dataset stringclasses 3
values | encounter_id stringlengths 6 6 | dialogue stringlengths 2.94k 14.2k | note stringlengths 851 5.71k | augmented note stringlengths 1.97k 7.86k | qwen/qwen3-4b:free stringlengths 0 2.24k |
|---|---|---|---|---|---|
virtassist | D2N168 | [doctor] hi diane , how are you ?
[patient] i'm doing okay , how are you ?
[doctor] 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 ?
[patient] okay .
[doctor] diane is a 28 year old female with a past medical history , significant for , depression and hypert... | CHIEF COMPLAINT
Emergency room follow-up.
HISTORY OF PRESENT ILLNESS
Ms. Diane Baker is a 28-year-old female with a past medical history significant for depression, and hypertension, who presents for emergency room follow-up.
The patient went for a walk yesterday and began to feel lightheaded. She started to fall, ... | S:
**Chief Complaint:** Emergency room follow-up for hypertensive urgency/elevated blood pressure.
**History of Present Illness:** Ms. Diane Baker is a 28-year-old female with a past medical history significant for depression and hypertension, who presents for emergency room follow-up. Yesterday, while on a walk, she ... | S – Subjective
Patient reports high blood pressure (BP) in the emergency room, with lightheadedness and near-fall during a walk. BP spikes once a week, often occurring when traveling for work and not eating well. Not taking BP regularly due to not bringing her cuff. On lisinopril. Started therapy for depression last ... |
virtassist | D2N169 | [doctor] hi alan , how are you ?
[patient] hi , good to see you .
[doctor] good to see you as well . are you ready to get started ?
[patient] yes i am .
[doctor] so , alan is a 61-year-old male , here with complaints of shortness of breath .
[doctor] so alan , what's going on ?
[patient] so over the weekend , uh , i to... | CHIEF COMPLAINT
Shortness of breath.
HISTORY OF PRESENT ILLNESS
Alan Butler is a 61-year-old male presenting with complaints of shortness of breath.
The patient states that over the weekend, he took a very long bike ride for approximately 3 hours, and when he returned, he was very lightheaded and short of breath. H... | S:
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** Mr. Alan Butler is a 61-year-old male presenting with complaints of shortness of breath. He reports that over the weekend, after a 3-hour bike ride, he experienced sudden onset lightheadedness and shortness of breath, finding it difficult to ... | S – Subjective
Alan reports shortness of breath and lightheadedness after a 3-hour bike ride over the weekend. He notes difficulty catching his breath, which he attributes to exercise and allergies. He mentions a prior cough from a cold 1.5 years ago, which resolved in ~1 week. No fever, chest pain, nausea, vomiting,... |
virtassist | D2N170 | [doctor] hi joyce , how are you ?
[patient] i'm good . how are you ?
[doctor] i'm doing well . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you when we get started , okay ?
[patient] okay .
[doctor] all right . so , joyce is a 50 year old female with a past medical history signific... | CHIEF COMPLAINT
Follow-up to an abnormal labs.
HISTORY OF PRESENT ILLNESS
Joyce Price is a 50-year-old female with a past medical history significant for COPD, congestive heart failure who presents for follow-up to an abnormal lab finding.
The patient reports that she has been feeling really tired lately. She repor... | S:
CHIEF COMPLAINT: Follow-up of abnormal lab finding (low hemoglobin).
HISTORY OF PRESENT ILLNESS: 50-year-old female with a past medical history significant for COPD and congestive heart failure presents for follow-up of an abnormal lab finding (low hemoglobin). Patient reports significant fatigue and decreased ener... | S – Subjective
Patient reports fatigue lasting several months, with decreased energy and inability to maintain previous exercise routine (running, climbing). No blood in stools, no dark or charred stools, no menstrual spotting. No chest pain, shortness of breath, fever, chills, or body aches. Mild weight loss noted b... |
virtassist | D2N171 | [doctor] hi evelyn , how are you ?
[patient] i'm good , how are you ?
[doctor] i'm good . it's good to see you .
[patient] good to see you too .
[doctor] so i know the nurse told you a little bit about dax . i'm gon na tell dax about you , okay ?
[patient] okay .
[doctor] so evelyn is a 56-year-old female with a past m... | CHIEF COMPLAINT
Annual exam.
HISTORY OF PRESENT ILLNESS
Evelyn Morris is a 56-year-old female with a past medical history significant for coronary artery disease, prior carpal tunnel release, and a herniated disc. She presents for her annual exam.
The patient states she has been doing okay with her herniated disc i... | S:
**Chief Complaint:** Annual exam.
**History of Present Illness:** Ms. Evelyn Morris is a 56-year-old female with a past medical history significant for coronary artery disease, prior carpal tunnel release, and a herniated disc, presenting for her annual exam.
She reports her herniated disc has been doing well since... | S – Subjective:
Patient reports being "doing okay" overall. No back pain or movement limitations since herniated disc surgery. Back to work, no carpal tunnel symptoms. Recurrent chest pain (burning sensation) 3 times weekly, resolving with rest. No other symptoms like shortness of breath, nausea, or vomiting. Mild na... |
virtassist | D2N172 | [doctor] morning roy , how are you doing ?
[patient] hey , good to see you .
[doctor] so , my nurse told you a little bit about dax ? so , if you do n't mind , i'm going to tell dax a little bit about you today .
[patient] perfect .
[doctor] great , great . so , roy is a 50-year-old male patient who comes in with a his... | CHIEF COMPLAINT
History of depression.
HISTORY OF PRESENT ILLNESS
Roy Sanchez is a 50-year-old male who comes in with a history of depressionand high blood pressure. He presents today for abnormal labs.
He states it has been a pretty stressful winter and spring, as they have been very short-staffed at work. The pat... | S:
**Chief Complaint:** Follow-up for chronic conditions and concern regarding recent blood pressure readings.
**History of Present Illness:**
Mr. Roy Sanchez is a 50-year-old male presenting for follow-up of his chronic medical conditions. He reports experiencing a stressful winter and spring due to being short-staff... | S – Subjective
Patient reports a stressful winter and spring, recent short-staffing, and bouts of depression over the past year-and-a-half. Noted weight gain due to a different diet during summer, early morning waking (5:00 AM), and no suicidal ideation. Concerned about recent blood pressure readings but states BP ha... |
virtassist | D2N173 | [doctor] hi logan , how are you ?
[patient] hi . good to see you .
[doctor] it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ?
[patient] sure .
[doctor] so logan is a 57-year-old male , with a past medical history significant for coronary artery ... | CHIEF COMPLAINT
Upper respiratory infection.
HISTORY OF PRESENT ILLNESS
Logan Harris is a 57-year-old male with a past medical history significant for coronary artery bypass grafting, hyperlipidemia, and OCD, who presents with an upper respiratory infection.
The patient reports that about a week ago he started to g... | S:
**Chief Complaint:** Upper respiratory infection.
**History of Present Illness:**
Logan Harris is a 57-year-old male with a past medical history significant for coronary artery bypass grafting, hyperlipidemia, and OCD, who presents with symptoms of an upper respiratory infection.
Patient reports symptoms began appr... | S – Subjective
Patient reports a 1-week history of a cold that progressed to chest discomfort. Noted postnasal drip initially in the upper respiratory tract, which resolved but caused upper chest congestion. No fever, shortness of breath, or muscle aches. Confirmed vaccination status for COVID-19 (both doses). Compli... |
virtassist | D2N174 | [doctor] hi , james , how are you ?
[patient] hi , good to see you .
[doctor] it's good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little bit about you .
[patient] sure .
[doctor] james is a 57 year old male with a past medical history significant for coronary artery disease and lu... | CHIEF COMPLAINT
Joint pain.
HISTORY OF PRESENT ILLNESS
Mr. James Moore is a 57-year-old male with a past medical history significant for coronary artery disease and lupus, who presents today with some joint pain.
The patient reports he has been " putting a few more miles on the bike each day ". His bilateral knees ... | S:
CHIEF COMPLAINT: Joint pain.
HISTORY OF PRESENT ILLNESS:
Mr. James Moore is a 57-year-old male with a past medical history significant for coronary artery disease and lupus, who presents today with bilateral knee pain. The pain has been present for the last 3 to 4 days. He reports the pain is equally severe in both... | S – Subjective: Patient reports bilateral knee pain worsening over the last 3-4 days, with morning stiffness and soreness that eases by evening. Pain is described as "killing me" and is associated with increased daily biking mileage (doubled miles). No other joint involvement, swelling, or systemic symptoms (fever, fat... |
virtassist | D2N175 | [doctor] hi , natalie . how are you ?
[patient] good . how are you ?
[doctor] it's good to see you .
[patient] good to see you , too .
[doctor] i know my nurse has already told you about dax . is it okay if i tell dax a little bit about you ?
[patient] go for it .
[doctor] all right . so , natalie is a 39-year-old fema... | CHIEF COMPLAINT
Check up for abnormal labs.
HISTORY OF PRESENT ILLNESS
Natalie Price is a 39-year-old female here today for a check up for an abnormal labs. She has a history of high blood pressure, diabetes type 2, and right ACL repair.
The patient states she had routine blood work done last week and they said her... | S:
**Chief Complaint:** Check-up for abnormal lab.
**History of Present Illness:** Ms. Natalie Price is a 39-year-old female presenting today for evaluation of abnormal routine blood work performed last week, which showed elevated blood sugars. She was instructed to follow up for further workup. She denies any associa... | S – Subjective
Patient reports elevated blood sugars on recent routine lab work, prompting her to seek evaluation. She has a history of hypertension, diabetes, and ACL repair. Currently on metformin 1000 mg/day for diabetes. She describes a "great" diet, avoiding sugars, monitoring weight, and power walking 30 minute... |
virtassist | D2N176 | [doctor] hi , alexander . how are you ?
[patient] i'm doing really well . thank you .
[doctor] so , i know the nurse told you a little bit about dax . i'd like to tell dax about you . okay ?
[patient] sure .
[doctor] so , alexander is a 62-year-old male , with a past medical history significant for reflux , who present... | CHIEF COMPLAINT
Follow-up chronic problems.
HISTORY OF PRESENT ILLNESS
Alexander Myers is a 62-year-old male with a past medical history significant for reflux who presents for follow-up of his chronic problems.
In regards to his reflux, he reports that he has continued to utilize Protonix 40 mg daily. He states th... | S:
**Chief Complaint:** Follow-up of chronic problems.
**History of Present Illness:** Alexander Myers is a 62-year-old male with a past medical history significant for reflux, presenting for follow-up of his chronic problems. He reports significant improvement in his reflux symptoms since starting Protonix 40 mg dail... | S – Subjective
Patient reports feeling "really well" and expresses gratitude for the protonix medication for reflux. He notes that protonix "made an amazing change in my life," allowing him to eat whatever he wants and feel "so much better." He mentions transitioning from caffeine to green tea, stating that it "doesn... |
virtassist | D2N177 | [doctor] hi bruce , how are you ?
[patient] hey , good to see you .
[doctor] good to see you as well . uh , so i know the nurse told you a little bit about dax .
[patient] mm-hmm .
[doctor] i'd like to tell dax about you-
[patient] sure .
[doctor] okay ?
[doctor] so bruce is a 60 year old male , with a past medical his... | CHIEF COMPLAINT
Follow up of chronic problems.
HISTORY OF PRESENT ILLNESS
Bruce Howard is a 60-year-old male with a past medical history significant for depression, type 2 diabetes, and hypertension who presents for follow up of his chronic problems.
In regards to his depression, the patient notes that it has been ... | S:
**Chief Complaint:** Follow up of chronic problems.
**History of Present Illness:** Mr. Bruce Howard is a 60-year-old male with a past medical history significant for depression, type 2 diabetes, and hypertension, presenting for follow up of his chronic conditions.
Regarding his depression, he reports increased anx... | S – Subjective
Patient reports a "crazy year and a half," with anxiety and stress from Thanksgiving preparations. He mentions starting long walks in the summer to manage depression but struggled to maintain this due to cold weather. He is not ready for medication but seeks alternative options. He notes managing diabe... |
virtscribe | D2N178 | [doctor] 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 .
[doctor] hi , maria . how have you been doing ?
[patient] same i guess . pretty good .
[doctor] okay , so you got my letter last time on the results . your sugars ar... | CHIEF COMPLAINT
Follow-up for diabetes management, hypertension, hyperlipidemia, peripheral vascular disease.
HISTORY OF PRESENT ILLNESS
Maria Martin is a 75-year-old female who presents today for follow-up for diabetes.
The patient’s blood glucose levels are poorly controlled and her most recent hemoglobin A1C is ... | S:
CHIEF COMPLAINT:
Follow-up for diabetes management.
HISTORY OF PRESENT ILLNESS:
Maria Martin is a 75-year-old female presenting for follow-up of chronic medical conditions, primarily diabetes mellitus. Patient reports her most recent Hemoglobin A1C was 9.9, indicating poor glycemic control. She states she is curren... | S – Subjective
Patient reports feeling "pretty good" and acknowledges receiving the previous letter about uncontrolled sugars. She is currently taking 2 mg of glimepiride and agrees to increase it to 4 mg twice daily as per the doctor’s recommendation. She notes avoiding pasta and wheat bread, occasionally using pean... |
virtscribe | D2N179 | [doctor] patient mrn : abc123 . date of birth : january 1st , 1960 . patient is a 60 year old , right-handed male , referred today for evaluation of numbness and tingling .
[doctor] hello , mr. cook . how are you doing this morning ?
[patient] hi , dr. martinez . this weekend was a bit rough . i've had this numbness an... | CHIEF COMPLAINT
Numbness and tingling of both hands.
HISTORY OF PRESENT ILLNESS
Elijah Cook is a 60-year-old male referred today for evaluation of numbness and tingling of both hands.
The patient complains of numbness, tingling, and pain in both hands which began in 12/2019 after he broke both wrists in a motor veh... | S:
**Chief Complaint:** Numbness and tingling of both hands.
**History of Present Illness:** Mr. Elijah Cook is a 60-year-old male referred for evaluation of numbness and tingling in both hands. Symptoms began a few weeks prior to presentation, approximately one year after he sustained bilateral wrist fractures in a m... | S – Subjective
Patient reports bilateral numbness and tingling in hands for several weeks, exacerbated by trauma from a car wreck on December 1st, 2023, which resulted in wrist fractures. Symptoms worsened after healing, with right wrist being more affected. Wears splints on both wrists, though right is worse. Noted ... |
virtscribe | D2N180 | [doctor] patient shirley taylor . date of birth 5/4/1961 . mrn 0000123 . patient is a 60 year old right-handed female new patient referred by dr. jacob ward for evaluation of bilateral hand numbness and tingling . please note that i personally reviewed the ct brain with and without contrasting did 2/5/21 . uh , no meta... | CHIEF COMPLAINT
Upper extremity tingling
HISTORY OF PRESENT ILLNESS
The patient is a 60-year-old female referred today for evaluation of numbness and tingling.
The patient complains of numbness, tingling, and pain in both hands which began last December after she broke both wrists in an MVA and which has progressiv... | S:
CHIEF COMPLAINT: Bilateral hand numbness and tingling.
HISTORY OF PRESENT ILLNESS: The patient is a 60-year-old female presenting for evaluation of bilateral hand numbness and tingling. Symptoms began in December after she sustained bilateral wrist fractures in a motor vehicle accident (MVA). The numbness and tingl... | S – Subjective
Patient is a 60-year-old right-handed female referred for bilateral hand numbness and tingling. Symptoms have persisted for several weeks, worsening over the last month. She attributes them to a car wreck in December when she broke both hands, though she notes the numbness became more pronounced after ... |
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