conversations
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[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What type of forest ecosystem is characterized by the presence of alder trees?"
},
{
"from": "gpt",
"value": "Alder Forest."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the typical range of heart rates (HR) in the data provided?"
},
{
"from": "gpt",
"value": "The typical range of heart rates in the data is between 85 and 87 beats per minute (bpm)."
},
{
"from": "human",
"value": "What is the typical SpO2 (oxygen saturation) reading in the data?"
},
{
"from": "gpt",
"value": "The typical SpO2 reading in the data is 99%."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the size and location of the tumor shown on the MRI?"
},
{
"from": "gpt",
"value": "The tumor is 7.1 x 2.6 x 3.3 cm in size and is located in the 5:00-8:00 position."
},
{
"from": "human",
"value": "What is the patient's current status regarding treatment and surgery?"
},
{
"from": "gpt",
"value": "The patient has completed chemotherapy (TCHP) and has undergone a bilateral nipple-sparing mastectomy with lymph node biopsy and reconstruction. The pathology results show complete response (CR). The patient is currently pending plastic surgery implant revision."
},
{
"from": "human",
"value": "What type of genetic testing was performed on the patient, and what were the results?"
},
{
"from": "gpt",
"value": "The patient underwent genetic testing, which was negative."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the warning regarding Docetaxel (TaxOTERE)?"
},
{
"from": "gpt",
"value": "Docetaxel (TaxOTERE) is an irritant with vesicant-like properties, and it is also a look-alike sound-alike medication that requires caution."
},
{
"from": "human",
"value": "What is the dosage of Pertuzumab (PERJETA) and how should it be administered?"
},
{
"from": "gpt",
"value": "The dosage of Pertuzumab (PERJETA) is 420 mg. It should be administered over 60 minutes for the initial dose and over 30 to 60 minutes for the maintenance dose."
},
{
"from": "human",
"value": "Who authorized the administration of these medications?"
},
{
"from": "gpt",
"value": "The medications were authorized by Dr. Pooja Murthy."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the medication being administered, and what is the ordered dose?"
},
{
"from": "gpt",
"value": "The medication being administered is methylPREDNISolone Na Suc (PF) (SOLU-Medrol) injection, and the ordered dose is 20 mg."
},
{
"from": "human",
"value": "How should the medication be diluted before administration?"
},
{
"from": "gpt",
"value": "The medication should be diluted to a maximum concentration of 4 mg/mL."
},
{
"from": "human",
"value": "What is the recommended rate of administration for this medication?"
},
{
"from": "gpt",
"value": "The medication can be administered I.V. push at 10 mg/minute."
},
{
"from": "human",
"value": "What are some common side effects of medication?"
},
{
"from": "gpt",
"value": "Some common side effects of this medication are dizziness and headache."
},
{
"from": "human",
"value": "How long did the administration of the medication take?"
},
{
"from": "gpt",
"value": "The administration of the medication took 5 minutes."
},
{
"from": "human",
"value": "Who performed the administration of the medication?"
},
{
"from": "gpt",
"value": "The medication was administered by Gray, Malikah, RN."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the name of the medication that is intended to be given as a second dose for persistent symptoms after the first dose of another medication, and what is the dosage?"
},
{
"from": "gpt",
"value": "The medication is diphenhydrAMINE (BENADRYL) injection, and the dosage is 25 mg."
},
{
"from": "human",
"value": "What is the purpose of giving diphenhydrAMINE (BENADRYL) injection, and what are the common side effects?"
},
{
"from": "gpt",
"value": "The purpose of giving diphenhydrAMINE (BENADRYL) injection is to treat infusion-related reactions, including mucocutaneous symptoms (flushing, hives, itching), respiratory symptoms (dyspnea, wheezing, bronchospasm, stridor, oxygen saturation <90%), and/or >30% reduction in blood pressure from baseline. The common side effects of diphenhydrAMINE (BENADRYL) injection are drowsiness, dry mouth, and dry eyes."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "How was the patient's bilateral medial inframammary fold modified during the procedure?"
},
{
"from": "gpt",
"value": "The patient's bilateral medial inframammary fold needed to be lowered by 1 cm and this was marked out as well."
},
{
"from": "human",
"value": "What was done to the patient's bilateral breast pockets during the procedure?"
},
{
"from": "gpt",
"value": "The patient's bilateral breast pockets needed to be expanded significantly in the medial, superior, and axillary regions, and these were all marked out accordingly."
},
{
"from": "human",
"value": "What was the estimated blood loss during the procedure?"
},
{
"from": "gpt",
"value": "The estimated blood loss was minimal."
},
{
"from": "human",
"value": "What type of anesthesia was administered to the patient?"
},
{
"from": "gpt",
"value": "The patient was administered general anesthesia."
},
{
"from": "human",
"value": "What types of specimens were removed during the procedure?"
},
{
"from": "gpt",
"value": "The specimens removed during the procedure included explanted bilateral breast tissue expanders, excised bilateral breast capsules, and excised right mastectomy skin."
},
{
"from": "human",
"value": "Were any drains placed during the procedure?"
},
{
"from": "gpt",
"value": "No, there were no drains placed during the procedure."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What were the patient's bilateral breast pockets expanded in?"
},
{
"from": "gpt",
"value": "The patient's bilateral breast pockets were expanded in the medial, superior, and axillary regions."
},
{
"from": "human",
"value": "Were there any drains placed in the patient after the procedure?"
},
{
"from": "gpt",
"value": "No, there were no drains placed in the patient."
},
{
"from": "human",
"value": "What was done to the left-sided tissue expander during the procedure?"
},
{
"from": "gpt",
"value": "The left-sided tissue expander was exposed and dissected through the dermis and breast capsule using the Bovie cautery."
},
{
"from": "human",
"value": "What type of anesthesia was administered to the patient?"
},
{
"from": "gpt",
"value": "The patient was administered general anesthesia."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What should a patient bring with them on the day of a procedure if they have not already brought it to the pre-admission visit?"
},
{
"from": "gpt",
"value": "A patient should bring their ID card with them on the day of the procedure."
},
{
"from": "human",
"value": "When should a dressing change be performed?"
},
{
"from": "gpt",
"value": "A dressing change should be performed every 7 days or if the dressing is soiled, not intact, or if there are issues with the function of lines, drains, or tubes."
},
{
"from": "human",
"value": "What is the purpose of instructing a patient to bring their ID card on the day of the procedure?"
},
{
"from": "gpt",
"value": "The purpose of this instruction is likely to ensure that the patient's identity is verified and confirmed, which may be necessary for various administrative or medical reasons."
},
{
"from": "human",
"value": "What should be included in a learning progress summary?"
},
{
"from": "gpt",
"value": "A learning progress summary should include information about patient acceptance, explanation, and verbalization of understanding by the patient."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What medications are the patient currently taking or will be taking?"
},
{
"from": "gpt",
"value": "The patient is currently taking or will be taking Dexamethasone 8 mg BID, Ondansetron 8 mg po every 8 hours PRN, and prochlorperazine 10 mg every 6 hours PRN. The patient is also advised to take Tylenol PRN for pain and Claritin for 7 days after each chemotherapy cycle."
},
{
"from": "human",
"value": "Why is the patient being advised to use Zoladex for ovarian protection during chemotherapy?"
},
{
"from": "gpt",
"value": "The patient is using Zoladex for ovarian protection during chemotherapy because it may modestly protect fertility, although it is noted that breast cancer treatment, including chemotherapy and targeted therapies, can reduce fertility and make it more difficult to have children in the future."
},
{
"from": "human",
"value": "What are some common side effects of chemotherapy that the patient is experiencing?"
},
{
"from": "gpt",
"value": "The patient is experiencing mild grade 1-2 diarrhea, fatigue, and prior back pain, which is now resolved. The patient is also advised to take Imodium PRN for diarrhea, Tylenol PRN for pain, and Claritin for 7 days after each chemotherapy cycle."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Who authorized the ordering of the IV line clearance?"
},
{
"from": "gpt",
"value": "The ordering user, Dekyi, Tenzin, NP, authorized the ordering of the IV line clearance."
},
{
"from": "human",
"value": "What is the diagnosis for which the IV line clearance was ordered?"
},
{
"from": "gpt",
"value": "The diagnosis is a malignant neoplasm of overlapping sites of the left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "What is the frequency of the IV line clearance?"
},
{
"from": "gpt",
"value": "The IV line clearance is to be performed once PRN (as needed), as specified in the ordering information."
},
{
"from": "human",
"value": "Who discontinued the IV line clearance?"
},
{
"from": "gpt",
"value": "The IV line clearance was discontinued by the Discharge Provider, Automatic, on August 9, 2024, at 4:39 AM."
},
{
"from": "human",
"value": "What is the purpose of performing IV line clearance with a compatible solution?"
},
{
"from": "gpt",
"value": "The purpose of performing IV line clearance with a compatible solution is to clear the IV line for low volume infusions of 250 mL or less."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What was the date of admission and discharge for a patient?"
},
{
"from": "gpt",
"value": "The patient was admitted and discharged on September 12, 2025."
},
{
"from": "human",
"value": "What was the procedure performed on the patient?"
},
{
"from": "gpt",
"value": "The procedure performed on the patient was an elective endotracheal airway, which is referred to as ANE713."
},
{
"from": "human",
"value": "What was administered to the patient during the procedure?"
},
{
"from": "gpt",
"value": "The patient received ceFAZolin (ANCEF/KEFZOL) injection, propofol (DIPRIVAN) injection, and lidocaine 2% injection during the procedure."
},
{
"from": "human",
"value": "Who authorized the administration of the medications to the patient?"
},
{
"from": "gpt",
"value": "The medications were authorized by Dr. Vibhuti Chopra, MD."
},
{
"from": "human",
"value": "Who discontinued the administration of the medications?"
},
{
"from": "gpt",
"value": "The medications were discontinued by Crisalind Canga, CRNA."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the plan for the patient's chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The plan is to continue chemotherapy, and the patient will be re-imaged towards the end of surgery prior to making a definitive surgical decision."
},
{
"from": "human",
"value": "When will the patient be followed up in person for a clinical exam and discussion for re-imaging?"
},
{
"from": "gpt",
"value": "The patient will be followed up in approximately 6 weeks for a clinical exam and discussion for re-imaging."
},
{
"from": "human",
"value": "What is the reason for not recommending neoadjuvant chemotherapy (NACT) to facilitate breast conservation surgery?"
},
{
"from": "gpt",
"value": "The reason for not recommending NACT is that the extent of disease, the presence of multifocal cancer, and the patient's nodal involvement (NME) make it unlikely that breast conservation surgery would be feasible."
},
{
"from": "human",
"value": "What type of surgery is the patient currently interested in undergoing for her breast cancer treatment?"
},
{
"from": "gpt",
"value": "The patient is interested in undergoing bilateral possible nipple sparing mastectomies with left-sided sentinel lymph node biopsy (SLNB) and reconstruction."
},
{
"from": "human",
"value": "When was the patient given an opportunity to ask questions and have them answered?"
},
{
"from": "gpt",
"value": "The patient was given an opportunity to ask questions and have them answered during the visit."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "How long did the patient breastfeed her child?"
},
{
"from": "gpt",
"value": "The patient breastfed her child for 8 months."
},
{
"from": "human",
"value": "How old was the patient when she had her first child?"
},
{
"from": "gpt",
"value": "The patient had her first child at the age of 23."
},
{
"from": "human",
"value": "What is the patient's birthplace, and when did they come to the United States?"
},
{
"from": "gpt",
"value": "The patient was born in Nepal and came to the US in 2020."
},
{
"from": "human",
"value": "Has the patient ever worried about running out of food in the last year?"
},
{
"from": "gpt",
"value": "No, the patient has never worried about running out of food in the last year."
},
{
"from": "human",
"value": "How often does the patient exercise?"
},
{
"from": "gpt",
"value": "The patient does not exercise at all, as they report 0 days of exercise per week and 0 minutes of exercise per session."
},
{
"from": "human",
"value": "When was the patient's last mammogram?"
},
{
"from": "gpt",
"value": "The patient's last mammogram was in 2024."
},
{
"from": "human",
"value": "Does the patient have difficulty paying living expenses?"
},
{
"from": "gpt",
"value": "No, the patient does not have difficulty paying living expenses. In fact, they have a low risk of financial resource strain."
},
{
"from": "human",
"value": "Does the patient experience food insecurity?"
},
{
"from": "gpt",
"value": "No, the patient does not experience food insecurity."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the name of the medication that is being ordered, and how often is it to be administered?"
},
{
"from": "gpt",
"value": "The medication is Goserelin (ZOLADEX), and it is to be administered every 4 weeks."
},
{
"from": "human",
"value": "Who authorized the administration of this medication, and under what circumstances?"
},
{
"from": "gpt",
"value": "The medication was authorized by Dr. Pooja Murthy, and no cosign is required. This implies that Dr. Murthy has the authority to order this medication on her own."
},
{
"from": "human",
"value": "What specific instructions are given to the healthcare provider regarding the administration of the medication?"
},
{
"from": "gpt",
"value": "The healthcare provider is instructed to administer the implant into the anterior abdominal wall below the navel line, and not to attempt to eliminate air bubbles prior to injection as this may displace the implant."
},
{
"from": "human",
"value": "Who is responsible for releasing the medication, and when was it released?"
},
{
"from": "gpt",
"value": "The medication was released by Jane Oh, RN, and it was auto-released on November 21, 2024."
},
{
"from": "human",
"value": "What is the purpose of the medication, based on the patient's diagnosis?"
},
{
"from": "gpt",
"value": "The medication is being administered to treat a malignant neoplasm of overlapping sites of the left breast in a female patient who is estrogen receptor positive."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What are some of the patient's current symptoms or concerns?"
},
{
"from": "gpt",
"value": "The patient is experiencing occasional mild diarrhea, occasional palpitations, and her hair is growing back nicely, but more curly than before. She also recently had a pelvic sonogram that showed a thickened endometrium with cystic changes, and had an endometrial biopsy with pending pathology results."
},
{
"from": "human",
"value": "What was the patient's initial diagnosis and staging for her breast cancer?"
},
{
"from": "gpt",
"value": "The patient was initially diagnosed with a malignant neoplasm of the left breast, which was estrogen receptor positive. Her cancer was staged as Stage IB (cT2, cN0, cM0, G3, ER+, PR+, HER2+) according to the AJCC 8th Edition."
},
{
"from": "human",
"value": "What treatment has the patient been receiving for her breast cancer?"
},
{
"from": "gpt",
"value": "The patient has been receiving maintenance hormone therapy (HP) and has started taking tamoxifen at the end of February 2025."
},
{
"from": "human",
"value": "What types of chemotherapy did the patient receive?"
},
{
"from": "gpt",
"value": "The patient received CARBOPLATIN, PERTUZUMAB, DOCETAXEL, and TRASTUZUMAB-ANNS as part of her chemotherapy treatment. She also received albumin-bound PACLitaxel (ABRAXANE) chemo injection."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What type of drain is currently in place, and what is its purpose?"
},
{
"from": "gpt",
"value": "A JP (Jackson-Pratt) drain is in place, which is likely used to drain fluid from the mastectomy sites."
},
{
"from": "human",
"value": "What is the condition of the patient's eyes, specifically regarding scleral icterus?"
},
{
"from": "gpt",
"value": "The patient does not have scleral icterus."
},
{
"from": "human",
"value": "How would you describe the patient's pulmonary effort and respiratory status?"
},
{
"from": "gpt",
"value": "The patient's pulmonary effort is normal, and there is no respiratory distress."
},
{
"from": "human",
"value": "What is the current status of the patient's mastectomy sites?"
},
{
"from": "gpt",
"value": "The mastectomy sites are closed and healing, with no erythema (redness) present."
},
{
"from": "human",
"value": "How would you describe the patient's skin coloration?"
},
{
"from": "gpt",
"value": "The patient's skin is not jaundiced."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the reason for the patient's current hospital visit?"
},
{
"from": "gpt",
"value": "The patient is here for an implant exchange for a permanent prosthesis and a revision of their bilateral reconstructed breast."
},
{
"from": "human",
"value": "What medications is the patient currently taking?"
},
{
"from": "gpt",
"value": "The patient is taking several medications, including buspirone, clindamycin phosphate, gabapentin, hydrocortisone, ketoconazole, tamoxifen citrate, and triamcinolone."
},
{
"from": "human",
"value": "What is the patient's medical history in terms of breast cancer?"
},
{
"from": "gpt",
"value": "The patient has a history of left breast cancer, for which they underwent immediate bilateral breast reconstruction with tissue expander placement, acellular dermal matrix. They also had a malignant neoplasm of the breast diagnosed in 2024."
},
{
"from": "human",
"value": "What is the patient's allergy status?"
},
{
"from": "gpt",
"value": "The patient has no active allergies."
},
{
"from": "human",
"value": "What is the purpose of the patient's current hospital visit in terms of their breast reconstruction?"
},
{
"from": "gpt",
"value": "The patient is here to have their bilateral reconstructed breast revised and to have an implant exchange for a permanent prosthesis."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the name of the lab that performed the SurgPath testing?"
},
{
"from": "gpt",
"value": "The lab that performed the SurgPath testing is NYP QUEENS HOSPITAL LAB."
},
{
"from": "human",
"value": "What is the valid date range for the NYP QUEENS HOSPITAL LAB?"
},
{
"from": "gpt",
"value": "The valid date range for the NYP QUEENS HOSPITAL LAB is from September 26, 2024, to the present."
},
{
"from": "human",
"value": "When was the order for the lab results sent?"
},
{
"from": "gpt",
"value": "The order for the lab results was sent on January 8, 2025."
},
{
"from": "human",
"value": "Who collected the lab results on January 8, 2025?"
},
{
"from": "gpt",
"value": "Tammy, MD, collected the lab results on January 8, 2025."
},
{
"from": "human",
"value": "What is the address of the director of the NYP QUEENS HOSPITAL LAB?"
},
{
"from": "gpt",
"value": "The director of the NYP QUEENS HOSPITAL LAB is Test, MD, and their address is 56-45 Main Street, Flushing, NY 11355."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Does the individual have any transportation needs?"
},
{
"from": "gpt",
"value": "No, the individual does not have any transportation needs."
},
{
"from": "human",
"value": "What is the individual's level of physical activity?"
},
{
"from": "gpt",
"value": "The individual is inactive."
},
{
"from": "human",
"value": "How many minutes per session does the individual exercise?"
},
{
"from": "gpt",
"value": "The individual exercises for 0 minutes per session."
},
{
"from": "human",
"value": "How many days per week does the individual exercise?"
},
{
"from": "gpt",
"value": "The individual exercises 0 days per week."
},
{
"from": "human",
"value": "Has the individual ever used an e-cigarette?"
},
{
"from": "gpt",
"value": "No, the individual is a never user of e-cigarettes."
},
{
"from": "human",
"value": "How difficult is it for the individual to pay their living expenses?"
},
{
"from": "gpt",
"value": "It is not very hard for the individual to pay their living expenses."
},
{
"from": "human",
"value": "Does the individual worry about running out of food in the last year?"
},
{
"from": "gpt",
"value": "No, the individual has never been true to the statement that they worry about running out of food in the last year."
},
{
"from": "human",
"value": "Has the individual ever run out of food in the last year?"
},
{
"from": "gpt",
"value": "No, the individual has never run out of food in the last year."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the patient's current age and menopausal status?"
},
{
"from": "gpt",
"value": "The patient is 41 years old and pre-menopausal."
},
{
"from": "human",
"value": "What is the patient's current medication regimen?"
},
{
"from": "gpt",
"value": "The patient is taking buspirone 5mg by mouth, as prescribed by their healthcare provider."
},
{
"from": "human",
"value": "What is the size and location of the breast cancer mass?"
},
{
"from": "gpt",
"value": "The breast cancer mass is 2.8cm in size and is located at the 6:00 position."
},
{
"from": "human",
"value": "What is the patient's original country of origin?"
},
{
"from": "gpt",
"value": "The patient is originally from Nepal."
},
{
"from": "human",
"value": "What type of genetic testing did the patient undergo, and what were the results?"
},
{
"from": "gpt",
"value": "The patient underwent a 34-gene panel genetic test, which was negative for any genetic mutations."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the name of the medication that the patient is supposed to take nightly, in the form of a 300 MG capsule?"
},
{
"from": "gpt",
"value": "Gabapentin."
},
{
"from": "human",
"value": "What is the name of the medication that the patient is supposed to apply topically, in the form of a cream, 2 times a day, as needed?"
},
{
"from": "gpt",
"value": "Triamcinolone."
},
{
"from": "human",
"value": "What is the name of the medication?"
},
{
"from": "gpt",
"value": "Omeprazole."
},
{
"from": "human",
"value": "What is the name of the medication that is being applied topically to the patient's skin in the form of a 60 mL solution of 1% phosphate lotion, to be used 2 times a day?"
},
{
"from": "gpt",
"value": "Clindamycin."
},
{
"from": "human",
"value": "What is the dosage and frequency of the medication famotidine that the patient is supposed to take?"
},
{
"from": "gpt",
"value": "The patient is supposed to take 20 MG of famotidine by mouth 2 times a day, as needed for indigestion, for up to 90 days."
},
{
"from": "human",
"value": "What is the name of the medication that the patient is supposed to apply topically, in the form of a 30 g cream, 2 times a day?"
},
{
"from": "gpt",
"value": "Hydrocortisone."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What type of surgery is the patient tentatively interested in?"
},
{
"from": "gpt",
"value": "The patient is tentatively interested in a bilateral possible nipple-sparing mastectomy with left sentinel lymph node biopsy (SLNB) and reconstruction."
},
{
"from": "human",
"value": "What are the patient's hormone receptor and HER2 status?"
},
{
"from": "gpt",
"value": "The patient's tumor is estrogen receptor (ER) positive at 80%, progesterone receptor (PR) positive at 70%, and HER2 positive at 3+."
},
{
"from": "human",
"value": "What are the patient's genetic test results?"
},
{
"from": "gpt",
"value": "The patient's genetic testing results are negative for the 34-gene panel and Ambry 2024."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the purpose of the medication being administered, as per the treatment plan?"
},
{
"from": "gpt",
"value": "The medication is being administered to treat infusion-related reactions, specifically symptoms such as flushing, hives, itching, dyspnea, wheezing, bronchospasm, stridor, oxygen saturation <90%, and/or >30% reduction in blood pressure from baseline."
},
{
"from": "human",
"value": "What is the diagnosis that the medication is intended to treat?"
},
{
"from": "gpt",
"value": "The medication is intended to treat a malignant neoplasm of overlapping sites of left breast in a female, which is estrogen receptor positive."
},
{
"from": "human",
"value": "Who electronically signed the treatment plan for the medication being administered?"
},
{
"from": "gpt",
"value": "The treatment plan was electronically signed by Dr. Pooja Murthy on 07/11/24 at 1548."
},
{
"from": "human",
"value": "What is the package number of the medication being administered, as per the treatment plan?"
},
{
"from": "gpt",
"value": "The package number of the medication being administered is 0641-0376-25."
},
{
"from": "human",
"value": "What is the status of the medication being administered?"
},
{
"from": "gpt",
"value": "The medication being administered has been discontinued."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the patient's blood pressure?"
},
{
"from": "gpt",
"value": "The patient's blood pressure is 98/70."
},
{
"from": "human",
"value": "What is the name of the medication with the trade name \"TaxOTERE\", and what is its dose and administration method?"
},
{
"from": "gpt",
"value": "The medication with the trade name \"TaxOTERE\" is called DOCEtaxel, and its dose is 125 mg, administered intravenously once, as part of a 4-cycle chemotherapy treatment."
},
{
"from": "human",
"value": "What is the patient's height and weight?"
},
{
"from": "gpt",
"value": "The patient's height is 160 cm and their weight is 62.1 kg."
},
{
"from": "human",
"value": "What is the name of the medication with the trade name \"KANJINTI\", and what is its dose and administration method?"
},
{
"from": "gpt",
"value": "The medication with the trade name \"KANJINTI\" is called trastuzumab-anns, and its dose is 520 mg (initially 6 mg/kg), administered intravenously once, as part of a 6-cycle chemotherapy treatment. The dose was modified to 6 mg/kg in Cycle 5."
},
{
"from": "human",
"value": "What is the patient's temperature?"
},
{
"from": "gpt",
"value": "The patient's temperature is 33.4 °C (Oral)."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What should be done if ipratropium is ordered in combination with other medications for the same indication?"
},
{
"from": "gpt",
"value": "Both ipratropium and other medications should be administered according to their dosing frequency."
},
{
"from": "human",
"value": "Who is authorized to order ipratropium?"
},
{
"from": "gpt",
"value": "Ipratropium is ordered by a physician (Murthy, Pooja, MD) and is authorized by the same physician."
},
{
"from": "human",
"value": "What is the diagnosis that requires the administration of ipratropium?"
},
{
"from": "gpt",
"value": "Ipratropium is administered for a patient with a malignant neoplasm of overlapping sites of left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "How often should ipratropium be administered?"
},
{
"from": "gpt",
"value": "Ipratropium should be administered every 2 hours as needed (PRN) for severe respiratory distress caused by an infusion reaction."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the size of the inferior vena cava, and what does it suggest about right atrial pressure?"
},
{
"from": "gpt",
"value": "The inferior vena cava is less than 2.1 cm and exhibits reduced respiratory variability, consistent with a right atrial pressure of approximately 8 mm Hg."
},
{
"from": "human",
"value": "What is the size of the left ventricle, and is its function normal?"
},
{
"from": "gpt",
"value": "The left ventricle is normal in size, and its systolic function is normal."
},
{
"from": "human",
"value": "Is there any abnormality in the mitral valve?"
},
{
"from": "gpt",
"value": "No, the mitral valve is normal in structure and function, with no mitral valve stenosis or mitral regurgitation noted."
},
{
"from": "human",
"value": "Is there any pericardial effusion present?"
},
{
"from": "gpt",
"value": "No, there is no pericardial effusion."
},
{
"from": "human",
"value": "What is the estimated ejection fraction of the left ventricle, based on Simpson's method?"
},
{
"from": "gpt",
"value": "The estimated ejection fraction of the left ventricle is 65.6%."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What type of medical test was performed on the patient?"
},
{
"from": "gpt",
"value": "A two-dimensional transthoracic echocardiogram with color flow and Doppler was performed."
},
{
"from": "human",
"value": "What was used to improve the assessment of LV function during the test?"
},
{
"from": "gpt",
"value": "A contrast injection of Definity was used to improve the assessment of LV function."
},
{
"from": "human",
"value": "What was the patient's blood pressure reading during the test?"
},
{
"from": "gpt",
"value": "The patient's blood pressure reading was 111/73 mmHg."
},
{
"from": "human",
"value": "Who performed the echocardiogram test?"
},
{
"from": "gpt",
"value": "The echocardiogram test was performed by Gabrielle Milfort."
},
{
"from": "human",
"value": "Who interpreted the results?"
},
{
"from": "gpt",
"value": "The results of the test were interpreted by Alexander Volodarskiy, MD."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the date of the patient's admission to the hospital?"
},
{
"from": "gpt",
"value": "The patient was admitted to the hospital on January 8, 2025."
},
{
"from": "human",
"value": "What is the Braden Scale score for the patient?"
},
{
"from": "gpt",
"value": "The patient's Braden Scale score is 22."
},
{
"from": "human",
"value": "What device is used to aid the patient in standing?"
},
{
"from": "gpt",
"value": "The patient uses a Powered Sit-to-Stand Aid, specifically the SARA Flex or SARA Plus."
},
{
"from": "human",
"value": "What is the patient's nutrition status?"
},
{
"from": "gpt",
"value": "The patient's nutrition status is adequate."
},
{
"from": "human",
"value": "What is the plan of care for the patient's wound(s) or drain?"
},
{
"from": "gpt",
"value": "The plan of care includes assessing the wound(s) or drain twice daily, without signs of infection, and documenting the dressing/incision, wound bed, drain sites, and surrounding tissue."
},
{
"from": "human",
"value": "What is the plan of care for the patient's mobility and activity level?"
},
{
"from": "gpt",
"value": "The plan of care includes assessing the patient's mobility and activity level, maintaining stability, and assisting with transfers and ambulation using safe patient handling equipment as needed."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What were the results of the patient's blood tests?"
},
{
"from": "gpt",
"value": "The patient's blood tests showed a white blood cell count of 5.96 x 10^3/uL, a hemoglobin level of 10.7 g/dL, a platelet count of 199 x 10^3/uL, and a creatinine level of 0.67 mg/dL, all of which were within normal ranges."
},
{
"from": "human",
"value": "What was the finding of the patient's echocardiogram?"
},
{
"from": "gpt",
"value": "The patient's echocardiogram showed a normal-sized left ventricle."
},
{
"from": "human",
"value": "What were the results of the patient's abdominal examination during their office visit?"
},
{
"from": "gpt",
"value": "The patient's abdominal examination showed no distension, no abdominal tenderness, and no guarding. Additionally, the patient's musculoskeletal examination showed a normal range of motion, with no cervical back rigidity."
},
{
"from": "human",
"value": "What were the findings of the patient's lymph node examination?"
},
{
"from": "gpt",
"value": "The patient's lymph node examination showed no supraclavicular or axillary adenopathy in either the right or left upper body."
},
{
"from": "human",
"value": "What was the patient's mental status during the office visit?"
},
{
"from": "gpt",
"value": "The patient was alert and oriented to person, place, and time, and their mental status was at baseline."
},
{
"from": "human",
"value": "What was the patient's pain level during the office visit?"
},
{
"from": "gpt",
"value": "The patient's pain level was 0, indicating that they were asymptomatic."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the frequency of the chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The chemotherapy treatment is to be performed once, on a routine basis."
},
{
"from": "human",
"value": "What is the risk level of febrile neutropenia associated with this chemotherapy regimen?"
},
{
"from": "gpt",
"value": "The risk level of febrile neutropenia is LOW."
},
{
"from": "human",
"value": "What is the specific regimen being used for this chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The regimen being used is Trastuzumab + Pertuzumab, which is an adjuvant treatment."
},
{
"from": "human",
"value": "Is prophylactic myeloid colony stimulating-factor recommended for this chemotherapy regimen?"
},
{
"from": "gpt",
"value": "No, prophylactic myeloid colony stimulating-factor is NOT recommended for this regimen."
},
{
"from": "human",
"value": "Who authorized the chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The chemotherapy treatment was authorized by Pooja Murthy, MD."
},
{
"from": "human",
"value": "Who electronically signed the Provider Communication for this treatment?"
},
{
"from": "gpt",
"value": "Pooja Murthy, MD, electronically signed the Provider Communication for this treatment."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What type of medical treatment was administered to a patient on April 10, 2025?"
},
{
"from": "gpt",
"value": "The patient received chemotherapy at the NYP Queens Infusion Clinic."
},
{
"from": "human",
"value": "What is the estimated glomerular filtration rate (eGFR) of a patient, and what does it indicate?"
},
{
"from": "gpt",
"value": "The estimated glomerular filtration rate (eGFR) is a measure of kidney function. In this case, the eGFR is reported to be greater than 90, which is within the normal range of 60 mL/min/1.73 m^2 or greater."
},
{
"from": "human",
"value": "Who ordered the laboratory test to determine the estimated glomerular filtration rate (eGFR)?"
},
{
"from": "gpt",
"value": "The laboratory test was ordered by Dr. Pooja Murthy."
},
{
"from": "human",
"value": "What is the basis for the estimated glomerular filtration rate (eGFR) calculation?"
},
{
"from": "gpt",
"value": "The estimated glomerular filtration rate (eGFR) calculation is based on the 2021 CKD-EPI creatinine equation, which is recommended by the National Kidney Foundation and the American Society of Nephrology's Task Force on Reassessing the Inclusion of Race in Diagnosing Kidney Diseases."
},
{
"from": "human",
"value": "What is the patient's medical condition?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm of the breast, specifically estrogen receptor-positive, with unspecified laterality and site."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the description of the leaves of Phyllanthus glaucus, also known as Khiuti or Khiudi?"
},
{
"from": "gpt",
"value": "The leaves of Phyllanthus glaucus are elliptic or oblong, membranous, slightly glaucous abaxially, base obtuse to rounded, and apex acute."
},
{
"from": "human",
"value": "What is a unique characteristic of Sapium insigne, also known as Tiger’s Milk Spruce or Khiro?"
},
{
"from": "gpt",
"value": "Sapium insigne is a deciduous tree with milky latex."
},
{
"from": "human",
"value": "What is a use of the leaves of Sapium insigne, also known as Tiger’s Milk Spruce or Khiro?"
},
{
"from": "gpt",
"value": "The leaves of Sapium insigne are pounded and put in water to kill fish."
},
{
"from": "human",
"value": "What is a use of Dalbergia paniculata, also known as Kali Syang?"
},
{
"from": "gpt",
"value": "The use of Dalbergia paniculata is as fuel wood and fodder."
},
{
"from": "human",
"value": "What is the use of Mallotus nepalensis, also known as Nepal Mallotus or Ghoge tanke?"
},
{
"from": "gpt",
"value": "The use of Mallotus nepalensis is as fuel wood."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the diagnosis of the patient being treated?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm (cancer) of the left breast, specifically estrogen receptor positive."
},
{
"from": "human",
"value": "What type of treatment is being administered to the patient on October 10, 2024?"
},
{
"from": "gpt",
"value": "The patient is receiving chemotherapy at the NYP Queens Infusion Clinic."
},
{
"from": "human",
"value": "What is the purpose of administering dexamethasone (DECADRON) to the patient?"
},
{
"from": "gpt",
"value": "Dexamethasone is being given as a premedication before chemotherapy, 60 minutes prior to the treatment."
},
{
"from": "human",
"value": "What are some common side effects of the medication diphenhydrAMINE (BENADRYL) that the patient may experience?"
},
{
"from": "gpt",
"value": "The patient may experience elevated blood sugar, increased blood pressure, and irritability as common side effects of diphenhydrAMINE (BENADRYL)."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the patient's height and weight?"
},
{
"from": "gpt",
"value": "The patient's height is 1.6 m (5' 3\") and their weight is 65.8 kg (145 lb)."
},
{
"from": "human",
"value": "What is the patient's blood pressure and pulse rate?"
},
{
"from": "gpt",
"value": "The patient's blood pressure is 103/64 and their pulse rate is 65."
},
{
"from": "human",
"value": "What is the patient's general appearance and skin condition?"
},
{
"from": "gpt",
"value": "The patient is well nourished and well conformed, with warm and dry skin."
},
{
"from": "human",
"value": "What is the patient's neurological status?"
},
{
"from": "gpt",
"value": "The patient is alert and oriented x 3, with no gross motor-sensory deficits."
},
{
"from": "human",
"value": "What is the status of the patient's breast incisions and bilateral NAC?"
},
{
"from": "gpt",
"value": "The breast incisions are healing well, with flaps that are healthy. The bilateral NAC has superficial necrosis/epidermolysis and scabbing, with no evidence of erythema."
},
{
"from": "human",
"value": "What is the status of the patient's lymph nodes?"
},
{
"from": "gpt",
"value": "There is no axillary, supraclavicular, or infraclavicular adenopathy."
},
{
"from": "human",
"value": "What is the patient's ECOG status?"
},
{
"from": "gpt",
"value": "The patient's ECOG status is 0, indicating that they are well and have no significant health concerns."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the diagnosis for a female patient?"
},
{
"from": "gpt",
"value": "The diagnosis is a malignant neoplasm of overlapping sites of the left breast, which is estrogen receptor positive."
},
{
"from": "human",
"value": "What is the indication for the medication dexamethasone?"
},
{
"from": "gpt",
"value": "The indication for dexamethasone is to prevent nausea/vomiting and fluid retention."
},
{
"from": "human",
"value": "What is the dosage and administration schedule for ondansetron?"
},
{
"from": "gpt",
"value": "The patient should take ondansetron 8 MG Tablet 2 times a day for 2 doses the day before chemotherapy, then 2 times a day for 3 doses starting the evening after chemotherapy, and daily for 2 doses on days 3 to 4 of each 21-day cycle, for cycles 1 to 6."
},
{
"from": "human",
"value": "What is the status of the medication dexamethasone?"
},
{
"from": "gpt",
"value": "The status of the medication dexamethasone is discontinued."
},
{
"from": "human",
"value": "Who is the ordering provider for the medications dexamethasone and ondansetron?"
},
{
"from": "gpt",
"value": "The ordering provider for the medications dexamethasone and ondansetron is Maria Jovie, NP."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Was cricoid pressure used during the airway management?"
},
{
"from": "gpt",
"value": "No, cricoid pressure was not used during the airway management."
},
{
"from": "human",
"value": "Who was the attending physician present during the procedure?"
},
{
"from": "gpt",
"value": "Vibhuti Chopra, MD, was the attending physician present during the procedure."
},
{
"from": "human",
"value": "What was the final result of the airway assessment for the patient?"
},
{
"from": "gpt",
"value": "The final airway type was an endotracheal airway, which was successfully placed using direct laryngoscopy and video laryngoscopy."
},
{
"from": "human",
"value": "What technique was used to place the endotracheal tube in the patient?"
},
{
"from": "gpt",
"value": "Direct laryngoscopy and video laryngoscopy were used to place the endotracheal tube."
},
{
"from": "human",
"value": "Who electronically signed the anesthesia orders for the patient?"
},
{
"from": "gpt",
"value": "Rosemarie Soriano-Luna, CRNA, electronically signed the anesthesia orders."
},
{
"from": "human",
"value": "Was the patient preoxygenated before induction of anesthesia?"
},
{
"from": "gpt",
"value": "Yes, the patient was preoxygenated before induction of anesthesia."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the patient's current condition?"
},
{
"from": "gpt",
"value": "The patient is currently in no acute distress, with well-controlled pain, and is voiding appropriately. They deny nausea, vomiting, and bowel movements."
},
{
"from": "human",
"value": "What are the patient's physical examination findings?"
},
{
"from": "gpt",
"value": "The patient's physical examination is notable for:\n\n* No acute distress or gross deficits\n* Equal chest rise bilaterally, with no excessive work of breathing\n* Bilateral flaps that are non-ischemic and well perfused, with incisions that are clean, dry, and intact\n* Soft, non-distended, and nontender abdomen\n* No obvious deformities in the extremities"
},
{
"from": "human",
"value": "What is the patient's vital sign status?"
},
{
"from": "gpt",
"value": "The patient's vital signs are as follows:\n\n* Temperature: 36.6 °C\n* Pulse: 71\n* Respiratory rate: 17\n* Blood pressure: 112/80\n* SpO2: 99%"
},
{
"from": "human",
"value": "What laboratory results are missing from the patient's chart?"
},
{
"from": "gpt",
"value": "The following laboratory results are missing from the patient's chart:\n\n* White blood cell count (WBC)\n* Hemoglobin (HGB)\n* Creatinine (CRIT)\n* Total protein (TP)\n* Albumin (ALB)\n* Globulin (GLOB)\n* Platelet count (PLT)\n* Total bilirubin (TBILI)\n* Direct bilirubin (DBILI)\n* Indirect bilirubin (IBILI)\n* SGOT\n* SGPT\n* Alkaline phosphatase (ALK)\n* Sodium (NA)\n* Potassium (K)\n* Chloride (CL)\n* Carbon dioxide (CO2)\n* Blood urea nitrogen (BUN)\n* Creatinine (CREATININE)\n* Glucose (GLU)"
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the status of an order that may be acted on in another encounter?"
},
{
"from": "gpt",
"value": "The status of this order is \"Cancel Held\". This means that the order may be acted on in another encounter."
},
{
"from": "human",
"value": "What is the frequency of the treatment plan for Trastuzumab + Pertuzumab Adjuvant?"
},
{
"from": "gpt",
"value": "The frequency of the treatment plan is \"Once\" until it is discontinued."
},
{
"from": "human",
"value": "Who authorized the order for trastuzumab-anns (KANJINTI)?"
},
{
"from": "gpt",
"value": "The order for trastuzumab-anns (KANJINTI) was authorized by Pooja Murthy, MD."
},
{
"from": "human",
"value": "Who discontinued the treatment plan for Trastuzumab + Pertuzumab Adjuvant?"
},
{
"from": "gpt",
"value": "The treatment plan for Trastuzumab + Pertuzumab Adjuvant was discontinued by Malikah Gray, RN."
},
{
"from": "human",
"value": "What is the start date for the administration of pertuzumab (PERJETA)?"
},
{
"from": "gpt",
"value": "The start date for the administration of pertuzumab (PERJETA) is December 12, 2024, at 0000 hours."
},
{
"from": "human",
"value": "What is the class of the indication for the medication trastuzumab-anns (KANJINTI)?"
},
{
"from": "gpt",
"value": "The class of the indication for trastuzumab-anns (KANJINTI) is \"Normal\" and the indication is \"Cancer therapy\"."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the normal range for the Mean Cell Hemoglobin Concentration in the blood?"
},
{
"from": "gpt",
"value": "The normal range for the Mean Cell Hemoglobin Concentration is 31.0 - 37.0 g/dL."
},
{
"from": "human",
"value": "What is the normal range for the Red Cell Distribution Width in the blood?"
},
{
"from": "gpt",
"value": "The normal range for the Red Cell Distribution Width is 11.5 - 14.5 %."
},
{
"from": "human",
"value": "What is the normal range for the Platelet count in the blood?"
},
{
"from": "gpt",
"value": "The normal range for the Platelet count is 150 - 400 x10(3)/uL."
},
{
"from": "human",
"value": "What is the normal range for the Mean Platelet Volume in the blood?"
},
{
"from": "gpt",
"value": "The normal range for the Mean Platelet Volume is 8.0 - 11.0 fL."
},
{
"from": "human",
"value": "Is it normal to have Nucleated RBCs in the blood?"
},
{
"from": "gpt",
"value": "No, it is not normal to have Nucleated RBCs in the blood. The normal range is 0.00 /100."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the patient's diagnosis?"
},
{
"from": "gpt",
"value": "The patient's diagnosis is a malignant neoplasm of overlapping sites of the left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "What is the condition under which the chemotherapy treatment should be held?"
},
{
"from": "gpt",
"value": "The chemotherapy treatment should be held if the patient's ANC (Absolute Neutrophil Count) is less than 1500/mm3, or if the patient's platelets are less than 100,000/mm3."
},
{
"from": "human",
"value": "Who electronically signed the order for the chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The order was electronically signed by Murthy, Pooja, MD."
},
{
"from": "human",
"value": "What is the status of the order?"
},
{
"from": "gpt",
"value": "The status of the order is \"Completed\"."
},
{
"from": "human",
"value": "What is the frequency of the chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The chemotherapy treatment is scheduled to be administered once, on a routine basis."
},
{
"from": "human",
"value": "Who released the instance of the order, and when was it released?"
},
{
"from": "gpt",
"value": "The instance of the order was released by Kwan, Christina, RN, on 9/19/2024 at 12:32 PM."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the diameter of the aortic root, according to the measurement?"
},
{
"from": "gpt",
"value": "The diameter of the aortic root is 3.2 cm."
},
{
"from": "human",
"value": "What is the volume of the left atrium, according to the measurement?"
},
{
"from": "gpt",
"value": "The volume of the left atrium is 27.0ml."
},
{
"from": "human",
"value": "What is the mass of the left ventricle?"
},
{
"from": "gpt",
"value": "The mass of the left ventricle is 44.6g/mA²."
},
{
"from": "human",
"value": "What is the velocity of the mitral valve?"
},
{
"from": "gpt",
"value": "The velocity of the mitral valve is 51.0 cm/s."
},
{
"from": "human",
"value": "What is the ejection fraction (EF) of the left ventricle, according to the measurement?"
},
{
"from": "gpt",
"value": "The ejection fraction (EF) of the left ventricle is 65.6%."
},
{
"from": "human",
"value": "What is the average pressure gradient across the mitral valve, according to the measurement?"
},
{
"from": "gpt",
"value": "The average pressure gradient across the mitral valve is 2.1 mmHg."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "Who performed the transthoracic echocardiogram, and who is the interpreting physician?"
},
{
"from": "gpt",
"value": "The transthoracic echocardiogram was performed by Kyle Fisher, and the interpreting physician is Nathan Tehrani, MD."
},
{
"from": "human",
"value": "What is the patient's height, weight, and blood pressure, as recorded during the procedure?"
},
{
"from": "gpt",
"value": "The patient's height is 62 inches, weight is 142 pounds, and blood pressure is 101/70 mmHg."
},
{
"from": "human",
"value": "What is the patient's mitral valve mean index, as measured during the echocardiogram?"
},
{
"from": "gpt",
"value": "The mitral valve mean index is 47.0g/mA²."
},
{
"from": "human",
"value": "What is the purpose of a transthoracic echocardiogram, and what type of imaging was used in this procedure?"
},
{
"from": "gpt",
"value": "A transthoracic echocardiogram is a medical imaging procedure used to evaluate the heart's structure and function. In this case, a two-dimensional transthoracic echocardiogram with color flow and Doppler was performed."
},
{
"from": "human",
"value": "What is the patient's left ventricle diastology, as measured during the echocardiogram?"
},
{
"from": "gpt",
"value": "The left ventricle diastology measurements include:\n* IVSd (interventricular septum thickness) of 0.7cm (0.6 - 0.9)\n* LVIDd (left ventricular internal diameter in diastole) of 3.9cm (3.9 - 5.3)\n* E (early diastolic velocity) of 89.2 cm/s\n* A (late diastolic velocity) of 69.4 cm/s"
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the result of the Hepatitis C Antibody test, and what does it indicate?"
},
{
"from": "gpt",
"value": "The result of the Hepatitis C Antibody test is non-reactive, which indicates that the patient does not have antibodies to the Hepatitis C virus. However, a non-reactive test result does not exclude the possibility of exposure to HCV, and the patient's medical history and clinical examination should be taken into consideration when interpreting the results."
},
{
"from": "human",
"value": "What are some potential limitations of the Hepatitis C Antibody test?"
},
{
"from": "gpt",
"value": "The Hepatitis C Antibody test may produce false negative results due to delayed seroconversion, low antibody levels, or non-specific reactivity. Additionally, the test may not differentiate between acute, chronic, or resolved infection, and a reactive result does not exclude co-infection with another hepatitis virus."
},
{
"from": "human",
"value": "What is the purpose of the test result comment about assessing results in conjunction with medical history and clinical examination?"
},
{
"from": "gpt",
"value": "The purpose of the comment is to caution that a non-reactive test result does not necessarily rule out exposure to HCV, and that the patient's medical history, clinical examination, and other findings should be taken into consideration when interpreting the results."
},
{
"from": "human",
"value": "What is the purpose of the \"Additional Resulting Lab Information\" section?"
},
{
"from": "gpt",
"value": "The purpose of the \"Additional Resulting Lab Information\" section is to provide additional context and information about the lab test, including the test name, abbreviation, and description, as well as the lab that performed the test and the date range during which the test was valid."
},
{
"from": "human",
"value": "Who reviewed the lab results and when?"
},
{
"from": "gpt",
"value": "The lab results were reviewed by Murthy, Pooja, MD on 7/18/2024, and Pagsuguiron, Maria Jovie, NP on 7/16/2024 and 7/12/2024."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "How was the chemotherapy medication administered to the patient?"
},
{
"from": "gpt",
"value": "The chemotherapy medication was administered through an intravenous (IV) line."
},
{
"from": "human",
"value": "What type of treatment was administered to the patient on August 8, 2024?"
},
{
"from": "gpt",
"value": "The patient received chemotherapy treatment."
},
{
"from": "human",
"value": "Where was the medication goserelin (ZOLADEX) administered to the patient?"
},
{
"from": "gpt",
"value": "The medication goserelin (ZOLADEX) was administered to the patient in the right lower abdomen."
},
{
"from": "human",
"value": "What was the rate at which the chemotherapy medication was administered to the patient?"
},
{
"from": "gpt",
"value": "The chemotherapy medication was administered at a rate of 281.3 mL/hr."
},
{
"from": "human",
"value": "What is the name of the medication that was administered to the patient at 1542 on August 8, 2024?"
},
{
"from": "gpt",
"value": "The medication administered at 1542 on August 8, 2024 was a dose of 125 mg of methylPREDNISolone Na Suc (PF) (SOLU-Medrol)."
},
{
"from": "human",
"value": "What medication was administered to the patient at 1405 on August 8, 2024?"
},
{
"from": "gpt",
"value": "The medication administered at 1405 on August 8, 2024 was a dose of 125 mg of a chemotherapy medication called DOCEtaxel (TaxOTERE)."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What are the patient's current medications?"
},
{
"from": "gpt",
"value": "The patient is currently taking busPIRone 5 MG Tablet."
},
{
"from": "human",
"value": "Does the patient have any known allergies?"
},
{
"from": "gpt",
"value": "No, the patient's allergies are not on file."
},
{
"from": "human",
"value": "What is the patient's age and menopausal status?"
},
{
"from": "gpt",
"value": "The patient is 41 years old and premenopausal."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the purpose of the medication diphenhydrAMINE (BENADRYL) injection 25 mg?"
},
{
"from": "gpt",
"value": "The purpose of diphenhydrAMINE (BENADRYL) injection 25 mg is to give for mucocutaneous symptoms (flushing, hives, itching), respiratory symptoms (dyspnea, wheezing, bronchospasm, stridor, oxygen saturation <90%), and/or >30% reduction in blood pressure from baseline caused by an infusion reaction."
},
{
"from": "human",
"value": "What is the administration instruction for diphenhydrAMINE (BENADRYL) injection 25 mg?"
},
{
"from": "gpt",
"value": "DiphenhydrAMINE (BENADRYL) injection 25 mg should be given as a second dose for persistent symptoms after the first dose, and it should be administered via IV Push over a pre-specified duration, not via IV piggyback."
},
{
"from": "human",
"value": "What is the common side effect of diphenhydrAMINE (BENADRYL) injection 25 mg?"
},
{
"from": "gpt",
"value": "One of the common side effects of diphenhydrAMINE (BENADRYL) injection 25 mg is drowsiness."
},
{
"from": "human",
"value": "What is the status of the order for diphenhydrAMINE (BENADRYL) injection 25 mg?"
},
{
"from": "gpt",
"value": "The order for diphenhydrAMINE (BENADRYL) injection 25 mg is Cancel Held."
},
{
"from": "human",
"value": "Who authorized the order for diphenhydrAMINE (BENADRYL) injection 25 mg?"
},
{
"from": "gpt",
"value": "The order for diphenhydrAMINE (BENADRYL) injection 25 mg was authorized by Murthy, Pooja, MD."
},
{
"from": "human",
"value": "What is the indication of use for the medication diphenhydrAMINE (BENADRYL) injection 25 mg?"
},
{
"from": "gpt",
"value": "The indication of use for diphenhydrAMINE (BENADRYL) injection 25 mg is Infusion Related Reaction."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the area of the Xcelera Aortic Valve?"
},
{
"from": "gpt",
"value": "The area of the Xcelera Aortic Valve is 2.3 cm^2."
},
{
"from": "human",
"value": "What is the surface area of the Xcelera?"
},
{
"from": "gpt",
"value": "The surface area of the Xcelera is 1.7 m^2."
},
{
"from": "human",
"value": "What is the Left Ventricular Ejection Fraction of the Xcelera, as calculated using the Modified method?"
},
{
"from": "gpt",
"value": "The Left Ventricular Ejection Fraction of the Xcelera, as calculated using the Modified method, is 69.7%."
},
{
"from": "human",
"value": "What is the volume of the Left Ventricle of the Xcelera in milliliters, as calculated by the Teichholz method?"
},
{
"from": "gpt",
"value": "The volume of the Left Ventricle of the Xcelera in milliliters, as calculated by the Teichholz method, is 63.6 ml."
},
{
"from": "human",
"value": "What is the ratio of the Interventricular Septum to the Posterior Wall of the Left Ventricle of the Xcelera?"
},
{
"from": "gpt",
"value": "The ratio of the Interventricular Septum to the Posterior Wall of the Left Ventricle of the Xcelera is 0.89."
},
{
"from": "human",
"value": "What is the mass of the Left Ventricle of the Xcelera in grams, as measured in diastole?"
},
{
"from": "gpt",
"value": "The mass of the Left Ventricle of the Xcelera in grams, as measured in diastole, is 72.5 grams."
},
{
"from": "human",
"value": "What is the ratio of the Left Ventricle to the Aorta of the Xcelera?"
},
{
"from": "gpt",
"value": "The ratio of the Left Ventricle to the Aorta of the Xcelera is 0.82."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the patient's admission and discharge date?"
},
{
"from": "gpt",
"value": "The patient was admitted on January 8, 2025, and discharged on January 9, 2025."
},
{
"from": "human",
"value": "What type of surgery did the patient undergo?"
},
{
"from": "gpt",
"value": "The patient underwent a bilateral nipple sparing mastectomy with a left sentinel lymph node biopsy."
},
{
"from": "human",
"value": "How old was the patient when they had their first child?"
},
{
"from": "gpt",
"value": "The patient had their first child at the age of 23."
},
{
"from": "human",
"value": "How long has the patient been breastfeeding?"
},
{
"from": "gpt",
"value": "The patient has been breastfeeding for 8 months."
},
{
"from": "human",
"value": "Does the patient experience food insecurity?"
},
{
"from": "gpt",
"value": "No, the patient does not experience food insecurity."
},
{
"from": "human",
"value": "What is the patient's financial situation like?"
},
{
"from": "gpt",
"value": "The patient is at low risk for financial resource strain."
},
{
"from": "human",
"value": "What is the patient's level of physical activity?"
},
{
"from": "gpt",
"value": "The patient is inactive."
},
{
"from": "human",
"value": "Does the patient have any transportation needs?"
},
{
"from": "gpt",
"value": "No, the patient does not have any transportation needs."
},
{
"from": "human",
"value": "Does the patient worry about running out of food in the last year?"
},
{
"from": "gpt",
"value": "No, the patient has never worried about running out of food in the last year."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What type of cancer was identified in the patient's breast tissue?"
},
{
"from": "gpt",
"value": "The patient had multiple foci of invasive ductal carcinoma and DCIS (ductal carcinoma in situ)."
},
{
"from": "human",
"value": "What symptoms did the patient experience after developing a breast mass and breast pain?"
},
{
"from": "gpt",
"value": "The patient developed a breast mass and breast pain at the site of recent biopsies, but prior to the biopsies, she did not have any pain, mass, or abnormal nipple discharge."
},
{
"from": "human",
"value": "What were the results of the patient's genetic testing for pathogenic mutations?"
},
{
"from": "gpt",
"value": "The genetic testing done through Ambry in 2024 was negative for pathogenic mutations."
},
{
"from": "human",
"value": "What surgical procedures did the patient undergo after completing chemotherapy?"
},
{
"from": "gpt",
"value": "The patient proceeded to bilateral nipple sparing mastectomies and left SLNB (sentinel lymph node biopsy) on 1/8/25."
},
{
"from": "human",
"value": "What was the patient's treatment plan, and what were some of the side effects she experienced?"
},
{
"from": "gpt",
"value": "The patient began neoadjuvant TCHP (a chemotherapy regimen) on 8/6/2024. Due to multiple toxicities, including grade 1-2 neuropathy, the patient switched to THP (a different chemotherapy regimen) with cycle 2, and substituted Abraxane (a different chemotherapy agent) for docetaxel starting with cycle 5 due to worsened neuropathy."
},
{
"from": "human",
"value": "What was the pathology report for the patient's left breast after surgery?"
},
{
"from": "gpt",
"value": "The pathology report showed benign breast parenchyma with treatment-related changes s/p neoadjuvant chemotherapy (indicating that the breast tissue was normal with changes caused by the chemotherapy)."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What type of medical condition is being diagnosed?"
},
{
"from": "gpt",
"value": "A malignant neoplasm, which is a type of cancer, specifically in the left breast."
},
{
"from": "human",
"value": "What is the hormone receptor status of the cancer?"
},
{
"from": "gpt",
"value": "The cancer is estrogen receptor positive, which means that it is sensitive to estrogen and may be influenced by hormonal treatments."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the purpose of administering the implant?"
},
{
"from": "gpt",
"value": "The purpose of administering the implant is to treat the patient's malignant neoplasm of overlapping sites of the left breast, which is estrogen receptor positive."
},
{
"from": "human",
"value": "What is the patient's diagnosis?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm of overlapping sites of the left breast, and is estrogen receptor positive."
},
{
"from": "human",
"value": "What is the location of the implant that needs to be administered?"
},
{
"from": "gpt",
"value": "The implant needs to be administered into the anterior abdominal wall, below the navel line."
},
{
"from": "human",
"value": "What is the instruction regarding air bubbles in the implant?"
},
{
"from": "gpt",
"value": "Do not attempt to eliminate air bubbles prior to injection, as this may displace the implant."
},
{
"from": "human",
"value": "What is the ICD-10-CM code for the patient's diagnosis?"
},
{
"from": "gpt",
"value": "The ICD-10-CM code for the patient's diagnosis is C50.812, Z17.0."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the name of the treatment plan?"
},
{
"from": "gpt",
"value": "The treatment plan is called TCHP Neoadjuvant."
},
{
"from": "human",
"value": "Who is the ordering provider for this treatment?"
},
{
"from": "gpt",
"value": "The ordering provider is Dr. Murthy, Pooja, MD."
},
{
"from": "human",
"value": "What is the indication for holding carboplatin until further results are available?"
},
{
"from": "gpt",
"value": "Carboplatin is being held until the results of the patient's Serum creatinine/Creatinine clearance test are available, in order to calculate the correct dose of carboplatin."
},
{
"from": "human",
"value": "When was the order electronically signed?"
},
{
"from": "gpt",
"value": "The order was electronically signed by Dr. Murthy, Pooja, MD on 11/06/24 0948."
},
{
"from": "human",
"value": "What is the diagnosis of the patient?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm of overlapping sites of the left breast in a female, which is estrogen receptor positive."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "Who authorized the order for EPINEPHrine (ADRENALIN) and diphenhydrAMINE (BENADRYL)?"
},
{
"from": "gpt",
"value": "The order for EPINEPHrine (ADRENALIN) and diphenhydrAMINE (BENADRYL) was authorized by Dr. Pooja Murthy, MD."
},
{
"from": "human",
"value": "What is the name of the medication that is used to treat mucocutaneous symptoms (flushing, hives, itching) and respiratory symptoms (dyspnea, wheezing)?"
},
{
"from": "gpt",
"value": "The medication used to treat mucocutaneous symptoms (flushing, hives, itching) and respiratory symptoms (dyspnea, wheezing) is diphenhydrAMINE (BENADRYL)."
},
{
"from": "human",
"value": "What is the name of the medication that is used to treat severe respiratory distress and/or a >30% reduction in blood pressure from baseline caused by an infusion reaction?"
},
{
"from": "gpt",
"value": "The medication used to treat severe respiratory distress and/or a >30% reduction in blood pressure from baseline caused by an infusion reaction is EPINEPHrine (ADRENALIN)."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the dosage of pertuzumab (PERJETA) that should be administered?"
},
{
"from": "gpt",
"value": "The dosage is 420 mg."
},
{
"from": "human",
"value": "What is the vehicle in which the pertuzumab (PERJETA) is dissolved for administration?"
},
{
"from": "gpt",
"value": "The pertuzumab (PERJETA) is dissolved in sodium chloride 0.9%."
},
{
"from": "human",
"value": "What route of administration is used for pertuzumab (PERJETA)?"
},
{
"from": "gpt",
"value": "The route of administration is intravenous (IV)."
},
{
"from": "human",
"value": "How much of the vehicle is used to administer the pertuzumab (PERJETA)?"
},
{
"from": "gpt",
"value": "264 mL of the vehicle is used to administer the pertuzumab (PERJETA)."
},
{
"from": "human",
"value": "When should a patient receive the medication pertuzumab (PERJETA)?"
},
{
"from": "gpt",
"value": "The patient should receive the medication after chemotherapy is complete."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the purpose of the attestation made by the anesthesiologist?"
},
{
"from": "gpt",
"value": "The purpose of the attestation is to certify the anesthesiologist's signature for reassessment by the attending anesthesiologist prior to the procedure."
},
{
"from": "human",
"value": "What happened to the medication vials/syringes used during the procedure?"
},
{
"from": "gpt",
"value": "The medication vials/syringes were discarded as waste after the procedure."
},
{
"from": "human",
"value": "What was done by the attending anesthesiologist as part of the reassessment process?"
},
{
"from": "gpt",
"value": "The attending anesthesiologist examined the patient, reviewed their medications and allergies, addressed fasting guidelines, and confirmed that there were no interim medical events prior to the procedure."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the term for a leaf that is shaped like a cone or a top?"
},
{
"from": "gpt",
"value": "The term is turbinate."
},
{
"from": "human",
"value": "What is the main axis of a compound leaf or inflorescence called?"
},
{
"from": "gpt",
"value": "The main axis of a compound leaf or inflorescence is called the rachis."
},
{
"from": "human",
"value": "What is the term for an unbranched inflorescence with flowers maturing in order from the bottom to the top?"
},
{
"from": "gpt",
"value": "The term is raceme."
},
{
"from": "human",
"value": "What type of leaf is undivided and non-compound?"
},
{
"from": "gpt",
"value": "A simple leaf is undivided and non-compound."
},
{
"from": "human",
"value": "What is the term for a hair on a plant?"
},
{
"from": "gpt",
"value": "The term is trichome."
},
{
"from": "human",
"value": "What is the term for a multiple fleshy aggregate fruit, such as a mulberry?"
},
{
"from": "gpt",
"value": "The term is syncarp."
},
{
"from": "human",
"value": "What is the term for a modified leaf that is sharp and pointed?"
},
{
"from": "gpt",
"value": "The term is spine."
},
{
"from": "human",
"value": "What is the term for a leaf-like structure attached to the stem at the base of the leaves?"
},
{
"from": "gpt",
"value": "The term is stipules."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What are the patient's current subjective complaints, and how have they been managing them?"
},
{
"from": "gpt",
"value": "The patient is experiencing irregular periods since starting tamoxifen, mild hot flashes, and mild neuropathy. She has also been experiencing left eye swelling, which is currently being treated with antibiotics."
},
{
"from": "human",
"value": "What were the patient's chemotherapy treatments, and when did they occur?"
},
{
"from": "gpt",
"value": "The patient received a combination of chemotherapy treatments, including CARBOPLATIN, PERTUZUMAB, DOCETAXEL, and TRASTUZUMAB-ANNS, between July 18, 2024, and November 21, 2024. She also received albumin-bound PACLitaxel (ABRAXANE) on November 21, 2024."
},
{
"from": "human",
"value": "What is the patient's oncology history, and what was her initial diagnosis?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm of the left breast, which was diagnosed as estrogen receptor-positive infiltrating duct carcinoma, stage IB."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What was done to the edge of the remaining capsule?"
},
{
"from": "gpt",
"value": "Radial capsulotomies were made in the edge of the remaining capsule with the cautery to further re-contour and re-shape the breast."
},
{
"from": "human",
"value": "What was done with the left-sided tissue expander after it was explanted?"
},
{
"from": "gpt",
"value": "The left-sided tissue expander was passed off the table as a gross specimen."
},
{
"from": "human",
"value": "What was done to the lateral aspect of the breast pocket?"
},
{
"from": "gpt",
"value": "Dissection was carried laterally using the Bovie cautery to expand the pocket in this area to the anterior axillary line."
},
{
"from": "human",
"value": "How was hemostasis assured during the procedure?"
},
{
"from": "gpt",
"value": "Meticulous hemostasis was assured at all times with the Bovie cautery, particularly when encountering perforating vessels."
},
{
"from": "human",
"value": "What procedure was performed at the base of the pocket in the medial, superior, and axillary regions?"
},
{
"from": "gpt",
"value": "A capsulectomy was performed using the Bovie cautery to re-contour and re-shape the left reconstructed breast."
},
{
"from": "human",
"value": "What was exposed after the capsulectomy, and what was done to it?"
},
{
"from": "gpt",
"value": "The undersurface of the mastectomy flap was exposed, and it was elevated and off of the chest wall using the Bovie cautery to expand the pocket appropriately in these areas to re-contour and re-shape the breast."
},
{
"from": "human",
"value": "What was removed from the areas where the capsulectomy was performed?"
},
{
"from": "gpt",
"value": "Thickened breast capsule was excised for a capsulectomy in these areas with the Bovie cautery."
},
{
"from": "human",
"value": "What was done with the excised thickened left-sided breast capsule?"
},
{
"from": "gpt",
"value": "It was passed off the table as a permanent specimen."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the result of the ANC test?"
},
{
"from": "gpt",
"value": "The Absolute Neutrophil Count (ANC) test result is 2.73 x 10^3/uL, which is within the normal range of 1.80 - 8.50 x 10^3/uL."
},
{
"from": "human",
"value": "Who ordered the lab tests?"
},
{
"from": "gpt",
"value": "The lab tests were ordered by Murthy, Pooja, MD."
},
{
"from": "human",
"value": "What is the status of the lab test results?"
},
{
"from": "gpt",
"value": "The lab test results in this document are marked as \"Final result\", indicating that they are complete and final."
},
{
"from": "human",
"value": "What is the purpose of the lab tests?"
},
{
"from": "gpt",
"value": "The lab tests appear to be related to a medical diagnosis or treatment plan for a patient with a malignant neoplasm of the breast."
},
{
"from": "human",
"value": "What is the date and time that the lab test results were finalized?"
},
{
"from": "gpt",
"value": "The lab test results were finalized on 04/10/25 at 1347."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the date of the patient's admission to the hospital?"
},
{
"from": "gpt",
"value": "The patient was admitted to the hospital on January 8, 2025."
},
{
"from": "human",
"value": "What is the date of the patient's discharge from the hospital?"
},
{
"from": "gpt",
"value": "The patient was discharged from the hospital on January 9, 2025."
},
{
"from": "human",
"value": "What is the importance of the patient following their discharge instructions?"
},
{
"from": "gpt",
"value": "For optimal recovery at home, it is essential that the patient makes or attends their medical appointments within one week of discharge, takes their medications as prescribed, and follows all the discharge instructions that were given to them."
},
{
"from": "human",
"value": "What was discussed with the patient and her spouse about the discharge plans?"
},
{
"from": "gpt",
"value": "The patient and her spouse were both aware that the patient was being discharged today, and both were in agreement with the discharge plans. The spouse verbally agreed to provide transportation for the patient."
},
{
"from": "human",
"value": "Who was identified as the patient's caregiver?"
},
{
"from": "gpt",
"value": "The patient's spouse, Tamang Binod, was identified as the caregiver. He was in agreement with the discharge plans and verbally agreed to provide transportation for the patient."
},
{
"from": "human",
"value": "Was an interpreter or linguistic clinical communicator (LCC) service used during the patient's hospital stay?"
},
{
"from": "gpt",
"value": "No, an interpreter or LCC service was not used during the patient's hospital stay."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Who authorized the order to maintain IV access, and in what mode was it ordered?"
},
{
"from": "gpt",
"value": "The order to maintain IV access was authorized by Chang, Jerry W, MD, and it was ordered in standard mode."
},
{
"from": "human",
"value": "What is the date of admission and discharge for a patient?"
},
{
"from": "gpt",
"value": "The patient was admitted and discharged on May 28, 2025."
},
{
"from": "human",
"value": "What was the status of the order to maintain IV access, and when was it discontinued?"
},
{
"from": "gpt",
"value": "The order to maintain IV access was discontinued, and it was automatically discontinued by the Discharge Provider at 5:40 PM on May 28, 2025."
},
{
"from": "human",
"value": "What document was electronically signed by the patient's provider, and on what date?"
},
{
"from": "gpt",
"value": "The patient's provider electronically signed a Notice of Patient Status on May 27, 2025 at 10:04 AM."
},
{
"from": "human",
"value": "What order was placed for the patient, and who electronically signed it?"
},
{
"from": "gpt",
"value": "The patient had an order to maintain IV access, which was electronically signed by Olazabal, Gabriella, PA on May 28, 2025 at 11:20 AM."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What are the patient's current symptoms, and how long have they been experiencing them?"
},
{
"from": "gpt",
"value": "The patient is experiencing bilateral dry skin on their lower and upper extremities, as well as their facial area, which is accompanied by pruritus and a rash. These symptoms started within the first 5 days of treatment and have not been relieved with hydrocortisone cream. Additionally, the patient is experiencing pain and numbness in their feet when walking, and has had persistent dysuria since the induction of chemotherapy."
},
{
"from": "human",
"value": "What type of cancer does the patient have, according to the histopathologic type?"
},
{
"from": "gpt",
"value": "The patient has infiltrating duct carcinoma, not otherwise specified (NOS)."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Is the patient's sexual activity history available?"
},
{
"from": "gpt",
"value": "No, the patient's sexual activity history is not available."
},
{
"from": "human",
"value": "How long did the patient breastfeed her child?"
},
{
"from": "gpt",
"value": "The patient breastfed her child for 8 months."
},
{
"from": "human",
"value": "At what age did the patient have her first child?"
},
{
"from": "gpt",
"value": "The patient had her first child at the age of 23."
},
{
"from": "human",
"value": "When did the patient come to the US?"
},
{
"from": "gpt",
"value": "The patient came to the US in 2020."
},
{
"from": "human",
"value": "Where was the patient born?"
},
{
"from": "gpt",
"value": "The patient was born in Nepal."
},
{
"from": "human",
"value": "Has the patient ever used alcohol or drugs?"
},
{
"from": "gpt",
"value": "No, the patient has never used alcohol or drugs."
},
{
"from": "human",
"value": "Does the patient use vaping products?"
},
{
"from": "gpt",
"value": "No, the patient has never used vaping products."
},
{
"from": "human",
"value": "When was the patient's last Pap smear?"
},
{
"from": "gpt",
"value": "The patient's last Pap smear was in 2023."
},
{
"from": "human",
"value": "What is the patient's marital status?"
},
{
"from": "gpt",
"value": "The patient is married."
},
{
"from": "human",
"value": "How many children does the patient have?"
},
{
"from": "gpt",
"value": "The patient has one child."
},
{
"from": "human",
"value": "Is the patient's spouse's information available?"
},
{
"from": "gpt",
"value": "No, the spouse's information is not available."
},
{
"from": "human",
"value": "What is the patient's occupation?"
},
{
"from": "gpt",
"value": "The patient works in a beauty salon."
},
{
"from": "human",
"value": "Does the patient use tobacco products?"
},
{
"from": "gpt",
"value": "No, the patient has never smoked or used smokeless tobacco."
},
{
"from": "human",
"value": "When was the patient's last mammogram?"
},
{
"from": "gpt",
"value": "The patient's last mammogram was in 2024."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the purpose of the medication order for ceFAZolin (ANCEF/KEFZOL) on May 28, 2025?"
},
{
"from": "gpt",
"value": "The purpose of the medication order for ceFAZolin (ANCEF/KEFZOL) is for antimicrobial therapy."
},
{
"from": "human",
"value": "Who was the ordering provider for the medication order for ceFAZolin (ANCEF/KEFZOL) on May 28, 2025?"
},
{
"from": "gpt",
"value": "The ordering provider for the medication order for ceFAZolin (ANCEF/KEFZOL) was Dr. Jerry W. Chang."
},
{
"from": "human",
"value": "Who discontinued the medication order for ceFAZolin (ANCEF/KEFZOL) on May 28, 2025?"
},
{
"from": "gpt",
"value": "The medication order for ceFAZolin (ANCEF/KEFZOL) was discontinued by Mylene Galvan Garcia, RN."
},
{
"from": "human",
"value": "What is the status of the medication order for ceFAZolin (ANCEF/KEFZOL) on May 28, 2025?"
},
{
"from": "gpt",
"value": "The status of the medication order for ceFAZolin (ANCEF/KEFZOL) is discontinued."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What medications were administered during the patient's first chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The patient received Perjeta and Kanjinti as part of their treatment."
},
{
"from": "human",
"value": "What is the date on which the patient is scheduled to return for their next chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The patient is scheduled to return for their next chemotherapy treatment on 4/10/2025."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What type of anesthesia was used for the procedure?"
},
{
"from": "gpt",
"value": "The patient was administered general anesthesia."
},
{
"from": "human",
"value": "What was the purpose of using 1% lidocaine with epinephrine during the procedure?"
},
{
"from": "gpt",
"value": "The 1% lidocaine with epinephrine was used for local hemostatic effects."
},
{
"from": "human",
"value": "Were any drains placed during the procedure?"
},
{
"from": "gpt",
"value": "No drains were placed during the procedure."
},
{
"from": "human",
"value": "What was the patient's preoperative diagnosis?"
},
{
"from": "gpt",
"value": "The patient's preoperative diagnosis was a personal history of left breast cancer, status post bilateral mastectomy with implant-based reconstruction, now with deformity and disproportion of bilateral reconstructed breast."
},
{
"from": "human",
"value": "What was the purpose of the procedure performed on the patient?"
},
{
"from": "gpt",
"value": "The purpose of the procedure was to revise and perform fat grafting on the bilateral reconstructed breast to address the deformity and disproportion."
},
{
"from": "human",
"value": "Was there any blood loss during the procedure?"
},
{
"from": "gpt",
"value": "The estimated blood loss was minimal."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the treatment plan that the order for trastuzumab-anns (KANJINTI) is part of?"
},
{
"from": "gpt",
"value": "The order for trastuzumab-anns (KANJINTI) is part of the TCHP Neoadjuvant treatment plan."
},
{
"from": "human",
"value": "Who authorized the order for trastuzumab-anns (KANJINTI)?"
},
{
"from": "gpt",
"value": "The order for trastuzumab-anns (KANJINTI) was authorized by Murthy, Pooja, MD."
},
{
"from": "human",
"value": "What is the name of the medication ordered for chemotherapy for cancer, and what is its dose?"
},
{
"from": "gpt",
"value": "The medication ordered is trastuzumab-anns (KANJINTI), and its dose is 6 mg/kg."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "Who ordered the administration of the medication?"
},
{
"from": "gpt",
"value": "The medication was ordered by Dr. Tammy Ju."
},
{
"from": "human",
"value": "When was the medication administered?"
},
{
"from": "gpt",
"value": "The medication was administered on June 14, 2024, at 11:12."
},
{
"from": "human",
"value": "What was the route of administration for the medication?"
},
{
"from": "gpt",
"value": "The medication was administered intravenously."
},
{
"from": "human",
"value": "Who performed the administration of the medication?"
},
{
"from": "gpt",
"value": "The medication was administered by Samson Joseph."
},
{
"from": "human",
"value": "What was the total dose of the medication administered?"
},
{
"from": "gpt",
"value": "The total dose of the medication administered was 6.5 mL."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What was the result of the genetic testing done through Ambry in 2024?"
},
{
"from": "gpt",
"value": "The genetic testing was negative for pathogenic mutations."
},
{
"from": "human",
"value": "Why was the treatment changed from TCHP to THP during cycle 2?"
},
{
"from": "gpt",
"value": "The treatment was changed due to multiple toxicities, including grade 1-2 neuropathy."
},
{
"from": "human",
"value": "What symptoms did the patient complain of after getting chemotherapy?"
},
{
"from": "gpt",
"value": "The patient complained of numbness in their hands, which was worst during the first week after getting chemotherapy."
},
{
"from": "human",
"value": "When did the patient visit for follow-up treatment?"
},
{
"from": "gpt",
"value": "The patient visited for follow-up treatment on 10/10/24."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the mode in which the order for the administration of a compatible solution for IV line clearance was placed?"
},
{
"from": "gpt",
"value": "The order for the administration of a compatible solution for IV line clearance was placed in the Standard PRN mode."
},
{
"from": "human",
"value": "What is the purpose of administering 20 mL of a compatible solution for a low volume infusion (250 mL or less)?"
},
{
"from": "gpt",
"value": "The purpose of administering 20 mL of a compatible solution for a low volume infusion (250 mL or less) is to perform IV line clearance."
},
{
"from": "human",
"value": "What is the indication for the administration of a compatible solution for IV line clearance?"
},
{
"from": "gpt",
"value": "The indication for the administration of a compatible solution for IV line clearance is for low volume infusions (250 mL or less)."
},
{
"from": "human",
"value": "What is the status of the order for the administration of a compatible solution for IV line clearance?"
},
{
"from": "gpt",
"value": "The status of the order for the administration of a compatible solution for IV line clearance is Cancel Held."
},
{
"from": "human",
"value": "Who is authorized to order the administration of a compatible solution for IV line clearance?"
},
{
"from": "gpt",
"value": "The ordering provider is authorized to order the administration of a compatible solution for IV line clearance. In this case, the ordering provider is Maria Jovie, NP."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the value of the Mean Left Ventricular Velocity?"
},
{
"from": "gpt",
"value": "The value of the Mean Left Ventricular Velocity is 15.4."
},
{
"from": "human",
"value": "What is the Body Mass Index (BMI) of the individual?"
},
{
"from": "gpt",
"value": "The Body Mass Index (BMI) of the individual is 24.5."
},
{
"from": "human",
"value": "What is the Peak Velocity of the Mitral Valve A Wave?"
},
{
"from": "gpt",
"value": "The Peak Velocity of the Mitral Valve A Wave is 399.6."
},
{
"from": "human",
"value": "What is the value of the Diastolic Blood Pressure?"
},
{
"from": "gpt",
"value": "The value of the Diastolic Blood Pressure is 73."
},
{
"from": "human",
"value": "What is the value of the Systolic Blood Pressure?"
},
{
"from": "gpt",
"value": "The value of the Systolic Blood Pressure is 111."
},
{
"from": "human",
"value": "What is the Interventricular Septal Thickness at Diastole?"
},
{
"from": "gpt",
"value": "The Interventricular Septal Thickness at Diastole is 0.61."
},
{
"from": "human",
"value": "What is the Left Atrium Dimension?"
},
{
"from": "gpt",
"value": "The Left Atrium Dimension is 2.6."
},
{
"from": "human",
"value": "What is the Left Ventricular Outflow Tract Diameter?"
},
{
"from": "gpt",
"value": "The Left Ventricular Outflow Tract Diameter is 1.8."
},
{
"from": "human",
"value": "What is the Aortic Root Diameter?"
},
{
"from": "gpt",
"value": "The Aortic Root Diameter is 3.2."
},
{
"from": "human",
"value": "What is the Body Surface Area calculated using the Haycock Formula?"
},
{
"from": "gpt",
"value": "The Body Surface Area calculated using the Haycock Formula is 1.6."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the apparent purpose of the list of words and abbreviations?"
},
{
"from": "gpt",
"value": "The list of words and abbreviations appears to be a glossary or index of some sort, possibly used to explain or define the terms and abbreviations used in the text."
},
{
"from": "human",
"value": "What can be inferred about the intended audience or readership of the text based on the level of technical detail and specialized terminology?"
},
{
"from": "gpt",
"value": "The text appears to be intended for an audience with a strong background in botany or plant science, possibly at the graduate or professional level. The use of technical terms and abbreviations suggests that the text is not intended for a general or introductory audience."
},
{
"from": "human",
"value": "What is the likely topic or subject matter of the text based on the titles and section headings?"
},
{
"from": "gpt",
"value": "The text appears to be related to botany or plant science, possibly covering topics such as plant anatomy, taxonomy, or conservation. The mention of specific plant families (e.g. Poaceae, Ranunculaceae) and the use of technical terms and abbreviations (e.g. MGA, REICTENGCOS) suggests a specialized or academic context."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the name of the patient's diagnosis, and what are the ICD-10-CM codes associated with it?"
},
{
"from": "gpt",
"value": "The patient's diagnosis is a malignant neoplasm of overlapping sites of the left breast in a female, estrogen receptor positive. The ICD-10-CM codes associated with this diagnosis are C50.812 and Z17.0."
},
{
"from": "human",
"value": "What is the purpose of the IV access order, and who is responsible for selecting the appropriate care plan?"
},
{
"from": "gpt",
"value": "The purpose of the IV access order is to provide access for patients to receive treatments, such as chemotherapy, through an IV line. The responsibility for selecting the appropriate care plan falls to the healthcare provider, who must determine whether the patient has an existing line or port, or if a new peripheral IV access placement order is needed."
},
{
"from": "human",
"value": "When was the IV access order authorized, and who authorized it?"
},
{
"from": "gpt",
"value": "The IV access order was authorized on August 8, 2024, at 7:48 AM by Dekyi, Tenzin, NP."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What type of solution was used to administer the carboplatin medication?"
},
{
"from": "gpt",
"value": "The carboplatin medication was administered in dextrose 5%."
},
{
"from": "human",
"value": "What medications were administered to the patient during the medical encounter?"
},
{
"from": "gpt",
"value": "The patient received the following medications:\n\n* Pertuzumab (840 mg) in sodium chloride 0.9% (278 mL) via intravenous push (IVPB)\n* Trastuzumab-anns (520 mg) in sodium chloride 0.9% (274.76 mL) via IVPB\n* Docetaxel (125 mg) in sodium chloride 0.9% (506.25 mL) via IVPB\n* Carboplatin (720 mg) in dextrose 5% (322 mL) via IVPB\n* Pegfilgrastim (6 mg) in 0.6 mL injection"
},
{
"from": "human",
"value": "How long did the medical encounter take, not including any procedures?"
},
{
"from": "gpt",
"value": "The medical encounter took 90 minutes."
},
{
"from": "human",
"value": "What activities were included in the 90 minutes of the medical encounter?"
},
{
"from": "gpt",
"value": "The 90 minutes included:\n\n* Preparing to see the patient\n* Reviewing tests\n* Obtaining the patient's history\n* Performing a medically appropriate examination\n* Counseling and educating the patient\n* Ordering medications, tests, or procedures\n* Referring and communicating with other healthcare professionals\n* Documenting clinical information in the electronic medical record (EMR)\n* Independently interpreting results and communicating results to the patient/family/caregiver\n* Care communication"
},
{
"from": "human",
"value": "What was done with the patient's questions during the medical encounter?"
},
{
"from": "gpt",
"value": "All of the patient's questions were answered."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the purpose of an IV access order for patients treated in the Infusion Center?"
},
{
"from": "gpt",
"value": "The purpose of an IV access order is to select the appropriate care plan for an existing line or port, or to place a peripheral IV access if the patient does not have a line or port."
},
{
"from": "human",
"value": "What is the indication for the order \"Maintain IV Access (Discontinued)\"?"
},
{
"from": "gpt",
"value": "The indication for the order \"Maintain IV Access (Discontinued)\" is a malignant neoplasm of overlapping sites of the left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "Who automatically discontinued the order \"Maintain IV Access (Discontinued)\"?"
},
{
"from": "gpt",
"value": "The order \"Maintain IV Access (Discontinued)\" was automatically discontinued by the Discharge Provider on 08/09/24 at 0445."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the patient's current side effects from chemotherapy, and what medication has she omitted due to side effects?"
},
{
"from": "gpt",
"value": "The patient is experiencing some side effects from chemotherapy, including tiredness, and has omitted cycle 2 carboplatin due to these side effects."
},
{
"from": "human",
"value": "What is the patient's current interest in terms of surgical options, and what type of reconstruction is she considering?"
},
{
"from": "gpt",
"value": "The patient is tentatively interested in a bilateral possible nipple sparing mastectomy with L SLNB (lymph node biopsy) and reconstruction."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the diagnosis for which the chemotherapy treatment is being administered?"
},
{
"from": "gpt",
"value": "The diagnosis is a malignant neoplasm of overlapping sites of the left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "What is the recommended procedure for low-volume infusion (250 mL or less)?"
},
{
"from": "gpt",
"value": "For low-volume infusion (250 mL or less), it is recommended to perform IV line clearance with 20 mL of a compatible solution."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What was the diagnosis for the patient's condition?"
},
{
"from": "gpt",
"value": "The patient was diagnosed with a malignant neoplasm of overlapping sites of the left breast in a female, which is estrogen receptor positive."
},
{
"from": "human",
"value": "Who authorized the ordering of the treatment plan?"
},
{
"from": "gpt",
"value": "The treatment plan was authorized by Maria Jovie Pagsuguiron, NP."
},
{
"from": "human",
"value": "What was the treatment plan for the patient?"
},
{
"from": "gpt",
"value": "The treatment plan involved chemotherapy, as indicated by the visit to the NYP Queens Infusion Clinic on March 21, 2025."
},
{
"from": "human",
"value": "What was the status of the nursing communication?"
},
{
"from": "gpt",
"value": "The nursing communication was discontinued."
},
{
"from": "human",
"value": "What was the instruction regarding the use of saline flushes for the patient?"
},
{
"from": "gpt",
"value": "The patient was instructed to use saline flushes after every medication, blood draw, or intervention, and to use a syringe size of 3ml or larger."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "Has the patient had any previous anesthesia alerts or adverse events?"
},
{
"from": "gpt",
"value": "No previous anesthesia alerts or adverse events have been documented in Epic. However, the answerer (\"you\") should check alerts in legacy systems."
},
{
"from": "human",
"value": "What are the patient's past medical diagnoses?"
},
{
"from": "gpt",
"value": "The patient has been diagnosed with anxiety, gastroesophageal reflux disease, hyperlipidemia, and a malignant neoplasm of the breast."
},
{
"from": "human",
"value": "What surgical procedures has the patient undergone?"
},
{
"from": "gpt",
"value": "The patient has undergone the following surgical procedures:\n\n* Breast biopsy (left side) on 05/2024\n* Identify sentinel node (bilateral) on 01/08/2025\n* Mastectomy (bilateral) on 01/08/2025"
},
{
"from": "human",
"value": "Does the patient have a history of smoking or substance use?"
},
{
"from": "gpt",
"value": "No, the patient has never smoked or used smokeless tobacco. The patient has also never used vaping products, alcohol, or drugs."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the patient's diagnosis, and what type of cancer does she have?"
},
{
"from": "gpt",
"value": "The patient has cancer of the breast, specifically an intraductal carcinoma. Her cancer is estrogen receptor positive, which means that it is sensitive to estrogen."
},
{
"from": "human",
"value": "What is the patient's current vital sign status, and what is her physical examination like?"
},
{
"from": "gpt",
"value": "The patient's current vital sign status is stable, with a blood pressure of 102/71, a pulse of 67, a temperature of 35.9°C, a respiratory rate of 19, a height of 157.5 cm, a weight of 63.5 kg, and an oxygen saturation of 98%. Her physical examination is normal, with no signs of acute distress or illness. She appears normal weight and is not ill-appearing, toxic-appearing, or diaphoretic."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the indication of use for the HYDROmorphone HCl (DILAUDID) injection on 09/12/2025?"
},
{
"from": "gpt",
"value": "The HYDROmorphone HCl (DILAUDID) injection was ordered for pain, moderate scale 4-6, and the patient may request a mild pain regimen per Policy P101."
},
{
"from": "human",
"value": "Who authorized the ordering of the HYDROmorphone HCl (DILAUDID) injection on 09/12/2025?"
},
{
"from": "gpt",
"value": "The ordering provider, Chopra, Vibhuti, MD, authorized the ordering of the HYDROmorphone HCl (DILAUDID) injection on 09/12/2025."
},
{
"from": "human",
"value": "When was the HYDROmorphone HCl (DILAUDID) injection discontinued?"
},
{
"from": "gpt",
"value": "The HYDROmorphone HCl (DILAUDID) injection was discontinued by the Discharge Provider, Automatic on 09/12/25 1519."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What was the ordered dose of the Zoladex injection?"
},
{
"from": "gpt",
"value": "The ordered dose was 3.6 mg."
},
{
"from": "human",
"value": "How often was the Zoladex injection scheduled to be administered?"
},
{
"from": "gpt",
"value": "The injection was scheduled to be administered every 4 weeks."
},
{
"from": "human",
"value": "What was the diagnosis for the patient's condition?"
},
{
"from": "gpt",
"value": "The patient was diagnosed with a malignant neoplasm of overlapping sites of the left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "How did the patient tolerate the Zoladex injection?"
},
{
"from": "gpt",
"value": "The patient tolerated the injection well and denied any distress post-visit."
},
{
"from": "human",
"value": "What was the patient's vital status upon arrival at the clinic?"
},
{
"from": "gpt",
"value": "The patient's vital status was within normal limits (WNL)."
},
{
"from": "human",
"value": "Who authorized the appointment request for the Zoladex injection?"
},
{
"from": "gpt",
"value": "The appointment request was authorized by Dr. Murthy, Pooja, MD."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "How is the cavity checked for hemostasis after the breast is removed?"
},
{
"from": "gpt",
"value": "The cavity is checked for hemostasis and controlled with electrocautery. The cavity is then irrigated out with copious amounts of sterile water."
},
{
"from": "human",
"value": "What is done to the right subnipple biopsy after it is dissected out?"
},
{
"from": "gpt",
"value": "The right subnipple biopsy is inked for orientation and sent to pathology for analysis."
},
{
"from": "human",
"value": "How are any bleeding points controlled during the procedure?"
},
{
"from": "gpt",
"value": "Any bleeding points are controlled with electrocautery."
},
{
"from": "human",
"value": "What is the result of the frozen section analysis of the left sentinel lymph nodes?"
},
{
"from": "gpt",
"value": "The frozen section analysis of the left sentinel lymph nodes is negative for carcinoma."
},
{
"from": "human",
"value": "What is the result of the frozen section analysis of the subnipple biopsy on the left breast?"
},
{
"from": "gpt",
"value": "The frozen section analysis of the subnipple biopsy on the left breast is negative for any carcinoma."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the patient's oxygen saturation (SpO2), according to the objective vital signs?"
},
{
"from": "gpt",
"value": "The patient's oxygen saturation (SpO2) is 99%."
},
{
"from": "human",
"value": "What is the patient's weight, according to the objective vital signs?"
},
{
"from": "gpt",
"value": "The patient's weight is 65.8 kg."
},
{
"from": "human",
"value": "What is the name and title of the chaperone who was present during the sensitive exam?"
},
{
"from": "gpt",
"value": "The chaperone's name is Maria Jovie Pagsuguiron, and her title is NP (Nurse Practitioner)."
},
{
"from": "human",
"value": "What medication was administered to the patient on August 8, 2024?"
},
{
"from": "gpt",
"value": "The patient was administered 840 mg of pertuzumab (PERJETA) and 125 mg of docetaxel (TaxOTERE) on August 8, 2024."
},
{
"from": "human",
"value": "What is the patient's blood pressure, according to the objective vital signs?"
},
{
"from": "gpt",
"value": "The patient's blood pressure is 110/73."
},
{
"from": "human",
"value": "What is the patient's height, according to the objective vital signs?"
},
{
"from": "gpt",
"value": "The patient's height is 160 cm."
},
{
"from": "human",
"value": "What is the patient's body surface area (BSA), according to the objective vital signs?"
},
{
"from": "gpt",
"value": "The patient's body surface area (BSA) is 1.71 meters squared."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the reason for the referral to the genetics specialist?"
},
{
"from": "gpt",
"value": "The reason for the referral to the genetics specialist is invasive ductal carcinoma of the left breast."
},
{
"from": "human",
"value": "Who signed the referral to the genetics specialist?"
},
{
"from": "gpt",
"value": "The referral to the genetics specialist was signed by Tammy Ju, MD."
},
{
"from": "human",
"value": "Who was notified about the patient's MRI appointment date and time?"
},
{
"from": "gpt",
"value": "The patient's husband was notified about the MRI appointment date and time by Li Rong."
},
{
"from": "human",
"value": "Who was sent a letter regarding the patient's visit?"
},
{
"from": "gpt",
"value": "Binh Lam, MD was sent a letter regarding the patient's visit."
},
{
"from": "human",
"value": "What was included in the letter sent to Binh Lam, MD?"
},
{
"from": "gpt",
"value": "A summary of the patient's visit was included in the letter sent to Binh Lam, MD."
},
{
"from": "human",
"value": "What is the status of the referral to the genetics specialist?"
},
{
"from": "gpt",
"value": "The referral to the genetics specialist is active."
},
{
"from": "human",
"value": "Who is the ordering provider for the referral to the genetics specialist?"
},
{
"from": "gpt",
"value": "Tammy Ju, MD is the ordering provider for the referral to the genetics specialist."
},
{
"from": "human",
"value": "What is the patient's diagnosis?"
},
{
"from": "gpt",
"value": "The patient has invasive ductal carcinoma of the left breast."
},
{
"from": "human",
"value": "Why was the patient referred to a genetics specialist?"
},
{
"from": "gpt",
"value": "The patient was referred to a genetics specialist because of a diagnosis of invasive ductal carcinoma of the left breast."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the recommended dosage of prochlorperazine for nausea/vomiting?"
},
{
"from": "gpt",
"value": "The recommended dosage is 1 tablet (10 mg) every 6 hours as needed."
},
{
"from": "human",
"value": "What is the recommended dosage of ondansetron for nausea/vomiting not responding to prochlorperazine?"
},
{
"from": "gpt",
"value": "The recommended dosage is 1 tablet (8 mg) every 8 hours as needed."
},
{
"from": "human",
"value": "What medical condition is associated with the estimated glomerular filtration rate?"
},
{
"from": "gpt",
"value": "The condition is a malignant neoplasm of overlapping sites of the left breast in a female, which is estrogen receptor positive."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the name of the medication that is being administered to the patient, and what is its purpose?"
},
{
"from": "gpt",
"value": "The medication being administered is Trastuzumab + Pertuzumab, which is being used for cancer therapy."
},
{
"from": "human",
"value": "What is the calculated dose of Pertuzumab (PERJETA) being administered, and what is the volume of the solution?"
},
{
"from": "gpt",
"value": "The calculated dose of Pertuzumab (PERJETA) is 420 mg, and the volume of the solution is 250 mL."
},
{
"from": "human",
"value": "Who authorized the cancellation of the order for Trastuzumab-anns (KANJINTI)?"
},
{
"from": "gpt",
"value": "The order for Trastuzumab-anns (KANJINTI) was cancelled by Edward Pae, RN."
},
{
"from": "human",
"value": "What is the warning regarding the administration of Trastuzumab-anns (KANJINTI)?"
},
{
"from": "gpt",
"value": "Trastuzumab-anns (KANJINTI) is NOT compatible with D5W."
},
{
"from": "human",
"value": "What is the status of the order for Trastuzumab-anns (KANJINTI)?"
},
{
"from": "gpt",
"value": "The order for Trastuzumab-anns (KANJINTI) is Cancel Held."
},
{
"from": "human",
"value": "What is the package identifier for the medication Trastuzumab-anns (KANJINTI)?"
},
{
"from": "gpt",
"value": "The package identifier for the medication Trastuzumab-anns (KANJINTI) is 55513-132-01, 00074-1583-02."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Who is the Director of Clinical Laboratory at the Diagnostic Laboratories?"
},
{
"from": "gpt",
"value": "The Director of Clinical Laboratory at the Diagnostic Laboratories is William H. Rodgers, PHD, MD."
},
{
"from": "human",
"value": "What is the gross description of the patient's right tissue expander?"
},
{
"from": "gpt",
"value": "The right tissue expander is a 371 g, 10.5 x 9.5 x 6.5 cm yellow-white ovoid rubbery tissue expander with an intact external surface."
},
{
"from": "human",
"value": "What is the date of admission and discharge for the patient being reported on?"
},
{
"from": "gpt",
"value": "The patient was admitted and discharged on the same date, May 28, 2025."
},
{
"from": "human",
"value": "What is the diagnosis for the patient's right breast capsule?"
},
{
"from": "gpt",
"value": "The diagnosis for the patient's right breast capsule is membranous dense fibrotic tissue with chronic inflammation and foreign body type giant cell reaction, with translucent foreign materials identified."
},
{
"from": "human",
"value": "What is the address of the Diagnostic Laboratories?"
},
{
"from": "gpt",
"value": "The address of the Diagnostic Laboratories is 56-45 Main Street, Flushing, NY 11355."
},
{
"from": "human",
"value": "What is the patient's date of birth and age?"
},
{
"from": "gpt",
"value": "The patient's date of birth is February 12, 1983, and their age is 42."
},
{
"from": "human",
"value": "What is the location of the patient's encounter?"
},
{
"from": "gpt",
"value": "The patient's encounter took place at NYPQ 3A OR."
},
{
"from": "human",
"value": "What is the patient's sex?"
},
{
"from": "gpt",
"value": "The patient is female."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the location and orientation of the patient's wound?"
},
{
"from": "gpt",
"value": "The patient has two wounds, one located on the left breast and the other on the right breast."
},
{
"from": "human",
"value": "What is the reason for the patient's discharge?"
},
{
"from": "gpt",
"value": "The patient was discharged due to the reason \"Discharge Wound\"."
},
{
"from": "human",
"value": "What type of test was the patient offered and declined on January 8, 2025 at 22:37?"
},
{
"from": "gpt",
"value": "The patient was offered an HIV test and declined it."
},
{
"from": "human",
"value": "What type of test was the patient offered and accepted on January 8, 2025 at 22:37?"
},
{
"from": "gpt",
"value": "The patient was offered a Hepatitis C test and accepted it."
},
{
"from": "human",
"value": "What type of pain did the patient experience on January 9, 2025 at 12:12?"
},
{
"from": "gpt",
"value": "The patient experienced acute pain."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the current status of the patient's hair growth?"
},
{
"from": "gpt",
"value": "The patient's hair has not yet grown back since the last visit."
},
{
"from": "human",
"value": "What is the patient's current nail condition?"
},
{
"from": "gpt",
"value": "The patient has discoloration in her nails."
},
{
"from": "human",
"value": "What is the patient's current bowel movement condition?"
},
{
"from": "gpt",
"value": "The patient has softer stools."
},
{
"from": "human",
"value": "What are the patient's current constitutional symptoms?"
},
{
"from": "gpt",
"value": "The patient is experiencing fatigue, but no fever."
},
{
"from": "human",
"value": "What is the patient's cancer diagnosis and stage?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm of overlapping sites of left breast in female, estrogen receptor positive, and is diagnosed with stage IB (cT2, cN0, cM0, G3, ER+, PR+, HER2+) breast cancer."
},
{
"from": "human",
"value": "What are the patient's current neurological symptoms?"
},
{
"from": "gpt",
"value": "The patient is experiencing numbness in her feet, but no gait problem."
},
{
"from": "human",
"value": "What is the patient's cancer histopathologic type and grade?"
},
{
"from": "gpt",
"value": "The patient's cancer is an infiltrating duct carcinoma, NOS, with a histologic grade of 3."
},
{
"from": "human",
"value": "What is the patient's chemotherapy history?"
},
{
"from": "gpt",
"value": "The patient has received several rounds of chemotherapy, including CARBOPLATIN, PERTUZUMAB, DOCETAXEL, TRASTUZUMAB-ANNS, and ABRAXANE."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the purpose of providing education leaflets to patients for certain medications?"
},
{
"from": "gpt",
"value": "The purpose is to provide patients with information about their newly prescribed or look-alike/sound-alike medications, including their name, purpose, possible side effects, and any necessary instructions."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What medication was ordered to be given for severe respiratory distress caused by an infusion reaction?"
},
{
"from": "gpt",
"value": "Albuterol (2.5 MG/3ML) 0.083% nebulizer solution."
},
{
"from": "human",
"value": "Who authorized the order for albuterol on May 28, 2025?"
},
{
"from": "gpt",
"value": "The order for albuterol was authorized by Pooja Murthy, MD."
},
{
"from": "human",
"value": "What medication was ordered to be given in combination with albuterol for severe respiratory distress caused by an infusion reaction?"
},
{
"from": "gpt",
"value": "No specific medication is mentioned as being ordered in combination with albuterol, but it is mentioned that if ipratropium is also ordered for the same indication, both should be administered according to their dosing frequency."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the patient's weight in kilograms, as recorded on January 8, 2025?"
},
{
"from": "gpt",
"value": "The patient's weight is 65.32 kg."
},
{
"from": "human",
"value": "What is the patient's Body Mass Index (BMI), as calculated on January 8, 2025?"
},
{
"from": "gpt",
"value": "The patient's BMI is 25.6."
},
{
"from": "human",
"value": "What is the patient's temperature in Celsius, as recorded on January 8, 2025, for the purpose of calculating the APACHE IV score?"
},
{
"from": "gpt",
"value": "The patient's temperature is 36.3°C."
},
{
"from": "human",
"value": "What is the patient's current fluid intake, as recorded on January 8, 2025?"
},
{
"from": "gpt",
"value": "The patient's current fluid intake is 0 mL/kg/hr."
},
{
"from": "human",
"value": "What is the patient's Basal Surface Area (BSA), as calculated on January 8, 2025?"
},
{
"from": "gpt",
"value": "The patient's BSA is 1.7 sq meters."
},
{
"from": "human",
"value": "What is the patient's Adult Ventilator (Vt) range, as recorded on January 8, 2025?"
},
{
"from": "gpt",
"value": "The patient's Adult Ventilator (Vt) range is between 314.28 mL and 523.8 mL."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What instructions did the patient receive regarding eating and drinking before surgery?"
},
{
"from": "gpt",
"value": "The patient was instructed not to eat or drink anything after midnight before surgery. They were also allowed to drink up to 8 ounces of clear liquids, such as water, apple juice, sports drink, black coffee, or tea, 2 hours before their arrival at the hospital."
},
{
"from": "human",
"value": "Has the patient received pain education and a pain care plan?"
},
{
"from": "gpt",
"value": "Yes, the patient has received pain education and a pain care plan has been added or reviewed."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the patient's current medication regimen for managing nausea and vomiting?"
},
{
"from": "gpt",
"value": "The patient is taking ondansetron 8 MG Tablet every 8 hours as needed, and prochlorperazine 10 MG Tablet every 6 hours as needed."
},
{
"from": "human",
"value": "What is the patient's smoking status?"
},
{
"from": "gpt",
"value": "The patient has never smoked."
},
{
"from": "human",
"value": "What is the patient's marital status?"
},
{
"from": "gpt",
"value": "The patient is married."
},
{
"from": "human",
"value": "How many children does the patient have?"
},
{
"from": "gpt",
"value": "The patient has 1 child."
},
{
"from": "human",
"value": "What is the patient's occupation?"
},
{
"from": "gpt",
"value": "The patient works in a beauty salon."
},
{
"from": "human",
"value": "Is the patient a user of smokeless tobacco or e-cigarettes?"
},
{
"from": "gpt",
"value": "No, the patient has never used smokeless tobacco or e-cigarettes."
},
{
"from": "human",
"value": "What is the patient's family history of cancer?"
},
{
"from": "gpt",
"value": "The patient has a maternal grandfather with tuberculosis and a sister with lupus, but no family history of cancer."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What type of medical appointment is scheduled for 07/11/2024?"
},
{
"from": "gpt",
"value": "The appointment scheduled for 07/11/2024 is a chemotherapy infusion appointment."
},
{
"from": "human",
"value": "What is the status of the appointment request?"
},
{
"from": "gpt",
"value": "The status of the appointment request is \"Active\"."
},
{
"from": "human",
"value": "Who electronically signed the appointment request?"
},
{
"from": "gpt",
"value": "The appointment request was electronically signed by Maria Jovie Pagsuguiron, NP."
},
{
"from": "human",
"value": "What is the reason for the chemotherapy infusion appointment?"
},
{
"from": "gpt",
"value": "The reason for the chemotherapy infusion appointment is a diagnosis of a malignant neoplasm of overlapping sites of the left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "What is the treatment plan associated with an appointment?"
},
{
"from": "gpt",
"value": "The treatment plan associated with this appointment is TCHP Neoadjuvant."
},
{
"from": "human",
"value": "How often is a chemotherapy infusion appointment scheduled?"
},
{
"from": "gpt",
"value": "This chemotherapy infusion appointment is scheduled on a routine basis."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the patient's plan for ovarian protection during chemotherapy?"
},
{
"from": "gpt",
"value": "The patient is using Zoladex for ovarian protection during chemotherapy."
},
{
"from": "human",
"value": "What medication is being prescribed to manage uncomfortable neuropathy?"
},
{
"from": "gpt",
"value": "Gabapentin 300 mg at bedtime is being prescribed to manage uncomfortable neuropathy."
},
{
"from": "human",
"value": "What is the patient's plan for managing skin irritation and dryness?"
},
{
"from": "gpt",
"value": "The patient is advised to use a gentle body/face cleanser and gentle moisturizing lotion to manage skin irritation and dryness."
},
{
"from": "human",
"value": "What is the patient's plan for managing nausea and vomiting?"
},
{
"from": "gpt",
"value": "The patient is prescribed ondansetron 8 mg po every 8 hours PRN and prochlorperazine 10 mg every 6 hours PRN to manage nausea and vomiting."
},
{
"from": "human",
"value": "What is the reason for substituting Abraxane for docetaxel in this patient's chemotherapy regimen?"
},
{
"from": "gpt",
"value": "The reason for substituting Abraxane for docetaxel is due to worsened peripheral neuropathy."
},
{
"from": "human",
"value": "What is the patient's current treatment plan for managing diarrhea and dysuria?"
},
{
"from": "gpt",
"value": "The patient is advised to use Imodium PRN for diarrhea and is following up with a urologist for dysuria."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Is the patient a smoker?"
},
{
"from": "gpt",
"value": "No, the patient has never smoked."
},
{
"from": "human",
"value": "What is the patient's marital status?"
},
{
"from": "gpt",
"value": "The patient is married."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the status of the patient's BMP (Basic Metabolic Panel) lab results?"
},
{
"from": "gpt",
"value": "There are no results found for the requested BMP lab."
},
{
"from": "human",
"value": "What is the status of the patient's CBC (Complete Blood Count) lab results?"
},
{
"from": "gpt",
"value": "There are no results found for the requested CBC lab."
},
{
"from": "human",
"value": "Are there any facility-administered medications currently being given to the patient?"
},
{
"from": "gpt",
"value": "No, there are no current facility-administered medications for this encounter."
},
{
"from": "human",
"value": "What is the date of admission for this patient?"
},
{
"from": "gpt",
"value": "The date of admission for this patient is 9/12/2025."
},
{
"from": "human",
"value": "What is the status of the patient's LFT (Liver Function Tests) lab results?"
},
{
"from": "gpt",
"value": "There are no results found for the requested LFT lab."
}
] |
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