that's kinda creeping up to your esophagus that's why you're you're feeling that pain so i'm gon na prescribe you a lidocaine squishy and swallow you can do that four times a day and so you'll do it and you'll be able to eat immediately afterwards because it would do some of that pain free from swallowing and that will help you taking liquids and food because we definitely need you well off it and and and hydrated while you're going through this cancer therapy okay"}, {"turn_id": 26, "speaker": "patient", "transcript": "okay"}, {"turn_id": 27, "speaker": "doctor", "transcript": "alright so do you have any questions for me"}, {"turn_id": 28, "speaker": "patient", "transcript": "no"}, {"turn_id": 29, "speaker": "doctor", "transcript": "alright so we will get you those medications those prescriptions and then we will see you back in two weeks"}, {"turn_id": 30, "speaker": "patient", "transcript": "okay great thank you"}, {"turn_id": 31, "speaker": "doctor", "transcript": "thanks"}]} |
primock57_4_2 | [
{
"speaker": "doctor",
"transcript": "You have to do it, part of your training as a doctor.",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "Hello.",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "Hi.",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "Hi. Can you hear me?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": ". Yes, I can hear fine.",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "Hi. My name's Doctor Gohill, I'm one of the general practitioners, that works here. Can I check your name and date of birth please?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "Uh, I am, uh, Patrick Smith.",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "Hi.",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "Uh, thirty five years old.",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "Um, October, seventh. Uh.",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "ninety , three something.",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "Great.",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "And Patrick, are you in a, space, that's private and quiet?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "Great, and so, we're OK to chat?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "Yes, we are.",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "OK. So it says here, um, you are feeling hot, and have had severe headaches. Is that correct?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "Yeah. It's, it's really affecting my work. Uh, uh, it comes and goes. Uh.",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "Uh, I kind of, feel like, uh, it's, it's hard 'cause I, I , kinda lose my appetite.",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "Also. Uh, one thing that's kinda weird is, I just sometimes also get like some, tingling in my arms.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": ". And, like, especially if, for example when I, come into the elevator, in the morning.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "I, I can uh, of have, my heart is beating, kinda fast.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "So, those are lots of things. Are they all happening at the same time?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "Almost randomly like. Yeah, it's, it's, it's at different , times.",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "And, do they all happen at the same time? Or is it one thing one time, and one ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": ", one time, one thing at a time.",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "OK. So, let's start with the headaches. When they do come, do you have any idea the headache is going to come?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "Uh, not really but, generally during, work times.",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "So, it's normally at work?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "I'm at work, I'm in a meeting, or on my laptop.",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "OK. And, where does the headache sit in your head? Is it the front, or the back?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "Um, I can't say, so like, kind of over.",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": ". OK. And, does it else?",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "Does it go anywhere else?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": ", the headache? No, it's mostly in the front, and then yeah, it just kind of stays there.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "And, when you have the headaches, specifically, do you feel sick?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": ", not, not, not really, but it's like, making it hard. I, yeah, I kind of feel a little bit nauseous maybe. Um.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "And sometimes I also feel like.",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "Uh, yeah. It's like uh, maybe, probably, breathing or something.",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "And, do you normally get headaches, before all of this started?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "Uh, so.",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "No, I, I feel like my, like, health situation was mostly under control.",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "And then let's.",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "But it , it started roughly when I changed jobs.",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "OK. So, talk to me about your job, what do you do?",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "I'm a lawyer.",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "And, do you work in London at the moment?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "So, do you get these headaches on your commute in to work?",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "Not really. I get it, mostly when I'm, at work.",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "OK, and tell me about what you do. Do you sit in front of a computer most of the time? Or do you speak to people?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Like fifty-fifty. I go to meetings and then uh, sit in front of a computer.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "There's a lot of reading.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "And, these things have happened mostly when you're sitting at your computer?",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": ", yeah, it happens then, yeah.",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "OK, and tell me, what did you do, before being a lawyer?",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "Uh, no, I was a lawyer at previous job as well.",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "So, talk to me about the stress that you're under at the moment. If, uh, ten out of ten is, extremely stressful, and one out of ten is being on vacation. Where would moment?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "Think it's, seven, or eight.",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "And, is that normal for you?",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "Yeah, it's like, a law firm, like, there's always pressure.",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "So, you mentioned your headaches. You also mentioned your reduced appetite. So, you don't want to eat as much.",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "Have you lost weight?",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "Can you remember how much you've lost?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "Five pounds.",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "And, is that because you're going to the gym? Or is that unintentional?",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "It's not intentional, no.",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "OK. So, have you noticed your clothes feeling looser?",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": ", not really, ah, no.",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "And, have people said, or commented that you've lost weight?",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": "Great. And, another thing that you also mentioned. Is that you noticed tingling in your hand.",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "So, talk to me about that. Is it in one hand? Or both hands?",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "Both.",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "And, do you get that in your legs as well?",
"turn_id": 98
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 99
},
{
"speaker": "doctor",
"transcript": "And, what does it feel like, the tingling?",
"turn_id": 100
},
{
"speaker": "patient",
"transcript": "Quick picking, yeah.",
"turn_id": 101
},
{
"speaker": "doctor",
"transcript": "And again, is this the first time you've noticed this?",
"turn_id": 102
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "And the other two things that I've just, jotted down. Is, you're feeling hot, but you didn't mention that.",
"turn_id": 105
},
{
"speaker": "doctor",
"transcript": "Is that correct?",
"turn_id": 106
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 107
},
{
"speaker": "patient",
"transcript": "Uh, but like.",
"turn_id": 108
},
{
"speaker": "patient",
"transcript": "I would say like, I get this like, feeling of, short, like, , short of breath, sometimes.",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 110
},
{
"speaker": "patient",
"transcript": "So, like, that could be what, you we're, referring to.",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "Yes. So, do you feel short of breath while you're sitting at your desk?",
"turn_id": 112
},
{
"speaker": "patient",
"transcript": "Yeah, no. Yes. Sorry, yeah.",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": ". OK. And, how about when you're exercising?",
"turn_id": 114
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 115
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "And the last thing is. You mentioned that you noticed your heart beating?",
"turn_id": 117
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 118
},
{
"speaker": "doctor",
"transcript": "Again, how often do you get that?",
"turn_id": 119
},
{
"speaker": "patient",
"transcript": "I, I, when I like, it's maybe once a day, uh, maybe more. Uh.",
"turn_id": 120
},
{
"speaker": "patient",
"transcript": "There's one more thing that I, I think I should mention, like, I do have like, some loss of libido at home.",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "OK. How long has that been happening for?",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "Same amount of time really, like, since I changed my job.",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "Fine. And, apart from all of these things that you've told me. Do you have any other medical problems?",
"turn_id": 124
},
{
"speaker": "patient",
"transcript": "Uh, well I have, hyperthyroidism.",
"turn_id": 125
},
{
"speaker": "doctor",
"transcript": "OK. And, do you take medications for that?",
"turn_id": 126
},
{
"speaker": "patient",
"transcript": "Thyroxine.",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "And, are you remembering to take your medications?",
"turn_id": 128
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 129
},
{
"speaker": "doctor",
"transcript": "OK. And, do you drink or smoke?",
"turn_id": 130
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 131
},
{
"speaker": "doctor",
"transcript": "How much do you drink?",
"turn_id": 132
},
{
"speaker": "patient",
"transcript": "Like, once a week, couple of glasses, of wine.",
"turn_id": 133
},
{
"speaker": "doctor",
"transcript": "OK. And, how about smoking?",
"turn_id": 134
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 135
},
{
"speaker": "doctor",
"transcript": "And, uh, I need to ask this to all of my patients, but do you do anything else recreational, in terms of drugs?",
"turn_id": 136
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 137
},
{
"speaker": "doctor",
"transcript": "OK. So, you've never taken cocaine, or marijuana?",
"turn_id": 138
},
{
"speaker": "patient",
"transcript": ". No.",
"turn_id": 139
},
{
"speaker": "doctor",
"transcript": "OK, thank you. And, are you allergic to anything?",
"turn_id": 140
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 141
},
{
"speaker": "doctor",
"transcript": "Good. So, you've told me lots of things happening to you at the moment, and I can understand, they probably feel quite strange and unusual.",
"turn_id": 142
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 143
},
{
"speaker": "doctor",
"transcript": "Um, I think the best course of action is, you come and see, one of our doctors, in the clinic.",
"turn_id": 144
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 145
},
{
"speaker": "doctor",
"transcript": "We can give you an examination, and what that means is, we check your heart and your breathing.",
"turn_id": 146
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 147
},
{
"speaker": "doctor",
"transcript": "Make sure that those things are functioning correctly.",
"turn_id": 148
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 149
},
{
"speaker": "doctor",
"transcript": "And probably do some blood tests, for your thyroxine.",
"turn_id": 150
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 151
},
{
"speaker": "doctor",
"transcript": "And take it from there. How does that sound?",
"turn_id": 152
},
{
"speaker": "patient",
"transcript": "That sounds, uh, very good. Thank you.",
"turn_id": 153
},
{
"speaker": "doctor",
"transcript": "I think before we give you any medications, we should see you in person.",
"turn_id": 154
},
{
"speaker": "patient",
"transcript": "OK. .",
"turn_id": 155
},
{
"speaker": "doctor",
"transcript": "So, what we're going to do is book an appointment. Or I think you can book an appointment through the app, to come and see us clinic, and see one of my colleagues.",
"turn_id": 156
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 157
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 158
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 159
},
{
"speaker": "doctor",
"transcript": "I'll let them know what you've told me today, so you won't have to repeat exactly what you've said.",
"turn_id": 160
},
{
"speaker": "patient",
"transcript": "Thank you.",
"turn_id": 161
},
{
"speaker": "doctor",
"transcript": "Great. Do you have any questions?",
"turn_id": 162
},
{
"speaker": "patient",
"transcript": "Right.",
"turn_id": 163
},
{
"speaker": "patient",
"transcript": "No, that was it. Thank you very much.",
"turn_id": 164
},
{
"speaker": "doctor",
"transcript": "Thank you very much.",
"turn_id": 165
},
{
"speaker": "patient",
"transcript": "Yep, bye.",
"turn_id": 166
}
] | [
{
"description": "blood tests",
"order_type": "lab",
"provenance": [
164,
192
],
"reason": "hyperthyroidism"
}
] | {"id": "primock57_4_2", "expected_orders": [{"order_type": "lab", "description": "blood tests", "reason": "hyperthyroidism", "provenance": [164, 192]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "You have to do it, part of your training as a doctor."}, {"turn_id": 2, "speaker": "patient", "transcript": "Hello."}, {"turn_id": 3, "speaker": "doctor", "transcript": "Hi."}, {"turn_id": 4, "speaker": "doctor", "transcript": "Hi. Can you hear me?"}, {"turn_id": 5, "speaker": "patient", "transcript": ". Yes, I can hear fine."}, {"turn_id": 6, "speaker": "doctor", "transcript": "Hi. My name's Doctor Gohill, I'm one of the general practitioners, that works here. Can I check your name and date of birth please?"}, {"turn_id": 7, "speaker": "patient", "transcript": "Uh, I am, uh, Patrick Smith."}, {"turn_id": 8, "speaker": "doctor", "transcript": "Hi."}, {"turn_id": 9, "speaker": "patient", "transcript": "Uh, thirty five years old."}, {"turn_id": 10, "speaker": "patient", "transcript": "Um, October, seventh. Uh."}, {"turn_id": 11, "speaker": "patient", "transcript": "ninety , three something."}, {"turn_id": 12, "speaker": "doctor", "transcript": "Great."}, {"turn_id": 13, "speaker": "doctor", "transcript": "And Patrick, are you in a, space, that's private and quiet?"}, {"turn_id": 14, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 15, "speaker": "doctor", "transcript": "Great, and so, we're OK to chat?"}, {"turn_id": 16, "speaker": "patient", "transcript": "Yes, we are."}, {"turn_id": 17, "speaker": "doctor", "transcript": "OK. So it says here, um, you are feeling hot, and have had severe headaches. Is that correct?"}, {"turn_id": 18, "speaker": "patient", "transcript": "Yeah. It's, it's really affecting my work. Uh, uh, it comes and goes. Uh."}, {"turn_id": 19, "speaker": "patient", "transcript": "Uh, I kind of, feel like, uh, it's, it's hard 'cause I, I , kinda lose my appetite."}, {"turn_id": 20, "speaker": "patient", "transcript": "Also. Uh, one thing that's kinda weird is, I just sometimes also get like some, tingling in my arms."}, {"turn_id": 21, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 22, "speaker": "patient", "transcript": ". And, like, especially if, for example when I, come into the elevator, in the morning."}, {"turn_id": 23, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 24, "speaker": "patient", "transcript": "I, I can uh, of have, my heart is beating, kinda fast."}, {"turn_id": 25, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 26, "speaker": "doctor", "transcript": "So, those are lots of things. Are they all happening at the same time?"}, {"turn_id": 27, "speaker": "patient", "transcript": "Almost randomly like. Yeah, it's, it's, it's at different , times."}, {"turn_id": 28, "speaker": "doctor", "transcript": "And, do they all happen at the same time? Or is it one thing one time, and one ?"}, {"turn_id": 29, "speaker": "patient", "transcript": ", one time, one thing at a time."}, {"turn_id": 30, "speaker": "doctor", "transcript": "OK. So, let's start with the headaches. When they do come, do you have any idea the headache is going to come?"}, {"turn_id": 31, "speaker": "patient", "transcript": ""}, {"turn_id": 32, "speaker": "patient", "transcript": ""}, {"turn_id": 33, "speaker": "patient", "transcript": "Uh, not really but, generally during, work times."}, {"turn_id": 34, "speaker": "doctor", "transcript": "So, it's normally at work?"}, {"turn_id": 35, "speaker": "patient", "transcript": "I'm at work, I'm in a meeting, or on my laptop."}, {"turn_id": 36, "speaker": "doctor", "transcript": "OK. And, where does the headache sit in your head? Is it the front, or the back?"}, {"turn_id": 37, "speaker": "patient", "transcript": "Um, I can't say, so like, kind of over."}, {"turn_id": 38, "speaker": "doctor", "transcript": ". OK. And, does it else?"}, {"turn_id": 39, "speaker": "patient", "transcript": ""}, {"turn_id": 40, "speaker": "patient", "transcript": ""}, {"turn_id": 41, "speaker": "doctor", "transcript": "Does it go anywhere else?"}, {"turn_id": 42, "speaker": "patient", "transcript": ", the headache? No, it's mostly in the front, and then yeah, it just kind of stays there."}, {"turn_id": 43, "speaker": "doctor", "transcript": "And, when you have the headaches, specifically, do you feel sick?"}, {"turn_id": 44, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 45, "speaker": "patient", "transcript": ", not, not, not really, but it's like, making it hard. I, yeah, I kind of feel a little bit nauseous maybe. Um."}, {"turn_id": 46, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 47, "speaker": "patient", "transcript": "And sometimes I also feel like."}, {"turn_id": 48, "speaker": "patient", "transcript": "Uh, yeah. It's like uh, maybe, probably, breathing or something."}, {"turn_id": 49, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 50, "speaker": "patient", "transcript": "No."}, {"turn_id": 51, "speaker": "doctor", "transcript": "And, do you normally get headaches, before all of this started?"}, {"turn_id": 52, "speaker": "patient", "transcript": "Uh, so."}, {"turn_id": 53, "speaker": "patient", "transcript": "No, I, I feel like my, like, health situation was mostly under control."}, {"turn_id": 54, "speaker": "doctor", "transcript": ""}, {"turn_id": 55, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 56, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 57, "speaker": "doctor", "transcript": "And then let's."}, {"turn_id": 58, "speaker": "patient", "transcript": "But it , it started roughly when I changed jobs."}, {"turn_id": 59, "speaker": "doctor", "transcript": "OK. So, talk to me about your job, what do you do?"}, {"turn_id": 60, "speaker": "patient", "transcript": "I'm a lawyer."}, {"turn_id": 61, "speaker": "doctor", "transcript": "And, do you work in London at the moment?"}, {"turn_id": 62, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 63, "speaker": "doctor", "transcript": "So, do you get these headaches on your commute in to work?"}, {"turn_id": 64, "speaker": "patient", "transcript": "Not really. I get it, mostly when I'm, at work."}, {"turn_id": 65, "speaker": "doctor", "transcript": "OK, and tell me about what you do. Do you sit in front of a computer most of the time? Or do you speak to people?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Like fifty-fifty. I go to meetings and then uh, sit in front of a computer."}, {"turn_id": 67, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 68, "speaker": "patient", "transcript": "There's a lot of reading."}, {"turn_id": 69, "speaker": "doctor", "transcript": "And, these things have happened mostly when you're sitting at your computer?"}, {"turn_id": 70, "speaker": "patient", "transcript": "Um."}, {"turn_id": 71, "speaker": "patient", "transcript": ", yeah, it happens then, yeah."}, {"turn_id": 72, "speaker": "doctor", "transcript": "OK, and tell me, what did you do, before being a lawyer?"}, {"turn_id": 73, "speaker": "patient", "transcript": "Uh, no, I was a lawyer at previous job as well."}, {"turn_id": 74, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 75, "speaker": "patient", "transcript": ""}, {"turn_id": 76, "speaker": "doctor", "transcript": "So, talk to me about the stress that you're under at the moment. If, uh, ten out of ten is, extremely stressful, and one out of ten is being on vacation. Where would moment?"}, {"turn_id": 77, "speaker": "patient", "transcript": ""}, {"turn_id": 78, "speaker": "patient", "transcript": "Think it's, seven, or eight."}, {"turn_id": 79, "speaker": "doctor", "transcript": "And, is that normal for you?"}, {"turn_id": 80, "speaker": "patient", "transcript": "Yeah, it's like, a law firm, like, there's always pressure."}, {"turn_id": 81, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 82, "speaker": "doctor", "transcript": "So, you mentioned your headaches. You also mentioned your reduced appetite. So, you don't want to eat as much."}, {"turn_id": 83, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 84, "speaker": "doctor", "transcript": "Have you lost weight?"}, {"turn_id": 85, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 86, "speaker": "doctor", "transcript": "Can you remember how much you've lost?"}, {"turn_id": 87, "speaker": "patient", "transcript": "Five pounds."}, {"turn_id": 88, "speaker": "doctor", "transcript": "And, is that because you're going to the gym? Or is that unintentional?"}, {"turn_id": 89, "speaker": "patient", "transcript": "It's not intentional, no."}, {"turn_id": 90, "speaker": "doctor", "transcript": "OK. So, have you noticed your clothes feeling looser?"}, {"turn_id": 91, "speaker": "patient", "transcript": ", not really, ah, no."}, {"turn_id": 92, "speaker": "doctor", "transcript": "And, have people said, or commented that you've lost weight?"}, {"turn_id": 93, "speaker": "patient", "transcript": "No."}, {"turn_id": 94, "speaker": "doctor", "transcript": "Great. And, another thing that you also mentioned. Is that you noticed tingling in your hand."}, {"turn_id": 95, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 96, "speaker": "doctor", "transcript": "So, talk to me about that. Is it in one hand? Or both hands?"}, {"turn_id": 97, "speaker": "patient", "transcript": "Both."}, {"turn_id": 98, "speaker": "doctor", "transcript": "And, do you get that in your legs as well?"}, {"turn_id": 99, "speaker": "patient", "transcript": "No."}, {"turn_id": 100, "speaker": "doctor", "transcript": "And, what does it feel like, the tingling?"}, {"turn_id": 101, "speaker": "patient", "transcript": "Quick picking, yeah."}, {"turn_id": 102, "speaker": "doctor", "transcript": "And again, is this the first time you've noticed this?"}, {"turn_id": 103, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 104, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 105, "speaker": "doctor", "transcript": "And the other two things that I've just, jotted down. Is, you're feeling hot, but you didn't mention that."}, {"turn_id": 106, "speaker": "doctor", "transcript": "Is that correct?"}, {"turn_id": 107, "speaker": "patient", "transcript": ""}, {"turn_id": 108, "speaker": "patient", "transcript": "Uh, but like."}, {"turn_id": 109, "speaker": "patient", "transcript": "I would say like, I get this like, feeling of, short, like, , short of breath, sometimes."}, {"turn_id": 110, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 111, "speaker": "patient", "transcript": "So, like, that could be what, you we're, referring to."}, {"turn_id": 112, "speaker": "doctor", "transcript": "Yes. So, do you feel short of breath while you're sitting at your desk?"}, {"turn_id": 113, "speaker": "patient", "transcript": "Yeah, no. Yes. Sorry, yeah."}, {"turn_id": 114, "speaker": "doctor", "transcript": ". OK. And, how about when you're exercising?"}, {"turn_id": 115, "speaker": "patient", "transcript": "No."}, {"turn_id": 116, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 117, "speaker": "doctor", "transcript": "And the last thing is. You mentioned that you noticed your heart beating?"}, {"turn_id": 118, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 119, "speaker": "doctor", "transcript": "Again, how often do you get that?"}, {"turn_id": 120, "speaker": "patient", "transcript": "I, I, when I like, it's maybe once a day, uh, maybe more. Uh."}, {"turn_id": 121, "speaker": "patient", "transcript": "There's one more thing that I, I think I should mention, like, I do have like, some loss of libido at home."}, {"turn_id": 122, "speaker": "doctor", "transcript": "OK. How long has that been happening for?"}, {"turn_id": 123, "speaker": "patient", "transcript": "Same amount of time really, like, since I changed my job."}, {"turn_id": 124, "speaker": "doctor", "transcript": "Fine. And, apart from all of these things that you've told me. Do you have any other medical problems?"}, {"turn_id": 125, "speaker": "patient", "transcript": "Uh, well I have, hyperthyroidism."}, {"turn_id": 126, "speaker": "doctor", "transcript": "OK. And, do you take medications for that?"}, {"turn_id": 127, "speaker": "patient", "transcript": "Thyroxine."}, {"turn_id": 128, "speaker": "doctor", "transcript": "And, are you remembering to take your medications?"}, {"turn_id": 129, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 130, "speaker": "doctor", "transcript": "OK. And, do you drink or smoke?"}, {"turn_id": 131, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 132, "speaker": "doctor", "transcript": "How much do you drink?"}, {"turn_id": 133, "speaker": "patient", "transcript": "Like, once a week, couple of glasses, of wine."}, {"turn_id": 134, "speaker": "doctor", "transcript": "OK. And, how about smoking?"}, {"turn_id": 135, "speaker": "patient", "transcript": "No."}, {"turn_id": 136, "speaker": "doctor", "transcript": "And, uh, I need to ask this to all of my patients, but do you do anything else recreational, in terms of drugs?"}, {"turn_id": 137, "speaker": "patient", "transcript": "No."}, {"turn_id": 138, "speaker": "doctor", "transcript": "OK. So, you've never taken cocaine, or marijuana?"}, {"turn_id": 139, "speaker": "patient", "transcript": ". No."}, {"turn_id": 140, "speaker": "doctor", "transcript": "OK, thank you. And, are you allergic to anything?"}, {"turn_id": 141, "speaker": "patient", "transcript": ""}, {"turn_id": 142, "speaker": "doctor", "transcript": "Good. So, you've told me lots of things happening to you at the moment, and I can understand, they probably feel quite strange and unusual."}, {"turn_id": 143, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 144, "speaker": "doctor", "transcript": "Um, I think the best course of action is, you come and see, one of our doctors, in the clinic."}, {"turn_id": 145, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 146, "speaker": "doctor", "transcript": "We can give you an examination, and what that means is, we check your heart and your breathing."}, {"turn_id": 147, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 148, "speaker": "doctor", "transcript": "Make sure that those things are functioning correctly."}, {"turn_id": 149, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 150, "speaker": "doctor", "transcript": "And probably do some blood tests, for your thyroxine."}, {"turn_id": 151, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 152, "speaker": "doctor", "transcript": "And take it from there. How does that sound?"}, {"turn_id": 153, "speaker": "patient", "transcript": "That sounds, uh, very good. Thank you."}, {"turn_id": 154, "speaker": "doctor", "transcript": "I think before we give you any medications, we should see you in person."}, {"turn_id": 155, "speaker": "patient", "transcript": "OK. ."}, {"turn_id": 156, "speaker": "doctor", "transcript": "So, what we're going to do is book an appointment. Or I think you can book an appointment through the app, to come and see us clinic, and see one of my colleagues."}, {"turn_id": 157, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 158, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 159, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 160, "speaker": "doctor", "transcript": "I'll let them know what you've told me today, so you won't have to repeat exactly what you've said."}, {"turn_id": 161, "speaker": "patient", "transcript": "Thank you."}, {"turn_id": 162, "speaker": "doctor", "transcript": "Great. Do you have any questions?"}, {"turn_id": 163, "speaker": "patient", "transcript": "Right."}, {"turn_id": 164, "speaker": "patient", "transcript": "No, that was it. Thank you very much."}, {"turn_id": 165, "speaker": "doctor", "transcript": "Thank you very much."}, {"turn_id": 166, "speaker": "patient", "transcript": "Yep, bye."}]} |
acibench_D2N082_aci_valid | [
{
"speaker": "doctor",
"transcript": "alright",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "you're ready just",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "ready",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "hi kyle how are you today",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah i bet that did make you nervous i i see that she referred you for a low immunoglobulin a level is that your understanding",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "yeah i mean i do n't even really understand what that means but yeah that's what she told me",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "yeah that's a mouthful",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "it it's the the one of the antibodies in your body and that that really makes that your body makes to fight infections it's a little bit low i'm happy to explain it a little bit more to you i just have a few more questions okay so let's start again here",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "i'll do this",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "i i think i would break that",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "yeah i just saw that",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "if you can do that",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "yeah so we'll we'll just",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "you can leave it the way it is for now i just i think break that up",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay alright so yeah that sounds fine for me",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah i do you know why she checked these levels in the first place that you've been having problems getting frequent infections",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "yeah yeah i had a recent physical and she did this as part of her my physical i do tend to get infections but i do n't know i i'm so used to it so i do n't know if this is more than usual in the wintertime i get a lot of colds and they do seem to i always say that my colds kind of linger for a long time but i do n't know if it's more than usual",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "okay how about any abdominal infections",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "diarrhea no",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "frequently",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "no not that i can not that i say can think of",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "okay what about your family are are anyone in your family that you know have immune deficiencies",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "no my family is actually pretty healthy",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "okay and how about do you have any other medical conditions",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "yeah my pcp just started me on metformin i just got diagnosed with type two diabetes",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "okay okay yeah diabetes your family your family owns that donut shop right i mean down at the end of the street",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "yes and that's probably part of the cause of my diabetes yes",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "yeah well i guess you're gon na have to watch that",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "i know i know",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "but you know everything in moderation i mean just you know you just need to be careful you ca n't does n't have to go away",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "right",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "but have you ever needed to receive a blood transfusion or blood products",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "no i actually tried to give blood but they i did n't qualify because i had recently traveled internationally",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "okay where did you go",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "i was in zambia",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "hmmm i heard that's beautiful",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "it's so beautiful it's so beautiful i had a great time",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "okay well let me let me go ahead and do a physical examination here i reviewed your vitals you know that the the assistants collected when you first came in including your weight and everything looks good there there is no fever there there is nothing that i'm concerned about there now on your heart exam you have a nice regular rate and rhythm and i do n't appreciate any murmurs that's kind of those extra sounds that i would hear and that that all sounds good on lungs lung exam your lungs are clear there's no wheezes rales or rhonchi now on your neck exam i do n't appreciate any lymph lymphadenopathy swollen lymph glands and then let me just go ahead and i wan na press on your belly a little bit is that tender anywhere that i press it does n't seem like you making any facial",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "no",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "no okay so your you know your abdominal exam is your belly is soft there is no tenderness as i i push around there now i did review the results of your recent lab work and it is consistent as as your pcp noted with an iga deficiency that's that immunoglobulin a that we talked about so let me tell you a little bit about the assessment and plan so for your first problem the that a iga deficiency is it very common immunodeficiency your your body makes many different types of antibodies in one of your z iga is just a little bit lower than normal now most of the time people live their entire life without even knowing they have that deficiency and function perfectly normal now some people may find that they get tend to get frequent respiratory tract or sinus or abdominal infections but this does n't necessarily seem to be the case for you now it can go along with other immunodeficiencies but i think there is a low likelihood hood in your case but we're gon na order some additional blood work that includes checking those other antibodies now do you have any questions on what i just told you",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "yeah so is there anything i need to do or should be watching for or should i be worried",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "no i i really do n't think you need to be worried now we're gon na check these additional studies and that will give us some more guidance but really i think this is just a finding that's common to you and you know it it's many people have have have these type of you know immunodeficiency what i want you to watch for is those infections that do n't stop you have trouble getting it under control or you know any changes to your abdominal tract you know severe diarrhea",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "anything like that then you know we may want to look at it a little bit further but for now i do n't think there is anything significant we want to do now go ahead and get your lab work and",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "bring you in for that now the only other thing that i would say is if you eat end up needing any blood products between now and when i see you next make sure you tell them that you have that iga deficiency",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "why is that",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "well there is a risk that your body can strongly react to some blood products and they just need to know that so they're prepared so anytime you get blood just make sure you say that you have a history of a an an iga deficiency",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "okay okay thank you",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "you're welcome",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 53
}
] | [
{
"description": "blood antibodies",
"order_type": "lab",
"provenance": [
44
],
"reason": "it can go along with other immunodeficiencies"
}
] | {"id": "acibench_D2N082_aci_valid", "expected_orders": [{"order_type": "lab", "description": "blood antibodies", "reason": "it can go along with other immunodeficiencies", "provenance": [44]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "alright"}, {"turn_id": 2, "speaker": "patient", "transcript": "you're ready just"}, {"turn_id": 3, "speaker": "doctor", "transcript": "ready"}, {"turn_id": 4, "speaker": "patient", "transcript": "hi kyle how are you today"}, {"turn_id": 5, "speaker": "doctor", "transcript": "i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah i bet that did make you nervous i i see that she referred you for a low immunoglobulin a level is that your understanding"}, {"turn_id": 7, "speaker": "doctor", "transcript": "yeah i mean i do n't even really understand what that means but yeah that's what she told me"}, {"turn_id": 8, "speaker": "patient", "transcript": "yeah that's a mouthful"}, {"turn_id": 9, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 10, "speaker": "patient", "transcript": "it it's the the one of the antibodies in your body and that that really makes that your body makes to fight infections it's a little bit low i'm happy to explain it a little bit more to you i just have a few more questions okay so let's start again here"}, {"turn_id": 11, "speaker": "doctor", "transcript": "i'll do this"}, {"turn_id": 12, "speaker": "patient", "transcript": "i i think i would break that"}, {"turn_id": 13, "speaker": "doctor", "transcript": "yeah i just saw that"}, {"turn_id": 14, "speaker": "patient", "transcript": "if you can do that"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 16, "speaker": "patient", "transcript": "yeah so we'll we'll just"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 18, "speaker": "patient", "transcript": "you can leave it the way it is for now i just i think break that up"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay alright so yeah that sounds fine for me"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah i do you know why she checked these levels in the first place that you've been having problems getting frequent infections"}, {"turn_id": 21, "speaker": "doctor", "transcript": "yeah yeah i had a recent physical and she did this as part of her my physical i do tend to get infections but i do n't know i i'm so used to it so i do n't know if this is more than usual in the wintertime i get a lot of colds and they do seem to i always say that my colds kind of linger for a long time but i do n't know if it's more than usual"}, {"turn_id": 22, "speaker": "patient", "transcript": "okay how about any abdominal infections"}, {"turn_id": 23, "speaker": "doctor", "transcript": "diarrhea no"}, {"turn_id": 24, "speaker": "patient", "transcript": "frequently"}, {"turn_id": 25, "speaker": "doctor", "transcript": "no not that i can not that i say can think of"}, {"turn_id": 26, "speaker": "patient", "transcript": "okay what about your family are are anyone in your family that you know have immune deficiencies"}, {"turn_id": 27, "speaker": "doctor", "transcript": "no my family is actually pretty healthy"}, {"turn_id": 28, "speaker": "patient", "transcript": "okay and how about do you have any other medical conditions"}, {"turn_id": 29, "speaker": "doctor", "transcript": "yeah my pcp just started me on metformin i just got diagnosed with type two diabetes"}, {"turn_id": 30, "speaker": "patient", "transcript": "okay okay yeah diabetes your family your family owns that donut shop right i mean down at the end of the street"}, {"turn_id": 31, "speaker": "doctor", "transcript": "yes and that's probably part of the cause of my diabetes yes"}, {"turn_id": 32, "speaker": "patient", "transcript": "yeah well i guess you're gon na have to watch that"}, {"turn_id": 33, "speaker": "doctor", "transcript": "i know i know"}, {"turn_id": 34, "speaker": "patient", "transcript": "but you know everything in moderation i mean just you know you just need to be careful you ca n't does n't have to go away"}, {"turn_id": 35, "speaker": "doctor", "transcript": "right"}, {"turn_id": 36, "speaker": "patient", "transcript": "but have you ever needed to receive a blood transfusion or blood products"}, {"turn_id": 37, "speaker": "doctor", "transcript": "no i actually tried to give blood but they i did n't qualify because i had recently traveled internationally"}, {"turn_id": 38, "speaker": "patient", "transcript": "okay where did you go"}, {"turn_id": 39, "speaker": "doctor", "transcript": "i was in zambia"}, {"turn_id": 40, "speaker": "patient", "transcript": "hmmm i heard that's beautiful"}, {"turn_id": 41, "speaker": "doctor", "transcript": "it's so beautiful it's so beautiful i had a great time"}, {"turn_id": 42, "speaker": "patient", "transcript": "okay well let me let me go ahead and do a physical examination here i reviewed your vitals you know that the the assistants collected when you first came in including your weight and everything looks good there there is no fever there there is nothing that i'm concerned about there now on your heart exam you have a nice regular rate and rhythm and i do n't appreciate any murmurs that's kind of those extra sounds that i would hear and that that all sounds good on lungs lung exam your lungs are clear there's no wheezes rales or rhonchi now on your neck exam i do n't appreciate any lymph lymphadenopathy swollen lymph glands and then let me just go ahead and i wan na press on your belly a little bit is that tender anywhere that i press it does n't seem like you making any facial"}, {"turn_id": 43, "speaker": "doctor", "transcript": "no"}, {"turn_id": 44, "speaker": "patient", "transcript": "no okay so your you know your abdominal exam is your belly is soft there is no tenderness as i i push around there now i did review the results of your recent lab work and it is consistent as as your pcp noted with an iga deficiency that's that immunoglobulin a that we talked about so let me tell you a little bit about the assessment and plan so for your first problem the that a iga deficiency is it very common immunodeficiency your your body makes many different types of antibodies in one of your z iga is just a little bit lower than normal now most of the time people live their entire life without even knowing they have that deficiency and function perfectly normal now some people may find that they get tend to get frequent respiratory tract or sinus or abdominal infections but this does n't necessarily seem to be the case for you now it can go along with other immunodeficiencies but i think there is a low likelihood hood in your case but we're gon na order some additional blood work that includes checking those other antibodies now do you have any questions on what i just told you"}, {"turn_id": 45, "speaker": "doctor", "transcript": "yeah so is there anything i need to do or should be watching for or should i be worried"}, {"turn_id": 46, "speaker": "patient", "transcript": "no i i really do n't think you need to be worried now we're gon na check these additional studies and that will give us some more guidance but really i think this is just a finding that's common to you and you know it it's many people have have have these type of you know immunodeficiency what i want you to watch for is those infections that do n't stop you have trouble getting it under control or you know any changes to your abdominal tract you know severe diarrhea"}, {"turn_id": 47, "speaker": "doctor", "transcript": "anything like that then you know we may want to look at it a little bit further but for now i do n't think there is anything significant we want to do now go ahead and get your lab work and"}, {"turn_id": 48, "speaker": "patient", "transcript": "bring you in for that now the only other thing that i would say is if you eat end up needing any blood products between now and when i see you next make sure you tell them that you have that iga deficiency"}, {"turn_id": 49, "speaker": "doctor", "transcript": "why is that"}, {"turn_id": 50, "speaker": "patient", "transcript": "well there is a risk that your body can strongly react to some blood products and they just need to know that so they're prepared so anytime you get blood just make sure you say that you have a history of a an an iga deficiency"}, {"turn_id": 51, "speaker": "doctor", "transcript": "okay okay thank you"}, {"turn_id": 52, "speaker": "patient", "transcript": "you're welcome"}, {"turn_id": 53, "speaker": "doctor", "transcript": "okay"}]} |
acibench_D2N039_aci_train | [
{
"speaker": "doctor",
"transcript": "hi virginia how are you today what brings you in",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i'm doing alright i started seeing this new pcp last year and you know she has been doing a lot of changes to my medication and making sure everything is up to date and she my noticed that my blood pressure has been quite high so she added to medications but and but i you know i've been taking them i've been really good and i i before i was n't but now i am and we're still having a hard time controlling my blood pressure so she thought it would be a good idea for me to see you especially since she noted some on my last blood work she said something about my kidneys",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay yeah so okay let's before i dive into a lot of that tell me a little bit about how you've been feeling",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "i would say you know most of the days i feel fine i'm still busy at work i definitely can tell though when my blood pressure is high",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay you measure it at home you you you measure your blood pressure at home",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah i she wanted me to get a blood pressure cuff so i did start getting checking my blood pressures probably like a few times a week",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "and so then i noticed that it has been getting higher the other day was even as high as one seventy over ninety",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "wow",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "so i did call my pcp and she increased the meds again",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "yeah okay now i i just have a couple questions about that are you using a an electronic blood pressure recorder or do you have somebody help you at home",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah she i have a a electronic one an electronic arm one",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay okay yeah that's good that's good and have you ever tried do you go to cvs at all",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "yeah i i do but i've noticed like since the pandemic i do n't see the blood pressures anymore",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay okay yeah i i thought the one down on main street they i thought they just brought that one back so",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "did they",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "that's good to know",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "you may wan na check that but okay so that's good but i what i'd like you to do with that is i'd like you to keep a record of them for me for my next visit with you so let's talk a little bit about your diet tell me how how is your diet what what are the what kind of foods do you like what do you eat normally",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "alright do you want the honest answer",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "well yeah that would be better",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "so i really you know with everything going on i really been trying to get better but i mean during football season it's really difficult i really love watching my games so have a lot of pizza wings subs like i said i've been trying to cut down especially on days where there is no games but it probably could be better",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay i think we all can say that but i do wan na just hey i do n't know that if you've tried it or not but there is a new restaurant down on fifth street and it is nothing but solids and i you know when i heard this i was like okay yeah it's just another these solids are absolutely amazing so if you ever get a chance yeah if you ever get a chance try try that i mean i think you would enjoy them because they're salads that they make are just out unbelievable so let me go ahead and i just have a few more questions and i'm gon na just ask these in in order and you just tell me and then we will come back and talk about them do you have any headaches",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "really just when my blood pressure gets really high i have some mild headaches but otherwise i do n't have it on a regular basis",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay what about chest pain",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "no chest pain",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "shortness of breath",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "no shortness of breath",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "even with exertion",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "even with exertion",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay do you have any swelling in your lower extremities at all that you noticed",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "not if i'm on my feet for a long time i'll notice a little bit of swelling but otherwise no",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay and then a couple other family history questions anybody in the family have kidney disease or significant high blood pressure",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "both my parents do have high blood pressure and one of them did have kidney disease",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "okay okay and in the the the form that you filled out when you came in it says that you are on ten milligrams of norvasc daily and carvedilol twenty five milligrams twice a day is those the medicines you're on",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "yes i was also on lisinopril before but with the adjustments yeah those are the ones i'm on",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "okay and so here's where i think we are going to go do you take any nonsteroidals like advil or motrin or aleve",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "yeah just once in a while for my like any knee pain or back pain that i have but again not like everyday",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay and then lastly what kind of alcohol intake do you have you know do you consider how many drinks a week is really what i'm looking for",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "i'll have a couple of beers during the week and like one or two on the weekends",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay okay so lem me do a quick physical examination so i looked at your vitals when you came in today and your blood pressure it's still high it's one sixty nine over seventy four your heart rate was eighty eight and your oxygenation was ninety eight percent so those are all fairly good except that blood pressure's a little higher than we'd like to see now when i look at your neck i do n't see any jugular vein distention and i'm gon na listen here real quick no i do n't hear any carotid bruits i'm gon na listen to your lungs okay your lungs are clear and let me listen quickly to your heart i do hear that a two over six systolic ejection murmur and we'll we're gon na have to take a little bit look extra look at that that's when i i can hear an extra sound when i'm listening to your heart and you do have a small amount of one plus pitting edema bilaterally now i did so you do have that your diagnosis is uncontrolled hypertension you know and i think you're aware that that's what your your physician's been treating you for and most of the time this cause is is the cause of this is multifactorial it's not that there is just one thing causing it so we may need to be changing your medicine around and i'm gon na talk to your doctor but first thing before we make any more medication changes i want to order some tests first to rule out if there is any specific cause for this so first order will be a renal artery ultrasound and what i'm looking for there is that there is no areas of areas of narrowing in the the blood vessels of your kidneys that would be the cause of your hypertension in addition to that i'm gon na order a you get another urine collection some morning aldosterone levels reining levels and a twenty four hour urine and these things can really show me if there is any problems with your adrenal glands again this is a lot of big words but you know i'm i i'll write this all out for you i want you to decrease your alcohol i know you like those beers but let's bring it down to maybe one a week or two a week just to get those down lower and then your salt intake you need to be very judicious about decreasing that salt intake i'm gon na give you a referral to a nutritionist to discuss those changes for that you need and and they will help you get that cleared up and then finally stop taking any nonsteroidal medicines such as your advil or motrin the only thing i really want to want you taking is tylenol for any pain right now i am gon na prescribe one medicine and that's cardura four milligrams and i want you to take that once a day and that's good to see if that can help us with your blood pressure and then finally three weeks i'd like you to return i want you to record all of your blood pressures that you take over the next three weeks and bring them into the office but most importantly if you can try to take them at the same time everyday that would be beneficial for me any questions for me",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "no i i just it's a lot so i i'm hoping this will work and this will get it under control",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "yeah i i think you know this will be you know this we're gon na spend some time together so i'm glad to have you as a patient but you know we got ta try to get this under control and i'm gon na i'll be talking to your pcp just to let them know that you know what my plans are and we'll stay real in sync on treating this as we move forward does that sound like a plan",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "that sounds good thank you",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay take care i'll talk to you later",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "okay alright bye",
"turn_id": 46
}
] | [
{
"description": "stop advil",
"order_type": "medication",
"provenance": [
41
],
"reason": null
},
{
"description": "stop motrin",
"order_type": "medication",
"provenance": [
41
],
"reason": null
},
{
"description": "tylenol",
"order_type": "medication",
"provenance": [
41
],
"reason": "pain"
},
{
"description": "cardura four milligrams once a day",
"order_type": "medication",
"provenance": [
41
],
"reason": "uncontrolled hypertension"
},
{
"description": "three weeks i'd like you to return",
"order_type": "followup",
"provenance": [
41
],
"reason": null
},
{
"description": "renal artery ultrasound ultrasound",
"order_type": "imaging",
"provenance": [
41
],
"reason": "uncontrolled hypertension"
},
{
"description": "aldosterone levels",
"order_type": "lab",
"provenance": [
41
],
"reason": "if there is any problems with your adrenal glands"
},
{
"description": "urine twenty four hour urine",
"order_type": "lab",
"provenance": [
41
],
"reason": "if there is any problems with your adrenal glands"
}
] | {"id": "acibench_D2N039_aci_train", "expected_orders": [{"order_type": "medication", "description": "stop advil", "reason": null, "provenance": [41]}, {"order_type": "medication", "description": "stop motrin", "reason": null, "provenance": [41]}, {"order_type": "medication", "description": "tylenol", "reason": "pain", "provenance": [41]}, {"order_type": "medication", "description": "cardura four milligrams once a day", "reason": "uncontrolled hypertension", "provenance": [41]}, {"order_type": "followup", "description": "three weeks i'd like you to return", "reason": null, "provenance": [41]}, {"order_type": "imaging", "description": "renal artery ultrasound ultrasound", "reason": "uncontrolled hypertension", "provenance": [41]}, {"order_type": "lab", "description": "aldosterone levels", "reason": "if there is any problems with your adrenal glands", "provenance": [41]}, {"order_type": "lab", "description": "urine twenty four hour urine", "reason": "if there is any problems with your adrenal glands", "provenance": [41]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi virginia how are you today what brings you in"}, {"turn_id": 2, "speaker": "patient", "transcript": "i'm doing alright i started seeing this new pcp last year and you know she has been doing a lot of changes to my medication and making sure everything is up to date and she my noticed that my blood pressure has been quite high so she added to medications but and but i you know i've been taking them i've been really good and i i before i was n't but now i am and we're still having a hard time controlling my blood pressure so she thought it would be a good idea for me to see you especially since she noted some on my last blood work she said something about my kidneys"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay yeah so okay let's before i dive into a lot of that tell me a little bit about how you've been feeling"}, {"turn_id": 4, "speaker": "patient", "transcript": "i would say you know most of the days i feel fine i'm still busy at work i definitely can tell though when my blood pressure is high"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay you measure it at home you you you measure your blood pressure at home"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah i she wanted me to get a blood pressure cuff so i did start getting checking my blood pressures probably like a few times a week"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 8, "speaker": "patient", "transcript": "and so then i noticed that it has been getting higher the other day was even as high as one seventy over ninety"}, {"turn_id": 9, "speaker": "doctor", "transcript": "wow"}, {"turn_id": 10, "speaker": "patient", "transcript": "so i did call my pcp and she increased the meds again"}, {"turn_id": 11, "speaker": "doctor", "transcript": "yeah okay now i i just have a couple questions about that are you using a an electronic blood pressure recorder or do you have somebody help you at home"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah she i have a a electronic one an electronic arm one"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay okay yeah that's good that's good and have you ever tried do you go to cvs at all"}, {"turn_id": 14, "speaker": "patient", "transcript": "yeah i i do but i've noticed like since the pandemic i do n't see the blood pressures anymore"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay okay yeah i i thought the one down on main street they i thought they just brought that one back so"}, {"turn_id": 16, "speaker": "patient", "transcript": "did they"}, {"turn_id": 17, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 18, "speaker": "patient", "transcript": "that's good to know"}, {"turn_id": 19, "speaker": "doctor", "transcript": "you may wan na check that but okay so that's good but i what i'd like you to do with that is i'd like you to keep a record of them for me for my next visit with you so let's talk a little bit about your diet tell me how how is your diet what what are the what kind of foods do you like what do you eat normally"}, {"turn_id": 20, "speaker": "patient", "transcript": "alright do you want the honest answer"}, {"turn_id": 21, "speaker": "doctor", "transcript": "well yeah that would be better"}, {"turn_id": 22, "speaker": "patient", "transcript": "so i really you know with everything going on i really been trying to get better but i mean during football season it's really difficult i really love watching my games so have a lot of pizza wings subs like i said i've been trying to cut down especially on days where there is no games but it probably could be better"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay i think we all can say that but i do wan na just hey i do n't know that if you've tried it or not but there is a new restaurant down on fifth street and it is nothing but solids and i you know when i heard this i was like okay yeah it's just another these solids are absolutely amazing so if you ever get a chance yeah if you ever get a chance try try that i mean i think you would enjoy them because they're salads that they make are just out unbelievable so let me go ahead and i just have a few more questions and i'm gon na just ask these in in order and you just tell me and then we will come back and talk about them do you have any headaches"}, {"turn_id": 24, "speaker": "patient", "transcript": "really just when my blood pressure gets really high i have some mild headaches but otherwise i do n't have it on a regular basis"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay what about chest pain"}, {"turn_id": 26, "speaker": "patient", "transcript": "no chest pain"}, {"turn_id": 27, "speaker": "doctor", "transcript": "shortness of breath"}, {"turn_id": 28, "speaker": "patient", "transcript": "no shortness of breath"}, {"turn_id": 29, "speaker": "doctor", "transcript": "even with exertion"}, {"turn_id": 30, "speaker": "patient", "transcript": "even with exertion"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay do you have any swelling in your lower extremities at all that you noticed"}, {"turn_id": 32, "speaker": "patient", "transcript": "not if i'm on my feet for a long time i'll notice a little bit of swelling but otherwise no"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay and then a couple other family history questions anybody in the family have kidney disease or significant high blood pressure"}, {"turn_id": 34, "speaker": "patient", "transcript": "both my parents do have high blood pressure and one of them did have kidney disease"}, {"turn_id": 35, "speaker": "doctor", "transcript": "okay okay and in the the the form that you filled out when you came in it says that you are on ten milligrams of norvasc daily and carvedilol twenty five milligrams twice a day is those the medicines you're on"}, {"turn_id": 36, "speaker": "patient", "transcript": "yes i was also on lisinopril before but with the adjustments yeah those are the ones i'm on"}, {"turn_id": 37, "speaker": "doctor", "transcript": "okay and so here's where i think we are going to go do you take any nonsteroidals like advil or motrin or aleve"}, {"turn_id": 38, "speaker": "patient", "transcript": "yeah just once in a while for my like any knee pain or back pain that i have but again not like everyday"}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay and then lastly what kind of alcohol intake do you have you know do you consider how many drinks a week is really what i'm looking for"}, {"turn_id": 40, "speaker": "patient", "transcript": "i'll have a couple of beers during the week and like one or two on the weekends"}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay okay so lem me do a quick physical examination so i looked at your vitals when you came in today and your blood pressure it's still high it's one sixty nine over seventy four your heart rate was eighty eight and your oxygenation was ninety eight percent so those are all fairly good except that blood pressure's a little higher than we'd like to see now when i look at your neck i do n't see any jugular vein distention and i'm gon na listen here real quick no i do n't hear any carotid bruits i'm gon na listen to your lungs okay your lungs are clear and let me listen quickly to your heart i do hear that a two over six systolic ejection murmur and we'll we're gon na have to take a little bit look extra look at that that's when i i can hear an extra sound when i'm listening to your heart and you do have a small amount of one plus pitting edema bilaterally now i did so you do have that your diagnosis is uncontrolled hypertension you know and i think you're aware that that's what your your physician's been treating you for and most of the time this cause is is the cause of this is multifactorial it's not that there is just one thing causing it so we may need to be changing your medicine around and i'm gon na talk to your doctor but first thing before we make any more medication changes i want to order some tests first to rule out if there is any specific cause for this so first order will be a renal artery ultrasound and what i'm looking for there is that there is no areas of areas of narrowing in the the blood vessels of your kidneys that would be the cause of your hypertension in addition to that i'm gon na order a you get another urine collection some morning aldosterone levels reining levels and a twenty four hour urine and these things can really show me if there is any problems with your adrenal glands again this is a lot of big words but you know i'm i i'll write this all out for you i want you to decrease your alcohol i know you like those beers but let's bring it down to maybe one a week or two a week just to get those down lower and then your salt intake you need to be very judicious about decreasing that salt intake i'm gon na give you a referral to a nutritionist to discuss those changes for that you need and and they will help you get that cleared up and then finally stop taking any nonsteroidal medicines such as your advil or motrin the only thing i really want to want you taking is tylenol for any pain right now i am gon na prescribe one medicine and that's cardura four milligrams and i want you to take that once a day and that's good to see if that can help us with your blood pressure and then finally three weeks i'd like you to return i want you to record all of your blood pressures that you take over the next three weeks and bring them into the office but most importantly if you can try to take them at the same time everyday that would be beneficial for me any questions for me"}, {"turn_id": 42, "speaker": "patient", "transcript": "no i i just it's a lot so i i'm hoping this will work and this will get it under control"}, {"turn_id": 43, "speaker": "doctor", "transcript": "yeah i i think you know this will be you know this we're gon na spend some time together so i'm glad to have you as a patient but you know we got ta try to get this under control and i'm gon na i'll be talking to your pcp just to let them know that you know what my plans are and we'll stay real in sync on treating this as we move forward does that sound like a plan"}, {"turn_id": 44, "speaker": "patient", "transcript": "that sounds good thank you"}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay take care i'll talk to you later"}, {"turn_id": 46, "speaker": "patient", "transcript": "okay alright bye"}]} |
acibench_D2N178_virtscribe_clef_taskC_test3 | [
{
"speaker": "doctor",
"transcript": "okay . maria martin , date of birth 03/05/1946 , has been informed and consents to have this visit recorded . the patient is here for follow-up .",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "hi , maria . how have you been doing ?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "same i guess . pretty good .",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "okay , so you got my letter last time on the results . your sugars are not very well controlled .",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "yeah , i got them .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "okay . so did you increase your glimepiride ?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "did i increase it ?",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "yeah .",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "i'm still taking the two milligrams .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "yeah . so we want you to , as the letter said , from the last time , when your a1c was 9.9 , we wanted you to increase it to four milligrams twice a day , so let's start that .",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "okay , sure . so you want me to take two of the pills , now twice a day ?",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "yes . uh , how much of it do you have ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "well , i just filled it .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay , good . so yeah , you can take two of them twice a day , of what you have . the new prescription will be for four milligrams twice a day .",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "great . and are you trying to eat healthier : less sugars , less carbohydrates ?",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "uh , well ...",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "not really ?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": ". well , i have n't had any pasta ; i just do n't really like it , so we do n't have any in the house . we do n't often have bread , and if we do , we buy wheat bread .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "okay . but even the wheat bread , try to cut down on the number of slices you eat per day .",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "i just usually have two in the morning . i do n't care for sandwiches much ; maybe peanut butter sandwiches once in a while .",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "yeah .",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "i hardly drink , drink any sodas .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "well , that's great .",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "i drink club soda .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "seltzer water , that's what i prefer , so that's my water . i do n't drink regular water .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay , that's fine . how about your eye exams ? are they up-to-date ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "yep . i just got new glasses .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "okay . who do you go see ?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "i go to liberty road , the group up there .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "okay . the , um , the optimum optometrists , right ?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "they keep changing doctors each time i go .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "a new doc each time ?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "yeah . i got a really nice one i used to see a year ago .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "was that dr. sanchez ?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "okay . and you saw him not too long ago ?",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "yeah . i just got my prescription from him . well , see , i had the iodine for my eyes .",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "cataracts , yep , okay .",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "so he did that and then i had to wait for a month to get healed up and then he wrote my prescription .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "perfect . and then you've got the high blood pressure .",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "yeah . a couple of weeks ago , it was 116 on the dot .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "okay . well , we will recheck it . you're on a combination of medications . you are on the met- met- uh , metoprolol , 50 milligrams once a day , you're on the lisinopril with hydrochlorothiazide , at 20 , with 25 milligrams once a day , and you're on the amlodipine , 10 milligram once a day . are you taking all of those ?",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "well , yeah .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "perfect . and then you've got the high cholesterol and the vascular disease in your legs . you're on atorvastatin . are you tolerating it okay ?",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "yeah , but honestly , my feet feel like hell .",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "yeah .",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "all the time , my legs are bugging me ; i ca n't do much walking .",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "okay . yeah , the feet i think is what we call peripheral neuropathy .",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "also , i have the pain up to my hip .",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "okay . you have pain in the hips and upper legs ?",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "yeah , all of it .",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "okay . so those do seem relatively stable , right ? and are you trying to get the walking in ?",
"turn_id": 54
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "okay . and you are smoking still ?",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "yeah , still smoking .",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "not ready to quit ?",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "no , not really .",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "it's a bad combination .",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "i know . i'll think about it .",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "okay . now , let's do my review of systems . you're not having any headaches or dizziness ?",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "headaches or dizziness , no .",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "nothing , feeling totally normal .",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "good , good . and the vision is better with the cataract surgery ? that's been good ?",
"turn_id": 66
},
{
"speaker": "patient",
"transcript": "yeah . not happy with this lens ; it's kinda funny . the other one is good .",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "hmm , sometimes they can go in and clean up the eye with laser , but we'll see what they say .",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "okay . no shortness of breath or coughing ?",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "i've been coughing here lately because i've been congested .",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "what does it look like when it comes up ?",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "it's relatively clear .",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "no fever , chills , no shortness of breath ?",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "okay . no chest pains or pressure or tightness ?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "nausea , vomiting , gi symptoms ?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "okay . peeing okay ?",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "not good . it's , you know , i'm old ; it takes me a little more time .",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "slower stream but stable ?",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "yes , but i do pee ...",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": ". several times per day .",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "mm-hmm . how many times do you have to get up at night ?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "not too bad , just once in a while .",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "then i have to pee by morning . i do tend to drink my drinks in the evening .",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "okay . all right , let's have a look at you .",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "physical exam : carotids are normal , pulse is no buits . heart exam : rhythm is regular , normal rate , s1 and s2 are crisp . i do not hear any murmurs today , okay . have you lean forward for me . take some deep breaths , in and out . okay , lungs are clear . i do n't hear any rasps or wheezing today .",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "my coughing got better this morning .",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": "you cleared out the lungs ? all right , let me take a look at your feet .",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "okay . extremities are without edema . pulses are palpable on the dorsalis pedis posterial tibial . she has thickened nails .",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "yeah . mildly dry skin , no skin breakdown . l- let me know if you can feel this .",
"turn_id": 98
},
{
"speaker": "patient",
"transcript": "okay . i closed my eyes . yeah , yeah , okay .",
"turn_id": 99
},
{
"speaker": "doctor",
"transcript": "mildly decreased sensation in the tips of the first and second toes . okay , we're done with your exam .",
"turn_id": 100
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 101
},
{
"speaker": "doctor",
"transcript": "okay . so again , try to keep the feet moisturized .",
"turn_id": 102
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "you do have a little bit of periphe- peripheral neuropathy . um , there is a medication we can use if they get really bad , but you're already on so many medications .",
"turn_id": 104
},
{
"speaker": "patient",
"transcript": "my girl that i talk to and stuff , she uses on her feet ; she really likes it . it's , like , a foot scrub or some type of cream . i put it on when i think of it after the shower . so i could get my own instead .",
"turn_id": 105
},
{
"speaker": "doctor",
"transcript": "that sounds good . so for now , your sugars , we're gon na check your ... we're going to recheck your blood work today , but the sugars last time we checked , the a1c , your blood sugar average was above nine . i really want you to increase the glimepiride . so the ones you have at home , the two milligram , take two of them twice a day .",
"turn_id": 106
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 107
},
{
"speaker": "doctor",
"transcript": "okay . watch for low sugars , weak , shaky , sweaty . if that happens , let us know , and i do n't expect it to .",
"turn_id": 108
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "okay . the new prescription that i'm going to write is gon na be for the , uh , four milligram pill . so when you get the new one , just one pill twice a day . also , continue the metformin , okay ? blood pressure , when i rechecked it , i got 140 over 60 s- so the numbers at home are better , so we're gon na continue the combination of medications . we'll check kidney function today .",
"turn_id": 110
},
{
"speaker": "doctor",
"transcript": "for your cholesterol though , you're on the high dose of atorvastatin or lipitor to protect the arteries , so we really wan na keep you on that .",
"turn_id": 111
},
{
"speaker": "patient",
"transcript": "yeah , no problem .",
"turn_id": 112
},
{
"speaker": "doctor",
"transcript": "i want you to quit smoking , but we've had this battle before .",
"turn_id": 113
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 114
},
{
"speaker": "doctor",
"transcript": "hmm . and then , we will leave everything else the same . we'll get the labs today and we'll see you back here in four months . sound good ?",
"turn_id": 115
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "great . have a good day , ma'am . take care of yourself .",
"turn_id": 117
},
{
"speaker": "patient",
"transcript": "thank you . you too .",
"turn_id": 118
},
{
"speaker": "doctor",
"transcript": "bye .",
"turn_id": 119
}
] | [
{
"description": "glimepiride four milligrams twice a day pill",
"order_type": "medication",
"provenance": [
12,
17,
191
],
"reason": "a1c was 9.9"
},
{
"description": "blood today kidney function",
"order_type": "lab",
"provenance": [
17,
182,
195
],
"reason": "a1c was 9.9"
},
{
"description": "see you back in four months",
"order_type": "followup",
"provenance": [
202
],
"reason": null
},
{
"description": "blood today a1c",
"order_type": "lab",
"provenance": [
17,
182
],
"reason": "a1c was 9.9"
}
] | {"id": "acibench_D2N178_virtscribe_clef_taskC_test3", "expected_orders": [{"order_type": "medication", "description": "glimepiride four milligrams twice a day pill", "reason": "a1c was 9.9", "provenance": [12, 17, 191]}, {"order_type": "lab", "description": "blood today kidney function", "reason": "a1c was 9.9", "provenance": [17, 182, 195]}, {"order_type": "followup", "description": "see you back in four months", "reason": null, "provenance": [202]}, {"order_type": "lab", "description": "blood today a1c", "reason": "a1c was 9.9", "provenance": [17, 182]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "okay . maria martin , date of birth 03/05/1946 , has been informed and consents to have this visit recorded . the patient is here for follow-up ."}, {"turn_id": 2, "speaker": "doctor", "transcript": "hi , maria . how have you been doing ?"}, {"turn_id": 3, "speaker": "patient", "transcript": "same i guess . pretty good ."}, {"turn_id": 4, "speaker": "doctor", "transcript": "okay , so you got my letter last time on the results . your sugars are not very well controlled ."}, {"turn_id": 5, "speaker": "patient", "transcript": "yeah , i got them ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "okay . so did you increase your glimepiride ?"}, {"turn_id": 7, "speaker": "patient", "transcript": "did i increase it ?"}, {"turn_id": 8, "speaker": "doctor", "transcript": "yeah ."}, {"turn_id": 9, "speaker": "patient", "transcript": "i'm still taking the two milligrams ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "yeah . so we want you to , as the letter said , from the last time , when your a1c was 9.9 , we wanted you to increase it to four milligrams twice a day , so let's start that ."}, {"turn_id": 11, "speaker": "patient", "transcript": "okay , sure . so you want me to take two of the pills , now twice a day ?"}, {"turn_id": 12, "speaker": "doctor", "transcript": "yes . uh , how much of it do you have ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "well , i just filled it ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay , good . so yeah , you can take two of them twice a day , of what you have . the new prescription will be for four milligrams twice a day ."}, {"turn_id": 15, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "great . and are you trying to eat healthier : less sugars , less carbohydrates ?"}, {"turn_id": 17, "speaker": "patient", "transcript": "uh , well ..."}, {"turn_id": 18, "speaker": "doctor", "transcript": "not really ?"}, {"turn_id": 19, "speaker": "patient", "transcript": ". well , i have n't had any pasta ; i just do n't really like it , so we do n't have any in the house . we do n't often have bread , and if we do , we buy wheat bread ."}, {"turn_id": 20, "speaker": "doctor", "transcript": "okay . but even the wheat bread , try to cut down on the number of slices you eat per day ."}, {"turn_id": 21, "speaker": "patient", "transcript": "i just usually have two in the morning . i do n't care for sandwiches much ; maybe peanut butter sandwiches once in a while ."}, {"turn_id": 22, "speaker": "doctor", "transcript": "yeah ."}, {"turn_id": 23, "speaker": "patient", "transcript": "i hardly drink , drink any sodas ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "well , that's great ."}, {"turn_id": 25, "speaker": "patient", "transcript": "i drink club soda ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 27, "speaker": "patient", "transcript": "seltzer water , that's what i prefer , so that's my water . i do n't drink regular water ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay , that's fine . how about your eye exams ? are they up-to-date ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "yep . i just got new glasses ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "okay . who do you go see ?"}, {"turn_id": 31, "speaker": "patient", "transcript": "i go to liberty road , the group up there ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "okay . the , um , the optimum optometrists , right ?"}, {"turn_id": 33, "speaker": "patient", "transcript": "they keep changing doctors each time i go ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "a new doc each time ?"}, {"turn_id": 35, "speaker": "patient", "transcript": "yeah . i got a really nice one i used to see a year ago ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "was that dr. sanchez ?"}, {"turn_id": 37, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "okay . and you saw him not too long ago ?"}, {"turn_id": 39, "speaker": "patient", "transcript": "yeah . i just got my prescription from him . well , see , i had the iodine for my eyes ."}, {"turn_id": 40, "speaker": "doctor", "transcript": "cataracts , yep , okay ."}, {"turn_id": 41, "speaker": "patient", "transcript": "so he did that and then i had to wait for a month to get healed up and then he wrote my prescription ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "perfect . and then you've got the high blood pressure ."}, {"turn_id": 43, "speaker": "patient", "transcript": "yeah . a couple of weeks ago , it was 116 on the dot ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "okay . well , we will recheck it . you're on a combination of medications . you are on the met- met- uh , metoprolol , 50 milligrams once a day , you're on the lisinopril with hydrochlorothiazide , at 20 , with 25 milligrams once a day , and you're on the amlodipine , 10 milligram once a day . are you taking all of those ?"}, {"turn_id": 45, "speaker": "patient", "transcript": "well , yeah ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "perfect . and then you've got the high cholesterol and the vascular disease in your legs . you're on atorvastatin . are you tolerating it okay ?"}, {"turn_id": 47, "speaker": "patient", "transcript": "yeah , but honestly , my feet feel like hell ."}, {"turn_id": 48, "speaker": "doctor", "transcript": "yeah ."}, {"turn_id": 49, "speaker": "patient", "transcript": "all the time , my legs are bugging me ; i ca n't do much walking ."}, {"turn_id": 50, "speaker": "doctor", "transcript": "okay . yeah , the feet i think is what we call peripheral neuropathy ."}, {"turn_id": 51, "speaker": "patient", "transcript": "also , i have the pain up to my hip ."}, {"turn_id": 52, "speaker": "doctor", "transcript": "okay . you have pain in the hips and upper legs ?"}, {"turn_id": 53, "speaker": "patient", "transcript": "yeah , all of it ."}, {"turn_id": 54, "speaker": "doctor", "transcript": "okay . so those do seem relatively stable , right ? and are you trying to get the walking in ?"}, {"turn_id": 55, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 56, "speaker": "doctor", "transcript": "okay . and you are smoking still ?"}, {"turn_id": 57, "speaker": "patient", "transcript": "yeah , still smoking ."}, {"turn_id": 58, "speaker": "doctor", "transcript": "not ready to quit ?"}, {"turn_id": 59, "speaker": "patient", "transcript": "no , not really ."}, {"turn_id": 60, "speaker": "doctor", "transcript": "it's a bad combination ."}, {"turn_id": 61, "speaker": "patient", "transcript": "i know . i'll think about it ."}, {"turn_id": 62, "speaker": "doctor", "transcript": "okay . now , let's do my review of systems . you're not having any headaches or dizziness ?"}, {"turn_id": 63, "speaker": "patient", "transcript": "headaches or dizziness , no ."}, {"turn_id": 64, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 65, "speaker": "patient", "transcript": "nothing , feeling totally normal ."}, {"turn_id": 66, "speaker": "doctor", "transcript": "good , good . and the vision is better with the cataract surgery ? that's been good ?"}, {"turn_id": 67, "speaker": "patient", "transcript": "yeah . not happy with this lens ; it's kinda funny . the other one is good ."}, {"turn_id": 68, "speaker": "doctor", "transcript": "hmm , sometimes they can go in and clean up the eye with laser , but we'll see what they say ."}, {"turn_id": 69, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 70, "speaker": "doctor", "transcript": "okay . no shortness of breath or coughing ?"}, {"turn_id": 71, "speaker": "patient", "transcript": "i've been coughing here lately because i've been congested ."}, {"turn_id": 72, "speaker": "doctor", "transcript": "what does it look like when it comes up ?"}, {"turn_id": 73, "speaker": "patient", "transcript": "it's relatively clear ."}, {"turn_id": 74, "speaker": "doctor", "transcript": "no fever , chills , no shortness of breath ?"}, {"turn_id": 75, "speaker": "patient", "transcript": "no ."}, {"turn_id": 76, "speaker": "doctor", "transcript": "okay . no chest pains or pressure or tightness ?"}, {"turn_id": 77, "speaker": "patient", "transcript": "no ."}, {"turn_id": 78, "speaker": "doctor", "transcript": "nausea , vomiting , gi symptoms ?"}, {"turn_id": 79, "speaker": "patient", "transcript": "no ."}, {"turn_id": 80, "speaker": "doctor", "transcript": "okay . peeing okay ?"}, {"turn_id": 81, "speaker": "patient", "transcript": "not good . it's , you know , i'm old ; it takes me a little more time ."}, {"turn_id": 82, "speaker": "doctor", "transcript": "slower stream but stable ?"}, {"turn_id": 83, "speaker": "patient", "transcript": "yes , but i do pee ..."}, {"turn_id": 84, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 85, "speaker": "patient", "transcript": ". several times per day ."}, {"turn_id": 86, "speaker": "doctor", "transcript": "mm-hmm . how many times do you have to get up at night ?"}, {"turn_id": 87, "speaker": "patient", "transcript": "not too bad , just once in a while ."}, {"turn_id": 88, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 89, "speaker": "patient", "transcript": "then i have to pee by morning . i do tend to drink my drinks in the evening ."}, {"turn_id": 90, "speaker": "doctor", "transcript": "okay . all right , let's have a look at you ."}, {"turn_id": 91, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 92, "speaker": "doctor", "transcript": "physical exam : carotids are normal , pulse is no buits . heart exam : rhythm is regular , normal rate , s1 and s2 are crisp . i do not hear any murmurs today , okay . have you lean forward for me . take some deep breaths , in and out . okay , lungs are clear . i do n't hear any rasps or wheezing today ."}, {"turn_id": 93, "speaker": "patient", "transcript": "my coughing got better this morning ."}, {"turn_id": 94, "speaker": "doctor", "transcript": "you cleared out the lungs ? all right , let me take a look at your feet ."}, {"turn_id": 95, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 96, "speaker": "doctor", "transcript": "okay . extremities are without edema . pulses are palpable on the dorsalis pedis posterial tibial . she has thickened nails ."}, {"turn_id": 97, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 98, "speaker": "doctor", "transcript": "yeah . mildly dry skin , no skin breakdown . l- let me know if you can feel this ."}, {"turn_id": 99, "speaker": "patient", "transcript": "okay . i closed my eyes . yeah , yeah , okay ."}, {"turn_id": 100, "speaker": "doctor", "transcript": "mildly decreased sensation in the tips of the first and second toes . okay , we're done with your exam ."}, {"turn_id": 101, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 102, "speaker": "doctor", "transcript": "okay . so again , try to keep the feet moisturized ."}, {"turn_id": 103, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 104, "speaker": "doctor", "transcript": "you do have a little bit of periphe- peripheral neuropathy . um , there is a medication we can use if they get really bad , but you're already on so many medications ."}, {"turn_id": 105, "speaker": "patient", "transcript": "my girl that i talk to and stuff , she uses on her feet ; she really likes it . it's , like , a foot scrub or some type of cream . i put it on when i think of it after the shower . so i could get my own instead ."}, {"turn_id": 106, "speaker": "doctor", "transcript": "that sounds good . so for now , your sugars , we're gon na check your ... we're going to recheck your blood work today , but the sugars last time we checked , the a1c , your blood sugar average was above nine . i really want you to increase the glimepiride . so the ones you have at home , the two milligram , take two of them twice a day ."}, {"turn_id": 107, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 108, "speaker": "doctor", "transcript": "okay . watch for low sugars , weak , shaky , sweaty . if that happens , let us know , and i do n't expect it to ."}, {"turn_id": 109, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 110, "speaker": "doctor", "transcript": "okay . the new prescription that i'm going to write is gon na be for the , uh , four milligram pill . so when you get the new one , just one pill twice a day . also , continue the metformin , okay ? blood pressure , when i rechecked it , i got 140 over 60 s- so the numbers at home are better , so we're gon na continue the combination of medications . we'll check kidney function today ."}, {"turn_id": 111, "speaker": "doctor", "transcript": "for your cholesterol though , you're on the high dose of atorvastatin or lipitor to protect the arteries , so we really wan na keep you on that ."}, {"turn_id": 112, "speaker": "patient", "transcript": "yeah , no problem ."}, {"turn_id": 113, "speaker": "doctor", "transcript": "i want you to quit smoking , but we've had this battle before ."}, {"turn_id": 114, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 115, "speaker": "doctor", "transcript": "hmm . and then , we will leave everything else the same . we'll get the labs today and we'll see you back here in four months . sound good ?"}, {"turn_id": 116, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 117, "speaker": "doctor", "transcript": "great . have a good day , ma'am . take care of yourself ."}, {"turn_id": 118, "speaker": "patient", "transcript": "thank you . you too ."}, {"turn_id": 119, "speaker": "doctor", "transcript": "bye ."}]} |
primock57_2_10 | [
{
"speaker": "doctor",
"transcript": "Hello. Good afternoon.",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "Hiya.",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "Hi there. This is Doctor , from GP at Hand.",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "Hi there. My name's Atan.",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "Hi Anthony. So, could I have your um, before we start, could I have your full name and date of birth? If that's possible?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "Sure. So, it's Ayrton Warren. Um, and my date of birth, is the sixteenth of May, nineteen, eighty two.",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "That's , thank you for that. Are you in a private place where you're OK to speak?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "I am, yes.",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "OK, great. So how can I help you today?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "Um, so I kind of woke up this morning, um, and I've just got this, really horrible pain on the left side of my head. Um, a real kind of headachy feeling.",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "Sure, OK. And, um, uh, , did the, did the pain wake you up?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "Yeah, it woke me up, um, quite early this morning.",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "What, what time did it wake you up?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "Um, probably around, five thirty ish.",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "And, what time do you normally get up?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "Um, I normally get up at about, seven o'clock.",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "Is the headache still present now?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "Yes, it is.",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "OK. Have you had this kind of pain before?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "Um, I mean uh, I've, had a bit of a history with headaches, but nothing as severe as this before.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "So they were less severe. Were they similar in nature in terms of being one-sided and the type of pain?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "Um, not so much on the one side, it tends to be, a bit of a cluster at the front of my head in a way. Um, but this time it's just kind of more prominent on the left side which, I've never really had it, normally they kind of spread across the front of my head.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "OK, all right. And, um, can I just double-check, do you have any neck stiffness at all?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "Uh, no.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "OK. And do you have any fever?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "All right. Um, how are you with bright lights at the moment? Do you feel sensitive to bright lights or can you, can you tolerate them all right, OK?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "Um, it, I'm a little bit sensitive it just, it kind of, makes my eyes a little bit sore, but nothing that I can't really handle.",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "OK. And, can I just double-check, um, are you feeling nauseous at all?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "Um, not really, like . When I first got up this morning, my head felt a bit dizzy, but that's kind of subsided now, and I, seems to, be fine.",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "OK. Um, and um, can I just double-check, does anyone in your family have any migraines or anything like that? They've been diagnosed with migraines?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "Uh, no. They haven't.",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "OK. Um, and um, are you under any particular stress at the moment?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "Um, work's kind of, um, a bit stressful at the moment. I've got a lot going on.",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "Um, yeah, I just seem to have like, a lot of, kind of, a backlog of work that I need to go through at the moment. So, I've kind of, been, doing a lot of late nights as well.",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, and, um, how long has that been the case for?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "Uh, for probably about a couple of months now.",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": ", how would you say your mood is?",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "Um, I'm not, like moody, I'm not angry or, um, like I get a bit frustrated during the day. Um, but , it kind of, um, ebbs and flows every now and then, but, yeah.",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "OK. Do you have, have you ever been diagnosed with anxiety, or depression or stress in the past?",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "Um, I've had, um, so I had, like anxiety for about, two years now, and I've been on, uh, Sertraline for, a while.",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "OK. Are you taking Sertraline at the moment?",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "OK. Um, and how do you feel in terms of , anxiety at the moment? Do you feel anxious at the moment?",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": ", no, not necessarily at work, sometimes I do feel a bit anxious. Um, but I, I kind of just, uh, the panic of not being able to get my work done on time.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "Um, but other than that, I, I don't, feel, um, massively anxious.",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "OK, all right. Um, now, sorry to ask this, just need to ask this for , anyone suffering from anxiety. Do you have any , have you had any thoughts about harming yourself or hurting yourself?",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "Good, I'm glad to hear that. Um, now, with regards to this headache. Is it worse when you lie down, or um, is, is, is it better when you lie down?",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "Um, when I lay down, like, uh, it kind of feels a little bit sore at first, um and it takes me a while to get comfortable. Um, so yeah, at the beginning it does, but then again that's just kind of, um, soothes a little bit.",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "Um, so, would you say ultimately, it's better when you lie down? Or have you not ?",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "Uh, yeah, I would say so.",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "OK. Um, and um, in terms of um, this, headache since this morning, have you taken anything for it yet?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "Um, I've taken some Paracetamol.",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "Has that helped?",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "Um, not really, no.",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "OK. Taking anything else at all?",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "No that's it, just Paracetamol.",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "OK. Um, do you have any other illnesses at all?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "Uh, none.",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "Have you ever been diagnosed with high blood pressure?",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "Have you ever had your blood pressure checked?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "OK. Um, and are there any illnesses in your family?",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "Um, no, there's nothing. My parents, uh, my mum's had a history of anxiety as well but, no kind of like physical illnesses or anything like that.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "OK, all right. And um, are you on any medication?",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "Um, no, other, other than Sertraline and having taken, um, Paracetamol this morning, uh, nothing else.",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "Do you have any allergies to any medication?",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "Not that I'm aware of, no.",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "All right. And, are you living by yourself at the moment, or living with someone else?",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "Um, I live with my partner.",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "OK. Are you a smoker?",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "OK. And, uh, do you have any pets at home?",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "Uh, I have a cat.",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "OK. And, can I just double-check, how much exercise would you do normally a week?",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "Um, so normally I, try to go running at least three times a week.",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "And what's your diet like?",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "Um, it's OK, um, it's nothing, it's nothing um, really healthy, um, but it's fine.",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "I wouldn't say unhealthy.",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "All right. Um, now um, in terms of this headache, uh, obviously I haven't been able to examine you, or see you directly.",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "But, um, it sounds like it might be one of two things. It could be an element of what we call tension headache.",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "Sure.",
"turn_id": 88
},
{
"speaker": "doctor",
"transcript": "OK. That's one possibility. Um, and what makes that, more likely is the fact that, you've been under some pressure, and you have a history of anxiety in the past, OK. Um.",
"turn_id": 89
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 90
},
{
"speaker": "doctor",
"transcript": "The other possibility is, um, migraine as well.",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "OK. Um, and, the fact, what makes that more likely is the fact that it's on one side, and that you've got some sensitivity to light.",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": "OK, So, what, what I think we can do, is um, I think we can give you some, um, generic, pain relief.",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "That would be the appropriate first step, for, migraine type headaches. OK. So I'll tell you what it is in a second.",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "And the other thing that I was gonna suggest is, we maybe look, explore things to try and decrease the stress from work.",
"turn_id": 98
},
{
"speaker": "doctor",
"transcript": "So, um, the medication-wise, the things that we'd start off first line, if someone had migraine was to, would be to start Ibuprofen.",
"turn_id": 99
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "And um, uh, that, the doses of Ibuprofen can be a bit, more than the normal doses Ibuprofen so that's one thing we can start. You can keep on taking Paracetamol as well if you like, but the, the Ibuprofen's um, actually more effective , for migraine.",
"turn_id": 101
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 102
},
{
"speaker": "doctor",
"transcript": "And, um, yeah, so the, the guidelines have changed, recently we used, we, before that we used to give Paracetamol as first line but now it's, um, Ibuprofen or Aspirin.",
"turn_id": 103
},
{
"speaker": "patient",
"transcript": "Ohh right, O.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "That's, thing. Um, the other thing I'd like you to do, is maybe consider taking some time off work. OK, because if the headache is due to stress from work.",
"turn_id": 105
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 106
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 107
},
{
"speaker": "doctor",
"transcript": "Um, maybe having a week off if you self-certify, that might help with things. And I'd also like you to explore, counselling options as well so there's, a counselling service in your area, that I can give you the link for, for you to self-refer.",
"turn_id": 108
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "I'd like you to, , OK I'd like you to try that. Um, what, we're gonna do is, we'll have a follow-up in a week's time.",
"turn_id": 110
},
{
"speaker": "patient",
"transcript": "Yeah, that'd be.",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "As well as those two things, other things I'd like you to do, is to try and ensure that you're having a minimum of seven, eight hours sleep at night, every night. And you're drinking a minimum of, um, one point five to two litres uh, of water or fluids a day, and that's not including coffee or tea.",
"turn_id": 112
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 113
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 114
},
{
"speaker": "doctor",
"transcript": "All right, because sometimes dehydration and you know uh, fatigue can be causes of headaches as well. Um.",
"turn_id": 115
},
{
"speaker": "patient",
"transcript": "Ohh OK, I didn't realise that.",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "Yeah, so it, that, that, that is um, you know, we need to rule those things out. Um, let's, let's try that.",
"turn_id": 117
},
{
"speaker": "doctor",
"transcript": "OK. Um, and let's have a follow-up appointment, if we're finding that things are not getting better, we might need to arrange some blood tests or um, look at uh, other possibilities, but, we'll try that in the first instance.",
"turn_id": 118
},
{
"speaker": "doctor",
"transcript": "Um, if anything changes in the meantime, or you get worried or things get worse. Feel free, have a lower threshold for ringing us back and we can book you an appointment, and we can reassess the situation.",
"turn_id": 119
},
{
"speaker": "patient",
"transcript": "OK. Yeah, the, that, that sounds brilliant. Thank you so much for your help.",
"turn_id": 120
},
{
"speaker": "doctor",
"transcript": "OK, no problem. So there'll be a summary of all of this in the notes. Um, and I'll also leave a link, to some of the danger signs of symptoms of headaches, in the notes. If you can read through that in your own time, that will just help you to have a bit more, control over what's going on and understanding of what, what, what kind of things, should trigger you contacting another doctor.",
"turn_id": 121
},
{
"speaker": "patient",
"transcript": "OK. That's perfect. Thank you so much for your help.",
"turn_id": 122
},
{
"speaker": "doctor",
"transcript": "No problem, OK. So we'll, we'll touch base in a week's time, with me or, myself or one of the other doctors, and we , we'll take it from there, OK.",
"turn_id": 123
},
{
"speaker": "patient",
"transcript": "OK. Thank you. Yeah, I'll book an appointment, in, um, yeah, in that time.",
"turn_id": 124
},
{
"speaker": "doctor",
"transcript": "Brilliant, OK then, all right. Take care then, all the best.",
"turn_id": 125
},
{
"speaker": "patient",
"transcript": "Bye.",
"turn_id": 126
},
{
"speaker": "patient",
"transcript": "Thank you, and you.",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "Bye bye.",
"turn_id": 128
},
{
"speaker": "patient",
"transcript": "Bye.",
"turn_id": 129
}
] | [
{
"description": "Ibuprofen.",
"order_type": "medication",
"provenance": [
121,
126,
136
],
"reason": "It could be an element of what we call tension headache. The other possibility is, um, migraine"
},
{
"description": "follow-up in a week's time",
"order_type": "followup",
"provenance": [
151
],
"reason": null
}
] | {"id": "primock57_2_10", "expected_orders": [{"order_type": "medication", "description": "Ibuprofen.", "reason": "It could be an element of what we call tension headache. The other possibility is, um, migraine", "provenance": [121, 126, 136]}, {"order_type": "followup", "description": "follow-up in a week's time", "reason": null, "provenance": [151]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "Hello. Good afternoon."}, {"turn_id": 2, "speaker": "patient", "transcript": "Hiya."}, {"turn_id": 3, "speaker": "doctor", "transcript": "Hi there. This is Doctor , from GP at Hand."}, {"turn_id": 4, "speaker": "patient", "transcript": "Hi there. My name's Atan."}, {"turn_id": 5, "speaker": "doctor", "transcript": "Hi Anthony. So, could I have your um, before we start, could I have your full name and date of birth? If that's possible?"}, {"turn_id": 6, "speaker": "patient", "transcript": "Sure. So, it's Ayrton Warren. Um, and my date of birth, is the sixteenth of May, nineteen, eighty two."}, {"turn_id": 7, "speaker": "doctor", "transcript": "That's , thank you for that. Are you in a private place where you're OK to speak?"}, {"turn_id": 8, "speaker": "patient", "transcript": "I am, yes."}, {"turn_id": 9, "speaker": "doctor", "transcript": "OK, great. So how can I help you today?"}, {"turn_id": 10, "speaker": "patient", "transcript": "Um, so I kind of woke up this morning, um, and I've just got this, really horrible pain on the left side of my head. Um, a real kind of headachy feeling."}, {"turn_id": 11, "speaker": "doctor", "transcript": "Sure, OK. And, um, uh, , did the, did the pain wake you up?"}, {"turn_id": 12, "speaker": "patient", "transcript": "Yeah, it woke me up, um, quite early this morning."}, {"turn_id": 13, "speaker": "doctor", "transcript": "What, what time did it wake you up?"}, {"turn_id": 14, "speaker": "patient", "transcript": "Um, probably around, five thirty ish."}, {"turn_id": 15, "speaker": "doctor", "transcript": "And, what time do you normally get up?"}, {"turn_id": 16, "speaker": "patient", "transcript": "Um, I normally get up at about, seven o'clock."}, {"turn_id": 17, "speaker": "doctor", "transcript": "Is the headache still present now?"}, {"turn_id": 18, "speaker": "patient", "transcript": "Yes, it is."}, {"turn_id": 19, "speaker": "doctor", "transcript": "OK. Have you had this kind of pain before?"}, {"turn_id": 20, "speaker": "patient", "transcript": "Um, I mean uh, I've, had a bit of a history with headaches, but nothing as severe as this before."}, {"turn_id": 21, "speaker": "doctor", "transcript": "So they were less severe. Were they similar in nature in terms of being one-sided and the type of pain?"}, {"turn_id": 22, "speaker": "patient", "transcript": "Um, not so much on the one side, it tends to be, a bit of a cluster at the front of my head in a way. Um, but this time it's just kind of more prominent on the left side which, I've never really had it, normally they kind of spread across the front of my head."}, {"turn_id": 23, "speaker": "doctor", "transcript": "OK, all right. And, um, can I just double-check, do you have any neck stiffness at all?"}, {"turn_id": 24, "speaker": "patient", "transcript": "Uh, no."}, {"turn_id": 25, "speaker": "doctor", "transcript": "OK. And do you have any fever?"}, {"turn_id": 26, "speaker": "patient", "transcript": "No."}, {"turn_id": 27, "speaker": "doctor", "transcript": "All right. Um, how are you with bright lights at the moment? Do you feel sensitive to bright lights or can you, can you tolerate them all right, OK?"}, {"turn_id": 28, "speaker": "patient", "transcript": "Um, it, I'm a little bit sensitive it just, it kind of, makes my eyes a little bit sore, but nothing that I can't really handle."}, {"turn_id": 29, "speaker": "doctor", "transcript": "OK. And, can I just double-check, um, are you feeling nauseous at all?"}, {"turn_id": 30, "speaker": "patient", "transcript": "Um, not really, like . When I first got up this morning, my head felt a bit dizzy, but that's kind of subsided now, and I, seems to, be fine."}, {"turn_id": 31, "speaker": "doctor", "transcript": "OK. Um, and um, can I just double-check, does anyone in your family have any migraines or anything like that? They've been diagnosed with migraines?"}, {"turn_id": 32, "speaker": "patient", "transcript": "Uh, no. They haven't."}, {"turn_id": 33, "speaker": "doctor", "transcript": "OK. Um, and um, are you under any particular stress at the moment?"}, {"turn_id": 34, "speaker": "patient", "transcript": "Um, work's kind of, um, a bit stressful at the moment. I've got a lot going on."}, {"turn_id": 35, "speaker": "patient", "transcript": "Um, yeah, I just seem to have like, a lot of, kind of, a backlog of work that I need to go through at the moment. So, I've kind of, been, doing a lot of late nights as well."}, {"turn_id": 36, "speaker": "doctor", "transcript": "Right, OK. Um, and, um, how long has that been the case for?"}, {"turn_id": 37, "speaker": "patient", "transcript": "Uh, for probably about a couple of months now."}, {"turn_id": 38, "speaker": "doctor", "transcript": ", how would you say your mood is?"}, {"turn_id": 39, "speaker": "patient", "transcript": "Um, I'm not, like moody, I'm not angry or, um, like I get a bit frustrated during the day. Um, but , it kind of, um, ebbs and flows every now and then, but, yeah."}, {"turn_id": 40, "speaker": "doctor", "transcript": "OK. Do you have, have you ever been diagnosed with anxiety, or depression or stress in the past?"}, {"turn_id": 41, "speaker": "patient", "transcript": "Um, I've had, um, so I had, like anxiety for about, two years now, and I've been on, uh, Sertraline for, a while."}, {"turn_id": 42, "speaker": "doctor", "transcript": "OK. Are you taking Sertraline at the moment?"}, {"turn_id": 43, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 44, "speaker": "doctor", "transcript": "OK. Um, and how do you feel in terms of , anxiety at the moment? Do you feel anxious at the moment?"}, {"turn_id": 45, "speaker": "patient", "transcript": ", no, not necessarily at work, sometimes I do feel a bit anxious. Um, but I, I kind of just, uh, the panic of not being able to get my work done on time."}, {"turn_id": 46, "speaker": "doctor", "transcript": ""}, {"turn_id": 47, "speaker": "patient", "transcript": "Um, but other than that, I, I don't, feel, um, massively anxious."}, {"turn_id": 48, "speaker": "doctor", "transcript": "OK, all right. Um, now, sorry to ask this, just need to ask this for , anyone suffering from anxiety. Do you have any , have you had any thoughts about harming yourself or hurting yourself?"}, {"turn_id": 49, "speaker": "patient", "transcript": "No."}, {"turn_id": 50, "speaker": "doctor", "transcript": "Good, I'm glad to hear that. Um, now, with regards to this headache. Is it worse when you lie down, or um, is, is, is it better when you lie down?"}, {"turn_id": 51, "speaker": "patient", "transcript": "Um, when I lay down, like, uh, it kind of feels a little bit sore at first, um and it takes me a while to get comfortable. Um, so yeah, at the beginning it does, but then again that's just kind of, um, soothes a little bit."}, {"turn_id": 52, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 53, "speaker": "doctor", "transcript": "Um, so, would you say ultimately, it's better when you lie down? Or have you not ?"}, {"turn_id": 54, "speaker": "patient", "transcript": "Uh, yeah, I would say so."}, {"turn_id": 55, "speaker": "doctor", "transcript": "OK. Um, and um, in terms of um, this, headache since this morning, have you taken anything for it yet?"}, {"turn_id": 56, "speaker": "patient", "transcript": "Um, I've taken some Paracetamol."}, {"turn_id": 57, "speaker": "doctor", "transcript": "Has that helped?"}, {"turn_id": 58, "speaker": "patient", "transcript": "Um, not really, no."}, {"turn_id": 59, "speaker": "doctor", "transcript": "OK. Taking anything else at all?"}, {"turn_id": 60, "speaker": "patient", "transcript": "No that's it, just Paracetamol."}, {"turn_id": 61, "speaker": "doctor", "transcript": "OK. Um, do you have any other illnesses at all?"}, {"turn_id": 62, "speaker": "patient", "transcript": "Uh, none."}, {"turn_id": 63, "speaker": "doctor", "transcript": "Have you ever been diagnosed with high blood pressure?"}, {"turn_id": 64, "speaker": "patient", "transcript": "No."}, {"turn_id": 65, "speaker": "doctor", "transcript": "Have you ever had your blood pressure checked?"}, {"turn_id": 66, "speaker": "patient", "transcript": "No."}, {"turn_id": 67, "speaker": "doctor", "transcript": "OK. Um, and are there any illnesses in your family?"}, {"turn_id": 68, "speaker": "patient", "transcript": "Um, no, there's nothing. My parents, uh, my mum's had a history of anxiety as well but, no kind of like physical illnesses or anything like that."}, {"turn_id": 69, "speaker": "doctor", "transcript": "OK, all right. And um, are you on any medication?"}, {"turn_id": 70, "speaker": "patient", "transcript": "Um, no, other, other than Sertraline and having taken, um, Paracetamol this morning, uh, nothing else."}, {"turn_id": 71, "speaker": "doctor", "transcript": "Do you have any allergies to any medication?"}, {"turn_id": 72, "speaker": "patient", "transcript": "Not that I'm aware of, no."}, {"turn_id": 73, "speaker": "doctor", "transcript": "All right. And, are you living by yourself at the moment, or living with someone else?"}, {"turn_id": 74, "speaker": "patient", "transcript": "Um, I live with my partner."}, {"turn_id": 75, "speaker": "doctor", "transcript": "OK. Are you a smoker?"}, {"turn_id": 76, "speaker": "patient", "transcript": "No."}, {"turn_id": 77, "speaker": "doctor", "transcript": "OK. And, uh, do you have any pets at home?"}, {"turn_id": 78, "speaker": "patient", "transcript": "Uh, I have a cat."}, {"turn_id": 79, "speaker": "doctor", "transcript": "OK. And, can I just double-check, how much exercise would you do normally a week?"}, {"turn_id": 80, "speaker": "patient", "transcript": "Um, so normally I, try to go running at least three times a week."}, {"turn_id": 81, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 82, "speaker": "doctor", "transcript": "And what's your diet like?"}, {"turn_id": 83, "speaker": "patient", "transcript": "Um, it's OK, um, it's nothing, it's nothing um, really healthy, um, but it's fine."}, {"turn_id": 84, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 85, "speaker": "patient", "transcript": "I wouldn't say unhealthy."}, {"turn_id": 86, "speaker": "doctor", "transcript": "All right. Um, now um, in terms of this headache, uh, obviously I haven't been able to examine you, or see you directly."}, {"turn_id": 87, "speaker": "doctor", "transcript": "But, um, it sounds like it might be one of two things. It could be an element of what we call tension headache."}, {"turn_id": 88, "speaker": "patient", "transcript": "Sure."}, {"turn_id": 89, "speaker": "doctor", "transcript": "OK. That's one possibility. Um, and what makes that, more likely is the fact that, you've been under some pressure, and you have a history of anxiety in the past, OK. Um."}, {"turn_id": 90, "speaker": "patient", "transcript": "OK."}, {"turn_id": 91, "speaker": "doctor", "transcript": "The other possibility is, um, migraine as well."}, {"turn_id": 92, "speaker": "doctor", "transcript": "OK. Um, and, the fact, what makes that more likely is the fact that it's on one side, and that you've got some sensitivity to light."}, {"turn_id": 93, "speaker": "patient", "transcript": "OK."}, {"turn_id": 94, "speaker": "doctor", "transcript": "OK, So, what, what I think we can do, is um, I think we can give you some, um, generic, pain relief."}, {"turn_id": 95, "speaker": "patient", "transcript": "OK."}, {"turn_id": 96, "speaker": "doctor", "transcript": "That would be the appropriate first step, for, migraine type headaches. OK. So I'll tell you what it is in a second."}, {"turn_id": 97, "speaker": "patient", "transcript": "OK."}, {"turn_id": 98, "speaker": "doctor", "transcript": "And the other thing that I was gonna suggest is, we maybe look, explore things to try and decrease the stress from work."}, {"turn_id": 99, "speaker": "doctor", "transcript": "So, um, the medication-wise, the things that we'd start off first line, if someone had migraine was to, would be to start Ibuprofen."}, {"turn_id": 100, "speaker": "patient", "transcript": "OK."}, {"turn_id": 101, "speaker": "doctor", "transcript": "And um, uh, that, the doses of Ibuprofen can be a bit, more than the normal doses Ibuprofen so that's one thing we can start. You can keep on taking Paracetamol as well if you like, but the, the Ibuprofen's um, actually more effective , for migraine."}, {"turn_id": 102, "speaker": "patient", "transcript": "OK."}, {"turn_id": 103, "speaker": "doctor", "transcript": "And, um, yeah, so the, the guidelines have changed, recently we used, we, before that we used to give Paracetamol as first line but now it's, um, Ibuprofen or Aspirin."}, {"turn_id": 104, "speaker": "patient", "transcript": "Ohh right, O."}, {"turn_id": 105, "speaker": "doctor", "transcript": "That's, thing. Um, the other thing I'd like you to do, is maybe consider taking some time off work. OK, because if the headache is due to stress from work."}, {"turn_id": 106, "speaker": "patient", "transcript": "OK."}, {"turn_id": 107, "speaker": "patient", "transcript": "OK."}, {"turn_id": 108, "speaker": "doctor", "transcript": "Um, maybe having a week off if you self-certify, that might help with things. And I'd also like you to explore, counselling options as well so there's, a counselling service in your area, that I can give you the link for, for you to self-refer."}, {"turn_id": 109, "speaker": "patient", "transcript": ""}, {"turn_id": 110, "speaker": "doctor", "transcript": "I'd like you to, , OK I'd like you to try that. Um, what, we're gonna do is, we'll have a follow-up in a week's time."}, {"turn_id": 111, "speaker": "patient", "transcript": "Yeah, that'd be."}, {"turn_id": 112, "speaker": "doctor", "transcript": "As well as those two things, other things I'd like you to do, is to try and ensure that you're having a minimum of seven, eight hours sleep at night, every night. And you're drinking a minimum of, um, one point five to two litres uh, of water or fluids a day, and that's not including coffee or tea."}, {"turn_id": 113, "speaker": "patient", "transcript": "OK."}, {"turn_id": 114, "speaker": "patient", "transcript": "OK."}, {"turn_id": 115, "speaker": "doctor", "transcript": "All right, because sometimes dehydration and you know uh, fatigue can be causes of headaches as well. Um."}, {"turn_id": 116, "speaker": "patient", "transcript": "Ohh OK, I didn't realise that."}, {"turn_id": 117, "speaker": "doctor", "transcript": "Yeah, so it, that, that, that is um, you know, we need to rule those things out. Um, let's, let's try that."}, {"turn_id": 118, "speaker": "doctor", "transcript": "OK. Um, and let's have a follow-up appointment, if we're finding that things are not getting better, we might need to arrange some blood tests or um, look at uh, other possibilities, but, we'll try that in the first instance."}, {"turn_id": 119, "speaker": "doctor", "transcript": "Um, if anything changes in the meantime, or you get worried or things get worse. Feel free, have a lower threshold for ringing us back and we can book you an appointment, and we can reassess the situation."}, {"turn_id": 120, "speaker": "patient", "transcript": "OK. Yeah, the, that, that sounds brilliant. Thank you so much for your help."}, {"turn_id": 121, "speaker": "doctor", "transcript": "OK, no problem. So there'll be a summary of all of this in the notes. Um, and I'll also leave a link, to some of the danger signs of symptoms of headaches, in the notes. If you can read through that in your own time, that will just help you to have a bit more, control over what's going on and understanding of what, what, what kind of things, should trigger you contacting another doctor."}, {"turn_id": 122, "speaker": "patient", "transcript": "OK. That's perfect. Thank you so much for your help."}, {"turn_id": 123, "speaker": "doctor", "transcript": "No problem, OK. So we'll, we'll touch base in a week's time, with me or, myself or one of the other doctors, and we , we'll take it from there, OK."}, {"turn_id": 124, "speaker": "patient", "transcript": "OK. Thank you. Yeah, I'll book an appointment, in, um, yeah, in that time."}, {"turn_id": 125, "speaker": "doctor", "transcript": "Brilliant, OK then, all right. Take care then, all the best."}, {"turn_id": 126, "speaker": "patient", "transcript": "Bye."}, {"turn_id": 127, "speaker": "patient", "transcript": "Thank you, and you."}, {"turn_id": 128, "speaker": "doctor", "transcript": "Bye bye."}, {"turn_id": 129, "speaker": "patient", "transcript": "Bye."}]} |
acibench_D2N096_virtassist_clinicalnlp_taskB_test1 | [
{
"speaker": "doctor",
"transcript": "um , hi mrs. anderson . right ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yeah . yes , doctor .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "what brings you here today ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "hi , doctor . um , i'm having this left shoulder pain lately , uh , and it's paining a lot .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay . all right . hey , dragon . i am seeing mrs. anderson , a 44-years-old female , uh , complaining to check the left shoulder pain . um , so how long how has this lasted ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "it's been a week , doctor . yeah .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "a week .",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "um , did you take any medication yourself ?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "no , i did not take any pain medications . actually , i did . i did take a tylenol for two or three days , but then that did n't help at all . so , uh , the reason why it started or when it started to happen is-",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "yeah .",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": ". i was actually in gymnastics class .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "yeah , okay .",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "and , uh , i do n't know . maybe i must have toppled over into some weird position , so it started to pain since then , uh , because of a certain move .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay , uh-",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "i went overboard , i think . yeah .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "all right , lem me , uh , take a quick look . uh , can you move up a little bit ? yeah .",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "uh , yeah . in fact , that's hurts .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "does that- does it hurt ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah , it does .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "what if you move back a little bit ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "uh , that also hurts , doctor .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "yeah , okay .",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "any kind of movement on my left shoulder actually hurts .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay . all right , um , so let's ... hey , dragon . show me the last x-ray . all right , from the x-ray , it does n't look like there is any , uh , broken bone or fracture . my guess is you probably , um , hurt your joint , uh-",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "uh- .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": ". a little bit .",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "so i would , uh , suggest you continue using the pain reliever , maybe just like 600 milligram of ibuprofen three times a day and use it for a week .",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "and for how long ? yes .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "for a week .",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "a week , okay .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "and then if you ... if it's still painful , you can use , uh , ice or , um , heat pad-",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": ". 'cause that might help relieve your pain .",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "um ...",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "but i wanted you to know that i did have past surgery on my , um , left arm-",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "mm-hmm .",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": ". so , um , i hope that should n't matter , right ?",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "um , that does n't seem related to your pain .",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "so ... but i would try to rest my , your left arm-",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": ". while it's healing .",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "so , um-",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "can i , uh , carry any heavy weights or-",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "no , no . definitely not .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": ". anything like that ?",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "definitely not .",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay . okay .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "yeah , use , um , right hand-",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": ". instead-",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": ". for the next , uh , at least just three to four weeks .",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "uh , come back to see me if the pain , you know , still there after maybe three weeks-",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": ". so we can take a further look .",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "okay . sure .",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "but you should be fine-",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": ". after just resting and regular pain reliever .",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "okay . all right .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "um-",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "should we take another x-ray when i come back , if the pain does n't improve ?",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "um , maybe . let's see how you're doing in the next three weeks .",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "uh .",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "hey , dragon . um , order medications and procedures as discussed . all right .",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "um , i think that's good for today . hope you feel better soon .",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "okay . thank you , doctor .",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "yeah .",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "hopefully , the pain reliever , uh , ibuprofen actually helps .",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "yeah .",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "yeah , and if i have more pain , can i call you ? can i fix up another appointment earlier than three weeks ?",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "um , you can also try advil .",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "yeah , so , um ...",
"turn_id": 81
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "ale- , aleve . i mean , aleve .",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "i see . okay , thank you , doctor .",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "thank you .",
"turn_id": 85
}
] | [
{
"description": "600 milligram ibuprofen three times a day for a week",
"order_type": "medication",
"provenance": [
11,
51
],
"reason": "left shoulder pain"
},
{
"description": "come back three weeks",
"order_type": "followup",
"provenance": [
90
],
"reason": null
},
{
"description": "aleve",
"order_type": "medication",
"provenance": [
11,
125
],
"reason": "left shoulder pain"
}
] | {"id": "acibench_D2N096_virtassist_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "medication", "description": "600 milligram ibuprofen three times a day for a week", "reason": "left shoulder pain", "provenance": [11, 51]}, {"order_type": "followup", "description": "come back three weeks", "reason": null, "provenance": [90]}, {"order_type": "medication", "description": "aleve", "reason": "left shoulder pain", "provenance": [11, 125]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "um , hi mrs. anderson . right ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "yeah . yes , doctor ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "what brings you here today ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "hi , doctor . um , i'm having this left shoulder pain lately , uh , and it's paining a lot ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay . all right . hey , dragon . i am seeing mrs. anderson , a 44-years-old female , uh , complaining to check the left shoulder pain . um , so how long how has this lasted ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "it's been a week , doctor . yeah ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "a week ."}, {"turn_id": 8, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "um , did you take any medication yourself ?"}, {"turn_id": 10, "speaker": "patient", "transcript": "no , i did not take any pain medications . actually , i did . i did take a tylenol for two or three days , but then that did n't help at all . so , uh , the reason why it started or when it started to happen is-"}, {"turn_id": 11, "speaker": "doctor", "transcript": "yeah ."}, {"turn_id": 12, "speaker": "patient", "transcript": ". i was actually in gymnastics class ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "yeah , okay ."}, {"turn_id": 14, "speaker": "patient", "transcript": "and , uh , i do n't know . maybe i must have toppled over into some weird position , so it started to pain since then , uh , because of a certain move ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay , uh-"}, {"turn_id": 16, "speaker": "patient", "transcript": "i went overboard , i think . yeah ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "all right , lem me , uh , take a quick look . uh , can you move up a little bit ? yeah ."}, {"turn_id": 18, "speaker": "patient", "transcript": "uh , yeah . in fact , that's hurts ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "does that- does it hurt ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah , it does ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "what if you move back a little bit ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "uh , that also hurts , doctor ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "yeah , okay ."}, {"turn_id": 24, "speaker": "patient", "transcript": "any kind of movement on my left shoulder actually hurts ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay . all right , um , so let's ... hey , dragon . show me the last x-ray . all right , from the x-ray , it does n't look like there is any , uh , broken bone or fracture . my guess is you probably , um , hurt your joint , uh-"}, {"turn_id": 26, "speaker": "patient", "transcript": "uh- ."}, {"turn_id": 27, "speaker": "doctor", "transcript": ". a little bit ."}, {"turn_id": 28, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "so i would , uh , suggest you continue using the pain reliever , maybe just like 600 milligram of ibuprofen three times a day and use it for a week ."}, {"turn_id": 30, "speaker": "patient", "transcript": "and for how long ? yes ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "for a week ."}, {"turn_id": 32, "speaker": "patient", "transcript": "a week , okay ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "and then if you ... if it's still painful , you can use , uh , ice or , um , heat pad-"}, {"turn_id": 34, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 35, "speaker": "doctor", "transcript": ". 'cause that might help relieve your pain ."}, {"turn_id": 36, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "um ..."}, {"turn_id": 38, "speaker": "patient", "transcript": "but i wanted you to know that i did have past surgery on my , um , left arm-"}, {"turn_id": 39, "speaker": "doctor", "transcript": "mm-hmm ."}, {"turn_id": 40, "speaker": "patient", "transcript": ". so , um , i hope that should n't matter , right ?"}, {"turn_id": 41, "speaker": "doctor", "transcript": "um , that does n't seem related to your pain ."}, {"turn_id": 42, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "so ... but i would try to rest my , your left arm-"}, {"turn_id": 44, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 45, "speaker": "doctor", "transcript": ". while it's healing ."}, {"turn_id": 46, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "so , um-"}, {"turn_id": 48, "speaker": "patient", "transcript": "can i , uh , carry any heavy weights or-"}, {"turn_id": 49, "speaker": "doctor", "transcript": "no , no . definitely not ."}, {"turn_id": 50, "speaker": "patient", "transcript": ". anything like that ?"}, {"turn_id": 51, "speaker": "doctor", "transcript": "definitely not ."}, {"turn_id": 52, "speaker": "patient", "transcript": "okay . okay ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "yeah , use , um , right hand-"}, {"turn_id": 54, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 55, "speaker": "doctor", "transcript": ". instead-"}, {"turn_id": 56, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 57, "speaker": "doctor", "transcript": ". for the next , uh , at least just three to four weeks ."}, {"turn_id": 58, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 59, "speaker": "doctor", "transcript": "uh , come back to see me if the pain , you know , still there after maybe three weeks-"}, {"turn_id": 60, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 61, "speaker": "doctor", "transcript": ". so we can take a further look ."}, {"turn_id": 62, "speaker": "patient", "transcript": "okay . sure ."}, {"turn_id": 63, "speaker": "doctor", "transcript": "but you should be fine-"}, {"turn_id": 64, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 65, "speaker": "doctor", "transcript": ". after just resting and regular pain reliever ."}, {"turn_id": 66, "speaker": "patient", "transcript": "okay . all right ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "um-"}, {"turn_id": 68, "speaker": "patient", "transcript": "should we take another x-ray when i come back , if the pain does n't improve ?"}, {"turn_id": 69, "speaker": "doctor", "transcript": "um , maybe . let's see how you're doing in the next three weeks ."}, {"turn_id": 70, "speaker": "patient", "transcript": "uh ."}, {"turn_id": 71, "speaker": "doctor", "transcript": "hey , dragon . um , order medications and procedures as discussed . all right ."}, {"turn_id": 72, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 73, "speaker": "doctor", "transcript": "um , i think that's good for today . hope you feel better soon ."}, {"turn_id": 74, "speaker": "patient", "transcript": "okay . thank you , doctor ."}, {"turn_id": 75, "speaker": "doctor", "transcript": "yeah ."}, {"turn_id": 76, "speaker": "patient", "transcript": "hopefully , the pain reliever , uh , ibuprofen actually helps ."}, {"turn_id": 77, "speaker": "doctor", "transcript": "yeah ."}, {"turn_id": 78, "speaker": "patient", "transcript": "yeah , and if i have more pain , can i call you ? can i fix up another appointment earlier than three weeks ?"}, {"turn_id": 79, "speaker": "doctor", "transcript": "um , you can also try advil ."}, {"turn_id": 80, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 81, "speaker": "doctor", "transcript": "yeah , so , um ..."}, {"turn_id": 82, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 83, "speaker": "doctor", "transcript": "ale- , aleve . i mean , aleve ."}, {"turn_id": 84, "speaker": "patient", "transcript": "i see . okay , thank you , doctor ."}, {"turn_id": 85, "speaker": "doctor", "transcript": "thank you ."}]} |
acibench_D2N131_virtassist_clinicalnlp_taskC_test2 | [
{
"speaker": "",
"transcript": "hi , susan , how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "good . how are you ?",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "good . are you ready to get started ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yes , i am .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "so , susan is a 26-year-old female here for a high blood pressure check . susan , what's going on with your blood pressure ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "so , i've always struggled with , um , high blood pressure , but it's seeming to get really out of control lately . so , i wanted to come in and see if there's any type of new medication i can be on to help it get steady or if there is diet restrictions i should take , um , things like that .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay . so , i know that we've had you on the norvasc and we had to increase your dose , so you're on 10 milligrams a day now . and what are your blood pressures running at home ? you c- ... like , have they been like over 150 ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "yeah , they have been .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay . all right . and , have you had any headaches ?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "i have had some headaches . i do n't know if that's just because of more stress at work or , um , because of the high blood pressure .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay . all right . so , you've had some headaches . have you had any chest pain , shortness of breath , anything like that ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no , nothing like that .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay . um , and , you know , i know that you've had a kidney transplant a few years ago .",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "everything is okay with that ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "everything's been good and solid there .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "and you're taking all of your auto , um , i- um , your immunosuppression medications ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "yes , i am .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "all right .",
"turn_id": 19
},
{
"speaker": "",
"transcript": "so , let's go ahead and we'll do a quick physical exam . so , looking at you , you do n't appear any distress . your neck is nice and supple . your heart is irregular rate and rhythm . i do hear a slight , uh , two out of six systolic ejection murmur . your lungs are clear . i do see the scar on the left , uh , left plank for your kidney transplant which is healed . and you have no lower extremity edema . so , let's go ahead and look at some of your results , okay ?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "hey , dragon , show me the creatinine . so , your kidney function looks really good . so , that's really promising after your transplant . hey , dragon , show me the ekg . and your ekg looks great , uh , perfectly normal , so that's good . um , so , my impression of you at this time ... , let me see your blood pressure .",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "hey , dragon , show me the blood pressure . yeah , and you're right , it-",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "hm .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": ". it is high . so , there is something that we can do for that . so , let's go ahead and we'll put you on ... so , my impression of you is that your , your blood pressure is high and the norvasc is n't controlling it . and , you know , we can definitely get it under better control . so , what i would like to do is prescribe you coreg 25 milligrams , twice a day . and that will help bring your blood pressure down , okay ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "hey , dragon , order carvedilol 25 milligrams , twice a day . uh , i'd also like to go ahead and , uh , get a lipid panel and some routine labs on you just to make sure that everything is okay .",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "hey , dragon , order a lipid panel . hey , dragon , order a complete metabolic panel . all right . and then , um , from a transplant standpoint , everything looks fine . your kidney function looks great , so we're just gon na continue you on all of those medications .",
"turn_id": 30
},
{
"speaker": "",
"transcript": "so , the nurse will come in soon and she'll help you schedule all of the al- schedule a follow-up appointment with me , and we'll see what your blood pressure looks like in a couple weeks after taking that medication . okay ?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "all right . thanks , susan .",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "thank you .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "hey , dragon , finalize the note .",
"turn_id": 35
}
] | [
{
"description": "milligrams coreg 25 twice a day",
"order_type": "medication",
"provenance": [
9,
12,
59
],
"reason": "high blood pressure , but it's seeming to get really out of control"
},
{
"description": "lipid panel",
"order_type": "lab",
"provenance": [
9,
65
],
"reason": "high blood pressure , but it's seeming to get really out of control"
},
{
"description": "complete metabolic panel",
"order_type": "lab",
"provenance": [
9,
66
],
"reason": "high blood pressure , but it's seeming to get really out of control"
},
{
"description": "follow-up",
"order_type": "followup",
"provenance": [
70
],
"reason": null
}
] | {"id": "acibench_D2N131_virtassist_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "medication", "description": "milligrams coreg 25 twice a day", "reason": "high blood pressure , but it's seeming to get really out of control", "provenance": [9, 12, 59]}, {"order_type": "lab", "description": "lipid panel", "reason": "high blood pressure , but it's seeming to get really out of control", "provenance": [9, 65]}, {"order_type": "lab", "description": "complete metabolic panel", "reason": "high blood pressure , but it's seeming to get really out of control", "provenance": [9, 66]}, {"order_type": "followup", "description": "follow-up", "reason": null, "provenance": [70]}], "transcript": [{"turn_id": 1, "speaker": "", "transcript": "hi , susan , how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "good . how are you ?"}, {"turn_id": 3, "speaker": "doctor", "transcript": "good . are you ready to get started ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "yes , i am ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "so , susan is a 26-year-old female here for a high blood pressure check . susan , what's going on with your blood pressure ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "so , i've always struggled with , um , high blood pressure , but it's seeming to get really out of control lately . so , i wanted to come in and see if there's any type of new medication i can be on to help it get steady or if there is diet restrictions i should take , um , things like that ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay . so , i know that we've had you on the norvasc and we had to increase your dose , so you're on 10 milligrams a day now . and what are your blood pressures running at home ? you c- ... like , have they been like over 150 ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "yeah , they have been ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay . all right . and , have you had any headaches ?"}, {"turn_id": 10, "speaker": "patient", "transcript": "i have had some headaches . i do n't know if that's just because of more stress at work or , um , because of the high blood pressure ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay . all right . so , you've had some headaches . have you had any chest pain , shortness of breath , anything like that ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "no , nothing like that ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay . um , and , you know , i know that you've had a kidney transplant a few years ago ."}, {"turn_id": 14, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "everything is okay with that ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "everything's been good and solid there ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "and you're taking all of your auto , um , i- um , your immunosuppression medications ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "yes , i am ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "all right ."}, {"turn_id": 20, "speaker": "", "transcript": "so , let's go ahead and we'll do a quick physical exam . so , looking at you , you do n't appear any distress . your neck is nice and supple . your heart is irregular rate and rhythm . i do hear a slight , uh , two out of six systolic ejection murmur . your lungs are clear . i do see the scar on the left , uh , left plank for your kidney transplant which is healed . and you have no lower extremity edema . so , let's go ahead and look at some of your results , okay ?"}, {"turn_id": 21, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 22, "speaker": "doctor", "transcript": "hey , dragon , show me the creatinine . so , your kidney function looks really good . so , that's really promising after your transplant . hey , dragon , show me the ekg . and your ekg looks great , uh , perfectly normal , so that's good . um , so , my impression of you at this time ... , let me see your blood pressure ."}, {"turn_id": 23, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "hey , dragon , show me the blood pressure . yeah , and you're right , it-"}, {"turn_id": 25, "speaker": "patient", "transcript": "hm ."}, {"turn_id": 26, "speaker": "doctor", "transcript": ". it is high . so , there is something that we can do for that . so , let's go ahead and we'll put you on ... so , my impression of you is that your , your blood pressure is high and the norvasc is n't controlling it . and , you know , we can definitely get it under better control . so , what i would like to do is prescribe you coreg 25 milligrams , twice a day . and that will help bring your blood pressure down , okay ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "hey , dragon , order carvedilol 25 milligrams , twice a day . uh , i'd also like to go ahead and , uh , get a lipid panel and some routine labs on you just to make sure that everything is okay ."}, {"turn_id": 29, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "hey , dragon , order a lipid panel . hey , dragon , order a complete metabolic panel . all right . and then , um , from a transplant standpoint , everything looks fine . your kidney function looks great , so we're just gon na continue you on all of those medications ."}, {"turn_id": 31, "speaker": "", "transcript": "so , the nurse will come in soon and she'll help you schedule all of the al- schedule a follow-up appointment with me , and we'll see what your blood pressure looks like in a couple weeks after taking that medication . okay ?"}, {"turn_id": 32, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "all right . thanks , susan ."}, {"turn_id": 34, "speaker": "patient", "transcript": "thank you ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "hey , dragon , finalize the note ."}]} |
acibench_D2N207_aci_clef_taskC_test3 | [
{
"speaker": "doctor",
"transcript": "hi frank how are you i heard the medical assistant told me that you're having some shortness of breath",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i am i am i am okay i am not great",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "you are okay you are not great okay well how long have you been having some shortness of breath",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "it's been about a week",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "it's been about a week okay now have you ever experienced these symptoms before",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah this happened about six months ago and i came in and they changed my lasix dose and i seemed to get better",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay alright so let's talk a little bit about that now i know that you have a history of coronary disease you know you had had a heart attack back in twenty eighteen we put that stent in your right coronary artery i know that the pumping function of your heart was a little low you know that what we call that ejection fraction was about thirty five percent have you been watching your salt intake",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "yeah but you know it's been the holidays the last couple of weeks and you know i we've had a bunch of family get togethers and i i do n't think my diet has been everything it should have been",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay alright now have you noticed any swelling in your legs",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "yes definitely",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay and are you taking the lasix now i know that we had increased it to about forty milligrams once a day are you taking it",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah i take it everyday",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "you take it everyday okay do you notice that you're urinating any less recently",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "no it seems about the same",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "you know i i urinate at night you know at least once sometimes twice a night that's a little more it happened before",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay alright and do you feel short of breath at rest or is it mostly when you're just walking around",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "walking around stairs in particular walking quickly",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay and how about when you're sleeping at night are you able to lay flat or do you have to sit up a little bit",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "i gone from one pillow to two pillows",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay alright and do you ever wake up really short of breath does it ever wake you up",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "it did that six months ago it has not done that so far this time",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay alright now tell me a little bit about when was the last time you saw your nephrologist",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "about about a month ago",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay because as you know you know we we do talk about the fact that you have some kidney dysfunction about stage three so it's gon na be important for you to continue to follow up with your kidney doctor now are you how are you doing staying away from things like motrin and advil i know that you had had some knee pain in the past and you know how are you doing staying away from those medications",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yeah everybody has told me not to use it so i do n't except when i have pretty bad pain i had an episode about a week ago some pain in my feet actually and i i had to take motrin to get rid of it so yeah i took motrin for a while and i stopped as quickly as i could",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay now are you able to take tylenol do you not feel any relief from tylenol when you take it",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yeah tylenol's lovely it just is not very effective",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay alright yeah because i think we really want you to stay away from that those anti-inflammatories because that can make your kidney function worse and obviously you know we do n't wan na see you go on dialysis or anything like that so we'll have",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "mean neither",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "right so we'll have to you know really work on that now tell me a little bit about are you watching the potassium and stuff in your diet",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "nobody's really talked to me about that so",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay yeah so you want",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "i did n't know what high potassium foods are",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "okay i'm sorry i've never talked to you about that in the past i that's my fault so yeah so you wan na make sure you stay away from things like bananas oranges you know potatoes have lots of potassium that type of thing and so you know because with your kidney function you know that can cause your potassium levels to go up because you do n't get rid of the potassium as you should you know",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "something to eat",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "what's that",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "is there anything left is there anything left over that i ca n't eat",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "so yeah you can eat you know how about this how about we give you a a referral to a dietitian and they can help you with that",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "sounds good",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "now are you watching the nba playoff should i or should i not bring that up i is that a sensitive subject i mean i'm a self expand and and we did sweep the nuts so",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "yeah well i mean that's fan and i could n't sleep last night but you know",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay well maybe we should n't talk about",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "kinda used to it you know where they where the favorite to win and then like that",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "yeah i know i i i will say i think jason tatum and jaylen brown paid played phenomenally so i do think that they help with the cell fix over the edge so but that's all we'll talk about that what's that",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "i said yeah too bad they did",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "yeah alright well i wan na just go ahead and do a quick physical exam on you okay so you know looking at your vital signs here in the office you know your your blood pressure is about one thirty five over eighty so it's it's not too bad and maybe like to see it a little bit lower i'm just gon na be calling out my physical exam findings and i'm gon na let you know what they mean when i'm done okay so on your neck exam i appreciate some jugular venous distention up to about nine centimeters there are no carotid bruits on your lung exam i do appreciate bibasilar crackles with occasional rhonchi that clears when you cough on your heart exam i do appreciate a three out of six systolic ejection murmur heard at the left base and on your lower extremity exam i do appreciate one to two plus pitting edema bilaterally so frank what does that mean all that means is that you have findings on you that suggest that you're retaining fluid now we'll have to talk a little bit about how we're going to address that okay so i wan na just go over a little bit about my assessment and my plan for you okay so for the for your first problem of your shortness of breath i do believe you're having a an acute heart failure exacerbation so i wan na go ahead and increase your lasix from forty milligrams a day to eighty milligrams a day and i want you to call me in two days and let me know how your weight has been with increasing the diuretic now if you start to have worsening shortness of breath before that i want you to yeah call me we may have to admit you to the hospital for some intravenous diuretics okay i also wan na go ahead and just obtain",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "salt on lasix all at once am i take it all at once or do i divide it up",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "how about you start taking the the increased dose in the morning and then we'll see how you do and if necessary i'll have to add a second dose in the afternoon that you can take around four o'clock in the afternoon i do n't want you to take it too late at night because then you will be going to the bathroom all night okay",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "that sounds correct",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "so i also want to go ahead and order a chest x-ray just to make sure that we are not missing anything else okay for your second problem of your coronary artery disease you know it sounds like you're doing well except for this heart failure exacerbation so i wan na go ahead and order another echocardiogram to check out that heart murmur that i hear on your physical exam just to make sure that that's not getting any worse and to make sure that the pumping function of your heart is stable and i'm gon na go ahead and call doctor white and let them know that i want you to be seen by them okay okay and then for your third problem of your stage three chronic kidney disease i want you to go ahead and try to you know do n't please do n't take anymore motrin or advil i do want you to try to stick with tylenol and if you're still having a significant problem with with some pain i want you to call me and we'll talk about some alternative medications that we can use or therapies okay i will also want to go ahead and order a complete metabolic panel just to make sure that your kidney function is stable does that sound okay",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "that sounds good do you have any idea what was going on with my foot pain before",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "well how long have you been having it how long you've been having that foot pain",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "that's why i took the motrin it lasted you know four five days slowly went away",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "it was in both of your feet",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "one",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "one and where in your foot was was it",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "just in front of the big toe",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "just in front of the big toe okay have you ever had a history of gout",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "nobody has told me about that",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "okay alright well it sounds like it could've been gout you know with your chronic kidneys chronic kidney disease it it's a possibility so for this possible gout flare for your fourth problem of your possible gout flare let's go ahead i wan na just go ahead and order a uric acid just to see and it's something that we can talk about there is an alternative medication that you can take with your kidney function that that would n't hurt it that would n't injure it any further and i think it would work just the same",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "okay any other questions",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "just as long as you think i'm gon na get better",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "i think you're gon na get better yes i think we're gon na you know i really want you to watch your salt intake and i'm gon na go ahead and order that dietary dietitian referral so that you can get your diet under control but you really have to watch your salt intake i think that that's kind of what this heart failure exacerbation is about maybe a little dietary indiscretion",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "okay anything else",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "yeah no that's good thank you",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "okay you're welcome bye",
"turn_id": 69
}
] | [
{
"description": "chest x-ray x-ray",
"order_type": "imaging",
"provenance": [
51
],
"reason": "to make sure that we are not missing anything else"
},
{
"description": "heart echocardiogram",
"order_type": "imaging",
"provenance": [
7,
47,
51
],
"reason": "three out of six systolic ejection murmur heard at the left base"
},
{
"description": "lasix milligrams eighty add a second dose in the afternoon that you can take around four o'clock in the afternoon",
"order_type": "medication",
"provenance": [
11,
47,
49
],
"reason": "acute heart failure exacerbation"
},
{
"description": "complete metabolic panel",
"order_type": "lab",
"provenance": [
25,
51
],
"reason": "kidney dysfunction about stage three"
},
{
"description": "uric acid",
"order_type": "lab",
"provenance": [
61
],
"reason": "possible gout flare"
},
{
"description": "lasix milligrams once a day eighty in the morning",
"order_type": "medication",
"provenance": [
11,
47,
49
],
"reason": "acute heart failure exacerbation"
}
] | {"id": "acibench_D2N207_aci_clef_taskC_test3", "expected_orders": [{"order_type": "imaging", "description": "chest x-ray x-ray", "reason": "to make sure that we are not missing anything else", "provenance": [51]}, {"order_type": "imaging", "description": "heart echocardiogram", "reason": "three out of six systolic ejection murmur heard at the left base", "provenance": [7, 47, 51]}, {"order_type": "medication", "description": "lasix milligrams eighty add a second dose in the afternoon that you can take around four o'clock in the afternoon", "reason": "acute heart failure exacerbation", "provenance": [11, 47, 49]}, {"order_type": "lab", "description": "complete metabolic panel", "reason": "kidney dysfunction about stage three", "provenance": [25, 51]}, {"order_type": "lab", "description": "uric acid", "reason": "possible gout flare", "provenance": [61]}, {"order_type": "medication", "description": "lasix milligrams once a day eighty in the morning", "reason": "acute heart failure exacerbation", "provenance": [11, 47, 49]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi frank how are you i heard the medical assistant told me that you're having some shortness of breath"}, {"turn_id": 2, "speaker": "patient", "transcript": "i am i am i am okay i am not great"}, {"turn_id": 3, "speaker": "doctor", "transcript": "you are okay you are not great okay well how long have you been having some shortness of breath"}, {"turn_id": 4, "speaker": "patient", "transcript": "it's been about a week"}, {"turn_id": 5, "speaker": "doctor", "transcript": "it's been about a week okay now have you ever experienced these symptoms before"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah this happened about six months ago and i came in and they changed my lasix dose and i seemed to get better"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay alright so let's talk a little bit about that now i know that you have a history of coronary disease you know you had had a heart attack back in twenty eighteen we put that stent in your right coronary artery i know that the pumping function of your heart was a little low you know that what we call that ejection fraction was about thirty five percent have you been watching your salt intake"}, {"turn_id": 8, "speaker": "patient", "transcript": "yeah but you know it's been the holidays the last couple of weeks and you know i we've had a bunch of family get togethers and i i do n't think my diet has been everything it should have been"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay alright now have you noticed any swelling in your legs"}, {"turn_id": 10, "speaker": "patient", "transcript": "yes definitely"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay and are you taking the lasix now i know that we had increased it to about forty milligrams once a day are you taking it"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah i take it everyday"}, {"turn_id": 13, "speaker": "doctor", "transcript": "you take it everyday okay do you notice that you're urinating any less recently"}, {"turn_id": 14, "speaker": "patient", "transcript": "no it seems about the same"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 16, "speaker": "patient", "transcript": "you know i i urinate at night you know at least once sometimes twice a night that's a little more it happened before"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay alright and do you feel short of breath at rest or is it mostly when you're just walking around"}, {"turn_id": 18, "speaker": "patient", "transcript": "walking around stairs in particular walking quickly"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay and how about when you're sleeping at night are you able to lay flat or do you have to sit up a little bit"}, {"turn_id": 20, "speaker": "patient", "transcript": "i gone from one pillow to two pillows"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay alright and do you ever wake up really short of breath does it ever wake you up"}, {"turn_id": 22, "speaker": "patient", "transcript": "it did that six months ago it has not done that so far this time"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay alright now tell me a little bit about when was the last time you saw your nephrologist"}, {"turn_id": 24, "speaker": "patient", "transcript": "about about a month ago"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay because as you know you know we we do talk about the fact that you have some kidney dysfunction about stage three so it's gon na be important for you to continue to follow up with your kidney doctor now are you how are you doing staying away from things like motrin and advil i know that you had had some knee pain in the past and you know how are you doing staying away from those medications"}, {"turn_id": 26, "speaker": "patient", "transcript": "yeah everybody has told me not to use it so i do n't except when i have pretty bad pain i had an episode about a week ago some pain in my feet actually and i i had to take motrin to get rid of it so yeah i took motrin for a while and i stopped as quickly as i could"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay now are you able to take tylenol do you not feel any relief from tylenol when you take it"}, {"turn_id": 28, "speaker": "patient", "transcript": "yeah tylenol's lovely it just is not very effective"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay alright yeah because i think we really want you to stay away from that those anti-inflammatories because that can make your kidney function worse and obviously you know we do n't wan na see you go on dialysis or anything like that so we'll have"}, {"turn_id": 30, "speaker": "patient", "transcript": "mean neither"}, {"turn_id": 31, "speaker": "doctor", "transcript": "right so we'll have to you know really work on that now tell me a little bit about are you watching the potassium and stuff in your diet"}, {"turn_id": 32, "speaker": "patient", "transcript": "nobody's really talked to me about that so"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay yeah so you want"}, {"turn_id": 34, "speaker": "patient", "transcript": "i did n't know what high potassium foods are"}, {"turn_id": 35, "speaker": "doctor", "transcript": "okay i'm sorry i've never talked to you about that in the past i that's my fault so yeah so you wan na make sure you stay away from things like bananas oranges you know potatoes have lots of potassium that type of thing and so you know because with your kidney function you know that can cause your potassium levels to go up because you do n't get rid of the potassium as you should you know"}, {"turn_id": 36, "speaker": "patient", "transcript": "something to eat"}, {"turn_id": 37, "speaker": "doctor", "transcript": "what's that"}, {"turn_id": 38, "speaker": "patient", "transcript": "is there anything left is there anything left over that i ca n't eat"}, {"turn_id": 39, "speaker": "doctor", "transcript": "so yeah you can eat you know how about this how about we give you a a referral to a dietitian and they can help you with that"}, {"turn_id": 40, "speaker": "patient", "transcript": "sounds good"}, {"turn_id": 41, "speaker": "doctor", "transcript": "now are you watching the nba playoff should i or should i not bring that up i is that a sensitive subject i mean i'm a self expand and and we did sweep the nuts so"}, {"turn_id": 42, "speaker": "patient", "transcript": "yeah well i mean that's fan and i could n't sleep last night but you know"}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay well maybe we should n't talk about"}, {"turn_id": 44, "speaker": "patient", "transcript": "kinda used to it you know where they where the favorite to win and then like that"}, {"turn_id": 45, "speaker": "doctor", "transcript": "yeah i know i i i will say i think jason tatum and jaylen brown paid played phenomenally so i do think that they help with the cell fix over the edge so but that's all we'll talk about that what's that"}, {"turn_id": 46, "speaker": "patient", "transcript": "i said yeah too bad they did"}, {"turn_id": 47, "speaker": "doctor", "transcript": "yeah alright well i wan na just go ahead and do a quick physical exam on you okay so you know looking at your vital signs here in the office you know your your blood pressure is about one thirty five over eighty so it's it's not too bad and maybe like to see it a little bit lower i'm just gon na be calling out my physical exam findings and i'm gon na let you know what they mean when i'm done okay so on your neck exam i appreciate some jugular venous distention up to about nine centimeters there are no carotid bruits on your lung exam i do appreciate bibasilar crackles with occasional rhonchi that clears when you cough on your heart exam i do appreciate a three out of six systolic ejection murmur heard at the left base and on your lower extremity exam i do appreciate one to two plus pitting edema bilaterally so frank what does that mean all that means is that you have findings on you that suggest that you're retaining fluid now we'll have to talk a little bit about how we're going to address that okay so i wan na just go over a little bit about my assessment and my plan for you okay so for the for your first problem of your shortness of breath i do believe you're having a an acute heart failure exacerbation so i wan na go ahead and increase your lasix from forty milligrams a day to eighty milligrams a day and i want you to call me in two days and let me know how your weight has been with increasing the diuretic now if you start to have worsening shortness of breath before that i want you to yeah call me we may have to admit you to the hospital for some intravenous diuretics okay i also wan na go ahead and just obtain"}, {"turn_id": 48, "speaker": "patient", "transcript": "salt on lasix all at once am i take it all at once or do i divide it up"}, {"turn_id": 49, "speaker": "doctor", "transcript": "how about you start taking the the increased dose in the morning and then we'll see how you do and if necessary i'll have to add a second dose in the afternoon that you can take around four o'clock in the afternoon i do n't want you to take it too late at night because then you will be going to the bathroom all night okay"}, {"turn_id": 50, "speaker": "patient", "transcript": "that sounds correct"}, {"turn_id": 51, "speaker": "doctor", "transcript": "so i also want to go ahead and order a chest x-ray just to make sure that we are not missing anything else okay for your second problem of your coronary artery disease you know it sounds like you're doing well except for this heart failure exacerbation so i wan na go ahead and order another echocardiogram to check out that heart murmur that i hear on your physical exam just to make sure that that's not getting any worse and to make sure that the pumping function of your heart is stable and i'm gon na go ahead and call doctor white and let them know that i want you to be seen by them okay okay and then for your third problem of your stage three chronic kidney disease i want you to go ahead and try to you know do n't please do n't take anymore motrin or advil i do want you to try to stick with tylenol and if you're still having a significant problem with with some pain i want you to call me and we'll talk about some alternative medications that we can use or therapies okay i will also want to go ahead and order a complete metabolic panel just to make sure that your kidney function is stable does that sound okay"}, {"turn_id": 52, "speaker": "patient", "transcript": "that sounds good do you have any idea what was going on with my foot pain before"}, {"turn_id": 53, "speaker": "doctor", "transcript": "well how long have you been having it how long you've been having that foot pain"}, {"turn_id": 54, "speaker": "patient", "transcript": "that's why i took the motrin it lasted you know four five days slowly went away"}, {"turn_id": 55, "speaker": "doctor", "transcript": "it was in both of your feet"}, {"turn_id": 56, "speaker": "patient", "transcript": "one"}, {"turn_id": 57, "speaker": "doctor", "transcript": "one and where in your foot was was it"}, {"turn_id": 58, "speaker": "patient", "transcript": "just in front of the big toe"}, {"turn_id": 59, "speaker": "doctor", "transcript": "just in front of the big toe okay have you ever had a history of gout"}, {"turn_id": 60, "speaker": "patient", "transcript": "nobody has told me about that"}, {"turn_id": 61, "speaker": "doctor", "transcript": "okay alright well it sounds like it could've been gout you know with your chronic kidneys chronic kidney disease it it's a possibility so for this possible gout flare for your fourth problem of your possible gout flare let's go ahead i wan na just go ahead and order a uric acid just to see and it's something that we can talk about there is an alternative medication that you can take with your kidney function that that would n't hurt it that would n't injure it any further and i think it would work just the same"}, {"turn_id": 62, "speaker": "patient", "transcript": "okay"}, {"turn_id": 63, "speaker": "doctor", "transcript": "okay any other questions"}, {"turn_id": 64, "speaker": "patient", "transcript": "just as long as you think i'm gon na get better"}, {"turn_id": 65, "speaker": "doctor", "transcript": "i think you're gon na get better yes i think we're gon na you know i really want you to watch your salt intake and i'm gon na go ahead and order that dietary dietitian referral so that you can get your diet under control but you really have to watch your salt intake i think that that's kind of what this heart failure exacerbation is about maybe a little dietary indiscretion"}, {"turn_id": 66, "speaker": "patient", "transcript": "okay"}, {"turn_id": 67, "speaker": "doctor", "transcript": "okay anything else"}, {"turn_id": 68, "speaker": "patient", "transcript": "yeah no that's good thank you"}, {"turn_id": 69, "speaker": "doctor", "transcript": "okay you're welcome bye"}]} |
acibench_D2N047_aci_train | [
{
"speaker": "doctor",
"transcript": "hi billy how are you what's been going on the medical assistant told me that you're having some difficulty urinating",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yeah yeah i i did n't really wan na come in to talk about it's kinda weird but i think probably over the last six months i'm just not peeing right it just does n't seem to be normal",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay so let's talk a little bit about that now is your is your stream is your urination stream weak",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yeah i'd probably say so",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay and do you feel like you're emptying your bladder fully or do you feel like you still have some urine left in there when you when you finish",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "most of the times i'm okay but sometimes if i stand there long enough i i can kinda go a little bit more so it's taking a while actually to just go to the bathroom",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay and are you waking up at night to go to the bathroom does it impact your sleep",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "yeah i try to empty my bladder now right before i go to bed and and not drink anything but i'm still probably getting up three or four times a night to go to the bed",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay so you're getting up about three or four times a night and and how long has this been going on you said for about six months",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "yeah six months to like this and it's probably been a little bit worse over the last six months and maybe it's been longer i just did n't want to bring it up",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay so you think it's been going on longer okay alright now how about have you had any burning when you urinate at all",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no it i do n't think it burns",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "no burning when you urinate okay and and any other any other issues any problems with your bowels any constipation issues",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "hmmm no i i i had diarrhea last week but i think i ate something bad",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay and ever have you ever had any issues where you had what we call urinary retention where you could n't pee and you needed to have like a catheter inserted",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "my gosh no",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i'll do that",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "alright and have you ever seen a urologist i do n't think so you've been my patient for a while i do n't remember ever sending you but have you ever seen one",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "i do n't think so",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay now tell me how are you doing with your with your heart when was the last time you saw doctor moore the cardiologist i know that you had the the stent placed in your right coronary artery about what was that twenty eighteen",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yeah sounds about right i think i just saw him in november he said everything was okay",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "he said everything was okay alright and so you have n't had any chest pain or shortness of breath you're still walking around doing your activities of daily living are you exercising",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "kind of",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "kind of okay now from what i remember i remember you being a big college football fan are you as excited as i am that georgia beat alabama in the national championships",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yeah yeah i'm super excited",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "you do n't really seem that excited",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "get the problem fixed because i have to be able to sit there and watch the whole game",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "yeah i i really do n't like nick saving i'm so i'm super happy that that the dogs pulled it out",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "i do n't know if we can do friends anymore",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "are you in alabama fan",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "maybe i'm actually originally not from georgia so",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay alright well i mean i i'm i'm a long horns fan but anyway well i digress let's talk a little bit about your diabetes how are how are you doing with your sugars are you watching your diet",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "i'm trying to yeah i think they are okay",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "okay and are you still taking the metformin",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "yep",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "you are okay alright now i wan na go ahead and just move on to a quick physical exam okay i'm gon na be calling out some of my exam findings and i'm gon na let you know what that means when i'm done okay alright i do have to do a rectal exam i apologize i'm just gon na be calling it out what what i what i appreciate okay so on your heart exam i do appreciate a slight three out of six systolic ejection murmur hurt at the left base on your lung exam your lungs are clear to auscultation bilaterally on your abdominal exam your abdomen is nontender and nondistended i do n't appreciate any masses or any rebound or guarding on your prostate exam i do appreciate an enlarged prostate i do n't appreciate any masses on physical exam so what what does that mean billy so that ultimately means that you know everything looks good you know you have that little heart murmur which i believe you you've had in the past but we're gon na go ahead and look into that you know your prostate seems a little bit enlarged to me on physical exam so let's talk about how we can go about and and remedy that okay so for your first problem of this you know difficulty urinating i wan na go ahead and just order some routine labs i wan na get a a psa that kind of that ultimately kinda looks for prostate cancer issues which i do n't think you have because we did n't really appreciate that on physical exam i wan na go ahead and we can try to start you on what we call flomax zero point four milligrams once a day you should take it at night because it can cause people to get a little bit dizzy if they take it in the morning so i would take it at night and i wan na go ahead and refer you to a urologist just to look into this more so we can go ahead and and get this problem solved for you okay i'm also gon na go ahead and just order some routine blood tests just to make sure that we are not missing anything do you have any questions about that and i wan na go ahead and order a urinalysis and a urine culture",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "yeah so sounds good have you seen that commercial for that super batter prostate stuff does that work",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "well i think the data it's it's i'm not really sure if it works or not i'm not that familiar with it let's just go ahead and stick with flomax and that's why we are gon na refer you to the urologist so that they can go ahead and talk to you about you know the most current treatment options for you okay",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "alright",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "alright for your second problem of your coronary artery disease i wan na go ahead and order an echocardiogram just to follow up on that heart murmur that you had and i wan na go ahead and continue you on the lipitor forty milligrams a day and the aspirin and the metoprolol and i wan na go ahead and order a lipid panel any questions about that",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "nope",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay and then for your third problem of your diabetes it sounds like you're doing really well let's go ahead and continue you on the metformin a thousand milligrams twice a day we will go ahead and order a hemoglobin a1c to see if we need to make any adjustments to that and i'm gon na see you again in about three to four weeks okay i want you to call me or message me in the patient portal if you have any concerns",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "alright when is the urologist gon na call me",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "i'm gon na reach out i'm gon na reach out to them now and see if they can get you in this week",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "sounds good",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "okay alright well great it was good to see you bye",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "i could just hit it and i can just talk and then i'm just",
"turn_id": 48
}
] | [
{
"description": "urinalysis urine",
"order_type": "lab",
"provenance": [
37
],
"reason": "difficulty urinating"
},
{
"description": "urine culture",
"order_type": "lab",
"provenance": [
37
],
"reason": "difficulty urinating"
},
{
"description": "echocardiogram heart",
"order_type": "imaging",
"provenance": [
41
],
"reason": "heart murmur"
},
{
"description": "psa blood",
"order_type": "lab",
"provenance": [
37
],
"reason": "looks for prostate cancer"
},
{
"description": "blood lipid panel",
"order_type": "lab",
"provenance": [
37,
41
],
"reason": "coronary artery disease"
},
{
"description": "blood hemoglobin a1c",
"order_type": "lab",
"provenance": [
37,
43
],
"reason": "diabetes"
},
{
"description": "see you again three to four weeks",
"order_type": "followup",
"provenance": [
43
],
"reason": null
},
{
"description": "flomax zero point four milligrams once a day take it at night",
"order_type": "medication",
"provenance": [
37
],
"reason": "difficulty urinating"
}
] | {"id": "acibench_D2N047_aci_train", "expected_orders": [{"order_type": "lab", "description": "urinalysis urine", "reason": "difficulty urinating", "provenance": [37]}, {"order_type": "lab", "description": "urine culture", "reason": "difficulty urinating", "provenance": [37]}, {"order_type": "imaging", "description": "echocardiogram heart", "reason": "heart murmur", "provenance": [41]}, {"order_type": "lab", "description": "psa blood", "reason": "looks for prostate cancer", "provenance": [37]}, {"order_type": "lab", "description": "blood lipid panel", "reason": "coronary artery disease", "provenance": [37, 41]}, {"order_type": "lab", "description": "blood hemoglobin a1c", "reason": "diabetes", "provenance": [37, 43]}, {"order_type": "followup", "description": "see you again three to four weeks", "reason": null, "provenance": [43]}, {"order_type": "medication", "description": "flomax zero point four milligrams once a day take it at night", "reason": "difficulty urinating", "provenance": [37]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi billy how are you what's been going on the medical assistant told me that you're having some difficulty urinating"}, {"turn_id": 2, "speaker": "patient", "transcript": "yeah yeah i i did n't really wan na come in to talk about it's kinda weird but i think probably over the last six months i'm just not peeing right it just does n't seem to be normal"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay so let's talk a little bit about that now is your is your stream is your urination stream weak"}, {"turn_id": 4, "speaker": "patient", "transcript": "yeah i'd probably say so"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay and do you feel like you're emptying your bladder fully or do you feel like you still have some urine left in there when you when you finish"}, {"turn_id": 6, "speaker": "patient", "transcript": "most of the times i'm okay but sometimes if i stand there long enough i i can kinda go a little bit more so it's taking a while actually to just go to the bathroom"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay and are you waking up at night to go to the bathroom does it impact your sleep"}, {"turn_id": 8, "speaker": "patient", "transcript": "yeah i try to empty my bladder now right before i go to bed and and not drink anything but i'm still probably getting up three or four times a night to go to the bed"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay so you're getting up about three or four times a night and and how long has this been going on you said for about six months"}, {"turn_id": 10, "speaker": "patient", "transcript": "yeah six months to like this and it's probably been a little bit worse over the last six months and maybe it's been longer i just did n't want to bring it up"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay so you think it's been going on longer okay alright now how about have you had any burning when you urinate at all"}, {"turn_id": 12, "speaker": "patient", "transcript": "no it i do n't think it burns"}, {"turn_id": 13, "speaker": "doctor", "transcript": "no burning when you urinate okay and and any other any other issues any problems with your bowels any constipation issues"}, {"turn_id": 14, "speaker": "patient", "transcript": "hmmm no i i i had diarrhea last week but i think i ate something bad"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay and ever have you ever had any issues where you had what we call urinary retention where you could n't pee and you needed to have like a catheter inserted"}, {"turn_id": 16, "speaker": "patient", "transcript": "my gosh no"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 18, "speaker": "patient", "transcript": "i'll do that"}, {"turn_id": 19, "speaker": "doctor", "transcript": "alright and have you ever seen a urologist i do n't think so you've been my patient for a while i do n't remember ever sending you but have you ever seen one"}, {"turn_id": 20, "speaker": "patient", "transcript": "i do n't think so"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay now tell me how are you doing with your with your heart when was the last time you saw doctor moore the cardiologist i know that you had the the stent placed in your right coronary artery about what was that twenty eighteen"}, {"turn_id": 22, "speaker": "patient", "transcript": "yeah sounds about right i think i just saw him in november he said everything was okay"}, {"turn_id": 23, "speaker": "doctor", "transcript": "he said everything was okay alright and so you have n't had any chest pain or shortness of breath you're still walking around doing your activities of daily living are you exercising"}, {"turn_id": 24, "speaker": "patient", "transcript": "kind of"}, {"turn_id": 25, "speaker": "doctor", "transcript": "kind of okay now from what i remember i remember you being a big college football fan are you as excited as i am that georgia beat alabama in the national championships"}, {"turn_id": 26, "speaker": "patient", "transcript": "yeah yeah i'm super excited"}, {"turn_id": 27, "speaker": "doctor", "transcript": "you do n't really seem that excited"}, {"turn_id": 28, "speaker": "patient", "transcript": "get the problem fixed because i have to be able to sit there and watch the whole game"}, {"turn_id": 29, "speaker": "doctor", "transcript": "yeah i i really do n't like nick saving i'm so i'm super happy that that the dogs pulled it out"}, {"turn_id": 30, "speaker": "patient", "transcript": "i do n't know if we can do friends anymore"}, {"turn_id": 31, "speaker": "doctor", "transcript": "are you in alabama fan"}, {"turn_id": 32, "speaker": "patient", "transcript": "maybe i'm actually originally not from georgia so"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay alright well i mean i i'm i'm a long horns fan but anyway well i digress let's talk a little bit about your diabetes how are how are you doing with your sugars are you watching your diet"}, {"turn_id": 34, "speaker": "patient", "transcript": "i'm trying to yeah i think they are okay"}, {"turn_id": 35, "speaker": "doctor", "transcript": "okay and are you still taking the metformin"}, {"turn_id": 36, "speaker": "patient", "transcript": "yep"}, {"turn_id": 37, "speaker": "doctor", "transcript": "you are okay alright now i wan na go ahead and just move on to a quick physical exam okay i'm gon na be calling out some of my exam findings and i'm gon na let you know what that means when i'm done okay alright i do have to do a rectal exam i apologize i'm just gon na be calling it out what what i what i appreciate okay so on your heart exam i do appreciate a slight three out of six systolic ejection murmur hurt at the left base on your lung exam your lungs are clear to auscultation bilaterally on your abdominal exam your abdomen is nontender and nondistended i do n't appreciate any masses or any rebound or guarding on your prostate exam i do appreciate an enlarged prostate i do n't appreciate any masses on physical exam so what what does that mean billy so that ultimately means that you know everything looks good you know you have that little heart murmur which i believe you you've had in the past but we're gon na go ahead and look into that you know your prostate seems a little bit enlarged to me on physical exam so let's talk about how we can go about and and remedy that okay so for your first problem of this you know difficulty urinating i wan na go ahead and just order some routine labs i wan na get a a psa that kind of that ultimately kinda looks for prostate cancer issues which i do n't think you have because we did n't really appreciate that on physical exam i wan na go ahead and we can try to start you on what we call flomax zero point four milligrams once a day you should take it at night because it can cause people to get a little bit dizzy if they take it in the morning so i would take it at night and i wan na go ahead and refer you to a urologist just to look into this more so we can go ahead and and get this problem solved for you okay i'm also gon na go ahead and just order some routine blood tests just to make sure that we are not missing anything do you have any questions about that and i wan na go ahead and order a urinalysis and a urine culture"}, {"turn_id": 38, "speaker": "patient", "transcript": "yeah so sounds good have you seen that commercial for that super batter prostate stuff does that work"}, {"turn_id": 39, "speaker": "doctor", "transcript": "well i think the data it's it's i'm not really sure if it works or not i'm not that familiar with it let's just go ahead and stick with flomax and that's why we are gon na refer you to the urologist so that they can go ahead and talk to you about you know the most current treatment options for you okay"}, {"turn_id": 40, "speaker": "patient", "transcript": "alright"}, {"turn_id": 41, "speaker": "doctor", "transcript": "alright for your second problem of your coronary artery disease i wan na go ahead and order an echocardiogram just to follow up on that heart murmur that you had and i wan na go ahead and continue you on the lipitor forty milligrams a day and the aspirin and the metoprolol and i wan na go ahead and order a lipid panel any questions about that"}, {"turn_id": 42, "speaker": "patient", "transcript": "nope"}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay and then for your third problem of your diabetes it sounds like you're doing really well let's go ahead and continue you on the metformin a thousand milligrams twice a day we will go ahead and order a hemoglobin a1c to see if we need to make any adjustments to that and i'm gon na see you again in about three to four weeks okay i want you to call me or message me in the patient portal if you have any concerns"}, {"turn_id": 44, "speaker": "patient", "transcript": "alright when is the urologist gon na call me"}, {"turn_id": 45, "speaker": "doctor", "transcript": "i'm gon na reach out i'm gon na reach out to them now and see if they can get you in this week"}, {"turn_id": 46, "speaker": "patient", "transcript": "sounds good"}, {"turn_id": 47, "speaker": "doctor", "transcript": "okay alright well great it was good to see you bye"}, {"turn_id": 48, "speaker": "doctor", "transcript": "i could just hit it and i can just talk and then i'm just"}]} |
acibench_D2N133_virtassist_clinicalnlp_taskC_test2 | [
{
"speaker": "doctor",
"transcript": "good morning rebecca , nice to see you .",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "nice to see you too .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "so , my nurse told you a little bit about dax , now i'm wondering if i can tell dax a little bit about you .",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "go for it .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay , so rebecca is a 27-year-old female patient . um , you have a history of carpal tunnel , um , uh , release done couple of years ago , you have some chronic back pain , some depression . why am i seeing you today ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "so last week , um , and over the course of the month , i have taken up swimming more regularly .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i've been trying to get up and get active . and i've- ... all of a sudden i've been feeling some really bad , um , knee pain-",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": ". in my right knee .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "just in your right knee ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay . just when swimming ? are you swimming freestyle with your legs kicking straight or more like breaststroke where your legs kick out ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "yeah , it's only while swimming. i use the breaststroke so i guess where the legs are kicking out like a frog ... it kinda starts hurting a little bit after i swim a couple laps , which a month ago when i started i was able to do ten .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "but after a couple of laps it starts to hurt .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "and no injury ? like you did n't fall or twist it or anything like that that you remember ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "no , not that i can remember .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay . so just swimming a lot and you feeling more and more discomfort ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay , good . so , um ... i know my nurse did a review of systems before you came in . there were really no significant issues . you have a history of chronic back pain , that's been doing well ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yeah , it comes and goes , but right now it's been doing really well .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay , no pain going down your legs or anything like that ?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay . and i know you have some depression , you've been on medication . how's that been going ?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "that's been going really well .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "with the medication and therapy and then trying to get outside more it's been really helping me .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "sleeping well ?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "eating well ? okay . do n't feel any concerns about hurting yourself or others or anything like that ?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay , good . um , and the , you had ca- carpal tunnel done a few years ago . how's that doing ?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "that's doing-",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "any flare up with that ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": ". that's doing really well . i've been getting full range of motion and it's felt a lot better .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "okay , great . do you mind if i do a quick exam ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "yeah , go for it .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "squeeze my fingers for me . good . okay . is it painful if i move your patella like that ?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "yeah , that hurts .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay . and i'm gon na hold your leg out , i'm gon na hold , i want you to stiffen your upper ... does that hurt when i do that ?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "yeah , that hurts too .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay , good , all right . um , let's take a quick look at your x-ray , okay ?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "hey dragon , show me the right knee x-ray . okay , so here's a picture of your right knee . actually normal x-ray , everything looks good , okay ? on my exam , um , you do n't really have any swelling in- in your joints , um , uh , of your knee . you have a little pain with , um , uh , range of motion of the knee . you have real pain when we do what we call patella in- ... patellar inhibition , okay ? so that's what caused most of that pain . so , um , your heart is regular , your lungs are clear , i do n't feel any adenopathy , your thyroid's , um , normal , your grips are equal , the rest of your exam is essentially normal , okay ? so my assessment is , you have what we call chondromalacia of the patella , okay ? it's just from the overuse and all- all the swimming you've been doing , okay ? so , um , to treat that we'll just use some anti-inflammatories , um , go ahead and take some ibuprofen , 600 milligrams four times a day with food . i do want you to do some straight leg raising exercises , that'll strengthen your quadriceps and that'll help with that pain , okay ?",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "um , basically you want to avoid anything that puts extra pressure on your knees for a little while and it should be fine . if it's not getting any better in a couple weeks i wan na see you again , okay ? so no lunges , avoid the breaststroke . if you're comfortable, you can also do other swimming strokes where your knees are straight instead . or you can take the opportunity to have a little break .",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "all right .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "your second problem is your chronic back pain , that's been doing really well . um , keep swimming , that's okay after this gets better .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "um , but i think , um , i think that's been under control . but if it flares up go ahead and , uh , give me a call , okay ?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "um , your third problem is your depression . that's been stable . we're gon na keep you on your current medication , not gon na change anything at this point , okay ? and as far as your carpal tunnel goes , that's relatively stable , so , um , uh , no changes there as well . okay ? so anything else i can do for you ?",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "no , that's it .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "okay , well we'll get you checked out .",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "all right .",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "hey dragon , finalize the report .",
"turn_id": 57
}
] | [
{
"description": "ibuprofen 600 milligrams four times a day with food",
"order_type": "medication",
"provenance": [
79,
81
],
"reason": "chondromalacia of the patella"
}
] | {"id": "acibench_D2N133_virtassist_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "medication", "description": "ibuprofen 600 milligrams four times a day with food", "reason": "chondromalacia of the patella", "provenance": [79, 81]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "good morning rebecca , nice to see you ."}, {"turn_id": 2, "speaker": "patient", "transcript": "nice to see you too ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "so , my nurse told you a little bit about dax , now i'm wondering if i can tell dax a little bit about you ."}, {"turn_id": 4, "speaker": "patient", "transcript": "go for it ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay , so rebecca is a 27-year-old female patient . um , you have a history of carpal tunnel , um , uh , release done couple of years ago , you have some chronic back pain , some depression . why am i seeing you today ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "so last week , um , and over the course of the month , i have taken up swimming more regularly ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 8, "speaker": "patient", "transcript": "i've been trying to get up and get active . and i've- ... all of a sudden i've been feeling some really bad , um , knee pain-"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 10, "speaker": "patient", "transcript": ". in my right knee ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "just in your right knee ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay . just when swimming ? are you swimming freestyle with your legs kicking straight or more like breaststroke where your legs kick out ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "yeah , it's only while swimming. i use the breaststroke so i guess where the legs are kicking out like a frog ... it kinda starts hurting a little bit after i swim a couple laps , which a month ago when i started i was able to do ten ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 16, "speaker": "patient", "transcript": "but after a couple of laps it starts to hurt ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "and no injury ? like you did n't fall or twist it or anything like that that you remember ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "no , not that i can remember ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay . so just swimming a lot and you feeling more and more discomfort ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay , good . so , um ... i know my nurse did a review of systems before you came in . there were really no significant issues . you have a history of chronic back pain , that's been doing well ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "yeah , it comes and goes , but right now it's been doing really well ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay , no pain going down your legs or anything like that ?"}, {"turn_id": 24, "speaker": "patient", "transcript": "no ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay . and i know you have some depression , you've been on medication . how's that been going ?"}, {"turn_id": 26, "speaker": "patient", "transcript": "that's been going really well ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 28, "speaker": "patient", "transcript": "with the medication and therapy and then trying to get outside more it's been really helping me ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "sleeping well ?"}, {"turn_id": 30, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "eating well ? okay . do n't feel any concerns about hurting yourself or others or anything like that ?"}, {"turn_id": 32, "speaker": "patient", "transcript": "no ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay , good . um , and the , you had ca- carpal tunnel done a few years ago . how's that doing ?"}, {"turn_id": 34, "speaker": "patient", "transcript": "that's doing-"}, {"turn_id": 35, "speaker": "doctor", "transcript": "any flare up with that ?"}, {"turn_id": 36, "speaker": "patient", "transcript": ". that's doing really well . i've been getting full range of motion and it's felt a lot better ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "okay , great . do you mind if i do a quick exam ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "yeah , go for it ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "squeeze my fingers for me . good . okay . is it painful if i move your patella like that ?"}, {"turn_id": 40, "speaker": "patient", "transcript": "yeah , that hurts ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay . and i'm gon na hold your leg out , i'm gon na hold , i want you to stiffen your upper ... does that hurt when i do that ?"}, {"turn_id": 42, "speaker": "patient", "transcript": "yeah , that hurts too ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay , good , all right . um , let's take a quick look at your x-ray , okay ?"}, {"turn_id": 44, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "hey dragon , show me the right knee x-ray . okay , so here's a picture of your right knee . actually normal x-ray , everything looks good , okay ? on my exam , um , you do n't really have any swelling in- in your joints , um , uh , of your knee . you have a little pain with , um , uh , range of motion of the knee . you have real pain when we do what we call patella in- ... patellar inhibition , okay ? so that's what caused most of that pain . so , um , your heart is regular , your lungs are clear , i do n't feel any adenopathy , your thyroid's , um , normal , your grips are equal , the rest of your exam is essentially normal , okay ? so my assessment is , you have what we call chondromalacia of the patella , okay ? it's just from the overuse and all- all the swimming you've been doing , okay ? so , um , to treat that we'll just use some anti-inflammatories , um , go ahead and take some ibuprofen , 600 milligrams four times a day with food . i do want you to do some straight leg raising exercises , that'll strengthen your quadriceps and that'll help with that pain , okay ?"}, {"turn_id": 46, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "um , basically you want to avoid anything that puts extra pressure on your knees for a little while and it should be fine . if it's not getting any better in a couple weeks i wan na see you again , okay ? so no lunges , avoid the breaststroke . if you're comfortable, you can also do other swimming strokes where your knees are straight instead . or you can take the opportunity to have a little break ."}, {"turn_id": 48, "speaker": "patient", "transcript": "all right ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "your second problem is your chronic back pain , that's been doing really well . um , keep swimming , that's okay after this gets better ."}, {"turn_id": 50, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "um , but i think , um , i think that's been under control . but if it flares up go ahead and , uh , give me a call , okay ?"}, {"turn_id": 52, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "um , your third problem is your depression . that's been stable . we're gon na keep you on your current medication , not gon na change anything at this point , okay ? and as far as your carpal tunnel goes , that's relatively stable , so , um , uh , no changes there as well . okay ? so anything else i can do for you ?"}, {"turn_id": 54, "speaker": "patient", "transcript": "no , that's it ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "okay , well we'll get you checked out ."}, {"turn_id": 56, "speaker": "patient", "transcript": "all right ."}, {"turn_id": 57, "speaker": "doctor", "transcript": "hey dragon , finalize the report ."}]} |
acibench_D2N031_virtscribe_train | [
{
"speaker": "doctor",
"transcript": "sophia brown . date of birth , 3/17/1946 . this is a new patient visit . she's here to establish care for a history of dcis . we'll go over the history with the patient .",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "hello , ms. brown .",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "hi . yes , that's me .",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "wonderful . i'm doctor stewart . it's lovely to meet you .",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "you as well .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "so , you've come to see me today because you had a right breast lumpectomy last year . is that right ?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "yes . on january 20th , 2020 .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay . and how have you been since then ? any problems or concerns ?",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "no , i'm feeling good . i do my self breast exams religiously now and have n't felt anything since .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "perfect . i want to back up and go over your history so i can make sure everything in your chart is correct and i do n't miss anything . so , i'll tell you what we have in your chart from your other providers and you tell me if anything is wrong or missing . sound good ?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "sounds good .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "great . so , i have that you were found to have a calcification in your right breast during a mammogram in october 2019 . was that just a normal screening mammogram , or was it done because you felt a lump ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "it was just a normal one you're supposed to get every so often .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "i see . and then it looks like you had an ultrasound of your right breast on november 3rd , 2019 , which revealed a mass at the two o'clock position , 11 centimeters from the nipple in the retroareolar region . the report states the mass was point four by two by three centimeters .",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "yes , that sounds right . hard to remember now , though .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "yep , definitely .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "based on those results , they decided to do an ultrasound-guided core needle biopsy on december 5th , 2019 . pathology results during that biopsy came back as grade two , er positive , pr positive , dcis , or ductal carcinoma in situ .",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "yes . unfortunately .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "i know . scary stuff . but you had a lumpectomy on january 20th , 2020 , which removed the eight millimeter tumor and margins were negative . the pathology confirmed dcis . looks like they also removed 5 lymph nodes , which , thankfully , were negative for malignancy . that's great !",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah , i was definitely very relieved .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "and your last mammogram was in january 2021 ? and that was normal .",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay . so , i feel like i have a good grasp of what's been going on with you now . and you're here today to establish care with me so i can continue to follow you and make sure you're doing well , right ?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yes . fingers crossed .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "definitely . we'll keep a close eye on you and take good care of you .",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "okay , sounds good .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "i have a few more questions for you . when was your last colonoscopy ?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "i had one in 2018 and , if i remember correctly , i had one polyp and that was removed and it was n't cancerous .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay , yes , i see that report now . one polyp in the sigmoid colon which had a benign tubular adenoma . okay . and when was your last menstrual period ?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "gosh . it was probably around 30 years ago .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay . do you have children ?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "i do . i have five .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "ah , big family then . that's nice .",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "yes . and they're all having kids of their own now , so it's getting even bigger .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "i bet . sounds like fun .",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "it is .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "did you have any other pregnancies that were miscarriages or terminations ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "really , i did not .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay . so for the record , that's g5 p5 . and now that you're post-menopausal , are you currently or have you ever been on hormone replacement therapy ?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "my primary care doctor gave me the option years ago but i decided against it .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay . and on your review systems form , you indicated that you've not had any recent weight loss or gain , headaches , bone pain , urinary symptoms , or blood in the stools . but you did indicate that you have some back pain , joint pain , and high cholesterol . tell me some more about those .",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "okay . so i've seen doctors for all of those . they've said , excuse me , the back and knee pain are age-related . and the cholesterol is a fairly new diagnosis , but i am working on exercise and cutting back on fatty foods to see if i can get it lower without any medication .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay . and your primary care doctor is following you for that , right ?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "that's correct .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay . for medications , i have that you take coq10 , vitamin d , vitamin c , fish oil , and elderberry fruit . is that all right ?",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "yes , and that's all .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "okay . so for your medical history , it's high cholesterol and stage 0 er/pr positive invasive ductal carcinoma of the right breast . any surgeries other than the lumpectomy ?",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "i did have my tubes tied after my last baby , but that's all .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "okay . and how about family history ?",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "my mom had non-hodgkin's lymphoma and my dad had prostate cancer and heart disease , but i think that's it .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "all right . any family history of breast cancer ?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "none .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "did any of your children have medical issues or siblings with medical problems ?",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "i do not have any siblings and , thankfully , my children are all healthy .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "wonderful . do you have any history of smoking , illicit drug use , heavy alcohol consumption ?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "no drugs . i do drink socially , but never more than that . and i used to smoke , but really , everybody did back then and i probably quit about 30 years ago .",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "excellent . i have that you're allergic to penicillin . any other allergies ?",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "nope , just penicillin .",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "okay . i think that covers it . hop up here and let me take a look at you .",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "okay , so let's use the normal new patient exam template . only change to make is the breast exam . there are no palpable masses , however , there is skin thickening at the medial inferior aspect of the right breast which may be radiation skin changes .",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "in the result section , note that her ecog performance status today is zero .",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "do you have ... did you have radiation after the lumpectomy ?",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "i did . we also talked about endocrine therapy , but i decided against that .",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "okay . so your exam looks good , no masses , just some skin changes from that radiation . now , let's go over the plan for you .",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "okay , sounds good .",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "as you know , you've had dcis which we'll list in my note as stage zero , er/pr positive , invasive ductal carcinoma of the right breast . your status post-lumpectomy with removal of five lymph nodes that were benign . you also had , um , radiation therapy but declined endocrine therapy . today's clinical examination shows no evidence of recurrence with the dcis or other malignancy and your mammogram in january , 2021 was also negative for recurrence and malignancy .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "so , based on all of that , we can just continue to observe you .",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "okay . that sounds great . and when do i come back in to see you ?",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "in a year , but you should have another mammogram in april of 2022 before you come back to see me .",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "okay , i can do that .",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "wonderful . i'm glad to see you doing so well . do you have any questions or concerns i can address for you today ?",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "i do n't think so .",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "okay , great . my nurse will be in shortly to discharge you . take care !",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "you as well .",
"turn_id": 74
}
] | [
{
"description": "come back a year",
"order_type": "followup",
"provenance": [
142,
143
],
"reason": null
},
{
"description": "mammogram in april of 2022 before you come back to see m",
"order_type": "imaging",
"provenance": [
101,
143
],
"reason": "stage 0 er/pr positive invasive ductal carcinoma of the right breast"
}
] | {"id": "acibench_D2N031_virtscribe_train", "expected_orders": [{"order_type": "followup", "description": "come back a year", "reason": null, "provenance": [142, 143]}, {"order_type": "imaging", "description": "mammogram in april of 2022 before you come back to see m", "reason": "stage 0 er/pr positive invasive ductal carcinoma of the right breast", "provenance": [101, 143]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "sophia brown . date of birth , 3/17/1946 . this is a new patient visit . she's here to establish care for a history of dcis . we'll go over the history with the patient ."}, {"turn_id": 2, "speaker": "doctor", "transcript": "hello , ms. brown ."}, {"turn_id": 3, "speaker": "patient", "transcript": "hi . yes , that's me ."}, {"turn_id": 4, "speaker": "doctor", "transcript": "wonderful . i'm doctor stewart . it's lovely to meet you ."}, {"turn_id": 5, "speaker": "patient", "transcript": "you as well ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "so , you've come to see me today because you had a right breast lumpectomy last year . is that right ?"}, {"turn_id": 7, "speaker": "patient", "transcript": "yes . on january 20th , 2020 ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay . and how have you been since then ? any problems or concerns ?"}, {"turn_id": 9, "speaker": "patient", "transcript": "no , i'm feeling good . i do my self breast exams religiously now and have n't felt anything since ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "perfect . i want to back up and go over your history so i can make sure everything in your chart is correct and i do n't miss anything . so , i'll tell you what we have in your chart from your other providers and you tell me if anything is wrong or missing . sound good ?"}, {"turn_id": 11, "speaker": "patient", "transcript": "sounds good ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "great . so , i have that you were found to have a calcification in your right breast during a mammogram in october 2019 . was that just a normal screening mammogram , or was it done because you felt a lump ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "it was just a normal one you're supposed to get every so often ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "i see . and then it looks like you had an ultrasound of your right breast on november 3rd , 2019 , which revealed a mass at the two o'clock position , 11 centimeters from the nipple in the retroareolar region . the report states the mass was point four by two by three centimeters ."}, {"turn_id": 15, "speaker": "patient", "transcript": "yes , that sounds right . hard to remember now , though ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "yep , definitely ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "based on those results , they decided to do an ultrasound-guided core needle biopsy on december 5th , 2019 . pathology results during that biopsy came back as grade two , er positive , pr positive , dcis , or ductal carcinoma in situ ."}, {"turn_id": 18, "speaker": "patient", "transcript": "yes . unfortunately ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "i know . scary stuff . but you had a lumpectomy on january 20th , 2020 , which removed the eight millimeter tumor and margins were negative . the pathology confirmed dcis . looks like they also removed 5 lymph nodes , which , thankfully , were negative for malignancy . that's great !"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah , i was definitely very relieved ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "and your last mammogram was in january 2021 ? and that was normal ."}, {"turn_id": 22, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay . so , i feel like i have a good grasp of what's been going on with you now . and you're here today to establish care with me so i can continue to follow you and make sure you're doing well , right ?"}, {"turn_id": 24, "speaker": "patient", "transcript": "yes . fingers crossed ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "definitely . we'll keep a close eye on you and take good care of you ."}, {"turn_id": 26, "speaker": "patient", "transcript": "okay , sounds good ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "i have a few more questions for you . when was your last colonoscopy ?"}, {"turn_id": 28, "speaker": "patient", "transcript": "i had one in 2018 and , if i remember correctly , i had one polyp and that was removed and it was n't cancerous ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay , yes , i see that report now . one polyp in the sigmoid colon which had a benign tubular adenoma . okay . and when was your last menstrual period ?"}, {"turn_id": 30, "speaker": "patient", "transcript": "gosh . it was probably around 30 years ago ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay . do you have children ?"}, {"turn_id": 32, "speaker": "patient", "transcript": "i do . i have five ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "ah , big family then . that's nice ."}, {"turn_id": 34, "speaker": "patient", "transcript": "yes . and they're all having kids of their own now , so it's getting even bigger ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "i bet . sounds like fun ."}, {"turn_id": 36, "speaker": "patient", "transcript": "it is ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "did you have any other pregnancies that were miscarriages or terminations ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "really , i did not ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay . so for the record , that's g5 p5 . and now that you're post-menopausal , are you currently or have you ever been on hormone replacement therapy ?"}, {"turn_id": 40, "speaker": "patient", "transcript": "my primary care doctor gave me the option years ago but i decided against it ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay . and on your review systems form , you indicated that you've not had any recent weight loss or gain , headaches , bone pain , urinary symptoms , or blood in the stools . but you did indicate that you have some back pain , joint pain , and high cholesterol . tell me some more about those ."}, {"turn_id": 42, "speaker": "patient", "transcript": "okay . so i've seen doctors for all of those . they've said , excuse me , the back and knee pain are age-related . and the cholesterol is a fairly new diagnosis , but i am working on exercise and cutting back on fatty foods to see if i can get it lower without any medication ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay . and your primary care doctor is following you for that , right ?"}, {"turn_id": 44, "speaker": "patient", "transcript": "that's correct ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay . for medications , i have that you take coq10 , vitamin d , vitamin c , fish oil , and elderberry fruit . is that all right ?"}, {"turn_id": 46, "speaker": "patient", "transcript": "yes , and that's all ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "okay . so for your medical history , it's high cholesterol and stage 0 er/pr positive invasive ductal carcinoma of the right breast . any surgeries other than the lumpectomy ?"}, {"turn_id": 48, "speaker": "patient", "transcript": "i did have my tubes tied after my last baby , but that's all ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "okay . and how about family history ?"}, {"turn_id": 50, "speaker": "patient", "transcript": "my mom had non-hodgkin's lymphoma and my dad had prostate cancer and heart disease , but i think that's it ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "all right . any family history of breast cancer ?"}, {"turn_id": 52, "speaker": "patient", "transcript": "none ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "did any of your children have medical issues or siblings with medical problems ?"}, {"turn_id": 54, "speaker": "patient", "transcript": "i do not have any siblings and , thankfully , my children are all healthy ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "wonderful . do you have any history of smoking , illicit drug use , heavy alcohol consumption ?"}, {"turn_id": 56, "speaker": "patient", "transcript": "no drugs . i do drink socially , but never more than that . and i used to smoke , but really , everybody did back then and i probably quit about 30 years ago ."}, {"turn_id": 57, "speaker": "doctor", "transcript": "excellent . i have that you're allergic to penicillin . any other allergies ?"}, {"turn_id": 58, "speaker": "patient", "transcript": "nope , just penicillin ."}, {"turn_id": 59, "speaker": "doctor", "transcript": "okay . i think that covers it . hop up here and let me take a look at you ."}, {"turn_id": 60, "speaker": "doctor", "transcript": "okay , so let's use the normal new patient exam template . only change to make is the breast exam . there are no palpable masses , however , there is skin thickening at the medial inferior aspect of the right breast which may be radiation skin changes ."}, {"turn_id": 61, "speaker": "doctor", "transcript": "in the result section , note that her ecog performance status today is zero ."}, {"turn_id": 62, "speaker": "doctor", "transcript": "do you have ... did you have radiation after the lumpectomy ?"}, {"turn_id": 63, "speaker": "patient", "transcript": "i did . we also talked about endocrine therapy , but i decided against that ."}, {"turn_id": 64, "speaker": "doctor", "transcript": "okay . so your exam looks good , no masses , just some skin changes from that radiation . now , let's go over the plan for you ."}, {"turn_id": 65, "speaker": "patient", "transcript": "okay , sounds good ."}, {"turn_id": 66, "speaker": "doctor", "transcript": "as you know , you've had dcis which we'll list in my note as stage zero , er/pr positive , invasive ductal carcinoma of the right breast . your status post-lumpectomy with removal of five lymph nodes that were benign . you also had , um , radiation therapy but declined endocrine therapy . today's clinical examination shows no evidence of recurrence with the dcis or other malignancy and your mammogram in january , 2021 was also negative for recurrence and malignancy ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "so , based on all of that , we can just continue to observe you ."}, {"turn_id": 68, "speaker": "patient", "transcript": "okay . that sounds great . and when do i come back in to see you ?"}, {"turn_id": 69, "speaker": "doctor", "transcript": "in a year , but you should have another mammogram in april of 2022 before you come back to see me ."}, {"turn_id": 70, "speaker": "patient", "transcript": "okay , i can do that ."}, {"turn_id": 71, "speaker": "doctor", "transcript": "wonderful . i'm glad to see you doing so well . do you have any questions or concerns i can address for you today ?"}, {"turn_id": 72, "speaker": "patient", "transcript": "i do n't think so ."}, {"turn_id": 73, "speaker": "doctor", "transcript": "okay , great . my nurse will be in shortly to discharge you . take care !"}, {"turn_id": 74, "speaker": "patient", "transcript": "you as well ."}]} |
acibench_D2N076_virtscribe_valid | [
{
"speaker": "doctor",
"transcript": "hello .",
"turn_id": 1
},
{
"speaker": "",
"transcript": "[patient_guest] hi .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "i'm dr. evelyn , one of the kidney doctors . it's good to meet you guys .",
"turn_id": 3
},
{
"speaker": "",
"transcript": "[patient_guest] it's nice to meet you also .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "yeah . so i was reading about this syndrome that i actually have never heard of .",
"turn_id": 5
},
{
"speaker": "",
"transcript": "[patient_guest] yeah , me too .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "i do n't think it's very common .",
"turn_id": 7
},
{
"speaker": "",
"transcript": "[patient_guest] definitely not . it's c- pretty rare .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "so-",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "can you start at the beginning ? i know she's a twin , so are these your first two babies ?",
"turn_id": 10
},
{
"speaker": "",
"transcript": "[patient_guest] no , i have a son also who is nine . he also has autism .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 12
},
{
"speaker": "",
"transcript": "[patient_guest] and when the twins were born , katherine , she was about 4 pounds , 8 ounces . and her twin was a bit smaller , at 3 pounds , 13 ounces .",
"turn_id": 13
},
{
"speaker": "",
"transcript": "[patient_guest] katherine , she was doing fine . she just had problems with eating , where she would stop breathing when she was eating .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "like preemie type stuff ?",
"turn_id": 15
},
{
"speaker": "",
"transcript": "[patient_guest] uh- . yeah . she just had a hard time regulating her temperature , but she did fine . she does have a gi doctor , because she has reflex really bad . she also had a dietician , who told us to take her off cow's milk . which we did . and then she has seen an allergist , and also a neurologist ... who diagnosed her with this syndrome , because she still does n't walk and she was n't sitting by herself a year old .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "yeah .",
"turn_id": 17
},
{
"speaker": "",
"transcript": "[patient_guest] but so now she is crawling and she is trying to take steps , so think she's doing pretty good .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "good . is she in therapy ?",
"turn_id": 19
},
{
"speaker": "",
"transcript": "[patient_guest] she is in therapy . she's in feeding therapy , occupational therapy , and also physical therapy .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "awesome . okay .",
"turn_id": 21
},
{
"speaker": "",
"transcript": "[patient_guest] and we also have speech therapy , who is going to be starting within the next couple of weeks .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "that's great .",
"turn_id": 23
},
{
"speaker": "",
"transcript": "[patient_guest] so , she has a lot of therapies . we have also seen an orthopedic and an ophthalmologist . i can never say that . we have seen everything , really .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "and audiology too , right ?",
"turn_id": 25
},
{
"speaker": "",
"transcript": "[patient_guest] yes .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "yeah , wow. .",
"turn_id": 27
},
{
"speaker": "",
"transcript": "[patient_guest] yeah , it has definitely been a whirlwind of stuff . when we saw the geneticist , she told us that sometimes people with this syndrome , they have trouble with their kidneys . that they might actually fuse into one . she also said sometimes they have problems with their legs , so that was why we saw ortho .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay . okay .",
"turn_id": 29
},
{
"speaker": "",
"transcript": "[patient_guest] so we have seen everybody , really . we are just here to make sure that her kidneys are looking good right now .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "yeah , okay . so , um , tell me about how many wet diapers she has in a 24 hour period ?",
"turn_id": 31
},
{
"speaker": "",
"transcript": "[patient_guest] she has a lot .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "so like normal 8 to 10 , or like 20 ?",
"turn_id": 33
},
{
"speaker": "",
"transcript": "[patient_guest] yeah , it's around 8 to 10 .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "okay . great .",
"turn_id": 35
},
{
"speaker": "",
"transcript": "[patient_guest] yeah , she seems to pee a lot , and it feels like she drinks a lot too .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "that's perfect .",
"turn_id": 37
},
{
"speaker": "",
"transcript": "[patient_guest] and she used to only drink milk , and then i took her off dairy milk . so when i say milk , i actually mean , you know , ripple pea protein milk .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "sure , yeah .",
"turn_id": 39
},
{
"speaker": "",
"transcript": "[patient_guest] so i give her that milk , water now that she's used to it , and sometimes water with just a little bit of juice . so i do feel like she's drinking a lot better now .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "that's great . and she's how old now ?",
"turn_id": 41
},
{
"speaker": "",
"transcript": "[patient_guest] she'll be two mo- two next month .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay . is her twin a boy or a girl ?",
"turn_id": 43
},
{
"speaker": "",
"transcript": "[patient_guest] she's a girl .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay , and how's she doing ?",
"turn_id": 45
},
{
"speaker": "",
"transcript": "[patient_guest] she's doing really good . she's running around , and she does n't have any problems .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "all right . is she bigger than her or the same size ?",
"turn_id": 47
},
{
"speaker": "",
"transcript": "[patient_guest] they're about the same size . they're able to wear the same clothes , so ...",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 49
},
{
"speaker": "",
"transcript": "[patient_guest] i do n't even think she's a pound hav- heavier , actually .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "yeah . yeah .",
"turn_id": 51
},
{
"speaker": "",
"transcript": "[patient_guest] but she is a little bit taller than her ... um , katherine . she's just sh- a little shorter and chunkier , but i think that's a part of her syndrome .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "yeah . yeah , i was reading all the things associated with the syndrome . it sounds like we're looking for continual- congenital anomalies wi- of the kidney and urinary tract . which is basically something is wrong with the plumbing .",
"turn_id": 53
},
{
"speaker": "",
"transcript": "[patient_guest] okay .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "so the only way to know that , is to do a kidney ultrasound .",
"turn_id": 55
},
{
"speaker": "",
"transcript": "[patient_guest] okay , that sounds okay .",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "okay . let me put that into the system , and then downstairs they can do the ultrasound .",
"turn_id": 57
},
{
"speaker": "",
"transcript": "[patient_guest] all right , thank you .",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "okay , yeah . where do you all live ?",
"turn_id": 59
},
{
"speaker": "",
"transcript": "[patient_guest] uh , we live in dallas .",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "okay . anybody in the family with kidney failure , dialysis or transplant ?",
"turn_id": 61
},
{
"speaker": "",
"transcript": "[patient_guest] no .",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "okay . so let's get your ultrasound done , and we'll see how it goes .",
"turn_id": 63
},
{
"speaker": "",
"transcript": "[patient_guest] all right , that sounds good .",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "all right . let me take a quick look at her .",
"turn_id": 65
},
{
"speaker": "",
"transcript": "[patient_guest] sure .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "all right . please use my physical exam template . um , i wan na take a quick listen to her heart and lungs . i'll look in her ears too . and she can sit , she can just sit on your lap .",
"turn_id": 67
},
{
"speaker": "",
"transcript": "[patient_guest] okay .",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "all right . that's it .",
"turn_id": 69
},
{
"speaker": "",
"transcript": "[patient_guest] all right , that was n't too bad .",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "hmm . so , let's complete the ultrasound today . i'll call you with the results . if it's normal , you wo n't need to see me again , but if it's abnormal , you can see me in kennesaw .",
"turn_id": 71
},
{
"speaker": "",
"transcript": "[patient_guest] okay , that sounds good .",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "okay . we'll determine what the next steps are if there are any , after we see her results .",
"turn_id": 73
},
{
"speaker": "",
"transcript": "[patient_guest] all right , sounds good . thank you .",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "you're welcome . the nurse will be in to have you complete some paperwork , and give you instructions for the ultrasound . we'll talk soon .",
"turn_id": 75
},
{
"speaker": "",
"transcript": "[patient_guest] all right . thank you , and have a good day .",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "you too .",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "all right . physical exams show the well-nourished female , who is slightly fussy when examined . eyes are small appearing . she has mild hypotonia of the lower extremities in her arms . normal external female genitalia .",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "assessment and plan . katherine is a 22-month-old former 34 and 3-week-old , twin with smith magenis syndrome . several organ systems can be affected by this chromosomal deletion syndrome . congenital anomalies of the kidney and urinary tract have been reported in the literature .",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "we will obtain the screening of the kidneys by ultrasound today . if there are abnormalities on the kidney ultrasound , we will determine next steps and future follow-up . the family lives in dallas , georgia , so her follow-up should be at the town center location .",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "end of recording .",
"turn_id": 81
}
] | [
{
"description": "kidneys by ultrasound ultrasound today .",
"order_type": "imaging",
"provenance": [
78,
81
],
"reason": "smith magenis syndrome"
},
{
"description": "kennesaw follow-up",
"order_type": "followup",
"provenance": [
65,
82
],
"reason": "if there are abnormalities on the kidney ultrasound"
}
] | {"id": "acibench_D2N076_virtscribe_valid", "expected_orders": [{"order_type": "imaging", "description": "kidneys by ultrasound ultrasound today .", "reason": "smith magenis syndrome", "provenance": [78, 81]}, {"order_type": "followup", "description": "kennesaw follow-up", "reason": "if there are abnormalities on the kidney ultrasound", "provenance": [65, 82]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hello ."}, {"turn_id": 2, "speaker": "", "transcript": "[patient_guest] hi ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "i'm dr. evelyn , one of the kidney doctors . it's good to meet you guys ."}, {"turn_id": 4, "speaker": "", "transcript": "[patient_guest] it's nice to meet you also ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "yeah . so i was reading about this syndrome that i actually have never heard of ."}, {"turn_id": 6, "speaker": "", "transcript": "[patient_guest] yeah , me too ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "i do n't think it's very common ."}, {"turn_id": 8, "speaker": "", "transcript": "[patient_guest] definitely not . it's c- pretty rare ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "so-"}, {"turn_id": 10, "speaker": "doctor", "transcript": "can you start at the beginning ? i know she's a twin , so are these your first two babies ?"}, {"turn_id": 11, "speaker": "", "transcript": "[patient_guest] no , i have a son also who is nine . he also has autism ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 13, "speaker": "", "transcript": "[patient_guest] and when the twins were born , katherine , she was about 4 pounds , 8 ounces . and her twin was a bit smaller , at 3 pounds , 13 ounces ."}, {"turn_id": 14, "speaker": "", "transcript": "[patient_guest] katherine , she was doing fine . she just had problems with eating , where she would stop breathing when she was eating ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "like preemie type stuff ?"}, {"turn_id": 16, "speaker": "", "transcript": "[patient_guest] uh- . yeah . she just had a hard time regulating her temperature , but she did fine . she does have a gi doctor , because she has reflex really bad . she also had a dietician , who told us to take her off cow's milk . which we did . and then she has seen an allergist , and also a neurologist ... who diagnosed her with this syndrome , because she still does n't walk and she was n't sitting by herself a year old ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "yeah ."}, {"turn_id": 18, "speaker": "", "transcript": "[patient_guest] but so now she is crawling and she is trying to take steps , so think she's doing pretty good ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "good . is she in therapy ?"}, {"turn_id": 20, "speaker": "", "transcript": "[patient_guest] she is in therapy . she's in feeding therapy , occupational therapy , and also physical therapy ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "awesome . okay ."}, {"turn_id": 22, "speaker": "", "transcript": "[patient_guest] and we also have speech therapy , who is going to be starting within the next couple of weeks ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "that's great ."}, {"turn_id": 24, "speaker": "", "transcript": "[patient_guest] so , she has a lot of therapies . we have also seen an orthopedic and an ophthalmologist . i can never say that . we have seen everything , really ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "and audiology too , right ?"}, {"turn_id": 26, "speaker": "", "transcript": "[patient_guest] yes ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "yeah , wow. ."}, {"turn_id": 28, "speaker": "", "transcript": "[patient_guest] yeah , it has definitely been a whirlwind of stuff . when we saw the geneticist , she told us that sometimes people with this syndrome , they have trouble with their kidneys . that they might actually fuse into one . she also said sometimes they have problems with their legs , so that was why we saw ortho ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay . okay ."}, {"turn_id": 30, "speaker": "", "transcript": "[patient_guest] so we have seen everybody , really . we are just here to make sure that her kidneys are looking good right now ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "yeah , okay . so , um , tell me about how many wet diapers she has in a 24 hour period ?"}, {"turn_id": 32, "speaker": "", "transcript": "[patient_guest] she has a lot ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "so like normal 8 to 10 , or like 20 ?"}, {"turn_id": 34, "speaker": "", "transcript": "[patient_guest] yeah , it's around 8 to 10 ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "okay . great ."}, {"turn_id": 36, "speaker": "", "transcript": "[patient_guest] yeah , she seems to pee a lot , and it feels like she drinks a lot too ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "that's perfect ."}, {"turn_id": 38, "speaker": "", "transcript": "[patient_guest] and she used to only drink milk , and then i took her off dairy milk . so when i say milk , i actually mean , you know , ripple pea protein milk ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "sure , yeah ."}, {"turn_id": 40, "speaker": "", "transcript": "[patient_guest] so i give her that milk , water now that she's used to it , and sometimes water with just a little bit of juice . so i do feel like she's drinking a lot better now ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "that's great . and she's how old now ?"}, {"turn_id": 42, "speaker": "", "transcript": "[patient_guest] she'll be two mo- two next month ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay . is her twin a boy or a girl ?"}, {"turn_id": 44, "speaker": "", "transcript": "[patient_guest] she's a girl ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay , and how's she doing ?"}, {"turn_id": 46, "speaker": "", "transcript": "[patient_guest] she's doing really good . she's running around , and she does n't have any problems ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "all right . is she bigger than her or the same size ?"}, {"turn_id": 48, "speaker": "", "transcript": "[patient_guest] they're about the same size . they're able to wear the same clothes , so ..."}, {"turn_id": 49, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 50, "speaker": "", "transcript": "[patient_guest] i do n't even think she's a pound hav- heavier , actually ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "yeah . yeah ."}, {"turn_id": 52, "speaker": "", "transcript": "[patient_guest] but she is a little bit taller than her ... um , katherine . she's just sh- a little shorter and chunkier , but i think that's a part of her syndrome ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "yeah . yeah , i was reading all the things associated with the syndrome . it sounds like we're looking for continual- congenital anomalies wi- of the kidney and urinary tract . which is basically something is wrong with the plumbing ."}, {"turn_id": 54, "speaker": "", "transcript": "[patient_guest] okay ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "so the only way to know that , is to do a kidney ultrasound ."}, {"turn_id": 56, "speaker": "", "transcript": "[patient_guest] okay , that sounds okay ."}, {"turn_id": 57, "speaker": "doctor", "transcript": "okay . let me put that into the system , and then downstairs they can do the ultrasound ."}, {"turn_id": 58, "speaker": "", "transcript": "[patient_guest] all right , thank you ."}, {"turn_id": 59, "speaker": "doctor", "transcript": "okay , yeah . where do you all live ?"}, {"turn_id": 60, "speaker": "", "transcript": "[patient_guest] uh , we live in dallas ."}, {"turn_id": 61, "speaker": "doctor", "transcript": "okay . anybody in the family with kidney failure , dialysis or transplant ?"}, {"turn_id": 62, "speaker": "", "transcript": "[patient_guest] no ."}, {"turn_id": 63, "speaker": "doctor", "transcript": "okay . so let's get your ultrasound done , and we'll see how it goes ."}, {"turn_id": 64, "speaker": "", "transcript": "[patient_guest] all right , that sounds good ."}, {"turn_id": 65, "speaker": "doctor", "transcript": "all right . let me take a quick look at her ."}, {"turn_id": 66, "speaker": "", "transcript": "[patient_guest] sure ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "all right . please use my physical exam template . um , i wan na take a quick listen to her heart and lungs . i'll look in her ears too . and she can sit , she can just sit on your lap ."}, {"turn_id": 68, "speaker": "", "transcript": "[patient_guest] okay ."}, {"turn_id": 69, "speaker": "doctor", "transcript": "all right . that's it ."}, {"turn_id": 70, "speaker": "", "transcript": "[patient_guest] all right , that was n't too bad ."}, {"turn_id": 71, "speaker": "doctor", "transcript": "hmm . so , let's complete the ultrasound today . i'll call you with the results . if it's normal , you wo n't need to see me again , but if it's abnormal , you can see me in kennesaw ."}, {"turn_id": 72, "speaker": "", "transcript": "[patient_guest] okay , that sounds good ."}, {"turn_id": 73, "speaker": "doctor", "transcript": "okay . we'll determine what the next steps are if there are any , after we see her results ."}, {"turn_id": 74, "speaker": "", "transcript": "[patient_guest] all right , sounds good . thank you ."}, {"turn_id": 75, "speaker": "doctor", "transcript": "you're welcome . the nurse will be in to have you complete some paperwork , and give you instructions for the ultrasound . we'll talk soon ."}, {"turn_id": 76, "speaker": "", "transcript": "[patient_guest] all right . thank you , and have a good day ."}, {"turn_id": 77, "speaker": "doctor", "transcript": "you too ."}, {"turn_id": 78, "speaker": "doctor", "transcript": "all right . physical exams show the well-nourished female , who is slightly fussy when examined . eyes are small appearing . she has mild hypotonia of the lower extremities in her arms . normal external female genitalia ."}, {"turn_id": 79, "speaker": "doctor", "transcript": "assessment and plan . katherine is a 22-month-old former 34 and 3-week-old , twin with smith magenis syndrome . several organ systems can be affected by this chromosomal deletion syndrome . congenital anomalies of the kidney and urinary tract have been reported in the literature ."}, {"turn_id": 80, "speaker": "doctor", "transcript": "we will obtain the screening of the kidneys by ultrasound today . if there are abnormalities on the kidney ultrasound , we will determine next steps and future follow-up . the family lives in dallas , georgia , so her follow-up should be at the town center location ."}, {"turn_id": 81, "speaker": "doctor", "transcript": "end of recording ."}]} |
acibench_D2N025_virtscribe_train | [
{
"speaker": "doctor",
"transcript": "next patient is nicole miller . date of birth is 09/18/1949 . patient was called for a follow-up with me for chronic congestive heart failure with diastolic dysfunction . bmp's been , uh , 3,000 in march , and is about six- was up to 6,000 in april . she was increasingly dyspneic . we changed her furosemide and torsemide 20 milligrams by mouth daily . uh to note , the patient is not currently on potassium supplement . her lisinopril had- has also been increased up to 10 milligrams daily in march . also did when i saw her last april . she reported being interested in having her right knee replaced this summer at east metro . it was recommended that we work to control her cardiovascular status before surgery .",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "hey , miss miller , how are you today ?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "i'm doing okay , thank you .",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "i asked you to come in today because we want to keep- we want you to have this knee surgery this summer but we want to keep a close eye on you to make sure a week before your surgery you do n't suddenly go into congestive heart failure and it gets postponed .",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "yeah , that would not be good .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "i see you're scheduled on the 24th for surgery .",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "yeah , that's right .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay , good . well it looks like you have lost about 3 , 3 and a half pounds since i saw you last in april . some of that might be water weight , but still , this is positive .",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "yeah , i noticed that too . i think the oxyglutinine is helping as well . my urgency to use the bathroom is much better .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "well that's great .",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "yeah , i , i'm pleased about it too .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "you ever get leg or finger cramps or anything like that ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "yeah , i had leg cramps the other day , but i thought it might , was maybe just because i was cold as i had my ceiling fan on and fell asleep . i had cramps when i woke up in both legs right here . um i drank pickle juice and it went right away .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "well do n't , do n't get crazy with the pickle juice because all of the salt in it .",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "haha , i know , i only drink about 4 ounces or so .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "okay good .",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "um it went away so i did n't drink anymore . i find it works a lot better than trying to put some cream on my leg .",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "sure just , just keep it in moderation .",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "and then are you still on an iron supplement ? and are you using the bathroom okay ?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "uh yes , everything is good .",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "good . how is your heart burn doing ? any problems with that ?",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "no , it did get bad for a while so i tried to take some prilosec and then stopped that other one .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "um i did that for like , gosh , i think it was two weeks back in january and have n't had any problems since .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "great .",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "um and after i stopped taking that um i went back to the stomach one , so i'm doing good now .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay and you're still due for a colonoscopy , correct ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "uh yeah , that's right .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "all right , let's review your blood work real quick . i checked your hemoglobin level because you have had some anemia in the past but that is still doing great .",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "good , that's a relief to hear .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "your potassium is 3.9 so it's holding steady on the torsemide . your creatinine was .7 not .8 so you're doing well with kidney numbers . your bun may be a tiny bit elevated at 23 which is the number we look for for dehydration sometimes the kidneys , but it's not terrible . um so when i look at your numbers as a whole i think you're tolerating the torsemide okay at the current dose . i also sent out to look at the heart failure number- i sent to look at your heart failure number . there is a test called a bmp that i was monitoring and in march it was up to 3,000 and then went up to 6,000 in april before i made the change . i'm still waiting for those results .",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "all in all i think you're doing good on paper though .",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "what about , um what's it called , a1c ? does that show up ?",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "um i do n't think i ordered it but i could . your last a1c was 5.5 in march .",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "all righty .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "so your blood sugar is a little bit high , it was 169 today but that kind of depends on what you ate and you were n't fasting for the blood check so i might have to repeat that test for pre-op , but i do n't think we need to do it today .",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "all righty that sounds good .",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "i checked your magnesium level because sometimes you uh urinate out magnesium with the water pills but it was normal at 1.7 and your blood pressure is also looking good .",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "okay great . that all sounds awesome .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "all right let's take a quick listen .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "use my general physical exam template .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "and take a couple of deep breaths for me .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "your lungs sound pretty good to me so keep doing what you're doing . um uh , like i said , i think you're doing good overall but let's just talk about a few things .",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "all righty .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "so we often like to keep people with heart problems on magnesium and get their levels up to around the 2-ish range . yours is a little bit less than 2 and we want that 2-ish range because it can help stabilize the heart muscle . so i might recommend putting you on magnesium supplement . it's supposed to be twice a day so that's kind of annoying , but i know you're on other medicines twice a day too , so i think you'll do fine .",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "yeah , that'll be okay .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "great . now before surgery we'll have to get you off your clopidogrel for a week beforehand .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "yes , okay , i have everything written down on my phone , and i have a letter taped to the side of my bed to remind me .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "perfect ! we will give you a reminder as well . we will also need to complete a pre-op check within two weeks of your surgery during the first or second week of june .",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay , i'll put that down .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "you might also have to repeat an ekg before surgery which we could do today . i know i'm sure it feels like you're doing , you're always doing ekgs . um we do n't need to any x-rays of your chest because you had one recently , and we do n't need any more blood work because we did that today .",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "yeah , i do a lot of ekgs . i'm basically a regular . but i'm happy to do one today , no problem .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "lastly , once we get your knee surgery , um we , we should think about getting you a colonoscopy . we can do it here locally because you have medicare . do you have private insurance also ?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "yeah , i have both .",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "okay so yes , you can get it , your colonoscopy , wherever you'd like .",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "okay , well my husband's insurance may be running out . might we be able to get the procedure done sooner ? maybe in the next 30 days ? is that okay ?",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "um i can put it in right now for , uh , for county for the next 30 days , and they might be able to get you in within the next few weeks . it should not take , it should not make you ineligible for the surgery . in other words completing a colonoscopy would not delay your surgery .",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "okay , good .",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "so let me see . i've been doing one of two things at every one , and everyone is great so it depends more on timing availability of their or for the colonoscopy . we can send you to dr. martin for the surgery who is at county surgical services down here or the other option is valley medical , and they do it at springfield .",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "okay , that sounds good .",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "i think either direction they're good technicians of the colon .",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "okay , yeah whatever you can get me in , that works great .",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "so i'll call around . now if you get that done and they tell you 10 years then you'll be good to go .",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "great , thank you .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "you're welcome . have a great day . let us know if you need anything else , okay ?",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "sounds good .",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "all right , assessment and plan .",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "chronic chf . mixed presentation . had a exacerbation of cf , chf earlier in the spring . we switched her from a furosemide to torsemide and symptomatically she is doing a lot better . she's about 3 , 3 and a half pounds down in weight . breathing is non-labored . going to repeat ekg today but otherwise continue with her current regimen . labs checked and creatinine is appropriate .",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "uh number 2 , pre-op examination . she is , she's having a right knee replacement end of june . also , she would like to have a colonoscopy performed which we'll try to have done at uh bartley regional , rightley regional hospital in the next month , uh , prior to a change in her insurance . this is just a screening colonoscopy that she is overdue for . no family history of colon cancer .",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "uh the next one is diabetes . a1c is 5.1 on the last check so no need for further a1c today . she may need another one prior to her surgery next month though . thanks .",
"turn_id": 72
}
] | [
{
"description": "magnesium supplement twice a day",
"order_type": "medication",
"provenance": [
79,
80,
81
],
"reason": "yours is a little bit less than 2"
},
{
"description": "now before surgery we'll have to get you off you clopidogrel for a week beforehand",
"order_type": "medication",
"provenance": [
84
],
"reason": null
}
] | {"id": "acibench_D2N025_virtscribe_train", "expected_orders": [{"order_type": "medication", "description": "magnesium supplement twice a day", "reason": "yours is a little bit less than 2", "provenance": [79, 80, 81]}, {"order_type": "medication", "description": "now before surgery we'll have to get you off you clopidogrel for a week beforehand", "reason": null, "provenance": [84]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "next patient is nicole miller . date of birth is 09/18/1949 . patient was called for a follow-up with me for chronic congestive heart failure with diastolic dysfunction . bmp's been , uh , 3,000 in march , and is about six- was up to 6,000 in april . she was increasingly dyspneic . we changed her furosemide and torsemide 20 milligrams by mouth daily . uh to note , the patient is not currently on potassium supplement . her lisinopril had- has also been increased up to 10 milligrams daily in march . also did when i saw her last april . she reported being interested in having her right knee replaced this summer at east metro . it was recommended that we work to control her cardiovascular status before surgery ."}, {"turn_id": 2, "speaker": "doctor", "transcript": "hey , miss miller , how are you today ?"}, {"turn_id": 3, "speaker": "patient", "transcript": "i'm doing okay , thank you ."}, {"turn_id": 4, "speaker": "doctor", "transcript": "i asked you to come in today because we want to keep- we want you to have this knee surgery this summer but we want to keep a close eye on you to make sure a week before your surgery you do n't suddenly go into congestive heart failure and it gets postponed ."}, {"turn_id": 5, "speaker": "patient", "transcript": "yeah , that would not be good ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "i see you're scheduled on the 24th for surgery ."}, {"turn_id": 7, "speaker": "patient", "transcript": "yeah , that's right ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay , good . well it looks like you have lost about 3 , 3 and a half pounds since i saw you last in april . some of that might be water weight , but still , this is positive ."}, {"turn_id": 9, "speaker": "patient", "transcript": "yeah , i noticed that too . i think the oxyglutinine is helping as well . my urgency to use the bathroom is much better ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "well that's great ."}, {"turn_id": 11, "speaker": "patient", "transcript": "yeah , i , i'm pleased about it too ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "you ever get leg or finger cramps or anything like that ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "yeah , i had leg cramps the other day , but i thought it might , was maybe just because i was cold as i had my ceiling fan on and fell asleep . i had cramps when i woke up in both legs right here . um i drank pickle juice and it went right away ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "well do n't , do n't get crazy with the pickle juice because all of the salt in it ."}, {"turn_id": 15, "speaker": "patient", "transcript": "haha , i know , i only drink about 4 ounces or so ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "okay good ."}, {"turn_id": 17, "speaker": "patient", "transcript": "um it went away so i did n't drink anymore . i find it works a lot better than trying to put some cream on my leg ."}, {"turn_id": 18, "speaker": "doctor", "transcript": "sure just , just keep it in moderation ."}, {"turn_id": 19, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 20, "speaker": "doctor", "transcript": "and then are you still on an iron supplement ? and are you using the bathroom okay ?"}, {"turn_id": 21, "speaker": "patient", "transcript": "uh yes , everything is good ."}, {"turn_id": 22, "speaker": "doctor", "transcript": "good . how is your heart burn doing ? any problems with that ?"}, {"turn_id": 23, "speaker": "patient", "transcript": "no , it did get bad for a while so i tried to take some prilosec and then stopped that other one ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 25, "speaker": "patient", "transcript": "um i did that for like , gosh , i think it was two weeks back in january and have n't had any problems since ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "great ."}, {"turn_id": 27, "speaker": "patient", "transcript": "um and after i stopped taking that um i went back to the stomach one , so i'm doing good now ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay and you're still due for a colonoscopy , correct ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "uh yeah , that's right ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "all right , let's review your blood work real quick . i checked your hemoglobin level because you have had some anemia in the past but that is still doing great ."}, {"turn_id": 31, "speaker": "patient", "transcript": "good , that's a relief to hear ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "your potassium is 3.9 so it's holding steady on the torsemide . your creatinine was .7 not .8 so you're doing well with kidney numbers . your bun may be a tiny bit elevated at 23 which is the number we look for for dehydration sometimes the kidneys , but it's not terrible . um so when i look at your numbers as a whole i think you're tolerating the torsemide okay at the current dose . i also sent out to look at the heart failure number- i sent to look at your heart failure number . there is a test called a bmp that i was monitoring and in march it was up to 3,000 and then went up to 6,000 in april before i made the change . i'm still waiting for those results ."}, {"turn_id": 33, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "all in all i think you're doing good on paper though ."}, {"turn_id": 35, "speaker": "patient", "transcript": "what about , um what's it called , a1c ? does that show up ?"}, {"turn_id": 36, "speaker": "doctor", "transcript": "um i do n't think i ordered it but i could . your last a1c was 5.5 in march ."}, {"turn_id": 37, "speaker": "patient", "transcript": "all righty ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "so your blood sugar is a little bit high , it was 169 today but that kind of depends on what you ate and you were n't fasting for the blood check so i might have to repeat that test for pre-op , but i do n't think we need to do it today ."}, {"turn_id": 39, "speaker": "patient", "transcript": "all righty that sounds good ."}, {"turn_id": 40, "speaker": "doctor", "transcript": "i checked your magnesium level because sometimes you uh urinate out magnesium with the water pills but it was normal at 1.7 and your blood pressure is also looking good ."}, {"turn_id": 41, "speaker": "patient", "transcript": "okay great . that all sounds awesome ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "all right let's take a quick listen ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "use my general physical exam template ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "and take a couple of deep breaths for me ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "your lungs sound pretty good to me so keep doing what you're doing . um uh , like i said , i think you're doing good overall but let's just talk about a few things ."}, {"turn_id": 46, "speaker": "patient", "transcript": "all righty ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "so we often like to keep people with heart problems on magnesium and get their levels up to around the 2-ish range . yours is a little bit less than 2 and we want that 2-ish range because it can help stabilize the heart muscle . so i might recommend putting you on magnesium supplement . it's supposed to be twice a day so that's kind of annoying , but i know you're on other medicines twice a day too , so i think you'll do fine ."}, {"turn_id": 48, "speaker": "patient", "transcript": "yeah , that'll be okay ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "great . now before surgery we'll have to get you off your clopidogrel for a week beforehand ."}, {"turn_id": 50, "speaker": "patient", "transcript": "yes , okay , i have everything written down on my phone , and i have a letter taped to the side of my bed to remind me ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "perfect ! we will give you a reminder as well . we will also need to complete a pre-op check within two weeks of your surgery during the first or second week of june ."}, {"turn_id": 52, "speaker": "patient", "transcript": "okay , i'll put that down ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "you might also have to repeat an ekg before surgery which we could do today . i know i'm sure it feels like you're doing , you're always doing ekgs . um we do n't need to any x-rays of your chest because you had one recently , and we do n't need any more blood work because we did that today ."}, {"turn_id": 54, "speaker": "patient", "transcript": "yeah , i do a lot of ekgs . i'm basically a regular . but i'm happy to do one today , no problem ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "lastly , once we get your knee surgery , um we , we should think about getting you a colonoscopy . we can do it here locally because you have medicare . do you have private insurance also ?"}, {"turn_id": 56, "speaker": "patient", "transcript": "yeah , i have both ."}, {"turn_id": 57, "speaker": "doctor", "transcript": "okay so yes , you can get it , your colonoscopy , wherever you'd like ."}, {"turn_id": 58, "speaker": "patient", "transcript": "okay , well my husband's insurance may be running out . might we be able to get the procedure done sooner ? maybe in the next 30 days ? is that okay ?"}, {"turn_id": 59, "speaker": "doctor", "transcript": "um i can put it in right now for , uh , for county for the next 30 days , and they might be able to get you in within the next few weeks . it should not take , it should not make you ineligible for the surgery . in other words completing a colonoscopy would not delay your surgery ."}, {"turn_id": 60, "speaker": "patient", "transcript": "okay , good ."}, {"turn_id": 61, "speaker": "doctor", "transcript": "so let me see . i've been doing one of two things at every one , and everyone is great so it depends more on timing availability of their or for the colonoscopy . we can send you to dr. martin for the surgery who is at county surgical services down here or the other option is valley medical , and they do it at springfield ."}, {"turn_id": 62, "speaker": "patient", "transcript": "okay , that sounds good ."}, {"turn_id": 63, "speaker": "doctor", "transcript": "i think either direction they're good technicians of the colon ."}, {"turn_id": 64, "speaker": "patient", "transcript": "okay , yeah whatever you can get me in , that works great ."}, {"turn_id": 65, "speaker": "doctor", "transcript": "so i'll call around . now if you get that done and they tell you 10 years then you'll be good to go ."}, {"turn_id": 66, "speaker": "patient", "transcript": "great , thank you ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "you're welcome . have a great day . let us know if you need anything else , okay ?"}, {"turn_id": 68, "speaker": "patient", "transcript": "sounds good ."}, {"turn_id": 69, "speaker": "doctor", "transcript": "all right , assessment and plan ."}, {"turn_id": 70, "speaker": "doctor", "transcript": "chronic chf . mixed presentation . had a exacerbation of cf , chf earlier in the spring . we switched her from a furosemide to torsemide and symptomatically she is doing a lot better . she's about 3 , 3 and a half pounds down in weight . breathing is non-labored . going to repeat ekg today but otherwise continue with her current regimen . labs checked and creatinine is appropriate ."}, {"turn_id": 71, "speaker": "doctor", "transcript": "uh number 2 , pre-op examination . she is , she's having a right knee replacement end of june . also , she would like to have a colonoscopy performed which we'll try to have done at uh bartley regional , rightley regional hospital in the next month , uh , prior to a change in her insurance . this is just a screening colonoscopy that she is overdue for . no family history of colon cancer ."}, {"turn_id": 72, "speaker": "doctor", "transcript": "uh the next one is diabetes . a1c is 5.1 on the last check so no need for further a1c today . she may need another one prior to her surgery next month though . thanks ."}]} |
acibench_D2N074_virtscribe_valid | [
{
"speaker": "doctor",
"transcript": "patient , bruce ward . date of birth 5/21/1969 . please use my neuro consult template . this is a 52-year-old male with dia- newly diagnosed pituitary lesion . the patient is seen in consultation at the request of dr. henry howard for possible surgical intervention . mr . ward presented to his primary care provider , dr. howard , on 3/1/21 complaining of worsening headaches over the past few months . he denied any trouble with headaches in the past . his past clinical history is unremarkable .",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "worked out for worsening headaches was initiated with brain mri and serology where pituitary lesion was incidentally discovered . i personally reviewed the labs dated 3/3/21 including cbc , unes , uh , coagulation , and crp . all were normal . pituitary hormone profile demonstrates a low tsh , all other results were normal . um , i personally reviewed pertinent radiology studies including mri for the brain with contrast from 3/4/21 . the mri reveals a pituitary lesion with elevation and compression of the optic chiasm . the ventricles are normal in size and no other abnormalities are lo- are noted .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "hello , mr . ward . nice to meet you . i'm dr. flores .",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "hi , doc . nice to meet you .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "i was just reviewing your records from dr. howard and he's referred you because the workup for headaches revealed a mass on your pituitary gland . i did review your mri images and you have a significant mass there . can you tell me about the issues you've been experiencing ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah sure . so i'm really getting fed up with these headaches . i've been trying my best to deal with them but they've been going on for months now and i'm really struggling .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "where are the headaches located and how would you describe that pain ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "located behind my eyes . it's like a dull nagging ache .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay . was the onset gradual or sudden ?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "well it started about three months ago . and they've been getting worse over time . at first it was like three out of 10 severity , and it just gradually worsened . and now it's about six out of 10 severity . the headaches do tend to be worse in the morning and it feels like a dull ache behind the eyes . they last a few hours at a time , nothing makes them better or worse .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay . can you tell me if the pain radiates , or if you have any other symptoms ? specifically feeling sick , fever , rashes , neck stiffness , numbness , weakness , passing out ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no . i have n't been sick or felt sick . ca n't recall a fever or any kind of rash . no- no neck issues , no numbness , no tingling . and i've never passed out in my life . but , um , for some reason recently i seem to be bumping into door frames .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay . have you noticed any change in your vision or with your balance ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "no i do n't think so . my eyes were checked in the fall .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay . let's see , do you have any other medical problems that you take medicine for ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no i do n't have any medical problems and i do n't take any medicines . i tried tylenol a few times for the headaches but it did n't work , so i stopped .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "i see . anyone in your family have any history of diseases ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i was adopted so i really have no idea .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay . um , what kind of work do you do ? and are you married ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "i work as a computer programmer and i've been married for 25 years . we just bought a small house .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "that's nice . um , do you drink any alcohol , smoke , or use recreational drugs ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "nope . i do n't do any of those and never have .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay . um , well let me take a good look at you . um , now you'll hear me calling out some details as i perform the examination . these will be noted for me in your record and i'll be happy to answer any questions you have once we're done .",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "sounds good , doc .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "all right . the patient is alert , oriented to time , place , and person . affect is appropriate and speech is fluent . cranial nerve examination is grossly intact . no focal , motor , or sensory deficit in the upper or lower extremities . visual acuity and eye movements are normal . pupils are equal and reactive . visual field testing reveals bitemporal hemianopia . and color vision is normal .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "all right , mr. ward . i'm going to review these pictures from the mri with you . um , now this appears to be a benign pituitary adenoma , but there's no way to be sure without sending the removed adenoma to pathology to make the diagnosis , which we will do . um , here you can see it's a well defined mass . and it's pressing right here on what we call the optic chiasm . and today when i was having you look at my fingers , you could n't see them off to the sides , that's what we call bitemporal hemianopia . and explains why you have been bumping into door frames .",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "yeah i never noticed that i could n't see out of the side until you did that test , and you closed one eye with both eyes . i really could n't tell .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "no because you're having this vision loss from the mass compressing the optic chiasm , the only option we have is to do surgery .",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "okay , i understand . do you think i'll regain my vision ?",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "well there's no guarantees , but it is a possibility . i'm gon na refer you to the eye doctor for a full exam and they'll do what's called visual field test . this will map our your peripheral vision or side vision prior to surgery . and we can monitor after surgery to see if your vision is improving .",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "all right .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "and let's discuss the surgery a little more . um , we would do what's called a transsphenoidal approach to do the surgery . this is minimally invasive and we go through the sphenoid sinus . there are some risks i have to inform you of . uh , risk of anesthesia including but not limited to the risk of heart attack , stroke , and death . risk of surgery include infection , need for further surgery , wound issues such as spinal fluid leak or infection , uh , which may require long , prolonged hospitalization or additional procedure . uh , seizure , stroke , permanent numbness , weakness , difficulty speaking , or even death .",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "well i guess we have to do it regardless .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "okay . so i will have you see our surgery scheduler , deborah , on the way out to get you set up . we will get this scheduled fairly quickly so i do n't want you to be alarmed . um , she'll also get you set up today or tomorrow to have the visual field test and you may not be able to see the eye doctor until after surgery . but we have the pre-surgery visual field test for comparison after surgery .",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "okay . i look forward to these headaches going away . i never thought it could be something like this going on .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "yeah . come this way , we'll get your things lined up . please call if you think of any questions .",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "thanks , doctor .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "diagnosis will be pituitary adenoma . mr . ward is a very pleasant 52-year-old male who has benign appearing pituitary adenoma , incidentally discovered during workup for worsening headaches . he is symptomatic with clinical and radiographical evidence of optic chiasmal compression , therefor surgical intervention to excise and decompress the pituitary fossa is indicated . end of note .",
"turn_id": 38
}
] | [] | {"id": "acibench_D2N074_virtscribe_valid", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "patient , bruce ward . date of birth 5/21/1969 . please use my neuro consult template . this is a 52-year-old male with dia- newly diagnosed pituitary lesion . the patient is seen in consultation at the request of dr. henry howard for possible surgical intervention . mr . ward presented to his primary care provider , dr. howard , on 3/1/21 complaining of worsening headaches over the past few months . he denied any trouble with headaches in the past . his past clinical history is unremarkable ."}, {"turn_id": 2, "speaker": "doctor", "transcript": "worked out for worsening headaches was initiated with brain mri and serology where pituitary lesion was incidentally discovered . i personally reviewed the labs dated 3/3/21 including cbc , unes , uh , coagulation , and crp . all were normal . pituitary hormone profile demonstrates a low tsh , all other results were normal . um , i personally reviewed pertinent radiology studies including mri for the brain with contrast from 3/4/21 . the mri reveals a pituitary lesion with elevation and compression of the optic chiasm . the ventricles are normal in size and no other abnormalities are lo- are noted ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "hello , mr . ward . nice to meet you . i'm dr. flores ."}, {"turn_id": 4, "speaker": "patient", "transcript": "hi , doc . nice to meet you ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "i was just reviewing your records from dr. howard and he's referred you because the workup for headaches revealed a mass on your pituitary gland . i did review your mri images and you have a significant mass there . can you tell me about the issues you've been experiencing ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah sure . so i'm really getting fed up with these headaches . i've been trying my best to deal with them but they've been going on for months now and i'm really struggling ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "where are the headaches located and how would you describe that pain ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "located behind my eyes . it's like a dull nagging ache ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay . was the onset gradual or sudden ?"}, {"turn_id": 10, "speaker": "patient", "transcript": "well it started about three months ago . and they've been getting worse over time . at first it was like three out of 10 severity , and it just gradually worsened . and now it's about six out of 10 severity . the headaches do tend to be worse in the morning and it feels like a dull ache behind the eyes . they last a few hours at a time , nothing makes them better or worse ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay . can you tell me if the pain radiates , or if you have any other symptoms ? specifically feeling sick , fever , rashes , neck stiffness , numbness , weakness , passing out ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "no . i have n't been sick or felt sick . ca n't recall a fever or any kind of rash . no- no neck issues , no numbness , no tingling . and i've never passed out in my life . but , um , for some reason recently i seem to be bumping into door frames ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay . have you noticed any change in your vision or with your balance ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "no i do n't think so . my eyes were checked in the fall ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay . let's see , do you have any other medical problems that you take medicine for ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "no i do n't have any medical problems and i do n't take any medicines . i tried tylenol a few times for the headaches but it did n't work , so i stopped ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "i see . anyone in your family have any history of diseases ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "i was adopted so i really have no idea ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay . um , what kind of work do you do ? and are you married ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "i work as a computer programmer and i've been married for 25 years . we just bought a small house ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "that's nice . um , do you drink any alcohol , smoke , or use recreational drugs ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "nope . i do n't do any of those and never have ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay . um , well let me take a good look at you . um , now you'll hear me calling out some details as i perform the examination . these will be noted for me in your record and i'll be happy to answer any questions you have once we're done ."}, {"turn_id": 24, "speaker": "patient", "transcript": "sounds good , doc ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "all right . the patient is alert , oriented to time , place , and person . affect is appropriate and speech is fluent . cranial nerve examination is grossly intact . no focal , motor , or sensory deficit in the upper or lower extremities . visual acuity and eye movements are normal . pupils are equal and reactive . visual field testing reveals bitemporal hemianopia . and color vision is normal ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "all right , mr. ward . i'm going to review these pictures from the mri with you . um , now this appears to be a benign pituitary adenoma , but there's no way to be sure without sending the removed adenoma to pathology to make the diagnosis , which we will do . um , here you can see it's a well defined mass . and it's pressing right here on what we call the optic chiasm . and today when i was having you look at my fingers , you could n't see them off to the sides , that's what we call bitemporal hemianopia . and explains why you have been bumping into door frames ."}, {"turn_id": 27, "speaker": "patient", "transcript": "yeah i never noticed that i could n't see out of the side until you did that test , and you closed one eye with both eyes . i really could n't tell ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "no because you're having this vision loss from the mass compressing the optic chiasm , the only option we have is to do surgery ."}, {"turn_id": 29, "speaker": "patient", "transcript": "okay , i understand . do you think i'll regain my vision ?"}, {"turn_id": 30, "speaker": "doctor", "transcript": "well there's no guarantees , but it is a possibility . i'm gon na refer you to the eye doctor for a full exam and they'll do what's called visual field test . this will map our your peripheral vision or side vision prior to surgery . and we can monitor after surgery to see if your vision is improving ."}, {"turn_id": 31, "speaker": "patient", "transcript": "all right ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "and let's discuss the surgery a little more . um , we would do what's called a transsphenoidal approach to do the surgery . this is minimally invasive and we go through the sphenoid sinus . there are some risks i have to inform you of . uh , risk of anesthesia including but not limited to the risk of heart attack , stroke , and death . risk of surgery include infection , need for further surgery , wound issues such as spinal fluid leak or infection , uh , which may require long , prolonged hospitalization or additional procedure . uh , seizure , stroke , permanent numbness , weakness , difficulty speaking , or even death ."}, {"turn_id": 33, "speaker": "patient", "transcript": "well i guess we have to do it regardless ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "okay . so i will have you see our surgery scheduler , deborah , on the way out to get you set up . we will get this scheduled fairly quickly so i do n't want you to be alarmed . um , she'll also get you set up today or tomorrow to have the visual field test and you may not be able to see the eye doctor until after surgery . but we have the pre-surgery visual field test for comparison after surgery ."}, {"turn_id": 35, "speaker": "patient", "transcript": "okay . i look forward to these headaches going away . i never thought it could be something like this going on ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "yeah . come this way , we'll get your things lined up . please call if you think of any questions ."}, {"turn_id": 37, "speaker": "patient", "transcript": "thanks , doctor ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "diagnosis will be pituitary adenoma . mr . ward is a very pleasant 52-year-old male who has benign appearing pituitary adenoma , incidentally discovered during workup for worsening headaches . he is symptomatic with clinical and radiographical evidence of optic chiasmal compression , therefor surgical intervention to excise and decompress the pituitary fossa is indicated . end of note ."}]} |
primock57_2_9 | [
{
"speaker": "doctor",
"transcript": "Hi there, good morning. Or good afternoon, sorry. Hi.",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "Hello there. Uh, good afternoon. This is Jack.",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "Good afternoon.",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "Hi. This, this is Doctor Deen Mirza from GP at Hand.",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "I do.",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "All right. So before we start your appointment, could I please confirm your full name and date of birth?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "Yes, uh, my name is Jack Armani.",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "That's great, thank you.",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "And my date of birth is",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "twelve August nineteen fifty eight.",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "That's great, thank you for that. Um, are you in a private place where you're OK to speak at the moment?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "Yes, I am.",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "OK. So, how can I help you today?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "I am. So, I woke up, um, this morning, and, um.",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "Hello?",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "Yeah I'm still here, you'll tell . Yeah.",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "Uh so I'm a bit worried 'cause I woke up this morning, about an hour ago, and I couldn't move my left arm any more.",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "OK. Uh, and how's your arm right now?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "Well like, I feel no pain but just, uh, can't move it.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "That you still can't move. And, and what time did you wake up? You said it was an hour, you're sure about that?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "OK, um.",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "Now, can I just double check? Has this ever happened before?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "No. No, uh, it's really the first time.",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "OK. And, did you sleep, anything, in an awkward position, or in a different bed, or anything like that last night?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "Uh no, uhf, everything as usual.",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "OK. Um, and um, is there any discoloration in your hand?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "Um, no.",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "K, um, does your hand feel cold?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "Mmm, no, really the, mmm, the arm feels fine, apart from me not being able to move it.",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "OK. And it's to your on your left side. Have you had any symptoms in your left leg at all?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "No, but um, I feel a bit of tingling on the left side of my face.",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, and how long has that tingling been there for?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "Uh, since I woke up. Um, since I started to feel the , since, since the the arm really it stopped moving, so an hour ago.",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "OK, um.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "Now, um, I can't see you. It's, it's telephone appointment. Have you noticed any kind of, um, asymmetry in your face, or did your face expression look different on one side compared to the other, or anything different at all?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "Mmm, no, not really, it's just.",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "Uh, having like a bit of issues like, uh, I was trying to drink earlier and I'd be bold a bit and and the tingling on, on the left side.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "OK. So, um, you have some difficulties swallowing, is that right?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "Um, yeah.",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "OK. Any problems with your speech? Is your, is your, is your speech different to how it, um, sounds normally?",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "Um, yeah it feels a, a bit harder . It's more complicated maybr, maybe um, be more slow. I need to think more about it.",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "OK. Is there anyone at home with you?",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "Uh, no.",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "Is this something I should be worried about?",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "Um, well, um, I'm I'm concerned that some of the symptoms you've got may be, um, symptoms of a stroke.",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "Hmm, wow.",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "OK? So, um, that's something that can be dealt with, but it needs to be dealt with as an emergency in a hospital.",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "Would, should I call , would you be able to call the ambulance for me?",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "Yeah I'm, I'm happy to do that. Um, what we need to do is to make sure that they've got access to you when you come. So, um, maybe you could, uh, leave the front door, um, unlocked, sit in the hallway. But I'm gonna arrange one of my colleagues next to me to, um, call an ambulance to your home address now.",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "OK. OK. Thank you.",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "So that's being done right now, as we speak. Uh, while we're waiting for that, I'm just gonna ask you a few more questions. Is that OK?",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "Sure.",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "OK. Do you have any other illnesses at all?",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "I have, uh, type two diabetes and, uh, high blood pressure.",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "OK. And, um, are you on any medication for that?",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "Um, I'm taking Metformin losartan and Amlodipine.",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "OK. Do you have any, um, uh, allergies to any medication?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Um, only penicillin, I believe.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "Um, are there any illnesses in your family at all?",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "Uh, my dad has got, um, heart disease.",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "But, uh, but don't, I don't know more detail.",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "OK, anyone else?",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "Not really.",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "And um, are you normally living alone?",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "Uh, yes.",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "K. Do you smoke at all?",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "Uh, I used to.",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "OK. How much alcohol do you drink?",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "Uh, I will have a few drinks over the weekend. Um, maybe a, a couple more during the week.",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "So, what, what drinks are we talking about?",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "Uh, uh, beers, uh, like pints.",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "All right, um.",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "How are you feeling now? Have you got the symptoms right now still, that, um",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Yes, yes. The the arm still can't move and I think the speech is getting a bit harder.",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "OK, all right. So, the ambulance is on it's way, all right? Um, and what they're going to do is, they'll probably take you down to, um, the local hospital, A and E. And then, they'll they will ring through for the, um, the stroke doctor to assess you, to see whether they can give you any kind of, um",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "Treatment for that OK? So no worry. They're they're on their way, um, and what I'm gonna do is, I'm gonna stay on the line until they reach there. Just to make sure that you're OK.",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "OK. Is there anything I should be doing now?",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "Um, not at the moment, no, not at the moment, Just, uh, make sure the the front door's open. Sit in the hallway, by the front door so that they've got access if needs be, if for any reason you can't open the front door. OK, um.",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "All right, then so I'll be staying on the line and we'll and we'll wait until the ambulance comes.",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "OK, I'm gonna go to the door.",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": "OK then, all right. Thank you.",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "Thank you.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "K, bye bye.",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 97
}
] | [] | {"id": "primock57_2_9", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "Hi there, good morning. Or good afternoon, sorry. Hi."}, {"turn_id": 2, "speaker": "patient", "transcript": "Hello there. Uh, good afternoon. This is Jack."}, {"turn_id": 3, "speaker": "doctor", "transcript": "Good afternoon."}, {"turn_id": 4, "speaker": "doctor", "transcript": "Hi. This, this is Doctor Deen Mirza from GP at Hand."}, {"turn_id": 5, "speaker": "patient", "transcript": "I do."}, {"turn_id": 6, "speaker": "doctor", "transcript": "All right. So before we start your appointment, could I please confirm your full name and date of birth?"}, {"turn_id": 7, "speaker": "patient", "transcript": "Yes, uh, my name is Jack Armani."}, {"turn_id": 8, "speaker": "doctor", "transcript": "That's great, thank you."}, {"turn_id": 9, "speaker": "patient", "transcript": "And my date of birth is"}, {"turn_id": 10, "speaker": "patient", "transcript": "twelve August nineteen fifty eight."}, {"turn_id": 11, "speaker": "doctor", "transcript": "That's great, thank you for that. Um, are you in a private place where you're OK to speak at the moment?"}, {"turn_id": 12, "speaker": "patient", "transcript": "Yes, I am."}, {"turn_id": 13, "speaker": "doctor", "transcript": "OK. So, how can I help you today?"}, {"turn_id": 14, "speaker": "patient", "transcript": "I am. So, I woke up, um, this morning, and, um."}, {"turn_id": 15, "speaker": "patient", "transcript": ""}, {"turn_id": 16, "speaker": "patient", "transcript": "Hello?"}, {"turn_id": 17, "speaker": "doctor", "transcript": "Yeah I'm still here, you'll tell . Yeah."}, {"turn_id": 18, "speaker": "patient", "transcript": "Uh so I'm a bit worried 'cause I woke up this morning, about an hour ago, and I couldn't move my left arm any more."}, {"turn_id": 19, "speaker": "doctor", "transcript": ""}, {"turn_id": 20, "speaker": "doctor", "transcript": "OK. Uh, and how's your arm right now?"}, {"turn_id": 21, "speaker": "patient", "transcript": "Um."}, {"turn_id": 22, "speaker": "patient", "transcript": "Well like, I feel no pain but just, uh, can't move it."}, {"turn_id": 23, "speaker": "doctor", "transcript": "That you still can't move. And, and what time did you wake up? You said it was an hour, you're sure about that?"}, {"turn_id": 24, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 25, "speaker": "doctor", "transcript": "OK, um."}, {"turn_id": 26, "speaker": "doctor", "transcript": "Now, can I just double check? Has this ever happened before?"}, {"turn_id": 27, "speaker": "patient", "transcript": "No. No, uh, it's really the first time."}, {"turn_id": 28, "speaker": "doctor", "transcript": "OK. And, did you sleep, anything, in an awkward position, or in a different bed, or anything like that last night?"}, {"turn_id": 29, "speaker": "patient", "transcript": "Uh no, uhf, everything as usual."}, {"turn_id": 30, "speaker": "doctor", "transcript": "OK. Um, and um, is there any discoloration in your hand?"}, {"turn_id": 31, "speaker": "patient", "transcript": "Um, no."}, {"turn_id": 32, "speaker": "doctor", "transcript": "K, um, does your hand feel cold?"}, {"turn_id": 33, "speaker": "patient", "transcript": "Mmm, no, really the, mmm, the arm feels fine, apart from me not being able to move it."}, {"turn_id": 34, "speaker": "doctor", "transcript": "OK. And it's to your on your left side. Have you had any symptoms in your left leg at all?"}, {"turn_id": 35, "speaker": "patient", "transcript": "No, but um, I feel a bit of tingling on the left side of my face."}, {"turn_id": 36, "speaker": "doctor", "transcript": "Right, OK. Um, and how long has that tingling been there for?"}, {"turn_id": 37, "speaker": "patient", "transcript": "Uh, since I woke up. Um, since I started to feel the , since, since the the arm really it stopped moving, so an hour ago."}, {"turn_id": 38, "speaker": "doctor", "transcript": "OK, um."}, {"turn_id": 39, "speaker": "doctor", "transcript": "Now, um, I can't see you. It's, it's telephone appointment. Have you noticed any kind of, um, asymmetry in your face, or did your face expression look different on one side compared to the other, or anything different at all?"}, {"turn_id": 40, "speaker": "patient", "transcript": "Um."}, {"turn_id": 41, "speaker": "patient", "transcript": "Mmm, no, not really, it's just."}, {"turn_id": 42, "speaker": "patient", "transcript": "Uh, having like a bit of issues like, uh, I was trying to drink earlier and I'd be bold a bit and and the tingling on, on the left side."}, {"turn_id": 43, "speaker": "doctor", "transcript": "OK. So, um, you have some difficulties swallowing, is that right?"}, {"turn_id": 44, "speaker": "patient", "transcript": "Um, yeah."}, {"turn_id": 45, "speaker": "doctor", "transcript": "OK. Any problems with your speech? Is your, is your, is your speech different to how it, um, sounds normally?"}, {"turn_id": 46, "speaker": "patient", "transcript": "Um, yeah it feels a, a bit harder . It's more complicated maybr, maybe um, be more slow. I need to think more about it."}, {"turn_id": 47, "speaker": "doctor", "transcript": "OK. Is there anyone at home with you?"}, {"turn_id": 48, "speaker": "patient", "transcript": "Uh, no."}, {"turn_id": 49, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 50, "speaker": "patient", "transcript": "Is this something I should be worried about?"}, {"turn_id": 51, "speaker": "doctor", "transcript": "Um, well, um, I'm I'm concerned that some of the symptoms you've got may be, um, symptoms of a stroke."}, {"turn_id": 52, "speaker": "patient", "transcript": "Hmm, wow."}, {"turn_id": 53, "speaker": "doctor", "transcript": "OK? So, um, that's something that can be dealt with, but it needs to be dealt with as an emergency in a hospital."}, {"turn_id": 54, "speaker": "patient", "transcript": "Would, should I call , would you be able to call the ambulance for me?"}, {"turn_id": 55, "speaker": "doctor", "transcript": "Yeah I'm, I'm happy to do that. Um, what we need to do is to make sure that they've got access to you when you come. So, um, maybe you could, uh, leave the front door, um, unlocked, sit in the hallway. But I'm gonna arrange one of my colleagues next to me to, um, call an ambulance to your home address now."}, {"turn_id": 56, "speaker": "patient", "transcript": "OK."}, {"turn_id": 57, "speaker": "patient", "transcript": "OK. OK. Thank you."}, {"turn_id": 58, "speaker": "doctor", "transcript": "So that's being done right now, as we speak. Uh, while we're waiting for that, I'm just gonna ask you a few more questions. Is that OK?"}, {"turn_id": 59, "speaker": "patient", "transcript": "Sure."}, {"turn_id": 60, "speaker": "doctor", "transcript": "OK. Do you have any other illnesses at all?"}, {"turn_id": 61, "speaker": "patient", "transcript": "Um."}, {"turn_id": 62, "speaker": "patient", "transcript": "I have, uh, type two diabetes and, uh, high blood pressure."}, {"turn_id": 63, "speaker": "doctor", "transcript": "OK. And, um, are you on any medication for that?"}, {"turn_id": 64, "speaker": "patient", "transcript": "Um, I'm taking Metformin losartan and Amlodipine."}, {"turn_id": 65, "speaker": "doctor", "transcript": "OK. Do you have any, um, uh, allergies to any medication?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Um, only penicillin, I believe."}, {"turn_id": 67, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 68, "speaker": "doctor", "transcript": "Um, are there any illnesses in your family at all?"}, {"turn_id": 69, "speaker": "patient", "transcript": "Uh, my dad has got, um, heart disease."}, {"turn_id": 70, "speaker": "patient", "transcript": "But, uh, but don't, I don't know more detail."}, {"turn_id": 71, "speaker": "doctor", "transcript": "OK, anyone else?"}, {"turn_id": 72, "speaker": "patient", "transcript": "Not really."}, {"turn_id": 73, "speaker": "doctor", "transcript": "And um, are you normally living alone?"}, {"turn_id": 74, "speaker": "patient", "transcript": "Uh, yes."}, {"turn_id": 75, "speaker": "doctor", "transcript": "K. Do you smoke at all?"}, {"turn_id": 76, "speaker": "patient", "transcript": "Uh, I used to."}, {"turn_id": 77, "speaker": "doctor", "transcript": "OK. How much alcohol do you drink?"}, {"turn_id": 78, "speaker": "patient", "transcript": "Uh, I will have a few drinks over the weekend. Um, maybe a, a couple more during the week."}, {"turn_id": 79, "speaker": "doctor", "transcript": "So, what, what drinks are we talking about?"}, {"turn_id": 80, "speaker": "patient", "transcript": "Uh, uh, beers, uh, like pints."}, {"turn_id": 81, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 82, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 83, "speaker": "doctor", "transcript": "All right, um."}, {"turn_id": 84, "speaker": "doctor", "transcript": "How are you feeling now? Have you got the symptoms right now still, that, um"}, {"turn_id": 85, "speaker": "patient", "transcript": "Yes, yes. The the arm still can't move and I think the speech is getting a bit harder."}, {"turn_id": 86, "speaker": "doctor", "transcript": "OK, all right. So, the ambulance is on it's way, all right? Um, and what they're going to do is, they'll probably take you down to, um, the local hospital, A and E. And then, they'll they will ring through for the, um, the stroke doctor to assess you, to see whether they can give you any kind of, um"}, {"turn_id": 87, "speaker": "doctor", "transcript": "Treatment for that OK? So no worry. They're they're on their way, um, and what I'm gonna do is, I'm gonna stay on the line until they reach there. Just to make sure that you're OK."}, {"turn_id": 88, "speaker": "patient", "transcript": "OK."}, {"turn_id": 89, "speaker": "patient", "transcript": "OK. Is there anything I should be doing now?"}, {"turn_id": 90, "speaker": "doctor", "transcript": "Um, not at the moment, no, not at the moment, Just, uh, make sure the the front door's open. Sit in the hallway, by the front door so that they've got access if needs be, if for any reason you can't open the front door. OK, um."}, {"turn_id": 91, "speaker": "patient", "transcript": "OK."}, {"turn_id": 92, "speaker": "doctor", "transcript": "All right, then so I'll be staying on the line and we'll and we'll wait until the ambulance comes."}, {"turn_id": 93, "speaker": "patient", "transcript": "OK, I'm gonna go to the door."}, {"turn_id": 94, "speaker": "doctor", "transcript": "OK then, all right. Thank you."}, {"turn_id": 95, "speaker": "patient", "transcript": "Thank you."}, {"turn_id": 96, "speaker": "doctor", "transcript": "K, bye bye."}, {"turn_id": 97, "speaker": "patient", "transcript": ""}]} |
acibench_D2N155_aci_clinicalnlp_taskC_test2 | [
{
"speaker": "doctor",
"transcript": "so hey christina good to see you today i see you're here you have a nonhealing foot ulcer well also looks like in my notes that you got some you've got type two diabetes and that probably the reason for your ear but ulcer not healing so how you doing today what's going on",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "doing pretty good except i ca n't get this ulcer to heal",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay how long has that wound been present",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "maybe about a year",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "a year well that that's a that's a a long time so when it started i guess did you have any trauma to the foot or did was it just all of a sudden",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "no trauma it just it seemed like a little blister and then i picked at it and it did get a little bit red and infected so i talked to my primary about it",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i went on some antibiotics it seemed to get better but nothing is really making it go away",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay when was the last time you were on antibiotics",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "it's probably been five months",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "five months alright do you remember which antibiotics you were on",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "keflex",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "keflex alright so kinda does your foot hurt or is it just just the",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "no pain but i do n't have much feeling in my foot",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "alright so you've got neuropathy yeah that that that makes sense with the the diabetes so have you had any other symptoms like a fever chills any drainage coming from it",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "lately there has been a lot more drainage and i just feel a little more tired",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay alright well that that sounds good so today is thursday so what do you have for the weekend",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "not too much i'll probably be walking around at the zoo on this ulcer all weekend and eating out and not doing anything my doctor wants me to do",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "no yeah i yeah i know you do have that diabetes i know your pcp probably would n't be excited about you you eating out and all that but you know hopefully we can we i can at least get your your foot a little bit better so your diabetes i know we talked a little bit earlier how is that going for you is it controlled you know what's your your blood sugars running",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah they are running better than they were but they are still in the two hundreds so my doctor does n't like that my last a1c was about ten",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay alright yeah i i you probably definitely need to get back with your pcp about that because the a1c is is pretty high and i know he probably had you on some medication and insulin and metformin and insulin just to try to to get that lower but",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "you know we are here for your foot so let's let me take a look at that so we will do a quick exam of your foot so you do n't have any fever your vitals look good so on your your right foot exam i can see here you do have a one by two centimeter two inch circular wound on the dorsal aspect of the lateral right foot so it's just proximal to the fifth mtp joint i do see some yellow slough that's present with minimal granulation tissue you have no surrounding erythema or cellulitis and there is n't any evidence of fluid collection i do n't see necrosis so there is no dead tissue around it there's no odor and i i do n't appreciate any bony exposure and does it hurt when i touch it here",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay so we did a x-ray of your right foot before you came in and it showed no evidence of osteomyelitis that means that there is no bone infection which is really good so let me just talk a little about my assessment and plan of your your foot so you do have that diabetic foot ulcer so what i'm gon na do is i'm going to order a abi or ankle brachial index and that's just to determine your blood supply just to see if we can actually heal that wound i know it's been there for about a year which is a pretty long time and so we just need to see if we can if you do have that blood flow just in case we need to to make other goals for that foot just to depend upon that i'm also gon na do a debridement here have you had that done before of the",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yes i think so",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay so you know you know pretty much about that so i'm just gon na try to take off some of that dead tissue we'll do that here in the office afterwards and then i'm going to prescribe you some colaganase ointment and you could just add that to your wound once a day and cover it with a sterile dressing and we're gon na try to continue that until we see it start to shrink and hopefully you know that will work between the debridement and then the ointment did they give you at your pcp they give you a surgical shoe or have you been wearing your regular shoes",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "i've just been wearing my regular shoes",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay so we're gon na get you a surgical shoe and i want you to to wear that and that can help you take pressure off the area because i know you said you're gon na walk around with this zoo this this weekend so i definitely do n't want you to put much pressure on it from now on and hopefully that can help it heal and so after all that i'm just gon na see you back in two weeks and we could take another look and possible do another debridement of the ulcer so do you have any questions for me",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "i do n't think so",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "alright so i'll see you back in two weeks and i hope you have fun at the zoo this weekend",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "thank you",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "alright thanks",
"turn_id": 33
}
] | [
{
"description": "colaganase ointment once a day",
"order_type": "medication",
"provenance": [
25,
27
],
"reason": "diabetic foot ulcer"
},
{
"description": "see you back two weeks",
"order_type": "followup",
"provenance": [
25,
29
],
"reason": "diabetic foot ulcer"
}
] | {"id": "acibench_D2N155_aci_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "medication", "description": "colaganase ointment once a day", "reason": "diabetic foot ulcer", "provenance": [25, 27]}, {"order_type": "followup", "description": "see you back two weeks", "reason": "diabetic foot ulcer", "provenance": [25, 29]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "so hey christina good to see you today i see you're here you have a nonhealing foot ulcer well also looks like in my notes that you got some you've got type two diabetes and that probably the reason for your ear but ulcer not healing so how you doing today what's going on"}, {"turn_id": 2, "speaker": "patient", "transcript": "doing pretty good except i ca n't get this ulcer to heal"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay how long has that wound been present"}, {"turn_id": 4, "speaker": "patient", "transcript": "maybe about a year"}, {"turn_id": 5, "speaker": "doctor", "transcript": "a year well that that's a that's a a long time so when it started i guess did you have any trauma to the foot or did was it just all of a sudden"}, {"turn_id": 6, "speaker": "patient", "transcript": "no trauma it just it seemed like a little blister and then i picked at it and it did get a little bit red and infected so i talked to my primary about it"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 8, "speaker": "patient", "transcript": "i went on some antibiotics it seemed to get better but nothing is really making it go away"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay when was the last time you were on antibiotics"}, {"turn_id": 10, "speaker": "patient", "transcript": "it's probably been five months"}, {"turn_id": 11, "speaker": "doctor", "transcript": "five months alright do you remember which antibiotics you were on"}, {"turn_id": 12, "speaker": "patient", "transcript": "keflex"}, {"turn_id": 13, "speaker": "doctor", "transcript": "keflex alright so kinda does your foot hurt or is it just just the"}, {"turn_id": 14, "speaker": "patient", "transcript": "no pain but i do n't have much feeling in my foot"}, {"turn_id": 15, "speaker": "doctor", "transcript": "alright so you've got neuropathy yeah that that that makes sense with the the diabetes so have you had any other symptoms like a fever chills any drainage coming from it"}, {"turn_id": 16, "speaker": "patient", "transcript": "lately there has been a lot more drainage and i just feel a little more tired"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay alright well that that sounds good so today is thursday so what do you have for the weekend"}, {"turn_id": 18, "speaker": "patient", "transcript": "not too much i'll probably be walking around at the zoo on this ulcer all weekend and eating out and not doing anything my doctor wants me to do"}, {"turn_id": 19, "speaker": "doctor", "transcript": "no yeah i yeah i know you do have that diabetes i know your pcp probably would n't be excited about you you eating out and all that but you know hopefully we can we i can at least get your your foot a little bit better so your diabetes i know we talked a little bit earlier how is that going for you is it controlled you know what's your your blood sugars running"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah they are running better than they were but they are still in the two hundreds so my doctor does n't like that my last a1c was about ten"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay alright yeah i i you probably definitely need to get back with your pcp about that because the a1c is is pretty high and i know he probably had you on some medication and insulin and metformin and insulin just to try to to get that lower but"}, {"turn_id": 22, "speaker": "patient", "transcript": "yes"}, {"turn_id": 23, "speaker": "doctor", "transcript": "you know we are here for your foot so let's let me take a look at that so we will do a quick exam of your foot so you do n't have any fever your vitals look good so on your your right foot exam i can see here you do have a one by two centimeter two inch circular wound on the dorsal aspect of the lateral right foot so it's just proximal to the fifth mtp joint i do see some yellow slough that's present with minimal granulation tissue you have no surrounding erythema or cellulitis and there is n't any evidence of fluid collection i do n't see necrosis so there is no dead tissue around it there's no odor and i i do n't appreciate any bony exposure and does it hurt when i touch it here"}, {"turn_id": 24, "speaker": "patient", "transcript": "no"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay so we did a x-ray of your right foot before you came in and it showed no evidence of osteomyelitis that means that there is no bone infection which is really good so let me just talk a little about my assessment and plan of your your foot so you do have that diabetic foot ulcer so what i'm gon na do is i'm going to order a abi or ankle brachial index and that's just to determine your blood supply just to see if we can actually heal that wound i know it's been there for about a year which is a pretty long time and so we just need to see if we can if you do have that blood flow just in case we need to to make other goals for that foot just to depend upon that i'm also gon na do a debridement here have you had that done before of the"}, {"turn_id": 26, "speaker": "patient", "transcript": "yes i think so"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay so you know you know pretty much about that so i'm just gon na try to take off some of that dead tissue we'll do that here in the office afterwards and then i'm going to prescribe you some colaganase ointment and you could just add that to your wound once a day and cover it with a sterile dressing and we're gon na try to continue that until we see it start to shrink and hopefully you know that will work between the debridement and then the ointment did they give you at your pcp they give you a surgical shoe or have you been wearing your regular shoes"}, {"turn_id": 28, "speaker": "patient", "transcript": "i've just been wearing my regular shoes"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay so we're gon na get you a surgical shoe and i want you to to wear that and that can help you take pressure off the area because i know you said you're gon na walk around with this zoo this this weekend so i definitely do n't want you to put much pressure on it from now on and hopefully that can help it heal and so after all that i'm just gon na see you back in two weeks and we could take another look and possible do another debridement of the ulcer so do you have any questions for me"}, {"turn_id": 30, "speaker": "patient", "transcript": "i do n't think so"}, {"turn_id": 31, "speaker": "doctor", "transcript": "alright so i'll see you back in two weeks and i hope you have fun at the zoo this weekend"}, {"turn_id": 32, "speaker": "patient", "transcript": "thank you"}, {"turn_id": 33, "speaker": "doctor", "transcript": "alright thanks"}]} |
acibench_D2N110_aci_clinicalnlp_taskB_test1 | [
{
"speaker": "doctor",
"transcript": "okay hi wayne well i understand you're here for you've got a sore on your foot that's not healing is that right",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "so can you tell me about that how are you doing",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "well i've been doing okay but i've had this wound on my right foot for a couple of weeks and it's not getting better i saw my pcp and they referred me to you i i used to see a podiatrist and a couple of years ago but they moved and i was n't able to get another one",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay and how long have you had the wound",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "about two to three weeks",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay have you had any kind of trauma to that foot",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "no i bought a new pair of shoes to travel with and the neuropathy i guess i did n't feel that they were too tight at first it was just a blister but it looked a lot worse now i've been putting a band-aid on it and",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay and so did your doctor put you on any antibiotics when they they saw your foot",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "yes i finished the course yesterday the wound looked about the same though",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay now does it hurt",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no i ca n't feel it",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay now have you had any other symptoms like fever chills drainage from the wound or anything along those lines",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "no but when i take my sock off sometimes it sticks to the wound even when i put a band-aid on",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay well are you still wearing those same shoes that cause the problem",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no i'm upset",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "i'm so upset too i love those shoes",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "no i'm so upset i i love those shoes",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay so what kind of shoes are they",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "they're hoka's",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "ah so where did you get them",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "i got them at rei couple of years ago",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "they're pretty good about helping you to fit your fit you in a shoe are n't they",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "so what do you like about them",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "they are comfortable they are easy to take on and off and they provide good stability",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "that's good so you've had some issues with stability sometimes or",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay okay well another question i want to ask you is how is your diabetes doing",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "i do n't think it's too bad my last hgb a1c was a little over eight",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay alright well let me just do a quick physical exam okay for vital signs your temperature is ninety eight . one your vital signs look good your heart rate is seventy two respirations sixteen blood pressure is one ten over sixty five okay so on your foot exam let's see there is a one by two inch circular wound on the dorsal aspect of the lateral right foot it is just proximal to the right fifth to the fifth mtp joint and there is some yellow slough present with minimal granulation tissue there's no surrounding erythema or cellulitis and there's no evidence of fluid collection there's no necrosis there is no odor i do not appreciate any bony exposure on on vascular exam there are palpable bilateral femoral and popliteal pulses there are no palpable dp or pt pulses but doppler signs are present okay so does this hurt when i touch it here",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "no it's okay",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay alright so i've reviewed the results your right foot x-ray that we did before you i came in the room and this shows no evidence of osteomyelitis which means there is no evidence of bone infection so that's really good so let me tell you a little about my assessment and plan for you so for your first problem your diabetic foot ulcer so i want to order an ankle brachial index abi to determine the blood supply to your foot to see if you can heal this wound i'm also gon na perform a debridement here in the office to take off some of the dead tissue and then next i'm going to prescribe a collagenase ointment to be applied to the wound once daily and then cover with a dry sterile dressing now we will continue this until we see the wound shrinking and a nice pink tissue is present and i want you to wear a surgical shoe to take pressure off of the area okay so i do n't think any more antibiotics are needed at this time and i want to see you again in two weeks so we may need to refer you to a vascular specialist if the abi indicates your blood supply is not optimal for wound healing okay",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "okay so for your diabetes it's gon na be very important to get your diabetes under control in order to get the wound to heal so we might even go ahead and get a diabetic consult so that we can go over some some maybe some ways you can modify your diet without a being too much but maybe that can bring down your hemoglobin a1c into a little bit better level okay",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "alright do you have any other questions",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 39
}
] | [
{
"description": "collagenase ointment once daily",
"order_type": "medication",
"provenance": [
34
],
"reason": "diabetic foot ulcer"
},
{
"description": "see you two weeks",
"order_type": "followup",
"provenance": [
34
],
"reason": null
}
] | {"id": "acibench_D2N110_aci_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "medication", "description": "collagenase ointment once daily", "reason": "diabetic foot ulcer", "provenance": [34]}, {"order_type": "followup", "description": "see you two weeks", "reason": null, "provenance": [34]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "okay hi wayne well i understand you're here for you've got a sore on your foot that's not healing is that right"}, {"turn_id": 2, "speaker": "patient", "transcript": "yes"}, {"turn_id": 3, "speaker": "doctor", "transcript": "so can you tell me about that how are you doing"}, {"turn_id": 4, "speaker": "patient", "transcript": "well i've been doing okay but i've had this wound on my right foot for a couple of weeks and it's not getting better i saw my pcp and they referred me to you i i used to see a podiatrist and a couple of years ago but they moved and i was n't able to get another one"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay and how long have you had the wound"}, {"turn_id": 6, "speaker": "patient", "transcript": "about two to three weeks"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay have you had any kind of trauma to that foot"}, {"turn_id": 8, "speaker": "patient", "transcript": "no i bought a new pair of shoes to travel with and the neuropathy i guess i did n't feel that they were too tight at first it was just a blister but it looked a lot worse now i've been putting a band-aid on it and"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay and so did your doctor put you on any antibiotics when they they saw your foot"}, {"turn_id": 10, "speaker": "patient", "transcript": "yes i finished the course yesterday the wound looked about the same though"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay now does it hurt"}, {"turn_id": 12, "speaker": "patient", "transcript": "no i ca n't feel it"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay now have you had any other symptoms like fever chills drainage from the wound or anything along those lines"}, {"turn_id": 14, "speaker": "patient", "transcript": "no but when i take my sock off sometimes it sticks to the wound even when i put a band-aid on"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay well are you still wearing those same shoes that cause the problem"}, {"turn_id": 16, "speaker": "patient", "transcript": "no i'm upset"}, {"turn_id": 17, "speaker": "doctor", "transcript": "i'm so upset too i love those shoes"}, {"turn_id": 18, "speaker": "patient", "transcript": "no i'm so upset i i love those shoes"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay so what kind of shoes are they"}, {"turn_id": 20, "speaker": "patient", "transcript": "they're hoka's"}, {"turn_id": 21, "speaker": "doctor", "transcript": "ah so where did you get them"}, {"turn_id": 22, "speaker": "patient", "transcript": "i got them at rei couple of years ago"}, {"turn_id": 23, "speaker": "doctor", "transcript": "they're pretty good about helping you to fit your fit you in a shoe are n't they"}, {"turn_id": 24, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 25, "speaker": "doctor", "transcript": "so what do you like about them"}, {"turn_id": 26, "speaker": "patient", "transcript": "they are comfortable they are easy to take on and off and they provide good stability"}, {"turn_id": 27, "speaker": "doctor", "transcript": "that's good so you've had some issues with stability sometimes or"}, {"turn_id": 28, "speaker": "patient", "transcript": "yes"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay okay well another question i want to ask you is how is your diabetes doing"}, {"turn_id": 30, "speaker": "patient", "transcript": "i do n't think it's too bad my last hgb a1c was a little over eight"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay alright well let me just do a quick physical exam okay for vital signs your temperature is ninety eight . one your vital signs look good your heart rate is seventy two respirations sixteen blood pressure is one ten over sixty five okay so on your foot exam let's see there is a one by two inch circular wound on the dorsal aspect of the lateral right foot it is just proximal to the right fifth to the fifth mtp joint and there is some yellow slough present with minimal granulation tissue there's no surrounding erythema or cellulitis and there's no evidence of fluid collection there's no necrosis there is no odor i do not appreciate any bony exposure on on vascular exam there are palpable bilateral femoral and popliteal pulses there are no palpable dp or pt pulses but doppler signs are present okay so does this hurt when i touch it here"}, {"turn_id": 32, "speaker": "patient", "transcript": "no it's okay"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay alright so i've reviewed the results your right foot x-ray that we did before you i came in the room and this shows no evidence of osteomyelitis which means there is no evidence of bone infection so that's really good so let me tell you a little about my assessment and plan for you so for your first problem your diabetic foot ulcer so i want to order an ankle brachial index abi to determine the blood supply to your foot to see if you can heal this wound i'm also gon na perform a debridement here in the office to take off some of the dead tissue and then next i'm going to prescribe a collagenase ointment to be applied to the wound once daily and then cover with a dry sterile dressing now we will continue this until we see the wound shrinking and a nice pink tissue is present and i want you to wear a surgical shoe to take pressure off of the area okay so i do n't think any more antibiotics are needed at this time and i want to see you again in two weeks so we may need to refer you to a vascular specialist if the abi indicates your blood supply is not optimal for wound healing okay"}, {"turn_id": 34, "speaker": "patient", "transcript": "okay"}, {"turn_id": 35, "speaker": "doctor", "transcript": "okay so for your diabetes it's gon na be very important to get your diabetes under control in order to get the wound to heal so we might even go ahead and get a diabetic consult so that we can go over some some maybe some ways you can modify your diet without a being too much but maybe that can bring down your hemoglobin a1c into a little bit better level okay"}, {"turn_id": 36, "speaker": "patient", "transcript": "okay"}, {"turn_id": 37, "speaker": "doctor", "transcript": "alright do you have any other questions"}, {"turn_id": 38, "speaker": "patient", "transcript": "no"}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay"}]} |
primock57_1_12 | [
{
"speaker": "doctor",
"transcript": "Uh no, it is, yes.",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "Hello?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "Hi.",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "Can you hear me OK? Great. Hello there. Um, before I go any further, can I confirm you name and your age please?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "Yes. So, my name is Robert.",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "Robert?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "Um, I'm forty eight.",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "OK. Great.",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "Excellent. And how can I help you this afternoon, sir?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "Right, so, uh, I've been having, uh, diarrhoea, for like, let's say past three days, more or less.",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "OK, well I'm sorry to hear that. Uh can you tell me a bit more about your diarrhoea?",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "Yeah, so it's been a, very bad diarrhoea, so it keeps me like, I keep going back and forth, to, to the toilet very often.",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "Right.",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "Um, yeah it started like three days ago.",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "Mm-hmm.",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "And uh, uh, so it started with vomiting, so I vomited a couple of times. Uh, but then, that went away, and, uh, yeah it's just diarrhoea now.",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "OK. And you mentioned you've been um going to the toilet very often. How many times are you going a day?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "Yeah, around, five to six times a day.",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "OK. And uh uh can you tell me, I know it's not nice to talk about, but is it quite watery, your stools, loose?",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "Yes, it's definitely, definitely watery, uh, loose stools, yeah.",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "K. Any blood in your stools?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "No, not that I could see.",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "OK. And uh uh uh with the diarrhea have you noticed any other symptoms, like tummy pain?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "Uh, not, not really, no. Uh, but I, I, I feel like, um, I can't, really drink too much, so I feel very dehydrated.",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "OK. When you say you can't drink too much, why is that?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "Uh, yeah because, really I, uh I, um, I'm like, I feel like I don't drink enough, like I'm, I'm drink, I'm trying to drink, but then I just go to the loo, and I like, I, uh I, I, I do everything and I feel dehydrated again.",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "OK, alright. Um have you managed to eat anything, solids?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "Uh, not much, not much. So just a little bit, but I don't feel, um, I don't really feel like, uh, I have appetite.",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "OK. You . OK. Um with your um, the vomiting has now stopped. Is that right? You said",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "Yes, yes.",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "OK, alright. Have you had any other symptoms, like fever or temperature?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "Uh, so, not, really I , I feel a little bit warm, um, probably at, at the beginning I was feeling I had a bit of temperature, but now I feel, I feel kind of fine.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "I feel very weak though.",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "OK. Alright. Any headaches or muscle pains?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "Not, not really, no.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "OK, alright. And you mentioned three days ago. What were you doing when the symptoms started? Are you aware of any triggers?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": ", not that I, I remember, what was I doing, I, I was at home I was working, on my computer and.",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "Yeah, just felt, like some nausea and I had to, to vomit, and then I had some diarrhoea, straight after that.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "Yeah. Did you have any takeaway food, or any dodgy restaurant food?",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "Uh, not that I remember, no.",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "OK. Have you been around anyone unwell, with diarrhea recently, last week or so?",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "Hmm, not that I know, not that I.",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "OK. OK. Um, right. So moving on, um are you otherwise fit and well?",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "Yeah, yeah, .",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "Uh OK. And do you take any regular medications?",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "Um, so I, I do suffer of asthma. So, I do have my inhalers, uh, that I you know, I need, I use infrequently, let's say only when I have, uh, a bit of .",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "Is that, is that inhaler?",
"turn_id": 54
},
{
"speaker": "patient",
"transcript": "Sorry?",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "Is that the blue inhaler? Blue inhaler. OK, alright. Any other medications that you take?",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "Yes it is, yeah.",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "Uh, no, nothing.",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "OK. Do you have any allergies to medications?",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "Um, not that I know of.",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "OK. And any family history of any medical problems?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "Um, so, my father has, high uh, well used to have high blood pressure. He actually, so he actually died, of, bowel cancer, like ten years ago.",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "OK. Sorry to hear that. Um, OK. And uh what about your mother?",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "Ohh yes, so uh, probably is worth mentioning uh, she has diabetes.",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "Diabetes. Do you know if that's type one or type two?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Uh, it's type two.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "OK. Alright.",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "Fine. And um, just a little bit more about your life in general, sir. Um who, who's at home with you? Who lives at home with you?",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "Sorry?",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "Who lives at home with you, sir?",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "Ohh I, I live alone.",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "You live alone, OK. Are you currently working at the moment?",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "Uh, well I haven't been able to work in the past few days, but yes , like given, uh, my uh.",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "What's your employment? What do you do for work?",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "I'm a software engineer.",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": ". OK, alright.",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "Have you taken time off work recently?",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "Uh, yes, yes I have, uh. Uh, these last three days I've been feeling, really unwell, so I couldn't work.",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "OK, alright. And just the last couple of questions with, regarding your smoking and alcohol. Do you do either of those?",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "Uh, not really, I drink infrequently, like socially let's say, and I don't smoke.",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "OK, alright. Um fine. uh Robert um",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "having listened to your story, I think you're probably suffering from what we call gastroenteritis, uh which essentially is just a, a tummy bug. It's an infection of your, your tummy. Um and normally lasts about three to five days, and gets better.",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "All right.",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "the things you can do to really help yourself get better soon, um are you can drink plenty of fluids. Really try and flush the toxins out of your body.",
"turn_id": 85
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "Uh you can get things from the pharmacy, which is called Dioralyte, which can help replenish any uh minerals and vitamins you may have lost. Uh, it's called Dioralyte. Um it's, it's a, it's a type of fluid replacement drink.",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "I'm sorry, what's the name of that?",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "Um, you can take some Paracetamol if you're feeling feverish and weak.",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "All right.",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "I would probably advise you to continue taking time off work for next day or two, until you get better.",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "normally you have to be diarrhea-free for about twenty four to forty eight hours, before you return back to work.",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "Um, let's see how the next few days go. And if you're still not better next week, I want you to come back and see me.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "And we can have another look at your symptoms, OK?",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "That sounds good, that sounds good. Uh, thanks so much.",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "Thanks. do you have any questions for me, or?",
"turn_id": 98
},
{
"speaker": "patient",
"transcript": "Um, no I think that's fine. Uh, yeah I'll, I'll try to , and drink , drink plenty of fluid and I hope it go away. Uh, if it doesn't I'll uh, I'll call, I'll call back. Is that OK?",
"turn_id": 99
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "I really hope you get better soon.",
"turn_id": 101
},
{
"speaker": "patient",
"transcript": "Thanks a lot. Thanks so much, for your time.",
"turn_id": 102
},
{
"speaker": "doctor",
"transcript": "OK. Bye bye.",
"turn_id": 103
},
{
"speaker": "patient",
"transcript": "OK. Bye.",
"turn_id": 104
}
] | [
{
"description": "Paracetamol",
"order_type": "medication",
"provenance": [
50,
131
],
"reason": "fever weak"
}
] | {"id": "primock57_1_12", "expected_orders": [{"order_type": "medication", "description": "Paracetamol", "reason": "fever weak", "provenance": [50, 131]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "Uh no, it is, yes."}, {"turn_id": 2, "speaker": "doctor", "transcript": "Hello?"}, {"turn_id": 3, "speaker": "patient", "transcript": "Hi."}, {"turn_id": 4, "speaker": "doctor", "transcript": "Can you hear me OK? Great. Hello there. Um, before I go any further, can I confirm you name and your age please?"}, {"turn_id": 5, "speaker": "patient", "transcript": "Yes. So, my name is Robert."}, {"turn_id": 6, "speaker": "doctor", "transcript": "Robert?"}, {"turn_id": 7, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 8, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 9, "speaker": "patient", "transcript": "Um, I'm forty eight."}, {"turn_id": 10, "speaker": "doctor", "transcript": "OK. Great."}, {"turn_id": 11, "speaker": "patient", "transcript": ""}, {"turn_id": 12, "speaker": "doctor", "transcript": "Excellent. And how can I help you this afternoon, sir?"}, {"turn_id": 13, "speaker": "patient", "transcript": "Right, so, uh, I've been having, uh, diarrhoea, for like, let's say past three days, more or less."}, {"turn_id": 14, "speaker": "doctor", "transcript": "OK, well I'm sorry to hear that. Uh can you tell me a bit more about your diarrhoea?"}, {"turn_id": 15, "speaker": "patient", "transcript": "Yeah, so it's been a, very bad diarrhoea, so it keeps me like, I keep going back and forth, to, to the toilet very often."}, {"turn_id": 16, "speaker": "doctor", "transcript": "Right."}, {"turn_id": 17, "speaker": "patient", "transcript": "Um, yeah it started like three days ago."}, {"turn_id": 18, "speaker": "doctor", "transcript": "Mm-hmm."}, {"turn_id": 19, "speaker": "patient", "transcript": "And uh, uh, so it started with vomiting, so I vomited a couple of times. Uh, but then, that went away, and, uh, yeah it's just diarrhoea now."}, {"turn_id": 20, "speaker": "doctor", "transcript": "OK. And you mentioned you've been um going to the toilet very often. How many times are you going a day?"}, {"turn_id": 21, "speaker": "patient", "transcript": "Yeah, around, five to six times a day."}, {"turn_id": 22, "speaker": "doctor", "transcript": "OK. And uh uh can you tell me, I know it's not nice to talk about, but is it quite watery, your stools, loose?"}, {"turn_id": 23, "speaker": "patient", "transcript": "Yes, it's definitely, definitely watery, uh, loose stools, yeah."}, {"turn_id": 24, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 25, "speaker": "doctor", "transcript": "K. Any blood in your stools?"}, {"turn_id": 26, "speaker": "patient", "transcript": "No, not that I could see."}, {"turn_id": 27, "speaker": "doctor", "transcript": "OK. And uh uh uh with the diarrhea have you noticed any other symptoms, like tummy pain?"}, {"turn_id": 28, "speaker": "patient", "transcript": "Uh, not, not really, no. Uh, but I, I, I feel like, um, I can't, really drink too much, so I feel very dehydrated."}, {"turn_id": 29, "speaker": "doctor", "transcript": ""}, {"turn_id": 30, "speaker": "doctor", "transcript": "OK. When you say you can't drink too much, why is that?"}, {"turn_id": 31, "speaker": "patient", "transcript": "Uh, yeah because, really I, uh I, um, I'm like, I feel like I don't drink enough, like I'm, I'm drink, I'm trying to drink, but then I just go to the loo, and I like, I, uh I, I, I do everything and I feel dehydrated again."}, {"turn_id": 32, "speaker": "doctor", "transcript": "OK, alright. Um have you managed to eat anything, solids?"}, {"turn_id": 33, "speaker": "patient", "transcript": "Uh, not much, not much. So just a little bit, but I don't feel, um, I don't really feel like, uh, I have appetite."}, {"turn_id": 34, "speaker": "doctor", "transcript": "OK. You . OK. Um with your um, the vomiting has now stopped. Is that right? You said"}, {"turn_id": 35, "speaker": "patient", "transcript": "Yes, yes."}, {"turn_id": 36, "speaker": "doctor", "transcript": ""}, {"turn_id": 37, "speaker": "doctor", "transcript": "OK, alright. Have you had any other symptoms, like fever or temperature?"}, {"turn_id": 38, "speaker": "patient", "transcript": "Uh, so, not, really I , I feel a little bit warm, um, probably at, at the beginning I was feeling I had a bit of temperature, but now I feel, I feel kind of fine."}, {"turn_id": 39, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 40, "speaker": "patient", "transcript": "I feel very weak though."}, {"turn_id": 41, "speaker": "doctor", "transcript": "OK. Alright. Any headaches or muscle pains?"}, {"turn_id": 42, "speaker": "patient", "transcript": "Not, not really, no."}, {"turn_id": 43, "speaker": "doctor", "transcript": "OK, alright. And you mentioned three days ago. What were you doing when the symptoms started? Are you aware of any triggers?"}, {"turn_id": 44, "speaker": "patient", "transcript": ", not that I, I remember, what was I doing, I, I was at home I was working, on my computer and."}, {"turn_id": 45, "speaker": "patient", "transcript": "Yeah, just felt, like some nausea and I had to, to vomit, and then I had some diarrhoea, straight after that."}, {"turn_id": 46, "speaker": "doctor", "transcript": "Yeah. Did you have any takeaway food, or any dodgy restaurant food?"}, {"turn_id": 47, "speaker": "patient", "transcript": "Uh, not that I remember, no."}, {"turn_id": 48, "speaker": "doctor", "transcript": "OK. Have you been around anyone unwell, with diarrhea recently, last week or so?"}, {"turn_id": 49, "speaker": "patient", "transcript": "Hmm, not that I know, not that I."}, {"turn_id": 50, "speaker": "doctor", "transcript": "OK. OK. Um, right. So moving on, um are you otherwise fit and well?"}, {"turn_id": 51, "speaker": "patient", "transcript": "Yeah, yeah, ."}, {"turn_id": 52, "speaker": "doctor", "transcript": "Uh OK. And do you take any regular medications?"}, {"turn_id": 53, "speaker": "patient", "transcript": "Um, so I, I do suffer of asthma. So, I do have my inhalers, uh, that I you know, I need, I use infrequently, let's say only when I have, uh, a bit of ."}, {"turn_id": 54, "speaker": "doctor", "transcript": "Is that, is that inhaler?"}, {"turn_id": 55, "speaker": "patient", "transcript": "Sorry?"}, {"turn_id": 56, "speaker": "doctor", "transcript": "Is that the blue inhaler? Blue inhaler. OK, alright. Any other medications that you take?"}, {"turn_id": 57, "speaker": "patient", "transcript": "Yes it is, yeah."}, {"turn_id": 58, "speaker": "patient", "transcript": "Uh, no, nothing."}, {"turn_id": 59, "speaker": "doctor", "transcript": "OK. Do you have any allergies to medications?"}, {"turn_id": 60, "speaker": "patient", "transcript": "Um, not that I know of."}, {"turn_id": 61, "speaker": "doctor", "transcript": "OK. And any family history of any medical problems?"}, {"turn_id": 62, "speaker": "patient", "transcript": "Um, so, my father has, high uh, well used to have high blood pressure. He actually, so he actually died, of, bowel cancer, like ten years ago."}, {"turn_id": 63, "speaker": "doctor", "transcript": "OK. Sorry to hear that. Um, OK. And uh what about your mother?"}, {"turn_id": 64, "speaker": "patient", "transcript": "Ohh yes, so uh, probably is worth mentioning uh, she has diabetes."}, {"turn_id": 65, "speaker": "doctor", "transcript": "Diabetes. Do you know if that's type one or type two?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Uh, it's type two."}, {"turn_id": 67, "speaker": "doctor", "transcript": "OK. Alright."}, {"turn_id": 68, "speaker": "doctor", "transcript": "Fine. And um, just a little bit more about your life in general, sir. Um who, who's at home with you? Who lives at home with you?"}, {"turn_id": 69, "speaker": "patient", "transcript": "Sorry?"}, {"turn_id": 70, "speaker": "doctor", "transcript": "Who lives at home with you, sir?"}, {"turn_id": 71, "speaker": "patient", "transcript": "Ohh I, I live alone."}, {"turn_id": 72, "speaker": "doctor", "transcript": "You live alone, OK. Are you currently working at the moment?"}, {"turn_id": 73, "speaker": "patient", "transcript": "Uh, well I haven't been able to work in the past few days, but yes , like given, uh, my uh."}, {"turn_id": 74, "speaker": "doctor", "transcript": "What's your employment? What do you do for work?"}, {"turn_id": 75, "speaker": "patient", "transcript": "I'm a software engineer."}, {"turn_id": 76, "speaker": "doctor", "transcript": ". OK, alright."}, {"turn_id": 77, "speaker": "doctor", "transcript": "Have you taken time off work recently?"}, {"turn_id": 78, "speaker": "patient", "transcript": "Uh, yes, yes I have, uh. Uh, these last three days I've been feeling, really unwell, so I couldn't work."}, {"turn_id": 79, "speaker": "doctor", "transcript": "OK, alright. And just the last couple of questions with, regarding your smoking and alcohol. Do you do either of those?"}, {"turn_id": 80, "speaker": "patient", "transcript": "Uh, not really, I drink infrequently, like socially let's say, and I don't smoke."}, {"turn_id": 81, "speaker": "doctor", "transcript": "OK, alright. Um fine. uh Robert um"}, {"turn_id": 82, "speaker": "doctor", "transcript": "having listened to your story, I think you're probably suffering from what we call gastroenteritis, uh which essentially is just a, a tummy bug. It's an infection of your, your tummy. Um and normally lasts about three to five days, and gets better."}, {"turn_id": 83, "speaker": "patient", "transcript": "OK."}, {"turn_id": 84, "speaker": "patient", "transcript": "All right."}, {"turn_id": 85, "speaker": "doctor", "transcript": "the things you can do to really help yourself get better soon, um are you can drink plenty of fluids. Really try and flush the toxins out of your body."}, {"turn_id": 86, "speaker": "patient", "transcript": "OK."}, {"turn_id": 87, "speaker": "doctor", "transcript": "Uh you can get things from the pharmacy, which is called Dioralyte, which can help replenish any uh minerals and vitamins you may have lost. Uh, it's called Dioralyte. Um it's, it's a, it's a type of fluid replacement drink."}, {"turn_id": 88, "speaker": "patient", "transcript": "I'm sorry, what's the name of that?"}, {"turn_id": 89, "speaker": "patient", "transcript": ""}, {"turn_id": 90, "speaker": "doctor", "transcript": "Um, you can take some Paracetamol if you're feeling feverish and weak."}, {"turn_id": 91, "speaker": "patient", "transcript": "All right."}, {"turn_id": 92, "speaker": "doctor", "transcript": "I would probably advise you to continue taking time off work for next day or two, until you get better."}, {"turn_id": 93, "speaker": "doctor", "transcript": "normally you have to be diarrhea-free for about twenty four to forty eight hours, before you return back to work."}, {"turn_id": 94, "speaker": "patient", "transcript": "OK."}, {"turn_id": 95, "speaker": "doctor", "transcript": "Um, let's see how the next few days go. And if you're still not better next week, I want you to come back and see me."}, {"turn_id": 96, "speaker": "doctor", "transcript": "And we can have another look at your symptoms, OK?"}, {"turn_id": 97, "speaker": "patient", "transcript": "That sounds good, that sounds good. Uh, thanks so much."}, {"turn_id": 98, "speaker": "doctor", "transcript": "Thanks. do you have any questions for me, or?"}, {"turn_id": 99, "speaker": "patient", "transcript": "Um, no I think that's fine. Uh, yeah I'll, I'll try to , and drink , drink plenty of fluid and I hope it go away. Uh, if it doesn't I'll uh, I'll call, I'll call back. Is that OK?"}, {"turn_id": 100, "speaker": "doctor", "transcript": ""}, {"turn_id": 101, "speaker": "doctor", "transcript": "I really hope you get better soon."}, {"turn_id": 102, "speaker": "patient", "transcript": "Thanks a lot. Thanks so much, for your time."}, {"turn_id": 103, "speaker": "doctor", "transcript": "OK. Bye bye."}, {"turn_id": 104, "speaker": "patient", "transcript": "OK. Bye."}]} |
acibench_D2N121_aci_clinicalnlp_taskB_test1 | [
{
"speaker": "patient",
"transcript": "hi kenneth how are you the medical assistant told me that you had some knee pain yeah i was getting ready for the holiday weekend and i was out on my boat skiing and i i did a jump and kinda twisted when i landed and my knee has been hurting me ever since",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "okay so that was about five days ago then",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "yeah yeah that was last weekend",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "last weekend okay now which knee is it",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "it's my right knee",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "your right knee okay and i know that it sounds like you were on a motor boat as you were you know water skiing but did you hear anything pop or feel anything pop when it happened",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "no it just felt like something stretched and then it swelled up some afterwards",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay and were you i assume that you were were you able to get out of the water by yourself or did you need some assistance",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "i was able to get out but it was very sore to climb up and you know any kind of squatting or bending is really pretty sore",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "yeah okay and have you ever injured this knee before",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "no that was the first time",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "that was the first time okay where do you have a boat what lake do you have it on lake",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "lake martin",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay nice and so you're a frequent water skier",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "yeah i try to go every weekend when we can",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "that's nice very very good are you looking forward to spring are you a baseball fan are you excited by opening day",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "no i'm not a baseball fan but i love spring and chicken time of year launds of outdoor activities nice nice i'm i'm not really a baseball fan either but my husband makes me watch the the meds all the time and they lose all the time so he is always upset so so anyway",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "yeah right so how about your high blood pressure how are you doing with that are you taking your blood pressure medication like i asked",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "i'm taking it everyday and i check my blood pressure at home and it's been about one twenty five over eighty most of the days",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "nice okay so i believe we have you on lisinopril about twenty milligrams a day any side effects from that that you're noticing",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "not that i know of it's been a good medicine for me and i do n't have any trouble with it",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "okay great alright and since you had this knee pain any numbing or tingling in your foot at all",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "no just the swelling and the pain",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "okay and what have you taken for the pain",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "i i took some aleve twice a day some over the counter aleve twice a day",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "okay and",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "putting a cold pack on it",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay and has that helped at all",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "yeah that's helped a fair amount it's still pretty sore though",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "okay alright well let's see have you ever had any surgeries before let me just think any surgeries i do n't see any in your in your record here",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "i had my tonsils out",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "okay you had your tonsils out okay alright well let me go ahead i wan na do a just a quick physical exam i'm gon na go ahead and be calling out some of my clinical exam findings and i'll let you know what that means when i'm done okay so looking at your vital signs here in the office it does look like you're doing a really good job managing your blood pressure your blood pressure is up is about one twenty over seventy seven today here in the office and that's with you probably in a little bit of pain so that's good and on your neck exam i do n't appreciate any lymphadenopathy on your heart exam your heart is a nice regular rate and rhythm i do n't appreciate any murmur on your lung exam your lungs are clear to auscultation bilaterally on your musculoskeletal exam on your right knee i do appreciate some ecchymosis some edema there is an effusion present does it hurt when i press",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "yeah that's sore",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "okay there is pain to palpation of the right medial knee there is i'm just gon na bend your knee in all sorts of directions here does that hurt",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "yeah do n't do that anymore",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "alright the patient has decreased range of motion there is a negative varus and valgus test there is a negative lachman sign there is a palpable dorsalis pedis and posterior tibial pulse there is otherwise no lower extremity edema so what does that what does that mean kenneth so that so that means that you essentially i agree with you you had quite quite an injury to your knee and you do have a little bit of fluid in your knee there and just some inflammation which i think we need to talk about okay so i wan na go ahead and just talk a little bit about you know my assessment and my plan for you so for your first problem of your right knee pain i do believe you have what we call a a medial collateral ligament strain you know i wan na go ahead and just order an x-ray of your right knee just to make sure that we're not missing any broken bones which i do n't think we are but what's good about this particular injury is that people typically heal quite well from this and they typically do n't need surgery we can just go ahead and refer you to physical therapy to to strengthen those muscles around your knee so that you do n't have another injury and i wan na go ahead and just prescribe meloxicam fifteen milligrams once a day and that will help take down the swelling and help with some of the pain and you only have to take it once a day and it wo n't really cause any upset stomach or anything like that do you have any questions about that",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "yeah if i start that medicine today am i going to be able to ski tomorrow because we got a a big weekend plan",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "i would say i would like you to rest your knee i i think that my concern is that if you go skiing again and you fall that you might injure your knee even more so i think you'll recover from this injury right now but i do n't want you to injure it anymore so i would rest it for a little while at least until we have the results of the x-ray and that type of thing okay for your second problem of your hypertension i wan na just go ahead and continue on lisinopril twenty milligrams a day i wan na just go ahead and order an a lipid panel just to make sure everything is okay from that standpoint and then i'm just looking through your health record and it looks like you're due for a tetanus shot so we'll go ahead and just give you a a tetanus shot for a from a health maintenance perspective any other questions",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "i think so sounds like a good plan to me",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "okay sounds good alright so i'll see you later we'll get those ordered and i'll be in touch okay take care bye",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "thank you",
"turn_id": 41
}
] | [
{
"description": "lipid panel",
"order_type": "lab",
"provenance": [
38
],
"reason": null
},
{
"description": "x-ray of your right knee right knee",
"order_type": "imaging",
"provenance": [
36
],
"reason": "medial collateral ligament strain"
},
{
"description": "meloxicam fifteen milligrams once a day",
"order_type": "medication",
"provenance": [
36
],
"reason": "medial collateral ligament strain"
}
] | {"id": "acibench_D2N121_aci_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "lab", "description": "lipid panel", "reason": null, "provenance": [38]}, {"order_type": "imaging", "description": "x-ray of your right knee right knee", "reason": "medial collateral ligament strain", "provenance": [36]}, {"order_type": "medication", "description": "meloxicam fifteen milligrams once a day", "reason": "medial collateral ligament strain", "provenance": [36]}], "transcript": [{"turn_id": 1, "speaker": "patient", "transcript": "hi kenneth how are you the medical assistant told me that you had some knee pain yeah i was getting ready for the holiday weekend and i was out on my boat skiing and i i did a jump and kinda twisted when i landed and my knee has been hurting me ever since"}, {"turn_id": 2, "speaker": "doctor", "transcript": "okay so that was about five days ago then"}, {"turn_id": 3, "speaker": "patient", "transcript": "yeah yeah that was last weekend"}, {"turn_id": 4, "speaker": "doctor", "transcript": "last weekend okay now which knee is it"}, {"turn_id": 5, "speaker": "patient", "transcript": "it's my right knee"}, {"turn_id": 6, "speaker": "doctor", "transcript": "your right knee okay and i know that it sounds like you were on a motor boat as you were you know water skiing but did you hear anything pop or feel anything pop when it happened"}, {"turn_id": 7, "speaker": "patient", "transcript": "no it just felt like something stretched and then it swelled up some afterwards"}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay and were you i assume that you were were you able to get out of the water by yourself or did you need some assistance"}, {"turn_id": 9, "speaker": "patient", "transcript": "i was able to get out but it was very sore to climb up and you know any kind of squatting or bending is really pretty sore"}, {"turn_id": 10, "speaker": "doctor", "transcript": "yeah okay and have you ever injured this knee before"}, {"turn_id": 11, "speaker": "patient", "transcript": "no that was the first time"}, {"turn_id": 12, "speaker": "doctor", "transcript": "that was the first time okay where do you have a boat what lake do you have it on lake"}, {"turn_id": 13, "speaker": "patient", "transcript": "lake martin"}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay nice and so you're a frequent water skier"}, {"turn_id": 15, "speaker": "patient", "transcript": "yeah i try to go every weekend when we can"}, {"turn_id": 16, "speaker": "doctor", "transcript": "that's nice very very good are you looking forward to spring are you a baseball fan are you excited by opening day"}, {"turn_id": 17, "speaker": "patient", "transcript": "no i'm not a baseball fan but i love spring and chicken time of year launds of outdoor activities nice nice i'm i'm not really a baseball fan either but my husband makes me watch the the meds all the time and they lose all the time so he is always upset so so anyway"}, {"turn_id": 18, "speaker": "doctor", "transcript": "yeah right so how about your high blood pressure how are you doing with that are you taking your blood pressure medication like i asked"}, {"turn_id": 19, "speaker": "patient", "transcript": "i'm taking it everyday and i check my blood pressure at home and it's been about one twenty five over eighty most of the days"}, {"turn_id": 20, "speaker": "doctor", "transcript": "nice okay so i believe we have you on lisinopril about twenty milligrams a day any side effects from that that you're noticing"}, {"turn_id": 21, "speaker": "patient", "transcript": "not that i know of it's been a good medicine for me and i do n't have any trouble with it"}, {"turn_id": 22, "speaker": "doctor", "transcript": "okay great alright and since you had this knee pain any numbing or tingling in your foot at all"}, {"turn_id": 23, "speaker": "patient", "transcript": "no just the swelling and the pain"}, {"turn_id": 24, "speaker": "doctor", "transcript": "okay and what have you taken for the pain"}, {"turn_id": 25, "speaker": "patient", "transcript": "i i took some aleve twice a day some over the counter aleve twice a day"}, {"turn_id": 26, "speaker": "doctor", "transcript": "okay and"}, {"turn_id": 27, "speaker": "patient", "transcript": "putting a cold pack on it"}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay and has that helped at all"}, {"turn_id": 29, "speaker": "patient", "transcript": "yeah that's helped a fair amount it's still pretty sore though"}, {"turn_id": 30, "speaker": "doctor", "transcript": "okay alright well let's see have you ever had any surgeries before let me just think any surgeries i do n't see any in your in your record here"}, {"turn_id": 31, "speaker": "patient", "transcript": "i had my tonsils out"}, {"turn_id": 32, "speaker": "doctor", "transcript": "okay you had your tonsils out okay alright well let me go ahead i wan na do a just a quick physical exam i'm gon na go ahead and be calling out some of my clinical exam findings and i'll let you know what that means when i'm done okay so looking at your vital signs here in the office it does look like you're doing a really good job managing your blood pressure your blood pressure is up is about one twenty over seventy seven today here in the office and that's with you probably in a little bit of pain so that's good and on your neck exam i do n't appreciate any lymphadenopathy on your heart exam your heart is a nice regular rate and rhythm i do n't appreciate any murmur on your lung exam your lungs are clear to auscultation bilaterally on your musculoskeletal exam on your right knee i do appreciate some ecchymosis some edema there is an effusion present does it hurt when i press"}, {"turn_id": 33, "speaker": "patient", "transcript": "yeah that's sore"}, {"turn_id": 34, "speaker": "doctor", "transcript": "okay there is pain to palpation of the right medial knee there is i'm just gon na bend your knee in all sorts of directions here does that hurt"}, {"turn_id": 35, "speaker": "patient", "transcript": "yeah do n't do that anymore"}, {"turn_id": 36, "speaker": "doctor", "transcript": "alright the patient has decreased range of motion there is a negative varus and valgus test there is a negative lachman sign there is a palpable dorsalis pedis and posterior tibial pulse there is otherwise no lower extremity edema so what does that what does that mean kenneth so that so that means that you essentially i agree with you you had quite quite an injury to your knee and you do have a little bit of fluid in your knee there and just some inflammation which i think we need to talk about okay so i wan na go ahead and just talk a little bit about you know my assessment and my plan for you so for your first problem of your right knee pain i do believe you have what we call a a medial collateral ligament strain you know i wan na go ahead and just order an x-ray of your right knee just to make sure that we're not missing any broken bones which i do n't think we are but what's good about this particular injury is that people typically heal quite well from this and they typically do n't need surgery we can just go ahead and refer you to physical therapy to to strengthen those muscles around your knee so that you do n't have another injury and i wan na go ahead and just prescribe meloxicam fifteen milligrams once a day and that will help take down the swelling and help with some of the pain and you only have to take it once a day and it wo n't really cause any upset stomach or anything like that do you have any questions about that"}, {"turn_id": 37, "speaker": "patient", "transcript": "yeah if i start that medicine today am i going to be able to ski tomorrow because we got a a big weekend plan"}, {"turn_id": 38, "speaker": "doctor", "transcript": "i would say i would like you to rest your knee i i think that my concern is that if you go skiing again and you fall that you might injure your knee even more so i think you'll recover from this injury right now but i do n't want you to injure it anymore so i would rest it for a little while at least until we have the results of the x-ray and that type of thing okay for your second problem of your hypertension i wan na just go ahead and continue on lisinopril twenty milligrams a day i wan na just go ahead and order an a lipid panel just to make sure everything is okay from that standpoint and then i'm just looking through your health record and it looks like you're due for a tetanus shot so we'll go ahead and just give you a a tetanus shot for a from a health maintenance perspective any other questions"}, {"turn_id": 39, "speaker": "patient", "transcript": "i think so sounds like a good plan to me"}, {"turn_id": 40, "speaker": "doctor", "transcript": "okay sounds good alright so i'll see you later we'll get those ordered and i'll be in touch okay take care bye"}, {"turn_id": 41, "speaker": "patient", "transcript": "thank you"}]} |
acibench_D2N169_virtassist_clef_taskC_test3 | [
{
"speaker": "doctor",
"transcript": "hi alan , how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hi , good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "good to see you as well . are you ready to get started ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yes i am .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "so , alan is a 61-year-old male , here with complaints of shortness of breath .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "so alan , what's going on ?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "so over the weekend , uh , i took a very long bike ride , about three hours or so and i got back , i was very light headed , i was short of breath and it really surprised me because i pretty much bike ride every morning and it was never an issue before so i'm a little concerned about that .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay , and have you had any other symptoms ? have you had any fever-",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "n-",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": ". chest pain ?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "no , but i felt very light headed and , uh , i- it was hard to catch my breath afterwards , so maybe i did have a little chest pain but , uh , it , it eventually went away after about an hour .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "okay , um , and anyone else sick in your , in your family ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay , and any cough ?",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "um , i had a little bit of a cough with my first cold in the last year and a half , but that went away after about a week or so .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "okay , all right . um , and any other symptoms ? i know you went through the review of symptoms-",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": ". with the nurse but any nausea or vomiting or abdominal pain ?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "n- no .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "okay . all right . well , i know that i've treated you for migraines in the past . how are you doing with those ?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "that's been under control . i've , uh , taken medication , i've , uh , avoided bright lights and it's so far so good .",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "okay . all right . and i think we had you on imitrex for that . have you-",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "yes , i'm still taking that .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "all right . and then your reflux , how are you doing with that ?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "managing that as well .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "okay and everything's working out well with the protonix ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay . and then i know you had the cataract surgery about three months ago , your vision is okay ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "that was about four and a half months ago and it's been actually great ever since .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "okay , great . all right , well , we're gon na go ahead and do a quick physical exam . i wan na see your vital signs first .",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "hey dragon , show me the vital signs .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay , so looking here , everything looks quite good . your oxygenation is perfect , which is wonderful . let me just take a listen .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "deep breath . another one . good .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "so , on your physical exam , your neck is nice and supple . i do n't appreciate any jugular venous distension . your heart is in a regular rhythm , i do n't hear any murmur . your lungs do have a slight wheeze , expiratory wheeze , bilaterally . i can hear it every time you breathe and i see trace lower extremity edema in your lower extremities .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "so what does all that mean ? you know , you , uh , i'm not quite sure yet but we're gon na review some of your results . hey dragon , show me the chest x-ray .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "so looking here , this is a very normal chest x-ray . um , i do n't see any pulmonary edema , there's no pneumonia , so we're viewing your chest x-ray as , it's a norm- it's normal .",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "good .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "so , let's look at your pulmonary function test .",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "hey dragon , show me your , the pfts . and looking here again , these look quite good , i'm , i'm quite encouraged by that . that's , that's normal pulmonary function tests . hey dragon , show me the labs . and all of your labs here look quite good here as well so , i- i- i'm very pleased . so , right now my impression of you is that you may have had an asthma exacerbation from exercising and with the allergies , so at this point in time i'd like to go ahead and prescribe you some albuterol inhaler .",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "two puffs every four hours as needed for wheezing or for shortness of breath . and , i'd like to go ahead and order a pulmonary referral for you , okay . do you have any questions about that ?",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "no questions , thanks .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "hey dragon , order a pulmonary referral . hey dragon , order albuterol inhaler , two puffs every four hours , as needed for shortness of breath .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "and then i think from your reflux standpoint , everything seems stable and your migraines , i think that we should just continue on with the imitrex , as needed . does that sound good to you ?",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "that sounds fine .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "i wan na see you in a couple weeks and if you have this shortness of breath again , i want you to call me right away , okay ?",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "all right . good to see you .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "same here .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "hey dragon , finalize the note .",
"turn_id": 51
}
] | [
{
"description": "see you couple weeks",
"order_type": "followup",
"provenance": [
84
],
"reason": null
},
{
"description": "albuterol inhaler two puffs every four hours as needed",
"order_type": "medication",
"provenance": [
73,
75
],
"reason": "asthma exacerbation"
}
] | {"id": "acibench_D2N169_virtassist_clef_taskC_test3", "expected_orders": [{"order_type": "followup", "description": "see you couple weeks", "reason": null, "provenance": [84]}, {"order_type": "medication", "description": "albuterol inhaler two puffs every four hours as needed", "reason": "asthma exacerbation", "provenance": [73, 75]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi alan , how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "hi , good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "good to see you as well . are you ready to get started ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "yes i am ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "so , alan is a 61-year-old male , here with complaints of shortness of breath ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "so alan , what's going on ?"}, {"turn_id": 7, "speaker": "patient", "transcript": "so over the weekend , uh , i took a very long bike ride , about three hours or so and i got back , i was very light headed , i was short of breath and it really surprised me because i pretty much bike ride every morning and it was never an issue before so i'm a little concerned about that ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay , and have you had any other symptoms ? have you had any fever-"}, {"turn_id": 9, "speaker": "patient", "transcript": "n-"}, {"turn_id": 10, "speaker": "doctor", "transcript": ". chest pain ?"}, {"turn_id": 11, "speaker": "patient", "transcript": "no , but i felt very light headed and , uh , i- it was hard to catch my breath afterwards , so maybe i did have a little chest pain but , uh , it , it eventually went away after about an hour ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "okay , um , and anyone else sick in your , in your family ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "no ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay , and any cough ?"}, {"turn_id": 15, "speaker": "patient", "transcript": "um , i had a little bit of a cough with my first cold in the last year and a half , but that went away after about a week or so ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "okay , all right . um , and any other symptoms ? i know you went through the review of symptoms-"}, {"turn_id": 17, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 18, "speaker": "doctor", "transcript": ". with the nurse but any nausea or vomiting or abdominal pain ?"}, {"turn_id": 19, "speaker": "patient", "transcript": "n- no ."}, {"turn_id": 20, "speaker": "doctor", "transcript": "okay . all right . well , i know that i've treated you for migraines in the past . how are you doing with those ?"}, {"turn_id": 21, "speaker": "patient", "transcript": "that's been under control . i've , uh , taken medication , i've , uh , avoided bright lights and it's so far so good ."}, {"turn_id": 22, "speaker": "doctor", "transcript": "okay . all right . and i think we had you on imitrex for that . have you-"}, {"turn_id": 23, "speaker": "patient", "transcript": "yes , i'm still taking that ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "all right . and then your reflux , how are you doing with that ?"}, {"turn_id": 25, "speaker": "patient", "transcript": "managing that as well ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "okay and everything's working out well with the protonix ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay . and then i know you had the cataract surgery about three months ago , your vision is okay ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "that was about four and a half months ago and it's been actually great ever since ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "okay , great . all right , well , we're gon na go ahead and do a quick physical exam . i wan na see your vital signs first ."}, {"turn_id": 31, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "hey dragon , show me the vital signs ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay , so looking here , everything looks quite good . your oxygenation is perfect , which is wonderful . let me just take a listen ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "deep breath . another one . good ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "so , on your physical exam , your neck is nice and supple . i do n't appreciate any jugular venous distension . your heart is in a regular rhythm , i do n't hear any murmur . your lungs do have a slight wheeze , expiratory wheeze , bilaterally . i can hear it every time you breathe and i see trace lower extremity edema in your lower extremities ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "so what does all that mean ? you know , you , uh , i'm not quite sure yet but we're gon na review some of your results . hey dragon , show me the chest x-ray ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "so looking here , this is a very normal chest x-ray . um , i do n't see any pulmonary edema , there's no pneumonia , so we're viewing your chest x-ray as , it's a norm- it's normal ."}, {"turn_id": 38, "speaker": "patient", "transcript": "good ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "so , let's look at your pulmonary function test ."}, {"turn_id": 40, "speaker": "doctor", "transcript": "hey dragon , show me your , the pfts . and looking here again , these look quite good , i'm , i'm quite encouraged by that . that's , that's normal pulmonary function tests . hey dragon , show me the labs . and all of your labs here look quite good here as well so , i- i- i'm very pleased . so , right now my impression of you is that you may have had an asthma exacerbation from exercising and with the allergies , so at this point in time i'd like to go ahead and prescribe you some albuterol inhaler ."}, {"turn_id": 41, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "two puffs every four hours as needed for wheezing or for shortness of breath . and , i'd like to go ahead and order a pulmonary referral for you , okay . do you have any questions about that ?"}, {"turn_id": 43, "speaker": "patient", "transcript": "no questions , thanks ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "hey dragon , order a pulmonary referral . hey dragon , order albuterol inhaler , two puffs every four hours , as needed for shortness of breath ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "and then i think from your reflux standpoint , everything seems stable and your migraines , i think that we should just continue on with the imitrex , as needed . does that sound good to you ?"}, {"turn_id": 46, "speaker": "patient", "transcript": "that sounds fine ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "i wan na see you in a couple weeks and if you have this shortness of breath again , i want you to call me right away , okay ?"}, {"turn_id": 48, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "all right . good to see you ."}, {"turn_id": 50, "speaker": "patient", "transcript": "same here ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "hey dragon , finalize the note ."}]} |
acibench_D2N024_virtscribe_train | [
{
"speaker": "doctor",
"transcript": "patient is pamela cook . medical record number is 123546 . she's a 36-year-old female post bilateral reduction mammoplasty on 10-10 20-20 .",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "hey , how are you ?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "good . how are you ?",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "i'm doing well . it's good to see you . how have you been ?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "i've been doing good .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "great . how about your breasts , are they doing all right ?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "great .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "are you having any chills , fever , nausea , or vomiting ?",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "good . all right . let's take a peek real quick .",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "how's life otherwise ? pretty good ? nothing new ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "no , just enjoying summertime .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay . how's your family ?",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "they're good .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "good . all right . i'm going to take a look at your breast now . if you would just open up your gown for me .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "everything looks good .",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "how's your back pain ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "i'm not really having any more .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "any hard spots , lumps , or bumps that you've noticed ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "i did when i came in last time when i saw your pa , ruth sanchez in march . she said i , she said she found a lump right here under my left breast , but i have n't felt it since then . but i did the massages .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay , well . that that's good . uh , it's probably just the scar tissue , but everything looks good and you're healing wonderful , so .",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "i told her that the scars here was kind of bothering me and i got scar gel . i was using it everyday , but i do n't think i need it now .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "yeah , that scar did widen a little bit . let me take a closer look , hang on . this one widened a little too , ? the incisions are well healed though with no signs of infection or any redness on either breast , so i'm not concerned .",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yeah , but this one just bothered me a little bit more .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "i understand . um , you can close your gown now .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "the only thing that is really going to help out that is to uh , to cut it out and re-close it .",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "and you do n't want that , ?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "i mean , not right now .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "um , you want to come back and revisit um , maybe six months ?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "yeah , i will do that . i still have n't , i still have some more of the gel and i can try using that again .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "okay . keep doing that twice a day . the gel is going to lighten the color a little bit , which is already pretty light . um , but , just in that area , and it's high tension , so it's going to rub a little bit .",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "yeah , but it kind of bothers me a little bit .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "uh , i do see that . like i said , the only way to really fix that is to cut it out .",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "uh- .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "um , let's take a look in six months and then we'll go from there . sound like a plan ?",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "but we have n't hit a full year yet .",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "i know . um , i would n't do any revisions anyway for scar tissue until we're at least a year out anyway .",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "so let's wait those six months . you can keep using uh , the mederma scar gel twice a day . massage and scar gel will help for the scars . um , you can put it on other scars too , if you need .",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "um , so that's what i would do . let's just get some pictures today so we can keep up um , with them . and keep an eye on these scars and then we'll go from there .",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "sounds good .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "all right , well it's good to see you . i'm glad you're doing well .",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "yeah , same here .",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "all right . well , i'm going to tell the front desk six months and we'll revisit those scars .",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "all right .",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "thank you . they're gon na come get your photos now , okay ?",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 51
}
] | [
{
"description": "come back six months",
"order_type": "followup",
"provenance": [
44,
54
],
"reason": "scar"
}
] | {"id": "acibench_D2N024_virtscribe_train", "expected_orders": [{"order_type": "followup", "description": "come back six months", "reason": "scar", "provenance": [44, 54]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "patient is pamela cook . medical record number is 123546 . she's a 36-year-old female post bilateral reduction mammoplasty on 10-10 20-20 ."}, {"turn_id": 2, "speaker": "doctor", "transcript": "hey , how are you ?"}, {"turn_id": 3, "speaker": "patient", "transcript": "good . how are you ?"}, {"turn_id": 4, "speaker": "doctor", "transcript": "i'm doing well . it's good to see you . how have you been ?"}, {"turn_id": 5, "speaker": "patient", "transcript": "i've been doing good ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "great . how about your breasts , are they doing all right ?"}, {"turn_id": 7, "speaker": "patient", "transcript": "great ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "are you having any chills , fever , nausea , or vomiting ?"}, {"turn_id": 9, "speaker": "patient", "transcript": "no ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "good . all right . let's take a peek real quick ."}, {"turn_id": 11, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "how's life otherwise ? pretty good ? nothing new ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "no , just enjoying summertime ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay . how's your family ?"}, {"turn_id": 15, "speaker": "patient", "transcript": "they're good ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "good . all right . i'm going to take a look at your breast now . if you would just open up your gown for me ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "everything looks good ."}, {"turn_id": 18, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "how's your back pain ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "i'm not really having any more ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "any hard spots , lumps , or bumps that you've noticed ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "i did when i came in last time when i saw your pa , ruth sanchez in march . she said i , she said she found a lump right here under my left breast , but i have n't felt it since then . but i did the massages ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay , well . that that's good . uh , it's probably just the scar tissue , but everything looks good and you're healing wonderful , so ."}, {"turn_id": 24, "speaker": "patient", "transcript": "i told her that the scars here was kind of bothering me and i got scar gel . i was using it everyday , but i do n't think i need it now ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "yeah , that scar did widen a little bit . let me take a closer look , hang on . this one widened a little too , ? the incisions are well healed though with no signs of infection or any redness on either breast , so i'm not concerned ."}, {"turn_id": 26, "speaker": "patient", "transcript": "yeah , but this one just bothered me a little bit more ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "i understand . um , you can close your gown now ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "the only thing that is really going to help out that is to uh , to cut it out and re-close it ."}, {"turn_id": 29, "speaker": "patient", "transcript": ""}, {"turn_id": 30, "speaker": "doctor", "transcript": "and you do n't want that , ?"}, {"turn_id": 31, "speaker": "patient", "transcript": "i mean , not right now ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "um , you want to come back and revisit um , maybe six months ?"}, {"turn_id": 33, "speaker": "patient", "transcript": "yeah , i will do that . i still have n't , i still have some more of the gel and i can try using that again ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "okay . keep doing that twice a day . the gel is going to lighten the color a little bit , which is already pretty light . um , but , just in that area , and it's high tension , so it's going to rub a little bit ."}, {"turn_id": 35, "speaker": "patient", "transcript": "yeah , but it kind of bothers me a little bit ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "uh , i do see that . like i said , the only way to really fix that is to cut it out ."}, {"turn_id": 37, "speaker": "patient", "transcript": "uh- ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "um , let's take a look in six months and then we'll go from there . sound like a plan ?"}, {"turn_id": 39, "speaker": "patient", "transcript": "but we have n't hit a full year yet ."}, {"turn_id": 40, "speaker": "doctor", "transcript": "i know . um , i would n't do any revisions anyway for scar tissue until we're at least a year out anyway ."}, {"turn_id": 41, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "so let's wait those six months . you can keep using uh , the mederma scar gel twice a day . massage and scar gel will help for the scars . um , you can put it on other scars too , if you need ."}, {"turn_id": 43, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "um , so that's what i would do . let's just get some pictures today so we can keep up um , with them . and keep an eye on these scars and then we'll go from there ."}, {"turn_id": 45, "speaker": "patient", "transcript": "sounds good ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "all right , well it's good to see you . i'm glad you're doing well ."}, {"turn_id": 47, "speaker": "patient", "transcript": "yeah , same here ."}, {"turn_id": 48, "speaker": "doctor", "transcript": "all right . well , i'm going to tell the front desk six months and we'll revisit those scars ."}, {"turn_id": 49, "speaker": "patient", "transcript": "all right ."}, {"turn_id": 50, "speaker": "doctor", "transcript": "thank you . they're gon na come get your photos now , okay ?"}, {"turn_id": 51, "speaker": "patient", "transcript": "okay ."}]} |
acibench_D2N162_aci_clinicalnlp_taskC_test2 | [
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "hi gregory hi how are you doing today",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "good how are you",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "i'm alright so i understand that you were having some you know right ankle pain and some swelling after you fell can you can you tell me a little bit about what happened",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "yeah so i was going out to take off the trash and i you know i was icy and i i was being very careful and then i noticed that there must have been a little patch of ice or something because all i know is that i slipped and i was on the ground and i was being really really careful",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "okay yeah i know especially this this winter has been rough so you got ta watch for those little ice patches sometimes well okay so this occurred yesterday after falling on the ice so have you been able to walk on it at all",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "when it first happened i could n't and i actually had a friend who was with me he was she was actually coming to visit and so she had to help me up and so last night i was you know keeping it elevated i was resting it icing it so today it feels a little better like i could put a little bit more weight on it but i'm definitely still limping it it's not my normal",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay alright and tell me what have you been doing for that foot pain since then",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "you know other than the icing i have taken some ibuprofen and i do feel like it's it it is helping",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "okay okay very good alright and tell me have you ever injured this ankle before",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "you know considering i do a lot of sports my favorite right now is soccer or my favorite always is soccer and i've had a lot of injury but i ca n't remember if i actually injured this ankle i do n't think i ever have",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "okay alright well good i mean considering how long you've been playing soccer i know you're actually playing for the community league now so that is really great representing the community",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "yes it's so much fun",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "yeah and and do your kids come and watch you play",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "yeah they come and watch and then now the oldest one is old enough to play himself so they have a leak for four and five -year-olds so he should be starting that soon too so i know he's really gon na enjoy that",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "that's gon na be exciting for him",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "so much fun",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "that's a great you had a great soccer league of your own here in your family",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "yeah my husband's really into soccer too",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "play a lot so",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "oh",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "well you i guess you'll be watching it for a while instead of playing it though",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "i well i hope not not for too long",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "yeah we'll we'll see what we can do just to get you back out there again okay so tell me have you experienced any kind of numbness in your foot at all",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "no not that no i have n't had any numbness",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay alright very good well let me go ahead and do a physical exam on you real quick here let me take a look at your vital signs good good everything here looks good lem me go ahead and take a look at your right ankle real quick i'm just gon na pull your pant leg up here and then look look at it now on the skin here there is ecchymosis and that's bruising this bruising gregory and over the lateral malleolus associated swelling now lem me go ahead and just feel around here how does that feel",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "that hurts",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "i'm sorry so you definitely there is some tenderness to palpation and anterolaterally in the soft tissue there is no laxity on anterior drawer and inversion stress and there is no bony tenderness on palpation of the foot now i'm just gon na take a look at your right foot here just to make sure it's still intact here so okay good on the neurovascular exam of your right foot your capillary refill is less than three seconds with strong dorsalis pedis pulse and your sensation is intact to light touch so that's good sign now so gregory i did review the results of your right ankle x-ray and it showed no fracture so that's good so let's go ahead and talk about my assessment and plan so for your problem of right ankle pain what i'm seeing is that your symptoms are consistent with right ankle sprain so what i would like to do is i would like you to keep your leg elevated and especially when you're seated and to continue to ice it okay",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "alright and then you're going to also be given an aircast which is really gon na help stabilize the ankle and then you also be given some crutches for the next one to two days and then you may start walking on it as tolerated",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "do you have any questions any other questions for me",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "so when will i will i be able to play",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "well let's see now your symptoms should significantly improve in the next two weeks and what i'll do is i'm gon na follow up with you then and then see how you're doing okay and then just please continue to take the nsaids as needed to help with any of that pain that you may have okay",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "and then we will see in in a few weeks how how if you're ready to go play soccer again okay alright",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "alrighty",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "well do you have any other questions for me or is there anything else i can do for you",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "no i think that's it thank you",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "okay well i will have the nurse check you out and then if you experience any kind of symptoms in the next you know before your next visit with me go ahead and feel free to call the clinic okay",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "alright alright take care gregory",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "alright thank you",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "bye",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "bye",
"turn_id": 49
}
] | [
{
"description": "next two weeks follow up",
"order_type": "followup",
"provenance": [
38
],
"reason": null
}
] | {"id": "acibench_D2N162_aci_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "followup", "description": "next two weeks follow up", "reason": null, "provenance": [38]}], "transcript": [{"turn_id": 1, "speaker": "patient", "transcript": "okay"}, {"turn_id": 2, "speaker": "doctor", "transcript": "hi gregory hi how are you doing today"}, {"turn_id": 3, "speaker": "patient", "transcript": "good how are you"}, {"turn_id": 4, "speaker": "doctor", "transcript": "i'm alright so i understand that you were having some you know right ankle pain and some swelling after you fell can you can you tell me a little bit about what happened"}, {"turn_id": 5, "speaker": "patient", "transcript": "yeah so i was going out to take off the trash and i you know i was icy and i i was being very careful and then i noticed that there must have been a little patch of ice or something because all i know is that i slipped and i was on the ground and i was being really really careful"}, {"turn_id": 6, "speaker": "doctor", "transcript": "okay yeah i know especially this this winter has been rough so you got ta watch for those little ice patches sometimes well okay so this occurred yesterday after falling on the ice so have you been able to walk on it at all"}, {"turn_id": 7, "speaker": "patient", "transcript": "when it first happened i could n't and i actually had a friend who was with me he was she was actually coming to visit and so she had to help me up and so last night i was you know keeping it elevated i was resting it icing it so today it feels a little better like i could put a little bit more weight on it but i'm definitely still limping it it's not my normal"}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay alright and tell me what have you been doing for that foot pain since then"}, {"turn_id": 9, "speaker": "patient", "transcript": "you know other than the icing i have taken some ibuprofen and i do feel like it's it it is helping"}, {"turn_id": 10, "speaker": "doctor", "transcript": "okay okay very good alright and tell me have you ever injured this ankle before"}, {"turn_id": 11, "speaker": "patient", "transcript": "you know considering i do a lot of sports my favorite right now is soccer or my favorite always is soccer and i've had a lot of injury but i ca n't remember if i actually injured this ankle i do n't think i ever have"}, {"turn_id": 12, "speaker": "doctor", "transcript": "okay alright well good i mean considering how long you've been playing soccer i know you're actually playing for the community league now so that is really great representing the community"}, {"turn_id": 13, "speaker": "patient", "transcript": "yes it's so much fun"}, {"turn_id": 14, "speaker": "doctor", "transcript": "yeah and and do your kids come and watch you play"}, {"turn_id": 15, "speaker": "patient", "transcript": "yeah they come and watch and then now the oldest one is old enough to play himself so they have a leak for four and five -year-olds so he should be starting that soon too so i know he's really gon na enjoy that"}, {"turn_id": 16, "speaker": "doctor", "transcript": "that's gon na be exciting for him"}, {"turn_id": 17, "speaker": "patient", "transcript": "so much fun"}, {"turn_id": 18, "speaker": "doctor", "transcript": "that's a great you had a great soccer league of your own here in your family"}, {"turn_id": 19, "speaker": "patient", "transcript": "yeah my husband's really into soccer too"}, {"turn_id": 20, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 21, "speaker": "patient", "transcript": "play a lot so"}, {"turn_id": 22, "speaker": "doctor", "transcript": "oh"}, {"turn_id": 23, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 24, "speaker": "doctor", "transcript": "well you i guess you'll be watching it for a while instead of playing it though"}, {"turn_id": 25, "speaker": "patient", "transcript": "i well i hope not not for too long"}, {"turn_id": 26, "speaker": "doctor", "transcript": "yeah we'll we'll see what we can do just to get you back out there again okay so tell me have you experienced any kind of numbness in your foot at all"}, {"turn_id": 27, "speaker": "patient", "transcript": "no not that no i have n't had any numbness"}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay alright very good well let me go ahead and do a physical exam on you real quick here let me take a look at your vital signs good good everything here looks good lem me go ahead and take a look at your right ankle real quick i'm just gon na pull your pant leg up here and then look look at it now on the skin here there is ecchymosis and that's bruising this bruising gregory and over the lateral malleolus associated swelling now lem me go ahead and just feel around here how does that feel"}, {"turn_id": 29, "speaker": "patient", "transcript": "that hurts"}, {"turn_id": 30, "speaker": "doctor", "transcript": "i'm sorry so you definitely there is some tenderness to palpation and anterolaterally in the soft tissue there is no laxity on anterior drawer and inversion stress and there is no bony tenderness on palpation of the foot now i'm just gon na take a look at your right foot here just to make sure it's still intact here so okay good on the neurovascular exam of your right foot your capillary refill is less than three seconds with strong dorsalis pedis pulse and your sensation is intact to light touch so that's good sign now so gregory i did review the results of your right ankle x-ray and it showed no fracture so that's good so let's go ahead and talk about my assessment and plan so for your problem of right ankle pain what i'm seeing is that your symptoms are consistent with right ankle sprain so what i would like to do is i would like you to keep your leg elevated and especially when you're seated and to continue to ice it okay"}, {"turn_id": 31, "speaker": "patient", "transcript": "okay"}, {"turn_id": 32, "speaker": "doctor", "transcript": "alright and then you're going to also be given an aircast which is really gon na help stabilize the ankle and then you also be given some crutches for the next one to two days and then you may start walking on it as tolerated"}, {"turn_id": 33, "speaker": "patient", "transcript": "okay"}, {"turn_id": 34, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 35, "speaker": "patient", "transcript": "okay"}, {"turn_id": 36, "speaker": "doctor", "transcript": "do you have any questions any other questions for me"}, {"turn_id": 37, "speaker": "patient", "transcript": "so when will i will i be able to play"}, {"turn_id": 38, "speaker": "doctor", "transcript": "well let's see now your symptoms should significantly improve in the next two weeks and what i'll do is i'm gon na follow up with you then and then see how you're doing okay and then just please continue to take the nsaids as needed to help with any of that pain that you may have okay"}, {"turn_id": 39, "speaker": "patient", "transcript": "okay"}, {"turn_id": 40, "speaker": "doctor", "transcript": "and then we will see in in a few weeks how how if you're ready to go play soccer again okay alright"}, {"turn_id": 41, "speaker": "patient", "transcript": "alrighty"}, {"turn_id": 42, "speaker": "doctor", "transcript": "well do you have any other questions for me or is there anything else i can do for you"}, {"turn_id": 43, "speaker": "patient", "transcript": "no i think that's it thank you"}, {"turn_id": 44, "speaker": "doctor", "transcript": "okay well i will have the nurse check you out and then if you experience any kind of symptoms in the next you know before your next visit with me go ahead and feel free to call the clinic okay"}, {"turn_id": 45, "speaker": "patient", "transcript": "okay"}, {"turn_id": 46, "speaker": "doctor", "transcript": "alright alright take care gregory"}, {"turn_id": 47, "speaker": "patient", "transcript": "alright thank you"}, {"turn_id": 48, "speaker": "doctor", "transcript": "bye"}, {"turn_id": 49, "speaker": "patient", "transcript": "bye"}]} |
acibench_D2N086_aci_valid | [
{
"speaker": "doctor",
"transcript": "hey nicholas nice to see you today your pcp looks like he sent you over for a nonhealing foot ulcer on your right foot can you tell me about how long you've had that",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yeah i've had the boot for about six weeks i first noticed it when i put on a pair of shoes that were little bit too tight i felt some burning and some stinging and looked down and saw a blister i did n't think too much of it because it was on the pad of the bottom of my foot around my heel and i just had been walking on the front part of my foot i started to notice a foul smell and my wife mentioned something to me the other day and i noticed my dog was also smelling my socks a lot and so we looked and saw that the blister had become unroofed or the the top part of the skin of the blister became undone and then underneath it was just this really thick soft mushy skin that had a bad smell with some yellow drainage and so and barbara called the primary care doctor who then got me in to see you he started me on some antibiotics about six days ago and i never had any nausea or vomiting but my wife checked my temperature it was about ninety nine point seven and then at one point i had to put on an extra blanket in bed because i had some chills and when i started the antibiotics it started to feel pretty good but we've now noticed that it has turned black around the outside of the wound and i'm getting some cramping in my calf muscle as well and so there was a red streak also that was coming up the front part of my my ankle along the inside portion of my calf muscle and it's super super hot and so they wanted me to take a have have you look at it",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay thank you for sharing that history with me and did you complete that course of antibiotics",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "i think he called in ten days' worth and i'm on day six or seven right now i know i've got about two or three days left",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay and you mentioned that it had some stinging and it was a bit uncomfortable are you experiencing any pain right now",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah it was it was stinging initially like i had just done something small but at this point it's it's really like throbbing it's almost like there is a fire poker in the bottom of my foot now and then the inside of my calf muscle is really hard and i've noticed that every time that i push that i feel it all the way up to my knee behind my kneecap and then noticed that i've been coughing a lot the last two days and then i've noticed that i've had like difficult time catching my breath when i'm walking around the house and so it's almost like two different things going on at this point",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay so now i see here in your record that you have some that you're diabetic and have some diabetic neuropathy as well how's your blood sugars been running i'm i'm assuming kind of all over the place over the last i'm gon na say probably three or four weeks can you tell me about that",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "yeah my my a1c is six point seven it's pretty well controlled",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "i used to be on an insulin pump and i had an a1c that at one point was like thirteen but we worked with an endocrinologist to get it down to where it's at now i've been six point seven for probably two years now and i rarely have a blood sugar that goes over two hundred i check two or three times a day if i feel weird i'll check it again but i noticed my sugars have probably been trending in the three to four hundreds the last two weeks and then i had one spike at one point at like five or six hundred that got our attention and i think that's also what made my wife call the primary care doc",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay now i know this was caused by a new pair of shoes you had mentioned before to your pcp and he relayed this to me that you really like to go on hikes you and your wife have been hiking have you gone to the new trails that that were just opened up here behind the park",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah we actually hiked to charlie's bunion about a week before this i've had a new pair of diabetic shoes and inserts i get those every year i changed the inserts every three or four months i mean i've been in cruise control as far as that goes for some time i did get a new pair of shoes the prosthetist told me to check my feet every day for the first week or two which we did i did go hiking about the third or fourth day and i think that might be what caused it as i just went too far when we were hiking but yeah the trails are the trails are gorgeous they're open it's time to to be outside and i'm sorta stuck with this right now",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "absolutely yeah my wife and i like to go back there and and hike those trails as well so i'm gon na do a quick physical exam for your vital signs i do recognize a slight fever however your vitals themselves look good now on your foot exam i do recognize the necrotic wound on your heel as you mentioned it is present it's approximately two by two centimeters i i do recognize the sloughing of the of the tissue as well as what looks like cellulitis around the area as well as erythemia so now unfortunately i do also smell the odor you are correct it is it does it is odds but i do not appreciate any bony exposure now on vascular exam i do have bilateral palpable pulses femorally and popliteal pulses are present however i do n't recognize a palpable pulse dorsalis pedis or posterior tibial however i did use the doppler and they are present via doppler now i'm gon na press on the actual affected area of the wound do you have any pain there",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "i do n't feel that right there",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay i'm gon na review the results of your right foot x-ray that we did when you came in today the good news is i do n't see any evidence of osteomyelitis meaning that there is no infection of the bone so let's talk a little bit about my assessment and plan for this nonhealing diabetic foot ulcer i'm going to order a test to check blood supply for this wound also i'm going to do a debridement today in the office we may have to look at we are going to do a culture and we may have to look at different antibiotic therapy i am concerned about the redness that's moving up your leg as well as this the the swelling and pain that you have in your calf so we're gon na monitor this very closely i wan na see you again in seven days and then as far as your diabetes is concerned i do want you to follow up with your endocrinologist and make sure that we do continue to keep your hemoglobin a1c below seven and we're gon na need to closely monitor your blood sugars since we're going to be doing some medication therapy with antibiotics and and potentially some other medications any other questions comments or concerns before i have the nurse come in we're gon na prep you for that procedure",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no not really so you're gon na continue the antibiotics that i'm on and possibly extend or call in a new antibiotic depending on the culture",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "correct",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "if i heard",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "yep that's correct so what we're gon na do is you said you're six days in do a ten or twelve day course so we're gon na go ahead and continue your antibiotics therapy that your pcp put you on i do want to get the culture back and then we'll make the determination as far as additional or changing that antibiotic therapy",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "okay sounds good",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "alright",
"turn_id": 21
}
] | [
{
"description": "culture",
"order_type": "lab",
"provenance": [
15
],
"reason": "nonhealing diabetic foot ulcer"
},
{
"description": "see you again in seven days",
"order_type": "followup",
"provenance": [
15
],
"reason": "nonhealing diabetic foot ulcer"
},
{
"description": "antibiotic",
"order_type": "medication",
"provenance": [
15,
19
],
"reason": "nonhealing diabetic foot ulcer"
}
] | {"id": "acibench_D2N086_aci_valid", "expected_orders": [{"order_type": "lab", "description": "culture", "reason": "nonhealing diabetic foot ulcer", "provenance": [15]}, {"order_type": "followup", "description": "see you again in seven days", "reason": "nonhealing diabetic foot ulcer", "provenance": [15]}, {"order_type": "medication", "description": "antibiotic", "reason": "nonhealing diabetic foot ulcer", "provenance": [15, 19]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey nicholas nice to see you today your pcp looks like he sent you over for a nonhealing foot ulcer on your right foot can you tell me about how long you've had that"}, {"turn_id": 2, "speaker": "patient", "transcript": "yeah i've had the boot for about six weeks i first noticed it when i put on a pair of shoes that were little bit too tight i felt some burning and some stinging and looked down and saw a blister i did n't think too much of it because it was on the pad of the bottom of my foot around my heel and i just had been walking on the front part of my foot i started to notice a foul smell and my wife mentioned something to me the other day and i noticed my dog was also smelling my socks a lot and so we looked and saw that the blister had become unroofed or the the top part of the skin of the blister became undone and then underneath it was just this really thick soft mushy skin that had a bad smell with some yellow drainage and so and barbara called the primary care doctor who then got me in to see you he started me on some antibiotics about six days ago and i never had any nausea or vomiting but my wife checked my temperature it was about ninety nine point seven and then at one point i had to put on an extra blanket in bed because i had some chills and when i started the antibiotics it started to feel pretty good but we've now noticed that it has turned black around the outside of the wound and i'm getting some cramping in my calf muscle as well and so there was a red streak also that was coming up the front part of my my ankle along the inside portion of my calf muscle and it's super super hot and so they wanted me to take a have have you look at it"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay thank you for sharing that history with me and did you complete that course of antibiotics"}, {"turn_id": 4, "speaker": "patient", "transcript": "i think he called in ten days' worth and i'm on day six or seven right now i know i've got about two or three days left"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay and you mentioned that it had some stinging and it was a bit uncomfortable are you experiencing any pain right now"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah it was it was stinging initially like i had just done something small but at this point it's it's really like throbbing it's almost like there is a fire poker in the bottom of my foot now and then the inside of my calf muscle is really hard and i've noticed that every time that i push that i feel it all the way up to my knee behind my kneecap and then noticed that i've been coughing a lot the last two days and then i've noticed that i've had like difficult time catching my breath when i'm walking around the house and so it's almost like two different things going on at this point"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay so now i see here in your record that you have some that you're diabetic and have some diabetic neuropathy as well how's your blood sugars been running i'm i'm assuming kind of all over the place over the last i'm gon na say probably three or four weeks can you tell me about that"}, {"turn_id": 8, "speaker": "patient", "transcript": "yeah my my a1c is six point seven it's pretty well controlled"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 10, "speaker": "patient", "transcript": "i used to be on an insulin pump and i had an a1c that at one point was like thirteen but we worked with an endocrinologist to get it down to where it's at now i've been six point seven for probably two years now and i rarely have a blood sugar that goes over two hundred i check two or three times a day if i feel weird i'll check it again but i noticed my sugars have probably been trending in the three to four hundreds the last two weeks and then i had one spike at one point at like five or six hundred that got our attention and i think that's also what made my wife call the primary care doc"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay now i know this was caused by a new pair of shoes you had mentioned before to your pcp and he relayed this to me that you really like to go on hikes you and your wife have been hiking have you gone to the new trails that that were just opened up here behind the park"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah we actually hiked to charlie's bunion about a week before this i've had a new pair of diabetic shoes and inserts i get those every year i changed the inserts every three or four months i mean i've been in cruise control as far as that goes for some time i did get a new pair of shoes the prosthetist told me to check my feet every day for the first week or two which we did i did go hiking about the third or fourth day and i think that might be what caused it as i just went too far when we were hiking but yeah the trails are the trails are gorgeous they're open it's time to to be outside and i'm sorta stuck with this right now"}, {"turn_id": 13, "speaker": "doctor", "transcript": "absolutely yeah my wife and i like to go back there and and hike those trails as well so i'm gon na do a quick physical exam for your vital signs i do recognize a slight fever however your vitals themselves look good now on your foot exam i do recognize the necrotic wound on your heel as you mentioned it is present it's approximately two by two centimeters i i do recognize the sloughing of the of the tissue as well as what looks like cellulitis around the area as well as erythemia so now unfortunately i do also smell the odor you are correct it is it does it is odds but i do not appreciate any bony exposure now on vascular exam i do have bilateral palpable pulses femorally and popliteal pulses are present however i do n't recognize a palpable pulse dorsalis pedis or posterior tibial however i did use the doppler and they are present via doppler now i'm gon na press on the actual affected area of the wound do you have any pain there"}, {"turn_id": 14, "speaker": "patient", "transcript": "i do n't feel that right there"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay i'm gon na review the results of your right foot x-ray that we did when you came in today the good news is i do n't see any evidence of osteomyelitis meaning that there is no infection of the bone so let's talk a little bit about my assessment and plan for this nonhealing diabetic foot ulcer i'm going to order a test to check blood supply for this wound also i'm going to do a debridement today in the office we may have to look at we are going to do a culture and we may have to look at different antibiotic therapy i am concerned about the redness that's moving up your leg as well as this the the swelling and pain that you have in your calf so we're gon na monitor this very closely i wan na see you again in seven days and then as far as your diabetes is concerned i do want you to follow up with your endocrinologist and make sure that we do continue to keep your hemoglobin a1c below seven and we're gon na need to closely monitor your blood sugars since we're going to be doing some medication therapy with antibiotics and and potentially some other medications any other questions comments or concerns before i have the nurse come in we're gon na prep you for that procedure"}, {"turn_id": 16, "speaker": "patient", "transcript": "no not really so you're gon na continue the antibiotics that i'm on and possibly extend or call in a new antibiotic depending on the culture"}, {"turn_id": 17, "speaker": "doctor", "transcript": "correct"}, {"turn_id": 18, "speaker": "patient", "transcript": "if i heard"}, {"turn_id": 19, "speaker": "doctor", "transcript": "yep that's correct so what we're gon na do is you said you're six days in do a ten or twelve day course so we're gon na go ahead and continue your antibiotics therapy that your pcp put you on i do want to get the culture back and then we'll make the determination as far as additional or changing that antibiotic therapy"}, {"turn_id": 20, "speaker": "patient", "transcript": "okay sounds good"}, {"turn_id": 21, "speaker": "doctor", "transcript": "alright"}]} |
primock57_5_8 | [
{
"speaker": "patient",
"transcript": "Hello.",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "Hi there, it's Doctor Smith from Babylon. Can you confirm your name, date of birth and your address, please?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "Uh, date of birth twenty second of december, nineteen ninety. Uh, address, uh, sixteen avenue.",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "OK, that's fine. Are you in a private place so you can have a consultation?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "Yeah, sure.",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "What can I do for you today?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "So, um, recently I'm wheezy. Uh, I have feel like kind of short of breath.",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "OK, and how long has that been going on for?",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "Mmm, two, three days. Yeah, quite recently.",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "And have you ever had similar symptoms in the past?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "Um, I think so. It was a while before, yeah, but I can't remember.",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "As, was that as an adult or as a child?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "Sorry? Oh, as a , as a adult, yeah.",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "How long ago was that?",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "Sorry?",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "How long ago was that, that you had similar symptoms?",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "I can't remember, sorry.",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "And any problems with wheezing when you were a child or any asthma?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "Uh, yes, I had asthma. I also had, uh, hay fever and eczema , sorry.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "OK, and when you were a child how bad was your asthma?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "Uh, it's quite bad.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "Did you have to take medication?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "Yeah, I take the asthma inhaler.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "Do you know which ones you took?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "No, I can't remember.",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "And did you ever have to go to hospital with it?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "Yeah, sometimes.",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "Did you ever get severely unwell, have to be on intensive care unit or anything like that?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "No, not that bad but still, sometimes, need to go to hospital to check if it goes well.",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "Did you have to miss school?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "Uh, yeah, occasionally.",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "OK. And when do you think it last, when do you think that asthma stopped? At what age did you get to a point where you weren't taking medication anymore?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "Mmm.",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "Few years ago, like, three or four years ago I think? Yeah.",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "And so this time, how did it start? Did you have any other symptoms? Any chest pain, temperature, cold symptoms, anything like that?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "Yeah, so I have, I have cough and cough a lot, and I have a fever. Um, I also used to walk to work but recently I can't because it's, I, I feel like very short of breath and sometimes I feel like I can't even finish sentence is quite difficult to, to complete the, the the talking sometimes, yeah. Occasionally.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "Right. Have you coughed any phlegm up or anything like that?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "Any, any, um, blood in there when you cough?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "No, I don't think so.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "OK. And any chest pain?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "No chest pain, no.",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "Have you been woken up at night time at all?",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "No, just daytime working, yeah.",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "Have you been able to do any exercise?",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "No, I can't.",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "OK, and do you have a peak flow meter at home, where you measure your breathing?",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "Sorry?",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "You have what's called a peak flow meter, which you breathe into to get a score on your breathing?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "No, no.",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "And do you normally take any asthma inhalers over the last few years?",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "Yes, yeah.",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "You do? So you said you stopped them three to four years ago?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "Ohh, um, when I had asthma I used to take this inhaler, yeah.",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "OK. How about over the last three to four years?",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "Have you taken any medication?",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "Um, I took salbutamol? Salbutamol? Yeah.",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "OK, so you, you normally take that do you? Or is that just recently?",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "Normally, yeah.",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "OK, and how often do you normally need it?",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "Every, every few weeks? I'm not sure.",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "OK. What about when you exercise normally, do you have to use medication? Uh, inhalers?",
"turn_id": 66
},
{
"speaker": "patient",
"transcript": "Yeah, yeah, a bit.",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "Pardon?",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "OK, um, and do you take any other medications?",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "No, nothing else.",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "Any other medical problems?",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "Uh, I have, uh, hay fever as well.",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "OK, do you take anything for that?",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "And any allergies to medications?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "No, no allergies.",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "Do you smoke?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "No, I don't smoke.",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "Do you drink any alcohol regularly?",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "Yeah, one glass.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "How often? Have a glass of what?",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "Today, yeah.",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "Uh, one glass of wine.",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "Every, how often did you say?",
"turn_id": 85
},
{
"speaker": "patient",
"transcript": "Every two or three days? Depends, yeah.",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "And who do you live with at home?",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 88
},
{
"speaker": "doctor",
"transcript": "Who do you live with at home?",
"turn_id": 89
},
{
"speaker": "patient",
"transcript": "Yeah, .",
"turn_id": 90
},
{
"speaker": "doctor",
"transcript": "Who do you live with, do you live on your own, or do you live with",
"turn_id": 91
},
{
"speaker": "patient",
"transcript": "I live with my partner.",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "OK, and what's your job, day-to-day?",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "Uh, I'm engineer.",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "And have you been at work in the last few days?",
"turn_id": 95
},
{
"speaker": "patient",
"transcript": "No I can't because I used to walk walk to work, but recently I, I work from home or sometimes I take sick leave, yeah.",
"turn_id": 96
},
{
"speaker": "doctor",
"transcript": "OK, and when, at the moment, are you, um, feeling short of breath when you're sitting still? Or just when you walk?",
"turn_id": 97
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 98
},
{
"speaker": "patient",
"transcript": "Just walk or sometimes, but currently I feel, I feel well.",
"turn_id": 99
},
{
"speaker": "doctor",
"transcript": "Are you able to get up and down the stairs OK?",
"turn_id": 100
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 101
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, and did you say you were finding it hard to complete your sentences?",
"turn_id": 102
},
{
"speaker": "patient",
"transcript": "Yeah, sometimes.",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "OK, um.",
"turn_id": 104
},
{
"speaker": "patient",
"transcript": "Yeah, , days, yeah.",
"turn_id": 105
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, I mean, it sounds like you've had a flare up of your asthma. It could be, um, triggered by, if there's more pollen around, or there may be, you may have a viral infection, causing it to get worse.",
"turn_id": 106
},
{
"speaker": "patient",
"transcript": "Mm-hmm.",
"turn_id": 107
},
{
"speaker": "patient",
"transcript": "Mm-hmm.",
"turn_id": 108
},
{
"speaker": "doctor",
"transcript": "Did you say you checked your temperature already?",
"turn_id": 109
},
{
"speaker": "patient",
"transcript": "Yes, I checked, I have fever .",
"turn_id": 110
},
{
"speaker": "doctor",
"transcript": "Was it normal?",
"turn_id": 111
},
{
"speaker": "patient",
"transcript": "Yeah, yeah.",
"turn_id": 112
},
{
"speaker": "doctor",
"transcript": "What was your temperature?",
"turn_id": 113
},
{
"speaker": "patient",
"transcript": "Uh, thirty seven, yeah.",
"turn_id": 114
},
{
"speaker": "doctor",
"transcript": "OK, that's fine. Um, have you got an asthma inhaler at home?",
"turn_id": 115
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "OK. So what I would suggest is you take it more regularly than you are doing at the moment. Have you got, um, a spacer at home?",
"turn_id": 117
},
{
"speaker": "patient",
"transcript": "Mm-hmm.",
"turn_id": 118
},
{
"speaker": "patient",
"transcript": "Um, do you want to show me how to do it or somehow?",
"turn_id": 119
},
{
"speaker": "doctor",
"transcript": "Um, do you have a spacer at home?",
"turn_id": 120
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "OK. Um, what I can do is, I can prescribe you a peak flow meter so we can check your breathing level and a spacer to use your inhaler a bit more efficiently, which the pharmacist can show you how you use that when you pick it up.",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "Yeah, sure.",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "Um, and if you increase it so you're taking it two to four puffs, like, every four hours?",
"turn_id": 124
},
{
"speaker": "patient",
"transcript": "Mm-hmm.",
"turn_id": 125
},
{
"speaker": "doctor",
"transcript": "Initially, um, if you get a high temperature or your wheezing is getting worse, you need to call us back straightaway so we can just advise you further with that.",
"turn_id": 126
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "And it will be a good idea when you're feeling better if we can arrange just a review, just to see how your asthma is, because we may need to start some other medication for you.",
"turn_id": 128
},
{
"speaker": "patient",
"transcript": "OK, sounds good, yeah.",
"turn_id": 129
},
{
"speaker": "doctor",
"transcript": "You could arrange a review in a week or so, um, but, but before that and if you're, if you're feeling worse.",
"turn_id": 130
},
{
"speaker": "patient",
"transcript": "In a week, right? OK.",
"turn_id": 131
},
{
"speaker": "doctor",
"transcript": "OK, and the other thing to do would be to take a regular antihistamine.",
"turn_id": 132
},
{
"speaker": "patient",
"transcript": "Mm-hmm.",
"turn_id": 133
},
{
"speaker": "doctor",
"transcript": "Which you can get from the pharmacy, I can put a on your notes about what to take.",
"turn_id": 134
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 135
},
{
"speaker": "patient",
"transcript": "Yeah, they'll be helpful.",
"turn_id": 136
},
{
"speaker": "doctor",
"transcript": "And then if you, when you get the peak flow meter, if you can take, the pharmacist can show you how to use it, and if you can record a value first thing when you wake up.",
"turn_id": 137
},
{
"speaker": "patient",
"transcript": "Mm-hmm.",
"turn_id": 138
},
{
"speaker": "doctor",
"transcript": "And in the evening over the next week, and then we can discuss that over the phone when we look at the figures and see whether you need to go on another inhaler as well.",
"turn_id": 139
},
{
"speaker": "patient",
"transcript": "Oh, awesome, thank you.",
"turn_id": 140
},
{
"speaker": "doctor",
"transcript": "Have you got any questions?",
"turn_id": 141
},
{
"speaker": "patient",
"transcript": "Um, no, that's fine, yeah, thank you very much.",
"turn_id": 142
},
{
"speaker": "doctor",
"transcript": "Thanks a lot, bye.",
"turn_id": 143
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 144
}
] | [
{
"description": "arrange a review in a week",
"order_type": "followup",
"provenance": [
155
],
"reason": null
},
{
"description": "antihistamine",
"order_type": "medication",
"provenance": [
127,
158
],
"reason": "flare up of your asthma"
}
] | {"id": "primock57_5_8", "expected_orders": [{"order_type": "followup", "description": "arrange a review in a week", "reason": null, "provenance": [155]}, {"order_type": "medication", "description": "antihistamine", "reason": "flare up of your asthma", "provenance": [127, 158]}], "transcript": [{"turn_id": 1, "speaker": "patient", "transcript": "Hello."}, {"turn_id": 2, "speaker": "doctor", "transcript": "Hi there, it's Doctor Smith from Babylon. Can you confirm your name, date of birth and your address, please?"}, {"turn_id": 3, "speaker": "patient", "transcript": "Uh, date of birth twenty second of december, nineteen ninety. Uh, address, uh, sixteen avenue."}, {"turn_id": 4, "speaker": "doctor", "transcript": "OK, that's fine. Are you in a private place so you can have a consultation?"}, {"turn_id": 5, "speaker": "patient", "transcript": "Yeah, sure."}, {"turn_id": 6, "speaker": "doctor", "transcript": "What can I do for you today?"}, {"turn_id": 7, "speaker": "patient", "transcript": "So, um, recently I'm wheezy. Uh, I have feel like kind of short of breath."}, {"turn_id": 8, "speaker": "doctor", "transcript": "OK, and how long has that been going on for?"}, {"turn_id": 9, "speaker": "patient", "transcript": "Mmm, two, three days. Yeah, quite recently."}, {"turn_id": 10, "speaker": "doctor", "transcript": "And have you ever had similar symptoms in the past?"}, {"turn_id": 11, "speaker": "patient", "transcript": "Um, I think so. It was a while before, yeah, but I can't remember."}, {"turn_id": 12, "speaker": "doctor", "transcript": "As, was that as an adult or as a child?"}, {"turn_id": 13, "speaker": "patient", "transcript": "Sorry? Oh, as a , as a adult, yeah."}, {"turn_id": 14, "speaker": "doctor", "transcript": "How long ago was that?"}, {"turn_id": 15, "speaker": "patient", "transcript": "Sorry?"}, {"turn_id": 16, "speaker": "doctor", "transcript": "How long ago was that, that you had similar symptoms?"}, {"turn_id": 17, "speaker": "patient", "transcript": "I can't remember, sorry."}, {"turn_id": 18, "speaker": "doctor", "transcript": ""}, {"turn_id": 19, "speaker": "doctor", "transcript": "And any problems with wheezing when you were a child or any asthma?"}, {"turn_id": 20, "speaker": "patient", "transcript": "Uh, yes, I had asthma. I also had, uh, hay fever and eczema , sorry."}, {"turn_id": 21, "speaker": "doctor", "transcript": "OK, and when you were a child how bad was your asthma?"}, {"turn_id": 22, "speaker": "patient", "transcript": "Uh, it's quite bad."}, {"turn_id": 23, "speaker": "doctor", "transcript": "Did you have to take medication?"}, {"turn_id": 24, "speaker": "patient", "transcript": "Yeah, I take the asthma inhaler."}, {"turn_id": 25, "speaker": "doctor", "transcript": "Do you know which ones you took?"}, {"turn_id": 26, "speaker": "patient", "transcript": "No, I can't remember."}, {"turn_id": 27, "speaker": "doctor", "transcript": "And did you ever have to go to hospital with it?"}, {"turn_id": 28, "speaker": "patient", "transcript": "Yeah, sometimes."}, {"turn_id": 29, "speaker": "doctor", "transcript": "Did you ever get severely unwell, have to be on intensive care unit or anything like that?"}, {"turn_id": 30, "speaker": "patient", "transcript": "No, not that bad but still, sometimes, need to go to hospital to check if it goes well."}, {"turn_id": 31, "speaker": "doctor", "transcript": "Did you have to miss school?"}, {"turn_id": 32, "speaker": "patient", "transcript": "Uh, yeah, occasionally."}, {"turn_id": 33, "speaker": "doctor", "transcript": "OK. And when do you think it last, when do you think that asthma stopped? At what age did you get to a point where you weren't taking medication anymore?"}, {"turn_id": 34, "speaker": "patient", "transcript": "Mmm."}, {"turn_id": 35, "speaker": "patient", "transcript": "Few years ago, like, three or four years ago I think? Yeah."}, {"turn_id": 36, "speaker": "doctor", "transcript": ""}, {"turn_id": 37, "speaker": "doctor", "transcript": "And so this time, how did it start? Did you have any other symptoms? Any chest pain, temperature, cold symptoms, anything like that?"}, {"turn_id": 38, "speaker": "patient", "transcript": "Yeah, so I have, I have cough and cough a lot, and I have a fever. Um, I also used to walk to work but recently I can't because it's, I, I feel like very short of breath and sometimes I feel like I can't even finish sentence is quite difficult to, to complete the, the the talking sometimes, yeah. Occasionally."}, {"turn_id": 39, "speaker": "doctor", "transcript": "Right. Have you coughed any phlegm up or anything like that?"}, {"turn_id": 40, "speaker": "patient", "transcript": "No."}, {"turn_id": 41, "speaker": "doctor", "transcript": "Any, any, um, blood in there when you cough?"}, {"turn_id": 42, "speaker": "patient", "transcript": "No, I don't think so."}, {"turn_id": 43, "speaker": "doctor", "transcript": "OK. And any chest pain?"}, {"turn_id": 44, "speaker": "patient", "transcript": "No chest pain, no."}, {"turn_id": 45, "speaker": "doctor", "transcript": "Have you been woken up at night time at all?"}, {"turn_id": 46, "speaker": "patient", "transcript": "No, just daytime working, yeah."}, {"turn_id": 47, "speaker": "doctor", "transcript": "Have you been able to do any exercise?"}, {"turn_id": 48, "speaker": "patient", "transcript": "No, I can't."}, {"turn_id": 49, "speaker": "doctor", "transcript": "OK, and do you have a peak flow meter at home, where you measure your breathing?"}, {"turn_id": 50, "speaker": "patient", "transcript": "Sorry?"}, {"turn_id": 51, "speaker": "doctor", "transcript": "You have what's called a peak flow meter, which you breathe into to get a score on your breathing?"}, {"turn_id": 52, "speaker": "patient", "transcript": "No, no."}, {"turn_id": 53, "speaker": "doctor", "transcript": "And do you normally take any asthma inhalers over the last few years?"}, {"turn_id": 54, "speaker": "patient", "transcript": "Yes, yeah."}, {"turn_id": 55, "speaker": "doctor", "transcript": "You do? So you said you stopped them three to four years ago?"}, {"turn_id": 56, "speaker": "patient", "transcript": ""}, {"turn_id": 57, "speaker": "patient", "transcript": "Ohh, um, when I had asthma I used to take this inhaler, yeah."}, {"turn_id": 58, "speaker": "doctor", "transcript": "OK. How about over the last three to four years?"}, {"turn_id": 59, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 60, "speaker": "doctor", "transcript": "Have you taken any medication?"}, {"turn_id": 61, "speaker": "patient", "transcript": "Um, I took salbutamol? Salbutamol? Yeah."}, {"turn_id": 62, "speaker": "doctor", "transcript": "OK, so you, you normally take that do you? Or is that just recently?"}, {"turn_id": 63, "speaker": "patient", "transcript": "Normally, yeah."}, {"turn_id": 64, "speaker": "doctor", "transcript": "OK, and how often do you normally need it?"}, {"turn_id": 65, "speaker": "patient", "transcript": "Every, every few weeks? I'm not sure."}, {"turn_id": 66, "speaker": "doctor", "transcript": "OK. What about when you exercise normally, do you have to use medication? Uh, inhalers?"}, {"turn_id": 67, "speaker": "patient", "transcript": "Yeah, yeah, a bit."}, {"turn_id": 68, "speaker": "doctor", "transcript": "Pardon?"}, {"turn_id": 69, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 70, "speaker": "doctor", "transcript": "OK, um, and do you take any other medications?"}, {"turn_id": 71, "speaker": "patient", "transcript": "No, nothing else."}, {"turn_id": 72, "speaker": "doctor", "transcript": "Any other medical problems?"}, {"turn_id": 73, "speaker": "patient", "transcript": "Uh, I have, uh, hay fever as well."}, {"turn_id": 74, "speaker": "doctor", "transcript": "OK, do you take anything for that?"}, {"turn_id": 75, "speaker": "patient", "transcript": "No."}, {"turn_id": 76, "speaker": "doctor", "transcript": "And any allergies to medications?"}, {"turn_id": 77, "speaker": "patient", "transcript": "No, no allergies."}, {"turn_id": 78, "speaker": "doctor", "transcript": "Do you smoke?"}, {"turn_id": 79, "speaker": "patient", "transcript": "No, I don't smoke."}, {"turn_id": 80, "speaker": "doctor", "transcript": "Do you drink any alcohol regularly?"}, {"turn_id": 81, "speaker": "patient", "transcript": "Yeah, one glass."}, {"turn_id": 82, "speaker": "doctor", "transcript": "How often? Have a glass of what?"}, {"turn_id": 83, "speaker": "patient", "transcript": "Today, yeah."}, {"turn_id": 84, "speaker": "patient", "transcript": "Uh, one glass of wine."}, {"turn_id": 85, "speaker": "doctor", "transcript": "Every, how often did you say?"}, {"turn_id": 86, "speaker": "patient", "transcript": "Every two or three days? Depends, yeah."}, {"turn_id": 87, "speaker": "doctor", "transcript": "And who do you live with at home?"}, {"turn_id": 88, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 89, "speaker": "doctor", "transcript": "Who do you live with at home?"}, {"turn_id": 90, "speaker": "patient", "transcript": "Yeah, ."}, {"turn_id": 91, "speaker": "doctor", "transcript": "Who do you live with, do you live on your own, or do you live with"}, {"turn_id": 92, "speaker": "patient", "transcript": "I live with my partner."}, {"turn_id": 93, "speaker": "doctor", "transcript": "OK, and what's your job, day-to-day?"}, {"turn_id": 94, "speaker": "patient", "transcript": "Uh, I'm engineer."}, {"turn_id": 95, "speaker": "doctor", "transcript": "And have you been at work in the last few days?"}, {"turn_id": 96, "speaker": "patient", "transcript": "No I can't because I used to walk walk to work, but recently I, I work from home or sometimes I take sick leave, yeah."}, {"turn_id": 97, "speaker": "doctor", "transcript": "OK, and when, at the moment, are you, um, feeling short of breath when you're sitting still? Or just when you walk?"}, {"turn_id": 98, "speaker": "patient", "transcript": "No."}, {"turn_id": 99, "speaker": "patient", "transcript": "Just walk or sometimes, but currently I feel, I feel well."}, {"turn_id": 100, "speaker": "doctor", "transcript": "Are you able to get up and down the stairs OK?"}, {"turn_id": 101, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 102, "speaker": "doctor", "transcript": "Right, OK. Um, and did you say you were finding it hard to complete your sentences?"}, {"turn_id": 103, "speaker": "patient", "transcript": "Yeah, sometimes."}, {"turn_id": 104, "speaker": "doctor", "transcript": "OK, um."}, {"turn_id": 105, "speaker": "patient", "transcript": "Yeah, , days, yeah."}, {"turn_id": 106, "speaker": "doctor", "transcript": "Right, OK. Um, I mean, it sounds like you've had a flare up of your asthma. It could be, um, triggered by, if there's more pollen around, or there may be, you may have a viral infection, causing it to get worse."}, {"turn_id": 107, "speaker": "patient", "transcript": "Mm-hmm."}, {"turn_id": 108, "speaker": "patient", "transcript": "Mm-hmm."}, {"turn_id": 109, "speaker": "doctor", "transcript": "Did you say you checked your temperature already?"}, {"turn_id": 110, "speaker": "patient", "transcript": "Yes, I checked, I have fever ."}, {"turn_id": 111, "speaker": "doctor", "transcript": "Was it normal?"}, {"turn_id": 112, "speaker": "patient", "transcript": "Yeah, yeah."}, {"turn_id": 113, "speaker": "doctor", "transcript": "What was your temperature?"}, {"turn_id": 114, "speaker": "patient", "transcript": "Uh, thirty seven, yeah."}, {"turn_id": 115, "speaker": "doctor", "transcript": "OK, that's fine. Um, have you got an asthma inhaler at home?"}, {"turn_id": 116, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 117, "speaker": "doctor", "transcript": "OK. So what I would suggest is you take it more regularly than you are doing at the moment. Have you got, um, a spacer at home?"}, {"turn_id": 118, "speaker": "patient", "transcript": "Mm-hmm."}, {"turn_id": 119, "speaker": "patient", "transcript": "Um, do you want to show me how to do it or somehow?"}, {"turn_id": 120, "speaker": "doctor", "transcript": "Um, do you have a spacer at home?"}, {"turn_id": 121, "speaker": "patient", "transcript": "No."}, {"turn_id": 122, "speaker": "doctor", "transcript": "OK. Um, what I can do is, I can prescribe you a peak flow meter so we can check your breathing level and a spacer to use your inhaler a bit more efficiently, which the pharmacist can show you how you use that when you pick it up."}, {"turn_id": 123, "speaker": "patient", "transcript": "Yeah, sure."}, {"turn_id": 124, "speaker": "doctor", "transcript": "Um, and if you increase it so you're taking it two to four puffs, like, every four hours?"}, {"turn_id": 125, "speaker": "patient", "transcript": "Mm-hmm."}, {"turn_id": 126, "speaker": "doctor", "transcript": "Initially, um, if you get a high temperature or your wheezing is getting worse, you need to call us back straightaway so we can just advise you further with that."}, {"turn_id": 127, "speaker": "patient", "transcript": "OK."}, {"turn_id": 128, "speaker": "doctor", "transcript": "And it will be a good idea when you're feeling better if we can arrange just a review, just to see how your asthma is, because we may need to start some other medication for you."}, {"turn_id": 129, "speaker": "patient", "transcript": "OK, sounds good, yeah."}, {"turn_id": 130, "speaker": "doctor", "transcript": "You could arrange a review in a week or so, um, but, but before that and if you're, if you're feeling worse."}, {"turn_id": 131, "speaker": "patient", "transcript": "In a week, right? OK."}, {"turn_id": 132, "speaker": "doctor", "transcript": "OK, and the other thing to do would be to take a regular antihistamine."}, {"turn_id": 133, "speaker": "patient", "transcript": "Mm-hmm."}, {"turn_id": 134, "speaker": "doctor", "transcript": "Which you can get from the pharmacy, I can put a on your notes about what to take."}, {"turn_id": 135, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 136, "speaker": "patient", "transcript": "Yeah, they'll be helpful."}, {"turn_id": 137, "speaker": "doctor", "transcript": "And then if you, when you get the peak flow meter, if you can take, the pharmacist can show you how to use it, and if you can record a value first thing when you wake up."}, {"turn_id": 138, "speaker": "patient", "transcript": "Mm-hmm."}, {"turn_id": 139, "speaker": "doctor", "transcript": "And in the evening over the next week, and then we can discuss that over the phone when we look at the figures and see whether you need to go on another inhaler as well."}, {"turn_id": 140, "speaker": "patient", "transcript": "Oh, awesome, thank you."}, {"turn_id": 141, "speaker": "doctor", "transcript": "Have you got any questions?"}, {"turn_id": 142, "speaker": "patient", "transcript": "Um, no, that's fine, yeah, thank you very much."}, {"turn_id": 143, "speaker": "doctor", "transcript": "Thanks a lot, bye."}, {"turn_id": 144, "speaker": "patient", "transcript": ""}]} |
acibench_D2N005_virtassist_train | [
{
"speaker": "doctor",
"transcript": "hey , ms. hill . nice to see you .",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hi , dr. james , good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "hey , dragon , i'm seeing ms. hill . she's a 41-year-old female , and what brings you in today ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "um , i am having a lot of pain at the end of my right middle finger .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "what did you do ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "a little embarrassing . um , i got rear-ended , slow motor , uh , vehicle accident , and i got really angry with the person who hit me , so i went to flip him the bird , but i was a little too enthusiastic .",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "and i hit the ceiling of the car .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay . when did this happen ?",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "uh , it was saturday , so about four , five days ago .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "five days ago . what were you doing ? were you , like , stopped at a stoplight ? a stop sign ?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "yes . so i was stopped at a four-way stop , and it was not my turn to go . there were other cars going , and the person behind me just was n't watching . i think they were texting and rear-ended me .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "how much damage to your car ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "uh , not too much . the , the trunk crumpled up a little bit .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay . and no other injuries ? just the finger ?",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "just the middle finger .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "so you would've escaped this accident without any injuries ?",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "yes . uh , i'm not proud .",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "okay . um , so four days of right middle finger pain-",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": ". after a motor vehicle accident .",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "all right . um , let's look at your x-ray . hey , dragon , show me the last x-ray . so what i'm seeing here is on the tip of this middle finger , you actually have a fracture . so you have a distal phalanx fracture in the middle finger . very ...",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "great .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "very interesting . let me check it out . um , so does it hurt when i push right here ?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "and does that hurt ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "very much so .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "what about down here ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "okay . so generally , your exam is normal other than you've got tenderness over your distal phalanx of your right middle finger . um , so your diagnosis is distal phalanx fracture of the middle finger or the third finger . and i'm gon na put you on a little bit of pain medicine just to help , just , like , two days' worth . okay , so tramadol , 50 milligrams , every six hours as needed for pain . i'm gon na dispense eight of those .",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "and then , um , i'm gon na put you in a finger splint and have you come back in two weeks to get a follow-up x-ray . any questions for me ?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "yes . so i'm taking digoxin for afib . will the tramadol be okay with that ?",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "it will be okay . so you have atrial fibrillation .",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "you take digoxin .",
"turn_id": 36
},
{
"speaker": "",
"transcript": "all right . any other questions for me ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "no , that's it . thank you .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "you're welcome . hey , dragon , go ahead and finalize the recording , and , uh , come with me . we'll get you checked out .",
"turn_id": 39
}
] | [
{
"description": "right middle finger two weeks x-ray",
"order_type": "imaging",
"provenance": [
33,
55,
60
],
"reason": "right middle finger distal phalanx fracture of the middle finger or the third finger"
},
{
"description": "tramadol 50 milligrams every six hours as needed eight",
"order_type": "medication",
"provenance": [
33,
57,
58
],
"reason": "right middle finger pain"
}
] | {"id": "acibench_D2N005_virtassist_train", "expected_orders": [{"order_type": "imaging", "description": "right middle finger two weeks x-ray", "reason": "right middle finger distal phalanx fracture of the middle finger or the third finger", "provenance": [33, 55, 60]}, {"order_type": "medication", "description": "tramadol 50 milligrams every six hours as needed eight", "reason": "right middle finger pain", "provenance": [33, 57, 58]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey , ms. hill . nice to see you ."}, {"turn_id": 2, "speaker": "patient", "transcript": "hi , dr. james , good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "hey , dragon , i'm seeing ms. hill . she's a 41-year-old female , and what brings you in today ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "um , i am having a lot of pain at the end of my right middle finger ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "what did you do ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "a little embarrassing . um , i got rear-ended , slow motor , uh , vehicle accident , and i got really angry with the person who hit me , so i went to flip him the bird , but i was a little too enthusiastic ."}, {"turn_id": 7, "speaker": "patient", "transcript": "and i hit the ceiling of the car ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay . when did this happen ?"}, {"turn_id": 9, "speaker": "patient", "transcript": "uh , it was saturday , so about four , five days ago ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "five days ago . what were you doing ? were you , like , stopped at a stoplight ? a stop sign ?"}, {"turn_id": 11, "speaker": "patient", "transcript": "yes . so i was stopped at a four-way stop , and it was not my turn to go . there were other cars going , and the person behind me just was n't watching . i think they were texting and rear-ended me ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "how much damage to your car ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "uh , not too much . the , the trunk crumpled up a little bit ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay . and no other injuries ? just the finger ?"}, {"turn_id": 15, "speaker": "patient", "transcript": "just the middle finger ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "so you would've escaped this accident without any injuries ?"}, {"turn_id": 17, "speaker": "patient", "transcript": "yes . uh , i'm not proud ."}, {"turn_id": 18, "speaker": "doctor", "transcript": "okay . um , so four days of right middle finger pain-"}, {"turn_id": 19, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 20, "speaker": "doctor", "transcript": ". after a motor vehicle accident ."}, {"turn_id": 21, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 22, "speaker": "doctor", "transcript": "all right . um , let's look at your x-ray . hey , dragon , show me the last x-ray . so what i'm seeing here is on the tip of this middle finger , you actually have a fracture . so you have a distal phalanx fracture in the middle finger . very ..."}, {"turn_id": 23, "speaker": "patient", "transcript": "great ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "very interesting . let me check it out . um , so does it hurt when i push right here ?"}, {"turn_id": 25, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "and does that hurt ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "very much so ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "what about down here ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "no ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "okay . so generally , your exam is normal other than you've got tenderness over your distal phalanx of your right middle finger . um , so your diagnosis is distal phalanx fracture of the middle finger or the third finger . and i'm gon na put you on a little bit of pain medicine just to help , just , like , two days' worth . okay , so tramadol , 50 milligrams , every six hours as needed for pain . i'm gon na dispense eight of those ."}, {"turn_id": 31, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "and then , um , i'm gon na put you in a finger splint and have you come back in two weeks to get a follow-up x-ray . any questions for me ?"}, {"turn_id": 33, "speaker": "patient", "transcript": "yes . so i'm taking digoxin for afib . will the tramadol be okay with that ?"}, {"turn_id": 34, "speaker": "doctor", "transcript": "it will be okay . so you have atrial fibrillation ."}, {"turn_id": 35, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "you take digoxin ."}, {"turn_id": 37, "speaker": "", "transcript": "all right . any other questions for me ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "no , that's it . thank you ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "you're welcome . hey , dragon , go ahead and finalize the recording , and , uh , come with me . we'll get you checked out ."}]} |
acibench_D2N203_aci_clef_taskC_test3 | [
{
"speaker": "doctor",
"transcript": "good afternoon matthew how are you",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i'm okay",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "it looks like here that the that you've been brought in for some vision changes and looks like you're having trouble with your right eye can you tell me a little bit about what brought you in to see me today",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yeah you know i started noticing my wife and i we we eat out almost every night and it's when especially when we go to fancy place",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "mm-hmm",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "i have trouble adjusting in the that dark dim environment",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay and i reviewed my technician's notes before i came in to see you and it says you know you you've been having that decreased vision when you're reading especially in dark place like you just said but it also mentions here that it looks like you told her that when you look at straight lines like in your door frame it looks like things have been looking a little crooked to you how long has that been going on",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "well you know it's been going on a little while probably getting worse over the last three to four months and you know my my office has paneling and you know how that paneling has that dark grooves in it those straight lines well they always look wavy to me",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay alright so it's been going on a few months now you mentioned that you and your wife go out to eat every night have you tried the new the new italium place over there on main street",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "my gosh yes we were just there the other night down in the it's down in the basement of that big building yeah we went there the other night and i got ta tell you it was like the saprano family was sitting across from us there was this bunch of old guys that had bottles of of red wine all over the table and they were my gosh it was so good and the food i mean i mean i ca n't tell you how great the food was",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "it was",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "it was just phenomenal",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "it was amazing my wife and i went over there the other day and when we walked downstairs it was like i was walking into a scene out of saprano's",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "but the food was amazing it was the best egg plant parmer's john i've i've ever had where really super excited about going back there here very very soon",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "yeah i had the bio marsal and it was my gosh it was to die for",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "i'll have to get that next time i go so in reviewing your paperwork here it looks like you made mention that you smoke are you still smoking about a pack a day",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "yeah i i tried i've tried i've done hypnosis i've done lozenges i've done chewing gum and i get real close but you know i'll just go out one evening without the wife and and the next thing i know i'm i'm you know buying a cigarette off of somebody and it's it's really hard for me to get that stopped",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "yeah i i appreciate that but it's really gon na be important that you try to to either cut back or quit smoking altogether now that leads me into my next concern here it looks like you have a history of high blood pressure and i'm just wondering are you are you taking your blood pressure medication as prescribed and and are you checking your blood pressures on a regular basis",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "i'm glad you just mentioned that because i have n't taken my blood pressure pill for a while it's up in the cupboard and it's back in that corner and i just i ca n't forget to take it",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay it's really gon na be important that you take your medication for your blood pressure as prescribed i'd really like to see you start doing that today and then let's let's go ahead and and let's set that that pill bottle down on the counter and see if that does n't help you remember to take that blood pressure medicine if it's okay with you i would like to do a a quick physical exam on your eyes i'm gon na go ahead and take off your glasses and put your chin here in the chin rest for me",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "okay that's a bright light",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "yeah i'm sorry about that it it's just gon na help me check the lenses in both of your eyes so it looks like the anterior segment examination reveals posterior chamber intraocular lenses in both eyes for the right eye the cornea is clear no nvi peak hole cup to disc is . two fundus examination of the right eye shows the retina to be attached three hundred and sixty degrees no holes or tears noted and rpe changes in the fovea now the posterior segment exam shows drusen in the macula retinal thickening and presence of subretinal fluid and exudate accumulation and it is positive for a hemorrhage now for your left eye the cornea is clear no mvi pecal cup to disc is . three rpe changes in the fovea no hemorrhage noted or subretinal fluid noted and the retina is attached appropriately now i reviewed the results of your diagnostic exam so the otc exam shows those drusen deposits under the rpe which is the retinal pigment epithelium and then the subretinal fluid so the srf accumulation and choroidal neovascular membrane can also be visualized in that test now the fluorescein angiography so the using the the fluorescein there reveals that the focal area of the leakage in the right eye is consistent with neurovascular age related macular degeneration now for my impression and plan it looks like the diagnostic test and the eye exams are consistent with the neovascular age related macular degeneration also called wet macular degeneration now it's advanced to a stage that usually leads to more severe vision loss happening now this happens when those abnormal blood vessels start to grow beneath the retina what happens is they leak fluid and blood which is wides called wet macular degeneration and what happens is secondary to that it creates a large blind spot in the center of your visual field that's why it it kinda looks like you'll see a black dot in the center of your vision field now it is the most common cause of severe vision loss now the good news is we have a plan for you for this now once a month i want to give you an injection of lucent now it's gon na be injected in the vitreous portion of the eye after we numb the eye so you're not gon na feel any pain and those injections yeah i know the one once i numb the eye you wo n't feel any pain in that injection at all patients report no pain at all for the actual injection",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "have you ever somebody stick a needle in your eye",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "well",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "what i mean not not yeah literally stick a needle in your eye",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "yeah literally yeah",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "the good news is injection given over time can slow the rate of the vision decline and maybe even stop it however i also have to let you know that there could be a situation where you may still note a small amount of vision loss but this is your best chance of maintaining that vision for as long as you can so i know i have given you a lot of information i wan na pause here and see if you have any questions comments or concerns before we get you scheduled for that injection",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "no i'm i mean as as long as you think it wo n't hurt a lot that will be good",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay i think it's gon na be our best plan to help slow this disease process",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "alright so i'm gon na have the nurse come in and get you prepped and we're gon na go ahead and do the first injection today",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "okay okay",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "sounds good i'll be back in a couple of minutes",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "okay thank you very much",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "thank you",
"turn_id": 37
}
] | [
{
"description": "lucent injected in the vitreous portion of the eye today",
"order_type": "medication",
"provenance": [
25,
35
],
"reason": "wet macular degeneration"
}
] | {"id": "acibench_D2N203_aci_clef_taskC_test3", "expected_orders": [{"order_type": "medication", "description": "lucent injected in the vitreous portion of the eye today", "reason": "wet macular degeneration", "provenance": [25, 35]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "good afternoon matthew how are you"}, {"turn_id": 2, "speaker": "patient", "transcript": "i'm okay"}, {"turn_id": 3, "speaker": "doctor", "transcript": "it looks like here that the that you've been brought in for some vision changes and looks like you're having trouble with your right eye can you tell me a little bit about what brought you in to see me today"}, {"turn_id": 4, "speaker": "patient", "transcript": "yeah you know i started noticing my wife and i we we eat out almost every night and it's when especially when we go to fancy place"}, {"turn_id": 5, "speaker": "doctor", "transcript": "mm-hmm"}, {"turn_id": 6, "speaker": "patient", "transcript": "i have trouble adjusting in the that dark dim environment"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay and i reviewed my technician's notes before i came in to see you and it says you know you you've been having that decreased vision when you're reading especially in dark place like you just said but it also mentions here that it looks like you told her that when you look at straight lines like in your door frame it looks like things have been looking a little crooked to you how long has that been going on"}, {"turn_id": 8, "speaker": "patient", "transcript": "well you know it's been going on a little while probably getting worse over the last three to four months and you know my my office has paneling and you know how that paneling has that dark grooves in it those straight lines well they always look wavy to me"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay alright so it's been going on a few months now you mentioned that you and your wife go out to eat every night have you tried the new the new italium place over there on main street"}, {"turn_id": 10, "speaker": "patient", "transcript": "my gosh yes we were just there the other night down in the it's down in the basement of that big building yeah we went there the other night and i got ta tell you it was like the saprano family was sitting across from us there was this bunch of old guys that had bottles of of red wine all over the table and they were my gosh it was so good and the food i mean i mean i ca n't tell you how great the food was"}, {"turn_id": 11, "speaker": "doctor", "transcript": "it was"}, {"turn_id": 12, "speaker": "patient", "transcript": "it was just phenomenal"}, {"turn_id": 13, "speaker": "doctor", "transcript": "it was amazing my wife and i went over there the other day and when we walked downstairs it was like i was walking into a scene out of saprano's"}, {"turn_id": 14, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 15, "speaker": "doctor", "transcript": "but the food was amazing it was the best egg plant parmer's john i've i've ever had where really super excited about going back there here very very soon"}, {"turn_id": 16, "speaker": "patient", "transcript": "yeah i had the bio marsal and it was my gosh it was to die for"}, {"turn_id": 17, "speaker": "doctor", "transcript": "i'll have to get that next time i go so in reviewing your paperwork here it looks like you made mention that you smoke are you still smoking about a pack a day"}, {"turn_id": 18, "speaker": "patient", "transcript": "yeah i i tried i've tried i've done hypnosis i've done lozenges i've done chewing gum and i get real close but you know i'll just go out one evening without the wife and and the next thing i know i'm i'm you know buying a cigarette off of somebody and it's it's really hard for me to get that stopped"}, {"turn_id": 19, "speaker": "doctor", "transcript": "yeah i i appreciate that but it's really gon na be important that you try to to either cut back or quit smoking altogether now that leads me into my next concern here it looks like you have a history of high blood pressure and i'm just wondering are you are you taking your blood pressure medication as prescribed and and are you checking your blood pressures on a regular basis"}, {"turn_id": 20, "speaker": "patient", "transcript": "i'm glad you just mentioned that because i have n't taken my blood pressure pill for a while it's up in the cupboard and it's back in that corner and i just i ca n't forget to take it"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay it's really gon na be important that you take your medication for your blood pressure as prescribed i'd really like to see you start doing that today and then let's let's go ahead and and let's set that that pill bottle down on the counter and see if that does n't help you remember to take that blood pressure medicine if it's okay with you i would like to do a a quick physical exam on your eyes i'm gon na go ahead and take off your glasses and put your chin here in the chin rest for me"}, {"turn_id": 22, "speaker": "patient", "transcript": "okay that's a bright light"}, {"turn_id": 23, "speaker": "doctor", "transcript": "yeah i'm sorry about that it it's just gon na help me check the lenses in both of your eyes so it looks like the anterior segment examination reveals posterior chamber intraocular lenses in both eyes for the right eye the cornea is clear no nvi peak hole cup to disc is . two fundus examination of the right eye shows the retina to be attached three hundred and sixty degrees no holes or tears noted and rpe changes in the fovea now the posterior segment exam shows drusen in the macula retinal thickening and presence of subretinal fluid and exudate accumulation and it is positive for a hemorrhage now for your left eye the cornea is clear no mvi pecal cup to disc is . three rpe changes in the fovea no hemorrhage noted or subretinal fluid noted and the retina is attached appropriately now i reviewed the results of your diagnostic exam so the otc exam shows those drusen deposits under the rpe which is the retinal pigment epithelium and then the subretinal fluid so the srf accumulation and choroidal neovascular membrane can also be visualized in that test now the fluorescein angiography so the using the the fluorescein there reveals that the focal area of the leakage in the right eye is consistent with neurovascular age related macular degeneration now for my impression and plan it looks like the diagnostic test and the eye exams are consistent with the neovascular age related macular degeneration also called wet macular degeneration now it's advanced to a stage that usually leads to more severe vision loss happening now this happens when those abnormal blood vessels start to grow beneath the retina what happens is they leak fluid and blood which is wides called wet macular degeneration and what happens is secondary to that it creates a large blind spot in the center of your visual field that's why it it kinda looks like you'll see a black dot in the center of your vision field now it is the most common cause of severe vision loss now the good news is we have a plan for you for this now once a month i want to give you an injection of lucent now it's gon na be injected in the vitreous portion of the eye after we numb the eye so you're not gon na feel any pain and those injections yeah i know the one once i numb the eye you wo n't feel any pain in that injection at all patients report no pain at all for the actual injection"}, {"turn_id": 24, "speaker": "patient", "transcript": "have you ever somebody stick a needle in your eye"}, {"turn_id": 25, "speaker": "doctor", "transcript": "well"}, {"turn_id": 26, "speaker": "patient", "transcript": "what i mean not not yeah literally stick a needle in your eye"}, {"turn_id": 27, "speaker": "doctor", "transcript": "yeah literally yeah"}, {"turn_id": 28, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 29, "speaker": "doctor", "transcript": "the good news is injection given over time can slow the rate of the vision decline and maybe even stop it however i also have to let you know that there could be a situation where you may still note a small amount of vision loss but this is your best chance of maintaining that vision for as long as you can so i know i have given you a lot of information i wan na pause here and see if you have any questions comments or concerns before we get you scheduled for that injection"}, {"turn_id": 30, "speaker": "patient", "transcript": "no i'm i mean as as long as you think it wo n't hurt a lot that will be good"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay i think it's gon na be our best plan to help slow this disease process"}, {"turn_id": 32, "speaker": "patient", "transcript": "okay"}, {"turn_id": 33, "speaker": "doctor", "transcript": "alright so i'm gon na have the nurse come in and get you prepped and we're gon na go ahead and do the first injection today"}, {"turn_id": 34, "speaker": "patient", "transcript": "okay okay"}, {"turn_id": 35, "speaker": "doctor", "transcript": "sounds good i'll be back in a couple of minutes"}, {"turn_id": 36, "speaker": "patient", "transcript": "okay thank you very much"}, {"turn_id": 37, "speaker": "doctor", "transcript": "thank you"}]} |
acibench_D2N018_virtassist_train | [
{
"speaker": "doctor",
"transcript": "hi miss russell .",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hi-",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "nice to meet you-",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "doctor gutierrez . how are you ?",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "i'm well .",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "good .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "hey dragon . i'm seeing miss russell . she's a 39-year-old female here for , what are you here for ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "it's my right upper arm . it hurts really , really bad .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "so severe right upper arm pain .",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "yeah , uh yes .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "and how did this happen ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "i was playing volleyball yesterday , uh last night . um and i went to spike the ball , and the team we were playing , they're dirty . so um , somebody right across from me kinda kicked my legs from under me as i was going up , and i fell and landed on my arm .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "mm-hmm , like right on your shoulder .",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "ow .",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "that sounds like it hurt .",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "it was nasty .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "um , so this happened , what ? like 12 hours ago now ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "uh , seven o'clock last night , so a little more than that .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "eighteen hours .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "so less than a day .",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "in severe pain .",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "have you taken anything for the pain ?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "i've been taking ibuprofen every six hours i think , but it's really not helping at all .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay , what would you rate your pain ?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "it's like a nine .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "nine out of 10 ?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "so like really severe ?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "have you used any ice ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "no , i have n't .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "okay . and do you have any medical problems ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "i have gallstones .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay . do you take any medicine for it ?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "pepcid .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay . and any surgeries in the past ?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "yes , i had a lumbar fusion about six years ago .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "um , yeah .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "all right . let's uh , let's look at your x-ray .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "hey dragon . show me the last radiograph . so this is looking at your right arm , and what i see is a proximal humerus fracture . so you kinda think of your humerus as a snow cone , and you knocked the-",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "the top of the snow cone ?",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "the top off the snow cone . um , so i'll be gentle but i want to examine your arm .",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "all right .",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "all right . all right .",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "all right . are you able to straighten your arm ?",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "yeah , i can just straighten the elbow as long as i do n't move up here .",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "as long as you do n't move your shoulder .",
"turn_id": 54
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "go ahead and bend . okay . so your exam is generally normal , meaning that the rest of your body is normal",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "but you've got some swelling and erythema-",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": ". on that right shoulder . you've got uh , tenderness over your right shoulder . you've got normal pulses , and everything else is normal . any numbness or tingling in that right arm ?",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "okay . um , so what we're going to have to do- the good thing about um , these kinds of fractures is generally , they will heal up without surgery . um , but we have to put you in a sling that weighs your arm down and pulls it down . so we're going to put you in a long arm cast and a sling , and then we're gon na check you in two weeks to see if those bones have realigned and if they have n't , then we're gon na have to talk about doing surgery at that time .",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "i'm going to prescribe you some pain medicine . we'll do lortab 500- lortab 5 milligram .",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "um , you can take one to two tablets every uh , six hours as needed for pain . i'll give you 20 of those .",
"turn_id": 66
},
{
"speaker": "patient",
"transcript": "all right .",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "and um , do you have any allergies to medicines ? i did n't ask .",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "no , i do n't have no allergies .",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "okay . um , hey dragon , go ahead and order any medications or procedures discussed . um , do you have any questions for me ?",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "no , i do n't .",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "okay , great . why do n't you come with me , we'll get the tech to put the cast on .",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "and we'll get you checked out .",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "thank you .",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "hey dragon , finalize the report .",
"turn_id": 76
}
] | [
{
"description": "lortab 500- 5 milligram one to two tablets every uh , six hours as needed 20",
"order_type": "medication",
"provenance": [
13,
90,
91,
92
],
"reason": "severe right upper arm pain"
}
] | {"id": "acibench_D2N018_virtassist_train", "expected_orders": [{"order_type": "medication", "description": "lortab 500- 5 milligram one to two tablets every uh , six hours as needed 20", "reason": "severe right upper arm pain", "provenance": [13, 90, 91, 92]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi miss russell ."}, {"turn_id": 2, "speaker": "patient", "transcript": "hi-"}, {"turn_id": 3, "speaker": "doctor", "transcript": "nice to meet you-"}, {"turn_id": 4, "speaker": "patient", "transcript": "doctor gutierrez . how are you ?"}, {"turn_id": 5, "speaker": "doctor", "transcript": "i'm well ."}, {"turn_id": 6, "speaker": "patient", "transcript": "good ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "hey dragon . i'm seeing miss russell . she's a 39-year-old female here for , what are you here for ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "it's my right upper arm . it hurts really , really bad ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "so severe right upper arm pain ."}, {"turn_id": 10, "speaker": "patient", "transcript": "yeah , uh yes ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "and how did this happen ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "i was playing volleyball yesterday , uh last night . um and i went to spike the ball , and the team we were playing , they're dirty . so um , somebody right across from me kinda kicked my legs from under me as i was going up , and i fell and landed on my arm ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "mm-hmm , like right on your shoulder ."}, {"turn_id": 14, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "ow ."}, {"turn_id": 16, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "that sounds like it hurt ."}, {"turn_id": 18, "speaker": "patient", "transcript": "it was nasty ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "um , so this happened , what ? like 12 hours ago now ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "uh , seven o'clock last night , so a little more than that ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 22, "speaker": "patient", "transcript": "eighteen hours ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "so less than a day ."}, {"turn_id": 24, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "in severe pain ."}, {"turn_id": 26, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "have you taken anything for the pain ?"}, {"turn_id": 28, "speaker": "patient", "transcript": "i've been taking ibuprofen every six hours i think , but it's really not helping at all ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay , what would you rate your pain ?"}, {"turn_id": 30, "speaker": "patient", "transcript": "it's like a nine ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "nine out of 10 ?"}, {"turn_id": 32, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "so like really severe ?"}, {"turn_id": 34, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "have you used any ice ?"}, {"turn_id": 36, "speaker": "patient", "transcript": "no , i have n't ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "okay . and do you have any medical problems ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "i have gallstones ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay . do you take any medicine for it ?"}, {"turn_id": 40, "speaker": "patient", "transcript": "pepcid ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay . and any surgeries in the past ?"}, {"turn_id": 42, "speaker": "patient", "transcript": "yes , i had a lumbar fusion about six years ago ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 44, "speaker": "patient", "transcript": "um , yeah ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "all right . let's uh , let's look at your x-ray ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "hey dragon . show me the last radiograph . so this is looking at your right arm , and what i see is a proximal humerus fracture . so you kinda think of your humerus as a snow cone , and you knocked the-"}, {"turn_id": 47, "speaker": "patient", "transcript": "the top of the snow cone ?"}, {"turn_id": 48, "speaker": "doctor", "transcript": "the top off the snow cone . um , so i'll be gentle but i want to examine your arm ."}, {"turn_id": 49, "speaker": "patient", "transcript": "all right ."}, {"turn_id": 50, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 51, "speaker": "patient", "transcript": "all right . all right ."}, {"turn_id": 52, "speaker": "doctor", "transcript": "all right . are you able to straighten your arm ?"}, {"turn_id": 53, "speaker": "patient", "transcript": "yeah , i can just straighten the elbow as long as i do n't move up here ."}, {"turn_id": 54, "speaker": "doctor", "transcript": "as long as you do n't move your shoulder ."}, {"turn_id": 55, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 56, "speaker": "doctor", "transcript": "go ahead and bend . okay . so your exam is generally normal , meaning that the rest of your body is normal"}, {"turn_id": 57, "speaker": "patient", "transcript": ""}, {"turn_id": 58, "speaker": "doctor", "transcript": "but you've got some swelling and erythema-"}, {"turn_id": 59, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 60, "speaker": "doctor", "transcript": ". on that right shoulder . you've got uh , tenderness over your right shoulder . you've got normal pulses , and everything else is normal . any numbness or tingling in that right arm ?"}, {"turn_id": 61, "speaker": "patient", "transcript": "no ."}, {"turn_id": 62, "speaker": "doctor", "transcript": "okay . um , so what we're going to have to do- the good thing about um , these kinds of fractures is generally , they will heal up without surgery . um , but we have to put you in a sling that weighs your arm down and pulls it down . so we're going to put you in a long arm cast and a sling , and then we're gon na check you in two weeks to see if those bones have realigned and if they have n't , then we're gon na have to talk about doing surgery at that time ."}, {"turn_id": 63, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 64, "speaker": "doctor", "transcript": "i'm going to prescribe you some pain medicine . we'll do lortab 500- lortab 5 milligram ."}, {"turn_id": 66, "speaker": "doctor", "transcript": "um , you can take one to two tablets every uh , six hours as needed for pain . i'll give you 20 of those ."}, {"turn_id": 67, "speaker": "patient", "transcript": "all right ."}, {"turn_id": 68, "speaker": "doctor", "transcript": "and um , do you have any allergies to medicines ? i did n't ask ."}, {"turn_id": 69, "speaker": "patient", "transcript": "no , i do n't have no allergies ."}, {"turn_id": 70, "speaker": "doctor", "transcript": "okay . um , hey dragon , go ahead and order any medications or procedures discussed . um , do you have any questions for me ?"}, {"turn_id": 71, "speaker": "patient", "transcript": "no , i do n't ."}, {"turn_id": 72, "speaker": "doctor", "transcript": "okay , great . why do n't you come with me , we'll get the tech to put the cast on ."}, {"turn_id": 73, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 74, "speaker": "doctor", "transcript": "and we'll get you checked out ."}, {"turn_id": 75, "speaker": "patient", "transcript": "thank you ."}, {"turn_id": 76, "speaker": "doctor", "transcript": "hey dragon , finalize the report ."}]} |
primock57_1_4 | [
{
"speaker": "doctor",
"transcript": "Alex. Ohh. Hello? Hi, can you hear me?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "OK great. Um how can I help you this morning, sir?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "Alright, so I've been feeling, I've been feeling kind of uh under the weather for the past four days.",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "Um it started with the um, uh sore throat and runny nose, and",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "It's sort of, um, it's sort of going into a cough now. Um, the sort throat is kind of going away, but, um, I'm starting to cough.",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "Mm-hmm. OK.",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "And uh kind of uh bad and tired.",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "Sorry to hear that .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "Mm. OK. I'm sorry to hear that. Seems like there's a lot going on there. Um so let's start with your, your sore throat first. Um tell me a bit more about that, if you can.",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "Um ,so I, I , you know I think I, it all started with, uh, this colleague of mine, she just kept sneezing next to me, all the time. I think her kids are catching something from the",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "uh from their kindergarten or something. And uh, you know the it it started as normal sore throat, and uh was quite painful for a couple days, but then it was past.",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "OK. OK. And did you have any uh difficulty or pain on swallowing?",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "Um yeah. Yeah it was uh, it was quite painful to swallow, for one or two days.",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "You , did you manage to have a look at the back of your throat in the mirror?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "Um no, not really.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "No. OK you didn't, you didn't notice any abnormal white spots, redness at the back of your throat?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "Um",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "No. Um I I didn't think about uh .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "that's OK. That's OK. And you mentioned a runny nose. Um again what kind of discharge is coming out? Is it clear, or is it a bit more coloured?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "Yeah yeah, it's uh it's clearing up .",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "Sort of um, sort of getting my nose stuffed all the time. It's very had to, uh to get it free.",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "OK. You feel quite congested, do you?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "Yeah, quite congested.",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "OK, fine. Um you also mentioned a cough as well. Can you tell me a bit more about that?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "Um yeah that started recently, like just uh um maybe yesterday. And um it's uh, it's dry for now, it's it's not very painful but it's sort of there, all the time.",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "OK. And is it worse any particular time of the day?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "Sorry?",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "Is it, is it worse any particular time of the day? For example in the evenings, night time, mornings?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "Um",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "throughout the day.",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "No it's it's um, it's sort of, it's sort of constant. Um I forgot to mention, that um I'm also having uh night sweats.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "Night first, OK.",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "That's, that's very odd actually. makes me a bit tired, um makes my uneasy.",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "Mm.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "I can imagine, yes. Uh and this has again, been going on for last uh three four days, has it?",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "Yeah, yes.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "OK. Um right, OK. Have you noticed any fevers or temperatures at all?",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "Um I I had some some fever in the beginning, but it's now sort of uh going down. I I've been taking some Paracetamol and Ibuprofen for that, and uh they, they help.",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "That's very sensible. Um very good. Um in terms of your chest otherwise, have you any difficulty breathing, or any pain in your chest?",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "Um so no pain in chest, but uh I noticed that I um um so I feel a bit winded on exertion. So if I I I haven't been going, going to the gym thus uh, because of that.",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "When you say winded, do you feel, uh do you feel more short of breath would you say, on exertion? Is that when you, OK. Um and and that's mainly on exercise. But when you're resting, there's no problem.",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "yeah.",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "Yeah, yeah. When when when I'm resting it's OK. So I've been actually going to work, um sort of managing.",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "OK, fine. Just a couple other questions , if you don't mind. Any pain in, in your ears at all?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "Um no.",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "No, you don't feel blocked, or any discharge coming out of your ears?",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "No, I don't think so.",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "OK, fine. Um what I'm gonna do, I'm just gonna run through a few uh yes no questions, if you if you don't mind, just a review of your systems. Any, any headaches at all?",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "Um, yeah, yeah. That that's still, that's still there.",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "Whereabouts are the head, headaches?",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "Um it's sort of general. Uh and uh they're not, they're not always there, but you know every now and then they will come and go.",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "OK. And with those headaches have you had any problems with your, with your eyesight, your vision?",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "Um no.",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "Uh any difficulty with seeing bright lights?",
"turn_id": 66
},
{
"speaker": "patient",
"transcript": "No, I don't think so.",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "No, OK. Um and just moving down now, in terms of any, any feeling nausea or any vomiting?",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "No, none of that.",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "OK. Tell me about your bowels. Are your bowels working OK?",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "Uh yeah, yeah. Think so.",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "You're passing urine OK?",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "Yeah, yeah.",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "How's your appetite, sir?",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "Yeah I've been, I've been drinking a lot more than the usual. But uh so other than that, so",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "OK. Um and you're eating and drinking, uh you're eating OK otherwise.",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "Um maybe a bit less than uh than what I, I would usually have.",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "OK. Um have you noticed any, any funny rashes at all, on your skin?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "Um no, no.",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "No. And any general muscle pain or aches, joint pain, ?",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "Yeah, yeah. Yeah that's, that sort of started in the past couple days.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "Yeah, OK. Alright um and uh just having a look at the rest of your history, are you otherwise fit and well? Or do you have any other medical problems I should be aware of?",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "Um, so otherwise that, uh, I'm I'm fine. There's um, there isn't anything that I'm taking or, I'm being treated for.",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "OK. Um",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Um",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "So you are otherwise fit and well. Uh any, any allergies at all to any medications, I should be aware of?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "Um, no",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "No, OK. Um",
"turn_id": 88
},
{
"speaker": "doctor",
"transcript": "Any family history at all? So anything relevant in the family that I should be aware of? Anything like diabetes, high blood pressure?",
"turn_id": 89
},
{
"speaker": "patient",
"transcript": "Um, yeah my grandma has diabetes. Um, and, my grandma.",
"turn_id": 90
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "Your brother?",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "you say grandma, sorry my apologies. Grandma, OK. Uh do you know what type of diabetes it is? Is it type one, type two?",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "I think , I think it's type two.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 96
},
{
"speaker": "doctor",
"transcript": "Um anything else which you think is significant?",
"turn_id": 97
},
{
"speaker": "patient",
"transcript": "Yeah, I, I think um, one of my uh, great grandads had an eczema.",
"turn_id": 98
},
{
"speaker": "doctor",
"transcript": "Excellent, OK. OK. Um just moving on to what we social history, just to get to know you a bit more as a person. Tell me, who do you live with at home?",
"turn_id": 99
},
{
"speaker": "patient",
"transcript": "Ohh um, I live alone.",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "OK. And you said you're working at the moment?",
"turn_id": 101
},
{
"speaker": "patient",
"transcript": "Yeah, yeah.",
"turn_id": 102
},
{
"speaker": "doctor",
"transcript": "What do you do for work?",
"turn_id": 103
},
{
"speaker": "patient",
"transcript": "I'm an, I'm an accountant.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "OK, and how's your work going at the moment? Uh over the last, has it, has it been affecting your work?",
"turn_id": 105
},
{
"speaker": "patient",
"transcript": "Um, a little bit. I've been a bit slower. And you know, it's uh, it's, it's a bit of a stressful period just around the um, end of the year. Right.",
"turn_id": 106
},
{
"speaker": "doctor",
"transcript": "Mm, OK. Is that stress, is that affecting your um, your mood at all any, in any way?",
"turn_id": 107
},
{
"speaker": "patient",
"transcript": "Um, no I think I think it's, it's the, you know it's the good kind of stress. It's um, it's good work.",
"turn_id": 108
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "Well if there's anything you want to talk to me about, you can always come see me about your mood, um stress, anxiety. happy to help.",
"turn_id": 110
},
{
"speaker": "patient",
"transcript": "I don't know. I, I like my job. It's just you know, it's a bit more work than usual.",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "OK. OK. And just very briefly, just in terms of smoking uh, do you smoke at all?",
"turn_id": 112
},
{
"speaker": "patient",
"transcript": "Um, yeah occasionally, you know, cigars and things on company parties.",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": "OK so not, not regular. Um and what about alcohol?",
"turn_id": 114
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 115
},
{
"speaker": "patient",
"transcript": "Um, occasionally yeah I would have some. I'm, I'm not a very big drinker.",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 117
},
{
"speaker": "doctor",
"transcript": "socially with work.",
"turn_id": 118
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 119
},
{
"speaker": "doctor",
"transcript": "Um OK. Um so um",
"turn_id": 120
},
{
"speaker": "doctor",
"transcript": "just having listened to your story, um uh really just to summarize you know since the last four days you've been feeling generally quite unwell, sore throat, runny nose, bit of a dry cough, bit of muscle pain, weakness.",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "Um had initial fever, but now settled. Um I don't think there's a lot to worry about. I think you probably have, you know a bit of a viral, what we say viral illness, maybe a viral upper respiratory tract infection, or maybe early signs of a flu.",
"turn_id": 122
},
{
"speaker": "doctor",
"transcript": "Um these normally last about seven to days and just gets better really, um over time. But things you can do to really help yourself, um is get plenty of rest. I'd probably advise you taking a day or two off work if you can. Um",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "Making yourself, pushing fluids and make yourself well-hydrated. Continue with the regular Paracetamol, Ibuprofen. Um and and you should see how things go, really. Um if next week you're still not better, I'd like you to come back and see me.",
"turn_id": 124
},
{
"speaker": "doctor",
"transcript": "Um is that clear? Does that, does that make, does that make",
"turn_id": 125
},
{
"speaker": "patient",
"transcript": "Yeah, yeah, that's that's , it makes sense. Uh, I think I'll take a couple days off, and see how it goes.",
"turn_id": 126
},
{
"speaker": "doctor",
"transcript": "Yeah, yeah.",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "and things to look out for if you're really not getting better, if you if you have a high fever, or your breathing is becoming a bit more labored, or chest pain, I'd like you to come back and see me much sooner, give me a call. Um and we can help you out. OK?",
"turn_id": 128
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 129
},
{
"speaker": "patient",
"transcript": "Yeah, yeah I understand. Uh, I'll uh, I'll take care.",
"turn_id": 130
},
{
"speaker": "doctor",
"transcript": "Great. Have a great day. Good luck with your work. Thank you. Bye bye. Bye bye.",
"turn_id": 131
},
{
"speaker": "patient",
"transcript": "Thank you. Thank you. You too. Bye bye.",
"turn_id": 132
}
] | [] | {"id": "primock57_1_4", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "Alex. Ohh. Hello? Hi, can you hear me?"}, {"turn_id": 2, "speaker": "patient", "transcript": ""}, {"turn_id": 3, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 4, "speaker": "doctor", "transcript": "OK great. Um how can I help you this morning, sir?"}, {"turn_id": 5, "speaker": "patient", "transcript": "Alright, so I've been feeling, I've been feeling kind of uh under the weather for the past four days."}, {"turn_id": 6, "speaker": "doctor", "transcript": ""}, {"turn_id": 7, "speaker": "patient", "transcript": "Um it started with the um, uh sore throat and runny nose, and"}, {"turn_id": 8, "speaker": "patient", "transcript": "It's sort of, um, it's sort of going into a cough now. Um, the sort throat is kind of going away, but, um, I'm starting to cough."}, {"turn_id": 9, "speaker": "doctor", "transcript": "Mm-hmm. OK."}, {"turn_id": 10, "speaker": "patient", "transcript": "And uh kind of uh bad and tired."}, {"turn_id": 11, "speaker": "doctor", "transcript": "Sorry to hear that ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "Mm. OK. I'm sorry to hear that. Seems like there's a lot going on there. Um so let's start with your, your sore throat first. Um tell me a bit more about that, if you can."}, {"turn_id": 13, "speaker": "patient", "transcript": "Um ,so I, I , you know I think I, it all started with, uh, this colleague of mine, she just kept sneezing next to me, all the time. I think her kids are catching something from the"}, {"turn_id": 14, "speaker": "patient", "transcript": "uh from their kindergarten or something. And uh, you know the it it started as normal sore throat, and uh was quite painful for a couple days, but then it was past."}, {"turn_id": 15, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 16, "speaker": "doctor", "transcript": "OK. OK. And did you have any uh difficulty or pain on swallowing?"}, {"turn_id": 17, "speaker": "patient", "transcript": "Um yeah. Yeah it was uh, it was quite painful to swallow, for one or two days."}, {"turn_id": 18, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 19, "speaker": "doctor", "transcript": "You , did you manage to have a look at the back of your throat in the mirror?"}, {"turn_id": 20, "speaker": "patient", "transcript": "Um no, not really."}, {"turn_id": 21, "speaker": "doctor", "transcript": "No. OK you didn't, you didn't notice any abnormal white spots, redness at the back of your throat?"}, {"turn_id": 22, "speaker": "patient", "transcript": "Um"}, {"turn_id": 23, "speaker": "patient", "transcript": "No. Um I I didn't think about uh ."}, {"turn_id": 24, "speaker": "doctor", "transcript": ""}, {"turn_id": 25, "speaker": "doctor", "transcript": "that's OK. That's OK. And you mentioned a runny nose. Um again what kind of discharge is coming out? Is it clear, or is it a bit more coloured?"}, {"turn_id": 26, "speaker": "patient", "transcript": "Yeah yeah, it's uh it's clearing up ."}, {"turn_id": 27, "speaker": "patient", "transcript": "Sort of um, sort of getting my nose stuffed all the time. It's very had to, uh to get it free."}, {"turn_id": 28, "speaker": "doctor", "transcript": "OK. You feel quite congested, do you?"}, {"turn_id": 29, "speaker": "patient", "transcript": "Yeah, quite congested."}, {"turn_id": 30, "speaker": "doctor", "transcript": "OK, fine. Um you also mentioned a cough as well. Can you tell me a bit more about that?"}, {"turn_id": 31, "speaker": "patient", "transcript": "Um yeah that started recently, like just uh um maybe yesterday. And um it's uh, it's dry for now, it's it's not very painful but it's sort of there, all the time."}, {"turn_id": 32, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 33, "speaker": "doctor", "transcript": "OK. And is it worse any particular time of the day?"}, {"turn_id": 34, "speaker": "patient", "transcript": "Sorry?"}, {"turn_id": 35, "speaker": "doctor", "transcript": "Is it, is it worse any particular time of the day? For example in the evenings, night time, mornings?"}, {"turn_id": 36, "speaker": "patient", "transcript": "Um"}, {"turn_id": 37, "speaker": "doctor", "transcript": "throughout the day."}, {"turn_id": 38, "speaker": "patient", "transcript": "No it's it's um, it's sort of, it's sort of constant. Um I forgot to mention, that um I'm also having uh night sweats."}, {"turn_id": 39, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 40, "speaker": "doctor", "transcript": "Night first, OK."}, {"turn_id": 41, "speaker": "patient", "transcript": "That's, that's very odd actually. makes me a bit tired, um makes my uneasy."}, {"turn_id": 42, "speaker": "doctor", "transcript": "Mm."}, {"turn_id": 43, "speaker": "doctor", "transcript": ""}, {"turn_id": 44, "speaker": "doctor", "transcript": "I can imagine, yes. Uh and this has again, been going on for last uh three four days, has it?"}, {"turn_id": 45, "speaker": "patient", "transcript": "Yeah, yes."}, {"turn_id": 46, "speaker": "doctor", "transcript": "OK. Um right, OK. Have you noticed any fevers or temperatures at all?"}, {"turn_id": 47, "speaker": "patient", "transcript": "Um I I had some some fever in the beginning, but it's now sort of uh going down. I I've been taking some Paracetamol and Ibuprofen for that, and uh they, they help."}, {"turn_id": 48, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 49, "speaker": "doctor", "transcript": "That's very sensible. Um very good. Um in terms of your chest otherwise, have you any difficulty breathing, or any pain in your chest?"}, {"turn_id": 50, "speaker": "patient", "transcript": "Um so no pain in chest, but uh I noticed that I um um so I feel a bit winded on exertion. So if I I I haven't been going, going to the gym thus uh, because of that."}, {"turn_id": 51, "speaker": "doctor", "transcript": "When you say winded, do you feel, uh do you feel more short of breath would you say, on exertion? Is that when you, OK. Um and and that's mainly on exercise. But when you're resting, there's no problem."}, {"turn_id": 52, "speaker": "patient", "transcript": "yeah."}, {"turn_id": 53, "speaker": "patient", "transcript": "Yeah, yeah. When when when I'm resting it's OK. So I've been actually going to work, um sort of managing."}, {"turn_id": 54, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 55, "speaker": "doctor", "transcript": "OK, fine. Just a couple other questions , if you don't mind. Any pain in, in your ears at all?"}, {"turn_id": 56, "speaker": "patient", "transcript": "Um no."}, {"turn_id": 57, "speaker": "doctor", "transcript": "No, you don't feel blocked, or any discharge coming out of your ears?"}, {"turn_id": 58, "speaker": "patient", "transcript": ""}, {"turn_id": 59, "speaker": "patient", "transcript": "No, I don't think so."}, {"turn_id": 60, "speaker": "doctor", "transcript": "OK, fine. Um what I'm gonna do, I'm just gonna run through a few uh yes no questions, if you if you don't mind, just a review of your systems. Any, any headaches at all?"}, {"turn_id": 61, "speaker": "patient", "transcript": "Um, yeah, yeah. That that's still, that's still there."}, {"turn_id": 62, "speaker": "doctor", "transcript": "Whereabouts are the head, headaches?"}, {"turn_id": 63, "speaker": "patient", "transcript": "Um it's sort of general. Uh and uh they're not, they're not always there, but you know every now and then they will come and go."}, {"turn_id": 64, "speaker": "doctor", "transcript": "OK. And with those headaches have you had any problems with your, with your eyesight, your vision?"}, {"turn_id": 65, "speaker": "patient", "transcript": "Um no."}, {"turn_id": 66, "speaker": "doctor", "transcript": "Uh any difficulty with seeing bright lights?"}, {"turn_id": 67, "speaker": "patient", "transcript": "No, I don't think so."}, {"turn_id": 68, "speaker": "doctor", "transcript": "No, OK. Um and just moving down now, in terms of any, any feeling nausea or any vomiting?"}, {"turn_id": 69, "speaker": "patient", "transcript": "No, none of that."}, {"turn_id": 70, "speaker": "doctor", "transcript": "OK. Tell me about your bowels. Are your bowels working OK?"}, {"turn_id": 71, "speaker": "patient", "transcript": "Uh yeah, yeah. Think so."}, {"turn_id": 72, "speaker": "doctor", "transcript": "You're passing urine OK?"}, {"turn_id": 73, "speaker": "patient", "transcript": "Yeah, yeah."}, {"turn_id": 74, "speaker": "doctor", "transcript": "How's your appetite, sir?"}, {"turn_id": 75, "speaker": "patient", "transcript": "Yeah I've been, I've been drinking a lot more than the usual. But uh so other than that, so"}, {"turn_id": 76, "speaker": "doctor", "transcript": "OK. Um and you're eating and drinking, uh you're eating OK otherwise."}, {"turn_id": 77, "speaker": "patient", "transcript": "Um maybe a bit less than uh than what I, I would usually have."}, {"turn_id": 78, "speaker": "doctor", "transcript": "OK. Um have you noticed any, any funny rashes at all, on your skin?"}, {"turn_id": 79, "speaker": "patient", "transcript": "Um no, no."}, {"turn_id": 80, "speaker": "doctor", "transcript": "No. And any general muscle pain or aches, joint pain, ?"}, {"turn_id": 81, "speaker": "patient", "transcript": "Yeah, yeah. Yeah that's, that sort of started in the past couple days."}, {"turn_id": 82, "speaker": "doctor", "transcript": "Yeah, OK. Alright um and uh just having a look at the rest of your history, are you otherwise fit and well? Or do you have any other medical problems I should be aware of?"}, {"turn_id": 83, "speaker": "patient", "transcript": "Um, so otherwise that, uh, I'm I'm fine. There's um, there isn't anything that I'm taking or, I'm being treated for."}, {"turn_id": 84, "speaker": "doctor", "transcript": "OK. Um"}, {"turn_id": 85, "speaker": "patient", "transcript": "Um"}, {"turn_id": 86, "speaker": "doctor", "transcript": "So you are otherwise fit and well. Uh any, any allergies at all to any medications, I should be aware of?"}, {"turn_id": 87, "speaker": "patient", "transcript": "Um, no"}, {"turn_id": 88, "speaker": "doctor", "transcript": "No, OK. Um"}, {"turn_id": 89, "speaker": "doctor", "transcript": "Any family history at all? So anything relevant in the family that I should be aware of? Anything like diabetes, high blood pressure?"}, {"turn_id": 90, "speaker": "patient", "transcript": "Um, yeah my grandma has diabetes. Um, and, my grandma."}, {"turn_id": 91, "speaker": "doctor", "transcript": ""}, {"turn_id": 92, "speaker": "doctor", "transcript": "Your brother?"}, {"turn_id": 93, "speaker": "doctor", "transcript": "you say grandma, sorry my apologies. Grandma, OK. Uh do you know what type of diabetes it is? Is it type one, type two?"}, {"turn_id": 94, "speaker": "patient", "transcript": ""}, {"turn_id": 95, "speaker": "patient", "transcript": "I think , I think it's type two."}, {"turn_id": 96, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 97, "speaker": "doctor", "transcript": "Um anything else which you think is significant?"}, {"turn_id": 98, "speaker": "patient", "transcript": "Yeah, I, I think um, one of my uh, great grandads had an eczema."}, {"turn_id": 99, "speaker": "doctor", "transcript": "Excellent, OK. OK. Um just moving on to what we social history, just to get to know you a bit more as a person. Tell me, who do you live with at home?"}, {"turn_id": 100, "speaker": "patient", "transcript": "Ohh um, I live alone."}, {"turn_id": 101, "speaker": "doctor", "transcript": "OK. And you said you're working at the moment?"}, {"turn_id": 102, "speaker": "patient", "transcript": "Yeah, yeah."}, {"turn_id": 103, "speaker": "doctor", "transcript": "What do you do for work?"}, {"turn_id": 104, "speaker": "patient", "transcript": "I'm an, I'm an accountant."}, {"turn_id": 105, "speaker": "doctor", "transcript": "OK, and how's your work going at the moment? Uh over the last, has it, has it been affecting your work?"}, {"turn_id": 106, "speaker": "patient", "transcript": "Um, a little bit. I've been a bit slower. And you know, it's uh, it's, it's a bit of a stressful period just around the um, end of the year. Right."}, {"turn_id": 107, "speaker": "doctor", "transcript": "Mm, OK. Is that stress, is that affecting your um, your mood at all any, in any way?"}, {"turn_id": 108, "speaker": "patient", "transcript": "Um, no I think I think it's, it's the, you know it's the good kind of stress. It's um, it's good work."}, {"turn_id": 109, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 110, "speaker": "doctor", "transcript": "Well if there's anything you want to talk to me about, you can always come see me about your mood, um stress, anxiety. happy to help."}, {"turn_id": 111, "speaker": "patient", "transcript": "I don't know. I, I like my job. It's just you know, it's a bit more work than usual."}, {"turn_id": 112, "speaker": "doctor", "transcript": "OK. OK. And just very briefly, just in terms of smoking uh, do you smoke at all?"}, {"turn_id": 113, "speaker": "patient", "transcript": "Um, yeah occasionally, you know, cigars and things on company parties."}, {"turn_id": 114, "speaker": "doctor", "transcript": "OK so not, not regular. Um and what about alcohol?"}, {"turn_id": 115, "speaker": "patient", "transcript": "No."}, {"turn_id": 116, "speaker": "patient", "transcript": "Um, occasionally yeah I would have some. I'm, I'm not a very big drinker."}, {"turn_id": 117, "speaker": "doctor", "transcript": ""}, {"turn_id": 118, "speaker": "doctor", "transcript": "socially with work."}, {"turn_id": 119, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 120, "speaker": "doctor", "transcript": "Um OK. Um so um"}, {"turn_id": 121, "speaker": "doctor", "transcript": "just having listened to your story, um uh really just to summarize you know since the last four days you've been feeling generally quite unwell, sore throat, runny nose, bit of a dry cough, bit of muscle pain, weakness."}, {"turn_id": 122, "speaker": "doctor", "transcript": "Um had initial fever, but now settled. Um I don't think there's a lot to worry about. I think you probably have, you know a bit of a viral, what we say viral illness, maybe a viral upper respiratory tract infection, or maybe early signs of a flu."}, {"turn_id": 123, "speaker": "doctor", "transcript": "Um these normally last about seven to days and just gets better really, um over time. But things you can do to really help yourself, um is get plenty of rest. I'd probably advise you taking a day or two off work if you can. Um"}, {"turn_id": 124, "speaker": "doctor", "transcript": "Making yourself, pushing fluids and make yourself well-hydrated. Continue with the regular Paracetamol, Ibuprofen. Um and and you should see how things go, really. Um if next week you're still not better, I'd like you to come back and see me."}, {"turn_id": 125, "speaker": "doctor", "transcript": "Um is that clear? Does that, does that make, does that make"}, {"turn_id": 126, "speaker": "patient", "transcript": "Yeah, yeah, that's that's , it makes sense. Uh, I think I'll take a couple days off, and see how it goes."}, {"turn_id": 127, "speaker": "doctor", "transcript": "Yeah, yeah."}, {"turn_id": 128, "speaker": "doctor", "transcript": "and things to look out for if you're really not getting better, if you if you have a high fever, or your breathing is becoming a bit more labored, or chest pain, I'd like you to come back and see me much sooner, give me a call. Um and we can help you out. OK?"}, {"turn_id": 129, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 130, "speaker": "patient", "transcript": "Yeah, yeah I understand. Uh, I'll uh, I'll take care."}, {"turn_id": 131, "speaker": "doctor", "transcript": "Great. Have a great day. Good luck with your work. Thank you. Bye bye. Bye bye."}, {"turn_id": 132, "speaker": "patient", "transcript": "Thank you. Thank you. You too. Bye bye."}]} |
primock57_5_10 | [
{
"speaker": "doctor",
"transcript": "Hi there. It's Doctor Smith from Babylon.",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "Can you confirm your name, date of birth, and your home address, please?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "Um, it's .",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": ". Um, I can't hear you at the moment actually. Could you turn it up, the, volume up?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "Uh, can you hear me better now?",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": ". Yeah, that's better. Thank you.",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "Um, OK. Sorry about that.",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "Are you in a private place you can have a consultation?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "Uh, yes.",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "What can I do for you today?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "Um, I've been having this, blinding headache for a few days. Um, and it's like, really bothering me and , I find it very hard to focus or, like I can't even go to work.",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "OK, and any headaches in the past before this?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "Not really just they're, on and off. Um, I recently had a, a one for like two days, um, but it just went away with Ibuprofen, so nothing like, more, longer than two days before.",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "So, how did this start?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "Um, it just started all of a sudden. I woke up one morning with a headache, and that was three days ago, and I just keep having it.",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "Doesn't really go away with Ibuprofen either, I try that, but it just. It gets a little bit better but like, doesn't go away.",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "OK, and whereabouts in your head is the pain?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "Um, it's kind of all over but, I feel like over my right eye, it's um bit, stronger.",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "OK. Any problems with your vision? Or, any problems tolerating the light?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "Um, lights definitely make me more sensitive. Like, um, I don't really, like strong lights.",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "Um, and um, yeah, vision I think, I get this, shooting light sometimes.",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "Um, not sure how to explain it. Just a bit of um, weird kind of vision.",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "OK, and um, any, any nausea or vomiting?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "Uh, no, feeling a bit sick, but no vomiting.",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "Any tingling? Or numbness? Or weakness anywhere?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "Um, no.",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "Any change in your smell or taste?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "No, none at all.",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "Um, and, in the past, when you've had headaches, what have they been like?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "Um, I was sick but I had no more headache, it's just um, a bit of a pressure, in between my eyes, um.",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "But nothing major.",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "OK, and, with, with this, has it been there all the time? Or is it coming and going?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "Kinda all the time. Um, so when I take Ibuprofen it gets a bit better, so it's a bit, like less um, it, it bothered me less, but then I still have it, it's still there.",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "Um, and what would you say, the severity is? If, if ten is the worst pain you've ever had, and zero is nothing, what would you say the pain is like?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "I guess it's mostly, eight, and then it kinda comes down to maybe a five.",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "OK, and what about at night-time, are you able to fall asleep?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "Um, yeah, I'm, sleeping well.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "Is it waking you up in the night-time?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "No, no, no. But I can wake up with it in the morning.",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "OK. Any worse when you change position, or bend over, or cough, or anything like that?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "Mmm.",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "Sometimes when I stand up, quickly I get a bit of a, stabbing pain. Um, or if I throw my head like, it I kind of feel like something is moving inside.",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "OK. And have you had any, uh, eye checks recently?",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "Um, yeah, actually had one recently and, nothing changed my vision.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "OK. And have you had any cold symptoms, sore throat, sore ears, or pain over the sinuses? Any cough or flem?",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "No, no.",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "No. Any, any nose bleeds, or coughing up any blood or anything?",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "And just recently, have you been well, or have you had any general problems? Any change in your weight? Or, tiredness, lack of energy, anything like that?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "Um, no change of weight, maybe um, lack of energy but it might be because, I'm just having these headaches. so I'm find it quite difficult to go through my daily activities , you know when you have this constant headache.",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "Have you been at work recently?",
"turn_id": 54
},
{
"speaker": "patient",
"transcript": "Um, I work from home but, couldn't really manage to, do it all the time. So sometimes I just took a day off.",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "So, you've been, you've had a headache for three days. , how many days have you missed off work?",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "Um, so I worked from home all these three days and, um. First day I worked from home and then, um, the second I just took the whole day off. And, today I just tried to work from home the first half of the day but, I, I just stopped in the morning 'cause, I couldn't focus.",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "OK. And, any other, medical problems in the past?",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "Um, I think I only had a, a pain, um, when I was younger but, no causes found and that went away, but that's, the only thing I know of.",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "OK. Have you been abroad recently at all?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "Do you take any medications?",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "Um, just the pill.",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "Which one?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Um, .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "And when did you start that?",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "Um, about a year ago.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "Any side effects with that?",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "Uh, no I don't think so.",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "Have you noticed any, any um, increased frequency of headaches since you started that?",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "Um, no, , these headaches just very recently, but nothing um, but nothing really changes.",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "OK. And when you'd , when you've had, when you described your headaches in the past, you said they were just general. Did you have any visual symptoms? Flashing lights? Nausea, vomiting with them?",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "No, no.",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "No nothing, none of those.",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "Have you had your blood pressure checked recently with your pill?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "Um, yeah, I had it checked in the pharmacy when I got the pill, and they say it was normal.",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "And when was that?",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "Uh, a year ago.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "OK. Um, and any allergies to anything?",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "And who do you live with at home?",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Sorry?",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "Who do you live with at home?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "Uh, just by myself.",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "OK. And do you smoke?",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "Uh, no.",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "Do you drink any alcohol regularly?",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "How much in a normal week do you think?",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "Um, probably like, three , once a week.",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": ". OK. And do you take any other drugs at all?",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "Um, no apart from the Ibuprofen that I take, sometimes when, the headache gets really bad, nothing else.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 96
},
{
"speaker": "doctor",
"transcript": "Um. So, uh, I mean it's obviously the first time you've had such a bad headache. And you said you'd had some altered light in front of your eyes as well?",
"turn_id": 97
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 98
},
{
"speaker": "doctor",
"transcript": "But you haven't had a high temperature. Have you checked your temperature?",
"turn_id": 99
},
{
"speaker": "patient",
"transcript": "Uh, no I didn't, I don't really feel, feverish or anything.",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "OK. Um, I mean it, it, it could possibly be a migraine type headache.",
"turn_id": 101
},
{
"speaker": "doctor",
"transcript": "But, the fact it's still ongoing for three days, we probably should, book you into an appointment to get an examination.",
"turn_id": 102
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "Um, obviously , if it settles, in the meantime then, we can cancel that. But we should do a neurological examination, look at the back of your eyes as well.",
"turn_id": 104
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 105
},
{
"speaker": "doctor",
"transcript": "Um, in terms of medication, I can prescribe you something, similar to Ibuprofen, but a bit stronger which you can take instead of Ibuprofen. And you can also take Paracetamol at the same time.",
"turn_id": 106
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 107
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 108
},
{
"speaker": "doctor",
"transcript": "So if you're happy to book a, , appointment with us, with the support line, for us to do a full examination.",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "And start, the medication which I prescribe to you, take it with food.",
"turn_id": 110
},
{
"speaker": "doctor",
"transcript": "If, if you're, you said that when you go to bed your headache's, OK, and not waking you up in the night-time.",
"turn_id": 111
},
{
"speaker": "patient",
"transcript": "Yeah it's not, um but, you mentioned migraine and that um, reminded that, my mum, suffers from, like she has migraines, um.",
"turn_id": 112
},
{
"speaker": "doctor",
"transcript": "OK. Any other family history of medical problems?",
"turn_id": 113
},
{
"speaker": "patient",
"transcript": "Um, no I think that's it, but I know that my mum like, she has quite bad migraines, she's like, has the vomiting and everything, .",
"turn_id": 114
},
{
"speaker": "doctor",
"transcript": "OK that's fine. Um, I mean if, if in the meantime before your appointment your, headache is getting unbearable, getting worse or changing. Then , um, if it's that bad, then you should go to A and E and have an examination.",
"turn_id": 115
},
{
"speaker": "doctor",
"transcript": "Um, , you can call us for further advice on that.",
"turn_id": 116
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 117
},
{
"speaker": "patient",
"transcript": "Mm-hmm, OK.",
"turn_id": 118
},
{
"speaker": "doctor",
"transcript": "And when, when you have a, an examination with us, we'll check your blood pressure as well.",
"turn_id": 119
},
{
"speaker": "doctor",
"transcript": "Just to, make sure your pill's still appropriate for you, because sometimes if we, if we do think it's a migraine, then you would have to change your pill. If you've had these flashing lights, and things like that.",
"turn_id": 120
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 121
},
{
"speaker": "patient",
"transcript": "OK, .",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "Is there anything in the pill that can cause it? Or is it?",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "Well , some , so that pill if you were having , regular migraines with um, flashing lights, or , other symptoms. It wouldn't be suitable to stay on that pill, particularly, we'd have to change it to something else.",
"turn_id": 124
},
{
"speaker": "patient",
"transcript": "All right.",
"turn_id": 125
},
{
"speaker": "doctor",
"transcript": "But you can carry on with that for the moment.",
"turn_id": 126
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "Have you got any other questions?",
"turn_id": 128
},
{
"speaker": "patient",
"transcript": "Um, so will you like, um, send me a referral to a specialist, or do I have to to confirm?",
"turn_id": 129
},
{
"speaker": "doctor",
"transcript": "Uh.",
"turn_id": 130
},
{
"speaker": "doctor",
"transcript": "Yeah, if you book an appointment with the support team, then we can do a full examination then.",
"turn_id": 131
},
{
"speaker": "patient",
"transcript": "OK. Perfect.",
"turn_id": 132
},
{
"speaker": "doctor",
"transcript": "All right then. Take care.",
"turn_id": 133
},
{
"speaker": "patient",
"transcript": "Thank you very much.",
"turn_id": 134
},
{
"speaker": "doctor",
"transcript": "Bye.",
"turn_id": 135
}
] | [
{
"description": "Paracetamol take it with food.",
"order_type": "medication",
"provenance": [
132,
138,
141
],
"reason": "could possibly be a migraine type headache."
}
] | {"id": "primock57_5_10", "expected_orders": [{"order_type": "medication", "description": "Paracetamol take it with food.", "reason": "could possibly be a migraine type headache.", "provenance": [132, 138, 141]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "Hi there. It's Doctor Smith from Babylon."}, {"turn_id": 2, "speaker": "doctor", "transcript": "Can you confirm your name, date of birth, and your home address, please?"}, {"turn_id": 3, "speaker": "patient", "transcript": "Um, it's ."}, {"turn_id": 4, "speaker": "patient", "transcript": ""}, {"turn_id": 5, "speaker": "doctor", "transcript": ". Um, I can't hear you at the moment actually. Could you turn it up, the, volume up?"}, {"turn_id": 6, "speaker": "patient", "transcript": "Uh, can you hear me better now?"}, {"turn_id": 7, "speaker": "doctor", "transcript": ". Yeah, that's better. Thank you."}, {"turn_id": 8, "speaker": "patient", "transcript": "Um, OK. Sorry about that."}, {"turn_id": 9, "speaker": "doctor", "transcript": "Are you in a private place you can have a consultation?"}, {"turn_id": 10, "speaker": "patient", "transcript": "Uh, yes."}, {"turn_id": 11, "speaker": "doctor", "transcript": "What can I do for you today?"}, {"turn_id": 12, "speaker": "patient", "transcript": "Um, I've been having this, blinding headache for a few days. Um, and it's like, really bothering me and , I find it very hard to focus or, like I can't even go to work."}, {"turn_id": 13, "speaker": "doctor", "transcript": "OK, and any headaches in the past before this?"}, {"turn_id": 14, "speaker": "patient", "transcript": "Not really just they're, on and off. Um, I recently had a, a one for like two days, um, but it just went away with Ibuprofen, so nothing like, more, longer than two days before."}, {"turn_id": 15, "speaker": "doctor", "transcript": "So, how did this start?"}, {"turn_id": 16, "speaker": "patient", "transcript": "Um, it just started all of a sudden. I woke up one morning with a headache, and that was three days ago, and I just keep having it."}, {"turn_id": 17, "speaker": "patient", "transcript": "Doesn't really go away with Ibuprofen either, I try that, but it just. It gets a little bit better but like, doesn't go away."}, {"turn_id": 18, "speaker": "doctor", "transcript": "OK, and whereabouts in your head is the pain?"}, {"turn_id": 19, "speaker": "patient", "transcript": "Um, it's kind of all over but, I feel like over my right eye, it's um bit, stronger."}, {"turn_id": 20, "speaker": "doctor", "transcript": "OK. Any problems with your vision? Or, any problems tolerating the light?"}, {"turn_id": 21, "speaker": "patient", "transcript": "Um, lights definitely make me more sensitive. Like, um, I don't really, like strong lights."}, {"turn_id": 22, "speaker": "patient", "transcript": "Um, and um, yeah, vision I think, I get this, shooting light sometimes."}, {"turn_id": 23, "speaker": "patient", "transcript": "Um, not sure how to explain it. Just a bit of um, weird kind of vision."}, {"turn_id": 24, "speaker": "doctor", "transcript": "OK, and um, any, any nausea or vomiting?"}, {"turn_id": 25, "speaker": "patient", "transcript": "Uh, no, feeling a bit sick, but no vomiting."}, {"turn_id": 26, "speaker": "doctor", "transcript": "Any tingling? Or numbness? Or weakness anywhere?"}, {"turn_id": 27, "speaker": "patient", "transcript": "Um, no."}, {"turn_id": 28, "speaker": "doctor", "transcript": "Any change in your smell or taste?"}, {"turn_id": 29, "speaker": "patient", "transcript": "No, none at all."}, {"turn_id": 30, "speaker": "doctor", "transcript": "Um, and, in the past, when you've had headaches, what have they been like?"}, {"turn_id": 31, "speaker": "patient", "transcript": "Um, I was sick but I had no more headache, it's just um, a bit of a pressure, in between my eyes, um."}, {"turn_id": 32, "speaker": "patient", "transcript": "But nothing major."}, {"turn_id": 33, "speaker": "doctor", "transcript": "OK, and, with, with this, has it been there all the time? Or is it coming and going?"}, {"turn_id": 34, "speaker": "patient", "transcript": "Kinda all the time. Um, so when I take Ibuprofen it gets a bit better, so it's a bit, like less um, it, it bothered me less, but then I still have it, it's still there."}, {"turn_id": 35, "speaker": "doctor", "transcript": "Um, and what would you say, the severity is? If, if ten is the worst pain you've ever had, and zero is nothing, what would you say the pain is like?"}, {"turn_id": 36, "speaker": "patient", "transcript": "I guess it's mostly, eight, and then it kinda comes down to maybe a five."}, {"turn_id": 37, "speaker": "doctor", "transcript": "OK, and what about at night-time, are you able to fall asleep?"}, {"turn_id": 38, "speaker": "patient", "transcript": "Um, yeah, I'm, sleeping well."}, {"turn_id": 39, "speaker": "doctor", "transcript": "Is it waking you up in the night-time?"}, {"turn_id": 40, "speaker": "patient", "transcript": "No, no, no. But I can wake up with it in the morning."}, {"turn_id": 41, "speaker": "doctor", "transcript": "OK. Any worse when you change position, or bend over, or cough, or anything like that?"}, {"turn_id": 42, "speaker": "patient", "transcript": "Mmm."}, {"turn_id": 43, "speaker": "patient", "transcript": "Sometimes when I stand up, quickly I get a bit of a, stabbing pain. Um, or if I throw my head like, it I kind of feel like something is moving inside."}, {"turn_id": 44, "speaker": "doctor", "transcript": "OK. And have you had any, uh, eye checks recently?"}, {"turn_id": 45, "speaker": "patient", "transcript": "Um, yeah, actually had one recently and, nothing changed my vision."}, {"turn_id": 46, "speaker": "doctor", "transcript": "OK. And have you had any cold symptoms, sore throat, sore ears, or pain over the sinuses? Any cough or flem?"}, {"turn_id": 47, "speaker": "patient", "transcript": "No, no."}, {"turn_id": 48, "speaker": "patient", "transcript": ""}, {"turn_id": 49, "speaker": "doctor", "transcript": "No. Any, any nose bleeds, or coughing up any blood or anything?"}, {"turn_id": 50, "speaker": "patient", "transcript": "No."}, {"turn_id": 51, "speaker": "doctor", "transcript": "And just recently, have you been well, or have you had any general problems? Any change in your weight? Or, tiredness, lack of energy, anything like that?"}, {"turn_id": 52, "speaker": "patient", "transcript": "Um, no change of weight, maybe um, lack of energy but it might be because, I'm just having these headaches. so I'm find it quite difficult to go through my daily activities , you know when you have this constant headache."}, {"turn_id": 53, "speaker": "doctor", "transcript": ""}, {"turn_id": 54, "speaker": "doctor", "transcript": "Have you been at work recently?"}, {"turn_id": 55, "speaker": "patient", "transcript": "Um, I work from home but, couldn't really manage to, do it all the time. So sometimes I just took a day off."}, {"turn_id": 56, "speaker": "doctor", "transcript": "So, you've been, you've had a headache for three days. , how many days have you missed off work?"}, {"turn_id": 57, "speaker": "patient", "transcript": "Um, so I worked from home all these three days and, um. First day I worked from home and then, um, the second I just took the whole day off. And, today I just tried to work from home the first half of the day but, I, I just stopped in the morning 'cause, I couldn't focus."}, {"turn_id": 58, "speaker": "doctor", "transcript": "OK. And, any other, medical problems in the past?"}, {"turn_id": 59, "speaker": "patient", "transcript": "Um, I think I only had a, a pain, um, when I was younger but, no causes found and that went away, but that's, the only thing I know of."}, {"turn_id": 60, "speaker": "doctor", "transcript": ""}, {"turn_id": 61, "speaker": "doctor", "transcript": "OK. Have you been abroad recently at all?"}, {"turn_id": 62, "speaker": "patient", "transcript": "No."}, {"turn_id": 63, "speaker": "doctor", "transcript": "Do you take any medications?"}, {"turn_id": 64, "speaker": "patient", "transcript": "Um, just the pill."}, {"turn_id": 65, "speaker": "doctor", "transcript": "Which one?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Um, ."}, {"turn_id": 67, "speaker": "doctor", "transcript": "And when did you start that?"}, {"turn_id": 68, "speaker": "patient", "transcript": "Um, about a year ago."}, {"turn_id": 69, "speaker": "doctor", "transcript": "Any side effects with that?"}, {"turn_id": 70, "speaker": "patient", "transcript": "Uh, no I don't think so."}, {"turn_id": 71, "speaker": "doctor", "transcript": "Have you noticed any, any um, increased frequency of headaches since you started that?"}, {"turn_id": 72, "speaker": "patient", "transcript": "Um, no, , these headaches just very recently, but nothing um, but nothing really changes."}, {"turn_id": 73, "speaker": "doctor", "transcript": ""}, {"turn_id": 74, "speaker": "doctor", "transcript": "OK. And when you'd , when you've had, when you described your headaches in the past, you said they were just general. Did you have any visual symptoms? Flashing lights? Nausea, vomiting with them?"}, {"turn_id": 75, "speaker": "patient", "transcript": "No."}, {"turn_id": 76, "speaker": "patient", "transcript": "No, no."}, {"turn_id": 77, "speaker": "patient", "transcript": "No nothing, none of those."}, {"turn_id": 78, "speaker": "doctor", "transcript": "Have you had your blood pressure checked recently with your pill?"}, {"turn_id": 79, "speaker": "patient", "transcript": "Um, yeah, I had it checked in the pharmacy when I got the pill, and they say it was normal."}, {"turn_id": 80, "speaker": "doctor", "transcript": "And when was that?"}, {"turn_id": 81, "speaker": "patient", "transcript": "Uh, a year ago."}, {"turn_id": 82, "speaker": "doctor", "transcript": "OK. Um, and any allergies to anything?"}, {"turn_id": 83, "speaker": "patient", "transcript": "No."}, {"turn_id": 84, "speaker": "doctor", "transcript": "And who do you live with at home?"}, {"turn_id": 85, "speaker": "patient", "transcript": "Sorry?"}, {"turn_id": 86, "speaker": "doctor", "transcript": "Who do you live with at home?"}, {"turn_id": 87, "speaker": "patient", "transcript": "Uh, just by myself."}, {"turn_id": 88, "speaker": "doctor", "transcript": "OK. And do you smoke?"}, {"turn_id": 89, "speaker": "patient", "transcript": "Uh, no."}, {"turn_id": 90, "speaker": "doctor", "transcript": "Do you drink any alcohol regularly?"}, {"turn_id": 91, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 92, "speaker": "doctor", "transcript": "How much in a normal week do you think?"}, {"turn_id": 93, "speaker": "patient", "transcript": "Um, probably like, three , once a week."}, {"turn_id": 94, "speaker": "doctor", "transcript": ". OK. And do you take any other drugs at all?"}, {"turn_id": 95, "speaker": "patient", "transcript": "Um, no apart from the Ibuprofen that I take, sometimes when, the headache gets really bad, nothing else."}, {"turn_id": 96, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 97, "speaker": "doctor", "transcript": "Um. So, uh, I mean it's obviously the first time you've had such a bad headache. And you said you'd had some altered light in front of your eyes as well?"}, {"turn_id": 98, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 99, "speaker": "doctor", "transcript": "But you haven't had a high temperature. Have you checked your temperature?"}, {"turn_id": 100, "speaker": "patient", "transcript": "Uh, no I didn't, I don't really feel, feverish or anything."}, {"turn_id": 101, "speaker": "doctor", "transcript": "OK. Um, I mean it, it, it could possibly be a migraine type headache."}, {"turn_id": 102, "speaker": "doctor", "transcript": "But, the fact it's still ongoing for three days, we probably should, book you into an appointment to get an examination."}, {"turn_id": 103, "speaker": "patient", "transcript": ""}, {"turn_id": 104, "speaker": "doctor", "transcript": "Um, obviously , if it settles, in the meantime then, we can cancel that. But we should do a neurological examination, look at the back of your eyes as well."}, {"turn_id": 105, "speaker": "patient", "transcript": "OK."}, {"turn_id": 106, "speaker": "doctor", "transcript": "Um, in terms of medication, I can prescribe you something, similar to Ibuprofen, but a bit stronger which you can take instead of Ibuprofen. And you can also take Paracetamol at the same time."}, {"turn_id": 107, "speaker": "patient", "transcript": ""}, {"turn_id": 108, "speaker": "patient", "transcript": "OK."}, {"turn_id": 109, "speaker": "doctor", "transcript": "So if you're happy to book a, , appointment with us, with the support line, for us to do a full examination."}, {"turn_id": 110, "speaker": "doctor", "transcript": "And start, the medication which I prescribe to you, take it with food."}, {"turn_id": 111, "speaker": "doctor", "transcript": "If, if you're, you said that when you go to bed your headache's, OK, and not waking you up in the night-time."}, {"turn_id": 112, "speaker": "patient", "transcript": "Yeah it's not, um but, you mentioned migraine and that um, reminded that, my mum, suffers from, like she has migraines, um."}, {"turn_id": 113, "speaker": "doctor", "transcript": "OK. Any other family history of medical problems?"}, {"turn_id": 114, "speaker": "patient", "transcript": "Um, no I think that's it, but I know that my mum like, she has quite bad migraines, she's like, has the vomiting and everything, ."}, {"turn_id": 115, "speaker": "doctor", "transcript": "OK that's fine. Um, I mean if, if in the meantime before your appointment your, headache is getting unbearable, getting worse or changing. Then , um, if it's that bad, then you should go to A and E and have an examination."}, {"turn_id": 116, "speaker": "doctor", "transcript": "Um, , you can call us for further advice on that."}, {"turn_id": 117, "speaker": "patient", "transcript": "OK."}, {"turn_id": 118, "speaker": "patient", "transcript": "Mm-hmm, OK."}, {"turn_id": 119, "speaker": "doctor", "transcript": "And when, when you have a, an examination with us, we'll check your blood pressure as well."}, {"turn_id": 120, "speaker": "doctor", "transcript": "Just to, make sure your pill's still appropriate for you, because sometimes if we, if we do think it's a migraine, then you would have to change your pill. If you've had these flashing lights, and things like that."}, {"turn_id": 121, "speaker": "patient", "transcript": ""}, {"turn_id": 122, "speaker": "patient", "transcript": "OK, ."}, {"turn_id": 123, "speaker": "patient", "transcript": "Is there anything in the pill that can cause it? Or is it?"}, {"turn_id": 124, "speaker": "doctor", "transcript": "Well , some , so that pill if you were having , regular migraines with um, flashing lights, or , other symptoms. It wouldn't be suitable to stay on that pill, particularly, we'd have to change it to something else."}, {"turn_id": 125, "speaker": "patient", "transcript": "All right."}, {"turn_id": 126, "speaker": "doctor", "transcript": "But you can carry on with that for the moment."}, {"turn_id": 127, "speaker": "patient", "transcript": "OK."}, {"turn_id": 128, "speaker": "doctor", "transcript": "Have you got any other questions?"}, {"turn_id": 129, "speaker": "patient", "transcript": "Um, so will you like, um, send me a referral to a specialist, or do I have to to confirm?"}, {"turn_id": 130, "speaker": "doctor", "transcript": "Uh."}, {"turn_id": 131, "speaker": "doctor", "transcript": "Yeah, if you book an appointment with the support team, then we can do a full examination then."}, {"turn_id": 132, "speaker": "patient", "transcript": "OK. Perfect."}, {"turn_id": 133, "speaker": "doctor", "transcript": "All right then. Take care."}, {"turn_id": 134, "speaker": "patient", "transcript": "Thank you very much."}, {"turn_id": 135, "speaker": "doctor", "transcript": "Bye."}]} |
acibench_D2N091_virtassist_clinicalnlp_taskB_test1 | [
{
"speaker": "doctor",
"transcript": "hi jerry , how are you doing ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hi , good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "good to see you as well . um , so i know that the nurse told you about dax . i'd like to tell dax about you .",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "jerry is a 54 year old male with a past medical history , significant for osteoporosis and multiple sclerosis who presents for an annual exam . so jerry , what's been going on since the last time i saw you ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "uh , we have been traveling all over the country . it's been kind of a stressful summer . kinda adjusting to everything in the fall and so far it's been good , but ah , lack of sleep , it's been really getting to me .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay . all right . and have you taken anything for the insomnia . have you tried any strategies for it .",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i've tried everything from melatonin to meditation to , uh , t- stretching out every morning when i get up . nothing really seems to help though .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay . all right .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "in terms of your osteoporosis , i know we have you on fosamax , any issues with your joints , any issues like-",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "no broken bones recently ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "no , nothing like that ?",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "okay . and then in terms of your multiple sclerosis , when was the last time you saw the neurologist ?",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "uh , about six months ago .",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "okay and you're taking the medication ?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "okay . and any issues with that ?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "none whatsoever .",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "and any additional weakness ? i know you were having some issues with your right leg , but that seems to have improved or ?",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "yes a lingering issue with my knee surgery . but other than that it's been fine .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "pretty , pretty strong , n- nothing , nothing out of the ordinary .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "okay . all right , well i know you did a review of systems sheet when you checked in .",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "and you were endorsing that insomnia . any other issues , chest pain , shortness of breath , anything ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "all right . well lets go ahead and do a quick physical exam .",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "hey dragon , show me the vital signs . so your vital signs here in the office they look really good . i'm just going to listen to your heart and lungs and let you know what i find .",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "okay . on physical examination everything looks good . you know your lungs are nice and clear . your heart sounds good . you know you do have some weakness of your lower extremities . the right is about 4 out of 5 , the left is about 3 out of 5 . but you reflexes are really good so i'm , i'm encouraged by that . and you do have some , you know , arthritic changes of the right knee .",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "um , so let's go over some of your results , okay ?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "hey dragon , show me the right knee x-ray . and here's the x-ray of your right knee , which shows some changes from arthritis , but otherwise that looks good . so let's talk a little bit about my assessment and plan . from an osteoporosis standpoint , we'll go ahead and order , you know , re- continue on the fosamax . do you need a refill on that ?",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "actually i do .",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "hey dragon , order a refill of fosamax 1 tab per week , 11 refills . and then in t- , for your second problem , your multiple sclerosis i want you to go ahead and continue to see the neurologist and continue on those medications . and let me know if you need anything from that standpoint , okay ?",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "any questions ?",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "not at this point , no .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "okay , great . hey dragon , finalize the note .",
"turn_id": 44
}
] | [
{
"description": "fosamax 1 tab per week 11 refills",
"order_type": "medication",
"provenance": [
67,
70
],
"reason": "osteoporosis"
}
] | {"id": "acibench_D2N091_virtassist_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "medication", "description": "fosamax 1 tab per week 11 refills", "reason": "osteoporosis", "provenance": [67, 70]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi jerry , how are you doing ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "hi , good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "good to see you as well . um , so i know that the nurse told you about dax . i'd like to tell dax about you ."}, {"turn_id": 4, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "jerry is a 54 year old male with a past medical history , significant for osteoporosis and multiple sclerosis who presents for an annual exam . so jerry , what's been going on since the last time i saw you ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "uh , we have been traveling all over the country . it's been kind of a stressful summer . kinda adjusting to everything in the fall and so far it's been good , but ah , lack of sleep , it's been really getting to me ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay . all right . and have you taken anything for the insomnia . have you tried any strategies for it ."}, {"turn_id": 8, "speaker": "patient", "transcript": "i've tried everything from melatonin to meditation to , uh , t- stretching out every morning when i get up . nothing really seems to help though ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay . all right ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "in terms of your osteoporosis , i know we have you on fosamax , any issues with your joints , any issues like-"}, {"turn_id": 11, "speaker": "patient", "transcript": "no ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "no broken bones recently ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "no ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "no , nothing like that ?"}, {"turn_id": 15, "speaker": "patient", "transcript": "no ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "okay . and then in terms of your multiple sclerosis , when was the last time you saw the neurologist ?"}, {"turn_id": 17, "speaker": "patient", "transcript": "uh , about six months ago ."}, {"turn_id": 18, "speaker": "doctor", "transcript": "okay and you're taking the medication ?"}, {"turn_id": 19, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 20, "speaker": "doctor", "transcript": "okay . and any issues with that ?"}, {"turn_id": 21, "speaker": "patient", "transcript": "none whatsoever ."}, {"turn_id": 22, "speaker": "doctor", "transcript": "and any additional weakness ? i know you were having some issues with your right leg , but that seems to have improved or ?"}, {"turn_id": 23, "speaker": "patient", "transcript": "yes a lingering issue with my knee surgery . but other than that it's been fine ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 25, "speaker": "patient", "transcript": "pretty , pretty strong , n- nothing , nothing out of the ordinary ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "okay . all right , well i know you did a review of systems sheet when you checked in ."}, {"turn_id": 27, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "and you were endorsing that insomnia . any other issues , chest pain , shortness of breath , anything ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "no ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "all right . well lets go ahead and do a quick physical exam ."}, {"turn_id": 31, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "hey dragon , show me the vital signs . so your vital signs here in the office they look really good . i'm just going to listen to your heart and lungs and let you know what i find ."}, {"turn_id": 33, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "okay . on physical examination everything looks good . you know your lungs are nice and clear . your heart sounds good . you know you do have some weakness of your lower extremities . the right is about 4 out of 5 , the left is about 3 out of 5 . but you reflexes are really good so i'm , i'm encouraged by that . and you do have some , you know , arthritic changes of the right knee ."}, {"turn_id": 35, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "um , so let's go over some of your results , okay ?"}, {"turn_id": 37, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "hey dragon , show me the right knee x-ray . and here's the x-ray of your right knee , which shows some changes from arthritis , but otherwise that looks good . so let's talk a little bit about my assessment and plan . from an osteoporosis standpoint , we'll go ahead and order , you know , re- continue on the fosamax . do you need a refill on that ?"}, {"turn_id": 39, "speaker": "patient", "transcript": "actually i do ."}, {"turn_id": 40, "speaker": "doctor", "transcript": "hey dragon , order a refill of fosamax 1 tab per week , 11 refills . and then in t- , for your second problem , your multiple sclerosis i want you to go ahead and continue to see the neurologist and continue on those medications . and let me know if you need anything from that standpoint , okay ?"}, {"turn_id": 41, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "any questions ?"}, {"turn_id": 43, "speaker": "patient", "transcript": "not at this point , no ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "okay , great . hey dragon , finalize the note ."}]} |
acibench_D2N108_aci_clinicalnlp_taskB_test1 | [
{
"speaker": "doctor",
"transcript": "hey gregory good to see you today so take a look at my notes and i see that you're here you've had a nonhealing foot ulcer so can you tell me how you're doing how long have you had it what's going on with it",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "sure so i've had it for about two months now and it's recently become red and is draining so i was concerned about how it's healed",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay and when you when you got it would you have any trauma to your foot or it just just did it pop up all of a sudden",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "i think i may have gotten it from walking barefoot on the beach",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay alright and i saw you you did see your pcp before you came in did they put you on antibiotics",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "they did start me on some medication but i did n't i did n't pick them up from the pharmacy yet",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay do you know which ones that they prescribed for you",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i do n't recall the name exactly",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "do n't recall alright",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "something i had taken it before",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay so when you what beach did you go to when you you hurt it",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "i'm sorry",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "so i was asking which beach did you did you go to when you hurt your foot",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "at i was at dewey beach in my ambulance",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "dewey beach wow that sounds like fun i wish i could be a mab right now but all or as lucky as i guess as you are to go to dewey beach okay so does it hurt",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "it sometimes it throbs does n't i do n't have specific pain but sometimes it does feel like there is some throbbing going on and again my my biggest concern is the it started to drain and it looks a little red",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i have n't had that before",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay and that makes sense alright so as far as your diabetes you know and i think that's probably a a major cause of this not being able to heal how well are how well is that controlled",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "i take my medication but i do n't check my sugar all the time",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay do you",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "i'm not really sure how",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay do you know what your last a1c is i'm pretty sure you doc talk to you about it",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "i think they told me it was around ten",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "around ten okay yeah that that's that's definitely pretty high yeah you definitely if your if your pcp has n't gotten created treatment plan for you definitely need to go back and see them so you can get that controlled alright so let me do a quick physical exam on your foot here today your vital signs look normal you do n't have a fever so let me just take a look at your foot so on your foot exam there is a one by two inch circular wound on the dorsal aspect of the lateral right foot so it's just proximal to the fifth mtp joint there is some redness some drainage present you have some edema around it there is fluid like you said that's coming out of it i do n't see any necrosis you do n't have any odor and i do n't appreciate any bony exposure so it pretty much is like you said it's it's red it's swollen i think you have an infection in there as well so when i touch it does that hurt",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "no i i feel like increased pressure but it's not distinct",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay alright that's good so before you came in we did get an x-ray of your right foot and there is no evidence of osteomyelitis that means that luckily you do n't have a bone infection so that's great i think it's just in your skin so let's talk a little bit about your assessment and plan so you do have that diabetic foot ulcer and what i wan na do is i wan na order an abi ankle brachial index just to determine the blood supply in your foot to see if we can actually heal that ulcer i'm gon na also perform a debridement here just to take off some of that dead tissue and then i'm gon na prescribe you some clindamycin you can do that four hundred milligrams you take that for seven days take that twice a day just to try to get rid of that infection which you currently do have and that will get rid of some of that that redness and and drainage that that's happening right now did your doc did your pcp give you a surgical shoe something that you would wear while this is happening",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "they did n't they mentioned that you may be able to give it to me",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay yeah we could definitely get you a a shoe because if you wear your regular shoes that pressure on that foot can really irritate it and take you backwards so i'll get you a shoe where you can wear that for the next month you know we just wan na make sure that it does heal and then i wan na see you back again in two weeks and we can we'll possibly do another debridement at that time we'll just take a look and see how the tissue is doing so how does that sound",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "that sounds great",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "alright do you have any other question",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "i do if anything happens in between",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "please feel free to call the office yeah please feel free to call you call the office we can definitely get you in you know if you are having any other issues and if it's an emergency if you feel like you're getting a fever feeling well please go to the urgent care or the er if you feel getting black or anything like that but otherwise we'll see you back in two weeks",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "okay sounds great thanks document",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "alright great",
"turn_id": 35
}
] | [
{
"description": "see you back two weeks",
"order_type": "followup",
"provenance": [
29
],
"reason": null
},
{
"description": "clindamycin four hundred milligrams seven days twice a day",
"order_type": "medication",
"provenance": [
27
],
"reason": "diabetic foot ulcer infection"
}
] | {"id": "acibench_D2N108_aci_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "followup", "description": "see you back two weeks", "reason": null, "provenance": [29]}, {"order_type": "medication", "description": "clindamycin four hundred milligrams seven days twice a day", "reason": "diabetic foot ulcer infection", "provenance": [27]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey gregory good to see you today so take a look at my notes and i see that you're here you've had a nonhealing foot ulcer so can you tell me how you're doing how long have you had it what's going on with it"}, {"turn_id": 2, "speaker": "patient", "transcript": "sure so i've had it for about two months now and it's recently become red and is draining so i was concerned about how it's healed"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay and when you when you got it would you have any trauma to your foot or it just just did it pop up all of a sudden"}, {"turn_id": 4, "speaker": "patient", "transcript": "i think i may have gotten it from walking barefoot on the beach"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay alright and i saw you you did see your pcp before you came in did they put you on antibiotics"}, {"turn_id": 6, "speaker": "patient", "transcript": "they did start me on some medication but i did n't i did n't pick them up from the pharmacy yet"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay do you know which ones that they prescribed for you"}, {"turn_id": 8, "speaker": "patient", "transcript": "i do n't recall the name exactly"}, {"turn_id": 9, "speaker": "doctor", "transcript": "do n't recall alright"}, {"turn_id": 10, "speaker": "patient", "transcript": "something i had taken it before"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay so when you what beach did you go to when you you hurt it"}, {"turn_id": 12, "speaker": "patient", "transcript": "i'm sorry"}, {"turn_id": 13, "speaker": "doctor", "transcript": "so i was asking which beach did you did you go to when you hurt your foot"}, {"turn_id": 14, "speaker": "patient", "transcript": "at i was at dewey beach in my ambulance"}, {"turn_id": 15, "speaker": "doctor", "transcript": "dewey beach wow that sounds like fun i wish i could be a mab right now but all or as lucky as i guess as you are to go to dewey beach okay so does it hurt"}, {"turn_id": 16, "speaker": "patient", "transcript": "it sometimes it throbs does n't i do n't have specific pain but sometimes it does feel like there is some throbbing going on and again my my biggest concern is the it started to drain and it looks a little red"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 18, "speaker": "patient", "transcript": "i have n't had that before"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay and that makes sense alright so as far as your diabetes you know and i think that's probably a a major cause of this not being able to heal how well are how well is that controlled"}, {"turn_id": 20, "speaker": "patient", "transcript": "i take my medication but i do n't check my sugar all the time"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay do you"}, {"turn_id": 22, "speaker": "patient", "transcript": "i'm not really sure how"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay do you know what your last a1c is i'm pretty sure you doc talk to you about it"}, {"turn_id": 24, "speaker": "patient", "transcript": "i think they told me it was around ten"}, {"turn_id": 25, "speaker": "doctor", "transcript": "around ten okay yeah that that's that's definitely pretty high yeah you definitely if your if your pcp has n't gotten created treatment plan for you definitely need to go back and see them so you can get that controlled alright so let me do a quick physical exam on your foot here today your vital signs look normal you do n't have a fever so let me just take a look at your foot so on your foot exam there is a one by two inch circular wound on the dorsal aspect of the lateral right foot so it's just proximal to the fifth mtp joint there is some redness some drainage present you have some edema around it there is fluid like you said that's coming out of it i do n't see any necrosis you do n't have any odor and i do n't appreciate any bony exposure so it pretty much is like you said it's it's red it's swollen i think you have an infection in there as well so when i touch it does that hurt"}, {"turn_id": 26, "speaker": "patient", "transcript": "no i i feel like increased pressure but it's not distinct"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay alright that's good so before you came in we did get an x-ray of your right foot and there is no evidence of osteomyelitis that means that luckily you do n't have a bone infection so that's great i think it's just in your skin so let's talk a little bit about your assessment and plan so you do have that diabetic foot ulcer and what i wan na do is i wan na order an abi ankle brachial index just to determine the blood supply in your foot to see if we can actually heal that ulcer i'm gon na also perform a debridement here just to take off some of that dead tissue and then i'm gon na prescribe you some clindamycin you can do that four hundred milligrams you take that for seven days take that twice a day just to try to get rid of that infection which you currently do have and that will get rid of some of that that redness and and drainage that that's happening right now did your doc did your pcp give you a surgical shoe something that you would wear while this is happening"}, {"turn_id": 28, "speaker": "patient", "transcript": "they did n't they mentioned that you may be able to give it to me"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay yeah we could definitely get you a a shoe because if you wear your regular shoes that pressure on that foot can really irritate it and take you backwards so i'll get you a shoe where you can wear that for the next month you know we just wan na make sure that it does heal and then i wan na see you back again in two weeks and we can we'll possibly do another debridement at that time we'll just take a look and see how the tissue is doing so how does that sound"}, {"turn_id": 30, "speaker": "patient", "transcript": "that sounds great"}, {"turn_id": 31, "speaker": "doctor", "transcript": "alright do you have any other question"}, {"turn_id": 32, "speaker": "patient", "transcript": "i do if anything happens in between"}, {"turn_id": 33, "speaker": "doctor", "transcript": "please feel free to call the office yeah please feel free to call you call the office we can definitely get you in you know if you are having any other issues and if it's an emergency if you feel like you're getting a fever feeling well please go to the urgent care or the er if you feel getting black or anything like that but otherwise we'll see you back in two weeks"}, {"turn_id": 34, "speaker": "patient", "transcript": "okay sounds great thanks document"}, {"turn_id": 35, "speaker": "doctor", "transcript": "alright great"}]} |
acibench_D2N168_virtassist_clef_taskC_test3 | [
{
"speaker": "doctor",
"transcript": "hi diane , how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i'm doing okay , how are you ?",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "i'm doin' okay . so i know the nurse told you about dax and i'd like to tell dax a little bit about you okay ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "diane is a 28 year old female with a past medical history , significant for , depression and hypertension who presents for emergency room follow-up .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "so diane what's going on ? i heard that your- your blood pressure was really high in the emergency room . what happened ?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "yeah , so i ended up going for a walk , um , yesterday 'cause it was sunny and it was really great . and i just felt really light-headed , um , and i started to fall a bit , and , um , luckily i was with my boyfriend and he caught me , um , and then we went right to the e , to the er .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "yeah , okay . yeah , i saw that the blood pressure was pretty high , like in , like , the , almost 200 .",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "did you have a headache ?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "yeah i did .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "okay , all right . have your blood pressures been running high in the past ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "yeah , they have been . it's- it's , like , once a week , a month , it , kind of , just skyrockets .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "um , it usually ends up , um , being , i'm traveling a lot that week for work , so i'm not eating as well , um-",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "you're not taking your blood pressures , i take it-",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": ". when you're traveling ?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "yeah , no , i do n't bring my cuff with me .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "okay , but you did buy the cuff like we talked about in the past ?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "yes i did .",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "okay , all right . and are you taking your medication , are you taking the lisinopril ?",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "yes i am .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "okay , all right . um , so i think we had started you at a , kind of , a moderate dose , so we'll have to talk about that a little bit , okay ?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "then in terms of your depression , how are you doing ? i know that we did n't start you on medication , since you're on a bunch of other medications . what- what are your strategies for dealing with that and how are you doing ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "so last year i started therapy and i've been going once a week and that's really helped .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay , all right , great . and how is your support system ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "really great . my boyfriend , my mom , and my brother are- are s- , amazing and they're all super close to me , so it's been , it's been good .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "okay , well great . so i know you did a review of system sheet when you checked in and i know that you had the headache and the lightheadedness yesterday . do you have any other symptoms at this time , chest pain , shortness of breath , anything like that ?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "uh , i have a little bit of nasal congestion , but that's just from my seasonal allergies .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "okay , all right . well i want to go ahead and do a quick physical exam , okay ?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "hey , dragon , show me the blood pressure .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "so , yeah , looking at your blood pressure today here in the office , it does look a little elevated still , so we'll have to talk about that . so i'm just gon na listen to your heart and your lungs and we'll go from there okay ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "so on physical examination , i- i do n't appreciate any carotid bruits in your neck . your heart on your heart exam , it does show that you have a slight two out of six systolic ejection murmur . your , there , your lung exam shows nice clear lungs bilaterally and you do have some trace pitting edema to your lower extremities bilaterally . so what that means is , you know , i- i think ultimately , uh , you know we just need to get your blood pressure under better control , okay ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "um , uh , let me just go ahead , i want to take a look at some of your results , okay ?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "hey , dragon , show me the ecg .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "yeah , so in reviewing the results of your ekg , it looks the same as last year . um , you do have just blood , those changes from your chronic high blood pressure that we'll address , okay ?",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "hey , dragon , show me the echocardiogram .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "and this is just the echocardiogram from just a few months ago that just , you know , show that you have that slightly leaky heart valve , nothing to do for it , and that the heart murmur is stable , okay ?",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "so let's just talk a little bit about , you know , my assessment and my plan for you . so , for your first problem , your high blood pressure , it's not controlled at this time , so i want to go ahead and increase the lisinopril to 40 milligrams once a day . i want you to continue to check your blood pressures and report them to me through the patient portal and we'll have to make adjustments if necessary and maybe have to add a second agent , okay ?",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "and then for your second problem , uh , i want , you know , for your depression , i do n't think that we need to start you on any medication , it sounds like you're doing really well from that standpoint , but you know that you can contact me if you , if you need anything , okay ?",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "do you have any questions ?",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "no , not at this time .",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "okay , all right , well it's good to see you .",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "good seeing you too .",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "hey , dragon , finalize the note .",
"turn_id": 54
}
] | [
{
"description": "increase the lisinopril 40 milligrams once a day",
"order_type": "medication",
"provenance": [
6,
69
],
"reason": "hypertension"
}
] | {"id": "acibench_D2N168_virtassist_clef_taskC_test3", "expected_orders": [{"order_type": "medication", "description": "increase the lisinopril 40 milligrams once a day", "reason": "hypertension", "provenance": [6, 69]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi diane , how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "i'm doing okay , how are you ?"}, {"turn_id": 3, "speaker": "doctor", "transcript": "i'm doin' okay . so i know the nurse told you about dax and i'd like to tell dax a little bit about you okay ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "diane is a 28 year old female with a past medical history , significant for , depression and hypertension who presents for emergency room follow-up ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "so diane what's going on ? i heard that your- your blood pressure was really high in the emergency room . what happened ?"}, {"turn_id": 7, "speaker": "patient", "transcript": "yeah , so i ended up going for a walk , um , yesterday 'cause it was sunny and it was really great . and i just felt really light-headed , um , and i started to fall a bit , and , um , luckily i was with my boyfriend and he caught me , um , and then we went right to the e , to the er ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "yeah , okay . yeah , i saw that the blood pressure was pretty high , like in , like , the , almost 200 ."}, {"turn_id": 9, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "did you have a headache ?"}, {"turn_id": 11, "speaker": "patient", "transcript": "yeah i did ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "okay , all right . have your blood pressures been running high in the past ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "yeah , they have been . it's- it's , like , once a week , a month , it , kind of , just skyrockets ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 15, "speaker": "patient", "transcript": "um , it usually ends up , um , being , i'm traveling a lot that week for work , so i'm not eating as well , um-"}, {"turn_id": 16, "speaker": "doctor", "transcript": "you're not taking your blood pressures , i take it-"}, {"turn_id": 17, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 18, "speaker": "doctor", "transcript": ". when you're traveling ?"}, {"turn_id": 19, "speaker": "patient", "transcript": "yeah , no , i do n't bring my cuff with me ."}, {"turn_id": 20, "speaker": "doctor", "transcript": "okay , but you did buy the cuff like we talked about in the past ?"}, {"turn_id": 21, "speaker": "patient", "transcript": "yes i did ."}, {"turn_id": 22, "speaker": "doctor", "transcript": "okay , all right . and are you taking your medication , are you taking the lisinopril ?"}, {"turn_id": 23, "speaker": "patient", "transcript": "yes i am ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "okay , all right . um , so i think we had started you at a , kind of , a moderate dose , so we'll have to talk about that a little bit , okay ?"}, {"turn_id": 25, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "then in terms of your depression , how are you doing ? i know that we did n't start you on medication , since you're on a bunch of other medications . what- what are your strategies for dealing with that and how are you doing ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "so last year i started therapy and i've been going once a week and that's really helped ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay , all right , great . and how is your support system ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "really great . my boyfriend , my mom , and my brother are- are s- , amazing and they're all super close to me , so it's been , it's been good ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "okay , well great . so i know you did a review of system sheet when you checked in and i know that you had the headache and the lightheadedness yesterday . do you have any other symptoms at this time , chest pain , shortness of breath , anything like that ?"}, {"turn_id": 31, "speaker": "patient", "transcript": "uh , i have a little bit of nasal congestion , but that's just from my seasonal allergies ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "okay , all right . well i want to go ahead and do a quick physical exam , okay ?"}, {"turn_id": 33, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "hey , dragon , show me the blood pressure ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "so , yeah , looking at your blood pressure today here in the office , it does look a little elevated still , so we'll have to talk about that . so i'm just gon na listen to your heart and your lungs and we'll go from there okay ?"}, {"turn_id": 36, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "so on physical examination , i- i do n't appreciate any carotid bruits in your neck . your heart on your heart exam , it does show that you have a slight two out of six systolic ejection murmur . your , there , your lung exam shows nice clear lungs bilaterally and you do have some trace pitting edema to your lower extremities bilaterally . so what that means is , you know , i- i think ultimately , uh , you know we just need to get your blood pressure under better control , okay ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "um , uh , let me just go ahead , i want to take a look at some of your results , okay ?"}, {"turn_id": 40, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "hey , dragon , show me the ecg ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "yeah , so in reviewing the results of your ekg , it looks the same as last year . um , you do have just blood , those changes from your chronic high blood pressure that we'll address , okay ?"}, {"turn_id": 43, "speaker": "doctor", "transcript": "hey , dragon , show me the echocardiogram ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "and this is just the echocardiogram from just a few months ago that just , you know , show that you have that slightly leaky heart valve , nothing to do for it , and that the heart murmur is stable , okay ?"}, {"turn_id": 45, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "so let's just talk a little bit about , you know , my assessment and my plan for you . so , for your first problem , your high blood pressure , it's not controlled at this time , so i want to go ahead and increase the lisinopril to 40 milligrams once a day . i want you to continue to check your blood pressures and report them to me through the patient portal and we'll have to make adjustments if necessary and maybe have to add a second agent , okay ?"}, {"turn_id": 47, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 48, "speaker": "doctor", "transcript": "and then for your second problem , uh , i want , you know , for your depression , i do n't think that we need to start you on any medication , it sounds like you're doing really well from that standpoint , but you know that you can contact me if you , if you need anything , okay ?"}, {"turn_id": 49, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 50, "speaker": "doctor", "transcript": "do you have any questions ?"}, {"turn_id": 51, "speaker": "patient", "transcript": "no , not at this time ."}, {"turn_id": 52, "speaker": "doctor", "transcript": "okay , all right , well it's good to see you ."}, {"turn_id": 53, "speaker": "patient", "transcript": "good seeing you too ."}, {"turn_id": 54, "speaker": "doctor", "transcript": "hey , dragon , finalize the note ."}]} |
primock57_4_10 | [
{
"speaker": "patient",
"transcript": "Hello.",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "Hello, hi, how you doing?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "Hi. Good, thank you. How are you?",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "Fine thanks, yeah. I'm Joe, I'm one of the doctors at Babylon. Can i just confirm your name please?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "you. Um, my name's Lizzy Irvine. Um.",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "Twenty third of July, nineteen ninety five.",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "Great, thank you, Lizzy. Um, and are you, in a, confidential and comfortable space to talk?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "Yeah. Especially on a Friday. Comfortable.",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "Great. Um, how can I help?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "Yeah, just for the last couple of days, um, I've been, feeling, um, really sick in my, lower tummy.",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "Um, and I've had a bit of a temperature, so feeling quite like hot and sweaty. And it's yeah, getting really uncomfortable.",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "OK, so you've been feeling, uh nauseous. Um, and you've had some, pain in your lower tummy? Or you say you've been feeling sick in your lower tummy?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "Yeah, it's more of an ache. So, like an ache in my lower tummy. And then I, I think feeling hot and sweaty. So think it's sickness, but, yeah, bit of an ache.",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "OK. So a bit um. Feeling, hot, sweaty, unwell, for three days. Uh, feeling sick, nausea, um, with an ache in your lower tummy. Any actual vomiting?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "Um, so yeah, no just nauseous, no vomiting yet, luckily. And it's only been for a couple of days, but yeah.",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "Two days yeah. OK. Um, and uh, any problems with your waterworks or diarrhoea?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "No, so I'm, I'm going , I'm going to the loo a little bit more often than usual. Um, , I drink lots of water, but it does feel like more often.",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "about.",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "Yeah, like nothing, nothing too out of the ordinary. Um, and I was, I was a little bit like um, uh, I don't know constipated I guess, uh.",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "About a week ago, but I'm OK now.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "OK. So you've, bit constipated a week ago. Uh , things uh.",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "You're having regular bowel motions now. You said you had a, bit of, diarrhoea, or a bit of watery, did you say?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "No, it was more like I was just, a little bit bunged up, and then, about a week ago that kinda cleared, and I'm a, normal now.",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "OK. And, you say you're going, you're drinking lots of water. You're going to the toilet more frequently, for a wee, is that?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "Yes, yeah I'd say so. I, I tend to drink a lot of water anyway but, I feel like I'm going to the toilet, more.",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "Hmm. Any pain when you pass urine?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "Um, no, no pain.",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "No stinging?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "Uh, no. Just , it seems, normal yeah.",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "OK, and um, and sort of no foul smelling urine, or anything like that?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "Um, no, nothing, nothing I can think of, no.",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "You having, you're saying you, you're going a bit more frequently. And are you having to go with urgency, to the toilet, for a wee?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "No, there's no urgency. Um, yeah, no pain or urgency.",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "Just, yeah, peeing quite frequently, but it's all seeming normal. Yeah, I probably wouldn't have, thought of, it being, linked but, yeah.",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "All right so you're. Um, so the main symptom is feeling sick, uh with this. Uh, and you've been feeling bunged up, and this this sort of, pain in your tummy.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "Just to ask a few more question about the pain in your tummy. Is it, how would you describe the pain?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "Um, it's.",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "Yeah, it's like below my belly button. Um, it's, it's aching. Um, it does make me feel nauseous. Um.",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "Yeah, so it's kinda more like a, I guess like an, an, a, a dull ache. Um, just below the belly button, kind of, yeah, here.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "Um, and it's, it, is it constant? Or is it coming and going?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "Um, it's, yeah it's, feeling pretty constant, over the last couple of day.",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "It.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "Um, and just need to ask a few questions about, uh, your periods and stuff. Uh, any chance you could be pregnant at the moment?",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "Ooh, I don't know.",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "Um, probably not, I don't think so. I'm very careful.",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "sexually active at the moment?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "Yes, yeah.",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "And, um, .",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "You mentioned about periods. I did notice a bit of, um.",
"turn_id": 54
},
{
"speaker": "patient",
"transcript": "I don't know it's like , not necessarily like spotting, but in like, in my, my pee is like a little, I suppose. I think I thought it was my period, it's like a little bit, pink.",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "In your pee, did you say? Your, so your pee is slightly red? Or slightly pink?",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "But I am kind of like due, on my, didn't know if that was like, yeah, a part of it.",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "OK. So, when was your last menstrual period?",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "Um, around a month ago, yeah, three and a, three and a bit weeks ago.",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "Ah, OK. Um, so it's three .",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "And, uh, did you say? So you're sexually active, you're using contraception? And what?",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "Mm-hmm, yeah. I've got the arm, the implants.",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "Um.",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "And.",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "Uh, , one sexual partner? Um, a regular, regular boyfriend or?",
"turn_id": 66
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "Um.",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": ", to go back to your symptom of, uh, constipation. Can I just clarify, when was the last time you had a bowel motion?",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "Uh, yesterday.",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "OK, and, uh, do you feel like, you, are still quite bunged up at the moment?",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "Uh, no it seems to have cleared up. So I was, about a week ago, but I'm OK, OK now, the last few days.",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "Yeah, I K.",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "OK, all right. So you, just to sort of confirm your symptoms. Um, you're feeling sort of sick, nauseous, with tummy pain, which is fairly constant.",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "Um, how, , did the tummy pain come on suddenly or gradually?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "Um, it's only been for the last two days. Um, so I guess yeah, quite recently.",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "So it's, it's come on gradually, has it?",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "Not a sudden onset?",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "OK, and uh, your last menstrual period was just three and a bit weeks ago. Um, and you, but you say you've had some . A little bit of spotting, possibly before um, in-between periods, or recently.",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "Yeah, and the last kind of week or so, yeah, the last couple of days really.",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "But, because I was due on.",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Yeah, I, I think. Yeah, just the last couple of days.",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "OK, and, but you're expecting your period soon?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "Yes, yeah.",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "Sure. Um. OK, and just to ask a few questions. Are you, uh, do you have any other medical, uh, problems? Um, that I need to be aware of?",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "Uh.",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "Don't .",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "I'm um, allergic to Amoxicillin.",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "Allergic to Amoxicillin. Um, but no other medical problems, that you?",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "No, not that I'm aware of.",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": "Any drug allergies? Ohh, you mentioned Amoxicillin, but anything else?",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "No, that's it.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "Um, and, do you take any medications at the moment?",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "Um, no, no medications, but I'm on the implants. I think it's called um, Implanon.",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "Implanon, yeah sure. OK. Uh, do you smoke?",
"turn_id": 98
},
{
"speaker": "patient",
"transcript": "Or something.",
"turn_id": 99
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "OK, and uh, do you live with, uh, alone? With your partner?",
"turn_id": 101
},
{
"speaker": "patient",
"transcript": "With my boyfriend.",
"turn_id": 102
},
{
"speaker": "doctor",
"transcript": "With your boyfriend. And, um, any other medical, uh sorry, any, uh, diseases run in your, run in your family?",
"turn_id": 103
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 104
},
{
"speaker": "patient",
"transcript": "Not any that.",
"turn_id": 105
},
{
"speaker": "patient",
"transcript": "Spring to mind in my immediate family. Um, my brother is a type one diabetic.",
"turn_id": 106
},
{
"speaker": "doctor",
"transcript": "Sure.",
"turn_id": 107
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 108
},
{
"speaker": "doctor",
"transcript": "great so, um, is there anything that you're particularly concerned about with, um, this nausea, and uh, the constipation?",
"turn_id": 109
},
{
"speaker": "patient",
"transcript": "Um, I don't know it just a really, like really horrible ache. Um.",
"turn_id": 110
},
{
"speaker": "patient",
"transcript": "And I'm nauseous, hot, sweaty, feeling, I'm not really sure.",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "Mmm.",
"turn_id": 112
},
{
"speaker": "patient",
"transcript": "I, yeah, why it's happening, um. the last couple of days, that's probably all that's.",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": "yeah.",
"turn_id": 114
},
{
"speaker": "doctor",
"transcript": "Any.",
"turn_id": 115
},
{
"speaker": "patient",
"transcript": "Yeah, it's getting uncomfortable.",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "Yeah. Anything that you'd hoped, particularly, to get out of having this consultation?",
"turn_id": 117
},
{
"speaker": "patient",
"transcript": "Anything , sorry?",
"turn_id": 118
},
{
"speaker": "doctor",
"transcript": "was there anything that you'd hoped to, get out of having this specific consultation? Other than a diagnosis, and getting better, and, you know, being on the right track to, to, feeling better?",
"turn_id": 119
},
{
"speaker": "patient",
"transcript": "Yeah, I know that's kind of, I just wanna, um, get back .",
"turn_id": 120
},
{
"speaker": "doctor",
"transcript": "Get to normal, yeah.",
"turn_id": 121
},
{
"speaker": "patient",
"transcript": "but a bit more .",
"turn_id": 122
},
{
"speaker": "doctor",
"transcript": "Yeah, sure, sure. OK, um, so, and then finally. I, I didn't ask you, do you have any discharge, or anything like that, from down below?",
"turn_id": 123
},
{
"speaker": "patient",
"transcript": "Uh, no, no, no discharge.",
"turn_id": 124
},
{
"speaker": "doctor",
"transcript": "No discharge. OK.",
"turn_id": 125
},
{
"speaker": "doctor",
"transcript": "All right. So, um, I , I, I think, uh.",
"turn_id": 126
},
{
"speaker": "doctor",
"transcript": "This could be a few different things. It could just be simple constipation. Uh, you mentioned that you were bunged up, but you did go yesterday. So it's, um, and your, your bowel habits, that you've been going regularly.",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "Uh, but you did mention that you were bunged up. Um, but there could be a few other things going on.",
"turn_id": 128
},
{
"speaker": "doctor",
"transcript": "I would quite like to, uh, see you to do some further, to do an examination, and to do some, some tests as well.",
"turn_id": 129
},
{
"speaker": "doctor",
"transcript": "Um, we need to definitely rule out pregnancy, with you. And possibly, um, do some other examinations or, or further tests. So, would you be happy to actually see a GP face-to-face, um, soon?",
"turn_id": 130
},
{
"speaker": "doctor",
"transcript": "Today, ideally.",
"turn_id": 131
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 132
},
{
"speaker": "patient",
"transcript": "Yes, yeah.",
"turn_id": 133
},
{
"speaker": "doctor",
"transcript": "Yeah?",
"turn_id": 134
},
{
"speaker": "patient",
"transcript": "Sure, I can make time.",
"turn_id": 135
},
{
"speaker": "doctor",
"transcript": "Are you, and you're feeling hot, hot and, sweaty. Have you been feeling, um, light-headed at all? Or like you're going to faint?",
"turn_id": 136
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 137
},
{
"speaker": "patient",
"transcript": "No, no, not like I'm gonna faint.",
"turn_id": 138
},
{
"speaker": "doctor",
"transcript": "OK. Right well, we're just sort of, timing out, running out of time a little bit. But, um, I'd really like to see you, uh, for some more, uh, examination, investigations.",
"turn_id": 139
},
{
"speaker": "doctor",
"transcript": "If in the meantime um, between now and, and me, sort or a GP seeing you, you feel worse in any way, you get light-headed.",
"turn_id": 140
},
{
"speaker": "doctor",
"transcript": "Um, you, uh, uh you have, you develop any symptoms which are concerning to you. Um, then I think you should take them quite seriously, and, and see somebody more urgently if possible.",
"turn_id": 141
},
{
"speaker": "doctor",
"transcript": "Um, OK. Is that, uh, , was there anything else that you wanna talk about right now? I'm glad we got the ball rolling with this, and uh, we can , um, sort of see you again, to take this a little bit further.",
"turn_id": 142
},
{
"speaker": "patient",
"transcript": "Mm-hmm.",
"turn_id": 143
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 144
},
{
"speaker": "patient",
"transcript": "Yeah, thank you, really appreciate that.",
"turn_id": 145
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 146
},
{
"speaker": "doctor",
"transcript": "All right. Thanks for your time.",
"turn_id": 147
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 148
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 149
},
{
"speaker": "patient",
"transcript": "cheers, bye.",
"turn_id": 150
},
{
"speaker": "doctor",
"transcript": "Thanks, bye.",
"turn_id": 151
}
] | [] | {"id": "primock57_4_10", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "patient", "transcript": "Hello."}, {"turn_id": 2, "speaker": "doctor", "transcript": "Hello, hi, how you doing?"}, {"turn_id": 3, "speaker": "patient", "transcript": "Hi. Good, thank you. How are you?"}, {"turn_id": 4, "speaker": "doctor", "transcript": "Fine thanks, yeah. I'm Joe, I'm one of the doctors at Babylon. Can i just confirm your name please?"}, {"turn_id": 5, "speaker": "patient", "transcript": "you. Um, my name's Lizzy Irvine. Um."}, {"turn_id": 6, "speaker": "patient", "transcript": "Twenty third of July, nineteen ninety five."}, {"turn_id": 7, "speaker": "doctor", "transcript": "Great, thank you, Lizzy. Um, and are you, in a, confidential and comfortable space to talk?"}, {"turn_id": 8, "speaker": "patient", "transcript": "Yeah. Especially on a Friday. Comfortable."}, {"turn_id": 9, "speaker": "doctor", "transcript": "Great. Um, how can I help?"}, {"turn_id": 10, "speaker": "patient", "transcript": "Yeah, just for the last couple of days, um, I've been, feeling, um, really sick in my, lower tummy."}, {"turn_id": 11, "speaker": "patient", "transcript": "Um, and I've had a bit of a temperature, so feeling quite like hot and sweaty. And it's yeah, getting really uncomfortable."}, {"turn_id": 12, "speaker": "doctor", "transcript": "OK, so you've been feeling, uh nauseous. Um, and you've had some, pain in your lower tummy? Or you say you've been feeling sick in your lower tummy?"}, {"turn_id": 13, "speaker": "patient", "transcript": "Yeah, it's more of an ache. So, like an ache in my lower tummy. And then I, I think feeling hot and sweaty. So think it's sickness, but, yeah, bit of an ache."}, {"turn_id": 14, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 15, "speaker": "doctor", "transcript": "OK. So a bit um. Feeling, hot, sweaty, unwell, for three days. Uh, feeling sick, nausea, um, with an ache in your lower tummy. Any actual vomiting?"}, {"turn_id": 16, "speaker": "patient", "transcript": "Um, so yeah, no just nauseous, no vomiting yet, luckily. And it's only been for a couple of days, but yeah."}, {"turn_id": 17, "speaker": "doctor", "transcript": "Two days yeah. OK. Um, and uh, any problems with your waterworks or diarrhoea?"}, {"turn_id": 18, "speaker": "patient", "transcript": "No, so I'm, I'm going , I'm going to the loo a little bit more often than usual. Um, , I drink lots of water, but it does feel like more often."}, {"turn_id": 19, "speaker": "doctor", "transcript": "about."}, {"turn_id": 20, "speaker": "patient", "transcript": "Um."}, {"turn_id": 21, "speaker": "patient", "transcript": "Yeah, like nothing, nothing too out of the ordinary. Um, and I was, I was a little bit like um, uh, I don't know constipated I guess, uh."}, {"turn_id": 22, "speaker": "patient", "transcript": "About a week ago, but I'm OK now."}, {"turn_id": 23, "speaker": "doctor", "transcript": "OK. So you've, bit constipated a week ago. Uh , things uh."}, {"turn_id": 24, "speaker": "doctor", "transcript": "You're having regular bowel motions now. You said you had a, bit of, diarrhoea, or a bit of watery, did you say?"}, {"turn_id": 25, "speaker": "patient", "transcript": "No, it was more like I was just, a little bit bunged up, and then, about a week ago that kinda cleared, and I'm a, normal now."}, {"turn_id": 26, "speaker": "doctor", "transcript": "OK. And, you say you're going, you're drinking lots of water. You're going to the toilet more frequently, for a wee, is that?"}, {"turn_id": 27, "speaker": "patient", "transcript": "Yes, yeah I'd say so. I, I tend to drink a lot of water anyway but, I feel like I'm going to the toilet, more."}, {"turn_id": 28, "speaker": "doctor", "transcript": "Hmm. Any pain when you pass urine?"}, {"turn_id": 29, "speaker": "patient", "transcript": "Um, no, no pain."}, {"turn_id": 30, "speaker": "doctor", "transcript": "No stinging?"}, {"turn_id": 31, "speaker": "patient", "transcript": "Uh, no. Just , it seems, normal yeah."}, {"turn_id": 32, "speaker": "doctor", "transcript": "OK, and um, and sort of no foul smelling urine, or anything like that?"}, {"turn_id": 33, "speaker": "patient", "transcript": "Um, no, nothing, nothing I can think of, no."}, {"turn_id": 34, "speaker": "doctor", "transcript": "You having, you're saying you, you're going a bit more frequently. And are you having to go with urgency, to the toilet, for a wee?"}, {"turn_id": 35, "speaker": "patient", "transcript": "No, there's no urgency. Um, yeah, no pain or urgency."}, {"turn_id": 36, "speaker": "patient", "transcript": "Just, yeah, peeing quite frequently, but it's all seeming normal. Yeah, I probably wouldn't have, thought of, it being, linked but, yeah."}, {"turn_id": 37, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 38, "speaker": "doctor", "transcript": "All right so you're. Um, so the main symptom is feeling sick, uh with this. Uh, and you've been feeling bunged up, and this this sort of, pain in your tummy."}, {"turn_id": 39, "speaker": "doctor", "transcript": "Just to ask a few more question about the pain in your tummy. Is it, how would you describe the pain?"}, {"turn_id": 40, "speaker": "patient", "transcript": "Um, it's."}, {"turn_id": 41, "speaker": "patient", "transcript": "Yeah, it's like below my belly button. Um, it's, it's aching. Um, it does make me feel nauseous. Um."}, {"turn_id": 42, "speaker": "patient", "transcript": "Yeah, so it's kinda more like a, I guess like an, an, a, a dull ache. Um, just below the belly button, kind of, yeah, here."}, {"turn_id": 43, "speaker": "doctor", "transcript": "Um, and it's, it, is it constant? Or is it coming and going?"}, {"turn_id": 44, "speaker": "patient", "transcript": "Um, it's, yeah it's, feeling pretty constant, over the last couple of day."}, {"turn_id": 45, "speaker": "patient", "transcript": "It."}, {"turn_id": 46, "speaker": "doctor", "transcript": "Um, and just need to ask a few questions about, uh, your periods and stuff. Uh, any chance you could be pregnant at the moment?"}, {"turn_id": 47, "speaker": "patient", "transcript": "Um."}, {"turn_id": 48, "speaker": "patient", "transcript": "Ooh, I don't know."}, {"turn_id": 49, "speaker": "doctor", "transcript": ""}, {"turn_id": 50, "speaker": "patient", "transcript": "Um, probably not, I don't think so. I'm very careful."}, {"turn_id": 51, "speaker": "doctor", "transcript": "sexually active at the moment?"}, {"turn_id": 52, "speaker": "patient", "transcript": "Yes, yeah."}, {"turn_id": 53, "speaker": "doctor", "transcript": "And, um, ."}, {"turn_id": 54, "speaker": "patient", "transcript": "You mentioned about periods. I did notice a bit of, um."}, {"turn_id": 55, "speaker": "patient", "transcript": "I don't know it's like , not necessarily like spotting, but in like, in my, my pee is like a little, I suppose. I think I thought it was my period, it's like a little bit, pink."}, {"turn_id": 56, "speaker": "doctor", "transcript": "In your pee, did you say? Your, so your pee is slightly red? Or slightly pink?"}, {"turn_id": 57, "speaker": "patient", "transcript": ""}, {"turn_id": 58, "speaker": "patient", "transcript": "But I am kind of like due, on my, didn't know if that was like, yeah, a part of it."}, {"turn_id": 59, "speaker": "doctor", "transcript": "OK. So, when was your last menstrual period?"}, {"turn_id": 60, "speaker": "patient", "transcript": "Um, around a month ago, yeah, three and a, three and a bit weeks ago."}, {"turn_id": 61, "speaker": "doctor", "transcript": "Ah, OK. Um, so it's three ."}, {"turn_id": 62, "speaker": "doctor", "transcript": "And, uh, did you say? So you're sexually active, you're using contraception? And what?"}, {"turn_id": 63, "speaker": "patient", "transcript": "Mm-hmm, yeah. I've got the arm, the implants."}, {"turn_id": 64, "speaker": "doctor", "transcript": "Um."}, {"turn_id": 65, "speaker": "doctor", "transcript": "And."}, {"turn_id": 66, "speaker": "doctor", "transcript": "Uh, , one sexual partner? Um, a regular, regular boyfriend or?"}, {"turn_id": 67, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 68, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 69, "speaker": "doctor", "transcript": "Um."}, {"turn_id": 70, "speaker": "doctor", "transcript": ", to go back to your symptom of, uh, constipation. Can I just clarify, when was the last time you had a bowel motion?"}, {"turn_id": 71, "speaker": "patient", "transcript": "Uh, yesterday."}, {"turn_id": 72, "speaker": "doctor", "transcript": "OK, and, uh, do you feel like, you, are still quite bunged up at the moment?"}, {"turn_id": 73, "speaker": "patient", "transcript": "Uh, no it seems to have cleared up. So I was, about a week ago, but I'm OK, OK now, the last few days."}, {"turn_id": 74, "speaker": "patient", "transcript": "Yeah, I K."}, {"turn_id": 75, "speaker": "doctor", "transcript": "OK, all right. So you, just to sort of confirm your symptoms. Um, you're feeling sort of sick, nauseous, with tummy pain, which is fairly constant."}, {"turn_id": 76, "speaker": "doctor", "transcript": "Um, how, , did the tummy pain come on suddenly or gradually?"}, {"turn_id": 77, "speaker": "patient", "transcript": "Um, it's only been for the last two days. Um, so I guess yeah, quite recently."}, {"turn_id": 78, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 79, "speaker": "doctor", "transcript": "So it's, it's come on gradually, has it?"}, {"turn_id": 80, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 81, "speaker": "doctor", "transcript": "Not a sudden onset?"}, {"turn_id": 82, "speaker": "doctor", "transcript": "OK, and uh, your last menstrual period was just three and a bit weeks ago. Um, and you, but you say you've had some . A little bit of spotting, possibly before um, in-between periods, or recently."}, {"turn_id": 83, "speaker": "patient", "transcript": "Yeah, and the last kind of week or so, yeah, the last couple of days really."}, {"turn_id": 84, "speaker": "patient", "transcript": "But, because I was due on."}, {"turn_id": 85, "speaker": "patient", "transcript": "Yeah, I, I think. Yeah, just the last couple of days."}, {"turn_id": 86, "speaker": "doctor", "transcript": "OK, and, but you're expecting your period soon?"}, {"turn_id": 87, "speaker": "patient", "transcript": "Yes, yeah."}, {"turn_id": 88, "speaker": "doctor", "transcript": "Sure. Um. OK, and just to ask a few questions. Are you, uh, do you have any other medical, uh, problems? Um, that I need to be aware of?"}, {"turn_id": 89, "speaker": "patient", "transcript": "Uh."}, {"turn_id": 90, "speaker": "doctor", "transcript": "Don't ."}, {"turn_id": 91, "speaker": "patient", "transcript": "I'm um, allergic to Amoxicillin."}, {"turn_id": 92, "speaker": "doctor", "transcript": "Allergic to Amoxicillin. Um, but no other medical problems, that you?"}, {"turn_id": 93, "speaker": "patient", "transcript": "No, not that I'm aware of."}, {"turn_id": 94, "speaker": "doctor", "transcript": "Any drug allergies? Ohh, you mentioned Amoxicillin, but anything else?"}, {"turn_id": 95, "speaker": "patient", "transcript": "No, that's it."}, {"turn_id": 96, "speaker": "doctor", "transcript": "Um, and, do you take any medications at the moment?"}, {"turn_id": 97, "speaker": "patient", "transcript": "Um, no, no medications, but I'm on the implants. I think it's called um, Implanon."}, {"turn_id": 98, "speaker": "doctor", "transcript": "Implanon, yeah sure. OK. Uh, do you smoke?"}, {"turn_id": 99, "speaker": "patient", "transcript": "Or something."}, {"turn_id": 100, "speaker": "patient", "transcript": "No."}, {"turn_id": 101, "speaker": "doctor", "transcript": "OK, and uh, do you live with, uh, alone? With your partner?"}, {"turn_id": 102, "speaker": "patient", "transcript": "With my boyfriend."}, {"turn_id": 103, "speaker": "doctor", "transcript": "With your boyfriend. And, um, any other medical, uh sorry, any, uh, diseases run in your, run in your family?"}, {"turn_id": 104, "speaker": "patient", "transcript": "Um."}, {"turn_id": 105, "speaker": "patient", "transcript": "Not any that."}, {"turn_id": 106, "speaker": "patient", "transcript": "Spring to mind in my immediate family. Um, my brother is a type one diabetic."}, {"turn_id": 107, "speaker": "doctor", "transcript": "Sure."}, {"turn_id": 108, "speaker": "doctor", "transcript": ""}, {"turn_id": 109, "speaker": "doctor", "transcript": "great so, um, is there anything that you're particularly concerned about with, um, this nausea, and uh, the constipation?"}, {"turn_id": 110, "speaker": "patient", "transcript": "Um, I don't know it just a really, like really horrible ache. Um."}, {"turn_id": 111, "speaker": "patient", "transcript": "And I'm nauseous, hot, sweaty, feeling, I'm not really sure."}, {"turn_id": 112, "speaker": "doctor", "transcript": "Mmm."}, {"turn_id": 113, "speaker": "patient", "transcript": "I, yeah, why it's happening, um. the last couple of days, that's probably all that's."}, {"turn_id": 114, "speaker": "doctor", "transcript": "yeah."}, {"turn_id": 115, "speaker": "doctor", "transcript": "Any."}, {"turn_id": 116, "speaker": "patient", "transcript": "Yeah, it's getting uncomfortable."}, {"turn_id": 117, "speaker": "doctor", "transcript": "Yeah. Anything that you'd hoped, particularly, to get out of having this consultation?"}, {"turn_id": 118, "speaker": "patient", "transcript": "Anything , sorry?"}, {"turn_id": 119, "speaker": "doctor", "transcript": "was there anything that you'd hoped to, get out of having this specific consultation? Other than a diagnosis, and getting better, and, you know, being on the right track to, to, feeling better?"}, {"turn_id": 120, "speaker": "patient", "transcript": "Yeah, I know that's kind of, I just wanna, um, get back ."}, {"turn_id": 121, "speaker": "doctor", "transcript": "Get to normal, yeah."}, {"turn_id": 122, "speaker": "patient", "transcript": "but a bit more ."}, {"turn_id": 123, "speaker": "doctor", "transcript": "Yeah, sure, sure. OK, um, so, and then finally. I, I didn't ask you, do you have any discharge, or anything like that, from down below?"}, {"turn_id": 124, "speaker": "patient", "transcript": "Uh, no, no, no discharge."}, {"turn_id": 125, "speaker": "doctor", "transcript": "No discharge. OK."}, {"turn_id": 126, "speaker": "doctor", "transcript": "All right. So, um, I , I, I think, uh."}, {"turn_id": 127, "speaker": "doctor", "transcript": "This could be a few different things. It could just be simple constipation. Uh, you mentioned that you were bunged up, but you did go yesterday. So it's, um, and your, your bowel habits, that you've been going regularly."}, {"turn_id": 128, "speaker": "doctor", "transcript": "Uh, but you did mention that you were bunged up. Um, but there could be a few other things going on."}, {"turn_id": 129, "speaker": "doctor", "transcript": "I would quite like to, uh, see you to do some further, to do an examination, and to do some, some tests as well."}, {"turn_id": 130, "speaker": "doctor", "transcript": "Um, we need to definitely rule out pregnancy, with you. And possibly, um, do some other examinations or, or further tests. So, would you be happy to actually see a GP face-to-face, um, soon?"}, {"turn_id": 131, "speaker": "doctor", "transcript": "Today, ideally."}, {"turn_id": 132, "speaker": "patient", "transcript": ""}, {"turn_id": 133, "speaker": "patient", "transcript": "Yes, yeah."}, {"turn_id": 134, "speaker": "doctor", "transcript": "Yeah?"}, {"turn_id": 135, "speaker": "patient", "transcript": "Sure, I can make time."}, {"turn_id": 136, "speaker": "doctor", "transcript": "Are you, and you're feeling hot, hot and, sweaty. Have you been feeling, um, light-headed at all? Or like you're going to faint?"}, {"turn_id": 137, "speaker": "patient", "transcript": ""}, {"turn_id": 138, "speaker": "patient", "transcript": "No, no, not like I'm gonna faint."}, {"turn_id": 139, "speaker": "doctor", "transcript": "OK. Right well, we're just sort of, timing out, running out of time a little bit. But, um, I'd really like to see you, uh, for some more, uh, examination, investigations."}, {"turn_id": 140, "speaker": "doctor", "transcript": "If in the meantime um, between now and, and me, sort or a GP seeing you, you feel worse in any way, you get light-headed."}, {"turn_id": 141, "speaker": "doctor", "transcript": "Um, you, uh, uh you have, you develop any symptoms which are concerning to you. Um, then I think you should take them quite seriously, and, and see somebody more urgently if possible."}, {"turn_id": 142, "speaker": "doctor", "transcript": "Um, OK. Is that, uh, , was there anything else that you wanna talk about right now? I'm glad we got the ball rolling with this, and uh, we can , um, sort of see you again, to take this a little bit further."}, {"turn_id": 143, "speaker": "patient", "transcript": "Mm-hmm."}, {"turn_id": 144, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 145, "speaker": "patient", "transcript": "Yeah, thank you, really appreciate that."}, {"turn_id": 146, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 147, "speaker": "doctor", "transcript": "All right. Thanks for your time."}, {"turn_id": 148, "speaker": "patient", "transcript": ""}, {"turn_id": 149, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 150, "speaker": "patient", "transcript": "cheers, bye."}, {"turn_id": 151, "speaker": "doctor", "transcript": "Thanks, bye."}]} |
acibench_D2N128_virtassist_clinicalnlp_taskC_test2 | [
{
"speaker": "doctor",
"transcript": "hi , carolyn . how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "good . how are you ?",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "i'm good . you're ready to get started ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yes , i am .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "so carolyn is a 49-year-old female here for follow-up of her chronic problems . so , how are you doing , carolyn ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "i'm doing okay . um , my osteoarthritis has been flaring up a little bit lately , um , so i wan na get- talk about that primarily . so , it's mostly in um , my elbows and it's really been bothering me . i've been sitting at the computer , at the desk more , um , in the office so i do n't know if it's being stagnant in that position all day has um , increased flare-ups for that , but i wanted to talk to you about that .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay , sure . and , are you right or left-handed ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i'm right-handed .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay , and does one elbow bother you more than the other ?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "my right elbow does bother me more than the other , but primarily , i'm typing all day versus writing , so it- it flares up in both .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay . all right , and um , any other joint pain ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no , just- just really focused on my elbows .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay , and any numbing or tingling in your hands ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "uh , sometimes . when i'm typing for long periods of time , i feel a little bit of numbing , um , i try to shake out my arms a little bit . um , just to kind of relieve that um , sensation .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay . all right , and i know that you've had this also , had this history of gout . and the last episode you had was about three months ago . you had some inflammation of your toe . have you had any other issues with that ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no , i have n't . um , the medication you gave me really controlled it , and i have n't seen a flare-up since .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay . all right , and how are you doing with your psoriasis ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "that's been under control too . that has n't been a- a major problem for me either .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay . i- i know that we had given you some clobetasol for your scalp . is that- so that's doing okay ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah , that's doing a lot better .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay , great . um , all right , well , i'd like to go ahead and do a physical exam on you .",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "let's first look at your vital signs . hey , dragon , show me the vital signs . great , so everything looks good from that perspective . um , so looking at you , i do n't appreciate any cervical lymphadenopathy . your heart is a nice regular rate and rhythm , and your lungs sound really clear . on your right elbow , you do have some edema and inflammation of your right olecranon and there's some tenderness and an effusion right there . so um , does that hurt when i press it ?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yeah , that does hurt .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay , and when i turn your arm , do you have pain ?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yeah , that hurts a bit too .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay , so she has pain- to palpation of the olecranon bursa and pain with pronation and supination . and when you flex- and when you bend it and straighten it , does that hurt ?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yeah , it does and it's a bit stiff too .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay , so pain with flexion and extension of the right arm . uh , your abdomen is nice and soft , and there's no lower extremity edema . uh , let's go ahead and take a look at some of your labs . you know , you have a lot of arthritis for someone so young , so we had sent off that autoimmune panel . hey , dragon . show me the autoimmune labs . hey , dragon . show me the autoimmune profile . hey , dragon . show me the esr . okay , so that's good . hey , dragon . show me the uric acid . okay . all right , well , good . that's great . so , you know , it does n't look like you have any systemic arthritis , or sys- systemic inflammatory in process going on . so , my impression of you at this time is that from a gout standpoint , everything is nice and stable . i think that we should continue you on the colchicine 0.6 milligrams twice a day as needed for flare-ups of your gout . um , and then for your osteoarthritis , i'd like to go ahead and order a right elbow x-ray . hey , dragon . order a right elbow x-ray , and then i'd like to prescribe some meloxicam 15 milligrams once a day for the pain and the swelling .",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "hey , dragon . order meloxicam 15 milligrams once a day . and then i'd like to um , just see those- how- the x-ray show- shows up and the results of that before we refer you for any type of physical therapy , okay ?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "and then from a psoriasis standpoint , i think everything is stable . we'll continue you on the steroid cream for your scalp , okay ?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "that sounds good .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "all right , do you have any questions ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "no , that's it .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "all right , take care .",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "thank you .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "hey , dragon . finalize the note .",
"turn_id": 39
}
] | [
{
"description": "right elbow x-ray x-ray",
"order_type": "imaging",
"provenance": [
49,
76
],
"reason": "right elbow osteoarthritis"
},
{
"description": "meloxicam 15 milligram once a day",
"order_type": "medication",
"provenance": [
49,
78
],
"reason": "right elbow pain swelling"
}
] | {"id": "acibench_D2N128_virtassist_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "imaging", "description": "right elbow x-ray x-ray", "reason": "right elbow osteoarthritis", "provenance": [49, 76]}, {"order_type": "medication", "description": "meloxicam 15 milligram once a day", "reason": "right elbow pain swelling", "provenance": [49, 78]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi , carolyn . how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "good . how are you ?"}, {"turn_id": 3, "speaker": "doctor", "transcript": "i'm good . you're ready to get started ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "yes , i am ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "so carolyn is a 49-year-old female here for follow-up of her chronic problems . so , how are you doing , carolyn ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "i'm doing okay . um , my osteoarthritis has been flaring up a little bit lately , um , so i wan na get- talk about that primarily . so , it's mostly in um , my elbows and it's really been bothering me . i've been sitting at the computer , at the desk more , um , in the office so i do n't know if it's being stagnant in that position all day has um , increased flare-ups for that , but i wanted to talk to you about that ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay , sure . and , are you right or left-handed ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "i'm right-handed ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay , and does one elbow bother you more than the other ?"}, {"turn_id": 10, "speaker": "patient", "transcript": "my right elbow does bother me more than the other , but primarily , i'm typing all day versus writing , so it- it flares up in both ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay . all right , and um , any other joint pain ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "no , just- just really focused on my elbows ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay , and any numbing or tingling in your hands ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "uh , sometimes . when i'm typing for long periods of time , i feel a little bit of numbing , um , i try to shake out my arms a little bit . um , just to kind of relieve that um , sensation ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay . all right , and i know that you've had this also , had this history of gout . and the last episode you had was about three months ago . you had some inflammation of your toe . have you had any other issues with that ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "no , i have n't . um , the medication you gave me really controlled it , and i have n't seen a flare-up since ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay . all right , and how are you doing with your psoriasis ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "that's been under control too . that has n't been a- a major problem for me either ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay . i- i know that we had given you some clobetasol for your scalp . is that- so that's doing okay ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah , that's doing a lot better ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay , great . um , all right , well , i'd like to go ahead and do a physical exam on you ."}, {"turn_id": 22, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "let's first look at your vital signs . hey , dragon , show me the vital signs . great , so everything looks good from that perspective . um , so looking at you , i do n't appreciate any cervical lymphadenopathy . your heart is a nice regular rate and rhythm , and your lungs sound really clear . on your right elbow , you do have some edema and inflammation of your right olecranon and there's some tenderness and an effusion right there . so um , does that hurt when i press it ?"}, {"turn_id": 24, "speaker": "patient", "transcript": "yeah , that does hurt ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay , and when i turn your arm , do you have pain ?"}, {"turn_id": 26, "speaker": "patient", "transcript": "yeah , that hurts a bit too ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay , so she has pain- to palpation of the olecranon bursa and pain with pronation and supination . and when you flex- and when you bend it and straighten it , does that hurt ?"}, {"turn_id": 28, "speaker": "patient", "transcript": "yeah , it does and it's a bit stiff too ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay , so pain with flexion and extension of the right arm . uh , your abdomen is nice and soft , and there's no lower extremity edema . uh , let's go ahead and take a look at some of your labs . you know , you have a lot of arthritis for someone so young , so we had sent off that autoimmune panel . hey , dragon . show me the autoimmune labs . hey , dragon . show me the autoimmune profile . hey , dragon . show me the esr . okay , so that's good . hey , dragon . show me the uric acid . okay . all right , well , good . that's great . so , you know , it does n't look like you have any systemic arthritis , or sys- systemic inflammatory in process going on . so , my impression of you at this time is that from a gout standpoint , everything is nice and stable . i think that we should continue you on the colchicine 0.6 milligrams twice a day as needed for flare-ups of your gout . um , and then for your osteoarthritis , i'd like to go ahead and order a right elbow x-ray . hey , dragon . order a right elbow x-ray , and then i'd like to prescribe some meloxicam 15 milligrams once a day for the pain and the swelling ."}, {"turn_id": 30, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "hey , dragon . order meloxicam 15 milligrams once a day . and then i'd like to um , just see those- how- the x-ray show- shows up and the results of that before we refer you for any type of physical therapy , okay ?"}, {"turn_id": 32, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "and then from a psoriasis standpoint , i think everything is stable . we'll continue you on the steroid cream for your scalp , okay ?"}, {"turn_id": 34, "speaker": "patient", "transcript": "that sounds good ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "all right , do you have any questions ?"}, {"turn_id": 36, "speaker": "patient", "transcript": "no , that's it ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "all right , take care ."}, {"turn_id": 38, "speaker": "patient", "transcript": "thank you ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "hey , dragon . finalize the note ."}]} |
acibench_D2N011_virtassist_train | [
{
"speaker": "doctor",
"transcript": "hi , roger . how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hey . good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "good to see you . are you ready to get started ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yes , i am .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "roger is a 62 year old male here for emergency room follow-up for some chest pain . so , roger , i heard you went to the er for some chest discomfort .",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah . we were doing a bunch of yard work and it was really hot over the weekend and i was short of breath and i felt a little chest pain for probably about an hour or so . so , i got a little nervous about that .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay . and had you ever had that before ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "no , i never have , actually .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay . and-",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "whose mic is on ? i'm in .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay . and , um , how are you feeling since then ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "um , after , uh , we were done , i felt fine ever since , but i thought it was worth looking into .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay . and no other symptoms since then ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay . and any family history of any heart disease ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "uh , no , actually . not , not on my , uh , uh , on my immediate family , but i have on my cousin's side of the family .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay . all right . all right . and , um , you know , i know that you had had the , uh , knee surgery-",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "a couple months ago . you've been feeling well since then ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah . no problem in , uh , rehab and recovery .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay . and no chest pain while you were , you know , doing exercises in pt for your knee ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "no . that's why last week's episode was so surprising .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay . all right . and in terms of your high blood pressure , do you know when you had the chest pain if your blood pressure was very high ? did they say anything in the emergency room ?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "um , they were a little concerned about it , but , uh , they kept me there for a few hours and it seemed to regulate after effect . so , it , it did n't seem to be a problem when i , when i went home .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay . and , and i see here that it was about 180 over 95 when you went into the emergency room . has it been running that high ?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "uh , usually no . that's why it was so surprising .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay . all right . all right . well , let's go ahead and we'll do a quick physical exam . so , looking at you , you know , i'm feeling your neck . i do feel a little enlarged thyroid here that's not tender . you have a carotid bruit on the right hand side and , uh , your lungs are clear . your heart is in a regular rate and rhythm , but i do hear a three out of six systolic ejection murmur . your abdomen is nice and soft . uh , there is the healed scar on your right knee from your prior knee surgery , and there's no lower extremity edema .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "so , let's look at some of your results , okay ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "hey , dragon , show me the blood pressure . yeah . and here , your blood pressure's still high , so we'll have to talk about that . um , hey , dragon , show me the ekg . so , here you- that's good , your , your ekg-",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": ". here is normal , so that's , that's very encouraging . um , i know that they had the echocardiogram , so let's look at that . hey , dragon , show me the echocardiogram . okay . so , looking at this , you know , you do have a little bit of a , a low pumping function of your heart , which , you , you know , can happen and we'll have to look into that , okay ?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "mm-hmm .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "so , you know , my impression is is that you have this episode of chest pain , um , that could be related to severe hypertension or it could be related to some heart disease . so , what i'd like to go ahead and do is , number one , we'll put you on , um ... we'll change your blood pressure regimen . we'll put you on carvedilol , 25 milligrams twice a day . that helps with coronary disease as well as your pumping function of your heart . um , i wan na go ahead and order a cardiac catheterization on you and make sure that we do n't have any blockages in your heart arteries responsible for the chest pain .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "for the high blood pressure , we're gon na add the carvedilol and i want you to continue your lisinopril 10 milligrams a day and i wan na see , uh , how your blood pressure does on that regimen , okay ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "okay . sounds good .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "all right . so , the nurse will be in soon and i'll ... we'll schedule that cath for you , okay ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "you got it .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "hey , dragon , finalize the note .",
"turn_id": 39
}
] | [
{
"description": "carvedilol 25 milligrams twice a day",
"order_type": "medication",
"provenance": [
77,
79,
81
],
"reason": "low pumping function of your heart severe hypertension heart disease"
}
] | {"id": "acibench_D2N011_virtassist_train", "expected_orders": [{"order_type": "medication", "description": "carvedilol 25 milligrams twice a day", "reason": "low pumping function of your heart severe hypertension heart disease", "provenance": [77, 79, 81]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi , roger . how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "hey . good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "good to see you . are you ready to get started ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "yes , i am ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "roger is a 62 year old male here for emergency room follow-up for some chest pain . so , roger , i heard you went to the er for some chest discomfort ."}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah . we were doing a bunch of yard work and it was really hot over the weekend and i was short of breath and i felt a little chest pain for probably about an hour or so . so , i got a little nervous about that ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay . and had you ever had that before ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "no , i never have , actually ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay . and-"}, {"turn_id": 10, "speaker": "patient", "transcript": "whose mic is on ? i'm in ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay . and , um , how are you feeling since then ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "um , after , uh , we were done , i felt fine ever since , but i thought it was worth looking into ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay . and no other symptoms since then ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "no ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay . and any family history of any heart disease ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "uh , no , actually . not , not on my , uh , uh , on my immediate family , but i have on my cousin's side of the family ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay . all right . all right . and , um , you know , i know that you had had the , uh , knee surgery-"}, {"turn_id": 18, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "a couple months ago . you've been feeling well since then ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah . no problem in , uh , rehab and recovery ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay . and no chest pain while you were , you know , doing exercises in pt for your knee ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "no . that's why last week's episode was so surprising ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay . all right . and in terms of your high blood pressure , do you know when you had the chest pain if your blood pressure was very high ? did they say anything in the emergency room ?"}, {"turn_id": 24, "speaker": "patient", "transcript": "um , they were a little concerned about it , but , uh , they kept me there for a few hours and it seemed to regulate after effect . so , it , it did n't seem to be a problem when i , when i went home ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay . and , and i see here that it was about 180 over 95 when you went into the emergency room . has it been running that high ?"}, {"turn_id": 26, "speaker": "patient", "transcript": "uh , usually no . that's why it was so surprising ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay . all right . all right . well , let's go ahead and we'll do a quick physical exam . so , looking at you , you know , i'm feeling your neck . i do feel a little enlarged thyroid here that's not tender . you have a carotid bruit on the right hand side and , uh , your lungs are clear . your heart is in a regular rate and rhythm , but i do hear a three out of six systolic ejection murmur . your abdomen is nice and soft . uh , there is the healed scar on your right knee from your prior knee surgery , and there's no lower extremity edema ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "so , let's look at some of your results , okay ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "hey , dragon , show me the blood pressure . yeah . and here , your blood pressure's still high , so we'll have to talk about that . um , hey , dragon , show me the ekg . so , here you- that's good , your , your ekg-"}, {"turn_id": 31, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 32, "speaker": "doctor", "transcript": ". here is normal , so that's , that's very encouraging . um , i know that they had the echocardiogram , so let's look at that . hey , dragon , show me the echocardiogram . okay . so , looking at this , you know , you do have a little bit of a , a low pumping function of your heart , which , you , you know , can happen and we'll have to look into that , okay ?"}, {"turn_id": 33, "speaker": "patient", "transcript": "mm-hmm ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "so , you know , my impression is is that you have this episode of chest pain , um , that could be related to severe hypertension or it could be related to some heart disease . so , what i'd like to go ahead and do is , number one , we'll put you on , um ... we'll change your blood pressure regimen . we'll put you on carvedilol , 25 milligrams twice a day . that helps with coronary disease as well as your pumping function of your heart . um , i wan na go ahead and order a cardiac catheterization on you and make sure that we do n't have any blockages in your heart arteries responsible for the chest pain ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "for the high blood pressure , we're gon na add the carvedilol and i want you to continue your lisinopril 10 milligrams a day and i wan na see , uh , how your blood pressure does on that regimen , okay ?"}, {"turn_id": 36, "speaker": "patient", "transcript": "okay . sounds good ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "all right . so , the nurse will be in soon and i'll ... we'll schedule that cath for you , okay ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "you got it ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "hey , dragon , finalize the note ."}]} |
primock57_4_9 | [
{
"speaker": "patient",
"transcript": "Hello.",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "Ohh hello. Hi, how you doing? Uh, my name's Joe. I'm one of the doctors here at Babylon. Can I just confirm your name please?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "Hi.",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "Yes. Brian .",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "Yeah, sure. My name's Daniel .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "Hi Daniel. And your date of birth? .",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "Yeah. May .",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "Nineteen ninety two.",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "Ninety two. OK, Daniel. And uh, are you in a, a comfortable and confidential place to talk?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "Yeah. Totally.",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": ", happy to go ahead. Great. How can I help?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "Um, yeah, I just, my chest has been feeling really tight.",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "OK. And how long has this been going on for Daniel?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "Uh, for about.",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "Three hours now.",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "OK. And, so, tight chest, three hours. Um, and, so you're born in ninety two, so that makes you twenty six?",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "Um, and, you are, uh. Any shortness of breath at all, with that?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "Twenty six, yeah.",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "Yeah, like a little bit, um. Yeah, a little bit short of breath, not too bad.",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "Uh, any cough? Wheeze?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "Yeah, I'm feeling a bit wheezy, as well. Kind of cough , coughing, yeah.",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "Slight cough, yeah. , sore throat? Runny nose? Sore ears?",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "You know I had a cold last week, and, it's not as bad as it was, but yeah, I had a sore throat, I had a runny nose. Uh, just feeling under the weather.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "Mm-hmm. Are you feeling better now, other than the tight chest?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "I mean I feel worse, but the runny nose isn't as bad any more. .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "Right. OK, OK, but you now, now you've got this, this um. So you've still got, still got uh, symptoms of a cold, essentially?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "Yeah, but the cough's kind of stuck around.",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "Uh, ooh, yeah, OK.",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "And are you coughing up anything?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "Uh, no.",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "And, um, do you have any other medical problems, like asthma?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "Yeah, yeah, I have asthma, I've had it for a while now, um.",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "And then I have like, a hayfever, you know, and some allergies just to dust, stuff like that.",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": ", OK.",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "You have any, inhalers? Or any, any medications?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "Um, yeah, so, uh, you know the um, uh, Ventolin. It's called uh, Salbutamol.",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "Yeah.",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "I got that one, and then I have a steroid, a Clenil, Clenil inhaler.",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "Clenil, Clenil Modulite, yeah, OK.",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "Yeah, yeah.",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "And um, uh, have you been using Clenil and the Ventolin? And how often have you been using them?",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "Um, well to be honest, I was away at uni last week, and I forgot to bring it with me, so I haven't really in the past week. Uh.",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "Both of them?",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "Because , because um, sorry, they ran out and I, I forgot to, go and grab the next one.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "Yeah, sure.",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "About a week ago. Yeah.",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "OK. All right, all right. So, so, so you've, you haven't got any Clenil, or any Ventolin at the moment?",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "Not with me right now, no, I ran out.",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "OK. All right. Um, and , any drug allergies, that you know of?",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "No, no, not allergic to anything. Just like, just the, dust and stuff, but nothing, no drugs.",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "OK, great. Now, uh, do you, anyone in your family have any medical problems, that you know of?",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "Um, yeah, my mum has eczema, and my dad has asthma. , ohh, when I was young, I also had eczema.",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "And I had a milk protein allergy, when I was young too.",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "Hmm. OK. Um.",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "Right. So, just uh, , do you have any other, sort of concerns? Or ideas about what might be going on? Or, um, hopes for this consultation?",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "Um.",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "Not really, like I feel like asthma's probably a part of it, and, probably getting my, inhalers would be helpful",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "Um. It's just kinda scary, 'cause I haven't had, a time like this where I've been so, tight, uh, in a long time.",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "Yeah, absolutely, I can, I can imagine.",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "Um, well, it certainly sounds like uh, you've, you've had this cold, so you've got wheezy with a cough. Um, and it's non-productive cough, and you're short of breath. Uh, is the cough worse at night-time?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "I mean, it gets a little bit worse at night but, basically, just pretty consistent, and it hasn't gone away.",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "Yeah.",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "OK. And you've got this tight, tight chest. But you, you wouldn't say you've got chest pains? It's more of a tight chest, is it?",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "No, not really pain, it's more like, tight.",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "It just feels like sometimes, I can't get a full breath in, you know.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "Yeah, sure. Um, OK. Well, I, I would quite like to, uh, certainly get you some, uh, Ventolin, Clenil Modulite. Have you had asthma exacerbations in the past?",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "Not in a long time. When I was young, a little bit, more like, back in high school. Um, but, I've been pretty good at taking my , my inhalers, so, not, not so much any more.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "Yeah.",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "Have you ever been to hospital, uh, as an inpatient? As in, you know, stayed in there overnight, for asthma?",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "Yeah, when I was in high school, I had to have a tube put down my throat.",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "Ohh, OK. So you, so, so you, uh, you , you went to hospital, and had a, a, . So you stayed in hospital for a few days did you, with an asthma exacerbation?",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "Yeah I did, yeah.",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "OK, but currently you're just on Ventolin and Clenil? And you haven't got any of those steroids, uh, those inhalers at the moment?",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "Yeah, I'm doing pretty good, I'm doing pretty good, just on the Clenil, and the Salbutamol.",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "OK. When, sorry, how old were you when you had that severe asthma exacerbation?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "Uh, I think I was like seventeen.",
"turn_id": 77
},
{
"speaker": "patient",
"transcript": "Sixteen maybe.",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "Sure. OK. Um.",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "Just to quantify how short of breath you are, um, I don't suppose you've got a peak flow with you? No, you won't have will you.",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "No, no.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "Um, are you able to, uh, like walk up, flights of stairs OK? Walk on the flat OK, without getting to short of breath? Or um, are you short of breath at rest?",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "Uh, I'm definitely not short of breath at rest, like, except for that feeling I was describing.",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "It does when I'm walking up stairs, I do feel like, I have a little bit, more short of breath than I would normally be.",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "Sure. Yeah. OK, but you're not short of breath at rest at the moment?",
"turn_id": 85
},
{
"speaker": "patient",
"transcript": "No, no, no I'm not.",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "OK, fine. So, what, what I think, um, and just to, just to go over, . Is there anything you had hoped about getting other than the uh, a, prescription for your inhalers? Was there anything else you'd hoped about getting from this?",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "Well I just wanna know that I'm OK, to just like keep. I just don't wanna have to get, um, that, that intubation again.",
"turn_id": 88
},
{
"speaker": "doctor",
"transcript": "Sure, yeah, no, absolutely. Well, I'm really glad you have talked to me today. I think what we can do is, is give you a prescription for, uh, some more of the inhalers. We can get that to you, within the hour, I would hope.",
"turn_id": 89
},
{
"speaker": "patient",
"transcript": "Uh, .",
"turn_id": 90
},
{
"speaker": "doctor",
"transcript": "Um, and, uh, I think, what, the other thing I'd like to do is just give you a, dose of steroids. So this is, these are tablets which, um, you can take for five days. Uh, two tablets in the morning.",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "And, uh, that should just dampen down your asthmatic response, OK.",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": "Um, now there are some side effects to the steroids. Which I should really tell you about, but please read the label, that's associated with. Don't be too worried about the side effects.",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "They're , most, you know , most of the time the steroids are, very well tolerated. And, uh, you . Have you had them in the past, do you know of?",
"turn_id": 95
},
{
"speaker": "patient",
"transcript": "Sorry, sorry, you were cutting in and out a little bit there. What were you saying?",
"turn_id": 96
},
{
"speaker": "doctor",
"transcript": ". Have you had steroids in the past?",
"turn_id": 97
},
{
"speaker": "patient",
"transcript": "Um, I can't remember, probably. I think so.",
"turn_id": 98
},
{
"speaker": "doctor",
"transcript": "Probably, yeah I would too. So, um, they, they can come, they can make you, your mood change, can be slightly low or too, slightly high.",
"turn_id": 99
},
{
"speaker": "doctor",
"transcript": "Can give you, a high blood sugar, um, and, uh, their. Uh, , they can also cause rash, nausea, um, headaches, but, mostly is well-tolerated, and it should help your asthma an awful lot.",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "Um, uh, what I'd like to do is, is send you these, the, some prescriptions for your, uh, inhalers, , ongoing. So you, um, you can, once you get better from this asthma attack, you can, you can, use the Clenil Modulite in the morning, with Ventolin as a PRN. , so, a Ventolin when you need to, um, when you're getting wheezy.",
"turn_id": 101
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 102
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "If you should start to use the Ventolin more than, uh, every three hours.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "Uh, at, at anytime, it's a good idea to seek medical attention. So, um, see a doctor, um, in some capacity.",
"turn_id": 105
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 106
},
{
"speaker": "doctor",
"transcript": "Uh, and, the other thing I'd like to send you is a spacer, which would allow the medication to actually, go into your lungs better. Have you, do you know what a spacer is? Have you used one before?",
"turn_id": 107
},
{
"speaker": "patient",
"transcript": "Yeah, yeah, I, somebody told me how to use one a while ago. I don't, I don't really use it, to be honest, but.",
"turn_id": 108
},
{
"speaker": "doctor",
"transcript": "Have you got one?",
"turn_id": 109
},
{
"speaker": "patient",
"transcript": "I think I do, I have one somewhere.",
"turn_id": 110
},
{
"speaker": "doctor",
"transcript": "OK. All right. Well, um, I'll send you another one, and it has some instructions about how to use it, but essentially, uh, couple of puffs to prime it, inside, breathing in and out, um, uh, for five or , five or ten breaths.",
"turn_id": 111
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 112
},
{
"speaker": "doctor",
"transcript": "Uh, yeah. So.",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": "Uh, was there anything else that was on your mind? Or you're concerned about at this stage?",
"turn_id": 114
},
{
"speaker": "patient",
"transcript": ", I think you got me covered.",
"turn_id": 115
},
{
"speaker": "doctor",
"transcript": "OK, and, and uh, I might give you some time off work as well. You can self-certify first seven days, but uh, I think I would advise you just to, rest a little bit until you're feeling a bit better, if you're OK with that. All right?",
"turn_id": 116
},
{
"speaker": "patient",
"transcript": "OK, .",
"turn_id": 117
},
{
"speaker": "patient",
"transcript": "All righty. Well, thank you very much.",
"turn_id": 118
},
{
"speaker": "doctor",
"transcript": "OK. No worries. Any deterioration in your symptoms, like worsening shortness of breath. Um, or just generally concerning symptoms, uh, pain in your chest tightness, uh, feeling light-headed.",
"turn_id": 119
},
{
"speaker": "doctor",
"transcript": "Uh, then, seek further medical attention anytime please. OK?",
"turn_id": 120
},
{
"speaker": "patient",
"transcript": "All right, sounds good.",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "OK. Thank you.",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "OK, thank you. Bye bye.",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "Bye bye.",
"turn_id": 124
}
] | [
{
"description": "inhalers Ventolin PRN",
"order_type": "medication",
"provenance": [
63,
114,
181,
182
],
"reason": "asthma attack when you're getting wheezy"
},
{
"description": "inhalers Clenil Modulite in the morning",
"order_type": "medication",
"provenance": [
63,
114,
161,
181
],
"reason": "asthma attack"
},
{
"description": "steroids tablets five days. two in the morning",
"order_type": "medication",
"provenance": [
159,
160,
161,
181
],
"reason": "asthma attack"
}
] | {"id": "primock57_4_9", "expected_orders": [{"order_type": "medication", "description": "inhalers Ventolin PRN", "reason": "asthma attack when you're getting wheezy", "provenance": [63, 114, 181, 182]}, {"order_type": "medication", "description": "inhalers Clenil Modulite in the morning", "reason": "asthma attack", "provenance": [63, 114, 161, 181]}, {"order_type": "medication", "description": "steroids tablets five days. two in the morning", "reason": "asthma attack", "provenance": [159, 160, 161, 181]}], "transcript": [{"turn_id": 1, "speaker": "patient", "transcript": "Hello."}, {"turn_id": 2, "speaker": "doctor", "transcript": "Ohh hello. Hi, how you doing? Uh, my name's Joe. I'm one of the doctors here at Babylon. Can I just confirm your name please?"}, {"turn_id": 3, "speaker": "patient", "transcript": "Hi."}, {"turn_id": 4, "speaker": "doctor", "transcript": "Yes. Brian ."}, {"turn_id": 5, "speaker": "patient", "transcript": "Yeah, sure. My name's Daniel ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "Hi Daniel. And your date of birth? ."}, {"turn_id": 7, "speaker": "patient", "transcript": "Yeah. May ."}, {"turn_id": 8, "speaker": "patient", "transcript": "Nineteen ninety two."}, {"turn_id": 9, "speaker": "doctor", "transcript": "Ninety two. OK, Daniel. And uh, are you in a, a comfortable and confidential place to talk?"}, {"turn_id": 10, "speaker": "patient", "transcript": "Yeah. Totally."}, {"turn_id": 11, "speaker": "doctor", "transcript": ", happy to go ahead. Great. How can I help?"}, {"turn_id": 12, "speaker": "patient", "transcript": "Um, yeah, I just, my chest has been feeling really tight."}, {"turn_id": 13, "speaker": "doctor", "transcript": "OK. And how long has this been going on for Daniel?"}, {"turn_id": 14, "speaker": "patient", "transcript": "Uh, for about."}, {"turn_id": 15, "speaker": "patient", "transcript": "Three hours now."}, {"turn_id": 16, "speaker": "doctor", "transcript": "OK. And, so, tight chest, three hours. Um, and, so you're born in ninety two, so that makes you twenty six?"}, {"turn_id": 17, "speaker": "doctor", "transcript": "Um, and, you are, uh. Any shortness of breath at all, with that?"}, {"turn_id": 18, "speaker": "patient", "transcript": "Twenty six, yeah."}, {"turn_id": 19, "speaker": "patient", "transcript": "Yeah, like a little bit, um. Yeah, a little bit short of breath, not too bad."}, {"turn_id": 20, "speaker": "doctor", "transcript": "Uh, any cough? Wheeze?"}, {"turn_id": 21, "speaker": "patient", "transcript": "Yeah, I'm feeling a bit wheezy, as well. Kind of cough , coughing, yeah."}, {"turn_id": 22, "speaker": "doctor", "transcript": "Slight cough, yeah. , sore throat? Runny nose? Sore ears?"}, {"turn_id": 23, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 24, "speaker": "patient", "transcript": "You know I had a cold last week, and, it's not as bad as it was, but yeah, I had a sore throat, I had a runny nose. Uh, just feeling under the weather."}, {"turn_id": 25, "speaker": "doctor", "transcript": "Mm-hmm. Are you feeling better now, other than the tight chest?"}, {"turn_id": 26, "speaker": "patient", "transcript": "I mean I feel worse, but the runny nose isn't as bad any more. ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "Right. OK, OK, but you now, now you've got this, this um. So you've still got, still got uh, symptoms of a cold, essentially?"}, {"turn_id": 28, "speaker": "patient", "transcript": "Yeah, but the cough's kind of stuck around."}, {"turn_id": 29, "speaker": "doctor", "transcript": "Uh, ooh, yeah, OK."}, {"turn_id": 30, "speaker": "doctor", "transcript": "And are you coughing up anything?"}, {"turn_id": 31, "speaker": "patient", "transcript": "Uh, no."}, {"turn_id": 32, "speaker": "doctor", "transcript": "And, um, do you have any other medical problems, like asthma?"}, {"turn_id": 33, "speaker": "patient", "transcript": "Yeah, yeah, I have asthma, I've had it for a while now, um."}, {"turn_id": 34, "speaker": "patient", "transcript": "And then I have like, a hayfever, you know, and some allergies just to dust, stuff like that."}, {"turn_id": 35, "speaker": "doctor", "transcript": ", OK."}, {"turn_id": 36, "speaker": "doctor", "transcript": "You have any, inhalers? Or any, any medications?"}, {"turn_id": 37, "speaker": "patient", "transcript": "Um, yeah, so, uh, you know the um, uh, Ventolin. It's called uh, Salbutamol."}, {"turn_id": 38, "speaker": "doctor", "transcript": "Yeah."}, {"turn_id": 39, "speaker": "patient", "transcript": "I got that one, and then I have a steroid, a Clenil, Clenil inhaler."}, {"turn_id": 40, "speaker": "doctor", "transcript": "Clenil, Clenil Modulite, yeah, OK."}, {"turn_id": 41, "speaker": "patient", "transcript": "Yeah, yeah."}, {"turn_id": 42, "speaker": "doctor", "transcript": "And um, uh, have you been using Clenil and the Ventolin? And how often have you been using them?"}, {"turn_id": 43, "speaker": "patient", "transcript": "Um, well to be honest, I was away at uni last week, and I forgot to bring it with me, so I haven't really in the past week. Uh."}, {"turn_id": 44, "speaker": "doctor", "transcript": "Both of them?"}, {"turn_id": 45, "speaker": "patient", "transcript": "Because , because um, sorry, they ran out and I, I forgot to, go and grab the next one."}, {"turn_id": 46, "speaker": "doctor", "transcript": "Yeah, sure."}, {"turn_id": 47, "speaker": "patient", "transcript": "About a week ago. Yeah."}, {"turn_id": 48, "speaker": "doctor", "transcript": "OK. All right, all right. So, so, so you've, you haven't got any Clenil, or any Ventolin at the moment?"}, {"turn_id": 49, "speaker": "patient", "transcript": "Not with me right now, no, I ran out."}, {"turn_id": 50, "speaker": "doctor", "transcript": "OK. All right. Um, and , any drug allergies, that you know of?"}, {"turn_id": 51, "speaker": "patient", "transcript": "No, no, not allergic to anything. Just like, just the, dust and stuff, but nothing, no drugs."}, {"turn_id": 52, "speaker": "doctor", "transcript": "OK, great. Now, uh, do you, anyone in your family have any medical problems, that you know of?"}, {"turn_id": 53, "speaker": "patient", "transcript": "Um, yeah, my mum has eczema, and my dad has asthma. , ohh, when I was young, I also had eczema."}, {"turn_id": 54, "speaker": "patient", "transcript": "And I had a milk protein allergy, when I was young too."}, {"turn_id": 55, "speaker": "doctor", "transcript": "Hmm. OK. Um."}, {"turn_id": 56, "speaker": "doctor", "transcript": "Right. So, just uh, , do you have any other, sort of concerns? Or ideas about what might be going on? Or, um, hopes for this consultation?"}, {"turn_id": 57, "speaker": "patient", "transcript": "Um."}, {"turn_id": 58, "speaker": "patient", "transcript": "Not really, like I feel like asthma's probably a part of it, and, probably getting my, inhalers would be helpful"}, {"turn_id": 59, "speaker": "patient", "transcript": "Um. It's just kinda scary, 'cause I haven't had, a time like this where I've been so, tight, uh, in a long time."}, {"turn_id": 60, "speaker": "doctor", "transcript": "Yeah, absolutely, I can, I can imagine."}, {"turn_id": 61, "speaker": "doctor", "transcript": "Um, well, it certainly sounds like uh, you've, you've had this cold, so you've got wheezy with a cough. Um, and it's non-productive cough, and you're short of breath. Uh, is the cough worse at night-time?"}, {"turn_id": 62, "speaker": "patient", "transcript": "I mean, it gets a little bit worse at night but, basically, just pretty consistent, and it hasn't gone away."}, {"turn_id": 63, "speaker": "doctor", "transcript": "Yeah."}, {"turn_id": 64, "speaker": "doctor", "transcript": "OK. And you've got this tight, tight chest. But you, you wouldn't say you've got chest pains? It's more of a tight chest, is it?"}, {"turn_id": 65, "speaker": "patient", "transcript": "No, not really pain, it's more like, tight."}, {"turn_id": 66, "speaker": "patient", "transcript": "It just feels like sometimes, I can't get a full breath in, you know."}, {"turn_id": 67, "speaker": "doctor", "transcript": "Yeah, sure. Um, OK. Well, I, I would quite like to, uh, certainly get you some, uh, Ventolin, Clenil Modulite. Have you had asthma exacerbations in the past?"}, {"turn_id": 68, "speaker": "patient", "transcript": "Not in a long time. When I was young, a little bit, more like, back in high school. Um, but, I've been pretty good at taking my , my inhalers, so, not, not so much any more."}, {"turn_id": 69, "speaker": "doctor", "transcript": "Yeah."}, {"turn_id": 70, "speaker": "doctor", "transcript": "Have you ever been to hospital, uh, as an inpatient? As in, you know, stayed in there overnight, for asthma?"}, {"turn_id": 71, "speaker": "patient", "transcript": "Yeah, when I was in high school, I had to have a tube put down my throat."}, {"turn_id": 72, "speaker": "doctor", "transcript": "Ohh, OK. So you, so, so you, uh, you , you went to hospital, and had a, a, . So you stayed in hospital for a few days did you, with an asthma exacerbation?"}, {"turn_id": 73, "speaker": "patient", "transcript": "Yeah I did, yeah."}, {"turn_id": 74, "speaker": "doctor", "transcript": "OK, but currently you're just on Ventolin and Clenil? And you haven't got any of those steroids, uh, those inhalers at the moment?"}, {"turn_id": 75, "speaker": "patient", "transcript": "Yeah, I'm doing pretty good, I'm doing pretty good, just on the Clenil, and the Salbutamol."}, {"turn_id": 76, "speaker": "doctor", "transcript": "OK. When, sorry, how old were you when you had that severe asthma exacerbation?"}, {"turn_id": 77, "speaker": "patient", "transcript": "Uh, I think I was like seventeen."}, {"turn_id": 78, "speaker": "patient", "transcript": "Sixteen maybe."}, {"turn_id": 79, "speaker": "doctor", "transcript": "Sure. OK. Um."}, {"turn_id": 80, "speaker": "doctor", "transcript": "Just to quantify how short of breath you are, um, I don't suppose you've got a peak flow with you? No, you won't have will you."}, {"turn_id": 81, "speaker": "patient", "transcript": "No, no."}, {"turn_id": 82, "speaker": "doctor", "transcript": "Um, are you able to, uh, like walk up, flights of stairs OK? Walk on the flat OK, without getting to short of breath? Or um, are you short of breath at rest?"}, {"turn_id": 83, "speaker": "patient", "transcript": "Uh, I'm definitely not short of breath at rest, like, except for that feeling I was describing."}, {"turn_id": 84, "speaker": "patient", "transcript": "It does when I'm walking up stairs, I do feel like, I have a little bit, more short of breath than I would normally be."}, {"turn_id": 85, "speaker": "doctor", "transcript": "Sure. Yeah. OK, but you're not short of breath at rest at the moment?"}, {"turn_id": 86, "speaker": "patient", "transcript": "No, no, no I'm not."}, {"turn_id": 87, "speaker": "doctor", "transcript": "OK, fine. So, what, what I think, um, and just to, just to go over, . Is there anything you had hoped about getting other than the uh, a, prescription for your inhalers? Was there anything else you'd hoped about getting from this?"}, {"turn_id": 88, "speaker": "patient", "transcript": "Well I just wanna know that I'm OK, to just like keep. I just don't wanna have to get, um, that, that intubation again."}, {"turn_id": 89, "speaker": "doctor", "transcript": "Sure, yeah, no, absolutely. Well, I'm really glad you have talked to me today. I think what we can do is, is give you a prescription for, uh, some more of the inhalers. We can get that to you, within the hour, I would hope."}, {"turn_id": 90, "speaker": "patient", "transcript": "Uh, ."}, {"turn_id": 91, "speaker": "doctor", "transcript": "Um, and, uh, I think, what, the other thing I'd like to do is just give you a, dose of steroids. So this is, these are tablets which, um, you can take for five days. Uh, two tablets in the morning."}, {"turn_id": 92, "speaker": "doctor", "transcript": "And, uh, that should just dampen down your asthmatic response, OK."}, {"turn_id": 93, "speaker": "patient", "transcript": "OK."}, {"turn_id": 94, "speaker": "doctor", "transcript": "Um, now there are some side effects to the steroids. Which I should really tell you about, but please read the label, that's associated with. Don't be too worried about the side effects."}, {"turn_id": 95, "speaker": "doctor", "transcript": "They're , most, you know , most of the time the steroids are, very well tolerated. And, uh, you . Have you had them in the past, do you know of?"}, {"turn_id": 96, "speaker": "patient", "transcript": "Sorry, sorry, you were cutting in and out a little bit there. What were you saying?"}, {"turn_id": 97, "speaker": "doctor", "transcript": ". Have you had steroids in the past?"}, {"turn_id": 98, "speaker": "patient", "transcript": "Um, I can't remember, probably. I think so."}, {"turn_id": 99, "speaker": "doctor", "transcript": "Probably, yeah I would too. So, um, they, they can come, they can make you, your mood change, can be slightly low or too, slightly high."}, {"turn_id": 100, "speaker": "doctor", "transcript": "Can give you, a high blood sugar, um, and, uh, their. Uh, , they can also cause rash, nausea, um, headaches, but, mostly is well-tolerated, and it should help your asthma an awful lot."}, {"turn_id": 101, "speaker": "doctor", "transcript": "Um, uh, what I'd like to do is, is send you these, the, some prescriptions for your, uh, inhalers, , ongoing. So you, um, you can, once you get better from this asthma attack, you can, you can, use the Clenil Modulite in the morning, with Ventolin as a PRN. , so, a Ventolin when you need to, um, when you're getting wheezy."}, {"turn_id": 102, "speaker": "patient", "transcript": "OK."}, {"turn_id": 103, "speaker": "patient", "transcript": "OK."}, {"turn_id": 104, "speaker": "doctor", "transcript": "If you should start to use the Ventolin more than, uh, every three hours."}, {"turn_id": 105, "speaker": "doctor", "transcript": "Uh, at, at anytime, it's a good idea to seek medical attention. So, um, see a doctor, um, in some capacity."}, {"turn_id": 106, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 107, "speaker": "doctor", "transcript": "Uh, and, the other thing I'd like to send you is a spacer, which would allow the medication to actually, go into your lungs better. Have you, do you know what a spacer is? Have you used one before?"}, {"turn_id": 108, "speaker": "patient", "transcript": "Yeah, yeah, I, somebody told me how to use one a while ago. I don't, I don't really use it, to be honest, but."}, {"turn_id": 109, "speaker": "doctor", "transcript": "Have you got one?"}, {"turn_id": 110, "speaker": "patient", "transcript": "I think I do, I have one somewhere."}, {"turn_id": 111, "speaker": "doctor", "transcript": "OK. All right. Well, um, I'll send you another one, and it has some instructions about how to use it, but essentially, uh, couple of puffs to prime it, inside, breathing in and out, um, uh, for five or , five or ten breaths."}, {"turn_id": 112, "speaker": "patient", "transcript": "OK."}, {"turn_id": 113, "speaker": "doctor", "transcript": "Uh, yeah. So."}, {"turn_id": 114, "speaker": "doctor", "transcript": "Uh, was there anything else that was on your mind? Or you're concerned about at this stage?"}, {"turn_id": 115, "speaker": "patient", "transcript": ", I think you got me covered."}, {"turn_id": 116, "speaker": "doctor", "transcript": "OK, and, and uh, I might give you some time off work as well. You can self-certify first seven days, but uh, I think I would advise you just to, rest a little bit until you're feeling a bit better, if you're OK with that. All right?"}, {"turn_id": 117, "speaker": "patient", "transcript": "OK, ."}, {"turn_id": 118, "speaker": "patient", "transcript": "All righty. Well, thank you very much."}, {"turn_id": 119, "speaker": "doctor", "transcript": "OK. No worries. Any deterioration in your symptoms, like worsening shortness of breath. Um, or just generally concerning symptoms, uh, pain in your chest tightness, uh, feeling light-headed."}, {"turn_id": 120, "speaker": "doctor", "transcript": "Uh, then, seek further medical attention anytime please. OK?"}, {"turn_id": 121, "speaker": "patient", "transcript": "All right, sounds good."}, {"turn_id": 122, "speaker": "doctor", "transcript": "OK. Thank you."}, {"turn_id": 123, "speaker": "patient", "transcript": "OK, thank you. Bye bye."}, {"turn_id": 124, "speaker": "doctor", "transcript": "Bye bye."}]} |
acibench_D2N142_virtscribe_clinicalnlp_taskC_test2 | [
{
"speaker": "doctor",
"transcript": "amanda taylor , birth date october 31st 1949 . patient is a 72 year old woman who comes for followup for hypertension . her history includes significant alcohol use disorder and mi- mild hypercholesterolemia . at last visit on april 16th her blood pressure was 130 over 90 . after presenting at 150 over 100 she was prescribed hydrochlorothiazide 12.5 milligrams by mouth once daily , and lisinopril 20 milligrams by mouth once daily . cmp and cbc were essentially unremarkable .",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "hi miss taylor , how are you today ?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "hi , i'm- i'm good , thank you .",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "thanks for coming in today .",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "yeah , no problem .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "so how have things been going for you ?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "uh , they've been all right . i'm struggling with not drinking . i wanted to discuss that , uh , shot that you had mentioned last time , but we did n't get to discuss it too much .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay , well i'll be happy to provide you with more information . so tell me when did you last have a drink ?",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "on monday .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "okay , so you've gone a couple days without it ?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "yeah , yeah i have .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "yeah , and had you been drinking for a while ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "yep .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "how much had- how much had you been drinking ?",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "um , four or five times a week hard alcohol , so , you know .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "okay . well it will certainly help your blood pressure if you're able to stop drinking .",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "yeah , yeah i- i- i agree with you .",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "okay . are you taking your blood pressure medications ?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "yeah , but i'm only taking half of the lisinopril .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "i- b- well , the first time i took it i felt lethargic and tired , so i only took a half dose the next time . i felt much better and i did n't have the headaches or the swooshing that started in my left ear . so i feel like it's definitely helping but i do n't know ... i know it's not gon na be okay until i stop drinking .",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "and are you also taking the full dose of the hydrochlorothiazide ? do you have any , um , chest tightness or pressure or any shortness of breath ?",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "yeah i'm taking the full dose of that medicine too , and no none of those symptoms .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "okay . anything else i should be aware of or that we should be checking ?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "mm , no .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "okay , good . are you doing the blood pressure checks at home ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "yes . yes i am .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay good . what kind of numbers are you seeing ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "well , in the morning i'm seeing lower numbers than in the evening , um , where i run anywhere from like 130 to 145 or 150 over 95 to 100 on the bottom .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "but in the evenings if i sit there for a while and then take it , it goes down . kind of like when i come here it's always high but then it goes down . in the mornings it's generally more normal where it's supposed to be .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "uh- .",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "mm , also i'm taking my medicine in the morning when i get up instead of in the evening .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "yeah , so it sounds like we are not too far out of where we wan na be .",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "right , mm-hmm .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "okay . well let me get a listen to your heart , go ahead and hop up here .",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "use my general exam template . all right , go ahead and take some deep breaths . okay , good . any fever , cough , shortness of breath or sore throat ?",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "any recent travel or contact or exposure to the coronavirus ?",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "nope .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "have you received your coronavirus vaccine ?",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "yes , on february 9th .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "okay , great . all right well i'm just going to look at your ankles and feet , i'm looking for any signs of swelling .",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "all right , well everything looks good . you can go ahead and sit up miss taylor . all right , so the good news is everything is looking okay . i think we both agree if you were able to stop drinking your blood pressure would cease to be an issue for you .",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "yeah i agree with that .",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "so let us discuss the potential medicine to help you with that . what it does is it blocks some of the brain receptors that alcohol stimulates and it tricks the brain into thinking it does not need alcohol , thereby cutting down the urges .",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "the urge to drink or the constant thinking about it ?",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "it actually will help with both .",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "okay . so is it like a one-time thing ?",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "generally the shot is given about once a month , it can also be given as a daily pill , but the shot does tend to work a bit better .",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "yeah i've taken things like this in the past and if it is a pill , i know i wo n't take it . with a shot , it's not like you can un-take it .",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "yeah that's true . and the shot has been shown to work , it is more just a matter of getting you in to get your shot a month later with the nurse .",
"turn_id": 54
},
{
"speaker": "patient",
"transcript": "yeah , sure , sure .",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "okay , so it's called naltrexone . i think the other name might be vivitrol . like i've said , the research on it is pretty good .",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "i think i may have taken the naltrexone before .",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "okay , yeah , maybe you have .",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "yeah , if it was available in a pill form then i'm almost certain i've tried it b- before .",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "okay . if this sounds good though , we can go ahead get you started with the shot . i am looking and it looks like we have you coming back in on may 17th for your first shot , does that sound good ?",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "yeah , yeah , that sounds great . are there any possible side effects ?",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "yeah , some people will experience some nausea , headache , dizziness , anxi- anxiety , tiredness and trouble sleeping , but generally the side effects are mild and should go away within a few days .",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "then we can schedule you for a follow-up in june to see how you are doing .",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "all right that sounds good .",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "all right great . well otherwise stay with your current medicines , keep checking your blood pressure , and let's see if we can stop the alcohol for good . let us know if you have any questions or any issues come up after you receive the first dose .",
"turn_id": 66
},
{
"speaker": "patient",
"transcript": "all right , sounds good , thank you .",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "you are welcome , have a good rest of your day .",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "you too .",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "miss taylor is drinking alcohol four to five days per week to excess . no tobacco , no substance abuse , skin is moist , good trigger . on exam she is alert , pleasant , in no acute distress . she is not diabetic , there is no tremor , no cva tenderness , chest clear to percussion and auscultation , unlabored breathing , cardiac rhythm regular , no murmur , no gallop , jvp flat , with a head at 90 degrees . she does not appear anxious , agitated or depressed . my impression , alcohol use disorder . she would like to start naltrexone which we have previously discussed . she will take the injectable form and start on may 17th . we reviewed side effects and risks . the potential benefit of alcohol cessation would be highly beneficial to her for many reasons . hypertension , she is taking lisinopril 10 milligrams daily and hydrochlorothiazide 12.5 milligrams daily . quite possibly her blood pressure will improve completely with cessation of alcohol . her target bp is 130 to 140 over 70 to 80 . i will see her back week of june 14th , which is likely around the time of her second naltrexone injection . i recommend upgrading influenza vaccination and shingrix . number two , she did defer this .",
"turn_id": 70
}
] | [
{
"description": "once a month naltrexone injectable start on may 17th",
"order_type": "medication",
"provenance": [
81,
113,
114,
115
],
"reason": "alcohol use disorder"
},
{
"description": "see her back week of june 14th",
"order_type": "followup",
"provenance": [
121
],
"reason": null
}
] | {"id": "acibench_D2N142_virtscribe_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "medication", "description": "once a month naltrexone injectable start on may 17th", "reason": "alcohol use disorder", "provenance": [81, 113, 114, 115]}, {"order_type": "followup", "description": "see her back week of june 14th", "reason": null, "provenance": [121]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "amanda taylor , birth date october 31st 1949 . patient is a 72 year old woman who comes for followup for hypertension . her history includes significant alcohol use disorder and mi- mild hypercholesterolemia . at last visit on april 16th her blood pressure was 130 over 90 . after presenting at 150 over 100 she was prescribed hydrochlorothiazide 12.5 milligrams by mouth once daily , and lisinopril 20 milligrams by mouth once daily . cmp and cbc were essentially unremarkable ."}, {"turn_id": 2, "speaker": "doctor", "transcript": "hi miss taylor , how are you today ?"}, {"turn_id": 3, "speaker": "patient", "transcript": "hi , i'm- i'm good , thank you ."}, {"turn_id": 4, "speaker": "doctor", "transcript": "thanks for coming in today ."}, {"turn_id": 5, "speaker": "patient", "transcript": "yeah , no problem ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "so how have things been going for you ?"}, {"turn_id": 7, "speaker": "patient", "transcript": "uh , they've been all right . i'm struggling with not drinking . i wanted to discuss that , uh , shot that you had mentioned last time , but we did n't get to discuss it too much ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay , well i'll be happy to provide you with more information . so tell me when did you last have a drink ?"}, {"turn_id": 9, "speaker": "patient", "transcript": "on monday ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "okay , so you've gone a couple days without it ?"}, {"turn_id": 11, "speaker": "patient", "transcript": "yeah , yeah i have ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "yeah , and had you been drinking for a while ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "yep ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "how much had- how much had you been drinking ?"}, {"turn_id": 15, "speaker": "patient", "transcript": "um , four or five times a week hard alcohol , so , you know ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "okay . well it will certainly help your blood pressure if you're able to stop drinking ."}, {"turn_id": 17, "speaker": "patient", "transcript": "yeah , yeah i- i- i agree with you ."}, {"turn_id": 18, "speaker": "doctor", "transcript": "okay . are you taking your blood pressure medications ?"}, {"turn_id": 19, "speaker": "patient", "transcript": "yeah , but i'm only taking half of the lisinopril ."}, {"turn_id": 20, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 21, "speaker": "patient", "transcript": "i- b- well , the first time i took it i felt lethargic and tired , so i only took a half dose the next time . i felt much better and i did n't have the headaches or the swooshing that started in my left ear . so i feel like it's definitely helping but i do n't know ... i know it's not gon na be okay until i stop drinking ."}, {"turn_id": 22, "speaker": "doctor", "transcript": "and are you also taking the full dose of the hydrochlorothiazide ? do you have any , um , chest tightness or pressure or any shortness of breath ?"}, {"turn_id": 23, "speaker": "patient", "transcript": "yeah i'm taking the full dose of that medicine too , and no none of those symptoms ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "okay . anything else i should be aware of or that we should be checking ?"}, {"turn_id": 25, "speaker": "patient", "transcript": "mm , no ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "okay , good . are you doing the blood pressure checks at home ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "yes . yes i am ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay good . what kind of numbers are you seeing ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "well , in the morning i'm seeing lower numbers than in the evening , um , where i run anywhere from like 130 to 145 or 150 over 95 to 100 on the bottom ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 31, "speaker": "patient", "transcript": "but in the evenings if i sit there for a while and then take it , it goes down . kind of like when i come here it's always high but then it goes down . in the mornings it's generally more normal where it's supposed to be ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "uh- ."}, {"turn_id": 33, "speaker": "patient", "transcript": "mm , also i'm taking my medicine in the morning when i get up instead of in the evening ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "yeah , so it sounds like we are not too far out of where we wan na be ."}, {"turn_id": 35, "speaker": "patient", "transcript": "right , mm-hmm ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "okay . well let me get a listen to your heart , go ahead and hop up here ."}, {"turn_id": 37, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "use my general exam template . all right , go ahead and take some deep breaths . okay , good . any fever , cough , shortness of breath or sore throat ?"}, {"turn_id": 39, "speaker": "patient", "transcript": "no ."}, {"turn_id": 40, "speaker": "doctor", "transcript": "any recent travel or contact or exposure to the coronavirus ?"}, {"turn_id": 41, "speaker": "patient", "transcript": "nope ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "have you received your coronavirus vaccine ?"}, {"turn_id": 43, "speaker": "patient", "transcript": "yes , on february 9th ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "okay , great . all right well i'm just going to look at your ankles and feet , i'm looking for any signs of swelling ."}, {"turn_id": 45, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "all right , well everything looks good . you can go ahead and sit up miss taylor . all right , so the good news is everything is looking okay . i think we both agree if you were able to stop drinking your blood pressure would cease to be an issue for you ."}, {"turn_id": 47, "speaker": "patient", "transcript": "yeah i agree with that ."}, {"turn_id": 48, "speaker": "doctor", "transcript": "so let us discuss the potential medicine to help you with that . what it does is it blocks some of the brain receptors that alcohol stimulates and it tricks the brain into thinking it does not need alcohol , thereby cutting down the urges ."}, {"turn_id": 49, "speaker": "patient", "transcript": "the urge to drink or the constant thinking about it ?"}, {"turn_id": 50, "speaker": "doctor", "transcript": "it actually will help with both ."}, {"turn_id": 51, "speaker": "patient", "transcript": "okay . so is it like a one-time thing ?"}, {"turn_id": 52, "speaker": "doctor", "transcript": "generally the shot is given about once a month , it can also be given as a daily pill , but the shot does tend to work a bit better ."}, {"turn_id": 53, "speaker": "patient", "transcript": "yeah i've taken things like this in the past and if it is a pill , i know i wo n't take it . with a shot , it's not like you can un-take it ."}, {"turn_id": 54, "speaker": "doctor", "transcript": "yeah that's true . and the shot has been shown to work , it is more just a matter of getting you in to get your shot a month later with the nurse ."}, {"turn_id": 55, "speaker": "patient", "transcript": "yeah , sure , sure ."}, {"turn_id": 56, "speaker": "doctor", "transcript": "okay , so it's called naltrexone . i think the other name might be vivitrol . like i've said , the research on it is pretty good ."}, {"turn_id": 57, "speaker": "patient", "transcript": "i think i may have taken the naltrexone before ."}, {"turn_id": 58, "speaker": "doctor", "transcript": "okay , yeah , maybe you have ."}, {"turn_id": 59, "speaker": "patient", "transcript": "yeah , if it was available in a pill form then i'm almost certain i've tried it b- before ."}, {"turn_id": 60, "speaker": "doctor", "transcript": "okay . if this sounds good though , we can go ahead get you started with the shot . i am looking and it looks like we have you coming back in on may 17th for your first shot , does that sound good ?"}, {"turn_id": 61, "speaker": "patient", "transcript": "yeah , yeah , that sounds great . are there any possible side effects ?"}, {"turn_id": 62, "speaker": "doctor", "transcript": "yeah , some people will experience some nausea , headache , dizziness , anxi- anxiety , tiredness and trouble sleeping , but generally the side effects are mild and should go away within a few days ."}, {"turn_id": 63, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 64, "speaker": "doctor", "transcript": "then we can schedule you for a follow-up in june to see how you are doing ."}, {"turn_id": 65, "speaker": "patient", "transcript": "all right that sounds good ."}, {"turn_id": 66, "speaker": "doctor", "transcript": "all right great . well otherwise stay with your current medicines , keep checking your blood pressure , and let's see if we can stop the alcohol for good . let us know if you have any questions or any issues come up after you receive the first dose ."}, {"turn_id": 67, "speaker": "patient", "transcript": "all right , sounds good , thank you ."}, {"turn_id": 68, "speaker": "doctor", "transcript": "you are welcome , have a good rest of your day ."}, {"turn_id": 69, "speaker": "patient", "transcript": "you too ."}, {"turn_id": 70, "speaker": "doctor", "transcript": "miss taylor is drinking alcohol four to five days per week to excess . no tobacco , no substance abuse , skin is moist , good trigger . on exam she is alert , pleasant , in no acute distress . she is not diabetic , there is no tremor , no cva tenderness , chest clear to percussion and auscultation , unlabored breathing , cardiac rhythm regular , no murmur , no gallop , jvp flat , with a head at 90 degrees . she does not appear anxious , agitated or depressed . my impression , alcohol use disorder . she would like to start naltrexone which we have previously discussed . she will take the injectable form and start on may 17th . we reviewed side effects and risks . the potential benefit of alcohol cessation would be highly beneficial to her for many reasons . hypertension , she is taking lisinopril 10 milligrams daily and hydrochlorothiazide 12.5 milligrams daily . quite possibly her blood pressure will improve completely with cessation of alcohol . her target bp is 130 to 140 over 70 to 80 . i will see her back week of june 14th , which is likely around the time of her second naltrexone injection . i recommend upgrading influenza vaccination and shingrix . number two , she did defer this ."}]} |
acibench_D2N165_aci_clinicalnlp_taskC_test2 | [
{
"speaker": "doctor",
"transcript": "hey sophia how are you doing today",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i've been better my primary care doctor wanted me to see you because of this knee pain that i've been having for about six months now",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay do you remember what caused the pain initially",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "you know i really ca n't recall any specific event that caused the pain",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "alright well can can you describe the pain for me",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah so it's it's like a deep achy pain that it i feel like it's behind my kneecaps and sometimes i can even hear like what seems like like some creaking in my knees",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "hmmm alright now tell me what what type of activities makes that pain worse",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "so i feel like the pain gets worse anytime i'm like getting from like a seated position to standing so i i work from home so i'm at my desk a lot so anytime i get up i have some pain or after watching tv or even like going up and down stairs it's really painful",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "hmmm okay and does anything make the pain feel better",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "usually after i rest it for some time it does help with the pain",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay now you did mention earlier that you have tried some things in the past can you tell me what they were",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah so when it first started hurting i was putting ice on it and i even got like some ace bandage like wrapping from the pharmacy i do take ibuprofen or aleve sometimes but i try to avoid really taking any medications",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay and and tell me what is your day like",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "well i try to be as active as i can i actually love to run and i would run like five to six miles a day but now i i mean honestly i ca n't even get to half a mile and my leg will start hurting my knee will start hurting",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay that's definitely a decrease in your mileage there where have you been running lately like do you run outside or on a treadmill or",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "yeah i i you know i will do the treadmill during the winter but i just love being outdoors and running",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "yeah yeah there are some really nice senior routes here in boston is n't there like",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "there are",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "so many knee places there's some right by the harbor that i've i've done some runs there before too it's pretty nice well i mean the boston marathon what can you say right",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "right exactly exactly no it's very nice",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "well okay well hopefully that we get you feeling better so you can start running again more than . five miles but tell me though have you noticed any swelling or redness in your knees",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "no not really",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay and have you ever injured your knees before",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no i've been pretty good i actually have never broken a bone actually no i'm gon na change that actually i did break my arm when i was in sixth grade but nothing since then",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "i",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay and it's just your arm right not not your knee",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "right",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay well alright well let's go ahead and do a quick physical exam on you here let me look at your vital signs okay i reviewed your vitals they they overall they look good take a listen to your heart real quick alright and your heart exam i hear regular rate and rhythm with no murmurs and on your musculoskeletal exam i have seen you and walk around here and you do have normal gait alright now i'm gon na have you do some movements on your legs here okay",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "alright good your strength is three out of five for abduction of legs bilaterally and the remainder of muscle strength for your lower extremities are five out of five so that's good let me take a look at your knee now on your knee exam there is no overlying erythema that's redness or ecchymosis and that's bruising or any warmth of the skin appreciated there is no effusion let me go ahead and feel around here does that hurt right here how does that feel",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "it does",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "sorry so there is tenderness to palpation of the bilateral retinacular retinaculum and there is positive patellar grind test alright and can you are you able to squat for me",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "i can but that hurts",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "okay alright so you're definitely having some knee pain with squatting and i'm just gon na maneuver your leg just a little bit here real quick okay so lachman anterior and posterior drawer and mcmurray tests are all negative bilaterally so that's good there okay now your neuro exam patella and achilles reflexes are symmetrical alright so now i did review the results of your x-ray and both of your knees which shows no fractures or osteoarthritis so let me go ahead and tell you about my assessment and plan so for your problem of bilateral knee pain based on what you told me your exam and reviewing your mri your symptoms are consistent with patellofemoral pain syndrome and this is a very common condition that we see that causes knee pain especially in active young people so this condition has to do with the way your kneecap which is your patella how that moves along the groove of your thigh your thigh bone which is the femur now for the pain you may continue taking ibuprofen or anti-inflammatory as needed to help with the pain but i'm also going to recommend physical therapy where where they will show you a number of lower extremity exercises and this will help increase your lower extremity strength your mobility and correct any incorrect running mechanics that you may have so do you have any questions for me about that",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "will i be able to run anytime soon",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "well that is a goal of treatment and to get you back in running again now you will have to take an take it easy from running for now but we will continue to assess your progress with each visit okay",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "alright anything else",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "no i think that's it",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay well very good well i will be following up with you soon and again just take it easy for now from the running okay",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "okay thank you",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "bye",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "bye",
"turn_id": 44
}
] | [
{
"description": "following up",
"order_type": "followup",
"provenance": [
42
],
"reason": null
}
] | {"id": "acibench_D2N165_aci_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "followup", "description": "following up", "reason": null, "provenance": [42]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey sophia how are you doing today"}, {"turn_id": 2, "speaker": "patient", "transcript": "i've been better my primary care doctor wanted me to see you because of this knee pain that i've been having for about six months now"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay do you remember what caused the pain initially"}, {"turn_id": 4, "speaker": "patient", "transcript": "you know i really ca n't recall any specific event that caused the pain"}, {"turn_id": 5, "speaker": "doctor", "transcript": "alright well can can you describe the pain for me"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah so it's it's like a deep achy pain that it i feel like it's behind my kneecaps and sometimes i can even hear like what seems like like some creaking in my knees"}, {"turn_id": 7, "speaker": "doctor", "transcript": "hmmm alright now tell me what what type of activities makes that pain worse"}, {"turn_id": 8, "speaker": "patient", "transcript": "so i feel like the pain gets worse anytime i'm like getting from like a seated position to standing so i i work from home so i'm at my desk a lot so anytime i get up i have some pain or after watching tv or even like going up and down stairs it's really painful"}, {"turn_id": 9, "speaker": "doctor", "transcript": "hmmm okay and does anything make the pain feel better"}, {"turn_id": 10, "speaker": "patient", "transcript": "usually after i rest it for some time it does help with the pain"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay now you did mention earlier that you have tried some things in the past can you tell me what they were"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah so when it first started hurting i was putting ice on it and i even got like some ace bandage like wrapping from the pharmacy i do take ibuprofen or aleve sometimes but i try to avoid really taking any medications"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay and and tell me what is your day like"}, {"turn_id": 14, "speaker": "patient", "transcript": "well i try to be as active as i can i actually love to run and i would run like five to six miles a day but now i i mean honestly i ca n't even get to half a mile and my leg will start hurting my knee will start hurting"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay that's definitely a decrease in your mileage there where have you been running lately like do you run outside or on a treadmill or"}, {"turn_id": 16, "speaker": "patient", "transcript": "yeah i i you know i will do the treadmill during the winter but i just love being outdoors and running"}, {"turn_id": 17, "speaker": "doctor", "transcript": "yeah yeah there are some really nice senior routes here in boston is n't there like"}, {"turn_id": 18, "speaker": "patient", "transcript": "there are"}, {"turn_id": 19, "speaker": "doctor", "transcript": "so many knee places there's some right by the harbor that i've i've done some runs there before too it's pretty nice well i mean the boston marathon what can you say right"}, {"turn_id": 20, "speaker": "patient", "transcript": "right exactly exactly no it's very nice"}, {"turn_id": 21, "speaker": "doctor", "transcript": "well okay well hopefully that we get you feeling better so you can start running again more than . five miles but tell me though have you noticed any swelling or redness in your knees"}, {"turn_id": 22, "speaker": "patient", "transcript": "no not really"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay and have you ever injured your knees before"}, {"turn_id": 24, "speaker": "patient", "transcript": "no i've been pretty good i actually have never broken a bone actually no i'm gon na change that actually i did break my arm when i was in sixth grade but nothing since then"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 26, "speaker": "patient", "transcript": "i"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay and it's just your arm right not not your knee"}, {"turn_id": 28, "speaker": "patient", "transcript": "right"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay well alright well let's go ahead and do a quick physical exam on you here let me look at your vital signs okay i reviewed your vitals they they overall they look good take a listen to your heart real quick alright and your heart exam i hear regular rate and rhythm with no murmurs and on your musculoskeletal exam i have seen you and walk around here and you do have normal gait alright now i'm gon na have you do some movements on your legs here okay"}, {"turn_id": 30, "speaker": "patient", "transcript": "okay"}, {"turn_id": 31, "speaker": "doctor", "transcript": "alright good your strength is three out of five for abduction of legs bilaterally and the remainder of muscle strength for your lower extremities are five out of five so that's good let me take a look at your knee now on your knee exam there is no overlying erythema that's redness or ecchymosis and that's bruising or any warmth of the skin appreciated there is no effusion let me go ahead and feel around here does that hurt right here how does that feel"}, {"turn_id": 32, "speaker": "patient", "transcript": "it does"}, {"turn_id": 33, "speaker": "doctor", "transcript": "sorry so there is tenderness to palpation of the bilateral retinacular retinaculum and there is positive patellar grind test alright and can you are you able to squat for me"}, {"turn_id": 34, "speaker": "patient", "transcript": "i can but that hurts"}, {"turn_id": 35, "speaker": "doctor", "transcript": "okay alright so you're definitely having some knee pain with squatting and i'm just gon na maneuver your leg just a little bit here real quick okay so lachman anterior and posterior drawer and mcmurray tests are all negative bilaterally so that's good there okay now your neuro exam patella and achilles reflexes are symmetrical alright so now i did review the results of your x-ray and both of your knees which shows no fractures or osteoarthritis so let me go ahead and tell you about my assessment and plan so for your problem of bilateral knee pain based on what you told me your exam and reviewing your mri your symptoms are consistent with patellofemoral pain syndrome and this is a very common condition that we see that causes knee pain especially in active young people so this condition has to do with the way your kneecap which is your patella how that moves along the groove of your thigh your thigh bone which is the femur now for the pain you may continue taking ibuprofen or anti-inflammatory as needed to help with the pain but i'm also going to recommend physical therapy where where they will show you a number of lower extremity exercises and this will help increase your lower extremity strength your mobility and correct any incorrect running mechanics that you may have so do you have any questions for me about that"}, {"turn_id": 36, "speaker": "patient", "transcript": "will i be able to run anytime soon"}, {"turn_id": 37, "speaker": "doctor", "transcript": "well that is a goal of treatment and to get you back in running again now you will have to take an take it easy from running for now but we will continue to assess your progress with each visit okay"}, {"turn_id": 38, "speaker": "patient", "transcript": "okay"}, {"turn_id": 39, "speaker": "doctor", "transcript": "alright anything else"}, {"turn_id": 40, "speaker": "patient", "transcript": "no i think that's it"}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay well very good well i will be following up with you soon and again just take it easy for now from the running okay"}, {"turn_id": 42, "speaker": "patient", "transcript": "okay thank you"}, {"turn_id": 43, "speaker": "doctor", "transcript": "bye"}, {"turn_id": 44, "speaker": "patient", "transcript": "bye"}]} |
acibench_D2N200_aci_clef_taskC_test3 | [
{
"speaker": "doctor",
"transcript": "alright okay theresa so i understand that you're you're having a bit of some headache here and then your blood pressure has been running high can you tell me a little bit about what's happening",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yeah i've had blood high blood pressure for a long time my provider gave me chlorthalidone i do n't really take it because it gives me a stomachache but yeah i get headaches right here on the top of my head they kinda come and go they're throbbing tylenol helps the headache",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay alright and then so how long have you had this headache has this been recent or like acute or you've been having this for since you've had your blood pressures",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "hmmm it's been on and off for about a month",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "a month okay alright and then are you having any other kind of symptoms with that like are you having any kind of you know dizziness lightheadedness any nausea vomiting",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah sometimes i feel dizzy and my vision gets a little blurry",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay alright how about like chest pain or shortness of breath are you experiencing any of that when you have these headaches in your blood pressure",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "chest pain or shortness of breath",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay very good alright and then you said you were you've taken some tylenol for that and you said it did help a little bit or did n't sorry",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "it does help",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "it does help good very good so how often are you taking your your medication are you taking that as prescribed like daily it sounds like you missed a few times but for the most part are you taking it",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah i forget a lot so i probably take it like every other day",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay every other day alright and then are you also now i know you also have some diabetes so are you how are you doing with that one are you pretty much taking your metformin everyday",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "hmmm i probably take it when i take my other medicine like every other day",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "every other day okay so i do see that you know the nurse took your your vital signs this morning that your blood pressure is running quite a bit high it was like one seventy two over ninety eight so that's that's really a little higher than where we want it to be especially that you're on your medication but what we're gon na do is we're gon na take i'm gon na take a look at you real quick and then we can discuss you know maybe there's some changes that we can do in terms of your current regimen how about diet and your have you been sticking with that low sodium diet at all",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no i love mcdonald's i eat it all the time",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "i love mcdonald's too my favorite is big mac i do n't know about you but i got ta have my big mac with those large fries which you what's your favorite mcdonald's treat there",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i need to think of what fully of fish i love flare of fish",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "well at least you're eating the fish but but they can be very high in sodium especially the fast foods so we'll have to talk about maybe they can look at you know some some diet changes as well so the other thing is for your for your blood sugar here i see that you know you're running a bit high as well it looks like you're like you're about one seventy this morning and i i i i assume that you were fasting last night is that right okay so that's that's a little higher than what we want it's not bad it's below two hundred but it's getting kinda close to the borderline from where our limit is so we will take we take a look at that and also we'll figure out what we can do with that as well alright so at this point how about are you how is how is work how is life it's been good otherwise how's the family",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "they are good i did eat a lot of my kids easter candy over the weekend so maybe that's why my sugar is high",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay alright great alright alright just just around easter okay not not too much during the the year hopefully",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yeah i try",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "well that's good so let's go ahead and do a physical exam on you real quick here okay and so i'm looking at your vital signs it looks like your blood pressure i we mentioned that today is pretty high your heart rate looks good it's with it's within normal limits here and then your oxygenation is fine so you did mention you did n't have any shortness of breath so that's good so let me just feel around your neck real quick here i do n't appreciate any jugular venous distention on your neck exam i no carotid bruits so that's good let me go ahead and listen to your lungs and your heart here real quick alright so on your auscultation of your lungs they're clear bilaterally on your heart exam though i i do sense a two out of six systolic ejection murmur now that was also there last year so it has n't changed any so we'll just keep monitoring that one and then let me take a look at your extremities here real quick theresa so let me look at your hands you got a little bit of slight edema bilaterally on your upper extremities but let me look at your legs here okay so you have a one plus pitting edema noted here on your legs bilaterally so that means you're retaining a lot of that salt that you're eating unfortunately okay so so let me go ahead and tell you about my assessment and plan here so definitely what you're experiencing is some uncontrolled hypertension now most of the time you know it's multifactorial right it's your diet it could be the medication regimen if you're not following that and then it might be that we are gon na need to change the medication around and also change your diet but i would like to start with going ahead and i want to continue your current medication regimen today i do wan na really encourage that you do take that everyday maybe set a reminder like on your you know do you use your iphone a lot for your reminders and things maybe we can go ahead and do that get a reminder make sure that you take that everyday but with that i would like to go ahead and also monitor your blood pressure let's do it three times a week it can be much when we do it everyday but maybe three times a week do you have a blood pressure monitor at home",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay so i can recommend some really good ones nowadays that you can use at home and they're not that expensive and at least it'll give you some you know idea of what your blood pressure is running at and then i want you to come back like in a month because i wan na go ahead and see how your blood pressure is doing now that you know you're you you're taking your blood pressure medication everyday the other thing is i do wan na go ahead and have a nutritionist come and talk to you about you may maybe some dietary changes i'd like for you to start a – diet it's really to to help you know a lot of reduce a lot of that sodium intake when you're when you're when you're taking in your food so a nutritionist is gon na be able to help you figure out some foods that you know that you may like that you can actually use as an alternative besides the mcdonald's although you can have that once in a blue moon but you know not not too often okay",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "okay sounds good",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "great and then for your diabetes i wan na go ahead and let's go ahead and increase your your metformin to fifteen hundred milligrams i think all for that too i want you to go ahead and continue taking your blood sugars to make sure as as you normally would to make sure that you know that change in medication is is actually being effective alright do you have any other questions for me at this time",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "nope",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay great well i'm gon na have the nurse check you out and and i'll have the scheduler schedule you for a one month follow-up we'll take a look and see how you're doing from there see if we have then we will move from there okay",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "sounds good thank you",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "thanks theresa",
"turn_id": 31
}
] | [
{
"description": "metformin everyday fifteen hundred milligrams",
"order_type": "medication",
"provenance": [
13,
27
],
"reason": "diabetes"
},
{
"description": "one month follow-up",
"order_type": "followup",
"provenance": [
29
],
"reason": null
}
] | {"id": "acibench_D2N200_aci_clef_taskC_test3", "expected_orders": [{"order_type": "medication", "description": "metformin everyday fifteen hundred milligrams", "reason": "diabetes", "provenance": [13, 27]}, {"order_type": "followup", "description": "one month follow-up", "reason": null, "provenance": [29]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "alright okay theresa so i understand that you're you're having a bit of some headache here and then your blood pressure has been running high can you tell me a little bit about what's happening"}, {"turn_id": 2, "speaker": "patient", "transcript": "yeah i've had blood high blood pressure for a long time my provider gave me chlorthalidone i do n't really take it because it gives me a stomachache but yeah i get headaches right here on the top of my head they kinda come and go they're throbbing tylenol helps the headache"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay alright and then so how long have you had this headache has this been recent or like acute or you've been having this for since you've had your blood pressures"}, {"turn_id": 4, "speaker": "patient", "transcript": "hmmm it's been on and off for about a month"}, {"turn_id": 5, "speaker": "doctor", "transcript": "a month okay alright and then are you having any other kind of symptoms with that like are you having any kind of you know dizziness lightheadedness any nausea vomiting"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah sometimes i feel dizzy and my vision gets a little blurry"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay alright how about like chest pain or shortness of breath are you experiencing any of that when you have these headaches in your blood pressure"}, {"turn_id": 8, "speaker": "patient", "transcript": "chest pain or shortness of breath"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay very good alright and then you said you were you've taken some tylenol for that and you said it did help a little bit or did n't sorry"}, {"turn_id": 10, "speaker": "patient", "transcript": "it does help"}, {"turn_id": 11, "speaker": "doctor", "transcript": "it does help good very good so how often are you taking your your medication are you taking that as prescribed like daily it sounds like you missed a few times but for the most part are you taking it"}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah i forget a lot so i probably take it like every other day"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay every other day alright and then are you also now i know you also have some diabetes so are you how are you doing with that one are you pretty much taking your metformin everyday"}, {"turn_id": 14, "speaker": "patient", "transcript": "hmmm i probably take it when i take my other medicine like every other day"}, {"turn_id": 15, "speaker": "doctor", "transcript": "every other day okay so i do see that you know the nurse took your your vital signs this morning that your blood pressure is running quite a bit high it was like one seventy two over ninety eight so that's that's really a little higher than where we want it to be especially that you're on your medication but what we're gon na do is we're gon na take i'm gon na take a look at you real quick and then we can discuss you know maybe there's some changes that we can do in terms of your current regimen how about diet and your have you been sticking with that low sodium diet at all"}, {"turn_id": 16, "speaker": "patient", "transcript": "no i love mcdonald's i eat it all the time"}, {"turn_id": 17, "speaker": "doctor", "transcript": "i love mcdonald's too my favorite is big mac i do n't know about you but i got ta have my big mac with those large fries which you what's your favorite mcdonald's treat there"}, {"turn_id": 18, "speaker": "patient", "transcript": "i need to think of what fully of fish i love flare of fish"}, {"turn_id": 19, "speaker": "doctor", "transcript": "well at least you're eating the fish but but they can be very high in sodium especially the fast foods so we'll have to talk about maybe they can look at you know some some diet changes as well so the other thing is for your for your blood sugar here i see that you know you're running a bit high as well it looks like you're like you're about one seventy this morning and i i i i assume that you were fasting last night is that right okay so that's that's a little higher than what we want it's not bad it's below two hundred but it's getting kinda close to the borderline from where our limit is so we will take we take a look at that and also we'll figure out what we can do with that as well alright so at this point how about are you how is how is work how is life it's been good otherwise how's the family"}, {"turn_id": 20, "speaker": "patient", "transcript": "they are good i did eat a lot of my kids easter candy over the weekend so maybe that's why my sugar is high"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay alright great alright alright just just around easter okay not not too much during the the year hopefully"}, {"turn_id": 22, "speaker": "patient", "transcript": "yeah i try"}, {"turn_id": 23, "speaker": "doctor", "transcript": "well that's good so let's go ahead and do a physical exam on you real quick here okay and so i'm looking at your vital signs it looks like your blood pressure i we mentioned that today is pretty high your heart rate looks good it's with it's within normal limits here and then your oxygenation is fine so you did mention you did n't have any shortness of breath so that's good so let me just feel around your neck real quick here i do n't appreciate any jugular venous distention on your neck exam i no carotid bruits so that's good let me go ahead and listen to your lungs and your heart here real quick alright so on your auscultation of your lungs they're clear bilaterally on your heart exam though i i do sense a two out of six systolic ejection murmur now that was also there last year so it has n't changed any so we'll just keep monitoring that one and then let me take a look at your extremities here real quick theresa so let me look at your hands you got a little bit of slight edema bilaterally on your upper extremities but let me look at your legs here okay so you have a one plus pitting edema noted here on your legs bilaterally so that means you're retaining a lot of that salt that you're eating unfortunately okay so so let me go ahead and tell you about my assessment and plan here so definitely what you're experiencing is some uncontrolled hypertension now most of the time you know it's multifactorial right it's your diet it could be the medication regimen if you're not following that and then it might be that we are gon na need to change the medication around and also change your diet but i would like to start with going ahead and i want to continue your current medication regimen today i do wan na really encourage that you do take that everyday maybe set a reminder like on your you know do you use your iphone a lot for your reminders and things maybe we can go ahead and do that get a reminder make sure that you take that everyday but with that i would like to go ahead and also monitor your blood pressure let's do it three times a week it can be much when we do it everyday but maybe three times a week do you have a blood pressure monitor at home"}, {"turn_id": 24, "speaker": "patient", "transcript": "no"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay so i can recommend some really good ones nowadays that you can use at home and they're not that expensive and at least it'll give you some you know idea of what your blood pressure is running at and then i want you to come back like in a month because i wan na go ahead and see how your blood pressure is doing now that you know you're you you're taking your blood pressure medication everyday the other thing is i do wan na go ahead and have a nutritionist come and talk to you about you may maybe some dietary changes i'd like for you to start a – diet it's really to to help you know a lot of reduce a lot of that sodium intake when you're when you're when you're taking in your food so a nutritionist is gon na be able to help you figure out some foods that you know that you may like that you can actually use as an alternative besides the mcdonald's although you can have that once in a blue moon but you know not not too often okay"}, {"turn_id": 26, "speaker": "patient", "transcript": "okay sounds good"}, {"turn_id": 27, "speaker": "doctor", "transcript": "great and then for your diabetes i wan na go ahead and let's go ahead and increase your your metformin to fifteen hundred milligrams i think all for that too i want you to go ahead and continue taking your blood sugars to make sure as as you normally would to make sure that you know that change in medication is is actually being effective alright do you have any other questions for me at this time"}, {"turn_id": 28, "speaker": "patient", "transcript": "nope"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay great well i'm gon na have the nurse check you out and and i'll have the scheduler schedule you for a one month follow-up we'll take a look and see how you're doing from there see if we have then we will move from there okay"}, {"turn_id": 30, "speaker": "patient", "transcript": "sounds good thank you"}, {"turn_id": 31, "speaker": "doctor", "transcript": "thanks theresa"}]} |
acibench_D2N135_virtassist_clinicalnlp_taskC_test2 | [
{
"speaker": "patient",
"transcript": "um , i have high blood sugar . yeah , osteoarthritis , arterial fibrillation , and reflux .",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "hi , hannah . how are you ?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "good , how are you ?",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "i'm good . you ready to get started ?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "yes , i am .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "so , hannah is a , uh , 52-year-old female here for evaluation of a high blood sugar . so , hannah , what ha- what happened ? i heard you were in the emergency room with a high blood sugar .",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "yes . so , i've been eating a ton of sweets recently . with the holidays it just feels like there is always something sweet available. whether i am at work and there are holiday gift baskets or clients bringing in treats or when i visit my family for the holidays and there is every baked good imaginable, there is always something sweet i can be eating. in the beginning i felt fine, but i have started to feel it after a couple of weeks, and this past week i just felt really light-headed and i could ... was seeing spots , really dizzy . so i went into the emergency room and they said i had a high blood sugar . um , so i wanted to come in and follow up with you to get that , um , get checked out .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay . all right . and how , how are you feeling now ? did they , did , did they treat you in the emergency room ? did they gi- they give you some iv fluids and things like that ?",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "yeah . they gave me some fluids and they told me just to try to really cut out eating any extra sweets and get back into my normal routine and diet, but i am still staying with my family, and my mom and grandmother are big bakers so i think it will be really hard to get into a routine there so i just want to make sure i am nipping this high blood sugar thing in the bud.",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "okay . and i saw you went through a review of systems sheet with a nurse . i just want to ask you a few more questions from that standpoint . so you have had any fever or chills ?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "any chest pain or shortness of breath ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "n- uh , no .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "abdominal pain ?",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "any burning when you urinate ?",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "any joint pain or muscle aches ?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "i do have osteoarthritis though , so that , when i say , \" no , \" it's not , like , nothing out of the norm-",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": ". for me .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "perfect . um , and then , i know that you have this history of a-fib , atrial fibrillation . have you felt your heart racing at all , recently ?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "only when i'm really anxious . i , i feel it , um , pumping a little bit . but other than that i have n't .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "okay . all right . and how are you doing with your reflux ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "i've been doing well . i've been taking the medication that you prescribed to me and that's been helping a lot .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "okay , yeah . i see here you're on the protonix , 40 milligrams , once a day .",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "so that's , you're doing well with that ?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "yep .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "okay . all right . so let's go ahead and do a quick physical exam . so , listening to you , um , look , or looking at you , you appear in no distress . your thyroid is a little enlarged , but non-tender . there's no carotid bruits , your heart is in irregular rate and rhythm , and your lungs are clear . your abdomen is nice and soft , and you have no edema in your lower extremities . let's go ahead and look at some of your test results .",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? show me the blood sugar . hey , dragon ? show me the blood glucose . hey , dragon ? show me the hemoglobin a1c . okay , so i see here that both your blood sugar and your hemoglobin a1c are elevated . so your blood sugars have probably been running high for probably a few months . okay ? um , let's go ahead and look at some of your other results . hey , dragon ? show me the diabetes labs . yeah . okay . yeah , so , um , my impression of you at this time , um , for your high blood sugars , that you do have this diagnosis of diabetes . now , we're not sure if it's type i or type ii . even patients in , you know , in their mid-twenties can develop type i diabetes , so we're gon na go off and , we're gon na go ahead and , and send some labs to work that up . hey , dragon ? order a complete metabolic panel . and i'd like to start you on metformin , 500 milligrams , twice a day . that will help keep your blood sugars down .",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? order metformin , 500 milligrams , twice a day . and then if some of the autoimmune labs that come back show that you have an autoimmune disorder , meaning that you would have type i diabetes , then we would have to go ahead and put you on insulin . but i'm gon na hold off until we have those results , okay ?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "but in the meantime , i really want you to avoid , uh , foods high in sugar . um , and the , the nurse will come in and she'll give you a glucometer and teach you how to do blood sugar testing . okay ?",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "and then , from an atrial fibrillation standpoint , your heart , even though you're in atrial fibrillation right now , is in a good rate . and we'll just continue you on your metoprolol , 25 milligrams , twice a day . do you need a refill on that ?",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "yes , i do .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? order a refill on metoprolol , 25 milligrams , twice a day . and for your reflux , we'll just continue you on the protonix , okay ?",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "do you have any questions , hannah ?",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "no , not at this time .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "okay , so the nurse will come in and she'll go over all that stuff with you .",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "take care .",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "thank you .",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "hey , dragon ? finalize the note .",
"turn_id": 50
}
] | [
{
"description": "milligrams twice a day metoprolol 25",
"order_type": "medication",
"provenance": [
88,
100,
101
],
"reason": "atrial fibrillation"
},
{
"description": "complete metabolic panel",
"order_type": "lab",
"provenance": [
83,
87
],
"reason": "diabetes"
},
{
"description": "metformin 500 milligrams twice a day",
"order_type": "medication",
"provenance": [
83,
88
],
"reason": "diabetes"
},
{
"description": "insulin",
"order_type": "medication",
"provenance": [
93
],
"reason": "if some of the autoimmune labs that come back show that you have an autoimmune disorder , meaning that you would have type i diabetes"
}
] | {"id": "acibench_D2N135_virtassist_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "medication", "description": "milligrams twice a day metoprolol 25", "reason": "atrial fibrillation", "provenance": [88, 100, 101]}, {"order_type": "lab", "description": "complete metabolic panel", "reason": "diabetes", "provenance": [83, 87]}, {"order_type": "medication", "description": "metformin 500 milligrams twice a day", "reason": "diabetes", "provenance": [83, 88]}, {"order_type": "medication", "description": "insulin", "reason": "if some of the autoimmune labs that come back show that you have an autoimmune disorder , meaning that you would have type i diabetes", "provenance": [93]}], "transcript": [{"turn_id": 1, "speaker": "patient", "transcript": "um , i have high blood sugar . yeah , osteoarthritis , arterial fibrillation , and reflux ."}, {"turn_id": 2, "speaker": "doctor", "transcript": "hi , hannah . how are you ?"}, {"turn_id": 3, "speaker": "patient", "transcript": "good , how are you ?"}, {"turn_id": 4, "speaker": "doctor", "transcript": "i'm good . you ready to get started ?"}, {"turn_id": 5, "speaker": "patient", "transcript": "yes , i am ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "so , hannah is a , uh , 52-year-old female here for evaluation of a high blood sugar . so , hannah , what ha- what happened ? i heard you were in the emergency room with a high blood sugar ."}, {"turn_id": 7, "speaker": "patient", "transcript": "yes . so , i've been eating a ton of sweets recently . with the holidays it just feels like there is always something sweet available. whether i am at work and there are holiday gift baskets or clients bringing in treats or when i visit my family for the holidays and there is every baked good imaginable, there is always something sweet i can be eating. in the beginning i felt fine, but i have started to feel it after a couple of weeks, and this past week i just felt really light-headed and i could ... was seeing spots , really dizzy . so i went into the emergency room and they said i had a high blood sugar . um , so i wanted to come in and follow up with you to get that , um , get checked out ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay . all right . and how , how are you feeling now ? did they , did , did they treat you in the emergency room ? did they gi- they give you some iv fluids and things like that ?"}, {"turn_id": 9, "speaker": "patient", "transcript": "yeah . they gave me some fluids and they told me just to try to really cut out eating any extra sweets and get back into my normal routine and diet, but i am still staying with my family, and my mom and grandmother are big bakers so i think it will be really hard to get into a routine there so i just want to make sure i am nipping this high blood sugar thing in the bud."}, {"turn_id": 10, "speaker": "doctor", "transcript": "okay . and i saw you went through a review of systems sheet with a nurse . i just want to ask you a few more questions from that standpoint . so you have had any fever or chills ?"}, {"turn_id": 11, "speaker": "patient", "transcript": "no ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "any chest pain or shortness of breath ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "n- uh , no ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "abdominal pain ?"}, {"turn_id": 15, "speaker": "patient", "transcript": "no ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "any burning when you urinate ?"}, {"turn_id": 17, "speaker": "patient", "transcript": "no ."}, {"turn_id": 18, "speaker": "doctor", "transcript": "any joint pain or muscle aches ?"}, {"turn_id": 19, "speaker": "patient", "transcript": "no ."}, {"turn_id": 20, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 21, "speaker": "patient", "transcript": "i do have osteoarthritis though , so that , when i say , \" no , \" it's not , like , nothing out of the norm-"}, {"turn_id": 22, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 23, "speaker": "patient", "transcript": ". for me ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "perfect . um , and then , i know that you have this history of a-fib , atrial fibrillation . have you felt your heart racing at all , recently ?"}, {"turn_id": 25, "speaker": "patient", "transcript": "only when i'm really anxious . i , i feel it , um , pumping a little bit . but other than that i have n't ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "okay . all right . and how are you doing with your reflux ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "i've been doing well . i've been taking the medication that you prescribed to me and that's been helping a lot ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "okay , yeah . i see here you're on the protonix , 40 milligrams , once a day ."}, {"turn_id": 29, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "so that's , you're doing well with that ?"}, {"turn_id": 31, "speaker": "patient", "transcript": "yep ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "okay . all right . so let's go ahead and do a quick physical exam . so , listening to you , um , look , or looking at you , you appear in no distress . your thyroid is a little enlarged , but non-tender . there's no carotid bruits , your heart is in irregular rate and rhythm , and your lungs are clear . your abdomen is nice and soft , and you have no edema in your lower extremities . let's go ahead and look at some of your test results ."}, {"turn_id": 33, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "hey , dragon ? show me the blood sugar . hey , dragon ? show me the blood glucose . hey , dragon ? show me the hemoglobin a1c . okay , so i see here that both your blood sugar and your hemoglobin a1c are elevated . so your blood sugars have probably been running high for probably a few months . okay ? um , let's go ahead and look at some of your other results . hey , dragon ? show me the diabetes labs . yeah . okay . yeah , so , um , my impression of you at this time , um , for your high blood sugars , that you do have this diagnosis of diabetes . now , we're not sure if it's type i or type ii . even patients in , you know , in their mid-twenties can develop type i diabetes , so we're gon na go off and , we're gon na go ahead and , and send some labs to work that up . hey , dragon ? order a complete metabolic panel . and i'd like to start you on metformin , 500 milligrams , twice a day . that will help keep your blood sugars down ."}, {"turn_id": 35, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "hey , dragon ? order metformin , 500 milligrams , twice a day . and then if some of the autoimmune labs that come back show that you have an autoimmune disorder , meaning that you would have type i diabetes , then we would have to go ahead and put you on insulin . but i'm gon na hold off until we have those results , okay ?"}, {"turn_id": 37, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "but in the meantime , i really want you to avoid , uh , foods high in sugar . um , and the , the nurse will come in and she'll give you a glucometer and teach you how to do blood sugar testing . okay ?"}, {"turn_id": 39, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 40, "speaker": "doctor", "transcript": "and then , from an atrial fibrillation standpoint , your heart , even though you're in atrial fibrillation right now , is in a good rate . and we'll just continue you on your metoprolol , 25 milligrams , twice a day . do you need a refill on that ?"}, {"turn_id": 41, "speaker": "patient", "transcript": "yes , i do ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "hey , dragon ? order a refill on metoprolol , 25 milligrams , twice a day . and for your reflux , we'll just continue you on the protonix , okay ?"}, {"turn_id": 43, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "do you have any questions , hannah ?"}, {"turn_id": 45, "speaker": "patient", "transcript": "no , not at this time ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "okay , so the nurse will come in and she'll go over all that stuff with you ."}, {"turn_id": 47, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 48, "speaker": "doctor", "transcript": "take care ."}, {"turn_id": 49, "speaker": "patient", "transcript": "thank you ."}, {"turn_id": 50, "speaker": "doctor", "transcript": "hey , dragon ? finalize the note ."}]} |
primock57_2_6 | [
{
"speaker": "doctor",
"transcript": "",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "Hello.",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "Hi there. I'm Doctor Deen Mirza from Babylon. Good morning.",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "Good morning. Hi, .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "Good morning. .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": ", sorry, , before we start. Could I get your full name and date of birth? Is that possible? Yes, it's, .",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "Yeah, sure. Um, my name is John Doe. Um, and I am twenty seven years old.",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "Um, so, I was born in nineteen ninety one, um, seventeenth of November.",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "That's perfect, thank you for that. Are you, um, John, are you in a private place where you're OK to speak at the moment?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "Yeah, yeah.",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": ", perfect, thank you for that. OK. So, tell me what the problem is. You've been having some difficulty breathing. Is that correct?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": ", yeah, exactly. I've, I'm , kind of struggling to breathe at the moment. I, I got stung by a wasp, um, recently.",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "Well, I'm not sure whether it's kind of bitten or stung.",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "Um, but I, uh, I'm feeling like slightly anxious that, uh, there's a bit of, I've got a bit of a, a rash on my arm where, i got stung.",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "Um, and, I've, kind of. But yeah, as I say, I've got this difficulty breathing and potentially, um, there's a bit of swelling in my lips. My tongue feels a bit weird.",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "Right, OK. So, when did this bee sting or bee bite occur?",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "Um, it was, just a few minutes ago.",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, and, your, your lips don't seem swollen to me right now, but, do they, which. Can you show me with your finger where you feel it's swollen?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "Yeah, it's just kind of on the right-hand side. Um, and it, and it's just a bit sore, maybe it hasn't kind of , fully swollen up yet.",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "Sure.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "Sure, OK. Uh, you said you've been having some difficulty breathing.",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "Your breathing seems all right to me right now. Um, the reason why I'm, clarifying is, because we have to decide whether this is a, an acute emergency. Whether I need to send you in to hospital straight away.",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "Or whether we, more time to ask questions, OK. So um, , do you feel like you've got difficulty breathing right now, this minute, as we speak?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "Right.",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "I, I, I , I don't, feel like it's , like particularly acute, but i'm just kind of a bit anxious that it might get a bit worse. I don't, I just wanted to speak to someone.",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "Sure, sure. .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "Sure. No you, uh, you did the right thing and I, and I can understand it , it is quite anxiety provoking, OK. All right. Can I just double-check? Before we carry on asking other questions. Have you got history of anaphylaxis?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "Uh, not that I know of.",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "No, OK. Have you ever been given an EpiPen?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "Uh, I haven't no.",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "No, OK, all right.",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "Let, let's, um, take a step back now. So, in terms of the bee sting, it was a . Did you see a bee or you're, you're just , um, assuming it was a bee?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "Um, I, , I, I find it difficult to tell the difference between a bee and a wasp, but um, , yeah it was one of the two.",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": ". One of the two.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": ", OK. And, um, the area of your body that it stung. Where was it? Did you say it was your arm?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "Yeah, it was on my arm.",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "All right. And you've got a rash there. Can I have a look?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "Uh, yeah sure. Um, it's just, just there.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "OK, all right. That looks OK to me right now. , does it look red to you at the moment?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "Mm-hmm.",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "It's, it's slightly red, yeah and, and kind of there's, a bit of a, like a hole there, where I think that the wasp, stung me.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "Yeah, yeah, yeah. The puncture mark, yeah, OK, all right. Um, now, is, is there any swelling, around that area, that you can see? I, I couldn't see any.",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "Uh, .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "Not particularly. I, I guess it's just a bit kind of blotchy, uh, and a bit of a rash. It doesn't feel like, particularly swollen. Um.",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "Sure. OK, all right.Um, now, have you taken any medication? It's probably a , you probably haven't, 'cause it was a few minutes ago. But have you? Is . , not taken , any , antihistamines or anything like that?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "Not at the, not at the moment, no. Nothing, nothing yet.",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "OK. , now, um, if I can just go back. Do you have any history of any , any, kind of illnesses at all?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "Um, I've, I've had eczema before. Um.",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "OK, .",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": ", that's kind of the, the major thing, nothing, nothing really.",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": ", OK. Have you, got a history of any allergies to anything?",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "Uh, I'm allergic to penicillin.",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "All right, good. Um, and in your family, is there any history of any illnesses, or, any history of any kind of acute reactions?",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "Um, not that I think is, particularly relevant, no. I don't have, I don't have any.",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "Right. , and, um, do you have allergies to any kind of, cats, or dogs, or pets, or anything like that?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Uh, not that I know of, I've , yeah, I've been around dogs and cats, .",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "Yeah. , and you've got no food allergies as far as you're aware?",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "Um, can I ask? Do you suffer from anxiety or panic attacks, or anything like that?",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "Uh, yeah, uh, sometimes, occasionally.",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "Right, OK. Have you ever been on medication for that?",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "Um, no.",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "Um, great. Now, um, I need to ask a few questions, maybe not directly related to this, but just, it's for, for general information purposes.",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "So, um, , are you working at the moment?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "What do you work as?",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "Uh, I am a, uh, computer scientist.",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "OK. And, um, , you living alone?",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "OK. Do you have any pets at home?",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Um, I have a cat, at home.",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "A cat. OK, great.",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "What I'd like to do now. If that's OK John? Is, I'd like to have a look inside your mouth, OK.",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "Um, one of the things that, um, we'd be worried about if, someone's going to have an acute allergic reaction. Is to see whether there's any swelling, of the lips, or the tissues inside the mouth, or the.",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 89
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 90
},
{
"speaker": "doctor",
"transcript": "Soft tissues of the airway. And, um, I can, I've got a fairly good view of your lips, but I'd like maybe if you can, bring your device closer to your mouth, and then put your head back, mouth open wide. Sit somewhere where there's good lighting. And I just wanna have a look inside the throat, if that's OK?",
"turn_id": 91
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "Perfect, OK, great. Now, um, um, can, can I just get you to do it again? And, just say ah, this time.",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "Yup.",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "Ah.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "OK, fantastic, brilliant. OK. Um.",
"turn_id": 96
},
{
"speaker": "doctor",
"transcript": "Uh, John. Based on, um, how you look. How you're talking to me, and how you're breathing, and the appearance, and your wrist.",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "Um, I don't feel that you're having , a, an, an, a life-threatening, uh, allergic reaction.",
"turn_id": 98
},
{
"speaker": "doctor",
"transcript": "Now it's very normal, to have, a rash, when you have some kind of insect bite. It's uh, it's a localised, um, uh, inflammatory reaction, that um, is normal and that , immediate reaction, that redness, and that maybe slight swelling, is usually temporary.",
"turn_id": 99
},
{
"speaker": "doctor",
"transcript": "What we're worried about, is when someone has, um, compromise of their breathing. So you mentioned, breathing difficulties and you mentioned swelling of your lip. Thankfully I can't see any of that right now.",
"turn_id": 100
},
{
"speaker": "patient",
"transcript": "Right.",
"turn_id": 101
},
{
"speaker": "doctor",
"transcript": ", but that's, the most, urgent and most pressing thing that we'd be watching out for.",
"turn_id": 102
},
{
"speaker": "doctor",
"transcript": "Given that it hasn't happened, initially, it's unlikely to happen later. OK we, so we have like a , stage one and stage two reaction, for these types of bites.",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "And, usually if you're gonna have the reaction, it will happen straight away.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "So, , we may be coming out of the danger zone now, it's um. But I'm just going to warn you about what those signs and symptoms are, in case it happens. So for example.",
"turn_id": 105
},
{
"speaker": "doctor",
"transcript": "You would have, swelling of the lips, difficulty breathing. You might have something called stridor, which is an inspiratory sound that you, when you're trying, trying to breathe. It makes like a rasping sound, like this. OK. .",
"turn_id": 106
},
{
"speaker": "doctor",
"transcript": "Thankfully, you don't have anything like that right now. It seems to me like this is a localised allergic reaction.",
"turn_id": 107
},
{
"speaker": "doctor",
"transcript": "However, if anything changes, if anything deteriorates. Either make an appointment with us, or go straight to A and E.",
"turn_id": 108
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "Um, uh, and in some cases, if it's, if it's, uh, progressing rapidly, it's better to go straight to A and E, rather than to, wait for a booked appointment with us, OK.",
"turn_id": 110
},
{
"speaker": "doctor",
"transcript": "What I'd like you to do now, is I'd like you to try and take some antihistamines.",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "So you can buy them over the counter. You can get Piriton or Chlorphenamine, and you can take one tablet, four milligrams, um, up to about six times a day. OK.",
"turn_id": 112
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": "Or you can just take a one-a-day one, whichever is your preference, that's, that's absolutely fine, there's no, no issue. That should be enough to control this.",
"turn_id": 114
},
{
"speaker": "doctor",
"transcript": "Um, if, the redness in your arm spreads, and you, it feels hot, or you, you know, you have signs of any localised infection.",
"turn_id": 115
},
{
"speaker": "doctor",
"transcript": "We may need to think about other treatments, like an antibiotic.",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "And like I said if anything deteriorates, in terms of your breathing, that's urgent and we need to process that, , action needs to be taken urgently.",
"turn_id": 117
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 118
},
{
"speaker": "doctor",
"transcript": "Did you have any other, um, queries or was there anything else that you're worried about?",
"turn_id": 119
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 120
},
{
"speaker": "patient",
"transcript": "Uh, no, I think, I think that kind of, that makes me feel a bit better. I guess, can I get that um, can I get the, uh, so the antihistamine from any shop, or like does it pharmacy?",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "Yeah, that's, that's over the, yeah , over the counter. You don't need to, any chemist, will have it, you don't need a prescription for that. Yeah, it's probably cheaper to buy it over the counter actually, than to get it via prescription.",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "OK. Um, now, um, uh, on the basis of what you've told me, I don't think you need any allergy testing. I think this is just a , a straightforward localised reaction to a, an insect bite.",
"turn_id": 124
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 125
},
{
"speaker": "doctor",
"transcript": "However, if it was to happen that, you know, this, you're, you're having these kind of reactions on a regular basis or other, , non-specific rashes. We might need to think about blood testing, I don't think we're at, at that moment yet. OK.",
"turn_id": 126
},
{
"speaker": "doctor",
"transcript": "So uh, but , that's something to bear in mind in case this, becomes a recurrent pattern.",
"turn_id": 127
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 128
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 129
},
{
"speaker": "doctor",
"transcript": "OK then, so, we'll leave it like that for now, OK. I'm gonna leave a link to some information about anaphylactic reactions, just for you to read about it. I don't want you to panic, but just for you to be aware what symptoms are.",
"turn_id": 130
},
{
"speaker": "patient",
"transcript": "Great.",
"turn_id": 131
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 132
},
{
"speaker": "doctor",
"transcript": "If those kind of things happen, get back to us.",
"turn_id": 133
},
{
"speaker": "doctor",
"transcript": "If you're feeling worried, just have a lower threshold for , having a chat with us, sometimes a chat is all you need to calm things down.",
"turn_id": 134
},
{
"speaker": "patient",
"transcript": "OK, great. Yeah, that makes sense.",
"turn_id": 135
},
{
"speaker": "doctor",
"transcript": "All right then John, OK. Uh, well we'll leave it like that, , come back to us if you have any further issues.",
"turn_id": 136
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 137
},
{
"speaker": "patient",
"transcript": "OK. Thanks. I appreciate your time.",
"turn_id": 138
},
{
"speaker": "doctor",
"transcript": "My pleasure. All right, take care then. All the best.",
"turn_id": 139
},
{
"speaker": "patient",
"transcript": "Bye bye, bye.",
"turn_id": 140
},
{
"speaker": "doctor",
"transcript": "Bye bye.",
"turn_id": 141
}
] | [
{
"description": "antihistamines one a-day",
"order_type": "medication",
"provenance": [
184,
189,
203
],
"reason": "I think this is just a , a straightforward localised reaction to a, an insect bite"
},
{
"description": "Piriton one tablet four milligrams up to about six times a day",
"order_type": "medication",
"provenance": [
186,
203
],
"reason": "I think this is just a , a straightforward localised reaction to a, an insect bite"
},
{
"description": "Chlorphenamine one tablet four milligrams up to about six times a day",
"order_type": "medication",
"provenance": [
186,
203
],
"reason": "I think this is just a , a straightforward localised reaction to a, an insect bite"
}
] | {"id": "primock57_2_6", "expected_orders": [{"order_type": "medication", "description": "antihistamines one a-day", "reason": "I think this is just a , a straightforward localised reaction to a, an insect bite", "provenance": [184, 189, 203]}, {"order_type": "medication", "description": "Piriton one tablet four milligrams up to about six times a day", "reason": "I think this is just a , a straightforward localised reaction to a, an insect bite", "provenance": [186, 203]}, {"order_type": "medication", "description": "Chlorphenamine one tablet four milligrams up to about six times a day", "reason": "I think this is just a , a straightforward localised reaction to a, an insect bite", "provenance": [186, 203]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": ""}, {"turn_id": 2, "speaker": "patient", "transcript": "Hello."}, {"turn_id": 3, "speaker": "doctor", "transcript": "Hi there. I'm Doctor Deen Mirza from Babylon. Good morning."}, {"turn_id": 4, "speaker": "patient", "transcript": "Good morning. Hi, ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "Good morning. ."}, {"turn_id": 6, "speaker": "doctor", "transcript": ", sorry, , before we start. Could I get your full name and date of birth? Is that possible? Yes, it's, ."}, {"turn_id": 7, "speaker": "patient", "transcript": "Yeah, sure. Um, my name is John Doe. Um, and I am twenty seven years old."}, {"turn_id": 8, "speaker": "patient", "transcript": "Um, so, I was born in nineteen ninety one, um, seventeenth of November."}, {"turn_id": 9, "speaker": "doctor", "transcript": "That's perfect, thank you for that. Are you, um, John, are you in a private place where you're OK to speak at the moment?"}, {"turn_id": 10, "speaker": "patient", "transcript": "Yeah, yeah."}, {"turn_id": 11, "speaker": "doctor", "transcript": ", perfect, thank you for that. OK. So, tell me what the problem is. You've been having some difficulty breathing. Is that correct?"}, {"turn_id": 12, "speaker": "patient", "transcript": ", yeah, exactly. I've, I'm , kind of struggling to breathe at the moment. I, I got stung by a wasp, um, recently."}, {"turn_id": 13, "speaker": "patient", "transcript": "Well, I'm not sure whether it's kind of bitten or stung."}, {"turn_id": 14, "speaker": "patient", "transcript": "Um, but I, uh, I'm feeling like slightly anxious that, uh, there's a bit of, I've got a bit of a, a rash on my arm where, i got stung."}, {"turn_id": 15, "speaker": "patient", "transcript": "Um, and, I've, kind of. But yeah, as I say, I've got this difficulty breathing and potentially, um, there's a bit of swelling in my lips. My tongue feels a bit weird."}, {"turn_id": 16, "speaker": "doctor", "transcript": "Right, OK. So, when did this bee sting or bee bite occur?"}, {"turn_id": 17, "speaker": "patient", "transcript": "Um, it was, just a few minutes ago."}, {"turn_id": 18, "speaker": "doctor", "transcript": "Right, OK. Um, and, your, your lips don't seem swollen to me right now, but, do they, which. Can you show me with your finger where you feel it's swollen?"}, {"turn_id": 19, "speaker": "patient", "transcript": "Yeah, it's just kind of on the right-hand side. Um, and it, and it's just a bit sore, maybe it hasn't kind of , fully swollen up yet."}, {"turn_id": 20, "speaker": "doctor", "transcript": "Sure."}, {"turn_id": 21, "speaker": "doctor", "transcript": "Sure, OK. Uh, you said you've been having some difficulty breathing."}, {"turn_id": 22, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 23, "speaker": "doctor", "transcript": ""}, {"turn_id": 24, "speaker": "doctor", "transcript": "Your breathing seems all right to me right now. Um, the reason why I'm, clarifying is, because we have to decide whether this is a, an acute emergency. Whether I need to send you in to hospital straight away."}, {"turn_id": 25, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 26, "speaker": "doctor", "transcript": "Or whether we, more time to ask questions, OK. So um, , do you feel like you've got difficulty breathing right now, this minute, as we speak?"}, {"turn_id": 27, "speaker": "patient", "transcript": "Right."}, {"turn_id": 28, "speaker": "patient", "transcript": "I, I, I , I don't, feel like it's , like particularly acute, but i'm just kind of a bit anxious that it might get a bit worse. I don't, I just wanted to speak to someone."}, {"turn_id": 29, "speaker": "doctor", "transcript": "Sure, sure. ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "Sure. No you, uh, you did the right thing and I, and I can understand it , it is quite anxiety provoking, OK. All right. Can I just double-check? Before we carry on asking other questions. Have you got history of anaphylaxis?"}, {"turn_id": 31, "speaker": "patient", "transcript": "Uh, not that I know of."}, {"turn_id": 32, "speaker": "doctor", "transcript": ""}, {"turn_id": 33, "speaker": "doctor", "transcript": "No, OK. Have you ever been given an EpiPen?"}, {"turn_id": 34, "speaker": "patient", "transcript": "Uh, I haven't no."}, {"turn_id": 35, "speaker": "doctor", "transcript": "No, OK, all right."}, {"turn_id": 36, "speaker": "doctor", "transcript": "Let, let's, um, take a step back now. So, in terms of the bee sting, it was a . Did you see a bee or you're, you're just , um, assuming it was a bee?"}, {"turn_id": 37, "speaker": "patient", "transcript": "Um, I, , I, I find it difficult to tell the difference between a bee and a wasp, but um, , yeah it was one of the two."}, {"turn_id": 38, "speaker": "doctor", "transcript": ". One of the two."}, {"turn_id": 39, "speaker": "doctor", "transcript": ", OK. And, um, the area of your body that it stung. Where was it? Did you say it was your arm?"}, {"turn_id": 40, "speaker": "patient", "transcript": "Yeah, it was on my arm."}, {"turn_id": 41, "speaker": "doctor", "transcript": "All right. And you've got a rash there. Can I have a look?"}, {"turn_id": 42, "speaker": "patient", "transcript": "Uh, yeah sure. Um, it's just, just there."}, {"turn_id": 43, "speaker": "doctor", "transcript": "OK, all right. That looks OK to me right now. , does it look red to you at the moment?"}, {"turn_id": 44, "speaker": "patient", "transcript": "Mm-hmm."}, {"turn_id": 45, "speaker": "patient", "transcript": "It's, it's slightly red, yeah and, and kind of there's, a bit of a, like a hole there, where I think that the wasp, stung me."}, {"turn_id": 46, "speaker": "doctor", "transcript": ""}, {"turn_id": 47, "speaker": "doctor", "transcript": ""}, {"turn_id": 48, "speaker": "doctor", "transcript": "Yeah, yeah, yeah. The puncture mark, yeah, OK, all right. Um, now, is, is there any swelling, around that area, that you can see? I, I couldn't see any."}, {"turn_id": 49, "speaker": "patient", "transcript": "Uh, ."}, {"turn_id": 50, "speaker": "patient", "transcript": "Not particularly. I, I guess it's just a bit kind of blotchy, uh, and a bit of a rash. It doesn't feel like, particularly swollen. Um."}, {"turn_id": 51, "speaker": "doctor", "transcript": "Sure. OK, all right.Um, now, have you taken any medication? It's probably a , you probably haven't, 'cause it was a few minutes ago. But have you? Is . , not taken , any , antihistamines or anything like that?"}, {"turn_id": 52, "speaker": "patient", "transcript": ""}, {"turn_id": 53, "speaker": "patient", "transcript": "Not at the, not at the moment, no. Nothing, nothing yet."}, {"turn_id": 54, "speaker": "doctor", "transcript": ""}, {"turn_id": 55, "speaker": "doctor", "transcript": "OK. , now, um, if I can just go back. Do you have any history of any , any, kind of illnesses at all?"}, {"turn_id": 56, "speaker": "patient", "transcript": "Um, I've, I've had eczema before. Um."}, {"turn_id": 57, "speaker": "doctor", "transcript": "OK, ."}, {"turn_id": 58, "speaker": "patient", "transcript": ", that's kind of the, the major thing, nothing, nothing really."}, {"turn_id": 59, "speaker": "doctor", "transcript": ", OK. Have you, got a history of any allergies to anything?"}, {"turn_id": 60, "speaker": "patient", "transcript": "Uh, I'm allergic to penicillin."}, {"turn_id": 61, "speaker": "doctor", "transcript": "All right, good. Um, and in your family, is there any history of any illnesses, or, any history of any kind of acute reactions?"}, {"turn_id": 62, "speaker": "patient", "transcript": "Um, not that I think is, particularly relevant, no. I don't have, I don't have any."}, {"turn_id": 63, "speaker": "doctor", "transcript": ""}, {"turn_id": 64, "speaker": "doctor", "transcript": ""}, {"turn_id": 65, "speaker": "doctor", "transcript": "Right. , and, um, do you have allergies to any kind of, cats, or dogs, or pets, or anything like that?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Uh, not that I know of, I've , yeah, I've been around dogs and cats, ."}, {"turn_id": 67, "speaker": "doctor", "transcript": ""}, {"turn_id": 68, "speaker": "doctor", "transcript": "Yeah. , and you've got no food allergies as far as you're aware?"}, {"turn_id": 69, "speaker": "patient", "transcript": "No."}, {"turn_id": 70, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 71, "speaker": "doctor", "transcript": "Um, can I ask? Do you suffer from anxiety or panic attacks, or anything like that?"}, {"turn_id": 72, "speaker": "patient", "transcript": "Uh, yeah, uh, sometimes, occasionally."}, {"turn_id": 73, "speaker": "doctor", "transcript": "Right, OK. Have you ever been on medication for that?"}, {"turn_id": 74, "speaker": "patient", "transcript": "Um, no."}, {"turn_id": 75, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 76, "speaker": "patient", "transcript": "No."}, {"turn_id": 77, "speaker": "doctor", "transcript": "Um, great. Now, um, I need to ask a few questions, maybe not directly related to this, but just, it's for, for general information purposes."}, {"turn_id": 78, "speaker": "doctor", "transcript": "So, um, , are you working at the moment?"}, {"turn_id": 79, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 80, "speaker": "doctor", "transcript": "What do you work as?"}, {"turn_id": 81, "speaker": "patient", "transcript": "Uh, I am a, uh, computer scientist."}, {"turn_id": 82, "speaker": "doctor", "transcript": "OK. And, um, , you living alone?"}, {"turn_id": 83, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 84, "speaker": "doctor", "transcript": "OK. Do you have any pets at home?"}, {"turn_id": 85, "speaker": "patient", "transcript": "Um, I have a cat, at home."}, {"turn_id": 86, "speaker": "doctor", "transcript": "A cat. OK, great."}, {"turn_id": 87, "speaker": "doctor", "transcript": "What I'd like to do now. If that's OK John? Is, I'd like to have a look inside your mouth, OK."}, {"turn_id": 88, "speaker": "doctor", "transcript": "Um, one of the things that, um, we'd be worried about if, someone's going to have an acute allergic reaction. Is to see whether there's any swelling, of the lips, or the tissues inside the mouth, or the."}, {"turn_id": 89, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 90, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 91, "speaker": "doctor", "transcript": "Soft tissues of the airway. And, um, I can, I've got a fairly good view of your lips, but I'd like maybe if you can, bring your device closer to your mouth, and then put your head back, mouth open wide. Sit somewhere where there's good lighting. And I just wanna have a look inside the throat, if that's OK?"}, {"turn_id": 92, "speaker": "patient", "transcript": ""}, {"turn_id": 93, "speaker": "doctor", "transcript": "Perfect, OK, great. Now, um, um, can, can I just get you to do it again? And, just say ah, this time."}, {"turn_id": 94, "speaker": "patient", "transcript": "Yup."}, {"turn_id": 95, "speaker": "patient", "transcript": "Ah."}, {"turn_id": 96, "speaker": "doctor", "transcript": "OK, fantastic, brilliant. OK. Um."}, {"turn_id": 97, "speaker": "doctor", "transcript": "Uh, John. Based on, um, how you look. How you're talking to me, and how you're breathing, and the appearance, and your wrist."}, {"turn_id": 98, "speaker": "doctor", "transcript": "Um, I don't feel that you're having , a, an, an, a life-threatening, uh, allergic reaction."}, {"turn_id": 99, "speaker": "doctor", "transcript": "Now it's very normal, to have, a rash, when you have some kind of insect bite. It's uh, it's a localised, um, uh, inflammatory reaction, that um, is normal and that , immediate reaction, that redness, and that maybe slight swelling, is usually temporary."}, {"turn_id": 100, "speaker": "doctor", "transcript": "What we're worried about, is when someone has, um, compromise of their breathing. So you mentioned, breathing difficulties and you mentioned swelling of your lip. Thankfully I can't see any of that right now."}, {"turn_id": 101, "speaker": "patient", "transcript": "Right."}, {"turn_id": 102, "speaker": "doctor", "transcript": ", but that's, the most, urgent and most pressing thing that we'd be watching out for."}, {"turn_id": 103, "speaker": "doctor", "transcript": "Given that it hasn't happened, initially, it's unlikely to happen later. OK we, so we have like a , stage one and stage two reaction, for these types of bites."}, {"turn_id": 104, "speaker": "doctor", "transcript": "And, usually if you're gonna have the reaction, it will happen straight away."}, {"turn_id": 105, "speaker": "doctor", "transcript": "So, , we may be coming out of the danger zone now, it's um. But I'm just going to warn you about what those signs and symptoms are, in case it happens. So for example."}, {"turn_id": 106, "speaker": "doctor", "transcript": "You would have, swelling of the lips, difficulty breathing. You might have something called stridor, which is an inspiratory sound that you, when you're trying, trying to breathe. It makes like a rasping sound, like this. OK. ."}, {"turn_id": 107, "speaker": "doctor", "transcript": "Thankfully, you don't have anything like that right now. It seems to me like this is a localised allergic reaction."}, {"turn_id": 108, "speaker": "doctor", "transcript": "However, if anything changes, if anything deteriorates. Either make an appointment with us, or go straight to A and E."}, {"turn_id": 109, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 110, "speaker": "doctor", "transcript": "Um, uh, and in some cases, if it's, if it's, uh, progressing rapidly, it's better to go straight to A and E, rather than to, wait for a booked appointment with us, OK."}, {"turn_id": 111, "speaker": "doctor", "transcript": "What I'd like you to do now, is I'd like you to try and take some antihistamines."}, {"turn_id": 112, "speaker": "doctor", "transcript": "So you can buy them over the counter. You can get Piriton or Chlorphenamine, and you can take one tablet, four milligrams, um, up to about six times a day. OK."}, {"turn_id": 113, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 114, "speaker": "doctor", "transcript": "Or you can just take a one-a-day one, whichever is your preference, that's, that's absolutely fine, there's no, no issue. That should be enough to control this."}, {"turn_id": 115, "speaker": "doctor", "transcript": "Um, if, the redness in your arm spreads, and you, it feels hot, or you, you know, you have signs of any localised infection."}, {"turn_id": 116, "speaker": "doctor", "transcript": "We may need to think about other treatments, like an antibiotic."}, {"turn_id": 117, "speaker": "doctor", "transcript": "And like I said if anything deteriorates, in terms of your breathing, that's urgent and we need to process that, , action needs to be taken urgently."}, {"turn_id": 118, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 119, "speaker": "doctor", "transcript": "Did you have any other, um, queries or was there anything else that you're worried about?"}, {"turn_id": 120, "speaker": "patient", "transcript": "OK."}, {"turn_id": 121, "speaker": "patient", "transcript": "Uh, no, I think, I think that kind of, that makes me feel a bit better. I guess, can I get that um, can I get the, uh, so the antihistamine from any shop, or like does it pharmacy?"}, {"turn_id": 122, "speaker": "doctor", "transcript": "Yeah, that's, that's over the, yeah , over the counter. You don't need to, any chemist, will have it, you don't need a prescription for that. Yeah, it's probably cheaper to buy it over the counter actually, than to get it via prescription."}, {"turn_id": 123, "speaker": "patient", "transcript": ""}, {"turn_id": 124, "speaker": "doctor", "transcript": "OK. Um, now, um, uh, on the basis of what you've told me, I don't think you need any allergy testing. I think this is just a , a straightforward localised reaction to a, an insect bite."}, {"turn_id": 125, "speaker": "patient", "transcript": "OK."}, {"turn_id": 126, "speaker": "doctor", "transcript": "However, if it was to happen that, you know, this, you're, you're having these kind of reactions on a regular basis or other, , non-specific rashes. We might need to think about blood testing, I don't think we're at, at that moment yet. OK."}, {"turn_id": 127, "speaker": "doctor", "transcript": "So uh, but , that's something to bear in mind in case this, becomes a recurrent pattern."}, {"turn_id": 128, "speaker": "patient", "transcript": "OK."}, {"turn_id": 129, "speaker": "patient", "transcript": "OK."}, {"turn_id": 130, "speaker": "doctor", "transcript": "OK then, so, we'll leave it like that for now, OK. I'm gonna leave a link to some information about anaphylactic reactions, just for you to read about it. I don't want you to panic, but just for you to be aware what symptoms are."}, {"turn_id": 131, "speaker": "patient", "transcript": "Great."}, {"turn_id": 132, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 133, "speaker": "doctor", "transcript": "If those kind of things happen, get back to us."}, {"turn_id": 134, "speaker": "doctor", "transcript": "If you're feeling worried, just have a lower threshold for , having a chat with us, sometimes a chat is all you need to calm things down."}, {"turn_id": 135, "speaker": "patient", "transcript": "OK, great. Yeah, that makes sense."}, {"turn_id": 136, "speaker": "doctor", "transcript": "All right then John, OK. Uh, well we'll leave it like that, , come back to us if you have any further issues."}, {"turn_id": 137, "speaker": "patient", "transcript": ""}, {"turn_id": 138, "speaker": "patient", "transcript": "OK. Thanks. I appreciate your time."}, {"turn_id": 139, "speaker": "doctor", "transcript": "My pleasure. All right, take care then. All the best."}, {"turn_id": 140, "speaker": "patient", "transcript": "Bye bye, bye."}, {"turn_id": 141, "speaker": "doctor", "transcript": "Bye bye."}]} |
acibench_D2N115_aci_clinicalnlp_taskB_test1 | [
{
"speaker": "doctor",
"transcript": "alright so hey it's nice to see you jack i know you've been experiencing some neck pain could you tell me what happened",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yeah so i was in a a car accident",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "mm-hmm",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "and i hit in the back and like my my neck went forward and my head went forward really quick and so i've been having some pain ever since",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay and so with this pain how long ago was the car accident",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "that was about a week ago",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay with this pain like on a scale of one to ten how severe is it",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i would say it's about a seven",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "it's not a constant pain but like whenever i move my head which is like a lot i i feel it",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "alright so where exactly is it on the side on the back",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "it's in the back of my neck",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay has anything made it better",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "i mean i've tried some ibuprofen that helped a little bit but not too much",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "mm-hmm",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "just about five out of ten",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "mm-hmm alright and did you say whether the pain was getting worse",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i mean it's been staying the same it just gets worse when i'm moving my neck",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay are you able to turn your neck from side to side",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "mostly but there is there is pain with it",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay and then do you have headaches",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yeah i had i had a couple early on",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "uh uh",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "i have had it lately",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay and so does the pain move anywhere like your upper back your shoulder",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "no it just stays on monday",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay and then any kind of hearing any kind of hearing problems visual disturbances",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay have you do have you ever like played sports before or had like a sports accident before",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "yeah i played football",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "years ago but i i did n't have any issues with my neck though",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay and then when you got in the car accident did you end up going to the emergency room",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "no i mean i i know that going to the emergency room that like the english rides like five hundred bucks so i did n't want to do that",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "i understand i understand okay was there any like swelling or bruising on your neck",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "not that i know about no other mag of my neck i really ca n't see that",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "yeah okay no just checking okay so if you do n't mind i'm gon na go ahead and do my physical exam so when i press on here on the side of your neck does it hurt",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "yeah a little bit",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay positive pain to palpation of the soft tissues of the neck what about when i press on your back or your shoulders",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "no that's fine",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay so when you flex your neck when you're touching your chin to your chest does that hurt",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "alright positive pain with flexion what about when you move it back",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "yeah that hurts worse",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay okay severe positive pain to extension okay so can you turn your head from side to side does that hurt",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "yeah a little bit",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "okay positive pain with rotation and then can you touch your ear to your shoulders",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "okay alright so positive pain on lateral bending wow this is pretty this is pretty serious not serious necessarily sorry about that so i reviewed the results of your x-ray but the results show no signs of fracture or bony abnormalities but let's go ahead and talk about my assessment and plan for you i believe what you have is something called neck strain for your neck pain i sorry treatments we are gon na go ahead and treat this a bit conservatively your i'm gon na put you on anti-inflammatories motrin six hundred milligrams and you're gon na take that every six to eight hours i also wan na give you a muscle relaxant called flexeril and it's gon na be ten milligrams and you'll take that every twelve hours as needed i'm gon na want you to try your best to to like relax your neck i'm sorry not to strain your neck anymore like to be conservative with how you move about and everything like that i also wan na order an mri just because you said you did n't go to the hospital or anything like that i just wan na make sure that you you're not suffering from like a concussion but this is something that's commonly referred to as like whiplash right your head just like it it just wiped essentially like back and forth to so severely and and that's probably what's causing your pain i think i wan na refer you to either physical rehab or a chiropractor once we get the results of the mri just to make sure that there is n't any impingement of like the nerves or anything like that do you have any questions",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "i heard the chiropractors will shake they work",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "i do understand that some people have like reservations about going to the chiropractor but you know we do have some good ones that have like longstanding histories and patients that have had positive results from the experience but if you if you do n't like the idea of that we can consider other options like that rehab and physical therapy",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "alright any other questions",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "alright thank you",
"turn_id": 55
}
] | [
{
"description": "mri",
"order_type": "imaging",
"provenance": [
49
],
"reason": "make sure that you you're not suffering from like a concussion"
},
{
"description": "motrin six hundred milligrams every six to eight hours",
"order_type": "medication",
"provenance": [
49
],
"reason": "neck strain"
},
{
"description": "milligrams flexeril ten every twelve hours as needed",
"order_type": "medication",
"provenance": [
49
],
"reason": "neck strain"
}
] | {"id": "acibench_D2N115_aci_clinicalnlp_taskB_test1", "expected_orders": [{"order_type": "imaging", "description": "mri", "reason": "make sure that you you're not suffering from like a concussion", "provenance": [49]}, {"order_type": "medication", "description": "motrin six hundred milligrams every six to eight hours", "reason": "neck strain", "provenance": [49]}, {"order_type": "medication", "description": "milligrams flexeril ten every twelve hours as needed", "reason": "neck strain", "provenance": [49]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "alright so hey it's nice to see you jack i know you've been experiencing some neck pain could you tell me what happened"}, {"turn_id": 2, "speaker": "patient", "transcript": "yeah so i was in a a car accident"}, {"turn_id": 3, "speaker": "doctor", "transcript": "mm-hmm"}, {"turn_id": 4, "speaker": "patient", "transcript": "and i hit in the back and like my my neck went forward and my head went forward really quick and so i've been having some pain ever since"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay and so with this pain how long ago was the car accident"}, {"turn_id": 6, "speaker": "patient", "transcript": "that was about a week ago"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay with this pain like on a scale of one to ten how severe is it"}, {"turn_id": 8, "speaker": "patient", "transcript": "i would say it's about a seven"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 10, "speaker": "patient", "transcript": "it's not a constant pain but like whenever i move my head which is like a lot i i feel it"}, {"turn_id": 11, "speaker": "doctor", "transcript": "alright so where exactly is it on the side on the back"}, {"turn_id": 12, "speaker": "patient", "transcript": "it's in the back of my neck"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay has anything made it better"}, {"turn_id": 14, "speaker": "patient", "transcript": "i mean i've tried some ibuprofen that helped a little bit but not too much"}, {"turn_id": 15, "speaker": "doctor", "transcript": "mm-hmm"}, {"turn_id": 16, "speaker": "patient", "transcript": "just about five out of ten"}, {"turn_id": 17, "speaker": "doctor", "transcript": "mm-hmm alright and did you say whether the pain was getting worse"}, {"turn_id": 18, "speaker": "patient", "transcript": "i mean it's been staying the same it just gets worse when i'm moving my neck"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay are you able to turn your neck from side to side"}, {"turn_id": 20, "speaker": "patient", "transcript": "mostly but there is there is pain with it"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay and then do you have headaches"}, {"turn_id": 22, "speaker": "patient", "transcript": "yeah i had i had a couple early on"}, {"turn_id": 23, "speaker": "doctor", "transcript": "uh uh"}, {"turn_id": 24, "speaker": "patient", "transcript": "i have had it lately"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay and so does the pain move anywhere like your upper back your shoulder"}, {"turn_id": 26, "speaker": "patient", "transcript": "no it just stays on monday"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay and then any kind of hearing any kind of hearing problems visual disturbances"}, {"turn_id": 28, "speaker": "patient", "transcript": "no"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay have you do have you ever like played sports before or had like a sports accident before"}, {"turn_id": 30, "speaker": "patient", "transcript": "yeah i played football"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 32, "speaker": "patient", "transcript": "years ago but i i did n't have any issues with my neck though"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay and then when you got in the car accident did you end up going to the emergency room"}, {"turn_id": 34, "speaker": "patient", "transcript": "no i mean i i know that going to the emergency room that like the english rides like five hundred bucks so i did n't want to do that"}, {"turn_id": 35, "speaker": "doctor", "transcript": "i understand i understand okay was there any like swelling or bruising on your neck"}, {"turn_id": 36, "speaker": "patient", "transcript": "not that i know about no other mag of my neck i really ca n't see that"}, {"turn_id": 37, "speaker": "doctor", "transcript": "yeah okay no just checking okay so if you do n't mind i'm gon na go ahead and do my physical exam so when i press on here on the side of your neck does it hurt"}, {"turn_id": 38, "speaker": "patient", "transcript": "yeah a little bit"}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay positive pain to palpation of the soft tissues of the neck what about when i press on your back or your shoulders"}, {"turn_id": 40, "speaker": "patient", "transcript": "no that's fine"}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay so when you flex your neck when you're touching your chin to your chest does that hurt"}, {"turn_id": 42, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 43, "speaker": "doctor", "transcript": "alright positive pain with flexion what about when you move it back"}, {"turn_id": 44, "speaker": "patient", "transcript": "yeah that hurts worse"}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay okay severe positive pain to extension okay so can you turn your head from side to side does that hurt"}, {"turn_id": 46, "speaker": "patient", "transcript": "yeah a little bit"}, {"turn_id": 47, "speaker": "doctor", "transcript": "okay positive pain with rotation and then can you touch your ear to your shoulders"}, {"turn_id": 48, "speaker": "patient", "transcript": "no"}, {"turn_id": 49, "speaker": "doctor", "transcript": "okay alright so positive pain on lateral bending wow this is pretty this is pretty serious not serious necessarily sorry about that so i reviewed the results of your x-ray but the results show no signs of fracture or bony abnormalities but let's go ahead and talk about my assessment and plan for you i believe what you have is something called neck strain for your neck pain i sorry treatments we are gon na go ahead and treat this a bit conservatively your i'm gon na put you on anti-inflammatories motrin six hundred milligrams and you're gon na take that every six to eight hours i also wan na give you a muscle relaxant called flexeril and it's gon na be ten milligrams and you'll take that every twelve hours as needed i'm gon na want you to try your best to to like relax your neck i'm sorry not to strain your neck anymore like to be conservative with how you move about and everything like that i also wan na order an mri just because you said you did n't go to the hospital or anything like that i just wan na make sure that you you're not suffering from like a concussion but this is something that's commonly referred to as like whiplash right your head just like it it just wiped essentially like back and forth to so severely and and that's probably what's causing your pain i think i wan na refer you to either physical rehab or a chiropractor once we get the results of the mri just to make sure that there is n't any impingement of like the nerves or anything like that do you have any questions"}, {"turn_id": 50, "speaker": "patient", "transcript": "i heard the chiropractors will shake they work"}, {"turn_id": 51, "speaker": "doctor", "transcript": "i do understand that some people have like reservations about going to the chiropractor but you know we do have some good ones that have like longstanding histories and patients that have had positive results from the experience but if you if you do n't like the idea of that we can consider other options like that rehab and physical therapy"}, {"turn_id": 52, "speaker": "patient", "transcript": "okay"}, {"turn_id": 53, "speaker": "doctor", "transcript": "alright any other questions"}, {"turn_id": 54, "speaker": "patient", "transcript": "no"}, {"turn_id": 55, "speaker": "doctor", "transcript": "alright thank you"}]} |
acibench_D2N049_aci_train | [
{
"speaker": "doctor",
"transcript": "hey linda good to see you today so looking here in my notes looks like you you think you have a kidney stone think you've had them before and and you i guess you're having some pain and while we are here i see you i see you have a you have past medical history of hypertension diabetes and we will check up on those as well so with your kidney stone can you tell me what happened what's going on",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "and i've been in a lot of pain it started about i would say probably about three days ago",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "started having pain on my left back",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "and since then i continued to have pain it is traveling a little lower it's gotten little low but i definitely have not passed it yet and i'm just in so much pain",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay so is the pain that you're having is it constant or does it come and go",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "it's constant",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "all the time i ca n't get comfortable",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "alright are you able to urinate",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "i am and this morning i actually started seeing some blood",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay yeah so and i know you said i see you've had some kidney stones in the past like how many times would you say you've had one of these episodes",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "i've had it for probably this might be my third time",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "third time alright",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "yeah i have n't had one in a while but yeah this is my third time",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay so have you noticed any nausea chills fever",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "no fever some chills and i i just in so much pain i i ca n't eat and i do feel a little nauseous",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay that sound definitely understandable so you've been in a lot of pain so have you tried to take any medications to alleviate the pain",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah i've been taking tylenol i have had to try some ibuprofen i know you said to be careful with my blood pressure but i have been trying to do that because i'm just in so much pain and it's not really working",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay and before what would you how long would you say it took you to pass the other stones or how was that that resolved",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yeah usually usually about about three four days to pass it yeah",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "right so this is this is the looks like this is the third day",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "so we are getting close there",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "yeah so hopefully we can pass it but we'll i'll definitely we can take a look at it here in a second so while you are here i also wanted to check up on your your diabetes and and hypertension you have so i'm looking here at my notes and you're on two . five of norvasc for your high blood pressure when you came in today your blood pressure was a was a little bit high and i know that's probably because you are in a bunch of pain so that definitely makes sense but i think last time we talked a little bit about you getting a blood pressure cuff and taking your blood pressures regularly so those readings first off were you able to get the blood pressure cuff",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "i was i have n't been great about taking it but i did get the blood pressure cuff",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "so the time that you did take it and i think that's something we got to work on is you've taken them i think at least three times a week i would like you to what have those been running",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "like the top numbers they're usually the one thirties sometimes i get i do go into one forties and once it went to like one fifty",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "and then the bottom number has been between seventy and eighty okay that i mean that's not too bad i think when you were first diagnosed you were up there in the",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "the one eighties which was really high",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "right",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "so let me talk a little bit also about you trying to lower your salt intake to like like twenty three hundred milligrams a a day so have you been able to do that",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "trying my best but doc i really like my french fries",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "like",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "we we all like we all like the french fries you know but you know we we we we also do n't like strokes so we do n't want to have a scope and all the all the french fries so that's something definitely i would like you to work on and do you think you'd be able to to curb that french fry habit or that bad this bad food habits by yourself or do you think you need help",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "yeah some help could be helpful okay yeah we can definitely get you connected with someone just to help you with your diet kinda that's the biggest thing for a lot of my patient is trying to control that diet alright",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "so i also want to take a look here at your diabetes and last time you came in your a1c was a little bit higher at seven . three and you're on five hundred of metformin currently so have you been taking your blood sugars before you eat everyday",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "i have and those those have been pretty good they are like in the low one hundreds",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay that that that's definitely good because when you came in i think we did a glucose test on you couple of months ago and you were around three hundred which is which is pretty up there so i'm glad that you know those levels are down and have you been taking that metformin everyday",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "i do",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "i do take it",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "that that that that's really good alright so let me do a quick physical exam on you just a couple of questions before i take a look at your your abdomen and and your back talked to take a look at that that kidney stones you're having so i just want to make sure are you having any any chest pain",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "no chest pain",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "no chest pain are you having any belly pain",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "the back pain is starting to kind of go down into my groin but i would n't say any back pain i mean abdominal pain",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "no abdominal pain alright so let me check here i'm gon na listen to your heart real quick and so on your heart exam i do hear a grade two out of six systolic ejection murmur and that we knew about that already so not really worried about that currently listen to your lungs your lungs are clear bilaterally i do n't hear any crackles or wheezes so let me press here on your abdomen does that hurt",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "okay i'm gon na press here on your back is that painful",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "alright so on your examination of your abdomen there is tenderness to palpation of the abdomen there is n't any rebound or guarding though and only there is also cva tinnitus on the right on your on your flank as well and so it seems to me you know that you do have that kidney stone looks like you do have some inflammation around your kidney that's what that that's that tenderness around your cva is is telling me so let's go talk a little bit about my assessment and plan for you so you know right now because of your history of of having kidney stones you you do have a kidney stone so what we're gon na do is first off i'm gon na get you some pain medication kinda you're in a ton of pain right now i'm gon na prescribe you some oxycodone five milligrams you can take that every six to eight hours as needed for pain and so hopefully that can help you feeling better and you can continue to take that tylenol for any breakthrough pain that you're having i do wan na make sure that you're pushing fluids right now because we need to try to push that stone out that you're having just kinda clear your kidneys and that that would definitely help i also want to give you a strainer so you can strain your urine to see if you do actually pass that stone and then i'm going to refer you to urology and we're actually i'm gon na have you you even if you pass a stone in the next couple of days i want you to go anyway because it seems like you're having recurrent kidney stones and so hopefully they can help do something to to help this from happening in the future for your hypertension i'm gon na keep you on that two . five norvasc your your blood pressures look good so i'm not gon na make any changes there and then for your diabetes we'll keep you on the five hundred of metformin and i also want to give you a referral to nutrition to a dietitian and they will be able to help you with your your diet i know you said you have a few issues so you know they can possibly write a diet for you and if you follow it you know hopefully in the future we can get you off of both of these medications and get you back to normal so how does that all sound",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "that sounds good and i i just i just want this pain to go away so thank you",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "okay no problem",
"turn_id": 57
}
] | [
{
"description": "oxycodone five milligrams very six to eight hours",
"order_type": "medication",
"provenance": [
57
],
"reason": "recurrent kidney stones"
}
] | {"id": "acibench_D2N049_aci_train", "expected_orders": [{"order_type": "medication", "description": "oxycodone five milligrams very six to eight hours", "reason": "recurrent kidney stones", "provenance": [57]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey linda good to see you today so looking here in my notes looks like you you think you have a kidney stone think you've had them before and and you i guess you're having some pain and while we are here i see you i see you have a you have past medical history of hypertension diabetes and we will check up on those as well so with your kidney stone can you tell me what happened what's going on"}, {"turn_id": 2, "speaker": "patient", "transcript": "and i've been in a lot of pain it started about i would say probably about three days ago"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 4, "speaker": "patient", "transcript": "started having pain on my left back"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 6, "speaker": "patient", "transcript": "and since then i continued to have pain it is traveling a little lower it's gotten little low but i definitely have not passed it yet and i'm just in so much pain"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay so is the pain that you're having is it constant or does it come and go"}, {"turn_id": 8, "speaker": "patient", "transcript": "it's constant"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 10, "speaker": "patient", "transcript": "all the time i ca n't get comfortable"}, {"turn_id": 11, "speaker": "doctor", "transcript": "alright are you able to urinate"}, {"turn_id": 12, "speaker": "patient", "transcript": "i am and this morning i actually started seeing some blood"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay yeah so and i know you said i see you've had some kidney stones in the past like how many times would you say you've had one of these episodes"}, {"turn_id": 14, "speaker": "patient", "transcript": "i've had it for probably this might be my third time"}, {"turn_id": 15, "speaker": "doctor", "transcript": "third time alright"}, {"turn_id": 16, "speaker": "patient", "transcript": "yeah i have n't had one in a while but yeah this is my third time"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay so have you noticed any nausea chills fever"}, {"turn_id": 18, "speaker": "patient", "transcript": "no fever some chills and i i just in so much pain i i ca n't eat and i do feel a little nauseous"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay that sound definitely understandable so you've been in a lot of pain so have you tried to take any medications to alleviate the pain"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah i've been taking tylenol i have had to try some ibuprofen i know you said to be careful with my blood pressure but i have been trying to do that because i'm just in so much pain and it's not really working"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay and before what would you how long would you say it took you to pass the other stones or how was that that resolved"}, {"turn_id": 22, "speaker": "patient", "transcript": "yeah usually usually about about three four days to pass it yeah"}, {"turn_id": 23, "speaker": "doctor", "transcript": "right so this is this is the looks like this is the third day"}, {"turn_id": 24, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 25, "speaker": "doctor", "transcript": "so we are getting close there"}, {"turn_id": 26, "speaker": "patient", "transcript": "okay"}, {"turn_id": 27, "speaker": "doctor", "transcript": "yeah so hopefully we can pass it but we'll i'll definitely we can take a look at it here in a second so while you are here i also wanted to check up on your your diabetes and and hypertension you have so i'm looking here at my notes and you're on two . five of norvasc for your high blood pressure when you came in today your blood pressure was a was a little bit high and i know that's probably because you are in a bunch of pain so that definitely makes sense but i think last time we talked a little bit about you getting a blood pressure cuff and taking your blood pressures regularly so those readings first off were you able to get the blood pressure cuff"}, {"turn_id": 28, "speaker": "patient", "transcript": "i was i have n't been great about taking it but i did get the blood pressure cuff"}, {"turn_id": 29, "speaker": "doctor", "transcript": "so the time that you did take it and i think that's something we got to work on is you've taken them i think at least three times a week i would like you to what have those been running"}, {"turn_id": 30, "speaker": "patient", "transcript": "like the top numbers they're usually the one thirties sometimes i get i do go into one forties and once it went to like one fifty"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 32, "speaker": "patient", "transcript": "and then the bottom number has been between seventy and eighty okay that i mean that's not too bad i think when you were first diagnosed you were up there in the"}, {"turn_id": 33, "speaker": "doctor", "transcript": "the one eighties which was really high"}, {"turn_id": 34, "speaker": "patient", "transcript": "right"}, {"turn_id": 35, "speaker": "doctor", "transcript": "so let me talk a little bit also about you trying to lower your salt intake to like like twenty three hundred milligrams a a day so have you been able to do that"}, {"turn_id": 36, "speaker": "patient", "transcript": "trying my best but doc i really like my french fries"}, {"turn_id": 37, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 38, "speaker": "patient", "transcript": "like"}, {"turn_id": 39, "speaker": "doctor", "transcript": "we we all like we all like the french fries you know but you know we we we we also do n't like strokes so we do n't want to have a scope and all the all the french fries so that's something definitely i would like you to work on and do you think you'd be able to to curb that french fry habit or that bad this bad food habits by yourself or do you think you need help"}, {"turn_id": 40, "speaker": "patient", "transcript": "yeah some help could be helpful okay yeah we can definitely get you connected with someone just to help you with your diet kinda that's the biggest thing for a lot of my patient is trying to control that diet alright"}, {"turn_id": 41, "speaker": "doctor", "transcript": "so i also want to take a look here at your diabetes and last time you came in your a1c was a little bit higher at seven . three and you're on five hundred of metformin currently so have you been taking your blood sugars before you eat everyday"}, {"turn_id": 42, "speaker": "patient", "transcript": "i have and those those have been pretty good they are like in the low one hundreds"}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay that that that's definitely good because when you came in i think we did a glucose test on you couple of months ago and you were around three hundred which is which is pretty up there so i'm glad that you know those levels are down and have you been taking that metformin everyday"}, {"turn_id": 44, "speaker": "patient", "transcript": "i do"}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 46, "speaker": "patient", "transcript": "i do take it"}, {"turn_id": 47, "speaker": "doctor", "transcript": "that that that that's really good alright so let me do a quick physical exam on you just a couple of questions before i take a look at your your abdomen and and your back talked to take a look at that that kidney stones you're having so i just want to make sure are you having any any chest pain"}, {"turn_id": 48, "speaker": "patient", "transcript": "no chest pain"}, {"turn_id": 49, "speaker": "doctor", "transcript": "no chest pain are you having any belly pain"}, {"turn_id": 50, "speaker": "patient", "transcript": "the back pain is starting to kind of go down into my groin but i would n't say any back pain i mean abdominal pain"}, {"turn_id": 51, "speaker": "doctor", "transcript": "no abdominal pain alright so let me check here i'm gon na listen to your heart real quick and so on your heart exam i do hear a grade two out of six systolic ejection murmur and that we knew about that already so not really worried about that currently listen to your lungs your lungs are clear bilaterally i do n't hear any crackles or wheezes so let me press here on your abdomen does that hurt"}, {"turn_id": 52, "speaker": "patient", "transcript": "yes"}, {"turn_id": 53, "speaker": "doctor", "transcript": "okay i'm gon na press here on your back is that painful"}, {"turn_id": 54, "speaker": "patient", "transcript": "yes"}, {"turn_id": 55, "speaker": "doctor", "transcript": "alright so on your examination of your abdomen there is tenderness to palpation of the abdomen there is n't any rebound or guarding though and only there is also cva tinnitus on the right on your on your flank as well and so it seems to me you know that you do have that kidney stone looks like you do have some inflammation around your kidney that's what that that's that tenderness around your cva is is telling me so let's go talk a little bit about my assessment and plan for you so you know right now because of your history of of having kidney stones you you do have a kidney stone so what we're gon na do is first off i'm gon na get you some pain medication kinda you're in a ton of pain right now i'm gon na prescribe you some oxycodone five milligrams you can take that every six to eight hours as needed for pain and so hopefully that can help you feeling better and you can continue to take that tylenol for any breakthrough pain that you're having i do wan na make sure that you're pushing fluids right now because we need to try to push that stone out that you're having just kinda clear your kidneys and that that would definitely help i also want to give you a strainer so you can strain your urine to see if you do actually pass that stone and then i'm going to refer you to urology and we're actually i'm gon na have you you even if you pass a stone in the next couple of days i want you to go anyway because it seems like you're having recurrent kidney stones and so hopefully they can help do something to to help this from happening in the future for your hypertension i'm gon na keep you on that two . five norvasc your your blood pressures look good so i'm not gon na make any changes there and then for your diabetes we'll keep you on the five hundred of metformin and i also want to give you a referral to nutrition to a dietitian and they will be able to help you with your your diet i know you said you have a few issues so you know they can possibly write a diet for you and if you follow it you know hopefully in the future we can get you off of both of these medications and get you back to normal so how does that all sound"}, {"turn_id": 56, "speaker": "patient", "transcript": "that sounds good and i i just i just want this pain to go away so thank you"}, {"turn_id": 57, "speaker": "doctor", "transcript": "okay no problem"}]} |
acibench_D2N055_aci_train | [
{
"speaker": "doctor",
"transcript": "karen nelson is a 3 -year-old female with no significant past medical history who comes in for evaluation of a new right eye twitch karen is accompanied by her father hi karen how are you",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i'm okay i guess",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "hey dad how are you doing",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "hey doc i am okay yeah karen has been having this eye twitch i noticed a couple of weeks ago when i talked to her pediatrician and they told me to come see you",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay alright so karen have you felt the twitch",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yeah well i mean i feel my face sometimes",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "yeah and do you have any pain when it happens",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "no it it does n't really hurt but i noticed that dad looks real nervous when it happens",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "yeah i i i can understand that's because he loves you do you feel the urge to move your face",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "sometimes and then it moves and then i feel better",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay okay and so so dad how often are you seeing the twitch on karen",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "i do n't know i mean it varies sometimes i see it several times an hour and there is other days we do n't see it at all until sometimes late afternoon but we definitely notice it you know everyday for the last several weeks",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay so karen how is how is how is soccer",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "i like soccer",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "yeah dad dad takes me to play every saturday",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "it's it's pretty fun but there's this girl named isabella she she plays rough",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "does she",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "she yeah she tries to kick me and she pulls my hair and",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "oh",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "sometimes she's not very nice",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "that is n't very nice you gon na have to show her that that's not very nice you're gon na have to teach her a lesson",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yeah and and then sometimes after soccer we we go and i get mcdugge's and it and it's it makes for a nice day with dad",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "is that your favorite at mcdonald's in the the mcnuggates",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "not not really but they are cheap so",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay alright well you you made dad happy at least right",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yeah that's what he says because i'm expensive because i want dresses and dogs and stuff all the time",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "yeah well yeah who does n't well okay well hopefully we will get you you know squared away here so you can you know play your soccer and go shopping for dresses with dad so so dad tell me does the karen seem bothered or any other and have any other issues when this happens",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "no i mean when it happens she just continues playing or doing whatever she was doing when it happens",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay alright has she has she otherwise been feeling okay since this started has she been acting normally",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "i i'd say she seems fine i mean she has been eating well and playing with her friends and she goes about her normal activities really",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay good",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "never even though anything was going on",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "okay alright good so has has karen had any seizures in the past",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "no okay and then so tell me when the twitch occurs do you ever notice any you know parts of her like moving or twitching",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "well no uh it's just her face",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "i mean the whole side of her face moves when it happens it seems like it several seconds and then it finally stops and she just seems to be blinking frequently and and and you know wait a minute i i did make a video so you can see just in case it does n't do it during the visit",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay okay yeah that would be great to see that because i wan na see what's going on so thank you for that tell me is there any family history of seizures or like tourette's syndrome",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "well no history of seizures but i i i never heard of that tourette thing",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "yeah so so toret is that it's a nervous system disorder that you know involves like repetitive movements or like unwanted sounds and it typically begins in childhood and i do n't know have you noticed anything like that with her when she was younger",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "really i had nobody in our family got anything like that",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay now tell me have you noticed any other symptoms how about like fever or chills",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "okay coughing headache",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "ma'am",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "okay how about any problems with karen's sleep",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "nope",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "okay okay good let's go ahead and do physical exam on karen here alright karen i'm just gon na take a look at you and and ask you to follow some commands okay",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "alright can you follow my finger with your eyes good now can you do me a favor walk across the room for me great job okay now i want you to close your eyes and reach out your arms in front of you good now keep your eyes closed can you feel me touch you here how about okay how about there",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "mm-hmm",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "does that feel the same",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "yeah",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "okay alright so i'm just gon na check your reflexes okay alright now on your on the neurological exam the patient is awake alert and oriented times three speech is clear and fluent gait is steady heel toe walking is normal and the cranial nerves are intact without focal neurologic findings there is no pronator drift sensation is intact reflexes are two plus and symmetric at the biceps triceps knees and ankles so this means everything looks good karen",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "that's great",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "good alright so i'm gon na go ahead and tell you what we're gon na do so i'm gon na tell you my assessment and plan here so dad so for the first problem i do believe that karen does have a tick eye tics are very common in children and as many as you know one in five children have a tick during their school years and tics can also include things like shoulder shrugging facial grimacing sniffling excessive throat clearing and uncontrolled vocalization i can say that essentially they're brief sudden and involuntary motor movements now we do n't have a full understanding of the cause of the tics but they typically occur around five to ten years of age but most ticks go away on their own and they disappear within a year so these are what we call transient tics and the best thing to do is ignore the tics so it does n't seem to be bothering karen and she seems to be doing well in school and activities so it may wax and wane over time but you might notice it more towards the end of the day when the child is tired so you may also you know see it if they're stressed so that's why it's important to just ignore it now when you draw attention to the tick it does make the child conscious so that can make the tic worse so we want to be careful again just to to kind of not to draw too much attention on it and do you have any questions for me",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "so you mean you're telling me you do n't think he had a seizure or a bit or nothing",
"turn_id": 60
},
{
"speaker": "doctor",
"transcript": "yeah i do n't think it's i do n't think so because it's it is the same part of her body that's moving every time that and she reports that it's somewhat of an there is an urge to blink her eye and some relief afterwards",
"turn_id": 61
},
{
"speaker": "patient",
"transcript": "so you're not recommending any kind of treatment there is no pill or cream or nothing",
"turn_id": 62
},
{
"speaker": "doctor",
"transcript": "not at this time because she seems to be doing well overall and the tic has n't impacted her school or her activities but if it worsens then we can consider some treatment okay",
"turn_id": 63
},
{
"speaker": "patient",
"transcript": "alright alright sounds good",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "alright thank you you guys have a good day",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "doctor",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "bye karen",
"turn_id": 67
}
] | [] | {"id": "acibench_D2N055_aci_train", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "karen nelson is a 3 -year-old female with no significant past medical history who comes in for evaluation of a new right eye twitch karen is accompanied by her father hi karen how are you"}, {"turn_id": 2, "speaker": "patient", "transcript": "i'm okay i guess"}, {"turn_id": 3, "speaker": "doctor", "transcript": "hey dad how are you doing"}, {"turn_id": 4, "speaker": "patient", "transcript": "hey doc i am okay yeah karen has been having this eye twitch i noticed a couple of weeks ago when i talked to her pediatrician and they told me to come see you"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay alright so karen have you felt the twitch"}, {"turn_id": 6, "speaker": "patient", "transcript": "yeah well i mean i feel my face sometimes"}, {"turn_id": 7, "speaker": "doctor", "transcript": "yeah and do you have any pain when it happens"}, {"turn_id": 8, "speaker": "patient", "transcript": "no it it does n't really hurt but i noticed that dad looks real nervous when it happens"}, {"turn_id": 9, "speaker": "doctor", "transcript": "yeah i i i can understand that's because he loves you do you feel the urge to move your face"}, {"turn_id": 10, "speaker": "patient", "transcript": "sometimes and then it moves and then i feel better"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay okay and so so dad how often are you seeing the twitch on karen"}, {"turn_id": 12, "speaker": "patient", "transcript": "i do n't know i mean it varies sometimes i see it several times an hour and there is other days we do n't see it at all until sometimes late afternoon but we definitely notice it you know everyday for the last several weeks"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay so karen how is how is how is soccer"}, {"turn_id": 14, "speaker": "patient", "transcript": "i like soccer"}, {"turn_id": 15, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 16, "speaker": "patient", "transcript": "yeah dad dad takes me to play every saturday"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 18, "speaker": "patient", "transcript": "it's it's pretty fun but there's this girl named isabella she she plays rough"}, {"turn_id": 19, "speaker": "doctor", "transcript": "does she"}, {"turn_id": 20, "speaker": "patient", "transcript": "she yeah she tries to kick me and she pulls my hair and"}, {"turn_id": 21, "speaker": "doctor", "transcript": "oh"}, {"turn_id": 22, "speaker": "patient", "transcript": "sometimes she's not very nice"}, {"turn_id": 23, "speaker": "doctor", "transcript": "that is n't very nice you gon na have to show her that that's not very nice you're gon na have to teach her a lesson"}, {"turn_id": 24, "speaker": "patient", "transcript": "yeah and and then sometimes after soccer we we go and i get mcdugge's and it and it's it makes for a nice day with dad"}, {"turn_id": 25, "speaker": "doctor", "transcript": "is that your favorite at mcdonald's in the the mcnuggates"}, {"turn_id": 26, "speaker": "patient", "transcript": "not not really but they are cheap so"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay alright well you you made dad happy at least right"}, {"turn_id": 28, "speaker": "patient", "transcript": "yeah that's what he says because i'm expensive because i want dresses and dogs and stuff all the time"}, {"turn_id": 29, "speaker": "doctor", "transcript": "yeah well yeah who does n't well okay well hopefully we will get you you know squared away here so you can you know play your soccer and go shopping for dresses with dad so so dad tell me does the karen seem bothered or any other and have any other issues when this happens"}, {"turn_id": 30, "speaker": "patient", "transcript": "no i mean when it happens she just continues playing or doing whatever she was doing when it happens"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay alright has she has she otherwise been feeling okay since this started has she been acting normally"}, {"turn_id": 32, "speaker": "patient", "transcript": "i i'd say she seems fine i mean she has been eating well and playing with her friends and she goes about her normal activities really"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay good"}, {"turn_id": 34, "speaker": "patient", "transcript": "never even though anything was going on"}, {"turn_id": 35, "speaker": "doctor", "transcript": "okay alright good so has has karen had any seizures in the past"}, {"turn_id": 36, "speaker": "patient", "transcript": "no"}, {"turn_id": 37, "speaker": "doctor", "transcript": "no okay and then so tell me when the twitch occurs do you ever notice any you know parts of her like moving or twitching"}, {"turn_id": 38, "speaker": "patient", "transcript": "well no uh it's just her face"}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 40, "speaker": "patient", "transcript": "i mean the whole side of her face moves when it happens it seems like it several seconds and then it finally stops and she just seems to be blinking frequently and and and you know wait a minute i i did make a video so you can see just in case it does n't do it during the visit"}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay okay yeah that would be great to see that because i wan na see what's going on so thank you for that tell me is there any family history of seizures or like tourette's syndrome"}, {"turn_id": 42, "speaker": "patient", "transcript": "well no history of seizures but i i i never heard of that tourette thing"}, {"turn_id": 43, "speaker": "doctor", "transcript": "yeah so so toret is that it's a nervous system disorder that you know involves like repetitive movements or like unwanted sounds and it typically begins in childhood and i do n't know have you noticed anything like that with her when she was younger"}, {"turn_id": 44, "speaker": "patient", "transcript": "really i had nobody in our family got anything like that"}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay now tell me have you noticed any other symptoms how about like fever or chills"}, {"turn_id": 46, "speaker": "patient", "transcript": "no"}, {"turn_id": 47, "speaker": "doctor", "transcript": "okay coughing headache"}, {"turn_id": 48, "speaker": "patient", "transcript": "ma'am"}, {"turn_id": 49, "speaker": "doctor", "transcript": "okay how about any problems with karen's sleep"}, {"turn_id": 50, "speaker": "patient", "transcript": "nope"}, {"turn_id": 51, "speaker": "doctor", "transcript": "okay okay good let's go ahead and do physical exam on karen here alright karen i'm just gon na take a look at you and and ask you to follow some commands okay"}, {"turn_id": 52, "speaker": "patient", "transcript": "okay"}, {"turn_id": 53, "speaker": "doctor", "transcript": "alright can you follow my finger with your eyes good now can you do me a favor walk across the room for me great job okay now i want you to close your eyes and reach out your arms in front of you good now keep your eyes closed can you feel me touch you here how about okay how about there"}, {"turn_id": 54, "speaker": "patient", "transcript": "mm-hmm"}, {"turn_id": 55, "speaker": "doctor", "transcript": "does that feel the same"}, {"turn_id": 56, "speaker": "patient", "transcript": "yeah"}, {"turn_id": 57, "speaker": "doctor", "transcript": "okay alright so i'm just gon na check your reflexes okay alright now on your on the neurological exam the patient is awake alert and oriented times three speech is clear and fluent gait is steady heel toe walking is normal and the cranial nerves are intact without focal neurologic findings there is no pronator drift sensation is intact reflexes are two plus and symmetric at the biceps triceps knees and ankles so this means everything looks good karen"}, {"turn_id": 58, "speaker": "patient", "transcript": "that's great"}, {"turn_id": 59, "speaker": "doctor", "transcript": "good alright so i'm gon na go ahead and tell you what we're gon na do so i'm gon na tell you my assessment and plan here so dad so for the first problem i do believe that karen does have a tick eye tics are very common in children and as many as you know one in five children have a tick during their school years and tics can also include things like shoulder shrugging facial grimacing sniffling excessive throat clearing and uncontrolled vocalization i can say that essentially they're brief sudden and involuntary motor movements now we do n't have a full understanding of the cause of the tics but they typically occur around five to ten years of age but most ticks go away on their own and they disappear within a year so these are what we call transient tics and the best thing to do is ignore the tics so it does n't seem to be bothering karen and she seems to be doing well in school and activities so it may wax and wane over time but you might notice it more towards the end of the day when the child is tired so you may also you know see it if they're stressed so that's why it's important to just ignore it now when you draw attention to the tick it does make the child conscious so that can make the tic worse so we want to be careful again just to to kind of not to draw too much attention on it and do you have any questions for me"}, {"turn_id": 60, "speaker": "patient", "transcript": "so you mean you're telling me you do n't think he had a seizure or a bit or nothing"}, {"turn_id": 61, "speaker": "doctor", "transcript": "yeah i do n't think it's i do n't think so because it's it is the same part of her body that's moving every time that and she reports that it's somewhat of an there is an urge to blink her eye and some relief afterwards"}, {"turn_id": 62, "speaker": "patient", "transcript": "so you're not recommending any kind of treatment there is no pill or cream or nothing"}, {"turn_id": 63, "speaker": "doctor", "transcript": "not at this time because she seems to be doing well overall and the tic has n't impacted her school or her activities but if it worsens then we can consider some treatment okay"}, {"turn_id": 64, "speaker": "patient", "transcript": "alright alright sounds good"}, {"turn_id": 65, "speaker": "doctor", "transcript": "alright thank you you guys have a good day"}, {"turn_id": 66, "speaker": "patient", "transcript": "doctor"}, {"turn_id": 67, "speaker": "doctor", "transcript": "bye karen"}]} |
primock57_2_5 | [
{
"speaker": "doctor",
"transcript": "Hi there. Good morning. I'm Doctor from GP at Hand. Nice to see you.",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "Hi.",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "OK. So, um, before we start your appointment. Could I confirm your full name and date of birth please?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "Yeah, it's John Smith, and I am thirty two years old.",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "Sorry, I didn't catch your date of birth.",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "I'm thirty two years old.",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "Thirty two years old, OK. Could you tell me the first line of your address, and your postcode please?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "It's four Park Avenue, and it's AB one CB two.",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "That's great, thank you so much for that. Are you in a private place where you're OK to speak at the moment?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "OK. So how can I help you today? You've been having some problems with your asthma. Is that right?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "Sorry, say that .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "How can I help you today?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "So, um, I've been experiencing very weird symptoms, over the past month or so.",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "And I don't know what's causing them. I have googled it and, um, nothing's coming up, so I thought I'd come and speak to you about it.",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "OK. So, tell me a bit more about these weird symptoms you've been having.",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "So, it started with, feeling very tired, but for a couple of days, and then I get back to normal.",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "And then I started losing feeling, in my hands and arms. I get a weird sensation like, uh, I guess, pins and needles.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "Right again, the connection's not so great. You've been getting pins and needles in the hand. Is that right?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "And.",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "Yeah, that's correct.",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "OK. Is that the right or left hand?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "My right hand.",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "Is it always the right?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "OK. Um, we've lost video now, maybe is there a, a, a button you can press?",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "Are you happy for us to carry on without the video? I can't see you at the moment.",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "Yes, that's fine.",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "All right. Um, so, you've been having these pins and needles, and episodes of numbness, in the right hand. Is it just the hand, or does it go up the arm as well?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts few days and then goes back to normal. So, it's very weird.",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, is there any involvement of your leg at all?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "Uh, my, colleague said, I'm walking slightly differently to normal.",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "And again, it's only for three days, or three or four days.",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "OK. You, you said you've been having weird symptoms for about a month.",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": ", so, what has been happening from the beginning of the month? What else has been happening?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "Um, I generally feel tired, and weak.",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "And, sometimes I feel nauseous, and I don't feel like I want to do anything.",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "Right, OK.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "Um, and, um.",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "You know, , your colleague said you've, you've not been walking normally.",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "Do you feel anything different, on either side, in terms of your legs? Can , have you noticed anything different?",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "Yeah, so, at the same time I get my arm symptoms, my leg feels weaker.",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "Right, OK.",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "And.",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "You know you, the abnormal gait. Has that been present, outside of these episodes?",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "No, it has not. So normally, I'm, fit and well actually.",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "Right, .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "All right, OK. Um, and, these, these episodes. How often have they been happening?",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "They have been getting more regular. So at the start, it would be maybe once a week, uh, to every once , once a month, but now it's getting uh, uh, a couple of times a day.",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "Right, OK. And, how long have these episodes been going on for? When, when did it all start? Was it a month ago?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": ", probably a month and a half, maybe two months.",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "Right, OK.",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "OK. And, along with these symptoms, of the weakness and numbness. Do you have any other symptoms at the same time? Like swallowing, or difficulty speaking, or vision problems?",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "So, recently I've noticed, I can't hold my cup of coffee.",
"turn_id": 59
},
{
"speaker": "patient",
"transcript": "And when I, do drink coffee, it's slightly harder to drink.",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "And that's only been in the last couple of days, I guess.",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "Right. Is that during these episodes, or outside of these episodes?",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "Only during the episodes.",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "Do you have any difficulty swallowing at all?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Not currently, no.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": ". During the episodes, do you have any difficulty swallowing?",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "I, I, I feel like there's something in my throat.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "OK. What about, um, difficulty speaking during these episodes? Any, any issues with that at all?",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "No, I can speak fine.",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "OK. And any visual problems during these episodes?",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "I, I don't think so, but I wear glasses.",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "OK, all right. Now um, can I just ask? , has, uh, is there any history of stroke, or mini-strokes in your family?",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "Uh, yes. My, father has had a, operation to the side of his neck, to reduce the risk of stroke.",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "Right, OK.",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "Um, and, uh, how about yourself? Have you had any history of, mini-strokes or anything like that, along those lines? I know you're quite young.",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "No, so after my, dad had his operation, I was required to be checked, and my cholesterol , was fine.",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "Good, excellent. So you had a, a blood test done. And did they check for diabetes as well?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 79
},
{
"speaker": "patient",
"transcript": "They checked my diabetes, my blood pressure and my, cholesterol, and the doctor said it was all OK.",
"turn_id": 80
},
{
"speaker": "doctor",
"transcript": "Fantastic, OK. Now, do you have any other illnesses at all?",
"turn_id": 81
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "No. Are you on any medication?",
"turn_id": 83
},
{
"speaker": "patient",
"transcript": "I take an aspirin, seventy five milligrams, once a day, but that's, because of something I read on the internet.",
"turn_id": 84
},
{
"speaker": "doctor",
"transcript": "OK. So, so, why is that? Why do you take that?",
"turn_id": 85
},
{
"speaker": "patient",
"transcript": "I think it's, meant to reduce your risk of stroke and heart attack.",
"turn_id": 86
},
{
"speaker": "doctor",
"transcript": "OK. Do, have you ever told a doctor before, your GP, that you're on Aspirin?",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "Yes I took, I started to , taking it after my, father had his operation, but that wasn't the doctor telling me.",
"turn_id": 88
},
{
"speaker": "doctor",
"transcript": "OK. Uh, and, has any GP ever spoken to you about, the risks of Aspirin, and whether you should be on it? Or have you not , told the , the GP in the past?",
"turn_id": 89
},
{
"speaker": "patient",
"transcript": "No, I haven't.",
"turn_id": 90
},
{
"speaker": "doctor",
"transcript": "You haven't, OK. Um, all right. Um. Now, um, in terms of your uh, your kind of social situation. Um, are you working at the moment?",
"turn_id": 91
},
{
"speaker": "patient",
"transcript": "Yes, I am.",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": ", what do you work as?",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "Uh, I'm, uh, I'm actually a doctor.",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "You're a , a, a medical doctor?",
"turn_id": 95
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 96
},
{
"speaker": "doctor",
"transcript": "OK. Uh, which, specialty are you in?",
"turn_id": 97
},
{
"speaker": "patient",
"transcript": "I work in, uh, plastic surgery.",
"turn_id": 98
},
{
"speaker": "doctor",
"transcript": "Plastic surgery, OK, great. And, um, do you, have any, um, allergies to any medication at all?",
"turn_id": 99
},
{
"speaker": "patient",
"transcript": "I'm allergic to penicillin only.",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "OK. And, um, are you, um, living alone?",
"turn_id": 101
},
{
"speaker": "patient",
"transcript": "No, I live with my wife.",
"turn_id": 102
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, fantastic. Uh , do you smoke at all?",
"turn_id": 103
},
{
"speaker": "patient",
"transcript": "No, I don't.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, that's fine. Now, obviously you're a, you're a medic yourself. Did you have any thoughts as to what might be going on?",
"turn_id": 105
},
{
"speaker": "patient",
"transcript": "Uh, I've actually, got no idea.",
"turn_id": 106
},
{
"speaker": "doctor",
"transcript": "Right, OK. Um, well the, the way you're describing these episodes. They make me concerned about, mini-strokes or TIAs, , transient ischemic attacks. Um.",
"turn_id": 107
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 108
},
{
"speaker": "doctor",
"transcript": "And so, that's something quite urgent. And given that you've got a family history of um, stroke.",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "Um, even though you're quite young, I think um, it's something that we need to exclude. So, what I'm probably going to do, uh, in fact what I am going to do, is I'm going to, refer you to a stroke, a TIA clinic.",
"turn_id": 110
},
{
"speaker": "doctor",
"transcript": "Um, now just to double-check. Do you have the symptoms right now?",
"turn_id": 111
},
{
"speaker": "patient",
"transcript": "No, I'm perfectly fine at the moment.",
"turn_id": 112
},
{
"speaker": "doctor",
"transcript": "OK. So, so, what I'm gonna do, is I'm uh, I'm gonna refer you to a, a mini-stroke clinic, or a TIA clinic.",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": "Um, I send that referral off now, and then you can attend them, they, they'll usually, call you in within the next one to two days, OK.",
"turn_id": 114
},
{
"speaker": "doctor",
"transcript": "Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days , before the weekend. So, um, uh, basically the deadline should be, Thursday, Friday.",
"turn_id": 115
},
{
"speaker": "doctor",
"transcript": "We're expecting you to be seen by the time, that's the kind of turnaround we're, we're looking at.",
"turn_id": 116
},
{
"speaker": "doctor",
"transcript": "And in that clinic, they'll be doing a number of things. Um, they'll be checking, they'll be doing a ultrasound of the, carotid arteries, like your, your father had. Um, and, they'll be doing a, maybe a, they might do a scan of your brain as well, to check if there's any signs of a bleed there.",
"turn_id": 117
},
{
"speaker": "doctor",
"transcript": "But, um, they'll be doing a range of tests in a short time frame, in order to exclude whether, you have um, any illness. OK, whether you have got any kind of stroke or, mini-stroke.",
"turn_id": 118
},
{
"speaker": "patient",
"transcript": "Sure.",
"turn_id": 119
},
{
"speaker": "doctor",
"transcript": "Now, if your symptoms return and they persist, they're prolonged. Then um, you may need to attend A and E.",
"turn_id": 120
},
{
"speaker": "doctor",
"transcript": "OK, because um, our presumptive, working diagnosis is, mini-stroke or TIA, OK.",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "And if, a mini-stroke is prolonged then uh, then we end up thinking that this might be a stroke and in that case, that becomes even more of an emergency. So, we're not talking about waiting one or two days, we want you to go to hospital in that instance, as soon as possible, OK.",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "Sure.",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "Now if , things happen again, feel free to contact us, we can assess you over the phone, we can give you direction and guidance over the phone. That's, that's, that's not a problem, you know, you, you've got easy access to us.",
"turn_id": 124
},
{
"speaker": "doctor",
"transcript": "OK. So, um, this is the plan going forward. Um, I'm going to, um, do that referral.",
"turn_id": 125
},
{
"speaker": "doctor",
"transcript": "You should hear back from the hospital, relatively soon.",
"turn_id": 126
},
{
"speaker": "doctor",
"transcript": "The hospital, you can actually ring them, on um, uh, the PALS number, and then there's also the TIA clinic number.",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "I'm going to leave that number in the notes for this consultation, OK. So you'll have all the information you need, to chase this appointment.",
"turn_id": 128
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 129
},
{
"speaker": "doctor",
"transcript": "And um, if you want, you can ring them, either today or tomorrow morning.",
"turn_id": 130
},
{
"speaker": "doctor",
"transcript": ", today in the afternoon, wait uh, one or two hours. Or tomorrow morning just to find out when they got time to slot you in. And, just to make sure they've got you in the system, that they've got in the books, and they're going to be calling you in, OK.",
"turn_id": 131
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 132
},
{
"speaker": "doctor",
"transcript": ", this isn't, a, an immediate emergency that you need to rush down to A and E. But it's something quite urgent we need to, deal with in a short space of time, OK.",
"turn_id": 133
},
{
"speaker": "doctor",
"transcript": "So if there's, if there's any delay that, transpires for example, you can't make the appointment or, you know, they, you don't get called. , you, you get, get in contact back, back with us, OK.",
"turn_id": 134
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 135
},
{
"speaker": "doctor",
"transcript": "All right. Did you have any questions at all?",
"turn_id": 136
},
{
"speaker": "patient",
"transcript": "No, I think that covers, most of it.",
"turn_id": 137
},
{
"speaker": "doctor",
"transcript": "OK, great. So just bear with me a few minutes, and then I'll send that uh, all through and then you should, um, you should be able to help, you should have the information at your hands to, in order to take things further, OK.",
"turn_id": 138
},
{
"speaker": "patient",
"transcript": ", thank you.",
"turn_id": 139
},
{
"speaker": "doctor",
"transcript": "All the best. Take care now. Bye bye.",
"turn_id": 140
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 141
}
] | [] | {"id": "primock57_2_5", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "Hi there. Good morning. I'm Doctor from GP at Hand. Nice to see you."}, {"turn_id": 2, "speaker": "patient", "transcript": "Hi."}, {"turn_id": 3, "speaker": "doctor", "transcript": "OK. So, um, before we start your appointment. Could I confirm your full name and date of birth please?"}, {"turn_id": 4, "speaker": "patient", "transcript": "Yeah, it's John Smith, and I am thirty two years old."}, {"turn_id": 5, "speaker": "doctor", "transcript": "Sorry, I didn't catch your date of birth."}, {"turn_id": 6, "speaker": "patient", "transcript": "I'm thirty two years old."}, {"turn_id": 7, "speaker": "doctor", "transcript": "Thirty two years old, OK. Could you tell me the first line of your address, and your postcode please?"}, {"turn_id": 8, "speaker": "patient", "transcript": "It's four Park Avenue, and it's AB one CB two."}, {"turn_id": 9, "speaker": "doctor", "transcript": "That's great, thank you so much for that. Are you in a private place where you're OK to speak at the moment?"}, {"turn_id": 10, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 11, "speaker": "doctor", "transcript": "OK. So how can I help you today? You've been having some problems with your asthma. Is that right?"}, {"turn_id": 12, "speaker": "patient", "transcript": "Sorry, say that ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "How can I help you today?"}, {"turn_id": 14, "speaker": "patient", "transcript": "So, um, I've been experiencing very weird symptoms, over the past month or so."}, {"turn_id": 15, "speaker": "patient", "transcript": "And I don't know what's causing them. I have googled it and, um, nothing's coming up, so I thought I'd come and speak to you about it."}, {"turn_id": 16, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 17, "speaker": "doctor", "transcript": "OK. So, tell me a bit more about these weird symptoms you've been having."}, {"turn_id": 18, "speaker": "patient", "transcript": "So, it started with, feeling very tired, but for a couple of days, and then I get back to normal."}, {"turn_id": 19, "speaker": "doctor", "transcript": ""}, {"turn_id": 20, "speaker": "patient", "transcript": "And then I started losing feeling, in my hands and arms. I get a weird sensation like, uh, I guess, pins and needles."}, {"turn_id": 21, "speaker": "doctor", "transcript": "Right again, the connection's not so great. You've been getting pins and needles in the hand. Is that right?"}, {"turn_id": 22, "speaker": "patient", "transcript": "And."}, {"turn_id": 23, "speaker": "patient", "transcript": "Yeah, that's correct."}, {"turn_id": 24, "speaker": "doctor", "transcript": "OK. Is that the right or left hand?"}, {"turn_id": 25, "speaker": "patient", "transcript": "My right hand."}, {"turn_id": 26, "speaker": "doctor", "transcript": "Is it always the right?"}, {"turn_id": 27, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 28, "speaker": "doctor", "transcript": "OK. Um, we've lost video now, maybe is there a, a, a button you can press?"}, {"turn_id": 29, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 30, "speaker": "doctor", "transcript": "Are you happy for us to carry on without the video? I can't see you at the moment."}, {"turn_id": 31, "speaker": "patient", "transcript": "Yes, that's fine."}, {"turn_id": 32, "speaker": "doctor", "transcript": "All right. Um, so, you've been having these pins and needles, and episodes of numbness, in the right hand. Is it just the hand, or does it go up the arm as well?"}, {"turn_id": 33, "speaker": "patient", "transcript": "Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts few days and then goes back to normal. So, it's very weird."}, {"turn_id": 34, "speaker": "doctor", "transcript": "Right, OK. Um, is there any involvement of your leg at all?"}, {"turn_id": 35, "speaker": "patient", "transcript": "Uh, my, colleague said, I'm walking slightly differently to normal."}, {"turn_id": 36, "speaker": "patient", "transcript": "And again, it's only for three days, or three or four days."}, {"turn_id": 37, "speaker": "doctor", "transcript": "OK. You, you said you've been having weird symptoms for about a month."}, {"turn_id": 38, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 39, "speaker": "doctor", "transcript": ", so, what has been happening from the beginning of the month? What else has been happening?"}, {"turn_id": 40, "speaker": "patient", "transcript": "Um, I generally feel tired, and weak."}, {"turn_id": 41, "speaker": "patient", "transcript": "And, sometimes I feel nauseous, and I don't feel like I want to do anything."}, {"turn_id": 42, "speaker": "doctor", "transcript": "Right, OK."}, {"turn_id": 43, "speaker": "doctor", "transcript": "Um, and, um."}, {"turn_id": 44, "speaker": "doctor", "transcript": "You know, , your colleague said you've, you've not been walking normally."}, {"turn_id": 45, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 46, "speaker": "doctor", "transcript": "Do you feel anything different, on either side, in terms of your legs? Can , have you noticed anything different?"}, {"turn_id": 47, "speaker": "patient", "transcript": "Yeah, so, at the same time I get my arm symptoms, my leg feels weaker."}, {"turn_id": 48, "speaker": "doctor", "transcript": "Right, OK."}, {"turn_id": 49, "speaker": "doctor", "transcript": "And."}, {"turn_id": 50, "speaker": "doctor", "transcript": "You know you, the abnormal gait. Has that been present, outside of these episodes?"}, {"turn_id": 51, "speaker": "patient", "transcript": "No, it has not. So normally, I'm, fit and well actually."}, {"turn_id": 52, "speaker": "doctor", "transcript": "Right, ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "All right, OK. Um, and, these, these episodes. How often have they been happening?"}, {"turn_id": 54, "speaker": "patient", "transcript": "They have been getting more regular. So at the start, it would be maybe once a week, uh, to every once , once a month, but now it's getting uh, uh, a couple of times a day."}, {"turn_id": 55, "speaker": "doctor", "transcript": "Right, OK. And, how long have these episodes been going on for? When, when did it all start? Was it a month ago?"}, {"turn_id": 56, "speaker": "patient", "transcript": ", probably a month and a half, maybe two months."}, {"turn_id": 57, "speaker": "doctor", "transcript": "Right, OK."}, {"turn_id": 58, "speaker": "doctor", "transcript": "OK. And, along with these symptoms, of the weakness and numbness. Do you have any other symptoms at the same time? Like swallowing, or difficulty speaking, or vision problems?"}, {"turn_id": 59, "speaker": "patient", "transcript": "So, recently I've noticed, I can't hold my cup of coffee."}, {"turn_id": 60, "speaker": "patient", "transcript": "And when I, do drink coffee, it's slightly harder to drink."}, {"turn_id": 61, "speaker": "patient", "transcript": "And that's only been in the last couple of days, I guess."}, {"turn_id": 62, "speaker": "doctor", "transcript": "Right. Is that during these episodes, or outside of these episodes?"}, {"turn_id": 63, "speaker": "patient", "transcript": "Only during the episodes."}, {"turn_id": 64, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 65, "speaker": "doctor", "transcript": "Do you have any difficulty swallowing at all?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Not currently, no."}, {"turn_id": 67, "speaker": "doctor", "transcript": ". During the episodes, do you have any difficulty swallowing?"}, {"turn_id": 68, "speaker": "patient", "transcript": "I, I, I feel like there's something in my throat."}, {"turn_id": 69, "speaker": "doctor", "transcript": "OK. What about, um, difficulty speaking during these episodes? Any, any issues with that at all?"}, {"turn_id": 70, "speaker": "patient", "transcript": "No, I can speak fine."}, {"turn_id": 71, "speaker": "doctor", "transcript": "OK. And any visual problems during these episodes?"}, {"turn_id": 72, "speaker": "patient", "transcript": "I, I don't think so, but I wear glasses."}, {"turn_id": 73, "speaker": "doctor", "transcript": "OK, all right. Now um, can I just ask? , has, uh, is there any history of stroke, or mini-strokes in your family?"}, {"turn_id": 74, "speaker": "patient", "transcript": "Uh, yes. My, father has had a, operation to the side of his neck, to reduce the risk of stroke."}, {"turn_id": 75, "speaker": "doctor", "transcript": "Right, OK."}, {"turn_id": 76, "speaker": "doctor", "transcript": "Um, and, uh, how about yourself? Have you had any history of, mini-strokes or anything like that, along those lines? I know you're quite young."}, {"turn_id": 77, "speaker": "patient", "transcript": "No, so after my, dad had his operation, I was required to be checked, and my cholesterol , was fine."}, {"turn_id": 78, "speaker": "doctor", "transcript": "Good, excellent. So you had a, a blood test done. And did they check for diabetes as well?"}, {"turn_id": 79, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 80, "speaker": "patient", "transcript": "They checked my diabetes, my blood pressure and my, cholesterol, and the doctor said it was all OK."}, {"turn_id": 81, "speaker": "doctor", "transcript": "Fantastic, OK. Now, do you have any other illnesses at all?"}, {"turn_id": 82, "speaker": "patient", "transcript": "No."}, {"turn_id": 83, "speaker": "doctor", "transcript": "No. Are you on any medication?"}, {"turn_id": 84, "speaker": "patient", "transcript": "I take an aspirin, seventy five milligrams, once a day, but that's, because of something I read on the internet."}, {"turn_id": 85, "speaker": "doctor", "transcript": "OK. So, so, why is that? Why do you take that?"}, {"turn_id": 86, "speaker": "patient", "transcript": "I think it's, meant to reduce your risk of stroke and heart attack."}, {"turn_id": 87, "speaker": "doctor", "transcript": "OK. Do, have you ever told a doctor before, your GP, that you're on Aspirin?"}, {"turn_id": 88, "speaker": "patient", "transcript": "Yes I took, I started to , taking it after my, father had his operation, but that wasn't the doctor telling me."}, {"turn_id": 89, "speaker": "doctor", "transcript": "OK. Uh, and, has any GP ever spoken to you about, the risks of Aspirin, and whether you should be on it? Or have you not , told the , the GP in the past?"}, {"turn_id": 90, "speaker": "patient", "transcript": "No, I haven't."}, {"turn_id": 91, "speaker": "doctor", "transcript": "You haven't, OK. Um, all right. Um. Now, um, in terms of your uh, your kind of social situation. Um, are you working at the moment?"}, {"turn_id": 92, "speaker": "patient", "transcript": "Yes, I am."}, {"turn_id": 93, "speaker": "doctor", "transcript": ", what do you work as?"}, {"turn_id": 94, "speaker": "patient", "transcript": "Uh, I'm, uh, I'm actually a doctor."}, {"turn_id": 95, "speaker": "doctor", "transcript": "You're a , a, a medical doctor?"}, {"turn_id": 96, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 97, "speaker": "doctor", "transcript": "OK. Uh, which, specialty are you in?"}, {"turn_id": 98, "speaker": "patient", "transcript": "I work in, uh, plastic surgery."}, {"turn_id": 99, "speaker": "doctor", "transcript": "Plastic surgery, OK, great. And, um, do you, have any, um, allergies to any medication at all?"}, {"turn_id": 100, "speaker": "patient", "transcript": "I'm allergic to penicillin only."}, {"turn_id": 101, "speaker": "doctor", "transcript": "OK. And, um, are you, um, living alone?"}, {"turn_id": 102, "speaker": "patient", "transcript": "No, I live with my wife."}, {"turn_id": 103, "speaker": "doctor", "transcript": "Right, OK. Um, fantastic. Uh , do you smoke at all?"}, {"turn_id": 104, "speaker": "patient", "transcript": "No, I don't."}, {"turn_id": 105, "speaker": "doctor", "transcript": "Right, OK. Um, that's fine. Now, obviously you're a, you're a medic yourself. Did you have any thoughts as to what might be going on?"}, {"turn_id": 106, "speaker": "patient", "transcript": "Uh, I've actually, got no idea."}, {"turn_id": 107, "speaker": "doctor", "transcript": "Right, OK. Um, well the, the way you're describing these episodes. They make me concerned about, mini-strokes or TIAs, , transient ischemic attacks. Um."}, {"turn_id": 108, "speaker": "patient", "transcript": "OK."}, {"turn_id": 109, "speaker": "doctor", "transcript": "And so, that's something quite urgent. And given that you've got a family history of um, stroke."}, {"turn_id": 110, "speaker": "doctor", "transcript": "Um, even though you're quite young, I think um, it's something that we need to exclude. So, what I'm probably going to do, uh, in fact what I am going to do, is I'm going to, refer you to a stroke, a TIA clinic."}, {"turn_id": 111, "speaker": "doctor", "transcript": "Um, now just to double-check. Do you have the symptoms right now?"}, {"turn_id": 112, "speaker": "patient", "transcript": "No, I'm perfectly fine at the moment."}, {"turn_id": 113, "speaker": "doctor", "transcript": "OK. So, so, what I'm gonna do, is I'm uh, I'm gonna refer you to a, a mini-stroke clinic, or a TIA clinic."}, {"turn_id": 114, "speaker": "doctor", "transcript": "Um, I send that referral off now, and then you can attend them, they, they'll usually, call you in within the next one to two days, OK."}, {"turn_id": 115, "speaker": "doctor", "transcript": "Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days , before the weekend. So, um, uh, basically the deadline should be, Thursday, Friday."}, {"turn_id": 116, "speaker": "doctor", "transcript": "We're expecting you to be seen by the time, that's the kind of turnaround we're, we're looking at."}, {"turn_id": 117, "speaker": "doctor", "transcript": "And in that clinic, they'll be doing a number of things. Um, they'll be checking, they'll be doing a ultrasound of the, carotid arteries, like your, your father had. Um, and, they'll be doing a, maybe a, they might do a scan of your brain as well, to check if there's any signs of a bleed there."}, {"turn_id": 118, "speaker": "doctor", "transcript": "But, um, they'll be doing a range of tests in a short time frame, in order to exclude whether, you have um, any illness. OK, whether you have got any kind of stroke or, mini-stroke."}, {"turn_id": 119, "speaker": "patient", "transcript": "Sure."}, {"turn_id": 120, "speaker": "doctor", "transcript": "Now, if your symptoms return and they persist, they're prolonged. Then um, you may need to attend A and E."}, {"turn_id": 121, "speaker": "doctor", "transcript": "OK, because um, our presumptive, working diagnosis is, mini-stroke or TIA, OK."}, {"turn_id": 122, "speaker": "doctor", "transcript": "And if, a mini-stroke is prolonged then uh, then we end up thinking that this might be a stroke and in that case, that becomes even more of an emergency. So, we're not talking about waiting one or two days, we want you to go to hospital in that instance, as soon as possible, OK."}, {"turn_id": 123, "speaker": "patient", "transcript": "Sure."}, {"turn_id": 124, "speaker": "doctor", "transcript": "Now if , things happen again, feel free to contact us, we can assess you over the phone, we can give you direction and guidance over the phone. That's, that's, that's not a problem, you know, you, you've got easy access to us."}, {"turn_id": 125, "speaker": "doctor", "transcript": "OK. So, um, this is the plan going forward. Um, I'm going to, um, do that referral."}, {"turn_id": 126, "speaker": "doctor", "transcript": "You should hear back from the hospital, relatively soon."}, {"turn_id": 127, "speaker": "doctor", "transcript": "The hospital, you can actually ring them, on um, uh, the PALS number, and then there's also the TIA clinic number."}, {"turn_id": 128, "speaker": "doctor", "transcript": "I'm going to leave that number in the notes for this consultation, OK. So you'll have all the information you need, to chase this appointment."}, {"turn_id": 129, "speaker": "patient", "transcript": "OK."}, {"turn_id": 130, "speaker": "doctor", "transcript": "And um, if you want, you can ring them, either today or tomorrow morning."}, {"turn_id": 131, "speaker": "doctor", "transcript": ", today in the afternoon, wait uh, one or two hours. Or tomorrow morning just to find out when they got time to slot you in. And, just to make sure they've got you in the system, that they've got in the books, and they're going to be calling you in, OK."}, {"turn_id": 132, "speaker": "patient", "transcript": ""}, {"turn_id": 133, "speaker": "doctor", "transcript": ", this isn't, a, an immediate emergency that you need to rush down to A and E. But it's something quite urgent we need to, deal with in a short space of time, OK."}, {"turn_id": 134, "speaker": "doctor", "transcript": "So if there's, if there's any delay that, transpires for example, you can't make the appointment or, you know, they, you don't get called. , you, you get, get in contact back, back with us, OK."}, {"turn_id": 135, "speaker": "patient", "transcript": ""}, {"turn_id": 136, "speaker": "doctor", "transcript": "All right. Did you have any questions at all?"}, {"turn_id": 137, "speaker": "patient", "transcript": "No, I think that covers, most of it."}, {"turn_id": 138, "speaker": "doctor", "transcript": "OK, great. So just bear with me a few minutes, and then I'll send that uh, all through and then you should, um, you should be able to help, you should have the information at your hands to, in order to take things further, OK."}, {"turn_id": 139, "speaker": "patient", "transcript": ", thank you."}, {"turn_id": 140, "speaker": "doctor", "transcript": "All the best. Take care now. Bye bye."}, {"turn_id": 141, "speaker": "patient", "transcript": ""}]} |
acibench_D2N072_virtassist_valid | [
{
"speaker": "doctor",
"transcript": "hi , ms. brooks . i'm dr. baker . how are you ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hi , dr. baker .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "is your , is your right finger hurting ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay . hey , dragon , uh , sharon brooks is a 48 year old female here for right finger pain . all right . so , tell me what happened .",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "well , i was skiing over the weekend-",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": ". and as i was , um , coming down the hill , i tried moguls , which jumping over those big hills , i tend to get my strap caught on my finger-",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": ". and it kind of bent it back a bit .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "and when did this happen ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "it happened , uh ... that was sunday .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay . and have you tried anything for this or anything made it better or worse ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "i tried , um , putting ice on it .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "uh , and then i- i've been taking ibuprofen , but it's still very painful .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay . and , uh , is it worse when you bend it ? or anything make it ... so , just wh-",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah , movement .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay . so , it sounds like you were skiing about four about days ago and you went over a mogul and got it hyper extended or got it bent backwards a little bit , ? okay . do you have any other past medical history at all ?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "um , i have been suffering from constipation recently .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay . all right . and do you take ... what medicines do you take for constipation ?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "um , i've just been taking , um , mel- um ...",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "miralax ?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "miralax . that's it .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay . miralax is sufficient .",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "miralax . yes .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "and any surgeries in the past ?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "i did have my appendix taken out when i was 18 .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay . let's do your exam . uh , so , it's this finger right here . and does it hurt here on your , on this joint up here ?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "okay . and how'bout right there ? no ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "right here ?",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "that hurts .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "all right . uh , can you bend your finger for me ?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "all right . and how about extend it ? all right . and can you touch your thumb with it ?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "all right . so , on exam , you do have some tenderness over your distal phalanx , which is the tip of your finger . there is , uh , some tenderness over that joint itself . i do n't feel any tenderness over your proximal joint or your metacarpophalangeal joint , which is right above your knuckle . uh , you have some pain flexion as well . so , let's look at your x-rays . hey , dragon , show me the x-rays .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "all right . so , on this x-ray.",
"turn_id": 44
},
{
"speaker": "",
"transcript": "everything looks normal right now . uh , i do n't see any fractures . everything lines up pretty well . uh , so , your x-ray looks normal with no fractures . so , based on the x-ray and your exam , you have some tenderness right here . i think you've got a little contusion right here . there's no fracture on the tip of your finger . uh , so , the diagnosis would be a right hand , uh , index finger contusion on the tip of your finger , okay ? so , i would recommend we get you a s- uh , aluminum foam splint and we'll get you some motrin . uh , we'll give you 600 milligrams every six hours and we'll take that for about a week . and if it does n't get better , why do n't you call us and come back at that point ?",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "okay . do you have any questions ?",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "no . i think that sounds good .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "okay . hey , dragon , order the medication and procedures we discussed . all right . and why do n't you come with me and we'll get you signed out .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "okay . thank you .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "all right . finalize report , dragon .",
"turn_id": 51
}
] | [
{
"description": "motrin 600 milligrams every six hours about a week",
"order_type": "medication",
"provenance": [
85,
86,
87
],
"reason": "right hand , uh , index finger contusion on the tip of your finger"
}
] | {"id": "acibench_D2N072_virtassist_valid", "expected_orders": [{"order_type": "medication", "description": "motrin 600 milligrams every six hours about a week", "reason": "right hand , uh , index finger contusion on the tip of your finger", "provenance": [85, 86, 87]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi , ms. brooks . i'm dr. baker . how are you ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "hi , dr. baker ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "is your , is your right finger hurting ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay . hey , dragon , uh , sharon brooks is a 48 year old female here for right finger pain . all right . so , tell me what happened ."}, {"turn_id": 6, "speaker": "patient", "transcript": "well , i was skiing over the weekend-"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 8, "speaker": "patient", "transcript": ". and as i was , um , coming down the hill , i tried moguls , which jumping over those big hills , i tend to get my strap caught on my finger-"}, {"turn_id": 9, "speaker": "doctor", "transcript": ""}, {"turn_id": 10, "speaker": "patient", "transcript": ". and it kind of bent it back a bit ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 12, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "and when did this happen ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "it happened , uh ... that was sunday ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay . and have you tried anything for this or anything made it better or worse ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "i tried , um , putting ice on it ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 18, "speaker": "patient", "transcript": "uh , and then i- i've been taking ibuprofen , but it's still very painful ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay . and , uh , is it worse when you bend it ? or anything make it ... so , just wh-"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah , movement ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 22, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay . so , it sounds like you were skiing about four about days ago and you went over a mogul and got it hyper extended or got it bent backwards a little bit , ? okay . do you have any other past medical history at all ?"}, {"turn_id": 24, "speaker": "patient", "transcript": "um , i have been suffering from constipation recently ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay . all right . and do you take ... what medicines do you take for constipation ?"}, {"turn_id": 26, "speaker": "patient", "transcript": "um , i've just been taking , um , mel- um ..."}, {"turn_id": 27, "speaker": "doctor", "transcript": "miralax ?"}, {"turn_id": 28, "speaker": "patient", "transcript": "miralax . that's it ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay . miralax is sufficient ."}, {"turn_id": 30, "speaker": "patient", "transcript": "miralax . yes ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "and any surgeries in the past ?"}, {"turn_id": 32, "speaker": "patient", "transcript": "i did have my appendix taken out when i was 18 ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay . let's do your exam . uh , so , it's this finger right here . and does it hurt here on your , on this joint up here ?"}, {"turn_id": 34, "speaker": "patient", "transcript": "no ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "okay . and how'bout right there ? no ?"}, {"turn_id": 36, "speaker": "patient", "transcript": "no ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "right here ?"}, {"turn_id": 38, "speaker": "patient", "transcript": "that hurts ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "all right . uh , can you bend your finger for me ?"}, {"turn_id": 40, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "all right . and how about extend it ? all right . and can you touch your thumb with it ?"}, {"turn_id": 42, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "all right . so , on exam , you do have some tenderness over your distal phalanx , which is the tip of your finger . there is , uh , some tenderness over that joint itself . i do n't feel any tenderness over your proximal joint or your metacarpophalangeal joint , which is right above your knuckle . uh , you have some pain flexion as well . so , let's look at your x-rays . hey , dragon , show me the x-rays ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "all right . so , on this x-ray."}, {"turn_id": 45, "speaker": "", "transcript": "everything looks normal right now . uh , i do n't see any fractures . everything lines up pretty well . uh , so , your x-ray looks normal with no fractures . so , based on the x-ray and your exam , you have some tenderness right here . i think you've got a little contusion right here . there's no fracture on the tip of your finger . uh , so , the diagnosis would be a right hand , uh , index finger contusion on the tip of your finger , okay ? so , i would recommend we get you a s- uh , aluminum foam splint and we'll get you some motrin . uh , we'll give you 600 milligrams every six hours and we'll take that for about a week . and if it does n't get better , why do n't you call us and come back at that point ?"}, {"turn_id": 46, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "okay . do you have any questions ?"}, {"turn_id": 48, "speaker": "patient", "transcript": "no . i think that sounds good ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "okay . hey , dragon , order the medication and procedures we discussed . all right . and why do n't you come with me and we'll get you signed out ."}, {"turn_id": 50, "speaker": "patient", "transcript": "okay . thank you ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "all right . finalize report , dragon ."}]} |
acibench_D2N075_virtscribe_valid | [
{
"speaker": "doctor",
"transcript": "next is betty hill , uh , date of birth is 2/21/1968 . she has a past medical history of uterine fibroids and anemia . she's a new patient with a referral from the er of esophagitis . um , i reviewed our records from the er , including the normal cardiac workup , and we're about to go in and see her now . good morning . you miss hill ?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "good morning . yes . that's me .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "hey , i'm dr. sanders . it's nice to meet you .",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "nice to meet you too .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "so tell me about what brings you in today ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "well , i really needed to see you three months ... three months ago , but this was your first available appointment . when i called to make the appointment , i was having chest pains , but it stopped after four days , and i have n't had any since then .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay . when did these four days of chest pain occur ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "um , early october .",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "of 2020 , correct ?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay . can you think of anything that might have caused the chest pain ? did you wake up with it ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no . it just it randomly . i tolerated it for four days but then had to go to the emergency room because nothing i did relieved it . they did a bunch of testing and did n't find anything .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay . can you point to the area of your chest where the pain was located ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "well , it was here in the center of my chest , right behind my breastbone . it felt like i was having a heart attack . the pain was really sharp .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "did they prescribe you any medications in the er ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no . they ran an ekg and did blood tests , but like i said , everything was normal .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay . i see .",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "they thought it was something to do with the gi system , so that's why they referred me here .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "interesting . uh , do you remember having any heartburn or indigestion at , at the time ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "uh , maybe . i do n't think i've ever had heartburn , so i'm not sure what that feels like .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "was the pain worse with eating or exercise ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yes . with eating .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay . any difficulty swallowing ?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "mm-hmm . i did .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay . and that's also resolved since the initial episode three months ago ?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yes . thankfully . the chest pain and swallowing problem got better about three days after i went to the er . but i just feel like there's something wrong .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay . so how has your weight been .",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "i've been trying to lose weight .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "that's good . any in- ... issues with abdominal pain ?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "uh , no .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay . good . and how about your bowel movements ; are they okay ?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "they're normal .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "all right . are you aware of any family history of gi problems ?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "i do n't think so .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "have had you had any surgeries on your abdomen , or gall bladder , or appendix ?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "yes . they took my gall bladder out several years ago .",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "okay . if you wan na lay down here on the table for me and lets take a look at you .",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "so when i push on your lower belly , do you have any pain , or does it feel tender ?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay . how about up here in your upper abdomen ?",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "yes . it , it hurts a little .",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "okay . and even when i press lightly like this ?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "yes . uh , just a little uncomfortable .",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "okay . does it hurt more when i press over here on the left or over here on the right ? or is it about the same ?",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "i'd say it's about the same .",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "okay . so we'll say you have some mild tenderness to light palpation in the upper abdominal quadrants , but everything on your exam looks normal and looks good .",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "okay . good .",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "so let's talk about your symptoms real quick . obviously , with the chest discomfort , we worry about heart issues , but i'm reassured that those were ruled out with all the testing they did in the er . um , other potential causes could be anxiety , esophagitis , which is irritation of the esophagus . but typically with these , um ... but typically , these cause the pain that would last for a long time rather than that isolated incident like you had . um , it's also possible that you had intense heartburn for a few days .",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "well , since you mention anxiety , i was going through a really stressful job transition right around the time this happened .",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "okay . that's good to know . so stress from this could be , um ... could be , uh ... could be very well have contributed to your condition .",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "so we could do an , uh , egd or upper endoscopy to take a look at your esophagus and stomach . this would allow us to look for esophagitis . but your symptoms occurred three months ago and you have n't had any additional episodes , so likely if it were esophagitis , it's already healed by the point ... by this point , and we would n't be able to see anything . the other option is just to continue to monitor , uh , for any additional symptoms at which point we could do the egd . uh , with you being asymptomatic for so long right now , i'm comfortable with that option . but what do you think ?",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "i'd like to hold off on the egd and wait to see if i have more symptoms .",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "that sounds good . um , so you can call the office if you have any additional episodes of pain or any other symptoms you're concerned about . if that happens , we'll get you scheduled for an egd to take a look . if not , you can follow up with me ... follow up with me as needed for any other gi complaints .",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "all right ? if you do n't have any questions for me , i'll walk you out to the check-out desk .",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "no . that's it . thank you .",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "you're welcome . right this way . all right . uh , in assessment , please summarize the patient's history briefly , and let's list her possible etiologies such as , uh , gerd , dyspepsia , esophagitis , musculoskeletal etiologies , and anxiety . uh , suspect she had an anxiety attack related to her job transition , plus or minus a contribution from her musculoskeletal etiologies . um , in the plan , include our discussion of the egd versus monderning ... monitoring for symptom . patient elected to self-monitor her symptoms and will call with any reoccurrence or change . thanks .",
"turn_id": 59
}
] | [] | {"id": "acibench_D2N075_virtscribe_valid", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "next is betty hill , uh , date of birth is 2/21/1968 . she has a past medical history of uterine fibroids and anemia . she's a new patient with a referral from the er of esophagitis . um , i reviewed our records from the er , including the normal cardiac workup , and we're about to go in and see her now . good morning . you miss hill ?"}, {"turn_id": 2, "speaker": "patient", "transcript": "good morning . yes . that's me ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "hey , i'm dr. sanders . it's nice to meet you ."}, {"turn_id": 4, "speaker": "patient", "transcript": "nice to meet you too ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "so tell me about what brings you in today ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "well , i really needed to see you three months ... three months ago , but this was your first available appointment . when i called to make the appointment , i was having chest pains , but it stopped after four days , and i have n't had any since then ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay . when did these four days of chest pain occur ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "um , early october ."}, {"turn_id": 9, "speaker": "doctor", "transcript": "of 2020 , correct ?"}, {"turn_id": 10, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay . can you think of anything that might have caused the chest pain ? did you wake up with it ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "no . it just it randomly . i tolerated it for four days but then had to go to the emergency room because nothing i did relieved it . they did a bunch of testing and did n't find anything ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay . can you point to the area of your chest where the pain was located ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "well , it was here in the center of my chest , right behind my breastbone . it felt like i was having a heart attack . the pain was really sharp ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "did they prescribe you any medications in the er ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "no . they ran an ekg and did blood tests , but like i said , everything was normal ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay . i see ."}, {"turn_id": 18, "speaker": "patient", "transcript": "they thought it was something to do with the gi system , so that's why they referred me here ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "interesting . uh , do you remember having any heartburn or indigestion at , at the time ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "uh , maybe . i do n't think i've ever had heartburn , so i'm not sure what that feels like ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "was the pain worse with eating or exercise ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "yes . with eating ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay . any difficulty swallowing ?"}, {"turn_id": 24, "speaker": "patient", "transcript": "mm-hmm . i did ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay . and that's also resolved since the initial episode three months ago ?"}, {"turn_id": 26, "speaker": "patient", "transcript": "yes . thankfully . the chest pain and swallowing problem got better about three days after i went to the er . but i just feel like there's something wrong ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay . so how has your weight been ."}, {"turn_id": 28, "speaker": "patient", "transcript": "i've been trying to lose weight ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "that's good . any in- ... issues with abdominal pain ?"}, {"turn_id": 30, "speaker": "patient", "transcript": "uh , no ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay . good . and how about your bowel movements ; are they okay ?"}, {"turn_id": 32, "speaker": "patient", "transcript": "they're normal ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "all right . are you aware of any family history of gi problems ?"}, {"turn_id": 34, "speaker": "patient", "transcript": "i do n't think so ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "have had you had any surgeries on your abdomen , or gall bladder , or appendix ?"}, {"turn_id": 36, "speaker": "patient", "transcript": "yes . they took my gall bladder out several years ago ."}, {"turn_id": 37, "speaker": "doctor", "transcript": "okay . if you wan na lay down here on the table for me and lets take a look at you ."}, {"turn_id": 38, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 39, "speaker": "doctor", "transcript": "so when i push on your lower belly , do you have any pain , or does it feel tender ?"}, {"turn_id": 40, "speaker": "patient", "transcript": "no ."}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay . how about up here in your upper abdomen ?"}, {"turn_id": 42, "speaker": "patient", "transcript": "yes . it , it hurts a little ."}, {"turn_id": 43, "speaker": "doctor", "transcript": "okay . and even when i press lightly like this ?"}, {"turn_id": 44, "speaker": "patient", "transcript": "yes . uh , just a little uncomfortable ."}, {"turn_id": 45, "speaker": "doctor", "transcript": "okay . does it hurt more when i press over here on the left or over here on the right ? or is it about the same ?"}, {"turn_id": 46, "speaker": "patient", "transcript": "i'd say it's about the same ."}, {"turn_id": 47, "speaker": "doctor", "transcript": "okay . so we'll say you have some mild tenderness to light palpation in the upper abdominal quadrants , but everything on your exam looks normal and looks good ."}, {"turn_id": 48, "speaker": "patient", "transcript": "okay . good ."}, {"turn_id": 49, "speaker": "doctor", "transcript": "so let's talk about your symptoms real quick . obviously , with the chest discomfort , we worry about heart issues , but i'm reassured that those were ruled out with all the testing they did in the er . um , other potential causes could be anxiety , esophagitis , which is irritation of the esophagus . but typically with these , um ... but typically , these cause the pain that would last for a long time rather than that isolated incident like you had . um , it's also possible that you had intense heartburn for a few days ."}, {"turn_id": 50, "speaker": "patient", "transcript": "well , since you mention anxiety , i was going through a really stressful job transition right around the time this happened ."}, {"turn_id": 51, "speaker": "doctor", "transcript": "okay . that's good to know . so stress from this could be , um ... could be , uh ... could be very well have contributed to your condition ."}, {"turn_id": 52, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 53, "speaker": "doctor", "transcript": "so we could do an , uh , egd or upper endoscopy to take a look at your esophagus and stomach . this would allow us to look for esophagitis . but your symptoms occurred three months ago and you have n't had any additional episodes , so likely if it were esophagitis , it's already healed by the point ... by this point , and we would n't be able to see anything . the other option is just to continue to monitor , uh , for any additional symptoms at which point we could do the egd . uh , with you being asymptomatic for so long right now , i'm comfortable with that option . but what do you think ?"}, {"turn_id": 54, "speaker": "patient", "transcript": "i'd like to hold off on the egd and wait to see if i have more symptoms ."}, {"turn_id": 55, "speaker": "doctor", "transcript": "that sounds good . um , so you can call the office if you have any additional episodes of pain or any other symptoms you're concerned about . if that happens , we'll get you scheduled for an egd to take a look . if not , you can follow up with me ... follow up with me as needed for any other gi complaints ."}, {"turn_id": 56, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 57, "speaker": "doctor", "transcript": "all right ? if you do n't have any questions for me , i'll walk you out to the check-out desk ."}, {"turn_id": 58, "speaker": "patient", "transcript": "no . that's it . thank you ."}, {"turn_id": 59, "speaker": "doctor", "transcript": "you're welcome . right this way . all right . uh , in assessment , please summarize the patient's history briefly , and let's list her possible etiologies such as , uh , gerd , dyspepsia , esophagitis , musculoskeletal etiologies , and anxiety . uh , suspect she had an anxiety attack related to her job transition , plus or minus a contribution from her musculoskeletal etiologies . um , in the plan , include our discussion of the egd versus monderning ... monitoring for symptom . patient elected to self-monitor her symptoms and will call with any reoccurrence or change . thanks ."}]} |
acibench_D2N017_virtassist_train | [
{
"speaker": "doctor",
"transcript": "hello , mrs . peterson .",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "hi , doctor taylor . good to see you .",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "you're here for your hip today , or your- your leg today ?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yes . i hurt my- the- my- top part of my right leg here .",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "hey , dragon . i'm seeing mrs . peterson , here , she's a 43-year-old patient . she's here for left leg pain . right leg pain , right leg pain ?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "um so , what happened to you ?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "i was bowling and as i was running up to the lane , i had my bowling ball all the way back , and when i slung it forward , i hit it right into my leg instead of the lane and so then i fell but- yeah-",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "did you get a strike ?",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "no . in fact , i actually dropped the ball and it jumped two lanes over and landed in the other people's gutter .",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "terrific , terrific . so , did it swell up on you ?",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "it- not- did n't seem like it swelled that much .",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "what about bruising ?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "um , a little bit on the back- back end , that side .",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "have- have you been able to walk on it ?",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "just a little bit . very carefully .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "sore to walk on ?",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "yes . it's very sore .",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "um , and going upstairs or downstairs , does that bother you at all ?",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yeah , well , i do n't have stairs , but um , i would avoid that at all costs .",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay . um , it looks like you had a history of atopic eczema in your past ?",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yes . yes , i have eczema .",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay . and you take uh- uh , fluocinonide for that ?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yes , when it gets really itchy , i'll- i'll use that and it usually takes care of it .",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay . and , it looks like you have a pre- previous surgical history of a colectomy ? what happened there ?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yes , i had a- um , some diverticulosis and then um , i actually went into diverticulitis and they ended up going in and having to remove a little bit of my colon .",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay , let me examine you . does it hurt when i push on your leg like that ?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yes , it does .",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay . if i lift your leg up like this , does that hurt ?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "so , on my exam , you have some significant tenderness to the lateral aspect of your um right upper leg . you do n't seem to have any pain or tenderness with flexion or extension of your um your lower leg . um , are you taking anything for it right now ?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "i've been going back and forth between taking ibuprofen and tylenol .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay . well , my impression is that you- you probably have a contusion , but let's take a look at your x-ray first . hey , dragon . show me the x-ray . yeah , so if you look at this , this is a normal femur . um , really do n't see any evidence of a fracture or any swelling , so it's essentially , a normal x-ray . so , what we're going to do is , i'm going to start you on um an anti-inflammatory . it's going to be mobic 15 milligrams uh , once a day . i want you to use some ice for the pain , um , and it should , honestly , just being a contusion , get better in the next week or so . if it's not getting better , of course , come on back and- and see me .",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "okay , sounds good .",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "hey , dragon . go ahead and um , pres- do the orders and um , procedures uh , as described . come with me , and uh , i'll get you checked out . dragon , go ahead and finish off the note .",
"turn_id": 35
}
] | [
{
"description": "mobic 15 milligrams once a day",
"order_type": "medication",
"provenance": [
12,
54,
60
],
"reason": "right leg probably have a contusion"
}
] | {"id": "acibench_D2N017_virtassist_train", "expected_orders": [{"order_type": "medication", "description": "mobic 15 milligrams once a day", "reason": "right leg probably have a contusion", "provenance": [12, 54, 60]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hello , mrs . peterson ."}, {"turn_id": 2, "speaker": "patient", "transcript": "hi , doctor taylor . good to see you ."}, {"turn_id": 3, "speaker": "doctor", "transcript": "you're here for your hip today , or your- your leg today ?"}, {"turn_id": 4, "speaker": "patient", "transcript": "yes . i hurt my- the- my- top part of my right leg here ."}, {"turn_id": 5, "speaker": "doctor", "transcript": "hey , dragon . i'm seeing mrs . peterson , here , she's a 43-year-old patient . she's here for left leg pain . right leg pain , right leg pain ?"}, {"turn_id": 6, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 7, "speaker": "doctor", "transcript": "um so , what happened to you ?"}, {"turn_id": 8, "speaker": "patient", "transcript": "i was bowling and as i was running up to the lane , i had my bowling ball all the way back , and when i slung it forward , i hit it right into my leg instead of the lane and so then i fell but- yeah-"}, {"turn_id": 9, "speaker": "doctor", "transcript": "did you get a strike ?"}, {"turn_id": 10, "speaker": "patient", "transcript": "no . in fact , i actually dropped the ball and it jumped two lanes over and landed in the other people's gutter ."}, {"turn_id": 11, "speaker": "doctor", "transcript": "terrific , terrific . so , did it swell up on you ?"}, {"turn_id": 12, "speaker": "patient", "transcript": "it- not- did n't seem like it swelled that much ."}, {"turn_id": 13, "speaker": "doctor", "transcript": "what about bruising ?"}, {"turn_id": 14, "speaker": "patient", "transcript": "um , a little bit on the back- back end , that side ."}, {"turn_id": 15, "speaker": "doctor", "transcript": "have- have you been able to walk on it ?"}, {"turn_id": 16, "speaker": "patient", "transcript": "just a little bit . very carefully ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "sore to walk on ?"}, {"turn_id": 18, "speaker": "patient", "transcript": "yes . it's very sore ."}, {"turn_id": 19, "speaker": "doctor", "transcript": "um , and going upstairs or downstairs , does that bother you at all ?"}, {"turn_id": 20, "speaker": "patient", "transcript": "yeah , well , i do n't have stairs , but um , i would avoid that at all costs ."}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay . um , it looks like you had a history of atopic eczema in your past ?"}, {"turn_id": 22, "speaker": "patient", "transcript": "yes . yes , i have eczema ."}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay . and you take uh- uh , fluocinonide for that ?"}, {"turn_id": 24, "speaker": "patient", "transcript": "yes , when it gets really itchy , i'll- i'll use that and it usually takes care of it ."}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay . and , it looks like you have a pre- previous surgical history of a colectomy ? what happened there ?"}, {"turn_id": 26, "speaker": "patient", "transcript": "yes , i had a- um , some diverticulosis and then um , i actually went into diverticulitis and they ended up going in and having to remove a little bit of my colon ."}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay , let me examine you . does it hurt when i push on your leg like that ?"}, {"turn_id": 28, "speaker": "patient", "transcript": "yes , it does ."}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay . if i lift your leg up like this , does that hurt ?"}, {"turn_id": 30, "speaker": "patient", "transcript": "no ."}, {"turn_id": 31, "speaker": "doctor", "transcript": "so , on my exam , you have some significant tenderness to the lateral aspect of your um right upper leg . you do n't seem to have any pain or tenderness with flexion or extension of your um your lower leg . um , are you taking anything for it right now ?"}, {"turn_id": 32, "speaker": "patient", "transcript": "i've been going back and forth between taking ibuprofen and tylenol ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay . well , my impression is that you- you probably have a contusion , but let's take a look at your x-ray first . hey , dragon . show me the x-ray . yeah , so if you look at this , this is a normal femur . um , really do n't see any evidence of a fracture or any swelling , so it's essentially , a normal x-ray . so , what we're going to do is , i'm going to start you on um an anti-inflammatory . it's going to be mobic 15 milligrams uh , once a day . i want you to use some ice for the pain , um , and it should , honestly , just being a contusion , get better in the next week or so . if it's not getting better , of course , come on back and- and see me ."}, {"turn_id": 34, "speaker": "patient", "transcript": "okay , sounds good ."}, {"turn_id": 35, "speaker": "doctor", "transcript": "hey , dragon . go ahead and um , pres- do the orders and um , procedures uh , as described . come with me , and uh , i'll get you checked out . dragon , go ahead and finish off the note ."}]} |
primock57_3_10 | [
{
"speaker": "patient",
"transcript": "Hello.",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "Hello, hi, I'm Doctor Jacob and welcome to Babylon. Hello.",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "Nice to meet you.",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "Nice to meet you too. So just before we start, is it all right if you could confirm your name for me please?",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "Michael John .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "And your date of birth?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "Oh nine two nine eighty-three.",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "OK, and your address for me please.",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "Two three one, Leonard, London street uh, sorry, London.",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "OK and that's correct, and just to confirm that you're in a secure location and we can have a confidential conversation.",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "OK, uh, you've mentioned on our notes that you're suffering from bad diarrhea. I'm sorry to hear about it. So if you tell me a bit more about it, please.",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "Uh, it's been happening for about, three days now? Um, yeah it, started off uh, was, I don't know it's just something that I thought would go away pretty quickly.",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "I've had that from time to time after eating certain types of food or going on certain travels, but, uh nothing funky in my diet and no travels recently, um and it just kinda kept up. I'm a bit confused as to what to do .",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "Mmm.",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "Mm-hmm.",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "So you haven't had anything from outside? Nothing dodgy anything ? No.",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "No, no no no, just a little bit, yeah I I don't know I mean it's pretty standard diarrhoea, where it's was like a little bit of abdominal pain. I threw up once, that was a little worrying, uh.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "Mm-hmm.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "Repeat that please, that wasn't clear. What did you say?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "I threw up once, yeah.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "After that we'd said something.",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "Uh, nothing else was worrisome.",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "OK, right, and with the diarrhea, how many times a day are you going to the toilet?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "Uh, four to five.",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "Four to five times, yeah. And is there any? And it's like water? Is it like water or is it just loose?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "Uh, what do you mean?",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "Are you going like water? Or is it just, you know bit, bit of solid stools, bit loose kind of thing?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "It probably depends on the time of day to be honest, .",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "Sure OK. Bit of both and is there any blood or mucus?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "No blood. What do you mean mucus?",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "It's like the snotty stuff.",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "In the stool?",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "Yeah, it looks like snot .",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "No, so no mucus, OK. Any fever at all?",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "Uh, maybe a little bit, but.",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "Mm-hmm.",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "It hasn't been, that in particular hasn't been too worrying.",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "Are you still able to eat, and drink?",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "Uh, a little bit of.",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "Appetite loss I guess worse than normal, but also not something I've, like I, if that was alone I wouldn't have, reached out.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "Sure. So but you're you're still able to drink quite a bit yeah? You're drinking plenty.",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "Yeah yeah yeah.",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "OK. Excellent.",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "Mostly it's been dry and red.",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "OK, and, um, what have you take, have you taken anything so far for the diarrhea?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "Nothing yet.",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "Nothing yet, OK. Anything for the abdominal pain?",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "Uh, nothing yet.",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "OK. Right, and any unfortunately we don't have any of your past medical history, is there anything you'd like to say?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "Uh, I.",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "Probably I I had asthma.",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "Mm-hmm.",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "Um or, or I don't know I guess I still have it.",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "OK and uh, are you, any, uh, anything else other than asthma?",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "Uh, my dad had hypertension.",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "Has hypertension. Had hypertension. Yeah he died of bowel cancer ten years ago.",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "Yeah .",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "Ohh dear, OK. Bowel cancer. Ten years ago. And how old was he when he died?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Uh, sixty-two.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "K, and um, you mentioned you had asthma, are you using any inhalers at all?",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "Which ones?",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "Lexapro.",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "Sorry?",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "Lexapro.",
"turn_id": 72
},
{
"speaker": "doctor",
"transcript": "Laxepro.",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "OK, not heard of it may. Is it like Salbutamol? Is it like a blue colour?",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "Yellow.",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "Yellow, OK. I'll have to check that one, not sure. Laxepro.",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "OK. Um, that's fine. Any other medication that you're using?",
"turn_id": 78
},
{
"speaker": "doctor",
"transcript": "Over the counter, anything at all?",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "OK. Right. Any allergies?",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 81
},
{
"speaker": "patient",
"transcript": "Nothing, yeah, nothing.",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "No allergies at all, righty . Fine so, obviously, you know you just have diarrhea it's about four to five times a day. Um, you're still drinking plenty and you look like you're not dehydrated which is a good sign, OK? Um, when we start worrying about diarrhea is if you're going more than eight times a day.",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "That means probably you are, you know, whatever you're eating is going straight through, OK? You still need to drink plenty of water because you're losing a lot of fluids.",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Mmm.",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "OK, when you go to the toilet. Um, things that one would advise is a soft diet. So avoid dairy, fish, meat, eggs, while you're having the diarrhea. Go, sorry?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "Soft .",
"turn_id": 87
},
{
"speaker": "patient",
"transcript": "What is a soft diet? What does that ? Like, outside of, not those things, what do you mean by soft?",
"turn_id": 88
},
{
"speaker": "doctor",
"transcript": "OK, so that will be like crackers, toast, jam, those kind of things that's easily digested. Like what we are good give babies yeah. When they start eating you give, simple food for babies. You don't give eggs or meat the first time they start feeding. So that's the kind of soft diet we're talking about, yeah? Once you are able to, you know keep most of it in, you can start off with some just boiled vegetables and mash.",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "Once you're OK with that for about forty-eight hours then you can start having meat. So just don't have meat once you feel like you're slightly better, because you might go back to square one again, all right?",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 91
},
{
"speaker": "patient",
"transcript": "What do you mean OK with that diet, like once?",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "Forty-eight hours you're not having any diarrhea, you're fine then you can go and start having meat, egg, fish and all. So that .",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "OK, if if the diarrhoea is getting better but isn't getting, or do you want it to go away completely at that point, or if it's like trending upwards?",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "No, no, no preferably just don't because, what why do we say this? It's because it takes much more time for meat to get digested. So because your gut flora, you know, the, the, the bacteria in your gut is not you know as it should be, it takes a bit more effort for one to digest these food.",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "While it doesn't take that much of an effort to, you know digest mash and vegetables. Does that make sense?",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "Yes.",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "Yeah? So, um, at the same time you could have some, although you can't milk is not a good idea, yoghurts are a good idea because they are probiotics, it help to build up the normal, um gut, gut bacteria back.",
"turn_id": 98
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 99
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "So those kinda, now, things to look out for, if your diarrhoea doesn't go away in a week's time, or if you're passing blood, we need a stool sample, because that means you you may have , um, some particular bugs that might need treatment with antibiotics.",
"turn_id": 101
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 102
},
{
"speaker": "doctor",
"transcript": "OK. If you're again, as I've mentioned previously if you're going about six to eight times a day, that means there's a high chance that, uh, you are, having dehydration and you might need to go into hospital at that point in time. If that happens you get in touch with us again, all right?",
"turn_id": 103
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "Any questions? You look a bit confused.",
"turn_id": 105
},
{
"speaker": "patient",
"transcript": "No, that's it.",
"turn_id": 106
},
{
"speaker": "doctor",
"transcript": "Yeah? OK and also you could get something called Dioralyte over the counter. So, it helps to uh, replenish your, the salts that you've been, that's lost through going to the toilet.",
"turn_id": 107
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 108
},
{
"speaker": "doctor",
"transcript": "OK? If you're a bit confused you know you can actually, uh, all this is all recorded in your app. So you can go back. I'll put that all in detail so if, you know I know sometimes it's a bit difficult to process everything, you can go back and read, read the notes.",
"turn_id": 109
},
{
"speaker": "patient",
"transcript": "Perfect, that's great.",
"turn_id": 110
},
{
"speaker": "doctor",
"transcript": "Is that OK?",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "All right then, you take care.",
"turn_id": 112
},
{
"speaker": "patient",
"transcript": "Bye.",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": "Bye now, bye bye.",
"turn_id": 114
}
] | [] | {"id": "primock57_3_10", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "patient", "transcript": "Hello."}, {"turn_id": 2, "speaker": "doctor", "transcript": "Hello, hi, I'm Doctor Jacob and welcome to Babylon. Hello."}, {"turn_id": 3, "speaker": "patient", "transcript": "Nice to meet you."}, {"turn_id": 4, "speaker": "doctor", "transcript": "Nice to meet you too. So just before we start, is it all right if you could confirm your name for me please?"}, {"turn_id": 5, "speaker": "patient", "transcript": "Michael John ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "And your date of birth?"}, {"turn_id": 7, "speaker": "patient", "transcript": "Oh nine two nine eighty-three."}, {"turn_id": 8, "speaker": "doctor", "transcript": "OK, and your address for me please."}, {"turn_id": 9, "speaker": "patient", "transcript": "Two three one, Leonard, London street uh, sorry, London."}, {"turn_id": 10, "speaker": "doctor", "transcript": "OK and that's correct, and just to confirm that you're in a secure location and we can have a confidential conversation."}, {"turn_id": 11, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 12, "speaker": "doctor", "transcript": "OK, uh, you've mentioned on our notes that you're suffering from bad diarrhea. I'm sorry to hear about it. So if you tell me a bit more about it, please."}, {"turn_id": 13, "speaker": "patient", "transcript": "Uh, it's been happening for about, three days now? Um, yeah it, started off uh, was, I don't know it's just something that I thought would go away pretty quickly."}, {"turn_id": 14, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 15, "speaker": "doctor", "transcript": ""}, {"turn_id": 16, "speaker": "patient", "transcript": "I've had that from time to time after eating certain types of food or going on certain travels, but, uh nothing funky in my diet and no travels recently, um and it just kinda kept up. I'm a bit confused as to what to do ."}, {"turn_id": 17, "speaker": "doctor", "transcript": "Mmm."}, {"turn_id": 18, "speaker": "doctor", "transcript": "Mm-hmm."}, {"turn_id": 19, "speaker": "doctor", "transcript": "So you haven't had anything from outside? Nothing dodgy anything ? No."}, {"turn_id": 20, "speaker": "patient", "transcript": "No, no no no, just a little bit, yeah I I don't know I mean it's pretty standard diarrhoea, where it's was like a little bit of abdominal pain. I threw up once, that was a little worrying, uh."}, {"turn_id": 21, "speaker": "doctor", "transcript": ""}, {"turn_id": 22, "speaker": "doctor", "transcript": "Mm-hmm."}, {"turn_id": 23, "speaker": "doctor", "transcript": "Repeat that please, that wasn't clear. What did you say?"}, {"turn_id": 24, "speaker": "patient", "transcript": "I threw up once, yeah."}, {"turn_id": 25, "speaker": "doctor", "transcript": "After that we'd said something."}, {"turn_id": 26, "speaker": "patient", "transcript": "Uh, nothing else was worrisome."}, {"turn_id": 27, "speaker": "doctor", "transcript": "OK, right, and with the diarrhea, how many times a day are you going to the toilet?"}, {"turn_id": 28, "speaker": "patient", "transcript": "Uh, four to five."}, {"turn_id": 29, "speaker": "doctor", "transcript": "Four to five times, yeah. And is there any? And it's like water? Is it like water or is it just loose?"}, {"turn_id": 30, "speaker": "patient", "transcript": "Uh, what do you mean?"}, {"turn_id": 31, "speaker": "doctor", "transcript": "Are you going like water? Or is it just, you know bit, bit of solid stools, bit loose kind of thing?"}, {"turn_id": 32, "speaker": "patient", "transcript": "It probably depends on the time of day to be honest, ."}, {"turn_id": 33, "speaker": "doctor", "transcript": "Sure OK. Bit of both and is there any blood or mucus?"}, {"turn_id": 34, "speaker": "patient", "transcript": "No blood. What do you mean mucus?"}, {"turn_id": 35, "speaker": "doctor", "transcript": "It's like the snotty stuff."}, {"turn_id": 36, "speaker": "patient", "transcript": "In the stool?"}, {"turn_id": 37, "speaker": "doctor", "transcript": "Yeah, it looks like snot ."}, {"turn_id": 38, "speaker": "patient", "transcript": "No."}, {"turn_id": 39, "speaker": "doctor", "transcript": "No, so no mucus, OK. Any fever at all?"}, {"turn_id": 40, "speaker": "patient", "transcript": "Uh, maybe a little bit, but."}, {"turn_id": 41, "speaker": "doctor", "transcript": "Mm-hmm."}, {"turn_id": 42, "speaker": "patient", "transcript": "It hasn't been, that in particular hasn't been too worrying."}, {"turn_id": 43, "speaker": "doctor", "transcript": "Are you still able to eat, and drink?"}, {"turn_id": 44, "speaker": "patient", "transcript": "Uh, a little bit of."}, {"turn_id": 45, "speaker": "patient", "transcript": "Appetite loss I guess worse than normal, but also not something I've, like I, if that was alone I wouldn't have, reached out."}, {"turn_id": 46, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 47, "speaker": "doctor", "transcript": "Sure. So but you're you're still able to drink quite a bit yeah? You're drinking plenty."}, {"turn_id": 48, "speaker": "patient", "transcript": "Yeah yeah yeah."}, {"turn_id": 49, "speaker": "doctor", "transcript": "OK. Excellent."}, {"turn_id": 50, "speaker": "patient", "transcript": "Mostly it's been dry and red."}, {"turn_id": 51, "speaker": "doctor", "transcript": "OK, and, um, what have you take, have you taken anything so far for the diarrhea?"}, {"turn_id": 52, "speaker": "patient", "transcript": "Nothing yet."}, {"turn_id": 53, "speaker": "doctor", "transcript": "Nothing yet, OK. Anything for the abdominal pain?"}, {"turn_id": 54, "speaker": "patient", "transcript": "Uh, nothing yet."}, {"turn_id": 55, "speaker": "doctor", "transcript": "OK. Right, and any unfortunately we don't have any of your past medical history, is there anything you'd like to say?"}, {"turn_id": 56, "speaker": "patient", "transcript": "Uh, I."}, {"turn_id": 57, "speaker": "patient", "transcript": "Probably I I had asthma."}, {"turn_id": 58, "speaker": "doctor", "transcript": "Mm-hmm."}, {"turn_id": 59, "speaker": "patient", "transcript": "Um or, or I don't know I guess I still have it."}, {"turn_id": 60, "speaker": "doctor", "transcript": "OK and uh, are you, any, uh, anything else other than asthma?"}, {"turn_id": 61, "speaker": "patient", "transcript": "Uh, my dad had hypertension."}, {"turn_id": 62, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 63, "speaker": "patient", "transcript": "Has hypertension. Had hypertension. Yeah he died of bowel cancer ten years ago."}, {"turn_id": 64, "speaker": "doctor", "transcript": "Yeah ."}, {"turn_id": 65, "speaker": "doctor", "transcript": "Ohh dear, OK. Bowel cancer. Ten years ago. And how old was he when he died?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Uh, sixty-two."}, {"turn_id": 67, "speaker": "doctor", "transcript": "K, and um, you mentioned you had asthma, are you using any inhalers at all?"}, {"turn_id": 68, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 69, "speaker": "doctor", "transcript": "Which ones?"}, {"turn_id": 70, "speaker": "patient", "transcript": "Lexapro."}, {"turn_id": 71, "speaker": "doctor", "transcript": "Sorry?"}, {"turn_id": 72, "speaker": "patient", "transcript": "Lexapro."}, {"turn_id": 73, "speaker": "doctor", "transcript": "Laxepro."}, {"turn_id": 74, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 75, "speaker": "doctor", "transcript": "OK, not heard of it may. Is it like Salbutamol? Is it like a blue colour?"}, {"turn_id": 76, "speaker": "patient", "transcript": "Yellow."}, {"turn_id": 77, "speaker": "doctor", "transcript": "Yellow, OK. I'll have to check that one, not sure. Laxepro."}, {"turn_id": 78, "speaker": "doctor", "transcript": "OK. Um, that's fine. Any other medication that you're using?"}, {"turn_id": 79, "speaker": "doctor", "transcript": "Over the counter, anything at all?"}, {"turn_id": 80, "speaker": "doctor", "transcript": "OK. Right. Any allergies?"}, {"turn_id": 81, "speaker": "patient", "transcript": "No."}, {"turn_id": 82, "speaker": "patient", "transcript": "Nothing, yeah, nothing."}, {"turn_id": 83, "speaker": "doctor", "transcript": "No allergies at all, righty . Fine so, obviously, you know you just have diarrhea it's about four to five times a day. Um, you're still drinking plenty and you look like you're not dehydrated which is a good sign, OK? Um, when we start worrying about diarrhea is if you're going more than eight times a day."}, {"turn_id": 84, "speaker": "doctor", "transcript": "That means probably you are, you know, whatever you're eating is going straight through, OK? You still need to drink plenty of water because you're losing a lot of fluids."}, {"turn_id": 85, "speaker": "patient", "transcript": "Mmm."}, {"turn_id": 86, "speaker": "doctor", "transcript": "OK, when you go to the toilet. Um, things that one would advise is a soft diet. So avoid dairy, fish, meat, eggs, while you're having the diarrhea. Go, sorry?"}, {"turn_id": 87, "speaker": "patient", "transcript": "Soft ."}, {"turn_id": 88, "speaker": "patient", "transcript": "What is a soft diet? What does that ? Like, outside of, not those things, what do you mean by soft?"}, {"turn_id": 89, "speaker": "doctor", "transcript": "OK, so that will be like crackers, toast, jam, those kind of things that's easily digested. Like what we are good give babies yeah. When they start eating you give, simple food for babies. You don't give eggs or meat the first time they start feeding. So that's the kind of soft diet we're talking about, yeah? Once you are able to, you know keep most of it in, you can start off with some just boiled vegetables and mash."}, {"turn_id": 90, "speaker": "doctor", "transcript": "Once you're OK with that for about forty-eight hours then you can start having meat. So just don't have meat once you feel like you're slightly better, because you might go back to square one again, all right?"}, {"turn_id": 91, "speaker": "patient", "transcript": ""}, {"turn_id": 92, "speaker": "patient", "transcript": "What do you mean OK with that diet, like once?"}, {"turn_id": 93, "speaker": "doctor", "transcript": "Forty-eight hours you're not having any diarrhea, you're fine then you can go and start having meat, egg, fish and all. So that ."}, {"turn_id": 94, "speaker": "patient", "transcript": "OK, if if the diarrhoea is getting better but isn't getting, or do you want it to go away completely at that point, or if it's like trending upwards?"}, {"turn_id": 95, "speaker": "doctor", "transcript": "No, no, no preferably just don't because, what why do we say this? It's because it takes much more time for meat to get digested. So because your gut flora, you know, the, the, the bacteria in your gut is not you know as it should be, it takes a bit more effort for one to digest these food."}, {"turn_id": 96, "speaker": "doctor", "transcript": "While it doesn't take that much of an effort to, you know digest mash and vegetables. Does that make sense?"}, {"turn_id": 97, "speaker": "patient", "transcript": "Yes."}, {"turn_id": 98, "speaker": "doctor", "transcript": "Yeah? So, um, at the same time you could have some, although you can't milk is not a good idea, yoghurts are a good idea because they are probiotics, it help to build up the normal, um gut, gut bacteria back."}, {"turn_id": 99, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 100, "speaker": "patient", "transcript": "OK."}, {"turn_id": 101, "speaker": "doctor", "transcript": "So those kinda, now, things to look out for, if your diarrhoea doesn't go away in a week's time, or if you're passing blood, we need a stool sample, because that means you you may have , um, some particular bugs that might need treatment with antibiotics."}, {"turn_id": 102, "speaker": "patient", "transcript": "OK."}, {"turn_id": 103, "speaker": "doctor", "transcript": "OK. If you're again, as I've mentioned previously if you're going about six to eight times a day, that means there's a high chance that, uh, you are, having dehydration and you might need to go into hospital at that point in time. If that happens you get in touch with us again, all right?"}, {"turn_id": 104, "speaker": "patient", "transcript": "OK."}, {"turn_id": 105, "speaker": "doctor", "transcript": "Any questions? You look a bit confused."}, {"turn_id": 106, "speaker": "patient", "transcript": "No, that's it."}, {"turn_id": 107, "speaker": "doctor", "transcript": "Yeah? OK and also you could get something called Dioralyte over the counter. So, it helps to uh, replenish your, the salts that you've been, that's lost through going to the toilet."}, {"turn_id": 108, "speaker": "patient", "transcript": "OK."}, {"turn_id": 109, "speaker": "doctor", "transcript": "OK? If you're a bit confused you know you can actually, uh, all this is all recorded in your app. So you can go back. I'll put that all in detail so if, you know I know sometimes it's a bit difficult to process everything, you can go back and read, read the notes."}, {"turn_id": 110, "speaker": "patient", "transcript": "Perfect, that's great."}, {"turn_id": 111, "speaker": "doctor", "transcript": "Is that OK?"}, {"turn_id": 112, "speaker": "doctor", "transcript": "All right then, you take care."}, {"turn_id": 113, "speaker": "patient", "transcript": "Bye."}, {"turn_id": 114, "speaker": "doctor", "transcript": "Bye now, bye bye."}]} |
acibench_D2N057_aci_train | [
{
"speaker": "patient",
"transcript": "hi good afternoon joseph how are you doing today",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "i'm doing well but my my big toe hurts and it's a little red too but it really hurts okay how long has this been going on i would say you know off and on for about two weeks but last week is is when it really became painful i was at a a trade show convention and i could n't walk the halls i could n't do anything i just had to stand there and it really hurt the whole time i was there",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "okay does it throb ache burn what kind of pain do you get with it",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "it's almost like a throbbing pain but occasionally it becomes almost like a a sharp stabbing pain especially if i move it or spend too much time walking i i find myself walking on my heel just to keep that toe from bending",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "okay sorry i got a text and",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "well that's okay you know what i i you know i what i really you know i love to ride bikes have you you ride bike at all",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "no i hate riding a bike i'm more of a runner",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "my gosh i love to ride i ride the lot of rails the trails i mean i go all the last year i put in over eight hundred miles on rails the trails",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "yeah those those are nice",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "does it does riding your bike bother your big toe",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "no because i i kinda pedal with the the back of my feet you know on that side",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "okay do do you wear clips or are you just wearing a regular shoe and on a regular pedal",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "i'm on a regular shoe some most of the time i'm in my flip flops",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "okay okay the how is there anything that you were doing out of the ordinary when this started",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "no i do n't that's the thing i do n't remember an injury if it was something that i injured i think i would have just ignored it and would n't have showed up here but when it got red and warm to touch that's when i i was really concerned",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "okay do does even light pressure to it bother it like at night when you're laying in bed do the sheets bother",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "absolutely i was just gon na say when i'm in bed at night and those sheets come down on it or i roll over yeah that hurts a lot",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "okay have you done anything to try to get it to feel better any soaks or taking any medicine",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "i take you know like a two ibuprofen a day and that does n't seem to help",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "alrighty",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "let me see your your foot here and let me take your big toe through a range of motion if i push your top to bottom",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "yeah ouch",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "big toe joint that okay and let me move it up where as i bend it up does that hurt",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "it hurts but not as much as when you moved it down",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "okay so i'm moving it down here and it i've got about ten degrees of plantar flexion does that hurt",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "yeah it a little when you take it a little further",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "if i go a little bit further to twenty degrees does that hurt",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "that hurts more yeah",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "okay if i push in on your big toe and move it back and forth does that hurt",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "yes it does and it it's almost like those joints that when you push it back it's almost like it's grinding a little bit too",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "okay if i push in between your big toe and your second toe here does that hurt",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "a little bit but not terrible",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "okay what about if i push on the other side here",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "yeah yeah right there on the outside of it absolutely",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "yep",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "okay and i'm feeling a little bit of bone spur here as well let me let me get an x-ray",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "and after we take a peek at that we'll develop a plan",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "so at this point what would i do if i'm going out of the room and then coming back",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "you could hit pause or hit the stop button and just restart it the next time you come in",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "okay alrighty so taking a look at your x-ray and you do have you you have a large spur there on the top of your big toe joint",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "oh",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "and you've lost a lot of the cartilage",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "oh",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "and so you you've got some arthritis in there we we call this hallux rigidus and treatment for this to start off with we we put an insert in your shoe called an orthotic and we give you a little bit of anti-inflammatory medication or like a drug called meloxicam you only have to take it once a day",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "it's usually pretty well tolerated have you ever had any trouble with your stomach",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "no never never had any problems with my stomach i love the i love the mexican's food the hotter the better so i hope i never get a problem with my stomach",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "i hope you do n't either one of the things that we get concerned about with an anti-inflammatory like that is that it can irritate the stomach so if you do start to notice that you're getting heartburn or pain right there",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "yeah",
"turn_id": 54
},
{
"speaker": "patient",
"transcript": "below your your sternum you would need to stop taking the medicine and give me a call",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "and i wan na see you back in two weeks to see how you're doing with that if you're not seeing significant improvement then we may have to talk about doing things that are a little more invasive like doing a shot",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "or even surgery to clean out the joint sometimes",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "is that surgery",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "i have to",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "would that be",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "i'm sorry",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "would that be surgery clean out the joint",
"turn_id": 66
},
{
"speaker": "patient",
"transcript": "yeah that would",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "that would be surgery if if we went in and cleaned out the joint sometimes in really severe cases we even just have to fuse the big toe joint we put it in a position of optimal function and we fuse it there and then your pain goes away you lose some motion but you've already lost quite a bit of motion and and the pain goes away so that that surgery really is very effective but let's try to run from my knife a little bit longer",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "okay well you know i do n't think i'm gon na be able to do my work job i'm on my feet every day and i it's and and quite frankly it's fishing season so do you think you can give me a couple weeks off so i can get out and get some fishing done",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "no i want you to be doing your regular activities i want to know how this because if i put you out of work can you come back in and say it feels better well is was it because of the treatment or because of the rest so no i want you to keep working i want you to do your regular activities and i really want you to put these orthotics to the test and this medicine to the test and we will see how you're doing in two weeks",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "okay where i really like catching blue going croppy so okay we'll we'll i'll i'll keep working then i'll find time to do that later",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "very good we will see you in two weeks",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "okay thank you",
"turn_id": 74
}
] | [
{
"description": "x-ray",
"order_type": "imaging",
"provenance": [
39,
45,
49
],
"reason": "large spur there on the top of your big toe joint hallux rigidus"
},
{
"description": "meloxicam once a day",
"order_type": "medication",
"provenance": [
49
],
"reason": "hallux rigidus"
},
{
"description": "see you two weeks",
"order_type": "followup",
"provenance": [
59
],
"reason": null
}
] | {"id": "acibench_D2N057_aci_train", "expected_orders": [{"order_type": "imaging", "description": "x-ray", "reason": "large spur there on the top of your big toe joint hallux rigidus", "provenance": [39, 45, 49]}, {"order_type": "medication", "description": "meloxicam once a day", "reason": "hallux rigidus", "provenance": [49]}, {"order_type": "followup", "description": "see you two weeks", "reason": null, "provenance": [59]}], "transcript": [{"turn_id": 1, "speaker": "patient", "transcript": "hi good afternoon joseph how are you doing today"}, {"turn_id": 2, "speaker": "doctor", "transcript": "i'm doing well but my my big toe hurts and it's a little red too but it really hurts okay how long has this been going on i would say you know off and on for about two weeks but last week is is when it really became painful i was at a a trade show convention and i could n't walk the halls i could n't do anything i just had to stand there and it really hurt the whole time i was there"}, {"turn_id": 3, "speaker": "patient", "transcript": "okay does it throb ache burn what kind of pain do you get with it"}, {"turn_id": 4, "speaker": "doctor", "transcript": "it's almost like a throbbing pain but occasionally it becomes almost like a a sharp stabbing pain especially if i move it or spend too much time walking i i find myself walking on my heel just to keep that toe from bending"}, {"turn_id": 5, "speaker": "patient", "transcript": "okay sorry i got a text and"}, {"turn_id": 6, "speaker": "doctor", "transcript": "well that's okay you know what i i you know i what i really you know i love to ride bikes have you you ride bike at all"}, {"turn_id": 7, "speaker": "patient", "transcript": "no i hate riding a bike i'm more of a runner"}, {"turn_id": 8, "speaker": "doctor", "transcript": "my gosh i love to ride i ride the lot of rails the trails i mean i go all the last year i put in over eight hundred miles on rails the trails"}, {"turn_id": 9, "speaker": "patient", "transcript": "yeah those those are nice"}, {"turn_id": 10, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 11, "speaker": "patient", "transcript": "does it does riding your bike bother your big toe"}, {"turn_id": 12, "speaker": "doctor", "transcript": "no because i i kinda pedal with the the back of my feet you know on that side"}, {"turn_id": 13, "speaker": "patient", "transcript": "okay do do you wear clips or are you just wearing a regular shoe and on a regular pedal"}, {"turn_id": 14, "speaker": "doctor", "transcript": "i'm on a regular shoe some most of the time i'm in my flip flops"}, {"turn_id": 15, "speaker": "patient", "transcript": "okay okay the how is there anything that you were doing out of the ordinary when this started"}, {"turn_id": 16, "speaker": "doctor", "transcript": "no i do n't that's the thing i do n't remember an injury if it was something that i injured i think i would have just ignored it and would n't have showed up here but when it got red and warm to touch that's when i i was really concerned"}, {"turn_id": 17, "speaker": "patient", "transcript": "okay do does even light pressure to it bother it like at night when you're laying in bed do the sheets bother"}, {"turn_id": 18, "speaker": "doctor", "transcript": "absolutely i was just gon na say when i'm in bed at night and those sheets come down on it or i roll over yeah that hurts a lot"}, {"turn_id": 19, "speaker": "patient", "transcript": "okay have you done anything to try to get it to feel better any soaks or taking any medicine"}, {"turn_id": 20, "speaker": "doctor", "transcript": "i take you know like a two ibuprofen a day and that does n't seem to help"}, {"turn_id": 21, "speaker": "patient", "transcript": "okay"}, {"turn_id": 22, "speaker": "doctor", "transcript": "alrighty"}, {"turn_id": 23, "speaker": "patient", "transcript": "let me see your your foot here and let me take your big toe through a range of motion if i push your top to bottom"}, {"turn_id": 24, "speaker": "doctor", "transcript": "yeah ouch"}, {"turn_id": 25, "speaker": "patient", "transcript": "big toe joint that okay and let me move it up where as i bend it up does that hurt"}, {"turn_id": 26, "speaker": "doctor", "transcript": "it hurts but not as much as when you moved it down"}, {"turn_id": 27, "speaker": "patient", "transcript": "okay so i'm moving it down here and it i've got about ten degrees of plantar flexion does that hurt"}, {"turn_id": 28, "speaker": "doctor", "transcript": "yeah it a little when you take it a little further"}, {"turn_id": 29, "speaker": "patient", "transcript": "if i go a little bit further to twenty degrees does that hurt"}, {"turn_id": 30, "speaker": "doctor", "transcript": "that hurts more yeah"}, {"turn_id": 31, "speaker": "patient", "transcript": "okay if i push in on your big toe and move it back and forth does that hurt"}, {"turn_id": 32, "speaker": "doctor", "transcript": "yes it does and it it's almost like those joints that when you push it back it's almost like it's grinding a little bit too"}, {"turn_id": 33, "speaker": "patient", "transcript": "okay if i push in between your big toe and your second toe here does that hurt"}, {"turn_id": 34, "speaker": "doctor", "transcript": "a little bit but not terrible"}, {"turn_id": 35, "speaker": "patient", "transcript": "okay what about if i push on the other side here"}, {"turn_id": 36, "speaker": "doctor", "transcript": "yeah yeah right there on the outside of it absolutely"}, {"turn_id": 37, "speaker": "patient", "transcript": "okay"}, {"turn_id": 38, "speaker": "doctor", "transcript": "yep"}, {"turn_id": 39, "speaker": "patient", "transcript": "okay and i'm feeling a little bit of bone spur here as well let me let me get an x-ray"}, {"turn_id": 40, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 41, "speaker": "patient", "transcript": "and after we take a peek at that we'll develop a plan"}, {"turn_id": 42, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 43, "speaker": "patient", "transcript": "so at this point what would i do if i'm going out of the room and then coming back"}, {"turn_id": 44, "speaker": "doctor", "transcript": "you could hit pause or hit the stop button and just restart it the next time you come in"}, {"turn_id": 45, "speaker": "patient", "transcript": "okay alrighty so taking a look at your x-ray and you do have you you have a large spur there on the top of your big toe joint"}, {"turn_id": 46, "speaker": "doctor", "transcript": "oh"}, {"turn_id": 47, "speaker": "patient", "transcript": "and you've lost a lot of the cartilage"}, {"turn_id": 48, "speaker": "doctor", "transcript": "oh"}, {"turn_id": 49, "speaker": "patient", "transcript": "and so you you've got some arthritis in there we we call this hallux rigidus and treatment for this to start off with we we put an insert in your shoe called an orthotic and we give you a little bit of anti-inflammatory medication or like a drug called meloxicam you only have to take it once a day"}, {"turn_id": 50, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 51, "speaker": "patient", "transcript": "it's usually pretty well tolerated have you ever had any trouble with your stomach"}, {"turn_id": 52, "speaker": "doctor", "transcript": "no never never had any problems with my stomach i love the i love the mexican's food the hotter the better so i hope i never get a problem with my stomach"}, {"turn_id": 53, "speaker": "patient", "transcript": "i hope you do n't either one of the things that we get concerned about with an anti-inflammatory like that is that it can irritate the stomach so if you do start to notice that you're getting heartburn or pain right there"}, {"turn_id": 54, "speaker": "doctor", "transcript": "yeah"}, {"turn_id": 55, "speaker": "patient", "transcript": "below your your sternum you would need to stop taking the medicine and give me a call"}, {"turn_id": 56, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 57, "speaker": "patient", "transcript": "okay"}, {"turn_id": 58, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 59, "speaker": "patient", "transcript": "and i wan na see you back in two weeks to see how you're doing with that if you're not seeing significant improvement then we may have to talk about doing things that are a little more invasive like doing a shot"}, {"turn_id": 60, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 61, "speaker": "patient", "transcript": "or even surgery to clean out the joint sometimes"}, {"turn_id": 62, "speaker": "doctor", "transcript": "is that surgery"}, {"turn_id": 63, "speaker": "patient", "transcript": "i have to"}, {"turn_id": 64, "speaker": "doctor", "transcript": "would that be"}, {"turn_id": 65, "speaker": "patient", "transcript": "i'm sorry"}, {"turn_id": 66, "speaker": "doctor", "transcript": "would that be surgery clean out the joint"}, {"turn_id": 67, "speaker": "patient", "transcript": "yeah that would"}, {"turn_id": 68, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 69, "speaker": "patient", "transcript": "that would be surgery if if we went in and cleaned out the joint sometimes in really severe cases we even just have to fuse the big toe joint we put it in a position of optimal function and we fuse it there and then your pain goes away you lose some motion but you've already lost quite a bit of motion and and the pain goes away so that that surgery really is very effective but let's try to run from my knife a little bit longer"}, {"turn_id": 70, "speaker": "doctor", "transcript": "okay well you know i do n't think i'm gon na be able to do my work job i'm on my feet every day and i it's and and quite frankly it's fishing season so do you think you can give me a couple weeks off so i can get out and get some fishing done"}, {"turn_id": 71, "speaker": "patient", "transcript": "no i want you to be doing your regular activities i want to know how this because if i put you out of work can you come back in and say it feels better well is was it because of the treatment or because of the rest so no i want you to keep working i want you to do your regular activities and i really want you to put these orthotics to the test and this medicine to the test and we will see how you're doing in two weeks"}, {"turn_id": 72, "speaker": "doctor", "transcript": "okay where i really like catching blue going croppy so okay we'll we'll i'll i'll keep working then i'll find time to do that later"}, {"turn_id": 73, "speaker": "patient", "transcript": "very good we will see you in two weeks"}, {"turn_id": 74, "speaker": "doctor", "transcript": "okay thank you"}]} |
acibench_D2N145_virtscribe_clinicalnlp_taskC_test2 | [
{
"speaker": "doctor",
"transcript": "uh , mrn49282721 . patient's name is jacqueline miller . use last visit exam where appropriate .",
"turn_id": 1
},
{
"speaker": "doctor",
"transcript": "hi , how are you doing , jacqueline ?",
"turn_id": 2
},
{
"speaker": "patient",
"transcript": "i'm pretty . good . how are you ?",
"turn_id": 3
},
{
"speaker": "doctor",
"transcript": "good as well . so it sounds like we're , um , under good control right now .",
"turn_id": 4
},
{
"speaker": "patient",
"transcript": "yes . it's doing much better .",
"turn_id": 5
},
{
"speaker": "doctor",
"transcript": "good , good . do you have any rash leftover ?",
"turn_id": 6
},
{
"speaker": "patient",
"transcript": "yeah , i have a- a small bit leftover . i started using , uh , doxycycline only one a day because i think the pharmacist said if it's getting better , to just limit it to once a day .",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "okay , that sounds good .",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "but i was taking it twice a day and i did notice a lotta improvement .",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "and then when i started doing it only once a day , it seems the same and it's not continuing to get better . so it's kinda plateaued a little bit .",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "i see . um , are you breastfeeding at this time ?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "no , i'm not right now .",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "okay , good . so you- you should not be breastfeeding while you're on that medication .",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "yeah , actually i stopped breastfeeding and then asked for the doxycycline at that time .",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "okay . even with the doxycycline , you can keep using the elidel .",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "okay . and i did n't take the elidel because when i read about it i got worried . so i wanted to just try the doxycycline and see .",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "okay . so we can talk about the elidel . a lot of the things you read about is not actually relevant to the cream or ointment form , but it's about the oral form that's used in really high doses , longterm , after people have a heart transplant or a kidney transplant or something like that .",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "okay . i did n't realize that .",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "yeah , and when you suppress the immune system that hard for that long , it can predispose you for developing cancers like hematologic type cancers . it does n't apply to as-needed use of the medicine , a cream or an ointment , okay ?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "okay . then i can resume taking - taking the doxycycline twice a day again ?",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "so let me clarify . what exactly are you using ? and then we'll look at you and figure out , okay ? so you're using the sulfacetamide wash ? uh , how frequently are you using that one ?",
"turn_id": 22
},
{
"speaker": "patient",
"transcript": "twice a day .",
"turn_id": 23
},
{
"speaker": "doctor",
"transcript": "okay , and that's not drying you out too much ?",
"turn_id": 24
},
{
"speaker": "patient",
"transcript": "no , that's fine .",
"turn_id": 25
},
{
"speaker": "doctor",
"transcript": "okay . and you're using the metro cream ?",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "how often are you using that one ?",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "after my face wash , i immediately apply the cream .",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "okay . and then , are you using any other kind of lotions or anything ?",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "no .",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "so you're not using the cetaphil cleanser ?",
"turn_id": 32
},
{
"speaker": "patient",
"transcript": "i'm not .",
"turn_id": 33
},
{
"speaker": "doctor",
"transcript": "okay . and no neutrogena wipes ?",
"turn_id": 34
},
{
"speaker": "patient",
"transcript": "no wipes .",
"turn_id": 35
},
{
"speaker": "doctor",
"transcript": "okay . um , and then what about , um , any lotions that you're using ?",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "i'm not using any lotion right now , just those two .",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "no lotion , okay . so that may be something else we should add in , a lotion to just help moisturize . but we'll see .",
"turn_id": 38
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "um , and then again , when did you go down to just taking the doxycycline once a day ?",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "that was last week . so the first two weeks , i did twice a day .",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "okay .",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "and then i started seeing improvement , and then i changed to just once a day .",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "okay . let me take a look at your face here . i'm gon na describe for the transcriptionist what i'm seeing . you're fitzpatrick skin type iv , meaning you're not going to burn , you're going to sun tan , um , essentially , iv to v. and then on bilateral medial cheeks , there are a few really faint erythematous papules and just maybe a little bit of redness around and underneath your nostrils . so you're right , it's not totally gone .",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "yeah .",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "i think i would go ahead and go back to twice a day , every day , with the doxycycline .",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "uh , but i would pickup the elidel too .",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "okay , i can do that .",
"turn_id": 49
},
{
"speaker": "doctor",
"transcript": "i mean , out of known risks associated with medications , topicals are usually safer and preferable to oral medications . with that being said , doxycycline is low risk .",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "it is ? okay .",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "um , and doxycycline can give you bad upset stomach or heartburn . um , it will make you sunburn , even if you never sunburn , so you have to protect yourself .",
"turn_id": 52
},
{
"speaker": "patient",
"transcript": "yeah , i mean , i feel sun sensitive whenever i go out , so i am taking all the precautions , with wearing a hat and all of that .",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "great . i just wanted to make sure you knew about that .",
"turn_id": 54
},
{
"speaker": "patient",
"transcript": "yes , i did . thank you .",
"turn_id": 55
},
{
"speaker": "doctor",
"transcript": "all right . but i think to help get rid of it sooner rather than later , if insurance will cover the elidel , pick it up and start using it .",
"turn_id": 56
},
{
"speaker": "patient",
"transcript": "yeah , i did check . the insurance is not covering it .",
"turn_id": 57
},
{
"speaker": "doctor",
"transcript": "it's not ? okay . well , let's look around really quick because if you use a goodrx coupon , it will be around 30 to $ 40 or something .",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "let's see .",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "so with your coupon , it was around $ 850 or something .",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "ugh , yeah . that's way too much .",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "i agree . and- and because i also looked at the eucrisa that you recommended in my notes , and if it's still ex- if it's still expensive , i could try that instead .",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "yeah , so it ... actually ... it is actually more expensive . i think the prices fluctuate .",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 65
},
{
"speaker": "doctor",
"transcript": "because now it's showing the cheapest of $ 70 , and when i looked before , it was around 30 to $ 40 .",
"turn_id": 66
},
{
"speaker": "patient",
"transcript": "yeah . if it was around $ 200 , i would've picked it up . but it was coming to around $ 850 after insurance .",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "okay . so i've found the cream form . we could try ointment form .",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "you mean the tacrolimus ?",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "yeah , mm-hmm .",
"turn_id": 70
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "so if we send it to pick'n save or metro market ... let's see where else .",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "can you do the metro market ?",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "yeah . let me put in the prescription and we'll see what we can find .",
"turn_id": 74
},
{
"speaker": "patient",
"transcript": "sure .",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "pharmacy is what i'm trying to say .",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "okay . but it's not a steroid , right ?",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "correct , it's not a steroid .",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "okay , good .",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "it's called a calcineurin inhibitor . it's kinda like a steroid in that it calms inflammation .",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "but it's not a steroid , so do n't use steroids on your face , for sure , as they'll make this kind of rash worse . but also , steroids carry the risk of causing thinning of the skin .",
"turn_id": 82
},
{
"speaker": "patient",
"transcript": "all right .",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "these medications do n't cause thinning of the skin and they're not going to cause some other kind of rash . um , the thing to know is that sometimes five to 10 minutes after you put it on , it can cause this weird kind of tingly or needle-like sensation or make it redder or flush . but it should only last a few seconds and then go away . it's not an allergy or anything bad .",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "okay . got it .",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "so it only lasts a couple seconds . it does n't mean it's going to happen again . it's nothing bad . it will still work , so keep using it as long as you know you can stand it , okay ?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "okay , thank you for explaining .",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "so i will say , \" apply to rash on face twice daily , until resolved . \"",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "okay . so only apply to the rash area ?",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "yes , and keep using the face wash.",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 91
},
{
"speaker": "doctor",
"transcript": "i think you could just do it once a day . i do n't think you need to do it twice a day , just because i do n't wan na dry your sky out too much , okay ?",
"turn_id": 92
},
{
"speaker": "patient",
"transcript": "i never noticed that my face is dry or got thin . i feel so good after using it .",
"turn_id": 93
},
{
"speaker": "doctor",
"transcript": "i understand , but it could get dry and i do n't wan na create other problems for you .",
"turn_id": 94
},
{
"speaker": "patient",
"transcript": "all right . i'll just wash once a day with it . but it was feeling very good , like there's this little bit of moisture getting back in . with the other wash , when i would use it twice a day , i was drying out . but not with this one .",
"turn_id": 95
},
{
"speaker": "doctor",
"transcript": "i see . okay . well then do what feels good . if you do notice that you're starting to get dry , then reduce to once per day .",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "that sounds good .",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "so to review , um , continue using the same face wash , continue with metro cream , and increase the use of doxycycline to twice a day .",
"turn_id": 98
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 99
},
{
"speaker": "doctor",
"transcript": "and then just do it until it's gone , and then do it for once a day for another week before stopping .",
"turn_id": 100
},
{
"speaker": "patient",
"transcript": "okay , sounds good .",
"turn_id": 101
},
{
"speaker": "doctor",
"transcript": "all right . and i'll rewrite your instructions here .",
"turn_id": 102
},
{
"speaker": "patient",
"transcript": "thank you so much .",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "if there are any other questions or you're getting different instructions , feel free to reach out to me and we'll clarify , okay ?",
"turn_id": 104
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 105
},
{
"speaker": "doctor",
"transcript": "but in general , doxycycline is such a low risk . we're not gon na have you on this forever . but especially since we're adding the tacrolimus , i expect it will clear quickly .",
"turn_id": 106
},
{
"speaker": "patient",
"transcript": "sounds good .",
"turn_id": 107
},
{
"speaker": "doctor",
"transcript": "all right . and i just wan na really help knock it out as fast as possible , since you've been dealing with it for so long now . i would take it twice a day until it's gone , and then once a day for a week before you stop . i'll write it out like that . so twice a day until rash is gone , and then once a day for another week before stopping .",
"turn_id": 108
},
{
"speaker": "patient",
"transcript": "okay .",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "once the rash stops , you can stop the tacrolimus ointment . um , continue doxycycline another week and then stop . but you can keep using the wash and the metro cream .",
"turn_id": 110
},
{
"speaker": "patient",
"transcript": "okay , that sounds good . i can do that .",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "and then hold off until i see you again before you start back any of your old products . um , if it's starting to flair again , um , if it's just a little bit , you can try just doing the tacrolimus for a couple days , to see if that's enough . if it's not , then restart the dy- doxycycline as well .",
"turn_id": 112
},
{
"speaker": "patient",
"transcript": "all right .",
"turn_id": 113
},
{
"speaker": "doctor",
"transcript": "i do n't expect that to happen , but , you know , if it does , you have the tools . um , then you'll be seeing me for a followup . we can figure out what to do next . i would say if it's getting worse rather than better , just give me a call or send me a mychart message , okay ?",
"turn_id": 114
},
{
"speaker": "patient",
"transcript": "yeah , sounds good .",
"turn_id": 115
},
{
"speaker": "doctor",
"transcript": "do you have enough refills ?",
"turn_id": 116
},
{
"speaker": "patient",
"transcript": "yeah , i think so .",
"turn_id": 117
},
{
"speaker": "doctor",
"transcript": "okay . so it looks like you have another refill of the doxycycline , so you're good there . metro cream , you probably still have enough of that one .",
"turn_id": 118
},
{
"speaker": "patient",
"transcript": "yes , i do .",
"turn_id": 119
},
{
"speaker": "doctor",
"transcript": "all right . and i'll cancel the elidel cream , just so we do n't complicate your list . uh , you have plenty of the face wash still .",
"turn_id": 120
},
{
"speaker": "patient",
"transcript": "yes .",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "okay . uh , and we'll get rid of the clindamycin from your list as well .",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "and what would you suggest for a moisturizer ?",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "yeah , so for that i would do something really basic like vanicream . or even , if it's just really dry , you could use a little bit of petroleum jelly . um , i'll give you a couple samples , okay ? let's make sure we have a followup in about four weeks .",
"turn_id": 124
},
{
"speaker": "patient",
"transcript": "okay , thank you .",
"turn_id": 125
},
{
"speaker": "doctor",
"transcript": "okay . and i would stay away from any kind of anti-aging thing , any kind of plant thing . um , really let's just be sure we talk about any new products , or reach out to me if you're gon na try something else . um , let's go get those samples .",
"turn_id": 126
},
{
"speaker": "patient",
"transcript": "okay , that sounds good .",
"turn_id": 127
},
{
"speaker": "doctor",
"transcript": "for assessment and plan , perioral dermatitis , rosacea , including ocular rosacea , and copy and paste her patient instructions . i recommend that she gently wash her eyelids once a day with gentle cleanser such as vanicream , also use bruder mask as needed .",
"turn_id": 128
}
] | [
{
"description": "followup in about four weeks",
"order_type": "followup",
"provenance": [
198,
218
],
"reason": null
},
{
"description": "ointment tacrolimus apply to rash on fac until resolved",
"order_type": "medication",
"provenance": [
118,
119,
149
],
"reason": null
},
{
"description": "ointment tacrolimus until rash is gone stop",
"order_type": "medication",
"provenance": [
118,
119,
186,
188
],
"reason": null
},
{
"description": "doxycycline until rash is gone",
"order_type": "medication",
"provenance": [
169,
186
],
"reason": null
},
{
"description": "twice a day every day doxycycline once a day for another week",
"order_type": "medication",
"provenance": [
80,
169,
171
],
"reason": null
}
] | {"id": "acibench_D2N145_virtscribe_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "followup", "description": "followup in about four weeks", "reason": null, "provenance": [198, 218]}, {"order_type": "medication", "description": "ointment tacrolimus apply to rash on fac until resolved", "reason": null, "provenance": [118, 119, 149]}, {"order_type": "medication", "description": "ointment tacrolimus until rash is gone stop", "reason": null, "provenance": [118, 119, 186, 188]}, {"order_type": "medication", "description": "doxycycline until rash is gone", "reason": null, "provenance": [169, 186]}, {"order_type": "medication", "description": "twice a day every day doxycycline once a day for another week", "reason": null, "provenance": [80, 169, 171]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "uh , mrn49282721 . patient's name is jacqueline miller . use last visit exam where appropriate ."}, {"turn_id": 2, "speaker": "doctor", "transcript": "hi , how are you doing , jacqueline ?"}, {"turn_id": 3, "speaker": "patient", "transcript": "i'm pretty . good . how are you ?"}, {"turn_id": 4, "speaker": "doctor", "transcript": "good as well . so it sounds like we're , um , under good control right now ."}, {"turn_id": 5, "speaker": "patient", "transcript": "yes . it's doing much better ."}, {"turn_id": 6, "speaker": "doctor", "transcript": "good , good . do you have any rash leftover ?"}, {"turn_id": 7, "speaker": "patient", "transcript": "yeah , i have a- a small bit leftover . i started using , uh , doxycycline only one a day because i think the pharmacist said if it's getting better , to just limit it to once a day ."}, {"turn_id": 8, "speaker": "doctor", "transcript": "okay , that sounds good ."}, {"turn_id": 9, "speaker": "patient", "transcript": "but i was taking it twice a day and i did notice a lotta improvement ."}, {"turn_id": 10, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 11, "speaker": "patient", "transcript": "and then when i started doing it only once a day , it seems the same and it's not continuing to get better . so it's kinda plateaued a little bit ."}, {"turn_id": 12, "speaker": "doctor", "transcript": "i see . um , are you breastfeeding at this time ?"}, {"turn_id": 13, "speaker": "patient", "transcript": "no , i'm not right now ."}, {"turn_id": 14, "speaker": "doctor", "transcript": "okay , good . so you- you should not be breastfeeding while you're on that medication ."}, {"turn_id": 15, "speaker": "patient", "transcript": "yeah , actually i stopped breastfeeding and then asked for the doxycycline at that time ."}, {"turn_id": 16, "speaker": "doctor", "transcript": "okay . even with the doxycycline , you can keep using the elidel ."}, {"turn_id": 17, "speaker": "patient", "transcript": "okay . and i did n't take the elidel because when i read about it i got worried . so i wanted to just try the doxycycline and see ."}, {"turn_id": 18, "speaker": "doctor", "transcript": "okay . so we can talk about the elidel . a lot of the things you read about is not actually relevant to the cream or ointment form , but it's about the oral form that's used in really high doses , longterm , after people have a heart transplant or a kidney transplant or something like that ."}, {"turn_id": 19, "speaker": "patient", "transcript": "okay . i did n't realize that ."}, {"turn_id": 20, "speaker": "doctor", "transcript": "yeah , and when you suppress the immune system that hard for that long , it can predispose you for developing cancers like hematologic type cancers . it does n't apply to as-needed use of the medicine , a cream or an ointment , okay ?"}, {"turn_id": 21, "speaker": "patient", "transcript": "okay . then i can resume taking - taking the doxycycline twice a day again ?"}, {"turn_id": 22, "speaker": "doctor", "transcript": "so let me clarify . what exactly are you using ? and then we'll look at you and figure out , okay ? so you're using the sulfacetamide wash ? uh , how frequently are you using that one ?"}, {"turn_id": 23, "speaker": "patient", "transcript": "twice a day ."}, {"turn_id": 24, "speaker": "doctor", "transcript": "okay , and that's not drying you out too much ?"}, {"turn_id": 25, "speaker": "patient", "transcript": "no , that's fine ."}, {"turn_id": 26, "speaker": "doctor", "transcript": "okay . and you're using the metro cream ?"}, {"turn_id": 27, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 28, "speaker": "doctor", "transcript": "how often are you using that one ?"}, {"turn_id": 29, "speaker": "patient", "transcript": "after my face wash , i immediately apply the cream ."}, {"turn_id": 30, "speaker": "doctor", "transcript": "okay . and then , are you using any other kind of lotions or anything ?"}, {"turn_id": 31, "speaker": "patient", "transcript": "no ."}, {"turn_id": 32, "speaker": "doctor", "transcript": "so you're not using the cetaphil cleanser ?"}, {"turn_id": 33, "speaker": "patient", "transcript": "i'm not ."}, {"turn_id": 34, "speaker": "doctor", "transcript": "okay . and no neutrogena wipes ?"}, {"turn_id": 35, "speaker": "patient", "transcript": "no wipes ."}, {"turn_id": 36, "speaker": "doctor", "transcript": "okay . um , and then what about , um , any lotions that you're using ?"}, {"turn_id": 37, "speaker": "patient", "transcript": "i'm not using any lotion right now , just those two ."}, {"turn_id": 38, "speaker": "doctor", "transcript": "no lotion , okay . so that may be something else we should add in , a lotion to just help moisturize . but we'll see ."}, {"turn_id": 39, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 40, "speaker": "doctor", "transcript": "um , and then again , when did you go down to just taking the doxycycline once a day ?"}, {"turn_id": 41, "speaker": "patient", "transcript": "that was last week . so the first two weeks , i did twice a day ."}, {"turn_id": 42, "speaker": "doctor", "transcript": "okay ."}, {"turn_id": 43, "speaker": "patient", "transcript": "and then i started seeing improvement , and then i changed to just once a day ."}, {"turn_id": 44, "speaker": "doctor", "transcript": "okay . let me take a look at your face here . i'm gon na describe for the transcriptionist what i'm seeing . you're fitzpatrick skin type iv , meaning you're not going to burn , you're going to sun tan , um , essentially , iv to v. and then on bilateral medial cheeks , there are a few really faint erythematous papules and just maybe a little bit of redness around and underneath your nostrils . so you're right , it's not totally gone ."}, {"turn_id": 45, "speaker": "patient", "transcript": "yeah ."}, {"turn_id": 46, "speaker": "doctor", "transcript": "i think i would go ahead and go back to twice a day , every day , with the doxycycline ."}, {"turn_id": 47, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 48, "speaker": "doctor", "transcript": "uh , but i would pickup the elidel too ."}, {"turn_id": 49, "speaker": "patient", "transcript": "okay , i can do that ."}, {"turn_id": 50, "speaker": "doctor", "transcript": "i mean , out of known risks associated with medications , topicals are usually safer and preferable to oral medications . with that being said , doxycycline is low risk ."}, {"turn_id": 51, "speaker": "patient", "transcript": "it is ? okay ."}, {"turn_id": 52, "speaker": "doctor", "transcript": "um , and doxycycline can give you bad upset stomach or heartburn . um , it will make you sunburn , even if you never sunburn , so you have to protect yourself ."}, {"turn_id": 53, "speaker": "patient", "transcript": "yeah , i mean , i feel sun sensitive whenever i go out , so i am taking all the precautions , with wearing a hat and all of that ."}, {"turn_id": 54, "speaker": "doctor", "transcript": "great . i just wanted to make sure you knew about that ."}, {"turn_id": 55, "speaker": "patient", "transcript": "yes , i did . thank you ."}, {"turn_id": 56, "speaker": "doctor", "transcript": "all right . but i think to help get rid of it sooner rather than later , if insurance will cover the elidel , pick it up and start using it ."}, {"turn_id": 57, "speaker": "patient", "transcript": "yeah , i did check . the insurance is not covering it ."}, {"turn_id": 58, "speaker": "doctor", "transcript": "it's not ? okay . well , let's look around really quick because if you use a goodrx coupon , it will be around 30 to $ 40 or something ."}, {"turn_id": 59, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 60, "speaker": "doctor", "transcript": "let's see ."}, {"turn_id": 61, "speaker": "patient", "transcript": "so with your coupon , it was around $ 850 or something ."}, {"turn_id": 62, "speaker": "doctor", "transcript": "ugh , yeah . that's way too much ."}, {"turn_id": 63, "speaker": "patient", "transcript": "i agree . and- and because i also looked at the eucrisa that you recommended in my notes , and if it's still ex- if it's still expensive , i could try that instead ."}, {"turn_id": 64, "speaker": "doctor", "transcript": "yeah , so it ... actually ... it is actually more expensive . i think the prices fluctuate ."}, {"turn_id": 65, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 66, "speaker": "doctor", "transcript": "because now it's showing the cheapest of $ 70 , and when i looked before , it was around 30 to $ 40 ."}, {"turn_id": 67, "speaker": "patient", "transcript": "yeah . if it was around $ 200 , i would've picked it up . but it was coming to around $ 850 after insurance ."}, {"turn_id": 68, "speaker": "doctor", "transcript": "okay . so i've found the cream form . we could try ointment form ."}, {"turn_id": 69, "speaker": "patient", "transcript": "you mean the tacrolimus ?"}, {"turn_id": 70, "speaker": "doctor", "transcript": "yeah , mm-hmm ."}, {"turn_id": 71, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 72, "speaker": "doctor", "transcript": "so if we send it to pick'n save or metro market ... let's see where else ."}, {"turn_id": 73, "speaker": "patient", "transcript": "can you do the metro market ?"}, {"turn_id": 74, "speaker": "doctor", "transcript": "yeah . let me put in the prescription and we'll see what we can find ."}, {"turn_id": 75, "speaker": "patient", "transcript": "sure ."}, {"turn_id": 76, "speaker": "doctor", "transcript": "pharmacy is what i'm trying to say ."}, {"turn_id": 77, "speaker": "patient", "transcript": "okay . but it's not a steroid , right ?"}, {"turn_id": 78, "speaker": "doctor", "transcript": "correct , it's not a steroid ."}, {"turn_id": 79, "speaker": "patient", "transcript": "okay , good ."}, {"turn_id": 80, "speaker": "doctor", "transcript": "it's called a calcineurin inhibitor . it's kinda like a steroid in that it calms inflammation ."}, {"turn_id": 81, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 82, "speaker": "doctor", "transcript": "but it's not a steroid , so do n't use steroids on your face , for sure , as they'll make this kind of rash worse . but also , steroids carry the risk of causing thinning of the skin ."}, {"turn_id": 83, "speaker": "patient", "transcript": "all right ."}, {"turn_id": 84, "speaker": "doctor", "transcript": "these medications do n't cause thinning of the skin and they're not going to cause some other kind of rash . um , the thing to know is that sometimes five to 10 minutes after you put it on , it can cause this weird kind of tingly or needle-like sensation or make it redder or flush . but it should only last a few seconds and then go away . it's not an allergy or anything bad ."}, {"turn_id": 85, "speaker": "patient", "transcript": "okay . got it ."}, {"turn_id": 86, "speaker": "doctor", "transcript": "so it only lasts a couple seconds . it does n't mean it's going to happen again . it's nothing bad . it will still work , so keep using it as long as you know you can stand it , okay ?"}, {"turn_id": 87, "speaker": "patient", "transcript": "okay , thank you for explaining ."}, {"turn_id": 88, "speaker": "doctor", "transcript": "so i will say , \" apply to rash on face twice daily , until resolved . \""}, {"turn_id": 89, "speaker": "patient", "transcript": "okay . so only apply to the rash area ?"}, {"turn_id": 90, "speaker": "doctor", "transcript": "yes , and keep using the face wash."}, {"turn_id": 91, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 92, "speaker": "doctor", "transcript": "i think you could just do it once a day . i do n't think you need to do it twice a day , just because i do n't wan na dry your sky out too much , okay ?"}, {"turn_id": 93, "speaker": "patient", "transcript": "i never noticed that my face is dry or got thin . i feel so good after using it ."}, {"turn_id": 94, "speaker": "doctor", "transcript": "i understand , but it could get dry and i do n't wan na create other problems for you ."}, {"turn_id": 95, "speaker": "patient", "transcript": "all right . i'll just wash once a day with it . but it was feeling very good , like there's this little bit of moisture getting back in . with the other wash , when i would use it twice a day , i was drying out . but not with this one ."}, {"turn_id": 96, "speaker": "doctor", "transcript": "i see . okay . well then do what feels good . if you do notice that you're starting to get dry , then reduce to once per day ."}, {"turn_id": 97, "speaker": "patient", "transcript": "that sounds good ."}, {"turn_id": 98, "speaker": "doctor", "transcript": "so to review , um , continue using the same face wash , continue with metro cream , and increase the use of doxycycline to twice a day ."}, {"turn_id": 99, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 100, "speaker": "doctor", "transcript": "and then just do it until it's gone , and then do it for once a day for another week before stopping ."}, {"turn_id": 101, "speaker": "patient", "transcript": "okay , sounds good ."}, {"turn_id": 102, "speaker": "doctor", "transcript": "all right . and i'll rewrite your instructions here ."}, {"turn_id": 103, "speaker": "patient", "transcript": "thank you so much ."}, {"turn_id": 104, "speaker": "doctor", "transcript": "if there are any other questions or you're getting different instructions , feel free to reach out to me and we'll clarify , okay ?"}, {"turn_id": 105, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 106, "speaker": "doctor", "transcript": "but in general , doxycycline is such a low risk . we're not gon na have you on this forever . but especially since we're adding the tacrolimus , i expect it will clear quickly ."}, {"turn_id": 107, "speaker": "patient", "transcript": "sounds good ."}, {"turn_id": 108, "speaker": "doctor", "transcript": "all right . and i just wan na really help knock it out as fast as possible , since you've been dealing with it for so long now . i would take it twice a day until it's gone , and then once a day for a week before you stop . i'll write it out like that . so twice a day until rash is gone , and then once a day for another week before stopping ."}, {"turn_id": 109, "speaker": "patient", "transcript": "okay ."}, {"turn_id": 110, "speaker": "doctor", "transcript": "once the rash stops , you can stop the tacrolimus ointment . um , continue doxycycline another week and then stop . but you can keep using the wash and the metro cream ."}, {"turn_id": 111, "speaker": "patient", "transcript": "okay , that sounds good . i can do that ."}, {"turn_id": 112, "speaker": "doctor", "transcript": "and then hold off until i see you again before you start back any of your old products . um , if it's starting to flair again , um , if it's just a little bit , you can try just doing the tacrolimus for a couple days , to see if that's enough . if it's not , then restart the dy- doxycycline as well ."}, {"turn_id": 113, "speaker": "patient", "transcript": "all right ."}, {"turn_id": 114, "speaker": "doctor", "transcript": "i do n't expect that to happen , but , you know , if it does , you have the tools . um , then you'll be seeing me for a followup . we can figure out what to do next . i would say if it's getting worse rather than better , just give me a call or send me a mychart message , okay ?"}, {"turn_id": 115, "speaker": "patient", "transcript": "yeah , sounds good ."}, {"turn_id": 116, "speaker": "doctor", "transcript": "do you have enough refills ?"}, {"turn_id": 117, "speaker": "patient", "transcript": "yeah , i think so ."}, {"turn_id": 118, "speaker": "doctor", "transcript": "okay . so it looks like you have another refill of the doxycycline , so you're good there . metro cream , you probably still have enough of that one ."}, {"turn_id": 119, "speaker": "patient", "transcript": "yes , i do ."}, {"turn_id": 120, "speaker": "doctor", "transcript": "all right . and i'll cancel the elidel cream , just so we do n't complicate your list . uh , you have plenty of the face wash still ."}, {"turn_id": 121, "speaker": "patient", "transcript": "yes ."}, {"turn_id": 122, "speaker": "doctor", "transcript": "okay . uh , and we'll get rid of the clindamycin from your list as well ."}, {"turn_id": 123, "speaker": "patient", "transcript": "and what would you suggest for a moisturizer ?"}, {"turn_id": 124, "speaker": "doctor", "transcript": "yeah , so for that i would do something really basic like vanicream . or even , if it's just really dry , you could use a little bit of petroleum jelly . um , i'll give you a couple samples , okay ? let's make sure we have a followup in about four weeks ."}, {"turn_id": 125, "speaker": "patient", "transcript": "okay , thank you ."}, {"turn_id": 126, "speaker": "doctor", "transcript": "okay . and i would stay away from any kind of anti-aging thing , any kind of plant thing . um , really let's just be sure we talk about any new products , or reach out to me if you're gon na try something else . um , let's go get those samples ."}, {"turn_id": 127, "speaker": "patient", "transcript": "okay , that sounds good ."}, {"turn_id": 128, "speaker": "doctor", "transcript": "for assessment and plan , perioral dermatitis , rosacea , including ocular rosacea , and copy and paste her patient instructions . i recommend that she gently wash her eyelids once a day with gentle cleanser such as vanicream , also use bruder mask as needed ."}]} |
acibench_D2N160_aci_clinicalnlp_taskC_test2 | [
{
"speaker": "doctor",
"transcript": "hey good to see you philip so i see here you're coming in you had some right elbow pain also you have a past medical history of hypertension diabetes we are gon na check up on those as well so can you tell me what happened to your elbow",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "sure i hurt it about a week ago playing lacrosse with my kids just suddenly started hurting me when i was throwing the ball",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay okay so how old are your kids",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "my oldest is thirteen and the other one is ten i was playing with a thirteen -year-old",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay yeah i know i i play with my kids sometimes and i think i'm getting too old to do all that so i just i've hurt myself before as well alright so with your your elbow what part of your elbow would you say hurts",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "it's really like right at the point of the elbow right at right at like the tip of it",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "and it just it hurt hurts anytime i move it",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "anytime i move it do you remember falling",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "no i do n't think so but my kid got pretty rough with me and was checking me several times with a sick",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "so i could have got hit there",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay alright yeah that that that definitely makes sense so how would you describe the pain is it like a dull pain is it stabbing what what would you say",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "it it's a pretty sharp pain",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "anytime i move",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay and does it radiate down your arm or does it stay in that one spot",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "it radiates down the forearm",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "radiates down the forearm alright so have you taken any medications for it to make it better",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "i tried taking advil couple of days but i usually just forget about it",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay when you took it did it did it help at all did it change your your pain score",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "yeah i i think it helped some",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay that's good alright so we'll we'll do a physical exam on that elbow we'll take a look at it in a second but i do wan na talk to you about your your hypertension you came in today i know you have past medical history of hypertension came in today your blood pressure's a little bit high it was a one fifty over seven over ninety which is pretty high today i see you're on twenty of lisinopril have you been taking that daily",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay so maybe you just have a little little white coat syndrome i know i have that myself and even though i'm a physician i i still do n't like to go to the doctor so i definitely understand how about your diet i know we talked a little bit about that before and you said kinda during the pandemic you fell off a little bit how you been doing that have you been lowering your salt intake",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yeah but i only eat low salt items avoid adding salt to food kind of the whole whole family follows like a you know like a mediterranean diet",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "we try to be pretty good about it",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay yeah that's good that that's that's definitely good yeah i know a lot of people during the pandemic it was you know sitting at home and and eating more than we should but that's i'm very happy that you've been compliant and you have that low salt diet so let's talk about your diabetes i think you see here on on five hundred of metformin are you taking that as well daily",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay and your blood sugars how have they been",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "since i do n't take insulin i do n't check it everyday when i have checked it it's usually running somewhere between eighty to a hundred",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay yeah that's that's really good yeah so i that's that's pretty good so what we're gon na do we're gon na get a a1c just to see you know that range and it's possibility we can we can you know lower that metformin dosage but we will do that after your visit then we will take a look at that so lem me go ahead and will do that quick exam of your elbow but first i want to make sure you're not having any chest pain or anything like that",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "no belly pain",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "alright so listen to your lungs so your lungs are clear bilaterally listen to your heart so your heart exam you do still have that grade two out of six systolic ejection murmur but we know it about that before so let me take a look at your elbow so when i press right here on the back of your elbow is that painful",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "alright so when i have you you you flex and extend it it's painful does that does that hurt",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "yes it does",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "alright so your right elbow exam shows you have pain to palpation of the olecranon area of the posterior elbow you do have mild pain with flexion and extension but you do have also normal range of motion at that elbow so we we did do an x-ray before you came in and luckily nothing's broken no fracture no bony abnormality so it's a normal x-ray which is really good so let me just talk to you a little bit about my assessment and plan for you so you have a elbow contusion i believe your son did hit you with the lacrosse stick and it caused that that pain i see some swelling little inflammation there as well you have a little bit of a bruise i think that's that's what happened so for that i know you're having some pain i'm gon na prescribe you eight hundred milligrams of ibuprofen you can take that twice a day and that should help with some of that swelling and pain i also want you to ice it three times a day for twenty minutes at a time that should also help with the swelling and pain and just for the time being for the next couple of weeks just you know maybe you know not play lacrosse with your son just to help that heal then you can get back on on the field so for your your high blood pressure we're just gon na keep you on the hypertension we'll just keep you on that twenty milligrams of lisinopril looks like you're doing great with that and your diet and then for your diabetes we will keep you on the five hundred milligrams of metformin and we will also get a a1c just to check your levels and see if we do need to adjust the medication in the future alright so do you have any questions for me",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "no sounds good",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "alright so we will see you next time and my nurse will be in with those prescriptions",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "alright thank you",
"turn_id": 44
}
] | [
{
"description": "eight hundred milligrams ibuprofen twice a day",
"order_type": "medication",
"provenance": [
1,
41
],
"reason": "right elbow pain"
},
{
"description": "a1c",
"order_type": "lab",
"provenance": [
41
],
"reason": "diabetes"
}
] | {"id": "acibench_D2N160_aci_clinicalnlp_taskC_test2", "expected_orders": [{"order_type": "medication", "description": "eight hundred milligrams ibuprofen twice a day", "reason": "right elbow pain", "provenance": [1, 41]}, {"order_type": "lab", "description": "a1c", "reason": "diabetes", "provenance": [41]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hey good to see you philip so i see here you're coming in you had some right elbow pain also you have a past medical history of hypertension diabetes we are gon na check up on those as well so can you tell me what happened to your elbow"}, {"turn_id": 2, "speaker": "patient", "transcript": "sure i hurt it about a week ago playing lacrosse with my kids just suddenly started hurting me when i was throwing the ball"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay okay so how old are your kids"}, {"turn_id": 4, "speaker": "patient", "transcript": "my oldest is thirteen and the other one is ten i was playing with a thirteen -year-old"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay yeah i know i i play with my kids sometimes and i think i'm getting too old to do all that so i just i've hurt myself before as well alright so with your your elbow what part of your elbow would you say hurts"}, {"turn_id": 6, "speaker": "patient", "transcript": "it's really like right at the point of the elbow right at right at like the tip of it"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 8, "speaker": "patient", "transcript": "and it just it hurt hurts anytime i move it"}, {"turn_id": 9, "speaker": "doctor", "transcript": "anytime i move it do you remember falling"}, {"turn_id": 10, "speaker": "patient", "transcript": "no i do n't think so but my kid got pretty rough with me and was checking me several times with a sick"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 12, "speaker": "patient", "transcript": "so i could have got hit there"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay alright yeah that that that definitely makes sense so how would you describe the pain is it like a dull pain is it stabbing what what would you say"}, {"turn_id": 14, "speaker": "patient", "transcript": "it it's a pretty sharp pain"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 16, "speaker": "patient", "transcript": "anytime i move"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay and does it radiate down your arm or does it stay in that one spot"}, {"turn_id": 18, "speaker": "patient", "transcript": "it radiates down the forearm"}, {"turn_id": 19, "speaker": "doctor", "transcript": "radiates down the forearm alright so have you taken any medications for it to make it better"}, {"turn_id": 20, "speaker": "patient", "transcript": "i tried taking advil couple of days but i usually just forget about it"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay when you took it did it did it help at all did it change your your pain score"}, {"turn_id": 22, "speaker": "patient", "transcript": "yeah i i think it helped some"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay that's good alright so we'll we'll do a physical exam on that elbow we'll take a look at it in a second but i do wan na talk to you about your your hypertension you came in today i know you have past medical history of hypertension came in today your blood pressure's a little bit high it was a one fifty over seven over ninety which is pretty high today i see you're on twenty of lisinopril have you been taking that daily"}, {"turn_id": 24, "speaker": "patient", "transcript": "yes"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay so maybe you just have a little little white coat syndrome i know i have that myself and even though i'm a physician i i still do n't like to go to the doctor so i definitely understand how about your diet i know we talked a little bit about that before and you said kinda during the pandemic you fell off a little bit how you been doing that have you been lowering your salt intake"}, {"turn_id": 26, "speaker": "patient", "transcript": "yeah but i only eat low salt items avoid adding salt to food kind of the whole whole family follows like a you know like a mediterranean diet"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 28, "speaker": "patient", "transcript": "we try to be pretty good about it"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay yeah that's good that that's that's definitely good yeah i know a lot of people during the pandemic it was you know sitting at home and and eating more than we should but that's i'm very happy that you've been compliant and you have that low salt diet so let's talk about your diabetes i think you see here on on five hundred of metformin are you taking that as well daily"}, {"turn_id": 30, "speaker": "patient", "transcript": "yes"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay and your blood sugars how have they been"}, {"turn_id": 32, "speaker": "patient", "transcript": "since i do n't take insulin i do n't check it everyday when i have checked it it's usually running somewhere between eighty to a hundred"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay yeah that's that's really good yeah so i that's that's pretty good so what we're gon na do we're gon na get a a1c just to see you know that range and it's possibility we can we can you know lower that metformin dosage but we will do that after your visit then we will take a look at that so lem me go ahead and will do that quick exam of your elbow but first i want to make sure you're not having any chest pain or anything like that"}, {"turn_id": 34, "speaker": "patient", "transcript": "no"}, {"turn_id": 35, "speaker": "doctor", "transcript": "no belly pain"}, {"turn_id": 36, "speaker": "patient", "transcript": "no"}, {"turn_id": 37, "speaker": "doctor", "transcript": "alright so listen to your lungs so your lungs are clear bilaterally listen to your heart so your heart exam you do still have that grade two out of six systolic ejection murmur but we know it about that before so let me take a look at your elbow so when i press right here on the back of your elbow is that painful"}, {"turn_id": 38, "speaker": "patient", "transcript": "yes"}, {"turn_id": 39, "speaker": "doctor", "transcript": "alright so when i have you you you flex and extend it it's painful does that does that hurt"}, {"turn_id": 40, "speaker": "patient", "transcript": "yes it does"}, {"turn_id": 41, "speaker": "doctor", "transcript": "alright so your right elbow exam shows you have pain to palpation of the olecranon area of the posterior elbow you do have mild pain with flexion and extension but you do have also normal range of motion at that elbow so we we did do an x-ray before you came in and luckily nothing's broken no fracture no bony abnormality so it's a normal x-ray which is really good so let me just talk to you a little bit about my assessment and plan for you so you have a elbow contusion i believe your son did hit you with the lacrosse stick and it caused that that pain i see some swelling little inflammation there as well you have a little bit of a bruise i think that's that's what happened so for that i know you're having some pain i'm gon na prescribe you eight hundred milligrams of ibuprofen you can take that twice a day and that should help with some of that swelling and pain i also want you to ice it three times a day for twenty minutes at a time that should also help with the swelling and pain and just for the time being for the next couple of weeks just you know maybe you know not play lacrosse with your son just to help that heal then you can get back on on the field so for your your high blood pressure we're just gon na keep you on the hypertension we'll just keep you on that twenty milligrams of lisinopril looks like you're doing great with that and your diet and then for your diabetes we will keep you on the five hundred milligrams of metformin and we will also get a a1c just to check your levels and see if we do need to adjust the medication in the future alright so do you have any questions for me"}, {"turn_id": 42, "speaker": "patient", "transcript": "no sounds good"}, {"turn_id": 43, "speaker": "doctor", "transcript": "alright so we will see you next time and my nurse will be in with those prescriptions"}, {"turn_id": 44, "speaker": "patient", "transcript": "alright thank you"}]} |
acibench_D2N081_aci_valid | [
{
"speaker": "doctor",
"transcript": "so beverly is a 53 -year-old female with a recent diagnosis of stage three nonsmile cell lung cancer who presents for follow-up during neo agit chemotherapy she was diagnosed with a four . four centimeter left upper lobe nodule biopsy was positive for adenocarcinoma molecular testing is pending at this time alright hello beverly how are you",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "i'm good today",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "you're good today yeah you've been going through a lot lately i know you just had your treatment how how are your symptoms",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "my symptoms are pretty good today i just kind of have a minimal cough and a sore throat",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "but that's all i'm feeling today",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay and how about fatigue have you been feeling more tired",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "yes a little bit",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay and how about any nausea or vomiting",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "no not as of today",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay and i know you were mentioning a cough before how is it as far as walking are you having any shortness of breath",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "i have n't noticed any shortness of breath it just kind of seems to be a lingering kind of light dry cough",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "cough okay is it any mucus with it or is it a dry cough",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "more dry",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "a dry cough okay and tell me more about this sore throat",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "this kind of seems to be persistent comes and goes it will be worse sometimes and then others it feels better trying to drink lots of fluids",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "to see if it can it you know the dry coughing if it's part of that or what i can do",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay and when you mention drinking and eating is do you feel like anything is getting stuck there",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "no i do n't feel like anything is getting stuck right now and i have n't been i have been eating but not as much as i normally would",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay okay alright and how are you doing as far as like just emotionally and mentally how are you doing i'm just talking a little bit about your support systems",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "the nursing staff and the office has been very good to help you know with anything that i need as far as support so just since we are just getting started so far on the journey i do feel like i have support and mentally you know still feel strong",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay and how about with family or friends have you been able to turn to anyone",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "i do have good family members that have been supportive and they have come to my treatment with me",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay excellent excellent and so right now you're on a combination of two different chemotherapies the cisplestan as well as the eupside and you had your last treatment just a few days ago but you're saying right now you've been able to tolerate the nausea and the fatigue",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yes i have n't had any nausea but you know just slight fatigue it does n't seem to be overwhelming",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay okay so we are gon na go ahead if it's okay with you and start your physical exam reviewing your vitals so vitals look good especially your oxygen especially with the chemotherapy you've been getting and the cough so your oxygen looks good so i'm happy with that so now i'm just examining your neck especially with your sore throat and i do n't appreciate any cervical lymphadenopathy and also no supraclavicular adenopathy listening to your heart you have a nice regular rate and rhythm with no murmurs that i appreciate now on your lung exam when you're taking some deep breaths i do notice some crackles in your lungs bilaterally and what that means is there is there is some faint sounds that i'm hearing which could represent some fluid there so on looking at your skin exam on your chest you do have some erythema on the anterior side of the chest on the left side and this could be related to the radiation so on your lower extremities i appreciate no edema and everything else looks good and thank you i know you did a chest x-ray before coming in so on your results for the chest x-ray it does look like you have some mild radiation pneumonitis which basically means some inflammation of the lungs most likely due to the radiation so what does this all mean so for your assessment and plan so for the first diagnosis the first problem of the lung cancer so what we're gon na do is we're gon na continue with the current regimen of your chemotherapy of the cisplacin and the etoside and we're gon na continue with your current dose of radiation at forty five grade and when that's complete we will repeat some imaging and hopefully you know the tumor will shrink down enough that we can remove it surgically okay for problem number two so the radiation pneumonitis so that's what causing that cough as well as some of the shortness of breath i know you're not experiencing it much now so what i'm gon na do for that is actually gon na prescribe you a low dose of prednisone and so that's an will help with the inflammation i'm gon na give you forty milligrams daily for five days and so hopefully that will help reduce the inflammation and so that you can continue with the radiation okay how does that sound so far",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "that sounds great thank you",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay and then lastly for the painful swallowing that you're having so the inflammation you're having it not only in your lungs but it also in your esophagus as well so what i'm gon na do is prescribe you you're taking the the prednisone i'm also gon na give you a lidocaine swish and swallow and you can do that four times a day and so that will be able to help you so you can eat immediately after taking it and it can also help so that you can continue to take food and fluids prevent dehydration and any further weight loss",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "great",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay any questions for me",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "i do n't believe so at this time",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay alright so i'll see you at your next visit",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "great thank you",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "you're welcome and so now just",
"turn_id": 35
}
] | [
{
"description": "lidocaine swish swallow four times a day",
"order_type": "medication",
"provenance": [
30
],
"reason": "painful swallowing"
},
{
"description": "see you",
"order_type": "followup",
"provenance": [
1,
34
],
"reason": "stage three nonsmile cell lung cancer"
},
{
"description": "imaging",
"order_type": "imaging",
"provenance": [
1,
28
],
"reason": "stage three nonsmile cell lung cancer"
},
{
"description": "prednisone forty milligrams daily for five days",
"order_type": "medication",
"provenance": [
28
],
"reason": "radiation pneumonitis"
}
] | {"id": "acibench_D2N081_aci_valid", "expected_orders": [{"order_type": "medication", "description": "lidocaine swish swallow four times a day", "reason": "painful swallowing", "provenance": [30]}, {"order_type": "followup", "description": "see you", "reason": "stage three nonsmile cell lung cancer", "provenance": [1, 34]}, {"order_type": "imaging", "description": "imaging", "reason": "stage three nonsmile cell lung cancer", "provenance": [1, 28]}, {"order_type": "medication", "description": "prednisone forty milligrams daily for five days", "reason": "radiation pneumonitis", "provenance": [28]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "so beverly is a 53 -year-old female with a recent diagnosis of stage three nonsmile cell lung cancer who presents for follow-up during neo agit chemotherapy she was diagnosed with a four . four centimeter left upper lobe nodule biopsy was positive for adenocarcinoma molecular testing is pending at this time alright hello beverly how are you"}, {"turn_id": 2, "speaker": "patient", "transcript": "i'm good today"}, {"turn_id": 3, "speaker": "doctor", "transcript": "you're good today yeah you've been going through a lot lately i know you just had your treatment how how are your symptoms"}, {"turn_id": 4, "speaker": "patient", "transcript": "my symptoms are pretty good today i just kind of have a minimal cough and a sore throat"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 6, "speaker": "patient", "transcript": "but that's all i'm feeling today"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay and how about fatigue have you been feeling more tired"}, {"turn_id": 8, "speaker": "patient", "transcript": "yes a little bit"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay and how about any nausea or vomiting"}, {"turn_id": 10, "speaker": "patient", "transcript": "no not as of today"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay and i know you were mentioning a cough before how is it as far as walking are you having any shortness of breath"}, {"turn_id": 12, "speaker": "patient", "transcript": "i have n't noticed any shortness of breath it just kind of seems to be a lingering kind of light dry cough"}, {"turn_id": 13, "speaker": "doctor", "transcript": "cough okay is it any mucus with it or is it a dry cough"}, {"turn_id": 14, "speaker": "patient", "transcript": "more dry"}, {"turn_id": 15, "speaker": "doctor", "transcript": "a dry cough okay and tell me more about this sore throat"}, {"turn_id": 16, "speaker": "patient", "transcript": "this kind of seems to be persistent comes and goes it will be worse sometimes and then others it feels better trying to drink lots of fluids"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay"}, {"turn_id": 18, "speaker": "patient", "transcript": "to see if it can it you know the dry coughing if it's part of that or what i can do"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay and when you mention drinking and eating is do you feel like anything is getting stuck there"}, {"turn_id": 20, "speaker": "patient", "transcript": "no i do n't feel like anything is getting stuck right now and i have n't been i have been eating but not as much as i normally would"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay okay alright and how are you doing as far as like just emotionally and mentally how are you doing i'm just talking a little bit about your support systems"}, {"turn_id": 22, "speaker": "patient", "transcript": "the nursing staff and the office has been very good to help you know with anything that i need as far as support so just since we are just getting started so far on the journey i do feel like i have support and mentally you know still feel strong"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay and how about with family or friends have you been able to turn to anyone"}, {"turn_id": 24, "speaker": "patient", "transcript": "i do have good family members that have been supportive and they have come to my treatment with me"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay excellent excellent and so right now you're on a combination of two different chemotherapies the cisplestan as well as the eupside and you had your last treatment just a few days ago but you're saying right now you've been able to tolerate the nausea and the fatigue"}, {"turn_id": 26, "speaker": "patient", "transcript": "yes i have n't had any nausea but you know just slight fatigue it does n't seem to be overwhelming"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay okay so we are gon na go ahead if it's okay with you and start your physical exam reviewing your vitals so vitals look good especially your oxygen especially with the chemotherapy you've been getting and the cough so your oxygen looks good so i'm happy with that so now i'm just examining your neck especially with your sore throat and i do n't appreciate any cervical lymphadenopathy and also no supraclavicular adenopathy listening to your heart you have a nice regular rate and rhythm with no murmurs that i appreciate now on your lung exam when you're taking some deep breaths i do notice some crackles in your lungs bilaterally and what that means is there is there is some faint sounds that i'm hearing which could represent some fluid there so on looking at your skin exam on your chest you do have some erythema on the anterior side of the chest on the left side and this could be related to the radiation so on your lower extremities i appreciate no edema and everything else looks good and thank you i know you did a chest x-ray before coming in so on your results for the chest x-ray it does look like you have some mild radiation pneumonitis which basically means some inflammation of the lungs most likely due to the radiation so what does this all mean so for your assessment and plan so for the first diagnosis the first problem of the lung cancer so what we're gon na do is we're gon na continue with the current regimen of your chemotherapy of the cisplacin and the etoside and we're gon na continue with your current dose of radiation at forty five grade and when that's complete we will repeat some imaging and hopefully you know the tumor will shrink down enough that we can remove it surgically okay for problem number two so the radiation pneumonitis so that's what causing that cough as well as some of the shortness of breath i know you're not experiencing it much now so what i'm gon na do for that is actually gon na prescribe you a low dose of prednisone and so that's an will help with the inflammation i'm gon na give you forty milligrams daily for five days and so hopefully that will help reduce the inflammation and so that you can continue with the radiation okay how does that sound so far"}, {"turn_id": 28, "speaker": "patient", "transcript": "that sounds great thank you"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay and then lastly for the painful swallowing that you're having so the inflammation you're having it not only in your lungs but it also in your esophagus as well so what i'm gon na do is prescribe you you're taking the the prednisone i'm also gon na give you a lidocaine swish and swallow and you can do that four times a day and so that will be able to help you so you can eat immediately after taking it and it can also help so that you can continue to take food and fluids prevent dehydration and any further weight loss"}, {"turn_id": 30, "speaker": "patient", "transcript": "great"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay any questions for me"}, {"turn_id": 32, "speaker": "patient", "transcript": "i do n't believe so at this time"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay alright so i'll see you at your next visit"}, {"turn_id": 34, "speaker": "patient", "transcript": "great thank you"}, {"turn_id": 35, "speaker": "doctor", "transcript": "you're welcome and so now just"}]} |
acibench_D2N196_aci_clef_taskC_test3 | [
{
"speaker": "doctor",
"transcript": "mister thompson is a 67 -year-old male with a history of essential hypertension hyperlipidemia and osteoarthritis who is here today with elevated and fluctuating blood pressures so hi there mister thompson it's nice to see you again listen i understand you're having some trouble with your blood pressure control i would like to discuss that with you but first i want to ask you i'd like to use this app this new fancy app that's gon na help me focus on you a bit more in our conversation would that be okay with you",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yes that's fine",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay great it's gon na record our conversation okay perfect so jerry tell me mister thompson tell me about your blood pressure readings recently i understand you're concerned about them they have been up they have been down what's going on and any other symptoms",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "normally my blood pressure has been very well controlled over about the last three to four weeks there have been periods where i felt a little lightheaded slight headache and when i checked my blood pressure the upper number has been occasionally over one eighty which is way past you know what any of the numbers have been in the past",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "okay okay and okay and yeah that does sound unusual for you and so it's been high but you've also felt lightheaded at times have you checked your blood pressure when you were feeling lightheaded was it was it low at those times or have you done that",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "i've done it both when i felt fine and then when i had the lightheaded episodes actually it's been on the high side",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay alright understood and you have n't passed out or anything have you",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "not recently",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay and have you had any chest pain or trouble breathing along with you know your elevated blood pressure",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "sometimes a little heaviness in my chest but no no nothing sustained and i do n't have any respiratory or breathing difficulty",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "okay excellent and how about any headaches or other neurologic symptoms like numbness or weakness or you know balance instability or anything like that",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "little unsteady when i get the dizziness and a slight headache when the blood pressure numbers have been a little higher",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "okay and when you say dizzy are you feeling lightheaded like you might pass out or you feeling that the world spinning around you or what",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "just a little fuzzy where you just feel more lightheaded",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay alright understood and you've not had any any fever or nausea vomiting anything like that have you or diarrhea",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay and are you feeling any palpitations or your heart racing anything unusual there",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "not usually no",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay and are you still taking the lisinopril twenty milligrams once per day no actually i see we last visit we increased that to twice per day you're still taking that lisinopril twenty milligrams twice per day",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yes i am",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay you are not missing doses or anything are you by chance",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "very rarely",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay great great you're still using that pill box that we suggested i think you had a pretty good system going there maybe maybe you're using that app now to take to keep track of one when to take your medicine are you doing that",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yes yeah i've i've used the pillbox and then tried the app it was a little confusing but i'm i'm pretty much on on track with staying on my medication schedule pretty accurately",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "that's great i think i think i remember you saying it was tricky to get that app set up but then your grandson helped you with it and those kids amazing what they can do these days right anything like that i always trust them my kids before me so hey by the way how did he do in his softball or in his in his little league tournament last month i think you said he had a big tournament coming up how did that go",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "they they did great they they got all the way to the finals and then the team that the team that beat them was probably a little older a little bit more season but they had a great time",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "wow wow how fun that's fantastic well congrats good stuff alright well listen so so you're still taking your your lisinopril how about for your hyperlipidemia your your high cholesterol there are you still taking that atorvastatin",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "yes",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "okay excellent and your osteoarthritis i know you've been you know a golfer in the past and you know you wan na get out on the course and things is that still under control are you able to get out and and and walk the full course and things still",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "most of the time you know there are times when the weather changes that i have to maybe play less play less or or skip a day",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "yeah yeah but you're still okay well you're still able to get out and then you're kinda taking i think you're taking some tylenol for for you know mild mild pain and changing your activity as needed is that right",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "correct",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay alright good good okay well listen let's go ahead and examine you here jerry so on your physical exam for the most part it's pretty normal and unremarkable on your heart exam you still have that grade three out of six systolic ejection murmur that's unchanged from your prior and just means yeah i'm hearing some heart sounds from the valves that's that's not surprising and i'm not concerned about it we're just watching that one otherwise on your your lung exam you have some mild bibasilar rales but no wheezes or rhonchi and excellent air movement and you have trace lower extremity edema on your extremity exam there bilaterally and otherwise really pretty normal exam so let's let's talk about my assessment and your plan alright so first of all for your first problem of your elevated blood pressure i do think your blood pressure is a little bit out of control meaning we need to make some adjustments i'm going to actually increase your your lisinopril to sixty milligrams twice per day and i'm also going to add twenty five milligrams per day of hydrochlorothiazide and that should help even things out i want you to check your blood pressure measurements twice a day for me for the next two weeks then let's see you back in two weeks and we'll we'll check on how you're doing and also for your second problem of hyperlipidemia i i wan na keep you on the atorvastatin i'm also going to send couple of blood tests i'm gon na send a cholesterol panel also a cbc with differential and a comprehensive metabolic panel and we'll check a urinalysis as well look and see how your kidneys are doing there as well and so we'll continue the current management with your atorvastatin there for your hyperlipidemia now for your third problem osteoarthritis i want you to continue to stay active as best you can do n't over do it but walking and you know getting out golfing when you can that's great you can take tylenol for the pain if you have some mild some mild pain there and yeah otherwise i think that cover it i think the adjustments in your blood pressure medicine should help and i wan na see you back in four weeks no let's make two weeks in follow-up and otherwise any questions for me how does that sound",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "i do n't think so anything that i need to do when the weather warms up as far as you know my fluids drinking liquids and things",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "yeah you know be sure you're staying well hydrated you know six to eight glasses of water per day is a good good idea and you you know when when it warms up you're certainly gon na prespire more and lose lose more fluid so so i would i would recommend that you continue to have you know a a standard six to eight glasses of of fluid intake per day but yeah that you know that should do it and if you're feeling particularly dehydrated you might wan na increase that if you have an increased activity level so alright any other questions for me",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "how much beer should i drink",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "probably not the best thing with you know with with with your high blood pressure fluctuating the way it is so not more than a couple drinks a week hate to tell you",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "okay",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "alright okay great seeing you we'll see you back see you in a couple of weeks you take care",
"turn_id": 39
}
] | [
{
"description": "blood cholesterol panel",
"order_type": "lab",
"provenance": [
33
],
"reason": "hyperlipidemia"
},
{
"description": "blood cbc with differential",
"order_type": "lab",
"provenance": [
33
],
"reason": "hyperlipidemia"
},
{
"description": "blood comprehensive metabolic panel",
"order_type": "lab",
"provenance": [
33
],
"reason": "hyperlipidemia"
},
{
"description": "urinalysis",
"order_type": "lab",
"provenance": [
33
],
"reason": "hyperlipidemia"
},
{
"description": "increase your your lisinopril sixty milligrams twice per day",
"order_type": "medication",
"provenance": [
1,
33
],
"reason": "essential hypertension"
},
{
"description": "twenty five milligrams hydrochlorothiazide",
"order_type": "medication",
"provenance": [
1,
33
],
"reason": "essential hypertension"
},
{
"description": "see you back two weeks",
"order_type": "followup",
"provenance": [
33
],
"reason": null
}
] | {"id": "acibench_D2N196_aci_clef_taskC_test3", "expected_orders": [{"order_type": "lab", "description": "blood cholesterol panel", "reason": "hyperlipidemia", "provenance": [33]}, {"order_type": "lab", "description": "blood cbc with differential", "reason": "hyperlipidemia", "provenance": [33]}, {"order_type": "lab", "description": "blood comprehensive metabolic panel", "reason": "hyperlipidemia", "provenance": [33]}, {"order_type": "lab", "description": "urinalysis", "reason": "hyperlipidemia", "provenance": [33]}, {"order_type": "medication", "description": "increase your your lisinopril sixty milligrams twice per day", "reason": "essential hypertension", "provenance": [1, 33]}, {"order_type": "medication", "description": "twenty five milligrams hydrochlorothiazide", "reason": "essential hypertension", "provenance": [1, 33]}, {"order_type": "followup", "description": "see you back two weeks", "reason": null, "provenance": [33]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "mister thompson is a 67 -year-old male with a history of essential hypertension hyperlipidemia and osteoarthritis who is here today with elevated and fluctuating blood pressures so hi there mister thompson it's nice to see you again listen i understand you're having some trouble with your blood pressure control i would like to discuss that with you but first i want to ask you i'd like to use this app this new fancy app that's gon na help me focus on you a bit more in our conversation would that be okay with you"}, {"turn_id": 2, "speaker": "patient", "transcript": "yes that's fine"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay great it's gon na record our conversation okay perfect so jerry tell me mister thompson tell me about your blood pressure readings recently i understand you're concerned about them they have been up they have been down what's going on and any other symptoms"}, {"turn_id": 4, "speaker": "patient", "transcript": "normally my blood pressure has been very well controlled over about the last three to four weeks there have been periods where i felt a little lightheaded slight headache and when i checked my blood pressure the upper number has been occasionally over one eighty which is way past you know what any of the numbers have been in the past"}, {"turn_id": 5, "speaker": "doctor", "transcript": "okay okay and okay and yeah that does sound unusual for you and so it's been high but you've also felt lightheaded at times have you checked your blood pressure when you were feeling lightheaded was it was it low at those times or have you done that"}, {"turn_id": 6, "speaker": "patient", "transcript": "i've done it both when i felt fine and then when i had the lightheaded episodes actually it's been on the high side"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay alright understood and you have n't passed out or anything have you"}, {"turn_id": 8, "speaker": "patient", "transcript": "not recently"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay and have you had any chest pain or trouble breathing along with you know your elevated blood pressure"}, {"turn_id": 10, "speaker": "patient", "transcript": "sometimes a little heaviness in my chest but no no nothing sustained and i do n't have any respiratory or breathing difficulty"}, {"turn_id": 11, "speaker": "doctor", "transcript": "okay excellent and how about any headaches or other neurologic symptoms like numbness or weakness or you know balance instability or anything like that"}, {"turn_id": 12, "speaker": "patient", "transcript": "little unsteady when i get the dizziness and a slight headache when the blood pressure numbers have been a little higher"}, {"turn_id": 13, "speaker": "doctor", "transcript": "okay and when you say dizzy are you feeling lightheaded like you might pass out or you feeling that the world spinning around you or what"}, {"turn_id": 14, "speaker": "patient", "transcript": "just a little fuzzy where you just feel more lightheaded"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay alright understood and you've not had any any fever or nausea vomiting anything like that have you or diarrhea"}, {"turn_id": 16, "speaker": "patient", "transcript": "no"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay and are you feeling any palpitations or your heart racing anything unusual there"}, {"turn_id": 18, "speaker": "patient", "transcript": "not usually no"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay and are you still taking the lisinopril twenty milligrams once per day no actually i see we last visit we increased that to twice per day you're still taking that lisinopril twenty milligrams twice per day"}, {"turn_id": 20, "speaker": "patient", "transcript": "yes i am"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay you are not missing doses or anything are you by chance"}, {"turn_id": 22, "speaker": "patient", "transcript": "very rarely"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay great great you're still using that pill box that we suggested i think you had a pretty good system going there maybe maybe you're using that app now to take to keep track of one when to take your medicine are you doing that"}, {"turn_id": 24, "speaker": "patient", "transcript": "yes yeah i've i've used the pillbox and then tried the app it was a little confusing but i'm i'm pretty much on on track with staying on my medication schedule pretty accurately"}, {"turn_id": 25, "speaker": "doctor", "transcript": "that's great i think i think i remember you saying it was tricky to get that app set up but then your grandson helped you with it and those kids amazing what they can do these days right anything like that i always trust them my kids before me so hey by the way how did he do in his softball or in his in his little league tournament last month i think you said he had a big tournament coming up how did that go"}, {"turn_id": 26, "speaker": "patient", "transcript": "they they did great they they got all the way to the finals and then the team that the team that beat them was probably a little older a little bit more season but they had a great time"}, {"turn_id": 27, "speaker": "doctor", "transcript": "wow wow how fun that's fantastic well congrats good stuff alright well listen so so you're still taking your your lisinopril how about for your hyperlipidemia your your high cholesterol there are you still taking that atorvastatin"}, {"turn_id": 28, "speaker": "patient", "transcript": "yes"}, {"turn_id": 29, "speaker": "doctor", "transcript": "okay excellent and your osteoarthritis i know you've been you know a golfer in the past and you know you wan na get out on the course and things is that still under control are you able to get out and and and walk the full course and things still"}, {"turn_id": 30, "speaker": "patient", "transcript": "most of the time you know there are times when the weather changes that i have to maybe play less play less or or skip a day"}, {"turn_id": 31, "speaker": "doctor", "transcript": "yeah yeah but you're still okay well you're still able to get out and then you're kinda taking i think you're taking some tylenol for for you know mild mild pain and changing your activity as needed is that right"}, {"turn_id": 32, "speaker": "patient", "transcript": "correct"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay alright good good okay well listen let's go ahead and examine you here jerry so on your physical exam for the most part it's pretty normal and unremarkable on your heart exam you still have that grade three out of six systolic ejection murmur that's unchanged from your prior and just means yeah i'm hearing some heart sounds from the valves that's that's not surprising and i'm not concerned about it we're just watching that one otherwise on your your lung exam you have some mild bibasilar rales but no wheezes or rhonchi and excellent air movement and you have trace lower extremity edema on your extremity exam there bilaterally and otherwise really pretty normal exam so let's let's talk about my assessment and your plan alright so first of all for your first problem of your elevated blood pressure i do think your blood pressure is a little bit out of control meaning we need to make some adjustments i'm going to actually increase your your lisinopril to sixty milligrams twice per day and i'm also going to add twenty five milligrams per day of hydrochlorothiazide and that should help even things out i want you to check your blood pressure measurements twice a day for me for the next two weeks then let's see you back in two weeks and we'll we'll check on how you're doing and also for your second problem of hyperlipidemia i i wan na keep you on the atorvastatin i'm also going to send couple of blood tests i'm gon na send a cholesterol panel also a cbc with differential and a comprehensive metabolic panel and we'll check a urinalysis as well look and see how your kidneys are doing there as well and so we'll continue the current management with your atorvastatin there for your hyperlipidemia now for your third problem osteoarthritis i want you to continue to stay active as best you can do n't over do it but walking and you know getting out golfing when you can that's great you can take tylenol for the pain if you have some mild some mild pain there and yeah otherwise i think that cover it i think the adjustments in your blood pressure medicine should help and i wan na see you back in four weeks no let's make two weeks in follow-up and otherwise any questions for me how does that sound"}, {"turn_id": 34, "speaker": "patient", "transcript": "i do n't think so anything that i need to do when the weather warms up as far as you know my fluids drinking liquids and things"}, {"turn_id": 35, "speaker": "doctor", "transcript": "yeah you know be sure you're staying well hydrated you know six to eight glasses of water per day is a good good idea and you you know when when it warms up you're certainly gon na prespire more and lose lose more fluid so so i would i would recommend that you continue to have you know a a standard six to eight glasses of of fluid intake per day but yeah that you know that should do it and if you're feeling particularly dehydrated you might wan na increase that if you have an increased activity level so alright any other questions for me"}, {"turn_id": 36, "speaker": "patient", "transcript": "how much beer should i drink"}, {"turn_id": 37, "speaker": "doctor", "transcript": "probably not the best thing with you know with with with your high blood pressure fluctuating the way it is so not more than a couple drinks a week hate to tell you"}, {"turn_id": 38, "speaker": "patient", "transcript": "okay"}, {"turn_id": 39, "speaker": "doctor", "transcript": "alright okay great seeing you we'll see you back see you in a couple of weeks you take care"}]} |
acibench_D2N041_aci_train | [
{
"speaker": "doctor",
"transcript": "hi teresa what's going on i heard that i heard that you're having a sore throat you're not feeling well",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "yeah my throat has been hurting me for like four four days now and i think i had a fever last night because i was really sweaty but i did n't take my temperature because i was already in bed",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "okay alright so four days ago you started feeling badly okay now were you having chills",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "yeah last night i was chills and i had lot of sweating and it's really hard to swallow",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "it's really hard to swallow okay now do you have pain every time you swallow or is it just periodically",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "every time i swallow i'm even having trouble eating i can drink okay the like really cold water feels good",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "okay that's what i was gon na ask you okay so you're able to drink water and are you able to drink any other fluids have you been able to drink any you know i do n't know juices or milk shakes or anything like that",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "well besides my wine at night i really just drink water all day",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "okay well i like to drink wine too what's your favorite type of wine",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "peanut grooves yes",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "it's a good one i like that too i am also a pino navar fan so there you go alright well let's now do you feel sick to your stomach at all",
"turn_id": 11
},
{
"speaker": "patient",
"transcript": "no i have a little bit of a stuffy nose not too bad it's really just my throat but i think my tonsils are swollen too",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "and your tonsils are swollen too now has anyone else sick in your household",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "i do have little kids that go to school so they've always got you know those little runny noses or cough but nobody is really complaining of anything",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "okay alright now have you had strep throat in the past",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "when i was a kid i had strep throat but i have n't had anything like that as an adult",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "okay alright and what do you do for work",
"turn_id": 17
},
{
"speaker": "patient",
"transcript": "i i work as a cashier in a supermarket",
"turn_id": 18
},
{
"speaker": "doctor",
"transcript": "okay alright and did you get your covid vaccine",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "yep i did get my covid vaccine but it really made me feel sick so i'm hoping i do n't have to get another one later this year",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "okay did so you just got the two vaccines you did n't get the booster",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "no i did n't get the booster because i really have n't had time to feel that sick again it really knocked me down for like two days and with the little kids it's really hard",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "okay alright well i saw that they did a rapid covid test when you came in here and that was negative so that's good so you do n't have covid which is which is good now let's talk a little bit about your hypertension and hypertension since i have you here did you ever buy that blood pressure cuff that i asked you to buy",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "yes i did i blood the blood pressure cuff and my blood pressure is like all over the place sometimes it could be like one twenty for the top number sometimes it could be one forty for the top number i i do n't really remember the bottom number though",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "okay that's okay are you taking the lisinopril i think we have you on twenty milligrams a day",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "yep i take it every morning with my multivitamin and my vitamin d",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "okay alright and are you watching your salt intake",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "i really like my chips with my wine",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "is n't that the best we we could get along really well outside of here alright and then tell me a little bit about your diabetes now are you are you watching your blood sugars are you taking them at home",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "sometimes i take that all that often again that could be all over the place sometimes i get if i take it first thing in the morning it'll be like eighty or ninety but at night sometimes it could be one forty",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "okay alright and i are you still taking the metformin we have you on a thousand milligrams twice a day",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "uh uh yes i do take it i take it with my breakfast and with my dinner",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "okay alright great alright now are you are you a meds fan or a yankie's fan or god for a bit of filly's fan",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "nope",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "no",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "no do n't do n't like sports",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "do n't like sports just the wine",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "no",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "okay alright well let's go ahead i wan na just do a quick physical exam now i'm gon na be calling out some of my findings and i'm gon na let you know what that means when i'm done okay so looking here first at your vital signs your vital signs look pretty good you do have a low-grade fever of about a hundred . four right now but otherwise your blood pressure is pretty good it's about one thirty two over eighty and your heart rate is eighty four now that looks pretty good so i'm just gon na go ahead and examine you so on your facial exam i'm gon na just press on your face here does this hurt",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "no not no it does n't bother me",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "okay on facial examination the patient has no pain to palpation of the frontal or maxillary sinuses on nasal examination there is edema and erythema of the nasal turbinates bilaterally with associated clear discharge open up your mouth and say",
"turn_id": 41
},
{
"speaker": "patient",
"transcript": "ah",
"turn_id": 42
},
{
"speaker": "doctor",
"transcript": "on throat examination there is bilateral erythema and edema of the peritonsillar space with exudates present bilaterally the uvula is midline on your neck exam i do appreciate some cervical lymphadenopathy on the right hand side on your lung exam your lungs you have some coarse rhonchi at the bases that clear with cough and on your heart exam your heart is a nice regular rate and rhythm i do n't appreciate any murmur or or rub so what does all of that mean teresa so all of that means is that yes you're showing signs of what we call an upper respiratory infection and i'm concerned that you might have some strep in the back of your throat based on the findings so let's just talk a little bit about my assessment and plan for you okay so for your first problem of your sore throat i'm gon na go ahead and have the medical assistant come in and swab you for a rapid strep test and if that's positive i wan na go ahead and place you on or prescribe amoxicillin five hundred milligrams three times a day for ten days and i'm gon na give you some lidocaine swish and swallow so that will help with some of the pain and you can take some ibuprofen as needed which will also help with the pain and some of that fever okay i do want you to go ahead and continue to to hydrate as much as possible what kind of questions do you have about that",
"turn_id": 43
},
{
"speaker": "patient",
"transcript": "no that sounds good i just wanted to be sure i was okay because of the little kids",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "sure now for your next problem of your hypertension i wan na go ahead and order a lipid panel on you and i think i do wan na increase i do wan na increase the lisinopril to forty milligrams once a day just to get your blood pressure under better control and we'll see how you do on the forty milligrams once a day for your third problem of your diabetes let's go ahead and order a hemoglobin a1c and just to make sure that we do n't have to make any adjustments to your metformin how does that sound",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "sounds good",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "any questions",
"turn_id": 47
},
{
"speaker": "patient",
"transcript": "nope that's everything",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "okay bye good to see you i'll be in touch",
"turn_id": 49
}
] | [
{
"description": "lidocaine swish and swallow",
"order_type": "medication",
"provenance": [
44
],
"reason": "concerned that you might have some strep in the back of your throat"
},
{
"description": "ibuprofen as needed",
"order_type": "medication",
"provenance": [
44
],
"reason": "concerned that you might have some strep in the back of your throat"
},
{
"description": "lipid panel",
"order_type": "lab",
"provenance": [
46
],
"reason": "hypertension"
},
{
"description": "isinopril forty milligrams once a day",
"order_type": "medication",
"provenance": [
46
],
"reason": "hypertension"
},
{
"description": "hemoglobin a1c",
"order_type": "lab",
"provenance": [
46
],
"reason": "diabetes"
},
{
"description": "swab rapid strep test",
"order_type": "lab",
"provenance": [
44
],
"reason": "concerned that you might have some strep in the back of your throat"
},
{
"description": "amoxicillin five hundred milligrams three times a day ten days",
"order_type": "medication",
"provenance": [
44
],
"reason": "rapid strep test and if that's positive"
}
] | {"id": "acibench_D2N041_aci_train", "expected_orders": [{"order_type": "medication", "description": "lidocaine swish and swallow", "reason": "concerned that you might have some strep in the back of your throat", "provenance": [44]}, {"order_type": "medication", "description": "ibuprofen as needed", "reason": "concerned that you might have some strep in the back of your throat", "provenance": [44]}, {"order_type": "lab", "description": "lipid panel", "reason": "hypertension", "provenance": [46]}, {"order_type": "medication", "description": "isinopril forty milligrams once a day", "reason": "hypertension", "provenance": [46]}, {"order_type": "lab", "description": "hemoglobin a1c", "reason": "diabetes", "provenance": [46]}, {"order_type": "lab", "description": "swab rapid strep test", "reason": "concerned that you might have some strep in the back of your throat", "provenance": [44]}, {"order_type": "medication", "description": "amoxicillin five hundred milligrams three times a day ten days", "reason": "rapid strep test and if that's positive", "provenance": [44]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "hi teresa what's going on i heard that i heard that you're having a sore throat you're not feeling well"}, {"turn_id": 2, "speaker": "patient", "transcript": "yeah my throat has been hurting me for like four four days now and i think i had a fever last night because i was really sweaty but i did n't take my temperature because i was already in bed"}, {"turn_id": 3, "speaker": "doctor", "transcript": "okay alright so four days ago you started feeling badly okay now were you having chills"}, {"turn_id": 4, "speaker": "patient", "transcript": "yeah last night i was chills and i had lot of sweating and it's really hard to swallow"}, {"turn_id": 5, "speaker": "doctor", "transcript": "it's really hard to swallow okay now do you have pain every time you swallow or is it just periodically"}, {"turn_id": 6, "speaker": "patient", "transcript": "every time i swallow i'm even having trouble eating i can drink okay the like really cold water feels good"}, {"turn_id": 7, "speaker": "doctor", "transcript": "okay that's what i was gon na ask you okay so you're able to drink water and are you able to drink any other fluids have you been able to drink any you know i do n't know juices or milk shakes or anything like that"}, {"turn_id": 8, "speaker": "patient", "transcript": "well besides my wine at night i really just drink water all day"}, {"turn_id": 9, "speaker": "doctor", "transcript": "okay well i like to drink wine too what's your favorite type of wine"}, {"turn_id": 10, "speaker": "patient", "transcript": "peanut grooves yes"}, {"turn_id": 11, "speaker": "doctor", "transcript": "it's a good one i like that too i am also a pino navar fan so there you go alright well let's now do you feel sick to your stomach at all"}, {"turn_id": 12, "speaker": "patient", "transcript": "no i have a little bit of a stuffy nose not too bad it's really just my throat but i think my tonsils are swollen too"}, {"turn_id": 13, "speaker": "doctor", "transcript": "and your tonsils are swollen too now has anyone else sick in your household"}, {"turn_id": 14, "speaker": "patient", "transcript": "i do have little kids that go to school so they've always got you know those little runny noses or cough but nobody is really complaining of anything"}, {"turn_id": 15, "speaker": "doctor", "transcript": "okay alright now have you had strep throat in the past"}, {"turn_id": 16, "speaker": "patient", "transcript": "when i was a kid i had strep throat but i have n't had anything like that as an adult"}, {"turn_id": 17, "speaker": "doctor", "transcript": "okay alright and what do you do for work"}, {"turn_id": 18, "speaker": "patient", "transcript": "i i work as a cashier in a supermarket"}, {"turn_id": 19, "speaker": "doctor", "transcript": "okay alright and did you get your covid vaccine"}, {"turn_id": 20, "speaker": "patient", "transcript": "yep i did get my covid vaccine but it really made me feel sick so i'm hoping i do n't have to get another one later this year"}, {"turn_id": 21, "speaker": "doctor", "transcript": "okay did so you just got the two vaccines you did n't get the booster"}, {"turn_id": 22, "speaker": "patient", "transcript": "no i did n't get the booster because i really have n't had time to feel that sick again it really knocked me down for like two days and with the little kids it's really hard"}, {"turn_id": 23, "speaker": "doctor", "transcript": "okay alright well i saw that they did a rapid covid test when you came in here and that was negative so that's good so you do n't have covid which is which is good now let's talk a little bit about your hypertension and hypertension since i have you here did you ever buy that blood pressure cuff that i asked you to buy"}, {"turn_id": 24, "speaker": "patient", "transcript": "yes i did i blood the blood pressure cuff and my blood pressure is like all over the place sometimes it could be like one twenty for the top number sometimes it could be one forty for the top number i i do n't really remember the bottom number though"}, {"turn_id": 25, "speaker": "doctor", "transcript": "okay that's okay are you taking the lisinopril i think we have you on twenty milligrams a day"}, {"turn_id": 26, "speaker": "patient", "transcript": "yep i take it every morning with my multivitamin and my vitamin d"}, {"turn_id": 27, "speaker": "doctor", "transcript": "okay alright and are you watching your salt intake"}, {"turn_id": 28, "speaker": "patient", "transcript": "i really like my chips with my wine"}, {"turn_id": 29, "speaker": "doctor", "transcript": "is n't that the best we we could get along really well outside of here alright and then tell me a little bit about your diabetes now are you are you watching your blood sugars are you taking them at home"}, {"turn_id": 30, "speaker": "patient", "transcript": "sometimes i take that all that often again that could be all over the place sometimes i get if i take it first thing in the morning it'll be like eighty or ninety but at night sometimes it could be one forty"}, {"turn_id": 31, "speaker": "doctor", "transcript": "okay alright and i are you still taking the metformin we have you on a thousand milligrams twice a day"}, {"turn_id": 32, "speaker": "patient", "transcript": "uh uh yes i do take it i take it with my breakfast and with my dinner"}, {"turn_id": 33, "speaker": "doctor", "transcript": "okay alright great alright now are you are you a meds fan or a yankie's fan or god for a bit of filly's fan"}, {"turn_id": 34, "speaker": "patient", "transcript": "nope"}, {"turn_id": 35, "speaker": "doctor", "transcript": "no"}, {"turn_id": 36, "speaker": "patient", "transcript": "no do n't do n't like sports"}, {"turn_id": 37, "speaker": "doctor", "transcript": "do n't like sports just the wine"}, {"turn_id": 38, "speaker": "patient", "transcript": "no"}, {"turn_id": 39, "speaker": "doctor", "transcript": "okay alright well let's go ahead i wan na just do a quick physical exam now i'm gon na be calling out some of my findings and i'm gon na let you know what that means when i'm done okay so looking here first at your vital signs your vital signs look pretty good you do have a low-grade fever of about a hundred . four right now but otherwise your blood pressure is pretty good it's about one thirty two over eighty and your heart rate is eighty four now that looks pretty good so i'm just gon na go ahead and examine you so on your facial exam i'm gon na just press on your face here does this hurt"}, {"turn_id": 40, "speaker": "patient", "transcript": "no not no it does n't bother me"}, {"turn_id": 41, "speaker": "doctor", "transcript": "okay on facial examination the patient has no pain to palpation of the frontal or maxillary sinuses on nasal examination there is edema and erythema of the nasal turbinates bilaterally with associated clear discharge open up your mouth and say"}, {"turn_id": 42, "speaker": "patient", "transcript": "ah"}, {"turn_id": 43, "speaker": "doctor", "transcript": "on throat examination there is bilateral erythema and edema of the peritonsillar space with exudates present bilaterally the uvula is midline on your neck exam i do appreciate some cervical lymphadenopathy on the right hand side on your lung exam your lungs you have some coarse rhonchi at the bases that clear with cough and on your heart exam your heart is a nice regular rate and rhythm i do n't appreciate any murmur or or rub so what does all of that mean teresa so all of that means is that yes you're showing signs of what we call an upper respiratory infection and i'm concerned that you might have some strep in the back of your throat based on the findings so let's just talk a little bit about my assessment and plan for you okay so for your first problem of your sore throat i'm gon na go ahead and have the medical assistant come in and swab you for a rapid strep test and if that's positive i wan na go ahead and place you on or prescribe amoxicillin five hundred milligrams three times a day for ten days and i'm gon na give you some lidocaine swish and swallow so that will help with some of the pain and you can take some ibuprofen as needed which will also help with the pain and some of that fever okay i do want you to go ahead and continue to to hydrate as much as possible what kind of questions do you have about that"}, {"turn_id": 44, "speaker": "patient", "transcript": "no that sounds good i just wanted to be sure i was okay because of the little kids"}, {"turn_id": 45, "speaker": "doctor", "transcript": "sure now for your next problem of your hypertension i wan na go ahead and order a lipid panel on you and i think i do wan na increase i do wan na increase the lisinopril to forty milligrams once a day just to get your blood pressure under better control and we'll see how you do on the forty milligrams once a day for your third problem of your diabetes let's go ahead and order a hemoglobin a1c and just to make sure that we do n't have to make any adjustments to your metformin how does that sound"}, {"turn_id": 46, "speaker": "patient", "transcript": "sounds good"}, {"turn_id": 47, "speaker": "doctor", "transcript": "any questions"}, {"turn_id": 48, "speaker": "patient", "transcript": "nope that's everything"}, {"turn_id": 49, "speaker": "doctor", "transcript": "okay bye good to see you i'll be in touch"}]} |
primock57_1_2 | [
{
"speaker": "doctor",
"transcript": "Hello?",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "Hello. Can you hear me well?",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "Uh uh yes. I think. It's a bit better. It's a bit, it's a bit, it's not very clear. But let's continue anyway.",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "Uh, OK. Let's start again. So how can I help you sir?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "Yes. So, it's been a few days now. I have like a sore, and a red skin. It's kind of, it's really itchy, and it's like super annoying. So I'd like to find something quick to solve it.",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 7
},
{
"speaker": "doctor",
"transcript": "No, no problem. I'm happy to help. Um whereabouts in your skin is it affected?",
"turn_id": 8
},
{
"speaker": "patient",
"transcript": "Uh, mostly like my chest, my, my hands, my arms. Like, like really, it's it's super annoying. Like it's itching a lot, like all the time. And",
"turn_id": 9
},
{
"speaker": "patient",
"transcript": "I can't even sleep at night. I really need something quickly to, to solve it. Because even at work I, I can, when I'm in a meeting and I have to, like uh think about my work, I can't focus, I can't actually focus on my work. It's really annoying because I can't actually think about, uh, what I have to say. I'm always like, uh, disturbed by this disease.",
"turn_id": 10
},
{
"speaker": "doctor",
"transcript": "Yeah.",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 12
},
{
"speaker": "doctor",
"transcript": "No no, OK. I'm certain this is obviously affecting you. And uh we'll try our very best to get get this sorted out for you. Um, have you had anything like this before in the past?",
"turn_id": 13
},
{
"speaker": "patient",
"transcript": "Um so yes. Uh earlier I was like prescribed for my eczema.",
"turn_id": 14
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 15
},
{
"speaker": "patient",
"transcript": "And they gave me like some cream, and something to, uh when I like shower, when I was in the shower, had to put something. But um",
"turn_id": 16
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "Did it help?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "Um I mean, at that time yes. That's, those symptoms, like these symptoms appear like, when the symptoms appeared again, I tried those and it didn't work.",
"turn_id": 19
},
{
"speaker": "patient",
"transcript": "I've tried a few things. Like I bought a, a steroid cream at the pharmacy last night. But it apparently didn't help, because it's still itching a lot today. Uh, yeah.",
"turn_id": 20
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 21
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "Do you remember the name of the cream you bought?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "A steroid cream.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "OK, steroid, OK. um would you say these symptoms are very similar to your eczema symptoms, or different?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "Um",
"turn_id": 26
},
{
"speaker": "patient",
"transcript": "it's much more like itchy. And my eczema was more like only in the arm. But now it's also on the chest. And in the on the, on the hands as well.",
"turn_id": 27
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 28
},
{
"speaker": "patient",
"transcript": "Like pretty, yeah when, like I like, for instance hiking, during the weekend. And",
"turn_id": 29
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 30
},
{
"speaker": "patient",
"transcript": "I am, I can't really do it anymore, because it's like very like I wanted to do that last weekend. And because super painful, and I I have to take like showers every day to be able to, cannot uh ease this itching part, which is very very annoying.",
"turn_id": 31
},
{
"speaker": "doctor",
"transcript": "Yes.",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "No. Well OK. That's so you mentioned the itchiness. Um you also mentioned it's been quite sore.",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "Um have you, have you noticed any uh bleeding or discharge from your skins?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": ". OK.",
"turn_id": 36
},
{
"speaker": "patient",
"transcript": "No. Um so my skin is a bit cracked in some parts, like kind of cracked, if you see what I mean. But uh, yeah.",
"turn_id": 37
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "You've not, haven't uh seen any other uh pus or blood, coming out of your skin.",
"turn_id": 39
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 40
},
{
"speaker": "doctor",
"transcript": "No. And you mentioned it all started three days ago.",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "Are you, four days ago. Are you aware of any triggers, or anything that you may have done, that may have caused your symptoms to start?",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "Four days ago.",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "So for example, have you changed your uh shower gel, any clothing?",
"turn_id": 44
},
{
"speaker": "doctor",
"transcript": "Have you been around anyone else?",
"turn_id": 45
},
{
"speaker": "patient",
"transcript": "No I . It's actually like, it's really annoying, because I'm thinking about, maybe I should change something. Because I I haven't, and I don't understand I cannot, um afraid of asking people around me because it's cannot you know um, I don't feel really comfortable asking about these questions. It's kind of intimate that. So I your help now.",
"turn_id": 46
},
{
"speaker": "doctor",
"transcript": "Mm.",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "Mm. No no, OK. That's OK. Um",
"turn_id": 48
},
{
"speaker": "doctor",
"transcript": "Fine, so just to resummarize. For the last four days, you've had very itchy skin, very sore skin all over your body, mainly your chest. And did you also mention your arms and legs as well?",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 50
},
{
"speaker": "patient",
"transcript": "Uh, no. Just the chest, hands and like, like inside the elbows. Yeah.",
"turn_id": 51
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "OK. anything on your face at all?",
"turn_id": 53
},
{
"speaker": "patient",
"transcript": "Am I what?",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "On your face?",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "On my face? No.",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "No, OK. And apart from this, any other symptoms have you noticed? For example, have you noticed any temperature or fevers?",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "No. just very itchy. Nothing else.",
"turn_id": 58
},
{
"speaker": "doctor",
"transcript": "Itchy. OK. So your, your bowels are working OK?",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "Your chest is OK? No cough, no breathing difficulties?",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "You're passing urine OK.",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "I I think so.",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "OK, alright. Um",
"turn_id": 64
},
{
"speaker": "doctor",
"transcript": "It's always good to know. So, I mean, do you have any ideas as to what could be causing your symptoms?",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Any what?",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "Any ideas, as to what could be causing your symptoms?",
"turn_id": 67
},
{
"speaker": "patient",
"transcript": "Um so I had eczema before. So maybe it's disease, but it seems like more uh, like uh my eczema was only on the arms. So, I'm I'm not sure. I I really have no idea.",
"turn_id": 68
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 69
},
{
"speaker": "doctor",
"transcript": "OK. That's OK. So um, normally at this stage I like to examine you. Um",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "To see the rash itself, to see exactly what type of rash it is. But from what you've told me, you mentioned it's, you've got some dry skin and some, uh cracked skin as well.",
"turn_id": 71
},
{
"speaker": "doctor",
"transcript": "Uh and has been very itchy. And so would your um",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 73
},
{
"speaker": "doctor",
"transcript": "Uh your your background of eczema. Um",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": "So",
"turn_id": 75
},
{
"speaker": "doctor",
"transcript": "Sorry to say, there's a couple of questions I wanted to ask you, which I completely forgot, my apologies. Um, apart from the eczema, do you have any other medical problems I should be aware of?",
"turn_id": 76
},
{
"speaker": "patient",
"transcript": "Uh, no. I just had asthma in the past. But not anymore.",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "OK. Not anymore, OK. And do you take any regular medications at the moment?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "Uh no.",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "No, OK. Do you have any allergies to anything?",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "I like some , sorry? Yeah?",
"turn_id": 81
},
{
"speaker": "doctor",
"transcript": "sorry I said do you have any allergies to anything?",
"turn_id": 82
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 83
},
{
"speaker": "doctor",
"transcript": "Hello?",
"turn_id": 84
},
{
"speaker": "patient",
"transcript": "Hello? Yes.",
"turn_id": 85
},
{
"speaker": "doctor",
"transcript": "can you hear me? That's alright I think it . Uh do you have any allergies at all?",
"turn_id": 86
},
{
"speaker": "patient",
"transcript": "Ohh, allergies. Uh, no.",
"turn_id": 87
},
{
"speaker": "doctor",
"transcript": "No, OK. Um and tell me about your um uh your situation at home. Who do you live with?",
"turn_id": 88
},
{
"speaker": "patient",
"transcript": "Uh so, I live with a few flatmates. I'm a, so you know I'm thirty one. Uh I, yeah I'm I have a full time job. And so I'm living with a few people to save money.",
"turn_id": 89
},
{
"speaker": "doctor",
"transcript": "OK. And what do you do for work?",
"turn_id": 90
},
{
"speaker": "patient",
"transcript": "Uh I work uh at a pharmaceutical company.",
"turn_id": 91
},
{
"speaker": "patient",
"transcript": "So it's been a, it's been a few years now. Uh it's uh, it's kind of interesting. We're working I'm a, like a kind of project manager. Uh I mean, do you want to, to know more about it?",
"turn_id": 92
},
{
"speaker": "doctor",
"transcript": "OK. Uh no no no that's , that's absolutely fine. Um just a couple of questions I want to ask you, which can sometimes affect your symptoms, is, do you smoke at all?",
"turn_id": 93
},
{
"speaker": "patient",
"transcript": "No.",
"turn_id": 94
},
{
"speaker": "doctor",
"transcript": "No. And do you drink much in the way of alcohol?",
"turn_id": 95
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 96
},
{
"speaker": "patient",
"transcript": "Uh you know, once in a while I can, I like hanging out with people once in a while. So yeah I'd say a few, a few beers per week. Something like this. Nothing, nothing crazy. I used to drink a lot more when I was younger. But it's been, it's been a while.",
"turn_id": 97
},
{
"speaker": "doctor",
"transcript": "OK. OK. OK I've got to say, at this stage I've got to say this sound quality is not uh great. But I will continue because we've come this far. Um",
"turn_id": 98
},
{
"speaker": "doctor",
"transcript": "So um, based on everything you mentioned Sarah , I do wonder whether this is a flare-up of your eczema. Um",
"turn_id": 99
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 100
},
{
"speaker": "doctor",
"transcript": "The reason being that you said it was quite itchy. Um it's mainly affecting your chest and your back.",
"turn_id": 101
},
{
"speaker": "doctor",
"transcript": "Um and uh, having looked at your skin, uh the the the rash does appear quite familiar. Um you mentioned using steroid creams, yesterday.",
"turn_id": 102
},
{
"speaker": "patient",
"transcript": "",
"turn_id": 103
},
{
"speaker": "doctor",
"transcript": "Um from the pharmacy. I wonder whether giving you a stronger prescription of a of a steroid may be beneficial.",
"turn_id": 104
},
{
"speaker": "doctor",
"transcript": "Uh, which I'm happy to prescribe to you today. As well as, I'm going to give you something, some emollients, which helps to moisturize the skin.",
"turn_id": 105
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 106
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 107
},
{
"speaker": "doctor",
"transcript": "Um which use in the bath and shower. And it's definitely worth um using that for the first seven to ten days.",
"turn_id": 108
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 109
},
{
"speaker": "doctor",
"transcript": "Uh before we make the decision on whether it's working or not.",
"turn_id": 110
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 111
},
{
"speaker": "doctor",
"transcript": "Um it's also worth um using antihistamines, which you can sometimes buy over counter.",
"turn_id": 112
},
{
"speaker": "doctor",
"transcript": "Things like Loratadine or Piriton, which can help the itchiness of your skin.",
"turn_id": 113
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 114
},
{
"speaker": "doctor",
"transcript": "And uh, um it's also worth keeping a diary of any triggers which are affecting your symptoms, anything you wear or anything you use, in terms of shower gels or soap.",
"turn_id": 115
},
{
"speaker": "doctor",
"transcript": "Because if that's causing your symptoms, then we need to have a discussion about an eczema CU.",
"turn_id": 116
},
{
"speaker": "patient",
"transcript": "OK. Yes, I have tried antihistamines, uh lately, but it didn't really help.",
"turn_id": 117
},
{
"speaker": "doctor",
"transcript": "Ohh, could you say that again, sorry?",
"turn_id": 118
},
{
"speaker": "patient",
"transcript": "I have tried uh antihistamines, but uh but it didn't really help.",
"turn_id": 119
},
{
"speaker": "doctor",
"transcript": "OK.",
"turn_id": 120
},
{
"speaker": "doctor",
"transcript": "OK. So it's something for you to think about. you can get different types of antihistamines. I can give you something a little bit stronger today as well.",
"turn_id": 121
},
{
"speaker": "doctor",
"transcript": "Um, something like Fexofenadine, which I can give to you today. It's definitely worth trying, and it's not going to do you any harm.",
"turn_id": 122
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 123
},
{
"speaker": "doctor",
"transcript": "Um but I think using the steroids and the emollients, um on a regular basis",
"turn_id": 124
},
{
"speaker": "doctor",
"transcript": "Uh over the next week to ten days, should hopefully control your symptoms. But do come back and see me next week, if things don't get better.",
"turn_id": 125
},
{
"speaker": "patient",
"transcript": "That sounds good.",
"turn_id": 126
},
{
"speaker": "doctor",
"transcript": "OK? Um do you have any questions for me?",
"turn_id": 127
},
{
"speaker": "patient",
"transcript": "Uh, no that's it. Thank you very much. Bye. Thank you as well. Bye.",
"turn_id": 128
},
{
"speaker": "doctor",
"transcript": "OK. Well I wish you all the best.",
"turn_id": 129
},
{
"speaker": "doctor",
"transcript": "Thank you. Have a good day.",
"turn_id": 130
}
] | [
{
"description": "steroid first seven to ten days",
"order_type": "medication",
"provenance": [
97,
184,
191,
197
],
"reason": "chest, hands and like, like inside the elbows wonder whether this is a flare-up of your eczema"
},
{
"description": "emollients first seven to ten days",
"order_type": "medication",
"provenance": [
97,
184,
193,
197
],
"reason": "chest, hands and like, like inside the elbows wonder whether this is a flare-up of your eczema"
},
{
"description": "Fexofenadine",
"order_type": "medication",
"provenance": [
97,
202,
215
],
"reason": "chest, hands and like, like inside the elbows itchiness of your skin"
}
] | {"id": "primock57_1_2", "expected_orders": [{"order_type": "medication", "description": "steroid first seven to ten days", "reason": "chest, hands and like, like inside the elbows wonder whether this is a flare-up of your eczema", "provenance": [97, 184, 191, 197]}, {"order_type": "medication", "description": "emollients first seven to ten days", "reason": "chest, hands and like, like inside the elbows wonder whether this is a flare-up of your eczema", "provenance": [97, 184, 193, 197]}, {"order_type": "medication", "description": "Fexofenadine", "reason": "chest, hands and like, like inside the elbows itchiness of your skin", "provenance": [97, 202, 215]}], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "Hello?"}, {"turn_id": 2, "speaker": "patient", "transcript": "Hello. Can you hear me well?"}, {"turn_id": 3, "speaker": "doctor", "transcript": "Uh uh yes. I think. It's a bit better. It's a bit, it's a bit, it's not very clear. But let's continue anyway."}, {"turn_id": 4, "speaker": "patient", "transcript": "OK."}, {"turn_id": 5, "speaker": "doctor", "transcript": "Uh, OK. Let's start again. So how can I help you sir?"}, {"turn_id": 6, "speaker": "patient", "transcript": "Yes. So, it's been a few days now. I have like a sore, and a red skin. It's kind of, it's really itchy, and it's like super annoying. So I'd like to find something quick to solve it."}, {"turn_id": 7, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 8, "speaker": "doctor", "transcript": "No, no problem. I'm happy to help. Um whereabouts in your skin is it affected?"}, {"turn_id": 9, "speaker": "patient", "transcript": "Uh, mostly like my chest, my, my hands, my arms. Like, like really, it's it's super annoying. Like it's itching a lot, like all the time. And"}, {"turn_id": 10, "speaker": "patient", "transcript": "I can't even sleep at night. I really need something quickly to, to solve it. Because even at work I, I can, when I'm in a meeting and I have to, like uh think about my work, I can't focus, I can't actually focus on my work. It's really annoying because I can't actually think about, uh, what I have to say. I'm always like, uh, disturbed by this disease."}, {"turn_id": 11, "speaker": "doctor", "transcript": "Yeah."}, {"turn_id": 12, "speaker": "doctor", "transcript": ""}, {"turn_id": 13, "speaker": "doctor", "transcript": "No no, OK. I'm certain this is obviously affecting you. And uh we'll try our very best to get get this sorted out for you. Um, have you had anything like this before in the past?"}, {"turn_id": 14, "speaker": "patient", "transcript": "Um so yes. Uh earlier I was like prescribed for my eczema."}, {"turn_id": 15, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 16, "speaker": "patient", "transcript": "And they gave me like some cream, and something to, uh when I like shower, when I was in the shower, had to put something. But um"}, {"turn_id": 17, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 18, "speaker": "doctor", "transcript": "Did it help?"}, {"turn_id": 19, "speaker": "patient", "transcript": "Um I mean, at that time yes. That's, those symptoms, like these symptoms appear like, when the symptoms appeared again, I tried those and it didn't work."}, {"turn_id": 20, "speaker": "patient", "transcript": "I've tried a few things. Like I bought a, a steroid cream at the pharmacy last night. But it apparently didn't help, because it's still itching a lot today. Uh, yeah."}, {"turn_id": 21, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 22, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 23, "speaker": "doctor", "transcript": "Do you remember the name of the cream you bought?"}, {"turn_id": 24, "speaker": "patient", "transcript": "A steroid cream."}, {"turn_id": 25, "speaker": "doctor", "transcript": "OK, steroid, OK. um would you say these symptoms are very similar to your eczema symptoms, or different?"}, {"turn_id": 26, "speaker": "patient", "transcript": "Um"}, {"turn_id": 27, "speaker": "patient", "transcript": "it's much more like itchy. And my eczema was more like only in the arm. But now it's also on the chest. And in the on the, on the hands as well."}, {"turn_id": 28, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 29, "speaker": "patient", "transcript": "Like pretty, yeah when, like I like, for instance hiking, during the weekend. And"}, {"turn_id": 30, "speaker": "doctor", "transcript": ""}, {"turn_id": 31, "speaker": "patient", "transcript": "I am, I can't really do it anymore, because it's like very like I wanted to do that last weekend. And because super painful, and I I have to take like showers every day to be able to, cannot uh ease this itching part, which is very very annoying."}, {"turn_id": 32, "speaker": "doctor", "transcript": "Yes."}, {"turn_id": 33, "speaker": "doctor", "transcript": "No. Well OK. That's so you mentioned the itchiness. Um you also mentioned it's been quite sore."}, {"turn_id": 34, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 35, "speaker": "doctor", "transcript": "Um have you, have you noticed any uh bleeding or discharge from your skins?"}, {"turn_id": 36, "speaker": "patient", "transcript": ". OK."}, {"turn_id": 37, "speaker": "patient", "transcript": "No. Um so my skin is a bit cracked in some parts, like kind of cracked, if you see what I mean. But uh, yeah."}, {"turn_id": 38, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 39, "speaker": "doctor", "transcript": "You've not, haven't uh seen any other uh pus or blood, coming out of your skin."}, {"turn_id": 40, "speaker": "patient", "transcript": "No."}, {"turn_id": 41, "speaker": "doctor", "transcript": "No. And you mentioned it all started three days ago."}, {"turn_id": 42, "speaker": "doctor", "transcript": "Are you, four days ago. Are you aware of any triggers, or anything that you may have done, that may have caused your symptoms to start?"}, {"turn_id": 43, "speaker": "patient", "transcript": "Four days ago."}, {"turn_id": 44, "speaker": "doctor", "transcript": "So for example, have you changed your uh shower gel, any clothing?"}, {"turn_id": 45, "speaker": "doctor", "transcript": "Have you been around anyone else?"}, {"turn_id": 46, "speaker": "patient", "transcript": "No I . It's actually like, it's really annoying, because I'm thinking about, maybe I should change something. Because I I haven't, and I don't understand I cannot, um afraid of asking people around me because it's cannot you know um, I don't feel really comfortable asking about these questions. It's kind of intimate that. So I your help now."}, {"turn_id": 47, "speaker": "doctor", "transcript": "Mm."}, {"turn_id": 48, "speaker": "doctor", "transcript": "Mm. No no, OK. That's OK. Um"}, {"turn_id": 49, "speaker": "doctor", "transcript": "Fine, so just to resummarize. For the last four days, you've had very itchy skin, very sore skin all over your body, mainly your chest. And did you also mention your arms and legs as well?"}, {"turn_id": 50, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 51, "speaker": "patient", "transcript": "Uh, no. Just the chest, hands and like, like inside the elbows. Yeah."}, {"turn_id": 52, "speaker": "doctor", "transcript": ""}, {"turn_id": 53, "speaker": "doctor", "transcript": "OK. anything on your face at all?"}, {"turn_id": 54, "speaker": "patient", "transcript": "Am I what?"}, {"turn_id": 55, "speaker": "doctor", "transcript": "On your face?"}, {"turn_id": 56, "speaker": "patient", "transcript": "On my face? No."}, {"turn_id": 57, "speaker": "doctor", "transcript": "No, OK. And apart from this, any other symptoms have you noticed? For example, have you noticed any temperature or fevers?"}, {"turn_id": 58, "speaker": "patient", "transcript": "No. just very itchy. Nothing else."}, {"turn_id": 59, "speaker": "doctor", "transcript": "Itchy. OK. So your, your bowels are working OK?"}, {"turn_id": 60, "speaker": "doctor", "transcript": "Your chest is OK? No cough, no breathing difficulties?"}, {"turn_id": 61, "speaker": "patient", "transcript": "No."}, {"turn_id": 62, "speaker": "doctor", "transcript": "You're passing urine OK."}, {"turn_id": 63, "speaker": "patient", "transcript": "I I think so."}, {"turn_id": 64, "speaker": "doctor", "transcript": "OK, alright. Um"}, {"turn_id": 65, "speaker": "doctor", "transcript": "It's always good to know. So, I mean, do you have any ideas as to what could be causing your symptoms?"}, {"turn_id": 66, "speaker": "patient", "transcript": "Any what?"}, {"turn_id": 67, "speaker": "doctor", "transcript": "Any ideas, as to what could be causing your symptoms?"}, {"turn_id": 68, "speaker": "patient", "transcript": "Um so I had eczema before. So maybe it's disease, but it seems like more uh, like uh my eczema was only on the arms. So, I'm I'm not sure. I I really have no idea."}, {"turn_id": 69, "speaker": "doctor", "transcript": ""}, {"turn_id": 70, "speaker": "doctor", "transcript": "OK. That's OK. So um, normally at this stage I like to examine you. Um"}, {"turn_id": 71, "speaker": "doctor", "transcript": "To see the rash itself, to see exactly what type of rash it is. But from what you've told me, you mentioned it's, you've got some dry skin and some, uh cracked skin as well."}, {"turn_id": 72, "speaker": "doctor", "transcript": "Uh and has been very itchy. And so would your um"}, {"turn_id": 73, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 74, "speaker": "doctor", "transcript": "Uh your your background of eczema. Um"}, {"turn_id": 75, "speaker": "doctor", "transcript": "So"}, {"turn_id": 76, "speaker": "doctor", "transcript": "Sorry to say, there's a couple of questions I wanted to ask you, which I completely forgot, my apologies. Um, apart from the eczema, do you have any other medical problems I should be aware of?"}, {"turn_id": 77, "speaker": "patient", "transcript": "Uh, no. I just had asthma in the past. But not anymore."}, {"turn_id": 78, "speaker": "doctor", "transcript": "OK. Not anymore, OK. And do you take any regular medications at the moment?"}, {"turn_id": 79, "speaker": "patient", "transcript": "Uh no."}, {"turn_id": 80, "speaker": "doctor", "transcript": "No, OK. Do you have any allergies to anything?"}, {"turn_id": 81, "speaker": "patient", "transcript": "I like some , sorry? Yeah?"}, {"turn_id": 82, "speaker": "doctor", "transcript": "sorry I said do you have any allergies to anything?"}, {"turn_id": 83, "speaker": "doctor", "transcript": ""}, {"turn_id": 84, "speaker": "doctor", "transcript": "Hello?"}, {"turn_id": 85, "speaker": "patient", "transcript": "Hello? Yes."}, {"turn_id": 86, "speaker": "doctor", "transcript": "can you hear me? That's alright I think it . Uh do you have any allergies at all?"}, {"turn_id": 87, "speaker": "patient", "transcript": "Ohh, allergies. Uh, no."}, {"turn_id": 88, "speaker": "doctor", "transcript": "No, OK. Um and tell me about your um uh your situation at home. Who do you live with?"}, {"turn_id": 89, "speaker": "patient", "transcript": "Uh so, I live with a few flatmates. I'm a, so you know I'm thirty one. Uh I, yeah I'm I have a full time job. And so I'm living with a few people to save money."}, {"turn_id": 90, "speaker": "doctor", "transcript": "OK. And what do you do for work?"}, {"turn_id": 91, "speaker": "patient", "transcript": "Uh I work uh at a pharmaceutical company."}, {"turn_id": 92, "speaker": "patient", "transcript": "So it's been a, it's been a few years now. Uh it's uh, it's kind of interesting. We're working I'm a, like a kind of project manager. Uh I mean, do you want to, to know more about it?"}, {"turn_id": 93, "speaker": "doctor", "transcript": "OK. Uh no no no that's , that's absolutely fine. Um just a couple of questions I want to ask you, which can sometimes affect your symptoms, is, do you smoke at all?"}, {"turn_id": 94, "speaker": "patient", "transcript": "No."}, {"turn_id": 95, "speaker": "doctor", "transcript": "No. And do you drink much in the way of alcohol?"}, {"turn_id": 96, "speaker": "patient", "transcript": ""}, {"turn_id": 97, "speaker": "patient", "transcript": "Uh you know, once in a while I can, I like hanging out with people once in a while. So yeah I'd say a few, a few beers per week. Something like this. Nothing, nothing crazy. I used to drink a lot more when I was younger. But it's been, it's been a while."}, {"turn_id": 98, "speaker": "doctor", "transcript": "OK. OK. OK I've got to say, at this stage I've got to say this sound quality is not uh great. But I will continue because we've come this far. Um"}, {"turn_id": 99, "speaker": "doctor", "transcript": "So um, based on everything you mentioned Sarah , I do wonder whether this is a flare-up of your eczema. Um"}, {"turn_id": 100, "speaker": "patient", "transcript": ""}, {"turn_id": 101, "speaker": "doctor", "transcript": "The reason being that you said it was quite itchy. Um it's mainly affecting your chest and your back."}, {"turn_id": 102, "speaker": "doctor", "transcript": "Um and uh, having looked at your skin, uh the the the rash does appear quite familiar. Um you mentioned using steroid creams, yesterday."}, {"turn_id": 103, "speaker": "patient", "transcript": ""}, {"turn_id": 104, "speaker": "doctor", "transcript": "Um from the pharmacy. I wonder whether giving you a stronger prescription of a of a steroid may be beneficial."}, {"turn_id": 105, "speaker": "doctor", "transcript": "Uh, which I'm happy to prescribe to you today. As well as, I'm going to give you something, some emollients, which helps to moisturize the skin."}, {"turn_id": 106, "speaker": "patient", "transcript": "OK."}, {"turn_id": 107, "speaker": "patient", "transcript": "OK."}, {"turn_id": 108, "speaker": "doctor", "transcript": "Um which use in the bath and shower. And it's definitely worth um using that for the first seven to ten days."}, {"turn_id": 109, "speaker": "patient", "transcript": "OK."}, {"turn_id": 110, "speaker": "doctor", "transcript": "Uh before we make the decision on whether it's working or not."}, {"turn_id": 111, "speaker": "patient", "transcript": "OK."}, {"turn_id": 112, "speaker": "doctor", "transcript": "Um it's also worth um using antihistamines, which you can sometimes buy over counter."}, {"turn_id": 113, "speaker": "doctor", "transcript": "Things like Loratadine or Piriton, which can help the itchiness of your skin."}, {"turn_id": 114, "speaker": "patient", "transcript": "OK."}, {"turn_id": 115, "speaker": "doctor", "transcript": "And uh, um it's also worth keeping a diary of any triggers which are affecting your symptoms, anything you wear or anything you use, in terms of shower gels or soap."}, {"turn_id": 116, "speaker": "doctor", "transcript": "Because if that's causing your symptoms, then we need to have a discussion about an eczema CU."}, {"turn_id": 117, "speaker": "patient", "transcript": "OK. Yes, I have tried antihistamines, uh lately, but it didn't really help."}, {"turn_id": 118, "speaker": "doctor", "transcript": "Ohh, could you say that again, sorry?"}, {"turn_id": 119, "speaker": "patient", "transcript": "I have tried uh antihistamines, but uh but it didn't really help."}, {"turn_id": 120, "speaker": "doctor", "transcript": "OK."}, {"turn_id": 121, "speaker": "doctor", "transcript": "OK. So it's something for you to think about. you can get different types of antihistamines. I can give you something a little bit stronger today as well."}, {"turn_id": 122, "speaker": "doctor", "transcript": "Um, something like Fexofenadine, which I can give to you today. It's definitely worth trying, and it's not going to do you any harm."}, {"turn_id": 123, "speaker": "patient", "transcript": "OK."}, {"turn_id": 124, "speaker": "doctor", "transcript": "Um but I think using the steroids and the emollients, um on a regular basis"}, {"turn_id": 125, "speaker": "doctor", "transcript": "Uh over the next week to ten days, should hopefully control your symptoms. But do come back and see me next week, if things don't get better."}, {"turn_id": 126, "speaker": "patient", "transcript": "That sounds good."}, {"turn_id": 127, "speaker": "doctor", "transcript": "OK? Um do you have any questions for me?"}, {"turn_id": 128, "speaker": "patient", "transcript": "Uh, no that's it. Thank you very much. Bye. Thank you as well. Bye."}, {"turn_id": 129, "speaker": "doctor", "transcript": "OK. Well I wish you all the best."}, {"turn_id": 130, "speaker": "doctor", "transcript": "Thank you. Have a good day."}]} |
primock57_3_2 | [
{
"speaker": "doctor",
"transcript": "Hello, hi, I'm Doctor Jacob and welcome to Babylon.",
"turn_id": 1
},
{
"speaker": "patient",
"transcript": "Hi.",
"turn_id": 2
},
{
"speaker": "doctor",
"transcript": "Hi. So, just before we start is it alright if you could confirm your name for me please?",
"turn_id": 3
},
{
"speaker": "patient",
"transcript": "Yep, uh, John Doe.",
"turn_id": 4
},
{
"speaker": "doctor",
"transcript": "OK and your date of birth?",
"turn_id": 5
},
{
"speaker": "patient",
"transcript": "Uhh, twenty-one twelve and nineteen uh eighty-six.",
"turn_id": 6
},
{
"speaker": "doctor",
"transcript": "And, your address for me, please?",
"turn_id": 7
},
{
"speaker": "patient",
"transcript": "Is, uh, number one London Street. Um, NW three six PQ.",
"turn_id": 8
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 9
},
{
"speaker": "doctor",
"transcript": "That's correct. And just to confirm that you're in a secure location and we can have a confidential conversation?",
"turn_id": 10
},
{
"speaker": "patient",
"transcript": "We are, yes.",
"turn_id": 11
},
{
"speaker": "doctor",
"transcript": "OK. So I understand you're having a a headache is that correct?",
"turn_id": 12
},
{
"speaker": "patient",
"transcript": "Uh yeah, iIve had a, um a sort of a, a, a very sort of bad, severe headache, the past four days. Um, and um I've been sort of feeling a bit hot as well. Um, I've got, got a bit of a temperature, I think.",
"turn_id": 13
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 14
},
{
"speaker": "patient",
"transcript": "I haven't measured it but um, think I've, yeah, I think I've got a fever.",
"turn_id": 15
},
{
"speaker": "doctor",
"transcript": "OK. Right. And um, so what started first, was it the headache or the fever?",
"turn_id": 16
},
{
"speaker": "patient",
"transcript": "Um, so um, headache started uh, first. Um, and then sort of yeah, fever sort of came along a bit afterwards.",
"turn_id": 17
},
{
"speaker": "doctor",
"transcript": "OK, afterwards, right. And what have you taken so far for your headache?",
"turn_id": 18
},
{
"speaker": "patient",
"transcript": "Um, so I've had some Paracetamol and some Ibuprofen, but it's not really helping at the moment.",
"turn_id": 19
},
{
"speaker": "doctor",
"transcript": "OK. so just a few more questions, with regards to your headache So do you find it difficult to look at the light?",
"turn_id": 20
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 21
},
{
"speaker": "patient",
"transcript": "Um no, like um it, it's fine, light doesn't seem to bother me too much.",
"turn_id": 22
},
{
"speaker": "doctor",
"transcript": "OK. Uh, and is it any pain when you try to move your neck from side to side, look up and down, is there any pain?",
"turn_id": 23
},
{
"speaker": "patient",
"transcript": "And I've got some general aching muscles. Um, not necessarily sort of in my neck. It's kind of a bit all over, really.",
"turn_id": 24
},
{
"speaker": "doctor",
"transcript": "OK, all over. Right, and have you been sick with this headache?",
"turn_id": 25
},
{
"speaker": "patient",
"transcript": "No, no I haven't, I haven't been sick.",
"turn_id": 26
},
{
"speaker": "doctor",
"transcript": "OK, and do you have a cough?",
"turn_id": 27
},
{
"speaker": "patient",
"transcript": "Uh no, no cough.",
"turn_id": 28
},
{
"speaker": "doctor",
"transcript": "OK, so there's no cough or cold, yeah?",
"turn_id": 29
},
{
"speaker": "patient",
"transcript": "Uh, no. No.",
"turn_id": 30
},
{
"speaker": "doctor",
"transcript": "OK, and you your ears are OK? There's no earaches?",
"turn_id": 31
},
{
"speaker": "patient",
"transcript": "Um, no it's, it seems to be OK. It, it's fine.",
"turn_id": 32
},
{
"speaker": "doctor",
"transcript": "OK, all right. And with this headache have you experienced any pins and needles in your face, arms and legs?",
"turn_id": 33
},
{
"speaker": "patient",
"transcript": "Uh, no.",
"turn_id": 34
},
{
"speaker": "doctor",
"transcript": "No pins and needles. Any muscle weaknesses at all?",
"turn_id": 35
},
{
"speaker": "patient",
"transcript": "Um just, I, I suppose general aching, body aching.",
"turn_id": 36
},
{
"speaker": "doctor",
"transcript": "Not, not any weakness but where you couldn't, you know, hold a cup or anything like that, that's what I mean.",
"turn_id": 37
},
{
"speaker": "patient",
"transcript": "Uh, no. I'm, I'm sort of, yeah, seem to be sort of fine with that sort of stuff but, yeah.",
"turn_id": 38
},
{
"speaker": "doctor",
"transcript": "Ohh",
"turn_id": 39
},
{
"speaker": "doctor",
"transcript": "Okay, and um just a few more questions to you, because I don't have any of your background history. Um, do you suffer from any medical conditions?",
"turn_id": 40
},
{
"speaker": "patient",
"transcript": "Uh no, um general medical history is fine.",
"turn_id": 41
},
{
"speaker": "doctor",
"transcript": "Fine. And no surgical history then and no medical surgical complaints, yeah?",
"turn_id": 42
},
{
"speaker": "patient",
"transcript": "Uh, no. Um, I, I suppose uh I have been away to um, uh, Thailand. Um, uh week or so ago. Um",
"turn_id": 43
},
{
"speaker": "doctor",
"transcript": "",
"turn_id": 44
},
{
"speaker": "patient",
"transcript": "had some, like, usual mosquito bites from sort of traveling around and a friend of mine has also been a bit unwell, but um, uh, yeah, that 's the only sort of, like, history per se.",
"turn_id": 45
},
{
"speaker": "doctor",
"transcript": "Right, and um, do you have any kind of shivering at all? Do you shivering with the fever?",
"turn_id": 46
},
{
"speaker": "patient",
"transcript": "Um, I um, uh, I I do feel cold quite a lot. Uh, you know it's, um, I no sort of shivering, but definitely like a bit cold.",
"turn_id": 47
},
{
"speaker": "doctor",
"transcript": "cold, yeah? OK, right. And are you using you mentioned about the paracetamol and now, but are you on any regular, any medication, anything that you're using at all?",
"turn_id": 48
},
{
"speaker": "patient",
"transcript": "Yep.",
"turn_id": 49
},
{
"speaker": "patient",
"transcript": "Uh, no.",
"turn_id": 50
},
{
"speaker": "doctor",
"transcript": "OK. Um, any allergies at all?",
"turn_id": 51
},
{
"speaker": "patient",
"transcript": "Uh, no. Um",
"turn_id": 52
},
{
"speaker": "doctor",
"transcript": "Alright.",
"turn_id": 53
},
{
"speaker": "doctor",
"transcript": "OK and... OK, so uh I, I believe that it is quite important for us to actually examine you, yeah?",
"turn_id": 54
},
{
"speaker": "doctor",
"transcript": "Um, it it's not possible for us to do that online. I think you would need to come into one of our hubs to have a proper examination, and I, I think you would need one quite urgently, OK? So the thing that's running in the back of my mind are um, kind of a viral illnesses that can one can get with um, sort of mosquito bites or foreign travel.",
"turn_id": 55
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 56
},
{
"speaker": "doctor",
"transcript": "Like , um the other common thing around Thailand, it will be like some dengue. But that would have, like you would have some, uh, blood spots or bleeding or something, which you don't have at the moment, do you?",
"turn_id": 57
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 58
},
{
"speaker": "patient",
"transcript": "Uh no. I mean I've got a bit of a rash, but nothing like, uh no, no, no, no bleeding.",
"turn_id": 59
},
{
"speaker": "doctor",
"transcript": "OK. So where is the rash?",
"turn_id": 60
},
{
"speaker": "patient",
"transcript": "Um, it's uh, the rash is kind of all over my body. Like it's not, it's not, it's not really localised.",
"turn_id": 61
},
{
"speaker": "doctor",
"transcript": "How would you describe, how would you describe the rash?",
"turn_id": 62
},
{
"speaker": "patient",
"transcript": "Um uh sort of red and itchy.",
"turn_id": 63
},
{
"speaker": "doctor",
"transcript": "Red and itchy. OK. So if you were to put a glass on top of the rash, does that rash go away?",
"turn_id": 64
},
{
"speaker": "patient",
"transcript": "Yeah.",
"turn_id": 65
},
{
"speaker": "patient",
"transcript": "Uh, yes.",
"turn_id": 66
},
{
"speaker": "doctor",
"transcript": "It goes away. OK.",
"turn_id": 67
},
{
"speaker": "doctor",
"transcript": "OK. So what we need to do, need to urgently examine you. And that's sometime today. OK? And um, after our examination there is a high possibility that sometimes we might need to send you to hospital. But I'm not sure as yet. So I'd like you to be seen in one of our hubs as soon as possible?",
"turn_id": 68
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 69
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 70
},
{
"speaker": "doctor",
"transcript": "So um, I'll recommend that you would need to be urgently seen by the doctor, preferably in the next few hours time. OK? And um, in any case if that's not available I'd like you to take yourself to . Alright? Any questions at all?",
"turn_id": 71
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 72
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 73
},
{
"speaker": "patient",
"transcript": "Uh, no. Sounds serious.",
"turn_id": 74
},
{
"speaker": "doctor",
"transcript": ", you know obviously when I've spoken to you, you, you didn't tick the box for many theories, but you're in the middle somewhere. Let's put it that way.",
"turn_id": 75
},
{
"speaker": "patient",
"transcript": "OK.",
"turn_id": 76
},
{
"speaker": "doctor",
"transcript": "Um you know things like we have to rule out is Meningitis and all, but Ben, you just have a general muscle ache. You didn't say that you had things like, you had problems looking at the light or something Those are things when you think of Meningitis",
"turn_id": 77
},
{
"speaker": "doctor",
"transcript": "But and then, it's the uh, in meningitis you get a non-blanching rash. While in any kind of virus the rash usually goes away. Saying that, we don't know whether these are the beginning stage. So that's why I'd rather, but I would rather you see a GP as soon as possible, if uh, we've got a slot available. But if not, I think you need to be seen, and maybe have some blood tests and examinations. OK?",
"turn_id": 78
},
{
"speaker": "patient",
"transcript": "OK, cool. Thank you very much.",
"turn_id": 79
},
{
"speaker": "doctor",
"transcript": "All right, you take care, Ben. Bye now. Cheers. Bye.",
"turn_id": 80
},
{
"speaker": "patient",
"transcript": "Bye.",
"turn_id": 81
}
] | [] | {"id": "primock57_3_2", "expected_orders": [], "transcript": [{"turn_id": 1, "speaker": "doctor", "transcript": "Hello, hi, I'm Doctor Jacob and welcome to Babylon."}, {"turn_id": 2, "speaker": "patient", "transcript": "Hi."}, {"turn_id": 3, "speaker": "doctor", "transcript": "Hi. So, just before we start is it alright if you could confirm your name for me please?"}, {"turn_id": 4, "speaker": "patient", "transcript": "Yep, uh, John Doe."}, {"turn_id": 5, "speaker": "doctor", "transcript": "OK and your date of birth?"}, {"turn_id": 6, "speaker": "patient", "transcript": "Uhh, twenty-one twelve and nineteen uh eighty-six."}, {"turn_id": 7, "speaker": "doctor", "transcript": "And, your address for me, please?"}, {"turn_id": 8, "speaker": "patient", "transcript": "Is, uh, number one London Street. Um, NW three six PQ."}, {"turn_id": 9, "speaker": "doctor", "transcript": ""}, {"turn_id": 10, "speaker": "doctor", "transcript": "That's correct. And just to confirm that you're in a secure location and we can have a confidential conversation?"}, {"turn_id": 11, "speaker": "patient", "transcript": "We are, yes."}, {"turn_id": 12, "speaker": "doctor", "transcript": "OK. So I understand you're having a a headache is that correct?"}, {"turn_id": 13, "speaker": "patient", "transcript": "Uh yeah, iIve had a, um a sort of a, a, a very sort of bad, severe headache, the past four days. Um, and um I've been sort of feeling a bit hot as well. Um, I've got, got a bit of a temperature, I think."}, {"turn_id": 14, "speaker": "doctor", "transcript": ""}, {"turn_id": 15, "speaker": "patient", "transcript": "I haven't measured it but um, think I've, yeah, I think I've got a fever."}, {"turn_id": 16, "speaker": "doctor", "transcript": "OK. Right. And um, so what started first, was it the headache or the fever?"}, {"turn_id": 17, "speaker": "patient", "transcript": "Um, so um, headache started uh, first. Um, and then sort of yeah, fever sort of came along a bit afterwards."}, {"turn_id": 18, "speaker": "doctor", "transcript": "OK, afterwards, right. And what have you taken so far for your headache?"}, {"turn_id": 19, "speaker": "patient", "transcript": "Um, so I've had some Paracetamol and some Ibuprofen, but it's not really helping at the moment."}, {"turn_id": 20, "speaker": "doctor", "transcript": "OK. so just a few more questions, with regards to your headache So do you find it difficult to look at the light?"}, {"turn_id": 21, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 22, "speaker": "patient", "transcript": "Um no, like um it, it's fine, light doesn't seem to bother me too much."}, {"turn_id": 23, "speaker": "doctor", "transcript": "OK. Uh, and is it any pain when you try to move your neck from side to side, look up and down, is there any pain?"}, {"turn_id": 24, "speaker": "patient", "transcript": "And I've got some general aching muscles. Um, not necessarily sort of in my neck. It's kind of a bit all over, really."}, {"turn_id": 25, "speaker": "doctor", "transcript": "OK, all over. Right, and have you been sick with this headache?"}, {"turn_id": 26, "speaker": "patient", "transcript": "No, no I haven't, I haven't been sick."}, {"turn_id": 27, "speaker": "doctor", "transcript": "OK, and do you have a cough?"}, {"turn_id": 28, "speaker": "patient", "transcript": "Uh no, no cough."}, {"turn_id": 29, "speaker": "doctor", "transcript": "OK, so there's no cough or cold, yeah?"}, {"turn_id": 30, "speaker": "patient", "transcript": "Uh, no. No."}, {"turn_id": 31, "speaker": "doctor", "transcript": "OK, and you your ears are OK? There's no earaches?"}, {"turn_id": 32, "speaker": "patient", "transcript": "Um, no it's, it seems to be OK. It, it's fine."}, {"turn_id": 33, "speaker": "doctor", "transcript": "OK, all right. And with this headache have you experienced any pins and needles in your face, arms and legs?"}, {"turn_id": 34, "speaker": "patient", "transcript": "Uh, no."}, {"turn_id": 35, "speaker": "doctor", "transcript": "No pins and needles. Any muscle weaknesses at all?"}, {"turn_id": 36, "speaker": "patient", "transcript": "Um just, I, I suppose general aching, body aching."}, {"turn_id": 37, "speaker": "doctor", "transcript": "Not, not any weakness but where you couldn't, you know, hold a cup or anything like that, that's what I mean."}, {"turn_id": 38, "speaker": "patient", "transcript": "Uh, no. I'm, I'm sort of, yeah, seem to be sort of fine with that sort of stuff but, yeah."}, {"turn_id": 39, "speaker": "doctor", "transcript": "Ohh"}, {"turn_id": 40, "speaker": "doctor", "transcript": "Okay, and um just a few more questions to you, because I don't have any of your background history. Um, do you suffer from any medical conditions?"}, {"turn_id": 41, "speaker": "patient", "transcript": "Uh no, um general medical history is fine."}, {"turn_id": 42, "speaker": "doctor", "transcript": "Fine. And no surgical history then and no medical surgical complaints, yeah?"}, {"turn_id": 43, "speaker": "patient", "transcript": "Uh, no. Um, I, I suppose uh I have been away to um, uh, Thailand. Um, uh week or so ago. Um"}, {"turn_id": 44, "speaker": "doctor", "transcript": ""}, {"turn_id": 45, "speaker": "patient", "transcript": "had some, like, usual mosquito bites from sort of traveling around and a friend of mine has also been a bit unwell, but um, uh, yeah, that 's the only sort of, like, history per se."}, {"turn_id": 46, "speaker": "doctor", "transcript": "Right, and um, do you have any kind of shivering at all? Do you shivering with the fever?"}, {"turn_id": 47, "speaker": "patient", "transcript": "Um, I um, uh, I I do feel cold quite a lot. Uh, you know it's, um, I no sort of shivering, but definitely like a bit cold."}, {"turn_id": 48, "speaker": "doctor", "transcript": "cold, yeah? OK, right. And are you using you mentioned about the paracetamol and now, but are you on any regular, any medication, anything that you're using at all?"}, {"turn_id": 49, "speaker": "patient", "transcript": "Yep."}, {"turn_id": 50, "speaker": "patient", "transcript": "Uh, no."}, {"turn_id": 51, "speaker": "doctor", "transcript": "OK. Um, any allergies at all?"}, {"turn_id": 52, "speaker": "patient", "transcript": "Uh, no. Um"}, {"turn_id": 53, "speaker": "doctor", "transcript": "Alright."}, {"turn_id": 54, "speaker": "doctor", "transcript": "OK and... OK, so uh I, I believe that it is quite important for us to actually examine you, yeah?"}, {"turn_id": 55, "speaker": "doctor", "transcript": "Um, it it's not possible for us to do that online. I think you would need to come into one of our hubs to have a proper examination, and I, I think you would need one quite urgently, OK? So the thing that's running in the back of my mind are um, kind of a viral illnesses that can one can get with um, sort of mosquito bites or foreign travel."}, {"turn_id": 56, "speaker": "patient", "transcript": "OK."}, {"turn_id": 57, "speaker": "doctor", "transcript": "Like , um the other common thing around Thailand, it will be like some dengue. But that would have, like you would have some, uh, blood spots or bleeding or something, which you don't have at the moment, do you?"}, {"turn_id": 58, "speaker": "patient", "transcript": "OK."}, {"turn_id": 59, "speaker": "patient", "transcript": "Uh no. I mean I've got a bit of a rash, but nothing like, uh no, no, no, no bleeding."}, {"turn_id": 60, "speaker": "doctor", "transcript": "OK. So where is the rash?"}, {"turn_id": 61, "speaker": "patient", "transcript": "Um, it's uh, the rash is kind of all over my body. Like it's not, it's not, it's not really localised."}, {"turn_id": 62, "speaker": "doctor", "transcript": "How would you describe, how would you describe the rash?"}, {"turn_id": 63, "speaker": "patient", "transcript": "Um uh sort of red and itchy."}, {"turn_id": 64, "speaker": "doctor", "transcript": "Red and itchy. OK. So if you were to put a glass on top of the rash, does that rash go away?"}, {"turn_id": 65, "speaker": "patient", "transcript": "Yeah."}, {"turn_id": 66, "speaker": "patient", "transcript": "Uh, yes."}, {"turn_id": 67, "speaker": "doctor", "transcript": "It goes away. OK."}, {"turn_id": 68, "speaker": "doctor", "transcript": "OK. So what we need to do, need to urgently examine you. And that's sometime today. OK? And um, after our examination there is a high possibility that sometimes we might need to send you to hospital. But I'm not sure as yet. So I'd like you to be seen in one of our hubs as soon as possible?"}, {"turn_id": 69, "speaker": "patient", "transcript": "OK."}, {"turn_id": 70, "speaker": "patient", "transcript": "OK."}, {"turn_id": 71, "speaker": "doctor", "transcript": "So um, I'll recommend that you would need to be urgently seen by the doctor, preferably in the next few hours time. OK? And um, in any case if that's not available I'd like you to take yourself to . Alright? Any questions at all?"}, {"turn_id": 72, "speaker": "patient", "transcript": "OK."}, {"turn_id": 73, "speaker": "patient", "transcript": "OK."}, {"turn_id": 74, "speaker": "patient", "transcript": "Uh, no. Sounds serious."}, {"turn_id": 75, "speaker": "doctor", "transcript": ", you know obviously when I've spoken to you, you, you didn't tick the box for many theories, but you're in the middle somewhere. Let's put it that way."}, {"turn_id": 76, "speaker": "patient", "transcript": "OK."}, {"turn_id": 77, "speaker": "doctor", "transcript": "Um you know things like we have to rule out is Meningitis and all, but Ben, you just have a general muscle ache. You didn't say that you had things like, you had problems looking at the light or something Those are things when you think of Meningitis"}, {"turn_id": 78, "speaker": "doctor", "transcript": "But and then, it's the uh, in meningitis you get a non-blanching rash. While in any kind of virus the rash usually goes away. Saying that, we don't know whether these are the beginning stage. So that's why I'd rather, but I would rather you see a GP as soon as possible, if uh, we've got a slot available. But if not, I think you need to be seen, and maybe have some blood tests and examinations. OK?"}, {"turn_id": 79, "speaker": "patient", "transcript": "OK, cool. Thank you very much."}, {"turn_id": 80, "speaker": "doctor", "transcript": "All right, you take care, Ben. Bye now. Cheers. Bye."}, {"turn_id": 81, "speaker": "patient", "transcript": "Bye."}]} |
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