case_id stringlengths 13 21 | difficulty stringclasses 3
values | tags listlengths 1 21 | chief_complaint stringlengths 0 804 | subjective listlengths 2 6 | objective listlengths 2 9 | ground_truth dict | source stringclasses 1
value | judge dict |
|---|---|---|---|---|---|---|---|---|
MIMIC_19127408-DS-18 | hard | [
"Medicine",
"Cardiology"
] | Chest Pain, palpitations, lightheadedness | [
{
"keywords": [
"chest pain",
"GERD"
],
"content": "Patient presented with chest burning from epigastric region up into throat, similar to previous GERD episodes. Ate enchiladas for lunch, denies recent NSAIDs or EtOH use. Feeling slight shortness of breath.",
"necessity": true
},
{
... | [
{
"keywords": [
"vitals",
"troponin"
],
"content": "Admission vitals: T 98.5, BP 136/80, HR 58, RR 18, SaO2 98%. Troponin T levels: 0.01, 0.02, 0.04 (no significant rise and fall). WBC 13.0, creatinine 1.2.",
"necessity": true
},
{
"keywords": [
"EKG",
"rhythm"
],... | {
"diagnosis": [
"Hypertrophic cardiomyopathy",
"Atrial fibrillation",
"Symptomatic bradycardia",
"GERD"
],
"treatment": [
"Metoprolol",
"Disopyramide (increased dose)",
"Rivaroxaban"
],
"avoid": [
"NSAIDs"
]
} | mimic_iv_note | {
"passed": true,
"latency": 62.64198970794678,
"output_tokens": 1032,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_15598542-DS-5 | hard | [
"Medicine",
"Oncology"
] | seizures and right upper extremity weakness | [
{
"keywords": [
"seizures",
"weakness"
],
"content": "Patient presented with new-onset seizures and right upper extremity weakness.",
"necessity": true
},
{
"keywords": [
"cancer history"
],
"content": "History of metastatic vulvar cancer, currently undergoing radia... | [
{
"keywords": [
"lab results"
],
"content": "Admission labs: WBC 5.1, Hgb 9.9 (low), K 3.8 (low), Creat 0.6. Discharge labs: Glucose 139 (high), UreaN 25 (high), Creat 0.8 (high).",
"necessity": true
},
{
"keywords": [
"imaging"
],
"content": "CT Head: Multiple left cereb... | {
"diagnosis": [
"metastatic vulvar cancer",
"brain metastases",
"pulmonary embolism",
"seizures",
"right-sided weakness"
],
"treatment": [
"levetiracetam (Keppra) for seizures",
"steroids for cerebral edema",
"home hospice care"
],
"avoid": [
"discussing brain metastases d... | mimic_iv_note | {
"passed": true,
"latency": 20.59817409515381,
"output_tokens": 582,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_19282836-DS-16 | hard | [
"Medicine",
"Neurological"
] | subdural hematoma | [
{
"keywords": [
"alcohol_abuse",
"seizures",
"hallucinations"
],
"content": "65-year-old male with history of alcohol abuse (1.5-2 bottles vodka daily) presents with falls and suspected seizures (2 episodes in past month with tongue biting and incontinence). Reports hallucinations when... | [
{
"keywords": [
"vital_signs",
"physical_exam"
],
"content": "Admission: BP 126/40, HR 89, RR 18, SpO2 98% RA. Discharge: BP 148/84, HR 108-90, RR 20, SpO2 7% RA. HEENT: laceration on tongue. Neuro: normal.",
"necessity": true
},
{
"keywords": [
"laboratory",
"imaging... | {
"diagnosis": [
"Subdural Hematoma",
"Alcohol Abuse",
"Depression",
"Hypertension",
"Hypokalemia",
"Suspected Seizures"
],
"treatment": [
"Naltrexone",
"Thiamine",
"Multivitamins",
"Escitalopram",
"Losartan",
"Potassium repletion",
"Repeat CT head in 3 weeks",
... | mimic_iv_note | {
"passed": true,
"latency": 41.8573157787323,
"output_tokens": 702,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ar... |
MIMIC_11958553-DS-7 | medium | [
"cardiothoracic",
"oncology"
] | Barrett esophagus/heartburn | [
{
"keywords": [
"Barrett esophagus",
"adenocarcinoma"
],
"content": "History of Barrett esophagus with high grade dysplasia and adenocarcinoma found on EGD at 37 cm. GERD symptoms controlled with omeprazole. Reported nausea and vomiting after meals, improved post-EGD. Denies chest pain, SOB,... | [
{
"keywords": [
"vitals",
"BMI"
],
"content": "BP 130/77, HR 83, Weight 303.5, Height 66.75, BMI 47.9, Temp 97.5, RR 16, O2 Sat 95%. Physical Exam: A&Ox3, NAD, RRR, CTAB, S/NT/ND abdomen, no edema.",
"necessity": true
},
{
"keywords": [
"CXR",
"pneumothorax"
],
... | {
"diagnosis": [
"Esophageal cancer"
],
"treatment": [
"Minimally invasive esophagectomy and J-tube placement",
"Discharge medications: Aspirin 81mg daily, Centrum Silver daily, Levothyroxine 100mcg daily, lisinopril-hydrochlorothiazide daily, Metformin 1000mg BID, Metoprolol 200mg daily, Omeprazole 2... | mimic_iv_note | {
"passed": true,
"latency": 69.83846497535706,
"output_tokens": 1092,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_14442786-DS-21 | hard | [
"MEDICINE",
"cancer",
"infection",
"cardiovascular"
] | Fevers, chills | [
{
"keywords": [
"fever",
"rigors",
"hypotension"
],
"content": "Patient presented with fevers to 102 and rigors. Hypotension noted with BP dropping to 75 and systolic 80's.",
"necessity": true
},
{
"keywords": [
"duodenal adenocarcinoma",
"FOLFOX",
"saddle... | [
{
"keywords": [
"hypotension",
"tachycardia"
],
"content": "Admission: BP 80's systolic, HR 74. Discharge: BP 110/74, HR 102. Lactate 1.8 (admission) and 1.0 (discharge).",
"necessity": true
},
{
"keywords": [
"anemia",
"elevated liver enzymes"
],
"content": "... | {
"diagnosis": [
"Sepsis (suspected)",
"Duodenal adenocarcinoma",
"Saddle pulmonary embolism"
],
"treatment": [
"Lovenox 50mg SQ BID",
"Levofloxacin PO"
],
"avoid": [
"Sulfonamide Antibiotics"
]
} | mimic_iv_note | {
"passed": true,
"latency": 34.696643590927124,
"output_tokens": 585,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_19395626-DS-18 | hard | [
"MEDICINE",
"ESRD",
"Diabetes",
"COPD"
] | Shortness of breath | [
{
"keywords": [
"shortness of breath",
"cough",
"sputum"
],
"content": "3 weeks of shortness of breath, productive cough with brown sputum, fevers, chills, sore throat, weakness. Syncope on presentation day.",
"necessity": true
},
{
"keywords": [
"medication non-compl... | [
{
"keywords": [
"vitals",
"respiratory exam"
],
"content": "T 97.3, HR 87, BP 182/81, RR 20, 95% on 4L. Inspiratory crackles at bases, expiratory wheezes, moderate air exchange.",
"necessity": true
},
{
"keywords": [
"laboratory",
"echocardiogram"
],
"content"... | {
"diagnosis": [
"ESRD with volume overload",
"Hypertension",
"Type 1 Diabetes Mellitus",
"COPD",
"Anemia",
"Chronic Kidney Disease stage 4"
],
"treatment": [
"Dialysis",
"Calcium acetate",
"Nephrocaps"
],
"avoid": [
"Hydralazine Hcl"
]
} | mimic_iv_note | {
"passed": true,
"latency": 50.88596248626709,
"output_tokens": 815,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_17504740-DS-11 | medium | [
"Orthopaedics",
"Trauma",
"Chronic Conditions"
] | s/p fall down stairs | [
{
"keywords": [
"mechanical fall",
"stairs"
],
"content": "Patient had a mechanical fall down stairs and presented to the hospital for evaluation and care.",
"necessity": true
},
{
"keywords": [
"Anxiety",
"Depression",
"Hypercholesterolemia",
"GERD"
]... | [
{
"keywords": [
"Alert",
"oriented"
],
"content": "Alert and oriented.",
"necessity": true
},
{
"keywords": [
"Glucose"
],
"content": "Glucose-103.",
"necessity": true
}
] | {
"diagnosis": [
"s/p fall",
"Right distal radius fracture"
],
"treatment": [
"ORIF of right distal radius fracture",
"Oxycodone-Acetaminophen for pain",
"Simvastatin 40 mg daily",
"Fluoxetine 20 mg daily",
"Terazosin 1 mg at bedtime",
"Carbamazepine 200 mg daily",
"Ranitidine ... | mimic_iv_note | {
"passed": true,
"latency": 23.913881301879883,
"output_tokens": 622,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_13014735-DS-14 | hard | [
"surgery",
"trauma"
] | RUQ pain | [
{
"keywords": [
"RUQ pain",
"liver laceration"
],
"content": "Patient presented with right upper quadrant abdominal pain after high speed rollover MVC, found to have grade 2 liver laceration.",
"necessity": true
},
{
"keywords": [
"asthma",
"ETOH",
"suboxone"
... | [
{
"keywords": [
"abdominal tenderness",
"liver enzymes"
],
"content": "Admission exam: diffuse abdominal tenderness. Labs: initial HCT 37, ALT 47, AST 37, bilirubin 2.1; improved by discharge.",
"necessity": true
},
{
"keywords": [
"cervical spine MRI",
"stable vitals... | {
"diagnosis": [
"polytrauma"
],
"treatment": [
"Acetaminophen 325-650 mg PO Q6H PRN pain",
"Docusate Sodium 100 mg PO BID for bowel management"
],
"avoid": [
"aspirin",
"NSAIDs",
"Coumadin"
]
} | mimic_iv_note | {
"passed": true,
"latency": 25.15517258644104,
"output_tokens": 411,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_12186603-DS-16 | medium | [
"Surgery",
"Trauma"
] | fall from 5 feet with loss of consciousness | [
{
"keywords": [
"fall",
"headstrike",
"LOC"
],
"content": "Patient fell 5 feet with head strike and loss of consciousness",
"necessity": true
},
{
"keywords": [
"HTN",
"HLD",
"brain aneurysm",
"craniotomy",
"clipping",
"coronary stents",
... | [
{
"keywords": [
"vital signs stable",
"laceration",
"ecchymosis",
"A&OX3",
"RRR",
"CTAB",
"NT/ND",
"splinted",
"sling"
],
"content": "Physical exam: Afebrile, vital signs stable. General: normal. HEENT: lacerations on left eyebrow and cheek, ecchymos... | {
"diagnosis": [
"Right intraarticular distal radius fracture",
"Left radial head fracture",
"Left eyebrow and cheek lacerations",
"4 mm subdural hemorrhage",
"Soft tissue swelling surrounding the left orbit",
"Left lamina papyracea defect"
],
"treatment": [
"Resume home medications (i... | mimic_iv_note | {
"passed": true,
"latency": 36.25601148605347,
"output_tokens": 582,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_18686443-DS-22 | medium | [
"orthopedics",
"musculoskeletal"
] | Knee pain | [
{
"keywords": [
"pain",
"right leg",
"temperature"
],
"content": "Patient complains of persistent pain in the right leg, especially with temperature changes, and feels the leg is cold, attributing it to the metal hardware. She can ambulate but only for limited time (___ minutes) before... | [
{
"keywords": [
"incisions",
"healed"
],
"content": "Incisions around the leg are well healed, no erythema or discharge.",
"necessity": true
},
{
"keywords": [
"pain",
"palpation",
"callus"
],
"content": "Mild pain with palpation proximally along the loc... | {
"diagnosis": [
"Knee pain"
],
"treatment": [
"Acetaminophen 325-650 mg PO Q6H PRN pain",
"Aspirin 325 mg PO DAILY for 14 days",
"Morphine SR 15 mg PO Q12H",
"Gabapentin 100 mg PO TID",
"OxycoDONE 5 mg PO Q3H PRN pain",
"Weight bearing as tolerated",
"Wound care: no baths for 4 we... | mimic_iv_note | {
"passed": true,
"latency": 32.88929629325867,
"output_tokens": 869,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_16423485-DS-19 | hard | [
"SURGERY",
"GASTROINTESTINAL",
"CHOLECYSTITIS"
] | Right upper quadrant pain | [
{
"keywords": [
"RUQ pain",
"aggravated by deep breaths",
"aggravated by walking",
"improves with rest",
"duration: weeks",
"worsened yesterday"
],
"content": "___ with past medical history of HLD, GERD who p/w worsening RUQ abdominal pain which is aggravated with dee... | [
{
"keywords": [
"RUQ tenderness",
"incision tenderness",
"JP drain",
"serosanguineous drainage",
"vitals: HR 100 (admission), 79 (discharge)"
],
"content": "Admission: Tender to palpation RUQ, no rebound or guarding. Discharge: Mild tender at incision, JP drain with serosan... | {
"diagnosis": [
"Acute cholecystitis",
"Cholelithiasis",
"Post-cholecystectomy",
"Hyperparathyroidism",
"GERD",
"H.Pylori",
"Viral Herpes"
],
"treatment": [
"Cholecystectomy (laparoscopic converted to open)",
"Oral oxycodone for pain",
"Regular diet",
"Monitoring of vi... | mimic_iv_note | {
"passed": true,
"latency": 49.8272819519043,
"output_tokens": 819,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ar... |
MIMIC_19725695-DS-7 | hard | [
"Medicine",
"Trauma"
] | Fall | [
{
"keywords": [
"fall",
"mechanical"
],
"content": "Patient had a mechanical fall when attempting to ambulate from bed, denies head strike or neck/back injury, reports left hip pain with decreased range of motion. Daughter notes acute confusion possibly related to tramadol and short-term mem... | [
{
"keywords": [
"fracture",
"imaging"
],
"content": "Imaging: left displaced femoral neck fracture, CT head/c-spine negative, CXR clear. Labs: Trop 0.15 (trending down), UA RBCs (no infection), BUN 47/Cr 1.6, Hgb 8.7, INR 0.9. Physical: systolic murmurs (USB and apex), right pupil > left wit... | {
"diagnosis": [
"Traumatic fall",
"Left femoral neck fracture",
"Demand ischemia",
"Chronic kidney disease",
"Anemia",
"Dementia",
"Hypertension",
"CAD"
],
"treatment": [
"Tramadol 50 mg",
"Gabapentin 400 mg",
"Acetaminophen 1000 mg",
"Methazolamide 50 mg",
"IV... | mimic_iv_note | {
"passed": true,
"latency": 24.79417371749878,
"output_tokens": 651,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required field... |
MIMIC_16891939-DS-11 | medium | [
"Medicine",
"Infection"
] | cellulitis | [
{
"keywords": [
"cellulitis",
"left index finger",
"swelling progression"
],
"content": "Patient presented with three days of left index finger cellulitis, noticed by mother as swelling starting 2 days ago at PIP joint. Swelling progressed despite oral clindamycin. Possible causes: han... | [
{
"keywords": [
"edema",
"swelling",
"no pain on movement"
],
"content": "Physical exam: edema of left hand to distal wrist, no pain with passive extension/flexion, limited motion due to edema. Skin: significant swelling and pallor of left index finger, trace hand swelling. CR<2 second... | {
"diagnosis": [
"Cellulitis",
"Fragile X Syndrome"
],
"treatment": [
"IV Piperacillin-Tazobactam and Vancomycin (2 days)",
"Oral Bactrim DS 2 tabs BID and Augmentin 875mg BID for 10 days total",
"Wound care: TID warm soapy water soaks, volar splint with gauze/finger cling",
"Follow-up wit... | mimic_iv_note | {
"passed": true,
"latency": 42.474228382110596,
"output_tokens": 685,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fiel... |
MIMIC_19995091-DS-4 | hard | [
"Cardiothoracic Surgery",
"Cardiac",
"Metabolic"
] | Chest Pain | [
{
"keywords": [
"exertional chest pain",
"ischemic changes",
"atrial fibrillation"
],
"content": "Patient developed exertional substernal chest pressure that continued. During stress test, he had chest and right shoulder discomfort with ischemic changes on EKG. He developed atrial fibr... | [
{
"keywords": [
"vitals",
"physical exam",
"edema"
],
"content": "Physical exam: Pulse 64, Resp 20, O2 sat 100% RA, weight 77 kg. General: no acute distress. Lungs clear, heart RRR no murmur, abdomen soft non-tender. Extremities warm, no edema initially. Discharge exam: BP 100-120/60, ... | {
"diagnosis": [
"Coronary artery disease",
"Dyslipidemia",
"Glucose intolerance",
"Atrial fibrillation",
"Status post CABG"
],
"treatment": [
"Aspirin",
"Beta-blockers",
"Diuretics",
"Physical therapy",
"Follow-up with cardiology, cardiac surgery, and PCP"
],
"avoid": ... | mimic_iv_note | {
"passed": true,
"latency": 90.66478562355042,
"output_tokens": 1449,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_17951395-DS-7 | hard | [
"PLASTIC",
"Malignant Neoplasm"
] | Neoplasm malignant of the left hypopharynx; Neoplasm malignant of the larynx; Laryngeal stenosis; Aphonia; Dysphagia; Neoplasm malignant secondary of bilateral neck nodes | [
{
"keywords": [
"smoking",
"alcohol",
"shortness of breath"
],
"content": "Patient has a long history of smoking and alcohol use and presented with shortness of breath.",
"necessity": true
},
{
"keywords": [
"bilateral vocal cord immobility",
"mass",
"trac... | [
{
"keywords": [
"general condition",
"flap perfusion"
],
"content": "General: Well developed, well nourished, no acute distress, quiet respirations, no stridor, aphonic. Head/Face: Flap soft, well perfused with strong Doppler signal.",
"necessity": true
},
{
"keywords": [
"... | {
"diagnosis": [
"Neoplasm malignant of the left hypopharynx",
"Neoplasm malignant of the larynx",
"Laryngeal stenosis",
"Aphonia",
"Dysphagia",
"Neoplasm malignant secondary of bilateral neck nodes",
"T4aN2cM0 squamous cell carcinoma"
],
"treatment": [
"Surgical resection: Total l... | mimic_iv_note | {
"passed": true,
"latency": 18.527551412582397,
"output_tokens": 482,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_11723732-DS-11 | hard | [
"Medicine",
"Sepsis",
"Cholecystitis",
"Atrial Fibrillation",
"Stroke"
] | found down, hypotension | [
{
"keywords": [
"fall",
"unsteadiness",
"weakness",
"dementia"
],
"content": "Patient found down at home, with history of increasing unsteadiness and weakness, and prior fall with left-sided ecchymosis. Uses a walker. Disoriented possibly due to recent move. Mild baseline dementi... | [
{
"keywords": [
"vitals",
"tachycardia",
"fever",
"hypoxia"
],
"content": "Admission vitals: Temp 100F, BP 125/62, HR 104, RR 18, O2 94% on 2L. Alert and oriented. Clear lungs, regular rate irregular rhythm. Abdomen soft non-tender. Foley in place. Neuro: AAOx3, upgoing Babinski ... | {
"diagnosis": [],
"treatment": [],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 61.13537049293518,
"output_tokens": 1622,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_13388417-DS-2 | hard | [
"PSYCHIATRY",
"PTSD"
] | I have been having dark thoughts. | [
{
"keywords": [
"suicidal thoughts",
"intrusive thoughts"
],
"content": "Patient reports dark, intrusive thoughts about blood and suicide, worsening over the past few months. He has had three suicide attempts in the past six months, including driving into a building, overdosing on Tylenol, a... | [
{
"keywords": [
"head trauma",
"LOC"
],
"content": "History of head trauma with loss of consciousness after a motor vehicle accident.",
"necessity": true
},
{
"keywords": [
"seizure",
"medication-related"
],
"content": "History of one seizure, reported to be r... | {
"diagnosis": [
"PTSD",
"Depression",
"Panic Disorder"
],
"treatment": [
"Clonazepam (for anxiety)",
"Past medications: Pristiq, Cymbalta, Prozac",
"ECT (discontinued)"
],
"avoid": [
"Tylenol (due to liver injury history)",
"Alcohol (due to overdose risk and self-medication)"
... | mimic_iv_note | {
"passed": true,
"latency": 43.011098861694336,
"output_tokens": 678,
"truncated": false,
"content": "<think>\nWe, as the senior clinical expert, need to evaluate this case based on the given criteria. Let's go through each criterion step by step.\n\n1. **Data structure complete**: The case must contain the ... |
MIMIC_16260636-DS-3 | hard | [
"Neurology",
"Epilepsy",
"Psychiatry"
] | Recurrent generalized tonic clonic seizures and auras | [
{
"keywords": [
"seizures",
"history"
],
"content": "Patient reports recurrent generalized tonic clonic seizures (GTCs) and auras since childhood. Initially diagnosed at age ___ or ___. Auras involve lightheadness, intense emotional memories, and foul bilious taste. Convulsive seizures chara... | [
{
"keywords": [
"physical exam",
"neurologic"
],
"content": "Physical exam: Awake, cooperative, NAD, overweight. HEENT: Swelling of tongue. Neurologic: Alert, oriented x 3, able to relate history, attentive. No focal deficits, incontinence, or gait issues.",
"necessity": true
},
{
... | {
"diagnosis": [
"Epilepsy with generalized tonic-clonic seizures and auras",
"Gender Dysphoria",
"Major Depressive Disorder",
"Chronic Proteinuria"
],
"treatment": [
"EEG monitoring",
"Discontinued anti-epileptics",
"Psychiatric follow-up",
"Hormone therapy discontinued"
],
"a... | mimic_iv_note | {
"passed": true,
"latency": 35.338716983795166,
"output_tokens": 566,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_15060495-DS-16 | hard | [
"Surgery",
"Trauma"
] | s/p fall | [
{
"keywords": [
"fall",
"leg pains",
"head strike",
"subarachnoid hemorrhage"
],
"content": "Presented after a fall with leg pains, struck head, no LOC, CT showed right temporal subarachnoid hemorrhage.",
"necessity": true
},
{
"keywords": [
"HTN",
"Hypoth... | [
{
"keywords": [
"vitals",
"constitutional",
"HEENT",
"oropharynx",
"chest",
"cardiovascular",
"abdominal",
"neuro"
],
"content": "Vitals: Temp 98.2, HR 48, BP 156/59, Resp 18, O2 Sat 100%. Constitutional: Comfortable. HEENT: Left eyebrow laceration sutured... | {
"diagnosis": [
"s/p Fall",
"Subarachnoid hemorrhage",
"Left periorbital laceration",
"Urinary tract infection"
],
"treatment": [
"Acetaminophen 325 mg for pain",
"Trazodone 50 mg for insomnia",
"Escitalopram 10 mg",
"Atenolol 50 mg",
"Levothyroxine 100 mcg",
"Lisinopril 2... | mimic_iv_note | {
"passed": true,
"latency": 56.38412570953369,
"output_tokens": 901,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_17425647-DS-12 | hard | [
"MEDICINE",
"oncology",
"pulmonology",
"cardiology"
] | Fever | [
{
"keywords": [
"fever",
"weakness"
],
"content": "worsening generalized weakness and persistent fevers",
"necessity": true
},
{
"keywords": [
"nausea"
],
"content": "intermittent nausea",
"necessity": true
},
{
"keywords": [
"lung cancer",
"... | [
{
"keywords": [
"rales",
"lungs"
],
"content": "rales at right base (admission) and rales at R>L base (discharge)",
"necessity": true
},
{
"keywords": [
"WBC",
"neutrophils"
],
"content": "WBC count of 11.6K, with 78% neutrophils",
"necessity": true
},
... | {
"diagnosis": [
"pneumonia",
"lung cancer",
"atrial fibrillation",
"CAD"
],
"treatment": [
"erlotinib",
"vancomycin",
"cefepime",
"acetaminophen",
"ondansetron"
],
"avoid": [
"coumadin"
]
} | mimic_iv_note | {
"passed": true,
"latency": 58.80011606216431,
"output_tokens": 916,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_12320710-DS-4 | medium | [
"UROLOGY",
"Nephrolithiasis"
] | nephrolithiasis; chest pain | [
{
"keywords": [
"nephrolithiasis",
"kidney stones",
"history"
],
"content": "Long history of kidney stones (over 100 stones in lifetime), multiple prior shockwave lithotripsies and ureteroscopies.",
"necessity": true
},
{
"keywords": [
"pain",
"back",
"fla... | [
{
"keywords": [
"physical exam",
"abdomen",
"extremities"
],
"content": "Abdomen soft, non-tender, non-distended. Lower extremities without edema or pitting, no calf pain.",
"necessity": true
},
{
"keywords": [
"laboratory",
"WBC",
"glucose",
"cTropn... | {
"diagnosis": [
"Nephrolithiasis",
"Chest pain"
],
"treatment": [
"Cystoscopy, left ureteroscopy, lithotripsy, stone basket extraction, left ureteral stent placement",
"Acetaminophen 650 mg PO Q6H PRN",
"Tamsulosin 0.4 mg PO daily",
"Phenazopyridine 200 mg PO TID PRN",
"Oxybutynin 5 m... | mimic_iv_note | {
"passed": true,
"latency": 54.31846737861633,
"output_tokens": 1453,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_15784044-DS-6 | easy | [
"OBSTETRICS/GYNECOLOGY",
"Gastrointestinal"
] | nausea, vomiting, abdominal pain | [
{
"keywords": [
"nausea",
"vomiting",
"abdominal pain"
],
"content": "Patient is a G4P2 status post robot-assisted supracervical hysterectomy, bilateral salpingo-oophorectomy, sacrocervical colpopexy, and cystoscopy for pelvic organ prolapse. Presented with abdominal pain, nausea, and ... | [
{
"keywords": [
"vitals",
"abdomen exam"
],
"content": "Vitals stable. Abdomen soft, non-distended, non-tender, no rebound/guarding. No temperature elevation. Regular rate and rhythm, no acute respiratory distress.",
"necessity": true
},
{
"keywords": [
"laboratory",
... | {
"diagnosis": [
"partial small bowel obstruction"
],
"treatment": [
"NPO with IV fluids",
"diet advancement (clear liquids to regular)",
"amlodipine 5 mg daily",
"docusate sodium 100 mg twice daily",
"hydrochlorothiazide 25 mg daily",
"lisinopril 40 mg daily"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 23.244462966918945,
"output_tokens": 628,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
12473317-DS-17 | hard | [
"MEDICINE",
"cirrhosis",
"UTI",
"aortic_stenosis",
"diabetes",
"hypothyroid",
"osteoporosis"
] | confusion | [
{
"keywords": [
"HCV cirrhosis",
"decompensated",
"ascites",
"encephalopathy"
],
"content": "History of HCV cirrhosis (Child B) decompensated with encephalopathy, ascites, and grade I/II varices. Recent admission for worsening ascites and edema due to medication non-compliance an... | [
{
"keywords": [
"vitals",
"liver",
"ascites"
],
"content": "Admission vitals: Temp 98.5, BP 129/69, HR 107, RR 18, SpO2 99%. Discharge vitals: Temp 99.2, BP 106/49, HR 95, RR 18, SpO2 96%. Physical exam: distended abdomen, asterixis (admission: +, discharge: mild). Imaging: RUQ US show... | {
"diagnosis": [
"HCV cirrhosis decompensated with ascites and encephalopathy",
"UTI (urinary tract infection)",
"Aortic stenosis",
"Type 2 diabetes",
"Hypothyroid",
"Osteoporosis"
],
"treatment": [
"Ethacrynic acid and spironolactone for ascites",
"Lactulose for hepatic encephalop... | mimic_iv_note | {
"passed": true,
"latency": 137.374858379364,
"output_tokens": 2159,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_12044060-DS-18 | easy | [
"CARDIOTHORACIC",
"pneumothorax"
] | Chest pain | [
{
"keywords": [
"chest pain",
"rest",
"exercise"
],
"content": "Patient presented with left sided chest pain that began at rest after vigorous exercise the previous day. History of spontaneous pneumothorax and right blebectomy/lobectomy.",
"necessity": true
},
{
"keywords":... | [
{
"keywords": [
"pneumothorax",
"CXR"
],
"content": "Admission CXR showed left apical pneumothorax; discharge CXR showed no pneumothorax after catheter removal.",
"necessity": true
},
{
"keywords": [
"vitals",
"lungs"
],
"content": "Admission: Temp 99.0F, BP 1... | {
"diagnosis": [
"Spontaneous pneumothorax"
],
"treatment": [
"Acetaminophen 1000 mg PO Q8H PRN pain",
"Ibuprofen 400 mg PO Q8H PRN pain",
"DVT prophylaxis (heparin during hospital stay)",
"Activity restrictions: avoid strenuous activity and heavy lifting >10 lbs until follow-up",
"Incisio... | mimic_iv_note | {
"passed": true,
"latency": 38.181167125701904,
"output_tokens": 602,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_17086278-DS-3 | medium | [
"Obstetrics/Gynecology",
"Anemia"
] | vaginal bleeding, symptomatic anemia | [
{
"keywords": [
"vaginal bleeding",
"heavy bleeding",
"clots"
],
"content": "Patient reports passing large clots with continued heavy vaginal bleeding. Endorses dizziness when getting up to walk. Denies trauma, intercourse, dyschezia, hematochezia, dysuria, hematuria, fevers, chills, n... | [
{
"keywords": [
"vitals stable",
"no acute distress",
"minimal spotting"
],
"content": "Physical exam: vitals stable and within normal limits. General: no acute distress, alert and oriented. GU: pad with minimal spotting. Ext: no tenderness.",
"necessity": true
},
{
"keywor... | {
"diagnosis": [
"Vaginal bleeding",
"Acute blood loss anemia"
],
"treatment": [
"Medroxyprogesterone acetate 10 mg daily for 10 days",
"Ferrous sulfate 325 mg daily",
"Folic acid 1 mg daily",
"Cyanocobalamin 1000 mcg daily",
"Levothyroxine 100 mcg daily",
"Acetaminophen 500 mg PRN... | mimic_iv_note | {
"passed": true,
"latency": 202.9177029132843,
"output_tokens": 3148,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_14897443-DS-4 | hard | [
"Medicine",
"Cardiovascular/Neurological"
] | Dysuria, erratic behavior | [
{
"keywords": [
"dysuria",
"erratic behavior"
],
"content": "Patient reports difficulty urinating over the past week. Family reports erratic behavior including not sleeping, aggression, wandering, and severe sleep disturbance. Denies fever, chills, cough, chest pain, or abdominal pain.",
... | [
{
"keywords": [
"vitals",
"edema",
"neurologic"
],
"content": "Admission: T 97.6°C, BP 151/90, HR 67, RR 20, SpO2 97% RA; 2+ bilateral lower extremity edema, slow gait. Discharge: T 97.3°C, BP 134/79, HR 65, RR 18, SpO2 98% RA; healing ecchymosis, slow shuffling gait, CN II-XII intact.... | {
"diagnosis": [
"Delirium",
"Benign Prostatic Hyperplasia",
"Hypertension",
"Post-TAVR Status",
"Dementia"
],
"treatment": [
"Clopidogrel (Plavix)",
"Lisinopril",
"Monitoring for delirium and BPH symptoms"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 53.53886270523071,
"output_tokens": 882,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_19221748-DS-3 | medium | [
"SURGERY",
"LIVER MASS"
] | Liver mass | [
{
"keywords": [
"liver mass",
"CT scan",
"MRI",
"biopsy",
"AFP"
],
"content": "Patient presented with a liver mass found incidentally on CT for chest pain. MRI showed a 3.5-cm lesion. Biopsy showed benign changes but AFP rose from 2.5 to 874.5 and mass increased to 7.6x6.5 ... | [
{
"keywords": [
"vital signs",
"abdominal exam",
"wound",
"drains"
],
"content": "Vital signs: Temp 98.8, HR 86, BP 100/55, RR 20, SpO2 97%. General: mildly anxious, alert, oriented. Abdomen: soft, TTP near incision, no guarding/rebound. Wound clean, dry, intact. Drains: JP x2, o... | {
"diagnosis": [
"s/p Right hepatic lobectomy",
"s/p cholecystectomy",
"intraoperative ultrasound",
"final pathology pending"
],
"treatment": [
"right hepatic lobectomy",
"cholecystectomy",
"citalopram 20 mg daily",
"valsartan 160 mg daily",
"oxycodone 5 mg q4h PRN for pain",
... | mimic_iv_note | {
"passed": true,
"latency": 49.2196478843689,
"output_tokens": 1314,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required field... |
MIMIC_10686640-DS-6 | hard | [
"Medicine",
"Pulmonary Embolism",
"Cardiovascular",
"Infection"
] | abdominal pain | [
{
"keywords": [
"abdominal pain",
"severe"
],
"content": "Severe abdominal pain noted at rehab, unable to provide further history due to waxing/waning mental status",
"necessity": true
},
{
"keywords": [
"dementia",
"delirium"
],
"content": "History of dementi... | [
{
"keywords": [
"vitals",
"admission"
],
"content": "Admission vitals: Temp 96.2, BP 146/64, HR 67, RR 22, SpO2 94% on 4L",
"necessity": true
},
{
"keywords": [
"pulmonary embolism",
"CTA"
],
"content": "CTA confirmed segmental and subsegmental pulmonary embol... | {
"diagnosis": [
"Pulmonary embolism",
"Sepsis due to MRSA bacteremia",
"Endocarditis",
"Aortic stenosis",
"Sick sinus syndrome",
"Dementia",
"Delirium"
],
"treatment": [
"Heparin",
"Morphine"
],
"avoid": [
"Bactrim",
"Amoxicillin",
"Benzodiazepines",
"lisin... | mimic_iv_note | {
"passed": true,
"latency": 39.536508321762085,
"output_tokens": 784,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_18216937-DS-20 | hard | [
"Medicine",
"Infectious",
"Hepatic",
"Cardiac"
] | Babesiosis | [
{
"keywords": [
"fever",
"cough",
"jaundice",
"tylenol overdose"
],
"content": "One week history of fever (up to 101.3F), cough, jaundice, and dark urine. Taking high-dose Tylenol (650mg Q6H). Tick bite 4 weeks ago. Increased fatigue over past month.",
"necessity": true
},
... | [
{
"keywords": [
"icteric",
"tachycardic",
"AFib",
"abdominal distension"
],
"content": "Sclera icteric, dry mucous membranes. Tachycardic, irregularly irregular rhythm (AFib). Mildly distended abdomen, non-tender. Purple capillaries in lower extremities.",
"necessity": true
... | {
"diagnosis": [
"Babesiosis",
"Atrial Fibrillation",
"Acute Kidney Injury",
"Acetaminophen Toxicity",
"Bacteremia"
],
"treatment": [
"Azithromycin",
"Atovaquone",
"N-Acetylcysteine (NAC)",
"Vancomycin",
"IV Fluids"
],
"avoid": [
"High-dose Acetaminophen",
"Neph... | mimic_iv_note | {
"passed": true,
"latency": 76.3915548324585,
"output_tokens": 1259,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_19407760-DS-13 | hard | [
"Medicine",
"Cardiovascular",
"Renal",
"Metabolic",
"Cerebrovascular"
] | Pericardial effusion | [
{
"keywords": [
"exertional dyspnea",
"SOB",
"fevers",
"decreased PO intake"
],
"content": "3 days of exertional dyspnea, fatigue, SOB, subjective fevers, and decreased PO intake. Last apixaban dose: ___ pm. Denies chest pain, DOE, orthopnea, LH, palpitations.",
"necessity": ... | [
{
"keywords": [
"JVP 15",
"decreased heart sounds",
"CTAB",
"BLE foot ulcers"
],
"content": "Admission: JVP 15 at 90 degrees, decreased heart sounds, CTAB. Discharge: no JVD, decreased lung sound at left base, warm extremities, no edema, BLE foot ulcers covered by DSD.",
"nec... | {
"diagnosis": [
"Pericardial effusion",
"Cardiomegaly",
"Left pleural effusion",
"End stage renal disease",
"Coronary artery disease",
"Hypertension",
"Hyperlipidemia",
"Diabetes mellitus type 2",
"Cerebrovascular accident",
"Peripheral arterial disease"
],
"treatment": [
... | mimic_iv_note | {
"passed": true,
"latency": 58.179250717163086,
"output_tokens": 926,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_19884085-DS-4 | hard | [
"Medicine",
"Gastrointestinal",
"Renal",
"Endocrine",
"Neuropsychiatric"
] | NAUSEA/VOMITING/DIARRHEA | [
{
"keywords": [
"abdominal pain",
"nausea",
"vomiting",
"diarrhea"
],
"content": "3 days of abdominal pain, nausea/vomiting, diarrhea; periumbilical pain, diarrhea, nauseous, hungry; no fevers, no urinary complaints, no blood in stools/melena; complaining of headache",
"neces... | [
{
"keywords": [
"vitals",
"abdomen",
"neuro",
"psych",
"ROS"
],
"content": "Vitals: 97.8, 140/67, 88, 18, 98% RA; Abdomen: soft, thin, nontender, nondistended, +BS; Neuro: A&OX3 improved, grossly nonfocal; Psych: pleasant; ROS: negative except noted in HPI",
"necessity"... | {
"diagnosis": [
"Infectious colitis",
"Acute Renal Failure (prerenal)",
"Hypokalemia",
"Hypomagnesemia",
"Hypernatremia",
"Depression",
"Hypertension",
"Diabetes Mellitus Type II"
],
"treatment": [
"Ciprofloxacin and Metronidazole (for infectious colitis)",
"Insulin Lispro... | mimic_iv_note | {
"passed": true,
"latency": 103.57293105125427,
"output_tokens": 1708,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fie... |
MIMIC_15594181-DS-10 | hard | [
"Surgery",
"Gastrointestinal"
] | abdominal pain | [
{
"keywords": [
"abdominal pain",
"crampy",
"diffuse",
"beneath incision",
"flatus",
"bowel movement",
"bilious emesis"
],
"content": "Patient with history of cirrhosis and multiple small bowel obstructions presents with six hours of crampy abdominal pain, diffu... | [
{
"keywords": [
"mildly distended",
"erythema",
"moderately tender",
"diffuse"
],
"content": "GI: soft, mildly distended, small amount of erythema surrounding the staples, moderately tender to palpation which is diffuse.",
"necessity": true
},
{
"keywords": [
"W... | {
"diagnosis": [
"Ileus",
"Post-operative complications",
"Alcoholic cirrhosis",
"Hypertension"
],
"treatment": [
"Metoclopramide",
"Sulfamethoxazole-trimethoprim",
"Acetaminophen",
"Oxycodone",
"Bowel rest",
"IV fluids",
"Gastric decompression"
],
"avoid": [
"C... | mimic_iv_note | {
"passed": true,
"latency": 21.705147981643677,
"output_tokens": 561,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_10521416-DS-23 | hard | [
"Medicine",
"Gastrointestinal"
] | post ERCP | [
{
"keywords": [
"post ERCP",
"abdominal pain"
],
"content": "Patient presents post ERCP with stable abdominal pain consistent with prior abdominal pain.",
"necessity": true
},
{
"keywords": [
"ETOH cirrhosis",
"varices",
"bacteremia",
"narcotic dependency"... | [
{
"keywords": [
"vital signs",
"abdomen exam"
],
"content": "Admission: VS T98.0, BP 112/68, P60, R18, O2 94RA. Abdomen: normal bowel sounds, softly distended, TTP in bilateral lower quadrants, voluntary guarding. Discharge: VS same, abdomen soft, TTP diffusely to light touch, no peritoneal ... | {
"diagnosis": [
"Restenosis of sphincterotomy",
"Alcoholic cirrhosis",
"Depression",
"GERD"
],
"treatment": [
"Fluoxetine 10 mg daily",
"Lactulose 30 mL twice daily",
"Lorazepam 1 mg three times daily",
"Nadolol 20 mg daily",
"Omeprazole 20 mg daily",
"Rifaximin 550 mg twi... | mimic_iv_note | {
"passed": true,
"latency": 39.80265474319458,
"output_tokens": 646,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required field... |
MIMIC_14350265-DS-17 | hard | [
"neurology",
"cardiovascular"
] | R blurry vision | [
{
"keywords": [
"blurry vision",
"dizziness",
"nausea"
],
"content": "Patient presented with sudden blurry vision in right eye, double vision, dizziness, and nausea. No headache or eye pain. Blurry vision in left eye also noted but less impairing. Dizziness resolved but blurry vision i... | [
{
"keywords": [
"vitals",
"neurologic exam",
"hemianopia"
],
"content": "Vitals: BP 149/96, P 99. Neurologic: Alert, oriented, inattentive, right hemianopia, visual acuity: L eye ___-2, R eye ___-2. Cranial nerves intact, motor 5/5, sensory intact, DTRs 2/2, gait: narrow-based, difficu... | {
"diagnosis": [
"Atrial Fibrillation",
"Hypertension",
"Hyperlipidemia",
"Basilar Artery Aneurysm s/p coiling",
"Left Occipital Hemorrhage",
"Benign Prostatic Hyperplasia",
"Seizures"
],
"treatment": [
"Coumadin",
"Keppra"
],
"avoid": [
"Penicillins",
"Percocet"
... | mimic_iv_note | {
"passed": true,
"latency": 53.13081169128418,
"output_tokens": 868,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_10245890-DS-12 | hard | [
"MEDICINE",
"cardiovascular"
] | Shortness of breath, palpitations | [
{
"keywords": [
"fever",
"malaise",
"dizziness",
"shortness of breath"
],
"content": "Reported subjective fever 3 days ago without coughing, nausea, vomiting, or diarrhea. Malaise and lack of energy. Dizziness and new sensation of pulse being 'all over the place'. More shortness ... | [
{
"keywords": [
"vitals",
"cardiac exam",
"lung exam"
],
"content": "Vitals: T=98, BP=125/50, HR=120-40, RR=18, O2 sat=94%. Physical exam: Frail male, AAOx3. Lungs: bibasilar inspiratory rales and faint end expiratory wheeze. Cardiac: irregular, tachy, normal S1/S2, no murmurs. Pulses ... | {
"diagnosis": [
"Atrial fibrillation",
"Congestive heart failure",
"Sick sinus syndrome"
],
"treatment": [
"Pacemaker placement",
"Metoprolol succinate 50mg daily",
"Lisinopril 5mg",
"Coumadin",
"Simva 20",
"Keflex (short course)"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 52.45767045021057,
"output_tokens": 849,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_12792238-DS-10 | hard | [
"SURGERY",
"Vascular",
"Diabetes"
] | RLE ischemic pain | [
{
"keywords": [
"pain",
"right foot",
"ulcer"
],
"content": "Increasing pain on right foot and recent development of a right heel ulcer.",
"necessity": true
},
{
"keywords": [
"diabetes",
"hypertension",
"asthma"
],
"content": "Past medical history... | [
{
"keywords": [
"vitals",
"pulses"
],
"content": "Vitals: 98.8, 86, 129/58, 16, 94/ra. Pulses: R DP:d, graft:d; L DP:d.",
"necessity": true
},
{
"keywords": [
"blood tests",
"glucose",
"creatinine"
],
"content": "Blood tests: Glucose levels (89-130), cre... | {
"diagnosis": [
"Right Lower Extremity i"
],
"treatment": [
"Stenting of SFA of right leg",
"Below knee popliteal bypass with L NRGSV",
"Antibiotics: ciprofloxacin and metronidazole",
"Anticoagulation: warfarin and clopidogrel",
"Pain management: oxycodone and acetaminophen",
"Insulin... | mimic_iv_note | {
"passed": true,
"latency": 44.40757918357849,
"output_tokens": 731,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
18908496-DS-14 | hard | [
"Medicine",
"Oncology",
"Gastrointestinal",
"Pulmonary"
] | Nausea/vomiting | [
{
"keywords": [
"nausea",
"vomiting",
"abdominal pain"
],
"content": "Nausea, vomiting, and abdominal pain after eating dinner; sensation of pressure in chest after eating; persistent vomiting (new symptom)",
"necessity": true
},
{
"keywords": [
"breast cancer",
... | [
{
"keywords": [
"vitals",
"hypotension"
],
"content": "BP 124/59, HR 102, O2 100%; intubated, heavily sedated, no eye opening to voice",
"necessity": true
},
{
"keywords": [
"lab",
"hypokalemia"
],
"content": "Potassium 2.5 (low), WBC 19.5 (elevated with left ... | {
"diagnosis": [
"Hypokalemia",
"Hiatal hernia",
"Acute respiratory failure",
"Metastatic breast cancer"
],
"treatment": [
"Arimidex",
"Potassium supplementation",
"CPAP",
"NGT suction",
"IV fluids"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 49.24079418182373,
"output_tokens": 791,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_11506490-DS-18 | medium | [
"Medicine",
"Gastrointestinal"
] | Bright red blood per rectum | [
{
"keywords": [
"BRBPR",
"colonoscopy",
"bleeding"
],
"content": "Patient presented with bright red blood per rectum (BRBPR) after colonoscopy. Three polyps were removed. He had multiple episodes of BRBPR without fever, abdominal pain, nausea, or vomiting. Hemodynamically stable. HCT d... | [
{
"keywords": [
"vitals",
"abdomen",
"neuro"
],
"content": "Vitals: Temp 97.3, BP 115/64, HR 75, RR 18, SpO2 100% RA. General: AAOx3, comfortable, NAD. HEENT: MMM, conjunctiva pink. Neck: supple. Lungs: CTAB, no wheezes/rhonchi/rales. CV: RRR, normal S1/S2, no murmurs/gallops/rubs. Abd... | {
"diagnosis": [
"Post-polypectomy bleeding",
"Anemia (chronic due to MGUS, acute from bleeding)",
"Hypertension",
"MGUS with peripheral neuropathy"
],
"treatment": [
"Colonoscopy with clipping and epinephrine for hemostasis",
"Bowel preparation with moviprep",
"24-hour observation for... | mimic_iv_note | {
"passed": true,
"latency": 45.196922063827515,
"output_tokens": 727,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_12027688-DS-21 | hard | [
"cardiovascular",
"renal",
"respiratory"
] | Transfer for possible dialysis due to renal impairment | [
{
"keywords": [
"NSTEMI",
"multivessel CAD",
"renal impairment"
],
"content": "Presented with dyspnea, found to have NSTEMI treated with heparin and beta-blocker. Cardiac cath showed multivessel CAD. Developed oliguria and rising Cr to 6.8, leading to discontinuation of ACEI and torsem... | [
{
"keywords": [
"vitals",
"edema"
],
"content": "Vitals: T 97.9, BP 124/69, HR 69, RR 20, O2 Sat 95% on 3L. General: Alert and oriented x3. HEENT: PERRLA, oropharynx clear. Cardiac: RRR, S1/S2, no murmurs. Lungs: CTAB, no wheezes or rales. Abdomen: obese, nontender. Extremities: 3+ bilateral... | {
"diagnosis": [
"NSTEMI",
"Multivessel CAD",
"Chronic Kidney Disease stage III",
"Chronic respiratory failure",
"Atrial fibrillation",
"Hyperkalemia",
"Right inguinal hematoma",
"Diabetes mellitus type II",
"Hypertension",
"Peripheral vascular disease",
"OSA"
],
"treat... | mimic_iv_note | {
"passed": true,
"latency": 54.69978070259094,
"output_tokens": 877,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_13442218-DS-19 | hard | [
"Medicine",
"Oncology",
"Cardiology",
"Vascular"
] | dyspnea/hypotension | [
{
"keywords": [
"dyspnea",
"hypotension",
"tachycardia"
],
"content": "Acute hypoxemia, hypotension, and tachycardia to 130s. Denies chest pain or shortness of breath. Denies abdominal discomfort.",
"necessity": true
},
{
"keywords": [
"breast cancer",
"metastat... | [
{
"keywords": [
"vitals",
"tachycardia",
"hypotension",
"edema",
"hematoma"
],
"content": "Admission: Temp 98.7, HR 128, BP 91/57, RR 25, O2 100% on NRB. Discharge: Temp 98.7, HR 89, BP 119/68, RR 18, O2 98% on 2L NC. R groin oozing blood at admission, trace bilateral edema... | {
"diagnosis": [
"Metastatic breast cancer",
"Non-small cell lung cancer",
"Pulmonary embolism",
"Hypertension",
"Diabetes",
"Coronary artery disease with stent"
],
"treatment": [
"Heparin",
"Norepinephrine",
"Catheter-directed thrombectomy",
"IVC filter placement",
"Ta... | mimic_iv_note | {
"passed": true,
"latency": 47.17016792297363,
"output_tokens": 741,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_15886366-DS-14 | hard | [
"Medicine",
"Cardiovascular",
"Metabolic"
] | Dyspnea | [
{
"keywords": [
"dyspnea",
"orthopnea",
"PND"
],
"content": "Patient with CHF (EF 30%), CAD s/p MI, afib (on coumadin), HTN, DM presents with progressive dyspnea for several days, worse at night, with paroxysmal nocturnal dyspnea and orthopnea (3 pillows).",
"necessity": true
},
... | [
{
"keywords": [
"JVP",
"crackles"
],
"content": "Physical exam: JVP 8 cm, bilateral crackles R>L about ___ way up lung fields. Minimal edema. O2 sat 94% on 2L.",
"necessity": true
},
{
"keywords": [
"proBNP",
"creatinine",
"glucose"
],
"content": "Pertin... | {
"diagnosis": [
"CHF exacerbation",
"Coronary artery disease",
"Hypertension",
"Type 2 diabetes mellitus",
"Atrial fibrillation",
"Chronic kidney disease stage IV"
],
"treatment": [
"Torsemide 40mg daily",
"Coumadin",
"Metoprolol (continued despite discontinuation advice)",
... | mimic_iv_note | {
"passed": true,
"latency": 46.85754752159119,
"output_tokens": 746,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_17391196-DS-15 | hard | [
"MEDICINE",
"Cardiovascular,Neurological"
] | Syncope | [
{
"keywords": [
"syncope",
"episode",
"restaurant"
],
"content": "Patient lost consciousness while sitting in a restaurant without warning, regained quickly, no preceding symptoms, no confusion, felt normal after. New right lower extremity swelling. Denies fever, chills, dysuria, cough... | [
{
"keywords": [
"vitals",
"admission",
"discharge"
],
"content": "Admission: Temp 98.2, BP 168/82, HR 56, RR 20, SpO2 99%. Weight 103.7 kg. Mild RLE edema. Discharge: Temp 97.5, BP 121-158/56-91, HR 55-60, RR 18, SpO2 100%. Weight stable. Neuro: face symmetric, strength intact b/l, sen... | {
"diagnosis": [
"Syncope (likely medication-related)",
"Atrial fibrillation",
"CAD s/p CABG",
"Chronic Kidney Disease",
"Lung cancer s/p pneumonectomy",
"Ulcerative colitis"
],
"treatment": [
"Warfarin",
"Amiodarone",
"Metoprolol Tartrate 50 mg (given in ED)"
],
"avoid": [... | mimic_iv_note | {
"passed": true,
"latency": 55.275519609451294,
"output_tokens": 898,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fiel... |
MIMIC_12991634-DS-19 | hard | [
"psychiatry",
"depression",
"anxiety"
] | I feel awful--scared and anxious | [
{
"keywords": [
"suicidal ideation",
"sleep disturbance"
],
"content": "Worsening depression with active and passive suicidal ideation over the past week. Unable to sleep more than 4 hours per night for the past 2 weeks. Afraid to be at home alone due to wanting to hurt himself.",
"neces... | [
{
"keywords": [
"mental status exam",
"suicidal ideation",
"sleep disturbance"
],
"content": "Mental Status Exam: tearful, anxious appearance; restless behavior; mood: awful and scared; affect: tearful, tense; suicidal ideation present; unable to sleep for the last 2 weeks; decreased a... | {
"diagnosis": [
"Major Depressive Disorder",
"Anxiety Disorder",
"Suicidal Ideation"
],
"treatment": [
"Escitalopram 15mg daily",
"Chlorpromazine (low dose, bid) for insomnia and anxiety",
"Outpatient follow-up with psychiatrist",
"Avoid being alone"
],
"avoid": [
"Effexor (al... | mimic_iv_note | {
"passed": true,
"latency": 14.804226398468018,
"output_tokens": 359,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_13590729-DS-16 | hard | [
"SURGERY",
"trauma"
] | Rib and back pain following skiing accident | [
{
"keywords": [
"ski accident",
"LOC",
"fractures"
],
"content": "Patient sustained helmeted ski accident with loss of consciousness (LOC), transferred from OSH with T8 compression fracture, T8-T9 spinous fracture, left rib fractures, and left pneumothorax. Arrived hemodynamically stab... | [
{
"keywords": [
"vitals",
"respiratory"
],
"content": "Admission vitals: Temp 100.0, HR 78, BP 96/60, Resp 14, O2Sat 96%. Discharge vitals: Temp 98.6, HR 76, BP 112/61, RR 16, O2Sat 98% on RA. Chest: Diminished breath sounds bilaterally, no crepitus. Neuro: Alert and oriented x3, MAE to comm... | {
"diagnosis": [
"s/p ski accident with polytrauma",
"T8 compression fracture",
"T8-T9 spinous fracture",
"left rib fractures",
"left pneumothorax",
"bilateral pleural effusions",
"airspace opacification"
],
"treatment": [
"Acetaminophen 325-650 mg PO Q6H PRN pain",
"Docusate S... | mimic_iv_note | {
"passed": true,
"latency": 37.15063500404358,
"output_tokens": 609,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_16239957-DS-12 | medium | [
"Neurology",
"Cerebrovascular Accident"
] | right arm weakness | [
{
"keywords": [
"right arm weakness",
"headache"
],
"content": "Patient experienced right arm weakness while writing that resolved after 15 minutes, followed by a headache. Similar episode one month ago with right arm weakness for 10 minutes and headache. Also, 6 episodes of right leg feelin... | [
{
"keywords": [
"vitals",
"neurological"
],
"content": "Vitals: Temp 97.6F, HR 80, BP 165/87, RR 16, SpO2 98% RA. Neurological exam: mild right dysmetria, otherwise normal. Pulmonary: mild bibasilar crackles. Cardiac: systolic murmur.",
"necessity": true
},
{
"keywords": [
... | {
"diagnosis": [
"Subacute infarction in the left parietal lobe"
],
"treatment": [],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 26.520207166671753,
"output_tokens": 420,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_14941060-DS-10 | medium | [
"Surgery",
"Gastrointestinal"
] | Gallstones | [
{
"keywords": [
"recurrent biliary colic"
],
"content": "Recurrent biliary colic leading to presentation for laparoscopic cholecystectomy.",
"necessity": true
},
{
"keywords": [
"Hypertension"
],
"content": "History of hypertension.",
"necessity": true
},
{
"k... | [
{
"keywords": [
"vital signs"
],
"content": "Vital signs: Temp 98.3, HR 69, BP 133/84, RR 16, O2 sat 98% on room air.",
"necessity": true
},
{
"keywords": [
"abdomen",
"wound"
],
"content": "Abdomen: soft nontender, nondistended, no rebound guarding. Wound: abdomina... | {
"diagnosis": [
"Gallstones"
],
"treatment": [
"Lisinopril 10 mg daily",
"Labetalol 100 mg twice daily",
"Amlodipine 10 mg daily",
"Hydrochlorothiazide 12.5 mg daily",
"Ranitidine 300 mg daily",
"Simvastatin 20 mg daily",
"Aspirin 81 mg daily",
"Oxycodone-acetaminophen as need... | mimic_iv_note | {
"passed": true,
"latency": 86.21353769302368,
"output_tokens": 1411,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_18056761-DS-27 | hard | [
"MEDICINE",
"Asthma"
] | Asthma exacerbation | [
{
"keywords": [
"asthma exacerbation",
"dyspnea",
"medication non-adherence"
],
"content": "Patient with severe asthma on Xolair presented with dyspnea. He had an asthma exacerbation three days ago treated with nebulizers and steroids, but symptoms worsened today leading to EMS call. H... | [
{
"keywords": [
"wheezes",
"vitals"
],
"content": "Admission: BP 142/90, lungs with diffuse expiratory wheezes. Discharge: BP 118/69, respiratory rate 95, lungs with wheeze substantially improved.",
"necessity": true
},
{
"keywords": [
"WBC",
"CXR",
"glucose"
... | {
"diagnosis": [
"Asthma exacerbation",
"Asthma",
"Depression",
"GERD"
],
"treatment": [
"Prednisone taper",
"Symbicort",
"Mirtazapine",
"Olalizumab"
],
"avoid": [
"NSAIDs",
"Aspirin"
]
} | mimic_iv_note | {
"passed": true,
"latency": 34.363008975982666,
"output_tokens": 915,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_16295823-DS-13 | medium | [
"orthopedics",
"osteoarthritis"
] | left knee osteoarthritis/pain | [
{
"keywords": [
"left knee OA",
"s/p left TKA"
],
"content": "___ year old male with history of left knee OA now s/p left TKA ___",
"necessity": true
},
{
"keywords": [
"Atrial fibrillation",
"ASA"
],
"content": "Atrial fibrillation (on ASA)",
"necessity":... | [
{
"keywords": [
"afebrile",
"stable vital signs"
],
"content": "Afebrile with stable vital signs",
"necessity": true
},
{
"keywords": [
"pain well-controlled"
],
"content": "Pain well-controlled",
"necessity": true
}
] | {
"diagnosis": [
"Left knee osteoarthritis"
],
"treatment": [
"Aspirin 325 mg twice daily (DVT prophylaxis, 4 weeks)",
"Pantoprazole daily (4 weeks)",
"Oral pain medications (as per discharge instructions)",
"Stool softener (Colace) as needed for constipation"
],
"avoid": [
"NSAIDs (un... | mimic_iv_note | {
"passed": true,
"latency": 24.263575553894043,
"output_tokens": 634,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_18448837-DS-9 | hard | [
"Medicine",
"Gastrointestinal"
] | abdominal pain, malnutrition | [
{
"keywords": [
"abdominal pain",
"malnutrition",
"nasojejunal tube feeds",
"nausea",
"weight loss"
],
"content": "Patient is a male with chronic idiopathic pancreatitis, pancytopenia, and history of pancreatic divisum. He presents with concerns for malnutrition and failure... | [
{
"keywords": [
"vitals",
"abdominal tenderness",
"GJ-tube"
],
"content": "Admission: Vitals 98.2, 120/70, 66, 18, 100% RA. Abdomen: soft, scaphoid, tender to palpation in epigastrum, non-distended, normoactive bowel sounds. Discharge: Vitals 98.5, 110/60, 50, 18, 100% RA. Weight 66.3 ... | {
"diagnosis": [
"chronic idiopathic pancreatitis",
"pancytopenia",
"malnutrition",
"pancreatic divisum",
"chronic abdominal pain",
"dyspepsia",
"basal cell skin cancer"
],
"treatment": [
"Dilaudid for pain",
"Enteral feeding (peptamen)",
"Planned jejunostomy tube placement... | mimic_iv_note | {
"passed": true,
"latency": 35.43430137634277,
"output_tokens": 534,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_12138569-DS-23 | hard | [
"Medicine",
"Cirrhosis",
"Hepatopulmonary Syndrome"
] | abdominal pain, fever | [
{
"keywords": [
"abdominal pain",
"fever",
"nausea",
"distension",
"confusion"
],
"content": "Patient with history of NASH cirrhosis presented with worsening abdominal pain (RUQ, nonradiating) and fever (101F). Developed nausea and abdominal distension. Denied vomiting, dia... | [
{
"keywords": [
"tachypneic",
"sweaty",
"abdomen: soft, distended, diffusely tender (RUQ more), guarding",
"no rebound",
"mild asterixis",
"2+ edema"
],
"content": "Admission: T 98.4, BP 140/62, HR 97, RR 22, SpO2 92% on 4L. Weight 88kg. General: sleeping, sweaty, tac... | {
"diagnosis": [
"NASH Cirrhosis",
"Hepatopulmonary Syndrome",
"Hepatic Encephalopathy",
"Portal Hypertension",
"Ascites",
"Suspected Infection"
],
"treatment": [
"Lactulose",
"Ceftriaxone",
"Metronidazole",
"IV fluids",
"Oxygen"
],
"avoid": [
"Amoxicillin",
... | mimic_iv_note | {
"passed": true,
"latency": 41.20555567741394,
"output_tokens": 623,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_14295224-DS-22 | hard | [
"Medicine",
"Pneumonia",
"Cancer"
] | Melaoptysis (black flecked sputum) in context of productive cough, some headache, myalgia. | [
{
"keywords": [
"shortness of breath",
"cough",
"sputum"
],
"content": "Two days of rapidly progressive shortness of breath and cough productive of yellow and black sputum. Denies fevers, chills, night sweats. Endorses myalgias and weakness. Received influenza vaccines. Denies sick con... | [
{
"keywords": [
"vitals",
"respiratory distress"
],
"content": "Vitals: T 99.1, BP 149/99, P 82, R 23, O2 90% on 6L. General: somnolent, oriented, using accessory muscles. Lungs: diffuse ronchi (left > right), wheezes throughout. Abdomen: soft, non-tender.",
"necessity": true
},
{
... | {
"diagnosis": [
"Pneumonia",
"Acute Kidney Injury",
"Hypertension",
"Hypothyroidism",
"Hepatitis C"
],
"treatment": [],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 36.76870155334473,
"output_tokens": 582,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_13190947-DS-21 | hard | [
"Medicine",
"Cardiovascular/Renal/Metabolic"
] | Dyspnea | [
{
"keywords": [
"dyspnea",
"orthopnea",
"PND",
"edema"
],
"content": "Worsening dyspnea, orthopnea, paroxysmal nocturnal dyspnea, and worsening abdominal and lower extremity swelling. Denies chest pain, palpitations, nausea, vomiting, abdominal pain, constipation, diarrhea, pain ... | [
{
"keywords": [
"vitals",
"JVP",
"edema",
"lungs"
],
"content": "Admission: Vitals - 97.7 PO, 148/80, 66, 20, 96 RA. JVP elevated to mid neck. 3+ pitting edema RLE, 2+ pitting edema LLE. Lungs: Decreased breath sounds bibasilarly. Discharge: Vitals improved, lungs clear, edema re... | {
"diagnosis": [
"Acute decompensated heart failure",
"End-stage renal disease",
"Type 2 diabetes mellitus with complications"
],
"treatment": [
"Hemodialysis",
"Furosemide"
],
"avoid": [
"Lisinopril",
"Shellfish-derived products"
]
} | mimic_iv_note | {
"passed": true,
"latency": 22.211843967437744,
"output_tokens": 581,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
11945569-DS-17 | hard | [
"MEDICINE",
"Cardiology",
"Nephrology"
] | SOB x3 days | [
{
"keywords": [
"worsening heart failure",
"orthopnea",
"dyspnea"
],
"content": "worsening heart failure symptoms (orthopnea, dyspnea) for cardiac resynchronization",
"necessity": true
},
{
"keywords": [
"palpitations",
"atrial tachycardia"
],
"content":... | [
{
"keywords": [
"pleural effusion",
"echocardiogram"
],
"content": "Moderate to large left pleural effusion; Echo: Severe global left ventricular systolic dysfunction (LVEF=24%)",
"necessity": true
},
{
"keywords": [
"proBNP",
"creatinine"
],
"content": "proBN... | {
"diagnosis": [
"Nonischemic cardiomyopathy",
"Chronic systolic heart failure",
"Chronic kidney disease",
"Atrial tachycardia"
],
"treatment": [
"Apixiban",
"Amiodarone",
"Metoprolol",
"Thoracentesis",
"Diuretics"
],
"avoid": [
"Codeine",
"Thiazides",
"Ondanset... | mimic_iv_note | {
"passed": true,
"latency": 49.80101776123047,
"output_tokens": 810,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_12029075-DS-15 | hard | [
"Medicine",
"Multi-system"
] | Falls | [
{
"keywords": [
"falls",
"lightheadedness",
"weakness"
],
"content": "Patient reports several episodes of sudden lightheadedness and weakness leading to falls. Falls not associated with headache, vertigo, vision changes, or neurological symptoms. History of prostate biopsy with Bactrim... | [
{
"keywords": [
"vital signs",
"admission"
],
"content": "Admission vital signs: Temp 97.9, HR 77, BP 137/57, RR 18, SpO2 98%. Neurological exam: CNs 2-12 intact, upper extremity strength normal, lower extremity hip/knee flexion 4+/5. Pulmonary: minimal crackles at base bilaterally.",
"n... | {
"diagnosis": [
"Hyperkalemia",
"Acute on chronic renal failure (prerenal)",
"Prostate cancer (T3M0N0)",
"Chronic heart failure",
"Coronary artery disease",
"Hypertension"
],
"treatment": [
"Calcium gluconate and kayexalate for hyperkalemia",
"Fluid bolus for renal failure and ort... | mimic_iv_note | {
"passed": true,
"latency": 87.17137575149536,
"output_tokens": 1407,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_13050816-DS-49 | hard | [
"Medicine",
"Cancer",
"Substance Abuse"
] | Anorexia, dysuria | [
{
"keywords": [
"anorexia",
"dysuria",
"alcohol abuse"
],
"content": "Patient presents with anorexia, dysuria for ___ days, and failure to thrive. Reports daily consumption of rubbing alcohol and pain in arms, legs, and chest. Denies fever, chills, nausea, abdominal pain, palpitations,... | [
{
"keywords": [
"vitals",
"physical exam"
],
"content": "Admission vitals: 97.3, 164/96, 63, 18, 100% RA. Discharge vitals: 97.8, 129/88, 65, 16, 100% RA. Physical exam: bilateral expiratory wheezes, chest tender on palpation (admission); distant heart sounds, slowed speech, flat affect (dis... | {
"diagnosis": [
"Urinary Tract Infection",
"Prostate Cancer",
"Pulmonary Embolism",
"Polysubstance Abuse"
],
"treatment": [
"Ceftriaxone",
"Apixaban",
"Finasteride",
"Planned radiation for prostate cancer"
],
"avoid": [
"Morphine Sulfate",
"Droperidol",
"Propranolo... | mimic_iv_note | {
"passed": true,
"latency": 66.44837594032288,
"output_tokens": 1115,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_17940273-DS-17 | hard | [
"MEDICINE",
"liver disease"
] | Lethargy | [
{
"keywords": [
"lethargy",
"migraine",
"shaking",
"attention issues"
],
"content": "Patient presented with lethargy, migraine, shaking of extremities, and intermittent attention. Caretaker reports shakiness when walking. History of baseline disorganized thinking, possible schizo... | [
{
"keywords": [
"vitals",
"neuro exam"
],
"content": "Admission: lethargic, VS: 98.2, 124/70, 74, 18, 100%RA; Neuro: waxing and waning mental status. Discharge: alert and oriented, no asterixis, +1 lower extremity edema to mid-calves.",
"necessity": true
},
{
"keywords": [
... | {
"diagnosis": [
"Cirrhosis due to alcohol and HCV",
"Hepatic encephalopathy",
"Diabetes mellitus type 2",
"Schizoaffective disorder",
"Mild pulmonary edema"
],
"treatment": [
"Lactulose",
"Insulin",
"Fluid restriction"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 25.828218936920166,
"output_tokens": 671,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_15901841-DS-17 | medium | [
"OB/GYN",
"Infection"
] | right vulvar abscess/cellulitis | [
{
"keywords": [
"pain",
"abscess",
"cellulitis"
],
"content": "Patient reports right vulvar pain affecting mobility; cannot sit, lying on side. Pain started with labial mass and walking discomfort. Treated with warm compresses, I&D, and Bactrim without improvement. Persistent celluliti... | [
{
"keywords": [
"induration",
"drainage",
"packing"
],
"content": "2 cm area of induration on right labia with incision site visible, iodoform packing in place, stained with serosanguinous drainage.",
"necessity": true
},
{
"keywords": [
"culture",
"flora"
]... | {
"diagnosis": [
"Right vulvar abscess with cellulitis"
],
"treatment": [
"IV vancomycin, ceftriaxone, and metronidazole during hospitalization",
"PO clindamycin at discharge",
"Pain control with acetaminophen and oxycodone"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 27.735270261764526,
"output_tokens": 466,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_18790950-DS-2 | hard | [
"neurosurgery",
"trauma",
"cardiac"
] | fall | [
{
"keywords": [
"fall",
"head strike",
"headache",
"neck pain"
],
"content": "Patient fell one week ago with head strike, no loss of consciousness. Persistent headache and neck pain. No numbness, weakness, tingling, blurred vision, or bowel/bladder incontinence.",
"necessity"... | [
{
"keywords": [
"vital signs",
"neurological exam",
"ptosis"
],
"content": "Admission: T 97.2, HR 88, BP 133/84, SpO2 97%. Discharge: T 97.7, HR 75, BP 122/81, SpO2 98%. Ptosis of right eyelid, upper motor neuron sign on right. Cranial nerves II-XII grossly intact.",
"necessity": t... | {
"diagnosis": [
"Subdural hematoma (right, subacute)",
"Cervical spine fracture (C4)",
"Atrial fibrillation",
"Hypertension",
"Aortic root dilation"
],
"treatment": [
"Acetaminophen 650 mg PO Q8H PRN pain",
"Aspirin 325 mg daily (started POD14)",
"Holding warfarin and metoprolol",... | mimic_iv_note | {
"passed": true,
"latency": 29.746967792510986,
"output_tokens": 788,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_12283849-DS-4 | medium | [
"OBSTETRICS/GYNECOLOGY",
"pregnancy complication",
"mental health"
] | left shoulder pain | [
{
"keywords": [
"vaginal bleeding",
"spontaneous pregnancy"
],
"content": "vaginal bleeding with a spontaneous pregnancy, new onset vaginal spotting and mild right lower abdominal cramping, discharged home on methotrexate therapy for suspected ectopic pregnancy",
"necessity": true
},
... | [
{
"keywords": [
"physical exam"
],
"content": "AVSS, ht 5'2\", wt 195.8 pounds; Gen: NAD; CV: RRR; Resp: CTA bilaterally; Abd: soft, mildly tender in RLQ, no rebound or guarding; Ext: no c/c/e; Pelvic: nefg. nl vaginal mucosa. cervix ___ spotting at os. no cmt. uterus normal sized, NT. adnexa NT b... | {
"diagnosis": [
"miscarriage",
"ectopic pregnancy"
],
"treatment": [
"observation during hospital stay",
"follow-up with Dr. ___ in 2 days"
],
"avoid": [
"increased pain or vaginal bleeding",
"fever >100.4F",
"chills, nausea, vomiting"
]
} | mimic_iv_note | {
"passed": true,
"latency": 55.28667879104614,
"output_tokens": 925,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_14721873-DS-20 | hard | [
"MEDICINE",
"cellulitis"
] | Cellulitis | [
{
"keywords": [
"diabetic ulcer",
"cellulitis"
],
"content": "Patient has history of type 2 diabetes with chronic right foot plantar ulcer almost healed. Three days ago developed increased pain on dorsum of foot around a scrape, leading to cellulitis. No fevers, chills, abdominal pain, or na... | [
{
"keywords": [
"vital signs",
"physical exam"
],
"content": "Admission: T 98.1, BP 111/67, HR 105, RR 20, O2 95 RA. Physical exam: ulcer on right plantar foot (1cm diameter), tender erythema sharply demarcated on dorsum. Discharge: T 97.5, BP 107/68, HR 93, RR 18, O2 95 RA. Physical exam: u... | {
"diagnosis": [
"R foot cellulitis",
"R foot chronic ulcer",
"Diabetes mellitus type 2",
"Chronic kidney disease",
"Bipolar disorder",
"Asperger's disorder",
"Cerebral palsy",
"Seizure disorder",
"Testicular torsion status post removal"
],
"treatment": [
"IV antibiotics (i... | mimic_iv_note | {
"passed": true,
"latency": 29.525957107543945,
"output_tokens": 474,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
11175868-DS-17 | easy | [
"PLASTIC",
"Trauma",
"Fracture"
] | Left ___ digit crush injury | [
{
"keywords": [
"crush injury",
"mechanism"
],
"content": "Patient is left hand dominant with crush injury to left hand. Mechanism: driving a forklift, jumped off while in motion, caught between forklift and concrete post.",
"necessity": true
},
{
"keywords": [
"pain",
... | [
{
"keywords": [
"physical exam",
"splinted",
"perfusion"
],
"content": "Left upper extremity splinted with good perfusion at finger tips. Residual numbness since regional block.",
"necessity": true
},
{
"keywords": [
"lab results",
"elevated WBC",
"elevate... | {
"diagnosis": [
"Open fracture of left second digit"
],
"treatment": [
"ORIF of left second digit with central slip reattachment",
"Amoxicillin-Clavulanic Acid 875mg-125mg PO Q12H",
"Oxycodone-Acetaminophen 5mg-325mg PO Q4H:PRN pain"
],
"avoid": [
"Avoid Oxycodone if sedation or RR <10",
... | mimic_iv_note | {
"passed": true,
"latency": 31.186821460723877,
"output_tokens": 529,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_10748293-DS-14 | hard | [
"MEDICINE",
"liver disease",
"gastrointestinal"
] | worsening anemia | [
{
"keywords": [
"alcohol abuse",
"cirrhosis",
"ascites",
"variceal bleed"
],
"content": "History of hepatitis C cirrhosis (child's class C) decompensated with ascites and previous variceal bleed. The patient has a history of alcohol abuse and was in detox for 5 days. He reports i... | [
{
"keywords": [
"cachectic",
"scleral icterus",
"ascites"
],
"content": "Admission: Cachectic man with temporal wasting, large abdomen, very slight scleral icterus, tensely distended abdomen. Discharge: Moderately distended abdomen, tender at paracentesis site, trace edema to mid calf,... | {
"diagnosis": [
"Hepatitis C cirrhosis",
"Ascites",
"Portal hypertensive bleeding",
"Anemia",
"Alcohol abuse",
"Depression"
],
"treatment": [
"Protonix",
"Octreotide",
"Sucralfate",
"Ceftriaxone (5 days)",
"Furosemide",
"Spironolactone",
"Rebanding in 3 weeks"
... | mimic_iv_note | {
"passed": true,
"latency": 36.23822617530823,
"output_tokens": 591,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_15577011-DS-14 | medium | [
"SURGERY",
"Vascular"
] | ___ year old female status post gastric bypass and cholecystectomy on ___ now returns with swollen and reddened left forearm. | [
{
"keywords": [
"swelling",
"pain",
"redness",
"after discharge",
"increased"
],
"content": "Left arm swelling with pain and redness that began after discharge and increased over the last 12 hours.",
"necessity": true
},
{
"keywords": [
"denies fever",
... | [
{
"keywords": [
"vital signs",
"L forearm edema",
"erythema",
"pain on palpation"
],
"content": "Vital signs: Temp 97.9, HR 94, BP 130/54, RR 20, O2 sat 95% on room air. L forearm edema/erythema 1x 6 cm, pain on palpation.",
"necessity": true
},
{
"keywords": [
... | {
"diagnosis": [
"Left upper extremity deep vein thrombosis"
],
"treatment": [
"Anticoagulation with Enoxaparin (Lovenox) subcutaneous twice daily for 3 months",
"Antibiotics: Cephalexin 250 mg four times a day for 5 days",
"Pain management: Oxycodone-Acetaminophen as needed",
"Elevation and h... | mimic_iv_note | {
"passed": true,
"latency": 44.51308488845825,
"output_tokens": 717,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_18791731-DS-18 | hard | [
"oncology",
"malignancy",
"sarcoma",
"anemia"
] | Admission for chemotherapy | [
{
"keywords": [
"nausea",
"fatigue"
],
"content": "Intermittent nausea persists, feeling tired. No fevers or chills. Chronic rhinitis without URTI symptoms.",
"necessity": true
},
{
"keywords": [
"uterine sarcoma",
"surgery",
"chemotherapy"
],
"content":... | [
{
"keywords": [
"anemia",
"chemotherapy side effect"
],
"content": "Hgb 7.9* (low), Hct 24.6* (low). Generalized weakness on neuro exam. No edema in legs but puffy hands and face/neck.",
"necessity": true
},
{
"keywords": [
"port access",
"edema"
],
"content":... | {
"diagnosis": [
"uterine sarcoma",
"anemia",
"fluid retention",
"nausea"
],
"treatment": [
"AIM chemotherapy",
"furosemide",
"ondansetron",
"citalopram",
"prochlorperazine",
"neulasta injection",
"blood transfusion (planned)"
],
"avoid": [
"erythromycin"
]
} | mimic_iv_note | {
"passed": true,
"latency": 33.50711798667908,
"output_tokens": 510,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_14122424-DS-19 | hard | [
"Surgery",
"Gastrointestinal"
] | Abdominal pain | [
{
"keywords": [
"abdominal pain",
"elective cholecystectomy",
"obesity",
"HTN",
"dCHF",
"CAD",
"OSA",
"hypercholesterolemia",
"DM",
"spinal stenosis",
"cholecystitis",
"percutaneous cholecystostomy"
],
"content": "Patient with compl... | [
{
"keywords": [
"general",
"cardiovascular",
"pulmonary",
"abdomen",
"wound",
"extremities",
"drain"
],
"content": "General: Normal. Cardiovascular: Regular rate and rhythm, no murmurs, gallops, or rubs. Pulmonary: Clear to auscultation bilaterally, no wheezes, ... | {
"diagnosis": [
"Chronic cholecystitis"
],
"treatment": [
"Amlodipine 10 mg PO DAILY",
"Atorvastatin 40 mg PO QPM",
"Gabapentin 300 mg PO TID",
"Lidocaine 5% Patch 1 PTCH TD BID",
"Losartan Potassium 50 mg PO DAILY",
"MetFORMIN (Glucophage) 500 mg PO BID",
"Metoprolol Succinate XL... | mimic_iv_note | {
"passed": true,
"latency": 47.00968098640442,
"output_tokens": 1206,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_15978672-DS-5 | hard | [
"Cardiovascular",
"Hematologic"
] | Inferior MI s/p instent rethrombosis | [
{
"keywords": [
"chest pain",
"diaphoresis",
"shortness of breath"
],
"content": "Patient experienced right-sided chest pressure, diaphoresis, and mild shortness of breath while climbing stairs. Recurrent chest pain episodes during hospitalization.",
"necessity": true
},
{
... | [
{
"keywords": [
"JVP elevated",
"edema",
"petechiae"
],
"content": "Physical exam: JVP elevated 4-6cm, bilateral 1+ pitting edema to mid-shin, scattered petechiae around intervention sites.",
"necessity": true
},
{
"keywords": [
"elevated troponin",
"low potassi... | {
"diagnosis": [
"Inferior myocardial infarction",
"In-stent rethrombosis",
"Myelodysplasia",
"Hypothyroidism",
"Mitral regurgitation",
"Left ventricular systolic dysfunction"
],
"treatment": [
"Aspirin 81mg daily",
"Atorvastatin 80 mg daily",
"Metoprolol XL 50 mg",
"Prasug... | mimic_iv_note | {
"passed": true,
"latency": 44.46641397476196,
"output_tokens": 710,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_15418353-DS-23 | hard | [
"Medicine",
"Autoimmune",
"Gastrointestinal"
] | RUQ Abdominal Pain | [
{
"keywords": [
"RUQ pain",
"nausea",
"vomiting"
],
"content": "Patient presents with RUQ abdominal pain starting yesterday, worsening with movement and deep breathing. Nausea with yellow/clear nonbloody vomit. History of SLE, cirrhosis, portal hypertension, thrombocytopenia, DM, HTN, ... | [
{
"keywords": [
"physical exam",
"vitals"
],
"content": "Admission: Temp 97.8, BP 150/85, HR 76, RR 20, SpO2 94%. Abdomen soft, mildly tender RUQ, significant pain with movement. R elbow 4-5 cm cystic swelling, nontender. Discharge: Temp 99.0, BP 125/61, HR 87, RR 18, SpO2 95%. Abdomen minim... | {
"diagnosis": [
"Cirrhosis with portal hypertension",
"Systemic Lupus Erythematosus",
"Antiphospholipid Syndrome (suspected)",
"Type 2 Diabetes",
"Hypertension",
"Chronic abdominal pain",
"Thrombocytopenia"
],
"treatment": [
"Aspirin 81",
"Azathioprine",
"Hydroxychloroquin... | mimic_iv_note | {
"passed": true,
"latency": 89.91488313674927,
"output_tokens": 1443,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_14905397-DS-13 | hard | [
"Medicine",
"Cardiopulmonary, Renal, Infectious"
] | Acute on chronic shortness of breath with acute hypoxic respiratory failure | [
{
"keywords": [
"history of present illness",
"COPD exacerbation",
"environmental trigger"
],
"content": "Patient presented with acute on chronic shortness of breath and acute hypoxic respiratory failure, likely due to COPD exacerbation triggered by ongoing construction dust near home.... | [
{
"keywords": [
"laboratory results",
"WBC",
"proBNP"
],
"content": "Admission labs: WBC 8.6 (later 10.1-10.4*), Hgb 15.8 (later 14.6), proBNP 1718*, cTropnT <0.01, D-Dimer 597*, Na 145, K 4.3 (later 3.8*), Creat 1.0 (later 1.1). VBG without CO2 retention.",
"necessity": true
},
... | {
"diagnosis": [
"Acute Hypoxic Respiratory Failure",
"COPD Exacerbation",
"CAD (3-vessel disease)",
"CKD III",
"HIV",
"History of CVA",
"GERD"
],
"treatment": [
"Prednisone taper (14-day course)",
"Albuterol inhaler PRN",
"Benzonatate for cough (10 days)",
"Aspirin 81 ... | mimic_iv_note | {
"passed": true,
"latency": 142.08899688720703,
"output_tokens": 2307,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fie... |
MIMIC_18801958-DS-5 | hard | [
"Medicine",
"Cancer",
"Renal"
] | Fever | [
{
"keywords": [
"fever",
"weight loss",
"appetite"
],
"content": "5 days of fever, weight loss of 3lb in 2 days, poor appetite and decreased oral intake",
"necessity": true
},
{
"keywords": [
"abdominal distention",
"H pylori"
],
"content": "Bloating and... | [
{
"keywords": [
"edema",
"port site"
],
"content": "1+ pitting edema b/l lower extremities, port site clean dry intact",
"necessity": true
},
{
"keywords": [
"hydronephrosis",
"tumor recurrence"
],
"content": "Persistent moderate left hydroureteronephrosis, so... | {
"diagnosis": [
"Recurrent rectosigmoid adenocarcinoma",
"Left-sided hydronephrosis",
"Metastatic disease (suspected)"
],
"treatment": [
"Acetaminophen for fever",
"Percutaneous nephrostomy for left hydronephrosis",
"Oncology follow-up for possible recurrence"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 31.325247287750244,
"output_tokens": 484,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_17955114-DS-12 | hard | [
"MEDICINE",
"cardiovascular",
"oncology",
"endocrine"
] | Chest pain | [
{
"keywords": [
"chest pain",
"SOB",
"diaphoresis",
"exertion"
],
"content": "Patient presented with chest pain, shortness of breath, and diaphoresis, which are positional and occur with exertion. He has a history of CAD with stents and takes aspirin and Plavix. He also has metas... | [
{
"keywords": [
"vital signs",
"physical exam",
"lungs",
"cardiac"
],
"content": "Vital signs: BP 121/73 (admission) and 114/73 (discharge), HR 67-70, O2 sat 96-97%. Physical exam: clear lungs, normal heart sounds, no edema, multiple small wounds on right lower leg without signs ... | {
"diagnosis": [
"Coronary artery disease",
"Hypertension",
"Hyperlipidemia",
"Diabetes mellitus",
"Metastatic prostate cancer",
"Obesity"
],
"treatment": [
"Aspirin 325mg daily",
"Clopidogrel 75mg daily",
"Atorvastatin 80mg daily",
"Lisinopril 40mg daily",
"Metoprolol ... | mimic_iv_note | {
"passed": true,
"latency": 27.39923357963562,
"output_tokens": 711,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_19049931-DS-4 | hard | [
"MEDICINE",
"CARDIAC"
] | Shortness of breath | [
{
"keywords": [
"dyspnea",
"orthopnea",
"fatigue",
"creatinine"
],
"content": "Increasing dyspnea on exertion and orthopnea. Progressive fatigue and rising creatinine (baseline 1.2 to 1.6).",
"necessity": true
},
{
"keywords": [
"cardiomyopathy",
"atrial f... | [
{
"keywords": [
"weight",
"edema",
"oxygen saturation"
],
"content": "Admission weight 86.1 kg, discharge weight 85.8 kg. Discharge physical exam: 1+ pedal edema bilaterally, O2 Sat 55%.",
"necessity": true
},
{
"keywords": [
"hemoglobin",
"creatinine",
"o... | {
"diagnosis": [
"Non-ischemic dilated cardiomyopathy",
"Paroxysmal atrial fibrillation",
"Hypertension",
"Type 2 diabetes",
"Mild chronic renal insufficiency",
"Biventricular failure"
],
"treatment": [
"Torsemide",
"Losartan",
"Pradaxa",
"Amiodarone",
"Milrinone",
... | mimic_iv_note | {
"passed": true,
"latency": 49.937034130096436,
"output_tokens": 797,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_12468016-DS-76 | hard | [
"Medicine",
"Cardiovascular",
"Respiratory"
] | leg swelling and SOB | [
{
"keywords": [
"SOB",
"weight gain",
"leg swelling"
],
"content": "Patient presents with SOB, 10 lb weight gain over 2 days, and increased bilateral leg swelling. Denies chest pain. Took torsemide this morning. Feeling more SOB for the last few days. Not wearing oxygen at home.",
... | [
{
"keywords": [
"vitals",
"respiratory",
"edema"
],
"content": "Admission vitals: Temp 97.5, BP 122/76, HR 64, RR 16, O2 sat 99% on 6L NC. Chest exam: severe rhonchi, worse with expiration. Severe bilateral ankle tense edema with erythema and ulcers.",
"necessity": true
},
{
... | {
"diagnosis": [
"Heart Failure (HFpEF) exacerbation",
"Chronic Kidney Disease (CKD)",
"COPD",
"Venous Insufficiency",
"Adrenal Insufficiency"
],
"treatment": [
"Torsemide",
"Prednisone",
"Anticoagulant",
"Unna boots for ulcers"
],
"avoid": [
"Nephrotoxic agents",
"... | mimic_iv_note | {
"passed": true,
"latency": 103.08822631835938,
"output_tokens": 1655,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields... |
MIMIC_18997641-DS-17 | hard | [
"NEUROLOGY",
"STROKE"
] | Transferred from OSH following tPA Administration | [
{
"keywords": [
"stroke",
"tPA",
"transfer"
],
"content": "Transferred after TPA for stroke; found on floor with head injury; BP 168/?, BS 150; now moving right arm/leg.",
"necessity": true
},
{
"keywords": [
"atrial fibrillation",
"HTN",
"medications"
... | [
{
"keywords": [
"vitals",
"neurologic"
],
"content": "Vitals: BP 118/65, P 59, SaO2 100%. Neurologic: globally aphasic, right facial weakness (UMN pattern), hyper reflexia in right limbs, right upgoing toe.",
"necessity": true
},
{
"keywords": [
"lab",
"imaging"
]... | {
"diagnosis": [
"Acute ischemic stroke",
"Atrial fibrillation",
"Hypertension",
"Anemia",
"Scalp hematoma"
],
"treatment": [
"tPA administration",
"Post-tPA monitoring",
"Metoprolol",
"Digoxine",
"Monitoring for complications"
],
"avoid": [
"Niacin",
"Statins",... | mimic_iv_note | {
"passed": true,
"latency": 59.29169797897339,
"output_tokens": 962,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_19777120-DS-10 | hard | [
"Oncology",
"Malignancy"
] | Metastatic renal cell carcinoma, admitted for high-dose IL-2 therapy | [
{
"keywords": [
"metastatic renal cell carcinoma",
"hematuria",
"flank pain",
"nephrectomy"
],
"content": "Patient with metastatic renal cell carcinoma, presented with gross hematuria and right flank pain, underwent stent placement and right radical nephrectomy with lymph node di... | [
{
"keywords": [
"vital signs",
"tachycardia",
"hypertension"
],
"content": "Vital signs: HR 100, BP 133/90, O2 saturation 99% on room air. Physical exam: well-appearing, no acute distress, regular heart rhythm, clear lungs, soft non-tender abdomen.",
"necessity": true
},
{
... | {
"diagnosis": [
"metastatic renal cell carcinoma",
"normal sinus tachycardia",
"acute renal failure",
"systemic inflammatory response syndrome",
"bilateral shoulder pain"
],
"treatment": [
"high-dose interleukin-2 therapy (completed cycle 2 week 2)",
"discharge medications: analgesics... | mimic_iv_note | {
"passed": true,
"latency": 59.104878187179565,
"output_tokens": 939,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fiel... |
MIMIC_19293256-DS-20 | hard | [
"MEDICINE",
"Pancreatitis",
"Thrombosis",
"Hypertriglyceridemia",
"Alcohol use disorder"
] | nausea, vomiting, abdominal pain | [
{
"keywords": [
"GERD",
"alcohol use disorder"
],
"content": "History of GERD and alcohol use disorder",
"necessity": true
},
{
"keywords": [
"nausea",
"vomiting",
"abdominal pain"
],
"content": "Presented with nausea, vomiting, abdominal pain",
"nec... | [
{
"keywords": [
"wheezes",
"distended abdomen",
"rash"
],
"content": "Mild scattered wheezes. Abdomen distended. Faint erythematous rash over right flank.",
"necessity": true
},
{
"keywords": [
"WBC-10.4",
"Hgb-8.1",
"WBC-15.2"
],
"content": "Admis... | {
"diagnosis": [
"Acute necrotic pancreatitis",
"Splenic vein thrombosis",
"Superior mesenteric vein thrombosis",
"Portal vein thrombosis",
"Hypertriglyceridemia",
"Alcohol use disorder"
],
"treatment": [
"Apixaban",
"Fibrate therapy",
"Oral vancomycin",
"Vitamin D repletio... | mimic_iv_note | {
"passed": true,
"latency": 58.754467487335205,
"output_tokens": 1555,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields... |
MIMIC_16706440-DS-17 | hard | [
"Medicine",
"Cancer",
"Hepatobiliary"
] | Jaundice. | [
{
"keywords": [
"jaundice",
"metastatic rectal cancer",
"hemorrhoids"
],
"content": "Patient with metastatic rectal cancer presents with jaundice noticed by family over past few days. Denies fevers, chills, abdominal pain. Has external hemorrhoids improving with hydrocortisone cream.",... | [
{
"keywords": [
"icteric sclerae",
"vitals",
"abdomen"
],
"content": "Physical exam: Icteric sclerae, vitals stable (BP 116/83, HR 83, RR 18, O2 95% RA). Abdomen soft, non-tender, non-distended with small external hemorrhoids. Ext: trace left edema.",
"necessity": true
},
{
... | {
"diagnosis": [
"Biliary obstruction due to metastatic rectal cancer",
"Metastatic rectal cancer"
],
"treatment": [
"ERCP with stent placement",
"Hospice care",
"Hydrocortisone cream"
],
"avoid": [
"Percocet (allergy)"
]
} | mimic_iv_note | {
"passed": true,
"latency": 29.180782556533813,
"output_tokens": 761,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fiel... |
MIMIC_14271040-DS-5 | medium | [
"MEDICINE",
"abdominal_pain"
] | abdominal pain, nausea, vomiting | [
{
"keywords": [
"abdominal_pain",
"nausea",
"vomiting",
"syncope"
],
"content": "8 of 10 epigastric pain, bandlike, sharp, worsened with eating, associated with nausea and nonbilious, nonbloody emesis. Unable to eat or take PO for two days. Witnessed syncopal episode in ED while ... | [
{
"keywords": [
"vitals",
"abdomen"
],
"content": "Admission: T 98.0F, BP 118/78, P 88, RR 18, O2 100% RA. Abdomen: soft, non-tender, non-distended, NABS. Discharge: T 98.3F, BP 145/89, P 74, RR 18, O2 99% RA. Abdomen: soft, non-tender, non-distended, NABS.",
"necessity": true
},
{
... | {
"diagnosis": [
"abdominal_pain",
"syncope",
"hypertension",
"HIV",
"hyperlipidemia"
],
"treatment": [
"atepatol (for HIV)",
"medications for hypertension and hyperlipidemia (unknown specifics)",
"symptomatic treatment: IV fluids, analgesics, antiemetics during admission",
"di... | mimic_iv_note | {
"passed": true,
"latency": 28.166269779205322,
"output_tokens": 750,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_13892101-DS-9 | hard | [
"Medicine",
"Gastrointestinal",
"Liver",
"Metabolic"
] | GI Bleed | [
{
"keywords": [
"melena",
"alcohol relapse",
"hypoxia",
"smoker"
],
"content": "___ y/o male with history of EtOH cirrhosis and recurrent variceal bleeding s/p TIPS, presented with melena and metallic taste. Recent alcohol relapse (4 nips/day). Hypoxia requiring nasal cannula. He... | [
{
"keywords": [
"vitals",
"abdomen",
"neuro"
],
"content": "Admission: VS 99.6 172/87 99 18 95% RA, abdomen soft non-tender. Discharge: VS 98.3 153/76 82 18 94% RA, neuro A&Ox3 with mild tremor. No asterixis.",
"necessity": true
},
{
"keywords": [
"Hgb",
"lactat... | {
"diagnosis": [
"Alcoholic cirrhosis",
"Recurrent variceal bleeding",
"Gastritis",
"HCV post-treatment",
"Hypertension",
"Diabetes mellitus type 2",
"Thrombocytopenia",
"Hypoxia",
"Alcohol use disorder"
],
"treatment": [
"Omeprazole 40mg po daily",
"Alcohol abstinence"... | mimic_iv_note | {
"passed": true,
"latency": 59.16988801956177,
"output_tokens": 919,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_14660085-DS-3 | medium | [
"PSYCHIATRY",
"Depression",
"Suicidal Ideation",
"Self-harm"
] | Suicidal thoughts | [
{
"keywords": [
"suicidal ideation",
"depression",
"self-harm"
],
"content": "Patient reports suicidal thoughts and self-harm (cutting). She has been feeling depressed, hopeless, helpless, guilty, with low energy, poor concentration, and increased sleep. She has a history of similar ep... | [
{
"keywords": [
"physical exam",
"normal"
],
"content": "Physical exam: Normocephalic, atraumatic, moist mucous membranes, oropharynx clear, supple neck, no scleral icterus; cardiovascular: regular rate and rhythm, S1/S2 heard, no murmurs/rubs/gallops; pulmonary: clear to auscultation bilate... | {
"diagnosis": [
"Major Depressive Disorder",
"Suicidal Ideation",
"Self-Harm Behavior",
"Asthma"
],
"treatment": [
"Psychiatric evaluation and safety monitoring",
"Albuterol Inhaler PRN for asthma",
"OCP for contraception"
],
"avoid": [
"No access to weapons or means of self-h... | mimic_iv_note | {
"passed": true,
"latency": 22.058322429656982,
"output_tokens": 345,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_15667769-DS-18 | hard | [
"Medicine",
"Respiratory",
"Cardiovascular",
"Neurological"
] | sore throat | [
{
"keywords": [
"sore throat",
"history"
],
"content": "3-day history of worsening sore throat, denies difficulty swallowing, breathing, cough, chest pain, shortness of breath, headache, nausea, vomiting. Recent C1 fracture. Rapid strep negative, CT neck showed more distracted C1 fracture.",... | [
{
"keywords": [
"vital signs",
"physical exam"
],
"content": "Admission: Temp 98.2, BP 111/70, HR 94, RR 16, SpO2 94% RA. Discharge: Temp 98.2, HR 94, BP 111/70, RR 16, SpO2 94% RA. C-collar in place. Oropharynx clear, no exudate. Lungs clear bilaterally. Neuro: normal strength/sensation.",
... | {
"diagnosis": [
"Pneumonia",
"Sore Throat",
"Systolic Heart Failure",
"Type II Diabetes",
"Hypertension",
"Hyperlipidemia",
"Depression",
"Cervical Myelopathy",
"C1 Fracture"
],
"treatment": [
"Vancomycin",
"Cefepime",
"Furosemide",
"Hydrochlorothiazide",
"... | mimic_iv_note | {
"passed": true,
"latency": 103.07889151573181,
"output_tokens": 1640,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fie... |
MIMIC_11686707-DS-14 | hard | [
"Medicine",
"Cardiology",
"Hypertension"
] | HTN | [
{
"keywords": [
"hypertension",
"chest tightness",
"orthostasis"
],
"content": "70-year-old female with HTN, CAD s/p stent to RCA, CHF EF 20%, afib on coumadin. Reports difficult to control BP with episodes of orthostasis and SBP in 200s. Non-compliant with medications due to polypharm... | [
{
"keywords": [
"vital signs",
"physical exam"
],
"content": "Vital signs: BP 116/90, HR 52, RR 18, temp 98.2, O2 sat 100% RA. Physical exam: JVP 11 cm, no murmurs, normal heart sounds, clear lungs, soft abdomen, no edema, no stasis dermatitis.",
"necessity": true
},
{
"keywords"... | {
"diagnosis": [
"Hypertension",
"Coronary artery disease status post stent",
"Chronic heart failure",
"Atrial fibrillation"
],
"treatment": [
"Hydralazine",
"Carvedilol",
"Amlodipine",
"Isosorbide mononitrate",
"Furosemide",
"Warfarin",
"Amiodarone",
"Niacin"
],
... | mimic_iv_note | {
"passed": true,
"latency": 47.9300320148468,
"output_tokens": 775,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ar... |
MIMIC_18107351-DS-10 | hard | [
"Neurosurgery",
"Traumatic Brain Injury"
] | fall | [
{
"keywords": [
"fall",
"head injury",
"TBI"
],
"content": "Patient fell and struck head, with bruise on back of head. Nausea and vomiting. Unknown LOC. CT showed bilateral SDH, contusions, skull fracture. Nausea improved with Zofran. Intubated due to increased sleepiness. Mannitol giv... | [
{
"keywords": [
"GCS",
"intubated",
"neuro exam"
],
"content": "GCS 11T, intubated. Eyes open spontaneously. Motor: obeys commands. Restless, reaching for ET tube. C-collar. Neuro: eyes open spontaneously, tracks examiner, PERRL, face symmetric, moves all extremities antigravity, purpo... | {
"diagnosis": [
"Traumatic Brain Injury",
"Bilateral Subdural Hematoma",
"Skull Fracture",
"Bilateral Contusions",
"Urinary Retention",
"Urinary Tract Infection"
],
"treatment": [
"Levetiracetam for seizure prophylaxis",
"Metoprolol 50mg twice daily",
"Metformin",
"Ciprofl... | mimic_iv_note | {
"passed": true,
"latency": 39.37967610359192,
"output_tokens": 620,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_17466330-DS-4 | hard | [
"Surgery",
"Obesity"
] | Morbid obesity | [
{
"keywords": [
"obesity",
"weight history"
],
"content": "Class III morbid obesity, weight 239 pounds, BMI 40. Previous weight loss efforts: behavioral therapy, orlistat (no results), Diet Workshop (lost 80 pounds), Weight Watchers (lost 40 pounds). Factors: large portions, carbohydrates, s... | [
{
"keywords": [
"vital signs",
"physical findings"
],
"content": "Vital signs: T 99.9, HR 100, BP 136/86, RR 18, O2 96% RA. Physical exam: Alert and oriented, obese abdomen soft with appropriate tenderness, no rebound/guarding, abdominal lap wounds with steri-strips, no edema.",
"necessi... | {
"diagnosis": [
"Morbid obesity",
"Type 2 Diabetes",
"Hyperlipidemia",
"Asthma",
"GERD",
"Migraines"
],
"treatment": [
"Laparoscopic Roux-en-Y gastric bypass",
"Discharge medications: topiramate (crushed), amitriptyline (crushed), simvastatin (crushed), omeprazole",
"Prophylax... | mimic_iv_note | {
"passed": true,
"latency": 79.31423044204712,
"output_tokens": 1297,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_17651170-DS-8 | hard | [
"Medicine",
"Cardiovascular",
"Respiratory"
] | Shortness of breath | [
{
"keywords": [
"dyspnea",
"exertion",
"weight gain",
"edema"
],
"content": "Worsening dyspnea on exertion, weight gain, bilateral lower extremity edema, irregular pulse, hypotension, tachypnea, shallow breathing. Denies orthopnea or PND. Taking Lasix daily, consuming canned soup... | [
{
"keywords": [
"vitals",
"crackles",
"edema",
"BNP",
"CXR"
],
"content": "Admission vitals: T 98.4, HR 73, BP 118/51, RR 18, 97% RA. Physical exam: Bibasilar crackles, diffuse expiratory wheezes, diminished breath sounds at upper lobes, 2+ pitting edema (left > right). Lab... | {
"diagnosis": [
"Acute decompensated heart failure (HFpEF)",
"COPD exacerbation",
"Hypertension"
],
"treatment": [
"Diuretics (Lasix)",
"Bronchodilators",
"Corticosteroids",
"Antibiotics",
"Antihypertensives (non-ACEI, non-beta blocker)"
],
"avoid": [
"NSAIDs",
"Enalap... | mimic_iv_note | {
"passed": true,
"latency": 35.664860248565674,
"output_tokens": 924,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fiel... |
MIMIC_14518480-DS-16 | hard | [
"MEDICINE",
"Diabetes",
"Transplant",
"Infection"
] | Fever | [
{
"keywords": [
"fever",
"diarrhea",
"respiratory symptoms",
"appetite"
],
"content": "Intermittent fevers up to 103 for 4 days, responsive to Tylenol. Watery diarrhea at onset, resolved with Immodium. Upper respiratory symptoms including mildly productive cough, nasal congestion... | [
{
"keywords": [
"vitals",
"physical exam",
"port",
"anemia signs"
],
"content": "Admission vitals: T:97.9, BP:95/60, P:90, RR:19, POx:99% RA. Alert, oriented, nervous and shaky. HEENT: no conjunctival pallor, moist mucous membranes. CV: regular, no murmurs. Lungs: clear. Abdomen:... | {
"diagnosis": [
"Type 1 Diabetes Mellitus",
"Chronic Kidney Disease",
"Post Kidney and Pancreas Transplant",
"Fever of unknown origin"
],
"treatment": [
"Mycophenolate 360mg",
"Prednisone 5mg",
"Fludricortisone Acetate 0.3mg",
"Aspirin 81 mg",
"Bactrim SS"
],
"avoid": [
... | mimic_iv_note | {
"passed": true,
"latency": 46.90664720535278,
"output_tokens": 748,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
11193980-DS-21 | medium | [
"Plastic Surgery",
"Hernia",
"Surgical Complication"
] | abdominal hernia | [
{
"keywords": [
"s/p sigmoidectomy",
"incarcerated hernia",
"abscess",
"fistula"
],
"content": "Patient status post open sigmoidectomy, incarcerated incisional hernia repair with mesh complicated by intraabdominal abscesses requiring drainage and wound vac. History of enterocutan... | [
{
"keywords": [
"vitals",
"stability"
],
"content": "Vitals: Temp 98.5°F, BP 111/74, HR 75, RR 18, O2 sat 95% on room air. General: awake, alert, well-appearing. Respiratory: breathing comfortably on 1L NC.",
"necessity": true
},
{
"keywords": [
"abdominal exam",
"inc... | {
"diagnosis": [
"abdominal wall defect/hernia"
],
"treatment": [
"Acetaminophen 650 mg PO Q6H PRN pain",
"Docusate Sodium 100 mg PO BID",
"Ibuprofen 600 mg PO Q6H PRN pain",
"Oxycodone 5 mg PO Q4H PRN pain",
"Subcutaneous heparin for DVT prophylaxis",
"Ambulation encouraged",
"Bow... | mimic_iv_note | {
"passed": true,
"latency": 20.007699728012085,
"output_tokens": 535,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_18797174-DS-35 | hard | [
"SURGERY",
"MULTI_SYSTEM"
] | left leg pain | [
{
"keywords": [
"trauma",
"pain",
"hematoma"
],
"content": "Patient hit left shin (bumped into suitcase) with progressive pain, hematoma, and erythema. Reports nausea/vomiting in ED, urinary incontinence since ED, chronic right leg swelling (baseline), and chronic joint pains. Denies f... | [
{
"keywords": [
"vitals",
"physical exam"
],
"content": "Vitals: T 97.7, HR 73, BP 129/60, RR 18, sat 97% on RA. Exam: irregular heart, crackles left lung, edematous lower extremities, VAC dressing on left calf, +DP bilaterally, alert and oriented. No fracture on X-ray, soft tissue swelling ... | {
"diagnosis": [
"Atrial Fibrillation",
"Diastolic Heart Failure",
"Type 2 Diabetes",
"Hypothyroidism",
"Obstructive Sleep Apnea",
"Hypertension",
"Bronchiectasis",
"Arthritis",
"Spinal Stenosis",
"Celiac Disease",
"Subcutaneous Hematoma of Left Calf"
],
"treatment": [
... | mimic_iv_note | {
"passed": true,
"latency": 56.73664903640747,
"output_tokens": 933,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_13696547-DS-20 | hard | [
"Medicine",
"Oncology"
] | fever | [
{
"keywords": [
"cancer",
"chemotherapy",
"fever"
],
"content": "Active cervical cancer on cisplatin chemotherapy and concurrent radiation; fever; given Cefep and vancomycin enroute; mild maculopapular rash during febrile periods; improved with acetaminophen but fever returned; only ch... | [
{
"keywords": [
"vitals",
"exam"
],
"content": "Admission: Temp 99.1 PO, BP 116/75, HR 66, RR 18, O2 sat 98%; lungs clear, abdomen soft non-tender, no rashes. Discharge: similar, walking around.",
"necessity": true
},
{
"keywords": [
"labs",
"culture"
],
"cont... | {
"diagnosis": [
"Recurrent cervical cancer",
"Febrile neutropenia",
"Urinary tract infection (E. coli)"
],
"treatment": [
"Cefep and vancomycin (for febrile neutropenia)",
"Acetaminophen",
"Antiemetics",
"Cisplatin chemotherapy (ongoing)"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 30.51462149620056,
"output_tokens": 512,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_12018901-DS-73 | hard | [
"Medicine",
"Multi-system"
] | R buttocks cyst | [
{
"keywords": [
"cyst",
"respiratory failure"
],
"content": "Patient presents with right buttocks cyst noticed today, mildly tender, unclear drainage. Transferred to ICU for respiratory failure and hypotension (nadir BP 81/36). ED labs: K 6, Cr 5.6, WBC 12.3, INR 1.4. CXR showed bilateral pu... | [
{
"keywords": [
"vitals",
"physical exam"
],
"content": "Admission: Temp 98.1, BP 107/47, P 90, RR 24, SpO2 94% on CMV. Intubated, sedated, obese, bilateral lung crackles. Discharge: Temp 98.3, BP 142/51-54, HR 104-119, RR 20-30, SpO2 98% on 3L NC. Alert, diffuse exp wheezes, 1+ lower extrem... | {
"diagnosis": [
"Right buttocks cyst",
"Acute respiratory failure",
"Chronic kidney disease (ESRD)",
"Type 2 diabetes mellitus",
"Hypertension",
"Severe pulmonary hypertension",
"Diastolic heart failure",
"Asthma"
],
"treatment": [
"Hemodialysis (MWF)",
"Oxygen therapy (3L... | mimic_iv_note | {
"passed": true,
"latency": 17.488778114318848,
"output_tokens": 458,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_13609416-DS-11 | hard | [
"Medicine",
"Cardiovascular"
] | Increased lower extremity swelling, weakness | [
{
"keywords": [
"cold extremities",
"swelling",
"weakness",
"orthopnea",
"dyspnea"
],
"content": "Patient reports cold feet intermittently for 5 months, worsening ankle swelling for the past couple of days, and weakness. Also reports orthopnea and dyspnea on light exertion.... | [
{
"keywords": [
"vitals",
"JVP",
"lungs",
"edema"
],
"content": "Admission: BP 156/79, HR 67, RR 15, SpO2 93% on 2L, JVP >10cm, lungs with + crackles, trace pitting edema bilaterally. Discharge: BP 100-120/60-70, SpO2 94-99% on 2L, JVP 6-8cm, lungs clear, no edema.",
"necessi... | {
"diagnosis": [
"Acute on chronic cardiac decompensation",
"Pulmonary hypertension (idiopathic)",
"Right heart failure",
"Chronic kidney disease (stage II)",
"Diabetes mellitus type 2",
"Hyperlipidemia",
"Seizure disorder",
"Anemia",
"Vitamin D deficiency",
"Senile debility"
... | mimic_iv_note | {
"passed": true,
"latency": 31.219929456710815,
"output_tokens": 502,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_15798647-DS-2 | hard | [
"surgery",
"oncology"
] | ___ hematoma | [
{
"keywords": [
"abdominal pain",
"distention"
],
"content": "Patient presented with abdominal pain and distention after liver biopsy, tachycardic to 120s, ileus, and perihepatic hematoma.",
"necessity": true
},
{
"keywords": [
"prostate cancer",
"hypertension"
],... | [
{
"keywords": [
"tachycardic",
"hypertensive"
],
"content": "Vitals: HR 102, BP 150/83, O2 sat 94% on 2L. Abdomen: distended, tense, tympanitic, tender RUQ. Labs: Hgb 35.7 (low), Alk Phos 629, ALT 137.",
"necessity": true
},
{
"keywords": [
"active extravasation",
"ad... | {
"diagnosis": [
"Perihepatic hematoma",
"Ileus",
"Active hepatic artery extravasation",
"Adenocarcinoma of liver",
"Hypertension",
"Prostate cancer status post XRT"
],
"treatment": [
"Gel-foam embolization",
"NG tube placement",
"IV fluids",
"Lisinopril 10 mg daily",
"... | mimic_iv_note | {
"passed": true,
"latency": 45.21703028678894,
"output_tokens": 755,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the provided criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required field... |
MIMIC_17115297-DS-17 | hard | [
"Cardiothoracic",
"Cardiovascular"
] | Chest pain and shortness of breath | [
{
"keywords": [
"chest pain",
"dyspnea"
],
"content": "Episodes of chest pain and dyspnea on exertion. Recent echocardiogram revealed severe aortic stenosis (AVA 0.8cm2, peak gradient 71 mmHg, mean 43 mmHg).",
"necessity": true
},
{
"keywords": [
"radial artery dissection",... | [
{
"keywords": [
"severe aortic stenosis",
"echocardiogram"
],
"content": "Echocardiogram: severe aortic stenosis (AVA <1.0cm2), mild-moderate aortic regurgitation, normal biventricular systolic function post-bypass with bileaflet prosthesis (gradients 20/8 mmHg).",
"necessity": true
},... | {
"diagnosis": [
"Severe aortic stenosis",
"Coronary artery disease",
"Status post aortic valve replacement",
"Status post coronary artery bypass graft",
"Radial artery dissection (status post fasciotomy)"
],
"treatment": [
"Aortic valve replacement",
"Coronary artery bypass graft (sap... | mimic_iv_note | {
"passed": true,
"latency": 45.59346127510071,
"output_tokens": 727,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
MIMIC_15091617-DS-22 | hard | [
"cardiology",
"cardiac_surgery",
"metabolic"
] | Palpitations and syncope | [
{
"keywords": [
"chest pain",
"palpitations",
"syncope"
],
"content": "6 months of non-radiating chest pain leading to CABG. Post-op: poor appetite, fatigue. Then developed dyspnea and palpitations at rest, followed by syncope without warning. Glucose checks: 100-200s.",
"necessity... | [
{
"keywords": [
"tachycardia",
"hypotension",
"pleural effusion"
],
"content": "Admit: Pulse 118, BP 144/91. Discharge: BP 101/61, Pulse 84. Physical: bilateral pleural effusions. Pertinent: Chest CTA shows small pleural effusions, Abd CT shows pericardial effusion and pleural effusion... | {
"diagnosis": [
"Pericardial effusion",
"Pleural effusion",
"Post-CABG status",
"Hypertension",
"Diabetes mellitus type II",
"Dyslipidemia",
"Coronary artery disease"
],
"treatment": [
"Pericardial effusion drainage",
"Right tube thoracostomy",
"Coronary artery bypass graf... | mimic_iv_note | {
"passed": true,
"latency": 22.230875253677368,
"output_tokens": 594,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_11104709-DS-20 | hard | [
"Medicine",
"Oncology"
] | fall, difficulty ambulating | [
{
"keywords": [
"fall",
"ambulation",
"gait imbalance"
],
"content": "Patient reports worsening ambulation over past few days and forgetfulness over past few weeks. This morning, he fell when getting out of bed, sliding down to the floor on his knees without loss of consciousness or he... | [
{
"keywords": [
"vital signs",
"neurological"
],
"content": "Admission: BP 163/82, HR 61, O2 97% RA. Neuro: A&Ox3, CN2-12 intact, strength normal. Discharge: BP 129/67, HR 59, O2 96% RA. Neuro: CN2-12 intact, strength normal in UE and LE, moving all extremities independently.",
"necessit... | {
"diagnosis": [
"metastatic melanoma",
"cerebellar metastasis",
"hypertension",
"allergic rhinitis",
"B12 deficiency"
],
"treatment": [
"steroids (decadron)",
"antiemetics (zofran)",
"planned phase I study (not started)"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 42.084696769714355,
"output_tokens": 681,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_19018144-DS-3 | hard | [
"Medicine",
"Neurological",
"Respiratory",
"Endocrine"
] | nausea/vomiting, hypoxia, malaise | [
{
"keywords": [
"nausea",
"vomiting",
"hypoxia",
"transaminases elevation",
"Rilutek stopped"
],
"content": "Patient presented with nausea and vomiting, slight elevation of transaminases (attributed to Rilutek, which was stopped). He had shortness of breath and hypoxemia (8... | [
{
"keywords": [
"O2 sat",
"rales",
"rhonchi",
"fasciculations"
],
"content": "Physical exam: O2 sat 94% on room air, LL rales and rhonchi, neurological exam showed fasciculations.",
"necessity": true
},
{
"keywords": [
"elevated transaminases",
"elevated C... | {
"diagnosis": [
"Pneumonia (suspected, right lower lobe)",
"Heart failure",
"Amyotrophic lateral sclerosis (ALS)",
"Depression",
"Hypothyroidism"
],
"treatment": [
"Levofloxacin",
"Discontinued Rilutek",
"Zofran",
"IV fluids",
"Levothyroxine (inferred)",
"Antidepressan... | mimic_iv_note | {
"passed": true,
"latency": 63.48012375831604,
"output_tokens": 1015,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
14893545-DS-10 | hard | [
"MEDICINE",
"Infection",
"Cardiovascular",
"Rheumatologic",
"Hematologic"
] | LLE cellulitis on chronic lymphedema | [
{
"keywords": [
"cellulitis",
"lymphedema",
"pain",
"swelling",
"redness",
"ulcers",
"DOE",
"palpitations"
],
"content": "Patient with history of lymphedema and Factor V Leiden presents with left leg pain, swelling, and progressive redness. She has 2 ulcer... | [
{
"keywords": [
"lymphedema",
"cellulitis",
"ulcers",
"wheezes",
"edema",
"erythema",
"tenderness"
],
"content": "Physical exam: Alert, oriented. Lungs: wheezes bilaterally. Extremities: chronic lymphedema in both legs with skin changes, edema 3+ left > right, e... | {
"diagnosis": [
"Cellulitis of left lower extremity",
"Supraventricular tachycardia (resolved)",
"Chronic lymphedema",
"Factor V Leiden with history of DVTs"
],
"treatment": [
"Intravenous Vancomycin",
"Coumadin",
"Diltiazem",
"Aspirin",
"Hydrocodone-Acetaminophen",
"Aceta... | mimic_iv_note | {
"passed": true,
"latency": 74.71771764755249,
"output_tokens": 1190,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_16839169-DS-12 | medium | [
"Medicine",
"Cardiac"
] | complete heart block | [
{
"keywords": [
"bradycardia",
"asymptomatic"
],
"content": "Asymptomatic bradycardia over past weeks with ventricular rate in 40s on holter monitor; beta blocker weaned off 2 weeks prior but bradycardia persisted. Exertional dyspnea for 1 week. Denies edema, chest pain, cough, fever, PND, o... | [
{
"keywords": [
"heart block",
"EKG"
],
"content": "EKG: Complete dissociation between P waves and QRS complexes consistent with complete heart block; sinus atrial rhythm, narrow QRS, no prior MI evidence.",
"necessity": true
},
{
"keywords": [
"pacemaker",
"post-op"
... | {
"diagnosis": [
"Complete heart block",
"Hypertension",
"Dyslipidemia",
"Asthma",
"Hypothyroidism",
"Dementia"
],
"treatment": [
"Pacemaker placement",
"Discontinuation of beta blocker",
"Management of cardiac risk factors"
],
"avoid": [
"Seroquel (allergy)"
]
} | mimic_iv_note | {
"passed": true,
"latency": 25.28194546699524,
"output_tokens": 398,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria.\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields a... |
11870644-DS-13 | hard | [
"Neurology",
"Seizure Disorder",
"Urinary Tract Infection"
] | Right face and arm weakness | [
{
"keywords": [
"right face and arm weakness",
"tonic movement"
],
"content": "Patient presented with right face and arm weakness. Found by granddaughter with staring eyes, no response, right arm flexed and half-clenched (tonic movement), proximal arm antigravity. Legs not weak. EMS called."... | [
{
"keywords": [
"neurologic exam",
"right gaze deviation",
"right facial droop"
],
"content": "Admission neurologic exam: decreased tone in right upper extremity, right arm does not withdraw to noxious, intermittent forced right gaze deviation. Discharge: increased tone throughout, eye... | {
"diagnosis": [
"Focal motor status epilepticus",
"Urinary tract infection (Klebsiella pneumoniae)",
"Hypertension",
"Asthma",
"Arthritis"
],
"treatment": [
"Levetiracetam",
"Valproate",
"Antibiotics for UTI (e.g., Cefepime)"
],
"avoid": []
} | mimic_iv_note | {
"passed": true,
"latency": 21.319951057434082,
"output_tokens": 568,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
10041958-DS-6 | easy | [
"OBSTETRICS/GYNECOLOGY",
"Symptomatic Fibroid Uterus"
] | Symptomatic Fibroid Uterus | [
{
"keywords": [
"abdominal discomfort",
"urinary frequency",
"large fibroid uterus"
],
"content": "Progressively increasing myoma causing abdominal discomfort, urinary frequency. Pt has been referred by Dr ___ for hysterectomy for large fibroid uterus.",
"necessity": true
},
{
... | [
{
"keywords": [
"VSS",
"NAD",
"A&O x 3",
"RRR",
"no acute respiratory distress",
"soft",
"nondistended",
"no rebound/guarding",
"incision c/d/i",
"no TTP"
],
"content": "Vitals: VSS. General: NAD, A&O x 3. CV: RRR. Resp: no acute respiratory di... | {
"diagnosis": [
"Symptomatic Fibroid Uterus"
],
"treatment": [
"Acetaminophen 500 mg PO Q6H PRN pain",
"Docusate Sodium 100 mg PO BID",
"Oxycodone 5 mg PO Q4H PRN pain",
"Ibuprofen 600 mg PO Q6H PRN pain",
"No strenuous activity for 6 weeks",
"No heavy lifting >10 lbs for 6 weeks",
... | mimic_iv_note | {
"passed": true,
"latency": 28.525532007217407,
"output_tokens": 447,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
MIMIC_16005543-DS-17 | hard | [
"Medicine",
"Oncology",
"Gastrointestinal"
] | Admission for chemotherapy | [
{
"keywords": [
"history",
"cancer"
],
"content": "Patient with history of head and neck cancer and new squamous esophageal cancer, presenting for chemotherapy and radiation. Three months of progressive dysphagia, weight loss initially, now improved after stent placement. Intermittent chest ... | [
{
"keywords": [
"vitals",
"physical"
],
"content": "Vitals: T 97.8, BP 126/87. Physical exam: awake, alert, s/p maxillary surgery, no cervical lymphadenopathy, soft abdomen, no edema.",
"necessity": true
},
{
"keywords": [
"laboratory",
"results"
],
"content":... | {
"diagnosis": [
"Esophageal Cancer",
"Gastroesophageal Reflux Disease",
"Thrush"
],
"treatment": [
"Chemotherapy (cisplatin and fluorouracil)",
"Radiation therapy",
"Pantoprazole",
"Acetaminophen",
"Prochlorperazine",
"Magic mouth wash",
"Docusate Sodium",
"Nystatin"
... | mimic_iv_note | {
"passed": true,
"latency": 31.276832580566406,
"output_tokens": 489,
"truncated": false,
"content": "<think>\nWe are evaluating the case based on the given criteria:\n\n1. Data structure complete: \n - The case has: case_id, chief_complaint, subjective, objective, ground_truth. \n - All required fields ... |
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