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EPPC_Miner_Identification0
## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences. ## Follow these steps systematically and step-by-Step Instructions: 1. Understand the Input Sentence: 1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context. 1.2 Note: 1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence. 1.2.2 If the Next sentence is None, the Current sentence is the closing sentence. 1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements. 2. Identify Relevant Codes: 2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below. 2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence. 2.2 Acknowledge that a sentence may involve multiple Codes. 3. Determine Sub-codes for Each Code: 3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning. 3.2 Use definitions of Sub-codes to ensure accuracy and consistency. 3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as "salutation" and "General connection," can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: "salutation" refers to greeting someone or marking the start or end of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the "salutation" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude. 3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct. 4. Pair Codes with Sub-codes: 4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence. 4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ. 5. Highlight Evidence for Each Pair: 5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair. 5.2 Use the Previous sentence and Next sentence only for context, not for span extraction. 5.3 Note: the extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence. The following content provides definitions for Codes and Sub-Codes. ## Code and Definitions: 1. Code: InfoGiveSDOH Code's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Sub-Codes: * NeighborhoodAndBuiltEnvironment ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. * EconomicStability: ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. 2. Code: InfoGive Code's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies. Sub-Codes: * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures. * Instruction ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * carecoordination ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services. 3. Code: InfoSeek Code's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies. Sub-Codes: * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures. * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. 4. Code: InfoSeekSDOH Code's definition: Refers to process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems. Sub-Codes: * EconomicStability ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. 5. Code: PartnershipPatient Code's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest. Sub-Codes: * activeParticipation/involvement ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches. * statePreferences ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratiturde that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * expressOpinions ** Sub-Code's definition: Refers to patients actively sharing their thoughts, and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. 6. Code: PartnershipProvider Code's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication. Sub-Codes: * inviteCollaboration ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization. * requestsForOpinion ** Sub-Code's definition: Actively asking patients for their views,perspectives and preferences on treatment options, care plans, or health-related decisions. It involves encouraging patients to share their values, priorities, and concerns. * maintainCommunication ** Sub-Code's definition: It involves means keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greeting the patient by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * checkingUnderstanding ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective. 7. Code: SharedDecisionPatient Code's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward. Sub-Codes: * ApprovalofDecision ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications. * ExploreOptions ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information. * SeekingApproval ** Sub-Code's definition: Patient asks and/or seeks permission from the provider. 8. Code: SharedDecisionProvider Code's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval. Sub-Codes: * Approval ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process. * EncourageQuestions ** Sub-Code's definition: Prompts to ask additional questions or seek more information. * SummarizeConfirmUnderstanding ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately. * ShareOptions ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes. 9. Code: Socioemotional/Empathy Code's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval. Sub-Codes: * AcknowledgeError ** Sub-Code's definition: Recognition of a mistake. It involves acknowledging an error involves transparently informing about the mistake that occurred. * ExpressConcern/unease ** Sub-Code's definition: Expressions of concern, worry, nervousness. lt involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment. * Reassurance ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care. * Sadness/fear ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss. ## Input Format: Provider/Patient said the following sentences: Previous sentence: <Insert previous sentence here> Current sentence: <Insert current sentence here> Next sentence: <Insert next sentence here> ## Output JSON Format: {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} Ensure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies. Please output your final result without any explanation and reasoning, you must output the JSON format like {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} INPUT: "Patient said the following sentences:\n\tPrevious sentence: Doctor, Could you please send the pet scan report to Person1 , doctor Person2 assistant.\n\tCurrent sentence: Her email address is: address@email.com.\n\tNext sentence: The good doctor is swamped in a emails and she wants to make sure he sees it Best" OUTPUT:
{"results": [{"Code": "InfoGive", "Sub-code": "carecoordination", "Span": "Her email address is: address@email.com"}]}
EPPC_Miner_Identification1
## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences. ## Follow these steps systematically and step-by-Step Instructions: 1. Understand the Input Sentence: 1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context. 1.2 Note: 1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence. 1.2.2 If the Next sentence is None, the Current sentence is the closing sentence. 1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements. 2. Identify Relevant Codes: 2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below. 2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence. 2.2 Acknowledge that a sentence may involve multiple Codes. 3. Determine Sub-codes for Each Code: 3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning. 3.2 Use definitions of Sub-codes to ensure accuracy and consistency. 3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as "salutation" and "General connection," can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: "salutation" refers to greeting someone or marking the start or end of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the "salutation" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude. 3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct. 4. Pair Codes with Sub-codes: 4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence. 4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ. 5. Highlight Evidence for Each Pair: 5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair. 5.2 Use the Previous sentence and Next sentence only for context, not for span extraction. 5.3 Note: the extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence. The following content provides definitions for Codes and Sub-Codes. ## Code and Definitions: 1. Code: InfoGiveSDOH Code's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Sub-Codes: * NeighborhoodAndBuiltEnvironment ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. * EconomicStability: ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. 2. Code: InfoGive Code's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies. Sub-Codes: * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures. * Instruction ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * carecoordination ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services. 3. Code: InfoSeek Code's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies. Sub-Codes: * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures. * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. 4. Code: InfoSeekSDOH Code's definition: Refers to process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems. Sub-Codes: * EconomicStability ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. 5. Code: PartnershipPatient Code's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest. Sub-Codes: * activeParticipation/involvement ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches. * statePreferences ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratiturde that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * expressOpinions ** Sub-Code's definition: Refers to patients actively sharing their thoughts, and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. 6. Code: PartnershipProvider Code's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication. Sub-Codes: * inviteCollaboration ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization. * requestsForOpinion ** Sub-Code's definition: Actively asking patients for their views,perspectives and preferences on treatment options, care plans, or health-related decisions. It involves encouraging patients to share their values, priorities, and concerns. * maintainCommunication ** Sub-Code's definition: It involves means keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greeting the patient by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * checkingUnderstanding ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective. 7. Code: SharedDecisionPatient Code's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward. Sub-Codes: * ApprovalofDecision ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications. * ExploreOptions ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information. * SeekingApproval ** Sub-Code's definition: Patient asks and/or seeks permission from the provider. 8. Code: SharedDecisionProvider Code's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval. Sub-Codes: * Approval ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process. * EncourageQuestions ** Sub-Code's definition: Prompts to ask additional questions or seek more information. * SummarizeConfirmUnderstanding ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately. * ShareOptions ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes. 9. Code: Socioemotional/Empathy Code's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval. Sub-Codes: * AcknowledgeError ** Sub-Code's definition: Recognition of a mistake. It involves acknowledging an error involves transparently informing about the mistake that occurred. * ExpressConcern/unease ** Sub-Code's definition: Expressions of concern, worry, nervousness. lt involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment. * Reassurance ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care. * Sadness/fear ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss. ## Input Format: Provider/Patient said the following sentences: Previous sentence: <Insert previous sentence here> Current sentence: <Insert current sentence here> Next sentence: <Insert next sentence here> ## Output JSON Format: {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} Ensure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies. Please output your final result without any explanation and reasoning, you must output the JSON format like {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} INPUT: "Patient said the following sentences:\n\tPrevious sentence: ), XXX-XXX-XXXX (off.)\n\tCurrent sentence: We met with Dr. Person5 MM/DD/YYYY; she will also be in touch with Dr. Person4.\n\tNext sentence: Thank you, One and All, Person6" OUTPUT:
{"results": [{"Code": "InfoGive", "Sub-code": "carecoordination", "Span": "We met with Dr. Person5"}, {"Code": "InfoGive", "Sub-code": "carecoordination", "Span": "she will also be in touch with Dr. Person4"}]}
EPPC_Miner_Identification2
## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences. ## Follow these steps systematically and step-by-Step Instructions: 1. Understand the Input Sentence: 1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context. 1.2 Note: 1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence. 1.2.2 If the Next sentence is None, the Current sentence is the closing sentence. 1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements. 2. Identify Relevant Codes: 2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below. 2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence. 2.2 Acknowledge that a sentence may involve multiple Codes. 3. Determine Sub-codes for Each Code: 3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning. 3.2 Use definitions of Sub-codes to ensure accuracy and consistency. 3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as "salutation" and "General connection," can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: "salutation" refers to greeting someone or marking the start or end of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the "salutation" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude. 3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct. 4. Pair Codes with Sub-codes: 4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence. 4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ. 5. Highlight Evidence for Each Pair: 5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair. 5.2 Use the Previous sentence and Next sentence only for context, not for span extraction. 5.3 Note: the extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence. The following content provides definitions for Codes and Sub-Codes. ## Code and Definitions: 1. Code: InfoGiveSDOH Code's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Sub-Codes: * NeighborhoodAndBuiltEnvironment ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. * EconomicStability: ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. 2. Code: InfoGive Code's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies. Sub-Codes: * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures. * Instruction ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * carecoordination ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services. 3. Code: InfoSeek Code's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies. Sub-Codes: * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures. * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. 4. Code: InfoSeekSDOH Code's definition: Refers to process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems. Sub-Codes: * EconomicStability ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. 5. Code: PartnershipPatient Code's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest. Sub-Codes: * activeParticipation/involvement ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches. * statePreferences ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratiturde that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * expressOpinions ** Sub-Code's definition: Refers to patients actively sharing their thoughts, and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. 6. Code: PartnershipProvider Code's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication. Sub-Codes: * inviteCollaboration ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization. * requestsForOpinion ** Sub-Code's definition: Actively asking patients for their views,perspectives and preferences on treatment options, care plans, or health-related decisions. It involves encouraging patients to share their values, priorities, and concerns. * maintainCommunication ** Sub-Code's definition: It involves means keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greeting the patient by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * checkingUnderstanding ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective. 7. Code: SharedDecisionPatient Code's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward. Sub-Codes: * ApprovalofDecision ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications. * ExploreOptions ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information. * SeekingApproval ** Sub-Code's definition: Patient asks and/or seeks permission from the provider. 8. Code: SharedDecisionProvider Code's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval. Sub-Codes: * Approval ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process. * EncourageQuestions ** Sub-Code's definition: Prompts to ask additional questions or seek more information. * SummarizeConfirmUnderstanding ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately. * ShareOptions ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes. 9. Code: Socioemotional/Empathy Code's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval. Sub-Codes: * AcknowledgeError ** Sub-Code's definition: Recognition of a mistake. It involves acknowledging an error involves transparently informing about the mistake that occurred. * ExpressConcern/unease ** Sub-Code's definition: Expressions of concern, worry, nervousness. lt involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment. * Reassurance ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care. * Sadness/fear ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss. ## Input Format: Provider/Patient said the following sentences: Previous sentence: <Insert previous sentence here> Current sentence: <Insert current sentence here> Next sentence: <Insert next sentence here> ## Output JSON Format: {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} Ensure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies. Please output your final result without any explanation and reasoning, you must output the JSON format like {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} INPUT: "Patient said the following sentences:\n\tPrevious sentence: None\n\tCurrent sentence: I have a question about PSA, TOTAL (POST DIAGNOSIS) (BH GH LMW YH) resulted on MM/DD/YYYY at MM/DD/YYYY.\n\tNext sentence: Is my psa high or low" OUTPUT:
{"results": [{"Code": "InfoSeek", "Sub-code": "Diagnostics", "Span": "I have a question about PSA, TOTAL (POST DIAGNOSIS) (BH GH LMW YH) resulted on"}]}
EPPC_Miner_Identification3
## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences. ## Follow these steps systematically and step-by-Step Instructions: 1. Understand the Input Sentence: 1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context. 1.2 Note: 1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence. 1.2.2 If the Next sentence is None, the Current sentence is the closing sentence. 1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements. 2. Identify Relevant Codes: 2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below. 2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence. 2.2 Acknowledge that a sentence may involve multiple Codes. 3. Determine Sub-codes for Each Code: 3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning. 3.2 Use definitions of Sub-codes to ensure accuracy and consistency. 3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as "salutation" and "General connection," can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: "salutation" refers to greeting someone or marking the start or end of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the "salutation" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude. 3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct. 4. Pair Codes with Sub-codes: 4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence. 4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ. 5. Highlight Evidence for Each Pair: 5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair. 5.2 Use the Previous sentence and Next sentence only for context, not for span extraction. 5.3 Note: the extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence. The following content provides definitions for Codes and Sub-Codes. ## Code and Definitions: 1. Code: InfoGiveSDOH Code's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Sub-Codes: * NeighborhoodAndBuiltEnvironment ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. * EconomicStability: ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. 2. Code: InfoGive Code's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies. Sub-Codes: * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures. * Instruction ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * carecoordination ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services. 3. Code: InfoSeek Code's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies. Sub-Codes: * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures. * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. 4. Code: InfoSeekSDOH Code's definition: Refers to process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems. Sub-Codes: * EconomicStability ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. 5. Code: PartnershipPatient Code's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest. Sub-Codes: * activeParticipation/involvement ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches. * statePreferences ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratiturde that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * expressOpinions ** Sub-Code's definition: Refers to patients actively sharing their thoughts, and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. 6. Code: PartnershipProvider Code's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication. Sub-Codes: * inviteCollaboration ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization. * requestsForOpinion ** Sub-Code's definition: Actively asking patients for their views,perspectives and preferences on treatment options, care plans, or health-related decisions. It involves encouraging patients to share their values, priorities, and concerns. * maintainCommunication ** Sub-Code's definition: It involves means keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greeting the patient by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * checkingUnderstanding ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective. 7. Code: SharedDecisionPatient Code's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward. Sub-Codes: * ApprovalofDecision ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications. * ExploreOptions ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information. * SeekingApproval ** Sub-Code's definition: Patient asks and/or seeks permission from the provider. 8. Code: SharedDecisionProvider Code's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval. Sub-Codes: * Approval ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process. * EncourageQuestions ** Sub-Code's definition: Prompts to ask additional questions or seek more information. * SummarizeConfirmUnderstanding ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately. * ShareOptions ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes. 9. Code: Socioemotional/Empathy Code's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval. Sub-Codes: * AcknowledgeError ** Sub-Code's definition: Recognition of a mistake. It involves acknowledging an error involves transparently informing about the mistake that occurred. * ExpressConcern/unease ** Sub-Code's definition: Expressions of concern, worry, nervousness. lt involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment. * Reassurance ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care. * Sadness/fear ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss. ## Input Format: Provider/Patient said the following sentences: Previous sentence: <Insert previous sentence here> Current sentence: <Insert current sentence here> Next sentence: <Insert next sentence here> ## Output JSON Format: {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} Ensure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies. Please output your final result without any explanation and reasoning, you must output the JSON format like {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} INPUT: "Patient said the following sentences:\n\tPrevious sentence: I haven seen a result yet.\n\tCurrent sentence: Many thanks.\n\tNext sentence: None" OUTPUT:
{"results": [{"Code": "PartnershipPatient", "Sub-code": "signoff", "Span": "Many thanks."}]}
EPPC_Miner_Identification4
## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences. ## Follow these steps systematically and step-by-Step Instructions: 1. Understand the Input Sentence: 1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context. 1.2 Note: 1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence. 1.2.2 If the Next sentence is None, the Current sentence is the closing sentence. 1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements. 2. Identify Relevant Codes: 2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below. 2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence. 2.2 Acknowledge that a sentence may involve multiple Codes. 3. Determine Sub-codes for Each Code: 3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning. 3.2 Use definitions of Sub-codes to ensure accuracy and consistency. 3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as "salutation" and "General connection," can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: "salutation" refers to greeting someone or marking the start or end of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the "salutation" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude. 3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct. 4. Pair Codes with Sub-codes: 4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence. 4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ. 5. Highlight Evidence for Each Pair: 5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair. 5.2 Use the Previous sentence and Next sentence only for context, not for span extraction. 5.3 Note: the extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence. The following content provides definitions for Codes and Sub-Codes. ## Code and Definitions: 1. Code: InfoGiveSDOH Code's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Sub-Codes: * NeighborhoodAndBuiltEnvironment ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. * EconomicStability: ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. 2. Code: InfoGive Code's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies. Sub-Codes: * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures. * Instruction ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * carecoordination ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services. 3. Code: InfoSeek Code's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies. Sub-Codes: * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures. * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. 4. Code: InfoSeekSDOH Code's definition: Refers to process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems. Sub-Codes: * EconomicStability ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. 5. Code: PartnershipPatient Code's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest. Sub-Codes: * activeParticipation/involvement ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches. * statePreferences ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratiturde that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * expressOpinions ** Sub-Code's definition: Refers to patients actively sharing their thoughts, and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. 6. Code: PartnershipProvider Code's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication. Sub-Codes: * inviteCollaboration ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization. * requestsForOpinion ** Sub-Code's definition: Actively asking patients for their views,perspectives and preferences on treatment options, care plans, or health-related decisions. It involves encouraging patients to share their values, priorities, and concerns. * maintainCommunication ** Sub-Code's definition: It involves means keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greeting the patient by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * checkingUnderstanding ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective. 7. Code: SharedDecisionPatient Code's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward. Sub-Codes: * ApprovalofDecision ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications. * ExploreOptions ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information. * SeekingApproval ** Sub-Code's definition: Patient asks and/or seeks permission from the provider. 8. Code: SharedDecisionProvider Code's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval. Sub-Codes: * Approval ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process. * EncourageQuestions ** Sub-Code's definition: Prompts to ask additional questions or seek more information. * SummarizeConfirmUnderstanding ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately. * ShareOptions ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes. 9. Code: Socioemotional/Empathy Code's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval. Sub-Codes: * AcknowledgeError ** Sub-Code's definition: Recognition of a mistake. It involves acknowledging an error involves transparently informing about the mistake that occurred. * ExpressConcern/unease ** Sub-Code's definition: Expressions of concern, worry, nervousness. lt involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment. * Reassurance ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care. * Sadness/fear ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss. ## Input Format: Provider/Patient said the following sentences: Previous sentence: <Insert previous sentence here> Current sentence: <Insert current sentence here> Next sentence: <Insert next sentence here> ## Output JSON Format: {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} Ensure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies. Please output your final result without any explanation and reasoning, you must output the JSON format like {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} INPUT: "Patient said the following sentences:\n\tPrevious sentence: I continue on my daily regimen of abiraterone acetate and prednisone and I feel fine; i Sleeping well, eating well and exercising.\n\tCurrent sentence: Hard to shed a few pounds (around 190) and I guess my glucose remains elevated (7.5) because of the prednisone, according to my primary.\n\tNext sentence: None" OUTPUT:
{"results": [{"Code": "InfoGiveSDOH", "Sub-code": "HealthCareAccessAndQuality", "Span": "Hard to shed a few pounds (around 190) "}, {"Code": "InfoGive", "Sub-code": "Symptoms", "Span": "I guess my glucose remains elevated (7.5) "}, {"Code": "InfoGive", "Sub-code": "Drugs", "Span": "because of the prednisone"}, {"Code": "InfoGive", "Sub-code": "Generalinformation", "Span": "according to my primary"}]}
EPPC_Miner_Identification5
## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences. ## Follow these steps systematically and step-by-Step Instructions: 1. Understand the Input Sentence: 1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context. 1.2 Note: 1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence. 1.2.2 If the Next sentence is None, the Current sentence is the closing sentence. 1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements. 2. Identify Relevant Codes: 2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below. 2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence. 2.2 Acknowledge that a sentence may involve multiple Codes. 3. Determine Sub-codes for Each Code: 3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning. 3.2 Use definitions of Sub-codes to ensure accuracy and consistency. 3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as "salutation" and "General connection," can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: "salutation" refers to greeting someone or marking the start or end of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the "salutation" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude. 3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct. 4. Pair Codes with Sub-codes: 4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence. 4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ. 5. Highlight Evidence for Each Pair: 5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair. 5.2 Use the Previous sentence and Next sentence only for context, not for span extraction. 5.3 Note: the extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence. The following content provides definitions for Codes and Sub-Codes. ## Code and Definitions: 1. Code: InfoGiveSDOH Code's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Sub-Codes: * NeighborhoodAndBuiltEnvironment ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. * EconomicStability: ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. 2. Code: InfoGive Code's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies. Sub-Codes: * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures. * Instruction ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * carecoordination ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services. 3. Code: InfoSeek Code's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies. Sub-Codes: * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures. * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. 4. Code: InfoSeekSDOH Code's definition: Refers to process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems. Sub-Codes: * EconomicStability ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. 5. Code: PartnershipPatient Code's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest. Sub-Codes: * activeParticipation/involvement ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches. * statePreferences ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratiturde that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * expressOpinions ** Sub-Code's definition: Refers to patients actively sharing their thoughts, and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. 6. Code: PartnershipProvider Code's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication. Sub-Codes: * inviteCollaboration ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization. * requestsForOpinion ** Sub-Code's definition: Actively asking patients for their views,perspectives and preferences on treatment options, care plans, or health-related decisions. It involves encouraging patients to share their values, priorities, and concerns. * maintainCommunication ** Sub-Code's definition: It involves means keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greeting the patient by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * checkingUnderstanding ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective. 7. Code: SharedDecisionPatient Code's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward. Sub-Codes: * ApprovalofDecision ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications. * ExploreOptions ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information. * SeekingApproval ** Sub-Code's definition: Patient asks and/or seeks permission from the provider. 8. Code: SharedDecisionProvider Code's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval. Sub-Codes: * Approval ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process. * EncourageQuestions ** Sub-Code's definition: Prompts to ask additional questions or seek more information. * SummarizeConfirmUnderstanding ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately. * ShareOptions ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes. 9. Code: Socioemotional/Empathy Code's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval. Sub-Codes: * AcknowledgeError ** Sub-Code's definition: Recognition of a mistake. It involves acknowledging an error involves transparently informing about the mistake that occurred. * ExpressConcern/unease ** Sub-Code's definition: Expressions of concern, worry, nervousness. lt involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment. * Reassurance ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care. * Sadness/fear ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss. ## Input Format: Provider/Patient said the following sentences: Previous sentence: <Insert previous sentence here> Current sentence: <Insert current sentence here> Next sentence: <Insert next sentence here> ## Output JSON Format: {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} Ensure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies. Please output your final result without any explanation and reasoning, you must output the JSON format like {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} INPUT: "Patient said the following sentences:\n\tPrevious sentence: None\n\tCurrent sentence: Currently my lab work is scheduled to be done on MM/DD/YYYY and I see Dr Person1 on MM/DD/YYYY.\n\tNext sentence: Can I go before MM/DD/YYYY." OUTPUT:
{"results": [{"Code": "InfoGive", "Sub-code": "SchedulingAppt", "Span": "Currently my lab work is scheduled to be done"}, {"Code": "InfoGive", "Sub-code": "SchedulingAppt", "Span": "I see Dr Person1 on"}]}
EPPC_Miner_Identification6
## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences. ## Follow these steps systematically and step-by-Step Instructions: 1. Understand the Input Sentence: 1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context. 1.2 Note: 1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence. 1.2.2 If the Next sentence is None, the Current sentence is the closing sentence. 1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements. 2. Identify Relevant Codes: 2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below. 2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence. 2.2 Acknowledge that a sentence may involve multiple Codes. 3. Determine Sub-codes for Each Code: 3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning. 3.2 Use definitions of Sub-codes to ensure accuracy and consistency. 3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as "salutation" and "General connection," can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: "salutation" refers to greeting someone or marking the start or end of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the "salutation" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude. 3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct. 4. Pair Codes with Sub-codes: 4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence. 4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ. 5. Highlight Evidence for Each Pair: 5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair. 5.2 Use the Previous sentence and Next sentence only for context, not for span extraction. 5.3 Note: the extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence. The following content provides definitions for Codes and Sub-Codes. ## Code and Definitions: 1. Code: InfoGiveSDOH Code's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Sub-Codes: * NeighborhoodAndBuiltEnvironment ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. * EconomicStability: ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. 2. Code: InfoGive Code's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies. Sub-Codes: * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures. * Instruction ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * carecoordination ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services. 3. Code: InfoSeek Code's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies. Sub-Codes: * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures. * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. 4. Code: InfoSeekSDOH Code's definition: Refers to process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems. Sub-Codes: * EconomicStability ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. 5. Code: PartnershipPatient Code's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest. Sub-Codes: * activeParticipation/involvement ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches. * statePreferences ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratiturde that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * expressOpinions ** Sub-Code's definition: Refers to patients actively sharing their thoughts, and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. 6. Code: PartnershipProvider Code's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication. Sub-Codes: * inviteCollaboration ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization. * requestsForOpinion ** Sub-Code's definition: Actively asking patients for their views,perspectives and preferences on treatment options, care plans, or health-related decisions. It involves encouraging patients to share their values, priorities, and concerns. * maintainCommunication ** Sub-Code's definition: It involves means keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greeting the patient by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * checkingUnderstanding ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective. 7. Code: SharedDecisionPatient Code's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward. Sub-Codes: * ApprovalofDecision ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications. * ExploreOptions ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information. * SeekingApproval ** Sub-Code's definition: Patient asks and/or seeks permission from the provider. 8. Code: SharedDecisionProvider Code's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval. Sub-Codes: * Approval ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process. * EncourageQuestions ** Sub-Code's definition: Prompts to ask additional questions or seek more information. * SummarizeConfirmUnderstanding ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately. * ShareOptions ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes. 9. Code: Socioemotional/Empathy Code's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval. Sub-Codes: * AcknowledgeError ** Sub-Code's definition: Recognition of a mistake. It involves acknowledging an error involves transparently informing about the mistake that occurred. * ExpressConcern/unease ** Sub-Code's definition: Expressions of concern, worry, nervousness. lt involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment. * Reassurance ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care. * Sadness/fear ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss. ## Input Format: Provider/Patient said the following sentences: Previous sentence: <Insert previous sentence here> Current sentence: <Insert current sentence here> Next sentence: <Insert next sentence here> ## Output JSON Format: {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} Ensure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies. Please output your final result without any explanation and reasoning, you must output the JSON format like {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} INPUT: "Patient said the following sentences:\n\tPrevious sentence: That is MM/DD/YYYY I'm supposed to start my next round of Ibrance??\n\tCurrent sentence: I will be finishing my week off on MM/DD/YYYY ( MM/DD/YYYY my labs are scheduled).\n\tNext sentence: The pharmacy won't have time to get my meds delivered to me if we keep this schedule?" OUTPUT:
{"results": [{"Code": "InfoGive", "Sub-code": "SchedulingAppt", "Span": "I will be finishing my week off on MM/DD/YYYY ( MM/DD/YYYY my labs are scheduled"}]}
EPPC_Miner_Identification7
## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences. ## Follow these steps systematically and step-by-Step Instructions: 1. Understand the Input Sentence: 1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context. 1.2 Note: 1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence. 1.2.2 If the Next sentence is None, the Current sentence is the closing sentence. 1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements. 2. Identify Relevant Codes: 2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below. 2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence. 2.2 Acknowledge that a sentence may involve multiple Codes. 3. Determine Sub-codes for Each Code: 3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning. 3.2 Use definitions of Sub-codes to ensure accuracy and consistency. 3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as "salutation" and "General connection," can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: "salutation" refers to greeting someone or marking the start or end of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the "salutation" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude. 3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct. 4. Pair Codes with Sub-codes: 4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence. 4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ. 5. Highlight Evidence for Each Pair: 5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair. 5.2 Use the Previous sentence and Next sentence only for context, not for span extraction. 5.3 Note: the extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence. The following content provides definitions for Codes and Sub-Codes. ## Code and Definitions: 1. Code: InfoGiveSDOH Code's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Sub-Codes: * NeighborhoodAndBuiltEnvironment ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. * EconomicStability: ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. 2. Code: InfoGive Code's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies. Sub-Codes: * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures. * Instruction ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * carecoordination ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services. 3. Code: InfoSeek Code's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies. Sub-Codes: * SchedulingAppt ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually. * Drugs ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs. * Generalinformation ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek. * Diagnostics ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures. * Symptoms ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea. 4. Code: InfoSeekSDOH Code's definition: Refers to process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems. Sub-Codes: * EconomicStability ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity. * HealthCareAccessAndQuality ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep. 5. Code: PartnershipPatient Code's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest. Sub-Codes: * activeParticipation/involvement ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches. * statePreferences ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratiturde that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * expressOpinions ** Sub-Code's definition: Refers to patients actively sharing their thoughts, and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. 6. Code: PartnershipProvider Code's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication. Sub-Codes: * inviteCollaboration ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization. * requestsForOpinion ** Sub-Code's definition: Actively asking patients for their views,perspectives and preferences on treatment options, care plans, or health-related decisions. It involves encouraging patients to share their values, priorities, and concerns. * maintainCommunication ** Sub-Code's definition: It involves means keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect. * connection ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider. * salutation ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greeting the patient by using their name or professional title. * Appreciation/Gratitude ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns. * signoff ** Sub-Code's definition: Indicatting that the message is complete. A way of ending the message in a polite manner. * alignment ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are "on the same page" and thinking about an issue in the same manner. * checkingUnderstanding ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective. 7. Code: SharedDecisionPatient Code's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward. Sub-Codes: * ApprovalofDecision ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications. * ExploreOptions ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information. * SeekingApproval ** Sub-Code's definition: Patient asks and/or seeks permission from the provider. 8. Code: SharedDecisionProvider Code's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval. Sub-Codes: * Approval ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process. * EncourageQuestions ** Sub-Code's definition: Prompts to ask additional questions or seek more information. * SummarizeConfirmUnderstanding ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately. * ShareOptions ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes. 9. Code: Socioemotional/Empathy Code's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval. Sub-Codes: * AcknowledgeError ** Sub-Code's definition: Recognition of a mistake. It involves acknowledging an error involves transparently informing about the mistake that occurred. * ExpressConcern/unease ** Sub-Code's definition: Expressions of concern, worry, nervousness. lt involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment. * Reassurance ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care. * Sadness/fear ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss. ## Input Format: Provider/Patient said the following sentences: Previous sentence: <Insert previous sentence here> Current sentence: <Insert current sentence here> Next sentence: <Insert next sentence here> ## Output JSON Format: {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} Ensure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies. Please output your final result without any explanation and reasoning, you must output the JSON format like {"results": [{"Code": "<Identified Code>_1", "Sub-code": "<Identified Sub-code>_1", "Span": "<Extracted span>_1"},...,{"Code": "<Identified Code>_n", "Sub-code": "<Identified Sub-code>_n", "Span": "<Extracted span>_n"}]} INPUT: "Patient said the following sentences:\n\tPrevious sentence: We met with Dr. Person5 MM/DD/YYYY; she will also be in touch with Dr. Person4.\n\tCurrent sentence: Thank you, One and All, Person6\n\tNext sentence: None" OUTPUT:
{"results": [{"Code": "PartnershipPatient", "Sub-code": "signoff", "Span": "Thank you"}]}
EPPC_Miner_Identification8
"## Instruction: You are a patient-centered communication analyst tasked with identifying and classi(...TRUNCATED)
"{\"results\": [{\"Code\": \"Socioemotional/Empathy\", \"Sub-code\": \"ExpressConcern/unease\", \"Sp(...TRUNCATED)
EPPC_Miner_Identification9
"## Instruction: You are a patient-centered communication analyst tasked with identifying and classi(...TRUNCATED)
"{\"results\": [{\"Code\": \"PartnershipPatient\", \"Sub-code\": \"salutation\", \"Span\": \"Hi\"}, (...TRUNCATED)
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