{"reference":"Good morning. I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address please?\n\n Hi. My name is Susan. Um, thirty, Redbridge Street, SW two two HZ.\n\n Hello.\n\n And your date of birth?\n\n forty, oh two, nineteen seventy four.\n\n OK. Are you in a private place so you can have a consultation today?\n\n Yes I am.\n\n OK. What can I do for you?\n\n It hurts when I pee.\n\n OK, and how long has that been going on for?\n\n It stays now.\n\n Pardon?\n\n Uh, six days.\n\n Six days, OK. And just tell me a bit more about that. How did it start?\n\n Um, I've got this thing when I pee, and it hurts when I go to the loo, and I've got this very unpleasant smell that comes out.\n\n OK. And, have you had any other symptoms along with that? Have you had any abdominal pain, or back, lower back pain at all?\n\n I've got, pain in my tummy.\n\n Uh, whereabouts?\n\n In my lower tummy.\n\n OK. Is it one-sided, or in the middle?\n\n In the middle.\n\n And how bad would you say that is on a scale of one to ten? With ten being the worst pain.\n\n Seven.\n\n Seven.\n\n And is it, constant, or does it come and go?\n\n Comes and goes.\n\n OK. And have you actually been able to pass water OK?\n\n Yes, but I've had spotted, uh, blood in my urine. Spots.\n\n OK. And is that just over the last, six days?\n\n Yes.\n\n Right. And have you been able to eat and drink OK?\n\n Yes.\n\n Um, and, have you had a temperature? Do you feel like you've been feverish, or had a temperature with this?\n\n No, not at all.\n\n Um, and any, did you , you said you didn't have any lower back pain?\n\n No, I've got.\n\n Um, and no loin pain as well.\n\n OK. And, have you had these symptoms before?\n\n No.\n\n Never.\n\n No.\n\n And was there anything you were doing recently, which you think may have contributed to it? Have you , have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse or anything?\n\n No.\n\n No, OK. And, any, any other symptoms, any vaginal discharge or, anything like that?\n\n No, just the blood spot, in my.\n\n No. Do you have regular periods?\n\n Yes I do.\n\n OK.\n\n Um, and , in the past, have you had any medical problems at all?\n\n No medical, no.\n\n Have you had any problems with your kidneys, or any urine infections?\n\n I had IBS before.\n\n OK.\n\n And how's that been recently? Any change in your bowel habit? Any blood when you pass stool?\n\n Yeah, I've had spotting in my urine.\n\n In your, OK. Um, any change in your bowel habit? Any weight loss or anything?\n\n No.\n\n No.\n\n Any other medical problems, or surgery in the past?\n\n No.\n\n Do you take regular medications?\n\n I've had Mebeverine, Mebeverine. I've had Mebeverine.\n\n Pardon? No birth .\n\n Do you take that regularly?\n\n Yes.\n\n OK. And it, do you take it three times a day?\n\n Yes I do.\n\n Two hundred milligrams?\n\n Yes.\n\n Any allergies?\n\n Any allergies?\n\n Clindamycin.\n\n You're allergic to Clindamycin, OK.\n\n And anyone in your family had any medical problems?\n\n No.\n\n That's fine. And whereabouts, do you live? Do you live with friends, family?\n\n I live with friends.\n\n OK. And where do you work? What's your job?\n\n I'm a support worker.\n\n OK. Do you drink alcohol at all?\n\n Occasionally.\n\n So how much in a average week?\n\n One glass of wine a week.\n\n OK. And do you smoke?\n\n No.\n\n OK. Um, it sounds very much like you, might have an infection in your urine. Did you say, you haven't felt feverish?\n\n No fever at all.\n\n Have you got a thermometer at home?\n\n No.\n\n OK. It would be helpful if you could get a thermometer from the pharmacy and, do check your temperature, just to make sure that it isn't, going up and down.\n\n OK.\n\n Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\n\n OK.\n\n Um, how do you feel about that? Are you happy to take a course of antibiotics?\n\n Yes I would be.\n\n It would just be for three days.\n\n OK.\n\n Um.\n\n , get my prescription.\n\n Yes, so I can send a prescription through to your requested pharmacy for that. If you take them, as soon as you can, get them, pick them up as soon as you can, and start taking them.\n\n The other thing which is important to do is to drink, lots of water. So, two and a half to three litres a day.\n\n Um, you can get some cranberry juice and take, drink that as well, that sometimes helps. And also some, sachets um, which you can get from the chemist, some sachets which just help change the acidity of your urine. So I, I can put the details of that on your notes.\n\n Yeah.\n\n OK then.\n\n Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine. Then it's very important that we speak to you again.\n\n OK.\n\n Um, the other thing is that if it becomes a, common, thing or a recurrent problem. Then we need to talk to you again about it.\n\n So, do I have to call after I finish my course of antibiotics.\n\n No, not if you're better. If you're, if you feel like your symptoms get worse at any point, or they're not resolving with the treatment. Or you keep getting a similar, um, you keep getting a similar, problem, reccurently. Then it's important for us to talk, talk to you in more detail about that.\n\n OK.\n\n Yeah.\n\n OK then.\n\n Um, have you got any other questions?\n\n Uh, no. Uh, where will be the pharmacy I'll be picking up, my medication from?\n\n Um, so have you already requested a pharmacy through Babylon?\n\n Yes I did.\n\n Can I just check that with you?\n\n Knightsbridge, Practice.\n\n OK, that's fine. So the antibiotics, that I'm gonna prescribe, um, will go through to that, pharmacy.\n\n How soon?\n\n And then , you'll be able to pick them up from there.\n\n How soon is that gonna be, at the practice? In five minutes?\n\n Um, I would give it longer than that. Give it a, an hour or so.\n\n All right then. Thank you, I'll pick that at lunchtime.\n\n OK. All right then. Take care. Bye.\n\n Thank you.\n\n . Bye.\n\n Sorry, I .","products":{"hanah":[{"label":"Run 1","wer":8.440366972477065,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\n  Hi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ.\n\n  And your date of birth?\n\n  14/02/1974.\n\n  Okay. Are you in a private place so you can have a consultation today?\n\n  Yes, I am.\n\n  Okay. What can I do for you?\n\n  It hurts when I pee.\n\n  Okay. And how long has that been going on for?\n\n  6 days now.\n\n  Pardon?\n\n  For 6 days.\n\n  6 days. Okay. And just tell me a bit more about that. How did it start?\n\n  Um, I've got this thing when I pee, and it hurts when I go to the loo.\n\n  Okay.\n\n  And I've got this very unpleasant smell that comes out.\n\n  Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all?\n\n  I've got pain in my tummy.\n\n  Whereabouts?\n\n  In my lower tummy.\n\n  Okay. Is it one-sided, or in the middle?\n\n  In the middle.\n\n  And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain.\n\n  7.\n\n  And is it constant, or does it come and go?\n\n  Comes and goes.\n\n  Okay. And have you actually been able to pass water okay?\n\n  Yes, but I've had spotted, uh, blood in my urine.\n\n  Okay. And is that just over the last 6 days?\n\n  Yes.\n\n  Right. And have you been able to eat and drink okay?\n\n  Yes.\n\n  Um, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\n  No. Not at all.\n\n  Um, and any did you you said you didn't have any low back pain?\n\n  No. I've got um, and no loin pain as well.\n\n  Okay. And have you had these symptoms before?\n\n  No.\n\n  Never.\n\n  No.\n\n  And was there anything you were doing recently, which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse, or anything?\n\n  No.\n\n  No. Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\n\n  No. Just the blood spot in my.\n\n  Okay. Do you have regular periods?\n\n  Yes, I do.\n\n  Okay. Um, and in the past, have you had any medical problems at all?\n\n  No medical. No.\n\n  Have you had any problems with your kidneys or any urine infections?\n\n  I had IBS before.\n\n  Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\n\n  Yeah, I've had spotting in my urine.\n\n  In your okay. Um, any change in your bowel habit?\n\n  No.\n\n  Any weight loss or anything?\n\n  No.\n\n  Any other medical problems or surgery in the past?\n\n  No.\n\n  Do you take regular medications?\n\n  I've had Mebevine.\n\n  Pardon?\n\n  Mebeverine.\n\n  Mebe.\n\n  I've had Mebeverine.\n\n  Do you take that regularly?\n\n  Yes.\n\n  Okay. And it do you take it 3 times a day?\n\n  Yes, I do.\n\n  200 milligrams?\n\n  Yes.\n\n  Any allergies? Any allergies?\n\n  Clindamycin.\n\n  You're allergic to clindamycin. Okay. And anyone in your family had any medical problems?\n\n  No.\n\n  That's fine. And whereabouts do you live? Do you live with friends, family?\n\n  I live with friends.\n\n  Okay. And where do you work? What's your job?\n\n  I'm a support worker.\n\n  Okay. Do you drink alcohol at all?\n\n  Occasionally.\n\n  So how much in average week?\n\n  One glass of wine a week.\n\n  Okay. Do you smoke?\n\n  No.\n\n  Okay. Um, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish?\n\n  No fever at all.\n\n  Have you got a thermometer at home?\n\n  No.\n\n  Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down.\n\n  Okay.\n\n  Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\n\n  Okay.\n\n  Um, how would you feel about that? Are you happy to take a course of antibiotics?\n\n  Yes, I would be.\n\n  It would just be for 3 days.\n\n  Okay.\n\n  Um.\n\n  Perhaps get my prescription?\n\n  Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3 liters a day.\n\n  Yeah.\n\n  Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some sachets, um, which you can get from the chemist, some sachets which just help change the acidity of your urine. So I, I can put the details of that on your notes.\n\n  Okay then.\n\n  Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\n\n  Okay.\n\n  Um, the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\n\n  So do I have to call after I finish my course of antibiotics?\n\n  No, not if you're better.\n\n  Okay.\n\n  If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk th talk to you in more detail about that.\n\n  Okay then.\n\n  Um, have you got any other questions?\n\n  Uh, no. Uh, what would be the pharmacy I'll be picking up my medication from?\n\n  Um, so have you already requested a pharmacy through Babylon?\n\n  Yes, I did.\n\n  Can I just check that with you?\n\n  Knightsbridge.\n\n  Okay.\n\n  Practice.\n\n  Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\n\n  Okay.\n\n  And.\n\n  Also?\n\n  You'll be able to pick them up from there.\n\n  How soon is that going to be at the practice? In 5 minutes?\n\n  Um, I would give it longer than that.\n\n  Okay.\n\n  Give it.\n\n  Okay.\n\n  An hour or so.\n\n  All right then. Thank you. I'll pick that at lunchtime.\n\n  Okay. All right then.\n\n  Thank you.\n\n  Take care. Bye.\n\n  Bye.\n\n  Sorry, I didn't keep.","marks":[[183,191,"SW two two HZ. Hello.",false],[222,242,"forty oh two nineteen seventy four. OK.",false],[431,437,"It stays",false],[1037,1037,"Seven.",false],[1221,1226,"Spots. OK.",false],[1518,1521,"lower",false],[1999,2004,"No.",false],[2245,2252,"how's",false],[2432,2435,"",false],[2466,2466,"No.",false],[2584,2603,"",false],[2623,2628,"Mebeverine.",false],[2652,2652,"Pardon No birth .",false],[3745,3750,"do",false],[3890,3897,"",false],[4192,4198,"litres",false],[4284,4290,"that",false],[5154,5165,"reccurently.",false],[5202,5204,"",false],[5314,5324,"where will",false],[5586,5594,"gonna",false],[5647,5652,"How soon",false],[5664,5668,"then",false],[5736,5744,"gonna",false],[5955,5965,"",false],[5984,5984,"Thank you. .",false],[6005,6017,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria x6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"unpleasant urine odour\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Intermittent central lower abdominal pain, 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Visible blood spotting in urine x6 days\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","\"Passing urine adequately; eating/drinking normally\"."],["The note captures: No fever and no loin/lower back pain.","yes","\"Denies fever, low back pain/loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"Denies... vaginal discharge\" and \"No previous similar episodes\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","\"PMH: IBS. Meds: mebeverine 200 mg TDS\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Suspected lower UTI/cystitis\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribe 3-day course of antibiotics; patient agreeable\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain thermometer from pharmacy and monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Encourage fluids 2.5–3 L/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Review if worsening/non-settling pain, fever, low back pain, difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","\"recurrent similar episodes\" and \"No follow-up required if symptoms resolve\"."]],"claims":[],"note":"Subjective\nDysuria x6 days with unpleasant urine odour.\nIntermittent central lower abdominal pain, 7/10.\nVisible blood spotting in urine x6 days.\nPassing urine adequately; eating/drinking normally.\nDenies fever, low back pain/loin pain, vaginal discharge, change in bowel habit, weight loss.\nNo previous similar episodes, UTIs or kidney problems.\nNo recent dehydration, increased exercise or regular sexual intercourse identified as trigger.\nRegular periods.\nPMH: IBS.\nMeds: mebeverine 200 mg TDS.\nAllergy: clindamycin.\nSocial: lives with friends; support worker; non-smoker; alcohol ~1 glass wine/week.\nRequested information on prescription collection timing/pharmacy.\nObjective\nRemote consultation; no examination or observations recorded.\nNo home thermometer available.\nAssessment\nSuspected lower UTI/cystitis: dysuria, malodorous urine, suprapubic pain and haematuria x6 days.\nNo reported fever or loin/back pain to suggest upper UTI currently.\nPlan\nPrescribe 3-day course of antibiotics; patient agreeable. Send prescription to requested Knightsbridge pharmacy.\nCollect/start antibiotics as soon as possible; advised pharmacy processing may take ~1 hour.\nEncourage fluids 2.5–3 L/day.\nMay try cranberry juice and OTC urinary alkalinising sachets; details to be added to notes.\nObtain thermometer from pharmacy and monitor temperature.\nSeek review urgently if worsening/non-settling pain, fever, low back pain, difficulty passing urine, symptoms not resolving after treatment, or recurrent similar episodes.\nNo follow-up required if symptoms resolve after antibiotics.","review":70.42105263157896,"saved":234.07894736842104,"clean":true,"effort":0.0,"sig":[]},{"label":"Run 2","wer":8.623853211009175,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\n  Hi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ.\n\n  And your date of birth?\n\n  14/02/1974.\n\n  Okay. Are you in a private place so you can have a consultation today?\n\n  Yes, I am.\n\n  Okay. What can I do for you?\n\n  It hurts when I pee.\n\n  Okay. And how long has that been going on for?\n\n  6 days now.\n\n  Pardon?\n\n  For 6 days.\n\n  6 days. Okay. And just tell me a bit more about that. How did it start?\n\n  Um, I've got this thing when I pee, and it hurts when I go to the loo.\n\n  Okay.\n\n  And I've got this very unpleasant smell that comes out.\n\n  Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all?\n\n  I've got pain in my tummy.\n\n  Whereabouts?\n\n  In my lower tummy.\n\n  Okay. Is it one-sided or in the middle?\n\n  In the middle.\n\n  And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain.\n\n  7.\n\n  And is it constant, or does it come and go?\n\n  Comes and goes.\n\n  Okay. And have you actually been able to pass water okay?\n\n  Yes, but I've had spotted, uh, blood in my urine.\n\n  Okay. And is that just over the last 6 days?\n\n  Yes.\n\n  Right. And have you been able to eat and drink okay?\n\n  Yes.\n\n  Um, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\n  No.\n\n  Not at all? Um, and any did you you said you didn't have any low back pain?\n\n  No. I've got um, and no loin pain as well.\n\n  Okay. And have you had these symptoms before?\n\n  No.\n\n  Never?\n\n  No.\n\n  And was there anything you were doing recently, which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse, or anything?\n\n  No.\n\n  No? Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\n\n  No. Just the blood spot in my.\n\n  Okay. Do you have regular periods?\n\n  Yes, I do.\n\n  Okay. Um, and in the past, have you had any medical problems at all?\n\n  No medical. No.\n\n  Have you had any problems with your kidneys or any urine infections?\n\n  I had IBS before.\n\n  Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\n\n  Yeah, I've had spotting in my urine.\n\n  In your okay. Um, any change in your bowel habit?\n\n  No.\n\n  Any weight loss or anything?\n\n  No.\n\n  Any other medical problems or surgery in the past?\n\n  No.\n\n  Do you take regular medications?\n\n  I've had Mebevine.\n\n  Pardon?\n\n  Mebeverine.\n\n  Meb.\n\n  I've had Mebeverine.\n\n  Do you take that regularly?\n\n  Yes.\n\n  Okay. And it do you take it 3 times a day?\n\n  Yes, I do.\n\n  200 milligrams?\n\n  Yes.\n\n  Any allergies? Any allergies?\n\n  Clindamycin.\n\n  You're allergic to clindamycin? Okay. And anyone in your family had any medical problems?\n\n  No.\n\n  That's fine. And whereabouts do you live? Do you live with friends, family?\n\n  I live with friends.\n\n  Okay. And where do you work? What's your job?\n\n  I'm a support worker.\n\n  Okay. Do you drink alcohol at all?\n\n  Occasionally.\n\n  So how much in average week?\n\n  One glass of wine a week.\n\n  Okay. Do you smoke?\n\n  No.\n\n  Okay. Um, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish?\n\n  No fever at all.\n\n  Have you got a thermometer at home?\n\n  No.\n\n  Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down.\n\n  Okay.\n\n  Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\n\n  Okay.\n\n  Um, how would you feel about that? Are you happy to take a course of antibiotics?\n\n  Yes, I would be.\n\n  It would just be for 3 days.\n\n  Okay.\n\n  Um.\n\n  So how do I get my prescription?\n\n  Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3 liters a day.\n\n  Yeah.\n\n  Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some sachets, um, which you can get from the chemist, some sachets which just help change the acidity of your urine. So I, I can put the details of that on your notes.\n\n  Okay then.\n\n  Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\n\n  Okay.\n\n  Um, the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\n\n  So do I have to call after I finish my course of antibiotics?\n\n  No, not if you're better.\n\n  Okay.\n\n  If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk th talk to you in more detail about that.\n\n  Okay then.\n\n  Um, have you got any other questions?\n\n  Uh, no. Uh, what would be the pharmacy I'll be picking up my medication from?\n\n  Um, so have you already requested a pharmacy through Babylon?\n\n  Yes, I did.\n\n  Can I just check that with you?\n\n  Knightsbridge. Practice.\n\n  Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\n\n  Okay.\n\n  And.\n\n  Also.\n\n  You'll be able to pick them up from there.\n\n  How soon is that going to be at the practice? In 5 minutes?\n\n  Um, I would give it longer than that.\n\n  Okay.\n\n  Give it.\n\n  Okay.\n\n  An hour or so.\n\n  All right then. Thank you. I'll pick that at lunchtime.\n\n  Okay. All right then.\n\n  Thank you.\n\n  Take care. Bye.\n\n  Bye.\n\n  Sorry, I didn't keep.","marks":[[183,191,"SW two two HZ. Hello.",false],[222,242,"forty oh two nineteen seventy four. OK.",false],[431,437,"It stays",false],[1036,1036,"Seven.",false],[1220,1225,"Spots. OK.",false],[1517,1520,"lower",false],[1998,2003,"No.",false],[2244,2251,"how's",false],[2431,2434,"",false],[2465,2465,"No.",false],[2583,2602,"",false],[2622,2626,"Mebeverine.",false],[2650,2650,"Pardon No birth .",false],[3743,3748,"do",false],[3888,3899,"",false],[4194,4200,"litres",false],[4286,4292,"that",false],[5156,5167,"reccurently.",false],[5204,5206,"",false],[5316,5326,"where will",false],[5576,5584,"gonna",false],[5637,5642,"How soon",false],[5654,5659,"then",false],[5726,5734,"gonna",false],[5945,5955,"",false],[5974,5974,"Thank you. .",false],[5995,6007,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Six days of dysuria recorded."],["The note captures: Unpleasant or strong urine odour.","yes","Unpleasant/malodorous urine recorded."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Central, intermittent lower abdominal pain 7/10."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Blood spotting in urine recorded."],["The note captures: Able to pass urine and maintain oral intake.","yes","Able to pass urine and eating/drinking normally."],["The note captures: No fever and no loin/lower back pain.","yes","No fever and no loin/lower back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with mebeverine 200 mg three times daily."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","UTI is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","Three-day antibiotic course prescribed."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain a thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluids 2.5-3 L/day."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Recontact for worsening/persistent pain, fever, back pain or difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Review if recurrent; no routine follow-up if resolved."]],"claims":[],"note":"Subjective\nDysuria x6 days.\nMalodorous urine.\nIntermittent central lower abdominal pain, severity 7/10.\nReports visible blood spotting in urine x6 days.\nAble to pass urine; eating and drinking adequately.\nDenies fever, low back pain, loin pain, vaginal discharge, bowel habit change, weight loss.\nNo prior similar urinary symptoms/UTIs reported.\nDenies recent dehydration, increased exercise or regular sexual intercourse as potential triggers.\nRegular menses.\nPMH: IBS.\nMedications: mebeverine 200 mg TDS.\nAllergy: clindamycin.\nSocial: lives with friends; support worker. Non-smoker. Alcohol ~1 glass wine/week.\nObjective\nRemote consultation; no examination or observations documented.\nNo home thermometer available.\nAssessment\nSuspected uncomplicated lower UTI/cystitis, based on 6 days of dysuria, malodorous urine, suprapubic pain and reported haematuria.\nNo reported fever, flank/loin pain or inability to pass urine to suggest upper UTI/pyelonephritis at present.\nPlan\nPrescribe 3-day course of antibiotics; patient agreeable. Prescription to requested Knightsbridge Practice pharmacy.\nAdvise collection/start as soon as possible; allow approximately 1 hour for prescription processing.\nEncourage fluids 2.5–3 L/day.\nAdvise cranberry juice and OTC urinary alkalinising sachets; details to be included in notes.\nAdvise obtaining thermometer from pharmacy and monitoring temperature.\nSafety-net: seek further review if worsening/non-settling pain, lower back pain, fever, difficulty passing urine, symptoms fail to resolve with treatment, or recurrent similar episodes.\nNo routine follow-up required if symptoms resolve after antibiotics.","review":72.94736842105263,"saved":231.55263157894737,"clean":true,"effort":0.0,"sig":[],"mb":8.963789,"latency":11.454,"signable":84.40136842105264},{"label":"Run 3","wer":8.990825688073395,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\n  Hi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ.\n\n  And your date of birth?\n\n  14/02/1974.\n\n  Okay. Are you in a private place so you can have a consultation today?\n\n  Yes, I am.\n\n  Okay. What can I do for you?\n\n  It hurts when I pee.\n\n  Okay. And how long has that been going on for?\n\n  6 days now.\n\n  Pardon?\n\n  For 6 days.\n\n  6 days. Okay. And just tell me a bit more about that. How did it start?\n\n  Um, I've got this thing when I pee, and it hurts when I go to the loo.\n\n  Okay.\n\n  And I've got this very unpleasant smell that comes out.\n\n  Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all?\n\n  I've got pain in my tummy.\n\n  Whereabouts?\n\n  In my lower tummy.\n\n  Okay. Is it one-sided, or in the middle?\n\n  In the middle.\n\n  And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain.\n\n  7.\n\n  And is it constant, or does it come and go?\n\n  Comes and goes.\n\n  Okay. And have you actually been able to pass water okay?\n\n  Yes, but I've had spotted, uh, blood in my urine.\n\n  Okay. And is that just over the last 6 days?\n\n  Yes.\n\n  Right. And have you been able to eat and drink okay?\n\n  Yes.\n\n  Um, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\n  No. Not at all.\n\n  Um, and any did you you said you didn't have any low back pain?\n\n  No. I've got um, and no loin pain as well.\n\n  Okay. And have you had these symptoms before?\n\n  No.\n\n  Never.\n\n  No.\n\n  And was there anything you were doing recently, which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse, or anything?\n\n  No.\n\n  No. Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\n\n  No. Just the blood spot in my.\n\n  Okay. Do you have regular periods?\n\n  Yes, I do.\n\n  Okay. Um, and in the past, have you had any medical problems at all?\n\n  No medical. No.\n\n  Have you had any problems with your kidneys or any urine infections?\n\n  I had IBS before.\n\n  Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\n\n  Yeah, I've had spotting in my urine.\n\n  In your okay. Um, any change in your bowel habit?\n\n  No.\n\n  Any weight loss or anything?\n\n  No.\n\n  Any other medical problems or surgery in the past?\n\n  No.\n\n  Do you take regular medications?\n\n  I've had Mebevine.\n\n  Pardon?\n\n  Mebeverine.\n\n  Mebe.\n\n  I've had Mebeverine.\n\n  Do you take that regularly?\n\n  Yes.\n\n  Okay. And it do you take it 3 times a day?\n\n  Yes, I do.\n\n  200 milligrams?\n\n  Yes.\n\n  Any allergies? Any allergies?\n\n  Clindamycin.\n\n  You're allergic to clindamycin. Okay. And anyone in your family had any medical problems?\n\n  No.\n\n  That's fine. And whereabouts do you live? Do you live with friends, family?\n\n  I live with friends.\n\n  Okay. And where do you work? What's your job?\n\n  I'm a support worker.\n\n  Okay. Do you drink alcohol at all?\n\n  Occasionally.\n\n  So how much on average a week?\n\n  One glass of wine a week.\n\n  Okay. Do you smoke?\n\n  No.\n\n  Okay. Um, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish?\n\n  No fever at all.\n\n  Have you got a thermometer at home?\n\n  No.\n\n  Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down.\n\n  Okay.\n\n  Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\n\n  Okay.\n\n  Um, how would you feel about that? Are you happy to take a course of antibiotics?\n\n  Yes, I would be.\n\n  It would just be for 3 days.\n\n  Okay.\n\n  Um.\n\n  So how do I get my prescription?\n\n  Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing, which is important to do, is to drink lots of water. So 2 and a half to 3 liters a day.\n\n  Yeah.\n\n  Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some sachets. Um, which you can get from the chemist, some sachets, which just help change the acidity of your urine. So I, I can put the details of that on your notes.\n\n  Okay then.\n\n  Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\n\n  Okay.\n\n  Um, the other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\n\n  So do I have to call after I finish my course of antibiotics?\n\n  No, not if you're better.\n\n  Okay.\n\n  If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk th talk to you in more detail about that.\n\n  Okay then.\n\n  Um, have you got any other questions?\n\n  Uh, no. Uh, what would be the pharmacy I'll be picking up my medication from?\n\n  Um, so have you already requested a pharmacy through Babylon?\n\n  Yes, I did.\n\n  Can I just check that with you?\n\n  Knightsbridge.\n\n  Okay.\n\n  Practice.\n\n  Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\n\n  Okay.\n\n  And.\n\n  Also.\n\n  You'll be able to pick them up from there.\n\n  How soon is that going to be at the practice? In 5 minutes?\n\n  Um, I would give it longer than that.\n\n  Okay.\n\n  Give it.\n\n  Okay.\n\n  An hour or so.\n\n  All right then. Thank you. I'll pick that at lunchtime.\n\n  Okay.\n\n  Okay.\n\n  All right then.\n\n  Thank you.\n\n  Take care. Bye.\n\n  Bye.\n\n  Sorry, I didn't keep.","marks":[[183,191,"SW two two HZ. Hello.",false],[222,242,"forty oh two nineteen seventy four. OK.",false],[431,437,"It stays",false],[1037,1037,"Seven.",false],[1221,1226,"Spots. OK.",false],[1518,1521,"lower",false],[1999,2004,"No.",false],[2245,2252,"how's",false],[2432,2435,"",false],[2466,2466,"No.",false],[2584,2603,"",false],[2623,2628,"Mebeverine.",false],[2652,2652,"Pardon No birth .",false],[3175,3185,"in",false],[3187,3187,"average",false],[3747,3752,"do",false],[3892,3903,"",false],[4200,4206,"litres",false],[4292,4298,"that",false],[5164,5175,"reccurently.",false],[5212,5214,"",false],[5324,5334,"where will",false],[5596,5604,"gonna",false],[5657,5662,"How soon",false],[5674,5679,"then",false],[5746,5754,"gonna",false],[5977,5987,"",false],[6006,6006,"Thank you. .",false],[6027,6039,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Six days of dysuria recorded."],["The note captures: Unpleasant or strong urine odour.","yes","Unpleasant/malodorous urine recorded."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Central, intermittent lower abdominal pain 7/10."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Blood spotting in urine recorded."],["The note captures: Able to pass urine and maintain oral intake.","yes","Able to pass urine and eating/drinking normally."],["The note captures: No fever and no loin/lower back pain.","yes","No fever and no loin/lower back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with mebeverine 200 mg three times daily."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","UTI is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","Three-day antibiotic course prescribed."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain a thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluids 2.5-3 L/day."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Recontact for worsening/persistent pain, fever, back pain or difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Review if recurrent; no routine follow-up if resolved."]],"claims":[],"note":"Subjective\nDysuria x6 days with unpleasant urine odour.\nIntermittent central lower abdominal pain, severity 7/10.\nReports visible blood spotting in urine x6 days.\nPassing urine normally; eating and drinking adequately.\nDenies fever, low back pain, loin pain, vaginal discharge, bowel habit change, weight loss.\nFirst episode; no reported recent dehydration, increased exercise, or regular sexual intercourse.\nPMH: IBS.\nMeds: mebeverine 200 mg TDS.\nAllergy: clindamycin.\nRegular periods.\nSH: Support worker; lives with friends. Non-smoker. Alcohol approx. 1 glass wine/week.\nObjective\nRemote consultation; no physical examination, observations, temperature, or urinalysis documented.\nAssessment\nSuspected lower UTI/cystitis.\nDysuria, malodorous urine, suprapubic pain and reported haematuria support urinary infection.\nNo reported fever, flank/loin pain, or low back pain to suggest upper UTI at present.\nPlan\nPrescribe 3-day course of antibiotics; prescription to be sent to requested Knightsbridge Practice pharmacy.\nAdvise collection and commencement of antibiotics as soon as possible.\nEncourage oral fluids 2.5–3 L/day.\nMay try cranberry juice and OTC urinary alkalinising sachets.\nAdvise purchase of thermometer and monitor temperature.\nSafety-net: seek further review urgently if worsening/non-settling pain, low back pain, high temperature, inability to pass urine, worsening symptoms, or symptoms not resolving with treatment.\nReview if recurrent similar episodes. No routine follow-up needed if symptoms resolve.","review":68.21052631578948,"saved":236.28947368421052,"clean":true,"effort":0.0,"sig":[],"mb":8.96565,"latency":11.468,"signable":79.67852631578948},{"label":"Run 4","wer":8.89908256880734,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name and date of birth, and the first line of your address, please?\n\n  Hi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ.\n\n  And your date of birth?\n\n  14/02/1974.\n\n  Okay. Are you in a private place so you can have a consultation today?\n\n  Yes, I am.\n\n  Okay. What can I do for you?\n\n  It hurts when I pee.\n\n  Okay. And how long has that been going on for?\n\n  6 days now.\n\n  Pardon?\n\n  For 6 days.\n\n  6 days. Okay. And just tell me a bit more about that. How did it start?\n\n  Um, I've got this thing when I pee, and it hurts when I go to the loo.\n\n  Okay.\n\n  And I've got this very unpleasant smell that comes out.\n\n  Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all?\n\n  I've got pain in my tummy.\n\n  Whereabouts?\n\n  In my lower tummy.\n\n  Okay. Is it one-sided or in the middle?\n\n  In the middle.\n\n  And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain.\n\n  7.\n\n  And is it constant, or does it come and go?\n\n  Comes and goes.\n\n  Okay. And have you actually been able to pass water okay?\n\n  Yes, but I've had spotted, uh, blood in my urine.\n\n  Okay. And is that just over the last 6 days?\n\n  Yes.\n\n  Right. And have you been able to eat and drink okay?\n\n  Yes.\n\n  Um, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\n  No.\n\n  Not at all? Um, and any did you you said you didn't have any low back pain?\n\n  No. I've got um, and no loin pain as well.\n\n  Okay. And have you had these symptoms before?\n\n  No.\n\n  Never?\n\n  No.\n\n  And was there anything you were doing recently, which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse, or anything?\n\n  No.\n\n  No? Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\n\n  No. Just the blood spot in my.\n\n  Okay. Do you have regular periods?\n\n  Yes, I do.\n\n  Okay. Um, and in the past, have you had any medical problems at all?\n\n  No medical. No.\n\n  Have you had any problems with your kidneys or any urine infections?\n\n  I had IBS before.\n\n  Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\n\n  Yeah, I've had spotting in my urine.\n\n  In your okay. Um, any change in your bowel habit?\n\n  No.\n\n  Any weight loss or anything?\n\n  No.\n\n  Any other medical problems or surgery in the past?\n\n  No.\n\n  Do you take regular medications?\n\n  I've had Mebevine.\n\n  Pardon?\n\n  Mebeverine.\n\n  Meb.\n\n  I've had Mebeverine.\n\n  Do you take that regularly?\n\n  Yes.\n\n  Okay. And it do you take it 3 times a day?\n\n  Yes, I do.\n\n  200 milligrams?\n\n  Yes.\n\n  Any allergies? Any allergies?\n\n  Clindamycin.\n\n  You're allergic to clindamycin? Okay. And anyone in your family had any medical problems?\n\n  No.\n\n  That's fine. And whereabouts do you live? Do you live with friends, family?\n\n  I live with friends.\n\n  Okay. And where do you work? What's your job?\n\n  I'm a support worker.\n\n  Okay. Do you drink alcohol at all?\n\n  Occasionally.\n\n  So how much in average week?\n\n  One glass of wine a week.\n\n  Okay. Do you smoke?\n\n  No.\n\n  Okay. Um, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish?\n\n  No fever at all.\n\n  Have you got a thermometer at home?\n\n  No.\n\n  Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down.\n\n  Okay.\n\n  Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\n\n  Okay.\n\n  Um, how would you feel about that? Are you happy to take a course of antibiotics?\n\n  Yes, I would be.\n\n  It would just be for 3 days.\n\n  Okay.\n\n  Um.\n\n  So how do I get my prescription?\n\n  Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing, which is important to do, is to drink lots of water. So 2 and a half to 3 liters a day.\n\n  Yeah.\n\n  Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some, some sachets. Um, which you can get from the chemist, some sachets, which just help change the acidity of your urine. So I, I can put the details of that on your notes.\n\n  Okay then.\n\n  Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\n\n  Okay.\n\n  Um, the other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\n\n  So do I have to call after I finish my course of antibiotics?\n\n  No, not if you're better.\n\n  Okay.\n\n  If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk th talk to you in more detail about that.\n\n  Okay then.\n\n  Um, have you got any other questions?\n\n  Uh, no. Uh, what would be the pharmacy I'll be picking up my medication from?\n\n  Um, so have you already requested a pharmacy through Babylon?\n\n  Yes, I did.\n\n  Can I just check that with you?\n\n  Knightsbridge.\n\n  Okay.\n\n  Practice.\n\n  Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\n\n  Okay.\n\n  And.\n\n  Also?\n\n  You'll be able to pick them up from there.\n\n  How soon is that going to be at the practice? In 5 minutes?\n\n  Um, I would give it longer than that.\n\n  Okay.\n\n  Give it an hour or so.\n\n  All right then. Thank you. I'll pick that at lunchtime.\n\n  Okay. All right then.\n\n  Thank you.\n\n  Take care.\n\n  Bye.\n\n  Bye.\n\n  Bye.\n\n  Sorry, I didn't keep.","marks":[[186,194,"SW two two HZ. Hello.",false],[225,245,"forty oh two nineteen seventy four. OK.",false],[434,440,"It stays",false],[1039,1039,"Seven.",false],[1223,1228,"Spots. OK.",false],[1520,1523,"lower",false],[2001,2006,"No.",false],[2247,2254,"how's",false],[2434,2437,"",false],[2468,2468,"No.",false],[2586,2605,"",false],[2625,2629,"Mebeverine.",false],[2653,2653,"Pardon No birth .",false],[3746,3751,"do",false],[3891,3902,"",false],[4199,4205,"litres",false],[4291,4297,"that",false],[4324,4328,"",false],[5169,5180,"reccurently.",false],[5217,5219,"",false],[5329,5339,"where will",false],[5601,5609,"gonna",false],[5662,5667,"How soon",false],[5679,5683,"then",false],[5751,5759,"gonna",false],[5957,5967,"",false],[5993,5997,"Thank you. .",false],[6018,6030,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Dysuria x6 days captured."],["The note captures: Unpleasant or strong urine odour.","yes","Malodorous/unpleasant urine odour captured."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal/suprapubic pain 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Spots of blood in urine/haematuria captured."],["The note captures: Able to pass urine and maintain oral intake.","yes","Able to pass urine and eating/drinking normally captured."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and loin/low back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge and no previous similar episodes captured."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","PMH IBS with mebeverine 200 mg TDS."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: clindamycin\" recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Suspected UTI/cystitis as working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day antibiotic course prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluids 2.5-3 L/day captured."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening/non-settling pain, fever, back pain, difficulty passing urine, non-resolution."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Recurrent episodes review and no routine follow-up if resolved both captured."]],"claims":[],"note":"Subjective\n52F with 6-day hx dysuria and malodorous urine.\nReports intermittent central lower abdominal pain, severity 7/10.\nReports spotting of blood in urine for same duration.\nAble to pass urine; eating and drinking normally.\nDenies fever, low back pain, loin pain, vaginal discharge, bowel habit change, weight loss, or blood in stool.\nNo previous similar episodes or known renal/UTI hx.\nNo reported recent dehydration, increased exercise, or regular sexual intercourse.\nPMH: IBS.\nRegular medication: mebeverine 200 mg TDS.\nAllergy: clindamycin.\nSocial: non-smoker; alcohol approx. 1 glass wine/week.\nObjective\nNo examination findings, vital signs, temperature, or urine testing documented.\nAssessment\nSuspected uncomplicated lower UTI/cystitis, based on 6-day dysuria, malodorous urine, suprapubic/lower central abdominal pain, and reported haematuria.\nNo reported fever, flank/loin pain, low back pain, or impaired urine output to suggest upper UTI at present.\nPlan\nAgreed empirical 3-day course of antibiotics; prescription to be sent to requested Knightsbridge Practice pharmacy.\nAdvise collect prescription and start treatment as soon as available.\nEncourage oral fluids 2.5–3 L/day.\nMay use cranberry juice and OTC urinary alkalinising sachets from pharmacy.\nAdvise obtain thermometer and monitor temperature.\nSafety-net: seek further review if worsening/non-settling pain, new lower back pain, fever/high temperature, difficulty passing urine, symptoms not resolving after treatment, or recurrent similar symptoms.\nNo routine follow-up needed if symptoms resolve.","review":73.26315789473685,"saved":231.23684210526315,"clean":true,"effort":0.0,"sig":[],"mb":8.959198,"latency":24.26,"signable":97.52315789473685},{"label":"Run 5","wer":8.89908256880734,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name and date of birth, and the first line of your address, please?\n\n  Hi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ.\n\n  And your date of birth?\n\n  14/02/1974.\n\n  Okay. Are you in a private place so you can have a consultation today?\n\n  Yes, I am.\n\n  Okay. What can I do for you?\n\n  It hurts when I pee.\n\n  Okay. And how long has that been going on for?\n\n  6 days now.\n\n  Pardon?\n\n  For 6 days.\n\n  6 days. Okay. And just tell me a bit more about that. How did it start?\n\n  Um, I've got this thing when I pee, and it hurts when I go to the loo.\n\n  Okay.\n\n  And I've got this very unpleasant smell that comes out.\n\n  Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all?\n\n  I've got pain in my tummy.\n\n  Whereabouts?\n\n  In my lower tummy.\n\n  Okay. Is it one-sided or in the middle?\n\n  In the middle.\n\n  And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain.\n\n  7.\n\n  And is it constant, or does it come and go?\n\n  Comes and goes.\n\n  Okay. And have you actually been able to pass water okay?\n\n  Yes, but I've had spotted, uh, blood in my urine.\n\n  Okay. And is that just over the last 6 days?\n\n  Yes.\n\n  Right. And have you been able to eat and drink okay?\n\n  Yes.\n\n  Um, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\n  No.\n\n  Not at all? Um, and any did you you said you didn't have any low back pain?\n\n  No. I've got um, and no loin pain as well.\n\n  Okay. And have you had these symptoms before?\n\n  No.\n\n  Never?\n\n  No.\n\n  And was there anything you were doing recently, which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse, or anything?\n\n  No.\n\n  No? Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\n\n  No. Just the blood spot in my.\n\n  Okay. Do you have regular periods?\n\n  Yes, I do.\n\n  Okay. Um, and in the past, have you had any medical problems at all?\n\n  No medical. No.\n\n  Have you had any problems with your kidneys or any urine infections?\n\n  I had IBS before.\n\n  Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\n\n  Yeah, I've had spotting in my urine.\n\n  In your okay. Um, any change in your bowel habit?\n\n  No.\n\n  Any weight loss or anything?\n\n  No.\n\n  Any other medical problems or surgery in the past?\n\n  No.\n\n  Do you take regular medications?\n\n  I've had Mebevine.\n\n  Pardon?\n\n  Mebeverine.\n\n  Meb.\n\n  I've had Mebeverine.\n\n  Do you take that regularly?\n\n  Yes.\n\n  Okay. And it do you take it 3 times a day?\n\n  Yes, I do.\n\n  200 milligrams?\n\n  Yes.\n\n  Any allergies? Any allergies?\n\n  Clindamycin.\n\n  You're allergic to clindamycin? Okay. And anyone in your family had any medical problems?\n\n  No.\n\n  That's fine. And whereabouts do you live? Do you live with friends, family?\n\n  I live with friends.\n\n  Okay. And where do you work? What's your job?\n\n  I'm a support worker.\n\n  Okay. Do you drink alcohol at all?\n\n  Occasionally.\n\n  So how much in average week?\n\n  One glass of wine a week.\n\n  Okay. Do you smoke?\n\n  No.\n\n  Okay. Um, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish?\n\n  No fever at all.\n\n  Have you got a thermometer at home?\n\n  No.\n\n  Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down.\n\n  Okay.\n\n  Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\n\n  Okay.\n\n  Um, how would you feel about that? Are you happy to take a course of antibiotics?\n\n  Yes, I would be.\n\n  It would just be for 3 days.\n\n  Okay.\n\n  Um.\n\n  So how do I get my prescription?\n\n  Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing, which is important to do, is to drink lots of water. So 2 and a half to 3 liters a day.\n\n  Yeah.\n\n  Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some, some sachets, um, which you can get from the chemist, some sachets, which just help change the acidity of your urine. So I, I can put the details of that on your notes.\n\n  Okay then.\n\n  Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\n\n  Okay.\n\n  Um, the other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\n\n  So do I have to call after I finish my course of antibiotics?\n\n  No, not if you're better.\n\n  Okay.\n\n  If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk th talk to you in more detail about that.\n\n  Okay then.\n\n  Um, have you got any other questions?\n\n  Uh, no. Uh, what would be the pharmacy I'll be picking up my medication from?\n\n  Um, so have you already requested a pharmacy through Babylon?\n\n  Yes, I did.\n\n  Can I just check that with you?\n\n  Knightsbridge. Practice.\n\n  Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\n\n  Okay.\n\n  And.\n\n  Also?\n\n  You'll be able to pick them up from there.\n\n  How soon is that going to be at the practice? In 5 minutes?\n\n  Um, I would give it longer than that.\n\n  Okay.\n\n  Give it.\n\n  Okay.\n\n  An hour or so.\n\n  All right then. Thank you. I'll pick that at lunchtime.\n\n  Okay.\n\n  Okay.\n\n  All right then.\n\n  Thank you.\n\n  Take care. Bye.\n\n  Bye.\n\n  Sorry, I didn't keep.","marks":[[186,194,"SW two two HZ. Hello.",false],[225,245,"forty oh two nineteen seventy four. OK.",false],[434,440,"It stays",false],[1039,1039,"Seven.",false],[1223,1228,"Spots. OK.",false],[1520,1523,"lower",false],[2001,2006,"No.",false],[2247,2254,"how's",false],[2434,2437,"",false],[2468,2468,"No.",false],[2586,2605,"",false],[2625,2629,"Mebeverine.",false],[2653,2653,"Pardon No birth .",false],[3746,3751,"do",false],[3891,3902,"",false],[4199,4205,"litres",false],[4291,4297,"that",false],[4324,4328,"",false],[5169,5180,"reccurently.",false],[5217,5219,"",false],[5329,5339,"where will",false],[5589,5597,"gonna",false],[5650,5655,"How soon",false],[5667,5671,"then",false],[5739,5747,"gonna",false],[5970,5980,"",false],[5999,5999,"Thank you. .",false],[6020,6032,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Dysuria x6 days captured."],["The note captures: Unpleasant or strong urine odour.","yes","Malodorous/unpleasant urine odour captured."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal/suprapubic pain 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Spots of blood in urine/haematuria captured."],["The note captures: Able to pass urine and maintain oral intake.","yes","Able to pass urine and eating/drinking normally captured."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and loin/low back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge and no previous similar episodes captured."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","PMH IBS with mebeverine 200 mg TDS."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: clindamycin\" recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Suspected UTI/cystitis as working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day antibiotic course prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluids 2.5-3 L/day captured."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening/non-settling pain, fever, back pain, difficulty passing urine, non-resolution."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Recurrent episodes review and no routine follow-up if resolved both captured."]],"claims":[],"note":"Subjective\nDysuria x6 days with unpleasant urine odour.\nIntermittent central lower abdominal pain, rated 7/10.\nReports visible spotting of blood in urine x6 days.\nPassing urine normally; eating and drinking adequately.\nDenies fever, low back/loin pain, vaginal discharge, change in bowel habit, weight loss or blood in stool.\nNo previous similar urinary symptoms/UTIs reported.\nPMH: IBS.\nRegular medication: mebeverine 200 mg TDS.\nAllergy: clindamycin.\nRegular menses.\nAlcohol: ~1 glass wine/week. Non-smoker.\nObjective\nNo physical examination, urinalysis or vital signs documented during remote consultation.\nAssessment\nSuspected UTI/cystitis, based on 6-day dysuria, malodorous urine, suprapubic/lower central abdominal pain and reported haematuria.\nNo reported fever or loin/back pain to suggest upper urinary tract involvement at time of consultation.\nPlan\nPrescribe 3-day course of antibiotics; prescription to be sent to requested Knightsbridge Practice pharmacy.\nAdvise collect/start antibiotics as soon as available.\nEncourage oral fluids: 2.5–3 L/day.\nMay try cranberry juice and OTC urinary alkalinising sachets from pharmacy.\nAdvise obtain thermometer and monitor temperature.\nSafety-net: seek further review if worsening/non-settling pain, fever, lower back/loin pain, difficulty passing urine, symptoms not resolving after treatment, or recurrent similar episodes.\nNo routine follow-up required if symptoms resolve.","review":65.6842105263158,"saved":238.81578947368422,"clean":true,"effort":0.0,"sig":[],"mb":8.948391,"latency":17.502,"signable":83.18621052631579}],"heidi":[{"label":"Run 1","wer":9.81651376146789,"text":"Good morning. I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\nHi, my name is Susan. Um, thirty Rimbridge Street, SW two two hz. And your date of birth? Fourteen oh two seventy-four. Okay. Are you in a private place so you can have a consultation today?\n\nYes, I am. Okay, what can I do for you? It hurts when I pee. Okay, and how long has that been going on for? Six days now. Pardon? For six days. Six days. Okay. And just tell me a bit more about that. How did it start? Um, I've got this thing when I pee, and it hurts when I go to the loom. I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back- lower back pain at all? I've got pain in my tummy. Whereabouts?\n\nIn my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten, with ten being the worst pain? Seven. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last six days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\nNo. Not at all. And and any did you you said you didn't have any low back pain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. No. Okay. And any any other symptoms, any vaginal discharge or anything like that?\n\nNo. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass all? Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habit? No. Any weight loss or anything?\n\nNo. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had Mabavin. Mebarin. Mebabetin. I've had Medarin. Do you take that regularly? Yes. Okay. And it do you take it three times a day? Yes, I do. Two hundred milligrams? Yes. Any allergies? Any allergies? Clindamycin. You are allergic to clindamycin. Okay. And anyone in your family had any medical problems?\n\nNo. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. And do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\n\nNo. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine with with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for three days. Okay. Will have to get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water, so two and a half to three liters a day. You can get some cranberry juice and take drink that as well. That sometimes helps, and also some sachets.\n\nWhich you can get from the chemists and stuff, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again. Okay. The other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar\n\nUm, you keep getting a similar problem recurrently, then it's important for us to talk talk to you in more detail about that. Okay. Um, have you got any other questions? Uh, no. Uh, what would be the pharmacy I'll be picking up my medication from? Um, so have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knights Bridge Practice. Okay, that's fine. So the antibiotics that I'm gonna prescribe, um, will go through to that pharmacy, and then- Also-\n\nYou'll be able to pick them up from there. How soon is that gonna be at the practice? In five minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye. Sorry. I didn't keep","marks":[[170,179,"Redbridge",false],[202,202,"Hello.",false],[227,235,"forty",false],[243,262,"nineteen seventy four. OK.",false],[437,445,"It stays",false],[613,618,"loo and",false],[1007,1007,"Seven.",false],[1170,1175,"Spots. OK.",false],[1448,1451,"lower",false],[1887,1887,"No.",false],[2188,2191,"stool",false],[2276,2279,"",false],[2307,2307,"No.",false],[2411,2439,"Mebeverine Mebeverine.",true],[2449,2457,"Mebeverine. Pardon No birth .",false],[2621,2628,"You're",false],[3467,3472,"do",false],[3591,3609,"OK. Um.",false],[3906,3912,"litres",false],[4055,4073,"chemist some sachets",false],[4806,4817,"reccurently.",false],[4893,4898,"OK. Yeah. OK then.",false],[4949,4959,"where will",false],[5121,5135,"Knightsbridge",false],[5246,5246,"How soon",false],[5252,5263,"then",false],[5425,5432,"All right",false],[5479,5492,"OK. All right",false],[5499,5509,"",false],[5525,5525,"Thank you. .",false],[5540,5551,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria x6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Unpleasant urine odour\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Intermittent central lower abdominal pain, 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Spotting blood in urine\"."],["The note captures: Able to pass urine and maintain oral intake.","no","No mention of being able to pass urine or maintain oral intake."],["The note captures: No fever and no loin/lower back pain.","yes","\"No fever\"; \"No back pain, no loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"No vaginal discharge\"; \"No previous similar symptoms\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","no","IBS and mebeverine 200 mg TDS are not documented."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","no","Clindamycin allergy is not recorded anywhere."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Symptoms suggestive of UTI\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Commence 3-day course of antibiotics\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain thermometer and monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Increase fluid intake to 2.5-3L daily\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","\"Review if symptoms worsen, develop lower back pain or high temperature, difficulty passing urine, or if symptoms recur\"."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","\"No follow-up required if symptoms resolve\" plus review if symptoms recur."]],"claims":[],"note":"Subjective\n\n- Dysuria x6 days\n\n- Unpleasant urine odour\n\n- Spotting blood in urine\n\n- Intermittent central lower abdominal pain, 7/10\n\n- No fever\n\n- No back pain, no loin pain\n\n- No vaginal discharge\n\n- No previous similar symptoms\n\n- Denies recent dehydration, excessive exercise, regular sexual intercourse\n\n- Regular periods\n\n- No change in bowel habit, no weight loss\n\n\n\n\nObjective\n\n- No fever reported\n\n- No thermometer at home\n\n\n\n\nAssessment\n\n- Symptoms suggestive of UTI\n\n\n\n\nPlan\n\n- Obtain thermometer and monitor temperature\n\n- Commence 3-day course of antibiotics; prescription sent to Knightsbridge Practice pharmacy\n\n- Increase fluid intake to 2.5-3L daily\n\n- Consider cranberry juice and urine alkalinising sachets (details to be noted)\n\n- Review if symptoms worsen, develop lower back pain or high temperature, difficulty passing urine, or if symptoms recur\n\n- No follow-up required if symptoms resolve","review":102.78947368421052,"saved":201.71052631578948,"clean":false,"effort":20.0,"sig":[["missing","History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","Regular mebeverine 200 mg TDS and IBS history absent from the record, so the medication list is incomplete."],["missing","Clindamycin allergy is recorded; do not report no known drug allergies.","Clindamycin allergy omitted in a consultation where an antibiotic is prescribed."]],"mb":34.040949,"latency":26.69,"signable":129.47947368421052},{"label":"Run 2","wer":10.458715596330276,"text":"Good morning, I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\nHi, my name is Susan. Uh, thirty Redbridge Street, SW two two HZ. And your date of birth? Fourteen oh two seventy-four. Okay. Are you in a private place so you can have a consultation today?\n\nYes, I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? Six days now. Pardon? For six days. Six days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loom. I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all? I've got pain in my tummy. Whereabouts?\n\nIn my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten, with ten being the worst pain? Seven. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last six days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\nNo. Not at all. And and any did you you said you didn't have any low back pain? No. I've got and low loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. No. Okay. And any any other symptoms, any vaginal discharge or anything like that?\n\nNo. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass all? Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habits? No. Any weight loss or anything?\n\nNo. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had Mebarin. Pardon? Mebarin. Mebabe. I've had Mebarin. Do you take that regularly? Yes. Okay. And it do you take it three times a day? Yes, I do. Two hundred milligrams? Yes. Any allergies? Any allergies? Clindamycin. You are allergic to clindamycin. Okay. And anyone in your family had any medical problems?\n\nNo. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. Do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\n\nNo. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine with with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for three days. Okay. Will I get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water.\n\nSo two and a half to three liters a day. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemist and saches which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again. Okay. The other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\n\nSo do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar problem recurrently, then it's important for us to talk talk to you in more detail about that. Okay. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes. I did. Can I just check that with you?\n\nNightbridge practice. Okay. That's fine. So the antibiotics that I'm gonna prescribe, will go through to that pharmacy, and then you'll be able to pick them up from there. How soon is that gonna be at the practice? In five minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye. Sorry. I didn't keep","marks":[[199,199,"Hello.",false],[224,232,"forty",false],[240,259,"nineteen seventy four. OK.",false],[434,442,"It stays",false],[606,611,"loo and",false],[999,999,"Seven.",false],[1162,1167,"Spots. 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All right",false],[5453,5463,"",false],[5479,5479,"Thank you. .",false],[5494,5505,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria x6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Unpleasant urinary odour\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Intermittent lower abdominal pain, central, 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Macroscopic haematuria\"."],["The note captures: Able to pass urine and maintain oral intake.","partial","\"Eating and drinking well\" but ability to pass urine not recorded."],["The note captures: No fever and no loin/lower back pain.","partial","\"Denies fever\" but lists \"Low loin pain\" as present, contradicting the denial."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"Denies previous similar symptoms\" and \"Denies vaginal discharge\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","no","Neither IBS nor mebeverine 200 mg TDS is recorded."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","no","Clindamycin allergy is not recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Suspected UTI\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"3-day course of antibiotics prescribed\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"checking temperature with thermometer from pharmacy\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Increased fluid intake 2.5-3L/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Review if pain worsens, lower back pain, high temperature, difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","Recurrent/non-resolving review captured but no mention that routine post-course review is not needed."]],"claims":[["Low loin pain","Transcript says \"no loin pain as well\"; patient denied back/loin pain."]],"note":"Subjective\n\n- Dysuria x6 days\n\n- Unpleasant urinary odour\n\n- Intermittent lower abdominal pain, central, 7/10\n\n- Macroscopic haematuria\n\n- Low loin pain\n\n- Denies fever\n\n- Denies previous similar symptoms\n\n- Denies increased exercise, dehydration, recent changes in sexual activity\n\n- Denies vaginal discharge\n\n- Regular periods\n\n- No change in bowel habit, no weight loss\n\n- Eating and drinking well\n\n\n\n\nObjective\n\n- No temperature documented (no thermometer at home)\n\n\n\n\nAssessment\n\n- Suspected UTI\n\n\n\n\nPlan\n\n- Counselled on checking temperature with thermometer from pharmacy\n\n- 3-day course of antibiotics prescribed\n\n- Increased fluid intake 2.5-3L/day, cranberry juice, urinary alkalising sachets (details to be added to notes)\n\n- Advised to seek review if pain worsens, lower back pain develops, high temperature, or difficulty passing urine\n\n- Advised to seek review if symptoms recurrent or not resolving after treatment\n\n- Prescription sent to Nightbridge practice pharmacy, available for collection in ~1 hour","review":137.69736842105263,"saved":166.80263157894737,"clean":false,"effort":30.0,"sig":[["partial","No fever and no loin/lower back pain.","Loin pain recorded as present when denied, suggesting upper tract infection."],["missing","History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","Past history and regular medication (mebeverine 200 mg TDS) absent from record."],["missing","Clindamycin allergy is recorded; do not report no known drug allergies.","Clindamycin allergy not recorded in a consult where antibiotics were prescribed."]],"mb":34.085909,"latency":25.369,"signable":163.06636842105263},{"label":"Run 3","wer":10.825688073394495,"text":"Good morning, I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\nHi, my name is Susan. Uh, thirty Redbridge Street, SW two two HZ. And your date of birth? Fourteen oh two seven four. Okay. Are you in a private place so you can have a consultation today?\n\nYes, I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? Six days now. Pardon? Or six days. Six days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loom. I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all? I've got pain in my tummy. Whereabouts?\n\nIn my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten, with ten being the worst pain? Seven. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last six days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\nNo. Not at all. And and any did you you said you didn't have any low back pain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. No. Okay. And any any other symptoms, any vaginal discharge or anything like that?\n\nNo. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass stool? Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habits? No. Any weight loss or anything?\n\nNo. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had Meriden. Mebarin. Mebedin. I've had Mebarin. Do you take that regularly? Yes. Okay. And it do you take it three times a day? Yes, I do. Two hundred milligrams? Yes. Any allergies? Any allergies? Clindamycin. You are allergic to clindamycin. Okay. And anyone in your family had any medical problems?\n\nNo. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. Do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\n\nNo. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine with with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for three days. Okay. Will I get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them.\n\nThe other thing which is important to do is to drink lots of water, so two and a half to three liters a day. Yeah. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemist and saches, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\n\nOkay. And the other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar problem recurrently, then it's important for us to talk talk to you in more detail about that. Okay. Have you got any other questions? No. What would be the pharmacy I'll be picking up?\n\nMy medication from. So have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knight Bridge Practice. Okay. That's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy. And you'll be able to pick them up from there. How soon is that going to be at the practice? In five minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye.\n\nSorry. I don't keep","marks":[[202,202,"Hello.",false],[227,235,"forty",false],[243,248,"nineteen seventy",false],[435,443,"It stays",false],[457,459,"Uh",false],[606,611,"loo and",false],[999,999,"Seven.",false],[1162,1167,"Spots. 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All right",false],[5462,5472,"",false],[5488,5488,"Thank you. .",false],[5504,5514,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria x6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"with unpleasant odour\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Lower abdominal pain, midline, 7/10, intermittent\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Visible blood in urine over past 6 days\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","Able to pass urine; eating and drinking normally."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever, back pain, loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No previous similar symptoms; denies vaginal discharge."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","no","IBS and mebeverine 200 mg TDS are not documented."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","no","Clindamycin allergy is not documented."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Symptoms suggestive of UTI\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"3-day course of antibiotics prescribed\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Advised to obtain thermometer and monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"increase fluid intake to 2.5-3L daily\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Return if pain worsens, not resolving, back pain, high temperature, difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Recurrent problem review and no follow-up if resolved."]],"claims":[],"note":"Subjective:\n\n- Dysuria x6 days, with unpleasant odour\n\n- Lower abdominal pain, midline, 7/10, intermittent\n\n- Visible blood in urine over past 6 days\n\n- Able to pass urine\n\n- Eating and drinking normally\n\n- Denies fever, back pain, loin pain\n\n- No previous similar symptoms\n\n- Denies recent excessive exercise, dehydration, sexual intercourse\n\n- Denies vaginal discharge\n\n- Regular periods\n\n- No change in bowel habit, no weight loss\n\n\n\n\nObjective:\n\n- No temperature documented (no thermometer at home)\n\n\n\n\nAssessment:\n\n- Symptoms suggestive of UTI\n\n\n\n\nPlan:\n\n- Advised to obtain thermometer and monitor temperature\n\n- 3-day course of antibiotics prescribed; prescription sent to Knight Bridge Practice pharmacy\n\n- Advised to increase fluid intake to 2.5-3L daily\n\n- Suggested cranberry juice and urine alkalinising sachets (details to be noted)\n\n- Safety-netting: return if pain worsens, symptoms do not resolve, develops lower back pain, high temperature, or difficulty passing urine; also if recurrent problem\n\n- No follow-up required if symptoms resolve","review":92.10526315789474,"saved":212.39473684210526,"clean":false,"effort":13.333333333333334,"sig":[["missing","History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","IBS and regular mebeverine 200 mg TDS omitted."],["missing","Clindamycin allergy is recorded; do not report no known drug allergies.","Clindamycin allergy omitted while antibiotics are being prescribed."]],"mb":33.704291,"latency":23.402,"signable":115.50726315789474},{"label":"Run 4","wer":10.733944954128441,"text":"Good morning. I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\nHi, my name is Susan. Uh, 30 Redbridge Street, SW two two hz. And your date of birth? 140274. Okay. Are you in a private place so you can have a consultation today?\n\nYes, I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? Six days now. Pardon? For six days. Six days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loop. I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all? I've got pain in my tummy. Whereabouts?\n\nIn my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten, with ten being the worst pain? Seven. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last six days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\nNo. Not at all. And and any did you you said you didn't have any low back pain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. No. Okay. And any any other symptoms, any vaginal discharge or anything like that?\n\nNo. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass all? Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habits? No. Any weight loss or anything?\n\nNo. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had Mervin. Pardon? Mebarin. Mebaden. I've had Medarin. Do you take that regularly? Yes. Okay. And it do you take it three times a day? Yes, I do. Two hundred milligrams? Yes. Any allergies? Any allergies? Clindamycin. You are allergic to clindamycin. Okay. And anyone in your family had any medical problems?\n\nNo. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. Do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\n\nNo. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine with with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for three days. Okay. Will I get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them.\n\nThe other thing which is important to do is to drink lots of water, so two and a half to three liters a day. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemist, some sachets, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\n\nOkay. And the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar problem recurrently, then it's important for us to talk talk to you in more detail about that. Okay. Have you got any other questions? No. What would be the pharmacy I'll be picking up?\n\nMy medication from. So have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knightbridge practice. Okay. That's fine. So the antibiotics that I'm going to prescribe, will go through to that pharmacy. And you'll be able to pick them up from there. How soon is that going to be at the practice? In five minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye bye.\n\nSorry. I think","marks":[[198,198,"Hello.",false],[223,236,"forty oh two nineteen seventy four. OK.",false],[411,419,"It stays",false],[583,588,"loo and",false],[976,976,"Seven.",false],[1139,1144,"Spots. 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All right",false],[5440,5450,"",false],[5465,5465,"Thank you. .",false],[5481,5486,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Six days of dysuria recorded."],["The note captures: Unpleasant or strong urine odour.","no","Unpleasant urine odour is not recorded."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Central, intermittent lower abdominal pain 7/10."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Blood spotting in urine recorded."],["The note captures: Able to pass urine and maintain oral intake.","partial","'Eating and drinking normally' recorded; ability to pass urine not stated."],["The note captures: No fever and no loin/lower back pain.","yes","No fever and no loin/lower back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","no","IBS and mebeverine 200 mg TDS are not recorded."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","no","Clindamycin allergy is not recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","UTI is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","Three-day antibiotic course prescribed."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain a thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluids 2.5-3 L/day."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Recontact for worsening/persistent pain, fever, back pain or difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","'Follow-up if... recurrent episodes' recorded but no statement that routine post-course review is unnecessary."]],"claims":[],"note":"Subjective:\n\n- Dysuria x6 days\n\n- Lower abdominal pain, central, intermittent, 7/10\n\n- Haematuria - spotting blood in urine\n\n- No fever, no loin pain, no back pain\n\n- Eating and drinking normally\n\n- No vaginal discharge\n\n- No change in bowel habit, no weight loss\n\n- No history of similar symptoms\n\n- No recent exercise, dehydration or sexual intercourse\n\n- Regular periods\n\n\n\n\nObjective:\n\n- No temperature recorded (no thermometer at home)\n\n\n\n\nAssessment:\n\n- Likely UTI\n\n\n\n\nPlan:\n\n- Obtain thermometer from pharmacy and monitor temperature\n\n- 3-day course of antibiotics prescribed\n\n- Advised to drink 2.5-3L water daily\n\n- Recommended cranberry juice\n\n- Suggested sachets from chemist to alter urine acidity\n\n- Safety net: review if pain worsens, lower back pain, high temperature, or difficulty passing urine\n\n- Follow-up if symptoms not resolving or recurrent episodes\n\n- Prescription sent to Knightbridge Practice pharmacy; collect in ~1 hour","review":125.61842105263159,"saved":178.8815789473684,"clean":false,"effort":26.666666666666668,"sig":[["missing","History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","Regular medication (mebeverine 200 mg TDS) and the IBS history are absent from the record."],["missing","Clindamycin allergy is recorded; do not report no known drug allergies.","Clindamycin allergy is omitted in a consultation that prescribes antibiotics."]],"mb":38.073021,"latency":25.25,"signable":150.8684210526316},{"label":"Run 5","wer":10.18348623853211,"text":"Good morning. I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\nHi, my name is Susan. Um, thirty Redbridge Street, SW two two hz. And your date of birth? Fourteen oh two nineteen seventy-four. Okay. Are you in a private place so you can have a consultation today?\n\nYes, I am. Okay, what can I do for you? It hurts when I pee. Okay, and how long has that been going on for? Six days now. Pardon? For six days. Six days. Okay. And just tell me a bit more about that. How did it start? Um, I've got this thing when I pee, and it hurts when I go to the loom. I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back- lower back pain at all? I've got pain in my tummy. Whereabouts?\n\nIn my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten, with ten being the worst pain? Seven. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last six days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\nNo. Not at all. And and any did you you said you didn't have any lower back pain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. No. Okay. And any any other symptoms, any vaginal discharge or anything like that?\n\nNo. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass all? Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habits? No. Any weight loss or anything?\n\nNo. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meberen. Mebarin. Mebabe. I've had Medarin. Do you take that regularly? Yes. Okay. And it do you take it three times a day? Yes, I do. Two hundred milligrams? Yes. Any allergies? Any allergies? Clindamycin. You are allergic to clindamycin. Okay. And anyone in your family had any medical problems?\n\nNo. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. And do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\n\nNo. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine with with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for three days. Okay. I'll have to get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water.\n\nSo two and a half to three liters a day. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemists and safety, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again. Okay. The other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\n\nSo do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar problem recurrently, then it's important for us to talk talk to you in more detail about that. Okay. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes. I did. Can I just check that with you?\n\nNightbridge practice. Okay. That's fine. So the antibiotics that I'm gonna prescribe, will go through to that pharmacy. And then How soon? You'll be able to pick them up from there. How soon is that gonna be at the practice? In five minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye. Sorry. I didn't keep","marks":[[202,202,"Hello.",false],[227,235,"forty",false],[252,271,"seventy four. 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All right",false],[5485,5495,"",false],[5511,5511,"Thank you. .",false],[5526,5537,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria x6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"with unpleasant odour\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Lower abdominal pain, midline, 7/10, intermittent\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Blood spotting in urine over past 6 days\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","Able to pass urine; eating and drinking normally."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever, lower back pain, loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge; no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS; \"Mebeverine 200mg TDS\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergies: clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Symptoms suggestive of UTI\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"3-day course of antibiotics prescribed\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain thermometer from pharmacy and monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"drink 2.5-3L water daily\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-netted for worsening pain, back pain, high temperature, difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","No routine follow-up if resolved; contact if recurrent."]],"claims":[],"note":"Subjective\n\n- Dysuria x6 days, with unpleasant odour\n\n- Lower abdominal pain, midline, 7/10, intermittent\n\n- Blood spotting in urine over past 6 days\n\n- Able to pass urine\n\n- Eating and drinking normally\n\n- Denies fever, lower back pain, loin pain\n\n- No previous similar symptoms\n\n- Denies recent excessive exercise, dehydration, regular sexual intercourse\n\n- No vaginal discharge\n\n- Regular periods\n\n\n\n\nPast Medical History\n\n- IBS - no recent change in bowel habit, no PR bleeding\n\n- Allergies: clindamycin\n\n\n\n\nMedications\n\n- Mebeverine 200mg TDS\n\n\n\n\nSocial History\n\n- Lives with friends\n\n- Support worker\n\n- Alcohol: occasional, ~1 glass wine/week\n\n- Non-smoker\n\n\n\n\nObjective\n\n- No temperature documented (no thermometer at home)\n\n\n\n\nAssessment\n\n- Symptoms suggestive of UTI\n\n- No signs of systemic infection; possibility of ascending infection if symptoms worsen\n\n\n\n\nPlan\n\n- Obtain thermometer from pharmacy and monitor temperature\n\n- 3-day course of antibiotics prescribed, dispensed at Nightbridge Practice pharmacy (available ~1 hour)\n\n- Advised to drink 2.5-3L water daily\n\n- Suggested cranberry juice and urine alkalising sachets (details to be added to notes)\n\n- Safety-netted: seek review if pain worsens, lower back pain develops, high temperature, or difficulty passing urine\n\n- No routine follow-up required if symptoms resolve after antibiotics\n\n- Advised to contact clinic if symptoms worsen, fail to resolve, or recur","review":61.578947368421055,"saved":242.92105263157896,"clean":true,"effort":0.0,"sig":[],"mb":38.796452,"latency":26.072,"signable":87.65094736842106},{"label":"Run 6","wer":11.009174311926607,"text":"Good morning, I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please?\n\nHi, my name is Susan. Uh, 30 Redbridge Street, SW two two HZ. And your date of birth? 140274. Okay. Are you in a private place so you can have a consultation today?\n\nYes, I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? Six days now. Pardon? Six days. Six days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loop. I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all? I've got pain in my tummy. Whereabouts?\n\nIn my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten, with ten being the worst pain? Seven. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last six days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\n\nNo. Not at all. And and any did you you said you didn't have any low back pain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. No. Okay. And any any other symptoms, any vaginal discharge or anything like that?\n\nNo. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass all? Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habits? No. Any weight loss or anything?\n\nNo. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had Merbin. Had it? Mebarin. Mebabin. I've had Medrin. Do you take that regularly? Yes. Okay. And it do you take it three times a day? Yes I do. Two hundred milligrams? Yes. Any allergies? Any allergies? Clindamycin. You are allergic to clindamycin. Okay. And anyone in your family had any medical problems?\n\nNo. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. Do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\n\nNo. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine with with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for three days. Okay. Will I get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them.\n\nThe other thing which is important to do is to drink lots of water, so two and a half to three liters a day. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemist and saches, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature, or you have any problems actually passing the urine, then it's very important that we speak to you again.\n\nOkay. And the other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar problem recurrently, then it's important for us to talk talk to you in more detail about that. Okay. Have you got any other questions? No. What would be the pharmacy I'll be picking up?\n\nMy medication from. So have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knightbridge practice. Okay. That's fine. So the antibiotics that I'm going to prescribe, will go through to that pharmacy. And you'll be able to pick them up from there. How soon is that going to be at the practice? In five minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye.\n\nSorry. I think","marks":[[195,195,"Hello.",false],[220,233,"forty oh two nineteen seventy four. OK.",false],[408,416,"It stays",false],[576,581,"loo and",false],[969,969,"Seven.",false],[1132,1137,"Spots. OK.",false],[1410,1413,"lower",false],[1849,1849,"No.",false],[2150,2153,"stool",false],[2231,2242,"habit",false],[2270,2270,"No.",false],[2374,2407,"Mebeverine Mebeverine.",true],[2417,2424,"Mebeverine. 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All right",false],[5433,5443,"",false],[5459,5459,"Thank you. .",false],[5475,5480,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria x6 days\"."],["The note captures: Unpleasant or strong urine odour.","no","Records \"Foul-smelling discharge\" rather than unpleasant-smelling urine, which misattributes the odour and conflicts with no vaginal discharge."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Intermittent central lower abdominal pain, 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Blood spotting in urine over last 6 days\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","Passing urine okay; eating and drinking okay."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever, loin pain, low back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No previous similar symptoms; no vaginal discharge."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","no","IBS and mebeverine 200 mg TDS are not documented."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","no","Clindamycin allergy is not documented."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Likely urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"3-day course of antibiotics prescribed\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain thermometer from pharmacy; monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"drink 2.5-3L water daily\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net for worse pain, back pain, high temperature, difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","Review if problem recurs captured; no statement that no routine review is needed if better."]],"claims":[["Foul-smelling discharge","Patient described an unpleasant smell when passing urine and explicitly denied vaginal discharge; no discharge was reported."]],"note":"Subjective\n\n- Dysuria x6 days\n\n- Foul-smelling discharge\n\n- Intermittent central lower abdominal pain, 7/10\n\n- Blood spotting in urine over last 6 days\n\n- Passing urine okay\n\n- Eating and drinking okay\n\n- Denies fever, loin pain, low back pain\n\n- No previous similar symptoms\n\n- Denies recent excessive exercise, dehydration, increased sexual activity\n\n- Regular periods\n\n- No vaginal discharge\n\n\n\n\nObjective\n\n- Nil examination performed (telehealth consultation)\n\n\n\n\nAssessment\n\n- Likely urinary tract infection\n\n\n\n\nPlan\n\n- Obtain thermometer from pharmacy; monitor temperature\n\n- 3-day course of antibiotics prescribed; prescription sent to Knightbridge practice\n\n- Advised to drink 2.5–3L water daily\n\n- Suggested cranberry juice and urinary alkalising sachets from chemist\n\n- Safety-net: seek further review if pain worsens, lower back pain develops, high temperature, or difficulty passing urine\n\n- Advised to seek further review if symptoms do not resolve or problem recurs","review":126.30263157894737,"saved":178.19736842105263,"clean":false,"effort":30.0,"sig":[["missing","Unpleasant or strong urine odour.","Urine odour recorded as foul-smelling discharge, contradicting her denial of discharge; could redirect diagnosis."],["missing","History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","IBS and regular mebeverine 200 mg TDS omitted from the record."],["missing","Clindamycin allergy is recorded; do not report no known drug allergies.","Clindamycin allergy omitted while antibiotics are being prescribed."]],"mb":37.196626,"latency":24.981,"signable":151.28363157894736}],"freed":[{"label":"Run 1","wer":13.394495412844037,"text":"Good morning, I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the 1st line of your address, please?\n  Hi, my name is Susan, 30 Redbridge Street, S. W. 2, 2, H. Z. And your date of birth?\n  14-02-1974. Okay, are you in a private place where you can have a consultation today? Yes, I am. Okay, what can I do for you? It hurts when I pee. Okay, and how long has that been going on for? 6 days now. Pardon?\n  6 days.\n  6 days, okay. And just tell me a bit more about that. How did it start?\n  I've got this thing when I pee and it hurts when I go to the loo. I've got this very unpleasant smell that comes out.\n  Okay. Have you had any other symptoms along with that? Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay, is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of one to 10, with 10 being the worst pain? 7. And is it constant or does it come and go? Comes and goes. Okay, and have you actually been able to pass water okay? Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right, and have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or held a temperature with this?\n  No, not at all.\n  You said you didn't have any lower back pain?\n  No, I've got a no-loin pain as well.\n  Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything?\n  No.\n  No, okay. And any other symptoms, any vaginal discharge or anything like that?\n  No, just the blood spot in my...\n  Do you have regular periods?\n  Yes, I do.\n  Okay. And in the past, have you had any medical problems at all? No medical, no. Have you had any problems with your kidneys or any urine infections?\n  I had IBS before.\n  Okay. And how's that been recently? Any change in your bowel habit? Any blood running past stool?\n  Yeah, I've had spotting in my urine.\n  Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meverine. I've had heparin. Do you take that regularly?\n  Yes.\n  Okay, and do you take it 3 times a day?\n  Yes, I do.\n  200 milligrams? Yes. Any allergies? Any allergies?\n  Clindamycin.\n  You're allergic to clindamycin? Okay. And anyone in your family had any medical problems? No. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. OK. And where do you work? What's your job?\n  I'm a support worker.\n  OK. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. OK. Do you smoke? No. OK. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally we can treat this infection without having to test your urine with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics?\n  Yes, I would be.\n  It would just be for 3 days. Okay. Do I have to get my prescription? Yes, so I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water, so 2 and a half to 3 litres a day. You can get some cranberry juice and drink that as well, that sometimes helps, and also some sachets which you can get from the chemist. some stethos which just help change the acidity of your urine so I can put the details of that on your notes. If you feel like your pain is getting worse or not settling you get lower back pain or you're getting a high temperature or you have any problems actually passing urine then it's very important that we speak to you again. The other thing is if it becomes a common thing or a recurrent problem... then we need to talk to you again about it.\n  So do I have to go after I finish my course of antibiotics?\n  No, not if you're better. If you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Have you got any other questions? No. What would be the pharmacy I would be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knightsbridge Practice. Okay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy. You'll be able to pick them up from there.\n  How soon is that going to be at the practice? In 5 minutes?\n  I would give it longer than that. Give it an hour or so.\n  All right then. Thank you. I'll pick you up at lunchtime.\n  Okay. All right then. Thank you. Take care. Bye. Bye.","marks":[[100,103,"first",false],[179,184,"SW",false],[191,196,"HZ. Hello.",false],[223,239,"forty oh two nineteen seventy four. OK.",false],[268,273,"so",false],[417,423,"It stays",false],[732,732,"back",true],[962,962,"Seven.",false],[1124,1124,"Spots. 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Um",false],[4737,4747,"Uh where will",false],[4764,4771,"I'll",false],[4979,4987,"gonna",false],[5031,5031,"How soon And then",false],[5094,5102,"gonna",false],[5235,5241,"that",false],[5280,5290,"",false],[5306,5306,"Thank you. .",false],[5311,5311,"Sorry I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Captures 6-day history of dysuria/pain on urination."],["The note captures: Unpleasant or strong urine odour.","yes","Records unpleasant smell of urine."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal pain rated 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Records spotted blood in urine / haematuria."],["The note captures: Able to pass urine and maintain oral intake.","yes","States able to pass urine without difficulty and to eat and drink."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and lower back/loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Denies vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with mebeverine 200 mg three times daily recorded."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Urinary tract infection is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day course of antibiotics prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluid intake 2.5-3 litres daily advised."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening symptoms, back pain, high temperature and difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","'Follow up if urinary infections become recurrent' captured, but no statement that routine review is unnecessary if better."]],"claims":[["Medications list includes 'Heparin'","Transcript names only mebeverine as a regular medication; heparin is never mentioned."]],"note":"Subjective\nSusan, a patient with a history of irritable bowel syndrome, presents with a 6-day history of dysuria, malodorous urine, hematuria, and lower abdominal pain.\n\nShe reports pain with urination that started 6 days ago, accompanied by a very unpleasant smell to her urine. She has also noticed spotted blood in her urine over the same 6-day period. She reports lower abdominal pain, located in the middle of her abdomen, rated 7 out of 10 in severity, which is intermittent in nature. She has been able to pass urine without difficulty. She denies fever or feeling feverish. She denies lower back pain or loin pain. She denies vaginal discharge. She reports regular menstrual periods. She denies any change in bowel habit. She has been able to eat and drink without difficulty. She denies any recent excessive exercise, dehydration, or increased sexual activity. She has not experienced these symptoms before.\n\nMedical History  \n- Irritable bowel syndrome\n\nMedications and Supplements  \n- Mebeverine 200 mg PO three times daily  \n- Heparin\n\nAllergies  \n- Clindamycin\n\nSocial History  \n- Occupation: Works as a support worker  \n- Living Situation: Lives with friends  \n- Alcohol: Occasional, one glass of wine per week  \n- Tobacco: Non-smoker\n\nReview of Systems  \n- General: Denies fever  \n- Gastrointestinal: Denies change in bowel habit  \n- Genitourinary: Denies difficulty passing urine, vaginal discharge  \n- Musculoskeletal: Denies lower back pain\n\nObjective\nN/A\n\nAssessment & Plan\nSusan presents with a 6-day history of dysuria, hematuria, and lower abdominal pain consistent with a urinary tract infection.\n\nUrinary Tract Infection  \nAssessment: Patient presents with classic symptoms of urinary tract infection including dysuria for 6 days, hematuria, specifically spotted blood in urine over the last 6 days, unpleasant-smelling urine, and lower abdominal pain rated 7/10 that comes and goes. No fever reported, no lower back pain, and able to pass urine normally. No previous history of urinary tract infections or kidney problems. History of IBS but no recent changes in bowel habits. No vaginal discharge reported. Clinical presentation is highly suggestive of uncomplicated urinary tract infection.  \nPlan:  \n- Prescribe 3-day course of antibiotics  \n- Prescription to be sent to Knightsbridge Practice pharmacy, to be available in approximately 1 hour  \n- Patient to start antibiotics as soon as possible after pickup  \n- Increase fluid intake to 2.5-3 liters per day  \n- Consider cranberry juice for additional symptom relief  \n- Use urine acidifying sachets available from pharmacy  \n- Obtain thermometer to monitor temperature at home  \n- Return for reassessment if symptoms worsen, develop lower back pain, experience high fever, have difficulty passing urine, or if symptoms do not resolve with treatment  \n- Follow up if urinary infections become recurrent\n","review":161.5921052631579,"saved":142.9078947368421,"clean":false,"effort":13.333333333333334,"sig":[["fabrication","Medications list includes 'Heparin'","Heparin is invented; only mebeverine was named, and a false anticoagulant entry affects prescribing and bleeding assessment."]],"mb":14.074332,"latency":44.874,"signable":194.2711052631579},{"label":"Run 2","wer":13.577981651376147,"text":"Good morning, I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the 1st line of your address, please?\n  Hi, my name is Susan, 30 Redbridge Street, S. W. 2, 2, H. Z. And your date of birth?\n  14-02-1974. Okay, are you in a private place where you can have a consultation today? Yes, I am. Okay, what can I do for you? It hurts when I pee. Okay, and how long has that been going on for? 6 days now. Pardon? 6 days. 6 days, okay. And just tell me a bit more about that. How did it start?\n  I've got this thing when I pee and it hurts when I go to the loo. I've got this very unpleasant smell that comes out.\n  Okay. Have you had any other symptoms along with that? Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay, is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten, with ten being the worst pain? Seven. And is it constant or does it come and go? Comes and goes. Okay, and have you actually been able to pass water okay? Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right, and have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or held a temperature with this?\n  No, not at all.\n  You said you didn't have any lower back pain?\n  No, I've got anal loin pain as well.\n  Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything?\n  No.\n  No, okay. And any other symptoms, any vaginal discharge or anything like that?\n  No, just blood spot in my...\n  Do you have regular periods?\n  Yes, I do.\n  Okay. In the past, have you had any medical problems at all? No medical, no. Have you had any problems with your kidneys or any urine infections?\n  I had IBS before.\n  Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass stool?\n  Yeah, I've had spotting in my urine.\n  Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had Mevrin. I've had heparin. Do you take that regularly?\n  Yes.\n  Okay, and do you take it 3 times a day?\n  Yes, I do.\n  200 milligrams? Yes. Any allergies? Any allergies?\n  Clindamycin.\n  You are allergic to clindamycin, okay. And anyone in your family had any medical problems? No. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. OK. And where do you work? What's your job?\n  I'm a support worker.\n  OK. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. OK. Do you smoke? No. OK. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally we can treat this infection without having to test your urine with a course of antibiotics. Okay. How do you feel about that? Are you happy to take a course of antibiotics?\n  Yes, I would be.\n  It would just be for 3 days. Okay. Do I have to get my prescription? Yes, so I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3 litres a day. You can get some cranberry juice and drink that as well, that sometimes helps, and also some sachets which you can get from the chemist. some stethos which just help change the acidity of your urine so I can put the details of that on your notes. If you feel like your pain is getting worse or not settling you get lower back pain or you're getting a high temperature or you have any problems actually passing urine then it's very important that we speak to you again. The other thing is if it becomes a common thing or a recurrent problem... then we need to talk to you again about it.\n  So do I have to go after I finish my course of antibiotics?\n  No, not if you're better. If you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Have you got any other questions? No, what would be the pharmacy I would be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knightsbridge practice. Okay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy. You'll be able to pick them up from there.\n  How soon is that going to be at practice? In 5 minutes?\n  I would give it longer than that. Give it an hour or so.\n  All right then. Thank you. I'll pick you up at lunchtime.\n  Okay. All right then. Thank you. Take care. Bye. Bye.","marks":[[100,103,"first",false],[179,184,"SW",false],[191,196,"HZ. Hello.",false],[223,239,"forty oh two nineteen seventy four. OK.",false],[268,273,"so",false],[417,423,"It stays",false],[728,728,"back",true],[964,964,"Seven.",false],[1126,1126,"Spots. OK.",false],[1304,1308,"had",false],[1351,1351,"Um and any did you",false],[1415,1419,"Um and no",true],[1601,1601,"have you",false],[1721,1721,"any",false],[1817,1817,"No.",false],[2172,2177,"In your OK. Um",false],[2210,2213,"",false],[2241,2241,"No.",false],[2344,2351,"Mebeverine Mebeverine.",true],[2361,2369,"Mebeverine. Pardon No birth .",true],[2530,2537,"You're",false],[3481,3499,"OK. Um.",false],[3635,3635,"get them",false],[3831,3831,"take",false],[3937,3944,"sachets",false],[4041,4041,"Yeah. OK then. Um",false],[4400,4402,"call",false],[4471,4471,"If you're",false],[4601,4601,"um you keep getting a similar",false],[4610,4621,"reccurently.",false],[4652,4652,"talk",false],[4691,4691,"OK. Yeah. OK then. Um",false],[4730,4740,"Uh where will",false],[4757,4764,"I'll",false],[4972,4980,"gonna",false],[5024,5024,"How soon And then",false],[5087,5095,"gonna",false],[5224,5230,"that",false],[5269,5279,"",false],[5295,5295,"Thank you. .",false],[5300,5300,"Sorry I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Captures 6-day history of dysuria/pain on urination."],["The note captures: Unpleasant or strong urine odour.","yes","Records unpleasant smell of urine."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal pain rated 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Records spotted blood in urine / haematuria."],["The note captures: Able to pass urine and maintain oral intake.","yes","States able to pass urine without difficulty and to eat and drink."],["The note captures: No fever and no loin/lower back pain.","no","Denies fever and lower back pain but states 'She also reports anal loin pain', contradicting the patient's 'no loin pain'."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Denies vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","partial","IBS and 200 mg TDS recorded but drug given as 'Mevrin' rather than mebeverine."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Urinary tract infection is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day course of antibiotics prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluid intake 2.5-3 litres daily advised."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening symptoms, back pain, high temperature and difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","Recurrence review mentioned but does not state that no routine post-course review is needed if better."]],"claims":[["She also reports anal loin pain","Patient explicitly said 'no loin pain as well'; no anal pain mentioned anywhere."],["Medications list includes 'Heparin'","Transcript names only mebeverine as a regular medication; heparin is never mentioned."]],"note":"Subjective\nSusan, a patient with a history of irritable bowel syndrome, presents with a 6-day history of dysuria, suprapubic pain, and hematuria. She reports pain on urination accompanied by a very unpleasant smell to her urine. She has also noted spotted blood in her urine over the same 6-day period. She describes intermittent pain in her lower abdomen, localized to the middle, rated 7 out of 10 in severity. She also reports anal loin pain. She has been able to pass urine without difficulty. She denies fever or feeling feverish. She denies lower back pain. She denies vaginal discharge. She reports regular menstrual periods. She denies any change in bowel habit, blood in stool, or weight loss. She has been able to eat and drink without difficulty. She denies recent excessive exercise, dehydration, or increased sexual activity. She has never had these symptoms before and has no history of kidney problems or prior urinary tract infections.\n\nMedical History  \n- Irritable bowel syndrome (IBS)\n\nMedications and Supplements  \n- Mevrin 200 mg PO three times daily  \n- Heparin\n\nAllergies  \n- Clindamycin\n\nSocial History  \n- Occupation: Works as a support worker  \n- Living Situation: Lives with friends  \n- Alcohol: Occasional, one glass of wine per week  \n- Tobacco: Denies smoking\n\nReview of Systems  \n- General: Denies fever, weight loss  \n- Gastrointestinal: Denies change in bowel habit, blood in stool  \n- Genitourinary: Denies difficulty urinating, vaginal discharge\n\nObjective\nN/A\n\nAssessment & Plan\n52-year-old female with history of IBS, presenting with 6-day history of dysuria, hematuria, and lower abdominal pain.\n\nUrinary Tract Infection  \nAssessment: Patient presents with classic symptoms of urinary tract infection including dysuria for 6 days, hematuria described as spotted blood in urine, and lower abdominal pain rated 7/10 that is intermittent. Additional symptoms include unpleasant urinary odor and anal loin pain. No fever reported. No previous history of urinary tract infections or kidney problems. Clinical presentation is consistent with uncomplicated urinary tract infection.  \nPlan:  \n- Prescribe 3-day course of antibiotics  \n- Prescription to be sent to Knightsbridge practice pharmacy, available for pickup in approximately one hour  \n- Increase fluid intake to 2.5-3 liters daily  \n- Consider cranberry juice supplementation  \n- Obtain urinary acidity sachets from pharmacy  \n- Monitor temperature with thermometer obtained from pharmacy  \n- Return for reassessment if symptoms worsen, develop lower back pain, experience high fever, have difficulty passing urine, or if problem becomes recurrent\n","review":192.39473684210526,"saved":112.10526315789474,"clean":false,"effort":26.666666666666668,"sig":[["missing","No fever and no loin/lower back pain.","Note says she reports loin pain when she explicitly denied loin pain."],["partial","History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","Drug recorded as Mevrin, not a real drug name for mebeverine, risking medication reconciliation error."]],"mb":12.02011,"latency":60.293,"signable":237.58373684210525},{"label":"Run 3","wer":13.761467889908257,"text":"Good morning, I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the 1st line of your address, please?\n  Hi, my name is Susan, 30 Redbridge Street, SW22HZ.\n  And your date of birth? 14-02-1974. Okay, are you in a private place you can have a consultation today? Yes, I am. Okay, what can I do for you? It hurts when I pee. Okay, and how long has that been going on for? 6 days now. Pardon?\n  6 days.\n  6 days, okay. And just tell me a bit more about that. How did it start?\n  I've got this thing when I pee and it hurts when I go to the loo. I've got this very unpleasant smell that comes out.\n  Okay. Have you had any other symptoms along with that? Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay, is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten, with ten being the worst pain? Seven. And is it constant or does it come and go? Comes and goes. Okay, and have you actually been able to pass water okay? Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right, and have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or held a temperature with this?\n  No, not at all.\n  You said you didn't have any low back pain?\n  No, I've got no loin pain as well.\n  Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything?\n  No.\n  No, okay. And any other symptoms, any vaginal discharge or anything like that?\n  No, just blood spots in my...\n  Do you have regular periods?\n  Yes, I do.\n  Okay. In the past, have you had any medical problems at all? No medical, no. Have you had any problems with your kidneys or any urine infections?\n  I had IBS before.\n  Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass stool?\n  Yeah, I've had spotting in my urine.\n  Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meverine. I've had heparin. Do you take that regularly?\n  Yes.\n  Okay, and do you take it 3 times a day?\n  Yes, I do.\n  200 milligrams? Yes. Any allergies? Any allergies?\n  Clindamycin.\n  You're allergic to clindamycin? Okay. And anyone in your family had any medical problems? No. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. OK. And where do you work? What's your job?\n  I'm a support worker.\n  OK. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. OK. Do you smoke? No. OK. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally we can treat this infection without having to test your urine with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics?\n  Yes, I would be.\n  It would just be for 3 days. Okay. Do I have to get my prescription? Yes, so I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water, so 2 and a half to 3 liters a day. You can get some cranberry juice and drink that as well, that sometimes helps, and also some sachets which you can get from the chemist. some stethos which just help change the acidity of your urine so I can put the details of that on your notes. If you feel like your pain is getting worse or not settling you get lower back pain or you're getting a high temperature or you have any problems actually passing urine then it's very important that we speak to you again. The other thing is if it becomes a common thing or a recurrent problem... then we need to talk to you again about it.\n  So do I have to go after I finish my course of antibiotics?\n  No, not if you're better. If you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Have you got any other questions? No, what would be the pharmacy I would be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knightsbridge practice. Okay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy. You'll be able to pick them up from there.\n  How soon is that going to be at practice? In 5 minutes?\n  I would give it longer than that. Give it an hour or so.\n  All right then. Thank you. I'll pick you up at lunchtime.\n  Okay. All right then. Thank you. Take care. Bye. Bye.","marks":[[100,103,"first",false],[179,186,"SW two two HZ. Hello.",false],[213,229,"forty oh two nineteen seventy four. OK.",false],[401,407,"It stays",false],[716,716,"back",true],[952,952,"Seven.",false],[1114,1114,"Spots. OK.",false],[1292,1296,"had",false],[1339,1339,"Um and any did you",false],[1371,1374,"lower",false],[1585,1585,"have you",false],[1705,1705,"any",false],[1788,1793,"spot",false],[1802,1802,"No.",false],[2157,2162,"In your OK. Um",false],[2195,2198,"",false],[2226,2226,"No.",false],[2329,2338,"Mebeverine Mebeverine.",false],[2348,2356,"Mebeverine. Pardon No birth .",true],[3346,3351,"do",false],[3470,3488,"OK. Um.",false],[3624,3624,"get them",false],[3770,3776,"litres",false],[3820,3820,"take",false],[3926,3933,"sachets",false],[4030,4030,"Yeah. OK then. Um",false],[4389,4391,"call",false],[4460,4460,"If you're",false],[4588,4588,"um you keep getting a similar",false],[4597,4608,"reccurently.",false],[4639,4639,"talk",false],[4678,4678,"OK. Yeah. OK then. Um",false],[4717,4727,"Uh where will",false],[4744,4751,"I'll",false],[4959,4967,"gonna",false],[5011,5011,"How soon And then",false],[5074,5082,"gonna",false],[5211,5217,"that",false],[5256,5266,"",false],[5282,5282,"Thank you. .",false],[5287,5287,"Sorry I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"6-day history of dysuria\" with pain on urination."],["The note captures: Unpleasant or strong urine odour.","yes","\"very unpleasant smell to her urine\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"lower abdominal pain, midline, rated 7 out of 10 ... intermittent\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"spotted blood in her urine over the same 6-day period\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","\"able to pass urine without difficulty\" and \"able to eat and drink without difficulty\"."],["The note captures: No fever and no loin/lower back pain.","yes","\"denies fever\" and \"denies low back pain or loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"denies vaginal discharge\" and \"has not experienced these symptoms before\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS listed with \"Mebeverine 200 mg PO three times daily\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Allergies: \"Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"consistent with a urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribe 3-day course of antibiotics\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain thermometer to monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Increase fluid intake to 2.5-3 liters daily\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Return if worsening, lower back pain, high fever, difficulty passing urine; persistent covered via recurrence/resolve wording."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","\"if UTI becomes recurrent\" and \"No routine follow-up needed if symptoms resolve\"."]],"claims":[["Medication list includes \"Heparin\"","No anticoagulant or heparin is mentioned anywhere; the only medication discussed is mebeverine."]],"note":"Subjective\nSusan, a patient with a history of irritable bowel syndrome, presents with a 6-day history of dysuria, malodorous urine, and hematuria. She reports pain on urination along with a very unpleasant smell to her urine. She has also noticed spotted blood in her urine over the same 6-day period. She reports being able to pass urine without difficulty. She has associated lower abdominal pain, midline, rated 7 out of 10 in severity, which is intermittent in nature. She denies fever or feeling feverish. She denies low back pain or loin pain. She denies vaginal discharge. She reports regular periods. She denies any change in bowel habit. She has been able to eat and drink without difficulty. She denies recent excessive exercise, dehydration, or increased sexual activity. She has not experienced these symptoms before.\n\nMedical History  \n- Irritable bowel syndrome\n\nMedications and Supplements  \n- Mebeverine 200 mg PO three times daily  \n- Heparin\n\nAllergies  \n- Clindamycin\n\nSocial History  \n- Occupation: Works as a support worker  \n- Living Situation: Lives with friends  \n- Alcohol: Occasional, one glass of wine per week  \n- Tobacco: Denies smoking\n\nReview of Systems  \n- General: Denies fever  \n- Gastrointestinal: Denies change in bowel habit  \n- Genitourinary: Denies difficulty passing urine, vaginal discharge  \n- Musculoskeletal: Denies low back pain\n\nObjective\nN/A\n\nAssessment & Plan\nSusan presents with a 6-day history of dysuria, hematuria, and lower abdominal pain consistent with a urinary tract infection.\n\nUrinary Tract Infection  \nAssessment: Patient presents with classic symptoms of urinary tract infection including dysuria for 6 days, hematuria with blood spots noted in urine over the same timeframe, and lower abdominal pain rated 7/10 that is intermittent and centrally located. Associated symptoms include foul-smelling urine. No fever reported, no lower back pain, and able to pass urine normally. No previous history of urinary tract infections or kidney problems. Clinical presentation is highly suggestive of uncomplicated urinary tract infection.  \nPlan:  \n- Prescribe 3-day course of antibiotics  \n- Prescription to be sent to Knightsbridge practice pharmacy, allow approximately 1 hour for processing  \n- Increase fluid intake to 2.5-3 liters daily  \n- Consider cranberry juice supplementation  \n- Use urine acidity modification sachets available from pharmacy  \n- Obtain thermometer to monitor temperature  \n- Return for reassessment if symptoms worsen, develop lower back pain, experience high fever, have difficulty passing urine, or if UTI becomes recurrent  \n- No routine follow-up needed if symptoms resolve with treatment\n","review":134.21052631578948,"saved":170.28947368421052,"clean":false,"effort":10.0,"sig":[["fabrication","Medication list includes \"Heparin\"","Heparin never mentioned; an invented anticoagulant in the medication list could affect prescribing and bleeding assessment given haematuria."]],"mb":14.024493,"latency":52.924,"signable":174.01452631578948},{"label":"Run 4","wer":13.394495412844037,"text":"Good morning, I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the 1st line of your address, please?\n  Hi, my name is Susan, 30 Redbridge Street, S. W. 2, 2, H. Z. And your date of birth?\n  14-02-1974. Okay, are you in a private place where you can have a consultation today? Yes, I am. Okay, what can I do for you? It hurts when I pee. Okay, and how long has that been going on for? 6 days now. Pardon?\n  6 days.\n  6 days, okay. And just tell me a bit more about that. How did it start?\n  I've got this thing when I pee and it hurts when I go to the loo. I've got this very unpleasant smell that comes out.\n  Okay. Have you had any other symptoms along with that? Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay, is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of one to 10, with 10 being the worst pain? 7. And is it constant or does it come and go? Comes and goes. Okay, and have you actually been able to pass water okay? Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right, and have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or held a temperature with this?\n  No, not at all.\n  You said you didn't have any lower back pain?\n  No, I've got a no-loin pain as well.\n  Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything?\n  No.\n  No, okay. And any other symptoms, any vaginal discharge or anything like that?\n  No, just the blood spot in my...\n  Do you have regular periods?\n  Yes, I do.\n  Okay. And in the past, have you had any medical problems at all? No medical, no. Have you had any problems with your kidneys or any urine infections?\n  I had IBS before.\n  Okay. And how's that been recently? Any change in your bowel habit? Any blood running past stool?\n  Yeah, I've had spotting in my urine.\n  Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meverine. I've had heparin. Do you take that regularly?\n  Yes.\n  Okay, and do you take it 3 times a day?\n  Yes, I do.\n  200 milligrams? Yes. Any allergies? Any allergies?\n  Clindamycin.\n  You're allergic to clindamycin? Okay. And anyone in your family had any medical problems? No. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. OK. And where do you work? What's your job?\n  I'm a support worker.\n  OK. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. OK. Do you smoke? No. OK. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally we can treat this infection without having to test your urine with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics?\n  Yes, I would be.\n  It would just be for 3 days. Okay. Do I have to get my prescription? Yes, so I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water, so 2 and a half to 3 litres a day. You can get some cranberry juice and drink that as well, that sometimes helps, and also some sachets which you can get from the chemist. some stethos which just help change the acidity of your urine so I can put the details of that on your notes. If you feel like your pain is getting worse or not settling you get lower back pain or you're getting a high temperature or you have any problems actually passing urine then it's very important that we speak to you again. The other thing is if it becomes a common thing or a recurrent problem... then we need to talk to you again about it.\n  So do I have to go after I finish my course of antibiotics?\n  No, not if you're better. If you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Have you got any other questions? No. What would be the pharmacy I would be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knightsbridge Practice. Okay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy. You'll be able to pick them up from there.\n  How soon is that going to be at the practice? In 5 minutes?\n  I would give it longer than that. Give it an hour or so.\n  All right then. Thank you. I'll pick you up at lunchtime.\n  Okay. All right then. Thank you. Take care. Bye. Bye.","marks":[[100,103,"first",false],[179,184,"SW",false],[191,196,"HZ. Hello.",false],[223,239,"forty oh two nineteen seventy four. OK.",false],[268,273,"so",false],[417,423,"It stays",false],[732,732,"back",true],[962,962,"Seven.",false],[1124,1124,"Spots. OK.",false],[1302,1306,"had",false],[1349,1349,"Um and any did you",false],[1413,1422,"Um and no loin",false],[1599,1599,"have you",false],[1719,1719,"any",false],[1819,1819,"No.",false],[2116,2128,"when you pass",false],[2177,2182,"In your OK. Um",false],[2215,2218,"",false],[2246,2246,"No.",false],[2349,2358,"Mebeverine Mebeverine.",false],[2368,2376,"Mebeverine. Pardon No birth .",true],[3366,3371,"do",false],[3490,3508,"OK. Um.",false],[3644,3644,"get them",false],[3840,3840,"take",false],[3946,3953,"sachets",false],[4050,4050,"Yeah. OK then. Um",false],[4409,4411,"call",false],[4480,4480,"If you're",false],[4608,4608,"um you keep getting a similar",false],[4617,4628,"reccurently.",false],[4659,4659,"talk",false],[4698,4698,"OK. Yeah. OK then. Um",false],[4737,4747,"Uh where will",false],[4764,4771,"I'll",false],[4979,4987,"gonna",false],[5031,5031,"How soon And then",false],[5094,5102,"gonna",false],[5235,5241,"that",false],[5280,5290,"",false],[5306,5306,"Thank you. .",false],[5311,5311,"Sorry I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Captures 6-day history of dysuria/pain on urination."],["The note captures: Unpleasant or strong urine odour.","yes","Records unpleasant smell of urine."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal pain rated 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Records spotted blood in urine / haematuria."],["The note captures: Able to pass urine and maintain oral intake.","yes","States able to pass urine without difficulty and to eat and drink."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and lower back/loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Denies vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with mebeverine 200 mg three times daily recorded."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Urinary tract infection is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day course of antibiotics prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluid intake 2.5-3 litres daily advised."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening symptoms, back pain, high temperature and difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","'if UTI becomes recurrent' captured, but no statement that routine review is unnecessary if better."]],"claims":[["Medications list includes 'Heparin'","Transcript names only mebeverine as a regular medication; heparin is never mentioned."]],"note":"Subjective\nCliniTech Benchmark a9fa9b32 presents with a 6-day history of dysuria, malodorous urine, hematuria, and lower abdominal pain. She reports pain on urination accompanied by a very unpleasant smell to her urine. She has also noted spotted blood in her urine, which has been present over the last six days. She describes intermittent lower abdominal pain, located in the middle of her abdomen, rated 7 out of 10 in severity, which comes and goes. She has been able to pass urine without difficulty. She denies fever or feeling feverish. She denies lower back pain or loin pain. She denies vaginal discharge. She reports regular menstrual periods. She denies any change in bowel habit, weight loss, or blood in stool. She has not had these symptoms before. She denies recent excessive exercise, dehydration, or increased sexual intercourse as contributing factors. She has been able to eat and drink without difficulty.\n\nMedical History  \n- Irritable bowel syndrome (IBS)\n\nMedications and Supplements  \n- Mebeverine 200 mg PO three times daily  \n- Heparin\n\nAllergies  \n- Clindamycin\n\nSocial History  \n- Occupation: Works as a support worker  \n- Living Situation: Lives with friends  \n- Alcohol: Occasional, one glass of wine per week  \n- Tobacco: Denies smoking\n\nReview of Systems  \n- General: Denies fever, weight loss  \n- Gastrointestinal: Denies change in bowel habit, blood in stool  \n- Genitourinary: Denies difficulty urinating, vaginal discharge  \n- Musculoskeletal: Denies lower back pain\n\nObjective\nN/A\n\nAssessment & Plan\n52-year-old female with history of IBS, presenting with a 6-day history of dysuria, hematuria, and lower abdominal pain.\n\nUrinary Tract Infection  \nAssessment: Patient presents with classic symptoms of urinary tract infection including dysuria for 6 days, hematuria, and lower abdominal pain rated 7/10 that comes and goes. The combination of painful urination, blood in urine, and abdominal discomfort without fever or back pain is consistent with lower urinary tract infection. Patient has no previous history of UTIs and denies recent precipitating factors such as dehydration, increased sexual activity, or vigorous exercise.  \nPlan:  \n- Prescribe 3-day course of antibiotics  \n- Prescription to be sent to Knightsbridge Practice pharmacy, to be ready in approximately one hour  \n- Increase fluid intake to 2.5-3 liters per day  \n- Consider cranberry juice and urine acidifying sachets from pharmacy  \n- Monitor temperature with thermometer purchased from pharmacy  \n- Return for reassessment if symptoms worsen, develop fever, experience back pain, have difficulty urinating, or if UTI becomes recurrent\n","review":149.2763157894737,"saved":155.2236842105263,"clean":false,"effort":13.333333333333334,"sig":[["fabrication","Medications list includes 'Heparin'","Heparin is invented; only mebeverine was named, and a false anticoagulant entry affects prescribing and bleeding assessment."]],"mb":14.058696,"latency":50.419,"signable":187.4653157894737},{"label":"Run 5","wer":13.394495412844037,"text":"Good morning, I'm Doctor Smith from Babylon. Can you just confirm your name, date of birth, and the 1st line of your address, please?\n  Hi, my name is Susan, 30 Redbridge Street, S. W. 2, 2, H. Z. And your date of birth?\n  14-02-1974. Okay, are you in a private place where you can have a consultation today? Yes, I am. Okay, what can I do for you? It hurts when I pee. Okay, and how long has that been going on for? 6 days now. Pardon?\n  6 days.\n  6 days, okay. And just tell me a bit more about that. How did it start?\n  I've got this thing when I pee and it hurts when I go to the loo. I've got this very unpleasant smell that comes out.\n  Okay. Have you had any other symptoms along with that? Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay, is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of one to 10, with 10 being the worst pain? 7. And is it constant or does it come and go? Comes and goes. Okay, and have you actually been able to pass water okay? Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right, and have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or held a temperature with this?\n  No, not at all.\n  You said you didn't have any lower back pain?\n  No, I've got a no-loin pain as well.\n  Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything?\n  No.\n  No, okay. And any other symptoms, any vaginal discharge or anything like that?\n  No, just the blood spot in my...\n  Do you have regular periods?\n  Yes, I do.\n  Okay. And in the past, have you had any medical problems at all? No medical, no. Have you had any problems with your kidneys or any urine infections?\n  I had IBS before.\n  Okay. And how's that been recently? Any change in your bowel habit? Any blood running past stool?\n  Yeah, I've had spotting in my urine.\n  Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meverine. I've had heparin. Do you take that regularly?\n  Yes.\n  Okay, and do you take it 3 times a day?\n  Yes, I do.\n  200 milligrams? Yes. Any allergies? Any allergies?\n  Clindamycin.\n  You're allergic to clindamycin? Okay. And anyone in your family had any medical problems? No. That's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. OK. And where do you work? What's your job?\n  I'm a support worker.\n  OK. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. OK. Do you smoke? No. OK. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally we can treat this infection without having to test your urine with a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics?\n  Yes, I would be.\n  It would just be for 3 days. Okay. Do I have to get my prescription? Yes, so I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water, so 2 and a half to 3 litres a day. You can get some cranberry juice and drink that as well, that sometimes helps, and also some sachets which you can get from the chemist. some stethos which just help change the acidity of your urine so I can put the details of that on your notes. If you feel like your pain is getting worse or not settling you get lower back pain or you're getting a high temperature or you have any problems actually passing urine then it's very important that we speak to you again. The other thing is if it becomes a common thing or a recurrent problem... then we need to talk to you again about it.\n  So do I have to go after I finish my course of antibiotics?\n  No, not if you're better. If you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Have you got any other questions? No. What would be the pharmacy I would be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knightsbridge Practice. Okay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy. You'll be able to pick them up from there.\n  How soon is that going to be at the practice? In 5 minutes?\n  I would give it longer than that. Give it an hour or so.\n  All right then. Thank you. I'll pick you up at lunchtime.\n  Okay. All right then. Thank you. Take care. Bye. Bye.","marks":[[100,103,"first",false],[179,184,"SW",false],[191,196,"HZ. Hello.",false],[223,239,"forty oh two nineteen seventy four. OK.",false],[268,273,"so",false],[417,423,"It stays",false],[732,732,"back",true],[962,962,"Seven.",false],[1124,1124,"Spots. OK.",false],[1302,1306,"had",false],[1349,1349,"Um and any did you",false],[1413,1422,"Um and no loin",false],[1599,1599,"have you",false],[1719,1719,"any",false],[1819,1819,"No.",false],[2116,2128,"when you pass",false],[2177,2182,"In your OK. Um",false],[2215,2218,"",false],[2246,2246,"No.",false],[2349,2358,"Mebeverine Mebeverine.",false],[2368,2376,"Mebeverine. Pardon No birth .",true],[3366,3371,"do",false],[3490,3508,"OK. Um.",false],[3644,3644,"get them",false],[3840,3840,"take",false],[3946,3953,"sachets",false],[4050,4050,"Yeah. OK then. Um",false],[4409,4411,"call",false],[4480,4480,"If you're",false],[4608,4608,"um you keep getting a similar",false],[4617,4628,"reccurently.",false],[4659,4659,"talk",false],[4698,4698,"OK. Yeah. OK then. Um",false],[4737,4747,"Uh where will",false],[4764,4771,"I'll",false],[4979,4987,"gonna",false],[5031,5031,"How soon And then",false],[5094,5102,"gonna",false],[5235,5241,"that",false],[5280,5290,"",false],[5306,5306,"Thank you. .",false],[5311,5311,"Sorry I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Captures 6-day history of dysuria/pain on urination."],["The note captures: Unpleasant or strong urine odour.","yes","Records unpleasant smell of urine."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal pain rated 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Records spotted blood in urine / haematuria."],["The note captures: Able to pass urine and maintain oral intake.","yes","States able to pass urine without difficulty and to eat and drink."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and lower back/loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Denies vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with mebeverine 200 mg three times daily recorded."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Urinary tract infection is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day course of antibiotics prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluid intake 2.5-3 litres daily advised."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening symptoms, back pain, high temperature and difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Recurrent UTI review plus 'No routine follow-up needed if symptoms resolve with treatment'."]],"claims":[["Medications list includes 'Heparin'","Transcript names only mebeverine as a regular medication; heparin is never mentioned."]],"note":"Subjective\nSusan, a patient with a history of irritable bowel syndrome, presents with a 6-day history of dysuria, malodorous urine, hematuria, and lower abdominal pain. She reports pain on urination accompanied by a very unpleasant smell to her urine, both ongoing for 6 days. She has also noted spotted blood in her urine over the same period. She describes intermittent pain in her lower abdomen, located in the middle, rated 7 out of 10 in severity, which comes and goes. She has been able to pass urine without difficulty. She denies fever or feeling feverish. She denies lower back pain or loin pain. She denies vaginal discharge. She reports regular menstrual periods. She denies any change in bowel habit, weight loss, or blood in stool. She has not had these symptoms before. She denies recent excessive exercise, dehydration, or increased sexual activity as contributing factors. She has been able to eat and drink without difficulty.\n\nMedical History  \n- Irritable bowel syndrome\n\nMedications and Supplements  \n- Mebeverine 200 mg PO three times daily  \n- Heparin\n\nAllergies  \n- Clindamycin\n\nSocial History  \n- Occupation: Works as a support worker  \n- Living Situation: Lives with friends  \n- Alcohol: Occasional, 1 glass of wine per week  \n- Tobacco: Denies smoking\n\nReview of Systems  \n- General: Denies fever, weight loss  \n- Gastrointestinal: Denies change in bowel habit, blood in stool  \n- Genitourinary: Denies difficulty urinating, vaginal discharge  \n- Musculoskeletal: Denies lower back pain\n\nObjective\nN/A\n\nAssessment & Plan\nSusan presents with a 6-day history of dysuria, hematuria, and lower abdominal pain.\n\nUrinary Tract Infection  \nAssessment: Patient presents with classic symptoms of urinary tract infection including dysuria for 6 days, hematuria, and lower abdominal pain rated 7/10 that comes and goes. No fever reported. No previous history of UTIs or kidney problems. Patient has history of IBS but no recent change in bowel habits. No vaginal discharge reported. Clinical presentation is consistent with uncomplicated UTI.  \nPlan:  \n- Prescribe 3-day course of antibiotics  \n- Prescription to be sent to Knightsbridge Practice pharmacy, allow approximately 1 hour for processing  \n- Increase fluid intake to 2.5-3 liters daily  \n- Consider cranberry juice and urine acidifying sachets from pharmacy  \n- Obtain thermometer to monitor temperature  \n- Return for reassessment if symptoms worsen, develop lower back pain, high fever, difficulty passing urine, or if UTI becomes recurrent  \n- No routine follow-up needed if symptoms resolve with treatment\n","review":132.9473684210526,"saved":171.5526315789474,"clean":false,"effort":10.0,"sig":[["fabrication","Medications list includes 'Heparin'","Heparin is invented; only mebeverine was named, and a false anticoagulant entry affects prescribing and bleeding assessment."]],"mb":13.973397,"latency":47.947,"signable":168.7113684210526}],"cliniscripts":[{"label":"Run 1","wer":8.715596330275229,"text":"Good morning.\nI'm Dr. Smith from Babylon.\nCan you just confirm your name, date of birth, and the first line of your address, please?\nHi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ. And your date of birth?\n14/02/1974. Okay. Are you in a private place so you can have a consultation today?\nYes, I am. Okay. What can I do for you?\nIt hurts when I pee.\nOkay. And how long has that been going on for?\n6 days now. Pardon?\nFor 6 days. 6 days.\nOkay. And just tell me a bit more about that. How did it start? Um, I've got this thing when I pee, and it hurts when I go to the loo. Okay. And I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all?\nI've got pain in my tummy. Whereabouts?\nIn my lower tummy. Okay. Is it one-sided, or in the middle?\nIn the middle. And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain. 7.\nAnd is it constant, or does it come and go?\nComes and goes. Okay. And have you actually been able to pass water okay? Yes, but I've had spotted, uh, blood in my urine, spotted.\nOkay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay?\nYes.\nUm, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this?\nNo. Not at all. Um, and any did you you said you didn't have any low back pain? No.\nI've got um, and no loin pain as well. Okay. And have you had these symptoms before? No.\nNever? No.\nAnd was there anything you were doing recently, which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse, or anything?\nNo. No? Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\nNo.\nJust the blood spot in my. Okay. Do you have regular periods?\nYes, I do. Okay.\nUm, and at in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay.\nAnd how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\nYeah, I've had spotting in my urine. In your okay. Um, any change in your bowel habit? No. Any weight loss or anything?\nNo. Any other medical problems or surgery in the past?\nNo. Do you take regular medications?\nI've had Mebivine. Pardon? Mebivine. Meb. I've had Mebivine. Do you take that regularly? Yes.\nOkay. And it do you take it 3 times a day? Yes, I do.\n200 milligrams?\nYes. Any allergies?\nAny allergies? Clindamycin. You're allergic to clindamycin. Okay.\nAnd anyone in your family had any medical problems?\nNo.\nThat's fine. And whereabouts do you live? Do you live with friends, family?\nI live with friends.\nOkay. And where do you work? What's your job?\nI'm a support worker.\nOkay.\nDo you drink alcohol at all?\nOccasionally. So how much in average week?\nOne glass of wine a week.\nOkay. Do you smoke?\nNo. Okay.\nUm, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\nNo. Okay.\nIt would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down. Okay. Um, normally we can treat this infection without having to test your urine. Uh, with, with the course of antibiotics.\nOkay.\nUm, how would you feel about that? Are you happy to take a course of antibiotics?\nYes, I would be. It would just be for 3 days. Okay. Um. So how do I get my prescription? Yes.\nSo I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing, which is important to do, is to drink lots of water. So 2 and a half to 3 liters a day. Yeah. Um, you can get some cranberry juice and take drink that as well. That's sometimes helps.\nAnd also some sachets. Um, which you can get from the chemist, some sachets, which just help change the acidity of your urine. So I, I can put the details of that on your notes. Okay then. Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\nOkay. Um, the other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\nSo do I have to call after I finish my course of antibiotics? No, not if you're better. Okay. If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk talk to you in more detail about that.\nOkay then. Um, have you got any other questions?\nUh, no. Uh, what would be the pharmacy I'll be picking up my medication from? Um, so have you already requested a pharmacy through Babylon? Yes, I did.\nCan I just check that with you?\nKnightsbridge Practice. Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\nAnd then. Also. You'll be able to pick them up from there.\nHow soon is that going to be at the practice?\nIn 5 minutes? Um, I would give it longer than that. Give it a. Okay. An hour or so. All right then. Thank you. I'll pick that at lunchtime.\nOkay. All right then. Thank you. Take care. Bye. Bye. Sorry, I don","marks":[[180,188,"SW two two HZ. 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Pardon No birth .",false],[3478,3483,"do",false],[3608,3619,"",false],[3913,3919,"litres",false],[3999,4005,"that",false],[4847,4858,"reccurently.",false],[4995,5005,"where will",false],[5239,5247,"gonna",false],[5296,5296,"How soon",false],[5307,5312,"",false],[5373,5381,"gonna",false],[5564,5574,"",false],[5590,5590,"Thank you. .",false],[5605,5608,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"dysuria ... ongoing for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"unpleasant smell associated with urination\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"lower abdominal pain, localized to the middle, rated 7/10 ... intermittent\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"spotted blood in urine\" for 6 days."],["The note captures: Able to pass urine and maintain oral intake.","no","Does not record that she can pass urine or is eating and drinking normally."],["The note captures: No fever and no loin/lower back pain.","yes","\"denies fever, low back pain, loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Denies \"vaginal discharge\"; \"have not had these symptoms before\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","partial","Records \"Mebivine 200mg three times a day\" but omits the IBS history and misspells the drug."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"allergy to Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"highly suggestive of a urinary tract infection (UTI)\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribe a 3-day course of antibiotics\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"get a thermometer and check temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"drink 2.5 to 3 liters of water daily\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Seek review for worsening pain, lower back pain, high temperature, difficulty passing urine; non-resolution also covered."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","Recurrence triggers further review, but does not state no routine review is needed if better."]],"claims":[],"note":"S (Subjective):\n- Patient presents with dysuria, described as pain upon urination, ongoing for 6 days.\n- They report an unpleasant smell associated with urination.\n- Patient also experiences lower abdominal pain, localized to the middle, rated 7/10 in severity, which is intermittent.\n- Hematuria, described as spotted blood in urine, has been present for the last 6 days.\n- Patient denies fever, low back pain, loin pain, vaginal discharge, or recent changes in bowel habits. They have not had these symptoms before.\n\nO (Objective):\n- Patient confirmed identity as Susan, DOB 14/02/1974, address 30 Redbridge Street, SW2 2HZ.\n- Patient reported taking Mebivine 200mg three times a day regularly.\n- Patient states allergy to Clindamycin.\n- Patient reports living with friends and working as a support worker.\n- Patient consumes alcohol occasionally, approximately one glass of wine per week, and does not smoke.\n\nA (Assessment):\n- The patient's symptoms are highly suggestive of a urinary tract infection (UTI).\n- Key symptoms include dysuria, malodorous urine, lower abdominal pain, and hematuria.\n- Absence of fever and loin pain suggests the infection may not yet involve the kidneys.\n\nP (Plan):\n- Prescribe a 3-day course of antibiotics to be sent to Knightsbridge Practice pharmacy.\n- Advise patient to drink 2.5 to 3 liters of water daily.\n- Recommend cranberry juice and alkaline sachets (available from chemist) to help with symptoms and urine acidity.\n- Advise patient to monitor for worsening pain, development of lower back pain, high temperature, or difficulty passing urine, and to seek further medical review if these occur.\n- Advise patient to get a thermometer and check temperature to monitor for fever.\n- If symptoms do not resolve with treatment or become recurrent, further investigation will be required.\n","review":133.9736842105263,"saved":170.5263157894737,"clean":false,"effort":13.333333333333334,"sig":[],"mb":22.618669,"latency":24.096,"signable":143.9776842105263},{"label":"Run 2","wer":8.807339449541285,"text":"Good morning.\nI'm Dr. Smith from Babylon.\nCan you just confirm your name, date of birth, and the first line of your address, please?\nHi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ. And your date of birth?\n14/02/1974. Okay. Are you in a private place so you can have a consultation today?\nYes, I am. Okay. What can I do for you?\nIt hurts when I pee.\nOkay. And how long has that been going on for?\n6 days now. Pardon?\nFor 6 days. 6 days.\nOkay. And just tell me a bit more about that. How did it start? Um, I've got this thing when I pee, and it hurts when I go to the loo. Okay. And I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or ba lower back pain at all?\nI've got pain in my tummy. Whereabouts?\nIn my lower tummy. Okay. Is it one-sided or in the middle?\nIn the middle. And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain. 7. And is it constant, or does it come and go?\nComes and goes. Okay.\nAnd have you actually been able to pass water okay?\nYes, but I've had spotted, uh, blood in my urine.\nOkay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay?\nYes.\nUm, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. Um, and any did you you said you didn't have any low back pain? No.\nI've got um, and no loin pain as well. Okay. And have you had these symptoms before? No.\nNever? No.\nAnd was there anything you were doing recently, which you think may have contributed to it? Have you be have you been doing lots of exercise, been dehydrated? Um, been having regular sexual intercourse or anything?\nNo. No? Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\nNo.\nJust the blood spot in my. Okay. Do you have regular periods?\nYes, I do. Okay.\nUm, and at in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\nYeah, I've had spotting in my urine. In your okay. Um, any change in your bowel habit? No. Any weight loss or anything?\nNo. Any other medical problems or surgery in the past?\nNo. Do you take regular medications?\nI've had Mebivine.\nPardon? Mebiverine. Meb. I've had Mebiverine. Do you take that regularly? Yes.\nOkay. And it do you take it 3 times a day? Yes, I do.\n200 milligrams?\nYes. Any allergies?\nAny allergies? Clindamycin. You're allergic to clindamycin. Okay.\nAnd anyone in your family had any medical problems?\nNo.\nThat's fine. And whereabouts do you live? Do you live with friends, family?\nI live with friends.\nOkay. And where do you work? What's your job?\nI'm a support worker.\nOkay.\nDo you drink alcohol at all?\nOccasionally. So how much in an average week?\nOne glass of wine a week.\nOkay. Do you smoke?\nNo. Okay.\nUm, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\nNo. Okay.\nIt would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down. Okay. Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\nOkay.\nUm, how would you feel about that? Are you happy to take a course of antibiotics?\nYes, I would be. It would just be for 3 days?\nOkay. Um. So how get my prescription? Yes.\nSo I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3 liters a day. Yeah. Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some sachets, um, which you can get from the chemist, some sachets which just help change the acidity of your urine. So I, I can put the det\nails of that on your notes. Okay then. Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\nOkay. Um, the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\nSo do I have to call after I finish my course of antibiotics? No, not if you're better. Okay. If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk talk to you in more detail about that.\nOkay then. Um, have you got any other questions?\nUh, no. Uh, what would be the pharmacy I'll be picking up my medication from? Um, so have you already requested a pharmacy through Babylon? Yes, I did.\nCan I just check that with you?\nKnightsbridge Practice. Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\nOkay. And. Also?\nYou'll be able to pick them up from there.\nHow soon is that going to be at the practice?\nIn 5 minutes? Um, I would give it longer than that. Give it a. Okay. An hour or so.\nAll right then. Thank you. I'll pick that at lunchtime.\nOkay. All right then. Thank you. Take care. Bye. Bye. Sorry, I don","marks":[[180,188,"SW two two HZ. Hello.",false],[213,230,"forty oh two nineteen seventy four. OK.",false],[404,410,"It stays",false],[735,737,"back",false],[965,965,"Seven.",false],[1134,1139,"Spots. OK.",false],[1413,1416,"lower",false],[1866,1871,"No.",false],[2097,2104,"how's",false],[2275,2278,"",false],[2306,2306,"No.",false],[2409,2443,"Mebeverine Mebeverine.",false],[2453,2464,"Mebeverine. Pardon No birth .",false],[3473,3478,"do",false],[3603,3609,"",false],[3901,3907,"litres",false],[3987,3993,"that",false],[4157,4165,"details",false],[4834,4845,"reccurently.",false],[4982,4992,"where will",false],[5226,5234,"gonna",false],[5284,5289,"How soon",false],[5295,5299,"then",false],[5361,5369,"gonna",false],[5552,5562,"",false],[5578,5578,"Thank you. .",false],[5593,5596,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Captures 6-day history of dysuria/pain on urination."],["The note captures: Unpleasant or strong urine odour.","yes","Records unpleasant smell of urine."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal pain rated 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Records spotted blood in urine / haematuria."],["The note captures: Able to pass urine and maintain oral intake.","partial","Records eating and drinking adequately but not that she can pass urine OK."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and lower back/loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","partial","Denies vaginal discharge, but no mention that she has not had these symptoms before."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with 'Mebiverine 200mg three times a day' recorded (spelling variant)."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","no","Clindamycin allergy is not recorded anywhere."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Urinary tract infection is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day course of antibiotics prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluid intake 2.5-3 litres daily advised."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening symptoms, back pain, high temperature and difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","Recurrence review mentioned but does not state that no routine post-course review is needed if better."]],"claims":[],"note":"S (Subjective):\n- The patient reports dysuria, describing it as pain when they pee, which started 6 days ago.\n- They also report an unpleasant smell associated with their urine and spotted blood in their urine over the last 6 days.\n- The patient describes lower abdominal pain, located in the middle, rating it 7/10 in severity, and notes it comes and goes.\n- They deny any fever, temperature, lower back pain, loin pain, or vaginal discharge.\n- The patient has a history of Irritable Bowel Syndrome (IBS) and takes Mebiverine 200mg three times a day, with no recent changes in bowel habits or weight loss.\n\nO (Objective):\n- The patient confirmed their identity and was in a private place for the consultation.\n- They reported being able to eat and drink adequately.\n- The patient stated they do not have a thermometer at home.\n- The patient was cooperative and communicative throughout the consultation.\n\nA (Assessment):\n- The doctor's primary assessment is a likely urine infection, consistent with the patient's reported symptoms.\n- Differential diagnoses were not explicitly discussed in the conversation.\n\nP (Plan):\n- Prescribe a 3-day course of antibiotics for the suspected urine infection.\n- Send the prescription to the patient's requested pharmacy, Knightsbridge Practice, to be available in approximately one hour.\n- Advise the patient to increase fluid intake to 2.5-3 liters of water daily.\n- Recommend considering cranberry juice and over-the-counter sachets to alter urine acidity.\n- Advise the patient to obtain a thermometer and monitor their temperature.\n- Instruct the patient to contact the clinic again if symptoms worsen, do not resolve, if they develop lower back pain or a high temperature, experience difficulty passing urine, or if the problem becomes recurrent.\n","review":148.17105263157896,"saved":156.32894736842104,"clean":false,"effort":16.666666666666664,"sig":[["missing","Clindamycin allergy is recorded; do not report no known drug allergies.","Clindamycin allergy not recorded despite antibiotics being prescribed."]],"mb":22.652398,"latency":29.454,"signable":163.17105263157896},{"label":"Run 3","wer":9.08256880733945,"text":"Good morning.\nI'm Dr. Smith from Babylon.\nCan you just confirm your name, date of birth, and the first line of your address, please?\nHi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ. And your date of birth?\n14/02/1974. Okay. Are you in a private place so you can have a consultation today?\nYes, I am. Okay. What can I do for you?\nIt hurts when I pee.\nOkay. And how long has that been going on for?\n6 days now. Pardon?\nFor 6 days. 6 days.\nOkay. And just tell me a bit more about that. How did it start? Um, I've got this thing when I pee, and it hurts when I go to the loo. Okay. And I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or ba lower back pain at all?\nI've got pain in my tummy. Whereabouts?\nIn my lower tummy. Okay. Is it one-sided or in the middle?\nIn the middle. And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain. 7. And is it constant, or does it come and go?\nComes and goes. Okay.\nAnd have you actually been able to pass water okay?\nYes, but I've had spotted, uh, blood in my urine.\nOkay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay?\nYes.\nUm, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. Um, and any did you you said you didn't have any low back pain? No.\nI've got um, and no loin pain as well. Okay. And have you had these symptoms before? No.\nNever? No.\nAnd was there anything you were doing recently, which you think may have contributed to it? Have you be have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse or anything?\nNo. No? Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\nNo.\nJust the blood spot in my. Okay. Do you have regular periods?\nYes, I do. Okay.\nUm, and at in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\nYeah, I've had spotting in my urine. In your okay. Um, any change in your bowel habit? No. Any weight loss or anything?\nNo. Any other medical problems or surgery in the past?\nNo. Do you take regular medications?\nI've had Mebivine.\nPardon? Mebiverine. Mebi. I've had Mebiverine. Do you take that regularly? Yes.\nOkay. And it do you take it 3 times a day? Yes, I do.\n200 milligrams?\nYes. Any allergies?\nAny allergies? Clindamycin. You're allergic to clindamycin. Okay.\nAnd anyone in your family had any medical problems?\nNo.\nThat's fine. And whereabouts do you live? Do you live with friends, family?\nI live with friends.\nOkay. And where do you work? What's your job?\nI'm a support worker.\nOkay.\nDo you drink alcohol at all?\nOccasionally. So how much in an average week?\nOne glass of wine a week.\nOkay. Do you smoke?\nNo. Okay.\nUm, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\nNo. Okay.\nIt would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down. Okay. Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\nOkay.\nUm, how would you feel about that? Are you happy to take a course of antibiotics?\nYes, I would be. It would just be for 3 days?\nOkay. Um. So how do I get my prescription? Yes.\nSo I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing, which is important to do, is to drink lots of water. So 2 and a half to 3 liters a day. Yeah. Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some sachets, um, which you can get from the chemist, some sachets, which just help change the acidity of your urine. So I, I can put the det\nails of that on your notes. Okay then. Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\nOkay. Um, the other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\nSo do I have to call after I finish my course of antibiotics? No, not if you're better. Okay. If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk th talk to you in more detail about that.\nOkay then. Um, have you got any other questions?\nUh, no. Uh, what would be the pharmacy I'll be picking up my medication from? Um, so have you already requested a pharmacy through Babylon? Yes, I did.\nCan I just check that with you?\nKnightsbridge. Practice. Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\nOkay. And. Also,. You'll be able to pick them up from there.\nHow soon is that going to be at the practice?\nIn 5 minutes? Um, I would give it longer than that. Give it a. Okay. An hour or so. All right then. Thank you. I'll pick that at lunchtime.\nOkay. All right then. Thank you. Take care. Bye. Bye. Sorry, I didn","marks":[[180,188,"SW two two HZ. Hello.",false],[213,230,"forty oh two nineteen seventy four. OK.",false],[404,410,"It stays",false],[735,737,"back",false],[965,965,"Seven.",false],[1134,1139,"Spots. OK.",false],[1413,1416,"lower",false],[1866,1871,"No.",false],[2097,2104,"how's",false],[2275,2278,"",false],[2306,2306,"No.",false],[2409,2444,"Mebeverine Mebeverine.",false],[2454,2465,"Mebeverine. Pardon No birth .",false],[3474,3479,"do",false],[3604,3615,"",false],[3909,3915,"litres",false],[3995,4001,"that",false],[4166,4174,"details",false],[4844,4855,"reccurently.",false],[4892,4894,"",false],[4995,5005,"where will",false],[5240,5248,"gonna",false],[5298,5303,"How soon",false],[5309,5315,"then",false],[5376,5384,"gonna",false],[5567,5577,"",false],[5593,5593,"Thank you. .",false],[5608,5612,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"dysuria ... ongoing for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"unpleasant smell associated with urination\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"lower abdominal pain, localized to the middle ... intermittent and rated 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"blood spotting in urine for the past 6 days\"."],["The note captures: Able to pass urine and maintain oral intake.","no","Does not record that she can pass urine or maintain oral intake."],["The note captures: No fever and no loin/lower back pain.","yes","\"Denies fever, low back pain, loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Denies \"vaginal discharge\"; \"No previous similar symptoms\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","\"known history of IBS\" and \"Mebiverine 200mg three times daily\" (spelling variant)."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Known allergy: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Suspected urinary tract infection (UTI)\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribe a 3-day course of antibiotics\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"purchase a thermometer to monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"increase fluid intake to 2.5-3 liters per day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Contact if worsening pain, lower back pain, high temperature, difficulty passing urine, or not resolving."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","no","No mention of recurrent episodes review or that no routine post-course review is needed."]],"claims":[],"note":"S (Subjective):\n- Patient presents with dysuria, described as pain upon urination, ongoing for 6 days.\n- Reports an unpleasant smell associated with urination.\n- Experiences lower abdominal pain, localized to the middle, described as intermittent and rated 7/10 in severity.\n- Noted blood spotting in urine for the past 6 days.\n- Denies fever, low back pain, loin pain, vaginal discharge, recent dehydration, excessive exercise, or unusual sexual intercourse. No previous similar symptoms.\n\nO (Objective):\n- Patient confirmed identity: Susan, DOB 14/02/1974, 30 Redbridge Street, SW2 2HZ.\n- Patient has a known history of IBS, currently stable with no recent change in bowel habits, blood in stool, or weight loss.\n- Current regular medication: Mebiverine 200mg three times daily.\n- Known allergy: Clindamycin.\n- Social history: Lives with friends, works as a support worker, occasionally drinks one glass of wine per week, non-smoker.\n\nA (Assessment):\n- Suspected urinary tract infection (UTI).\n- Differential diagnoses include other causes of dysuria and hematuria.\n- Patient's symptoms are consistent with an acute uncomplicated UTI.\n\nP (Plan):\n- Prescribe a 3-day course of antibiotics to be collected from Knightsbridge Practice pharmacy.\n- Advised patient to increase fluid intake to 2.5-3 liters per day.\n- Recommended cranberry juice and over-the-counter sachets to alter urine acidity.\n- Advised to monitor for worsening pain, development of lower back pain, high temperature, or difficulty passing urine, and to contact clinician if these occur or if symptoms do not resolve.\n- Advised to purchase a thermometer to monitor temperature, as no fever reported currently.\n","review":119.81578947368422,"saved":184.68421052631578,"clean":false,"effort":13.333333333333334,"sig":[["missing","Review recurrent episodes; no routine post-course review is needed if completely better.","Safety-netting advice to return for recurrent episodes was given but is absent from the note."]],"mb":22.669198,"latency":24.109,"signable":129.81078947368422},{"label":"Run 4","wer":8.807339449541285,"text":"Good morning.\nI'm Dr. Smith from Babylon.\nCan you just confirm your name, date of birth, and the first line of your address, please?\nHi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ. And your date of birth?\n14/02/1974. Okay. Are you in a private place so you can have a consultation today?\nYes, I am. Okay. What can I do for you?\nIt hurts when I pee.\nOkay. And how long has that been going on for?\n6 days now. Pardon?\nFor 6 days. 6 days.\nOkay. And just tell me a bit more about that. How did it start? Um, I've got this thing when I pee, and it hurts when I go to the loo. Okay. And I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all?\nI've got pain in my tummy. Whereabouts?\nIn my lower tummy. Okay. Is it one-sided or in the middle?\nIn the middle. And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain. 7. And is it constant, or does it come and go?\nComes and goes. Okay.\nAnd have you actually been able to pass water okay?\nYes, but I've had spotted, uh, blood in my urine.\nOkay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay?\nYes.\nUm, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. Um, and any did you you said you didn't have any low back pain? No.\nI've got um, and no loin pain as well. Okay. And have you had these symptoms before? No.\nNever? No.\nAnd was there anything you were doing recently, which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse or anything?\nNo. No? Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\nNo.\nJust the blood spot in my. Okay. Do you have regular periods?\nYes, I do. Okay.\nUm, and in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\nYeah, I've had spotting in my urine. In your okay. Um, any change in your bowel habit? No. Any weight loss or anything?\nNo. Any other medical problems or surgery in the past?\nNo. Do you take regular medications?\nI've had Mebivine.\nPardon? Mebiverine. Meb. I've had Mebiverine. Do you take that regularly? Yes.\nOkay. And do you take it 3 times a day? Yes, I do.\n200 milligrams?\nYes. Any allergies?\nAny allergies? Clindamycin. You're allergic to clindamycin. Okay.\nAnd anyone in your family had any medical problems?\nNo.\nThat's fine. And whereabouts do you live? Do you live with friends, family?\nI live with friends.\nOkay. And where do you work? What's your job?\nI'm a support worker.\nOkay.\nDo you drink alcohol at all?\nOccasionally. So how much in average week?\nOne glass of wine a week. Okay. Do you smoke?\nNo. Okay.\nUm, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\nNo. Okay.\nIt would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down. Okay. Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\nOkay.\nUm, how would you feel about that? Are you happy to take a course of antibiotics?\nYes, I would be. It would just be for 3 days.\nOkay. Um. So how do I get my prescription? Yes.\nSo I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3 liters a day. Yeah. Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some sachets, um, which you can get from the chemist, some sachets which just help change the acidity of your urine. So I, I can put the det\nails of that on your notes. Okay then. Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\nOkay. Um, the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\nSo do I have to call after I finish my course of antibiotics? No, not if you're better. Okay. If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk talk to you in more detail about that.\nOkay then. Um, have you got any other questions?\nUh, no. Uh, what would be the pharmacy I'll be picking up my medication from? Um, so have you already requested a pharmacy through Babylon? Yes, I did.\nCan I just check that with you?\nKnightsbridge Practice. Okay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\nOkay. And. Also?\nYou'll be able to pick them up from there.\nHow soon is that going to be at the practice?\nIn 5 minutes? Um, I would give it longer than that. Give it a. Okay. An hour or so.\nAll right then. Thank you. I'll pick that at lunchtime.\nOkay. All right then. Thank you. Take care. Bye. Bye. Sorry, I don","marks":[[180,188,"SW two two HZ. Hello.",false],[213,230,"forty oh two nineteen seventy four. OK.",false],[404,410,"It stays",false],[967,967,"Seven.",false],[1136,1141,"Spots. OK.",false],[1415,1418,"lower",false],[1865,1870,"No.",false],[2093,2100,"how's",false],[2271,2274,"",false],[2302,2302,"No.",false],[2405,2439,"Mebeverine Mebeverine.",false],[2449,2460,"Mebeverine. Pardon No birth .",false],[3463,3468,"do",false],[3593,3604,"",false],[3896,3902,"litres",false],[3982,3988,"that",false],[4152,4160,"details",false],[4829,4840,"reccurently.",false],[4977,4987,"where will",false],[5221,5229,"gonna",false],[5279,5284,"How soon",false],[5290,5294,"then",false],[5356,5364,"gonna",false],[5547,5557,"",false],[5573,5573,"Thank you. .",false],[5588,5591,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Captures 6-day history of dysuria/pain on urination."],["The note captures: Unpleasant or strong urine odour.","yes","Records unpleasant smell of urine."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal pain rated 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Records spotted blood in urine / haematuria."],["The note captures: Able to pass urine and maintain oral intake.","no","Neither ability to pass urine nor eating/drinking is mentioned."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and lower back/loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Denies vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","partial","Mebiverine 200mg three times daily recorded but IBS history omitted."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Urinary tract infection is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day course of antibiotics prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluid intake 2.5-3 litres daily advised."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening symptoms, back pain, high temperature and difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","Follow-up if not resolving or recurrent is recorded, but not that no routine review is needed if better."]],"claims":[],"note":"S (Subjective):\n- Patient presents with dysuria, described as pain upon urination, ongoing for 6 days.\n- Reports an unpleasant smell associated with urination.\n- Experiences lower abdominal pain, localized to the middle, described as intermittent and rated 7/10 in severity.\n- Noted blood spotting in urine, present over the last 6 days.\n- Denies fever, low back pain, loin pain, vaginal discharge, or changes in bowel habits. No prior history of similar symptoms.\n\nO (Objective):\n- Patient confirmed identity as Susan, born 14/02/1974, residing at 30 Redbridge Street, SW2 2HZ.\n- Patient takes Mebiverine 200mg three times daily.\n- Patient reports an allergy to Clindamycin.\n- Patient lives with friends and works as a support worker.\n- Patient consumes alcohol occasionally, approximately one glass of wine per week, and does not smoke.\n\nA (Assessment):\n- Suspected urinary tract infection.\n- Patient denies fever, which is noted.\n\nP (Plan):\n- Patient advised to obtain a thermometer and monitor temperature.\n- Prescription for a 3-day course of antibiotics to be sent to Knightsbridge Practice pharmacy.\n- Patient advised to drink 2.5 to 3 liters of water daily, consider cranberry juice, and use sachets from the chemist to alter urine acidity.\n- Patient advised to seek further review if pain worsens, lower back pain develops, high temperature occurs, or if there are difficulties passing urine.\n- Follow-up recommended if symptoms do not resolve with treatment or if the problem becomes recurrent.\n","review":118.5,"saved":186.0,"clean":false,"effort":13.333333333333334,"sig":[],"mb":22.49195,"latency":23.912,"signable":128.488},{"label":"Run 5","wer":8.623853211009175,"text":"Good morning.\nI'm Dr. Smith from Babylon.\nCan you just confirm your name, date of birth, and the first line of your address, please?\nHi. My name is Susan. Um, 30 Redbridge Street, SW2 2HZ. And your date of birth?\n14/02/1974. Okay. Are you in a private place so you can have a consultation today?\nYes, I am. Okay. What can I do for you?\nIt hurts when I pee.\nOkay. And how long has that been going on for?\n6 days now. Pardon?\nFor 6 days. 6 days.\nOkay. And just tell me a bit more about that. How did it start? Um, I've got this thing when I pee, and it hurts when I go to the loo. Okay. And I've got this very unpleasant smell that comes out. Okay. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all?\nI've got pain in my tummy. Whereabouts?\nIn my lower tummy. Okay. Is it one-sided or in the middle?\nIn the middle. And how bad would you say that is on a scale of 1 to 10? With 10 being the worst pain. 7. And is it constant, or does it come and go?\nComes and goes. Okay.\nAnd have you actually been able to pass water okay?\nYes, but I've had spotted, uh, blood in my urine.\nOkay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay?\nYes.\nUm, and have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. Um, and any did you you said you didn't have any low back pain? No.\nI've got um, and no loin pain as well. Okay. And have you had these symptoms before? No.\nNever? No.\nAnd was there anything you were doing recently, which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, um, been having regular sexual intercourse or anything?\nNo. No? Okay. And any, any other symptoms? Any vaginal discharge or anything like that?\nNo.\nJust the blood spot in my. Okay. Do you have regular periods?\nYes, I do. Okay.\nUm, and in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS before. Okay. And how has that been recently? Any change in your bowel habit? Any blood when you pass stool?\nYeah, I've had spotting in my urine. In your okay. Um, any change in your bowel habit? No. Any weight loss or anything?\nNo. Any other medical problems or surgery in the past?\nNo. Do you take regular medications?\nI've had Mebivine.\nPardon? Mebeverine. Meb. I've had Mebeverine. Do you take that regularly? Yes.\nOkay. And do you take it 3 times a day? Yes, I do.\n200 milligrams?\nYes. Any allergies?\nAny allergies? Clindamycin. You're allergic to clindamycin. Okay.\nAnd anyone in your family had any medical problems?\nNo.\nThat's fine. And whereabouts do you live? Do you live with friends, family?\nI live with friends.\nOkay. And where do you work? What's your job?\nI'm a support worker.\nOkay.\nDo you drink alcohol at all?\nOccasionally. So how much in average week?\nOne glass of wine a week. Okay. Do you smoke?\nNo. Okay.\nUm, it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home?\nNo. Okay.\nIt would be helpful if you could get a thermometer from the pharmacy and do check your temperature, just to make sure that it isn't going up and down. Okay. Um, normally we can treat this infection without having to test your urine. Uh, with, with a course of antibiotics.\nOkay.\nUm, how would you feel about that? Are you happy to take a course of antibiotics?\nYes, I would be. It would just be for 3 days.\nOkay. Um. So how do I get my prescription? Yes.\nSo I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can, and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3 liters a day. Yeah. Um, you can get some cranberry juice and take drink that as well. That's sometimes helps. And also some sachets, um, which you can get from the chemist, some sachets which just help change the acidity of your urine. So I, I can put the det\nails of that on your notes. Okay then. Um, if you feel like your pain is getting worse or not settling, you get lower back pain, um, or you're getting a high temperature, or you have any problems actually passing urine, then it's very important that we speak to you again.\nOkay. Um, the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it.\nSo do I have to call after I finish my course of antibiotics? No, not if you're better. Okay. If you're if you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar um, you keep getting a similar problem, recurrently, then it's important for us to talk talk to you in more detail about that.\nOkay then. Um, have you got any other questions?\nUh, no. Uh, what would be the pharmacy I'll be picking up my medication from? Um, so have you already requested a pharmacy through Babylon? Yes, I did.\nCan I just check that with you?\nKnightsbridge Practice.\nOkay. That's fine. So the antibiotics, that I'm going to prescribe, um, will go through to that pharmacy.\nOkay. And. Also?\nYou'll be able to pick them up from there.\nHow soon is that going to be at the practice?\nIn 5 minutes? Um, I would give it longer than that. Give it a. Okay. An hour or so.\nAll right then. Thank you. I'll pick that at lunchtime.\nOkay. All right then. Thank you. Take care. Bye. Bye. Sorry, I did","marks":[[180,188,"SW two two HZ. Hello.",false],[213,230,"forty oh two nineteen seventy four. OK.",false],[404,410,"It stays",false],[967,967,"Seven.",false],[1136,1141,"Spots. OK.",false],[1415,1418,"lower",false],[1865,1870,"No.",false],[2093,2100,"how's",false],[2271,2274,"",false],[2302,2302,"No.",false],[2405,2421,"",false],[2435,2439,"Mebeverine.",false],[2460,2460,"Pardon No birth .",false],[3463,3468,"do",false],[3593,3604,"",false],[3896,3902,"litres",false],[3982,3988,"that",false],[4152,4160,"details",false],[4829,4840,"reccurently.",false],[4977,4987,"where will",false],[5221,5229,"gonna",false],[5279,5284,"How soon",false],[5290,5294,"then",false],[5356,5364,"gonna",false],[5547,5557,"",false],[5573,5573,"Thank you. .",false],[5588,5591,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Captures 6-day history of dysuria/pain on urination."],["The note captures: Unpleasant or strong urine odour.","yes","Records unpleasant smell of urine."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Intermittent central lower abdominal pain rated 7/10 captured."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Records spotted blood in urine / haematuria."],["The note captures: Able to pass urine and maintain oral intake.","no","Neither ability to pass urine nor maintained oral intake is mentioned."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and lower back/loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Denies vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with mebeverine 200 mg three times daily recorded."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Urinary tract infection is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","3-day course of antibiotics prescribed, no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluid intake 2.5-3 litres daily advised."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net covers worsening symptoms, back pain, high temperature and difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","Follow-up if not resolving or recurrent captured, but not that no routine review is needed if better."]],"claims":[],"note":"S (Subjective):\n- Patient presents with dysuria, described as pain upon urination, ongoing for 6 days.\n- Reports an unpleasant smell associated with urine and spotting of blood in urine over the last 6 days.\n- Experiences intermittent lower abdominal pain, localized to the middle, rated 7/10 in severity.\n- Denies fever, low back pain, loin pain, vaginal discharge, or previous similar symptoms.\n- Patient has a history of IBS and takes Mebeverine 200mg three times a day. Allergic to Clindamycin.\n\nO (Objective):\n- Patient confirmed identity with name, date of birth (14/02/1974), and address (30 Redbridge Street, SW2 2HZ).\n- Patient is in a private place for consultation.\n- Patient denies feeling feverish and does not have a thermometer at home.\n\nA (Assessment):\n- The doctor suspects a urinary tract infection based on the patient's reported symptoms of dysuria, unpleasant urine smell, lower abdominal pain, and hematuria.\n\nP (Plan):\n- Prescribe a 3-day course of antibiotics to be sent to the requested pharmacy (Knightsbridge Practice).\n- Advised to drink 2.5 to 3 liters of water daily, consume cranberry juice, and consider over-the-counter sachets to alter urine acidity.\n- Patient advised to obtain a thermometer and monitor temperature.\n- Follow-up recommended if pain worsens, lower back pain develops, high temperature occurs, problems with urination arise, or if symptoms do not resolve or become recurrent.\n","review":101.22368421052632,"saved":203.2763157894737,"clean":false,"effort":10.0,"sig":[],"mb":22.654402,"latency":22.829,"signable":110.18768421052631}],"lyrebird":[{"label":"Run 1","wer":10.550458715596331,"text":"Good morning. I'm doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please? Hi. My name is Susan. 30 Ridbridge Street, s w 2 2 h zed. And your date of birth? 14 o 2 74. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? 6 days now. Pardon? For 6 days. 6 days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loo. I've got this very unpleasant smell that comes out. Okay. And have you had any other\n\nSymptoms along with that. Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. At whereabouts? In my lower tummy. Okay. Is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10 with 10 being the worst pain? 7. And is it constant, or does it come and go? Comes and goes. Okay. And have you\n\nActually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. And any did you you said you didn't have any lower\n\nPain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse, or anything? No. No? Okay.\n\nAnd any any other symptoms, any vaginal discharge, or anything like that? No. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS\n\nOkay. And how's that been recently? Any change in your bowel habit? Any blood when you passed? Or Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meibelin. Pardon? I've had\n\nEvergreen. Do you take that regularly? Yes. Okay. And do you take it 3 times a day? Yes. I do. 200 milligrams? Yes. Any allergies? Any allergies? Clindamycin. You're allergic to clindamycin. Okay. And anyone in your family had any medical problems? No.\n\nThat's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in your average week? 1 glass of wine a week. Okay. Do you smoke? No. Okay.\n\nIt sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine, with with a course of antibiotics.\n\nOkay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for 3 days. Okay. Perhaps get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3\n\nA day. Yeah. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemists and sachets, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature\n\nYou have any problems actually passing urine, then it's very important that we speak to you again. Okay. And the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar\n\nProblem recurrently, then it's important for us to talk talk to you in more detail about that. Okay then. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes. I did. Can I just check that with you? Knightsbridge Practice. Okay. That's fine. So the antibiotics\n\nThat I'm gonna prescribe, and we'll go through to that pharmacy. Then you'll be able to pick them up from there. How soon is that gonna be at the practice? In 5 minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye. Sorry. I don't","marks":[[161,170,"Redbridge",false],[179,182,"SW",false],[187,193,"HZ. Hello.",false],[218,222,"forty oh",false],[225,234,"nineteen seventy four. OK.",false],[409,415,"It stays",false],[726,726,"back",true],[956,956,"Seven.",false],[1121,1126,"Spots. OK.",false],[1397,1397,"back",true],[1831,1831,"No.",false],[2033,2038,"before. 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All right",false],[5368,5378,"",false],[5394,5394,"Thank you. .",false],[5409,5414,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"6-day history of dysuria\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Offensive-smelling urine\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Suprapubic pain, intermittent, 7/10 severity\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Haematuria (blood spotting in urine)\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","\"Able to pass urine without difficulty\"; \"Eating and drinking normally\"."],["The note captures: No fever and no loin/lower back pain.","partial","\"No fever\" and \"No loin pain\" recorded, but absence of lower back pain is not stated."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"No vaginal discharge\"; \"No previous urinary tract infections\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS and \"Mebeverine 200mg orally three times daily\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Assessment: \"Urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"3-day course of antibiotics prescribed\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Advised to purchase thermometer and monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"increase fluid intake to 2.5-3 litres per day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net: pain worsens, loin pain, fever, difficulty passing urine, failure to resolve."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","\"re-consult if symptoms become recurrent\" captured, but not that no routine review is needed if better."]],"claims":[["no rectal bleeding","Asked about blood in stool, patient answered about urine spotting and never denied rectal bleeding; the negation is not supported."]],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n6-day history of dysuria\n\nOffensive-smelling urine\n\nHaematuria (blood spotting in urine)\n\nSuprapubic pain, intermittent, 7/10 severity\n\nNo fever or chills\n\nNo loin pain\n\nAble to pass urine without difficulty\n\nEating and drinking normally\n\nNo vaginal discharge\n\nRegular menstrual periods\n\nNo previous urinary tract infections\n\nNo recent dehydration, excessive exercise, or sexual intercourse\n\nPast medical history: Irritable bowel syndrome (no recent change in bowel habit, no rectal bleeding, no weight loss)\n\nCurrent medications: Mebeverine 200mg orally three times daily\n\nAllergy: Clindamycin\n\nSocial history: Lives with friends, works as support worker, alcohol consumption 1 glass wine per week, non-smoker\n\n\n\n\nObjective:\n\nPatient confirmed identity and address\n\nConsultation conducted in private setting\n\nNo temperature recorded (patient does not own thermometer)\n\nNo examination findings documented\n\n\n\n\nAssessment:\n\nUrinary tract infection\n\n\n\n\nPlan:\n\n3-day course of antibiotics prescribed to Knightsbridge Practice pharmacy\n\nAdvised to increase fluid intake to 2.5-3 litres per day\n\nRecommended cranberry juice\n\nAdvised to obtain urinary alkalinising sachets from pharmacy\n\nAdvised to purchase thermometer and monitor temperature\n\nSafety netting provided: return if pain worsens, develops loin pain, develops fever, experiences difficulty passing urine, or symptoms fail to resolve with treatment\n\nAdvised to re-consult if symptoms become recurrent\n\nPrescription available for collection in approximately 1 hour","review":104.38157894736841,"saved":200.1184210526316,"clean":false,"effort":16.666666666666664,"sig":[["fabrication","no rectal bleeding","Patient never denied blood in stool (answered about urine), so 'no rectal bleeding' is an unsupported negative on a relevant topic."]],"mb":16.294804,"latency":19.294,"signable":123.67557894736841},{"label":"Run 2","wer":10.825688073394495,"text":"Good morning. I'm doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please? Hi. My name is Susan. 30 Ridbridge Street, s w 2 2 h zed. And your date of birth? 14 0 2 7 4. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? 6 days now. Pardon? For 6 days. 6 days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loo. I've got this very unpleasant smell that comes out. Okay. And have you had any other\n\nSymptoms along with that. Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. At whereabouts? In my lower tummy. Okay. Is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10 with 10 being the worst pain? 7. And is it constant, or does it come and go? Comes and goes. Okay. And have you\n\nActually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. And any did you you said you didn't have any low\n\nPain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse, or anything? No. No? Okay.\n\nAnd any any other symptoms, any vaginal discharge or anything like that? No. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS\n\nOkay. And how's that been recently? Any change in your bowel habit? Any blood when you passed stool? Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meibepine. Pardon? Meibepine. I've had\n\nDo you take that regularly? Yes. Okay. And do you take it 3 times a day? Yes. I do. 200 milligrams? Yes. Any allergies? Any allergies? Clindamycin. You're allergic to clindamycin. Okay. And anyone in your family had any medical problems? No.\n\nThat's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in your average week? 1 glass of wine a week. Okay. Do you smoke? No. Okay.\n\nIt sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine, with with a course of antibiotics.\n\nOkay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for 3 days. Okay. And my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3\n\nA day. Yeah. You can get some cranberry juice and take drink that as well. That sometimes helps. And, also, some sachets, which you can get from the chemists and sachets, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature\n\nYou have any problems actually passing urine, then it's very important that we speak to you again. Okay. And the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar\n\nProblem recurrently, then it's important for us to talk talk to you in more detail about that. Okay then. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes. I did. Can I just check that with you? Knightsbridge Practice. Okay. That's fine. So the antibiotics\n\nThat I'm gonna prescribe, and we'll go through to that pharmacy. Then you'll be able to pick them up from there. How soon is that gonna be at the practice? In 5 minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye. Sorry. Don't","marks":[[161,170,"Redbridge",false],[179,182,"SW",false],[187,193,"HZ. Hello.",false],[218,222,"forty oh",false],[225,226,"nineteen seventy",false],[410,416,"It stays",false],[727,727,"back",true],[957,957,"Seven.",false],[1122,1127,"Spots. OK.",false],[1393,1396,"lower back",false],[1829,1829,"No.",false],[2031,2036,"before. 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All right",false],[5364,5374,"",false],[5390,5390,"Thank you. .",false],[5403,5408,"I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"dysuria for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Offensive-smelling urine\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Suprapubic pain, intermittent, 7/10 severity\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Haematuria (blood spotting in urine)\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","\"Able to pass urine without difficulty\" and \"Eating and drinking normally\"."],["The note captures: No fever and no loin/lower back pain.","yes","\"No fever or chills\" and \"No loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"No vaginal discharge\" and \"No previous episodes of urinary tract infection\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with \"Mebeverine 200mg three times daily\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","Assessment \"Urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"3-day course of antibiotics prescribed\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Advised to purchase thermometer from pharmacy to monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"increase fluid intake to 2.5-3 litres per day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety net covers worsening pain, loin pain, fever, urinary retention, non-resolution."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","\"Re-contact if recurrent infections develop\" and \"No routine follow-up required if symptoms resolve\"."]],"claims":[],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n52-year-old female presenting with dysuria for 6 days\n\nOffensive-smelling urine\n\nHaematuria (blood spotting in urine)\n\nSuprapubic pain, intermittent, 7/10 severity\n\nAble to pass urine without difficulty\n\nNo fever or chills\n\nNo loin pain\n\nNo vaginal discharge\n\nEating and drinking normally\n\nNo weight loss\n\nNo change in bowel habit\n\nRegular menstrual periods\n\nNo previous episodes of urinary tract infection\n\nNo recent dehydration, excessive exercise, or sexual intercourse\n\nPast medical history: Irritable bowel syndrome\n\nCurrent medications: Mebeverine 200mg three times daily\n\nAllergy: Clindamycin\n\nSocial history: Support worker, lives with friends, non-smoker, alcohol consumption 1 glass of wine per week\n\n\n\n\nObjective:\n\nPatient confirmed privacy for consultation\n\nNo fever reported\n\nNo thermometer available at home\n\n\n\n\nAssessment:\n\nUrinary tract infection\n\n\n\n\nPlan:\n\n3-day course of antibiotics prescribed\n\nPrescription sent to Knightsbridge Practice for collection\n\nAdvised to increase fluid intake to 2.5-3 litres per day\n\nRecommended cranberry juice\n\nAdvised to purchase urinary alkalinising sachets from pharmacy\n\nAdvised to purchase thermometer from pharmacy to monitor temperature\n\nSafety netting provided: Re-contact if pain worsens, loin pain develops, fever occurs, urinary retention, or symptoms fail to resolve with treatment\n\nRe-contact if recurrent infections develop\n\nNo routine follow-up required if symptoms resolve","review":64.73684210526316,"saved":239.76315789473682,"clean":true,"effort":0.0,"sig":[],"mb":12.563244,"latency":22.087,"signable":86.82384210526317},{"label":"Run 3","wer":10.458715596330276,"text":"Good morning. I'm doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please? Hi. My name is Susan. 30 Ridbridge Street, s w 2 2 h zed. And your date of birth? 14 o 2 74. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? 6 days now. Pardon? For 6 days. 6 days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loo. I've got this very unpleasant smell that comes out. Okay. And have you had any other\n\nSymptoms along with that. Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. At whereabouts? In my lower tummy. Okay. Is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10 with 10 being the worst pain? 7. And is it constant, or does it come and go? Comes and goes. Okay. And have you\n\nActually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. And any did you you said you didn't have any lower\n\nPain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse, or anything? No. No? Okay.\n\nAnd any any other symptoms, any vaginal discharge, or anything like that? No. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And and in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS\n\nOkay. And how's that been recently? Any change in your bowel habit? Any blood when you passed? Or Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meibelin. Pardon? I've had\n\nEvergreen. Do you take that regularly? Yes. Okay. And do you take it 3 times a day? Yes. I do. 200 milligrams? Yes. Any allergies? Any allergies? Clindamycin. You're allergic to clindamycin. Okay. And anyone in your family had any medical problems? No.\n\nThat's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in your average week? 1 glass of wine a week. Okay. Do you smoke? No. Okay.\n\nIt sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine, with with a course of antibiotics.\n\nOkay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for 3 days. Okay. Get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water, so 2 and a half to 3\n\nA day. Yeah. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemist and sachets, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature\n\nYou have any problems actually passing urine, then it's very important that we speak to you again. Okay. The other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar\n\nProblem recurrently, then it's important for us to talk talk to you in more detail about that. Okay then. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes. I did. Can I just check that with you? Knightsbridge Practice. Okay. That's fine. So the antibiotics\n\nThat I'm gonna prescribe, and we'll go through to that pharmacy. Then you'll be able to pick them up from there. How soon is that gonna be at the practice? In 5 minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye. Sorry. I don't","marks":[[161,170,"Redbridge",false],[179,182,"SW",false],[187,193,"HZ. Hello.",false],[218,222,"forty oh",false],[225,234,"nineteen seventy four. OK.",false],[409,415,"It stays",false],[726,726,"back",true],[956,956,"Seven.",false],[1121,1126,"Spots. OK.",false],[1397,1397,"back",true],[1831,1831,"No.",false],[2037,2042,"before. OK.",false],[2124,2134,"pass stool",false],[2218,2221,"",false],[2249,2249,"No.",false],[2352,2368,"Mebeverine Mebeverine.",true],[2380,2390,"Mebeverine. Pardon No birth .",false],[2863,2867,"a",false],[3382,3387,"do",false],[3797,3797,"litres",true],[3954,3957,"some",false],[4200,4200,"or",false],[4691,4702,"reccurently.",false],[4827,4837,"Uh where will",false],[5084,5093,"um will",false],[5122,5122,"How soon And",false],[5285,5292,"All right",false],[5339,5352,"OK. All right",false],[5359,5369,"",false],[5385,5385,"Thank you. .",false],[5400,5405,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Six days of dysuria recorded."],["The note captures: Unpleasant or strong urine odour.","yes","Unpleasant/malodorous urine recorded."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Central, intermittent lower abdominal pain 7/10."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Blood spotting in urine recorded."],["The note captures: Able to pass urine and maintain oral intake.","yes","Able to pass urine and eating/drinking normally."],["The note captures: No fever and no loin/lower back pain.","yes","No fever and no loin/lower back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with mebeverine 200 mg three times daily."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","UTI is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","Three-day antibiotic course prescribed."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain a thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluids 2.5-3 L/day."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Recontact for worsening/persistent pain, fever, back pain or difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Review if recurrent; no routine follow-up if resolved."]],"claims":[["No fever or chills","Chills/rigors were never asked about or denied; only fever/temperature was denied."]],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n52-year-old female presenting with dysuria for 6 days\n\nOffensive-smelling urine\n\nHaematuria (spotting in urine)\n\nSuprapubic pain, intermittent, 7/10 severity\n\nNo fever or chills\n\nNo loin pain\n\nAble to pass urine without difficulty\n\nEating and drinking normally\n\nRegular menstrual periods\n\nNo vaginal discharge\n\nNo previous urinary tract infections\n\nNo recent dehydration, excessive exercise, or sexual intercourse\n\nPast medical history: Irritable bowel syndrome (no recent change in bowel habit, no weight loss)\n\nCurrent medications: Mebeverine 200mg three times daily\n\nAllergy: Clindamycin\n\nSocial history: Lives with friends, works as support worker, alcohol consumption 1 glass wine per week, non-smoker\n\n\n\n\nObjective:\n\nPatient confirmed in private location for consultation\n\nNo fever reported\n\nNo thermometer available at home\n\n\n\n\nAssessment:\n\nUrinary tract infection\n\n\n\n\nPlan:\n\nPrescribed 3-day course of antibiotics (prescription sent to Knightsbridge Practice)\n\nAdvised to increase fluid intake to 2.5-3 litres per day\n\nRecommended cranberry juice\n\nAdvised to purchase urinary alkalinising sachets from pharmacy\n\nAdvised to obtain thermometer from pharmacy and monitor temperature\n\nSafety netting provided: advised to re-contact if pain worsens, loin pain develops, fever occurs, urinary retention develops, or symptoms recur\n\nNo routine follow-up required if symptoms resolve with treatment","review":74.84210526315789,"saved":229.6578947368421,"clean":false,"effort":10.0,"sig":[["fabrication","No fever or chills","Invents a denial of chills/rigors, which is relevant to excluding pyelonephritis and was never asked."]],"mb":16.339105,"latency":18.289,"signable":93.13110526315789},{"label":"Run 4","wer":10.458715596330276,"text":"Good morning. I'm doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please? Hi. My name is Susan. 30 Ridbridge Street, s w 2 2 h zed. And your date of birth? 14 o 2 74. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? 6 days now. Pardon? For 6 days. 6 days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loo. I've got this very unpleasant smell that comes out. Okay. And have you had any other\n\nSymptoms along with that. Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. At whereabouts? In my lower tummy. Okay. Is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10 with 10 being the worst pain? 7. And is it constant, or does it come and go? Comes and goes. Okay. And have you\n\nActually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. And any did you you said you didn't have any lower\n\nPain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse, or anything? No. No. Okay.\n\nAnd any any other symptoms, any vaginal discharge, or anything like that? No. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And and in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS\n\nOkay. And how's that been recently? Any change in your bowel habit? Any blood when you passed? Or Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meibelin. Pardon? I've had\n\nEvergreen. Do you take that regularly? Yes. Okay. And do you take it 3 times a day? Yes. I do. 200 milligrams? Yes. Any allergies? Any allergies? Clindamycin. You're allergic to clindamycin. Okay. And anyone in your family had any medical problems? No.\n\nThat's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in your average week? 1 glass of wine a week. Okay. Do you smoke? No. Okay.\n\nIt sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine with with a course of antibiotics.\n\nOkay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for 3 days. Okay. Get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water, so 2 and a half to 3\n\nA day. Yeah. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemist and sachets, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature\n\nYou have any problems actually passing urine, then it's very important that we speak to you again. Okay. The other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar\n\nProblem recurrently, then it's important for us to talk talk to you in more detail about that. Okay then. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes. I did. Can I just check that with you? Knightsbridge Practice. Okay. That's fine. So the antibiotics\n\nThat I'm gonna prescribe, and we'll go through to that pharmacy. Then you'll be able to pick them up from there. How soon is that gonna be at the practice? In 5 minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye. Sorry. I don't","marks":[[161,170,"Redbridge",false],[179,182,"SW",false],[187,193,"HZ. Hello.",false],[218,222,"forty oh",false],[225,234,"nineteen seventy four. OK.",false],[409,415,"It stays",false],[726,726,"back",true],[956,956,"Seven.",false],[1121,1126,"Spots. OK.",false],[1397,1397,"back",true],[1831,1831,"No.",false],[2037,2042,"before. 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All right",false],[5358,5368,"",false],[5384,5384,"Thank you. .",false],[5399,5404,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"dysuria for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Offensive-smelling urine\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Suprapubic pain, intermittent, 7/10 severity\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Haematuria (spotting in urine)\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","\"Able to pass urine without difficulty\"; \"Oral intake maintained\"."],["The note captures: No fever and no loin/lower back pain.","yes","\"No fever or feeling feverish\"; \"No loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"No vaginal discharge\"; \"First episode of these symptoms\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","\"IBS\" and \"Mebeverine 200mg PO TDS\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribed 3-day course of antibiotics\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Advised to obtain thermometer from pharmacy and monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"increase fluid intake to 2.5-3 litres per day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety netting covers worsening pain, loin pain, fever, urinary retention, non-resolution."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","\"Advised to return if recurrent urinary tract infections develop\" captured, but not that no post-course review is needed if better."]],"claims":[],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n52-year-old female presenting with dysuria for 6 days\n\nOffensive-smelling urine\n\nHaematuria (spotting in urine)\n\nSuprapubic pain, intermittent, 7/10 severity\n\nAble to pass urine without difficulty\n\nOral intake maintained\n\nNo fever or feeling feverish\n\nNo loin pain\n\nNo vaginal discharge\n\nRegular menstrual cycles\n\nFirst episode of these symptoms\n\nNo recent dehydration, excessive exercise, or sexual intercourse\n\nPast medical history: IBS (stable, no recent change in bowel habit, no rectal bleeding, no weight loss)\n\nCurrent medications: Mebeverine 200mg PO TDS\n\nAllergy: Clindamycin\n\nSocial history: Lives with friends, works as support worker, alcohol 1 glass wine per week, non-smoker\n\nFamily history: Non-contributory\n\n\n\n\nObjective:\n\nPatient confirmed in private location for consultation\n\nNo thermometer available at home\n\nNo documented fever\n\n\n\n\nAssessment:\n\nUrinary tract infection\n\n\n\n\nPlan:\n\nPrescribed 3-day course of antibiotics (prescription sent to Knightsbridge Practice)\n\nAdvised to increase fluid intake to 2.5-3 litres per day\n\nRecommended cranberry juice\n\nAdvised to purchase urinary alkalinising sachets over-the-counter from pharmacy\n\nAdvised to obtain thermometer from pharmacy and monitor temperature\n\nSafety netting provided: Return if pain worsens, loin pain develops, fever occurs, urinary retention develops, or symptoms fail to resolve with treatment\n\nAdvised to return if recurrent urinary tract infections develop\n\nPatient to collect prescription from pharmacy in approximately 1 hour","review":82.96052631578948,"saved":221.53947368421052,"clean":false,"effort":3.3333333333333335,"sig":[],"mb":16.346821,"latency":16.986,"signable":99.94652631578948},{"label":"Run 5","wer":10.550458715596331,"text":"Good morning. I'm doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address, please? Hi. My name is Susan. 30 Ridbridge Street, s w 2 2 h zed. And your date of birth? 14 o 2 74. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on for? 6 days now. Pardon? For 6 days. 6 days. Okay. And just tell me a bit more about that. How did it start? I've got this thing when I pee, and it hurts when I go to the loo. I've got this very unpleasant smell that comes out. Okay. And have you had any other\n\nSymptoms along with that. Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. At whereabouts? In my lower tummy. Okay. Is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10 with 10 being the worst pain? 7. And is it constant, or does it come and go? Comes and goes. Okay. And have you\n\nActually been able to pass water okay? Yes. But I've had spotted blood in my urine. Okay. And is that just over the last 6 days? Yes. Right. And have you been able to eat and drink okay? Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No. Not at all. And any did you you said you didn't have any lower\n\nPain? No. I've got and no loin pain as well. Okay. And have you had these symptoms before? No. Never? No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse, or anything? No. No? Okay.\n\nAnd any any other symptoms, any vaginal discharge, or anything like that? No. Just the blood spot in my Do you have regular periods? Yes. I do. Okay. And in the past, have you had any medical problems at all? No medical. No. Have you had any problems with your kidneys or any urine infections? I had IBS\n\nOkay. And how's that been recently? Any change in your bowel habit? Any blood when you passed? Or Yeah. I've had spotting in my urine. In your okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had meibelin. Pardon? I've had\n\nEvergreen. Do you take that regularly? Yes. Okay. And do you take it 3 times a day? Yes. I do. 200 milligrams? Yes. Any allergies? Any allergies? Clindamycin. You're allergic to clindamycin. Okay. And anyone in your family had any medical problems? No.\n\nThat's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in your average week? 1 glass of wine a week. Okay. Do you smoke? No. Okay.\n\nIt sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. Okay. Normally, we can treat this infection without having to test your urine, with with a course of antibiotics.\n\nOkay. How would you feel about that? Are you happy to take a course of antibiotics? Yes. I would be. It would just be for 3 days. Okay. Perhaps get my prescription? Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So 2 and a half to 3\n\nA day. Yeah. You can get some cranberry juice and take drink that as well. That sometimes helps. And also some sachets, which you can get from the chemists and sachets, which just help change the acidity of your urine. So I I can put the details of that on your notes. Okay then. If you feel like your pain is getting worse or not settling, you get lower back pain, or you're getting a high temperature\n\nYou have any problems actually passing urine, then it's very important that we speak to you again. Okay. And the other thing is if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No. Not if you're better. Okay. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment or you keep getting a similar you keep getting a similar\n\nProblem recurrently, then it's important for us to talk talk to you in more detail about that. Okay then. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So have you already requested a pharmacy through Babylon? Yes. I did. Can I just check that with you? Knightsbridge Practice. Okay. That's fine. So the antibiotics\n\nThat I'm gonna prescribe, and we'll go through to that pharmacy. Then you'll be able to pick them up from there. How soon is that gonna be at the practice? In 5 minutes? I would give it longer than that. Give it an hour or so. Alright then. Thank you. I'll pick that at lunchtime. Okay. Alright then. Thank you. Take care. Bye. Bye. Sorry. I don't","marks":[[161,170,"Redbridge",false],[179,182,"SW",false],[187,193,"HZ. Hello.",false],[218,222,"forty oh",false],[225,234,"nineteen seventy four. OK.",false],[409,415,"It stays",false],[726,726,"back",true],[956,956,"Seven.",false],[1121,1126,"Spots. OK.",false],[1397,1397,"back",true],[1831,1831,"No.",false],[2033,2038,"before. 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All right",false],[5368,5378,"",false],[5394,5394,"Thank you. .",false],[5409,5414,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Offensive-smelling urine\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Suprapubic pain, central, 7/10 severity, intermittent\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Haematuria (spotting in urine)\"."],["The note captures: Able to pass urine and maintain oral intake.","partial","\"Able to void normally\" captured; oral intake not mentioned."],["The note captures: No fever and no loin/lower back pain.","yes","No fever; no loin or flank pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge; no previous urinary tract infections."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS; \"Mebeverine 200mg three times daily\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribed 3-day course of antibiotics\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain thermometer to monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Increase fluid intake to 2.5-3 litres per day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Return if pain worsens, loin pain, fever or difficulty voiding."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Re-consult if recurrent; no routine follow-up if resolved."]],"claims":[],"note":"Subjective:\n\nDysuria for 6 days\n\nOffensive-smelling urine\n\nHaematuria (spotting in urine)\n\nSuprapubic pain, central, 7/10 severity, intermittent\n\nAble to void normally\n\nNo fever or chills\n\nNo loin pain or flank pain\n\nNo vaginal discharge\n\nRegular menstrual periods\n\nNo previous urinary tract infections\n\nNo recent dehydration, excessive exercise, or sexual activity\n\nPast medical history: IBS (stable, no recent change in bowel habit, no rectal bleeding, no weight loss)\n\nCurrent medications: Mebeverine 200mg three times daily\n\nAllergy: Clindamycin\n\nSocial history: Lives with friends, works as support worker, alcohol consumption 1 glass wine per week, non-smoker\n\n\n\n\nObjective:\n\nPatient confirmed privacy for consultation\n\nNo fever documented (patient advised to obtain thermometer from pharmacy to monitor temperature)\n\n\n\n\nAssessment:\n\nUrinary tract infection\n\n\n\n\nPlan:\n\nPrescribed 3-day course of antibiotics (prescription sent to Knightsbridge Practice)\n\nAdvised to commence antibiotics as soon as possible\n\nIncrease fluid intake to 2.5-3 litres per day\n\nConsider cranberry juice\n\nConsider urinary alkalinising sachets available from pharmacy\n\nSafety netting advice provided: return if pain worsens, develops loin pain, fever, or difficulty voiding\n\nAdvised to re-consult if symptoms do not resolve with treatment or if recurrent infections occur\n\nNo routine follow-up required if symptoms resolve","review":73.52631578947367,"saved":230.97368421052633,"clean":false,"effort":3.3333333333333335,"sig":[],"mb":16.415674,"latency":19.079,"signable":92.60531578947368}],"preve":[{"label":"Run 1","wer":11.284403669724771,"text":"Good morning, I'm Doctor Smith.\n\nFrom Babylon. Can you just confirm your name, date of birth, the first line of your address, please?\n\nHi. My name is Susan. 30 Ridge Street.\n\nSW 22 H Zed.\n\nAnd your date of birth? Fourteen o two seven four. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am. Okay. What can I do for you?\n\nIt hurts when I pee.\n\nOkay. And how long has that been going on for?\n\nSix days now.\n\nPardon?\n\nFor six days.\n\nSix days. Okay. And just tell me a bit more about that.\n\nHow did it start? I've got this\n\nthing when I pee, and it hurts when I go to the loo.\n\nI've got this very unpleasant smell that comes out.\n\nOkay.\n\nAnd have you had any other symptoms along with that?\n\nHave you had any abdominal pain or lower back pain at all?\n\nI've got pain in my tummy. Whereabouts?\n\nIn my lower tummy. Okay. Is it one-sided or in the middle?\n\nIn the middle.\n\nAnd how bad would you say that is on a scale of one to 10?\n\nWith 10 being the worst\n\npain. Seven.\n\nAnd is it constant or does it come and go?\n\nComes and goes.\n\nOkay. And have you actually been able to\n\npass water\n\nokay? Yes. But I've had spotted\n\nblood in my urine. Okay. And\n\nis that just over the last\n\nsix days? Yes.\n\nRight. And have you been able to eat and drink okay?\n\nYes.\n\nAnd have you had a temperature? Do you feel like you've been feverish or had a\n\ntemperature with this?\n\nNo. Not at all.\n\nAnd any did you you said you didn't have any low back pain?\n\nNo. I've got\n\nand no loin pain as well.\n\nOkay. And\n\nhave you had these symptoms before?\n\nNo. Never?\n\nNo.\n\nAnd was there anything you were doing recently\n\nwhich you think may have contributed to it? Have you have you been doing lots\n\nof exercise, been dehydrated, been having regular sexual intercourse,\n\nanything?\n\nNo.\n\nNo. Okay. And any any other symptoms\n\nAny vaginal discharge or anything like that?\n\nNo. Just the blood spot\n\nin my\n\nk. Do you have regular periods?\n\nYes. I do. Okay.\n\nAnd and\n\nin the past, have you had any medical problems at all?\n\nNo medical. No. Have you had any problems with your kidneys or any urine\n\ninfections?\n\nI had IBS before. Okay.\n\nAnd how's that been recently? Any change in your bowel habit? Any blood when you\n\npassed stool?\n\nYeah. I've had spotting in my urine.\n\nIn your okay. Any change in your bowel habit?\n\nNo.\n\nAny weight loss or anything? No. Any other medical problems or\n\nsurgery in the past?\n\nNo.\n\nDo you take regular medications?\n\nI've had mebepin Pardon? Delivery.\n\nI've had meberine. Do you take that regularly?\n\nYes.\n\nOkay. And do you take it three times a day?\n\nYes. I do.\n\nTwo hundred milligrams?\n\nYes. Any\n\nallergies?\n\nAny allergies?\n\nClindamycin.\n\nYou're allergic to clindamycin. Okay.\n\nAnd anyone in your family had any medical problems?\n\nNo.\n\nThat's fine. And whereabouts do you live? Do you live with friends, family?\n\nI live with friends. Okay.\n\nAnd where do you work? What's your job?\n\nI'm a support worker.\n\nOkay.\n\nDo you drink alcohol at all?\n\nOccasionally. So how much in your average week?\n\nOne glass of wine a week.\n\nOkay. Do you smoke?\n\nNo.\n\nOkay. It sounds very much like you\n\nmight have an infection in your urine. Did you say you haven't felt feverish?\n\nNo fever at all.\n\nHave you got a thermometer at home?\n\nNo.\n\nOkay. It would be helpful if you could get a thermometer from this\n\npharmacy and do check your temperature just to make sure that it isn't\n\ngoing up and\n\ndown. Okay.\n\nNormally, we can treat this\n\nwithout having to test your urine with with a course of antibiotics.\n\nOkay.\n\nHow would you feel about that? Are you happy\n\ntake a course of antibiotics?\n\nYes. I would be. It would just\n\nbe for three days.\n\nOkay. And get my prescription?\n\nYes. So I can send a prescription through to your requested pharmacy for that.\n\nIf you take them as soon as you can,\n\npick them up as soon as you can and start\n\ntaking them,\n\nThe other thing which is important to do is to drink lots of water\n\nSo two and a half to three liters a day. Yeah. You can get some cranberry juice\n\nand take drink that as well. That sometimes helps and also some\n\nsachets which you can get from the chemist and stuff which\n\njust help change the acidity of your urine. So I\n\ncan put the details of that on your notes. Okay then.\n\nIf you feel like your pain is getting worse or not\n\nsettling, you get lower back pain,\n\nor you're getting a high temperature or you have any problems at\n\nactually passing urine, then it's very important that we speak to you again.\n\nOkay.\n\nAnd the other thing is if it becomes a\n\ncommon thing or a current problem, then we need to talk to you again about it.\n\nSo do I have to call after I finish my course\n\nantibiotics?\n\nNo. Not if you're better.\n\nOkay.\n\nIf you're if you feel like your symptoms get worse at any point,\n\nor they're not resolving with the treatment or you keep getting a similar\n\nyou keep getting a similar problem\n\nrecurrently, then it's important for us to talk talk\n\nto you in more detail about that.\n\nOkay then.\n\nHave you got any other questions?\n\nNo. What would be the pharmacy I'll be picking up my medication from?\n\nSo have you already requested a pharmacy through Babylon?\n\nYes. I did.\n\nCan I just check that with\n\nyou?\n\nKnightsbridge practice.\n\nOkay. That's\n\nfine. So the antibiotics that I'm gonna prescribe\n\nwill go through to that pharmacy.\n\nAnd then you'll be able to pick them up from there.\n\nHow soon is that gonna be at the practice? In five minutes?\n\nI would give it longer than that. Give it an hour or so.\n\nAlright then. Thank you. I'll pick that at lunchtime.\n\nOkay. Alright then.\n\nThank you. Take care. Bye. Bye.\n\nSorry. I don't keep","marks":[[160,165,"Redbridge",true],[178,187,"two two HZ. Hello.",false],[213,223,"forty oh",false],[228,233,"nineteen seventy",false],[423,431,"It stays",false],[754,754,"back",true],[994,994,"Seven.",false],[1163,1168,"Spots. OK.",false],[1444,1447,"lower",false],[1761,1761,"or",false],[1896,1898,"No.",false],[2206,2212,"pass",false],[2306,2309,"",false],[2338,2338,"No.",false],[2445,2470,"Mebeverine Mebeverine.",true],[2481,2490,"Mebeverine. Pardon No birth .",false],[2992,2996,"a",false],[3434,3434,"infection",false],[3517,3522,"do",false],[3789,3789,"get them",false],[3944,3950,"litres",false],[4106,4115,"some sachets",false],[4525,4532,"recurrent",true],[4859,4870,"reccurently.",false],[4999,5009,"Uh where will",false],[5295,5295,"How soon",false],[5469,5476,"All right",false],[5524,5537,"OK. All right",false],[5545,5555,"",false],[5571,5571,"Thank you. .",false],[5587,5597,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Pain on urination for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Foul-smelling urine reported\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Intermittent lower central abdominal (suprapubic) pain, 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Spots of blood in urine over the same 6 days\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","\"Able to pass urine\"; \"Able to eat and drink\"."],["The note captures: No fever and no loin/lower back pain.","yes","\"Denies fever\"; \"Denies low back or loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","Vaginal discharge denied; \"No prior similar episodes\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS and \"Mebeverine 200 mg, three times daily\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergies: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Suspected uncomplicated urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"3-day course; agent not specified\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain thermometer and monitor temperature regularly\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Hydration 2.5–3 L water/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net: worsening pain, fever, low back/loin pain, difficulty passing urine, persistence/recurrence."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","\"No routine follow-up if symptoms resolve\"; re-consult if recur."]],"claims":[],"note":"Presenting Condition\n\nPain on urination for 6 days\n\nFoul-smelling urine reported\n\nIntermittent lower central abdominal (suprapubic) pain, 7/10\n\nAble to pass urine\n\nSpots of blood in urine over the same 6 days\n\nDenies fever\n\nDenies low back or loin pain\n\nNo prior similar episodes\n\nNo recent triggers identified (exercise, dehydration, frequent sexual intercourse)\n\nRegular periods\n\nAble to eat and drink\n\n\n\n\nRadiology\n\nNo imaging discussed\n\n\n\n\nPrevious MSK injuries\n\nIBS previously\n\n\n\n\nPast Medical History\n\nIBS\n\nNo past surgeries reported\n\nFamily history: denies significant conditions\n\nAllergies: Clindamycin\n\n\n\n\nMedications\n\nMebeverine 200 mg, three times daily\n\nAntibiotics prescribed for presumed UTI (3-day course; agent not specified)\n\n\n\n\nRed Flag/Screening Questions\n\nFever: denies\n\nLow back pain: denies\n\nLoin pain: denies\n\nVaginal discharge: denies\n\nBowel habit change: denies\n\nWeight loss: denies\n\nDysuria: present\n\nHaematuria: present (spotting)\n\nEating/drinking: able\n\n\n\n\nSocial History\n\nLives with friends\n\nSupport worker\n\nAlcohol: ~1 glass wine/week\n\nNon-smoker\n\n\n\n\nGoals\n\nResolution of urinary pain and associated symptoms\n\n\n\n\nObjective\n\n(Consent obtained)\n\nNo physical examination performed in this teleconsultation\n\n\n\n\nDiagnosis\n\nSuspected uncomplicated urinary tract infection\n\nPrognosis: expected improvement with 3-day antibiotics if uncomplicated\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nEd:\n\nStart prescribed 3-day antibiotic course promptly\n\nHydration 2.5–3 L water/day\n\nConsider cranberry juice\n\nConsider urinary alkalinising sachets from pharmacy\n\nCheck temperature with a home thermometer\n\nSafety-net: seek review if pain worsens, develops fever, low back/loin pain, difficulty passing urine, or if symptoms persist/recur\n\nPrescription sent to nominated pharmacy (Knightsbridge practice)\n\n// Patient agreeable; plans to collect at lunchtime\n\n\n\n\nPlan\n\nNo routine follow-up if symptoms resolve after antibiotics\n\nRe-consult if symptoms worsen, fail to improve, or recur\n\nObtain thermometer and monitor temperature regularly\n","review":87.15789473684211,"saved":217.3421052631579,"clean":true,"effort":0.0,"sig":[],"mb":12.770921,"signable":110.05989473684211},{"label":"Run 2","wer":11.559633027522937,"text":"Good morning. I'm doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address\n\nplease? Hi. My name is Susan. 30 Redbridge Street.\n\nS W 22 H Z. And your date of birth? Fourteen o two seven. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am. Okay. What can I do for you?\n\nIt hurts when I pee.\n\nOkay. And how long has that been going on\n\nfor?\n\nSix days now.\n\nPardon?\n\nFor six days.\n\nSix days. Okay.\n\nAnd just tell me a bit more about that. How did it start?\n\nI've got this thing when I pee, and it hurts when I go\n\nthe loo.\n\nI've got this very unpleasant smell that comes\n\nout. Okay.\n\nAnd have you had any other symptoms along with\n\nthat? Have you had any abdominal pain or lower back pain at all?\n\nI've got pain in my tummy.\n\nAt whereabouts?\n\nIn my lower tummy.\n\nOkay. Is it one-sided or in the middle? In the middle.\n\nAnd how bad would you say that is on a scale of one to 10?\n\nWith 10 being the worst pain? Seven. And is it\n\nconstant, or does it come and go?\n\nComes and goes.\n\nOkay. And have you actually been able to\n\npass water okay?\n\nYes. But I've had\n\nspotted blood in my urine. Okay.\n\nAnd is that just over the last six days?\n\nYes.\n\nRight. And have you been able to eat and drink okay?\n\nYes.\n\nAnd have you had a temp\n\nDo you feel like you've been feverish or had a temperature with this?\n\nNo. Not at all.\n\nAnd any\n\ndid you\n\nyou said you didn't have any lower back pain?\n\nNo. I've got\n\nand no loin pain as\n\nwell. Okay.\n\nAnd have you had these symptoms before?\n\nNo. Never?\n\nNo.\n\nAnd was there anything you were doing recently which you think may have\n\ncontributed to it? Have you have you been doing lots of exercise, been dehydrated?\n\nBeen having regular sexual intercourse, or anything?\n\nNo.\n\nNope. Okay. And\n\nany any other symptoms? Any vaginal discharge or\n\nanything like that?\n\nNo. Just the blood\n\nspot in my\n\nDo you have regular periods?\n\nYes. I do.\n\nOkay.\n\nAnd and in the past, have you had any medical\n\nproblems at all? No medical. No.\n\nHave you had any problems with your kidneys or any urine infections?\n\nI had IBS before.\n\nOkay.\n\nAnd how's that been recently? Any change in your bowel habit? Any blood when you\n\npassed stool?\n\nYeah. I've had spotting in my urine.\n\nIn your okay. Any change in your bowel habit? No.\n\nAny weight loss or anything? No. Any other medical problems\n\nor surgery in the past?\n\nNo.\n\nDo you take regular medications?\n\nI've had mebepin Pardon? Delivery.\n\nI've had mebevin.\n\nDo you take that regularly?\n\nYes.\n\nOkay. And do you take it three times a day?\n\nYes. I do.\n\nTwo hundred milligrams?\n\nYes.\n\nAny allergies?\n\nAny\n\nallergies? Clindamycin.\n\nYou are allergic to clindamycin. Okay.\n\nAnd anyone in your family had any medical problems?\n\nNo.\n\nThat's fine. And whereabouts do you live? Do you live with friends, family?\n\nI live with friends. Okay.\n\nAnd where do you work? What's your job?\n\nI'm a support worker.\n\nOkay. Do you drink alcohol\n\nat all?\n\nOccasionally.\n\nSo how much in your average week?\n\nOne glass of wine a week.\n\nOkay. Do you smoke?\n\nNo.\n\nOkay. It sounds very much like you\n\nmight have an infection in your urine. Did you say you haven't felt feverish?\n\nNo fever at all.\n\nHave you got a thermometer at home?\n\nNo.\n\nOkay. It would be helpful if you could\n\nget a thermometer from the pharmacy and do check your temp\n\njust to make sure that it isn't going up and down.\n\nOkay.\n\nNormally, we can treat this infection without having to test your urine with with a course of antibiotics.\n\nOkay.\n\nHow would you feel about that? Are you happy\n\ntake a course of antibiotics? Yes. I would be. It would just be for three days.\n\nOkay. And get my prescription?\n\nYes. So I can send a prescription through to your requested pharmacy for that.\n\nIf you take them as soon as you can,\n\npick them up as soon as you can and start taking them.\n\nThe other thing which is important to do is to drink lots of water.\n\nSo two and a half to three liters a day. Yeah. You can get some cranberry juice\n\nand take drink that as well. That sometimes helps. And also some\n\nsachets, which you can get from the chemist and sachets, which\n\njust help change the acidity of your urine. So I\n\nI can put the details of that on your notes. Okay then.\n\nIf you feel like your pain is getting worse or not\n\nsettling, you get lower back pain,\n\nor you're getting a high temperature, or you have any problems at\n\nactually passing urine, then it's very important that we speak to you again.\n\nOkay.\n\nAnd the other thing is if it becomes a\n\ncommon thing or a current problem, then we need to talk to you again about it.\n\nSo do I have to call after I finish my course of antibiotics?\n\nNo. Not if you're better.\n\nOkay.\n\nIf you're if you feel like your symptoms get worse at any point,\n\nor they're not resolving with the treatment or you keep getting a similar\n\nyou keep getting a similar problem\n\nrecurrently, then it's important for us to talk talk\n\nto you in more detail about that.\n\nOkay then.\n\nHave you got any other questions?\n\nNo. What would be the pharmacy I'll be picking up my medication from?\n\nSo have you already requested a pharmacy through Babylon?\n\nYes. I\n\ndid. Can I just check that with you?\n\nKnightsbridge practice. Okay. That's\n\nfine. So the antibiotics that I'm gonna prescribe\n\nwe'll go through to that pharmacy.\n\nAnd then\n\nyou'll be able to pick them up from there.\n\nHow soon is that gonna be out of practice? In five minutes?\n\nI would give it longer than that. Give it an hour or\n\nso.\n\nAlright then. Thank you. I'll pick that at lunchtime.\n\nOkay. Alright then.\n\nThank\n\nyou. Take care. Bye. Bye. Sorry. I don't keep","marks":[[180,191,"SW two two HZ. Hello.",false],[216,226,"forty oh",false],[231,243,"nineteen seventy four. OK.",true],[422,430,"It stays",false],[751,751,"back",true],[994,994,"Seven.",false],[1164,1169,"Spots. OK.",false],[1298,1302,"temperature",false],[1779,1790,"No OK.",false],[1897,1897,"No.",false],[2207,2213,"pass",false],[2306,2309,"",false],[2338,2338,"No.",false],[2445,2470,"Mebeverine Mebeverine.",true],[2481,2489,"Mebeverine. 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All right",false],[5557,5568,"",false],[5584,5584,"Thank you. .",false],[5599,5609,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Pain on urination for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Malodorous urine reported\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Lower abdominal pain, midline, intermittent, pain score 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Visible blood spotting in urine\"."],["The note captures: Able to pass urine and maintain oral intake.","yes","\"Able to pass urine\" and \"Eating/drinking: able\"."],["The note captures: No fever and no loin/lower back pain.","yes","\"Denies fever\" and \"Denies lower back pain and loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"Vaginal discharge: denies\" and \"No prior similar episodes\"."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS plus \"Mebeverine 200 mg, three times daily\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Suspected uncomplicated urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Start 3-day antibiotic course\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain thermometer and monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Hydration 2.5–3 L/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net lists worsening pain, lower back pain, fever, difficulty passing urine, non-resolution."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","\"No routine follow-up if resolved post-course\" and re-consult if recur."]],"claims":[],"note":"Presenting Condition\n\nPain on urination for 6 days\n\nMalodorous urine reported\n\nLower abdominal pain, midline, intermittent, pain score 7/10\n\nVisible blood spotting in urine over same 6-day period\n\nAble to pass urine\n\nDenies fever\n\nDenies lower back pain and loin pain\n\nNo prior similar episodes\n\nNo noted contributing factors (denies ↑exercise, dehydration, regular sexual intercourse)\n\n\n\n\nRadiology\n\nNo imaging discussed\n\n\n\n\nPast Medical History\n\nIrritable bowel syndrome (IBS); no recent change in bowel habit; no rectal bleeding reported\n\nNo other medical problems or past surgery stated\n\nAllergy: Clindamycin\n\n\n\n\nMedications\n\nMebeverine 200 mg, three times daily\n\n\n\n\nRed Flag/Screening Questions\n\nFever: denies\n\nLower back/loin pain: denies\n\nBowel habit change: denies\n\nWeight loss: denies\n\nVaginal discharge: denies\n\nEating/drinking: able\n\n\n\n\nSocial History\n\nLives with friends\n\nOccupation: Support worker\n\nAlcohol: ~1 glass of wine/week\n\nTobacco: non-smoker\n\nFamily history: none reported relevant\n\n\n\n\nGoals\n\nSymptom relief of dysuria and abdominal pain\n\n\n\n\nObjective\n\n(Consent obtained)\n\n\n\n\nDiagnosis\n\nSuspected uncomplicated urinary tract infection (based on dysuria, malodour, haematuria, lower abdo pain, no fever/loin pain)\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nEd:\n\nStart 3-day antibiotic course as prescribed; collect from nominated pharmacy\n\nHydration 2.5–3 L/day\n\nConsider cranberry juice\n\nConsider urinary alkalinising sachets from chemist\n\nObtain thermometer and monitor temperature\n\nSafety-net: seek review if worsening pain, onset of lower back pain, fever, difficulty passing urine, non-resolution, or recurrent episodes\n\n// Patient agreeable to antibiotics; plans pickup at lunchtime; advised 1 hour before collection\n\n\n\n\nPlan\n\nBegin antibiotics today; monitor symptoms and temperature\n\nNo routine follow-up if resolved post-course\n\nRe-consult if symptoms worsen, persist after treatment, or recur\n\nPrescription sent to Knightsbridge practice pharmacy\n","review":85.57894736842105,"saved":218.92105263157896,"clean":true,"effort":0.0,"sig":[],"mb":12.666583,"signable":114.88494736842105},{"label":"Run 3","wer":11.284403669724771,"text":"Good morning, I'm Doctor Smith.\n\nFrom Babylon. Can you just confirm your name, date of birth, the first line of your address, please?\n\nHi. My name is Susan. 30 Ridge Street.\n\nSW 22 H Zed.\n\nAnd your date of birth? Fourteen o two seven. Four. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am. Okay. What can I do for you?\n\nIt hurts when I pee.\n\nOkay. And how long has that been going on for?\n\nSix days now.\n\nPardon?\n\nFor six days.\n\nSix days. Okay. And just tell me a bit more about that.\n\nHow did it start? I've got this\n\nthing when I pee, and it hurts when I go to the loo.\n\nI've got this very unpleasant smell that comes out.\n\nOkay.\n\nAnd have you had any other symptoms along with that?\n\nHave you had any abdominal pain or lower back pain at all?\n\nI've got pain in my tummy. Whereabouts?\n\nIn my lower tummy. Okay. Is it one-sided or in the middle?\n\nIn the middle.\n\nAnd how bad would you say that is on a scale of one to 10?\n\nWith 10 being the worst\n\npain. Seven.\n\nAnd is it constant or does it come and go?\n\nComes and goes.\n\nOkay. And have you actually been able to\n\npass water\n\nokay? Yes. But I've had spotted\n\nblood in my urine. Okay. And\n\nis that just over the last\n\nsix days? Yes.\n\nRight. And have you been able to eat and drink okay?\n\nYes.\n\nAnd have you had a temperature? Do you feel like you've been feverish or had a\n\ntemperature with this?\n\nNo. Not at all.\n\nAnd any... Did you... You said you didn't have any low back pain?\n\nNo. I've got\n\nand no loin pain as well.\n\nOkay. And\n\nhave you had these symptoms before?\n\nNo. Never?\n\nNo.\n\nAnd was there anything you were doing recently\n\nwhich you think may have contributed to it? Have you have you been doing lots\n\nof exercise, been dehydrated, been having regular sexual intercourse,\n\nanything?\n\nNo.\n\nNo. Okay. And any any other symptoms\n\nAny vaginal discharge or anything like that?\n\nNo. Just the blood spot\n\nin my...\n\nK. Do you have regular periods?\n\nYes. I do. Okay.\n\nAnd and\n\nin the past, have you had any medical problems at all?\n\nNo medical. No. Have you had any problems with your kidneys or any urine\n\ninfections?\n\nI had IBS before. Okay.\n\nAnd how's that been recently? Any change in your bowel habit? Any blood when you\n\npassed stool?\n\nYeah. I've had spotting in my urine.\n\nIn your... Okay. Any change in your bowel habit?\n\nNo.\n\nAny weight loss or anything? No. Any other medical problems or\n\nsurgery in the past?\n\nNo.\n\nDo you take regular medications?\n\nI've had mebepin Pardon? Delivery.\n\nI've had meberine. Do you take that regularly?\n\nYes.\n\nOkay. And do you take it three times a day?\n\nYes. I do.\n\nTwo hundred milligrams?\n\nYes. Any\n\nallergies?\n\nAny allergies?\n\nClindamycin.\n\nYou're allergic to clindamycin. Okay.\n\nAnd anyone in your family had any medical problems?\n\nNo.\n\nThat's fine. And whereabouts do you live? Do you live with friends, family?\n\nI live with friends. Okay.\n\nAnd where do you work? What's your job?\n\nI'm a support worker.\n\nOkay.\n\nDo you drink alcohol at all?\n\nOccasionally. So how much in your average week?\n\nOne glass of wine a week.\n\nOkay. Do you smoke?\n\nNo.\n\nOkay. It sounds very much like you\n\nmight have an infection in your urine. Did you say you haven't felt feverish?\n\nNo fever at all.\n\nHave you got a thermometer at home?\n\nNo.\n\nOkay. It would be helpful if you could get a thermometer from this\n\npharmacy and do check your temperature just to make sure that it isn't\n\ngoing up and\n\ndown. Okay.\n\nNormally, we can treat this\n\nwithout having to test your urine with with a course of antibiotics.\n\nOkay.\n\nHow would you feel about that? Are you happy\n\ntake a course of antibiotics?\n\nYes. I would be. It would just\n\nbe for three days.\n\nOkay. And get my prescription?\n\nYes. So I can send a prescription through to your requested pharmacy for that.\n\nIf you take them as soon as you can,\n\npick them up as soon as you can and start\n\ntaking them,\n\nThe other thing which is important to do is to drink lots of water\n\nSo two and a half to three liters a day. Yeah. You can get some cranberry juice\n\nand take... Drink that as well. That sometimes helps and also some\n\nsachets which you can get from the chemist and stuff which\n\njust help change the acidity of your urine. So I\n\ncan put the details of that on your notes. Okay then.\n\nIf you feel like your pain is getting worse or not\n\nsettling, you get lower back pain,\n\nor you're getting a high temperature or you have any problems at\n\nactually passing urine, then it's very important that we speak to you again.\n\nOkay.\n\nAnd the other thing is if it becomes a\n\ncommon thing or a current problem, then we need to talk to you again about it.\n\nSo do I have to call after I finish my course\n\nantibiotics?\n\nNo. Not if you're better.\n\nOkay.\n\nIf you're... If you feel like your symptoms get worse at any point,\n\nor they're not resolving with the treatment or you keep getting a similar\n\nyou keep getting a similar problem\n\nrecurrently, then it's important for us to talk talk\n\nto you in more detail about that.\n\nOkay then.\n\nHave you got any other questions?\n\nNo. What would be the pharmacy I'll be picking up my medication from?\n\nSo have you already requested a pharmacy through Babylon?\n\nYes. I did.\n\nCan I just check that with\n\nyou?\n\nKnightsbridge practice.\n\nOkay. That's\n\nfine. So the antibiotics that I'm gonna prescribe\n\nwill go through to that pharmacy.\n\nAnd then you'll be able to pick them up from there.\n\nHow soon is that gonna be at the practice? In five minutes?\n\nI would give it longer than that. Give it an hour or so.\n\nAlright then. Thank you. I'll pick that at lunchtime.\n\nOkay. Alright then.\n\nThank you. Take care. Bye. Bye.\n\nSorry. I don't keep","marks":[[160,165,"Redbridge",true],[178,187,"two two HZ. Hello.",false],[213,223,"forty oh",false],[228,234,"nineteen seventy",false],[424,432,"It stays",false],[755,755,"back",true],[995,995,"Seven.",false],[1164,1169,"Spots. OK.",false],[1451,1454,"lower",false],[1768,1768,"or",false],[1906,1908,"No.",false],[2216,2222,"pass",false],[2319,2322,"",false],[2351,2351,"No.",false],[2458,2483,"Mebeverine Mebeverine.",true],[2494,2503,"Mebeverine. 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All right",false],[5564,5574,"",false],[5590,5590,"Thank you. .",false],[5606,5616,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","Six days of dysuria recorded."],["The note captures: Unpleasant or strong urine odour.","yes","Unpleasant/malodorous urine recorded."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","Central, intermittent lower abdominal pain 7/10."],["The note captures: Visible spots of blood in urine/haematuria.","yes","Blood spotting in urine recorded."],["The note captures: Able to pass urine and maintain oral intake.","yes","Able to pass urine and eating/drinking normally."],["The note captures: No fever and no loin/lower back pain.","yes","No fever and no loin/lower back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge and no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS with mebeverine 200 mg three times daily."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","Clindamycin allergy recorded."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","UTI is the working diagnosis."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","Three-day antibiotic course prescribed."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","Advised to obtain a thermometer and monitor temperature."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","Fluids 2.5-3 L/day."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Recontact for worsening/persistent pain, fever, back pain or difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Review if recurrent; no routine follow-up if resolved."]],"claims":[],"note":"Presenting Condition\n\nHx: 6 days of dysuria and malodorous urine\n\nPain: Lower abdominal pain, midline, intensity 7/10, intermittent\n\nAssociated sx: Dysuria, malodorous urine, visible spotting of blood in urine\n\nProgression: Ongoing over 6 days\n\nPrevious episodes: Denies prior similar symptoms\n\nImpact: Able to pass urine\n\nAggravating/easing factors: Not discussed\n\nContributing factors: Denies recent excess exercise, dehydration, or increased sexual activity\n\nReasons for visit: Painful urination and malodorous urine\n\n\n\n\nRadiology\n\nNone discussed\n\n\n\n\nPrevious MSK injuries\n\nNone mentioned\n\n\n\n\nPast Medical History\n\nIBS\n\nDenies kidney problems or prior urine infections\n\nSurgical hx: Denies prior surgery\n\nAllergies: Clindamycin\n\n\n\n\nMedications\n\nMebeverine 200 mg, three times daily (regular)\n\n\n\n\nRed Flag/Screening Questions\n\nFever: Denies\n\nLow back pain/loin pain: Denies\n\nBowel habit change: Denies\n\nBlood in stool: Denies\n\nWeight loss: Denies\n\nVaginal discharge: Denies\n\nEating/drinking: Able to eat and drink\n\n\n\n\nSocial History\n\nLives with friends\n\nOccupation: Support worker\n\nAlcohol: ~1 glass wine/week\n\nTobacco: Non‑smoker\n\nFamily hx: Denies relevant problems\n\n\n\n\nGoals\n\nSymptom relief and resolution with antibiotics\n\n\n\n\nObjective\n\n(Consent obtained)\n\nObservation: Remote consultation; no physical exam performed\n\n\n\n\nDiagnosis\n\nProbable uncomplicated urinary tract infection\n\nPrognosis: Expected improvement with 3‑day antibiotic course\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nRx: 3‑day course of antibiotics sent to requested pharmacy (Knightsbridge practice)\n\nEd:\n\nStart antibiotics as soon as collected\n\nHydration 2.5–3.0 L/day\n\nConsider cranberry juice\n\nConsider urinary alkalinising sachets from pharmacist\n\nSafety‑net: Seek review if worsening pain, new low back/loin pain, fever, difficulty passing urine, or no improvement\n\n// Patient agreed to plan and will collect at lunchtime\n\n\n\n\nPlan\n\nBegin antibiotics today; monitor symptoms\n\nNo routine follow‑up if symptoms resolve\n\nRecontact if symptoms worsen, do not resolve after course, or recur frequently\n\nTemperature monitoring advised; obtain a thermometer and check if febrile\n","review":91.57894736842105,"saved":212.92105263157896,"clean":true,"effort":0.0,"sig":[],"mb":12.795205,"signable":116.55594736842106},{"label":"Run 4","wer":12.018348623853212,"text":"Good morning. I'm doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address,\n\nplease? Hi. My name is Susan. 30 Redbridge Street,\n\nSW 22 H Zed.\n\nAnd your date of birth? Fourteen o two seven. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am.\n\nOkay. What can I do for you?\n\nIt\n\nhurts when I pee.\n\nOkay. And how long is\n\nbeen going on for?\n\nSix days\n\nnow.\n\nPardon?\n\nFor six days. Six\n\ndays.\n\nOkay. And just tell me a bit more about that.\n\nHow did it start?\n\nI've got this\n\nthing when I pee, and it hurts when I go to the loo.\n\nI've got this very unpleasant smell that comes out.\n\nOkay.\n\nAnd have you had any other symptoms along with\n\nthat? Have you had any abdominal pain or lower back pain at all?\n\nI've got\n\npain in my tummy.\n\nWhereabouts?\n\nIn my lower tummy. Okay. Is it one-sided or in the middle?\n\nIn the middle. And how bad would you say that is on a scale of one to 10?\n\nWith 10 being the worst pain.\n\nSeven.\n\nAnd is it constant or does it come and go?\n\nComes and goes.\n\nOkay. And have you actually been able\n\npass water okay?\n\nYes. But I've had spotted blood\n\nin my urine. Okay.\n\nAnd is that just over the\n\nlast\n\nsix days?\n\nYes.\n\nRight. And have you been able to eat and drink okay?\n\nYes.\n\nAnd have you had a temperature? Do you feel like you've\n\nbeen feverish or had a temperature with this?\n\nNo. Not at all.\n\nAnd and then you did you you said you didn't have any low back pain?\n\nNo. I've got\n\nand no loin pain as well.\n\nOkay. And\n\nhave you had these symptoms before? No. Never?\n\nNo.\n\nAnd was there anything you were doing recently\n\nwhich you think may have contributed to it? Have you have you been doing lots of exercise\n\nbeen dehydrated, been having regular sexual intercourse or anything?\n\nNo.\n\nNope. Okay. And\n\nany any other symptoms? Any vaginal discharge or\n\nanything like that?\n\nNo. Just the blood\n\nspot in my\n\nDo you have regular periods?\n\nYes.\n\nI do. Okay.\n\nAnd and in the past, have you had any medical problems at all?\n\nNo medical. No. Have you had any problems with your kidneys or any\n\ninfections?\n\nI had IBS before.\n\nOkay.\n\nAnd how's that been recently? Any change in your bowel habit? Any blood when you\n\npassed stool?\n\nYeah. I've had spotting in my urine.\n\nIn your okay. Any change in your bowel habit?\n\nNo.\n\nAny weight loss or anything? No.\n\nAny other medical problems or surgery in the past?\n\nNo. Do you take regular medications?\n\nI've had mebepin Pardon? Delivery.\n\nDo you take that regularly?\n\nYes.\n\nOkay. And do you take it three times a day?\n\nYes.\n\nI do.\n\nTwo hundred milligrams?\n\nYes.\n\nAny allergies?\n\nAny allergies?\n\nClindamycin.\n\nYou're allergic to clindamycin. Okay.\n\nAnd anyone in your family had any medical problems?\n\nNo.\n\nThat's fine. And whereabouts do you\n\nlive?\n\nYou live with friends, family?\n\nI live with friends.\n\nOkay.\n\nAnd where do you work? What's your job?\n\nI'm a support worker.\n\nOkay.\n\nDo you drink alcohol\n\nat all?\n\nOccasionally.\n\nSo how much in your average week?\n\nOne glass of wine a week.\n\nOkay. Do you smoke?\n\nNo.\n\nOkay. It sounds very much like you\n\nmight have an infection in your urine. Did you say you haven't felt feverish?\n\nNo fever at all.\n\nHave you got a thermometer at home?\n\nNo.\n\nOkay. It would be helpful if you could get\n\na thermometer from the pharmacy and do check your temp\n\njust to make sure that it isn't going up and down.\n\nOkay. Normally, can treat this infection without having\n\nto test your urine with with a course of antibiotics.\n\nOkay.\n\nHow would you feel about\n\nthat? Are you happy to take a course for antibiotics?\n\nYes. I would be.\n\nIt would just be for three days.\n\nOkay.\n\nSo how get my prescription?\n\nYes. So I can send a prescription through to your requested pharmacy for that.\n\nIf you take them as soon as you can, get them pick them up as soon as you can as\n\nstart taking them. The other thing which is important to do is\n\nto drink lots of water, so two and a half to three liters a day.\n\nYeah. You can get some cranberry juice and take\n\ndrink that as well. That sometimes helps and also some\n\nsachets which you can get from the chemist and sachets which\n\njust help change the acidity of your urine. So I\n\ncan put the details of that on your notes. Okay then.\n\nIf you feel like your pain is getting worse or not\n\nsettling, you get lower back pain,\n\nor you're getting a high temperature or you have any problems\n\nactually passing urine, then it's very important that we speak to you again.\n\nOkay.\n\nAnd the other thing is if it becomes a\n\ncommon thing or a current problem, then we need to talk to you again about it.\n\nSo do I have to call after I finish my course\n\nantibiotics?\n\nNo. Not if you're better.\n\nOkay.\n\nIf you're if you feel like your symptoms get worse at any point,\n\nor they're not resolving with the treatment or you keep getting a similar\n\nyou keep getting a similar problem\n\nrecurrently, then it's important for us to talk\n\ntalk to you in more detail about that.\n\nOkay then.\n\nHave you got any other questions?\n\nNo. What would be the pharmacy I'll\n\nbe picking\n\nup my medication from?\n\nSo have you already requested a pharmacy through Babylon?\n\nYes. I\n\ndid.\n\nCan I\n\njust check\n\nthat with\n\nyou?\n\nKnightsbridge practice.\n\nOkay. That's fine. So the antibiotic that I'm going to prescribe will go through to that\n\npharmacy.\n\nThen\n\nyou'll be able to pick them up from there.\n\nHow soon is that gonna be at the practice? In five minutes?\n\nI would give it longer than that. Give it an hour or so.\n\nAlright then. Thank you. I'll pick that at lunchtime.\n\nOkay. Alright then.\n\nThank\n\nyou. Take care. Bye. Bye. Sorry. I didn't keep","marks":[[184,193,"two two HZ. Hello.",false],[219,229,"forty oh",false],[234,246,"nineteen seventy four. OK.",true],[397,399,"has that",false],[421,429,"It stays",false],[755,755,"back",true],[996,996,"Seven.",false],[1162,1167,"Spots. OK.",false],[1404,1416,"any",false],[1454,1457,"lower",false],[1789,1800,"No OK.",false],[1907,1907,"No.",false],[2088,2088,"urine",false],[2211,2217,"pass",false],[2311,2314,"",false],[2343,2343,"No.",false],[2449,2456,"Mebeverine Mebeverine. 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All right",false],[5549,5560,"",false],[5576,5576,"Thank you. .",false],[5591,5602,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Malodorous urine reported\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Suprapubic/lower abdominal pain, midline, 7/10, intermittent\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Visible spotting of blood in urine\"."],["The note captures: Able to pass urine and maintain oral intake.","partial","\"Able to pass urine\" captured, but maintained eating/drinking is not."],["The note captures: No fever and no loin/lower back pain.","yes","No fever, no low back pain, no loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge; first episode."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS; \"Mebeverine 200 mg, three times daily\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Uncomplicated urinary tract infection suspected\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"3-day course of antibiotics\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","no","Advice to obtain a thermometer and monitor temperature is missing."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Hydration target 2.5-3.0 L/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Seek review if pain worsens, fever, back/loin pain, difficulty passing urine, persistence."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","Re-consult if recur; no routine follow-up if resolved."]],"claims":[["Prognosis: expected improvement with 3-day antibiotic course","No prognosis was stated in the consultation; the clinician only prescribed the course and gave safety-netting."]],"note":"Presenting Condition\n\nDysuria for 6 days\n\nMalodorous urine reported\n\nSuprapubic/lower abdominal pain, midline, 7/10, intermittent\n\nVisible spotting of blood in urine over same 6-day period\n\nAble to pass urine\n\nNo fever reported\n\nNo low back pain\n\nNo loin pain\n\nNo vaginal discharge\n\nFirst episode of these symptoms\n\nReason for visit: urinary symptoms and pain when voiding\n\nAggravating/easing factors: advised hydration; no specific triggers identified\n\n\n\n\nPast Medical History\n\nIBS\n\nRegular menstrual periods\n\nDenies other medical problems or past surgery\n\nFamily history: none reported\n\nAllergy: Clindamycin\n\n\n\n\nMedications\n\nMebeverine 200 mg, three times daily\n\nNew prescription: 3-day course of antibiotics for presumed UTI (sent to nominated pharmacy)\n\n\n\n\nRed Flag/Screening Questions\n\nFever: denies\n\nLow back pain: denies\n\nLoin pain: denies\n\nBowel habit change: denies\n\nWeight loss: denies\n\nVaginal discharge: denies\n\nHydration/sexual activity/exercise as contributors: denies\n\n\n\n\nSocial History\n\nLives with friends\n\nOccupation: Support worker\n\nAlcohol: ~1 glass wine/week\n\nTobacco: non-smoker\n\n\n\n\nGoals\n\nSymptom relief of dysuria and abdominal pain\n\nResolution of haematuria\n\n\n\n\nObjective\n\n(Consent obtained)\n\n\n\n\nDiagnosis\n\nUncomplicated urinary tract infection suspected\n\nPrognosis: expected improvement with 3-day antibiotic course\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nEd:\n\nStart 3-day antibiotic course promptly\n\nHydration target 2.5–3.0 L/day\n\nConsider cranberry juice\n\nConsider urinary alkalinising sachets (per chemist)\n\nSafety-net: seek review if pain worsens, fever develops, new low back/loin pain, difficulty passing urine, or symptoms persist/recur\n\n\n\n\nPlan\n\nPrescription sent to nominated pharmacy (Knightsbridge practice); allow ~1 hour before collection; patient to collect at lunchtime\n\nNo routine follow-up if symptoms resolve after antibiotics\n\nRe-consult if symptoms worsen, fail to improve after course, or recur frequently\n","review":125.57894736842105,"saved":178.92105263157896,"clean":false,"effort":20.0,"sig":[],"mb":12.663071,"signable":148.85494736842105},{"label":"Run 5","wer":12.201834862385322,"text":"Good morning. I'm doctor Smith from Babylon. Can you just confirm your name, date of birth, and the first line of your address,\n\nplease? Hi. My name is Susan. 30 Redbridge Street,\n\nSW 22 H Zed.\n\nAnd your date of birth? Fourteen o two seven. Okay. Are you in a private place so you can have a consultation today?\n\nYes. I am.\n\nOkay. What can I do for you?\n\nIt\n\nhurts when I pee.\n\nOkay. And how long is\n\nbeen going on for?\n\nSix days\n\nnow.\n\nPardon?\n\nFor six days. Six\n\ndays.\n\nOkay. And just tell me a bit more about that.\n\nHow did it start?\n\nI've got this\n\nthing when I pee, and it hurts when I go to the loo.\n\nI've got this very unpleasant smell that comes out.\n\nOkay.\n\nAnd have you had any other symptoms along with\n\nthat? Have you had any abdominal pain or lower back pain at all?\n\nI've got\n\npain in my tummy.\n\nWhereabouts?\n\nIn my lower tummy. Okay. Is it one-sided or in the middle?\n\nIn the middle. And how bad would you say that is on a scale of one to 10?\n\nWith 10 being the worst pain.\n\nSeven.\n\nAnd is it constant or does it come and go?\n\nComes and goes.\n\nOkay. And have you actually been able\n\npass water okay?\n\nYes. But I've had spotted blood\n\nin my urine. Okay.\n\nAnd is that just over the\n\nlast\n\nsix days?\n\nYes.\n\nRight. And have you been able to eat and drink okay?\n\nYes.\n\nAnd have you had a temperature? Do you feel like you've\n\nbeen feverish or had a temperature with this?\n\nNo. Not at all.\n\nAnd and then you... Did you... You said you didn't have any low back pain?\n\nNo. I've got\n\nand no loin pain as well.\n\nOkay. And\n\nhave you had these symptoms before? No. Never?\n\nNo.\n\nAnd was there anything you were doing recently\n\nwhich you think may have contributed to it? Have you have you been doing lots of exercise\n\nbeen dehydrated, been having regular sexual intercourse or anything?\n\nNo.\n\nNope. Okay. And\n\nany any other symptoms? Any vaginal discharge or\n\nanything like that?\n\nNo. Just the blood\n\nspot in my\n\nDo you have regular periods?\n\nYes.\n\nI do. Okay.\n\nAnd and in the past, have you had any medical problems at all?\n\nNo medical. No. Have you had any problems with your kidneys or any\n\ninfections?\n\nI had IBS before.\n\nOkay.\n\nAnd how's that been recently? Any change in your bowel habit? Any blood when you\n\npassed stool?\n\nYeah. I've had spotting in my urine.\n\nIn your... Okay. Any change in your bowel habit?\n\nNo.\n\nAny weight loss or anything? No.\n\nAny other medical problems or surgery in the past?\n\nNo. Do you take regular medications?\n\nI've had mebepin Pardon? Delivery.\n\nDo you take that regularly?\n\nYes.\n\nOkay. And do you take it three times a day?\n\nYes.\n\nI do.\n\nTwo hundred milligrams?\n\nYes.\n\nAny allergies?\n\nAny allergies?\n\nClindamycin.\n\nYou're allergic to clindamycin. Okay.\n\nAnd anyone in your family had any medical problems?\n\nNo.\n\nThat's fine. And whereabouts do you\n\nlive?\n\nYou live with friends, family?\n\nI live with friends.\n\nOkay.\n\nAnd where do you work? What's your job?\n\nI'm a support worker.\n\nOkay.\n\nDo you drink alcohol\n\nat all?\n\nOccasionally.\n\nSo how much in your average week?\n\nOne glass of wine a week.\n\nOkay. Do you smoke?\n\nNo.\n\nOkay. It sounds very much like you\n\nmight have an infection in your urine. Did you say you haven't felt feverish?\n\nNo fever at all.\n\nHave you got a thermometer at home?\n\nNo.\n\nOkay. It would be helpful if you could get\n\na thermometer from the pharmacy and do check your temp\n\njust to make sure that it isn't going up and down.\n\nOkay. Normally, can treat this infection without having\n\ntest your urine with with the course of antibiotics.\n\nOkay.\n\nHow would you feel about\n\nthat? Are you happy to take a course for antibiotics?\n\nYes. I would be.\n\nIt would just be for three days.\n\nOkay.\n\nSo how...\n\nGet my prescription?\n\nYes. So I can send a prescription through to your requested pharmacy for that.\n\nIf you take them as soon as you can, get them... Pick them up as soon as you can as\n\nstart taking them. The other thing which is important to do is\n\nto drink lots of water, so two and a half to three liters a day.\n\nYeah. You\n\ncan get some cranberry juice and take\n\ndrink that as well. That sometimes helps and also some\n\nsachets which you can get from the chemist and sachets which\n\njust help change the acidity of your urine. So I\n\ncan put the details of that on your notes.\n\nOkay then.\n\nIf you feel like your pain is getting worse or not\n\nsettling, you get lower back pain,\n\nor you're getting a high temperature or you have any problems\n\nactually passing urine, then it's very important that we speak to you again.\n\nOkay.\n\nAnd the other thing is if it becomes a\n\ncommon thing or a current problem, then we need to talk to you again about it.\n\nSo do I have to call after I finish my course\n\nantibiotics?\n\nNo. Not if you're better.\n\nOkay.\n\nIf you're... If you feel like your symptoms get worse at any point,\n\nor they're not resolving with the treatment or you keep getting a similar\n\nyou keep getting a similar problem\n\nrecurrently, then it's important for us to talk\n\ntalk to you in more detail about that.\n\nOkay then.\n\nHave you got any other questions?\n\nNo. What would be the pharmacy I'll\n\nbe picking\n\nup my medication from?\n\nSo have you already requested a pharmacy through Babylon?\n\nYes. I\n\ndid.\n\nCan I\n\njust check\n\nthat with\n\nyou?\n\nKnightsbridge practice.\n\nOkay. That's fine. So the antibiotic that I'm going to prescribe will go through to that\n\npharmacy.\n\nThen\n\nyou'll be able to pick them up from there.\n\nHow soon is that gonna be at the practice? In five minutes?\n\nI would give it longer than that. Give it an hour or so.\n\nAlright then. Thank you. I'll pick that at lunchtime.\n\nOkay. Alright then.\n\nThank\n\nyou. Take care. Bye. Bye. Sorry. I didn't keep","marks":[[184,193,"two two HZ. Hello.",false],[219,229,"forty oh",false],[234,246,"nineteen seventy four. OK.",true],[397,399,"has that",false],[421,429,"It stays",false],[755,755,"back",true],[996,996,"Seven.",false],[1162,1167,"Spots. OK.",false],[1404,1419,"any",false],[1460,1463,"lower",false],[1795,1806,"No OK.",false],[1913,1913,"No.",false],[2094,2094,"urine",false],[2217,2223,"pass",false],[2320,2323,"",false],[2352,2352,"No.",false],[2458,2465,"Mebeverine Mebeverine. I've had Mebeverine.",true],[2474,2483,"No birth .",false],[2793,2793,"Do",false],[2989,2993,"a",false],[3331,3335,"temperature",false],[3511,3516,"do",false],[3640,3656,"OK. Um.",false],[3841,3843,"and",false],[3960,3966,"litres",false],[4124,4127,"some",false],[4543,4550,"recurrent",true],[4880,4891,"reccurently.",false],[5020,5030,"Uh where will",false],[5249,5259,"antibiotics",false],[5269,5277,"gonna",false],[5322,5322,"How soon And",false],[5493,5500,"All right",false],[5548,5561,"OK. All right",false],[5569,5580,"",false],[5596,5596,"Thank you. .",false],[5611,5622,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Pain on urination for 6 days\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"Malodorous urine reported\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Lower abdominal pain, midline, intermittent, severity 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Visible spotting of blood in urine\"."],["The note captures: Able to pass urine and maintain oral intake.","partial","\"Able to pass urine\" captured; oral intake not mentioned."],["The note captures: No fever and no loin/lower back pain.","yes","No fever; no low back or loin pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","No vaginal discharge; first episode."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS; \"Mebeverine 200 mg, three times daily\"."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergy: Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Probable uncomplicated urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Antibiotics prescribed for 3 days\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain a thermometer to monitor temperature\"."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Hydration 2.5-3 L/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Safety-net for worsening pain, back/loin pain, fever, difficulty passing urine."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","No routine follow-up if resolved; re-contact if recurrent."]],"claims":[],"note":"Presenting Condition\n\nPain on urination for 6 days\n\nMalodorous urine reported\n\nLower abdominal pain, midline, intermittent, severity 7/10\n\nVisible spotting of blood in urine over same 6 days\n\nAble to pass urine\n\nNo fever reported\n\nNo low back pain or loin pain\n\nNo vaginal discharge\n\nFirst episode; no identifiable trigger (no ↑exercise, dehydration, or ↑sexual activity)\n\n\n\n\nPast Medical History\n\nIBS\n\nNo kidney problems or prior infections reported\n\nNo past surgeries reported\n\nAllergy: Clindamycin\n\n\n\n\nMedications\n\nMebeverine 200 mg, three times daily\n\n\n\n\nRed Flag/Screening Questions\n\nFever: denies\n\nLow back/loin pain: denies\n\nAbdominal pain: present (lower, intermittent)\n\nVaginal discharge: denies\n\nChange in bowel habit: denies\n\nWeight loss: denies\n\nFamily history: none reported\n\nSmoking: denies\n\nAlcohol: occasional (1 glass wine/week)\n\n\n\n\nSocial History\n\nLives with friends\n\nOccupation: support worker\n\nAlcohol: 1 glass wine/week\n\nNon-smoker\n\n\n\n\nGoals\n\nSymptom relief and resolution with antibiotics\n\n\n\n\nObjective\n\n(Consent obtained)\n\nNo physical exam performed in transcript (telehealth context)\n\n\n\n\nDiagnosis\n\nProbable uncomplicated urinary tract infection\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nAntibiotics prescribed for 3 days, sent to nominated pharmacy (Knightsbridge practice)\n\nEd:\n\nStart antibiotics as soon as collected\n\nHydration 2.5–3 L/day\n\nConsider cranberry juice\n\nConsider urinary alkalinising sachets from pharmacy\n\nObtain a thermometer to monitor temperature\n\nSafety-net: seek review if worsening pain, new low back/loin pain, fever, difficulty passing urine, or non-resolution/recurrent symptoms\n\n// Patient agreeable to antibiotics; plans to collect at lunchtime; no further questions\n\n\n\n\nPlan\n\nNo routine follow-up if symptoms resolve after course\n\nRe-contact service if symptoms worsen, persist after treatment, or recur frequently\n\nPrescription to pharmacy within ~1 hour; patient to collect at lunchtime on 22/09/2026\n","review":96.57894736842105,"saved":207.92105263157896,"clean":false,"effort":3.3333333333333335,"sig":[],"mb":12.846089,"signable":117.57694736842106}],"patientnotes":[{"label":"Run 1","wer":14.220183486238533,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth in the first line of your address, please?\nHi. My name is Susan. 30 Rydbridge Street, SW22HZ.\nAnd your date of birth? 1402. Okay. Are you in a private place? You can have a consultation today? Yes, I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on? For six days now. Pardon? For six days. Six days. Okay. And just tell me a bit more about that. How did it start? I've got this sting when I pee and it hurts when I go to the loo. I've got\nthis very unpleasant smell that comes out.\nOkay. And have you had any other things.\nSymptoms along with that, have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10, with 10 being the worst pain? 7. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water? Okay. Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right. And have you been able to eat and drink? Okay. Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No, not at all. You said you didn't have any.\nLow back pain? No, I've got. And no loin pain as well. Okay. And have you had these symptoms before? No, never. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. Okay. And any other symptoms? Any vaginal discharge or anything like that? No, just the blood spot in my. Do you have regular periods? Yes, I do. Okay. And in the past, have you had any medical problems at all? No. Medical. No. Have you had any problems with your kidneys or any urinary infections? I have.\nHad IBS before. Okay. And how's that been recently? Any change in your bowel habit? Any blood when you pass stool? Yeah, I've had spotting in my urine. Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? Had Mebbevin. Do you take that regularly? Yes. Okay. And do you take it three times a day? Yes, I do. 200 milligrams? Yes. Any allergies? Any allergies? Cleaner? Mycin. You are allergic to Clindamycin. Okay. And anyone in your family had any medical problems? No.\nThat's fine. And whereabouts do you live? Do you live with friends, family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. Do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy. And do check your temperature just to make sure that it isn't going up and down. Normally, we can treat this infection without having to test your urine with. Of course.\nOf antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes, I would be. It would just be for three days. Okay. Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can get them, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So two and a half to three liters a day, you can get some cranberry juice and drink that as well. That sometimes helps. And also some sachets which you can get from the chemists, and sachets which just help change the acidity of your urine. So I can put the details of that on your notes. Okay. Then if you feel like your pain is getting worse or not settling, you get lower back pain.\nOr you're getting a high temperature, you have any problems actually passing urine, then it's very important that we speak to you again. Okay? The other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to go after I finish my course of antibiotics? No, not if you're better. Okay. If you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar. You keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? Have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Night bridge practice.\nOkay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy, and you'll be able to pick them up from there. How soon is that going to be at a practice? In five minutes. I would give it longer than that. Give it an hour or so. All right, then. Thank you. I'll pick that at lunchtime. Okay. All right, then. Thank you. Take care. Bye. Bye. Sorry I didn't keep.","marks":[[156,165,"Redbridge",false],[174,181,"SW two two HZ. Hello.",false],[206,217,"forty oh two nineteen seventy four. OK.",true],[389,397,"It stays",false],[513,518,"thing",false],[650,657,"",false],[718,718,"back",true],[946,946,"Seven.",false],[1109,1109,"Spots. OK.",false],[1332,1332,"Um and any did you",false],[1363,1366,"lower",false],[1474,1474,"No.",false],[1574,1574,"have you",false],[1677,1682,"No OK.",false],[1686,1686,"any",false],[1782,1782,"No.",false],[1956,1963,"urine",false],[1978,1983,"",false],[2136,2141,"In your OK. Um",false],[2174,2177,"",false],[2205,2205,"No.",false],[2297,2297,"I've",false],[2303,2312,"Mebeverine Mebeverine. I've had Mebeverine. Pardon No birth .",true],[2452,2475,"Clindamycin. You're",true],[3301,3306,"do",false],[3425,3430,"OK. Um. get my prescription.",false],[3706,3712,"litres",false],[3756,3756,"take",false],[3848,3861,"chemist some",false],[4101,4101,"or",false],[4341,4343,"call",false],[4411,4416,"If you're",false],[4583,4594,"reccurently.",false],[4625,4625,"talk",false],[4664,4664,"OK. Yeah. OK then. Um",false],[4703,4713,"Uh where will",false],[4868,4880,"Knightsbridge",false],[4938,4946,"gonna",false],[4989,4989,"How soon",false],[4994,4994,"then",false],[5055,5063,"gonna",false],[5236,5246,"",false],[5262,5262,"Thank you. .",false],[5276,5288,".",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria for six days\", \"stinging sensation on urination\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"unpleasant odor\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Lower abdominal midline pain 7/10, intermittent\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Spotting of blood in urine\"."],["The note captures: Able to pass urine and maintain oral intake.","no","Ability to pass urine and eat/drink is not documented."],["The note captures: No fever and no loin/lower back pain.","yes","\"No fever, no back/loin pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","no","Records \"Past urinary infection history\", contradicting no previous similar symptoms."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","partial","\"Mebbevin 200 mg TID\" misspelled and IBS history omitted."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergic to Clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Likely urinary tract infection (UTI)\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribed 3‑day course of antibiotics (unspecified)\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","partial","\"Monitor temperature\" but no advice to obtain a thermometer."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Increase fluid intake to 2.5–3 L/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","partial","Includes fever, worsening pain, urinary retention, persistence, but omits back pain."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","\"Follow‑up if symptoms persist or recur\" but no statement that routine review is unnecessary if better."]],"claims":[["Past urinary infection history","Transcript states she has never had these symptoms before (\"have you had these symptoms before?\" \"No.\")."]],"note":"Subjective\n\nChief Complaint::\n\nDysuria for six days.\n\nHistory of Presenting Complaint::\n\nOnset 6 days ago with stinging sensation on urination and unpleasant odor.\n\nLower abdominal midline pain 7/10, intermittent.\n\nSpotting of blood in urine.\n\nNo fever, no back/loin pain, no vaginal discharge.\n\nNo recent increased exercise, dehydration, or sexual activity.\n\nRegular periods.\n\nPast urinary infection history.\n\nCurrent medication: Mebbevin 200 mg TID.\n\nAllergic to Clindamycin.\n\nSocial: lives with friends, support worker, occasional alcohol (1 glass wine/week), non‑smoker.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nLikely urinary tract infection (UTI).\n\nPlan\n\nMedications::\n\nMebbevin 200 mg three times daily.\n\nPrescribed 3‑day course of antibiotics (unspecified).\n\nIncrease fluid intake to 2.5–3 L/day (water, cranberry juice, urine‑acidifying sachets).\n\nMonitor temperature; seek care if fever, worsening pain, or urinary retention.\n\nPrescription sent to Night Bridge practice pharmacy for pickup within ~1 hour.\n\nFollow‑up if symptoms persist or recur.","review":151.5,"saved":153.0,"clean":false,"effort":33.33333333333333,"sig":[["missing","No vaginal discharge and no previous similar urine infection/symptoms.","Note records past urinary infection history when the patient said she never had these symptoms, implying recurrent UTI."],["partial","Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","Safety-net omits new back pain, the given red flag for upper tract infection."]],"mb":25.520531,"latency":27.126,"signable":178.626},{"label":"Run 2","wer":13.486238532110093,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth in the first line of your address, please?\nHi. My name is Susan. 30 Rydbridge Street, SW2.2HZ.\nAnd your date of birth? 1402. Okay. Are you in a private place? You can have a consultation today? Yes, I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on? For Six days now. Pardon? Six days. Six days. Okay. And just tell me a bit more about that. How did it start? I've got this sting when I pee and it hurts when I go to the loo. I've got this very\nunpleasant smell that comes out.\nOkay.\nAnd have\nyou had it.\nAny other symptoms along with that? Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10, with 10 being the worst pain? 7. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water? Okay. Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right. And have you been able to eat and drink? Okay. Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No, not at all. You said you.\nYou didn't have any low back pain? No, I've got no loin pain as well. Okay. And have you had these symptoms before? No, never. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. Okay. And any other symptoms? Any vaginal discharge or anything like that? No, just the blood spot in my. Do you have regular periods? Yes, I do. Okay. And in the past, have you had any medical problems at all? No. Medical. No. Have you had any problems with your kidneys or any urine infections?\nI had IBS before. Okay, and how's that been recently? Any change in your bowel habit? Any blood when you pass stool? Yeah, I've had spotting in my urine. Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? Had Mebeverine. Do you take that regularly? Yes. Okay. And do you take it three times a day? Yes, I do. 200 milligrams? Yes. Any allergies? Any allergies? Clean the mycin. You're allergic to Clindamycin. Okay. And anyone in your family had any medical problems?\nNo, that's fine. And whereabouts do you live? Do you live with friends, Family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. Do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy. And do check your temperature just to make sure that it isn't going up and down. Normally, we can treat this infection without having to test your urine with.\nWith a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes, I would be. It would just be for three days. Okay. Get my prescription. Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So two and a half to three liters a day, you can get some cranberry juice and drink that as well. That sometimes helps. And also some sachets which you can get from the chemists and sachets which just help change the acidity of your urine. So I can put the details of that on your notes. Okay. Then if you feel like your pain is getting worse or not settling, you get lower back pain.\nOr you're getting a high temperature, you have any problems actually passing urine, then it's very important that we speak to you again. Okay? The other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No, not if you're better. If you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar. You keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Ok? Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So, have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knights Bridge practice.\nOkay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy, and you'll be able to pick them up from there. How soon is that going to be at the practice? In five minutes. I would give it longer than that. Give it an hour or so. All right, then. Thank you. I'll kick that at lunchtime. Okay. All right, then. Thank you. Take care. Bye.","marks":[[156,165,"Redbridge",false],[174,182,"SW two two HZ. Hello.",false],[207,218,"forty oh two nineteen seventy four. OK.",true],[390,398,"It stays",false],[510,515,"thing",false],[711,711,"back",true],[939,939,"Seven.",false],[1102,1102,"Spots. OK.",false],[1325,1325,"Um and any did you",false],[1360,1363,"lower",false],[1466,1466,"No.",false],[1566,1566,"have you",false],[1669,1674,"No OK.",false],[1678,1678,"any",false],[1774,1774,"No.",false],[2120,2125,"In your OK. Um",false],[2158,2161,"",false],[2189,2189,"No.",false],[2281,2281,"I've",false],[2298,2298,"Mebeverine. I've had Mebeverine. 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Sorry I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"6-day history of stinging dysuria\"."],["The note captures: Unpleasant or strong urine odour.","yes","\"unpleasant urine odour\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"intermittent midline lower abdominal pain 7/10\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"spotted haematuria\"."],["The note captures: Able to pass urine and maintain oral intake.","no","Ability to pass urine and maintained eating/drinking are not documented."],["The note captures: No fever and no loin/lower back pain.","yes","Denies fever and back pain."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","partial","Prior similar episodes denied, but absence of vaginal discharge is not documented."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","partial","Mebeverine 200 mg three times daily listed, but the IBS diagnosis is not stated."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","no","Clindamycin allergy is not documented."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Likely urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribed a three-day course of antibiotics\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","no","Advice to obtain a thermometer and monitor temperature is missing."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Increase fluid intake to 2.5-3 L/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Review for worsening pain, fever, back pain or difficulty voiding."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","partial","\"No routine follow-up required if symptoms resolve\" captured, but review of recurrent episodes is omitted."]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nDysuria\n\nHistory of Presenting Complaint::\n\n6‑day history of stinging dysuria, unpleasant urine odour, intermittent midline lower abdominal pain 7/10, and spotted haematuria\n\nDenies fever, back pain, recent vigorous exercise, dehydration, recent sexual activity, and prior similar episodes\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nLikely urinary tract infection\n\nPlan\n\nMedications::\n\nMebeverine 200 mg three times daily\n\nPrescribed a three‑day course of antibiotics\n\nCommence antibiotic course immediately\n\nIncrease fluid intake to 2.5–3 L/day; consider cranberry juice and urinary‑acidity sachets\n\nMonitor for worsening pain, fever, back pain, or difficulty voiding; seek review if any develop\n\nNo routine follow‑up required if symptoms resolve","review":132.23684210526315,"saved":172.26315789473685,"clean":false,"effort":30.0,"sig":[["missing","Clindamycin allergy is recorded; do not report no known drug allergies.","Clindamycin allergy omitted while antibiotics are being prescribed."]],"mb":21.309572,"latency":26.147,"signable":158.38384210526314},{"label":"Run 3","wer":13.853211009174313,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth in the first line of your address, please?\nHi. My name is Susan. 30 Rydbridge Street, SW2.2HZ.\nAnd your date of birth? 1402. Okay. Are you in a private place? You can have a consultation today? Yes, I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on? For? Six days now. Pardon? Six\ndays.\nSix days. Okay. And just tell me a bit more about that. How did it start? I've got this sting when I pee, and it hurts when I go to the loo. I've got this very\nunpleasant smell that comes out.\nOkay.\nAnd have you\nhad any.\nAny other symptoms along with that? Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10, with 10 being the worst pain? 7. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water? Okay. Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right. And have you been able to eat and drink? Okay. Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No, not at all. You said you.\nYou didn't have any low back pain? No, I've got no loin pain as well. Okay. And have you had these symptoms before? No, never. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. Okay. And any other symptoms? Any vaginal discharge or anything like that? No, just the blood spot in my. Do you have regular periods? Yes, I do. Okay. And in the past, have you had any medical problems at all? No. Medical. No. Have you had any problems with your kidneys or any urine infections?\nI had IBS before. Okay, and how's that been recently? Any change in your bowel habit? Any blood when you pass stool? Yeah, I've had spotting in my urine. Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? Had Mebeverine. Do you take that regularly? Yes. Okay. And do you take it three times a day? Yes, I do. 200 milligrams? Yes. Any allergies? Any allergies? Clean the mycin. You are allergic to Clindamycin. Okay. And anyone in your family had any medical problems?\nNo, that's fine. And whereabouts do you live? Do you live with friends, Family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. Do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy. And do check your temperature just to make sure that it isn't going up and down. Normally, we can treat this infection without having to test your urine with.\nWith a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes, I would be. It would just be for three days. Okay. Get my prescription. Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So two and a half to three liters a day, you can get some cranberry juice and drink that as well. That sometimes helps. And also some sachets which you can get from the chemists and sachets which just help change the acidity of your urine. So I can put the details of that on your notes. Okay. Then if you feel like your pain is getting worse or not settling, you get lower back pain.\nOr you're getting a high temperature, you have any problems actually passing urine, then it's very important that we speak to you again. Okay? The other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to go after I finish my course of antibiotics? No, not if you're better. If you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar. You keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So, have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knights Bridge practice.\nOkay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy, and you'll be able to pick them up from there. How soon is that going to be at the practice? In five minutes. I would give it longer than that. Give it an hour or so. All right, then. Thank you. I'll kick that at lunchtime. Okay. All right, then. Thank you. Take care. Bye.","marks":[[156,165,"Redbridge",false],[174,182,"SW two two HZ. Hello.",false],[207,218,"forty oh two nineteen seventy four. OK.",true],[391,399,"It stays",false],[511,516,"thing",false],[639,643,"",false],[714,714,"back",true],[942,942,"Seven.",false],[1105,1105,"Spots. OK.",false],[1328,1328,"Um and any did you",false],[1363,1366,"lower",false],[1469,1469,"No.",false],[1569,1569,"have you",false],[1672,1677,"No OK.",false],[1681,1681,"any",false],[1777,1777,"No.",false],[2123,2128,"In your OK. Um",false],[2161,2164,"",false],[2192,2192,"No.",false],[2284,2284,"I've",false],[2301,2301,"Mebeverine. I've had Mebeverine. Pardon No birth .",false],[2441,2465,"Clindamycin. You're",false],[3294,3299,"do",false],[3559,3559,"get them",false],[3711,3717,"litres",false],[3761,3761,"take",false],[3853,3865,"chemist some",false],[4105,4105,"or",false],[4345,4347,"call",false],[4414,4414,"If you're",false],[4581,4592,"reccurently.",false],[4623,4623,"talk",false],[4662,4662,"OK. Yeah. OK then. Um",false],[4701,4711,"Uh where will",false],[4870,4884,"Knightsbridge",false],[4942,4950,"gonna",false],[4993,4993,"How soon",false],[4998,4998,"then",false],[5059,5067,"gonna",false],[5195,5199,"pick",false],[5242,5252,"",false],[5268,5268,"Thank you. . Bye. Sorry I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","6 days of dysuria with stinging on voiding."],["The note captures: Unpleasant or strong urine odour.","yes","\"foul odor\"."],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"mid-lower abdominal pain 7/10, intermittent\"."],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"Associated haematuria (spotting)\"."],["The note captures: Able to pass urine and maintain oral intake.","no","Ability to pass urine and oral intake not documented."],["The note captures: No fever and no loin/lower back pain.","yes","\"no fever, no back pain\"."],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","partial","No prior similar episodes captured; absence of vaginal discharge not documented."],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","IBS; Mebeverine 200 mg TID."],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"allergic to clindamycin\"."],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Likely urinary tract infection\"."],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribed antibiotics (3-day course)\"."],["The note captures: Advised to obtain a thermometer and monitor temperature.","partial","\"Monitor temperature\" captured but advice to obtain a thermometer omitted."],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Increase fluid intake to 2.5-3 L/day\"."],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Seek care if pain worsens, back pain, fever, difficulty voiding."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","no","Neither review of recurrent episodes nor no-routine-review advice is documented."]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nDysuria (painful urination) for 6 days\n\nHistory of Presenting Complaint::\n\nOnset 6 days ago with stinging on voiding, foul odor and mid‑lower abdominal pain 7/10, intermittent\n\nAssociated haematuria (spotting), no fever, no back pain, no prior similar episodes\n\nPast history of IBS, regularly takes Mebeverine 200 mg TID; allergic to clindamycin\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nLikely urinary tract infection\n\nPlan\n\nMedications::\n\nPrescribed antibiotics (3‑day course)\n\nMebeverine 200 mg three times daily\n\nAllergy: clindamycin\n\nIncrease fluid intake to 2.5–3 L/day; consider cranberry juice and urinary‑acidifying sachets\n\nTake prescribed antibiotics promptly and complete the 3‑day course\n\nMonitor temperature; seek care if pain worsens, back pain develops, fever occurs, or difficulty voiding\n\nPrescription sent to Knights Bridge practice pharmacy for collection","review":106.36842105263159,"saved":198.1315789473684,"clean":false,"effort":20.0,"sig":[],"mb":22.209564,"latency":26.135,"signable":132.50342105263158},{"label":"Run 4","wer":13.486238532110093,"text":"Good morning. I'm Dr. Smith from Babylon. Can you just confirm your name, date of birth in the first line of your address, please?\nHi. My name is Susan. 30 Rydbridge Street, SW2.2HZ.\nAnd your date of birth? 1402. Okay. Are you in a private place? You can have a consultation today? Yes, I am. Okay. What can I do for you? It hurts when I pee. Okay. And how long has that been going on? For Six days now. Pardon? Six days. Six days. Okay. And just tell me a bit more about that. How did it start? I've got this sting when I pee and it hurts when I go to the loo. I've got this very\nunpleasant smell that comes out.\nOkay.\nAnd have\nyou had it.\nAny other symptoms along with that? Have you had any abdominal pain or lower back pain at all? I've got pain in my tummy. Whereabouts? In my lower tummy. Okay. Is it one sided or in the middle? In the middle. And how bad would you say that is on a scale of 1 to 10, with 10 being the worst pain? 7. And is it constant or does it come and go? Comes and goes. Okay. And have you actually been able to pass water? Okay. Yes, but I've had spotted blood in my urine. And is that just over the last six days? Yes. Right. And have you been able to eat and drink? Okay. Yes. And have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No, not at all. You said you.\nYou didn't have any low back pain? No, I've got no loin pain as well. Okay. And have you had these symptoms before? No, never. And was there anything you were doing recently which you think may have contributed to it? Have you been doing lots of exercise, been dehydrated, been having regular sexual intercourse or anything? No. Okay. And any other symptoms? Any vaginal discharge or anything like that? No, just the blood spot in my. Do you have regular periods? Yes, I do. Okay. And in the past, have you had any medical problems at all? No. Medical. No. Have you had any problems with your kidneys or any urine infections?\nI had IBS before. Okay, and how's that been recently? Any change in your bowel habit? Any blood when you pass stool? Yeah, I've had spotting in my urine. Okay. Any change in your bowel habit? No. Any weight loss or anything? No. Any other medical problems or surgery in the past? No. Do you take regular medications? Had Mebeverine. Do you take that regularly? Yes. Okay. And do you take it three times a day? Yes, I do. 200 milligrams? Yes. Any allergies? Any allergies? Clean the mycin. You're allergic to Clindamycin. Okay. And anyone in your family had any medical problems?\nNo, that's fine. And whereabouts do you live? Do you live with friends, Family? I live with friends. Okay. And where do you work? What's your job? I'm a support worker. Okay. Do you drink alcohol at all? Occasionally. So how much in an average week? One glass of wine a week. Okay. Do you smoke? No. Okay. It sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. Okay. It would be helpful if you could get a thermometer from the pharmacy. And do check your temperature just to make sure that it isn't going up and down. Normally, we can treat this infection without having to test your urine with.\nWith a course of antibiotics. Okay. How would you feel about that? Are you happy to take a course of antibiotics? Yes, I would be. It would just be for three days. Okay. Get my prescription. Yes. So I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can, pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So two and a half to three liters a day, you can get some cranberry juice and drink that as well. That sometimes helps. And also some sachets which you can get from the chemists and sachets which just help change the acidity of your urine. So I can put the details of that on your notes. Okay. Then if you feel like your pain is getting worse or not settling, you get lower back pain.\nOr you're getting a high temperature, you have any problems actually passing urine, then it's very important that we speak to you again. Okay? The other thing is, if it becomes a common thing or a recurrent problem, then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics? No, not if you're better. If you feel like your symptoms get worse at any point, or they're not resolving with the treatment, or you keep getting a similar. You keep getting a similar problem recurrently, then it's important for us to talk to you in more detail about that. Ok? Have you got any other questions? No. What would be the pharmacy I'll be picking up my medication from? So, have you already requested a pharmacy through Babylon? Yes, I did. Can I just check that with you? Knights Bridge practice.\nOkay, that's fine. So the antibiotics that I'm going to prescribe will go through to that pharmacy, and you'll be able to pick them up from there. How soon is that going to be at the practice? In five minutes. I would give it longer than that. Give it an hour or so. All right, then. Thank you. I'll kick that at lunchtime. Okay. All right, then. Thank you. Take care. Bye.","marks":[[156,165,"Redbridge",false],[174,182,"SW two two HZ. Hello.",false],[207,218,"forty oh two nineteen seventy four. OK.",true],[390,398,"It stays",false],[510,515,"thing",false],[711,711,"back",true],[939,939,"Seven.",false],[1102,1102,"Spots. OK.",false],[1325,1325,"Um and any did you",false],[1360,1363,"lower",false],[1466,1466,"No.",false],[1566,1566,"have you",false],[1669,1674,"No OK.",false],[1678,1678,"any",false],[1774,1774,"No.",false],[2120,2125,"In your OK. Um",false],[2158,2161,"",false],[2189,2189,"No.",false],[2281,2281,"I've",false],[2298,2298,"Mebeverine. I've had Mebeverine. 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Sorry I .",false]],"facts":[["The note captures: Six-day history of burning/stinging urination/dysuria.","yes","\"Dysuria (painful urination) for 6 days\" with stinging sensation."],["The note captures: Unpleasant or strong urine odour.","yes","\"unpleasant urine odor.\""],["The note captures: Intermittent central lower abdominal/suprapubic pain rated seven out of ten.","yes","\"Midline lower abdominal pain, intermittent, rated 7/10.\""],["The note captures: Visible spots of blood in urine/haematuria.","yes","\"spotting of blood in urine for six days.\""],["The note captures: Able to pass urine and maintain oral intake.","no","Ability to pass urine and to eat and drink normally is not documented."],["The note captures: No fever and no loin/lower back pain.","yes","\"No fever, no back/loin pain.\""],["The note captures: No vaginal discharge and no previous similar urine infection/symptoms.","yes","\"no prior similar episodes\" and \"no vaginal discharge.\""],["The note captures: History of irritable bowel syndrome treated with mebeverine 200 mg three times daily.","yes","\"Past history of IBS; currently taking Mebeverine 200 mg three times daily.\""],["The note captures: Clindamycin allergy is recorded; do not report no known drug allergies.","yes","\"Allergic to clindamycin.\""],["The note captures: Likely urinary tract infection is the working diagnosis.","yes","\"Likely urinary tract infection.\""],["The note captures: A three-day antibiotic course is offered/prescribed; the antibiotic name/dose is not spoken and is not required.","yes","\"Prescribed a three-day course of antibiotics\"; no drug name invented."],["The note captures: Advised to obtain a thermometer and monitor temperature.","yes","\"Obtain a thermometer and monitor temperature.\""],["The note captures: Advised to increase water intake to roughly 2.5–3 litres daily.","yes","\"Increase fluid intake to 2.5-3 L per day.\""],["The note captures: Recontact for worsening/persistent symptoms, fever, back pain or difficulty passing urine.","yes","Return if pain worsens, back pain, fever or difficulty passing urine; also if symptoms persist."],["The note captures: Review recurrent episodes; no routine post-course review is needed if completely better.","yes","\"No routine follow-up required unless symptoms persist or recur after treatment.\""]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nDysuria (painful urination) for 6 days.\n\nHistory of Presenting Complaint::\n\nStinging sensation on urination, unpleasant urine odor, and spotting of blood in urine for six days.\n\nMidline lower abdominal pain, intermittent, rated 7/10.\n\nNo fever, no back/loin pain, no prior similar episodes, no recent dehydration, vigorous exercise, or sexual activity.\n\nRegular menstrual periods, no vaginal discharge.\n\nPast history of IBS; currently taking Mebeverine 200 mg three times daily.\n\nAllergic to clindamycin.\n\nLives with friends, works as a support worker, drinks occasionally (≈1 glass wine/week), non‑smoker.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nLikely urinary tract infection.\n\nPlan\n\nMedications::\n\nMebeverine 200 mg three times daily (current).\n\nPrescribed a three‑day course of antibiotics (type to be dispensed).\n\nIncrease fluid intake to 2.5–3 L per day; consider cranberry juice and urinary‑acidifying sachets.\n\nObtain a thermometer and monitor temperature; seek care if fever develops.\n\nTake prescribed antibiotics promptly and complete the three‑day course.\n\nReturn for urgent review if pain worsens, back pain develops, fever occurs, or difficulty passing urine.\n\nNo routine follow‑up required unless symptoms persist or recur after treatment.","review":76.36842105263158,"saved":228.13157894736844,"clean":false,"effort":6.666666666666667,"sig":[],"mb":23.053327,"latency":28.149,"signable":104.51742105263158}]}}