original_row_id int64 3 2.03k | annotator_id int64 3 3 | Note stringlengths 1.85k 4.75k | Dialogue stringlengths 2.95k 6.54k | ICD10 stringlengths 3 7 | ICD10_desc stringlengths 5 132 |
|---|---|---|---|---|---|
3 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Profuse watery diarrhea, severe abdominal pain, vomiting, and high fever for 2 days.
**History of Present Illness (HPI):**
The patient, a 34-year-old Caucasian male with a postgraduate education and a job as a full-time high school teacher, presents to the urgent care cent... | [doctor]: Hi there, how are you feeling today?
[patient]: Hi, not so great, to be honest. I've been really sick the past couple of days.
[doctor]: I'm sorry to hear that. What seems to be the problem?
[patient]: I've had really bad diarrhea, severe abdominal pain, vomiting, and a high fever for the past two days.
[... | A09 | INFECTIOUS GASTROENTERITIS AND COLITIS, UNSPECIFIED |
13 | 3 | #####
**1. Subjective:**
**Chief Complaint (CC):**
Recurrent outbreaks of herpes-like symptoms.
**History of Present Illness (HPI):**
The patient, a 38-year-old Caucasian female with a history of hypertension and recurrent UTIs, reports moderate herpes-like symptoms lasting for one week. Symptoms include swollen lymp... | [doctor]: Good morning! How are you doing today?
[patient]: Good morning, doctor. I've been better. I'm having some issues that seem to keep coming back.
[doctor]: Oh no, I'm sorry to hear that. Can you tell me more about what’s going on?
[patient]: Sure. I've been having these herpes-like symptoms that come and go.... | B009 | HERPESVIRAL INFECTION, UNSPECIFIED |
23 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Moderate fatigue for the past 3 months.
**History of Present Illness (HPI):**
A 45-year-old Hispanic male, named Carlos Martinez, presents with a 3-month history of moderate fatigue. He reports associated symptoms of jaundice and nausea occurring daily, significantly impac... | [doctor]: Hi there, how are you today?
[patient]: Hi, I'm okay. I've been really tired for the past few months, though.
[doctor]: Hmm, I'm sorry to hear that. Can you tell me more about this fatigue? How long has it been going on?
[patient]: It's been about three months now. It’s not just tiredness; I feel exhausted... | B1920 | UNSPECIFIED VIRAL HEPATITIS C WITHOUT HEPATIC COMA |
33 | 3 | ### Gastroenterologist Medical Note
#### 1. Subjective:
**Chief Complaint (CC):**
Difficulty swallowing and persistent discomfort affecting sleep and eating habits due to chronic heartburn, regurgitation, and chest pain for the past 3 months.
**History of Present Illness (HPI):**
The patient is a 55-year-old Cauc... | **Doctor:** Hi there, how are you doing today?
**Patient:** Hello, Doc. I'm hanging in there, but honestly, not too great. I've been having some issues lately.
**Doctor:** I'm sorry to hear that. Can you tell me more about what’s been going on?
**Patient:** Sure, I've been having a lot of trouble swallowing and this... | B3781 | CANDIDAL ESOPHAGITIS |
43 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Severe symptoms including high fever, jaundice, dark urine, clay-colored stools, and enlarged liver and spleen for the past 2 weeks.
**History of Present Illness (HPI):**
The patient is a 47-year-old Asian male with a history of chronic Hepatitis B and hyperten... | [doctor]: Hello, how are you doing today?
[patient]: Hi, doctor. I've been feeling really awful lately.
[doctor]: I'm sorry to hear that. Can you tell me a bit more about what's been going on?
[patient]: Sure. For the past two weeks, I've had a high fever, yellow skin, and dark urine. My stools are also clay-colored... | B9789 | OTHER VIRAL AGENTS AS THE CAUSE OF DISEASES CLASSIFIED ELSEWHERE |
53 | 3 | ### Subjective
#### Chief Complaint (CC)
Abdominal pain with additional concerning symptoms.
#### History of Present Illness (HPI)
Dr. Sophia Chen, a 45-year-old Asian female with a history of irritable bowel syndrome (IBS) and hypothyroidism, presents for evaluation of persistent moderate to severe abdominal pain rat... | [doctor]: Hi Dr. Chen, thank you for coming in today. I see that you're experiencing some abdominal pain along with other symptoms. Can you tell me a bit more about what's been going on?
[patient]: Yes, I've been having pretty severe abdominal pain for about six weeks now. It’s been quite persistent and can get really... | C184 | MALIGNANT NEOPLASM OF TRANSVERSE COLON |
63 | 3 | #####
**1. Subjective:**
**Chief Complaint (CC)**
Severe abdominal pain, radiating to the back, along with persistent nausea and vomiting.
**History of Present Illness (HPI)**
Mr. Juan Hernandez, a 67-year-old Hispanic male, presents for an initial oncology consultation. He reports severe, continuous abdominal pain r... | **Chief Complaint:**
Severe abdominal pain, radiating to the back, along with persistent nausea and vomiting.
---
**History of Present Illness:**
[doctor]: Good morning, Mr. Hernandez. How are you feeling today?
[patient]: Not good, doctor. I have severe abdominal pain that radiates to my back. It has been going o... | C251 | MALIGNANT NEOPLASM OF BODY OF PANCREAS |
73 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Lesion on the lower back.
**History of Present Illness (HPI):**
65-year-old Hispanic male, named Juan Martinez, presents with a lesion on the lower back. The lesion appeared 1 month ago and has rapidly increased in size, with recent episodes of bleeding and occasional pain... | [doctor] Hi, how are you today?
[patient] Hello, I'm okay, thank you. How are you?
[doctor] I'm doing well, thank you. I understand you have a lesion on your lower back. Can you tell me more about it?
[patient] Yes, I noticed it about a month ago. It started as a small spot, but it's grown really fast and even start... | C4359 | MALIGNANT MELANOMA OF OTHER PART OF TRUNK |
83 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Severe pain and noticeable mass in the right thigh.
**History of Present Illness (HPI):**
The patient is a 54-year-old African-American female who presents with a 6-month history of severe pain and an increasingly noticeable mass in her right thigh. She reports persistent... | [doctor]: Hi, I'm Dr. Thompson. How are you feeling today?
[patient]: Hi, Doctor. Not great, to be honest. I've been having severe pain in my right thigh for the past six months, and I've noticed a mass there that's getting bigger.
[doctor]: Hmm, I'm sorry to hear that. Can you tell me more about the pain and the mas... | C499 | MALIGNANT NEOPLASM OF CONNECTIVE AND SOFT TISSUE, UNSPECIFIED |
93 | 3 | #####
**1. Subjective:**
**Chief Complaint (CC):**
Moderate pain and noticeable lump in the left breast.
**History of Present Illness (HPI):**
The patient, a 38-year-old Hispanic female, presents with concerns of a lump in her left breast, which she first noticed three months ago. She reports moderate pain associated... | [doctor] Hello! How are you doing today?
[patient] Hi, I'm alright, thank you.
[doctor] I understand you have some concerns about a lump in your left breast. Can you tell me more about it?
[patient] Yes, I first noticed the lump about three months ago. It’s been causing moderate pain, and there's also some skin dimp... | C50512 | MALIGNANT NEOPLASM OF LOWER-OUTER QUADRANT OF LEFT FEMALE BREAST |
103 | 3 | ---
**1. Subjective:**
**Chief Complaint (CC):**
Severe pelvic and lower abdominal pain, early satiety, significant weight loss, and a feeling of fullness.
**History of Present Illness (HPI):**
Ms. Yamamoto is a 67-year-old Asian female presenting for a pre-surgical consultation regarding a newly diagnosed malignan... | [doctor]: Good morning, Ms. Yamamoto. How are you feeling today?
[patient]: Good morning, doctor. I'm not feeling too well, actually. I'm experiencing severe pelvic and lower abdominal pain.
[doctor]: I'm sorry to hear that. How long have you been experiencing this pain?
[patient]: It's been about four months now, a... | C562 | MALIGNANT NEOPLASM OF LEFT OVARY |
113 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Moderate headaches and dizziness.
**History of Present Illness (HPI):**
The patient, Dr. Emily Carter, a 33-year-old female with a PhD in Environmental Science, presents with a one-month history of moderate headaches and dizziness. Headaches occur several times per week, a... | [doctor]: Good morning! How are you today?
[patient]: Good morning, Doctor. I'm okay, but I've been having some issues lately.
[doctor]: Hmm, I'm sorry to hear that. What brings you in today?
[patient]: I've been having moderate headaches and dizziness for about a month now.
[doctor]: Oh, I see. Can you tell me mor... | C719 | MALIGNANT NEOPLASM OF BRAIN, UNSPECIFIED |
123 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Worsening respiratory symptoms and severe chest pain.
**History of Present Illness (HPI):**
The patient is a 75-year-old Caucasian male with a history of chronic obstructive pulmonary disease (COPD) and prior lymphoma, presenting with severe and progressively worsening dys... | [doctor]: Good morning, how are you feeling today?
[patient]: Good morning, doctor. Not too well, to be honest.
[doctor]: I'm sorry to hear that. Can you tell me more about what's been bothering you?
[patient]: Well, I've been having a lot of trouble breathing lately. It feels like it's getting worse every day. I al... | C7802 | SECONDARY MALIGNANT NEOPLASM OF LEFT LUNG |
133 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Severe chest pain and shortness of breath.
**History of Present Illness (HPI):**
The patient is a 34-year-old Hispanic male with a history of depression and asthma. He presents with a 4-month history of persistent fatigue, drenching night sweats, significant weight loss (~... | ```plaintext
[doctor] Hi, thanks for coming in. How are you feeling today?
[patient] Not good, doctor. I've been having severe chest pain and shortness of breath.
[doctor] I'm sorry to hear that. When did these symptoms start?
[patient] It's been about four months now. The chest pain and shortness of breath have bee... | C8330 | DIFFUSE LARGE B-CELL LYMPHOMA, UNSPECIFIED SITE |
143 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Follow-up for Acute Lymphoblastic Leukemia (ALL) and management of chronic conditions.
**History of Present Illness (HPI):**
Ms. Lee is a 45-year-old female with a history of Acute Lymphoblastic Leukemia (ALL), currently in remission for 12 months. She presents today for a... | [doctor]: Good morning, Ms. Lee. How are you doing today?
[patient]: Good morning, doctor. I’ve been doing okay. Just here for my follow-up for my leukemia and to discuss some other health concerns.
[doctor]: Alright, let's get started. How have you been feeling lately? Any new symptoms or concerns?
[patient]: Well,... | C9101 | ACUTE LYMPHOBLASTIC LEUKEMIA, IN REMISSION |
153 | 3 | #####
**1. Subjective:**
**Chief Complaint (CC):**
Moderate pain in the abdomen lasting for 3 weeks, with associated blood in the stool and decreased appetite.
**History of Present Illness (HPI):**
Maria Lopez is a 45-year-old Hispanic female with a known history of type 2 diabetes, presenting for a follow-up visit a... | [doctor] Good morning, Maria. How are you feeling today?
[patient] Good morning, Doctor. I've been better, honestly.
[doctor] I see. The notes say you're here for a follow-up regarding your abdominal pain. Can you tell me more about what's been going on?
[patient] Yes, so I've been having this moderate pain in my ab... | D122 | BENIGN NEOPLASM OF ASCENDING COLON |
163 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
Patient, John Smith, presents with a gradual increase in the number of melanocytic nevi on the trunk over the past year.
**History of Present Illness (HPI):**
- **Severity:** Asymptomatic, with some nevi slightly raised.
- **Duration:** Noticed gradual increase in the numb... | [doctor]: Good morning! How are you today?
[patient]: Morning, doc. I'm doing fine, thanks.
[doctor]: Great to hear. So, what brings you in today?
[patient]: I've noticed more moles popping up on my trunk over the past year.
[doctor]: Hmm, I see. Are these moles causing you any pain or discomfort?
[patient]: Nope,... | D225 | MELANOCYTIC NEVI OF TRUNK |
173 | 3 | ### 1. Subjective
**Chief Complaint (CC)**
Severe pelvic pain and dysmenorrhea.
**History of Present Illness (HPI)**
The patient, named Emily Johnson, is a 29-year-old Caucasian female who presents for follow-up regarding severe pelvic pain that has persisted for approximately 2 years. The pain is described as debili... | **Doctor:** Good morning. How are you feeling today?
**Patient:** Not great, to be honest. The pain is still really bad.
**Doctor:** I’m sorry to hear that. Can you remind me how long you’ve been experiencing this severe pelvic pain?
**Patient:** It’s been about two years now. It’s really affecting my life. I can ba... | D259 | LEIOMYOMA OF UTERUS, UNSPECIFIED |
183 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
New skin lesion on the left forearm with persistent itching and occasional tenderness.
**History of Present Illness (HPI):**
The patient is a 38-year-old Asian female who presents with a new lesion on her left forearm. She discovered the lesion one week ago and... | [Doctor]: Hi there, how are you doing today?
[Patient]: Hello, I'm alright, thank you. I have this new skin lesion on my left forearm that's been really bothering me.
[Doctor]: I see. Can you tell me more about it? When did you first notice this lesion?
[Patient]: I first noticed it about a week ago. It's been growi... | D485 | NEOPLASM OF UNCERTAIN BEHAVIOR OF SKIN |
193 | 3 | #####
**1. Subjective:**
**CHIEF COMPLAINT**
Severe pain episodes, fever, and difficulty breathing.
**HISTORY OF PRESENT ILLNESS**
The patient, named Jamal Thompson, is a 16-year-old African American male with a known history of sickle-cell disease and previous episodes of acute chest syndrome. He presents to the emer... | **[doctor]** Hi there, I'm Dr. Smith. How are you feeling today?
**[patient]** Hi, Doctor. I'm not feeling too great. I've been having severe pain and some other issues.
**[doctor]** I'm sorry to hear that. Can you tell me more about the pain you're experiencing?
**[patient]** The pain is really bad. It happens twic... | D571 | SICKLE-CELL DISEASE WITHOUT CRISIS |
203 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
- Sudden onset chest pain
**History of Present Illness (HPI):**
- A 52-year-old African American male presents with a 1-week history of severe, intermittent chest pain exacerbated by exertion. The pain is associated with dyspnea, palpitations, and episodes of s... | [doctor]: Good morning, how are you feeling today?
[patient]: I've been having a rough week, doctor. I'm experiencing severe chest pain.
[doctor]: I’m sorry to hear that. Can you tell me more about this chest pain? When did it start?
[patient]: It started about a week ago. The pain comes and goes, but it gets really... | D6851 | ACTIVATED PROTEIN C RESISTANCE |
213 | 3 | **1. Subjective**
**Chief Complaint (CC):**
Fatigue and recurrent infections.
**History of Present Illness (HPI):**
The patient is a 35-year-old African American female with a known history of Systemic Lupus Erythematosus (SLE) who presents for follow-up due to persistent symptoms over the past two month... | [doctor]: Hi there, how are you doing today?
[patient]: Hi, doctor. I’m really tired and worried about my health.
[doctor]: Hmm, I see. What brings you in today?
[patient]: I’ve been feeling very fatigued and have had recurrent infections over the past two months.
[doctor]: I understand. Could you give me more deta... | D72819 | DECREASED WHITE BLOOD CELL COUNT, UNSPECIFIED |
223 | 3 | **1. Subjective:**
**Chief Complaint (CC):**
- Joint stiffness, fatigue, skin rashes
**History of Present Illness (HPI):**
- The patient is a 60-year-old Asian female who presents for follow-up due to persistent autoimmune-related symptoms. She reports moderate joint stiffness and fatigue persisting for th... | [doctor]: Hi there, how are you doing today?
[patient]: Hi, doctor. I'm doing okay, but I've been struggling with joint stiffness, fatigue, and skin rashes.
[doctor]: Hmm, I'm sorry to hear that. Can you tell me more about the joint stiffness and fatigue?
[patient]: Sure. The joint stiffness and fatigue have been pe... | D8989 | OTHER SPECIFIED DISORDERS INVOLVING THE IMMUNE MECHANISM, NOT ELSEWHERE CLASSIFIED |
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