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"content": "What is the next step in the treatment plan for Mrs. Linda Mayer after the confirmation of DCIS and the post-intervention hematoma?",
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"content": "After the confirmation of Ductal Carcinoma In Situ (DCIS) and the presence of a post-intervention hematoma, the next steps in the treatment plan for Mrs. Linda Mayer would likely include:\n\n1. **Imaging Studies**: Further imaging, such as mammography or MRI, may be performed to assess the extent of the DCIS and to ensure there are no other areas of concern.\n\n2. **Mammary Conference**: As mentioned in the note, a case presentation is scheduled for a mammary conference, where a multidisciplinary team (including surgeons, oncologists, radiologists, and pathologists) will discuss the best treatment approach.\n\n3. **Surgical Planning**: Following the mammary conference, surgical planning will commence. This may include a right mastectomy with axillary lymph node dissection, and the evaluation of sentinel lymph nodes.\n\n4. **Hematoma Management**: The post-intervention hematoma in the upper right quadrant of the right breast would need to be managed. This may involve observation, compression, or, if necessary, further intervention if the hematoma becomes large or symptomatic.\n\n5. **Pathological Review**: The biopsy results and any surgical specimens will be reviewed to confirm the diagnosis and determine the appropriate treatment strategy.\n\n6. **Adjuvant Therapy**: Depending on the histological findings (such as hormone receptor status), adjuvant therapy (e.g., hormone therapy) may be considered.\n\nThese steps are in line with standard clinical practice for the management of DCIS, especially when there is a post-intervention hematoma that may complicate the surgical plan.",
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] |
You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "You are working to train a language model on the information in the following corpus. Your primary goal is to think about practical, real-world tasks or applications that someone could achieve using the knowledge contained within this corpus. Consider how a user might want to apply this information, not just recall it. After considering potential use cases, your task will be to generate a sample question that reflects one of these downstream applications. This question/instruction/task should be something a user, who has access to this corpus, might ask when trying to accomplish their specific goal. Output only a single question. Do NOT include any other text or explanation other than the question.",
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}
|
todo
|
[
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"content": "Summarize the medical section from Linda Mayer's medical record (ID: patient_07) that details her diagnosis of Breast carcinoma, including the findings from the vacuum-assisted biopsy, her histological grade, hormone receptor status, and the current recommendations for further treatment. The section is from the first note in the medical record.",
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"content": "Linda Mayer, born on December 1, 1948, was diagnosed with Breast Carcinoma, specifically Vacuum-assisted biopsy-confirmed Ductal Carcinoma In Situ (DCIS) of the right breast, measuring 17mm. The histological grade is G3, with estrogen receptor (ER) and progesterone receptor (PR) being negative. She is postmenopausal and has a history of appendectomy and hay fever allergies.\n\nThe patient presented for consultation after confirming the DCIS diagnosis through a vacuum-assisted biopsy. A physical examination revealed a post-intervention hematoma in the upper right quadrant of the right breast, though the biopsy clip was not clearly visible. Sonographic examination of the right axilla showed no abnormalities.\n\nCurrent recommendations include conducting imaging studies, scheduling a case presentation for a mammary conference, and planning for surgery, which will involve evaluating sentinel lymph nodes following a right mastectomy and axillary lymph node dissection.",
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "Please generate a single chat message instructing an LLM to summarize a section. Make sure the instruction is explicit about the section that should be summarized and the document it is from.",
"tool_calls": []
}
|
todo
|
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"content": "What inspired you to write this letter about Mrs. Linda Mayer's medical condition?",
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"content": "The letter was written to provide an update on Mrs. Linda Mayer's medical condition to a colleague, likely in the context of a multidisciplinary team discussion or to ensure that all healthcare providers involved in her care are informed about her current status, diagnoses, and the next steps in her treatment plan. The purpose was to share key clinical information, including the confirmed diagnosis of DCIS, her histological findings, surgical history, and the current recommendations for imaging, a mammary conference, and surgical planning. This ensures coordinated and informed care.",
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "You are having a creative conversation inspired by the information in the corpus. Please generate a question for your conversation partner to start off the discussion. Answer only with the question, do not include any other text.",
"tool_calls": []
}
|
todo
|
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"content": "What is the diagnosis of Mrs. Linda Mayer (patient ID: patient_07), born on 1948-12-01, as confirmed by vacuum-assisted biopsy in the right breast on 08/02/2019, and what are the associated histological grade, receptor status, and postmenopausal status?",
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"content": "The diagnosis of Mrs. Linda Mayer (patient ID: patient_07), confirmed by vacuum-assisted biopsy in the right breast on 08/02/2019, is **ductal carcinoma in situ (DCIS)**. \n\nThe associated histological grade is **G3**, and the estrogen receptor (ER) and progesterone receptor (PR) status is **negative**. \n\nThe patient is also noted to be **postmenopausal** for the past eight years.",
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "Generate a question for an LLM that will test its knowledge of the information in the corpus above. In your question be sure to include details (ids, names, titles, dates, etc.) that make it clear what you are asking about. Output only a single question. Do NOT include any other text or explanation other than the question.",
"tool_calls": []
}
|
todo
|
[
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"content": "Can you structure the information in text_1 of the medical record in the following format: JSON? Be sure to include precise information like any dates, times, names, and numerical values.",
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"content": "Sure! Here's the information from **text_1** structured in **JSON** format, with precise details included:\n\n```json\n{\n \"patient_id\": \"patient_07\",\n \"patient_name\": \"Linda Mayer\",\n \"date_of_birth\": \"1948-12-01\",\n \"visit_date\": \"2019-08-02\",\n \"diagnoses\": [\n {\n \"diagnosis\": \"Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of the right breast\",\n \"size\": \"17mm\"\n },\n {\n \"diagnosis\": \"Histological grade G3\",\n \"receptors\": {\n \"estrogen_receptor\": \"negative\",\n \"progesterone_receptor\": \"negative\"\n }\n },\n {\n \"diagnosis\": \"Postmenopausal\"\n },\n {\n \"diagnosis\": \"Previous surgical history: appendectomy\"\n },\n {\n \"diagnosis\": \"Allergies: Hay fever\"\n }\n ],\n \"current_presentation\": \"Consultation following a confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right breast, determined through a vacuum-assisted biopsy.\",\n \"physical_examination\": {\n \"hematoma\": \"Post-intervention hematoma in the upper right quadrant of the right breast\",\n \"biopsy_clip\": \"Not clearly visible\",\n \"axilla_exam\": \"No abnormalities on sonographic examination of the right axilla\"\n },\n \"current_recommendations\": [\n \"Imaging studies have been conducted.\",\n \"A case presentation is scheduled for our mammary conference tomorrow.\",\n \"Planning for surgery will commence, including the evaluation of sentinel lymph nodes following a right mastectomy and axillary lymph node dissection.\"\n ]\n}\n```\n\nThis JSON structure includes all the key information from the medical note, with specific dates, names, numerical values, and precise medical terms. Let me know if you'd like it in a different format or with additional fields!",
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "Please generate a single chat message instructing an LLM to structure the information in JSON. Output only the chat message itself and absolutely nothing else. Make sure it is clear what section and document you are asking about. The message can follow the following template, filling in details from the corpus: \n\n'Can you structure the information in {{subsection}} of {{document}} in the following format: JSON? Be sure to include precise information like any dates, times, names, and numerical values.''",
"tool_calls": []
}
|
todo
|
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "You are working to train a language model on the information in the following corpus. Your primary goal is to think about practical, real-world tasks or applications that someone could achieve using the knowledge contained within this corpus. Consider how a user might want to apply this information, not just recall it. After considering potential use cases, your task will be to generate a sample question that reflects one of these downstream applications. This question/instruction/task should be something a user, who has access to this corpus, might ask when trying to accomplish their specific goal. Output only a single question. Do NOT include any other text or explanation other than the question.",
"tool_calls": []
}
|
todo
|
[
{
"content": "What is the next step in the treatment plan for Mrs. Linda Mayer after the confirmed diagnosis of DCIS and the physical examination findings?",
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"content": "After the confirmed diagnosis of Ductal Carcinoma In Situ (DCIS) and the physical examination findings, the next step in the treatment plan for Mrs. Linda Mayer is:\n\n**1. Imaging Studies:** \nImaging studies have already been conducted, which is a standard next step to assess the extent of the disease and determine the appropriate treatment approach.\n\n**2. Case Presentation for Mammary Conference:** \nA case presentation is scheduled for the mammary conference tomorrow. This is a multidisciplinary discussion involving surgeons, oncologists, radiologists, and pathologists to review the case and determine the most appropriate treatment plan.\n\n**3. Planning for Surgery:** \nFollowing the mammary conference, planning for surgery will commence. This includes evaluating the need for a right mastectomy and axillary lymph node dissection, as well as the evaluation of sentinel lymph nodes.\n\n**4. Further Evaluation of Sentinel Lymph Nodes:** \nIf surgery is planned, the evaluation of sentinel lymph nodes will be part of the preoperative planning to assess the risk of lymph node involvement.\n\nThese steps are in line with standard clinical practice for the management of DCIS, especially in a patient with a confirmed diagnosis, post-intervention hematoma, and negative hormone receptor status.",
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
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"seed_prompt": "You are working to train a language model on the information in the following corpus. Your primary goal is to think about practical, real-world tasks or applications that someone could achieve using the knowledge contained within this corpus. Consider how a user might want to apply this information, not just recall it. After considering potential use cases, your task will be to generate a sample question that reflects one of these downstream applications. This question/instruction/task should be something a user, who has access to this corpus, might ask when trying to accomplish their specific goal. Output only a single question. Do NOT include any other text or explanation other than the question.",
"tool_calls": []
}
|
todo
|
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{
"content": "What is the next step in the treatment plan for Mrs. Linda Mayer after the confirmation of DCIS and the physical examination findings?",
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"content": "After the confirmation of Ductal Carcinoma In Situ (DCIS) and the physical examination findings, the next step in the treatment plan for Mrs. Linda Mayer is:\n\n**Scheduling a case presentation for the mammary conference** to discuss the case and determine the most appropriate treatment approach. Following this, **planning for surgery** will commence, which includes evaluating **sentinel lymph nodes** after a **right mastectomy** and **axillary lymph node dissection**.\n\nThis sequence reflects a standard approach to managing DCIS, especially when there are findings such as a post-intervention hematoma and the need to evaluate lymph node status.",
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "You are working to train a language model on the information in the following corpus. Your primary goal is to think about practical, real-world tasks or applications that someone could achieve using the knowledge contained within this corpus. Consider how a user might want to apply this information, not just recall it. After considering potential use cases, your task will be to generate a sample question that reflects one of these downstream applications. This question/instruction/task should be something a user, who has access to this corpus, might ask when trying to accomplish their specific goal. Output only a single question. Do NOT include any other text or explanation other than the question.",
"tool_calls": []
}
|
todo
|
[
{
"content": "What is the next step in the treatment plan for Mrs. Linda Mayer after the confirmation of DCIS and the post-intervention hematoma?",
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"content": "After the confirmation of Ductal Carcinoma In Situ (DCIS) and the presence of a post-intervention hematoma, the next steps in the treatment plan for Mrs. Linda Mayer would likely include:\n\n1. **Imaging Studies**: Further imaging, such as mammography or MRI, may be performed to assess the extent of the DCIS and to ensure there are no other areas of concern.\n\n2. **Mammary Conference**: As mentioned in the note, a case presentation is scheduled for a mammary conference, where a multidisciplinary team (including surgeons, oncologists, radiologists, and pathologists) will discuss the best treatment approach.\n\n3. **Surgical Planning**: Following the mammary conference, surgical planning will commence. This may include a right mastectomy with axillary lymph node dissection, and the evaluation of sentinel lymph nodes.\n\n4. **Hematoma Management**: The post-intervention hematoma in the upper right quadrant of the right breast would need to be managed. This may involve observation, compression, or, if necessary, further intervention if the hematoma becomes large or symptomatic.\n\n5. **Pathological Review**: The biopsy results and any surgical specimens will be reviewed to confirm the diagnosis and determine the appropriate treatment strategy.\n\n6. **Adjuvant Therapy**: Depending on the histological findings (such as hormone receptor status), adjuvant therapy (e.g., hormone therapy) may be considered.\n\nThese steps are in line with standard clinical practice for the management of DCIS, especially when there is a post-intervention hematoma that may complicate the surgical plan.",
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] |
You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "You are working to train a language model on the information in the following corpus. Your primary goal is to think about practical, real-world tasks or applications that someone could achieve using the knowledge contained within this corpus. Consider how a user might want to apply this information, not just recall it. After considering potential use cases, your task will be to generate a sample question that reflects one of these downstream applications. This question/instruction/task should be something a user, who has access to this corpus, might ask when trying to accomplish their specific goal. Output only a single question. Do NOT include any other text or explanation other than the question.",
"tool_calls": []
}
|
todo
|
[
{
"content": "Can you structure the information in {{text_1}} of {{info}} in the following format: plain text? Be sure to include precise information like any dates, times, names, and numerical values.",
"role": "user",
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"content": "Certainly. Here is the information from {{text_1}} of {{info}} structured in plain text format, including all precise details:\n\n---\n\n**Patient Name:** Linda Mayer \n**Date of Birth:** 1948-12-01 \n**Consultation Date:** 08/02/2019 \n\n**Diagnoses:** \n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of the right breast (17mm) \n- Histological grade G3 \n- Estrogen receptor (ER) and progesterone receptor (PR) negative \n- Postmenopausal for the past eight years \n- Previous surgical history: appendectomy \n- Allergies: Hay fever \n\n**Current Presentation:** \nThe patient sought consultation following a confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right breast, which was determined through a vacuum-assisted biopsy. \n\n**Physical Examination:** \n- Evidence of a post-intervention hematoma in the upper right quadrant of the right breast. \n- The clip from the biopsy is not clearly visible. \n- Sonographic examination of the right axilla reveals no abnormalities. \n\n**Current Recommendations:** \n- Imaging studies have been conducted. \n- A case presentation is scheduled for the mammary conference tomorrow. \n- Planning for surgery will commence, including the evaluation of sentinel lymph nodes following a right mastectomy and axillary lymph node dissection. \n\n--- \n\nLet me know if you need this in any other format.",
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "Please generate a single chat message instructing an LLM to structure the information in plain text. Output only the chat message itself and absolutely nothing else. Make sure it is clear what section and document you are asking about. The message can follow the following template, filling in details from the corpus: \n\n'Can you structure the information in {{subsection}} of {{document}} in the following format: plain text? Be sure to include precise information like any dates, times, names, and numerical values.''",
"tool_calls": []
}
|
todo
|
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"content": "I wrote this letter to my colleague to provide a comprehensive update on Mrs. Linda Mayer's medical condition and to ensure that we are aligned on the next steps in her care. The purpose of the letter was to share the key details of her diagnosis, current presentation, and the planned treatment approach. \n\nMrs. Mayer has been diagnosed with DCIS (Ductal Carcinoma In Situ) of the right breast, confirmed through a vacuum-assisted biopsy. The findings indicate a postmenopausal patient with a histological grade G3 tumor that is ER and PR negative. This information is critical for determining the appropriate treatment strategy.\n\nThe letter also outlines the physical findings, including a post-intervention hematoma and the need for further imaging and a mammary conference to discuss the case. It is important to communicate these details to ensure that we are prepared for the upcoming surgical planning, including the evaluation of sentinel lymph nodes following a right mastectomy and axillary lymph node dissection.\n\nBy sharing this information, I aim to facilitate a coordinated and informed approach to Mrs. Mayer's care, ensuring that all relevant details are considered in her treatment plan.",
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You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "You are having a creative conversation inspired by the information in the corpus. Please generate a question for your conversation partner to start off the discussion. Answer only with the question, do not include any other text.",
"tool_calls": []
}
|
todo
|
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"content": "Please summarize the medical note titled \"text_1\" for patient ID \"patient_07\", whose full name is Linda Mayer, born on 1948-12-01. The note was written on 2019-02-08 and provides the following key information:\n\n- **Diagnoses**: Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of the right breast (17mm), histological grade G3, estrogen receptor (ER) and progesterone receptor (PR) negative, postmenopausal for the past eight years, previous appendectomy, allergies: hay fever.\n\n- **Current Presentation**: Consultation following confirmed diagnosis of DCIS in the right breast via vacuum-assisted biopsy.\n\n- **Physical Examination**: Post-intervention hematoma in the upper right quadrant of the right breast, biopsy clip not clearly visible, no abnormalities in the right axilla on sonographic examination.\n\n- **Current Recommendations**: Imaging studies conducted, case presentation scheduled for mammary conference tomorrow, planning for surgery including evaluation of sentinel lymph nodes following right mastectomy and axillary lymph node dissection.\n\nSummarize this section in a concise, structured manner, ensuring all relevant details including dates, diagnoses, and recommendations are included.",
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"content": "**Patient Summary: Linda Mayer (ID: patient_07)** \n**Date of Birth:** 1948-12-01 \n**Date of Note:** 2019-02-08 \n\n**Diagnoses:** \n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of the right breast (17mm) \n- Histological grade G3 \n- Estrogen receptor (ER) and progesterone receptor (PR) negative \n- Postmenopausal for the past eight years \n- Previous appendectomy \n- Allergies: Hay fever \n\n**Current Presentation:** \nConsultation following confirmed diagnosis of DCIS in the right breast via vacuum-assisted biopsy. \n\n**Physical Examination:** \n- Post-intervention hematoma in the upper right quadrant of the right breast \n- Biopsy clip not clearly visible \n- No abnormalities in the right axilla on sonographic examination \n\n**Current Recommendations:** \n- Imaging studies have been conducted \n- Case presentation scheduled for mammary conference tomorrow \n- Planning for surgery, including evaluation of sentinel lymph nodes following right mastectomy and axillary lymph node dissection.",
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] |
You are in a conversation about the following user information.
<info>
Below is a section of Linda Mayer's medical record (ID: patient_07).
They were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.
The patients medical record consists of 7 notes.
<text_1>
**Dear colleague, **
We are writing to provide you with an update on the medical condition of
Mrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic
on 08/02/2019.
**Diagnoses:**
- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of
the right breast (17mm)
- Histological grade G3, estrogen receptor (ER) and progesterone
receptor (PR) negative.
- Postmenopausal for the past eight years.
- Previous surgical history includes an appendectomy.
- Allergies: Hay fever
**Current Presentation**: The patient sought consultation following a
confirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right
breast, which was determined through a vacuum-assisted biopsy.
**Physical Examination**: Upon physical examination, there is evidence
of a post-intervention hematoma located in the upper right quadrant of
the right breast. However, the clip from the biopsy is not clearly
visible. A sonographic examination of the right axilla reveals no
abnormalities.
**Current Recommendations:**
- Imaging studies have been conducted.
- A case presentation is scheduled for our mammary conference
tomorrow.
- Subsequently, planning for surgery will commence, including the
evaluation of sentinel lymph nodes following a right mastectomy and
axillary lymph node dissection.
</text_1>
</info>
|
{
"initial_system_prompt": "\nYou are in a conversation about the following user information.\n\n<info>\nBelow is a section of Linda Mayer's medical record (ID: patient_07). \nThey were born on 1948-12-01 00:00:00 and have the following diagnosis: Breast carcinoma.\nThe patients medical record consists of 7 notes.\n<text_1>\n**Dear colleague, **\n\nWe are writing to provide you with an update on the medical condition of\nMrs. Linda Mayer, born on 01/12/1948, who attended our outpatient clinic\non 08/02/2019.\n\n**Diagnoses:**\n\n- Vacuum-assisted biopsy-confirmed ductal carcinoma in situ (DCIS) of\n the right breast (17mm)\n\n- Histological grade G3, estrogen receptor (ER) and progesterone\n receptor (PR) negative.\n\n- Postmenopausal for the past eight years.\n\n- Previous surgical history includes an appendectomy.\n\n- Allergies: Hay fever\n\n \n\n**Current Presentation**: The patient sought consultation following a\nconfirmed diagnosis of DCIS (Ductal Carcinoma In Situ) in the right\nbreast, which was determined through a vacuum-assisted biopsy.\n\n**Physical Examination**: Upon physical examination, there is evidence\nof a post-intervention hematoma located in the upper right quadrant of\nthe right breast. However, the clip from the biopsy is not clearly\nvisible. A sonographic examination of the right axilla reveals no\nabnormalities.\n\n**Current Recommendations:**\n\n- Imaging studies have been conducted.\n\n- A case presentation is scheduled for our mammary conference\n tomorrow.\n\n- Subsequently, planning for surgery will commence, including the\n evaluation of sentinel lymph nodes following a right mastectomy and\n axillary lymph node dissection.\n\n\n</text_1>\n</info>",
"seed_prompt": "Please generate a single chat message instructing an LLM to summarize part of the corpus. Make sure the instruction is very explicit about the section of the corpus that you want to summarize. Include details (ids, names, titles, dates, etc.) that make it clear what you are asking about. ",
"tool_calls": []
}
|
todo
|
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