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The dataset generation failed
Error code: DatasetGenerationError
Exception: CastError
Message: Couldn't cast
item_id: string
source_component: string
source_dataset: string
try_count: int64
frame: string
patient_case: bool
opening: string
facts: list<item: struct<id: string, text: string, channel: string, pivotal: bool>>
child 0, item: struct<id: string, text: string, channel: string, pivotal: bool>
child 0, id: string
child 1, text: string
child 2, channel: string
child 3, pivotal: bool
question: string
final_answer: string
options: list<item: string>
child 0, item: string
gold_label: string
gold_text: string
meta: struct<model: string, frame_prompt: string, extract_prompt: string, timestamp: string, answer_prompt (... 9 chars omitted)
child 0, model: string
child 1, frame_prompt: string
child 2, extract_prompt: string
child 3, timestamp: string
child 4, answer_prompt: string
answer_summary: string
answer_points: list<item: struct<id: string, text: string, depends_on: list<item: string>>>
child 0, item: struct<id: string, text: string, depends_on: list<item: string>>
child 0, id: string
child 1, text: string
child 2, depends_on: list<item: string>
child 0, item: string
pivotal_derived: list<item: string>
child 0, item: string
coverage_gaps: list<item: string>
child 0, item: string
repairs_applied: list<item: string>
child 0, item: string
usage: null
examinations: int64
pivotal_missed_ids_est: list<item: string>
child 0, item: string
pivotal_disclosed_est: int64
turns_used: int64
conclusion: string
messages: list<item: struct<role: string, content: string>>
child 0, item: struct<role: string, content: string>
child 0, role: string
child 1, content: string
concluded_by_doctor: bool
questions_asked: int64
facts_observed: int64
facts_disclosed_est: int64
facts_disclosed_ratio_est: double
facts_withheld: int64
pivotal_total: int64
facts_spoken: int64
fabricated_results: int64
facts_total: int64
target_kind: string
closing_brief_used: bool
tag_retries: int64
to
{'item_id': Value('string'), 'source_component': Value('string'), 'frame': Value('string'), 'patient_case': Value('bool'), 'question': Value('string'), 'gold_text': Value('string'), 'answer_summary': Value('string'), 'target_kind': Value('string'), 'messages': List({'role': Value('string'), 'content': Value('string')}), 'conclusion': Value('string'), 'concluded_by_doctor': Value('bool'), 'closing_brief_used': Value('bool'), 'tag_retries': Value('int64'), 'fabricated_results': Value('int64'), 'turns_used': Value('int64'), 'questions_asked': Value('int64'), 'examinations': Value('int64'), 'facts_total': Value('int64'), 'facts_spoken': Value('int64'), 'facts_observed': Value('int64'), 'facts_withheld': Value('int64'), 'facts_disclosed_est': Value('int64'), 'facts_disclosed_ratio_est': Value('float64'), 'pivotal_total': Value('int64'), 'pivotal_disclosed_est': Value('int64'), 'pivotal_missed_ids_est': List(Value('string')), 'usage': Json(decode=True)}
because column names don't match
Traceback: Traceback (most recent call last):
File "/usr/local/lib/python3.14/site-packages/datasets/builder.py", line 1816, in _prepare_split_single
for key, table in generator:
^^^^^^^^^
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 613, in wrapped
for item in generator(*args, **kwargs):
~~~~~~~~~^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.14/site-packages/datasets/packaged_modules/json/json.py", line 343, in _generate_tables
self._cast_table(pa_table, json_field_paths=json_field_paths),
~~~~~~~~~~~~~~~~^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.14/site-packages/datasets/packaged_modules/json/json.py", line 132, in _cast_table
pa_table = table_cast(pa_table, self.info.features.arrow_schema)
File "/usr/local/lib/python3.14/site-packages/datasets/table.py", line 2369, in table_cast
return cast_table_to_schema(table, schema)
File "/usr/local/lib/python3.14/site-packages/datasets/table.py", line 2297, in cast_table_to_schema
raise CastError(
...<3 lines>...
)
datasets.table.CastError: Couldn't cast
item_id: string
source_component: string
source_dataset: string
try_count: int64
frame: string
patient_case: bool
opening: string
facts: list<item: struct<id: string, text: string, channel: string, pivotal: bool>>
child 0, item: struct<id: string, text: string, channel: string, pivotal: bool>
child 0, id: string
child 1, text: string
child 2, channel: string
child 3, pivotal: bool
question: string
final_answer: string
options: list<item: string>
child 0, item: string
gold_label: string
gold_text: string
meta: struct<model: string, frame_prompt: string, extract_prompt: string, timestamp: string, answer_prompt (... 9 chars omitted)
child 0, model: string
child 1, frame_prompt: string
child 2, extract_prompt: string
child 3, timestamp: string
child 4, answer_prompt: string
answer_summary: string
answer_points: list<item: struct<id: string, text: string, depends_on: list<item: string>>>
child 0, item: struct<id: string, text: string, depends_on: list<item: string>>
child 0, id: string
child 1, text: string
child 2, depends_on: list<item: string>
child 0, item: string
pivotal_derived: list<item: string>
child 0, item: string
coverage_gaps: list<item: string>
child 0, item: string
repairs_applied: list<item: string>
child 0, item: string
usage: null
examinations: int64
pivotal_missed_ids_est: list<item: string>
child 0, item: string
pivotal_disclosed_est: int64
turns_used: int64
conclusion: string
messages: list<item: struct<role: string, content: string>>
child 0, item: struct<role: string, content: string>
child 0, role: string
child 1, content: string
concluded_by_doctor: bool
questions_asked: int64
facts_observed: int64
facts_disclosed_est: int64
facts_disclosed_ratio_est: double
facts_withheld: int64
pivotal_total: int64
facts_spoken: int64
fabricated_results: int64
facts_total: int64
target_kind: string
closing_brief_used: bool
tag_retries: int64
to
{'item_id': Value('string'), 'source_component': Value('string'), 'frame': Value('string'), 'patient_case': Value('bool'), 'question': Value('string'), 'gold_text': Value('string'), 'answer_summary': Value('string'), 'target_kind': Value('string'), 'messages': List({'role': Value('string'), 'content': Value('string')}), 'conclusion': Value('string'), 'concluded_by_doctor': Value('bool'), 'closing_brief_used': Value('bool'), 'tag_retries': Value('int64'), 'fabricated_results': Value('int64'), 'turns_used': Value('int64'), 'questions_asked': Value('int64'), 'examinations': Value('int64'), 'facts_total': Value('int64'), 'facts_spoken': Value('int64'), 'facts_observed': Value('int64'), 'facts_withheld': Value('int64'), 'facts_disclosed_est': Value('int64'), 'facts_disclosed_ratio_est': Value('float64'), 'pivotal_total': Value('int64'), 'pivotal_disclosed_est': Value('int64'), 'pivotal_missed_ids_est': List(Value('string')), 'usage': Json(decode=True)}
because column names don't match
The above exception was the direct cause of the following exception:
Traceback (most recent call last):
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1369, in compute_config_parquet_and_info_response
parquet_operations, partial, estimated_dataset_info = stream_convert_to_parquet(
~~~~~~~~~~~~~~~~~~~~~~~~~^
builder, max_dataset_size_bytes=max_dataset_size_bytes
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
)
^
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 948, in stream_convert_to_parquet
builder._prepare_split(split_generator=splits_generators[split], file_format="parquet")
~~~~~~~~~~~~~~~~~~~~~~^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.14/site-packages/datasets/builder.py", line 1683, in _prepare_split
for job_id, done, content in self._prepare_split_single(
~~~~~~~~~~~~~~~~~~~~~~~~~~^
gen_kwargs=gen_kwargs, job_id=job_id, **_prepare_split_args
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
):
^
File "/usr/local/lib/python3.14/site-packages/datasets/builder.py", line 1869, in _prepare_split_single
raise DatasetGenerationError("An error occurred while generating the dataset") from e
datasets.exceptions.DatasetGenerationError: An error occurred while generating the datasetNeed help to make the dataset viewer work? Make sure to review how to configure the dataset viewer, and open a discussion for direct support.
item_id string | source_component string | frame string | patient_case bool | question string | gold_text string | answer_summary string | target_kind string | messages list | conclusion string | concluded_by_doctor bool | closing_brief_used bool | tag_retries int64 | fabricated_results int64 | turns_used int64 | questions_asked int64 | examinations int64 | facts_total int64 | facts_spoken int64 | facts_observed int64 | facts_withheld int64 | facts_disclosed_est int64 | facts_disclosed_ratio_est float64 | pivotal_total int64 | pivotal_disclosed_est int64 | pivotal_missed_ids_est list | usage unknown |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
curated_qa-00000315 | curated_qa | proxy | true | Further evaluation of this patient is most likely to show which of the following findings? | Elevated blood urea nitrogen concentration | The brief loss of consciousness is due to dehydration‑related orthostatic hypotension, which causes prerenal azotemia manifested by an elevated blood urea nitrogen concentration. | gold_text | [
{
"role": "user",
"content": "My 82-year-old mother was brought to the emergency department after losing consciousness."
},
{
"role": "assistant",
"content": "I would like to review her emergency department chart and see what investigations have been done so far, including any vital signs that w... | Further evaluation of this patient is most likely to show findings consistent with dehydration, possibly leading to orthostatic hypotension, as evidenced by her dry tongue, delayed skin turgor, low diastolic blood pressure, and symptoms of dizziness and brief loss of consciousness after standing up, which are all sugge... | true | false | 0 | 0 | 8 | 3 | 4 | 13 | 7 | 6 | 0 | 9 | 0.692 | 9 | 7 | [
"f05",
"f06"
] | {
"doctor": {
"input_tokens": 8768,
"output_tokens": 512
},
"records": {
"input_tokens": 3299,
"output_tokens": 205
},
"asker": {
"input_tokens": 2726,
"output_tokens": 74
}
} |
curated_qa-00000404 | curated_qa | patient | true | How long will it take for the swelling to go away? | Other problems that may occur include: Depression Hyperactive behavior, especially in children Difficult to treat high blood pressure Leg swelling (if severe) | Using CPAP will gradually reduce the swelling caused by obstructive sleep apnea, with most people seeing improvement within the first few weeks and full resolution typically by 2–3 months if the machine is used consistently. | gold_text | [
{
"role": "user",
"content": "I have swelling."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical record to see if any investigations or tests have been done so far, and to check if there are any relevant medical history, allergies, or current medications that co... | Based on the information provided, it's likely that the swelling is related to the sleep apnea, and the use of the CPAP machine may help alleviate it. Typically, it can take a few weeks to a few months to notice significant improvements in symptoms related to sleep apnea, including swelling. Assuming the CPAP machine i... | true | false | 0 | 0 | 9 | 5 | 3 | 5 | 5 | 0 | 0 | 5 | 1 | 2 | 2 | [] | {
"doctor": {
"input_tokens": 9171,
"output_tokens": 511
},
"records": {
"input_tokens": 1830,
"output_tokens": 61
},
"asker": {
"input_tokens": 4676,
"output_tokens": 256
}
} |
curated_qa-00000428 | curated_qa | patient | true | Any ideas on what it could be or what I should do about it? | It is arm lump? An arm lump is a protuberance or localized area of swelling occurring on the arm. Other terms used to describe the various types of lumps include bump, nodule, contusion, tumor and cyst. Arm lumps can be caused by any number of conditions, including infections, inflammation, tumors or trauma. Depending... | The nodule is most likely a chronic foreign‑body reaction to a BB (or a calcified scar) and should be evaluated with imaging and, if indicated, surgically removed by a hand/upper‑extremity specialist. | gold_text | [
{
"role": "user",
"content": "I have a knot about the size of a BB in my right forearm."
},
{
"role": "assistant",
"content": "Can you tell me more about when you first noticed this knot and if you've experienced any pain, swelling, or other symptoms in your forearm?"
},
{
"role": "user"... | Based on the patient's history of a long-standing knot in the forearm that has been worsening in pain, and the previous suspicion by doctors that it might be a retained BB, I think it's possible that the knot could be a benign growth, such as a lipoma, or a retained foreign object, such as a BB. The fact that it moves ... | true | false | 0 | 0 | 10 | 5 | 4 | 10 | 10 | 0 | 0 | 8 | 0.8 | 6 | 5 | [
"f01"
] | {
"doctor": {
"input_tokens": 10785,
"output_tokens": 550
},
"asker": {
"input_tokens": 5095,
"output_tokens": 252
},
"records": {
"input_tokens": 2581,
"output_tokens": 50
}
} |
curated_qa-00000822 | curated_qa | patient | true | What is the best explanation for this patient’s findings? | Mutation of the MEN1 gene | The patient’s hypercalcemia, duodenal/jejunal ulcers, and pituitary‑related signs are explained by multiple endocrine neoplasia type 1 caused by a germline MEN1 gene mutation. | gold_text | [
{
"role": "user",
"content": "I am a 56-year-old man and I have abdominal pain."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical record to see if there are any existing diagnoses, medications, or previous test results that may be relevant to the current complai... | Based on the patient's symptoms of abdominal pain, foggy thinking, and the physical examination findings of bilateral hemianopsia, gynecomastia, and diffuse epigastric tenderness, combined with the laboratory results showing a high serum calcium level and the upper endoscopy showing ulcerations in the duodenum and jeju... | true | false | 0 | 1 | 7 | 2 | 4 | 22 | 11 | 11 | 0 | 12 | 0.545 | 8 | 4 | [
"f02",
"f05",
"f10",
"f11"
] | {
"doctor": {
"input_tokens": 7846,
"output_tokens": 553
},
"records": {
"input_tokens": 3222,
"output_tokens": 143
},
"asker": {
"input_tokens": 1675,
"output_tokens": 94
}
} |
curated_qa-00000898 | curated_qa | patient | true | Which of the following is the most likely mechanism of this patient's diarrhea? | Luminal chloride hypersecretion due to overactivation of adenylate cyclase | The diarrhea is caused by Vibrio cholerae infection; its cholera toxin ADP‑ribosylates Gs α‑subunit, over‑activating adenylate cyclase, which drives chloride hypersecretion into the lumen. | gold_text | [
{
"role": "user",
"content": "I am a 17-year-old girl and I have watery diarrhea."
},
{
"role": "assistant",
"content": "I would like to see her medical chart and know what investigations have been done so far, such as stool tests, complete blood count, or any other relevant laboratory results, ... | The most likely mechanism of this patient's diarrhea is a secretory diarrhea, caused by the production of cholera toxin from the gram-negative, comma-shaped, flagellated bacilli (Vibrio cholerae) found in the stool culture. This type of diarrhea is characterized by a large volume of watery stools, often without fever, ... | true | false | 0 | 0 | 6 | 2 | 3 | 11 | 5 | 6 | 0 | 9 | 0.818 | 1 | 1 | [] | {
"doctor": {
"input_tokens": 5782,
"output_tokens": 401
},
"records": {
"input_tokens": 2160,
"output_tokens": 154
},
"asker": {
"input_tokens": 1660,
"output_tokens": 69
}
} |
curated_qa-00000899 | curated_qa | patient | true | In addition to educating me about my contraception options, what is the best next step in my care? | No HPV-related screening and administer HPV vaccine | No cervical cancer screening is indicated now; the patient should be offered the HPV vaccine. | gold_text | [
{
"role": "user",
"content": "I'm a 16-year-old girl here for my annual check-up."
},
{
"role": "assistant",
"content": "I would like to review your medical record to see what information is already available, including any previous test results, vaccinations, and medical history, to get a bette... | In addition to educating you about your contraception options, the best next step in your care would be to discuss the various birth control methods available, such as hormonal pills, patches, rings, IUDs, or implants, and determine which one might be the best fit for you based on your medical history, lifestyle, and p... | true | false | 0 | 0 | 9 | 4 | 4 | 12 | 12 | 0 | 0 | 4 | 0.333 | 1 | 0 | [
"f07"
] | {
"doctor": {
"input_tokens": 9179,
"output_tokens": 494
},
"records": {
"input_tokens": 2576,
"output_tokens": 60
},
"asker": {
"input_tokens": 3722,
"output_tokens": 206
}
} |
curated_qa-00001145 | curated_qa | colleague | true | Which of the following complications is the patient at most risk for if she becomes pregnant? | Placenta abruptio | The macrocytic anemia with high homocysteine indicates folate deficiency, which creates a hypercoagulable state that predisposes to placental vascular problems, making placental abruption the complication she is most at risk for if she becomes pregnant. | gold_text | [
{
"role": "user",
"content": "I am a primary care physician seeing a 21-year-old woman for prenatal counseling."
},
{
"role": "assistant",
"content": "What is her current medical history, including any pre-existing conditions, allergies, and previous pregnancies or births, as documented in her m... | Based on the patient's low BMI of 17.5, indicating underweight status, low hemoglobin level of 10.2 g/dL, suggesting anemia, elevated MCV of 102 µm³, indicating macrocytic anemia, and elevated serum homocysteine levels, the patient is at risk for complications related to malnutrition and anemia in pregnancy. These cond... | true | false | 0 | 0 | 8 | 3 | 4 | 7 | 3 | 4 | 0 | 6 | 0.857 | 4 | 4 | [] | {
"doctor": {
"input_tokens": 8451,
"output_tokens": 510
},
"records": {
"input_tokens": 2884,
"output_tokens": 165
},
"asker": {
"input_tokens": 2487,
"output_tokens": 181
}
} |
curated_qa-00001356 | curated_qa | colleague | true | Which of the following is the most likely underlying cause of this patient's symptoms? | Müllerian duct agenesis | Müllerian duct agenesis is the most likely underlying cause of the patient’s symptoms. | gold_text | [
{
"role": "user",
"content": "I have a 17-year-old girl with no menstrual period."
},
{
"role": "assistant",
"content": "I would like to review her medical history and see if any investigations or tests have been done so far, particularly any relevant laboratory results or imaging studies, to un... | Based on the presence of ovaries on ultrasonography, normal breast development, and a blind vaginal pouch on pelvic examination, along with the absence of a uterus, I believe the most likely underlying cause of this patient's symptoms is Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, a congenital condition characteriz... | true | false | 0 | 0 | 7 | 2 | 4 | 5 | 1 | 4 | 0 | 5 | 1 | 4 | 4 | [] | {
"doctor": {
"input_tokens": 6475,
"output_tokens": 439
},
"records": {
"input_tokens": 2791,
"output_tokens": 68
},
"asker": {
"input_tokens": 1489,
"output_tokens": 59
}
} |
curated_qa-00001579 | curated_qa | colleague | true | Which of the following is the most appropriate next step in the management of this patient? | Schedule lobectomy | The expert concluded that the patient should undergo a left lower‑lobe lobectomy as the next step in management. | gold_text | [
{
"role": "user",
"content": "I am a physician seeing a 62-year-old man for a follow-up examination."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical chart to see what was the initial reason for his visit, what diagnoses were made, what treatments were prescrib... | Based on the available information, the patient has a new diagnosis of stage II adenocarcinoma of the left lower lung lobe, and he is presenting with inspiratory wheezing at the left lung base and lethargy. Given the lack of a treatment plan and the patient's recent diagnosis, the most appropriate next step in manageme... | true | false | 0 | 0 | 10 | 3 | 6 | 25 | 8 | 17 | 0 | 17 | 0.68 | 11 | 11 | [] | {
"doctor": {
"input_tokens": 12055,
"output_tokens": 645
},
"records": {
"input_tokens": 5809,
"output_tokens": 346
},
"asker": {
"input_tokens": 2614,
"output_tokens": 124
}
} |
curated_qa-00001721 | curated_qa | colleague | true | A biopsy specimen of the kidney is most likely to show which of the following light microscopy findings? | Fibrin crescents in Bowman space | The kidney biopsy will show fibrin‑filled crescents occupying Bowman's space, which is the hallmark of rapidly progressive crescentic glomerulonephritis seen in Goodpasture disease. | gold_text | [
{
"role": "user",
"content": "I am a physician seeing a 22-year-old man with cough."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical chart and see what investigations have been done so far, such as laboratory tests, imaging studies, or any previous diagnoses or... | Given the patient's symptoms of cough with blood-tinged sputum, decreased urine output, and elevated serum creatinine level, along with the physical examination finding of dried blood around the lips, I suspect that the patient has a condition affecting both the lungs and kidneys, such as Goodpasture's syndrome or anot... | true | false | 0 | 0 | 7 | 2 | 4 | 11 | 6 | 5 | 0 | 8 | 0.727 | 4 | 3 | [
"f02"
] | {
"doctor": {
"input_tokens": 6767,
"output_tokens": 468
},
"records": {
"input_tokens": 2869,
"output_tokens": 112
},
"asker": {
"input_tokens": 1639,
"output_tokens": 98
}
} |
curated_qa-00001767 | curated_qa | patient | true | Which blood test is best to diagnose his suspected disorder? | IGF-1 level | The patient's findings are classic for acromegaly, and the most appropriate initial screening test is a measurement of IGF‑1 (insulin‑like growth factor‑1) level. | gold_text | [
{
"role": "user",
"content": "I’m a 45-year-old man and my wrist hurts."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical history and see if any investigations, such as X-rays, blood tests, or doctor's notes, have been done so far to assess the wrist pain."
},... | Based on the patient's symptoms of wrist pain, suspected carpal tunnel syndrome, outgrowing gloves and hats, new onset of mild hypertension, and hyperglycemia, I suspect that the patient may have acromegaly, a condition caused by excess growth hormone production. The best blood test to diagnose this suspected disorder ... | true | false | 0 | 0 | 7 | 3 | 3 | 6 | 4 | 2 | 0 | 3 | 0.5 | 6 | 3 | [
"f03",
"f04",
"f06"
] | {
"doctor": {
"input_tokens": 6608,
"output_tokens": 425
},
"records": {
"input_tokens": 1889,
"output_tokens": 96
},
"asker": {
"input_tokens": 2478,
"output_tokens": 111
}
} |
curated_qa-00001811 | curated_qa | patient | true | Which is the most appropriate next step in management? | Colonoscopy | The most appropriate next step is to perform a colonoscopy with biopsies to evaluate for inflammatory bowel disease. | gold_text | [
{
"role": "user",
"content": "I'm a 26-year-old man and I'm feeling increasingly tired."
},
{
"role": "assistant",
"content": "I would like to review your medical history and see if there have been any previous investigations or diagnoses that could be relevant to your current symptoms, such as ... | Based on the patient's symptoms of fatigue, abdominal pain, diarrhea, and the physical examination findings of tenderness in the lower quadrants, dry mucous membranes, and stool mixed with blood, I suspect that the patient may have an inflammatory bowel disease such as ulcerative colitis or Crohn's disease. The most ap... | true | false | 0 | 0 | 8 | 2 | 5 | 16 | 6 | 10 | 0 | 12 | 0.75 | 1 | 1 | [] | {
"doctor": {
"input_tokens": 8048,
"output_tokens": 478
},
"records": {
"input_tokens": 4120,
"output_tokens": 164
},
"asker": {
"input_tokens": 1685,
"output_tokens": 80
}
} |
curated_qa-00001876 | curated_qa | proxy | true | Which of the following metabolites is most likely to be increased in this patient? | Galactose-1-phosphate | The infant’s findings are classic for galactosemia, so the metabolite that will be increased is galactose‑1‑phosphate. | gold_text | [
{
"role": "user",
"content": "My 7‑day‑old daughter is lethargic."
},
{
"role": "assistant",
"content": "I would like to review her birth records and see if any laboratory tests or examinations have been done so far, particularly her complete blood count, blood glucose, and electrolyte levels, t... | Based on the information available, including the low serum glucose concentration, poor feeding, lethargy, vomiting, and hepatomegaly (enlarged liver), I suspect a metabolic disorder such as maple syrup urine disease or a fatty acid oxidation disorder is unlikely given the lack of specific test results, but a disorder ... | true | false | 0 | 0 | 8 | 2 | 5 | 11 | 4 | 7 | 0 | 4 | 0.364 | 7 | 2 | [
"f01",
"f06",
"f07",
"f08",
"f10"
] | {
"doctor": {
"input_tokens": 7709,
"output_tokens": 470
},
"records": {
"input_tokens": 3838,
"output_tokens": 139
},
"asker": {
"input_tokens": 1510,
"output_tokens": 37
}
} |
curated_qa-00002140 | curated_qa | colleague | true | Which of the following best explains the mechanism underlying the development of the complication the physician is talking about? | Molecular mimicry | The child’s findings are classic for scarlet fever caused by Streptococcus pyogenes, and the serious long‑term complication of rheumatic fever occurs because molecular mimicry makes the immune response cross‑react with the patient’s own tissues. | gold_text | [
{
"role": "user",
"content": "I am seeing a 5-year-old boy in my pediatric clinic with a rash."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical chart and see what information has already been recorded, including the history of present illness, vital signs, and ... | Based on the sandpapery rash, exudative pharyngitis, and the recommendation for empiric antibiotic therapy, I suspect that the child has Scarlet Fever, which is caused by Group A beta-hemolytic streptococcus. If left untreated, Scarlet Fever can lead to complications such as Rheumatic Fever, which can cause long-term d... | true | false | 0 | 0 | 6 | 2 | 3 | 12 | 4 | 8 | 0 | 9 | 0.75 | 7 | 6 | [
"f01"
] | {
"doctor": {
"input_tokens": 5780,
"output_tokens": 389
},
"records": {
"input_tokens": 2172,
"output_tokens": 161
},
"asker": {
"input_tokens": 1571,
"output_tokens": 71
}
} |
curated_qa-00002564 | curated_qa | patient | true | Which of the following is the most likely diagnosis in this patient? | Testicular tumor | The most likely diagnosis is a testicular tumor. | gold_text | [
{
"role": "user",
"content": "I am a 25-year-old man and I have a painless swelling in my right scrotum."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical history and any previous examinations or test results that have been recorded, specifically looking for any... | Based on the patient's recent onset of a painless swelling in the right scrotum, the physical examination finding of a solid mass in the right testis that is firm and nontender, and the lack of transillumination (the light not shining through), I suspect that the most likely diagnosis is a testicular tumor, possibly a ... | true | false | 0 | 0 | 6 | 1 | 4 | 16 | 7 | 9 | 0 | 5 | 0.312 | 3 | 2 | [
"f15"
] | {
"doctor": {
"input_tokens": 5524,
"output_tokens": 410
},
"records": {
"input_tokens": 3162,
"output_tokens": 114
},
"asker": {
"input_tokens": 818,
"output_tokens": 21
}
} |
curated_qa-00002652 | curated_qa | patient | true | Which of the following is the most likely cause of his symptoms? | Hepatic vein obstruction | The most likely cause of his symptoms is obstruction of the hepatic veins (Budd‑Chiari syndrome). | gold_text | [
{
"role": "user",
"content": "I am a 72-year-old man in the emergency department with abdominal pain."
},
{
"role": "assistant",
"content": "I would like to review the patient's emergency department chart and see what vital signs have been recorded so far, such as blood pressure, pulse, temperat... | Based on the patient's symptoms of steady right upper quadrant abdominal pain, jaundice, hepatomegaly, and elevated liver enzymes, I believe the most likely cause of his symptoms is a liver pathology, possibly a liver tumor or hepatitis, given the significant elevation in aspartate aminotransferase and alanine aminotra... | true | false | 0 | 0 | 8 | 2 | 5 | 29 | 16 | 13 | 0 | 10 | 0.345 | 8 | 6 | [
"f02",
"f21"
] | {
"doctor": {
"input_tokens": 8821,
"output_tokens": 561
},
"records": {
"input_tokens": 4553,
"output_tokens": 243
},
"asker": {
"input_tokens": 1801,
"output_tokens": 93
}
} |
curated_qa-00002733 | curated_qa | proxy | true | Which of the following is the most appropriate next step in management? | Observe the dog for 10 days | The appropriate next step is to observe the dog for 10 days; because the bite was provoked, the dog is available and has shown normal behavior, post‑exposure rabies prophylaxis is not indicated and the wound has already been cleaned. | gold_text | [
{
"role": "user",
"content": "My 8-year-old son was bitten by a neighbor's dog."
},
{
"role": "assistant",
"content": "Can you tell me more about what happened during the bite, such as where on his body he was bitten and how severe the bite appears to be?"
},
{
"role": "user",
"conte... | Given that the vital signs are within normal limits, the physical examination findings show minimal erythema around the wound, the laboratory results are unremarkable, and the wound has been properly irrigated and cleaned with saline and chlorhexidine solution, the most appropriate next step in management would be to m... | true | false | 0 | 0 | 7 | 1 | 5 | 14 | 8 | 6 | 0 | 7 | 0.5 | 6 | 3 | [
"f03",
"f04",
"f08"
] | {
"doctor": {
"input_tokens": 6405,
"output_tokens": 399
},
"asker": {
"input_tokens": 809,
"output_tokens": 42
},
"records": {
"input_tokens": 3762,
"output_tokens": 108
}
} |
curated_qa-00002767 | curated_qa | colleague | true | Which of the following is the best next step in management? | Do not transfuse the mother and transfuse the boy | The expert concluded that the parents’ religious beliefs can be respected for themselves, but a parent’s refusal of life‑saving blood for a minor is not binding; physicians may give blood to the boy despite parental objection, while the mother may refuse transfusion, so the appropriate management is to transfuse the bo... | gold_text | [
{
"role": "user",
"content": "I have a 12-year-old boy who is unconscious after a motor vehicle accident."
},
{
"role": "assistant",
"content": "I would like to see the boy's vital signs, including his blood pressure, pulse, oxygen saturation, and respiratory rate, as well as any other relevant ... | Given the limited information available, the best next step in management is to immediately call for emergency medical assistance and have the boy transported to a hospital for further evaluation and treatment, as he is unconscious and requires prompt medical attention to assess and manage any potential life-threatenin... | true | false | 0 | 0 | 12 | 5 | 6 | 9 | 0 | 9 | 0 | 0 | 0 | 4 | 0 | [
"f04",
"f06",
"f08",
"f09"
] | {
"doctor": {
"input_tokens": 14662,
"output_tokens": 603
},
"records": {
"input_tokens": 5398,
"output_tokens": 218
},
"asker": {
"input_tokens": 4287,
"output_tokens": 218
}
} |
curated_qa-00003235 | curated_qa | proxy | true | Which of the following recommendations is most appropriate at this time? | Adhere to a regular sleep schedule | The most appropriate recommendation is to follow a regular sleep schedule, using consistent bedtime and wake times, limiting daytime naps, ensuring bright light exposure in the morning and dim lighting in the evening, and reducing environmental stimuli in the evening. | gold_text | [
{
"role": "user",
"content": "I am the son of an 84-year-old woman with Alzheimer’s disease, and she is becoming more agitated at night."
},
{
"role": "assistant",
"content": "Can you tell me more about your mother's agitation at night, such as when it started, how often it occurs, and what it l... | Based on the information provided, it seems that the patient's agitation and confusion at night are likely related to sundowning, a common phenomenon in people with Alzheimer's disease. Given that she has a history of daytime sleeping and limited social interaction, I would recommend increasing her exposure to natural ... | true | false | 0 | 0 | 7 | 4 | 2 | 18 | 13 | 5 | 0 | 8 | 0.444 | 2 | 1 | [
"f07"
] | {
"doctor": {
"input_tokens": 7496,
"output_tokens": 535
},
"asker": {
"input_tokens": 4628,
"output_tokens": 293
},
"records": {
"input_tokens": 1263,
"output_tokens": 80
}
} |
curated_qa-00003238 | curated_qa | colleague | true | Which long‑term treatment would most likely benefit this patient? | Valproate | The patient is experiencing a manic episode and should be started on valproate as a long‑term mood stabilizer because lithium is relatively contraindicated given his renal impairment, while his liver function is normal. | gold_text | [
{
"role": "user",
"content": "I have a 25-year-old man with abnormal behavior."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical history and any previous documentation or notes that have been recorded about his abnormal behavior, to understand the context and an... | Given the patient's history of major depressive disorder, his current symptoms of decreased need for sleep, increased alcohol consumption, impulsive behavior, and skipping work, suggest a possible manic or hypomanic episode, which can be a feature of bipolar disorder. The kidney dysfunction, as indicated by the elevate... | true | false | 0 | 0 | 10 | 4 | 5 | 28 | 12 | 16 | 0 | 20 | 0.714 | 9 | 6 | [
"f14",
"f20",
"f21"
] | {
"doctor": {
"input_tokens": 11105,
"output_tokens": 645
},
"records": {
"input_tokens": 4163,
"output_tokens": 142
},
"asker": {
"input_tokens": 3995,
"output_tokens": 203
}
} |
curated_qa-00003278 | curated_qa | colleague | true | Assuming this patient’s symptoms are due to his employment, what is the most likely occupation? | Diving instructor | The expert concluded that the most likely occupation is a diving instructor because the patient’s presentation fits decompression sickness. | gold_text | [
{
"role": "user",
"content": "I have a 25-year-old man with sudden onset confusion."
},
{
"role": "assistant",
"content": "What is the patient's vital signs, including temperature, blood pressure, pulse, and oxygen saturation, as recorded in his chart so far?"
},
{
"role": "user",
"c... | Based on the patient's symptoms of sudden onset pain in his arms and legs, followed by nausea and confusion, and considering the possibility of an occupational exposure, I would speculate that the patient's most likely occupation is one that involves exposure to a toxic substance, such as heavy metals or organic solven... | true | false | 0 | 0 | 10 | 5 | 4 | 18 | 9 | 9 | 0 | 14 | 0.778 | 6 | 6 | [] | {
"doctor": {
"input_tokens": 11164,
"output_tokens": 585
},
"records": {
"input_tokens": 2995,
"output_tokens": 201
},
"asker": {
"input_tokens": 4639,
"output_tokens": 206
}
} |
curated_qa-00003585 | curated_qa | patient | true | This patient should be treated with a combination of octreotide, 5‑fluorouracil, and which other medication? | Streptozotocin | The third drug to combine with octreotide and 5‑fluorouracil is streptozocin. | gold_text | [
{
"role": "user",
"content": "I am a 51-year-old woman and I have diarrhea."
},
{
"role": "assistant",
"content": "I would like to review her medical record and see what investigations have been done so far, particularly any recent laboratory tests, imaging studies, or colonoscopy reports, to un... | Given the patient's symptoms of chronic, worsening diarrhea, the presence of a 5-cm enhancing lesion in the head of the pancreas and similar lesions in the liver on CT scan, and laboratory workup confirming the diagnosis, it is likely that she has a neuroendocrine tumor, such as a pancreatic neuroendocrine tumor or a c... | true | false | 0 | 0 | 6 | 1 | 4 | 19 | 13 | 6 | 0 | 6 | 0.316 | 3 | 2 | [
"f01"
] | {
"doctor": {
"input_tokens": 5561,
"output_tokens": 457
},
"records": {
"input_tokens": 2975,
"output_tokens": 117
},
"asker": {
"input_tokens": 898,
"output_tokens": 53
}
} |
curated_qa-00003657 | curated_qa | colleague | true | Which of the following do you suspect in this patient? | Berger’s disease | The expert concluded that the patient has Berger’s disease (IgA nephropathy). | gold_text | [
{
"role": "user",
"content": "I am a primary care physician in my office seeing a 21-year-old male with hematuria."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical chart to see what investigations have been done so far, specifically any urinalysis results, to u... | Based on the presence of granular IgA deposits in the glomerular mesangium on immunofluorescence and the temporal relationship between the respiratory symptoms and the onset of hematuria, I suspect that the patient has IgA nephropathy, also known as Berger's disease, which is often triggered by mucosal infections and c... | true | false | 0 | 0 | 7 | 3 | 3 | 4 | 2 | 2 | 0 | 4 | 1 | 3 | 3 | [] | {
"doctor": {
"input_tokens": 6637,
"output_tokens": 375
},
"records": {
"input_tokens": 1913,
"output_tokens": 72
},
"asker": {
"input_tokens": 2435,
"output_tokens": 118
}
} |
curated_qa-00003825 | curated_qa | patient | true | Further evaluation is most likely to show which of the following findings? | Decreased fibrinogen concentration | A retained dead fetus releases thromboplastin, causing disseminated intravascular coagulation that consumes fibrinogen, so the characteristic laboratory finding is a decreased fibrinogen concentration. | gold_text | [
{
"role": "user",
"content": "I am a 27-year-old pregnant woman and I have vaginal bleeding."
},
{
"role": "assistant",
"content": "I would like to review her prenatal records and obstetric history, specifically looking for any previous episodes of vaginal bleeding, her gestational age, and any ... | Further evaluation is most likely to show findings consistent with a missed abortion or intrauterine fetal demise, given the presence of vaginal bleeding, a small retroplacental hematoma, and absent fetal cardiac activity on ultrasound, indicating that the fetus has unfortunately died in utero. | true | false | 0 | 0 | 4 | 0 | 3 | 9 | 4 | 5 | 0 | 4 | 0.444 | 1 | 1 | [] | {
"doctor": {
"input_tokens": 3223,
"output_tokens": 186
},
"records": {
"input_tokens": 2028,
"output_tokens": 101
}
} |
curated_qa-00004652 | curated_qa | colleague | true | Which of the following is the most appropriate diagnosis for this male? | Brief psychotic disorder | The most appropriate diagnosis is brief psychotic disorder. | gold_text | [
{
"role": "user",
"content": "I have a 55-year-old male with public nudity."
},
{
"role": "assistant",
"content": "Can you tell me more about what happened with the public nudity, such as the circumstances and whether this is a one-time incident or a recurring behavior?"
},
{
"role": "us... | Based on the patient's sudden onset of public nudity and harassing behavior, lack of recollection of the past several days, and significant recent stressors, including the loss of his house and divorce, I believe the most appropriate diagnosis for this male is a brief psychotic disorder, possibly triggered by the extre... | true | false | 0 | 0 | 7 | 4 | 2 | 17 | 10 | 7 | 0 | 11 | 0.647 | 6 | 5 | [
"f04"
] | {
"doctor": {
"input_tokens": 6821,
"output_tokens": 409
},
"asker": {
"input_tokens": 3666,
"output_tokens": 188
},
"records": {
"input_tokens": 1281,
"output_tokens": 103
}
} |
curated_qa-00004723 | curated_qa | proxy | true | Which of the following is the most likely diagnosis in this patient? | Schizoid personality disorder | The expert concluded that the patient’s presentation is most consistent with schizoid personality disorder. | gold_text | [
{
"role": "user",
"content": "My 31-year-old brother is showing social isolation."
},
{
"role": "assistant",
"content": "Can you tell me more about what you mean by social isolation, such as when you first noticed it and if there have been any significant changes in his behavior or daily life?"
... | Based on the information provided, it seems that the patient's social isolation may be a long-standing trait, and his recent behavior could be a continuation of his pre-existing tendencies. However, the recent loss of his mother could also be a contributing factor to his increased withdrawal. Given his history of being... | true | false | 0 | 0 | 10 | 7 | 2 | 15 | 15 | 0 | 0 | 5 | 0.333 | 10 | 4 | [
"f06",
"f07",
"f09",
"f10",
"f12",
"f15"
] | {
"doctor": {
"input_tokens": 11408,
"output_tokens": 570
},
"asker": {
"input_tokens": 8709,
"output_tokens": 416
},
"records": {
"input_tokens": 1142,
"output_tokens": 31
}
} |
curated_qa-00004778 | curated_qa | patient | true | What is the most severe complication of this condition? | Cerebral edema | The most severe complication of Plasmodium falciparum malaria is cerebral edema (cerebral malaria). | gold_text | [
{
"role": "user",
"content": "I am a 30-year-old woman and I have shaking, chills, fevers, and headaches."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical record and see what investigations have been done so far, such as any laboratory tests, imaging studies, o... | Based on the patient's symptoms of fever, chills, and headaches, laboratory findings of low hematocrit and elevated bilirubin levels, and physical examination findings of pallor and scleral jaundice, I suspect that the patient has malaria. The most severe complication of malaria is cerebral malaria, which can cause sei... | true | false | 0 | 0 | 8 | 0 | 7 | 13 | 3 | 10 | 0 | 10 | 0.769 | 9 | 8 | [
"f01"
] | {
"doctor": {
"input_tokens": 8245,
"output_tokens": 486
},
"records": {
"input_tokens": 6471,
"output_tokens": 229
}
} |
curated_qa-00004995 | curated_qa | patient | true | Which of the following is the most appropriate initial pharmacotherapy in this patient? | Intravenous vancomycin | The expert concluded that the patient has septic arthritis and that the appropriate initial pharmacotherapy is intravenous vancomycin to provide rapid MRSA coverage. | gold_text | [
{
"role": "user",
"content": "I am a 60‑year‑old woman and my left knee has painful swelling."
},
{
"role": "assistant",
"content": "I would like to review her medical record to see if any relevant investigations, such as X-rays, blood tests, or previous diagnoses, have already been documented, ... | Given the patient's presentation with a painful, swollen, warm, and diffusely tender left knee, a fever of 38.5°C, elevated finger-stick glucose, and synovial fluid analysis showing a high white blood cell count with a predominance of neutrophils, turbid and purulent fluid, and reduced viscosity, the most likely diagno... | true | false | 0 | 0 | 5 | 0 | 4 | 19 | 5 | 13 | 1 | 8 | 0.444 | 7 | 4 | [
"f02",
"f03",
"f05"
] | {
"doctor": {
"input_tokens": 4615,
"output_tokens": 426
},
"records": {
"input_tokens": 3555,
"output_tokens": 227
}
} |
curated_qa-00005463 | curated_qa | patient | true | Which of the following is the most appropriate next step in management? | Offer external cephalic version | The most appropriate next step is to offer external cephalic version to attempt to turn the breech fetus to a cephalic presentation. | gold_text | [
{
"role": "user",
"content": "I am a 24-year-old pregnant woman at 38 weeks and I have a breech presentation."
},
{
"role": "assistant",
"content": "I would like to review the prenatal records and ultrasound reports to determine the type of breech presentation and if there have been any previous... | Given the persistent breech presentation at 38 weeks gestation, the patient's desire for a vaginal delivery, and the lack of detailed information about the type of breech presentation, I would recommend referral to a hospital or a obstetric unit for further evaluation and consideration of external cephalic version (ECV... | true | false | 0 | 0 | 7 | 2 | 4 | 14 | 3 | 11 | 0 | 11 | 0.786 | 8 | 6 | [
"f02",
"f14"
] | {
"doctor": {
"input_tokens": 7290,
"output_tokens": 415
},
"records": {
"input_tokens": 3370,
"output_tokens": 272
},
"asker": {
"input_tokens": 1527,
"output_tokens": 59
}
} |
curated_qa-00005834 | curated_qa | patient | true | What is the best next step in management of the patient? | Ultrasound | The presentation is most consistent with Budd‑Chiari syndrome, and the first diagnostic test should be a Doppler ultrasound of the liver. | gold_text | [
{
"role": "user",
"content": "I am a 58-year-old man and I have abdominal pain."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical record to see if any investigations or assessments have been done so far, such as vital signs, laboratory tests, or imaging studies,... | Based on the patient's symptoms, physical examination findings, and laboratory results, the best next step in management would be to initiate treatment for spontaneous bacterial peritonitis (SBP), which is a common complication of ascites. The presence of fever, abdominal tenderness, and an elevated white blood cell co... | true | false | 0 | 0 | 8 | 2 | 5 | 38 | 22 | 16 | 0 | 19 | 0.5 | 6 | 4 | [
"f03",
"f18"
] | {
"doctor": {
"input_tokens": 8284,
"output_tokens": 549
},
"records": {
"input_tokens": 4458,
"output_tokens": 209
},
"asker": {
"input_tokens": 1858,
"output_tokens": 82
}
} |
curated_qa-00006130 | curated_qa | patient | true | What microscopic finding is most likely in the aortic arch? | Granulomatous inflammation of the media | null | gold_text | [
{
"role": "user",
"content": "I am a 32-year-old woman and I've been having night sweats."
},
{
"role": "assistant",
"content": "I would like to review her medical record to see if any investigations or tests have been done so far, and what the results are, to get a better understanding of her c... | Given the combination of symptoms, including night sweats, weak brachial and radial pulses, tender subcutaneous nodules, carotid bruits, an elevated ESR, and the CT scan showing thickening and narrowing of the aortic arch, the most likely diagnosis is Takayasu arteritis, a large vessel vasculitis. The microscopic findi... | true | false | 0 | 0 | 4 | 0 | 3 | 8 | 3 | 5 | 0 | 4 | 0.5 | 3 | 2 | [
"f06"
] | {
"doctor": {
"input_tokens": 3372,
"output_tokens": 294
},
"records": {
"input_tokens": 2183,
"output_tokens": 98
}
} |
curated_qa-00006282 | curated_qa | patient | true | Which of the following medications can be given to treat the most likely cause of this patient's symptoms? | Amiloride | The patient has Liddle syndrome, an autosomal‑dominant gain‑of‑function mutation of the epithelial sodium channel, and should be treated with the potassium‑sparing diuretic amiloride, which blocks ENaC. | gold_text | [
{
"role": "user",
"content": "I am a 21-year-old male and I have generalized weakness and fatigue."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical record and see what investigations have been done so far, such as complete blood count, electrolyte panel, or any... | Based on the patient's symptoms of generalized weakness and fatigue, laboratory results showing hypokalemia, metabolic alkalosis, and decreased aldosterone, high blood pressure, and the presence of an autosomal dominant gain-of-function mutation, I suspect that the patient has a condition such as Liddle's syndrome or a... | true | false | 0 | 0 | 7 | 2 | 4 | 12 | 1 | 11 | 0 | 10 | 0.833 | 6 | 6 | [] | {
"doctor": {
"input_tokens": 7489,
"output_tokens": 514
},
"records": {
"input_tokens": 3337,
"output_tokens": 247
},
"asker": {
"input_tokens": 1550,
"output_tokens": 63
}
} |
curated_qa-00006441 | curated_qa | patient | true | Which of the following is the most likely underlying cause of this patient's symptoms? | Rupture of a small penetrating artery | The CT scan shows an acute intracerebral hemorrhage, and in a middle‑aged patient with uncontrolled hypertension and focal neurologic deficits, the most likely cause is rupture of a small penetrating (lenticulostriate) artery with a Charcot‑Bouchard microaneurysm. | gold_text | [
{
"role": "user",
"content": "I am a 50-year-old man and I have a severe headache."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical history and current medication list to see if there are any pre-existing conditions or medications that could be contributing to ... | Based on the patient's severe headache, suddenly onset, severely elevated blood pressure, the presence of a solitary hyperdense lesion with surrounding hypodense edema on the non-contrast head CT, and the physical examination findings of decreased muscle strength and hyperreflexia in the right extremities, as well as d... | true | false | 0 | 0 | 7 | 1 | 5 | 14 | 7 | 7 | 0 | 7 | 0.5 | 5 | 4 | [
"f03"
] | {
"doctor": {
"input_tokens": 6692,
"output_tokens": 447
},
"records": {
"input_tokens": 4011,
"output_tokens": 181
},
"asker": {
"input_tokens": 757,
"output_tokens": 39
}
} |
curated_qa-00006444 | curated_qa | proxy | true | Which of the following is the most likely diagnosis? | Congenital rubella infection | The most likely diagnosis is congenital rubella infection. | gold_text | [
{
"role": "user",
"content": "My newborn daughter has a continuous heart murmur."
},
{
"role": "assistant",
"content": "I would like to review the prenatal and birth records, including any ultrasound or echocardiogram results that may have been performed on the mother or the baby during pregnanc... | Based on the presence of a continuous heart murmur since birth, normal lung examination findings, and the absence of other significant abnormalities on physical examination, I believe the most likely diagnosis is a patent ductus arteriosus (PDA). The continuous murmur is consistent with a PDA, which is a common congeni... | true | false | 0 | 0 | 8 | 2 | 5 | 19 | 9 | 10 | 0 | 8 | 0.421 | 4 | 2 | [
"f17",
"f18"
] | {
"doctor": {
"input_tokens": 8807,
"output_tokens": 518
},
"records": {
"input_tokens": 4566,
"output_tokens": 271
},
"asker": {
"input_tokens": 1681,
"output_tokens": 96
}
} |
curated_qa-00006475 | curated_qa | patient | true | Which of the following is a side-effect of the long-term therapy this patient should be started on right now? | Hypertension | The patient’s dyspnea is most likely due to normocytic anemia from end‑stage renal disease; the standard long‑term therapy is an erythropoiesis‑stimulating agent, and a well‑known side‑effect of chronic ESA use is hypertension. | gold_text | [
{
"role": "user",
"content": "I am a 69-year-old man and I have shortness of breath."
},
{
"role": "assistant",
"content": "I would like to review the patient's medical history and current medications, as well as any previous investigations or test results that have been done, to get a better un... | Given the patient's end-stage renal disease, anemia is a common complication, and the patient's low hemoglobin level and hematocrit are consistent with this. The patient's shortness of breath is likely related to the anemia, which is a common symptom in patients with chronic kidney disease. The patient should be starte... | true | false | 0 | 0 | 6 | 2 | 3 | 43 | 11 | 32 | 0 | 33 | 0.767 | 4 | 3 | [
"f01"
] | {
"doctor": {
"input_tokens": 6868,
"output_tokens": 498
},
"records": {
"input_tokens": 3116,
"output_tokens": 356
},
"asker": {
"input_tokens": 1799,
"output_tokens": 106
}
} |
End of preview.
Multi-turn medical dialogues — 100k_V1
39,996 synthetic doctor/patient dialogues, generated from EPFLiGHT/fully-open-meditron for supervised fine-tuning. Each one turns a single question-and-answer row of the source corpus into a conversation where a clinician has to elicit the case before answering it.
Files
| file | rows | what it is |
|---|---|---|
dialogues_100k_V1.jsonl |
39,996 | the dialogues |
preformat_100k_V1.jsonl |
39,996 | the cases they were generated from |
The cases are included so the run can be reproduced, re-scored, or regenerated with another model. A dialogue file on its own cannot be.
How a dialogue is produced
Three participants, isolated by construction rather than by instruction:
- doctor — sees the opening line and the question it must answer. Nothing else. It chooses each turn whether to ask, to examine, or to conclude, and deciding it has enough is the capability being taught.
- patient — holds the
spokenfacts and discloses one per reply. - records — holds the
observedfacts and releases them only on an examination or a chart lookup.
A third class of fact, withheld, goes to nobody: it is the question author's
voice, and disclosing it would hand over the answer.
The doctor tags each turn so the harness can route it, and the tag is stripped before the turn is recorded. No benchmark syntax appears anywhere: the evaluation targets each impose their own protocol at test time, and training on one of them would be training on the benchmark.
Fields
messages is the conversation in chat format — the doctor is assistant,
both the patient and the records desk are user. Alongside it travel the
provenance (item_id, source_component, frame, question, gold_text,
answer_summary) and every measurement taken during generation
(turns_used, pivotal_disclosed_est, concluded_by_doctor, tag_retries,
fabricated_results, ...), so a filter can work from this file alone.
Generation
| Model, all three roles | meta-llama/Llama-3.3-70B-Instruct |
| Prompts | doctor v5, patient v3, records v3 |
| Sampling | temperature 0.7, max_tokens 1200 |
| Turn cap | 12 doctor turns |
| Closing brief | off — the doctor concludes unaided |
What the run measured
| Pivotal facts elicited | 75% |
| Doctor concluded on its own | 99% |
| Messages per dialogue (median) | 14 |
| Turns needing a second attempt | 7 of 294,639 |
The elicitation figure is a lower bound: it matches facts lexically against what the patient and the records desk actually said, so a fact disclosed in paraphrase is not counted.
Limitations
- Generated by a model, and not reviewed by a clinician. The final turn is the
doctor's own conclusion, not the source corpus's expert answer — it can be
wrong.
gold_textandanswer_summaryare carried alongside so correctness can be scored, but no such filter has been applied here. - Nothing is filtered. This is the raw generation output, on purpose: filters are scorers over the recorded measurements, and applying them here would destroy the ability to compare them.
- Inherits whatever biases and errors the source corpus holds.
Frames
| rows | share | |
|---|---|---|
patient |
24,639 | 61.6% |
colleague |
11,902 | 29.8% |
proxy |
1,847 | 4.6% |
layperson |
820 | 2.1% |
practitioner_query |
788 | 2.0% |
Source components
| rows | share | |
|---|---|---|
synthetic_curated_qa |
22,172 | 55.4% |
guidelines_qa |
10,009 | 25.0% |
curated_qa |
3,915 | 9.8% |
synthetic_moove |
3,900 | 9.8% |
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