jshargo/mts-medical-trainset huggingface dataset:
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: General:  No fevers, chills, or sweats.  No weight loss or weight gain. Cardiovascular:  No exertional chest pain, orthopnea, PND, or pedal edema.  No palpitations. Neurologic:  No paresis, paresthesias, or syncope. Eyes:  No double vision or blurred vision. Ears:  No tinnitus or decreased auditory acuity. ENT:  No allergy symptoms, such as rhinorrhea or sneezing. GI:  No indigestion, heartburn, or diarrhea.  No blood in the stools or black stools.  No change in bowel habits. GU:  No dysuria, hematuria, or pyuria.  No polyuria or nocturia.  Denies slow urinary stream. Psych:  No symptoms of depression or anxiety. Pulmonary:  No wheezing, cough, or sputum production. Skin:  No skin lesions or nonhealing lesions. Musculoskeletal:  No joint pain, bone pain, or back pain.  No erythema at the joints. Endocrine:  No heat or cold intolerance.  No polydipsia. Hematologic:  No easy bruising or easy bleeding.  No swollen lymph nodes.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Um no.

assistant: Okay, so no erythema in the joints. Any heat or cold intolerance?

user: No.

assistant: Okay, any difficulty swallowing? Let me check here, lymph nodes look fine. And do you bleed easily and does the bleeding stop normally?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: General:  No fevers, chills, or sweats.  No weight loss or weight gain. Cardiovascular:  No exertional chest pain, orthopnea, PND, or pedal edema.  No palpitations. Neurologic:  No paresis, paresthesias, or syncope. Eyes:  No double vision or blurred vision. Ears:  No tinnitus or decreased auditory acuity. ENT:  No allergy symptoms, such as rhinorrhea or sneezing. GI:  No indigestion, heartburn, or diarrhea.  No blood in the stools or black stools.  No change in bowel habits. GU:  No dysuria, hematuria, or pyuria.  No polyuria or nocturia.  Denies slow urinary stream. Psych:  No symptoms of depression or anxiety. Pulmonary:  No wheezing, cough, or sputum production. Skin:  No skin lesions or nonhealing lesions. Musculoskeletal:  No joint pain, bone pain, or back pain.  No erythema at the joints. Endocrine:  No heat or cold intolerance.  No polydipsia. Hematologic:  No easy bruising or easy bleeding.  No swollen lymph nodes.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No.

assistant: Okay, any difficulty swallowing? Let me check here, lymph nodes look fine. And do you bleed easily and does the bleeding stop normally?

user: Oh yes!

assistant: Do you bruise easy?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: General:  No fevers, chills, or sweats.  No weight loss or weight gain. Cardiovascular:  No exertional chest pain, orthopnea, PND, or pedal edema.  No palpitations. Neurologic:  No paresis, paresthesias, or syncope. Eyes:  No double vision or blurred vision. Ears:  No tinnitus or decreased auditory acuity. ENT:  No allergy symptoms, such as rhinorrhea or sneezing. GI:  No indigestion, heartburn, or diarrhea.  No blood in the stools or black stools.  No change in bowel habits. GU:  No dysuria, hematuria, or pyuria.  No polyuria or nocturia.  Denies slow urinary stream. Psych:  No symptoms of depression or anxiety. Pulmonary:  No wheezing, cough, or sputum production. Skin:  No skin lesions or nonhealing lesions. Musculoskeletal:  No joint pain, bone pain, or back pain.  No erythema at the joints. Endocrine:  No heat or cold intolerance.  No polydipsia. Hematologic:  No easy bruising or easy bleeding.  No swollen lymph nodes.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Oh yes!

assistant: Do you bruise easy?

user: No, not really.

assistant: Okay. Any abnormal skin lesions?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: General:  No fevers, chills, or sweats.  No weight loss or weight gain. Cardiovascular:  No exertional chest pain, orthopnea, PND, or pedal edema.  No palpitations. Neurologic:  No paresis, paresthesias, or syncope. Eyes:  No double vision or blurred vision. Ears:  No tinnitus or decreased auditory acuity. ENT:  No allergy symptoms, such as rhinorrhea or sneezing. GI:  No indigestion, heartburn, or diarrhea.  No blood in the stools or black stools.  No change in bowel habits. GU:  No dysuria, hematuria, or pyuria.  No polyuria or nocturia.  Denies slow urinary stream. Psych:  No symptoms of depression or anxiety. Pulmonary:  No wheezing, cough, or sputum production. Skin:  No skin lesions or nonhealing lesions. Musculoskeletal:  No joint pain, bone pain, or back pain.  No erythema at the joints. Endocrine:  No heat or cold intolerance.  No polydipsia. Hematologic:  No easy bruising or easy bleeding.  No swollen lymph nodes.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No, not really.

assistant: Okay. Any abnormal skin lesions?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: General:  No fevers, chills, or sweats.  No weight loss or weight gain. Cardiovascular:  No exertional chest pain, orthopnea, PND, or pedal edema.  No palpitations. Neurologic:  No paresis, paresthesias, or syncope. Eyes:  No double vision or blurred vision. Ears:  No tinnitus or decreased auditory acuity. ENT:  No allergy symptoms, such as rhinorrhea or sneezing. GI:  No indigestion, heartburn, or diarrhea.  No blood in the stools or black stools.  No change in bowel habits. GU:  No dysuria, hematuria, or pyuria.  No polyuria or nocturia.  Denies slow urinary stream. Psych:  No symptoms of depression or anxiety. Pulmonary:  No wheezing, cough, or sputum production. Skin:  No skin lesions or nonhealing lesions. Musculoskeletal:  No joint pain, bone pain, or back pain.  No erythema at the joints. Endocrine:  No heat or cold intolerance.  No polydipsia. Hematologic:  No easy bruising or easy bleeding.  No swollen lymph nodes.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Let me examine you. Tell me, did you have any fever or chills, any sweating or that sort of thing?

user: Um no.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: General:  No fevers, chills, or sweats.  No weight loss or weight gain. Cardiovascular:  No exertional chest pain, orthopnea, PND, or pedal edema.  No palpitations. Neurologic:  No paresis, paresthesias, or syncope. Eyes:  No double vision or blurred vision. Ears:  No tinnitus or decreased auditory acuity. ENT:  No allergy symptoms, such as rhinorrhea or sneezing. GI:  No indigestion, heartburn, or diarrhea.  No blood in the stools or black stools.  No change in bowel habits. GU:  No dysuria, hematuria, or pyuria.  No polyuria or nocturia.  Denies slow urinary stream. Psych:  No symptoms of depression or anxiety. Pulmonary:  No wheezing, cough, or sputum production. Skin:  No skin lesions or nonhealing lesions. Musculoskeletal:  No joint pain, bone pain, or back pain.  No erythema at the joints. Endocrine:  No heat or cold intolerance.  No polydipsia. Hematologic:  No easy bruising or easy bleeding.  No swollen lymph nodes.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Let me examine you. Tell me, did you have any fever or chills, any sweating or that sort of thing?

user: Um no.

assistant: How about abnormal weight loss or weight gain?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: General:  No fevers, chills, or sweats.  No weight loss or weight gain. Cardiovascular:  No exertional chest pain, orthopnea, PND, or pedal edema.  No palpitations. Neurologic:  No paresis, paresthesias, or syncope. Eyes:  No double vision or blurred vision. Ears:  No tinnitus or decreased auditory acuity. ENT:  No allergy symptoms, such as rhinorrhea or sneezing. GI:  No indigestion, heartburn, or diarrhea.  No blood in the stools or black stools.  No change in bowel habits. GU:  No dysuria, hematuria, or pyuria.  No polyuria or nocturia.  Denies slow urinary stream. Psych:  No symptoms of depression or anxiety. Pulmonary:  No wheezing, cough, or sputum production. Skin:  No skin lesions or nonhealing lesions. Musculoskeletal:  No joint pain, bone pain, or back pain.  No erythema at the joints. Endocrine:  No heat or cold intolerance.  No polydipsia. Hematologic:  No easy bruising or easy bleeding.  No swollen lymph nodes.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Let me examine you. Tell me, did you have any fever or chills, any sweating or that sort of thing?

user: Um no.

assistant: How about abnormal weight loss or weight gain?

user: No.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: DISPOSITION
Patient Information: Stable.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Are you allright?

user: Yes I am fine.

assistant: That's great.

user: Thanks.

assistant: I think you can go home now.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Reviewed from 05/10/2004 and unchanged other than the addition of paranoia, which is much improved on her current medications.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: I'm reviewing my notes from your last visit. Your last visit was on May tenth two thousand four, correct?

user: Yes, that's right.

assistant: Has there been any change since your last visit?

user: Well, I'm having some increased paranoia.

assistant: Have you been treated, and are you taking medicine for this?

user: Yes, and it's actually gotten a lot better with the medicine another doctor gave me.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Reviewed from 05/10/2004 and unchanged other than the addition of paranoia, which is much improved on her current medications.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Yes, that's right.

assistant: Has there been any change since your last visit?

user: Well, I'm having some increased paranoia.

assistant: Have you been treated, and are you taking medicine for this?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Reviewed from 05/10/2004 and unchanged other than the addition of paranoia, which is much improved on her current medications.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Well, I'm having some increased paranoia.

assistant: Have you been treated, and are you taking medicine for this?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Reviewed from 05/10/2004 and unchanged other than the addition of paranoia, which is much improved on her current medications.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: I'm reviewing my notes from your last visit. Your last visit was on May tenth two thousand four, correct?

user: Yes, that's right.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Reviewed from 05/10/2004 and unchanged other than the addition of paranoia, which is much improved on her current medications.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: I'm reviewing my notes from your last visit. Your last visit was on May tenth two thousand four, correct?

user: Yes, that's right.

assistant: Has there been any change since your last visit?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Reviewed from 05/10/2004 and unchanged other than the addition of paranoia, which is much improved on her current medications.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: I'm reviewing my notes from your last visit. Your last visit was on May tenth two thousand four, correct?

user: Yes, that's right.

assistant: Has there been any change since your last visit?

user: Well, I'm having some increased paranoia.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Public Health Department was notified of a case of suspected pertussis.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: I just met with one of my patients whom I believe has pertussis.

assistant: Second case of the day. What's their name and date of birth?

assistant: Hm give me a second to pull up their information.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Public Health Department was notified of a case of suspected pertussis.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: I just met with one of my patients whom I believe has pertussis.

assistant: Second case of the day. What's their name and date of birth?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient denied any history of psychological or psychiatric treatment.  He reported that some stressors occasionally contribute to mildly low mood at this time, but that these are transient.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Have you ever had psychiatric or psychological treatment?

user: Uh no, no treatments whatsoever. I mean I do find myself in low moods every now and again when I'm dealing with certain stressors, but the decreased moods rarely ever long lasting.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Do you remember when your last flu vaccine was?

user: I don't remember what month, but it was in nineteen ninety nine.

assistant: Good, and do you remember your last pneumonia vaccine?

user: Let me look at my notes here, um, it was in nineteen ninety six.

assistant: Thank you, now, tell me more about your parents. Do you know their medical histories?

user: Let me think, my dad is still around, he had a stroke. Oh yeah, and he has high blood pressure.

assistant: How old is your father?

user: He's seventy nine now.

assistant: Good, what about your mother?

user: She died when she was seventy four, she had heart failure and emphysema.

assistant: I'm sorry to hear that. Do you have any brothers or sisters?

user: Thank you doctor, no, its just me and my Dad now.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I don't remember what month, but it was in nineteen ninety nine.

assistant: Good, and do you remember your last pneumonia vaccine?

user: Let me look at my notes here, um, it was in nineteen ninety six.

assistant: Thank you, now, tell me more about your parents. Do you know their medical histories?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Let me look at my notes here, um, it was in nineteen ninety six.

assistant: Thank you, now, tell me more about your parents. Do you know their medical histories?

user: Let me think, my dad is still around, he had a stroke. Oh yeah, and he has high blood pressure.

assistant: How old is your father?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Let me think, my dad is still around, he had a stroke. Oh yeah, and he has high blood pressure.

assistant: How old is your father?

user: He's seventy nine now.

assistant: Good, what about your mother?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: He's seventy nine now.

assistant: Good, what about your mother?

user: She died when she was seventy four, she had heart failure and emphysema.

assistant: I'm sorry to hear that. Do you have any brothers or sisters?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: She died when she was seventy four, she had heart failure and emphysema.

assistant: I'm sorry to hear that. Do you have any brothers or sisters?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Do you remember when your last flu vaccine was?

user: I don't remember what month, but it was in nineteen ninety nine.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Do you remember when your last flu vaccine was?

user: I don't remember what month, but it was in nineteen ninety nine.

assistant: Good, and do you remember your last pneumonia vaccine?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Last flu vaccine was given on 1999. Last pneumonia vaccine was given on 1996. Family Medical History: Father age 79, history of cerebrovascular accident (stroke) and hypertension. Mother history of CHF and emphysema that died at the age of 74. No brothers and sisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Do you remember when your last flu vaccine was?

user: I don't remember what month, but it was in nineteen ninety nine.

assistant: Good, and do you remember your last pneumonia vaccine?

user: Let me look at my notes here, um, it was in nineteen ninety six.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is retired on disability due to her knee replacements.  She does not smoke, drink or use any illicit drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: How are you doing today, ma'am?

user: I'm doing just fine.

assistant: Any kind of alcohol consumption?

user: Nope.

assistant: Have you ever taken any kind of illegal drugs?

user: Nope.

assistant: What about smoking?

user: No.

assistant: Are you still working?

user: No, sir. I had issues with my knees, and they had to put in the new ones. I was kind of disabled and that's why I retired.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is retired on disability due to her knee replacements.  She does not smoke, drink or use any illicit drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I'm doing just fine.

assistant: Any kind of alcohol consumption?

user: Nope.

assistant: Have you ever taken any kind of illegal drugs?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is retired on disability due to her knee replacements.  She does not smoke, drink or use any illicit drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Nope.

assistant: Have you ever taken any kind of illegal drugs?

user: Nope.

assistant: What about smoking?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is retired on disability due to her knee replacements.  She does not smoke, drink or use any illicit drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Nope.

assistant: What about smoking?

user: No.

assistant: Are you still working?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is retired on disability due to her knee replacements.  She does not smoke, drink or use any illicit drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No.

assistant: Are you still working?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is retired on disability due to her knee replacements.  She does not smoke, drink or use any illicit drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: How are you doing today, ma'am?

user: I'm doing just fine.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is retired on disability due to her knee replacements.  She does not smoke, drink or use any illicit drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: How are you doing today, ma'am?

user: I'm doing just fine.

assistant: Any kind of alcohol consumption?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is retired on disability due to her knee replacements.  She does not smoke, drink or use any illicit drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: How are you doing today, ma'am?

user: I'm doing just fine.

assistant: Any kind of alcohol consumption?

user: Nope.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: He denies any chest pain.  He admits to exertional shortness of breath.  He denies any GI problems as noted.  Has frequent urination as noted.  He denies any bleeding disorders or bleeding history.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Do you have any chest pain?

user: No, I don't.

assistant: Any breathlessness?

user: Yes, I do get breathless only when I have to do some form of exertion like walking a long time or running.

assistant: Okay. How about any bowel issues?

user: No, I don't have any stomach problems except I have to go frequently to use a bathroom.

assistant: Okay frequency. How about any prolonged bleeding issues or anything like that sort?

user: No nothing like that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: He denies any chest pain.  He admits to exertional shortness of breath.  He denies any GI problems as noted.  Has frequent urination as noted.  He denies any bleeding disorders or bleeding history.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No, I don't.

assistant: Any breathlessness?

user: Yes, I do get breathless only when I have to do some form of exertion like walking a long time or running.

assistant: Okay. How about any bowel issues?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: He denies any chest pain.  He admits to exertional shortness of breath.  He denies any GI problems as noted.  Has frequent urination as noted.  He denies any bleeding disorders or bleeding history.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Yes, I do get breathless only when I have to do some form of exertion like walking a long time or running.

assistant: Okay. How about any bowel issues?

user: No, I don't have any stomach problems except I have to go frequently to use a bathroom.

assistant: Okay frequency. How about any prolonged bleeding issues or anything like that sort?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: He denies any chest pain.  He admits to exertional shortness of breath.  He denies any GI problems as noted.  Has frequent urination as noted.  He denies any bleeding disorders or bleeding history.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No, I don't have any stomach problems except I have to go frequently to use a bathroom.

assistant: Okay frequency. How about any prolonged bleeding issues or anything like that sort?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: He denies any chest pain.  He admits to exertional shortness of breath.  He denies any GI problems as noted.  Has frequent urination as noted.  He denies any bleeding disorders or bleeding history.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Do you have any chest pain?

user: No, I don't.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: He denies any chest pain.  He admits to exertional shortness of breath.  He denies any GI problems as noted.  Has frequent urination as noted.  He denies any bleeding disorders or bleeding history.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Do you have any chest pain?

user: No, I don't.

assistant: Any breathlessness?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: He denies any chest pain.  He admits to exertional shortness of breath.  He denies any GI problems as noted.  Has frequent urination as noted.  He denies any bleeding disorders or bleeding history.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Do you have any chest pain?

user: No, I don't.

assistant: Any breathlessness?

user: Yes, I do get breathless only when I have to do some form of exertion like walking a long time or running.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She lives with her parents.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Does she lives with anyone?

user: Yes, we all stay together, so just the immediate family. My parents, me and my sister.

assistant: Okay.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: 23-year-old Hispanic male who presented for evaluation of chronic abdominal pain. Patient described the pain as dull, achy, constant and located at the epigastric area with some radiation to the back. There are also occasional episodes of stabbing epigastric pain unrelated to meals lasting only minutes. Patient noted that the pain started approximately six months prior to this presentation. He self medicated "with over the counter" antacids and obtained some relief so he did not seek medical attention at that time. Two months prior to current presentation, he had worsening of his pain as well as occasional nausea and vomiting. At this time the patient was found to be H. pylori positive by serology and was treated with triple therapy for two weeks and continued on omeprazole without relief of his pain. The patient felt he had experienced a twenty-pound weight loss since his symptoms began but he also admitted to poor appetite. He stated that he had two to three loose bowel movements a day but denied melena or bright red blood per rectum. Patient denied NSAID use, ethanol abuse or hematemesis. Position did not affect the quality of the pain. Patient denied fever or flushing. He stated he was a very active and healthy individual prior to these recent problems.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Yes in fact I came in walking.

assistant: Great way to get some exercise in.

assistant: ok so what's going on?

user: I am having a bellyache.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: 23-year-old Hispanic male who presented for evaluation of chronic abdominal pain. Patient described the pain as dull, achy, constant and located at the epigastric area with some radiation to the back. There are also occasional episodes of stabbing epigastric pain unrelated to meals lasting only minutes. Patient noted that the pain started approximately six months prior to this presentation. He self medicated "with over the counter" antacids and obtained some relief so he did not seek medical attention at that time. Two months prior to current presentation, he had worsening of his pain as well as occasional nausea and vomiting. At this time the patient was found to be H. pylori positive by serology and was treated with triple therapy for two weeks and continued on omeprazole without relief of his pain. The patient felt he had experienced a twenty-pound weight loss since his symptoms began but he also admitted to poor appetite. He stated that he had two to three loose bowel movements a day but denied melena or bright red blood per rectum. Patient denied NSAID use, ethanol abuse or hematemesis. Position did not affect the quality of the pain. Patient denied fever or flushing. He stated he was a very active and healthy individual prior to these recent problems.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I am having a bellyache.

assistant: Since when?

user: Oh, it's been a while now.

assistant: Can you tell me more about your pain like how did it start and what exactly are you feeling?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: 23-year-old Hispanic male who presented for evaluation of chronic abdominal pain. Patient described the pain as dull, achy, constant and located at the epigastric area with some radiation to the back. There are also occasional episodes of stabbing epigastric pain unrelated to meals lasting only minutes. Patient noted that the pain started approximately six months prior to this presentation. He self medicated "with over the counter" antacids and obtained some relief so he did not seek medical attention at that time. Two months prior to current presentation, he had worsening of his pain as well as occasional nausea and vomiting. At this time the patient was found to be H. pylori positive by serology and was treated with triple therapy for two weeks and continued on omeprazole without relief of his pain. The patient felt he had experienced a twenty-pound weight loss since his symptoms began but he also admitted to poor appetite. He stated that he had two to three loose bowel movements a day but denied melena or bright red blood per rectum. Patient denied NSAID use, ethanol abuse or hematemesis. Position did not affect the quality of the pain. Patient denied fever or flushing. He stated he was a very active and healthy individual prior to these recent problems.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Oh, it's been a while now.

assistant: Can you tell me more about your pain like how did it start and what exactly are you feeling?

user: Ok so the pain started as dullache but it is constant right here in the middle upper part of my stomach. And sometimes it is moving to the back.

assistant: Can you tell me if it is stabbing pain and if it is related to any specific time of the day?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: 23-year-old Hispanic male who presented for evaluation of chronic abdominal pain. Patient described the pain as dull, achy, constant and located at the epigastric area with some radiation to the back. There are also occasional episodes of stabbing epigastric pain unrelated to meals lasting only minutes. Patient noted that the pain started approximately six months prior to this presentation. He self medicated "with over the counter" antacids and obtained some relief so he did not seek medical attention at that time. Two months prior to current presentation, he had worsening of his pain as well as occasional nausea and vomiting. At this time the patient was found to be H. pylori positive by serology and was treated with triple therapy for two weeks and continued on omeprazole without relief of his pain. The patient felt he had experienced a twenty-pound weight loss since his symptoms began but he also admitted to poor appetite. He stated that he had two to three loose bowel movements a day but denied melena or bright red blood per rectum. Patient denied NSAID use, ethanol abuse or hematemesis. Position did not affect the quality of the pain. Patient denied fever or flushing. He stated he was a very active and healthy individual prior to these recent problems.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Ok so the pain started as dullache but it is constant right here in the middle upper part of my stomach. And sometimes it is moving to the back.

assistant: Can you tell me if it is stabbing pain and if it is related to any specific time of the day?

user: Sure, so i do get episodes of stabbing pain but they are not related to meals. Once the wave comes it lasts for only a minute or so.

assistant: Can you tell me when exactly you noted it?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: 23-year-old Hispanic male who presented for evaluation of chronic abdominal pain. Patient described the pain as dull, achy, constant and located at the epigastric area with some radiation to the back. There are also occasional episodes of stabbing epigastric pain unrelated to meals lasting only minutes. Patient noted that the pain started approximately six months prior to this presentation. He self medicated "with over the counter" antacids and obtained some relief so he did not seek medical attention at that time. Two months prior to current presentation, he had worsening of his pain as well as occasional nausea and vomiting. At this time the patient was found to be H. pylori positive by serology and was treated with triple therapy for two weeks and continued on omeprazole without relief of his pain. The patient felt he had experienced a twenty-pound weight loss since his symptoms began but he also admitted to poor appetite. He stated that he had two to three loose bowel movements a day but denied melena or bright red blood per rectum. Patient denied NSAID use, ethanol abuse or hematemesis. Position did not affect the quality of the pain. Patient denied fever or flushing. He stated he was a very active and healthy individual prior to these recent problems.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Sure, so i do get episodes of stabbing pain but they are not related to meals. Once the wave comes it lasts for only a minute or so.

assistant: Can you tell me when exactly you noted it?

user: Approximately six months back. I took over the counter antacids and got some relief so i did not go to doctor. But two months back it got worse, I do get occasional nausea and vomiting.

assistant: I can see that they found H pylori positive infection and treated you with triple drug therapy for two weeks and then gave you antacid omeprazole. But it did not improve your pain.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: 23-year-old Hispanic male who presented for evaluation of chronic abdominal pain. Patient described the pain as dull, achy, constant and located at the epigastric area with some radiation to the back. There are also occasional episodes of stabbing epigastric pain unrelated to meals lasting only minutes. Patient noted that the pain started approximately six months prior to this presentation. He self medicated "with over the counter" antacids and obtained some relief so he did not seek medical attention at that time. Two months prior to current presentation, he had worsening of his pain as well as occasional nausea and vomiting. At this time the patient was found to be H. pylori positive by serology and was treated with triple therapy for two weeks and continued on omeprazole without relief of his pain. The patient felt he had experienced a twenty-pound weight loss since his symptoms began but he also admitted to poor appetite. He stated that he had two to three loose bowel movements a day but denied melena or bright red blood per rectum. Patient denied NSAID use, ethanol abuse or hematemesis. Position did not affect the quality of the pain. Patient denied fever or flushing. He stated he was a very active and healthy individual prior to these recent problems.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Approximately six months back. I took over the counter antacids and got some relief so i did not go to doctor. But two months back it got worse, I do get occasional nausea and vomiting.

assistant: I can see that they found H pylori positive infection and treated you with triple drug therapy for two weeks and then gave you antacid omeprazole. But it did not improve your pain.

user: Yeah that's right.

user: Do you know I lost twenty pound of weight since all these symptoms began but i have been also admitted for poor appetite.