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1 value
v3_ea9a06b0a0f585ee_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.35, 0.01, 0.59, 0.05 ]
A progress note uses only abbreviations for the plan; additionally documents a normal exam in detail. Context: for the payor review, following a recent audit. Reported by the on-call engineer.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_6dc2b7d03d4293e0_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.15, 0.22, 0.36, 0.27 ]
An intake assessment omits the informed-consent discussion; additionally contradicts the nursing notes on timing. Context: for the payor review, while on-call rotation changed. Reported by the supervisor.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_8b5dbb208b41e1cc_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.05, 0.38, 0.49, 0.07, 0.01 ]
A progress note documents a normal exam in detail; additionally contradicts the nursing notes on timing. Context: for the payor review, during normal operations. Reported by the automated check.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_30ea59a00bd2bd7c_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.03, 0, 0.97, 0 ]
A procedure note omits medication changes at discharge; additionally uses only abbreviations for the plan. Context: at discharge, immediately after go-live. Reported by the automated check.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_f6ffc4979a77c20b_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.01, 0.37, 0.61, 0.01 ]
A discharge summary omits medication changes at discharge; additionally uses only abbreviations for the plan. Context: at discharge, under reduced staffing. Reported by the automated check.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_7e0e0924c236f738_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.23, 0, 0.76, 0.01 ]
A progress note lists allergies prominently; additionally documents a normal exam in detail. Context: for a level-4 visit, under reduced staffing. Reported by the on-call engineer.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_ca98830e060820db_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.46, 0.21, 0.16, 0.17 ]
A discharge summary lists allergies prominently; additionally includes the required attestation. Context: in the audit sample, while legacy systems are still active. Reported by the review queue.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_2ea8f331aac48c86_n
noul
[ "false", "true" ]
[ 0.49, 0.51 ]
A discharge summary lists allergies prominently; additionally documents a normal exam in detail. Context: for the payor review, while legacy systems are still active. Reported by the monitoring system.
Is this scenario one where: the documentation supports the billed level?
clinical_documentation
medical
yuri_v3
v3_fb5c8878a10a3547_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.02, 0.29, 0.41, 0.27, 0.01 ]
A discharge summary omits medication changes at discharge; additionally includes the required attestation. Context: for a level-4 visit, during peak load. Reported by the operator.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_deb1ca48bf829ca3_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.18, 0.33, 0.3, 0.19 ]
A procedure note documents a normal exam in detail; additionally omits medication changes at discharge. Context: in the audit sample, during peak load. Reported by the supervisor.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_e987813f252bfcf0_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.01, 0.16, 0.4, 0.38, 0.05, 0 ]
An intake assessment documents time-zero and all interventions; additionally uses only abbreviations for the plan. Context: in the audit sample, with a new vendor onboarded. Reported by the review queue.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_e1ae0dcf9c6b817f_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.01, 0.44, 0.55, 0 ]
A discharge summary contradicts the nursing notes on timing; additionally omits medication changes at discharge. Context: at discharge, with a new vendor onboarded. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_289422408d300396_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.27, 0.3, 0.11, 0.16, 0.05, 0.11 ]
A progress note documents a normal exam in detail; additionally meets all billing-level requirements. Context: for a level-4 visit, mid-incident. Reported by the automated check.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_af2022ee21d18bb1_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.32, 0.17, 0.22, 0.29 ]
An intake assessment meets all billing-level requirements; additionally codes chest pain but describes an MI workup. Context: at discharge, as part of a compliance sweep. Reported by the operator.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_1926d58bfd41aff6_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.01, 0.17, 0.32, 0.49, 0.01 ]
An intake assessment omits the informed-consent discussion; additionally documents time-zero and all interventions. Context: in the audit sample, during the holiday freeze. Reported by the supervisor.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_af5188e21a3a1244_n
noul
[ "false", "true" ]
[ 0.16, 0.84 ]
A progress note omits the informed-consent discussion; additionally omits medication changes at discharge. Context: for the payor review, during peak load. Reported by the operator.
Is this scenario one where: this needs a query to the provider?
clinical_documentation
medical
yuri_v3
v3_1fe2f79a4785758f_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.02, 0.11, 0.37, 0.48, 0.02 ]
A discharge summary codes chest pain but describes an MI workup; additionally meets all billing-level requirements. Context: in the audit sample, during the system migration. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_45f48e75f983c16c_n
noul
[ "false", "true" ]
[ 0.46, 0.54 ]
A progress note documents a normal exam in detail; additionally uses only abbreviations for the plan. Context: in the audit sample, while legacy systems are still active. Reported by the operator.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_a3c73fb64aad2c9e_n
noul
[ "false", "true" ]
[ 0.79, 0.21 ]
A discharge summary codes chest pain but describes an MI workup; additionally includes the required attestation. Context: in the audit sample, during the holiday freeze. Reported by the monitoring system.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_8d4e68ac4e735f1e_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.42, 0.1, 0.42, 0.06 ]
A discharge summary documents a normal exam in detail; additionally contradicts the nursing notes on timing. Context: at discharge, during peak load. Reported by the on-call engineer.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_5efedc0d57bc898a_n
noul
[ "false", "true" ]
[ 0.22, 0.78 ]
A progress note omits medication changes at discharge; additionally meets all billing-level requirements. Context: in the audit sample, during an external partner integration. Reported by the supervisor.
Is this scenario one where: this needs a query to the provider?
clinical_documentation
medical
yuri_v3
v3_9c28c4fff0a30e60_n
noul
[ "false", "true" ]
[ 0.51, 0.49 ]
An intake assessment meets all billing-level requirements; additionally uses only abbreviations for the plan. Context: for a level-4 visit, as part of a compliance sweep. Reported by the supervisor.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_0776c8efd60448ce_n
noul
[ "false", "true" ]
[ 0.24, 0.76 ]
A progress note uses only abbreviations for the plan; additionally contradicts the nursing notes on timing. Context: for a level-4 visit, while on-call rotation changed. Reported by the supervisor.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_d87e19b421aec644_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.1, 0.1, 0.44, 0.36 ]
An intake assessment meets all billing-level requirements; additionally documents time-zero and all interventions. Context: in the audit sample, during peak load. Reported by the automated check.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_2a9cea2a96e0e9c3_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0, 0, 0.02, 0.98 ]
An intake assessment omits the informed-consent discussion; additionally omits medication changes at discharge. Context: for the payor review, at the end of the fiscal period. Reported by the on-call engineer.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_b210b32af1cd0600_n
noul
[ "false", "true" ]
[ 0.08, 0.92 ]
A progress note uses only abbreviations for the plan; additionally omits medication changes at discharge. Context: in the audit sample, at the end of the fiscal period. Reported by the operator.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_57ffbf744148d8c4_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.37, 0.1, 0.36, 0.17 ]
A progress note lists allergies prominently; additionally contradicts the nursing notes on timing. Context: in the audit sample, with a new vendor onboarded. Reported by the automated check.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_2643e454a53d5ad4_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.17, 0.41, 0.25, 0.16, 0.01, 0 ]
A procedure note documents a normal exam in detail; additionally lists allergies prominently. Context: for the payor review, while legacy systems are still active. Reported by the operator.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_dbaeee88ba36ba51_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.01, 0.24, 0.74, 0.01 ]
A progress note uses only abbreviations for the plan; additionally omits the informed-consent discussion. Context: for the payor review, with staffing at reduced levels. Reported by the review queue.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_de58c1fa9b224c3d_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.02, 0.19, 0.68, 0.11, 0 ]
A progress note lists allergies prominently; additionally contradicts the nursing notes on timing. Context: for a level-4 visit, during the holiday freeze. Reported by the operator.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_692125cff04654c6_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.05, 0.14, 0.1, 0.71 ]
A discharge summary lists allergies prominently; additionally omits medication changes at discharge. Context: for a level-4 visit, as part of a compliance sweep. Reported by the automated check.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_d566539955f192e1_n
noul
[ "false", "true" ]
[ 0.37, 0.63 ]
A procedure note documents a normal exam in detail; additionally uses only abbreviations for the plan. Context: at discharge, immediately after go-live. Reported by the automated check.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_cb1f55cb2357d2cc_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.54, 0.01, 0.36, 0.09 ]
A discharge summary includes the required attestation; additionally documents a normal exam in detail. Context: in the audit sample, with a new vendor onboarded. Reported by the supervisor.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_5faad72f2448c71f_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.19, 0.24, 0.31, 0.26 ]
A discharge summary contradicts the nursing notes on timing; additionally lists allergies prominently. Context: for the payor review, at the end of the fiscal period. Reported by the monitoring system.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_024960701b3b250e_n
noul
[ "false", "true" ]
[ 0.05, 0.95 ]
An intake assessment omits the informed-consent discussion; additionally omits medication changes at discharge. Context: at discharge, during an external partner integration. Reported by the supervisor.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_ca67add223abff0d_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.05, 0.63, 0.32, 0 ]
A progress note omits the informed-consent discussion; additionally uses only abbreviations for the plan. Context: at discharge, with a new vendor onboarded. Reported by the review queue.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_e5a96093af9f573f_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.15, 0.21, 0.31, 0.33 ]
A progress note codes chest pain but describes an MI workup; additionally uses only abbreviations for the plan. Context: for a level-4 visit, during peak load. Reported by the supervisor.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_918b6341832cef86_n
noul
[ "false", "true" ]
[ 0.62, 0.38 ]
A discharge summary includes the required attestation; additionally uses only abbreviations for the plan. Context: in the audit sample, while on-call rotation changed. Reported by the on-call engineer.
Is this scenario one where: the documentation supports the billed level?
clinical_documentation
medical
yuri_v3
v3_e8400a3a5c317263_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.02, 0.19, 0.3, 0.47, 0.02 ]
A procedure note meets all billing-level requirements; additionally omits the informed-consent discussion. Context: at discharge, during an external partner integration. Reported by the operator.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_5027ceab5de1e56d_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.09, 0.19, 0.27, 0.45 ]
A progress note documents a normal exam in detail; additionally omits the informed-consent discussion. Context: for a level-4 visit, during the morning shift. Reported by the automated check.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_a34edfd923ead439_n
noul
[ "false", "true" ]
[ 0.6, 0.4 ]
An intake assessment contradicts the nursing notes on timing; additionally lists allergies prominently. Context: for the payor review, during a scheduled maintenance window. Reported by the supervisor.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_2af3ce7160c1279b_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.01, 0.46, 0.53, 0 ]
A procedure note omits medication changes at discharge; additionally contradicts the nursing notes on timing. Context: for a level-4 visit, during a scheduled maintenance window. Reported by the automated check.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_c22146e01dfbdb55_n
noul
[ "false", "true" ]
[ 0.1, 0.9 ]
A progress note documents a normal exam in detail; additionally omits the informed-consent discussion. Context: for the payor review, at the end of the fiscal period. Reported by the supervisor.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_d98aa6263c781857_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.02, 0.12, 0.55, 0.3, 0.01 ]
An intake assessment includes the required attestation; additionally codes chest pain but describes an MI workup. Context: at discharge, during an external partner integration. Reported by the automated check.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_9026554030323391_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.01, 0.54, 0.45, 0 ]
A progress note omits medication changes at discharge; additionally codes chest pain but describes an MI workup. Context: for the payor review, while on-call rotation changed. Reported by the monitoring system.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_ce7d2ca6edfd7df7_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.24, 0.16, 0.12, 0.2, 0.19, 0.09 ]
A procedure note lists allergies prominently; additionally documents time-zero and all interventions. Context: for a level-4 visit, under an active deadline. Reported by the monitoring system.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_b7cde5f6d6d2ff75_n
noul
[ "false", "true" ]
[ 0.43, 0.57 ]
A procedure note documents time-zero and all interventions; additionally lists allergies prominently. Context: for a level-4 visit, while on-call rotation changed. Reported by the monitoring system.
Is this scenario one where: the documentation supports the billed level?
clinical_documentation
medical
yuri_v3
v3_ca53e2fe552a4918_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.01, 0.08, 0.61, 0.29, 0.01 ]
A procedure note contradicts the nursing notes on timing; additionally lists allergies prominently. Context: at discharge, following a recent audit. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_5b160086885d6b82_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.05, 0, 0.94, 0.01 ]
A progress note contradicts the nursing notes on timing; additionally omits medication changes at discharge. Context: for the payor review, while on-call rotation changed. Reported by the supervisor.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_56f0886d7258461b_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.09, 0.37, 0.47, 0.07 ]
A progress note includes the required attestation; additionally codes chest pain but describes an MI workup. Context: at discharge, under reduced staffing. Reported by the review queue.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_918b6341832cef86_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.02, 0.33, 0.39, 0.24, 0.02, 0 ]
A discharge summary includes the required attestation; additionally uses only abbreviations for the plan. Context: in the audit sample, while on-call rotation changed. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_5faad72f2448c71f_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.01, 0.1, 0.72, 0.17, 0 ]
A discharge summary contradicts the nursing notes on timing; additionally lists allergies prominently. Context: for the payor review, at the end of the fiscal period. Reported by the monitoring system.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_a89675058950fa90_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.03, 0.55, 0.41, 0.01 ]
A progress note codes chest pain but describes an MI workup; additionally omits medication changes at discharge. Context: in the audit sample, shortly after a software update. Reported by the on-call engineer.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_55c06fd579f43261_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.0303, 0.6869, 0.2828, 0 ]
A procedure note contradicts the nursing notes on timing; additionally uses only abbreviations for the plan. Context: at discharge, at the end of the fiscal period. Reported by the on-call engineer.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_fa632501fa9bf54d_n
noul
[ "false", "true" ]
[ 0.2, 0.8 ]
A progress note documents a normal exam in detail; additionally contradicts the nursing notes on timing. Context: for the payor review, during the morning shift. Reported by the supervisor.
Is this scenario one where: this needs a query to the provider?
clinical_documentation
medical
yuri_v3
v3_e0029a749ebb2880_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.08, 0.14, 0.21, 0.29, 0.24, 0.04 ]
An intake assessment documents time-zero and all interventions; additionally meets all billing-level requirements. Context: for a level-4 visit, under an active deadline. Reported by the supervisor.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_d385ec65a4c1c8fe_n
noul
[ "false", "true" ]
[ 0.14, 0.86 ]
A progress note omits the informed-consent discussion; additionally contradicts the nursing notes on timing. Context: in the audit sample, as part of a compliance sweep. Reported by the on-call engineer.
Is this scenario one where: this needs a query to the provider?
clinical_documentation
medical
yuri_v3
v3_a1452e9b77f6cdc4_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0, 0.15, 0.8, 0.05 ]
A discharge summary codes chest pain but describes an MI workup; additionally contradicts the nursing notes on timing. Context: at discharge, immediately after go-live. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_049047dbd942fbd6_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.0404, 0.6768, 0.2828, 0 ]
A progress note contradicts the nursing notes on timing; additionally documents a normal exam in detail. Context: for the payor review, shortly after a software update. Reported by the operator.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_72565574c11d3b07_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.02, 0.04, 0.1, 0.48, 0.33, 0.03 ]
An intake assessment codes chest pain but describes an MI workup; additionally uses only abbreviations for the plan. Context: in the audit sample, at the end of the fiscal period. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_9af838d9fc2daf0b_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.01, 0.25, 0.73, 0.01 ]
A discharge summary contradicts the nursing notes on timing; additionally omits the informed-consent discussion. Context: for the payor review, mid-incident. Reported by the automated check.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_a0e6f5fd24fd2075_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.19, 0.28, 0.2, 0.23, 0.08, 0.02 ]
A procedure note includes the required attestation; additionally meets all billing-level requirements. Context: for the payor review, during an external partner integration. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_78e5e55e1550e28e_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.05, 0.07, 0.09, 0.79 ]
An intake assessment documents a normal exam in detail; additionally codes chest pain but describes an MI workup. Context: for a level-4 visit, during the morning shift. Reported by the on-call engineer.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_e29851f10b02f28d_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.06, 0.67, 0.24, 0.03, 0 ]
A procedure note uses only abbreviations for the plan; additionally lists allergies prominently. Context: at discharge, as part of a compliance sweep. Reported by the automated check.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_956eded762e0ff24_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.08, 0.14, 0.22, 0.56 ]
A progress note includes the required attestation; additionally omits medication changes at discharge. Context: for a level-4 visit, immediately after go-live. Reported by the supervisor.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_48ae939b8a8f53b7_n
noul
[ "false", "true" ]
[ 0.1, 0.9 ]
An intake assessment documents time-zero and all interventions; additionally omits the informed-consent discussion. Context: for a level-4 visit, during an external partner integration. Reported by the automated check.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_8d4e68ac4e735f1e_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.04, 0.65, 0.31, 0 ]
A discharge summary documents a normal exam in detail; additionally contradicts the nursing notes on timing. Context: at discharge, during peak load. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_9d552fdabc62bba8_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.04, 0.16, 0.76, 0.04 ]
A progress note uses only abbreviations for the plan; additionally codes chest pain but describes an MI workup. Context: for a level-4 visit, under reduced staffing. Reported by the monitoring system.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_10fdc56507a7d565_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.18, 0.28, 0.21, 0.33 ]
A progress note includes the required attestation; additionally documents time-zero and all interventions. Context: for a level-4 visit, during a scheduled maintenance window. Reported by the review queue.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_fd68a8d5432b7fee_n
noul
[ "false", "true" ]
[ 0.66, 0.34 ]
A procedure note documents time-zero and all interventions; additionally lists allergies prominently. Context: in the audit sample, during the system migration. Reported by the supervisor.
Is this scenario one where: this needs a query to the provider?
clinical_documentation
medical
yuri_v3
v3_4e65848798c262a7_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.04, 0.18, 0.42, 0.34, 0.02 ]
An intake assessment codes chest pain but describes an MI workup; additionally documents time-zero and all interventions. Context: for a level-4 visit, with a new vendor onboarded. Reported by the operator.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_bfd41fb683033a31_n
noul
[ "false", "true" ]
[ 0.46, 0.54 ]
A progress note codes chest pain but describes an MI workup; additionally documents a normal exam in detail. Context: for the payor review, during the system migration. Reported by the review queue.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_4b75ce5f553c5a69_n
noul
[ "false", "true" ]
[ 0.12, 0.88 ]
A procedure note documents a normal exam in detail; additionally omits medication changes at discharge. Context: at discharge, during normal operations. Reported by the supervisor.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_59683f7d9ce7812b_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.09, 0.46, 0.39, 0.06 ]
A progress note documents time-zero and all interventions; additionally codes chest pain but describes an MI workup. Context: for a level-4 visit, while legacy systems are still active. Reported by the automated check.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_e4d6c4bdbd186af4_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.01, 0, 0.99, 0 ]
A procedure note codes chest pain but describes an MI workup; additionally omits medication changes at discharge. Context: for a level-4 visit, during peak load. Reported by the operator.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_5e4e0bed157914b0_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.33, 0.35, 0.19, 0.09, 0.03, 0.01 ]
An intake assessment meets all billing-level requirements; additionally includes the required attestation. Context: in the audit sample, following a recent audit. Reported by the automated check.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_46ca77321d4eeb62_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.1, 0.07, 0.51, 0.32 ]
A procedure note documents time-zero and all interventions; additionally contradicts the nursing notes on timing. Context: at discharge, under an active deadline. Reported by the supervisor.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_604b7ae20148294d_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.07, 0.19, 0.57, 0.17 ]
A procedure note includes the required attestation; additionally uses only abbreviations for the plan. Context: for a level-4 visit, mid-incident. Reported by the automated check.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_194d1e2426143659_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.29, 0.05, 0.11, 0.55 ]
A discharge summary documents time-zero and all interventions; additionally meets all billing-level requirements. Context: in the audit sample, while on-call rotation changed. Reported by the operator.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_0f3b988c70e21fe2_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.25, 0.22, 0.27, 0.26 ]
A procedure note contradicts the nursing notes on timing; additionally meets all billing-level requirements. Context: for the payor review, shortly after a software update. Reported by the operator.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_4212407eb30aa38e_n
noul
[ "false", "true" ]
[ 0.42, 0.58 ]
A progress note lists allergies prominently; additionally uses only abbreviations for the plan. Context: in the audit sample, during the morning shift. Reported by the review queue.
Is this scenario one where: this needs a query to the provider?
clinical_documentation
medical
yuri_v3
v3_1d9f40ca5ec33210_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.22, 0.01, 0.71, 0.06 ]
A discharge summary uses only abbreviations for the plan; additionally documents a normal exam in detail. Context: in the audit sample, during the morning shift. Reported by the automated check.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_cad1ded1bfa3d85d_n
noul
[ "false", "true" ]
[ 0.19, 0.81 ]
A discharge summary documents a normal exam in detail; additionally codes chest pain but describes an MI workup. Context: for the payor review, while on-call rotation changed. Reported by the review queue.
Is this scenario one where: this needs a query to the provider?
clinical_documentation
medical
yuri_v3
v3_154c8909f1fec069_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.01, 0.2, 0.4, 0.38, 0.01 ]
A procedure note omits the informed-consent discussion; additionally includes the required attestation. Context: in the audit sample, mid-incident. Reported by the supervisor.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_7f7aa1b077bd5d0b_n
noul
[ "false", "true" ]
[ 0.42, 0.58 ]
A discharge summary uses only abbreviations for the plan; additionally meets all billing-level requirements. Context: in the audit sample, under an active deadline. Reported by the review queue.
Is this scenario one where: the documentation supports the billed level?
clinical_documentation
medical
yuri_v3
v3_e463141860406ee4_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.03, 0.03, 0.05, 0.89 ]
A discharge summary documents time-zero and all interventions; additionally uses only abbreviations for the plan. Context: for a level-4 visit, while on-call rotation changed. Reported by the automated check.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_1401cfb3f0bff42e_n
noul
[ "false", "true" ]
[ 0.49, 0.51 ]
A discharge summary documents a normal exam in detail; additionally lists allergies prominently. Context: for the payor review, immediately after go-live. Reported by the supervisor.
Is this scenario one where: the documentation supports the billed level?
clinical_documentation
medical
yuri_v3
v3_4fd2c565baf6ab71_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.05, 0.57, 0.34, 0.04, 0 ]
An intake assessment lists allergies prominently; additionally uses only abbreviations for the plan. Context: for the payor review, immediately after go-live. Reported by the supervisor.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_f6572628a492951a_n
noul
[ "false", "true" ]
[ 0.05, 0.95 ]
A procedure note omits the informed-consent discussion; additionally omits medication changes at discharge. Context: in the audit sample, following a recent audit. Reported by the on-call engineer.
Is this scenario one where: a required element is missing?
clinical_documentation
medical
yuri_v3
v3_f557b6d64c45b969_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.02, 0.21, 0.59, 0.17, 0.01 ]
A procedure note codes chest pain but describes an MI workup; additionally documents a normal exam in detail. Context: for the payor review, during the system migration. Reported by the supervisor.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_c1b5cdbd34763051_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0, 0.39, 0.33, 0.27, 0.01 ]
A procedure note omits medication changes at discharge; additionally includes the required attestation. Context: in the audit sample, under an active deadline. Reported by the monitoring system.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_dac0f60f120dc9e4_c
choice
[ "history", "exam", "plan", "consent" ]
[ 0.03, 0, 0.95, 0.02 ]
An intake assessment includes the required attestation; additionally omits medication changes at discharge. Context: for a level-4 visit, while legacy systems are still active. Reported by the review queue.
Missing element for this scenario.
clinical_documentation
medical
yuri_v3
v3_baa49bf2437a5103_n
noul
[ "false", "true" ]
[ 0.6, 0.4 ]
A progress note lists allergies prominently; additionally codes chest pain but describes an MI workup. Context: for a level-4 visit, at the end of the fiscal period. Reported by the monitoring system.
Is this scenario one where: the documentation supports the billed level?
clinical_documentation
medical
yuri_v3
v3_e6fb74fe6cdf88d4_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.03, 0.04, 0.08, 0.85 ]
A discharge summary contradicts the nursing notes on timing; additionally documents time-zero and all interventions. Context: for a level-4 visit, during the system migration. Reported by the on-call engineer.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_5a704460b02fb3d3_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.01, 0.04, 0.18, 0.43, 0.3, 0.04 ]
A progress note lists allergies prominently; additionally contradicts the nursing notes on timing. Context: for a level-4 visit, mid-incident. Reported by the on-call engineer.
Rate audit risk for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_f4720710435859f5_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.3333, 0.0404, 0.0707, 0.5556 ]
A procedure note meets all billing-level requirements; additionally documents time-zero and all interventions. Context: for the payor review, during the system migration. Reported by the monitoring system.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
v3_6428a2878002f445_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0.11, 0.41, 0.08, 0.18, 0.07, 0.15 ]
An intake assessment meets all billing-level requirements; additionally documents time-zero and all interventions. Context: for the payor review, with staffing at reduced levels. Reported by the monitoring system.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_5a6df1342f7e45a9_s
score
[ "0", "1", "2", "3", "4", "5" ]
[ 0, 0.02, 0.39, 0.55, 0.04, 0 ]
A procedure note contradicts the nursing notes on timing; additionally documents time-zero and all interventions. Context: in the audit sample, during the quarterly review. Reported by the operator.
Rate documentation completeness for this scenario on a 0-5 scale.
clinical_documentation
medical
yuri_v3
v3_8ccee9b39300cabd_n
noul
[ "false", "true" ]
[ 0.52, 0.48 ]
A progress note documents time-zero and all interventions; additionally lists allergies prominently. Context: at discharge, during the system migration. Reported by the review queue.
Is this scenario one where: this needs a query to the provider?
clinical_documentation
medical
yuri_v3
v3_c5a666f5b150103c_c
choice
[ "level_1", "level_2", "level_3", "level_4" ]
[ 0.1, 0.09, 0.18, 0.63 ]
A progress note omits the informed-consent discussion; additionally contradicts the nursing notes on timing. Context: for a level-4 visit, during the holiday freeze. Reported by the supervisor.
Code assignment for this scenario.
clinical_documentation
medical
yuri_v3
End of preview. Expand in Data Studio

JEV corpus - clinical_documentation

7,818 typed calibrated decision rows from the jev-distill-corpus-v3 corpus (domain: clinical_documentation).

Each row is one typed decision: kind (noul / choice / score), a state, a question, options, and a target probability distribution over the options.

Part of the per-domain split of SargeDev/jev-distill-corpus-v3 - the full corpus in one repo.

Domains:

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