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

Section: FAM/SOCHX
Patient Information: Noncontributory.

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 orthopedic conditions that run in your family that I should know about?

user: What, like arthritis?

assistant: Yeah, does anything like that sound familiar?

user: No, not that I know of.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: He has had diabetes for five years.  He also has had hypercholesterolemia.  He has had Crohn's disease for 25 or 30 years.  He has had a colostomy for four years.  He has arthritis, which is reportedly related to the Crohn's disease.  He has hypertension and coronary artery disease and is status post stent placement.  He has depression. He had a kidney stone removed about 25 years ago.

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 to the clinic.

user: Hi! Thank you.

assistant: I'm going to get a little background information from you today.

user: Okay.

assistant: What are any of your medical history conditions? Past and present?

user: I have Crohn's disease.

assistant: How long have you had Crohn's?

user: Oh, I don't know. A long time twenty five to thirty years.

assistant: Have you had a colonoscopy recently?

user: I had one, four years ago. Do I need to get another one this year?

assistant: I am not sure. I will ask the doctor what his recommendation is for you would be. I will let him know that you had a colonoscopy four years ago.

user: Sounds good. I am also a diabetic. That has been going on for four years now.

assistant: Yes, I see you take insulin. I also see that you're on a blood pressure medication, do you have high blood pressure?

user: Yes, I have high blood pressure and high cholesterol. I also have heart disease. I had a stent placed in there.

assistant: Anything else?

user: I have arthritis now. They said it's due to my Crohn's.

assistant: That makes sense.

user: I'm being treated for depression now as well.

assistant: Okay. Any other surgeries other than the stent?

user: Oh, I had a kidney stone removed several years ago. Twenty five years ago. That's it. That's all I got for you.

assistant: Okay, great! Thank you. I will go let the doctor know that you are ready and she will be right in to see you.

user: I'll be here.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: ENDOCRINE: Normal; Negative for diabetes, thyroid, or problems with cholesterol or hormones.

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: Any sugar or B P problem?

user: No, it is normal.

assistant: Okay, how about thyroid or any other hormone related problem?

user: No, everything is fine.

assistant: Cholesterol?

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

Section: DIAGNOSIS
Patient Information: Refractory anemia that is transfusion dependent.

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's her diagnosis? Refractory anemia. Gotcha.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Unknown.

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 patient's family history? At this point of time, we don't have it. Hm, okay.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is in complaining of headaches and dizzy spells, as well as a new little rash on the medial right calf.  She describes her dizziness as both vertigo and lightheadedness.  She does not have a headache at present but has some intermittent headaches, neck pains, and generalized myalgias.  She has noticed a few more bruises on her legs.  No fever or chills with slight cough.  She has had more chest pains but not at present.  She does have a little bit of nausea but no vomiting or diarrhea.  She complains of some left shoulder tenderness and discomfort.  She reports her blood sugar today after lunch was 155.

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, miss. How can I help you today? The nurse said the matter was urgent.

user: Yes, I have been having dizzy spells. I have also noticed a new rash on my right calf.

assistant: Can you describe what type of dizzy spells you are having? What do they feel like?

user: It is general dizziness and vertigo. I am also lightheaded during the spells.

assistant: Are you feeling okay right now or are you experiencing symptoms?

user: I am having headaches off and on randomly, but nothing right now. The neck pain and muscle aches also are intermittent.

assistant: Let me take a look at the rash on your legs. Are the bruises new?

user: They are new, I think. I have noticed them more than usual.

assistant: In the past couple days have you had a fever or chills?

user: No, nothing like that.

assistant: What about chest pains?

user: I have had some tightness in my chest, but not right now.

assistant: Does the dizziness make you nauseous?

user: Yes, but I have not had to throw up or anything.

assistant: What about diarrhea?

user: No, thank goodness.

assistant: Are there any parts of your body that are hurting?

user: I do have some left shoulder pain. Not so much painful, but it is uncomfortable and tender.

assistant: Have you measured your blood sugar at all? I ask because the notes state there is a history of gestational diabetes and when blood sugars are out of the normal limits this can cause some of the symptoms you are having.

user: I measured it today. After lunch it was one fifty five.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Negative for any colon cancer or polyps.  Her father died of mesothelioma, mother died of Hodgkin lymphoma.

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: Does anyone in your family have or have history of any colon cancer or unusual polyps?

user: No.

assistant: Any other family history?

user: Yes, my father died of a cancer called mesothelioma and my mother died of Hodgkin's Lymphoma.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Noncontributory.

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: Any known medical history in the family?

user: Nope.

assistant: How about anyone with high blood pressure or heart disease or diabetes in the family?

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

Section: GENHX
Patient Information: As per the HPI, this is her third suicide attempt in the last two months and started seeing Dr. X.  She has a remote history of being on Lexapro for depression.

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 are you feeling today?

user: I am feeling very tired.

assistant: According to your chart, you have seen with us for three separate self harm attempts. Have you had any other self harm events that you have not come to see use for?

user: No. I have been seeing Doctor Lin.

assistant: I also see that this is your third time in the last two months that you have attempted to harm yourself. Is there anything that is currently going on in your life that could be triggering these resent episode?

user: Last month I lost my job. And then this month my boyfriend left me.

assistant: I am so sorry. That is a lot to deal with.

user: Yeah, it has been hard.

assistant: Have you been diagnosed with any mental health conditions?

user: Doctor Lin just said that I was depressed.

assistant: Have you ever been put on any medication for the for your depression?

user: I have taken Lexapro before.

assistant: How long ago did you take the Lexapro?

user: I can't remember.

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

Section: ASSESSMENT
Patient Information: Several multiple areas of hypergranulation tissue on the left posterior leg associated with a sense of trauma to his right posterior leg.

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, if you see here Doctor Patrick there are multiple areas with hypergranulation tissue on the left leg posteriorly and I get a sense that it's associated with the trauma to the back of his right leg. Yeah, I agree.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Acne.  Psychiatric history is unremarkable.

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: Okay, so your psych evaluation came out unremarkable. Do you have any other problems?

user: I have this acne. I hate it. I am not feeling comfortable in my own skin.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 10-day-old Caucasian female here for approximately 1 minute bilateral arm and leg jerks, which started at day of life 1 and have occurred 6 total times since then.  Mom denies any apnea, perioral cyanosis, or color changes.  These movements are without any back arching.  They mainly occur during sleep, so mom is unaware of any eye rolling.  Mom is able to wake the patient up during this periods and stop the patient's extremity movements. Otherwise, this patient has been active, breast-feeding well, although she falls asleep at the breast.  She is currently taking in 15 to 20 minutes of breast milk every 2 to 3 hours.  She is having increased diapers up to 8 wet and 6 to 7 dirty-yellow stools per day.

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 there, how are you?

user: I am little scared.

assistant: I understand, so how old is she?

user: She is ten days old today.

assistant: And just wanted to confirm the ethnicity is Caucasian, right?

user: Yes.

assistant: Okay, so tell me what's going on with her?

user: I was feeding her and then I suddenly noticed this unusual jerky movement in both her arms and legs. It lasted about a minute.

assistant: When did you first notice it?

user: The first day when I was feeding her, she was barely a day old.

assistant: Okay, and how many times till now?

user: About six times.

assistant: Did you notice any interrupted breathing or bluish color around her mouth?

user: No.

assistant: While the episode occurs do you notice any color changes in the baby?

user: No.

assistant: Did you happened to notice any arching of the back or eyes rolling back?

user: No, it usually happens while she is sleeping, so I didn't notice her eye movements. But I am able to wake her up and stop the hand and leg movements.

assistant: Okay. Otherwise, is she feeding well and is active?

user: Yes, absolutely! Although she falls asleep a lot during breast feeding but other than that everything is fine.

assistant: And how often are you feeding her and for how long?

user: I breast feed her every two to three hours for about fifteen to twenty minutes.

assistant: Okay, and how many dirty diapers?

user: Well, her pee diapers have increased to up to eight and I would say about six to seven poopy diapers a day.

assistant: And did you notice the color of her poop?

user: Yeah, it's like dirty yellowish color.

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

Section: FAM/SOCHX
Patient Information: Strongly positive for heart disease in his father.  He had a bypass at age 60.  Both parents are alive.  Both have dementia.  His father has history of coronary artery disease and multiple vascular strokes.  He is in his 80s.  His mother is 80, also with dementia.  The patient does not smoke or drink.

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 anyone in your family had heart diseases?

user: Yes my father. They did his heart bypass surgery when he was sixty.

assistant: Is he alright now?

user: Yes I know what you mean. Yes by God's grace, both my parents are alive.

assistant: What exactly was the heart disease named? Do you know?

user: Yeah they said it was something called coronary artery disease and he had many strokes due to that.

assistant: How old is he now?

user: My father is in his eighties. My mother is eighty years old too and she has dementia. My father has dementia too.

assistant: Okay. Do you smoke or drink alcohol? And how much?

user: No I do not drink or smoke.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: IMMUNOLOGIC: Negative; Negative for steroids, chemotherapy, or 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: Are you on steroids?

user: No.

assistant: Any history of cancer, chemotherapy or anything related?

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

Section: DISPOSITION
Patient Information: Stable disposition to home with her mother.

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 both been doing?

user: We are good.

assistant: I see she has been gaining weight since she has been home. Have you been following the meal plan that we discussed?

user: Yes. It has been helping.

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

Section: PASTMEDICALHX
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: I don't see any past medical history here in this report. We don't have any record of P M H for this patient. Okay.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Fall and laceration.

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: Oh, dear God! What happened?

user: Hi Doctor, I am his mom.

assistant: Hello, so what happened?

user: He was trying to climb a tree, slipped from there and got a deep cut on his thigh.

assistant: So, you fell from the tree?

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

Section: GENHX
Patient Information: This is a 29-year-old male who has had multiple problems with his teeth due to extensive dental disease and has had many of his teeth pulled.  Complains of new tooth pain.  The patient states his current toothache is to both upper and lower teeth on the left side for approximately three days.  The patient states that he would have gone to see his regular dentist but he has missed so many appointments that they now do not allow him to schedule regular appointments, he has to be on standby appointments only.  The patient denies any other problems or complaints.  The patient denies any recent illness or injuries.  The patient does have OxyContin and Vicodin at home which he uses for his knee pain but he wants more pain medicines because he does not want to use up that medicine for his toothache when he wants to say this with me.

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 up with your teeth man? It's been giving you problems huh?

user: Yes, yes, many, many problems. Firstly, they pulled out so many teeth and now I have this bad tooth problem.

assistant: Oh, so this is new?

user: Yes, it's a new pain. Right now it has been going on for three days on left side's upper and lower teeth.

assistant: Then why didn't you go and visit your regular dentist?

user: I would have but I have missed so many appointments that they now do not allow me to schedule regular appointments. So they put me on a standby appointment now.

assistant: Oh I am sorry.

user: It is okay.

assistant: Okay any other problems or any other complaints?

user: No.

assistant: How about any recent illnesses or injuries?

user: No, no illness whatsoever.

assistant: Do you have any medicine at home for pain?

user: Yes I have  OxyContin and Vicodin at home. I use it for my knee pain. But I want more pain medicines. I do not want to use up that medicine for my toothache.

assistant: Okay I understand. How old are you again?

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

Section: CC
Patient Information: Jaw pain.

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's your jaw doing?

user: The pain seems to have gotten worse.

assistant: Do you mind if I take a look?

user: Sure. Ow, ow, ow. That's the spot that hurts the most. What's causing it?

assistant: It's hard to say, but I'm thinking it could be T M J. I'd like to get you in to see a T M J specialist.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: MEDICATIONS
Patient Information: Citalopram 10mg once daily for depression; low dose tramadol PRN pain.

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 taking Citalopram for depression?

user: Yes, I take it once a day. It is ten M G tablet.

assistant: Is that so?

user: Yes.

assistant: What do you take for pain?

user: Just Tramadol as needed.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Mother with diabetes and hypertension. Father with diabetes. Brother with cirrhosis (etiology not documented).

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 health history?

user: My mom and dad are both diabetics. My mom has high blood pressure. My brother is having some issues with his liver.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died with heart disease in his 60s and her mother died of colon cancer.  She has a sister who she believes is probably healthy.  She has had two sons one who died of a blood clot after having been a heavy smoker and another who is healthy.  She has two normal vaginal deliveries.

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: Can you tell me about your family?

user: I have or had two sons both born normally without any complications.

assistant: Why did you say had?

user: One of my sons was a heavy smoker, he uses to smoke a whole packet or more in a day. We tried everything possible, but he just couldn't quit. He died of clots.

assistant: Does anyone in your family like parents or siblings had any medical issues?

user: Yes, my father had heart related issues, he died in his sixties, my mother died of colon cancer. I also have a sister but I don't think she has any issues.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Active smoker.  Does not consume alcohol.  No history of recreational 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: Do you smoke cigarettes?

user: Yes.

assistant: How about alcohol?

user: No, I don't consume alcohol.

assistant: Okay. And any history of using drugs like marijuana or stuff like that for fun?

user: No.