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aihilums /problem_assessment:01b4c153
Input
Run this model in Node.js with one line of code:
npx create-replicate --model=aihilums/problem_assessment
or set up a project from scratch
Install Replicate’s Node.js client library:
npm install replicateSet the
REPLICATE_API_TOKEN environment variable:export REPLICATE_API_TOKEN=<paste-your-token-here>Find your API token in your account settings.
Import and set up the client:
import Replicate from "replicate";
const replicate = new Replicate({
auth: process.env.REPLICATE_API_TOKEN,
});Run aihilums/problem_assessment using Replicate’s API. Check out the model's schema for an overview of inputs and outputs.
const output = await replicate.run(
"aihilums/problem_assessment:01b4c15370eeac74b770f6c127b2130185c70536269f6aaf81564555f44b0019",
{
input: {
prompt: "Encounter Date: 11/09/2020\nPatient\nName [REDACTED] (68yo, F) ID# Appt. Date/Time 11/09/2020 12:00PM\n3380\nDOB 10/22/1952 Service Dept. ZANJABEE - WOBURN\nProvider BASMAA ALI, MD\nInsurance Med Primary: MEDICARE-MA (MEDICARE)\nInsurance # : 8GW0UU6FX24\nMed Secondary: BCBS-MA\nInsurance # : XXM981796798\nPolicy/Group # : 991767925\nPrescription: DST PHARMACY SOLUTIONS DIRECT - Member is eligible. details\nChief Complaint\nfatigue, Pre prep visit discussed, Initial Visit\ndiagnosed by 3 alternative doctors brain tape worm or parasite\nfatigue, poor sleep, low appetite, poor memory, numbness, terrible headaches, diagnosed with encephalitis\nThis appointment is telehealth and was done with real audio despite multiple tries by Dr Ali to connect to the\npatient via video also. In the end, we decided to do phone call since pt could not figure out doxy or facetime. Amy\nBenison and/or Sarah Clancy helped set up the visit and did the pre-visit planning with the patient.\nPatient's Pharmacies\nWALGREENS DRUGSTORE #18415 (ERX): 15 BOLTON STREET, READING, MA 01867, Ph (781) 942-5810,\nFax (781) 942-1457\nVitals\nNone recorded.\nAllergies\nReviewed Allergies\nNKDA\nsensitive to fragrances\nMedications\nReviewed Medications[REDACTED] (id #3380, dob: 10/22/1952) Page 10/24\nAmbien 11/09/20 entered\nnightly\nclonazePAM 1 mg tablet 10/29/20 filled\n1-2 tablets at bedtime\ndextroamphetamine-amphetamine 10 mg tablet 10/27/20 filled\nTK 1 T PO BID\nMaxalt 10 mg tablet 09/01/20 entered\nTake 1 tablet(s) as needed by oral route.\nInternal Note: PRN\nondansetron 4 mg disintegrating tablet 09/01/20 filled\nPRN\noxyCODONE 5 mg tablet 11/06/20 filled\n3-4 times a day\nInternal Note: typically morning, noon and night\nzolpidem 5 mg tablet 09/01/20 entered\nTake 1 tablet(s) every day by oral route.\nbrain support vitamins\nProblems\nReviewed Problems\nChronic pain syndrome - Onset: 11/09/2020\nFatigue - Onset: 11/09/2020\nFamily History\nReviewed Family History\nMaternal Grandmother - Family history of cancer\nMaternal Grandfather - Family history of cancer\nPaternal Grandmother - Family history of cancer\nPaternal Grandfather - Family history of cancer\nFather - Heart disease\nMother - Family history of cancer\n- breast cancer\nBrother - Alcoholism\nSocial History\nReviewed Social History\nGeneral IM Female\nEducation: 12\nMarital status: Divorced\nDiet: Gluten free (Notes: low sugar)\nExercise level: Occasional\nTobacco Smoking Status: Former smoker (Notes: quit late nineties)\nAlcohol intake: None\nCaffeine intake: Moderate\nIllicit drugs: none\nGeneral stress level: High\nSignificant life stressors: (Notes: health, family, chronic pain)\nStress Management - How do you manage stress?: read, walks\nQuality of sleep: very poor (Notes: takes many things at night to try to help her sleep)\nHobbies/Interests: chronic pain stops her\nSeat belts used routinely: N\nSunscreen used routinely: N\nSmoke alarm in home: Y\nPap Smear: around 2018\nMammogram: around 2018\nColon Cancer Screening: at 50\nLiving Situation - Lives with whom, nearby support, guage for loneliness: alone (Notes: feels safe)\nHard of hearing or deaf in one or both ears?: N\nPHQ9 score: (Notes: no energy because of chronic pain)\nDo you have >6 drinks on any night of the week?: N[REDACTED] (id #3380, dob: 10/22/1952) Page 11/24\nDo you have >6 drinks on any night of the week?: N\nSexual orientation : Straight or heterosexual\nSurgical History\nReviewed Surgical History\nbreast implant in 1983, ruptured and removed 1992\nGYN History\nReviewed GYN History\nIf Post Menopausal, Age at Menopause: 50.\nCurrent Birth Control Method: None (Notes: not s.a.).\nMenses Monthly: N.\nAge at Menarche: 13.\nObstetric History\nReviewed Obstetric History\nTOTALFULLPREAB. IAB. SECTOPICSMULTIPLELIVING\n2 1\nPast Medical History\nReviewed Past Medical History\nother: Y - chronic fatigue chronic facial and head pain\nacupuncture - how many session, where, for what?: Y\narthritis: Y\nasthma: Y\nback pain: Y\ncancer: Y - skin and L lung\nheadache: Y\nheart murmur: Y\nhyperthyroidism: Y\nhypothyroidism: Y\nScreening\nNone recorded.\nHPI\n68 F has a long standing history of headaches which have now generalized to her entire body. She believes that\nher HA is caused by a brain parasite possibly a tape worm.\nShe thinks she has had exposure to molds which have changed her immune system which then allowed her to get\nparasites into her brain.\nPt has breast implants which burst and were subsequently removed and she thinks the implants did lasting\ndamage to her body but is not able to specify it further.\nShe wants a doctor who would do a lumbar puncture and look for parasites. She has already had a lumbar\npuncture which showed nl CSF.\nROS\nPatient reports fatigue but reports no fever, no significant weight gain, no significant weight loss, no exercise\nintolerance, (normal) sleep, and (normal) appetite; pain all over the body.. She reports no dry eyes, no\nirritation, and no vision change. She reports no difficulty hearing and no ear pain. She reports no frequent\nnosebleeds and no nose/sinus problems. She reports no sore throat, no bleeding gums, no snoring, no dry mouth,\nno mouth ulcers, no oral abnormalities, and no teeth problems. She reports no chest pain, no arm pain on\nexertion, no shortness of breath when walking, no shortness of breath when lying down, no palpitations, and no\nknown heart murmur. She reports no cough, no wheezing, no shortness of breath, and no coughing up blood. She\nreports no abdominal pain, no vomiting, no diarrhea, and not vomiting blood. She reports no incontinence, no\ndifficulty urinating, no hematuria, and no increased frequency. She reports no muscle aches, no muscle weakness,\nno arthralgias/joint pain, no back pain, and no swelling in the extremities. She reports no abnormal mole, no\njaundice, and no rashes. She reports no loss of consciousness, no weakness, no numbness, no seizures, no\ndizziness, and no headaches. She reports no depression, no sleep disturbances, feeling safe in relationship, and\nno alcohol abuse. She reports no swollen glands and no bruising. She reports no runny nose, no sinus pressure, no\nitching, no hives, and no frequent sneezing.\nPhysical Exam\nPatient is a 68-year-old female.\nno exam done. this was a phone call.\nAssessment / Plan\n68 F has a chronic pain syndrome as well as mental illness that does not allow her to have deeper insight into her\nillness.\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would[REDACTED] (id #3380, dob: 10/22/1952) Page 12/24\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would\nhave caught on the numerous tests pt has had done.\nI gave her names of alternative practitioners at Kripalu and the integrative medicine clinic at Canyon Ranch and\nwished her best of luck with her health\nGiven that I could not be of further help in fiding a parasite inside her head, pt and I agreed that I could be of no\nfurther service to her.\n1. Fatigue\nR53.83: Other fatigue\n2. Chronic pain syndrome\nG89.4: Chronic pain syndrome\nReturn to Office\nNone recorded.\nEncounter Sign-Off"
}
}
);
// To access the file URL:
console.log(output.url()); //=> "http://example.com"
// To write the file to disk:
fs.writeFile("my-image.png", output);To learn more, take a look at the guide on getting started with Node.js.
Install Replicate’s Python client library:
pip install replicateSet the
REPLICATE_API_TOKEN environment variable:export REPLICATE_API_TOKEN=<paste-your-token-here>Find your API token in your account settings.
Import the client:
import replicateRun aihilums/problem_assessment using Replicate’s API. Check out the model's schema for an overview of inputs and outputs.
output = replicate.run(
"aihilums/problem_assessment:01b4c15370eeac74b770f6c127b2130185c70536269f6aaf81564555f44b0019",
input={
"prompt": "Encounter Date: 11/09/2020\nPatient\nName [REDACTED] (68yo, F) ID# Appt. Date/Time 11/09/2020 12:00PM\n3380\nDOB 10/22/1952 Service Dept. ZANJABEE - WOBURN\nProvider BASMAA ALI, MD\nInsurance Med Primary: MEDICARE-MA (MEDICARE)\nInsurance # : 8GW0UU6FX24\nMed Secondary: BCBS-MA\nInsurance # : XXM981796798\nPolicy/Group # : 991767925\nPrescription: DST PHARMACY SOLUTIONS DIRECT - Member is eligible. details\nChief Complaint\nfatigue, Pre prep visit discussed, Initial Visit\ndiagnosed by 3 alternative doctors brain tape worm or parasite\nfatigue, poor sleep, low appetite, poor memory, numbness, terrible headaches, diagnosed with encephalitis\nThis appointment is telehealth and was done with real audio despite multiple tries by Dr Ali to connect to the\npatient via video also. In the end, we decided to do phone call since pt could not figure out doxy or facetime. Amy\nBenison and/or Sarah Clancy helped set up the visit and did the pre-visit planning with the patient.\nPatient's Pharmacies\nWALGREENS DRUGSTORE #18415 (ERX): 15 BOLTON STREET, READING, MA 01867, Ph (781) 942-5810,\nFax (781) 942-1457\nVitals\nNone recorded.\nAllergies\nReviewed Allergies\nNKDA\nsensitive to fragrances\nMedications\nReviewed Medications[REDACTED] (id #3380, dob: 10/22/1952) Page 10/24\nAmbien 11/09/20 entered\nnightly\nclonazePAM 1 mg tablet 10/29/20 filled\n1-2 tablets at bedtime\ndextroamphetamine-amphetamine 10 mg tablet 10/27/20 filled\nTK 1 T PO BID\nMaxalt 10 mg tablet 09/01/20 entered\nTake 1 tablet(s) as needed by oral route.\nInternal Note: PRN\nondansetron 4 mg disintegrating tablet 09/01/20 filled\nPRN\noxyCODONE 5 mg tablet 11/06/20 filled\n3-4 times a day\nInternal Note: typically morning, noon and night\nzolpidem 5 mg tablet 09/01/20 entered\nTake 1 tablet(s) every day by oral route.\nbrain support vitamins\nProblems\nReviewed Problems\nChronic pain syndrome - Onset: 11/09/2020\nFatigue - Onset: 11/09/2020\nFamily History\nReviewed Family History\nMaternal Grandmother - Family history of cancer\nMaternal Grandfather - Family history of cancer\nPaternal Grandmother - Family history of cancer\nPaternal Grandfather - Family history of cancer\nFather - Heart disease\nMother - Family history of cancer\n- breast cancer\nBrother - Alcoholism\nSocial History\nReviewed Social History\nGeneral IM Female\nEducation: 12\nMarital status: Divorced\nDiet: Gluten free (Notes: low sugar)\nExercise level: Occasional\nTobacco Smoking Status: Former smoker (Notes: quit late nineties)\nAlcohol intake: None\nCaffeine intake: Moderate\nIllicit drugs: none\nGeneral stress level: High\nSignificant life stressors: (Notes: health, family, chronic pain)\nStress Management - How do you manage stress?: read, walks\nQuality of sleep: very poor (Notes: takes many things at night to try to help her sleep)\nHobbies/Interests: chronic pain stops her\nSeat belts used routinely: N\nSunscreen used routinely: N\nSmoke alarm in home: Y\nPap Smear: around 2018\nMammogram: around 2018\nColon Cancer Screening: at 50\nLiving Situation - Lives with whom, nearby support, guage for loneliness: alone (Notes: feels safe)\nHard of hearing or deaf in one or both ears?: N\nPHQ9 score: (Notes: no energy because of chronic pain)\nDo you have >6 drinks on any night of the week?: N[REDACTED] (id #3380, dob: 10/22/1952) Page 11/24\nDo you have >6 drinks on any night of the week?: N\nSexual orientation : Straight or heterosexual\nSurgical History\nReviewed Surgical History\nbreast implant in 1983, ruptured and removed 1992\nGYN History\nReviewed GYN History\nIf Post Menopausal, Age at Menopause: 50.\nCurrent Birth Control Method: None (Notes: not s.a.).\nMenses Monthly: N.\nAge at Menarche: 13.\nObstetric History\nReviewed Obstetric History\nTOTALFULLPREAB. IAB. SECTOPICSMULTIPLELIVING\n2 1\nPast Medical History\nReviewed Past Medical History\nother: Y - chronic fatigue chronic facial and head pain\nacupuncture - how many session, where, for what?: Y\narthritis: Y\nasthma: Y\nback pain: Y\ncancer: Y - skin and L lung\nheadache: Y\nheart murmur: Y\nhyperthyroidism: Y\nhypothyroidism: Y\nScreening\nNone recorded.\nHPI\n68 F has a long standing history of headaches which have now generalized to her entire body. She believes that\nher HA is caused by a brain parasite possibly a tape worm.\nShe thinks she has had exposure to molds which have changed her immune system which then allowed her to get\nparasites into her brain.\nPt has breast implants which burst and were subsequently removed and she thinks the implants did lasting\ndamage to her body but is not able to specify it further.\nShe wants a doctor who would do a lumbar puncture and look for parasites. She has already had a lumbar\npuncture which showed nl CSF.\nROS\nPatient reports fatigue but reports no fever, no significant weight gain, no significant weight loss, no exercise\nintolerance, (normal) sleep, and (normal) appetite; pain all over the body.. She reports no dry eyes, no\nirritation, and no vision change. She reports no difficulty hearing and no ear pain. She reports no frequent\nnosebleeds and no nose/sinus problems. She reports no sore throat, no bleeding gums, no snoring, no dry mouth,\nno mouth ulcers, no oral abnormalities, and no teeth problems. She reports no chest pain, no arm pain on\nexertion, no shortness of breath when walking, no shortness of breath when lying down, no palpitations, and no\nknown heart murmur. She reports no cough, no wheezing, no shortness of breath, and no coughing up blood. She\nreports no abdominal pain, no vomiting, no diarrhea, and not vomiting blood. She reports no incontinence, no\ndifficulty urinating, no hematuria, and no increased frequency. She reports no muscle aches, no muscle weakness,\nno arthralgias/joint pain, no back pain, and no swelling in the extremities. She reports no abnormal mole, no\njaundice, and no rashes. She reports no loss of consciousness, no weakness, no numbness, no seizures, no\ndizziness, and no headaches. She reports no depression, no sleep disturbances, feeling safe in relationship, and\nno alcohol abuse. She reports no swollen glands and no bruising. She reports no runny nose, no sinus pressure, no\nitching, no hives, and no frequent sneezing.\nPhysical Exam\nPatient is a 68-year-old female.\nno exam done. this was a phone call.\nAssessment / Plan\n68 F has a chronic pain syndrome as well as mental illness that does not allow her to have deeper insight into her\nillness.\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would[REDACTED] (id #3380, dob: 10/22/1952) Page 12/24\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would\nhave caught on the numerous tests pt has had done.\nI gave her names of alternative practitioners at Kripalu and the integrative medicine clinic at Canyon Ranch and\nwished her best of luck with her health\nGiven that I could not be of further help in fiding a parasite inside her head, pt and I agreed that I could be of no\nfurther service to her.\n1. Fatigue\nR53.83: Other fatigue\n2. Chronic pain syndrome\nG89.4: Chronic pain syndrome\nReturn to Office\nNone recorded.\nEncounter Sign-Off"
}
)
print(output)To learn more, take a look at the guide on getting started with Python.
Set the
REPLICATE_API_TOKEN environment variable:export REPLICATE_API_TOKEN=<paste-your-token-here>Find your API token in your account settings.
Run aihilums/problem_assessment using Replicate’s API. Check out the model's schema for an overview of inputs and outputs.
curl -s -X POST \
-H "Authorization: Bearer $REPLICATE_API_TOKEN" \
-H "Content-Type: application/json" \
-H "Prefer: wait" \
-d $'{
"version": "aihilums/problem_assessment:01b4c15370eeac74b770f6c127b2130185c70536269f6aaf81564555f44b0019",
"input": {
"prompt": "Encounter Date: 11/09/2020\\nPatient\\nName [REDACTED] (68yo, F) ID# Appt. Date/Time 11/09/2020 12:00PM\\n3380\\nDOB 10/22/1952 Service Dept. ZANJABEE - WOBURN\\nProvider BASMAA ALI, MD\\nInsurance Med Primary: MEDICARE-MA (MEDICARE)\\nInsurance # : 8GW0UU6FX24\\nMed Secondary: BCBS-MA\\nInsurance # : XXM981796798\\nPolicy/Group # : 991767925\\nPrescription: DST PHARMACY SOLUTIONS DIRECT - Member is eligible. details\\nChief Complaint\\nfatigue, Pre prep visit discussed, Initial Visit\\ndiagnosed by 3 alternative doctors brain tape worm or parasite\\nfatigue, poor sleep, low appetite, poor memory, numbness, terrible headaches, diagnosed with encephalitis\\nThis appointment is telehealth and was done with real audio despite multiple tries by Dr Ali to connect to the\\npatient via video also. In the end, we decided to do phone call since pt could not figure out doxy or facetime. Amy\\nBenison and/or Sarah Clancy helped set up the visit and did the pre-visit planning with the patient.\\nPatient\'s Pharmacies\\nWALGREENS DRUGSTORE #18415 (ERX): 15 BOLTON STREET, READING, MA 01867, Ph (781) 942-5810,\\nFax (781) 942-1457\\nVitals\\nNone recorded.\\nAllergies\\nReviewed Allergies\\nNKDA\\nsensitive to fragrances\\nMedications\\nReviewed Medications[REDACTED] (id #3380, dob: 10/22/1952) Page 10/24\\nAmbien 11/09/20 entered\\nnightly\\nclonazePAM 1 mg tablet 10/29/20 filled\\n1-2 tablets at bedtime\\ndextroamphetamine-amphetamine 10 mg tablet 10/27/20 filled\\nTK 1 T PO BID\\nMaxalt 10 mg tablet 09/01/20 entered\\nTake 1 tablet(s) as needed by oral route.\\nInternal Note: PRN\\nondansetron 4 mg disintegrating tablet 09/01/20 filled\\nPRN\\noxyCODONE 5 mg tablet 11/06/20 filled\\n3-4 times a day\\nInternal Note: typically morning, noon and night\\nzolpidem 5 mg tablet 09/01/20 entered\\nTake 1 tablet(s) every day by oral route.\\nbrain support vitamins\\nProblems\\nReviewed Problems\\nChronic pain syndrome - Onset: 11/09/2020\\nFatigue - Onset: 11/09/2020\\nFamily History\\nReviewed Family History\\nMaternal Grandmother - Family history of cancer\\nMaternal Grandfather - Family history of cancer\\nPaternal Grandmother - Family history of cancer\\nPaternal Grandfather - Family history of cancer\\nFather - Heart disease\\nMother - Family history of cancer\\n- breast cancer\\nBrother - Alcoholism\\nSocial History\\nReviewed Social History\\nGeneral IM Female\\nEducation: 12\\nMarital status: Divorced\\nDiet: Gluten free (Notes: low sugar)\\nExercise level: Occasional\\nTobacco Smoking Status: Former smoker (Notes: quit late nineties)\\nAlcohol intake: None\\nCaffeine intake: Moderate\\nIllicit drugs: none\\nGeneral stress level: High\\nSignificant life stressors: (Notes: health, family, chronic pain)\\nStress Management - How do you manage stress?: read, walks\\nQuality of sleep: very poor (Notes: takes many things at night to try to help her sleep)\\nHobbies/Interests: chronic pain stops her\\nSeat belts used routinely: N\\nSunscreen used routinely: N\\nSmoke alarm in home: Y\\nPap Smear: around 2018\\nMammogram: around 2018\\nColon Cancer Screening: at 50\\nLiving Situation - Lives with whom, nearby support, guage for loneliness: alone (Notes: feels safe)\\nHard of hearing or deaf in one or both ears?: N\\nPHQ9 score: (Notes: no energy because of chronic pain)\\nDo you have >6 drinks on any night of the week?: N[REDACTED] (id #3380, dob: 10/22/1952) Page 11/24\\nDo you have >6 drinks on any night of the week?: N\\nSexual orientation : Straight or heterosexual\\nSurgical History\\nReviewed Surgical History\\nbreast implant in 1983, ruptured and removed 1992\\nGYN History\\nReviewed GYN History\\nIf Post Menopausal, Age at Menopause: 50.\\nCurrent Birth Control Method: None (Notes: not s.a.).\\nMenses Monthly: N.\\nAge at Menarche: 13.\\nObstetric History\\nReviewed Obstetric History\\nTOTALFULLPREAB. IAB. SECTOPICSMULTIPLELIVING\\n2 1\\nPast Medical History\\nReviewed Past Medical History\\nother: Y - chronic fatigue chronic facial and head pain\\nacupuncture - how many session, where, for what?: Y\\narthritis: Y\\nasthma: Y\\nback pain: Y\\ncancer: Y - skin and L lung\\nheadache: Y\\nheart murmur: Y\\nhyperthyroidism: Y\\nhypothyroidism: Y\\nScreening\\nNone recorded.\\nHPI\\n68 F has a long standing history of headaches which have now generalized to her entire body. She believes that\\nher HA is caused by a brain parasite possibly a tape worm.\\nShe thinks she has had exposure to molds which have changed her immune system which then allowed her to get\\nparasites into her brain.\\nPt has breast implants which burst and were subsequently removed and she thinks the implants did lasting\\ndamage to her body but is not able to specify it further.\\nShe wants a doctor who would do a lumbar puncture and look for parasites. She has already had a lumbar\\npuncture which showed nl CSF.\\nROS\\nPatient reports fatigue but reports no fever, no significant weight gain, no significant weight loss, no exercise\\nintolerance, (normal) sleep, and (normal) appetite; pain all over the body.. She reports no dry eyes, no\\nirritation, and no vision change. She reports no difficulty hearing and no ear pain. She reports no frequent\\nnosebleeds and no nose/sinus problems. She reports no sore throat, no bleeding gums, no snoring, no dry mouth,\\nno mouth ulcers, no oral abnormalities, and no teeth problems. She reports no chest pain, no arm pain on\\nexertion, no shortness of breath when walking, no shortness of breath when lying down, no palpitations, and no\\nknown heart murmur. She reports no cough, no wheezing, no shortness of breath, and no coughing up blood. She\\nreports no abdominal pain, no vomiting, no diarrhea, and not vomiting blood. She reports no incontinence, no\\ndifficulty urinating, no hematuria, and no increased frequency. She reports no muscle aches, no muscle weakness,\\nno arthralgias/joint pain, no back pain, and no swelling in the extremities. She reports no abnormal mole, no\\njaundice, and no rashes. She reports no loss of consciousness, no weakness, no numbness, no seizures, no\\ndizziness, and no headaches. She reports no depression, no sleep disturbances, feeling safe in relationship, and\\nno alcohol abuse. She reports no swollen glands and no bruising. She reports no runny nose, no sinus pressure, no\\nitching, no hives, and no frequent sneezing.\\nPhysical Exam\\nPatient is a 68-year-old female.\\nno exam done. this was a phone call.\\nAssessment / Plan\\n68 F has a chronic pain syndrome as well as mental illness that does not allow her to have deeper insight into her\\nillness.\\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would[REDACTED] (id #3380, dob: 10/22/1952) Page 12/24\\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would\\nhave caught on the numerous tests pt has had done.\\nI gave her names of alternative practitioners at Kripalu and the integrative medicine clinic at Canyon Ranch and\\nwished her best of luck with her health\\nGiven that I could not be of further help in fiding a parasite inside her head, pt and I agreed that I could be of no\\nfurther service to her.\\n1. Fatigue\\nR53.83: Other fatigue\\n2. Chronic pain syndrome\\nG89.4: Chronic pain syndrome\\nReturn to Office\\nNone recorded.\\nEncounter Sign-Off"
}
}' \
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Output
{
"completed_at": "2024-10-10T07:36:02.406813Z",
"created_at": "2024-10-10T07:31:55.849000Z",
"data_removed": false,
"error": null,
"id": "573fxeb995rgj0cjenbt5844fc",
"input": {
"prompt": "Encounter Date: 11/09/2020\nPatient\nName [REDACTED] (68yo, F) ID# Appt. Date/Time 11/09/2020 12:00PM\n3380\nDOB 10/22/1952 Service Dept. ZANJABEE - WOBURN\nProvider BASMAA ALI, MD\nInsurance Med Primary: MEDICARE-MA (MEDICARE)\nInsurance # : 8GW0UU6FX24\nMed Secondary: BCBS-MA\nInsurance # : XXM981796798\nPolicy/Group # : 991767925\nPrescription: DST PHARMACY SOLUTIONS DIRECT - Member is eligible. details\nChief Complaint\nfatigue, Pre prep visit discussed, Initial Visit\ndiagnosed by 3 alternative doctors brain tape worm or parasite\nfatigue, poor sleep, low appetite, poor memory, numbness, terrible headaches, diagnosed with encephalitis\nThis appointment is telehealth and was done with real audio despite multiple tries by Dr Ali to connect to the\npatient via video also. In the end, we decided to do phone call since pt could not figure out doxy or facetime. Amy\nBenison and/or Sarah Clancy helped set up the visit and did the pre-visit planning with the patient.\nPatient's Pharmacies\nWALGREENS DRUGSTORE #18415 (ERX): 15 BOLTON STREET, READING, MA 01867, Ph (781) 942-5810,\nFax (781) 942-1457\nVitals\nNone recorded.\nAllergies\nReviewed Allergies\nNKDA\nsensitive to fragrances\nMedications\nReviewed Medications[REDACTED] (id #3380, dob: 10/22/1952) Page 10/24\nAmbien 11/09/20 entered\nnightly\nclonazePAM 1 mg tablet 10/29/20 filled\n1-2 tablets at bedtime\ndextroamphetamine-amphetamine 10 mg tablet 10/27/20 filled\nTK 1 T PO BID\nMaxalt 10 mg tablet 09/01/20 entered\nTake 1 tablet(s) as needed by oral route.\nInternal Note: PRN\nondansetron 4 mg disintegrating tablet 09/01/20 filled\nPRN\noxyCODONE 5 mg tablet 11/06/20 filled\n3-4 times a day\nInternal Note: typically morning, noon and night\nzolpidem 5 mg tablet 09/01/20 entered\nTake 1 tablet(s) every day by oral route.\nbrain support vitamins\nProblems\nReviewed Problems\nChronic pain syndrome - Onset: 11/09/2020\nFatigue - Onset: 11/09/2020\nFamily History\nReviewed Family History\nMaternal Grandmother - Family history of cancer\nMaternal Grandfather - Family history of cancer\nPaternal Grandmother - Family history of cancer\nPaternal Grandfather - Family history of cancer\nFather - Heart disease\nMother - Family history of cancer\n- breast cancer\nBrother - Alcoholism\nSocial History\nReviewed Social History\nGeneral IM Female\nEducation: 12\nMarital status: Divorced\nDiet: Gluten free (Notes: low sugar)\nExercise level: Occasional\nTobacco Smoking Status: Former smoker (Notes: quit late nineties)\nAlcohol intake: None\nCaffeine intake: Moderate\nIllicit drugs: none\nGeneral stress level: High\nSignificant life stressors: (Notes: health, family, chronic pain)\nStress Management - How do you manage stress?: read, walks\nQuality of sleep: very poor (Notes: takes many things at night to try to help her sleep)\nHobbies/Interests: chronic pain stops her\nSeat belts used routinely: N\nSunscreen used routinely: N\nSmoke alarm in home: Y\nPap Smear: around 2018\nMammogram: around 2018\nColon Cancer Screening: at 50\nLiving Situation - Lives with whom, nearby support, guage for loneliness: alone (Notes: feels safe)\nHard of hearing or deaf in one or both ears?: N\nPHQ9 score: (Notes: no energy because of chronic pain)\nDo you have >6 drinks on any night of the week?: N[REDACTED] (id #3380, dob: 10/22/1952) Page 11/24\nDo you have >6 drinks on any night of the week?: N\nSexual orientation : Straight or heterosexual\nSurgical History\nReviewed Surgical History\nbreast implant in 1983, ruptured and removed 1992\nGYN History\nReviewed GYN History\nIf Post Menopausal, Age at Menopause: 50.\nCurrent Birth Control Method: None (Notes: not s.a.).\nMenses Monthly: N.\nAge at Menarche: 13.\nObstetric History\nReviewed Obstetric History\nTOTALFULLPREAB. IAB. SECTOPICSMULTIPLELIVING\n2 1\nPast Medical History\nReviewed Past Medical History\nother: Y - chronic fatigue chronic facial and head pain\nacupuncture - how many session, where, for what?: Y\narthritis: Y\nasthma: Y\nback pain: Y\ncancer: Y - skin and L lung\nheadache: Y\nheart murmur: Y\nhyperthyroidism: Y\nhypothyroidism: Y\nScreening\nNone recorded.\nHPI\n68 F has a long standing history of headaches which have now generalized to her entire body. She believes that\nher HA is caused by a brain parasite possibly a tape worm.\nShe thinks she has had exposure to molds which have changed her immune system which then allowed her to get\nparasites into her brain.\nPt has breast implants which burst and were subsequently removed and she thinks the implants did lasting\ndamage to her body but is not able to specify it further.\nShe wants a doctor who would do a lumbar puncture and look for parasites. She has already had a lumbar\npuncture which showed nl CSF.\nROS\nPatient reports fatigue but reports no fever, no significant weight gain, no significant weight loss, no exercise\nintolerance, (normal) sleep, and (normal) appetite; pain all over the body.. She reports no dry eyes, no\nirritation, and no vision change. She reports no difficulty hearing and no ear pain. She reports no frequent\nnosebleeds and no nose/sinus problems. She reports no sore throat, no bleeding gums, no snoring, no dry mouth,\nno mouth ulcers, no oral abnormalities, and no teeth problems. She reports no chest pain, no arm pain on\nexertion, no shortness of breath when walking, no shortness of breath when lying down, no palpitations, and no\nknown heart murmur. She reports no cough, no wheezing, no shortness of breath, and no coughing up blood. She\nreports no abdominal pain, no vomiting, no diarrhea, and not vomiting blood. She reports no incontinence, no\ndifficulty urinating, no hematuria, and no increased frequency. She reports no muscle aches, no muscle weakness,\nno arthralgias/joint pain, no back pain, and no swelling in the extremities. She reports no abnormal mole, no\njaundice, and no rashes. She reports no loss of consciousness, no weakness, no numbness, no seizures, no\ndizziness, and no headaches. She reports no depression, no sleep disturbances, feeling safe in relationship, and\nno alcohol abuse. She reports no swollen glands and no bruising. She reports no runny nose, no sinus pressure, no\nitching, no hives, and no frequent sneezing.\nPhysical Exam\nPatient is a 68-year-old female.\nno exam done. this was a phone call.\nAssessment / Plan\n68 F has a chronic pain syndrome as well as mental illness that does not allow her to have deeper insight into her\nillness.\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would[REDACTED] (id #3380, dob: 10/22/1952) Page 12/24\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would\nhave caught on the numerous tests pt has had done.\nI gave her names of alternative practitioners at Kripalu and the integrative medicine clinic at Canyon Ranch and\nwished her best of luck with her health\nGiven that I could not be of further help in fiding a parasite inside her head, pt and I agreed that I could be of no\nfurther service to her.\n1. Fatigue\nR53.83: Other fatigue\n2. Chronic pain syndrome\nG89.4: Chronic pain syndrome\nReturn to Office\nNone recorded.\nEncounter Sign-Off"
},
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"output": "\n user\n Below is an instruction that describes a task. Write a response that appropriately completes the request. \n Identify the problems in the clinical note and for each problem, write a brief assessment. here are the inputs Encounter Date: 11/09/2020\nPatient\nName [REDACTED] (68yo, F) ID# Appt. Date/Time 11/09/2020 12:00PM\n3380\nDOB 10/22/1952 Service Dept. ZANJABEE - WOBURN\nProvider BASMAA ALI, MD\nInsurance Med Primary: MEDICARE-MA (MEDICARE)\nInsurance # : 8GW0UU6FX24\nMed Secondary: BCBS-MA\nInsurance # : XXM981796798\nPolicy/Group # : 991767925\nPrescription: DST PHARMACY SOLUTIONS DIRECT - Member is eligible. details\nChief Complaint\nfatigue, Pre prep visit discussed, Initial Visit\ndiagnosed by 3 alternative doctors brain tape worm or parasite\nfatigue, poor sleep, low appetite, poor memory, numbness, terrible headaches, diagnosed with encephalitis\nThis appointment is telehealth and was done with real audio despite multiple tries by Dr Ali to connect to the\npatient via video also. In the end, we decided to do phone call since pt could not figure out doxy or facetime. Amy\nBenison and/or Sarah Clancy helped set up the visit and did the pre-visit planning with the patient.\nPatient's Pharmacies\nWALGREENS DRUGSTORE #18415 (ERX): 15 BOLTON STREET, READING, MA 01867, Ph (781) 942-5810,\nFax (781) 942-1457\nVitals\nNone recorded.\nAllergies\nReviewed Allergies\nNKDA\nsensitive to fragrances\nMedications\nReviewed Medications[REDACTED] (id #3380, dob: 10/22/1952) Page 10/24\nAmbien 11/09/20 entered\nnightly\nclonazePAM 1 mg tablet 10/29/20 filled\n1-2 tablets at bedtime\ndextroamphetamine-amphetamine 10 mg tablet 10/27/20 filled\nTK 1 T PO BID\nMaxalt 10 mg tablet 09/01/20 entered\nTake 1 tablet(s) as needed by oral route.\nInternal Note: PRN\nondansetron 4 mg disintegrating tablet 09/01/20 filled\nPRN\noxyCODONE 5 mg tablet 11/06/20 filled\n3-4 times a day\nInternal Note: typically morning, noon and night\nzolpidem 5 mg tablet 09/01/20 entered\nTake 1 tablet(s) every day by oral route.\nbrain support vitamins\nProblems\nReviewed Problems\nChronic pain syndrome - Onset: 11/09/2020\nFatigue - Onset: 11/09/2020\nFamily History\nReviewed Family History\nMaternal Grandmother - Family history of cancer\nMaternal Grandfather - Family history of cancer\nPaternal Grandmother - Family history of cancer\nPaternal Grandfather - Family history of cancer\nFather - Heart disease\nMother - Family history of cancer\n- breast cancer\nBrother - Alcoholism\nSocial History\nReviewed Social History\nGeneral IM Female\nEducation: 12\nMarital status: Divorced\nDiet: Gluten free (Notes: low sugar)\nExercise level: Occasional\nTobacco Smoking Status: Former smoker (Notes: quit late nineties)\nAlcohol intake: None\nCaffeine intake: Moderate\nIllicit drugs: none\nGeneral stress level: High\nSignificant life stressors: (Notes: health, family, chronic pain)\nStress Management - How do you manage stress?: read, walks\nQuality of sleep: very poor (Notes: takes many things at night to try to help her sleep)\nHobbies/Interests: chronic pain stops her\nSeat belts used routinely: N\nSunscreen used routinely: N\nSmoke alarm in home: Y\nPap Smear: around 2018\nMammogram: around 2018\nColon Cancer Screening: at 50\nLiving Situation - Lives with whom, nearby support, guage for loneliness: alone (Notes: feels safe)\nHard of hearing or deaf in one or both ears?: N\nPHQ9 score: (Notes: no energy because of chronic pain)\nDo you have >6 drinks on any night of the week?: N[REDACTED] (id #3380, dob: 10/22/1952) Page 11/24\nDo you have >6 drinks on any night of the week?: N\nSexual orientation : Straight or heterosexual\nSurgical History\nReviewed Surgical History\nbreast implant in 1983, ruptured and removed 1992\nGYN History\nReviewed GYN History\nIf Post Menopausal, Age at Menopause: 50.\nCurrent Birth Control Method: None (Notes: not s.a.).\nMenses Monthly: N.\nAge at Menarche: 13.\nObstetric History\nReviewed Obstetric History\nTOTALFULLPREAB. IAB. SECTOPICSMULTIPLELIVING\n2 1\nPast Medical History\nReviewed Past Medical History\nother: Y - chronic fatigue chronic facial and head pain\nacupuncture - how many session, where, for what?: Y\narthritis: Y\nasthma: Y\nback pain: Y\ncancer: Y - skin and L lung\nheadache: Y\nheart murmur: Y\nhyperthyroidism: Y\nhypothyroidism: Y\nScreening\nNone recorded.\nHPI\n68 F has a long standing history of headaches which have now generalized to her entire body. She believes that\nher HA is caused by a brain parasite possibly a tape worm.\nShe thinks she has had exposure to molds which have changed her immune system which then allowed her to get\nparasites into her brain.\nPt has breast implants which burst and were subsequently removed and she thinks the implants did lasting\ndamage to her body but is not able to specify it further.\nShe wants a doctor who would do a lumbar puncture and look for parasites. She has already had a lumbar\npuncture which showed nl CSF.\nROS\nPatient reports fatigue but reports no fever, no significant weight gain, no significant weight loss, no exercise\nintolerance, (normal) sleep, and (normal) appetite; pain all over the body.. She reports no dry eyes, no\nirritation, and no vision change. She reports no difficulty hearing and no ear pain. She reports no frequent\nnosebleeds and no nose/sinus problems. She reports no sore throat, no bleeding gums, no snoring, no dry mouth,\nno mouth ulcers, no oral abnormalities, and no teeth problems. She reports no chest pain, no arm pain on\nexertion, no shortness of breath when walking, no shortness of breath when lying down, no palpitations, and no\nknown heart murmur. She reports no cough, no wheezing, no shortness of breath, and no coughing up blood. She\nreports no abdominal pain, no vomiting, no diarrhea, and not vomiting blood. She reports no incontinence, no\ndifficulty urinating, no hematuria, and no increased frequency. She reports no muscle aches, no muscle weakness,\nno arthralgias/joint pain, no back pain, and no swelling in the extremities. She reports no abnormal mole, no\njaundice, and no rashes. She reports no loss of consciousness, no weakness, no numbness, no seizures, no\ndizziness, and no headaches. She reports no depression, no sleep disturbances, feeling safe in relationship, and\nno alcohol abuse. She reports no swollen glands and no bruising. She reports no runny nose, no sinus pressure, no\nitching, no hives, and no frequent sneezing.\nPhysical Exam\nPatient is a 68-year-old female.\nno exam done. this was a phone call.\nAssessment / Plan\n68 F has a chronic pain syndrome as well as mental illness that does not allow her to have deeper insight into her\nillness.\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would[REDACTED] (id #3380, dob: 10/22/1952) Page 12/24\nI spent 25 minutes trying to suggest that parasites as a cause of any disease in the US was very rare and would\nhave caught on the numerous tests pt has had done.\nI gave her names of alternative practitioners at Kripalu and the integrative medicine clinic at Canyon Ranch and\nwished her best of luck with her health\nGiven that I could not be of further help in fiding a parasite inside her head, pt and I agreed that I could be of no\nfurther service to her.\n1. Fatigue\nR53.83: Other fatigue\n2. Chronic pain syndrome\nG89.4: Chronic pain syndrome\nReturn to Office\nNone recorded.\nEncounter Sign-Off\n \nmodel\n Here are the inputs Vitals: Not Mentioned. Allergies: Reviewed Allergies; NKDA; sensitive to fragrances; Patient's Pharmacies: WALGREENS DRUGSTORE #18415 (ERX): 15 BOLTON STREET, READING, MA 01867, Ph (781) 942-5810, Fax (781) 942-1457. Past Medical History: Reviewed Past Medical History; other: Y - chronic fatigue chronic facial and head pain; acupuncture - how many session, where, for what?: Y; arthritis: Y; asthma: Y; back pain: Y; cancer: Y - skin and L lung; heart murmur: Y; hyperthyroidism: Y; hypothyroidism: Y; hypertension: Y; kidney disease: Y; migraine: Y; osteoporosis: Y. Social History: Reviewed Social History; General IM Female; Education: 12; Marital status: Divorced; Diet: Gluten free (Notes: low sugar); Exercise level: Occasional; Tobacco Smoking Status: Former smoker (Notes: quit late nineties); Alcohol intake: None; Caffeine intake: Moderate; Illicit drugs: none; General stress level: High; Significant life stressors: (Notes: health, family, chronic pain); Stress Management - How do you manage stress?: read, walks; Hobbies/Interests: chronic pain stops her; Seat belts used routinely: N; Sunscreen used routinely: N; Smoke alarm in home: Y; Living Situation - Lives with whom, nearby support, guage for loneliness: alone (Notes: feels safe); Hard of hearing or deaf in one or both ears?: N; PHQ9 score: (Notes: no energy because of chronic pain); Do you have >6 drinks on any night of the week?: N; Sexual orientation : Straight or heterosexual; Surgical History: Reviewed Surgical History; breast implant in 1983, ruptured and removed 1992; GYN History: Reviewed GYN History; If Post Menopausal, Age at Menopause: 50. Past Medical History: Past Medical History not reviewed (last reviewed 09/27/2017); other: Y - chronic fatigue chronic facial and head pain; acupuncture - how many session, where, for what?: Y; arthritis: Y; asthma: Y; back pain: Y; cancer: Y - skin and L lung; heart murmur: Y; hyperthyroidism: Y; hypothyroidism: Y; hypertension: Y; kidney disease: Y; migraine: Y; osteoporosis: Y. Social History: Social History not reviewed (last reviewed 09/27/2017); General Stress level: High; Significant life stressors: (Notes: health, family, chronic pain); Stress Management - How do you manage stress?: read, walks; Hobbies/Interests: chronic pain stops her; Seat belts used routinely: N; Smoke alarm in home: Y; Living Situation - Lives with whom, nearby support, guage for loneliness: alone (Notes: feels safe); Hard of hearing or deaf in one or both ears?: N; PHQ9 score: (Notes: no energy because of chronic pain); Do you have >6 drinks on any night of the week?: N; Sexual orientation : Straight or heterosexual; Marriage and Civil Unions: Divorced; Education: 12; Marital status: Divorced; General IM Female; Exercise level: Occasional; Tobacco Smoking Status: Former smoker (Notes: quit late nineties); Alcohol intake: None; Caffeine intake: Moderate; Illicit drugs: none; General stress level: High; Significant life stressors: (Notes: health, family, chronic pain); Stress Management - How do you manage stress?: read, walks; Hobbies/Interests: chronic pain stops her; Seat belts used routinely: N; Smoke alarm in home: Y; Living Situation - Lives with whom, nearby support, guage for loneliness: alone (Notes: feels safe); Hard of hearing or deaf in one or both ears?: N; PHQ9 score: (Notes: no energy because of chronic pain); Do you have >6 drinks on any night of the week?: N; Sexual orientation : Straight or heterosexual; Marriage and Civil Unions: Divorced; Education: 12; Marital status: Divorced; General IM Female; Occupation: (Notes: N/A); General IM Female; Diet: (Notes: GFF and low sugar); Exercise level: Occasional (Notes: occasional walking, swimming); Tobacco Smoking Status: Former smoker (Notes: quit late 90s); Alcohol intake: None; Caffeine intake: Moderate; Illicit drugs: none; General stress level: High; Significant life stressors: (Notes: health, family, chronic pain); Stress Management - How do you manage stress?: (Notes: none); Hobbies/Interests: reading); Seat belts used routinely: N; Smoke alarm in home: Y; Living",
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Starting from v4.46, the `logits` model output will have the same type as the model (except at train time, where it will always be FP32)