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... |
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