{"reference":"Hello? Hi. Um, should we start? Yeah, okay. Hello how um. Good morning sir, how can I help you this morning?\n\n Hello, how are you?\n\n Oh hey, um, I've just had some diarrhea for the last three days, um, and it's been affecting me I need to stay close to the toilet. And, um, yeah, it's been affecting my day-to-day activities.\n\n Sorry to hear that. Um, and and when you say diarrhea, what'd you mean by diarrhea? Do you mean you're going to the toilet more often? Or are your stools more loose?\n\n Yeah, so it's like loose and watery stool, going to the toilet quite often, uh and like some pain in my, like, lower stomach?\n\n Okay. And how many times a day are you going, let's say, in the last couple of days?\n\n Um, probably like six or seven times a day? Yeah.\n\n Six, seven times a day. And you mention it's mainly watery. Have you noticed any other things, like blood in your stools?\n\n No, no blood, yeah, just watery and loose stool.\n\n Okay. And you mentioned you've had some pain in your tummy as well. Whereabouts is the pain, exactly?\n\n Yep.\n\n So in my lower abdomen, so, uh, like, um...yeah, just to one side.\n\n One side. And what side is that?\n\n Uh, on the left side.\n\n Left side. Okay, and can you describe the pain to me?\n\n Yeah, it feels, um, like a cramp, like a muscular cramp, and, um, yeah i feel a bit uh weak and shaky.\n\n Okay. And is the pain, is that, is it there all the time, or does it come and go?\n\n Uh, it comes and goes.\n\n Come and go. Does the pain move anywhere else, for example towards your back?\n\n Uh...no, just maybe my stomach.\n\n Okay, fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh have you been feeling feverish, for example?\n\n Yeah.\n\n Um, yeah, it doesn't feel like -- yeah, it just makes me feel weak. I haven't had a fever, um, at the moment, but I did notice um a temperature when the symptoms started, so, um, yeah around about three or four days ago.\n\n You measure your temperature then?\n\n Yeah, I uh I didn't mention my temperature, no, but I felt, um, just a bit hot. And, y'know.\n\n Okay. Okay. Any other symptoms like sweating, or um, night sweats? No? And, uh, any vomiting at all?\n\n Uh, no.\n\n Yeah, so um, I vomited at the start of the symptoms but now um I've stopped vomiting.\n\n You stopped vomiting, okay. And was your vomit, I know it's not a nice thing to talk about, but was it just normal food colour Yeah. And there was no blood in your vomit, is that right?\n\n Yeah, yeah, just normal vomit, yeah. No no blood, no. Yeah.\n\n No, okay. Um, and um, any any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhea, you mentioned your vomiting, uh, anything else that comes to mind?\n\n Yep. Um, I had a loss of appetite, um, so I haven't been eating as much, but I've been able to hold down fluids.\n\n Okay.\n\n Okay, so you're drinking fluids. Um, what kind of foods have you managed to eat, if anything?\n\n Yep.\n\n Um, just soups, and, uh, yeah, light foods. Like smoothies and, yeah, liquid foods mainly.\n\n Okay. Fine. Um, and sir these started three days ago the symptoms. Are you aware of any triggers which may have caused the symptoms uh to kick on. So for example, think like takeaway foods or eating out or being around other people with similar symptoms.\n\n Yeah, so I had takeaway about four days ago, um, uh, but other than that I've, yeah, been, uh, eating normally. Nothing unusual here.\n\n Okay.\n\n Do you remember where you ate?\n\n Um, yeah, I ate at a Chinese restaurant with friends. Yeah.\n\n Okay. Anyone else unwell with similar symptoms?\n\n Um, so no one else in the family, so a wife and two kids and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n\n Okay, okay. Fine. Um, alright. And uh, in terms of your , your overall health, are you normally fit and well? Or, uh\n\n Um, yeah, I mean, other than um athsma, um I use an inhaler, everything uh else is fine.\n\n Okay. And, is your asthma well-controlled?\n\n Uh, yeah, that's fine. I just, yeah, use an inhaler, and uh that's under control.\n\n Fine. And you don't have any other tummy problem, bowel problems I should be aware of?\n\n No.\n\n No, okay. Um, and apart from the inhalers, do you take any other medications?\n\n Uh, no, no other medications.\n\n Okay, fine. And in terms of just your day to day life, you said it's been affecting your life, um, in what way has it been affecting your life?\n\n Yeah.\n\n Uh, so, I need to stay close to the toilet 'cause I go quite frequently during the these past three days. Um, yeah, other than that, it's uh, yeah, the main concern.\n\n Okay.\n\n Yeah.\n\n And have you, are you currently working at the moment?\n\n Uh, yes, yeah. I I work, er. Um, I'm an accountant.\n\n Would, would work.\n\n Okay. Have you been going into work the last three days, or have you been at home?\n\n Uh, yeah, I've been going to work. Yeah. Yeah, it's been quite difficult.\n\n okay. That must be difficult for you then.\n\n fine. And you said, you mentioned you live with your wife and two children, is that right?\n\n Yes, yeah.\n\n Right, alright. Um, just a couple of other question we need to ask, sir. Um, do you smoke at all?\n\n Uh, no, I don't smoke.\n\n And do you drink much in the way of alcohol?\n\n Uh, no, I I don't drink alcohol, no.\n\n Okay. so um, er normally at this stage I like to um, examine you if that's okay, but um, um, but but having listened to your story, sir, I think uh, um, just to recap for the last three days you've been having loose stool, diarrhea, a bit of tummy pain uh mainly on the left-hand side, um and vomiting and fever and you're quite weak and lethargic um, you mentioned you had this Chinese takeaway as little as three days ago and I wondered whether that might be the cause of your problems.\n\n Yeah.\n\n Okay.\n\n Um, it seems like you may have something, uh, called gastroenteritis, which essentially just a tummy bug or infection of your uh of your tummy.\n\n Uh, mainly caused by viruses but there can be a possibility of bacteria uh causing its symptoms. Um.\n\n Yeah.\n\n Yeah.\n\n At this stage, uh, what, what we'd recommend is just what we say conservative management. So, um, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated, so drinking fluids.\n\n Mm-hmm.\n\n Um, there are things like Dioralyte you can get from the pharmacy, which uh it's um it helps helps replenish your minerals and vitamins.\n\n Okay.\n\n Um, and if you are having vomiting diarrhea I would say recommend that in the first, you know, first couple of days.\n\n Yep.\n\n If you are feeling feverish and weak, eh taking some paracetamol, uh, two tablets up to four times a day for the first few days can also help.\n\n Yep.\n\n I will certainly advise you to take some time off work, actually I know you're quite keen to work but I would say the next two, two to three days as the infection clears from your system to take some time off and rest.\n\n Okay.\n\n Yeah.\n\n Um, I'll admit if your symptoms haven't got better, you know, in in three to four days, I'd like to come and see you again.\n\n Okay, sure.\n\n Because if it is ongoing then we have to wonder whether something else caused your symptoms.\n\n Yep.\n\n Uh, and we may need to do further tests like um taking a sample of your stool so we can test that.\n\n Um, etcetera etcetera.\n\n Yep, sure, yep.\n\n How's that sound?\n\n That sounds great, yeah. Yeah.\n\n Do you have any questions for me?\n\n Um, no, no further questions, no.\n\n Okay, and is uh is the treatment plan clear?\n\n Uh, yes, yeah, that's that's very clear. Thank you.\n\n Great. Well, I wish you all the best.\n\n Okay, thank you. Bye.\n\n Thank you. Bye bye.","products":{"hanah":[{"label":"Run 1","wer":14.940098661028895,"text":"Hello.\n\n  Hello, how are you?\n\n  Hi. Um, should we stop?\n\n  Yeah.\n\n  Yeah, okay. Hello, um, good morning, sir. How can I help you this morning?\n\n  Hi, um, I've just had some, um, diarrhea for the last 3 days, um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities.\n\n  Okay. I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\n  Yeah, so it's like loose and watery stool, going to the toilet quite often, um, and like some pain in my, like, lower stomach.\n\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n\n  Um, probably like 6 or 7 times a day.\n\n  6 or 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools?\n\n  No, no blood. Yeah, just watery and loose stool.\n\n  Okay. And you mentioned you've had some pain in your tummy as well.\n\n  Yeah.\n\n  Whereabouts is the pain exactly?\n\n  So it's like in my lower abdomen, so, uh, like, um, yeah, just to one side.\n\n  One side. And what side is that?\n\n  Uh, on the left side.\n\n  Left side, okay. And can you describe the pain to me?\n\n  Yeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky.\n\n  Okay. And is the pain is that is it there all the time, or does it come and go?\n\n  Uh, it comes and goes.\n\n  Comes and go. Does the pain move anywhere else, for example towards your back?\n\n  Um, no, just mainly in my stomach.\n\n  Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example?\n\n  Um, yeah, it doesn't feel like uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so, um, yeah, around about 3 or 4 days ago.\n\n  Did you measure your temperature then?\n\n  Yeah, I, I didn't measure my temperature, no, but I felt, um, just a bit hot.\n\n  Okay, okay. Any other symptoms, like sweating or, um, night sweats?\n\n  Um, no.\n\n  No? And, uh, any vomiting at all?\n\n  Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting.\n\n  You've stopped vomiting. Okay. And was your vomit I know it's not a nice thing to talk about, but was it just normal food colour?\n\n  Yeah, yeah, just normal vomit. Yeah.\n\n  Yeah. And there was no blood in your vomit. Is that right?\n\n  No blood, no.\n\n  No. Okay. Um.\n\n  Yeah.\n\n  And, um, any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned the vomiting. Um.\n\n  Yeah.\n\n  Anything else that comes to mind?\n\n  Um, I had a loss of appetite, um, so I haven't been eating as much.\n\n  Okay.\n\n  Um, but I've been able to hold down fluids.\n\n  Okay. So you're drinking fluids. Um, what kind of foods have you managed to eat, if anything?\n\n  Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly.\n\n  Okay. Fine. Um, and so, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would sim the symptoms?\n\n  Yeah, so I had takeaway about 4 days ago, um, uh, but other than that, I've yeah, I've been eating normally.\n\n  Okay.\n\n  I think, I think, uh, unusual, yeah.\n\n  Do you remember what you ate?\n\n  Um, yeah, I, I ate at a Chinese restaurant with friends.\n\n  Okay. Anyone else unwell with similar symptoms?\n\n  Um, so no one else in the family, so I, uh, wife and 2 kids and 1, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n\n  Okay. Okay. Fine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well, or?\n\n  Um, yeah, I mean, other than, um, asthma, um, I use an inhaler everything, uh, else is fine.\n\n  Okay. And is your asthma well controlled?\n\n  Uh, yeah, that's fine.\n\n  Okay.\n\n  Uh, just, yeah, use an inhaler and, uh, that's under control.\n\n  Fine. And you don't have any other tummy problems, bowel problems I should be aware of?\n\n  No.\n\n  No. Okay. Um, and apart from the inhalers, do you take any other medications?\n\n  Uh, no, no other medications.\n\n  Okay. Fine. And in terms of just your, your day-to-day life, you said it's been affecting your life. Um.\n\n  Yeah.\n\n  In what way has it been affecting your life?\n\n  Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days.\n\n  Okay.\n\n  Um, yeah, other than that, it's, uh, yeah, the main concern.\n\n  Yeah. And have you are you currently working at the moment?\n\n  Uh, yes. Yeah, I, I work, uh.\n\n  Working at the work?\n\n  Um, I'm an accountant.\n\n  Okay. Have you been going into work the last 3 days, or have you been at home?\n\n  Uh, yeah, I've been going to work.\n\n  Okay. That must be difficult for you then.\n\n  Yeah, it's been quite difficult.\n\n  Right. And you said you mentioned you live with a wife and 2 children. Is that right?\n\n  Yes, yeah.\n\n  All right. Um, just a couple of other questions we need to ask. So, um, do you smoke at all?\n\n  Uh, no, I don't smoke.\n\n  And do you drink much in the way of alcohol?\n\n  Uh, no, I, I don't drink alcohol, no.\n\n  Okay. So, um, uh, normally at this stage I'd like to, um, examine you if that's okay, but, um, um.\n\n  Yeah.\n\n  But, but having listened to your stories, uh, I think, uh, um, just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, um, and some vomiting and feeling generally quite weak and lethargic. Um.\n\n  Yeah.\n\n  You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems.\n\n  Okay.\n\n  Um, it seems like you may have something called gastroenteritis.\n\n  Okay.\n\n  Which essentially just, uh, tummy bug or an infection of your, of your tummy. Uh.\n\n  Yeah.\n\n  Mainly caused by viruses, but it can be, uh, possibility of bacteria, uh, causing your symptoms.\n\n  Yeah.\n\n  Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, um, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking.\n\n  Yeah.\n\n  Plenty of fluids. Um, uh, there, there are things like Dioralyte you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins.\n\n  Okay.\n\n  Um, and if you are having vomiting and diarrhea, I would certainly recommend that at first, you know, first couple of days.\n\n  Yeah.\n\n  Um, if you are feeling feverish and weak, taking some paracetamol, uh.\n\n  Yeah.\n\n  2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say next 2, 2 to 3 days, um, as.\n\n  Yeah.\n\n  Infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\n\n  Okay, sure.\n\n  Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms.\n\n  Yeah.\n\n  Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Um, etc., etc.\n\n  Yeah, sure, yeah.\n\n  How does that sound?\n\n  That sounds great, yeah, yeah.\n\n  Do you have any questions for me?\n\n  Um, no, no further questions, no.\n\n  Okay. Is it, is the treatment plan clear?\n\n  Uh, yeah, yeah, that's, that's very clear, thank you.\n\n  Great. Well, I wish you all the best.\n\n  Okay, thank you.\n\n  Thank you.\n\n  Bye.\n\n  Bye-bye.","marks":[[10,28,"",false],[51,65,"start",false],[86,86,"how",false],[147,149,"Hello how are you Oh hey",false],[340,349,"",false],[401,408,"what'd",false],[703,707,"in",false],[779,781,"",false],[805,814,"mention",false],[1063,1063,"Yep.",false],[1071,1080,"",false],[1482,1487,"Come",false],[1564,1570,"Uh...no",false],[1577,1586,"maybe",false],[1824,1826,"--",false],[1841,1847,"makes me",false],[2012,2015,"",false],[2072,2079,"mention",false],[2131,2131,"And y'know.",false],[2206,2213,"",false],[2249,2249,"Uh no.",false],[2347,2353,"You",false],[2486,2525,"",false],[2577,2577,"Yeah yeah just normal vomit yeah. 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How's",false],[7869,7869,"Bye.",false],[7895,7903,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","\"Watery, loose diarrhoea x3 days; 6–7 stools/day\" and \"No blood in stool\"."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Intermittent cramping L lower abdominal pain; non-radiating\"."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Initial vomiting, now resolved; vomitus normal in appearance, no blood\"."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"felt hot at onset... but no measured temp. No current fever\" and \"Feels weak/shaky\"."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","\"↓ appetite; tolerating fluids. Eating soups, smoothies and other light/liquid foods\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","\"Chinese takeaway with friends 4 days ago\" and \"1 child vomiting without diarrhoea\"."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","\"asthma, controlled with inhaler\" and \"Meds: inhaler only\"."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"Staying near toilet; affecting daily activities/work\"."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Acute gastroenteritis, likely viral; bacterial cause possible\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","\"Conservative management; antibiotics not indicated\" and \"oral fluids and Dioralyte\"."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"Paracetamol 2 tablets up to 4 times/day... if feverish/weak\"."],["The plan captures rest and approximately two to three days off work.","yes","\"Advise rest and time off work for next 2–3 days\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Return if not improving within 3–4 days; consider further tests, including stool sample\"."]],"claims":[],"note":"Subjective\nWatery, loose diarrhoea x3 days; 6–7 stools/day. Staying near toilet; affecting daily activities/work.\nIntermittent cramping L lower abdominal pain; non-radiating.\nInitial vomiting, now resolved; vomitus normal in appearance, no blood.\nFeels weak/shaky; felt hot at onset 3–4 days ago but no measured temp. No current fever, sweats or night sweats.\nNo blood in stool.\n↓ appetite; tolerating fluids. Eating soups, smoothies and other light/liquid foods.\nChinese takeaway with friends 4 days ago. No household member with same sx; 1 child vomiting without diarrhoea.\nPMH: asthma, controlled with inhaler. No other GI/bowel problems.\nMeds: inhaler only. No smoking or alcohol.\nWorks as an accountant; has continued attending work despite sx.\nObjective\nNo physical examination or observations documented.\nAssessment\nAcute gastroenteritis, likely viral; bacterial cause possible given recent takeaway.\nSupported by acute watery diarrhoea, transient vomiting, intermittent abdominal cramping and reduced appetite; no reported blood in stool/vomit and able to retain fluids.\nPlan\nConservative management; antibiotics not indicated at present.\nEncourage oral fluids and Dioralyte for fluid/mineral replacement.\nParacetamol 2 tablets up to 4 times/day for first few days if feverish/weak.\nAdvise rest and time off work for next 2–3 days.\nReturn if not improving within 3–4 days; consider further tests, including stool sample, if ongoing.","review":68.84210526315789,"saved":314.1578947368421,"clean":true,"effort":0.0,"sig":[]},{"label":"Run 2","wer":15.433403805496829,"text":"Hello.\n\n  Hello, how are you?\n\n  Hi. Um, should we start?\n\n  Yeah.\n\n  Yeah, okay. Hello, how— um, good morning, sir. How can I help you this morning?\n\n  Hi, um, I've just had some, um, diarrhea for the last 3 days, um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities.\n\n  Oh, yeah. I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\n  Yeah, so it's like loose and watery stool, going to the toilet quite often, um, and like some pain in my, like, lower stomach.\n\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n\n  Um, probably like 6 or 7 times a day.\n\n  6 or 7 times a day. And you maybe mentioned this is mainly watery. Have you noticed any other things, like blood in your stools?\n\n  No, no blood. Yeah, just watery and loose stool.\n\n  Okay. And you mentioned you've had some pain in your tummy as well.\n\n  Yeah.\n\n  Whereabouts is the pain exactly?\n\n  So it's like in my lower abdomen, so, uh, like, um, yeah, just to one side.\n\n  One side. And what side is that?\n\n  Uh, on the left side.\n\n  Left side, okay. And can you describe the pain to me?\n\n  Yeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky.\n\n  Okay. And does the pain— is that— is it there all the time, or does it come and go?\n\n  Uh, it comes and goes.\n\n  It comes and goes. Does the pain move anywhere else, for example, towards your back?\n\n  Um, no, just mainly in my stomach.\n\n  Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example?\n\n  Um, yeah, it doesn't feel like— uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so, um, yeah, around about 3 or 4 days ago.\n\n  Did you measure your temperature then?\n\n  Yeah, I— I didn't measure my temperature, no, but I felt, um, just a bit hot.\n\n  Okay, okay. Any other symptoms, like sweating or, um, night sweats?\n\n  Um, no.\n\n  No? And, uh, any vomiting at all?\n\n  Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting.\n\n  You've stopped vomiting, okay. And was your vomit— I know it's not nice to talk about, but was it just normal food colour?\n\n  Yeah, yeah, just normal vomit. Yeah.\n\n  Yeah. And there was no blood in your vomit. Is that right?\n\n  No blood, no.\n\n  No. Okay. Um.\n\n  Yeah.\n\n  And, um, any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhea, you mentioned your vomiting. Um.\n\n  Yeah.\n\n  Anything else that comes to mind?\n\n  Um, I had a loss of appetite, um, so I haven't been eating as much.\n\n  Okay.\n\n  Um, but I've been able to hold down fluids.\n\n  Okay. So you're drinking fluids. Um, what kind of foods have you managed to eat, if anything?\n\n  Um, just soups. And, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly.\n\n  Okay. Fine. Um, and so, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would send the symptoms?\n\n  Yeah, so I had takeaway about 4 days ago, um, uh, but other than that, I've— yeah, I've been eating normally.\n\n  Okay.\n\n  I think, yeah, unusual, yeah.\n\n  Do you remember what you ate?\n\n  Um, yeah, I ate at a Chinese restaurant with friends.\n\n  Okay. Anyone else unwell with similar symptoms?\n\n  Um, so no one else in the family, so I, uh, wife and 2 kids and 1, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n\n  Okay, okay. Fine. Um, right. And, uh, in terms of your, your overall health, are you normally feeling well, or?\n\n  Um, yeah, I mean, other than, um, asthma, um, I use an inhaler everything, uh, else is fine.\n\n  Okay. And does your asthma well controlled?\n\n  Uh, yeah, that's fine.\n\n  Okay.\n\n  Uh, just, yeah, use an inhaler and, uh, that's under control.\n\n  Fine. And you don't have any other tummy problems, bowel problems I should be aware of?\n\n  No.\n\n  No. Okay. Um, and apart from the inhalers, do you take any other medications?\n\n  Uh, no, no other medications.\n\n  Okay. Fine. And in terms of just your, your day-to-day life, you said it's been affecting your life. Um.\n\n  Yeah.\n\n  In what way has it been affecting your life?\n\n  Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days.\n\n  Okay.\n\n  Um, yeah, other than that, it's, uh, yeah, that's the main concern.\n\n  And have you— are you currently working at the moment?\n\n  Uh, yes, yeah, I, I work, um.\n\n  Working at the work?\n\n  Um, I'm an accountant.\n\n  Okay. Have you been going into work the last 3 days, or have you been at home?\n\n  Uh, yeah, I've been going to work.\n\n  Okay. That must be difficult for you then.\n\n  Yeah, it's been quite difficult.\n\n  Right. And you said you mentioned you live with a wife and 2 children. Is that right?\n\n  Yes, yeah.\n\n  All right. Um, just a couple of other questions we need to ask. So, um, do you smoke at all?\n\n  Uh, no, I don't smoke.\n\n  And do you drink much in the way of alcohol?\n\n  Uh, no, I, I don't drink alcohol, no.\n\n  Okay. So, um, uh, normally at this stage I'd like to, um, examine you if that's okay, but, um, um.\n\n  Yeah.\n\n  But, but having listened to your stories, uh, I think, uh, um, just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, um, and some vomiting and feeling generally quite weak and lethargic. Um.\n\n  Yeah.\n\n  You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems.\n\n  Okay.\n\n  Um, it seems like you may have something called gastroenteritis.\n\n  Okay.\n\n  Which essentially just, uh, tummy bug or an infection of your, of your tummy. Um.\n\n  Yeah.\n\n  Mainly caused by viruses, but it can be, uh, possibility of bacteria, uh, causing your symptoms.\n\n  Yeah.\n\n  Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, um, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking plenty of fluids. Um, uh, there, there are things like Dioralyte you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins.\n\n  Okay.\n\n  Um, and if you are having vomiting and diarrhea, I would certainly recommend that at first, you know, first couple of days.\n\n  Yeah.\n\n  Um, if you are feeling feverish and weak, taking some paracetamol, uh.\n\n  Yeah.\n\n  To, 2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say in the next 2, 2 to 3 days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\n\n  Okay, sure.\n\n  Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms.\n\n  Yeah.\n\n  Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Um, etc., etc.\n\n  Yeah, sure, yeah.\n\n  How does that sound?\n\n  That sounds great, yeah, yeah.\n\n  Do you have any questions for me?\n\n  Um, no, no further questions, no.\n\n  Okay. Is there, is the treatment plan clear?\n\n  Uh, yeah, yeah, that's, that's very clear, thank you.\n\n  Great. Well, I wish you all the best.\n\n  Okay, thank you.\n\n  Thank you.\n\n  Bye.\n\n  Bye-bye.","marks":[[10,28,"",false],[153,155,"Hello how are you Oh hey",false],[346,359,"",false],[411,418,"what'd",false],[713,717,"in",false],[789,791,"",false],[815,838,"mention it's",false],[1082,1082,"Yep.",false],[1090,1099,"",false],[1402,1406,"is",false],[1505,1513,"Come",false],[1518,1523,"go.",false],[1593,1599,"Uh...no",false],[1606,1615,"maybe",false],[1854,1856,"--",false],[1871,1877,"makes me",false],[2042,2045,"",false],[2102,2109,"mention",false],[2161,2161,"And y'know.",false],[2236,2243,"",false],[2279,2279,"Uh no.",false],[2377,2383,"You",false],[2448,2448,"thing",false],[2503,2539,"",false],[2600,2600,"Yeah yeah just normal vomit yeah. 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How's",false],[7725,7730,"uh",false],[7878,7878,"Bye.",false],[7904,7912,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","3-day loose/watery diarrhoea ~6-7/day; denies blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Intermittent cramping LLQ abdominal pain; non-radiating\"."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomited at onset, now resolved; denies haematemesis."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt hot at onset, no measured temperature, denies current fever; weakness/shakiness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Reduced appetite, tolerating fluids, soups/smoothies/light foods."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway ~4 days ago; 1 child had vomiting but no diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","\"asthma, reported controlled with inhaler. Meds: inhaler only\"."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Impacting ADLs/work due to need to remain near toilet."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Acute gastroenteritis, clinically suspected\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","Conservative management, antibiotics not recommended, ORS (Dioralyte)."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"2 tablets up to 4 times/day for first few days\"."],["The plan captures rest and approximately two to three days off work.","yes","Rest and time off work for next 2-3 days."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if not improving within 3-4 days; stool sample if persisting."]],"claims":[],"note":"Subjective\n3-day hx frequent loose/watery diarrhoea, ~6–7 episodes/day; impacting ADLs/work due to need to remain near toilet.\nIntermittent cramping LLQ abdominal pain; non-radiating.\nReports weakness/shakiness and reduced appetite.\nVomited at symptom onset; now resolved. Vomitus normal colour; denies haematemesis.\nDenies blood in stool.\nFelt hot at onset 3–4 days ago; no measured temperature. Denies current fever, sweats or night sweats.\nTolerating fluids. Eating mainly soup, smoothies and other light/liquid foods.\nAte Chinese takeaway with friends ~4 days ago. Wife and 2 children at home; 1 child had vomiting but no diarrhoea. No other similar illness reported.\nPMH: asthma, reported controlled with inhaler.\nMeds: inhaler only.\nDenies previous GI/bowel problems.\nSH: accountant; continued attending work despite symptoms. Non-smoker; no alcohol intake.\nObjective\nNo examination, observations or measured vital signs documented.\nAssessment\nAcute gastroenteritis, clinically suspected.\nAcute watery diarrhoea, transient vomiting, crampy abdominal pain and possible feverishness following recent takeaway support infectious gastroenteritis.\nViral cause considered most likely; bacterial infection also discussed.\nIntermittent LLQ abdominal cramping associated with diarrhoeal illness.\nReduced oral intake/appetite, but maintaining fluids.\nPlan\nConservative management discussed; antibiotics not recommended at this stage.\nEncourage adequate oral fluids.\nAdvise oral rehydration solution (e.g. Dioralyte) to replace fluids/minerals, particularly with ongoing diarrhoea.\nParacetamol for feverishness/weakness: 2 tablets up to 4 times/day for first few days, as discussed.\nAdvise rest and time off work for next 2–3 days.\nReview if not improving within 3–4 days.\nIf symptoms persist, consider further assessment including stool sample testing.","review":82.42105263157895,"saved":300.57894736842104,"clean":true,"effort":0.0,"sig":[],"mb":9.706256,"latency":19.993,"signable":102.41405263157894},{"label":"Run 3","wer":15.221987315010571,"text":"Hello.\n\n  Hello, how are you?\n\n  Hi. Um, should we start?\n\n  Yeah.\n\n  Yeah, okay. Hello, how— um, good morning, sir. How can I help you this morning?\n\n  Hi, um, I've just had some, um, diarrhea for the last 3 days. Um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities.\n\n  Oh, yeah. I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\n  Yeah, so it's like loose and watery stool, going to the toilet quite often, um, and like some pain in my— like lower stomach.\n\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n\n  Um, probably like 6 or 7 times a day.\n\n  6, 7 times a day. And you mentioned— you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools?\n\n  No, no blood. Yeah, just watery and loose stool.\n\n  Okay. And you mentioned you've had some pain in your tummy as well.\n\n  Yeah.\n\n  Where about is the pain?\n\n  Exactly. So it's like in my lower abdomen, so, uh, like— um, yeah, just to one side.\n\n  One side. And what side is that?\n\n  Uh, on the left side.\n\n  Left side, okay. And can you describe the pain to me?\n\n  Yeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky.\n\n  Okay. And is the pain— is that— is it there all the time, or does it come and go?\n\n  Uh, it comes and goes.\n\n  Comes and goes. Does the pain move anywhere else, for example towards your back?\n\n  Um, no, just mainly in my stomach.\n\n  Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having— have you been feeling feverish, for example?\n\n  Um, yeah, it doesn't feel like— uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so, um, yeah, around about 3 or 4 days ago.\n\n  Did you measure your temperature then?\n\n  Yeah, I— I didn't measure my temperature, no, but I felt, um, just a bit hot.\n\n  Okay, okay. Any other symptoms, like sweating or, um, night—\n\n  Um, no.\n\n  No? And, uh, any vomiting at all?\n\n  Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting.\n\n  You've stopped vomiting, okay. And was your vomit— I know it's not nice to talk about, but was it just normal food color, blood?\n\n  Yeah, yeah, just normal vomit. Yeah.\n\n  Yeah. And there was no blood in your vomit. Is that right?\n\n  No blood, no.\n\n  No. Okay. Um, and, um, any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting. Um.\n\n  Yeah.\n\n  Anything else that comes to mind?\n\n  Um, I had a loss of appetite, um, so I haven't been eating as much.\n\n  Okay.\n\n  Um, but I've been able to hold down fluids.\n\n  Okay. So you're drinking fluids. Um, what kind of foods have you managed to eat, if anything?\n\n  Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly.\n\n  Okay. Fine. Um, and so, uh, you started 3 days ago, the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would simulate symptoms?\n\n  Yeah, so I had takeaway about 4 days ago. Um, uh, but other than that, I've— yeah, I've been eating normally.\n\n  Okay.\n\n  I think, I think, uh, unusual, yeah.\n\n  Do you remember what you ate?\n\n  Um, yeah, I ate at a Chinese restaurant with friends.\n\n  Okay. Anyone else unwell with similar symptoms?\n\n  Um, so no one else in the family, so I, uh, wife and 2 kids and 1, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n\n  Okay. Okay. Fine. Um, right. And, uh, in terms of your, your overall health, are you normally feeling well, or?\n\n  Um, yeah, I mean, other than, um, asthma, um, I'm using an inhaler. Everything, uh, else is fine.\n\n  Okay. And is your asthma well controlled?\n\n  Uh, yeah, that's fine.\n\n  Okay.\n\n  Uh, just, yeah, use an inhaler and, uh, that's under control.\n\n  Fine. And you don't have any other tummy problems, bowel problems I should be aware of?\n\n  No.\n\n  No. Okay. Um, and apart from the inhalers, do you take any other medications?\n\n  Uh, no, no other medications.\n\n  Okay. Fine. And in terms of just your, your day-to-day life, you said it's been affecting your life. Um.\n\n  Yeah.\n\n  In what way has it been affecting your life?\n\n  Uh, so I need to stay close to the toilet because I go quite frequently during the— these past 3 days.\n\n  Okay.\n\n  Um, yeah, other than that, it's, uh, yeah, that's the main concern.\n\n  And have you— are you currently working at the moment?\n\n  Uh, yes. Yeah, I, I work, um.\n\n  Working at the work?\n\n  Um, I'm an accountant.\n\n  Okay. Have you been going into work the last 3 days, or have you been at home?\n\n  Uh, yeah, I've been going to work.\n\n  Okay. That must be difficult for you then.\n\n  Yeah, it's been quite difficult.\n\n  Right. And you said you mentioned you live with a wife and 2 children. Is that right?\n\n  Yes, yeah.\n\n  All right. Um, just a couple of other questions we need to ask. So, um, do you smoke at all?\n\n  Uh, no, I don't smoke.\n\n  And do you drink much in the way of alcohol?\n\n  Uh, no, I, I don't drink alcohol, no.\n\n  Okay. So, um, uh, normally at this stage I'd like to, um, examine you if that's okay, but, um, um.\n\n  Yeah.\n\n  But, but having listened to your stories, uh, I think, uh, um, just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, um, and some vomiting and feeling generally quite weak and lethargic. Um.\n\n  Yeah.\n\n  You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems.\n\n  Okay.\n\n  Um, it seems like you may have something called gastroenteritis.\n\n  Okay.\n\n  Which essentially just, uh, tummy bug or infection of your— of your tummy. Uh.\n\n  Yeah.\n\n  Mainly caused by viruses, but it can be, uh, possibility of bacteria, uh, causing your symptoms.\n\n  Yeah.\n\n  Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, um, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking plenty of fluids. Um, uh, there are things like Dioralyte you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins.\n\n  Okay.\n\n  Um, and if you are having vomiting and diarrhea, I would say you recommend that at first, you know, first couple of days.\n\n  Yeah.\n\n  Um, if you are feeling feverish and weak, taking some paracetamol, uh.\n\n  Yeah.\n\n  2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say in the next 2, 2 to 3 days, um, as the infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\n\n  Okay, sure.\n\n  Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms.\n\n  Yeah.\n\n  Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Um, etc., etc.\n\n  Yeah, sure, yeah.\n\n  How does that sound?\n\n  That sounds great, yeah, yeah.\n\n  Do you have any questions for me?\n\n  Um, no, no further questions, no.\n\n  Okay. Is it— is the treatment plan clear?\n\n  Uh, yeah, yeah, that's, that's very clear, thank you.\n\n  Great. Well, I wish you all the best.\n\n  Okay, thank you.\n\n  Thank you.\n\n  Bye.\n\n  Bye-bye.","marks":[[10,28,"",false],[153,155,"Hello how are you Oh hey",false],[346,359,"",false],[411,418,"what'd",false],[712,716,"in",false],[812,836,"mention",false],[1045,1065,"Whereabouts",false],[1090,1090,"Yep.",false],[1094,1103,"",false],[1507,1512,"Come",false],[1517,1522,"go.",false],[1591,1597,"Uh...no",false],[1604,1613,"maybe",false],[1848,1850,"--",false],[1865,1871,"makes me",false],[2036,2039,"",false],[2096,2103,"mention",false],[2155,2155,"And y'know.",false],[2223,2230,"sweats",false],[2266,2266,"Uh no.",false],[2364,2370,"You",false],[2435,2435,"thing",false],[2479,2532,"colour",false],[2593,2593,"Yeah yeah just normal vomit yeah. No",false],[2636,2636,"any",false],[2795,2795,"Yep.",false],[3019,3019,"Yep.",false],[3137,3148,"sir these",false],[3235,3239,"the",false],[3286,3292,"think",false],[3356,3374,"with similar",false],[3471,3475,"",false],[3501,3530,"Nothing",false],[3541,3546,"here. Okay.",false],[3566,3570,"where",false],[3877,3883,"alright.",false],[3949,3956,"fit and",false],[4004,4010,"athsma",false],[4016,4025,"I use",false],[4257,4265,"problem",false],[4467,4482,"day to day",false],[4635,4642,"'cause",false],[4751,4757,"",false],[4863,4889,"er.",false],[4916,4916,"Would would work.",false],[5036,5036,"Yeah. 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How's",false],[7854,7854,"Bye.",false],[7880,7888,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","3-day loose/watery stools ~6-7/day; denies blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Intermittent cramping LLQ/lower abdominal pain; non-radiating.\""],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Initial vomiting resolved; denies blood in vomit."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt hot at onset, no measured temperature, denies current fever; weakness/shakiness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Reduced appetite, retaining fluids, tolerating soups/smoothies/light foods."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway with friends; 1 child vomiting without diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma controlled with inhaler; \"Meds: inhaler only.\""],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Symptoms affecting daily activities/work; needing to remain close to toilet."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Acute diarrhoeal illness, likely gastroenteritis.\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","Conservative management, antibiotics not recommended, oral fluids and Dioralyte."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"2 tablets up to 4 times daily for first few days\"."],["The plan captures rest and approximately two to three days off work.","yes","Time off work and rest for next 2-3 days."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if not improved within 3-4 days; stool sample testing if persistent."]],"claims":[],"note":"Subjective\n3-day h/o frequent loose/watery stools, approx. 6–7 episodes/day.\nIntermittent cramping LLQ/lower abdominal pain; non-radiating.\nReports weakness/shakiness and reduced appetite.\nInitial vomiting, now resolved; able to retain fluids.\nFelt hot at symptom onset 3–4 days ago; no measured temperature. Denies current fever, sweats/night sweats.\nDenies blood in stool or vomit.\nTolerating soups, smoothies and other light/liquid foods.\nAte Chinese takeaway with friends approx. 4 days ago. No household contacts with same symptoms; 1 child had vomiting without diarrhoea.\nSymptoms affecting daily activities/work; needing to remain close to toilet. Has continued work as accountant.\nPMH: asthma, reported controlled with inhaler.\nMeds: inhaler only.\nDenies previous GI/bowel problems.\nDenies smoking and alcohol use.\nLives with wife and 2 children.\nObjective\nNo examination documented.\nNo temperature or other observations documented.\nAssessment\nAcute diarrhoeal illness, likely gastroenteritis.\nWatery diarrhoea, transient vomiting, intermittent abdominal cramping and possible food exposure support infective gastroenteritis; viral vs bacterial aetiology discussed.\nNo reported blood in stool/vomit. Vomiting has resolved and patient is retaining fluids.\nPlan\nConservative management discussed; antibiotics not recommended at present.\nEncourage adequate oral fluids.\nAdvised oral rehydration solution (e.g. Dioralyte) from pharmacy to replace fluids/minerals, particularly with vomiting/diarrhoea.\nParacetamol discussed if feverish/weak: 2 tablets up to 4 times daily for first few days.\nAdvised time off work and rest for next 2–3 days while symptoms settle.\nReview if not improved within 3–4 days; consider further assessment and stool sample testing if persistent.","review":80.84210526315789,"saved":302.1578947368421,"clean":true,"effort":0.0,"sig":[],"mb":9.655137,"latency":14.295,"signable":95.13710526315789},{"label":"Run 4","wer":15.221987315010571,"text":"Hello.\n\n  Hello, how are you?\n\n  Hi. Um, should we start?\n\n  Yeah.\n\n  Yeah, okay. Hello, how— um, good morning, sir. How can I help you this morning?\n\n  Hi, um, I've just had some, um, diarrhea for the last 3 days, um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities.\n\n  Okay, I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\n  Yeah, so it's like loose and watery stool, going to the toilet quite often, um, and like some pain in my, like, lower stomach.\n\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n\n  Um, probably like 6 or 7 times a day.\n\n  6 or 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools?\n\n  No, no blood. Yeah, just watery and loose stool.\n\n  Okay. And you mentioned you've had some pain in your tummy as well.\n\n  Yeah.\n\n  Whereabouts is the pain exactly?\n\n  So it's like in my lower abdomen, so, uh, like, um, yeah, just to one side.\n\n  One side. And what side is that?\n\n  Uh, on the left side.\n\n  Left side, okay. And can you describe the pain to me?\n\n  Yeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky.\n\n  Okay. And does the pain— is it there all the time, or does it come and go?\n\n  Uh, it comes and goes.\n\n  Comes and goes. Does the pain move anywhere else, for example towards your back?\n\n  Um, no, just mainly in my stomach.\n\n  Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having— have you been feeling feverish, for example?\n\n  Um, yeah, it doesn't feel like— yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so, um, yeah, around about 3 or 4 days ago.\n\n  Did you measure your temperature then?\n\n  Yeah, I— I didn't measure my temperature, no, but I felt, um, just a bit hot.\n\n  Okay, okay. Any other symptoms, like sweating or, um, night sweats?\n\n  Uh, no.\n\n  No? And, uh, any vomiting at all?\n\n  Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting.\n\n  You've stopped vomiting, okay. And was your vomit— I know it's not nice to talk about, but was that just normal food color, blood?\n\n  Yeah, yeah, just normal vomit, yeah.\n\n  Yeah. And there was no blood in your vomit, is that right?\n\n  No blood, no.\n\n  No. Okay. Um, and, um, any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhea, you mentioned your vomiting. Um.\n\n  Yeah.\n\n  Anything else that comes to mind?\n\n  Um, I had a loss of appetite, um, so I haven't been eating as much.\n\n  Okay.\n\n  Um, but I've been able to hold down fluids.\n\n  Okay, so you're drinking fluids. Um, what kind of foods have you managed to eat, if anything?\n\n  Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly.\n\n  Okay. Fine. Um, and so, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would simulate symptoms?\n\n  Yeah, so I had takeaway about 4 days ago, um, uh, but other than that, I've— yeah, I've been eating normally.\n\n  Okay.\n\n  I think, I think, yeah, unusual, yeah.\n\n  Do you remember what you ate?\n\n  Um, yeah, I ate at a Chinese restaurant with friends.\n\n  Okay. Anyone else unwell with similar symptoms?\n\n  Um, so no one else in the family, so I, uh, wife and 2 kids and 1, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n\n  Okay, okay. Fine. Um, right. And, uh, in terms of your, your overall health, are you normally feeling well, or?\n\n  Um, yeah, I mean, other than, um, asthma, um, I use an inhaler everything, uh, else is fine.\n\n  Okay. And does your asthma well controlled?\n\n  Uh, yeah, that's fine.\n\n  Okay.\n\n  Uh, just, yeah, use an inhaler and, uh, that's under control.\n\n  Fine. And you don't have any other tummy problems, bowel problems I should be aware of?\n\n  No.\n\n  No. Okay. Um, and apart from the inhalers, do you take any other medications?\n\n  Uh, no, no other medications.\n\n  Okay. Fine. And in terms of just your, your day-to-day life, you said it's been affecting your life. Um.\n\n  Yeah.\n\n  In what way has it been affecting your life?\n\n  Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days.\n\n  Okay.\n\n  Um, yeah, other than that, it's, uh, yeah, that's the main concern.\n\n  Yeah. And have you— are you currently working at the moment?\n\n  Uh, yes, yeah, I, I work, um.\n\n  You're working at work?\n\n  Um, I'm an accountant.\n\n  Okay. Have you been going into work the last 3 days? Have you been at home?\n\n  Uh, yeah, I've been going to work.\n\n  Okay. That must be difficult for you then.\n\n  Yeah, it's been quite difficult.\n\n  Right. And you said you mentioned you live with a wife and 2 children, is that right?\n\n  Yes, yeah.\n\n  All right. Um, just a couple of other questions we need to ask. So, um, do you smoke at all?\n\n  Uh, no, I don't smoke.\n\n  And do you drink much in the way of alcohol?\n\n  Uh, no, I, I don't drink alcohol, no.\n\n  Okay. So, um, uh, normally at this stage I'd like to, um, examine you if that's okay, but, um, um.\n\n  Yeah.\n\n  But, but having listened to your stories, uh, I think, uh, um, just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, um, and some vomiting and feeling generally quite weak and lethargic. Um.\n\n  Yeah.\n\n  You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems.\n\n  Okay.\n\n  Um, it seems like you may have something called gastroenteritis.\n\n  Okay.\n\n  Which essentially just, uh, tummy bug or infection of your, of your tummy. Uh.\n\n  Yeah.\n\n  Mainly caused by viruses, but it can be, uh, possibility of bacteria, uh, causing your symptoms.\n\n  Yeah.\n\n  Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, um, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking plenty of fluids. Um, uh, there, there are things like Dioralyte you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins.\n\n  Okay.\n\n  Um, and if you are having vomiting and diarrhea, I would certainly recommend that at first, you know, first couple of days.\n\n  Yeah.\n\n  Um, if you are feeling feverish and weak, taking some paracetamol, uh, 2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time at work, actually. I know you're quite keen to work, but, um, I would say in the next 2, 2 to 3 days, um, as infection clears from your system, take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\n\n  Okay, sure.\n\n  Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms.\n\n  Yeah.\n\n  Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Um, etc., etc.\n\n  Yeah, sure, yeah.\n\n  How does that sound?\n\n  That sounds great, yeah, yeah.\n\n  Do you have any questions for me?\n\n  Um, no, no further questions, no.\n\n  Okay. Is there, is the treatment plan clear?\n\n  Uh, yeah, yeah, that's, that's very clear, thank you.\n\n  Great. Well, I wish you all the best.\n\n  Okay, thank you.\n\n  Thank you.\n\n  Bye.\n\n  Bye-bye.","marks":[[10,28,"",false],[153,155,"Hello how are you Oh hey",false],[346,355,"",false],[407,414,"what'd",false],[709,713,"in",false],[785,787,"",false],[811,820,"mention",false],[1069,1069,"Yep.",false],[1077,1086,"",false],[1389,1393,"is",false],[1483,1488,"Come",false],[1493,1498,"go.",false],[1567,1573,"Uh...no",false],[1580,1589,"maybe",false],[1837,1843,"makes me",false],[2008,2011,"",false],[2068,2075,"mention",false],[2127,2127,"And y'know.",false],[2202,2209,"",false],[2245,2245,"Uh no.",false],[2343,2349,"You",false],[2414,2414,"thing",false],[2460,2513,"colour",false],[2574,2574,"Yeah yeah just normal vomit yeah. No",false],[2617,2617,"any",false],[2776,2776,"Yep.",false],[3000,3000,"Yep.",false],[3118,3129,"sir these",false],[3215,3219,"the",false],[3266,3272,"think",false],[3336,3354,"with similar",false],[3451,3455,"",false],[3481,3512,"Nothing",false],[3523,3528,"here. 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How's",false],[7676,7681,"uh",false],[7829,7829,"Bye.",false],[7855,7863,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","'3-day hx frequent loose/watery diarrhoea, ~6–7 episodes/day'; denies blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","'Intermittent cramping LLQ/lower abdominal pain; non-radiating.'"],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","'Initial vomiting, now resolved; vomitus reportedly normal in appearance, no blood.'"],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","'possible subjective fever at onset... no measured temperature' with weakness/shakiness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Reduced appetite, tolerating fluids, eating soup/smoothies/light foods."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway exposure and '1 child has vomited without diarrhoea' captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","'asthma, reported controlled with inhaler. Meds: inhaler only.'"],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","'Symptoms affecting work/daily activities due to need to remain near toilet.'"],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","'Acute gastroenteritis suspected.'"],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","Conservative management, oral fluids, ORS (Dioralyte), 'antibiotics not indicated at present.'"],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol if feverish/weak: 2 tablets up to 4 times/day.'"],["The plan captures rest and approximately two to three days off work.","yes","'Advise rest and time off work for next 2–3 days.'"],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if not improving within 3–4 days; stool sample testing if ongoing."]],"claims":[],"note":"Subjective\n3-day hx frequent loose/watery diarrhoea, ~6–7 episodes/day.\nIntermittent cramping LLQ/lower abdominal pain; non-radiating.\nInitial vomiting, now resolved; vomitus reportedly normal in appearance, no blood.\nDenies blood in stool or vomit.\nReports weakness/shakiness, reduced appetite and possible subjective fever at onset 3–4 days ago; no measured temperature. Denies sweats/night sweats.\nTolerating fluids; eating mainly soup, smoothies and other light/liquid foods.\nAte Chinese takeaway with friends ~4 days ago. No household members with similar diarrhoea; 1 child has vomited without diarrhoea.\nSymptoms affecting work/daily activities due to need to remain near toilet. Continues to attend work; accountant.\nPMH: asthma, reported controlled with inhaler.\nMeds: inhaler only.\nDenies prior GI/bowel problems, smoking and alcohol use.\nLives with wife and 2 children.\nObjective\nNo physical examination documented.\nNo measured observations or temperature documented.\nAssessment\nAcute gastroenteritis suspected, based on 3-day watery diarrhoea, transient vomiting, cramping lower abdominal pain, reduced appetite and possible food exposure.\nViral vs bacterial cause discussed; no reported blood in stool/vomit.\nOngoing diarrhoea with weakness raises concern for fluid/electrolyte loss; patient currently able to retain fluids.\nPlan\nConservative management discussed; antibiotics not indicated at present.\nEncourage increased oral fluids and oral rehydration solution (e.g. Dioralyte) to replace fluids/minerals.\nParacetamol if feverish/weak: 2 tablets up to 4 times/day for first few days.\nAdvise rest and time off work for next 2–3 days while symptoms settle.\nReview if symptoms not improving within 3–4 days.\nIf ongoing symptoms, consider further investigation including stool sample testing.","review":83.05263157894737,"saved":299.9473684210526,"clean":true,"effort":0.0,"sig":[],"mb":9.671829,"latency":15.461,"signable":98.51363157894737},{"label":"Run 5","wer":14.940098661028895,"text":"Hello.\n\n  Hello, how are you?\n\n  Hi. Um, should we start?\n\n  Yeah.\n\n  Yeah, okay. Hello, um, good morning, sir. How can I help you this morning?\n\n  Hi, um, I've just had some, um, diarrhea for the last 3 days, um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities.\n\n  Oh, yeah. I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\n  Yeah, so it's like loose and watery stool, going to the toilet quite often, um, and like some pain in my, like, lower stomach.\n\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n\n  Um, probably like 6 or 7 times a day.\n\n  6 or 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools?\n\n  No, no blood. Yeah, just watery and loose stool.\n\n  Okay. And you mentioned you've had some pain in your tummy as well.\n\n  Yeah.\n\n  Whereabouts is the pain exactly?\n\n  So it's like in my lower abdomen, so, uh, like, um, yeah, just to one side.\n\n  One side. And what side is that?\n\n  Uh, on the left side.\n\n  Left side, okay. And can you describe the pain to me?\n\n  Yeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky.\n\n  Okay. And does the pain is that is it there all the time, or does it come and go?\n\n  Uh, it comes and goes.\n\n  Comes and go. Does the pain move anywhere else, for example towards your back?\n\n  Um, no, just mainly in my stomach.\n\n  Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example?\n\n  Um, yeah, it doesn't feel like uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so, um, yeah, around about 3 or 4 days ago.\n\n  Did you measure your temperature then?\n\n  Yeah, I, I didn't measure my temperature, no, but I felt, um, just a bit hot.\n\n  Okay, okay. Any other symptoms, like sweating or, um, night sweats?\n\n  Um, no.\n\n  No? And, uh, any vomiting at all?\n\n  Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting.\n\n  You've stopped vomiting, okay. And was your vomit I know it's not a nice thing to talk about, but was it just normal food colour?\n\n  Yeah, yeah, just normal vomit. Yeah.\n\n  Yeah. And there was no blood in your vomit. Is that right?\n\n  No blood, no.\n\n  No. Okay. Um.\n\n  Yeah.\n\n  And, um, any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned the vomiting. Um.\n\n  Yeah.\n\n  Anything else that comes to mind?\n\n  Um, I had a loss of appetite, um, so I haven't been eating as much.\n\n  Okay.\n\n  Um, but I've been able to hold down fluids.\n\n  Okay. So you're drinking fluids. Um, what kind of foods have you managed to eat, if anything?\n\n  Um, just soups. And, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly.\n\n  Okay. Fine. Um, and so, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would sim the symptoms?\n\n  Yeah, so I had takeaway about 4 days ago, um, uh, but other than that, I've yeah, I've been eating normally.\n\n  Okay.\n\n  I think, I think, uh, unusual, yeah.\n\n  Do you remember what you ate?\n\n  Um, yeah, I, I ate at a Chinese restaurant with friends.\n\n  Okay. Anyone else unwell with similar symptoms?\n\n  Um, so no one else in the family, so I, uh, wife and 2 kids and 1, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n\n  Okay, okay. Fine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well, or?\n\n  Um, yeah, I mean, other than, um, asthma, um, I use an inhaler everything, uh, else is fine.\n\n  Okay. And does your asthma well controlled?\n\n  Uh, yeah, that's fine.\n\n  Okay.\n\n  Uh, just, yeah, use an inhaler and, uh, that's under control.\n\n  Fine. And you don't have any other tummy problems, bowel problems I should be aware of?\n\n  No.\n\n  No. Okay. Um, and apart from the inhalers, do you take any other medications?\n\n  Uh, no, no other medications.\n\n  Okay. Fine. And in terms of just your, your day-to-day life, you said it's been affecting your life. Um.\n\n  Yeah.\n\n  In what way has it been affecting your life?\n\n  Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days.\n\n  Okay.\n\n  Um, yeah, other than that, it's, uh, yeah, the main concern.\n\n  Yeah. And have you are you currently working at the moment?\n\n  Uh, yes, yeah, I, I work, um.\n\n  Working at the work?\n\n  Um, I'm an accountant.\n\n  Okay. Have you been going into work the last 3 days, or have you been at home?\n\n  Uh, yeah, I've been going to work.\n\n  Okay. That must be difficult for you then.\n\n  Yeah, it's been quite difficult.\n\n  Right. And you said you mentioned you live with a wife and 2 children. Is that right?\n\n  Yes, yeah.\n\n  All right. Um, just a couple of other questions we need to ask. So, um, do you smoke at all?\n\n  Uh, no, I don't smoke.\n\n  And do you drink much in the way of alcohol?\n\n  Uh, no, I, I don't drink alcohol, no.\n\n  Okay. So, um, uh, normally at this stage I'd like to, um, examine you if that's okay, but, um, um.\n\n  Yeah.\n\n  But, but having listened to your stories, uh, I think, uh, um, just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, um, and some vomiting and feeling generally quite weak and lethargic. Um.\n\n  Yeah.\n\n  You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems.\n\n  Okay.\n\n  Um, it seems like you may have something called gastroenteritis.\n\n  Okay.\n\n  Which essentially just, uh, tummy bug or infection of your, of your tummy. Uh.\n\n  Yeah.\n\n  Mainly caused by viruses, but it can be, uh, possibility of bacteria, uh, causing your symptoms.\n\n  Yeah.\n\n  Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, uh, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking plenty of fluids. Um, uh, there, there are things like Dioralyte you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins.\n\n  Okay.\n\n  Um, and if you are having vomiting and diarrhea, I would certainly recommend that at first, you know, first couple of days.\n\n  Yeah.\n\n  Um, if you are feeling feverish and weak, taking some paracetamol, uh, 2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say next 2, 2 to 3 days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\n\n  Okay, sure.\n\n  Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms.\n\n  Yeah.\n\n  Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Um, etc., etc.\n\n  Yeah, sure, yeah.\n\n  How does that sound?\n\n  That sounds great, yeah, yeah.\n\n  Do you have any questions for me?\n\n  Um, no, no further questions, no.\n\n  Okay. Is there, is the treatment plan clear?\n\n  Uh, yeah, yeah, that's, that's very clear, thank you.\n\n  Great. Well, I wish you all the best.\n\n  Okay, thank you.\n\n  Thank you.\n\n  Bye.\n\n  Bye-bye.","marks":[[10,28,"",false],[87,87,"how",false],[148,150,"Hello how are you Oh hey",false],[341,354,"",false],[406,413,"what'd",false],[708,712,"in",false],[784,786,"",false],[810,819,"mention",false],[1068,1068,"Yep.",false],[1076,1085,"",false],[1388,1392,"is",false],[1489,1494,"Come",false],[1571,1577,"Uh...no",false],[1584,1593,"maybe",false],[1831,1833,"--",false],[1848,1854,"makes me",false],[2019,2022,"",false],[2079,2086,"mention",false],[2138,2138,"And y'know.",false],[2213,2220,"",false],[2256,2256,"Uh no.",false],[2354,2360,"You",false],[2493,2532,"",false],[2584,2584,"Yeah yeah just normal vomit yeah. 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How's",false],[7688,7693,"uh",false],[7841,7841,"Bye.",false],[7867,7875,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","'3-day h/o frequent loose/watery diarrhoea, ~6–7 episodes/day' and 'No blood in stool.'"],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","'Intermittent cramping LLQ/lower abdominal pain; non-radiating.'"],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","'Vomited at symptom onset; now resolved... no blood', no bilious claim."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","'No current fever; felt hot at onset but temperature not measured' plus weakness/shakiness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Reduced appetite, tolerating fluids, eating soups/smoothies/light foods."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway with friends and '1 child has vomiting without diarrhoea' captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","'asthma, reported controlled with inhaler. Meds: inhaler only.'"],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","'Sx affecting daily activities/work due to need to remain near toilet.'"],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","'Acute gastroenteritis, clinically suspected.'"],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","Conservative management, oral hydration, Dioralyte/ORS, no antibiotics recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol if feverish/weak: 2 tablets up to 4 times/day.'"],["The plan captures rest and approximately two to three days off work.","yes","'Advise rest and time off work for next 2–3 days.'"],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","'Review if not improving within 3–4 days; consider... stool sample testing if symptoms persist.'"]],"claims":[],"note":"Subjective\n3-day h/o frequent loose/watery diarrhoea, ~6–7 episodes/day.\nIntermittent cramping LLQ/lower abdominal pain; non-radiating.\nReports weakness/shakiness and reduced appetite.\nVomited at symptom onset; now resolved. Vomitus reportedly normal in colour, no blood.\nNo blood in stool. No current fever; felt hot at onset but temperature not measured. No sweats/night sweats.\nTolerating fluids. Eating soups, smoothies and other light/liquid foods.\nAte Chinese takeaway with friends ~4 days ago. No household contacts with identical sx; 1 child has vomiting without diarrhoea.\nSx affecting daily activities/work due to need to remain near toilet. Continues to attend work as an accountant.\nPMH: asthma, reported controlled with inhaler.\nMeds: inhaler only.\nNo prior GI/bowel problems reported.\nDenies smoking and alcohol use.\nLives with wife and 2 children.\nObjective\nNo examination findings or measured observations documented.\nAssessment\nAcute gastroenteritis, clinically suspected.\n3-day acute watery diarrhoea with initial vomiting, intermittent lower abdominal cramps, reduced appetite and reported weakness.\nPossible food-associated onset following Chinese takeaway; viral vs bacterial aetiology discussed.\nNo reported blood in stool/vomit; vomiting has resolved and patient is tolerating fluids.\nPlan\nConservative management discussed; no antibiotics recommended at this stage.\nEncourage oral hydration.\nRecommend Dioralyte/oral rehydration solution from pharmacy to replace fluids/minerals.\nParacetamol if feverish/weak: 2 tablets up to 4 times/day for first few days.\nAdvise rest and time off work for next 2–3 days while infection clears.\nReview if not improving within 3–4 days; consider further assessment and stool sample testing if symptoms persist.","review":82.42105263157895,"saved":300.57894736842104,"clean":true,"effort":0.0,"sig":[],"mb":9.666158,"latency":16.5,"signable":98.92105263157895}],"heidi":[{"label":"Run 1","wer":16.4200140944327,"text":"Hello. Hello. How are you? Hi. Stop. Yep. Okay. Hello. Good morning. So how can I help you this morning? Hi. I've just had some diarrhea for the last three days.\n\nUm, and it's been affecting me. I need to stay close to the toilet. And, um, yeah, it's been affecting my day to day activities. Yeah, I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah, so it's like loose and watery stool going to the toilet quite often.\n\nAnd like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, for the last couple of days? Probably, like, six, seven times a day. Six, seven times a day. And you may mention it's mainly watery. Have you noticed any other things, like blood in your stools? No. No blood. Yeah. Just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain? Is that clear? So it's like in my lower abdomen. So, like, yeah, just to one side. One side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp. And, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it there all the time, or does it come and go? It comes and goes. Comes and goes. Does the pain move anywhere else? For example, towards your back?\n\nUm, no, just mainly my stomach. Okay. All right. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like, uh... Yeah, it just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature when the symptoms started. So, um, yeah, around about three or four days ago. Did you measure your temperature then? Yeah, I, I, I didn't measure my temperature, no, but I felt, um, just a bit hot. Okay. Okay. Yeah. Any other symptoms like sweating or, um, right? Uh, no. No. And, uh, any vomiting at all? Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting.\n\nYou stopped vomiting. Okay. And was your vomit? I know it's not nice to us to talk about, but was it just normal food color of blood? Yeah. Yeah. Just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No blood. No. No. Okay. Yeah. And any other symptoms at all? So you mentioned the tummy pain. You mentioned diarrhea. You mentioned the vomiting. Yeah. Anything else that comes to mind? I had a loss of appetite, so I haven't been eating as much. Okay. But I've been able to hold down fluids. Okay. So you're drinking fluids. What kind of foods have you managed to eat, if anything? Just soups and, yeah, light foods, like smoothies and\n\nYeah. Liquid foods mainly. Okay. Fine. And so you started three days ago with symptoms. Are you aware of any triggers which may have caused your symptoms to to kick on? So, for example, things like takeaway foods or eating out or being around other people who had similar symptoms? Yeah. So I had takeaway about four days ago. But other than that, I've, yeah, been eating normally. I think unusual. Yeah. Do you remember where you ate? Yeah. I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? So no one else in the family. So I have a wife and two kids, and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay. Fine.\n\nRight. And, uh, in terms of your, your overall health, are you normally fitting well? Or Um, yeah, I mean, other than, um, asthma, um, I use an inhaler, everything, uh, else is fine. Okay. And is your asthma well controlled? Uh, yeah, that's fine. Uh, just, yeah, use an inhaler, and, uh, that's under control. Right. And you don't have any other tummy problems, bowel problems I should be aware of? No. No. Okay. Um, and t- apart from the inhalers, do you take any other medications? Uh, no, no other medications. Okay, fine. And in terms of just your, your day-to-day life, you said it's been affecting your life. Um- Yeah. In what way has it been affecting your life?\n\nUh, so I need to stay close to the toilet because I go quite frequently during the these past three days. Okay. Um, yeah, other than that, it's, uh, yeah, the main concern. And have you, are you currently working at the moment? Uh, yes. Yeah, I, I work. Uh- What work? Um, I'm an accountant. Okay. Have you been going to work the last three days, or have you been at home? Uh, yeah, I've been going to work. Okay. That must be difficult for you then? Yeah, it's been quite difficult. Right. And you say you mentioned you live with a wife and two children, is that right? Yes. Yeah. All right. Um, just a couple of other questions we need to ask, uh, um, do you smoke at all? Uh, no, I don't smoke. And do you drink much in a way of alcohol?\n\nUh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, um, examine you if that's okay. But, um, um- Yeah. But, but having listened to your story, so I think, uh, um, just to recap, you-- for the last three days, you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left-hand side, uh, and vomiting and feeling generally quite weak and lethargic. Um, you mentioned you're having this Chinese takeaway as well three days ago, and I wonder whether that might be the cause of your problems. Okay. Um, it seems like you may have something, uh, called gastroenteritis. Okay. Which is essentially just a tummy bug or infection of your, of your tummy. Yeah. Uh, mainly caused by viruses, but there can be a possibility of bacteria, uh, causing your symptoms. Yeah. Um,\n\nAt this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like dirolite you can get from the pharmacy, which it's it helps replenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, I would certainly recommend that in the first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol, two tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time to work. Actually, I know you're quite keen to work, but I would say next two two to three days\n\nYeah. Infection clears from your system. Just take some time off and rest. You know, if your symptoms haven't got better, you know, in in three to four days, I'd like to come back and see you again. Okay. Sure. Because if it is ongoing, then we have to wonder whether there's something else causing the symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etcetera, etcetera. Yeah. Sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No. No further questions? Nope. Okay. Is is the treatment plan clear? Yeah. Yeah. That's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye.","marks":[[7,25,"",false],[31,41,"Um should we start Yeah",false],[54,54,"how um.",false],[69,71,"sir",false],[105,108,"Hello how are you Oh hey um",false],[292,301,"",false],[353,360,"what'd",false],[693,693,"or",false],[746,749,"",false],[957,961,"",false],[987,1000,"exactly Yep.",false],[1005,1014,"",false],[1046,1050,"um...yeah",false],[1277,1281,"is",false],[1368,1373,"Come",false],[1378,1383,"go.",false],[1451,1457,"Uh...no",false],[1464,1470,"maybe",false],[1489,1499,"fine.",false],[1708,1713,"--",false],[1728,1734,"makes me",false],[1902,1905,"",false],[1962,1969,"mention",false],[2021,2021,"And y'know.",false],[2081,2095,"night sweats",false],[2128,2128,"Uh no.",false],[2290,2295,"thing",false],[2339,2385,"colour",false],[2443,2443,"Yeah yeah just normal vomit yeah. No",false],[2478,2478,"um any",false],[2577,2580,"your",false],[2629,2629,"Yep. Um",false],[2825,2825,"Yep. 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Uh",false],[7023,7028,"Yep",false],[7035,7040,"yep.",false],[7150,7155,"no.",false],[7297,7297,"Bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","\"3 days of diarrhoea, loose and watery stools, 6-7 times daily\" and \"No blood in stools\"."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","Left-sided lower cramping intermittent pain captured; absence of radiation not documented."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Vomiting at onset, now resolved; no blood in vomit.\""],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"Subjective fever at onset (3-4 days ago), not measured\" plus generalised weakness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","\"Loss of appetite; maintaining fluids (soups, smoothies, liquid foods).\""],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese restaurant takeaway and \"One child with vomiting, no diarrhoea\"."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","no","Asthma, inhaler and absence of other medications are not documented."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"Symptoms affecting daily activities, requiring proximity to toilet.\""],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Possible gastroenteritis, likely viral, bacterial cause considered.\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management, hydration and Dioralyte captured, but no antibiotics not explicitly stated."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","Two tablets up to four times daily captured, but adds an unstated \"500mg\" strength."],["The plan captures rest and approximately two to three days off work.","yes","\"Advised 2-3 days off work for rest and recovery.\""],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Review in 3-4 days if symptoms do not improve...; consider stool sample testing.\""]],"claims":[["Paracetamol 500mg","Transcript says only \"two tablets up to four times a day\"; no tablet strength was stated."]],"note":"Subjective\n\n- 3 days of diarrhoea, loose and watery stools, 6-7 times daily.\n\n- Lower abdominal pain, left-sided, cramping, intermittent.\n\n- Generalised weakness and shakiness.\n\n- Vomiting at onset, now resolved; no blood in vomit.\n\n- Subjective fever at onset (3-4 days ago), not measured.\n\n- Loss of appetite; maintaining fluids (soups, smoothies, liquid foods).\n\n- Symptoms affecting daily activities, requiring proximity to toilet.\n\n- No blood in stools. No sweating.\n\n- Trigger: takeaway from Chinese restaurant with friends ~4 days prior to onset.\n\n- One child with vomiting, no diarrhoea; no other household members unwell.\n\n\n\n\nObjective\n\n- Not examined.\n\n\n\n\nAssessment\n\n- Possible gastroenteritis, likely viral, bacterial cause considered.\n\n\n\n\nPlan\n\n- Conservative management.\n\n- Ensure adequate hydration; consider oral rehydration solutions (e.g. Dioralyte) from pharmacy.\n\n- Paracetamol 500mg, two tablets up to four times daily for fever/weakness in initial days.\n\n- Advised 2-3 days off work for rest and recovery.\n\n- Review in 3-4 days if symptoms do not improve or worsen; consider stool sample testing.","review":139.01315789473685,"saved":243.98684210526315,"clean":false,"effort":26.923076923076923,"sig":[["missing","The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","Asthma, inhaler use and medication list entirely absent; relevant to prescribing."],["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Adds a 500mg strength never stated in the consultation."]],"mb":39.112912,"latency":24.904,"signable":163.91715789473685},{"label":"Run 2","wer":16.913319238900634,"text":"Hello. Hello. How are you? Hi. Stop. Yeah. Okay. Hello. Good morning. So how can I help you this morning? Hi. I've just had some diarrhea for the last three days.\n\nUm, and it's been affecting me. I need to stay close to the toilet. And, um, yeah, it's been affecting my day to day activities. Yeah, I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah, so it's like loose and watery stool going to the toilet quite often.\n\nAnd like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Probably, like, six, seven times a day. Six, seven times a day. And you may mention this mainly watery. Have you noticed any other things, like blood in your stools? No. No blood. Yeah. Just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain? Is that clear? So it's like in my lower abdomen. So, like, yeah, just to one side. One side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp.\n\nLike a muscular cramp and, um, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it there all the time, or does it come and go? Uh, it comes and goes. Comes and goes. Does the pain move anywhere else, for example, towards your back? Um, no, just mainly in my stomach. Okay. All right. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like, uh... Yeah, it just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature when the symptoms started. So, um, yeah, around about three or four days ago.\n\nMeasure your temperature then? Yeah, I didn't measure my temperature, no, but I felt, um, just a bit hot. Okay. Okay. Yeah. Any other symptoms like sweating or, um, right? Uh, no. No. And, uh, any vomiting at all? Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting, okay. And was your vomit? I know it's not a nice thing to talk about, but was it just normal food color? Yeah, yeah, just normal vomit. Yeah. Yeah. And there was no blood in your vomit, is that right? No blood, no. No. Okay. Um, and, um, a- any other symptoms at all? So you mentioned the tummy pain, you mentioned diarrhea, you mentioned the vomiting. Yeah. Um, anything else that comes to mind?\n\nUm, I had a loss of appetite, um, so I haven't been eating as much. Okay. Um, but I've been able to hold down fluids. Okay, so you're drinking fluids. Um, what kind of foods have you managed to eat, if anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. Um, and so, uh, uh, you started three days ago, your symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So for example, things like takeaway foods or eating out or being around other people who would similar symptoms? Yeah, so I had takeaway about four days ago. Um-\n\nBut other than that, I've, yeah, been eating normally. I think unusual. Yeah. Do you remember where you ate? Yeah. I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? So no one else in the family side. A wife and two kids, and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay. Fine. Right. And in terms of your your overall health, are you normally fitting well? Or Yeah. I mean, other than asthma, I use an inhaler. Everything else is fine.\n\nOkay. And is your asthma well controlled? Uh, yeah, that's fine. I just, yeah, use an inhaler, and, uh, that's under control. Fine. And you don't have any other tummy problems, bowel problems I should be aware of? No. No. Okay. Um, and ti- apart from the inhalers, do you take any other medications? Uh, no, no other medications. Okay, fine. And in terms of just your, your day-to-day life, you said it's been affecting your life. Um- Yeah. In what way has it been affecting your life? Uh, so I need to stay close to the toilet'cause I go quite frequently during the, these past three days. Okay. Um, yeah, other than that, it's, uh- Yeah... yeah, the main concern. And have you, are you currently working at the moment? Uh, yes. Yeah, I, I work, uh- You work?\n\nI'm an accountant. Okay. Have you been going into work the last three days, or have you been at home? Yeah. I've been going to work. Okay. That must be difficult for you then? Yeah. It's been quite difficult. Right. And you say you mentioned you live with a wife and two children. Is that right? Yes. Yep. Alright. Just a couple of other questions we need to ask. Do you smoke at all? No. I don't smoke. And do you drink much in the way of alcohol? No. I I don't drink alcohol. No. Okay. Yeah. So, normally, at this stage, I'd like to examine you, if that's okay. But Yeah. But but having listened to your stories, I think just to recap, for the last three days, you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left hand side, and vomiting and feeling generally quite weak and lethargic. You mentioned you're having this Chinese takeaway as well three days ago, and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something\n\nCalled gastroenteritis, which is essentially just a tummy bug or infection of your of your tummy. Yeah. Mainly caused by viruses, but there can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Direlyte you can get from the pharmacy, which it's it helps replenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, I would certainly recommend that in the first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol\n\nTwo tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say next two, two to three days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in in three to four days, I'd like you to come back and see me again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing the symptoms. Yeah. And we may need to do further tests, like, um, taking a sample of your stool so we can test that, um, etcetera, etc.. Yeah, sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me?\n\nUm, no. No further questions. Nope. Okay. Is the treatment plan clear? Uh, yeah. Yeah, that's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye bye.","marks":[[7,25,"",false],[31,36,"Um should we start",false],[55,55,"how um.",false],[70,72,"sir",false],[106,109,"Hello how are you Oh hey um",false],[293,302,"",false],[354,361,"what'd",false],[646,650,"in",false],[695,695,"or",false],[748,751,"",false],[760,764,"it's",false],[959,963,"",false],[989,1002,"exactly Yep.",false],[1007,1016,"",false],[1048,1052,"um...yeah",false],[1283,1287,"is",false],[1378,1383,"Come",false],[1388,1393,"go.",false],[1460,1466,"Uh...no",false],[1473,1482,"maybe",false],[1501,1511,"fine.",false],[1720,1725,"--",false],[1740,1746,"makes me",false],[1961,1968,"mention",false],[2020,2020,"And y'know.",false],[2080,2094,"night sweats",false],[2127,2127,"Uh no.",false],[2219,2225,"You",false],[2342,2385,"colour",false],[2443,2443,"Yeah yeah just normal vomit yeah. 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Yep",false],[6987,6992,"yep.",false],[7107,7112,"no.",false],[7255,7255,"Bye.",false],[7276,7280,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","\"3 days of diarrhoea - loose, watery stools, 6-7x/day\" but no blood in stool not recorded."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","\"Lower abdominal pain, left-sided, cramping, intermittent\" but radiation status omitted."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Initial vomiting (now resolved), normal food-coloured vomit, no blood\"."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"Subjective fever at symptom onset... temp not measured; no current fever\" and \"Feeling weak and shaky\"."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","\"Loss of appetite; tolerating fluids (soups, smoothies, liquid foods)\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","\"after Chinese takeaway with friends\" and \"one child vomited without diarrhoea\"."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","no","Asthma, inhaler and no other medications are not recorded."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"affecting daily activities - needing to stay close to toilet\"; continues work."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"suggestive of gastroenteritis, likely viral aetiology\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with Dioralyte recorded, but no statement that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","\"two tablets up to QID\" correct, but adds unstated strength \"1g\"."],["The plan captures rest and approximately two to three days off work.","yes","\"Rest - advised 2-3 days off work\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Return for review in 3-4 days if symptoms do not improve...; consider stool sample\"."]],"claims":[["Paracetamol 1g (two tablets)","Transcript gives only \"two tablets up to four times a day\"; no strength was stated."]],"note":"Subjective\n\n\n\n\n- 3 days of diarrhoea - loose, watery stools, 6-7x/day\n\n- Lower abdominal pain, left-sided, cramping, intermittent\n\n- Feeling weak and shaky\n\n- Initial vomiting (now resolved), normal food-coloured vomit, no blood\n\n- Subjective fever at symptom onset (~3-4 days ago), temp not measured; no current fever\n\n- No sweating\n\n- Loss of appetite; tolerating fluids (soups, smoothies, liquid foods)\n\n- Symptoms affecting daily activities - needing to stay close to toilet\n\n- Onset ~4 days ago after Chinese takeaway with friends\n\n- No household contacts with same symptoms; one child vomited without diarrhoea\n\n- Continues to attend work (accountant)\n\n\n\n\nObjective\n\n\n\n\n- Not examined\n\n\n\n\nAssessment\n\n\n\n\n- Clinical presentation suggestive of gastroenteritis, likely viral aetiology; bacterial cause remains possible\n\n\n\n\nPlan\n\n\n\n\n- Conservative management\n\n- Hydration - increase fluid intake; consider oral rehydration solution (e.g. Dioralyte)\n\n- Paracetamol 1g (two tablets) up to QID for fever/weakness\n\n- Rest - advised 2-3 days off work\n\n- Return for review in 3-4 days if symptoms do not improve or worsen; consider stool sample for testing","review":158.46052631578948,"saved":224.53947368421052,"clean":false,"effort":30.76923076923077,"sig":[["missing","The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","Asthma and inhaler use are absent, so the record has no comorbidity or current medication."],["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Invented a paracetamol tablet strength that was never stated."]],"mb":38.751402,"latency":28.949,"signable":187.4095263157895},{"label":"Run 3","wer":14.799154334038056,"text":"Hello. Hello. How are you? Hi. Stop. Yeah. Okay. Hello. Good morning, sir. How can I help you this morning? Hi. I've just had some, diarrhea for the last three days.\n\nUm, and it's been affecting me. I need to stay close to the toilet. And, um, yeah, it's been affecting my day to day activities. Yeah, I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah, so it's like loose and watery stool going to the toilet quite often.\n\nAnd like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Probably, like, six or seven times a day. Six, seven times a day. And you may mention it's mainly watery. Have you noticed any other things like blood in your stools? No. No blood. Yeah. Just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain? Is that clear? So it's like in my lower abdomen. So, like, yeah, just to one side. One side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp. And\n\nUm, yeah, I feel a bit weak and shaky. Okay. And does the pain, is that, is it there all the time, or does it come and go? Uh, it comes and goes. Comes and goes. Does the pain move anywhere else, for example, towards your back? Um, no, just mainly in my stomach. Okay. All right. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like, uh... Yeah, it just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature when the symptoms started. So, um, yeah, around about three or four days ago. Did you measure your temperature then? Yeah, I, I, I didn't measure my temperature, no, but I felt, um, just a bit hot.\n\nOkay. Okay. Any other symptoms like sweating or, um, light? Uh, no. No. And, uh, any vomiting at all? Yeah. So, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting. Okay. And was your vomit. I know it's not a nice thing to talk about, but was it just normal food color? Yeah, yeah, just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No blood. No. No. Okay. Um, and, um, any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhea, you mentioned the vomiting. Um, anything else that comes to mind? Um, I had a loss of appetite. Um, so I haven't been eating as much. Um, but I've been able to hold down fluids.\n\nOkay, so you're drinking fluids. Um, what kind of foods have you managed to eat, anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. Um, and so, uh, uh, you started three days ago with symptoms. Are you aware of any triggers which may have caused the symptoms to, uh, to kick on? So for example, things like takeaway foods or eating out or being around other people who with similar symptoms? Yeah, so I had takeaway about four days ago. Um, uh, but other than that, I've, yeah, been, uh, eating normally. I think, uh, unusual, yeah. Do you remember where you ate?\n\nUm, yeah, I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? Um, so no one else in the family, so I have a wife and two kids, and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay, fine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well or? Um, yeah, I mean, other than, um, asthma, um, I use an inhaler, everything, uh, else is fine. Okay, and is your asthma well controlled? Uh, yeah, that's fine. Okay. Uh, just, yeah, use an inhaler, and, uh, that's under control.\n\nAnd you don't have any other tummy problems, bowel problems I should be aware of? No. No. Okay. And apart from the inhalers, do you take any other medications? No. No other medications. Okay. Fine. And in terms of just your your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life? So I need to stay close to the toilet because I go quite frequently during the these past three days. Okay. Yeah. Other than that, it's Yeah. Yeah. The main concern. And have you are you currently working at the moment? Yes. Yeah. I I work. Work? I'm an accountant. Okay. Have you been going into work the last three days, or have you been at home?\n\nUh, yeah, I've been going to work. Okay. That must be difficult for you then? Yeah, it's been quite difficult. Right. And you say you mentioned you live with a wife and two children, is that right? Yes. Yeah. All right. Um, just a couple of other questions we need to ask, uh, um, do you smoke at all? Uh, no, I don't smoke. And do you drink much in the way of alcohol? Uh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, um, examine you, if that's okay. But, um, um- Yeah. But, but having listened to your stories, uh, I think, uh, um, just to recap, you-- for the last three days, you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left-hand side, uh, um, and vomiting and feeling generally quite weak and lethargic. Um, you mentioned you're having this Chinese takeaway as well as three days ago, and I wonder whether that might be the cause of your problems. Okay. Um, it seems like you may have something-\n\nCalled gastroenteritis, which is essentially just a tummy bug or infection of your of your tummy. Yeah. Mainly caused by viruses, but there can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Direlyte you can get from the pharmacy, which it's it helps replenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, I would certainly recommend that in the first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol\n\nTwo tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, I would say next two two to three days, as clears from your system, just take some time off and rest. You know, if your symptoms haven't got better, you know, in in three to four days, I'd like to come back and see you again. Okay. Sure. Because if it is ongoing, then we have to wonder whether there's something else causing the symptoms. Yeah. And we may need to do further tests, like, taking a sample of your stool so we can test that, etcetera, etcetera. Yeah. Sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me?\n\nUm, no. No further questions. Nope. Okay. And is the treatment plan clear? Uh, yeah. Yeah, that's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye.","marks":[[7,25,"",false],[31,36,"Um should we start",false],[55,55,"how um.",false],[108,111,"Hello how are you Oh hey um",false],[296,305,"",false],[357,364,"what'd",false],[649,653,"in",false],[753,756,"",false],[963,967,"",false],[993,1006,"exactly Yep.",false],[1011,1020,"",false],[1052,1056,"um...yeah",false],[1287,1291,"is",false],[1384,1389,"Come",false],[1394,1399,"go.",false],[1466,1472,"Uh...no",false],[1479,1488,"maybe",false],[1507,1517,"fine.",false],[1726,1731,"--",false],[1746,1752,"makes me",false],[1920,1923,"",false],[1980,1987,"mention",false],[2039,2039,"And y'know.",false],[2094,2108,"night sweats",true],[2141,2141,"Uh no.",false],[2233,2239,"You",false],[2356,2393,"colour",false],[2451,2451,"Yeah yeah just normal vomit yeah. 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Uh",false],[7034,7039,"Yep",false],[7046,7051,"yep.",false],[7166,7171,"no.",false],[7318,7318,"Bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","3/7 loose watery stools 6-7x/day; denies blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"L side, cramping, intermittent, no radiation\"."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved, normal colour, no blood."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"Subjective fever at onset... not measured; no current fever\" plus weakness/shakiness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, soups/smoothies/light foods, maintaining fluids."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway and one child vomited without diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","\"Asthma, well-controlled with inhaler\"; no other regular medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Requires proximity to toilet, daily activities affected, work difficult."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Symptoms suggestive of gastroenteritis, likely viral\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management, hydration and ORS captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"Paracetamol 2 tabs up to QID\"."],["The plan captures rest and approximately two to three days off work.","yes","\"Rest; 2-3/7 off work\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Return if no improvement within 3-4/7 with possible stool sample."]],"claims":[["Denies ... light-headedness","Light-headedness was never asked about or mentioned in the transcript; invented negation."]],"note":"Subjective:\n\n- 3/7 Hx of diarrhoea - loose, watery stools, 6-7x/day\n\n- Lower abdominal pain, L side, cramping, intermittent, no radiation\n\n- General weakness and shakiness\n\n- Vomiting at symptom onset, now resolved; vomit normal food colour, no blood\n\n- Subjective fever at onset (~3-4/7 ago), not measured; no current fever\n\n- Loss of appetite; intake limited to soups, smoothies, light/liquid foods; maintaining fluids\n\n- Denies blood in stool or vomit, light-headedness, sweating\n\n- Possible trigger: Chinese takeaway 4/7 prior to onset\n\n- No other family members with similar symptoms; one child vomited without diarrhoea\n\n- Symptoms affecting daily activities, requiring proximity to toilet; attending work (accountant) but finding it difficult\n\n\n\n\nObjective:\n\n- PMHx: Asthma, well-controlled with inhaler\n\n- Denies other abdominal/bowel issues\n\n- Medications: Inhaler for asthma; no other regular medications\n\n- Social: Lives with wife and two children; non-smoker; non-drinker of alcohol\n\n\n\n\nAssessment:\n\n- Symptoms suggestive of gastroenteritis, likely viral, though bacterial aetiology possible\n\n\n\n\nPlan:\n\n- Conservative management; maintain good hydration\n\n- Oral rehydration solution (e.g. Direlyte) from pharmacy\n\n- Paracetamol 2 tabs up to QID for feverishness/weakness\n\n- Rest; 2-3/7 off work\n\n- Return if no improvement within 3-4/7 for further assessment and possible stool sample","review":91.64473684210526,"saved":291.35526315789474,"clean":false,"effort":15.384615384615385,"sig":[["fabrication","Denies ... light-headedness","Light-headedness never asked; invented negative on a dehydration-relevant symptom."]],"mb":34.757383,"latency":29.926,"signable":121.57073684210526},{"label":"Run 4","wer":15.926708949964762,"text":"Hello. Hello. How are you? Hi. Should you stop? Yep. Okay. Hello. Good morning, sir. How can I help you this morning? Hi. I've just had some, diarrhea for the last three days.\n\nUm, and it's been affecting me. I need to stay close to the toilet. And, um, yeah, it's been affecting my day to day activities. Yeah, I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah, so it's like loose and watery stool going to the toilet quite often.\n\nAnd like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Probably, like, six, seven times a day. Six, seven times a day. And you may mention it's mainly watery. Have you noticed any other things, like blood in your stools? No. No blood. Yeah. Just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain? Is that clear? So it's like in my lower abdomen. So, like, yeah, just to one side. One side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp. And\n\nYeah. I feel a bit weak and shaky. Okay. And does the pain is that is it there all the time, or does it come and go? It comes and goes. Comes and goes. Does the pain move anywhere else, for example, towards your back? No. Just mainly in my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having have you've been feeling feverish, for example? Yeah. It doesn't feel like yeah. It just mainly feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started. So, yeah, around about three or four days ago. Did you measure your temperature then? Yeah. I I I didn't measure my temperature. No. But I felt just a bit hot.\n\nOkay. Okay. Any other symptoms like sweating or, um, light? Uh, no. No. And, uh, any vomiting at all? Yeah. So, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You stopped vomiting. Okay. And was your vomit. I know it's not nice things to talk about, but was it just normal food color? Yeah, yeah, just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No blood. No. No. Okay. Um, and, um, any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhea, you mentioned the vomiting. Um, anything else that comes to mind? Um, I had a loss of appetite. Um, so I haven't been eating as much. Okay. Um, but I've been able to hold down fluids.\n\nOkay, so you're drinking fluids. Yeah. Um, what kind of foods have you managed to eat, anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay, fine. Um, and so, uh, uh, you started three days ago, the symptoms. Are you aware of any triggers which may have caused the symptoms to, uh, to kick on? So for example, things like takeaway foods or eating out or being around other people who had similar symptoms? Yeah, so I had takeaway about four days ago. Um, uh, but other than that, I've, yeah, been, uh, eating normally. I think, uh, unusual, yeah. Do you remember what you ate?\n\nUm, yeah, I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? Um, so no one else in the family, so I have a wife and two kids, and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay, fine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well or? Um, yeah, I mean, other than, um, asthma, um, I use an inhaler, everything, uh, else is fine. Okay, and is your asthma well controlled? Uh, yeah, that's fine. Uh, just, yeah, use an inhaler, and, uh, that's under control. Fine. And you don't have any other tummy problems, bowel problems I should be aware of?\n\nNo. No. Okay. And apart from the inhalers, do you take any other medications? No. No other medications. Okay. Fine. And in terms of just your your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life? So I need to stay close to the toilet because I go quite frequently during the these past three days. Okay. Yeah. Other than that, it's Yeah. Yeah. The main concern. And have you are you currently working at the moment? Yes. Yeah. I I work. Work? I'm an accountant. Okay. Have you been going to work the last three days, or have you been at home? Yeah. I've been going to work. Okay.\n\nThat must be difficult for you then. Yeah, it's been quite difficult. Right. And you say you mentioned you live with a wife and two children. Is that right? Yes. Yeah. All right. Um, just a couple of other questions we need to ask. Uh, do you smoke at all? Uh, no, I don't smoke. And do you drink much in the way of alcohol? Uh, no, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, um, examine you if that's okay. But, um, um, but but having listened to your stories, uh, I think, um, just to recap, for the last three days, you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left hand side, um, and vomiting and feeling generally quite weak and lethargic. Um, you mentioned you're having this Chinese takeaway as well as three days ago, and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something.\n\nCalled gastroenteritis, which is essentially just a tummy bug or infection of your of your tummy. Yeah. Mainly caused by viruses, but there can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Direlyte you can get from the pharmacy, which it's it helps replenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, I would certainly recommend that in the first, you know, first couple of days. Yeah. If you are feeling feverish and weak, you're taking some paracetamol.\n\nYeah. Two tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work. Actually, I know you're quite keen to work, but, I would say next two two to three days, clears from your system, to take some time off and rest. You know, if your symptoms haven't got better, you know, in in three to four days, I'd like to come back and see me again. Okay. Sure. Because if it is ongoing, then we have to wonder whether there's something else causing the symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etcetera, etcetera. Yeah. Sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me?\n\nUm, no. No further questions. Nope. Okay. Is the is the treatment plan clear? Uh, yeah. Yeah, that's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye bye.","marks":[[7,25,"",false],[38,52,"we start Yeah",false],[65,65,"how um.",false],[118,121,"Hello how are you Oh hey um",false],[306,315,"",false],[367,374,"what'd",false],[659,663,"in",false],[708,708,"or",false],[761,764,"",false],[972,976,"",false],[1002,1015,"exactly Yep.",false],[1020,1029,"",false],[1061,1065,"um...yeah",false],[1292,1296,"is",false],[1383,1388,"Come",false],[1393,1398,"go.",false],[1465,1468,"Uh...no",false],[1474,1483,"maybe",false],[1639,1645,"you",false],[1723,1729,"makes me",false],[1883,1886,"",false],[1941,1948,"mention",false],[1995,1995,"And y'know.",false],[2050,2064,"night sweats",true],[2097,2097,"Uh no.",false],[2258,2264,"thing",false],[2308,2345,"colour",false],[2403,2403,"Yeah yeah just normal vomit yeah. 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It does not assert a measured temperature.","yes","\"Subjective fever at onset 3-4 days ago, not measured\" plus weakness and shakiness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite; maintaining fluids; tolerating soups, smoothies, liquid foods."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway 4 days prior; one child vomiting without diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma well-controlled with inhaler; no other regular medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"requiring close proximity to toilet\" and daily activities affected."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Likely gastroenteritis.\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and Dioralyte, but no mention that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"Paracetamol 2 tablets up to 4 times daily for fever/weakness\"."],["The plan captures rest and approximately two to three days off work.","yes","\"Advised 2-3 days off work for rest and recovery.\""],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if not improved within 3-4 days; consider stool sample testing."]],"claims":[],"note":"SOAP Note\n\n\n\n\nDate of Consult: 22/09/2026\n\n\n\n\nSubjective:\n\n- Diarrhoea, abdominal pain, weakness x 3 days.\n\n- Loose, watery stools, 6-7 times daily.\n\n- Lower left abdominal cramping pain, intermittent, no radiation.\n\n- Vomiting at symptom onset, now resolved; no blood.\n\n- Subjective fever at onset 3-4 days ago, not measured.\n\n- Generalised weakness and shakiness.\n\n- Loss of appetite; maintaining fluid intake; tolerating soups, smoothies, liquid foods.\n\n- No blood in stool.\n\n- Possible trigger: Chinese takeaway 4 days prior.\n\n- No household contacts with similar symptoms; one child had vomiting without diarrhoea.\n\n- Symptoms affecting daily activities; requiring close proximity to toilet; attended work throughout.\n\n\n\n\nPast Medical History:\n\n- Asthma, well-controlled with inhaler.\n\n\n\n\nMedications:\n\n- Inhaler for asthma. No other regular medications.\n\n\n\n\nSocial History:\n\n- Accountant.\n\n- Lives with wife and two children.\n\n- Non-smoker.\n\n- Non-drinker of alcohol.\n\n\n\n\nObjective:\n\n- \n\n\n\n\nAssessment:\n\n- Likely gastroenteritis.\n\n\n\n\nPlan:\n\n- Conservative management.\n\n- Ensure adequate hydration; oral rehydration solutions (e.g. Dioralyte).\n\n- Paracetamol 2 tablets up to 4 times daily for fever/weakness for first few days.\n\n- Advised 2-3 days off work for rest and recovery.\n\n- Review if symptoms do not improve within 3-4 days; consider stool sample testing.\n\n- Counselled on likely viral aetiology with possible bacterial cause, importance of hydration, and signs for review.","review":81.22368421052632,"saved":301.7763157894737,"clean":false,"effort":3.8461538461538463,"sig":[],"mb":35.192074,"latency":29.193,"signable":110.41668421052631},{"label":"Run 5","wer":15.856236786469344,"text":"Hello. Hello. How are you? Hi. Should we stop? Yeah. Okay. Hello. Good morning, sir. How can I help you this morning? Hi. I've just had some, diarrhea for the last three days.\n\nUm, and it's been affecting me. I need to stay close to the toilet. And, um, yeah, it's been affecting my day to day activities. Yeah, I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah, so it's like loose and watery stool going to the toilet quite often.\n\nAnd like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, for the last couple of days? Probably, like, six, seven times a day. Six, seven times a day. And you may mention it's mainly watery. Have you noticed any other things, like blood in your stools? No. No blood. Yeah. Just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain? Is that clear? So it's like in my lower abdomen. So, like, yeah, just to one side. One side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp.\n\nLike a muscular cramp. And, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it there all the time, or does it come and go? It comes and goes. Comes and goes. Does the pain move anywhere else, for example, towards your back? No. Just mainly in my stomach. Okay. Alright. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having have you been feeling feverish, for example? Yeah. It doesn't feel like yeah. It just mainly feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started. So, yeah, around about three or four days ago.\n\nMeasure your temperature then? Yeah, I didn't measure my temperature, no, but I felt, um, just a bit hot. Okay. Okay. Yeah. Any other symptoms like sweating or, um, right? Uh, no. No. And, uh, any vomiting at all? Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting, okay. And was your vomit... I know it's not a nice thing to talk about, but was it just normal food color of blood? Yeah, yeah, just normal vomit. Yeah. Yeah, and there was no blood in your vomit, is that right? No blood, no. No. Okay. Yeah. Um- Yeah. And, um, a- any other symptoms at all? So you mentioned the tummy pain, you mentioned diarrhea, you mentioned the vomiting. Yeah. Um, anything else that comes to mind?\n\nUm, I had a loss of appetite. Um, so I haven't been eating as much. Okay. Um, but I've been able to hold down fluids. Okay, so you're drinking fluids. What kind of foods have you managed to eat anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. Um, and so, uh, you started three days ago, your symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So for example, things like takeaway foods or eating out or being around other people who would similar symptoms. Yeah. So I had takeaway about four days ago. Um.\n\nUh, but other than that, I've, yeah, been, uh, eating normally. I think, uh, unusual, yeah. Do you remember where you ate? Um, yeah, I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? Um, so no one else in the family, so I have a wife and two kids, and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay, fine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well or? Um, yeah, I mean, other than, um, asthma, um, I use an inhaler, everything, uh, else is fine.\n\nOkay. And is your asthma well controlled? Uh, yeah, that's fine. I just, yeah, use an inhaler, and, uh, that's under control. Fine. And you don't have any other tummy problems, bowel problems I should be aware of? No. No. Okay. Um, and ta- apart from the inhalers, do you take any other medications? Uh, no, no other medications. Okay, fine. And in terms of just your, your day-to-day life, you said it's been affecting your life. Um- Yeah. In what way has it been affecting your life? Uh, so I need to stay close to the toilet,'cause I go quite frequently during the, these past three days. Okay. Um, yeah, other than that, it's, uh- Yeah... yeah, the main concern. And have you, are you currently working at the moment? Uh, uh, yes. Yeah, I, I work, uh- Work?\n\nUm, I'm an accountant. Okay. Have you been going into work the last three days, or have you been at home? Uh, yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult. Right. And you say you mentioned you live with a wife and two children, is that right? Yes. Yeah. All right. Um, just a couple of other questions we need to ask, uh, um, do you smoke at all? Uh, no, I don't smoke. And do you drink much in a way of alcohol? Uh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, uh, examine you, if that's okay. But, um, um- Yeah. But, but having listened to your story, so I think, uh, um, just to recap, you-- for the last three days, you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left-hand side, uh, and vomiting and being generally quite weak and lethargic. Yeah. Um, you mentioned you're having this Chinese takeaway as well, three days ago, and I wonder whether that might be the cause of your problems. Okay. Um, it seems like you may have something-\n\nCalled gastroenteritis, which is essentially just a tummy bug or infection of your of your tummy. Yeah. Mainly caused by viruses, but there can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Dirolyte you can get from the pharmacy, which it's it helps replenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, I would certainly recommend that in the first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol\n\nTwo tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say next two two to three days, um, clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in in three to four days, I'd like to come back and see you again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing the symptoms. Yeah. And we may need to do further tests like, um, taking a sample of your stool so we can test that, um, etcetera, etcetera. Yeah, sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me?\n\nUm, no. No further questions. Nope. Okay. And is the treatment plan clear? Uh, yeah. Yeah, that's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye bye.","marks":[[7,25,"",false],[41,45,"start",false],[65,65,"how um.",false],[118,121,"Hello how are you Oh hey um",false],[306,315,"",false],[367,374,"what'd",false],[707,707,"or",false],[760,763,"",false],[971,975,"",false],[1001,1014,"exactly Yep.",false],[1019,1028,"",false],[1060,1064,"um...yeah",false],[1292,1296,"is",false],[1383,1388,"Come",false],[1393,1398,"go.",false],[1465,1468,"Uh...no",false],[1474,1483,"maybe",false],[1502,1510,"fine.",false],[1723,1729,"makes me",false],[1930,1937,"mention",false],[1989,1989,"And y'know.",false],[2049,2063,"night sweats",false],[2096,2096,"Uh no.",false],[2188,2194,"You",false],[2313,2365,"colour",false],[2423,2423,"Yeah yeah just normal vomit yeah. 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Uh",false],[7088,7092,"Yep",false],[7100,7105,"yep.",false],[7220,7225,"no.",false],[7372,7372,"Bye.",false],[7393,7397,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","3/7 loose watery stools, 6-7x/day, no blood in stools."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","Left lower abdominal pain, cramping, intermittent, localised."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved; normal appearance, no blood."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Denies current fever, felt hot at onset, not measured; weakness and shakiness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids, soups, smoothies, liquid foods."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway 4 days ago and one child vomited without diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma well-controlled with inhaler; denies other medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"affecting daily activities, requiring proximity to toilet\" and work difficulty."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Symptoms suggestive of gastroenteritis.\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management, hydration and ORS captured, but no mention that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"Paracetamol 2 tablets up to QID.\""],["The plan captures rest and approximately two to three days off work.","yes","\"Advised 2-3 days off work for rest.\""],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Review in 3-4 days if no improvement; consider stool sample testing.\""]],"claims":[],"note":"Subjective\n\n- 3/7 diarrhoea, affecting daily activities, requiring proximity to toilet\n\n- Loose, watery stools, 6-7x/day\n\n- No blood in stools\n\n- Lower abdominal pain, left-sided, cramping, intermittent, localised to abdomen\n\n- Weakness and shakiness\n\n- Denies current fever; felt hot at symptom onset 3-4 days ago, temperature not measured\n\n- Denies sweating\n\n- Vomiting at onset, now resolved; vomit normal appearance, no blood\n\n- Loss of appetite, reduced intake; tolerating fluids (water, soups, smoothies, liquid foods)\n\n- Possible trigger: takeaway Chinese food 4 days ago with friends\n\n- No household contacts with similar symptoms; one child vomited without diarrhoea\n\n\n\n\nPast Medical History\n\n- Asthma, well-controlled with inhaler\n\n- Denies other abdominal/bowel problems\n\n\n\n\nMedications\n\n- Inhaler for asthma\n\n- Denies other medications\n\n\n\n\nSocial History\n\n- Accountant; continued working past 3 days despite symptoms, finding it difficult\n\n- Lives with wife and two children\n\n- Non-smoker\n\n- Denies alcohol\n\n\n\n\nObjective\n\n- Not examined\n\n\n\n\nAssessment\n\n- Symptoms suggestive of gastroenteritis, possibly related to recent takeaway food\n\n\n\n\nPlan\n\n- Conservative management\n\n- Ensure adequate hydration; oral rehydration solution (e.g. Dirolyte) from pharmacy, especially if ongoing vomiting/diarrhoea\n\n- Paracetamol 2 tablets up to QID for feverishness/weakness\n\n- Advised 2-3 days off work for rest\n\n- Review in 3-4 days if no improvement; consider stool sample testing","review":80.59210526315789,"saved":302.4078947368421,"clean":false,"effort":3.8461538461538463,"sig":[],"mb":35.651684,"latency":27.37,"signable":107.9621052631579},{"label":"Run 6","wer":15.29245947850599,"text":"Hello. Hello. How are you? Hi. Stop. Yeah. Okay. Hello. Good morning, sir. How can I help you this morning? Hi. I've just had some, diarrhea for the last three days.\n\nUm, and it's been affecting me. I need to stay close to the toilet. And, um, yeah, it's been affecting my day to day activities. Yeah, I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah, so it's like loose and watery stool going to the toilet quite often.\n\nAnd like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Probably, like, six, seven times a day. Six, seven times a day. And you may mention it's mainly watery. Have you noticed any other things, like blood in your stools? No. No blood. Yeah. Just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain? Is that clear? So it's like in my lower abdomen. So, like, yeah, just to one side. One side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp. And\n\nUm, yeah, I feel a bit weak and shaky. Okay. And does the pain, is that, is it there all the time, or does it come and go? Uh, it comes and goes. Comes and goes. Does the pain move anywhere else, for example, towards your back? Um, no, just mainly in my stomach. Okay. All right. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like, uh... Yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature when the symptoms started. So, um, yeah, around about three or four days ago. Did you measure your temperature then? Yeah, I, I, I didn't measure my temperature, no, but I felt, um, just a bit hot.\n\nOkay. Okay. Any other symptoms like sweating or, um, light? Uh, no. No. And, uh, any vomiting at all? Yeah. So, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting. Okay. And was your vomit. I know it's not a nice thing to talk about, but was it just normal food color? Yeah, yeah, just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No blood. No. No. Okay. Um, and, um, any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhea, you mentioned the vomiting. Um, anything else that comes to mind? Um, I had a loss of appetite. Um, so I haven't been eating as much. Um, but I've been able to hold down fluids.\n\nOkay, so you're drinking fluids. Yeah. What kind of foods have you managed to eat, anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. Um, and so, uh, uh, you started three days ago, your symptoms. Are you aware of any triggers which may have caused the symptoms to, uh, to kick on? So for example, things like takeaway foods or eating out or being around other people who had similar symptoms? Yeah, so I had takeaway about four days ago. Um, uh, but other than that, I've, yeah, been, uh, eating normally. I think, uh, unusual, yeah. Do you remember what you ate?\n\nUm, yeah, I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? Um, so no one else in the family. So I have a wife and two kids, and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay. Fine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well or? Um, yeah, I mean, other than, um, asthma, um, I use an inhaler. Everything, uh, else is fine. Okay. And is your asthma well controlled? Uh, yeah, that's fine. Uh, just, yeah, use an inhaler, and, uh, that's under control.\n\nAnd you don't have any other tummy problems, bowel problems I should be aware of? No. No. Okay. And apart from the inhalers, do you take any other medications? No. No other medications. Okay. Fine. And in terms of just your your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life? So I need to stay close to the toilet because I go quite frequently during the these past three days. Okay. Yeah. Other than that, it's Yeah. Yeah. The main concern. And have you are you currently working at the moment? Yes. Yeah. I I work. Work? I'm an accountant. Okay. Have you been going into work the last three days, or have you been at home?\n\nUh, yeah, I've been going to work. Okay. That must be difficult for you then? Yeah, it's been quite difficult. Right. And you say you mentioned you live with a wife and two children, is that right? Yes. Yep. All right. Um, just a couple of other questions we need to ask, uh, um, do you smoke at all? Uh, no, I don't smoke. And do you drink much in the way of alcohol? Uh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, um, examine you, if that's okay. But, um, um- Yeah. But, but having listened to your story, so I think, you know, um, just to recap, you-- for the last three days, you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left-hand side, uh, and vomiting and feeling generally quite weak and lethargic. Um, you mentioned you're having this Chinese takeaway as well as three days ago, and I wonder whether that might be the cause of your problems. Okay. Um, it seems like you may have something-\n\nCalled gastroenteritis, which is essentially just a tummy bug or infection of your of your tummy. Yeah. Mainly caused by viruses, but there can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Dirolyte you can get from the pharmacy, which it's it helps replenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, I would certainly recommend that in the first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol\n\nTwo tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say in the next two two to three days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in in three to four days, I'd like you to come back and see me again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing the symptoms. Yeah. And we may need to do further tests, like, um, taking a sample of your stool so we can test that, um, etcetera, etc.. Yeah, sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me?\n\nUm, no. No further questions. Nope. Okay. And is the treatment plan clear? Uh, yeah. Yeah. That's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye.","marks":[[7,25,"",false],[31,36,"Um should we start",false],[55,55,"how um.",false],[108,111,"Hello how are you Oh hey um",false],[296,305,"",false],[357,364,"what'd",false],[649,653,"in",false],[698,698,"or",false],[751,754,"",false],[962,966,"",false],[992,1005,"exactly Yep.",false],[1010,1019,"",false],[1051,1055,"um...yeah",false],[1286,1290,"is",false],[1383,1388,"Come",false],[1393,1398,"go.",false],[1465,1471,"Uh...no",false],[1478,1487,"maybe",false],[1506,1516,"fine.",false],[1725,1730,"--",false],[1744,1750,"makes me",false],[1918,1921,"",false],[1978,1985,"mention",false],[2037,2037,"And y'know.",false],[2092,2106,"night sweats",true],[2139,2139,"Uh no.",false],[2231,2237,"You",false],[2354,2391,"colour",false],[2449,2449,"Yeah yeah just normal vomit yeah. 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Yep",false],[7073,7078,"yep.",false],[7193,7198,"no.",false],[7345,7345,"Bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","3-day loose watery stools 6-7 times daily; no blood in stools."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","Left-sided lower abdominal cramping, intermittent, no radiation."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","partial","Vomiting at onset resolved with no blood captured, but it is stated as \"One episode\", a count the transcript never gives."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Unmeasured temperature at onset, no current fever, weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite; tolerating soups/smoothies/liquid foods; maintaining fluids."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese restaurant takeaway; one child vomited without diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma controlled with inhaler; no other regular medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","Notes continued working but omits needing to stay close to the toilet and daily-activity disruption."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Likely gastroenteritis, possibly viral or bacterial\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management, fluids and Dioralyte captured; no mention that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","Paracetamol captured but dose written as \"1g up to QID\"; spoken instruction was two tablets and no strength was given."],["The plan captures rest and approximately two to three days off work.","yes","\"advised 2-3 days off work\" for rest."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Return in 3-4 days if persisting; stool sample testing."]],"claims":[["One episode of vomiting at onset","Transcript says only \"I vomited at the start of the symptoms\"; the number of episodes is never stated."],["paracetamol 1g up to QID","Clinician said \"two tablets up to four times a day\"; no mg strength or 1 g dose was stated."]],"note":"Subjective\n\n- 3-day history of diarrhoea, loose and watery stools, 6-7 times daily\n\n- Lower abdominal cramping pain, predominantly left side, intermittent, no radiation\n\n- No blood in stools\n\n- Feeling weak and shaky\n\n- Unmeasured temperature at symptom onset (felt hot ~3-4 days ago); no fever currently\n\n- One episode of vomiting at onset, now resolved; vomitus normal colour, no blood\n\n- Loss of appetite; tolerating soups, smoothies and liquid foods; maintaining fluid intake\n\n- Trigger: takeaway from a Chinese restaurant ~4 days prior to symptom onset\n\n- Family: spouse and one child well; one child vomited but no diarrhoea\n\n- PMHx: asthma (controlled with inhaler); no other GI issues\n\n- Medications: inhaler for asthma; no other regular medications\n\n- Social: non-smoker; no alcohol; employed as accountant, continued working; lives with wife and two children\n\n\n\n\nObjective\n\n- \n\n\n\n\nAssessment\n\n- Likely gastroenteritis, possibly viral or bacterial, potentially linked to recent takeaway food consumption\n\n\n\n\nPlan\n\n- Conservative management\n\n- Hydration: encourage fluid intake; consider oral rehydration solution (e.g. Dioralyte) to replenish minerals and vitamins, especially with ongoing vomiting and diarrhoea\n\n- Symptomatic relief: paracetamol 1g up to QID for feverishness and weakness PRN\n\n- Rest: advised 2-3 days off work to aid recovery and prevent transmission\n\n- Review: return in 3-4 days if symptoms persist or worsen; consider further investigations including stool sample testing","review":168.3815789473684,"saved":214.6184210526316,"clean":false,"effort":30.76923076923077,"sig":[["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Paracetamol dose written as 1 g QID when only 'two tablets' was said; an invented dose strength in the record."]],"mb":34.916332,"latency":24.452,"signable":192.8335789473684}],"freed":[{"label":"Run 1","wer":21.141649048625794,"text":"Hello, how can I help you this morning?\n  I've just had some diarrhoea for the last 3 days and it's been affecting me, I need to stay close to the toilet and yeah it's been affecting my day-to-day activities.\n  I'm sorry to hear that. And when you say diarrhoea, what do you mean by diarrhoea? Do you mean you're going to the toilet more often or are your stools more loose?\n  Yeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my... Like lower stomach.\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n  Probably like 6-7 times a day. 6-7 times a day.\n  And you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools?\n  No, no blood. Yeah, just watery and loose stool.\n  Okay. And you mentioned you've had some pain in your tummy as well.\n  Yep.\n  Whereabouts was the pain, exactly?\n  In my lower abdomen. So, like, yeah, just to one side. One side, and what side is that? On the left side.\n  Left side, okay. And can you describe the pain to me?\n  Yeah, it feels like a cramp, like a muscular cramp, and yeah, I feel a bit weak and shaky.\n  Okay, and does the pain, is it there all the time, or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\n  No, just mainly my stomach. Okay, fine.\n  And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, have you been feeling feverish, for example?\n  Yeah, it doesn't feel like, yeah, I just mainly feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so yeah, around about 3 or 4 days ago.\n  Did you measure your temperature then?\n  Yeah, I didn't measure my temperature, no, but I felt just a bit hot.\n  Okay, okay. Any other symptoms like sweating or night? No. And any vomiting at all?\n  Yeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\n  You've stopped vomiting, okay. And was your vomit, I know it's not nice to talk about, but was it just normal food color?\n  Yeah, yeah, just normal vomit, yeah. And there was no blood in your vomit, is that right? No blood, no. No, okay.\n  And any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhoea, you mentioned vomiting. Anything else that comes to mind?\n  I had a loss of appetite, so I haven't been eating as much, but I've been able to hold down fluids.\n  Okay, so you're drinking fluids. What kind of foods have you managed to eat, anything?\n  Um, just soups and, uh, yeah, light foods like smoothies and, yeah, liquid foods mainly. Okay, fine.\n  Um, and so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused your symptoms to kick on? So, for example, things like takeaway foods or eating out or beating around other people with similar symptoms?\n  Yeah, so I had takeaway about 4 days ago, um, but other than that I've... Yeah, been eating normally. Nothing unusual, yeah.\n  Do you remember what you ate?\n  Yeah, I ate at a Chinese restaurant with friends.\n  Okay. Anyone else on well with similar symptoms?\n  So, no one else in the family, so I have a wife and 2 kids and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n  Okay, okay, fine. Right, and in terms of your overall health, are you normally fitting well?\n  Yeah, I mean other than asthma, I use an inhaler, everything else is fine.\n  Okay, and is your asthma well controlled?\n  Yeah, that's fine, I just use an inhaler and that's under control.\n  Fine, and you don't have any other tummy problems, bowel problems I should be aware of?\n  No.\n  No, okay. Apart from inhalers, do you take any other medications?\n  No, no other medications.\n  Okay, fine. In terms of just your day-to-day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\n  So I need to stay close to the toilet because I go quite frequently during these past 3 days. Okay. Yeah, other than that, it's, yeah, the main concern.\n  And are you currently working at the moment?\n  Yes, yeah, I work. What do you do for work? I'm an accountant.\n  Okay, have you been going into work the last 3 days or have you been at home?\n  Yeah, I've been going to work. Okay, that must be difficult for you then. Yeah, it's been quite difficult.\n  Right, and you mentioned you live with a wife and 2 children, is that right?\n  Yes, yeah.\n  Alright, just a couple of other questions we need to ask. Do you smoke at all?\n  No, I don't smoke.\n  And do you drink much and aware of alcohol?\n  No, I don't drink alcohol, no.\n  Okay, so normally at this stage I like to examine you, but having listened to your story, sir, I think just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left-hand side. and vomiting and being generally quite weak and lethargic. You mentioned you were having this Chinese takeaway as well 3 days ago and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis, which is essentially just a tummy bug or infection of your tummy, mainly caused by viruses but there can be a possibility of bacteria causing your symptoms. At this stage, what we recommend is just what we say conservative management, so I don't think you need anything like antibiotics, it's really just making sure you're well hydrated, drinking fluids. There are things like diuralite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. And if you are having vomiting and diarrhea, I would say recommend that in the 1st couple of days. If you are feeling feverish and weak, taking some paracetamol. 2 tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work actually, I know you're quite keen to work. I would say next 2 to 3 days action clears from your system, take some time off and rest. If your symptoms haven't got better in 3 to 4 days, I'd like to come back and see you again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool, so we can test that, etc., etc. Yeah, sure, yeah. How does that sound? That sounds great, yeah, yeah. Do you have any questions for me? Um, no, no further questions, sir. Okay, is the treatment plan clear? Uh, yeah, yeah, that's very clear, thank you. Great, well I wish you all the best. Okay, thank you. Thank you. Bye.","marks":[[5,5,"Hi. Um should we start Yeah okay. Hello how um. Good morning sir",false],[38,38,"Hello how are you Oh hey um",false],[61,70,"diarrhea",false],[211,214,"",false],[252,270,"diarrhea what'd",false],[283,292,"diarrhea",false],[558,562,"in",false],[604,607,"six or seven",false],[621,624,"Yeah. Six seven",false],[648,657,"mention",false],[863,867,"",false],[903,903,"Yep. So",false],[938,942,"um...yeah",false],[1174,1178,"is",false],[1257,1257,"Come and go.",false],[1326,1328,"Uh...no",false],[1335,1341,"maybe",false],[1583,1589,"makes me",false],[1737,1740,"",false],[1793,1800,"mention",false],[1847,1847,"And y'know.",false],[1903,1903,"sweats",false],[1932,1932,"Uh no.",false],[2018,2024,"You",false],[2089,2089,"thing",false],[2133,2171,"colour",false],[2230,2230,"Yeah yeah just normal vomit yeah. 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How's",false],[6548,6552,"no.",false],[6598,6602,"that's",false],[6687,6687,"Bye.",false],[6703,6703,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Captures 3 days of loose, watery stools 6-7 times daily with no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","Captures intermittent cramping left lower abdominal pain that does not radiate."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved, 'normal in color with no blood'."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt feverish at onset, temperature not measured, no current fever, weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids and light foods such as soups and smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway exposure and a child vomiting without diarrhoea both captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","Asthma 'currently controlled with an inhaler' captured, but no explicit statement that he takes no other medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Records needing to stay close to a toilet and difficulty/disruption with work."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","Assessment is acute gastroenteritis."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and oral rehydration solution captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol 2 tablets up to four times daily' for fever/weakness matches the spoken instruction."],["The plan captures rest and approximately two to three days off work.","yes","'Take time off work for next 2-3 days' with rest captured."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if symptoms persist beyond 3-4 days and possible stool sample testing captured."]],"claims":[],"note":"Subjective\nCliniTech Benchmark c60497f0, a patient with a history of asthma, presents with a 3-day history of diarrhea, abdominal pain, and weakness.\n\nThe patient reports loose, watery stools occurring approximately 6-7 times per day over the past 3 days. He describes associated lower abdominal pain on the left side, characterized as cramp-like, muscular pain that is intermittent and does not radiate. He denies any blood in the stools. He also reports feeling weak and shaky, with a subjective feeling of fever at symptom onset approximately 3-4 days ago, though he did not measure his temperature at that time. He experienced vomiting at the start of symptoms, which has since resolved. The vomit was normal in color with no blood. He reports loss of appetite and has been eating light foods such as soups and smoothies, and has been able to tolerate fluids. He denies night sweats.\n\nThe patient notes having had a Chinese takeaway approximately 4 days ago, which he suspects may have triggered his symptoms. One of his children has been vomiting but has not had diarrhea, and no other family members have similar symptoms. The patient has been going to work as an accountant despite his symptoms, which has been difficult due to the need to stay close to a toilet. He denies any prior bowel or tummy problems.\n\nMedical History  \n- Asthma, currently controlled with an inhaler\n\nMedications and Supplements  \n- Inhaler for asthma\n\nSocial History  \n- Tobacco: Denies tobacco use  \n- Alcohol: Denies alcohol use  \n- Occupation: Works as an accountant  \n- Living Situation: Lives at home with wife and 2 children\n\nReview of Systems  \n- General: Subjective fever at onset, decreased appetite, denies night sweats  \n- Gastrointestinal: Denies blood in stools, blood in vomit\n\nObjective\nN/A\n\nAssessment & Plan\nPatient presents with a 3-day history of diarrhea, abdominal cramping, and weakness, likely secondary to gastroenteritis.\n\nGastroenteritis  \nAssessment: Patient presents with acute gastroenteritis characterized by loose watery stools 6-7 times daily, left lower abdominal cramping pain, weakness, and initial fever that has resolved. Symptoms began 3 days ago following consumption of Chinese takeaway food 4 days prior. Initial vomiting has resolved. No blood in stool or vomit. Patient has maintained fluid intake and reports loss of appetite. Family member has vomiting but no diarrhea. Clinical presentation is consistent with viral gastroenteritis, though bacterial etiology cannot be excluded given food exposure history.  \nPlan:  \n- Conservative management with focus on hydration and rest  \n- Maintain adequate fluid intake  \n- Consider oral rehydration solutions such as Diuralite from pharmacy to replenish minerals and vitamins  \n- Paracetamol 2 tablets up to 4 times daily for fever and weakness as needed  \n- Take time off work for next 2-3 days until symptoms resolve  \n- Return for reassessment if symptoms persist beyond 3-4 days  \n- If ongoing symptoms, further evaluation including stool sample analysis may be required\n","review":179.53947368421052,"saved":203.46052631578948,"clean":false,"effort":7.6923076923076925,"sig":[],"mb":14.292149,"latency":52.22,"signable":218.68747368421052},{"label":"Run 2","wer":22.48062015503876,"text":"Hello, how can I help you this morning?\n  I've just had some diarrhoea for the last 3 days and it's been affecting me, I need to stay close to the toilet and yeah it's been affecting my day-to-day activities.\n  Sorry to hear that and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often or are your stools more loose?\n  Yeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my like lower stomach.\n  Okay, and how many times a day are you going, let's say, over the last couple of days?\n  Probably like 6-7 times a day. 6-7 times a day.\n  And you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\n  No, no blood. Yeah, just watery and loose stool.\n  Okay, and you mentioned you've had some pain in your tummy as well.\n  Yep.\n  Whereabouts is the pain exactly?\n  In my lower abdomen, so like, yeah, just to one side. One side, and what side is that? On the left side.\n  Left side, okay. And can you describe the pain to me?\n  Yeah, it feels like a cramp, like a muscular cramp and yeah, I feel a bit weak and shaky.\n  Okay, and does the pain, is it there all the time or does it come and go? It comes and goes. Does the pain move anywhere else, for example towards your back?\n  No, just mainly in my stomach. Okay, fine.\n  And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, have you been feeling feverish, for example?\n  Yeah, it doesn't feel like, yeah, I just mainly feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so yeah, around about 3 or 4 days ago.\n  Did you measure your temperature then?\n  Yeah, I didn't measure my temperature, no, but I felt just a bit hot. Okay.\n  Any other symptoms like sweating or night? No. And any vomiting at all?\n  Yeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\n  You've stopped vomiting, okay. And was your vomit, I know it's not nice to talk about, but was it just normal food color?\n  Yeah, yeah, just normal vomit, yeah. And there was no blood in your vomit, is that right? No blood, no. No, okay.\n  And any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhoea, you mentioned vomiting. Anything else that comes to mind?\n  I had a loss of appetite, so I haven't been eating as much, but I've been able to hold down fluids.\n  Okay, so you're drinking fluids. What kind of foods have you managed to eat, anything?\n  Just soups and light foods like smoothies and liquid foods mainly. Okay, fine.\n  And so you started 3 days ago with symptoms, are you aware of any triggers which may have caused your symptoms to kick on? So for example, things like take-away foods or eating out or beating around other people with similar symptoms?\n  Yeah, so I had take-away about 4 days ago, but other than that I've... Yeah, I've been eating normally. I think it's unusual here.\n  Do you remember where you ate?\n  Yeah, I ate at a Chinese restaurant with friends.\n  Okay. Anyone else on well with similar symptoms?\n  So no one else in the family, so I have a wife and 2 kids, and one child was vomiting, but they haven't got diarrhea. It's no one with the same symptoms.\n  Okay, okay, fine. Right, and in terms of your overall health, are you normally fitting well?\n  Yeah, I mean other than asthma, I use an inhaler, everything else is fine.\n  Okay, and is your asthma well controlled?\n  Yeah, that's fine, I just use an inhaler and that's under control.\n  Fine, and you don't have any other tummy problems, bowel problems I should be aware of?\n  No. No, okay.\n  Apart from inhalers, do you take any other medications?\n  No, no other medications.\n  Okay, fine. In terms of just your day-to-day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\n  So I need to stay close to the toilet because I go quite frequently during these past 3 days. Okay. Yeah, other than that, it's, yeah, the main concern.\n  And are you currently working at the moment?\n  Yes, yeah, I work. What do you do for work? I'm an accountant.\n  Okay. Have you been going into work the last 3 days or have you been at home?\n  Yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult.\n  Right. And you said you mentioned you live with a wife and 2 children, is that right?\n  Yes, yeah.\n  Alright. Just a couple of other questions we need to ask. Do you smoke at all?\n  No, I don't smoke.\n  And do you drink much and aware of alcohol?\n  No, I don't drink alcohol, no.\n  Normally at this stage I like to examine you, but having listened to your story, just to recap, for the last 3 days you've been having loose stool, diarrhoea, a bit of tummy pain, mainly on the left-hand side. and vomiting and being generally quite weak and lethargic. You mentioned you were having this Chinese take-away, as well, 3 days ago, and I wonder whether that might be the cause of your problems. It seems like you may have something called gastroenteritis, which is essentially just a tummy bug or infection of your tummy, mainly caused by viruses, but there can be a possibility of bacteria causing your symptoms. At this stage, what we recommend is just what we say conservative management, so I don't think you need anything like antibiotics, it's really just making sure you're well hydrated, drinking fluids. There are things like diuralite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. If you are having vomiting and diarrhea, I would recommend that in the 1st couple of days. If you are feeling feverish and weak, taking some paracetamol. 2 tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work actually, I know you're quite keen to work. I would say next 2 to 3 days action clears from your system, take some time off and rest. If your symptoms haven't got better, you know, in 3 to 4 days, I'd like to come back and see you again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests like taking a sample of your stool so we can test that, etc., etc.\n  Yeah, sure, yeah.\n  How does that sound?\n  That sounds great, yeah, yeah.\n  Do you have any questions for me?\n  Um, no, no further questions, sir.\n  Okay, is the treatment plan clear?\n  Uh, yeah, yeah, that's very clear, thank you.\n  Great, well I wish you all the best.\n  Okay, thank you. Thank you. Bye.","marks":[[5,5,"Hi. Um should we start Yeah okay. Hello how um. Good morning sir",false],[38,38,"Hello how are you Oh hey um",false],[61,70,"diarrhea",false],[257,264,"what'd",false],[548,552,"in",false],[594,597,"six or seven",false],[611,614,"Yeah. Six seven",false],[638,647,"mention",false],[852,856,"",false],[890,890,"Yep. So",false],[924,928,"um...yeah",false],[1159,1163,"is",false],[1241,1241,"Come and go.",false],[1309,1311,"Uh...no",false],[1318,1327,"maybe",false],[1569,1575,"makes me",false],[1723,1726,"",false],[1779,1786,"mention",false],[1833,1833,"And y'know. Okay.",false],[1883,1883,"sweats",false],[1912,1912,"Uh no.",false],[1998,2004,"You",false],[2069,2069,"thing",false],[2113,2151,"colour",false],[2210,2210,"Yeah yeah just normal vomit yeah. No",false],[2241,2241,"um any",false],[2312,2321,"diarrhea",false],[2336,2336,"your",false],[2379,2379,"Yep. Um",false],[2560,2560,"if",false],[2570,2570,"Yep. 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How's",false],[6504,6508,"no.",false],[6558,6562,"that's",false],[6651,6651,"Bye.",false],[6667,6667,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Captures 3 days of loose, watery stools 6-7 times daily with no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","Captures intermittent cramping left lower abdominal pain that does not radiate."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved, 'normal in color with no blood'."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt feverish at onset, temperature not measured, no current fever, weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids and light foods such as soups and smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway exposure and a child vomiting without diarrhoea both captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma well controlled with inhaler and denies other medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Records needing to stay close to a toilet and difficulty/disruption with work."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","Assessment is acute gastroenteritis."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and oral rehydration solution captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol 2 tablets up to four times daily' for fever/weakness matches the spoken instruction."],["The plan captures rest and approximately two to three days off work.","yes","'Take time off work for next 2-3 days' with rest captured."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if symptoms persist beyond 3-4 days and possible stool sample testing captured."]],"claims":[],"note":"Subjective\nCliniTech Benchmark e10cf1df presents with a 3-day history of diarrhea, abdominal pain, and weakness. The patient reports loose, watery stools occurring approximately 6-7 times per day, requiring them to stay close to a toilet. The patient describes intermittent cramping pain in the left lower abdomen that comes and goes and does not radiate. The patient initially experienced vomiting at the onset of symptoms, which has since resolved. The patient reports the vomit was normal in color with no blood. The patient also reports feeling weak and shaky, with a subjective feeling of fever at symptom onset approximately 3-4 days ago, though temperature was not measured. The patient denies current fever, night sweats, or blood in stools.\n\nThe patient reports a loss of appetite and has been eating less, managing to tolerate fluids, soups, smoothies, and other light/liquid foods. The patient suspects the symptoms may have been triggered by a Chinese take-away meal approximately 4 days ago at a restaurant with friends. One of the patient's children was also vomiting around the same time but did not develop diarrhea, and no other family members have similar symptoms.\n\nThe patient has been continuing to go to work as an accountant despite symptoms, which has been quite difficult. The patient has asthma, which is well controlled with an inhaler, and denies any other medical conditions, bowel problems, or use of other medications. The patient denies smoking and alcohol use.\n\nMedical History  \n- Asthma, well controlled\n\nMedications and Supplements  \n- Inhaler for asthma\n\nSocial History  \n- Tobacco: Non-smoker  \n- Alcohol: Does not drink alcohol  \n- Occupation: Works as an accountant; has been going to work despite symptoms over the past 3 days  \n- Living Situation: Lives at home with wife and 2 children\n\nReview of Systems  \n- General: Subjective fever at onset, denies current fever, night sweats  \n- Gastrointestinal: Denies blood in stools, blood in vomit\n\nObjective\nN/A\n\nAssessment & Plan\nPatient presents with 3-day history of diarrhea, abdominal cramping, and weakness following consumption of Chinese take-away food.\n\nGastroenteritis  \nAssessment: Patient presents with acute gastroenteritis characterized by 3 days of loose, watery stools occurring 6-7 times daily, left lower abdominal cramping pain, and associated weakness. Symptoms began approximately 4 days ago following consumption of Chinese take-away food. Initial vomiting has resolved. No blood in stool or vomit. Patient reports subjective fever at symptom onset but no current fever. Symptoms are consistent with viral gastroenteritis, though bacterial etiology cannot be excluded given the food exposure history. Patient has been able to maintain fluid intake and tolerate light foods such as soups and smoothies.  \nPlan:  \n- Conservative management with focus on hydration and rest  \n- Maintain adequate fluid intake  \n- Consider oral rehydration solutions such as Diuralyte from pharmacy to replenish minerals and vitamins  \n- Paracetamol 2 tablets up to four times daily for fever and weakness as needed  \n- Take time off work for next 2-3 days until symptoms resolve  \n- Return for reassessment if symptoms persist beyond 3-4 days  \n- If symptoms ongoing, further evaluation may include stool sample testing\n","review":177.22368421052633,"saved":205.77631578947367,"clean":false,"effort":3.8461538461538463,"sig":[],"mb":14.529952,"latency":60.361,"signable":219.38368421052633},{"label":"Run 3","wer":21.141649048625794,"text":"Hello, how can I help you this morning?\n  I've just had some diarrhoea for the last 3 days and it's been affecting me, I need to stay close to the toilet and yeah it's been affecting my day-to-day activities.\n  I'm sorry to hear that. And when you say diarrhoea, what do you mean by diarrhoea? Do you mean you're going to the toilet more often or are your stools more loose?\n  Yeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my... Like lower stomach.\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n  Probably like 6-7 times a day. 6-7 times a day.\n  And you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools?\n  No, no blood. Yeah, just watery and loose stool.\n  Okay. And you mentioned you've had some pain in your tummy as well.\n  Yep.\n  Whereabouts was the pain, exactly?\n  In my lower abdomen. So, like, yeah, just to one side. One side, and what side is that? On the left side.\n  Left side, okay. And can you describe the pain to me?\n  Yeah, it feels like a cramp, like a muscular cramp, and yeah, I feel a bit weak and shaky.\n  Okay, and does the pain, is it there all the time, or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\n  No, just mainly my stomach. Okay, fine.\n  And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, have you been feeling feverish, for example?\n  Yeah, it doesn't feel like, yeah, I just mainly feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so yeah, around about 3 or 4 days ago.\n  Did you measure your temperature then?\n  Yeah, I didn't measure my temperature, no, but I felt just a bit hot.\n  Okay, okay. Any other symptoms like sweating or night? No. And any vomiting at all?\n  Yeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\n  You've stopped vomiting, okay. And was your vomit, I know it's not nice to talk about, but was it just normal food color?\n  Yeah, yeah, just normal vomit, yeah. And there was no blood in your vomit, is that right? No blood, no. No, okay.\n  And any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhoea, you mentioned vomiting. Anything else that comes to mind?\n  I had a loss of appetite, so I haven't been eating as much, but I've been able to hold down fluids.\n  Okay, so you're drinking fluids. What kind of foods have you managed to eat, anything?\n  Um, just soups and, uh, yeah, light foods like smoothies and, yeah, liquid foods mainly. Okay, fine.\n  Um, and so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused your symptoms to kick on? So, for example, things like takeaway foods or eating out or beating around other people with similar symptoms?\n  Yeah, so I had takeaway about 4 days ago, um, but other than that I've... Yeah, been eating normally. Nothing unusual, yeah.\n  Do you remember what you ate?\n  Yeah, I ate at a Chinese restaurant with friends.\n  Okay. Anyone else on well with similar symptoms?\n  So, no one else in the family, so I have a wife and 2 kids and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n  Okay, okay, fine. Right, and in terms of your overall health, are you normally fitting well?\n  Yeah, I mean other than asthma, I use an inhaler, everything else is fine.\n  Okay, and is your asthma well controlled?\n  Yeah, that's fine, I just use an inhaler and that's under control.\n  Fine, and you don't have any other tummy problems, bowel problems I should be aware of?\n  No.\n  No, okay. Apart from inhalers, do you take any other medications?\n  No, no other medications.\n  Okay, fine. In terms of just your day-to-day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\n  So I need to stay close to the toilet because I go quite frequently during these past 3 days. Okay. Yeah, other than that, it's, yeah, the main concern.\n  And are you currently working at the moment?\n  Yes, yeah, I work. What do you do for work? I'm an accountant.\n  Okay, have you been going into work the last 3 days or have you been at home?\n  Yeah, I've been going to work. Okay, that must be difficult for you then. Yeah, it's been quite difficult.\n  Right, and you mentioned you live with a wife and 2 children, is that right?\n  Yes, yeah.\n  Alright, just a couple of other questions we need to ask. Do you smoke at all?\n  No, I don't smoke.\n  And do you drink much and aware of alcohol?\n  No, I don't drink alcohol, no.\n  Okay, so normally at this stage I like to examine you, but having listened to your story, sir, I think just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left-hand side. and vomiting and being generally quite weak and lethargic. You mentioned you were having this Chinese takeaway as well 3 days ago and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis, which is essentially just a tummy bug or infection of your tummy, mainly caused by viruses but there can be a possibility of bacteria causing your symptoms. At this stage, what we recommend is just what we say conservative management, so I don't think you need anything like antibiotics, it's really just making sure you're well hydrated, drinking fluids. There are things like diuralite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. And if you are having vomiting and diarrhea, I would say recommend that in the 1st couple of days. If you are feeling feverish and weak, taking some paracetamol. 2 tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work actually, I know you're quite keen to work. I would say next 2 to 3 days action clears from your system, take some time off and rest. If your symptoms haven't got better in 3 to 4 days, I'd like to come back and see you again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool, so we can test that, etc., etc. Yeah, sure, yeah. How does that sound? That sounds great, yeah, yeah. Do you have any questions for me? Um, no, no further questions, sir. Okay, is the treatment plan clear? Uh, yeah, yeah, that's very clear, thank you. Great, well I wish you all the best. Okay, thank you. Thank you. Bye.","marks":[[5,5,"Hi. Um should we start Yeah okay. Hello how um. Good morning sir",false],[38,38,"Hello how are you Oh hey um",false],[61,70,"diarrhea",false],[211,214,"",false],[252,270,"diarrhea what'd",false],[283,292,"diarrhea",false],[558,562,"in",false],[604,607,"six or seven",false],[621,624,"Yeah. Six seven",false],[648,657,"mention",false],[863,867,"",false],[903,903,"Yep. So",false],[938,942,"um...yeah",false],[1174,1178,"is",false],[1257,1257,"Come and go.",false],[1326,1328,"Uh...no",false],[1335,1341,"maybe",false],[1583,1589,"makes me",false],[1737,1740,"",false],[1793,1800,"mention",false],[1847,1847,"And y'know.",false],[1903,1903,"sweats",false],[1932,1932,"Uh no.",false],[2018,2024,"You",false],[2089,2089,"thing",false],[2133,2171,"colour",false],[2230,2230,"Yeah yeah just normal vomit yeah. 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How's",false],[6548,6552,"no.",false],[6598,6602,"that's",false],[6687,6687,"Bye.",false],[6703,6703,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Captures 3 days of loose, watery stools 6-7 times daily with no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","Captures intermittent cramping left lower abdominal pain that does not radiate."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved, 'normal in color with no blood'."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt feverish at onset, temperature not measured, no current fever, weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids and light foods such as soups and smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway exposure and a child vomiting without diarrhoea both captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","Asthma and inhaler captured, but controlled status and absence of other medications are not stated."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Records needing to stay close to a toilet and difficulty/disruption with work."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","Assessment is acute gastroenteritis."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and oral rehydration solution captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol 2 tablets up to four times daily' for fever/weakness matches the spoken instruction."],["The plan captures rest and approximately two to three days off work.","yes","'Take time off work for next 2-3 days' with rest captured."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if symptoms persist beyond 3-4 days and possible stool sample testing captured."]],"claims":[["Symptoms began approximately 4 days after consuming Chinese takeaway food.","Transcript places the takeaway about four days ago and symptom onset about three days ago; nothing supports a four-day gap between eating and onset."]],"note":"Subjective\nCliniTech Benchmark 39713ae9, a patient with a history of asthma, presents with a 3-day history of diarrhea, abdominal pain, and weakness.\n\nThe patient reports loose, watery stools occurring approximately 6-7 times per day over the past 3 days. He describes intermittent cramping pain in the left lower abdomen that comes and goes and does not radiate. He denies any blood in the stools. He initially experienced vomiting at the onset of symptoms but reports the vomiting has since resolved. The vomit was normal in color with no blood. He reports feeling weak and shaky, and he felt feverish at the onset of symptoms approximately 3-4 days ago, though he did not measure his temperature at that time. He denies night sweats. He reports loss of appetite and has been eating light foods such as soups and smoothies, and has been able to tolerate fluids.\n\nThe patient suspects the symptoms may have been triggered by a Chinese takeaway meal approximately 4 days ago. One of his children has been vomiting but without diarrhea, and no other family members have similar symptoms. The patient reports the diarrhea has significantly affected his day-to-day activities, requiring him to stay close to a toilet. He has continued going to work as an accountant over the past 3 days despite his symptoms.\n\nHe denies any other bowel problems. He denies smoking and alcohol use.\n\nMedical History  \n- Asthma\n\nMedications and Supplements  \n- Inhaler for asthma\n\nSocial History  \n- Tobacco: Denies tobacco use  \n- Alcohol: Denies alcohol use  \n- Occupation: Works as an accountant\n\nReview of Systems  \n- General: Subjective fever at onset, loss of appetite, denies night sweats  \n- Gastrointestinal: Denies blood in stools, blood in vomit\n\nObjective\nN/A\n\nAssessment & Plan\nPatient presents with a 3-day history of diarrhea, abdominal cramping, and weakness, likely secondary to gastroenteritis.\n\nGastroenteritis  \nAssessment: Patient presents with acute gastroenteritis characterized by 3 days of loose, watery stools occurring 6-7 times daily, left lower abdominal cramping pain that comes and goes, and associated weakness. Initial fever and vomiting have resolved. Symptoms began approximately 4 days after consuming Chinese takeaway food. No blood in stool or vomit. Patient has maintained fluid intake and has been able to tolerate light foods such as soups and smoothies. One child in the household had vomiting but no diarrhea. Clinical presentation is consistent with viral gastroenteritis, though bacterial etiology cannot be ruled out.  \nPlan:  \n- Conservative management with focus on hydration and rest  \n- Maintain adequate fluid intake  \n- Consider oral rehydration solutions such as Diuralyte from pharmacy to replenish minerals and vitamins  \n- Paracetamol 2 tablets up to 4 times daily for fever and weakness if needed  \n- Take time off work for next 2-3 days until symptoms resolve  \n- Return for reassessment if symptoms persist beyond 3-4 days  \n- If ongoing symptoms, further evaluation may include stool sample testing\n","review":192.48684210526315,"saved":190.51315789473685,"clean":false,"effort":19.230769230769234,"sig":[],"mb":14.225394,"latency":52.77,"signable":233.19384210526314},{"label":"Run 4","wer":21.141649048625794,"text":"Hello, how can I help you this morning?\n  I've just had some diarrhoea for the last 3 days and it's been affecting me, I need to stay close to the toilet and yeah it's been affecting my day-to-day activities.\n  I'm sorry to hear that. And when you say diarrhoea, what do you mean by diarrhoea? Do you mean you're going to the toilet more often or are your stools more loose?\n  Yeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my... Like lower stomach.\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n  Probably like 6-7 times a day. 6-7 times a day.\n  And you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools?\n  No, no blood. Yeah, just watery and loose stool.\n  Okay. And you mentioned you've had some pain in your tummy as well.\n  Yep.\n  Whereabouts was the pain, exactly?\n  In my lower abdomen. So, like, yeah, just to one side. One side, and what side is that? On the left side.\n  Left side, okay. And can you describe the pain to me?\n  Yeah, it feels like a cramp, like a muscular cramp, and yeah, I feel a bit weak and shaky.\n  Okay, and does the pain, is it there all the time, or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\n  No, just mainly my stomach. Okay, fine.\n  And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, have you been feeling feverish, for example?\n  Yeah, it doesn't feel like, yeah, I just mainly feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so yeah, around about 3 or 4 days ago.\n  Did you measure your temperature then?\n  Yeah, I didn't measure my temperature, no, but I felt just a bit hot.\n  Okay, okay. Any other symptoms like sweating or night? No. And any vomiting at all?\n  Yeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\n  You've stopped vomiting, okay. And was your vomit, I know it's not nice to talk about, but was it just normal food color?\n  Yeah, yeah, just normal vomit, yeah. And there was no blood in your vomit, is that right? No blood, no. No, okay.\n  And any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhoea, you mentioned vomiting. Anything else that comes to mind?\n  I had a loss of appetite, so I haven't been eating as much, but I've been able to hold down fluids.\n  Okay, so you're drinking fluids. What kind of foods have you managed to eat, anything?\n  Um, just soups and, uh, yeah, light foods like smoothies and, yeah, liquid foods mainly. Okay, fine.\n  Um, and so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused your symptoms to kick on? So, for example, things like takeaway foods or eating out or beating around other people with similar symptoms?\n  Yeah, so I had takeaway about 4 days ago, um, but other than that I've... Yeah, been eating normally. Nothing unusual, yeah.\n  Do you remember what you ate?\n  Yeah, I ate at a Chinese restaurant with friends.\n  Okay. Anyone else on well with similar symptoms?\n  So, no one else in the family, so I have a wife and 2 kids and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n  Okay, okay, fine. Right, and in terms of your overall health, are you normally fitting well?\n  Yeah, I mean other than asthma, I use an inhaler, everything else is fine.\n  Okay, and is your asthma well controlled?\n  Yeah, that's fine, I just use an inhaler and that's under control.\n  Fine, and you don't have any other tummy problems, bowel problems I should be aware of?\n  No.\n  No, okay. Apart from inhalers, do you take any other medications?\n  No, no other medications.\n  Okay, fine. In terms of just your day-to-day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\n  So I need to stay close to the toilet because I go quite frequently during these past 3 days. Okay. Yeah, other than that, it's, yeah, the main concern.\n  And are you currently working at the moment?\n  Yes, yeah, I work. What do you do for work? I'm an accountant.\n  Okay, have you been going into work the last 3 days or have you been at home?\n  Yeah, I've been going to work. Okay, that must be difficult for you then. Yeah, it's been quite difficult.\n  Right, and you mentioned you live with a wife and 2 children, is that right?\n  Yes, yeah.\n  Alright, just a couple of other questions we need to ask. Do you smoke at all?\n  No, I don't smoke.\n  And do you drink much and aware of alcohol?\n  No, I don't drink alcohol, no.\n  Okay, so normally at this stage I like to examine you, but having listened to your story, sir, I think just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left-hand side. and vomiting and being generally quite weak and lethargic. You mentioned you were having this Chinese takeaway as well 3 days ago and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis, which is essentially just a tummy bug or infection of your tummy, mainly caused by viruses but there can be a possibility of bacteria causing your symptoms. At this stage, what we recommend is just what we say conservative management, so I don't think you need anything like antibiotics, it's really just making sure you're well hydrated, drinking fluids. There are things like diuralite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. And if you are having vomiting and diarrhea, I would say recommend that in the 1st couple of days. If you are feeling feverish and weak, taking some paracetamol. 2 tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work actually, I know you're quite keen to work. I would say next 2 to 3 days action clears from your system, take some time off and rest. If your symptoms haven't got better in 3 to 4 days, I'd like to come back and see you again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool, so we can test that, etc., etc. Yeah, sure, yeah. How does that sound? That sounds great, yeah, yeah. Do you have any questions for me? Um, no, no further questions, sir. Okay, is the treatment plan clear? Uh, yeah, yeah, that's very clear, thank you. Great, well I wish you all the best. Okay, thank you. Thank you. Bye.","marks":[[5,5,"Hi. Um should we start Yeah okay. Hello how um. Good morning sir",false],[38,38,"Hello how are you Oh hey um",false],[61,70,"diarrhea",false],[211,214,"",false],[252,270,"diarrhea what'd",false],[283,292,"diarrhea",false],[558,562,"in",false],[604,607,"six or seven",false],[621,624,"Yeah. Six seven",false],[648,657,"mention",false],[863,867,"",false],[903,903,"Yep. So",false],[938,942,"um...yeah",false],[1174,1178,"is",false],[1257,1257,"Come and go.",false],[1326,1328,"Uh...no",false],[1335,1341,"maybe",false],[1583,1589,"makes me",false],[1737,1740,"",false],[1793,1800,"mention",false],[1847,1847,"And y'know.",false],[1903,1903,"sweats",false],[1932,1932,"Uh no.",false],[2018,2024,"You",false],[2089,2089,"thing",false],[2133,2171,"colour",false],[2230,2230,"Yeah yeah just normal vomit yeah. 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How's",false],[6548,6552,"no.",false],[6598,6602,"that's",false],[6687,6687,"Bye.",false],[6703,6703,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Captures 3 days of loose, watery stools 6-7 times daily with no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","Captures intermittent cramping left lower abdominal pain that does not radiate."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved, 'normal in color with no blood'."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt feverish at onset, temperature not measured, no current fever, weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids and light foods such as soups and smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway exposure and a child vomiting without diarrhoea both captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","Asthma and inhaler captured, but controlled status and absence of other medications are not stated."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Records needing to stay close to a toilet and difficulty/disruption with work."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","Assessment is acute gastroenteritis."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and oral rehydration solution captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol 2 tablets up to four times daily' for fever/weakness matches the spoken instruction."],["The plan captures rest and approximately two to three days off work.","yes","'Take time off work for next 2-3 days' with rest captured."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if symptoms persist beyond 3-4 days and possible stool sample testing captured."]],"claims":[["Symptoms began approximately 4 days after consuming Chinese takeaway food.","Transcript places the takeaway about four days ago and symptom onset about three days ago; nothing supports a four-day gap between eating and onset."]],"note":"Subjective\nCliniTech Benchmark 7924d758, a patient with a history of asthma, presents with a 3-day history of diarrhea, abdominal pain, and weakness.\n\nThe patient reports loose, watery stools occurring approximately 6-7 times per day for the past 3 days. He describes associated lower abdominal pain on the left side, characterized as a cramp-like, muscular sensation that is intermittent and does not radiate. He denies any blood in the stool. He reports feeling weak and shaky, and notes he felt feverish at the onset of symptoms approximately 3-4 days ago, though he did not measure his temperature at that time. He denies current fever, night sweats, or vomiting, though he did vomit at the start of his symptoms with normal-colored vomit and no blood. He reports loss of appetite and has been eating light foods such as soups and smoothies, and has been able to tolerate fluids.\n\nThe patient suspects a possible trigger of eating Chinese takeaway approximately 4 days ago. One of his children has been vomiting but has not had diarrhea, and no other family members have similar symptoms. The patient reports the diarrhea has significantly affected his day-to-day activities, requiring him to stay close to a toilet, and he has continued going to work as an accountant despite his symptoms.\n\nMedical History  \n- Asthma\n\nMedications and Supplements  \n- Inhaler for asthma\n\nSocial History  \n- Tobacco: Non-smoker  \n- Alcohol: Does not drink alcohol  \n- Occupation: Works as an accountant\n\nReview of Systems  \n- General: Subjective fever at onset, decreased appetite, denies night sweats  \n- Gastrointestinal: Denies blood in stool, current vomiting\n\nObjective\nN/A\n\nAssessment & Plan\nPatient presents with a 3-day history of diarrhea, abdominal pain, and weakness, likely secondary to gastroenteritis.\n\nGastroenteritis  \nAssessment: Patient presents with acute gastroenteritis characterized by loose, watery stools 6-7 times daily for 3 days, left lower abdominal cramping pain, initial vomiting that has resolved, weakness, and subjective fever at symptom onset. Symptoms began approximately 4 days after consuming Chinese takeaway food. No blood in stool or vomit. One child in household had vomiting but no diarrhea. Patient has been able to maintain fluid intake and consume light foods like soups and smoothies. Clinical presentation is consistent with viral gastroenteritis, though bacterial etiology cannot be ruled out given the food exposure history.  \nPlan:  \n- Conservative management with focus on hydration and rest  \n- Maintain adequate fluid intake  \n- Consider oral rehydration solutions like Diuralyte from pharmacy to replenish minerals and vitamins  \n- Paracetamol 2 tablets up to four times daily for fever and weakness as needed  \n- Take time off work for next 2-3 days until symptoms resolve  \n- Return for reassessment if symptoms persist beyond 3-4 days  \n- If symptoms ongoing, further evaluation may include stool sample testing\n","review":186.80263157894737,"saved":196.19736842105263,"clean":false,"effort":19.230769230769234,"sig":[],"mb":14.173378,"latency":55.895,"signable":230.44763157894738},{"label":"Run 5","wer":21.141649048625794,"text":"Hello, how can I help you this morning?\n  I've just had some diarrhoea for the last 3 days and it's been affecting me, I need to stay close to the toilet and yeah it's been affecting my day-to-day activities.\n  I'm sorry to hear that. And when you say diarrhoea, what do you mean by diarrhoea? Do you mean you're going to the toilet more often or are your stools more loose?\n  Yeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my... Like lower stomach.\n  Okay. And how many times a day are you going, let's say, over the last couple of days?\n  Probably like 6-7 times a day. 6-7 times a day.\n  And you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools?\n  No, no blood. Yeah, just watery and loose stool.\n  Okay. And you mentioned you've had some pain in your tummy as well.\n  Yep.\n  Whereabouts was the pain, exactly?\n  In my lower abdomen. So, like, yeah, just to one side. One side, and what side is that? On the left side.\n  Left side, okay. And can you describe the pain to me?\n  Yeah, it feels like a cramp, like a muscular cramp, and yeah, I feel a bit weak and shaky.\n  Okay, and does the pain, is it there all the time, or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\n  No, just mainly my stomach. Okay, fine.\n  And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, have you been feeling feverish, for example?\n  Yeah, it doesn't feel like, yeah, I just mainly feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so yeah, around about 3 or 4 days ago.\n  Did you measure your temperature then?\n  Yeah, I didn't measure my temperature, no, but I felt just a bit hot.\n  Okay, okay. Any other symptoms like sweating or night? No. And any vomiting at all?\n  Yeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\n  You've stopped vomiting, okay. And was your vomit, I know it's not nice to talk about, but was it just normal food color?\n  Yeah, yeah, just normal vomit, yeah. And there was no blood in your vomit, is that right? No blood, no. No, okay.\n  And any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhoea, you mentioned vomiting. Anything else that comes to mind?\n  I had a loss of appetite, so I haven't been eating as much, but I've been able to hold down fluids.\n  Okay, so you're drinking fluids. What kind of foods have you managed to eat, anything?\n  Um, just soups and, uh, yeah, light foods like smoothies and, yeah, liquid foods mainly. Okay, fine.\n  Um, and so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused your symptoms to kick on? So, for example, things like takeaway foods or eating out or beating around other people with similar symptoms?\n  Yeah, so I had takeaway about 4 days ago, um, but other than that I've... Yeah, been eating normally. Nothing unusual, yeah.\n  Do you remember what you ate?\n  Yeah, I ate at a Chinese restaurant with friends.\n  Okay. Anyone else on well with similar symptoms?\n  So, no one else in the family, so I have a wife and 2 kids and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\n  Okay, okay, fine. Right, and in terms of your overall health, are you normally fitting well?\n  Yeah, I mean other than asthma, I use an inhaler, everything else is fine.\n  Okay, and is your asthma well controlled?\n  Yeah, that's fine, I just use an inhaler and that's under control.\n  Fine, and you don't have any other tummy problems, bowel problems I should be aware of?\n  No.\n  No, okay. Apart from inhalers, do you take any other medications?\n  No, no other medications.\n  Okay, fine. In terms of just your day-to-day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\n  So I need to stay close to the toilet because I go quite frequently during these past 3 days. Okay. Yeah, other than that, it's, yeah, the main concern.\n  And are you currently working at the moment?\n  Yes, yeah, I work. What do you do for work? I'm an accountant.\n  Okay, have you been going into work the last 3 days or have you been at home?\n  Yeah, I've been going to work. Okay, that must be difficult for you then. Yeah, it's been quite difficult.\n  Right, and you mentioned you live with a wife and 2 children, is that right?\n  Yes, yeah.\n  Alright, just a couple of other questions we need to ask. Do you smoke at all?\n  No, I don't smoke.\n  And do you drink much and aware of alcohol?\n  No, I don't drink alcohol, no.\n  Okay, so normally at this stage I like to examine you, but having listened to your story, sir, I think just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left-hand side. and vomiting and being generally quite weak and lethargic. You mentioned you were having this Chinese takeaway as well 3 days ago and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis, which is essentially just a tummy bug or infection of your tummy, mainly caused by viruses but there can be a possibility of bacteria causing your symptoms. At this stage, what we recommend is just what we say conservative management, so I don't think you need anything like antibiotics, it's really just making sure you're well hydrated, drinking fluids. There are things like diuralite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. And if you are having vomiting and diarrhea, I would say recommend that in the 1st couple of days. If you are feeling feverish and weak, taking some paracetamol. 2 tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time off work actually, I know you're quite keen to work. I would say next 2 to 3 days action clears from your system, take some time off and rest. If your symptoms haven't got better in 3 to 4 days, I'd like to come back and see you again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool, so we can test that, etc., etc. Yeah, sure, yeah. How does that sound? That sounds great, yeah, yeah. Do you have any questions for me? Um, no, no further questions, sir. Okay, is the treatment plan clear? Uh, yeah, yeah, that's very clear, thank you. Great, well I wish you all the best. Okay, thank you. Thank you. Bye.","marks":[[5,5,"Hi. Um should we start Yeah okay. Hello how um. Good morning sir",false],[38,38,"Hello how are you Oh hey um",false],[61,70,"diarrhea",false],[211,214,"",false],[252,270,"diarrhea what'd",false],[283,292,"diarrhea",false],[558,562,"in",false],[604,607,"six or seven",false],[621,624,"Yeah. Six seven",false],[648,657,"mention",false],[863,867,"",false],[903,903,"Yep. So",false],[938,942,"um...yeah",false],[1174,1178,"is",false],[1257,1257,"Come and go.",false],[1326,1328,"Uh...no",false],[1335,1341,"maybe",false],[1583,1589,"makes me",false],[1737,1740,"",false],[1793,1800,"mention",false],[1847,1847,"And y'know.",false],[1903,1903,"sweats",false],[1932,1932,"Uh no.",false],[2018,2024,"You",false],[2089,2089,"thing",false],[2133,2171,"colour",false],[2230,2230,"Yeah yeah just normal vomit yeah. 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How's",false],[6548,6552,"no.",false],[6598,6602,"that's",false],[6687,6687,"Bye.",false],[6703,6703,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Captures 3 days of loose, watery stools 6-7 times daily with no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","Captures intermittent cramping left lower abdominal pain that does not radiate."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved, 'normal in color with no blood'."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt feverish at onset, temperature not measured, no current fever, weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids and light foods such as soups and smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway exposure and a child vomiting without diarrhoea both captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","Asthma and inhaler captured, but controlled status and absence of other medications are not stated."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Records needing to stay close to a toilet and difficulty/disruption with work."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","Assessment is acute gastroenteritis."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and oral rehydration solution captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol 2 tablets up to four times daily' for fever/weakness matches the spoken instruction."],["The plan captures rest and approximately two to three days off work.","yes","'Take time off work for next 2-3 days' with rest captured."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if symptoms persist beyond 3-4 days and possible stool sample testing captured."]],"claims":[["Symptoms began approximately 4 days after consuming Chinese takeaway food.","Transcript places the takeaway about four days ago and symptom onset about three days ago; nothing supports a four-day gap between eating and onset."]],"note":"Subjective\nCliniTech Benchmark 45a197cb, a patient with a history of asthma, presents with a 3-day history of diarrhea, abdominal pain, and weakness.\n\nThe patient reports loose, watery stools occurring approximately 6-7 times per day for the past 3 days. The diarrhea has been accompanied by left lower abdominal cramping pain that is intermittent in nature and does not radiate. He denies any blood in the stools. He also reports an episode of vomiting at the onset of symptoms, which has since resolved. The vomit was normal in color with no blood. The patient reports feeling weak and shaky, and he felt feverish at the onset of symptoms approximately 3-4 days ago, though he did not measure his temperature at that time. He denies night sweats and current fever. He has experienced a loss of appetite and has been eating light foods such as soups and smoothies, and has been able to tolerate fluids.\n\nThe patient suspects the symptoms may have been triggered by a Chinese takeaway meal approximately 4 days ago. One of his children has been vomiting but has not developed diarrhea, and no other family members have similar symptoms. The patient reports the diarrhea has significantly affected his day-to-day activities, requiring him to stay close to a toilet. He has continued to go to work as an accountant over the past 3 days despite his symptoms.\n\nMedical History  \n- Asthma\n\nMedications and Supplements  \n- Inhaler for asthma\n\nSocial History  \n- Tobacco: Denies tobacco use  \n- Alcohol: Denies alcohol use  \n- Occupation: Works as an accountant\n\nReview of Systems  \n- General: Subjective fever at onset, decreased appetite, denies night sweats  \n- Gastrointestinal: Denies blood in stools, blood in vomit\n\nObjective\nN/A\n\nAssessment & Plan\nPatient presents with 3-day history of diarrhea, abdominal cramping, and weakness following consumption of Chinese takeaway food.\n\nGastroenteritis  \nAssessment: Patient presents with acute gastroenteritis characterized by loose watery stools 6-7 times daily, left lower abdominal cramping pain, and weakness over 3 days. Initial vomiting has resolved. Symptoms began approximately 4 days after consuming Chinese takeaway food. One child in the household has vomiting but no diarrhea. No blood in stool or vomit. Patient reports subjective fever at symptom onset but no current fever. Able to tolerate fluids and light foods such as soups and smoothies. Clinical presentation is consistent with viral gastroenteritis, though bacterial etiology cannot be excluded given the food exposure history.  \nPlan:  \n- Conservative management with focus on hydration and rest  \n- Maintain adequate fluid intake  \n- Consider oral rehydration solutions such as Diuralyte from pharmacy to replenish minerals and vitamins  \n- Paracetamol 2 tablets up to 4 times daily for fever and weakness as needed  \n- Take time off work for next 2-3 days until symptoms resolve  \n- Return for reassessment if symptoms persist beyond 3-4 days  \n- If ongoing symptoms, further evaluation may include stool sample testing\n","review":192.48684210526315,"saved":190.51315789473685,"clean":false,"effort":19.230769230769234,"sig":[],"mb":14.366436,"latency":54.204,"signable":231.59684210526314}],"cliniscripts":[{"label":"Run 1","wer":16.842847075405214,"text":"Hello. Hello, how are you? Hi. Um, should we start? Yeah. Yeah, okay.\nHello, um, good morning.\nSo how can I help you this morning? Hi. Um, I've just had some, um, diarrhea for the last 3 days. Um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities. Okay. I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah, so it's like loose and watery stool, going to the toilet quite often.\nOkay. Um, and like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Um, probably like 6 or 7 times a day. 6 or 7 times a day. And you may have mentioned this is mainly watery. Have you noticed any other things, like blood in your stools? No, no blood. Yeah, just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yeah. Whereabouts is the pain exactly? So it's like in my lower abdomen, so, uh,\nlike, um, yeah, just to one side. One side. And what side is that? Uh, on the left side. Left side. Okay. And can you describe the pain to me?\nYeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it there all the time, or does it come and go? Uh, it comes and goes.\nComes and go. Does the pain move anywhere else, for example, towards your back? Um, no, just mainly in my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well.\nWhat do you mean by shaky? Do you mean you've been having uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so um, yeah, around about 3 or 4 days ago.\nDid you measure your temperature then?\nYeah, I, I didn't measure my temperature, no, but I felt, um, just a bit hot. Okay. Okay. And, yeah. Any other symptoms, like sweating or, um, night? Um, no. No? And, uh, any vomiting at all? Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food colour? Yeah, yeah, just normal vomit. Yeah.\nYeah. And there was no blood in your vomit. Is that right? No blood, no. No. Okay.\nUm. Yeah. And, um, a-any other symptoms at all? So you mentioned the tummy pain. You mentioned diarrhea. You mentioned the vomiting. Um. Yeah. Anything else that comes to mind? Um, I had a loss of appetite. Okay. Um, so I haven't been eating as much. Okay. Um, but I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. Um, what kind of foods have you managed to eat? Anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine.\nUm, and so, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would simulate symptoms? Yeah, so I had takeaway about 4 days ago. Um, uh, but other than that, I've yeah, I've been eating normally. Okay. I think, I think, uh, unusual, yeah. Do you remember what you ate? Um, yeah, I, I ate at a Chinese restaurant with friends. Okay. Anyone\nelse unwell with similar symptoms?\nUm, so no one else in the family, so I, uh, wife and two kids and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay.\nFine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well, or? Um, yeah, I mean, other than, um, asthma, um, I use an inhaler. Everything, uh, else is fine. Okay. And does your asthma well controlled?\nUh, yeah, that's fine. Okay. Uh, just, yeah, use an inhaler and, uh, that's under control. Fine. And you don't have any other tummy problems, bowel problems I should be aware of? No, no. No. Okay. Um, and apart from the inhalers, do you take any other medications? Uh, no, no other medications. Okay.\nFine. And in terms of just your, your day-to-day life, you said it's been affecting your life.\nUm. Yeah. In what way has it been affecting your life? Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days. Okay. Um, yeah, other than that, it's, uh, yeah, the main concern. Yeah. And have you are you currently working at the moment? Uh, yes, yeah, I, I work, um. Working at the work?\nUm, I'm an accountant.\nOkay. Have you been going into work the last 3 days? Have you been at home? Uh, yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult. Right. And you said you mentioned you live with a wife and two children. Is that right? Yes, yeah. Okay. All right. Um, just a couple of other questions we need to ask. So, um, do you smoke at all?\nUh, no, I don't smoke. And do you drink much in the way of alcohol? Uh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, um, examine you if that's okay. But, um, um. Yeah. But, but having listened to your stories, uh, I think, uh, um, just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, uh, um, and some vomiting and feeling generally quite weak and lethargic. Yeah. Um, you mentioned you're having this Chinese takeaway\nas well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. Um, it seems like you may have something called gastroenteritis.\nOkay. Which essentially just, uh, tummy bug or infection of your of your tummy. Uh. Yeah.\nMainly caused by viruses, but it can be, uh, possibility of bacteria, uh, causing your symptoms. Yeah. Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, um, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking plenty of fluids. Yeah. Um, uh, there are things like diurolite you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins. Ok\nay. Um, and if you are having vomiting and diarrhea, I would certainly recommend that at first, you know, first couple of days. Yeah. Um, if you are feeling feverish and weak, taking some paracetamol, uh. Yeah. Two tablets up to 4 times a day for the first few days can also help.\nI would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say in the next 2, 2 to 3 days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\nOkay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms. Yeah. Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Yeah. Um, etc., etc. Yeah, sure, yeah.\nHow does that sound? That sounds great, yeah, yeah. Do you have any questions for me?\nUm, no, no further questions, no. Okay.\nIs it is the treatment plan clear?\nUh, yeah, yeah, that's, that's very clear, thank you. Great. Well, I wish you all the best.","marks":[[7,25,"",false],[75,75,"how",false],[95,97,"sir",false],[131,134,"Hello how are you Oh hey",false],[321,330,"",false],[382,389,"what'd",false],[684,688,"in",false],[754,756,"",false],[780,806,"mention it's",false],[1038,1038,"Yep.",false],[1043,1052,"",false],[1340,1344,"is",false],[1435,1440,"Come",false],[1515,1521,"Uh...no",false],[1528,1537,"maybe",false],[1768,1770,"--",false],[1785,1791,"makes me",false],[1952,1955,"",false],[2009,2016,"mention",false],[2068,2068,"And y'know.",false],[2141,2148,"sweats",false],[2181,2181,"Uh no.",false],[2273,2279,"You",false],[2343,2343,"thing",false],[2395,2431,"",false],[2489,2489,"Yeah yeah just normal vomit yeah. 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Thank you. Bye bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","Captures 3 days of loose watery stools 6-7 times daily but omits that there was no blood in the stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"crampy, muscular sensation, localized to the left side... intermittent... does not radiate\"."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","partial","Notes vomiting at onset \"which has since resolved\" but omits no blood in vomit."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"felt hot approximately 3-4 days ago when symptoms began, though no temperature was measured\" plus weak and shaky; no measured temp asserted."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, light foods (soups, smoothies), able to tolerate fluids."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway 4 days prior and a household child with vomiting but no diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","\"well-controlled asthma, managed with an inhaler, and takes no other medications\"."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"significantly affects their day-to-day activities and requires them to stay close to a toilet\"."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Gastroenteritis, likely viral or bacterial\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and ORS (misspelt \"Diurolite\"), but does not state that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"paracetamol (two tablets up to four times daily)\" with no invented mg strength."],["The plan captures rest and approximately two to three days off work.","yes","\"Recommend 2-3 days of rest and time off work\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Return if no improvement within 3-4 days with potential stool sample testing."]],"claims":[],"note":"S (Subjective):\n- Patient presents with a 3-day history of diarrhea, experiencing loose and watery stools 6-7 times daily, which significantly affects their day-to-day activities and requires them to stay close to a toilet.\n- They report associated lower abdominal pain, described as a crampy, muscular sensation, localized to the left side of the abdomen. The pain is intermittent, coming and going, and does not radiate.\n- Patient also reports feeling weak and shaky, along with a loss of appetite. They experienced vomiting at the onset of symptoms, which has since resolved, and felt hot approximately 3-4 days ago when symptoms began, though no temperature was measured.\n- They have been consuming only light foods, such as soups and smoothies, but have been able to tolerate fluids.\n- Patient suspects a Chinese takeaway eaten 4 days prior as a potential trigger; a child in their household recently experienced vomiting but no diarrhea. Patient has a history of well-controlled asthma, managed with an inhaler, and takes no other medications. They do not smoke or drink alcohol.\n\nO (Objective):\n- The patient appeared cooperative during the interaction.\n- The patient reports being able to go to work despite symptoms.\n\nA (Assessment):\n- Gastroenteritis, likely viral or bacterial, possibly related to a recent Chinese takeaway.\n- Potential dehydration due to vomiting and diarrhea.\n\nP (Plan):\n- Conservative management for suspected gastroenteritis.\n- Encourage strict hydration with plenty of fluids, including oral rehydration solutions (e.g., Diurolite) to replenish minerals and vitamins.\n- Advise paracetamol (two tablets up to four times daily) for feverishness and weakness, if present.\n- Recommend 2-3 days of rest and time off work to allow for recovery.\n- If symptoms do not improve within 3-4 days or worsen, patient is advised to return for further evaluation and potential stool sample testing.\n","review":148.9736842105263,"saved":234.0263157894737,"clean":false,"effort":11.538461538461538,"sig":[["partial","The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","Omits the stated absence of blood in stool, a red-flag negative that steers infective diarrhoea workup and antibiotic decisions."],["partial","The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","Omits the stated absence of blood in vomit, a red-flag negative for haematemesis."]],"mb":23.139986,"latency":22.846,"signable":160.0066842105263},{"label":"Run 2","wer":16.49048625792812,"text":"Hello. Hello, how are you? Hi. Um, should we start? Yeah. Yeah, okay.\nHello, h um, good morning.\nSo how can I help you this morning? Hi. Um, I've just had some, um, diarrhea for the last 3 days. Um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities. Okay. I'm sorry to hear that. Um, and, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah. So it's like loose and watery stool, going to the toilet quite often.\nOkay. Um, and like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Um, probably like 6 or 7 times a day. 6, 7 times a day. And you made you mentioned this is mainly watery. Have you noticed any other things, like blood in your stools? No, no blood. Yeah, just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yeah. Whereabouts is the pain exactly? So it's like in my lower abdomen, so, uh,\nlike um, yeah, just to one side. One side. And what side is that? Uh, on the left side. Left side. Okay. And can you describe the pain to me?\nYeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it there all the time, or does it come and go? Uh, it comes and goes.\nComes and go. Does the pain move anywhere else, for example, towards your back? Um, no, just mainly in my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well.\nWhat do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so um, yeah, around about 3 or 4 days ago.\nDid you measure your temperature then?\nYeah, I, I didn't measure my temperature, no, but I felt, um, just a bit hot. Okay. Okay. And, yeah. Any other symptoms, like sweating or, um, night? Um, no. No? And, uh, any vomiting at all? Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food colour? Yeah, yeah, just normal vomit. Yeah.\nYeah. And there was no blood in your vomit. Is that right? No blood, no. No. Okay.\nUm. Yeah. And, um, a-any other symptoms at all? So you mentioned the tummy pain. You mentioned diarrhea. You mentioned your vomiting. Um. Yeah. Anything else that comes to mind? Um, I had a loss of appetite. Okay. Um, so I haven't been eating as much. Okay. Um, but I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. Um, what kind of foods have you managed to eat, if anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine.\nUm, and so, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused the symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would sing the symptoms? Yeah, so I had takeaway about 4 days ago. Um, uh, but other than that, I've yeah, I've been uh, eating normally. Okay. I think, I think, uh, unusual, yeah. Do you remember what you ate? Um, yeah, I, I ate at a Chinese restaurant with friends. Okay. Anyone\nelse unwell with similar symptoms?\nUm, so no one else in the family, so I, uh, wife and two kids and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay.\nFine. Um, right. And, uh, in terms of your, your overall health, are you normally feeling well, or? Um, yeah, I mean, other than, um, asthma, um, I use an inhaler everything, uh, else is fine. Okay. And does your asthma well controlled?\nUh, yeah, that's fine. Okay. Uh, just, yeah, use an inhaler and, uh, that's under control. Fine. And you don't have any other tummy problems, bowel problems I should be aware of? No.\nNo. Okay. Um, and apart from the inhalers, do you take any other medications? Uh, no, no other medications. Okay.\nFine. And in terms of just your, your day-to-day life, you said it's been affecting your life.\nUm. Yeah. In what way has it been affecting your life? Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days. Okay. Um, yeah, other than that, it's, uh, yeah, the main concern. Yeah. And have you are you currently working at the moment? Uh, yes. Yeah, I, I work, um. Working at the work?\nUm, I'm an accountant.\nOkay. Have you been going into work the last 3 days, or have you been at home? Uh, yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult. All right. And you said you mentioned you live with a wife and two children. Is that right? Yes, yeah. Okay. All right.\nUm, just a couple of other questions we need to ask. So, um, do you smoke at all?\nUh, no, I don't smoke. And do you drink much in a way of alcohol? Uh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, um, examine you if that's okay. But, um, um. Yeah. But, but having listened to your stories, uh, I think, uh, um, just to recap, you for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, uh, um, and some vomiting and feeling generally quite weak and lethargic. Um.\nYeah. You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. Um, it seems like you may have something uh, called gastroenteritis.\nOkay. Which essentially just, uh, tummy bug or infection of your of your tummy. Uh. Yeah.\nMainly caused by viruses, but it can be, uh, possibly of bacteria, uh, causing your symptoms. Yeah. Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, uh, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking plenty of fluids. Um, uh, th-there are things like diurolite you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins. Okay. Um, and if you are having vomiting and diarrhe\na, I would certainly recommend that in the first you know, first couple of days. Yeah. Um, if you are feeling feverish and weak, you're taking some paracetamol, uh. Yeah. Just 2 tablets up to 4 times a day for the first few days can also help.\nI would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say in the next 2, 2 to 3 days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\nOkay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms. Yeah. Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Um, etc., etc. Yeah, sure, yeah.\nHow does that sound? That sounds great, yeah, yeah. Do you have any questions for me?\nUm, no, no further questions, no. Okay.\nIs it is the treatment plan clear?\nUh, yeah, yeah, that's, that's very clear, thank you. Great. Well, I wish you all the best.","marks":[[7,25,"",false],[77,78,"how",false],[97,99,"sir",false],[133,136,"Hello how are you Oh hey",false],[323,332,"",false],[389,396,"what'd",false],[691,695,"in",false],[785,811,"mention it's",false],[1043,1043,"Yep.",false],[1048,1057,"",false],[1344,1348,"is",false],[1439,1444,"Come",false],[1519,1525,"Uh...no",false],[1532,1541,"maybe",false],[1773,1775,"--",false],[1790,1796,"makes me",false],[1957,1960,"",false],[2014,2021,"mention",false],[2073,2073,"And y'know.",false],[2146,2153,"sweats",false],[2186,2186,"Uh no.",false],[2278,2284,"You",false],[2348,2348,"thing",false],[2400,2436,"",false],[2494,2494,"Yeah yeah just normal vomit yeah. No",false],[2539,2544,"any any",false],[2696,2696,"Yep.",false],[2920,2920,"Yep.",false],[3032,3043,"sir these",false],[3179,3185,"think",false],[3249,3267,"with similar",false],[3360,3364,"",false],[3391,3417,"Nothing",false],[3428,3433,"here. 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Yep",false],[7311,7325,"yep. How's",false],[7569,7569,"Okay thank you. Bye. Thank you. Bye bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","Captures 3 days of loose watery stools 6-7 times daily but omits no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","\"lower left-sided abdominal pain... cramping, muscular sensation that comes and goes\" but does not note absence of radiation."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","partial","Vomiting at onset \"which has since resolved\" but omits no blood in vomit."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"subjective feeling of warmth... at symptom onset 3-4 days prior, but no measured fever\" plus weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, light foods (soups, smoothies), \"able to hold down fluids\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway 4 days prior; a household child vomited but no diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","Well-controlled asthma with inhaler captured, but does not state no other regular medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","no","Does not mention needing to stay close to a toilet or disruption to daily activities; only says attending work despite symptoms."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Primary diagnosis appears to be gastroenteritis\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","Conservative management, fluids, ORS (misspelt \"Diurolite\"), and \"No antibiotics are deemed necessary at this stage\"."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"paracetamol (2 tablets up to 4 times daily)\" with no mg strength invented."],["The plan captures rest and approximately two to three days off work.","yes","\"take 2-3 days off work for rest\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Return if no improvement within 3-4 days with potential stool sample."]],"claims":[],"note":"S (Subjective):\n- Patient presents with a 3-day history of diarrhea, characterized by loose, watery stools, occurring 6-7 times daily.\n- Patient reports associated lower left-sided abdominal pain, described as a cramping, muscular sensation that comes and goes.\n- Patient experienced initial vomiting at the onset of symptoms, which has since resolved, and reported a subjective feeling of warmth (temperature) at symptom onset 3-4 days prior, but no measured fever.\n- Patient reports feeling weak and shaky, with a loss of appetite, consuming only light foods and fluids (soups, smoothies); they are able to hold down fluids.\n- Symptoms began approximately 3 days ago, potentially triggered by a Chinese takeaway meal consumed 4 days prior; a child in the household experienced vomiting but no diarrhea.\n\nO (Objective):\n- The patient appears cooperative and communicative during the interaction.\n- The patient's speech is clear and coherent, providing detailed accounts of their symptoms.\n- Patient states they live with a wife and two children.\n- Patient reports working as an accountant and has been attending work despite symptoms.\n- Patient reports a medical history of well-controlled asthma, managed with an inhaler, and denies any other chronic bowel problems.\n\nA (Assessment):\n- Primary diagnosis appears to be gastroenteritis, consistent with a \"tummy bug\" or infection of the digestive system.\n- Symptoms are likely caused by a viral infection, though bacterial etiology is a possibility.\n- The recent takeaway meal is identified as a potential trigger for the onset of symptoms.\n\nP (Plan):\n- Conservative management is recommended, focusing on hydration with plenty of fluids, including oral rehydration solutions like Diurolite.\n- Patient advised to take paracetamol (2 tablets up to 4 times daily) for feverishness and weakness.\n- Patient advised to take 2-3 days off work for rest to allow the infection to clear.\n- If symptoms do not improve within 3-4 days, patient should return for re-evaluation and potential further tests, such as a stool sample.\n- No antibiotics are deemed necessary at this stage.\n","review":191.81578947368422,"saved":191.18421052631578,"clean":false,"effort":23.076923076923077,"sig":[["partial","The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","Omits the stated absence of blood in stool, a red-flag negative that steers infective diarrhoea workup and antibiotic decisions."],["partial","The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","Omits the stated absence of blood in vomit, a red-flag negative for haematemesis."]],"mb":23.336274,"latency":22.039,"signable":201.7957894736842},{"label":"Run 3","wer":15.997181113460183,"text":"Hello. Hello, how are you? Hi. Um, should we start? Yeah. Yeah, okay.\nHello, h um, good morning.\nSo how can I help you this morning? Hi. Um, I've just had some, um, diarrhea for the last 3 days. Um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities. Okay. I'm sorry to hear that. Um, and, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah. So it's like loose and watery stool, going to the toilet quite often.\nOkay. Um, and like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Um, probably like 6 or 7 times a day. 6 or 7 times a day. And you made a mention it's mainly watery. Have you noticed any other things, like blood in your stools? No, no blood. Yeah, just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yeah. Whereabouts is the pain exactly? So it's like in my lower abdomen, so, uh,\nlike, um, yeah, just to one side. One side. And what side is that? Uh, on the left side. Left side. Okay. And can you describe the pain to me?\nYeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it there all the time, or does it come and go? Uh, it comes and goes.\nComes and go. Does the pain move anywhere else, for example, towards your back? Um, no, just mainly in my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well.\nWhat do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so, um, yeah, around about 3 or 4 days ago.\nDid you measure your temperature then?\nYeah. I, I, I didn't measure my temperature, no, but I felt, um, just a bit hot. Okay. Okay. And, yeah. Any other symptoms, like sweating or, um, night? Um, no. No? And, uh, any vomiting at all? Yeah. So, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food colour? Yeah, yeah, just normal vomit. Yeah.\nYeah. And there was no blood in your vomit. Is that right? No blood, no. No? Okay.\nUm. Yeah. And, um, a-any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting. Um. Yeah. Anything else that comes to mind? Um, I had a loss of appetite, um, so I haven't been eating as much. Okay. Um, but I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. Um, what kind of foods have you managed to eat, if anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine.\nUm, and so, uh, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would simulate symptoms? Yeah. So I had takeaway about 4 days ago. Um, uh, but other than that, I've yeah, I've been eating normally. Okay. I think, I think, yeah, unusual, yeah. Do you remember what you ate? Um, yeah, I, I ate at a Chinese restaurant with friends. Okay. Anyone\nelse unwell with similar symptoms?\nUm, so no one else in the family, so I have, uh, wife and two kids and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay.\nFine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well, or? Um, yeah. I mean, other than, um, asthma, um, I use an inhaler everything, uh, else is fine. Okay. And does your asthma well controlled?\nUh, yeah, that's fine. Okay. Uh, just, yeah, use an inhaler and, uh, that's under control. Fine. And you don't have any other tummy problems, bowel problems I should be aware of? No.\nNo? Okay. Um, and ti apart from the inhalers, do you take any other medications? Uh, no, no other medications. Okay.\nFine. And in terms of just your, your day-to-day life, you said it's been affecting your life.\nUm. Yeah. In what way has it been affecting your life? Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days. Okay. Um, yeah, other than that, it's, uh, yeah, that's the main concern. Yeah. And have you are you currently working at the moment? Uh, yes. Yeah, I, I work, um. Working at the work?\nUm, I'm an accountant.\nOkay. Have you been going into work the last 3 days? Have you been at home? Uh, yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult. Right. And you said you mentioned you live with a wife and two children. Is that right? Yes, yeah. Okay. All right.\nUm, just a couple of other questions we need to ask. So, um, do you smoke at all?\nUh, no, I don't smoke. And do you drink much in the way of alcohol? Uh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, um, examine you if that's okay. But, um, um. Yeah. But, but having listened to your story, so I think, uh, um, just to recap, you for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, uh, um, and some vomiting and feeling generally quite weak and lethargic. Yeah. Um, you mentioned you're having this Chinese takeaway\nas well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. Um, it seems like you may have something, uh, called gastroenteritis.\nOkay. Which essentially just, uh, tummy bug or infection of your of your tummy. Uh. Yeah.\nMainly caused by viruses, but it can be, uh, possibility of bacteria, uh, causing your symptoms. Yeah. Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, um, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking. Mm-hmm. Plenty of fluids. Um, uh, th-there are things like diurolite you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins. Ok\nay. Um, and if you are having vomiting and diarrhea, I would say and recommend that at first, you know, first couple of days. Yeah. Um, if you are feeling feverish and weak, you're taking some paracetamol, uh, 2 tablets up to 4 times a day for the first few days can also help.\nI would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say in the next 2, 2 to 3 days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\nOkay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms. Yeah. Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Yeah. Um, etc., etc. Yeah, sure, yeah.\nHow does that sound? That sounds great, yeah, yeah. Do you have any questions for me?\nUm, no, no further questions, no. Okay.\nIs th is the treatment plan clear?\nUh, yeah, yeah, that's, that's very clear, thank you. Great. Well, I wish you all the best. Okay, thank you. Thank you. Bye. Bye-bye.","marks":[[7,25,"",false],[77,78,"how",false],[97,99,"sir",false],[133,136,"Hello how are you Oh hey",false],[323,332,"",false],[389,396,"what'd",false],[691,695,"in",false],[761,763,"",false],[787,793,"",false],[1038,1038,"Yep.",false],[1043,1052,"",false],[1340,1344,"is",false],[1435,1440,"Come",false],[1515,1521,"Uh...no",false],[1528,1537,"maybe",false],[1769,1771,"--",false],[1786,1792,"makes me",false],[1954,1957,"",false],[2014,2021,"mention",false],[2073,2073,"And y'know.",false],[2146,2153,"sweats",false],[2186,2186,"Uh no.",false],[2278,2284,"You",false],[2348,2348,"thing",false],[2400,2436,"",false],[2494,2494,"Yeah yeah just normal vomit yeah. No",false],[2539,2544,"any any",false],[2692,2692,"Yep.",false],[2910,2910,"Yep.",false],[3022,3037,"sir these",false],[3123,3127,"the",false],[3174,3180,"think",false],[3244,3262,"with similar",false],[3355,3359,"",false],[3382,3410,"Nothing",false],[3421,3426,"here. 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How's",false],[7449,7451,"uh",false],[7589,7589,"Bye.",false],[7606,7614,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","Captures 3 days of loose watery stools 6-7 times daily but omits no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","\"lower left-sided abdominal cramping pain, which is intermittent\" but does not note absence of radiation."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Initial vomiting... has since ceased; no blood was noted in the vomit\"."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"initial feeling of being hot at symptom onset... but no measured fever\" plus weakness and shakiness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, light foods/soups/smoothies, able to maintain fluid intake."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway ~4 days ago; one child experienced vomiting, no one with identical symptoms."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","\"well-controlled asthma, managed with an inhaler; no other bowel problems or medications reported\"."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"need to stay close to a toilet, making work (as an accountant) difficult\"."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"consistent with gastroenteritis, likely a viral or bacterial infection\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative hydration and Dioralyte captured, but no statement that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"Paracetamol (2 tablets, up to 4 times daily)\" with no mg strength invented."],["The plan captures rest and approximately two to three days off work.","yes","\"take 2-3 days off work for rest and recovery\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Follow-up recommended in 3-4 days if symptoms do not improve... stool sample\"."]],"claims":[],"note":"S (Subjective):\n- Patient presents with a 3-day history of diarrhea, characterized by loose, watery stools, occurring 6-7 times daily.\n- Associated symptoms include lower left-sided abdominal cramping pain, which is intermittent, and general weakness and shakiness.\n- Patient reported an initial feeling of being hot at symptom onset 3-4 days prior, but no measured fever.\n- Initial vomiting occurred at the start of symptoms but has since ceased; no blood was noted in the vomit.\n- Patient reports loss of appetite, consuming only light foods, soups, and smoothies, but has been able to maintain fluid intake.\n- Patient attributes symptoms to a Chinese takeaway meal consumed approximately 4 days ago; no family members have identical symptoms, though one child experienced vomiting.\n- Patient's daily activities are affected due to the need to stay close to a toilet, making work (as an accountant) difficult.\n- Medical history includes well-controlled asthma, managed with an inhaler; no other bowel problems or medications reported.\n- Patient denies smoking and alcohol consumption.\n\nO (Objective):\n- The patient appeared cooperative during the interaction.\n- The patient described symptoms clearly and consistently.\n- No objective findings from equipment-backed observations were mentioned in the conversation.\n\nA (Assessment):\n- The patient's presentation is consistent with gastroenteritis, likely a viral or bacterial infection of the gastrointestinal tract.\n- The temporal association with a Chinese takeaway meal suggests a possible foodborne trigger.\n- Differential diagnoses include other causes of acute diarrhea, though the current presentation points towards an infectious etiology.\n\nP (Plan):\n- Conservative management is recommended, focusing on hydration with plenty of fluids.\n- Patient advised to consider oral rehydration solutions (e.g., Dioralyte) from a pharmacy to replenish minerals and vitamins.\n- Paracetamol (2 tablets, up to 4 times daily) suggested for feverishness and weakness during the initial days.\n- Patient advised to take 2-3 days off work for rest and recovery as the infection clears.\n- Follow-up recommended in 3-4 days if symptoms do not improve, which may necessitate further investigations such as a stool sample.\n","review":152.21052631578948,"saved":230.78947368421052,"clean":false,"effort":11.538461538461538,"sig":[["partial","The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","Omits the stated absence of blood in stool, a red-flag negative that steers infective diarrhoea workup and antibiotic decisions."]],"mb":23.211015,"latency":21.506,"signable":162.20452631578948},{"label":"Run 4","wer":16.208597603946444,"text":"Hello. Hello, how are you? Hi. Um, should we start? Yeah. Yeah, okay.\nHello, um, good morning.\nSo how can I help you this morning? Hi. Um, I've just had some, um, diarrhea for the last 3 days. Um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities. Okay. I'm sorry to hear that. Um, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah, so it's like loose and watery stool, going to the toilet quite often.\nOkay. Um, and like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Um, probably like 6 or 7 times a day. 6, 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools? No, no blood. Yeah, just watery and loose stool.\nOkay. And you mentioned you've had some pain in your tummy as well. Yeah. Whereabouts is the pain exactly? So it's like in my lower abdomen, so, uh, like, um, yeah, just to one side. One side.\nAnd what side is that? Uh, on the left side. Left side. Okay. And can you describe the pain to me?\nYeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it there all the time, or does it come and go? Uh, it comes and goes.\nComes and goes. Does the pain move anywhere else, for example, towards your back? Um, no, just mainly in my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so, um, yeah, around about 3 or 4 days ago.\nDid you measure your temperature then?\nYeah, I, I didn't measure my temperature, no, but I felt, um, just a bit hot. Okay. Okay. And, yeah. Any other symptoms, like sweating or, um, night? Um, no. No? And, uh, any vomiting at all? Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food colour? Yeah, yeah, just normal vomit. Yeah. Yeah. And there was no blood in your vomit. Is that right? No blood, no. No? Okay.\nUm. Yeah. And, um, any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting. Um. Yeah. Anything else that comes to mind? Um, I had a loss of appetite, um, so I haven't been eating as much. Okay. Um, but I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. Um, what kind of foods have you managed to eat, if anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine.\nUm, and so, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would sim your symptoms? Yeah, so I had takeaway about 4 days ago. Um, uh, but other than that, I've yeah, I've been eating normally. Okay. I think, yeah, unusual, yeah. Do you remember what you ate? Um, yeah, I, I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms\n? Um, so no one else in the family, so I, uh, wife and two kids and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay.\nFine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well, or? Um, yeah, I mean, other than, um, asthma, um, I use an inhaler. Everything, uh, else is fine. Okay.\nAnd does your asthma well controlled?\nUh, yeah, that's fine. Okay. Uh, just, yeah, use an inhaler and, uh, that's under control. Fine. And you don't have any other tummy problems, bowel problems I should be aware of? No.\nNo? Okay. Um, and apart from the inhalers, do you take any other medications? Uh, no, no other medications. Okay.\nFine. And in terms of just your, your day-to-day life, you said it's been affecting your life.\nUm. Yeah. In what way has it been affecting your life? Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days. Okay. Um, yeah, other than that, it's, uh, yeah, the main concern.\nYeah. And have you are you currently working at the moment? Uh, yes. Yeah, I, I work, uh. Working at the work?\nUm, I'm an accountant.\nOkay. Have you been going into work the last 3 days? Have you been at home? Uh, yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult. Right. And you said you mentioned you live with a wife and two children. Is that right? Yes, yeah. Okay. All right. Um, just a couple of other questions we need to ask. So, um, do you smoke at all?\nUh, no, I don't smoke. And do you drink much in the way of alcohol? Uh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage I'd like to, um, examine you if that's okay. But, um, um. Yeah. But, but having listened to your stories, uh, I think, uh, um, just to recap, for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, um, and some vomiting and feeling generally quite weak and lethargic. Yeah. Um, you mentioned you're having this Chinese takeaw\nay as well 3 days ago, and I wonder whether that might be the cause of your problems. Okay.\nUm, it seems like you may have something called gastroenteritis.\nOkay. Which essentially just, uh, tummy bug or infection of your of your tummy. Uh. Yeah.\nMainly caused by viruses, but it can be, uh, possibility of bacteria, uh, causing your symptoms. Yeah. Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So, uh, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking plenty of fluids. Mm-hmm. Um, uh, there, there are things like diurolite you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins. Ok\nay. Um, and if you are having vomiting and diarrhea, I would certainly recommend that at first, you know, first couple of days. Yeah. Um, if you are feeling feverish and weak, taking some paracetamol, uh, 2 tablets up to 4 times a day for the first few days can also help.\nI would certainly advise you to take some time off work, actually. I know you're quite keen to work, but, um, I would say next 2, 2 to 3 days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I would like you to come back and see me again.\nOkay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms. Yeah. Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Um, etc., etc. Yeah, sure, yeah.\nHow does that sound? That sounds great, yeah, yeah. Do you have any questions for me?\nUm, no, no further questions, no. Okay.\nIs there, is the treatment plan clear?\nUh, yeah, yeah, that's, that's very clear, thank you. Great. Well, I wish you all the best.","marks":[[7,25,"",false],[75,75,"how",false],[95,97,"sir",false],[131,134,"Hello how are you Oh hey",false],[321,330,"",false],[382,389,"what'd",false],[684,688,"in",false],[778,787,"mention",false],[1024,1024,"Yep.",false],[1029,1038,"",false],[1326,1330,"is",false],[1421,1426,"Come",false],[1431,1436,"go.",false],[1503,1509,"Uh...no",false],[1516,1525,"maybe",false],[1757,1759,"--",false],[1774,1780,"makes me",false],[1942,1945,"",false],[1999,2006,"mention",false],[2058,2058,"And y'know.",false],[2131,2138,"sweats",false],[2171,2171,"Uh no.",false],[2263,2269,"You",false],[2333,2333,"thing",false],[2385,2421,"",false],[2479,2479,"Yeah yeah just normal vomit yeah. No",false],[2522,2522,"any",false],[2675,2675,"Yep.",false],[2893,2893,"Yep.",false],[3005,3016,"sir these",false],[3102,3106,"the",false],[3153,3159,"think",false],[3223,3241,"with similar",false],[3334,3338,"",false],[3361,3380,"Nothing",false],[3391,3396,"here. 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How's",false],[7385,7390,"uh",false],[7512,7512,"Okay thank you. Bye. Thank you. Bye bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","Captures 3 days of loose watery stools 6-7 times daily but omits the absence of blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","Intermittent cramping left lower abdominal pain captured, but absence of radiation not noted."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","partial","Initial vomiting now resolved captured, but no blood in vomit is omitted."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt feverish at onset, temperature not measured, no current fever, weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids and light foods such as soups and smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway exposure and a child vomiting without diarrhoea both captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","Asthma 'well-controlled with an inhaler' captured, but no statement that he takes no other medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","Continued working despite difficulty captured, but need to stay close to a toilet is missing."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","Assessment is acute gastroenteritis."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and oral rehydration solution captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol 2 tablets up to four times daily' for fever/weakness matches the spoken instruction."],["The plan captures rest and approximately two to three days off work.","yes","'Take time off work for next 2-3 days' with rest captured."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if symptoms persist beyond 3-4 days and possible stool sample testing captured."]],"claims":[],"note":"S (Subjective):\n- Patient presents with diarrhea for the past 3 days, characterized by loose, watery stools, occurring 6-7 times daily.\n- They report associated lower left abdominal cramping pain that comes and goes, described as a muscular cramp.\n- Patient also experienced initial vomiting at the onset of symptoms, which has since resolved, and reports feeling weak and shaky.\n- They had a subjective feeling of warmth (temperature) at the symptom onset 3-4 days ago but did not measure it, and denies fever currently.\n- Patient reports loss of appetite but has been able to maintain fluid intake with soups, smoothies, and light foods, and notes a Chinese takeaway 4 days ago as a possible trigger.\n\nO (Objective):\n- Patient reports living with a wife and two children; one child experienced vomiting but no diarrhea.\n- Patient has a medical history of asthma, well-controlled with an inhaler.\n- They deny smoking and alcohol consumption.\n- Patient is an accountant and has continued to go to work despite symptoms, finding it difficult.\n\nA (Assessment):\n- The patient's symptoms are consistent with gastroenteritis, likely caused by a viral or bacterial infection.\n- The Chinese takeaway 4 days prior is a potential contributing factor.\n- Differential diagnoses include other causes of acute diarrhea if symptoms persist.\n\nP (Plan):\n- Conservative management is recommended, focusing on hydration with plenty of fluids and oral rehydration solutions (e.g., Dioralyte).\n- Paracetamol (2 tablets up to 4 times a day) is advised for feverishness and weakness.\n- Patient is advised to take 2-3 days off work for rest to allow the infection to clear.\n- If symptoms do not improve within 3-4 days, the patient should return for re-evaluation and potential further tests, such as a stool sample.\n","review":186.43421052631578,"saved":196.56578947368422,"clean":false,"effort":23.076923076923077,"sig":[["partial","The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","Absence of blood in stool is a pertinent red-flag negative that was asked; without it a reader cannot exclude dysentery, which would change investigation/treatment."]],"mb":23.257273,"latency":21.483,"signable":196.41621052631578},{"label":"Run 5","wer":16.983791402396054,"text":"Hello. Hello, how are you? Hi. Um, should we start? Yeah. Yeah, okay.\nHello, h um, good morning.\nSo how can I help you this morning? Hi. Um, I've just had some, um, diarrhea for the last 3 days. Um, and it's been affecting me. I need to stay close to the toilet and, um, yeah, it's been affecting my day-to-day activities. Okay. I'm sorry to hear that. Um, and, and when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah. So it's like loose and watery stool, going to the toilet quite often.\nOkay. Um, and like some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, over the last couple of days? Um, probably like 6, 7 times a day. 6, 7 times a day. And you made you mentioned it's mainly watery. Have you noticed any other things, like blood in your stools? No, no blood. Yeah, just watery and loose stool. Okay. And you mentioned you've had some pain in your tummy as well. Yeah. Whereabouts is the pain exactly? So it's like in my lower abdomen, so, uh,\nlike um, yeah, just to one side. One side. And what side is that? Uh, on the left side. Left side. Okay. And can you describe the pain to me?\nYeah, it feels, um, like a cramp, uh, like a muscular cramp, and, um, yeah, I feel a bit weak and shaky. Okay. And there's a pain is that is it there all the time, or does it come and go? Uh, it comes and goes.\nComes and go. There's a pain move anywhere else, for example, towards your back? Um, no, just mainly in my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well.\nWhat do you mean by shaky? Do you mean you've been having, uh, have you been feeling feverish, for example? Um, yeah, it doesn't feel like uh, yeah, I just mainly feel weak. I haven't had a fever, um, at the moment, but I did notice, um, a temperature. When the symptoms started, so um, yeah, around about 3 or 4 days ago.\nDid you measure your temperature then?\nYeah, I, I didn't measure my temperature, no, but I felt, um, just a bit hot. Okay. Okay. And, yeah. Any other symptoms, like sweating or, um, night? Um, no. No?\nAnd, uh, any vomiting at all? Yeah, so, um, I vomited at the start of the symptoms, but now, um, I've stopped vomiting. You've stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food colour? Yeah, yeah, just normal vomit. Yeah.\nYeah. And there was no blood in your vomit. Is that right? No blood, no. No? Okay.\nUm. Yeah. And, um, a-any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting. Um. Yeah. Anything else that comes to mind? Um, I had a loss of appetite. Okay. Um, so I haven't been eating as much. Okay. Um, but I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. Um, what kind of foods have you managed to eat, if anything? Um, just soups and, uh, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine.\nUm, and so, uh, you started 3 days ago the symptoms. Are you aware of any triggers which may have caused your symptoms to, uh, to kick on? So, for example, things like takeaway foods or eating out or being around other people who would sim the symptoms? Yeah, so I had takeaway about 4 days ago. Um, uh, but other than that, I've yeah, I've been uh, eating normally. Okay. I think, I think, uh, unusual, yeah. Do you remember what you ate? Um, yeah, I, I ate at a Chinese restaurant with friends. Okay. Anyone\nelse unwell with similar symptoms?\nUm, so no one else in the family, so I have, uh, wife and 2 kids and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms. Okay. Okay.\nFine. Um, right. And, uh, in terms of your, your overall health, are you normally fitting well, or? Um, yeah, I mean, other than, um, asthma, um, I use an inhaler everything, uh, else is fine. Okay. And does your asthma well controlled?\nUh, yeah, that's fine. Okay. Uh, just, yeah, use an inhaler and, uh, that's under control. Fine. And you don't have any other tummy problems, bowel problems I should be aware of? No.\nNo? Okay. Um, and ti apart from the inhalers, do you take any other medications? Uh, no, no other medications. Okay.\nFine. And in terms of just your, your day-to-day life, you said it's been affecting your life.\nUm. Yeah. In what way has it been affecting your life? Uh, so I need to stay close to the toilet because I go quite frequently during the, these past 3 days. Okay. Um, yeah, other than that, it's, uh, yeah, the main concern. Yeah. And have you are you currently working at the moment? Uh, yes. Yeah, I, I work, um. Working at the work?\nUm, I'm an accountant.\nOkay. Have you been going into work the last 3 days? Have you been at home? Uh, yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult. Right. And you said you mentioned you live with a wife and 2 children. Is that right? Yes, yeah. Okay. All right.\nUm, just a couple of other questions we need to ask. So, um, do you smoke at all?\nUh, no, I don't smoke. And do you drink much in the way of alcohol? Uh, no, I, I don't drink alcohol, no. Okay. Yeah. So, um, uh, normally at this stage, I'd like to, um, examine you if that's okay. But, um, um. Yeah. But, but having listened to your stories, uh, I think, uh, um, just to recap, you for the last 3 days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left-hand side, uh, um, and some vomiting and feeling generally quite weak and lethargic. Um.\nYeah. You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. Um, it seems like you may have something uh, called gastroenteritis.\nOkay. Which essentially just, uh, tummy bug or infection of your of your tummy. Uh. Yeah.\nMainly caused by viruses, but it can be, uh, possibly of bacteria, uh, causing your symptoms. Yeah. Um, at this stage, uh, what, what would you recommend is just what we say conservative management. So. Mm-hmm. Uh, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated. So drinking. Mm-hmm. Plenty of fluids. Um, uh, th-there are things like diurolite you can get from the pharmacy, which, uh, it's, um, it helps to replenish some of your minerals and vitamins. Ok\nay. Um, and if you are having vomiting and diarrhea, I would certainly recommend that in the first you know, first couple of days. Yeah. Um, if you are feeling feverish and weak, you're taking some paracetamol, uh. Yeah. 2 tablets up to 4 times a day for the first few days can also help.\nI would certainly advise you to take some time off work, actually. I know you're quite keen to work. Yeah. But, um, I would say in the next 2, 2 to 3 days, um, as infection clears from your system, just take some time off and rest. Um, you know, if your symptoms haven't got better, you know, in, in 3 to 4 days, I'd like you to come back and see me again.\nOkay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing your symptoms. Yeah. Uh, and we may need to do further tests like, um, taking a sample of your stool so we can test that. Yeah. Um, etc., etc. Yeah, sure, yeah.\nHow does that sound? That sounds great, yeah, yeah. Do you have any questions for me?\nUm, no, no further questions, no. Okay.\nIs th is the treatment plan clear?\nUh, yeah, yeah, that's, that's very clear, thank you. Great. Well, I wish you all the best.","marks":[[7,25,"",false],[77,78,"how",false],[97,99,"sir",false],[133,136,"Hello how are you Oh hey",false],[323,332,"",false],[389,396,"what'd",false],[691,695,"in",false],[740,740,"or",false],[783,801,"mention",false],[1038,1038,"Yep.",false],[1043,1052,"",false],[1339,1348,"is the",false],[1435,1440,"Come",false],[1449,1458,"Does the",false],[1516,1522,"Uh...no",false],[1529,1538,"maybe",false],[1770,1772,"--",false],[1787,1793,"makes me",false],[1954,1957,"",false],[2011,2018,"mention",false],[2070,2070,"And y'know.",false],[2143,2150,"sweats",false],[2183,2183,"Uh no.",false],[2275,2281,"You",false],[2345,2345,"thing",false],[2397,2433,"",false],[2491,2491,"Yeah yeah just normal vomit yeah. 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Yep",false],[7327,7341,"yep. How's",false],[7462,7464,"uh",false],[7585,7585,"Okay thank you. Bye. Thank you. Bye bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","Captures 3 days of loose watery stools 6-7 times daily but omits the absence of blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","Intermittent cramping left lower abdominal pain captured, but absence of radiation not noted."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","partial","Vomiting at onset that has stopped is captured, but no blood in vomit is omitted."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","partial","Subjective fever at onset and weakness captured, but no statement that fever is absent currently."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids and light foods such as soups and smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway exposure and a child vomiting without diarrhoea both captured."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","'well-controlled asthma, managed with an inhaler, and denies other bowel problems or medications'."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","Work difficulty captured ('continued to work despite symptoms, indicating difficulty') but need to stay close to a toilet is missing."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","Assessment is acute gastroenteritis."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with hydration and oral rehydration solution captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","'Paracetamol 2 tablets up to four times daily' for fever/weakness matches the spoken instruction."],["The plan captures rest and approximately two to three days off work.","yes","'Take time off work for next 2-3 days' with rest captured."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if symptoms persist beyond 3-4 days and possible stool sample testing captured."]],"claims":[],"note":"S (Subjective):\n- Patient presents with a 3-day history of diarrhea, characterized by loose and watery stools, occurring 6-7 times a day.\n- They report associated lower left abdominal cramping pain that comes and goes, described as muscular.\n- Initial symptoms included a subjective feeling of fever (hot) and vomiting at the onset, which has since stopped.\n- Patient also reports feeling weak and shaky, along with a loss of appetite, consuming only soups, smoothies, and liquid foods, but maintaining fluid intake.\n- Symptoms began approximately 3 days ago, potentially triggered by a Chinese takeaway eaten 4 days prior with friends; however, no friends or family (wife, 2 children) have similar symptoms, although one child experienced vomiting without diarrhea.\n\nO (Objective):\n- The patient appears cooperative and communicative during the interaction.\n- The patient reports working as an accountant and has continued to work despite symptoms, indicating difficulty.\n- The patient lives with their wife and two children.\n- They deny smoking and alcohol consumption.\n- The patient has a history of well-controlled asthma, managed with an inhaler, and denies other bowel problems or medications.\n\nA (Assessment):\n- The patient's symptoms are consistent with gastroenteritis, which is a common \"tummy bug\" or infection of the digestive system.\n- The infection is likely viral but could potentially be bacterial, given the acute onset and associated symptoms.\n- The recent consumption of a Chinese takeaway is a potential trigger for the onset of symptoms, suggesting a possible foodborne illness.\n\nP (Plan):\n- Conservative management is recommended, focusing on maintaining good hydration by drinking plenty of fluids.\n- Oral rehydration solutions (e.g., Dioralyte) from a pharmacy are advised to replenish minerals and vitamins, especially with ongoing vomiting and diarrhea.\n- Paracetamol (2 tablets up to 4 times a day) is recommended for feverishness and weakness in the initial days.\n- The patient is advised to take 2-3 days off work for rest to allow the infection to clear from their system.\n- If symptoms do not improve within 3-4 days, the patient should return for a follow-up, which may include further investigations such as a stool sample test.\n","review":210.94736842105263,"saved":172.05263157894737,"clean":false,"effort":23.076923076923077,"sig":[["partial","The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","Absence of blood in stool is a pertinent red-flag negative that was asked; without it a reader cannot exclude dysentery, which would change investigation/treatment."]],"mb":23.211527,"latency":28.06,"signable":220.93336842105262}],"lyrebird":[{"label":"Run 1","wer":19.943622269203665,"text":"Hello? Hello. Hi. Hi. Should we stop? Yep. Okay. Hello. Good morning. So how can I help you this morning? Hi. I've just had some diarrhea for the last 3 days, and it's been affecting me. I need to stay close to the toilet. And, yeah, it's been affecting my day to day activities. Yeah. Sorry to hear that. And and when you say\n\nDiarrhea. What do mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah. So it's like loose and watery stool going to the toilet quite often and, like, some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, for the last couple of days? Probably, like, 6, 7 times a day. 6, 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things like blood in your stools? No. No blood. Yeah. Just watery and loose\n\nStool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain exactly? In my lower abdomen. So, like, yeah, just to 1 side. 1 side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp, and, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it\n\nAll the time, or does it come and go? It comes and goes. It goes. Does the pain move anywhere else? For example, towards your back? No. Just mainly my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do mean by shaky? Do you mean you've been having have you been feeling feverish, for example? Yeah. It doesn't feel like yeah. I just fainted for a week. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started. Good. Yeah.\n\nAround about 3 or 4 days ago. You measure your temperature then? Yeah. I I didn't measure my temperature. No. But I felt just a bit hot. Okay. Okay. Any other symptoms like sweating or night? No. No. And any vomiting at all? Yeah. So I vomited at the start of the symptoms, but now I've stopped vomiting. You stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food color?\n\nYeah. Yeah. Just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No. No. Right. Okay. Yeah. And any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting. Yep. Anything else that comes to mind? I had a loss of appetite. So I haven't been eating as much. Okay. But I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. What kind of foods have you managed to eat and anything?\n\nJust soups and, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. And so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So for example, taking takeaway foods or eating out or being around other people who would see the symptoms. Yeah. So I had takeaway about 4 days ago. But other than that, I've\n\nYeah. I've been eating normally. I think unusual. Yeah. Do you remember what you ate? Yeah. I I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? So no 1 else in the family. So I have a wife and 2 kids, and 1 child was vomiting, but they haven't got diarrhea. It's no 1 with the same symptoms. Okay. Okay. Fine. Right. And in terms\n\nOf your your overall health, are you normally feeling well? Or Yeah. I mean, other than asthma, like using inhaler, everything else is fine. Okay. And is your asthma well controlled? Yeah. That's fine. Just yeah. You send inhaler, and that's under control. Alright. And you don't have any other tummy problem, bowel problem that I should be aware of? No. No. Okay. And apart from the inhalers, do you take any other medications?\n\nNo. No other medications. Okay. Fine. And in terms of just your your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life? So I need to stay close to the toilet because I go quite frequently during the these past 3 days. Okay. Yeah. Other than that, it's Yeah. The main concern. And have you are you currently working at the moment? Yeah. I I work. Where do work? I'm an accountant. Okay. Have you\n\nGoing to work the last 3 days, or you've been at home? Yeah. I've been going to work. Okay. That must be difficult for you then. Yeah. It's been quite difficult. Right. And you say you mentioned you live with a wife and 2 children. Is that right? Yes. Yep. Alright. Just a couple of other questions we need to ask. Do you smoke at all? No. I don't smoke. And do you drink much in a way of alcohol? No. I I don't drink alcohol. No. Okay. Yeah. So normally, at this stage, I'd like to examine you.\n\nOkay. But Yeah. But but having listened to your stories, I think you just to recap, for the last 3 days, you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left hand side, and vomiting and being generally quite weak and lethargic. Yeah. You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis Okay. Which essentially just a tummy bug or infection of your of your tummy.\n\nMainly caused by viruses, but they can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated, so drinking fluids. There are things like Diurilite you can get from the pharmacy, which it helps\n\nReplenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, would say recommend that at first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol. 2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work. Actually, I know you're quite keen to work. I would say next 2 2 to 3 days Yeah. Clears from your system. Just take some time off and rest.\n\nIf your symptoms haven't got better, you know, in in 3 to 4 days, I'd like you to come back and see me again. Okay. Sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etcetera, etcetera. Yep. Sure. Yep. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No. No further questions. No. Okay. Is is the treatment plan clear?\n\nYeah. Yeah. That's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye bye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,42,"start Yeah",false],[55,55,"how um.",false],[70,72,"sir",false],[106,109,"Hello how are you Oh hey um",false],[338,345,"what'd you",false],[672,672,"or",false],[715,724,"mention",false],[924,928,"",false],[960,960,"Yep. 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Uh",false],[6832,6832,"Bye.",false],[6853,6857,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","\"Loose, watery stools for 3 days, occurring 6-7 times per day\" and \"No blood in stool\"."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","\"Left lower abdominal cramping pain, intermittent\"; absence of radiation not documented."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved and \"No blood in stool or vomit\"."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"Subjective fever at symptom onset (not measured)\" plus generalised weakness."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite; \"Tolerating fluids; eating soups, smoothies and other liquid foods\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway and \"One child in household with vomiting only\"."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","\"Asthma, well controlled on inhaler\" captured but no statement of no other regular medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Affecting work attendance and \"requiring frequent toilet access\"."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Acute gastroenteritis, likely viral aetiology\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","\"Conservative management; no antibiotics indicated\", oral hydration and Dioralyte."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","Two tablets up to four times daily captured, but adds an unstated \"1g\" strength."],["The plan captures rest and approximately two to three days off work.","partial","2-3 days off work captured but framed as an invented medical certificate; rest not mentioned."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if persisting beyond 3-4 days and stool sample if not resolving."]],"claims":[["Paracetamol 1g (2 tablets)","No tablet strength or total dose was stated; transcript says only \"two tablets up to four times a day\"."],["Medical certificate provided for 2-3 days work leave","Clinician only advised time off work; no certificate was mentioned or provided."]],"note":"Subjective:\n\nLoose, watery stools for 3 days, occurring 6-7 times per day\n\nLeft lower abdominal cramping pain, intermittent\n\nVomiting at onset of symptoms (3-4 days ago), now resolved\n\nSubjective fever at symptom onset (not measured)\n\nGeneralised weakness and shakiness\n\nLoss of appetite\n\nTolerating fluids; eating soups, smoothies and other liquid foods\n\nNo blood in stool or vomit\n\nNo night sweats\n\nAte Chinese takeaway approximately 4 days ago (17/09/2026)\n\nOne child in household with vomiting only (no diarrhoea); no other household members affected\n\nSymptoms affecting work attendance; patient has continued working as accountant despite symptoms, requiring frequent toilet access\n\nPast medical history: Asthma, well controlled on inhaler\n\nSocial history: Non-smoker, no alcohol consumption, lives with wife and 2 children\n\n\n\n\nObjective:\n\nPhysical examination deferred\n\n\n\n\nAssessment:\n\nAcute gastroenteritis, likely viral aetiology\n\nPossible bacterial gastroenteritis secondary to food consumption\n\n\n\n\nPlan:\n\nConservative management; no antibiotics indicated at this stage\n\nMaintain adequate oral hydration\n\nDioralyte sachets from pharmacy for electrolyte replacement\n\nParacetamol 1g (2 tablets) up to four times daily as required for fever and weakness\n\nMedical certificate provided for 2-3 days work leave\n\nReview if symptoms persist beyond 3-4 days for further assessment\n\nStool sample for microscopy, culture and sensitivity if symptoms do not resolve\n\nSafety netting advice provided regarding red flag symptoms","review":154.64473684210526,"saved":228.35526315789474,"clean":false,"effort":30.76923076923077,"sig":[["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Adds a 1g dose never stated in the consultation."],["partial","The plan captures rest and approximately two to three days off work.","Time off work recorded as a provided medical certificate, which did not happen."]],"mb":16.549373,"latency":20.071,"signable":174.71573684210526},{"label":"Run 2","wer":20.155038759689923,"text":"Hello? Hello. Hi. Hi. Should we stop? Yep. Okay. Hello. Good morning. So how can I help you this morning? Hi. I've just had some diarrhea for the last 3 days, and it's been affecting me. I need to stay close to the toilet. And, yeah, it's been affecting my day to day activities. Yeah. Sorry to hear that. And and when you say\n\nDiarrhea. What do mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah. So it's like loose and watery stool going to the toilet quite often and, like, some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, for the last couple of days? Probably, like, 6, 7 times a day. 6, 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things like blood in your stools? No. No blood. Yeah. Just watery and loose\n\nStool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain exactly? In my lower abdomen. So, like, yeah, just to 1 side. 1 side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp, and, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it\n\nAll the time, or does it come and go? It comes and goes. It goes. Does the pain move anywhere else? For example, towards your back? No. Just mainly in my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do mean by shaky? Do you mean you've been having have you been feeling feverish, for example? Yeah. It doesn't feel like yeah. I just fainted for a week. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started. Good. Yeah.\n\nAround about 3 or 4 days ago. You measure your temperature then? Yeah. I I didn't measure my temperature. No. But I felt just a bit hot. Okay. Okay. Any other symptoms like sweating or night? No. No. And any vomiting at all? Yeah. So I vomited at the start of the symptoms, but now I've stopped vomiting. You stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food color?\n\nYeah. Yeah. Just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No. No. Right. Okay. Yeah. And any other symptoms at all? You mentioned tummy pain. You mentioned diarrhea. You mentioned the vomiting. Yep. Anything else that comes to mind? I had a loss of appetite. So I haven't been eating as much. Okay. But I've been able to hold down fluids. Okay. So you're drinking fluids. What kind of foods have you managed to eat and anything?\n\nJust soups and, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. And so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So for example, taking takeaway foods or eating out or being around other people who would see the symptoms. Yeah. So I had takeaway about 4 days ago. But other than that, I've\n\nYeah. I've been eating normally. I think unusual. Yeah. Do you remember what you ate? Yeah. I I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? So no 1 else in the family. So I have a wife and 2 kids, and 1 child was vomiting, but they haven't got diarrhea. It's no 1 with the same symptoms. Okay. Okay. Fine. Right. And in terms\n\nYour your overall health? Are you normally feeling well? Or Yeah. I mean, other than asthma, like, using inhaler, everything else is fine. Okay. And is your asthma well controlled? Yeah. That's fine. Just yeah. You send inhaler, and that's under control. Alright. And you don't have any other tummy problem, bowel problem that I should be aware of? No. No. Okay. And apart from inhalers, do you take any other medications?\n\nNo. No other medications. Okay. Fine. And in terms of just your your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life? So I need to stay close to the toilet because I go quite frequently during the these past 3 days. Okay. Yeah. Other than that, it's Yeah. The main concern. And have you are you currently working at the moment? Yeah. I I work. Where do work? I'm an accountant. Okay. Have you\n\nGoing to work the last 3 days, or you've been at home? Yeah. I've been going to work. Okay. That must be difficult for you then. Yeah. It's been quite difficult. Right. And you say you mentioned you live with a wife and 2 children. Is that right? Yes. Yep. Alright. Just a couple of other questions we need to ask. Do you smoke at all? No. I don't smoke. And do you drink much in a way of alcohol? No. I I don't drink alcohol. No. Okay. Yeah. So normally, at this stage, I'd like to examine you.\n\nK. But Yeah. But but having listened to your stories, I think you just to recap, for the last 3 days, you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left hand side, and vomiting and feeling generally quite weak and lethargic. Yeah. You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis Okay. Which essentially just a tummy bug or infection of your of your tummy.\n\nMainly caused by viruses, but they can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated, so drinking fluids. There are things like Diurilite you can get from the pharmacy which it helps\n\nReplenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, would say recommend that at first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol, 2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work. Actually, I know you're quite keen to work. I would say next 2 2 to 3 days as the infection clears from your system, just take some time off and rest.\n\nYou know, if your symptoms haven't got better, you know, in in 3 to 4 days, I'd like you to come back and see me again. Okay. Sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etcetera, etcetera. Yep. Sure. Yep. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No. No further questions. No. Okay. Is is the treatment plan clear?\n\nYeah. Yeah. That's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye bye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,42,"start Yeah",false],[55,55,"how um.",false],[70,72,"sir",false],[106,109,"Hello how are you Oh hey um",false],[338,345,"what'd you",false],[672,672,"or",false],[715,724,"mention",false],[924,928,"",false],[960,960,"Yep. 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Uh",false],[6838,6838,"Bye.",false],[6859,6863,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","\"Diarrhoea for 3 days - loose, watery stools 6-7 times per day\" and \"No blood in stool\"."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Left lower abdominal cramping pain, intermittent\" and \"No radiation of pain\"."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Vomiting at onset... now resolved\" and \"No blood in stool or vomit\"; no bilious claim."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"Subjective fever at onset... not measured, currently afebrile\" and \"Generalised weakness\"."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","\"Reduced appetite\" and \"Tolerating fluids and light foods (soups, smoothies)\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","\"Consumed Chinese takeaway 4 days ago\" and \"One child at home with vomiting only\"."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","no","Asthma, inhaler use and absence of other medications are not recorded."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"Symptoms impacting work - accountant requiring frequent toilet access\"."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Gastroenteritis (likely viral, possible bacterial food poisoning)\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","\"Conservative management - no antibiotics indicated\", hydration and Dioralyte."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","\"2 tablets up to four times daily\" matches, but adds an unstated strength \"1g\"."],["The plan captures rest and approximately two to three days off work.","yes","\"2-3 days off work to rest and recover\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Review in 3-4 days if symptoms persist\" and stool sample if ongoing."]],"claims":[["Paracetamol 1g (2 tablets)","Transcript says only \"two tablets up to four times a day\"; no mg strength was stated."],["Medical certificate provided for 2-3 days off work","Clinician only advised taking time off; no medical certificate was mentioned or issued in the transcript."]],"note":"Subjective:\n\nDiarrhoea for 3 days - loose, watery stools 6-7 times per day\n\nLeft lower abdominal cramping pain, intermittent\n\nVomiting at onset of symptoms (3-4 days ago), now resolved\n\nSubjective fever at onset (3-4 days ago), not measured, currently afebrile\n\nGeneralised weakness and feeling shaky\n\nReduced appetite\n\nTolerating fluids and light foods (soups, smoothies)\n\nNo blood in stool or vomit\n\nNo radiation of pain\n\nNo night sweats\n\nConsumed Chinese takeaway 4 days ago\n\nOne child at home with vomiting only, no other household members affected\n\nSymptoms impacting work - accountant requiring frequent toilet access, has continued attending work despite symptoms\n\n\n\n\nObjective:\n\nExamination deferred\n\n\n\n\nAssessment:\n\nGastroenteritis (likely viral, possible bacterial food poisoning)\n\n\n\n\nPlan:\n\nConservative management - no antibiotics indicated\n\nMaintain adequate hydration\n\nDioralyte from pharmacy for electrolyte replacement\n\nParacetamol 1g (2 tablets) up to four times daily as required for fever and weakness\n\nMedical certificate provided for 2-3 days off work to rest and recover\n\nReview in 3-4 days if symptoms persist\n\nStool sample for microscopy, culture and sensitivity if symptoms ongoing at review","review":127.51315789473685,"saved":255.48684210526315,"clean":false,"effort":30.76923076923077,"sig":[["missing","The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","Asthma and inhaler use are absent, so the record has no comorbidity or current medication."],["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Invented a paracetamol tablet strength that was never stated."],["fabrication","Medical certificate provided for 2-3 days off work","Records a medical certificate as issued when only time off was advised, a false legal/administrative record."]],"mb":16.702687,"latency":22.132,"signable":149.64515789473685},{"label":"Run 3","wer":20.155038759689923,"text":"Hello? Hello. Hi. Hi. Should we stop? Yep. Okay. Hello. Good morning. So how can I help you this morning? Hi. I've just had some diarrhea for the last 3 days, and it's been affecting me. I need to stay close to the toilet. And, yeah, it's been affecting my day to day activities. Yeah. Sorry to hear that. And and when you say\n\nDiarrhea. What do mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah. So it's like loose and watery stool going to the toilet quite often and, like, some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, for the last couple of days? Probably, like, 6, 7 times a day. 6, 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things like blood in your stools? No. No blood. Yeah. Just watery and loose\n\nStool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain exactly? In my lower abdomen. So, like, yeah, just to 1 side. 1 side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp, and, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it\n\nAll the time, or does it come and go? It comes and goes. It goes. Does the pain move anywhere else? For example, towards your back? No. Just mainly in my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do mean by shaky? Do you mean you've been having have you been feeling feverish, for example? Yeah. It doesn't feel like yeah. I just fainted for a week. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started. Good. Yeah.\n\nAround about 3 or 4 days ago. You measure your temperature then? Yeah. I I didn't measure my temperature. No. But I felt just a bit hot. Okay. Okay. Any other symptoms like sweating or night? No. No. And any vomiting at all? Yeah. So I vomited at the start of the symptoms, but now I've stopped vomiting. You stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food color?\n\nYeah. Yeah. Just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No. No. Right. Okay. Yeah. And any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting. Yep. Anything else that comes to mind? I had a loss of appetite. So I haven't been eating as much. Okay. But I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. What kind of foods have you managed to eat and anything?\n\nJust soups and, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. And so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So for example, taking takeaway foods or eating out or being around other people who would see the symptoms. Yeah. So I had takeaway about 4 days ago. But other than that, I've\n\nYeah. I've been eating normally. I think unusual. Yeah. Do you remember what you ate? Yeah. I I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? So no 1 else in the family. So I have a wife and 2 kids, and 1 child was vomiting, but they haven't got diarrhea. It's no 1 with the same symptoms. Okay. Okay. Fine. Right. And in terms\n\nYour your overall health? Are you normally feeling well? Or Yeah. I mean, other than asthma, like, using inhaler, everything else is fine. Okay. And is your asthma well controlled? Yeah. That's fine. Just yeah. You send inhaler, and that's under control. Alright. And you don't have any other tummy problem, bowel problem that I should be aware of? No. No. Okay. And apart from inhalers, do you take any other medications?\n\nNo. No other medications. Okay. Fine. And in terms of just your your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life? So I need to stay close to the toilet because I go quite frequently during the these past 3 days. Okay. Yeah. Other than that, it's Yeah. The main concern. And have you are you currently working at the moment? Yeah. I I work. Where do work? I'm an accountant. Okay. Have you\n\nGoing to work the last 3 days, or you've been at home? Yeah. I've been going to work. Okay. That must be difficult for you then. Yeah. It's been quite difficult. Right. And you say you mentioned you live with a wife and 2 children. Is that right? Yes. Yep. Alright. Just a couple of other questions we need to ask. Do you smoke at all? No. I don't smoke. And do you drink much in a way of alcohol? No. I I don't drink alcohol. No. Okay. Yeah. So normally, at this stage, I'd like to examine you.\n\nOkay. But Yeah. But but having listened to your stories, I think you just to recap, for the last 3 days, you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left hand side, and vomiting and being generally quite weak and lethargic. Yeah. You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis Okay. Which essentially just a tummy bug or infection of your of your tummy.\n\nMainly caused by viruses, but they can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated, so drinking fluids. There are things like Diurilite you can get from the pharmacy, which it helps\n\nReplenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, would say recommend that at first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol. 2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work. Actually, I know you're quite keen to work. I would say next 2 2 to 3 days Yeah. Clears from your system. Just take some time off and rest.\n\nYou know, if your symptoms haven't got better, you know, in in 3 to 4 days, I'd like you to come back and see me again. Okay. Sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etcetera, etcetera. Yep. Sure. Yep. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No. No further questions. No. Okay. Is is the treatment plan clear?\n\nYeah. Yeah. That's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye bye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,42,"start Yeah",false],[55,55,"how um.",false],[70,72,"sir",false],[106,109,"Hello how are you Oh hey um",false],[338,345,"what'd you",false],[672,672,"or",false],[715,724,"mention",false],[924,928,"",false],[960,960,"Yep. 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Uh",false],[6839,6839,"Bye.",false],[6860,6864,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","3-day loose watery diarrhoea 6-7/day; no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","Left lower cramping intermittent pain captured; radiation not addressed."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved; no blood in vomit."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","partial","Subjective fever 3-4 days ago not measured plus weakness, but no current fever not stated."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Reduced appetite, tolerating fluids, soups and smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway; one child with vomiting only."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","\"asthma, well controlled on inhaler\" but absence of other medications not stated."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","Work impact noted as \"impacting work attendance\", but need to stay close to a toilet and daily-activity disruption omitted."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Gastroenteritis, likely viral aetiology, possible bacterial cause\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","Conservative management, no antibiotics, hydration, Dioralyte."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","Two tablets up to four times daily captured, but adds an unstated strength \"1g\"."],["The plan captures rest and approximately two to three days off work.","yes","2-3 days off work."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review in 3-4 days; stool MC&S if ongoing."]],"claims":[["Paracetamol 1g (2 tablets)","Transcript only says \"two tablets up to four times a day\"; no strength in mg was stated."],["Medical certificate for 2-3 days off work","Clinician advised time off to rest; no medical certificate/sick note was discussed or issued."]],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n3-day history of diarrhoea with loose, watery stools\n\nBowel frequency 6-7 times per day\n\nLeft lower abdominal cramping pain, intermittent\n\nVomiting at symptom onset, now resolved\n\nSubjective fever 3-4 days ago (not measured)\n\nGeneralised weakness and shakiness\n\nReduced appetite\n\nTolerating fluids, consuming soups and smoothies\n\nNo blood in stool or vomit\n\nNo night sweats\n\nAte Chinese takeaway 4 days prior to symptom onset\n\nOne child in household with vomiting only, no other family members affected\n\nSymptoms impacting work attendance as accountant\n\nPast medical history: asthma, well controlled on inhaler\n\nNon-smoker, no alcohol consumption\n\nLives with wife and 2 children\n\n\n\n\nObjective:\n\nPhysical examination deferred\n\n\n\n\nAssessment:\n\nGastroenteritis, likely viral aetiology, possible bacterial cause\n\n\n\n\nPlan:\n\nConservative management, no antibiotics indicated\n\nMaintain adequate hydration\n\nDioralyte from pharmacy for electrolyte replacement\n\nParacetamol 1g (2 tablets) up to four times daily for fever and weakness\n\nMedical certificate for 2-3 days off work\n\nReview in 3-4 days if symptoms persist\n\nStool sample for microscopy, culture and sensitivity if symptoms ongoing","review":164.06578947368422,"saved":218.93421052631578,"clean":false,"effort":38.46153846153847,"sig":[["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Adds an unstated paracetamol strength (1g) to the dose instruction."],["fabrication","Medical certificate for 2-3 days off work","Records issuing a medical certificate that was never discussed; alters legal record."]],"mb":16.602722,"latency":19.132,"signable":183.19778947368422},{"label":"Run 4","wer":19.943622269203665,"text":"Hello? Hello. Hi. Hi. Should we stop? Yep. Okay. Hello. Good morning. So how can I help you this morning? Hi. I've just had some diarrhea for the last 3 days, and it's been affecting me. I need to stay close to the toilet. And, yeah, it's been affecting my day to day activities. Yeah. Sorry to hear that. And and when you say\n\nDiarrhea. What do mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah. So it's like loose and watery stool going to the toilet quite often and, like, some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, for the last couple of days? Probably, like, 6, 7 times a day. 6, 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things like blood in your stools? No. No blood. Yeah. Just watery and loose\n\nStool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain exactly? In my lower abdomen. So, like, yeah, just to 1 side. 1 side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp, and, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it\n\nAll the time, or does it come and go? It comes and goes. It goes. Does the pain move anywhere else? For example, towards your back? No. Just mainly my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do mean by shaky? Do you mean you've been having have you been feeling feverish, for example? Yeah. It doesn't feel like yeah. I just fainted for a week. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started. Good. Yeah.\n\nAround about 3 or 4 days ago. You measure your temperature then? Yeah. I I didn't measure my temperature. No. But I felt just a bit hot. Okay. Okay. Any other symptoms like sweating or night? No. No. And any vomiting at all? Yeah. So I vomited at the start of the symptoms, but now I've stopped vomiting. You stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food color?\n\nYeah. Yeah. Just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No. No. Right. Okay. Yeah. And any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting. Yep. Anything else that comes to mind? I had a loss of appetite. So I haven't been eating as much. Okay. But I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. What kind of foods have you managed to eat and anything?\n\nJust soups and, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. And so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So for example, things like takeaway foods or eating out or being around other people who would see the symptoms. Yeah. So I had takeaway about 4 days ago. But other than that, I've\n\nYeah. I've been eating normally. I think unusual. Yeah. Do you remember what you ate? Yeah. I I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? So no 1 else in the family. So I have a wife and 2 kids, and 1 child was vomiting, but they haven't got diarrhea. It's no 1 with the same symptoms. Okay. Okay. Fine. Right. And in term\n\nYour your overall health? Are you normally feeling well? Or Yeah. I mean, other than asthma, like, using inhaler, everything else is fine. Okay. And is your asthma well controlled? Yeah. That's fine. Just yeah. You send inhaler, and that's under control. Alright. And you don't have any other tummy problem, bowel problem that I should be aware of? No. No. Okay. And apart from inhalers, do you take any other medications?\n\nNo. No other medications. Okay. Fine. And in terms of just your your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life? So I need to stay close to the toilet because I go quite frequently during the these past 3 days. Okay. Yeah. Other than that, it's Yeah. The main concern. And have you are you currently working at the moment? Yeah. I I work. Where do work? I'm an accountant. Okay. Have you\n\nGoing to work the last 3 days, or you've been at home? Yeah. I've been going to work. Okay. That must be difficult for you then. Yeah. It's been quite difficult. Right. And you say you mentioned you live with a wife and 2 children. Is that right? Yes. Yep. Alright. Just a couple of other questions we need to ask. Do you smoke at all? No. I don't smoke. And do you drink much in a way of alcohol? No. I I don't drink alcohol. No. Okay. Yeah. So normally, at this stage, I'd like to examine you.\n\nK. But Yeah. But but having listened to your stories, I think you just to recap, for the last 3 days, you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left hand side, and vomiting and feeling generally quite weak and lethargic. Yeah. You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis Okay. Which essentially just a tummy bug or infection of your of your tummy.\n\nMainly caused by viruses, but they can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated, so drinking fluids. There are things like Diurilite you can get from the pharmacy which it helps\n\nReplenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, would say recommend that at first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol, 2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work. Actually, I know you're quite keen to work. I would say next 2 2 to 3 days as the infection clears from your system, just take some time off and rest.\n\nYou know, if your symptoms haven't got better, you know, in in 3 to 4 days, I'd like you to come back and see me again. Okay. Sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etcetera, etcetera. Yep. Sure. Yep. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No. No further questions. No. Okay. Is is the treatment plan clear?\n\nYeah. Yeah. That's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye bye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,42,"start Yeah",false],[55,55,"how um.",false],[70,72,"sir",false],[106,109,"Hello how are you Oh hey um",false],[338,345,"what'd you",false],[672,672,"or",false],[715,724,"mention",false],[924,928,"",false],[960,960,"Yep. 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Uh",false],[6849,6849,"Bye.",false],[6870,6874,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","\"Diarrhoea for 3 days - loose, watery stools 6-7 times per day\" and \"No blood in stool\"."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Left lower abdominal cramping pain, intermittent\" and \"Pain does not radiate to back\"."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Vomiting at onset of symptoms... now resolved\" and \"No blood in stool or vomit\"; no bilious claim."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"Subjective fever at onset (not measured), currently afebrile\" plus \"Generalised weakness and feeling shaky\"."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","\"Reduced appetite\" and \"Tolerating fluids, eating soups and smoothies\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","\"Consumed Chinese takeaway 4 days ago\" and \"One child with vomiting only\"."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","\"asthma, well controlled on inhaler\" and \"Current medications: asthma inhaler only\"."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","Notes \"Continuing to attend work despite symptoms\" but omits needing to stay close to the toilet and the disruption to daily activities."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Gastroenteritis (likely viral, possible bacterial aetiology)\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","yes","\"Conservative management - no antibiotics indicated\", hydration and \"Dioralyte from pharmacy\"."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","Two tablets up to four times daily is captured, but \"Paracetamol 1g\" adds a strength that was never stated."],["The plan captures rest and approximately two to three days off work.","yes","\"time off work for 2-3 days to allow recovery\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Review if symptoms persist beyond 3-4 days\" and stool sample if symptoms do not resolve."]],"claims":[["Paracetamol 1g (2 tablets)","Transcript says only \"two tablets up to four times a day\"; no strength was stated."],["Medical certificate provided","Clinician advised time off work but never mentioned issuing a medical certificate."]],"note":"Subjective:\n\nDiarrhoea for 3 days - loose, watery stools 6-7 times per day\n\nLeft lower abdominal cramping pain, intermittent\n\nVomiting at onset of symptoms (3-4 days ago), now resolved\n\nSubjective fever at onset (not measured), currently afebrile\n\nGeneralised weakness and feeling shaky\n\nReduced appetite\n\nTolerating fluids, eating soups and smoothies\n\nNo blood in stool or vomit\n\nNo night sweats\n\nPain does not radiate to back\n\nConsumed Chinese takeaway 4 days ago (18/09/2026)\n\nOne child with vomiting only, no other household members affected\n\nContinuing to attend work despite symptoms\n\nPast medical history: asthma, well controlled on inhaler\n\nSocial history: accountant, lives with wife and 2 children, non-smoker, no alcohol consumption\n\nCurrent medications: asthma inhaler only\n\n\n\n\nObjective:\n\nPhysical examination deferred\n\n\n\n\nAssessment:\n\nGastroenteritis (likely viral, possible bacterial aetiology)\n\n\n\n\nPlan:\n\nConservative management - no antibiotics indicated at this stage\n\nMaintain adequate hydration\n\nDioralyte from pharmacy for electrolyte replacement\n\nParacetamol 1g (2 tablets) up to four times daily as required for fever and weakness\n\nMedical certificate provided - time off work for 2-3 days to allow recovery and prevent transmission\n\nReview if symptoms persist beyond 3-4 days for further assessment\n\nStool sample for microscopy, culture and sensitivity if symptoms do not resolve\n\nPatient advised regarding red flag symptoms requiring urgent review","review":131.06578947368422,"saved":251.93421052631578,"clean":false,"effort":26.923076923076923,"sig":[["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Paracetamol regimen kept but a 1g strength was added that was never stated."],["fabrication","Medical certificate provided","Records a medical certificate as issued when only time off was advised; alters legal record."]],"mb":16.666892,"latency":24.878,"signable":155.9437894736842},{"label":"Run 5","wer":19.873150105708245,"text":"Hello? Hello. Hi. Hi. Should we stop? Yep. Okay. Hello. Good morning. So how can I help you this morning? Hi. I've just had some diarrhea for the last 3 days, and it's been affecting me. I need to stay close to the toilet. And, yeah, it's been affecting my day to day activities. Yeah. Sorry to hear that. And and when you say\n\nDiarrhea. What do mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose? Yeah. So it's like loose and watery stool going to the toilet quite often and, like, some pain in my, like, lower stomach. Okay. And how many times a day are you going, let's say, for the last couple of days? Probably, like, 6, 7 times a day. 6, 7 times a day. And you mentioned it's mainly watery. Have you noticed any other things like blood in your stools? No. No blood. Yeah. Just watery and loose\n\nStool. Okay. And you mentioned you've had some pain in your tummy as well. Yep. Whereabouts is the pain exactly? In my lower abdomen. So, like, yeah, just to 1 side. 1 side. And what side is that? On the left side. Left side. Okay. And can you describe the pain to me? Yeah. It feels like a cramp, like a muscular cramp, and, yeah, I feel a bit weak and shaky. Okay. And does the pain is that is it\n\nAll the time, or does it come and go? It comes and goes. It goes. Does the pain move anywhere else? For example, towards your back? No. Just mainly my stomach. Okay. Fine. And you mentioned you've been feeling quite weak and shaky as well. What do mean by shaky? Do you mean you've been having have you been feeling feverish, for example? Yeah. It doesn't feel like yeah. I just fainted for a week. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started. Good. Yeah.\n\nAround about 3 or 4 days ago. You measure your temperature then? Yeah. I I didn't measure my temperature. No. But I felt just a bit hot. Okay. Okay. Any other symptoms like sweating or night? No. No. And any vomiting at all? Yeah. So I vomited at the start of the symptoms, but now I've stopped vomiting. You stopped vomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal food color?\n\nYeah. Yeah. Just normal vomit. Yeah. And there was no blood in your vomit. Is that right? No. No. Right. Okay. Yeah. And any other symptoms at all? So you mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting. Yep. Anything else that comes to mind? I had a loss of appetite. So I haven't been eating as much. Okay. But I've been able to hold down fluids. Okay. So you're drinking fluids. Yeah. What kind of foods have you managed to eat and anything?\n\nJust soups and, yeah, light foods, like smoothies and, yeah, liquid foods mainly. Okay. Fine. And so you started 3 days ago with symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So for example, things like takeaway foods or eating out or being around other people who would see the symptoms. Yeah. So I had takeaway about 4 days ago. But other than that, I've\n\nYeah. I've been eating normally. I think unusual. Yeah. Do you remember what you ate? Yeah. I I ate at a Chinese restaurant with friends. Okay. Anyone else unwell with similar symptoms? So no 1 else in the family. So I have a wife and 2 kids, and 1 child was vomiting, but they haven't got diarrhea. It's no 1 with the same symptoms. Okay. Okay. Fine. Right. And in term\n\nYour your overall health? Are you normally feeling well? Or Yeah. I mean, other than asthma, like, using inhaler, everything else is fine. Okay. And is your asthma well controlled? Yeah. That's fine. Just yeah. You send inhaler, and that's under control. Alright. And you don't have any other tummy problem, bowel problem that I should be aware of? No. No. Okay. And apart from inhalers, do you take any other medications?\n\nNo. No other medications. Okay. Fine. And in terms of just your your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life? So I need to stay close to the toilet because I go quite frequently during the these past 3 days. Okay. Yeah. Other than that, it's Yeah. The main concern. And have you are you currently working at the moment? Yeah. I I work. Where do work? I'm an accountant. Okay. Have you\n\nGoing to work the last 3 days, or you've been at home? Yeah. I've been going to work. Okay. That must be difficult for you then. Yeah. It's been quite difficult. Right. And you say you mentioned you live with a wife and 2 children. Is that right? Yes. Yep. Alright. Just a couple of other questions we need to ask. Do you smoke at all? No. I don't smoke. And do you drink much in a way of alcohol? No. I I don't drink alcohol. No. Okay. Yeah. So normally, at this stage, I'd like to examine you.\n\nOkay. But Yeah. But but having listened to your stories, I think you just to recap, for the last 3 days, you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left hand side, and vomiting and being generally quite weak and lethargic. Yeah. You mentioned you're having this Chinese takeaway as well 3 days ago, and I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis Okay. Which essentially just a tummy bug or infection of your of your tummy.\n\nMainly caused by viruses, but they can be a possibility of bacteria causing your symptoms. Yeah. At this stage, what what we'd recommend is just what we say conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated, so drinking fluids. There are things like Diurilite you can get from the pharmacy, which it helps\n\nReplenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, would say recommend that at first, you know, first couple of days. Yeah. If you are feeling feverish and weak, taking some paracetamol, 2 tablets up to 4 times a day for the first few days can also help. I would certainly advise you to take some time off work. Actually, I know you're quite keen to work. I would say next 2 2 to 3 days as the infection clears from your system, just take some time off and rest.\n\nYou know, if your symptoms haven't got better, you know, in in 3 to 4 days, I'd like you to come back and see me again. Okay. Sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etcetera, etcetera. Yep. Sure. Yep. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No. No further questions. No. Okay. Is is the treatment plan clear?\n\nYeah. Yeah. That's that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye. Bye bye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,42,"start Yeah",false],[55,55,"how um.",false],[70,72,"sir",false],[106,109,"Hello how are you Oh hey um",false],[338,345,"what'd you",false],[672,672,"or",false],[715,724,"mention",false],[924,928,"",false],[960,960,"Yep. 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Uh",false],[6851,6851,"Bye.",false],[6872,6876,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Loose watery stools for 3 days, 6-7 per day, no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Left lower abdominal cramping pain, intermittent\"; no radiation invented."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomiting at onset now resolved; no blood in vomit."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","partial","Subjective unmeasured fever at onset and weakness captured, but absence of current fever is not stated."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids, soups, smoothies and liquid foods."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway and one household child with vomiting only documented."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma well controlled on inhaler; inhaler is only medication."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","Effect on work documented, but need to stay close to the toilet is not captured."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Gastroenteritis (likely viral, possible bacterial aetiology).\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management, fluids and Dioralyte captured, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","Frequency captured but dose given as \"1g\" rather than the spoken two tablets; strength was not stated."],["The plan captures rest and approximately two to three days off work.","yes","2-3 days off work for rest and recovery documented."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if no improvement in 3-4 days and stool sample if persisting."]],"claims":[["Medical certificate provided for 2-3 days work leave","Clinician only advised time off; no medical certificate was mentioned or provided in the transcript."],["Paracetamol 1g orally four times daily","Transcript states \"two tablets up to four times a day\" with no strength; 1g is not stated."]],"note":"Subjective:\n\nLoose, watery stools for 3 days, occurring 6-7 times per day\n\nLeft lower abdominal cramping pain, intermittent\n\nVomiting at onset of symptoms (3-4 days ago), now resolved\n\nSubjective fever at symptom onset (not measured)\n\nGeneralised weakness and shakiness\n\nLoss of appetite\n\nTolerating fluids; eating soups, smoothies and other liquid foods\n\nNo blood in stool or vomit\n\nNo night sweats\n\nConsumed Chinese takeaway 4 days ago (18/09/2026)\n\nOne child in household with vomiting only (no diarrhoea); no other household members affected\n\nSymptoms affecting ability to work (accountant); has continued attending work despite symptoms\n\nPast medical history: Asthma, well controlled on inhaler\n\nSocial history: Lives with wife and 2 children; non-smoker; no alcohol consumption\n\nCurrent medications: Asthma inhaler only\n\n\n\n\nObjective:\n\nPhysical examination deferred\n\n\n\n\nAssessment:\n\nGastroenteritis (likely viral, possible bacterial aetiology)\n\n\n\n\nPlan:\n\nConservative management advised\n\nMaintain adequate hydration with oral fluids\n\nOral rehydration solution (Dioralyte) recommended, available from pharmacy\n\nParacetamol 1g orally four times daily as needed for fever and weakness\n\nMedical certificate provided for 2-3 days work leave to allow rest and recovery\n\nReview appointment if no improvement within 3-4 days\n\nStool sample for microscopy, culture and sensitivity if symptoms persist beyond this timeframe","review":164.9078947368421,"saved":218.0921052631579,"clean":false,"effort":34.61538461538461,"sig":[["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Records an unstated 1 g dose instead of the spoken 'two tablets'."],["fabrication","Medical certificate provided for 2-3 days work leave","Invents the issuing of a medical certificate, a legal document, when only verbal advice to take time off was given."]],"mb":16.668632,"latency":19.974,"signable":184.8818947368421}],"preve":[{"label":"Run 1","wer":20.577871740662438,"text":"Hello? Hello. Hi. Hi. Should we stop?\n\nYep. Okay. Hello. Good morning, sir. How can I help you this morning?\n\nHi. I've just had some diarrhea for the last\n\nthree days, and it's been affecting me. I need to\n\nstay close to the toilet. And, yeah, it's been affecting my day to day activities.\n\nYeah. I'm sorry to hear that. And and when you say diarrhea, what do you mean by\n\ndiarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\nYeah. So it's like loose and watery stool going to the toilet quite often.\n\nAnd, like, some pain in my, like, lower stomach.\n\nOkay. And how many times a day are you going, let's say, for the last couple of days?\n\nProbably, like, six, seven times a\n\nday. Six, seven times a day.\n\nAnd you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\n\nNo. No blood. Yeah. Just watery and loose stool.\n\nOkay. And you mentioned you've had some pain in your tummy as well.\n\nYep. Whereabouts is the\n\npain exactly? So it's like in my lower abdomen.\n\nSo, like, yeah, just to one side.\n\nOne side. And what side is that?\n\nOn the left side.\n\nLeft side. Okay. And\n\nyou describe the pain to me?\n\nYeah. It feels like a cramp.\n\nLike a muscular cramp. And\n\nyeah, I feel a bit weak and shaky.\n\nOkay.\n\nAnd does the pain is that is it there all the time, or does it come and go?\n\nIt comes and goes.\n\nDoes it go? Does the pain move anywhere else? For example, towards your back?\n\nNo. Just mainly my stomach.\n\nOkay. Fine. And you mentioned you'd feeling quite weak and shaky as well. What do mean by\n\nshaky? Do you mean you've been having have you been feeling feverish, for example?\n\nYeah. It doesn't feel like yeah. I just think\n\nfor the week. I haven't had a fever at the moment, but I did notice\n\nsome temperature when the symptoms started. So\n\nyeah, around about three or four days ago.\n\nYou measure your temperature then?\n\nYeah. I I didn't measure my temperature.\n\nNo. But I felt just a bit hot. Okay. Okay.\n\nOther symptoms like sweating or No. No.\n\nAnd any vomiting at all?\n\nYeah. So\n\nI vomited at the start of the symptoms, but now I've stopped vomiting.\n\nYou stopped vomiting. Okay. And was your vomit I know it's not nice. We've talked\n\nabout, but was it just normal food color\n\nYeah. Yeah. Just normal vomit.\n\nYeah. And there was no blood in your vomit?\n\nThat right?\n\nNo blood. No.\n\nRight. Okay. Yeah.\n\nAnd any other symptoms at all? So you mentioned tummy pain. You mentioned\n\ndiarrhea. You mentioned your vomiting. Yep. Anything else that comes to mind?\n\nI had a loss of appetite, so I haven't been eating as much.\n\nBut I've been able to hold down fluids\n\nOkay. So you're drinking fluids. Yeah. What kind of foods have you managed to eat if anything?\n\nJust soups and, yeah, light foods.\n\nLike smoothies and, yeah, liquid foods mainly. Okay.\n\nFine. And so the start is\n\ndays ago with symptoms. Are you aware of any triggers which may have caused the symptoms\n\nto kick on? So for example, thinking I take away\n\nfoods or eating out or beating around other people who would see the symptoms.\n\nYeah. So I had takeaway about four days ago.\n\nBut other than that, I've, yeah, been eating normally.\n\nI think unusual. Yeah. Do you remember what you ate?\n\nYeah. I I ate at a Chinese restaurant with friends.\n\nOkay.\n\nAnyone else unwell with similar symptoms?\n\nSo no one else in the family. So I have a wife and two kids and one child was vomiting, but they haven't got diarrhea. There's no one with the\n\nsame symptoms.\n\nOkay. Okay. Fine.\n\nRight. And in terms of your overall health,\n\nare you normally feeling well?\n\nOr\n\nYeah. I mean, other than\n\nlike, using inhaler, everything else is fine.\n\nOkay. And is your asthma well controlled?\n\nYeah. That's fine. Just yeah. You send inhaler.\n\nAnd that's under control.\n\nFine. And you don't have any other\n\ntummy problem, bowel problem that should be aware of?\n\nNo.\n\nNo. Okay.\n\nAnd apart from the inhalers, do you take any other medications?\n\nNo. No other medications.\n\nOkay. Fine.\n\nIn terms of just your your day to day life, you said it's been affecting your life.\n\nYeah. In what way has it been affecting your life?\n\nSorry. I need to stay close to the toilet because I go\n\nquite frequently during the these past three days. Okay.\n\nYeah. Other than that, it's Yeah. Yeah, the main concern.\n\nAnd have you are you currently working at the moment?\n\nYeah. I I work. You work? I'm an accountant.\n\nOkay. Have you been going to work the last three days, or you've been at home?\n\nYeah. I've been going to work. Okay.\n\nThat must be difficult for you then.\n\nYeah. It's\n\nbeen quite difficult.\n\nRight. And you say you mentioned you live with a wife and\n\ntwo children. Is that right?\n\nYes. Yep. Alright.\n\nJust a couple of other question we need to ask. Do you smoke at all?\n\nNo. I don't smoke.\n\nAnd do you drink much in the way of alcohol?\n\nNo. I I don't drink alcohol. No. Okay.\n\nYeah. So\n\nnormally, at this stage, I like to\n\nexamine you if that's okay. But\n\nYeah.\n\nBut but having listened to your stories, I think\n\njust to recap, the last three days you've been having loose stool, diarrhea, bit of\n\ntummy pain mainly on the left hand side, vomiting and being feeling quite weak and lethargic.\n\nYeah. You mentioned you had this Chinese takeaway as well three days ago, I wonder whether that might be\n\nthe cause of your problems.\n\nOkay.\n\nIt seems like you may have something\n\ncalled gastroenteritis. Okay.\n\nWhich essentially just a tummy bug or infection of your tummy.\n\nYep. Mainly caused by viruses, they can be\n\na possibility of bacteria causing your symptoms. Yeah.\n\nAt this stage, what we'd recommend is just\n\nwhat we say conservative management. So I don't think you need anything like\n\nantibiotics. It's really just making sure you're well hydrated.\n\nSo drinking Mhmm. Fluids.\n\nThere are things like Dairolite. You\n\nget from the pharmacy, which it's, it helps\n\nreplenish some of your minerals and vitamins.\n\nOkay.\n\nAnd if you are having vomiting and diarrhea, I would say recommend that in the first, you know, first couple of days.\n\nYeah. If you are\n\nfeeling\n\nfeverish and weak, taking some paracetamol two tablets up to four times a day for the first few days can also help.\n\nI'll certainly advise you to take some time at work. Actually, I know you're quite\n\nkeen to work. I would say next two two to three days,\n\naction clears from your system. Take some time off and rest.\n\nIf your symptoms haven't got better, you know, in in\n\nthree to four days, I'd like you to come back and see me again. Okay.\n\nSure.\n\nBecause if it is ongoing, then we have to wonder whether there's something else causing symptoms.\n\nYep. And we may need to do further tests like\n\ntaking a sample of your stool so we can test that, etcetera,\n\nYep. Sure. Yep.\n\nHow's that sound?\n\nThat sounds great. Yeah.\n\nYeah. Do you have any questions for me?\n\nNo. No further questions.\n\nNope. Okay. Is the is the treatment plan clear?\n\nYeah. Yeah. That's that's very clear. Thank\n\nyou. Great. Well, I wish you all the best.\n\nOkay. Thank\n\nyou. Thank you. Bye. Bye\n\nbye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,43,"start Yeah",false],[56,56,"how um.",false],[110,113,"Hello how are you Oh hey um",false],[291,300,"",false],[352,359,"what'd",false],[698,698,"or",false],[753,762,"mention",false],[964,968,"",false],[1001,1001,"Yep.",false],[1006,1015,"",false],[1048,1052,"um...yeah",false],[1146,1146,"can",false],[1283,1287,"is",false],[1376,1383,"Come and",false],[1455,1458,"Uh...no",false],[1464,1470,"maybe",false],[1514,1519,"you've been",false],[1699,1719,"makes me feel weak.",false],[1775,1779,"um a",false],[1920,1927,"mention",false],[1975,1975,"And y'know.",false],[1987,1987,"Any",false],[2021,2024,"um night sweats",false],[2053,2053,"Uh no.",false],[2207,2219,"thing to talk",false],[2256,2293,"colour",false],[2350,2350,"Yeah yeah just normal vomit yeah. No",false],[2386,2386,"No okay. Um",false],[2391,2391,"um any",false],[2502,2506,"uh",false],[2539,2539,"Yep. Um",false],[2736,2736,"Yep. 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Um I'll admit",false],[6487,6491,"",false],[6500,6502,"you",false],[6581,6588,"",false],[6604,6611,"caused your",false],[6719,6719,"Um etcetera",false],[6862,6867,"no.",false],[7017,7017,"Bye.",false],[7039,7043,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","\"Loose, watery stools 6-7x/day for 3 days\" and \"Blood in stool: denies\"."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Lower abdominal pain, left-sided; crampy; intermittent; non-radiating\"."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Initial vomiting at symptom onset; now resolved\" and \"Blood in vomit: denies\"."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"Felt hot at onset...; no measured temperature; currently afebrile\" plus weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","\"reduced appetite; able to keep fluids down; eating soups/smoothies\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese restaurant takeaway and \"one child vomited, no diarrhoea\"."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","\"Asthma; uses inhaler; well controlled\"; Medications lists only the inhaler."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"Impact: must stay near toilet; attending work as an accountant but difficult\"."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Likely acute gastroenteritis (viral or bacterial)\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Hydration and Dioralyte with conservative management captured; no antibiotics not explicitly stated."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"paracetamol 2 tablets up to 4x/day short term if feverish/weak\"."],["The plan captures rest and approximately two to three days off work.","yes","\"Rest; take 2-3 days off work\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Seek review if not improving in 3-4 days for possible stool tests\"."]],"claims":[],"note":"Presenting Condition\n\nLoose, watery stools 6–7×/day for 3 days\n\nLower abdominal pain, left‑sided; crampy; intermittent; non‑radiating\n\nInitial vomiting at symptom onset; now resolved\n\nFelt hot at onset 3–4 days ago; no measured temperature; currently afebrile\n\nFeels weak and shaky; reduced appetite; able to keep fluids down; eating soups/smoothies\n\nTrigger: ate takeaway (Chinese restaurant) ~4 days ago; family largely well (one child vomited, no diarrhoea)\n\nImpact: must stay near toilet; attending work as an accountant but difficult\n\n\n\n\nPast Medical History\n\nAsthma; uses inhaler; well controlled\n\n\n\n\nMedications\n\nInhaler for asthma\n\nAdvised: paracetamol 2 tablets up to 4×/day short term if feverish/weak\n\n\n\n\nRed Flag/Screening Questions\n\nBlood in stool: denies\n\nBlood in vomit: denies\n\nVomiting: present initially, now stopped\n\nFever: felt hot at onset; no current fever reported\n\nTummy/bowel problems history: denies\n\nSmoking: denies\n\nAlcohol: denies\n\n\n\n\nSocial History\n\nLives with wife and two children\n\nOccupation: accountant; has continued working past 3 days\n\n\n\n\nGoals\n\nSymptom relief and return to normal activities\n\n\n\n\nObjective\n\n(Consent obtained)\n\nNo physical examination details recorded in transcript\n\n\n\n\nDiagnosis\n\nLikely acute gastroenteritis (viral or bacterial)\n\nPrognosis: expected to improve with conservative care within a few days\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nEd:\n\nMaintain hydration; consider oral rehydration salts (e.g., Dioralyte) especially early phase\n\nUse paracetamol as needed for fever/aches within safe limits\n\nRest; take 2–3 days off work\n\nSeek review if not improving in 3–4 days for possible stool tests\n\n\n\n\nPlan\n\nConservative management now; review if symptoms persist beyond 3–4 days\n\nTime off work for next 2–3 days\n\nIf ongoing or worsening: consider stool sample and further tests\n","review":103.01315789473684,"saved":279.9868421052632,"clean":false,"effort":3.8461538461538463,"sig":[],"mb":13.1958,"signable":128.13215789473685},{"label":"Run 2","wer":20.29598308668076,"text":"Hello? Hello. Hi. Hi. Should we stop?\n\nYep. Okay. Hello. Good morning, sir. How can I help you this morning?\n\nHi. I've just had some diarrhea for the last\n\nthree days, and it's been affecting me. I need to\n\nstay close to the toilet. And, yeah, it's been affecting my day to day activities.\n\nYeah. I'm sorry to hear that. And and when you say diarrhea,\n\ndo you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\nYeah. So it's like loose and watery stool going to the toilet quite\n\nand, like, some pain in my\n\nlike, lower stomach. Okay. And how many times a day are you going, let's say, for the last\n\ncouple of days?\n\nProbably, like, six, seven times a day.\n\nSix, seven times a day.\n\nAnd you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\n\nNo. No blood. Yeah. Just watery and loose stool.\n\nOkay. And you mentioned you've had some pain in your tummy as well.\n\nYep. Whereabouts is the pain exactly? So it's\n\nlike in my lower abdomen.\n\nSo, like, yeah, just to one side.\n\nOne side. And what side is that?\n\nOn the left side.\n\nLeft side. Okay. And can you describe the pain to me?\n\nYeah. It feels like a cramp, like a muscle.\n\nCramp. And, yeah, I feel a bit weak and shaky.\n\nOkay. And does the pain is that is it there all the time, or does it come and go?\n\nIt comes and goes.\n\nDoes it go? Does the pain move anywhere else? For example, towards your back?\n\nNo. Just mainly my stomach.\n\nOkay. Fine. And you mentioned you'd feeling quite weak and shaky as well. What do mean by\n\nshaky? Do you mean you've been having have you been feeling feverish, for example?\n\nYeah. It doesn't feel like yeah. I just make feel weak. I haven't had\n\na fever at the moment, but I did notice a temperature\n\nwhen the symptoms started. So\n\nyeah, around about three or four days ago.\n\nYou measure your temperature then?\n\nYeah. I I didn't measure my temperature. No. But I felt just a bit hot.\n\nOkay.\n\nOkay. Any\n\nother symptoms like sweating or\n\nnight? No. No. And any vomiting at all?\n\nYeah. So I vomited at the start of the symptoms, but\n\nnow I've stopped vomiting.\n\nVomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal\n\nfood color?\n\nYeah. Yeah. Just normal vomit.\n\nYeah.\n\nAnd there was no blood in your vomit. Is that right?\n\nNo blood.\n\nNo. Right. Okay.\n\nYeah. And any other symptoms\n\nall? You mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting.\n\nYep. Anything else that comes to mind?\n\nI had a loss of appetite.\n\nSo I haven't been eating as much. Okay. But I've been able to\n\nhold down fluids.\n\nOkay. So you're drinking fluids.\n\nYeah. What kind of foods have you managed to eat and anything?\n\nJust soups and, yeah, light foods.\n\nLike smoothies and, yeah, liquid foods mainly. Okay.\n\nFine. And so\n\nyou started three days ago with symptoms. Are you aware of any triggers which may have caused the symptoms\n\nto kick on? So for example, things like takeaway\n\nfoods or eating out or beating around other people who had similar symptoms.\n\nYeah. So I had takeaway about four days ago.\n\nBut other than that, I've, yeah, been eating normally.\n\nI think unusual. Yeah. Do you remember what you ate?\n\nYeah. I I ate at a Chinese restaurant with friends.\n\nOkay.\n\nAnyone else unwell with similar symptoms?\n\nSo no one else in the family. So I have a wife and two kids and one child was vomiting, but they haven't got diarrhea. It's no one with the\n\nsame\n\nsymptoms.\n\nOkay. Okay. Fine.\n\nRight. And in terms of your overall health, are you normally fitting well?\n\nOr\n\nYeah. I mean, other than\n\nasthma, like using inhaler, everything else is fine.\n\nOkay. And is your asthma well controlled?\n\nYeah. That's fine. Just, yeah, use an inhaler, and that's something\n\ncontrol.\n\nFine. And you don't have any other tummy problem, bowel problem that should be aware of?\n\nNo. No. Okay. And apart from inhalers, do you take any other medication\n\nNo. No other medications.\n\nOkay. Fine.\n\nIn terms of just your your day to day life, you said it's been affecting your life.\n\nYeah. In what way has it been affecting your life?\n\nSorry. I need to stay close to the toilet because I go\n\nquite frequently during the these past three days. Okay.\n\nYeah. Other than that, it's Yeah. Yeah, the main concern.\n\nAnd have you are you currently working at the moment?\n\nYeah. I I work. You work? I'm an accountant.\n\nOkay. Have you been going to work the last three days, or you've been at home?\n\nYeah. I've been going to work. Okay.\n\nThat must be difficult for you then.\n\nYeah. It's been\n\nquite difficult.\n\nRight. And you say you mentioned you live with a wife and\n\ntwo children. Is that right?\n\nYes.\n\nYep. Alright.\n\nJust a couple of other question we need to ask. Do you smoke at all?\n\nNo. I don't smoke.\n\nAnd do you drink much in the way of alcohol?\n\nNo. I I don't drink alcohol. No. Okay.\n\nYeah. So\n\nnormally, at this stage, I like to\n\nexamine you if that's okay. But Yeah. But but having listened to your stories,\n\nI think you just to recap the the last\n\ndays, you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left hand side.\n\nAnd vomiting and being generally quite weak and lethargic.\n\nYeah. You mentioned you had this Chinese takeaway as well three days ago, and I wonder whether that might be\n\ncause of your problems.\n\nOkay. It\n\nseems like you may have something\n\ncalled gastroenteritis. Okay.\n\nWhich essentially just a tummy bug or infection of your tummy.\n\nYep. Mainly caused by viruses, but they can be\n\npossibility of bacteria causing your symptoms. Yeah.\n\nAt this stage, what we'd recommend is just\n\nwhat we say conservative management. So I don't think you need anything like antibiotics. It's really just\n\nmaking sure you're well hydrated, so drinking Mhmm. Fluids.\n\nThere are things like\n\nDairolite you can get from the pharmacy, which it's\n\nhelps replenish some of your minerals and vitamins.\n\nOkay. And if you are having vomiting and diarrhea, would say recommend that at first.\n\nYou know, first couple of days. Yeah. If you are feeling\n\nfeverish and weak, taking some paracetamol two tablets up to four times a day for the first few days can also help.\n\nI'll certainly advise you to take some time at work. Actually, I know you're quite keen to work. I would say next\n\ntwo two to three days Yeah. Action clears from your system.\n\nTake some time off and rest.\n\nIf your symptoms\n\nhaven't\n\ngot better, you know, in in three to days, I'd like you to come back and see me again.\n\nOkay.\n\nSure.\n\nIf it is ongoing, then we have to wonder whether there's something else causing symptoms.\n\nYep. And we may need to do further tests like\n\ntaking a sample of your stool so we can test that.\n\nEtcetera, etcetera.\n\nYep. Sure.\n\nYep. How's that sound?\n\nThat sounds great. Yeah.\n\nYeah. Do you have any questions for me?\n\nNo. No further questions. Nope.\n\nOkay. Is the is the treatment plan clear?\n\nYeah.\n\nYeah. That's that's very clear. Thank you.\n\nGreat. Well, I wish you all the best.\n\nOkay. Thank you.\n\nThank you. Bye. Bye bye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,43,"start Yeah",false],[56,56,"how um.",false],[110,113,"Hello how are you Oh hey um",false],[291,300,"",false],[353,355,"what'd",false],[528,528,"often uh",false],[686,686,"or",false],[741,750,"mention",false],[952,956,"",false],[988,988,"Yep.",false],[993,1003,"",false],[1036,1040,"um...yeah",false],[1205,1212,"muscular",false],[1272,1276,"is",false],[1365,1372,"Come and",false],[1444,1447,"Uh...no",false],[1453,1459,"maybe",false],[1503,1508,"you've been",false],[1688,1692,"makes me",false],[1902,1909,"mention",false],[1956,1956,"And y'know.",false],[2016,2019,"sweats",false],[2047,2047,"Uh no.",false],[2130,2130,"You stopped",false],[2187,2187,"thing",false],[2232,2270,"colour",false],[2330,2330,"Yeah yeah just normal vomit yeah. No",false],[2367,2367,"No okay. Um",false],[2371,2371,"um any",false],[2477,2481,"uh",false],[2514,2514,"Yep. Um",false],[2709,2712,"if",false],[2721,2721,"Yep. 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It does not assert a measured temperature.","yes","Felt hot at onset, no measured temp, no current fever; weak/shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite, tolerating fluids, soups/smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway and one child vomited without diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma, inhaler, well controlled; inhaler the only medication listed."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","Needs to stay near toilet; affects activities; working with difficulty."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Likely acute gastroenteritis (viral > bacterial)\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Oral rehydration (Dioralyte) captured, but no statement of conservative management or that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"paracetamol 2 tablets up to 4x/day for first few days\"."],["The plan captures rest and approximately two to three days off work.","yes","\"Rest and take 2-3 days off work\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","partial","Stool sample captured but review interval stated as \"3-5 days\" rather than the spoken 3-4 days."]],"claims":[["Return if no improvement in 3-5 days","Transcript states review if not better \"in three to four days\"; 3-5 days is not said."]],"note":"Presenting Condition\n\nOnset 3–4 days ago after eating Chinese takeaway\n\nLoose, watery stools 6–7x/day\n\nCramping pain in lower abdomen, left-sided, intermittent\n\nInitial vomiting at symptom onset; now resolved\n\nFelt hot at onset without measured temp; currently no fever\n\nFeels weak/shaky; loss of appetite; tolerating fluids; eating soups/smoothies\n\nNeeds to stay near toilet; affects day-to-day activities\n\n\n\n\nRadiology\n\nNone discussed\n\n\n\n\nPast Medical History\n\nAsthma, uses inhaler; well controlled\n\nDenies prior tummy/bowel problems\n\n\n\n\nMedications\n\nInhaler for asthma\n\nAdvised: paracetamol 2 tablets up to 4x/day for first few days if feverish/weak\n\n\n\n\nRed Flag/Screening Questions\n\nBlood in stool: denies\n\nVomiting: present at start, now stopped; no blood\n\nFever: felt hot at onset, no measured temp; no current fever\n\nPain radiation to back: denies\n\nSweats/night symptoms: denies\n\n\n\n\nSocial History\n\nLives with wife and two children\n\nOne child vomited; no family members with diarrhoea\n\nNon-smoker\n\nNo alcohol\n\nOccupation: accountant; has continued working despite symptoms; difficult\n\n\n\n\nSport & Exercise History\n\nNot discussed\n\n\n\n\nGoals\n\nSymptom relief and return to normal activities/work\n\n\n\n\nObjective\n\n(Consent obtained)\n\n\n\n\nDiagnosis\n\nLikely acute gastroenteritis (viral > bacterial) post takeaway\n\nPrognosis: expect improvement within 2–3 days; reassess if persistent\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nEd:\n\nOral rehydration (e.g., Dioralyte) to replace fluids/electrolytes\n\nLight diet as tolerated\n\nParacetamol for feverishness/weakness\n\nRest and take 2–3 days off work\n\nReturn if no improvement in 3–5 days for further tests (e.g., stool sample)\n\n\n\n\nPlan\n\nExpect recovery within several days\n\nOff work next 2–3 days, rest and hydrate\n\nReview if symptoms persist beyond 3–5 days or worsen; consider stool testing and further work-up\n","review":133.71052631578948,"saved":249.28947368421052,"clean":false,"effort":15.384615384615385,"sig":[["partial","The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","Review interval recorded as 3-5 days instead of the stated 3-4 days, altering follow-up timing."]],"mb":13.092217,"signable":160.24452631578947},{"label":"Run 3","wer":20.648343904157855,"text":"Hello? Hello. Hi. Hi. Should we stop?\n\nYep. Okay. Hello. Good morning, sir. How can I help you this morning?\n\nHi. I've just had some diarrhea for the last\n\nthree days, and it's been affecting me. I need to\n\nstay close to the toilet. And, yeah, it's been affecting my day to day activities.\n\nYeah. I'm sorry to hear that. And and when you say diarrhea, what do you mean by\n\ndiarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\nYeah. So it's like loose and watery stool going to the toilet quite often.\n\nAnd, like, some pain in my, like, lower stomach.\n\nOkay. And how many times a day are you going, let's say, for the last couple of days?\n\nProbably, like, six, seven times a\n\nday. Six, seven times a day.\n\nAnd you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\n\nNo. No blood. Yeah. Just watery and loose stool.\n\nOkay. And you mentioned you've had some pain in your tummy as well.\n\nYep. Whereabouts is the\n\npain exactly? So it's like in my lower abdomen.\n\nSo, like, yeah, just to one side.\n\nOne side. And what side is that?\n\nOn the left side.\n\nLeft side. Okay. And\n\nyou describe the pain to me?\n\nYeah. It feels like a cramp.\n\nLike a muscular cramp. And\n\nyeah, I feel a bit weak and shaky.\n\nOkay.\n\nAnd does the pain is that is it there all the time, or does it come and go?\n\nIt comes and goes.\n\nDoes it go? Does the pain move anywhere else? For example, towards your back?\n\nNo. Just mainly my stomach.\n\nOkay. Fine. And you mentioned you'd feeling quite weak and shaky as well. What do mean by\n\nshaky? Do you mean you've been having have you been feeling feverish, for example?\n\nYeah. It doesn't feel like yeah. I just think\n\nfor the week. I haven't had a fever at the moment, but I did notice\n\nsome temperature when the symptoms started. So\n\nyeah, around about three or four days ago.\n\nYou measure your temperature then?\n\nYeah. I I didn't measure my temperature.\n\nNo. But I felt just a bit hot. Okay. Okay.\n\nOther symptoms like sweating or No. No.\n\nAnd any vomiting at all?\n\nYeah. So\n\nI vomited at the start of the symptoms, but now I've stopped vomiting.\n\nYou stopped vomiting. Okay. And was your vomit I know it's not nice. We've talked\n\nabout, but was it just normal food color\n\nYeah. Yeah. Just normal vomit.\n\nYeah. And there was no blood in your vomit?\n\nThat right?\n\nNo blood. No.\n\nRight. Okay. Yeah.\n\nAnd any other symptoms at all? So you mentioned tummy pain. You\n\ndiarrhea. You mentioned your vomiting. Yep. Anything else that comes to mind?\n\nI had a loss of appetite, so I haven't been eating as much.\n\nBut I've been able to hold down fluids\n\nOkay. So you're drinking fluids. Yeah. What kind of foods have you managed to eat if anything?\n\nJust soups and, yeah, light foods.\n\nLike smoothies and, yeah, liquid foods mainly. Okay.\n\nFine. And so the start is\n\ndays ago with symptoms. Are you aware of any triggers which may have caused the symptoms\n\nto kick on? So for example, thinking I take away\n\nfoods or eating out or beating around other people who would see the symptoms.\n\nYeah. So I had takeaway about four days ago.\n\nBut other than that, I've, yeah, been eating normally.\n\nI think unusual. Yeah. Do you remember what you ate?\n\nYeah. I I ate at a Chinese restaurant with friends.\n\nOkay.\n\nAnyone else unwell with similar symptoms?\n\nSo no one else in the family. So I have a wife and two kids and one child was vomiting, but they haven't got diarrhea. There's no one with the\n\nsame symptoms.\n\nOkay. Okay. Fine.\n\nRight. And in terms of your overall health,\n\nare you normally feeling well?\n\nOr\n\nYeah. I mean, other than\n\nlike, using inhaler, everything else is fine.\n\nOkay. And is your asthma well controlled?\n\nYeah. That's fine. Just yeah. You send inhaler.\n\nAnd that's under control.\n\nFine. And you don't have any other\n\ntummy problem, bowel problem that should be aware of?\n\nNo.\n\nNo. Okay.\n\nAnd apart from the inhalers, do you take any other medications?\n\nNo. No other medications.\n\nOkay. Fine.\n\nIn terms of just your your day to day life, you said it's been affecting your life.\n\nYeah. In what way has it been affecting your life?\n\nSorry. I need to stay close to the toilet because I go\n\nquite frequently during the these past three days. Okay.\n\nYeah. Other than that, it's Yeah. Yeah, the main concern.\n\nAnd have you are you currently working at the moment?\n\nYeah. I I work. You work? I'm an accountant.\n\nOkay. Have you been going to work the last three days, or you've been at home?\n\nYeah. I've been going to work. Okay.\n\nThat must be difficult for you then.\n\nYeah. It's\n\nbeen quite difficult.\n\nRight. And you say you mentioned you live with a wife and\n\ntwo children. Is that right?\n\nYes. Yep. Alright.\n\nJust a couple of other question we need to ask. Do you smoke at all?\n\nNo. I don't smoke.\n\nAnd do you drink much in the way of alcohol?\n\nNo. I I don't drink alcohol. No. Okay.\n\nYeah. So\n\nnormally, at this stage, I like to\n\nexamine you if that's okay. But\n\nYeah.\n\nBut but having listened to your stories, I think\n\njust to recap, the last three days you've been having loose stool, diarrhea, bit of\n\ntummy pain mainly on the left hand side, vomiting and being generally quite weak and lethargic.\n\nYeah. You mentioned you had this Chinese takeaway as well three days ago, I wonder whether that might be\n\nthe cause of your problems.\n\nOkay.\n\nIt seems like you may have something\n\ncalled gastroenteritis. Okay.\n\nWhich essentially just a tummy bug or infection of your tummy.\n\nYep. Mainly caused by viruses, they can be\n\na possibility of bacteria causing your symptoms. Yeah.\n\nAt this stage, what we'd recommend is just\n\nwhat we say conservative management. So I don't think you need anything like\n\nantibiotics. It's really just making sure you're well hydrated.\n\nSo drinking Mhmm. Fluids.\n\nThere are things like Dairolite. You\n\nget from the pharmacy, which it's, it helps\n\nreplenish some of your minerals and vitamins.\n\nOkay.\n\nAnd if you are having vomiting and diarrhea, I would say recommend that in the first, you know, first couple of days.\n\nYeah. If you are\n\nfeeling\n\nfeverish and weak, taking some paracetamol two tablets up to four times a day for the first few days can also help.\n\nI'll certainly advise you to take some time at work. Actually, I know you're quite\n\nkeen to work. I would say next two two to three days,\n\naction clears from your system. Take some time off and rest.\n\nIf your symptoms haven't got better, you know, in in\n\nthree to four days, I'd like you to come back and see me again. Okay.\n\nSure.\n\nBecause if it is ongoing, then we have to wonder whether there's something else causing symptoms.\n\nYep. And we may need to do further tests like\n\ntaking a sample of your stool so we can test that, etcetera,\n\nYep. Sure. Yep.\n\nHow's that sound?\n\nThat sounds great. Yeah.\n\nYeah. Do you have any questions for me?\n\nNo. No further questions.\n\nNope. Okay. Is the is the treatment plan clear?\n\nYeah. Yeah. That's that's very clear. Thank\n\nyou. Great. Well, I wish you all the best.\n\nOkay. Thank\n\nyou. Thank you. Bye. Bye\n\nbye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,43,"start Yeah",false],[56,56,"how um.",false],[110,113,"Hello how are you Oh hey um",false],[291,300,"",false],[352,359,"what'd",false],[698,698,"or",false],[753,762,"mention",false],[964,968,"",false],[1001,1001,"Yep.",false],[1006,1015,"",false],[1048,1052,"um...yeah",false],[1146,1146,"can",false],[1283,1287,"is",false],[1376,1383,"Come and",false],[1455,1458,"Uh...no",false],[1464,1470,"maybe",false],[1514,1519,"you've been",false],[1699,1719,"makes me feel weak.",false],[1775,1779,"um a",false],[1920,1927,"mention",false],[1975,1975,"And y'know.",false],[1987,1987,"Any",false],[2021,2024,"um night sweats",false],[2053,2053,"Uh no.",false],[2207,2219,"thing to talk",false],[2256,2293,"colour",false],[2350,2350,"Yeah yeah just normal vomit yeah. No",false],[2386,2386,"No okay. Um",false],[2391,2391,"um any",false],[2451,2451,"mentioned",false],[2492,2496,"uh",false],[2529,2529,"Yep. Um",false],[2726,2726,"Yep. 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Um I'll admit",false],[6479,6483,"",false],[6492,6494,"you",false],[6573,6580,"",false],[6596,6603,"caused your",false],[6711,6711,"Um etcetera",false],[6854,6859,"no.",false],[7009,7009,"Bye.",false],[7031,7035,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Loose watery stools 6-7x/day for 3 days; blood in stool denied."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","Left-sided lower abdominal cramping, intermittent, non-radiating."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Initial vomiting now resolved; blood in vomit denied."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt feverish at onset, no measured temp, no current fever, weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Reduced appetite, tolerating fluids, soups/smoothies."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway with friends; one child vomited without diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma controlled with inhaler; inhaler listed as sole regular medication."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"must stay close to toilet; work attendance difficult but ongoing\"."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Likely acute gastroenteritis (viral or bacterial)\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Conservative management with fluids and ORS (Dioralyte), but no statement that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","Paracetamol captured but as \"up to 1 g QID\" rather than the spoken two tablets; no strength was stated."],["The plan captures rest and approximately two to three days off work.","yes","\"Rest; take 2-3 days off work\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Return if no improvement in 3-4 days for stool tests."]],"claims":[["paracetamol up to 1 g QID","Only \"two tablets up to four times a day\" was said; 1 g strength is not in the transcript."],["Prognosis: expected improvement within 2-4 days with conservative care","No prognosis or expected recovery timeframe was stated; clinician only said to take 2-3 days off and review if not better in 3-4 days."]],"note":"Presenting Condition\n\nOnset 3–4 days ago after eating Chinese takeaway with friends\n\nLoose, watery stools 6–7x/day for 3 days\n\nLower abdominal pain, left‑sided, cramping, intermittent; non-radiating\n\nInitial vomiting at symptom start; now resolved\n\nFelt feverish at onset; no measured temp; currently no fever\n\nFeels weak and shaky; reduced appetite; tolerating fluids; eating soups/smoothies\n\nImpact: must stay close to toilet; work attendance difficult but ongoing (accountant)\n\n\n\n\nRed Flag/Screening Questions\n\nBlood in stool: denies\n\nBlood in vomit: denies\n\nFever: felt hot at onset; none currently; no sweats\n\nVomiting: present initially; resolved\n\nOther bowel/abdominal history: denies\n\n\n\n\nPast Medical History\n\nAsthma, controlled with inhaler\n\n\n\n\nMedications\n\nInhaler for asthma\n\nAdvised: paracetamol up to 1 g QID PRN for fever/aches\n\n\n\n\nSocial History\n\nLives with wife and two children; one child vomited but no diarrhoea\n\nOccupation: accountant; has been attending work despite symptoms\n\nTobacco: non-smoker\n\nAlcohol: does not drink\n\n\n\n\nDiagnosis\n\nLikely acute gastroenteritis (viral or bacterial)\n\nPrognosis: expected improvement within 2–4 days with conservative care\n\n\n\n\nTreatment\n\nEd:\n\nHydration emphasis; oral rehydration salts (e.g., Dioralyte)\n\nRest; take 2–3 days off work\n\nParacetamol up to 1 g QID for fever/aches\n\nReturn if no improvement in 3–4 days for further tests (e.g., stool sample)\n\n\n\n\nPlan\n\nConservative management with fluids, ORS, rest, paracetamol PRN\n\nReview if symptoms persist beyond 3–4 days or worsen\n\nPossible investigations at review: stool studies\n","review":141.21052631578948,"saved":241.78947368421052,"clean":false,"effort":26.923076923076923,"sig":[["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Paracetamol recorded as up to 1 g QID; spoken instruction was two tablets with no strength stated."]],"mb":13.095532,"signable":161.26452631578948},{"label":"Run 4","wer":20.29598308668076,"text":"Hello? Hello. Hi. Hi. Should we stop?\n\nYep. Okay. Hello. Good morning, sir. How can I help you this morning?\n\nHi. I've just had some diarrhea for the last\n\nthree days, and it's been affecting me. I need to\n\nstay close to the toilet. And, yeah, it's been affecting my day to day activities.\n\nYeah. I'm sorry to hear that. And and when you say diarrhea,\n\ndo you mean by diarrhea? Do you mean you're going to the toilet more often, or are your stools more loose?\n\nYeah. So it's like loose and watery stool going to the toilet quite\n\nand, like, some pain in my\n\nlike, lower stomach. Okay. And how many times a day are you going, let's say, for the last\n\ncouple of days?\n\nProbably, like, six, seven times a day.\n\nSix, seven times a day.\n\nAnd you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\n\nNo. No blood. Yeah. Just watery and loose stool.\n\nOkay. And you mentioned you've had some pain in your tummy as well.\n\nYep. Whereabouts is the pain exactly? So it's\n\nlike in my lower abdomen.\n\nSo, like, yeah, just to one side.\n\nOne side. And what side is that?\n\nOn the left side.\n\nLeft side. Okay. And can you describe the pain to me?\n\nYeah. It feels like a cramp, like a muscle.\n\nCramp. And, yeah, I feel a bit weak and shaky.\n\nOkay. And does the pain is that is it there all the time, or does it come and go?\n\nIt comes and goes.\n\nDoes it go? Does the pain move anywhere else? For example, towards your back?\n\nNo. Just mainly my stomach.\n\nOkay. Fine. And you mentioned you'd feeling quite weak and shaky as well. What do mean by\n\nshaky? Do you mean you've been having have you been feeling feverish, for example?\n\nYeah. It doesn't feel like yeah. I just make feel weak. I haven't had\n\na fever at the moment, but I did notice a temperature\n\nwhen the symptoms started. So\n\nyeah, around about three or four days ago.\n\nYou measure your temperature then?\n\nYeah. I I didn't measure my temperature. No. But I felt just a bit hot.\n\nOkay.\n\nOkay. Any\n\nother symptoms like sweating or\n\nnight? No. No. And any vomiting at all?\n\nYeah. So I vomited at the start of the symptoms, but\n\nnow I've stopped vomiting.\n\nVomiting. Okay. And was your vomit I know it's not nice to talk about, but was it just normal\n\nfood color?\n\nYeah. Yeah. Just normal vomit.\n\nYeah.\n\nAnd there was no blood in your vomit. Is that right?\n\nNo blood.\n\nNo. Right. Okay.\n\nYeah. And any other symptoms\n\nall? You mentioned tummy pain. You mentioned diarrhea. You mentioned your vomiting.\n\nYep. Anything else that comes to mind?\n\nI had a loss of appetite.\n\nSo I haven't been eating as much. Okay. But I've been able to\n\nhold down fluids.\n\nOkay. So you're drinking fluids.\n\nYeah. What kind of foods have you managed to eat and anything?\n\nJust soups and, yeah, light foods.\n\nLike smoothies and, yeah, liquid foods mainly. Okay.\n\nFine. And so\n\nyou started three days ago with symptoms. Are you aware of any triggers which may have caused the symptoms\n\nto kick on? So for example, things like takeaway\n\nfoods or eating out or beating around other people who had similar symptoms.\n\nYeah. So I had takeaway about four days ago.\n\nBut other than that, I've, yeah, been eating normally.\n\nI think unusual. Yeah. Do you remember what you ate?\n\nYeah. I I ate at a Chinese restaurant with friends.\n\nOkay.\n\nAnyone else unwell with similar symptoms?\n\nSo no one else in the family. So I have a wife and two kids and one child was vomiting, but they haven't got diarrhea. It's no one with the\n\nsame\n\nsymptoms.\n\nOkay. Okay. Fine.\n\nRight. And in terms of your overall health, are you normally fitting well?\n\nOr\n\nYeah. I mean, other than\n\nasthma, like, using inhaler, everything else is fine.\n\nOkay. And is your asthma well controlled?\n\nYeah. That's fine. Just, yeah, use an inhaler, and that's something\n\ncontrol.\n\nFine. And you don't have any other tummy problem, bowel problem that should be aware of?\n\nNo. No. Okay. And apart from inhalers, do you take any other medication\n\nNo. No other medications.\n\nOkay. Fine.\n\nIn terms of just your your day to day life, you said it's been affecting your life.\n\nYeah. In what way has it been affecting your life?\n\nSorry. I need to stay close to the toilet because I go\n\nquite frequently during the these past three days. Okay.\n\nYeah. Other than that, it's Yeah. Yeah, the main concern.\n\nAnd have you are you currently working at the moment?\n\nYeah. I I work. You work? I'm an accountant.\n\nOkay. Have you been going to work the last three days, or you've been at home?\n\nYeah. I've been going to work. Okay.\n\nThat must be difficult for you then.\n\nYeah. It's been\n\nquite difficult.\n\nRight. And you say you mentioned you live with a wife and\n\ntwo children. Is that right?\n\nYes.\n\nYep. Alright.\n\nJust a couple of other question we need to ask. Do you smoke at all?\n\nNo. I don't smoke.\n\nAnd do you drink much in the way of alcohol?\n\nNo. I I don't drink alcohol. No. Okay.\n\nYeah. So\n\nnormally, at this stage, I like to\n\nexamine you if that's okay. But Yeah. But but having listened to your stories,\n\nI think you just to recap the the last\n\ndays, you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left hand side.\n\nAnd vomiting and being generally quite weak and lethargic.\n\nYeah. You mentioned you had this Chinese takeaway as well three days ago, and I wonder whether that might be\n\ncause of your problems.\n\nOkay. It\n\nseems like you may have something\n\ncalled gastroenteritis. Okay.\n\nWhich essentially just a tummy bug or infection of your tummy.\n\nYep. Mainly caused by viruses, but they can be\n\npossibility of bacteria causing your symptoms. Yeah.\n\nAt this stage, what we'd recommend is just\n\nwhat we say conservative management. So I don't think you need anything like antibiotics. It's really just\n\nmaking sure you're well hydrated, so drinking Mhmm. Fluids.\n\nThere are things like\n\nDairolite you can get from the pharmacy, which it's\n\nhelps replenish some of your minerals and vitamins.\n\nOkay. And if you are having vomiting and diarrhea, would say recommend that at first.\n\nYou know, first couple of days. Yeah. If you are feeling\n\nfeverish and weak, taking some paracetamol two tablets up to four times a day for the first few days can also help.\n\nI'll certainly advise you to take some time at work. Actually, I know you're quite keen to work. I would say next\n\ntwo two to three days Yeah. Action clears from your system.\n\nTake some time off and rest.\n\nIf your symptoms\n\nhaven't\n\ngot better, you know, in in three to days, I'd like you to come back and see me again.\n\nOkay.\n\nSure.\n\nIf it is ongoing, then we have to wonder whether there's something else causing symptoms.\n\nYep. And we may need to do further tests like\n\ntaking a sample of your stool so we can test that.\n\nEtcetera, etcetera.\n\nYep. Sure.\n\nYep. How's that sound?\n\nThat sounds great. Yeah.\n\nYeah. Do you have any questions for me?\n\nNo. No further questions. Nope.\n\nOkay. Is the is the treatment plan clear?\n\nYeah.\n\nYeah. That's that's very clear. Thank you.\n\nGreat. Well, I wish you all the best.\n\nOkay. Thank you.\n\nThank you. Bye. Bye bye.","marks":[[0,5,"",false],[18,21,"Um",false],[32,43,"start Yeah",false],[56,56,"how um.",false],[110,113,"Hello how are you Oh hey um",false],[291,300,"",false],[353,355,"what'd",false],[528,528,"often uh",false],[686,686,"or",false],[741,750,"mention",false],[952,956,"",false],[988,988,"Yep.",false],[993,1003,"",false],[1036,1040,"um...yeah",false],[1205,1212,"muscular",false],[1272,1276,"is",false],[1365,1372,"Come and",false],[1444,1447,"Uh...no",false],[1453,1459,"maybe",false],[1503,1508,"you've been",false],[1688,1692,"makes me",false],[1902,1909,"mention",false],[1956,1956,"And y'know.",false],[2016,2019,"sweats",false],[2047,2047,"Uh no.",false],[2130,2130,"You stopped",false],[2187,2187,"thing",false],[2232,2270,"colour",false],[2330,2330,"Yeah yeah just normal vomit yeah. No",false],[2367,2367,"No okay. Um",false],[2371,2371,"um any",false],[2477,2481,"uh",false],[2514,2514,"Yep. Um",false],[2709,2712,"if",false],[2721,2721,"Yep. 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Um I'll admit",false],[6449,6449,"four",false],[6477,6481,"",false],[6490,6492,"you",false],[6513,6513,"Because",false],[6564,6571,"",false],[6587,6594,"caused your",false],[6855,6860,"no.",false],[7011,7011,"Bye.",false],[7033,7037,"",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Onset 3-4 days, loose watery stools 6-7x/day, denies blood in stools."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Intermittent crampy pain in left lower abdomen.\""],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","Vomited at start, now stopped; denies blood in vomit."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","Felt hot at onset, no measured temp, no current fever; weak and shaky."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Reduced appetite, tolerating fluids, light foods (soups, smoothies)."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese restaurant takeaway and one child vomited without diarrhoea."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","Asthma, inhaler, well controlled; no other regular medications."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","yes","\"Needs to stay close to a toilet; affecting day-to-day activities\" and work difficulty."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Suspected acute gastroenteritis, likely viral; bacterial a possibility.\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Hydration and Dioralyte captured, but no statement that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","\"Paracetamol 2 tablets up to 4 times/day.\""],["The plan captures rest and approximately two to three days off work.","yes","\"Rest and take 2-3 days off work.\""],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Review if not improving in 3-4 days; consider stool testing."]],"claims":[],"note":"Presenting Condition\n\nOnset 3–4 days ago after eating takeaway at a Chinese restaurant\n\nLoose, watery stools 6–7x/day\n\nIntermittent crampy pain in left lower abdomen\n\nFelt hot at onset; no measured temp; currently no fever\n\nVomited at start of illness; vomiting has now stopped\n\nFeels weak and shaky; reduced appetite; tolerating fluids; eating light foods (soups, smoothies)\n\nNeeds to stay close to a toilet; affecting day‑to‑day activities\n\nContinues to attend work; difficult to manage symptoms at work\n\n\n\n\nPast Medical History\n\nAsthma; uses inhaler; well controlled\n\nDenies other gastrointestinal or bowel conditions\n\nNo known blood in stool or vomit reported\n\n\n\n\nMedications\n\nInhaler for asthma\n\nNo other regular medications\n\n\n\n\nRed Flag/Screening Questions\n\nBlood in stools: denies\n\nBlood in vomit: denies\n\nFever: felt hot initially; no current fever; did not measure temperature\n\nNight sweats: denies\n\nVomiting: present initially; now resolved\n\n\n\n\nSocial History\n\nLives with wife and two children\n\nOne child vomited but no diarrhoea in family\n\nAccountant; has been attending work despite symptoms\n\nTobacco: does not smoke\n\nAlcohol: does not drink\n\n\n\n\nSport & Exercise History\n\nNot discussed\n\n\n\n\nGoals\n\nSymptom relief and return to normal daily activities/work\n\n\n\n\nObjective\n\n(Consent obtained)\n\nExamination planned; not performed within transcript\n\n\n\n\nDiagnosis\n\nSuspected acute gastroenteritis, likely viral; bacterial a possibility\n\nPrognosis: expected improvement within 2–3 days with conservative care\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nEd:\n\nMaintain hydration; consider oral rehydration solution (e.g., Dioralyte)\n\nParacetamol 2 tablets up to 4 times/day for fever/aches in first few days\n\nRest and take 2–3 days off work\n\n\n\n\nPlan\n\nExpect improvement in 2–3 days\n\nIf not improving in 3–4 days, review; consider stool testing and further investigations\n\nReturn sooner if worsening symptoms or new red flags appear\n\n\n\n\nHome Exercise Program\n\nNone prescribed for this condition\n","review":109.64473684210527,"saved":273.35526315789474,"clean":false,"effort":3.8461538461538463,"sig":[],"mb":13.165512,"signable":131.14273684210528}],"patientnotes":[{"label":"Run 1","wer":21.42353770260747,"text":"Hello. Hello. Hi.\nHi.\nShould\nwe stop? Yeah. Okay. Hello, how can I help you this morning?\nHi. I've just had some diarrhea for the last three days and it's been affecting me. I need to stay close to the toilet and yeah it's been affecting my day to day activities.\nSorry to hear that. And when you say diarrhea what do you mean by diarrhea? Do you mean you're going to the toilet more often or are your stools more loose?\nYeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my like lower stomach.\nOkay. And how many times a day are you going? Let's say\nthe last couple of days probably like six, seven times a day. Six, seven times a day.\nAnd you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\nNo, no blood. Yeah, just watery and.\nLoose stall.\nOkay. And you mentioned you've had some pain in your tummy as well.\nYeah.\nWhereabouts is the pain?\nSo it's like in my lower abdomen. So, like. Yeah, just to one side. What side is that on the left side. Left side. Okay.\nAnd can you describe the pain to me?\nYeah, it feels like a cramp, like a muscular cramp. And yeah, I feel a bit weak and shaky.\nOkay. And does the pain. Is it there all the time or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\nNo, just mainly my stomach. Okay, fine.\nAnd you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having been feeling feverish, for example?\nYeah, it doesn't feel like. Yeah, it just makes me feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so.\nYeah, around about three or four days ago.\nDid you measure your temperature then?\nYeah, I didn't measure my temperature, no, But I felt just a bit hot. Okay.\nAny other symptoms, like sweating or night? No. And any vomiting at all?\nYeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\nYou stopped vomiting. Okay. And was your vomit. I know it's not nice to talk about, but was it just normal food color?\nYeah. Yeah, just normal vomit. There was no blood in your vomit? No blood? No. Okay.\nAnd any other symptoms at all? You mentioned tummy pain, you mentioned diarrhea, you mentioned the vomiting. Anything else that comes to mind?\nI had a loss of appetite. I haven't been eating as much, but I've been able to hold down fluids.\nOkay, so you're drinking fluids. What kind of foods have you managed to eat?\nAnything?\nJust soups and. Yeah, light foods, like smoothies and. Yeah, liquid foods, mainly. Okay,\nfine. And so we started three days ago. Symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So, for example, things like takeaway foods or eating out or being around other people who would. Similar symptoms?\nYeah, So I had takeaway about four days ago, but other than that, I've been eating normally, I think. Unusual. Yeah.\nDo you remember what you ate?\nYeah, I ate at a Chinese restaurant with friends. Okay,\nanyone else unwell with similar symptoms?\nSo no one else in the family? So I have a wife and two kids, and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\nOkay, fine.\nRight. And in terms of your overall health, are you normally fitting? Well,\nyeah. I mean, other than asthma, use an inhaler, everything else is fine.\nOkay. And is your asthma well controlled?\nYeah, that's fine. Just, yeah, use an inhaler and that's under control. And\nyou don't have any other tummy problem, bowel problems I should be aware of?\nNo.\nOkay. Apart from the inhalers, do you take any other medications?\nNo. No other medications.\nIn terms of just your, your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\nSo I need to stay close to the toilet because I go quite frequently during the, these past three days. Yeah, other than that, it's, yeah, the main concern.\nAnd are you currently working at the moment?\nYeah, I work.\nI'm an accountant. Okay. Have you been going to work the last three days or have you been at home? Yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult. And you say you mentioned you live with a wife and two children, is that right? Yes. Yeah. All right, just a couple of other questions we need to ask. Do you smoke at all? No, I don't smoke. Do you drink much in the way of alcohol? No, I don't drink alcohol, no. Okay. So normally at this stage I like to examine you, if that's okay. But having listened to your story, sir, I think just to recap, for the last three days you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left hand side, and vomiting and being generally quite weak and lethargic. You mentioned you're having this Chinese takeaway as well, three days ago. And I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis, which is essentially just a tummy bug.\nOr infection of your tummy, mainly caused by viruses, but they can be possibility of bacteria causing your symptoms. At this stage, what we'd recommend is just what we say, conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Diurelite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. And if you are having vomiting and diarrhea, I would say recommend that first couple of days, if you are feeling feverish and weak, taking some Paracetamol, a few tablets, up to four times a day for the first few days can also help. I would certainly advise you to take some time at work, actually. I know you're quite keen to work. I would say next two to three days. Players in your system.\nTake some time off and rest. If your symptoms haven't got better, you know, in three to four days, I'd like you to come back and see me again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etc. Etc. Yeah, sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No. No further questions. Okay. Is the treatment plan clear? Yeah, yeah, that's. That's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye.","marks":[[0,6,"",false],[18,21,"Um",false],[32,36,"start",false],[55,55,"how um. Good morning sir",false],[90,93,"Hello how are you Oh hey um",false],[310,317,"what'd",false],[637,637,"or",false],[690,699,"mention",false],[824,830,"stool.",false],[928,928,"exactly Yep.",false],[933,942,"",false],[974,978,"um...yeah",false],[997,997,"One side. And",false],[1189,1193,"is",false],[1271,1271,"Come and go.",false],[1338,1340,"Uh...no",false],[1347,1353,"maybe",false],[1503,1503,"uh have you",false],[1744,1747,"",false],[1798,1805,"mention",false],[1852,1852,"And y'know. Okay.",false],[1901,1901,"sweats",false],[1930,1930,"Uh no.",false],[2080,2080,"thing",false],[2124,2129,"colour",false],[2137,2161,"And",false],[2194,2194,"is that right Yeah yeah just normal vomit yeah. No",false],[2209,2209,"Yeah. No",false],[2219,2219,"um any",false],[2311,2314,"your",false],[2357,2357,"Yep. 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Yep",false],[6316,6321,"yep.",false],[6430,6430,"no.",false],[6570,6570,"Bye.",false],[6586,6586,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","Captures \"Loose, watery stools 6-7 times/day, onset 3 days ago\" but omits absence of blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","\"Lower left abdominal cramp-like pain, intermittent\" captured; absence of radiation not documented."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","partial","\"Vomited at symptom onset, now resolved\" captured; no mention of absence of blood in vomit."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","yes","\"Weakness, shakiness, brief feverish feeling, no measured temperature\" conveys past subjective fever, weakness and no measured temp."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","\"Loss of appetite, tolerating fluids (soups, smoothies, light foods)\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","partial","Chinese takeaway captured but the household child with vomiting is not mentioned."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","no","Asthma, inhaler use and absence of other medications are not documented."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","\"affecting daily activities\" noted, but need to stay close to toilet and work disruption omitted."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Likely acute gastroenteritis.\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Hydration and oral rehydration solution recommended, but no statement that antibiotics are not needed."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","\"Paracetamol up to four times daily\" given without the two-tablet dose."],["The plan captures rest and approximately two to three days off work.","yes","\"Rest; take 2-3 days off work.\""],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Return if no improvement in 3-4 days for review and possible stool testing.\""]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nDiarrhoea for three days affecting daily activities.\n\nHistory of Presenting Complaint::\n\nLoose, watery stools 6–7 times/day, onset 3 days ago.\n\nLower left abdominal cramp-like pain, intermittent.\n\nWeakness, shakiness, brief feverish feeling, no measured temperature.\n\nVomited at symptom onset, now resolved.\n\nLoss of appetite, tolerating fluids (soups, smoothies, light foods).\n\nPossible trigger: Chinese takeaway 4 days ago.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nLikely acute gastroenteritis.\n\nPlan\n\nMedications::\n\nDiurelite oral rehydration solution recommended.\n\nParacetamol up to four times daily for fever/weakness.\n\nIncrease fluid intake; use oral rehydration solution.\n\nTake Paracetamol if feverish or feeling weak.\n\nRest; take 2–3 days off work.\n\nReturn if no improvement in 3–4 days for review and possible stool testing.\n\nContinue light diet as tolerated.","review":197.85526315789474,"saved":185.14473684210526,"clean":false,"effort":34.61538461538461,"sig":[["partial","The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","Omits the negative screen for blood in stool, a pertinent red-flag negative that bears on invasive/bacterial cause."],["partial","The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","Omits the negative screen for blood in vomit, a pertinent red-flag negative."],["missing","The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","Asthma, inhaler use and medication list entirely absent; relevant to prescribing."]],"mb":22.694467,"latency":27.111,"signable":224.96626315789473},{"label":"Run 2","wer":21.141649048625794,"text":"Hello. Hello? Hi. Should we stop? Yeah. Okay.\nHello? Good morning sir, how can I help you this morning?\nHi. I've just had some diarrhea for the last three days and it's been affecting me. I need to stay close to the toilet and yeah it's been affecting my day to day activities.\nSorry to hear that. And when you say diarrhea what do you mean by diarrhea? Do you mean you're going to the toilet more often or are your stools more loose?\nYeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my like lower stomach.\nOkay. And how many times a day are you going? Let's say\nover the last couple of days probably like six, seven times a day. Six, seven times a day\nand you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\nNo blood. Yeah, just watery and loose stool.\nOkay and you mentioned.\nYou've had some pain in your tummy as well?\nYeah.\nWhereabouts is the pain?\nSo it's like in my lower abdomen. So, like. Yeah, just to one side.\nOne side. And\nwhat side is that on the left side. Left\nside. Okay. And can you describe the pain to me?\nYeah, it feels like a cramp, like a muscular cramp. And, yeah, I feel a bit weak and shaky.\nOkay. And does the pain. Is that. Is it there all the time or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\nNo, just mainly my stomach. Okay, fine.\nAnd you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having been feeling feverish, for example?\nYeah, it doesn't feel like. Yeah, I just make me feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so, yeah, around about three or four days ago.\nYour temperature then?\nYeah, I didn't measure my temperature, no, But I felt just a bit hot. Okay. Okay.\nAny other symptoms like sweating or night? No. And any vomiting at all?\nYeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\nYou stopped vomiting. Okay. And was your vomit. I know it's not nice things to talk about, but was it just normal food color?\nYeah. Yeah, just normal vomit. There was no blood in your vomit? No blood? No. Okay.\nAnd any other symptoms at all? You mentioned tummy pain, you mentioned diarrhea, you mentioned the vomiting. Anything else that comes to mind?\nI had a loss of appetite. I haven't been eating as much, but I've been able to hold down fluids.\nOkay, so you're drinking fluids. What kind of foods have you managed to eat? Anything,\nJust soups and.\nYeah, light foods like smoothies and. Yeah, liquid foods mainly.\nOkay, fine. And so we started three days ago. Symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So, for example, things like take away foods or eating out or being around other people who would. Similar symptoms?\nYeah, so I had takeaway about four days ago, but other than that I've, yeah, been eating normally, I think. Unusual. Yeah.\nDo you remember what you ate?\nYeah, I ate at a Chinese restaurant with friends.\nOkay. Anyone else unwell with similar symptoms?\nSo no one else in the family? So I have a wife and two kids and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\nOkay. Okay, fine. Right. And in terms of your overall health, are you normally fitting well.\nYeah, I mean other than asthma, use an inhaler, everything else is fine.\nOkay. And is your asthma well controlled?\nYeah, that's fine. Just yeah, use an inhaler and that's under control. And\nyou don't have any other tummy problem, bowel problems I should be aware of?\nNo. No. Okay.\nApart from inhalers, do you take any other medications?\nNo, no other medications.\nOkay, fine. In terms of just your day to day life, you said it's been affecting your life. In what way has it been affecting your life?\nSo I need to stay close to the toilet because I go quite frequently during these past three days. Yeah, other than that it's the main concern.\nAnd are you currently working at the moment?\nYeah, I work. Work. I'm an accountant. Okay. Have you been going into work the last three days or you've been at home? Yeah, I've been going to work.\nThat must be difficult for you then. Yeah, it's been quite difficult. And you say you mentioned you live with a wife and two children, is that right? Yes. Yeah. Just a couple of other questions we need to ask. Do you smoke at all? No, I don't smoke. Do you drink much in the way of alcohol? No, I don't drink alcohol, no. Okay. So normally at this stage I like to examine you. That's okay. But. But having listened to your stories, I think just to recap, for the last three days you've been having loose stool, diarrhea, a bit of tummy pain mainly on the left hand side and vomiting and being generally quite weak and lethargic. You mentioned you're having this Chinese takeaway as well three days ago. And I wonder whether that might be the cause of your problems. It seems like you may have something called gastroenteritis, which is essentially a tummy bug or infection of your tummy mainly caused by viruses, but they can be possibly.\nOf bacteria causing your symptoms. At this stage, what we'd recommend is just what we say, conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Diurelite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. Okay. And if you are having vomiting and diarrhea, I would say recommend that first couple of days. Yeah. If you are feeling feverish and weak, taking some Paracetamol, two tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time at work, actually. I know you're quite keen to work. I would say next two to three days clears from your system, take some time off and rest. If your symptoms haven't got better in three to four days, I'd like to come back and see you again.\nOkay, sure. Because if it is ongoing, then we have to wonder whether something else causing symptoms. And we may need to do further tests like taking a sample of your stool so we can test that, etc. Etc.\nYeah, sure. Yeah.\nHow's that sound?\nThat sounds great. Yeah. Yeah. Do\nyou have any questions for me?\nNo, no further questions.\nOkay. Is the treatment plan clear?\nYeah, yeah, that's very clear. Thank you.\nGreat. Well, I wish you all the best.\nOkay, thank you. Thank you. Bye.","marks":[[0,6,"",false],[28,32,"start",false],[51,51,"how um.",false],[104,107,"Hello how are you Oh hey um",false],[324,331,"what'd",false],[610,614,"in",false],[656,656,"or",false],[708,717,"mention",false],[797,797,"No",false],[941,941,"exactly Yep.",false],[946,955,"",false],[987,991,"um...yeah",false],[1217,1221,"is",false],[1308,1308,"Come and go.",false],[1375,1377,"Uh...no",false],[1384,1390,"maybe",false],[1540,1540,"uh have you",false],[1618,1622,"makes",false],[1778,1778,"You measure",false],[1817,1824,"mention",false],[1871,1871,"And y'know.",false],[1925,1925,"sweats",false],[1954,1954,"Uh no.",false],[2105,2111,"thing",false],[2155,2160,"colour",false],[2168,2192,"And",false],[2225,2225,"is that right Yeah yeah just normal vomit yeah. No",false],[2240,2240,"Yeah. No",false],[2250,2250,"um any",false],[2342,2345,"your",false],[2388,2388,"Yep. Um",false],[2562,2562,"if",false],[2572,2572,"Yep. 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Yep",false],[6291,6296,"yep.",false],[6405,6405,"no.",false],[6447,6451,"that's",false],[6537,6537,"Bye.",false],[6553,6553,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","\"3-day history of watery diarrhoea, 6-7 motions/day\" but absence of blood in stool omitted."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","\"Left lower abdominal cramp-like pain, intermittent\" but radiation status not recorded."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","partial","Vomiting resolved captured, but states \"One episode\" (count not given) and omits no blood in vomit."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","partial","\"Weakness... mild temperature at onset, no measured fever\" but does not clearly state no current fever."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","\"Reduced appetite, tolerating soups, smoothies, fluids\"."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","partial","\"Chinese takeaway 4 days ago\" captured, but the vomiting household child is omitted."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","no","Asthma, inhaler use and no other medications are not recorded."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","\"affecting daily activities\" and \"limited by symptoms\" at work, but need to stay close to a toilet omitted."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Acute gastroenteritis, likely viral or bacterial\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Oral rehydration solution recorded, but no statement that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","\"two tablets up to four times daily\" correct, but adds unstated strength \"500 mg\"."],["The plan captures rest and approximately two to three days off work.","yes","\"Rest from work for 2-3 days\"."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Review if no improvement in 3-4 days; consider stool testing\"."]],"claims":[["One episode of vomiting resolved.","Transcript says only \"I vomited at the start of the symptoms\"; the number of episodes was never given."],["Paracetamol 500 mg, two tablets","No tablet strength was stated in the transcript."]],"note":"Subjective\n\nChief Complaint::\n\nPatient presents with three days of diarrhoea affecting daily activities.\n\nHistory of Presenting Complaint::\n\nSubjective:\n\n3‑day history of watery diarrhoea, 6‑7 motions/day.\n\nLeft lower abdominal cramp‑like pain, intermittent.\n\nWeakness, shakiness, mild temperature at onset, no measured fever.\n\nOne episode of vomiting resolved.\n\nReduced appetite, tolerating soups, smoothies, fluids.\n\nPossible trigger: Chinese takeaway 4 days ago.\n\nWorks as accountant, continues to attend work but limited by symptoms.\n\nObjective\n\nObjective:\n\nNo physical examination performed during telehealth.\n\nNo vital signs recorded.\n\nNot discussed\n\nAssessment\n\nAssessment:\n\nAcute gastroenteritis, likely viral or bacterial.\n\nPlan\n\nMedications::\n\nOral rehydration solution (e.g., Diurelite) recommended for hydration and electrolyte replacement.\n\nParacetamol 500 mg, two tablets up to four times daily for fever and discomfort advised.\n\nPlan:\n\nMaintain fluid intake with oral rehydration solutions.\n\nParacetamol as needed for fever/pain.\n\nRest from work for 2‑3 days.\n\nReview if no improvement in 3‑4 days; consider stool testing.\n\nFollow‑up as needed.","review":251.5263157894737,"saved":131.4736842105263,"clean":false,"effort":53.84615384615385,"sig":[["missing","The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","Asthma and inhaler use are absent, so the record has no comorbidity or current medication."],["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Invented a paracetamol tablet strength that was never stated."]],"mb":25.296679,"latency":92.371,"signable":343.8973157894737},{"label":"Run 3","wer":21.21212121212121,"text":"Hello. Hello. Hi.\nHi. Should we stop? Yeah. Okay. Hello. Good morning sir, how can I help you this morning?\nHi. I've just had some diarrhea for the last three days and it's been affecting me. I need to stay close to the toilet and yeah it's been affecting my day to day activities.\nSorry to hear that. And when you say diarrhea what do you mean by diarrhea? Do you mean you're going to the toilet more often or are your stools more loose?\nYeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my like lower stomach.\nOkay. And how many times a day are you going? Let's say\nthe last couple of days probably like six, seven times a day. Six, seven times a day\nand you may mention it, mainly watery. Have you noticed any other things like blood in your stools?\nNo, no blood. Yeah, just watery and.\nLoose stall.\nOkay. And you mentioned you've had some pain in your tummy as well.\nYep.\nWhereabouts is the pain?\nSo it's like in my lower abdomen. So, like. Yeah, just to one side. What side is that on the left side.\nLeft side. Okay. And can you describe the pain to me?\nYeah, it feels like a cramp, like a muscular cramp. And yeah, I feel a bit weak and shaky.\nOkay. And does the pain. Is it there all the time or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\nNo, just mainly my stomach. Okay.\nAnd you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having been feeling feverish, for example?\nYeah, it doesn't feel like. Yeah, it just makes me feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so.\nYeah, around about three or four days ago.\nDid you measure your temperature then?\nYeah, I didn't measure my temperature, no. But I felt just a bit hot. Okay. Okay.\nAny other symptoms, like sweating or night? No. And any vomiting at all?\nYeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\nYou stopped vomiting. Okay. And was your vomit. I know it's not nice to talk about, but was it just normal food color?\nYeah. Yeah, just normal vomit. And there was no blood in your vomit, is that right? No blood? No, no. Okay.\nAnd any other symptoms at all? You mentioned tummy pain, you mentioned diarrhea, you mentioned vomiting. Anything else that comes to mind?\nI had a loss of appetite. I haven't been eating as much, but I've been able to hold down fluids.\nOkay, so you're drinking fluids. What kind of foods have you managed to eat?\nJust soups and. Yeah, light foods, like smoothies and. Yeah, liquid foods, mainly. Okay, fine.\nAnd so we started three days ago. Symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So, for example, things like takeaway foods or eating out or being around other people who would. Similar symptoms?\nYeah, So I had takeaway about four days ago, but other than that, I've been eating normally, I think. Unusual. Yeah.\nDo you remember what you ate?\nYeah, I ate at a Chinese restaurant with friends. Okay.\nAnyone else unwell with similar symptoms?\nSo no one else in the family? So I have a wife and two kids, and one child was vomiting, but they haven't got diarrhea. No one with the same symptoms.\nOkay, fine.\nRight. And in terms of your, your overall health, are you normally fitting well or.\nYeah, I mean, other than asthma, Use an inhaler, everything else is fine.\nOkay. And is your asthma well controlled?\nYeah, that's fine. Just. Yeah, use an inhaler and that's\nunder control. And you don't have any other tummy problem, bowel problems I should be aware of?\nNo.\nOkay. Apart from the inhalers, do you take any other medications?\nNo, no other medications.\nIn terms of just your, your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\nSo I need to stay close to the toilet because I go quite frequently during the, these past three days. Yeah, other than that, it's, yeah, the main concern.\nAnd are you currently working at the moment?\nYeah, I work.\nI'm an accountant. Okay. Have you been going to work the last three days or you've been at home? Yeah, I've been going to work. Okay, that must be difficult for you then. Yeah, it's been quite difficult. And you say you mentioned you live with a wife and two children, is that right? Yes. Yeah. Alright, just a couple of other questions we need to ask. Do you smoke at all? No, I don't smoke. Do you drink much in the way of alcohol? No, I don't drink alcohol, no. Okay. So normally at this stage I like to examine you, if that's okay. But having listened to your stories, I think just to recap, for the last three days you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left hand side, and vomiting and being quite weak and lethargic. You mentioned you're having this Chinese takeaway as well, three days ago. And I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis, which is essentially just a tummy.\nOr infection of your tummy, mainly caused by viruses, but they can be possibility of bacteria causing your symptoms. At this stage, what we'd recommend is just what we say, conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Diurelite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. And if you are having vomiting and diarrhea, I would say recommend that first couple of days, if you are feeling feverish and weak, taking some Paracetamol, a few tablets up to four times a day for the first few days can also help. I would certainly advise you to take some time at work, actually. I know you're quite keen to work. I would say next two to three days clears in your system.\nTake some time off and rest. If your symptoms haven't got better, you know, in three to four days, I'd like you to come back and see me again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etc. Etc. Yeah, sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No. No further questions. Okay. Is the treatment plan clear? Yeah, yeah, that's. That's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye.","marks":[[0,6,"",false],[18,21,"Um",false],[32,36,"start",false],[56,56,"how um.",false],[108,111,"Hello how are you Oh hey um",false],[328,335,"what'd",false],[655,655,"or",false],[707,710,"",false],[719,721,"it's",false],[842,848,"stool.",false],[917,921,"",false],[945,945,"exactly Yep.",false],[950,959,"",false],[991,995,"um...yeah",false],[1014,1014,"One side. And",false],[1206,1210,"is",false],[1288,1288,"Come and go.",false],[1355,1357,"Uh...no",false],[1364,1370,"maybe",false],[1388,1388,"fine.",false],[1514,1514,"uh have you",false],[1755,1758,"",false],[1809,1816,"mention",false],[1863,1863,"And y'know.",false],[1918,1918,"sweats",false],[1947,1947,"Uh no.",false],[2097,2097,"thing",false],[2141,2146,"colour",false],[2154,2178,"",false],[2230,2230,"Yeah yeah just normal vomit yeah. No",false],[2259,2259,"um any",false],[2350,2350,"your",false],[2393,2393,"Yep. Um",false],[2567,2567,"if anything Yep. 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Yep",false],[6318,6323,"yep.",false],[6432,6432,"no.",false],[6572,6572,"Bye.",false],[6588,6588,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","partial","Three days of loose watery stools 6-7x/day captured, but absence of blood in stool not stated."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","partial","\"lower left abdominal cramp-like pain\" captured but intermittent nature and lack of radiation omitted."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","partial","Vomiting at onset now resolved captured; no blood in vomit omitted."],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","partial","\"mild feeling of fever without measured temperature\" and weakness, but timing at onset and no current fever not stated."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite with tolerance of fluids, soups, smoothies, light liquids."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","partial","Chinese takeaway captured; household child vomiting omitted."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","\"Inhaler for asthma as usual\" but control status and no other medications not stated."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","\"affecting daily activities\" noted, but need to stay near a toilet and work disruption not captured."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"likely acute gastroenteritis\"."],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Fluids and Diurelite ORS captured; no mention of conservative approach or no antibiotics."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","Paracetamol up to four times a day for fever/discomfort; no conflicting dose."],["The plan captures rest and approximately two to three days off work.","yes","Time off work for next two to three days to rest."],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","Return for review if not improved in three to four days, possible stool testing."]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nPatient reports three days of diarrhea affecting daily activities.\n\nHistory of Presenting Complaint::\n\nThe patient began experiencing loose, watery stools about three days ago, occurring six to seven times per day. He also reports lower left abdominal cramp-like pain, weakness, shakiness, a mild feeling of fever without measured temperature, an episode of vomiting at symptom onset that has since resolved, loss of appetite, and ability to tolerate fluids such as soups, smoothies, and other light liquids. He notes a possible trigger from a Chinese takeaway meal consumed four days ago. No relieving factors were identified.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nAssessment: likely acute gastroenteritis.\n\nPlan\n\nMedications::\n\nParacetamol up to four times a day for fever and weakness.\n\nDiurelite oral rehydration solution to replenish minerals and vitamins.\n\nInhaler for asthma as usual.\n\nRecommend liberal fluid intake and oral rehydration (Diurelite) to stay hydrated.\n\nAdvise taking Paracetamol as needed for fever or discomfort, up to four times daily.\n\nSuggest taking time off work for the next two to three days to rest.\n\nIf symptoms do not improve within three to four days, return for review and possible stool testing.\n\nEncourage continued light diet as tolerated.","review":205.27631578947367,"saved":177.72368421052633,"clean":false,"effort":30.76923076923077,"sig":[["partial","The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","Absence of blood in stool is a key pertinent negative for infective diarrhoea management."]],"mb":27.351045,"latency":33.28,"signable":238.55631578947367},{"label":"Run 4","wer":22.05778717406624,"text":"Hello. Hello. Hi. Hi. Should\nwe stop? Yeah. Okay. Hello, how can I help you this morning?\nHi. I've just had some diarrhea for the last three days and it's been affecting me. I need to stay close to the toilet and yeah it's been affecting my day to day activities.\nSorry to hear that. And when you say diarrhea what do you mean by diarrhea? Do you mean you're going to the toilet more often or are your stools more loose?\nYeah, so it's like loose and watery stool going to the toilet quite often and like some pain in my like lower stomach.\nOkay. And how many times a day are you going? Let's say\nthe last couple of days probably like six, seven times a day. Six, seven times a day.\nAnd you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\nNo, no blood. Yeah, just watery and.\nLoose stall.\nOkay. And you mentioned you've had some pain in your tummy as well.\nYep.\nWhereabouts is the pain?\nSo it's like in my lower abdomen. So, like. Yeah, just to one side.\nOne side?\nWhat side is that on the left side.\nLeft side. Okay. And can you describe the pain to me?\nYeah, it feels like a cramp, like a muscular cramp. And, yeah, I feel a bit weak and shaky.\nOkay. And does the pain. Is it there all the time or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\nNo, just mainly my stomach. Okay, fine.\nAnd you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having been feeling feverish, for example?\nYeah, it doesn't feel like. Yeah, it just makes me feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so.\nYeah, around about three or four days ago.\nDid you measure your temperature then?\nYeah, I didn't measure my temperature, no, But I felt just a bit hot. Okay.\nAny other symptoms, like sweating or night? No. And any vomiting at all?\nYeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\nYou stopped vomiting. Okay. And was your vomit. I know it's not nice to talk about, but was it just normal food color?\nYeah. Yeah, just normal vomit. There was no blood in your vomit? No blood? No. Okay.\nAnd any other symptoms at all? You mentioned tummy pain, you mentioned diarrhea, you mentioned the vomiting. Anything else that comes to mind?\nI had a loss of appetite. I haven't been eating as much, but I've been able to hold down fluids.\nOkay, so you're drinking fluids. What kind of foods have you managed to eat?\nAnything?\nJust soups and. Yeah, light foods like smoothies and. Yeah, liquid foods, mainly. Okay,\nfine. And so you start three days ago. Symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So, for example, things like takeaway foods or eating out or being around other people who would. Similar symptoms?\nYeah, So I had takeaway about four days ago, but other than that, I've been eating normally, I think. Unusual. Yeah.\nDo you remember what you ate?\nYeah, I ate at a Chinese restaurant with friends. Okay.\nAnyone else unwell with similar symptoms?\nSo no one else in the family? So I have a wife and two kids, and one child was vomiting, but they haven't got diarrhea. No one would do. Same symptoms.\nOkay,\nfine.\nRight. And in terms of your overall health, are you normally fitting? Well,\nyeah. I mean, other than asthma, use an inhaler, everything else is fine.\nOkay. And is your asthma well controlled?\nYeah, that's fine. Just, yeah, use an inhaler and that's under control.\nAnd you don't have any other tummy problem, bowel problems I should be aware of?\nNo.\nOkay. Apart from the inhalers, do you take any other medications?\nNo. No other medications.\nIn terms of just your, your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\nSo I need to stay close to the toilet because I go quite frequently during the, these past three days. Yeah, other than that, it's, yeah, the main concern.\nAnd are you currently working at the moment?\nYeah, I work.\nI'm an accountant. Okay. Have you been going to work the last three days or you've been at home? Yeah, I've been going to work. Okay, that must be difficult for you then. Yeah, it's been quite difficult. And you say you mentioned you live with a wife and two children, is that right? Yes. Yeah. Alright, just a couple of other questions we need to ask. Do you smoke at all? No, I don't smoke. Do you drink much in the way of alcohol? No, I don't drink alcohol, no. Okay. So normally at this stage I like to examine you, if that's okay. But having listened to your stories, I think just to recap, for the last three days you've been having loose stools, diarrhea, a bit of stomach pain, mainly on the left hand side, and vomiting and being generally quite weak and lethargic. You mentioned you're having this Chinese takeaway as well, three days ago. And I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis, which is essentially just a stomach.\nOr infection of your tummy, mainly caused by viruses, but they can be a possibility of bacteria causing your symptoms. At this stage, what we'd recommend is just what we say, conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Diurelite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. And if you are having vomiting and diarrhea, I would say recommend that first couple of days, if you are feeling feverish and weak, taking some Paracetamol, a few tablets, up to four times a day for the first few days can also help. I would certainly advise you to take some time at work, actually. I know you're quite keen to work. I would say next two to three days in your system.\nTake some time off and rest. If your symptoms haven't got better, you know, in three to four days, I'd like you to come back and see me again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. Yeah. And we may need to do further tests, like taking a sample of your stool so we can test that, etc. Etc. Yeah, sure. Yeah. How's that sound? That sounds great. Yeah. Yeah. Do you have any questions for me? No, no further questions. Okay. Is the treatment plan clear? Yeah. Yeah, that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye.","marks":[[0,6,"",false],[18,21,"Um",false],[32,36,"start",false],[55,55,"how um. Good morning sir",false],[90,93,"Hello how are you Oh hey um",false],[310,317,"what'd",false],[637,637,"or",false],[690,699,"mention",false],[824,830,"stool.",false],[899,903,"",false],[927,927,"exactly Yep.",false],[932,941,"",false],[973,977,"um...yeah",false],[1199,1203,"is",false],[1281,1281,"Come and go.",false],[1348,1350,"Uh...no",false],[1357,1363,"maybe",false],[1513,1513,"uh have you",false],[1754,1757,"",false],[1808,1815,"mention",false],[1862,1862,"And y'know. Okay.",false],[1911,1911,"sweats",false],[1940,1940,"Uh no.",false],[2090,2090,"thing",false],[2134,2139,"colour",false],[2147,2171,"And",false],[2204,2204,"is that right Yeah yeah just normal vomit yeah. No",false],[2219,2219,"Yeah. No",false],[2229,2229,"um any",false],[2321,2324,"your",false],[2367,2367,"Yep. Um",false],[2541,2541,"if",false],[2551,2551,"Yep. 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Yep",false],[6304,6309,"yep.",false],[6418,6418,"no.",false],[6460,6464,"that's",false],[6550,6550,"Bye.",false],[6566,6566,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","Loose watery stools 6-7 times/day for 3 days; no blood in stool."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"Cramp-like lower left abdominal pain, intermittent.\""],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Initial vomiting resolved, no blood in vomit or stool.\""],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","partial","Weakness and feeling hot without measured fever captured, but not that fever was at onset and absent now."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite; tolerates fluids, soups, smoothies, light foods."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","partial","Chinese takeaway captured, but states \"no similar illness in family\" without the child's vomiting."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","yes","\"Asthma well-controlled on inhaler; no other meds.\""],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","partial","\"affecting daily activities\" captured, but need to stay near the toilet and work impact are not."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Probable gastroenteritis (viral / bacterial).\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Hydration and ORS captured, but no statement that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","yes","Paracetamol up to four times daily for fever/weakness; no dose invented."],["The plan captures rest and approximately two to three days off work.","yes","\"Take 2-3 days off work to rest.\""],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"Return if no improvement in 3-4 days for review and possible stool testing.\""]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\n3‑day history of watery diarrhea affecting daily activities.\n\nHistory of Presenting Complaint::\n\nLoose, watery stools 6‑7 times/day for 3 days.\n\nCramp‑like lower left abdominal pain, intermittent.\n\nWeakness, shakiness, feeling hot (no measured fever).\n\nInitial vomiting resolved, no blood in vomit or stool.\n\nLoss of appetite; tolerates fluids (soups, smoothies, light foods).\n\nRecent Chinese takeaway 4 days ago; no similar illness in family.\n\nAsthma well‑controlled on inhaler; no other meds.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nProbable gastroenteritis (viral / bacterial).\n\nPlan\n\nMedications::\n\nParacetamol up to four times daily for fever/weakness.\n\nDiurelite oral rehydration solution to replenish electrolytes.\n\nMaintain adequate hydration with fluids and oral rehydration solution.\n\nUse Paracetamol as needed for fever or discomfort.\n\nTake 2–3 days off work to rest.\n\nReturn if no improvement in 3–4 days for review and possible stool testing.","review":124.72368421052632,"saved":258.2763157894737,"clean":false,"effort":15.384615384615385,"sig":[],"mb":27.690048,"latency":27.129,"signable":151.85268421052632},{"label":"Run 5","wer":20.859760394644116,"text":"Hello. Hello. Hi. Hi. Should we stop? Yeah. Okay.\nHello. Good morning, sir. How can I help you this morning?\nHi. I've just had some diarrhea for the last three days and it's been affecting me. I need to stay close to the toilet and yeah, it's been affecting my day to day activities.\nSorry to hear that. And when you say diarrhea, what do you mean by diarrhea? Do you mean you're going to the toilet more often or are your stools more loose?\nYeah, so it's like loose and watery stool, going to the toilet quite often and like some pain in my like lower stomach.\nOkay. And how many times a day are you going? Let's say the last couple of days.\nProbably like six, seven times a day. Six, seven times a day.\nAnd you mentioned it's mainly watery. Have you noticed any other things like blood in your stools?\nNo, no blood. Yeah, just watery and loose.\nOkay. And you mentioned you've had some pain in your tummy as well.\nYeah.\nWhereabouts is the pain?\nIn my lower abdomen. So, like. Yeah, just to one side.\nOne side?\nWhat side is that on the left side. Left\nside. Okay. And can you describe the pain to me?\nYeah, it feels like a cramp, like a muscular cramp. And yeah, yeah, I feel a bit weak and shaky.\nOkay. And does the pain. Is it there all the time or does it come and go? It comes and goes. Does the pain move anywhere else, for example, towards your back?\nNo, just mainly my stomach. Okay, fine.\nAnd you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having been feeling feverish, for example?\nYeah, it doesn't feel like. Yeah, it just makes me feel weak. I haven't had a fever at the moment, but I did notice a temperature when the symptoms started, so.\nYeah, around about three or four days ago.\nYou measure your temperature then?\nYeah, I didn't measure my temperature, no, But I felt just a bit hot. Okay. Okay.\nAny other symptoms like sweating or. No. And any vomiting at all?\nYeah, so I vomited at the start of the symptoms, but now I've stopped vomiting.\nYou stopped vomiting. Okay. And was your vomit. I know it's not nice to talk about, but was it just normal food color?\nYeah. Yeah, just normal vomit. And there was no blood in your vomit, is that right? No blood? No. Okay.\nAnd any other symptoms at all? You mentioned tummy pain, you mentioned diarrhea, you mentioned the vomiting. Anything else that comes to mind?\nI had a loss of appetite. I haven't been eating as much, but I've been able to hold down fluids.\nOkay, so you're drinking fluids. What kind of foods have you managed to eat? Anything?\nJust soups and. Yeah, light foods, like smoothies and. Yeah, liquid foods, mainly. Okay, fine.\nAnd so we started three days ago with symptoms. Are you aware of any triggers which may have caused the symptoms to kick on? So, for example, things like takeaway foods or eating out or being around other people who would. Similar symptoms?\nYeah, So I had takeaway about four days ago, but other than that, I've been eating normally, I think. Unusual. Yeah.\nDo you remember what you\nate? Yeah, I ate at a Chinese restaurant with friends. Okay,\nanyone else unwell with similar symptoms?\nSo no one else in the family? So I have a wife and two kids, and one child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.\nOkay, fine. Right.\nAnd in terms of your overall health, are you normally fitting? Well,\nyeah. I mean, other than asthma, use an inhaler, everything else is fine.\nOkay. And is your asthma well controlled?\nYeah, that's fine. Just use an inhaler and that's under control.\nAnd you don't have any other tummy problem, bowel problems I should be aware of?\nNo. Okay.\nApart from inhalers, do you take any other medications?\nNo. No other medications.\nIn terms of just your, your day to day life, you said it's been affecting your life. Yeah. In what way has it been affecting your life?\nSo I need to stay close to the toilet because I go quite frequently during the. These past three days. Yeah. Other than that, it's, yeah, the main concern.\nAnd are you currently working at the moment?\nYeah, I work.\nI'm an accountant. Okay. Have you been going into work the last three days or you've been at home? Yeah, I've been going to work. Okay. That must be difficult for you then. Yeah, it's been quite difficult. And you say you mentioned you live with a wife and two children, is that right? Yes. All right, just a couple of other questions we need to ask. Do you smoke at all? No, I don't smoke. Do you drink much in the way of alcohol? No, I don't drink alcohol, no. Okay. So normally at this stage, I like to examine you, if that's okay. But having listened to your stories, I think just to recap, for the last three days you've been having loose stool, diarrhea, a bit of tummy pain, mainly on the left hand side, and vomiting and being quite weak and lethargic. You mentioned you're having this Chinese takeaway as well, three days ago. And I wonder whether that might be the cause of your problems. Okay. It seems like you may have something called gastroenteritis, which is essentially just a tummy bug or.\nInfection of your. Of your tummy, mainly caused by viruses, but they can be possibility of bacteria causing symptoms. At this stage, what we'd recommend is just what we say, conservative management. So I don't think you need anything like antibiotics. It's really just making sure you're well hydrated. So drinking fluids. There are things like Diurelite you can get from the pharmacy, which helps replenish some of your minerals and vitamins. And if you are having vomiting and diarrhea, I would say recommend that first couple of days, if you are feeling feverish and weak, taking some Paracetamol, two tablets, up to four times a day for the first few days, can also help. I would certainly advise you to take some time at work, actually. I know you're quite keen to work. I would say next two to three days, clears from your system, takes a.\nSome time off and rest. If your symptoms haven't got better, you know, in three to four days, I'd like you to come back and see you again. Okay, sure. Because if it is ongoing, then we have to wonder whether there's something else causing symptoms. And we may need to do further tests, like taking a sample of your stool so we can test that, etc. Etc. Yeah, sure. Yeah. How's that sound? That sounds great. Yeah? Yeah. Do you have any questions for me? No. No further questions. Okay. Is the treatment plan clear? Yeah. Yeah, that's very clear. Thank you. Great. Well, I wish you all the best. Okay. Thank you. Thank you. Bye.","marks":[[0,6,"",false],[18,21,"Um",false],[32,36,"start",false],[56,56,"how um.",false],[109,112,"Hello how are you Oh hey um",false],[331,338,"what'd",false],[660,660,"or",false],[713,722,"mention",false],[846,846,"stool.",false],[944,944,"exactly Yep. So",false],[977,981,"um...yeah",false],[1208,1212,"is",false],[1290,1290,"Come and go.",false],[1357,1359,"Uh...no",false],[1366,1372,"maybe",false],[1522,1522,"uh have you",false],[1813,1820,"mention",false],[1867,1867,"And y'know.",false],[1916,1916,"um night sweats",true],[1944,1944,"Uh no.",false],[2094,2094,"thing",false],[2138,2143,"colour",false],[2151,2175,"",false],[2227,2227,"Yeah yeah just normal vomit yeah. No",false],[2242,2242,"Yeah. No",false],[2252,2252,"um any",false],[2344,2347,"your",false],[2390,2390,"Yep. Um",false],[2564,2564,"if",false],[2574,2574,"Yep. 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Yep",false],[6327,6332,"yep.",false],[6441,6441,"no.",false],[6483,6487,"that's",false],[6573,6573,"Bye.",false],[6589,6589,"bye.",false]],"facts":[["The note captures three days of watery/loose diarrhoea, approximately six to seven bowel movements daily, with no blood in stool.","yes","3-day watery diarrhoea, 6-7 motions/day, and no blood in stool are all documented."],["The note captures intermittent cramping left lower abdominal pain, without clear radiation.","yes","\"crampy left lower abdominal pain (intermittent)\"; no radiation invented."],["The note captures initial vomiting which has now stopped, and no blood in vomit. It does not require or invent bilious vomiting.","yes","\"Vomited at symptom onset, now ceased; no blood in stool or vomit.\""],["The note captures feeling feverish at onset but no current fever, along with weakness/lethargy. It does not assert a measured temperature.","partial","Weakness and unmeasured feeling hot captured, but chief complaint lists \"low-grade fever\" and no current fever is not stated."],["The note captures reduced appetite but ability to retain fluids and tolerate light/liquid foods.","yes","Loss of appetite but tolerating fluids, soups and smoothies documented."],["The note captures recent Chinese takeaway/restaurant exposure and vomiting in a household child or household contact. Do not require an exact exposure day or insist that every family member was ill.","yes","Chinese takeaway and one child vomiting without diarrhoea documented."],["The note captures controlled asthma treated with inhaler(s) and no other regular medications reported.","partial","\"Continue regular asthma inhaler; no other meds\" but asthma control is not captured."],["The note captures the need to stay close to a toilet and disruption to work/daily activities.","no","Need to stay close to the toilet and disruption to work/daily activities are not documented."],["The assessment identifies suspected gastroenteritis or an acute gastrointestinal infection.","yes","\"Acute gastroenteritis, likely viral aetiology with possible bacterial contribution.\""],["The plan captures conservative management with hydration/oral rehydration solution (e.g. Dioralyte) and no antibiotics recommended at this stage.","partial","Fluids and oral rehydration solution captured, but no mention that antibiotics are not recommended."],["The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","partial","Two tablets up to four times daily is correct, but an unstated strength \"500 mg\" is added."],["The plan captures rest and approximately two to three days off work.","yes","\"Rest and take 2-3 days off work.\""],["The plan captures review if not improving in approximately three to four days and possible stool testing if symptoms persist.","yes","\"If no improvement in 3-4 days, return for review and consider stool testing.\""]],"claims":[["Paracetamol 500 mg","Transcript only says \"two tablets up to four times a day\"; no strength was stated."],["low-grade fever","Patient only \"felt just a bit hot\" at onset, temperature not measured and no current fever; a low-grade fever was never described."]],"note":"Subjective\n\nChief Complaint::\n\n3‑day history of watery diarrhoea, 6‑7 motions/day, left lower abdominal cramp, vomiting (resolved), weakness, low‑grade fever.\n\nHistory of Presenting Complaint::\n\nOnset 3 days ago after Chinese takeaway; symptoms include loose watery stools, crampy left lower abdominal pain (intermittent), loss of appetite but tolerates fluids (soups, smoothies).\n\nVomited at symptom onset, now ceased; no blood in stool or vomit; no fever measured but feels hot.\n\nNo recent sick contacts; family members only one child vomited, no diarrhoea.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nAcute gastroenteritis, likely viral aetiology with possible bacterial contribution from recent food exposure.\n\nPlan\n\nMedications::\n\nParacetamol 500 mg, 2 tablets up to 4 times daily for fever/pain.\n\nDiurelite oral rehydration solution for fluid/electrolyte replacement.\n\nContinue regular asthma inhaler; no other meds.\n\nIncrease oral fluid intake; use Diurelite as needed.\n\nTake Paracetamol as above for fever or discomfort.\n\nRest and take 2‑3 days off work.\n\nIf no improvement in 3‑4 days, return for review and consider stool testing.","review":179.93421052631578,"saved":203.06578947368422,"clean":false,"effort":38.46153846153847,"sig":[["partial","The plan captures paracetamol for fever/discomfort, with the spoken instruction of two tablets up to four times daily if a dose is included; strength in mg was not stated.","Adds a 500 mg strength that was never stated."]],"mb":22.700484,"latency":31.227,"signable":211.16121052631578}]}}