jshargo/mts-medical-trainset2 huggingface dataset:
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: None.

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: Hello, I'm here for my appointment.

assistant: Are you up to date on your vaccines?

user: I've actually never been vaccinated before. My parents don't believe in vaccines.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: The patient denies any previous past medical history.  He currently does not have a primary care physician as he is uninsured.

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: Hello, I'm here for my appointment.

assistant: Hi there! Welcome in, sir.

user: Hi! Thank you.

assistant: What is your past medical history?

user: No. I don't have any health problems.

assistant: Do you have a primary care doctor?

user: No. I don't have health insurance right now.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She is married.  She does not smoke, use alcohol or use 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: Hello, I'm here for my appointment.

assistant: Are you married, ma'am?

user: Yes.

assistant: Do you smoke, use alcohol or use recreational drugs?

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

Section: GENHX
Patient Information: As per Dr. X without any changes or corrections.

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: Hello, I'm here for my appointment.

assistant: So, you were referred by Doctor X.

user: Yeah.

assistant: According to him, I see no changes or correction to your present illness, right?

user: Yeah, I think so.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She states her brother died of an MI suddenly in his 50s.

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: Hello, I'm here for my appointment.

assistant: Do you have any related family history?

user: You mean like heart issues in the family?

assistant: Yeah, something like that.

user: My brother died of heart attack. It was sudden everyone was shocked.

assistant: How old was he?

user: He was not that old; he was just in his fifties.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 66-year-old patient has history of hypertension and has not taken medication for several months.  She is a smoker and she drinks alcohol regularly.  She drinks about 5 glasses of wine every day.  Last drink was yesterday evening.  This afternoon, the patient felt palpitations and generalized weakness and came to the emergency room.  On arrival in the emergency room, the patient's heart rate was 121 and blood pressure was 195/83.  The patient received 5 mg of metoprolol IV, after which heart rate was reduced to the 70 and blood pressure was well controlled.  On direct questioning, the patient said she had been drinking a lot.  She had not had any withdrawal before.  Today is the first time she has been close to withdrawal.

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: Hello, I'm here for my appointment.

assistant: So, tell me what's going on? What brings you to the emergency?

user: I felt like my heart will explode. I have never felt palpitations like this. I am feeling so weak.

assistant: When did it start?

user: This afternoon.

assistant: Hm, so your blood pressure is one ninety five by eighty three and your heart rate is one twenty one which is quite high. We have started you on I V Metoprolol. This will help to bring your heartrate down. And you said you are sixty six?

user: Yes. My mom has stopped taking her medications.

assistant: I can tell from her reports. Her blood pressure is quite high.

user: It's been several months since she last took her medicines.

assistant: Well, that's not good! And does she drink and smoke?

user: Yes, both.

assistant: How much do you drink Ma'am? Is it occasional?

user: She drinks a lot! Well, I drink about four to five glasses of wine every day. I drank last night.

assistant: Well, I think you need to cut down on it.

user: I am trying doctor and honestly these are all withdrawal symptoms. I have never felt like this before.

assistant: Hm, I understand. For now I have put you on five M G of Metoprolol and looks like your blood pressure is under control and your heart rate has come down to seventy.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her sister had breast cancer.

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: Hello, I'm here for my appointment.

assistant: Hello, how are you today?

user: I am here for a breast cancer screening.

assistant: Have you gotten a mammogram before?

user: Yes, I have. I also try to keep up with my self examinations every few weeks.

assistant: That is great. I am happy to see you on top of your preventative healthcare.

user: I try to be as careful as I can since my sister had breast cancer.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: He has had toe problems and left knee pain in the past.

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: Hello, I'm here for my appointment.

assistant: Good morning, sir.

user: Good morning, doctor.

assistant: So, what seems to be the problem today, sir?

user: Well, I've had toe problems in the past.

assistant: I see, what about the rest of the lower body, any problems there?

user: Actually, yes, I've had left knee issues in the past, too.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: History of mastectomy, chest tube placement, and atrial fibrillation; chronic.

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: Hello, I'm here for my appointment.

assistant: Do you have a history of any health conditions that I should be aware of, ma'am?

user: Um, yeah, I had a mastectomy, and chest tube placement.

assistant: Oh, wow. Do you have any chronic conditions?

user: Yeah, I have chronic A F I B.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient presents today for followup, history of erectile dysfunction, last visit started on Cialis 10 mg.  He indicates that he has noticed some mild improvement of his symptoms, with no side effect.  On this dose, he is having firm erection, able to penetrate, lasting for about 10 or so minutes.  No chest pain, no nitroglycerin usage, no fever, no chills.  No dysuria, gross hematuria, fever, chills.  Daytime frequency every three hours, nocturia times 0, good stream.  He does have a history of elevated PSA and biopsy June of this year was noted for high grade PIN, mid left biopsy, with two specimens being too small to evaluate.  PSA 11.6.  Dr. X's notes are reviewed.

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: Hello, I'm here for my appointment.

assistant: How have you been handing erectile dysfunction since your last visit, sir?

user: Well, I've been taking the Cialis, it's the, um, ten M G version.

assistant: Have you seen any improvement?

user: Yes, I've had some, which is good.

assistant: Have you had any side effects?

user: No, none yet.

assistant: Good, can you describe your erections for me, sir?

user: Well, they're firm now, and I can penetrate again for about ten minutes.

assistant: Good, are you having any chest pain?

user: No sir, I stopped using my nitroglycerin too.

assistant: Good, are you having any fever or chills?

user: No, nothing like that.

assistant: Are you having any pain with urination, or blood in the urine?

user: No, nothing like that, sir, everything is normal.

assistant: How often do you urinate during the day?

user: I go about every three hours or so, I have a good stream and everything.

assistant: Do you wake up at night to go to the bathroom?

user: No, I sleep through the night very well.

assistant: Good, do you have any other conditions that I should know about?

user: Well, I have a history of elevated P S A, and I had a biopsy in June when I had a, um, high grade P I N.

assistant: Do you know what that P S A value was?

user: It was eleven point six.

assistant: Thank you, I see here on Doctor X's notes that there were two specimens that were too small to evaluate.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Positive for hypertension, diabetes, and cancer.  Negative for heart disease, obesity or stroke.

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: Hello, I'm here for my appointment.

assistant: I am afraid, I don't have better news for you, your reports confirm cancer.

user: We were suspecting it all along, but now since it is confirmed it's just hard to accept.

assistant: I am sorry, I totally understand. Do you want some time?

user: No, I am okay.

assistant: Hm, you also have hypertension and diabetes.

user: Yeah, that I know.

assistant: Did you have any chest pain or shortness of breath or uneasiness?

user: No, I don't have any heart condition.

assistant: Okay and no dizziness or loss of consciousness or stroke like symptoms?

user: No.

assistant: Okay. Well, your B M I looks fine, that means you are not overweight.

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

Section: FAM/SOCHX
Patient Information: Married, lives with husband, 4 children alive and well. Denied tobacco/ETOH/illicit drug use.

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: Hello, I'm here for my appointment.

assistant: Are you married?

user: Yes. I am happily living together with my husband and my four kids.

assistant: Oh, do you smoke?

user: Nope.

assistant: What about alcohol or any other kind of drug use?

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

Section: FAM/SOCHX
Patient Information: There was a history of coronary artery disease and diabetes mellitus in the family.

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: Hello, I'm here for my appointment.

assistant: Anyone in the family had any medical issues?

user: Oh yes.

assistant: Can you please elaborate?

user: So, my mother's side family had heart issues. My dad's sister had sugar problem.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: No known allergies.

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: Hello, I'm here for my appointment.

assistant: And you are not allergic to anything right?

user: That's right.

assistant: Any drugs or pollens or anything?

user: Nope nothing.

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

Section: ROS
Patient Information: She has been having the redness of her right great toe, but also just a chronic nasal congestion and fullness.  Review of systems is otherwise negative.

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: Hello, I'm here for my appointment.

assistant: Has the redness worsened over the last few days? I think so. Her right big toe looks worse to me. Is she otherwise healthy? Um besides her toe and some nasal congestion, she's doing fine.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Significant for history of lumpectomy on the left breast, breast augmentation surgery, cholecystectomy, cardiac ablation x3, left knee surgery as well as removal of half the pancreas.

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: Hello, I'm here for my appointment.

assistant: You had a surgery on your breasts?

user: Yes, they removed lump from my left breast.

assistant: Okay, and what other surgeries have you had?

user: I do not have a gall bladder, then I had a breast augmentation, I have had heart surgeries three times and they have removed half of my pancreas.

assistant: Okay.

user: And knee surgery too, on the left side.

assistant: Okay. What type of heart surgery did you have?

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

Section: EXAM
Patient Information: GENERAL: Alert and in no apparent distress, calm, cooperative, and communicative.

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: Hello, I'm here for my appointment.

assistant: What happened? She was brought to emergency by her son. Apparently, she is doing fine, no distress. She is alert, and I was able to communicate with her and take her history, she was cooperative and calmy responded to all my questions. Okay, that's good.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: There is a family history of diabetes and hypertension.  There is no family history of a neuropathy or other neurological disease.  She has one child, a son, born on October 31, 2008.

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: Hello, I'm here for my appointment.

assistant: What is your family medical history?

user: My family has high blood pressure and diabetes.

assistant: Do you have any family history of nervous system disorder or disease such as multiple sclerosis, Alzheimer's disease, Parkinson's disease, epilepsy, or stroke?

user: No.

assistant: Do you have any children, miss?

user: Yes. I have a son, he was born on October thirty first, two thousand and eight.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: She has had a fairly extensive past medical history but is a somewhat poor historian and is unable to provide details about her history.  She states that she has underlying history of heart disease but is not able to elaborate to any significant extent.  She also has a history of hypertension and type II diabetes but is not currently taking any medication.  She has also had a history of pulmonary embolism approximately four years ago, hyperlipidemia, peptic ulcer disease, and recurrent urinary tract infections.  Surgeries include an appendectomy, cesarean section, cataracts, and hernia repair.

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: Hello, I'm here for my appointment.

assistant: Have you ever had any heart problems in the past?

user: I remember I did have something heart related but I don't know what that was. I do not understand any medical terms.

assistant: Okay that's fine, I completely understand. We will try to look for your  past medical history.

user: I do have hypertension and diabetes, you know that right?

assistant: Yes, type two diabetes. Do you know of any other things that you had in the past?

user: Yes, four years back I had lung embolism. I also get frequent urine infections.

assistant: Okay. And I can see on the file that you have high cholesterol and a gastric ulcer too.

user: Yes, that's about right.

assistant: Okay. What surgeries have you had in the past?

user: I have had my appendix taken out, then C Section, cataract surgery and hernia repair done in the past.
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 married.  She is employed as an office manager.  She does smoke cigarettes, one pack per day for the last 20 years.  She consumes alcohol 3 to 5 drinks daily.  She uses no illicit drugs.  She exercises monthly mainly walking and low impact aerobics.  She also likes to play softball.

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: Hello, I'm here for my appointment.

assistant: Good afternoon, ma'am.

user: Good afternoon, doctor.

assistant: So, are you married?

user: Yes, happily to my husband.

assistant: That's wonderful, um, what do you do for a living?

user: I work as an office manager right now.

assistant: Do you smoke?

user: Yes, I do. I've smoked a pack a day for the last twenty years.

assistant: Do you drink?

user: Actually, yes, I drink daily.

assistant: How much do you drink every day?

user: Well, it varies, but usually about anywhere from three to five drinks a day.

assistant: Okay, do you do any illicit drugs?

user: No, absolutely not.

assistant: What do you do for exercise?

user: Well, I go for walks, and like low impact cardio. But, I do like playing softball with my friends too.

assistant: Very nice, how often do you exercise?

user: I work out a few times a month.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: No headaches. No visual, hearing, or swallowing difficulties. No cough or hemoptysis. No chest pain, PND, orthopnea. No changes in bowel or urinary habits. Otherwise, as stated in HPI.

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: Hello, I'm here for my appointment.

assistant: I'm going to run down a list of symptoms and I'd like you to tell me if you've experienced any.

user: Okay.

assistant: Headache?

user: No headaches.

assistant: Are you coughing at all? And if yes, then are you bringing up any blood with your cough?

user: No cough.

assistant: Any chest pain or shortness of breath that wakes you in the middle of the night?

user: Nope.

assistant: Do you feel short of breath when you move around?

user: Nope.

assistant: Any visual, hearing, or swallowing problems?

user: None.

assistant: And finally any changes to your bowel movements or urinary habits?

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

Section: PASTMEDICALHX
Patient Information: Otherwise reviewed and noted.

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: Hello, I'm here for my appointment.

assistant: Looking at your medical history now. Any changes since your last visit?

user: No changes.