question string | options list | answer string | image images list | medical_task string | body_system string | fhir_bundle string | clinical_narrative string | clinical_history string | fhir_event_plan string | fhir_resources string | persona string | persona_raw string | fhir_validation_trace string | input_assets string | image_evidence string | fhir_bundle_given string | fhir_bundle_target string | fhir_bundle_index string | current_visit_task_spec string | persona_raw_uuid null | persona_raw_first_name null | persona_raw_middle_name null | persona_raw_last_name null | persona_raw_sex null | persona_raw_street_number null | persona_raw_street_name null | persona_raw_unit null | persona_raw_city null | persona_raw_region null | persona_raw_district null | persona_raw_postcode null | persona_raw_country null | persona_raw_age null | persona_raw_marital_status null | persona_raw_education_level null | persona_raw_bachelors_field null | persona_raw_occupation null | persona_raw_ethnic_background null | persona_raw_openness null | persona_raw_conscientiousness null | persona_raw_extraversion null | persona_raw_agreeableness null | persona_raw_neuroticism null | persona_raw_cultural_background null | persona_raw_skills_and_expertise null | persona_raw_skills_and_expertise_list null | persona_raw_career_goals_and_ambitions null | persona_raw_hobbies_and_interests null | persona_raw_hobbies_and_interests_list null | persona_raw_professional_persona null | persona_raw_finance_persona null | persona_raw_healthcare_persona null | persona_raw_sports_persona null | persona_raw_arts_persona null | persona_raw_travel_persona null | persona_raw_culinary_persona null | persona_raw_persona null | persona_raw_detailed_persona null |
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A 26-year-old man falls from a ladder, landing on his outstretched right hand. He is evaluated in the emergency department and diagnosed with a closed elbow injury without neurovascular compromise. Radiographs are obtained and shown in Figures A and B. During surgery, a sequential approach is used to address each aspec... | [
"A: Lateral collateral ligament complex repair or reconstruction",
"B: Capsular plication",
"C: Radial head replacement",
"D: Radial head ORIF",
"E: Medial collateral ligament complex reconstruction"
] | A: Lateral collateral ligament complex repair or reconstruction | Treatment | Skeletal | {"entry": [{"fullUrl": "urn:uuid:patient-patient-male", "request": {"method": "PUT", "url": "Patient/patient-male"}, "resource": {"birthDate": "2000-02-22", "gender": "male", "id": "patient-male", "meta": {"tag": [{"code": "event:global", "system": "https://fhir-patients.local/meta"}, {"code": "event_role:history", "sy... | The patient is a twenty-six-year-old man who was working on a home improvement project when he fell from a ladder, reflexively extending his right arm to break the fall. He landed forcefully on his outstretched hand, an impact that transmitted significant axial and valgus energy through his forearm directly to the elbo... | {"events": [{"event_id": "event_trauma", "event_type": "other", "facts": [{"fact_id": "fact_mechanism", "kind": "social", "label": "Mechanism of injury", "text": "Fall from ladder onto outstretched right hand"}], "role": "history", "seed_bound": false, "sequence": 0, "setting": "other", "summary": "The patient fell fro... | {"bundle_type": "transaction", "event_mappings": [{"event_id": "event_trauma", "resources": [{"event_role": "history", "facts_used": ["fact_mechanism"], "id_hint": "trauma-condition", "narrative": "A condition representing the initial trauma: acute injury of the right elbow from a fall from a ladder onto an outstretche... | [{"birthDate": "2000-02-22", "gender": "male", "id": "patient-male", "meta": {"tag": [{"code": "event:global", "system": "https://fhir-patients.local/meta"}, {"code": "event_role:history", "system": "https://fhir-patients.local/meta"}, {"code": "task_role:given", "system": "https://fhir-patients.local/meta"}]}, "resour... | {"enabled": false, "persona_id": "none", "raw": {}} | {} | {"final_ok": true, "iterations": [{"issue_counts": {"error": 0, "fatal": 0, "information": 0, "warning": 17}, "issues": [{"code": "processing", "fhirPath": "Patient", "location": ["Patient", "Line[1] Col[339]"], "message": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in h... | [{"asset_id": "MM-0.image.0", "local_path": "assets/MM-0/MM-0.image.0.jpg", "mime_type": "image/jpeg", "sha256": "87b38289dc94fec92fcf6fcde9fc2117618146f3cebe4fa5a5c1d7e1476b1f56", "source_column": "image"}, {"asset_id": "MM-0.image.1", "local_path": "assets/MM-0/MM-0.image.1.jpg", "mime_type": "image/jpeg", "sha256": ... | {"evidence": [{"asset_id": "MM-0.image.0", "findings": [{"label": "Modality", "value": "Conventional Radiography (X-ray)"}, {"label": "View", "value": "Anteroposterior (AP) / Oblique view of the right elbow"}, {"label": "Joint Alignment", "value": "Gross posterolateral dislocation of the elbow joint"}, {"label": "Radia... | {"entry": [{"fullUrl": "urn:uuid:patient-patient-male", "request": {"method": "PUT", "url": "Patient/patient-male"}, "resource": {"birthDate": "2000-02-22", "gender": "male", "id": "patient-male", "meta": {"tag": [{"code": "event:global", "system": "https://fhir-patients.local/meta"}, {"code": "event_role:history", "sy... | {"entry": [{"fullUrl": "urn:uuid:observation-obs-a9baed4737a3f2b6", "request": {"method": "PUT", "url": "Observation/obs-a9baed4737a3f2b6"}, "resource": {"code": {"text": "Structured interpretation of the first radiograph."}, "derivedFrom": [{"reference": "Media/med-dbc617db12a85ee1"}], "effectiveDateTime": "2026-02-22... | {"event_resource_index": {"event_presentation": ["Condition/con-0dad0b25d152e6cb", "DiagnosticReport/dia-7f048ed043178533", "Encounter/enc-ea87102ea78a69af", "Media/med-32c3e9e213ed5792", "Media/med-dbc617db12a85ee1", "Observation/obs-0a0592055ac18480", "Observation/obs-269be2ecf39b7649", "Observation/obs-a9baed4737a3f... | {"constraints": {"max_resources": 4, "must_reference": ["Patient/patient-male", "Encounter/enc-ea87102ea78a69af"], "must_validate": true}, "given_bundle_ref": "fhir_bundle_given", "index_event_id": "event_presentation", "schema_version": "1.0.0", "target_bundle_ref": "fhir_bundle_target", "target_resource_refs": ["Diag... | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | |
This patient presents for mammographic needle localization of a bar clip. What is the MOST optimal approach for needle localization? | [
"A: Lateral",
"B: Inferior",
"C: Medial",
"D: Superior",
"E: Oblique"
] | D: Superior | Basic Science | Reproductive | {"entry": [{"fullUrl": "urn:uuid:patient-pat-19b25856e1c150ca", "request": {"method": "PUT", "url": "Patient/pat-19b25856e1c150ca"}, "resource": {"birthDate": "1968-02-22", "gender": "female", "id": "pat-19b25856e1c150ca", "meta": {"tag": [{"code": "event:global", "system": "https://fhir-patients.local/meta"}, {"code":... | The patient arrived at the diagnostic imaging center early this morning to undergo a preoperative mammographic needle localization, a vital step in her coordinated care plan. Her clinical journey began three weeks ago when a routine screening mammogram identified a subtle area of concern that required further investiga... | {"events": [{"event_id": "event_screening_mammogram", "event_type": "imaging_result", "facts": [{"fact_id": "fact_mammogram_finding", "kind": "imaging", "label": "Mammography finding", "text": "Subtle area of concern requiring further investigation."}], "role": "history", "seed_bound": false, "sequence": 0, "setting": ... | {"event_mappings": [{"event_id": "event_screening_mammogram", "resources": [{"event_role": "history", "reason": "Routine screening mammogram that initiated the workup.", "resourceType": "DiagnosticReport", "task_role": "given", "template": {"code": {"text": "Screening Mammogram"}, "status": "final"}}, {"event_role": "h... | [{"birthDate": "1968-02-22", "gender": "female", "id": "pat-19b25856e1c150ca", "meta": {"tag": [{"code": "event:global", "system": "https://fhir-patients.local/meta"}, {"code": "event_role:history", "system": "https://fhir-patients.local/meta"}, {"code": "task_role:given", "system": "https://fhir-patients.local/meta"}]... | {"enabled": false, "persona_id": "none", "raw": {}} | {} | {"final_ok": true, "iterations": [{"issue_counts": {"error": 0, "fatal": 0, "information": 0, "warning": 20}, "issues": [{"code": "processing", "fhirPath": "Patient", "location": ["Patient", "Line[1] Col[349]"], "message": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in h... | [{"asset_id": "MM-1.image.0", "local_path": "assets/MM-1/MM-1.image.0.png", "mime_type": "image/png", "sha256": "c4584d7cb3b64235ac61c7815f419070094b84755b7424af33f20fde14d2609d", "source_column": "image"}, {"asset_id": "MM-1.image.1", "local_path": "assets/MM-1/MM-1.image.1.png", "mime_type": "image/png", "sha256": "f... | {"evidence": [{"asset_id": "MM-1.image.0", "findings": [{"label": "Projection", "value": "Mediolateral Oblique (MLO)"}, {"label": "Foreign Body", "value": "Radiopaque metallic bar clip marker"}, {"label": "Localization", "value": "Marker is located in the superior aspect of the breast tissue."}], "kind": "Mammography",... | {"entry": [{"fullUrl": "urn:uuid:patient-pat-19b25856e1c150ca", "request": {"method": "PUT", "url": "Patient/pat-19b25856e1c150ca"}, "resource": {"birthDate": "1968-02-22", "gender": "female", "id": "pat-19b25856e1c150ca", "meta": {"tag": [{"code": "event:global", "system": "https://fhir-patients.local/meta"}, {"code":... | {"entry": [{"fullUrl": "urn:uuid:observation-obs-1f0dc4aece9e8d00", "request": {"method": "PUT", "url": "Observation/obs-1f0dc4aece9e8d00"}, "resource": {"code": {"text": "Interpretation of findings on the MLO projection."}, "derivedFrom": [{"reference": "Media/med-01bf03d63f4cdfbb"}], "effectiveDateTime": "2026-02-22T... | {"event_resource_index": {"event_biopsy_and_clip": ["Encounter/enc-4d8f0c2567dcbdbd", "Observation/obs-77422c2bc43955eb", "Observation/obs-976e7916458bcb8f", "Procedure/pro-4f4434a2f0571d50"], "event_index_localization": ["DiagnosticReport/dia-eb9d6e7e58ac63b4", "Encounter/enc-3fc4aa53e39cd761", "Media/med-01bf03d63f4c... | {"constraints": {"max_resources": 3, "must_reference": ["Patient/pat-19b25856e1c150ca", "Encounter/enc-3fc4aa53e39cd761"], "must_validate": true}, "given_bundle_ref": "fhir_bundle_given", "index_event_id": "event_index_localization", "schema_version": "1.0.0", "target_bundle_ref": "fhir_bundle_target", "target_resource... | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | |
"A 21-year-old African-American male with recently diagnosed HIV (CD4: 145 cells/µL) presents to th(...TRUNCATED) | ["A: Infection precipitating autoantibody-mediated intravascular hemolysis","B: Genetic defect in RB(...TRUNCATED) | E: Adverse effect of Pneumocystis jiroveci prophylaxis | [{"src":"https://datasets-server.huggingface.co/assets/mkieffer/fhir_patients_octomed_hapi_4/--/{dat(...TRUNCATED) | Diagnosis | Cardiovascular | "{\"entry\": [{\"fullUrl\": \"urn:uuid:patient-pat-19b25856e1c150ca\", \"request\": {\"method\": \"P(...TRUNCATED) | "A 21-year-old African-American male was recently faced with the significant medical challenge of an(...TRUNCATED) | "{\"events\": [{\"event_id\": \"event_hx_hiv_dx\", \"facts\": [{\"fact_id\": \"fact_hx_cd4\", \"kind(...TRUNCATED) | "{\"bundle_type\": \"transaction\", \"event_mappings\": [{\"event_id\": \"event_hx_hiv_dx\", \"resou(...TRUNCATED) | "[{\"birthDate\": \"2005-02-22\", \"gender\": \"male\", \"id\": \"pat-19b25856e1c150ca\", \"meta\": (...TRUNCATED) | {"enabled": false, "persona_id": "none", "raw": {}} | {} | "{\"final_ok\": true, \"iterations\": [{\"issue_counts\": {\"error\": 0, \"fatal\": 0, \"information(...TRUNCATED) | "[{\"asset_id\": \"MM-2.image.0\", \"local_path\": \"assets/MM-2/MM-2.image.0.jpg\", \"mime_type\": (...TRUNCATED) | "{\"evidence\": [{\"asset_id\": \"MM-2.image.0\", \"findings\": [{\"label\": \"Red blood cell inclus(...TRUNCATED) | "{\"entry\": [{\"fullUrl\": \"urn:uuid:patient-pat-19b25856e1c150ca\", \"request\": {\"method\": \"P(...TRUNCATED) | "{\"entry\": [{\"fullUrl\": \"urn:uuid:observation-obs-7ba45cbf99470169\", \"request\": {\"method\":(...TRUNCATED) | "{\"event_resource_index\": {\"event_hx_hiv_dx\": [\"Encounter/enc-bea2974ab7969788\", \"Observation(...TRUNCATED) | "{\"constraints\": {\"max_resources\": 2, \"must_reference\": [\"Patient/pat-19b25856e1c150ca\", \"E(...TRUNCATED) | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
"A 33-year-old secretary presents three months after a motor vehicle accident with mild asymmetry of(...TRUNCATED) | ["A: Closed reduction in the operating room with thoracic surgery back-up","B: Closed reduction in t(...TRUNCATED) | C: Open reduction in the operating room with thoracic surgery back-up | [{"src":"https://datasets-server.huggingface.co/assets/mkieffer/fhir_patients_octomed_hapi_4/--/{dat(...TRUNCATED) | Treatment | Skeletal | "{\"entry\": [{\"fullUrl\": \"urn:uuid:patient-patient-33f\", \"request\": {\"method\": \"PUT\", \"u(...TRUNCATED) | "The patient is a thirty-three-year-old woman working as a secretary who was involved in a motor veh(...TRUNCATED) | "{\"events\": [{\"event_id\": \"mva_trauma\", \"event_type\": \"other\", \"facts\": [{\"fact_id\": \(...TRUNCATED) | "{\"bundle_type\": \"transaction\", \"event_mappings\": [{\"event_id\": \"mva_trauma\", \"resources\(...TRUNCATED) | "[{\"birthDate\": \"1993-02-22\", \"gender\": \"female\", \"id\": \"patient-33f\", \"meta\": {\"tag\(...TRUNCATED) | {"enabled": false, "persona_id": "none", "raw": {}} | {} | "{\"final_ok\": true, \"iterations\": [{\"issue_counts\": {\"error\": 0, \"fatal\": 0, \"information(...TRUNCATED) | "[{\"asset_id\": \"MM-3.image.0\", \"local_path\": \"assets/MM-3/MM-3.image.0.jpg\", \"mime_type\": (...TRUNCATED) | "{\"evidence\": [{\"asset_id\": \"MM-3.image.0\", \"findings\": [{\"label\": \"Sternoclavicular Join(...TRUNCATED) | "{\"entry\": [{\"fullUrl\": \"urn:uuid:patient-patient-33f\", \"request\": {\"method\": \"PUT\", \"u(...TRUNCATED) | "{\"entry\": [{\"fullUrl\": \"urn:uuid:observation-obs-4080db3425674372\", \"request\": {\"method\":(...TRUNCATED) | "{\"event_resource_index\": {\"global\": [\"Patient/patient-33f\"], \"index_visit\": [\"Condition/co(...TRUNCATED) | "{\"constraints\": {\"max_resources\": 8, \"must_reference\": [\"Patient/patient-33f\", \"Encounter/(...TRUNCATED) | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
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